HomeMy WebLinkAbout1738 SORREL CT; ; 81-196; 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 Proles•
slons Code, and my license Is In lull force and ef-
fect.
DWNEA•BUILDEA 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 Ille 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).
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•
lered 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•
fared for sale. II, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
ha 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 and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•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 __________ --a,.....'-"T
Date a/,4 ~ I Owner IQVUJ ii.l
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, or 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 ($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 Calllomla.
NOTICE TO APPLICANT: If, alter 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 Ian-
• ~ OL • •••• ... • , ...
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERM)T
1200 ELM AV ENU E (714) 438-5525
HO. JOB ADORE, , I? ~ AV. ST' ID~OF APPLIC.,O~ .,1 i.; -A -~ . -. -,..
~ll""lt,.I I ....._. I I l '"T"I ~1,c.., IA II ~ I I 1i I I R /( e; '1--~-t: 1 R~ --/ s -I/
,),OWNER I OWNER'S PHONE PRIME CONTRACTOR
173~ '&)1Ult:L. tou1t-r /J k' : i l'i f) : C: J-/ A ~ l\. ~tJ~
OWNER'S MAILING ADDRESS CONTRAtfOR'S &
~~6AO CA, C,~oo&-,I_-
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE ,.-~ PERMIT NUM8ER
'6/f'( STATE LICENSE
CONTRACTOR'S
PHONE
~/15 /81~635
~
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9,;i□ LOT 8LOCK I SUBDIVISION I ASSESSOR'S PARCEL HO. DESIGNER STATE L ICEHSE o□o.1~li~s -~11.s1e1 9.5( I I I I I I I I I I I
DESCRIPTION OF WORK
(?x),A.ntP}) I ~"'l'"A.UA TlOrl Ct=-"2.'l.O V "' l'lc\Al \ DESIGNER'S ADDRESS DESIGNER'S PHONE
l~~o r....J1LA.C,.1c.. ~'2. Otz.'111 ~
CENSUS TRACT GP LAND USE ZONING l RES. UNITS I PARKING SPACE I HUMBER OF STORIES
Not V•lid Unlttss MachiM c.rtifi«J
BLDG SQ, FT, SLOG USE occ. GP I ST AND ARD PLAN II
IPLi?t
I TYPE CONST I occ. LOAD I ,_ . (
UTY. PLUMBING PERMIT AMT. UTY. MECHANICAL PE RMIT 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 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 Sl~!GLE DUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS Va luat ion
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I
; <" <"110 ~ () () i ssu e 3.00 SIGN PERMIT I , I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I -
UTY. UTY. MOBILE HOME PERMIT ELECTRICAL I 'Y' _.:) t'.,
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL (' I I
1 PH .25 3 PH 7 {;'Y,, PORCH MOBILE HOME I I I
EXIST BLOG EA AMP/SWT/BKR 7 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 I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I I
OVER 200 AMPS I . I I ; I
TEMP OCCUPANCY (30 DAYSI I I I I
i <::<::110 ?. _ o.n Str ong Mo t i on I . I I I
TOTAL ELECTRICAL TOTAL FEES PAYABLE I 19.~ :, CONTRACTOR I I . I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER School Fee
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER .
SPECIFIED HEREIN OR NOT. !,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. APPLICK.1:G1~•
1
rDf,r OWNE~£ CONTRACTOR□ 'APP/~ ~ -AGENT BY PHONED -
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SITE , ' .-'· Qi-/40 ADDRESS: OWNER: , ..... ' PERMIT NO:
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FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR .. INSPECTOR'S NOTES \
WOOD FLOOR .
FOUNDATION • FORMS• SET BACK • TOILET ..
UNDER FLOOR PLUMBING t-~-C ~-... :::> •• 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 '.
a
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
• PAN .
FINAL INSP BY BLOG DEPT
OTHER DEPT 'S REQ COMPLETED ,JJ I •
ELEC METER-PERM-TEMP llf// J /J I • ...J)o
GAS METER-PERM-TEMP II / • .J/. f(J/ fJ.J"
I ' /u'
I
CERT OF OCCUPANCY ISSUED