HomeMy WebLinkAbout2326 La Costa Ave; A; 87-949; Permit"' z 0 ;::
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~~l I hereby affirm that I am licensed under
: Section 7000) ct Olvls1on 3 of the Business
o pro11lslons ol Chapt.er_ 9 (commencm~ .with
t-and Professions Code, and my license 1s 1n ~ full force and effect
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I hereby allirm that I am e,empl lrom tC,e
tor's License Law tor the tollow,ng reason !Sec
Business and Pcoless,ons Code Any c,ry or V:J~ty l'<h c,,
qu,res a perrr,t to construct. alter ,mrro·,e. dernc ,,-repaor any struct,.re prio, to ts issuance a S'J -ecu,·es ·,
~lrcanl tor such ;ierm1t to file a s,oned stJ"er"enr Tr;Jt
1censea pursuant to the prov1s,ons or The CC",:r-1-:::;r,
License Law !Chapter 9 commenc,no wr'h Seclrnn iliC•J JF
o,v,s,on 3 o1 l~e Busmess ard Pralesslc~:; Coce, a· tha'
empl lherelrorn and lhe bas,s 10, the al!egeo e,e "Pl1on
violation ol Section 7031 .5 by an applicant lor a pwr1·
1ecls the aopl1unt lo a c1v11 penally 01 not rr,ore t~an fl\•e
deed dollars 1$500!
1. as owner of lhe p,operly, or my emp oyee<; w1ti 'NdQes
as thelf sole compensation. will do the wark a~d t~e struc
ture 1s not 1nlended or oflered for sale (Se:; 1044 Aus,ness
and Pro1ess1vn~ Code !he Contractor's License la,i does
not apply lo an owner ol property who builds or 1mpro·1es
thereon and who does such war~ h1msell or through h,s own
employees. provided that such ,mprovements are not 1r.tend
ed or of1ered for sale 11. however. lhe building or 1mprovt
ment 1s sold w1th1n one year of completion. the owner-bu1lde0
will have the bucden of proving tha! he did not build or ,m-
prove for the purpose of saleJ
1_ as owner ol the property am exclusively contracting
with licensed contraclors to conslruct the pro1ect (Sec 7044 1
Business and Professions Code The Contracw s License
Law does nol apply to an owner ot prooerly who builds or 1m-1
proves thereon. and who contracts for each pro1ec1s with a contractor[s) license pursuanl to lhe Conrractor·s l 1cense Law)
I As a homeowner I am improving my home. and lhe !allow 1ng cond1hons ex1s1
1 The work 1s being performed prior to sale
2 I have lived 1n my home for twelve mon!hs
prior lo comple11on 01 this work
1 have not claimed this exemption Curin~ the 1 las! three years
I am exempl under Sec _______ B & PC
for lh1s reason
~ I hereby afllrm that I ha,e a cert1f1cate of consenl tol
self-1nsu·e. or a cert,licate of Worke. rs· Compensation In-:~:~;: :~a c~q t7<i3~ 1~c1700, Labor Code! ~1 COMO'">~ ,.-0 d..... I --, -I◄ n ! !;;: .__ Copy ,s 'lied with e city ,
~ ~ Cert1f;ed copy ,s hereby turn,shed 1 .. .. "' 01 CERTIFICATE OF EXEMPTION FROM
(.) WORKERS COMPENSATION INSURANCE
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ITh,s section need not be completed 1f the perm,!
