HomeMy WebLinkAbout2326 La Costa Ave; BLDG D; 85-349-4; Permit"' z 0 ;: ..
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D I hereby affirm that I am licensed under
provisions ol Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Proteselons Code, and my license is 1n
full force and ell&el
L,c No ------Cla,<
I hereby a1hrm That I am exempt lrorn the Contr,c
ror s l1ceose Law lor the follow,ng reason :Sec 7031 5
Business and Professions Code Aoy c,t·1 or l-8unly w~,cn 'e qxes a oerrnll lo construct al:e· 1m;i·o,e der-ol,sh o·
repair any structure prior to its 1s,,ance also requires :re ao
p•1cant Jar such pec-n11 to 1,1e a s,a~ed ,tatemert t~at ~e 1s
11censed p1,rsuJnt to the wov,s1ons of the Conu~cor s
Lce~se Law ,'.Chapter S commencing w1lh Sect an 7000 c' O,v,s,on 3 ol the Business and Profess1ocs Cone,, or thd ,s e•
em~· t~erelrom and !he basis lor the allegeo exemot,01 An)' v,~lat,on ot Sectm~ 7031 5 by an applIcan: for a per,..,,, sub
.,ells the appl,cant to a c1v1I penalty ot not mo,e than f>ve hun
d·ec dollars :$500)
I as owner of IM P'OPerty or my er1ployees with wage1
as lhe1r sole compensation will do the wor•. and lh~ s·rcc ture ,snot intended or o1fered 1or sale /Sec 7C44 Bus1nes1
and Professions Code The Contractors License Law dues
not apply to ar owner ot properly who builds or ,rr;,roves
thereon and who dOes suer work hirnse'f or •~rough h•<; own
employees. P'OV1ded tha! such ,rr.provements are not ,ntend ed or offered ior sale_ If. however. the building or Inprove
menl Is sold w1th,n one year of co~plet1on the owner-builder
w,II have lne burcen al proving \ha! he did no• build or l'T1
p·ove for the ~urpose o1 sale/
I, as owner of :he property. am exclus1VeIy contract,ns
w,in IIcensecr contractors ro const•uct the pro1ect !Sec 7044 Busmess and p,ofess,ons Code The Contrac\O< s License
Law d0€s nol apply lo an owner ot property who buolds or ,m woves thereon, and who contracts 1or each proIec's with a contracior(s) license pursuant to lhe Con1ractor·s License Law)
As a homeowner I am ,mprov,ng my home. a1d the lo lcw ,ng condIl1ons exist
1 The work Is bemg oerformed pr,or to saIe
2 , have lived ,n my home tor tweve months
prior to complei,on of this wor•
1 "ave not claimed ·h:s exe,nptIon durn~ the last three years
1 am exempt under Sec
for th,s reason B&PC
0 I hereby aftirm that I ha,e a cert,f,ca1e of consent
10 seI1 insure or a cert1t,ca1e ct wo,kers
Compensation Insurance. 0' a Lert,h!"(I ~opy ''iere02l
(5ec 3!0'.l. Labor Codel
POLICY NO
COMPANY
D Copy ,s hied ...-,th 1he c,ty
D Certil1ed copy ,~ 11ereb)' 'urn,she<J
CERTIFICATl OF EXlMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s se~t,on need no! be completed ,I :>ie ~ern ,s tor one r.unCred dollars 1$1001 c.,, ,essi
D I certdy 1'1a1 ,n me performance •J' The "'',)r'I<. 'er wn,ct, this pe,..,,,1 ,s ,<;sued I shall n01 e-n;iI-,y ,in,
persor. ,n any marner so as TO t,ecor,1p s"tJ,p, r 1,
lh<' Wor1'e<s Compe~s;,1,on La,..s of Ca1,tc,,r,a
NOTICE TO APPLICANT 11, al1er mak•n:, •n,s C<"r
locate of E,empt,un you should t>Pcornf> ,ut:>Ierr'
1r.e Wor'l<.ers Compensation prov,s,ons ol rhe ,.<1t>c'
Code you 'nuSI 1ortri..,,th compl) w,1'1 sv:~ prov,s,ons or 1r.Is perm,1 st,all bf> elf><''"',-,: ,p,n~ec
0 I hereby al' ,m that •here ,~ d u:r-~trucT u~
,end,ng .1gency tor the perlorrr,ar,,,e u• •~,e "'o" '
wh,ch th,~ perrn r ,, ~,ue<l ,s,,, y,g; C, r ,,xi,.
