HomeMy WebLinkAbout2520 VIA NARANJA; ; 83-34-380; Permit.., z 0 ;:::
C Cl: C _,
(,) ..,
0
I[ ~ 0 (,)
Cl: ..,
Q _,
5 i ..,
z ~
z 0 ;::: ~ z ..,
IL :I 0 (,) ..,
a: ..,
"' Cl: 0 3
i[
O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 79QO) of Division 3 of the Business
and Prole'9Iona Code, and my license Is in
full fo,:ce and effect.
lie 0No ______ Class
'
tOfi t:~ie a~~r: ,:a:~ f:0!~~~~1:: (: er~:\
Business and Proless1ons Code Any cIIy or county which.re· qulfes a perrrul 10 construct. alter, improve, demolish, or
repair any structure, pnor to its issuance also requires !heap-
r.licant for such permit to file a si~ned statement that he 1s
icensed pursuant 10 the Pfovis1ons of The Contractor"s License Law (Chapter 9 commencing wIIh Section 7000 of Otv1st0n 3 of the Business and Professtons Code) or that rs e.x·
empl therelrom and the basis for !he aUegea exempIIon Aoy vl0iaI10n ol Sect,on 703 I. 5 by an applicant tor a permll sub·
tee ls the applicant to a cMI penalty ol not more I1\an five hun•
dred dollars ($500)
□ I, as owner of the property, or my employees w11h wages
as their sole compensatJOn, wtll do the work. and the strut·
ture Is not intended or ottered for sale (Sec 7044, Business and ProfesstOfls Code: The ContraetDf's License Law does
nol apply to an owner or property who builds or unproves !hereon and who does such work l'umsell or lhrough his own employees, provided that such improvements are not inlend•
ed or ottered for sale. If. however the building or improve• ment is sokl within one year of completion. lhe owner·boilder
WIii have Ille burden of PfOVIOQ that he did not build or ,m-
PfOYO tor the purpose of sale).
0 I. as owner ot !he praperty, am exciusIvety contractmg with licensed contractors to construct the t)fOject (Sec 7044,
Business and ProfessN:>ns Code: The Contractor·s License Law does not apply to an owner of propeny who builds or Im-
proves !hereon, and who contracts for each proiects with a contractor(s) license pursuant to !he Contractor's License Law).
□ As a homeowner I am ,mp,OYing rrry home. and the lollow· Ing conditions exist: 1. The work is being performed prior to sale
2. I have lived In my home for twelve months
Pflo< to comptet,or, ol lhis work. a. I have not claimed lhis exemplt0n during the last three years.
□ I am exempt under Sec. ______ , e & P.C.
for this reason
□ I hereby alt.rm thal I ha..-e a cen1t1cate ol consent
to self-insure. or a cenil,cate ot Workers·
Compensation fnsurance, or a cenihed copy thereof
(Sec 3800. Labo< Code!
POLICY NO
COMPANY
□ Copy IS hied w1lh 11'\e C1ly
0 Cert,hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s sec11on need not be comoleled ,I lhe permit
,s to, one hundred dollars {S 1001 or less)
0 I cen,ty thal 1n the performance of lhe wO'k tor
which this permit ,s issued. I shall not employ any
person ,n Niy manner so as 10 become sub1ect 10
!he Wonters· Compens.atton Laws of Ca11torn1a
NOTICE TO APPLICANT II. aflef mall.in, this Cert1
ltcate ot Exemption. you should beeome subJect l'J
ine Workers· Compens.ahon pro\11s,ons ol lhe L..t>or
Code. you must f0f1hw11h comply w1in sucn
pro\11s,ons or this permit shall be oeemed revokea
0 I hereby atftrm lhal there •s a con!lruclt()('I 1end•OQ aoency tor tne pertormance 01 the wont tor
wn,ch tn,s permit •s issued (Sec ~7 C,v,1 COde1
Lenoe, s Name ___________ _
LenOer"s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ------. -. . -·· -··--------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS . -... -· ----. ---·--.. -· -. ------·····----···-----···--------------
CARLSBAD BUILDING DEPARTMENT . APPLICATION & PERMIT ► I
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
COB ADDRESS AV. ST. RD. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE ,t 4!3/:{:)S'fflON PERMIT NUMBER
.2520 Via. Naranja -~ 83-34 -
LOT I BLOCK I syeoIv1s10N I ASSESSOR PARCEL NO U CONTRACTOR CONTRACTORS PHONE • ZONE ~~ 380 • ,_ 74-25 l~i '-4 l\ \q o 'llle Highland O:lrpany 942-6262 OW"<ER'S NAME I OWNER'S PHONE
The Hi':1",~nn Carpany 942-6262 co'f~r~ffi&ga55Park Way #201 LICENSE NO PLAN 1.0. # BLDG use CODE
RES.