1s for one hundred dollars 1$100! or less) = I cer11fy that ,n !he per1o,mance of The work fo, wr,1ch 1
th,s pe•rn,t 1s issued. I shall nol emplov any person ,n any I
manner so as to become sub1ect to the Workers Com pen, I
sat.on Laws of California
NOTICE TO APPLICANT: 11. after making this Cert1f1cate I
~~;:;;~~~~,/~~o~~~~~sb~~~~ee ~~~~~c~~od~\::r~e~:! I
, forthw,th comply with such prov1s1ons or th,s oerm,1 s~a;1 I L be deemed revoked I
l[ I hereby affirm that them 1s a construction 'erd1,1<; I
agency for the performance ol the work fo<wh,cr, 'his pe,-1
m1t 1s issued (Sec 3097. C1v1I 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
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV.ST.RD. NEARESTCROSSST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER a~ L. vc::, 11 A" , 1-10-'3'7 /33'78 i1-
ILOT ]BLOCK. l SUBDIVISION I ASSEs.:z1r:Rs1O0 l4 t'3 c_oN~CTOR ' C0NTRACTORSPH0NE# ZONE 'f'/l
OWNeRS"ME 0, ----'---I OWNrns,HONE 013101--tomb1 606 'd;t)~
1 &:Jck.o 1 ,atl_ ql-£3 -rsm STATE LICENSE NO.
',v'VNER S MAILING ADDR~ ----~-~~=·-~=-:;l/oJC, a:/35917
BUILDING SQ FOOTAGE
J3 A DESIGNER'S PHONE
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l/')l )i.-{r-,_:f--DESIGNER'S ADDRESS STATE LICENSE NO.
acs uNm T GRADING PERMIT ISSUED
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Not Valid Unlen Machine Certified
PLUMBING PERMIT. ISSUE q.-so i! QTY. MECHANICAL PERMIT -ISSUE 3,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I Ji INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERll 1T DO 1-8 : 0-00-00-82 2:)
~ E_~CH W. AT_ER HEATER ANLI UH VE:N_T
f-µ_.j-'-1--'E~A~C=H G!,S SYSTEM l '._~_:__SJ~TLE.TS
EACH BUI LUING SEWER ·---_j______ -➔
1
OVER 100.000 BTU _ ____ SIGN PERM!T 00'-010-0'.l-C0-8221
. ' BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 001-SC-1-CCO-C-o"o~-o~o--s-,-c,,-f----------.--;;;..-·· -5oJ_ 8DI LER-COMPR ESSO R 3 15 HP -·--------, TOTAL P_L_LJ~B1r1~ _ '.J0"-610-00-00-8222 L'.), QO
EACH GAS SYSTEM J OR MORE -·-+----
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: 1/tTAL F Qt_P1_ACf-' VENT FAN SINGLE OUCT t--ELECTRICAL ___ _ 00 1 ·0 · 0-00-00-8223
MECHANICAL
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0~ 1-0 : 0-00-00 ·8224 ---t---
l------~~H __ 1NSTA~ --~-~JR-~1PArn WATER P1PE 1---
fACH VACUUM BREAKER I MECH EXHAUST HOOD DUCTS MOBILEHCME ___ _c0,.,0_',.8_c1D,_,,,oo,_,,,oo,_,,,82'°2~5-l-________ __j
~-~ERSOFTNER ____ ) RELOCATIONOFEAFURNACEHEATER SOLA8 JC'-SHl-C0-00-8225 ______ _
F,V:H f1UCI DRH ',' ',::, ·1F ] DRYER VENT STR.ONG MOT'ON 880-519-92-33
__ , ----__ j . _ !I TOTt.L MECHANICAL I F1RESPRl'•Jr<LERS --~1-s10-oo-co-s227 t _ --To1AlP1~1J~1fi1r.L --·-_--· ' ----/_Q_, 00~ . PUBLIC FACILIT,ES FEE -~□:~~g-'-s'-7-".1r'-'+----------J
Y j I I BRIDGE FEE 360·810·00-00-8740 QTY ELECTRICAL PERM_IT_-1_ss _5:_, D_o_· ~1,__IQ_T_Y--0. · _____ M_oB_IL_E_H_o_M_E_SETUP : __ PARK-HIEU iAREA '_ ----
C---.J.--~_:_:_CO_N_S_T_E_A_•_·_ ,,_P_S'v',· l DK R\ PH_-=----=--~. ~,:~l~OGRT -. / .. ···~j_ ·;°::J ~-< ~~=-~, . . -.• I _-:~ COSTA TIF ~iii~b~~~~:::: I .. ... ··--
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F X 1S T flLllG t:A AMP SV,'T llKR --.+------.,I. GARAGE /i::.,'\· If '·-~-\'------_:_ FMF __ _
t,'O ~ ~ \ . LICENSE TAX
/!i.__. _ No~----~·rr-=---PE-R [lfl[UIT
IE:"-.·1PPOlf 2110 Al,IPS
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----I+-. ·+-----880-519-92·57
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c' o_, .• i,v 1\ --... 1": -✓ .
