HomeMy WebLinkAbout2324 La Costa Ave; BLDG A; 79-618; PermitLICENSED COHTRACTOR'S DECLARATION
I herl'by affirm that I am Ucensed under provi-
sions of Chapter 9 (commencing with Section 7000) of Division 3 of lhe Business and Prores-
sions Code, and my license is in fufl force and ef-
fect.
OWNER-BUILDER DECLARATION
L'I hereby aff;rm that I am exempt From the Con-
1ractor's License Law for lhe following reason
(Sec. 70315 .Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prtor to its issuance also requires the
applicant for such permit to tile a signed state-
ment that he is licensed pursuant lo the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
1he Business and Professions Code) or that is ex-
empt the<efrom and the basis for the alleged ex-
emption Any violation of Seel ion 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty ot not more than five hundred dollars
($500).
CI, as owner of the property, or my employees
wilh wages as their sole compensation, will do
the work, and the structure is not intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale_ If, however1 the building or improve-
menl is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
A as owner of the property. am exclusively con-
t~~bting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License law does not ap-
ply to an owner of property ·•ho builds or im-
proves thereon. and who contracts for such pro•
jects with a contractor(s) license pursuant lo the
conlractor's license Law} 1 ~
I am exempt under Sec:_~, B. & P.C.
for this reason ___ _
o,,, l&.t $-llS Owo" <::l\p; ~
WORKERS' COMPENSATION DECLARATIO~
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers'
Compensation Insurance, or a cerlilied copy
thereof !Sec. 3800, Labor Code).
POLICY NO.
COMPANY------· ______ _
,JCopy is filed with the City,
:-: Certified copy 1s hereby furnished-
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
!This section need not be completed it the per-
mi1 is for one hundred dollars ($1()0) or less)_
/ certify that in the performance of the work for
which this permit is issued, I shall not employ any
person in any mann,er so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption. you should become subjecl
to the Wor<ers' Compensalion provisions of lhe
Labor Code, you mus1 forthwilh comply with such
provisions or this permit shall be deemed ,esoked.
CONSTRUCTION LENDING AGENCY
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY __..,-~_-. :A
APPLlCATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES
:J: / NO.~ CT 79-5 ls~~-I I I I I
La Costa lf.t~0~REssb1.1,·fs-/1'rA'·-O AV~ST. IDATE OF APPLICATION BUS. LlCE.NS(
I R~ 3/31/79 I I I I I I I I I I t I I I I I I I I I I
OWNER
Duffy
,l · -"' · OWNER'S PHON"t
C ~ ~ j)_p./vw:, 4-3 6 -8 7 8 7
OWNUl''S MA?LING ADDRESS
7690 El Camino Real, CArlsbad I I
ASSESSOR'S PARCE::L NO.
PRi_M_,E COtiTeecTOR__. -r .,: ......,. .: .._ ~1/,./ STATE LICENSE
"p --.,,-• --,.-...---.... ,,~,'j,e. -~, ·~(,.£,\ ~
CONTRACTOR•s ADDRESS -
-+.£:Se El eam±nu
DESIGNER
r--, ·coNTRACTOR'S
-'"f'HONE !teal
STATiE l[CENSE 'JI. , BLOCK lSUBDI\IISION I
ti , La Costa Gr. 1 1 1 1 1 1 , 1 , 1 1
~--o-E-ws_._1_P_n_o_N_o_F_w_o•R-~~~~!"""'"/------"-L-.1.......1......1.---1.-.L-1 "'-..a...-'--"-L-.1....---4prederick J. Meyers ldLOG, ,l ( C/N/7S ,#, Ail,, tf.---L~ ,.. ::l a,7~..1--o~E-s-1G_N_E_R_'_S_A_D_D_R_E_s_s ____ _..;::. ____ -4-o_E_s_1_G_N_E_R_'s_P_H_O_N_E.....,
C 5034
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"I ./3A5.E,h,J5NT S / ~CC-LJ ,.u/ Tl Le ..€.~ , 3611 5th Ave. S.D. 297-1140
C EN SUS TRACT
PERMIT NUMBER
79~?1,q il , V
GP LAt:>fi,--1.;$ /("v ZONING \..~ ~,,,.,_,_~ $ -· I· ilEs. UN!B I ~RKI NG Sf'ACE . _l NUMBER OF STORIES
....:.,) f.F' -/~ sn 2 +&~"---;-Nat Valid Unhss MIJchine Cartified
BLOG St!. FT. BLDG USE 7,. /(;)0 < .z:-Mtd.--T/-o '/ . -.,.., __ ~--' ". J(p 5
ClTY. PLUMBING PERMIT AMT. QTY,
EACHFIXTURETRAP e_ 2~ ~-~ I..'::?
EACH BUILDING SEWER (!t ,r;-"'.'.:D / z: . ~ , '::j
EACH WATER HEATER ANO/OR VENT e,_2.0 u 1 /... e:::z;
EACH GAS SYSTEM 1 TO 4 OUTLETS 4) yJl ~. rn '
EACH GAS SYSTEM 5 OR MORE ~
EACH INSTAL., ALTER, REPAIR WATER PIPE,,. °).£1 ,,_ 7.., , '-al
EACH LAWN SPRINKLER SYSTEM ~ ...
MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
~//1,.,6 .,P~~l00,000 !!TU
AMT.
f;:.J ---~ , ..
BOILpi,ir-_,,-,RESSOR UPT03 HP ~--'
~· -=·· --·· __ ---: p P. ----". /o
BOILER/COMPRESSOR 16~
VENT FAN SINGLE ouc-r--
MECH EXHAUST -HOOD/DUCTS -26 .... ..,
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT .,,...-, 3 i71 3 ~ 1 • ,;,,t.:,r0. ~ U ... ---
TOT Alra ING
CONTRACTOR CONTRACTOR
QTY. ELECTRICAL PERMIT AMT. QTY. . 0 _A 6 NEW CO NSTEA AMP /SWT 1B KR ~ (!.,.?i,,r
1 PH .25 3 PH
/~--e,
TOTAL MECHANICAL
{.-<. -:::1/ SIGN PERMIT ( • A r, d>-0 _ I , I I I
.,b: ~ PLANCHECK ~ .A:_.,, 2,'-ll)_J , / I I ~ • i.--A-L-L-IN_C_l_U_SI_V_E_P_E R-M.l,,i~T...,i;;...7.,.:' =/7aTq.,.J'-,;_~--l=:=:.J......:_.1.l--1.___:---.JL--J
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
,
-J I I
EX 1ST BLOG EA AMP/SWT /BK R t -:,,,,, SET-UP SOLAR I
1 PH .25
REMODEL/Al TER PER CIR CU IT
TEMP POLE 200 AMPS
□VER 200 AMPS
3 PH ~-RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME .I' MICO·FILM '
I , I i I
I I I I
I ~
l '
TEMP OCCUPANCY (30 DAYSI I • I f
f/''7•-A~-t"JI
./_..,,,,. ... Iii' -•...:,
TOTAL EtECTRICAL
CONTRACTOR
,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEo;To COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION.WHETHER
SPECIFIE;D HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM·
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEDUENCE
OF THE GRANTING OF THIS PERMIT.
I , I I I
TOTAL FEES PAYABLE l '
I -,.
I
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE~t' 1I,7, f"'f><~j
5' 0" DEEf' AND DEMOLITION OR CONSTRUCTION OF ' , ,n d _,. ~ 1) /) \,' '••.
STRUCTURES OVER 3STORIES IN HEl:rT 1 / .ii:;__.-~ t; '
I/?. ~ DrlEt;;tl '7'~ == .:i,_o f!C, :~ . 11...<"-ii)... f\.~ ~. -Eil/Cj'A),?',tS :r ;2,(/()() ~(,Lr;~
APPLICANT'S SIGNATURE' \\ OWNER□ CONTAACTORn IAPPROV~D BY
... -
SITE ...-yJ, A-
ADDRE __ S_S_;_ -----------------------------· ______________ O_W_N_E_R_: __________________ P_E_R_M_IT_N_C_·_: -"------'rll'----""---'f'-1/;;..._,_-_____ ....;
FIELD INSPECTION RECORD ~-------------------------------------------------
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
F======================== ---=~-=================I WOOD FLOOR --
1 FOUNDATION• FORMS• SET BACK • TOILET
l.__u_N_D_E_R_F_L_o_o_R_P_L_u_M_a_1 N_G _______ --+-----+------->-------------------------------~,-----------------..... UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
I FIREPLACE.
DAMPER 8: STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER -
1!'1WP"►en2. ·-LEl
SEWER -SWIM POOL • STEEL BONDING
~~• PRE DECK
•-rENCE PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
ELEC METER-PERM-TE1'111"
;GAS METER-PERM-TEMP
i
To: ENGINEERING, FIRE, PLANNING, UTILITIES
FINAL INSPECTION NOTICE
Date 0/..2&?/~s-
Address ,2 3 ~,o ,;;( C:-tl,,J_ Plan # , 7 9' -'&;, / Z
Type of Construction _______________ _
-Person to Contact
Engineering
Department
Fire
Prevention
Planning
Department
Utilities
Department
-----------Ph. No~~----
oate (, ·2. ., if' Approv·a,....~~~~--
Date Approved
Date l. /~ 1 / },--Approved ~
Date Approved
Comments: ___________________ _
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS, IT WILL BE ASSUMED IT IS OKAY TO FINAL.
