HomeMy WebLinkAbout2284 MORGAN RD; ; 86-205; PermitAPPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
.. — •-• 'CARLSBAD BUILDING DEPARTMENT 0•• - • . • . APPLICATION PERMIT - Carlsbad California 92008 1989 (619) 438 5525
JOB ADDRESS AV, ST. AD. NEARE Ross ST. DATE OF APPLIekITION1. BUSINESS LICENSE # IAL TION ' ' PERMIT NUMBER -,
~d oc-sbcd 9 2c8 Z>
LOT BLOCK SUBDIVISION (J ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE e V..' ZONE
________________ __________________ __________________
PLAN I.D. # i-. BUILDING SO. FOOTAGE -
OWNER'S NAME OWNER'S PHONE
C
- L._. •
CONTRACTOR'S AODRE s .
lclk 2S _~~ -
LICENSE NO,
OWNER'S MAILING ADDRESS ' c1... _ -pgRq cm -
-. •' •' DESIGNER DESIGNER'S PHONE ~4-- •
SCRIPTION OF W®R
J14 tL 1 DESIGNER'S ADDRESS LICENSE NO, -.
,
' -• . -
F/P. FLRELEV. ' NO OCCGP EDU - - . ' • -
- STORIES
VOND -- -- . . -.
FIRE SPR CENSUS TRACT GP LAND USE SPACE RE S UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' ' TYPE 0CC LOAD J.PARKING
' -- AREA CONST
prove for the purpose of sale); Y O N 0 vO ND vD NO • Not Valid Unless Machine Certified
- . , •4 • - ' •• C
QTY. PLUMBING PERMIT-- ISSUE .
- •.
' .,
.
QTY. MECHANICAL PERMIT. ISSUE
. - - . ' SUMMARY/ACCOUNT NUMBER
-
-....e. U) , contractor(s) license pursuant Is the Contractor's License 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 - --
ing conditions exist: ' • ______________________________________________________________ ____________________ EACH WATER HEATER AND/OR VENT ' BOILER/COMPRESSOR UP TO 3 HP . ' '- PLAN CHECK 001'810-00'00'8806
EACH GAS SYSTEM i.TO 4 OUTLETS . ,' BOILER/COMPRESSOR 3.15 HP. ' - - . • • TOTAL PLUMBING - 001'810-00'00'8222
.. EACHGASSYSTEMSORMORE -. , - METAL FIREPLACE .. . ELECTRICAL .. 001-810-00-00-8223 -. 0 ' ' last three yours. •' -' _________________________________________________________
EACH INSTAI.. ALTER. REPAIR WATERPIPE , - VENTFANSINGLEDUCT - _-. . ,MECHANICAL .001'810'00-O0'8224 -
EACHVACUUMBREAKER •- ', MECHEXHAUST-HOOD/DUCTS --4 - -.'. MOBILEHOME'OO1'810'00'0O-8225
. -i'. _________________________ ________ WATER SOFTNER •, -., . RELOCATION OFEAFURNACE/HEATER ,. MOBILEHOME PARK INSP
- - •--- ____________________________________ ____________ EACH ROOF DRAIN (iNSIDE) , - - - - SOLAR --'-••'001'810'00'00'8226 .
4 - -- -_-' - - TOTAL MECHANICAL .• - -
* . .