Le,.,de, s "-a,...,e ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 _@_19) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
:;,i.~.;;i.(o
• n n AV. ST.AO.
~ o---\. . ,,,.,;;:.. 0 -
NEAREST CROSS ST.
G..ue....
LOT BLOCK SUB01V1s10N ASSESSOR PARCEL NO. CONTRACTOR
I DATE OF A"UCATOO] BUSINESS LICENSE # I VALUATION PERMIT NUMBER
s -~'f<q-1
Le LICENSE NO Pl AN I.n . ) BLDG USE CODE
0 NE 'S MAILING ADDRESS l? zo &uA/1 ~~~~"" DESIGNER LICENSE q STANDARD PLAN q BUILDING sa FOOTAGE
ESCAlf>TION OF WORK f i-::;-----;:---;:--:-7~-------------------l DESIGNER'S ADDRESS
-
ClNSUS TRACT \Jp LAND lhE
OES!GNEA'S PHONE
'~ -.---~,:-;:-, --;,-;-,-;;,-;,-;-,~, v.,.----,--~N~o~-+-0-CC-. -c-, -.... -,-D-U_.J,
I •J.:2.~Q,:;('2,,!all:!::t:;;XJi~6!:::!!:i:;... __ J STORIES ~ v[_J '.Q
PARK•NG SPACE: RES UNITS GRADING PERMIT ISSUED TYPE
CONST
ace LOAD FIRE SPP
y □ N 0 j
REOEVELOP.,_,,ENT
AREA ,:::::; -.□ ,□ '-0 Nor Valid Unless Machine Cerrrf1ed
QTY PLUMBING PERMIT· ISSUE .--;7_';,-tJ /~ j QTY MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EAr:H FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT
EACH BUILDING SEl/,'ER SIGN PERMIT
BOILER,CUMPRESSORUPTOJHP ---1--PLANCHECK
---------
OVER 100.000 BTU
01-oooo-s220 t-_ I l-f-l-_
01 ·00-00·8221 -------------·--
EACH GAS SYSTEM I TO 4 UUT LETS f---+---·---· . -
f-
-
EACH WATER HEATER Ar'-.0 OR Vf!\IT
EACH GAS SYS! EM :0 OR -,,,ORI: + ------·----
EACH INSTA~ ALTER. REPAIR W1-UER PIPE
EACH VACUUM BREAKER
-r-80ILER.COMPRESSOR 315 HP ___ TOTAL PLUMBING ·--+----\.1E!':_~fiREPLACE ELECTRICAL
1 VENT FAN SINGLE DUCT MECHANICAL ~ I MECH EXHAUST HOOD DUCTS
----· -----t----· ___ ____,,_ __ _
MOBILEHOME
01·00-00-8806
01-00·00·8222
01·00·00·8223 ~-
0H0·00-8224
01·00-00-8225
--+---WAlERSUFT~ER II I RELOCATIO~-q~~-URNACE.HEATER
---------. I TOHLMECHANICAL I S_QlAR 01-00-0_0·.B.22.li.
TOI Al PLUMHlr'-.L j -·-1 STRONG MOTION 80·92-33·0519
FIRE SPRINKLERS 01·00-00-8227 1
'.ACY ;:i~·,u rlf1,'.·\' '.S ::r'
MOBILEHOME PARK INSP
~ -. 5-QTY SOLAR. ISSUE PUBLIC FACILITIES FEE 32·00-0□·-~~ll_J___ I
BRIDGE FEE
QTY ELECTRICAL PERMIT -ISSUE
---CGLI EcTn..;s
I
SCHOOL FEE -DISTRICT
_ STC·RAH JAUS I -----
NEVV CONST t.A AMP SV'/7 lJKR
I PH J PH Ca'lsbad
------j--
80·92·21·0519
EXISI Dl rJG t.A AMP SVVT ~KR
1 PH J PH
RU,'OlJEL Al HR PfR CiRCUIT ---
Tf MP PI J LE ?OOA\.1PS
rior:K s:,:JRA:;F
P'Jr.w
1 I P A'·J CHcCK" F'.:E f--------+f----+-
-Encinitas
San DIe2uIto
Sa~ Marcos
80-92·22·0519
80·92-23-0519
____ 80_-9_2-24-'-0~5-'-19-_I--------
I--+---=-=------------+------+,---+-------------------
UVE: 8 ?0U AMPS LICENSE TAX 01-00-00-8162
fEMP OCCUPANCY ,JO DAYS! ----~ --------------i-------_JI MFF 80-92-57-0519 --
----·~-----------+-------jf-CREDIT DEPOSIT
I l fl l A I f Ll I, T 1-111,i> l ~(lTAl S,JLt,p
II TOTAL FEES PAYABLE I 14C::,-
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Every permit issued bythe8u1ldmg Offlc1a+ under theprov1s1onsoflh1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm_1tal!on and become null and void If the bu!!dmg or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authori:,:ed by such permit IS not commenced w1thm 180 days from the date of such
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-permit. or If the btnldm~ or work aulhorized by such permit 1s suspended or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO abandoned at an lime a er the work is commenced lor a nod of 180 da s
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANti~tC . S ~.. A Jf. OWNER O CONTRACT. 0~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH
GRANTING OF THIS PERM!T. . · ~✓,-~ AO _A __ B~PH~N~
* AN OSHA PEAM:T 1$ REQUIRED FOR EXCAVATK>NS OVER
5' O" DEEP ANO DEMOUTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
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TYPE DATE INSPECTOR
"'' .... ..( ,.
