HomeMy WebLinkAbout1896 High Ridge Ave; ; 83-567-121; Permit~( L •/1/![
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~ I hereby ■!firm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full for~1.and.elf.oct. ·3 Lie No,ff{J(/,/ 2{/ (la11 _J ___ _
I hereby afform 1hat I am exempt lrom the Contrac
tor's L,cense law for the 1ollow1ng reason (Sec 7031 5
Business and Pro1ess,ons Code Any cIly or coun!y wh,ch re
quires a permit to construct. alter. improve. demolish or
repa,r any structure, prior to its issuance also requires !heap-
pl,canl tor such permit to 11Ie a sIqnea starement 1hal he ,s
l•censed pursuant 10 the prov,s,ons 01 !he conrractor s
License Law !Chapter 9 commencing with Section 7000 of
D1v1s,on 3 of the Business and Professions Code; or lhal ,sex empt therefrom and the basis 1or !he allegea exemptwn Any
v1ola11on of Sechon 7031.5 by an applicant for a per,n,t sutt-
rects the applocan1 to a CIVIi penalty of not more than 1,ve hun-
dred dollars ($;100)
I, as owner o1 the property, or my employees with wages
as their sole compensation, will do the work. and Ihe struc
lure 1s not intended or o!fered for sale (Sec 7044. Business
and Profession~ Code. The Contractor's License Law does
not apPly to an owner of property who builds or improves
1hereon and who does such work h1msel1 or 1hrough his own
employees, provided that such rmprovements are not rntend-
ed or offered for sale If. however_ the bmld1ng or improve-
ment Is sold within one year of comple!1on, the owner-builder
will have the burden of wovIng that he did not build or im-
prove tor the purpose or sale)
n I. as owner or the property_ am exclusively contracting
with licensed contracJOrs to construe! the pro,:Jc! (Sec 7044.
Busrness and P101ess1ons Code: The Contractor's License
law does no1 apply lo an owner of property who builds or im-
proves !hereon. and who contracts for each proiec!s with a
contractor(s) license pursuant to the Contractor's License Law)
LJ As a homeowner I am ,mprovrng my home. and the follow
ing condilions exist 1 The work Is being performed prior to sale 2 I have lived m my home !or twelve months
prior to comple!1on 01 this work
I have not ctaimed thrs exemption during lhe las! three years
0 lamexemptunderSec ______ ,B&PC
for this reason
f'lll1 hereby athrm that I ha•e a cer11t1ca1e ot consent i'o · self-msure, or a cer11!,cate of Worke,s
Compensatmn Insurance. or a cert,!1ed cop~ thereof
(Sec 3800. Labor COCleJ
eoucrno ::) -19-l(}f'Gt'70'i-33 / . I
COMPANY h'r'('l"">'"Ol1 :5 h-<rd
~CODY ,s !<led w11h !he crly ,
D een,l,ed copy 1s hereby furnished
CERTIFICAH OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE;
(This se.;t,on need no1 be completed 1! lhe perm,i
1s tor one hundred 0011a,s ($1001 a, 1ess1
D I cen1fy that ,n the performance ol the ,..orl< tor which this perm11 ,s ,ssuffi. I shall no1 employ any
person ,n any manner so as to becomf> sub1ect tu !he Wor1<ers· Compensa11on Laws of Cal1forn1a
NOTICE TO APPLICANT II_ alter mak1n~ th,s Cert, l1Ca1e of E,empt1on, you should become sub1ec1 ,,,
the Wonte,s· Compensatoon provisions ol the Labor
Code. you mus! lor1h.,.11h comply w,th such p,ov,s,ons or th,s perm,1 shall be deemed ,e,oKed
D I hereby af111m thal the•e ,s a cor,<1ruct,on
1end1ng .tgency lor th<> perto,mance u' the wor~ to,
which th•s pe,m,t •~ ,ssued ,S,,1 3097 (;,,-, CO<Je,
Lenders Name ___________ _
Lenders Address __________ _
'
Ml"'l"'Ll\.,Mr.l I IV l'"ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
;;;~ESS J/1-dh ,e-;..1,, /ZA"_STRO NEAAE$T~ST.· · [;)A TE OF" APPLJCA TION eus1NE#e # VALUATION PERMIT NUMBER
l e'r ;'~;· ~ ,. .-eu f-s-: .g-,f{f S'J /c}/ 55;;:J
13.T, BLOCK 1 $U801V15_J°K'.' 'I ASSESSORPARC:}J,c ~ CONT Fl ACTOR CONTRACTORS PHONE# ZONE :-1}-Sl?-;..2/ 74-,• · _ .... ,;Jo?-~ -0. -~ · ) I ',;? // /1,. -¼'-< -dief /) Ft";m ,,,_;d LJ.-;s,;.., OWNER'S PHONE
. ,t/,/,?-~P() CONTRACTOR'S ADDFIESS ' ~ . . LICENSE KO. PLAN 1.0. # BLDG USE CODE
,/~ /l✓ r;,// -~ ]').-; # ..:iLr #.Bo OWNER'S MAICtNG.AOoAesS' -.. ' -' . * -' .. ' ...
