HomeMy WebLinkAbout2411 LA COSTA AVE; A; 83-262; Permit"' z 0 ~ "' "' .,
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I hereby affirm that I am licensed under ~ slons of Chapter 9 {commencing. with
>-[ Ion 7000) of Division 3 of the Business ~ and Professions Code, and my license 1s. in_ ~ full for~nd eff.ect. f'i . -::2. / 8 Lie No 3~ 31 Oass --~~ .:;Jp
I I hereby affirm that I am exempt from the Contrac-
lo' s License Law for the fo'low1°g reason !Sec 7031 5
Business and Profess,ons Code Ari cit)' m county which -e-quires a oerm,1 ·c, const"uct al:e· :mpro,·e. de"lol1sh or
repa1' any structcre ~r,or to_ 11, 1ss"ance a1so requ,res the ap.· ·
pl,car.t 'or such ~erm,t to ,,le a s,g1ed statement that he •s
'1ce~sec oursuant to the prov,s•o1> of IM Con'ractnr s
License law 'Chapter 9 commenc.nq w1\h Sect,cn 7000 of
u,v,s,on 3 ~f tne Bus,~ess and Prc!ess,0% Code., or that sex
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err~t the-~from and the bas,s for the alleged exer~o'.1or Any v•ola\101 of Section 7:J31 5 t-y ao opnl,cant for a permit suo
:ects the apol,car.t io a crvil oenal:y of not ,-,ore than five hu~-
d'ed dJlla·s 1$SCO',
--I. as owner oi the property or coy e'"lp'Oiees ·1,,th wages
as t~e,r sole cor1pensa1,on. will do the wor• aid The struc-
ture ·snot ,ntendeC or offored for sale {Sec 7044. Business
and Proless,ons Code. The Contractors License Law does
not apply to an owner o1 pro~ert'j who builds or ,moroves
thereon and who does such work h,msell or through hts own
employees provided 1hat such improvements are not intend-
ed or olfered for sale ;f however. tne bu1ld1ng or 1morove·
ment 1s sold w,tnin one year of cornplet1on, the owner-builder will have the burden of proving that he did not build or rm-
prove for the purpose of sale)
1----c I. as owner of the property, am exclusively contract1ng
with licensed contractors to construct the pro1ect (Sec 7044,
Busmess and Professions Code The Contractor's License
Law does not apply to an owner of property who builds or im-
proves thereon. and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's License Law)
:.J As a homeowner I am improving my home. and thelollow·
1ng cond,t,ons exist 1 The work 1s being performed pnor to salB
2 I have lived 1n my h_om€ !or twelve months prior to completion of this work
I have not claimed this exemption during the
last three years
~ I am exempt under Sec ______ , B& P.C
for this reason ____________ _
t-hereby attirm !hat I ha,eacert,!,cate ot consent
self-insure. or a cert1f,cate of Workers :,::~~~7;3} :'?J'
C?MPANY _5 /Cl ~-/1?117 ~ Copy IS filed w,trl !he c,ty /0 cert,hed copy 1s hereby tum1shed
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not De completed ii tne ;>ermn
,s tor one hundred dollars 1s1001 or less)
0 I cert1ty that ,n the performance of lhe work for
•h1ch this perm,t ,s ,ssued. I shall not employ any
person ,n any manner so as to become subrect 10
the Worllers· Compensat,on Laws of Ca1,torn1a
NOTICE TO APPLICANT I!, after makin;i tt,1s Cert,
f,ca1e of Exemption. you should become sub1ect 10
the Worllers Compensation prov1s1ons of tl1€ Labor
Code. you mus1 forthwith comply wllh such
prov,s,ons or 1h,s perm,t sh;«I De deemed re,oked
D I he,eby affirm that there ,s a conslruct,or
lend,n<,i a<,ier>C}' to, the performance al lhe worl< lo,
which th,s pe,m,t ,s ,ssued 1sec 3097 C,v,1 Code1
Lenoe, s Name ___________ _
LenOer"s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD 1"1,rr1..1 ... 1"1,l'I I , .., I, ............................... , .... , 1 ,,,u ..... ,.,. ........ .,, ... ,... ,.,.,._ ----· •••••• :..=....:....:.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (6m) 438·552~
,3,7:Jl! 4 La ~~-k,
1n;rA~M1~~1 fbJ ___ ~ h/Jt/;fr'O,
~
OWNER'S PHONE ~
AV. ST. AO.
