HomeMy WebLinkAbout2502 VIA ROJO; ; 83-34-366; PermitCl) z 0 .:: C a: C J (.) ... 0
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O I hereby affirm that I am licensed under
provlalona of Ch~ter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license Is in
lull force and effect.
lie No ______ Class
I hereby af11rm Iha! I im exempt lrorn the Contrac·
!or's IJcense Law lor !he lollowmg reason (Sec 7031 5
Business and Professions Code Any city Of county whtth re-qulfes a penml 10 construct. alter . .mpl'OYe demoMh. Of repair any structure. prtOf to its tSsuance also requtres !heap·
ptecant tor such permit to file a signed statement that he ,s
licensed pursuant to the provisions or the Conlractor' s license Law (Chaplet 9 ccrnmencmg with Section 7000 of
Div,s1on 3 DI Ille 8<Jsmess ond Prolessions Code) or that os e>· • empt theretn>m and the bas,s for the al1egeo exempt,on Ally
vlolat,on o1 Sect,on 703 t .5 by an applicant for • perm,t sub·
iects the applicant to a ennl penalty ol not mate than live huo-
dred dollars ($500)
□ I. as owner 01 the property. or my employees with wages
as !heir sole compensation. will do the work. and the strut· ture ls not Intended or otlered tor sale (Sec 7044. Business
and ProlesstOfl~ Code The Coolractor·s license Law does
:,::~n!,o :r'.o ':e":'!f~T~i,::1 :~~~h~s':~
employees, provided that such improvemenls are no! intend·
eel Of offered for sale 11, however. the bu1ld1ng or improve-
ment Is sold within one year of comp,e110n. the <PNner·builder will have the burden ol proving lhal he dod not build or im-
prove tor the purpose of sale)
D I. as owner of !he property, am exclusr'ffly contracting
w1lh hcensed conlraclors to construct !he pro,ect (Sec 70,U. Business and ProfesskJns Code. The ContractOf's Ucense
Law does not apply 10 an owner of property who builds or Im·
proves thereon, and who contracts for each projecls wrth a contrac10<(s) license pursuant to the ContractOf's lteense Law).
0 As a homeowner I am improving my home. and the !allow· ing conditions exrst:
1 The worl< is being performed prior to sale 2. I have lived ln my home for twelve months prior 10 cornp\etoon o1 this work. 3. I ~ve nol ciaimed this h.emphon dur,ng lhe last three years.
□ lamexemplunderSec ______ ,B&P.C
!Of this reason -
□ I hereby alhrm that I ha"'e a cert1t1cate or consent to self-insure, or a certificate ol Workers
Compensation lnsuf'aoce, or a cert,hed coPy thereol
(Sec 3800, Lab<>< Code)
POLICY NO
COMPANY
□ Copy IS hied with the city
O Certified copy ,s hereby lurn1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This se:c1ton need no1 be completed 11 lhe perm,1
,s to, one hundred dollars (S 100) or less)
O I cert,ty that 10 the per1ormance ot the work lor
wh1cl"I th,s pe:,m11 1s issued. I shall not employ any
person ,n any manner so as to bec.ome sub1ect 10
!he Wot'k.ers· Compensation Laws ot Cahlorn,a
NOTICE TO APPLICANT II. after makmJ this Cert,
hcate or Exemption. you should beeome sut>1ec1 I?
lhe WC)f'l(ers· Compensatton p,ov1s1ons ot the LabOr
Code. you musl torth-.1lh compJy Wllh such
prov1s1ons or this permit shall be deemed revoke<J
0 I hereby aftum lhal !here ,s a con!'lrUCt.on
1end1no agency tor the performance ot lhe wo111. IOf
which 1tus p,e<m11 ,s ,~sued 1Sec .3097 C1v,1 Godel
Lenders Name ___________ _
Lender·s Address ------''------
USE_BALL POINT PEN 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 ADORESS AV ST RO NEAREST CROSS ST . I D~TE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
2502 Via .R:>ie> I ~6';6'I6' 45 ,058 83-34 -
o...OT BLOCK I su1°.i:::2·r ' I ASSESSOR PARCEL NO. CO,.TRACTOR CONTRACTORS PHONE • ZONE .3'-'b 366 I <,"7 4 I I 05' 00 The Highland Carpany 942-6262 '1WNER'S NAME I 942~;~~-s PHONE
The Highland ~y cor~'g''.C~ili~cj~5)>ar1c way #201 LICENSE NO PLAN 1.0. # BLOG use CODE
RES. OW"E R'S MA• .. •NG ADDRESS ~,..~n;+-..,c:z Ml. Q?n?A R-'lA?An7
, 001 ,,; , ,,,.,..... Park wav #201. Encinitas, CA 92024 OESIGNER LICENSE a STANOAAD PLAN# BUILDING SO. FOOTAGE
1092 s.f •LIV
DESCRIPT ON OF wofloc F.n,:n ...,, Desinn c~l798 U1'
0E5m1 s ~a~ Parle way #201 DESIGNER'S PHONE
~~~--'l<'nr-init-;,iq_ c,a, Q?n?4 942-6262 _ e,+3 ue:31 tao 330f25 -~-----· ---F/P F LR ELEV. NO OCC GP EDU -.... ---··-
20~ 1092 s.f. STORIES R-3 1 --v□ N[}{ --
CENSUS TRACl I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED REOEVELOPMENT TYPE OCC LOAD Fl RE SPR
AREA CONST -
441 s.f YO N □ v □ ND V-N v□ N~ Nor Valid Unlers Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7 -50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
('\ EACH FIXTURE TRAP ?? _c;(I 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4.00 BUILDING PERMIT 01 ·00·00·8220 265.00 -EACH BUILDING SEWER (:. .c;(I OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 ,
1 EACH WATER HEATER ANO/OR VENT ') .c;(I BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 1 s:ic; Q(\
1 EACH GAS SYSTEM I TO 4 OUTLETS -, .i::.n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 ,., , c;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 "l(\ (\(\
EACH INSTAl. ALTER, REPAIR WATER PIPE 'l VENT FAN SINGLE OUCT 6 ,()0 MECHANICAL 01 ·00·00-8224 1 , (\(\
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK JNSP
EACH ROOF DRAIN (INSIDE) t SOLAR n, .nn-nn.R??"
