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Home My WebLink About2326 La Costa Ave; BLDG D; 79-618; PermitLICEN,,SED CONT~RACTOR'S DECLARATION I hereby affiim thi."t I am licensed under provi- sions of Chapter 9 (coml,l)~ncing w'l.h Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap· plicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars {$500). C' !, as owner of the property, or my employees with 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 hims.ell or through his own employees, provided that such improvements are not intended or of- fereC!-for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he tid not build or improve for the purpose of sale). ·~:I, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business <'.nd 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 to the contractor's License Law). I am exempt under Sec. _____ B. & P.C tor this reason o·~te \Q~( $,-£> Owner C');;l.$:::,, WORKERS" COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certilied copy thereof {Sec 3800, Labor Code) POLICY NO. _______ _ COMPANY ____________ _ "lCopy is filed with the City -~CertifieOcopy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This ~action need not be completed ii the per- mit 1s for one hundred dollars {$100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner 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 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction len- ding agency tor the performance of the work for which this permit is issued (Sec. 3097, Civil Code). .... I I I vr .... ,.,,nL...>J:>l"l,L.,l'-o;;,U11 ... u11, .... U'o;;;.r-Mn, • .,,o;;;.,, I USE BALL POINT PEN ONLY _'.),.., ' ii:" APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. -iTo. / ~ ,.. " I I I I I :u ~"I'~ / ~ _'::J"Y"t<-C\tT. 1 DA~ o;;/~,,N] BUS. LICENSE r 1 1 1 1 1 1 1 " • 0~ ,, PRl/ 1/71 A /• ..p 1,1 V OWNER'S PHONE I ~,U,-,N-~-,_, // .J• ----e~.1 . ~ "1! AC -v. .r. •~•••bd -. AWllbr. /.,,1, .. 'v. STATE L!CENSE CONTRACTOR'S ADDREsil/ ] CONTRACTOR'S PHONE 072 }';;"~'~ ~n tl l;,:/11. 4?4 t? · a, o L--'-.Ji.:::.L.,-,,:..---'r,,;-;;5ii;...;v,=1oss:_!.2'::o:1, 0 <.:. .A"='=-.~~ "'"'°"' """ '"· '-:]., 1 ' l C ~ O I CENSUS TRACT STATE LICENSE _ DESIGNER r 3 (f .~ /.;-"I-• 111-...,,_. ' • • " °'so""' s , ""' ./) "'=-lv.~:,1/,!'.'.'!Z_'l~:s;-____:!.~rc,ij,~r=~=--L---i 'i'i',""/~'."(h.,_ . s. /) ::J/-L/~J, fS , GP LAND~USE L, .,_. ZONING .),.'J 7-t/Yo UNITS PERMIT NUMBER 19-t,Jf J) /I ' " L tn,, 1 "' I PA"'"' ""' # c;. I"""'" o, """' sq. ft. /')t?l.:, :;,;i.. d.JJ~. Not Valid Unless Machine CartifitJd B75/h S·?'= BLDG USEMIA'C..-7/-.cev~ <-,/ .,t,t; /2. ~1 / """" '"". / "7q: &/P l"'t1:~ e..,/p'~' ~~ / QTY. PLUMBING PERMIT MECHANICAL PERMIT AMT. wxl EACHF1XTURETRAP®.2.ou )NSTA---II r I EACH BUILDING SEWER 06'°,d o ~ , ~<: 11 o II. ? I ,/vwa/· AMT-II QTY. I ~.-,~II I LL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU EACH WATER HE -·-·· --------· "' ~ ,H /~.11 • II ,3 3.00 TOTAL PLUMBING on,, co1,-nuoo!:~£QR 16-30 HP I ou1L~n1vum..-nr.,.- I VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEAT. ISSUE ' TOTAL MECHANICAL CONTRACTOR ...,_;_-=,;; NTRACTOR QTY. ELECTRICAL PERMIT MJQILE ltOME PEitlvli I /JIJ NEW CONST EA AMP/SWT/BKR AWNING • A l PH .25 JPH f' EXIST BLDG EA AMP/SWT/BKR PORCH SET-UP -/- 1 PH .25 REMODEL/ALTER PER CIR ISSTTR TOTAL ELECTRICAL CONTRACTOR / O· C '-' 2,nn I/. ~ ,, 3-q RAMADA. CABANA FENCE OVER 6' TOTAL MOBILE HOME ~ £:j ~ TSS '®-,?ire V .i'-17"' .. ,0'1) ;;.__7:, .