HomeMy WebLinkAbout2503 VIA ROJO; ; 83-34-367; Permit.,, z 0 .::: < IIC < ... u Ill 0
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O I hereby affirm that I am ttcensed 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 ettect.
lie No ______ Clm
I hereby alhrm that I am exempt lrom tile Cornrac-
I0<' s liunse law for !he following reason (Sec 7031 5 Business and Professions COde Any cIIy OJ county which re· qu,re.s a permIMo construe!, alte-r, Impr1We, detnOOsh or repair any structure. pnOf' to IIs issuance also requ11es !heap-
pficant tot such perrrul to file a si~ned statement !hat he Is licensed pursuant lo the prov1si0ns of the conuactor s
License Law (Chapter 9 commencmg with Secuon 7000 ol OtvIs100 3 of lhe BUSiness and Protesst0ns Code} or I1\if ,sex-
empl therelrom and ttie basis IOf Ille a/leg«! exempI,on Arry v,olatM>n ol Sechon 7031.5 by an appl,unt lor a perm,I sub-
Jects the applant to a crvil penalty ot no1 more tt\in five hun·
dred dollar, ($500)
□ I. as owner ol ttie property. Of my employees with wages
as thttr sole compensahon. will do the work, and lhe slruc-
ture Is not intended or offered for sale (Sec 7044. Business and Professt0ns Code. The Conlractor's license Law does
not appty to an owner of property who builds or ,mprO't'es
thereon arld who does such work hImseU °' Ihrough his own empk>yees. provided that such tmprovemenls are not mtend-
ed or ottered fOf sale. 11, however, lhe buIld1ng or Improve-ment is sold within one year of complel10n, lhe owner-builder
will have the burden of prnvmg that he tlld not bo11d or im-
prove IOf ttie purpose of sale).
D I. as owner of !he property. am exclusively contracting wttll licensad contractors to construct ttie psojecl (Sec 71J.44. Business and Profess,ons COde: The Contraclor's License
Law does not apply to an owner ot property who buik!s or im-proves !hereon. and who contracts for each prOfects w1lh a contracl'or(s} license pursuant to the ConIrac1or·s License Law).
0 As a """-ner I am improving my home, and Ille lollow· ing conditt0ns exist: 1. The WOfk is being perlormed pr,or to sale
2 I nave lived In my home tor twelve months
prior to completl0fl 01 this WOfk. 3 I have not cl.timed this exemption during the last three years.
D I am exempt under Sec. ______ . B & P C.
few this reason
D I hereby affirm that I na-.,e a cert1hcaIe ol consent
to sell-insure. or a cemt,cate ot Workers·
CompensaltOn lnsur~nce. o, a cer'hf1ed copy thereof
(Sec 3800, Labor Code)
POLICY NO
COMPANY
□ Copy IS filed Wllh the city
D Cer11t1ed cooy Is hereby turn1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE {This section need not be compleled ,t the permit
Is fo, one hundred 0011.irs (S lOO) or less) / 0 I cer11fy that in the perlormance ot lhe work lor
wh1cn lh1s permit 1s issued. I shall noI employ any
person in any manner so as to becOmt> sut1Iec1 10
the Workers Compensation Laws ot Cahtorm.a
NOTICE TO APPLICANT If. aller mai\tnJ lh,s Cet11
hcate of Exemplton, you should become sut>IecI I'>
lhe Wonters· CompenS.111on pro..,1s1ons of the Labor
Cooe. you musl lorthw1th comply w11h such pro..,1s,ons or 1t11s permit shall be deemed re..,ok.ed
O , hereby affirm lhal lhere IS a con!IIUCl!OO
Iend,ng agency tor the pe<tormance ot 1he wo11o. IOI
wruch 1h15 permI1 ,s ,ssued (Sec .)()97 C•v•I Code1
Lenders Name ___________ _
lender's Ad<fress __________ _
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 I BUSINESS LICENSE II 4s'Ab~TION PERMIT NUMBER
.. ' • 2i;n~ Vfa ~-dn -,.,,,.. 83-34 -
LOT !BLOCK I S"UBOIV!StON I ASSEi~'if 1:nLti ~ oo CONTRACTOR CONTRACTORS PHONE • ZONE 3t,7 -:1&;7 74-?t; '!he Highlarrl Cl::ltpany 942.-6262 OWNER'S NAME I 942:;~;SPHONE
.,
co'l~i T~frF&~s Park Way #201 LICENSE NO PLAN I.D. # BLOG use CODE
ThP 'A~ahlann r... ..
OWNER"S MA•LING ADDRESS Encinitas, ca 92024 B342407 RES.
