HomeMy WebLinkAbout2293 MORGAN RD; ; 87-292; PermitUSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
2 r. i hereby affirm that I am licensed under
(lii - * provisions of Chapter 9 (commencIng with I
I Section 7000) of Division .3 of the Business I
I- and Professions Code, and my license is in
L . full force and effect.
U- I hereby atlirm that I am exempt from the Centrac-
tor's License Law for the following reason (Sec. 7031.5 I Business and Professions Code: Any city or county which re-quires a permit Is Construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires 'heap. I
- plicaet 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 of I Division 301 the Business and Professions Code) or that is en-'
empt therefrom and the basis for the alleged exemption. Any
violation 01 Section 7031.5 by an applicant for a permit sub- I (edo the applicant to civil penalty of not more than live hun-dred dollars ($500).
I I, as owner 01 the proporty, or my employees with wages
IC I as their sold compensation, will do the work, and the struc'
lure is not intended or offered for solo (Sec. 7044. Business
and Professions Code: The Contractor's License Law dens not apply to an owner of property who builds or improves m thereon and who does such work himself or through his own employees, provided that such improvements are not intend- I lea ed or offered for sole: It, however, the building or improve- - Z mcvi is sold within one year of completios,- the owner-builder
will have the burden 01 proving that he did not build or en' I prove for the purpose of sale).
D I, as owner at the property, am exclusively contracting I with licensed Contractors to construct the project (Sec. 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 U) contractor(s). license pursuant to the Contractor's License Law). I- -
tJ As a homeowner tam improving my home, and the 10110w'
09 Conditions exist: ''• . I IC 1. The work is being performed prior to sale. - I 2. I have lived in my home for twelve months I
- prior to completion 01 this work. ItO - 3. I have -oat- claimed this exemption during the O last three years. I
O tam exempt under Sec. ,B & P.C. for this reason .. .
'Thereby affirm that I have a certificate 01 consent to oelf.insure. or a certificate 01 Workers' Compensation In. I
ourance. or a certitied copy thereof (Sec. 3800. Labor Code) I POLiCYJ(' S
, CeNY.
Copy is tiled With the city I
0 Cerlitied copy is herebi furnished I
Lu
CERTIFICATE OF EXEMPTION FROM I C.) WORKERS' COMPENSATION INSURANCE U) (This unction need not be completed it the permit
br one hundred dollars ($500) or less) I'i'ity that in the pertormance 01 the work for which
this permit Is issued, I shall not employ any person In any I 0 manner so unto become subject to the Workers' Compen.
oution Laws of California.
NOTICE TO APPLICANT: It, otter making this Certificate
of Esemption, you should become subject to the Workers' - - Compensation provisions 01 the Labor Code. you must I
tortliwith comply with such provisions or this permit shalt
be deemed revoked.
0 I hereby at(irm that there is a construction lending
'agency for the performance of the work for which this per.
-01' mll Is issued (Sec. 3097, Civil Code)
lull Lender's Name_______________________________
L Lender's Address -
CARLSBAD BUILDING DEPARTMENT
. APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 . -
JOB ADDRESS AV, ST. RD. NEAREST CROSS ST. I DATE OF APPLICATION BUSINESS LICENSE # PERMIT NUMBER
'2--93 M I- 47I -iP
T (BLOCK I SUBDIVISION I ASSESSORARCEINO. CONTRACTOR CONTRACTORS ZONE -
0 (3
I tot- /
's NAME I OWNER'S PHONE p 9Li. ))1n 116 .
J CONTRACTOR'S ADDRESS t i—- STATE LICENSE NO. BUILDING SO. FOOTAGE
ri
NER'S MAILING ADDRESS
DESIGNER , (2/) fflp/Z4.1sJ DESIGNER'S PHONE -
/ CRIPTION OF WORK .' [DI 0018 04/06 0101 021dPit ' /lvfM / / C.€ ,4.411'1 . 7' Li I DESIGNER'S ADDRESS STATE LICENSE NO. 3472.
F/P L-A ELEV.I NO 0CC GP I EDU STORIES
YO I •, . -.
- - I PARKING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT I TYPE 0CC LOAD I FIRE SPA I
f
AREA - I CONST I
y 0 N 0 I NO I r,, YO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT- ISSUE QTY. MECHANICAL-'PERMIT - lSSUE SUMMARY/ACCOUNT NUMBER .
EACH FIXTURE TRAP . , - INSTALL FURN. oucTs:uP TO 100.000 BTu;' BUILDING PERMIT 001-810-00-00'8220
EACH BUILDING SEWER , OVER 100,000 BTU 001-810-00-00-8221 1 ,41
EACH WATER HEATER AND/OR VENT . ,
1.
