HomeMy WebLinkAbout2297 MORGAN RD; ; 87-368; Permita,
a-
14,
9.
U a) 0, U, C
USE BALLPOINT PEN ONLY &PRESS HARD' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
2 0 I hereby affirm that I am licensed under I
provisions of Chapter 0 (commencing with
I Section 7000) of Division '3 of the Buoin000 -
I— V and Professions Code, and my license is in
L. full force and effect -
U -- -' I hereby affirm that I am exempt from the Control: I tor's License Law for the following reason (Sec. 7031.5
- Business and Professions Code: Any city or county which re'
- quires a permit to construct, alter, improve. demolish. In I 4 repair any strociere, prior toils ioeunooe also requires the up - - plicani for such permit to tile a signed statement that he is
licensed pursuant in the, provisions of the Contractors I
- License Law (Chapter 9 commencing with Suction 7000 of
(1iviifln 301 the Business and Professions Cede) or that is cx' - empt therefrom and the basis for the alleged exemption. Any I - violation of Section 7031.5 by an applicant for a permit sub' i iects the applicant Is a civil penalty of not more than five hun - dred dollars ($500).
it t, as owner 01 the proporty, or my employees with-wages
an their 0010 compensation, will do the wurti, and the strac
!u'e is not intended or Otivmnd lot Oslo (Con, 7044, Business
,and Professions Code:' The Contractor's License Law does
not apply to an owner of property who builds or improves I as thereon and who does such work himself or through hi3 own I • - employees, provided that such improvements are not intend- UI ed or offered for sale. II.' however, the building or improvn- Z went is sold within one year 01 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
0 1. as owner 01 the properly, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044.
- Business and Professions Code: 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 I - 'Law).
- - 0 As a homeowner lam improving my home, and the follow' - Ing conditions exist:
The work is being performed prior to sale. 2. I have lived in my home for twelve mouths i - prior to completion of this work. - UI 3. I have not claimed this exemption during the I 0 last three years.
0 lamesemptunderSec. ' - B&P.C. ,I for this reason
affirm that I have a certificate 01 consent to I sell-insure, or a certificate Of Workers' Compensation In-
- - suranco. or a certified Copy thereof (Soc. 3800. Labor Code)
POLICY NO. , ' ' - , I •t
- , C,'ANY''-
D Copy is filed with the City •,, : 0, certified copy is hereby furnished .
- CERTIFICATE OF EXEMPTION FROM U - - WORKERS' COMPENSATION INSURANCE I
U) - (This on need not be Completed II the permit
for one hundred dollars ($100) Or less) UI I certify, that in the performance of the work for which
CC .' this permit is issued. I shall not employ any person in any
manner so as to become subject to the Workers Compen.
sallon Laws of California. .,,,
- •. I
NOTICE TO APPLICANT: If. atle'r making this CerIificat I
01 Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you maul' -
.. forthwith comply with such provisions or this permit shall
elso'cle revoked,,, • I
i"-" horcby affirm that Ihcrc is o conslructlon lending
agency for the performance of the work for which this per. I
mit Is Issued (Sec. 3097, Civil Code) - ' •I ZI UI I Lender's Name
—II-'.- L Lender's Address - - -'
-
. .\ .-. - CARLSBAD BUILDING DEPARTMENT
. APPLICATION PERMIT
- , 2075 Las Palmas -Dr., Carlsbad, CA 92009-4859(619) 438-1161
JOB ADDflC5S1i'-.7 '- " "\',' - AV, CT.flO. NEAREST CR006 ST. - . DATE OF APPLICATION BUSINESS LICENSE It VALUATION PERMIT NUMBER
All _____________-:- ZONE kT__BLOCK 'ASSESSOR PAiCELM,p.a CONTRACTOR CONTRACTORS PHONE it _SUBDIVISION
2- — (." _/ --- 00
OWNER'S NAME n. • OWNER'S PHONE _L - - -
'
'
RIMMING SO. FOOTAGE _- ,
STATE LICENSE NO. CONTRACTOR'S ADDRESS - , -
OWNER'S MAILING ADDRESS A/Pn-- -
' . DESIONPR 2-7-97 j?, _- -
DESIGNER'S PHONE
-
DE_CRiPTlONOFwORIc
4uO11á"_7_ DESIGNER'S ADDRESS STATE LICENSE NO. ' 0007 04/27'0101 02B1dPmt 3472.0
-
-- ,
- F/P FLRELEV. NO OCCGP EDu
- STORIES'
YO N[:)
- - PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - . - TYPE - 0CC LOAD FIRE SPR'
77 - - ' . AREA CONST
'
- V 0 N 0 YO NO - .vDND :NorValidUnless Machine Certified —
QTY, PLUMBING PERMIT- ISSuE' QTY. MECHANICAL PERMIT - ISSUE , ' SUMMARY/ACCOUNT NUMBER -,
EACH FIXTURE TRAP ' --, - INSTALL FURN. DUCTS UPTO100,000BTU BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER , ,, - '-OVER 100,000BTU , 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 I 104 OUTLETS , BOILER/COMPRESSOR 3-15 HP -. , , TOTAL PLUMBING 001'810-00-00-8222
EACH GAS SYSTEM 50R MORE ' -' ' -- , METAL FIREPLACE - - - , - ELECTRICAL - 001-810' 0- - 2
EACH INSTAL.. ALTER. REPAIR WATER PIPE .
