HomeMy WebLinkAbout1880 High Ridge Ave; ; 83-567-64; Permit' ~
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by affirm that I am licensed under
ns"1t Chapter 9 (commencing_ with
n 7~ of Division 3 of the Business
'Professions Code, and my license is 1n
force and effect
______ Clas\
I hereby afl,rm tha! I am exempt '·011 the Contrac
s License Law !or the 'ollow1ng reason 1Sec 7031 5
·us,ness and Profess,ons Code Any c ty or ~oun:1 wh,ci" re
quires a perm,t to construct. ai·e· ,mprcve derral,sh -:;r ·eoa,r any structure. pr,or to ,ts issuance a,so r~qv,res !heap
~l,cant lor such perm,: :o ',le a s,qned s•atement t~a: ie ,s
,censed pursuant to 'he Jrov,s,ons of tne Contrac:or ,
L,ce~se Law 1Chapter 9 corimenc,ng w,t~ Sect10~ 7000 o' D1v1s1on 3 ol :he Bus•ness and Protess,ons CJde,, or that ,sex
empt IOere(•o"' and the bas,s for lhe al'egea exempl,on ~ny
v101at,on of Sec1,on 7031 S l!y an applicant 'o, a perm.I suo
ecrs the applicant to a ~,vii penally of not r-iore than t1·,e hu1-
dre~ dollars 1$5001
I, as owner ol the property. or my emu oyees w,t~ wages
as :heir sole cor-,pe~sat,on •11111 do the work and t~e str•,c twe ,snot ,mended or offered for sale ,:Sec 704~ Business
and Professions Gode The Contractor's I ,cense Law does
not apply to an owner of oroperty wha bu,lds or 1mprnl'es
thereon and who does suco work h1mselt or through h•s own
emptoyees. provided that such ·mprovements a·e not ,1te~d-ed or offered for sale If, however lhe building or ,mprove
men! 1s sold w,tn1n one year of compleMn. the owner-bu1•de'
w1I' have the bucden of proving that he did not build or ,m-
orove for the purpose of sale)
7 I, as owner ol the pro~e'ty, am exclusively contracting
w1lh 1,censed conlractors to construct the proiect (Sec 7044, Bus,ness and Protess1ons Code The Contractor's License
Law does not apply to an owner ol property who builds o, 1m-
prol'eS tnereon. and who contracls tor each pro1ects wcth a
contractor(s) license pursuan1 lo the Contractor's L ,cense Law)
J As a homeowner I am ,rp,ov,~g my home. and 'he :ollow
,ng cond1t1ons exist 1 The work 1s oe1ng perlormed pr,or to sale
2 I have 1,ved 1n my home for twelve month, pr,or !o completion ot this work
I have not cla,med th,s exemo!1on dur-ng the last three years
I am exempt under Sec ~-----B & PC for this reason ____________ _
0 I hereOy affirm that I ha,e a cer1rl,ca!e of con sen I to sett ,nsure or a cert,t,cate ol Wor~ers
Cornpensat,on Insurance or a cemf,ed copy !hereol
!Sec 380J Labor Code1
POLICY NO
COMPANY
0 Copy ,s filed w1!h the c•ty
0 Cert,hed copy ,s hereby turr,shed
CERTIFICAH OF EXE::MPTION ~ROM
WORKERS' COMPENSATION INSURANC~ (Th,s s.ect,on need nol be compleled _I t'1e ~e,m,•
,s !or one hundred dollars 1S1001 or less,
0 I cer1,ty Iha! ,n the per1orrnance ot lhe ,..or!< to,
wh,ch \hos perm,t ,s ,ssued. I shali not emp10; a~,
person ,n any rnanne, so as to become sub:ec· k
lhe Workers Compensation Laws o• Ca1,lorn,a
NOTICE TO APPLICANT If alter ma~,n~ th,s Cen,
1,cate ol E,ernpt,on you should become su01ec1 V>
1ne Workers Compensation pro.is,ons of 1rie Labo'
Code. you must lor1h""1!h comply with Su~"
prov1s,ons or th,s perm11 snal' be cJeerned ,e,0~ed
0 I hereby af1,,rn thdt there •S a ,,or,struel 'Jn
1erid1ng agency to, the pert<J,man: e ut the ""<!" t,;r wh1cri this perm,t ~ ,~sued ,S.-c 3097 r:.,, Cod,..
Lenders Name ___________ _
Lender 5 Address __________ _
1 u,u. unLL ru1n1 rLn unLI QI rnL~~ nnftu l'\l""l""Lll.,l•\l'\11 IV rlLL 11'\I 11'\lrvnmM I IVl'\I YVI I nll'\I ~nl-\UCU 1-\MCI-\ 1-\l'\IU UCl.,LNnM I IVl'\I~.
