HomeMy WebLinkAbout2401 LA COSTA AVE; A; 83-334; Permit<I> z 0 ~ "' .. .,
:al C
..
I[
0 tJ
"' ..
C .,
5 ~ .. z ~
z 0 ;:: ..
<I> z .. .. ,.
0 tJ
<I> "' .. " "' 0 3
![
D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is 1n
full force and effect.
Lie No Cla,,
I he:eby a~f,rrn lhat I am exempt from :he Contrac toe's License Law tor tre 'ollow·ng ·ease~ rSec 703~ ~ Business and Pr□less,or.s CMe Any c,ty or county which :e-
qu,res a perm,t to construct alter .mprove. ae,col,sh. o·
repa,• an\' s:·ucru·e. pr,or to 11s 1ssua~ce also requ res theap
pl,cant for sucn permit to tile a s,gned staterce~I !ha'. he ·s licensed 8Jrsuant lo The prov,s ons cf tee Cortrac!o· s
,_,ce~se Low , Chao!er 9 cor>1menc,~g w,th Section 7000 ot
01·11s1on 3 O' t·,e 8·.,s11ess a,1d Profess,ons Codei ,;,-'ha! ,s e,-
empl t",erefrom and the basis for lhe al:eged exemption Any
v,oat,on o' Section 7031 5 bj a" app ,cart 'or a pe:-,,t sutJ-
Iects t~e apolIcaPt le a civil penalty c• not riore tna1 ',ve nun· a red Col ars ,:$5UO)
_ I. as owner of the properly or my employees with wages
as their sole corr~ensatIon, will do t~e wo'k a~d the struc-ture is not intended or oflered for sale ,:sec 704~. Business
am:! Professions Code. The Contractor's License Law does
not apply to an owner ot properly who builds or ,mproves thereon and who does such work t,mself or through nIs own
employees. provided that such improvements are not intend-
ed or offered for sale it however. the bui'dmg or ,mprove·
<nent ,s sold w11h,n one year of completion. the ow~er-b,,11de,
will have the burden of proving that he did not build or im-
prove for the ourpose of sale/
-I as owner of the property, am exclusively contracting
with licensed contr~ctors to construct the project (Sec. 7044,
Business and Professmns Code The Contractor's Llcer.se Law does no! aoply 10 an owner ot property who builds or ,m-
proves thereon, and who contracts tor each proIecrs with a
contractor(s) license pursuant to the Contractor's L•cMse Law)
-: A.s a homeowner I am ImprovIng my home. and the follow mg condItIons exist
1 The work Is being performed prior to sale 2 I have lived in my home for twelve months
pnor to completion of this work
I have not claimed th,s exemption during the last three years
lamexemptunderSec _______ B&P C
for this reason ____________ _
0 I hereby affirm that I 11a,e a cert,t,ca!e ol consent to sel!-msure. or a cert,t,cate ot Wor~ers
Compensation Insurance. or a cert.tied copy thereat
(Sec 3800. Labor Co<lel
□ Cop
□ ee,
CEl'fTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section nee<! not be completed II me ;,erm,t Is tor one hundred dollars ($1001 or less)
0 1 certrfy that m tne pertormance of me "'ork to, ,..h,ch 1h•S perm,! ,s ,ssued. I shall nol employ any
person ,n any manner so as to become sub1ecl to the Workers· Compens.at,on Laws of Cal,fom,a
NOTICE TO APPLICANT It. after makirq this Cert, f,cate of Exemption, you should become sub1ect 10
the Workers Compensation prov,s,ons o! the Labor Code. you must forthw,11'1 comply ,..,th such pro~1s,ons or this permit snalI be deemed revoked
• 0 I hereby affirm 1hat there ,s a ~ori~1,uc1,o~ Iend,ng agency •or tn,:, performance or the "'0'~ tor
,..h,ch !his oe•m,1 ,s •ssued ,.St>c )097 C,v, Codt>1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
11407 ,l::J-/✓,
~ UJ5£ ;};,e_,,,
OWNER"S NAME -----.,
(1.....p 45£: / 11 ae?r'
OWNE~ MAILING ADDREV
l oWNEFl·s PHONE
COT BLOCK I SUBDIVISION I ASS~SSOR PARCEL NO.
..2 I 1,~0 55" 5g DESIGNER
DESCRIPTION OF WORK ,,11 fl..-:1. 7✓~/'JJ DESIGNER'S ADDRESS
----· {}_ __ '" FLA ELEV
YO NO
CENSUS ,RAC, I G' CANO USE I eARK,NG 5'ACC RES UN"5 I GRADING f:EAMIT ISSUED
YON □
·r REDEVELOPMENT AREA
YD "-10
oTYI PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
1---+.cEc.A.cC.c..H WATER HEATER ANO-OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE 1---+-EACH INSTA~, ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
/ 5011 QTY MECHANICAL PERMIT· ISSUE
_ _,_ __ .\..'-IN.c_Sc_T_A_c_ll FURN. DUCTS iJP TO 100,000 BTU
OVER 100.000 BTU L::-------
1 -~-
.. ·:::---._,._,
' L BOILER.1CO_MPRESSOR UP_TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOQD:DuCTS
-+-------,i-----t-~E-~OCATION OF EA FURNACE1HEATER
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
3::a:;i
--1-------sf
VALUATION PERMIT NUMBER
J) 3 "3 }/
D. # BLDG USE CODE
I STANDARD PLAN# ] BUILDING SO. FOOTAGE
DESIGNER'S PHONE
.. .,.,
ace GP EDU --
DCC LOAD I FIRE SPA
YO NO Nor Valid Unlt!!S Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00-8220 -+---
SIGN PERMIT 01 ·00-00-8221
/J\
J<..~o -=--
PLAN CHECK 01 ·00-00-8805
--·
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223 -----------
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP -r -~ACH ROOF DRAIN 1.INSIDEI
TOTAL PLUMBING
. , " ___ L TOT,L MECHANICAL l f ""'
~ ~~~ _J /u-__ ·
,;:nI_AR
STRONG MOTION
FIRE SPRINKLERS
___ Q1_·0_0-Q_0_-8_Zf_6T_
80·92-33-0519 ---t------
01-00-00-8227
32-00-00-892-3-+1---
-
-
Q~ ELECTRICAL PERMIT -ISSUE=¾-' --SOLAR· ISSUE
NEW CONST EA AMP SWT BKR ---------4 COLLECTORS ---------I -j
1 PH 3 PH STORAGE TANKS ----
EXIST BLDG EA AMP'SWT·BKR 80CK STORAGE __ ____J_ ----
I PH I PUMP
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San 01eguito
80-92-21-0519
80-92·22-0519
80-92·23·0519
·--
1--J PH
PER CIRCUIT . -1
-1
----~1-PLAN CHECK-~E-E ----------
REMODEL ALTER San Marcos 80-92·24-0519
TEMP POLE ?00 AMPS
1-~R -£□~ A ~~S
' TEMP OCCUPANCY iJO DAYSI
-------i-----+--81,.._r_ -
·-------+-----------,
------ii-------
~-
TnTAL ElECTRICAL
'
1 ·--
I
TOTAL SOLAR
-
TOTAL FEES PAYABLE I '.? c.-r-_::,....---,-,.,-
I HAVE CAREFULLY Ex'lMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration. E~ry per_mi_t isaued bYfheBuildjngOfficial~nderfheprovi~ionsoOhis * ,.t.tt OSHA PERMJT l&REOUIREO FOfl EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exj)lre by lim!~lron and become null and void ll the bulldtng or work ·S' O'' DEEP ANQ DEMOl.lTION OR CONSTRUCTION OF" authorized by such permit 1s not commenced wrthtn 1 BO days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STRUCTUfltS-OVER 3 STORtES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· t._;•~•~•~n~do!!!!nod!!!!_!•ll!an!!l_~ti~m~•ca~ft~e~,Jl~he!!.j~•~'~k~;slc£0~m~me~n~oed!!!!_lfo~,C•!Jlfil!riod2'J.S•1fJ1!80!!..;!!•"'·~c-,.j,...., .. -,,---..,..::;;..:.,.,,,. ______________ ~
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE 1NDEMNtFY AND APPLICANT'S SIGNATURE O APPROVED BY DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER {; .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~t.'.fr.,f)~~,..,, 3 V ;_
GRANTING oF THIS PERMIT. • ____ j n --0 ... ~
.3!
LL
"' :;;
0 0.
E ~
I
" 0
"'
C "' g
ci 0. "' I
~
C
ii:
0 00
00 " 00 00 "' I
~ _Q
" >-
"' 00 " 0 0 ci:
"' .;
0
fl
" 0 C "' C LL
cc.
C " i"
"'
0 0
" 0. 00
C
~
" ,:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION • REINFORCED STEEL .
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
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 /J
GAS J-1-i'J, 7
BUILDING I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD '£>3··~?.'t
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONR'r
-------·-
PILES CAISSONS
:
·---
---------
----
. .. .
--------
·---------
~ -·
,
------
~-.