HomeMy WebLinkAbout1873 High Ridge Ave; ; 83-567-56; Permit)~ -il
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~ I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 70Cl0) of Division 3 of the Business
and Professions Code, and my license 1s m
lull force ~d e.tf~ A1
Lie No, lt{)f ft~,&' Cla1'. of._/'-,,_ __ _
I hereby alf1r'11 t~at I ars exemol from !he Contrac
1or s license Law for the fol ow·ng reason !Sec 7031 J
Bu,1ness and Proless,ons Code Any l.Ily or county wh1u, re quires a permit to conslruct. a,ter. improve oemol1sh or
repair any structure. ;irior to .ts Is<;uance also reouires i~e ap pl1cam lor such perm,1 10 Ille a s,qned statement that he Is
licensed pursuant to lhe oravIsions ol the coniraoor s
License Law !Chapter 9 commencing with Section 7000 of
01v1s1on 3 ol the Business and Profess,ons Code; or that ,sex
empt therefrom and the basis 1or lhe alleged exemploOn Any
v1olat1on o1 Section 7031.5 by an applicant lor a perrrnt sub
1ec1s the applicant to a cIv,I penally ol not more than five hun dred dollars ($5001
I. as owner of the property. or my employees wrth wages
as their sole compensation, will do the worlo-. and the struc·
lure 1s not intended or o1fered lor sale (Sec 7044. Bus,ness
and Professions Code The Conlracto(s License Law does nol apply 10 an owner of property who tiu,lds or improves
thereon and who doos such work h,msel1 or through his own employees. provided that such improvements are not intend·
ed or altered !or sale 11, however. the bu1ld1ng or improve·
ment 1s sold w1th1n one ~ear o1 completion, 1he owner·bu<lder
will have the burden ol proving that he did not build or 1m·
prove 1or the purpose of sale)
n I, as owner of the property, am exclusively contrachng with licensed contractors to construct the pro1ect (Sec. 7044
Business and Proless1ons Code The Contractor's License Law does not apply to an owner of property who builds or 1m·
proves thereon, and who contracts tor each pro1ec1s with a contractor(s) license pursuant to the Contractor's License Law)
LJ As a homeowner I am Improvrng my home. and the follow 1ng conditions exist
1 The work is being performed pr,or 10 sale
2 I have lived In my /lome for twelve months
prior to completion of this work
I have not claimed lhts exemp!10n durrng the last three years
0 I am exempt under Sec ______ . B & P C
for this reason ____________ _
n-·'1 hereby at!,rm that I ha~e a cert1!1ca1e ot consent ~ self-msure. or a cemt1cate of Workers
Compensation Insurance. or a cert1fied copy thereof
(Sec 3800, Labor ;;ode) , , /} /• ; _ , ,:;] /
POUCYNo,9//(,l,_Jf/c,J. ---,, :,,~~~/
COMPANY r-; Y("r,llc.7/>S /~/I:._':
'Q' Copy ,s foled w•1h the city
0 Certified copy ,s hereby furnished
CEATIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need not be comple1ed ,! the perm,t
,s for one hundred dollars 1$100) or less)
D I cert1ty 1ha1 m the performance of lhe worl< tor
which 1h,s perm,t ,s ,ssued. I shall not employ any person ,n any manner so as to become subrect lu
!he Worl<ers· Compensation Laws ot Cal,torn,a
NOTICE TO APPLICANT It. af1e, mak,n;i m,s Cert,
t,cate of E~empt1on, you should become sub1ec1 VJ 1he Workers· Compensa1,on prov1s,ons ot The Labo<
Code. you must torth.,.,·1th comply with such
pmvIs,ons or this perm,t shall be deemed <evokE'O
0 I hereby ;,Jt"m Thal !here ,s a -~or,51,uu,;:,c ,ending agency tor mp ~enormantE' ,,, rr,e "'o"' •c.,r
wn,cn This perm,1 ,s ,ssued ·:Se, !091 e,,, C'.><!F,
Lenders NafT1e ___________ _
Lenders Add,ess __________ _
un ts"-ll t'UINI t'tN UNLT & t'Kt~::, NAKU ,-u-rJ..l\,,,l•\1'11 IV r11..J.. 11'1 ll'lrVnl'lll"\I IVl'I HI I nll'I ~nl"\U~LI """~""-11.l'IU U ... \,,,~nl"\IIVl'I.,;,,
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525
JOB AODRESS //2;-r/i g-,J,,p ~T.RD. NEAREST CROSS ST.
OA2&;;;;7 s9YVE# VALUATION PERMIT "-UMBER
/f723 ~&f,qJ 9/ ._,_,q') '6"'6 -5 <:, '1 -:t:_ :,;,..,
l!i5'h BLOCK ~ ~~!~.4 ✓ I ASSlD~AR~~N~ 38 02> uJ;;/4:;_ ' CONTRACTORS PHONE l! ZONE d#,l'.D'u. 43-?i'Jt OWNE A'S NAME I '/2 JOWNE,R'S PHONE ~ :I /YJ o/kl A-sac -::;;;;;~~: ;z:':l a ~~7, Cfi
LICENSE NO. PLAN 1.0. # BLDG use CODE
1771::> y;g'f{) JoL/150 °i2'J/~'1~fl~:d ,n. ~Lr. 'h. ,7)~~--C/J /jlGNER ~ . Hffi
LICENSE# STANDARD PLAN# BUILDING SQ FOOTAGE
-,-I ~»7 '.(.Jl"'.i1/Qr7 I --CA'.--<'7 J ,~ 'ftJ,RlPTJQ~,Z:.,wo':J',, 0:,,.._,1e -k,,-. ·tc· p.:;::,, -1 ----s ~:~ e 1 ClESl-<;iNIER'S ADDRESS , :I1.:2 "4 IV~~ DESKiN9;'S PHO~ ---Okn. }-· _) ', . /J J,,,, L.J. ,' -~ :?O_ ... ,,_ 7.-YF-c,,.:>-/4 -, , . . ·--' . -
.t -' , .. ., ' + ,,.~ ·> '\ . F/P FLA_sL.k:V. NO OCC GP EDU
•, ' h • • ;;/' ._ .\ 0-
STIRIES I ~,,c ? ":'. R-~ -' ;'" * ' ,. ' * ., . ' YO !\<□
CENSUS TRACT I GP LAND USE PARKING SPACE RES,UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE OCC LOAD FIRE SPFI
s~ AREA 'ZJf, YO ND ,□ ,./!!. ,□ ~ Nor Valid Unless Milchine Certified
QTY. PLUMBING PERMIT -ISSUE 7,S'o QTY. MECHANICAL PERMIT -ISSUE 3-0cJ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ,-, " C7 I INSTALL FURN. DUCTS iJP TO 100.000 BTU £, BUILDING PERMIT 01-00-00-8220 LJl"D-
EACH BUILDING SEWER r .er OVER 100,000 BTU SIGN PERMIT 01 ·00-00-82 H --
EACH WATER HEATER ANO.'OR VENT .-, IC?" BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-811 ">t.J". _,
-
EACH GAS SYSTEM 1 TO 4 OUTLETS ,-, er 801 LER/COMPR ESSO R 3-15 HP TOTAL PLUMBING 01-00-00:_8! F Ul<<;r, --i-EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~-
EACH INSTA~. ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT a_-MECHANICAL 01-00-00·8224 q-
---·
EACH VACUUM BREAKER MECH EXHAUST HOOQiOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIOE1 _jg~~B 01-no.nn.""""
TOTt=.L MECHANICAL
1 _ ST~Q_N_~~OTION 80-92-33-0519 r-.. ~-
. I --LIi .t:r q TOTAL PLUMBING -FIRE SPRINKLERS 01-00-00-8227
.Cod QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 ,~,-
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
NEW CONST EA AMP:SWT BKR /CJ:) I,,_ J:i<::' -COLLECTORS SCHOOL FEE -DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EAAMP.'SWT·BKR ROCK STORAGE Encinitas 80-92-22-0519
I PH 3 PH PUMP San D1egu1to 80-92-23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE ZOO AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 -
TEMP OCCUPANCY !30 OAYSJ I I •~ I-f1 'i<;c;,;r") <;r"'1") -
-.
