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Home My WebLink About1510 SUNRISE CIR; ; 80-766; 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.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 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 lo a civil penalty of not more than five hundred dollars ($500). DI, 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 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 tor 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 end 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. tor 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 thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ___________ _ D Copy is filed with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil 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 TQ.APPLICANT: If, after making this Cer- tificate of £\emption, you should become subject }O the,.Y,'ork~s• Compensation provisions of the L&b<>.11:.ode, you must forth ith comply with such lf or his perm! s a I be deemed revoked. TAU I NL I G Y e y affirm that there Is a construction len- dln_g _ao_e_ncy for_ t~e. perfo'.~anc!.<:f. t~~ ~<:<k f~r r CITY O F CARL SBAD-B UILDING D EPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I /,. ?1 ~ I SiU1~ Jli/ 6 ?1 JOB ADDRESS tRr· 1DATg: ,~~Ji ,erJZ~. ,LGr I I I I t""'-,J I I I OWNER !tw,cJM (1/3°1-~9;07 ~ CQRACTOR m~ .TI L ,_,,,,, ' '-'• -/c;/ i/lLIN~ A~~7_,/ ~ ,C ~ R-c.1~ '\._ ____,,,, CONTRACTOR'S ADDR£SS S14w-l. LOT BLOCK I SUBOIVISIO N I) ASSE710R'S PAZL NO. 9' DESIGNER~~ 101 I 10. /, i'Z1 I I IM. -~-~-OESCl1)J,.!I~.~ WORK r ,~, ,JU t..c/ A-t.v 1-?t ~ DESIGNER'S ADDRESS ./ ,?,' o o kl ISNJ Sv,Jiz,~e Ct!l- CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER ST ATE LICENSE f ~--7t,{; CONTRACTOR'S u '.Jt;,'l PHONE STATE LICENSE DESIGNER'S PHONE l.(5/-t/917 :1c!s1 ao rir,~ ' I RES. UNITS I P#KING SPACE s :t I NUMBER OF STORIES Not V•lid Unwss Mlchin• fArtjfj., BLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II ,~N:;~, '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 (' 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 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT 3~---' C . ' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUAT I ON: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I 1:lJ/, v,;,, T c:c:m::: -r; n, T SSTTP " nr SIGN PEIIM!l, .,,/ /r -r ,i ~, --.... I , I I : I TOTAL PLUMBING TOTAL MECHANICAL PLAN c(HK1S.:1d,/O•n #.. /y'J _i_ J I\. I I ._;,I~ CONTRACTOR CONTRACTOR All INCL"lt!tnlE PERMIT __./ I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I I PH .25 3 PH PORCH ~ MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I , I I I 1 PH .25 3 PH RAMADA, CABANA I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I , I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 AMPS I . I I : I TEMP OCCUPANCY (30 DAYS) I . I I I TC:STTP ;, n STRONG MOTION: I . I I . ,1,; (. TOTAL ELECTRICAL TOTAL FEES PAYABLE I K6,6-? CONTRACTOR . I I . I -. I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'·0"' DEEP AND 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 ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SCHOOL FEE: SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-L/\l ("'\ \ 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. APPLICtlt \~El'-l ~1'A.O OWNE~ CONTRACTOR□ IAPP~ ~-DATE ~-J?~t t AGENT D BY PHONED -/ -, - • w ~ ~ a i== ~ CL V) ~ SITE . ·. ---"'. PERMIT NO: . 9/).,,. tf ,,;,( A ADDRESS: '-...., ' OWNER: ..... L ' ',,(.._:_·~ .... \ FIELD INSPECT ION RECORD ~ ,. . -··/ t INSPECTION DATE INSPECTOR . INSPECTOR'S NOTES ·• WOOD FLOOR ' ' --' . \ -FOUNDATION• FORMS • SET BACK • TOILET - ' -.. ~-~, r~. \ ·.:.X UNDER FLOOR PLUMBING '• / ~l .... -~ • ~ii \ . ..)_ ~ ,.J r .. -- UNDER FLOOR HEATING .. ~ '.....,,.\· ' s.-~·.-\'~\ \ ,,\ .. \, t -, l ... OK TO INSTALL SUB FLOOR .. \ . . \ -\ ·, ) ::. .. ., , .. .;)( -\',t-" 'I :. . . -- 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 & STEEL - PLATE Tl Es/HEIGHT OF C HIMNEY ' ~ . ; . ' , OTHER TEMP POWER (POLE) , SEWER •. GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME I • PAN A FINAL INSP BY BLDG DEPT ZI OTHER DEPT'S REQ COMPLETED ✓1.1!~ A. . J.A ELEC METER-PERM-TEMP I/' '/,.fl I ll If GAS METER-PERM-TEMP I V , , . , ' ; . CERT OF OCCUPANCY ISSUED , . I I ~ ' ' r • ... __, ;.