HomeMy WebLinkAbout2282 MORGAN RD; ; 86-555; Permita
• . I USE BALL POINT PENONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
0 I hereby affirm that Lam licensed under
provisions of,Chapter. 9 (commencing with
I 'Section 7000) of Dlalsioji 3 of tluó Buoluuas I
I . and Professions Code, and my license Is in I
I full force and effect.
- Lic. No __________________ Class -_-
o
I'hereby alt irm.that I am exempt from the Contrac- tor's License Law for the following reason Sec. 7031.5
'Business and Professions Code; Any city or county which Fe- . qairos a permil to Construct. altcr, improve, demolish, or - repair any etrectern prier to itc iccoanco also roqairos Urn ap- plicant for such permit to file a signed statement that he is I licensed - pur3uunt tO, thc. provisions 01 the contractors La Licence w (Chapter 0 commencing with Cootivo 7000 of -
-, • DMsioe 3sf Urn DuIoos and Professions Code) or thy?
- vmp!-fnv(n!rvm 300 Ina 153c!c !0( 1 5c. 3'!vvd m'nrntion, Any • violation 01 Section 7031.5 by an applicant for a permit oob-
jGC13 the applicant to a civil penalty of not more than Cxc huC-
dred dollars ($500). * • -
0 I, as owner of the property, or my employees with wages I
as their note compensation, will do the work, and the strec-
- •
turn is not intended or offered for sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does I
not apply to an owner of property who builds or improves -
LO thereon and who does onoh worlu himself or through his owe
. ploynoc, provided that each improvvmonlc are not intend- :T
I
or offered for sale. It, however. the building or improve- t- Z meal is sold within one year of cemptetion, the owner-builder I
0
will have the harden of proving that he did not baud or im-
prove for the purpose 01 sale). - .,• - I.
0 I, as owner of the property, am exclusively contracting I
with licensed contractors to construct the project (Soc. 7044, I
- Business and Professions Code: The Contractor's License
Law does not apply loan owner 01 property who builds or !m-proves thereon, and who contracts for each projects with a , U) Z cealractor(s) license pursuant to the Contractor's License• -
2
Law). - I
- -.e . • i .e .0 An a homeowner lam improving my home, and the follow-_ ing conditions exist: ..
-
- I., The work is being performed prior to sale. .. .1 have lived in my home.for twelvn,monlho - -, prior to completion 01 this work. - I Mi I have not claimed this exemption during the'
- -0 - last three years. ' '• ' -
- " 0 Iam exempt under Sec. , B&P.C. i for this reason
0 'I hereby affirm that I have a certificate of consent to - - self-insure. or a certificate of Workers' Compensation In.
- surancn. or a certified copy thereof (Sec. 3800. Labor Code) I
Z POLICY NO. " - . t.
- ' '.: t. Op 0 ' COMPANY ,.
0 Copy is filed with the City .. .
-
0 Certified copy is heeby'lrnished 1
--
... -I 0
' CERTIFICATE OF EXEMPTION FROM
US 'WORKERS' COMPENSATION INSURANCE
cc -(This section need not be-completed if the permit •
us is for one hundred dollars isieoi or less)
19 v 0 I certify that in the performance of the work for which
ac o ' this permit is mooed. I shall not employ any person in any
3. manner so as to become subject to the Workers Comport. -
- sation Laws of California.
NOTICE TO APPLICANT: It, offer making this Certificate •
of Exemption. you should become subject to the WOrkern'
Compensation provisions of the Labor Code, you must " , ' forthwith comply with such provisions or this permit shall
•
be deemed revoked. .
'• :-
. 0 jl hereby affirm that Ihn,a is 'a construstfcn landing
wl agency for the performonce of the work for which this per.
01 mit is issued (Sec. 3097, Civil Code)
Z11111AI
- Lender's Name_________________________________ -II , L Lender's Address -. I
:cARLsBAD. BUILDING DEPARTMENT ; ',.' - . .....-
' n APPLICATION & PERMIT - Carlsbad California 92008-1989 (619) 438-5525 *
JOB ADDRESS • • ,, AV. ST RD N ESTCROSS ST. DATE OF APPLICATION 'BUSINESS
IL LICENSE 4 .V lION - PERMIT NUMMbH
LOT41 BLOCK
J
SUBOlVlSIO JASSESSORPARCNO. 10D-7O
CONTRACTOR CONTRACTORS PHONE., ZONE
. OWNER'S PHONE
PLAN I.D. ft - '- BUILDING SO.FOOTAGE J CONTRACTOI1 5 A09IESS LICENSE NO
AlLlNC AODRESS '
- ' 9'1ft. ••,. . . .r..
rSFSiC'NFR DES IC' NE A P11QNE
rEGcn1PTIOPJ,O
OESIGNER'SAODRESS LICENSENO.
7B
F /P FLRELEV NO OCCGP EDU .• .• _....- _. . - ., - . .STflRIFS. • -' . .
