HomeMy WebLinkAbout1817 High Ridge Ave; ; 83-567-137; Permit<✓• ,,. I[
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleselons Code, and my license 1s 1n
full force and eflect
"'c No_~~--Ca,,
I hereoy af',rm !hat , dm exempt lr~m t~e U,nlrac
lor , License Law 'o' !he lo lowing reason !Sec 7G3' 5
Bus•ness ard Profess,ors C:ide A1y .;,ty or c~unly w~1cr-re-quires a per"l1T :c canstruct ate" ,m:i·ove 8e~o1,sh o·
·e:ia,· ary structure p,,o, to ,:s rssLance also requ res !heap
:il,cant for sue~ oerrr,: 1~ file a s,qoed srateme-,1 t~a: 1e rs ,censed p~rsuanr to <he nrov1s1o~s Jf the ~onrroc:or ~
1 ,cerse Law 1c1apter 9 commenc1ng w1:h Ser.•.on 1001! o'
J1v1s1on 3 of the Business anG Prafess,ors Code,, er t~ot ,sex
empt t~erefr~m a~d :he bas,s for \he alleged e,e,rpT,o~ Any -.,c,aT,on of Sect,on 703' ~ Cy a~ api;l,ca~; hr a Jerm,· scb
e~!s the appl,canr to a c,v,I penaI:y o' ~ot morethar f11·e ~en
cred d~lla-s ·:$500)
I as owrer ol the orooerty 8r my employees "'!h wages
as their sole compensatI0~ wIII do The work and :he s•rcc tu'e ,snot intended or offered for sale !Sec 7044 8us1r-%s
and Profess,ons Code The Contractors License Law daes
not apply to an owner ol property w~o bwlas or Impra•1es
Thereon and who does such work h1"lsell or !hr0•Jgh his awn
employees. provided that such improvements are not ,nter.c
ed or otfered lor sale IJ. however. the building or IMorove -nenl Is sold wIlhtn one year ol complet,on the owner-bu,lder
will have the burden ol proving that he did not build or .m
;irove 10, the purpose of sa1e1
I. as owner of the property am e,cluswe!y contracting
w,t~ licensed contractors ro construct the pro1ect (Sec 7044
Busrness ano Professions Code The Contractor's License Law does nol apply to an owner ot property wno builds or Im moves thereon. and who conlraos for each ~roIecTs with a
contrac1or1s) license pursuant to the Coniracrors License Law)
11.s a homeowner I am ,mprov,ng my ~ome and tne tollaw
Ing cond1t1ons exist 1 The work Is being oer!ormed prior to sale
2 I h;ve lived ,n my home for 1welve monThs
prior to comrIe1,nn of :h,, work
I have not claimed !his exemptI0~ during the last three years
_ I am exempt under Sec B&PC tor lh1s reason ____________ _
0 I ne,eby aft,rm that I ha,e a cert,f,cale ol consen!
to self ,nsure or a cert,!icate of Workers Compensa,1,on Insurance or a certd,f>d, o,,, lhPreo'
15ec 3800 Labor Code!