~-. -...,
I_C:ERT OF OCCUPA:-t_C_Y_I_S_S_iJ_E_D _____ ........ ~---'---------1
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0 I hereby I I am licensed under
provisions of 9 (commencing with
Section 7000} ot u1vlslon 3 of the Business
and Professions Code, and my license is in
ful I force and effect.
lie No Cl~'iS.
i hereby aftmn that I am e:.:empt from Iha Con-
;~~0{~~~~:;:: ~J' J~i!~~ti~~o~~~i\~r
coun!y which feQuires a permit to construc1:
iilter, improve. demohsl'l. or repair an'y structure,
prior lo it!i issuance aiso reqwres the applicant Jor
such pem11! 10 tile a signed stateme<'il that he 1s
11-ceosed pursuant to the-prav1s1ons of the Con-
iractm's License Law (Chapter 9 commencing w11h
Section 7(X)() of Di,,.,is1on 3 of the Business arid Pro-
te-ss,ons Godel or that 1s exempt !here1rom and th-e
b,;is1s for the alleg,OO exemp!lon Any ,..iolat1on o,
S&ct1on 700. 1.5 by an ~ppl1cant fm a perm1t subJects
me appl 1canl to a c1,..il p,e,oalty ol not more than 1,ve
hundred dollars (SSOO)
D I. as owner ot the property, or my employees
._..1th w~s. as the,r sole compensat,,;:m, will do the
wM, and the struc!urf! 15 not m!ended or of!ered for
S.We (Sec 7o«. Busmess and Protessfotis Code
The contractor's License Law does not apply to an
owner of propetty who bu1lds or 1mpro,..es. thereon and l#hO does such work h1mselt or thtough h,s own
employees. provided that such improvem0:-1ts ate
r.ot •ntende1 or altered for sale. If. Mowe,..er, the
buildin(J or improvement 1s sold w11hm ooe year of
compiet1on, !he owner-b1Jilder will 11.a-,,e the buroen ot pm1,iing thal he did not bu I Id or 1mp,01,1e for the
purpose o! sale)
D I, as owrief of 1he propert;,,, am exclus.1 .... ery
con-tractmg w11t1 licensed contrac!orn to cons1ruct
th@ proJect (Se-c 7044, 8tJsmess and Pfoh~ssjons
Code· The contractor s l1cens.e Law Ooe-s no1 app1y
to an owner ol propei,y wMo bwh1s O( improves
tl"iereoo. and-who coniracts !or each pro1ects w11h a
contractor(s) license p1...wsu.an1 lo lhe Contr;:;,ctor's.
License Uw)
D I am exempt under Se(; _
for 1 his reason
__ B &PC
D I hereb~ allirrn lh.al I ha·,,.e a cer11l1ca1e ot c.onsen1
to se~t-1nsure. or a cert1hca1e of Workers
Compens.a11on Insurance. or a certified copy H'l£'reoi
(Sec 3800. Labor Godel
POLICY t<O
COMPAt<V _ ··-/
~opy ,s Med Wl!h !he CilY ~
D Cert1t1ed copy 1s hereby furmshed
CERTIFICATl OF EXEMPTIOt< FROM
WORKERS" COMPENSATIOt< INSUR"-t<CE (This :section need no1 'be completed 1f the permit
1s for one hundred dollars !$100) or less)
D I ceni!y that ir1 the performance ot the work tor
wtuch U"HS permit is issued. I shall not employ any
persori m any manner so as to become subJ@ct ,o
!he Wo~ers· Compensation Laws of Cahforrna
NOTICE TO APPUCA.NT· If, after mak1n-~ this Ceir11-
1tcate ot E:a:empHon. you should become sub1ect t0
11"1e-Workefs· Compensation pro¥1s1ons of the L.abo-r
Code, you must forthwith comply w11h such
provisions or this permit shall be deemed revoked
D I here-by amrm 11"1at there 1s a construc11or,
ten-ding agency tor 11"1e performance of 1tle wo.-..: for wh1cti ttas pe-rm1t 1s 1ssved (Sec 3097. C1v11 Code)
Lenoe-r s Name ___________ _
Le-r1der's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFUHMA IIUN WI I MIN ::in11.uc.u l'~r:A Mru, .,~,._,._,..n ... 11vn..,.
CAR
1200 Eh.
\0 BUILDING DEPARTMENT APPLICATION & PERMIT ,;bad, California 92008 (714) 438-5525 ----------------------...,..-----------'l"""--B-U_S .. 1N'""E'"s-s-L·t-c"'e111N-S111E_#_ .... ___ V_A_L_U_A ___ T_I O_N ___ ...,, ___ P_E_R_M_I T_N_U_M_B""E'"R:---1
FLR ELEV .
REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE#
~3/9-//
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD FI F\E SPR
ZONE
BLOG USE CODE
BUILDING SQ. FOOTAGE
i / I ,i1c,: ~-•
Nor Va 4 d Un lesr ~c h,ne Cer tilied
QTY. PLUMBING PERMIT· ISSUE MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO,'OR VENT
------
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
t---t---------
EACH INSTA~. ALTER, REPAIR WAHR PIPE
EACH VACUUM BREAKER
WATER SOFTNER
INSTALL FURN. DUCTS uP TD 100.000 BTU
OVER JOO.ODO BTU
801LE RICOMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP -~--""-;..f---+-
MET AL FIREPLACE
BUILDING PERMIT +-----------------
SIGN PERMIT +----------<t--
PLAN CHECK
---__ 0_1-000-4221
01-000 4806 ------
TOTAL PLUMBING 01-000-4222 ----
ELECTRICAL 01-000-4223
VENT fAN SING LE DUCT MECHANICAL 01 000 4224 --------It----+--------------+--~-----n--------------------
MECH EXHAUST -H000/0 UCTS MOBILEHOME 01-000-4225
---------------
RELOCAT!ON OF EA fURNACEIHEATE R MOBILEHOM E PARK INSP ,_ ___ ,_ ___ ----· ---------+------·---1~ ·------
_ t~C_H_R_O_O_F_DRA_I_N_1 I_N_S_I DE) _________ ---+-----
TOH,L MECHANICAL
SOLAR
STRONG MOTION
01-000-4226
65-640-0519
-TOT AL PLUMBING ---I ~'===~♦--·--=--=,,=~-=====--=====.,...==,....-=~~""""41-'-Fl"-'R=-E=-SP'-'-R'-"INK_LE_R_S __ . . ____ 01_-000-4227
QTY. ELECTRICAL PERMIT -ISSUE
-----. -------,I----
NEW CONST EA AMP.-'SWT.,BKR -----+------.
I PH 3 PH I----..----------·----·----+--
EXIST BLOG EA AMPlSWT/BKR 1----..-----------·---. 1 PH 3PH
PUBLIC FACILITIES FEE
BRIDGE FEE QTY. SOLAR· ISSUE
-----
COLLECTORS SCHOOL FEE -DISTRICT
STORAGE TANKS .,._ __ __,_ _________ ----------------+---------ii Carlsbad
Encinitas ROCK STORAGE -------1---------1~---· ·------
PUMP 1---1----------------· --------------ll----+------------------------1--------111-
PLAN CHECK FEE
San Dieguito
San Marcos REMODEL/AL TEA PER CIRCUIT •---+------~--------~
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
_J__
-+--------11-------.
---------➔--------
25-000-4933
65·623-0519
65-624-0519
65-625-0519
65·626-0519
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
APPRO\IED BY
BVPHONE 0
-flj.--z .dO
DATE
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INSPECTION TYPE DATE INSPECTOR ,-
'7'"1-&' & -'PrP BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ. IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT i
SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO --
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI ---
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE --------
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE --PLUMBING FIELD WELDING ---
SEWER AND BL/CO -·-· -----------HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS --------------; SPECIAL MASONRY PLUMBING TOP OUT
TUB AND !;,HOWER PAN ......,___ ___ ··---~~-----
GAS TEST PILES CAISSONS
ELECTRICAL i --·
TEMPORARY POWER ~
E~ECTRIC UNDERGROUND ; -
ROUGH ELECTRIC
ELECTRIC SERVICE l
I
,I I ------
BONDING ,,
I
G. F. I. -SMOKE DETECTOR
MECHANICAL -----
DUCT & PLEM .• REF. PIPING ·-------
HEAT -AIR COND. -SOLAR SYSTEMS ' ----
VENTILATING SYSTEMS
--·--
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABO VE HA VE BEEN-APPROVED. --------
I ..
. -' ~ JOB SITE FINAL ~ .~ ~ PLUMBING -'(/1/l(__p,vtlV
ELECTRICAL I I ..
MECHANICAL r ~-----------
GAS -\ •··
·--------
BUILDING
SPECIAL COND" \JS -~~ .---------·. --· -----·· -----
CERT OF OCCUI ISSUED -.
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O I hereby af J am licensed under
provisions of Cl , (commencing with
Section 7000) of Dmslon 3 of the Business
and ProfHslons Code, and my license Is In
full force and effect. Loe No _______ Cl•ss
I hereby affirm that I .,, exempl from the Con-
~~~·~~!<;,::: ~ ~f~r::~~~I~
county which requires a permit to construct alte<, 1mpro11e, demoHsh, or repair any structure,
P,K>f' to its issuance also requires the apphcant for
such pemut to hie a signed statement that he 1s hcensed pursuant to the prOYtsions of the Coo-
tractor's ucense Law (Cl\apUH' 9 commencing with
Sect10n 1000 ot DtvrSIOO 3 of the Bus,ness and Pro-
fes51ons Code) or that is exempt therefrom and the basis tor the alleged exemptt0n. Any Y1otation of
Sectooo 7031 5 by an opptoeant tor a permit subjects
tne apphcant to a civil penalty of not more than five
hundred dollars 1$500)
0 I. as owner ot the property. or my employees w.1th wages as their sole compensation, will do the
w0f1il.. and the structure 1s not intended or offered for
sale (Sec 7044, Business and Profess,ons Code.
