HomeMy WebLinkAbout2411 LA COSTA AVE; B; 83-262; Permit1/1 z
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a: ~ hereby affirm that I am licensed under o ~1
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slona of Chapter 9 (commencing with ti [ Section 7000) of Division 3 of the Business c and Professions Code, and my license Is In
~ full force and elf~ 0 :::> / ~ Lie No~.:J( Class -\;::: -a-.b
o r I hereby affirm that I am mimpt from the Contra<:· , ..... LIC1!1$1 uw lor the following reason (Sec 7031.5
Bus,ness and Pro!ess,ons Code: Aoy city"' counly whlcll re-qum a perm,t to construct, aJle<, ,mpn,ve. -•sh. Of rel)llr aoy structure. p<iO< torts tSSUanca also requires the ,e-l)llcant for suc_l>.lierm1t to Illa a Si90ld !latement that he ,s licensed pu,suanf to the],-of• the Contract0<'s
License Law (Chapter 9 ~ w11l1 Secbon 7000 of lllvis10n 3 ot the Business and Protess,ons Code} at lhat is,.. e<npt lheretrom and the basis to< )he aJleQtd exempt11,r1, ,,,.,
vto1at10n ol Section 7031.5 by an IDl)llcant tor• permrt sub-~ the apphcant to 1, ctvl penally of nor more than live twn•
dred dollars ($500)
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t,J I, as u.,ner of the property. Of roy l!Jl9loyees with wages
as their sofe COfJlpensa:tJOn, wi!I do the work. and the struc· tu,. is !IOI llllendocl or offorecl for salrl 1sec 704-4, Business and Prufessions Code-The Contractoi'~ License Law aaes not apply to an ,OWJ19f of .groper1y wto butkls or )fflD(Ol'es the,_ and whO does such Wor1< twnsoil Of lllfough h,s own
e<npioy<es. prO'lllled that sucit Improvements are not intend-ed or ottfflMI fo, sale . II., 1,ow...,. tht building or lmprUY&-
ment is sold w~hln one year ol complr!l10n, the owner-butkler w•tl have the burden 01 prov,ng that he did not build or lm-
p,ove tor the l)UfllOSe of sale).
□ I. as owner of the property. am excluSM1fy contracting wittt licensed contract0<s to construct the prOject (Sec. 704-4, Business and Proless,ons Code: The Contracto<'s License Law does rJOI apply to an ow""r ol prOl)Orly who builds Of im-p<oves thoreon.-and who conUacls for each P'OIBCIS with a contractor(s) licenSB pursuant to the Conuactor's License
Law).
□ AJ • homeowner I am Improving my home, and the tolfow• ing cond1tionS-exist 1, Tht work Is bemg pertotmed prior to sale 2 t have !Wed In my hOfne tor twelve months
3. r:-: ::'~:.l:.: :ption during the last th,.e years
□ tamexemptunderSec, ______ , B&P.C lor this reason ____________ _
~ hereby affirm that I ha-,e a cert1hcate of consent ~ 1self-1nsure or a cen1hca1e ot WOt'kers
Compensation Insurance. or a cer11f1ed copy lhereot :l::~735}0>? -K.3;
COMPANY3/!2i. ~CJ
\;{ Copy 1s hied w,tn tne c,ty
'd' Cer11tted copy ,s hereby turn,shed
CERTIFICATE. OF EXEMPTION FROM • : WORKERS COMPENSATION INSURANCE
(This sec:1100 need not be completed 11 the perm,1
,s tor one hundred OOHars tS HX)) or less)
0 I certify that m lhe perlounance of the work. tor
which th,s pem,n ,s issued. I shaU not empl0y any
person in any manner so as to become sub1ect lo
the Workers· Compensation Laws ot Cahtorn,a
NOTICE TO APPLICANT 11. alter makinJ this Cen1
hcate of Exemption. you should beeome sub1ec1 l'J lhe Work.ers' Compensa11on p<ov1s,ons of !he l...abof
Code you must lor1hw1lh comply w11h such
pro111s1ons Of this perm11 shall be oeemed revoked
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0 I hereby ath,m lhat mt 1s a construcuon
tending agency tor the pel:ormance of lhe woOI; '°'
wl'uch this perm11 1s issued t~ 3097 C1v11 Code)
Lendef s Name, ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INt-UHMAIIUN WI I HIN ~HAUt:U AHt:A ANU Ut:1,;LAHRI IVN->.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS A /cL (1 /J.slzt...~ Me-A~·i.r-1 ~El; 17l~NI :;;w# VALUATION ~ PERMIT NUMBER
-2.'-r/ I
