HomeMy WebLinkAbout1545 SUNRISE CIR; ; 81-4; Permit"" LICENS!f> C'ONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions ol Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, aSc,d my license Is In full force and ef•
feet. . OWNER-BUILDER DECLARATION
D I hereby afl.~ln that I am exempt from the Con•
tractor's License Law for the lollowlng 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 provl•
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 therelrom and the basis for the alleged ex•
emption. Any violation of Section 7031.5 by an ap-
plicapt tt>r<,a per · subjects the applicant to a
cl pe t n five l)undred dollars
($ ,r ----L~/-.2 -p,
D I, as owner or pfopert , !tmployee?
with wages a heir sole compensa , will do
the work, an the structure is not Intended or of-
fered for sale (Sec. 7044, Business and Proles•
slons 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·
tractlng with licensed contractors to construct
the project (Sec. 7044, Business end Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property aho 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.
fol 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 ___________ _
□Copy is filed with the city.
□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 ($109) or less).
I certify that In the performance of the work for
which this permit is issu~ 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•
dl_n_g. ag_e_ncy for the. perform_ance _o_r_ th_e wo!k for
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.
/i£i;,;,1) I S,vtf'ittrl ,' ISt?-I ,co:l;.R;ss/ ./ 1 I I I I I tR~T-1D/~F;::_•~7 SUS.LICENSE <?R/MITNUM:Ei_
owN.4.4Jt1vN r'_ d-~;chx, ( 7..2/--si5l?"" f)RIM~c:R;;~ 1 sTATE LICENSE () _ '7
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
I/F1"r Sc.u<t I(;~-~ <?,~e,../tc, &llli.s A,. JC',,,-Q~.P PHONE
LfT BLOCK IS!JilOIV:~IJN,£4 d I ,1 ASSESSOR'S PARCEL rfo. •"' -DESIGNER STATE LICENSE ,3 ("','l-1'?1< /·1,,.,.,1t /I.J,/1,/1 10 ,->, /1 ,'-f,..C-1 ,dt'i
DF;,:ifRIPTION OF woy _/) A ..,..-. .~ I' / 6 W N El'( ,, ( }(. -i ;,y /1--?(' ~ [ /; cJ ,V '" ·, f 1/, Ir Co,-,,._,, 1-D-Es"'1"'G-N...?ER:..:':....S.<.A....,D:....D.=RC-'E:....S.J.S---------+D-E_S_IG_N_E_R-:-,-S-P_H_O_N_E-I 1 ~ ~ 11 --i,... -'-.1.t~21~Ho~2 ~~-so
CENSUS TRACT GP LAND USE / ZONING l RES. UNITS I PARKING SPACE I NUM8ER OF STORIES
Not V,lid Unless M,chin, C#rtifi,d
BL DG so. FT. BLDG USE occ. GP I STANDARD PLAN II I p~ /0: 11 I TYPE CONST I occ. LOAD l
~ • 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 AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP • J . J
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP "'Z--7 '+-1.f'
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT , 0 ~ f..l. l --
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS // Ab •· /, ..._ _-; , , •-'
WATER SOFTNER _ RELOCATION OF EA FURNACE/HEATER • BUILDING PER"'---.... ---..I"--.... I , 1'2-ttJ,. "I~
r 1-.... , •" ,:::r.~ n-.,., ,,, -~ ~ sIGNPE.R111T • , .... 1-i f i'\. , 1 1
, TOTALPLUMBING TOTAL MECHANICAL -PLA~CHECK11/'1: 1,-H 1,;r I v. 1/1"7.-IJ,i'J
CONTRACTOR CONTRACTOR ALL IRGL.USl!ti; PERMIT ~...-( I I
TOTAL PLUMBING I I I
QTY. ELECTRICAL PERMIT .. AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL -rJ.f'l.-l -'>
