HomeMy WebLinkAbout1940 High Ridge Ave; ; 83-567-125; Permit\V/
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Cl I hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
1,11 focc1,al)'/JfecJ ·A
L1.: No~ =1-f-.:;1_Uc1a\s --'l'f-/-'-"'----
I hereby a!f1rm that I am exempt from The Contrac
lor's License Law for the lollow,ng reason (Sec 7031 5
Business aM Protess1ons Code Any city or county wh•c~, re
Quires a perm,1 to construct. alter. unprove demolish. or
repair any structure, prior to ,ts ,ssuance also requires '.heap
pl,cant lor such permit to file a s,Qned slaternent that he 1s
licensed pursuant to the prav1s1ons of the Contractor·s
License Law (Chapter 9 commenc,ng w,th Sectron 7000 of D1v1s1on 3 of the Business and Professions Code) or tha1 1s ex
empt therefrom and the bas,s 1or the allegM exemption Any
v,olat1011 of Sectmn 7031 5 by an applicant for a perm11 sub
1ects the appl,cant to a c1v,1 penalty o! not more than live hun
dred dollars ($500)
I, as owner of the property or my employees with wages
as their sole compensat>on. will do the work, and the struc lure 1s not intended or offered 1or sale {Sec 7044. Business
and Profession~ Cocle The Contractor's License Law does
not apply to an owner of property who builds or ,mproves lhereon and who does such work himself or through his own
employees, provided that such 1mpr0\lements are no1 intend· ed or o11ered for sale. If, however. tM bu,ld1ng or 1mpr0\le-
ment 1s sold wi1h1n one year o1 completion, the owner•bu1lder
w,11 have the burden of proving 1ha1 he did not build or 1m-prD'le for 1he purpose ol sale)
n I, as owner of lhe property, am exclusively contracting
w,1t1_ licensed contractors to construct the pro1ect (Sec 7044,
Busmess and Professions Code: The Contractor"s License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts Jor each pro1ects with a
contractor(s) license pursuant to the Contractor"s License
Law)
:J As a homeowner I am improving my Imme, and the follow
ing cond1t1ons exist
1 The work 1s being performed prior to sale 2 I _have lived 1n my home for twelve monlhs
prior 1o completion of this work I Mve not claimed this exempllon ~uring 1he last three years
0 lame,emptunderSec ______ ,B&P.C
tor this reason
-,si I hereby affirm that I ha•e a cert1hcate o1 consent
lo self-msure or a certd,cate of Wo,kers Compensat,on Insurance. or a cert,fled copy lhereol
(Sec 3800. Labor Code!
eouoNo ,;,; 9-iAIP.,;9otL33 I
COMPANY F,-'rr'f'YhrJ>yfi..tnd
~ Copy IS !,led w,th the C•1y
0 Gert1!1ed copy 1s heret,y !um,shed
CERTIFICATL OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sec!1on need no1 be completed ,t lhe perm,t
,s !or one hund,ed dollars (SlOOI or less)
D I cert1!y 1ha1 ,n the per1o,mance of ttle won< for whtetl th,s pe,m1t 1s issued. I shall not employ any
person 1n any manne, so as lo become subJect to
the Wor\\ers Compens.i11on Laws of Californ,a
NOTICE TO APPLICANT If, afler mak,n:, th,s Geno
f,cate of E•empt,on, you stlould become sut11ect 1'! the Worl<ers Compensa!,on pro~,s,ons of the L.ibor Code. you must forthwith comply wolh such
pro,is,ons or th,s perm,1 shall be deemed re,oked
0 I hereby a•!,rm Iha! me,e .5 a co,,~t";' 1,un 1endrng agency for thf' performance ot tr>f' wo"'-'•J<
wh,ctl th•S perm,1 ,s ,ssued 1Set 1091 C,v, Cc.>de1
Lenders No1me ___________ _
Lenders Add•ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
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~R-ESS #,--Jn If,~ . . /7_ .~-ST.RO.
NEAREST CROSS ST. • r·:s~·-;·~·;t? BUSINESS LICENSE# VALUATION PERMIT NUMBER
J</ -r;:, ' /_ S-9Jr/ //0/ &.3.:J. r.JO . .I I ;./r,:,,::, I I /l ' ..
