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HomeMy WebLinkAbout2289 MORGAN RD; ; 86-1163; PermitUSE BALL' POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I hereby affirm that I am IIcnsed under U provisions of Chapter 9 (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. U- I hereby affirm that I am exempt from the Cc ac I - torn License Law for the following reason (Sec. 7031.5 Business and Proiessiuns Code: Any city or county which re-quires a permit in construct, alter. improve, demolish, or I repair any structure, prior to its issuance also requires the ap- plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors I License Law (Chapter 9 commencing With Section 7000 of Division 3 of the Business and Professions Code) or that is ex. - empf the erf from and the basis for the alleged exemption. Any ( violation of Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than five hun-' dred dollars ($500). I, as owner of the property, or my employees with wages 15 as their sole compensation, will do the work, and the SI ruc- I, ture is not intended or Offered for safe (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves I - thereon and who dues such work himself or through his own 41 employees, provided that such improvements are not intend- UI ed or offered for sate. If, however, the building or improve- I Z mont in sold within one year of completion. the owner-builder - will have the burden of proving that he did not build or im- o . prove for the purpose 01 sale). I - fl I, as owner of the property, am exclusively contracting ' with licensed contractors to construct the project (Sec. 7044, I 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 I nfl contractor(s)-license pursuant to the Contractor's License I Law). .. •. - ci As a homeowner lam improving my home, and the follow' - ing conditions exist: IC I. The work is being performed prior to sale. I 2. I have lived in my home fur twelve months F to completion of this work. UI 3. I have not claimed this exemption during the 0 - last three years. 0 lam exempt uderSec. .B&P,C. - - for this reason . ureby affirm that I have a Certificate of consent to oelf-inuure. or a certificate of Workers' Compensation In. - ourance. or a certilied copy thereof (Sec. 3800. Labor Code) I POLICY NO. . . , CP*'ANYJ I' 11— Copy is filed with the City 0 Certified copy in hereby furnished' 11316 CERTIFICATE OF EXEMPTION FROM C) WORKERS' COMPENSATION INSURANCE I S . (TWO section need not be completed it the permit I Is for one hundred dollars ($100) or cool 39 1 Z that in the performance of the work for which this permit in issued. I shall not employ any person in any 0 manner so auto become Subject to the Workers Compen- I 'nation Lows of California. , I NOTICE TO APPLICANT: If. after making this Certificate I 01 Exemption. you should become subject to the WOrkero' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shalt be deemed revoked. . f•" 0 i hereby affirm that there is a construction fending I agency for the performuncu of the work for which this per- I mit Is Issued (Sec. 3097, Civil Coda) Z WI Lender's Name-- Lender's Address_______________________________ "CARLSBAD BUILDING DEPARTMENT ' . I' . APPLICATION & PERMIT. - 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 .. . . - JOB ADDRESS 4 • AV T RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION . - g PE,JvIIT NUMBER qA (io L ill i!3 BLOCK ( ASSE SSOR PARCEL NO. TOR CONTR CONTRACTORS PHONE ZONE JSUBDIVISION 71 La I f - OWNER'S NAME OWNER'S PHONE ________________ __________________ __________________ BUILDINGSO. FOOTAGE o..c. 1 4~28+71? CONTRACTOR'S ADORES S STATE LICENSE Na" OWNER'S MAILING ADDRESS b9 Ct Th"c &-AL.A.._— cc,.,,a DESIGNER DESIGNER'S PHONE DESCRIPTION OF WO DESIGNER'S ADDRESS STATE LICENSE NO. F/P FLRELEV,I I NO OCCGP EDU - I STORIES I - -YO NO I . I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT - I I TYPE 0CC LOAD I FIRE SPR I AREA A I ICONST I J V 01 N o. J o NO YO NO Not Valid Unless Machine Certified QTY.' PLUMBING PERMIT - ISSUE _3 OTY. MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT-NUMBER - EACH FIXTURE TRAP - , - INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDINGPERMIT - 001-810-00-00-8220 -. EACH BUILDING SEWER . . I OVER 100,000 BTU , SIGN PERMIT 001-810'00-00-8221 ' LEACH 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 SYSTEM 5 OR MORE , , METAL FIREPLACE ' . . ELECTRICAL 001-810-00-00-8223 - EACH INSTAL., ALTER, REPAIR WATER PIPE. . VENT.FAN SINGLE DUCT . 'MECHAI 001-810-00-00-8224 — EACH VACUUM BREAKER , MECH EXHAUST - HOOD/DUCTS , MO9)1Q 001-810-00'00'8225 50 -00 WATER SOFTNER , RELOCATION OF EA FURNACE/HEATER . • sc1Ql... 001-810-00-00-8226 EACH ROOF DRAIN (INSIDE) . . DRYER VENT, - . R0G MO ' 2. TOTAL MECHANICAL I ,.'IRESPRI M P0O-O07 TOTAL PLUMBING PUBLtFACI 920-810-06-60'8740 I. I0 . 00 'iDGE FEE 360-810-00-00-8740 . • - QTY. ' ELECTRICAL PERMIT - ISSUE QTY. MOBILE HOME SETUP O ( RK-) L .. ) p - NEW CONST EA'AMP/SWTaBKR , CAR PORT 134-810-00-00-8835 cO .00 1 PH 3 PH , AWNING . - ;t!ck IF 133-810-00-00-8835 - EXIST BLDG EA AMPISWT/BKR GARAGE IPH .3 PH LICENSE TAX 001-810-00-00-8162 REMODEL:ALTER PER CIRCUIT . . , MFF/ 880-519-92-57 1 C). CC) TEMP POLE 200 AMPS ' OVER 200AMPS . . . TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTAL ELECTRICAL . " TOTAL 'o TOTAL FEES PAYABLE - .O I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY I Expiration Every permit issued by the Building Official under the provisions of this * AN OSHA PERMT IS REQUIRED FOR EXCAVATIONS OVER I Code shall expire by limitation and become null and void lithe building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I authorized by such permit is not commenced within 180 days from the date ob such ., 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON' I abandoned at any time after the work is commenced for a period 01180 davu STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S DATE NATURE * 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 OWNERD CONTRACTORD APPROVE r ly GRANTING OF THIS PERMIT, - ONE f - I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS -INSPECTORS NOTES INSPECTION DATE REQ. IF INSPECTORS DA CHECKED APPROVAL TE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE ________ - •. : . FIELD WELDING '. HIGH STRENGTH BOLTS ... . •_'f._. - . . •.. - S . SPECIAL MASONRY PILES CAISSONS H TYPE I DATE INSPECTOR BUILDING 1 FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEI)JNG SHEATHING 0 ROOF 0 SAEAR FRAME ,. EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL I PLUMBING SEWER AND BL/CO 0 RUCO UNDERGROUND 0 WASTE EWATER TOP 4OUT 0 WASTE 0 IYATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR YtATER ELECTRICAL O ELECTRIC UNDERGROUND UFFER ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPRARY O BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS 1__ CALL FOR FINAL ITEMS Al FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUI LpI NG SPECIAL CONDITIONS TION WHEN:ALL APPRQPRIATE cr ../________--• /E_BEENA1'PROVED .-. ...S,••-.--••• . ;::_ ñ:._ / C4,9 CASHIER'S VALIDATION ,-7 1/F SEWER PERMIT APPLICATION APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: -SE €'& BUILDING PLAN CHECK NUMBER:PC BUILDING ADDRESS: Sq BUILDING TYPE: Nt 4 NUMBER OF EDU'S: I OWNER: ______________________ CALCULATIONS:_______________________________________ MAILING ADDRESS: ' t' • ________________________________________________ CONTRACTOR: • • • .-...... MAILING ADDRESS: LEGAL DESCRIPTION: _______________________ CONNECTION FEE fl COST PER UNIT ' x NO. UNITS I LATERAL CHARGE: TOTAL CHARGES: 0"0) ASSESSORS OÔ ASSESSORS PARCEL NUMBER: t PREPARED BY: 14- (PRINTED NAME) COMMENTS: WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant 3q , - I_-or 9 - IT 7 . ______ ±__ . - (V APPV. /O f By 11 NOV 04 1986 / V City of CALW ri /7 •/ ryr . //. 7 1 ,/ •/ ' L!J"cARLSBAD UNIFIED SCHOOL DISTRICT 111 CARLSBAD HIGH SCHOOL . RECEIPT NO. El VALLEY JUNIOR HIGH .SCHOOL •: 10747 RECEIVED FROM . L DATE 431 (o C&rcc'' . FOR. USE OF SCHOOL FACILITIES/RENTALS $ REII4BUSE4NTS $ t let . USE OF SCHOOL BUS $ ____________ TELEPHONE COMMISSIONS $ DAMAGE TO SCHOOL PROPERTY $ _____________ INSURANCE. CLAIMS $ DAMAGED OR LOST BOOKS $ _____________ REIMBURSEMENTS $ SALE OF SURPLUS $ (EMPLOYEES) • TOTAL $1, tk &o5%3a1 - - - RECEIVED CASH CHECKE I RECEIVED BY - • .•- 13 INCOME ABATEMENT CHARGE TO ACCOUNT NO. l. t1 -