HomeMy WebLinkAbout2320 LA COSTA AVE; ; 84-182-C; PermitA O I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
~[ Section 7000) of Division 3 ol the Business ~ and Proleaalons Code, and my license is In
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I llereby aliirm lhal I am exempt from the Conlrac· to(s L,cense Law lor the following reason (Sec. 7031 .5
Business and Prolesst0ns Code: Any city or coonty wh.tCh re-
quires a permit to construct. alter, improve, demOlish, or repair any structure, pnDf to 11s issuance also requires !heap-
phcant tor such permit to file a signed statement that he ,s hcensed pursuant to the prov1s1ons al the Con1rac1or's
License Law (Chap!er 9 ccmmencmg with Sec110n 7000 ol OIV1s1on 3 of lhe Business and Professions CDde) or thal tS ex;~
empt therelrom and the basis lo, the allegeo exemption Any
YlOlation ol Section 7031 .5 by an appl,cant lor a permit sub-tfCIS the applicant to a civil penalty of not more than t,ve hun-
dred dollars ($500).
□ t, as owner ol the property, or my employees with wages
as their sole compensation. will do the work, and !he slruc-ture Is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does sueh wDfk himself or through his own employees, provided lhat sueh improvements are not intend• ed or ottered for sale. 11, however, the building 0< improve·
ment Is sok! within one year of eomplelion, the owner-builder
will have the burden o1 proving lhal he did not build or im-prove tor the purpose of sale).
O I, as owner o1 the property. am exelusimy contracting with licensed contractors to construct the project (Sec. 7041,
Business and Prolessions Code: The Contractor's license Uw does not apply to an owner of property who builds or im-proves thereon. and who contracts for eaeh protects' with a
contraclor(s) license pursuant to the Contractor's License la':/
D As a homeowner I am improving my home, and the follow·
ing cond11ions eKist:
1. The -k is being per1ormed priof 10 sale .
• 2. I have lived 1n my nome for twelve months
• 3. r:: ~~:::.: t
1
~i~ :'"!ption during the last three years.
D l amexemplunderSec. ______ ,B&P.C.
for this reason ____________ _
0 I hereby affirm that I ha,.e a cert,hc.ate ol consent to self-insure. or a cer11f1ca1e ol Workers·
Compensation Insurance. or a cert,t1ed copy thereof
(Sec 3800. Labo< Godel
POLICY NO
COMPANY ~
□ Copy 1$ filed with IM city
D Cen1t1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
• WORKERS· COMPENSATION INSURANCE
(This section need not be completed ,t the pe,m,t
,s for one hundred OOllars 1$100) Ot' less)
d I certify ihal in the perlormance ot lhe work lor
which this permit 1s issued. I shall nol employ any
pe~ 1n ~Y manner so as 10 t>ecome sut>iect 10 the. Wonters· Compensation Laws ot Ca11tom1a
NOTICE T<.:/ APPLICANT If. after mak1n, lhts Ce/'11
hcate of Exemp11on. )'OU should beeome sub1ect I?
1ne Wonters· Compensation prov1s1ons ot the L.abOf
Code, you must torth'A1lh comply w,lh such
prov1s,ons or this perm11 shall be deemed revoked
0 I hereby attirm Iha! there 1s a constructio(l tendino aoency tor !he perlo,mance of lhe wof11. 10,
which this perm,1 ,s issued !Sec J097 C1v11 Code!