CONTRACTOR
OATEiPPLl§l .. BVSIN SS LICENSE# VALUATION ,s; v~ . ~ J,;:AM,T NUMBER
f'I Umi_/4~ q}))7)_.;,J2 ZONE 2-,G :?_ ~ 'lf!dtV
owNER7sMAILING ADDRESS --U PLAN 1.0. Jt-BLOG USE CODE 375:ZS AO°i);{J ~~jIDL_ -
LOT I BLOCK T SUBDIVISION --1 ASS~~~·~I:i'D' S-5 .3 q DESIGNER J LICENSE# STANDAR~d,1'3" #;,.,;s-WILDING SQ. FOOTAGE'
DESCRIPTION OF WORK DESIGNER'S P-HONE I Z0J, ;t{/jV./'__ I oes,GNER'S Aooaess
----------_ _J F/P FLR ELEV.I I NO I OCCGP I EDU '
vO NO
STORIES
TYPE
CONST
ace LOAD FIRE SPA crnsus rnAO I ce cAND USE I >AR<'NG seAce ACS UN,TS I GRADING f'.ERMIT ISSUED
Y □ N □ I
REDEVELOPMENT
AREA
vO "□ vO NO Not Valid Unless Machine Certified
QTY.I PLUMBING PERMIT -ISSUE --7-~ QTY.I MECHANICAL PERMIT -ISSUE 3~ SUMMARY/ACCOUNT NUMBER
t
__ 1_E~A~C~H_F IX TUR E TR AP
~ACH BUILDING SEWER I 1-----ll-
INSTALL FURN. DUCTS iJP TO 100.000 BTU
+----OVER 100.000 BTU ----'--___ · -t--
BUILDING PERMIT
SIGN PERMIT
01-00-00-8220
01-00-00-B221
01-00-00-B806
01-00-00-8222
EACH WATER HEATER ANO-DR VENT
~H GAS SYS!_~~ 1 -TO-4_g UTLETs··-
~-i-~~~ GAS SYSTEMS OR MO RE
~ 7 .<T ---!
BO!LER/COMPRESSOR UP TO 3 HP ---1 I PLAN CHECK
~O!-LER/COMPREssoR 3.15 HP___ --"'----~--'--TOTALPL_U_M_a_,-N~G~~~----
METAL FIREPLACE --+-------I ELECTRICAL 01-00·00·8223
1------1--E_A_CH_INSTA~, ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER -L ~~~ER SOF_!_NER -
EACH ROOF OPAIN 11NS,DEI -r-
I=== I~
TOTAL PLUMBING l
j -
1 ----+------
MECH EXHAUST -HOOO-'OUCTS ----l------'--4--~~o_C_~Tt-ON-□~ -E~ FURNACEiHEArER I ·--11-
---VENT FAN SINGLE DUCT ---+---_::_cc::._ __ _ MECHANICAL 01-00-00-8224
MOBILEHOME _____ 01 ·00_:_00·8225 I
MOBILEHOME PARK INSP
SOLAR ----'-. STRONG MO~Tl~O~N __ _
--LQ -~ -----I FIRE SPRINKLERS
---------t----. TOTJ'.".l MECHANICAL
01-00·00·82_26
80-92-33-0519
QTY.
---COLLECTORS . SCHOOL FEE · DISTRICT
01 ·00-00-8227
32·00·00-8923 -r--,:... ~ r PUBLIC FACILITIES FEE
ELECTR~A_L_PE~MIT __ 1ssu_E_~ I ~TY---1---SOLAR -ISSUE _ _ ~ BRIOG-,-.F,-E
----------NEW CONST EA AMl''SWI ·tlKH
I PH 3 PH STORA~E TA~KS__ -I -Carlsbad 80·92-21-0519
ROCK STORAGE Encinitas 80·92·22·0519 EXIST BLDG EA AMP1SWT:BKR ,--------------
I PH 3 PH PUMP
------+-1 E~A~ CHECK _,_EE __ _ REMODEL 'ALTER PER CIRCUIT
TEMPPOLE 200AMPS 1----IDvE-R ioo A-MPS---____ _
11TEMP OCCUPANCY 130 DAYS) -----+---
___]___
T'\1 TAL ELECTRICAL 1
' I
---ll--
---t-----ii------+-
----------ll--------+--
--.II----
-. ~----+-
TOTAL SOLAR
._ San Dieg~"~ito~-----
San Marcos ---------+------'------1~-
TOTAL FEES PAYABLE
80·92-23-0519
80·92-24-0519 ----
---
I
_,...,
--~
-------I
----
---
-----
---
C--
----
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I HAVE CAREFULLY EXAMlNED THE COMPLETED ''APPUCATlON AND PERM.IT~' AND DO HEBEBY
CEf.!r .. _IFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ISJIEQU.IIIB). FOAEXCAVATIQN$CN.£f'
DEc;t:.:ARATIONS AR~ TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS AND IJ&MOt.mott OR C0fl4STAUCTION Of
ISSUE(): TO GOMPL Y WITH ALL CITY, -COUNTY AND ·STATE LAWS GOVERNtNG BUILDING CON· ~~~~!#,j~~~?l.,~!9f!i:ig OYER
3
STORIES IN HEIGHT
·STRUCT-tQ"!, :WH€THEA $pECIFIED HEftEIN Oft NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HAfWAi;,€SS THE Oltv OF CARLSBA{t AGAINST ALL LIABILITIES, JUDGMENTS, C0STs ANO
EXPENSES WHtCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THI:
GRANTING 'OF THIS PERMIT.
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL ' --,--
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 ~HOWER 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
ELECTRICAL
MECHANICAL -I ' GAS I" /
BUILDING ~ .. 11 J//Y
SPECIAL CONDITIONS I I / I,
CERT OF OCCUPANCY ISSUED ,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO 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
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