HomeMy WebLinkAbout1986 High Ridge Ave; ; 86-675; Permit.. z 0 ;:::
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~ I hereby afllrm that I am licensed under
~lalonl!I of Chapter 9 (commencing with
Section 7000) of □!vision 3 ol the Business
and Professions Code, and my license 1s 111
full force and effect
, heretJy at'.:rrn that I am exempt 'rom 'he
Tor's License Law tor the fol'owir,g reaso~ 1Sel.
Business and PrQfess1ons Code Any c,:y or co,.rt'/ re-1 qu,res a pern·,,1 10 consirucl airer ,rrprove. ~ernc ,Jr
repair any stn.c'.Jre pr,or to ,ts 1,sJarce als0 'ecu,·t~
pl,cant for sucn perrmt lo hie a s,qnee ste·erent t~Jt ,s I
~;;enns;~ L~~~c";;pt~~ ~h~o~~;~s~;nngs -,,~\h i;;"l;;n"%tr o; I
o,v,s,on 3 al :he Busmess and Proless,vns Cade, or tCet ,,, e, ,
empt lherelrom :rnd lhe llas1s tor lhe al'eqed e,em~:1on An1 , v101a11on of Secl·on 7031 5 lly an ap~'1cont lord perm,' suo I 1ects the appl1caol to a civil pena;ly of not .,-,o;e ·nar. 11,e c,,n-I
dred dollars 1S'i001 I
I. as owner of tne p1ooerTy _ or rr.y e~.ployees w11h wage, I
i Jrt1~1 r n~f 1tnt~0n~~ri,a~~;f e~1\1o~~;l~e I iit ·7~~~ t~~;1~~~~ I
and Professions Code· fhe Con1ractor s L1ce%e Law does I
~ho~r:itxn~o :~o ~::r s~~i~gre:t:te~I ~~1:~~oi~~~~;~•i~ I
employees. provided that such improvements are not 1nlend-I ed or oflered for sale 11. Mwever the bu1ld1ng or 1moro-,e
ment 1s sold w1th1n one year of comple11on. the owner-bu,lder will have the burden or provmg that he did nol build or ,m
prove for the purpose o1 sale)
I, as owner of lhe pro;ier\y. am e~clus1vely contractLnq w1rh lrcensed contractors to construct lhe pro1ect (Sec 7044 Business and Professions Code ~he Conlractor's License Law does nol aDply to an owner of property who builds or 1m-
proves thereon, and who contracts tor each pro1ects w,th a contrac1or(s) 11cense pursuant lo the Contractor's L1ce0,se Law)
l As a homeowner I am ,mprov1ng my home, and the to low
1ng cond1t1ons ex1sl 1 The work 1s be,ng perlormed prior to sale 2 1 have !1ved 1n my home tor twelve mo~lns
prior to complet10~ o1 lh1s work
I have no1 claimed this exempl10n d1,ring lhe las\ three years
I am exempt under Sec -----~ B & PC for this reason ____________ _
'-'. I hereby atftrm that I ha,e a cert,f,cate of consent to. II
~~sure or a certil1cate of Workers Compensat,on In
surance or a cer11f,ed copy the reel 1Sec. 3800. Labor Godel I
POLICY NO
'\.C~PANY
~ COO) IS filed with the c,ty
___ Certol,ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed t1 the perm,\
,s lor one hundred dol,ars 1S700I or less)
__ I certlly that 1n the perlormance ot the work <or wh1cn
1h1s permit 1s issued. I shall not employ a~y person ,n any
manner so as to become sub1ect to the Workers Com pen
sat,on Laws of Callfom,a
NOTICE TO APPLICANT· If. after making th,s Certificate
ol Exemption. you should become sub1ect to the Workers
Compensation provisions of the Labor Code you must
forthwith comply w,th such pro,,s,ons or this perr,,1t shall
be deemed revoked
,. _ I I hereby al<irm that there ,s a construct,on lending I
agency for the performance olthe work for wh,ch ti,s per
m,t ,s ,ssued tSec 3097. Ci,11 Code)
Lenders Name _______ _
Lenders Address_
USE BALL POINT PE~ ONLY & PRE~S HARO 1-\t"t"Ll\,,,J-\N I I U l'"ILL IN INl'"UnlYII-\ 11v1,i ffl I n1r, ~nl"\UC.LI 11.nr;;;l"I. l"\l'IU ur;;; .... L.l"'lnJ"I. , .... ,,. ....
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS ;/✓'ul. /I/~,, e
AV. ST.RO. NEAREST CROSS ST. DA TE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
/•~flt. l:Z.-/'l-~~ ~ <?!:-&7~ ;'jq "'.?;~ 7 l,o~'.'.:e.wn-,ts::,4P'7R~E~~A°'"-./ 0 CONTRACTOR CONTRACTORS PHONE# ZONE
-.. -;~ C-n/ .✓.1 ....... fAW/4, _, '. fJ~·~/~CJ ✓
~ 7311)7' G/f II l> I'? /t! 7-I OWNER 5'H0" CONTRACTOR"S 1i DD RESS " ,c,,'R,/_$ ""' I!. 1;];."!lo BUILDING SQ FOOTAGE
7~1.l"Jt!/ tJJC~.MS /~-
O;~;,iLIN7J;:;;L.~J ~~ DESIGNER 7 DESIGNER'S l HONE
OESC~;;_~~L~ ...... ~.~ J.¢/C. ,<' .,._ .J DESIGNER"$ ADDRESS STATE LICENSE NO.
