HomeMy WebLinkAbout1881 High Ridge Ave; ; 83-567-58; Permit21 8
"' z
0 ~ a: .. J u .. C
' '
•
a: ..
C
J 3 ~ .. z ~
z 0 ;::
~ z ..
0. ,.
0 u
"' ic .. "' a: 0
;i:
![
~ I hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force1 .. d $ff~ . ~ L,c No1/,J(/,,'G-'c1a,1 __L...,_.J___ __
I hereby aft,rrn that , am exempt 1,om t~e Conl·ac
tor"s License Law tor the follow1n9 reason (Sec 7J31 'l
Business and Professions Code Aoy c,ty or rnunly which re
quires a perm,t 10 cons1rucl. alte,_ Irnoro·,e. demol,sh. or
repa,r any s1ruc1u,e prior to its 1s~,ance also ,equires !heap
p;1cant for such µerm,t to file a s1Q1ed stdlernent that ~e ,s
licensed pursuanr lo the prov,s1ons of lhe cowacor s
L•cense law ·Cha~ie' 9 commenc1nq wr•h Sec:on 7Q00 of o,v,sron 3 of t~e Business and Professions Code) or tha: Is ex err pt therefrom and the basis lor the allegM exemorIon Aoy
v1olar1on ol Sect100 7031.5 by an applicant tor a perr<1I1 sub
1ects the applicant lo a c,v1I peoalty of not more 1han 1,ve e,1~
d'ed d811ars i$500',
I as owner of the property. or my employees w1!h wages
dS their sole comoensallon will do The work. and lhf 1trJc
ture Is not •ntended or offered !or sale !Sec 70~4 Bus1ress
and Professions Code. The Contractor's License Law does
nor apply to an owner of property who bwlds or improves
thereon and who does such work h,msel! or through hIs own
employees. provided that such improvements are nol intend
ed or ottered for sale. If. however, the building or ,mprove-
mer• Is sold w1th1n one year 01 complel1on. lhe owner-builder
will t•ue l~e burden of proving that he did not build or im-
prove •y the purpose of sale)
I I, as owner ot the property, am exclusively canlract1ng
w•th licensed con1ractors lo construe! the pro1ect {Sec 7044
Business and Professions Code The Contractor's License
Law does not apply to an owner o! property who builds or Im proves thereon. and who contracts for each pro1ects with a
contractor{s) license pursuant to the Contractor's License Law)
1-As a lmmeowner I am 1mprovIng my home. and the lollow
ing condItIons exIs1
1 The work Is being perlormed prior to sale 2 I have lived in my hOme tor twelve months pnor to complelion of lh,s work I have not claimed this exemption during the last three years
::::J I am exempt under Sec ______ , B & P C
!or th,s reason
\l':1 I hereby aTt,rm !hat I na,e a cer11!1cate of consent ro" sel! msure. or a cert1t,cate of Worke,s Compensa.11on lnsc,rance. o, a cer11hed copy I hereof
(Sec 38XJ. Labor Codel
POLICYNod;q i.u?,/Yc.,·d 35"/
COMPANY _F, rc9n-, :;,,-7.5 f;r1cJ
Cl;:: Copy 1s f,led with the c,ty
D Cer11tied copy 1s hereby furnished
CERTIFICATl OF EXlMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed 11 111e perm,!
15 •or one 11undred dollars ($1001 u, less:
0 I cer11fy !ha! 1n 1he performance of the wor1<. to, wl11ch this perm,, 1s rssc,ed I shall not employ an;
person 1n any manner so as to become sub1e(·• t"
the Workers· Compensat,on Laws of California
NOTICE TO APPLICANT 11, aTte, mak,n;;i tn,s Cert,
1,ca1e o1 Exemp!1on you snould become suh1f'C: 1" tl1e Workers Compensation pro~•s1ons ot tl1e Labo' Cooe. you .,..ust !ortn .. 1m cornp1, w1tr-su, ~
p,ov1s,ons or lh1s perm11 shall be dee..,ed revn,ed
D I he,eb, aH,rrn Iha' •t,prp ,~ d ,, <;·-~, · 1enC,<11J a,;iency ''" !'w ppct,,,cr,<1n, p ,., •~p ,.. __ ,,, '
,.,r,,rr-tr>•~ perm, s •~sued s,,, m: (,,v, r_J(Je
Lender~ Ndrrp ___________ _
Lender 5 Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 J.619) 438-5525
NEARESTCROSSST. /4/?7 VACUAT,ON 'CRM,T NUMBfl
EJg;e•~~L,0 i) OO ,□NTRj°TOR ZONE a3 -s~_, '7-ji,,6
