HomeMy WebLinkAbout2684 HIGHLAND DR; ; 85-369; Permit.,, z 0 ;:: .. a: .. J " "' C
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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.
Lie No ___ _ C1.!'I
I hereby afllrm lhal I am exempt ''0"1 the Conrra:
lvr s License Law lo, lhe lollow1nr, reason ,sec 103' S
Business and Protess.ors Code Any c :1 or cou1t1 whrcr ·e
~,wes a per<r1T ·o or1,1ruct al'e' ,morove demo!,sn 0r repa,r any struct~re. prior to ,ts issuance also req1..rres !heap
~•rcanl lor such oerrr1' :o lr•e a s,qned s1atemen1 rs.a: ".e ,s
11censed pursuant To :he orov,s1ors of lhe Contrac·or s
License Law (Chaoter 9 commenc1nc; wt~ Sect,on 7000 o' D1,1s1on 3 ot the Business an~ P•ofess,occ; CMe, or rrat ,, e,-
empt •~erefrom a~d the bas,s for the allegeo e,empl,0° An1
v18lal1on of Sect,on 7031 5 by an app11canl for a perm t su~-nts :he applicant to a c1v,1 oer,alty ol nor more than ti.e run
d'ed dollars 1S500!
I. as owner of tM oroperry or rr>y emplcyees w,tn wage~
as rhe,r so1e compensation. w111 do the wmk and 'he siruc
ture 1s not intended or ottered lor sale 1sec 7C44 Bus,ress
and Pro!ess,ons Code The Comractors License Law does
no! apply lo an ownei ol property who bu11ds or ,rrproves
thereon and who aoes such work mmse•f or through hrs own
e"'-ployees. prov,ded that such improvements are no1 ,nrend
ed or o1fered tor sale It, however. the ou,ldrng or improve ment ,s sold w,rh,n one year ot complet1on. the owner-bu,lder
will have the burden ot proving that he drd no1 bu,ld ar rm
prove !or the purpose or saleJ
I. as owner ol the pro~erty, am exclusively conrract,ng
with 1,censed contractors to construct the pro1ec1 (Sec 7044
Business and Proless1ons COOe The Contractors I 1cense Law does not apply to an owner of property who Our Ids or rm•
proves :hereon. and who contracts Im each pro1ects with a
conlractor(s) license oursuant to the ConrraCTor s License Lawl
As a homeowner I am ,mpro,ing my home, and t>ie fol ow 1ng cond,t,ons ex,st
1 The wmk rs being perlmmed prror to sale 2 I have lived 1n my home for Twelve monlhs
prior to comolet1on o• th,s work
! have nol cla1rned this exemp1,on during 'he last three years
__ 1amexemptunderSec _____ _ il&H.: for lh,s reason ____________ _
D I hereby a!11rm 1na1 I na,e a cer1d1care or car sen,
10 sell insure or a ,·ertrfrcate ol Wor~ers Compen5at1on Insurance o, a ~er1,11ed cop; ine,eot
1sec 3800 Labor Code1
POLICY NO
COMPANY
O Copy 1s h1ea w,tn the c11y
0 (.eri,foed copy 1S hereby rur~1shed
CERTIFICATL OF EXf::MPTION FROM
WORKERS COMPENSATION INSURANC~
(Th,s s.ec1,on need not be ~ompletPcl 1• 'he ;;erm11
1s •or one nundred dollars ,s1001 ur es~
0 I ceri.Jy that rr, lhe pertormancf' "' the "''"" •::r ...,n,ch \h,s permit ,s ,ssued. I shall nol et'T'Ql.)1 arl
