HomeMy WebLinkAbout2870 HIGHLAND DR; ; 82-229; Permit"' z 0 ~ "' :l 0 .. 0
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O I hereb) -.11rm 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 ______ _ _ Class __
I hereby affirm that I am exempt from the Con
~fl~~~;:::~; ~~~,~~.'g~~~/~~i,~;
county which requires a permit to construci
alter. improve, demolish, or repair any structure, pnor to ,ts ,ssuance also requires the applicant for
such perm,t to file a signed stalement that he ,s
licensed pursuom1 to the prov,s1ons o! the Con
tractor's License Law !Chapter 9 commencing with Section 700Cl of 01v1s1on J of the Business and Pro
tess,ons Code) or that ,s exempt therefrom and the bas•~ for the alleged exempt+on Any v,olat,on 01
Sec!1on 7031.5 tl'\n.aiJPl1cant '" permit subJects
tne appl,can_t to\1_~11 penalt't,l!lf i,:>t more than t,ve
huJ!dred dollar;; -
o, my employees
1sTfie1r sole compensa1,on. w,11 do the
wor,,c., an(t'fhe structure ,snot ,ntended or ottered tor
sale (Sec 7~. Business and Protess,ons Code
The Con1ractor·s License Law does net apply to an
owner of pmPll"ty who builds or improves thereon
and who cloes such won< h1msel! or through his own
employees. provided that such ,mproveme,1ts are
not inlende':l 01 ottered for sale I!, however, the
bu1ld1ng or improvement ,s sold within one year of
completion, the owner-builder will have the burden
of pmv1ng that tie did not build or ,mprove !or the
purpose of sale)
O I. as owner o! tile property. am e•clus<vely contracting with hcensed contractors to construct
the pro1ect (Sec. 7~. Business and Pro!ess,ons Code The Contractor's L,cense Law does not apply
to an owner of property who builds or improves
thereon. and who contracts tor each pro1ects w11h a
contracton:s) license pursuant to the Contractor's
License Law)
0 I am exempt under Sec
tor th,s reason
.B &PC
0 I hereby att,rm that I ha•ea cert1!1cate 01 consent
to self.insure, or a cer11!,cate of Workers'
COmpeosatton Insurance. or a certified copy thereof
(Sec 3800. Labor Code!
POLICY NO
COMPANY
□ Copy IS hied with the city
D Cert1!,ed copy ,s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed d tr,e permit
,s !or one hundred dollars 1s1001 er less!
0 I cert,!y tha1 ,n the performance of the won< for
which this permit ,s issued, I shall not employ any
person ,n any manner so as 10 become sub1ec1 to
the Worl<ers· Compensation Laws ot Cal1forn1a
NOTICE TO APPLICANT 11, at!er mak1n:;i th1s Cert,
!+cate of Exemption_ you should become sub1ect t0
!he Worl<ers' Compensation prov,s,ons of the Labor
Code. you must forthwith comply w,th such
provisions or th•s perm,! shall be d~med revoked
D I hereby af'11m that there ,s a cons1ruct1on
1end1ng agency to, me performance of the work lor
wh,ch th,s perm,t ,s ,ssued (Sec 3097. C,,il Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL ro1NT PEN ONLY & PRESS HARD • APPLICANT TO r·11. IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -------------------------~ CARLSBAD ALDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPL1CATION & PERMIT
JOB ADDRESS
4-RJYtJ :~'0-f . AN\") Ai'""" ~Y;:T·17o·.i~~B"l" BUSINESS LtCENS£ #" PERMIT NUMBER 5544-8-Z-2$1 0WNE.A'S NA"ME
DN'Jtn l".!2,',Wi,,
oWNeR·s MAJi..ffiG AcicmESS>
. .....,. A ~ ,\ t:::,,.
-'-~-' LOT sLo~ -sued,Vi~iOk
" , .. 0WN£fl'S PHONE . rti,:;;. ... , .l'.l
PRtM£C.cifrfliA-CT9ft
l'l~~~ie
CONTAllcfoA'.S A.00f.'ESS·
DESIGNE.R
oeSCfl!PTtON PF WOR~ ,ii'.~Jl~~j~,~:l~~?J'---~ oq1GNEA'S AODR~SS
u, FLA ELEV.
CENSUS TRACT ce CANO use I """NG 5'ACE RES UNITS GRADING ~ERMIT ISSUED
YO N □
YO NO
REDEVELOPMENT
AREA
v□ NO
NO
STORIES
I
TYPE 1,r11 •
CONTRAl!fOflS P+iQN£ #
LlCEN$J:N0.
STATE 1,.ICE,NSE #
OESIGNEQ~ l"HONE
OCC GP EDU
ace LOAD I FIRE SPA
vO NO
ZONE
,• PLAN 1.0. # BLOG USE CODE ..,,.~ ,ADD,
STANDARD PLAN# eu,c5~Tifj
7 lfi '..i.'.' S ,
01r; u .. ! 9CJ I l .t~•
Not Valid Unlt!ss ,.chine Certified
QTY. PLUMBING PERMIT, ISSUE 7 $II QTY.I MECHANICAL PERMIT' ISSUE I ;~.1'::-1 SUMMARY/ACCOUNT NUMBER -L
EACH BUILDING SEWER _____ . OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT t __ · _ _ --B□1LERICOMPRESSOR UP TO 3 HP _____ ---.,o -~zr================J
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EACH FIXTURE TRAP ' , t=.. INSTALL FURN. DUCTS iJPTO 100,000 BT. U . 01-00Q_-42_2_0 ;;;~~LJ-
EACH GAS SYSTEM 1 TO 4 O __ UTLETS _______ i __ _ ___ . BOILER/COMPRESSOR 3-15 HP 01-000-4222
EACH GAS SYSTEM 5 OR MORE i • ~ I METAL FIREPLACE ~
··------
ELECTRICAL 01-000-4223 +,--(.1--~
EACH lNSTAl,. .. ALTER, REPAIR WATER PIPE MECHANICAL 01-000-4224
MOBILEHOME 01-000-4225 EACH VACUUM BREAKER
WATER SOFTNER
,-11
MOBILEHOME PARK INSP ~--~-~~-----------------t--
EACH ROOF DRAIN (INSIDE) ,i,
__ , ·-
~ULAH
STRONG MOTION
f---, 1--TOTAL PLUMBING
FY· I ELECTRICAL PERMIT _ _,,,C.J',.,..,✓"'l=:"."-=---1--u, .. u,
NEW CONST EA AMP/SWTIBKR I I ~""M• --·
FIRE SP~INKLf-R_S __
PUBLIC FACILITIES FEE
DDll"\f:'[ FEE
EXIST BLOG E --~ --3 PH
~
::,l,HlJUL t-tl:: -DISTRICT
Carlsbad
Encinitas
• / San Oieguito AGE TA11~S'.=~=~-i~_;;7'L=====~==---STOR -----San Maccos ROCK STOR~E
Jl/ __ tP~U M,, ,P _ _,.~
01-000-4226
-65-640-0519
01-000-4227
25-000-4933
65-623-0519
65-624-0519
65-625-0519
65-626-0519
, ."?U
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·-TO AL SOLAR . 1hap,o,i..ot1eol: " -,~...... ,:
Official under" ,b, "ldiilg or w ti .. f-----j· •h-, and void. If the ,~A date of sue: ·•--, • •= day$t,om •~ ded"' --· ... """"-=-•::. ",> . . • =,., rn'"""' '""" ::=,_;,::.J::::~~-~-::,-"-~, •;.,,.,_ o '
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1 HAVE CAREFULLY-~f'4lN~i+tE C()),1PLETEG, ~APPucA11-~~:~:l'Eflif :'•-No_ 00 HEREBY.
CERTIFY UNDER PENAL:t;V':'l)F•f'¥:RJIJFW THAT All INFORMATION Ii~ tNCWD1NG 'TH!:
DECLARATIONS ARE TrtlJ"f .i.ND CO,RRECT AND t FURTHER CERTIFY AN0_AGREE IF A PERMIT IS
ISSUED: TO COMPLY W11H ALL CITY, COUNTY ANO STATE 'LAWS GOVERNfNG BUILDING CON-
STRVCTION, WHETHER-SPE~FltJ} HEREIN OR-NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE-CITY OF CARLSBA0 A:GAiNST AU llABtUTIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN-ANY-WA'< ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PEflMlT. ' ,
pennit, .,. '' tt>a -""'w N£R D
APPUCAN
-II ~-BY PHONE
INSPECTION TYPE DATE Ii SPECTOR
BUILDING n
,
FOUNDATION ,,
REINFORCED STEEL , W-7
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT --·
TUB AND SHOWER 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
. ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
SAT OF OCCl'n~NCY ISSUED
' FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION. REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
-· STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
--HIGH STRENGTH
BOLTS
SPECIAL MASONRY
--
·--------------~
PILES CAISSON~'
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'
·--
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-
-
s -I ,~ . "
. INSPECTOR"S NOTES -
DATE
-·---· --
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•
INTERDEPARTMENTAL INFORMATION SHEET
,/
~UILDING DEPARTMENT •
BUILDING ADDRESS: ,¼{'?!'J ,tt94,,4tt!ve
/.Sib ~ .?.oo -19
• I
PLANNING DEPARTMENT
DATE:_li...._E,._,.A-______ -==-
l CEJVED
,IIIN 291982
en v or CARtSB
Building Departme:P
ZONE g. ,-//j 6 0 () LOT SIZE LOT WIDTH , -------------------
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED_~~lr--l\lH~'--------
% COVERAGE ALLOWED _____________ PROVIDED---~~..---,..-------
\ BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED \l
PROVIDED __ ~~H~F'----o'7
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: -'~'-'--'-t~~~N.ll...JT ______________ _
ADDITIONAL COMMENTS:
OK TO ISSUE: ~~~ __ DATE Q:,.,\\r OK TO FINAL _______ DATE. ___ _
'
ENGINEERING DEPARTMENT M--4' 3~71'~
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION /S"'b-.;2.cl,:J -/ f'
ADDITIONAL COMMENTS __________________________ _
OK TO ISSUE:Jl.llE?' DATE &'A'" ri---:WI ____ OK TO FINAL, ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS, _______________ _
FIRE HYDRANTS LOCATION, _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE, _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE. _______ ~_
•
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
TELEPHONE:
714-438-5525
([itp of ([arlsbab
Dear Property Owner:
An application for a building rennit has been sul::mitted in your name listing yourself
as the builder of the property improvements specified. i'or your protection you should be
aware that as "owner-builder" you are the responsible party of record on such a permit.
