HomeMy WebLinkAbout1833 High Ridge Ave; ; 83-567-135; Permit0 Sr( D I hereby affirm that I am licensed under S provisions of Ctiapter 9 (comme. ncing with
L
Section 7000) of Division 3 of the Business ~ and Professions Code, and my license 1s 1n
"' z 0
" " a: '.l " .. 0
a: lull force and effect.
'.z: L,c No -----Cl;i•,1
0 "
a: .. Q ~ 5 f .. z ~
z 0
" ~ z .. .. ,.
0 " "' ir ..
" a: 0 3:
![
I hereby aflrrm lhal I arr exempt fcom the Contra:
1or's License Law for the lol'ow,n,g reason /Sec 7"31 ~
Bus,ness and Profess,ons Code A~y city or coun:y w~1cr re
ouires a perm,t 'o canstruCT. are, mpro-.e ~errol,sh or
repair any structure. prior to ts issuance a so reqJrres !heap-
plicant for such permi to ',le a s,qned s:aternent lhar % ,s
1,censed pursuant to the nrov1s1ons ot :ne t.:on1,acrn, s 1.,ce%e Law -'Chapter 9 cor1menc1°g with Section 7000 o'
D1v1s1on 3 of the Business and Professions Code, or 1ha' ,sex-
emol l~eretrom and the basis for lhe al1egeo exemption Any
vI01a1,an of Section 7031 5 by an app ,canl for a perrn,1 sub-Iec1s lhe appl,unt to a cIvII penal!\' o1 not more than 11,e "un
cred dollars ($500)
I, as owner of tM properly or r1y ef'lployees w1!h wages
as their sole compensation. will do the work. and lhe struc-
ture ,snot intended or oflered for sale /Sec 7044 Bus,~ess
and Protesswns Code !he Contractors L-cense Lilw coes
nol apply to an owner o! property who builds or improves thereon and who does such work h,mse'f or through h,s own
employees. provided thal such Imorovements are not intend-
ed or o1fered for sale II. however the ou,I0,ng or I'!lprove-ment ,s sold w,th,n one year of completion the owner-ou,lder will have the burden ol prov,ng Iha! he did not build or im-
prove for the purpose 01 sale)
I. as owner 01 the pro;ierty_ am exclusively contraclcng
with licensed contraclors to conslruct the pro1ect (Sec 7044
Business and Proless10% Code The Contraclor's License
Law does not apply to an owner of prope,ty who builds or ,m-proves Thereon_ and who contracts lor each prorecls w,th a
contraclor(sJ license pursuant to the Contractors License Law1
-As a homeowner I am improving rry home. and the loilow
,ng condIhons e~•st 1 The work rs being performed pr,or to saie
2 I have lived In rry home for twelve months prior 10 comolet,on ol this work
I have nol claimed th,s e,empt,or dur11g the last three years
Jar t'h~: r~~~;t under Sec _____ _ B & PC
D I hereby afl,rm thal I have a cert,t,cale of consenl
to sell insure or a ~er11l,ca1e of Wor~ers
C-Ompensa1,o,.. Insurance o• a ~en<l,ec copy lhereor
(Sec 38CO. Labor Code)
POLICY NO
COMPANY
D Copy 15 t.le<.l ,,ntri the city
0 Cert,J,ed copy ,~ hereby 1urn,she<l
CERTIFICATL OF EXt:MPTION FROM
WORKERS COMPENSATION INSURANC~ (This section "eed not be ~omplele<l ,I T'1E' :,w,.,
,s for one '1undred do•lars 1s100, ur less,
0 I cert,ty that ,r1 trie performance ot :he ,.,ork •o, .. n,o, th,s perm,1 ,s ,ssued I shal' not empiov a,,, person ,n any manner so as to become sub·eC' 1,
the Workers· C-Ompensat1on Laws o• CaI,tc,,n,a
NOTICE TO APPLICANT ti olter ma~,n] •>i,s Cen,
t,cate ol E,emp1,on you should tiecomf' subJetl h
the Worl<ers C-Ompensot,on prov,s,ons ol tne L<lbo·
Code you must 1onn11,,1h comp1, w,tri suv,
prov,s,ons or th,s permd snoll be dee,.-,ed •e.uke<.J
0 I hereby affir,.,., 1riat there ,s a c.or slruc t,u,
;ending <1gency •or ir,e per<orrnan·:cc u• !'1<? "'Ork ''"
,.,n,ch th•~ perm,, ,s ,~~ued ,~c 1097 (.,,,, C'.Xl!'