.l='~IP. -----u F LR ELEV "o OCC GP EDU
STORIES
y~ s.O LIU J.. ~! LI lJ .i J..2! .i..~'/;1_:,;:,:c:hT .' :f
! I PAP.Kl".G '.;PACE RES UNITS ! GRADING PfRMIT ISSUED l REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
,□ N □ ':J ,c. vO "-0 Not Valld Unless M•chine Certd,ed
150 " .::? . () 0 QTY. PLUMBING PERMIT· ISSUE 1 QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE rRAP . I INST AL l FURN DUCTS ;JP TD 100 000 BTU BUILDING prnr,,i T 00 1-310-00·00 8220 /',.Cl'
EACH BUILDING SE.Wf.R OVER 100.000 BTU SIG~ PERWT 001 810-00-J0-2221
~ ---~-' --------C ----
EACH WATER HE:ATER ANU OR VENT
'
:, BOILER.COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00-00-8821
EACH GAS SYSTEM l TO -1 U U l l El S
*
801LER.C0MPR[SSOR 3 15 HP TOTAL PLUr.'Rlr.G 001 -8 · '.]-0~ -00-52 22
--------·-. -----------
EACH GAS SYSIE.M 5 OR MO Rt ! ',1ETML F RFPi./\.Ct· ELEC~RiCAL 001 -81 0-DO-00-8223
----. . --------~
EACH INSTA~ ALTER, REPAIR \\'i\TER PIPE VENT FAN SING! F nun ~-MECHAN'CAL OQ 1-S '. J-08-00-8224 . ------------------------------
EACH VACUUM BAE.AKER MECH FXHAUST HOOU UUCTS MOBILEHOME 001 ·8' U -00-00-82 25 --------
WAltR SUfTNEK RELOCATION OF EA FURNACE-HEATER SOLAR 001-810-00-0D-8225 ---~-
f Ar:H RDUF l'R/4 'J i 'J(l'1F DRYER VE~ T STRONG MO! Im, 881-519-92·33 ---------
TOTr..L MECHANICAL F'RE SPRl~-J:<:.LERS O'J 1-81 0-C,0-00-8227
---
:
----------I ------------------
TUI Al PllJMB1Nr. ,, PUBLIC FACILIT ES FEE 320-810-G0-·:0-87 "-0 -------
S,O<) I QTY . BRIDGE FEE 350-81 0·00·00 ·8 7 40
QTY. ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP . -f' PARK·l~J-LIEU ,:;.:i;,:,,; I --
NEW CONSf EA AMP SWl fiK>i CAR PORT Tlf 134-81 0-00-00-8835 --------.,. __ , . ------------
I PH I Pe ,! AWNING . LA COSTA TIF 133·81 D·OD·00-8835 ----
EXIST fiLUG EA AMP SWT EKR ' : GARAGE FMF ----------------
I PH I PH .i LICENSE TAX Q01 S10-:0<·0-8'62
:1
--, __ ------
REMOnEL AL 11:H PEH CIRCUIT Mff 880-519·92-57 ~-------------
TEMP POL[ !00 AMPS ---------------------
OVER 700 AMPS .
---. ---------------
TEMP OCCUPANCY 130 DAYSI ----• -------------
' CREDIT DEPOSIT ----,---~---·-------t lilfAl f I l-1,THIU,l
I
lf)Tf\, TOTAL FEES PAYABLE I ]C::. () G I •
l HAVE CAREFULLY EXM/lt~ED THE COMPLET[D ·APFL!CAT:QN ANO PERMIT 1>,ND DO HEREBY Exp1rat1on Every permit issued by the Bu1ld1ng 0111c,al under the pro~1s1ons of this .I * AN OSHA PERMIT IS REOOIRE~CAVATIONS O.eR Code shall expire by l1m1tat1on and become null and vo,d 11 the bu1ldmg or work CERTIFY UNDER PENALTY OF PERJUfW THAT :;c.L lr-.iFORMATION HEREON INCLUDING IHE authonzed by such parm1t rs not commenced w,thm 180 days from the date of such · ~ s· o·· DEEP ANO OEM~m STAUCTK>N OF
DECLARATIONS ARE TRUF. AI\O CORRECT AND I r~JffiHER CERTIFY AND AGREE IF A PER:,w 10 perm,t, or i! Iha bu1!dmfl or work author,zed by such perm11 ,s susp(:nded,., ~ f_..-,.-/MT\IR~, OVER 3 S I I EIGHT
ISSUED: TO COMPLY WITH ALL CITY COUNlY AND $TATE U\WS GOVERNING BUILDING CO'-. abandoned a! an11 time a ter the work 1s commenced for ii nenod of 180 davs
STRUCTION. WHETHER SPECIFIED HEREIN OR rsOT I ALSO AGREE TO SAVE INDEMNIFY AND APPL.JC AL,~•-~ ~ 4wNER 0 CONTRACT_GRJC.. r"R'J"''I" / s. , t · '.~ DME KEEP HARMLESS THE CITY OF CARLSBAD AGAiNST ALL LIABILITIES. JUDGMENTS. COSTS tia'ID _;,_--~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "" --BY PHONE fl /~.:.-----)v1., I /Ii ~ 1/l,J) gh GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR ' ' --8& ~to,~
BUILDING ' . .. • FOUNDATION I
~
' FIELD INSPECTION RECORD
REINFORCED STEEL ' ' MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES.
