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Home My WebLink About2807 VIA TOPACIO; ; 80-689-LL; Permituc,:1,; co,,-.cw,·s oeCL<RArn, 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 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). 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 ot- tered 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 ot 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, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. ~~Ir~,eL/ POLICY NO--.,_c...,..-4-~--..,...:Si=-' '.- COMPANY ~ IQ tJi;j_ )!1L:opy Is flledwlth ;; city. 1 □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per· mlt Is tor one hundred dollars (SHl0) or less). I certify that In the performance of the work tor 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. NOTf-'E TO APPLICANT: If, after making this Cer• tltlcate of Exemption, you should become subject to the Worl<ers' Compensation provisions of the Labor Code, you must forthwith comply with such provlslorf 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 , .. 1 ............ ,c ...... -,nn7 r1 .. 11 ,-.,..,.,., CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 HO. JOB ADDRESS tRr· IDAT7 iio;ro10 N 2 18 I 0 1 71 lyl ii q. 1 Tl 01 Pi r-F 1i1°1 I I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR The Highland Company 729-7108 Highland Co. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 3105 Avenida de Anita, Carlsbad 3105 Ave. De Anita 1°7 BLOCK 1 suBolf ~~'i l 11,Asrsr~: 3~RCf l-. 4 3 • ~ DilGdR 1 ney M. Drasin fESFf lPTIOlhF WORK own ouse Plan 50A f~~2'~;s tflN1~ura Bl. Encino. CA. CENSUS TRACT GP LAND USE ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. aus. LICENSE PERM IT NUMBER 19210 iJ-- STATE LICENSE <fly{or9 342407 CONTRACTOR'S 11!1-7108 STATE LICENSE 9/ 19/~0•,:J !4 C-17 98 DESIGNER'S PHONE 986-8890 ;l(i~,;_; I RES. UNITS/ I P:RKl:;;;2; I NUMBER OF STORIES Not V•lid Unless M•chin, Cartifild BLDG SQ. FT/r ft BLDG USE l/4;: I ~OARD PLAN " r1cl~J ITYPE7;u l0cE;u I I y,,c:-;:, QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL,ERMIT AMT. / . /I EACH FIXTURE TRAP ""I/Vt/V / INSTALL FURN. DUCTS UP TO 100,000 BTU .., ." y I EACH BUILDING SEWER ,_~(}"V OVER 100,000 BTU I EACH WATER HEATER AND/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP / EACH GAS SYSTEM 1 TO 4 OUTLETS -,,ArV BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE V VENT FAN Sl~lGLE DUCT 77.v -Gf;bfS-:-EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST HOOD/DUCTS ,.c. .-.A VALUATION: w "' WATER SDFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I , °2.1'1~~ f <.;<.;( , .. 1.00 ISSUE 3 .00 SIGN PERMIT :AJ I , I I' . I TOTAL PLUMBING ~y~ TOTAL MECHANICAL /¥~ PLAN CHECK /11/4 () ..S-,.A"/ q'JnO I -:-1 ~ Y. ~ .5 CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT.· TOTAL PLUMBING 1-<i ?'"~ QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL i.1J"?.,.,,, M NEW CONST EA AMP/SWT/BKR ,,2.S _,-,., AWNING MECHANICAL ,A~~ 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG 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 ISSUE 2 •• 00 I I 14.$1"3' ·-IVI "''. ' TOTAL ELECTRICAL ~ 7 u:J, TOTAL FEES PAYABLE I I ~hl~.9..f CONTRACTOR ' I ' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND 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 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 ~ SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-].., ,. LESS THE CITY OF CARL SBAO 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. APPL~~-' TU ,, ~~NERO CONTRACT~~pp•7B~ji7!{jffi fi;;JJ __,,, _. ;;;:;7 AGENT □ BY PHONED l --~ T ,--, • w ~ ~ 5 i= ~ Q.. .,, ~ SITE ADDRESS: OWNER: PERMIT NO: <?o ~'ts<i-LL. FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLOMBING . •--_- UNDER FLOOR HEATING ~>'!I.< . OK TO INSTALL SUB FLOOR ~ . . ·-. ~ ,. . ' ' SLAB FLOOR UNDER SLAB PLUMBING r ~ . ' 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 - DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHE.R TEMP POWER (POLE) • ' ' SEWER GAS TEST SWIM POOL • STEEL BONDING \ • PRE DECK • FENCE PREPLASTER SHOWN • FRAME -0.//.W • PAN .,v ,V_/ .. ~ FINAL INSP BY BLDG DEPT V'1/.' 