OWNER'S MAILING ADDRESS lfflro,n-1+-•a -~ 4-2Q24 B-342407
1991 Village Park way #201, Encinitas, Ca 92024 OESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK ·F.rnn. -tal i)esiqn C-1798 AIA 1092 s.f. LIV
DES1~'99l 'Vl'l'ftge ,Palx Way i201 DESIGN£ R'S PHONE
New Const.ruction Encinitas, CA 92024 942-6262
-lo---~ -· ---------F/P FLR ELEV. NO DCC GP EDU STORIES
,t . -20 ·J?IAN 1092 s.f. vO "<Gl. --R-1 1 --s~ user t20 3'i0~! = CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Fl RE SPR AREA CONST .
,1,11 C, f' y O N 0 v □ Nl3r V.-N vO ~ Not Valid Unlns Machine Ctrtified
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
9 EACH FIXTURE TRAP u.~u .1 INSTALL FURN. DUCTS i.JP TO 100.000 BTU 4!UU BUILDING PERMIT 01·00·00·8220 :lo~.oo
1 EACH BUILOING SEWER 6.50 OVER 100,000 BTU SIGN PERMLT 01·00·00·8221
1 EACH WATER HEATER ANO/OR VENT 2 .so BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 185.90
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 80ILEA/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 41.50
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 30.00
EACH INSTA~ .. ALTER. REPAIR WATER PIPE 3 VENT FAN SINGLE DUCT ' 6.00 MECHANICAL 01 ·00·00· 8224 ' 13.00
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIOE) SOLAR 01 ·00·00-A??~
TOTM MECHANICAL 13.00 STRONG MOTION 80·92·33·0519 ~ 1 1 t:;
TOT AL PLUMBING I ,11 i:;n FIRE SPRINKLERS 01 ·00·00·8227 . PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT • ISSUE i:; ()() QTY. SOLAR -ISSUE
BRIDGE FEE
, nr NEW CONST EAAMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
-,..ur 1 PH 3 PH ?t:; ()() 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 Oieguito 80·92·23-0519
REMODEL'AUtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
fEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT (208.29)
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 330.26
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY &111-. E~ ~ -ll)'llle8uilclifl0 Ott,c,al un-the provl91ons of thtS * ~AMIT IS AEOUIAED FOR EXCAVATIONS OVEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -.. .,... by lifflltatlon -llacome null and vOld If the bu,ld,ng o, work 0.. IUtO DEMOLITION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorlZed 11)' SUCII parmil is nol ~~•lllin
1
days from the date ,:,I such S 7-· -OVER 3 STOAIES IN HEIGHT / -mil, 01 11 the budcli:a.:or -autllOI h perm:~• 1s s ded or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• -alanvbffle Ille-• oranen 180"•·•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~~I ,{/° CONTRACTOR 0 APPR□
1
1?11~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLI S SI URE OWNEITD " .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~171.~ BY PHONE 0 GRANTING OF THIS PERMIT -_Z rJ ..... 7( 7 7
~ u::
>-;;;
0 a.
E Q) I-
I
-0 0 (!)
c "' u
a. a. <(
t .:.c. C a:
0 V,
V,
Q)
V,
V,
<(
I
3: .2
Qi >-
CJ)
V,
Q) u 0 a:: "' cu Cl
~
Q) u
C "' C u::
C Q)
~ (!)
0
0 Q) a. V,
C
~
.c ~
I
TYPE I DATE INSPECTOR
BUILDING I .,,,,-,,_ -.. . g-3,3~ ... ~"° .
FOUNDATION I ....... It?.-?&~ ¥71( FIELD INSPECTION RECORD
REINFORCED STEEL I I I v •
MASONRY i
GUNITE OR GROUT / I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FB~E I
SHEATHING "':f1J on;"!,~□ SHEAR
FRAME -V ·•p-I . -. 71L·" --_....-:::: .. :1 I
EXTERIOR LA TH )( 1:2,.\?. <Z.1 -V"v:71
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ~ '(# -~v--m 1 -
INTERIOR LATH & DRYWALL .... ~\~-QA-~ / I
PRESTRESSED
CONCRETE
POST TENSIONED
I ~ CONCRETE
PLUMBING I / FIELD WELDING .
SEWER AND BL/CO □IPL/CO ' I\ AA r;,, ~ -:::->.N' I .......
UNDERGROUND □ WASTE □ WATEF\I 'ft" CY :;),,"V'o --TOP OUT □ WASTE □ WATER • '1_·?4.-()(] --r')
HIGH STRENGTH .
BOLTS .
SPECIAL MASONRY
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER -I
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I -,:711,rvf ~ I I
□ ELECTRIC SERVICE □ TEMPOPIARY .
□ BONDING □ POOL I ' ' I '
MECHANICAL I --□ DUCT & PLEM., □ REF. PIPING /-71LC1 ~ .. . ~-. (~~ ' I ..
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT1i11N WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I ~ / _,, .. '
PLUMBING l • tt' ,'2,~~ ' -
~
ELECTRICAL I &)_ -...::rtrr} I -I -
MECHANICAL I N ~-~ ~
' , . .. . . ' . ..... ~
GAS I
.-:;;.... L •'7/'
BUILDING I .,
SPECIAL CONDITIONS I
I -..
I