HomeMy WebLinkAbout1888 HIGH RIDGE AVE; ; 85-378; Permitf
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O I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 70CX>) ol Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Llf No _____ Sill\
I hereby aff1•m that am exemp: ir~m the vrac tors license law for the tollow1ng reason 'Sec 703' S
Bus,ness and Proless1ons Code A~y uy or :auoty wh,:n re-auires a permit t~ cosstruct ol:e, Imprcve demo Is~ or
repair any struc1u-e pr,0, to I's Issoance a so ·ecui,es '"e ap pl1cant for sue~ pe'mlT 18 11 ea s1qned s:ate'i'lenT Thar he Is
licensed oursuant to the orovIsIons ol the co~rcacrar s License Law IC%oter g commencwg with Sw·11on ?O•JO ot
D vIsIon 3 of The Business and Protess·ons Code, er 'ha: Is ex
e-pt lheretro"' and !he basis for the allegea exemption Any
v,0Ia•1on of Secl,on 7031 5 D·1 an apJl•cant for a oerrrI1 su8-1ec1s !he app1Icao: to a :.IvI penalty of no! more :han five hun-
d·ed dollars ($500!
' )5. I, as owner of ttie pr~perty, o-my employees w ts waqes
as !he,r sole compensation w1'I do The work anc tre struc
Tu'e Is not intended or o'fe'ed :or sale !Sec 7844. B·,1s1ness
and Profes,1ons Code The Con:,acTor s L1cer1se Law does
~ot apply to an owner ot property who builds or ,mproves
•hereon and who aoes such work himself or Through ~IS own employees. prov,ded thal sucn lr"8'0•·ements are not intend-
ed or olTered :o, sale I! however the bu1ld,ng or I"1prove-ment Is sold w11h,n one year of comple11on. !he owner-ou1lder
will have the burden 01 p1ovIng l~at he d d not bu11d or m prove for the purpose of saleJ
1 as owner of t~e property, am exclusively contracting
with licensed cont,actors to construct the proIec1 !Sec 7044
Business and Proless1ons Code The Contractor s L1ce~se Law does not apply to an owner or property who builds or Irn
oroves thereon. and who contrac:s lor each pro1ects w11h a
contractor(s! license pursuant to the co~l•ac:or's License Law)
As a homeowner I am Impro·1Ing my home. a1d lhe :allow Ing cond,t1ons exIsT
I The work Is berng performed ~rior 10 sale
2 I have lived ,n my home lor Twelve rnon'h5
prior to cornpleloon of lh•s work I have not claimed lhIs e~em;i1,nn during t~e last three years
for t'h~: r!~~~t under Ser. _____ _ B & PC
0 I he,eby aH"m 111a1 I ha,e a cert,t,cate o' cons!"nt
to self ,nsure or a cer1,1,ca1e o' Worke<s
Gompensa1,on Insurance. or a cemr,ec1 COP\-lh!"renf
(Sec JOCO Labor Code1
POLICY NO
COMPANY
0 Copy ,s liled w,th The c,ty
0 Dert,f,ed copy ,s hereby fu<r-1shed
CERTIFICAH. OF EXl::.MPTION FROM
WORKERS COMPENSATIO"J INSURANC~
(This sec1,on need ~01 be completed ,t thp ;:<"mI• ,s to, one '1undred dollars ($1001 ur less,
0 I cert,ty t!1at In the per'orrnance cJf t>,e worl< ''"
.. h,a, this pem,,1 ,s ,ssued. I sha•I '101 em"lo, a,.,1 person ,n any manner so as lu t,,c>come sut:,,,.,' 1,,
The Worke,s Comp!"nsa1,on Laws o' Cal,1,:,,,-,,a
NOTICE TO APPLICANT It after ma~l"J rn,s Ce<'
t1ca.1e ol E,empt,or. yOL shou,d oecome '>ut,Ie, T ,-, !he Workers Gompensai,on prcms,ons ot the c_abc,r
Code. you musl •orir-,,.,,~ comply ,.,th s,,, r,
pro,Is,ons or th,s perm,\ sr>all be rlf'e"led ,e,o~ec
D I r>ereby a•tirr,, Iha! mere ,s d , c1rr5rru, • u"
Iend1ng dgency tor the pprt,;,r,1arce 0• •r,e ,."" ' wh,ch th,s perrr,t •~ -~~~ea ,S.:r_ l091 C" C'.XJe,
Lenders NdfT1e ___________ _
Lenders Address __________ _
. I . -·· -·--· -. ··---...... _ Ml"'l"'LIVMrt I IV t"ILL lrt lrtt"UHMAI IUl'II WI I HIN ::iHAUl::.U AREA AND DECLARATIONS
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
