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HomeMy WebLinkAbout2418 TORREJON PL | 2420 TORREJON PL; ; 80-376; 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 lull force and ef- fect. OWNER-BUILDER DECLARATION 0 1 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 live hundred dollars ($500). owner of the property, or my employees ages as their sole compensation, will do rk, 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• lered for sale. II, 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. 70«, Business and Professions Code: The Contractor's License Law does not av• ply to an owner of property t•ho builds or im· proves thereon, and who contracts for ch pr jects with a contractor(s) license pur t to the contractor's License law). I am ex mpt under Sec. ___ u...- for thl Date 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 cert I fled 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 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 manner so as to become subject to the Workers' Compensation Laws of Callforn la. 'NOTICE TO APPLICANT: If, after making this Cer• tlllcMe of Exemption. you should become subject t6' the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such pro~ions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ~ 1~4i1~/.~~~q To.~ R~ ;J(is;t). I P4i-I I I I I I I AV. ST• 1DATE OF APPL ICATION RO "-/-I I -1 ;-Kr:J ~ NR OWNER'S PHONE PRIME CONTRACTOR '/_ ../.,'/ ./':¼ --0 -7 ~/,-3q7b ~~ . . OWNER'S MAILING ADDRESS -CONTRAC1'e'l'f'S ADDRESS P.-cJ~)...-y~ A,_ ,, ~ ~ -/.J!- LOT I BLOCK I SUBDIVISION , ASSESSOR'S PARCEL NO. DES IGNER i I I I I I I I I I I ~ ;fiP Tl0►¥f..,.:woRK• _,_ ---MJ? (7 DESIGNER'S ADDRESS 1/oo ./.~ [t&) -4-' L_ !.~ /. «o .A ... ,/,J CENSUS TRACTV GP LAND USE , ZONING st APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE F'u-37t CONTRACTOR'S PHONE STATE LICENSE 4/i7/80 DESIGNER'S PHONE 0 16 01 0 IS i l I 7/B!J I 7/E · I REs. ufiJTU • I P#RKING SPACE I NUMBER OF STORI ES Not V1Kd Unless MachillB Clrtifilld BLDG SO. FT. ~.\,vtU,f occ; 1 STANDARD PLAN# I PLAN I D # I TYPE CONST I occ. LOAD I / / /AMT. QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT / EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100.ooll.8'fu EACH BUILDING SEWER / OVER lj)w,llOO BTU EACH WATER HEATEJ!.,,'11lD/OR VENT BOILER/COMPRESSOR UP_;;ef3 HP EACH GAS SY~ I TO 4 OUTLETS BOILER/COMPRESSgJrf-15 HP EACH G~STEM 5 OR MORE BOiLER/COMPBZSOR 16-30 HP E~INSTAL., ALTER, REPAIR WATER PIPE VENT FAJl-'[NGLE DUCT 4-PcrJo ,- ./ ...-EACH LAWN SPRINKLER SYSTEM ME9f'{XHAUST -HOOD/DUCTS VALUATION: V WATER SOFTNER _ftLOCATION OF EA FURNACE/HEATER BUILDING PERMIT , I ~ I►. c,,.,r-a . T!=:!=:llP 1. () ( ./ Tc:::c:::11,:, °'.l• ()() SIGN PERMIT I . i I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I 1/1,"10 . CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I I ELECTRICAL PERMIT / VAMT. AMT. TOTAL PLUMBING I I I ClTY . QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR / AWNING MECHANICAL I I I 1 PH .25 /3PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWJJl!f<R SET-UP SOLAR I , I I I 1 PH .25 ./ 3 PH -RAMADA, CABANA I I I I . REMODEL/AIJ,l'll PER CIRCUIT FENCE OVER 6' I I I I TEMP P~ 200 AMPS TOTAL MOBILE HOME MICO-FILM ! I I I ov_jf(200 AMPS I , I I : I l.,.,-1'EMPOCCUPANCY (30 DAYS) Iv C:'l'Dl"lll.lr:! Mf'l'l' T l"lll.l • I , I i ,~o / Issue 2.00 ' I . I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR ./7 I I , 1/1,,I_ (re) . -I -SCHOOL FEES: I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO •A:~OS~IT REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" p D ~OLITION OR ON ucno,N70F FURTHER CERTIFY AND AGAE;E IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STA U O EA 3 STOA T COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-V '"'~ --~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO /j~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE / OF THE GRANTING OF THIS PERMIT. • 'iff.,.CANT'S SIGNA"KIRI!"' -\....,' OWNER□ CONTRACTOR□ IAP~P V BY 4-/7:.r,. A,,,,._ --......... .._,,... M -... ----~·-...., '- ) ,:s~~T~:ST FQ~~r~T:~~T NO. f O -3 7 ( ::::='f---,---s?~ __ • =· ~~j_-=y=a== l OWNER __ iz_.~~ ..... /4,l,--=--.a22. .......... __..£-~,_,C'------------.~-------- ADDRESS _ _,c}. ____ _.__~__._{ ....... J'"---q--_.d.,,...,,___,L/_rJ__t) ___ ~ _________ _ BUILDING 0 FOUNDATION !_~] REINFORCING STEEL L:-J MASONRY C GROUT-GUNlTE □ FLOOR AND CEILING FRAME ~-=: SHEATHING D FRAME □ EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND □ ROUGH ELECTRIC 0 POOL BONDING D ELECTRIC SERVICE 0 CEILING HEAT □ G.F.I. D SMOKE DETECTOR D FINAL MISCELLANEOUS ~~~NUM AND DUCTS 0 COMBUSTION AIR □ PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL DM0NDA(Y /□--TUESDAY DWEDN. ESDAY □A.M. 1:.;;t. wd DP.M. SPECIAL INSTRUCTI0NS _______ ;;::;...._=c==---'-''-'------------------ READY FOR INSPECTION: D THURSDAY REQUESTED BV ______ +..ffe<,._'.........,£. .... ~---"-----""'-~=--....;_;,;;=·----PHONE NO. PERSON TAKING REPORT