HomeMy WebLinkAbout1877 High Ridge Ave; ; 83-567-57; Permit\~\) (Z} I hereby affirm that I am licensed under
,) 0 [ . provisions of Chapter 9 .. (.commencing .. with ,._ Section 7000) of Division 3 of the Business ~ and Profesaions Code, and mybnse is in
at full forcW","'le~/; ; Lie No (j'f"( ._2f~/ Cla~\ _ , ·-· a .
Ill z a i= ,c
IC ,c ....
0 &.U Q
u I hereby affirm 1hat I am exempt F:o-"" the Contrac·
tor"s License Law 'c~ the ~ollaw1nG reJson (Sec. 1C31 ~
Busine-ss and P·ofess.ml'\s Code: Ant c ty ::ir c:1~"1:y whic: re-ql.lIres a per'ni1 lo C8nstruct. c1 'e· imo·ove. demoiish c-·
repair any stru-ctu;e_ Drio-10I1s Issl,;rnce .also reQuires ~r-e.a□-
plIcarit Im s1,,,ch ~e~7tll to file a s1qned statement that he is
I censed pl.'.r':,uant ro 1he prov•SIO'lS -:if the G::intran::(s
License Law '. Cha:::iter 9 comme"ICi"IO w1'h Set~•on 7:)CO cf
D1~1s1or. J Df the-B•Jsi1ess and Protesslcrs -:::or.el or t!i.a,t 1s ex
empt t~erefrom and the bas.is for the a;legec:: exer1ptior.i t..n1
,,1alat1on a1 Section 7031.5 by a.n aDplicant for a perrn1t su~-1ects tt-ie applicant :o a civil peri.alty ot not m;:n than fr,re hun-
nred dol ars f:$500)
1. -2.-:. owner of the woperty, or my empl0yees wilh wages
as ttieir sole comp-e"'lsatron. wiil do the work . .ar.d '.he strl,!c.·
!We LS nor intended or offered lo~ sale (Sec 70.!14. Business
attd Professions Code. The Contr.actar's License L.aw does not el[l"Jly to an own€:r 01 p-<OpBrty who builds or 1mpro•,;es
thereon and who does suc.h war".; h,mself or th•ough his own emoloyee-s. provided that 5uch 1m::ira11ements are no1 inrend•
ed or oflered for sale. 11, howe11er. the buiid,ng or irnpr□ve
!Tient 1s soid w1th1n one year at completion. the ow11-er-'tlu1l-der
w1I' ha~·e ihe burden of p-roving that he did n-nt b-uild or im-
p,ove f')r '.he purpose of sale)
-~ I._ as owner of tfle prnp,erty, am e.x:clusivBly con1ract1ng
wi1t1 hcensed contractors to construcl the project rsec_ 7044,
Business and Professions Code: The Con1ractor' s. Ucense Law does not apply lo an owner at property who builds or im-
proves thereon. and who contracts for each proJects w1~?J a
corrtractar(s~ license pursuanl to lh-e Con1ractor's iice-rise Law)
:J As a homeowner I am improving my home. ancl the follow
mg cond1tIon-s. exist
1. ThB work is being ;:ierformed prior 10 sale
2 I have lived in my home for twelve month.s pnor to completion of this war~
3 I have not claimed this exemption duril'lg lhe
last three years.
L...,; I am exempt under Sec. _______ . B& P.C
for 1hIs reason -------------
I )6 I he,eby at!,rm lhal I ha·,e a cert,t,cale al consent l to s.elf 111sure, Of a cert1t1cate of Wor'kers
Compe-,nsat1oll Insurance-. or a certified copy !hereof
iSe<: 3800. L3bo• Code\
POLICY NO,;? 19c..Uf?6/9() c./..._~-j' I
COMPANY ~>--eo1:2,,-s £/)_-i
~Copy IS hied w11h 1he City
0 Cer1►hed copy is. hereby turmstled
CERTIFICA Tt OF EX~MPTION FROM
WORKERS. COMPENSATION INSURANCE (Hus se-ctmn FleE-CI not be comple!ed 1t !he-;:,erm,1
1s "or one hundred cJoll3,rs !S10Ch or 1es-s1
0 I certify th<H 1n rhe performance ;'"JI the ..,.on,: 1or
which 1h1~ oerm1t IS tS.5ued, I shall ri-01 em:ploy df"i)
pe,rson m ciif'i'JI manner so as to become sutqect 1o
the Wor\te-rs· Comperisat1or,, Laws o' Ca1itorn1a
NOTICE TO APPLICANT If_ c1.Her n-1ak1nJ trH'5 Gert·
fie.ate of Exemphon you sriould become s.ubiecr ~~,.
the Won<.ers Cornpensat,on prn ... IsIons of the La.t'xJr
COOe. you must •orth~·,th r::ompty with s1.ic,-.
