HomeMy WebLinkAbout1952 High Ridge Ave; ; 85-394; Permit., z 0 .: "' <C
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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 is in
full force and effect .
Lie No ____ _ Cla1,
I hereby affirm that I am e~e,.,pt lrorn t~e C.;ntrac
tor's L,cense Law for tr,e follow,ng reason 1Sec 7031 5
Bas,ness and Proless,ons Cooe Any c,tv or county wh,cr; ·e
quires a perm,: to construct alter. rnprove def"'ol1sh 0' repa,r any structure. y,or to ,ts ,ssuance a so ,equires '.heap-
plicant for such perm•t :o file a s,qned slatemert t~a· he ,s
I,censed p.rsuant to :he prov,s,ons of lhe contracw·s L ,cense Law ,:c•.apter 9 commencing w,m Sec:,on 7~00 ol
o,v,s,or 3 of the Bu sines, and Profess,ons Code,, er t~a· Is ex
empt t~ere1rom and lhe basis for lhe allegea exemption An1
•,ioIatIon ol Section 7031.5 Oy an applIcanl for a :iermI1 sub
1ects !he apolicant to a civil oenaI1y o' not more lhan 11'/e hu1
~red dollars [$500'
I, as owner of lhe ?roperty, or <ny employees 'N1fh wages as Their sole compensa!1on will do The won, and the struc
ture Is not intended or ottered for sale ISec 704~_ B'"s1ness
and Professions CDde The Contractors License Law does
nol apply to an owner ol property wM builds or ,mproves
thereon and who does suer, work h1mselt or th<ougr his own
emp:oyees. provided 1ha! such Inprovernents are not 1n1end
ed or o11ered for sale If, rowever, the bu,ld,ng or improve-
ment ,s sold w1th1r. one year of complet,on. the owner-builder
will have the burden of provmg that he did not build or Im
p·ove for the pu-pose o! saleJ
1. as owner o1 the property, am exclusively contracting
,111h licensed contractors to construct the pro1ect (Sec 7044
Business and Proless1ons Code The Conl!dclor·s LIcerse
Law does not apply to an owner of property who builds or im-
proves !hereon and who contracts for each pro1ec1s w1lh a
co,1ractorls) 11cense pursuant to the Contracto··s License Law,
-As a homeowner I am I'llprovIng rT>y home. and the lollow
Ing cond1t1ons e,,st
1 The wo'k ,s being performed orrnr !O sa,e 2 I have l,ved In my home for twelve monrhs
prior 10 compae1,on of this work
I have not claimed this exemption duw~ the
last three years
lor 11h~~r~::~itunderSec _____ _ B&PC
0 I hereby a!ttrm that I nave a cert,t,cale ul cor>sen•
to sell ,nsure or a cert,ticate o1 WorSers
Compensation lnsurancf' o, a cert,f,ed COP\' r>,e,eot
1sec 380.'.l Labor Code,
POLICY NO
COMPANY
O Copy ,s liled ,.,tr, the city
O Certd1ed copy ,s hereby lurn,shed
CERTIFICATl OF EXlMPTION FROM
WORKERS COMPENSATION INSURANCF
rTh,s s.ectoon need nol be compleled ,I th,-~€'""''
,s •or one hur>C!red dollars iS100• .__,, Ies\·,
0 I cert,ty that In lhe pertormarce of :ne wo,-. •,1,
wh,cn ,n1s permI1 ,s ,ssued I stial' ,ot emplol an)
person ,n any manner so as to t,ecomf' sutM!cl t,
lhe Workers Compensa1,on L..a"'s ot Calito•r,a
NOTICE: TO APPLICANT It atter makinl \'115 Cen,
1,cate ol E,emp!•on you snould t>ecor,e subIe,r,
lhe Workers C<.,mpensa1,on provIsIons ot me Lat><:;r
Code you mus1 'ortn.,,,th comply w,11, ~.,en
pro.is,ons or m,s perm,\ shal' b<> Cleer,.,d ,,•,c,ked
0 I hereby af1,,m 1h,1I there 15 a cc,r,~lrue",c.,~
IenC1Ing ag<>ncy tor t•w perto,man, e ,,1 t~e .,,-Jr> •,,,
wh,ch th,s pert"T',t , ,ssueel ·.Sec m: C" r,ooe,
Lende, s Name ___________ _
Lecider s Address __________ _
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
JOB AOD'RES!:; ... , AV. ST.RD. NEAREST CROSS ST. ~z;•h,T~I BUSINESS LICENSE # ~ALUATION PERMIT NUMBER
I Jt?.,/" ii,,,J, 11. A,,~ fi.. _). L A.J ~~ A,.,,, ,,f is-:3r; I c,. ~ •,;· , . 15 ~ /,..
