HomeMy WebLinkAbout1849 High Ridge Ave; ; 87-387; Permit"' z 0 ~ .. ~ ~ C
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D I hereby affirm that I am licensed under i
provisions ol Chapter 9 (commencing with
Section 7000) of D!vlslon 3 of the Business i
and Professions Code, and my license 1s in 1 lull force and eltec1.
I hereby af11rrn tha1 I am exempt lrom the Co~l'ac
!or's License Law lor the follow,ng reason (Sec 7031 5
Bus,ness and Protess,ons Cl'.K!e Any c•ly or county wh,cr, re
qu,res a permd to construct. alter ,mwove. demoIs~. or
repa,r any s1ructure. prior to ,ts issuance also requires •neap
pl,cant for such perm,1 to hie a sIqned statemenr that he ,s
l,censed pursuant to the prov,s,ons of lhe Con1ractor;
License Law (Chapter 9 cornmenc,ng w,th Section 1000 of D,v,s-on 1 of the Business and Profess,ors Code) ~r that ·sex
empt therefrom and the bas,s lor The alleged e,empt,nn Any
vI0IatIon ol Section 7031 5 by an app:,cant lo, a perm,t sub
Iects the aopl,cant lo a c,vII penally 01 not more ttian I,ve hun
dred dolla·s ($5001
I, as owner of the prooerly or my employees with wages
as !he,r sole compensation, will do the work and rre struc ture ,snot intended or offered for sale (Sec 7044. Business
and Professions CClde· The Contractor's License Law does
not apply lo an owner at property who builds or improves
thereon and who does such work himself or through his own employees. prov,ded !hat such ,mprovemenls are not ,ntend
ed or ollered lor sale II_ however the bu1ld1ng or improve-
ment rs sold w,th,n one year ot completion. the owner-builder
will have the buraen ol prov,ng lhat he did no1 tiu,ld or ,m-prove for the purpose of sale)
I I, as owner ot the property, am exclusively conlrac:·ng
wI1h licensed contractors to cons1ruct the proIect {Sec 7044 Busmess and Professions Code The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon and who contracts for each proIects wrth a
contractor{sJ license pursuant to lhe Contractor's License Law)
-As a homeowner I am ,mor011Ing my home, and The lollow Ing cond,t,□ns e~1st 1 The work Is tlemg perlormed pr,or to sale
2 I have lived ,n my home lor twelve <nonths prior to completion of lh,s work
I have nol claimed th,s exemption dur,ng "he last three years
:::J I am exempt under Sec _______ B & PC
for this reason ____________ _
_ I hereby atf,rm that I have a ce,t,!tcate ot consent \o I
sell insure or a cert1f1cate of Workers· Compensation In !
su•ance or a cert,hed copy thereof ISec 3800. Labor Codel I
POLICY NO
COMPANY
Copy ,s !,led with the city
Cert1f1ed copy ,s he,eby lurnrshed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Thrs section need not be completed If the permit ,s for one hundred dollars ($1001 or less)
::::J I cer11fy that ,n the performance o1 the work for 11>h1ch
th,s ;,e'm,t Is ,ssued. I shall not employ any person ,n any
manner so as to become subIect to the Workers· Com pen
sat,on Laws of Cal1/orn1a
NOTICE TO APPLICANT If. alter making th,s Cer11flcate
or Exernpt,on. you should become subIect to the Workers
Compensation prov,s,ons of the Labor Code, you must
forthwith comply w,th such prov,s,ons or th,s perrn,t shall
be deemed revoked
ffil aiency for the pe,forrr,ance of the wcr~ 'orwh,ch t~,s per
0 rn,t ,s issued (Sec 3097 c,v,I Code) z w Lenders Narr,e ...
Lenders Address
I hereby affirm that there ,s a construct,on •ending
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 92009-4859 (619) 438-1161
.J08 ADDRESS
LJ In.~ /E'I ,o ,._ ,<'
AV. ST.AD. NEAREST CROSS ST. I DATE OF APPLICATI0.;1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
I rjl-{{q ~.,,, I J' !'-/Cl '7 J 2,7·
COT BLOCK j suep1vM10N IVASSESSOR PARCEL NO. CONTRACTOR I CONTRACTORS PHONE # ZONE 38,,
OWNfR"S NAME
11.f 19~N;Rt'1?1 ,., A._J ;1.,; ~ /JI.vu,/,;.,;,-,. ;;,,;... ")') I") J
flt-nlA P,u.R ,ii" CONTRACTOR'S ADDRESS -STATE LICENSE NO. BUILDING SQ. FOOTAGE
I ~(, ,.,I. W. 1/,crd {,,(/,✓./ ,,<>/. ~/ OWNER'S MAILING ADDRESS
l.v4C, ,J.,..L o.,.J,._,, DESIGNER I DESIGNER'S PHONE
DESCAIPTIO~ WORK . ,, , -• ""'-r DESIGNER'S ADDRESS STATE LICENSE NO.
',-----· --------e ' FLA ELEV NO OCC GP EDU
STORIES
vO ..,_O ---
I
I PAFIKll\,G SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVE:LOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
,□ 'D ,O "□ YO ND Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7 .±,-:g ,_QTY. MECHANICAL PERMIT -ISSUE b~-SUMMARY 1.Q003>LMi1&1.J r-GJ.01 02Bldf'llt o.
