HomeMy WebLinkAbout2885 HIGHLAND DR; ; 82-139; Permit"' z 0 ~ a: C ....
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...,j I 11e.,.j affirm that I am licensed under
~slons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcensa Is In
full force and effect.
Lie No _______ Class
I hereby affirm that I am exempt from the Con-
~~~-~~!f:':: ~ ~f~~:~c:3.~~i~ county which requires a pennit lo construc1
alter, improve, demohsh. °' repair any structure,
priOf to ,ts issuance also requires the applicant tor
such permit to file a signed statement that he is
ltCensed pursuant to the provisions of the Con-tracto,'s License Law (Chapter 9 commencing with
Section 7Q)0 of Otv1st00 3 of the Business and Pro-
leu,ons Code) Of that os exempt therefrom and the
baSis for the alle,oed ••emphon. Any violation of Sectoon 7031.5 by an applicant f0< a permit sut>,ecls
tne applicant to a civil penalty of not more than five
hundred dollar,; ($500).
0 I. as owner of the properly, or my employees
vi,ith wages as their sole compensation, will do the
work, and the structure is not Intended or offered fOf sale (Sec. 70". Business and Professions Code ~=:r~~~yu:s:uri1d~ ~~~~p:~~
and who does such wOf'k himself or through his own employees, provided that such 1mproveme:its are
not intende1 or ottered for sale If. however. the
bu1ld1ng or ,mprcwement ,s sold w1th1n one y~r ot completion, the owner-builder will have the burden
ot proving that he dtd not build or improve tor the
pulJ)OSe of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the PfOject (Sec. 704C, Busmes·s and Profess,ons
Code: The Contractor·s license Law does not apply
to an owner of property who builds or improves ~~~i!t~ 7.~n~0~~!~~ ~~~t!'~~i~::.:
Ucense law).
0 I am exempt under Sec _____ , B. & PC.
tortn,s reason ___________ _
D I hereby affirm that I ha'#e a cert11tcate of consent
to self-insure, or a certificate of Workers·
Compensation Insurance, or a certified copy thereof
(Sec. 3800. LabOf Code).
POLICY NO
COMPANY
"fit Copy IS filed w,th the city ~
fj Certified copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no! be completed 1f the permit
Is to, one hundred dollars (S 100) or less)
0 t certify that In the perlormance of the wont for
which this permit 1s ,ssued. I shall not employ any
person ,n any manner so as to beeome sub1ect to
the Wor1c.ers· Compensation Ulws ot Ca1itorn1a
NOTICE TO APPLICANT It. atter makinJ this Cert,.
ftcate of Exemption. you should beeome sub1ec1 t'>
the Wort(ers· Compensation p,ov1sIons ot lhe labof
Code, you must forthwith comply with such
provis,ons or th,.s permit shall be deemed revoked
• [ 0 I hereby affirm that !here Is a construction ffi Iend1ntj1 agency tor the performance of the wor1c. lo, c wh,ch th,s permit is issued (Sec 3097, C1wl Code)
~ \. Lende(s Name ___________ _ .... lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT ''LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
J utLDING DEPARTMENT . I
CARLSBAl APt"llCATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
~~ESS01NSE#
~
i,tt.r~ ~ !P A~~T·1s~1-sLzTION1 tt?fooN PERMIT NUMBER u:: ~Be5 1)f!.. >.
ei-101 ;;; OWNER'S NAME ,~ OWNER'SPHONE pi1 i'i.R;,s,, ~&. ioQJ/J 724-74''4 ZONE 0
_\ot-..l I c:~ ~~-,~,~ 0. E CD OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS -UCENIENO. PLAN 1.0. # BLOG USE CODE I-
.ttt::..AUF_ I 'D°1., os-, \~00 '2 ~S" I ST141t 1-r-. ~//)5f3 ~' A-ti:>~ I ~.. --"O
LOT BLOCK I SUBDIVISION I ;:-~.;.I JU-~ DESIGNER STATE LICENSE# STANDARD PLAN #
~;Ji/~TAGE
0 (.!)
DE!!;':_IPT1o_~r; ~ rn.l'( -_ • ~~
-.--■-i-~lf'l -~ESIGNER'S ADDRESS DESIGNER'S PHONE . c
~-3~xe' ~UJtJ)---_ . cu E
F/P FLR ELEV. NO OCCGP EDU 5/l3/6ii!4716 5'[ 65 rj; STORIES ~-3, 00014716 -6./i3l82 vO NO --5i ss TiL . ,, . , . ,-CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS 1 GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR -"' AREA IV~it L/{J vO ~ C
YO ND vO NO Not V;,fid Unkss Milchin~ urtified a:
I QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER 0 ... U) EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 ~I ,. V{j U)
CD EACH BUILDING SEWER OVER 100,000 BTU -. U) SIGN PERMIT 01 ·000-4221 U) --<{ EACH WATER HEATER AND /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 "LEJ, l~ I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000·4222 3=
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223 .Q
ai EACH INSTA~ .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 0HJ00-4224 >-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225
WATER SOFTNER RELOCATION OF EA FURNACE /HEATER MOBILEHOME PARK INSP ui U) EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226 CD 0 TOTJ.L MECHANICAL STRONG MOTION 65·640-0519 -}?V 0 a: TOTAL PLUMBING I FIRE SPRINKLERS 01 ·000-4227 cu
ai PUBLIC FACILITIES FEE 25-000-4933 0 QTY. ELECTRICAL PERMIT -ISSUE 2.00 QTY. SOLAR · ISSUE BRIDGE FEE §:
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT CD 0 C 1 PH 3 PH STORAGE TANKS carlsbad 65-623-0519 cu
C
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519 u:::
1 PH 3 PH PUMP san Oieguito 65-625-0519 ~
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519 I
C TEMP POLE 200 AMPS CD CD OVER 200 AMPS ci
TEMP OCCUPANCY (30 DAYS)
0
TOTAL ELECTRICAL I TOTAL SOLAR I Gl,ltJS-0 TOTAL FEES PAYABLE CD 0. U)
C
I HAVE CAREFULLY EXAMINS> THE COMPLET£0 •Al'f't.lCATION ANO PERMlr' ANO 00 HEREBY Eapirallon. E-, .....::;::.1r~U118uildlng0fflallluncler.,_.,.,.,.__.,._ -* AN OIHA PIIIMff • ......, fOII EXCAVATIONS 0VSI I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFOflMATION HEREON INCLUDING THE Code.,...,........ _, ...... null and void. u.,. ~·--·5' 0-DRP MC> Dal0UnON OltOONS1RUCTION OF authorized by auch Clllllllt ii -COID"I Ced within 110day9 tram... of_. DECLARATIONS ARE TRUE AND CORRECT AND I FURTH£fl CERTIFY ANO AGREE IF A PERMIT IS permit. or if Ille IIUlkliM • wo,11......., br auch ,-mil is or Sl1111C1\NBOVER3STONES .. HEIGHT ~ ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STAlE LAWS GOVERNING BUILDING CON• allandoneclat_,,w ____ ll -•--«1--"E STRUCTION, WHETHER SPECIFIED HEREIN OR NOf. I Al.SO AGREE TO SAVE INDEMNIFY AND
--,-.~ -□ CONlMCTOIII I"
~ti b-DATE ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAIN81' AU. LIABILITIES. JUOGMENTS, COSTS ANO 1e,11, ..,,I', I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'Iii JI/ .l,v.. . :~ '~~ BVPMONE 0 GRANTING OF THIS PERMIT.
' . I I I
INSPECTION TYPE DATE INSPECTOR
;t BUILDING
FOUNDATION . l
• I REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME l
SHEATHING I
' FRAME I
EXTERIOR LATH lNSULATION I I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BL/CO
I
I
PLUMBING UNDERGROUND I
I
PLUMBING TOP OUT I
TUB AND $HOWER PAN i I
GAS TEST I I
ELECTRICAL I
TEMPORARY POWER I
I
ELECTRIC UNDERGROUND I I
ROUGH ELECTRIC i
ELECTRIC SERVICE I I
BONDING A I
I
G. F. I. -SMOKE DETECTOR I
MECHANICAL I
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
CERT OF OCCU'-PAc.:.Nc.c..C;;;..Y---'IS_S_U_E_D ___ --0..-_ _._ ___ ~----
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTO R'S
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 CAISSONS
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INSPECTOR'S NOTES
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DATE {'"..:;; -' .. r=
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I NTE RDEP AR TME;T i:L~MAT I ON SHEET 1ECEIVED
BUILDING DEPARTMENT DATE: ________ _
tUILDING ADDRESS: MAY 71982
'iil=L88AO a rtment
PLANNING DEPARTMENT
ZONE /2..--I LOT SIZE LOT WIDTH ------~-------------·---------
UNITS ALLOWED ___ __,,_ ______ UNITS PROVIDED_/ __________ _
PARKING SPACES REQUIRED :;,_ PROVIDED __ ~~.z::::=--------
% COVERAGE ALLOWED PROVIDED --fj ......... ~'(.,_ _____ _ -...-< ( BUILDING HEIGHT ALLOWED --~...d..£..>CO',<:_ ______ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED .;!.-
PROVIDED=====o:::f:===== O((
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: tJA.
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: ________ DATE ____ _
NGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION
GRADING PERMIT
________ DRIVEWAY LOCATIONS ___________ _
_______ .EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ____________________________ _
",. ,,. .. jt! ,.mtJPflli PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _ _,,