HomeMy WebLinkAbout2815 VIA TOPACIO; ; 80-689-K; Permit,~,!.~!r~o,, o,=_,~,
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
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
(S500).
□ I, as owner of the property, or my employees
with wages as their sole compensation, will do
the ._ork, and the structure Is not Intended or of-
fered for sale (Sec. 7044, Business and Profes-
-~ Code: The Contractor's License Law does
,. 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-
1y to an owner of property ••ho builds or im-
,)roves 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 _____ , 8. & 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
~~~~(s;;-~"'15: COMPANY / /;,e;
;gcopy Is fil=~e city.
□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 ($109) 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
,.-hl,-h thl ....... r.-lt I• 1 .. .,., ,aA /(!..,,. '111'1,Q7 f"h,lt f",,.Aa\
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS tRr • IDAT7 °/ io;'BA{)IOM 2 18 1 1 1 5I,--(VI i I <} 1 T I 01 Pi f p Ii IOI I I I I I I I I I I I I
OWNER OWNER' 5 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
rs BLOCK lsullf~~~1 I 1,AS ES1~r~~C~LoM;. ,3 I 7 ,.,ti) 0'Sf~i\ey M. Drasin
f ESCRIP TIO:'hF WORK
Town ouse Plan 20C f~~'!5~ s tl'~"n~ur a Bl.
Encino, CA.
CENSUS TRACT GP LANO USE ZONING
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE
19210
PERMIT NUMBER
~if9 K STATE LICENSE gHIX -,. ..... ,. ..... -
,:: 0~ T'1UC"l'O'R' s
1'2'!Y-710 8
eT~1I~MSE
9/ l!,;/8049 fl+
DESIGNER'S PHONE
986-8890
,,,:;r, I
I RES. UNITS I P;RKIMG SPACE sf I NUMBER OF STORIES
Not V•lid Un"1ss M•chin• CMtifitJd
BLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN# l~a:it~ I TYPE CONST locc;;;u-J l
QTY. PLUMBING PERMIT AM~ QTY. MECHANICAL ~ERMIT AMT.
-, ~
'7 EACH FIXTURE TRAP /J'. . / INSTALL FURN. DUCTS UP TO 100,000 BTU "J"-'7"'
I EACH BUILDING SEWER • ..5 •· V OVER 100,000 BTU
J 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 0 R MO RE BOILER/COMPRESSOR 16-30 HP , , -
EACH INSTAL., ALTER, REPAIR WATER PIPE y VENT FAN SINGLE DUCT ~V" 11<?. (} ?~ .. ---EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST HOOD/DUCTS ~ [77\T -------,,,.,,
I "''" -J
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT I ./vf'i7. I
TSSUE 3 .00 ISSUE J .UU SIGN PERMIT 2ll I , I I I .
TOTAL PLUMBING ~ TOTAL MECHANICAL /'/'/ PLAN CHECK //?,~() "/,,./~ Ji/31,() I ,--r.JZ7 ~ d
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT.
TOTAL PLUMBING I -2'".V• VJ V
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL , ~-,. ,r-t7
~ NEW CONST EA AMP/SWT/BKR -2..a.VU AWNING MECHANICAL I.II~~
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 I
OVER 200 AMPS r I I I : I
TEMP OCCUPANCY (30 OAYS} I , I I I
.,.,...,....= 2,00 S' I ''-A 11'\.II -MYT TrY\1 ! I , I I =?.311
TOTALELECTRICAL ,;z 7 Vf:1..-TOTAL FEES PAYABLE I ~
::,
CONTRACTOR I I .ld1 d. .__
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 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
COUNTY AND 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 AND ~ ~ _,,,? -✓ /1 J I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -· A
OF THE GRANTING OF THIS PERMIT. AP ____ ---~----~ ~ OWNERQ CONTRAC~~O APPi~ ~~r~ 11 OA~fi't ~~ /'/.7 ... AGENT D BY PHONE □ 1/-n . ~ "T --...;;::-
• w < Cl
~ >
~ i= ~ 0.. Vl ~
SITE .9'0-~q. ~ ADDRESS: OWNER: PERMIT NO: .. FIEL_D INSP ECT ION RECORD
INSPECTOR'S NOTES
. -INSPECTION DATE INSPECTOR
WOOD FLOOR .
FOUNDATION • FORMS• SET BACK • TOILET
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 .
"~"t.
FRAME "' ., .-:
ROUGH ELECTRICAL .
~.=:. ,' ROUGH PLUMBING
ROUGH HEATING/VENTILATING ,. '
FRAME OK • PLACE INSULATION •
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE
EXTtRIOR LATH OK • PLACE STUCCO ' ~
... FIREPLACE .. .
DAMP ER 8: ST.EEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
.. (
SEWER
GAS TEST
SWIM POOL • STEEL BONDING \
• PRE DECK ~-., .. _,~-\
• FENCE PREPLASTER ~ ...
SHOWN • FRAME ~/& -.if.t'.•·~~-.:..~-....... ... -
• PAN ~A, 1/.~
FINAL INSP BY BLDG DEPT ·7 1Vt~
OTHER DEPT'S REQ COMPLETED /n.\ ~ .
ELEC METER-PERM-TEMP , ~ 1':o-
GAS METER-PERM-TEMP , ' ~
CERT OF OCCUPANCY ISSUED .
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l illrrfiftrutr rif ®rrupuury ~ f
CIT)' Of< -<;A!U.SBAP ~ ~
This Certificate issued pursuant to the requirements of Secti;n~~~);
~
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. ~~ u .. c, ... m,,.,m Single Family Dwelling ""•· ••~" N,. 80-689 J
Group ______ Type Construotion ______ Fire Zone ______ Use Zone ______ _
Occupant Load "..:.;.·,.. . ~ Owner of Buildinva;: --~-he , H~gh~apd,,·C9 :,:· \Addreu ~3105 Ayenid
0f: de Anita ~ Building Address -!i-?18'15 ;~i'ct TOJ;';C\O~ -.\;~ality Carlsbg~~:•,Ct.,•'.':?2g08 ~ • .{ • .er~ .. ~"'~-ff..,. ,-,.1.,t··-· ~-~ Jt.\1~•,·,, t:'.J~.Jt,'.$• ~ ~ .. •~-...
~ ___________________ By_----b~c..,c....a,:;.=..14,-_...,;..::::....:;..=:::::.....;::_==---
~ • Date 7-31-81 __ _
~ HOTE I Aheratlaru, changu, addition, ar chongu of occupancy nulllflu 1h11 urtlllcote,
t ~
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