(l" , -nn --, . ~ Cl,~ v.111 5_00 ..... "rv >I-BJGCJ" To r1P,M---- ~vA--t-Of=-~J VALUATION d, ""3-1-R; <ht:;-!'Y BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR strong motion MICO-FILM TOTAL FEES PAYABLE I ./4Co. "I~ l I I · l I I \} I i:, i~" 1" I I ( . _1 I I I I _l _l_J _l _l _l_J J I .. I /j~~ ~ -, I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT. AND DO HEREBY CERTlFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUE□;TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST A LL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~--FEz--s-_ .. _fsl#· ~ 5'-0"" DEEP ANO DEMOLITION OR CONSTRUCTION OF . t1 '1 ~,, // t:/o STRUCTURES OVER 3 STORIES IN HEIGHT .:frA',1\) 0/(2~.l/7' :t!! o'V Yi:;, - 25\l<"'/A.!1~ '2',, ;;;u;d2) ,::i, J' i//,¾§__ I , 1/-. @.. OF THE GRANTING OF THIS PERMIT DATE ~ i ~ 5 i'= ~ a. "' ~ coNTR -/1 AGENT O BY PHONE Q ~ I /tJ :(t-ki ,,. .. -SITE . ADDRESS: ·~ OWNER: PERMiT NO: FIELD INSPECTION RECORD I INSPECTION DATE INSPECTOR INSPECTOR'S NOTES , WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING ... 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 -, ----\.. FIREPLACE ' DAMPER &STEEL ' ·,:,-J . PLATE Tl Es/HEIGHT OF CHIMNEY ~---~. ---." ~.---.... -•.-.,..._ OTHER •+£MP ~!! ..... LE) SEWER ~s, - SWIM POOL• STEEL BONDI NG --..... • PRE DECK --._NCE PREPLASTER SHOWN • FRAME ., I PAN ' ........ . ' FINAL INSP BY BLOG DEPT ~.\... ! OT~ ijjiii,i,i,,';'a iji;~ ~MPLETED --; i ~ METE~-PERM-TEMP -- t-· jGASMETER-PERM-TEMP I --~--- ---- CERT OF OCCUPANCY ISSUED -- • ~[ = ... z 8 II: Ill Q .., 5 I Ill z 3 0 0 I hereby al am licensed under PfOYlalona of C', J (commencing with Section 7000) of "t.1o .. ofon 3 of the Business and Professions Code, and my license Is In full force and effect. l.Jc No ______ Class _____ _ I hereby affirm tl'lilt I am exempt from the Con- ~:o;·~~!;,:'; ~ ~.~:~~ ~i~ county which requires a permit lo constn,ct alter, improve, demohsh, or repair any structure. pt'lOr to its 1ssUV1Ce also requires the applicant tor such pemut to file a signed statement that he is hcensed pursuant to the provisions of the Con-tractor's Ucense Law (CNPter 9 commencing with Section 7000 or Dtv1sion 3 of the B<Jsiness and Pro- fessions Code) or that 1s exempt therefrom and the basis for the alleged exemphon. Any v,olatton of Sect,on 7031 5 t,y an applicanl f0< a penn,t subjects tne applicant to a civil penalty of not more than five hundred dollars (S500). 0 I, as owner of the property, Of my employees -.1th waoes as their so~ compensation, will do the wont, and the structure Is not intended or offered for sale (Sec 70W, Bus,ness anil Professions Code: The Contractor's License Uw does not apply to an owne, of property who builds or impr<WeS thereon and who does such ~ himself or through his own employees, provtded that such ,mproveme;its are not inteode1 or offered tor sale. If, however, the building or improvement 1s sokS w1thtn one year of completion, the owner-OUitder will have the burden of proving that he did not buitd or 1mp.-ove tor the purpose ol salej . i '3 0 □ I, as ownet' of the property, am exclusively contrac:tm9 with licensed contr~tors to construct the protect {Sec. 70U. Business and Protesst0ns Code: The Cont,actor"s License Uw does nol apply to an owner of property who builds or improves thereon. and who conHacts for each proJects with a contractor(S) hcense pursuant 10 the Contr.ctor's license L..1w). j:'. : ... < .., Iii Q z 0 j:'. ~ z IU 11. ~ 0 u <I) cc IU :,.: a:: 0 3 0 lamexemptunde<Sec _____ .B &PC forth1s reason ___________ _ □ I hereby affirm that I hal'e a cen,ticate of consent 10 self-insure. o, a certificate ot Workers· Compensahon Insurance, or a certified copy thereof (Sec. 3800. LabOf Cooe) POLICY NO __________ _ COMPANY = ~ )9.. Copy ,s hied with the city ~ □ Certified copy 1s hereby furnished 't: CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed ,t the perm,1 1s tor one hundred dollars ($100) or less) D I certify that m the performance of the work for which ttus permit 1s issued. I shall not employ any person 1n any manne, so as to become sub1ect to the Workers· Compensation Laws of Cahforma NOTICE TO APPLICANT If. alter malun~ th,s Cert•· hcate ol Exemption. you shOutd become subJect t? the WOf'kers· Compensation p.