OWN£~5 NA~} JJ/J ,;fj~ I OWNfR'S PHONE //Jf)J;J;_; /4 /fi~ l/ ~0 o/:):;~~~~ ZONE :<?:? Ji ~J
OWNERS...,_,, ING Al)DRE"'5 ~1:s2·$AO?J;/ /.a~A A:t)_ 1~1s??-=?1 PLAN 1.0. # BLDG USE CODE
\.(IT I B~C>Ct< j sue~~ ON -[ Asfrj_"iJ{' /? :::'.)_ 4 ::.__.;, _-;-5 -~s-or:;1G,t-.iCf:"1 J LICE.NS[ " STANDARD PLAN# BUILDING SO. FOOTAGE
OESCR PT•ON OF WO" K d//< /~·
6/.1 g/635 I 5G I 1-t...,!: -
DESIGNER"S ADDRESS DESIGNER'S PHONE {) ~ -
>-F/P F LR IELEV. NO OCCGP EDU
STORIES
vO NO
CENSUS TRACT I r GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Un~ Ahchine w rttfi«J
QTY. PLUMBING PERMIT -ISSUE -J~ QTY. MECHANICAL PERMIT -ISSUE '3~-SUMMARY/ACCOUNT NUM BER
EACH FIXT URE TRAP
, INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 ---~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEA TER ANO/OR VENT--=-=-i=-
----
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 _..r-, --
EACH GAS SYSTEM 1 TO 4 OUTLETS --') .<7 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 /r), V
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ---
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00-8225 ----
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR O.l·OO·OQ:8226
TOTJ:.L MECHANICA L STRONG MOTION 80-92-33-0519 ~-r--'/rJ ·jj;n ~ -
TOTAL PLUMBING . FIRE SPRINKLERS 01-00-00-8227 --
QTY. QTY. SOLAR -ISSUE ~ PUBLIC FACILITIES FEE 32-00-00-8923
ELECTRICAL PERMIT -ISSUE ---, BRIDGE FEE --
NEW CONST EA AMP SWT BKR COLLECTORS -SCHOOL FEE • DISTRICT -
1 PH 3 PH . STORAGE TANKS Carlsbad 80-92-21-0519 --:---
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encm1tas 80-92-22-0519
1 PH 3 PH PUMP San Oieguito 80-92-23-0519 ---·------REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 .__
TEMP POLE 200 AMPS -~--
OVER 200 AMPS -------
TEMP OCCUPANCY (30 DAYSI ----. ~ ----
r ► --r-··--. C TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /() ~ .
I HAVE CAREFLl-t y EXAMINED THE COMPLETED "APPLICATION AND PERMJT" AND 00 t-tEREBY Exp11at1on Every permit rsaued by the Bu1ld1ngOll1c1al unOer ttieprov,s1onsotttus * AN~PMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTlFY UNOEcR PtNALfY OF PERJURY THAT AL' ,NFORMATION HEREON INCLUDING THE Code snall expire by 1,m1tat1on and become null and void If tile bu1ld,ng or worl< 5' o• '-ND OEMOUTION OR CONSTRUCTION OF
L. · . authorized by such permi~ commenced w,tn1n 180 days lrom the date of sucn
DECLARATIO'-S ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe,nn1t or 1f the b1.11td1n orl< autnonzad by such pe,mlt 1s suspended or STRUC S OYER 3 STORIES IN HEIGHT
ISSUED. TO COMPLY WITH 'ILL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandOned at anv time a r e wor• ,s commenced for a"'""'" ot 180 """" , .
STPUCTION Wl1ETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY 'IND ~ ~ OWNER □ CO"ITRACTORP<: APPROVE~
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KEEP HARMLESS THE CITY OF CARLSBAD I\GAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CIT't IN CONSEQUENCE OF THE BY PHONE 0 ;, I SJ GRANTING OF THIS PERMIT ' ---, /
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION I : I ,.,._
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 ~HOWER PAN
GAS TEST I
ELECTRICAL ..
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC I
ELECTRIC SERVICE I
BONDING I
G. F. I. -SMOKE DETECTOR I
MECHANICAL 1
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 r
ELECTRICAL /'_ / -
MECHANICAL I.I'/ I
GAS /A /, ;-)
BUILDING II J 'f.(7 ,4,i/>-
SPECIAL CONDITIONS I I
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CERT OF OCCUPANCY ISSUED
1;-J_t;;l_
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS ' INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS 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 ' '
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PILES CAISSONS
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