-
VENT FAN SINGLE DUCT ' ' ' - . - MECHANICAL 'Ijolo
EACH VACUUM BREAKER - ' - MECH EXHAUST - H000IOUCTS , MOBILEHOME 001-810-00-00-8225 -
- WATER SOFTNER •' ' . - ', ' RELOCATION OF EA FURNACE/HEATER ' :- -SOLAR - 401110o1181 - -- - -- - -
EACH ROOF DRAIN (INSIDE) - . -
- • , DRYER VENT - , - STRONG MOTION ,1,H 886 s1 ,g3 -- - -
. " TOTAL MECHANICAL •
- - - - ' - ' ,
FIRE SPRINKLERS 0014100
- - TOTAL PLUMBING : - PUBLIC FACILITIES
,5u, -'O • 0 0
BRIDGE FEE , DEVELOP IC "
OTY, . ELECTRICAL PERMIT, ISSUE - QTY. .ME-HeME SETUP - j OO PARK-IN-LIEU (AREA ) 0 ö
- NEW CONST EA AMPISWTIBKR - - ' ' . CAR PORT - .- - • hF - -- - 134-810-00-00-8835
-
I pji - - - 3 PH • , ' , - - AWNING - . , LA COSTA TIF ' 133-810-O0-00'8835
-
EXIST BLDG EA AMP/SWTIBKR - - - GARAGE • , - ' - FMF
1 P 3 P 'L' - - " - - e4.O. -.LICENSE TAX - 001'810-00-00-8162-
REMODEL:ALTER PER CIRCUIT , ' • -. 880-519-92-57
TEMPPOLE
- /J-co
200AMPS
OVER200AMPS
TEMP
FMFI~/C
OCCUPANCY (30 DAYS)
EDIT DEPOSIT'
- TOTALELECTRICAI :-
,
. TOTAL - • H. TOTAL FEES PAYABLE .
- --
4€ 7Z , 0 -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions olthis * AN OSHA PRM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY' THAT ALL INFORMATION HEREON INCLUDING THE itatioiiarlui (ielouie null and void It building or work 5'0" authorized by ht' DEEP AND DEMOLITION OR CONSTI4UCIION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A P date of such ERMIT IS permit , or if the build in or by such pe
t is not commenced within 180 days
rmit is :usnded , 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 Iota period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , APPROVED BY ______ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLIC SIGN R * OWNERD CONTRACTOR 0 - /
___
DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. BY PHONE 0 .ZS / 1/y I
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S
CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLf S
SPECIAL MASONRY
PILES CAISSONS
INSPECTOR'S
()Ci;• 2E .- . • -.
: CVt4ffD
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
SEWER AND BL/CO 0 FL/CO
UNDERGROUND 0 WASTE EIWATER
TOPOUT 0 WASTE Cl WATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR AATER
ELECTRICAL
ELECTRIC UNDERGROUND EjI UFFER
ROUGH ELECTRIC
O ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIFING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPEC
ITEMS ABOVE HA,
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
S -•.,••
______
WHEN ALL APPRQRIA1T --EN APPROVED. . -.
-,
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER iO I
BUILDING PLAN CHECK NUMBER PC
BUILDING ADDRESS 1Z?7 BUILDING TYPE
NUMBER OF EDUS / )
OWNER CALCULATIONS
MAILING ADDRESS
LEGAL DESCRIPTION ___________________________ CONNECTION FEE
I r/
COST PER UNIT __
/0011
___ x NO UNITS
• - -•-*------------ •.. • • LATERAL CHARGE
TOTAL CHARGES I O0
ASSESSORS PARCEL NUMBER -__/') I /2 PREPARED BY 7 L.....- (PRINTED NAME)
RECEIPT NO.
12610
DATE
EJ'cARLSBAD UNIFIED SCHOOL DISTRICT
D cARLSBAD HIGH SCHOOL
0 VALLEY JUNIOR HIGH SCHOOL
RECEIVED FROM
-. . FOR: ko+
USE OF SCHOOL FACILITIES/RENTALS $ REIMURSIENS
USE OF SCHOOL BUS $
DAMAGE TO SCHOOL PROPERTY $
DAMAGED OR LOST BOOKS $ _____________ INSURANCE $ SALE OF SURPLUS $ TELEPHONE COMMISSIONS $
INCOME ABATEMENT 0 .
ACCOUNT NO. I.. -FIRS 1 ______
ACCOUNT NO.
ACCOUNT NO.._.__-
,-
TOTAL $ L
RECEIVED CASH 0 CHECK
RECEIVED BY __M OM ____________ -
-p 0-
za A..F NO It ED
/ ..KPT27 1387
4:ity of CAR SBA
BU,!ULINC- z••_.
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