HomeMy WebLinkAbout2652 Highland Dr; ; 86-322; Permit"' z 0 ;: .. "' ..
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O I hereby 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 is in
full force and effect
L,r. No _______ va,,
I rereby alfirrr trat I a<n e,e-pt f'.:r' The Co1t'ar:-
1or s License Law for t~e •011ow,rg reooon ,sec 1011 'i
B,s,ness and Pro'ess an, C•Jde Ar)' c ty Dr :iu,res ape-,.·,: to nnsrr,,ct ate-1"1;,ra,·e
repa,r any str,,ctore w10-:o ,rs ,ssuawe o's(: reqJ
pl,:ant tor sue" ;ier-,• 18 f,·e a s1snec ;t;i·er,iert •i;i:
licensed purs•JilnT IG n-,e prov,s,ons 01 lhe 'vrJrrrocwr, ucesse La 11, , Cha~:e-g ccrnrnenc•ng ,,,1r S"' · "" ?OGO ,JI
:i,·,· ,,oo :lo' ·ne Rus,ness a~d Pro'ec;s,ans CJ<ie, er 'hat,, e,
eropT :nere•·o~ Jnd rce ~as1c for tne 21 eqed rxemokir Ar.1
, alJ':or Jt Sec•·on ~03' by ;io appl1car: lor a perc,i I IJ'.
eCTs the app11caot ro a ;ieralty ol not more tran 1,,,e hur
•d do 1ars -:$50C,
I, as ~,,·,er :,I :~e ;J''.}pe'Tv. or my emu ~ie~s ,,,In as ·he·r so,e comper5at,on w,.1 do the we·, ;;"1 •rp
tu·e ,S ~01 wtendea or u'fered lo· sa'e !Sec ,o~.: Eucir e-,, a~c ~ro!ess1oco Cude The Contrac:v ; L,ce·,se Law cr;es
no: a;i~ly le an Jwner ol prope"ty ,v"J b·,1 ds :;r 1r~reon and 11,no does such wo'> r-,r,ise:f o· '"roug~ own
ec,ir;loyees oro,·,ded tt"-dt ;uch ,rrpr'.Nerren1s ;ne nc1 ,n·e~d eO ~r o'ie,ed IG' sale 1•. however. the bJ ld11c; or ,rn~rove-
me0t ,s sold w,in,n one year of coniple••on tne ow~er-~u,lder
.,., I' ha,·e rre borcen oi proving !tlaT he d•d not bui<d or ,m
pro•;e 'o-tre PJ'POSe o• s-Jle1
I, cs ownw 81 tl>e prcoerty am exciLJs"·ety cor1r;in,g
·;;1:h ,cersed :ortraclars :c, cc0 01r·"c· •ne pro1er,t (Ser 7~~4 Business and Pro!eSS"ans Code The Contrac:or s Llcer,ce
La"' does not app:)' to ,n 011,nw at pmae,ty who D"11cs Jr 1r1-p-oves lhereoo ana w10 contracts for edch pro1ec·s N1'.h a
:o~TrdCtorls! , unse oursuant ta the Co0·r,1clo' s L1ce~se Lew•
As a ",umeDw0er ! am ,~,p-o·.sns ;ny t,o,,e. and Me IJl1ow
,nq cond,t,ons ex,st
1 Tie work ·s being perlor~ed ~•,o, :o sate
2 I nave hed ,n my home lor twelve "lOr1lhs
v,or :o corrp1e:,on of in,, work
l I "ave not c',a,med This e,e'llpt1G" Co:irg the las· th'ee years
, am e,ern~t under Sec ______ fl & Pr;
'or this reason ____________ _
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I ~ereby al'irm t~at I ha,e a cert,'·cate ol consenl tc
see'I ,-,sure c-r ~ cert,t,cate Jt 'Nc"ers Comrensat,0•1 In
sudroee "' J cert :,~-J ~opy the'eo' ,Sec 3300 Labor Code!
