HomeMy WebLinkAbout2326 LA COSTA AVE; BLDG D; 84-182-D; Permit-a O I hereby affirm that I am licensed under
p,ovlatona of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Bus·iness
[
and Profeaalons Code, and my license 1s in ~ :~:I i~rce and effect [Im
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I hereby affirm that I am e,empt lrom the Conirac-
tor's License Law tor the following reason (Sec. 7031 5
Business and Pro1essmns Code Any city or county whIcr, re
quires a perm,t to construct. alter improve demol1sh. or
repair any structure. prior to_ its issuance also requires !heap-
plicant for such perm,t to 11le a signed statement that he Is
licensed pursuant to the prov,s,ons of the Lon1rac10r's
License Law (Chapter 9 commenc,ng w,th Setr,on 7000 of
01v,s1on 3 of the Business and Pro1ess1ons Code) or thal Is ex
empt 1here1rom and the basis for the allegeo exemption Any
v1olat1on ol Secllon 7031.5 by an appl1can1 !or a permrt sub
1ects the applicant to a c1v1I penally 01 not more than hve hun-
dred dollars ($500)
r~ I, as owner ol the property. or my employees with wages
as their sole compensation, will do the work. and the struc·
ture is not intended or olfered for sale (Sec 7044_ Business
and Pro1ess1ons Code. The Contractor's License Law does not apply to an owner o! property who builds or improves
!hereon and who does such wo'.k hrmsell or 1hrough his own
employees. provided that such improvements are nol in1end-
ed or offered for sale. II, however, the bu1ldIng or improve-
ment Is sold wI1hrn one year ol completion. the owner-builder will have the burden of pr011ing that he did not build or im-
prove tor the purpose ot sale)
LJ I, as owner of the property, am exclusively contrachng
wi1h licensed contractors lo construct the project (Sec 7044.
Business and Pro1ess1ons Code: The Contractor·s License
Law does no1 apply to an owner of property who builds or im-proves thereon,. and who contracts !or each proJects wrth a
contractor(s) license pursuan1 lo the Contractor's License L,w)
\~g ~~nad~f;:o:x~:;. I am 1mprov1ng my home, and the tollow
1. The work is be_1ng perlorrTIM prior to sale 2 I have lived m my h_ome for 1welve months
prior to completion of this work
I have no! claimed thrs exempnon auring the last three years
O I am exempt under Sec _______ , B & P C !or this reason, ____________ _
□ I hereby alt1rm mat I ha•ea cert,t,cate 01 consent
to self-insure or a cem!1cate of Workers
Compensation Insurance, o, a cert,fled copy 1hereo1
(Sec 3800. Labo• Godel
POLICY NO
COMPANY
□ Copy IS filed with !he city
O Cert1l1ed copy ,s riereby !um1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This se,;1,on nee(! no! be completed 1f trie permit
Is for one hundred dollars Is100I or less)
0 I cert,fy 1ha! In !he performance o! lhe wo,i,; lor which 1hos pem1It Is ,ssued. I shall not employ any
person In any manner so as to become sut.>Iect to
the Wor1<ers' Compens.at1on Laws of Cal,!orn,a
NOTICE TO APPLICANT II alter makirq th,s Geri,
11cale of Exemption you sriould become subIect !')
the Wor1<e,s' Compensa!1on prov,s,ons of me Labo,
Code. you must 1oriri .. Ith comply w,th su-:.h prov1sIons or !hrs permit shall be deemed re,oke0
0 I he•eby affirm !haI there ,s a construclIor
Iend1ng a<;1ency lo, the pert<J1mance vi lhe wor1-. for
which 1h,s pe,m,t ,s ,ssued 1Sec 1091 Ci,1! Code,
lenders Name ___________ _
lenders Add•ess __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 w
JOB AOORESS AV. ST,RD, NEAREStC~~-. 0-!TE OF AP;,.L.~1) BUSINESS LICENSE# VA~,ON <><=<>u,..-~" , .. ., <>• -
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LOT ASSESSOR PARCEL NO.
c;.. mez..-a1A.1 .DAi:;/.s ....t,2....
RES UNITS
I I I
QTYI I
Al
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AN □..-□R VENT
vO ~ 0
CONTR~CT()R f rvwTtu., ..... ~.,
·.DJ1tVS· -~
F/P FLA ELEV.
vO NO
REOEVELOPMENT
AREA
vO NO
TYPE
CONST
ace GP EDU
ace LOAD I FIRE SPA
vO NO
ZONE
PLAN 1.0. #
STANDARD PLAN# BUILDING SO. FOOTAGE
Nor Valid Unk$f M.chine Certified
QTY.I MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT
SIGN PERMIT OVER 100.000 BTU ~~~-----,--,-----t--------BOILER/COMPRESSOR UP TO 3 HP -· •.. -----·· l'LAN LHtLl'i
01-00-00-8220 -01-00-00-8221
01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS j_ BOILER/COMPRESSOR 3-15 HP ~----..---,-TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 0 R MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INST Al. ALTER. REPAIR WATER PJPE MH".HANlr.AI VENT FAN SINGLE DUCT ···--... ,,_. __ .}1---f----01-00-00·8224
EACH VACUUM BREAKER M EC H EXHAUST HOOO/OUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP
EACH ROOF DRAIN 1:NSlnF\ ' I I SOLAR___ --1 II TOH.l MECHANICAL 1 §TRONG MOTION
___ 01.Jill:00::..8.2..2fi_+----------t
80-92-33-0519
TOTAL PLUMBING
QTY.I ELECTRICAL PERMIT -ISSUE I 5'-
NEW CONST EA AMP'SWT BKR
I PH 3 PH
EXIST BLDG EA AMP/SWTiBKR
1 PH 3 PH
REMODEL'ALHR PERCIRCUIT
TEMPPOLE 200AMPS
OVER ZOO AMPS
TEMP OCCUPANCY 130 DAYS!