STRONG MOTION. _880-519-92-33. -—.--
TOTALPIUMBING --_I - ' FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 33281000008930 QTY.ELECTRICAL PERMIT ISSUE QTY ' OLA1'SLJE
' 0 Certified copy is hereby furnished NEW CONST EA AMP/SWTIBKR . COLLECTORS , - • SCHOOL FEE- DISTRICT
-I
_______________________________ __________ 1-PH - •' . • 3 PH - - - STORAGE TANKS - - -. - Carlsbad' -- -
-' EXIST BLDG EA AMP/SWT/BKR - -- - ROCK STORAGE - - . . • ' • Encinitas • •. . • . - -
1 PH .3 PH . - PUMP • ' ' • - San Dieguilo '
El Icertily that in the performance 01 the work for which REMOOEL:ALTER1 PER CIRCUIT -- • - . PLAN CHECK FEE . - - - San M rc • - - - -
3 , manner so as to become subject to the Workers Compen. -TEMP POLE 200 AMPS - - ' . - - • - LE:1 LA elk -
— OVER 200 AMPS ' - ' . - I - LICENSE TAX 001-81ö-O0-8162
' 01 Exemption, you Should become subject to the Workers' TEMP OCCUPANCY (30 DAYS) - - • - - J -
MFF/C., 880-519-92-57 00-
forthwith comply with such provisions or this permit shall CREDIT DEPOSIT
TOTAL ELELTRICAL
-
- 'e - TOTAL SOLAR - . TOTAL FEES PAYABLE oc I
-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued byfheBuilding Official underthe provisions ofthis * AN 0514* PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY. OF PERJURY THAT AI I, INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work
the date of such 50 UJ AND DEMOLITION OR CONSTRUCTION OF - such permit is not commenced within 180days
'"is DECLARATIONSARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ilthe buildino or wOrk authorized by such rr usnr STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON. 5bafldOn at any time arter the work is commenced for a period of 180 dave
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - S1$GNATUp * OWNER 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ,ArLlCANT
APPROVED BY CONTRACTOR 0 • DATE
V EXPENSES WHICHMAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE - - - Y PHONE 0 GRANTING OF THIS PERMIT.
—J . a
USE BALLPOINT PEN ONLY.& PRESS HARD
0 I hereby affirm that I am licensed under I
provisions of Chapter 9 (c6mmencing with i
Section 7000) of DivIsion 3 of the Business
and ProfesaIoniCode, and my license is In
cc I' full force and effect. -. L tic. No ________________ Class
r ' 8-.' .'
-. I hereby affirm that I am exempt from the Contmac tom's License Law for the following reason (See. 7031.5 I Business and professions Code: Any city or county which In- - quires a permit to Construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires the ap- I plicant for Such permit to tile a signed statement that he is -
licensed pursuant to the provisions 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 01
7 Division 301 the Business and Professions Cede) or that is ox-
empt therefrom and the basis torthe alleged exemption. Any
violation 01 Section 7031.5 by an applicant for a permit sub' ri jects the applicant to a civil penally vi 01 net more than live han' "
dred dollars ($500).
0 I. as owner 01 the properly, or my employees with wages
as their sole compensation, will do the work, and the strnc'
lure is not intended or offered for sale (Sec. 7044. Business I
..a and Professions Code: The Contractor's License Law does l 001 apply to an owner 01 property who builds or improves -
thereon and who does such work himself or through his own I
employees, provided that such improvements are not intend- , I UI ed or offered for sale.- II, however, the building or improve- 2 mcxl Is sold within one year of completion, the owner-builder ..
3 ' will have the burden of proving that he did not build or im- I
0 I, as owner of the property, am exclusively contracting I with licensed contractors Is construct the project (Sec. 7044,
- - • - Business and Professions Code: The Contractor's License
Law does not apply lean owner of properly who builds or im-proves thereon, and who contracts for each projects with a
0 Au _u homeowner lam improving my home, and the follow- I
I. The work is being performed prior to sale. -j. 2. I have lived in my home for twolve ,months I
- . prior Is completion of this work, o' ,' UI . 3. I havn'nol claimed this exemption during the -
0 lam exempt under Sec. ___________________ ,B & P.C.
for this reason _
0 thereby affirm that I have a certificate 01 consent to
self-insure. or a certificate 01 Workers Compensation In..
-. - surance, or a certified copy thereof (Sec. 3800. Labor Code) I
, 0 (Jcv NO. . •.. - ' - I
- COMPANY
0 Copy is tiled with the city
IL
0 ': 'CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE Id) (This section need not be completed lithe permit
CA 'i' is for one hundred dollars ($100) or less)
C)
this permit is issued, I shall not employ any person in any
!'satlon Laws 01 Catilomnia.
NOTICE TO APPLICANT: If, alter making this Certificate I
Compensation provisions 01 the Labor Code, you must
- be deemed revoked. -
r A. .. 0'.1 hereby affirm that there is a construction tending
agenr.y for the perlormanco 01 thâ work for which this per.
