HomeMy WebLinkAbout2803 VIA TOPACIO; ; 80-689-JJ; Permit'/J/J'-,-{// ~/
LICENSED CON'!°RACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Proles•
slons Code, and my license is in lull force and el•
tact.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am exempt from the Con·
tractor's License Law tor 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 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 tor the alleged ex·
emption. Any violation of Section 7031.5 by an ap-
plicant tor a permit subjects the applicant to a
civil penalty of not more than live 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 Prates•
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•
tractlng with licensed contraclors to construct
the project (Sec. 7044, Business e.nd 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 sell-Insure, or a certificate of Workers'
POLICY NO </SI
;::;".:,";::;~c.:•: _..,., ""
COMPANY J G ,~
~PY Is fll:wl:: city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed II the per-
mit Is for one hundred dollars ($100) or less).
I certify that In 1he 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 Caltlornla.
NOTICE TO APPLICANT: 11, alter making this Cer•
tlllcate 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 tor the performance of the work tor
whlr.h th14t nArmlt 1111: lcumlllli (~Ar 'VlQ7 r.1vll C"'.nrl11\
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
2 8 'tj· 3 V i a T 0 p a C J! A&OR ESS
tRr IOAT7 i 10/Et~ION ·1 I I I '1 ~ I I I I I I I I I I I I I I I I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Hi ghland Company 729-7108 Highl and Co.
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
3105 Avenida de Anita, Carlsbad 3105 Ave . de Anita
LOT BLOCK I SUBDIVISION l ASSESSOR'S PARCEL NO. DESIGNER 17 72-21 16 I 7 T" i3 i3 I Or J I 1 I~ inf) Sidney M. Drasin
DESCRIPTION OF WORK 1 Townhouse Plan 60A fi~SR'S ADDRESS 5 Ventura Bl.
R n,--.i nn _ rn.
CENSUS TRACT GP LAND USE ZONING
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
eus. LICENSE PERMIT NUMBER
19210 rs STATE LICENSE to ✓loto/ • 342407
CONTRACTOR'S
p'1t9-7108
STATE LIC9N8E C-17
DESIGNER'S PHONE
QRh-RRQO
I Li ,-n I ,
l!-,,3 I RES. UNITS
I
PARKl¼G A sf
:I! , z,
I NUMBER OF STORIES
Not Valid Ur,fess M1chir,1 fMtifi_,
BLDG SQ. FT.
BLOG<}-,pp ;z:-i I STANDARD PLAN II
,~
1~631 I TYPE77/// loc~ ~J _, I /-?00
QTY. PLUMBING PERMIT AMT. QTY. MECHANICA{ PERM IT AMT. -/I EACH FIXTURE TRAP .2-Y--/ INSTALL FURN. DUCTS UP TO 100,000 BTU yv-
I EACH BUILDING SEWER ~ITV OVER 100,000 BTU
I EACH WATER HEATER ANO/OR VENT y_r-BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS v."'-BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE ? VENT FAN s1,!GLE DUCT Y." V
VALUATION: 7f';fed,--EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/D UCTS ' .-/.A ~--
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT -I .,,<l~ 7 ~
T~C:::TTR 1 nn ISSUE 3.00 SIGN PERMIT o6 I ' I I -TOTAL PLUMBING 3 'f liJ:-TOTAL MECHANICAL f ",j, PLAN CHECK /,5-~ t,_r-J"\"il/'~0 I r--t ~ S. ~
CONTRACTOR CONTRACTOR I . ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I <I ij'.~ QTY. QTY. MOBILE HOME PERMIT ELECTRICAL ,~:-,.r,o
/~ NEW CONST EA AMP/SWT/BKR .7--::,---:c><J AWNING MECHANICAL 1 .11Y.rr
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
---·-? -nn ,v, "". I . I J5""J.-I,,
TOT
0A0
ELECTRICAL ,)-7""° TOTAL FEES PAYABLE
I . ).,,I)( I _6_,f 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 ANO 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
SCHOO~ 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 CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ---~ ./ / EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ,...
OF THE GRANTING OF THIS PERMIT. APft 'T_"~ ~
1
RQ CONTRACT'~PIPRR?/10 7),~ t fl~~·TE l~-z ---=:;....., AGENT □ SY PHONE D ' , • ---,1 -I I I ·-, 77 7 7
• w ~ ~
~ j::: ~ 0. ,.,,
~
SITE 'is{) .. (p C,'i -~ ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR I NSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK• TOILET : " '-. ..,, .. . c• '-UNDER FLOOR PLUMBING . ... --
UNDER FLOOR HEATING ,·· ,
OK TO INSTALL SUB FLOOR ·-i
~ .
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 -' W_ALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK • PLACE STUCCO ,.
' .
FIREPLACE ,
DAMPER &STEEL ·-.
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL• STEEL BONDING
• PRE DECK
• FENCE PREPLASTER /
SHOWN • FRAME /~
• PAN .t'>t .// n_\).)" -·
FINAL INSP BY BLDG DEPT ✓-\~/ ~--
OTHER DEPT'S REQ COMPLETED 1/~ " .
ELEC METER-PE-RM-TEMP _,v "q.;~
GAS METER-PERM-TEMP / ""Vv
CERT OF OCCUPANCY ISSUED '. , .
)( "~~~MMAJ:i. . ~ ~ w w ~E ~ ~ ~ ·;t • • :Iii! ~ ffirrtiftratr of ®rruµaury " •• t
~ CITY OF CARLSBAD .. ~ ~ This Certificate issued pursuant ta the requirements of Section ~6 'V.l,!-_•~~1' E
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~ J regulating building construction use. ~
3
u .. Cloulfkmlm Single Family Dwelling Bldg. P,~ltNo. 80-689 Ji! E
Group _____ Type Construction _____ Fire Zone _____ Use Zone _____ _
Occupont Load .,,:;_.,. . :Iii!
◄ OwnerofBuildin~,,J-~_:-.t•·lli;h~a-~d.,_C ~II!P~,~Y.\A~dreu'_: 3105 -~~e~J_d(de Anita, ~ ◄ 8 •id· Add if !.'.28. ~~3:il" .. 'I.1,opac, o , --l.---1 _i._. ·Oarlshad. ,,,.~CA.'c!·19.2, 08 ~ ◄ u, tng ress •·· ·' r-' • • • • ~ · , .,. ,. 11..ocoUty • ,.... , 1 •. •
A ' '· • . .e . ..P .. ..,;, • · ·~. ' ~-,!t. ... ,.·•,_ t·' .. k --~~, • 11,\;pet;:,... ·._.A,.:.; ~ . -. ~ .~ . ,--·-• . ~ ◄ •• -~ _______________ By ~ ~
◄ ________________ Oote __ __,_-_...__-_.x. _________ _
NOTE: Alteration,, chan9u, aclclitions or chan·9u al occuponcy nullifin thl1 certificate, ◄ ◄ ◄ (Post In conspicuou1 place) . ~
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