HomeMy WebLinkAbout2742 VIA TULIPAN; ; 80-689-G; PermitLICENSL~
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 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 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'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
:~~~~(~~-~6~j-/
C9MPANY • ~ 8 (DI!:&,
~PY is flied wit the city. 1
□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 ($10!)) 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).
CITY 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 .
NO. JOB ADDRESS i\~T. ,OAT7 ;io;'rolON
BUS. LICENSE PERMIT NUMBER
2 17 I 41 21 y I ~ 9' I ,:!_I -:, /" r .:i, ~ ,t-?"·;\~U,L,\ ~~~ , 19210
I I I I )0/~!1-6' OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
The Highland Company 729-7108 Highland Company 342407
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
3105 Avenida de Anita, Carlsbad 3105 Ave. de Anita 7'2>!Y-710 8
LOT 20 BLOCK I su7f:~1 I AS-~S-ES7SOR'S PARC1L i· 2 ·Bl 1, -I 3, ,-I 4 I I
O'sl6c'fR 1. ney M. Drasin CT.!f~NSE
DESCRIPTION Of WORK 1 Townhouse Plan 50A ft~'!f~s tp~n.¥ura Bl. DESIGNER'S PHONE
Encino, CA. '186-8890
CENSUS TRACT GP LANO USE ZONING sf
' .. -r •,
R-~ I RES. i'TS blP~ACE
• & -
I NUMBER Of STORIES
Not V•lid Unless M•chine c.rtifi«J
BL OG SQ. FT. BLOG USE oc~ ~P/ I ST AND.,,RD PLAN # l?o~R9 ITY~_:~ I OCC.;;A/) V I IMCP SFD I
MECHANICA(PERMIT
-
QTY. PLUMBING PERMIT AMT. QTY. AMT.
II EACH FIXTURE TRAP ,.{J.__l)_f'"n I INSTALL FURN. DUCTS UP TO 100,000 BTU A. .t} f)
I EACH BUILDING SEWER ,:;-: dl) T OVER 100,000 BTU
I EACH WATER HEATER ANO/OR VENT n_OJJ BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS '} -dfj BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 A MO RE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE cJl., VENT FAN SINGLE DUCT d--/Jll t~ if5: --EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS -~-tllJ VALUATION:
WATER SOFTNER
---,
RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT . ~, /11. ()17J I
TC::C::TW. 3 .. 00 ISSUE _j •. uu SIGN PERMIT •J• I I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK /0/. IJr-i.,./~,,.J U.ti I . /1 /'JQ t:r~
CONTRACTOR MOtJ CONTRACTOR /4,,. ti/) ALL INCLUSIVE PERMIT I I I
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING 1.?-uf. /"'10
ELECTRICAL I -?L-1. J?I 0
NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL I /'.4. r>I I",
/{/l) 1 PH .25 3 PH ~vtJ 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 -=s--u e. -rorA I ,A,~.~
REMODEL/Al TEA PER CIRCUIT FENCE OVER 6' ~-PC FE::€-I • IIAI I .Ql..5
TEMP POLE 200 AMPS TOTAL MOBILE HOME ,,.,ee Fl tM I • 'I I I
OVER 200 AMPS Tl:>TA-t.,.. ~,,.. I . ?I ~4 :/JI C""
TEMP OCCUPANCY (30 OA VS} I I I I
ISSUE 2.00 '-'' t(\ -IVI '"'. I I t4.5.8
TOTAL ELECTRICAL .01-I!) TOTAL FEES PAYABLE I CONTRACTOR I I , 2.i ~8. t/I ~ '
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 0~
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT / COUNT Y AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~ / / / : _) SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBA D AGAINST A LL LIABILITIES. JUDGMENTS. COSTS AND I \ I\ y EXPENSES WHICH MA'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. /"" AMl"1°C ~ _J_ OWNERQ CONTRA~ IAPPRC VED\1l\}J.}\ 1t/l~;ff r1 ·c ~ t:::r /~ ~ AGENT D SYPHONED~ I ·11/ -7 ..,. Tt
! < 0 ~
a
j::
~ 0. Vl ~
SITE
ADDRESS:
WOOD FLOOR
INSPECTION DATE
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
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
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
• FEN~E PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED 7
ELEC METER-PERM-TEMP /o,.\
GAS MET ER-PERM-TEMP ~ 71'0
CERT OF OCCUPANCY ISSUED
INSPECTOR
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OWNER:
FIELD INSPECTION RECORD
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I PERMIT NO: io--~95'1 -&-
INSPECTOR'S NOTES
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illrrttfirat.e of ®rrupttttry
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.
~ Single Family Dwelling 80-689G 1 Use Classification __________________ Bldg. Permit No. _______ _
~ Group ______ Type Construction _____ Fire Zone ______ Use Zone-_____ _
~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Occupant Load ~ ' -~
Owner af Buildin9""r--· :.I'he ,Highla;,.d,'·Co. ff • Mdress 310 5 Av,enida d e Anita
ir' F ' 2.,_,. ,.,, ~-,,· ' T 1. -C--l -b~d--C-iA-----------
8 •id· Add •• .>-·rr..::'--v-.l.ci?' u ipan ,. ar s a , . • ., ~ ut tng ress ... ·, 1 .. , ~ • :-1 • • J ,. t i ., . • ·i.· l'!f ; ... ~ -~-..> ... f-l.~-~ .~ .. • -
NOTE: Alte,ations, changes, odditiOfts or chonges. of o
(Post in corupicuous pla
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