'591L BLOC ii s;IB01v1s10N ;. r ·~"lJJP'"iEP4' -c;7 CONTRACTOR 7 / CONTRACTORS PHONE# ZONE .. Ar,// ~/ff"/c.,-OWNER'S NAME . -. OWNER'S PHONE
p /Jt{) #Tu L A .r ,,/I; ~-:II# /,,/,f/'/ CONTR'ICCTOR.S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
. 1~;;~·,.;;/::°J'Je 1 ~ · A1~ /lfi'° /,.,J,.,, I /',i_) ,C DESIGNER LICENSE # ST AN OARD PLAN # BUILDING SQ. FOOTAGE
O~SCAIPT!ON OF Y.RK / . , .
OESlGNER'S AOORESS DESIGNER'S PHONE
,:-C..O ve.lL ~/, 0 ------------------u F LR ELEV NO DCC GP EDU STORIES
YD NO
CENSUS TRACl I GP L_AND U~E I PARK•NG SPAC~ RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIR£SPR
AREA CONST
,□ '□ ,::::J ,□ YO ND Not Valid Unless Machine Certified
!
"1~ ~-QTY. PLUMBING PERMIT. ISSUE
'
QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT Ql-QQ-00-8220 .i,r,. • .l u
EACH BUILDING SEWER I OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
+--------------------. ----ii-:~_ EACH WATER HEA IE RAND [l R VENT BOILER.COMPRESSOR UP TO 3 HP PLAN CHECK 01-00· 00-8806
------
EACH GAS SYSTEM 1 I U 4 OUTLETS i flOILER,COMPRESSOR 3 15 HP ~-----~-~ TOTAL PLUMBING 01-00-00-8222
--1------------· -------
EACH GAS SYSTEMS OR MORE till AL FIREP'_ACE ELECTRICAL 01-00-00-8223
~ ~---· -----~-
EACH INSTA~ ALT ER, REPAIR WAT ER PIPE ' VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ~--------------------·-• -------------
EACH VACUUM BREAKER MECH EXHAUST HODO DUCTS MOBILEHOME 01 ·00-00-8225
H~~::~:~~~F~:~,~R 's ·,f
RELOCATION OF EA FURNACE.HEATER MOBILEHOME PARK Ill.SP __ ,__
1-',, ·-,, I, • • SOLAR 01-00-00-8226 ---------
,~. j TOTM MECHANICAL STRONG MOTION 80-92-33-0519 ---·
'
1 U I Al Pl UMlJ1r>.L FIRE SPRINi<LERS D1-00-00-8227 .
I PUBLIC FACILITIES FEE ~2-00-00-893)
I QTY ELECTRICAL PERMIT· ISSUE ~ 'i QTY. SOLAR· ISSUE ·-
I BRIDGE FEE -
I NEW CONST EA AMP SW! lJKR COL Lt.Crop:, SCHIJOL FEE -OISTR!CT ----
I I PH I PH I I s-□RAG~ TA\~S Carlsbad 80-92-21-0519 -· I FXISl IHDG EA AMP SV,'T BKR
'
ROC~ s-,JRA3t Encinitas 80-92-22-0519 I ·----
I I PH 1 PH PL,t,10 San D1~gu_1to 80-92-23-0519 ·-
I RE"-'10UELAITt:.R PH [18[UIT Pl !J.,', CHf-CV ~FE-San Marcos 80-92-24-0519 ,_ -------~----· --·--· I ' TEMPPOlE' JIJ(J ,"I ',\P\ --· I --
'
0\/rR !lJ(] AMPS LICENSE TAX 01-00-00-8162
I I ---·-----
I TE!,1P U[[UPANCY 30 OAYS1 MFF 80-92-57-0519
-----' I
'
I CREDIT DEPOSIT
I TilTAL F.L~LTRIU..! I I' I rOTAl SQL/J.,R TOTAL FEES PAYABLE t/,3 .7$ ' ;i I I
I I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Bu1ldmg Official under the provisions ofth1s * AN OSHA PERMIT IS REOUl~EO FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaJ! expire by hm_1tat1on and become null and void, If the building or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced within 180 days from the date ot such STRUCTURES OVER 3 STORIES IN HEIGHT I ~~~~~n~ 1~tt=~" ~~~i~Ptei~h:~~r:~tc°~~~e:leJ~~7.f~~~~d1~fs~;g~na~~ or !SSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
IDATE~> APP~S ~:;NATU";; / OWNER □ C:ONTAACTOR 0 APPRO ~ BY
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~~ I EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,/ BY PHONE 0 GRANTING OF THIS PERMIT ' I • :,
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TYPE I DATE INSPECTOR
. ,,-...... •. . ---------~ I'
BUILDING I
FOUNDATION I
. 85°' "3C, l/ ~-
FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
GUNITE OR GROUT ' .. . . ' REO IF INSPECTORS .. INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
EXTERIOR LATH I
SOILS CQMP1 -•~CE
I ' PRIOR TO
F-OLINOATIOr-.. l~SF ! -----+-----------,------STRUCTLIPAL CCNCAETE I OVE-R 200G PSI ' INSULATION I PfH::STRESSED '
INTERIOR LATH & DRYWALL I CONCRE'"E
POST TENf.lONED
I CONCRETE
PLUMBING I F-IE'....D 1NELD1r-..;G
SEWER AND BL/CO □IPL/CO I
-----·-------rll(_-;H STRENl1Tf-!