01 mit is issued (Sec. 3097. Civil Code) 21 .
WI Lender's Name
L Lender's Address, - -
-- .
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILiING
SHEATHING 0 ROOF 0 SHAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BLICO 0 PUCO
UNDERGROUND DWASTE DWATER
TOP OUT 0 WASTE 0 VIATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR WTER
ELECTRICAL
ELECTRIC UNDERGROUND D:UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
O DUCT & PLEM., 0 REF. PIPIJG
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING I -
ELECTRICAL
MECHANICAL
GAS
BUILDING I
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES
REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLf S
SPECIAL MASONRY
PILES CAISSONS
: - a-
I.
APPLICATION FOR PERMIT TO'CONNECT-;TOCITYSEWER SYSTEM.-,, •,.
CITY OF CARLSBAD ..
ENGINEERING DEPARTMENT
438.5541 - '. * . • .': ?t - • - - -
. ISSUED BY '1il U4'.
FOR APPLICANT TO.FILL IN - - - ' '---- - . ' •,_( i -, - - -. ISSUED '
BUILDING
ADDRESS Z VALIDATION ../
. /t A "ill 4 IDUUUU SF
-, 06 1i2'.0) TL OWNER JJ
MAILING'
ADDRESS., 92a8 1.
LATERAL CHARGE COMPUTATION
CONTRACTOR ,Z' STANDARD 4" (Max. H. 30', V. 10')
OVER 3OH. ( FT.
CONTRACTOR'S
--
OVEA10V._____ _____ FT.________________ ____________________________________ ADDRESS STANDARD 6" (Max. H. 30',.V10)
OVER 30' H.-@, FT. -
NEW _BuILDIN' I_EXISTINGBUILDING I_- OVER 1O'V: ' ______ FT.
LEGAL DESCRIPTION - . C' TOTAL CONSTRUCTION COST - * 07
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
REMARKS:
LATERAL LOCATION
LINECOSTDATA
,ASSESSMENT DIST-NG ' _-
*- FRONTAGE _______COST PER FT. _______TOTAL_______
OTHER_-
-CONNECTION _FEE( , •.
NO UNITS / COST PER u1/ ¶OTAI O
-
-PUMPSTATIONFEES --' -
[.NO,..UNITS - COST-PERUNIT
. ---- -- - '-- -
TOALCRARGES(LATERALETC)
LATERAL NO. -INSTALLATION DATE'
WHITE Engineering GREEN FInance' YELLOW Sanitation PINK Building GOLDENROD Permitter
-- ------
--
-•
-.
.• I - - - •• •
rc ••
c'v1is rv-P I - -
:
.
AWNi, -
- --*•- L,
1k!'
___ 'FEB 26 986 T
- - •
71W of CA LEI
I- •-•- --• -
• __ -- • •• .-. •. --- 'BUILDING --_-_*'•
• • -I•-
• • fr1,• • • •. •
- -. - •••- - - -: - •-- . - - - - 7 •,
• •• --:•---.... - -. •• -•• •;
• -1
'- "a
-
4LOttG4 L _P, -
- - .. • • • • • -
'cARLSBAD UNIFIED SCHOOL DISTRICT 4ou)
El CARLSBAD HIGH SCHOOL RECEIPT NO.
El VALLEY JUNIOR HIGH SCHOOL •• 10027
RECEIVED FROM L ' DATE
1~1..' \-O . FOR:
)
. .
NANO
USE OF SCHOOL FACILITIES/RENTALS $ REIMBUftSEMENTS $ b '°
USE OF SCHOOL BUS $ . TELEPHONE COMMISSIONS $
DAMAGE TO SCHOOL PROPERTY $ INSURANCE CLAIMS $
DAMAGED OR LOST BOOKS $ _____________ REIMBURSEMENTS $
(EMPLOYEES) SALE OF SURPLUS $ .
INCOME 6 ABATEMENT []
CHARGE TO ACCOUNT NO.
TOTAL •$ I
6o-n4
- - - RECEIVED.CASHFJ CHECK
RECEIVED BY .
I