person ,n any manner so as to become sub1f'< t 'r
lhe Wo<1<ers Compen5al1nr l..d"'S "' Ca1,1,,r,·1a
NOTICE TO APPLICANT I! alter <na~rrJ trns Cen,
t.ca1e of Exemp11on you should t:iecome sub1en ' 1ne Worl<ers Compensa1,on provisions of 1ne Labvr
Code you mus1 !or1h.,.,1lh comply "'''~ s~,-~ provisions or 1h1s perm•! shal Df' deer,ied 'f'vnkp(l
0 I hereby afl•rm that i~erf' ,s a ·_c.nsrrv, I,;~
rending agency tor t'1e pe,l,,rmarce 01 •he ,.,u,,. wn1ch This perm,1 ,5 ">Su<'d ,Sec l097 r:,, Cude
le'1der s Name ___________ _
Lende• s Aod,ess __________ _
U:)t DllLL l'VIIII l'tll VIILI 6 l'l'lt;):) nRl'IU 1-\t"t"LIL,I-\N I IV t"ILL IN \Nt"VMMl-\1 IVN YVI I nlN ;:,nl-\UCU RnCI-\ #-\NU UCL,L14.MJ4.I IUN.), ,;=::..:;=cc.:=c.:.;"'-="-''-'-'=~==-------------------------------':...C---'---------------------------,
1 CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 : 2 c.D?4 . /-f I b 1-1-I~' ... 'A~LAD NEAREST CROSS ST 7;:=ii~cf5".. BUSINESS LICENSE. ; '/J~u'?C-0 SEAM" NUMBER
: LOT I BLOCK I SUBDIVISION /~l> P::'C~Oo _ (J '-V. CONTRACTOR/ _ ,cr:RACTORS PHONE. ZONE 1{S-3C,, q
iowNERS'NiKJJ ,1 M DWNERSPHDNE v.$.Su..L-~t..5.St.. T3!-.3Jt./l , i::)( f ,, 1 r~ ·m.(g~(-,-I /IOtJA.I"-, '-13'1-a I'-/-1 CONTRACTOR.':ll"ORESS / LICENSE NO PLAN I.D.. Y"G USE CODE
1 DWNER'~MAILING ADDRESS ~ t-tl/_JJJ /:)A,,~ ,A 1/\J ,_J 'PM A-'-~
I DESIGNER LICENSE tt STANDARD PLAN" BUILDING SQ. FOOTAGE
I f 7go I or:,cRIPTION OF W:}B..I( --/ f!!r' / ... ,A ~
L. __I\ A/ c;,,,.--, -y"'tJ / '"":/ ( ,-t:> 0 ,{ LJ..f..., G,, DESIGNER'S ADDRESS DESIGNER'S PHONE
I -
: /'lo FY~~ 6>t!ft'\~-:-~&?~t-.'J4~ ~ H SLR ELEV NO DCC GP EDU
I STORIES '
I vC f'o<0 -~
1 ctcr-.sus TRACT I GP L_AND usE I PARKrNC, SPACE RES UNITS I GRADING PERMIT 1ssuED I A~□EVELOP...,ENT TYPE ace LOAD FIRE SPF>
I AREA CONST
1 1 0 N O , □ "'0 v O NO Not Valid Unless Machine Certified
: QTY PLUMBING PERMIT -ISSUE 1-.,'1) QTY. MECHANICAL PERMIT -ISSUE 3 ----SUMMARY/ACCOUNT NUMBER _ / •-
1 EACH f IX fURE TRAP _/ INSTALL FURN DUCTS JP TO 100 000 BTU /' BUILDING PERMIT 01-00-00-8220 {) 16• . .....,, U I . •
1 EACH BUILDING SEWER I _/ _ _ _ OVER 100.000 BTU v-:=: SIGN PERM!T 01-D0-00-8221 _ _
1 EACHWAIERHEATERANOURVENT _/ -~---1BOILE-R~cur;:iPREsSOR-UPToiHP -,· PLANCHECK 01-00-00-8806 S1..:.--zs-
:~-EA.cHGASSY·S!·E·~-;1u.,o.UTLET·S·. ~. _ t_1
_ tso1LER.C~MPRE.sso~~1SHP -,---___________ TOTALPLUMBl~G o:-oo-oo-s222 (,rlJ -_
1 EACH GAS SYSTEM~ OR MORE . : r-,1:TAL F1RWACE ✓-ELECTRICAL o·-o□-00-8223 / ,S-----=----=' -------+---------+ ---------~-------------------EAr.H 1NS1Al -Al TfR. HFPA _;ATER P1PE : ' 1 VENT FAN SINGLE □UC~ MECHANICAL 01-00-00-8224
