HomeMy WebLinkAbout1605 James Dr; ; 80-609; PermitLICENSED CONTRACTOR'S DECLARATION
'"1 hereby affirm that I am licensed under provi·
sions of Chapter 9 (commencing with Section
7000) ~ Division 3 of the Business and Proles•
sions Code, and my license is in full force and el•
feet
OWNER.BUILDER DECLARATION
::.1 hereby affirm that I am e)(empt 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 lo file a signed stale·
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 e)(·
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant tor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
L' 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·
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 e)(clusivety 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 ·•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 e)(empt 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, or a certified copy
thereof (Sec. 3800, labor Code).
POLICY NO. /)) '; -// ---~/-/<-/
COMPANY _------h-,;,_2,_; ,u-¾ _·:,_·-1' -
C::Copy IS filed -S..ith the c1fy": .--_ •/
).J-Certified copy is he_reby furnished. ~ · '· •,-
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ii the per-
mit is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
whict...,~is permit is issued, I shall not employ any
person ,n any manner so as to become subJect to
the Workers' Compensation Laws of California.
~OT!CE TO APPLICANT: If. after making this Cer-
tificate of Exemption, you should become subject
to the W,Jrkers· Compensation provisions of the
labor Code, you must forthwith comply with such
prQvisions or this permit shall be deemed revoked.
CONSTRUCTION I FNnlN<:: A<::FNCY
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
// o s-k~.-a,) ,,,£)~~""' Pr I I J I I I -I I I I I I I I I I _L_J_ _l__l____L
OT,ER
l 14A {),,, ii •. 0 ~c~ POS ·tt;AOOBSS 0.AAJI ~
LO, I BLOCK J,i-i,j_BOIVJ1i!O.'l
/~ ~•~VI
DESCRIPTION OF W~f r~_,,
OWNER'S PHONE
.22--1'1:~5£ 7
9~op
1 I I I i\r. 11: ~p~g~TlONI B;f 7c:;-:K
PRIMEP~TRAC~:~j
.__,_
STATE LICENSE
~.33S"7
CONTRACTOR'L,.~ESS c.~'1,~ACTOR'S ~~ '·
STATE ~E
DESIGNER'S AD DESIGNER'S PHONE
C-Cw·7 \J3 ? DA ~-~-~~-----=------<-#-(.}, 3 . -;':l-1.] -\0 r• .... ~ .. .,I : ....... ~ ·2 c; -'4-./ ·
CENSUS TRACT GP LANO USE UN ITS •
PERMIT NUMBER
J7J,6tf
(Jo-J.A)
ZONING ~-/ I '"· / ;~" ~,.r,· sf-/41 '"M"/" s;orns
Not Valid Unless Machine c.rtifitld
"""J 15" _;>_
BLOG USE
S~p ;;,;. I ,,.,:e,~,. I
PLAN I OttJ-b'
~d TYPi7;; I o;;;:D / I
ClTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
/ '.5 J EACH FIXTURE TRAP ?.,£-/ INSTALL FURN. DUCTS UP TO 100,000 BTU ,d.-
/ J EACH BUILDING SEWER .r--OVER 100,000 BTU ,
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE .:z. VENT FAN SINGLE DUCT LI-. --EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION:$ ~/16 ~
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT -Issue ::i..uu Issue J~vv SIGN PERMIT
CONTRACTOR
TOTAL PLUMBING 3y-
CONTRACTOR
TOTAL MECHANICAL -//. PLAN CHECKfi J'.f!!-'/F"/y/b<f
ALL INCLUSIVE PERMIT
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT,.-·--...., ~T.
TOTAL PLUMBING
ELECTRICAL
NEW CONST EA AMP/SWT/BKR :is:--AWNING 0 ! MECHANICAL
1 PH .25 3 PH PORCH /' y'1 0 ....--1r MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR
1 PH .25
REMODEL/AL TEA PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
ISSUE
TOTAL ELECTRICAL
CONTRACTOR
3 PH
7-.I.YO
:>-7 --
SET-UP
RAMADA, CABANA
FENCE OVER 6'
I '}!YP r• n/ t Is • /. L/L/.'Y,;_, ,-./"
~/
TOTAL MOBILE HOM~ ./ / ,,,.. ,· ,r---
./
./
./
_.,:;,,-
I HAVE CAREFULLY EXAMINED THE COMPLETED .,APPLICATION ANO PERMIT, ANO DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITV,
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 CARL SBA O AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
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 ~dL~;:::T
SOLAR
MICO-FILM
&_ /4, ---..&rM-?J..L_,, /4.dd__~
,:?
TOTAL FEES PAYABLE
I
SCHCXJL FEES.;_tf _
• OF THE GRANTING OF THIS PERMIT APPLJCANT·s SIGNA TUlfE ~ OWNE~ CONTRACTORn !APPROVED BY
I ,,;{2,S:t1d
_I_ I '1 · I
I I 1...:-:-..-
I I
131.Y· :t:
1..:21·-,.-+-
I / I J .__:r-_
I I . I
I 1/12....-
I I I · I
I I I · I
l I · I
J_ _l___l_, 1
I I 1¢.7y
I I I I
I I .31/'K'.?f'
DATE
! 0 ~
t5 ;:::
~
Q. V,
~
J11v'.H
SITE
ADDRESS: OWNER: p.=RrYf:T NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK •TOILET
UNDER FLOOR PLUMBING . .
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOP
UNDER SLAB PLUMBING
FOOT\ NG • 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 Al?E
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER &STEEL
PLATE Tl ESIHEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
• PAN
Fl NAL I NSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP I
i GAS METER-PERM-TEMP c~ -
CE."'T OF OCCUPA~CY IS.C.JED -
, ---... ---
◄
•
... -.. ...
-...
.. -
-..
..
..
◄
...
◄
... ..
•
•
•
•
•
•
'
•
LOT If
/t~s-~ .. d~ z;...-·,.~ ---
FOOTINGS
FOUNDATION l'-
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME /,--1 G
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO *~R
PLUMBING UNDERGROUND ~-;-~--,.½}:~.-__
COPPER
TOP OUT
TUB AND SHO~
GAS TEST
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
c-rJ-cfl
/-{ C
DUCT & FLEM, REF. PIPING~
HEAT--AIR
VENTILATING SYSTEMS
--------· ---.....
'
' .I
,{
... :'.?~~ ::J~ ....... .:...---;:::-.. """":: I-' ·:~.::::.··~~ •. .-;_~:.·~~:, .. ~ .. ~·.,;
-.;... .. ;;:. . ---·~ ~--. ,-
. r< A/,,1.t, ,\l.At; t.,AAAAAA/~.M.AA!l,IAAlAAl:,/,l,.,'-•lAA -'· ', f.J\/..' -~/4,t.·/Ai!i,./.:./i,.f./,/!\t,t,/ ,
j
j
~ ~ 3
{ r.• 1" 1" t {. f" 1· t 't f '" 11 f (J') f ., It 1 ~ •t 11 l_, .... ~ ( 1> 4 ,, J ,. ... i (, .
CITY OF C/\RI_S,_, \D
~.,lo 11, t ~ l ! ~ !
f _-,,.·-~?,~ . . .... ,, :\· ,, ' }~· -:~~j/' ~~;±;
·-\\ t··:.r.,·t :_?, -}
•. <-· / =-'>..--t-"~
This Certificate issued pursuant to the requirements of Section 306 --·-:. ~ '\
of the Uniform Building Code certifies that at the time of issuance
this structure complies with applicable ordinances of the City
regulating building construction use.
1 Use Classification STN_GT.E FAMILY DWELT.ING Bldg. Permit No. 80-6D9
~ Group R3 Type Construction VN Fire Zone ___ _3, ______ Us~ Zone _______ _
~ Occupant Load---------------~ « .:{
~ « /4;
Owrn of Bu;td;nt Gar] sb;,cLJ)e:1£.._.Cor.p... __ .f,dd .. " P .n .. ~.nox. U_ Carl sbad,._.ClL___
Bu;fd;ng Add«ss· 'l Ii◊\ J.~IDe·s,• Df i'ff' ,'. LocaHty._c¢sbati,-Calj f, 92008.
I. -• . . , .
·--... ,· ;0--
:::,_......_ -}>
~>-
-::.-....
,.
:>
' ~ ~ ~ ~ ?'> » ,,,.
:,,-
:-;.> 5~
~ _______________________ D -v-';>
~ _______________________ oa ~->
~ NOTE: Alteroiions, changes, odditions or changes oi occuponc ;..,_
4 (Po11 in conspicuous place) }1-
)f,WWff~~WWWV/";/ W'lf! " W''f/\J""1'~ ;,·11WW't/\WW'W'vrrv<.v:rvx