1\1\-QJ' •. OTHER DEPT'S '1EQ COMPLETED /4)0' I r ..... ELEC METER-PERM-TEMP // ~Jl)U -- GAS METER-PERM-TEMP -1/ / ~ CERT OF OCCUPANCY ISSUED ~ . LICENSED CONTRACTOR'S DECLARATION 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 DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Buslness 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). 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 sa.le (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 reason, ____________ _ Date WORKERS' COMPENSATI I hereby affirm that I tJ1!li! sent to self-Insure, or Ii c Compensation Insurance, or thereof (Sec. 3800, Labor Code). POLICY NO " COMPANY ___________ _ □Copy Is filed with the 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 ($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- tlfl~te 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 ...... 1 .......... , .... _.,..,.:. 1 .. 1 .. .,.,,_,,. IC,.,. 'lln07 r'lull t"'.nA.111\ C ITY OF C ARLSB A D-BUIL D ING D E PARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AY. ST. ID ATE OF APPLICATION 2.. 18 10171 1V1/ 1.41 .-,.o 1P 1A1C I I 10 I IR~ 2-5-?I I I I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR ~ /fr~p e,t"f;PA.!V Y 7,zr-7/tPF Tffe.. ft(~ t.JI\~ & .;. ·1 OWNER'S MAILING ADDRESS . CONTRACTOR'S ADDRESS YI t:J;' A~t.Pll. P~ /Ill~, ~~ ..f/tp.S-/tv.£:N,o.-, k ,AtVtm. LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. .,5"; DESIGNER /7{, 7.2-.:Z I /16171-1'31~101 -12_ I I DE_S'Ttif.CRIPTION OF WORK ~e-tPlf)f!!.'A-fl.Y e~~te_ /lel'Z=R DESIGNER'S ADDRESS ---. l CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. _, , _ ") ? /'It,,., q BUS. LICENSE / PERMIT NUMBER -- 1if1f I I...._ .._, STATE LICENSE . .:Pl-2.. o/-~7 CONTRACTOR'S ~9-7tt'J3 STATE LICENSE ' 2/05/81'431'4 DESIGNER'S PHONE -. -.. ........ _ .-12.0t 81' I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V•lid Unless M•chin• Cmifi«J BLDG SQ. FT, BLDG USE occ. GP I STANDARD PLAN II I p1,~D-"~n I TYPE CONST I occ. LOAD l QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU 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 MORE BOILER/COMPRESSOR 16-30 HP 74£~ EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT , EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODO/DUCTS , WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT _,, __ ,,,n .i , ::? ..;JQ .,..,J ,.,,, ,/ ,,.::;, .00 SIGN PERMIT TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT ELECTRICAL PERMIT AMT. TOTAL PLUMBING QTY. AMT. QTY. MOBILE HOME PERM IT ELECTRICAL NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR 1 PH .25 3 PH RAMADA, CABANA /1~/h,,-)'h_ A/1 ,._7 REMODEL/ALTER PER CIRCUIT ~ FENCE OVER 6' d- I TEMP POLE 200AMPS P~M. ,e,,__.,,,., /IJ _v TOTAL MOBILE HOME MICO-FI LM OVER 200 AMPS <-- TEMP OCCUPANCY (30 DAYS) _,,,_,..,..,,o -o(__ ov TOTAL ELECTRICAL ;// TOTAL FEES PAYABLE I CONTRACTOR ' 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS DVER ~ ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION DR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES DVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND 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. ~~~~ OWNER□ CONTRACTOR□ !APPROVED BY ,,,. AGENT'R::_ BY PHONED /.; 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 ' . 1 .... 1/1V.'Y 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 . ~ 1/1Y. I I JI Ill\ ~~(Ji I I Jlf11 □/jTf/ • w ~ 0 ~ > 5 ~ :i a.. V'l ~ ~ ~/ )( ~ 4,.AA.~~WAAWWJdA/W;:~JRJMR,~ ,.. ~ w w A.AAA)( j O:rr iifir atr nf (!lfrrupaury ~ f ~ CITY OF CARLSBAD ~ ' 1 1 This Certificate issued pursuant to the requirements of Section 306 3 s· l F '1 D 11 ' 8 j Use Classification 1.ng e am.i y we_ .ing Bldg. Permit Na. 0-689LL of the Uniform Building Code certifies that at the time of issuance this structure complies with applicabl e ordinances of the City regulating building construction use . ~ Group _____ Type Canstruction ____ Fire Zone _____ Use Zane ____ _ Occupant Load "::.:-:.. ~ ~ ~ ~ ~ ~ Owner of Buildin~--~·:·.· [he.,_Hi~h)~a~d~C~;: • • Md,ess Carlsb~d, ~ C¾• Building Address /;~flfl-r-tJ:r,~ Top(;cio i . 'Locality Carlsb°t.~,;;·,C~__:~~_'~1,.?!..<Jt • _i ._.f!l ._Y, -"' 1 .1.\ ~ "!,,., • • ' r/k I ' •t .-. "" •"'~ l . • •• ..,.. • • -~ By -t.4~ __________________ Dote 7-31-81 NOTE: Alterations, changu, additions or chan·ges of occupancy nul lifiH th la certificate. (Post In conspicuous place) ~ ~ ~ ~'WWffMM MMMMM ~M _ WW)(