HomeMy WebLinkAbout2895 HIGHLAND DR; ; 87-789; Permit., z 0 ;: .. a: ~ u ..
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0 I hereby affirm that I am llcens&d under
provlalon1 of Chapter 9 (commencing wtlh
Section 7000) of Division 3 al the Business
and Profaaalons Code, and my license is in
lull force and ellect
I hereOv aflirm th.it I am exempt !rom me Contrac
Tors ucense Law tor the follow,ng reason !Sec 703' 5
Business and Protess,ons Code Anv c,ty or couniv wh,crs re
quires a perm,1 to cons1ruct aller ,mprove demoi,sn o-
repa,r any structure prior to ,1s issuance also 'equ,ies !heap
~I,cant for such permit to 1,le a sI~ned s1atemenl that he Is
Icensed ~ursuani 10 the prov,s,ons ot t~e Lon1,aoor s
Lrc~nse Law 1Chap1er 9 commencing wrth Seu,on 7000 ot
Ow,s,on 3 ol lhe Business and Pro!ess,ons Code; or that,~ e,
empr 1herelram and 1he basis for the allegea e•empt1on Any
vI0Ia1Ion ol Section 7031 S by an applicant lor a oermt suo
1er.ts 1ne applicant to a c,v,I penalty of no1 more Iha~ live ~'Jn
d•ed dollars ($5001
I as owner ol me property or my employees wrlh wages
as rhe.r sole cornpensa1'on w,II do the wor• and lhe siruc
lure 1s nol In!ended or o'fered 1or sale !Sec 7044 Business
a~d Professions Code The Contracror s L,cense Law does not apply •o an owner of properly who builds or improves
Thereon and who does such work himself or lhrough n,s own
employees prov,ded lhal sucn improvements are not ,ntend•
ed or o11ered tor sale II. however Jhe OuIldIng or ,mprove
ment ,s sold w,rhm one year 01 completmn. the owner-tlu1lder
will have lhe burden 01 p,ov,ng that he d•d not butld or ,m
p,ove to, the purpose of sale1
1. as owner ot the property. am exc1usIvely contrac1Ing
w11h licensed conl<aclors to construct the pro1ec! 1sec 7044
Busrness and Pro!ess,ons Cade The Contractor's License
Law does not apply to an owner of property who tlu1lds or 1m
proves thereon and who coniracts 1or each pro1ects with a
conlractorfs) license pursuanl lo lhe Cor.1,aclor's license Law)
As a homeowner I am 1mprov,ng my home. and The 101I0w
,ng cond,t1ons exrsl
1 The work 1s being performed prior lo sale
2 I have lived In my home for twelve moorhs
prior 10 completion ol this work
J I have no1 claimed th,s e~emplmn durrng lhe
last lhree years
;;r t'h~: r~~~~t under Sec _____ _ B & PC
_: , Mreby afhrm that I ha\/e a cert,f,cale of consent to
self-nsure or a ceruf,cate of Worke,s· Compensat,on In
surance or a cer1>f1ed copy lhereof 1sec 3800 Labor Code!
POUCY NO
COMPANY
Copy ,s fr led w,tn the city
Cert1f1ed copy Is hereby lurn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sec1Ion need not be compleled tf the permit
rs tor one hundred dolla,s 1$100! or lt>SSI
_ I ce<t1fy that ,n the performance of the work for which
this permit ,s issued. I shall nol employ any person Ir. any
manne, so as to Oecome sub1ect to the Workers Com pen
sat,on Laws of California
NOTICE TO APPLICANT If, afte, maKIng this Cer11f1cate
of E,empt1on you should become sub1ec1 to 1he Workers
I Compensallon provisions of the Labor Code. you must 'L forlhw,th comply with such provisions or this permI1 shall
Oe deemed revoked
![ I hereby aff"m that 1here 1s a construct,on lend,ng
agency !o, the performance ol lhe wo,k for which this per
mIt Is ,ssued 1sec 3097 C1\/1I Code1
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS ,_ ,l'• AV. ST.RO. THOMAS BROS NO. I ;TE; ;;;•ON
BUSINESS LICENSE#
1LiON 1ERMIT NUMBER ;(.~'?S-ll/C-4"/ A A//') I) ,e, /"/J -•.r -,._ /?A ~ 1i1 LOT BLOCK "' J~_kv)J~~ id A5J'ir~A;~ :ri 44 r,;ACTOR < / CONTRACTORS PHONE • ZONE
OWNER'S:NAMf' . OWN.iR·s PHONE ,\~~.£2 -• /?/N>/(' />. --~ ;f<r/c ;> ,< ;?. /" e-/ Q CON~CTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S,,MAIL!NG ADDRESS
' j --"I _;.;. .. u,,, ,.,, .EL ~ A,,,.,. .hA> DESIGNER DESIGNER'S PHONE 0040 09/04 0101 02f:ldPmt 24~0 r.i .
ties~~~·T!'<?N OF W£?"~ V
• . DESIGNER'S ADDRESS STATE LICENSE NO.
. AAfr-/e,
.
.,c:-... ~-...... r ~ .. -,-
' ' . F LR ELEV NO OCC GP EDU
' STORIES
' vO "'• I CENSUS TRACT I <AR,,NG S'ACC RES UNITS GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIRE SPF! ARE A CONST ,o 'D ·C -...• v• "<D Not Valid Unless M~chme Cert!l1ed
QTY PLUMBING PERMIT -ISSUE 7:!;,-o QTY MECHANICAL PERMIT -ISSUE s,:,ti SUMMARY/ACCOUNT NUMBER --I --I
EACH FIXTURE TRAP INST All FURN DUCTS iJP TO 100.000 BTU oull 1i11~'.i f-'l·HI\ITi rm 1 -R 1 n-(m-r10. o,: ,:u I <t-~
EACH BUILOING SEWER OVER 100000BTU SIGN PERMIT 00 1-810-00-00-82 21
EACH WATER HEATER ANO OR VEN! BOILER·COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00-00-8891 It) -EACH GAS SYSTEM I TU 4 OUTLETS BOILER,COMPRESSOR 3 15 HP TOTAL PLUMBl~G 00; -8 1 0-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-81 0-00-00-8223
EACH INST AL Al TEA. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOll llULTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE-HEATER SOLAR 001-810-00-00-8225
fil,CJ..I RUlif []RC\I1, ::\S lt DRYER VENT STRONG MOTION 880-519-92-33
TOTl=.l MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
TOIAl PIIJMBIN(, I PUBLIC FACILITIES FEE 320-810-00-00-8740
<~ BRIDGE FEE 360-810-00-00-8740 QTY. ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU 1.AREA
NEW CONST EA AMP SW r iit<R CAR PORT ]If 312-81 0-00-00-8835
I PH IPH AWNING LA COSTA TIF 3 i 1-81 0-00-00-8835
f>'.1S1 lilD[;EAAMPSWT 8K8 GARAGE FMF
I PH 1PH LICENSE TAX DO 1-S 10-CQ-,JQ-81 62
REr,,,,OlJEl Al ltR PEH CIHCU1I Mff 880-519-92-57
TEMP POLE 100 AMPS .
OVER JOU AMPS .
lt:.MP OCCUPANCY ·JO UAYSI .
CREDIT DEPOSIT
!il!Ai ElELTHILAl I 101 Al 1.----7 -• I TOTAL FEES PAYABLE • -, -
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" ANO DO HEREBY E1tpirat1on. E11ery perm,t iasuedby1he8uildiogptt,c1alunder,theprov1s1onsol1,t11s * AN OSHM'15EAMIT IS~D FOR EXCAVATIONS OVER CERTIFY 0UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INC.LUDING THE Code shall e1tpire by lim1t~1on and become null and 11O1d 11 the butldmg or work S" O"" DEEP A.~mON OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT I~ author,zed by such permit is not commenced within 180days t,om the date of such STRUCTURES Fl 3 STOfUES tN HEKiHT I , ' permit, or if the bu1td1~ or work au1honzed by such permit ,s suspended o, ISSUED: TO COM PL Y·WITH ALL CITY. OOUNl Y ANO STATE LAWS GOVERNING BUILDING CON-abandoned at an., time a r the wort is commenced tor a DflnOd of lAA d
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~~ ~~
OWNER O CONTRACTOR 0 APPROVED 07 ___,'\\ 1 DI. '/ c/-/~7 KEEP HA-ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND AP ICANT" SI NATURE_~ . ~ . EXPENSES WHICH· MAY ltj ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J~__,,,,_ ."
C,. 4,., -.i1I e BY PHONE fJ GRANTING OF THIS PERMIT. ..,. , .C r./
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME • FLOOR • CEILING
SHEATHING • ROOF • SijEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ' • • SEWER AND BUCO [J PUCO
UNDERGROUND • WASTE •,WATER
TOP OUT • WASTE • \j\lATER
TUB AND SHOWER PAN I
GAS TEST I
• WATER HEATER D SOLAR Vl/,ATER
I
ELECTRICAL I
• ELECTRIC UNDERGROUND ,l UFFER
ROUGH ELECTRIC I
• ELECTRIC SERVICE • TEMPORARY
• BONDING • POOL I
' I
MECHANICAL ' I
• DUCT & PLEM., D REF. PIP)NG
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I
I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABQ_VE HAVE BEEN APPROVED.
FINAL ' I
PLUMBING I ,{\
ELECTRICAL I ' ,., .(X-'
MECHANICAL I '-..\.""' ,.;..')J
GAS I '-.. -.
BUILDING I ,v~
SPECIAL CONDITIONS ' ' "-•
'6 7,, 1 t'1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
--HIGH STRENGTH
soL Ts
SPECIAL MASONRY
PILES CAISSON-'.:'
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City of CARLSBAD
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