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HomeMy WebLinkAbout1904 HIGH RIDGE AVE; ; 85-259; Permit"' z 0 ;:: .. a: .. ~ u "' 0 "' I[ 0 u "' "' 0 ~ 3 !!! "' "' z 3 0 z 0 ;:: .. "' z "' .. ,. 0 u "' "' "' " a: 0 3 L ![ D I hereby affirm that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 1s 1n full force and effect Lie No _____ _ ~lacs I hereby aflnm tnat I arr exe~JT frons the t0r's License Law •or rre lol ow,n;J ·eason 1sec Business and Profess'Jns Coce An1 c,ry c· co,et·1 re quires a pe·rr,t ·o c0os:rucl 2lter ,~i;ro-,e cemc ,,1. c, ·epa,r any strucru;e :r or tJ ,ts ,ssJar·;e also ·ec,;i·~s ·ne ao ol1can1 tor such Jerrmt to ',le a s,qneu sta:e-enl That re ,s 11censeo Jursuant to the p,ovis!MS 81 rre CGoTractor s c,cense law rc~aDter g commenc-nq w1Th Stct1on IOOC Jf J1v1sIon 3 •Jt the gus,ness and Pro'ess,cos Code, :Jr Thar sex emJt 'he•efron1 ond tre 0Js1s lor the a leged e,ernpt1Jn Ao, vioa•1or of Sect,on 7031 5 bv an a~pl,cdnt for a pe"n1t s_b 1ecrs lhe appl,ca~: to a c,v,, penolt:, of not more than , .. ,eh .r crec dollars iSSoa·, ;'\ I, as owne-01 the property O' my employees ;,,·11h wages ao !heir so:e co-pe~sat,on will do the ·;,1or-: aod tre struc lure ,s r.ot ,~tended or o'fered :or sale 1Sec 7004 Bcs1oess and Prole,s,cns Code •re Contractors L,cew,e Law ~oes not apply 10 dn owner ot properly w'lo builds or 1mpro,fS thereon and who does seer work 'l1<>i5e•1 or th,o~sh ~,s 0;,,·n employees provided lhat sucn ,mprJvements are not ,ntend- ed or oflerec for sale If, however the oulld1ng or ,mprove- me~t 1s sold w•tn,n one yea· ol corip1et,on t~e owner-builder wall have the burden ot prov,ng Thar he did no! build or ,m prove for lhe purpose o! sate, I, as owner oi The property am exclus,vely c0ntract1nq with 11censed cont•acto•s to construct !he pro1ecl 1sec 7044 Bus,ness and Proless1ons Code The Contractor's License Law does not aoo1y to an owne, of property who bu,lds or ,m proves thereon and who contrarts for each ~ro1ec1s w,rh a contractorls) l1ce1se pursuant to the Co~lracror s L,cense Law) As a homeowner I am ,mpro-,1ng my home and r~e fol o,;, irg cord1!1ons exrst 1 The work IS being perhrmed prier to SGle 2 I have lived ,n my horie f~r iwelve mcs•~s pr,0° to complet,on of th,s war, I have not c!a,med th,s esempt1on curinq t~e last three vears for 11h~:r~~~~i1 under Sec -----~ B & o C 0 I he,ebv aH,rm that I na,e a cert,f,cate ot cunsent 10 sell ,nsu,e or a cer11l,Late of Workers Compensat,on Insurance or a ~en,',e<:J :op, thprpol (Sec 3800 utio, CoC!el POLICY NO COMPANY D Copy ,s filed w11h