HomeMy WebLinkAbout2711 VIA COLIMA; ; 83-34-230; PermitsY1[
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my llcense Is in 1
full force and effltcl.
lie No ______ Class
I hereby affirm that I am exempt lrom the Contrac-:Jni:a': ~s!:0!~:1":~%~~.j~ wJ,:~.~ I
quires a perm.11 to construct, alter improve, demohsh. or repair any struclure, pnOf to its issuance also requires the ap·
phcant tor such permit to hie a stQned slatement that he Is llcenseo pursuanl to lhe prov,s10ns o1 the contractor's
license Law (Chapter 9 commencing w1lh Section 7000 ot DMsIon 3 ot the Business and Protessions Code) or that ,sex-
empt therelrom and the basis for the allegeo exemphon Any VIOiation of Sect,on 7031.5 by an applicant tor a permit sub·
tects the applicant to a civil pena11y of not more than five hun-
dred dollars (S500).
0 I. as owner ot the property,°' my emplOyees with wages
as their sole compensa1i0n, will do lhe work, and the sIruc-
1ure 1s not Intended or ollered lor sale (Sec. 7044, Business and Proless1011s Code· The Contractor's license Law does
not appfy 10 an owner ot property who builds 01' improves thereon and who does such work himself or through h,s own employees. provided that such improvements are not Intend•
ed 01' offered for sale. If. however. the building or improve-ment ts sold within one year of completion, the owner-builder
wilt have the burden ot proving that he did not build or im-prove tor the purpose ot sale).
0 I, as owner ot the property, am exclusively contrac1mg wrth licensed contractors to construct the project (Sec. 704◄,
Business and Pfotess,ons Code: The Contractor· s License Law does not apply to an owner of property who builds or im·
proves thereon. and who contracts lof each projects wilh a contractOf(S) license pursuant to the Contractor's License Law).
0 As a homeowner I am improving my home, and the fottow· Ing conditions exist:
1. The work is being penormed prior to sate. 2. I have lived In my home tor twelve months prior to completion ot this work. 3. I have not claimed this exemption during the last three years.
g /J~:::;:t under Sec. ______ . B & P.C. -------------
0 I hereby afhrm that I ha.re a cert1t1ca1e ol consent
10 self-insure. or a eert,t,cate of Workers
Compensa.Hon Insurance. Of a cer11f1ed copy thereof
CSec 3800. Latx>r Code!
POLICY NO
COMPANY
O Copy ,s flied with the city
0 Cert1lted CC>py IS hereby lurn1shed
CERTIFICATL OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechoo need nol be completed 1f lhe perm,,
1s tor ooe hundre<S dollars (S 1()0) or less)
d I cert1ty lhal in the performance ot !he wort,. !or
wh,ch this permit 15 issued. I shall no1 employ any person 1n any manner so a.s to become sut>1ect 10
the WQfllers· Compensa11on Laws of Cahlom,a
NOTICE TO APPLICANT If, afler matun1 !his Cen,
ticate ot Exemption. you shOukl oecome sub1ec.1 I?