-CREDIT DEPOSIT
TOTAL FLE'CTRICAL : TOTAL SOLAR TOTAL FEES PAYABLE I ,.,,,,,,, 'f(,9 ~ -'"·
I ftA¼ 6A~EJJJ;.~Y EXA~ THE ~MPLEft~ •'.Jl.pf!L1CATION' AND PEa'Mif.:.:AfflfOo~t(kieav' ;~,~~,z..~Jrki~~~ail'!~ifa~U!f' ' f. A~~ ·~Jlim)s ~ ~·QQA~= d\tEfl >-'
CEo-at!fY' :f:!N6E~ ~ti. . PERJUAV ltit,AT ·ALL INFORMATION }:tEREON 1NC, .. .UD!NG THE authonze-d by &uCf\ pemtit t&·nt>t;;:cmun~ncll9 Wittrih 180 ~rom ttwtdat of $ucti S' O" OfflP ANO OEMol.nlON()ft.coNSlRUC Of ·
De'clAFfATIONS A fAbe•~o CORRECT -~1~11;,.1 FURTHER CEflTIFY ANO'AGll~ IF-A PE .. IT IS permit. 6r if the butldl~ Of work authorad ·bi ·sucn permit is suspeod,oo -Of, • STAUCl'UAES OVER 3 STORtES iH HEIGHT ' 1"t
, J~U,EO:; TJP, ce>~~~1:!rLL-CfT!, 'C(ltjt,tv ANtJST ATE LAWS _GO.~JN3:'.'BUtt..OING OON:·. • at an•r<itfte Mlhe 1'<01K if _co · for:i-=,:~iOd'of 'l90 . • ,, ,, ••" ' ' ~ -. :
s RUCT!ONJWHtitt SP F1&:i .HEREiN-Otn'{oT. t ALSO AGREE.Jg SA-ve INDEMNlfY iNQ :CtCA~, • ,. . » ~ • •y •• " APPROV, BY ID~/ A KEie~ tfAJ;UllL£SS~!'• c,iY,a, """",_" A~NST ALL t•A~•t.rDE;s,JVDG!'~im. cosr;! AND _ ~ru•~~ _._, _. !'lwNmp colf(R~~ LL,., -• __ 1 ,•&I/., EXPEN~.Vfl-tfC{;t:MAY~~.WAY::~.11AGA~f!STSAl0CtTYl,CQNSEQVENC~bFTHI;; • • .1:· . ;.: ·t~. ·;. ·.fW·~ .,C}
~4JlfTINGOFfHIS~~-· ·+;fl.:, 0 ... • , 0 . • , . • ,_,.,, ·"'..,,. • .·.··;_ ~ .,.. .. , '. ,. , .• .'.
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TYPE ' DATE INSPECTOR ' BUILDl!Jl.l,V' t' .,efo,,--i. _,,, 4!~/J.f, ,:? ( _/
~ ~ • ::5l,. t -S(.o .
--
FOUNDATION ---'
,,
11 "7 I"\ s:1' / FIELD INSPECTION RECORD ' REINFORCED STEEL ' ,;:, ,,---'-.;:: .