The Contractor's License uw does not oppty to an owner of p,098f1Y who bu1kfs or Impro¥9S thereon and wno does such w0f'k himself 0t through his own
empk>yees. provtded that such ,mproveme;its are
not Intef'\de1 or offered tor sale. If. however, the
building or improvement IS sokS w1thtn one year of
eompletlOO, the owner-bu1ldef w,11 have the burden
of provmo that he dtd not bu,td or improve fo, the
purpose ol -I
D I, as owner of 1he property, am e,cclusIvety contraclmi with licensed contr~tors to constNGt
the pro,ect (Sec 70U. Business and Professt00s
Code· The Contractor's Ucense Law does not apply to ~ owner of property who builds 0t improves ~~:;:i~ 7.:,c:~~!~: ~~~~~;~;:.:
License Law}
0 I am exempt undef Sec ___ .B &PC
torth1s reason ___________ _
□ I hereby affirm that I ha~ a cen,tieate of consent to self-insure. or a cer11f1cate of Wo<kers'
Compensa11on Insurance, or a cen1hed CO()y thereof
(Sec. 3800. ut>or Code!
COMP.,(NY ___ ____ _
>y 15 hied with the Cit)' ..A4---
0 Cert,hed CO()y IS ne,eby furn1C r
CERT I FICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
is tor one hundred dolla,s ($100) o, less)
D I cer11ty that '" the ~~e of the wont to,
which this permI1 Is issued. I shall not emptoy any person 1n any manner so as to beeome sut>Iect to
the Woftlers Compensation Laws of cahfomia
NOTICE TO APPLICANT It. after makm1 ttus Cer11
f.ute of Exemptt00. you should become subject t?
the Workers· Compen~hon provisions ot the Ut>or
Code. you must tortnw1th comply with such
prov1st00s or this permit shall t:>e deemed revoked
O I hereby afhrm that there 15 a constructton
lending agency tor !he perlOJmance ot the wotk fOf
wruch this perm,t ,s issued (Sec 3097. C1v1I Code}
Lenders Name ___________ _
Lenders AOOress __________ _
USE BALL PUIIII l'tll Ullll 6 YIIU~;~, . D BUILDING DEPARTMENT .... ------~~~LICATION & PERMIT ,. ,\
1200 Elm, __,ad, California 92008 (714) 438-5525 '-
JOB;.3~~ ~ Av~ 13~~ A~i.T-,DATE~#vl
O-ER'S NAME r t MeL-VJN_ ·'Zl4111-< I OWNER'S PHONE PRZZR $/.:~ 0-ER'S MAILING AODRESI
,~O~R~R;;DD~ e .L:., I~ .Jt>t.r,t-f!/ 1(zj:~.Qwz
1,n ,BLOCK l}~i~. -·--el NO DESIGNER -I Uk:· r7 I·"···· .. ··••m
I OESCRtP'TtON OF WOIUC
I&~/+ -VNl..,-.S _Jt,t,3 -d.· F/P FLA ELEV.
vO NO
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING ~ERMIT ISSUED
YO N 0
REDEVELOPMENT AREA
vO NO
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100.000 BTU
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT I BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE
EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
Ll TOTAL PLUMBING I
-TCJTJ;L MECHANICAL
IQTY. I ELECTRICAL PERMIT -ISSUE ~ ,a,~ QTY. I SOLAR -ISSUE
~ I NEW CONST EA AMP/SWT/BKR 4.t1t)4l_1fe. / /Jn_ ID, I COLLECTORS
1 PH 3 PH --. STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
I PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL I I O'l.1:£. TOTAL SOLAR
NO
STORIES
TYPE
CONST
BUSINESS LICENSE #
)A(//~
CONTRACTORS PHONE •
LICENSE NO.
.,_Y-33'1 I
STATE LICENSE•
DESIGNER"S PHONE
OCC GP EDU
OCC LOAD I FIRE SPA
vO NO
VALUATION PERMIT NUMBER
ZONE 1q-t,1BA£
PLAN I.D. # BLDG use CODE
STANOARO PLAN# BUILDING SQ. FOOTAGE
I /0~/~26~50 102~0
Not Valid Unlt!Ss Machint Ctrtifi«J
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·000·422Q
SIGN PERMIT 01-000-4221
PLAN CHECK 01 ·000-4806
TOTAL PLUMBING 01-000-4222
ELECTRICAL 01-000-4223 I b '2 . //lJ
MECHANICAL 01·000-4224
MOBILEHOME 01·000-4225
MOBILEHOME PARK INSP
SOLAR 01-000-4226
STRONG MOTION 65-640-0519
FIRE SPRINKLERS 01-ooo-42iz
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 65-623-0519
Encinitas 65-624-0519
San Oieguilo 65-625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE l /t',.Z~
I HAVE CAREFUU.Y EXAMINED~~~TION AND PERMIT .. AND DO HEREBY &pirallon. Evwypemlil.-bytheBuildlngOlf,c,elunderlheprov111on10fth11 CERTIFY UNDER PENALTY OF l'ERiUR"t 1HM: Al,L. INFORMATION HEREON INCLUDING THE 0tldll -expore by ~ and become null end vo,d If the building or work * AN 06Hi\ PE~ IS IIE0UIRED FOIi EXCAVATIONS OYER
