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HomeMy WebLinkAbout2403 LA COSTA AVE; B; 82-59; PermitCII z 0 ~ cs: C _. 0 w C ~[ ~ C 1-z 0 0 C ... 0 .,J 5 I ... z 3 0 z 0 ~ Ill z w Q. ~ 0 0 Ill a: w >£ cs: 0 3 1[ ~"-by atn,....-that I am licensed under pro•lalona of Cllaptar 9 (commencing with Section 7000) of DMalon 3 of the Business and Proleaalona Code, and my license Is In ~~: 1 !c:,n:l'a Oass DI JC r '{ I he<eb)' afhnn lhal I am exempt from lhe Con-~J•n~~:; ~w~.~~~~ ~.~ county wtuch req1..ures a perm11 to construct •lter. ,mprove, demohsh. Of repa,r any structure. pnor to its ,ssuance also requires the applicant for such permit to hie a signed sta.tement that he JS hcemed pursuant to the p,o.osoons of lhe Con- tractOf's Ltcense Law (Chapter 9 commencing with Sectoon 7000 ot O,vos,on 3 of the Business and Pro- fess,ons Code) or that ,s exempl lhe<elrom and lhe basos lor rhe alleged exemptoon Any vooui1oon of Sectoor> 7031.5 by an applocanl for a pemut subjects tne applicant to a crvll penalty of not more than hve hundred dollars ($5()01 . □ I, as ow,_ ol lhe property, or my employees ,.,1h w.ges as their ~ compe.nsauon, will do the wc:wk, and the structure ,snot mtended or offered tor sale (Sec 7044, Bus,ness and Professoons Code The Contractor's license Law does not apply to an owner of property who builds or improves lhefeon Nici wno does such wotk himself or through his own emptoyees. provided that such ,mprOYemeilts are not 1ntende1 Of offered fOf saJe II, howeYef, the building Of improvement IS sold Within one ye. ol completion. the owner--bu1k:Ser will haYe the burden of p,-ov109 that ne dtd not buHd °' ,mprOYe ror the purpose of sale} □ I, as owner of the property, am exclusively contract109 with hcensed contractors to construct the proJect (Sec 7044. Business and Profess,ons Code: The Contractor·s License law dOes not apply to an owner of property who builds or improves ~':~~ 7.~C:~~ ~~ft!r~\~;;:.: License Law) D I am exempl undef Sec for this reason ,B &PC ~reby affirm that I tta1'e a cert,hcate of consent 10 self-insure, or a cert1hcate of Workers· Compensation tnsuraoce. or a certified copy t~reof (Sec 3800. ~ ~>, ' &7 a POLICYNO ~W . I) _f __ COMPANY ~_Attt~f/l ..... ,er""""eopy 1s hied with the c,ty 0 Cen1hed copy 1s hereby lurn1s CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This s.ectton need not be completed 1f the permit ,s tor one hundred dollars {S100) or less) 0 I certify that m the perlormance ot the w0f1,r. for which this permit ,s issued. I shall not employ any person '" any manner so as to become subJect 10 the Worl(ers· CompensatK>n Laws of Cahtornia NOTICE TO APPLICANT 11. atter makon;i rhos Cert, hcate of Exemption. you sh0uk1 become sub)ect 1-, the Wof11.ers· Compens.allon p,ov1st0ns of lhe Labor Code you must forthwith comply with such prov,s,ons or this permit shall be deemed revoked ' 0 I hereby athrm that• .here 1s a construchon 1en<i1ng agency fOf lhe perrc,·~nce of the w~ fOf which this perm11 1s issued (~ x,;J7 C1v1I Code) Lenoe, s Name ___________ _ Lenders Address __________ _ I I I I I I I ; U::Ot ll"ll l'Uflll l'tft Ulllr.', 6 l'llt;>;> n"IIU ,,..., ......... -·-·-··· . . . -·-··-· ------ CARLSBAD BUILDING DEPARTMENT u APPLICATION & PERMIT , ......... 1200 Elm, Carlsbad, Callfomla 92008 (71-l) "38-5525 JOB ADDRESS A~gT I :WiJ;;N1 BUSINESS LICENSE ,, VALUATION PERMIT NUMBER 2~03-(3 .C.i (cs r.11 ~~e ;l~/9? ([J/ OWNfll'S NAME STe 1AI 11'1 tf r n.. I ?✓;;N;;~;E 3:;:;A~~ &'J CONTRACTORS PHONE • ZONE sq -:D. 2l~~_)~i, OWNER'S MAIL•NG ADDRESS c°l~3~6o~ LICENSE NO. PLAN 1.0. # BLOG USE COOE 5,1'/Me '?P~h:t:3 LOT I Bc.OCK l suBo,.,s.,1,. 1 "~n~~:R 3~ N~ _.;-5~ OES'GNFR ;:;,. D . y;t ,14 o STATE LICENSE a STANDARO PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WOR,< -DESIGNER'S ADDRESS OESIGNE R'S PHONE tJ& He.ii:. /'~J4 /2. .I --·-r"--' F/P FLA ELEV. NO EDU DCC GP STORIES _2/ 1.