HomeMy WebLinkAbout2294 MORGAN RD; ; 86-886; PermitPr 'Iereby affirm that I am licensed under
provisions of Chapter 9. (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and my license to In full force nd of -
Luc. No fhss
I. hereby affirm that I am exempt from the Contrac-tor s License Law for the following reason (Sec. 7031.5
Dusiocos and Protcsions Code: Any city or county which ro- quires a permit to construct. alter. improvo, demolish, or - repair any structure, prior to its iGsuaeco also requires the op
plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractor's -
License Law (Chapter 9 commencing with Section 7000 at
ex—Division 3 of the Business and Professions Code) or that is empt therefrom and the basis for the allogeOeeomption. Any
violation of Section 7031.5 by an applicant for a permit Sub- -
locts lheappticanl to a civil penally of not more than live hun-
dred dollars ($500). -
t. as owner of the property, or my employees with wages
as their sole compensation. will do the work, and the stroc-
lure is not intended or offered for cab (Sec. 7044, Bocvvce
and Professions Code: The Contractor's License Law does
cot apply to an owner of property who builds or improvoc thereon and who deco such work himself or through hic own
employees, provided that such improvements are not intend- ed or offered for sate. If, however, the building or improve- - meot is sold within one year of completiso, the owner-builder will have the burden of proving that he did not build or rn-
prove for the purpose of sale).
O t. as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
Business and-Professions Code: The Contractor's License
Law does net apply loan owner 01 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).
C3 As a homeowner tam improving my home, and the follow-
ing conditions exist: - - I. The work is being performed prior to sate.
I have, lived in my home for twelve mOnlhn
prior to completion at this work. , I have net claimed this exemption during the - fast three years
,O tam exempt under Sec. .B&P.C. for this reason ' ...
hereby affirm that I have a certificate of consent to self-insure. Or 0 certificate of Workers' COmponsati,n In.
serance, or a certified copy thereof (See: 3800. Labor ode)
POLICY NO. r / COMPANY
Copy is filed with the city
- D Certified copy is hereby furnished V __
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE -
(This section need not be completed if the permit
is for one hundred dollars 151001 or loss)
I certify that in 'the performance of the work for which
this permit is Issued. I shall not employ any person in any
- manner so as to become subject to the Workers' Compen'
satlon Laws 01 California,
NOTICE TO APPLICANT: It. alter 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
be deemed revoked,
rlD I hereby affirm that there is construction lending
agency for the performance of the work for which this per.
is issued (Sec. 3097, Civil Code)
III I Lender's Name
L Lender's Address_______________________________
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(ICC DAlI DAIBIT DCII thIIIV P DDCCC UADrI APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT '
' APPLIA 7& PERMIT - Carlsbad, California 92008-1989 .(619) 438.5525
JOB ADDRESS AV. ST. RD. S ST. NEAREOJ' flATF OF APPLICATION
15(10
CONTRACTOR
8USI S LICENSE #
CONTRACTORS PHONE C
V VALUATION
,
MIT NUMBER
BLOCK NO. YoI
-
JsuBolvIsloNU ZONE
[7CZ0NI
114 -1 &-1 . ' OWNER'S NAME OWNER'S PHONE
LICENSE NO. PLAN I 0. U BUILDING SO. FOOTAGE AC I UN'S AUDRESS
orvwtu Cctitd's) _______________ 44Qo OWNER'.b.ilLING ADDRESS
4 ?'J\ ('c&. DESIGNER DESIGNER'S PHONE
& b.J LQ_. ____________________ ___
'
DESCRIPTION IF h
DESIGNER'S ADOR ESS LICENSE NO, V'tk LXQ,.... LJ2YVP_. ..Qt
- - ' rr FLR CLOy.1 I NO occr, I EDU I STORIES I UUU( UUi uu/t/brpr,I fC
_
- CENSUS TRACT GLAND USE PARKING SPACE RES UNITS GRADI NG PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
AREA I I CONST -
nO N 0 - rD NO I I yD NO Not Valid Unless Machine Certified
QTY. . PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUMBER -
- EACH FIXTURE TRAP . ' - INSTALL FURN. DUCTS UP TO 100,000 BTU II TYM 001'810-00-00-8220
EACHBUILDING SEWER . . , — OVER 100,000 BTU .
,4 kaliffill rERMIT 001-810-00-00-8221
-
EACH WATER HEATER ANO/QRVENT , BOILER/COMPRESSOR UPTO3His , PLACIC$. 001-810-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUT I -' BOILER/COMPRESSOR 3-I 5 HP - ilL NG 001-810'00-00-8222
EACH GAS SYSTEM 5 OR MORE , METAL FIREPLACE - ELECTRI)5BD O01-810'00'00'8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE - .
-
VENT FAN SINGLE DUCT —cfl SIVS01'8b0.0o'o0'8224 -
-
EACH VACUUM BREAKER - - - ,
- MECH EXHAUST - HOOD/DUCTS toll 001-810-00-00-8225
WATER SOF,TNER, ry , RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) ' - ' ' SOLAR 001810-00-00-8226
TOTAL MECHANICAL
I
I
.
STRONG MOTION 880-519-92-33
TOTAL PLUMBING - . : FIRE SPRINKLERS 001'810-00'00-8227
PUBLIC FACILITIES FEE 332'810-00-00-8930
QTY. " ELECTRICAL PERMIT - ISSUE QTY. -Otcu°rR- ISSUE 10 -r F
NEW CONST EA AMP/SW1/BKR COLLECTORS - . SCHOOL FEE - DISTRICT
1 PH 3 PH - , . STORAGE TANKS - Carlsbad
EXIST BLDG EA AMP/SWT/BKR . , - ROCK STORAGE . - . - Encinitas
1 PH - 3 PH ' ' - PUMP . San Dieguilo
REMODEL/ALTER PER CIRCUIT . PLAN CHECK FEE San Marcos' 1
- TEMP POLE 200 AMPS . i-J-ô•oc IPrL Th Lieu cØ
OVER 200AMPS
,' LICENSE TAX 001-810-00-00-8162
TEMP OCCUPANCY (30 DAYS) ' , MFF/ ( p 880-519-92-57
CREDIT DEPOSIT
TOTAL ELECTRICAL 1 • TOTAL SOLAR ISO CDO TOTAL FEES PAYABLE f 3:242-00 1 —
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN 051-IA PE:T IS REQUIRED 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, lithe building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the dote 01 such DE(LAHA I IONS ARE TRUE,, AND CORRECT AND I rUnTI tEn CERTIFY AND AGREE IF A PERMIT IS I permif, or if the building or work authorized by such permit iv suspnnded or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: 'TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON. abandoned at any timeoffer the work is commenced for a period 01180 davo.
STRUCTION. WHETHER SPECIFIED' HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND LICANT'S SIGNATURE OWNER 0 THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND KEEP HARMLESS CONTRACTOR o APPROVED BY > o
EXPENSES WHICH MAY l' ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE PHONE 0 - ' GRANTING OF THIS PERMIT. - - '
''4
TYPE I 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
O SEWER AND BUCO 0 PILICO
UNDERGROUND DWASTE D 'WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR WTER
ELECTRICAL
O ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
O ELECTRIC SERVICE 0 TEMPQRARY
O BONDING 0 POOL
MECHANICAL
o DUCT & PLEM., 0 REF. PIPIJG
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED -
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS .. . 4 C
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES
INSPECTION ncJ. IF INSPECTOR'S DATE ..• - . u CHECKED APPROVAL
SOILS COMPLIANCE PRIOR TO .
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH . :• _.. .- ... ..
BOLTS
SPECIAL MASONRY
PILES CAISSONS
; .
.4..
- *
' -
u -
u • • 12:,
r-: .:
I CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE 7 '/
BUILDING PLAN CHECK NUMBERfi RC27/6s1 iI1uI
BUILDING ADDRESS:
OWNER:
MAILING ADDRESS:
dli
CONTRACTOR:
MAILING ADDRESS:
BUILDING TYPE:
NUMBER OF EDU'S: I.
CALCULATIONS:
LEGAL DESCRIPTION: /'7 //' CONNECTION FEE
COST PER UNIT _____ x NO. UNITS
LATERAL CHARGE:
TOTAL CHARGES: _________________________________
ASSESSORS PARCEL NUMBER: Ii 2-1 PREPARED BY: 1TJ1f
(PRINTED NAME)
COMMENTS:
WHITE: DIPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant
L/CARLSBAD UNIFIED SCHOOL DISTRICT
11 CARLSBAD HIGH SCHOOL RECEIPT NO.
El VALLEYJU
RECEIVED ROM
190R HIGH SCHOOL 10731
________________ DATE ______
FOR:
REI BURS ______ EMENTS ,i g USE OF SCHOOL FACILITIES/RENTAL _____________
COe VS USE OF SCHOOL BUS $ - TELEPHONE COMMISSIONS $
DAMAGE TO SCHOOL PROPERTY $ ____________ INSURANCE CLAIMS $
DAMAGED OR LOST BOOKS $ REIMBURSEMENTS $
SALE OF SURPLUS $
(EMPLOYEES)
INCOME ' ABATEMENT E TOTAL $1/f"
CHARGE TO ACCOUNT NO. L.- ti -• - - REC ECASH [:]CHECK '
RECEIVED BY L4'C24L{