Lende, 5 Name ___________ _
L,-r1der s Address __________ _
I UJL U"LL I u11•1 I Ll'f Ul'ILI <:II~ I\L~J ll"ftll .... .-< ............ ,,, I I'-' I , ...... ,,. ,,,,,.....,n11"1r,, 1 IVl'I .... I nll'I ~n'"'-LJC.LJ '"'"c.'"' 1-\l'ILJ LJC.\.,L.r,,nr,, I IVl'I~
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callforn1a 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RD. NEAREST CROSS ST~ DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
/J33 J.l:a/, /f; ,..,:,,, /Jr Je_ /q rn,a,rq CK' ,b/2,/fl/ S13</ JrJ? (,3 I
LO!c1Bl0,.K ~SU80JVIS1(?·~t~ ASSESSOR PARCEL NO. l,,h;a_,;;;;;/ Al:h /Deu, CONTRACTORS PHONE • ZONE ' & J -S'f., 7-/.:JJ .-13 · ~ '7(,-;S-th d-07 3.rs'-1 , ..., oo 41::3 ~¢f/lJ OWNER"S NAME·• I t/iJw:e;;;/io Ff rn o ,-,,.J /lss a: , CONTRACTOR"S ADDRESS , K LICENSE NO PLAN 1.0. # BLDG USE CODE
OWNER'S MAILING ADDRESS 14..:icl( ,Tv£r1,./ J"y, .,::J/.S-.,,/✓1~L/30
/ _/'~/// Jc)ikr?~,h-; 4r-~ ... ,., /..l-e-,:;o (Jtl _J')SIGNER LICENSE:: STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK -.p)b,, 2 -, ,1,,-,,, ,l?,u:~ -o r7 /ll/l
I :~~ER'S :::z:1✓ _p~//V r • DESIGNER'S PHONE
/"J,,,v,s.tc.uc r S.PD, JV.~~ '/A ·,q._dc-1,. C.P 1:?'.12"-7S~>",%ft'-
-' ' Ft_~EV NO OCC GP EDU
STORIES
YO .... o --\
CENSUS TRACl I GP LANO USE PARKING SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SP\ \ AREA CONST
,□ '□ ,'.::::; -....□ v□ ,.,._n Not Valid Unless Machrne Cerrd,ed
QTY. PLUMBING PERMIT· ISSUE I '7 £:!.-1
~ QTY MECHANICAL PERMIT· ISSUE 3-SUM~ fflYl~NT NUMBER I
EACH FIXTURE TRAP '..:i..n <.7 I INSTALL FURN DUCTS UP TO 100,000 BTU 4 .l7u BUILDING PERMIT ' '\.......... '\,Q,;,_QQ-00-8220 -<1.,3. C ~·
EACH BUI LO ING SEWER I i'.. sv OVER 100 000 BTU SIGN PERMIT .._'\iii '~~~i ----------~ ~------------------------. --
=i. EACH WATER HEATER ANU OR VENT ?-S{: 801LER·CUMPRESSOR UP TO 3 HP PLAN CHECK ''--""-'! 'U"'0-00-88 5 <><:,
---------
---T□TALPLUMB,NG"-..,."-. ' ~008122 EACH GAS SYSTEM I TO 4 lJUTLETS ~ .. c) SOILER,COMPRESSOR 3 15 HP 4-G SC --. ---
EACH GAS SYSH.M !:i UR 'viORE. I ',1fT.4L FIREPI. ACE: ELECTRICAL '\.. 0 -00-8223 -?c cri ---------+------···------'" ----1 .gn_ MECHANIC~ \ ~000~2~ I I, ".;) EACH INST Al ALTER, REPAIR \'\'Al E.R PIPE i VENT ~AN SINGLE DUCT " --------
\ 01-00-00·8225 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME
WATER SO~TNE:R I ,: RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK INSP -
---·--I, I ~Ar:1-' w1i:F rP~ ·J 1 -.s ·iL SOLAR 01-00-00-8226 -----
7.S-3 . _I_ I TOTH MECHANICAL STRONG MOTION 80-92-33-0519
T[)TAl Pi UMfllN(,
'
LU • . ,c• /I 0V FIRE SPRIW<LERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ,,,_ ii QTY SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-893'J .:2-J ~.~. a_o
BRIDGE FEE
NEWCONSTEAAMPSWT 8KR/c{JLJ11-,.t) -J c-,,-J() ·: COL LECTCRS SCHOOL FEE · DISTRICT ·-
I PH 3 PH ,I I STDR.",Gl TM,, f< S Carlsbad 80-92-27-0579 .
