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HomeMy WebLinkAbout1654 James Dr; ; 80-598; 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 Proles· sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION c.1 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 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 is ex- empt therefrom and the basis tor the alleged ex- emption. Any v1olation of Section 7031.5 by an ap- plicant tor a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500) LI, 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. !f, 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). :=:!, 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, _________ _ 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 iCopy is filed with the city. C Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil 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: 11, 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 , '-~•~"" -,fli,m ,.,,., +1,,.,., ;., ",.,-,,.,,,_trnt".linn len- 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. / I 3.~ ,;_/ J/0-,,--/-sJ ~:,,;,A:, ADD,CSS P, I I I I I I I I I I I I I I I I I I I I I I I I ,l tRr· IO~T~O:,;~~RbNI 7~;c~3 PERMIT NUMBER OWNER -OWNER'S PHONE PRtM,E-~ STATE L!CENSE ~ ~~ ·.:i..t.p--:;l.,'f?3}"J , 0-S-9Jl OWNER'S MAl~;ESS 1 CONTRACTOR'S/ESS CONTRACTOR'S ? o, · 'B ,, PHO~ ( 80-~<f) 'e-BLOCK s~:::_ DESIGNER'S PHONE C;.7 -c-c.. 3 CENSUS TRACT j\lP LAND USE ZONING /CJ I "'· UNlT./ I PA::i?.SPACE S!o/71NUMBE/OF STORIES Not VaHd Unless Machine Cartifi«J BLDG SQ. FT. BLDG USE --4... /f/73 <;""yl) QTY. PLUMBING PERMIT /7 EACH FIXTURE TRAP ~3 / '"2¼,"". AMT. QTY. I "~H "I '"l)°}) I 01i'°o I) I MECHANICAL PERMIT AMT. ),-"' de / INSTALL FURN. DUCTS UP TO 100,000 BTU ll, I "< -);~~, .. _..../I EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH tNSTAL., ALTER, REPAIR WATER Pl PE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER \ I ' I -7 l /. ~ I/ 3.00 TOTAL PLUMBING CONTRACTOR l/,,3t/.~ QTY. /t,d ELECTRICALPER~T # .IJT NEW CONST EAAMP/SWT/BK]P 1 PH .25 f V PH----n; AMT. ..2 :s-:- .:'J ,--...- OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER Issue TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH ./ v &:S.::/t1f~ 4-VALUATION: Q ~t t. p ~ -✓Z<'ii BUI LO ING PERMIT " T.UU SIGN PERMIT ,1/ ':!!. II . -~ .. ""'""/VO -I,,.. I I I Pl AN ruc:rv #J(7.$"~ J..,..,1~ I ALL INCLUSIVE PERMIT AMT. TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME ~ EXIST BLOG EA AMP/SWT/BKR / SET-UP ./ lPH .25 / 'PH ~ •II RAMADA, CABANA / I 'l'f SOLAR : ~i~ REMODEL/ALTER PER cu,tun TEMP PO LE 200 AMPS / OVER 200 AMPS I TEMP OCCUPANCY 13,vbAYSJ Issue -/ TOTAL ELECTR~L CONTRACTOR ' FENCE OVER 6' / TOTAL MOBILE HO~ / 7 2 •. 00 11 I 7 ~1~ / I TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD 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 S D DjP AND DEMOLITION OR CONSTRUCTION OF ~i~:""~:t~ _e SCHOOL FEES: -() ·- OF THE GRANTING OF THIS PERMIT Af'Pt'tCANT"S SIGNATURE 7 C: OWNE~ CONTRACTOR□ [APPROVED BY AGENT 0__ BY PHONE 0 I I J' 5ig DATE I ! '< 0 ~ ~ ;::: ~ C. V) ~ S1Tt:. ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE 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 TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPE:.R 8: 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 i OTHER DEPT'S REQ COMPLETED i ELEC M_ETER.-PERM-TEMP 1GASMETER-PERM-TEMP I CER7 OF OCCUPANCY ISSUED .. -... -... -.. -.. -... ---... ---.. -.. --.. ----. ... ... ... -.. - LOT ~ /~5'~~ ;p BUILDI FOOTINGS FOUNDATION REINFORCED STEEL /J:'.b,-: MASONRY SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWAU, PLUMBING SEWER AND PL/co7~f j"wATER7,,-£ r PLUMBING UNDERGROUWl) :fn-. 7-J J-f, . COPPER TOP OUT TUB ANO SHO~ GAS TEST 'f ~{ ' ELECTRICAL UNDERGRO~ ROUGH . CEILING HEAT BONDING MECHANICAL DUCT & FLEM, REF • HEAT--AIR PIPING& 't--t C VENTILATING SYSTEMS j:( J1,A..~v.\\r~./4\A\1,~;~AIAv~~/~,J;., ;)J1 .. /AJA\,i~1,\J~\l~i\,A\l},::-~v·;:.,l~;;.:_,. '. \1~i~Jh1J..\./\_)v,\_,~~-,l'~v;:..\/~\J~:.lt.;~,\..: ,\i~\;; 0 ,'.<. )( 4 f,~~ ~ 4 '~.>'!!".;?\. ;!> --~ (f r r t i f i r u t 1:\ n f (D r r n 1.1 u tt .r 11 , :,,.,,, ':1~ t -~1 ' ~l f"'f::f;;tl' "-' ~ ,1 c~1 .. ·1 ·o· cc (~, .... L-'~'D ~ D , ·c,f., . ""' <~ ,i ~ -·, . ....,/-\ i{ .\ ~bi~\ t·· \~•,1--:_'.:;1.,~:?:,; ___ ) §> ~ ~~ t <'( This Certificate issued pursuant to the requirements of Section 306 ~ j of the Uniform Building Code certifies that at the time of issuance t <f this structure complies with applicable ordinances of the City ;;> d ~ ,'~ regulating building construction use. :v ~ ► j Use Clossification __ S_i_n.:,gc.l_e_._F_a_rru_· _ly<.__Dw_e_l_l_i_n_,g'--------Bldg. Pe,mit No. 80-598 ~ Group R3 Type ConstruC!tion __ \lN= ___ fire Zone 3 Use Zone __ .,Rl..._ __ _ <,; -r..~ Occupant Lood _.....,...,,..~-.--..~--.----------------------------- .. ~.-~ 0 r Id Carlsbad Development . A'd·••• P. O. Box B ~ wner o Bui in~'-'-'"---------'-----a , ________________ _ ~ Building Add'"" _;_·,...;:.l..:.6.::5..:.t--=J..:am=e:.:s;...,:Dr:.::..;1::.· v:...e::.,. __ ~_Loco lity _=====-CA=ce.· -=-=='------ ~ ,-~ -~ ·< ~ .. ::;;