HomeMy WebLinkAbout1978 High Ridge Ave; ; 83-567-128; Permits)t
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~ I hereby atlirm that I am llcensed under
/pr6v1a1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in '"" fo,coAod,tt"""' (; L,c No ':tJ.2:L _ _::):',,_) Cl,m c'<f'")_,,_ __ _
I hereby a1t1rm lhat I am exempt from the Contrac-
tor's License Law lor the lollow,ng reason (Sec 7031 5
Business and Professions Code Any c,ty or county wh,rn re-
quires a permit to construct. alter. improve, demolish. or
re(x!,r any structure. pr,or to ,ts issuance also requ11es !heap-
plicant for such perm,1 10 hie a s,~ned sla\ement that he ,s
licensed pursuant lo lhe prov,s,ons ol the Contractor's
License Law \Chapter 9 commenc,ng with Section 7000 of
D1v,s1on 3 of the Business and Profess,ons Code) or that ,s ei·
empt therefrom and the bas,s for the alleged e,emp1,on. Any
v1olalmn o1 Section 7031.5 by an applicant 1or a perm,t sub·
1ects the applicant to a c,v,I penalty of not more than five hun-
dred dollars ($:>00)
,: I, as owner of the property, or my employees with wages
as their sole compensation, will do the work. and the struc· ture is not intended or offered for sale (Sec 7044, Business
and Professions Code: The Contraclor's License Law does
not apply to an owner of property who buolds or improves thereon and who does such work himself or through h,s own
employ~s, provided lhat such ,mprovemen1s are not 1nlend• ed or offered for sale. 11. however. tM building or improve-
ment 1s sold w1th1n one year o1 completion, the owner•butlder
will have lhe burden ot proving that he did not build or im-
prove tor the purpose o! sale)
:J I. as owner o1 the property. am exclusively contracting
with licensed contractors !O construct the pro1ect (Sec. 7044, Business and Pro1essoons Code· The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon_, and who contracts !or each pro1ects with a contractor(s) license pursuant to the Conlractor's License l>wl
[l As a homeowner I am 1mprov1ng my home, and the follow ing condillons e~1st
1. The work is being performed prior to sale
2 I have hve<I in my home for 1welve months
prior 10 completion of this work
I have not claimed this exemption during the last three years
□ I am exempt under Sec ______ , B & P C
for this reason
ti('" I hereby at!orm 1ha1 I ha•e a cer1,t,cate of consent to self-insure or a, cen,!,cate of Workers
Gompensa,t,on Insurance. or a cen,t,ed copy thereof
(Sec 3800. Labof Godel ~,.,"'IQ 2,,· POucvNo2_-/1vVri.O 1o4.,...'="'"i
coMP•"' r::1 rellu,½ ,5. Fu_,,ct
E;t' Copy ,s !,led w,lh !he crty
D Cer1,t,ed copy 1s hereby !urn,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s se<:t1on need no1 be completed ,f lhe perm,1
1s lor one hundred dollars lS100) u, less)
0 I cert,ty that ,n 1he perlorma,nce ot the work Tor
which this perm,! •s ,ssued. I shall nol employ any
person ,n any manner so as 10 become sub1ec1 to
!he Workers Compensal1on Laws of Cai<fom,a
NOTICE TO APPLICANT If, after makortJ !his Cen,
!,cate at Exempt,on, you should become sut>1ec1 !'J
the Wor1<ers · Compensat,on prov,s,ons at the Labor
Code you must lor1h.,.,th comply w,th such
prov,s,ons or rn,s permit sna11 be deemed ,evoSed
0 I heret,y al!,rm lhat 1here-,s a con~truu,on
lend,n,;i a,;iency 10, the-per1o,mance ol the wo"'-to,
wn,ch th,s perr"l'<I ,s ,ssued ,Sec )097 c,, 1 Code-,
Lenders Name ___________ _
Lencle1 s Address __________ _
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 ~619) 438-5525
..:v·. s'f RO. ~~ST-
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YO ND
vO NO
REDEVELOPMENT
AREA
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PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS iJP TO 100.000 BTU
.APPLICATION & PERMIT
BUS.NESS LICENSE# -· I
I -sct5__4~·-·· 'z~~'6.b';2;f33 .Sf:•'J-i2){
VALUATION PERMIT NUMBER
PLAN 1.0. # BLDG USE CODE
STANDARD PLAN # BUlt8rbFOOTAGE
TYPE OCC LOAD
cfJlJ Not Valid Unless Machine Certified
3 OD SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00-8220
EACH BU!LDtNG SEWER ~IGN PFRMIT OVER 100,000 BTU ____ _ 01 ·00·00-8221
QTY.
