HomeMy WebLinkAbout2802 VIA RICARDO; ; 80-689VV; Permit_ _ _ ____ ... _ ,CTOR'S DECLARATION
I hereby affirm ufat 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
0 1 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 stat&-
ment that he ls 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 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. 70«, 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 lmprov&-
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. 7~4. 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 reaso,~------------
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, or a certificate of Workers'
~~~~~~ """"' ""
COMPANY l.()l!fi
~PY Is flied withhe city.
□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·
dl_n~ _a~e.ncy for _ _t~e .~~r1~!~~~c!2_' .. t~~--~~~ ..,'~r
.
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
NO. JOB ADDRESS tRr ~19180LICATION
2 I 8 I CJi2 I I Vii 1a I I Rti IC I a1'.° p. I O I I I I I I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Hiqhland Company 729-7108 Highland Company
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
eus. LICENSE PERMIT NUMeER
19210 to ✓bf1 v'I
STATE LICENSE
342407
CONTRACTOR'S
~, n i; ~""'n i rl r1 de An i.ta . rr1rlsbad 3105 Ave. de Anita
PHONE ') I -• ~ .. :11] f 1-1 7?0-71()Q ?:•,
LOT eLOCK ISUSDIVISION ~ ASSESSOR'S PARCEL NO. DESIGNER ST ATE LICENSE
1 i:; 72-21 16 I 7 I -t3 13 I Or-11 I 9 I oo Sidney M. Drasin DESCRIPTION Of WORK f"'-17QQ
1 Townhouse Plan 20C r612~~s '7eh"tur a B l. DESIGNER S PHONE
Encino . CA. 986-8890
CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PA:iKING SPACEsdl I NUMBER OF STORIES
Not V1/id Unl«u M1chiM c.rtifi-1
BLDG SQ. FT. BLDG USE occ. GP I ST AND ARD PLAN II l1~/~R9 " I TYPE CONST 10cc. LO~-/ I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICA{ PERMIT AMT.
~ ~
7 EACH FIXTURE TRAP /f~ -/ INSTALL FURN. DUCTS UP TO 100,000 BTU a .·
'1 EACH BUILDING SEWER <.vv OVER 100,000 BTU r
s EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP • e '1 EACH GAS SYSTEM 1 TO 4 OUTLETS --ur BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ,.
EACH INSTAL., ALTER, REPAIR WATER PIPE -y VENT FAN Sl,!GLE DUCT ,,.._.,-..,.
~J:tftJ;-EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HODO/DUCTS .,., _(?"U VALUATION: . ,, -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT
,,
I . /i/f~ .. ,-
T,-,C,T1"' -::i . ()() TC:C:TlR ~ nn SIGN PERMIT Jr I r I r" I.
TOTAL PLUMBING ~-~ TOTAL MECHANICAL ;I~ PLAN CHECK I/P, 6(),...✓, .. 1~,1oo 1 -;---i---)7~
CONTRACTOR CONTRACTOR ALL INCLUSIVE PE°RMIT I I I
TOTAL PLUMBING I ~~ ~~
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. I-IL.I" -. ELECTRICAL l~?.rP
1/lff} NEW CONST EA AMP/SWT/BKR ... 25 ." AWNING MECHANICAL I /1¥-'i'
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 l . I I I
OVER 200 AMPS ,' I . I I : I
TEMP OCCUPANCY (30 DAYS) I I I I I .
TC::C'TTI.' ?-nn ... -. I . I 1~.$('/
TOTAL ELECTRICAL c;l7&fJ
, TOl;Ai:;FEES PAYABLE I '
CONTRACTOR I I .2a i::, . 7 2.,. '. , .. •
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •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 OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. STRUCTURES OVER 3 STORIES IN HEIGHT SCHCX)L FEFS: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,JUOGMENTS,COSTS AND -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -\ .A
OF THE GRANTING OF THIS PERMIT.
~~
1,...----iwc(E, £ ~WNER0 CONTRACT~APP~RO DJA'~ OAT~
BY PHONE O ·// a ✓ftJ I I -~ AGENT □
77 7 "T 7
I
! I-< 0
~ >
~ j::: ~ ~ V> ~
SITE v/J -fJ,~ -vv' ADDRESS: ' •. OWNER: PERMIT NO: r
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ..
WOOD FLOOR
FOUNDATION• FORMS • SET BACK • TOILET
UNDER FLOOR PLUMBING . : , q . -"--~
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 L
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE T APE '
EXTERIOR LATH OK • PLACE STUCCO
FIREPLACE
DAMPER 8: STEEL : .
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER .
TEMP POWER {POLE) \
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER ,(l)I _
SHOWN • FRAME -'~~..A.
• PAN '<( 'Y. .It""\"'
FINAL INSP BY BLOG DEPT ~OC\
OTHER DEPT'S REQ COMPLETED /4.~ 'P -:,
ELEC METER-PERM-TEMP /4/1)1 .....
GAS METER-PERM-TEMP -.
-·
CERT OF OCCUPANCY ISSUED ·-·-
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-~ CITY OF CARLSBAD 1
,~' ~ 3 This Certificate issued pursuant to the requirements of Section 306 • • ...,~:,. :·· E
~ of the Uniform Building Code certifies that at the time of issuance • ~
~ this structure complies with applicable ordinances of the City ► 3 regulating building construction use . E
~ Use Classification Single Family Dwelling Bldg. Permit No. 80-68 9VV ~
~ Graup _____ Type Construation _____ fire Zone ______ Use Zone ______ ~
~ Occupant Load ___ =---~~~--:----------------------► ~ O~ne~ofBuildinf,: .>-The ~i :h~a~d .Co. 'Address 3105 Avenida de Anita ~
~ Build,ngAddress ,: .~802-,V~_a .R-fi~~rd~ Locality Carlsbad, CA . 92008 ►
~ 1-r... -''. ·-~ I►
~ __________________ By--ir:__-J_.v:,o...£.!~L--=___£,~J,<!::~::______ >:
~ __________________ Date-----+---~-------:;;
~ NOTE: Alterations, changes, additions ar changes o accu ;
~ (Post in conspicuous ploce) ►
~~MMMMMMMM M MMMMMMM~~'Wo/fi/''WWWWW'¥/WWW~