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HomeMy WebLinkAbout2739 VIA TULIPAN; ; 80-689-Z; PermitLICENSED CONTEIKCTOR'S DECLARATION I hereby affirm tif..'t 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 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 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). 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. 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 sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professio01' 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 reaso-,~------------ 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 ;~~~~(~~--~r~~ MPANY G,C@ ~PY Is fll= hec1ty. i □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 (S100) 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' Compensallon 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 "-.J-\ CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 7 Nl 9 i JOB ADDRESS --;r µ ~-\Pf,t"1) I tR~T. ,DAT7;io;inrN 2 V a a,. e e a Ii ~ ~ I I I I I I I I I I f I I j I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR The Highland Company 729-7108 Highland Company OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 3105 Avenida de Anita, Carlsbad 3105 Ave . de Anita t9 BLOCK I SUBD'1'21~'21 I l ;As~s;7'!.'..'.)'PA~ELcf~ 5 2 -0D ~~'r1~y M. Drasin I I • I I I I ·1• _tE5Ff ($\Jii~6ri0~'e Plan 60A l"e'2'5~s Vgfi,"tura Bl. Encino, CA. CENSUS TRACT GP LAND USE APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 19210 fo/&19-i STATE LICENSE 342407 CONTRACTOR'S '7'29'-7108 (!.!1_1~FfSE DESIGNER'S PHONE 9/19/80Q9f4 ~86-8890 ;:.T• ,I ZONING;~ -3 I RES. UNITS 1 P;RKIN:;;;d sf I NUMBER OF" STORIES Nor V•lid Unless M•chin, CMtifild BLDG SQ. FT. BLDG USE 2: 3 I STANDARD PLAN# 11;:{J>y !TYPE co? A) IOCC~A:-, I /'//() ~~J; ,. QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. // EACH FIXTURE TRAP ::;; ~. v-/ INSTALL FURN. DUCTS UP TO 100,000 BTU ~P-/' I EACH BUILDING SEWER ~ OVER 100,000 BTU J EACH WATER HEATER ANO/OR VENT v.v-o BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS --y. tn 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 o/ '(w VALUATION:,!; cftJtJ.,.--EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HODO/DUCTS ~~ WATER SOFTNER RELOCATION Of EA FURNACE/HEATER BUILDING PERMIT .,, I . _v~ ?.~- T~~TlR 3 .. on TC:C::T1R 3.00 SIGN PERMIT -~ I , I (. I TOTAL PLUMBING ~'I-~ TOTAL MECHANICAL I tf_td, PLAN CHECK /_~~tJ.54.Ai.'~~?/oD I .~r:STs- CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I AMT. TOTAL PLUMBING 1::H~'.d'11 QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1 '21'-,.d'IO /d'() NEW CONST EA AMP/SWT/BKR drrv AWNING MECHANICAL I /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 15 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-FI LM I . I I I OVER 200 AMPS I I I ; I TEMP OCCUPANCY (30 DAYS) I I I I ISSUE 2 •• 00 STRONG MOTION: I . I j 5."" )f / TOTAL ELECTRICAL )._7~ TOTAL FEES PAYABLE l .,ZtPr/. 'f CONTRACTOR I I ; I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT. ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-D .. DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND 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 ~~EES: SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-,4_ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ,.,,,-:;? / ,,,,, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE APP ---~--~WNERO CONTR~CT ll>.PP•~•:/4Y/#/h, P1,i}.~ OF THE GRANTING OF THIS PERMIT. ~~ ~ AGENT □ BY PHONE □ t --- ---, ~ ~ \. ! < 0 ~ > ~ j::: ~ CL V) ~ SITE t ~D-~~9-7 ADDRESS: ). OWNER: f\ '' PERMIT NO: • ' FIELD INSP ECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS • SET BACK • TOILET . . ,. ' ! ... ' . ., UNDER FLOOR PLUMBING . . . --.. :-., ~ "CC. -=-------1,JNDER FLOOR HEATING •. • ! ., ,.) ,~ L OK TO INSTALL SUB FLOOR .. -· --. ,. r ,. .-- SLAB FLOOR UNDER SLAB PLUMBING L 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 ,. l DAMPER &ST£EL .' .. PLATE Tl Es/HEIGHT OF CHIMNEY OTHER " TEMP POWER (POLE) ' ' SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME ~v,......- • PAN ,t',,, I'½\,, FINAL INSP BY BLDG DEPT ') V (2'' .. /Q -OTHER DEPT'S REQ COMPLETED 1· ELEC METER-PERM-TEMP /" AD --GAS METER-PERM-TEMP ~ "t7 ' CERT OF OCCUPANCY ISSUED .._ \, ' .; )( ;a; ;a; ,.. ~ ,.. ,.. ,.. ,.. ,.. ,.. ~ ~ ~ ~~1~.l/:w~J~v~,A A.1~ ... Al~.A~~- ~ ~-~ ~ ~ QirrHfi ru tr nf ®rrttµuury ·ev· ~ j CITY OF CARLSBA D -v:;.,.-~ j VI~~~~~ ~ ~ This Certificate issued pursuant to the requirement s of Section 306 ► j of the Uniform Building Code certifies that at the time of issuance ~ ~ this structure co mplies with applicabte ordinances of the City ?;>-3 regulating building construction use. ~ l Use Classification Sing l e Fami l y Dwelli n g Bldg. Permit No. S0-6Sgz i ~ Group _____ Type Construation _____ F ire Zone ______ U se Zone______ ► ~ Occupant Load _______________________________ ~ ~ Owner of Buildin~-.. The. Hi ghland . Co . ·Address 3105 Avenida d e Ani ta ~ ~ Building Address;-_\ >-~7-3 9~•yi a::T,ul~pa~ r l sba d, CA . ~ ~ • i. ,r • ', • •' • -~' A-~'----~ ~ ~,~--~ ~ __________________ 8 ---\-':c.._:~-+--:c---c--c:-...L..,I.J!!!.==-------~ ~ ----------------~-----~~---~-------t ~ ~ ~ ► ~wwwwM ~MMMM ~M ---------------~ -. ·---~~ ·"""' r 1. • t ? I •