HomeMy WebLinkAbout2295 MORGAN RD; ; CB880001; Permit2 r' 0 I hereby affirm that I am licensed under
.)I provisions of Chapter 9 (commencing with
I Section 7000) of Division 3 of the Business and Professions Code, and my license Is In L full force and effect.
U -1 '
- I hereby affirm that I am exempt from the Cc! ntrac for License Law tar the following reason (Sec. 7031.5 Business and Professions Cede: Any City OF county which re-quires a permit to construct, alter, improve, demolish, or i repair any structore, prier to its issuance also requires the ap-plicant f
or
such permit to tile a signed statement that he is
licensed pursuant to the provisions of the Contractor's i License Law (Chapter 9 commencing with Section 700) of
Division 301 the Business and Professions Code) or that is ex. I
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sab' jocts the applicant to a civil penalty of not more than five han' dred dollars ($500).
I, as owner of the proporty, or my employees with wages i
as their sate compensation, will do the work, and the struc- I tore is not intended or offered tor sale (Sec. 7044. Basiness and Professions Cede: The Contractor's License Law dses not apply Is an owner of property who builds or improves I thereon and who does such work himself or through his own employees, provided that such improvements are not Intend-all or offered for sale. If: however, the building or improve- I mont is sold within one year of complolion, the owner-builder
will have the burden of proving that he did not build or Im-
prove for the purpose of sate).
fl I, an owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. I Business and Professions Coda: The Contractor's License i Law does not apply loan owner of property who builds or im-
proves thereon, and who contracts for each projects with a I contractor(s) license pursuant to the Contractor's License Law).
As homeowner lam improving my home, and the 10110w'
log conditions exist:
- .1. The work is being performed prier to sale. - 2. I have lived in my home for twelve months prior to completion of this work. 3. I have not claimed this exemption during the last three years.
-
lam exempt under Sec. . B&P.C. for this reason
by affirm that I have acertificate of consent to
xelt.innure. or a certificate of Workers' Compensation In.
aurance. or a certified copy thereof (Sec. 3000. Labor Code) i
POLICY NO.
COMP
Copy is filed with the ally -
C1 certified copy is hereby furnished • -. -
CERTIFICATE OF EXEMPTION FROM I
WORKERS COMPENSATION INSURANCE ' I
(Thin s5pIIneed not be Completed It the permit I fOr one hundred dollars (S100) or lens)
Cr I certity that in the performance of the work for which i this permit in issued. I shall not employ any person in any
manner so ante become subject to the Workers' Compen-
sation Laws of California. .
NOTICE TO APPLICANT: It. after making this Certificate
of Exemption, you should become subject to the Workers
Compensation provisions of the Labor Code, you meat
forthwith comply with such provisions or this permit shall I be deemed revoked.
[" 0 t hereby affirm that there Is a Construction tending!
agency for the performance of the work to, which this per.
DI' mi1 Is Issued (Sec. 3091, Civil Code) zi WI Lender's Name -al.
L Lender's Address - I
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USEBALL POINT-PEN ONLY -& PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 - -
JOB ADDRESS AV, ST. RD. NEAREST CROSS ST
'
DATE OF APPLICATION
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BUSINESS LICENSE # VALUATION .
- ZONE
PERMIT NUMBER
n '&oct:'/ I. T IBLOCK SUB DIVISION ASSESSOR PARCEL NO.' I :212 — 10/ -
AcTORNE4
OWNER'S PHONE (509-ER'S NAM
TR'SDDRESS
Pa', 's >e. 7/3 9.— A4'ittr<?#
STATE LICENSE NO.
1 3 ç,
BUILDING SO. FOOTAGE
OWNER'S la?AI Li NG ADDRESS
? — ? NER
___________________________________
DESIGNER'S PHONE -
-
Not Valid Unless Machine Certified
-
DESCRIPTION OF WORK
NER'S ADDRESS STATE LICENSE NO.
!7TD
F/P FLR ELEV.
NO I
I
STORIES
YO
NO OCCGP
I
- I .
PARKING SPACE RES UNITS GRADING PERMIT ISSUED
Y 0 N 0
I REDEVELOPMENT
I AREA
I - ''O NO
I I
TYPE
I CONST
l
0CC LOAD
,
FIRE SPA
YO ND
QTY. PLUMBING PERMIT - ISSUE. QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUM BER 01 (52P1r(Pr+ 747
- EACH FIXTURE TRAP . - INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 0-0'00-8220
EACH BUILDING SEWER . OVER 100,000 BTU' . SIGN PERMIT 001'810'00'00'8221
EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK .001-810-00-00-8821
- EACH GAS SYSTEM 1 104 OUTLETS . BOILER/COMPRESSOR 315 HP . TOTAL PLUMBING 001-810-00-00-8222
EACWGAS SYSTEMS OR MORE ' . METAL FIREPLACE " , - ELECTRICAL 601'810'60-00-8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE 12 3< VENT FAN SINGLE DUCT . MECHANICAL 001'810'00-00-8224
EACH VACUUM BREAKER . , \ MECH EXHAUST - HOODDUCTS , MOBILEHOME 001-810-00-00'8225 .$ —
WATER SOFTNER - /y - \ RELOCATION OF EA FURNACE/HEATER - . SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) /4. .
DRYER VENT - -
( -a' f',3J
TOTAL MECHANICAL
j
STRONG MOTION - 880'519'92-33 I
.
- FIRE SPRINKLERS 001'810'00'00-8227
TOTAL PLUMBING IN I c1 .V' PUBLIC FACILITIES FEE 320-810'00-00'8740 —
ÔTY.
