HomeMy WebLinkAbout2312 RISING GLEN WAY; TP; CB881061; Permit"' z 0 ~
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-di I he<eby affirm that I am licensed under
~ovlalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfeHIOns Code, and my license Is In
full force and effect.
I l'le1eby a!Urm ttlal I am exempt from tl'le Conlfac-
ror·s lteense Law tor the lollowmg reason (Sec 7031 5 Busmess and ProlesslOl"IS Code Any c,ty Of counly wtuct. re·
quires a permit lo construct. alter, improve, demohsh. or repalf any structure, l)<tOf to its issuance also requires !heap-
01tcanI for such perm,I to hie a s1Qned statement 1haI he is licensed pursu.1t11 to the provisions ol lhe ton1rac1or s License Law (ChapIer 9 commenc,ng w1Ih Sechon 7000 of
Otv1s1on 3 ol lhe Business and Professt0ns Code) or !hat 1s ex
empt therefrom and the b.1sis lor the al/egeo eiemphon Any v1ota1ton ol Sect10n 7031 5 by an appt,cant tor a perm,1 sub-
Iects the apphcanl to a c1v1I penalty ot not more than hve hun
dred dollars ($5001
I as owner of the property, or my employees w,th wages
as lhe1r sole compensahon w,11 do 11\e work. and the slrue·
ture 1s not mlendeo or oltered Im sale (Sec 7044. Busmess
and Protess,on!> Code The COn1rac1or·.s license Law does no! apply lo an owner ol property ¥1hO bu1tds or improves
thereon and who does such WOfk himself Of rhroogh his own
employees, provided Iha! such 1mprovemen1s are not m~end·
ed or oflered tor sate If, however the bu1ldrng or 1mprov~ menl 1s sold w1th111 one year O'-comptel+on, lhe owner-builder
wl!I have lhe burden of provmg lhat he did not build Of 1m·
prove lor lhe purpose ol saleJ
I. as owner of lhe property. am exclusively con1racting w11h ttcense<:1 con1ract0ts 10 construe! lhe protect (Sec 7044.
Busmess ano Professions CO<le The-Contractor's Ucense
Law does nor apply 10 an owner ol property who bwtd.s or ,m-pcoves !hereon, and who conlracts tor each protecls w,th a
contraclor(s) hunse pursuant to the Contractor·s License l>WI
1 As a homeowner t am improving my home and the follow
mg eond1110ns exist 1 The work Is being pertor~ puor to sale
2 I have lived 1n my home lor twelve months
prior to complehon ot lh1s work
I have not claimed this exemp1100 during the
1asI three ytars
[J I am exempt under.Sec ______ . B & P C
tor 1h1s reason -------------
-,{i,; I hereby alfum that I have a cert1f1cate of consent to
self-insure. or a cert1hcate ol Workers Compensa11on In·
surance. 0t a C/11''1'1 copy !hereof t~ ~Lat>or C,00~
POLICY Nor ~c. 0()0 t, :2::;) ;:J. I ..5
COMPANv(!./'yA
~ Copy IS Med With the city = Cert1f1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed ,1 the perrmt
1s for one hundred dollars ($100) o, lus)
2 I certify that in the performance of u,e work for which
lt'l1s perm,t 1s issued. I shall not employ any person many
manner so as to become sub1ect to the WOfkers· Compen•
sat1on Laws of Ca111orn1a.