,/-/J ,T, +' . h;;·#-uc .--s ,, tJJ q,,;v,,-, DESIGNER LICENSE # STAN DARO PLAN# BUILDING SO. FOOTAGE
# *" '"' .:; d:wi /il;,,-_,._,;c:,_,,;if/n /4-sdc,; ~-._:,, p::;i3c; OE~ tt-l'_ION. '!L-,#ff-ij.~\, .~; S;, f. .I~,,...,-·:I //. !'C. . ' ;,"J,,.,, If, • .,, ' ''r .. ,, ' uc~GNER'S A,DORESS ·+ Nit,.Jfo,f:1:JJ OE~l,GN~~S PHONE --::-¾ . . . ,v,.-.' .·." -~ -,12.~r · }!£ · ·· ?rl/ '197~/ . ' ~·,-1-.·',.•··., \.·.~: J/r· -~ . (,r ~ Y
i '. ' NO EDU
~vJJ, •~··.;;d.J/;;t,:•:• ;/it;~; t~ ' . . ~:1 '" FLK-...t::LEV OCC GP
·" ... STORIES
.r w ½ '+ ~, • •• ••'• .•s: vO NO
CENSUS TRACT GP LAND USE ! PARKING SPACE RES UNITs° GRADING PERMIT ISSUED l REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
vO ND YO NO vO NO Not Valid Unlesr ~chine Certified
QTY. PLUMBING PERMIT. ISSUE 7.=o ,-' QTY. MECHANICAL PERMIT· ISSUE ,3 00 SUMMARY/ACCOUNT NUMBER
/4 EACH FIXTURE TRAP "'l',./JG, INSTALL FURN DUCTS iJP TO 100,000 BTU Li. J77} BUILDING PERMIT 01 ·00-00-8220 4.Jl,r. r_J"t_j
I EA{H"BUJLOING SEWER L..-tJ OVER 100,000 BTU . SIGN PERMIT 01-00-00-8221
i 1--------~--------------JiT-:xY -EACH WATER HEATER ANO,OR VENT '1. <;b BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
-
I EACH GAS SYSTEM I TO 4 OUTLETS _____ +----~. 'ff) BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 __ _pj,_.07>__ -----
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00-8223 2ro, ~
EACH INSTAI,.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 -, bn --------------------·-
EACH VACUUM BREAKER MECH EXHAUST HOOOiOUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORAIN !INSIDE) SOLAR _____ 01:00~2::in
·-·,,. ---TOHi.l MECHANICAL STRONG MOTION 80-92-33-0519 ~ ____ 3_1_ .:>I_ --·-'---7 vv --------' ---
TOI Al PLUM81NG I ,<i/ cX> FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT· ISSUE 5. t:JO QTY. SOLAR -ISSUE .n PUBLIC FACILITIES FEE 32-00 00-8933 "i/J'L rl)
BRIDGE FEE
NEW CONST EA AMP SWT !:!KR 1rJJ) n -2Ci7V COLLECTORS fJj / SCHOOL FEE -DISTRICT ----
I PH 3 PH STORAGE TANKS 11}1 { / Carlsbad 80-92-21·0519
EXIST BLOG EA AMP.1SWT·BKR ROCK STORAGE n .r I "' l(v Encinitas 80-92-22-0519 --I PH 3 PH PUMP HJ' 1/1 • /" San 01eguito 80-92-23-0519
REMODEl'ALHR PER CIRCUIT PLAN CHECK FEE JV fV J\ I San Marcos 80-92-24-0519
TEMP PHLE 200 AMPS ' 1 .,
o"vE R 200 AMPS -• LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY fJD DAYSI rnFF IP I..C}O 6f1J' vv
CREDIT DEPOSIT
TOTAL ELECIRICAl I 30(JD TOTA[ SOI AR TOTAL FEES PAYABLE I ,?;9~ _!fj.
t HAVE CAREFULLY ~exAMrN°EO n-fE:' c'OMP"t.ST~7'A't?PLICA TlQN ~ERJajf,:_ AtfJ) fu ff,ERe_Eiv' ; ' -.JtihiifiotL~per~~ued by 1ne BuifoingOH,iciaf uridel' _lhe provisions-of this * AN O&~r:z:: IS REOOIREO FOR EXCAVATIONS OYE.fl CERTIFY UNDER PENALTY OF 'PE~URY THAT All 'INFOOMATit»if HEREON"lNCLUOfNG fHE. _Code ~t•xptre by l1fn:it~1t0n and become rn,ll ~ void It the buUdmg or work 5' O"' DEEP DEMOUTION OR CONSTRUcTION OF DECLAAA TIONS ARE TRUE ANq cdRREC'(AND i-Fl.lf\THEft,OEf\TIFf ANO AGfiEE IF A-Pl;RMIT IS, au~iZed ~y such P_en.nit is not commenc9:"-w1tnm 180 days from fhe date df such ST _7 ___ OY_ER 3 STORlES IN HEKiHT ;/ , , , , per.om, o, 1f the ~ or work authOfWKl by such permll is $U~ndea or ISSUED: TO CQMP,L)' WtTH AL/.. {41"(, C-PqNTY A~Q ~TA{,&iA,WS G@\!,ER~!NGJM)ILOlNG Cot! at an.v, tiffl8, ter the work is.commenced for a """riod of 1=
STAUCTION, WHETHER SPECIFIED liEJlElJ\l,(}f> NOT-·.1,Al.$p,~G~JO st,VE..1NllEMN1FY Atj(} · ~•~GNAT~ lo ?'ffe, ~ •~ APPROVED ~A 11rftJ-,K!;EP ,HABMLE~a THl; QUY J'.)F ,,91':&-SE\..\P'~INST f\t.-1;., LIUiUTi~Jµ'()C)MEN;'fs, 'GC)S'(S AND ~ ,'a_ , ~ , ?Y'NER CONTRA Ci OR
EXPEN:,ESWHICltMAY•IN11'(Y~A£~~~'!6il!-<>ff't, ~QF-THE, ~: · · · • /7-; (.,,b PHONE 0 -G8AN~.ot="TroSP.EfjMJT_., '..,,·:.c0;_':~, ',_,, ,' ,', _,-z',.>",-,, ,, , '.-1 ..,./ _ _, ~ .,,,, L'-J -, .
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TYPE I
' DATE INSPECTOR ~~ ~, ~ I ;;)...1
BUILDING I
FOUNDATION I ~ ~F";r ,' /Y• ~·--J FIELD INSPECTION RECORD
REINFORCED STEEL L'-'.I Q /-,) ~-,, 1/ ,) f ., REQUIRED SPECIAL INSPECTIONS v I V INSPECTOR'S NOTES MASONRY
GUNITE OR GROUT v;,.7.0d INSPECTION REQ IF INSPECTORS DATE ' CHECKED APPROVAL
FLOOR & CEILING SUB FRAME ' -. / SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR (():l2al'.1 "'>I_,,,_ PRIOR TO
FRAME l \, \, c,a
(l:1?11.~
__.FOUNDATION INSP
; STRUCTURAL CONCRETE EXTERIOR LATH 1 ~ OVER 2000 PSI
INSULATION \\· '6 .~ -/ "1P PRESTRESSED .
CONCRETE INTERIOR LATH & DRYWALL , / ,,-'I: -. \ I <:£'.I ~,
POST TENSIONED
I /? CONCRETE
. PLUMBING I / FIELD WELDING
SEWER AND BUCO DIPUCO ' -,,., (I ... HIGH STRENGTH I ... /'\I~ I
UNDERGROUND D WASTE D \fiATE!i' f If V BOL fs
TOP OUT D WASTE D WATER ~ ~PECIAL MASONRY -
TUB AND SHOWER PAN : / -•
GAS TEST I /. PILES CA!SSONS
D WATER HEATER D SOLAR WATER
;
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC \\,\A.A ~ -_,I<~-~~
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
' '
MECHANICAL I ~ D DUCT & PLEM., D REF. PIPl114G \ ·f •2':L
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT:iN WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I / / .
PLUMBING I ,/ / I
ELECTRICAL I '/) /.
MECHANICAL I \ \ J ,J,,--, / v,
GAS I /\ \ ( V fV I
BUILDING I I II JiV I
SPECIAL CONDITIONS \ ' ' I .· I I
THIS IS TO CERnn THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULAnONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE
Bun.DING LOCATED AT:
SITE ADDRESS: /jJ/9 Number
EXTERIOR WALLS
Manufacturer~10-sn,Lt'1 Thickneaa/TypeJ¼,,, R/Value /;--(/
CEILINGS ~--...,,,,,, /A /7 /c_-3,o 8hw: ,~ -~d u
Batta: Manufacturer 'Jr?4-~ Thickness / 0 11 R/Value /430
GENERAL CONTRACTOR: ____________ LIC,# ______ _
BY. __________ TITLE. ____ _;DATE ______ _
INSULATION CONTRACTOR: WESTERN INSULATION LIC.# 290497
BY> S?L4a
0
'/7o/ O,,..µ,,,-UTLE , s;<d ✓ CJ DATE _c:t ..... ,/4 .... s...._/ ___ J,s: __ _
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:
EXISTING BUILDING
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLAT/ON DATE ______ _
SE
ISSUED BY __________________ _
DATE ISSUED ------------------
VALIDATION
l
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 FEE
NO. UNITS ___ COST PER UNIT ____ TOTAL----
PUMP STATION FEES
NO. UNITS ___ COST PER UN/T ____ TOTAL __ _
TOTAL CHARGES (LATERAL ETC.)_-"----------
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter