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Home My WebLink About1746 SORREL CT; ; 80-897; 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 full force and ef- fect. OWNER-BUILDER DECLARATION D I 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 Sectlon 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). D I, as owner of the propeny, or my employees with wages as their sole compensation, will do the work, and the structure ts not intended or of- fered for sale {Sec. 70«, 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. 70.4. Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of propeny ••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. forthlsreaso,~------------ 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 llled 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 (S1tl0) or less). I celflfy 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. NOJICE TO APPLICANT: If, after making this Cer• tltlcatl 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 utkll"h thl.,. "",..,.,...a 1 ........... .-,r.,_. ~-. """'• ••""" • • CITY OF CARLSBAD-BUILDING DEPA RTMEN T 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 A.Y.ST. IDA.TE OF APPLICATION SUS. LICENSE PERMIT NUMBER / 1?11-f-1~·1 1.S101l<1~ t1L1 ,Cro1u,~ T. RD r/,J~'--/•" r!•~ I I I I I I I I I I I I I i 10-7,-;i. -f?o . ~ • lir! -r,:i OWNER OWNER'S PHONE PRIME CONTRACTOR ST ATE LICENSE 9o ~q1 Ed \.\.lo..r-1d 111 . PATE..R..SDN t/.!8-qz.o -z_ ~lh...1- OWNER'S MAILING ADDRESS CONTRACTOR'S ADOR"tss CONTRACTOR'S . /? <-f <:o do ,,..,,.e ( C,otA.r t' C.s bd. PHONE LOT BLOCK IS~IVISION I ASSESSOR'S PARCEL NO. DESIGNER STA.TE LICENSE ' -.,, ..... -r-I I I I I I I I I I I DESCRIPTIO~F ~ORK V \ \ Y-p h..t"l\.',h,a. ,~1n. ~/'Ir-..,..._,_~ .I) /t '. : "~ ,... •• + DESIGNER'S ADDRESS DESIGNER'S PHONE ' I \l I CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARK:z•CE fr=-I NUMBER OF STORIES ,/J,7,1 J I Not Valid Unless Machina c.rtifi«I BLDG SO. f"T. BLDG USE occ. GP I ST ANDA.RD PLAN # I g~I D: 87 J 1 TYPE CONST I occ. LOA.D I 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 MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT _rr-.'_,~o.-EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS /Jc /J.. - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I l I.J>I/) _..,,,_,,,,,, __ I : -~ Id ~ --.J ~ ,.:;::> ~" SIGN PERMIT I , I I I T"ll"TAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 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 _f I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' &. ./. . }._ ./ . ) I I I I , TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-F~ I , I I I OVER 200 AMPS I . I I : I TEMP OCCUPANCY (30 OAYSl I . I I I . /. . I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I I u<il) CONTRACTOR ' I I . ./ ~ ~ / ~ _.__,, ., ¥ I HAVE CAAEFULLY EXAMINED THE COMPLETED "A.PPLICA.TION ANO PERMIT, ANO DO •AN OSHA PEAMIT IS REQUIAEO FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFOAMATION HEREON IS TAUE ANO CORRECT ANO I s·-o·· DEEP ANO DEMOLITION OA CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER <;::: _ SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HAAM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO I j.___ fNvvv---1 Jr,/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~~Lt OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNAT\JAE • OWNER 91, CONTRACTOR□ 1 APPR,1EO BY AGENT D BYPHONEn "'--A_J ,#. ~ .--, 'i;. ~ 0 ~ 5 .:: ~ Q. ti) ~ ,, SITE ~--~q7 ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD -· . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING .,.... .•· C . - 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 C • FIREPLACE ' . ,. .. ~ ..:: .. .... DAMPER & STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) . SEWER GAS TEST C SWIM POOL • STEEL BONDING • PRE DECK -. • FENCE PREPLASTER ' SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT ~JI I ,,. ~ OTHER DEPT'S REQ COMPLETED ' I 'JV If.A 7,h-/ .. ELEC METER-PERM-TEMP /V , • GAS METER-PERM-TEMP - . '.~ CERT OF OCCUPANCY ISSUED . '