HomeMy WebLinkAbout1889 High Ridge Ave; ; 83-567-60; Permit5~[
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{2) I hereby atllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Olvls1on 3 of the Business
and Professions Code, and my license is 1n
full fore, J!fld. ttff~. -;2.
lie No ·/,J '-.,,;:>C1a,1 L_.L~--
I hereby af1,rm lhat I am exempt 1roM the Co~nac-
tor s License law lor the 10·IowI~~ reason (Sec 7031 5
Business and Professions Code Any city 8r counly wh ch re quires a perm,1 lo construct. ate-,mprove, demolish. or
repa,r any structure. prior to ,ts ssuance dlso '€Quires !he dP
P'lcant for such oorm11 lo tile a sIqned statement that he ,~
I,censed pursuant to lhe prov,sIons of The Gon1rac1or s
Lrrnnse Law (Chapter 9 commenc,ng with Sect,on 7000 o1
D1v,s,on 3 ot the Business and Professions Code) or that ,sex
empt therelrom and The basis for lhe alleged exemption Any
,-0IatIon of Sect,on 7031.5 by an appl1canl for a permit ScJb
1ects the applicant to a c,v,I penal:y of not more than five hu~
dred dollars ($500\
I. as owner of the properly, or my employees with wages
as 1he,r sole compensat,on. w,I1 do the work. and the sl<uc-
ture 1s not intended or of1ered for sale (Sec 7044, Busmess
and Pro1ess1ons Cocte The Contractor's License Law does
not apply to an owner of property who builds or improves
1hereon and who does such work hImsel1 or through his own employees, provided tha1 such improvements am not InteM-
ed or of1ered !or sale II, however, 1he bu,lding or improve·
men! 1s sold w1th1n one year of completion. the owner-builder
will have the burden of proving that he did no! build or ,m.
prove !or the purpose at sale)
U I .. as owner ot the property, am exclusively contracting
with licensed contractors to construct the pro1ect (Sec 7044,
Business and Professions Cocte The Contractor's License Law does not apply 10 an owner ol property who builds or ,m-proves thereon, and who contracts for each pro1ects with a
contrac1or(s) license pursuan1 to 1he Contractor's License
U.w)
□ As a homeowner I am improving my home. ,md the 1ollow
ing conditions exist· 1. The work Is being per1ormed prior to sale
2 I have li\1€!,l in my home for twelve months
prior to completion of 1his work
I have not claimed this exemption during the
last three years
□ lamexemptunderSec ______ ,B&P.C
for this reason
~ I hereby at!1rm Iha! I have a cert,t,cate of consent
lo sell ,nsure. or a cem!,ca!e o1 Workers
Compensation Insurance. o, a cert,fied copy 1he•eot
jSec 3800. Labo< Code)
POLICY NO cf)/'7w_JP ~,/ 921../;,,_3 I
coMPANY F; re /?"'?-VI s. H,( 17 d'
18[' Copy ,s toled 'w,th the c,ty
0 Ger11l1ed copy ,s hereby turn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,1
,s tor one hundred dollars ($1001 or less)
0 I cer11fy !hat ,n the performance o! the wor11 fo,
wh,ch 1h1s permit ,s ,ssued. I shall r>ol employ any
pe1son ,n any manner so as to become subJe(t tu
the Wor11ers· Compensation Laws ot Calo!orn,a
NOTICE TO APPLlCANT I!, alter makm;i ltiIs Cert,
!1cate ot E~empt,on, you should become sub1ect l'J
the Worke,s · Compensation pro~,s,ons of the Labor
Code you mus1 lorth""·,th comply w,th such
prov1s,ons o, !h,s permit shall be deemed revo~eo
0 I hereby afl,rm that there ,,; a :oristru, t,o,,
Iend,ng agency tor lti!" peno,mante ,,t the wo,,. to,
wh,ch lh,s pe,m,t ,s ,,;sued 1Sec !091 C.,,: Cod!"I
lender<; Name ___________ _
Len<rer s Address __________ _
U!)t tsALL l'UIIII rtll UIILT & l'Nt!)!) nANU
CARLSBAD BUILDING DEPARTMENT
1200 Elm, <;;a~lsbad, California 92008-198~619) 438-5525
CENSUS TRACT GP LANO USE
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAI.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN I INSIDE!
TOTAL PLUMBING
QTY.I ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP/SWHJKR If),
!PH 3 PH
EXIST BLOG EA AMP/SWT.'BKR
1 PH 3 PH
REMOOEL'ALHR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY IJO DAYS)
TOTAL ELECTRICAL
NEAREST CROSS ST.
/4;
YO ~ □
YO NO
REDEVELOPMENT
AREA
,□
MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
-+----~4------t!~-ILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT ··---
MECH EXHAUST -HOOQ10UCTS
RELOCATION OF EA FURNACE/HEATER
TOT.C.L MECHANICAL
r) QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOT AL SOLAR
J-\t"l""Ll\.,J-\rt I I U r"ILL lrt lrtr"Ut1MJ-\ 1 IUrt WI I n1rt ;,nl-\UCLI An CJ-\ J-\nllLI LIC\.,LJ-\nl-\ I IUrt;:t;.