-ov1s1ons or the Laboe Code, you must forthwith comply with such prov1s1ons Of this permit shall be deemed revoked IC tt,,"'IC,ng agency •or !he pet1ormance ot the wof'k to, ~ w•cn U'IIS permit 1s issued (Sec J097. C1v1I Code) l O I he,eby affirm lhal there 1s a construct1on z . w Lenoe, s Name ___________ _ .., Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~ CARI 1200 Elm, D BUILDING DEPARTMENT ,ad, Callfomla 92008 (714) 438-5525 ( ~ APPLICATION & PERMIT J08A~~ L-A.~ Al~ ;gu:, I> OWNER'S NAME9 C M.f:Ul~lt~ l OWNER'S PHONE OWNER'S MAILING AODFIESS '"'° S:..\o:a y,.J 0-~ CJ> uz. LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESCRIPTION OF WORK 1----------------------------------- '?,IJ?_ ~ul'-ltrs_~J4. tS -;:zu~,J~ CJAJL..A4 A~:TJD;:E,O~e~NI BUSINESS LICENSE # ?.. '-I I '-1£./ PIIIUIE COfllTRACTOR CONTRACTORS PHONE • 44C<-l\_'B ----COMTRACTOll'S AOORl!SS LICENSE NO. (Z~ B ~ ,ruca.,ttv.:.. m,1ee, DESIGNER - lt>i'6' l l\m,t&(QI$ ~~::~SE# OESIGNIER"S ADDRESS / ) DESIGNER'S PHONE F/P FLR ELEV. YO NO ~ STORIES occ GP I EDU CENSUS TRACT I GP LANO USE I PARKING SPA-CE I RES #NITS I GRADING f'.ERMIT ISSUED YO N 0 l REDEVELOPMENT AREA vO NO TYPE CONST DCC LOAD I FIRE SPR vO NO ------VALUATION PERMIT NUMBER ZONE 7/-IPJgr§P> PLAN 1.0. # j BLOG USE CODE 1C1-loJ~~ STANDARD PLAN # BUILDING SQ. FOOTAGE I/ I 2 /826672 OOOl°S512 1/12/A~ Nor Valid Unless Machine Certffitd 11.i7.ar I Pfj£ ,0 QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER ~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220 ~ EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221 "! EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 ~ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 lll:1 .,70 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223 EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224 ' EACH VACUUM BREAKER MECH EXHAUST -H0O0/OUCTS MOBILEHOME 01-000·4225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-000·4226 TOTAL PLUMBING l QTY. ELECTRICAL PERMIT • ISSUE NEW CONST EA AMP/SWT/BKR TOTAL MECHANICAL i4-7:PD1 QTY., SOLAR -ISSUE COLLECTORS STRONG MOTION 65-640-0519 FIRE SPRINKLERS 01-000-4227 PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 65·623-0519 EXIST BLOG 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 PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) ' TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE i l A--1. rJV I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY &pirdon.E1aypenni1......,brlheBulldlngOfficialundertheprov111on10fth11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Codlt .... _.,... lllr llffllllllllln anCII become -Mid VOid II Ille building or worll * AN OSHA PERMIT IS REOUIAED FOR EXCAVATIONS OVEfl s· O" DEEP ANO DEMOUTlON OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS =--~ :::"..:: ~ nGI~ within 1_,days from the date of such ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L~*!•~•!:::..~a1~~~--~~--~ort._~--~--!!!!eullloflzN!..:•!!J!-!!!!!!-!!!.!!':.ct5!!isueh!..!for~!Lpe,~m:ijiti!!jisqrauapendedj_iUin::..::o:_r -~"!"'!"!"'!...,,...,... _________________ J STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 8 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPUCANT'S Sl~:l'UAE 4 ~RD CONTRACTOR O APPROVED BY STRUCl\JAES OVER 3 STORIES IN HEIGHT • DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OF THE ,/'J ~ _/ M.._ GRANTING OF THIS PERMIT. < r// ~ rJ ..... .-.