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Home My WebLink About2435 SIERRA MORENA AVE; ; 81-134; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons 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 el· feet. OWNER-BUILDER DECLARATION 0 I 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, alter1 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 provl• slons 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). :H, 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 of property 1•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 I hereby affirm that I have a cert~lcat,of sent to self-insure, o• a certiflcat of W\rke Compensation Insurance, or a~ rtified copy thereof (Sec. 3800, Labor Code POLICY NO•--------\~----COMPANY _______ _,.,._ ___ _ 0 1,.::4,y is filed with the city. :ortlfied copy is hereby furnished. : CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (this section need not be completed If the per• mil Is for one hundred dollars (S100) or less). I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any .(llanner so as to become subject to the Workers' Compensation Laws ol California. NOTICE TO APPLICANT: If, after making this Cer· tiflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, yo~must forthwith comply with such provisions or this permit shall be deemed revoked. r CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len· ding agency for the performance of the work for whle.h this Mrmit Is 1 .. ued !Sec. 3097. Civil Code). CITY OF CARLSBA D-BUILDING D E PARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. JOB ADDRESS /!1'1¥$1 1 1$/i611'dl141/1•1Ml,:u1¥~ I I I I I I I I I I I tR~T.1D;;Z,lPL 1 CATIONI ~3S71 ....,..., PERM IT NUMBER f 1 ✓131 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE L ICENSE --r//4~,,,,,~ sr; ,..,... G#lla.4-ll.b c¢' A/A($.A.,.-,r ,~,8~.s--,t OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ~4 ~~ s / ~/Z~A_ .. .r2'A h_..:=v:"'4 '375"/ ~/Z.M t-w1~ lk'BllJ.YISION ~ I '. ASSESSOR'S PARCEL NO. CJY ,...,,.:,. ~ -·~ I i 'I 7i I/ 161" I 131 /.,, I DESIGNER DESCRIPTION OF WOR___. A in, /. '?' t:::' B ;>A.. -J-~,. J}e, ~ //C DESIGNER'S ADDRESS CENSUS TRACT GP LANO USE BLDG SQ. FT. BLOG USE QTY.I PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER ...,,--S-S?-C ~ 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 TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR \ ~ ')~L ZONING l RES. UNITS occ. GP l STANDARD PLAN~ r0~i3st I PARKING SPACE 1 TYPE CONST AMT. QTY. MECHANICAL PERMIT 1 INSTALL FURN. DUCTS UP TD 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN Sl~!GLE DUCT MECH EXHAUST -HOOO/OUCTS RELOCATION OF EA FURNACE/HEATER ?l." 0 ,~s~~ TOTAL MECHANICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP ·-RAMADA, CABANA =r., FENCE OVER 6' TOTAL MOBILE HOME ?.,. _C)t> 71Jj CONTRACTOR'S UONE /.l!!??-Ztf';r STATE LICENSE DESIGNER'S PHONE -~ NUMBER OF STORIES 1 OCC. LOAD AMT. I l.f:--~ l LI/J0/81 l.119 OOOl-41f' ,,so1s 1 Not Valid Unfass Machin, Cartifild 1o;so 10;50 l / .a.--1 r1 A I J t"'ll'\..J $_17.)l' ~ BUILDING PERMIT -, I . Jib,J10 3--:0V SIGN PERMIT -1 I , I I . I 1.,, PLAN CHECK '/-ft~•,g,dt> ~~u I I 1-- ALL INCLUSIVE PERMIT I I I AMT. TOTAL PLUMBING I I I ELECTRICAL rn . ....- MECHANICAL I ?J.-+- MOBILE HOME I I a. I SOLAR I I I . I -I , I I . I S..TRON(;:., mcfff.o~ I I I · I MICO-FI LM I • I I . I I , I I : I ,. I I I • I I I I I TOTAL FEES PAYABLE l I I . (/,o.M I I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT. AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED:TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PE s 5'.Q'" DEEP A~~IT IS REQUIRED F ";}' """ oi::0 '"•0 • o• ~~,:' "'""'o•s o,c.,h. 0 0 L J',. U rno""' ,.,.,~':."cr,o• o, '" I e,_ ('.__ -, .,., _..>s.:,, OF THE GRANTING OF THIS PERMIT. rANT"SSIGNATURE• OWNERQ AGENT D .r \ JW-'4!C/ CDNTRACTOR[7"'1APPROf1D BY r ' BY PHONED ~ ~I BJ:t T~-t ~ ~ ~ ~ ~ ~ Q. V) ~ SITE ' ADDRESS: l. ,-. ~- INSPECTION DATE WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO.INSTALL SUB FL00R ,. ' 'l SLAB FLOOR UNDER SLAB PLUMBING /I) FOOTING • FORMS• SETBACK • TOILET y-~ OK TO POUR CONCRETE FRAME A ROUGH ELECTRICAL S -\.:::TP ROUGH PLUMBING ROUGH HEATING/VENTILATING ., /';j FRAME OK• PLACE INSULATION '!'.),,; \"" INSULATION OK • PLACE \)'ALLBOARD WALLBOARD OK• PLACE TAPE EXT..ERIOR,.LATH OK• PLACE STUCCO ' . ,. . ...... FIREPLACE ~-,-. DAMPER asTEEL . u - PLATE Tl Es/HEIGHT OF CHIMNEY OTHER. ~ TEf.ilP-POY.,ER (POLE) ~ SEWER GAS TEST SWIM P.OOL • STEEL BONDlt,IG • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN f' I FINAL INSP BY BLDG DEPT {J/ I OTHER DEPT!S-REQ COMPLETED /JI.LA ELEC MneR-PERM-TEMP I' /JI GAS METER-PERM-TEMP . I . CERT OF OCCUPANCY ISSUED ' 't ~ ' . l .. - \t:'° . .. OWNER: . > ' FIELD INSPECTION RECORD INSPECTOR ,- .; . . -· l i -.; . . . , I .... ,i- > I ' • u/_ --! I -. 1 . . ' ~ . / /I ,u Aff' 17 'I V . _..;.·•-'~: ' C :,,. " ,_ ~ ..... INSPECTOR'S NOTES . . ., \ -i~·~·-\ .. , ' (I ,. -' - - -:-.... ~ ' ' PJ:RMF{ NO: ~I . C ... - ,_r, -:,:;,._. , . ' -'· ,_ t 3'-f' ..,, ,· .. . :. . -. ~ , ~ . • I INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT APR O 9 1987 CITY OF~ Buttalng ~LSBAD rtment ZONE _ _.e=---""'___,_/ _____ LOT S IZE _________ LOT WIDTH ________ _ UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED ,~~ re= PROVIDED ____ 6--,-~------ % COVERAGE ALLOWED PROVIDED -------------- BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED ~/_ PROVIDED (\= INTRUSIO_N_S----"\jt-1~~ ....... -- LANDSCAPE & IRRIGATION PLAN SIDE SETBACK: REAR SETBACK: COMMENTS: _N._.,_4....._ __________ _ ENVIRONMENTAL PROTECTION REQ: ~tX',C...,#-~~"'-=-rAfr"'-..?..----------------- ADD TIONAL COMMENTS: -::;-~: ENGINEERING DEPARTMENT {l R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ,13UV :s DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS DRAINAGE --...,..-------------------- LEGAL DES CRI PT I ON~~'iL'--<'---"6c..........;~=----'lj~_,0~~=-c.a:;--""""'~~aL.-..,,:;tP~"""&="""=---#-~z....._ __________ _ ADDITIONAL COMMENTS ____________ _.:... ________ _ OK TO ISSUE: J.Mtc.. DATE4-Gf-8I PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP . _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _