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Home My WebLink About2740 VIA TULIPAN; ; 80-689-H; Permit,CTOR'S DECLARATION I hereby affirm thli't I am licensed under provl• slons 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- fecl. OWNER-BUILDER DECLARATION O 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 appllcanl for such permll to file a signed state- ment lhal he Is licensed pursuant to the prov!· sions of the Conlraclor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or thal Is ex· empl therefrom and the basis for the alleged ex• emption. Any violation of Seclion 7031.5 by an ap- pllcanl for a permil subjecl s lhe applicant to a civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees wllh 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• slons Code: The Conlractor'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 nol intended or of- fered for sale. If, however, the building or improve- ment is sold wllhin one year of complelion, the owner-builder will have lhe burden of proving that he did not build or Improve for lhe purpose of sale). '.JI, as owner of the property, am exclusively con• tracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contraclor's License Law does not ap- ply to an owner of property 1•ho builds or im• proves thereon, and who contracts for such pro- jecls with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ B. & P.C. for this reaso.~------------ Dale Owner WORKERS' COMPENSATION DECLARATION I hereby affirm lhal I have a certificate of con- sent to self-Insure, or a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec.~ L't!JyCo~ POLICY NO. t, CO)IPANY -ff£~ fJ,/ 8 lo-b(3- _J:i4;opy Is Iii~ tie city~' □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need nol be completed if the per• mil Is for one hundred dollars ($10IJ) or less). I certify thal 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 lhe Workers' Compensalion 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 ...... ,,. ...... , ........ .--a , .. 1 ••• ,...,. ,c::,.,,,,. "U'Kl7 t"'lull t"'.nl'IA\ . CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 2 7 ,r o V i (i C JOB~AOORESS tRr-lom1r1AU'f81JION a e I I 3 1 ~ I ~ ;tlulL) 1PA1N I I I t I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR The Hiqhland Company 729-7108 Highland Company OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ".ll nc; Zl.u,::,n; rl;:, de Zl.nita. Carlsbad 3105 Ave . de Anita i"O BLOCK lsu9f2'~!n_ 1 1 A56ESSfR'~PASCE~No-O _ 4 3 tJ OESdNER I I I I I I I I I I I Si ney M. Drasin DESCRIPTION OF WORK 1 'T'riwnhn,,~~ Pl ;:,n nOAR fi~ig~s ~E!RI1tUra Blvd. R nci nr,. r'ZI.. CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 19210 ro11r If STATE LICENSE 342407 CONTRACTOR'S 12'l)E_ 7108 c,1.!Y7LgC/J/SE DESIGNER'S PHONE 986-8890 'I I 7r1 I ,R-3 I RES. UNITS 1 P;RKING s~/o sf I NUMBER OF STORIES Not V•lid UnltJss Machin• C.rtifi,d BLDG SQ, FT. BLOG USE 2.· .3 I STANDARD PLAN# i~~l~#tJ>f ITYPE7A/ 10;;:o-/ I /?&>t1 S/LJ QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL ~ERMIT AMT. /I EACH FIXTURE TRAP "?2.."0 / INSTALL FURN. DUCTS UP TO 100,000 BTU V .t?t/ / EACH BUILDING SEWER ~ _7/'7J OVER 100,000 BTU ' I EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS ~v BOILER/COMPRESSOR 3·15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE :z VENT FAN SINGLE DUCT '"7'".(/77 7Y. ~oo. --EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ~ VALUATIOO: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ,, I .e,(~ ()7r(J -·-- ISSUE j._uu TSSUE J.uu SIGN PERMI--C.-----kO ' I I ( I . TOTAL PLUMBING 3~~ TOTAL MECHANICAL ;f~ PLAN CHEqK IS-//,or1.A;.,,2.L1> ) I . /1/ LI'. ST o CONTRACTOR CONTRACTOR ALL INCLUs1¥E PERMIT ./ I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING ~ I ~ld.,?17J QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1.;2.i'"?.~ v~ NEW CONST EA AMP/SWT/BKR 2.5--:-t:r-C AWNING MECHANICAL 1/1¥.~ 1 PH .25 3 PH 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 ,-1;;--,.._. ~.~~~ I . I 1<: .,~- TEMP OCCUPANCY (30 DAYS) ,,, ✓ . ~ -, ,~3 L.i:' .--r,Jr /,u.,,r___ T<"'C'TTC' . ? . ( ) tf?.AA /; C', ~ . . r-; /1Sf~.' d IS--~7~ TOTAL ELECTRICAL TOTAL FEES PAYABLE ,2.y/1 I L 1 C} CONTRACTOR . I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO 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 ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; 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• /i/1 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 r.