--===--BY PHONE 0 ~ I ·l ·0 ·B2- ~ u: >-i;; 0 C. E (:!. I 'O 0 (!) c l1I .2 C. C. <( I -@~ ~L 0 "' "' Cl) "' "' <( I ,: .2 Q) >- ,,; "' Cl) u 0 ct l1I <ii 0 §: Cl) u C l1I C u: C Cl) Cl) (5 0 0 Cl) C. "' C ~ .c ~ INSPECTION TYPE DATE INSPECTOR ' • . •. BUILDING FIELD INSPECTION RECORD FOUNDATION ; REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REl~fORCED STEEL r -i,,,- MASONRY INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL ~ ~-,--------------- GUN!TE OR GROUT ! I SOILS CCJMPUANCE FLOOR & CEILING SUB FRAME PRIOR TO -----~-- SHEATHING I FOUND/, TION INSP --~-•--------------~--~ --· ----~----~ FRAME 1 srnucTURt;L corKRETE OVER 2000 PSI -~--~-~-----~--t---~----- EXTERIOR LATH lNSULATlON I PRESTRESSED CONCRETE -~ ----~ INTERIOR LATH & DRYWALL I POST TENcH)NED CONCRETE -->-----------------~ PLUMBING I FIELD WELDING ~ - SEWER AND BL/CO IHIGH STRENG~~--~------~---------~-------------------------~---~------~------ PLUMBING UNDERGROUND I BOLTS ·-~--~~--~-~ -----------• --• ----- PLUMBING TOP OUT I SFECIC\L MASONRY -~-f--' TUB AND ~HOWER PAN I ~· -------------- GAS TEST ! Pl LES CA I SSON.' ELECTRICAL I f---------------~~-~--~-- ' TEMPORARY POWER r ~--~~----- I ELECTRIC UNDERGROUND ~ ------ ROUGH ELECTRIC r ----"~~--- f!..ECTRIC SERVICE I •BONDING 1 -■---~-----. ' I G. F. I. -SMOKE DETECTOR MECHANICAL .. -------.------·· DUCT & PLEM., REF. PIPING ' \ .. ' ... ·-. ' ----·-----·--- HEAT -AIR CONO. -SOLAR SYSTEMS ' ------------.. VENTILATING SYSTEMS -----------. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE I . ITEMS ABOVE HAVE BEEN APPROVED. ------------·-· - JOB SITE FINAL 1 ' 1/1 \ I '• -. --.. I -' - PLUMBING iNJ/1~ ELECTRICAL I I·"=" ------ . -. MECHANICAL I -~----~- GAS ·-. ('--' '--t= . - ·- ----~---·--·----- BUILDING SPECIAL CONDIT'"'IS -· ~--------~--. ---------· CERT OF OCCUP.C \SUED CII z 0 ~ .... a:: ~ iii 0 i ~[ ~ 8 IC .., 0 ~ 5 I .., z ~ z 0 s z .., IL 2 0 (,) CII ic .., >o:: a:: 0 ~ i[ O I hereby at{ am llceneed under pro¥1slons of Cl., (commencing with Section 7000) of Do., •• on 3 of the Business and Professions Code, and my license Is In lull force and effect. Ltt No _______ Cius _____ _ I hereby attmn that I am exempt from the Con· ~:o;-;~;f::: ~ ~l~~:.~c::l.~~ county whteh requires a pennit to construct alter. unp,ove, demohsh. or repa,r ,ny stnJetunt, pnor to its issuance al,o requires the appfteant to, such pemut to file a signed statement that he ,s lteensed pursu,.nt to the pro¥isions ot the Con· tractor's UCense Law (Chapter 9 commencing with SectlO<l 7000 of Dtv,sioo 3 of ttle Busmeas and PIO- fessK>ns Code) or that 1s exempt thefefrom and the basis t0< the alleged exemptlO<l. A,., v101a1ioo of Section 7031.5 by an applicant for a permit sut>;ects tne applicant to a civ,1 penalty of not more than fwe hundred dot-($500). □ I, as owner of Ille property, 0< my employees .. 11h wages as their sole compensation, w,11 do the wOfk, and the structure 1s not intended Of offered tor sale (Sec ~. Busintts and ProtessiOlls Code. Ttle Conlract0<'s License Law does not apj)ly to an owne, of property who bu1k,s or 1mptcwes thereon and wno does such Wont himself or through his own empk>yees, provided that such ,mprcwements •• not intende1 or offered tor sate. II, howeve<, the butki1ng Of ,mprcwement IS sold w1th1n one yeaf of comptetlOft, the OWnef-bulktef' WIii have the burden or p,ov,ng that he dtd not buttd or improve for the purpose of sate) □ I, as ownttt' ot the property, am exclusrffly contrac:ll"i with hcensed eontracto,s to construct ttle protect (Sec ~. Business and ProfesslOfls Code· The Contractor·s License Law does not apply to an owner ot property who builds or imprO\'es ~=~,~ 7.:0C:~!~ ~f~~~;::-: lttOflse Law) 0 tame,emplundefSec _____ ,8.