APPLICATION & PERMIT
..f:prJ ,,...
z_
-
BUSINESS UCENSE # PERMIT NUMBER
5-9,3;/ ~~-1.. 1' l,o
PLAN 1.0 . .it BLDG USE CODE
STANDARD PLAN# BUILDlrrrr
>0 N Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION --
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Die-9.uito
San Marcos
01 ·00·00·8220
01-00-00·8221
01·00-00·8806
01-00-00-8222 -----
-
01-00·00·8223 I -,, ~ -I rr~ 01·00·00·8224
01·00-00-8225
__ _Q1-00-UlHll/b I / '2Z:71
80-92·33·0519
01-00-00-8227
32-00-00-8933 "2-"1 -
80·92·21·0519
80-92·22·0519
80-92-23·0519
80-92·24·0519
LICENSE TAX 01·00-00-8162 -'() --
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TYPE : DATE INSPFCTOR
BUILDING 1
FOUNDATION 'TT' 1 //-)7do/ £/-(
REINFORCED STEEL : -' ---
MASONRY I ---"------· ----------l
GUNITE OR GROUT 1 ----+--------
FLOOR & CEILIN.GSUB FRAME ~-____ -------+----__ _
SHEATHING I u_:-0 SHF.AR ----+------------t----------,
FRAME C, ,
EXTERIOR LATH : -
INSULATION 1
INTERIOR LATH & DRYWALL ,
I
' PLUMBING I
SEWER AND BUCO □IPL/CO , , 11, I cY •
UNDERGROUND D WASTE Cl VJATEFY It ~ ----t-----+---------j
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN ,
GAS TEST '
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D 1UFFER
ROUGH ELECTRIC , ,
D ELECTRIC SERVICE D TEMPdRARY
D BONDING D POOL '
' ~ I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS 1
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VF=. BEEN APPROVED
FINAL I
PLUMBING I
ELECTRICAL :
MECHANICAL I
GAS I
BUILDING I
I
SPECIAL CONDITIONS I
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPEC1 IONS
-
INSPECTION REO IF: INSPE::CTOR·s
CHECKED APPHOVAL
~ --
SOILS CDMPI_IANU
l"'HIOR TO
rOUNDArlON INSP
----------------
STRUCl URAL CONCRETE
OVER 2000 ~'SI
~'flESTRfSSEO
CONCREl E ~-----------POST TENSIONED
CONCRETE r------
Flf:L,D WELDING
------HIGH STRENGTH ~· -·--
BOLTS ~ ..
Sl'[CIAL MASON11Y
------
F'll E:S CAISSOr-.::-:
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INSPECTOR'S NOTES -&,.;.:-= \ ----==
DATE 1 -lt ~..to L<itaL _R;,{2._~~~~il~ll:~-
. -------· ·-----.-·---· -·------___ _,_______~ . -_, -~ .
-----
---·
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·-----------.. -.. -------_ .. .. .. ------
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-.. -•
CITY OF CARLSBAD LOT # t: t::J
• INSPECTION RECORD
ADDRESS: /lf1 ~ 4
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR () CEILING
SHEATHING () ROOF () SHEAR
EXTERIOR LATH fL-/ ?-2:6°7f
INTERIOR LATH & DRYWALL ~
FINAL ___________ _
PLUMBING
( ) SEWER & BL/CO ( PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
( ) WATER HEATER ( ) SOLAR WATER
FINAL. ___________ _
ELECTRICAL
ELECTRIC UNDERGROUND () UFFER
BONDING ( ) POOL
FINAL ___________ _
MECHANICAL
<.tt:PRCT & PLEM., ( ) REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS ~==.::.:=~.:.::.=.::::..-------' FINAL ___________ _
COMPLETE BUILDING !/:NAL f ;r
DATE: -11-.s
CLEARED WITH GAS AND ELECTRIC
DATE: _______ _
NOTES ON REVERSE SIDE ••...•
1/
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENG INEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
,
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLATION DATE---------4
SE 5
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. ___ @1---__ FT. _________ _
OVER 10' V. @ FT. _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ __c
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
FRONTAGE ---~COST PER FT. __ _
OTHER __________________ _
CONNECTION FEE, Jj
-:c -IOtl
NO. UNITS ___ COST PER UNIT---TOTAL-'-
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL--
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
THIS IS TO CERTIFY THAT INSUI :",TION EAS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITI..E 25, STATE OF CALIFORNI/_, IN THE
BUILDING LOc.ATED AT:
SITE ADDRESS: / g S"°/
Number
EXTERIOR WALLS
Manufacturer---";:J_-..... J ........... QJ~,.___Thickness/Typ01/z_
11
R/ValueQ2-/ /
CEILINGS
Batts: Manufacturer v/ [YJ Thickness/ Q II R/Value??· 30
GENERAL CONTRACTOR: LIC.# -------------------
BY ___________ TITLE _____ DATE _______ _
INSULATION CONTRACTOR: APOLLO INSULAT ION LIC.# :?.B6015
BY-,;Ju£ /?Jm?4 --------
TITLE~-1_ DATE 3-,;;2._7-8 <