HomeMy WebLinkAbout2511 VIA ROJO; ; 83-34-371; Permit.,,
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O I Mreby alllrm that I am licensed under
proo,lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
and ProleHlons Code, and my license is In
lull force and effect.
Loe No ______ Clm
I hefet>y allwm 11111 I am uemp1 lrom the Conlrat· l0<'s Locense I.aw lor the lollow,ng reason (Sec 7031 S
Business and Pro!essoons Code Alty cdy or county whocl> re quires a perm,r to cons1ruc1. alter. emprove, demohsh. OJ
repair any structure, pnor to Its issuance aiso requos !heap-
puanl for soch permit 10 tile a stQned sta1ement lhat he 1s hcensed pur~nl lo the P,DYISIOflS of lhe Con1tit1or s License I.aw (Chapter 9 commenc,ng w,lh S.Cloon 7000 ot
Otv1s10n 3 ot lhe Bus,OH$ and ProtessMJOs Code) or lhat 1s ex•
emp1 lherelr0<n and the baslS 10< Ille allegeo exernptoon Any ...,,.,. ol S.C1oon 7031. S r,y an applocant lor a perm,! sub
f<(ts the applocanl 10 a CM! penatty ot not mo,e 1111n 1,,. hun-dred dolla,s ($500). • •
0 I, as owner ol the prc>perty, or my employees wnh wages
as 11\etr SOie compengtion. w,I do the wock. and the sttuc-ture 1s not intended or ottered for sale (Sec 7044. Business
and Proless,ons Corle The Conlraclor • s License I.aw does :,::rn~o .::o ::rs:C:::ti~I ~~:oh~r;:~
employees. p,ov<led that such omprOYements a,e no1 ,ntelld-ed or o«ered t0< sale II. howeYer. the buold,ng 0< omp,ove-ment IS sold ,.,,h,n one year ot complehon the owner-buolder
w,11 hive the burden ot P<OY111Q Iha! he dod not buold or om-prove to, the purpose at sale)
□ I. as owner ot the property, am mlusovety contracting
wolh licensed contract0<s to construct the project (Sec 7044. Bus,ness and Prolessoons Code The Conlractor·s Litense
Law does not apply to an owner of property who buUd5 or Im• prDYtS thereon. and who contrxts tor each pro,ec1s with ii
contractor(s) l.cense pursuant lo lhe Contractor's Lcense I.aw)
□ As a homeawner I am 1mpr0Y1ng my home. and the 10110w-
tng cond1IK)(IS exist: t. The work IS beong perlormed p,oor 10 sale 2 I halve hved ,n my home tor twelve monrhs
p,ior 10 tomj)letODn ol thos WOO< 3 I l1aYe not claomed th,s exemptoon during the laist three years.
□ tam exempt under Sec. ______ . B&P c. lor this reason ____________ _
□ I hereby athrm that I ha<te a cet11hu1e ot consent
10 self-insure, or a cenihcate ol Wor'kers·
Compensation Insurance. or a cen,t~ cooy thereof !Sec J800 Laf>O< Code)
POLICY NO
COMPANY
Q Copy 1$ filed With the City
0 Certified copy ,s hereby furnished
CERTIFICATl OF EXfMPTION FROM
~KERS COMPENSI.TION INSURI.NCE
(Hus section need not be completed ,t lhe permit
1s l<K one hundred oona,s CS l()C)) Of less)
0 I cert,ty that "' the perto,mance of the won,. !or
whteh this pemut ,s issued I s~II no1 employ ~Y
person ,n jl(ly manner so as to bec-ome sub1ec1 to
lhe Wortlers • Compensauon U ws ol Ca11tom1a
NOTICE TO APPLICANT II after makmJ U'HS Cer,1
lacale ol Eaempuon. you SllOuld bec.ome subt«I t"l
tne Wo'1(ers Compensation provIs,ons ot the UbOf
Code yOU must lorth-..i1lh comply with SuGh
prov1st0ns or lh1S p,ermI1 SNIT be deemed revot\e<J
0 I t,e,et>y athrm 1ha1 there ,s a con~1ruc1Ion
tendmg ~ency to, IN' pertQfmance ol the ...,on. to, whteh tn,s p,erm,t ,s ,ssueo tSec X>91 c,.,,, Cooe1
Lenders Name ___________ _
Lender sAadress __________ _
, u;u DIUL ru1111 l'tll ONLY & PRE~S 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 AOORESS AV ST RO NEAREST CROSS ST I DATE OF APPLICATION' BUSINESS LICENSE " VALUATION PERMIT NUMBER
?~11 Vi;,a Rn;o %-,z-rz-69, 10 83-34 -
LOT BLOCK I SUBOl74~5 I ASSESS~PARC\L\NO CONTRACTOR CQNTRI.CTOAS P>IQNE • ZONE
~71 I~ 4 lOE>O '!be Highlaoo carpany 942-6262 37/
1lWNE,..'S NAME I OWNER"S PHONE
coNTil~!l.R·V1.t;R11~ .l:'arK way f;lU.1 LICENSE NO. PLAN 1.0.;, BLOG USE COOE
ThP l-H Nh 1_and -,&Y 942-6262 Encinitas, CA 92024 B-342407 RES.
