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HomeMy WebLinkAbout1876 High Ridge Ave; ; 83-567-119; Permit~~[ 0 " .. z 0 ;::: .. "' .. J "' .. 0 J 5 ~ .. z ~ O I hereby affirm that I am licensed under provisions of Chapter 9 (cornmenc1ng with Section 7000) ol Division 3 of the Business and Professions Code, and my license 1s 111 full force and effect. ,·C No ____ _ c·as, I hereby alf,rm rt>at am exemo• trom the :orr,ac lo' s License Law tar the 'ollow1ng re;iscn (Ser, 7031 'i Business ano Pro!ess,ons Code A~·, :,:y c, cc•Jty w11c;; re qu,·es a permit to corst'•JCt. al'er ,rrpr8ve Oe1Y1011sh. or repair any s:~uctu"e pr,o, 10 ,:s 1ssuar:e also ·ecuires !",e ap p11cant for such permit to f1'1 a s,qnec ,t:;•e-enr that he ,s 11censed pwsJant TO the prov1s1on, or tre co0:ra:10r s License Law ICha~'e· 9 commenc,ng with Sect1cr ?00~ :;f D1v-s1on 3 o' t~e B•Js1ness and Proiess,ons Cede, 8r :hat ·sex empt 'here!'om and the basis for the d•legea exemp11on Ai:; v101a:1on of Ser,t,on 7031 5 by an aopl1cant tor a pec'll1t s"b ,ects lhe appl1cart lo a c,v11 penally of nc• more Jhdn • ve h,n d'ed dollars 1$500', 1. as owner of the pr8perty, O' my em~oyees ;,11r "'dges as Their sole compensa11on w1'I do the we'" asc ire stn.c ture 1s not 1nlended or olfered 'or sale !Sec 704S BJs1neos and Proless10~; Code Tne Contractor's uce%e Law does not apoly lo an owner ol oroperly who builds Jr mprcves Thereon and who does sue~ work h1msell or rhrougr h,s own employees provided that such 1mprovemen1s are r:it ,~tend- ed or oflerec lor sale If, r.owever the building or improve ment ,s sold w,tn1n one year of comolei,on. !he owner-bu1·de' will have Jhe burde~ of orov1ng Thal he did nol b·a1ld or im- prove 1or the purpose of sale) I. as owner ot the property, am exclusively conlractirg with l,censeO con1ractors to construct the pro1ect !Sec 7044 Business and Professions Code The Contracro,·s License Law does not apply to an owner o' oroperty who builds or im- proves Thereon. ana wM contracts tor each pro1ects w1lh a contractor(sl license pursuant to the Cortracw s ucerse Law; As a hoff'eowner I ar,, ,mprov1°g my h~me and the to low 1ng cond1tm~s ex1s\ 1 The work 1s being per1ormed prior to sa e 2 have lived ,n my home lor 1we1ve monrhs prior to comple!,on of lh•s work " .. 0 l 3 have not cla1mec lh,s exempt,o1 du"is the last three years L I am exempt u~der Sec _______ B & P C for this reason ____________ _ z 0 ;::: .. .. z .. .. ,. 