5· O" DEEP AND DEltlOUTl0N Ofl CONSTRUCTION OF
STAUClUMS OYER 3 STORIES IN HEIGHT DECLARATIONS ARE 1RJE ANO COAAIC;1' Mel l'URnfER CERTIFY AND AGREE IF A PERMIT IS aultlorind b)' such .,.,,..it iS not corn,,_ced within 180 days from the date of sucn
ISSUED: TO COMPLY WITH ALI. CITY, COUlflY AND STATE LAWS GOVERNING BUILDING CON-=.:i 1~ Ille ::x.: work aulhor!Zed by IUCh permit 11 1u1 ded or
STRUCTION, WHETHER SPECIFIED ffalEllif OltllOI'. I ALSO AGREE TO SAVE INDEMNIF.Y AND Ille work• commenced for• nod of 1
DATE
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~ .c ~ KEEP HARMLESS ntE.CffY OF~~. JW. UA. BIUTIES. JUOGMEt.'tS. COSTS AND GNATURE • OWNE~ CONTRACTOR APPROVED BY
EXPENSES WHICH -1 IN . ,ANY WAY ~MIMC&f SAID CITY IN CONSEQUENCE OF THE ~ ,r--:-
GRANTING OFTtM'flllllWn'! -• ~ ~ 1 1 . e .s-i--1
INSPECTION TYPE DATE INSPECTOR . . ~,,. '41 ~ A-E BUILDING FIELD INSPECTION RECORD
FOUNDATION
RElr:iFoRCED STEEL REPUIR.Ep SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
------
GUNITE OR GROUT SOILS COMPLIANCE
PRIOR TO ------FLOOR & CEILING SUB FRAME rOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI ---PRE STRESSED EXTERIOR LATH lNSULATION CONCRETE
----------------~
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE -PLUMBING FIELD WELDING --
SEWER AND BL/CO ----~ ~---------~----------HIGH STRENGTH
PLUMBING UNDERGROUND I BOLTS
I r------------------------------·
PLUMBING TOP OUT SPECIAL MASONRY
-1 I TUB AND $HOWER PAN I ----
GAS TEST ' PILES CAISSONS
-· ELECTRICAL !
-------
TEMPORARY POWER ----------------
~ECTRIC UNDERGROUND I ---
! ROUGH ELECTRIC
ELECTRIC SERVICE
! ---------BONDING ;·1
G. F. I. SMOKE DETECTOR ~ -
I MECHANICAL ~--------'------;-----------------------------
DUCT & PLEM., REF. PIPING ' -------~ ----~
HEAT -AIR COND. -SOLAR SYSTEMS ------------
VENT! LA TING SYSTEMS
----~-
CALL FOR FINAL INSPECTION WH5N ALL APPROPR!A TE ·, -. ' ' '. ------------ITEMS ABOVE HAVE BEEN-APPROVED.
'• '. . -JOB SITE FINAL -------------
PLUMBING /.1) ------~ -
ELECTRICAL -.----Wl1 'C,/"-_.,. .. < <
< • ~" -
MECHANICAL -I I
F
---------~-----
GAS I
------·~ ------· --~--~ BUILDING '
SPECIAL CON01-r· . 'S ·-,_____ --..___,_,_____~"~-------------
CERT OF OCCUPJ ,SUED
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In full force and effect. Lie No _______ Class _____ _
I hereby affirm that I am uempt from lhe Con-
~!t~~~f:':: ~ ~r~~:~c!l/~.~ county which requires a permit to construe t
alter. improve. demolish, or rep,air any structure,
prior to ils issUAnee also requires the applicant tor such pemut to hie a signed statement that he is
hcensed pursuant to the prOY,sions of the Con· tractor's license Law {Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-
fessions Code) or that is exempt therefrom and the basis tor the alleged exemptlOf'I. Any v10latt0n of
Section 7031.5 by an applicant f0< a permit subjects
me applicant to a civil penalty of not more than five hundred llollan ($!i()O).
0 I, as owner of lhe property, 0< my employees
*ith wages as then sole compensation, will do the
work. and the structure 1s not 1ntended or offered for S.e (Sec. JOU, Business and Professions Code:
The Contractor's Ltcense Law does nol apply to an owner of property who buHds or impt'oveS thefeon
and w"'° does such work himself or through his own
employees, provtded that such 1mproveme:1ts are
not intende1 Of offered for sale. If, however. the
building or improvement 1s sok1 w1th1n one year of completion, the owner-builder will ~ the burden
of p,ovino that he dtd not build or improve tor the
purpose of saleJ.
□ I, as owner of the property, am exclusively
contractinsi with hcensed contr~tors to construct
the pro1ect (Sec. 70.U. Business and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves ~~~i~~ 7i~~nc:'~~!~~~~ ~~~~'~\~~::.:
License Law)
D I am ••empt under Sec. _____ , B. & P.C.
for this reason ___________ _
0 I hereby affirm that I ha·.,e a cert1f1cate of consent
to self-insure, or a certificate of Workers'
Compensation Insurance. or a certified copy thereof
f$ec. 3800, LabO< Code).
