HomeMy WebLinkAbout2409 La Plancha Ln; ; 86-907; Permit"' z 0 ;:: .. ,:::
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O I hereby affirm that I am licensed under
prOYlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolesalons Code, and my license 1s in
lull force and effect.
l,c Ne 443348"" C36
I he·eby a1hrrn :hat I am exempt from lhe (:on:rac
TO" s License Law :c, IM lollowmg ·eason 1sec 7011 'i
Business and Profess,ors Coae Any city or CO'Jnty wll,ch ri
quires a permit to construct. a ter ,mpro-.e. demol,sh or 'eoa,r a~y struuu-e pr,or ro ,ts issuance a,so 'eGul'es i,e ao
0'1c;;nt for sucn per111! 10 frle a s,aned s:atement t<at re s
1,censed pursuant rn the orav,sions ot :he L.onrracwr, L.:ense Law ,Cha~:er 9 commenc,ng wt'l Ser,tron 7000 o1 o,v,sron 3 of the 8Jsrness and Profess1ors Coce, ar teat 1s e,
e"'lpt therefrom and the basis 1or the alleged e~en,p11on /\ry
v101a\1on of Sec11on 7031 5 by an appl1canl for a permit sub
1er.ts The appl1ca11 to a c1v1I pe1alty ol not mo·e 1nan five 1u1
dred dollars !S500!
as owner o' the property, or my employees w1lh wages
as their sole compens2Mn will do the work. end the struc
•·,re ,s no1 •ntended or altered 10, sale (Sec 7044 BL·sicess
and Protess1ons Code The Con1racror's Llcer.se Law coes
~ot apply to an owner o1 property who bu1lds 0' improves
I hereon and who does such wori< himself or through ~1s own
employees. prov,ded that such improvements are not intend-
ed or ottered tor sale 11, however lhe bu11d1ng or 1mprove-
:nenl 1s sold w1th1n one year o1 completion the owner•bu1lder 1<11, have the burden of proving that he did not build or im-
prove to, the p.Jrpose of ,;ale)
I. as owner of the property. am e,clus1vely coniracT11g
with licensed contractors re const'ucl ihe pro1ect [Sec 70~~
Business and Pro1ess1uns Code The Contractors License
Law does rot a poly to an owner ot property who builds or 111-p,oves thereon. and who contracts for each pro1ecls with a
conlractor(sl ,1cense pursuant to the Con1,ac\Of s license Law)
As a homeowner I am 1morov1ng my hOme and tre tallow
1ng cond1t1ons exist 1 The work 1s bemg performed prior to sale
2 I ~ave lived 1n my home tor 1we1ve months
prior :o completion o1 this work
I nave nol claimed this exemp1i0n during the
last th'ee years
,_ am exempt under Sec B & PC lor this reasoc. ____________ _
:--: 4~ereb; allirm I hat I ha,e a cert1hcate of consent to
selt-1%ure. or a certificate of V<orkers Compensa11on In
suance or a certi!,ed copy thereof \Sec. 3800 Labor Code\
cocn '0 TC721698048
COMPANY
:--· Ccpy IS f1!et'1~JYe~ltynd casualty
::--:: ~rtlf1ed ccopy 1s ~ereby furmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS' C0\1PENSATION INSURANCE
1Tn1s sect10~ need sot be COr"1pleted ii the permit
1s lor one hund,ec dollars ,,$1001 or less)
_ I certify that'" the performance of the work 'or wh1c~
this ~prrr1t ,s issued. I shall not employ any person 11 any
rnanoer so as to beCOn"e sub1ect to !he Workers· Cornpen
sat1on Laws of California
NOTICE TO APPLICANT If after making this Certd1cate
ol Exemption. you should become sub1ect lo the Workers
Compensation prov1s1ons of the Labor Code. you 11ust
for:hw1lh comply w•th suGh prov1s1ons or this pe•m11 sh al
be deemed ,e,oked
I hereby affirm that there 1s a construct101 lending
agency lor tre performance of the work for which this elff
m1t IS issued (Sec 3097 Nonel
Le"r1ers Name __
Lender~ Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008·1989 (619) 438-5525
J08 ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
-,,nn r_,, Dl _, Tn T .,.,_,.. n.:-..,.,_,._ n-Q _,c; n~
11 '""
~~,,.
