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HomeMy WebLinkAbout1612 James Dr; ; 80-605; 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 file a signed state- ment that he is licensed pursuant lo the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Bus·1ness 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). CI, 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 rt, however, the building or ·Imprnve- 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). -:: I, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business c",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 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 sell-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. :::JCertified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPE~lSATION 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. tor 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: 11, after making this Cer- tificate ol 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 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. /.6 /? ~0-,da,} 2Jl~_:o• Aoo,ess I I I, j___L_j I_L I I I I I I I I I I I I I I I I I I ;vRrv:~A~S?bT!ONl B/t7Eir_ PERMIT NUMBER fd,,-/JtJ.5 o't'-;' • . /?, -(' _, ~--e,_;__ ~~=__r__ _., . r •. OWNER'S PHONE 7::J4 y.2-j{, L PRIME co~c:OR 0 STATE LICENSE ;,zy_f3 J/ 1 r-0s ~n::;DR6 r-~ '-"_,,.O.a.J 9'?---t,of' CONTR'J.CTOR'S ~S l)a.l BLOCK lbu~1;11011.... ~~li;,0~;1°;;:t.:S't";'.:2..11110.r' CONTRACTOR'S pH°l / rf • --....c. I ~"!1'0 ' vrr:s ~-..=..... :;Lt) _ C r:11-7 aQ_ ,._,,,_ cA--J'I-. ~ /QI. . 0 . _, DESIGNER ~,,,J,v_ 4 < . , s~ DESIGNER'S ADO 1?~.Jt 3. ~. CENSUS TRACT ij GP LAND USE ZONING UNITS --, DESIGNER'S PHONE :2.13 -13 ~'i ¥1'€1__ NUMBER OF STORIES ( fl:.. S-0 -(o<i} £-.r I "'-/ I ~'i,-~s,A['5f4'171 / Not Vah'd Unless Machine Cafflfiw:J BLOG aTY. 1/3 .I SQ. FT. BLOG USE /f/6 s'/o PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TD 4 OUTLETS EACH GAS SYSTEM 5 DR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER Issue TOTAL PLUMBING CONTRACTOR QTY ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH ~ EXIST BLDG EA AMP/SWT/BKR J. 1 PH .25 3 PH 7 REMODEL/ALTER PER CIRCUIT ~ I TEMP POLE 200 AMPS OVER 200 AMPS 7 TEMP OCCUPANCY {30 DAYS) / Tc:c::.,,,.. / 1;;·_; I""?,; .. · / '"}i/ AMT. QTY. 1 TYP;;:u l acc. LOAD / ?~. S7 I MECHANICAL PERMIT AMT. IG"DV I INSTALL FURN, DUCTS UP TO 100,000 BTU .L'.1 OVER 100,000 BTU --, BOILER/COMPRESSOR UP TO 3 HP ~ ----.....~ -~ ~ --'> ~ ~,•, ¾-- c-~ ~ ~ BOILER/COMPRESSOR J.15 HP BOILER/COMPRESSOR 16-30 HP ~ VENT F;;;;j;$1NGLE DUCT z.J. MECH ,'J(HAUST -HODD/DUCTS ~ VAllJATION: 7Zs'k!!!- RElA'.f'CATlON OF EA FURNACE/HEATER BUILDING PERMIT I J,UU II I Assue 3.uu SIGN PERMIT l 3u -11 / TOTALMECHANICAL 7 · CO~ACTOR //~ PLAN CHECK/.,</~ ~vtbrf I ALL INCLUSIVE PERMIT MT. J:?ry MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL .7 I AWNING MECHANICAL /I ,\ I PORCH MOBILE HOME .