HomeMy WebLinkAbout2709 VIA CARDEL; ; 83-34-209; Permit~~)[
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O I her.t>y affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfeHlons Code, and my license Is in
lull force and effect.
Lie No ______ Closs
I hereby affirm that t am exempt lrom Ille Contrac-
to<'s IJconse Law tor the loflowmg reason (Sec 7031 5 Business and Prolesst0ns Code Any city Of county whtth re· quires a per_rrut to construe!, a11er. Improve, demohsh. or
repair any structure, pnor to its issuance also requires ?heap-phcant tor such permit 10 hit a s,gned statement that he 1s
licensed pursuant to the provtSions of the Contractat's
ltcense Law (Chapter 9 commencing w1lh Section 7000 of DivisiOn 3 ol the Business and Protessoos Code) or !hat 1s ex-
empt therefrom and the basis to, the anegea exemphon Any Ylofahon of Secllon 7031.5 by an al)9fi<anf 10< a perm,t sub-,ects lhe apphcanl 10 a crvil penatty Of not more than five hun-
dred dollars ($5001
D I, as owner of the property, or my employees with wages
as their safe compensation, will do the wor1<. and the struc-ture 1s not intended « offered f0f salt (Sec. 7044. Business
and Protessions Code: The Con1rac1or's license Law does
not apply to an owner of property who bu,kfs or improves
!hereon and who does such work h1mse11 or through his own empfoyees, provided tNI such lmprovemenls are not intend· ed or otlered for sale. 11, howwer, !he buik11ng or ,mprove--
ment ,s sold within one year of comple11on, the owner-builder
wilt have Int burden ot prOV1ng that he did not build or Im-prove for the purpose ol sale).
D I. as owner of lhe property. am exclusrvety contracting with llcensed'contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor· s License
Law does not apply to an owner of property who builds or im-proves thereon. and who contracts for each projects wrth a
~)~cto,(s) license pursuant to the Contractor's License
D As a homeowner I am lmp,ov,ng my home, and the lollow-ing conditions ex1sl:
t. The -k is being perlormed prior to sale.
2. I have lived in my home tor twelve months prkM' to cunpJetion of thts WOfk. 3. I have nOI claimed !his exemption during the
last three years.
g :ht::~e;;t under Sec. ______ . 8& P.C. ----------
D I hereby affirm 1hal I ha--e a certificate of consent
to self-insure. o, a cert1hca1e ol Workers·
Compensahon Insurance. Of a cert1f1eel copy thereof
(Sec 3800. Labor Cooet
POLICY NO
COMPANY
0 C,opy IS hied with the City
0 Cen,hed c0py 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This sechon neec no1 be completed 11 the perm,,
fS for ooe hundred dollars (S 1001 or less)
D I certify that 1n the performance ol !he worti. lor
wtuch this pe,rm,t 1s issued. I shall not employ any
petson ,n ~Y ~nne, so as 10 become sub1ec1 10
lhe Work.ers' Compensation Laws of Calltorn,a
NOTICE TO APPLICANT II, al!er makm1 ttus Cert1
licate of Exemption, you should beeome sub1ec.1 I?
the WMers • Compensation prov,s,ons ot the Labor
Code. you must torth-.,lh compty with such
pro¥1s1ons or 1h1s perm11 shall be oeemed revokeo
0 I hereby afhrm lhat !here 1s a cons1ruc11on
lending ~ency 10, trie perlormance ot lhe -NOl'k to,
wtuch ltus perm11 •s issued (Sec XF.J7 C1v11 COOeJ
lenders Name ___________ _
lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 E(m, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERM~d"O Lt,
JOB ADDRESS AV. ST.RD.
2709 Via cardel. carlsbad, CA
NEAREST CROSS ST.
LOT g BLOCI(
20
92008
ASSESSOR PARCEL NO 167-340-27 ,, .
OWNER'S NAME OWNER'S PHONE '1he Highland ~
sveo, VISION
2-21 CONTRACTQA
OATE OF Al'PLICATION BUSINESS LICENSE •
CONTRACTORS PHONE o J.,ifflfE
942-6262
~~ PERMIT~~4
LICENSE NO. PLAN 1.0. # BLDG USE CODE '!he Hi 942-6262 ci~~c~E~k way, 1201
owNER·s MAILING ADDRESS • • B-342407 'R~.s.
1991 Village Park way, #201, Encinitas, CA 92024 on,GNER --
Environnental Design
LICt.NSE #
C-1798 AIA
STANDARD PLAN# BUILDING SO. FOOTAGE
/496.~L.~v. DESCRIPTION OF WORIC
I New Coost:ra;tion I 'fl§'lE"'i1,41afJ 'Paik-w.y-~·:,t201
°C'lv'I~"~~..,; 1'A.--;r~~~ 50 Plan 1496 s.f. -~ -------~ ------------F/P FLA ELEV.
vO Nav°' --
CENSUS TRACT GP LANO USE PARl(ING SPACE RES UNITS
4-4-1 ¢
GRADING PERMIT ISSUED I REDEVELOPMENT -
AREA
QTY. PLUMBING PERMIT · ISSUE
I// EACH FIXTURE TRAP
I EACH BUILDING SEWER
/ EACH WATER HEATER AND /OR VENT
/ EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl,. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN ( INSIDE)
TOT AL PLUMBING I
QTY.I
-
ELECTRICAL PERMIT· ISSUE
llo:::> I NEW CONST EA AMP/SWT •BKR
~M~ JPH
EXIST BLOG EA 'AMP/SWT /BKR
I PH 3 PH
REMOOEL 'ALHR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECl RICAL J
y D ND v□ Ne;,/
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
6 -SOI I OVER 100.000 BTU -< .50 1 1 B□1LER1c□MPREss□R uP rn 3 HP
c:) -~ I BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST • HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
4" Sc,
~--II QTY.
