HomeMy WebLinkAbout2812 VIA RICARDO; ; 80-689QQ; Permit1L .. ""'"'°"' ,:AArn, 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
DI 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, 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 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. 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).
:11, 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 self-Insure, or a certificate of Workers'
:;,:~!~~~~~~~r~Jura;e,, ~r a certified copy
POLICY N0._,~-~--'-'0"'-,-1'-"'!~-~~---
~~:;~yfil= :J?ot!e
D 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 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-
~!~~..8?~1~c! A!~1.t~_e ,~~-~f~1'J!8..~c!~~ t~~--~~~ ]~'
V
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (7 14) 438-5525
NO. JOB ACOR ESS 4V. ST. ,DUE Of' 4PPLIC4TION
2·, 91 12 t 1V1 .iia1 1 Rti I c I ar d Io 1
RD
I I I I I I I I I t I I I I 1 7 /7 /80
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Hiqhland Company 729-7108 Hiqhland Comoanv
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
3105 Avenida de Anita. Carlsbad 3105 Ave . de Anita
LOT BLOCK I SUBDIVISION ~ ASSESSOR'S PARCEL NO. DESIGNER
15 72-21 16 I 7 T" d 13 I O ,-11 I 4 I-RT)
Sidney M. Drasin DESCRIPTION Of" WORK
1 Townhouse Plan SOAR DESIGNER'S ADDRESS
16255 Ventura Bl.
F.nr-inr. r'll
CENSUS TR4CT GP L4NO USE ZONING
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBE~ q
19210
ST4TE LICENSE fo ✓tf 342407
CONTRACTOR'S .,
7'~~-7108 9/l:t/8Cl~91i.
ST4TE LICENSE
C-1798
DESIGNER'S PHONE
QQ&;:_QQQ(\
['fi~-~I
'
1 RES. UNITS I I P;RKIN~;4 sf I NUMBER OF STORIES
Not V,lid Unless M,chin, C,rtifi«J
BLOG SO. FT/ 11 '1? BLOG USE ~yp iz i I ST4NOARD PL4N #
I s;·~~ir I TYPEY# I oc/?;I/ / I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. -
// EACH FIXTURE TRAP ),,Y.V';. 7 INSTALL FURN. DUCTS UP TO 100,000 BTU P,.trV
I EACH BUILDING SEWER 5." -OVER 100,000 BTU
I 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 -,, V VENT FAN SINGLE DUCT .ID.-~ Gtt,rs. --_..,..,
EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ~ UZI.TI lil' ""'.
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ..,;v,?. Pf"
T CCTW. 3-00 ISSUE 3.UU SIGN PERMIT ,A I . I I I
TOTAL PLUMBING 3 I!!-TOTAL MECHANICAL /1/.~ PLAN CHECK /¥/.of7.,1 "" 1lP3bo +--i :31>'."?~
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I .:2J. (/. tl"'ffJ
QTY. AMT. QTY. MOBI LE HOME PERMIT ELECTRICAL l~.Af-l!? -v.-,, NEW CONST EA AMP/SWT/BKR 2-~ AWNING MECHANICAL 1/1 1£.VTO
1 PH .25 3 PH PORCH MOBILE HOME 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' I I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I I I I
OVER 200 AMPS
..
I I I I ~ '( . ;
TEMP OCCUPANCY (30 DAYSI
.
I . I I I
2.00
.. I I 14.Si"~ <...• • 1\/1'. \1\1.
TOTAL tltCTRICAL t?--7~ TOTALFEESPAYABLE I ~;-~ CONTRACTOR . I I . ,., • .....
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD •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 DR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TD COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT I~ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~L FEES: SPECIFIED HEREIN OR NOT. l,ALSD AGREE TD SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY DF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND -~-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE .
DF THE GRANTING OF THIS PERMIT.
~
'SSIG U~••# £,/ DWNERQ coNTRACTo~ jlA(PFPyEo}/l(d;; 1/h//~ ~ -;A'/f _,./ AGENT □ BY PHONED I -' -----c;;;;; I 7 '°' , 7 ~
• w ~ 0 ~ >
5 ~ ~ a..
V) ~
SITE J'o---"~ QG. ADDRESS: r· ' i" OWNER: PERMIT NO:
\\) FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOT ES
WOOD FLOOR .
FOUNDATION• FORMS• SET BACK• TOILET . s--, . ' UNDER FLOOR PLUMBING • t" . , . -• C ~~ . ----UNDER FLOOR HEATING ..
OK TO INSTALL SUB FLOOR : " ..
• "1 •• """"' ..
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 r
' EXTERIOR LATH OK • PLACE STUCCO ..
FIREPLACE .. . •-
DAMPER & STEEi:" -· .. ., -PLATE TIES/HEIGHT OF CHIMNEY '
OTHER
TEMP POWER (POLE) , .
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER 11U .. .
SHOWN • FRAME .. 4 W-\·'· .
• PAN .,_,""C r., ll
Y.. u;, ..
FINAL INSP BY BLDG DEPT
OTHER DEPT 'S REQ COMPLETED ./:A,t)" \ r ,
~
ELEC METER-PERM-TEMP /. II. .,·V""
GAS METER-PERM-TEMP / -
CERT OF OCCUPANCY ISSuED . -
~ ~~~~\JI.MiAIA~~'AAt~J~A..J~ ):( 3 1ir f f 11t\ r _...;il:-.. ~ ~ \!.,, rrt i i rut r n W rruµu 11r y r<"::''-<;_;;: E
i CITY OF CA~LSBAD -It~),-E l This Certificate issued pursuant to the requirements of Section 306 '·; • .• ~
j of the Uniform Building Code certifies that at the time of issuance • ~
~ this _structure co mplies with applicable ordinances of the City ~ l regulating building construction u_se. E
j u Cl "f .-Single Family Dwelling Bid P . N 80-689QQ ~ ~ G::p_
0
_
55
_
1
_,c_o _'°" __ Type Construction _____ Fire Zone ____
9
_· -e-,m-
11
Us:· Zone______ t
~ Occupant Lood_______________________________ ~
~ Owner of Buildin,-·--·, The Highland .co. • Address 3105 Avenida, de Anita ~ ~ -;I· , . . • ~ ~ Building Address .:;.:;'?812 :y;a·•R}c9rd9 Locality Carlsbad. CA . 92ft08 ~
~ • t·~.-.......... ,,. __ .. ;,,,· --► • ... t :,. ' ►
~ ----------------~-+-'~~--===-=-J~~:~~~~~~---~ ~ By_, E ~ __________________ Dot.,.__ __ -=-.....,=..=-...::c..:::-+---------->:
~ >: ~ NOTE: Alterations , changes, additions or changH of ►
~ ► ~WffWM M MMMM M MMMMMMMM M"""WW,M M M M MM MM M M~WWX
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