~/826967 IO-r vO NO ----....... CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING J'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST vo ND vO NO v O NO Not Valid Unkss Machine Certifi«I QTY. PLUMBING PERMIT· ISSUE 74' QTY. MECHANICAL PERMIT· ISSUE SUMMARVACCOUNTNUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 I EACH WATER HEATER ANO/OR VENT I/.~ BOILER/COMPRESSOR UP TO 3 HP PlAN CHECK 01 ·000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·000·4222 /h .t/V EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 EACH INSTAl., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEH0ME 01-000-4225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01·000-4226 T0Tt.L MECHANICAL STRONG MOTION 65·640-0519 TOTAL PLUMBING I J /J .JI!} FIRE SPRINKLERS 01 ·000--4227 PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 65·623·0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encini1as 65·624-0519 1 PH 3 PH PUMP San Dieguito 65·625-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /l). rJ{) I HAVE CAREFULLY1f;..,XAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY Exp,ratoon Every permit oasued by the Buofding Offoc,el under the provosooos of !hos * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER P<,~ALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expore by hmotat,oo and beeome null and vood fl the buoldong or work 5· o·· DEEP AND DEMOLITION OR CONSTRUCTION OF DECL.O.RATIONS •• ,riE TRUE AND CORRECT AND I FURTHE!'l CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced w1th1n 180 days from the date of such STRUCTVMS OVER 3 STORIES IN HEIGHT perm,t. or 11 the buold•~ or won authorozed by such permrt is suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at en• bme a er the work os commenced lor • oenod of 180 "••• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLQT'S 1 7-URE .. ~ OWNER□ CONTRACT.fflfU ,.., PROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ri . .J"~ BY PHONE 0 I 2 · t8 ·B'2, GRANTING OF THIS PERMIT __,_-,--~ -~.,,. ~ u:: ;:, al 0 a. E Q) I- I u 0 (!l C al .2 a. a. ~ I .:x: C a: 0 rn rn Q) rn rn <t I ~ 0 Gi >- ti) rn Q) 0 0 ct al .; 0 ~ Q) 0 C al C u:: ::::. C Q) Q) 5 0 0 Cl> a. rn C ~ .s:: 3: INSPECTION TYPE DATE INSPECTOR I BUILDING I FOUNDATION 4 J : I REINFORCED STEEL \ I ·~ ,, -MASONRY ~ GUNITE OR GROUT l FLOOR & CEILING SUB FRAME I SHEATHING I FRAME l EXTERIOR LATH lNSULATION I INTERIOR LATH & DRYWALL ' r PLUMBING :} I --' SEWER AND BUCO I I PLUMBING UNDERGROUND t I l PLUMBING TOP OUT TUB AND $HOWER PAN i GAS TEST I l ELECTRICAL ! TEMPORARY POWER i ELECTRIC UNDERGROUND ! ROUGH ELECTRIC J ' ELECTRIC SERVICE i BONDING 4 I, I G. F. I. -SMOKE DETECTOR I I MECHANICAL i DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS -,. ... .. --... VENTILATING SYSTEMS J • " •,: ,., 'T1.:'t CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL '' MECHANICAL GAS L\. BUILDING SPECIAL CONDITIONS CERT OF OCCUPI'. '';.c.Y_IS..;..S::..;U:..:E=D'--------'-----L-~ - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REO IF INSPECTORS INSPECTION 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 MASON A~ • ,J PILES CAISSONS ~ ...... _,'. _r L . -I •a '"' .. ,~ 11 ~ " . ' ~ ;:,:-• (~ I ✓~,· ---.. V', ~ ... ... ., ' •. ;, \<; ... ~ ")---SC .\ 4-.,,t;-~.-.c, .... r: .. -.... "" --" ..... -. ,, ,,_ .... ,... ... :.. . ' ' --. \'4 . ,, . .... ,., \, ''' --" .• - INSPECTOR'S NOTES \ ' DATE . - I . \S· ,.~ __, : , c --· :' ?-'•1 \'~\. '·'""'··-----> ~ ,--.. ----_,, .. ' ' -'\, ,-._=: ...,"'-, •-'. ~ • d . , ... \ -'i'{ ~"(".~, ~~ _ .. .:, •• · t,~ ' •.) J I '-,\ -" .. l i _. 1t...l • "''"" ~, ~..,: --'";.;_ , ... '-\ "" .. ~ ,I~,---'-: -~ ... •'~",-lo) -- ' J ' '