P8L CY NO
CCMFAl'.Y
CJ~y s f1 ed .v1th the city
::__ Cert,t-ed co::y ,~ herety furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
,This section need not be cor"'lpleted ,f the perm11
s for one hundre<:J dollars ;$1001 or less)
I cert,'y Iha! ,n the performance of the wor~ for w~ich
10,s perrn,t ,s ,ssued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers Comoeo
sat,on Laws o! Cal,forn,a
NOTICE TO APPLICANT_ If, after making this Cert,r,cate
of Exemption. you should become sub1ecr to the Workers
Compensation prov,s,ons of !he Labor Code. you nust
L torthw1lh comply w•th such prov1s1ons or lh,s permit shat:
be deemed revoked
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I hereby affirm that there ,s a constr·JCt,on ,,.nd,r•g
agency •or t~e perfor"Tiance or !he wo,~ tor wr,ch th,s per
m,t 1s issued !Sec 309?. C1v1I Godel
Lenders Name
Le-oder s Address
' USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
' CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1!=18\:l IR1!=1\ 4.18-SS?S ! . . .• --------------APPLICATION & PERMIT
:;:in;;:,-¼' J),,:x;;_Ro NEA~i.. /Lu n~ OAT'-?:;7;;0NI eus,NESSUCENSE# -VALUATION
3¥.g,
PtHMI l NUMBE A I
ZONE • LOT BLOCK SUBDIVISION ASSE,5~ARf'32.f O'is' 00 £,cor;r;;;,~ , CONTRACTORS PHONE -
I OWNER'S NAME OWNER'S PHONE _J---,--------------------f--====------lf------------+-,--,---,----------, : .:l),/;Af/EL. N, .De. ~'9-;f. 7/l'f-72.J cot7.c1os·s•ooRESS LICENSENO. 'CANLD. ----
f?,J-yY
tsUILUINU ::;Q, FOOTAGE
1 OWNER'S MAILING ADDRESS { t' ~k. --'' : ~6.s~ I'/', ~ DESIGNER OESIGNER'SPHONE
<:~~ ~
DESCRIPTION OF WORK a,,,.,.~ ,;"'\.._.-,..,, ~
l------------~r.....:_//7:...'._~ /~ /,c~Z:,==--"""=:..:i{;...(,..-==~---~•~_:::;!c-"~ ~,;_~----1 DESIGNER'S ADDRESS LICENSE NO.
.3_R_lf?' ,____
""us 0RAU I ,., ,_ANO use 1 >AR<c%SSACC RCS U"TS I GRADING PERMIT ISSUE;:)
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REUEVELOP"'1ENT AR[;-A '~ ,□
NO
ST:JJ:liES
TYPE
CONST
ace GP
ace LOAD
EDU o·
?/Gf./_f2:~_7
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FIAESPR
y[_J ..... o Nor Valid Unless Machine Cerld1ed
· 7 .," 1 I -:i. -, QTY. PLUMBING PERMIT -ISSUE --. QTY MECHANICAL PERMIT· ISSUE .,/ SUMMARY/ACCOUNT NUMBER
: EACH IIX I URE TRAP -INSTAL l FURN DUCTS UP TD 100 000 BTU BUI LOI NG PERMIT ~ 001 810 00 00 8220 i ~¥~ I
I EACHBUILlJINGSFl/>'ER , OVER100000BTU SIGNPERMIT 00181000008221
: EACHl/1'AlE.RHEATERANfI~vENT ---r---+~BOILERCOMPRtSSOH-UPTOJHP ----. "'"'""'~ so,s. oooss~{j.';
_ l_ACHGASSYSHMlT~•~LiUTLETS • ~801LERCQMPRESSOR315HP __________ _:_ ____ TOTAL~LUMBING __ 0018100000822 .,
EALHGASSYSTtMJURMUll[ 11,IETALFRf'PLAC:': ELECTRICAL 00181000008223 "--I
L------------------..------.j. ---------
1 EACH INSTA~ ALHR. REPAIR WATER PIPE j ~ VENT f-AN SINGl E DUCT __ _ ____ _____ MECHANICAL ___ 001-810-00-00·8224
