HomeMy WebLinkAbout2517 VIA NARANJA; ; 83-34-384; Permit.,, z 0 .: "' a: "' ... u "' 0
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0 I he<eby affirm that I am llcensad under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
full forca and effect.
lie No ______ Class
I herel>y alhrm !hat I am exempl from the Contrac· tor's license Ll" !or the lot10w1ng reaSM (Sec 7031 5
-Sus,ness and Professions Coda Any oty Of coun1y whic.h re-qwr.es a perrml to construct, alter. vnprove. demolish. or
repair anyslructure. pr!Of to 11s issuance also requires ?heap-P,k:ant for such permit to hie a siqned statement thal he 1s
hcensect pursuant to the Pf'O't"SJOnS ot the contract°' s License l3" (Chapler 9 c«M)ellClng w,u, Sect10n 7000 ol
O1v,s1on J ,of the Business and Professions COde) 01 lhal ,sex empt therefrom and the baS1s lor the attegeo exemption Any
viotaHon of Section 7031.5 by an applicant tor a perfflJ1 sub· 1ec1s ltle applicant to a c1v11 penahy of not more th.an hve hun·
dred dollars ($500)
□ I, as owner ol ihe properly. or my employees w,th wages
as lhe,r sole compensattOn, wilt do !he wOfk, and lhe strut·
ture is not in I ended or offered for sale (Sec 704◄, Business
and Professt0ns Code· The Contractor's Ltcense Law does noc appty to an owner ol property who builds or improves
thereon and who does such work hunsell Of lhrough his own employees, pr~idtd lhal such mprovements are not intend· ed or otlered lor sale. II. however, the bu,ldmg or ,mprove-
menl Is SOid within one year of complettOO, the owner-builder will have th.e burden of prOVlng lhal he did not build or im-
prove tor tile purpose 01 sale)
D I, as owner ol lhe property. am exclusivety contracting with license<! contractors to conSlrucl the PfOjeCI (Sec. 7044, Business and Professt0ns Code: The Contractor's license
Law does nos apply to an owner of property who builds or im-proves thereon, and who contracts tor each protects wilh a eontractor(s) license pursuant to the Contractor's license Llw)
0 As a homeowner I am improving my home, and the toltow ing condi110ns exist:
1. The work is being performed prior to sale. 2. I have lived 1n my home tor twelve months prior to complehon oC this work.
3 I have not clatnled lh1s exemption duriog the last three years
D I am exempt under Sec. ______ . B & P C tor this reason
0 I hereby affirm that I ha-,e a cer11tica1e ol consen1
10 self•1nsure, or a cer11t1ca1e ot Workers
Compensation Insurance. Of a cer11l1ed copy lhereot (Sec 3800. LabO< Code!
POLICY NO
COMPANY
D Copy 1s hied with the c,ty
D Cer11hed copy ,s hereby furnished
CERT!FICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1ton need not be completed ,1 lhe permit
•S for one hundred dollars (S 100) or less)
0 I certify tflat in the per1ormance ot 1ne wof11. '°'
wh,ch this perm11 ,s ,ssued. I shall no1 employ any
person m any manner so as 10 become sub1ec1 10
1ne WOl'kers· Compensatton Laws ol Cahlorn1a
NOTICE TO APPLICANT II. after makmJ ltus Cet11
t,cate ot Exemption. yoo shoukt t>eeome sub1ec1 1?
the Wor1(ers· Compensation prov1st0ns of the Labor
Code. you musl lonh--.1lh comply with sucn
provIsIons or in,s oermI1 shall be deemed revoked
O I nereoy alftrm lhal there ,s a con~lruct,on
lend•OQ agency tor !he performance ot the worll. tor wtuch lh1S perm,1 Is issued 1Sec 3097 Ctlfll COOel
Lenders Name ___________ _
Lenders A.Odress __________ _
USE BALL POINT PEN ONLY & PRESS HARD ~ ~ -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT . I 1200 Elm, Carlsbad. California 92008·1989 (619) 438-5525
JOB ADDRESS AV ST.RO. NEAREST CROSS ST
I
OATE OF APPLICATIONII BUSINESS LICENSE JI VALUATION PERMIT NUMBER
2517 Via 11.,"lrl'!ln;;:i 8-10-83 -75-~ 59,961 83-34 ..,
L38418LOCK ~ SUBOI \IIS10N 74~25 I ASSESSOR PA~El NO I C-1 l \ ~ The Hi~mrl Q:xrpany C942~~6~0NE , ZONE 3~'-f
qWNER·s NAME I 942-626i'S PHONE 'Ire Highlarxl ~ 'f~91A'll'iiageE~ark way ,#201 LICENSE NO PLAN 1.0. # BL OG USE CODE
RES.
