HomeMy WebLinkAbout1812 High Ridge Ave; ; 87-579; Permit"' z 0 ;:: .. a: .. J u .. 0
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O I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Professions Code, and my license is in
full force and affect
1 hereby afhrm 1ha1 I am exempt horo The Con1rac
IO< s License Law lo, lhe lollow,ng reason 1sec 703' 5 Busmess and Profess,ons COde Any crly or counly wh1cr re quires a perm,t ro construct al1er ,mprove de<nol,sn or repa,r any structure pr.or 10 ,ts issuance also requires !heap
p1,can1 lor such permit to file a srqned s1aremen1 that he ,s 1,censed pursuan1 to lhe prov,s1ons ot the comractor :,
L,canse Law ,:Chapter 9 commencing w,m Senion 7000 of ~,·,,s,on 3 ot tne Busmess and Proless,ons Code, or that ,s e•
empl therefrom and tne basis for 1he a11egeo exempt,on An1 v,olat,on ol Section 7031 ~ by an appl,canl for a perm,I SUD 1ects lhe appl,cant to a c1v1I penally 01 nol more lhan f,ve nun
o,eo dollars (S~00!
1 as owner ol the property or my employees w,th wages as 1ne,r sole compensalron will do The work and the slruc tu,e 1s nol intended o, offered to, sale (Sec 7044 Bus,ress
and Professions Code The Contractors License Law does nol apply to an owner ol property who bu,lds or improves thereon and who does such work himself or Through hrs own
employees. provided !hat such 1"1provements are not rnlend ed or o11ered ror sale If. however the ou,ldrng or improve ment 1s sold w1lh1n one year of completron. the owner-bu,lder
w,11 have the burden o1 proving that he did nol build or ,m prove lor The purpose ol sale)
I as owner of The properly am exctus,vely contraci<ng wrlh licensed con1rac10,s rn construcl the prower (Sec 7044
Business and Pro!ess1ons COde The Contractor's License Law does not apply to an owner o1 property who bur•Os or ,m proves 1Mreon and wM contrac1s lor each pro1ecls w11h a
contractor(s) 1,cense pursuant to the Coniracto, s License Law)
/Is a homeowner I am ,mprovrng my home and lhe fol•ow
,ng cond111ons exrst
1 The work ,s be,ng performed prior to sale
2 I have 1,ved ,n my Mme lo, Twelve month~
prior 10 completion ol this work 1 have not claimed lh1s exemption du•rng rhe
last three years
[0~ 11h~:r~~~~A' under Sec _____ _ B & PC
~ 1 Mreoy afhrm mat I have a cect,hcate of consent 10
self-,nsure or a cert,f,cate of Workers Compensa1,on In
surance or a certd,ed coo; thereol 1Sec 3800. Labor Code1
POLICY NO
COMPANY
Coo, ,s tried w,th lhe crly
Certrl,ed copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s sec1,on need not be completed,! the permit
,s !or one hundred dol1ars 1S100) or less!
I cer1,fy that 1n the perrormance or tne work for wn,ch
th,s permit ,s ,ssued I shall not employ any person ,nan,
manner so as 10 become sub1ec1101he Workers Compen t
satoon Laws of California
NOTICE TO APPLICANT 11. alter mak,ng this Cert,trcale
ol E,emp1,on. you should become sub1ec1 to the Workers
Compensation prov,s,ons of 1he Labor Code. you must forthwith comply w,th such prov,s,ons or 1h1s perm,1 sh al
be deemed ,evoked
I hereby affirm that there ,s a cons1ruc1,on lending
agency tor the performance o1 the work lor wh,ch tn,s pe,
m,1 ,s issued (Sec 3097 C,vrl Codel
Lenders Name
Lenders Address
USE BALL POINT PlN ONLY & PRt~S HAKU ----. ---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 .
JOB ADDRESS .-AV. ST. RO. THOMAS BROS NO. / "f" DATE 0 i1;; BUSINESS LICENSE # t }A6/°i_ PERMIT NUMBER
;,.n Jt,'., 4 _f? /d,,.'-<!:-A(I-(; ,,. . , ,. R:.4P C,/1. <o/20~' 7 i1i71 LOT al.oc,< 'J SUBDIVlSIEJt)I.• . I ASSESSOR PARCEL NO. CDNTA~CTOR I ' r CONTRt,CTORS PHONE I j ZONE/ -'°1~ ()\ Ou
OWNER•s"NAME. I OWNE-A•s PHONE
~ ; . Cor;ro q~<,-1J(!)(° CONTRACTOR"S ADOflESS STATE LICENSE NO. BUILDING SO. FOOTAGE
ieAt••A., O· ""'· .
OWNER'StMAILfN4f ADDRESS
1<1f>S: -~ ,/,4/q4 /l1'dc. ,I!, ,a {..l,·f!!.,, . ,:::,fl.lZ"s&4JJ DESIGNER DESIGNER'S PHONE
oESCi;t,PT1oN" di" wQ)U(-, .: -. '-~ . ' ~ ., -" , ' .-' ~ ' . . . . . -. . ,OESIGNER•s AODRESS STATE LK,EN.,._ NO. · 0026 07/06 0101 02BldPn,t 44.5 · t7r:.i .,.._ . '_c.d/ ~~ #.. :. . .
