HomeMy WebLinkAbout1928 HIGH RIDGE AVE; ; 83-567-124; Permittr~ ~ I hereby affirm that I am licensed u. ". d•. ,
S (lirovlslona ol Chapter 9 (commencing with
Section 7000) of D!vlsion 3 of the Business
,c and Profe11slons Code, and my license 1s in
m::: full forqe~~f~ r1-. ~ L,c No !:D>f{ :")\ c1a,1 ~l-._;=~--
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I hereby affirm that I am e,empt from the Con1rac·
tor's License Law for the following reason (Sec 703' 5
Business and Proless,ons Code Any city or i;ounly which re-
quires a perm,t to construct. airer. ,mprove demol,sh. or repa,r any structure. pr,or to ,ts issuance also requires !heap-
plicant tor such permit to l1le a s,qned statement tha! he ,s t,censM pursuan1 to the prov,s•ons of the Contractor's
license Law (Chapter 9 comrnenc,ng w1lh Sec11on 7000 of 0iv1s1on 3 o1 the Business and Proless,ons Code; or thaT ,s e,-
empt therelrom and the basts for 1he allegeo exemption Any
\/IOlal,on ol Section 7031 5 by an applicant !or a perm,t sub 1ects the applicant to a c1v1I penalty ol not more than hve nun
dred dollars 1$500)
I. as owner of the property. or my employees w,rh wages
as 1heor sole compensation. will do the work and the struc-
ture ,snot intended or offered lor sale (Sec 7044. Bus,ness
and Profession~ Code The Contractor's lrcense Law does
not apply to an owner of property who builds or improves
!hereon and who does such work himself or through h,s own
employees. provided that such improvements are not in!end-
ed or offered for sale If, however, 1he bu1ld1ng or improve-
ment ,s sold withrn one year of completion. the owner-builder
will have the burden of proving that he did not build or im-prove 1or the purpose of sale)
□ I. as owner of the property. am exclusively con1ractmg with licensed contractors to cons1ruc1 the project (Sec 7044,
Business and Professmns Code. The Contrac1or's L1cMse
Law does not apply to an owner of propeny who bu1lds or im-proves thereon, and who con!racts for each pro1ects w11h a
contractor(s) license pursuant to the Contrac1or's License Law)
□ As a homeowner I am improving my home, and the follow mg cof\d1t1ons exist
1 The work is being performed p11or to sale
2 I have lived rn my home for twelve months
prior to complehOn of this work I have not claimed 1h1s exemphon during 1he last three years
0 I am exempt under Sec _______ B & PC
for this reason
-.,I. I hereby atr,rm ma1 ! ha~e a cer1,t,cate ot consent fo'" self ,nsure. or a cen,t,ca1e of Workers Compensat,on Insurance. or a cer1.t,ed copy thereof
lSec 3800, L.aoo, COCle)
eoucvNo A-1'1 Lt,lP0/"lD42'3/
COMPAN> h re rv-Ca, 'S /'.:u ,, d
~ Copy ,s t,led w,th the c,ty
0 Cen,t,ed copy ,s hereby !urn,shed
CERTIFICATl OF EXE:MPTION FROM
WORKERS-COMPENSATION INSURANCE
(This section neeCI not be completed ,t me pe,m,1 ,s 101 one hunClred dollars 1s1001 or less)
0 I cert,fy that 1n the performance ol the .. ark lor
which 1h1s permit 1s ,ssued. I sh.ill no! employ .iny
person "' any m.inner so .is to become sub1ect 10 the Wor1<ers Compens.it,on l..clws ol Cat,forn,;i
NOTICE TO APPLICANT If . .ilter mak,nJ th,s Cen,
f,cate ot Exemption you shoulCI toecome sub1ect v,
the Wor1<ers· Compens.it,on pmv,s,or,s of the Labor
COCle. you must fonh.,..,th comply wllh sucn
prov,s1ons or H"11s permit sna11 be deemed re,okea