0 " .. "' .. " "' 0 ;o l ![ D I hereby afl,rm that I ha,e a cer11f,ca1e o' C0'1serr to self ,nsure or a cer1il,ca1e <)1 Wo,ker~ Compen~t1on Insurance. or a ~er1,,,e<1 -op; The•eot 1Sec 380'.l Labor Code1 POLICY NO COMPANY □ Copy ,s l1led ,,nth the ( ,ty D Cend1ed copy ,s hereby lurn,shed CERTIFICATE OF EXEMPTION FRO'-' WORKERS COM PENSA TIO's INSURANl-~ (Th,s sect,on need not be cornpleled I The ~er~·, ,s •or one hundred dollars ,s,001 '" 1e~~-, D I cer11ty ttiat 1n the pertormance ot the ,.,.o,~ 'or "'h1ch th,s perm,1 ,s ,ssued I shall not employ d"' person ,n any manner so as to become sub1ecr !" the Worke,s Comp<.'nsa11or, La"'s o' Ca,,torn,d NOTICE TO APPLICANT It a.'!er makrn;i rr>,s Cen l1c.ite of Exempioon you should tlf'rome subier: !'> the Workers (;Qmpen5c1tron pro.is,ons ol me .__at:,o, Code you must •orth...,,th comply "'"" su~~ p,o-,s1or,s or this perm,! shall be dee..-,ed ,e,'1"f'J 0 I nereby atfirm thdT there ,s d , ,,,,q,J, 1erid1ng a9ency 'o· !rw perl,ymarce e,• me"'"'" ..,h,ch 1n,s pem11t /5 ,~sued ,S,ec Y.'87 Ci.ii Code lenders Name ___________ _ lenders ACld•ess __________ _ ,.,.,[ DIUL r-u, .. , r'trt U"LT a, r'ft[,),l """u ,-u-r-Ll\.,M.l'\11 IV l""ILL 11'\I 11'\ll""VnlYIM.I IVl'\I 'fYI I nll'I ..:,nl-\UCU 1-\nCI-\ 1-\1'\IU UC\.,LM.nM.1 IVl'\I,.) CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008·1989 (619) 438·5525 JOB ADDRESS AV.ST.RD. NEAREST CROSS ST. I DA~;;, ·;;~A T<DN BUSINESS LICENSE # VALUATION PERMIT NUMBER li'7l.. u;nh ',). I -Q,~ T \( 5934 1~4RJ 8' \ . II I 'I u, A '5.3 _.::,rf., '7 ·-)~ \,o BLOCK IU~IO~-ASSESSOR PARCEL ~7-c) CONTRACTOR CONTRACTORS PHONE 11 ZONE ;;Jo, ' Y /7 o f, \ __ I I'>< I /rv,, '-OWNER"S NAME 11,,,--1 OWNER'S PHONE H < • I i= t. m f'lfrl 7' '),.,;.., -, CONTRACTOR"$ ADDRESS LICENSE NO. PLAN I.D. J: BLDG USE CODE .. 4/83-' n J .,..,11, :Tt·.1. 1-•• A f'tr. ;.;~,, OWNER'S MAILING ADDRESS. LJc>tJI :Ti·1 '--.--!Or. ... ~,, -"'nn f'I. fin DESIGNER LICENSE :: STANDARD PLAN# BUILDING SQ FOOTAGE -,., -n --• .A 7'>,39 DE~CAIPTI9N Of Wt.K .c:.irolc;, ,-, ,; /,. R12 ... 't , .. 1,,:nf\0 lllf} I l l • . ' DESIGNER"$ ADDRESS I ,:. IX! OESIGtlhfj5..!'HDNE ..., ..J ~} ,., I I.• Oirl --. , 'Y'I t1n l ...,=-/<U.1 ~Ian s-L----:--c C F LR l:Li...i,::. NO OCC GP EDU STORIES --,;i_ R-3 I / .-c -,c --- cEr-,,sus TRACT I GP LAND USE l PA;;;~ SPAU RES {NIT~--GRADING PERMIT ISSUED I REDEVELOP..,,ENT TYPE ace LOAD flRESPR AREA \)1') •□ '□ <J;l!I:.. vO ~ Nor Vilhd Unless Machine Cert1f1ed QTr PLUMBING PERMIT -ISSUE 7..:::,-0 I! QTY MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER rr EACH FIXTURE TRAP -..c::--I INSTALL FURN lJUCTS UP TO 100 000 BTU 4 BUILDING PERMIT 01-00-00-8220 4 E,---__ ry___}______ ---- ~ EACH BUILlJING SFWER •---~SD: OVER 100.000 BTU SIGN PERMIT 01-00·00-8221 ------------' EACH WAHR HEAHR ANO OR VENT -'----_,2, .'T) ., BOILER.COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8805 ~--~----w EACH GAS SYSTEM l TU !J IJUI l ETS ~SD• BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBl~G 01-00-00-8222 SCI,-_ --------; --,"'_! --------------------------- EACH GAS SYSTEMS OR \,OH[ I W:TAL ~'REPLACE ELECTRICAL 01-00-00-8223 30 ---~ -----------------------~----------- ---'Z EACH INSTA~ Al !ER. REPAIR WATFfl PIPE ----+ -----+---VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ----------- EACH VACUUM BREAKER ' MECH EXHAUST HOOU UUCTS MOBILEHOME 01-00-00-8225 -------------- ','VAIER SOFTNrn ! RELOCATION OF EA FURNACE.HEATER MOBILEHOME PARK INS~ ------·--- FA' I-~r,,". '.J1'" '. ', ('. ;~ SOLAR 01 00-00-8226 TOT kl MECHANICAL -==--.g;-b'q - STRONG MOTION 80-92-33-0519 -------7 - TO l Al Pi UMBINL . <;lt.J .--' --FIRE SPRl'I/XLERS 01 ·00-00-82?7 QTY ELECTRJCAL PERMIT -ISSUE :: QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE 32-00-00-893] .;ll../_84- . ,---f-------- BRIDGE FEE --~----... ,I NE'N COr-.ST E.A AMP SW! lJKR m ~c:;--C:JLI ~'.:TORS ,. SCHOOL FEE -DISTRICT --·t . {II' ( / . ~----------- I PH ·; PH S 1 :~•Ris[;E -,\ ·., •,S ti Carlsbad 80-92·21-0519 ---- ~XiSl cllrJGEAAMPSWT lJKR I .: ;,ocr: srn~r,r;: .; 7., \ /1'. /. Encinitas 80-92-22-0519 I PH J PH \\ ,fl n-"'· ---------- i P J'.,.1P San D1eguito 80-92-23-0519 -\'-µ REMODEL Al TfR PFR [IHCUIT I Pi.A'; ['-'Fl":f< FtE J' ' San Marcos 80-92-24-0519 TEMP POLE 200 AMPS ; " ---__',J I -·------------ 0\/E R 200 AMPS ,, I LICENSE TAX 01-00-00-8162 ·-- TE~P OCCUPANCY iJO DAYSI i ii MFF 80-92-57-0519 j C. gg() 3150--' ' " I CREDIT DEPOSIT -JI- ' TflTAL EllLTRILAL :i TQlAI SOLAR 7-i 7-rl ,-TOTAL FEES PAYABLE f...J.J_ i< I t.._q , I HAVE CAAEFULL Y EXAMINED THE COMPLETED · APPLICATION ANO PERMIT'" AND DO HEREBY Expiration. Every permit issued by the Bu1ldingOff1c1al under the prov1sionsofth1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e)(pire by limitation and become null and void If lhe building or work 5· o·· DEEP ANO DEMOLITION OR CONSTRUCTION Of □-EC(,O.RATJONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit Is not commenced w1thm 180 days from the dale ol such STRUCTURES OVER 3 STORIES IN HEKiHT permit. or 1I the bu1ldmPt or work authorized by such permit ,s suspended or ISSUED; TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv lmle a ter the work Is commenced for a ~nriod of 180 dav~ . STRUCTJON. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APt::':A7.5'GNATURE >, ;:;, OWNER □ CONTRACTORA APPRO 0 BY :Df/2£L_ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY \N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE // ';/0, _£n_/ BY PHONE 0 GRANTING OF TH!S PERMIT. .. . . . ,, // r w u_ ~ ~ 0 o_ E w f- 'C 0 CJ C ro u o_ o_ .,: I ~ C 0. 