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HomeMy WebLinkAbout1677 James Dr; ; 80-616; 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.Buslness and Prolessions 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 provl· slons 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 ($500). DI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose ol sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not ap- ply to an owner of property ••ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec-----8. & P.C. for this reaso ~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. ~/'t,a~~ .a-<> POLICY NO.~\;. -/ -3'7 / COMPANY . lt(!.ll•~:$(4ft~:f:.6 -~PY Is flied with the city. ~ertlfied copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (TIiis section need not be completed If the per- mit l&.qor 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 Worters' Compensation Laws of Callfomla. 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. CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (71 4) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. / HO. iJ,i~;.-:,.,.U-'1.il" ~e ADDRESS AV.ST. DATE OF APPLICA~ON BUS. LICENSE /(J:'17.7i I I I It I I I It t I I I I I I I I I 7 /-~-'l /<f'Jl?K o~ ~r ~ 7;;R;;;;rRIM~ -~-~ ~jl~rr1 C~ACTOR'S p~~~ PERMIT NUMBER />tJ,,.6/I (130-(qGJ C STATE ~E s -e-zDESIGNER'S PHONE ~£-1£1~ CENSUS TRACT V GP LANo"uSE 4 ,7 11 C-r. 77-7 ZONING £-/ EUNITS)~•--v:1:~ S;AC'21Jjlfol N~B:R/ STORIES Not V•lid Unlllss Abchine C«tifi,d BLOG SQ. FT. /~~~ BLOG:~rP l 7 i;z; STA•;; p~ # PLn TYP~;v, ~"d , "'ll QTY.I PLUMBING PERMIT AMT. II QTY. MECHANICAL PERMIT AMT. 75 I EACH FIXTURE TRAP :21-11 / INSTALL FURN. DUCTS UP TO 100,000 BTU ¥.- / I EACH BUILDING SEWER s-:-OVER 100,000 BTU 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 -HODO/DUCTS ~-'-~IJ9/~ .~~0'!"'1" WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT -;;,, () ---~ CONTRACTOR "7 ,n--() TOTAL PLUMBING '3'1~ n__..,. .,_" TOTAL MECHANICAL CONTRACTOR ~ SIGN PERMIT t, PLAN CHECK /'17 ~ Y/bJ> ALL INCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH -------MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP 7 ,.., SOLAR 1 PH .25 3 PH RAMADA, CABAN}( V REMODEL/ALTER PER CIRCUIT FENCE OVER 6' TEMP POLE 200 AMPS ~/ . of z TOTAL MOB.ILE HOME -°" r7✓~f J MICO-FILM OVER 200 AMPS " ,,.,Y,7. L. 7 /, £._ TEMJ!.DCCUPANCY (30 DAYSI i ~\KVV _ ,,y I 2-Z,~ fiiA,,wZ ~.,,. ~-I -~ \Y '4 I > ti \ / -/ TOTAL FEES PAYABLE TOTAL ELECTRICAL CONTRACTOR \ 7 l . I 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. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- , cce Tue r1Tv nc r 6 R1 c.:RAn A!;AINST ALL LIABILITIES. JUDGMENTS, COSTS AND "-=7 .. 'AN OSHA PERMIT IS REQUIRED ~~4t 5~-• DEEP ANO DEMOLITION o:~~NES~~AVATIONS OVER "';,/ , ,_ j _.A, STR TURES OVER 3 STORIES IN HEIGHTUCTION OF ~ ....--v 14~~7~ - l -l......! I I · I I • I lr,P"!C' I I -I l ~ .,ii. 4ft) I i '7. dltO 1/1/.r'f') I I • I I I .Jf..2,.nlh I I I . I I I I . I ! I I . I I I I I I I I~ "11.J!? I ...,-, I I I I .3/1~~,f ! < 0 ~ > 5 ~ lrl 0. .,, ~ SITE ADDRESS: --OWNER: PERMIT NO: , FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR . INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET . UNDER FLOOR PLUMBING ' \ \ \ ~ ' . I llll: J tiL.. -ft ,. C C --. --UNDER FLOOR HEATING ' . . ..,,L' :. ' I I, ' ~ ' . · .. OK TO INSTALL SUB FLOOR ~ ·• ,. . ....... _ I(.