HomeMy WebLinkAbout2512 VIA ESPARTO; ; 83-34-340; Permit"' z 0 .:: < a: < ... u w a
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalons Code, and my license Is In
full force and effect.
Lie No _______ Class _____ _
I hereby attirm lhat I am exempt from the Contrac-tor's License Law !or lhe lollow1ng reason (Sec. 7031 5 Business and ProfessiOns Code· Any city or coun1y which re-quires a permit to construct. alter, improve, demolish, or repa,r any structure. prior to its Issuance also requires the ap-
r~~~orp~~;:ar.':t ~1,1~~:~ ~tat:-i~~~~!!
License Law (Chapter 9 corrmencmq with Section 7000 of
DMs,on 3 ot lhe Business and Protess,ons Code) or that Is ex-empt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by an apphcant l0< a perm,t sub-
jects the applicant to a civil penalty of not fflOfe than live hun-dred dollars ($500).
D I, as owner or the property, Of my employees with wages
as !heir sole compensation, will do the work, and the struc-ture ,s not Intended 0< otlered for sale (Sec 7044, .Business
and Professions Code· The Contractor's License Law does
not apply to an owner of property who builds or lmpro,es thereon and who does such wo,k hlmseW or through his own employees, provided that such Improvements are not intend· ed Of ottered !or sale. II, however. the building or Improve-
ment is soJd within one year ot completion. the owner·buik1er will have the burden of proving that he did not t,u;ld or Im-
prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 projects with a
(a~f~ctor(s) license pursuant to the Contractor's License
D As a homeowner I am improving my home, and the follow· Ing conditions exist: t. The work is being pertormed prior to sale.
2. I have lived in my home for twelve months
3. rr~v!,0 =P~r!~of :l: :~ption during the
last three years.
g iJ:r":."::' under Sec. ______ , a & P.C.
0 I hereby aff1rm that t ha't'e a cert1f1cate of consent
to self.insure. Of a cert1f1cate of Workers·
Compensatt0n Insurance. or a cert1fIed copy !hereof
(Sec 3800. Labor Codel
POLICY NO __ _
COMPANY
□ Copy is hied with the City
□ Cet11f1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the permit 1s tor one hundred dollars (S 100) or less)
D I certify that ,n the performance ot the woril. to,
which th,s perm,1 1s issued, I shall not employ any
person 1n any manner so as 10 beeome sub1ect 10
the Wof1ilers' Compensation Laws of Calilorn,a
NOTICE TO APPLICANT If. after makin1 ttus Cer,1 t,cate of E11emp11on. you should become subJect I".>
the Wof1ilers· Compensa11on provisions ot the l...abOr Code, you must forthwith comply w1lh such
provisions or lh1s permit shall be deemed revoke<J
D I hereby ath,m tt\al lhe,e ,s a construction
IenClirtQ agency tor the performance ot lhe woO( lor wh,ch th,s permit 1s issued {Sec 3097. Cw1l 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
JOB'::fsJ-i.. J//A P.sl'~ R~4 A~i.Tri: 'i~ATION
1
BUSINESS LICENSE #
7i;:Lho4
PERMIT NUMBER
---,,., n.:-.1:'-.... -,:i:,.:_. Carlsbad, C.A 92008 B'7~-OWNER'S NAME OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE '
'T'hP Hinhlanrl C'nmn=-.nv 942-6262 The Hiahland Company 942-6262 d'l-0
OWNER'S MAILING AOOR1sg 91 Village Pa;rk Way #201 c:P,~1CTV';i_5?-l~ Park Way#201 LICENSE NO. PLAN 1.0. # BLDG USE COOE
fPSZ. Encinitas, CA 92024 Encinitas, CA 92024 B-342407 W--,''f 340 I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. 0 OESIGNER LICENSE 11 STANDARD PLAN# BUILDING SO. FOOTAGE 74 -25 161 ... 411 ... 34-0 Env ironmental Design C-1798 AIA WIii ,ft u V, DESCRIPTION OF WORI<