7 NEW CONSTEA AMP/SWT/BKR / nn ,r -i..-.r. ,-AWNING MECHANICAL , ii . 1
' 1 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 . // _,. . . / A :T' _ I , I I I
REMODEL/ALTER PERCIRCUIT FENCEOVER6' ~,--~1' ~,rv -·, /) I, I I ._flf)
TEMPPOLE 200AMPS TOTALMOBILEHOME -:.-i l!fAO-FILM // ! , ...,, I
OVER 200 AMPS V ~ ,..-c ~~e" tlb I , }./AC.nl~ ')
TEMP OCCUPANCY (30 DAYS} I , "-1 I nA .,<J j., -cJl. _g:::. -, • , , 1
-TOTAL ELECTRICAL --z_-, ,., l---+---------------1-------11 TOTAL FEES PAYABLE I I/_ ,.-
CONTRACTOR -I V -I I , 'f-lf/ .J lf")
~~,/ ~~~4__,J/ r
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ·w ( ~-I
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'·0" DEEP AND DEMOLITION DA CONSTRUCTION OF
FURTHER CEATIFV ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STOAIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INOEMNIFV AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO .\ 'I, ,/
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE lt--:-::-:-:-:'2".C:-7::--:-::-:-:-:-::--b----:::--------=-:---:~•t--:-:--::--:--::=--r.-=-lt::c::::-:-::--;;:;--------~&:-:_-+1
OF THE GRANTING OF THIS PERMIT. APPLJPlfNj'S SIGNATU~ /.? /? OWNE"J'S.. CONTRACTOR□ IAP~[VED BY /r3F /_
Cf~'/ .Y.../4<~~ AGENT □ BY PHONE □ h ,_... ~. ~ '~ ·, 1/1r)
I ....... , I
8
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SITE ' '6 l ,,~ ADDRESS: OWNER: PERMIT NO:
a
\ •. FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
~
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING . \ p ' ~ .'
UNDER FLOOR HEATING ·• .
.~ ~ ... r ' OK TO INSTALL SUB FLOOR .
~ • ~' t ,. ~-----··~
' ... -• .....
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET ' ·,
OK TO POUR CONCRETE ;
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING I
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSUL,_ATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLAC.E 'T' APE
EXTERIOR LATH OK • PLACE STUCCO ,,
' \ ' , :
FIREPLACE ' ,, --• . ' •.
DAMPER & STEEL ·,
PLATE TIES/HEIGHT OF CHIMNEY ..
OTHER . ·-' '\ '\ TEMP POWER (POLE) . :. . _, ., 'l ~'\ .. \ ~
SEWER '
GAS TEST
SWIM POOL • STEEL BONDING "
• PRE DECK
• FENCE PREPLASTER
SHOWN • • FRAME ,.;
• PAN /I /1 M/ ~
FINAL INSP BY BLDG DEPT Ii/ ..., • (/(}' ·.4 '
OTHER DEPT'S REQ COMPLETED I! 1/, Yf I II ,'~ i
ELEC METER-PERM-TEMP I I V .
GAS METER-PERM-TEMP I
CERT OF OCCUPANCY ISSUED , y ,. .
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE RECEIVED
JAN 7 1981
CITY OE CARLSBAD
Balldlng Department
7.0NE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED _______ ~~~i7__,_ __ UNITS PROVIDED _______ ~-----
PARKING SPACES REQUIRED !) f-x._ PROVIDED ____ (A~'-~~-------
% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED l-4----
PROVIDED====~:1:zL_====
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS :
ENVIRONMENTAL PROTECTION REQ: ~E-P~~:._i....,-~ii.~IL----------------
OK
'4
ENGINEERING DEPARTMENT
R.O.W. ------
________ DATE ____ _
_______ IMPROVEMENTS _______ _
SEWER CONNECTION ~-------DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ________ EASFENTS ____ ~ _____ DRAINAGE
LEGAL DESCRIPTION~ / 3 ~j_ft1~/ ,)_o 7 -OJ../ -2-.J-O
ADDITIONAL COMMENTS __________________________ _
F!RE DEPARTMENT
SPPiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
?I-