POLICY NO
COMPANY --rl~-
0 Copy 1$ ,.-::::£~
0 Certified capy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permll
1s tor one hundred Ck>llars ($100) or less)
D I cer11ty that in the per1ormance of lhe wOf'k tor which lh1s permit 1s issued, I shall not employ any
person 1n any manner so as to become sub1ect to
the Workers· Compensation Laws of Cahfom,a
NOTICE TO APPLICANT II, alter makin3 lhts Cer1t•
t1cate of Exemption. you shoukS become sub1ec1 t')
the Wortcers· Compensa.t,on prov1s1oos of the Labof
Code, you musl forthwtlh comply with such prov1s1ons Of this permit shall be deemed revoked
0 I hereby affirm that !here ,s a construction
1 lending agency lor lhe performance of lhe work to,
which lh1s perm11 1s issued (Sec X>97. C1v1t Code)
Lenoer s Name ___________ _
Lender"s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfomla 92008 (714) 433-5525 J08d.,ut-~~ ~ A~:T.ID9/2~p;vNI
BUSINESS LICENSE # VALUATION PERMIT NUMBER &.,o ,4 I.hi--CEM~ I OWNER'S PHONE PIUME CONTRACTOR , , CONTRACTORS PHONE t ZONE 11-&l~K J;;,AJ~ hl A 12 cu 5> l=n " &> 7,,.,_s-1, f
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
JW .... ' ---~~kl C:t-~ t""'t>, .17-:. f,bfAucffo £,/. //,,./f II C ),-04 3'1~
~DPLAN# LOT I BLOCK I SUBDIVISION I ASSESSOR PAACEl NO. ~~R AJJ/244$ 93-bfo'/ STATE LICENSE # BUILDING SQ. FOOTAGE
-11-'7/;B A-DESCRIPTION OF WORK
DESIGNER-S ADDRESS DESIGNER'S PHONE
~t-.-u\...\~ \,'2..16 ~(e~1~,~~~~ 96~:'1
----F/P FLR ELEV. NO OCCGP EDU 0001~ae~ 9/e7tse: es~~n
M.~. STORIES ···-· ----. ()r-,JUJ vO NO --
CENSUS TRACT GP LANO USE I PARKINGf;PACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO vO NO Not Valid Un.ss Machine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT -ISSUE -a.a:> SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ~ INSTALL FURN. DUCTS UP TO 100,000 BTU J"L,./'D BUILDING PERMIT 01-Mll-4220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK OHl00-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS ~ 801! FR/COtfPAE9SOA 3-13 HP r:,fl..\/lJ!IZ. /,. .a::, TOTAL PLUMBING 01-000-4222
EACH GAS SYSTEM 5 OR MORE 7-Z METAL FIREPLACE Q.aJ ELECTRICAL 01-000-4223
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000·4224 ~I-,~~
EACH VACUUM BREAKER J?, MECH EXHAUST -HOOD/DUCTS /}/_.✓,n MOBILEHOME 01-000·4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOTM MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I "12.UD FIRE SPRINKLERS 01-000·4227
PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TAN KS carlsbad 65-623·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I s?-
I HAVE CAREFULLY EXAMINED THE (:<)MPLE'1'Elf ~~'h8M.ANl> ~ANQ DOHEfll!i8'I' ~-&.ypennlt lleuedbylNBuildlngOflicialUl1dertheproviaionsollllill * ANmtM ll'EMIIT •REGUIIEDl'Olt ElllCAVAllONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFONfA1l0N H1!11101J ~ ~ ........... lllil' ~and__,.. null -•oicl. II the~ or -,ti ·I" 0-l&P AND OIIICIUn0N OllCCINSTRUCTION OF DECLARATIONS AR£ TRUE AND CORRECT AND I::= Cli!Rf1F.Y ANClAGIIEE IF A PERMtT IS autllonZ9d br IUCII .,..II 18 not -iced within 180 days from the of eucll STflUC1UMSOIIEIIIS10Nlll•HIIGlfl' . . .. .. perntlt. Ot if Ille ~ -,ti lllllhoriled by ...ch pe,mll Is or ISSUED: TO COMPLY WITH ALL CITY, COUNTY, MIO Sf: LMlfS GOVEANING BUll,IIIN8·CON-abandollld 81 -.. Ille wort, ii -iced to, a__....."' 11111-•
STRUCTION, WHETHER SPECIFIED HEREIN QR NOT. I Al.80 AifillAEE TO SAVE INDEiAllf"I AND APPI.ICANT'S SIGNATURE • OWNER□ CONTRAC~~ APPROVED BY ' ,-I \-DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. UAa.ffillS. JUOGl,tfitlTS, COSIJ-M.8)
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAllilST MID QITY IN CONSEQUfNCE CF~ ~ GRANTING OF THIS PERMIT. . ~ ; · BY PHONE 0 r J_g .e,'2--
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INSPECTION TYPE DATE INSPECTOR . -7t::/ ~/,? I ~-,4--l1'\
BUILDING FIELD INSPECTION RECORD
FOIJ~DATION
RE,NFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
l\4J.SONRY INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPL;ANCE
FLOOR & CEILING SUB FRAME PRIOR TO -··----
FOUNDATION INSP
SHEATHING ·-----------~-~·-·. STRUCTURAL CONCRETE
FRAME OVER 2000 PSI --r----------· --· -· --
EXTERIOR LATH lNSULATION PRESTRESSEO
CONCRETE -----·----------~
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING I -----------1 SEWER AND BL/CO HIGH STRENGTH -------~
PLUMBING UNDERGROUND I BOLTS
I -~ --------------·--··------·-------·---·--------7 PLUMBING TOP OUT ! SPECIAL .,_,,ASON9Y i . ----I ' TUB AND ~HOWER PAN ~ -----=-l : ---·-------·-·--·--f----.
