HomeMy WebLinkAbout1885 High Ridge Ave; ; 83-567-59; Permit\) . '0 ':,EJ I hereby affirm that I am licensed under
( \ ~ provisions of Chapter 9 (commencing. with
J ~ l S.Ctlon 7()(X)) of Division 3 of the Business
• ~ and Profl!IJJS!ons Code., and my license is in
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I hereby atlirm tlla! I am exempT from the Conlrac-
1or s License Law for lhe lo•low,ng ·eason !Sec 7031 S
Business and Professions Code Any c,ty or county which re-quires a perm,1 10 construct a·•er ,mprove demolish or
repair any structure. prior 10 11s issuance also 'eqJ1res the ap 0I,cant lor such perm,I to file a s,qned sratement thal r,e Is
licensed pursuant to the prov,sIons of :he Contrac1or s
License Law 1Cha~ter 9 commenc,ng w,!h SerJ,on 7000 of
D1v1s,on 3 of the Business and Proless,ons Code) or that Is ex-
empt therefrom and the basis lor the alleged exemption A~y
v,0Ia1,on ol Section 7031.J by an appl,cant for a permII suh-
1ects the applicant lo a c1vI1 penalty of not more than 1,ve hun
dred dollars ($5001
I. as owner 01 the property, or my employees with wages
as their sole compensat,on. will do lhe work. and the struc-
ture 1s not 1ntencted or of1ered for sale (Sec. 7044 Business
and Profession, Code. The Contraclor's License Law does
not apply 10 an owner of property who builds or improves thereon and who does such work h,msetf or through his own
employees, provided tha1 such Improvemen\s are not intend-
ed or altered for sale. If, however, the bu1lctIng or ,mprove·
men\ is sold within one year of comple!1on, the owner-builder
will have the burden of proving that he did not build or ,m.
prove 1or the purpose of sale)
C I._ as owner 01 the properly, am exclusively contracting
with licensed contractors to construct the proJect (Sec 7044,
Business and Professions Code· The Contractor's License
-,, Law does not apply to an owner of property who builds or Im·
proves thereon, and who contracts for each pro1ects with a
contractor(sl license pursuan1 to 1he Contractor's L,cense Law).
C As a Mmeowner I am improving my home, and the follow
• Ing conctitmns exist
1 The work 1s being performed prior to sale 2 I have lived m my home for twelve months
µ110, to compJet,on of !his work
I have not claimed this exemption during the
last three years
:::J I amexempturtderSec ______ , B&-P.C !or 1h1s reason ____________ _
a_"1 he1eby affrrm tha! I ha•e « cerM1cate o! consent to selt msure or a cert,l1cate of Workers
Gompensat1on Insurance. or a cert1l1ed copy thereof
tSec 3800. LaDOr Code)
POUC,NO ;;:it ':,&/?{.:/l:Jt./33(
C~MPANY ;::.;/t:'l""nO/L.5 ffi/1,d
~ Copy ,s filed w,111 me c,ty
0 Cert1!1ed copy ,s hereby lurn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Th,s sec1,on need not be comple1ed ,f 1he perm,t
1s to, one hundre<l dollars 1s1001 o, iess)
D I cert1!y tha1 ,n the performance ot the wort,. tor
..,h1ch !his permit 1s ,ssued. I shall no! employ any
person 1n any manner so as 10 become sub1ect to
the Workers· Compensa11on La"'s of Calltorn,a
NOTICE TO APPLICANT 11 alter makm;i 1h1s Cert,
!1c«te o! Exemption_ you should become sub1ect t'l
the Workers Compensation prov1sIons of the l..dbo•
Code you mus1 !orth,.,,Th compli w,th sue~
prov1sIons o, 1h1s perm,1 shall be deemed ,e~o•ea
DI nereby att,rm That ther,c, ,~ a ,onstrur_t o··
Iendmg a,;tency !or 1hP -,er,orrr,ance c·' rhe wo"' lc,r
wh,ch lh•~ permrl ,~ ,ssued ,S,,e, 1/YJ? C,,r Code,
lender 5 Name ___________ _
Lende< s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
7
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008·1989 (619) 438·5525 ~ APPLICATION & PERMIT
