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 .
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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 -