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CE[(::ING
SHEATHING □ ROOF □ SHEAR
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANlE
PRIOR TO
FRAME ~OUNOATION INSP
EXTERIOR LATH I
'
STRUCTURAL CONCRE IE
OVER 2000 F'SI
INSULATION ' ·-----PRES TRESSED
INTERIOR LATH & DRYWALL I
I
CCNCRETE I
POST TEN.C::.IONED ' cor--.·cRETE
----·--·-----
PLUMBING ' FIELD WELDING
D SEWER AND BUCO D RL/CO ~-------·-·--->-1iGH STRENGTH
UNDERGROUND □ WASTE □:WATER ao~ fs
TOP .OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN ' I
GAS TEST I
'
~---
PILES CA1:;sor,,,:·
□ WATER HEATER □ SOLAR WATER ---------+--.. --f----
I !
ELECTRICAL !
.. ------~----
□ ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC ! ------~-·-
□ ELECTRIC SERVICE D TEMPbRARY -------+---------□ BONDING □ POOL I !
·-----. !
MECHANICAL ! . -·-----------I--------~--------!------
□ DUCT & PLEM., □ REF. PIF!ING
HEAT -AIR COND. SYSTEMS I
-·--' ------
VENTILATING SYSTEMS ' I
! -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE:,
_ ITEMS ABOVE HAVE BEEN APPROVED
FINAL ' -
PLUMBING I ·--
ELECTRICAL '-.,.r., ,.,;
MECHANICAL ' ---...-->_ " GAS I 0 __::r·
BUILDING I r"-(_ --.-~
--
SPECIAL CONDITIONS ' -I
• ~ ~ED< ..,ft~-zr: _,. M~.e DATE#
• '
/J, ~ PLANNING ~~
ZONE; ..,dL-TYPE Of' PROJECT /NJ USE: . .•. . . .
SCl{!JIL l>ISTRJCT: SAN. . GUI O _ ENCINIT~~ SAN Mo\RCOS
SETBACKS1 f"RONT _...,.___...,..°" SIDE _____ REAR
DISCRETIONARY At'nONS's. _ ___.~"'-,-i,,''-------------------
REDEVELOPMENT PEllt!T. REQUIRE2:'r~t,11-------------------~
t 1 __
J
LANOSCAP£"PLAN COIIIENTS:_-,-f,f-1,lfl+-----------------
ENVlRONliiNTAL REQUIRED:
= 1s
----------------------COASTAL PEftMIT REQUIRED: YES ___ _ NO ___ _
ADDITID,NAL.COMNDITS1 _________ ...,.. ____________ _
. GI !II ~Q . ' ' . . ~
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D □-.. .: c -
. . , . '·. ', ' ' ,··:··' . ' .' ,. ' ' .
ENGINEERING
LEGAL Ed!PTriJN V£Rlf'IED? -----APN CHECK£D? ----------EASEMENTS: ____________ _
RI GtlT -Of' ..WA V 1 ---------EDU•s, ___________ _.__ DRAINAGE 1 -----------
. IMPIIOV~NTS1 · .. ·------------r""t"'t..,Lb"'", "II. dltt"'. _K.,l;lif.lT-, 1:"", ..,..~mll:l! .... ,.,1rrAt"'.s~,-----
P£RHIT.g REQUIRED
GRADlNG1 ___________________________ _
GRADING COHPlETION CERTIFIED: -----
DRlvtW,Vt I"°"TRIAL WASTE1
f'EES REQUIREp
PARt<-IN-LIEU QUAOMNT: ___ , f'EE PER IMIT: ____ TOTAL f'EE: ____ _
P.f';F.,_._. __ TRAFFIC IMPACT FEE PER UNIT1...,.. ___ TOTAL f'EE1. ____ _
f'AClt.ITI£5 MG14T. FEE: _______ BRIDGE & THOROUGHFARE f'EE: ____ _
· SEWER, f'EE' (CONNECTION): SEWER LATERAL1
ADDITltJllw. eot♦£NTS1. ____________________ _
OK TO ISSUE1 ____________ DATE1 ___________ _
DPD2:DPD6:10/24/86