I
MASONRY ' ----------~
GUNITE OR GROUT '
--
REQUIRED SPECIAL INSPECT IONS INSPECTOR'S NOTES
F-" ----.. ---
INSPECTION RE"Q IF" INSPE::CTOR·s DATE CHECKED APPHOVAL
I --
FLOOR & CEILING SUB FRAME ' -·--
-------------------~---"' --r-
SOILS COMP~ IANU
SHEATHING D ROOF 0 SHFAH PHIOR TO ----------------------,.__________ . -
-+~--
FRAME I
rouNDA r10N INSP
----------------------,----------·---!-------~----
EXTERIOR LATH I
SlRUClURALCONCR[Tl
OV[R 2000 PSI
INSULATION I ~-f-'flESTRfSSED
CON CR EH INTERIOR LATH & DRYWALL I r POST TENSIONffl I CONCRf.H ' ----
PLUMBING I / 1·1Et_O WELDING
SEWER AND BUCO □IPL/CO j -ti / c-A ~ UNDERGROUND D WASTE CJ '/VATE!lf 11 -....,
TOP OUT D WASTE D WATER
---~---
HIGH S1RENGTH
ROl TS --r----
':JPECIAL MASO/\JRV
TUB AND SHOWER PAN ' I
GAS TEST I --·-----------
Pll.ES CAISSON::·
D WATER HEATER D SOLAR WATER
I --
ELECTRICAL '
D ELECTRIC UNDERGROUND D•UFFER
ROUGH ELECTRIC ' D ELECTRIC SERVICE D TEMPdRARY --~---
D BONDING D POOL ' ' I
MECHANICAL ' '
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS '
' VENTILATING SYSTEMS '
I
CALL FOR FINAL INSPECTJfN WHEN ALL APPROPR/f'E ITEMS ABOVE HA BEEN APPROVED.
FINAL ' _,,
PLUMBING ' \/, )
ELECTRICAL ' 1/V ' I
MECHANICAL ' J\ \ .
GAS ' I ' -\ fl v .. v -
BUILDING ' \ "I V' ' SPECIAL CONDITIONS ' J
'
CITY OF CAIU.SBAD LOT # 0-?
• INSPECTION RECORD
·•
•
•
..
--.. -.. -
..
-,_
-· -------,.
----
• ...
ADDRESS: /l:27 ~~ 1
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GtJNITE OR GROUT
SUB FRAME ( ) FLOOR ( ) CEILING
SHEATHING ( ) ROOF ~ I~
EXTERIOR LATH :::::::V
INTERIOR LATH & DRYWALL:;?-;).;}.. ?f:~1
FINAL ____________ _
PLUMBING
() SEWER & SL/CO ( PL/CO
UNDERGROUND ( ) ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL ___________ _
(
ELECTRICAL ,J
ELECTRIC UNDERGROUND 6,!ILUFFER
BONDING ( ) POOL
FINAL ------------
-~ MECHANICAL
t)/"vDUCT & PI.EM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYS'l'EMS
FINAL ___________ _
COMPLETE BUILDING gNA, _ pC-C/'111_
DATE: -j O ~ ~ ' ~
CLEARED WITH GAS ANO ELECTRIC
DATE: ________ _
•• NOTES ON REVERSE SIDE •••..•
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAI LING
ADDRESS
CONT RACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
/ I
REMARKS:
EXISTING BUILDING
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLATION DATE--------11
ISSUED BY ________________ _
DATE ISSUED -----------------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') ____ ---::=:----
OVER 30' H. ___ @ FT·--=-------
OVER 10' V. ___ @ ___ FT.~--------
STANDARD 6" (Max. H . 30', V. 10') ________ _
OVER 30' H. ___ @, ___ FT. ________ _
OVER 10' V. @ FT. ________ _
TOTAL CONSTRUCTION COST---------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARGE ________ _
LINE COST DATA -------ASSESSMENT DIST. NO.-------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER __________________ _
CONNECTION FEE
NO. UNITS /'b. / COST PER UNIT _1 ___ TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL---
TOTAL CHARGES (LATERAL ETC.) __ ~~/--'--(i=----~--"-'--•-----
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter
THIS IS TO CERTIFY THAT INSUJ .~,TION [:AS BEEN INSTALLED IN
CONFORMANCE WITH TIE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIL, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: / ?'2 3 ~ ~ J!~/~ /)
Number Stree~<k"fw::':u ~~
EXTERIOR WALLS
Manufacturer JJ Ch
CEILINGS
Thickness/Typ01/z...
11
R/ValueU( -/ /
Batts: Manufacturer J7 [Y) Thickness/ Q II R/Value (/(· ._3 0
GENERAL CONTRACTOR: LIC.# -------------------
BY ___________ TITLE _____ DATE _______ _
INSULATION CONTRACTOR: APOLLO INSUI..ATION LIC.# :.>86015 --------
BY/k£~ TITLE~ DATE3-;;27-8S
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