&PC to,th,s reason ___________ _ □ I hereby affirm that I ha~ a cen,ticate ot consent to self-insure. or a certificate ot wooers· Compensat.on Insurance. or a cer11fted copy thereof (Sec JeOO, Laoo, Godel. ~ 0 Certified copy ,s hereby turn,shec:J CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sect.on need not be completed ,t the permit is for one hundreo dollars ($100, 0< fess) 0 I cert1ty that 1n the per1ormance ol the WOfk tor which this perm,t 1s issued. I shaJI not employ any person in any ~ner so as lo become subteet 10 the Workers· Compens.alton Laws of Calllomi.a NOTICE TO APPLICANT ff, afle,-mak1n11n,s Cert, ttcate of Exemption. you shoutd become sub1ect I? the Workers' Compensation prov,sN>ns ol lhe LilbOt Code. you must tonhw1th comply with such prov1s10ns or this permit sh~I be deemed re-,,oked D I hereby affirm INI there ,s a construchon ,Jeno,no ~ncy t()f the performance ot the work tor wtuch lh1s perm,t 1s issued (Sec 3097. C1v11 Code) Lenders Name ___________ _ Lender's Aoo,-ess __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AP.,..._ AND DECLARATIONS. CARL 1200 Elm, p BUILDING DEPARTMENT .id, California 92008 (714) 438-5525 ( APPLICATION & PERMIT JOUDOR;. ~ LA..Qs1A-M1r -13~ -:t:> A~:.TrYL~ CER'SM.._'~IN ~IS I 0-ER'S MAfLfNGc AOORUS OWNEft'S l'HONE Ju, .Ja:8.YN ers-~~uz LOT I BLOCK I suaD1v1s10N I ASSESSOR PARCEL NO. P,RIM~Lft1F~Oft 4tF ~,l..h~ /h'~ ~;;;'SA~~~ DESIGNER 8VSINESS LICENSE II VALUATION ~l-l'V CONTRACTORS PHONE • ZONE LICENSE NO. 1~~9"/ PLAN f.O. # lt1-t,,1t;1::> STATE Ltd"5E " STANDARD PLAN# y PERMIT NUMBER 7Cf-tol8~ BLOG USE CODE BUILDING SO. FOOTAGE I 0£sc11,nt0111 OF"'°"" ~ ~ I oEstGNER'S ADDRESS Of.SIGNER'S-PHONE l/08/826360 --.--IO i ,o a,"' "l)-ulJJT I I J.!4 _J4,.1 /S I FtP FLRELEv.j I ST~~ESOCCGP I EDU 1 CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS vO NO REDEVELOPMENT AREA TYPE CONST OCC LOAD FIRE SPR GRADING ~ERMIT ISSUED v □ N 0 vO NO vO NO Nor V11lid Unlttss Mllchint Ctrrifi«f QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 0Hl00·422Q EACH BUILDING SEWER I I I OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT I BOILER/COMPRESSOR UP TO 3 HP SIGN PERMIT 0Hl00·4221 PLAN CHECK 01·000·4806 EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 0Hl00·4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·000·4223 ID1-,d) EACH INSTAl .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·000·4224 EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·000·4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING ] QTY. ELECTRICAL PERMIT • ISSUE ... ~ NEW CONST EA AMP/SWT/BKR bii/il,'25 1 PH 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH 3 PH ~ REMODE L/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 OAYS) ~.tL) _;.ooa SOLAR 01 ·000·4226 TOT.l,L MECHANICAL STRONG MOTION 65·640-0519 FIRE SPRINKLERS 01 ·QQQ·422Z QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 25·000·4933 BRIDGE FEE COLLECTORS SCHOOL FEE • DISTRICT STORAGE TANKS Carlsbad 65--623·0519 ROCK STORAGE Encinitas 65--624·0519 PUMP San Oieguito 65·625·0519 PLAN CHECK FEE San Marcos 65--626·0519 TOTAL ELECTRICAL 1 J/J'lh) TOTAL SOLAR TOTAL FEES PAYABLE ] g,;zr,E.-- IHAVli-CAREFUU.YEXAMINEDTHEOOMPlETEO"APPUCATIONANDPERMIT"ANOOOHEREBY ~-~ ........... llrllle8uildlal0fllcjelundera,e=· otu .... CEJmfY INIER PENALTY OF PERJURY THAT AU INFORMATION HEREON INCLUDING THE -.-lllall nplN !Ir ...... 11111 ._ lllillWld void. ff Ille . o, work OEClARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~ ~ IUCfl ~ •-••••IUiCI ..--.. 110darSfrOffl ._ of lUCtl ISSUED: TO 00MPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~ at Ille •--:..-:--cs llr -h pennl1 le 14 1118P'""'lll STRUCl'lON, WHETHIA SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP ft.& .... THE Cl1Y OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO W OWNEA0--CONTRACT ElCPENSE8 WHMltt •v IN AWf WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE * AN«-tAPINllff.