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Home My WebLink About1009 FOXGLOVE VW; ; 80-100; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7CK)()) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION CI 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 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· plicanl for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). r:-. 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, prnvided that such improvements are not intended or of- fered for sale. If, however, the building or improve· men! 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). :::.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business @.nd 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 l; contractor's License Law). ,.__ l am exempt under Sec. _____ . 8. & P.C. for this reason_·--~----~--- --"<A--/;) /'ti:. Date ;2 -5 ,.. /fV OwnerCZ.Cj, 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===------==-------~ C.:Copy 1s flied with the city ~Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed ii 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 California. NOTICE TO APPLICANT: lf, 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 1,.,,.,1-,., <>H;,""' th!>I 11,.,,., ic " ""n<:lrnf"li"n 1 .. n. CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 I /iP',;;?, -~ ../ / ,,,, /~,.# JO\ ADDRESS ;VR~T. ID«~dCATION ""i/"1 ·1, -t ' ·1 I I I I I I I I I I I I I OWNER (' ). "'L OWNER'S PHONE PRIME CONTRACTOR I '~ t .. . , . J./ff-S7;Ltj. /)AA --~ A # J , ,_ -, ow~ ~';d?DDRESS. ! / ~ L ' CON-fRACTOR'S ArRESS - ~~-BLOCK l~~~l~O~-~ ~~ ~ • j,, ASSESSOR'S PARCEL NO. DESIGNER ' --. " I I I ' I ' I ' ' ' DEfi~:;-r_~N o: -;;oRK ~ 4 ~ ;~"# ?'1-#17-DESIGNER'S AD0RESS /}_ s.. /¥X )..() b?-:;. .J .I>() ~ CENSUS TRACT GP LAND USE ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER STATE LICENSE f'{l--/ cJtJ CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE I RES. UNITS I P~RKING SPACE I NUMBER OF STORIES Not Valid Unless Machine Cartifitld BLDG SQ. FT. BLOG USE acc. GP I STANDARD PLAN 11 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 AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH l"5TAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT VALUATION: ( "flftf ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I f"/'. fTT1I Issue 3.. 0 I Issue 3,. 00 SIGN PERMIT I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I 1"7.dtO CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I . I AMT. TOTAL PLUMBING I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I lPH .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 ,-,r REMODEL/ALTER PER CIRCUIT FENCE OVER 6' , I I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO FILm-/~/J.l:L( ! ,,;; /""0 OVER 200 AMPS ,,,_ , , ~1~1-.. '4'Y. " ljJv":J TEMP OCCUPANCY (30 DAYSI // y . . ,, I I Issue 2.00 I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I v165itJ CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED ""A?PLICAT!ON AND PERMIT, AND DO ·;.~09~~::!~~l~~~~~~~~RNE~:~~NES~~Au~~~~~NiFoVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. ;g;;;;3~;;;rlG~~ COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~ SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM ' / ,fl !i-Yc. LESS THE CITY OF CA AL SBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND "-_ ' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AP?(ICA.NT'SSlGNATURE' / d ~:~~ co~~R:~~:~~ I APPROVED 1/412/ >/'°67"'~ ! 0 ~ > 5 ;:: u "' a. Vl ~ SITE ADDRESS: WOOD FLOOR INSPECTION FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INST ALL SUB FLOOR 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 T ~PE 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 FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP DATE INSPECTOR LGASMETER-PERM-TEMP L--.