HomeMy WebLinkAbout2411 La Costa Ave; C; 83-262; Permit.. z 0 ;:: .. "' :5 u w 0
"' i[
l
"' ~ ~ 5 ~ w z !
z 0 ;::
~ z w 0. ~ 0 u .. "' w " "' ~
![
;x I hereby affirm tha. t I am licensed under
~~slons of Chapter 9 (commenc/nQ with
Section 7000) of Dlvlsmn 3 of the Business
and Professions Code, and my llcensei· in
full force anf_,.eftect; j (\ '2
L,c No3/15'<{3rCla1s --\....,.,-J _
I hereby aff1reo tha'. I am exempl :rom the Contrac-
lG" s License Law tor the following 'eason !Sec 703' 5 Bus11ess and Professions Code A.ny c,ty or county whrch re
qoires a perfll,t t~ cors'.ruct al:e: Impro1·e. cemol,sh. O'
repa•rany structure pr,o, to ts ,ss_ua~ce also rqt1res the ap
ol1can1 for sue~ perm,t ta :i'e a s,gned statement that he Is
I,~ensed ;,ursuant to the ;,rovIs,ons of the Co,1tractor s
C,:esse Ldw ·Chaotec 9 com.~enc,na wI:h Sect en 7000 of
C·1·,11 8" 3 81 tne Bcs11ess and Pr~fesslons Code:, 0° that ,s e~
e~pt •he-efro-arr. '.~e bJs,, for tie alleged exen",Dllo"._ Any vI0I;n,on c' Se-:t,on 70J7 .J by an appl1car: tc 0 a per'TlIt sub
Iects the appll·:ant to a c1v1I oenal'.y or not ,rore than 111-e nun-dred i:JOl'ars 1$500'1
' as owner o' tne property, or my employees w1lh ,vages
as therr sole compensat,on. will do the work and t"e struc-
ture Is ~01 rn!endeC or o1fered for sa'e (Sec 70~4 Business
and Proless1ons Code The Contractor's License Law does
Ml apply to ar owner of properly who bu,lds or improves thereon and who does such wor~ himself or through his own
emoloyees provided that such improvements are no! 11tend-
ed or altered tor sa:e If. however. the building or improve-
ment is sold w1th1n one year o1 complet1on, the owner-builder
w1I! have lhe Durden of proving that he did not build or im-
prove Jor the purpose of s.ale1
~ I. as owner of the prooerty, am exclusively contracting
with licensed con'.ractors to construct the project (Sec 7044, Business and Proless,ons Code· The Contractors License
Law does not apply to an owner of property who Dwlds or Im·
proves thereon_, anct who contracts for each pro1eC1S wrth a
contractor(sl IIcense pursuant to the Contractor's License caw1
::::: As a homeowner I am improving my home and the follow-
ing co~d,t1ons exist
1 The work is being perfQfmed pnor lo sale
2 I have r,ved In my home for twelve months
prior 10 completion or this worK
r have not claimed th,s exemption dur,ng the
last three years
_ I am exempt under Sec ______ , B & P.C
for this reason
t hereby a/form tllat I have a cen,t,cate o1 consenl
• seit-,nsure. or a cert,1,cate of Workers
~c ~•~
1
0;,;,o~socaoce °' ;~'""'c;"'" co,61,<oeceol
POLICY NO /f -
,;JMPANY .. 11
~ Copy ,s hied with the crty
0 Cen,t1ed copy ,s hereby furn,shed
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section neect not be comp1e1ed ,f rhe perm,1
,s for one hundred dollars ($1001 or less)
0 I ceJ11fy that "' the performance of the work for
which th,s perrn,t 1S ,ssued I shall not employ any
person ,n any manner so as to t>ecome sutJ1ect 10
the Workers· Compensation Laws ot Ca11forn,a
NOTICE TO APPLICANT 11, after mak,n'., !his Cert,
f1cate of Exemptoon. you should t>eco...-.e sutJreci T'J
the Workers Compensa1,on provrs,ons of the Labo,
Code. you mus1 tor1hw,th comply wrth such
p,ovIsIons or this perm,t shall be deemed re\lo~ed ,
,•
0 I hereby aHirm 1r1a1' there ,s a cons1ructI0~
Iend1ng agency to, the perto,mance of the work lo,
wh,ch tr1Is pe,m,t ,s ,ssued rSec 3097 C.,,: Code)
lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 EJm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT ---------... ~ 'AT_''~1P ZON:ALUAT,ON 3 ;:l;U; JOB ADDRESS
2£111 ~ _/ IA o.;)~ Jhre. _,I
OWNER'S NAME V :::s:('"") (\ --e_ <:::.
