HomeMy WebLinkAbout2813 VIA TOPACIO; ; 80-689-J; Permit1,,.,o-,AAo,o,·, oec~AAno,
I hereby ar!Jrm 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 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).
D I, as owner of the property, or my employees
with wages as their sole compensation, wlll 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 _____ 8. & 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'
Compensation Insurance, or a certified copy
:~~~~~<~~-~~~g~~ I
COMPANY ~ Jo fe
~PY Is flied wl ~he city.
D 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 (SHlO) 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
u.,hl,-.h thlet no,rnit le l•c:11oA f~AI" 'V\Cl7 r:lvll t"'.nrlA\
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
2 8 :f· 3 fV I \ ~ JO.B ADDRESS tRr IDAT7;to,18AOIOH B19\2'£NdE PERMIT NUMBER
IT, o, P a C l. 0 r I j I • I "1 I I I I I I I I I I I I I I I I I J»ff9 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
The Highland Company 729-7108 Hiqhland Cornpanv 342407
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
3105 Avenida de Anita, Carlsbad PHONE
3105 Ave. de Anita 729-7108
1"7 BLOCK I su"f:z'!2~1 11 As9s;;~:?PA1E1f.2,; 3 6 •0.0 0'SU!fley M. Drasin sieuFr,'8E ·1 I I I I I I ·1
DESCRIPTION Of" WORK , 'T'nt..rn hn11 c, <=> Pl :on i:;.()nl) 1iaisss '1'&fl5t:ura Bl. DESIGNER'S PHONE
Encino, CA. 986-8890
CENSUS TRACT GP LAND USE ZONING
'HI, ·;1 !
/L-3 I RES. UNITS I P;RKING vJo sf I HUMBER Of" STORIES
Not V•lid UnlltSs M•chiM c.rtifi.t
8LDG SQ. f"T. BLOGUSSrb £-g I STANDARD PLAN# r~~l~f' rYPEP~ locc. io0-, I /7~0 •
MECHANICA(PERMIT QTY. PLUMBING PERMIT AMT. QTY. AMT.
/l EACH FIXTURE TRAP "'~~ / INSTALL FURN. DUCTS UP TO 100,000 BTU ~~
EACH BUI LO ING SEWER ~,-., / OVER 100,000 BTU
, EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP .
I EACH GAS SYSTEM 1 TO 4 OUTLETS y"!' BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE '7 VENT FAN SINGLE DUCT .y'r-(1 7Y, cf'oo. ----EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ~ VALUATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ./ .A. 31 7. OIZ> I
TCCT:T"[;, -:i . ("\("\ TCCTTJ.' ~ ()() SIGN PERMIT .. JP I . I I I
"TOTAL PLUMBING
..?¥.~
TOTAL MECHANICAL I'/~ PLAN CHECK / SY, (J.5'4--A..., / '-/ 3/io I-. f> ~
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT.
TOTAL PLUMBING ~ldd-0
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL 1?(-,. Vf8
/;'f'O NEW CONST EA AMP/SWT /BKR ),--$_ ,, ~ AWNING MECHANICAL I ; I /J. v>r0
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 I . I I : I
TEMP OCCUPANCY (30 DAYS) I . I I I
TC::C::TTI<' ? . ()() STOONG M:Jl'IOO: I I tg""7_.l.--lY
TOTAL ELECTRICAL )_7~ TOTAL FEES PAYABLE
I . )(Sf/. £1-CONTRACTOR I I .
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO 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 SCHOOL
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-~ / LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND --_..; .J /' ,/
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ' OF THE GRANTING OF THIS PERMIT.
~
SIG....,.IAIF• ~ /~INERO CONTRAC~e!r'ipi Vl~vt'UJ 1/);/UJ ~ ~--r) AGENT □ BY PHONE□ I --I.I" -I/ 7C -.;;::-1 T"T
• UJ ~ 0 ~
~ j:::
hl 0.. V) ~
SITE '· ~-{?~ -:r-ADDRESS: " OWNER: PERMIT NO:
FIELD INSPECTION RECORD . .. -.
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR .
FOUNDATION• FORMS• SET BACK• TOILET . -
UNDER FLOOR PLUMBING y..
~ ·-UNDER FLOOR HEATING r
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 T.APE ' < ·, ' '
EXTERIOR LATH OK• PLACE STUCCO --.
I ..
FIREPLACE ,•
'. . . , DAMPER & STEEL ,·
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER ',
TEMP POWER (POLE) .·
SEWER
GAS TEST
SWIM POOL • STEEL BONDING ,,
• PRE DECK /
• FENCE PREPLASTER -AV
,' ·, . \
SHOWN • FRAME .... ' ?),I/ _,.;F'
• PAN ~\~;. !'AL<
FINAL INSP BY BLDG DEPT lv'-1/. r
OTHER DEPT'S REQ COMPLETED /(l)'O '
ELEC METER-PERM-TEMP / "'\!V""
GAS METER-PERM-TEMP .
~---de,
CERT OF OCCUPANCY ISSUED •1. \ ..'l. ' -i\ -"
X M-~~~~AMMA ,.. ,.. ,,. "' "' Vl;.\.1~,v~ ~)( 1 (!li>rftfirat r of ®rruµaury i
1 CITY _ OF CARLSBAD ~~-~i'll" i
)
~ 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 applicaole ordinances of the City ~ 3 regulating buil~i ng cons~ruction u~e. • ~
1 U Cl ·•· t· single Family Dwelling Bid p ., N 80-689 J E "' se ass11ca ,on ___ ..::_ ___ --=-----=-----g. erm1 o, ______ _
Group _____ Type Construction _____ Fire Zone _____ Usa Zone______ "'
~ Occupant Load ·• :i.-;.. "= ~ OwnerofBuildinV";s_Whe-,Hi_Fh)3;_and.'C~:., •• kActd~es• ·910~ .~~enid¾ .at ~nita ~ ~ . Building Address .!~ +~a·J:'3;Vi~ lOPfrCl,O !-· \ocality" Carl,~b<l~'t,',",CJ\:· I~).!.; ~J, ~ • {.a .,o.+? C -• J,., •:: -~k~
~ ________________ Date 7-31-8~---_
~ ~ NOTE: Alterations, chongH, additions or chon·gH of occupancy nulllflH this certificate.
~ (Post In conspicuous ploce) ;j:
~WffWMMM MMMMMMMMMMMM M~ww~~wwnwwx
~;-'.11
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