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HomeMy WebLinkAbout2445 STEVEN CIR; ; 80-281; 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. I. OWNER-BUILDER DECLARATION 01 hereby affirm that I am exempt from the Con- tractc-_..s License Law for the following reason (Sec. ~1.5 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 pursuanl to the provi- sions of the Contraclor'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 lhe basis for lhe 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 (S500). 0 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 ol- lered 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 hlmself 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 _____ 8. & P.C. for this reaso,._ ___________ _ 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 !hereof (Sec. 3800, Labor Code). POucY No(! ta 87 Cf 7;2 A: COMPANY .2'f/.//J. ti).Copy Is filed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mll is for one hundred dollars ($100) or less). I certify lhat In lhe performance of the work for which this permit is issued, I shall not employ any person In any manner so as lo become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, alter making this Cer• tlllcate 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 CITY OF CARLSBAD-BUILDING DEPA RTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. J08 ADDRESS AV. ST. IDATE Of' APPLICATION RD I I 1? 1LJ.1!J. Ii:; I 1SrT rF.1TEN I CTROTl'R I j I I I I I I I I I ~-?l-P.O OWNER OWNER'S PHONE PRIME CONTRACTOR JAMES POLLOCK 729-6841 'ROR<; • .T IMRr Nl1 SERVI r.F. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ?hlL<; /:l L_,:, v,:,n .c,;,.,.,1 r.; • -r-1 o 2501 State St., Carlsbac LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. ( DESIGNER I I I I I I I I I ' t I DESCRIPTION or WORK Tn,:,+_.,,, -·.; ,..~ nf' r, ... o T-r~+~ .... 'Uo-... --! DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. eus. LICENSE PERMIT NUMBER l AAOl lo-:l ~/ STATE LICENSE 24'170? CONT RACTOR'S PHONE STATE LICENSE ., /"f / .,. .... ,/', DESIGNER'S PHONE r, I RES. UNITS I PA;KING SPACE I NUMBER Of' STORIES Not V,lid Unlffl M1chin, c.rtifi-1 BLDG SO. f'T. BLOG USE occ. GP I STANDARD PLAN # I PLAN ID # I TYPE CONST I occ. LOAD I - QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. ' EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU -EACH BUILDING SEWER OVER 100,000 BTU .L EACH WATER HEATER AND/OR VENT 2.00 BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT VALUATION : EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ... ,...~ .. -') . /'\ /'\ T ,-.ro 1,~ -:t -nn SIGN PERMIT ---TOT Al PLUMBING 5 00 TOTAL MECHANICAL PLAN CHECK CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY. AMT. TOTAL PLUMBING MOBILE HOME PERMIT ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 J PH PORCH MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I PH .25 J PH RAMADA. CABANA REMODEUALTER PER CIRCUIT FENCE OVER 6' TEMP POLE 200 AMPS TOTAL MOBILE HOME MI CO -FILM OVER 200 AMPS TEMP OCCUPANCY (JO DAYS) T~~llP 2-. QC STRONG MOTION : - TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER STRONG MOTION: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND 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 OF THE GRANTING OF THIS PERMIT. r;;=_"l?'T'S S~~ATU:E• %katt.Y1 OWNER□ CONTRACTOR!! I APPROVED BY ""-~ ./ -:-I AGENT 0 BY PHONE 0 I . I . I . I . I . I . I . I . I . I . . I I . Gi V I I I I I I I I I I I I .r"I L 1'"':>PiU 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 I f 1. 1(1} ~TE ·' l -):> • w < a ~ > ~ .:: ~ a.. V') ~ f~r, SITE 1'50 --~ ADDRESS: •. OWNER: " P ERMIT NO: . '-~' ~ '-' .l . FIELD INSPECTION RECORD ' INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ; WOOD FLOOR ' . ' --FOUNDATION • FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING ~· -~-="---::,,;:...~-= ---~ ~ "'-= --=-= =-c::----~ . _.-. UNDER FLOOR HEATING '--' < \.+;' • r ..,.,. r•. :; .. ,· . r· • ..i.~ ~ . r: -~ -OK TO INSTIi.LL SUB FLOOR ..... ~ ..__. --~ ---- SLAB FLOOR , 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 • PLACE STUCCO ~ FIREPLACE -C DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING -• PRE DECK • FENC E PREPLASTER SHOWN • FRAME -i' -. ' • PAN / - FINAL INSP BY BLDG DEPT ~,l:L /o-, // ~,,,_ / p , -J .,,.,,.,- OTHER DEPT'S REQ COMPLETED / / ,4 ELEC METER-PERM-TEMP " . -- GAS METER-PERM-TEMP . .. CERT OF OCCUPANCY ISSUED