HomeMy WebLinkAbout2414 TORREJON PL; ; 81-82; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Divis n 3 of the Business and Profes-
sions Code y license Is in full force and ef-
fect. ·~r,-~;:__:::::::_
'NER-BUILDER DECLARATION
D I 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 cou~ty which requires a permit to con-
slruct, 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 to a
clvll penalty of not more than five hundred dollars
($500).
D 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 lmprove.-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not bulld 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 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'-------~.-ll----
Dale Ownt:
WORKERS' COMPEN~ON 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 ____________ _
□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 ,1 rtify that in the performance of the work for
whlcti-lhls permit is issued, I shall not emplo)!.Mly
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTIC!f. 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 herebv affirm that there Is a construction len-
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS
tRr· ID;;A ;/4;10N 21'-l,/,Yi , Mi1t..1t,£,:r,o,1t1, ,P,LJ ,l'iA ..t.. 14 ,s Ai.d 1l>1 1tiAi I
OWNER OWNER'S PHONE PRIME CONTRACTOR
L ~,,,,,v nf'AV/S ./M-.~-~ ~-~6if4/A.JAA,t C
OWNER'S MAILING ADDRESS a. CONTRACTOR'S ADDRESS
tJY"' V H°~~AI ~L ~LLS~.P 7:J..b:)S--.2t:.t/ .r~t-o~ 1jgt)
LOT BLOCK I SUBDIVISION l 1ASSESSOR'Su PA7R5CEL N0<+.
1
(') DESIGNER
I .., I 'L I O I 0 1 I
DESIGNER'S ADDRESS
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE l ERM IT NUMBER
d,/~-t)(.. ~;iv STATE LICENSE
2'182-90
CONTRACTOR'S
7'.'2A~w/1/'
STATE LICENSE
DESIGNER'S PHONE OEs:;,..;~~.,.,zK ~ s L,A J~ 2/13/814991 otio I ussr-a11u e T ooo·r~99·1 -03 .. -
CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PARKING SPACE I NUMBER Of' STORIES ,, -
Not Valid Unless MlchiM C.rtifi«I
BLDG SO. FT. BLDG USE occ. GP I STANDARD PLAN# I PLAN ID # I 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 A ~,A J .~ J ·~ BOILER/COMPRESSOR 16-30 HP ,
EACH INSTAL., ALTER, REPAIR WAT.lfl PIPE VENT FAN SINGLE OUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCTS {/~
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I
./ -~ J ,I r ? .d, _,,,;~"/~ SIGN PERMIT I . I
TOTAL PLUMBING S1/ -TOTAL MECHANICAL PLAN CHECK I I .
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I
AMT. TOTAL PLUMBING I
QTY. ELECTRICAL PERM IT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I
1 PH .25 3 PH PORCH MOBILE HOME I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR , I I
1 PH .25 3 PH RAMADA, CABANA 4YA~-b?. ~-1 --J I . I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' d I . I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO·FI LM I I
OVER 200 AMPS I . I
TEMP OCCUPANCY (30 DAYS) I I
✓ ---,,,L .o~ I I
TOTAL ELECTRICAL TOTAL FEES PAYABLE I I I I CONTRACTOR ,
L ;,_ . d . _,/4 -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE~
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-/\ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
s;oc s.,o:
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EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLl~T:J!jNA,~UR y ~~~-~:~ co~~R:.~:~~PPROVED BY d;,,t 4 t lr,~ ,, -,,~ . {)
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SITE . g I -8'~ . ADDRESS: '· -OW~ER: ' . I., .. \ \ PERMIT NQ: ' \__) ' . ~,__ . -.. _, -,.
FIELD INSPECTION RECORD
' '-
INSPECTION DATE INSPECTOR ~ ., .... INSPECTOR'S NOTES -.. ' " ~· '
WOOD FLOOR ~ ' '· ' .. ' •··· ·~ FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING I ' ' ,,. ~~ ;_ ' . .:--. " UNDER FLOOR HEATING I • • ~ ... ' :.... ',. ,, '.I,,
OK TO INSTALL SUB FLOOR C ··--; ... '~ •. <!· ' .. .:~:...t :-. ,, ... ,;..~ ~_'-: ~'
'
-.. -
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS • SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL --
ROUGH PLUMBING I
ROUGH HEATING/VENTILATING '
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD -
WALLBOARD OK• PLACE TAPE .
EXTERIOR LATH OK• PLACE STUCCO
..
FIREPLACE
DAMPER & STEEL
PLATE TIES/HEIGHT OF CHIMNEY '
' '.
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN . FRAME -.
• PAN .I I
FINAL INSP BY BLDG DEPT cl' /,,j'
OTHER DEPT'S REQ COMPLETED ,'? l)
ELEC METER-PERM-TEMP , /
'
-• ..
G AS METER-PERM-TEMP • ' •
CERT OF OCCUPANCY ISSUED . ...