------------
BUILDING
. *5-34a,~4 .. ·-.
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
''
GUNITE OR GROUT INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF □ SHEAR
--
S01LS CCMPI_IANlf:
I PRIOR TO
FRAME
EXTERIOR LATH
F o~JND,'\.. ~ION ,NSP i
---------,-----+-' --+-----~
STRUCTU8.A:_ CONCRETE i ovEP 20cc os1
INSULATION
INTERIOR LATH & DRYWALL
I ---· -PRES TRESSED
CONCRE'E i
' POST Hr-...SIOI\JED i
C'.JNCR[T[
PLUMBING f-,ELO '1".'E'L01/\jG
SEWER AND BUCO D1PUCO ----. ·--Hl•:.Jr-' ST'iE~G/H
UNDERGROUND D WASTE D WATER f-lOL f S
TOP OUT □ WASTE □ WATER '-;~=ECIA;_ MAS )N'--iY
-
TUB AND SHOWER PAN I I
GAS TEST PIL.ES CA1:::isor,,:·
□ WATER HEATER □ SOLAR WA'rER ----t-· ----->----------
I
~------~ --,------~ ~-
ELECTRICAL I I
□ ELECTRLC UNDERGROUND □ WFFER t-' -· i
ROUGH ELECTRIC "' -----
□ ELECTRIC SERVICE □ TEMPOli!ARY " ----"+--
□ BONDING □ POOL
-----I
MECHANICAL -· ------· --I-------
□ DUCT & PLEM., D REF. PIPING ... -'
HEAT -AIR COND. SYSTEMS ., '. . '! l •' l . .
VENTILATING SYSTEMS ,
'; . . .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE .
ITEMS ABOVE HA V§. BEEN APPROVED
FINAL ·'
PLUMBING I
! .
i
ELECTRICAL I /1 !
MECHANICAL /' .t/ -
GAS \( I#" C, -' . . ; -. ,,
BUILDING , 1vv -
SPECIAL CONDITIONS ' I, ! I
-------·------·-I,
V
<ttttp of <ttarlsbab •
REQUEST FOR INSPECTION RECORD
INSPECTOR
OWNER
r ..
ADDRESS_~~~z:lrj~~i~~J~~~~m~~::::~~~~~::::~=~~~~~===== REQUESTED BY _
BUILDING
D FOUNDATION D FOOTING □ SLAB
□ REINFORCING STEEL
1· MASONRY
C GROUT· GUNITE
Q FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEAR
C FRAME
C EXTERIOR LATH
Q INSULATION
INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
lJ UNDERGROUND PLUMBING
n SEWER AND PL/CO
D TOP OUT PLUMBING
n TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D SOLAR WATER
D FINAL
PERSON TAKING REPORT _____ _
ELECTRICAL
C TEMPORARY SERVICE
n UFFER GROUND
D ELECTRIC UNDERGROUND
IJ ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE ~
~,/1.,,-n ""' 6 ·~
□ SOLAR HEAT
D PATIO
11 POOL D SPA
D SIGN
□
D
D FINAL
SPECIAL INSTRUCTIONS ____________________________ ~
Ready For Inspection: □ Monday
D A.M. D P.M.
□ Tuesday D Thursday l_.l Friday