I EACH VACUUM flREAK!:R I MECH E'XHAUST HOOD oucrs MOBILEHOME 001-810-00-00-8225 I
1-·---1 WAHR so~ TNtR___ 1 RELOCATION OF EA FURNACE HEATER MOB:LEHOME PARK NSP
1 j ~~~f,-q:y~--;::-l-1~J ·,s -,F j ------SOLAR 001-810-00·00-8226 --
: ~ _i__-=_-~=------____ ~__j_ i TOTJ.L MECHANICAL ! STRONG MOTION 880-519·92-33 • s~_Z?_
I TU!Al PIUMHIN(. i i _.. -<"t"t:t:0 FIRESPRINKLERS 001-810-00-00·8227
1 -r-r -!I QTY 1 · soLAR _ issuE .,..1: , ~ .r ._ -Pusuc FACILITIES FEE __ _1;i_,-,-,~--oo-;o-~~30
:J . --+ ' .v -" -
·'.:IJ L~i:T: R:i --" 9' \~V":' SCHOOL FEE· DISTRICT
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST l:AA~PSl/'11 t:,Kf-l
+----
-
-•----
STQ..JA,(J~ 1 :.,r;kS \) t_. V ..:.ii ~~rlsbad --
E' X IST 6 l [JG E'A AMP SWT ~KR ------r-------------11-----ROC•'olURA~L -----.. ~at..W .-.. ,s :;1riitas
I PH -.iPH I PU/ P ___ _ _ __ ___ -'-:\"' --r.Qfl:.">.~ San []1egu1to
~ _ _: _ ., ~1 A'·J U!L~f( ,r1: ~rJ~'=-~ · t ~~~--
1 ! TEMP POt r 200 MiPs I ---f-----···-·
'~"" uc.•-v•~"'--'' .)CJl'~'"' ____ +----j-----------------1-----.:___-1~-~~:NSETAX
-----------
\----------+-1 P H I PH -
----+----
---+----------
001·810-00·00·8162
-
880-519-92·57
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II CREDIT DEPOSIT ' l1JTA!_ fl EL !RICA:
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T,:;-C... s::1 4-;; ' TOTAL FEES PAYABLE lif ,,~-iitt ~ -? '
! HAVE CAREFULLY EXAM!NE'O THE COMPLETED ·•APPLICATION ANO PERMIT" ANO DO HEREBY Expiration. Every perm1_t issued by the Buildmg Ofhc1al underthe provis1onsofth1s * AN OSHA PERMIT 15 REQUIRED FOR EXCAVATK)NS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and vmd II the building or work 5' O" DEEP At.ND OEMOlfTtON OR CONSTRUCTION OF
QE"CLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT JS authorized by such permit is not commenced w1th,n 160 days from the date of sucri STRUCT\JRES OVER 3 STORIES IN HEtGHT
JSSUED: TO COMPLY WITH ALL CITY_ COUNlY AND STATE LAWS GOVERNING BUILDING CON-~~~'::::On°'
1 t:~ ~~~=1~e~;h:~~r:~!hco~~~e~le~~ch r 1,c~~dc,'~~,•~:~;~rCJd~'•odS~d-o_,-=4'~~~~~~--------,r--~~=--7'-"":'--~
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO :-APPROVED BY ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITJES, JUDGMENTS, COSTS AND APPUC OWNER CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE\. j • ll✓.~~-, B PHO 0· 'l~,#
GR~NT!NG OF THIS PERMIT. "-. ' y NE ,, h
"' £ ,;
TYPE
BUILDING
DATE INSPECTOR
81..v-8~ ' FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
INSeECTION
SOILS COMPLIANCE
PRIOR TO
F-OUNDATION iNSr
REO IF I INSPECTOR s I DATE 11 ,, ~ ~ ';Q_ ' J) •·. -~-' . ,_ CHECKED APPROVAL ~ g ,
-~ ~ ~ ~~ 3J I ;tr~ -/0 __ -~--/1<--~-"
·•,'
FRAME ,
EXTERIOR LATH I I 11-sT_R_u_c-,-,-,n-A-,-,0.;;c-Fi,;-E
• • . OVER 2000 PSI
I--P~R~E~S~TccR~E~S~S~E~D--------!-----1----------i,-----INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
