HomeMy WebLinkAbout2275 Highland Dr; ; CB880978; Permit"' z 0 ~ "' .. .. u ..
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~ [~' I hereby ■lllrm that I am licensed under o p lslon■ of Chapter 9 \commencing with
: Sec Ion 7000) of Division 3 ol the Business
~ and Professions Code, and my llcttnse 1s in ~ full force and effect.
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I nereoy afl,rrn lhat I om exemot from •he C~ntrac 10, s License Law lor The lollowrng reason ,Sec 70:JI s
Bus,ness and Pro1ess,ons Code Any c,ty or county ..,h,u, re
quires a oerm,1 to consirucl airer rrrorove demo-,s~. o, rep,ior any slructure orrnr to ,ts ,ssuance also requires '.heap
pI,canI lor sucn oerm,I TO IIIe a s,Qnea staIement InaI ~e s 1,censeo oursuant to the prov,s;ons ol the ~ont•acro, ;
license Law !Chaoler 9 commenc,ng w,th Sertror 7000 ~f D1,is1on 3 o1 me Business and Professions Code, or that s e,
empt 1nerelrom and the basos 1or the allegeo exemo1Ion Any v,0Ia11on ot Secl•on ?03t 5 by an appl1can1 tor a perm,r suo
Iec1s the applicant to a Civi, penally ot nol more 1hae 1,,e h,1n
dred Oollars 1S5O0i
I as owner of the properly. or My e1Y1ployees wil~ wages as their sole compensahon. ,.., .. 1 do lhe work and 'he slruc
lure Is ~ot 1n1enced or otlered lor sale rsec 7044 Business
and p,01ess1ons CDde TM Contractors I Icense Law does ~ot apply 10 an owner ol property who builds or improves
thereon ano who does such work himself or through his own
ernoloyees. provided that such improvements are not intend-
ed o, offered for sale If, however. 1he ou,I01ng or Imp•ove-
ment ,s sold w1lh1n one year of comolet10n lhe owner-builder will have the burden o1 proving that he d•d ~ot build or Im
prove lor the ourpose 01 sale)
I as owner ol the property. am exclus•vely contracting wI1~ licensed conlractors to c0nstruct the proIect !Sec 7044
Business and Professmns Code The Contractors License Law does not apply to an owner ol properly who builds or im-
proves 1nereon. and Who contracts for each pro1ecls wIm a contractor(s) license pursuant lo !he Can1,ac10,·s L,cen_;e Law)
As a homeowner I am ,mprovIng my home. and the loliow
,ng conoItIons exIs1 1 The work Is be,ng pe'torrned prior 10 sale
2 1 have I,ved In my home for twelve months pnor 10 completion of t~1s work
I have not cla,rned tnIs exemp11on aurin~ the
last three years
for 11h~~r!:~~t under Sec _____ _ B & PC
~ I hernby allirrn that I have a cert,licate ol conse~t to
self insure or a certd1cate of ·.vorkers Comoensat,on In
su•ance o, a cerl f,ed copy the·eol ,Sec 3BOO Labo• Code,
POLICY NO
COMO," 1013568-88
cop) ,s 1,5ta1:;-e c•Fund
=zcert,t,ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th,s sec1oon need not be completed ii the perm,t
,s fa, one hundred dollars 1S1001 or less)
I certdy ltla! ,n the performance of !tie work lor wh,ch
·h,s permit ,s ,ssued I shall not employ any person ,n any
manner so as to become subject to the Workers Com pen
satIon Laws ol CaI,lorn1a
NOTICE TO APPLICANT If. after making this Cert1l1cale ot Exempt,on. you should become sub1ec1 to the Workers
Compensation prov,s,ons of the Labor Code. you must
i tonhw,th comply with such prov,s,ons orth,s permit shall L be deemed ,evoked
i[ I hereby a/l,rm that there Is a construct,on lending
agency to, the performance ol lhe work forwhIch lh,s per
m,t Is rssued (Sec 3097. c,vil Code!
Lenders Name
Lender s Address
None_
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO f-lLL IN INt-UHMAI IUN W'I I MIN .>nMucu 11.nc" ,.,,.,..., ..,._ --········-··-· CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr_, Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO. DATE OF APPLICATlONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
2275 Highland Dr. Vista Way ,_,:n_<i:';( 19451 A-8f0 97(" COT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE # ZONE v:,
OWNER'S f\;AME I 729_;w;~;·s PHONE
Arlen Foster Plumbing 697-4151
Steven B. Petras CONTRACTOR'S ADO RESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAtLlNG ADDRESS 2819 Central Ave. 443348
DESIGNER DESIGNER'S PHONE
??7<; o<~>,]~nA nr
DESCRIPT•ON OF WORK . DESIGNER'S ADDRESS STATE LICENSE NO.
' ' FLA ELEV NO OCC GP EDU
STORIES
ye "'□
) CENSUS TRACT I PAPK•NG SPACE: RES ur-.;1TS GRADING PERMIT ISSUED l REDEVELOPMENT TYPE DCC LOAD FIRE $PP
AREA CONST
I ,□ ' D '-□ -..□ vO NO Nor Vil/id Unless Milch,ne Certdied
OTY. PLUMBING PERMIT -ISSUE ~7 c;n QTY. MECHANICAL PERMIT -ISSUE / SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU / tJUl~Ll,-c, r c::niv,I I lJU 1 -~ 1 0-vu ·vu-8<'20
EACH t\UILlJING SEWER OVER 100.000 BTU -SIGN PERM !T 001-81 O-OO-O·J-8221 , EACH WATER HEATER ANU OR VENT c"''1 r-n tlOILER·COMPRESSOR UP TO 3 HP / PLAN CHECK 001-810·00-00-8891
EACH GAS SYSTEM 1 JU 4 OUTLETS BOILER-COMPRESSOR 3 lJ HP / TOTAL PLUMBING 01)>810-80 00-8222 ~,n nn
EACH GAS SYSTEM J OR MORE META. c::IREPlACt. / ' ELECTRICAL 001-3 · D-O·J OQ-8223
EACH INSTAL ALTER. REPAIR WATER PIPE VENT ~AN SINGLE DUCT/ MECHANICAL 00' 810-iliillllil.0-8224
EACH VACUUM BREAKER MECH EXHAUST ~O DUCTS MOBILEHOME DO', _....,,,_~0-8225
WATER SOf TNER RELOCATIONJ,f"EA FURNACE.HEATER SOLAR ~QfYoo-o□-8226
FACY f-lUr:F l>Ri'.\.\ '.'.-'.:1[ DRYER~ STRONG M01'0N ..._ ~ aso s.~n~ -• ,
10HL MECHANICAL FIRE SPRi~JKLt.RS ~ .,c_,.,. ~. 1'001-810~·8227 . .c,,;-
T()!Al PllJMfJINC I ~,n nn PUBLIC FACILITl1~E·7 320nif~O-OO·~: b .-
QTY. ELECTRICAL PERMIT -ISSUE / QTY. MOBILE HOME SETUP / BRIDGE FEE l. )' .:Q.810-00~4UL:
PARK-IN-LEU i_i\REA ~"t' .. 1iijf' ,. N ..
NEW CONST E:A AMP SW! bKR / CAR PORT / TIF 312-lllJ·ll-'!·D0-8835
I PH J PH . AWNING -LA COSTA TIF -'-~1--BJ,-0:-.0b-00-8835
LX1Sr Bi DG EA AMP SWT HKR / GARAGE / FMF ., ... c·
I PH J PH / ,/ LICENSE TAX .,,. · ~L 81 ·310-LO-,:o-s· 62
REMODEL Al TtH PrR CIRCJ;,ff / MFF 880-519-92-57
TlMPPUIE' JOU AMP'.->/ /
OVER !lJU AMPS / ./
l £ MP UCCUP_;..f'fCY 130 OA YSI /
/ / CREDIT DEPOSIT
lilTAl flH.lRl('Al I / T()l Al TOTAL FEES PAYABLE I c::, f'I f'lf'I
l HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'" ANO DO HEREBY Expiration Every perm,t issued by the Buildmg omc,al under the prov,s,ons ofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tat1on and become null and void !I the bu<ld,ng o• work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such pel'm,t IS not commenced w1lh1n 180 days from me date of such ST,, TURES OYER 3 STORIES IN HEIGHT permit. or ,I ll"le bu,ldmg or work authorized by such permit ,s suspended or ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv time a er the work is commenced for a oenod o! 180 da"s
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
Cft~~~~CONTRACTOW APPRb ~F DATE KEEP HARMLESS THE CrfY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
17b7/t>i EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ :_"1• -. GRANTING OF THIS PERMIT nae " 1. BY PHONE fJ
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TYPE DATE INSPECTOR .
BUILDING ~ 'IS!sU7t~
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTORS GUNITE OR GROUT INSPECTION REQ IF DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRES TRESSED
CONCRETE , INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING I
□ SEWER AND BL/CO □ PL/CO HIGH STRENGTH ' ,, ;s; ... ~ "-. ~<,.i. -BOl is < ./' • UNDERGROUND □ WASTE □ WATER ,t'.< ~ ~ <·,
TOP OUT □ WASTE □ WATER SPECIAL MASONRY "· I ,,,. ,,
!VB AND SHOWER PAN
,
-~·~•,'#
J -GAS TEST PILES CAISSONt· ,>; .>~
□ WATER HEATER □ SOLAR WATER .• ~-·-
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROFfRf"f,TE
ITEMS ABOVE HA VE BEEN APPROVED. I I
FINAL / I I/ ,.--/7
,., M /,,.._,µ ,· /-
PLUMBING ✓
ELECTRICAL ) ----' ' MECHANICAL ./''
GAS (/
BUILDING
SPECIAL CONDITIONS