HomeMy WebLinkAbout2703 VIA COLIMA; ; 83-34-234; Permitr,w /a: 0 I hereby affirm that I am licensed under
~
'<. o provlelone of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business 1
c and Professions Code, and my license Is In I
~ lull force and effect. I
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I hereby afhrm lhal I am exempl lrom the Contrac• tor's ucens, Law tor the tollowIng reason (Sec. 7031 5
Business and Prolessoos Code Any city or county wh.ch re-quires a perm,t to construct, alter, improve, Clemolish. Of
r~lf any structure, prior to its issuance also requires :heap· pbcant for such permit to hle a signed statement that he js
licensed pursuant to the prCMsK>ns ot the ContractOI' s license law (Chapter 9 commencmg with Section 7000 ot
Olv1sIon 3 of the Business and PrafessiOns Code) or that is ex· empt therelrom and the basis for the allegea exemption. Any v1otat1on of Sec110n 7031.5 by an applicant for a permI1 sub· 1ects the appncant to a crvrt penalty ot n01 more than live hun-
dred dollars ($500)
D I, as owner of !he property, o, my employees w,lh wages
as lheir sole compensation, wttt do the work, and the struc·
lure is no1 ln1ended o, ottered tor sale (Sec. 7044. Business
and Professions Code The Contractor·s License Law does
not apply to an owner of property who bu1tc:ls °' improves thereon and who does such work hImsett or through his own empk>yees, provided lhat such improvements are nol intend-
ed or o!lered for safe. II, however. !he bwld1119 or improve-
ment is sdd within one year of completion. the owner-buitder will have the burden of proving !hat he did not build or im-prove tor the purpose ot sale).
D I, as owner of the property, am exclusively contracli119 with licensed contractors 10 cons1ruc1 !he project (Sec. 7044.
Business and Prolessions Code: The Contractor's License Law does not appty to an owner of property who buikSs or im-
proves thereon. and who contracts 1or each prOiects with a conlractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improvi119 my ho,ne, and !he tollow· ing condlUons exist:
1. The work ,s being perto,med prio, 10 sale. 2. I have lived in my home lor twetvo months prior to completion of this work.
3. I have not claimed this exemption dunng the last three years.
D I am exempt under Sec. ______ , B & P.C
tor this reason -------------
0 I hereby affirm that I na-.e a cert1f1cate ol consen1
to self.insure, or a cer11t1ca1e of Workers·
Compensation Insurance. or a cert1f1e<f copy thereof
(Sec 3800, Labo< Code!
POLICY NO
COMPANY
□ Copy IS filed wlttl the c,ty
0 Cerhhed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t the permit
1s tor one hundred dollars IS HXh Of tessl
0 I certify that 1n lhe pertormance ot the wortil. !or
"Nh1ch this permit ,s issued, I shall nol employ any
person 1n anv manner so as to become subIec1 10 the Wof"Ke,s· Compensatt0n Laws of Cahforn1a
NOTICE TO APPLICANT II, after mak1n1 1t1,s Cet11
t1cate of Exemption. you should become sub1ec1 I'>
lhe WOOlers· Compeny11on pr0\1'1s,ons ot tne Labor
Code, you must forthwith comply with such
ptov1s1ons or lh1s permit shall be deemed revoked
O I hereby alhrm !hat 1here •s a cons1ruc11on
1endmg .Jgency 10, lhe per1ormance ot 1ne woni lo,
