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HomeMy WebLinkAbout2403 La Costa Ave; A; 83-337; Permit"' z 0 : :l " .. 0 "' i[ l "' .. Q ., 3 ~ .. z ~ 0 z 0 ~ z .. ~ "' 0 " "' ir .. "' "' i ![ O I hereby affirm that I am licensed under provisions ol Chapter 9 (commencin~ with Section 70CX>) of Division 3 of the Business and Professions Code, and my license is in full force and effect. llC No Clas\ I hereby af11rm tha' 1 am exernpl lrom the Contrac tors License Law :er the lol'owrng ,easor [Sec. 7031 5 Business and Professions Code Any c,ty O' coun\y wh,ch re- quires a pern1,t to construd a;ter. ,mpro·,e ae11011sn. or repa•r any structure pr,or '.o_ rls 1ssu2.nce also requ ,res the ap- pl,ca 11 tor such perm,t to frle a s1g~ed statement that he ,S ·censed ~u'suant to !he provrs•ons ol The Contractors Lrcerse Law !Chapter g cornmenc,ng with Sec:,on 7000 ~f Di;is,o~ 3 ~f the Business and p,Jfess,ons Code', o· tr,at ,sex· empt tnerefrorn and the bas.s tor the alleged exemption Any '/10IatIon 01 Sec:-on 7031 5 by an aJpl1cao: to· a pe·c,11 sub- Iects the applicant to a cIvII penalty of nol more Jhan five non- cred dollars ,,$50!)1 I, as owner of \he prnoerty, or my errwoyees with /I/ages as the,r sole compensation. will do the work. and the s\ruc· ture Is ~ot intended or o'.fered fo, sale (S~c 7044. Business and Protess1ons Code· The Contractor's License Law does not apply to an owner or property who builds or improves thereon ano who does such work himself or through his own employees. provided tha1 such improvements are not intend- ed or of1ered for sale If. however, the bu1ld1ng or improve- ment ,s sold w,tnIn one year of complet,on, the owner·bu1lder w,II have the burden of pro,,,ng that he did not build or Irn-orove !or the purpose of sale) = I, as owner of the property. am exclusively contracting B~t:i ~i~:;s:ndd c~~~\!~~~~~~o ci;:,trui~~n6g~f /!Zlo1r~:c Li~~~:~ Law does no1 apply to an owner ot property who builds or Irn· proves thereon, and who contracts for each proiects with a contractor{s) license pursuant to the Contractor's License Law) C:..: As a homeowner I am improving my home, and the tollow- ing conditions exist 1 The work 1s being periormed pr,or to sale 2 I have lived ,n my home for twelve months prior to completion ol this work I have not claimed this exemption during the last three years □ lamexemptunderSec ______ ,B&P.C for this reason ____________ _ D I hereby affirm tha1.I ha•e acert,f,cate ol consent to self-msure r a cer,t1f1ca!e of Workers Compensa1,on Ins r ce a cert1f1ed cop, thereof 1Sec3'0l§"'" ., POLICY N _ / COMPANY D Copy ,s eel with the c,ty 0 Cert1!1ed copy ,s hereby fvrn,shed CERTIFICATE. OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed ,I the permit is !or one hundred dollars ($1001 or leSSI 0 I certify that ,n the performance ot ?he work tor which !his perm,1 ,s issued. I shall not employ an)· person ,n any manner so as !O become suoiect lo the Workers Compensat,on Laws of Ca1,torn1a NOTICE TO APPLICANT If, alter mak,nJ t!1Is Cert, f,cate of Exempt.on. yow snou•d t:>ecome swbIect t'J the Workers Compensation prov,s,ons of n,e Labor Code. yow mus! forthwith comply with such provIs1ons or this perm,1 Shall be deemed revoked 0 I hereby aft.rm t:.r1t there s a construc11on ,ending agency tor me pertu,mance of •he wor1< for which this perm11 Is ,ssued iSec 3097 Ci,1' Code', Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADt:.U AHtA ANU UC.\.;LAnA11vr.,;:, CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JO"J7///3 A-/4 ~ A-ue-, A~gT loATto/2~ch1 BUSINESS LIC -NSE # ; "J•,t_';,t:'..