HomeMy WebLinkAbout2401 LA COSTA AVE; B; 83-333; PermitCl) z 0 ~ a: j u l&I 0
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O I hereby affirm that I am llcensed under
pro•lalona of Chaple< 9 (commencing with
Section 7000) of DIYlslon 3 of the Business
and Professions Code, and my llcense Is In
full force and effect.
lie No Clm
I hereby affirm !hat I am exempt from tho Contr.w:· tor's Ltcense Law lo, the 1o11ow1ng reason (Sec 7031.5
Busuiess and ProtesslOns COde Any crty Of county which re-quiras !" perm,t 10 construct. an«. Improve. demolls.11. o,
repair any structur~. Pri« to 11s issuance alSO requires the ap-ri:!s forp~:: t\~/~~ ~1a,:-n1eo:,i;ar!c:1::-!:
Uc8nse Law ( Chapter 9 ~ng with SeclJon 7000 ol
llMslon 3 of the Busmess and ProtesslOllS Code) or Iha! Is ex-empt therelrom and !he llaSIS to, the al1egtd exe!l1)li0r>: A"f violation of Sectton 7031.5 by an applicant for a permit sub·
jects !he appHCanl to a cMI penally of not rnor,e lllan tl\-o hun-
dred dollats ($500).
C: I; as ow,,.r ol the property. o, my employees w~h -as their SOIi compensatJon, -Witt do the work. and the struc-
~,: ·~~~~c,,!;°~Bd C:1;:~lf~•~'=
not apply ID ao owner of property who builds 0< unproves
the<eon and who does such WOfk himself 0< tnrough his own employees: pm,ded lhat sucn Improvements are not ,mend·
ed or-ottered for sale 11, 1-evet', the buik!1ng o,-,rnpnm-ment is sold within one year of completton. the owner-buitder
w,11 have the burden of prov1ng that he did not build o, im-prove for the purpose of sale).
' :::J I, as owner ol lhe property, am exclusive// contract,ng with t,censod contr,c1Drs to construct the pro,ecl (Soc 7a.4.
Business and Proless,ons Code: The Contracto,'s License Law does not apply ID an owner ol property who builds or 1m-pr~es thereon. and who contracts tor each P,oteCts with a
contract0<(s) license pursuant to the ContractOf's Llconse Law).
D As a homeowner I a:n ,mpr0¥1ng my home. and the IOllow·
mg cond1ti00s exist 1 The work Is be,ng per1ormed pr,or to sale 2 I have IIVed In my home for twelve months rt: :;ip::.,of 11~,i; :'~pt,on during tho
tasl three years.
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~ ~~~~~m :,~al~ hac~:1~~::~~6r O~~:',_S:,~I
1pensahon Insurance. or a cerhhed copy !hereof
Je(J(). LabOr COde)
POLICY NO
COMPANY
D Copy 1-S hied with the city
0 Certified copy ,s hereby tum•she<J
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1f the permit 1s lot one hundred dOllars (S100) or less)
0 t cert,ty that m !he performance of lhe wOf'k IOf
which this permit 1s issued. I shall not employ any
person ,n any manner so as to beeome subJe<:I to
the Wor1(ers Compensahon Laws ol ca111om1a
NOTICE TO APPLICANT If, after maktn;J this Cen,
hcate of Exemption, you should t>eeome sub1ec1 1,:, the Workers Compensation prov1s100s ot the Lat>or
Code you must tonhw11h comply with sucn
prov,sfOns or this permit sna; be deemed revokeo
0 l hefeby attirm that !here ,s a cons1ruc11on
1end1no agency tor rhe pet'formance ol the won< lot
wh,ch ttus perm11 1s ,ssued (Sec Y.:B7 C1v1l Godel
L Lender s Name ___________ _
Lenders A.odre5s __________ _
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, California 92008-1989 (619) 438-5525
JOB AD0AESS A
; IAslz~ ~ J A~-€.T 1oi7_:;;~3NI
BUStNcSS L'CtNSl Jt VALUATION ~p.:..'.!-~IT NUMBER
2 l/0 I ./✓it 4-:)L/rf ./ -~· ,-=-dBY
Ct1111"'ER'; '-A•~ -I 0111/NE ffS PHONf
11. 7 /4/~T!l \ CONTRACTOAs r"10NE • ZONE f'?/ 1 ' q '-l--i.111"2 i2. , ,. _ _;,,-(' /11,<1 -lA m.0,110. --
0111/"'ER'S °"A L''-::l A0OflE,Sa ~;_2T6R s A~SS c i2¼ , WCENSE NO. PLAN 1.0. # BLOG USE CODE
~ •• t'· ·;g;y-F3 /
~OT BLOCK I f~eo v s11N
I
A~,,E,;so:;, ".;t~J4J 5 :)-~ 2_ OE~IC,NEP: ....... J 1..ICENSE. 1t STANDARD PLAN# BUILDING SQ. FOOTAGE
