HomeMy WebLinkAbout1916 High Ridge Ave; ; 83-567-123; Permits)i[ 8
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N'f I hereby affirm that I am licensed under Pffivtslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my l!cense 1s in
full fo<C, ,,d ef1.,1. L'2
L,c Nn 7:CLJ.. / -f(l Cl.is, a,·L. ) __ _
I hereby affirm that I am exempt from the Contrac-
tor's License Law far the follow,ng reason (Sec 7031 5
Business and Proless,ons COOe Any c1ly or county wh,cl1 re quires a permit to construct, alter ,mprove. Oemol,sh. or
repair any structure. prior lo I1s ,ssuanrn also requires !heap-
pl,canl for such permit to file a s,qned statement that he ,s
licensed pursuant lo the prov,sIons of IM (,omrac1or's License Law (Chapter g commencing with Ser.1,on 7000 of
D1v,s1on 3 of the Business and Protess,ons Code) or that ,sex
empt tlierelrom and the basis for 1he alleged e,,;emp11on Any
vI0IatIon ol Section 7031 .5 by an appl1canl for a perm11 sub-
1ec1s the applicant to a c1v1I penal!y of no1 more than live hun
dred dollars ($500)
1-" I. as owner of 1he property. or my emplQyees w11h wages
as the,r sole compensa110n. will do the work. and the struc-
ture ,snot intended or of1erffi for sale (Sec 7044. Business
and Profess,ons Gode The Contractor's License Law dcies
not apply 10 an owner of propeny who builds or improves
thereon and who does such work h,msel1 or through h,s own
employees, provided that such improvements are no1 intend·
ed or o11ered !or sale. If, however. the building or 1mprove-
men1 is sold w1tt11n one year o! completion, the owner·builder
will have the burden of proving that he did not build or im-
prove for the purpose of sale)
□ 1. as owner of 1he property. am exclusively contracting
wrth licensed contractors to construct !M proiect (Sec 7044
Business and Pro1essions Gode The Contractor's License Law does not apply to an ()Wner 01 property who builds or im-
proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Con1ractor's L,cense Law)
□ As a homeowner I am ImprovIng my home, and the tollow-
ing condi!,ons e~1st
1. The work 1s being per!ormed pr,or to sale 2 I have lived 1n my home 1or twelve months prior 10 comple!!on of this work
I have not claimed this exemp11on during the
last thre,e years
~r /h~~r~~~~tunderSec ______ , B&P.C ------------
R I hereby atl,rm lhat I ha~e a.cei1it,cate of consent fa self-insure, or a cen,t,ca1e ot Workers
Gompensat1on Insurance. o, a cert1t,e,:1 copy thereof 'Sec 3800 l...abo• Code)
POUCY NO ,;1 -/f-,f.J PM9 (}'/--" 3;
coMPANv r-,·rerr(.':(fl '.5 furid
e,f. Copy ,s filed with the City
□ eer1,t,ed copy ,s hereby turn,shed
CERTIFICATl OF EXE:MPTION FROM
WORKERS-COMPENSATION INSURANCE
(This sec!1on need not be completed 1! 1he perm,t
<S !or one hundred dollars IS100) o, less)
O I cert,ty that ,n the performance of the work to,
wh\Ch th,s perm,, ,s ,ssued. I shall no1 emp10,, any
person 1n a.ny manner so as to become subIect 1o
the Wofl<ers· Compensa1,on L.aws ot Cal,tornia
NOTICE TO APPLICANT It_ at1er makinJ !h,s Cert,
t,ca!e of E•empt,on. you should become sub1ect 10
1he Workers· Compensation p1ovIs1ons of lhe L.at>or
Code. you must tm1hw1!h comply wIlh sucn
prov,s1ons or th,s perm,, shall be deemed •e,oked
0 I hereby att.,m !hat there ,s a con~lruct,on
Iend1ng agency lor trw perlom,ance ot the wor~ lor
wri,ch tri,s pe,m,1 ,s ·ssued 1Sec "!09? Ci,1I Code,
Lende• s Name ___________ _
Lenoe,·s Adaress __________ _
CARL:SISAU ISUILUll'IU UCt"Atl I MCl'I 1 1200 Elm, Carlsbad, California 92008·19~9 (619) 438-5522._ -.tO'SAOQRlcSS • AV.ST.RO. -NEARESiCROSSST.-.-
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r1..-.--~•v-, ,_,,. -• -• ..... • DATE OF.APPLl'CATl'ON S-g-f(/ BUSfNESS LICENSE #' VALUATION
CONTRACTORS PHONE If ZONE
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LICENSE NO. I PLAN I.□.# -4-'uL/,30 --
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'l-ft~· .:5;. ~'jjtez hirmo/J . Ut;1rll;~ .• 'i~~"~.ADOAESS ~ ••. ~~ "';'~--"-.~-LI DESIGN.· EWSPHONE
LJCENSE # l STANDARD PLAN#
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"' FLR ~V. NO OCC GP EDU
STORIES
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CENSUS TRACT GP LAND USE PARKING SPACE GRADING PERMIT ISSUED REDEVELOPMENT ace LOAD F\RE SPA
AREA
PERMIT NUMBER
5 1-/:231 g:3-{,
BLOG USE CODE
-----BUILDING SO. FOOTAGE
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L/x.s-RES ?TS 1
YO N □ YON~ ~fJAJ vO Nd I Not VJ/id Un~s Miichine Certilied
7
QTY.[ PLUMBING PERMIT. ISSUE I 7. 50 II QTY. MECHANICAL PERMIT· ISSUE 3. oZJ SUMMARY/ACCOUNT NUMBER
i3 I EACH FIXTURE TRAP I "::i . s'l'> 1 f 1NsTALL Fu RN □ucTs up rn ,□o.oo□ ,ru ,Tiro BUILDING PERMIT --
:I EACHBUILOINGSEWER I 4, •s::P ~ OVERlOO,OOOBTU ~•~,.,L.,..,,,
/ EACH WATER HEATER ANO:OR VENT I ·:i..ct, ~ BOILER/COMPRESSOR UPTO 3 HP ---jf--------tf------c------------+---
01-00-00-8220 I ¥2,' 30
C::.lf.:tJ Pl=RMIT 01-00-00-8221 -
PLAN CHECK 01 ·00-00·8806 0 _jQ_
/ I EACHGASSYSTEM1 T040LJTLETS _____ i--··---~ 8QILER/COMPRESSQR315HP ,v,MLrLu1Yaun,v TnTAI DI IIUDl~I/'. 01-00-00-8222 . __ r1.,;,-o
'00 ELECTRICAL 01-00-00·8223 EACH GAS SYSTEM 5 OR MORE ~ METAL FIREPLACE
EACH JNSTA\. .. ALTER, REPAIR WATER PIPE ___________ ·__ _ VENT FAN _S_~GLE DUCT .... ,..,, .... ,..., ~, ~~ 00-8224 ---· I & ·<P I MtVMAl~l\,,AL Ul·UU 13. ot>
QTY.
EACH VACUUM BREAKER . MECH EXHAUST HOOOiOUCTS
WATER SQFTNER
EACH ROOF DRAIN {INSIDE:1
TOTAL PLUMBING I
ELECTRICAL PERMIT. ISSUE
NEW CONST EA AMP-'SWT BKR
I PH 3 PH
EXIST BLOG EA AMPiSWT.'BKR
1 PH 3 PH
REMOOEL·ALHR PER CIRCUIT
TEMP POLE 200 AMPS
OVER ZOO AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ElE:URICAL
1/Y)A
1
!
