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Home My WebLink About1749 FOREST AVE; ; 80-191; PermitICENSED CONTRACTOR'S DECLARATION '>ereby affirm that I am licensed under provi- slunl 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 DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Buslness 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). ~s owner of the property, or my employees ~ a~ages 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 ~ build or improv for e purpose of '.Jl,a~wner tra~tlng 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 t•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, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Labor Code). POLICY NO ___________ _ COMPANY ------------ OCopy Is flied with the city. OCertllled copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mlt 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: II, alter making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation s,rovislons of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY CITY OF C ARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS ~T. IDATE OF APPLICATION I I 7i'7191 1IG1 A'iEi...C'lri I I I I I I I ,~3,~ ,.:r, cfr 0 1 Ji I I I R~ 1.2. ~/ ~ -pO OWNER OWNER'S PHONE PRIME CONTR~ /7,Y,P ~p_r~ 26Jf~'U/ ..,, ~ L .-.,-,o---r owC: Q_~1z.zs5£} CY'.:/ ca._ -;,:; .. . 9c:?o~~ CONTRACTOR'S ADDRESS // BLOCK I SUBJ:'1'1<:ION -1"1'~ 't ~O~/ '-' I A?,t..SOR'S PARCEL NO. - / I I·, I 1/ 1,]1 ~I l~I .,< I I DESIGNER DESCRl~ON~WORK ..... -·--,_ e,J._~..,A .... (;_.../"~ DESIGNER'S ADDRESS / CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE If/ CONTRACTOR'S PHONE ST ATE LICENSE 1~1=::i1:--: :1c9 . - DESIGNER'S PHONE ,' ·'f-1 I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V1/id Unless Machin, c.rtifilld BLDG SQ. FT. BLDG USE occ. GP I ST AND ARD PLAN II I PLAN I D II I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP --~~~/t..J J .vv INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT ? .(}1) BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT /~.· Z,S-d"O - EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS W~TER !16f'!'IIE'!f"'7?t/° _h7/' ..2. .tfl> R~LOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I { j ...,JI~ • ,..3 g;;;::.-I J.~,.A • ti 3c,-SIGN PERMIT I I I I .-, TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I 11 Sit> JI) . lb . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I /It> .I) 10 QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I l PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP ... SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I// /. L L_ -I . I I I REMO OE UAL TER PER CIRCUIT FENCE OVER 6' ~.f• -. 7 -'· I I .... --~ ., '~ . I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM ! . I I I OVER 200 AMPS I . I I I TEMP OCCUPANCY (30 DAYS) I I I I (}AA • ti .:,(_ . t!!!-I I I I . TOTAL ELECTRICAL TOTALFEES PAYABLE I CONTRACTOR . I I ' 1/ (J .Si 0 I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER/~--/~• HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES I~ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~ : H SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-._ LESS THE CITY OF CA RLSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND (_ J 1 ~ .,.., 'E.1 _ -• - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE • OF THE GRANTING OF THIS PERMIT. FAPPLICANT'S~ATURE" V o~~.E:~ CONTRACTOR0 lAP2 VED BY DATE -··-_ -~ ~~,,,.;A/J~a·4 ·J ! < 0 ~ ~ i= ~ Q. V) ~ ~ ' ' ' SITE ADDRESS· INSPECTION 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 OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE Tl ES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN F!NAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED , ELEC METER-PERM-TEMP i GAS METER-PERM-TEMP ~ f--- f----j CER7" OF OCCUPANCY ISSUED • OWNER· PERMIT NO· ;30--1S' --- FIELD INSPECTION RECORD ~ DATE INSPECTOR INSPECTOR'S NOTES --- -- I • ..r JI -- IV • i\ \'ii\ /, ' -----I ,. i ; - =3