OWNER'S MA"< •NG AODAESS .......,..; ... ~ +-.. a _ rn Q?0?.4 D-'lA'>,1,07
1991 Village Park ~ #201, Encinitas, Ca 92024 DESIGNER LICENSE" STANDARD PLAN# BUILDING SQ. FOOT AGE
OESCRtPT1QN OF WORK Environnental Design C-1798 AIA 1496 s.f. LIV
DESIGNER'S ADDRESS OESIGNEA'S PHONE
... 1991 Village Park way #201 942-6262
~----New Constx~11ction -___ -. ---.. ------fF LRt\.EV. NO EDU -' OCC GP
STORIES SO PIAN 1496 s.f. v0 NCJ --'R,-1 1
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST ~l~" !/-· I liit:-~ 11 1 l • 11(1 ,1,11 C, .p YO ND vO N0v V-N vO Nfj( or a, Un'li,ss ine Certified
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE '.:l nn SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP [!.,50 , INSTALL FURN. DUCTS UP TO 100,000 BTU 4.0p BUILDING PERMIT 01 ·00·00·8220 313.00
1 EACH BUI LO ING SEWER 6r50
~ .OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 .,
1 EACH WA TEA HEATER ANO/OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ??7 nn
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2r5Q BOILER/COMPRESSOR 3-15 HP TOTAL PLUM BING 01 ·00·00·8222 ,1 e::: c:;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 -:tn nn
EACH INSTA~. ALTER. REPAIR WATER PIPE 3 VENT FAN SINGLE OUCT 6.00 MECHANICAL 01-00·00·8224 1 '.: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 DRAIN (INSIDE) SOLAR 01-QQ.QQ.A??~
• TOTJ;L MECHANICA L 13.00 STRONG MOTION ---80·92·33-0519 4 • .l~
TOT AL PLUMBING I At: . c:;n FIRE SPRINKLERS 01 ·00·00·8227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT · ISSUE 5.00 BRIDGE FEE -~
10, NEW CONST EA AMP/SWT1BKR COLLECTORS SCHOOL FEE • DISTRICT
AM ~ 1 PH STORAGE TANKS --3 PH ?c:-nn Carlsbad 80·92·21·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE -.. -Encinitas 80·92·22·0519
1 PH 3 PH PUMP '\ San Dieguito 80·92·23·0519
REMODEL 'AL TEA PER CIRCUIT PLA~KFEE 5i I San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS / " -,J/ ~ "' I
OVER 200 AMPS r lL)..Y ,r, ~ I/ LICENSE TAX 0 1-00-00-8162
TEMP OCCUPANCY 130 DAYSI { (,,1-' ./
\ ./ CREDIT DEPOSIT (208 .29
TOTAL £LEU RICAL I '-------TOTAL SOLAR I 30 ,00 -TOTAL FEES PAYABLE 419.40
t HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on Every permit ,asued by the Bu1ldmg Off1c1al under the pro•1s1ons of this * AN~~IT IS AEOUIAED FOA EXCAVATIONS OVER CERTJFY·-UNDER PENAllY OF l?ERJURY THAT All INFORMATION HEREON INCLUDING THE Code Shall expire by hm1tahon end bec~null -he building or work 5' o-DEIIOl.lTION OR CONSTRUCTION Of
DECLARATION~ ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorlled by such permit ,a not commenced with day rom the date of such ST S OYER 3 STORIES IN HEIGHT J permit. o, 1f the bwld1~0, work autho,1z y such m1t 11 suspended or ISSUED TO COMPI.;{ WITH Al.L CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ■ban-al any bme • Ille work is inencad for """OO of 1A<u1aw•. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . -....._,,_, ~I APPAOVEOO -
1Dfff31 It?
KEEP !'!ARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, cosrs. ~ND A NT~S ~T • . EREI"'" CONTRACTOR□.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF --BY PHONE 0
GRANTING OF THIS PERMIT. V ~ ~ -/ 7 7 7
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TYPE I DATE INSPECTOR
BUILDING I )
FOUNDATION ' /) "" .l'b. :-nt,A I
REINFORCED STEEL .1 -, V\ ~ ... -
MASONRY !
GUNITE OR GROUT ' I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
I 17.;;z.-~JI ~~
EXTERIOR LA TH I -
" INSULATION 2-· \&..·IM.. ~ I \ /
INTERIOR LATH & DRYWALL ;A i-7·'19£1 /{Yn
I
PLUMBING I '
SEWER AND BUCO DIPUCO I
I
UNDERGROUND 5,WASTE 'SUWATER ICf•I~.~ If.!# .,,
TOP OUT D WASTE D WA:TER -z.~~fJA-~ -~
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER -ROUGH ELECTRIC I t:2.~it;,4.--~ I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I -
D DUCT & PLEM., D REF. PIPIN(p l~-RA 7f LYY)'
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECT/O~ WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE 'BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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. -........-.... .. ~ !, -3 ~ -"'6Stf (' , .. "
' ' . -FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO. 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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