HomeMy WebLinkAbout2743 VIA TULIPAN; ; 80-689-BB; Permit1CTOR'S DECLARATION
_ It I am licensed under provi-
sions of Chaptet-'9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and af-
fect.
OWNER-BUILDER DECLARATION
0 1 hereby affirm that I am exempt from the Con·
tractor's License Law for the following reason
(Sac. 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-
menl 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 Coda) or thal 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 appllcanl to a
civil penalty of not more lhan 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 struclure is not lnlended or of-
lered for sale (Sec. 7044. Business and Profes•
slons Code: The Conlractor's License Law does
not apply lo an owner of property who builds or
Improves thereon and who does such work
himself or lhrough his own employees, provided
that such Improvements are not Intended or of•
fared 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 (Sac. 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 Sac. _____ B. & P.C. for this reason, ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby alfirm that I have a certificate of con•
sent to self-Insure, or a certificate of Workers'
Compensation Insurance, or a certllled copy
thereof (Sec. La,)"'l:~•~11'',"'--
POLICY NO_-..t\o(' !,'::'ij~-..,.--'1-,-,,-i'---'-f''L .. ~~ -1-'tt"' ,.~ £\..,. c;~ ;...."!' c9MPANY
~PY Is Ill wit the 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 perlormance of the work lor
which this permit is Issued, I shall not_ employ any
parson In any manner so as to become subject to
the Workers' Compensation Laws of Callfomla.
NOTICE TO APPLICANT: If, after making this Cer-
tificate ol Exemption, you should become subject
to the Workers' Compensation provisions ol 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 ten-
ding agency lor the parlor"!anc4! _o_f_ lh_a ¥tOfk !o_r
C ITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
2 7 i · 3 . V i a a C C a i{Olll:D~S -A AViiiT.1DAT7it'tfYfto10N ll'fffl'jjE PERMIT NUMBER
1 1 1 1 1 1 , , 1 , 1 , 1 1 1 1 1 ~u 1L I l Pr-~1 , 1 1 1 1 1 fl IA IL p.,
Th~ H i ghland Company 7 2 9 -71°d'~R'S PHONE H1g111arig0
'company f.f:t4'l)'7NSE ,~/&~ vf")II
OWNtR'S .. AILING ADDRESS -'i.Q.l'i;{l~CTOR'S ADDRE~S ,li0,ll'tl'ACJ;QJl')i
3lu5 Avenida de Anita, Carlsbad jLUj Ave. ae Anita f~ist-1Lu8
1°' BLOCK lsu?zui:2,_ n trsl!J~".~P ~c6-Jo.5 4 ~oo DE~IGNER • sun LICENSE •
..... _..._ ___ ..._ _______ _.r_1.__..._,..._1 _.,1___.,__., ....... ,.__.__1.__t..,1 __.,1---11 Sidney M. Dr as in C-179 8 9 I ! 9 /1 JC-t,,;, 11. ~,b ~,, Ii
DESCRIPTION OF WORK
1 Townhouse Plan 50A l'6il'!5~s V~ura Bl. DEslGNER's PHONE
Encino, CA. 386-8890
cENsus TRACT GP LAND usE zoN1NG I REs. uN1Ts I PARKING SPACE sf INu .. aER oF sT0R1Es ,
/ J ~~ t) Not V1lid Un/Ms Machi111 Clrtifild
BLDGS0-;1c;~ BLDGJ'/'.t> R/ I STANDARD PLAN# 1rd1:Gg7 ryz;~ 1°~: ~ I
I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
// EACH FIXTURE TRAP ;:;J 7. UV / INSTALL FURN. DUCTS UP TO 100,000 BTU "r,DO
/ EACH BUILDING SEWER ~ OVER 100,000 BTU
/ EACH WATER HEATER AND/OR VENT )..,:tX) BOILER/COMPRESSOR UP TO 3 HP
/ EACH GAS SYSTEM 1 TO 4 OUTLETS l.4"-(J BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ,
EACH INSTAL, ALTER, REPAIR WATER PIPE V VENT FAN SINGLE DUCT ,4(,?0
EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST HOOD/DUCTS -~ u~T.,----"'1• hf b 9.J'. .--__.,
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ./ I , -iL_,/ 7 ~
ISSUE ~ (l(l TC:C:TTI.' -:i I'\(\ SIGN PERMIT ~ I , I I I
TOTALPLUMBING I,)<)_ TOTALMECHANICAL ~£&4 PLANCHECK /7"/,(15?:,..A'°i~1ul I ,--t':<..2.~
CONTRACTOR 3 }f---CONTRACTOR / 7 · ALL INCLUSIVE PERMIT I I
TOTAL PLUMBING 1.:.:: ~ ,r?7
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT A~ ELECTRICAL 1 -:, ."?. e::ft'I
/~ NEW CONSTEA AMP/SWT/BKR ,,.;l_s.Q"V AWNING V°" MECHANICAL I /( ~ ~
' 1 PH .25 3 PH PORCH / MOBILE HOME I I 1
EXIST BLDG 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 1 1 1
TEMPPOLE 200AMPS TOTALMOBILEHOME MICO-FILM ! I I I
OVER 200 AMPS I I I I
TEMP OCCUPANCY (30 DAYSI I , I I I
ISSUE 2~00 _ ,v, ~. 1 • I 1 .ij°.$f3
TOTALELECTRI CAL 4?trf/ l---+----------------11-------11 TOTALFEESPAYABLE I .'?/ ~
CONTRACTOR C?"---, I I , ,-:11' b5. 11
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD "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 ISSUEO;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-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND --~ ~ SC L :
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE '~:;-;,~~~~~t.;;;;;a:~~::;~ ...... -~~--:7',::..__::;;~)Wlrnin-co~;;;:~~"-r'TA;:;;i,i,ioi;;{c)]""~--z;---,¼TiwP'E7 OF THE GRANTING OF THIS PERMIT. II A~~ --~ _ _ OWNERQ CONTRAC APP~O 1 ~}!~ ~ ~ __............ "V )-./ AGENT □ BYPHONEQ /// (_,, 1t<.r/f'tl
--' 7 '( 7' 7 '1
! < 0
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5 i= ~
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SITE ' •, 'iQ~t,~-@,B ADDRESS: OWNER: ' PERMIT NO: • ,. I . •. 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 . \ .
SLAB FLOOR
" UNDER SLAB PLUMBING ·-
FOOTING • FORMS• SETBACK • TOILET
OK TO POUR CONCRETE ' ·, .
FRAME
ROUGH ELECTRICAL r~
ROUGH PLUMBING
ROUGH HEATING/VENTILATING I
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE ' ·,.
EXTERIOR LATH OK• PLACE STUCCO .
FIREPLACE ..
DAMPER &STEEL ..
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE) ..
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK .,,
• FENCE PREPLASTER
SHOWN • FRAME .\~ /
• PAN ,.,~\/ ..
FINAL INSP BY BLOG DEPT ~\,
OTHER DEPT'S REQ COMPLETED / l.7-i'"
ELEC METER-PERM-TEMP /~
GAS METER-PERM-TEMP /A{/)-
'()
-CERT OF OCCUPANCY IJ,SUED
0, ...
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QI rrt if i rat r n f ® r r1tptt1tr y
CITY OF CARLSBAD
This Certificate issued 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.
~ Use Classification __ S_i.;_n_,g.,_l_e __ F_a_rn_i.;_l,;,.,y.___D_w_e_l_l;_;;J...:... n_gL_ ___ Bldg. Permit No. 8 0 -6 8 9 BB
~ Group _____ Type Construotion _____ Fire Zone ______ Use Zone _____ _
~ Occupant Lood ___ -:-----:----:--· '..-'-------------------------1 Owner of Buildin,=,:.:...-...;.1_h_e__;_,H_i.;:..g_h_l_a-'I]'-d....:·::....' C....:·...:.q_._.:;__· Actdress 310 5 Av~nida • de Anita ~ ;.;r M2'7"4~,:-•• ·T l. ., C Building Address --{. ·, , • J ;v ,ia~ t u ;1,P°:P :·· A .
.. : • '-'·-~.,.JI_..:• ·-' •• .. . :. .... ~ ....
NOTE: Aherot;ons, chon;es, additions or chan·
-------___________ .,,.....,.....,....... ·--------
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