NOTICE TO APPLICANT; If. after making this Certificate
of E)lempt1or1. you should become subJect to the Workers
Compensation ptov1s1ons ol lhe labor Code. you must
forlhw1th comply with such provisions or ttus permit shall
be deemed revoked
D I hereby affirm that there 1s a construction lending
agency lof the performance oJ the work for which lhl.S per-
mit 1s issued {Sec. 3097. Cl'l1I Codel
Lenders Name
L81\der s AUOiess
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
/
>OB ADDRESS /?1s1111c;. &le IVH0k/AV0
" ~ IDei~)1Jal BUSINESS LICENSE • VA~
PERMIT NU"4BER
c:;.E1.:i. ~.3157 c7 I 6~\ LOT I BLOCI< I SUBDIVISION I ASSESSOR PARCEL NO . CONTRACTOR , CONTRACTORS PHONE • ZONE ' ct~ RENF ELE..C..T.R1C-.JNt. _jgo-d'JfS OWNER'S NAMf PRO PER71.d 4z,;;s;_;,ONE MuL, 11 £.C. II sqa;R-~i:ku&uA/7 A//£ STATE LICENSE NO. BUILDING SO. FOOTAGE
2zgs£3 OWNE R"S MA, LING ADDRESS
58,2n ll11RAMAR. Rl>~ S'J7 d-&tJ 5.J), OES•GNER DESIGNER"S PHONE
DEo/)f_J:/b~ORK/} £ t> £-5 TA L-/=-tJT< DESIGNER'S ADDRESS STATE LICENSE NO. --
I RR.1&,a Tt~AI Pt1RP6 SE5 1203 08/11/88 0001 ,01 02
NO .f:ldPmt 1~-0( F/P FLA ELEV OCC GP EDU g STORIES
vO NO ---I CENSUS TRACT I PARKING SPACE AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FI AESPR
AREA CONST
,□ ND vO NO vO NO Not Valid Un~s M~chine Certilted
QTY. PLUMBING PERMIT -ISSUE 7 P. QTY. MECHANICAL PERMIT -ISSUE Ai;:ao SUMMARY/ACCOuN·s.;.:.At-~l '-''
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU ~UILUINt, YtnMI I UU1-~1U·U~U-~
EACH BUI LUING SEWER DVE R 100.000 BTU SIGN PERMIT OOHl(ltO,OJ)<r-8221 .O..'O --.
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK .,..."'1,-~Mo-00-88~1 I\J .......... ~e."1"7'
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 IS HP TOTAL PLUMBING \...~f-810-00-pe-iruz ... ~-., . ..,-
EACH GAS SYSTEM S OR MORE. MET AL FIREPLACE ELECTRICAL 001-811l\~'1f.8m .. '6.~A8!5 ,00
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00·ll,~ '....e..c:t--
EACH VACUUM BREAKER MECHE XHAUST HOOD DUCTS MOBILEHOME 001-810-ri-8 ~.
WATE R SOFTNER RELOCATION OF EA FURNACErHEATE R SOLAR 001-81~ 'o-d!11~6
EACH ROOF DRAIN I il\lSIDE I DRYER VENT STRONG MOTION llll4 ~92-33
TOTAL MECHANICAL FIRE SPRINKLERS 001-!Wo-oo-00-8227
10 I Al Pl UMBINl, I PUBLIC FACILITIES FEE 320-810·00-00-87 40
-~.£!?.
BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl t!KR CAR PORT TIF 312·810-00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810·00·00-8835
EXIST BLDG EA AMP1SWT BKR GARAGE FMF
I PH 3 PH . LICENSE TAX 001-810-00-00-8162
REMODEL ALltR PER CI RCUIT ; r MFF 880-519-92-57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI r -I J/t:!..t:.lr-ATI0/1/ r.1-n=s.TA-1 /0,()U CREDIT DEPOSIT
IOTAL E.LELTRICAL I /5,tJb TOTAi TOTAL FEES PAYABLE I /5,oo
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Exp.ration Every permit issued by the Bu1ld1ng Otftc1a1 under the prov1s1ons of 1t11s * AN OSHA P(Rlt:T IS REOUIAED FOR EXCAVAT~ OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp11e by hm1tat1on and become null and vOtd If the buildtng Of wo,k 5· o· DEEP ANO OEMOUTION OR CONSTRUCTION OJ
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!> autnonzed by such permit ,s not commenced within 180 days from the date ot such STRUCl\JMS OVER 3 STORIES 1H HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON =~n~ i!t •=~y ~r:•:x.~~~~~r:~!h~~~~e!i~~~~ r~r;:~1~fs~:rc,n.~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND CONTRACTOR~ '-PPROVED BYP l/
1Dj/t, (or KEEP HARMLESS THE c1TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS cosTs AND ~CANTS SIGNATURE I ~eRD
EXPENSES WHICH .MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE c::;, . BY PHONE [J GRANTING OF THIS PERMIT ,;J ~ ~U I
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TYPE l DATE INSPECTOR /"o
BUILDING I l..,08' 8 IO~ l _
OUNDATION ~ FIELD INSPECTION RECORD F
R
M
1---------------------r"T""""""-------------------------------j IEINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
IASONRY i "-REO IF INSPECTOR'S t================~=--=============j
.GUNITE OR GROUT : INSPECTION CHECKED APPROVAL DATE _
1----=------=-----~'------=------=--------------------1 ,UB FRAME D FLOOR D CEll!.ING -,. ' SOILS COMPLIANCE -~ s
s
F
,HEATHING D ROOF D SHEAR PRIOR TO
j FOUNDATION INSP
. RAME _.i STRUCTURAL CONCRETE -
_EXTERIOR LATH I OVER 2000 PSI \
INSULATION i PRESTRESSED
, I CONCRETE ' _INTERIOR LATH & DRYWALL POST TENSIONED
I 1--C_ON_C_R_E_TE ____ -+---i-----------,r------,
PLUMBING : FIELD WELDING
D SEWER AND B U CO [J PUCO 1--H~IG-H_~S-TR_E_N_G_TH---+-----+--,-----t-----1 " -'
BOLTS UNDERGROUND D WASTE O1WATER i----------t-----;----~---~--,
SPECIAL MASONRY TOP OUT D WASTE D V,.,ATER
,ti,,,_, .f
TUB AND SHOWER PAN I 1---------+-----t------t-----1 c,,,:"')· •.
GAS TEST I PILES CAISSONS --~ • •~;=, [.(,
D WATER HEATER D SOLAR Wf'.TER _ ~ • ' :.1, fi,,;-. -
I ~ • -.... , ,.,,.('•
• I,! -. ""-,,,,. • '(':·.-ELECTRICAL I i----------t---t--------,.------1 /· (: ,. "'$1'-~ · ,"#. ., ,
D ELECTRIC UNDERGROUND □; UFFER t----------t----t------,------i ~ _:r.,,C'I . .' . -..,.-,,~•~>,.:_
ROUGH ELECTRIC 1 _ ~ f;.,, . __
D ELECTRIC SERVICE D TEMP(i)RARY t---.---------t----r-----t--------1 ' .r.-' ,, -· /. \ D BONDING D POOL ; . • --. -~ • , ~ /
I 1---------+-----t-------t----t ~ ...,., --MECHANICAL 1 ._
D DUCT & PLEM., D REF. PIPl1'JG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS i ·. . 11. --~ · , . :_ -·:
I t-------:---+-----t--~---t----t ... ,~ J ~_,·:.,:'I",, ...._ \._,j'\.."O ,.,.-.,;
I •
CALL FOR FINAL INSPECTtON WHEN ALL APPROPRIATE .
ITEMS ABOVE HA VE BEEN APPROVED. •
FINAL I I, / 1---.,,...=-----=,.-:,,,,__ ___ -+----+------+--~ ~-------------------------1
PLUMBING : ,; ' \ / 11V / , · -
ELECTRICAL I I~ 1 l ✓Y/J L,;r''{j)'I ,, t------.-.------------------
MECHANICAL I V t' '
GAS I ,. t----'-----,----+------i------+----t ~--·--------------------------i I
BUILDING t ... ,,
SPECIAL CONDITIONS j /
I / L.,_ __ _:. ___ 1'----'----~---~--~ '---------'--------------------' I