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE -ZONE qo q.--
OWNER'S NAME I OWNE A'S PHONE ,~, _, _, . ,,.,......, ,, 1 ... ,
CONTRACTOR'S ADDRESS -UCcASE NO. PLAN 1.0. # BUILDING SQ FOOTAGE
J=k Filrnan 753-2801 . OWNER'S MAlLING ADDRESS ?RlQ , ,1 >n= ,~·n•o
DESIGNER DESIGNER'S PHONE
2409 La Plancha Ln. 92008
DESCRIPTION OF WORK
t'.1.,,,+o,..._ ..... ·-i+--_, DESIGNER'S ADDRESS LICENSE NO. -
r---------------------·---' e F LR ELEV NO DCC GP EDU
STORIES
,c r-,,0 ---UUU't ii iii G~iU ~/!j6~•;;:;.,;T ~ ,.! , :
CE:N'.:,US TRACl I GP LANO USE l PARKING SPACf RES ur-.1Ts I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRESPFI
AREA CONST
,□ N 0 , LJ e..O vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE )Ao' QTY. MECHANICAL PERMIT· ISSUE .5 -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INST AL l FURN DUCTS iJP TO 100 000 BTU ,,-BUILDING PERMIT 001-810-00-00-8220
~ -
EACH BUILOING SEWER OVER 100.000 BT./ SIGN PERMIT DO 1-810 ·00-00-8221
------------j-····-----------------·
1 EACH WATER HEATER AND OR VENT l__ $2.. c;n BOILER.:COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00-00-8806
-------
EACH GAS SYSTEM l TO 4 OUT LETS I 801LER:COMPRESSOR 3 15 ~ TOTAL PLUMBING 001-810-00-00·82 22 $10.00 -----~------· ----------------------~--------
f.ACH GAS SYSTEM~ OR MORE I ME-AL FIREPLACE ELECTRICAL 001-810 ·00-00-8223
--------------------
EACH INSTA~ ALTER. HE PAIR WATE.f-l PIPE VENT ~AN SING% MECHANICAL DO 1 ·81 0-00-00-8224
' ·------~
EACH VACUUM BREAKER MECH EXHAUST 000 DUCTS MOBILEHOME 001-810-00-00-82 25 --WATER SOF P\IER I RELOCATu,r("OF EA FURNACE-HEATER MOBILEHOME PARK INSP -----i Li\C'l RDDF (,f-L~·'; \S ·1l ./ _$OLAR 001-810-00-00-8226 ----------I I :/ TOT.C.L MECHANICAL STRONG MOTION 880·519-92-33 ·---·----
fOlAl PlU\H<,iNL I Sl0.00 FIRE SPRINr\LtRS 001-810-00-00·8227
r
i QTY.
PUBLIC FACILITIES FEE 332-810-00-00-8930 QTY ELECTRICAL PERMIT· ISSUE 5 SOLAR· ISSUE -·-. ----~
-----------
NEW CONST EA AMP SWT fl KR ~ u:11 ~cn~s SCHOOL FEE -DISTRICT -------
I PH J PH STCRAGE TMJKS / Carlsbad ---------------
~XIST fiLOG EA AMP SWT RKR ./", _J ~DCK ST•JR!V-;[ ./ Encinitas ------
I PH ~-PH ' PY,1cl ./ San D1egu1to -
REMOO~L Al lt:R P✓ PA\ :::·--1r·:::~ l"EE San Marcos -----------------
TtMPPOlf lDUA',iP ./
' --.. -------~·--------
I OVER /OU AMP</ ./ LICENSE TAX 001-810-00-00-8152 ,~ ~--MFF -------
ft:M~ ()_);.&11PANCY ·30 DAYSI ~------+ / 880·519-92·57
I -~---f-----· --· ------
'
./ ./ CREDIT DEPOSIT ------·-
I l(llAL fllClfllCAl ii .1/ T•:J 'A! S'."11 ,\~ I I i1 I
TOTAL FEES PAYABLE Sl0.00 I
I ! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPL!CA TION ANO PERMIT'" ANO DO HEREBY Exp1rat1on Every permit issued by the Building Ott,c1al under the prov1s1ons ol this * AN OSHA PERt.11:T IS REQUIRED FOfl EXCAVATIONS OYER
' CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lfm_,tat1on and become null and ~01d 11 the building or work 5' 0 .. DEEP ANO OEMOt.JTION OR CONSTRUCTION OF
' OECLAAf,TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm11 ,snot commenced within 180 days from the dale of such STRUCTURES OVER 3 STORIES IN HEIGHT
I ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· ~~~~~10n~ 1
~1
1
:~v ~~~~i~Pte;;h:~~r:~ti~~~e:Je~~~~ ~~~~d'~t'~~g~~~!d or
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APP:s::AT~ OWNER□ CONTRACTOR 0 APPROVED BY DATE
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO r... -..... .L.1 I q \.I\\ ~le> EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE BY PHONE 0 ev--I GRANTING OF THIS PERMIT ~n
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TYPE ' DATE INSPECTOR
BUILDING I
FOUNDATION :
REINFORCED STEEL '
MASONRY ,
GUNITE OR GROUT :
SUB FRAME □ FLOOR □ CEIL!ING
SHEATHING □ ROOF □ SH,EAR
FRAME :
EXTERIOR LATH 1
INSULATION ,
INTERIOR LATH & DRYWALL :
I
PLUMBING I
□ SEWER AND BUCO □ P(.ICO
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN :
GAS TEST ,
□ WATER HEATER □ SOLAR WATER
I
'
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □; UFFER
ROUGH ELECTRIC :
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING D POOL ;
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS 1
I ' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIAT _
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING : r"\ I
ELECTRICAL 1 ,
MECHANICAL , _ a.. /
GAS : n ,'1,. /,
BUILDING , -,, I _,.
SPECIAL CONDITIONS ,
I
'
. -•
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS OATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
' -STRUCTURAL CONCRETE
OVER 2000 PSI --PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-.------HIGH STRENGTH
BOL Ts
SFECIAi... MASONRY
PILES CAISSOr-.:·
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