' ' FLA ELEV NO OCC GP EDU
i STORIES
' . . ,□ "-'D • ! CENSUS TRACT l PA PK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRESPfl
AREA CONST
,□ ' D ,c '\JD vO NO Nor Valid Unlf!!s M~chine Certified
QTY PLUMBING PERMIT· ISSUE 7 ~-., QTY. MECHANICAL PERMIT· ISSUE / .-e>r,, SUMMARY/ACCOUNT NUMBER ~ -
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU IDJl~LJING Ftn,v,I I IJU1 IJ1u·vv-uu·ou:v _ .. ,} '/ -
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERM!T ~o 1-8, 0-00-oc-8221
EACH WATER HEATER AN[] UR VENT BOILER,CUMPHESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 1·1 -
EACH GAS SYSTEM I TO 4 OUTLETS SOILER,COMPRESSOR 3 1'.l HP TOTAL PLUMBl"IG 00 · -810-00-00-8222
EACH GAS SYSTEM J OR MORE METAL FIREPLACE ELECTRICAL 00 ' -8 1 0-00·00 ·8223
EACH INST AL . ALT ER. REPAIR WAT ER PIPf VENT FAN SINGLE DUCT MECHANICAL CJQ 1-810-00-00-82 24
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-82 25
WATER SOFTNER RELOCATION OF EA FURNACE-HEATER SOLAR 00 1·81 0-00-00-8226
FACH 1-l:JCF DR,'\'~J , :•;S nf 1 DRYER VENT STRONG MOTIOII: 880-519-92·33 .~
TOHil MECHANICAL FIRE SPRl'.IJ;(LERS 001-810-00-00-82 27
TU!Al PlUMHINl., I PUBLIC FACILITIES FEE 320·8 10-00-00-8 7 40
BRIDGE FEE 360-810·00-00-87 40
QTY. ELECTRICAL PERMIT· ISSUE ..5-.EJ2--QTY. MOBILE HOME SETUP PARK-IN-LIEU 1,AREA '
NEW CONST EA AMP SW! tJKR CAR PORT TIF 312-810-00-00·8835
I PH IPH AWNING LA COSTA TIF 311 ·81 0-00-00-8835
EXIST fJLOG EA AMP SVVT f:!KR GARAGE FMF
I PH I PH LICENSE TAX 001 ·31 D-DD-0C•-81 ~.:'
REMODEL ALltR PfR [IRCUIT MFF 880-519-92-57
TEMP POLE 100 AMPS
0\11:R 2(JU AMPS
TEMP OCCUPANCY '30 DAYSI
CREDIT DEPOSIT
lfllAL fLlLlRILAl I I QT A'. TOTAL FEES PAYABLE I '/.'f,SV
. .. 6:~ration EY8rype1m1_t 1saued by th&Buitd_ing Ofhc1al under the prov1s1(!nsolth1s I HAVE CAREFULLY EXAMINED THE COMPLEfED ··APPLICATION AND PERMIT:, ANo·oo HEREBY * AN OSHA PEAMIT IS REQUIRED FOfl EXCAYATK>NS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire ·by Hm,talion and becotrie null and "'°'d If 1he bu!ldmQ or work 5· O" DEEP ANO OEMOUTJON Ofl CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERM1T t~ avlhorrzed by such permit ,s not commenced within 180 days from the date o! such STFIUCTUAES OVER l STORIES IN HEIGHT permit. or if 1he bu1ldl~ or work. authorized by such permit 1s suspended or
lSSUED: TO COMPLY WH!·i ALL CITY, COUNTY" ANO STATE LAWS GOVERNING BUILDING CON· abandoned al anv lime a r thfl work 1s commenced for a --nod of 180 d■""
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. _I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT'S SIGNATURE Jf, OWNER □ CONTRACTOR 0 APPROVED s, 1 ~ D•7 --~-11 KEEP HA~MLESS THE C!TV OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE ~~~ ~ BY PHONE [] I GRANTING OF THIS PERMH
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TYPE "T I DATE I INSPECTDR -
BUILDING I &i--57'i
FOUNDATION I F!ELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl~ING SOILS COMPL;A'\JCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME FOUNDATION INSP
-
EXTERIOR LATH I
STRuCTuRAL LONCHE:. Tl:
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I
T POST TENSIONED I CONCRETE
PLUMBING FIELD WELDING
□ SEWER AND BL/CO [J PUCO -------HIGH STRENGTH
UNDERGROUND □ WASTE □:WATER BOLTS
TOP OUT □ WASTE □ WATER SFECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST PILES CAISSOM~
□ WATER HEATER □ SOLAR Wl<\TER -·----·
-~
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
'
MECHANICAL --
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ~
VENTILATING SYSTEMS .. --.
CALL FOR FINAL INSPECrf_ON WHEN ALL APPROPRIATE
_ ITEMS A_BOVE HAVE BEEN APPROVED.
FINAL I I '"'-
PLUMBING I I ~ ----. '
ELECTRICAL "T '-JV
MECHANICAL
GAS
BUILDING I .
SPECIAL CONDITIONS I