wl'uch 1h15 pe,m11 IS issued (Sec 3097 C1v1I cooe1
Lenders Name ___________ _
Lenders AOdress __________ _
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USE BALL POINT PEN ONLY & PRElS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
i CARLSBAD BUILDtNG DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 I /1--,....,-,
JOB ADDRESS AV. ST.RO. BUSINESS LICENSE It NEAREST CROSS ST. I OA TE OF APPL ICA Tl 0111 I ~LlfATlfl~ ~
2703 Via O;>lima, carlsbad, CA 92008 Qo~i«
PERMIT NUMBE~
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LOT BlOCK · ·,1 suaoIvIsI0111 I ASSESSOR PARCEL NO OD CONTRACTOR CONTRACTORS PHONE o ZQMI!"" {t,; 234 , 72-21 167-340-14' • 'lbe Highland carpany 942-6262 OWNER'S NAME I OWNER'S PHONE
The Highlar1<f ~y 942-6262 c'i~~1c\9f:f:t£~5park way, #201 LICENSE NO. PLAN 1.0. # lfLOG use CODE
/<G5 . OWNER'S l\,IAILING ADDRESS 1"nri n; ,._,,,,e, C'A a?n?A R-~A?An1 -DESIGNER LICENSE tt STAN DARO PLAN #
;7;G;;;;z/v 1991 Village Park way, '#201, Encinitas, CA 92024 Environnental Design C-1798 AIA OESCRtPTIOIII OF WORK New Coostructial
Di~~~:t~ Pk I #201 DESIGNER'S PHONE
60 Plan 1760 s.f. Encllll. tas, CA 9 ~4 942-6262 3127 /til., 7&b3 --------------F/P FLR ELEV. NO OCC GP EDU I ~r3.7
' vO ~ STORIES R-3 I ~ --
CENSUS TRACT I GP LANO use I #, rle I RES 7TS I GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA ~ CONS~NT C./0 v□ N'bd' YO ND vO Y-Not Valid Unkn M~chine Certified .
QTY. PLUMBING PERMIT -ISSUE '7~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ....:S</-:s ,00
II EACH FIXTURE TRAP ....:'J7 .<n I INSTALL FURN. DUCTS UP TO 100,000 BTU 4. ./"){) BUILDING PERMIT 01·00-00·B220 ~ -, --
I EACH BUI LO ING SEWER ~50 OVER 100.000 BTU SIGN PERMIT 01-00·00·8221
I EACH WATER HEATER ANO/OR VENT .J50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 ,d;J.4-<o_.B.5
I EACH GAS SYSTEM I TO 4 OUTLETS .-!J .<:n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 4-6 .50
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ~ri nn
EACH INSTA~. ALTER. REPAIR WATER PIPE ~ VENT FAN SINGLE OUCT /,... l")f") MECHANICAL 01 ·00-00-8224 h-<. 00
EACH VACUUM BREAKER MECH EXHAUST • HOOOIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn.ooo~
TOTl<L MECHANICAL STRONG MOTION 80-92-33-0519 4,,_ 8 "7 / = ,
TOTAL PLUMBING I 4.L.,~ /3 00 FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00-8933
IJQQ NEW CONST EA AMP/SWT IBK R COLLECTORS SCHOOL FEE • DISTRICT
AM~ ,(PH) 3 PH e::>,<; .nr: STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMPISWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 OAYSl /J? ?;::;. 4-Dn nn
CREDIT DEPOSIT
TOTAL ELECTRICAL I Jocc TOTAL SOLAR TOTAL FEES PAYABLE I 1083_7~
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" ANO 00 HEREBY Exp,ration Every permit 1saued by the Butldtng Oflrc,al un-lhe prov,s,ons ollhta * AN ¥IT IS AEOUIAED F0A EXCAVATIONS OVER CERTIFY UNDER PEN.llt.TY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt exp,re by 11m,tatIon and become null and void 11 the burtd,ng or worfl S' O" DEEP OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 15 authorazed by such perm,1 ,s nor commenced wIlhIn !~days Ir the date of such STAUC OVER l STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON, =~ r~ ':!v '::',;:!':#:' ttie~':!h~=.,~ch :,.,•~•~:r,::~ or A
