HomeMy WebLinkAbout2522 VIA ESPARTO; ; 83-34-345; Permit.,,
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O I hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
full force and effect.
Lie No _______ Class
I hereby allirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Prolessions Code: Any city or county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap-
plicant !or such permit to file a s~ned statement that he is licensed pursuant to Iha provisions of the Contractor's License Law (Chapter 9 commencing wnh Section 7000 of DiVlsion 3 01 the Busmess and Protesslons Code) or that ls ex-
~Ja\~~~1''so;,~~ 1i;,~~s~/~n1~~~,;~;:i :.: jects the applicant to a civil penalty of not mo,e than live hun-
dred dollars (SSOO)
D I. as owner of the prooerty, or my employees with wages as lheir sole compensation, will do the work, and the struc-ture is not intended or oltened for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply to an owner ot prooerty who builds or improves thereon and wM does such work himse1f or through his own employees. provided that such improvements are not Intend-ed or ottered lor sate. It, howo\'er, the building or improve-ment Is &Nd within one year of completion, the owner-builder will have the burden ot proving that he did not build or im-
prove tor the purpose ot sale).
D I, as owner ol the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
Business and Professk>ns Code: The ContractOf's license l aw does no1 apply to an owner of property who buikjs or im-
proves thereon. and who contracts for each pro;ects wtth a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am ,mproving my home, and the totlow· Ing conditions ex.ist: t. The work is being pertormed prior to sate.
2. I have lived in my home for twelve months
3. rr:v~o ~:1Pc'::1edo1 :~i: ~~ption during the
last three years.
D lamexemptunderSec. ______ , B&P.C.
tor this reason ____________ _
D I hereby affirm that I have a cert1hcate of consent to self-insure, or a cert,f,cate ot Workers·
Compensation Insurance. or a cert1l1ed copy thereof
(Sec. 3800, Labor Code)
POLICYNO __
COMPANY
D Copy 1s hied w,tn the: c11y
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0 Cer11tted capy 1s hereby tum,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm,1 1s for one hundred dollars ($100) o, less)
D 1 cer11ty that in the pertorma.nce ot the work fOf
which this permit 1s issued, I shall not employ any
pe<son ,n any manner so as 10 become subJecl to
the Workers· Compen~hon Laws of Callfomia
NOTICE TO APPLICANT If, after maktnJ ttus Cen1
hcate ol Exemption. you sho\Jkj betome sub1ec.1 l".l the Wori(ers· Compensatron pro.,,,s,ons of the Labor Code, you must tor1hw1th comply w,th such
pro.,,,s,ons °' this permit shall be deemed revoked
D I hereby at11rm thal there 1s a construct1on lending agency tor the performance ol the woO(. tor
which this permit ,s issued (Sec 3097 C1..,..,~ COde)
Lender"s Name ___________ _
Lender'! Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
'2522 V!a Eepa~~a. Carls~d, CA 92008 I
JOB ADDRESS c;l.S-# ~ t::')J E.57.,,,.;e,-4 A~;_T.
1
r E. ~ :pe;TION
1
OWNER'S NAME
The Highland Company l OWNER'S PHONE
942-6262
CONTRACTOR
The Highland Company
owNER's MAILING A4_C:,9'l Village Park Way
Encin~ta~ CA 92024
#201 L~~}AC:V~~~arg,e»park Way#201
~ncinitas, CA 92024
3457 BLOCK ~4~~~ 11i,~Rii1~1~ .. cf) DESIGNER
Environmental Design
OESCRIPTION OF WORK
I k~~<fE~i~i~ge Park Way#201
~n~initas. CA 920 ...... 2:aL,4 __ New Construction
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~· ., > 60~PLAN 1760 s ,f.
F/P FLA ELEV.
vO ~
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STORIES
BUSINESS LICENSE # VALUATION
CONTRACTORS PHONE # ZONE
942-6262
LICENSE NO. PLAN 1.0. #
)3-342407
LICENSE It STANDARD PLAN #
C-1798 AIA
DESIGNER'S PHONE
942-62-62 3/ -
OCC GP EDU
~5 _j_
PERMIT NUMBER
83-* _g~
I BLOG USE CODE
~'G,
I r,,o·~cxfJ!./ ~
E: ..
CENSUS TRAC] GP LAND USE 144( s~:1:rlTS l GRADING f'.ERMIT ISSUED
y D ND l REDEVE LOPMENT
AREA
Y0 N\{ ~ l~to0 FIRE SPA
v□ N)Jf Not Valid Unlffs Machine Cl!rtifiM
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
7~
-~~
7
QTY.I MECHANICAL PERMIT -ISSUE
T T INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU -
EACH WATER HEATER ANO/OR VENT ~ '5r. BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS ~-!SC BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE
-··-I METAL FIREPLACE
------.,, ____ -·--I ~ I VENT FAN SINGLE DUCT
EACH VACUUM BREAKER
WATER SOFTNER
.... -_,,,._.. I ! I MECH EXHAUST -HODO/D UCTS
RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING --i ~ I •-
1-----1---, 'T~ ~'-
TOTJ.L MECHANICAL
QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR -ISSUE
~ NEW CONST EA AMP/SWT/BKR COLLECTORS -~
J\MR (p_iD 3 PH ,f__G~ot:> STORAGE TANKS T \
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE J :::r
I .. 1 PH 3 PH PUMP ~ ~ \ 0
~ REMODE L/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
PLAN CHECK rEE \\W r\ ''
I\\ }J 't
" -u
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL I ~o .,oo TOTAL SOLAR
3~
4-.oo
~o
/3 00
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
PLAN CHECKlll!i'lo ~ ~
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP --
SOLAR Q1 -OO·QQ-8226
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
TOTAL FEES PAYABL E l
4o6,oo
~-WO ~.oo
13,oo
6.'?,I
~01,t}
* AN 06HA PERMIT IS REQUIAEO FOfl EXCAVATIONS OVER
5' O" DEEP ANO l>EMOl.fTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES tN HEIGHT
EICl)frat1on Every permit iaaued by the Bu tiding OfflClal under the provisions olthtS Code shalt exptre by lim1tahon and become null and v0td It the butldong or work author,zed by such perm,! IS not commenced w,111,n 180 days from the date of such perm,~ or tf the building or work aulllortzed.by ouch permit IS suspended or
ISSUED. fo COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILD(NG CON-I abandoned at any time after the work 11 commenced for a penod of 180 daya. 1 ,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT_ I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE lf-OWNER O CONTRACTOR O • --
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
OECLARA,:tONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
~ DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~
GRANTING OF THIS PERMIT _. _/ ~ .J/, 1t ,t+8~
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INSPECTION TYPE
FO_UND~TION
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
\ I
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
-SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS . REO IF INSPECTOR"S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONEO
CONCRETE ' "'"' ... '-. -
FIELD WELDING
HIGH STRENGTH .
BOLTS
SPECIAL MASO~\-I:;..~
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PILES CAISSONS " 1. .
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INSPECTOR"S NOTES
DATE
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'9 '00, ' I l d . \JO
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