: CARLSBAD BUILDING DEPARTMENT
'l-------------~::.;::,::;.;;:::::~=::!.;=~~~~~------,----------,---...,;.~..z.,:~-,-----,--,--=-,-c---~~~-:-:-::-=-=----4 1 AV.ST.RO. NEAREST CROSS ST. PERMIT NUMBER
; Dlorn .------=..==-----:....:::.----!...!....::JQ.~L_____.j g.3 -f'(, 'J-bf
1110¥--...L ___ __t4-.4r,__::..,,_-+4--_:_.;1_____,,:;,L.1___:~~__:Jl.J'2c.!.,'..!::'. ____ •
I
PLAN 1.0. -1t BLDG USE COOE
:1-1:::::.,~'-L-1-,----~.Qd..-17..'.~U:2S:::........ _ _j~~~~~~LJ
::~~:~~:~:~:::~~~~~~~~~~~:~~~:;;~~~~;~~~:~~~~~~=~~~~~~::~:~~~~~~~!~,~~~~~_:•'ii--~~t~~i:;~~:..,.,J~t~Ul.!'i..fJ.~£~.!:_~~~+...:;r:~~b':::'.~~--kS~T~A~N=o~A~R~DC::-e~cA-:-CN~#:--___j---;::BU~l~L~D~IN~G~,~S::,-fi~F;;;;~T~~G~E;--j
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: y[_J -..o ---/
I CENSUS TRACT GP LAND USE GRADING PERMIT ISSUED :~~~VELOPMENT OCC LOAD FIRE SPR
1 ~ ______ _j_ _______ L,/JO.d---L----,'----l.-------''~D"---~'c..'c□'...... __ _J_ ____ ,~□=:._~':li_~_j_ __ ~ _ _j_2_.....!~L,L ____ _j__'~□"---~N'cf-~L--.....'.N:o~t~C~•:'':d~U:n:/":'.'..':"':':'h:i:n':_::C:"~":'':':d ___ "T_--I
1 QTY. PLUMBING PERMIT -ISSUE QTY MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
I I :J,, EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU RIIII n1Nr; PFRMIT nu\ __ , __ ,,._ --V v0•00-8220
EACH 6UILOING SEWER _________ (&>_ OVER 100 000 BTU
EACH WAHR HEATER ANLl OR VENl BOILER.COMPRESSOR UP TO 3 HP
BOILER:COMPRESSOR 3 15 HP ____ -+-----------jf :~ : EACH_~S SYS~M-~_!__9_':_~_~TLETS
I EACH GAS SYSTEMS OR MOH[ I>---+-------
' L-tE!'~H-1N_S r :'.'~ . AL r ER. RE PA 1R 1/'.'AT rn P1 P~
1 [ EACH VACUUM BREAKER
-----,t------I 'IM:.TAL llRE.PLAC[
---+-
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
r-------
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAi
MECHANICAL
MOBILEHOME
I
If---
','VAHR SOFTNEH RELOCATION OF EA FURNACE-HEATER IVIVUIL.UIVIVI "n□II c:un"'.: PARK INSP
r FAC>I Ru:::I !_)FLU, 1 r.s r:~, 1 ·-TOTt.L MECHANICAL $0~AR
STRONG M0110N . . L ~ ,~ !Jl)_ '2 • • Cc•
_ ___. 'I 11 D1Hll If' C:hf'II iTIC:C, [T[
,,~
L/J FIRE SPRl~JKLERS
1 fQTY. ELECTRICAL PERMIT -ISSUE
I -I
I NEWCOr-.iSr[AAMPSW'll:)KR /fl') ..!"1_<_--:-: ___ -:r--ii QTY
---.v
SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
01-00-00-8221
01-00-00-8806
01·00-00-8222
01 ·00-00-8223
01-00-00-8224
01-00-00-8225
0'-00-00-8226
80·92-33-0519
01-00-00-8227
32-00·0Q·89ll _
I
..$2,_00 _
-:;ii '.,.,, 49.cm-
_3(),0Z)
?,81'1
---
----· -----~ 7,ip. -
:J.-/.20, Dr)
1 PH l PH __J -_ 1 _,1; --,-.r.:-, . f'.. ., I !I 1.,,i11~u,iu
--·t -------
: EXISfbLlJGEAAMPSWTBKR Rr.{KSTO::i,VJt: ,r ~0 I ri
Carlsbad 80-92-21-0519
Erwnitas 80-92-22-0519
1 PH 3 PH PU\·1P --II' \ L .JV I -ll '--'"" c,,,.,91
1 REr,,AOOEL Al HR PER [IRCU11 PA\ C:r'[CK F~F _.. )/ 1 \ ,I \ I
I TEMPPOlE lDOA~lPS f l'{
·----t----------
c:~" n;"'"'Jito 80-92-23-0519
San Marcos 80-92-24·0519
OVt.R 2lJU AMPS LICENSE TAX 01-00-00-8162
I TEMP0Cr.LJPANCY"300AYS1
I ----jl -· ·-.. L
: TilTAl ELU.TRl[Al I -,_ 07) I TOTAi SOLAR I II '
1 ,""F.,,J_. I I II I ..,.
MFF 80-92-57-0519 I _g,!()_.-_
1:HHJII OEPQSIT
TOTAL FEES PAYABLE i 2 ,q -3 1. If :J-
------~-~--lf--+-------------+---~ -llf--_-_-__ -_-----~
I I _ -I I I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT., ANO DO HEREBY Exp1tatiot1. Eyery per_m1t issued bythe8u1ldm9 Ofhctal underthepro~tsionsofthis
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CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMAT10N HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void If the bu,ld1ng or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authomed by such permit 1s not commence_d w1th1n 180 days from the date of such
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OYER
!5' 0"' DEEP AND DEMOLITION OR CONSTRUCTION OF
STRlK:TURES OVER 3 STORIES IN HEIGHT . . pe-rmit. or if the bulidmg or work authorized by such perm,t 1s suspend6d or
ISSUED. TO COMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-'--;'~b;;a;;o~do~n7'::,;'i'~ta~o~~•~me7.'o:tt~eC,"t:;h&"--'wOoo'>'-'"'-"'oem""me•cosc,ode.;/oe,C''--';';•e"eode.,octa1,80"--'de•x•s•----;::l(ir"'::'.:::::':'~i:,:'~-----------~~=--J'-----"1 STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND A OWNER O CONTRACTOR APPROV BY r/tJ. i
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,,,/ .A _ /-"J _/ □ ~ , •. /
GRANTING OFTHlS PERMIT ~~Y"'-r l { __/~ BY PHONE ~ I ,,,..,.,'i''f-
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TYPE ' DATE INSPECTOR ' --··----------
BUILDING I 'x~-:SC.,, -'.u
FOUNDATION ' FIELD INSPECTION RECORD I
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I INSPECTORS INSPECTION REQ IF DATE GUNITE OR GROUT I CHECKED APPROVAL
FLOOR & CEILING SUB FF.U<M1t I SOILS COMP: :A~CE
SHEATHING "1f RO~-o-C' /7 SHEAR I ·'1 . c::x. \?'\--:;>,..,--PRIOR TO
\ '-",•,-/'"AS FOLJr-..CA TION INSP FRAME I ----··· ---------------------
EXTERIOR LATH I STRUCTURAL cor--iCRETE
OVER 2000 F'SI
INSULATION I PRESTRESSED
CONCHETE INTERIOR LATH & DRYWALL I POST TENS,QNED
' CCNCRETE ---t------· -
PLUMBING I FIELD WELDING
SEWER AND BL/CO □IPL/CO ·-------... ------------
I rliC1H Sl RENGTH
UNDERGROUND □ WASTE □ WATER AOL Ts 4
TOP OUT □ WASTE □ Wk.TEA ::iF-'ECIAL 'v1ASbNPY •
TUB AND SHOWER PAN I
GAS TEST ' I PIL.ES CAISSOr-,,~-
□ WATER HEATER □ SOLAR WATER ------------------------' --• I ------
ELECTRICAL I •
□ ELECTRIC UNDERGROUND □ l,IFFER -·--·-. . ROUGH ELECTRIC I -----, .•. --~
□ ELECTRIC SERVICE □ TEMPO~ARY· . ;
----
□ BONDING □ POOL I
·--
I ,
MECHANICAL I . -
□ DUCT & PLEM., □ REF. PIPINl3 . -·---f---
HEAT -AIR COND. SYSTEMS I ' .
VENTILATING SYSTEMS I . . . .
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE ·. .
ITEMS ABOVE HAVE.BEEN APPROVED. · · ·.
FINAL I / / '
PLUMBING ' ,,, ~ I .
ELECTRICAL I I v"J /'.Y /
MECHANICAL ' "A , vrtJlr I .
' GAS ,. _..,__, I I • ,,. • I. .
' ,, I i
..
BUILDING I I
SPECIAL CONDITIONS I V
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APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO Fl LL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
#/G·H ~I D E
EXISTING BUILDING
T ~ ,// ... , ..... -~A
AA ~ 109.q€: TELE~ 1L>?e P ,
REMARKS:
I ~FD
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE----------11
SE 2 74
ISSUED BY -------,--------------
DATE ISSUED-------:----=-,,..:--'--------
VALIDATION
I I I
LA TERAL CHARGE COMPUTATION
STANDARD 4" (Ma><. H. 30', V. 10') _________ _
OVER 30' H. ___ @.,,,.__ ___ FT. _________ _
OVER 10' V. @ FT·-------=---
STANDARO 6" (Ma><. 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~/L...-_COST PER UNIT ___ TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PE.R UNl1': ___ TOTAL __ _
TOTAL CHARGES (LATERAL ETC.)_,_,£""'-/_,_0,_"t) __ •_" __ _
'
W~HITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
THIS IS TO CERTIFY THAT INSUJ !,TION l: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: 18:8=0
Number
EXTERIOR WALLS
Manufacturer Ji en
CEILINGS
Thickness/Typ~j1/z_
11
R/ValuJK-/ /
Batts: Manufacturer vim Thickness/ Q ti R/Valuee?· .... 3 0
GENERAL CONTRACTOR: LIC.# -------------------
BY ____________ TITLE DATE -------------
INSULATION CONTRACTOR: APOLLO INSULATION LIC.# ?8601 5 --------BYµmmu TITLE¥//_ DATE 3-;27-Bs:'