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPl~C IGNATURE • -' APPAOVEDG\ 7/A~A KEEP HARMLESS THE c,tv OF CAflLSSAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND • -? ~ Fu CONTRACTOR 0
EXPENSES WHICH MAY IN Al(Y 'WK'f ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 11/ -75LI-GRANTING Of THIS PEAMff, • • -~ I ., ~ r I ' , -/
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TYPE I DATE INSPECTOR .. ' -.. : " "8'°6 J~4-d"b4 / ---. BUILDING ---I
FOUNDATION F I '-JI .,, th 1 V"'~ FIELD INSPECTION RECORD
REINFORCED STEEL I ✓ ' '' ..., ' ~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY ' I REQ IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I ,, -SOILS COMPLIANCE -.•
SHEATHING □ ROOF □ SH~R PRIOR TO
FOUNDATION INSP FRAME I '?(Z,0,QA· ~ STRUCTURAL CONCRETE EXTERIOR LA TH 1 , / OVER 2000 PSI
INSULATION I '\. ~.),-<-/ "' /J_,1.,1 / PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I / l'X :\ 1. 1 ~,_~ POST TENSIONED
I CONCRETE
PLUMBING I / FIELD WELDING I
SEWER AND BUCO DIPUCO I ~ I\ I _CJ, -./ HIGH STRENGTH Ll'./'lTYJ BOLTS UNDERGROUND □ WASTE □ WATER' .. ~""" . -. --
□ ~ATER • 17~-~j SPECIAL MASONRY " . ---TOP OUT □ WASTE ~---"
" TUB AND SHOWER PAN I -GAS TEST ---rl ,,.
I £_""'7 J . PILES CAISSONS
□ WATER HEATER □ SOLAR W,t.TER I
o I -I
ELECTRICAL I . '
□ ELECTRIC UNDERGROUND □:UFFER -r . I .
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ROUGH ELECTRIC I r-7:,,0 /'H ~/'17'i) . -. □ ELECTRIC SERVICE □ TEMPORARY --~-
□ POOL ' -L , □ BONDING I < . .
I . .. .... •. ' I -.
/ ' MECHANICAL I -
□ DUCT & PLEM., □ REF. PIPl~G 7,·ll, WJ ~ ~ I
HEAT -AIR COND. SYSTEMS I I' / -
VENTILATING SYSTEMS i
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I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE , " •. , •
ITEMS ABOVE HAVE BEEN APPROVED. .
FINAL i i.----
'-PLUMBING I ~ J
ELECTRICAL I A'\t ~l, ~ •.
' • ' ' -'~'\~ ('; v· MECHANICAL I ."''-' l
I ~ ,;z ~ : GAS 17
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BUILDING 'I\ •·r , . I "
SPECIAL CONDITIONS I I I ..
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-=-• -.... ~ ='-------~ .... ----=--=-~ ~ • -... -, ~---:-~m4 ·-~ ~·~ ~
l -,~--;;~~~~m~~~~~ilfJ!{lfo~it1Ft.1.t1t~~j~-~ -✓ :it~":~:§t~~~~~j~~; : r ·. •• • , • ' • ~-~~'i.~~/ >'
INSULATION CERTIFICATION -(
This is to certify that insulation has been installed in confonnance with the i
current energy regulation, California Administrative Code, Title 25, State of . •
California, in the building located at: ~ \
SITE ADDRESS al708 Via Colima, Carlsbad, CA
Owe ns/Coming 6a 11
CertainTeed 6 11 CEILINGS
Batts: Type Fiberg]ass Manufacturer Manville Thic1mess 6~11 R-Va]ue 19
Blown: Type _____ Manufacturer _______ Thiclmess ~--R-Value __ _
Owens/Coming 3!"
EXTERIOR WALLS CertainTeed 31"
Type Fiberglass Manufacturer Manville Thic1mess 4 " R-Value __ l_l _
FLOORS Type _____ Manufacturer _______ Thic1mess R-Value ------
General Contractor ________________ License# _________ _
By _____________ Title _________ . Date ________ _
Schmid Insulation Contractors, Inc. License# 221517 C-2
By ~~~~~~ll..!~~~~~~-Title Vice President Date