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Home My WebLink About2409 LA TINADA CT; ; 81-68; 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 lull force and ef. feet. OWNER·BUILDER DECLARATION C1 I 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 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). L' 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). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. NO. JOB ADDRESS AV.ST, OATE OF APPLICATION BUS. LICENSE PERMIT NUMBER . Jil /i ow,rn•se,,,, co,;,m:, 0 /.:2-,2-~0 :.~~'~" c?\• /7 7? J//C ki d&NK LIN z_,J-o&>?t L c'JK£ ,RtJ.S5E L !.. / t/7-'17 t ' OWNER'S MAILING ADDRESS !I CONT··•·ACTOR'S ADDRESS s n.JJ .. I ~~NTRACTOR'S J'-109 L.,& T/A//1.tJ/i 6/'/f OIJll/p/5/f)' n/£.,,,?As§J.-9.LYJ LOT I BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. ~lGNER ?zJ'JI S~TATE LICENSE I I I I I I I I I I I DESCRIPTION .1!" w,oR.K ~ -6; M,,., r W ll t'# 5/J tE./t/ 1 DESIGNER'S ADDRESS .INS:ilu (.. ' 0 J. 'R ' DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZON!NG I RES, UNITS I PARKING SPACE l ""M'" o, STO"" ;~ / J;_;' r_. ! 3:<F o:J 1:;:~5-·· ~ r· __ _ Not Vahtl Unless Machine c.rtifitid' BLDG SQ. FT. BLDG USE occ. "l ST.SOMO "". IPLANID/t ln" CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE ~ VENT FAN Slf)GLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ~~:-..?,~ ' .. .. • "' ... <( 0 :t > :.:, .. i -i; ' ::::1, as owner of the property. am exclusively con· tracting with licensed contractors to construct the project (Sec. 7044, Business .?.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. for this reason WATER SOFTNER I z;;;/1 I.<IZ--TOTAL PLUMBING CONTRACTOR QTY ELECTRICAL PERMIT .37 s-00 AMT. RELOCATION OF EA FURNACE/HEATER ~..J.10 ~-~ TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AMT. BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOT Al PLUMBING I _l I ~o >= u "' a. V, z - Date Owner -·-ELECTRICAL NEW CONST EA AMP/SWT/BKR ~(5() AWNING WORKERS' COMPENSATION DECLARATION t PH ZS 3 PH PORCH I hereby affirm that I have a certificate of con-· · MECHANICAL MOBILE HOME sent to self-insure, or a certificate of Workers' EXIST BLDG EA AMP/SWT/BKR . SET-UP I . II SOI Compensation Insurance, or a certified ciy•\ ' -n thereof (Sec. 3809, L~~r-~?_de). • ' -z. 1 PH .25 3 PH . RAMADA, CABANA . // .,- POUCY NOm-..,14;$ -;i;?Q______t{Y___ 1J I REMODEL/ALTER PER CIRCUIT . FENCE OVER 6' . ..A/ .. COMPANY ~ 1CLJ-H.J> -'I ,_copy is filed with the city. TEMP POLE 200 AMPS . TOTAL MOBILE HOME . ~CO .AR ,;,, . ..,:..._ ,µf'~,, -fl LM ··~certified copy is hereby furnished. OVER 200 AMPS . ., -,,,. r/9~ V A ~ -)) 7 I 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 ~rson in any manner so as to become subject to thfl Workers· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- ti\icate of Exemption, you should become subject t,;; the ~orkers' Compensation provisions of the Labor Code, you must forthwith comply with such .,,ovisions or this permit shall be deemed revoked. CO~STRUCTION LENDING AGENCY ·-v affirm that there is a construction len-•-· ,,._ --··-·------· .... _ ,.,_,., ...... TEMP OCCUPANCY 130 DAYSI . :SW, I /J.I 6/ ,/:'./PM..,[/ I '7 -j j I ~ I i~I i /!.-/, ---I -4-1-r-P--• . ' -. • II I I TOTALELECTRICAL :;-,oe o1%~ i~ I ___ .. ..-11 I I -,A.c"'""" TOTAL FEES PAYABLE ~7 I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HERESY 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 ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,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 OF THE GRANTING OF THIS PERMIT. ·AN OSHA PERMIT IS REQUIRE Mr~ 5'-0" DEEP AND DEMOLITION g FOR EXCAVATIONS OVER 1 _.-d.-, ¥/ STRUCTURES OVER J•T R CONSTRUCTION OF ~. ., DRIES IN HEIGHT • ..... /J ~"#~/7 ... _n_..., /Yu-/7/70WNSR0 ,,,, _y {/ AGENT D CONTAACTO~ BY PHONE 0 APPROVED sv,'1) /") f'"-"t:r·c...:,, ~ 'CC , I I 11-12111 I I · I I l 10-5i{) I I I I I I I I I I I I I I I I I I I~ Z-5°.l.b. DATE .:rr a..-: -1/ SITE '1'I ~1,,-z( I ADDRESS: . OWNER: PERMIT NO: . FIELD INSPECTION RECORD JN.SPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDAT!ON • 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 TIES/HEIGHT OF CHIMNEY . OTHER TEMP POWER {POLE) . SEWER GAS TEST SWIM POOL • STEEL BONDING ·. • PRE DECK • FENCE PREPLASTER SHOWN . FRAME • l \ • PAN -I IIW" / FINAL INSP BY BLDG DEPT I ,u VI I }" / '- OTHER DEPT'S REQ COMPLETED ' I / I ELECMETER..:.PERM-TEMP I ./ ~-\ .. i GAS METER-PERM-TEMP ! 1--· f I L_CERT OF OCCUPANCY ISSUED ,