HomeMy WebLinkAbout2508 VIA ROJO; ; 83-34-363; Permitu, z 0 ;:: C IC j
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and effect.
l,c No ______ Class
I hereby affirm lhat I am exempt lrom the Contrac-Ior·s Lunse law tor lhe lollowIng reason (Set 7031.5
Business and Professions tooe Any city Of county whtet1 re-quires a perrrul to construc1, alter, improve. demolish. Of
repair any structure, poor to its issuance also requires !ht ap-phcant tor such permit to !ile a Stgned statement that he ,s
lteenseo pursuant 10 the provIsIons of the Contracto( s License Law (Chaple, 9 commencmg w1lh Sethon 7000 ol O,v,sion J of lhe BuStness and Profess1011s Code) or Iha! ,sex-
empl therelrom and lhe baS1s tor !he allege<I exernploo Any violation of Section 7031 . S by an applicant for a permit sub--
Jee ts the apphcanl to a avII penalty of noI more than hve hun·
dre<I dollars ($500).
0 I, as owner ol lhe prQperty, or my empktyees with wages
as their sole compensatIon, w,11 do the work. and lhe struc-lure is not mlende<I or ottered tor sale (Set 7044, BuStness
and Pro1essions Code· The contractor's Ltcense law does
not apply to an owner of property who builds OI' improves thereon and who does such work himself or lhrough his own employees, provtded Iha! such imp,ovements are not mlend-
e<I or ottere<l lor sale. II. however. lhe burldIng or improve-ment is sold w11hm one year ol complett0n, the owner-builder will have the burden ol proving Iha! he did nol build or ,m-p,ove tor lhe purpose ol sale)
D I. as owner of the property, am exclusrvely conlrachng
with licensed conuactors to consiruct the protect (Sec. 7044,
Business and Professions Code· The Contractof s Ucense Law does not apply to an owner of property who buikls or im-proves thereon, and who contracts tor each prCJiects wrth a contraclor(s) license pursuant to the Contraclor's License Law).
O As a homeowner I am knproving my home. and the loUow
ing C0l'KhlK>ns exlSt: 1. The work is being perlorme<I prior 10 sale. 2. I have hve<I in my home tor twelve months
prior to completion of this work. 3. I have oot clamled this exempl10t1 during the last three years.
D I am exempl under Set. ______ . B & P C
IOf this reason -------------
D I hefeby affirm that I ha11e a cer11f1ca1e ot consent to self-insure, or a cert,t,cate ol Workers
Compensahon Insurance. or a certified CoPY thereof
(Sec 3800. Lab<>< Code)
POLICY NO
COMPANY
0 Copy 15 filed with the Ctly
D Cert1hed copy Is hereby tum,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the perm,1
Is for one hundred dollars (S tOO) or less)
0 I cert,ty that in the performance or the won,. tor
which this permI1 Is ,ssued. I shall not employ an.,
person In any manner so as 10 become subJect to
the Wortl.ers· Compensation Laws ol Ca11torn1a
NOTICE TO APPUCANT II, after makm~ lt'IIS Gerti t1ca1e of Exempt,on you sllOutd t>ecome sut>teel ,.,
lhe Wotkers· Compensation provIsIons ot !he LabOr Code. you must torth-.·1th comply wllh such
prowIs1ons or this permtl shall be oeemed revoked
D I hefeby Jthrm lhal lhere ,s a cons-1ructI0n
1end1Jli;I agency 10, 1ne pertormance of !he woo. lor wruch this pe:rm,t Is ,ssue<J tSec 3097 CMI Coctei
Lender s Name ___________ _
Lenoe,·sAddress __________ _
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USE BALL POINT PEN ONLY & PRESS HARD --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~ I. CARLSBAD BUILDING DEPARTMENT --APPLICATION & PERMIT i 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RO. NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE "-V ~•r:_t,"it51 PERMIT NUMBER
2508 V i;:a l?n;n 9~h-2-1:-2-83-34 -
LOT .I BLOCK I sueo1111s,0N I ASSESSOR PA~El NO D CONTRACTOR CONTRACTORS PHONE • ZONE gra3 1,:;1 74-?t; I 1,,.,, 11 D-:)...0 '!he Highlaoo carpany 942--6262
OWN£ R'S NAME I OWNER"S PHONE
coNTi~iR"\11~~ Park Way #201 LICENSE NO PLAN 1.0. # BLOG USE COOE The J.Ji rTh 1 ;:ann -~-942-6262
OWNER'S MA,LING ADDRESS Encinitas, CA 92024 B-342407 RES.
