HomeMy WebLinkAbout2801 VIA TOPACIO; ; 80-689-II; Permit""""" ~"""'' ""'-"""'"" 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-
lect.
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 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
(S500).
□ 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 will have the burden of proving that
he did not build or Improve for the purpose of
sale).
::11, 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 I•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
~~~~~(:;. -~$~~
COMPANY /2l>l /gi;;.
~PY is filed with the city.
□ ~rtlfied copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit 1,..for one hundred dollars (S100) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not erm,loy 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
...... ,,...., .... , ........... ._1. , __ , .. ,.,,.....,. ,c ...... ')(\07 ri.,11 ,-. .... ,._,,,
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY AP PLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
HO. JOB ADDRESS AV. ST. ,DATE OF APPLICATION
2 1-a 1 01 1;"",v 1 11 '1" T • RO
I IOI ~ f p ?? I I I I I I I I I I I I I I 1 7/ln /Hn
OWNER OWNER'S PHONE PRIME CONTRACTOR
The Highland Company 729-7108 Highland Co.
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. L ICEHSE PERMIT HUMBER
f1 1 Q? 1 f'I fj/tl9 STATE LICENSE
342407
CONTRACTOR'S
3105 Avenida de Anita , Carlsbad 3105 ave . de Anita 11~E_ 7108 911;11'Cl"49J,~
LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER ST A.TE L ICEHSE 23C.7 I•
17 72-21 L 6 7-1 31 3 0-J 10 I .. ,00
DESCRIPTION Of" WORK Sidney M. Drasin C-1798
1 Townhouse Plan 20AR DESIGNER'S ADDRESS DESIGNER'S PHONE 16255 Ventura Bl. 986-8890
Rn,-.i~~ ('li
CENSUS TRACT GP LAND USE ZONING I RES. UNITS l P#RKING SP ... CE SI I HUMBER OF STORIES
Not V1lid Unless Machin, CKtifilld
BL OG SO. FT, BLOG USE occ. GP l STANDARD PLAN II w;~6g1 I TYPE CONST locc. LOAD I 1::;-b v -I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICA( PERMIT AMT.
-
9 EACH FIXTURE TRAP /Y.'v / INSTALL FURN. DUCTS UP TO 100,000 BTU ~ IT"-
I' EACH BUILDING SEWER , ,{" _v-I OVER 100,000 BTU ,
I EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS -,/tJV BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ..
EACH INSTAL., ALTER, REPAIR WATER PIPE , ...... VENT FAN SINGLE DUCT L/-~ f'tf tJJ>o. -EACH LAWN SPRINKLER SYSTEM ./ MECH EXHAUST -HOOO/OUCTS '< ,rd VALUATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ,,
I . /L-l'i-9.~
TC::C::T"IR '=\_.('\('\ TC::C::T"l"R 3.-00 SIGN PERMIT _pO I ,' I I I
TOTAL PLUMBING ~ _':J-TOTAL MECHANICAL If.~ PLAN CHECK /1?,~ 0'1"\lf,NO I ""'F-L'.217.foiO
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I ( I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING .~. 40
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL ,...,.-,_Pro .
/ot) NEW CONST EA AMP/SWT /BKR ..,Zs. v-AWNING MECHANICAL 1./1~'1'°
1 PH .25 3 PH PORCH MOBILE HOME 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
OVER 200 AMPS I I I ; I
TEMP OCCUPANCY (30 DAYS) I . I J I
~ccrm :>,nn ~-'t<t \i\.11 -IVI JI I { lN • I I l.?..:,17
TOTAL ELECTRICAL /(7~ TOTAL FEES PAYABLE I .~~.z?-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 A NO CORRECT ANO I s·-o·· 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 ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ~ ~ ~ ,...._, -/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT . ~ ·~S•,-,,,r,.T,,....,. ~ OWNER□ coNTRAC~-APPP7;'µs"J ~/2 .J ,'?"E ") ~ ~·/ AGENT □ S YPHONED / , -~ -~
• ...,
~ ~
~ j:::
~ Q. ..,,
~
SITE ~o--~-:r:-r. ADDRESS: OWNER: PERMIT NO: . FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR :
FOUNDATION• FORMS • SET BACK • TOILET
UNDER FLOOR PLUMBING 'Ir•. , . -
UNDER FLOOR HEATING . '
OK TO INSTALL SUB FLOOR .
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS • SETBACK • TOILET .
OK TO POUR CONCRETE
' FRAME
ROUGH ELECTRICAL .
ROUGH PLUMB! NG
ROUGH HEATING/VENTILATING . . • .. -FRAME OK• PLACE INSULATION '
INSULATION OK • PLACE WALLBOARD .. I WALLBOARD OK • PLAC;E TAPE ..
EXTERIOR LATH OK• PLACE STUCCO '
FIREPLACE
DAMPER &STEEL . .. -. . . ....... -,. "-,
PLATE TIES/HEIGHT OF CHIMNEY
•
OTHER ' C' , TEMP POWER (POLE)
SEWER .v, .
GAS TEST .,,,,,,
SWIM POOL • STEEL BONDING / ..i . . '
• PRE DECK ~ ./f\/<."' A
• FENCE PREPLASTER ,\;g½ ~'
SHOWN • FRAME tv' v;. !}}J
• PAN / .. \ .
F INAL INSP BY BLDG DEPT / .·
OTHER DEPT'S REQ COMPLETED V . •· . .
ELEC METER-PERM-TEMP ,
G AS METER-PERM-TEMP
;•
CERT OF OCCUPANC'( ISSUED . ' -...
XMM\A1UA~~~,.. ~ ~ ~"' ~ ~,.. ~ ~ ,.. ~ ~X ~ ~ j illrrt ifiratr of ®r!uµattry i
~ CITY OF CARLSBAD E~
~ ~ This Certificate issued pursuant to the requirements of Section 306
j of the Uniform Buildi11g Code certifies that at the time of issuance I
~ this structure complies with applicable ordinances of the City • 3 regulating buil~ing cons~ruction u~e. --,--::..:::-~-=--;:;.=..-,..
j Use Classification Single Family Dwelling Bldg. Permit Na •. · 80-689 II . E
~ Group _____ Type Construotion ____ Fire Zone . U~tt ?~e ....
~ Occupant Load ~,-::.-;.. . • ~ Owner ofBuildil'IV"'fp.r .,HighJ;and/Company.~Mdreu 3105 Aven'.£da ~de Anita. Carlsb~ ~ r•s. . '.z:...,» <ti\ ! • ~ ~ Building Address •· 7t.8-0f "~Vt,_a, ;J"D~a':i.O, • ~ •. Locality Carlsbaq_( ... ~,A ~~•930~8 , .h , • {·,!!! ,¥,, ,1,::f '", l • .~ \ ,. , , ....... , -• .<. ,')i,, I ~ .. , .. ~ . ~ --~ ~•,~,· • • •
---------
~ j ______________ By l«rl.,.M{ (_:fr~
________________ Dote 7-31-81
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HOTEt Aherolloru, cho.ng .. , addition, or chong .. ol occupancy nullllln thl1 certlllcote,
(Post In con1picuou1 place)