-RE" 7 -,£/OWNERQ NTRA~APPR0>7~1''fi7/J.7/L !Z;:Y ./~--' ~-~ ~--/ ----~ 1 ; AGENT □ BY PHONE 0 / ..~ = ... -~ ---7" I ! ~ 0 ~ > ~ j:: ~ ~ V) ~ SITE -r-2o-~~-G ADDRESS: I OWNER: • ' , . PERMIT !'TO: ·-FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR -. INSPECTOR'S NOTES WOOD FLOOR , . ' FOUNDATION• FORMS• SET BACK • TOILET .. .. t \ UNDER FLOOR PLUMBING . . . . I --~ -- 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 TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK , • FENCE PREPLASTER / SHOWN • FRAME ~'-S r-1/ • PAN <I."/ M FINAL INSP BY BLDG DEPT -/ . OTHER DEPrs REQ COMPLETED /.Jo' . ELEC METER-PERM-TEMP XQ!"' GAS METER-PERM-T EMP / CERT OF O~C UPANCY ISSUED . LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• 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 ef• feet. OWNER·BUILDER DECLARATION O I 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 the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi• slons 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 live 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•bullder 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 1•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. tor 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 certih copy thereof (Sec. 3800, Labor Code). POLICY NO.·--------\-l~~-COMPANY ________ ,;t,..-'~,::.._- □Copy is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FR WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per• mil is for one hundred dollars (S109) 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: II, alter 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 u,h1 .. h•h1 ................. 1 .. 1 .. .,.,~/C:,.,. '11\07 f"lullf""AAa\ CITY O F C ARLSB A D-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- ~N6 ~TH~N RED LIN_E_s._ HO. JOB ADDRESS AV. ST. IOATE OF APPLICATION BUS. LICEHflE PERMIT NUMBER RD .:I -~ 2.1'11~101 1\1111A, 1P1E.1 1C1A 1N 1-r.o 1 I I I I I I I I I I I I I I -..!I -/ /'i"~/0 ~rtf'9c OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE 77k. flru-1aw.o ~ ~ •• y .-~-7L~-1/P? ~ ffeUt(l:A(VP ~ y-~;. ·;' l:J'I-Z. 'f-t9 7 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S ..:,1 os-t4,leM:P<'l k ,4,1,Jml . ~ -::;J( as-/fclBVt.Pt'l Pe A,<Hn'l PHO~ 7Z -71&'8" ~.,f BLOCK !SUBDIVISION I ASSESSOR'S PARCEL HO. 5". DESIGNER STATE LICENSE 7e· -LI / I 6 I 1 I -1:J iJ I(!) I -,2._ 1· I DESC~O~ _or WORK ., - ,r_,,,v,?/'fAf?V r-r~{~ r ~.£~•-. DESIGNER'S ADDRESS DESIGNER'S PHONE i2.01 / ( 2/0S/81~31u -'·-.. - CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE I HUMBER OF STORIES Not Valid UnlllSs Machin• c.rtifi«I BLDG SQ. FT. BLOG USE occ. GP I ST AN DARO PLAN II I PLA;;;:b?1 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER .100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS 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 ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT l . I I I ., .... ~.,., ... c :;> Pv r --~ • A t..:3 t)p SIGN PERMIT I . I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I ,- QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I / I )/. % NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL ( I I 1 PH .25 3 PH 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 .A"7A'.---)... • ./ > I I I I REMODEL/ALTER PER CIRCUIT / .A v FENCE OVER 6' rt-I . I I I I TEMP POLE 200 AMPS J:i!E~, ~ /~-1/ TOTAL MOBILE HOME MICO -FILM I . I I I OVER 200 AMPS , I I I ; I TEMP OCCUPANCY (30 DAYS) I . I I I /A A/,~ ,_) -"" --I . I I I TOTAL ELECTRICAL ;// .,,. TOTAL FEES PAY AB LE l {111__.,. CONTRACTOR ,, . I I 1/1Y.1" I 5 ~ \ J"~ /J..,, ./ I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO DO •AN OSHA PE AMIT IS REQUIRED FDA EXCAVATIONS OVER ' HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-Q" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTH EA CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT ~NJ ) 1J./, 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. ~r~::::~ CONTAACTOAQ !APPROVED BY I VIP/ '16/Yf BY PHONED ~ C 1 BP • w < 0 ~ > 5 j::: 1:rl a. Vl ~ -- )( ~ l ~ ~ ~ ~ ~ ~ ~ 3 QI i> rt if i r a t r n f ® r r tt µ a tt r 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 Clossificotion __ s_i_n_g_l_e_F_am_1._· l_y __ D_w_e_l_l_1._· _n_g ____ Bldg. Permit No. 80-689H ~ Group _____ Type Construation _____ Fire Zone ______ Use Zone _____ _ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ NOTE: Alt•rotions, changes, addition, or chon9e1 of occ (Post in conspicuous ploc• )(~MMMMMMM . ,