Lo2s oo
ao_oo
TOT.t.L MECHANICAL
SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
J\
7
' -....
NO
STORIES
TYPE
CONS:/ 'V-n
3-4 .oc
~-oa
/d 00
DESIGNER'S PHONE
942-6262 3/27/8 ,c;;.:,
OCC GP EDU
~-3 I
OCC LOAD FIRE SPA
11-4-0 YON~ Not Valid Un!ns lhchine Certified
SUMMARY/ACCOUNT NUMBER .,::J /,d
1
(9(:)
BUILDING PERMIT 01·00·00·8220 I ~
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK.,23~~5 01·00·00-8806 -2.;J.I .oo
TOTAL PLUMBING 01-00·00·8222 -,i!-'6,SCJ
ELECTRICAL 01·00-00-8223 ~o.oo
MECHANICAL 01 ·00·00·8224 /t>3. 00
MOBILEHOME 01 ·00·0()·8225
MOBILEHOME PARK INSP
SOLAR .Jl.l.:00:00: 8?? Ii
STRONG MOTION 80-92·33-0519 14--I 9 ~-:::i..Q
FIRE SPRINi<LERS 01 ·00·00·8227
PUBLIC FACILITIES FEE lf·00-00-8933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80·92·21-0519
Encinitas 80-92-22-0519
San Die~_ 80·92·23-0519
San Marcos 80·92-24-0519 ----
LICEN.SE TAX 01-9()-00-8162
~pp I 4 _a_a. c,a
CREC:.>IT'DE~OSIT
TOTAL FEES PAYABLE LJo~ J. 0 -</
I HAVE CAREFULLY EXAMJNED THE COMPLETED APPLICATION AND PERMIT' ANO 00 HEREBY c!:": .=-,~=~~:::..o::-~::.:p,ov,s,onsollh11 * AN 06HA PUMt IS ... 'El) FOR EXCAVATIONS OYER
CERTIFYrlJNOER f'ENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE autlloriZecl .,., • ----. buttdmgorfwo,:: s·o··OEEPANO IONOACONSTRUCTIONOF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permn, o, : Midi pemnt la --••!WCI ..... 110clays from lhe date o sue;,, STIIUCTUIIES OY 3 STONES IN HEIGHT
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ISSUED TO COMPLY WITH Alt CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-L!.,.!!!!:ICIDl~!!!le&l!!!_!ll!_!!!r_.!l!!!!.!!!l!t.!!!!.!!~i.!!.~!!!!jlll!!~:i; STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPL ='=<-"'-='-""----□:-1~A~PP~R~O~V~E~D~B•Y __ .,. _______ ,..,..,,----,.--,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND OA
a.,
.c ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH IIV PHONE 0
GRANTING OF THIS PERMIT. -~~-1 r . -I -
TYPE I
I '
BUILDING I •
I
OUNDATION I '" ~EINFORCED STEEL I ,I
IASONRY I
3UNITE OR GROUT I
"LOOR&CBLINGSUBFRAME ' I
F
R
M
G
F
s >HEATH ING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH I \ /
INSULATION q;-, 25' ~-v1'"',
INTERIOR LATH & DRYWALL I ~
I
I
PLUMBING I
SEWER AND BUCO □IPUCO I .....
UNDERGROUND □ WASTE □ ~ATE~
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND O 1UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL I
I
MECHANICAL I
I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
DATE INSPECTOR
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CALL FOR FINAL INSPEC~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I -~ ~/
ELECTRICAL I ~U!>"'c-y ~ I
MECHANICAL I (~ r y;...:. :::.
GAS I ,/ \ , ... \
BUILDING I ' I
SPECIAL CONDITIONS I
I
---. ......... '
i~-3Cf!-~
. . . -... , l.. -. t-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR S INSPECTION CHECKED APPROVAL DATE
• SOILS COMPLIANCE ', . --
PRIOR TO ,-
FOUNDATION INSP
"
STRUCTURAL CONCRETE ' OVER 2000 PSI
PRES TRESSED
CONCRETE ·' . I
POST TENSIONED
CONCRETE
FIELD WELDING i
HIGH STRENGTH 'I ' ,
BOLTS .-_.IL
-:.. --
SPECIAL MASONRY ~ -. \, ~.. _:__ =::i--.. ,. I
.-f
PILES CAISSONS
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INSULATION CERTIFICATION 1 ~
This is to certify that insulation has been installed in conformance with the ~ ~
current energy regulation, Cal ifornia Admini strative Code, Title 25 , State of .
California, in the building located at: •• • \
SITE ADDRESS __ __,_,ci?<..:....LL7O-'-'-7--V~1=·a"-,--"'C=ar~d=e~l➔,-~C~a~r~l~s-ba~d~,,_._CA,o._ ____ -.--______ _
• Owens/Corning 6!" CEILINGS CertainTeed
Type Fiber gl ass Manufacturer Manville Batts:
6 "
Thickness 6 ½" R-Value 19
:..\
\
-~
I
Type _____ Manufacturer 0wens/Con
1
i ng Thickness
3111
R-Value ___ <
EXTERIOR WALLS CertainTeed 3}"
Blown:
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value 11
FLCX)RS Type _____ Manufacturer _______ Thickness ___ R-Value __ _ I
General Contractor ________________ License# ________ _
By _____________ Title _________ . Date ________ _
Schmid Insulation Contractors, Inc. License# 221517 C-2 •
By
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