HomeMy WebLinkAbout2808 VIA RICARDO; ; 80-689SS; Permit~,.,::t~~
I hereby affirm that I ,{,f, 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, 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
(S500).
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).
: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 reason. ____________ _
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
POLICY NO. ~ thereof (Sec.~,~
COMPANY
')kopy Is m::::ity.
□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-
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-
dl_n_g. a~e.ncy for_!~! ,~!-~~o ... ":'!~~c!2_' .. t'!_~ work for
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
HO, JOB ADDRESS AV, ST. ~ATE OF APPLICATION -... RD
2' I R I OIA I I V I { 1;:i I 1 'Rt i1r 1a1 rd 101 I I I I I I I I I I I I I I 1 /9/80
OWNER OWNER'S PHONE PRIME CONTRACTOR
'T'hP Hinh 1.::inrl ('r,mn;::,nv 12g-1108 Hiohland Comoanv
OWNER'S MAlLING ADDRESS CONTRACTOR'S ADDRESS
3105 Avenida de Anita, Carl sbad 3105 Ave. de Anita
LOT 15 BLOCK I SUBDlf ~~'i 1 I 6sr;~R''~PA~CEL N~,' .J. 6 , Cj>O 11 I I I IO I I I
DESIGNER
DESCRIPTION OF WORK Plan HHK 40AR ~irlnPv M . Drasin 1 Townhouse re~~;s ~~'Wtura Bl.
Encino , CA.
CENSUS TRACT GP LANO USE sf
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER to ,bf 1 ~; 19210
STATE LICENSE
342407
CONTRACTOR'S
PHONE 729-7108 9/l:.,.,r&;J"''-::314
STATE LICENSE
C-1798
DESIGNER'S PHONE
986-8890 .
!'16'~ ,4-
'
ZONING~ -3 I RES. UNITS / I P;RKINM~ I NUMBER OF STORIES
Not V•lid Un/fJss M•chin, c.rtifitld
BLDG so. Flit// BLDGUS//J IZ; I STANDARD PLAN II ltoN::J:?1 ITYPEtlP loc~}df I !
/
OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. .
// EACH FIXTURE TRAP ,:;z.z . ,_ / INSTALL FURN. DUCTS UP TD 100,000 BTU o/-v---
EACH BUILDING SEWER .~ OVER 100,000 BTU I ,
I EACH WATER HEATER AND/DR VENT ►.tJ() BOILER/COMPRESSOR UP TD 3 HP
I EACH GAS SYSTEM 1 TD 4 OUTLETS -v.rv BOILER/COMPRESSOR 3-15 HP
• EACHGASSYSTEM5DRMORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE .5 VENT FAN Sl~!GLE DUCT £,V ~ A St 6--; -EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST HODD/DUCTS ~ ~~ VALUATION: -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ·' BUILDING PERMIT I ,A,/i.,:1. -,-
TC::C::TlR ~ /)() TC:C:TlR i no SIGN PERMIT _.J) I I I I -
TOTAL PLUMBING 3'/~ TOTAL MECHANICAL /6 "!' PLAN CHECK /__zy, f~-1-'lw ,~;\,~ I .-+ ~I-Y_?
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I ~I ~ ..:"fti'
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I_'.2f~~ -l/d1 NEW CONST EA AMP/SWT /BKR ,.;zs_v AWNING MECHANICAL ,A~-~
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/Al TEA PER CIRCUIT FENCE OVER 6' .. "",, I . I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME . \~ .. J MICO-FI LM I I I I
OVER 200 AMPS =' I I . I I ; I
TEMP OCCUPANCY (30 DAYS) . I I I I .
TC:C::TTR ? flO ---•rv, "' . I I 14.317
TOTAL ELECTRICAL cil7~ TOTAL FEES PAYABLE I I --?!.>. ~-CONTRACTOR I .
' ..
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO •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 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 SCHX>L FEES: SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND 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,
~
Apa•~G ~~~ OWNER□ CONTRACT:~APPR~V 1/l ~ /4J ,..~
-·
~l ./\ru -AGENT D BY PHONE O t -/
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SITE a-o --to ff>-5$ ADDRESS: . OWNER: PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
J ' ( . -'"
., .
UNDER FLOOR PLUMBING ' ' -L --
UNDER FLOOR HEATING > r -. -· ...
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 •.
EXTERIO_R L ATH OK • P LACE STUCCO '.::
FIREPLACE '
DAMPER &STEEL
PLATE T l Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING -
• PRE DECK -"VJ 'P"" -·
• FENCE P REPLASTER .~7 '\: ~ ~'
SHOWN • FRAME ~ >7Nl ..
• PAN ,✓-. '-Jlt"
FINAL INSP BY BLDG DEPT />JI>' . '
OTHER DEPT'S REQ COMPLETED ... ~,'\Y -
ELEC METER-PERM-TEMP / '
GAS METER-PERM-TEMP ,
CERT OF OCCUPANCY ISSUED
-
J
~ ~~~AAMMIAMMIAIAMIAJA/~.JA~J~~IWIMWAJAIAAIA!M~)( ~ ► ~ ~ j ffiertifiratr nf ®rr11µa11ry ; ~ "'-/'// ►
j CITY OF . CARLSBAD j ~
~ ► ~ This Certificate issued pursuant to the require ments of Section 306 ........ :,._,,_ ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ► l regulating building construction use. ~
1 U Cl ·f· . Single Family Dwelling Bid P . 80-6895S :::,..._ ,.. se ass, ,cat,an_________________ g. erm,t Na._______ 7
Group _____ Type Canstruction _____ Fire Zone ______ Use Zane ~
~ Occupant Load __ --:::--:----:,::-;---;-~-...---:=-----------------,-,,,....----~---► ~ o f B .1d. _ Tbe Highland -Co. .A.,_d 3105 Aveni da de Anita ~ ~ wner o u1 in~•,.. t ,,.. a ress ---..,,---=-----·;..._--,,....,....~-=----7
! 8 "Id" ·Jd ·< ..l-2808·-via" Ricardo _t L 1· Carlsbad, CA . 92008 t ~ u, 1ng r.o ress • ·• , ; . oca 1ty _____ ,__ _ _._ __ .,......____ ?
~ i. /".f , •• "• •• ; --' -~ , :: -~--►
j __________________ By_-E-_I...a.~"'4-~-4-'f/-J.!,~~----E
~ __________________ Date ____ -+----~-------:>: j NOTE: Alterations, changH, additions or changes of occupancy ;
~ (Post in conspicuous plo_ce) ►
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