Ow,Q"°EA'S PHONE
OWNER'S MAILING ADDRESS PLAN 1.0. # BLDG USE CODE
LOT BLOCK SUBDIVISION ASSESSO;rt,;,c~a !5 ~ '3 / STANDARoPLA~"#
OES(:R!PT!ON OF WORK /l.R.._.; DESIGNER'S AODAESS OESIGNER'S PHONE t------77"~...,__~'-£_!-==--------I
t-------·--------------·-·--1 F/P F LR ELEV j I NO I occ GP I EDU '
vO NO
GRADING P_ERMIT ISSUED
STORIES
TYPE
CONST
DCC LOAD FIRE SPA
BIJILDING SQ. FOOTAGE
ems us TRAC. LG' c-:. :J'ARKING »Ace RCS uN,TS J
y O N 0 1 REDEVELOPMENT
AREA
vO NO YO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE -;,13-_ QTY. MECHANICAL PERMIT -ISSUE ,5 ~ -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ____________ j_' ~TALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT
SIGN PERMIT
01-00-00-8220
----
01 ·00-00-8221 EACH BUILDtNG SEWER I OVER 100.000BTU
tf----t+i-;:-:~: ::::::~A:~;~%~~~:t1_ --L---;L~ 5. -{~~:~.~~:::*:~}~~~/~". -= =--:= . ·--=-~~:t;~~.~BING---_-~ :8::¥~.:B=-~ 6°-~
-~ACHGASSYSTEM50RMORE __ ...,__ METAL FIREPLACE ELECTRICAL 01-00-00-B223
r--_EA_.c_H_IN_S_TA.fALTER_._REPAIRWAT~P~ -1-__ v_EN_T_FA_NslNGLE-□uC)-~---_ --r-~-_MECHANICAL ____ 01.-00-oo:s224
f---------
f---------
EACH VACUUM BREAKER MECH EXHAUST HOOOiOUCTS • MOBILEHOME 01·00·00-8225 -----+------------------------------------------t--
-LW~E~~~E~_ _ ___ _ --------11-RELOCAT!~O~~~RNA~HEATER ·--__ MOBJLEHOME PARK INSP _ _ _ , ____ _ ----
~ACH ROOF DRA1\J '· \JSIDE'I . SOLAR 01-00·00-8226 t7-· ----------TOTt.L MECHANICAL I STRONG ~Tl~ ---=._ 8Q-=-921_3.~9-=
h-= TOTAL PLUMBING =_J ta~ = =-FIRE SPRINKLERS _00)0-00-~2~
~ PUBUC FACILITIES FEE 32-00-00-8923 MIT ISSUE QTY. SOLAR· ISSUE ----.--------
__..-BRIDGE FEE
~ CONST_EA~~~KR--= ~ =-~ ----_--COLLrCToR·S·------------. SCHOOL FEE__:___Q_!_STRICI.____ ----+---t-=~~-----__2P':!.__ ----~!~RA~_T_ANKS -------· ---Carlsbad --B_Q_·92_J1-0219 __
-----
------
------
·----
--------
----
.-----· --~S~LDG _E__:'_AMPiSWT-~R _ i _ ~C~T~AGE _ --------_ ~ini~s _ --_ 80_~2~2-0_~9-
~ 3 PH . ------4-PUMP San Oieguilo 80·92-23-0519 t----~=' R~~OjiE(_~':2._fR--_-P~R c1~cy11 ---Ii ___ -PLArJCHECK-~E-----------SanMa~s 8().92-24{is19 ---· -
\TEMP POLE 200 AMPS r·owR 200 AMPS ------
r ---r-r f MP-□ C c·uPANcY no· DA Ys1
-~
_ __L _
TOTAL ELECTRICAL '
,-
-➔· --+--
------tt---
---;f-
I HA.VE CAREFULLV.~AMtNEO THE COMPLETED "APPLICATION AND ·PERMIT" AND, 00,HEFl~BY,
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
OEQl.ARATIONS ARE lRtJE ANO CORRECT AND l FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISS!1EO: TO COMP\,.Y WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON·
TOTAl SOLAR
1-----------
-------t-------
--+-------JI-----------
--· ---~ -+-----11-------
TOTAL FEES PAYABLE J I {J .. !l,.::---
STRUGTION, WttETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY ANO D~ 0
KEEP HARM. LESS THE.Cl"Ff,QF CARLSBAD AGAINST AU LIA81LITJES, JUDGMENTS, COSTS AN //.r, g
EXPENSES WHICH MA"Y,tN·AtfY WAY ACCRUE'AGAINST SAID CITY fN CONSEQUENCE OF THE /i.':'.1i;~~ ,'~hilii / ':2
GRANTl~OFTHIS~~ERlltt. ... ... .,.:,_ ___ '>s::::,,c:j---I -
~
ii: c "' 0 0.
E
/:'
TI 0. '
(9 -
c "' 0
0.
0.
"" I
~
C a:
0 "' "' "' "' "' "" I
~ 9. w >-
,,;
"' "' 0 e a.
"' <ii 0
~
"' 0
C "' C
ii:
C "' "' ~
0 t;
"' 0. "' C
~ .c ~
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION •
REINFORCED STEE~ • • 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 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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING I
ELECTRICAL (' ,/ / • I
MECHANICAL 'f' /I IA"'
GAS '/] I,
BUILDING I •
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED
~~ -~ ';;>-
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
PRESTRESSED
CONCRETE --POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
-----
-
·-----.. :.:-a "
~ -·--