I JOB ADDRESS AV. ST.AD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE :t VALUATION -~RMIT NUMBER I /$88 .f(IG# £10/irlc 7A-/J'J4/(A ck... ,5-2.8-85 /✓ 2tJo ' ~ I 3 -:J?' I /,OT l BLOCK ~tVl$!0frll j ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE -ZONE I 20 L.Z::s: /T,,,,.; e t/2--I OWNER'S NAME I 1l3<t~85NE I St!JY/ '¢.lleLctU /lf1LAz2.o CONTRACTOR"$ AOORESS LICENSE NO PLAN 1.0. # BLDG USE CODE
I
OWNER'S MAILING ADDRESS I 4 . . 1 /888 /i-lG-1/1{/0G-t I CJJ.~l56fl0 f' Z.DC>8 OESIGNER LICENSE# STANDARD PLAN# BUILDING SQ FOOTAGE
I ;2Vo I DESCAIPTION'OF WORK p,4no Co~.a... OESIGNEA'S ADDAESS DESIGNER'S PHONE I : :~P ~-~~-... . -------L 'SJ( Lb / ' ' ~ LR ELEV NO OCC GP EDU
STORIES
I ,L; NO
I CE:NSUS TRACT I GP LANO USE I PAAKli\i(_, SPACE: RES UNITS l GRADING PERMll ISSUED I RE:OEVELOPMENT TYPE OCC LOAD FIRE $PR I A REA CONST
I •□ ' □ '~ ,□ YO r-.0 Not Valid Unless Mi1ch1ne Cert1l1ed
I i---Jf!-3 I QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT. ISSUE -SUMMARY/ACCOUNT NUMBER -I
: / INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00·00-8220 .;9.-0 -::..--EACH FIXTURE:. TRAP I ----I EACH BUILDING SFWER I OVER 100.D00 BTU SIGN PERMIT 01·00·00·8221 ----------+-·------------------·----·-----f-·--/?,'3,.L I EACH WATER HEATER AND OR VENT 1 BOILER·COMPRESSOR UP TO 3 HP PLAN CHFCK 01·00-00·8806 I -. ----·---r-EACH GAS SYSTEM 1 TO 4 UUTLE'TS 801LER·COMPRESSOR 3 IS HP TO"~AL PLUMBIIJG 01-00-00-8222 I ------·--+----------~~ ~---· ---·
I EACH GAS SYSIE.M ~ OR MOH[ MFU._ F1REPL.ACE ELECTRICAL 01·0D·OO·H'~ --·----.-----· ·-
I EACH INST Al ALTEn. RE:.PAIR WAT E.R PIPE *-___ I VE_N ~AN SIN~-OU~ / MECHANICAL .,....--..,_ --:;r:o:-:i-oo-s224_ --·----· -• l/7 /-I EACH VALUUM BREAKER I MECH EXHl--\oU~)?' Hu-< D ouc s .I M01 , } 01-00-00-8225 I
RELO_ff.?N-',.(JF EAFURri..llC Hffi~ """fiLEHO~ PARK 1\<'p I WATER SUf TNER .I ~ I f_.A:>, R(;U' j"-l,'.,!'J i 'J~l'_jf-,,f ./ , ,1/ IL,, I -I I ,_ ~
/SOA~ o 1-oo-oo-.B.22e I ---,_____l-
.I ;;;rr;rl I JI---' )@ ST~· 80·92-33-05'9 .. ~-0 ----
I --
d,~ LERS
~---lU!Al PILIMB1r-.C i -01-00-00-8227 I -I J-'!QTY. II -~ II --~~)
PUBLIC FACILITIES FEE --32-00-00-893] -QTY. ELECTRICAL PERMIT -ISSUE ---~-I I· BR_IQ_~_E FE~ -. ----I NE:W curi.sr EA AMP SWl bKR ·--CDilECT, S /Ill 'fl I /¥/ ./ " --: SCHOOL/EE· DISTRIC-:-I
I I PH l PH STCRAGE. fl 'Jk S I/ II A I--, I ",/ / \, ' Caribad
---
80-92-21-0519 .
I E:XIST l:HO[i tA AMP SWT BKR -----i RCCK STCR~ ..r/V I/ vv 41 --}lnc1n1!~-----. 80-92-22-0519 I 1,_ I / //,I --------· I PH I PU1/ P v I, V San fl1egu to 80-92-23·0519 I RE:MOnEL Al Tf~C RCUIT Ji At, CH~CK F~E -I v t,rY✓ v·-SanMa~ I 80-92-24·0519 -----------TEMP e..u-r-r 200 A'M'S !'-/ t:,?----11 --I ----------I j,..,,{'K1E_R ]lJU AMPS I / r.l LICENSE TAX 01-00-00-8162 ,1 iv I'-------------T[MP [l[CUPANCY 'JU DAYSI -C/ MFF 80-92-57-0519 . ------. -----------· ---,: I/ CREDIT DEPOSIT I I
I TfllAI Elf'LlRILAl ' !, I I
I 55
i1
re,-A SC·L ~~ TOTAL FEES PAYABLE ~1-I
' :..--I
' I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every perm,t issued by the Building Ofhc,al under the prov1s1ons of !his * AN OSHA PERMJT IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by hm1tation and become null and void If the bu1!d,ng or work 5· O"' DEEP AND DEMOLITION OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE !FA PERMIT IS authorized by such permit 1s not commenced within 180 days from the date ot such STRUCTURES OVER J STORIES IN HEIGHT I !$SUED· TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BU!LD!NG CON-:;r;::Jon~
1!1 t=~v ~~~
1
:Pte~~h:c:;~r:~tc°;~~:ZeJ~~~ .i~~~•~,s~:g~na~~ 0' I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~ / KEEP "ARMLESS THE Clfv OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~NTS SIGNATURE ¥ OWNE CONTRACTOR 0 APPROVED BY .......
