HomeMy WebLinkAbout2403 La Costa Ave; C; 83-335; Permit.. z 0
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O I hereby affirm that I am ltcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ct the Business
and Professions Code, and my license is in
full force and effect
l11 No [la,,
I he•eby affirm tnat I am e,el'pl fr8m the Co~t:ac
tor's License Law •or t'le lollowrg reasor 1Sec 7031 5 Business and Protess,ons Code An\' c,:y or C8u~:y w'l,ch re
quires a perm,t tc construct alter '"'1P"8Ve demo11sr or
repa,r any structure p·,or to ,ts ,ssua1ce alsc reqJires :heap·
pl;cant f8r such perm,: lo :11e a s1sned stltement that he 1s I censed pursuant to !he prov,s,ons of the Contractor's
L1cerse La1<1 ,_er.apter 9 com:nen~cng with Sec:,on 7000 of
Di,,s Jr 3 o' the Bus,ress a-"~ P·vfess,vns Coce, or t~at ,s e,
empt t~erelrorl' a~c :he basis tor 'he Jllegec exenpt,or. Any
v1rnat1an oi Sec:,or 7031.~ oy ;io wpl1c2nt for a perm,t suo-
JecTs t~e 2pp11cant to a c,v,1 pena't\' of nat ~ore than five hun-
dred dol ars i$50C'
~ I. as owne: ol the wooerty, m rr.y ercJ :J)'ees ·1.i!h wages
as their sole compensation. wrll do t~e wo·<. acd !he s'.ruc-
ture ,snot ,~tendeC or oftere~ for sa'e (Sec 70~4 Bus1ress
and Pro!ess1ons Code The Contractor's License Law does
not apply '.O an owrer ot property who builds or improves
thereon and who does such work himself or through his own
employees. P'OV1de(I that such improvements are not ,ntend-
ed or olfered for sale. If, however. the bu1ld•ng or improve·
ment 1s sold within one year ot completion, the owner-b,J1lder wrll have the burden of proving that he d1(1 not bu11d or ,m-
prove for the purpose of sale1
:7 I,. as owner of the property. am exclusively contracting
w11h licensed contr2ctors to construct the pro1ect (Sec 7044
Business and Professions Cade Tfle Contractor's License Law does not apply to an owner of property who builds or im-
proves thereon. and who contracts for each pro1ects with a
contractor{sl license pursuant to the Contractor"s License ~.,
=i As a homeowner I am 1mprnv1ng my home, and the follow·
ing cond1t,ons exist
1 The work 1s being periormed prior to sale 2 I have lived 1n my home !or twelve months prior to completion o1 th,s work
I have no! claimed tt11s exemption during the last three years
C I am exempt under Sec ______ , B & P C
for this mason
0 I hereby aft1rm 1hat I ha,eacert1l1ca1e of consen1
to self-insure or a cenif1cate of Workers
Compensa!,on Insurance. or a cert1!1ed copy thereol
(Sec 3800. Labo, Godel
POLICY NO
COMPANY
D Copy 1s filed with the city
D Certified copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sect,on nee<:t not be completed ii the perm,t ,s !or one hundred dollars (S1001 or less)
0 I cer1,ty tha1 ,n !he performance o1 the work for
wruch 1h1s perm,1 ,s issued. I shall no1 emp1oy any
person ,n any manner so as lo become sub1ec! to
the Wofl<ers· Compensation Laws o1 Cal1fom•a
NOTICE TO APPLICANT If. after mak1n;i tn,s Cert,
hca1e of E•empt,on you should t,ecome sub1ect 10
the Wofl<ers· Compensat,on prov,s,ons of 1ne Lat>Or
Code you must lorthw,th comply with such
prov,s,ons or th,s permit snail b€ deemed revoked
·'
O I nereby al!lfm th,f The,e ,s a construct,on
1end,ng agency !or ttw penormance o• 1he wor'o: l()r
which lh1s perm,t ,s ,ssued ,Sec 3,097 C,v•I Code,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO 1-\t't'Ll\.,l-\l't I I U t'ILL IN INt'UMMI-\ I IUl't YYI I nll\l ;;>nl-\UCU 1-\MCI-\ HI\IU UC'-,,LHMH I IVI\I.>
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
---·· -VALUATION ]i)n3 r )a /4-s-£ ~~
6WNEA'S PHONE
·~iT1D2J~N~N
OWN'l=: ATS NAME \
/ p,t.i/r5 I ! l'~iil;)XJ ti~ J,;
JJJ/f"'"
°o';J'JiJ)~ ZONE
17
g-iERMIT NUMBER
,33~--<
OWNER'S MAILING ADDRESS i::;iR~;~ . /rv A illi~~l3/, PLAN I.D.;; BLDG USE CODE
LOT l BLOCI( l SUBDIVISION l ASSESJ\~Rc~0 5S -:S"o-bES1GNER 7 LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
(1,, -tl/~ 0 J
rl ,
V
CCNSUS TRAC, I c, CANO use l eARK>NG se.ce RCS LJN,T5 I
DESIGNER'S ADDRESS
·---
GRADING ~ERMIT ISSUED
YON □
F/P FLA ELEV.