....._(;. €?-n;_;, ,-r-,:--/ I TOTAL FEES PAYABLE I /o.co
I '-!AVE CAREFULLY EXAIJINE:D THE COMPLETE[") ··A?PLICATI0N ANO PERMIT"' AND DO HEREBY Expiration Every perm1_t issued bythe8u1ld1ng Oft,c1al under the provisions of this
CERTIFY UNDER PENALT'Y OF PERJURY TH/l.T .'\LL I r--.FQRMA TION HEREON INCLUDING THE Co~e shall e~p,r\bY l1m1tat1on and become nu!! and void II the building or work
DECLARATIONS ARE TRUE'. M-W CORRECT ANIJ I F'URTHER CERTIFY AND AGREE iF A PERMIT I'.:, au! orozed by sue, perm,t ,snot commenced within 180 days from the date of such
* AN OSHA PERM:T lS RE001AE0 FOR EXCAI/ATK>NS 01/ER
5· o·· DEEP ANO DEMOlJTION OR CONSTAUCHON OF
perm,t, or 11 die building or work authorized by such permit 1s suspended or
ISSUED· TO COM PL y WITH A LL CITY COUN"i y ANO ST A TE LMVS GO'VERN ING BUILDING CON '-;'~b~';;"';d~o:""';:;;~·~· ~'°-;;;~'':m~•~·::r~,1•c'-'';;"'-'•-'O""'--':"~'-o""""·~"c'e'de..,foa•c•";~'"""d""o"I ,,,ao,_, • ..,,~;;::;:;-1":-:::;:;:::~:-::::------------':'.':':'.------~ STRUCTION. WHETHER SPECIFIED HEREIN OR /\.OT I ALSO AGREE TO SAVE INDEMNIFY AND ,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS A~~D AF' !CANTS SIGNATURE lf,, ,:,~,,,.::,~ ~OVED ~y /"Y OPE _
S TRUCT\JR£S OVEA 3 STOAIES 1N HEIGHT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH /1f L ( J. 7 JJ•, f • 1 / ,/_
GRANTING oF THIS PERMIT (RR_/ Yl ,, ~~:..===~~~ vtJ v_-,,.,· ~/f'.J,-r-j '// ;i../ ~ J
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TYPE I DATE INSPECTOR
' BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY '
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
' FRAME I
EXTERIOR LATH I
'
INSULATION I
INTERIOR LATH & DRYWALL
I
PLUMBING !
C SEWER AND BL/CO u ftuco
UNDERGROUND □ WASTE , WATER
TOP OUT □ WASTE □ 'VATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER D SOLAR WATER
'
ELECTRICAL ' □ ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPPRARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIFIING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS '
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
PLUMBING I
' ELECTRICAL I
MECHANICAL I
GAS I
BUILDING I
I
SPECIAL CONDITIONS '
-------------~1-'l'-4~ / /
/
FIELD INSPECTION RECORD /
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REO IF INSPECTORS DATE (
CHECKED • A~PROVAL
SOILS COMP'. :ANCE
I ' PRIOR TO
F-OL1NOA TION INSF I
STRUCTURAL CONCRETE: --1 -,·. i--J.18.{--:,, ... ' OVER 20(10 PSI ------
PRESTRESSf:C
CONCflETE
POST TEN~ .. ONEC
CONCRE fE ---1---------------
f-lELD WELDIN(:;
------. ----
Hl(]rl STRE"JGTr-<
80L TS
SPECIAL MASONRY
-+ --------F'IL.ES CAISSOW'
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