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Home My WebLink About2016 SALIENTE WAY; ; 79-5172; Permit~ENSED 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 0 1 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). 0 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 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 .. _____ 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, Labo~ Code). , POLICY NO. fa, ~ COMPANY C ,__., 11/!{;opy Is flied with the cit; D Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($10!)) 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: 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (7 14) 438-5525 NO. 6,~ 1L1 '1£i/'1i-r.e: 1Wii1;~RESIS I tRr· 1°17~;/:PL?JION Z.161/1~ I I I I I j I I I I 0J~o N h'--~ /J1E'"HI- OWNER'S PHONE BLJ;;AC~yg;J lools ?.53~Z-s'10 OWNER'S MAILING ADDRESS w~'-/ CONTRACTOR'S ~ESS ,G 2.0l(o 5ALIG'NrS-~ ~,,..-,_{Si_ =-~7'Y~"1 fJ l-CN /\G::r ! >lBl 8LOCK ,~,tSION I? ASSESSOR'S PARCEL NO • DESIG"IIER a~'-1 er-7~7 • I/,~ -;11 I~~ I, -L~D1 J L,g-~ /C~-DESCR'P~N OF WOR~ -~7A!/z__ v-r ·e,.../ DESIGNER'S ADDRESS ' l!l0rv1~ F €Letrr /5'.s', . (," foegi?:r5b.N B~ CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. IIUS. LICENSE PERMIT NUMBER 11,.y'~ STATE LICENSE 79 -S17 -:i-:~o73~/ CONTRACTOR'S PHONE l?A~-~ I I /20/197 /94 STATE LICENSE ~81, DESIGNER'S PHONE ~?2-.3'-/co - ~ ~l~ _. C I RES. UNITS I PARKI NG SPACE I NUMBER OF STORIES Not V1/id Unlttss MlclliM Cartifild BLDG SQ. FT. BLDG USE occ. GP I ST AN OARD PLAN II I PLAN ID II TYPE CONST I occ. LOAD I QTY. " PLUMBING PERMIT AMT. QTY. ~ MECHANICAL PERMIT AMT. ' EACH F~URE TRAP INSTALL ~N. DUCTS UP TO 100,000 BTU r5 u-1-EACH BUILD1.t4G SEWER ............. OVER 100,000 BTU . ·, I~ EACH WATER fff:,ATER ANO/OR VENT BOILER/COMPRESSOR"ti.e_ TO 3 HP • ,--~ EACH GAS SYSTEM\J,_ TO 4 OUTLETS BOILER/COMPRESSOR 3-15 Al'...... ' ' vi ~ EACH GAS SYSTEM 5 {tR,_MORE BOILER/COMPRESSOR 16-30 HP ............ . t) a&, -I I EACH INSTAL., ALTER, REPAIR,WATER PIPE ~ ........... ~::;f~t~ -VENT FAN SINGLE OUCT -. EACH LAWN SPlflNKLER SYSTEM._ MECH EXHAUST -HOOD/DUCTS '~ : WATER SOJ;TNER "-~-RELOCATION OF EA FURNACE/HEATER ... BUILDING PERMIT l J 1.,'~1~ ~ ,,,, . . ( / (/(I/<,'' O"'--' .A SIGN PERMIT _ ... ii I . I I ~ -. ~"' rcumBING ::)IV V TOTAL MECHANICAL PLAN CHECK ../J.d; 4 .,_;,_ DI I J. ,-I I I I '/R-1~ 8;! CONTRACTOR t'~ CONTRACTOR ALL INCLUSIVE'l>ERMIT I ~ • I ~ vz'::,.ECJR~AL ~AMIT }MT. QTY. M~ HOME PERMIT AMT. TOTAL PLUI\IBING J ✓,UJ-t) QTY. ELECTRICAL l l "-:'7Jd-•() ---I N~ CONST E/!MMP/SWT/BKR ..:;,'(-A~ING ' MECHANICAL I I I 1 PH .25 ' 3 PH PORC'H "-MOBILE HOME I I I EXIST BLOG EAAMP/SW1{BK.R SET-UP "-' ' SOLAR I I I I . 1 PH .25 ........ 3 PH RAMADA, CABANA " I , I I I REMODEL/ALTER PER CIRCUIT, FENCE OVER 6' ' " I I l I . TEMP POLE 200 AMPS ' TOTAL MOBILE HOME '-~ MICO -FILM I J J I OVER 200 AMPS ' '--.. r,.... I I I ; I TEMP OCCUPANCY (30 DAYS) .... ' ' I I I I . ~ I ' I I I TOTAL EL"ECTRICAL "'J, ~ TOTAL FEES PAYABLE I I I~/. H' CONTRACTOR . I I . I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT, ANO DO • "" os•rn•~l " '.~"'f ,,av.,,o•s os,a HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I ~•e.•o ••o, ,o" a =,.,aocr,o• o, FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. URES 01 ~R 3 S ~RI SIN HEl~HT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~ I\\}~ ) -L -SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPL.I NT'S SIG"NA •·7• OWNER□ CONTRACT0~1~ED BY M A;;kA II AGEN~ BY PHONE O ~ ,/ ~ 'f -- SITE. ' ADDRESS: -' OWNER: PERMIT NO: ,q.,,6-/7~ --FIELD INSPECTION RECORD ' INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS • SET BACK • TOILET ' . -,, '. UNDER FLOOR PLUMBING --. " --., '"' -. --· UNDER FLOOR HEATING -... ·• .._ •1 OK TO INSTALL SUB FLOOR ', ,. -~ -► ~ ' SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME .. -ru,c, ,-ic; ttr ROUGH ELECTRICAL ' . , .. ROUGH PLUMBING ROUGH HEATING/VENTILATING -\ FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE T APE ' EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY ~ .- OTHER --, TEMP POWER (POLE) •-.: SEWER GAS TEST I I /) SWIM POOL • STEEL BONDING 'Zf '' 1-/< lA,,t' • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN ,, , I / .. FINAL INSP BY BLDG DEPT l,///1/)0 'j.,(/J,V OTHER DEPT'S REQ COMPLETED I I I • ELEC METER-PERM-TEMP GAS METER-PERM-TEMP , ' . CERT OF OCCUPANCY ISSUED ~ ~ 7 _I_NT_E_R_D_E_P_A_R_T_M_E_N _T A_L_I_N_F_O_R_M_A_T I_O_N_S_H_E_E_T /- BUILDING DEPARTMENT RECEIVED DATE: NOV f 191° BUILDING ADDRESS: PLANNING DEPARTMENT ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ P~ITS ALLOWED ____________ UNITS PROVIDED ____________ _ PROVIDED ~RKING SPACES REQUIRED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVIDED ----------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION ENGINEERING DEPARTMENT S° ~;J'& ~ I -- R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY L~CATIONS GRADING PERMIT ________ EASEMENTS tv w✓ DRAINAGE ----- ,EGAL DESCRIPTION ------------------------------ ,DD IT ION AL COMMENTS ----------------------- OK TO ISSUE: PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _ FI RE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ , ________ DATE ________ __,,