RELOCATION OF EA FURNACE/HEATER
TOT~ MECHA-N ICAL
_ ____j_______ ____ •
t-:
5. 00 QTY. SOLAR · ISSUE
;i 00 g_ COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
"'JI) cri) TOT Al SOLAR
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLA_R ___ ·--·--01-00-_0.D.:..8.22.6._
!1.C!Q
STRONG MOTION B0·92-33-0519 ._......../ ..... t?-----------
FIRE SPRINKLERS 01-00-00·8227
PUBLIC FACILITIES FEE 32-00-00-8933 .?:J.53. ao
BRIDGE FEE
SCHOOL FEE -DISTRICT --
Carlsbad ,./ be 7,( 80-92-21-0519
Encinitas 80-92-22-0519
San Diegu1to 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01·00-00-B162
h'l F r: I ~J /,pr; (;oo, oo
CREDIT DEPOSIT
TOTAL FEES PAYABLE 3;?r?O-.;;.b
* .... ~. REQUIREO FOFI EXCAVATIONS OYER S' 0"'OEEP· MOUT10N OR CONSTRUCTION Of'
ST ER3STORJE$ IN HElGHT ~
-
f HAI/€ CAF(EFULLY.EMMtNEt> ;HE cO~LEtEii ·1APPucAr.lON· A1\l~~d:tw·t;Ail)M;e,es,
,CERTIFY UNDER ffNAf.TY OF PERJUftY 'HU.Tr ALL iNF0RMATl0t!,·itl~tNCWfiHfIB•-~
DECLA. BATIONS . .(RIE.TffPE. AN0:CbARECI .. AllD .. _ ·t·F·\.tRTH'EA CERflf't:AN0.1(3,REE. fF -A P6RiwtT IS lSSUEP: :to gO~L •f VfrfH AlL GlfY. COVNty·)(NO STAT£ LAWS GOVERt41NG'13t.ntqtNG teN-,sfilUCTl◊N, 'wtieTHER sPe'CIF1ED HEREIN 00J«}T_ 1 ALSO AGAEE"TQ Wl m(;>~ !NP.
j(,EEP tiARMLESS T.HE Ci. J'(.OF CARI-• SBA.DAO~ >\LL ili'Ql(:fftf;;S;JU·IIJ· ·-.N NllSTS;sC!'.)5~.AN!>, EXPEN!ii!s, ll(~IC!l M'AY ti<'.?jkt.l'fA< ~ll\JIS )llAINST ~• $JN~Qf THE,
~o~~f!TA~ OF:'!!:!f~~it_.~-: , ::: ... .,~"" " .' :. •· •, , , : ~ . :·-;.; ·:._+:_,_._" j". ':.:'i:.::~:." .. -~·.::.·.,' .:..;..i:i....::.udir..a:'.:.ul.t:1~::i:::i. . av,Pttoe □
APPROVEO BY(,.}-11'#1/-
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TYPE I I DATE I INSPECTOR
BUILDING
FOUNDATION I 12...?~~ 0
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING ROOF □ SHEAR
FRAME
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
PLUMBING T
SEWER AND BUCO PUCO I
UNDERGROUND
TOP OUT □ WASTE
TUB AND SHOWER PAN
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ 1 FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORIARY
D BONDING □ POOL l
I
MECHANICAL ,
□ DUCT & PLEM., □ REF. PIPll'(G n
HEAT -AIR COND. SYSTEMS 1 j/
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTl(!)N WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSON~.
b/
REO IF I INSPECTOR'S
CHECKED APPROVAL
,g 3 -"Si,, '7 -' d-?:,
INSPECTOR'S NO_TES
DATE
THIS IS TO CERnFY THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CUlUlEN'l' ENERGY REGULAnONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE
BUll.DING LOCATED AT.:
SITE ADDRESS: / 9/ Ip
Number
EXTERIOR WALLS
Manufacturer~4oo~) Thiclcneaa/Type3,0" R/Value £-(/
CEILINGS ~·
-lb // /2.--3,0 8Jo,.;,; ,,,, --,, /J
Batta: Manufacturer 'JQ4-cacsd'6,u Thiclcneaa /o"/ R/Value /;-;'36
GENERAL CONTRACTOR: ____________ LIC,I _________ _
BY __________ TITI..E. ________ DATE ______ _
INSULAnON CONTRACTOR: WESTERN INSULATION LIC.# __ 2:.aa9 ... 0_49,_7._ __ _
BY~. , 4 D-rn «<kn:n..E , k1 ✓ ,c.;1DATE ~,;1.~,/2~,s""'!.z:.-&s:'----