HomeMy WebLinkAbout1844 HIGH RIDGE AVE; ; 83-567-115; Permit✓v U l5i( I hereby affirm tha.t I am licensed under
f;ro¥1alona of Chapter 9 (commencing with
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Section 7000) of Dlv!s1on 3 of the Business
and Proteaalons Code, and my license is in.
~ full for1;t1 !.net, 9f,VI<;.!. -;:;{
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I hereby atl1rm mal I am exempt 1,0111 the Conl,ac-
tor's License Law for the lollow1ng ·eas-Jn (Sec 7031 5
Business and Professions Code Any c,ry or county wh,ch re-quires a perm,t 10 construct. alter .mpro,e. demolish, or
repair any structure. wIor to 1Is issuance also 'eq•Jires !heap·
pl,cant lor such ~erm,1 to file a s,qned srate,,.,ent Thal he ,s
licensed pursuant to the provIsIons of 'ne Comrac1or s
c,cense Law !Ch;i~ter 9 commencing w,lh Sec1,on 700G ol
o,v,s,on 3 of The Business and Professions Code) or that Is e,-
emDI lherefrom and the bas,s for the alleged exemption Any
viola11on of Section 7031 5 by an applicant for a permit sub-
1ects lhe applicant lo a c1v11 penalty of no! more than five hun•
dred dollars ($500)
I I, as owner of the property, or my employees wrth wages
as their sole compensation. will do the work. and the struc-
ture 1s not intended m ottered lor sale (Sec 7044. Business
aM Professions CocJe. The Contractor"s License Law dues
not apply to an owner ol property who builds or improves thereon and who does such work himself or through his own
employees. provide<! that such improvements are not intend-
ed or offered for sale 11, however, the building or Improve-
men11s sold within one year ol completion, the owner-builder
will have the burden of provmg that he did not build or im-
prove !or the purpose of sale)
0 l,_as owner of 1he property. am exclusively contracting
with licensed contractors to construct the pro1ect (Sec. 704~.
Business and Professions Code: The Contractor's License
Law does not apply to an owner of property who builds or im• proves !hereon. and who contrac1s 1or each pro1ects with a
contractorls) license pursuant to the Conlractor's License Law)
□ As a homeowner I am 1mprovIng my home, and the 1ollow
Ing cond1t1ons exist
1 The work Is being per1ormed prior to sale 2 I _have lived m my h_ome for twelve months
prior 1o completIon D1 !h1s work
I have not claimed this exempllon during the
last three years
□ lamexemp1underSec ______ ,B&P.C for 1his reason ____________ _
l!I, I hereby at!1rm that I ha~eacer11!,cate of consent
to sell-insure or a cer11!,ca1e of Workers
Compensation Insurance. or a cer1,f,ed copy 1hereo1 ,
(Sec JOOO. labor Code) ~
POUC, NO ,.1-;q~ 1/>J:;>1,,,q 04-':SI
coMPANY ~,c-f: l"r"\r::>f' 15 h,.tn d
V Copy ,s filed with lhe c•lv
0 Cert,!,ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section nee<l not be completed ,t the perm,1
,s for one hundred OOllars 1$1001 or less)
O I cert,ty that ,n !he per1ormance of the worl<. for
which this permtl 1s issued. I shall not employ any
person ,n any manner so as to become sut>iecl tu
the Worl<.ers· Compensation Uws of CaI,to,n1a
NOTICE TO APPLICANT 11, after makin;i lh•s Cer1,
f,cate of E•empt,on you should oecome sub1ec1 10
the Worl<.ers· Compensation prov1s1ons ol the Ubor
Code. you mus1 forth,.,1th comply wrlh such
prov,sIons o, lh•S perm,1 shall be deemed rev<J~Pd
' USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION &-1'1zRMIT
~ I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
AV. ST.AD. NEAREST CROSS ST. ,as ~OORE'1 1l 1./-J
1f1G-J/o,<7 /;Jh-E 4VE
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ASSESSOR PARCEL NO// ,l. (J 7-.3,1'-y -o5•CD CONTRACTOR
Io;; ;t;;~o•1 PERMIT NUMBEY
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OWNER'S NAM.!. r -111 Aµo
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CONTRACTOR'S AOORESS LICENSE NO.
