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HomeMy WebLinkAbout1736 Havens Point Pl; ; 81-478; Permit-..,f LICENSED CONTRACTOR'S DECLARATION /"'-l 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 lull force and ef- fect C'J heretl affirm that I am exempt from the Con- tractor's L ense Law for the following reason (Sec. 7031.5 iness and Professions Code), Any city or county ich requires a permit to con- struct, alter, imp e, demolish, or repair any structure, prior to ii suance also requires the applicant for such per to file a signed state- ment that he is licensed rsuant to the provi- sions of the Contractor's Uc se Law (Chapter 9 commencing with Section 7 of Division 3 of the Business and Professions Co ) or that is ex- empt therefrom and the basis fort alleged ex- emption. Any violation of Section 7031. by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L. I, as ner of the property. or my employees with wage s their sole compensation, will do the work, and e structure is not intended or of- fered for sale ( 7044, Business and Profes- sions Code: The tractor's License Law does not apply to an owne improves thereon and ho does such work himself or through his ow mployees, provided that such improvements are t intended or of- fered for sale. 11, however, the bui g or improve- ment is sold within one year of co etion, the owner-builder will have the burden of pr ·ng that he did not build or improve for the pur e of sale). ner of the property, am exclusively con- . licensed contractors to construct the project ( . 7044, Business c'.nd Professions Code: The Cont ctor's License Law does not ap- ply to an owner property ·~ho builds or im- proves thereon, and o contracts for such pro- jects with a contractor( license pursuant to the contractor's License Law). I am exempt under Sec. , B. & P.C. for this reason,_ ____ _ Date Owner \,} ~ •!\ WORKERS' COMPENSATION DECLARATIO \ I hereby af_firm that I have a certificate of c~ sent to self-insure, or a certificate of Workers Compensation Insurance, or a cer1ified copy thereof {Sec. 3800, t.,abor Code). -A POLICY NO ~---, ~ -i ~ COMPANY c 1,-,p-(_ e:f::, ig,copy is filed with t~ cit)". ::..::Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit 1s for one hundred dollars {$100) or less) I cer1ify that in the performance of the work tor 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, alter making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Ljibor _Code, you must forthwith comply with such 1,,,c1vis1ons orth1s permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ~ hereby affirm that there is a construction len- ding agency for the performance of th_e wo_rk for CITY OF CARLSBA' 1UILDING DEPARTMENT APPLICA1 ,ON & PERMIT liSE BALL PIINT PEN INLY 1200 ELM AVENUE (714) 438-5525 APPLICAh. TO FILL IN INFOR - MATION WITHIN RED LINES. ____ , NO. -p I JOB Af-Rff"f. I / 171-11<0! 1\-\-1'½V1e11\15, 1 ,o, \'t) 1 ,~,O,l'1\1-S1b1~d, OWNER "'-I (' ______l'-l_ '2 -W\ @, U P. -r-. OWNER'S MAILING A~SS J I 7 j & l+c._ v en i", I I I _GT. ID/?/4~;;;NL2s:i;~;:E ~ OWNER'S PHONE j~RlME CONTRACTOR +-f . . LJ O A --50....._\-\.,_1.<..>c<:S ""'-"-<> ';!, ,,,-~ 7:J /·r /'89£2 _ c...-v1et.9evnc-" .r..,. <::,. 7".) i\~IT NUMBER p/ LOT j BLOCK ,Q ~ 0~ -'--"="-'""--'--''----'~ C1ENSUS TRACT GP LAND USE ZONING PARKING SPACE F l "'· ,,,,, Iil,.; ,);r,, l """'" o, STO"SS Not V.•lid Unless Machine CartifiaJ BLOG SQ. FT. BLDG USE PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. _ <,,Q -~ EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100,000 BTU . A\~v-~-'QJ' 1 1 EACH BUILDING SEWER . OVER 100,000 BTU • '(~\~---·,,.-;O 1 1 EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UPTO 3 HP . '\,, ,,,-\\)' - 1 1 EACH GAS SYSTEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3-15 HP • // occ. °' I STA'OA,0 eLA'. IPLANIDfl \/ yf TYPE CONST ICC~ COAO 7 QTY. 1 1 EACHGASSYSTEM50RMORE . B01LER/COMPRESSOR16-30HP • ,• EACH INSTAL., ALTER. REPAIR WATER PIPE I II I VENT FAN SINGLE DUCT L EACH LAWN SPRINKLER SYSTEM I II I MECH EXHAUST -HOOD/DUCTS ./ 7lad~ ~, #,WI ... WATER SOFTNER I ...._ II I RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ./ ./ TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) L .... ..-.,1.,1_0 TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH _:7e,~ AMT. .,;i.+; .,,,_..., __ . TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA. CABANA FENCE OVER 6' TOTAL MOBILE HOME / ,Pt/,?//!' ,,,, L.f ., X 'jf' F (. --f,, ,F YI bi I / .. ~ / LA 1(1 p_ ti:.. "')C}-,,,<~cv;..1~iL L .... , .... d lPr-.-4-,.,,...-./~~/-_L,/ ~~ Fi ~' ~p / ~ ,,.., /.--. ..--Sir, r"n ~ ,c, ·+,., V\ Y <J -' -6 r.1 AMT. ,::I.. .(JO _-=?!D'u ,2._;CD ".l}C'T', SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOT AL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR ,;,y',,._,,~ MICO-flLo/,7 TOTAL FEES PAYABLE ;). -0-,.,. } I •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE.-tf--t/4'11--t(-4,L~ 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF V I I .1 I I I I I I I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 HEREBY CERTIFY THAT ALL INFORMAT10N 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 ANO 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 STRUCTURES OVER 3STORIES IN HEIGHT f}14 to/,nfJ OF THE GRANTING OF THIS PERMIT ~~c g OWNER• ~ I ~ f) AGENT'K'I -, I APPROVED BY CONTRACTOR• ~.Jil""_/ BYPHONE0 ..,.::,-: ~ I I - .L1 I I -I I I I I I I I I -~ Jl1c.;, I - I I I I I . I - I I JJ(;Ji,-,, I I . I I I . I I I . I I I , I I I I I I . I 1t12i0 -DATE ) f/4·U-il ! ~ 0 ~ > {5 e= u w Q. V, ~ SITE PERMIT NO: XI' '--j ·% ADDRESS: OWNER: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR 1 NSPECTOR'S NOTES WOOD FLOOR : FOUNDATION• FORMS• SET BACK • 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 C1NC ~~CEl""'APE EXTERIOR LA"'f-~· OK S-1='L-'eSTUCCO Fl REPLACE DAMPl;:R 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLOG DEPT OTHF;:R .R..EPT'S REQ COMPLETED ELEC M~£R-PERM-TEMP GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED •. R~OVEST TIME ::~,2..c._,; ,,...__3"-+/-- INSPECTOR--~.llcW~!\-,---PERMIT NO ______ DATE: _,_/~0_,..;;}-=----..,r'-~-=....,.( __ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST ~RA~EAT~ ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR ~AL ) / ( ' MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D R~ll'ING-.-•--FINAL ~ '-------. READY FOR INSPECTION: ~AV •TUESDAY •WEDNESDAY DTl!URSDA~ -1'~· ~ac:>~~-h,,l...j:1'5"""~~--:--~~ • .. ~I~ 'fl~ &-P·D·/''-'~ ~ ~ ""'" ""'"rno,s cl""'!r ~ k' $~\ot-: ~ \ct __ REQUESTED BY )/Vv., • )1C21,n RJ"§,, PHONE NO. tt 1Jfj-{) 8 CJ C,1J ---PERSON TAKING REPORT ~