'f~~'1R'\ff i'Yage Pa;rk Way#201 DESIGNER'S PHONE
Ne w Construct~on 'I:'--; ... ; +-"' C, r-:a Q?n? 11 942-6262
~ ~ -----F/P FLA ELEV. NO OCC GP EDU 3/l.J?. lti:•·::~ . STORIES ,Z-~ C . 50 PLAN 1496 s .f , vQ N'/J --I
CENSUS TRACT I GP LANO USE l-44r i ce I RES UNITS I GRADING ~ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CO:N-4,JST ""-ID vO ~ YO ND vQ NO( \( . Not Valid Unkss Machine Certi fi«J
7£!--3J~
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMAR~ACCOUNTNUMBER
• I EACH FIXTURE TRAP '7.. 7 .,:;t: ' INSTALL FURN. OUCTS UPTO 100,000 BTU -,-.tJh BUILDING PERMIT 01·00·00·8220 ~J.00 . EACH BUILDING-SEWER ~~ -~{. OVER 100,000 BTU SIGN PERMIT • 01 ·00·00·8221
EACH WATER HEATER ANO/OR VENT ,_.5,c ~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK_Z,tt, /!Jn ~1-v,.--
EACH GAS SYSTEM I TO 4 OUTLETS ""--~ BOI LER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 -~J;;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~ . ELECTRICAL 01 ·00·00·8223 ~.D~
EACH INSTA~ .. ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE OUCT (,-, .rY) MECHANICAL 01 ·00·00·8224 l~.oa
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00·00·8??fi
TOTI.L MECHANICAL
J~,oo STRONG MOTION 80-92-33·0519 !>.7-..,, .I •
TOTAL PLUMBING I _...-na .t,(. FIRE SPRINKLERS 01-00-00·8227
.s~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00·8923 QTY. ELECTRICAL PERMIT · ISSUE BRIDGE FEE
l.fi(_ NE~ CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT
.;.;._; 1° PH_j 3 PH -'7.h,rr STORAGE TANKS Carlsbad 80-92·21-0519
[ExlST BLOG EA AMP/SWT/BKR .
ROCK STORAGE Encinitas 80-92·22·0519
1 PH 3 PH . -PUMP San Oieguito 80·92·23·0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK rEE r . San Marcos 80·92·24-0519
TEMP PO LE 200 AMPS I ✓ '1
OVER 200 AMPS • nur r ., V I
TEMP OCCUPANCY (30 OAYS) rr YJ 7l /
-/
TOTAL ELECTRICAL--I 3£),.~o \ TOTAL.7 TOTAL FEES PAYABLE I I/SJ, 7t/
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT" ANO 00 HEREBY a Exp,r■lton Every permit 1uued by the Bu1ldtng OfltCtal under lhe provisions of this * AN OSHA P£MtfT IS REQUIRED FOR EXCAVATIONS OVEJI
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snail exp,re by hm1lalion ■nd become null ■nd void. II the bu,ld,ng or wortc s· O" DEEP ANO DEMOUT10N OR CONSTRUCTION OF authorized by such perm,, 11 not commenced w,ttun 180 days from lhe dale of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit. or if the butld1~ or work authorized ~by ,auch permit ,s suspended or SllllJCTVMS OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at ■nv tim■ a er the work II commenced for a oeriod of 180 d•••
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE • OWNER□ CONTRACTOR 0 11=.vlJt . DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO~~ l .z ,21+8~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE,□ GRANTING OF THIS PERMIT
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INSPECTION TYPE
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
Dug & 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
REQUIRED SPECIAL INSPECTIONS
INSPECTlO~ REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED ~
CONCRETE -
FIELD WELDING
HIGH STRENGTH .
BOLTS
SPECIAL MASONR~ .
.
PILES•CAISSONS
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INSPECTOR'S NOTES
DATE
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