HomeMy WebLinkAbout2280 MORGAN RD; ; 87-242; PermitUSE BALL POINT PEN ONLY & PRESS MARS APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
- CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009.4859 (619) 438-1161 .
JOB ADDRESS ' AV. ST. RD. NEAREST CROSS ST. I DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
O /1d1O G4AJ /2j) (1j .3-2-4 - '
ZONE LOT.._J BLOCK I ASSESSOR PARCEL Np. SUBDIVISION CONTRACTOR CONTRACTORSPHONEI
OWNER'S NAME , OWNER'S PHONE C L -
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
- . 72./-9 -
OWNER'S MAILING ADDRESS
ç ,44 01 .G4,J i2 DE3IGNER DESIGNER'S PHONE 1
occcrn'c'TIorIor WORN -
DESIGNER'S ADDRESS STATE LICENSE NO, -
--
--- P/P FLR ELEV. i NO 0CC GP EDU STORIES
I.
I 0004 03/24 0101 02B1dPat 3472.0 vOosO I
I FIRE SPR PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT I TYPE CCC LOAD
J
I AREA I CONST I
v 0 N 0 I YO NO i I I YO NO , Not Valid Unless Machine Certified
-
QTY. PLUMBING PERMIT- ISSUE QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUMBER
— EACH FIXTURE TRAP ,
— INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER . OVER 100,000 BTU , SIGN PERMIT 001-810-00'00-8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
- EACH GAS SYSTEM 1 TO 4 OUTLETS . — BOILER/COMPRESSOR 3-15 HP , TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEMS OR MORE , METAL FIREPLACE ' , ELECTRICAL 001-810-00-00-8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE
—
-
—
VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER . MECH EXHAUST - HOODOUCTS . MOBILEHOME 001-810-00.00.8225 .3'b. p
WATER SOFTNER . - RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) , DRYER VENT ' .STRONG MOTION 880'519-92-33 -
- TOTAL MECHANICAL
. -
I
I lO - Oc)
FIRE SPRINKLERS 001-810-00-00-8227
TOTAL PLUMBING PUBLIC FACILITIES FEE 320-810'00-00-8740 -/ I -Sb. 0
BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT -,ISSUE CITY. _____________ —IvsyblL HUME SETUP - PARK-IN-LIEU (AREA 3 ) 3
NEW CONST EA AMP/SWT'BKR - CAR PORT . . hF 134-810-00-00-8835 Z-Ø Op
— 1 PH 3 PH ' . AWNING . LA COSTA hF 133-810-00'00-8835
EXIST BLDG EA AMP/SWTIBKR GARAGE . FMF -
1 PH 3 PH - -
. - qo -.o LICENSE TAX 001-810'00-00-8162
REMODEL:ALTER PER CIRCUIT . . MF/. 1.-9 C) 880-519-92-57
— TEMPPOLE 200AMPS
OVER 200 AMPS - . ri
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
____
TOTAL ELECTRICAL
I
' A4 98 TOTAL FEES PAYABLE
-. 3 '17 0
—
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREEI tPfve(aueci by Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ir
AN CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HERFON lNCt.IIDING THF ti
me null and void If the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS iw/1fl C It bced within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
permit, or if 5 orized by such is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT permit ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON. abandoned at ommenced for a period of 180 days-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
CONTRACTOR 0 APPROVED 8Y' DAT AASIGN2*, OWNER 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE PHONE 4' /-i4/ GRANTING OF THIS PERMIT.
i hereby affirm that I am licensed under
.. provisions of Chapter 9 (commencing with I
Section 7000) of Division 3 of the Business I
and Professions Code, and my license is In I
- full force and effect.
- I hereby affirm that I am exempt- from the Contrac-
tor's License Law for the following reason (Sec. 7031.5 I
Business and Professions Code: Any city or county which Ce- I quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the up' I plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 commencing with Section 7000 of I flivini(ln 301 the Business and Professions Cede) at that is cs I empt therefrom and the basis for the alleged exemption. Any
Violation of Section 7031.5 by an applicant furs permit sub- I jnrtv ISO applicant too Civil penalty of not moos than fivu hun-
dred dollars ($500),
- r I f, as owner of the property, army employees with wages I as their sole compenoatiso, will do the work, and the struc-ture is not blended or offered for sale (Sec. 7044, Business I
and Professions Cede: .The Contractor's License Law does I 001 apply to an owner of property who builds or improves thereon and who duos such work himself or through his own
employees, provided that such improvements are not Intend-a' or offered for sale. If, however. the building or improve-
ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im-
prove for the purpose at safe).
-
D I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's License
Law does not apply loan owner of property who builds or im-proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law). '
O As a homeowner lam improving my home. and the follow- I ing conditions exist: . -.
The work is being performed prior to sale.
