HomeMy WebLinkAbout2814 VIA RICARDO; ; 80-689PP; PermitiiAJAV
LICEN(EJ f N~lt;:;';s DECLARATION
I hereby affirm Iha$' 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 ts In full force and ef-
fect.
OWNER-BUILDER DECLARATION
O I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 703t.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 provl•
slons 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).
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-
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. II, 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 sell-Insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. ~ ~r ~,s"/
POLICY NO. ("_.ij_ -~
~
PANY.
py Is fllMwith'ihe cltf
rtlfied 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 (S1<l0) 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-
~~~~ ._a~~.~c'!_ !~ .. •~!' .~.~•~~'!~~c!~., •~~--~~~}?t
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
NO, JOB ADDRESS AV, ST. IOATE OF APPLICATION RD
21811.4 1 · ~v1 ira1 1 Rii 1c I a r I do 1 I I I I I I I I I I I I I I 1 7/9/80
OWNER OWNER'S PHONE PRIME CONTRACTOR
'f'no T-Tiahland r.nrnoanv 7?Q-7lnR Hiahland Cornoanv
OWNER'S MAILING ADDRESS CONTRACTOR'S ADORESS
3105 Aveni da de Anita . Carlsbad 3105 Ave. de Anita
LOT BLOCK I SUBDIVISION a. A SSESSOR'S PARCEL NO. DESIGNER
15 72-21 16 1 7 1 -3 13 1 Or al 1 3 1_.d'>O
Sidney M. Drasin DESCRIPTION OF WORK
1 Townhouse P lan 60A 1E612Ng5s ADDRESS
Ventura Bl .
F.nr-i nn ('Zl,
CENSUS TRACT GP LANO USE ZONING
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER tt' 19210
ilI~~NSE fo,,r1
CONTRACTOR'S
1,lf-7108 -;;/ ___ ~_...,9,~
STATE LICENSE
C-1798
DESIGNER'S PHONE
QRf;-irnqn
Pf: I • 1.. ,
/2---3 I RESF I :RKl;;~sf
j NUMBER OF STORIES
Nor Valid Unless Machin• Cmified
BLOG SQ. FT,
BLOG U~ / .L? ~~I STANDARD PLAN II
I io:~;?9 I TYPE c/fi locc. ~Dt, v---1
I /7/t; ,
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
// EACH FIXTURE TRAP '1~~ / INSTALL FURN. DUCTS UP TO 100,000 BTU ~.f!ft/ '
, EACH BUILDING SEWER ,e,--;ilO OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT vHJI BOILER/COMPRESSOR UPTO 3 HP
,/ EACH GAS SYSTEM 1 TO 4 OUTLETS y.Hl BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE v VENT FAN SINGLE DUCT ~.rv 7~ 2tJtJ,--EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HODO/DUCTS 3,.,...,, VALUATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ,
I ..<t? 1,/.~
TC:C:TlF. 1 .nn ISSTTR 3.00 SIGN PERMIT ~ I . I I I
TOTAL PLUMBING ~i~ TOTAL MECHANICAL ;f!!-PLAN CHECK /,j--Y, t7~/)J\1\-t3b(I I ,-131:s-. .s-f
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING l~¼G-H)
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1-:l...½~
/,,.,, NEW CONST EA AMP/SWT/BKR ~;;:. AWNING MECHANICAL I /1¥. d'J'7
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 I . I I I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ·-J.~~ . 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 DAYS) . I . I I I
ISSUE 2.00 STRONG IDI'ION: I . I 1f."X'Y
TOTAL ELECTRICAL ?-7 tn, TOTAL FEES PAYABLE
I . }r,/f/,~ CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEES: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND --.... I I\. _/ ..JJ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. AP~~~IG UR~ ~ OWNER□ CONTRACT~ I APPljOI "'i Bl 111 \ALA) l/tVRJ 7 'T .17 .J AGENT D BY PHONED ,_ -z:::: , V 7 l
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SITE <x-n ,t,., ~q . ., f'f' ADDRESS: OWNER: PERMIT NO: ,~ FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPEGTOR'S NOTES
WOOD FLOOR .
FOUNDATION • FORMS• SET BACK • TOILET
.:-)lo,-..
I r UNDER FLOOR PLUMBING • ' ' . ' .
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
INSUL ATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE .
EXTERIOR LATH OK • PLACE STUCCO '
,·
' FIREPLACE -
DAMPER & STEEC'" '. ..
PLATE Tl Es/HEIGHT OF CHIMNEY -=
OTHER ' . ;--~ (' TEMP POWER (POLE} ..
SEWER
GAS TEST
SWIM POOL • STEEL BONDING 1<'1 /
• PRE DECK .... "'Vo/ II..
• FENCE PREPLASTER # ~1/ '\.·"
SHOWN • FRAME '<~ V JI '·"' • PAN / ~'
FINAL INSP BY BLDG DEPT / 1'1\
OTHER DEPTS REQ COMPLETED ~~v
ELEC METER...:PERM-TEMP / ' GAS METER-PERM-TEMP
CERT OF OCCUPANCY ISSUED
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1 illrrttftratr nf ®rr11µa11 ry /-t;)~. ~ j . ) ~
'-CITY OF CARLSBAD ~ ~ ~ j ·This Certificate is sued p~rsuant to the requirements of Section 306 ~
•\
~ of the Uniform Building Code certifies that at the _time of issuance ~
~ this structure co mplies with appli cable ordinances of the City ~ 3 regulating building construction _use. ~
1~ u Cl "f' 1· Single Family Dwelling Bid p . N 80-689PP t " se ass, ,co ,on ___ .._c__ ____ ...:::_ ____ ....;:;...___ g. erm,t o._______ V
Group _____ Type Construation _____ Fire Zone ______ Use Zone______ t
/4 Occupant Load_______________________________ ~
~ Ownerof6uildin9-•·· The Highland :co, "''Address 3105 Aveni da de Anita ~ ~ BuildingAddres//.->~~'-"l .~~-~t~)R!'~:~rdo ,. Locality Carlsbad, C~.f.'.92008 i
~ __________________ By _,~-i-c"--=:.,c:__~__::-l'.JC...Jl'.-!e:::LtZ=------~f
/4 __________________ Dote _ __...___~.....,_.'-'--_ _,_________ ::,, ~ ~
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