HomeMy WebLinkAbout2745 VIA TULIPAN; ; 80-689-A; Permitt llereoy amrm tnat I am 11censea un<Jer 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 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 state-
ment that he is licensed pursuant to the provi-
sions of lhe 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•
tractlng 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 certi lied copy
thereof (Sec. ~;r >1'§&V J
POLICY NO . ...a_._,"--'~-0"':.7.c...., :~.=-,;-,r...,,.=~--
COMPANY I {!,,b/!B
~PY Is filed wit~clty.
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 (StOO) 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-
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).
ILUU t:LM AVt:NUt: ll 14/ 4JO-.:>.:>L.:>
2 ,1 N~. 5 J V• i a Q C C a ftOB,t;~ESS AVR~T. I OAT''7°Jt'cf/'rtb'ON 8Ui'9L~CroE PERMIT NUMBER
1• 1 I I I I I I I I I I I I I I I -;r Y l,-l fl)~ I I I I I I I I tA
OWNER • OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE /J"t, I (Y ' E.:J!.9 14 .. ,,-The Highland Company 729-7108 Highland Company 342407 0 v.,,t.a, -
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S 3105 Avenida de Anita, Carlsbad 3105 Ave. de Anita 1~~7108
LOT BLOCK 'SUBDIVISION L ASSESSOR'S PARCEL NO. .~ DESIGNER STATE LICENSE 19 72-21 Il. ,6 ,7r 3 13 1 Or-i5 15 1"'c:.t ... Sidney M. Drasin C-1798
lESi:J!'<!JWl!Ol!P.!!e Plan 40A
-'------------------------------------1 .11@'.!'!J'!)S \ll~ura Bl • oEslGNER's PHONE
Encino, CA. 986-8890
cENsus TRACT GP LANO usE 20N1NG j REs. uN1Ts I PARKING SPACE sf I NUMBER oF sToR1Es
/<. -'?. / # #1:J Z-. Nat V,lid Unless Machin, C.rtifi«I
BL/447· BL09F O o(Z-G31 STANDARD PLAN# l~I~~ 9 ITY~N l occ. e~u-f I
QTY. PLUMBING PERMIT AMT. QTY. MECHANIC.It. PERMIT AMT.
// EACH FIXTURE TRAP 1.7,.. ttl) / INSTALL FURN. DUCTS UP TO 100,000 BTU LL t/V
/ EACH BUILDING SEWER _ "f":dZ) OVER 100,000 BTU
/ EACH WATER HEATER ANO/O R VENT ,? __ t'/1) BOILER/COMPRESSOR UP TO 3 HP
/ EACH GAS SYSTEM 1 TO 4 OUTLETS 7_ . .:,r:, BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE J2. VENT FAN SINGLE DUCT Ii · tJ/) r; ..2, 3 ~.s-. d O
EACH LAWN SPRINKLER SYSTEM / ME CH EXHAUST -HOOD/DUCTS ..?;. uP valuation: /
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT _ J , 11 / L ~-010
ISSUE 3-00 ISSTTR 1_.nn SIGNPERMIT ,r,, 1 1 1 1
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK / ft y'_ ~"J ~•; ,J7,/,.0 I , /101 t,_...((O
CONTRACTOR :34-,tJt} CONTRACTOR / & _t) O ALL INCLUSIVE PERMIT I I I
TOTAL PLUMBING I ~-/10
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL J '11."7. n /"l
NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL I /I ✓-. r.1 0
//lh 1 PH .25 3 PH !).r'. (/l) 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 <;t IPJ-rDTft.J I , ~q 1/-,SJO
REMODEL/ALTER PER CIRCUIT FENCEOVER6' /A~--<, PC, Fe6, I , i l~IQ.~tr°
TEMPPOLE 200AMPS TOTALMOBILEHOME MICO-FILM I I I I
OVER200AMPS ~11\.,•, ~L-i.J~. t""'0e I ,9 1Sif<:l'.'.::ll.5
TEMP OCCUPANCY (30 DAYS) vfu-ta-l , I , I I I
ISSUE 2 .00 STRONG MJI'ION: 1 , 1 t4 -~17
TOTAL ELECTRICAL :;i.7. 11b f---+-----------------lf-------11 TOTAL FEES PAYABLE I
CONTRACTOR I 1 .ZV'..li?A-12
I HAVE CAREFULLV EXAMINED THE COMPLETED "APPLICATION AND PERMIT, A ND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFV 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 COMPLV WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTV AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SCH
SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFV AND KEEP HARM-OOL F'EE~·
LESS THE CITY OF CARLSB.AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND _-' , .-J
EXPENSES WHICH MAY IN ANY WAVACCRUE AGAINST SAID CITY IN CONSEQUENCE _-.._ ~ ~ ~ -
• w ~ 0 ~
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1:rl Q. ..,.,
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OFTHEGRANTINGOFTHISPERMIT. _.;::,.. ~.,,~ _ _/ 0 0 CONTRAC~PRO~Y/&/2 • "1'/E _/,:; ~ • ~~ .,L_ ...#"" _..,..,. AGENT D BY PHONED I ""/ l ,,,., ·-4P'~:) --·7 ( 7
SITE <;s-o-<.,~.., A ADDRESS: OWNER: , f . .; !.--:.,,. ' PERMIT NO: .. ~ FIELD INSPECTION RECORD .
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR . ' ' FOUNDATION • FORMS• SET BACK • TOILET . 0"' .
UNDER FLOOR PLUMBING . ' ' .
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 .
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO \
t ' -. '
FIREPLACE
DAMPER 6: STEEL ·,, • PLATE TIES/HEIGHT OF CHIMNEY
~; ' OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING '--• PRE DECK
• FENCE PREPLASTER /
SHOWN • FRAME /
• PAN . \'(' V(X:,...
FINAL INSP BY BLOG DEPT (('1/. ....... ,
OTHER DEPT'S REQ COMPLETED /,X)' \
ELEC METER-PERM-TEMP VM111 .
GAS METER-PERM-TEMP / V
,
CERT OF OCCUPANCY ISSUED ' I
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Qlrrtt-firatr of ®rr11µa1try
CITY OF CARLSBAD
This Certifi cate issued pursuant to the requirements of Sectiou 306
of the Uniform Building Code certifies that at the time of i ssuance
this structure complies with applicable ordinances of the City
regu lating building construction use.
1 3 ~ Use Clonificotion_--=S::...::i=n=g=l-=e--=F-=a=m=i=-· l~y--=Dc.:.w:...:e::..:1::..:l=i=-=nc:ag'-----Bldg. Permit No. 8 0-6 8 9A
~ Group ______ Type Construction _____ Fire Zone ______ Use Z.one _____ _
~ ~
Occupant Load ~,,-;-,~
Ownerof Buildin~c;:Tr:he--,Hi~h,~_a nd:C:::o . ~-·'--Md,ess 3105 Av.enida d e Anita
Building Address !~~~:r,i·~,i ~ 1,':11}.P~n ~ .-;Loc_olity Carls~a~, CA~ 92qQ~8
-t _,., •-" -'<-~ • -:,' • .---~--,._ •~~8 l • • ~---~-'
NOTE: Alto,ations, changes, additions or chan·g•• of occupanc nullifi•• thi . c.•..rtHicofe.
(Post in conspicuous ploce)
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