Lenders Name ___________ _
Lencter·s Address -----,--------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm , C arlsbad, California 92008-1989 (619) 438-5525 I
JOB AOORESS AV ST. RD, N7~eA~uAI~~) l~e~~;71 BUSINESS LICENSE # VA L~N PERMIT NUMBe;&
,t.~o t,A, ~r,,; AVS
LOT (:? ,..µ~!VISION I ASSESSOR PARCEL NO OAt/isOR, ~ , CONTRACTOl!S PHONE • ZONE i~if,. lt1;--lf/1/1.-Sl/JD OWNEA·s NAME Ja,l1~:s0;3 ~ I A1 ~I.II /41 D.Aui(S CONTRACTOR"S ADDRESS ---UCENSENO. PLAN 1.0 . # e DG use cooE z,~ f.A, t:IIST'/f -Ml' 3a77Z7 OWNER·s MAILING ADORESS
~~ /A--C,t!Jsn,. AV& DESIGNER LICENSE• STANDAAO PLAN# BUILDING SO. FOOTAGE
•·-_:......,. --
DESCRIPTION OF WORK -~-'·
DESIGNER"S ADQRESS _ _j'.~~-DESIGNER'S PHONE ~/ ,ltj/f -;J
/!AhlP~r G /!:JL.-,0~ b' i' ~-"!...:'::•<: ...... ,,
~ -----·------------F/P FLR ELEV . NO OCC GP EDU
STORIES -vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I AEOEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONST
YO ND vO NO vO NO Nor Valid Un~• M.chine Certified
QTY. PLUMBING PERMIT -ISSUE -;2-QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 /I) -
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00-00-8223 ..
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1 .nn.nn.oo,o -
TQTJ;L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I -FIRE SPRINKLERS 01 -00-00-8227
PUBLIC FACILITIES FEE 32·00-00-8933
QTY. ELECTRICAL PERMIT -ISSUE '5"""'--QTY. SOLAR -ISSUE BRIOGE FEE
NEW CONST EA AMPISWTIBKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS I Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP PO LE 200 AMPS •·
OVER 200 AMPS LICENSE TA X 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) /VJ ~;::;,
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I_ lo -.,._,/
Expiratlol'I. Ewrypenni1 _..,.11¥.._ ...... ....... )1-ovisionsoftlld ...
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT IS AEOUIRED FOfl EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -.. .,.,. by·-and----tf tt. flaillling Of wort, s· 0" OEl:P ANO DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
aulhonzed by such .,.,..... .. nol COIIIIIO .... from Ille-of such STAUCT\JfllES OYER 3 STORIES IN HEIGHT permrt. o, rl the llulldl:.1.,°' -.......... lllllllil•...-,daelor ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandonect at -.. -.,. _. la .......... .,,, .. __ .
STRUCT!ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND --·-~••-· 0 CONTRACTOR 0 APPROVE
~ID, o/lJf KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AN~m ,mtJfl/E •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~ --PHONE 0 GRANTING OF THIS PERMIT .. \.
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY ' I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHFAR
FRAME I
EXTERIOR LATH I
INSULATION I
' INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ )NATER
TOP OUT □ WASTE □ \ffATER
TUB AND SHOWER PAN I
GAS TEST <:: ...... -.</,,y-.p,;_. ,;P'~
D WATER HEATER. D SOLAR w:;.TER
I
~ ELECTRICAL I
□ ELECTRIC UNDERGROUND □1 UFFER
ROUOt-1 ELECTRIC I
□ ELECTRIC SERVICE □ TEMPdRARY
D BONDING D POOL I
I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS ' ' I -' <, ---_
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAWE BEEN APPROVED
FINAL I
PLUMBING -I \, --
--.
ELECTRICAL I ' /'
MECHANICAL I ~P -. I ·,_
~ I ·A fY '
BUILDING I l "'~ SPECIAL CONDITIONS ! I \ I
I \
-gi..f .... I %-d. -c= --
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES • --. . i
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
,_ -
SOILS COMPL:ANCE / -PRIOR TO . _r), /,/ J. ·r /3 f'OUNDATION INSP a
ci / ·-•-------~----->--------~--·~--~ e-------..... _,.,/ / ~) t,...-.. .,A I STRUCTURAL CONCRETE / 1'7 / J ':) ,'i,/.,.. /U OVER 2000 PSI \
PRESTRESSED .
CONCRETE
POST TENSIONED
CONCRETE -
FIELD WELDING I -I rt< -··!_~/-=--,,
L/' v· --./ _ _,
-I
_________ ,
r11GH STRENGTH )
BOLTS ,-·• -✓--~ -1 , -
SPECIAL MASONRY /c 'Z /I f /"J-. .,,.,
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PILES CAISSONC:
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