0 I hereby atfirm mat There ,s a cori~truct,on
1end1n,;i agency lor the perlormance 0• 1ne wur.. ler
wh,ch th,s perm,! ,s ,ssued 1Sec "J,09? Ci,·I Code;
Lenae, s Name ___________ _
Lenders Address __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 120Q Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS f AV. ST.RO. 'Busi'NEss L1Cf.NsE # VALUATION PERMIT NUMBER t~z~ ~ .. -.L L· !tve
CONTRAICTOR CONTRACTORS PHONE#
S9's:</ /D~3 L~ J1J~1
ZONE
23 -<::"l~ 7-,a71
'-l'it3~l/ f go
LICENSE NO. PLAN I.D. # BLDG USE CODE
1D 130
LtC'ENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
.t-rg2A5 I fi'b
vO NO --!£-,) J
CENSUS TRACT PARKING SPACE RfS UNITS GRADING PERMIT ISSUED OCC LOAD I FIRE SPA I GP CANO USE
4b}l AREA CON T I REDEVELOPMENT I I TYPE / I r □ ND vO N~ VfJ I I vO Ne{' I Not Val1dUnlessMachineCertified
QTY.I PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE '9 00 -. fL..[ EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU . Q'\ BUILDING PERMIT '1-' I_
EACH BU!LDING SEWER I fo . '5~ +-----OVER 100.000 BTU SIGN PERMIT 0(0~0-8221 ' '
EACH wA TER HEATER ANDiOR vENT ! 2.._ .5( BOILERtCOMPREssoR UPTO_J_HP--~-PLAN CHECK 01-00-00-8806 2 ·. ~
EACH GAS SYSTEM 1 TO 4 OUT LETS __________ ~--___ 2_ . s4 _ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00_,-B:o22c.<2'-f-----"e'l-'-',,-.,
EACH GAS SYSTEM 5 OR MORE
<1---11-E_A_C_H INS~A~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SQFTNER
--+·
METAL FIREPLACE ELECTRICAL 01·00·00·8223
VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224 --<---+---------------------
MECH EXHAUST HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE:,
TOTJ.L MECHANICAL
TOTAi PLUMBING I L/1. ~I
SOLAR
STRONG MOTION
FIRE SPRINKLERS
01-oo-oo-s226 I I
80-92-33-0519 1 '2.G, 7 .CO 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE 5. Do II QTY. I SOLAR. 1ssuE I I PusucFAc1ums FEE ---1. BRIDGE FEE
--~"ooooas33 I :U:fll/:. oo
NEW CONST EA AMP:SWT 8KR !DD ~ ::_ c::-c, COLLECTORS SCHOOL FEE· DISTRICT
I PH HH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP!SWT.'BKR ROCK STORAGE , _ ~ ). "'.'°' II Encinitas 80-92·22·0519
1 PH 3 PH PUMP ,_ '9' t\}_-[ . vc_· JI Saa O"QUito
REMODEL 'AL HR PER CIRCUIT PLAN CHECK FEE ~-11 ! :11 I[ San Marcos
80·92-23-0519
80·92·24-0519
TEMP POLE 700 AMPS " I I OVER 200 AMPS I II I I ll LICENSE TAX 01-00-00-8162
TEMP occuPANCY !30 □A YS) m FF ; ev G c-.-..J , ,>(,/,CD
' CREDIT DEP0SIT.-4 -, _I
TOTAL ELECTRICAL i
~__,ffi
TOT Al SOL AR TOTAL FEE~A~i '!iti9J. '\ '-""
r HAVE:,CAREFULL v EXAMJNE0-THe,d()\4Pik"f'Eb 'tifpuCA1lON A""~ ANO'.oo t-lERE&V'', > -~r.a..t~ ~t~~tte&ildir,o'Offi'ci;.. ~· thiProvi~;;,f~ ~
C.ERTIFV UNQro PENAL.TY Of PERJ"RY ,THAj; lllL .!NFORMATIO~ 1-lE~tNCLUOING tff£ ~~-•~bJ,,liffli~am:f bec.OfM.~ltl'OICL If lhe butkfing or wodt , , ,,,n · · Y."'' -, ., , ,· -_,rnQfwt(lby,such~1Snot(:ommeoced~180days1ron1the<tateofsuch DECLARATIONS ARE TRYE ANO CORRECT A.'ND f ~~GERT~-,~Q1.\GftEE IF A_ Pf$MJT IS Pf1!11it, or if ttut buildmg or WOf\, wthoriud' ~ such permit is suapended or
1SSUE.0;,, TO CQbtel.Y WIHI Al,.l ,ClTY, W. \!IIIY.~·S· TA.!~ -V;\"J!$. G()y_~.-c '!_. l!l.._·G· .. BQILOtN§i _CO!:'· , et. an ti,ne :afiet;tbu11orkJ& . 101 a iod of 1 STAUCTJON. WHETHER SPE9'IFll:'.O HEREltlGfl " 1-AL~sp AGREf;,.TO ~,~ INDEMNIFY AKO A 'S ,Jf' ...J. • .;.,..,, O u.~ ·. -"". '.'
