HomeMy WebLinkAbout2738 Highland Dr; ; 83-24; Permit.,
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O I hereby affirm that I am llcensed 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 ___ _ Class _
I hereby affirm that I am exempt 1mm the Contrac-
tor's License Law for the following reason (Sec. 7031 5
Business and Proless1ons Code. Any city or county which re-
quires a permit to construct, alter. improve, demolish, or repair any structure, prior lo 1!s issuance also requires the ap-
plicant for such perm,! to file a signed s1atemen1 that he 1s
licensed pursuant 10 the provIs;ons o! the Contractor's
License Law (Chapter 9 commencing with Section 7000 of 01v,s,on 3 of the Bus,ness and Professions Code) or that is ex-
empt lherefrom and the basis for the allege\l exemption. Any
violation of Sect,on 7031.5 by an applicant 1or a permit sub-
iects the applicant to a c1v1I penalty o1 not more than five hun-
dred dollars ($500!
C I. as owner ot the property, or my employees with wages
as their sole compensation. wrll do the work, and the struc·
ture is not intended or offered for sale (Sec. 7044, Bus,ness
and Professions Code The Contractor's License Law doos
not apply to an owner of property who tlu1lds or improves
thereon aM who_ does such work h1mselt or through his own
employees, provided !hat such ,mprovements are not intend-
ed or offered for sale. If. however, the building or improve·
men11s sold w1th1n one year of completion, the owner-builder will have the burden o1 proving that he did not build or im-
prove 1or the purpose of sale)
C l,_as owner o1 the property. am exclusively contractmg
with licensed contractors to construct the proIec1 (Sec. 7044,
Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or Im•
proves thereon_, and who contracts tor each proIects with a
comractor(s) license pursuant to the Contractor's License Law)
D As a homeowner I am improving my Mme, and the follow-
ing conditions exist·
1 The work ,s being pertorrned prior to sale
2 I have lived in my home for twelve months prior to completion of th_is work
I have not claimed this exemption during the
last thrS!l years
D lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
0 I hereby atf,rm that I ha-.-e a cer1,hca1e 01 consent to sell•1nsure. or a cer11l1cate ol Workers
Compensat,on Insurance, or a cer11l1ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
0 Copy ,s hied w,th the c,ty
0 Cer1,1,ec1 copy ,s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This sect,on need not be completed ,! the permit
,s !or one hundred dollars iS100) or less)
0 I cert,ty !hat ,n the perlormance of the work for
which th•s permit ,s issued. I shall not employ any
person ,n any manner so as 10 become subIec1 to
1he Workers· Compensat,on Laws ot Cal1!orn,a
NOTICE TO APPLICANT 11. after mak,n;i n,,s Cert,
t1cate ot Exempt,on, you should become subIect t0 the Workers· Compensa1,on pro,,s,ons 01 tne Labor
Code. you must lor1hw1th comply w1!h such
prov,s.ons or th,s perm,1 shall be deemed revoked
0 I hereby attirm that Inere ,s a construct>on ,ending agency tor !tie perto,mance ol the wor1< to,
wn,cn tn,s pe•mI! ,s ,ssued ISec 3097 C,v,, Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 .Eln:1, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS g,A~ ~~ Dnv'.f C'u\-"~ .{ ht-, tl
AV.'ST. DATE Of Af>f'L,ICATION
Rb.
OWNEA· NAME r)
Lt\9..9..'1 Qo.~\o... 'f\.,,\-,..,...L ..
O_W~ER'S ~0!'4E
7:J...'l-K<,/iO
CONTRA.CT OR
l..Ae..~\/ ~'"t fv,..,.1 ...
OWNER'S MAILING ADDRESS ~ 7 ~ %" \t~~~WA. 'o..-~ue
. CONTAACTOA'S.AOORESS
LOT !BLOCK I wtiBDIVISION I ASSl:.SSOR PARCEL NO. DESIGNER
DESCRIPTION Of' W08K
,:~'. i"':)£.-r-M.
lt:/JCI
:£;-pq,.~ I OESIGNEA'S AOOAESS 11------------~----
I • ~
F/P FLA ELEV.