DESIGNER LICENSE • STANOARD PLAN# BUILDING SO. FOOTAGE
1991 Villaae Park Wav #201, EncinitasL ca 92024 Enviramental Design Cl798 AIA 1092 s.f. LD DESCR1PT10N OF WORK
oei~91\~fiiage Park Way #201
DE SIGNE R'S PHONE
New~on ' -r:,__,: .,._,.; .a.-.£! r,;a O?n?A 942-6262
"· ~ ---F/P F LR ELEV. NO EDU OCC GP
STORIES 1 20PT.ll.1'J 100? i::: r v□ NG{ --R-3 ---
CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS l GRADING PERMIT ISSUED I REOEVELOPMENT TYPE DCC LOAO FIRESPR a;.:;. ':1 l ·zG .. ~0~26 AREA CONST
441 s.f. y D ND vO NIX v~ YO N[J{ Nor Valid Unlns Machine Certtfied
QTY. PLUMBING PERMIT · ISSUE _2.50 QTY. MECHANICAL PERMIT · ISSUE
3.00
SUMMAR~ACCOUNTNUMBER
Q EACH FIXTURE TRAP ?? 50 _l INSTALL FURN. DUCTS UP TO 100.000 BTU 4 . ()() BUILDING PERMIT 01 ·00·00·8220 ..::o:J. uu
l EACH BUILDING SEWE R ;; i:;o OVER 100.000 BTU SIGN PERMIT 01·00·00-8221
l EACH WA TEA HEA TEA AND/OR VENT ? i:;o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 185.90 , EACH GAS SYSTEM 1 TO 4 OUTLETS -2 ~n BOILER/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 INSTAl . 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 ·00-0()·8225
WATER SOFTNER RELOCATION OF EA FU RNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00•R??J;
TOT/;L MECHANICAL STRONG MOTION B0-92·33-0519 3~15
TOT AL PLUMBING I 41.50 13.00 FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE 5.00 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·8933
100 NEW CONST EA AMPISWT •BK R COLLECTORS SCHOOL FEE • DISTRICT
~MP I PH 3 PH 25.00 STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE / .,,,,,-~ Encinitas 80·92·22·0519
I PH 3 PH PUMP / / V "\ San Dieguito 80·92·23·0519
REMOOEL'AL TER PER CI RCUIT PLAN CHECK FEE I fl .JY t San Marcos 80·92·24·0519
TEMP POLE 200 AMPS I f'V r fi I
OVER 200 AMPS I \../ ..,,,'b LICENSE TAX 01-00-00-8162 ,
TEMP OCCUPANCY 130 DAYS) l.Q Yr I
./ ' I CREDIT DEPOSIT \L;UO • L;-::J
TOTAL ELECTRICAL I TOTAL S~R V TOTAL FEES PAYABLE l 30.00 / 330.26
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT. AND 00 HEREBY hp,rallon E~ ~. • ·-.L'" Buttdtng Offte•al under the prov11Ion1 of thts * AN O&HA~IS AEOUIRED FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sllalt expore by hm,tetron and become null encl YOtd ti the bu1k!,ng o, wo,k 5' o·· DEE MOLITION OR CONSTAUCTIDN OJ authorazed by such perm,t 11 not commenced w,tt,m 180 days t,om the date of su<'h DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,t, or 1f the budd1~or work authorlZed by auch permI1 •~s ded or ST.·---·/·-•EA 3 STORIES IN HEIGH: ISSUED TO COMPLY WITH AU CITY COUN1Y ANO STATE LAWS GOVERNING BUILDING CON Abandoned at llnV ltme 8 the work 11 corn--.;._.,. t,v 8 Defll'Wi-rlav•.
STRUC. TION, w. HETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:~APPl.1 S SI ~URE VIE:R'f'r CONTRACTOR D APPROVED BY~
1~i I /i,:;, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIC CITY IN CONSEQUENCE OF TH . BY PHONE 0 GRANTING OF THIS PERMIT.
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.... ~ -! , \ TYPE ' DATE INSPECTOR I ~ ~ . ¥~• 3y)-'6<o7 I -• ~-' ~ ,/ BUILDING
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
INSPECTION REO IF INSPECTOR'S DATE GUNITE OR GROUT I CHECKED APPROVAL ----
FLOOR & CEILING SUB FRAME : SOILS COMPLIANCE
SHEATHING D ROOF D SHE',AR PRIOR TO
FOUNDATION INSP . FRAME I l~l.S<tl.-VT /'L'?)
lA STRUCTURAL CONCRETE I· EXTERIOR LA TH OVER 2000 PSI
INSULATION ~~{~-~\ / PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I J 12 ~')0.,-"-.. :..i!S POST TENSIONED
l ,,.., _.,. CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
BOLTS UNDERGROUND D WASTE D \YATER
D WATER • ~ .. \.~ SPECIAL MASONRY TOP OUT D WASTE -,,,'7)
TUB AND SHOWER PAN I
GAS TEST I I
I PILES CAISSONS
D WATER HEATER D SOLAR WAlf"ER
I
I
ELECTRICAL I
3
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I ~-'' f<lL ~
D ELECTRIC SERVICE D TEMPOAARY
D BONDING D POOL I I
I ,.
I
MECHANICAL I • . . "~ E. \ ~. C • • .~ : ~ •, D DUCT & PLEM., D REF. PIPING .. t;, 1-~ ~j
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~N WHEN ALL APPROPRIATE / ITEMS ABOVE HA V BEEN APPROVED.
FINAL I ~
PLUMBING I ~tLJ--
ELECTRICAL ' rk .JOC---.~--I -I\ -. . ... MECHANICAL I < I _:.;.,, --: \ \I"' ~ ·-__t__
GAS I ~ ..---, }CV -
BUILDING ' , .-
I
SPECIAL CONDITIONS I
..
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