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HomeMy WebLinkAbout2811 VIA TOPACIO; ; 80-689-NN; PermitLICENSED CONT&fACTOR'S DECLARATION I hereby affirm thfit 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 el· feet. 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). □ 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· slons 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 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 thereof (Sec!~~ld~'/ POLICY NO :.J.+l"'-'~L;~=!.-. •----- COMPANY /obi;, :SC0PY Is filed~~lty. □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 w!)lch 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· tlflcate 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 fen• ding agency for the performance of the work for whlr:h thi,c nArmlt l!CI l!Clllli11Arl tSAr. 1097. Civil Godel. C ITY OF C ARL SBAD-B UILDIN G D EPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. 1jp JOB ADDRESS 2 8 ~-1 Vi a TO pa Ci 0 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I tRr·r)ioiaolCATIONI r9·2LtrSE ~-~("1"'"p~ OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE The Highland Company 729-7108 Highland Company 342407 OWNER'S MAILING ADDRESS CONTRACToR•s ADDRESS CONTRACTOR'S 3105 Avenida de Anita, Carlsbad 3105 Ave. de Anita 1~~-8108 ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE i°?a BLOCK lSUBOIVISION 72-21 1 Sidney M. Drasin C-1798 9/19/ DESCRIPTION OF WORK 1 Townhouse Pl an 40A 1~2s5sv&i\~ura Bl . DESIGNER'S PHONE CENSUS TRACT GP LAND USE BLDG s:;;;~; BLOG USS'~~ QTY. PLUMBING PERMIT -// EACH FIXTURE TRAP j EACH BUILDING SEWER / EACH WATER HEATER ANO/OR VENT ·1 EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE ---- EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TCCTTJ:.' TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT /MNEW CONST EA AMPISWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMPISWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI Encino, CA. 986-8890 ZONING IZ-3 l RES. UNITS / I PAR~??; sf I NUMBER OF STORIES Not Vt/id Unless Machin, Clrtifild l/3 ST AN OARD PLAN It llJ 1.:~s,7 ONST TYPEC/M r:;;u-/ l AMT. ":\ .()() 3/~ AMT. :2-?t?V QTY. 7 MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP 80 I LE R/COMPRESSO R 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOO/OUCTS RELOCATION OF EA FURNACE/HEATER TC::C::TW. TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME AMT. , / -r--.~ r b~ 2 .-.o II VALUATI ON: 6>36'£---~,, I ,-4/d. ~ ;p BUILDING PERMIT ·:L ()0 II SIGN PERMIT .1/J I I -;-I I . I /C ~ PLAN CHECK ./\\, ;-\'>'oO / ' • ALL INCLUSIVE PERMIT I I . _L_ I AMT. TOTAL PLUMBING I I 31~ ELECTRICAL I ! .. 2(.7 ~ MECHANICAL I 1./16. 'F MOBILE HOME I l I . I SOLAR I I , I I · J I , I I • I I , I I • L MICO -FILM I , I I . I I , I I I STR)NG M'.Jl'I ON: I • I I · __l I ._ l 11/d17 ! < 0 ~ ~ j::: ~ 0.. V) ~ J.~~TW. TOTAL ELECTRICAL CONTRACTOR 2,00 o2 7 ~1 I I 11 TOTALFEESPAYABLE l . I _l _)i£i2 ?r- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, 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 CAR LSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY YYAYACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5•.o" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT ,:;,c,i:,,c SCHOOL .ci=..:>: _/'/ ~- __, .4 ~~ -_/-~RO i~~~~AGENT0 --C> 7 ' CONT A AC~ ;r DijUfj BY PHONE □ l, __L • I Li 1 1fiJJf ' SITE ADDRESS: ' . ,.., OWNER: PERMIT NO: ~~gq __ IJ N C FIELD INSPECTION RECORD - INSPECTION DATE INSPECTOR INSPECTOR'S NOT ES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET Uf)IDER FLOOR PLUMBING • •,:lo > -. , ' , . . . ,---fC~ ~ ----.i,,' =--· UNDER FLOOR HEATING -.. •· OK TO INSTALL SUB FLOOR '. - SLAB FLOOR C f ' . 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 . DAMP~R &STEEL" . ..... .. . PLATE Tl Es/HEIGHT OF CHIMNEY -- OTHER TEMP POWER (POLE) ..... _ SEWER -GAS TEST SWlM POOL • STEEL BONDING • PRE DECK ,<) / • FENCE PREPLASTER ' )<"✓, ~/ \ ' ,.,, SHOWN • FRAME ,,~'(y ~ ~ • PAN '/ ,oY' FINAL INSP BY BLDG DEPT / w OTHER DEPT'S REQ COMPLETED / n..\ E:LEC METER-PERM-TEMP /11Q..N GAS METER-PERM-TEMP / "\'V CERT OF OCCUPANCY ISSUED ' , - x !AA~~~~~~ [l'l ~ ~ [l'l ~ /VN,.11\\N\\,[l'l ~ MM)( j <rr rrtiftrutr nf ©rruµuu ry ~ ~ CITY OF CARLSBAD f 1 This Certificate issued pursuant to the requirements of Section 306 ...-.BJII" E j of the Uniform Building Code certifies that at the time of issuance ~ ~ this structure complies wi th applicabl e ordinances of the City· ~ 3 regulating buil~ing cons~ruction u~e. _______ ~ 3 Use Classification Single Family Dwelling Bldg. Permit No. 80-689 NN E Group _____ Type Construction _____ Fire Zone _____ Use Zone _____ _ :( ~ Occupant Lood ◄,"."'..>-~ ~ Owner of Bui I din ,..~.,~ ~,,-:: • #• ;-Act~ress 3 ~ 0 5 Av~~-i _da ., ~;,. t.?i ta ~ ~ Building Address • Locality Carlspaqf_ ··.cJ>.i,;·.:1:-·, 3 ,,i ,, '::· -~-~ ~ ________________ Date 7-31-SJ ~ ~ NOTE: Alterations, chongH, additions or chon·gu of occupancy nullifies this certificate, (Post In conspicuous place) ~ )(WWWW~~~ww~~ff)t. :,J.1~