the c,ty D Cert,tied copy ,~ hereby 'urn,sned CERTIFICATl OF EXlMPTION FROM WORKERS COM PENSA TIO's INSURAl\oCE !Tn,s s.e.:;t1on need not be :ompleted ,t 'he ;.,em•,I ,s tor one hun<:!rNl do11a,s i$1001 ,;, -ess ~ I certrty 1na1 ·n tne per1ormance o' the ,.orl<. ':Jr en lh,s permit ,s ,ssued I shall not emplo, an1 son ,n any 'nanner so as to t><'UJm<> sutJ,e< t .,, t11e Worl<.ers· Compensa1,on L.a..,s or Ca11l(,r~,,d NOTICE TO APPLICANT 11 at1er m.,,~,r;i th,s Ce,., f,cate ol Exemption ,ou should become suti1e, t ", the Worl<..ers Compensation pmv,s,ons 0t rne L.ab0r CO<le you m~st lortn ... ,th comp1, ,.,,r s~ch prov,s,ons or lh,s perm,: sha,1 Of' deerr,ed ,e.,_,ked D I '1e•eby .ifforr Iha• H>e'<' s a ,,i·ur I,,. 1end,ng agency 'o, !hp i-Jer1,,,~'an, P '.,t "''-'r'I< 1,,, ,.,h,cn 1h,s perm,1 s ,~sued ;Ser !ifJI :,O(le, Lenders Na,--.,e ___________ _ Ler.der s Address __________ _ ~ u .. L .... LL, Ull~I IL .. v .. L, "' r RL .... """" l"\rrLll.,Ml'II I IV rlLL 11"1 11,irvnlYIMI IVl'II ••• , 1111'11 ... ,,,.u..,LLI r\nCM Ml'IILI LIC\.,LMnMI IVl'II~. I , CARLSBAD BUILDING DEPARTMENT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT ! BUSINESS LICENSE# VALUATION PERMIT NUMBER I _,,;,r ,--/, 3 -~ --;-?/ I LOT ~~L----/.'.L.:z!::l s CONoRAC,ORS PHONE< ZON/ .:::, '? .5 /. • I OWNER'S PHONE 1----~,,_:..-c.J:,,,'--_J.!! f' fL · : / ?4-VttJ .--V..411/S LICENSE NO. PLAN 1.0.:. BLOG USE CODE OWNER'S MAILING ADDRESS /f?ou 11,,, ,;Rt{)C:re ll:11€,CML..SMtJ OESlGNER LICENSE:. STANOARO PLAN# BUILDING SQ. FOOTAGE DESCRIPTION bF WORK [[YA?to t'ArLcYL/tJ ~Xlf' I [ DESIGNER'S ADDRESS DESIGNER'S PHONE u F LR ELEV ace GP EDU I I I ,lJ NC] --I NO STORIES cf<?~ I AREA CONST l CENSUS TRAc1 I GP LAND USE I PARK1",,ic_, SPAcrc R~S uN,TS I GRADING PERMIT 1ssuED I REDEVELOPMENT TYPE ace LOAD FIRE: SPP I I t D N D , C ..._o vO r-.O I Not Valid Unless Machine Certd,ed 1 I 1] I I 1 1 QTY PLUMBING PERMIT -ISSUE I -, ✓,-01 QTY. MECHANICAL PERMIT -ISSUE ;;,_ ,-I SUMMARY/ACCOUNT NUMBER : EACHflXTURE TRAP I INSTALL FURN DUCTSiJPTOlOOOOOBTU BUILDINGPERMIT 01-00·00-8220 ,.::..,J .. -f ~U-J 1 EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01-00·00-8221 I EACH 1/'IA l ER HEA TE.R Ar-.O UR VENT --+---------T BOILi-R-cuMPRESSoR UP TO 3 HP -• PLAN CHECK D'-0□-.-oo-sso6--l.---7z··~ 1 EACH GAS SYSTEM I TO 4 0 LJT LETS ! SOILE_R_ COM PR ESSO R 3 1 S HP TOTAL PLUMBl\jG ---01-00-00-8222 1 • t ----------- 1 E.ACHGASSYSJEMJURMORE I\H.TA.~iRt~LACl ,. ELECTRICAL 01 a(.'.0-00-8223 -+---------l I EACH INST Al ALTER, REPAIR 't.'Al ER PIPE l EACH VACUUM BREAKER 1 WATER SOFTN[R I - Ft,CY R()1Jf I r, "" •. ,,. ' """" - .. * VENT FAN SINGLE DUCT MECH EXHAUST HOOD DUCTS RELOCATION or EA FURNACE.HEATER MECHANICAL --;---~ ---- MOBILE.HOME MOBILEHOME PARK l'~SP 01-00·00-8224 01-00·00-8225 ------ SOLAR 01-00-00-8226 TnT."I UC:f'Uh .. lf'h, 1 · __ __J _________ I ·! ~G"T ,:;,c_ ;,;.::cn:..~.;,c:..c_ i STRONG MUTION 80·92-33-0519 ~- ,9 T -----1, r rni,'\1 PlU\•1ri,r-.1i I FIRESPRINXLERS 01-00-.00•82271 I I ! PUBLIC FACILITIES FEE 32-00·00-893J : QTY ELECTRICAL PERMIT -ISSUE ... i -QTY SOLAR· ISSUE j BRIDGE FEE ---- 1 I PH l PH Ii STORAGt. :t.\KS I Carlsbad 80-92-21-0519 I --, ' 1 NEW CONS[ tA AMP SWI CKR ,-CO.L ems, SCHOOL FEE-DISTRIC-± E:XIST bllJG EA At.,,iP S\','T ?KR I RDCK Sff,ri,'.,Jt_ -------Encinitas 80-92-22-051_~. l PH ~ J PH PJ\1P : San [)1egu1to 80-92-23-0519 ~ : RE'<'ODH Al HR PfR CIRC:J:~ Pi.t.~j...iL[K-~-~ _ i __ II SanM~ ____ 80-92-24-0519-+-------- 1 TEMPPDlf ?00AMPS . ---I 30 DAYS1 0VE:H2lJUAMPS . ! ~r-iE1~-p-ocr.11PANr:Y ---·-----------------!------ MFF 80-92-57-0519 LICENSE TAX U1-00-00-816,.2'-------+-~------ -- I --------i--~-----~~~--~~~~+-~ CREDIT DEPOSIT -f- l lilTA! EltURICAL I ~nTAl SOIAR TOTAL FEES PAYABLE ~~=--, ,--------------------...__..__,---------.l.----..ll..-----,-----....l.--...:~;_=--LJ I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every parm1t Issuedbyltie Building Off,c,al under the prov,sIons olthis 1 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaJ! expire by hm,tahon and become null and VOid If the building or work I DECLARA'HONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit 15 not commenced w1thm 180 days from the date ot such * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5· O"' DEEP ANO OEMOLrTtON OR CONSTRUCTION OF STRUCTURES OYER 3 STORIES IN HEIGHT I !SSUED. to COMPi.YWITH 'ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· perm~ or ,t the ~lldmfl or work authorized by such permit IS suspended or 1 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND "c'::"aa:"c:::"""7:c':-1 c'""':s''emc•c•,:,,•e•atehe•a•eoc•cko"'-"'oeme,eme•cnsce•edcloe•c•'-E"""S°"SoOCl_!1<80>LSd••>''----io-----.----,,-----"_;.;, __________ -I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND o;;:JCANT'S !GNATURE •~ OWNER~ CONTRACTOR O APPRCVE SY I EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J I I , If/..,,,, GRANTING OF THIS PERMIT L lJ..../ BY PHOfllE O / s rn u._ ~ ~ 0 0. E rn f- D 0 CJ C ro u 0. 