----,,,,.,.----,---------,--~:-:,,:,O::;:"--:~~~-;;;:;;;;;;ST -Y DATE OF APPLICATION BUSINESS LICENSE# VALUATION NEAREST CROSS · ,~ / PERMIT NUMBER
liJ.4""'-::_../4-¢::z:.,fµ.µ~~~,A~~---L::!2.'//J'-f-5'Qt:L.r<~4'~c;f;;;;OTOR----1~-:=f~-:-:-' b '/c.?y -5b '7-S-0/
PLAN 1.0. # BLDG USE CODE
LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
I 91..c:;-
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t + -'---------""" -CENSUS TRACT I ce CANO use eA~•;iAce ""i uN,;s I GRADING PERMIT ISSUED
I
REDEVELOPMENT
AREA
TYPE DCC LOAD FIRE SPA
~ D ND YO sB:'. ,nn vD '8t Not Vil/id Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE
\\ I EACH FIXTURE TRAP i tJ.? --~ i ]1NSTALLFURN.OUCTSiJPT0100,000BTU I 1../ -1 BUILDINGPERMIT 01-00-00-8220
i ,,_;{"b II QTY I MECHANICAL PERMIT -1ssuE I .J,ou SUMMARY/ACCOUNT NUMBER
<.J~
i EACHBUILOINGSEWER I t OVER100,000BTU SIGNPERMIT 01-00-00-8221
\ EACH WATER HEATER ANO·OR VENT B01LiR-/C□MPRESSOR UPTOJ HP PLAN CHECK 01-00-00-8806 29t./ -
1---~+'E~A~C~H GAS SYSTEM 1 TO 4 OUTLETS +--801 LEA/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-0_0·_QQ~-8=22~2'--+---~
EACH GAS SYSTEM 5 QR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ·-
EACH INSTA~. ALTER. REPAIR WATER PIPE ----* VENT FAN SINGLE DUCT ·-MECHANICAL 01-00-00·8224 -
EACH VACUUM BREAKER i MECH EXHAUST HOOD/DUCTS MOBIL :HOME
WATER SOFTNER II I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (l'IISIDE! SOI ____AB__
TQTt=.l MECHANICAL STRONG • -=---
FIRE SPRINKLERS 01-00-00-8227
---~------•~
TOT AL PLUMBING 4b,q_
~ __ MOTION
JI .-t
QTY. ELECTRICAL PERMIT -ISSUE ,j,rJd QTY. SOLAR -ISSUE ~ 32-00-00-8933 -'2-l~-PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP.'SWl 8KR /tr) ~-COLLECTORS ~/J ciJ SCHOOL FEE · DISTRICT
IPH 3 PH STORAGE TANKS \T !"-Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT·BKR ROCK STORAGE ~ \)I (\ Encinitas 80-92-22·0519
1 PH 3 PH PUMP ~\\V ~--1 \ San Diegu1to 80·92·23·0519
REMODEL ALHR PER CIRCUIT Pi AN CHECK FEE \l 'J\.
TEMPPOIE 200AMPS --c San Marcos -u 80·92·24·0519
OVER 200 AMPS ii I II LICENSE TAX 01-00-00-8162
TEMPoccu,••cv,ioo•vs, ~II mFF IC. w:2 I 5gc:,-
CREDIr DEPOSIT
TOTAi ElfCTRl[Al
-3').~
TOT Al SOLAR TOTAL FEES PAYABLE I ;7,g "7,:;;;-, ll_'
I HAVE CAflEFULl Y EXAMiN'i:n iHE COMPLETED "APPLICATION ANO PERMIT'· AND DO HER-;BY e.~. ,l~permitiftt)edW ~dftfc~1~.i~ Pr~ofthii;, 'It ~-~-PERMIT '6 ~~-~~ ... ~ ~ER~· t
CEATIFY,JJNOER PENALTY QF PERJURY TIJJW" A,Ll INFORMATION 'HEREON INCLUDING me:" OOde~~r eXJ)Q'by llm.~on Mdlik~l;\Ufl W 41old'. ff me l)ulfdlnt 6rWbrlt , ~• jJ<'PD£EpAMO OEMOUTtoH OR cbNSTRUC~ OF -~b.-..... ;;,..,.;.;s.,: -. ,,'1' "" , author1zedbysirehpenntt1Snotcommeoced~480daytlromth6date,o~tr' -~-, , DEC LARA_ _ ;'> A~A'Nt>_CORflECT A'1!Q I F_URffiER CERTIFY ANO AGREE IF A PERMIT IS p(trmit ot if the building Of wOf1i authoriJed 'bi ,suet, peimit is suapend&d or S:,--..~unc;, OVER 3 STOAlES 1H HEIGHT
ISSUED: T COMPLY Wltl,t ~LL '.CITY, COUNTY AKO STATE LAWS GOVERNING BUILDING CON· [.!4!!!b4n~do!!ned~~,!iM~b!!m~•!.;-!!!!'Ll!lhe!!!_!WO!!!!l .. ~•Uco!!!m!!m«>!J!!!!)!..,;!!t!!lo!!:'.!•]!nct,°"2!!.!ofe!JlJ!80U!Jfil',--,:i,r~~~"-~--------------~~,-,-----~
StAUCT!0N .. WHETHER SP. t. Cl., FIED HEREIN·.Oft .. NOT. I ALSO AGREE fO SAVE INDEMNIFY AND APPU 'S AT JtE .. , 0 APPR~V o BY / K!::E.P HARMLESS THE Ct'JY:pf. CARLfflA0'A~AINSJ,,ALL UABILITIES, JUbGMENTS, COSTS AND U (?WNSA ,
EXPENSES V./HICH-MAY fN. 1,ltYV'lkt".:"XCCRIJE Af3Al!',!ST SAID CfTY iN,OONSEOUENCE OF THE BY PJ.fONE, m,, J ~,J