YD NO
REDEVELOPMENT
AREA
,□ NO
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
DCC GP EDU
DCC LOAD FIRE SPA
vO NO
it.3:.:, s::-e.::c,:
Not Valid Unless Machine Certified
QTYI PLUMBING PERMIT· ISSUE /..)OIi QTY. MECHANICAL PERMIT· ISSUE _3'.,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP t -I NS TALL FURN OU C T_S _U_P_T_0_1 ~00.0c.cO.cO_cB_cT_cUc_ _ _j_ ___ ~ _ _.
OVER 100,000 BTU
BUILDING PERMIT
SIGN PERMIT I EACH B_U~~!'l_G SEWER
1---"--=E-'A.=CccHWATER HEATER ANlJ:OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
-1 -. -
~--j(--1T
-I----
BO!LERiCOMPRESSOR UP TO 3 HP PLAN CHECK
------
EACH INSTAI,. .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER 1---~----------·--+--
1---L WA_T_E_R_S_O_f T_N_E R .,_
TnTAL PLUMBING BOILER/COM~R.ESSOR 3-15 HP +---~-~-
----II----METAL FIREPLACE-·--______ _
_ _Jl. __ + VENT FAN SINGLE □-~CT
MECH EXHAUST · HDQ□.'DUCTS 7
RELOCATION OF EA FU -~-A~E~H-~~T~_R_ --------+------,I-
-· TOTl-iL MECHANICAL
ELECTRICAL ---
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLA~R~----
STRONG MOTION -----
t-~~ ROOF JRAI~ 1 '.~S_I_DE_1 __
I== TOTAL PLUMBING J . LD t.1<-
~=--'-'--=~~~---=--.c=~~ --·~
I-
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE I c5<J0 l1 QT~----
SOLAR · ISSUE
--------+------!~
----
BRIDGE FEE
NEW CONST EA AMP'SWT BKR ------------+
1 PH 3 PH
EXIST BLDG EA AMP,SWT 'BKR
f-I PH 3 PH
+-.
REMODEL 'Al HR PER CIRCUIT -. -----t---
~POLE_ 200_ AMPS_
~---+-~VE_~_ 2-~~ ~.~s
TEMP OCCUPANCY 130 DAYSI
-~-
TOTAL ELECTRICAl
--
COLLECTORS ---+--+-------··-..
Ir-
STORAGE TANKS t----
ROCK STORAGE
PUMP
PLAN Ci-1EO\ ~EE ----+-----
it·--
-----·-+--
II--·
-+-
I
TOTAL SOLAR
SCHOOL FEE · DISTRICT -----t--------,1,---
C a r Is bad
__ _, _____ __,~ Encinitas
------j------1l-?an Dieguito
--+-----II--San Marcos
iJ4T'
-4l------
TOTAL FEES PAYABLE
01 ·00·00-8220
01-00-00-8221
01-00·00·8806
01 ·00-00·8222
01-00-00·8223
01-00·00·8224
01 ·00-00·8225
01 ·00-00-8226 __
80-92-33-0519
01-00·00·8227
32-00·00·89~~---+-
80-9~-~~519---+--·-
80·92-22-0519
80·92· 23-0519
80·92· 24·0519
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I HAVE CAREFULLY ~AM1N£D THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration. Every per_mit issued bytheBuildingOfficiatundertheprov1sionsoflhis
CERTIFY UNDER PFNAL TY OF PERJURY THAT_ All INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null an<fvoid. If the building or work
DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT tS aulh~nzed by such permit 1s no! commence_d within 180days from the date of such
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
·5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STAUCTUR£S OVER 3 STORIES IN HEIGHT
I
ISSUED: TO COMPLY W1TH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· r~::C,0~ ''t 1:~ ~ildi~ or work •~lhoriZe<I by such per~•t IS suspended or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND '-:';;;:':::':::~·:-:'::-:'"mc:•1•':'•e•s•h8'r'-"w'"'"''-':"ii'"0,meme,,eneeced!!S.e10a•J•"!~'~'°"Q2.SOCI "''°""-•·••<L·-trl~~~~~~'I"~------------------~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABILITJES, JUDGMENTS, COSTS ANO APPLICANT'S SIGNATU OWNER□ CONTRACTOR DAT~
EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,c::t;li'1W,'L1 / _ /
GRANTING OF THIS PERMIT. ,1 C,,,,(" -----..J. , ~ -3 (J J,i'
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ' ,
REINFORCED STEEL• ' .
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL •
GAS 1·/-1-n {
BUILDING I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
e,,~-33C
FIELD INSPECTION RECORD
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
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING I
\! \~
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
.
PILES CAISSONS
----
-; •. : _!_"loa-;;
' --··--
----~
------,
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