0. <t I ~ C a: 0 ~ ~ rn ~ ~ <t 3 2 © >- ~ ~ rn u 0 a: ro ;;; 0 CT rn u C ro C u._ ,::_ C rn ~ CJ 0 c3 rn 0. ~ C 13 ~ ;; TYPE DATE INSPECTOR <gS-a-sl!i BUILDING I ~ . FOUNDATION I IJ./,fi:"C. • FIELD INSPECTION RECORD REINFORCED STEEL I I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY GUNITE OR GROUT INSPECTION REQ IF INSPECTORS DATE I CHECKED APPROVAL FLOOR & CEILING SUB FRAME I -- ' SQ;LS COMPI_IANCE SHEATHING □ ROOF □ SHBAR PRIOR TO I FRAME I ~OUND.A. -101\J ,I\JSP ' --------_ _j_ ---- STRLJCTU94L C(1NCRE-'E:. I EXTERIOR LATH I OVER 20CO PSI INSULATION PRES TRESSED I CONCRE'E INTERIOR LATH & DRYWALL I POST TENSIONED ' CONCRETE I PLUMBING I F-IEL_O 1/iELD1NG I SEWER AND BUCO □IPL/CO ' r1,1]rl ST~ENGTH ------------ UNDERGROUND □ WASTE □ WATER BOLTS TOP OUT □ WASTE □ WATER :-;PECIA~ MASONRY -----------·-------- TUB AND SHOWER PAN I GAS TEST ' ------- ' PILES C/IISSO/\.:· □ WATER HEATER □ SOLAR WAlER ---~ -- ' ------·-------------- ELECTRICAL I : □ ELECTRIC UNDERGROUND □ QFFER ~- ROUGH ELECTRIC I --, --------i-----·-------- □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL I ' ------ ' MECHANICAL I -------- □ DUCT & PLEM., □ REF. PIPIN:G HEAT -AIR COND. SYSTEMS I ' . VENTILATING SYSTEMS ' I CALL FOR FINAL INSPECTl~N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED, FINAL I PLUMBING I - ELECTRICAL I !'.A MECHANICAL I ,_ -\---J GAS I r"\ ✓ :'\ V , BUILDING I I -he\./'( --. ' -' SPECIAL CONDITIONS I )I I --------------~ PLAN ~HECK.HUMBER ___ ADDRESS_,&...~"-1'1'""''"--""',~~'-ll· =~/P;;... ____ DATE ¼,,ts PLANNING: TYPE OF STRUCTURE. __ -"-~:::..~_.;:;-.;;.__~_a...;;... ___ · .._. __ _ ZONE: ____ _ a:: .... ~ SCHOOL FEES: SAN DIEGUITO ______ _ CARLSBAD. ______ _ % COVERAGE. __________ _ BUILDING HEIGHT _________ _ FENCES/WALLS. ___________ _ TWO CAR GARAGE. _________ _ ;: ~ COMMENTS: ENCINITAS ______ _ SAN MARCOS_-____ _ REQUIRED SETBACKS ____ _ :;::_T~-~:::.:?_·-_~(~ ... :;;;;.:=== REAR. ________ _ .... < --------------------------""' Cl ~ □ REDEVELOPIIENT APPROVAL REQUIRED: 6 ~ □ . --------,--------------.., _ ~go 8 );it LANDSCAPE PLAN C01t1ENTS: ___________________ _ ENVIROr!NENTAL REQUIRED.:.: ___________________ _ ADDITIONAL COMMENTS:..: _____________________ _ OK TO ISSUE: ~ DATE: 0 9d70K TO FINAL: ___ DATE:. ___ _ ENGINEErtING LEGAL DESCRIPTION VERIFIED?. ____ A.P.N. CHECKED?_ P.F.F. ______ PARK IN LIEU _______________ _ R.0.14: IMPROVEMENTS: ______________ _ SEWER: -------.--,t-,1---J.?r-+---.;.._ ______ _ a:: LATERAL: -----+-1---,-,-- ~ GRADING PERMIT: --../-......lH'---1-------,,-...::;;..._ ________ _ -.... ; i DRAINAGE: ----1--------,:e:-=--------------- * 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.)