HomeMy WebLinkAbout2291 MORGAN RD; ; 87-33; Permit•r' - - -
1.
2 r' 0 I hereby affirm that I am licensed under
U I provisions of Chapter 9 (commencIng with
I Section 7000) of Division 3 of the BuInosa 1
I i,'id Prof.asIon Coda, and my iiconoo in in
L full force and effect. -
I' hereby affirm 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 quires a permit to construct, alter, improve, demolish, or
repair any structure, prior toils issuance also requires the ap-plicant for Such permit to tile a signed statement that he is
licensed pursuant to the provisions of the tontractsr's License Law (Chapter 9 commencing with Section 7000 ot
Division 3 of the Business and Professions Code) or that is ex. I empt therefrom and the basis for the alleged exemption. Any
viation of Section 7031.5 by an applicant for a permit sub- 01 - (es the applicant to civil penalty of not more than tine hun' I.. dred dollars ($500). I
It'I. as owner of the property, or my employees with wages I as their sate compensation,' wilt do the work, and the struc-
ture is out intended or offered for cain (Sec. 7044, Bueinncc
and Professions Code: The Contractor's License Law does I not apply to an owner of property who builds or improves thereon and who does such work himself or through his own ° employees, provided that such improvements are not istend-Cd or offered for sale. It, however, the building or improve-' mantis sold within one year of completinn, the owner-builder
will have the burden of proving that he did not build or im' I
prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting I with licensed contractors to construct the project (Soc. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). ' I
As a homeowner lam improving my home, and the follow-
ing conditions exist: ' I
I. The work is being performed prior to sale. 2. I have lived in my home for twelve months Prior to completion of this work. - I - - 3. I have not claimed this exemption during the fast three years.
lam exempt under Soc. - ,B 8 P.C. for this reason
thereby affirm that I have a certificate of consent to seIf-insure. or a certificate of Workers Compensation In. I
ourance, or a certified copy thereof (Sec. 3800. Labor Code) I
POLICY NO.
COMPANY,
Copy is filed with the city -
.0 Certified copy is hereby furnished
-
CERTIFICATE OF EXEMPTION FROM I
WORKERS' COMPENSATION INSURANCE -
(This section need not be completed If the permit
Is for one hundred dollars ($100) or less)
I certify, that In the performance of the work for which
Ihiçermit is issued. I shall not employ any person In any -
mann'br so as to become subject to the Workers' Compen- I saflon Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must
- forthwith comply with such provisions or this permit shall I
- be deemed revoked. I
f" 'Ot hereby sffirmthst there Is construction lending I
ogonoy for the performance of the won'. fc..hicin fhie per.
0 mit is Issued (Sec. 3097, Civil Cede) ,
W Lender's Name - I
- - - Lender's Address___________________________ -
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USE-BALL POINT PEN ONLY. & PRESS HARD fif APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
' " ARCSBAb BUILDING DEPARTMENT t'.: APPLICATION & 2075 Las Palmas Dr., Carlsbad, CA 92009-4859(619) 438-1161 , -
PERMIT- -- . • - -
JOB
,
ADDRESS c7t/ NEAREST CROSS ST. b DATE OF APPLICATION1 BUSINESS LICENSE of VALUATION
-
PERMIT NUMBER
i -.
LOT BLOCK SUBDIVISION ASSES EL NO R PARCEL CONTRACTOR
.
CONTRACTORS PHONE Ø ZONE
j.dI4 OWNER'S NAME OWNER'S PHONE _______________ 527t - -
BUILDING SO. FOOTAGE (VV) i' rmc, i.lo,,vl e'S' I c1 o CONTRACTOR'S ADDRESS LJ1'\b.4 Q 40 STATE LICENSE NO.
OWNER'S MAILING ADDRESS 1'-t'?90 90(25V 6c.jq g
DESIGNER DESIGNER'S PHONE
DESCRIPTION OF OAK
DESIGNER'S ADO STATE LICENSE NO. - - -
P/P I'LA ELEV. I I NO
STORIES OCCGP I EDU 0010 001 01/15/87PRt1T 3581.
—D v N . I
PARKING SPACE RES UNITS GRADING PERMIT ISSUED. I REDEVELOPMENT TYPE DCC LOAD' I FIRE SPA I AREA I CONST I
V 0 N 0 I v 0 NO J - ' . 'D NO Not Valid Unless Machine Certified
QTY. , PLUMBING PERMIT -.ISSUE OTY. 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 HP '. - PLAN CHECK 001'810-00'00-8821 3' 7 --
- EACH GAS SYSTEM I TO 4 OUTLETS . . BOILER/COMPRESSOR 3.15 HP , TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM 5'0R MORE - , METAL FIREPLACE , ELECTRICAL 001'810'00-00'8223
- EACH INSTAL.. ALTER, REPAIR WATER PIPE - . VENT FAN SINGLE DUCT , . MECHANICAL 001-810-00-00.8224
- EACH VACUUM BREAKER . ', MECH EXHAUST - HOOD/DUCTS , MOBILEHOME 001'810-00-00-8225
WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER ' . SOLAR ,0't'10-00'00-8226
EACH ROOF DRAIN (INSIDE) - - DRYER VENT . - STRONG MOTION "..'88O'519-92-33
TOTAL MECHANICAL -
-
- I
I
. '
FIRE SPRINKLERew, 00181000'00'8227
TOTAL PLUMBING PUBLIC FA EE - 3-10-00-00-8740 11-15-99 -
QTY. ELECTRICAL PERMIT - ISSUE OTY. MOBILE HOME SETUP BROE \à1O-0O-Qj4O
PAK4LIEU (AREA 93 )
NEW CONST EA AMPISWTIBKR CAR PORT . TIF p0)6-8835 -
I PH - 3 PH. - . AWNING - - LA COSTA TIF "0133jj0,00,8835
EXIST BLDG EA AMP/SWT/BKR , . - - - GARAGE . FMF
1PH 3 P
oe LICENSEk OO1'810'OO-0O'8162
REMODEL:ALTER PER CIRCUIT ' - -
-
- .
-
MFF 880'519'92'57 .-
- TEMPPOLE 200AMPS - -
-
- OVER 200AMPS
-
- TEMP OCCUPANCY (30 DAYS) '
CREDIT DEPOSIT
- TOTAL ELECTRICAL - TOTAL - : TOTAL FEES PAYABLE fi
r
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 PET IS REQYIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code Shall expire by limitation and become null and void If the building or work 50" DEEP AND EMOLI'fld OR CONSTRUCTION OF authorized by Ouch permit is not ommenced within 180 days from the date of such
ISSUED: TO COMPLY WITH ALL'CITY,COUN'IY AND STATE LAWS GOVERNING BUILDING CON- pJSndone any r te the orb is commenced for a period of 180
DECLAHATIUNS AH I HUE AND GUHItECT AND I FURTHER CERTIrY AND AOflCC irA PERMIT IS I øè z-em. In, outotn UI wç aulliuilzed by Stith perrnlil is auspundod or STRUCTURES OVER 3 STORIES IN HEIGHT
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND OWNERD APPROVED BY DATE SlGk~j
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. BY PHONED ... BY _''4i:(' i
I -• •.:_ :. j •:
I.....I S-
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION 1
INTERIOR LATH & DRYWALL j
PLUMBING
SEWER AND BL/CO 0 IL/CO
UNDERGROUND 0 WASTE Ii WATER
TOP OUT 0 WASTE 0 - WATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR WATER
ELECTRICAL I ELECTRIC UNDERGROUND In UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMFORARY
BONDING 0 POOL
MECHANICAL -
DUCT & PLEM., 0 REF. PIRING'
HEAT—AIR COND. SYSTEMS
VENTILATING SYSTEMS '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITFM. ARflVF UAVF RPNAPPRflVFfl
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS c.g# ItJ7'
c4i - r
'7.-33
FIELD INSPECTION RECORD ..
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF INSPECTORS DATE
-
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION PNSP
STRUCTURAL CONCRETE - - OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-
-
HIGH STRENGTH -
BOLtS
SPECIAL MASONRY
PILES CAISSONS
CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
'.2 APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE 3
BUILDING PLAN CHECK NUMBER:PC
BUILDING ADDRESS: 91 t\\\ 0 V C) FN I BUILDING TYPE: /'1,4(, # d 'J,W ç
NUMBER OF EDU'S: 1 0
OWNER: Att tAc(\ t'1i1 CALCULATIONS:__________________________________
MAILING ADDRESS: 9 2c'D t'ii&c u JMH - If-mi
ASSESSORS PARCEL NUMBER: tO
CONNECTION FEE
COST PER UNIT 1)00 x NO. UNITS
LATERAL CHARGE:
TOTAL CHARGES:
PREPARED BY:
(PRINTED NAME)
CONTRACTOR: r— 1
MAILING ADDRESS: J
t P IN if
LEGAL DESCRIPTION:
COMMENTS:
WHITE: DIPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant
fCARLSBAD UNIFIED SCHOOL DISTRICT
O CARLSBAD HIGH SCHOOL
O VALLEY JUNIOR HIGH SCHOOL
RECEIVED FROM S1$ k C' oaAb.tRM
FOR Lo - tc
USE OF SCHOOL FACILITIES/RENTALS $ REMB.RSMENTS
(XUo USE OF SCHOOL BUS $
DAMAGE TO SCHOOL PROPERTY $
1.
RECEIPT NO.
12109
DATE lll,4-,Wj
$
DAMAGED OR LOST BOOKS $ INSURANCE $
SALE OF SURPLUS $ TELEPHONE COMMISSIONS $
INCOME El ABATEMENT
-
ACCOUNT NO.
ACCOUNT NO.. - - _______ -
TOTAL $ L
RECEIVED CASH r CHECKj
RECEIVED BY