HomeMy WebLinkAbout2810 VIA RICARDO; ; 80-689RR; PermitLiCENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons 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 ol 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-
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).
'.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 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 reaso"-------------
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
;~~:~~(~~--~~~it
COMPANY R ~
~"'PY Is 111:::: city.
'fic;rllfied 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-
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-
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CITY OF CAR LSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO F ILL IN INFOR-
MATION WITHIN RED LINES.
NO, JOB ADDRESS AV. ST. IOATE OF APPLICATION BUS. LICENSE PERMIT NUMBE~t
1R1 ic 1a 1r, do,
RO
2 18 I 11 0, iV I i1 q I I I I I I I I I I I I I I , 7 /9/80 19210 ro✓1or1 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
The Hiqhland Companv 729-7108 Highland Companv 342407
OWNER'S MAILING .ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
l11nc; Jl.ui:,n;rl;:t rli=> n.n;t-,,,_ l"';:trlc::h;:trl
PHONE 3105 Ave. de Anita 729-7108
LO:J BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. f'QLJ DESIGNER STATE LICENSE 9/19/8[!~9 4
11 c; 7?-?l 11;:.171-11111(),_, 1,C::
DESCRIPTION OF WORK Sidnev M. Drasin C-1798
11 'l'n t;,1n h ,...., , c:; p Pl ;tr, c;n z,. O~SIGNER' S ADDRESS DESIGNER'S PHONE 1 255 Ventura Bl.
IF.nri nl"\ rn. -CJRl'--RRCJ()
CENSUS TRACT GP LAND USE ZONING£ l RES. UNITS I PAR;ING s~~f I NUMBER OF STORIES ., 3 / Not Valid Unless Machin• Cartifi«J
BLDG SO. FT/✓t/t BLDGU;M ~ .?I STANDARD PLAN II 1~;;~1JJ1 I TYPE;;,;; lotiJ\1 -1 l
I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
~ -/I EACH FIXTURE TRAP '72 _--/ INSTALL FURN. DUCTS UP TO 100,000 BTU #. v5,i-
I EACH BUILDING SEWER .,. < _.,-..., OVER 100,000 BTU ,
/ EACH WATER HEATER ANO/OR VENT y70 BOILER/COMPRESSOR UPTO 3 HP
I 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 ol..._ VENT FAN SINGLE DUCT q.v:;.,
...... ,., '' r ,1'.,•., · .
! < 0 ~ 6ftf6-:-EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST HOOD/DUCTS ~ un.T_, ,,, "''.
WATER SOFTNER
, RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ., ,::i11'7V I
SIGN PERMIT th I I I, . I h
-:i (.)() 1.....:.....:JR.i' TCCTTC' .., '"'
TOTAL PLUMBING 3'1.~ TOTAL MECHANICAL -· PLAN CHECK /~.10 ~_,,..All ,/~i,4,0 /t/<I},-CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT
ELECTRICAL PERMIT AMT. TOTAL PLUMBING
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL
~
ldl NEW CONST EA AMP/SWT/BKR -2.< " • AWNING MECHANICAL .. 1 PH .25 3 PH PORCH MOBILE HOME
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR
1 PH .25 3 PH RAMADA, CABANA
REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
TEMP POLE 200 AMPS TOTAL MOBILE HOME . MICO·FI LM
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
. " . . ..
ISSUE 2.00 -· ·...,,w N\. __ ;f\/1 'I' "'-'.
TOTAL ELECTRICAL _;),7~
l'.OTAL FEES PAYABLE I CONTRACTOR .
'-v ,. J ~ ~ . "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT,ANO 00
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 SCiroL FEES :
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-/7 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. APP~G ~ L/ OWNER□ CONTRAC~~o Ar ✓~~
/_ "/,7rJ 7 AGENT D BY PHONED ----,
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ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD
..
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• !5ET BACIS • TOILET ..
UNDER FLOOR PLUMBING , ..... J ... -.. ,. . .-~
~ 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
•·
FIREP_LACE . . . -. ,
DAMPER & STEEL -
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
I· '•. ~
TEMP POWER.(POLE) . .
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK -• FENCE PREPLASTER <;).I,,
SHOWN • FRAME .,'v">o/~ ~-
• PAN ✓ ~'7 "'"
FINAL INSP BY BLDG DEPT . ,; ·r~-..
OTHER DEPT\5 REQ COMPLETED /.., ~-·-
ELEC METER-PERM-TEMP /A 1V .
GAS METER-PERM-TEMP V.A,v -
CERT OF OCCUPANCY ISSUED
•I
~ ~~.u~~A~AAJ,~.,A-.Av~A.AIIM~JU/IIA,A~~ 1 ~ ~ (!l ert t fir ate n f ® r ruµa 11 ry .::Pd\~ ~ ~ ► ~ CITY OF CA RLSBAD 1 ~ ~ ►
j1 This Certificate issued pur.suant to the requirements of Section 306 ~
of the Uniform Building Code certifies that at the time of issuance t ~
this str_ucture complies with applicable ordinances of the City ► 3 regulating building construction u_se. ~
j Use Classification Single Family Dwelling Bldg. Permit No. 80-689RR ► ~ Group _____ Type Construction _____ f ire Zone ______ Use Zone______ ~
~ Occupant Load_______________________________ ► ~ Owner of Buildin~-..... The Highland .Co. • Address 3105 Avenida de Anita ► ~ 'r ~2a10--v • • • d 1 ► ~ Building Address ,.,,-~ I J ia;R,ic~r ~ Lo~olity Car sbad, CA. 920?8 ►
~ l. I'.?, ~, ... •~ ~ -· . _., _ .. ,. • • • • • • ►
~ f ~ __________________ By__,,,IC--l-=..a.c-:::::J...~=-ac.f-..l,t.L<::l..~-----~
~ __________________ Dote _ ___;:::......;=-=.~-=---+--------~ ~ NOTE: Alterations, changes, additions or chon·ges o occ ~
~ (Poat in conspicuous place) ►
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