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2408 LA COSTA AVE; ; 86-729; Permit
"' z 0 ;:: "' 0: "' ~ " w C ~[ ~ 0: ,__ z 0 " 0: w C ~ 3 .. i2 w z 3 0 z 0 ;:: "' "' z w ~ ,. 0 " "' "' w " 0: 0 3 .11 b D I hereby affirm that I am licensed under provisions ol Chapter 9 (commencing with Section 7000) of Division 3 of the Buslfless and Professions Code, and my license 1s 1n full force and effect Lir No nereoy alt,rm tnal I tor s License '"cw •w ,,e Bus,~ess and Profes,,.Jrs r:ode :pres a ~err'l;I 1°, cJnst·ucl repa•r an1 struct,,e ~·,or to ,ts [1.11, p ,can! •or sucn perm,: :a 'ilea s,qnea 1,censed purs, ont to 1he pr,J,is•on, L ~ense Law •Chaoter 9 :cmmenc,ng o,v,s,on 3 o' t~e Bus,nesc dnd Prot~ss.ons t,;,- e,..r;t therer,om anc' the b:is,s tor t~e dllegea e,e"'pt,w, "olot,on ol Sect,an 7031.5 ny an anol,canr lo, a oerm,· 1er,ts The applicant to a ~IvI· pe~aity of not r"•ore th:ic 11,e d·ed dollars I$SOO· as ~weer ~1 'he ~rooecty or my emo'~ytes wI·0 as t"e1· sole com~ensdlion wII! d~ the worl< a0d ture Is rot 1rterdeG o· offered fer sa'e 1Sec l'J44 and Proless1oos Code Tne Conrrac'or s uce'>e '.aw not apply to an owner of property ·1,ho bu,lds or :"1p,oves thereon and wro does such wor, h,mselt or throuqh his ow~ employees prov1ced that sue~ Im~rovements a:e not Inle,1d ed or ollered for sate II however rne build,ng or Irrpro,e ment Is soId w,th1n one year ol cornpleMn lhe owner-butlder will have the burden 01 prov,ng tnat he did not build or 1"' pr~ve ior •he purpose of sale) I as owner 01 lhe pro~erty om exc1us1vely contracting with licensed coo tractors le construe! the pro1ect ! Sec /044 Business an(I Proless1o~s Code The Contractor's I Ice1se Law does nor apoly Tc an owner of prooerly who builds or Im proves lhereo~. and wno contracts for each pro1eus w1Th a contractoris) license pursuant 10 1he Cortractor·s License Lawl As a homeowner I a"' ,mprovIng m:i ,,ame anc !he •0I:ow Ing condIt1on~ ex,st 1 The work Is being perlarmed prior to 1;iIe 2 1 na,e lived In my nome lor twelve rr•Ontt,s pr.or :o complel1on of lhIs worK I have not claImeft this exe'11ptl0" dJrrng tne iast lhree years for ,'i,~~ r~~~~t under Sec _____ _ B & PC I hereby affirm t~al I ~a,e a c<crtif1cate of consent to se:' Inswe. or a cemi,cate of Woreers Compensation In swas~e or J cer'.1'1ed copy thereo' 1sec 3800 Labor Cocel POLICY NO C0\1PANY Cop; Is !iled w.th the city Cert1f ea coey Is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit Is for one hundred dollars 1$100) or less) I certify that in the performance of the work for wh,ch this permit 1s issued. I shall not employ any person In any rnanner so as to become subJect to the Workers· Com pen satIon Laws or Cal1forn1a NOTICE TO APPLICANT· It. after making this Cert1f1cate of E,empt1on. you should become sub1ect to the Wor~ers '4almpensat1on provisions of the Labor Code. you musl lorthw,th comply with such provisions or this permit s~all be deemed revoked • =:J I hereby affirm that there Is a construction lending agency for the perlo,mance of the work lor wh,ch this per mIt Is issued (Sec 3097. Crv1I Code) Lender's Name Lender's Address USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT " ,OB J"fp'B,. •·. ' L /t ~ AV,?T.RO. ~ 5/,ff ;;·;);;CROSSSt7 t:j/>1,#.1 Jf4JDA;:;~L•~-;z BUSINESS LICENSE # VALUATION ~ ,.PERMIT NUMBER 7?-J '3 I "'t/J. 4~'~, Ji A$l1Jv;·r3CE'J'O ()CONTRACTOR ~blA ~ Lit1:/vck.., CONTRACTORS PHONE~ ZONE 011:~::;;.e' !iJ 1/~~s~; ~, lwi29#l' TOR'S ADDA" II L_ I -CONT RAC ~~ LICENSE NO PLAN I.□. 1t BUILDING SQ FOOTAGE ~"?/ffi?~ssj/n}1 /d~/sj,4£ /~ DESIGNER ID?Z(t'.r»tt'~ktettf 411Ji,y ,!l1,il§L I OE5'GNERS ADDRESS t-- ceNSuS rnAc, I <,nAND use I RAR, Ne SRA CC l Res;.'-91 GRADING PERMIT ISSUED '□ ~ □ " FlR ElEV ''..J "-<CJ REOEVElOPMENT AREA ":J ,c NO STORiES TYPE CONSfT DESIGNER'S PHONE LICENSE NO. OCC GP EOU DCC LOAD FIRE SPFI vO "'[J -,., ' ,, I I -• 0 !'