1991 Vi llaae Park Way #201, Encinitas, DESIGNER LICENSE " STANOARO PLAN# BUILDING SQ. FOOTAGE ca 92024 Environnental Desi gn C-1798 AIA 1760 s .f. LN DESCRIPTION OF WORK
DESI ge J:'arK: na.y 'IF.GUJ. OESIGNER"S PHONE
New O:>nstructioo Encinitas, Ca 92024 942-6262 --... ------. ------F/P FLA ELEV. NO OCCGP EDU
STORIES
1;n l>TAN 11 ;n s.f. T.TP vO N.K] F,..-.3 1
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS I GRADING PERMIT ISSUED
I
REOEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST 441 s.f, YO ND vO ,,tg V-N vQ N ~ -Ii.cl 'Jtif,i/ Pnldr Jt!Oine Certified u 1 . • ,
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 suMMARY1Aci5crJ~r~UM~ I ' • :i.' t-....
11 EACH FIXTURE TRAP 27 . .so 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4 .. 00 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 WA TEA HEATER ANO/OR VENT 2 .t;() BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00-8806 246 .35
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ? .t;() BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 46 .50
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 30 .00
EACH INSTA~ .. ALTER. REPAIR WAT ER PIPE 1 VENT FAN SINGLE DUCT h· nn MECHANlCAL 01-00-00-8224 13 .00
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00--0Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??~
TOT J;L MECHANICAL .u.uu STRONG MOTION 80-92-33-0519 4. lj /
TOT AL PLUMBING I ,1,:: •l:f\ FIRE SPRlNi<LERS 01-00·00-8227
QTY. ' EL:EC"FRICAL -PERMIT -ISSUE QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
5.00 BRIDGE FEE
10( NEW CONST EA AMP/SWT BKR COLLECTORS .-_____ .......____
SCHOOL FEE • DISTRICT
AMI I PH 3 PH 25 .. 00 STORAGE TANKS / \ '\.. Carlsbad 80·92-21 -0519
EXIST BLOG EA AMPISWT/BKR ROCK STORAGE / ,iv \ Encinitas 80-92-22-0519
I PH 3 PH PUMP I /\ (J t.-4/" ,., LY . \ San Oieguilo 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE I v-(//C 1 . I San Marcos 80-92-24-0519
TEMP POLE 200 AMPS I -,,.-..., I-./
OVER 200 AMPS -XI /. LICENSE TAX 01-00-00-S162
TEMP OCCUPANCY 130 DAYSI / -\ / CREDIT DEPOSIT (208 .29
TOTAL ELECTRICA L I TOTAL SOLAR "--TOTAL FEES PAYABLE I 30,00 -475.43
I HAVE CAREFULL y EXAMINED THE COMPLETED • APPLICATION AND PERMIT' ANO DO HEREBY Exr,oratiOn E"8ry perm1I IUUtld by 1"8Buoldlng 011,c,el Under lheprov,s,onsofthrs * AN OSHA Pf.AMIT IS RE0U1REO FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code Shall ••p,re by hmitat10n end become null end void II lhe bu,ld,ng or work s·-~~ 0£lltlOllTION OR CONSTRUCTION OF IIU1hor1Z8d by such permit r11 not commenced wtlhm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or If the bulldt~or worll eulhorlled~rmll ,5 s,~pen or Sc-/. -OVER 3 STORIES IN HEIGH~ I ISSUED, TO COMPLY WITH All CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON· --al env bme the work II corn or a nod ot
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND~PPL I ~ · l I -CONl'RACTOA 0 AP~ROVZ::~
1~1}t3 KEEP HARMLESS THE CITY OF CARLSBAO AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO ~GN ITW
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Cl -f BY PHONE 0 GRANTING OF THlS PERMIT -.,r ~7 ' 7
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TYPE I
BUILDING ' l
OUNDATION~~,.., .. t::;,;;S (91\L I F
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~EINFORCED STEEL \O-f,,K2.:>~
IASONRY I
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iUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
HEATHING D ROOF D SH_~R
RAME I
EXTERIOR LATH I ,./
INSULATION ~-(? '~&..I~\'-
INTERIOR LATH & DRYWALL I .....,/
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PLUMBING I
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SEWER AND BUCO D \PUCO 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 WATER
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ELECTRICAL I
D ELECTRIC UNDERGROUND D _QFFER
DATE
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ROUGH ELECTRIC I .-~4.vr
D ELECTRIC SERVICE D TEMPO!aARY
D BONDING D POOL I
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MECHANICAL I
D DUCT & PLEM., D REF. PIPl~G r-( ~ , ~ l
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPECTl(j)N WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE! BEEN APPROVED.
FINAL ' (><"'\ .,/ J I
PLUMBING ! ~ ~f-.J« '/.,.
ELECTRICAL I ~y I~~
MECHANICAL ' ,. .,,...,~ ,X---Y I
GAS I t7 ., ~ ---<!.i~ -
BUILDING ·1 .....:.-1',,, \
SPECIAL CONDITIONS I VT -··-
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FIELD INSPECTION RECORD •
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
-. .
SOILS COMPLIANCE ' .
PRIOR TO
FOUNDATION INSP
;
STRUCTURAL CONCRETE
OVER 2000 PSI -
PRESTRESSED
CONCRETE
POST TENSIONED . I
CONCRETE ,,
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY ' ,, !
PILES CAISSONS
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