HomeMy WebLinkAbout2506 VIA ROJO; ; 83-34-364; Permiten z 0 ~ C < ... u ... 0
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O I hefel>y affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is in
full force and ettect.
Lie No ------Clm
I hereby affirm that I am exempt from the Contrac• tor's License Law tor !he lollowmg reason (S.C 7031.5 Business and Prolessions Code Any city or county which re-quires a perm11 10 construct, al!er IITlprove. demohsh. or
r~ir any structure. poor lo ils issuance also requires !heap· phcant 1or such perrrnt 10 hie a stQned sta1emen1 thal he ,s
hcensecl pursuant to the proviSiOOs of the Con1racto(s License Law (Cllapler 9 comrrencmg w1lh Sec110n 7000 of
Otv1St0n Jot the Business and Protesst0ns Code} Of that 1s ex· empt therefrom and the ba~s !or the atlegea exemp11on Arly
VIOlat,on ol Sec110n 7031.5 by an applicant !or a perlTIII sub·
iects lhe apphcant to a civil psnany of not more lhan bve hun·
dred dollars (S500)
□ I. as owner of !he property. or my employees w1lh wages as !heir sole compensahOn, wdl do the work, and lhe slruc·
ture is not mlended or ollered ror sale (Sec 7044, Business
and Professions Code: The Contrador's Lteense Law does not apply 10 an owner ot property who builds Of improves
thereon and who dOes such WOl'k hlmseH or through h,s own employees. provide(f that such improvements are not intend·
ed Of offered tor sale II, however the building or improve-ment Is sold within one year at complett00, the owner-bu1k1er will have lhe burden or proving thal he dfd not build or 1m· P'°'" 10< !he purpose of sale).
O I, as owner of the property, am exclusively contracting
With ltcensed contractors to construct the project (Sec 7CM4,
Business and Prolessiof'ls Code. The Contractor's License Law does not appty to an owner ot property who builds or im-
proves thereon. and who contracis tor each pro;ects witn a
contractor(s) license pursuant to the Contraclor's Ucense Law).
0 As a homeowner I am 1mp,oving my home. and the lollow· ing conditions exist:
t. The work Is being per1onned prior 10 sale
2. 1 have lived 1n rrrt home IOI' twelve months
prlOf' to comp{ehon Of this work. 3. I have not claimed lh1s exempbon Clunng the last three years
g /~:r":.~tl under Sec. ______ . B& P.C
-------------
0 I hereby alhrm that I na-,e a cert,hcate ol consent
to self-insure. or a cert1t,ca1e of Workers
Compensat10n Insurance, Of a cert,lted copy I hereof
(Sec 3800. Labof Code)
POLICY NO
COMPANY
□ Copy IS filed With lhe CII)'
0 Cen11.ec, COi)y ,s hereDy lu,nished
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed •I !he permit
is 10f one hun<Jred dOllars IS 100) Of less)
0 I cen,ty Iha! m the performance or the wor1t to,
•h1ch this permit ,s issued. I shall not employ any
pe<son in any manner so as lo become soo1ect 10
the W~ers· Compensauon Laws of Caillom1a
NOTICE TO APPLICANT 11. after makin~ this Cer1•
hcate of Exemp1,on, you should beeome sub1ect 1?
lhe Workers· Compensation prov1sIons of !he Labof
Cooe. you must lorthv.1lh comply wIlh such
prov,s,ons or 1t11s permI1 shall oe cieemed revoked
D I hereby alhrm tr'lal !here ,s a con!truc11on lenci,ng aoency to, t.ne perto,mance ot lhe wont tor
wh,ch this permtt ,tissued (Sec .)()97 C1v,1 Cooe1
Lenders Name ___________ _
lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS 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 ADDRESS AV ST RO. NEAREST CROSS ST I DATE OF APPLICATION] BUSINESS LICENSE • VALUATION PERMIT NUMBER
2506 Via Iojo 7-5-~59,966 83-34 -
164 I BLOCK I sueo11i!..~S I ASSESSOR PA~EL 10 '3 CONTRACTOR CONTR.ACTORS Pl-iONE • ZONE Sr.:,<-{ lto7 I o oo '!be Highland Cbrpany ~
O\IIINE R',S I\IAME I OWNER'S PHONE 942-6262
'l'1e Highlam Carpany 942-6262 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use CODE
1991 Village Park way #201 B.-342407
OWNER'S MA, LING ADDRESS -I I -·--• RES.