fX1ST 6LDG EA AMP SWI fJKR I i lOCK srn;:;:,_:,t Enc1n1tas 80-92-22-0519 --------------------I PH :l PH P~J\·1P San [l1egu1to 80-92-23-0519 -------
RE\Hl □El ALHH PER [IR[UIT P.A\ 21-'t.Cf< F~E San Marcos 80-92-24-0519 ---. -
TU,IP POLE: !OU AMPS I ---· --
OVER }(JU AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY :JO rJAYSI MFF 80-92-57-0519 &'J'l' 'C <.: -,__ ------
CREDIT DEPOSIT
!()!Al Eltl,TRIUd I TOT A.l SDl AR I -i) C2LJ-i
TOTAL FEES PAYABLE 3J'l,)-o3
I HAVE CAREFULLY EXAMINED THE COMPLETED · APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every permit issued by the Bu1ld1ng Offic1a! under the provisions of this * AN OS -..--IT REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmilat1on and become null and void lf the building or work 5· O" 0E~~our10N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE !FA PERMIT IS authorized by such permit is not commenced w1thm 180 days from the date of such STRUCT\JRE VER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-~:'::Ono;, ~t l=~V ~r~:!~~e~~h=~~r:~tii~~e:x~~~~ :~r;:~1
~1s~:c~na~~d or
STRUCTION, WHETHER SPECIFIED HERElN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICC -1TURE .. OWNER □ CONTRACTOR! APPROVED Br \.
1°
1ilt/4'f KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABlLITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
• ,? -/,, /'.,,,.. , GRANTING OF THIS PERMIT BY PHONE 0 ~rj ,, ,
.3'
u.
~ ~
0 0. E w f--
" 0 l'.J
C m 0
a_ a_
<t
I
~ C
Q.
0 ~ ~ w ~ 00 <t
3 0
w >-
~ 00 0 0 0 0:
rn <ii 0
~
0 0 C rn
C
Li:
s
C 0 ~
l'.J
0
'C 0 0. ~
C
1!
~ ,:
TYPE I DATE INSPECTOR -----
BUILDING I ~"3-.s.,·7 '-I ~s;-
FOUNDATION I
FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I --
SOILS COMPI_IAr-.CE
SHEATHING □ ROOF □ SHBAR PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I STRUC T URAl_ c,:..,•~.CRE Tt:_
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
'
PRESTl-1ESSED
CONCRETE
POST TENS ONED
CONCRETE ' ---------
PLUMBING I FIELD WEL81NG
SEWER AND BUCO DIPUCO '
------------Hl(]H SlRENGTH
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W},-TER
BOLTS
::3PECIAL MASOI\J8Y i : -----
TUB AND SHOWER PAN I I
GAS TEST I
L-.____ ___
Pll.ES CAISSON::-
□ WATER HEATER □ SOLAR WATER ~ ---~
I -
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l)FFER -ROUGH ELECTRIC I ·----
□ ELECTRIC SERVICE □ TEMPOF;IARY -----
□ BONDING □ POOL I ·. -
I ' MECHANICAL I --.. ---------
□ DUCT & PLEM., □ REF. PIPIN,:3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I ' CALL FOR FINAL INSPECT(2N WHEN ALL APPROPRIATE'
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING I
' •A
ELECTRICAL I ..,...,~ L)
MECHANICAL ' \., LJ".,,.--I? ' GAS I \" '--... !
BUILDING I
'
. ....,..
SPECIAL CONDITIONS I
I ______ l _________ I
-~ I
I