HomeMy WebLinkAbout2748 VIA TULIPAN; ; 80-689-D; PermitL1CENSED C9J'TRACTOR'S DECLARATION
I hereby affirm that t 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
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness 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 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
($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-
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 self-Insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec.1~·~>c-,
POLICY NO . ..,-,:;;.,,ec....L-!..-"b,!;.,,; 7...;•V-':..'~----
COMPANY {_ Gtoli6
~PY is Ill~ teclty.
O 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 (SHJO) 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 lhls 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·
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civil Code).
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 MATION WITHIN RED LINES.
''.f 8 JOB ADDRESS f1 tRr IDAT7;t{f;~610N Blf-9L2CroE PERMIT NUMBER
2 7 ..v i ·a. C:e G I ~ ?' I•,--~~\ ~N. I I I I t I I I 'j I I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE ro✓t/1-P The Hi ghland Company 729-7108 Highl and Company 342407
1'.1/-CI/ ._, .. '
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S V
3 1 0 5 Avenida de Anita, Carlsbad 3105 Ave . de Anita Pf¥)M-7 108
to BLOCK I SUBDIVIS1'2-2 1 I l AStf S1R'S ".!RC.!JL Nt'), 3 9
-I -I i -t t I i I-I t ;-oo 0is1m1ey M. Drasin e.61J:~8NSE
rs'i'cS~mf 6 o.~ ~ Plan 20AR l '6~'55s V@:fflt.ur a Bl. DESIGNER'S PHONE
Encino , CA. 986-8890
CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PA:KING sPACE sf I NUMBER OF STORIES
Not Valid Unless Machin, C.rtifi-1
BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II 1 $?;;1 n q I TYPE CONST I occ. L;~\J 4 I
QTY. PLUMBING PERMIT AMT. QTY. M;CHANIC~(PERMIT AMT.
-
Cl EACH FIXTURE TRAP /r_v-/ INSTALL FURN. DUCTS UP TD 100,000 BTU ~~
I EACH BUILDING SEWER s'" OVER 100,000 BTU
,,
I EACH WATER HEATER AND/OR VENT ~ BOILER/COMPRESSOR UPTO 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 ~ VENT FAN SINGLE DUCT 4'.rr/ YJ; ogrJ, --EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST HOOD/DUCTS ~ ltTI\ T =I ON : Y<
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . A/1-P:~
TC:C:TTI.' i .nn I TC:C:Tn.' 1_00 SIGN PERMIT M"l I , I I I
TOTAL PLUMBING
3,d ~--
TOTAL MECHANICAL if~ PLAN CHECK //f,6()-,-"I" J-t/366 I ~ 1.,.;J 7. blO
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING l"<ld-AH'f
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL L...71 7.~ -
/✓>-IJ NEW CONST EA AMP/SWT /BKA ') <.' ... AWNING MECHANICAL 1..11¥.~
1 PH .25 3 PH POACH MOBILE HOME I I I
EXIST BLDG EA AMP/SWT/BKA SET-UP SOLAR I I I I
1 PH .25 3 PH RAMADA, CABANA I I I I
REMODEL/ALTER PEA CIRCUIT FENCE OVER 6' I , I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I . I I I
OVER 200 AMPS I I I ; I
TEMP OCCUPANCY (30 DAYS) I . I I I
TCCTTR 2 .00 STRONG MJI'ION: I . I L~317
TOTAL ELECTRICAL ;l-7~ TOTAL FEES PAYABLE
I
, ,.
CONTRACTOR I I . _2~t1,,~J
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 77~: 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, JUDGMENTS, COSTS AND ~ ~ / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. ,~_; ~ ~I"_~ ,,_._,,,, -~OWNER□ CONTRAC~APPi.EE°/lt¼ffi o/; OAfE
-7 ~__....,... r ') .7 AGENT o BY PHONE □ (, 1tl/ft --I I
• .... ~ ~
~ ~ hl 0. V)
~
SITE ,. ' . .. -., . ~ iO--fo~ .. D ADDRESS: . OWNER: ~it l '\ ' . PERMIT NG:
: ""'' FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR .
FOUNDATION • FORMS • SET BACK • TOILET I .. " . . UNDER FLOOR PLUMBING ~ .
UNDER FLOOR HEATING .. ..
OK TO INSTALL SUB FLOOR . -. .. •• L ..
SLAB FLOOR
UNDER SLAB PLUMBING
FOOT! NG • 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 C ,,
EXTERIOR LATH OK • PLACE STUCCO _. .
..
FIREPLACE ~. ~ ..
DAMPER 8:STEEL-" ... ' PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE) '
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK ,-tN,
• FENCE PREPLASTER ..,,~1/
SHOWN • FRAME ¼x
• PAN / L'l"'
FINAL INSP BY BLDG DEPT /4\.
OTHER DEPT'S REQ COMPLETED A~/V --
ELEC METER-PERM-TEMP _/ u{-
GAS METER-PERM-TEMP . V
CERT OF OCCUPANCY ISSUED .... -
.... ,
)( ~ ~
1 ~ ~
This Certificate issued pursuant to the requirements of Section 306
of the Uniform Bu ilding Code certifies that at tile-time of issuance
this structure complies with applicable ordinances of the City
regulating building construction use.
l ~ 3
3
; Use Clouification __ S_i_n_g_l_e_F_a_rn_i_l_y __ D_w_e_l_l_i_n_g ____ Bldg. P .. rmit No. __ 8_0_-_6_8_9_D __ _
"" Group ______ Type Construction _____ Fire Zone ______ Use Zone _____ _
Occupant Load .,It"">-
~ Owner of Buildin'°'~;.·i _ {Dhe,, H~g~•!and:1;:o. ~-\4'ctdress --"'3""'1::..:0c..:5"--A"-'--"v~~i;.:n.:.1. ... • d=a,...:...;:a=-e,.,._~A~n...,:t...,._· t=a __ _
~ Building Address;,.:; -?-'"2'jitg-;Vict'" Tullpan ~ . 'Locolity_C.;;...;;;;;.;.;c..;.;:;.c;.;;...;c.;-c.---=----··_~-.>· ._ ___ _
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