1991 Village Park way #201, Encinitas, CA 92024 OESr_Pft.._.'4~ I ......,_ J&ov•"t LICENSE • STANDARD PLAN# BUILDING SO. FOOT.AGE
DESCRIPTION OF WO"K Enviromrental Desicm C-1798 AIA 1496 s.f. LIV
0Es1<M,1 AV'J.'flhge Park way #201 DESIGNER'S PHONE
New Construction Encinitas, ca 92024 942-6262
----------F/P FLA ELEV. NO DCC GP EDU
50 PLAN i496' s.f. STORIES
>'O N[Y R..-3 1 --~ ,
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
44.1 $.f. AREA CONST
YO N □ vO N(x V-N v□ NQ{ Not Valid Unless ~chine Certifi«J
Q TY. PLU MBING PERMIT -ISSUE 7.50 QTY. M EC H A N ICAL PERMIT · ISSUE 3.00 SUMMARY/A CCOUNT N UMBER
11 EACH FIXTURE TRAP L. I. ~u , INSTALL FURN. DUCTS i.JP TO 100.000 BTU 4!UU BUILDING PERMIT 0f!NdJQ·ll2,2~ ~' J.13.,Ul,I. J
l 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 221.00
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 801LER/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 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 ( INSIDE) SOLAR n1.nn.nn.oooc
TOTI.L MECHANICAL 13 .00 STRONG MOTION 80·92-33-0519 4. 1 q
TOTAL PLUMBING I Ll.i:; _c:;n FIRE SPRINKLERS 01 ·00-00-8227
• ,. __ ----\. ·--PUBLIC FACILITIES FEE
QTY. . ELECTRICAL PERMIT · ISSUE s.oo QTY. SOLA R • ISSUE
32-00-00·8933
BRIDGE FEE
, ()(l NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1\Ml"l I PH 3 PH ?c:; (\(\ STORAGE TAN KS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE / -Y"'-Encinitas 60·92-22-0519
1 PH 3 PH PUMP / -~ -\. San Oieguito 80·92-23-0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE I A o~.JI"" () t\' ~ San Marcos 80·92-24-0519
TEMP POLE 100 AMPS V q,,,-C> J
OVER 200 AMPS { /U " /. LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI "' _fi ( l /.
\ / CREDIT DEPOSIT ( L.Ul:S • L.~)
TOTAL ELECTRICAL I TOTAL SOLAR \ V TOTAL FEES PAYABLE I 419.40 30 . .00 /
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Exp,rallon Every permrt ~ by IIMt Bulldl"9 Otf1c111 under the prov191ons of tll,s * ~ P£RMIT IS REOUIAED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tat10n and become~ull and void I the building or work 5· o·· P ~ DEMOLITION OR CONSTIIUCTION Of'
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS euthonzed by auch pe,rn,1 ,1 not commenced w,thm 1 rom the date of such ST TURES OVEA 3 STORIES IN HEIGHT permit. or 11 the bu~dr:X or worll authorized by ch m1t "~--~<led or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~ at any h,.,. a er the_., ,. com for 'oenod • A-•·· .
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO P"' ~ ~ CONTR.ACTOR 0 APPr:\y ,~, l1i~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A~~O A ~~ URE O ER"fT° ' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,_,-BY PHONE 0 GRANTING OF THIS PERMIT , -:::.,--:;; ./ -) e7--,.. -/ 7
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TYPE I
I
BUILDING I
OUNDATION ('~,., ~ --1C_. c,1{._ / F
R
M
IEINFORCED STEEL \D ·l7~ ~
IASONRY I
GUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
I
HEATHING D ROOF D SH8AR
DATE
F
s
F RAME I -~-6 -~
EXTERIOR LATH I
I /
INSULATION -z..~c7 ~~~.J '\
INTERIOR LATH & DRYWALL I ,,,J 14-,Ll-.Sll
I
PLUMBING I
SEWER AND BUCO D IPUCO I -Vl.....,, :.._L
UNDERGROUND D WASTE D yYATEFV I //,V ......,
TOP OUT D WASTE D WATER I?~-~
TUB AND SHOWER PAN I
GAS TEST ' _J_
D WATER HEATER D SOLAR WAJrER .
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D IIJFFER
ROUGH ELECTRIC . ~ ~-IVI I
D ELECTRIC SERVICE D TEMPOf!IARY ..
D BONDING D POOL I
' I
MECHANICAL I
D DUCT & PLEM., D REF. PIPI N.G ~~-~
HEAT -AIR COND. SYSTEMS l
VENTILATING SYSTEMS I
I
INSPECTOR
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CALL FOR FINAL INSPECT!f N WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I -/
PLUMBING I r1 t--S\~/
ELECTRICAL I --f'T) ~. ,;.,,-~.,,'YJ
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MECHANICAL I rn~ ~A\.,. ~
GAS I ;::,,: 'I ... u
BUILDING . lP I
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPEC TIONS
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
DATE
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