POLICY NO
COMPANY
D Copy ,s f,led w,t~ !he c•ty
D Cert,toed copy 15 r.eret,y furr,ished
CERTIFICAH. OF EXf:MPTION FROM WORKERS COMPENSATION INSURANCE
(This 5,ectIon need not be complet!"r) ,' lh<" ;><"''"''
,s •o, one hund<ed dollars ;S100', or ies~,
0 I cert,ty that ,n the perlorrnance of l~e """"' •o, wh,ch 1n,s pe,m,\ ,s ,ssued I shall nol ernpl:o, dn,
person ,n any m3nner 50 .is lo t,ecomp Slltl ec• T
\he Worl<.ers Compen~t,on L..a-,,s ,)t C3l,to,r,a
NOTICE TO APPLICANT It atte, ma~1n; ,-,,5 C""'
t,cale ol E,emp1,on you shou•d t><>corn<" >utlIen 1' u1e Wor1<.ers Compensa1,on prov,s,ons o• The L..atxr
Code you must torth-,,,lh r-or,,ply ,.,,,t~ 5u•~" pro,,s,ons or th,s perm,! 5h31 bf' oee"1ed ·e,c,~pc
0 I r.e•eby 3fl,rrr, JhdT Therp ,~ d '-" s•r,.;, t, •
end1n1, agency •o, :~,e per•,,•r•,dr ,_e c,' '"" ,.,,,_,rl< 1-:,r wti,ch Th•s pe,rn,t o ,~sued ,'.:,ec Yl'F r;,, I '.0de
Lerde, s Name ___________ _
Lende• s Address ----------~
USE BALL POINT PEN ONLY & PRESS HARO 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.RD. NEAAEST CAOSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
1817 High Ridge Ave. Tamarack 4.16.85 9053 124,218 83-567-137
LO, BLOCK l1~~1~s,ff~ I ASSESSOR PARCEL NO~ CONTRACTOR CONTRACTORS PHONE# ZONE 137 ;z.o 1 '!,'ol.J: J WESTANA Builder~/Developers 483-4880 OWNER'S N"}ME I 483_~;;~·s PHONE F & M AND-ASS1)CIATES CONTRACTOR'S ADDRESS Suite 215 LICENSE NO. f'LANIO.:t BLDG USE CODE
OWNER'S MAILING ADDRESS 4241 Jutland Dr •• San Diego. C 404130
4241 Jutland Dr., Ste. 215, SAn Diego, CA 92117 DESIGNER LICENSE # STANDARD PLAN#
~qOOTAGE
DESCRIPTION OF WORK ARAM BASSENIAN AIA ASSOC. C8395
C:Tlllr-T" "AMTTV 1>-.,c □EsiGNER's ADDREss /1170 Newport Bch. DESIGNER'S PHONE I
_____ PLAN_5 3990 Westerly Plc. CA 92660 714-752-1864
----s e F LR ELEV NO OCC GP EDU
STORIES
v[J ',D --? R .> 1
C~NSL;S TRACl I GP LANO USE I PARKIN:::ACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPF'
I 1
AREA CONST
, D ~ D 'C: -...w ilN YO Nlxj Nor Vc1lid Unless Machine Cerrrfred
QTY. PLUMBING PERMIT -ISSUE I ·'1~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER I
14 EACH ~IXTURE TRAP ' / 35 •. 00 1 INST All FURN DUCTS UP TO 100 000 BTU 4.00 BUILDING PERMIT 01-00-00-822:J _496.00
~-1 EACH eUILlJING SEWER I 6.50 .. OVER 100 000 BTU SIGN PERMIT 01-00-00-8221
----------+------------r-----------
1 EACH WATER Hf:ATER A~Ll OR VENT
' 2.50 ' BOILER.COMPRESSOR UP TO 3 HP PLAN CHFCK 01 · 00-00-8806 ,22.00 ------------
1 EACH GAS SYS I EM\ ro 4 (hJTLETS Z_. S_Q_ BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 54.00 -; 1----------------------
EACH GAS SYSTEM J OR MORE
'
I 1/E: TA, ~IRE~LACl ELECTRICAL 01-00-_00-8223 _ ~-30 00 ----~ i' --~-I AA EACH INSTAl Al lt:!-1, REPAIR \l,'ATEfl PIPE I VENT ~AN SINGLE DUCT MECHANICAL 01-00-00-822<'. I ---------
EACH VACUUM BREAKER MECH EXHAUST HOOU DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER Rf.LOCATION OF EA FURNACE.HEATER MOBILEHOME PARK INSP ----
FMJ-a Q:-:,:1~ t·R,~ •. , ·.s-r::, ~Q1AB_ 01-00-00-8226
r __ i TOT!'..L MECHANICAL STRONG MOTION 80·92-33-0519 8. 69 -54.0U-, 7.00 -