tile W0f1ters· Compensation prov,s,ons ol lhe LabOr
Code. you must tor1hw1th comply with such
prov1s1ons or this perm1I shall be deemed revoked
0 I tlereby affirm 11'\al 1here 1s a cons1ruc11on
lending agency tor 1he pertQfmance of lhe wort,; !or
wh,ch this permit 1s 1ssue<:t tSec )097 C1v1I Cooe1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -------------
CARLSBAD--SUILDING DEPARTMENT APPLICATION & PERMIT/ /J I 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 -, . ..,
JOB ADORfSS AV. ST. ~O. NEAREST CROSS ST. IDATE Of "'""LICATIONI 8VSINESS LICENSE • 9~ ,. PERMIT NU~ . I
'J:711 '\Ti,,. ·.(h 1 ;--_ ,..,,,,.., -1--..:1 _ f'n q2nnA ~-~ L~;nl eLocl( I SVBOIVISION I ASSESSOR PARCEL NO-ffJ CONTRACTOR CONTRACTORS PHONE • ~ .,.,_,, 1 ~7--:t.dn-1 n '1he Highland~ 942-6262
OWNER'S NAME -,. 1 OWNER'S PHONE
'1.be Highland Cmpany 942-6262 <fgYr~,~!llj§Ei'Jt Way I t20i UCENSENO. PLAN I.D, # BLOG USE CODE
B-342407 ,.()5.s_
OWNER'S MAILING ADDRESS -,..,._;,..; ~ .. ~ . CA 92024 --
1991 Villaae Park way, #201 1 Encinitas, CA 92024 ~~9D----LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
C-1798 AIA l7bO.¢ Liv. DESCRIPTION OF WORK New caistruction ffllEYlfllgt! Pk. ~,-ttpr--OESIGNEA'S PHONE
60 Plan 1760 s.f. ....... .-.1-~~ .. ...-_ l"2l -•: . -~ . ft A -,___c-,,:::-,
3 /27 / £:,t. 7Ub.i I ., , ,' • /' ---------F/P FLA ELEV. NO OCC GP EDU
vO ~ STORIES f<-3 I ~ --
CENSUS TRACT I GP LANO USE I "Zi?i I RE/NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA CONS"' Lio YO Nri y D ND v□ N)i_ V-Not Valid Unkss Machine Certifi«J
QTY. PLUMB IN G PERMIT -ISSUE -;!!:-Q TY. M EC HA N ICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ... :94d., oe:
If EACH FIXTURE TRAP ...757 .<I"' I INSTALL FURN. DUCTS u P TO 100.000 BTU 4.. .11n BUILDING PERMIT 01·00·00-8220 .J --
I EACH BUILDING SEWER '?, -51"1 OVER 100.000 BTU SIGN PERMIT 01·00-00-8221
I EACH WATER HEATER ANO/OR VENT ~-50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 .:;_ 4-t, . .3S
I EACH GAS SYSTEM I TO 4 OUTLETS --'.)_<,.., BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 4../.,.,., <,I')
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ::, r, r.ri
EACH INSTAl .. ALTER. REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT t:, .nri MECHANICAL 01·00·00·8224 ;_::?_ nn
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOB!LEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n,.on.nn-•oo~
TOT J;L MECHANICAL STRONG MOTION 80·92·33·0519 4,_9.?/ ~
TOTAL PLUMBING I ~So 1.3.0o FIRE SPRINKLERS 01 ·00·00·8227
!f'_,,,,.. QTY. SOLAR • ISSUE 1 PUBLIC FACILITIES FEE 32·00·00-8933
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
106 NEW CONST EA AMP/SWT •BKR COLLECTORS \\ ' SCHOOL FEE • OISTRICT
IW/. 6PH) 3 PH ,..::J<l'V' STORAGE TAN KS . O' .. I Carlsbad 80-92·21·0519
EXIST !fLOG EA.AMP/SWT/BKR ROCK STORAGE rJ' u, ( '="\ Encini!as 80·92-22-0519
1 PH 3 PH PUMP " tv h -~ -/t). San Dieguito 80-92·23-0519
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE \\ \Y "\} .... ") San Marcos 80·92·24·0519
TEMP POLE 200 AMPS V I r .
OVER 200 AMPS \.. LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MP-F-4/)() t')r,
CREDIT DEPOSIT
TOTAL ELECTRICAL l '-30_00 TOTAL SOLAR TOTAL FEES PAYABL E I 1083. 72_
~.t.ypennltillued_ ........ OMdllUlldlrlMpfOWIIIOftl oflllll ----I HAVE CAREFUU Y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY * AN 06HA P£,_, FOA EXCAVATIONS OYEA
CERTIFY UNDER PEKAL'TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code-nplr9 t,y h-Md'._IIUlt_.'1111111. lf1119bulfdm9 or-!I' o-ouP AND •~ 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhON»dl)ylUdlpermilisnol_lCM ....... --• daleofauch STRUClURES ~lOAIES IN HEIGHT • penllil. or If 1119 bulldi~or worll a.illlClflad i.• ~ or ISSUED TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON• Ill■ dHldal---llle-1111 • • ,i ,.,....__
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. ) ALSO AGREE TO SAYE INDEMNIFY AND APPUCANT'" ~ ·. • -
1 CONTIIACTOA 0 ~~~
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KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE ~ .en A ·.~~ BYPHONE □ 1/ / ,..>--GRANTING OF nos PERMIT.
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TYPE DATE INSPECTOR ---~ ... I ' -..... -. g_g , 31../ -;).'JD ........ _, . . BUILDING ' I -'
FOUNDATION I ' A ,\ 4A -L FIELD INSPECTION RECORD I _.
REINFORCED STEEL I ,,-I • I ---. ~",J
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REQ IF INSPECTOR S GUNITE OR GROUT ! INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME ' SOILS COMPLIANCE _ .. "'--, ... , ... . ,•
SHEATHING □ ROOF □ SHE.AR ,/" PRIOR TO .
FOUNDATION INSP FRAME I r-7,-~~ '~ t STRUCTURAL CONCRETE . L EXTERIOR LATH I OVER 2000 PSI
INSULATION I ~-~-~ .I _,,,.-PRESTRESSED .. CONCRETE INTERIOR LATH & DRYWALL I '-c..1~ aCYJ POST TENSIONED I I
I _.) , • • -CONCRETE
PLUMBING I / FIELD WELDING i I
SEWER AND BUCO DIPUCO I /1 L -Q:11 .-.I. HIGH STRENGTH .._, l-"A'Jl
□ WATEI( --· 1~-BOLTS UNDERGROUND □ WASTE C -· □ 'I/ATER ry:~.e!-SPECIAL MASONRY -TOP OUT D WASTE ~J . "' ,. -. .
TUB AND SHOWER PAN I .
I ,
GAS TEST I -;:~ tRil n";;;p/ PILES CAISSONS ,,
□ WATER HEATER □ SOLAR W"TER . --.I ....
I I' --
ELECTRICAL -""' ~ ,-~ I .
□ ELECTRIC UNDERGROUND o;uFFER / -J I ---• r ;-
ROUGH ELECTRIC I 1·-%J"'il ,;, ~
-~ , --, .... ~~--.:..;..-:;, □ ELECTRIC SERVICE □ TEMPORARY --~ ' □ BONDING D POOL I _, ---I ' I -. l ~ ----. , . -,' < ' MECHANICAL L I . □ DUCT & PLEM., □ REF. PIPlt'-JG '7;~,C,/~ ~ ~ ., ·~-~
HEAT -AIR COND. SYSTEMS I •
VENTILATING SYSTEMS I
I
I --CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -\
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
i,v PLUMBING I n1~ .
~ . ELECTRICAL ! dt-'. 1·.~i MECHANICAL I -1V.½"Jl '>Y-. .. J -. GAS I t;,"t;; l"""'bO-V --,. 'I "' BUILDING --' --, -' -. I --•
SPECIAL CONDITIONS '\..' ---._.. I ,
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'· ~~~~~~~~~ir~/~-• ~~~~~~~i"~~ dB,i~~~~i•·~,.,~~~?:~~~;~~~~~~~~~~t~~:·:--~--:~~:>.~-i~' ;:~,:-:~~-~,~/,~4 fa,; ' -~~~~~~~~~~-~'~::':(~.,._~,.,,~-'-~':~,~~=--~· ~4!:.!,~·~*-~·~~ .... .i.-~~~~...,;-~----t /Is..~ •bl • 4 ~ I """-a~
INSULATION CERTIFICATION \
This is to certify that insulation has been installed in conformance with the _. ,~
current energy r egulation, California Administrative Code, Title 25, St ate of ~-·
California, in the building located at: ••
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SITE ADDRESS __ _s.d.c....L..7~// __ ~V~i=a~C=o=l=irna=,'--=Ca=r~l=s=b=ad=•i.......::CA=-=--------.---------Owens/Corning 6¼"
CertainTeed 6" CEILINGS
Batts: Type Fiberglass Manufacturer · Manville Thickne ss 6½" R-Value 19
Blown : Type Manufacturer Thickness R-Value --------~---------Owens/Corning 3l"
Cert a in Teed 3 ½ 11 EXTERIOR WALLS
Type Fiberglass Manufatturer Manville Thickne ss 4 " R-Value 11
FLOORS Type _____ Manufacturer _______ Thickness ___ R-Value __ _
General Contractor License# --------------------------
By _____________ Title _________ .Date ________ _
Schmid Insulation Contractors, Inc. License# 221517 C-2