•
ELECTRICAL PERMIT- ISS 0J7. MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 _______ ____
PARK-IN-LIEU (AREA
— NEW CONST EA AMP/SWTFBKR - CAR PORT • . - - . TIF ' 134-810-00-00-8835 3 o
I PH. •. 3 PH "'fl,'RL'!~ AWNING , . LA COSTA TIF 133-810-00-00-8835
EXIST BLDG EA AMPISWTIBKR GARAGE . FMF
I PH ' 3 PH .. c.lf - LICENSE
REMODEL:ALTER PER CIRCUIT . - • MFF
TEMP POLE 200 AMPS
OVER 200 AMPS
1988 - TEMP OCCUPANCY 130 DAYS) - • . . ' - JAN 28 -
- . - - . , - • - . CREDIT DEP -
TOTAL ELECTRICAL
- I
- a
- —
CAII
-
' TOTAL
________________________ ________
- TOT jBMOCESII1G SFRj, 4(71..
—
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY I Expiration. Every permit issued by the Building Official under the provisions ofthis * AN OSHA PET 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 If the building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION Or- authorized by such permit is not commenced within 180 days from the dale Of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permil,..,mp'fT"te buifdina 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' abqp&ted atjpy lime Nela.,1ork is commenced for a period of 180 days 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 ONTRACTOR 0 APPROVED BY DA E
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T 00,
GRANTING OF THIS PERMIT. . BY PHONE 0 \1- 43_I2•)l: i1Ii I Y7
0
C-, 0) CL U) C
0)
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUN ITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO 0 FL/CO
UNDERGROUND 0 WASTE II WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
j WATER HEATER 0 SOLAR WATER
ELECTRICAL
Cl ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPRARY
O BONDING 0 POOL
MECHANICAL If
O DUCT & PLEM., 0 REF. PIRING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL I
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR&4zQg, •.••••• . -
CDh
INSPECTION REO. IF INSPECTOR'S
CHECKED L DATE ciA °t Cvrnvo
SOILS COMPLIANCE
PRIORTO ' '
FOUNDATION INSP
STRUCTURAL CONCRETE OVER 2000 PSI
PRESTRESSED -
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MA$0F4RY
PILES CAISSONS
. • - - .. . -
-. - - - ' .' ' .. - S -' -• ' - I "•'.S •
0
• CASHIER'S VALIDATION
Qtttg of
0008 01/04 0101 04SnjtrI
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
SEWER PERMIT NUMBERASE 3177
BUILDING PLfC4~Nid, MBER PC A4 o7
BUILDING ADDRESS: k1&d BUILDING TYPE: if81&6' 1ME -:
NUMBER OF EDU'S: ti')
OWNER: - t CALCULATIONS:_-'
MAILING ADDRESS: i<
1
kil'i . i. iOo8
-
CONTRACTOR: ______________________________________ -•.
MAILING ADDRESS:
LEGAL DESCRIPTION: • CONNECTION FEE
ii JAN 1988. t00 .•
PAID COST PER.UNIT J .) x NO. UNITS 0
CITY TREASURER ..
CITY OF CARLSBAD
\ CARLSBAD,. CA / ' ' /, 'Yf)(-•
-. . • -.r-%,Ooy LATERAL CHARGE:
TOTAL CHARGES
ASSESSORS PARCEL NUMBER: 2/)-1Q / 13 X) PREPARED. yis
- (PRINTED NAME)
COMMENTS:
WHITE: DPS •GREEN: Finance' CANARY: Water PINK: Building GOLD: Applicant
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(X) H3DYNVVi
(X) H3NMO
1VAOJddV )1HVd Site Utility Service
I I$y- Notes: (a) Utility connections shall be located outside
the rear 1/3 of the mobilehome within four
feet of the left wall.
(b) Show relative elevations of each corner lot
or site.
Gas: natural .. LPG_____________
riser size___________
Drain Inlet: size_________
Electrical Equipmejnt:
Receptacle/2%90 Rating (amps)
Connection fr power supply assembly
Circuit breaker rating (amps) /LrD
Equipment-rating (amps) /lJ2)
MobilehomeData ZZ
Size: length_________ width 3,/
Electrical: Power supply cord_—
-JzI Ampere rating OR
—LU
>LU Power supply assemblya
Ampere rating A/7 Flexible conduit size
I-0(1. Gas supply inlet: Size
Gas connector, describe:___________________________________
Water connector, describe:_________________________________
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) .2' AVM3Aft0 1]HO 133HIS
W
MOBILEHOME INFORMATION 0 INSIGNIANO.: YEAR: ________ - I
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SERIAL NO: MODEL: ________ ca
MANUFACTURER: 0
Drain connector, describe:________________________________
4-8
Manufacturer: 4-OJ Jri'10,t1tS
Model: VtJ '2C -2. Serial No.: VW 2-4/9
State insignia -numbers: X unit:_________________________
U unit:________________________
Roof live load:p.s.f.
Wind load: p.s.f.
001
R"CARLSBAD UNIFIED SCHOOL DISTRICT
CARLSBAD HIGH SCHOOL RECEIPTNO.
E VALLEY JUNIOR HIGH SCHOOL : 12608'
RECEIVED FROM DATE _ISI__________
-)A ( \ c
ko FOR:
USE OF SCHOOL FACILITIES/RENTALS $ REIMURS4IEFçS $ Ji,1
USE OF SCHOOL BUS $
DAMAGE TO SCHOOL PROPERTY $
DAMAGED OR LOST BOOKS $ ____________ INSURANCE- $
SALE OF SURPLUS $ - TELEPHONE COMMISSIONS $
TOTAL
INCOMEL"ABATEMENTLj •
ACCOUNT NO -a-- -'1 - __________ - • RECEIVED CASH CHECK
ACCOUNT NO.
RECEIVED BY AN
ACCOUNT NO.
-- fl• - - - _________________ - -
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