'GftANlffl4$:<)PTH1S:PERM}T;; " ---" t'f' ------I lJ'j-"
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TYPE I DATE INSPFCTOR
BUILDING ; . -
FOUNDATION 11: : h 7~ /~--
REINFORCED STEEL ' •
MASONFiY I
GUNITE OR GROUT --·:--·· -----~~~~~-'-----~-~---t------t-------
FLOOR & CEILLNG SUB F~E '
SHEATHING : Yl,RG6l~-r;;i-'SH~AR
FRAME 1 " ''4.-tflP : +----+--------
EXTERIOR LATH 1 --+-----+----f--------, INSULATION ,
INTERIOR LATH & DRYWALL :
I
PLUMBING I /
SEWER AND BUCO □IPL/CO : , ti.I .rA :.,. -
UNDERGROUND D WASTE 17 WATERI' ti -~ '
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL 1
□ EiiLECTRIC UNDERGROUND □ 1UFFER
ROUGH ELECTRIC :
□ J:LECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL 1
I
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPl~G
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS 1
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ··--~, .... , ............ ,.,, V'1
FINAL I
PLUMBING ' J , I • ELECTRICAL I . .J I ~ .&VJ-,'
MECHANICAL I V ,.,., ,,ff ir
GAS I -II.\, ,. .I
BUILDING I ' I
SPECIAL CONDITIONS I ' ~
' I
----~----
<;;s-5--::,~ 7-5'1. -·
FIELD INSPECTION RECORD
.. .
REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOT ES c= =~-~=-. ----... . . -·---
REO If INSPE::.CTOR S ~ • ~ Q1...._C,J.(_,g)4,. DATE H,.ln {SJPK ~.£ETAir,,aV--. INSPECTION CHECKF_D APl-'HOVAL ---·--·=----='----------c;--_-=-._;_ -=·= ~-==,.::_---=---···
~OILS COMPI_ IANCL
l'HIOR TO -------·--------------------------------
rouNDA !"ION INSP
~-STRUCl URAL CONCRETE
OV[R 2000 f'SI --f-'flESTRESSET)
CONCREl E
POST TENSIONED
CONCR[H -~-------------I----. -----
1·1f.LO WELDING
--HIGH STRENGTH
ROl.TS ..
------------
SPECIAL MASONfW
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r1u:s CAIS~\ON~~
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LOT# CITY OF CARLSBAD INSPECTION RECORD •
ADOUSS = I.NJ-~4,
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME ( l FLOOR () CEILING
SHEATHING {) ROOF ( ) SHEAR
INSULATION ~ -r-r"~
EXTERIOR LATH )2. -I J --C:,,f7{(
INTERIOR LATH & DRYWALL T\ FINAL. ___________ _
PLUMBING
() SEWER & BL/CO ( l PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
( l WATER HEATER ( l SOLAR WATER
FINAL ------------
ELECTRIC AL
ELECTRIC UNDERGROUND (~FFER
BONDING ( ) POOL
FINAL ------------
MECHANICAL
( 4--'6uCT & PLEM. , ( ) REF. PIPING
HEAT -AIR CONO. SYSTEMS
VENTILATING SYSTEMS FINAL ___________ _
CLEARED WITH GAS AND ELECTRIC
DATE: _______ _
NOTES ON REVERSE SIDE ••••••
THIS IS TO CERTIFY THAT INSUJ ',TION I'.AS BEEN INSTALLED IN
CONFORMANCE WITH Tl-Ii. CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/., IN THE
BUILDING LOCATED AT:
SITE ADDRESS: . g-g S-L -Number
EXTERIOR WALLS
Manufacturer v/ m
CEILINGS
Batts: Manufacturer0 Zm
Thickness/Typa;?fz._...'
1
R/Value (}Z.-//
Thickness /0 If R/Valuec:2-3 0
GENERAL CONTRACTOR: __________ __:LIC. # _______ _
BY ___________ TITLE _____ D_ATE _______ _
INSULATION CONTRACTOR: APOLLO INSULATION LIC.# :?i\6015 __ :_..c_c___ ___ _
BY 24£2/lllm -R._ TITL~DATE ,3-.27-13<
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
EN GIN EE RING DEPARTMENT
438-5541
FOR APPLICANT TO Fl LL IN .
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
/
NEW BUILDING EXISTING BUILDING
LEGAL QESCRIPTIO ,,, '-f
REMARKS: --
LATERAL LOCATION
ST.
v .
LATERAL NO. _______ INSTALLATION DATE---------1
SE
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 FES
/It, I 7 ~
NO. UNITS, ___ COST PER UNIT ___ TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL---
TOTAL CHARGES (LATERAL ETC.) _________ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Perrnitter