' j 3-.501 -/,.-,_,-LaT •Lael< / ~ $~~2' "~J~ I A,.ss~:y'ARCE~~ S-0 b O 'l 1Al,,:
0J}~:0 J:? LI~ h")ec./. df~::;z;~ ZONE
/J.·(11i' , i ~ -~ 0 --. -,
i?t 7h ~J 1/l.,sa::. 4r:i':';;"}; C0NTAACTOR'S-AOORESS ., ' , LICENSE NO. · PLAN I.□.# BLOG use CODE
, I ~,11 ,.-,1 . ,..J n~ E-i/ c;-.L/441.. :r 0 6Wi1i£R'S MA1u·NG Aoqies'S -, --· · ""'
J-,'.n · I.JL. ,'r;,,::, :i/:41•t-< Z2, • /1/f 9d4'/7 Of;SIGN'Ef\ · LICENSE# STANDARD PLAN # BUILDING sa. FOOTAGE ./J. , A (>-k~?.) ;'/ -1' I 1}..7-,:;:;;;.'; r e .. • •, . ,;:, •·· o•••!l•r!!i>"l<>• · ,c,: 4'.~ •I ,.-•/ 11 ~ &'J -.,....... I;
11 . ,,1 ""'"'· ''e. ,. -... OESIG.ffER;S,jlttibRESS ~,,;,, ; ~'1"'.t: 1,f ~Sl-0~~ _R'S _P+IO"'.' £
_, • ·' ,L•,'.l.' n i' i . -J ~~;;t:;/4 :Yd _; (!J!l · <> 'Jilt -~~-llfl.L ',," '", \ ' ,1-; ,, _ _,_·-, _, ,.,..,., .,.,., ~ I .. •':7/2:.t, . :~JJ~iJ .. .. .. . . F/P FLA ELEV NO ace GP EDU
STO!;f,S ,e-:3 I k~ .-,. <:-" '.: r ~~-~ t ·. __ ., -, ~ 12~r-, ".,,, :. : ~'"-t-vO "'O
CENSUS TRACT GP LAN □ Use PARKING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT
To/7,J
ace LOAD FIRE SPR
~JS-I AREA co
v □ N 0 ,□ ,ioi j ,□ Nll( Nor Valid Unless lhchine Cerrified
QTY. PLUMBING PERMIT. ISSUE I 7_5, QTY. I MECHANICAL PERMIT· ISSUE 3; ()() SUMMARY/ACCOUNT NUMBER
13 EACH FIXTURE TRAP ;;;,-, . '° INSTALL FURN. DUCTS iJP TO 100.000 BTU ii. n17 BUILDING PERMIT 01 ·00-00·8220 ~ 1-1-7~, ..)U
I EACH BUILDING SEWER /. ,-o OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 -------I--3efl, 1Q= I EACH WATER HEATER ANO/OR VENl '1. rt: BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
I EACH GAS SYSTEM 1 10 4 OUTLETS ··---j . ~ nD BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222 _:')].SJ>_
EACH GAS SYSlEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -:Zr:. oD -
EACH INSTAI,.. ALTER. REPA!R WATER PIPE VENT FAN SINGLE DUCT /_ .CJD MECHANICAL 01·00-00-8224 , :;;/ . ci)
----
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (i!IJSIOEl SO~Af!__ 01-00-M-"""~
TOTJ..L MECHANICAL STRONG MOTION 80-92-33-0519 __ . _£. lb -Z:T s,-v 13 ot) -
TOTAL PIUMBING I FIRE SPRINKLERS 01-00-00·8227 -,23.5 3 ELECTRICAL PERMIT· ISSUE
PUBLIC FACILITIES FEE 32-00-00·8933 0V
QTY. 500 QTY. SOLAR· ISSUE
BRIDGE FEE
NEW CONST EA AMP.'SWT BKR ;/1') ,4,-..,..5 .oz) COLLECTORS SCHOOL FEE -DISTRICT
lPH J PH STORAGE TANKS Caclsbad ._/ /_ f-~ 80-92-21·0519
EXIST BLDG EA AMP1SWT ·BKR ROCK STORAGE ,\ Encinitas 80-92-22-0519
1 PH J PH PUMP if San Oiegu110 80-92-23-0519
REMOOE L 'Al HR PER CIRCUIT PLAN CHECK FFE . /, -/ San Marcos 80-92-24-0519
/. A' 7' T"\ ----
TEMP POLE 200 AMPS
OVER 200 AMPS f,f,Y '...,t V
-/U LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI V ) '). h!Fr tr= /.(JD /.a,,=-,~
CREDIT DEPOSIT
TOTAL ELE:(.IRICAL 1 -+< 01) TOT AL SOLAR TOTAL FEES PAYABLE I ~x,~o. ,;lb
I I
