HomeMy WebLinkAbout2747 VIA TULIPAN; ; 80-689-B; PermitLIVtN.>t:.U ~N 111.A\., I VM .> Ut:.\.,lAMA I !UN
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
D I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Business and ProfessionsCode),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 five hundred dollars
($500).
□ I, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure Is not intended or of·
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not Intended or of-
fered for sale. If, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044. Business and Professions
Code: The Contractor'$ Ucen$e Law doe$ 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 DECLARA
I hereby affirm that I have a certificate o\c
sent to self-Insure, o, a certificate of Wor
Compensation Insurance, or a certified ;;~~~~(~;-~~r Zo/&;; ' COMPANY l ~B
~opy is Iii~~ 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 ($100) or less).
I certify that in the performance of the work for
which this permil Is Issued, I sl)all not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
which this permil Is Issued (Sec. 3097, Civil Code).
USE BALL POINT PEN ONLY 1200 ELM AVENU E (714) 438-5525 MATION WITHIN RED LINES.
2 7 7f-7 • V .. i • .a JOB ADDRESS -[i tR~T. ,DAT? 1 i'cf7sAo ION
8 l92cfcr_~J' PERMIT NUMBER a e C a n t o • LH,\ PAN
t I I j I ·1 I ~1 I I I I I I I I I I I I I ·1 °1 I I I I I I f"tii!;-I!> OWNER OWNER'S PHONE PRIME CONTRACTOR fi;{4cr-rr The Highl and Company 729-7108 Highl and Company 91(. ~L-1
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
31 05 Avenida de Anit a , Carlsbad 3105 Ave. de Anita 7'2'~7108
1og BLOCK 1 sue°72!2 ~ 1 I l 1AS~mf!!:~ ~R,L ~•-I ~ 9 ~~ ~~c!ff~y M, Drasin ST ATE LICENSE
C-1798
fE s.r"d\T/fflf 6'1~ ~ Pl an 60AR 1.tns:S s V&Ylieur a Bl. DESIGNER'S PHONE
Encino , CA. 986-8890
CENSUS TRACT GP LAND USE
ZONlk-$ I RES. UNITS ~~sf I NUMBER OF STORIES
Not V•lid Unless Machin, C.rtifi«J
BLDG SO, FT, BLDG USE o~:.:J.1 STANDARD PLAN 11 lpF0°,£tf Y ~Ell:S~ I occ. LO;l>U -/ l Li~O 5 FJ)
QTY. PLUMBING PERMIT AMT. QTY. MECHANICA{PERMlr' AMT.
-II EACH FIXTURE TRAP .!J!l.. C,I' I INSTALL FURN. DUCTS UP TO 100,000 BTU A../Jn
I EACH BUILDING SEWER . .r.o; OVER 100,000 BTU ,
I EACH WATER HEATER ANO/OR VENT ...!t .I)/.. BOILER/COMPRESSOR UP TO 3 HP ,
I EACH GAS SYSTEM 1 TO 4 OUTLETS -, . l11J 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 ./)~ 7~800 1 ---EACH LAWN SPRINKLER SYSTEM l MECH EXHAUST -HOOD/DUCTS , :2 .Q1J VALUATION :
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ~J~l1.rJC.
TC:c:TW ~ '"' TC'C'TTC' ..., ~~ SIGN PERMIT P'l] I , I I
TOTAL PLUMBING TOTAL MECHANICAL -· ...,"" /.>Y, (JS',~l(i I ,/3/,D .Ji/ ~ . ..ro ~4-.bO 1¢.f/D PLAN CHECK I
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I . TOTAL PLUMBING I~ ,£. Ill'".)
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL 1'1.1 ,.1. U'J
NEW CONST EA AMP/SWT/BKR AWNING .. MECHANICAL I JI~ t./1~ •n 1 PH .25 3 PH 'J .... i.UJ) 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 .
OVER 200 AMPS ~TIIII."·'-lAh'l"l~1,,.I I . I i c;': "1.LI..
TEMP OCCUPANCY (30 DAYS) _,,1!:1.:---;-':..~ I , .Al.SI ,;:--'71.A..
ISSUE 2_{)0 -. .t .~-; Pl I . 1\"ianLi>1<
TOTAL ELECTRICAL ,-7,/0 TOTAL FEES PAYABLE
I ~Al .tra CONTRACTOR . I -J I;
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQ UIRED FO R EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-D" DEEP AND DEMOLITION OR CONSTRUCTION O F
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GO VERNING BUILDING CONSTRUCTION, WHETHER
SC~~ /; SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND / ,/ 0,,, I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -· OF THE GRANTING OF THIS PERMIT. ~~~/✓ WNER0 CONTRA~~AP,A~7EDf8Y Y1JlU '!/;;/fl ..
BY PHONE •, AGENT 0 -~ ., 71....--7
• I!! < 0 ~
~ j:::
~
0.. V)
~
SITE .. S<o--<dis<l ,. g ADDRESS: OWNER: ' ~ f I , ·' • ! . . 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 INSTALL SUB FLOOR . '. . \ '.t\ ·~ , '
SLAB FLOOR .•-. ' t• -~ ... ~-
,, ". 1\ UNDER SLAB PLUMBING '~r"-:--~ ..:..
FOOTING• FORMS• SETBACK• TOILET ;C \. i If""".._: '-: . ' • c, ' ' OK TO POUR CONCRETE . ., .,... . --.. • ·, I.
FRAME
l
~-,.. . -ROUGH ELECTRICAL ., 1 ---· , .. 1,· .
ROUGH PLUMBING I~, :., ••j_"'
ROUGH HEATING/VENTILATING "~ C: ,.
--FRAME OK• PLACE INSULATION ' _ ..... • INSULATION OK • PLACE WALLBOARD .
WALLBOARD OK• PLACE TAPE .. -·.
E ~TERIOR LATH OK• PLACE STUCCO .. . ... .
FIRE_PLAC~ ..
DAMPER &ST~E.L . ~<-~•a}' PLATE TIES/HEIGHT OF CHIMNEY .. . '. •:,,.
'-. .., ....
OTHER· '\ '
TEMP PO~R (POLE)
SEWER ' } !, ... : ; ·,
GAS TEST
SWIM POOL • STEEL BONDING ~
• PRE DECK
• FENCE PREPLASTER . i
,,
~HOWN . • • FRAME . •, t -, •·N/( ., \ •• p'AN . .. , .• .h..~ //~\ . .
F INAL~Ns~·BY BLDG DEPT I • --.•· • ' y ..... .
OTHER DEPT'S REQ COMPLETED /.' "\ ·f' ' ,.
EL Ed METER-PERM-TEMP ~)I) ~ -. -.
GAS METER-PERM-T EMP , 'V
.
CERT OF OCC UPANCY ISSUED '
J
)( ~~~A~A/A ~
~ ~ ~ ~ ~ ~
(!l r r t i_f i r at r nf ® r r1tµtt1try
CITY OF CARLSBAD
This Certificate issued pursuant to the requirements of Section 306
of the Uniform Building Code certifies t hat at the time of issuance
this structure co mplies with app licable ordinances of the City
regulating building construction use.
~ 3 80-689B ~ Use Clossification __ S_i_n.....;g::__l _e_E_"_a_m_1._· _l .:::.y_D_w_e_l_l_i _n.....;g:._ ___ Bldg. PeTmit No.
~ Group ______ Type Construction ______ Fire Zone _______ Use Z ono-______ _
~ ~
~ ~ ~ ~ ~ ~ ~ ~
NOTE: Alterotions. changes, odditiona or chon·gH o
}:(_~M:V.MM MY.:V.