TOH,L MECHANICAL STRONG MOTION 80·92·33-0519 , 1 c;
TOT AL PLUMBING I 41.50 13.00 FIRE SPRINKLERS 01·00·00·8227
' PUBLIC FACILITIES FEE 32·00·00·8933
QTY. -• ELECTRICAL PERMIT • ISSUE 5.00 QTY. SOLAR • ISSUE ! --BRIDGE FEE , (\(\ NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
7\MD I PH 3 PH 25.00 STORAGE TANKS / ~ Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE / 0 "' Encinilas 80·92-22·0519
1 PH 3 PH PUMP I t, A ,.p' t\ \ San Dieguito 80·92-23·0519
RE MOOE L ALTfR PER CIRCUIT PLAN CHECK FEE I ('V v' lo\'. San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS I -¼.,, -
\Q -OVER 200 AMPS 11,A, I LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI /' \) / ~ -
/ CREDIT DEPOSIT ( ')(\O ')Q \
TOTAL ELECTRICAL
l TOTA~R / I
~ 30 .00 TOTAL FEES PAYABLE 330.26
I HAVE CARE FULL V EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT' ANO DO HEREBY Expuahon Eve,y permit ouued by theBuoldtng Olf1c1al uoder the prov,s,onsofthos * AN -_DID-::-IT IS REOUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY Tt-lAT ALL INFORMATION t-lEREON INCLUDING THE Code shall exp,re by hm1tat1on and become nu11 and vood II the bu•ldong or work s· O" ~DEMOUTION CIA CONSTRUCTION OF author,zed by such perm,t 11 not commenced~•thm ': ays from tne date of such STAUC OYER 3 STORIES IN HEIGHT / DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe,m,t, or ,f the bu,ld•~r work auihorozed c perm,! ,1 suspended or
ISSUED TO COM PL V WITH ALL Ct TY, COUNTY AND STATE LAWS GOVERNING BUI LOI NG CON aban-at anv bme a the work .. com r a """od of ,-
STRUCTION WHETI-IER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ ~ //I ,RlJ...,,/4 APPROVEDB~ 1:'11/g7i KEEP,tiARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICA ~tG URE Jf. NE CONTRACTOR 0 .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHO E 0
GRANTING OF Tt-11S PERMIT. -~ ~ _, ~ .-N
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TYPE I
I
BUILDING I
OUNDATION ~ ..A.u,.., "" ~ ~, F
R
M
IEINFORCED STEEL 1.6~_0~ ~ ~
IASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING
FRAME
s
F
D ROOF
EXTERIOR LATH ':@
D SHEAR
I
I
I ' INSULATION .<Wt,,·-' 2,-·\"l -~~.,,.,
INTERIOR LATH & DRYWALL I .,
I
PLUMBING I
SEWER AND BUCO DIPUCO I ' I
UNDERGROUND D WASTE D WATER,...
TOP OUT D WASTE D WAITER •
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WAliER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
DATE INSPECTOR
~ -~. 0 ,_, .. ,').,,,,/ ....._,., --l\.--a..~ ,r
Y LX_J\
/
,~,_.,(l.: ,'\/J1A( , ___
~~.C",,..., .... ,rz,/J --
12.~. ~ """1~)
,_ -
MECHANICAL I ---D DUCT & PLEM., D REF. PIPIN(J ~~ 'n _or_J J
HEAT -AIR COND. SYSTEMS I -
I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE1BEEN APPROVED.
FINAL I
PLUMBING : . ,1252 ./ .__
ELECTRICAL I -<77~ ~-----MECHANICAL I ('tr,!' .;:;-~J • A ~./
GAS : ~ -I ,°6 IV"
BUILDING I (g
SPECIAL CONDITIONS I
I
I
... i ' '\ ~
l .. ~~ .. 34'--¾<o . ' --e~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE 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
11
PILES CAISSONS
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