HomeMy WebLinkAbout2287 MORGAN RD; ; 86-1194; Permit2 r' I hereby affirm that I am licensed under
I IiiO,1610n5 of Chapter 0 (commencing wIth
I Section 7000) of Division 3 of the Business
I and Professions Code, and my license is In
L. full force and effect. ST- i hereby ailirm 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 re-quires a permit to construct, after, improve, demolish, or ini,oe ally Aeucturc, prior to 113 133ua0c0 also requires the up plicant for such permit to the a signed statement that he is licensed pursuant to the previsions of the Contractors
License Law (Chapter 9 commencing with Section 7000 Of Division 3 o the Business and Professions Code) or that is ex-empt therefrom and the basis for the alleged exemption. Any violation 01 Section 7031.5 by an applicant for a permit sub' edo the applicant to a civil penalty 01 not more than lion hun-dred dollars ($500).
Ii I. as owner 01 the property, or my employees with wages as their Cole compcesotion, will do the warts, and the struc' lure is not intended or offered for sole (Sec. 7044. Business and Professions Cede: The Contractor's License Law does not apply to an owner 01 property who builds or improves thereon and who does such work himself or throughhis own
0mli101003. provided that such improvnmnnis ore nit intoriq, ad or offered for sale. It. however, the building or improve-ment is sold within oneysar 01 compleiion, the owner-builder will have the harden of proving that he did not build or im-prove for the purpose 01 sale).
I, as owner of the proporty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Cede: The Contractor's License Law dues not apply to an owner 01 property who builds or im' proves thereon, and who contracts for each projects with a contractor(s) license pursuant 10 the Contractor's License Law).
As a homeowner lam improving my home, and the follow- ing conditions exist:
I. The work is being performed prior to sole. I have lived in my home for twelve months Prior to completion of this work. I have not Claimed this exemption during the last three years. -
lam exempt under Sec. , B & P.C. for this reason
,is~l hereby affirm that I have a certificate 01 consent to
sell .insure. or a certificate of Workers Compensation in,
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLF
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.
CoY
,....J s tiled with the City
0 certified copy is hereby burnished
CERTIFICATE OF EXEMPTION FROM
O WORKERS' COMPENSATION INSURANCE
in (This sffictiOn fund not be completed if the permit
a far one hundred dollars ($100) or less) Ma If I Certify that in the performance 01 the work for which this permit is issued. I shalt not employ any person loony
manner so auto become subject to the Workers Compen. sat ion Laws of Calltornia.
NOTICE TO APPLICANT: II, alter making this Certificate of Exemption, you should become subject to the Workers' Compénsaf Ion prOvisiOn& of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. -
[ 0 I hereby affirm that there is a construction fending
agency for the performance of the work for which this per'
01 mit 10 issued (Sec. 3097, Civil Code) • ZI WI Lender's Name - -dl
L Lender's Address_______________________________
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS,
CARLSBAD BUILDING DEPARTMENT APPLICATION 3PERMIT Carlsbad, California 92008-4859
- •, AV.ST.RD. NEAR CROSS DATE OF APPLICATION' BUSIN S ICENSE # InN A(1RF5 . VALUATION PERMIT NUMBER
LL LCO O
CONTRACTOR BLOCK SUBDIVISION (1 1 —
CONT SPHONEO ZONE -
OWNER'S NAME OWNER'S PHONE ___________________________________
CONTRACTORSADOR
J eck sB6-rq STATE LICENSE NO. - BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS cl—DAfl.,
DESIGNER (Z DESIGNER'S PHONE
aa
DESCRIPTION
DESIGNER'S ADDRESS STATE LICENSE NO.
-
- —..—.--- -. -• F/P FLRELEV.I I NO ocGP EDU I STORIES I -
YDNO I I
- SPACE RES UNITS GRAOI PERMIT ISSUED I HEUbVLUFMhNI I - I TYPE DCC LO.0 LIOç PR 1RKING
IAREA . I IcoNST
YO N 0 I YO NO I rD NO Not Valid Unless Machine Certified
-
QTY. PLUMBING PERMIT ISSUE _2y9 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 103 His , PLAN CHECK 001'810-00'00'8806 -
= EACH GAS SYSTEM 1 T04 OUTLETS , BOILER/COMPRESSOR 3.15 HP . , TOTAL PLUMBING -OI5tJ122,2j 11.1.Z/11:50 2.
