HomeMy WebLinkAbout2510 VIA ESPARTO; ; 83-34-339; Permit"' z 0 ;: C cc C ..J ~ a
IC
I[
u
IC Ill a ..J 5 • ii Ill z ~
z 0 ~ "' z Ill ... :I 0 u
"' a: Ill :,,:: cc 0 3
il
D I hereby alllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No ______ Clm
I hereby affirm that I am exempt from the Conlrac· tor's License Law 101 the following reason (Sec. 7031 5 Business and ProfeSSIOOS Code; Any city 01 county which re· quires a permit to construct, alter, Improve, demOltSh. or
repair any slructure. poor to Its Issuance also requires the ap-plteant for such permit to hie a signed statement that he Is lteensed pursuant to the pcov1sk>ns ot the Contractor's
License Law (Chapter 9 commencl"l) w1Ih Sect10n 7000 of Division 3 of the Business and Protessoos Code) oc lhat 1s ex· empt lhefefrom and 1f1e basls to, the alleged exemption. Any violallon of Section 7031.5 by an applicant lo, a permit sub-jects the applicant to a C<vil penally of not m01e ihan five hurr
dred tlollars tS500).
□ I. as owner at the property, o,my employees with wages
as their sofe compensallOn. will do the WOik, and the struc·
ture is nol Intended or ottered 101 sale (Sec 7044. Business
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves
thereon llld who does such work himself or through his own employees, provided that such Improvements are not Intend·
ed or ottered 101 sale. If, however, the building or impioye, ment Is sold within one year of completion. the owner-builder will have the burden of proving that he dtd not build 01 im-prove for 1f1e purpose 01 sale).
S1~ii:n:i~~rra::t~j=;,~ ::~::r ,r.'t'1~~~
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds 01 im· proves thereon. and who contracts for each prOiects with a ~ector(s) license pursuant to the Contract()('S License
0 As a homeowner I am Improving my home, and the follow·
iAg conditions exist: t. The wOfl< Is being performed prior to sale. 2. I have lived In my home for twelve months
3. r':v~ ::'':~of t1~i1 :pllon during the
las! three years.
D I am exempt under Sec. ______ , B & P.C.
for this reason ____________ _
D I hereby affirm that I ha11e a cen1ftcate of consent
to self-insure, or a cert1f1cate of Workers'
Compensation Insurance, or a cen1f1ed copy thereof
!Sec 3800. Labor Code!.
POLICY NO
COMPANY
0 Copy IS hied With the Ctly
0 Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s for one hundred dollars cs 100) or less)
0 I cen,ty that 1n the performance of lhe work IOf
wtuch this permit ,s ,ssued. I shall not employ any person 1n any manner so as 10 beeome sub1ect to
the Wortc:ers' Compensation Laws of Cahfornia
NOTICE TO APPLICANT If, after mak1n1 this Cert,
tic.ate ot Exemp11on. you -should t>ecome sub1ec1 t,:, the WO(kers· Compensallon prov,s,ons of the Labor
Code. you must forthwith compty w,th such
prov1s1ons or t111s perrmt shall be deeme<l revoke<l
O I hereby afhrm thal 1here ,s a conslructK>n lending agency tor !he perlOfma.nce ol lhe work. lo,
which this permit 1s issued (Sec 3097 C1v1l Code)
Lenoet s Name ___________ _
Lencse,·, Address __________ _
I
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525
APPLICATION & PERMIT
JOB AOOAESS ).!;'/-0 Vi A £5 l'A ~ -r (> A~i.T,ltT,E ~.A~TIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
-~ ........ .,..! -1:'1----• ..l. -carslbad. CA 92008 q 0,.?J1-8-5-~+--OWNER'S NAME
f
OWNE A'S PHON E CONTRACTOR CONTRACTORS PHONE • ZONE '
The Hiqhland Company 942-6262 The Highland Company 9 42-6262 ~;2,q
OWNER'S MAIL,NG AOOA1 !991 Village Park Way sui te 201 co}.~<t'otV,;iA]?[11nje Park Way LICENSE NO. PLAN 1.0. # BLOG USE CODE
Encinitas, CA 92024 St. 201 , Encinitas CA B-342 4 07 '2e;,,
3319 1 BLOCI< I SUBOIVISlgN I rie,s~l 'f f,:Lj'~ -00 OESIGNEf , Design LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
74 ... 2 nv1.ronmental C-1798-AIA 176 0" /..IV, DESCRIPTION OF WOR K
1j_Egl§1R'tri"f'1E!Sge Park Way#201 DESIGNER'S PHONE
New Constructi on J.'nr,; n; +-;:i c:, ,..,.,, Q?n? Q,4?-,?62 3/ ,y .. ; /S. b . I
--. ---F/P FLA ELEV. NO OCC GP EDU
60 PLAN 1760 S ,F , v0 N'!i
STORIES 12,-.3 I
CENS~S TRACT I GP LAND USE 144{ .ACE 1
AESrTS
1
GRADING PERMIT ISSUED I REOEI ELOPMENT TYPE OCC LOA D FIRE SPR
AREA ~ 'f-~ ~10 v0 N"1 YO ND v0 N Not Valid Unlt!n Machine ~rtifi,d
-,~ ~~ •
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER .
ll EACH FIXTURE TRAP A-,~" I INSTALL FURN. DUCTS iJP TO 100,000 BTU A.."0 BUILDING PERMIT • Q1·00·00·8220 -.. .1,c:,,_oo
1 EACH BUILDING SEWER 1-t ,~ OVER 100,000 BTU SIGN PERMIT 01·00·00-8221
I EACH WATER HEATER ANO/OR VENT ~.~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECl'IJ l#..'f/\ J -.. rn 06 -I EACH GAS SYSTEM 1 TO 4 OUTLETS '2.-..~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING I -01·00·00·8222 ... lL ,:-,-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 ,L-,_oo
EACH INSTAL ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE OUCT J....ot> MECHANICAL 01·00·00·8224 ,·~.00
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00·00·8225
WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00·00-A??~ . . TOT.l,L MECHANICAL STRONG MOTION 80·92·33·0519 t,.. -!.II
TOTAL PLUMBING I .+b .. 50 t~.oo FIRE SPRINKLERS 01-00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE 6~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
lO 1 NEW CONST EA AMP/SWT/BKR COLLECTORS ~ . SCHOOL FEE • DISTRICT
~ 7i PH) 3 PH ~~5 ,oo STORAGE TANKS, \ Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ./ / Encinitas 80-92-22-0519 I
1 PH 3 PH PUMP ' ,;-~ / San Oieguito 80-92·23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHEC~ m()OF ...Y\ / San Marcos 80·92-24·0519
TEMP POLE 200 AMPS f JJ I.J. I /
OVER 200 AMPS -u / -
TEMP OCCUPANCY 130 DAYSI \ / ----.
TOTAL ELECTRICAL j -·-30.~o TOTAL SOLAR TOTAL FEES PAYABLE I ✓o,, g,
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBY r Exp,rabon Every permit 1uued by the Butldtng Off,c1a1 under the provisions of this * AN OSHA PEIWIT IS REQUIRED FOfl EXCAVATIONS OYEFI
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tallon and become nutf end vo•d If the bu1ld1n9 or wor~ 5' O" DEEP ANO DEMOl.lTlON OR CONS~TION OF
•DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit IS not commenced w1tt11n 180 days from the date of such STRUCl\JA£S OIIEFI 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• :r;:~ '!t ~v i:;,~:•~-~~?;~,:u~h~~en%i~~~ .i-...:;;~1~f•r:r;.~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If. OWNER□ CONTRACTOR 0
A~ 12-T:ul~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~~ BY PHONi 0 GRANTING OF THIS PERMIT.
~ u:::
>-<ii
0 a. E ~
I
'O
0 (!)
c <,I 0
a. a.
<i:
I
-"' C a:
0 r/)
r/) a,
r/) r/)
<i:
I
:=
.Q
ai >-
rn r/) a,
0 0 a:
<,I
iii 0
~
a,
0 C
<,I
C u:::
:::..
C a, a, ~
0 0 a, a. r/)
C
~ ,;:
INSPECTION TYPE
BUILDING
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 OCCUPAN_yY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPEC'ffo~
... REO IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE . • OVER 2000 PSI .
PRESTRESSED
CONCRETE
POST TENSIONED-• r, CONCRETE -FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONf)Y t=' ~
PILES•CAISSONS --., ~
~
\S f\ ( ' -t •,~ t, ._ ,. l ......... ~-
' f ! .Q t
--,i
.
--~
'
,, •-
..
'IL·_ • ~ ...
~3 -:-3 'f-. 33C, . .
INSPECTOR'S NOTES
~
DATE .
-
.
•,
-. I~. o,:; ,.
C'." )t .
,,
t::· :lO 'I ,a ,()~ . "'!:"'---r.•,.... ..... . -. ~~-i~
'-)\':~·,;,~\J ' ~;•~--~,., I -~
~l. oc ~-~~~q~ ~ j • --I ..
A-!A . ·y . .
,. ' ~,~ ..
\. .A f ... _0 ·--.
.
\ \()C"')~ \·
'
I. .,....,, ••
f,i,'-.
-,,
-
' -~~ _.. ._~~\ :----~ '--..1, ., ' ~ . \ \ ".'-_\ ~ _I . ' . -) -, .. --,
l~ .. ,,
. l ·• -. ...