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Home My WebLink About2014 SUBIDA TER; ; 80-49; 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• slons 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,Buslness 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 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). ~. 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• slons 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). '.:ll, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd 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 Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). / POLICY NO~.!J 7£.-D 0¥-0 0 COMPANY RG,I) Al/ ~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· mlt Is for one hundred dollars (S 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• "'1.,.,. .s"'•"ru fnr tha .,...,.,f,...,._,.,..,..,. ,..f ....... ,.,,u•I. f,...., CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENU E (7 14) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. HO. .s. L,U3. ~ I DiAt JOB ADDRESS AV, ST. IDATE Of' APPLICATION BUS. LICENSE PERMIT HUMBER ~1c.01 /1 $1i I I I 1"TetRJfd/},,(!1Er l I I I I I I I R~ &'oY.3Y d7!),Yf}1 ~he:-.eZ-L.4NDE°'£S OWNER'S PHONE PRIME CONTRACTOR ST ATE LICENSE /hJ;i/. P!e,1. It -i&6. ~i#vT~ s-sss--~ OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS~A./ D " CONTRACTOR'S 7c:?~tJ ~ r eF LL,,;; OE /J1 ~;e, ~,4.e 1.s iA .o f fl, f /J /11 /JR A 0:7P,Z' Rcf. J~~~-~;g/ /?I 8~~~ 79! o/JJVISION .5'. 71 1A7'2SOR'S PAf!CEL NO. DESIGNER / ST ATE LICENSE ' # 3 '£.A~/ 7 -I 1-'~ {) 19,-I /,J?1/ I -~.,, .. .....-A. c,; A ,b eJ VE, EcR,: :1~; ~ :;R;,, /~ J ~ r .A I/ .t:"'LJ P,,, J;;'" n A J.~ J.I r= n TJ.J;:, DESIGNER'S ADDRESS DESIGNER'S PHONE -1-~/,0 " ,. / l. , ..,,,,,r,/ ✓/OAJ/.11)r:.. CENSUS TRACT GP LANO USE ZONING Si iOB 25;0.1 11291 ea P5,0l ' I RES. UNITS I P;KING SPACE I NUMBER Of' STORIES Not V•lid Unklss M•chin1 CMtifilld BLDG SO, FT. BLOG USE occ, GP I STANDARD PLAN# I PLAN ID II I TYPE CONST I occ. LOAD l 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 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP ' EACH GAS SYSTEM 1 TO 4 OUTLETS ( BOILER/COMPRESSOR 3-15 HP 'J. .5n EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VA T.TJATTnt-J • WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I T c:c:m:: .: (\ T C:C:TTP ,: .(\ (\ SIGN PERMIT I ' I I I TOTAL PLUMBING TOTAL MECHANICAL Jo -~ PLAN CHECK I I I I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I I ELECTRICAL PERMIT -AMT. AMT. TOTAL PLUMBING I I I QTY. J. QTY. MOBILE HOME PERMIT ELECTRICAL I I /.'41\-;1'> so NEW !Bf~S, !,air ~N1P,s11,,1n:R ~ZIJ 12-.~ AWNING MECHANICAL I I llJ J<. "i b ~ 1 PH .25 3 PH PORCH MOBILE HOME -I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I I I I REMODEL/Al TER PER CIRCUIT 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 DAYSI I . I I I TSSTTP ?. . n n STlrnNr:: Mn"t'TnN . I . I I I TOTAL ELECTRICAL i~,~o TOTAL FEES PAYABLE I CONTRACTOR I I . I I . I I HAVE CAREFULLY' EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIREO FOR EXCAVATIONS OVER r2soc. HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" OEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY. STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNI NG BUILDING CONSTRUCTION. WHETHER SPECIFIEO HEREIN OR NOT. I.ALSO AGREE TO SAVE INOEMNIFY AND KEEP HARM, SCHOOL FEE: LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. l APPLl~!NT·s SIG NAT~ OWNER □ CONTRACTOR□ I APPROVED B Y DATE -//hA ~~ _... __ ~ AGENT.!( BY PHONE 0 I - ~ ~ ~ ~ i= ~ 0. V) ~ I r " r SITE f<n ... 4-~ ADDRESS: <• -, ~ OWNER: PERMIT NO: , .. ~ ~, '7 \':-..r~,.,,.-. .--... -. ' .. . . FIELD INSPECTION RECORD .. ' INSPECTION DATE INSPECTOR INSPECTOR'S NOT-ES ' . WOOD FLOOR ·. . . FOUNDATION• FORMS• SET BACK • TOILET -- UNDER FLOOR PLUMBING t \,. ~ -,... . -.· ) i.:: ;::,t ~ ~\ . C" ' -, a ~\ ,-\. ~ . •~~'-)~I '\ \ '· ' . . -, ~ -] ~ --J:.~-;:...-----""-•-r...,_ __ . .L ... ... ...... Jo,, ..... --=· UNDER FLOOR HEATING .. ... : ~. 0· 1-r' ~-~--.. ~ 'Iii~, Ii..""~·~ \ ... ·__;_ '-'"'-·,). L < .. ....... ✓ •· OK TO INSTALL SUB FLOOR ., .-., "'· C ' \ . ~ . \ ';>... ~ --~" . -, 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 . .. -. ' --• ., DAMPER 8:STEEL . PLATE TIES/HEIGHT OF CHIMNEY \ ,. OTHER -u~J--....... ,-.,.----,_------,-...,.. TEMP POWER (POLE) '). .. ~-\ SEWER If. GAS TEST SWIM POOL • STEEL BONDING \ • PRE DECK • FENCE PREPLASTER SHOWN • FRAME , • PAN •· I FINAL INSP BY BLDG DEPT I/ILi /-J OTHER DEPT'S REQ COMPLETED 1 ✓1n VV'"' ·. ~· l.1i ELEC METER-PERM-TEMP ,-... ,, . GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED -. --.