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Home My WebLink About2658 HIGHLAND DR; ; 81-17; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that t 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· feet. OWNER-BUILDER DECLARATION ::::' 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 stale• men! 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 live hundred dollars ($500). LI, 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 tor 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· men! 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) -~I.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. tor 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' Compensation Insurance, or a certified copy thereof (Sec. 3800, labor Code). 6g~~!:t------------- CCopy is filed with the city. r=certilied copy is hereby furnished. /2 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil 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 t"~ Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after making this Ger· tificate of Exemption, you should become subject to.. tts:r Workers Compensation provIsIons of the Labc~you must forthwith mply with such provI o r thI ermIt al eemed revoked ,Y. TRUCTI AGENCY I hereby affirm that there is a construction len· ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). L.:I I Y Ut--L,:AH.L.:H:SAU-t::IUIL.□IN(.:j □EPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. _l I I JOB ADDRESS 121 ,·1~-1S"1lf1 /I,:; 14'i LI 4141,0 I I ,D1R1 I __l tR~T-1DA/~/6PL'.~g171~s3J>j>i PERMIT NUMBER f/--11 OWNER OWNER'S PHONE 8 e , rv,_,~/_ :) {r:oS5"s:'.r 7 2 '/--'>-J.2..v owN2sf M;-1~ AOi/.s,,~ h (~,-~ LOT I BLOCK 1 sueo1vrs10N DES~IPT}ON OF WO~ l( rkeP/tc:..... Ci.~ .. {,.1 vt:-r I A~.•y,,•s ""1,1~'"'1. . \ /j · W J-T IL-iJ-' I -, Q -1 c., ,'-J-,J. Utc.k PR~E CONTRACTOR il</c.,/,,1,j ,,? /'Ov' ,. 'I . ...; _, STATE LICENSE .3 3 ) 2-S' t -- CONTRACTOR'S ADDR~SS / S'O 7 ?o /M & , ffi "'- DESIGNER o~•n.t..-r ~ { o~{r, ,) • .,--. DESIGNER'S ADDRESS DESIGNER'S PHONE ' CENSUS TRACT GP LAND USE ZONING l "'· UN ITS l '""" ""' I ,cMa,e oc ""'" 21[!:Jlb i 5 .. 27 o···.15:._~7 2!>Ul1~· '..'<,,,. ~. -:-'-.. ·; Not Va.id Unless Machina c.rtified BLDG SQ. FT. BLDG USE UTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT 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 ~- TOTAL PLUMBING CONTRACTOR UTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/S'NT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) /_A_,.,~_,__,, TOTAL ELECTRICAL CONTRACTOR CCC. GP I STANDARD PLAN# I '"g; ~ 11 I""""' AMT. ,_;r ·" , AMT. ,,;L.(/(J UTY. 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 BOILER/COMPRESSOR 16-30 HP VENT FAN Slf)GLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER A~ ~ TOTAL MECHANICAL CONTRACTOR UTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME 1:~COAO J AMT. (_~,,,.,:? AMT. 0~-~~ BUILDING PERMIT SIGN PER~._ Q, PLANCHE~-;to All lNCLUfl\l~T TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR ..--, TOTAL FEES PAYABLE ~/Yd~, - .L I ..,, ii-17o'Jth. J_ I I,· I I LI-Z.-..+-- I I I I I . I . I . I I ~ I · I I ~/)::;:;) J_ 'I I I I I , I I I I . ~_.i"i') I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUE □;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE JNOEMNIFY AND t<EEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE "AN OSHA PERMIT IS REQUIRED F 5'·0" DEEP AND DEMOLIT NOR OR EXCAVATIONS OVER ./ / /J ~ P~d'"""i'?~J~-r ~ -,A,_J OF THE GRANTING OF THIS PERMIT Ai:li>u'c:ANT'S SIGNA'fURE" OWNER □ , AGENT 0 CONT. RACT□R.~. lA" __ BY PHON~ 0 - VE□ BY :.. JI. ""-. L lr'JI! ; ~ b ;:: u ~ a. V> ~ r. ' SITE '3)-lt .. ADDRESS, OWNER: PERM!T NO: FIELD !NSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOT! NG • 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 Tl ES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER GAS TEST I SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER sHOWN •-FRAME • PAN \ .. 'I.I:•, FINAL INSP BY BLDG DEPT ,\ .. ~, I " \.! OTHER DEPT'S REQ COMPLETED J, \4 \ I\ '\'-'\'. ELEC METER-PERM-TEMP ,'\ ' \' ! SAS METER-PERM-TEMP ' I i ! I ! CERT()F OCCUPANCY 15SUED ' . .,. , . \_ BUILDING DEPARTMENT INTERDEPARTMENTAL INFORMATION SHEET RECEIVED 1 DATE: BUILDING ADDRESS: ~~Sg ~~ --JA-Nl-G-19-81- PLANNING DEPARTMENT ZONE _________ LOT SIZE. ________ LOT WIDTH ________ _ UNITS ALLOWED ___________ UNITS PROVIDED ______ --,,--,----- PARKING SPACES REQUIRED ~ h PROVIDED ___ e--4-,,_;v,____-____ _ { fr-1..c: /rs...... • % COVERAGE ALLOWED PROVIDED -----'~-'-------__ _,;:'-'------- BU IL DING HEIGHT ALLOWED PROVIDED ' FRONT SETBACK: SIDE SETBACK: REAR SETBACK: -~ ALLOWED -b f.~OVIDED __ n......,· ~~---------- INTRUSIONS _,,(7,e;._ __ _ LANDSCAPE & IRRIGATION PLAN .. ok COMMENTS: -"A)~IA'-L------------{ ENVIRONMENTAL PROTECTION REQ: ~~~•µ•.a.;'--'-e_._f ______________ _ _______ DATE ____ _ ENGINEERING .:).._ I l "{ -5 ' ... - R.O.W. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _ SEWER CONNECTION _j;f}{/ U' DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT _______ EASEMENTS _________ DRAINAGE. ____ _ /~-,,.. -13 A -" \-LEGAL DESCRIPTION __________ ~-~1'--"!!:'!'--~-'-Ja-....,_!_1.._~_~u--=~------- DATE /-I -81 PWI OK TO FINAL DATE ------------- ______________ __;• FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXITS ______________ _ FIRE HYDRANTS LOCATION ________________ _ ADDITIONAL COMMENTS ___________________________ _ OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _ //-17