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Home My WebLink About2816 SOMBROSA ST; ; 80-820; 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 DI 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 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 to a civil penalty of not more than five hundred dollars ($500). □ 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 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 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 wllh 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 1•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~ copy thereof (Sec.~~ POLICY NO. tJ . COMPANY l -. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit 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 mannerso as to become subject to the Workers' Compensation Laws of Callfomla. NOTICE TO APPLICANT: If, after making this Cer- tificate()! 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. lo CONSTRUCTION LENDING AGENCY 1 ..,.,.,.,.i,..., afflr'" th,11♦ tha.ra, le ,. rnnctr11r tlnn IAn• CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ZONING RES, UNITS BL DG so. FT. I BLDG USE occ. GP I STANDARD PLAN II ID/It'? ,0 -1)~ TYPE CONST QTY.I PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUI LO ING SEWER OVER 100,000 BTU EACH WATER"HEATER ANO/OR VENT BO)LER/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 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. PERMIT NUMBER go ✓~ 4\0-1"1' NUMBER OF STORIES Nat v,lid Unltlss Machin, IArtifi-1 OCC, LOAD AMT. EACH INSTAL., ALTER, REPAIR WATER PIPE .'1,/,,,. VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCTS VALUATION :._J_ 'f£}0-f-c, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER 3-. 00 SIGN PERMIT TOTAL PLUMBING q_--CONTRACTOR TOTAL MECHANICAL PLAN CHECK CONTRACTOR TOTAL PLUMBING AMT. AMT. QTY. ELECTRICAL PERMIT QTY.I MOBILE HOME PERMIT ELECTRICAL AWNING NEW CONST EA AMP/SWT/BKR MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT ---FENCE OVER 6' TEMP PO LE 200 AMPS TOTAL MOBILE HOME MICO·FILM STRONG MOTI0N CONTRACTOR 7-TOTAL FEES PAYABLE SCHOOL FEES: I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERT IFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERT IFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH A LL CITY, 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 LIABILIT IES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES 11-fHEIGHT OF THE GRANTING OF THIS PERMIT. OWNER□ CONTRACTOR□ AGENT [l.. B 1.,,-HONE 0 D BY r• DATE ,f/.~ 1,9-/p!-. ~ I-< 0 ~ ~ j:: hl ~ I.I) ~ SITE f 80~ ADDRESS: ~!' . ') OWNER: PERMIT NO: , .. --' .. FJELD INSPECTION REG:QRD . ' . ~ . INSPECTION DATE INSPECTOR .. . I NSF?ECTOR'S NOTES ; WOOD FLOOR .. ~ .. I . I . FOUNDATION• FORMS• SET BACK • TOILET - •," { .• -;.•·'-., '~, ~ " __ ;~ ~!. t, _._"";;_:!' .. ~ : .... ~ ··-~-l Y, UNDER FLOOR PLUMBING i I . -,·-..:.;, ' 1 0 ' / I., ' · --1 ,( -----~ .·---+ "'L --t...~~ .:;;' ....... -::.h-.... UNDER FLOOR HEATING _ .. ,_ ... ~ ' ... . ~.:.. -1 -, '•-F( t-' ~ -/ ~ ,, ~ ... \ .frII" .. ' :. J -~· . ~y . "' ' -. -1-~.:_ . ~ -' ~ < ,. ~t OK TO INSTALL SUB FLOOR •. / ..... ~--L ~--~.__ )• . i f I • I l •: I -~ 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 . ' ,, j -FIREPLACE . ~ DAMPER & STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER . GAS TEST SWIM POOL • STEEL BONDING ., • PRE DECK ' ;'). J I; • FENCE PREPLASTER A SHOWN • FRAME ' I I • PAN I/ r/ v· l II /) JJ/} FINAL INSP BY BLDG DEPT IA/ Vt...--1/Mi:/V OTHER DEPT'S REQ COMPLETED / "J 1_dV 1VJ /V E LEC METER-PERM-TEMP -1..V I I I Vf wv , __.-7 --. G AS METER-PERM-T EMP IJ _ It '/ ~ I 1 , / » V /, /#' c,,v l~ ./ \ . . ' CERT OF OCCUPANCY ISSUED i....-,,,-... ,, ...... -:, .. \··. ~ " " 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 Cftitp of C.Car!.sbab TELEPHONE, (714) 729-1181 This document will certify that I am aware of the provisions of the California Administrative Code, 'J7itle 24, Section T20-1406 (c), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swim.rning pool bni. ,.ding permit usinq a fossi.1-fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at ol0?l 6At?//.c=t!O, s;;_,/ U;:o,, 1 ~ ~~-~-~~~~----~----'--~-~-(site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters will be met: 1. Outdoor pools shall be equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light. 3. 36" minimum length of plumbing provided between filter and heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency. 5. Time clocks .installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mixing. Print Owners Name: owners Signature: Date: 9 Contractors Signature: Address: