HomeMy WebLinkAbout1904 High Ridge Ave; ; 83-567-122; Permit~') s;Jf[
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~ I hereby affirm that I am llcensed under
piov1111ons ol Chapter 9 (commencmg with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full forc,e ,.a,!l.d,~f~t-_, ,A
L,c No ¥1.L:t:L:.J..L! C1as1 -.,~~--
I hereby affirm thal I am e~empt trom the Conlrac-
!Of"s L,cense Law 1or the 1ollow1ng reason !Sec 7031 J
Business and Professions COde Any c,ly or county which re-quires a perm,t lo consnuct. alter, ,mprove. Oernol•sh, or
repa1r any structure, pnor to ,ts ,ssuance also requ,res !heap-
plicant for such perm,1 to hie a s,~ned statemenl That he 1s
licensed pursuant to the provIsIons ot the Lomracrnr s
L,cense Law (Chapter 9 commencing with Sect,on 7000 of
o,v,s,on 3 of the Business aM Professions Godei or that ,sex-
empt therefrom and the bas,s for !he alleged e~emp1rnn Any
vI0Ia11on of Section 7031.5 by an applIcanl for a permit sub
Iects lhe applicant to a civil penalty or not more 1han five hun
dred dollars ($500)
J I, as owner o1 the property, or my employees with waQes
as their sole compensahon. will do the work and The struc-
ture ,snot intended or otfered for sale (Sec 7044 Business
aM Professions Code The Contractor's License Law does not apply to an owner 01 property who builds or improves
thereon and who does such work himself or throuQh his own
employees. provided 1hat such ImprO'lements are no1 intend-
ed or of1ered for sale. 11. however. the building or improve-
men! Is sold within one year o1 completion, the owner-builder
will have the burden ot proving thal he did not build or im-
prove for the purpose ot sale)
[J I. as owner of the property. am exclusively contractlnQ w1th licensed contractors to construct the proIect (Sec 7044,
Business and Profess,ons Code. The Contractor's License
Law does not apply to an owner of properly who builds or Im-
pnwes !hereon_, and who contracts !or each proiec1s with a
contractor(s) license pursuant to the Contractor's License Law)
0 As a homeowner I am ImprovIng my home, and the tollow-
ing cond11lons exist 1 The work is being performed prior to sale 2 I have lived In my home for !welve months
prior to completion o11his work
I have not claimed 1h1s exemption during the
last three years
□ I am exempt under Sec ______ . B & P C
for 1his reason
"Fl'1 hereby al!,rm tha1 ! ha~e a ceri,f,cate of consen! iti' sel!-,nsure. or a cer111,cate of Worke,s
Compensa!,on Insurance. or a ce'11f1ed copy !hereo1
(Sec 3800. Labor Code)
POUONO _;)-/9-().}fi6/q(u/3_1 f
coMPANv ~1·,-e Mc.n 5 Fund
c;i:COpy IS filed .... ,th the c,ty
0 Ce'11l1ed copy ,s heretiy furnished
CERTIFICATl OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(Th,s section neeC no! be comple!ed o1 the perm,t ,s tor one hundred dollars ($1001 or IessI
O I ceri,ty !hat ,n the pertorma.nce o1 the worl< tor
which th,s permit Is ,ssued. I shall nol employ any
person In any manner so as to become subIecl to
1he won..e,s· COmpensa1,on Laws ol CaI,!om,a
NOTICE TO APPLICANT If. atte, ma.k1r1;i th,s Cert,
locate o! Exemption, you should become subIect 1•,
the Workers· C0mpensa1,on prov,s,ons ot 1he Lilbor
Code. you mus! forth..-1th comp•~ ..-llh such
prov,s,ons or this perm,t shall be deemed revoked
D I hereby at!,rm ma! !here 15 a cori<trucI,on
Iend,ng agency lor th<' perlormance 01 ihe ..-on< tor
which th,s perm,! ,s ,ssued 1Sec 3097 C,-1I COO<>I
lenders Name ___________ _
Lender's Address __________ _
v,n ... "LL. v,,., I LI• v••L• .. I nL~ .. """"
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 1619) 43~·5§~
JOBAD(>;y,RE JI, t ,,-_ -_ -R:~-------,J;.T.RO. NEARESTCl<OSSST. -_-.-----•
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OWNER'S NAME ✓ •• ~ ·:, ": • : '~ .-'; I OWNER'SPMn&aF .'1 ,./ (9,.J~,r'k:;; n Jol,,'-J /~__)eU,
, , .,..,.,, , .,1-..,, .._ ., .. ,._ ·~flAt;TOR·!i-., /'""'r5 _,a-. ___ --IL-v....,_,, F 1 OJ 4& 'rl/Js:.)a::, 11"&3~¾';;,-J_:;' -.-: ~= ---,_ 1+
owNeais MA•UNG AOoa•ss -. ---· . -, -------, ------• WY~ndb---..;;ip
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CENSUS TRACT GRADING PERMIT ISSUED TYPE
BUSINESS LICENSE # VALUATION
<93'(/ _L}_-;"', t, ..--P ,P
~jo~;~ ZONE
l.JCENSENO: PLAN 1.0.-#
,,~,,//d_O
LICENSE# STANDARD PLAN#
I
ace LOAD
PERMIT NUMBER
jg} -S {d/J -Id,;>
BLDG USE CODE
BUILDING sa. FOOTAGE
1 , CANous> l<22G;:;CC RES/N"S I
YON □ l REDEVELOPMENT
AREA
vO ...._rs( co'(J ju FIRE SPR
>0 NS!( Not Valid Unless Machine Certified , ,
QTY.I PLUMBING PERMIT -ISSUE 1 7. 5D II QTY.I MECHANICAL PERMIT -ISSUE I 3, (7() SUMMARY/ACCOUNT NUMBER
I /~ EACH FIXTURE TRAP I ,=,,7 ,,7.t, INSTALL FURN. DUCTS UP TO 100.000 BTU li. (Jh BUILDING PERMIT 01·00-00-8220 L/~,, VV L i EACH BUILDING SEWER I L. i:.., -C f------_ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
/ EACH WATER HEATER ANO,-OR VENT j "2:.:')--z: BOILER/COMPRESSOR UP TO 3 HP • PLAN CHECK 01-00-00-8806 ;JA/?/} t:/)
l EACH GAS SYSTEM 1 TO 4 OUTLETS ·----r--· /:,.S-4-j so I LER/COMPR ESSO R 3-1 S HP ___ ~--TOTAL PLUMBING 01 ·00·00·~3._? _ _ ---------1-li~-~
METAL FIREPLACE ELECTRICAL 01·00·00·8223 3D •-biJ
QTY.
EACH GAS SYSTEMS OR MORE
EACH INSTA~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF [)RAIN (INSIDE)
TOTAL PLUMBING I
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP.'SWT BKR ~
I PH 3 PH
LJ.9 (ft)
5. 00 II QTY.
.?~--: 01)
VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ] , 0-V I
MECH EXHAUST HOOD/DUCTS ---I MOBILEHOME 01-00-00-8225
RELOCATION OF EA FURNACE/HEATER
ftiTM MECHANICAL '7@
SOLAR -ISSUE
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
01·00-00-8226 t ~
--80-92-33-0519 _ -----J____ ,;t(., _
01-00-00-8227 I PUBLIC FACIL1ms FEE 32-00-00-8933 I ;,)Q,Jt./. ot)
BRIDGE FEE
COLLECTORS I II SCHOOL FEE -DISTRICT
STORAGE TANKS t\ I II Carlsbad 80-92-21-0519
1 1 fXIST BLDG EA AMPiSWT.'BKR ROCK STORAGE /} J Encinitas 80-92-22-0519 I 11
I I 1 PH 3 PH PUMP .. YJ . j San Diegu1to 80-92-23-0519 1
REMOOEL·ALTt:R PERCIRCUIT PLANCHECKFEE /I( ;,._ • \ . .) SanMarcos 80-92-24-0519 I 11
I I TEMPPOLE 200AMPS (\o/v ~ . V /'J -'
I I OVER/OOAMPS • l l'V' \'\ ~ '\,.
TEMP OCCUPANCY !30 DAYS) \) \ \ -J"
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:I inTALELEITRIIAL
1
1f 0011 1 TOTAl SOLAR
LICENSE TAX 01-00-00-8162
mFl= ,0) ~<J(J
CREDIT DEPOSIT
TOTAL FEES PAYABLE I
/.= ""' ~-"-,:
,3t/9,f. 3-
l . "" , ~ t , • :;t • 'SL ,,
1 HAVE,CAREFutLY EXAWNEO Tt-iE COMPLETED ;·A,PPUC:AJlot-4 Afil:0. l?Etufifh Al'ffi'Bo}l£J
CERTiFY UNDER PENAl,.T)''OF ,PERJURY THAT All INFdBMAf1QN~ffE,9EQN' i,,ietumNi§:
DECLARATIONS ARE lRUE ANO):OOAECT AND I FUR'l'HER,Ctt:rttt=i' kE>'Afi&JE~P
ISSUEG:· 1'0 COMPl.Y WffH A~TY.-COUNTY AI\JD-STATE,'.,LAW$~~lNG-BUlLbtl
STAUCTION.,WHi;THEA SPE<,jFIEO !1EAl;lf.l OR b,iOT: I ALSO'A~flEE
:v,~l~~thft iUued by tttfBuUdiltgOffic1a1 urld~-;hti"ptov1Si011&'of1h1s'
.._ expjAJ~ am:lt>eCOl1\ft1JUlf-'alttt-void: If tire builPing,or~ ~'.ed by«ri;h-p&ffl!ilis no! commented within 180 days from the date of such
Ot if 1'e' bwkfiM or wont auttiociZed by S!.ICh permit i~ s1,15peoded or • ~ •• -ec...-YJLtnework◄~for,~od of 180,<ia)I!;.