OES.CRIPTION QF WO°"K /'.A /-v.,,L h /°J/1 j ,, DESIGNER'S A0DAfSS DES1GNFR'S PHOMc
1---
~ /I F/ p FLR ELEV. NO OCCGP EDU 61~0/S,~~31;3 TO ~l STORIES
vO NO
CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA C0"4ST
YO N □ vO NO v□ NO Not Valid Unl#!ss Ahchine ~rtifitd
QTY. PLUMBING PERMIT· ISSUE 7✓So QTY. MECHANICAL PERMIT· ISSUE ,q,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TD 100,000 BTU BUILDING PERMIT 01 ·00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
-t-PLAN CHECK EACH WATER HEATER AND OR VENT . BOILER/COMPRESSOR UP TO 3 HP 01 ·00·00·8806 ~
EACH GAS SYSTEM I TO 4 OUTLETS ',.1_4 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 /n. ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
---~--L_
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD DUCTS M0BILEH0ME 01 ·00·00·8225
------
WATER S0FTNER ' RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00-00.R?21:
TOT.t.L MECHANICAL STRONG MOTION 80·92·33·0519
L----~r -;tJ·~ TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
-PUBLIC FACILITIES FEE 32·00·00-8923 ,,.. QTY. SOLAR · ISSUE QTY. ELECTRICAL PERMIT -ISSUE .J;oo BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS t SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519 --
EXIST BLDG EA AMP/SWT!BKR ROCK STORAGE Encinitas 80-92·22·0519
l PH 3 PH :Le r PUMP San Dieguito 80-92·23·0519 -
REMODEL ALTER PER CIRCUIT . I PLAN CHECK rEE ' San Marcos 80·92·24-0519
TEMP POLE 200 AMPS ---. f-/-f/-r----
OVER 200 AMPS --
TEMP OCCUPANCY 130 DAYSI -.. -
-
J0TAL ELECTRICAL I • TOTAL SOLAR TOTAL FEES PAYABLE I /'cJ, _gq__
]I .. Expiration Every permit ,ssued by ttie Bu,ld,ng Offlc1al \Jnder the provisions of th!S * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER I HAVE CAAEFlJ~LY 8<.AM;NED THE C0MPLETlD APPLICATION AND PERMIT AND DO 11EREBY
CE'l'T FY UNDER PENAL TY OF PfRJURY THAT All INFORMATION HEREON INCLUDING rHf Code ~hall expire by hm,tation af'd become null and void If the butlding or work s· O" DEEP .t.NO DEMOUTION OR CONSTRUCTION OF authorized by such permit 1s not commenced within 180 days trorr, the date ot such
DECLARAT1.0NS ARE T.RUE AND CORRECT AND I l=UPTHEP CERTIFY AND AGRE!: IF A PERMIT IS :~~~n~ ·~t t=~v ~~~1~ffe~~h=~~,:~!hc°~~~e~ieJ~~~ f::.~'~,s~:bd"a~~ or 1
STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON•
STRUCT'ON W11ETt-!ER SPE(;IFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMN:FV AND APPLICANT'S SIGN';J:}1 If. f.f.. OWNER 0 CONTRACTO,f APPROVED BY_J/ J✓
1?'3o-~9 KEEP HARMLESS THE C'JTY OF CARI..SBAD AGAiNST ALL llABILITiES, JUDGMENTS COSTS AND
fXPFNSES Wl-<,CH MAY 'N ANY WAV ACCRUE AGAINST SAID CITY N CONSEQUENCE OF Tl-<E i . ./ /).,1.,v BY PHONE C
GRANT,NG OF 'HIS PERMIT , -~ . ./ vv
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INSPECTION TYPE DATE INSPECTOR
BUILDING I ,
' I FOUNDATION 1 .
I -.,
REINFORCED STECL -C . ' MASONRY I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING "'
FRAME
EXTERIOR LATH lNSULATION
'
INTERIOR LATH & DRYWALL '
PLUMBING I
SEWER AND BL/CO I
PLUMBING UNDERGROUND I
PLUMBING TOP OUT -.
TUB AND $HOWER PAN '
GAS TEST i
ELECTRICAL I
TEMPORARY POWER I
I
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC
ELECTRIC SERVICE
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
ELECTRICAL
MECHANICAL l /I
GAS ;1-1-n t ·-
BUILDING . l I/
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
. ~"3, 333 .--
FIELD INSPECTION RECORD
-REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -•' -
REQ IF INSPECTOR'S ' . INSPECTION CHECKED APPROVAL DATE . ----=
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI .
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY r,
I
PILES CAISSONS
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