HomeMy WebLinkAbout2701 VIA COLIMA; ; 83-34-235; Permit\) }1[
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalona Code, and my license Is In
full force and affect.
lie No ______ Class
I hereby al!irm that I am exempt lrom the Contrac-lor's Lictnse Law lor the 1onow1ng reason (Sec 70315 Busmess and Professions Code· Any city or county whicn re-quires a perrmt to construct, a lier, improve, demot1sh, or repair any structure. pnor to ,ts issuance also requires !heap•
r,hcant for such permit to me a signed statement 1ha1 he Is censed pursuant to the prOY1s100s o1 the Contractor"s license law (Chapter 9 commencing with Sechon 7000 of
DMst0n 3 of rhe Business and Prolesst0ns COde) or that is ex-empt therefrom and the bas,s for the alleged Ol\OfflPIIOn Any
VlOlation of Section 7031.5 by an apphcant for a permil sub--1ects the applicant to a crvJI penalty of not more than hve hun· dred dollars ($500).
0 I, as owner of the property, or my emptoyees with wages as their sote compensalion. will do lhe work. and !he suuc·
ture is not intended or ollered !or sale {Sec. 7044, Busmess
and Professions Code· The Contractor's Litense Law does not apply to an owner of property who builds or improves
thereon and who does such work htmSelt or through his own employees. provided that such improvements are not intend·
ed or offered for sale. II, however. the building or .improve-ment is sold within one year of completion, the owne{·buik:Ser will have the burden of provmg that he did not build or Im·
prove for the purpose ot sale).
0 I, as owner of lhe property, am exclusJVely contracting wI1h licensed contractors to construct the proiect (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 projecls wilh a
conlractor{s) ltcense pursuant to the Conlractor's Lanse Llw).
D As a homeowner I am improving my home, and the tollow· ing conditions exist 1. The work is being pertormed prior to sale. 2. I have lived in my home tor twelve months
3. r':v~ ~~:~of~~: :r~pliOn during the laSI three years.
D I am exempt under Sec. ______ . B & P.C.
for lhis reason
0 I hereby affirm 11\al I ha;,e a cert1hca1e of consent
to self.insure. or a cert,t,cate of Work.ers·
Compensation lnsura.nce, or a cen1tied CoPy lhereol
(Sec 3800, Labo< COde)
POLICY NO .
COMPANY
□ Copy IS filed w1lh lhe City
0 Cen1fled coPy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENS.t. TION INSURANCE (This section need not be completed 1f the permit
Is tor one hundred dollars (S 100) or less)
D I certify that In the performance ot the wor11; tor
which 1h1s permit Is issued, I shall not employ any
petson in any manner so as to become sub1ect 10
1he Workers' CompensatfOO Laws ol Calltom1a
NOTICE TO APPLICANT If. after maktnJ ltus Cen,
ltcate ot ExempHon, you shOuld beeome sub1ect t'> the Wo,ti:ers· Compensa11on prO'WIs•ons 01 lhe L....bot
Code, you must f0f1hw1th comply w11h such
provisions or lh1s permit shall be deemed revoked
O I hereby att1rm 1f'la1 there 1s a construc11on
IenciIno aoency •01 the performance ol lhe woOt lor
wt'ucn ttus permI1 1s 1ssue<J 1Sec 3097 C1v11 Cooe1
Lenders Name ___________ _
Lender's Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .... ----
CARLSBAD BUILDING DEPARTMENT -APPLICATION & PERM!1 r"ri. r-</ I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE ,t ~~ PERMIT~*
2701 Vi;i rn 1 ; '!TR • C".::1r 1 !=:Mrl . C"l'l. 92008
LOf BLDCtc; I sueoIvIsI0N I ASSESSOR PARCEL NO. CO/"ghlandR CTOR CONTRACTORS PHONE• :,,Jll'(E t'??k" ?~Ci. 72-21 167-340-15-'CO 'll1e Hi Coopany 942-6262
0WNER"S NAME I 942~262 PHONE '!be Highland CQtpany iCW!A\ff!U~~ark way, #201 LICENSE NO PLAN 1.0 . ./1 BLOG use CODE
/;>GS. OWNER'S MAILING ADDRESS Rnri n; t-.::1Q. ra Q?n?.4 B-":142407
1991 Village Park way, #201, Encinitas, CA 92024 DESIGNER LICENSE" STANDARD PLAN Ii BUILDING SO. FOOTAGE
Envircnnental Design C-1798 AIA /0 9 .J t/:J 6 1/. DESCRIPTION OF WO"IC \
"T-.• -, ....... .:-i§ff~lU%~ Park way, #201 DESIGNER'S PHONE
20 Plan 1092 s.f. 1o,r,;n;._.,..,, ("11. C,?n?,t 942-6262 --· --·• -------~ ----------F/P FLA ELEV. NO DCC GP EDU
vO "1&_
STORIES ~-3 I . --
CENSUS TRACT I GP LAND USE ~47 SciE
1
RES 7,Ts
1
GR.t.DING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRESPR
AREA CONST!'./ .::::..10 vO~ YO ND vD ~ v-Not Valid Un~s Machine C~rtified
1£!--
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER_;)~ 5°~ oo
