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Home My WebLink About2741 VIA TULIPAN; ; 80-689-AA; PermitLICEN~NTRA()j"OR'S DECLARATION I hereby affirm that.f'am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes• slons Code, and my license Is in full force and el• feet. 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 lhe applicant lor 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). D 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. II, 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 sate). '.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' =~,~i~JtZ::u~ POLICY NO ~ C MPANY / ~opy Is fil::hheclty. □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• tlflcate 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 whll"h thlc:t norm It le loauaA l~a,.. '\n07 r:lvll (".nrlA\ CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 2 7 i· 1 V i d e e JOet,AOO~ESS tRr· I0AT7 iio;'s"'itN a I I ~I !~ I I 1\~LIH=:~ 1 I I I I I I I I f I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR The Highland Company 729-7198 Highland Com. OWNER'S MAILING ADDRESS 3105 Avenida de Anita, Carlsbad CONTRACTOR'S ADDRESS 3105 Ave. de Anita t'9 BLOCK 1su8f~~~'i I J,AS~S7R'V~Rcr N~-, ~ ~ -l(V oEs'S'!finey M. Drasin i ESFflPTIOMF WO~K Plan SOAR -_..,.. __ ..... -· own ou e ~,.,1'1!:Jt'S ~vvncaa C1 .D.J.. Encino, CA. CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 19210 ft A STATE LICENSE fOrbf q 342407 CONTRACTOR'S - 112?~7108 e.&.'I~ffSE DESIGNER'S PHONE 986-8890 ; It. jlfj ~ I RES. UNITS / I PARKING;;~sf I NUMBER OF STORIES Not V•lid Unlt!ss M•chiM Cmifi«J BLOG SO, ;·.t/~t BLOG USE ~ ~ I ST ANO ARO PLAN II 1~;~lg9 TYPE7 /4/ loc:;o;V I _/7~.P I ' QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. // EACH FIXTURE TRAP ~_:)_v-/ INSTALL FURN. DUCTS UP TO 100,000 BTU o/.vv , / EACH BUILDING SEWER S'tr" OVER 100,000 BTU / EACH WATER HEATER ANO/OR VENT u(I-<) BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS 'Vfr"I 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 YtrU 6[6f.J,: -EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HODD/DUCTS ~ VALUATION : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I .~7.e:rv TC::C::TTR ~ nn TC::C::TTR 1 .on SIGN PERMIT eh I , I I I TOTAL PLUMBING 3'/.11--TOTAL MECHANICAL /~~ PLAN CHECK /,'"/, /)~.),IC Jo.Pit 1~13...Z~ CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING l~i.dat:7 QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I ~'"7dt:J vo-0 NEW CONST EA AMP/SWT/BKR _J~ AWNING MECHANICAL I x4('.1f'O l PH .25 3 PH PORCH MOBILE HOME I I I 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 I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 AMPS I I I ; I TEMP OCCUPANCY (30 DAYS) I I I I ISSUE 2.00 Cmnr.u,-, ur,mTAn _ I I 14-(...51~ TOTAL ELECTRICAL ;l_7~ TOTAL-FEES PAYABLE-•• 1 .~63~ CONTRACTOR I 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 ANO I 5'•0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEES: COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ ~ -...... / , -- EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APP,=~1 E• 7 ~NER0 CONTRACT:~APPP~OV •~~ ~>fib~ 7" • ~~ AGENT D BY PHONE □ r --r ---;T7 I 7 • ~ ~ ~ ;::::: i:rl 0.. Vl ~ SITE ~ .. ,, ' ,. $5'0-·b gc; -A A ADDRESS: OWNER: ' .. PERMIT NO: ' • 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 . - 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 C • WALLBOARD OK • PLACE TAPE . EXTERIOR L ATH OK• PLACE STUCCO ' FIREPLACE DAMPER &STEi::c-· •. . ~~ -PLATE TIES/HEIGHT OF C HIMNEY - OTHER . -TEMP'POWER (POLE) -<. SEWER GAS TEST SWIM POOL • STEEL BONDING '· • PRE DECK • FENCE PREP LASTER i· ~ ':,.· SHOWN • FRAME / • PAN .!'I< v/ FINAL INSP BY BLDG DEPT G,\~j vi'~ ..... ;, . ~ /, .__,,~, ~ OTHER DEPT'S REQ COMPLETED --,... ELEC METER-PERM-TEMP /i )•CJ - GAS METER-PERM-TEMP / I()~ -CERT OF OCCUPANCY ISSUED - )( j"l ~ ~ ~ ~ ~ ~ illrrttfiratr nf ®rr11µa11ry CITY OF CARLSBAD This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifies that at the t ime of issuance this structure complies with applicable ordinances ot the City regulating building construction use. 1 3 80-689AA 1 Single Family Dwelling ; Use Classification ___ .....;;.. ____ __::;__ ____ ..:::.__ ___ Bldg. Permit No. "" Grovp ______ Type Construation _____ Fire Zone ______ Use Zone _____ _ ~ Occupant Load ··• --.-;,. ~ ~ ~ ~ ~ ~ ~ ~ Owner of Buildinirr·r-.-·'Pha ,Hi~h,~and:-·c-o • .,.·•·M dress • 3105 Aveni da de Anita Building Address'l',\J'~J-4-r-;:V-.i:cri' TuliJ2an ,t·:'Locality Carlsbad , CA . 92008 . ·-1-~ ... -Yt .. ·~-~J; .... t.4 t;I:' ~:'-,.. .. ".·,--♦:-. ► ·,:· ~,1""" .... . ~ '"':.~ -, • '. ·. ·-..-~ ~~ NOTE: Alterations, changes, additions or chan·gH of occu (Post in conspicuous p lace) --~MMMMMMM ··' ... _________ --~-r-