r] SEWER AND BL/CO =: PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
C::ONCR ETE I
POST TEN~.IONED
cor--.CRETE
FIELD WELDIN(;
---------+-----,
f---------t' ---Hl'.:_)H STRENG-r-
80l TS
-+r -~-+----
·,.~
'-;PEC:1,\L MAS(_)'\J8Y
f-----------------l-----+-----+---~
! PILES CAl~Sor-...·-·
I -+-------+---------+--------
~------------+-----+--------+-----------
ELECTRICAL , □ ELECTRIC UNDERGROUND □, UFFER I I I e---------+------+---------1-----
ROUGH ELECTRIC ---+-----,
□ ELECTRIC SERVICE □ TEMPC:,RARY I I I 1---------+----+--------+-----
□ BONDING □ POOL
MECHANICAL 1------------
□ DUCT & PLEM,, □ REF. PIPING I I I 1--------+--..I-
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA \?E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
.... 1\
SPECIAL CONDITIONS I ~ I ~I L __ -~ ___ J_ ___ ~ __ _j
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PLAN CHECK N0.8h-"5t('Z..--ADDRESS _G~!e_,G".....,;::L;;.ieh~~~b::..1h_kY?li.i/"----DATE a PLANNING
• ZONE1 ----TYPE· IF PROJECT AND USE1,_,..;A;...et~&o"-,,;i,::;' ~A-=_k....., ______ _
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SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS1 fRONT
-ENCINITAS
SIDE
CARLSBAD
REAR
SAN MARCOS __
.,,,,,.,,-
DISCRETIONARY ACTIONS1. _______________________ _
REDEVELOPMENT PERMIT REQUIRED1, ___________________ _
LANDSCAPE PLAN COMMENTS:. _____________________ _
ENVIRONMENTAL REQUIRED1. _______________________ _
ADDITIONAL COMMENTS1. __________________________ _
OK TO ISSUE:. _ _..,_d}'"m. ...... ~111,,.,._· __
,., r,·l"-r,-n-,,-n-n-,,-,.,r,·,. n ,,·l'\·n·n ,,.,.,.,., r ~n_n_n_r,1\ r, n i,·,. n r n n·11 l"·I"·" ,.-,-r,-n·n·l"•ri-:n·n ,.-.,·,,~·l'l·ri-:n·r,~1,n·r,-r1rtn-,,-,,-n·n-,;-r·r< r(n'n"rfr(n·,,., n ,.-,.-, "n n n·r, n n n""'.n·,..·r,·n·n·.,·n·n·n·n·"-,.,-,, r'l-1"11"1 ri-n·r-,.·,.,·n·n·n·n·n-n·r, ............... ..........--................ ~ .......................
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ENGINEERING
LEGAL DESCRIPTION VERIFIED?. _____ _ APN CHECKED?. _________ _
P,f ,f, :. ________ PARK-IN-LIEU QUADRANT1. ____ , fEE PER UNIT:. ___ _
RIGHT-Of-WAY:. ________ TRAFFIC IMPACT FEE PER UNIT1. _______ _
EASEMENTS1 >Jo tl,,:{=!4
DRIVEWAY1, ___________ _
IMPROVEMENTS:. _________________________ _
______________ FIELD CHECK DATE:. _____ _ INITIALS:. __
E,D,U,:. _________ ___. __ _ SEWER:. ____________ _
LATERAL:. ____________ _ INDUSTRIAL WASTE PERMIT:. _____ _
.. QI
-GRADING PERMIT:. __________________________ _
ill QI ·s: .!I
_________________ GRADING COMPLETION CERTIFIED:. ___ _
QI Ill a:: Q DRAINAGE:. ____________________________ _
ADDITIONAL COMMENTS:. _______________________ ~-
I
OK TO ISSUE:,-"-&~~~,q,,~----_,..;DATE1 ~ c38 °&: ~
DPD2:DPD6:O6/17/86
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