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PLAN 1.0. # BLDG USE CODE
OWNER'S MAiUNG ADDRESS \ , _ , , "_,., 1/:5_ DESIGNER , , STANDARD PLAN# BUILDING SQ FOOTAGE
.;Tl:IT''-.4;) I) l),e, :;>p-: S,.D, cYJ. ;.4-CA .iJA.s:.f..£y/,t,<,/ -Z../3/
JV Tl-A# D . bR, 1"0 f//30
OESIGNER'S,J'J)ORESS , , ;j ,: ,1/~t,(,IN,e)r .....=:...:.:.b!"'--'~_,_~T.,:==--1-==.c.=~c.=~~---i3 ivP:!'~ ,.,-'1, ,?-¥.to. 7 /l/--;zs-;;,-4"6
CENSUS TRACT GP LAND USE '"t:f-g?' RES UNITS
I
• ,. . ... ',Pf[ ------:-_,] ht' l"-LH tLtV.I I SN~ /I ,....,..,.,,.,..n ~n11
---'--'--· ~ vO -..□ --;f; •~ _
GRADING PERMIT ISSUED
v □ N 0 l REDEVELOPMENT
AREA ,□ Nl'J(_ ¥IN ace LOAD Fl RE SPA
vO Nb Not Valid Unlers Machine Cerrdied
QTY.I PLUMBING PERMIT -ISSUE 7,,S'o OTY. MECHANICAL PERMIT· ISSUE .f,C>el SUMMARY/ACCOUNT NUMBER
I f"J I EACH FIXTURE TRAP ~~...ri'.1 7 I 1NSTALL FURN oucrs uP TO 100.000 BTU u-
OVER 100,000 BTU -, BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01·00-00-8221
I -~...},, .JD
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK --01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS +------BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
01 ·00·00-8222
01-00-00-8223
EACH INSTAI,. .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT Mt=r.HANlf;AI .. ····-· ·-01-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -H0QDi0LJCTS M0BILEH0ME 01-00-00·8225
WATER S0FTNER RELOCATION Of EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDEI
TOTAL PLUMBING l --.-< J°) TOTJ..L MECHANICAL
/~--
SOLAR 01-Q0-QQ-8226
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
----''IS,_,_. l I,~
QTY.
/
ELECTRICAL PERMIT. ISSUE I .J,oo QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
BRIDGE FEE
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NEW CONST EA AMP.'SWT BKR -GOlLECTORS ::,l,t1UUL r-tt nn, ,,.,., rrr -DISTRICT
IPH 3 PH STORAGE TANKS _, Carlsbad V L:rR., 80·92·21·0519
EXIST BLDG EA AMP/SWT.'BKA ROCK STORAGE Encinitas 80-92-22-0519
I PH 3 PH PUMP San 01eguito 80-92-23-051 9
REM0DEL'ALHR PER CIRCUIT Pl AN CHECK FEE -------..,_ San Marcos 80-92·24·0519
TEMPPOLE 200AMPS //J-
OVER 200 AMPS -/2 -{ Y ) LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY {30 DAYS) t:. _/ M,:F I 0.1 -~ I.JV -CRE"DIT DEPOSIT ✓ .-s ...:2. -S'. 3 ~
' TflTAL ELECTRICAi ~-TOT Al SOI AR TOTAL FEES PAYABLE l ::<.t.Lt l. 4-'S
-.. -.---·-·-···· i\ z .-. . ';,,,····: --<·+ . t • ' ·.,;.-;:·.· ,; • '
r HAVE CAREFtfU,,.Y y;;t~i{AfftNED T!jf;.~PL. E,Tto "A~UCAT'.ldN ANO ~Mir•· AND DO li.EAEaY
CERTIFY-~&Efp:~l'v'ilTY;QF.Pt,Fl:JUf:IY ti-MT ALL fNf=ORMATION HEREON {NCLUDING THE
• .,,...;,.;. t...;,;,;,;1:::~;,.;;.~~~~~~ . i,,·0,+. ½ ... '~-' \ <.,-~-··--.-:-·;.-~---:-::y_;:_.;;,:--,·,,\~{".',, ""'\t
* .... --1S--l!XCA-;-., : :s r l)CEp ONO 0£Mi'.lt.lOON Qfl OONS~
~~o~\o =~~~~"'!&~~~~~ ~°o~~~/i~~::~RA~::~1ti~f~;!'.