<---+--EA_C_H-vACUu-MsR __ ER ___ ------'. ---MEcHEx-HA-usr-~□-OucTs ----MOBILEHOME 01-00°-"-o,"-_"-,,"',"s---'--------_,
W.ATER SrHJ..N'(R , , ~-------,.---~~~ OF EA FURNA_C_~HEATER MOBILEHOME PARK INSP
:UCI--••• Pl"lT.1~ 7;,.1,1 1J ,· J~l'i[ ----i / SOl-AB 01-00-00-_8_22_6___ --
~--_ j ___ ! / TQT,i'.;,L MECHANICAL I STRONG MOTION 80-92-33-0519 I f't --rr T[J 1 Al Pl. Li rvitl IN(_, I :1 .(" I FIRE SPRl~JKl.ERS ---___ ,_01,_-ocDD,_Ooc0,_8"'2""2._7-+ ________ -j
f ·1 / PUBLIC FACILITIES FEE 32-00-00-893) QTY ELECTRICAL PERMIT -ISSUE ~ /' ;i QTY SOLAR -ISSUE / ----
f---+-------------------: BRIDGE FEE --+---------~
Nt:WCONSTEAAMPS'Nl fiKR ;· ';()llF:::r:rns / SCHOOL FEE-DISTRICT
--------~------~--+--------------------+---c7"'---'---I--"'""~-'""c___-"'""""-'----+-----
I PH J PH 11 S"'.:,RAGE -"'","S V Carlsbad 80-92-21-0519 --r------------~~-~~-1------------,
D IS T fl LOG EA AMP SW T R KR RCJO STC~.'.i.Gl _/ Enc1111tas 80-92-22-0,_5,_1,_9---1--
1 PH l PH . ~L \1P ___ __ _ __ _ / San 01egu1to 80-92-23_0,_5,_1,_9 --1------------J
RU,100El Al lt:.R PE:P [IH[Ull -01.'.\', :::--i[c~ ~E~ / San Marcos 80-92-24-:)519 >---I------·-------~-------~,-'--------r-------~~~~=----'-----------
TE MP PO l E i'OU ,\';iPS •1 __ /__ I
UVt:.H 2lJU AMPS ____ 0,,,,,/ __________ +------'--jf-LICENSE TAX 01-00-00_-8_1_6_2 __ _
TEMP 0CCUPAN[Y JD DAYS.1 _, ,1µ" _j_ ---+--__ _/ _________ .,_____ _ MFF 80-92-57-0519 --__ / /' _ "'I'-,..,
I • J, ' LI._., ~~ D • 7'J ~ • -;::;,--CREDITDEP0SIT ( /,-,U,751/
HlfAIELl11HIIAL' ! /~/ -OTAISCL'H TQTALFEESPAYABLE 9t 3l/
I HAVE CAREFU. LL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" AND DO HEREBY Expiratior,_ E~ery permi.t '.ssued by the Bu1ld1ng Official under !lie ptov1s1ons of this I fiOSHA p !IT ks REQUIAll'D FJ/A EXCAVATK>NS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tat1ori and become null and void If the bwld1ng or work 5· o-·~e ., 0 MOt.lTll-flll'F.nt>KTRUCTION Of authonzed by such permit 1s not commenced wrth,n 180 days from the date of such i.. DECLAR.ATION,S ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 11 the building or work aulhonzed by such permit is suspe~Cltd or STRUC ·~ "3 ST<J."4f-1" 1-tGHT
ISSUED· TO COMPLY WITH ALL.CITY_ COUNlY AND STATE LAWS GOVERNING BUILDING CON· L;•~•~•n~do~n~od;,;";-';"~,t~,m~e~alt~to~,Jt;ho~w~o~,k~1~•~c£om'!!!!m~e~n£c•~d:f:°';;:'~ pe~nQod~o~f :16~0:d:•~':'i.~~-f;;;a:;:u:'f;ti:,~-1/'1.:t'ff--;;;7,-----"1
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND A~PLICANT'S SI N.ATUAE _, 0 ~~ fi,PPRO,,Yf':D BYJ J IJ(A r/;1/.j DATE
KEEP HARMLESS THE C!TY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ,4r OWNER CONTRACT /2-v ,, 1 t ~-., ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~« ~ BY PH NE D ('.; ," f/ ... I-' ,,.