Building pennits are not required to be signed by the property owners unless they are
personally performin<J t.1-:teir own =rk. If your ,;ork is being perfo:rroed by sareone other
than yourself, yoL' may protect yourself from possible liability if that person applies for
the proper pennit in his or her name.
Contractors are required by law to be licensed and bonded by the State of california and
to have a business license from the City of Carlsbad. They are also required by law to
put their license nlll!lber on all pennits for which they apply.
If you plan to do your own ,;ork, with the exception of various trades that you plan to
subcontract, you should be aware of the following information for your benefit and pro-
tection. If you e-rploy or otherwise engage any persons other than your :immediate family,
and the ,;ork (iI1cluding material and other costs) is $200 or more for the entire project,
a.."ld such persons are not licensed as contractors or subcontractors, then you may be an em-
ployer. If you are an employer, you must register with the state and federal government
as an e.rnployer and you are subject to several obligations including state and federal
incare withholding, federal social security taxes, =rkers' corrq;,ensation :insurance, dis-
ability :insurance costs, and unemployment contributions. There may be financial risks
for you if you do not carry out these obligations, and these risks are especially serious
with respect to =rkers' compensation insurance.
For specific infornation about your obligations tmder federal law, contact the Internal
Revenue Service (and, if you wish, the U. S. Small Business Administration). For more
specific :infornation about your obligations tmder state law, contact the Department of
Benefit Payments and the Division of Industrial Accidents.
If ~-:e c::tr;c:c=e ~3 :::':2r.ded ':or sale, ,,roperty owners who are not licensed contractors
· 3-re .:.1l:i...e,:1.,:ed. --c..o ;:e~=·=--:::::: -:....':.ei::: >,erk personally or through their rn,-,n employees, without
a licensed contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an
"owner-builder" building permit, erroneously implying that the property owner is providing
his or her own labor and rraterial personally. Building permits are not required to be
signed by property owners unless they are performing their own ,;ork personally. Informa-
tion about licensed contractors may be obtained by contacting the Contractors State
License Eoard in your comnuni ty or at 1020 N Street, Sa=amento, CA. 95814.
PLEASE COMPLETE M'D RETURN THE ENCLOSED OWNER-BUIIDER VERIFICATION FORM SO THAT WE CAN
CONFIR.'1 THAT YOU ARE AWARE OF THESE MATI'ERS. THE BUIIDING PERMIT WILL NOT BE ISSUED
UNTIL THE VERIFICATION IS REI'lJRNED.
Very truly yours,
Building Departrrent
City of carlsbad
ATI'ENTION P:OOPERI'Y O\vNER:
An "vwr,c,.e-l:::uilder" building permit has been applied for in your name and bearing your
. signature.
Please complete and return this infonnation in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building permit will be issued until this verification is received.
1. I personally plan to provide the major lal::or and materials for construction of
the proposed property :in:q:>rovement (yes or no)
2. I (have/have not) ____ signed the application for a building permit.
3. I have contracted with the following person (firm) to provide the proposed construction.
4.
Name~------------Phone~------------
Address Contractors License No. ----------------
City -------------
I plan to provide portions of the w::>rk, but I have hired the following person to
ccordinate, supervise and provide the major w::>rk.
Narne ,~A~ Phone c._ ___________ _
Address -----------Contractors License No. -----
City -------------
5. I will provide sare of the w::>rk but I have contracted (hired) the following persons
to provide t.'ie w::>rk indicated:
Name Address Phone Type of Work
Signed:
Date: __ ..,,7c...__-_M!=s.::__----<,8',<__;;;2-----:__ _______ _