EACH f-lXTURE TRAP INST AL l FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT 001-810-00-00-82?0
-EACH BUILOING SEWER OVER 100 000 BTU SIGN PERMIT 001-il 1 0-00-00-82 2 1 -----t----------~-------~------
EACH WATER HEATER ANO OR VENT 1-BOILER:COMPRESSOR UPTO 3 HP PLAN CHECK 001-81 0-00-00-8821 IT ----
EACH GAS SYSTEM 1104 lJUlLElS j .2.~l--BOILER,-COMPRESSOR 3 15 HP TOTAL PLUMB 'JG 001-810-00-00-8222 ID--------------------------~-----~--_:f:__ EACH GAS SYSTEM 5 OR MORE' METAL i'IREPLACE ELECTRICAL 001-81 0-00-00-8223 I-•. -----------------------t ----
EACH INSTA~ ALTER, REPAIR WATER PIPE t VENT FAN SINGLE DUCT MECHANICAL 00 1-81 0-00-00-82 24 ----1------------------------------
M!ffi,,EHOME EACH VACUUM BREAKER I MECH EXHAUST HOOD DUCTS 001-810-00-00-8225 -
(J Af(~ WATER SOf-TNER 1: RELOCATION OF EA FURNACE·HEATER oo· -81 o-oo-oo.s226 -I FACH Ri")()F C-R,~ 'j ,: 'JSl[)F I ..-.ST_ QW~I0~ 880-51~_-9]_}_~ -DRYER VENT
--------Ii TOTJ:.L MECHANICAL ~-~ •"!IP 'IJ~LERS 001-810-00-00-8227 ----
'" ~ol •· / T'"l'c FArr1\mrs Y-, ~o-oo-oo-8740 TU I Al P\ UMHING I ,
QTY_ ()() QTY. MOBILE HOME SETUP ·-~ ~IDGE"~~v. ,~-810-00·00-8740 ELECTRICAL PERMIT -ISSUE _K 0--' -~ PARK½LIEU IAR~-: ' ___ ---NfW CONST EA AMP'SWl l:JKR CAR PORT """~ 111 ~ {-,~ .... --: 134-81 0-00-00·8835 ,. , .. . -------4. I ---------I PH IPH I AWNING ~ ··-~-A'COS!AU' 133-810-00-00-8835
fXIST BlOG EA AMP:SWT RKR GARAGE FMF -<· .... -----------\~sE'r':ti.x --I PH 1 PH I Q01·810-00-00-8162
REMODEL ALHH PER [IRCUll ~F --880-519-92-57 ---------
H\1PPOlf 200 Mi PS ' I -~ --OVER llJO AMPS ' -----------TEMP OCCUPANCY ,30 DAYSI -------------
CREDIT DEPOSIT ----I l()TAl flll.lRl(Jd T()T A', TOTAL FEES PAYABLE I -I i ID
I HAVE CAREFULLY EXAM!NEO THE COMPLETED ·APPLICATION AND PERMIT"" AND DO HEREBY Expiration. Every permit issued by the Building Off,cu1l under the provIs,ons o1 thts * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by llm,tat,on and become null and void If the bu1!dmg or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OJ: DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced w1th1n 180 days from the date ,::,f such STRUCT\.IRES OVER 1 STORIES IN MEIGHT · permit, or 11 the bu1tdrnx or work authorized by such perm,t 1s suspended or ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv t,me a er .. ,e work Is commenced lo, a period of 150 "avs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . "~.) OWNER □ CONTRACTOR T~ APPROV'<~~ ID;; /4-; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~CANTS SIGN
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
-') BY PHONE [J GRANTING OF THIS PERMIT , ,.., A
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TYPE I DATE INSPECTOR
BUILDING '
g7 ~!Si
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL '
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SfiEAR
SOILS CQMPl_iANCE
PRIOR TO
FRAME I F-OUNDATION INSF
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL '
PRES TRESSED I
CONCRETE '
POST TENSIONED ...
I CONCRETE , ·-· --~---
PLUMBING ! a ' FIELD WELDING .
□ SEWER AND BL/CO D RL/CO
UNDERGROUND □ WASTE Di WATER
TOP OUT □ WASTE D WATER I'
·-Hl(.JH STRE~GTH ,,_.-. .-· BOL fS ,·
' , SPECIAL MASONFJv .,;', !
-------··------
TUB AND SHOWER PAN I / .. ,
GAS TEST I 1...::-'~3'" / I./.,--' PILES CAISSON~-
D WATER HEATER □ SOLAR WATER ·-
! .
ELECTRICAL '
□ ELECTRIC UNDERGROUND Cl UFFER ..
ROUGH ELECTRIC ! ·-
□ ELECTRIC SERVICE D TEMPORARY -. --•.-,·. ,.,.. ;,_-r,· ... -• .-:-··. r ,. .• :. ~! r-T ---... -·,t1 ·-
□ BONDING □ POOL I
I
·.JV-i.l . ., ... ,-.. -1
.. -----·--I I
MECHANICAL ' I ·-L__~--~ ' ! □ DUCT & PLEM., D REF. PIPlNG . -------
HEAT -AIR COND. SYSTEMS !
VENTILATING SYSTEMS ' I
I
' CALL FOR FINAL INSPECTION WHEN ALL APPROPflATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ! I ..
PLUMBING ! l..r,5<51 I f.._J
ELECTRICAL ! "
MECHANICAL ! I
GAS I
I
BUILDING I
SPECIAL COND!TIONS •
' . ·-'