HomeMy WebLinkAbout2713 VIA CARDEL; ; 83-34-207; PermitII) z 0 j::
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0 I hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of th& Business
and Profeaalons Code, and my llcansa Is In
full force and effect.
L,c Ho ______ Class
I hereby altirm that I am exempI lrom the Contrac-l0<'s Lanse Law for Ille following reason (Sec. 7031 5
Business and Prolesst0ns Code· Any city Of county wh1C.li re-quires a permit 10 construc1. aue,. improve. demolish, or repair any structure, prior 10 ,ts issuance also requ,res !heap· phc.anl lo, such permII to hie a s1jloed sta1ement that he is
hcensed pu,suanl to the provisions of the contractor's License Law (Chapter 9 commencing with Section 7000 of
Olv1s1on 3 01 lhe Business and Pr0fess1ons Code} or Iha! Is ex· empt lherelrcm and the basis for the aUegea exemphon Any
v,otaf,on of Secr,on 7031.5 by an applicant ID< a permI1 sub-
Iects lhe apphcanl lo a civil penalty of not more than hve hun-dred dollars ($500).
0 I, as owner of lhe property, or my emplO)'fts wilh wages
as their sole compensahon. will do the work. and the struc-ture Is not intended or oflered lor sale (Sec. 7044, 8usmess
and Prolessions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon and whO does such wOfk hlmsel1 or lhrough hrs own
employees. provided that such Improvements are 001 intend-ed or ol1ere<1 lor sale. If. however, the building or unprove-
ment ,s sofd wi1hin one year ot complelion. the owner-builder
will have the burden of proving that he dtd not build Of im-prove 10< Ille purpose of sale).
□ I, as owner of Ille prOl)erty. am excluSlvely contracting with licensed contractors to construct lhe protect (Sec. 704.e,
8us,ness and Professions Code: The Contract0<'s License Law does nor apply to an owner of property who builds "' im-proves thereon, and who contracts tor each Pfotects with a
contractor(s) ncense pursuant to the Contractor's License Law).
□ As a homeowner I am improving my home, and Ille lollow-ing condiOons exist:
1. The w0<k is being pertorme<I prior lo sale.
2. I have lived ,n my home ID< twelve months prior lo completion ol !his WD<k. 3, I have f\01 claimed this exemptM>n during the last three years.
□ I am exempr under Sec. ______ , a & P.C.
tor this reason
□ I hereby afftrm that 1 f\a-te: a cer111tcate ol consent
to self.insure. or a cer11f,cate of Workers·
Compensation Insurance. Of a cert1f1e<J CoPy thereof !Sec 3800. ut>or Godel
POLICY NO
COMPANY
□ Copy IS hied w,th lhe city
0 Cen,tied CoPy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be compleled 1t the pe,m,t
1s to, one huncred dollars ($100) o, less)
0 I certify that 1n the per101manc-e or the w0t1\ tor
which this perrmt ,s issued. I s~JI nol employ any
pe,son in Miy manner so a.s to become subJecl to
the Wor1te,s· Compensation Laws of ~tttorn,a
NOTICE TO APPLICANT It. after maktn1 ttus Gen,
hcate of ExemptK>n. you shouk' be<:ome sub1ec1 I".>
the Wortters· Compensation provisions ol tne Labor
Code. you must tonh••lh comply w11h suer, provIs,ons 01 this perm,t shall be deemed re..,oked
O I ne,eby alhrm that !here 1s a cons1tuct1on
Iend1ng agency tQf 11'\e performance ot lhe woo,, tor
wn,ch lh1s permll ,s issued (Sec 3097 c, .... 1 Code1
Lenoer s Name ___________ _
Lenders •OCJress __________ _
USE BALL POINT PEN ONLY & PRESS HARD -·· --· ··---······-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 / /j-,,... -J J;;~;o~: cardel, carlsbad, ~vs;·;~oa NEAREST CROSS ST. IOATE OF APPLICATION' BUSINESS LICENSE. 96~ ... _ PE~RMIT NU1fa1
LQQ? BLOCK I sueDr 111s roN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ~ I /~ ' ~ 72-?1 167-340-29 .,,eo I l.. •
OWNER'S NAME I OWNER"S PHONE '!be Highlarrl Ccnpany 942-6262
CONTRACT~R'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE COOE The Hin-h1ann --.~· 942-6262 1991 Village Parle Way, #201 ~ .s_
OWNER'S MAILING ADDRESS ,..,..,.ini +-:.a. ~ q2n24· B-342407 ~ C
1991 Village Park Way, #201, Encinitas, CA 92024 ~ Des' c-11'9ft5AIA STANOAAOPLAN# eu1Lo1NGsa.FooTAGE
DESCRIPTION OF WORI( ign .. ~ , . _ /76 O.lp LJ v.
