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HomeMy WebLinkAbout2824 Highland Dr; ; 72-1269_misc; PermitBUILDING PERMIT APPLICATION / Permit No. Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 • JOB ADDA ESS 0 L :l: 0 2 q ~_--,_;rR;. --.f'iK:-. z IJJ l'1 )> LOT NO. -.i !'ILK --I TRACT lJ 0 LEGAL I Osrc ATTACHED SHEET! 0 1 0£SCA, lJ l'1 L MAIL AODll':ESS ZIP PHO NC "' OWNEIIII ~_L "' 2 ~.d1\.A t:.. ,;,/'i°!\~~ 1 --,,. ~ ... ~ .., -.:; ~ ~<7 -..---p =-MAIL ADDRESS ----PHONt ,. ll.C£NS£ NO.--. CONTftACTOR 3 I~ -Afll:CHITECT OR 0£SIGNE.R -.. MAIL ADDAESS PHONE LIC[NS£ NO, 4 l~I\ -- ENGJN££fll: MAIL AOOR£5S PHONE LICENSE NO. 5 ' ' L£NOUI MAIL A001'ESS B .. ANCH ,c~[I 6 use OP' BUILDING ' ,; \ ~ 7 ._,.,.,. -? -._..._ I~ cl ' (l) 8 Class of work: □NEW 0 ADDITION Cl ALTERATION 0 REPAIR □ MOVE □ REMOVE i3 - / -z 9 Describe work: ~-n~·~ An,r;._. d ? , L-, _.,. .. ..r,~ ~ ~.✓,) ,I -A ,.,.. . ---= -------o//= -,, ~ --a,(/'---r-¥ ? r) -- 10 Change of use from Change of use to 11 Valuation of work: $ Q/40£..0 PLAN CHECK FEE I PERMIT FEE ~a,, SPECIAL CONDITIONS: ~ Type of Occupancy Const. -I-Group Division -~ Size of Bldg, No. of 1' Max. (Total) SQ. Ft. '1., Stories / 0cc. Load - Fire Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPAOVEO FOR ISSUANCE BY Zone '"? Zone ReQuired OYes ONo No. of OFFSTREET PARKING SPACES: _;,v""'-f I /' 0 I Uncovered Dwelling Units Covered NOTICE Special Approvals Required .. Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-OTHER (Specify) MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATUftE OP-COHTftACTO!lt Oft AUTHOftlZED AGENT (DATEI SIGNATUlltE 0,-OWNER (I,-OWNER 9UIL0t") DA.TEI WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ., z 0 ;:: .. .. :5 0 "' Q 0: I[ 'I .. .. Q ~ 5 ~ "' z ~ z 0 ~ z .. .. " 0 0 ., ir .. >< .. 0 3 !~ D I hereby atttrm that I am l!censed under proYlslons of Chapter 9 (commencmg with Section 70CN)) of Division 3 of the Business and Proteseions Code, and my license is m lull force and etfecl 1 hereoy at11rm that I am exempl from !he Contrac Tor's L,cense Law for the tollow,ng ,eason 1sec 7031 S Business and Protess,ons CDde Any coty or county whru, re quires a permit lo consl!uc1. alter. improve. demolish. or repa,r any siructure. pr,or to ,ts issuance also requires !heap pl,cant for such perm,1 10 •11e a s,~ned s!atement that he ,s 1,censed pursuant 10 the prov,s,ons of The i.;ontrac1or s License Law (Chopler 9 commenc,ng wrlll SecJ,on 7000 o• D1v1s,on 3 of the Business and Pro!ess1ons CO<le, or lhal rs ex empt lherefrom and the bas,s tor 1he allegea exemption Any ,-0IaIIon ol Sec\10n 7031 5 Dy an appl,cant 1or a pe,.,.,,I suti Iects The appl1canl to a civ,I penally o1 not more than love hun died dollars 1$5001 I as owner of me properly or my employees w,th wages as lhe,r sole compensahon wIII do the work and the sl!uc lure ,snot intended or offered 1or sale /Sec 7044 Business ana Professions Cot.le The Comractor s L1cense Law does nol apply 10 an owner ol property who builds or improves thereon am! who does such wor< h1msell or Through h,s own employees provided lhal such improvements a,e not intend ed or o1Iered lor sale If, however the building or Improv~ ment ,s sold w1!hIn one year ol complet,on. !he owner-builder w,II have lhe burden of proving tha! he did nol bwld o, 1'11 prove 1or me purpose of saleJ 1 as owner of lhe pro~erty, am e,clus1veIy contracting with licensed contractors lo construct the proIecl !Sec 7044 Business and Pro1ess,ons Code The Contractor's L,cense Law does not apDIY To an owner ol proDerty who builds or 1m proves Thereon and who contracts to, each p,0Iects with a contractor(s) license Dursuant 10 me Conrractor s License Law) As a homeowner I am ,mprov,ng my home and the lollow ,ng cond1t,ons e>1st 1 The work ,s being performed pr,or to saie 2 I have lived In my home lor twelve month, prior to complehon o1 thIs work I have not claimed th,s exempt,on durin~ the last three years for ,ih~~ re:..:;t under Sec _____ _ B&PG I hereby affirm that I have a certil,cate of consenl to self-,nsure or a certil1cate of Workers· Compensation In surance or a certil,ed copy thereof ISec :l800. Labor Ccdel POLICY NO CO....,PANY Cop; ,s 'lied w,th the city Certil1ed copy ,s hereby turn1shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE ITh,s section need not be comple1ed ,f the permit ,s for one hundred dollars ($1001 or lessI __ I cert,ty that ,n the performance of ttie work for which th,s permit ,s issued, I shall not employ any person ,n any man Mr so as to become subIecI to the Workers· Com pen sa1,on laws of CahlornIa NOTICE TO APPLICANT If alter making lh•S Certificate of Exemption you should become subIec! to the Work.ers Compensat,on prov,s,ons ol the Labor Code. you must lorthw1tn comply w,th such prov,s,ons or th,s perm,t shall be deemed revoked I '1ereby afftrm that there ,s a construction lending agency !or the performance of the work for wh,ch tn,s per m,1 is ,ssued (Sec 3097. C,v,I Code! lenders Name Lende, s Address u::.t DIUL ru1111 rtll UIILl Ir rKt~::. """u CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT DATE Of APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER ~~,'-!,-~~:1-=--'-i"-:-;:;~~~~~=-r--\~3~F~-:?.'3:,,---.i__,_d,::__' _J-..,_J-_,,g'-=----'g ~-~-----+-~---. ~ CONTFIACTOR , ZONE 7 _ c::::>V iA.;.....~ ~ -1- I CENSUS TRACT I eARK,NGS'ACC QTY I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SFWER EACH WAHR HEATER ANO OR VENT EACH GAS SYSTEM 1 IU10UTLETS / I EACH GAS SYSTEM 5 OR MORE EACH INST AL ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOfT~ER FA.CH RUC1f \1A,W; :•,s,:1[ l(JlAl PlUMHINL I QTY ELECTRICAL PERMIT -ISSUE NEW CONSr EA AMP SWT t:JKR I PH I PH ~XIST!HOGEAAMPSWT 8KR I PH :l PH REMODEL ALltR PtR CIRCUIT TE:.MPPOLE J0UAMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI l(l!Al EllURl[Al l u1""1 -P urribi I' BUILDING SQ FOOTAGE DESJ(>NER'S PHONE i~:1 02, '.!.. •,-I('.~ ,. __ ,. .. _,_ OES,IGf'iEA·s AOOFlf!SS STATE,LICE NO. - - RES ur,..,ITs GRADING PERMIT ISSUED 1 □ ~ □ ' ' FlR ELEV y~ '-0 ·r REDEVE:lOPMEr,;T AREA ,c '-.0 7. 50 II QTY I MECHANICAL PERMIT. ISSUE INSTALL fURN DUCTS UP TO 100 000 BTU OVER 100.000 BTU BOILER,·COMPRESSOR UP TO 3 HP BOILER:COMPRESSOR 3 15 HP ~\ d) I MUAL FIREPI ACE 11 I VENT FAN SINGLE DUCT MECH EXHAUST HOOll lJUCTS RELOCATION OF EA FURNACE.HEATER DRYER VENT NO STORIES TYPE CONST 15.00 foTi::"L MECHANICAL 10-/4~1or1 ;z 7.j~ 5.00 II QTY MOBILE HO~'g"j;TUP CAR PORT I "I H rj AWNING ' ' GARAGE 4 \~ \:'6', "Zo>,,. •. ~ -6>\ ... , c;.; --.;:, , .. ~'-'/. -....:·, .r,.. I c{v/ --...:::.:::.~c-1:rc.."'.·t TOiAl OCC GP EDU OCC LOAD FIRE SPP vO "'O Not Valld Unless MJchme Cerofied SUMMARY/ACCOUNT NUMBER LO~ vv1-810-00-0~ SIGN PERMIT 80 1-810·00·00-82 21 PLAN CHECK 001-810-00-00-8891 TOTAL PLUMBING oo· 810-00-00-8222 10 - ELECTRICAL 001-810-00-00-8223 MECHANICAL 001-810-00-00·8224 MOBILEHOME 00 1-810-00-00-82 25 SOLAR 001-81 0-00-00-8226 STRONG MOTION 880-519-92-33 FIRE SPRIN;(LERS 001-810-00· 00-82 27 PUBLIC FACILITiES FEE .J.20_::810·00·00·8740 BRIDGE FEE { *fi19-f1flJO,ll\'41(J''[;'\ 1"'1.' PARK-IN-LIEU (AREA • .,., .a. ... ,.A,J,_, TIF 311'c~;Jl0-ll,!-~35_ LA COSTA TIF 31'1-otcRJo-01JM3i~!j!:f .. FMF c~ LICENSE TAX .,._., •• __ :J1-d-cu UT' MFF --·-l-clfl(U€ESS111r. CCIII/~ CREDIT DEPOSIT TOTAL FEES PAYABLE I /O I HAVE CAREFULL y EXAMJf'iEO THE COMPLETED ··APPLICAT!ON ANb PERM1r<A.NO oo· HEREBY Expiration: Evetypern'htiasuedbytl'le 0 8utldingOlflc1alundertheprov1s1ons.ollh1s CEATIFY•UNOER PENAL.TY OF PEf\JURY THAT ALL lNF'ORMATtON HEREON" lNCLUDiNG THE Code shall-e!tpil'e by tttnitat,on and1:>ecome nult and vOtd fl the building or work * AN OSHA Pf~:] IS~ rot, EXCAYATIC)t§ OYER s· o·· DEEP AHO OEMC)UTK>N OR CONSTRUCTK>N Of' STFIUClUMS OVER 3 STORfES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND, I FURTHER CERTIFY A,ND AGREE tF A PERMIT Jf;, aul~flZ&d by suci'I permit III not commenced withm 180days from the date of such I ISSUED· TO COMPLY Wif_tt ALL CITY COUN1Y ANO STATE LAWS GOVERNING BUILDING CON-per t or tf the butldi~ or work aulhon.zed by such permit 1s suspended or smucT1ON. WHETHER S1?eC1F1Eo HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND '-;..,.,,;;;;"°;;: ... ;::';"';''::"~'~""":'::"::'''"":'--'"""'"'"''-""C'<0ememone!!!e'eed!!!.1S0e•1•~~'1S!L0~•'-"'!!!.d!!!J<L_-=_.,.,."""""'""'""'-----.-----------.--... --• KEEP HARMLESS 11::iE CtTY Of.CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS ANO APPLICANT'S SIGNATURE Jf-APPROVED :;Py DATE EXPENSES WHICH MAY !N ANY WAY ACC_RUE AC3AlNST SAID CITY IN -CONSEQUENCE OF THE __\,.-. ~ ~ 2 1 1. r GRANT!~G QF THIS PEAMJL --J I / , / . / ' '.;i v ,__, V ( © U: ~ ~ 0 Q_ E © f-- I :2 0 CJ c ro u Q_ Q_ <( I ~ C ri 0 ~ ~ © ~ ~ <( ~ 0 '" >- © u C rn C LL ,:_ C © © (5 0 u © Q_ ~ C w ~ ;; TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY I I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME □ FLOOR □ CEll,ING SHEATHING □ ROOF □ SHEAR SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATIQr,,, INSP -------- EXTERIOR LATH I I INSULATION I INTERIOR LATH & DRYWALL I STRUCTURAL CONCRETE -·:·~: t ~ OVER 2000 PSI .. '. PRESTRESSED ·-... '~·-,~-· ':,_ ;}_-:;';f1\-. ' ~t CONCRETE . .,r~ .· ·, ,, POST TENSIONED I CONCRETE PLUMBING I F-IELD WELDING .. □ SEWER AND BUCO CJ PL/CO UNDERGROUND □ WASTE □:WATER -· . .., "'·-· 1·~t.i-rlrGrl STF1ENGTH _: y BOl fs I .• .. ..t '·· -· 1. TOP OUT □ WASTE □ WATER SPECIAL MASONRY .. TUB AND SHOWER PAN I GAS TEST I I PILES CAISSON'.:'. □ WATER HEATER □ SOLAR Will.TEA -~--------l------ I -------ELECTRICAL □ ELECTRIC UNDERGROUND □1 UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE □ TEMPQRARY □ BONDING □ POOL I ' -----~ I - MECHANICAL I . -----i------- D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ' I -··. ------_______ ----. ___ - ITEMS ABOVE HA VE BEEN APPROVED FINAL I . PLUMBING I ELECTRICAL I ' MECHANICAL I GAS I -1rJ4'3;2't 7 -~ BUILDING I SPECIAL CONDITIONS I I