I * AN ~ll IS flEOUIAED FOR EXCAVATtONS OVER 5''0" OEIIOUTK>N OR CONSTRUCTION OF _,
STRUC , OV£R 3 STOAtES IN HEIGHT
,KEE-P-tJARMl.ESS THE y\+¥,,..QF" ,CA.l,JLSBAO«AGA,tNST :.(LL l'j!A.BJUTI
EXPEt-¢ES V',!Hfy~ ~A'(,. tN-,'A~t,W~'<' ~~tfE AiiAJ!"?ks,A~: Gq;
! -_GRAN-~ ?F,fiOS-~Rfil!l:L '" q,A, ~ , ~ 1 ;,,,,,, ' ,' ➔' , ,, ;, 4 1 :,, \, \
'~-_-•. ~'fe.g;J,y 7K -_ ()WNER~ CONTRACT~•
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APPAOVEO BY(....J.-~h~
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TYPE DATE INSPECTOR ..
BUILDING ' . 8 3 -'51;, t -I ~.:)_ •.
FOUNDATION , 1/-,.2 .,-_. "" 0(' FIELD INSPECTION RECORD
REINFORCED STEEL ,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ,
INSPECTION REQ IF INSPECTORS DATE GUNITE OR GROUT ' CHECKED APPROVAL
FLOOR & CEILING SUB FRAME i
' SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO , lt-,.J?B4!'_. y-n FOUNDATION INSP FRAME i
EXTERIOR LATH I -STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTAESSED
' CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I A FIELD WELDING
SEWER AND BUCO 9!!PUCO ,
17 u; "· fl) HIGH STRENGTH I , .
UNDERGROUND JI! WASTE D WATER I'! '" , , V' BOLTS
TOP OUT D WASTE D WATER •l!).,O~ ~ SPECIAL MASONRY
TUB AND SHOWER PAN ; /
GAS TEST I ~
PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
' ,
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I '"''n •j! I
□ ELECTRIC SERVICE □ TEMPOPIARY
□ BONDING □ POOL I ,
MECHANICAL I /
~~ □ DUCT & PLEM., □ REF. PIPING ICJ·i•e-
HEAT -AIR COND. SYSTEMS I ..
'
VENTILATING SYSTEMS I '.
I
CALL FOR FINAL /NSPECT/'JN WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED.
FINAL I •
PLUMBING ' ,, .. ,
' '
ELECTRICAL ' -I
I 'lf .
MECHANICAL I ...1 \
GAS ' ,,. .r/ l) I
BUILDING '
, vv \
SPECIAL CONDITIONS ' ' I V I
THIS IS TO CERnFY THAT INSULATION HAS BEEN INSTALLED IN
CONFOBMANCE WITH THE CURRENT ENERGY REGULAnONS, CALIFORNIA
ADMINISTRATIVE CODE, TI'n.E 25, STATE OF CALIFORNIA, IN THE
Bun.DING LOC'ATED AT_:
SITE ADDRESS: / CJolf
Number
EXTERIOR WALLS
Manufacturer~111natt', Thickneaa/TypeJ/6 N R/Value /;--//
CEILINGS .A/
8hw: 'm~ Batta: Manufacturer )YJ4-ar,
lb// f2-3o
Thickneaa / 0 I/ R/Value £ '36
GENERAL CONTRACTOR: _________ ___,LIC,# ________ _
BY __________ T.I'n.E. ____ ....:DATE ______ _
INSULATION CONTRACTOR: WESTERN INSULATION LIC,#_...;;2a.:a9 .. 0_49'-'7---__ _
BY :dua. '4 0 ..... «e-U'n.E , s;<d < C1 DATE _.;t_...,/4:..:..s,_/.1..""'~'----
......... ,. __________________ _