}IY . -I l,t-11 SET-UP SOLAR I P7 .'I i" RAMADA, CABANA ---V,;-:'I\ I,/_/ -___L,t, ~' I FENCE OVER 6' / //ij--,t.,f ~-~ I ' \ TOTAL MOBILE HOME / I/ Mloif-!iLM v _/ I _/ I 1._ nn _/ I ~ ?,~-'< _i.1_ 1t I I-'-I I I I I I I 1.-::,ol~.l. 1-.,,,..;z: +- I /1/ . ...J.- I I · I l,.&,, -i- 1 I · L I 1..,:--41[ '? I I I _I I , I I I I I I I TOTAL ELECTRICAL CONTRACTOR / TOTAL FEES PAYABLE I I I . 3i:s +< ii 3 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY ANO ST ATE LAWS GO VERN ING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CA A LS BAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5',Q'" DEEP AND DEMOLITION OR CONSTRUCTION OF ~)_i;;S O~EA 7-TOAIES IN HSIGHT , I ,> IPPL1CANT'S S!GN~·u nwN►<>~ SCTIOOL FEES:-() - .--.-.~,-rc,A,-.,-.-~~,-, ,,..,,,,c.-."cc,-, .,v ~ ~ 5 ;:: ~ 0. "' ~ SITE .PERMIT NO: ADDRESS: OWNER: FIELD INSPECTION RECORD iNSPECTlON OATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR . FOUNDATION• FORMS• SET SACK• TOILET UNDER FLOOR PLUMBING . UNDER FLOOR HEATING OK TO INSTALL 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 TAP~\ . 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 1 ELEC METER-PERM-TEMP 1 :3AS METER-PER~--TEMP ! I ,- @Fff OF OCCUPhNCY ISSUED ---------"----- -.. .. .. .. .. --... ... • ----... • • -- • • ~ • ... -,. --... ... .. . -.... ... LOT /,:2; /6/,? (L,,____ t(q /~ 27 BUILDING FOOTINGS FOUNDATION REINFORCED MASONRY GUNITE OR GROUT • SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL b-,, Z.., ·PLUMBING SEWER AND PL/CO COPPER TOP OUT TUB AND GAS TEST ELECTRICAL UNDERGROU~ ROUGH CEILING HEA'l' BONDING MECHANICAL DUCT & PLEM, REF . HEAT--AIR PIPING~ f ,...}/ VENTILATING SYSTEMS f ;:;( t.\Av:,,Jiviw1'1,A./AM,/;,~,t)i.!AJi,.~~,U11AA1~/l:,1A,;~ lt,;\.;\1A✓-~0-.,;\l:. ,;_,./M\,~A ,-:..vA.A$... )l: ~ n f ff) ff 1r ,111 it r-1-· .. ;;::~\ :_I {C rrtif t rat r , .. , 1./ ..••••. , ·····~ .,1 . ,Y ~-~ c i ~rv " -1 r~r.:?'~ ·' ~ , . OF C;:\RLSBA[» \~Uf~r.,;.j J This Certificate issued pursuant to the requirements of Section 306 "'/SiW <{ of the Uniform Building Code certifies that at the time of issuance ~ this structure complies with applicable ordinances of the City j regulating building construction use. •:i ~{ Use Clossificotion __ S_i_·n_,g,,_l_e_F_aJilJ.c..=·_1y'---Dw_ecclc.:l=-in=g,__ _____ Bldg. Pe,mit No. 80-605 1 Group __ R3 ___ Type Construction ___ VN ___ Fire Zone _ _.c.3 ____ Use Zone RI '"< ---==----- ~ Occupant Lood _--,,=;-::,~,.;c::---::,-cc-~----~-=c--:=--=--=--=-c-c------<i Owner of BuHd;n!f Carlsbad Development . Mdress _ _,,P.c·-.-0~. r-B_o,...x_,B,,,,:....::C:.;ar:.;· .;:l;;sb.;;..::a.::d ____ _ < 1612 James -Drive Carlsbc.d, CA. 92008 ~ Building Address __ ~---_,;..--;,--,..--~-/4 . r: ... ·<:'; .-:s ;.'\\Jf' '