~~~~-~~~~~~~+-~~t-~~~--1 ~ j CER.:;.. _OF OCCUPANCY 15SUEO OWNER: PERMIT NO: 2£J -ioD -~- FIELD INSPECTION RECORD ·- INSPECTOR'S NOTES E-· I REQUEST FOR INSPECTION -y,_IM)fU1 .d TIME: ______ _ v,.,/~ INSPE'CT~R ff,./ PERMIT NO. /'f1 -/tf tJ OWNER in JCuL DATE:---+7_,:5'::,,_ ffetu....:._ __ _ ADDRESS ,uf ~ ---ri(~ ta.flit/ BUILDING 0 FOUNDATION 0 REINFORCING STEEL D MASONRY 0 GROUT· GUN I TE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR ~ FINAL DRYWALLpO "" PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL '(j _ - I, ./ , ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING A 0 ELECTRIC SERVICE D CEILING HEAT J/f) D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR 0 PATIO D SIGN D GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: DTUESDAY DWEDNESDAY DTHURSDAY DFRIDAY D A.M. ~/, //,;_ ~ P.M. ~ SPECIAL INSTRUCTIONS: ___ Y~~~a.':0f.~~0~2?>o~-L.::=6~~~~-~k:!l~~~~,~~:?:a..l~---~ ~;:;, =p REQUESTED BY ~ 37 PHONE No//~f--S/r f ~ J PERSON TAKING REPORT _..-:: • > A (! I II I II ii l I i I Dote Signed Re~ 4S 465 SEND PARTS 1 ANO 3 WITH CARBONS INTACT. Poly Pak ISO -14'465 PART 3 WIU BE RETURNED WITH REPLY. ~~ Applicant to complete numbered spaces only. Phone 729-1181 Permit No. -7 ' BUILDING PERMIT APPLICATJ®~?r~~;~1.,~ ~/gJ City of CARLSBAD, CALIFORNIA 92008 547'" /'9 1 ?~ Sid 11 JOB AOOR ESS ASSESSOR'S , / r) 0 :l 7th{,---!l--db 7./~ PARCEL NUMBER LOT N6, • i OLK r·3 J? ?-y .L.·.-A BOOK PAGE I PAR, LtGAL I ;LY'i (nS([ ATTACHEO SH((TI 10£SCA. ~ OWN[~l MAIL ADDA £55 fl 21 p PHONE 2 /'/ .A~ i • i r"I f'~ ) , V CONTRA~R t7 cf_ MAIL ADDRESS PHONE STATE LIC. HO. CITY LIC. NO. 3 Vd I/{/~ n -. ,.. c~ ·1 - AACHIT[CT OR O ESICNCA MAI!° ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL A.OOAESS PHONE LICENSE. NO. 5 - COMPENSATION INS. CARRI ER MAIL •DDl't[SS BAANC'°' \ 6 - use OF BUILDING 7 NO. BORMS NO. BATHS 8 Class of work: 0 NEW -~DITION 0 ALTERA TI ON 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: IJ/~ ~ 10 Change of use from V JJ I~ I Change of use to 11 Valuation of work: $ d t5"o I (1-1, PLAN CHECK FEE$ ---PERMIT FEE $ 7 .- SPECIA L COND ITIONS: MICRO FILM FEE Type of Occupancy Const Group Size of Bldg. No. of Max. (Total) Sq. Ft Stories 0cc. Load Fire use Fire Sprinklers AP~~CEPTEOBY PLANS CHE CKE OBY APPROVED FOR ISSUANCE av Zone Zone Required 0Yes 0 No No. of OFFSTREET PARKING SPACES: DATE /6 -'l--"J../ Dwelling Units No. !No. DATE Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITION ING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTH ORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. -ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNI NG THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ~C°2~0U;;All;2N:AA~L-;:·~cJ/--j s-· <;tr..1 AA'UIIIE 0,-OWNER II~ OWN[III 8UIL0£..._,.. ATE.)./ / ," ,.. "HEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATIO ~~ ,!J_,,.;u,- BP Tl 9 INSPECTION D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT· GUNITE D FLOOR AND CEILING FRAME D SHEATHING 0 FRAME D EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR DRYWALL FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL PERMIT NO. \ TIME: __ _, ___ _ DATE:~/4---.· ~~9- ELECTRICAL MISCELLANEOUS D PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: OMONDAY OTUESDAY DWEDNESDAY OTHURSDAY OFRIDAY ~~ OP.M. SPECIAL INSTRUCTIONS,~-' ~~ • 4 ~ 4k, ~~fl~~- REQUESTED BY ~.... ~ONE NO.:M,2f ~ PERSON TAKING REPORT . ~ --------·------........ . TIME: ______ _ REQUEST FOR INSPECTION IN~ECT;~ ._:;Jv....-· .PERMIT NO. /J y; f 7 OWNER /d O ,f ?~ / DATE:/ 0 -..2 3 ADDRESS--~~~/,'.ke::::!"""'e,:!.;.;;'=4.-,,:::..__ _________________ _ 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY ~A.M. DP.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL D THURSDAY D FRIDAY PERSON TAKING REPORT _______ _