OWNER'S I\IIA•L•NG AOORESS
1991 Villaae Pa.x-k way #201, Encinitas, CA 92024 O(SIGNER LIClNSE 11 STANOARO PLAN# BUILDING SO FOOTAGE
Envirormantal Design C-1798 AIA 1760 s.f. LIV
OESCRIPTIQN OF WORK
oEsI°1~rv.tffage Parle way #201 OE SIGNE R'S PHONE ,
New Cbnstructial l<'rv-oi ni +-=-i:r. M 92024 942-6262 ----~~ --60PJ:Rf 1160 s-.-~ --------,.. F/P FLA ELEV. NO OCCGP EDU STORIES 1 vO ~ --R-3 ~t~_l_/~~.1-!.c~ Li1s;ua
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUEO I REDEVELOPMENT TYPE ace LOAD FIRE SPR AREA CONST 441 s.f. y D ND v□ N~ V-N vO NO Not Valid Un~s Machine Ctrtd1«J
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP 27.50 1 INSTALL FURN DUCTS UP TO 100.000 BTU 4 .. uu BUILDING PERMIT 01·00·00·8220 343.00
1 EACH BUILDING SEWER 6.-50 OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 -
1 EACH WATER HEATER ANO/OR VENT 2~50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 246.35
1 EACH GAS SYSTEM I TO 4 OUTLETS 2 .c:;n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 ,if; I;()
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 1n.no
EACH INSTAl . ALTER. REPAIR WATER PIPE 3 VENT FAN SINGLE DUCT 6.-00 MECHANICAL 01-()()-00-8224 11 on
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 -00-00-A??~
TOTI.L MECHANICAL 13.00 STRONG MOTION 80·92·33·0519 4. l:S /
TOTAL PLUMBING I ,tt:: . I;() FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACIUTIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT • ISSUE 5.00 QTY. SOLAR • ISSUE -r--.......~ ~ BRIDGE FEE
100 NEW CONST EA AMPISWT BKR COLLECTORS / \ \ SCHOOL FEE • OISTRICT " AMP 1 PH 3 PH 25.uu STORAGE TANKS / . I,!.,, I . I Carlsbad 80·92· 21 ·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE I ,,.. 0 0 J-1" <I r1 I Encinilas 80·92· 22·0519
1 PH 3 PH PUMP I l/"' q / V /. San D1egu110 80·92-23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE I I / V .. J, /. San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS \JI XI\ /
OVER 200 AMPS ✓ -V LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) \ ./
---..... --CREDIT DEPOSIT (208 .29)
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 475.43
I HAVE CAREFULLY EXAMINED 'THE COMPLETED "APPL'ICATION AND PERMIT"" AND DO HEREBY E•p,raliOft. E-.,permtt-~tlle8ulldlng01ftc1alunclerlheprov,s,onaoltl,_ * A;~-IT IS RE0UMED FOR EXCAVATIONS 0V£11 CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code Shall e•p,re t,y hmotetoon anO llaltome null and YOICI If the buoldong or wort. s· o· ANO DEMOUTION OIi CONSTRUCTION OF authorized t,y auch permit IS not c_,,,_ wtlllin 180 day• Iron, the date.,, auch S ·-OYER 3 STOIIIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGR_ EE IF A PERMIT IS perm,t, or ii the t,uotd1•1:or worti authOliDd by ~•I II ouspended or
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any bme the work lac o, a iod of'""""~ /
STRUCJION WHETHER SPEClFll:0 HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A;N~D ~-~ V CONTRACTOR 0 APPROVC~-~! io/~1/n-KEEP HARMLESS_THE OITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND A S SIG _ OW
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT -BY PHONE 0 GRANTING OF THIS PERMIT _ ./
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TYPE I DATE INSPECTOR
BUILDING I
I
OUNDATION I
IEINFORCED STEEL ' I
IASONRY I
I
iUNITE OR GROUT '
F
R
M
G
F
s
F
LOOR & CEILING SUB FRAME I
HEATHING D ROOF D SH$R
RAME I
EXTERIOR LATH 1/'
INSULATION •'2.( i~ •<=xa._,..,. ~ '
INTERIOR LATH & DRYWALL I r ·
I
PLUMBING I
SEWER AND BUCO DIPUCO I '\
UNDERGROUND D WASTE D WATER,
TOP OUT D WASTE D WATER'
TUB AND SHOWER PAN I
GAS TEST ' I
D WATER HEATER D SOLAR WA1ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
I
MECHANICAL 1
D DUCT & PLEM., D REF. PIPl"'G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS !
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CALL FOR FINAL INSPECTl@N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
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PLUMBING I ~~
ELECTRICAL I --"~ ~~
I .>Yf/ A i~ MECHANICAL I J'\
GAS I \J~ '/ ~,-,.
A ,
BUILDING I I ,; \
SPECIAL CONDITIONS ' ' I
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~3-~4 -37/ . -• ' ..... -. ' -.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -l.
REO IF INSPEC TO R S INSPECTION CHECKED APPROVAL DATE
--
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ' STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE ..
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY .
ll -' PILES CAISSONS '
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