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HomeMy WebLinkAbout2738 VIA TULIPAN; ; 80-689-I; Permit;fJ LICENSED CONTRACT0'fl'S DECLARATION I hereby affirm that I ali'i 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). 0 1, 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 reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, ot a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec.~~el,-/ POLICY NO • ...,.=~~-...... -~-'~---- COMPANY G '-obc ~opy Is mlidwl1htadt; • □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 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 ,.,.,_,..,..., tkl ..... arr'ftlt le loe1ta.A /f'.:,,,..,.. "lllno'7 ,...1.,11 (',..,,ta\ CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (7 14) 438-5525 2 7 1· 8 V i et JOB ADDRESS N tRr IDAT7;io;'ftolON a e eern,t:,9- I I I I I I I I I I I I I I I I I 1\~YP,~ 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 LOT BLOCX I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER 20 72-21 1 1 11 7 ... 11 , ,1 , n1 ... A r1. ,, i-. Sidney M. Drasin DESCRIPTION OF WORK l Townhon!=:P Pl::::in ?r\21. t'ei!fss "tf&W't::ura Bl. Encino, CA. CENSUS TRACT GP LAND USE ZONING sf APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 19210 /IJ~rr;J STATE LICENSE 342407 CONTRACTOR'S 7'2>~7108 ST ATE LICENSE C-1798 DESIGNER'S PHONE 986-8890 ,:u -., .., l_, -~ I RES, UNITS I ~ARKING SPACE I NUMBER OF STORIES Not V1lid Unktss lbdlin1 c.rtifild BLOG SQ. FT. BLDG USE occ. GP I ST AN OARD PLAN II Wo~fr I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICA(pERMIT AMT. e:::Pv -, 4 EACH FIXTURE TRAP tK.OC 7 INSTALL FURN. DUCTS UP TO 100,000 BTU ~OU I EACH BUILDING SEWER .!:T:d'JJ OVER 100,000 BTU •. I EACH WATER HEATER ANO/OR VENT ,, ~ t/J) BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS "'J ,t/l) BOILER/COMPRESSOR 3-15 HP , EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE " VENT FAN smGLE DUCT d.. t/1) 7'6)080--EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS ~-~ VALUATION : WATER SOFTNER T RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . Jiru..n,o TC:::C:::TlF. 3 . .00 TCCTlD 3.00 SIGN PERMIT Jo I . I I I TOTAL PLUMBING TOTAL MECHANICAL tf_tl) PLAN CHECK// f', 6a -iA'-...o t i.t>JoO I 1QvJ.-OiO CONTRACTOR 3~.(/7) CONTRACTOR ALL INCLUSIVE PERMIT I ' I I AMT. TOTAL PLUMBING L~l/l-""ll/'l QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I -91 "1. A l /') NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I J ~-l'.:V••:: JI/) 1 PH .25 3 PH ~,,,._m PORCH MOBILE HOME (1 I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I , I I I 1 PH .25 3 PH RAMADA, CABANA 4502:>-TVTAL-I , ~Al ,. A/) REMODEL/ALTER PER CIRCUIT FENCE OVER 6' (tu.d.. l'C ~ I , /1 ,~. /·_10 TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-f.K'M ~' 1 I I J-I OVER 200 AMPS ,e:: 11 b ,f 6" 1.:,,,q, L,f) /;. 'F6"G I . t t/)_J"'J :At( TEMP OCCUPANCY (30 DAYS) '<._ I . I I I TC..C:::TW. ?.nn STR)NG IDI'ION: I . I 1S1..::iir TOTAL ELECTRICAL ~7.~ TOTAL FEES PAYABLE I .{h~I0.711 CONTRACTOR I I . I HAVE CA REF ULL Y EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-Q"' DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHCX)L FEES: COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~ SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND --~ / -/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APP -_,...~ ,,('~ERQ CONTRl~AIPPRl~V .~~'H ff: 1/iATf?'·-4 ~~~~,/ -✓-AGENT □ BY PHONE □ v ·1 ✓Jif <---'--' -.._... ---7 ! < 0 ~ > ~ ~ ~ Q.. V') ~ SITE ADDRESS: ... INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET! UNDER FLOOR PLUMBING 1 UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH EL ECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WAL LBOARD WALLBOARD OK·• PLACE TAPE EXTERIOR L ATH OK • PLACE STUCCO FIREPLACE DAMPER 8: 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 BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED ..u7 ~&$ Vi\; ~ lrt LIJ'{'"' ' OWNER: • I\ i J PERMIT NO: '3'0-&>~ :f' FIELD INSPECTION RECORD INSPECTOR'S NOTES ... -, • \ . --..._\ , 'I.. ' -:r:~,, I~\\ ------... illrrtt-firatr nf ®rr1tµa1try CITY OF CARLS BAD 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. 80-689I 0 cc upont Lood " •• ,... Owner of Buildinrr· ..... The-,Highland.-·co ... .. • Ai:Mress _3_l_O_S __ A_v_e.....;:_n_i_d_a_· ..... d_e_A_n_i_t_a ___ _ Building Address" •• !.~ -~;:~~1.)~~p-~~-:: .. ~ ~-L-:coltty_C=a;.::;r:;;.;l=s.;;;.b:;..;a;.:.d~(-C;;:;,A:.:.:..;.;.__ __ • ·~• ------- (Post in contpie:uou~ plcs-co) --------