HomeMy WebLinkAbout2516 VIA ESPARTO; ; 83-34-342; Permiten z 0 ~ lit C ... 0 "' a
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect. Lie No _______ Class _____ _
I hereby allirm that I am exemj>I from the Con~ac-tor's License Law lor the totlowmg reason (Sec. 7031 5 Business and Professions Code: Any city or county which re--quires a permit 10 construct. alter, improve. demolish, or repair any structure. prior to Its issuance also requires the ap-plicant lor such permit to file a signed statement that he is
licensed pursuant to the provisions of the Contractor's i.Jeense Law (Chapter 9 commencing with SeclJOn 7000 of
OIVts1on 3 of the Business and ProtessiOns Code) or that Is ex-empt therelrom and the basis loc the alleged exemption. Any
violation of Section 7031,5 by an applicant tor a permit sub-jects the applicant to a civil penalty of not ITIOfe than five hun· dred dollars ($500).
D I, as owner of the property. or my employees with wages as their SOle compensation. wttl do the work. and the struc-ture Is not Intended or ottered toe sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does
:r:gg11n~0 :~ :.n:rs!tF:¾.:'n :1~~~~r;:~ employees, provided that such Improvements are not Intend·
ed or ottered tor sale. 11, tiow....., the building or imprOYe-ment is sold wilhin one ~ar of completion. the owner-builder
will have the burden ol proving that he did not build or im• prove for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contr2etors to construct the project (Sec, 7044,
Business and Professions Code: The Contract°'' s License Law does not apply to an owner ot property who builds or im-proves thereon, and who contracts for each projects with a
contractor(s) lk:t:nse pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the follow-ing condlttons exist: 1. The work is being performed prior to sale. 2. I have lived In my home tor twelve months
3. r':.,~ :rp::t :~i: ::ption during the last three years.
□ lamexemptunderSec ______ ,B&P.C.
1or this reason ____________ _
0 I hereby affirm that I haw a certificate of consent to self-insure. or a cert1hca1e ot Workers· Compensation Insurance. or a cen1fted copy thereof
(Sec. 3800, Labo< Code)
POUCYNO __
COMPANY
0 Copy 1S hied Wllh the city
D Cen,t,ed copy 1s hereby lurn,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit
,s tor one hundred dollars ($100) or less)
0 I certify that m the perfo,mance ol the work tor
which lh1s permn ,s issued. I shall nol employ any person ,n any manner so as 10 become sub1ect 10
the Wont.ers' Compensa11on Laws of Gailforma
NOTICE TO APPLICANT It. after makin1 this Gert,
he-ate of Exemp11on. yoo should become subJect t'J
the Wont.ers· Compensahon p(OYISIOOS of ltle LabOr
Code you must tonhwllh compty with such
prov1s1ons or ttus perm,t shall be deemed revoke<J
0 I hereby affirm lhal tnere 1s a construction lending agency tor the performance ol 1he work tor
wh,ch this permit 15 issued 1sec 'JIJ97, C1v11 Code).
Lender's Name ___________ _
Lencter s AOdress __________ _
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
JOB ADDRESS c2..S-/ b ///A-J;:SPlleJ J> A~;_T.,DATE OF APPLICATION I BUSINESS LICENSE It VALUATION J PERMIT NUMBER
::.:: ·;:...., = ... r-, Carlsoad, CA 92008 f. •'i• e-; I l t:i. C,D-'t' ~ .-.A_
OWNER"S NAME I OWNER"S PHONE CONTRACTOR CONTRACTORS PHONE. ZONE B '3-~
The Hi"ahland Comoanv 942-6262 The Highland Company 942.-6262 d'f;;)-
owNeR·s MAILING AO~l Village Park Way #201 <l>9'91lcTW,s~]H!l~8 ParK wayf 201 LICENSE NO, PLAN 1.0. It BLOG USE CODE
Encinitas, CA 92024 Encinitas, CA 92024 B-342407 12,~,
LOT l BLOCK I SUBOIVIS <;!,N 1,\S~~OR.PfifCEL..t,lg DESIGNER LICENSE.. STANDARD PLAN# 8Ui4L ING so. FOOTAGE
342 74-2!:> .Lt> 1""4 L.L-.j Environmental Design c-1798 AIA OI' rli UV,
DESCRIPTION OF WORK , ,<c,.