~POIIElCCAVATIONSOIIIII · 5' 0-oaP ANO 08IOUTl0N OIi C0NST1'UCl10N OF STIIIICnlRESOVSI :IITONES .. HEIGHT APPROVED BY DATE ~ l~ \· S ,92- ~ u::: ~ as 0 a. E (!!. I " 0 C!) r~· -~ a. a. < I .:,,:_ C a: 0 "' "' Cl) "' "' < I ~ .Q Q) >- ui "' Cl) 0 0 a: as ni 0 §: Cl) 0 C as C u::: C Cl) Cl) i5 0 0 Cl) a. "' C ~ .c ~ INSPECTION TYPE DATE INSPECTOR i -. BUILDING I - FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL F-REDUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - ~ NSPECTION REO IF INSPECTORS DATE MASONRY CHECKED APPROVAL ~ CC>MPL:ANCE "--------------------- GUNITE OR GROUT FLOOR & CEILING SUB FRAME PRIOR TO I --·~---~-~---~-- F1:)LJNDA TION 11,SP --· ---i-· ---SHEATHING ~.--------------· -----------STRUCTcH1.t;L CONCRETE FRAME OVER 20[10 PSI --------+----~ PRESTRESSEO ·-h-----~ >-----~------ EXTERIOR LATH lNSULATION I CONCRETE ---~ ------i---------~---------- INTERIOR LATH & DRYWALL POST TEI-J,'.IONED I CONCRETE _________ J PLUMBING -------------• --FIELD WELDIIJG ! SEWER AND BL/CO : rllC~H STRENGTH -~ r-· -------------~-----------~---------------------7 PLUMBING UNDERGROUND I BOLTS I ------------~~--____ r ___ ---• -------------------1 PLUMBING TOP OUT I SPECIAL MAS:Jl,RY --->-----------i i ' TUB AND ~HOWER PAN ------~ I ~----------------- GAS TEST Pleb C.t;1SSON:~ ----~-~~--~-________ ] ELECTRICAL I i TEMPORARY POWER ,----~-~+ ~--------·--------------~ ,. ELECTRIC UNDERGROUND i ~· -~---·-----------i ROUGH ELECTRIC -------~ i --~- ELECTRIC SERVICE I . .11, I --·-------------~---·--·-BONDING ' 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 ABOVE HAVE BEEN APPROVED. -----__ --~-~ JOB SITE FINAL ' . --- PLUMBING I /) ------.-·---! ELECTRICAL .A-1-tJ __;:...w _.__ • -J MECHANICAL I V -~----·-------l GAS ~ I : . - t=·· BUILDING ------~--------------·--- SPECIAL CONDIT'-·•5 -.-----------------·---- I CERT OF OCCUP.A SUED L --- IE I[ 0 u IE ~ ... 3 I w z • 0 z 0 j:: ~ z w A. :II! 0 u !fl IC w ,.: C i 0 I hereby affirm that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of DIYlsion 3 of the Business and Profeeslons Code, and my license Is in full force and effect. lie No ________ Class -·-______ _ I Mreby ~ftinn lhat I am exernpl lrom the Con- ~~~·~~!f:~S: ~; ~~f~~i:~~~~i\~r county which req1,11res a pennil 10 construct illler. imprOYe, demolish, or repair any structure. prior to its issuance Mso requires the appficant for such perm tt to We a signed slatement that he i:s hcensed pursuant to lhe provisions ot the Con- 1ractor's License Law (Chapter 9 commencing with Sec!~on 7000 or Di-vision 3 of the Business and Pm- 1'"'5ions Cooe) or that is exempl therefrom and the t,as;s for the alleged exeml)tion. l\oy violation of Section 7001.5 by an appjicant ror a pennit subjects tne applicant •o a c1w11 penalty of not more than f•ve hun<lred dollars ($50()). □ I, as owner of the property. or my amplO\lees \lrith wages as their sole compensation. will do the work, and the stnJclure is not intended or ottered fo, sale (Sec. 70U-, Business and Profess~Ohs Code: The Conlractor's License Law does not apply to an ollffler of ;property Mio builds or irnpro¥BS thereon and who does such wOfk himseU or through his own emplo)ees, prov•ded that such imptovemei1ts are no1 inteode1 or offered for sale. If, however, the b1.11Jdmg or improvement rs sold withfn one ~ of completion, the owner-builder w1 U have the burderl ot prowtng that ~ did not build or improve for the purpose of Nie). C t, as owner' of the property. am exclusively contractini with licensed contr~10,s 10 construct the PfOJ«I (Sec-7044, SuS<ness and Professions Cocte: The Contractor·s License Law does not apply to an owne1 of propetiy who builds or iniprnves ~t;:.~-~: ~~~nc~n~:~!~;~~ ~~~h~r~~~;!