HomeMy WebLinkAbout1630 JAMES DR; ; 80-602; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under prov\·
slons 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-BUllOER DECLARATION
DI hereby affirm that I am exempt from the Coo· tractor's license Law for the following ruson
(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
app\lcant 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 ls 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).
□ I, as owner of the property, or my employees
with wages as their sole compensation, wlll do
the work, and the structure is not intended or Of•
tered 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-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve tor the purpose of
sale).
':JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business end 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 ____________ _
, ·~te Owner
WORKERS' COMPENSATION DECLARATION
I tiereby affirm that I have a certificate of con•
sent to self-insure, Of a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO. ___________ _
COMPANY ____________ _
□Copy is flied with the city.
D Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per·
mlt is for one hundred dollars ($10!)) or less).
I certify that In the performance of the work for
which this P!!.ffllt is issued, 1 shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE 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
r USE BALL POINT PEN ONLY
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525 r·
NO. (l -.,,. .,) ,J/~B ADDRESS tRr· 1/:~;:~oN /iir3l'1 ,71 I I I I I I I I 1·1 I I I I I I I ( I I I I I
00ER l OWNER'S PHONE PRl~ONTRACTOR
I O • ,&,.,.-,. r -n 7 ,;1.17 f :J.-.V:--:i . .
' " < ~ER'S MAI lf'G ADlj?RESS n~ o. )l I ~o,P CONTRACTo,:.:yocRESS
. 0 ' ' ....,, 7s ,, ' ~ BLOCK ~~~v1tpor1_ ,. DI" l9A;,SESSOR'~jARl-:L60. ·" \ESIGNER Ll__ '-
,,,...,,,, • I .. ::z /,/ ,d .. ~,--MscR,eTOON~•:roR<aJ fr -~ ~ .,_ :. •f DESIGNER'S ~DRESS t I'} {J J,1-i
fl r.,n-1 QI! • -' 4-~ • ...,.. , ~13 . , •. ~..,;J...~
CENSUS TRACT ~ GP LAND USE .
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
l'i1R8
?1r61:J--ST ATE LICENSE
;2.f33S-1
CONTRACTOR'S
PO"NE •
STATE LICENSE t../'
DESIGNER'S PHONE
-::Lt J-,u'il ., '2,., u
{
ZDNIN,ie-/ I RES. U~TS I #ARl~G SPACE Jt ~ I NUMB~ STORIES
Not Valid Unl#ISS lllchiM Clrtin.,J BLDG/flt BL§/#' ~;p I ST AND ARD PLAN ,, PLAN ID It
TYPiN:~ l"eov-, I ~l •)1)!1 ..RJ--6? ,
OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT.
~) EACH FIXTURE TRAP INSTALL FURN.DUCTS UP TD 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP
??575';!!!-EACH GAS SYSTEM 1 TD 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16.JO HP
EACH INST AL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
\IALUATICN, Z'.½ ~ ,,. r...: ,2tE5 ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS J 3
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I -
Issue 3.00 .,_ fl(} SIGN PERMIT I . I I'· I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK //3~ -,,-Jy/1,f I I if.,?
CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING ,~ ... ·,-
OTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL I• 7.4"fV
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I/ '/-'-v'J
1 PH .25 3 PH PORCH MOBILE HOME I I • I
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I/,-, -"ft)
1 PH .25 3 PH RAMADA, CABANA ( j I . I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I • I
TEMP POLE 200 AMP5 TOTAL MOBILE HOME MICO·FI LM I I I . I
OVER 200 AMP5 Jl, .. ,-I . I I • I
TEMP OCCUPANCY 130 DAYSI ./✓,;-::...-I I ,i-, .'rlJ
Issue ?. nn . (7 • I I I • I
TOTAL ELECTRICAL TOTAL FEES PAYABLE I I ~liY.'1f3 CONTRACTOR . I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I IJ DEEP AND DEMOLITION OR CONSTRUCTION OF
SCHOOL FEES: -~-FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, CTURES OVER 3 STORIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIEO HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM· } .,~,.. ~ r .,.* ~ LESS THE CITY OF CA RLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
APPLICANT'SSIGNATu~• -OF THE GRANTING OF THIS PERMIT. O~~E~ CONT~ACTO~~ .I APPROVED BY DA.TE
. l I
~ C ~
~ g
C. V)
3::
-LOT --..
FOOTINGS ...
• FOUNDATION
"" REINFORCED -
.-,
MASONRY -"-c___ ____ ......,c __________ _ --G __ U_N_I_T_E---'-O_R_G_R_O_U_T __________ '
SHEATHING -.. FRAME .. INSULATION ..
... -INTERIOR LATH & DRYWALL O/-CJ... I-() _
... PLUMBING
SEWER
• PLUMBING ...
COPPER -TOP OUT -TUB .. -12..
• GAS TEST
.. ELECTRICAL ..
--.. CEILING HEAT
-BONDING -MECHANICAL ..
DUCT & PLEM, REF. PIPING'?½-----..
• -..
HEAT--AIR
VENTILATING SYS'.I'EMS
f I
I
I
~;:;
<.{
C;l'"fY OF
if) u• f lt ·n· i 1 11 1' l · l.?.J ~ r -~ h -1, B
,.., .'\ ··i" 50 ' '[' (...., fsu, L ·· o }"'I. : )
~{ This Certificate issued pursuant to the requirements of Section 306 .,
\
<; of the Uniform Building Code certifies that at the time of issuance -<; j this structure complies with applicable ordinances of the City
·, regulating building construction use. < «: ' << ~ <f Occupant Load_--;;-::-;---:-~::----:--'----:------'-~-=--=---,.,-----------j Owne, 01 Buildin <;:arlsbad Development · Mdress P. 0. Box B , Carlsbad,
'"' Building Address,.' 1630 ·James. Drive Locality Carlsbad,
U,e Clossilicotion Single Family Dwelling Bldg. Permit N0 ._,c80"--__,6:<,0e.,2"---c---
Group R3 TypeConstruation __ VN ____ FireZone __ 3 ____ UseZone R1 ~
CA.
·.. ";'.'lll . . i/f;
. '·:)'.
,,, ,:_}, ..
, I \ ,1 j ., . .