.1 r .Ro vD ND
CENSUS TRACT GRADING ~ERMIT ISSUEO
NO
STORIES
TYPE
CONST
BUSINESS LICENSE # VALUATION
IL..-<PO
CONTRACTORS PHONE# ZONE
LICENSE NO. PLAN 1.0. #
LICENSE# STANOAAD PLAN#
OESIGNER'S PHONE
OCC GP EDU
OCC LOAD FIRE SPA
PERMIT NUMBER
:s -~
BLDG use CODE
BUILDING SQ. FOOT AGE
c, CAN □ use I >ARK ~G SSA CE RES UN,TS I
vO ND I REDEVELOPMENT AREA
vO ND vO NO Not Valid Unless M;,chine Certifiwl
QTY. PLUMBING PERMIT· ISSUE 7,So QTY. MECHANICAL PERMIT· ISSUE 3,QC' SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS ;JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER I -i-~-----OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER AND/DR VENT -~ J =------t--f~L_E~~C~~PRESSOR UP TO 3 HP___ ---• PLAN CHECK 01·00-00-880_6_, ___ _,,__
EACH GAS SYSTEM 1 TO 4 OUTLETS j BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 --1----------'
1--
7./). ,JJJ
--~r:3~ I,
EACH GAS SYSTEM 5 OR MORE +· . METAL FIREPLACE . ELECTRICAL 01-00-00-8223
EACH INSTAI.. ALTER. REPAIR wATER PIPE _ __ ----------1----1--~~-N_:!~~~~GL~ oucT MECHANICAL --_ 01-00-00-8224 ---·-----
1 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS . MOBILEHOME 01-00-00-8225 +----------l I WATER SOFTNER ----I ----RELOCATlON OF EA FURNACE/HEATER . MOBILEHOME PARK INSP ·I------·----------·
EACH ROOF DRAIN (INSIDE) 1 · 1 SOLAR _01_-00-00-8226 ·--t --. TOT..C..L MECHANICAL I STRONG MOTION 80-92-33-0519 t __ J ~-AL-P-LUMBING -___r __ ·----_ -=---------FIRE SPRINKLERS ---01·00·00-822I I j
1
----. t I PUBLIC FACILITIES FEE 32-00-00-892.30 -+· ------------, QTY. ELECTRICAL PERMIT -ISSUE -IIQTY. ~,i/_Q SOLAR · ISSUE
BRIDGE FEE -------NEW CONST EA AMPiSWT·BKR COLLECTORS I U SCHOOL FEE -DISTRICT
I PH J PH ------f--------------+I--
EXIST BLDG EA AMP/SWT:'BKR
I PH 3 PH
REMODEL.'ALTER PER CIRCUIT
1---TEMPPOLE 200AMPS
OVER 200 AMPS
---I=1---+-_-T-E_M~ ~-~C_UPANCY_ l~f!__OA YS)
----
·-+---·---ll-
---------
STORAGE TANKS________ I ~ Carlsbad
ROCK STORAGE
PUMP
PLAN CHECK ~EE. _________ _ --,------jt-
Encinitas
San Oieguito
San Marcos
---~80c·=92·21-_D_51_9--+----------J
80-92-22-0519 -----
80-92-23-0519
80-92-24-0519 -1t----I
------
---l --
TOTAL ELECTRICAL l ---~
----+---. TOTAL SOLAR 1-~---_:__ 11 TOTAL FEES PAYABLE I I ~~. !Ll--t 1
I HA.VE CAAEFULLY'£XAMINEO THE COMPLETED "APPUCATION AND PERMIT" AND DO HEl3EB'f EXpi,ation. E'!'9rype~m\ti~byt_t\'!Buil.dingOHiCia1u.~~t1ieprovisionsof'tt,i•
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cod~~~! exptre by lun_it~lon and become n~I and void. If the bw1ding or work
DECLARATIONS··AAE TRUE AND CORRECT AND I FURTHER CERTfFY ANO AGREE IF A PERMIT IS au ml I ot 7Y such ~rmit is not comm~ within 180days frOJr! the date of such
ISSUED: TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-L~r'°~ban<IO;;'eL~-;;c~~~lh~•;'.•~i::,:; . .,..7•l;dl~~=~~;..~wo!..!w"'~o~.:~•~,';""~'°!2!!"8d!!!!!~b£y!wct. !filh~pe,~rm~,t[,~•!.•]uw.:~•!..!!J~ded'"--o~,;:::-~~::::,~~~----------~~"7'-----~ STRUCTION, WHETHER SPECIF1ED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , mmenced for a nod of 1 ·
KEEP HAAMtess THE crrv·oi; OARLSBAD AGAINST ALL L1ABluT1Es, JUDGMENTS, cosTs AND ITT·PPLIC _ s SIGNATURE • CL OWNER O CONTRACTOR O 0¥ ¾
* AN OSHA P£Nffl IS REQU.IAED F0A EXCAVATIONS OVER .5• o~ OE£P ~D OEM0tJTK>N OR CONSTRUCTION OF
STRUCt'UA£S OVER 3 STORIES tN HEIGHT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE f\ I f _ f J / r~:2,.
GRANTING OF THfS PERMIT. } r~ '{) J\ ·~~J,.,4,. BY PHONE O O oJ
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING I
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS.
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING J. ) -' ELECTRICAL '>C.J-· .. K
" MECHANICAL . \.'II'. • -,'.:U -,,
GAS '( ,. ' .
BUILDING .
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'1:5 ~ ·cr-r
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES .
INSPECTION REQ. IF INSPECTOR"S DATE CHECKED APPROVAL
SOILS COMPLtANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PAESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -.
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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