~~·= license Law). C I am e:cempl under Sec. for 1h1s reason ---·---·• 8_ l P.C. □ I hereby afftrm that I llave a, c.e11"1if1cate ol con-sent to self-insure. or a certificate ot Workers' Compensation Insurance. or a cenil 1ed copy lhefeof (Sec. 3800, Labor Code). POUCYNO ~ COMPANY 0 Copy 15 filed WI! C y □ CerHtied Copy IS hereby furtHShed CERTIFICATl Of EXEMPTION fAOM WORKERS· COMPENSATION INSURANCE (This secr1on need nol be com.pleted 1r lhe perm11 1s 1or one hun<lre<I dollars (SiOO) or less) D I cert,ty that ,n the performance ot lhe work tor which 1h1s perrmt is lSSued, I sh.an not employ any person many manner so as to become subtec• 10 the Workers' C.Ompensation laws o1 Cahforma NOTICE TO APPLICANT II. atter makmJ , ... Cen,. hcate of Exempt1-0n, yOIJ should become sub1ec1 t-'J the Workers· Compensa!1on provisions of lhe Labo, Code, you must 1ol"thw1th comply w11h such p<CMsJOns or this perm,1 shall be deemed revoked D I hereby affirm thait there Is a c:onstruct1on 1endi ng agency tof I l°'e perlo,marice of 1-he work lor "\h1ch this perm1( 1s issued fSec 3097. C,v,I Code) Lende,-·s Name ___________ _ Lender"sAddress __________ _ -■-r,1-.1 •...,. • ... -,,.,. 11-.• "111•1,,11v■w •YI 11111...-~lll'IUl;;;LI rt.nC:.I"\ l"\rtU UC\.,,L-".n"'-1 IVl'l.:t. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 {714) 438-5525 -----------------------------------.---------J VALUATION PERMIT NUMBEA YD ND vO NO REDEVELOPMENT AREA NO STORIES TYPE CONST DESIGNER'S PHDN.E ., ... OCC GP EDU OCC LOAD FIRE SPR v □ NO ZONE BLOG USE CODE 1J STANDARD PLAN# BUILDING so_ FOOTAGE Nor Valid Un/ffs Machine Cmified QTY_ PLUMBING PERMIT -ISSUE MECHANICAL PERMIT-ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER .._ _ __. ____________ . ---------L ---EACH WATER HEATER ANO/OR VENT 1---+-E_A...cC_:__H_G_AS SYSTEM 1l94_0_U_TLETS --·-- EACH GAS SYSTEM 5 0 R MO RE EACH INSTAl .. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER 1----''--. -·-----------'-----------ll-- EACH ROOF DRAIN (INSIDE) 1----''---.---------''------- TOTAL PLUMBING r_ QTY. ELECTRICAL PERMIT -ISSUE QTY_ NEW CONST EA AMP/SWT,BKR INSTALL FURN. DUCTS UP TO 100,000 BTU B_UIWING PERMIT OVER 100,000 BTU SIGN PERMIT ----- BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK TOTAL PLUMBING METAL FIREPLACE --· --------------+--~1--'=""'--....----ELECTRICAL -------· VENT FAN SINGLE DUCT -------------+-------1---==c::c::.:c_:c_c=-MECHANICAL MOBILEHOME _ M_E_C ii_! ~A~~T _-_H_OO_D_I_D_UC_T_S _____ --l---~olA:....-.~1------- RELOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP SOLAR TOTAL MECHANICAL STRONG MOTION ,(/() FIRE SPRINKLERS SOLAR · ISSUE PUBLIC FACILITIES FEE BRIDGE FEE COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH ------11---+-S_TO_R_AGE T_AN_K_s ___________ --11-------~--=Carlsbad __ _ EXIST BLOG EA AMP/SWT/BKR I PH 3 PH .._---IC-----------------· ----- REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS ROCK STORAGE PUMP --------------------+---------CL PLAN CHECK FEE -11------+---··--------------- -----------+- Encinitas San Diegu ito San Marcos --·-----· ·-------· --------------------II---+------------4-------1.._------ TEMP OCCUPANCY 130 DAYSI -------------+- -- 01 ·000-4220 01-000-4221 01-000-4806 01-000-4222 01-000-4223 01-000-4224 01-000-4225 01-000-4226 65-640-051 9 . 01-000-4227 25-000-4933 65-623-0519 65-624-0519 65-625-0519 65-626-0519 ·-------· --''------- TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE DATE i:'.:' ~ 0 [l_ E ~ I 'O 0 (!) 0 "' "' a:, "' "' <( I ~ ,Q ;e ui "' a:, Q 0 0:. m 'iii Cl §: Q) 0 C: m C: ii C: a., ~ (!) 