HomeMy WebLinkAbout2805 VIA TOPACIO; ; 80-689-KK; Permitu,d!.,,.ao,·, "'""'"°" 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
O 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 provl·
slons 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, 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 wlll 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, o, a certificate of Workers'
Compensation Insurance, or a certified copy
~~~i~;.-~~r~~
)!copy Is filed wit~ 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!)_ot 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
L •-L •t..t-----U 1-1--••--' I~---,rv,-,, ,...J.,11 f" ... ..t ... \
'
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES. APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
2, a ."d· ·s . V·i JO~ ADDRESS AV. ST. ,DATE OF APPLICATION BUS. LICENSE PERMIT NUM&ER
a T 0 ~ f C 1 0 RO K~ 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 1 7 /10/80 19210
OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE <fo~!9 The Highland Company 729-7108 Highland Co. 342407
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S
3105 Avenida de Anita, Carlsbad 3105 Ave. de Anita 7'2>~7108
LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE 9 / f ~ lllt,t,;, 1 lf 1 7 7?-?1 11 f1 v -1 ~. 'l n.... 'l ~ ~oo Sidney M. Drasn C-1798 !Jf:1, I
rsirB~filllbti~ ~ Plan SOAR 1'82'5Ss V&n51:ura Bl . DESIGNER'S PHONE
Encino, CA . 986-8890
CENSUS TRACT GP LANO USE ZONING I RES. UNITS / I P:RKING ~~ sf I NUMBER OF STORIES
Not Valid UnHISS Machin• Cartifilld
BLOG SQ. FT. BLOG USE 0~ I I ST ANO ARO PLAN It l~c?°l99 ITYPE;j~ l0sJ>0
d I /L/9, S'PP I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL~ERMIT AMT.
~
/J EACH FIXTURE TRAP ~yvv / INSTALL FURN. DUCTS UP TO 100,000 BTU £,/(/'-('/
.I EACH BUILDING SEWER !,_V -OVER 100,000 BTU I
J EACH WATER HEATER AND/OR VENT -y:u-v BOILER/COMPRESSOR UP TO 3 HP
J EACH GAS SYSTEM 1 TO 4 OUTLETS ~ BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE V VENT FAN SINGLE DUCT #'I~ b?" L f.j'; EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST HOOD/DUCTS Sil; -~ VALUATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT / I . ,A.,/1 7 'ft.I
ISSUE 3.00 ISSUE 3,00 SIGN PERMIT of} I . I (. I
TOTAL PLUMBING 3/.~ TOTAL MECHANICAL ltf~ PLAN CHECK /y'/; V~_.,)b,J,,~ I ,--J ~).:'"~~
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
AMT. TOTAL PLUMBING I~· r.t "'t'1"
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL l:21..7.P-fO ./
V..N? NEW CONST EA AMP/SWT/BKR ,;i...,, ')_ti<) AWNING MECHANICAL 1.Aif.~
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 DAYSI I . I I I
ISSUE 2.00 STRONG M:JI'IOM: I . I ,J/.5i3
TOTAL ELECTRICAL ]/'f~ TOTALFEESPAYABLE l ._1/2~. ?iK CONTRACTOR . I I
!
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 CONSTRUCT.~[., FEE
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 -
//I SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ } LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ _,,, -L, / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. ~~~Te-__ _/ ~
1
NERQ CONTRA~~1A7V,E,°/,IY/ ;4_J A Y/1d@E
/ ~ A AGENT 0 BY PHONE /"' /I --_. __...
! ~ 0 ~
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SITE 80'"'~9-1!¥-ADDRESS: OWNER: PERMIT NO: , •. FIELD INSPECTION RECORD :
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING . ,. -' . .• 0 . -UNDER FLOOR HEATING ..., • ~
OK TO INSTALL SUB FLOOR ., l
' . 't
SLAB FLOOR
' UNDER SLAB PLUMBING 1( '...
FOOTING• FORMS • SETBACK • TOILET ..,
OK TO POUR CONCRETE
,, r ' ,
~
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 8: STEEt . ' ., ,·
PLATE TIES/HEIGHT OF CHIMNEY ..
OTHER
TEMP POWER (POLE) J ,. -
SEWER
GAS TEST
SWIM POOL • STEEL BONDING •,
• PRE DECK v
• FENCE PREPLASTER . /,
SHOWN • FRAME \~o/mi
• PAN "' l\V. -~
FINAL INSP BY BLDG DEPT V ,\M}I' a
/ ' OTHEoR DEPT'S REQ C OMPLETED /,, l ' ' ELEC METER-PERM-TEMP ~!\..,IV
GAS METER-PERM-TEMP / 'A !IJV
/ ' •·
CERT OF OCCUPANCY ISSUED ' -"
):( w. ,... w. w. w. w. w. w. w. ,,. ~~IA~IA~il~)(. ij (!hrtiftrutr of ®rruµaury ·~· I
~ CITY OF CARLSBAD . ~ ~
;
This Certificate issued pursuant to the re qu irements of Section 306 •
of the Uniform Building Code certifies that at the time of issuance
:!:: this structure complies with applicable ordinances of the City 3 regulating building co nstruction use. • ,
~ Use Classification Singl e Family Dwe llin_g Bldg. Permit No. 80-689 KK e~
~ Group _____ Type Construction _____ Fire Zone ______ Use Zone _____ _
~ Occupant Load .,1t-,:• _ ~ ~ Owner of Buildin~u;:_'ft· e, -~i~~l,~na✓e~·ia ·<:·•··k_Mdress }10_~ -~~en_~d~ _ d,e, Anita ~ ~ . . ~.C:-111 t)--·,-a··•·-1110 acio ··'r-~~-J •• Carl sbad···,,,,c~''''!·19200a ~ Building Address ••· -~, .., -_ ·-:, , , • . ,. '½Ocallty , . , "' ..,.,--,·_~• ,,f .. ,-~ <,; •.. s ,_,o -~-'•' ,>,,.<..·,···''. ?:~~,,,.;t ,· .-,Al..-~-·" ~ ------------__ ··_-~ ____ :: ~ ~ =
~ _________________ Dote __ 7 __ -......;;;.3 .;;;;.l _-"""8...;;;;._ _________ _
j HOTEr Alterallona, changu, addition• or changu al occupancy n11lllflu 1h11 u1llflcote.
~ (Poat in con1plcuou1 place)
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