DfOv1$.tOt"lS. or ?ht":> permit 5h,iill t>e f],eenied rpvn~ed
0 I hereb;, 3fj1rrr 1r-i-,t •t•pr;> S r:1 ·:ot, ... ,1'l ... ':'·r_;.··,
1w:1rj1ng .i:iigenc 11 '0" ~r-,•· ,1~••4:_,. "'"'c'F1: f' ,:,1 The w:)•'k '::~,
w'11Ct"I This ~e•rn;T 'b •~Sued I~(. 109' ~:,-~,: ~-: :_xle
le...,oer ~ Ni,rne ___________ _
L<er1(1er s Address __________ _
USE BALL POINT PEN ONLV & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
PERMIT NUMBER
ZONE
/. _st,,✓ J.7
PLAN l.[J. # 8LOG USE CODE
C£.NSUS TRACT GP LAND USE RES UNITS
I
QTY. PLUMBING PERMIT -ISSUE
GRADING PERMIT lSSUED
y D ND
REDEVELOPMENT
AREA
,0 N
MECHANICAL PERMIT -ISSUE
STANDARD PLAN#
EDU
I
FIRE SPft
v0 N Not Valid Unll!Ss Machine Certilied
SUMMARY/ACCOUNT NUMBER
01-00-00-8220 EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU BUILDING PERMIT f-----Lf-.-l-'E:.:.A.:.:C:.:.H.:__8_:_Ucc.lL-=D-'-IN-=--G..:.Scc.EW'--E-R--------+-=+--"~:ff-....:...+------~-□::--:-VE=-R=-:-10::cO:-,O::cO:::O-:B:::T-:-U--+-~-i:-=--__::'-f_:::S:;:IG::N~P::E:::R:-:M-:::IT~------□1~-DiHj0---82-21-
---------
EACH WATER HEATER AND DR VENT BOILER!CDMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING --------·-----.. -------·-f--------tt
EACH GAS SYSTEM, OR MORE ELECTRICAL --· -----·---------------~----. .. ------------t--
EACH INST AL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT -MECHANICAL -·--·------· --
EACH VACUUM BREAKER HOO □·□UCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE•HEATER MOBILEHOME PARK INSP
01 00-00-8222
01-00-00-8223
01-00-00-8224
01-00-00-8225
----------------<--------if-----if------------------1----------11----------------rn c ~ ROOF DRAIN ilfJSIOli .SOLAR_
TOThL MECHANICAL STRONG MOTION
_ __ __QJ_J)~~-~-+-----------,
80-92-33-0519 ----1-L-~
10 l Al Pl UMBING
QTY. ELECTRICAL PERMIT~ ISSUE QTY. SOLAR -ISSUE
Fl RE SPRINKLERS
PUBLIC FACILITlES HE
BRIDGE FEE
01-00-00-8227
32-00-00-B933 -
NlWCONSTEAAMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH J PH STORAG.t TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP:SWT BKR ROCK S ~ ORAG[ Encinitas 80-92-22-0519
I PH 3 PH PUMP San Dieguito 80-92-23-0519
REMOQEL Al HR PER [IRCUIT PLAr1 CHECK Fee San Marcos 80-92-24-0519 -----------------------------<---------
TE MP POLE JOU AMPS
OVE:R lOO AMPS
TEMP QC C UPAN f. Y !JU O A YSI
]()!AL EltLIRl[r.t ~--
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT"' AND DO HEREBY
CERTlf'Y :UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION. Wl'1ETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY At•W
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
. GRANTING OF ·THIS·PERMIT'
------------------j------------,
LICENSE TAX 01-00-00-8162 -
CREDIT DEPOSIT
101 Al SOLA~ TOTAL FEES PAYABLE
Expiration. Every perrmt issued by the Building Ofhctal under the provisions ofthts
Code ~hall expi..-e by hm_it~t,on and become null and void 11 the buLlding or work authorized bv such perm-rt 1s not commenced w•1hm 180 days from the-date of sucl"i
~~~~don~ '~11:~ ~r~~,:~e~~h=?.!~r:i!°i~~~e~le~~~7 :er7i~di~fs~:g~~df Of
CONTRACTO
BY PHONE 0
* AN OSHA PERMIT IS REQUIRED FOR EXCAIIAfl()f,jS OVER
5' o·· DEEP ANO DEMOLITION Ofl CONSTRlJCTl()f,j Or
STROCTIJAl:S OVER 3 STOfllES 1N HEIGHT
APPR~~E
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TYPE I DATE INSPECTOR I
BUILDING/? -P-fa,-,:"" q_ '3.,ntl/ --------
83-Sfo,-S-7
FOUNDATION I I / ' "..., ... ~,,-.4 . FIELD INSPECTION RECORD
REIN FORCED STEEL I r VI CA/ T._I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
GUNITE OR GROUT I
.. '
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
--·-· ----------<
SOILS COMPLl,\NCE
SHEATHING □ ROOF □ SHF.AR PRIOR TO ----·
--+ 1-0UNDATICN INSP
FRAME I --~ -----·-·---
EXTERIOR LATH I
I
STRUCh!f1AL CONCRETE:
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRESrf-1ESSED '•:
CONCRFH: ·' : ' POST TENSIONED
I CO!\JCRETE --~ -~
PLUMBING I I FIELD WELDING : -.