EACH EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE
- :c ____________________________ O01'810-00'00-8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE
- -
VENT FAN SINGLE DUCT 001'810'00'00'8224
EACH VACUUM BREAKER , MECH EXHAUST — HOOD/DUCTS , MOBU.EHOME 001-810'00-00'8225 .c
WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER - 78DAY 1_qRZ - O01-810'00-00-8226 -
EACH ROOF DRAIN (INSIDE) . - DRYER VENT - STRONG MOTION e 880'519'92'33
- —
TOTAL MECHANICAL
- =
C3' I
jELS AD 001-810'00'00'8227
TOTAL PLUMBING - : a MB W53KO SERfS-10-00'00-8740 50
QTY. ELECTRICAL PERMIT. ISSUE QTY. MOBILE HOME SETUP
-
ut_v
'O Op
BRIDGE FEE
PARK-IN-LIEU (AREA o ) 3Ra. OCJ
NEW CONST EA AMPISWT:BKR - CAR PORT TIF 001'810'00-00'8835
— I PH 3 PH . AWNING - . LICENSE TAX 001-810'00-00'8162
EXIST BLDG EA AMP/SWT/BKR - GARAGE - MFF/(,, 14SQO 880-519'92-57 p
1 P 3 P
REMOOEL:ALTER PER CIRCUIT
- TEMP POLE * 200 AMPS
- OVER 200AMPS
- TEMP OCCUPANCY (30 DAYS)
-' . CREDIT DEPOSIT
TOTAL ELECTRICAL I ' TOTAL
-
TOTAL FEES PAYABLE 3 47a - 00
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY I Expiration. Every permit issued bytheBuilding 011icialunderthe provisions of this * AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER -I Code shell expire by limitation and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR COt4STRUCTION OF I authorized by such permit is not commenced within 180 days from the date 01 such-- . DECLARATIONARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work WITH ALL CITY. COUN1 Y AND STATE LAWS GOVERNING BUILDING CON.
- authorized by such permit is suspended Or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY abandoned at any time after the work STRUCTION. WHETHER SECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE * OWNER 0 CONTRACTOR APPROVED
is commenced for a period of 180 days.
EDBY CIA
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THc
(O_\A&4l4L4J Y PHONE o GRANTING OF THIS PERMIT.
i USE BALL POINT PEN ONLY & PRESS HARD
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SHAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BLICO 0 PWCO
UNDERGROUND 0 WASTE DAIATER
TOP OUT 0 WASTE 0 VATER
TUB-AND SHOWER PAN
GAS TEST
tJ WATER HEATER 0 SOLAR WA TER
ELECTRICAL
ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPdRARY
BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL'APPAOPAIATE
ITEMS ABOVE HA WE BEEN APPROVED ... -
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
...,-.-.'. ...
r
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS j INSP
INSPECTION REQ. IF INSPECTOR'S
CHECKED APPROVAL DATE •,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH - --i. •
SPECIAL MASONRY
PILES CAISSONS
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_____ -' ______
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'.•: I. t '' CASHIER'S VALIDATION
Qlttg of QJ;arlzhab
SEWER PERMIT APPLICATIONÜUÜ:, (ILU 11/121,A fltJ..IJU
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE T
BUILDING PLAN CHECK NUMBER:PC
BUILDING ADDRESS:%M5. BUILDING TYPE:
'. . '." . NUMBER OF EDU'S:
OWNER: TD \ C I CALCULATIONS:__________________________________
MAILING ADDRESS: • .
CONTRACTOR:
MAILING ADDRESS:
LEGAL DESCRIPTION: C'2r '&V CONNECTION FEE
COST PER UNIT GOC) x NO. UNITS
I ASSESSORS PARCEL NUMBER:
LATERAL CHARGE:
TOTAL CHARGES:"ot D)
PREPARED BY:
(PRINTED NAME)
COMMENTS:
WHITE: DPS GREEN: Finance—CANARY: Water PINK: Building GOLD: Applicant
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CARLSBAD UNIFIED SCHOOL DISTRICT
E CARLSBAD HIGH SCHOOL RECEIPT NO.
F-1 VALLEY JUNIOR HIGH SCHOOL 10750
RECEIVED FROM DATE )-c
Lor °t1.
FOR: tictu
USE OF SCHOOL FACILITIES/RENTALS $ REIMUREM $
USE OF SCHOOL BUS $ ____________ TELEPHONE COMMISSIONS $
DAMAGE TO SCHOOL PROPERTY $ ____________ INSURANCE CLAIMS $
DAMAGED OR LOST BOOKS $ ____________ REIMBURSEMENTS
SALE OFSURPLUS $
(EMPLOYEES)
TOTAL $ 14 lqlg
INCOMEL " ABATEMENT i
CHARGE TO ACCOUNT NO. i. - _______ __________ - RECEIVED CASH CHECK
RECEIVED BY ck).
I -
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