1-----------------------------t 'f919'1R'Vl'flEAsge Park Way#201 oEs,GNER'SPHoNe
New Construction Fn,..;ni~~c:: ,,n 920?:t g4?-6262
,____ ·-F/P FLRELEV. NO OCCGP EDU
50 PLAN 1496 s.f . srnRtEs 17-"'2. / v□ ,..I( --r--J
AREA ~ftNS·T' • CENSUS TRACT I GP LANO use I PARKING SPACE 14i1ES uN.q!ITS I GRADING PERMIT 1ssuED I REDEVELOPMENT TYPE occ LOAD FIRE SPR • _
y D N D vO Nf;!' 'l ~IJ ""'-U) v□ N"-. Not Valid Unlffs Machine Certifi«f
QTY. PLUMBING PERMIT -ISSUE 7 !!-QTY. MECHANICAL PERMIT -ISSUE 3!~ !!!-SUMMARY/ACCOUNT NUMBER _ _
JI EACH FIXTURE TRAP ';/1_7 .l::il J INSTALL FURN. DUCTS UP TO 100,000 BTU 4" .00 BUILDING PERMIT 01-00-00-8220 ~t:)f ,u..,
EACH BUILDIN.G.SEWER /!. .J:;" OVER 100,000 BTU SIGN PERMIT • 01-00-00-8221
EACHWATERHEATER AND/ORVENT A .IIU BOILERICOMPRESSORUPT03HP PLANCHECK 'l~Lr:: ~-,--
EACH GAS SYSTEM 1 TO 4 OUTLETS ~ .~/. BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 4'~ ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -.r.n.()o
EACH INSTA~ .. ALTER, REPA IR WATER PIPE /l.. VENT FAN SINGLE DUCT fA . .l")/'1 MECHANICAL 01-00-00-8224 j '-l nn
EACH VACUUM BREAKER -MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORAiN (INSIDE) SOLAR 01-00-00-R??t;
1 TOT.I.L MECHANICAL STRONG MOTION 80-92-33-0519 ~ ~-~
TOTAL PLUMBING I -'tfn -~ 13 .oo FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE .t.~ QTY. SOLAR . ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
J .-BRIDGE FEE
[lff, NEW CONST EA AMP/SWT tBKR COLLECTORS SCHOOL FEE -DISTRICT
r.::M_,P (1 PH) 3 PH l'J J/,. /Y STORAGE TANKS _, -' , Carlsbad 80-92-21·0519
EXIST BLOG EA AMP/SWT /BK R ROCK STORAGE / ('\ Encinitas 80·92-22-0519
1 PH 3 PH PUMP / J\ ' San Dieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK rEE /I 1,A)/ tJ I/ San Marcos 80-92-24-0519
TEMP POLE ioo AMPS / ,,.,_ I/ OJ., , V I /
OVER 200AMPS ----------l-/ ( j-/ "' '/
TEMP OCCUPANCY (30 DAYSI ------+------+--+----j / --· --+1----../~-----+------l~--------------+----------l
1---L----rn-T_A_L_E-LE_c_TR_1_cA_L __ 7 __ ,,, --T~OI ✓ TOTAL FEEs PAYABLE I ~lC( -ia
--VJ 00 1 ...., -I rt
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREBY E•p<rahon Every perm,! ,_ by the Building Ottoc,■t under !he prov,s,ons oflh,s * AN 06HA PE,..IT IS RE0U1AEO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•pire by llmol■hon and become null •nd void It the butld,ng or work 5' 0" DEEP AND l>EMOUTION OR CONSTRUCTION OF authorized by such perm11 ,s no! commenced w,ttun 180 days from the dale of such
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or ii !he building or work authorized by such permit 1s suspended or ST1'UC1\JAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L!:aban=do=ned~!!at..!a~nyLt!!!1me~•~ftt~er~t~he~wo~r~k.!!ls~c:!!o!!!m!!!m~ell~ced:!!!,_~lo:!..r !..•~ """!l!od~ol~1~An•l!U ;..;,L.."--4----------------------"I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND p IC , 0 0 AP R~VED BY • KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN~AP L ANTS SIGNATURE ~ OWNER CONTRACTOR ✓ DATE 4-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ ~,•_____ BY PHONE p 1 , /J A. Q.'8_
GRANTING OF THIS PERMIT. ...~ -, . , • • 1 1,,,
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FOUNDATION
REINFORCED STEEL
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
' \
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
REOUJ.RED SPECIAL INSPECTIONS
INSPECT°lt)N REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED~ • } -
CONCRETE ' :._ •
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY~-...
PILES CAISSONS
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