EACH WATER HEATER ANO,iOR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSHM 5 OR MORE
EACH !NSTAI. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN i1NSl□E·1
TOTAL PLUMBING
ELECTRICAL PERMIT. ISSUE
NEW CONST EA AMP:SWT BKR /QL)
I PH J PH
EXIST BLOG EA AMP/SWT.'BKR
1 PH 3 PH
REMODEL ALHR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY f30 DAYSI
TOTAL fLECTRICAl
f H'A,VE1CAREFUL\.Y-t;XM.ilii! CERTIFY \,)1·--"-··'"'--'
QE,eLARM"I
l~iO:-TO
STRUCflON,
· l'i6EP 14ARML
EXPENSES ~~lit GRANil-NGoF :nus p,
f"I <r L=-~-
.(Y)
5. () ('J
·~5 CO
~~~--~--
BOILER/COMPRESSOR UP TO 3 HP -· ••. -----·-t'LAN l,;Htl,;"-01 ·00-00-8806
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOQ.'QUCTS
RELOCATION OF EA FURNACE/HEATER
TOTJ..L MECHANICAL
7 ~
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOT Al SOI AR
.I
TOTAL PLUMBING 01-00-00·8222
ELECTRICAL 01-00-00·8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR 01-00-00-82
STRONG MOTION _ _!Q:~ll·02_11_ 72
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00·00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San D1eguito 80-92-23-0519
San Marcos 80-92·24·0519
LICENSE TAX 01-00_Q_0-8162
/'llFF /a.) U? C>O G£:r).J..00
CREDIT DEPOSIT
TOTAL FEES PAYABLE
* AN OSHA, PEAMfT fS AEOUIREO FOR EXCAV-.TIONS OVER
5· O"'M ANO OEMOOfK)N QR CONSntUCJ10N Of' i:.f«k.. ~ OVER 3 STORtES tN HEIGHT
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TYPE I DATE INSPECTOR
BUILDING I --FOUNDATION I ..... ,.,..,..ft, ,
REINFORCED STEEL I I rv•...,
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I I 11 • ..:::.-~,.
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL I
I
. PLUMBING I ,
SEWER AND BUCO □IPUCO 1 \ ...... _~
UNDERGROUND □ WASTE □ WATER, 1r..,
TOP OUT □ WASTE o WATER ~h:71.GI A"'.5.1:1
TUB AND SHOWER PAN I /
GAS TEST ' I
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
O ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I ,1 ·';7',
O ELECTRIC SERVICE □ TEMPOlilARY
□ BONDING □ POOL :
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING )I -S ., . .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I r
CALL FOR FINAL /NSPECT/(j/N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL :
PLUMBING I ~A
.
-
ELECTRICAL I ~ <:, .. ~ /
MECHANICAL I tC .1/_? iv' 7/J
GAS I --""" ,.-i..l'jl!;)'-:>
BUILDING ' "\ ·-
SPECIAL CONDITIONS I
I
. --,..;;., ~ 3--50 '7 -I~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
. \ INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
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~-
. ,.
THIS IS TO CERnFY THAT INSULAnON HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CUUENT ENERGY REGULAnONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT.:
SITE ADDP.ESS: /92£
Number
EXTERIOR WALLS
Manufacturer71J,:t-aa~> Thiclmeaa/Type.3,;6,, R/Value /;--//
CEILINGS '79J • ,,, / ~ ID ,,,, 12.-Jo ll!ovl: -Au /2 Batta: Manufacturer 'JYJ4-c-,c:r-U-H Thickness /o/" R/Value &'.3'.0
GENERAL CONTRACTOR: ____________ LIC,# _________ _
BY __________ TITLE. _______ DATE ______ _
INSULATION CONTRACTOR: WESTERN INSULATION LIC,# __ 2_9 ___ 04_9_7 ____ _
BY sL.w. '4 ~JTLE , 4-:1 I'. &1 DATE ___ _;{>""/4-.$._.hs-....,.__ __
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