TOTAL ElHlRICAL
. ::c -. ·.···1__,,_--· .• __ .. , ·:----:--.... ······-;:----,,-------,·,··< . ·.-.-;-:-a:
l HAVE~REFULLV .. EXAMlNEDTJiE COMPLETED ~APPUCATl~ A/Wf>ERM!·
CERTIFY -V'®ER PENAl.T,Y -OF PERJURY. THAT Al,L ft\!FOJ3MATION HEf
DECl. ARAJIO.NS ARE'TRlff:. ANO CORRECT AN_Q: t,FURTHEFl"~RTl!E\r4,Nt)
ISSUEo:'.TO~"'f½YITM AU.'rCffY,~ AtilO'STAT.E-LAW$·00VE:
STRUCT~_\·~ftE'{NER\$'f~IFl~D,HER£_1~ 00 NOT. J AJ-$(),AGR~ TO
·KEFP HAttMtt!:~l:HE'~. ·QF•~t>~tr,p. A.Li t..h\BILtT!ES, JU I\~~ ~ "l?.'(JL...,.~ ~• ~t .000 ClTI" 1&
:(,RAffT~TJ¾fS· ¥-+x·-·•-"-"" """"' ·". ' · ±'. ..... :....--2..._i. ·-• ' . .... '· -•. ., ' •
QTY.I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
r□TAl SOLAR
---
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-?933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80·92-22-0519
San D1e_Ruito 80-92-23-0519
San Marcos 80-92·24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE I).__.
~~---i • -. ,-· .. ---:--:--........ ______ A notis O\U
~;• 0
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TYPE ' DATE INSPECTOR
BUILDING '
FOUNDATION ' REINFORCED STEEL '
MASONRY '
GUNITE OR GROUT ' FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF □ SHEAR
FRAME ' I
EXTERIOR LATH I
' INSULATION I
INTERIOR LATH & DRYWALL ' I
I
PLUMBING I
SEWER AND BUCO □IPUCO :
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ' I
GAS TEST '
□ WATER HEATER □ SOLAR WlffER
' ' ELECTRICAL I
□ ELECTRIC UNDERGROUND □,UFFER
ROUGH ELECTRIC I
' □ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
,
' ' ,
MECHANICAL '
□ DUCT & PLEM,, D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I .
. .
' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV,E BEEN.APPROVED .
FINAL I
PLUMBING ' ' ' ELECTRICAL ' ,
MECHANICAL '
GAS ' .
' .
BUILDING '
SPECIAL CONDITIONS ' ' '
~-
' 84,\~ -o
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ..
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSf-'
STRUCTURAL CONCRETE
OVER 2000 PSI --PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
rllGH STRENGTH
BOL Ts
SPECIAL MASONRY
-
PILES CAISSONS
~ ---·--··
·-.
,. .
-. -
.
etitp of etarl~bab
REQUEST FOR INSPECTION RECORD
TIME: --+'_,......-,'=11
:~::~T_o_R __ '.,.~-=-='--'-"~====ip---'M_R ... M'-'-IT--=N~"'·=---_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-::_D_A_T_E_:_&_/_'21; __ z_q_
:~~:::~E_D_B_Y_~,;1-~~-L.~~:l,L✓,il:-.-~_...CL__.,,~~=71'&=_..LA:ye>-'--==-P-•H_O_N_E_N_O_. ____________ _
BUILDING
□ FOUNDATION □ FOOTING □ SLAB
D REINFORCING STEEL
n MASONRY
D GROUT -GUNITE
□ FLOOR AND CEILING SUB FRAME
□ SHEATHING □ ROOF □ SHEAR
D FRAME
□
□
□ I RIOR LATH OR DRYWALL
INAL
PLUMBING
□ UNDERGROUND PLUMBING
□ SEWER AND PL/CO
□ TOP OUT PLUMBING
n TUB OR SHOWER PAN
□ GAS TEST
□ WATE ATER
□ SO R WATER
INAL
PERSON TAKING REPORT _____ _
ELECTRICAL
□ TEMPORARY SERVICE
Cl UFFER GROUND
□ ELECTRIC UNDERGROUND
[l ROUGH ELECTRIC
D POOL ,BONDING
~RIC SERVICE
-
MISCELLANEOUS
LJ CONDITIONED AIR SYSTEMS
D SOLAR HEAT
□ PATIO
□ POOL D SPA
IJ SIGN
GRADI
SPECIAL INSTRUCTIONS ____________________________ _
/
Ready yir"lnspectlon: D
□~. □ P.M.
Monday □ Tuesday Wednesday ' □ Thursday D Friday
-----·-···•·· "••Oo• .. ··-------------·
CORRECTION NOTICE
INSPECTOR
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
'-~ CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525
Note: Final Inspection Required
(i)
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
□ EXTERIOR LATH
□ INSULATION
TIME: _______ _
DATE: _______ _
□ INTER 10 R LATH OR DRYWALL _-~,-> _____ .c.=.------':....:....:.-=-----=-----=------'---==--....:.....::....::...._-=--:~:...:.....-----
p LUMB I NG Sic,~ O.F Al./4.,
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND c,:) ___ 7-----:;#,7a.'-'--r;°-,,---'a_,,J;-,;.--:f~--'-~-~---;f-J-:...;,---...;;-:----=:..=.c,,:-=::=-:---=--,--c--=c........,-___..!::__ __ _
□ ROUGH ELECTRIC ...,
□ POOL BONDING
□ ELECTRIC SERVICE
□ UPPER GROUND
□ G.F.1.
□ SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION Al R
D CONDITIONED A IR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER