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
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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