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Home My WebLink About1235 STRATFORD LN; ; 80-169; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proles• sions Code, and my license is in lull force and el• feet. OWNER-BUILDER DECLARATION ~ 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 Ille a signed stat&- 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• pllcant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). ll£1, as owner of the property, or my employees ~h wages as their sole compensation, will do the work, and the structure is not intended or of. fered for sale (Sec. 7044, Business and Proles• 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• lered 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· tractlng 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 ·v3d g, r I Owner~) WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con• sent to sell-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ \ COMPANY ____________ _ □Copy Is filed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed II the per• mil is for one hundred dollars ($10!)) 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. NO~ICE TO APPLICANT: If, alter making this Cer• tlficate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such prol\lsions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len• C ITY OF CARLSBAD-BUILDING DEPARTMEN T USE BALL POINT PEN ONLY APPLICATION & PERMI T 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. NO, JOB ADDRESS tRr• I;1~F/;;LICATION BUS. LICENSE PERMIT NUMBER I 1 '"2.... ~ 16' r.S.,t1<1 FVTi f-1 O I e f vi ,L P,1N1C1 I I I I I I I I I I t'iJ o--11p7 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE L ICENSE r\u Br:. R.T 0 , ~\N G l-t\O~ 7 2.'1-..., &'ol OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S ,,J ~ Pl M. \:.. , A 6 ov S PHONE LOT _l.BLOCK -~lBOIVISION VI ASSESSOR'S PARCEL NO. DESIGNER ST ATE LICENSE ~.t.. •· Cl..~r c\~,." .....,.__~ ..,, 1r 1l11r I f ,b-1 /,,1, , /r,1 c./1K"1 1 DESCRIPTION OF WORK r\oT iNS,F\lL ~0~1"'\~ \\.l tt\ rP ~ '<STE-1'1' DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING £1/03/81(1729 . 1e.; I RES. UNITS I PARKING SPACE I NUMBER OF STORIES ~~h1folJMs':\,.,~ 'ciitiliiil 1 1, 11 • c, . BLDG SQ. H. BLDG USE occ. GP I STANDARD PLAN II I PLAN ID II I TYPE CONST I occ. LOAD I QTY. PLUMBI NG PERMIT AMT . QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP ,, EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE ..,_ -VENT FAN Sl~!GLE DUCT 1/-JJ, ~ -17-J ~ _J .,,,..,., C, 0 EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODD/DUCTS WATER SOFTNEJ.!.. RELOCATIOfj..J)F EA FURNACE/HEATER BUILDING"PERMIT I . I I I ( ,,,,.,,. _., .. ~ -,a_o<:> \.'----1 ,t:1 5 _ou SIGN PERMIT I . I I I TOTAL PLUMBING ~O l TOTAL MECHANICAL PLAN CHECK I I 1~.rrD . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I .. I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I t' . ..,_ QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I-. I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I , 1/,P.~ 1 PH .25 3 PH RAMADA, CABANA 1 A J I , I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' --. ./1 V .h L "Yl r-.-J'n. A--f7 ...l-,..:;._ I , I I I TEMP POLE 200 AMPS TQTAL MOBILE HDM~L,.A.,{2.-.. ~-MI co-Fa.M I I I I OVER 200 AMPS , r .. ,., -,. _.,r-7_ ~-I I I : I TEMP OCCUPANCY (30 DAYS!.-,... , ~-:r--~JC..... "'2-.,... ' I , I I I l I --• d ;;i._ ao I ~\, .._,,., IC':) -z.-I I I I . TOTAL ELECTRICAL ~ ' ..A TOTAL FEES PAYABLE I CONTRACTOR -' I£? -I I I /~1._ A . . .A " -~:;;::f_ ~ _1) --i t ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FORE CAVATIONS OVER (J HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5•.o•• DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT 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 OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNAT'\.E • r.t ,ic,A OWNER,9! CONTRACTOR□ r:n:O BY rr1s) \-:::\ \ "'T .-AGENT n BY PHONE n ~ • w ~ 0 ~ ~ i== ~ 0.. V) ~ 8P 1-~:.'. SITE ~O ,J bC., 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 -1 .. SLAB FLOOR , .. .:. r .._._,. " -n 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 . 'f"' -.. ·., I EXTERIOR LATH OK• -PLACE STUCCO •· ' FIREPLACE . ' . DAMPER 8c STEEL ~') r PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST~ SWIM POOL • STEEL BONDING • PRE DECK .~ ~ ·.a • FENCE PREPLASTER • r, ... "\ ' --:.. ~ .-. . , ~l .,t J ' , SHOWN • FRAME l ' • PAN .J ...... ~ ... -• , FINAL INSP BY BLDG DEPT ✓ / ("'"~-·--~ i/ ~, .... - OTHER DEPT'S REQ COMPLETED -f'..11i c-, II ,,..,µI.) V ELEC METER-PERM-TEMP \ I O I I " ' GAS METER-PERM-TEMP l C ERT.OF o:ccuPANCY ISSUED J .. . , ~-