~l;EP HA,~b~S THE ~IT'( Qf~Efa\l,_~ Ali ILITI~ J!l!J<ll.jENTS; COSTS ANO . •""-" CON ,,,_T<'.!n rs
EXPEN\lES WHICH MA'l!IN AN~,-~ '!""'1' ·CITY~ !X)Hsl;QUEtlCE ,Of TH~ , h --□ GRA-~-r:tNG-,-,;-t,''f',{tc p~ff, ,, · "' .,,v""; 0: ,,w-, J ·,, , c , oY PHVN£ , , vr; l '-1,s, ,'.''· ?_ @-"'f<,"'•*"':°' "" f, ,
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TYPE I DATE INSPECTOR
BUILDING I ~3-Sl.:>,-1 ..... 4-I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
I INSPECTOR'S \-•,
INSPECTION REO IF DATE . GUNITE OR GROUT I CHECKED APPROVAL •
FLOOR & CEILING SUB FRAME I J SOILS COMPLIANCE
SHEATHING "!J!'ROOF 'lill'SHE,6.R In-A,-~ y "' ;i PRIOR TO
' . FOUNDATION INSP FRAME I
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION ' PRES TRESSED I CONCRETE ' INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING ' -
SEWER AND BUCO □IPUCO I '-. ., --., ,., ;") HIGH STRENGTH
□ WATERJ f 't ... BOL is UNDERGROUND □ WASTE
TOP OUT D WASTE □ WP,.TER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l'.JFFER
' -ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPOli!ARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS ' .r
'
CALL FOR FINAL INSPECT/0N WHEN ALL APPROPRJA TE
ITEMS ABOVE HAVE£ BEEN APPROVED. /
FINAL ' .
' ' PLUMBING I ,,:? ~ ,-
~
ELECTRICAL I Q' ..,.,, D('T
MECHANICAL I ,/V,4(" / ' ,n-I
GAS I ·-L.,'·_~c, V -
BUILDING I \ . .,
SPECIAL CONDITIONS :
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THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE
BUU.DING LOCATED AT:
SITE ADDRESS: 19.iR
Number
EXTERIOR WALLS •
Manufacturer 15/,::1 _,,H':½ Thickneaa/Type3.:6 ,, R/Value /;-//
CEILINGS .//
8 ___, ~ ID ,., le. -Jo /ot;J; rr/~ ,
Batta: Manufacturer :z,-z,,..=a-/J,.., Thickneaa /o;, R/Value £ ?o
• GENERAL CONTRACTOR: __________ ...,:LIC.# ______ _
BY ___________ T.ITLE _____ .DATE ______ _
INSULATION CONTRACTOR: WESTERN INSULATION LIC.# 290497
BY '-5¼--. .. ~ ·41 fl . ..&M> TJ:TLE s;,_,.A-< 7;;,1 DATE _.,:t __ j; .... ,,j ..... /, ..... ,1,s-__ _