~-",.jLN--,E,-IRc,.Sc-c_NccAC"MCCEC-~,--'--.-'_ ,:_::___,,~_:_ _ _J __ ..::,::=_.,__-=..::,,..:.._:"l'.c::_O_:W::..._N_S_R __ S_P_H_O_N_S_•I c:J ¥/J?t -F</ /)'Q_q/)J $k, ~53-y(f&J CONTRACTORSADORSSS PLAN 1.0. # BLOG USE CODE
OWNEcR'S MAILING ADDRESS
DESIGNER
t,:::l~!1c.Su2'.~'..J.'.J'...... _ _o=::~_,:'.'.2!µ1:'.'.......L'::-'!oQ.a_c..,~4 _ _)~~~'2:':f::.~--..I D£S I GN EA 'S ADQR ESS
' e F LR ELEV
v[J r-.0
GRADING PERMIT ISSUED
NO
ST,RIES
TYPE
CONST
LICENSE # STAN DARO PLAN# BUILDING SQ FOOTAGE
<!. Y.39..J l t:;"<{__C::-
Of:Slg.NE ~ PHONE 74-/_r..:>--/J'4'
OCC GP EDU
R-3 I
DCC LOAD Fl RE SPF> CENSUS TRAU I en ANO USE I e:;:~;;."CE RE/ uN,oS I
YO ND I
REDEVELOPMENT
AREA
•□ ~ VP..l y □ ,-.J2rc. Not Valid Unless Machme Certified
QTY PLUMBING PERMIT -ISSUE ' '7.S3!-j QTY I MECHANICAL PERMIT -ISSUE I 3-SUMMARY/ACCOUNT NUMBER
.'L EACH FIXTURE TRAP __ / 2J. ,SO~ I I INSTALl FURN, DUCTS UP TO 100,000 BTU j /.J -I BUILDING PERMIT 01-00-00-8220 4CH·-!---6 . _--t__ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 1-L -+~ACH BUILDING SEW~R
I EACH WATER HEATE_R~-_g~~NT ~ ; BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01·00-00-8806 -
EACH GAS SYSTEM 1 TO 4 OUTLE 1::.
EACH GAS SYSTEMS OR MORE
~~ ~,. j soILERiCOMPREssoR 3 1s HP TOTA~ P_~u~~--01-00-00-8222 4 I,., so
METAL FIREPLACE -------1---ELECTRICAL 01-00-00-8223 +----V,.___,__-...... _ j
---
EACH INSTAI. ALTE.R. REPAIR WATER PIPE
EACH VACUUM BREAKER
Ii__!_ VENT FAN SINGLE DUCT ;;._-.. H MECHANICAL 01-00·00-8224 __9___ ----
MECH EXHAUST HOOO-'OUCTS MOBILEHOME 01-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH RQOl DRA1fJ i''JS'OE! SOLAR 0_1 ·00·0_0-8226
TOT Al PLUMl:IINL STRONG MOTION 80·92_-33-0519 fo. __ 39
___ _ ~-FIRE SPRINi<LERS 01-00-00-8227 --
TOHL MECHANICAL
QTY. ELECTRICAL PERMIT -ISSUE _.Y° I QTY. SOLAR_ ISSUE PUBLIC FACILITIES FEE 32,00-003933 I~ '7 -
(\ BRIDGE FEE
NEW CONST EA AMP SWT l:IKR im ~ :i ... ,:;-COLL!:CIORS l SCHOOL FEE -DISTRICT
I PH J PH STORAGE' • A'IIKS I Carlsbad 80-92-21-0519
EXIST BLDG EA AMP·SWT-BKR ROCK SlGRAGE Enc1n1tas 80-92-22-0519
1 PH 3 PH PUMP __ . _ San D1eguito 80-92-23-0519
REMODEL Al TtR PER CIRCUIT PLAt~ CHFCK FFE San Marcos 80·92-24-0519 .__ _ _j_ _ ___c --·----
TEMP PO l E }OOAMPS
OVER 200 AMPS _
TEMP OCCUPANCY :JO DAYSI ---+---~---~------+----+-·-----------------+----
LICENSE TAX 01-00-00-8162 mrr 1C..~
CREDIT DEPOSIT
--
9(.'f"r, -
TnTAl ElELTRICAl l
I
•--~7 I I 3:J .-i
TQJAI SOLAR
I TOTAL FEES PAYABLE 34C--.<g. '!ll
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT'' AND DO HEREBY Expiration Every per_m1t ,ssued bythe8uildingOtf1c1al under !heprov1sionsoftr11s
CERTIFY UNDER PENAL TY OF Pe:!JURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tation and become null and v01d If !he bulldmg o, work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT 1'.:o aulhOnzed by such permit 15 not commenced w1thm 180 days from the date of such
ISSUED: TO COMPLY WITH ALL CITY COUttW ANO STATE LAWS GOVERNING BUILDING CON· permit, or if the buildinH or work aulhonied by such permit is suspended or
STRUCTION. WHETH_E~ SPECIFIED HE.REIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN abandoned at an time a ter the work is commenced for a enod of 180 da s
KEEP HARMLESS THE CITY OF CARLSBAD.AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A A LICANT'S SIGNATURE ~ OWNER O CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF TH
GRANTING OF THIS PERMli'. ..._ _/__,,,, BY PHO 0
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATK>NS OVER s· 0" DEEP ANO DEMOLITION OR CONSTRUCTION or
STRUCTURf:S OVER J STORIES IN HEIGHT
APPROVEJ) BY
L~ ~ Jl..J D
D'"lh,; I
I / "'/6 t./--_
~
LL c ~ 0 0.
