HomeMy WebLinkAbout2320 La Costa Ave; ; 85-581; Permit"' z 0 " " 0: " J
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D I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of □Msion 3 of the Business
and Professions Code, and my license 1s in
full force and effect
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I hereby a1hrrn tr,a1 am exer"o' tr:irn
!or's License LdW •o, '"e follow·ng re;i,;0°
Bus,ness a~c Professions Coce Any rift c· 8•1,res a perrr,11 D r.·,nsrrun ,1:te· ,-,,
·e;Ja1r a~y sl·uclure e·,or to •ts issuance as:, reou ~1,cant for sucn ~,e,-,. ,~',lea s,eaned 'ia1eceo·
,censed puc,uant :o lhe prov,s,on; GI the Co, :,a,,10· s
1,-:en1e Law rCha,:er g corr.rr.en-:,ng w,rr Ser:,w 70CO o' o,,,,oir,n 3 rJI lhe Bcs,ness anc PrJtrss1on1 C,:;,le, :;r •r;it ,~ e,
e-pt 'herelro,-and the bas,, hr the al',esed exe,mpr r,n Ar'f .... n:a1,r,, ot Sec1,an ~O:JI 'J Cy o~ app:,c;p' lor a r,er"11t %t
1ecs the appl,ca~: !O d c,,-,,I Jsrdl:·, 01 °01 mere ·r.cn •-,.~ n,"n
arcd collars (SJOC,
as owser ,, •se r,rnptrT; or ciy ~mnlcyr.es ." ·1 ;,a-1es
,s sJle compenso· on ,.,,,11 do the ww•. '"~ ,t,,.c "J'e ,s nol ·ntendec c· cflered lor sale iSe:· 70~1
o·,a Profess1ow, COM The Con:ra.~tor's License .ow
no• .JPJiy to an .:;,.mer of wo.iert1 who bu Ids or IS1pro-.es
•here~n and w~o doe, su;h wor·, h·m,el' or lh·o·.sh r,s ows
e"1p,oyees pra·1,ced :na1 such ,m~ro•,ements a·e not nte~r.
ed or of!erea for saie :: ~owever The building or ,mwove
'llent ,s solo w,10I0 une year ol comole11on ihe owner-builder ,,, I ho·1t lhe burdr.0, o' pro-.;ng th~t he ~,d ~ot Ou:'G or ,m
~,~·,e for )he purpos0 o' sale1
I, dS owoer of t''e pro;ie,:y ~m excl~si·,ely cort•;iC'•nq
w,t~ ',censea 0ontcaclYs to cosslruct 'tie pro1r,ct !Sec 7C44
Bu~1ress ~nd Profess,M, Coae H-e Con•rocio.-'s Llcerce
Law does not aoply :u ar owne" of prope:1,· w~a bsilds or ,m
proses th,o'eon, and wro contrac1s tor eacr proIec1s wit', a
cortrac•or,sl ,,cense pu'>Jac-t :o the Conlra~tor·s lIcerse
Law1
~ As a homeow~er I acr mrr0v,nq Ti ho"'e aeo tr,e f~ I0w
,ng condI1,ons exist
1 The wor~ ,s being ~tr'r:r'T'ed onnr io sJle 2 I na~e i,ved ,n rT<'/ non1e ior twelve mortns
i :irior :o cornoie:,on of this wor• I 3 I ha·,e not c.a,med 'h1s e,e,,,pt,or G·:rin9 t~e i :ast lh•ee '/ears
I I am exempt ur-der Sec
for !h•s reason ____________ _
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I ~e,ebi affi,m !hat I have a ce-t,i,cate of consent to
S€'1-,~surP. O' o cert,f,ca!~ ~, Workers C~r-1pensat,01 In
sararce. o, a ce't,!,ed ccp, trereof 1Sec 3800 _abo· Code\
POLICY NO
COMPANY
Copy ,Shied .... ,th the c,1y
Cprt,t1ed cop,· ,s iereby furnished
CERTIFICATE OF EXEMPTION FROM
l'IORKERS' COMPENSATION INSURANCE
1Tn,s section need not be completed ,f the perm,t
,s lor one hundred dollars ,:$1001 or less1
_ I certify that ,n lhe per!o,mance of the work for wh,ch
th·s permit ,s issued I shall not employ any pe,son ,n any
"nanner so as to become sub1ec1 to the Workers· Campen
sat,on Laws of CalIforn,a
NOTICE TO APPLICANT If, alter making this Cert,hcate
ol E~empt,on. you should become sub1ec\ !O the Worke,s
Compensat,an pro.isions of the Labor Cade. you must
forthwith comply with such provIsIons or th•s perm,1 shall
be deemed re,oked
![ __! I hereby atlirm that there ,s a construct,on lend ng
agency for the performance of the wo•i< for wh,ch !his ~er
m,t ,s issued !Sec 3097 Ci.,I Codel
Lender s Name
Lender's Address
USE BALL POINT,PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
J h\rf' 1',J ~~\ / CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008·1989 (619) 438-5525 APPLICATION & PERMIT
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--··· .. . --, ,___._.,_=--cec..:c...,
I LOT
, 1-_ _L._ ___ _L ______ _L._ ____ ~---,..,-,,--,--,---I
I OWNER'S NAME OWNER'S PHONE
: ev ( o:..O BA-iJ Le:..