,.• - .......- .. ...•..- -'- -- ' YL)NL'' _____ . . - .
CENSUS TRAC1 GP LAND USE PARKING SPACE RE S UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPA AREA CONST *
.•, Y O N 0 -
YO ND vQ ND Not Valid Unless Machine Certified
-
QTY T PLUMBING PERMIT ISSUE,QTY
____________
MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
S -• -.' - • , '.5 - 11
EACH FIXTURE TRAP S - -• • , 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 - - 001-81000-00-8806
EACH-GAS SYSTEM 1 TO 4 OUTLETS. '
- '4 - , BOILER/COMPRESSOR 3-15 HP - • . , - - - - TOTAL PLUMBING - 001-810-00-00-8222 -
EACH GAS SYSTEM 5 OR MORE. , e' METAL FIREPLACE ' . , * . , - - ELECTRICAL • • 001-810-00-00-8223 -
EACH INSTAL, ALTER. REPAIR WATER PIPE --. , - - VENT FAN SINGLE DUCT - - -. -.
a H MECHANICAL ' - - 001-810-00-00-8224
EACH VACUUM BREAKER - ' a - - - , ' • MECH EXHAUST - HOOD/DUCTS ' - -- -. - fViDILEH0ME - 001-810-00-00-8225. -
WATER SOFTNER - - ' - - - -' - , ' RELOCATION OF EA FURNACE/HEATER ' -' . MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) - V ' - ' ' - ' SOLAR - 001-810-00-00-8226 '
-- . -, - * • - - - , ._ TOTAL MECHANICAL
.5 -. . . - '. . - :' •
STRONG MOTION ... 880-519-92'33
. - 101 AL PLUMBING - I - F IRE SPRINKLERS '001-810-00-00-8227
PUBLIC FACILI TIES FEE ___332_810_00_00_8930
QTY ELECTRICAL _ISSUE
-
QTY 0 0C
,NEW CONSTEAAMP/SWT'BKR -.- s' , COLLECTORS ___'..- - SCHOOLFEE - DISTRICT -.-
1PH --,----3PH -', -,-. STORAGE TANKS -'.'•- . -Carlsbad •.-'5-
EXIST BLDG EAAMPISWT/BKR • ROCKSTORAGE * a EncrntlaS
IPH - - _- _'. PUMP _--•.---- - San Dieguilo
PLAN CHECK FEE '-- _'-- __:.- '.- SanMaràos ___--
LE oO
=jjn3j LICENSE TAX _001-810-00-00-8162 _
TEMP OCCUPANCY (30DAYS) _--' . . " .' _- ' . -MFFf ,,U_o--_880-519-92-57 "- _.00-
City .f_CAKbAD =_.-. ''. '..-. .- CREDIT DEPOSIT _--
- _DEVELOPMEI(IDROC(SSING_SRVS. TOTAL SOLAR
_. _00lad TOTAL FEESPAYABLE __
7o
-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBuilding Official underthe provisions ofthis * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CAYla' UNDER PENALlY OV PERJURY THAT ALL INFOHMAI ION HIHION INCLUDING IHE by such Iun.tCfInn and hecom n,,uII and uatvd III he building arwork " 0' DEEP AND DEMOLITION on CON&TRUCTIONOC authorized ch rmit is not commenced within 180 daysthe l4 DbcLAArluNs ARE 'tRUE ANu CORRECT AND I FURTHER CERTIFY Af4D AGREE IF A PERMIT ID • permit, or it building or work authorized by such rus u 'ifl: r '... STRUCTURES OVER 3 STORIES IN HEIGHT -
ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for a period of 180 days.
STRUCTION7WHETHER SPECIFIED'HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIt-T ANU 0 CO TRACTOR 0 APPROVED BY
-
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS OWNER ~PLICANTr~TURE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE 1 PHONE 0 -',/- OF. THIS PERMIT. ~f!ANTING
-I -
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUN ITE OR GROUT tu.s
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SH:EAR
FRAME
EXTERIOR LATH
INSULATION I F
.
INTERIOR LATH & DRYWALL :
PLUMBING
O SEWER AND BL/CO 0 P1/CO
UNDERGROUND 0 WASTE 0 :WATER
TOP OUT 0 WASTE 0 V/ATER
TUB AND SHOWER PAN I
GAS TEST
.
O WATER HEATER 0 SOLAR WTER
ELECTRICAL
O ELECTRIC UNDERGROUND 0! UFFER
ROUGH ELECTRIC I
O ELECTRIC SERVICE 0 TEMPoRARY
O BONDING 0 POOL
MECHANICAL
o DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES
REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
- $IHUCIUHAL ONCHEIE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TFNSIONFR
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
: i'T •
CASHIERS VALIDATION
ILOZJU SF
(!Ittg of (ilartøhab • i •'i t' ?32aO IL
SEWER PERMIT APPLICATION -
SEWER PERMIT NUMBER: SE r23 2/' APPLICANT TO FILL IN ZSHAD~ED AREA
BUILDING PLAN CHECK NUMBER:PC
BUILDINä ADDRESS: 22 rZ# ii9A/#4 BUILDING TYPE:
NUMBER OF EDU'S:
OWN ER: -.._'(_'/L_SA / CALCULATIONS:_
MAILING ADDRESS:
.1
CONTRACTOR:.
MAILING ADDRESS:
LEGAL DESCRIPTION: _7/ _4'c3S' CONNECTION FEE
COST PER UNIT _____________ xNO. UNITS I;
I
ASSESSORS PARCEL NUMBER: 2/2 -1O/7Z,
LATERAL CHARGE: ___A1114- _____________________________
TOTAL CHARGES:
PREPARED BY: /t(JPd ?7C41
(PRINTED NAME)
COMMENTS:
I
WHITE: DIPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant
II
gCARLSBAD UNIFIED SCHOOL DISTRICT
0 CARLSBAD HIGH SCHOOL
.
RECEIPT NO.
O VALLEY JUIIOR HIGH SCHOOL. 10724
RECEIVE iS- ROM ' DATE kml _____
FOR: ' %4 1t\Q& . -.
(cc0
USE OF SCHOOL FACILITIES/RENTALS $ REIABUISENENTS $ \.
USE OF SCHOOL BUS $ ____________ TELEPHONE COMMISSIONS $
DAMAGE TO SCHOOL PROPERTY $ . INSURANCE CLAIMS $
DAMAGED OR LOST BOOKS . $ _____________ REIMBURSEMENTS $
(EMPLOYEES)
SALE OF SURPLUS . $ .
TOTAL $ L i1
INCOME ABATEMENTO .
CHARGE TO ACCOUNT NO. ...L. --_______ - __________.- RECEIVED CASH F] CHECK Er
RECEIVED BY (LA%4, LS%QAtJ6._d
/:e/, (1fl) 1 V , lii / h/ '• / q -.
RECORDING REQUESTED BY:
doiIW EDW ANDE9 01V
AND WHEN RECORDED MAIL TO:
HOME J ON '4 0 A 1' 179 05-161V
ADDRESS
STATE,C 6,"'
and ZIP q2 o'— 7/1
-
- 1•'
mr IGt$AJ OF THIS DOCUMENT WAS RECORDED
ONL4 2 LILEIPAGE NO.Z2.)3
ER . V4 L LYLE, COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the reqÔest' of the local agency Indicated s in accordance., with California Health and Safely Code
Section 18551. This document is evidetice that such local agency-has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
/N1)SOW JI/fNj7WI, A&FIT14Axt Cifl# OF tdRLAb 3IJ//.J2/, -PIrl
REAL PROPERTY OWNER/LESSOR I LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
222 HI1qJI ROAD /2tc JLN ,q!14&.
MAILING ADDRESS ' ' MAILING ADDRESS -
2008.
ZIP
OF
UNIT OWNER (If also property owner, write "SAME' DEALER NAME (If not a dealer sole. write "NONE)
MAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
/ ''fPf -
MNUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
c 6WI1'#4L (/1J1/4 ? e c2'?..?+L' C,4L1272) 22 -2' C. SERIAL NUMBER(S) ' ' . LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) I /
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 21 .7 — / )J - 02 -Ino
LOT )4L OF CAKL5L3,LP 7fl/cT/v -2g/Aj,W17-v ,-F
MCD FORM 433(A) 4/88
WHITE—County Recorder GREEN—HCD BLUE—Building Dept. YELLOW—Applicant
c)
¼j,y DE.'
CITY COUNTY I5TATE ZIP •
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
54N
U
MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH
INSTALLATION ON A FOUNDATION SYSTEM
HCDFORM 433(A) 4/86
.. -
The original and three (3) copies of this form are to be completed with all available information at the
time a building permit is issued for the installation of a manufactured home (mobilehome) or a com-
mercial coach on a foundation system pursuant to Section 18551 of the Health and Safety Code. .
After the installation has been completed, and on the same day the certificate of occupancy has been
issued, the local building department shall record this form (completed in full) with the local county
recorder.
Upon recordation, the local building department shall transmit a completed copy of this form (green
copy), a copy of the certificate of occupancy, fees collected in the amoônt of $11 per transportable
section'. and (if unit crently titled as ersonäl ropert) 611 licabl titl iiicates, licnse plates
or decals to:
Department of Housing and Community Development
Division of Codes-and Standards
. - Manufactured Housing Section-
Post Office Box. 31 . . -
Sacramento, CA 95801 (916) 445-3338 -
Users who may• have questions or need additional information, instructional or reporting -
forms, regardiñg'foundation system installation requirements or reporting procedures, sh6u1d coñtdct
the Manufactured Housing Section at the address or telephone number shown above.-
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10
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