I HAVE;CAREFIJtLY E){AMlNEO THE COMPiETErl-"APPLICATION.ANo'PERMtT·!ANb o6HEREBY' :eiq!titdffl:.~pertftit~edb\lth&8utlding0fficialundertheprovi~nsofttus 1r AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENA14.TV OF PERJUFl:Y THAT ALL INFORMATldN: HEREON' ltilCLUOJNG THE ::::::-expwe,J:,y -lim.•~uon, and -become,nu,ll ~ VOid ff t~ buildmg or wont 5' O" DEEP ANOflrMOI. ITION OR CONSTAUCTK>N Of
DECLARATIONS ASE T~ ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS . l?Y•uctt ~r_nit Ill not commenced within 18odays from the date of such ST A JSTOAIES tN HEIGHT permit or, if th• 0Uffd1~r work authoozed by such-permit is sl,i$p&nded Of , ISSUED; "fO COMP!. Y ti AU Cdl)', GOtJI\ITY tND STATE LAWS GOVERNIN,G BUILDING CQtf abandOnad -~; . .lime.a the work. .. i&..eoffi-=.--...:oe4 for ,i -· ·too of Vffl-:;:
STAUCtlON. WHETHEft $PECIFlED HEREIN OR OT. ,I ALSO AGREE TO SA,VE INDEMNIFY ANO ppt_~ ... .,. f}Jw . , APPROVEO BY /2
Io/'.
,, • KEEP HABMLESS. THE ;i;'l'Y Of CARLSBAO,AGAl~ST ALL LIABILITIES. JUDGMENTS, COSTS ANO • . . +::TURE B 13J rS /oeuNER CO'!/TRACTOR,.
EXPENSES ~!vii M~ t IN Af;:l,Y VyAY I\CCflU-E AGAfNST SAIO C1TY 1.N CONSEQUENCE OF THE ' . J n ~ ··: • _ §'( PHO 0 '~I.L GRANTING ,."Oil!S.PE~-+ :-'.,, .. ., .. .. • • / -. _ ~· _ ~ NE
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TYPE I DATE I INSPECTOR
BUILDING I
FOUNDATION I 17-,:2~~/J
REINFORCED STEEL
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME 1
SHEATHING ls,.,ROOF [j:sH~R • 1,n-A--~
FRAME
EXTERIOR LATH
INSULATION '
INTERIOR LATH & DRYWALL
PLUMBING 1
SEWER AND BUCO DIPUCO I ,l""\_id._Y IS-.
UNDERGROUND □ WASTE □ WATER)I l"f't ...,
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST 1
□ WATER HEATER □ SOLAR WAtER
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □ l)jFFER
ROUGH ELECTRIC I
~ □ ELECTRIC SERVICE □ TEMPOlilARY
□ BONDING □ POOL I
I
MECHANICAL ;
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I
/
CALL FOR FINAL /NSPECTl@N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVH BEEN APPROVED.
PLUMBING
FINAL :
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ELECTRICAL J 4) .. -;,..
MECHANICAL .~1 ~ -
GAS I z:;----i,., • \) ·~
BUILDING \ ~N---..
SPECIAL CONDITIONS "
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL.Ts
SPECIAL MASONRY
PILES CAISSONS
REQ IF I INSPECTORS
CHECKED APPROVAL
cg 0 -9',7 ~1~~
INSPECTOR'S NOTES
DATE
THIS IS TO CERnFY THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULAnONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE
BUll.DING LOCATED AT.:
SITE ADDRESS: / :fl/ Q
Number
EXTERIOR WALLS
Manufacturer7f470~1 Thickneaa/TypeJ¼," R/Value /.;y/
CEILINGS ~· -..,,.,,., ID// 12-Jo 8~w: r~ -~#
Batta: Manufacturer 'J(74-:c-rC14<'½? Thickness /0 11 R/Value £.'Jo
GENERAL CONTRACTOR: _________ __.LIC.# ______ _
BY __________ T.ITLE. ____ .....;DATE ______ _
INSULATION CONTRACTOR: WESTERN INSULATION LIC.#_....:2::,:::9:,::O;;:;49~7~---
BY s.La .. 4 o: «JJ:TLE ) 4cd ✓ C1DATE ..-:,;t.:::::;,~/4..!.,l.s/;..,:i,es: __ _
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