£-VALUATION [~~~r""'§~~J.;e";~h'oi .. --------1 ~ PERMIT NUMBE A q~3:03~2 ZONE ,'J 3 3 7 OWNER'S NAr_ (u~ a (\ {)I'\. I OWNER'S PHONE 0YM7 f~tv:n OWNER'S MAILING ADDRESS, ~ I 3;_:;2R:o;1r~ ,4,v2 LOT I BLOCK l SUBDIVISION I ASSESSJ;)R PARCEL NO. _ _ .J I I;, .:Z '-f u S tc> ot.f DESIGNER I---------, -------- EPTION o, WORK __ _ff ~ g: (.) J OESIGNERS ADDRESS J "' FLA ELEV . NO STORIES CCNSUS TRACT r, cAND user eARK,NG 5'ACC I RCS LJN,TS 1 GRADING ~ERMIT ISSUED y O N 0 vO NO ·r REDEVELOPMENT AREA vO NO TYPE CONST UCE°NSENO. PLAN 1.0. # BLDG USE CODE 31<;?f';?/ LICENSE# STANDARD PLAN tt BUILDING SQ. FOOTAGE DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRE SPA YO NO No~ yalid Un/Jlfs ~.;ine Certified QTYJ PLUMBING PERMIT -ISSUE I Z,.:> 0 QTY. MECHANICAL PERMIT -ISSUE ,:f,cJO SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 1---EACH BUILDING SEWER I - f-------~-T_ALL FU_RN. OUC_!S UP TO 100,000 BTU I I BUILDING PERMIT -----SIGN PERMIT OVER 100,UUU B 1 U 01 ·00·00-B220 -+-01-00-00-8221 --< --------~- EACH WATER HEATER ANO:OR VENT 17 EACH GAS SYSTEM 1 ro-4 ol.lnETs EACH GAS SYSTEM 5 OR MORE r ~La --j - BOILER/COMPRESSOR UP TO 3 HP__ __ t=--' =f · PLAN CHECK___ --□~·~0-00·88_f:1_6 f--~-- BOILER/COMPRESSOR 3 15 HP __ --~ . TOTAL PLUMBING __ 01-00-00·82~ .~-___ _ METAL FIREPLACE --j----'--t--ELECTRICAL 01-00-00-8223 1----j _,__ --------- EACH INSTAL.. ALTER, REPAIR WATER PIPE -Ji--t--E-A-C_~ ACU lJ M B ~ EA ~E_5 ---j _' --It---,_ __ VENT FAN SINGLE DUCT MECHANICAL MECH EXHAUST HOOD-'OUCTS ------------------t---MOBILEHOME -01·00-00-~ - --0}-00-00-822~ - --+------ =+RE~AT~OF EA FURNACE/HEATER -==t----: t-!~;~EHDM[PARK INSP _ --,I----TQT,G.L MECHANICAL 1 STRONG MOTION --+-- ______Q_1___:_00-00-8226 80-92-33-0519 -------- ---p : """O::::::",s-□E-'__-- -T_o_rA_L_PLUMBING _ ~l~-/) , ·;;;r-JI I ~ FIRE SPRINKLERS --~(..._ . ',:'T ~ 1,_ PUBLIC FACILITIES_FEE_ 01 ·00-00-8227 32-00-00-8923 ---- ---- QTY. ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP SWT BKR t -+-------- : 1 PH 3 PH --~~;~T BL□G-EA AMPiSWT.BKR . SOLAR -ISSUE -II QTY, --_j ,oo 1---+ , c- --+---COLLECTORS _____ __;j'::',_ ---ll BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad Encinitas ----- 80-92-21·0519 80·92·22-0519 -l------- f-- ~------· -----------1 PH J PH _ -~~~~~~L_T_E_R _ PER_~1~c_u1_T __ , TEMPPOLE 200AMPS ~1-□VERiO~AM-PS ___ __ ---+- --STORA_~-~-_TA~KS =-~-'f ROCK-STORASE ~?_I _.// ~~ -~· . I_ ;,';;,,"·" ::_ " 1 __ ,,., 1 -, 1 v·--o~-_f=-_-B1 -F San_p~uito San Marcos ------'-+-· 80-92-23-0519 80-92-24-0519 --•, =-c_j_ -- ,, ___ --- TEMP OCCUPANCY 130 DAYSI _,__ + -f-----~ f--- __J_ TOT Al ELEURICAl -I -~ - TOT AL SOLAR '--- TOTAL FEES PAYABLE T ,lu. c7Z" * AN_ OSttA, PEAMfT IS REQutREO FOR EXCAVATIONS OVER -5' O" DEEP AND OEMOLITMJN OR CONSTRUCTION OF ~ LL >-~ 0 0, E "' f- l ~ 0 CJ c ro g 0, 0, " I -"' C ii: -: 0 00 00 "' 00 00 " I 3 2 © >- 00 00 "' " 0 ci: " :.,; 0 ~ "' " C ro C LL C "' ~ CJ 0 0 "' 0, 00 C .': I HAVE CAREFULL Y°t:XAMINEO THE COMPLETED "APPLICATION AN() PERMIT" AND 00 HEREBY CERTIFY UNDER PEh~L TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE OECLARAT¼ONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every perm ft i$&ued by the Building Officiaf under the provisions of this Code shall expire by ltmltalion and become null and void If the buifding or work authorized by such perm,t is not commenced within 180 days from the dale ol such permit, or if the truilding or woni. authoriZed by such permit is suspended or ~bandon_~ at any time after the woric is commenced tor a penod of 180 days. APPLICANT'$ SIGN~'R' lf. // -__ t OWNER O CONTRACTO~ Tl ~ (.;;it911f e!,I BY PHON{ 0 STRUC~ OVER 3 STORIES IN HEtGHT ;;:. ,1 ~3'o-J'V APPROVE~ I) i,,() ' 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 SHOWER 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 17-J-f,-J T BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED 0.;J, -33.7 -FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR·s NOTES INSPECTION RED 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 MASONRY ~-- PILES CAISSONS ' . ---- . • ; ·--·--------· ------ - ------ . ---~-----