New Construction ~~E~~ pazk way I 1201 DESIGNER'S PHONE • -~ • -
60 Plan 1760 S • f • ~; ..,.; ......... t"'A c ,?n?A 942-6262 .
---------------------F/P FLA ELEII. NO OCCGP EDU
vO ~ __ STORIES R-..3 /
CENsus TRACT I GP LANO usE I PARKING ss~A -E I RES uN1Ts I GRADING PERMIT 1ssuED I REDEVELOPMENT TYPE ace LOAD Fr RE SPA .A' A • AREA CONST I / f \. I ~ / / y O N O v O Nllf I\,/ -N <-Q vO N"IQ. Nor Valid Unlffi Machine Certili«J
QTY. PLUMBING PERMIT -ISSUE 7..t::,__ QTY. MECHANICAL PERMIT· ISSUE _5 .-SUMMARY/ACCOUNT NUMBER ....84,,3 ~,:;,C.
/ / EACH FIXTURE TRAP _") 7 .."')_(1 / INSTALL FURN. DUCTS UP TO 100,000 BTU .A-./JC"l 8U(LOING PERMIT 01-00-00·8220 -
/ EACH BUILDING SEWER ~ fio OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
/ EACH WATER HEATER ANO/OR VENT ,.:2. 5u BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 .,:2 ~. 3.S
/ EACH GAS SYSTEM I TO 4 OUTLETS ,.,.2 ~O BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 </--C,-.. :$0
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00-8223 .., ~ ('") n()
EACH INST Al .. ALTER, REPAIR WATER PIPE 3 VENT FAN SINGLE DUCT ?, C,'() MECHANICAL 01·00-00-8224 /. ~. 00
EACH VACUUM BREAKER MECH EXHAUSl -HOOD/DUCTS MOBILEHOME 01·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 111·00-00-A??~
TOT.C.L MECHANICAL 3 STRONG MOTION 80·92·33-0519 i..£. 07 _,, ,
TOTAL PLUMBING I 41.i:, -SC I 9 ° FIRE SPRINKLERS 01-00·00·8227
~ PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT • ISSUE --QTY. SOLAR • ISSUE • BRIDGE FEE • loo NEW CONST E.A AMP/SWT 1BKR COLLECTORS \\ SCHOOL FEE • DISTRICT
~,C l,(1 P0 3 PH ....?."" -a': STORAGE TANKS n J.:'J Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE .., jV r, } -Encinitas 80·92-22-0519
1 PH 3 PH PUMP ,.,. " .IJ \ J rl' ('l San Oieguito 80-92-23-0519
REMODEL'ALHR PERCIRCUIT PLANCHECKFEE \" }J Jl -ib SanMarcos 80·92-24-0519
TEMP POLE 100 AMPS V \J. j '\'
OVER 100 AMPS j / LICENSE TAX 01-00-00-8162
TEMPOCCUPANCY (300AYSI • '-. ~ 4cx"J nr_
CREDIT bEPOSIT
10TALELEcrn1cAL I 3 0 .ac TOTALs□LAR TOTAL FEEs PAYABLE ~ /og.3~ '?Z
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION ANO PERMIT" AND DO HEREBY E•pir.llllon Ew,yperm1t-t,yllle8uilding0fflcialunderlllepro,ns,onaollhta * ANO&HA~ISAEOUIIIED FOR EXCAVATIONSOVEII
CERTIFY UNl>ER PENl!.HY OF PERJURY THAT ALL l"IFORMATION HEREON INCLUDING THE Code .,,..I 8Kptre t,y hm--becOlne null end void If Ille build,ng or worlo 5' tr DEEP OEll0Uf10N OR CONSTRUCTION OF aulllonZed by 1IIICII -m,t II not -w1111 .. IIOdaya lrom Ille date.:,I IUCh DECLARATIO"IS ARE TRUE Al>IO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or rl Ille buildtng or wo,1o eulhorized bv ,t ,a •-ded or STIIUC OVER 3 STONES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· -at anv -after Ille -,a tor-,..,;,;.._ ol 180 dllva I
