HomeMy WebLinkAbout2712 VIA COLIMA; ; 83-34-241; PermitIll z 0 ;:: ,c a: ,c
-' irl C
a: Ill C -' 5 ~ Ill z 3 0
z 0 ~ z Ill A. 2 0 0 .,,
~ Ill "' a: 0 3
1[
[] I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license Is In
full force and effect.
lie No ______ Class
I heftily alhrm tnat I am exempt lrom the Contrac·
tof"s LJCense Law tor the lollowmg reason (Sec 7031 S
Busmess and Proless.ons COde Any etty or county which re• quires a perm,t to construct, alter. improve. demotIsh. or repair any structure. prlOI' to its issuance also reqU1res ?he ap-
phcanl fOf such perm,1 10 tile a signed statement lhat he ,s licensed pursuanI to !he prOY1s1ons of the ContracIor' s License Law (Chapter 9 commencing wilh Sect!On 7000 of
0rv1s1on 3 of the Bus;ness ano Proless!Ons Code} or that ,sex-empt lherelrom and the baS1s lo, the alleged exempt10n Any
VIOlat,on of Set110n 7031.5 by an apphcant ,., a perm,t sub-
Jects lhe apphcanl 10 a CIVIi penalty of not more than llve hun-dred dollars ($500)
rJ I, as owner of the property. or my em~ with wages as their sole compensatton, will do the work, and the slruc·
ture is not Intended or offered tor sale (Sec. 7044. Business
and Professions Code: The Contracto,'s Ucense Law does not apply to an owner of property who builds or Improves
thereon and who does such work hmset1 or through his own employees. provided that such ,mprovements are noI intend·
ed or ottered tor sale. II, however. the buik:lmg or improve-menl is sold within one year of com~tion, the owner-builder will have Ille burden of pr<>YIng thal he did not build o, im-prove for the purpose or sale).
D I, as owner of the property. am exclus1V1ly contracting with IKensed contractors lo construct the project (Sec 7044,
Bosiness and P'folesskms Code: The Contractor's t,cense law does not appty 10 an owner of property who builds or Im-
proves thereon. and who contracts tor each projects with a contractor(s) license pursuant to the ConlractDf's License Law).
D As a homeowner I am Improving my home, and Ille follow· Ing cond1t1ons exist·
1. The Wlll'k is being pe~ormed prior ID sale. 2. I have hved In my home tor twetve months
3. rr:v~ ~~=:ooof tI~i: ::~ption during !he last three years.
□ lamexemptunderSec. ______ ,B&P.C. tor lhis reason
□ I hereby atflfm th.al I ha~ a cen1hca1e of consen1
10 self-insure. or a cert1t1cate of Workers· Compensation Insurance. or a cen1f1ed copy thereof
(Sec 3800, Labo< Code)
POLICY NO
COMPANY
□ Copy IS hied with the city
□ Cert,hed COP)' IS hereby furrushe(I
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 !he permit
,s to, one hundred OOllars (S 1001 o, less)
0 I cen,fy that in the performance ot the woriil tor
wh1ct1 lh1s permit 1s issued. I shall not employ any
pe,son in any manner so as 10 become sub1ec1 10
tf\e Wor1'.ers· Compensat.on Laws of Ca.Morn,a
NOTICE TO APPLICANT If. after mak,n~ in,5 Cen1
llcate of E:ii:empt1on. you should become sub1ec.1 I? the Workers· Compensation pro111s1ons of thf: Labot
Code, you must tonhv.1th comply w1lh such
prov1s1ons or this oerm11 shall be oeemed revoke-a
0 I hereby affum in.at there ,s a consIructIon
lending .ge"cy '°' 1he performance of lhe woni for
wn1ch lh•s pe1m11 •s issued 1Sec J097 C1v11 Cooe,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --~. -------
T CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ,,..,....,,.., ~
JOB ADDRESS AV ST.RD NEAREST CROSS ST. I DATE OF APPLICATIONI BUSINESS LICENSE # \Pt'~·'l-'f''f1a,q I~·;;~ 2712 Via Colima, carlsbad, CA 92008 9 I /.;J_
LOT BLOC~ I sueo1v1s,0N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • Z<:mE
l?.41 72-21 167-350-27·0'0 The Highland Catpany 942-6262
OWNER'S NAME I OWNER'S PHONE
The Highland Cqrpany 942-6262 CONTRACTOR'S ADDRESSEncinitas 1l,;A LICENSE NO. PLAN 1.0. # BLDG USE CODE
OWNER'S MAILING ADDRESS 1991 Village Pk way #201 B-342407 1265.
DESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE
1QQ1 u;,,,..,..,,,. n,,,_1, ra1,,, ... :i?nl. "'"'"";";+-..,,.,. f":a Q202.4 Envirormental Design C-1798 AIA 1700¢J l1v. DESCRIPTION OF W<'fRK -
~ c ... ~ -inn DESIGNER'S ADDRESS1.'tvo~ ni tas, CA DESIGNER'S PHONE
60 Plan 1760 s.f. 1991 Villaae Pk N:iv,1201 942-6262 '·-. -----------•-------F/P FLR ELEV. NO OCC GP EDU
vQ N)l
STORIES /;J-3 I 3/2.//t.i.7~i_:,,__i --r .~-
CENSUS TRACT I GP LAND USE l#iG,¢CE I RES;NITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA ~ v:t--1 <..10 v□ N~ y O N 0 v0 N Nor Valid Unlt!sr Machine Certifi«f
QTY. PLUMBING PERMIT · ISSUE 7€!-QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER ...34-:3 .oc
I I EACH FIXTURE TRAP ~-' ~ I INSTALL FURN. DUCTS lJP TO 100,000 BTU 4. {)n BUILDING PERMIT 01 ·00-00-8220 ----
I EACH BUILDING SEWER ✓-. So OVER 100,000 BTU SIGN PERMIT 01·00-00·8221
I EACH WATER HEATER AND/OR VENT ca<.$"() BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 -.:J ~.,d,S
I EACH GAS SYSTEM 1 TO 4 OUTLETS _.::, .<o 80ILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 4-t'r ,~/)
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~ =;r, r>ri
EACH INSTAl .. ALTER. REPAIR WATfR PIPE ~ VENT FAN SINGLE DUCT r,,... nr MECHANICAL 01·00·00·8224 /.~ no -EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-nn-nn.oo?~
TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 4-.8 7 £.A .~,
TOTAL PLUMBING I -4,t:, ~ 13. p o FIRE SPRINKLERS 01 ·00·00-8227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT· ISSUE s--BRIDGE FEE
Jn/J NEW CONST EA AMPISWT •BK R -COLLECTORS SCHOOL FEE • DISTRICT
11M t 1!{PHJ 3 PH e.:J-<rn STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT,BKR ROCK STORAGE Encinitas 80-92-22·0519
1 PH 3 PH PUMP San Dieguito 80·92·23-0519
REMOOE L 'A LTER PER Cl R CU IT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMPPQLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI fi?rr--4./'Y)nt'"')
CREDIT DEPOSIT
TOTAL ELECTRICAL
I "30.QO TOTAL SOLAR TOTAL FEES PAYABLE
I /08.3,7~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO tiEREBY ExpirallOn E-i, permit-""' IIVtheBuildlng Olhciel uncler lhe prov11,ons of thto * AN
1
_~ 1$ AEOUIIIED FOR EXCAVATIONS OVER CERTIFY UND6R PENALTY OF PERJURY TtiAT ALL INFORMATION HEREON INCLUDING THE Code -I expi,e by llmilllfion and become null --, vc,;ct If the bu1k1,ng or work s· O" P DEMOLITION OR CONSTRUCTION Of autllonzed by 1uc11 perm1t ,1 not commenced -110cleys from Ille dote.,, such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,t, or 1f Iha bulld1:.'K.:or -autllotiud by ll!!ill...pe,11111 ,a suspended or STIIUC OYER 3 STOAl£S IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· -donecl at...., brne 1118 worll ,a -·•......,,,of 180 A-•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~PPllCAN, SIGNATURE If, ?7I 0 CONTRACTOR 0 APPAOVEO~~ ~~1~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~~ R
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ BY PHONE 0 GRANTING OF THIS PERMIT. -/. / .7'(..J ,,,.--./ .
~ -
'----/ ,
Q)
u::
>, ;;;
0 a.
E
Q) I-
I
'O
0
0
C <ti <)
a. a. <i
I
.>C c a::
0 rJ) rJ)
Q) rJ)
rJ)
<i
I
ca: .Q
ai
>-
rJ)
rJ) Q)
<) 0 a:
<ti ;;;
0
~
Q)
<)
C <ti C
u..
:::.
C Q)
Q)
c'.,
0 0
Q) a. rJ)
C
2! :.c ~
TYPE I DATE INSPECTOR I
BUILDING I • ,,,,,,
FOUNDATION I .......... A ,, n,1 ' ~
REINFORCED STEEL I c-" --o--,, v-. ~--I
MASONRY I ,
GUNITE OR GROUT /i
FLOOR & CEILING SUB FR~ UY :
SHEATHING ~ROOJi.P"J. :::J SHEAR
FRAME 1 75lflV ·'r?-JL..fefl-I if-4,,,9
EXTERIOR LATH I -
I ---INSULATION I ri..r,.~ _.Ir ~")I /
INTERIOR LATH & DRYWALL I -g~¥,,9fi -. .
I
I --/
PLUMBING I /
SEWER AND BUCO DIPUCO I ..... .t I /1),f ~
UNDERGROUND D WASTE D WATER, ""(-~ -
TOP OUT D WASTE D WATER r7•(k6A ,A .--:7.
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND OI UFFER
ROUGH ELECTRIC I 'r1 , II,: f1-" 'Z./r
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I •
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING 17 ("1"PA. l,lr--~
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECU:ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS -
I
I
I
I
I
I
I
1
I
I
' I
-
<711 ~/
~~( -v;~
(ct<, 1/ ,q'...,'-' --/ 7J-J
\
, .. . . . .
g ~ --~<-f , ..24-I \. ' • \ r~~ -. .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL ~ -
' -. . -~ SOILS COMPLIANCE
PRIOR TO .
FOUNDATION INSP
" STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED -
CONCRETE
FIELD WELDING I
HIGH STRENGTH
BOLTS I
C ,,.. SPECIAL MASONRY . .. ' ... . -·
L
PILES CAISSONS ,.
~ r·-
~ r • , ..
I ' ~ ' .
' -'' I ,. .
-.-.--t-:_-:_-:--, ~-=-I
> . ' C • ~ 1 . . j . r t -. -'\ ~ .. , .
.
'
' I
°' ' . -. '•
' i .. 1 •· --
-
l :