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Home My WebLink About2804 VIA RICARDO; ; 80-689UU; Permit"OR'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 Is in full force and et• feet. 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 lo 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 lo 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 penally of not more than five hundred dollars ($500). O 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· slons 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 tor the purpose of sale). '.JI, as owner of the property, am exclusively con· tractlng with licensed contractors to construct the project (Sec. 7044, Business >.nd 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' Compensation Insurance, or a certified copy ~~~~(~-em COMPANY '()l!}: ~PY Is filed wit~ the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per· mil Is for one hundred dollars ($1001 or less). I certify that In the performance of the work tor which this permit is Issued, I shall not employ any person in any manner so as to become subfect to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tiflcate 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· di_n_g .•~e.ncy for __ the perfor~anc1:.o_t_ 1~~ ~~k )~r CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE {714) 438-5525 NO, JOB ADDRESS tRr· ~19180LICATIDN 2,8,0.4, ,v~ ,a, I Rti 1C ,a,:-P, 101 I I I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR The Highland Company 729-7108 Highland Company OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 11nc:; :n.ui:>nin;:i ni:> n nit-;:i. r.;:irl.::hnd 3105 Ave. de Anita LOT BLOCK 1s-r2x21:21 I ASSESSOR'S PARCEL NO. QO DESIGNER 16 ~6 I 7 I -3 .3 I Or-11 I 8 I I Sidney M. Drasin DESCRIPTION OF WORK 1 Townhouse Plan 60AR r612~'ss ~entura Blvd. T Encino. CA. CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER /) 19210 II STATE LICENSE fo/t!9 342407 CONTRACTOR•s 7~~-7108 SI I~ /8049 ! t1 STATE LICENSE C-1798 DESIGNER'S PHONE 986-8890 :"il I ~U- ;f-3 I RES. UNITS I PA:K11/f0E sf I NUMBER Of STORIES Not V•Hd Unless lhchin• fArrifi«J &LOG SQ. FT. BLOG Us/~ /f-j I STANDA~D PLAN# lto 1:~R9 "lrvV~ I occ. LOAD I /?tt:1 I ~1)v.,.. I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. /I EACH FIXTURE TRAP ., y f!V-/ INSTALL FURN. DUCTS UP TO 100,000 BTU ~.tX1 / EACH BUILDING SEWER ~ ~ OVER 100,000 BTU 'I EACH WATER HEATER ANO/OR VENT ~V"V BOILER/COMPRESSOR UP TO 3 HP / EACH GAS SYSTEM 1 TO 4 OUTLETS yrrv BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE ,,4 VENT FAN SINGLE DUCT Lt ,(ff) 7?.&!o, -EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ~ VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ., I . ,,J;;t?P-P .. TC::C::TlR 3.00 ISSUE .:S.UU SIGN PERMIT ;r I , I I I TOTAL PLUMBING 3'1~ TOTAL MECHANICAL /r~ PLAN CHECK /,<~ tJ.9('-,J.."t'P I ,--t3s~S~ CONTRACTOR CONTRACTOR ALL INCLUSIVE-PERMIT I I I AMT. TOTAL PLUMBING I : .,. :l"'.°df'Z" QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL i,; t.lA! -,.,rp //.dJ NEW CONST EA AMP/SWT/BKR ~s-:uo AWNING MECHANICAL ~ ~, ~n 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 DAYSI ., I . I I I TCCTlk' ?-nn ~~I.Kl In.II-IVI 11'1( '"'. I ' I ,S.-..)..if- TOTAL ELECTRICAL cJ. 7~ TOTAL FEES PAYABLE I --2tltl .6 I~ CONTRACTOR ~ I I \,: ' ,,...- •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'-Q" 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 SCHOOL FEES: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN QA NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-// LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO /J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~ ~;~E• -,//OWNERQ CONTRAC~A APP;;;)~'B ~ T~_ ~ ~ ~/ J --/ AGENT □ BY PHONED ~ -- • w < 0 ~ ~ ~ ~ Q. V) ~ SITE PERMIT NO: ~0 -G,c;f1-ULJ ADDRESS: OWNER: ~ FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR .. . FOUNDATION• FORMS • SET BACK• TOILET s j f ,. I• "' 7 ,,;;-- UNDER FLOOR PLUMBING ' .. -., . ' . ,_ \ ,· ~-. i . UNDER FLOOR HEATING ! OK TO INSTALL SUB FLOOR . .! ' ' ' SLAB FLOOR •..... 2: UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET . .. OK TO POUR CONCRETE l . 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 . FIREPLACE DAMPER 8: STEEt.. -,.. PLATE TIES/HEIGHT OF CHIMNEY OTHER ,. TEMP POWER '(POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK fl? • FENCE PREPLASTER ,'V.~ SHOWN • FRAME ~-~-~ • PAN ~.Y.',,. ·~ FINAL INSP BY BLDG DEPT / ~' OTHER DEPT'S REQ COMPLETED / _, ELEC METER-PERM-TEMP /,. '(I GAS MET ER-PERM-T EMP /4',V ~ '\ .. CERT OF OCCUPANCY ISSUED ' f i: .... J ~.~,~MMM~'AA~A/A#w~,.,WNv~,A.W.~./Jv,-\AAAMAA)( j (!J:rrttfiratr nf ®rruµuu ry {F!,; ~ 1 CITY OF CA RLSBA D , ~,~ ~ j This Certificate issued pursuant to the requirements of Section 306 • 't • ' ~ of the Uniform Building Code certifies that at the time of issuance ~· this structure complies with applicable ordinances of the City ~ 1 regulating buil~ing cons~ruct ion ~se. _______ i j Use Clossificotion Single Family Dwelling Bldg. Permit No. 8 0-68 9UU ("' Group _____ Type Construotion _____ Fire Zone ______ Use Zone ______ >, Occupant Lood ______ ----:----------------------->. ~ OwnerofBuildin,-;--· The Highland Co. 'Mdress 3105 Avenida de Anita ~ ~ .r r ~2 8 0 4 · • •• • d ~ ~ Building Address •. ~ • i -I!!: _~~a . Rt C~f ~ ii Locality Car ls bad, CA. 92 0 08 ~ ~ _________________ By-,;!.:::::...._~~~1--J.~...t.J,.~~i2L-----t ~ -----------------~----+----+---------~ ~ NOTE: Alterations, changes, additions or changes of occupanc nullifi .. t • certificate. ~ ~ (Poat In con1picuou1 place) ~ ~ffWWMMMMMMMMMMMMMMMM~ww~~wwwwnx I . ,