HomeMy WebLinkAbout2749 VIA TULIPAN; ; 80-689-C; Permit,-•--••-----••••--• '-"II V ..,._.\,,l~ft,...IIVl'I 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 lull 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 Ille 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 th&1elrom 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
($500).
0 1, 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 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. 70«, Business end 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 _____ 8. & P.C.
for this reaso,~------------
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to sell-Insure, 01 a certificate of Workers'
Compensation Insurance, or a certified copy
~~!~·~nBE
~PY Is 111C#itt;,; city.
0 Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per•
mlt 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 Calllomla.
NOTICE TO APPLICANT: If, after making this Cer•
tlllcate 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•
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Clvlt Code).
USE BALL POINT PEN ONLY
NO.
2 I 71 4 9 V i a Q.-e
I I I ( I I I I I
OWNER
The Highland Company
OWNER'S MAILING ADDRESS
'"'' r L..I\...~ I IUl't 01 r-t:t(MI I
1200 ELM AVENUE (714) 438-5525
Ar-r-LII...ANI IU t"lLL IN INFOR-MATION WITHIN RED LINES.
JOB ADDRESS
tRr. ,DAT7;f'o;~QIDN B1-efii'tjE PERMIT NUMBER c a 11 t:. e -UU Llf,AN I I I I I I I I i I j '1 I I I I I ro✓vr.~ OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE 729-7108 Highland Company 342407
CONTRACTOR'S ADDRESS
3105 Avenida de Anita Carlsbad 3105 Ave . de Anita CONTRACTOi'o 110~-7 8
BLOCK 'tb 1~"2~'21r ~ '"Gso/oR:~IP~EL{jO. .-d) D~11'ahey M. Drasin ST ATE LICENSE
I I I -I I ;-15 I 7 I I C-1798 911:uno<ii:;14 r '' '~J• / rES~IPTIO~F WO~K own ou e Plan 20C if61?5'5s 'V~fftur a Bl. DESIGNER'S PHONE
Encino , CA . 986-8890
CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PA#KING SPACE sf I NUMBER OF STORIES
Not V•lid Unl.ss lbchiM t:Mtifi«J
BLDG SO, FT. BLDG USE OCC. GP r STANDARD PLAN II lp~;:/:-~r I TYPE CONST I occ. LOAD ct>v-il
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL~ERMIT AMT. -
4 EACH FIXTURE TRAP /y_v-/ INSTALL FURN. DUCTS UP TO 100,000 BTU 4rv
'I EACH BUILDING SEWER t5_vv OVER 100,000 BTU I
I EACH WATER HEATER ANO/OR VENT yrv 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 1, VENT FAN SINGLE DUCT -9-'-rv f-~oRtJ,_., EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ·~ U1\.T.11A'l'IIII\I •
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . /F ff. u;.;:-
ISSUE 1 Ml TC:C:T'lk' ".l ()() SIGN PERMIT . ..,r,, I . I I I
TOTAL PLUMBING 3 /)~ TOTAL MECHANICAL /~~ PLAN CHECK //f,CJor1• /1./:.t.£.~ I ..,-1...:1 7. ~
CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I I
TOTAL PLUMBING ·~· -~
ELECTRICAL PERMIT AMT. ·~ CJ
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1~ 1_""7 a'"C7
A~ NEW CONST EA AMP/SWT/BKR _;2<V-V AWNING MECHANICAL 1...14/.~
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
ISSUE 2.00 -• 'I-ti ~11-IVf JI "'I • I . 1~30
TOTAL ELECTRICAL c?-7~ TOTAL FEES PAYABLE I
/
CONTRACTOR . I I ?.KPJ,717
~
I HAVE CAREFULLY EXAMINEO THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 •AN OSHA PERMIT IS REOUIREO FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5' D" DEEP ANO OEMOLITION 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
~-,) SPECIFIED HEREIN OR NOT. ~ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO ~ ~ / A EXPENSES WHICH MAY' IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. ~~-✓ / 0 0 CONTRA~~T PPRl~V ~~ #~ ~~:_:_. --AGENT 0 BY PHONE□ (, ·--7 7
! ~ ~
~ j:::
~ a. V) ~
SITE . 'iro """~ ,. e ADDRESS: OWNER: ,_ ~ . PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR .
FOUNDATION • FORMS • SET BACK • TOILET
UNDER FLOOR PLUMBING . . -
UNDER FLOOR HEATING :
OK TO INST ALL SUB FLOOR . ' -. '
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET
' OK TO POUR CONCRETE \
FRAME ' -
ROUGH ELECTRICAL
ROUGH PLUMB! NG
ROUGH HEATING/VENTILATING
FRAME OK • PLACE INSULATION .
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE -
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER & STEEt:-
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE) t
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER /
SHOWN • FRAME .. t\..1/(
• PAN ✓,~ IT(")/\..