AV. ST.RO. NEAREST CROSS ST.
GJc;..,v ·•~ I °i~ii'is')P' BUSINESS LICENSE # VALUATION
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SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE 11 ZONE
PERMIT NUMBER
f.r,..(1)
LICENSE NO. PLAN 1.0. # BUILDING SQ FOOTAGE
t OWNER'S AILING ADDRESS J / 7.) l DESIGNER'S PHONE : zo S. ~ "" µ J . /~:::::=------_101101053576 _ sar~87
, OE CR<enONoewORK h~!'7':====----------fc==;-;;;,---; 00013576 10/15/ 85 ear'e7 It-~----~-::----:::::::==-~----:;;~----------. LICENSE NO. I
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STORiES
ace GP EDU
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1 AREA CONST
1 cE.r-.'.ouS THACl I c;P L_AND USf-I PARKI'J(~ SPACE RES uN,TS I GRADING PERMIT IssuE~ I REDEVELOPMENT TYPE ace LOAD ----
1 y □ N □ , [J ,O · YO NO [ Not Valid Unless Machine Certrfred I
' ' : f-°G i PLUMBING PERMIT -ISSUE -Js_ u :I QTY. MECHANICAL PERMIT -ISSUE J / _:, SUMMARY/ACCOUNT NUMBER
I
i INSTAl l FURN DUCTS UP TO 100.000 BTU
1 / i r"ACH BUILlJING SlWER ---[]VER 100,000 BTU ,,,,...., ' ------
1 I _!:_ACH WATER HEATE.H A_NLI OR VENT ______ BOILER,COMPRESSOR UP TO 3 HP rLM"
1 -EACH GAS sYSJE~,-11(1 .1 uuTLETs soILER.COMPRESSOR 3 1':i HP
EACH FIXTURE TRAP RIIII fllNG PERMIT 00Hl10-00-00-8220 I
JIUI~ r-ERMIT :JOl-810-00-00-8221 t
"'"'CHECK 001-810-00-00-8806
TOTAL PLUMBlr,,,jG 001-810-00-00-8222
I -------------
1 EACHCASSYSaM'JORMORE
--------------
i:i i:r;TRICAL 001-81 0-00-00-8223 -11-H----
EACH INST Al ALTER REPAIR ~';,'ITER PIPE MECHANICAL :JO 1-810·00-00-8224
' 1 EACH VACUUM BREAK~~---------~-----'----+--+---'-'-:----'="""-c-c--'.CCc_::-'-,'::--'-c----cc-:-c---+---~-1v1uo1u:nu1v1r:.
I °\';'ATER S0f TNER REL0 ________ M0BILEH0ME PARK INSP --
"""" ,.,.,.,.,r DO 1-810-00-00-8225
_j i M:H;, ,,::~ ::H.~ ·. ',S '.if -----f------;----~--=~~=~~=------~-_L--------11 SOLAR 001-810-00·00-8226 : --~J ___ ___ _ ': TOT/'.;,L MECHANICAL SIR0NGM0T 1,0N 880-519-92·33
I l U I Al Pi IJMBINl. -i 2J FIRE SPRiNr\LERS D01·810-00-00-8227
I ~~-~~~~~~~~~~~cb~~~~'"k'c""-'~~~~~-~~~-------'----;-aoa-~~-.1
: QTY. ELECTRICAL PERMIT -ISSUE ~_,,.,-:1 QTY SOLAR-ISSUE PU§_LICFACILITIESFEE _ _l__1~-_B10-00·00-Bg~Q_---I-----
NE'W CONST EA AMP S'v\rl lJKR ~--------+--I! SCHOOL FEE· DISTR!CT COi, FCTClRS
1 I PH I PH STCRAGl ~A\" S Carlsbad
I FXISI HI IJG E:.A AMP·Si,\'T BKR
----
ROCK STCi--lAG~
--
Encinitas
I PH lPH ~u,1cJ San D1egu1to
cu•o □El AL HR I r>Ll'1 PFR CIRCUIT I✓ ~LA 1S [H[CK ~EE San Marcos
I ,c:,,irru,c tuu;-si,or., TEMPPOlE:. /OU AMPS ----
--0
'JVU~•v• --------1--------11--+----___________ _,___ 'I MFF --~----------------__ =-l _______________ ~_ 1 CREDIT DEPOSIT ----
I I! I --I 7,,l) -[ TOTAL FEES PAYABLE
OVE:.R 2UU AMPS
TEMP OCCUPANCY 130 UAYSl
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lfl!AL lLlLlRILAl
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LICENSE TAX 001·810·00·00·8162
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I HA,VE CA'REFULLY E~M!NEO THE COMPLETED "APPUCATION AND PERMIT" AND DO HEREBY Expirat100-Every per_m1t issued bytheButtding Offlc1alundertheprov1sumsofth1s * A.N OSHA PE:AiMrr IS REQUIRED FOA EXCAVATIONS oveA
CERTIFY UNQER\ PENALTY OF "PERJ_ URY THAT ALL INFORMATION HEREON INCLUDING THE Code sh.all expire by lfm.1tat1on and become null and void It the bu1ldmg or work 5· 0 .. DEEP ANO OEMOl.lTtoN 0A CONSTRUCllON Of ,,..., authorized by such permit 1s not commenced w1thm 180 days from the dale vi such
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;E DECLARATIONS Al}.E! T"1.IE,AND CORA~CT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ii t budding or wor1( author1ied by such permit is s1,1spended_ or STRI.ICTURE.S OVER 3 STORIES 1H HEtGHT
IS~Uf:0:, TO C0"1Pl '( -WITH {'LL CITY. C6-UN1Y AND _STATE LAWS GOVERNING BUILDING CON-abandoned an tune after the work is commenced tor a nod of 180 da s
STRUCTION. WHETHER SPtGJFIED -HE/:1:EI T. I ALSO AG~E O SAVE INDEMNIFY AND APP C . ~ 0 KEEP HARMLESS THE G,lTY OF CARLS AG ST ALL ABtll -S UDGMENTS, COSTS AND S IGNATURE . OWNER CONTRACTOR 0
EXPENSES WHICH MAY !N ANY WAY ACCA AtNST ID C ~~EQUENCEO ·:F..:T~H=::;t~iriii:~~ _,,. # B 0 GRANTING OF THIS PEf'!MIT. ' ' 'L-> , • k ' :,:.. . . ~ .. y PHONE
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APPROVlD BY
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;_1-1/v-1 i~d ~
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TYPE I DATE INSPECTOR
BUILDING ' I •
FOUNDATION ' I.~ ./'/ IA">r
REINFORCED STEEL I ( I "IJ JV'
MASONRY ' I i I
I
GUNITE OR GROUT '
SUB FRAME □ FLOOR □ CEIL.ING
SHEATHING □ ROOF □ SI-\EAR
FRAME I
'
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL !
' I
PLUMBING I
'
□ SEWER AND BL/CO' □ Pl/CO I
UNDERGROUND bNJASTE □ ;WATER /-y/',({J I/\ f,Yf/
TOP OUT □ WA'sTE D WATER I I
TUB AND SHOWER PAN I
GAS TEST '
I
□ WATER HEATER □ SOLAR W/1.TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □'.UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL I
' I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPl'.NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL ' I
PLUMBING I ' ("\
ELECTRICAL I ~ ' . I
MECHANICAL I • , I \, ,,-
GAS I ' ~ -'' . '
BUILDING I -. "-'\_ ~ l
SPECIAL CONDITIONS ' 'I'--' I
I
2-c::-'S~l
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -SOILS COMPl ;A~•:::-E
I PRIOR TO
~01...ir-.OATION 1r--.SP I
' --~ --STRUCTURAL CC>'sCRE TE I OVER 2000 P,SI
PRESrnESSED ' CONCRETE i
POST TEN~IONES
CONCRETE :
! F1f:._D WELDING ! -----r---Hl:_;H SlRENG'H i HO~ TS
':'YECIAL MASCNRY I
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P1:_E<:; CAISSCJ ..... ~-
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City of Carlsbad MISCELLANEOUS._
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 •• RECEIPT
r ~~~ress -;-~ 20 LA-lost-A Av e,
I ' , ....... ,;; ....