ST~CTION. WHETHER SPECIFIED ffER€.IN.QR ,._.OT . .-l·AL$0 AGREE TO SAVE INDEMNIFY ANO
f· KEEP H,')RMtES$ fHE Cfl¥ 6F CA~A.D ~1,tS'f Al,L UABILtflES;}UDGMENTS, COSTS AND
EXPENSES VfH'tq-t.,MAY 1N' AN¥ .WAt'..~(:RUE ·AGAlfi.ST $Ai0 CITY IN.CONSEQUENCE OF THE
GaANT'tNG"-OF Tl:U&'PERMI{. :;,. """->.Z
Code $tlaff'll~11m •-af\~l'I~-ff ltntbuff<fln§:t,r".Wt)t'k • ·
litlthoria:ed by such permiti& n<>f ceQffl.mencff ~t\O dtW"lrom the ~a .. -oNIUCfl
permit, or ff the building or work ~ by JUcn ~t As ~ at
.abandaned 81 any bffle after the WQl't. fl& ~ll)enced fOf •·~ _, ......
SPP!-. iCANT'S~ .. IOflONATU~E.~,~, ·:., . .,,,, . ;· ~~[J ·CO,t,ITRAtTOR···,,. ,~ '-e;""'"'...," 'e:> . .~, . . ... ~~ ·• ·s-~ f :. > '"-\0 · ;., ~'f"-P]-IO~ g ...... , .. ~ /'} J, /"-"'% 's: ", , "6
S~QY~R 3 ST~ 1H HEIGftT
APPROVW BY
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TYPE I DATE I BUILDING I
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FOUNDATION -. ; ,. r, , "' REINFORCED STEEL ~· . -. -
RE~~~~~;:;:; _____ _;_' _ _:~4-z7 §A:~ I ! __ f,ELDIN:SPECTIONRECORD ~~--5{.,7• ,,"S""
INSPEC~_
REQUIRED SPECIAL INSPECT IONS
MASONnY I --1-------1-----J-=---.~---==--=-= -. Ji;_ --INS'°.ECTO.£:~_NOTES ·:-•-= -~.-,... _
I GUNITE OR GROUT HEO IF-,...J INSPE:.CTOR S
FLOOR & CEILING SUB FRAME -'.---b. ,:-~-----j f.. ·_ ····.· .· ~_rlEC~F_~_APfO_HO~A';._ -
SHEATHING ffeooF ~AH . 4 _ -I coils coMf•, IANI[ le ~
FRAME . r _ , -----~Z{,e,
iNSPECTION
l'HIOR TO
rouNDA ~'ION INSP
!-STRuc1 URAL CONCR[rr-t-· -------+---------------
DATE
-----------------------·--~--~--------
-----------------------· -----~=---
EXTERIOR LATH , ____ ~
INSULATION -:-~ tt= I
INTERIOR LATH & DRYWALL ' --"I<--"-~ / ~
,•, PLUMBING
SEWER AND BUCO □IPL/CO
UNDERGROUND □ WASTE
TOP OUT □ WASTE ~ TUB AND SHOWER PAN
GAS TEST
Cl WATER
□ ."'(ATER
□ WATER HEATER □ SOLAR wlTER
ELECTRICAL ,
~ --2L o:zt.,. ~
OVER 2000 f'SI
f'HESTRfSSED
CONCRE-7 E f------··---+-----+--------+-----f"'OST TE'NSIONED
t---·CONCRfll --+-----i------+-----< !-----------------------------·---·--
f"IELO \NfLOING
--------HIC]rl Sl Rr:NGTH
1-1:01 rs
':lf'E:C1AL MASUNPY
. --··t--+------+----i
f---------· ----·
f-------------t----+-------+---j r------------------
1-----· ___ _
I-'ll E:S CldSSOr,,.,~'
t-------------:-+--·----+--
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. -'
------1
□ ELECTRIC UNDERGROUND □ 'UFFER I -'--. , 1
ROUGH ELECTRIC -2141
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL '
MECHANICAL I --D DUCT & PLEM., □ REF. PIPING ~-ZIIJ\t\1, EA])
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAW: BEEN APPROVED.
! FINAL _1_ _.,._ DO.;
PLUMBING I ct~
ELECTRICAL .-(1)~
MECHANICAL ; /1 CY(~ c-,ru CY V
GAS I ~1<1,\("
BUILDING <f 71 V
SPECIAL CONDITIONS
f--·-~~--~--+ ----1---------+-----'
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