.'1 Nat Valid Unless Machine Certified QTY PLUMBING PERMIT· ISSUE MECHANICAL PERMIT. ISSUE 75"----SUMMARY/ACCOUNT NUMBER r-- QTY. L EACH GAS SYS I EM I TU ·1 OUTLETS EArH LJAS SYSTEM~ OR MO Rt -·-------------------'--~._- fllJII nlNS PFRMIT -·-·· ---... -::illiN r't:HMI I PLAN CHECK TOTAi Pl UM BING I-----_:_ __ -+----- Fl FrTRlrAI EACH INST Al AL l ER, REPAIR \/,'ATE fl Pl Pt VENT FAN SING! E OUCT ----r ·~ EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MECHANICAL MOBILEHOME MnRII rnnM>: PARK INSP WATER SOfTNER -~E-~CATION OF EA~UR_NACE HEATER "'V~•~~"V"' iACr :-;,:;1y "R;, \, \S l)F, _;iO_LAR I TOTH MECHANICAL STRONG MOTION T[JTAl Pi lJ!,11:\INC FIRE SPRINi<.LERS ELECTRICAL PERMIT· ISSUE J ----I QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE __ .s-D_ -i CUl, I ~~Tr:•R,S -. I -----1~□0L FEE -DISTRICT 11 STr!RA,,E T~~~'i j ii Carlsbad NEW CONST EA AMP SWT BKR .:2-,()t) /)(1'},/J \PH :;PH 'f 1 ____ ~t:XISI l:\lUL_t:AAMPSWT BKR _____j_ RDCf<ST(,::lAGL --~ -----. ---------+----1 lPH lPH PiJ\,1P I ----+ Encinitas I ' ___ San 0IeguI10 __ 001-810-00-00-8220 001-810-00-00-82 21 ' 001-81 0-00-00-8805 001-810-00-00-8222 nn 1-Rrn-00-00-8223 I ~ 00 1-81 0-00-00-8224 001-810-00-00-8225 001-810-00-00-8226 880-519-92-33 001-81 0-00-00-8227 332-810-00-00-8930 ---+---- -!---------- --+--1 REMODEL ALltR PfR CIRCUIT P.A\ [1--iFCK 'lE ,r TEMPPOLE 7UUAMPS San Marcos _____________ +--------- -- OVER 200 AMPS :1 -----------I ---I-LICENSE TAX 001·810-00-00-8162 ---- 1 TE.MP ()[[UPANCY ·30 DAYSI :1 I M-FF 880-519-92-57 I -----· ---_, __ I CREDIT DEPOSIT -- : I l(lfAL EU:l.lRIUd I er ! TnTAl SDLi\R -r-------: _;;>(> • -TOTAL FEES PAYABLE S:. ;.--- t I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY bythe8u1ldmg Ofhc1al under the prov1s1ons ofth1s 1 ! CERTJFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 1 DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-is ?r:b<Jnd80 or * AN OSHA PERMIT lS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP ANO OEMOUTION OR CONSTRUCTION OF STRUCT\.IAES OYER~ STORIES IN HEKit-lT STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND "":::"";:':zl o a s. 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CONTRACTOR □ J;;--DA TE I EXPENSES WH!CH MAY JN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. BY PHONE 0 r <I w lL >-;;; :s ~ E © f- cc, 0 G C a ~ ~ ~ <1C ~ C CL :s m " 0 m m <1C I ~ 2 0 >- m m 0 C C 0: ~ ;; 0 ~ 0 0 C ro C LL - C 0 ~ G 0 u 0 ~ " C s £ :,: • TYPE I DATE INSPECTOR --' -------------------git-7~q -BUILDING I --. FOUNDATION I FIELD INSPECTION RECORD ' REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I INSPECTION REO IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL ' sue FRAME □ FLOOR □ CEl~ING SOILS COMFl_;A"J'.-.E. I SHEATHING □ ROOF □ SHEAR PRIOR TO FOUNDATIOr--. 1r-,,,sp i ' FRAME I ----- EXTERIOR LATH I STRLJCT~PAL CO~CRf-t ! ' OVER 2000 F'SI INSULATION I PRESTRESSE'D CONCRETE INTERIOR LATH & DRYWALL I POST TEN~'.!ONE:.O I cor--..CPETE -----; PLUMBING I FIEl_O VVELDING ' C SEWER AND BL/CO C Pi;_/CO Hl(;i--, STRENC,Tl---1 --------r------! UNDERGROUND □ WASTE □ WATER BOLTS TOP OUT □ WASTE □ WATER SFECrA._ MASONRY TUB AND SHOWER PAN I GAS TEST I ~--.~ Pl~EiC;-A l~SOr-...:_· □ WATER HEATER □ SOLAR WATER f-----~~..;----;--:-·-------I--------·----- ' (1-, -.,.:-, I •·y.; I ' --t------------- ELECTRICAL I -J-• ' ~ .-cl,'") □ ELECTRIC UNDERGROUND DUFFER •~~---_·A' -- ROUGH ELECTRIC I . -t,,,. . --~;,_ I -✓ '' •~ ... a -----. ,._, □ ELECTRIC SERVICE □ TEMPQRARY , . '· ~~ -;;-· •. ~;,,-· -' ---------------·----- □ BONDING □ POOL I _j:' i ... .,-~ ' --------' --,, , ! ' ,,_' MECHANICAL I :... _,_,._\ -' ---------' •.. .J ' □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND_ SYSTEMS I I VENTILATING SYSTEMS I I -CALL FOR FINAL INSPECt/ON WHEN A~ RIATE ITEMS ABOVE HAVE BEEN APP . FINAL I '~ -~ PLUMBING ! ·rJ , .. <~1 ' ELECTRICAL I -.\.\ .., ill ' ---. MECHANICAL .. . ~ ! I h_. GAS j,..~ I BUILDING I ~ ' -SPECIAL CONDITIONS ' ---·------~-- I