0 u a., [l_ "' C: INSPECTION TYPE DATE INSPECTOR ~ . BUILDING FIELD INSPECTION RECORD FOUt,JDATION REl~FORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - REO INSPECTOR"S MASONRY INSPECTION IF DATE CHECKED APPROVAL -- GUNITE OR GROUT SOILS COMPc IANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTUR.AL CONCRETE FRAME OVER 2000 PSI ------PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE ~-------------~ INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING ~ FIELD WELDING SEWER AND BL/CO HIGH STRENGTH ----·~-------~---- PLUMBING UNDERGROUND BOl TS ~-•-------.--~ -- PLUMBING TOP OUT i SPECIAL MASONRY i ---I TUB AND $HOWER PAN I I ·--• -·-----L----. GAS TEST I PILES CAISSONS ELECTRICAL I ~------------------------·~---- I TEMPORARY POWER -----· ELECTRIC UNDERGROUND •-~•,r-•••-•~ -ROUGH ELECTRIC -ELECTRIC SERVICE /1 BONDING I -----------~- G. F. I. -SMOKE DETECTOR MECHANICAL -----·--------- DUCT & PLEM., REF. PIPING --~---------·----~ HEAT -AIR CONO. -SOLAR SYSTEMS ---- VENTILATING SYSTEMS -- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . ITEMS ABOVE HAVE BEEN APPROVED. -- JOB SITE FINAL . ' ' --------~-~ PLUMBING . ·--~--------- ELECTRICAL ,./ ~ ~ MECHANICAL W{ µ,,•w------------------ GAS c 1 .. 7 " -. BUILDING I , I -------- SPECIAL CONDITIONS -~-------------~-·---- CERT OF OCCUPANCY ISSUED . WRITE IT-DON'T SAY IT INTER.DEPARTMENT MEMORANDUM TO Bldg. Dept. Files DATE 5-11-83 19 The last inspections I did on Alta Verde Condos at 2320,2322,2324 1 2326,2328,2330 La Costa Ave., was in January 1983. REPLY ON THIS SHEET FROM A.M. P. M. aTAKPAIIO IKTUI PE~T. M[MO P'OIIM 11-24-~I) ,;: .-PC 5v -. . ~ . _, ' Date: 5-11-83 'lb: C. Melvin Davis PCi 7960 El Camino Real Carlsbad, CA. 92008 714 438-5525 CS:itp of C!Carlsbab ~-618, Dated: 10-15-80 ondo Project CT 79-5 · 2 3 2 O , 2 3 2 2 , 2 3 2 4 , 2 3 2 6 , 2 3 2 8 , 2 3 3,0 t::a Co s ta Ave . Cast Inspection: January 1983 · SUbject: BuilcliDj Pennit Expiration Dear Sir: Our records indicate that your b.lildin.1 pennit will expire by limi ta ti.on of time on July 30 .. 1983. The provisions of UOC Section 303(c1) state: (d) Expiration. Every pennit issued~ ·the building official under the provisions o:E this code shall expire by limitation and becane null and void if the building or work authorized by such penni t is not corrrnenced within 180 days from the ciate of such permit, or if the building or wrk authorized by such permit is suspended or abandoned at a..'ly time after the \-X:>rk is corrmenced for a period of 180 days. Before such \\urk can be reccmrnenced, a ~.,, permit shall be first obtained so to do, and the fee therefor shall be one-half the arrount required for a new pennit for such w:>rk, provided no changes have beet, made or will be IT'.ade in the . original plans and specifications for such v;ork; ard provided further that such sus- pension or abandonment has rot exceeded one 11ear. P..ny penni ttee holding an unexpired pennit may apply for an extension of the tirre within which he may corrmence wrk under that permit when he is tmable to ccmnence work within the time required by this section for goo:1 arrl satisfactory reasons. The building official way extend the time for action by the pennittee for a pericxl not exceeding :!.80 days upon written request by the permi.ttee shot..ving that circumstances beyond t.11e control of the perm:i.ttee have prevented · action fran. being taken. l'b permit shall be extended mcne than once. In order to renew ·•action on a permit after expiration, the perrrd.ttee shall pay a new full permit fee. Please check below indicating your intentions and return this letter to us. Pxoject abandoned. New peon.it will be obtained. prior to camnencing work. Maximum 180 day time extension requested. NCYI'E: ~ate letter for an extension request and reason for such must accanpany this form. If you have any question, please contact the carlsbad Building Department at 438-5525. Very truly yours, Atlci:-~ Martin Orcnyak Building Official