• •. "" !'t..a" ~ ' ·, \ . ' ~ •.. I 1 ' , ~ -~"" . < .,;~ ' ,, SLAB FLOOR -,; ' ~ .>\, ' • \ 17" " UNDER SLAB PLUMBING " ,h , I FOOTING • FORMS• SETBACK • TOILET ( ·.' r-.. ' -~-1.-... . . OK T O POUR CONCRETE :-'· t'. • !. . -• ' .. ' ' ~ FRAME ROUGH ELECTRICAL --. . ~ - ROUGH PLUMBING .. ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION . INSULATION OK • PLACE WALLBOARD WALLBOARD OK • Pl,.ACE TAPE ' ·, . . EXTERIOR L ATH OK • PLACE STUCCO ,,.. FIREPLACE ~-,. " •L - DAMPER & STEEL . -l - PLATE TIES/HEIGHT OF C HIMNEY ' OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE P REPLASTER SHOWN • FRAME • PAN . . FINAL INSP BY BLDG DEPT - OTHER DEPT'S REQ COMPLETED 1 ELEC METER-PERM-TEMP GAS METER-PERM-TEMP , , ,. -. '. r ·'• \ {• ,...) ... ~ ... CERT OF OCCUPANCY ISSUED ,.ti'... _, •-·--.. .._ J,' .... , .,. _. ----- LOT.;)/ 4;i7 ~~ . (7 BUILDIN~ FOOTINGS • FOUNDATION I o ... ... --... "" • • -... ◄ • .. .. .. • ◄ • .. • .. "" .. .. .. • .. .. MifilO~ED S~EL /0-14 MASONRY GUNITE OR SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND PL/CO PLUMBING UNDE"RGROUND COPPER TOP OUT TUB AND SHO~ GAS TEST ~ ELECTRICAL UNDERGROUND;z::;.:; ROUGH CEILING HEAT BONDING ( 0-la MECHANICAL DUCT & PLEM, REF. PIPINGk IIEAT--AIR VENTILATING SYS'I'EMS FINAL: J-2J 4~ ... ' ,._ 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 CALI FORNI A, SITE ADDRESS EXTERIOR WALLS IN THE BUILDING LOCATED AT: I lo'l0 Ic\rnQb ~r. Number Street City Manufacturer __ O~W~E_N_S~C~O_R_N=IN~G~-Thickness/Type ___ 31/:~,•-•_ R Value CEILINGS 11 Batts: Manufacturer __ o_w_E_N_s_c_o_R_N_IN_G __ Thickness/Type __ 6'_' _ R Va 1 ue __ 19_ Blown: Manufacturer _________ Thickness/Type ____ No. Bags Wt./Bag ________ Sq. Ft. Covered ______ R Value __ _ 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 _______ _ INSULATION CONTRACTOR DANA JOHNSON lNSULATION,INC. LICENSE NUMBER 306493 BY ft ---"-T-IT_L_E_A_u_t-ho_r_iz-ed-R-ep-,e-,-en-,a-tive DATE __ 01_/,_/_.l-_/_9_/ __ Bl Form #121 22175 A j < ~ , ,·,,,,,.,."~· ........ ~ ~-, ... ~ ,.~ ............ ...,. ~1 ' ...:.... ~~ .-, _;·;::;~~:-~~,:_ ~.~:;; .. -; .. ;«· _, . ,, .. ,, .. ··•··~ ·# .,. i A/AA A b.1~l~AAM..1l.Ak/AA.J»./AIA/i1J-,,A A.J».A/A/A;,\ 1i\ .½ ;;\ ,\ 1A,~'\-~i~A~: AA. -1-, 1.\ r ~ ([1'rttftratr 11f O)rr1t}i;.~1tffi (··.t\ ~ ~ CITY OF CAR'SB/\•) 1 .);,. 1 .'"·· ":::> A •j'.'s. -. .~ .... \I•, ,, , " ~ " • t<-• 'l. ,. . \ . \l-' -~ .1-;!> « ,, _. '-.~-•,.;·, ~ j This Certificate issued pursuant to the requirements of Section 306 <,4 ,i.:'-J.; . i j 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. f ~ Use Classification STNGT.E FAMILY DWELT.ING Bldg. Permit No. 80-616 ► 3 3 » Group R Type Construction VN Fire Zone..= _____ Use Zone______ ~ ' ,:,,;,-- ~ Occupant load____________ ---~-----____________ ·------------------\-~ j Owne, of Buildin~Ciu:l.sb.a.d Dev. Corp__,_ __ :Add,es, J' .o._ JJQ)C_IL_~?..L~-~!;>?.~_, _ _Q_A__ t /4 Building Add,eu .. 1677 James _P:i;ive Locoli1y __ C_s1.J;",1.sbad CA . /4[ , . ". '".... . . /4[ /4f By .e:=:( (~ -rn a;u,. ~ ______________ o.,c3;Nl / ~ ' ~ /4[ )(WWWW'¥ " " " " "-''v(!W"f/'lfffWWw,