I have lived in my home for twelve months I
prior to completion of this work. I have not claimed • this exemption daring the last three years.
lame xempt under Sec. — - B & P.C. for this reason I
—Mel eireby affirm that I have a certificate of consent to
self-insure, or a certificate of Workers' Compensation In- I surance. or certified copy thereof (Sec. 3800. Labor Code)
P
~,L
CY N. I
C.PGY ,
Copy Is filed wllh Ihe city '
0 Certified copy is hereby furnished
IL 0 CERTIFICATE OF EXEMPTION FROM
U WORKERS' COMPENSATION INSURANCE
U) (This section need not be completed if the permit
80 'U r
, ,/is for one hundred dollars ($100) or less)
29 * I tZ I certify that In the performance of the work for which
this permit Is Issued. I shall not employ any person in any I
manner so as to become subject to the Workers' Compen-
uatlon Laws of California.
NOTICE TO APPLICANT: It. alto; making this Certificate of Exemption, you should become subject to the Workers'
'Compensation provisions of the Labor Code, you must i
forthwith comply with such provisions or this permit shall I be deemed revoked.
.
r o f hereby affirm that there Is a construction lending
agency for thu port ormanco of the work for which this per-
01 mit Is Issued (Sec. 3097, Civil Code) Z1 •I Ui I Lender's Name_________________________________ -JI L Lender's Address_______________________________ I
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL 1
MASONRY
- GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEiJNG
SHEATHING 0 ROOF 0 S1EAR
FRAME________________
EXTERIOR LATH
INSULATION
.
INTERIOR LATH & DRYWALL
PLUMBING
O SEWER AND BL/CO 0 L/CO
UNDERGROUND DWASTE WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
______
GAS TEST
OWATER HEATER 0 SOLAR VATER
ELECTRICAL
0 ELECTRIC UNDERGROUND UFFER
ROUGH ELECTRIC _______
o ELECTRIC SERVICE 0 TEMFPRARY
O BONDING 0 POOL I
MECHANICAL
O DUCT & PLEM., 0 REF. PIING
COND.4' AIR SYSTEMS__
VENTILATING SYSTEMS
.jj 0k1,
I
'1• I Y.
CALL FOR FINAL INSPEC7ON.-WHEPIOMi'PJ4T??' ITEMS ABOVE HAlVE BEEN APPRO'Jr'4*
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS - --jI
BUILDING
SPECIAL CONDITIONS 1
- . -
*••$_- . ..
- t
FIELD INSPECTION RECORD
REQUIRED SPECIALIN ETNS INSPEC
INSPECTION REQ. IF IN3rCCTORS ATE CHECKEDI APPROVAL
SOILS COMPI lANCE PRIOR TO IIJ FOUNDATION INSP .
SIHUCIUHALLUNCHEIE
OVER2000PSI --
PRESTRESSED -
CONCRETE
PoST TFNSIflNFR
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLt S
SPECIAL MASONRY
c,7- 7-t--
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TOR
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PILES CAISSONS
I-
-I --
EYCARLSBAD UNIFIED SCHOOL DISTRICT
fl CARLSBAD HIGH SCHOOL RECEIPTNO.
D VALLEY JUNIOR HIGH SCHOOL 1004 8
RECEIVED FROM DATE II
-Z--)t5 1
' k4 \b FOR:
LA
.
USE OF SCHOOL FACILITIES/RENTALS $ REIMBU9SEMENTS $
iUL
USE OF SCHOOL BUS $ ____________ TELEPHONE COMMISSIONS $
DAMAGE TO SCHOOL PROPERTY $ ____________ INSURANCE CLAIMS $
DAMAGED OR LOST BOOKS $ _____________ REIMBURSEMENTS $
SALE OF SURPLUS $
(EMPLOYEES)
TOTAL $\ltUD
INCOME ABATEMENT LI .
CHARGE TO ACCOUNT NO. - g - - - RECEIVED CASH CHECK
RECEIVED BY
•' ''
CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER SE
BUILDING PLAN CHECK NUMBER:PC .
BUILDING ADDRESS: 229Q t1Q!Qh) BUILDING TYPE::
NUMBER OF EDU'S: 1.0
OWNER: )' 1C' O
.
CALCULATIONS: .. . . .
MAILING ADDRESS:
CONTRACTOR: . ._.._.._.
0004'035/24 0101 045anitn 1000.00
MAILING ADDRESS:
..
._._•_._.
LEGAL DESCRIPTION: . CONNECTION FEE
COST-PER UNIT __00f I __________ xNO. UNITS 1Q00
LATERAL CHARGE: .
. iA1-. •.. TOTAL CHARGES:
-
ASSESSORS PARCEL NUMBER: '/2___Of PREPARED BY:
. . ..
NAME)
COMMENTS: • .' . • I .
. . . . •
WHITE: DIPS GREEN: Finance CANARY: Water PINK:Building. GOLD: Applicant