E w f-
l
D
0 ('.J
C ro
0
0.
0.
<C
I
~ C ii
0 ~
~ w
~ ~ <C
~
0
w >-
,;
~ w u
0 0:
rn
'ii 0
fl
w u C rn
C
LL
::,
C w ~
('.J
0 u w 0.
~
C
w
~ s:
TYPE DATE INSPECTOR
BUILDJt,IG f'U ;it r>tJ/
FOUNDATION ../ '
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
I l
I
tf',./3 .J#. Im '; lti.w-~ --
FLOOR & CEILING s:~ 1 I I I SHEATHING ~R~ SH~AR
FRAME\· ,
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO □iPUCO : ....._1, I J _q,&\ 13'.
UNDERGROUND D WASTE D 'fVATEi,' 11 I "" --.-
TOP OUT D WASTE D VliATER f. TUB AND SHOWER PAN :
GAS TEST
• D WATER HEATER D SOLAR WATER
l
ELECTRICAL
D ELECTRIC UNDERGROUND □ iUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
-r
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VJ= BEEN APPROVED.
FINAL I A
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'I ... J , .
I /I ,,.,-r• r~ : 1ew11/&F,J-r1
I
I
\I ~ ,,./
' lill'_
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMF'l IANC:E
PRIOR TO
FOUNDATIOr--.. lr-..SP
-
STRUCTURAL cor--.CRETE
OVER ;:,ouo F'SI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD v\lEL:JING
REO IF
CHECKED
INSPECTORS
APPROVAL DATE
HIGH STRENGTH ----t----+------+----'
BOLTS
SPECIAL MASONF!Y
f--·--
PILES C/1 ISSONt:
-
r --------1r----1r------+----1
>------------+------+---------------+------<
8'~ .:.::,7o 7 -S-8'
INSPECTOR'S NOTES
f-------------------------------------<
~-♦
THIS IS TO CERTIFY THAT INSUJ ~,TION I!AS BEEN INSTALLED IN
CONFORMANCE WITH THL CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIL, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: / g:-g I .
Number
EXTERIOR WALLS
Manufacturer____:::.;;J""--~'-/ -'-OJ-'-.,___Thickness/Typ~j½,_
11
R/ValueO( -/ /
CEILINGS
Batts: Manufacturer Jl m Thickness/ a II R/Value CR-3 0
GENERAL CONTRACTOR: __________ --'LIC. ff _______ _
BY ___________ TITLE _____ DATE _______ _
INSln.ATTON CONTRACTOR: APOLLO INSULATION LTC./f :.'86015 _.c._.c___...:.-___ _
BY~fl?mu TITLE~-1., DATE 3-,;2.7-B,S
-,-
•
' ------
. ------
-...
-----... --.. .. ... ----
--.. .. --...
CITY OF CARLSBAD
INSPECTION RECORD
ADDRESS: II/I ~4 .
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME ) FLOOR () CEILING
SHEATHING () ROOF ( ) SHEAR
INSULATION ,11.:f:..,/!?f
EXTERIOR LATH,?,-..:2...l.-r/-ffl
INTERIOR LATH & DRYWALL "'--....,
FINAL ___________ _
PLUMBING
( ) SEWER & BL/CO ( PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL, ___________ _
ELECTRICAL
ELECTRIC UNDERGROUND ("T""'uFFER
BONDING ( ) POOL
FINAL ___________ _
MECHANICAL
( v-6uc:T & PLEM., n'REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL ___________ _
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:
I
EXISTING BUI LDING
7 . -....... ,I.
LATERAL LOCATION
ST.
..: V)
LATERAL NO. _______ INSTALLATION DATE--------1
3
ISSUED BY ----------:---------
DATE ISSUED ------:-;--;-=-:--=-,;-=----:---=---:---
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _____ --'----
OVER 30' H. ___ @""·~ ___ FT._----=-~-------
OVER 10' V. @ FT. _________ _
STAN DARD 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
l "/
NO. UNITS ___ COST PER UNIT---TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT __ _
,, /
TOTAL CHARGES (LATERAL ETC.) ________ ---=
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter