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Home My WebLink About2562 STATE ST; ; 80-283; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm 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 D 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, 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 penally of not more than five hundred dollars ($500). D 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 bullds 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). '.JI, 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 ,•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 ',\)rkers' Compensation Insurance, or a certifiec\ cp~y_ thereof (Sec. 3800, Labor Code). POLICY NO •· V COMPANY 11\\J □Copy Is flied with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION 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, I shall not employ any __ person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate 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 whir:h this oermlt Is Issued fSec. 3097. Civil Code\. C IT Y OF C ARLSBAD-B U ILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. HO. JOB ADDRESS AV, ST -IDATE or APPLICATION eus. LICENSE PERMIT NUMBER 2562 St ate St. RO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 3/25/80 269746 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE ~-h/'3 Mike Auriene 729-6663 Carl sbad Electric. Inc . 18789 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S 7r;,:::? C::~n~= C'-l-r~~l -L ~,-1 r"' Q?nnA 1826 Maqno l ia Ave . PHONE 729-1685 LOT BLOCK I suB0Iv (sI0 N I ASSESSOR'S PARCEL NO. DESIGNER sTATE LICENSE I I I I I I I I I I I DESCRIPTION OF WO Rf Rewiri ng o exi sting cir cui t s t o hook up and move DESIGNER'S ADDRESS DESIGNER'S PHONE exi sting and new equi pment. 3/25 /801.17 1 I CENSUS TRACT GP LAND USE ZONING 7 .... ,"\ •LI· I RES. UNITS I;ARKING SPACE sf t NUMBER or STORIES Not Valid Unlm MachiM C#rtifi«J BLDG SQ. rT. BLDG USE occ. GP I STANDARD PLAN# I PLAN ID # I TYPE CONST I occ. LOAD I QTY. ~ PLUMB ING PERMIT AMT. QTY. '---MECHANICAL PERMIT AMT. EACH F'lie..TURE TRAP INSTALC'!-uRN. DUCTS UP TO 100,000 BTU EACH BUILJhll.G SEWER "" OVER 100,000 BTU EACH WATER H~R ANO/OR VENT BOILER/COMPRES~ UP TO 3 HP EACH GAS SYSTEM 1 ~ OUTLETS BOILER/COMPRESSOR J°XHP EACH GAS SYSTEM 5 OR MOM.. BOILER/COMPRESSOR 16-30 ~ EACH INSTAL., ALTER, REPAIR WAT~E VENT FAN SINGLE OUCT "-... EACH LAWN SPRINKLER SYSTEM ........... MECH EXHAUST -HOOO/O UCTS "'-VALUAT I ON : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER "'I'.. BUILDING PERMIT I . I I I I~~11e 3 .00 Issue ........._ 3 .• 00 SIGN PERMIT I . I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I ' I I . I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. QT't,. AMT. TOTAL PLUMBING I I . I QTY. MOBILE HOME PERMIT ELECTRICAL Ir'?~ NEW CONST EA AMP/SWT/BKR ~WNING MECHANICAL I IC . I 1 PH .25 3 PH P~H MOBILE HOME I I • I EXIST BLDG EA AMP/SWT/BKR SET-U~ SOLAR I I I . I 1 PH .25 3 PH RAMADA, C~A I I I I / REMODEL/ALTER PER CIRCUIT 5~00 FENCE OVER 6' "-._ I . I I • I TEMP POLE 200 AMPS TOTAL MOBILE HOME"-._ MICO-FI LM I I I • I OVER 200 AMPS ' I . I I : I TEMP OCCUPANCY (30 DAYS) ' I . I I I I s sue 2 .00 ' STRONG MOTION I I I ' I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR 7.on ' I I . I 17.M r I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO 00 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES : HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITV, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO ST ATE LAWS GOVERNING BUI LOI NG 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 ANO . ./ 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. A71,aAJEbl/4~ OWNER□ CONTRACTOR·1~• I~ ,~~ AGENT D BY PHONE 0 II -, ! < 0 ~ ~ j:: ~ 0,,, V) ~ SITE ~o ,.)..%-3 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 FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET .. OK TO POUR CONCRETE . I FRAME ,, -~ ROUGH EL ECTRICAL •' ✓ C ~' , ROUGH PLUMBING -•· ~ , ~-. ROUGH HEATING/VENTILATING ~ -~ FRAME OK• PLACE INSULATION ,- INSULATION OK • PLACE WALLBOARD ~ ' I . / . WALLBOARD OK • PLACE TAPE ; / --EXTERIOR LATH OK • PLACE STUCCO ,r l,j,,• FIREPLACE ' DAMPER &STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER T EMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING . • PRE DECK -. . • FENCE PREPLASTER ,,. - SHOWN • FRAME - • PAN ./ FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED / I ELEC METER-PERM-TEMP ~ .I /1)/l)LA . ' GAS METER-PERM-TEMP ,, f~J' I l/'fV -I fl I CERT OF OCCUPANCY ISSUED