GAS TEST ! PILES C/'I.ISSONc'.
ELECTRICAL --~---~-
,4 i ' TEMPORARY POWER -------------------------~-
~LECTRIC UNDERGROUND ' --~----------------~~-~---
ROUGH ELECTRIC -----
ELECTRIC SERVICE
I ·------~------------BONDING ' --G. F. I. -SMOKE DETECTOR
MECHANICAL i
! -•-----------------···---------•~-
DUCT & PLEM., REF. PIPING \
---·-·---------· --"'-
HEAT -AIR COND. -SOLAR SYSTEMS --~---~
VENTILATING SYSTEMS ·--_. -
~---
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE i ' ITEMS ABOVE HAVE BEEN APPROVED. -·-------·-· --·--·-
JOB SITE FINAL . ,-
' I t -'. . 'f ·-------
PLUMBING ' --ELECTRICAL /')
MECHANICAL ----('/\Ill~ ,.---
----~
GAS 1/ -,, ---
i ··• --... ---------~-----BUILDING ........... ~ ~. ... \
SPECIAL CONDITIONS -~~----~
CERT OF OCCUPANCY ISSUED
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· L.RCDStA
E:XECUTIVE OF'F'ICES
July 13, 1982
; . Mr. I-lel Davis .. -. --·
Trinathan, :r.nc. . . . .
2320 La· Costa Avenue•·:-._',;,~;.~,,~•:, · ,. __ ·;·:·_: _· -~-
·carlsbad, .·•cA 92008 __ :;~:,~~?~\:z.:":::,::·,~:..-.:~\~i-~-:·z,;:: .. · .. :, ...... ,· ..
·. ·•·· -·~-(!fa~:;;::~~:'.~~~~
Dear Mr. Davis: ,;. . . ~
. ,; -_. { -.
·•. -•.
■ • ~ : ••• :.
Since our _meet;ing-.on the 9th·_ of July, I: have· met. with the
con~erned management cf.La Costa Golf Course.
I have been informed that the insurance company will not·
perm.it us to allow any access onto the· Golf Course from
private property. This becomes an "attractive nuisance,•
and makes thbse·people illegally on the Golf Course vulner-
able :to injury. :I am certain you can appreciate our ·
position.
I _further learned that there are no immediate plans for
substituting a pipe where the present open ditch exists.
There would be no problem in your continuing your land-
scapin·g up to the re£erred ditch. · ·
Thank you for your cooperation in this matter. ,/
IR:blt
cc: Dick Rudolph
bee: Tommy Jacobs
Sincerely,
. LA COSTA HOTEL AND SPA . _
Jw I.rv Roston
•
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'· •
15 December 1981 Project No. 00001
Mr. Mel Davis
TRINATHAN, INC.
2320 La Costa Avenue
Carlsbad, California 92008
Subject:
Reference:
Masonry Footing Inspections
Alta Verde Condominiums
La Costa, Carlsbad, California
Dear Mr. Davis:
As per the request of Mr. William Tadlock, we have performed the footing
excavation inspections on all excavations for the concrete footings support-
ing the masonry walls on the aforementioned project. This also satisfies
our requirements per our Limited Soil Investigation for the same project,
dated February 29, 1980, our Project No. 00001.
All footings were excavated to specified depths and widths. The bottoms
of the excavations were neat and cleaned. All masonry footings inspected
were approved and signed off by our Staff Geologist on the stamped sheets
for the project.
Inspections were made on November 23, 1981 on exterior masonry footings
for Buildings A, D, F. and C. On December 1, 1981, exterior masonry
footings for Buildings B and E were inspected. On December 7, 1981, in-
terior masonry footings for Buildings C and F were inspected. On December
9, 1981, interior and exterior masonry footings for Buildings B and E were
inspected.
Should you have any questions concerning this communication, please do not
hesitate to call this office.
Sincerely submitted.
TORREY PINES CONSULTING
~f-?~·
Dennis E. Zimmerman, P. E.
C26676
c: ( 1') Ad~ressee
l':m1t::
Staff Geologist
JO.Box 38 •Cardiff-By-The-Sea• California. 92007 • (714) 436-3555 • (714) 453-6663