HomeMy WebLinkAbout2816 VIA RICARDO; ; 80-689OO; Permituc,.s,021:CT~
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 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve1 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 Seclion 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 vlolalion of Seclion 7031.5 by an ap·
plicant for a permit subjects the applicant to a
civil penally of not more than live hundred dollars
($500).
D 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•
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 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, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, !b me/
POLICY No~CS-.,_---4~-L"'-=....:;;.~~~---
coMPANY f!,ov. bG
)!!copy Is filed w1tl,·7t,; city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
{This section need not be completed If the per·
mlt is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which th~permlt 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•
tlflcate 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 age_ncy for,_t~e. perfo!~anc~2_f_t'!_~ work for
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
2 8 '!' 6 V-i · a i J~ ADDRESS AV. ST. IDATE Of' APPLICATION R C a r o RO
I I t I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 7 /11/80
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Hiqhland Company 729-7108 Highland Co.
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
~,ni; :t..u0nin;::i r,p n.ni+=-f'=>rl c:,h:,rl 3105 Ave . de Anita
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
8US. LICENSE PERMIT NUMBER
01> 19210
ST ATE LICENSE to ✓bt1 342407
CONTRACTOR'S
~[E -29-7108 " f5 BLOCK 1912!::2r ~ 1tfS/7~R'~t,~1ff• 11 I 2 t{p
DESIGNER s ~ 9/19/0049/4 Sidney M. Drasin C-1798 t?'3D •.
rsffcS~ft'lYon~~ Plan 20AR 1'8'2'55s Vl!:!'tftura Bl. DESIGNER'S PHONE
Encino, CA. = 986-8890
CENSUS TRACT GP LANO USE ZONING I RES. UNITS I ;RKING SPACE sf I NUMBER OF STORIES
Not V1/id Unlffl lhchin, Cartifiltl
BLOG SQ. FT. BLDG USE occ. GP I ST AND ARD PLAN ,, lJ01:t~ I TYPE CONST
l oc~-;~-/ l
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAC PERMIT AMT.
__;J
4 EACH FIXTURE TRAP /.-P', -A I INSTALL FURN. DUCTS UP TO 100,000 BTU /£.,-,0
'/ EACH BUILDING SEWER , ;,,r,rrw OVER 100,000 BTU I
/ EACH WATER HEATER AND/OR VENT vrv BOILER/COMPRESSOR UP TO 3 HP
/ EACH GAS SYSTEM 1 TO 4 OUTLETS '},.;:rO BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT p.V"' ~tf, oc?a, -
EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS ~~ VALUATION: -./ ✓ -.JI
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER -BUILDING PERMIT ..,,. I ./~.YY
ISSUE 3~00 ISSUE 3.uu SIGN PERMIT \ ,{lw I ,' I I . J,
TOTAL PLUMBING ~-~ TOTAL MECHANICAL IY~ PLAN CHECK M, to '1/'w ,~?,Ii) +-.-~71
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT , I I
TOTAL PLUMBING I.., --
ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ....,
QTY. ELECTRICAL 1 ...... '--?. ~
M NEW CONST EA AMP/SWT/BKR _;/__~ . ., ..... AWNING MECHANICAL ,A~~
1 PH .25 3 PH PORCH MOBILE HOME I ( I
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR l 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 ,
OVER 200 AMPS ~' I , I I ; I
TEMP OCCUPANCY (30 DAYS) . .. I . I I I
TC'C'Tn:;•
') • '"' ~~,...~ IWYT'Tru. I . I ~.2:17
57·~ ..._,
I TOTAL ELECTRICAL TOTAL FEES PAYABLE
I A~e! CONTRACTOR . I ' . -,-~ '
'--JI' c,...-7 '-
I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"·0"' DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT JS ISSUED; TO COMPLY WITH A LL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~ hti~I SCHBJL FEES: l'D .. SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-p-P /"'I LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND . I EXPENSES WHICH MA'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~ OF THE GRANTING OF THIS PERMIT.
~
SI RE'___,. :~ OWNERQ CONTRACT~ IA7(EOt~ HOATf.~,) /#I' '?f/J --1 _, AGENT 0 BY PHONED ( /(,1 , .,.. ~ 7
! ~ 0
~
~ i= hl 0. V) ~
SITE Bo ,v,gtj --OD ADDRESS: OWNER: PER-MIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR -·
FOUNDATION• FORMS• SET BACK• TOILET -. L_ .. >J ' L . "UNDER FLOOR PLUMBING . I -~ . J... . -?> '.-C• -
UNDER FLOOR HEATING -!•. f ...
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 Tl Es/HEIGHT OF CHIMNEY ' '
OTHER ~ -TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL'BONDING
• PRE DECK ...
• FENCE PREPLASTER ,Q}I_
SHOWN • FRAME l~~./,(_.11'"
• PAN ~ V-,"
FINAL INSP BY BLDG DEPT /. ""' OTHER DEPT'S REQ COMPLETED / •. '6 -,
' ELEC METER-PERM-TEMP / •41,v
GAS METER-PERM-TEMP -.
' ' . ...... " CERT OF OCCUPANCY ISSUED .
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).1: ~~~M~A~A~A~~./il~.Av~~~:n ~ ~ j ffirrttfirutr nf ®rr11µu11 ry g:Y\ i ~ CITY OF CAR LSBAD ; I~' E
~ This Certificate issued pursuant to the requirements of Section 306 .,,, 1<-, '\ ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~
i regulating building construction use. ~ ~
Use Classification Single Family Dwelling Bldg. Permit No. 8 0-68 900 ~
Group _____ Type Construation _____ Fire Zone ______ Use Zone______ ~ ?J> ~ Occupant Load ~ ~
~ O~ne~ of Buildinf ;:·>The ~i~~~a~d .Co. : Address 3105 Avenida .de Anita ~
~ Buold,ng Address •· • ~~;,~ ... :~~-~~~~rd~ Locality Carlsbad,, CA. 920018 ~
~ By l~ ~ __________________ Oate _ __,.._____._____,_""'"----+--------~ 3 NOTE: Alterations, changes, additions or changes ~
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