'1' EACH FIXTURE TRAP r.j _ ~ <:"'~ ,..:)~ .c:.r / INSTALL FURN. DUCTS i.JP TO 100,000 BTU d. .11r BUILDING PERMIT 01-00-00-8220 "'":,-
I EACH BUI LDING SEWER L . .c::::,, OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
I EACH WATER HEATER ANO/OR VENT ...:J <11 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 /85, 90
/ EACH GAS SYSTEM 1 TO 4 OUTLETS _") .so BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-B222 d..J. 40
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ... ,t)r, ()[)
EACH INSTAl . ALTER, REPAIR WATER PIPE ~~ VENT FAN SINGLE DUCT {,) ""'l • I')(') /_ .r>r MECHANICAL 01 ·00-00-8224 I ... ~ (") ('")
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEHOME 01 ·00·0Q-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR 01-00-00-~??~
TQT/;l MECHANICAL STRONG MOTION 80-92-33-0519 ~_/.5, ~ ,~
TOTAL PLUMBING I 4/ Sc /$ 90 FIRE SPRINi<LERS 01-00-00-8227
QTY. ELECTRICAL PERMIT • ISSUE .5"....--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
/('J(') NEW CONST EA AMP/SWT •BKR COLLECTORS SCHOOL FEE • DISTRICT
tlNI¥-(if'l\ 3 PH -"'~ an STORAGE TANKS Carlsbad 80--92-21-0519
EXIST BLOG EA AMP/SWT:BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Oieguilo 80·92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS -
OVER 200 AMPS LICENSE TAX 01-00-00-6162
TEMP OCCUPANCY (30 DAYS) /Jr,:=-Ll.rY) (")(')
CREDIT DEPOSIT
TOTAL ELECTRICAL I 00 00 TOTAL SOLAR TOTAL FEES PAYABLE I 9.:;?.8_.S.S
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT" ANO 00 HEREBY Exp,rllliOn Every permit 1uued by the Bu,ldtng Off1c1at unoe< the provisions of th,s * AN OSHA PERMIT IS ...Afl"' FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lllafl 11Xl)lr9 by hmtUtllOn and become null and void I! the building or worl< ~• 0" DEEP ANO ~OR CONSTRUCTION OF .,IIIOriZacl by such permtl ,. not commence<! w1th1n 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permtt. o, If Ille llulldl~o, work au1hor12ed by such parm1UL.1.uspended or STIIUCT\JRES OYER S IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· _,/'/ . ...,dell.., at -.,,,,. Ille work Is commenced for • -od of .A80 d-•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO •-,_, •~ .t.PPROVED BY (-l
l~tf
KEEP HARMLESS T. HE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND~~--~• ERO CONTRACTOR Q
EXPENSES WHICH _MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TlfE ~-BY PHO E 0
GRANTING OF THIS PERMIT, N ~;r---~ / , -I
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TYPE I DATE INSPECTOR I
BUILDING I -
FOUNDATION I ' A '\ ~~ -L
< Ar/ j
REINFORCED STEEL : r ' "'' ..., .
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I I
SHEATHING D ROOF □ SHEAR
FRAME I ?,%}~. }
EXTERIOR LATH ! .
I "" /
INSULATION I " ~-~-~ -... d',)
INTERIOR LATH & DRYWALL I '\ Q.-, 11.ai ')ti -I ,,.. V Ir ""'' .._..
I -
PLUMBING I I
SEWER AND BUCO □IPLJCO I \,. /I ' -<'A ,,,.......,. ·✓
UNDERGROUND D WASTE □ VVATEFV' -, -,.,...... ....
TOP OUT □ WASTE □ WATER /-7,o-fdll ~
TUB AND SHOWER PAN ,
I ,
GAS TEST I 1.~~A I . .......,,__
□ WATER HEATER □ SOLAR WATER • -
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND OIUFFER
ROUGH ELECTRIC I ~'fit r"~
D ELECTRIC SERVICE □ TEMPQRARY -
□ BONDING □ POOL I
I
MECHANICAL I /
□ DUCT & PLEM., □ REF. PIPING '7-7£1-~L T"
HEAT -AIR COND. SYSTEMS , --
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VENTILATING SYSTEMS I
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CALL FOR FINAL INSPECU:ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD ' ' ·,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE .. ~ ,.. ,~ -
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS ~-C \° SPECIAL MASONRY -·' .., ~ -...... _ ......... -...... --.
PILES CAISSON-S
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This is to certify that insulation has been installed in confonnance with the
current energy regulation, California Administrative Code, Title 25, State of
California, in the building located at:
SITE ADDRESS rcl2[J_L Via Colima 2 Carlsbad2 CA
CEILINGS Owens/Corning 6¼"
CertainTeed 6 "
Batts: Type Fiberglass Manufacturer Manville Thickness 6!" R-Value
Blown: Type Manufacturer Thickness R-Value
EXTERIOR WALLS Owens/Corning 3½"
Certain Teed 3}"
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value
FLOORS Type Manufacturer Thickness R-Value
General Contractor License#
By Title Date
Schmid Insulation Contractors, Inc. License# 221517 C-2
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