UNDERGROUND □ WASTE □ WATER no~ Ts
TOP OUT □ WASTE □ WAI.TEA ~PECIAL M,\SCNRY
..
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
,Pi:_E'.::, CAISS()r-,.,·
' --------------}--
I
ELECTRICAL I -1-----r----------
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC '
. . ,;--
-
' D ELECTRIC SERVICE □ TEMPORARY .
--------------~ □ BONDING □ POOL I
' ------I
MECHANICAL ' ' ---------·-
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
'
----·---
VENTILATING SYSTEMS I -' '
' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE, BEEN APPROVED
FINAL I
PLUMBING I ,'
ELECTRICAL I UJ . .
MECHANICAL I .i ./V . ' ' -GAS I :--'' .
.. • . . .
BUILDING I .r1 " I 1 .. .. .
.
SPECIAL CONDITIONS I " /)
I
i I i .. I
PLAN CHECK -• ' ADDRESS ,(tr:,. ~ 'DATE~
PLANNING: TYPE OF STRUCTURE____.~~-~--· ____ __.. ____ ZONE:~
~ ... 3 ...
SCHOOL FEES: SAN DIEGUITO ______ _
CARLSBAD ______ _
% COVERAGE. __________ _
BUILDING HEIGHT__; ________ _
FENCES/WALLS ___ ...;... ______ _
TWO CAR GARAGE. _________ _
ENCINITASt,··· er,e\ ,4> . ., o't> ,,
SAN MARCO . ~ ~ d
·\;\\,.., ~-:J
REQUIRED SETBACKS ,. .c,'t-~ o,
FRONT __ __.~-~''----
SIDE.~e'---1-.t==~"-----
REAR._...;;;;. ______ _
;:: "" COMMENTS: _________________________ _
~i
---~·•··. ~-----------------~ □ REDEVELOPtlENT A?PROVAL REQUIRED: 6 ~ □ . ______________ __., __
..,_ ~go 8 lai LANDSCAPE PLAN COMMENTS: ___________________ _
ENVIRCr:t,,ENTAL REQUIREp,_: ___________________ _
ADDITIONAL COMMENTS:.: ____________________ _
OK TO ISSUE: ,e -DATE: up',r",:V'<lK TO FINAL: ____ DATE: ___ _
ENGINEEflING LEGAL DESCRIPTION VERIFIED?_....!:::--A.P.N. CHECKED?..:::
• P.F.F., ______ PARK IN LIEU ______________ _
R.O.W:, ______ IMPROVEMENTS: ______________ _
_______________ E.D.U: __________ _
SEWER: ________________ ...;... _______ _
LATERAL: __________ _ DRIVEWAY: _________ _
GRADING PERMIT: ____________________ ___,.;. -... i i DRAINAGE: ________________________ _
....... u~ ..,_
EASEMENTS: --'~----· ______ ADDITIONAL COMMENTS: _____ _ ~-□
2c::i □
~g □-----..;...--------------------,,...---
8~ OK TO ISSUE: _&c::3~~==~· =======---DATE: ___s-/J--r/tf I
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC 1-!0RKS INSPECTOR: _________________ _
FINAL OK: _________ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)