IOA-E:lt/ef
I r I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!O CITY IN CONSEQUENCE OF THE :,,;;, hn , ~ BY PHONE 0
. GRANTING OF THIS PERMIT '.,,..,,.,____..,, _,, .N 'J'J L~
, ✓ ✓
TYPE DATE INSPECTOR ------·
BUILDING <8-~--~7'1s , ...
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
MASONRY
GUNITE OR GROUT INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL --
FLOOR & CEILING SUB FRAME SO•LS COMP'...IANCE -...
SHEATHING D ROOF D SHEiAR PRIOR TO
FOUNDATION :NSP FRAME ' EXTERIOR LATH
----L. _________ --------·-._ ' STRUCTURAi CONCRETE ·-OVER 2000 PSI ·. ----.
INSULATION PRESTRt::SSEO
•. CONCRETE . INTERIOR LATH & DRYWALL POST TENSIOr-.ED --.... . -
CONCRETE ' .
PLUMBING FIELD WELOINCi 1--.
SEWER AND BUCO □IPL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER ' -
Hl("",H STRENGTH .
BOL is
"-. • c;~'ECIAL MASONRY .. ..
--L ___ . ·-TUB AND SHOWER PAN \
GAS TEST P,;_ES CAISSONS
0 WATER HEATER D SOLAR WAil"ER L----
' -----
ELECTRICAL
D ELECTRIC UNDERGROUND D 9FFER . ---
ROUGH ELECTRIC , ---· ~------
D ELECTRIC SERVICE D TEMPORARY ------~----
D BONDING D POOL
MECHANICAL I . ---·· ---~ ----
D DUCT & PLEM., D REF. PIPINIG -
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS ' I I .
;
CALL FOR FINAL INSPECTION WHEN A
ITEMS ABOVE HA VE BEEN APP ,
FINAL I
PLUMBING .
ELECTRICAL I ..
MECHANICAL I
GAS I ' BUILDING I
SPECIAL CONDITIONS
--
~itp of ~arlsbab
REQUEST FOR INSPECTION RECORD
□ FOUNDATION □ FOOTING □ SLAB
□ REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
□ FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEAR
□ FRAME
D EXTERIOR LATH
D INSULATION (
ELECTRICAL
C TEMPORARY SERVICE
□ UFFER GROUND
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE 1~NAL
D FINAL / ".
□ INTERIOR LATH OR DRYWALL ~
.____ _ ___, vi.I------=----------'
PLUMBING
D UNDERGROUND PLUMBING
D SEWER AND PL/CO
□ TOP OUT PLUMBING
D TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
□ SOLAR WATER
D FINAL
MISCELLANEOUS
C CONDITIONED AIR SYSTEMS
□ SOLAR HEAT
~PATIO
C POOL □ SPA
C: SIGN
C GRADING
D DRIVEWAY
,)(_FINAL
---< ..--,~
SPECIAL INSTRUCTIONS L'.'.Zt""t?<--~ !fJ!24• :> -,, /
Ready For Inspection:
□ A.M. □ P.M.
D Tuesday □ Wednesday [J Thursday
;
,
□ Friday
,_ -, , ~~#~I( :· .~
PL.AN CHECK Ni,eER~. /Y-' Ao,sr ,#H/~ DATE~~
ZONE: PLANNING: TYPE OF STRUCTURE ~ . • -----
SCHOOL FEES: SAN DIEGUITO ______ _ ENCINITAS ______ _
CARLSBAD ______ _ SAN MARCOS ______ _
% COVERAGE. __________ _ REQUIRED SETBACKS. ___ _
BUILDING HEIGHT _________ _ FRONT _______ _
FENCES/WALLS __ --r-e----t--------SIDE. ________ _
TWO CAR GARAGE.-ll~f-/--1-------REAR. ________ _
P.F.F. ______ PARK IN LIEU ______________ _
R.O.W: IMPROVEMENTS: ______________ _
E.O.U:
SEWER:
LATERAL:
c:,: .... GRADING PERMIT: :z .... -.... > I-DRAINAGE: .... 73 ...
~-□ EASEMENTS:
0--c □ I-.... u c:,: ...,_ ~g.o 0 L&.I u ... OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED:
PUBLIC WORKS INSPECTOR:
FINAL OK: DATE:
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)