SEWER AND BUCO DIPUCO ' 11.L-Qi I
I -:-y").-.j\
UNDERGROUND □ WASTE □ ~ATEW \ii II c....--'{ .
TbP OUT □ WASTE □ WATER
-~-~ -·--HIGH STRENGTrl
BOl TS '
,·-J: Sl'EC,AL MA:SONtlY ' ., ------·-
TUB AND SHOWER PAN l
GAS TEST j
'
f--------
PILES CAISSOf'.i,: !
□ WATER HEATER □ SOLAR WATER ~ -·-------·-· .,,
I -~ -ELECTRICAL I \ •' --~ --' ""\•
D ELECTRIC UNDERGROUND □ 1UFFER , ..
--
ROUGH ELECTRIC
,_
I
□ ELECTRIC SERVICE D TEMPQRAAY
•· ---·--. . --. ~ . .
., . -----~~~--
□ BONDING □ POOL I
-----
I • ,. l " ..... ...
MECHANICAL I
I
'
□ -DUCT & PLEM ., □ REF. PIPING _; ' --
HEAT -AIR COND. SYSTEMS 1
I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL /NSPECUON WHEN ALL APP'fJPRIATE
ITEMS ABOVE HA E BEEN APPROVED
.. ' -.
FINAL I j n, ,,,,u/Y _/
PLUMBING I 1P (j a
ELECTRICAL I
I --1 _,, v ;j ~ I l ,, 9i A JU
MECHANICAL I vi 11, r J.Y -;
GAS I .r· F •, .. ' .. --
BUILDING I . I
I
SPECIAL CONDITIONS I
I
-..
---...
--
-
""" -·-
. -
""" ---
...
-----..
-..
-..
--..
LOT # CITY OF CABLSBAO
INSPECTIPN lq!_CORD
ADDUSS: fj?z14;..£4,
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR () CEILING
SHEATHING () ROOF ( ) SHEAR
EXTERIOR LATH .,2 -~ ). ?!?8,_
INTERIOR LATH & DRYWALL
FINAL ___________ _
PLUMBING
( ) SEWER & BL/CO ( PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST ,)-4 -rj'::l'(
( ) WATER HEATER ( ) SOLAR WATER
FINAL ___________ _
ELECTRICAL
) ELECTRIC UNDERGROUND (4-0FFER
BONDING { ) POOL
FINAL ------------
MECHANICAL
(~T & PLEM., ( ) REF. PIPING
HEAT -AIR CONO. SYSTEMS
VENTILATING SYSTEMS
FINAL. ___________ _
COMPLETE BUILDING {INAL ~
DATE: -/7 ..
CLEARED WITH GAS AND 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
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
/
EXISTING BUILDING
C
V/
LATERAL LOCATION
ST.
-"
f-'. (/)
LATERAL NO. _______ INSTALLATION DATE-------
ISSUED BY -------------------
DATE ISSUED ------------------
VALIDATION
LATERAL CHARGE COMPUTATION
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. UNI TS_./.---'----'--COST PER UNIT / ___ -;OTAL~/ __ _
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT_..c.=:___TOTAL---
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
THIS IS TO CERTIFY THAT INSUI _A,TION !:AS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNII., IN THE
BUILDING LOCATED AT:
SITE ADDRESS: / 8 rJ7. ·--~_,,__,_I __ · _,, '"""4--9 ,L -~~--~-~_.:;;__,
'Number Str~~ Cit~
EXTERIOR WALLS
Manufacturer vim
CEILINGS
Batts: Manufacturer"Jlrn
Thickness/Type:3fz_} 1 R/Value (!Z_..,., f /
Thickness /0 I( R/ValueC2-3 0
GENERAL CONTRACTOR: ___________ LIC. # _______ _
BY ___________ TITLE _____ DATE _______ _
INSill.ATJON CONTRACTOR: APOLLO INSULATION LIC.# :?86015 --------
BY ~Ll/llrn?L. TITL~~ ill\ TE 3_-,;2 7 ±} <