MISCELLANEOUS FEE RECEl~T .,, II '7( Owner □ 01-00-00-8806 r..._, UlY . _.,,, J..-,, ..... • PLAN CHECK FEE
Mailing : 1-: Al,~d □ VALUATION Address 1 "? O -~-
City rl I Zip Tel. □ DEMOLITION ',JcJti :!, ' I 1/1/0("1
Contractor
./:., l-1, Id(? -□ HOUSE MOVING /v.e;,
Address ' □ PARKS AND RECREATION FEE
□ City I Zip Tel. PUBLIC FACILITIES FEE
□ SCHOOL FEE -DISTRICT State lie. City
S. Classif. Lie. No. .□ Carl sbad
COMPLETE FOR PLAN CHECK ONLY □ Encinitas
□ San Diego
LEGAL DESCRIPTION □ San Marcos
□ CERTIFICATE OF OCCUPANCY
n
ASSESSORS PARCEL NO
n ..
I n DESCRIPTION OF WORK □
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□
□
PLANIDNO. 'x 5 -5>?7 □ . -□
DESIGNER ADDRESS □
l<t 7J ?:> 766 9 □ PHONE . TOTAL FEE $
CONT ACT PERSON ~,u ~/)It/ "1e lu < •WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
1';,o41 I COMMENTS:
,P ~/~ --~i r_ Date l 71,;/J j -Signature of Applicant t' I
\.. ~
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
)
'
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PLAN .. cHEcK NUHaER 'tj-s(/ AooREss $2<> kCzsl-+ ~TE '(---1;, &e
PLANNING: TYPE OF STRUCTURE ~6 ~ 1w .R.&4<=-ZONE: ___ _
SCHOOL FE-ES: SAN DIEGUITO ~ ENCINITAS._\-111~,w~1------
NUMBER OF UNITS CARLSBAD._______ SAN MARCOS. ______ _
REQUIRED SETBACKS. ___ _
FRONT Ok .
SIDE f}J;°
i REAR oF
; ~ CC."'iMENTS: ______________________ _
~ ~
I= D REDEVELOPttENT A:'r'itOVAL REQU~RED: ______________ _
8!0' .
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8 ~ LANDSCAPE PLAN CCH1ENTS :.llf~\2iw:c-"qp11113•~~a-llMe'aaJl11iCilil..nM-lm}~~:::pi:L.,l,~¥{:;u:@!:...W-frt@'tWi!Siil!IDl:E...st.f::,,J_
pet¥-4K ,£ "¥ e&: *·.,. . -
EllVInC~:1'-iENTAL REQUIREP,.:.1:f\bi:..¥,1._ ______ -_________ · __
ADDITIONAL COMi'-IENTS,_: __________________ _
OK TO ISSUE~-11.,_ __ DATE~:.11----OK TO FINAL: ___ DATE: ___ _
. ENGINEEl?ING LEGAL DESCRIPTION VERIFIED?---'---A.P .N. CHECKE91-
P.F.F •. _liij.li, ______ PARK IN LIEU J:.U.11,.~.,._ _ __, _________ _
R.O.W: IMPROVEMENTS: _.i::i.~.:11~.i.Af-. _________ _
__________ ... , __ E.D.u:_LG_w:..lo ______ _
t~ER:l£wQ -
DRIVEWAY: ________ _ --~TERAL: .L:alull{) _______ _
! GRADING PERNIT: 1.,.J.110,.._ __________________ _
-w , i j DRAINAGE: _. -. ____ ....:,. ________________ _
! □ 8~ □ --------------------------
EASEMENTS: __________ ADDITIONAL C0fl4ENTS: _____ _
...,_ =& . ~ ~ □ -OK-TO-. -IS-S-UE_:.__.~---_-_-_-_-_-_-_-_ -_ -_ -_ -_-_ --D-A-TE-:======================
* ENGINEERING INSPECTION REQUIRED: ______________ _
PUBLIC WORKS INSPECTOR: ________________ _
FINAL OK:. ________ ...__ OATE: _________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR111E.NT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)