lUIAI PIU\rn,r,,i\J FIRE SPRiNi<LERS 01-00-00-8227
' PUBLIC FACILITIES FEE 32-00-00-893] 2,484.00 QTY. ELECTRICAL PERMIT -ISSUE :>-;::... QTY. SOLAR -ISSUE
BRIDGE FEE
NE:.l'I CONST E/1, ,-\MP Si,',J flKR 100 AMP 25.00 --:::c, LE:::TCRS SCHOOL FEE -DISTRICT ----
I PH !PH sTc,RACt · A·-iv.s Car1sbad 80-92-21-0579 --t------------------
fXIST bLOG EA AMP S\\'T BKR -~L-----Rnrv ST:::R:.C;F Enc1n1tas 80-92-22-0579 ----I PH :l Pf-1 Pl, \.1'1 San D1egu1to -RQ-92-23-0519 -------
RE:.MODELALltR Pl'K C RCUIT Pl;l'·1 :::...iL~• "F~ San Marcos /1/. I ~-92-24-0519 -----
TH,1PPOLF 200 ,',,,MPS ' Park in lieu // / / 654.00 --~-~---O\/E:.R ![JU AMPS ' LICENSE TAX 01-00IC1e-frT'S2
TE~,1P U[CUPANCY ·30 OAYSi MFF 80-92-57-0519 880.00 --
' -----t----I CREDIT DEPOSIT -----,-----I 1 I) r AL F L l I. l RI ( :, 1 30.00
1
, [f)T.C\l c;:;,[ AR TOT AL FEES PAYABLE ! I I 4,935.69
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMlr AND DO HEREBY Expirahon Every permit issued bythe8u1ld1ng Offtc,111 under theprov-1s1ons olth1s * AN OSHA _,,_H IS H111I1IREO FOR EXCA\IATK)NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e11pire by llm1t11t1on and become null and void If the bu+ldmg or work 5· O" DEEP A~~fflON OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE lF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STRUCTURES O 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~~~~~n°:d 1
~1
1
=~v ~~~~1~ije~~h=~~,:~tcO~~~e~fe~~~~ f~:~~d•~i5~~~~.~d or •
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ()ANrS SIGNATURE :if. OWNER □ CONTRAC:✓□ ~ APPROVED "I \ 11// 1/.f J'"
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. cosTs AND . q IL,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHO 0 GRANTING OF THIS PERMIT. A _./ ..,. ,ilf'--4
A .
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
INSPECTION
SOILS CO~PLIANCE
REO IF
CHECKED
SHEATHING □ ROOF □ sHeAR PRIOR ro
fOlJNDA--:-IQN INSP FRAME I C---------+-----
INSPECTORS
APPROVAL
1 STRUCTURAL CONCf-iEHC EXTERIOR LATH OVER 2000 cs, I
INSULATION I PReSTRESSED I
I CONCRETE ,
POST TEN8-IONE:.O INTERIOR LATH & DRYWALL
1
1 1
1
1
cor-..CRETE --+-
PLUMBING I FIELD WELDING I ---______ ..:...;===c.:.=
DATE
-----
SEWER AND BUCO □!PL/CO ------+ -------
UNDERGROUND □ WASTE □ WATER
f-"(.:,rl STRENGT~ ·
BOLTS I
TUB AND SHOWER PAN
TOP OUT □ WASTE □ WR;TER I I I r------
1
SPECIAL l\.,1J.\S::lNPV
GAS TEST I
,
%'?.-Slo7..,-_1'3"7
INSPECTORS NOTES
f----------------------------------------j
, , --_-__j-+_--_----+1---------jl 1----------------
--I I I '-------+ I
□ WATER HEATER □ SOLAR WAtER
P1_ES C.AISSOi'.-':'
L-------
ELECTRICAL
□ ELECTRIC UNDERGROUND □ lJFFER
ROUGH ELECTRIC e---------i-·---+------+------< r-------------------------------,
□ ELECTRIC SERVICE □ TEMPOFiARY
□ BONDING □ POOL ' ---------+-~ _ _,__ __
MECHANICAL ------+--------l-------+-----1 r-------------------------------,
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE, BEEN APPROVED. -
FINAL I I -kl" t-----------
PLUMBING ,
ELECTRICAL 1
MECHANICAL
GAS
BUILDING ~
SPECIAL CONDITIONS
i