STRUCTION. WHETHER SPECIFIED HEREIN OR "IOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLI~ URE ~0 CONTRACTOII O APPROVED BY ~d-,~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~ h
EXPE"ISES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ..;;;; ~ ./ SY PHONE O l:Ju_
GRANTING oP--rHIS PERM,r. -z~ ·/f x I or -/ ---,
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TYPE I
I BUILDING I
OUNDATION I
~EINFORCED STEEL I
AASONRY I
I
:aUNITE OR GROUT I
F,
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Fl
LOOR & CEILING S~B E 1
,HEATHING '(! R _ □ SH~R
RAME ''"' --I
EXTERIOR LATH I
INSULATION <;. ,'LX~ ~"'
INTERIOR LATH & DRYWALL I
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PLUMBING I
SEWER AND BUCO DIPUCO I
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' UNDERGROUND □ WASTE D ii\lATEIY
TOP OUT □ WASTE D ~ATER
TUB AND SHOWER PAN I
GAS TEST I
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□ WATER HEATER □ SOLAR WATER
I
I ELECTRICAL I
□ ELECTRIC UNDERGROUND O 1UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL I
I
MECHANICAL ' ' D DUCT & PLEM., □ REF. PIPING
HEAT -AIR CON0. SYSTEMS I
VENTILATING SYSTEMS ' ' I
DATE INSPECTOR
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CALL FOR FINAL INSPEC7'ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA \iE BEEN APPROVED.
FINAL I )..\~.,,,.1
PLUMBING I -1 v~"" ""7
' '>lCf v~ ELECTRICAL I A .J} ./ I
MECHANICAL I (• •y-~ ~ I
GAS / _ ... , -I
BUILDING I \
'"'c:CIAL CONDITIONS '
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"$ NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE -• -
,·
SOILS COMPLIANCE , ...... --... -.,..
PRIOR TO
FOUNDATION INSP ..
STRUCTURAL CONCRETE -
OVER 2000 PSI , • ;"f
PRES TRESSED .
CONCRETE '
POST TENSIONED I
CONCRETE
FIELD WELDING ..
HIGH STRENGTH . .,
SOL TS ' ~ ---( ' SPECIAL MASONRY , --,..,.._ ..... ~~• -~--
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PILES CAISSONS I' I
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INSULATION CERTIFICATION ) ~
This is to certify that insulation has been installed in conforma nce wi th the ~ ~
current energy regulation, California Administrative Code, Title 25, State of , .
California, in the building locat ed at: ~.
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SITE ADDRESS __ _._,;2..._._?~!3...._ _ ____,_V=i =a~C=a=r~d=e-1~,~C~a~r~l~s~ba=d~,----C~'.A..___
CEILINGS Owens/Corning
CertainTeed
Batts: Type Fiber glass Manufacturer • Manville Thie
Type Manufacturer Thickness ------------~ EXTERIOR WALLS Owens/Corning 3! CertainTeed 3}
Blown:
Type Fiberglas s Manufacturer Manville Thickness 4
FLOORS Type Manufacturer ------------
General Contractor Lice ----------------
alue 19
alue 11
By Title Date -------------------------------
Schmid Insulation Contractors, Inc. Licens e# 22151 7 C-2
By
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