FINAL INSP BY BLDG DEPT '/j -
OTHER DEPT'S REQ COMPLETED /i /0'
ELEC METER-PERM-TEMP / ·°'µ
GAS METER-PERM-TEMP ✓ -
CERT OF OCCUPANCY ISSUED .
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 full force and ef-
fect.
OWNER-BUILDER DECLARATION
0 1 hereby affirm Iha! 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, aiter, 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 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).
::u, 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. ____ _
for this reason, _________ _. __ _
Date Owner
WORKERS' COMPENSATION DEC JION
I hereby affirm that I have a certificate f con-
sent to self-Insure, or a certificate of W kers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO ___________ _ COMPANY ___________ _
□Copy Is filed with the city.
□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 ($11)0) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not e"!{1lOY any
person In any manner so as to become subject to
the Workers' Compensation Laws of Cailfomla.
NOTICE TO APPLICANT: 11, after making this Cer•
lllicate 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•
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civil Code).
U:::>t: ~ALL t"UIN I t" t:N UNL I 1200 ELM AV ENUE (714) 438-5525 ~o':l'I n11-, l'\i;;U L.11-,LJ,
NO. JOB ADDRESS AV. ST. IDATE OF APPLICATION BUS. LICENSE PERMIT NUMBER
:z_ I 11 lf-1 '11 ,V,1,A, "'P""iL:1 1L1l'T11Y1( 117'1 ,.4L,\r:Al4 I I R~ :i. -5-3/ __ ,_
I I I I I I ,1,,,._:,v
21J~11P OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
7ftc= /ft t:{ILFfN t> ~p..W Y '/2-1-7/c>if" 7lf£ /fi~ltllWP (l , I 3 tf2. Cf.O 7
OWNER'S MAIL ING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
;?,{~~PR. Pc. /y,,,t,Jr7'?f ' PHO';/ 8 .3 ,e:,~-A~q a f}tt.Jtnf 72 -'/10
LOT I BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE ~o 7£.-2.l / It: I 7 I -i3 13 IQ I -I 2_ 1!,I I
DES•~RIP ON OF WORK
r~PA,!t-({1/ £..£erRre._ ✓-=,' --, DESIGNER'S ADDRESS DESIGNER'S PHONE
,; { 2/0~ /~.I ~~,I ti 1~~0. -
CENSUS TRACT GP LANO USE ZONING r RES. UNITS I PARKING SPACE I NUMBER OF STORIES
Not Vi.id Unlm Machin• c.rtifi«J
BLOG SO. FT. BLDG USE occ. GP I ST AND ARD PLAN It I p?;; ~ 6?T I TY PE CONST I occ. LOAD I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP .
EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
v!tuA~~
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I , I I I
•✓~-~-" -< -? .on / ~~ ,, -c5 c;,,_j SIGN PERMIT I , I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . I I I
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I _
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I .If "7../.'Z'r"
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I 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 A~~-L ,/. ---> I , I I I
REMODEL/ALTER PER CIRCUIT fl FENCE OVER 6' // I I I I
I TEMP POLE 200AMPS~~ _h .u TOTAL MOBILE HOME M ICO-'f'TLM I , I I I
OVER 200 AMPS I I I : I
TEMP OCCUPANCY (30 DAYS) I ' I I I
/ , --• I -2 Q~ I . I I I
TOTAL ELtCTRI CAL /~
,.,..--TOTAL FEES PAYABLE I ro
CONTRACTOR I I 111Y<+-,.,.
~-~ ,u,.f? l _/a, -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER --17
\j~'~ 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
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-t/;ft I' LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MA'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
~~~LJ-71 ."3-· OWNER□ CONTRACTOR□ !APPROVED BY YJ!ljl DATE
,,,,.. AGENT2 BY PHONED , I ·-L ~ ---,. , 7 "'T 7
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ffirrtifiratr nf ®rr1tµa11ry
CITY OF CA RLSBAD
This Certificate i:.;sued pursuant to the requirements of Section 306
of the Uniform Building Code certifies that at the time of issuance
this structure complies with applicable ordinances of the City
regulating building construction use.
Single Family Dwelling ~ Use Classification __________________ Bldg. Permit Na.
~ Group ______ Type Construction _____ fire Zone ______ Use Zone _____ _
80-689C
~ ~
Occupant Load •• • •••
OwnerofBuildin~•u •. 1'he ,Highland;CQ . • 'Mdress 3105 Avenida 'de Anita
~ ~ ~
Building Address--:.!: -?-•2,1-4-9'--'::V±a:.. Tul.ipan ,1 •. Locality Car 1 sbad, CA. " ' . ' ' ·., ~ F" ·: . ---,,.----..-----,._ ___ _ .. t '"b :--·"""' ...... --f .... -1-. ~-" -....-.. _.,..., 'i-•.• ..
~ ~ ~ ~
NOTE: Alterations, changes, additions or changes o oc
(Post in conspicuous ploc
){"" M M M M M M M
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