BOILER/COMPRESSOR UP TO 3 HP , - 001-810-00-00-8821
EACH GAS SYSTEM 1 104 OUTLETS , BOILER/COMPRESSOR 3.15 HP. ' '.':f )f TOJAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEMS OR MORE ' , METAL FIREPLACE b pp. .• r/ICAL - 001-810-00-00-8223'
EACH INSTAL., ALTER, REPAIR WATER PIPE . - -
VENT FAN SINGLE DUCT 1)_ _
,,
__________ MECHANICAL . 001'810-00'00-8224
EACH VACUUM BREAKER -- • , MECH EXHAUST - HOODIDUCTS ftOpç41 4
Ifil 001'810-00-00-8225
WATERSDFTNER - , RELOCATION OF EA FURNACE/HEATER ________ - 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) , DRYER VENT - STRONG MIkV$. 880-519-92-33 - TOTAL MECHANICAL
.
I
I .qL8''tl
FIRE SPRINKLERS 001-810-00-00-8227
- - TOTAL PLUMBING ' PUBLIC FACILITIES FEE 320-810-00-00-8740 / /.4"b. 0 C)
BRIDGE FEE - 360'810-00'00-8740
QTY. ELECTRICAL PERMIT- ISSUE QTY. !#" Me8ttERME SETUPJ. /0 PARK-IN-LIEU (AREA
NEW CONST EA AMPISWT'BKR - CAR PORT TIF 134-810-00-00-8835 3 O'c; • -
I PH 3 PH - ' AWNING , LA COSTA TIF 133-810'O0-00-8835
EXIST BLDG EA AMPISWT/BKR . - - GARAGE . FMF -
1 PH ' 3 PH , . 7•___jJ s' c/O. 00 LICENSE TAX 001-810-00-00-8162
REMOOEL:ALTER PER CIRCUIT . . - MFF,,/ 880-519-92-57
TEMPPOLE 200AMPS
OVER 200 AMPS '
- TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT -
TOTAL ELECTRICAL
- —
TOTAL 7J O'O TOTAL FEES PAYABLE '3 7'...
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 05)1* PE:T IS REQUIRED FOR EXCAVATIONS OVER I Code shall expire by limitation and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5' 0' DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not Commenced within 180 days from the date 01 such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I parmil, or if the building or work authorized by such permit is suspended Or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is Commenced for a period 01180 days STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND OWNER CONTRACTOR 0 APPROVED 9Y) (. - 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 BY PHONE GRANTING OF THIS PERMIT.
I I
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
INTERIOR LATH & DRYWALL
PLUMBING
O SEWER AND BL/CO 0 L/CO
UNDERGROUND 0 WASTE g WATER
TOP OUT 0 WASTE 0 WATER
TUBAND SHOWER PAN
GAS TEST
U WATER HEATER 0 SOLAR WATER
ELECTRICAL
O ELECTRIC UNDERGROUND W UFFER
ROUGH ELECTRIC
o ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
O DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN
ITEMS ABOVE HAVE BEEN
ALL APPROPRIATE
APPROVED .'. -
FINAL
PLUMBING
ELECTRICAL
MECHANICAL GAS
BUILDING
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 . .• V...
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH -
BOLtS
SPECIAL MASONRY
PILES CAISSONS . . s. V.. • V
co AP
1,
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I.
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C
.11011
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V * - - V • - - .. S
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CASHIER'S VALIDATION
(ltttg'n( Qlarløtiab
0010 04/06 0101 048anjtn 100.00
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE 3O
BUILDING PLAN CHECK NUMBER:PC
BUILDING ADDRESS: 22g3 I fl(tSA'J BUILDING TYPE: MOIi_EI.kJME. -
NUMBER OF EDU'S: 10
OWNER: R,1I _I4A.JE CALCULATIONS:__________________________________
MAILING ADDRESS: ______________________________ I_M.t_1 E.01)
CONTRACTOR: _(5.(AL.1Vo 14oc_(SFA
MAILING ADDRESS:
LEGAL DESCRIPTION: ___________________________ CONNECTION FEE
- (j.o) •,&-
_______________________________________________ COST PER UNIT I0a- x NO. UNITS____________
LATERAL CHARGE:
TOTAL CHARGES: 4",' ,.'
ASSESSORS PARCEL NUMBER: 11 iOfr /q--o 0 PREPARED (PRINTED NAME)
COMMENTS: -
WHITE: DIPS GREEN: FInance CANARY: Water - PINK: Building GOLD: Applicant
0040 n&tnr210 .to.LO O\O .8103
.1
- . .. I • -
E!YcARLSBAD UNIFIED SCHOOL DISTRICT
0 CARLSBAD HIGH SCHOOL RECEIPT NO.
0 VALLEY JUNIOR HIGH SCHOOL 12141
RECEIVED FROM DATE
FOR:
USE OF SCHOOL FACILITIES/RENTALS $ REI4BURS1ENTS $ h -
coo eS
USE OF SCHOOL BUS $
DAMAGE TO SCHOOL PROPERTY $
DAMAGED OR LOST BOOKS $____________ INSURANCE $
SALE OF SURPLUS $ - TELEPHONE COMMISSIONS $
TOTAL $ i
INCOME 5 ABATEMENT 0
ACCOUNT NO. IR - AM-1 - - RECEIVED CASH 0 CHECK
•
ACCOUNT NO. - - RECEIVED BY
ACCOUNT NO..__..-
-••-•_ _
L0
-s--I -J f .. V.J T - '_..F*..)9y
IPR 6 1981
City of CARL$
BUItDprq
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