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Home My WebLink About2410 SACADA CIR; A; 81-125; PermitLICENSED CONTRACTOR'S DECLARATION I hereby alflrm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is in full force and ef- fect. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). ':II, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner ot property \•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO • . 3~g_~-~ COMPANY . $#li C .,;: CERTIFICATE OF EXE WORKERS' COMPENSATt!!rn INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is Issued, IJlhall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, alter making this Cer• tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. l 3 -ti -3 D/o,a g-1- NO. JOB ADDRESS AVRtT. DATE Of' APPLICATION BUS. LICEN;E PERMIT(NUMBER owNER's PHONE PRIME CONTRACTOR STATE LICENSE /'f M.. fl,, /4 n.. D<VA 's fllu-•./b•~_,,_ __ Lf:.-3 /13 'i 1 OWNER'S MAILING ADDRESS CONTRACTOR'~ ~ODRESS d I . l CONTRACTOR'S -;- PHONE J,,,, ;:;,,..~,fo-,1 7.53 .... ~9._S ;1, '//~A 50...c.a J, l"./,-Je G els l:,J LOT ISO BLOCK I SUBDIVISION 'I ASSESSOR'S PAR~EL NO. ,/ QI 1.i 1 "1___r--___il_1r 1/J , -,4'";7', '13 't &:': 1/1.,1 (J DESIGNER 7 7 I STA.TE LICENSE r'-21. DESCRtTION Of' WORK Wa,, u· Serv/c-e Fr!ht-. 61e.f,.,,. ./4 /lo ~ e DESIGNER'S ADDRESS OESIG NER' S PHONE CENSUS TRACT GP LANO USE ZONING l RES. UNITS l NUMBER Of' STORIES BLDG SQ. FT. BLDG USE occ. GP l STANDARD PLAN # l PLAN ID II PARKING SPACE TVPE CONST I occ. LOAD l QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TD 4 OUTLETS EACH GAS SYSTEM 5 OR MORE / EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER a.J'l.-..,,,~o TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT L--TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR AMT. ---"'-~ ~ ~ AMT. QTY. MECHANICAL PERMIT AMT. INSTALL FURN. DUCTS UP TO 10_0,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER /COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AMT. I AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO -FI LM TOTAL FEES PAYABLE 3112 /817 I 77 0001,177 ~/12/81 Not Valid Unless Machin• Cartifi«J , I I . I I I I . I I I I . I I I I I I I I I I I S 0( ! 0 o: I~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE :202S7~~-~~ OF THE GRANTING OF THIS PERMIT. APP(iCANT'S SIGNATURE' 7 OWNER□ AGENT 0 CONTRACTORJr !APPROVED BV BY PHONE 0 J DATE ! I-< 0 ~ > 5 j::: ~ a. VI _::?: ~ -SITE ' xi-i:v.;-ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD - INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK •TOILET - UNDER FLOOR PLUMBING .... ----.. ,._. .,)-,; --. . ..;. ..... -•. ..• -· . UNDER FLOOR HEATING -" OK TO INSTALL SUB FLOOR ' . --. . -. SLAB F LOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME - ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE .. EXTERIOR LATH OK• PL ACE STUCCO ;.: FIREPLACE DAMPER 8: STEEL PLATE Tl Es/HEIGHT OF CHIMNEY ' .. OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER . SHOWN • FRAME _,, • PAN V FINAL INSP BY BLDG DEPT K~/~.....rl ZI - OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP . -. --GAS METER-PERM-TEMP < . . ' CERT OF OCCUPANCY ISSUED -~ --