GRANTING OF THIS PERMIT -,:,,-/ :.....z_ _ A ~ A ;,.. • -f -_.::>
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FOUNDATION
TYPE I I DAT~NSPECTOR
BUILDING :1-1 J i I ~ r,c, n • cnrM,n .. ncrn □n -~ ---· oS -3 G::,q •
FIELD INSPEC I IVl'I n~vvnv
REINFORCED STEEL ~
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SH~AR
FRAME ~)f'IJ" -p<{__
EXTERIOR LATH ?--..J ,-::r -' 7?(
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO □IPL/CO
UNDERGROUND □ WASTE □ \l\fATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST
□ WATER HEATER □ SOLAR WATER
',
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □ l!JFF.ER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL ,
[]_DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS : · . j . , . · r , , 1
, I , .. -I . \
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE' BEEN APPROVED.
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMP!...:ANCE
PRIOR TO
FOLINDATION INSP
REQ IF I INSPECTORS
CHECKED APPROVAL DATE
STRUCT .JRAL CONCRETE I I . .. ·-+-.
OVER 2000 PSI
PRES TRESSED
INSPECTOR'S NOTES
?--? ?-r F' fi ..-f '~ u G /'/ ,-;,,,, ,;o ?-,-2 7 ~d
~ .
~~'l~Y-_____ ,;,; /3/~eA .:-✓,£-I,?-,). r~ro? ~
CONCRETE I I I i-1------------------------, I POST TfNSIONE.D .
CONCRETE
FifLD WELDING
HIGH STRENGTH
ROl is
'YECIAL MASONRY
''IL ES CAISSQr,.,s
r--------+-------+-----+-------, r----------------------------l
·-, -
PLUMBING
I) /•-A-,tl/+,11 I .. I' FINAL : I _I h ,; -it ·~,z;;~, Ill' ,_ I -I • . 1~ . ,,t====~~========~
ELECTRICAL V ·,,7--1 I . ., I
MECHANICAL I
GAS I ,
BUILDING ff lj
~IL
\ /Y , _. __ .
SPECIAL CONDITIONS _I \
-~-----
I
PLAN CHECK NUMBER 7 .£:= 5 bJADDRESS '
,;26/( ~ _..d, DATE ,~#j
PLANNING: TYPE OF STRUCTURE <24-A ~fk+ . rJ /
~ZONE: __ _
IX ... :z ...
SCHOOL FEES: SAN DIEGUITO ______ _
CARLSBAD ______ _
% COVERAGE. __________ _
BUILDING HEIGHT _________ _
FENCES/WALLS. ___ ...;_.. _____ _
TWO CAR GARAGE. _________ _
ENCINITAS. ______ _
SAN MARCOS. ______ _
REQUIRED SETBACKS. ____ _
:::T-=-:=~:i:9~+_·•··=/-;:~t:~~=~· =-~-=-
-"" COMMENTS: _______________________ _ ; i ·--
~ D REDEVELOPtlENT A?PROVAL REQUIRED: t3 ~ □ . ----------------'--..., _
2!s-o 8~ LANDSCAPE PLAN COMMENTS:. ___________________ _
rnvmor:MENTAL REQUIREp.,_: ___________________ _
ADDITIONAL COMMENTS,_:------------------·----
/ OK TO ISSUE:.....Jla..,ei..,:;:;::...., DATE:..i,.;;;:../..t...-1..t-1'..: ____ DATE: ____ _
ENGINEERING LEGAL DESCRIPTION VERIFIED?. ____ A.P.N. CHECKED?_
P.F.F. ______ PARK IN LIEU _______________ _
R.O.W: ______ IMPROVEMENTS: ______________ _
_______________ E.D.U: ___________ _
SEWER:
LATERAL: DRIVEWAY: -· IX ... GRADING PERMIT: ::z ... -.... > .... DRAINAGE: ... ~ IX
~-□ EASEMENTS: ADDITIONAL COflNENTS:
O· ' ' ..
i=S □ UIX ~;; g IX O' lf. W/1~ 01.w -----UIX OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC WORKS INSPECTOR: _________________ _
FINAL OK: _________ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)