HomeMy WebLinkAbout2806 VIA RICARDO; ; 80-689TT; Permit~
LICENSED CQi(ITRACTOR'S DECLARATION
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 luli lorce 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 live 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 ••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, o, e certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec~ir~e,7
POLICY N0--~~'--1,...,f"T,'c-car.o~---
COMPANY~
~Copy is 111;;:;i~clty.
□Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed II the per•
mil Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit is Issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: II, after making this Cer•
tllicate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
dl_n_g _a11e_ncy for_ the_ perlorm._anc~ _o_f_ th_e wo!k for
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS AV. ST. IDATE OF APPLICATION
, 'R1i ,c 1a, rd ,01 RO 2 18 I 016 I ,v, iia, I I I I I I I I I I I I I I 1 7 /9/80
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Hiahland Comoanv 729-7108 Highland Company
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
-:i,ni:: "·---~"'~ r1° Ani t a . Carlsbad 92008 3105 Ave. de Anita
BLOCK DESIGNER
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
eus. LICENSE PERMIT NUMBER ,l'f'
19210 ro ✓r)r111 STATE LICENSE
342407
CONTRACTOR'S
PHONE 729-71 08
STATE LICENSE ' 1°6 I su'1~!!~1 I ASSESSOR'S PARCEL NO. L6 1 7 1 -3 13 1 0 .-,1 1 7 1 ~ ~
DESCRIPTION OF WORK Si dney M. Drasin C-1798 9/!!.Jh049ll$ ("l'.lr1-, 1si
1 Townhouse Plan 40A r61~-g~s ve:n"tura Bl. DESIGNER'S PHONE
'Rn('!inn. r"A.. 986-8890
CENSUS TRACT GP LANO USE ZONING,/2 I RES. UNITS I PA;Kl~io sf I HUM~ STORIES -s I Not V1hil Unlllss Machin, c.rtifitld
BLDG S°/l/1// BLOG~ "f ~ /) ;;,~-;, I STANDARD PLAN# 1Z~ti7 ITYPE Ci} p l0 ce;~-..c I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAi PERMIT AMT.
// EACl:I FIXTURE TRAP 5...--v.-rv / INSTALL FURN. DUCTS UP TO 100,000 BTU ~V"'
I EACH BUILDING SEWER ,;-_-CXJ OVER 100,000 BTU
I EACH WATER HEATER ANO/OR VENT -v.-,:rtJ BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS ~ BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE s' VENT FAN Sl~!GLE DUCT /d rv 1~3,5:-EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS 2 ,rO U"A.TlJATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER -BUILDING PER MIT -. ..2 A~i>ro I
TC:C:TlR 3 . .00 ISSUE 3.00 SIGN PERMIT t.-0 I I I I
TOTAL PLUMBING
37'.~
TOTAL MECHANICAL /b~ PLAN CHECK /~y's-_,y\ir;lj-;i,o I rl 31 /. 'f'l:--
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT.
TOTAL PLUMBING 1.~I q,pt-o
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I ~{"?.#f"O
,,tit') NEW CONST EA AMP/SWT/BKR -r~ AWNING MECHANICAL I .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/ALTER PER CIRCUIT FENCE OVER 6' '" 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
TC::C:TT'R ? .{\(\ STRO~ IDI'ION: I I 13/,;' 1'l
TOTAL ELECTRICAL ~7rfl_ TOTAL FEES PAYABLE
I ...,,L.. .. 1_ tJ:, CONTRACTOR I 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 ANO CORRECT ANO I S'-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 SHOCOL FEES:
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO .,,,--; /' ,/ --
! < a ~ >
5 i= ~ 0..
V)
?;
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
rv-~E~~
OWNER□ CONT RAC~APPPYf.E'rt(jJJJ ,olf]YI ~ AGENT D BY PHONED . fd _, ' ' w' "
SITE %0., ~~q --rr ADDRESS: ' OWNER: PERMIT NO: -.. -..
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK• TOILET
UNDER FLOOR PLUMBING r -... •· ;,, .
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR ..J
. i;,
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 '
FIREPL,ACE ..
DAMP.ER Be STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE) -.
SEWER
GAS TEST
SWIM POOL • STEEL BONDING --• PRE DECK .. ~~.A?
• FENCE PREPLASTER ~'7 :;",.•'
SHOWN • FRAME ~ 11/(,1',.. .
• PAN / -. .
FINAL INSP BY BLDG DEPT / • l r">' • -.
OTHJ::R DEPT'S REQ COMPLETED /.. !l',\J ,..
ELEC METER-PERM-TEMP / -\ -...
GAS METER-PERM-TEMP
L
..
CERT OF OCCUPANCY ISSUED ...._ :-. .. --
~ ~~AA.,UMIAA~AAAMA~~~~~
) a!erttfirutr nf ®rr11µau r 1t /~\.if\,. f ~ . ::, . ·1 --Jl ► ~ CITY OF CARLSBAD ; \~,i!)) E
~ This Certificate issued pursuant to the requirements of Section 306 ~Y ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~
j regulating building construction use. , i: ~ i ~ Use Classification Si og] e Fami 1 y Owe))·; og Bldg. Permit No. 80-689TT ► ~ Group _____ Type Construction _____ F ire Zone ______ Use Zone______ ~
~ Occupant Load -----:-'.:-----::-::-:---:-c:----::---------:--::-----------------► ~ 0 f B -id· The Highland Co . 'A~d 3105 Avenida de Anita ► wner o u1 onr. •· • o ress • :::,.,.. ;;-,· 280 6 • • • d 1 b ~ ~ Bu ilding Address .-_~ _,, t ·.,,. "I ~~~ Rk c~r ~ J Locality Car S ad, CA. :-9 2 00 8 ~
~ By i~ ~ ____________ Date---F---F------>,
~ NOTE: Alt•rotion•, changH, additions or change• o occ ~
~ (Post in conspicuous ploc•l ~
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