0 w w w w w .,: I ~ _2 © >- w w w u 0 0:: ro ;;; 0 fI w u C ro C u_ ::. C w ~ CJ 0 u w o_ w C w .c s: TYPE I DATE INSPECTOR -------------- BUILDING I 8'3--:.c.,7 _, Q, ' FOUNDATION~A-u.1a..U_ t q_ I JI ~ FIELD INSPECTION RECORD REINFORCED STEEL : REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY I , - I '1.J k,Yn ~ INSPECTION REO IF INSPECTORS DATE GUNITE OR GROUT . CHECKED APPROVAL FLOOR & CEILING SUB Fil(ME, . ·-·· I / ~ R0'41.\."" 1"! SH ~AR it?.~ SOILS COMP:_ A'\jCE I SHEATHING ' PPIOR TO 'T,,<:,CI 1 :1 '"1. X\. 1-0UNDA nor-,. 1r-.sP I FRAME I -------I---------- EXTERIOR LATH I STPUCT,.mAL r:c_1'\JCi=1ETE I OVfR 200() f'SI INSULATION I Wf--1E::STRESSE8 CONCRETE INTERIOR LATH & DRYWALL . POST TENSICJ~E:.~ I cor,,,CRETE ·----~-------~- PLUMBING ' Fl[LD V\-'EL01NG . . SEWER AND BL/CO D'1PL/CO ' •1 -.oA , --------I 01.(_3rl ST;ciEr-.J(]II-< i UNDERGROUND □ WATER., I' • -, ' 30L Ts □ WASTE I J•i7-~ S~--ECIA. MASONRY TOP OUT □ WASTE C WATER= ' ~ -·-- TUB AND SHOWER PAN ' I • I . I ~---I GAS TEST I PIL_ES CAhS\Jr--.'.:-· □ WATER HEATER □ SOLAR WATER -+----+------- ' I I I •--I----------I ELECTRICAL I I □ ELECTRIC UNDERGROUND L__ -----------□ l!JFFER - ROUGH ELECTRIC I 1/.I',-~ ~ -----~ I -I □ ELECTRIC SERVICE D TEMPOl'lA'RY □ BONDING □ POOL I ------I MECHANICAL ' / ------I - □ DUCT & PLEM., □ REF. PIPING I 17-¼ ,r~ ------HEAT -AIR COND. SYSTEMS ' VENTILATING SYSTEMS I ---- I . I CALL FOR FINAL INSPECTION WHEN ALL APPROPW~~ I ITEMS ABOVE HA VB BEEN APPROVED. , - / FINAL I / '/ _J PLUMBING I ,. /r, '"I/?~ ' ELECTRICAL I .. , -If /) ~ ' ' ·-._ • I /1 -MECHANICAL I rt/ GAS I I / • . BUILDING I V SPECIAL CONDITIONS . I I --------I ,, .... - APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS ,c . NEW BUILDING EXISTING BUILDING LEGAL DESCRIPTION --/1 ,, ,. ~-A '). REMARKS: /,..F~ I c-.£) ( LATERA L LOCATION ST. i-= (/) LATERAL NO. _______ INSTALLATION DATE--------1 SE 232 ISSUED BY --------'----------- DATE ISSUED----------------- VALIDATION I LATERAL CHARGE COMPUTATI ON • • 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 ___________________ _ I CONNECTION FE.E /t NO. UNITS ___ COST PER UNIT---TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL--- WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter THIS IS TO CERTIFY THAT INSUJ ~.TION I:AS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIL, IN THE BUILDING LOCATED AT: SITE ADDRESS: / 8"1 {p Number EXTERIOR WALLS Manufacturer 0 / ()J Thickness/Typ~j½., 11 R/Valu~ -/ / :,--CEtJ:sGS ----~ _ Batt~:' Manufacturer~~,~ Thickness/ Q II R/Valuec?· 30 GENERAL CONTRACTOR:(.,___-_-_---_--_---_--_-----------'LIC. # ______ _ BY ___________ TITLE _____ DATE _______ _ INSLIT..ATJON CONTRACTOR: APOLLO INSULATION LJC./1 :.>86015 BY~ 2?lzru TITLE¥,t_ DATE 3-,;2._7-8 C ------------------------