The URL can be used to link to this page

Home My WebLink About1650 OAK AVE; ; 80-621; 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 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 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- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C 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- 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). :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 •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 self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. ,'lll()Q, Labol1J°de). ~ POLICY No.WC! --I -3-r • COMPANY A<~, O · ~ 14'1 d G:·, ·P:., pf ... ~ OCopy Is filed with the city. OCertlfled copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need nol be completed If the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Codie, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. /6$iZ'1 ~~;,, I I I I I I I I I l I I I l I l I ~\r·11:1uP~ION1 B;s;;cJ PERMIT NUMBER JOB ADDRESS ~/t~J ow~ &--c:~ 7~~:, PRIM~NTRACTOR • -,.-,. • ~ OWNER'S PHONE STATE LICENSE :;Ll33S-'7 f?NE0s ~ADD~S ~ q-2:.. ~otf C~T:A::::•s' P NE -, /-- co1TRACT~RESS { OJ STATE LICENSE t--"" DESIGNER'S PHONE CENSUS TRACT -u GP LANO USE ZONING ,~1 r' cr-11-1 /!-I I RES. uN1TP7· l ~~t SPAtEJz>1 NUMBE:;f STORIES Nor V•lid Unless Machin• C.rtifiad 15 TANMLAN# 1 PL~~ 1 TYPEv;u rep~_, l BLOG SO. fT. /9/t BLOG USE <;"'pL) I/; QTY.I PLUMBING PERMIT AMT. II QTY. MECHANICAL PERMIT AMT. /_3 I EACH FIXTURE TRAP ~--11 / INSTALL FURN. DUCTS UP TD 100,000 BTU -¥.- / I EACH BUILDING SEWER c> ~-OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TD 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP ~/ 71i51b/ EACH INSTAL., ALTER, REPAIR WATER PIPE _.:) --2.J VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS T ,A 'n.3.o 10 n--.J _/ ~ SIGN PERMIT I I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I 7.J----.,,..# ~ ~ , I I · I I I . I TOTAL PLUMBING //. .....-11 PLAN CHECK/ u? 1 ~ ~Mtcf I 1 1 TOTAL MECHANICAL 3'f :-CONTRACTOR CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 ~ PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) (} __ i ~ a TOTAL ELECTRICAL CONTRACTOR AMT. QTY. ~r.'- ~ ~7-- All INCLUSIVE PERMIT AMT. TOTAL PLUMBING MOBILE HOME PERMIT ELECTRICAL AWNING MECHANICAL PORCH MOBILE HOME SET-UP .,.... "" SOLAR RAMADA, CABANA / '\ FENCE OVER 6' ~ TOTAL MOBILE HOME J -I MICO -FILM r-,._ VtlL .(l\ //-/M 22~///d~ T ..l.. Vl:K"' c.v 1° \J"'7v~ J L,,,,...... V i,,7 '11 / I 1 TOTAL FEES PAYABLE \ \ ~J I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO 00 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, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILIT1ES, JUDGMENTS, COSTS ANO EXPENSES WHICH MA'( IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA p 5'-0'' EA TIS I S~~:EP ANDO RE IRED FOR ,1/;;;. o~ea, ,\~~~.~:. c::i.~':Ja;,';,~;~~·g,ove;,./ ~ ~ 7/'rJ~~../ ~ -o- OF THE GRANTING OF THIS PERMIT. :~~6' I~~--t- IAl'--r • I I · I I · ILlr--r-- I , I I · I I I I • I ! , I I · I . : :d3 I I I , I I . I I I . ~~ rY-i1'3 DATE ! ~ ~ b j::= u w 0.. Vl ~ 'D lPPLICANT'S SIGN/f ~ OWNE~ CONTAACTOAQ lAPPAOVED BY AGENT D BY PHONED I ___ -_I .n ---- SITE .. ADDRESS: ~ OWNER: PERMIT NO: • :c.-' ' ·---- -FIELD INSPECTION RECORD \ I \ INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ,, . WOOD FLOOR . . . . ' l ( ; FOUNDATION• FORMS• SET BACK• TOILET - ' _,, \' '. UNDER FLOOR PLUMBING .., ' ' <,. ' -__). . -. - UNDER FLOOR HEATING ' --" ""':, :-. 1 .. J OK TO INSTALL SUB FLOOR C ~ ---. 'i ,-~I . -.• ~ ' . •-• "l .., SLAB FLOOR ~ ' " ~ ' ~. i, "'" .. -. r-• UNDER SLAB PLUMBING • y " ' C FOOTING• FORMS• SETBACK• TOILET -~ ' '· . ,·' . ' >. , .. ' ·~ . OK TO POUR CONCRETE ' ' -"I;· -. ' C '· ~ ' " FRAME ROUGH ELECTRICAL " '.J."' ' ROUGH PLUMBING -~ •' ' ROUGH HEATING/VENTILATING ' ' FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD ' WALLBOARD OK• PLACE TAPE . ,--. . EXTERIOR LATH OK• PLACE STUCCO ' --.. , .. r-~·~ ; ,,. ~'.-.• ..t,,, .1 FIREPLACE .-, .. _,,_.....,. -DAMPER &STEEL .... ----\ .. (' PLATE Tl Es/HEIGHT OF CHIMNEY . \ ' . I I ' OTHER TEMP r:>OWER (POLE) ..... l .............. ,~ . ,,.. SEWER I 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 ' GAS METER-PERM-TEMP . ; ~ ..:, · ... _;. ' ,,..-". d ' ,-. ,( ~ ~)-. ;-~ .)~--) '-. ' CERT OF OCCUPANCY ISSUED " ..--T..1t. ._ .• --. COMPLETE IN DUPLICATE AND POST WITH THE INSPECTION RECORD CARD THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS \ lo5t) 0.\ k-W Cclr /6~J , CA. Number Street City EXTERIOR WALLS Manufacturer OWENS CORNING Thickness/Type 3¥2" R Value 11 CEILINGS Batts: Manufacturer ____ ow_EN_S__;,C~O_R_N_IN_G __ Thickness/Type __ 6'_' _ R Value __ 19_ Blown: Manufacturer----------Thickness/Type ____ No. Bags __ Wt./Bag --------Sq. Ft. Covered------R Va~ue __ _ FLOORS Manufacturer----------Thickness/Type-----R Value ___ _ SLAB ON GRADE Manufacturer----------Thickness/Type ____ _ R Value ---- Width of Insulation ____ Inches FOUNDATION WALLS Manufacturer----------Thickness/Type-----R Value ___ _ GENERAL CONTRACTOR---------------LICENSE NUMBER----- BY ------------TITLE ----------DATE -------- I NSULAJ;Or. CONTRACTOR DANA JOHNSON INSULATION,INC. LICENSE NUMBER 306493 BY k::X-TITLE Authorized Representative DATE :3 /;:)./8/ Bl Form #121 22175