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HomeMy WebLinkAbout1660 Oak Ave; ; 80-620; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl· 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 el· feet. OWNER-BUILDER DECLARATION 01 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 !o 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· pllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). D 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 P.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. tor this reason ____________ _ Date Owner CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION 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 for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the Workl!'ts' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer· tlflcate ol Exemption, you should become subject to ')4 ·'Vorkers' Compensation provisions of the Labor C."e, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby aff_irm !hat th~re Is a construction len· CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 /~1li/J1 t/f4( Ki I JOB ADDRESS tRr 1:;:;i:P~TION I I I I I I I I I I I I I I I I I rr ~ (1~-~ OWNER'S PHONE PRIME ~TRACTOR ~ 'I ... P~~ .0 7 :i-f l!f j_J? .2 -... --V • _._ / r , q>No'r-t;L~ ADASS ~ _ 0 ~ R I 9.;1..0~ CONTRACTOR'S~SS "' ...... &-1 BLOCK , ~=:Ill.'.'.-:/1-8 l91ASSESSOR':;ARF.L~.z, < &IGNER Id,,-,, • • 1 /) ,lj .I) I 1/ 10u ~ --- DESCRIPTION OF '11..K ll ~ ::-T7-~ ~ -T _,,,.. DESIGNER'S A~ ...:z ~----4 a.a. AiO c_ -C. W,,3i,3 "" ~ -c ~ 1'?1').,,r CENSUS TRACT \J GP LAND USE ZONING . APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER /87P&7 STATE LICENSE fJ,t,2 0 b;l83:3S-7 ~TRACTOR'S {I HJ'. .-, '-- STATE ~E DESIGNER'S PHONE ~3-i-l-~c-d-1\d> ~; 'i;J ' . ' er: 11-7 te-J I RES. UNIT/ l P~~ACE·~ 70 1 NUMBER•i STORIES Nat Valid Unless M11chin11 C.rtifi«J BLDG SO, FT. BLDG USE OCC. GP STANe~LAN II 'PLAN~-~ ITYPE c;;;u I occ. LOAD I /4.:3 S~// .£13 t:;/)()-/ AV (!J t'!J ,. - QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. /~ EACH FIXTURE TRAP ~~ / INSTALL FURN. DUCTS UP TO 100,000 BTU L..1.- 7 EACH BUILDING SEWER ~,, OVER 100,000 BTU l EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 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 '? VENT FAN SINGLE DUCT ¥--}/~.'~~ EACH LAWN SPRINKLER SYSTEM -MECH EXHAUST -HOOD/DUCTS . WATER SOFTNER Rl;_LOCATION OF EA FURNACE/HEATER BUILDING PERMIT I •. ~ J 'f!/ .IJ-t't} a... .A • ~ S:r7-(l TM.,.. hi ~ SIGN PERMIT I . I ( I TOTAL PLUMBING TOTAL MECHANICAL -PLAN CHECK ~9£!-#;vi, J' I I 1/.Pt# CONTRACTOR 3f.,, CONTRACTOR /I ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1.::t1d-;- QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1~1~-+- NEW CONST EA AMP/SWT/BKR ;is-.--AWNING MECHANICAL 1/JI .-+- 1 PH .25 3 PH PORCH ~ "" MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP --\ SOLAR I I ./1 "l,; -t- 1 PH .25 3 PH RAMADA.CABANA ,/"'° ,/ I . I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' / / ' • A I I . I I I TEMP POLE 200 AMPS TOTAL MOBILEittDMV,., Q}J ".h \ MICO·FI LM ! . I I I OVER 200 AMPS '/ ,.\ l()J/,, •.I' I / "~ ,M, , . I I I I -' TEMP OCCUPANCY (30 DAYSI ./ \.. ..., .VV\I .v 7 /"'4~ /~p~ I . I .u.~r ..,,_ ~ ~.,,, ., ~ / ,,::; IJ • I V V , I I I . I TOTAL ELECTRICAL ;1.7-\ {'1 7 TOTAL FEES PAYABLE I .~~Si! CONTRACTOR \ / I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 ·AN os~~IT IS R~I FOR EXCAVATIONS OVER / ~ ~., -IJ - HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I ~"' A '" --,o. OS OONm "mo• o, 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 SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-,,, V ~ A LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO ' ~-'t:nL1u --EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNA~REr OWNE~ CONTRACTORO !APPROVED BY DATE ~--AGENT D BY PHONE O -~ -------____ , _ ·-- • w ~ ~ ts i= ~ 0... V) ~ vr SITE ADDRESS: ,. OWNER: PERMIT NO: I 0 FIELD INSPECTION RECORD .. INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ' WOOD FLOOR .. FOUNDATION • FORMS • SET BACK • TOILET ' ' ' ' . UNDER FLOOR PLUMBING . , ' .. .f'.-. . . UNDER FLOOR HEATING OK TO INST ALL SUB FLOOR ' . . ~ -.. ' , •' ' ' . ..... '. I , . .. ; -,r_, ! ~, ..!v -· ' SLAB FLOOR ' .,. \. ' . -. UNDER SLAB PLUMBING ' -' , -' ' FOOTING• FORMS• SETBACK • TOILET c.· ' " . µ " .. •.. ' OK TO POUR CONCRETE . . ' ' ·• - FRAME ' ROUGH ELECTRICAL ·-.. ' " r -ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE .. '• . EXTERIOR LATH OK• PLACE STUCCO ' - -... ' -''-" FIREPLACE ,. -.,_ .. DAMPER 8: STEEL . PLATE Tl Es/HEIGHT OF C HIMNEY ~ .... ·. OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK ' ... , • FENCE PREPLASTER SHOWN • FRAME r- . ' ... . • PAN -,. . • FINAL INSP BY BLDG DEPT '' OTHER DEPT'S REQ COMPLETED -C,.. ELEC METER-PERM-TEMP GAS METER-PERM-TEMP ~-.,. ,. .. ~ . _ ..... -=-::.....:.... .... . , : . \~ . . .. . Y"" C ~ •. . ·, J '\, . CERT OF OCCUPANCY ISSUED '· •. ~' ·1 ..,~-~, '\ ",,... j '-· -'--~ __. . .,_ ---1 "'· . ... I 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 Number Street City EXTERIOR WALLS Manufacturer __ o_w_E_N_s_co_R_N_I_N_G __ Thickness/Type ___ 3~_2'_' _ R Va 1 ue 11 CEILINGS Batts: Manufacturer __ o_w_E_N_s_c_o_R_N_I_N_G __ Thickness/Type __ 6'_' _ R Va 1 ue __ 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 Va 1 ue ---- GENERAL CONTRACTOR LICENSE NUMBER ---------------~ -------- BY ------------TITLE ----------DATE -------- B INYSUL~ CONTRACTOR _D_AN_A_J_O_HN_so_N_IN_s_u_L_A_TI_O_N_,_IN_c_. __ LICENSE NUMBER ___ 30_6_4_93 __ /Lb TITLE Autho,faed R,p"~nt,t;ve DATE 3 /Ja-lJJ/ Bl Form #121 22175