HomeMy WebLinkAbout2413 LA COSTA AVE; B; 83-262; Permit"' z 0 ~ "' .. .,
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~ I hereb"y affirm that I am licensed under
.tr\vlsions of Chapter 9 (commencinQ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full fo~~-~ feet. /)_ '2,.j_
lie No~-~,_Cl.ilS --\,--_,I/!? -
I hereoy a1firrr that I am e~ernpt from the Canl·ac-
tor s License Law tor the toilow1ng reaso~ !Sec 7031 5
8usmess and Protess,on~ Code Any city or county wh,ch re-
Quires 2 Jerrn,1 to co~si'uCL a1ier. ,mprove, Cefll0l1sh or
-epaIr anv s!ructure. ~rior to its ,ssuan-:e also reou,res the ap-:i;cant :o· such perm•t !G '.1le a s,gned stater.en! that he s
11cer.sed pursuant to the pr8v1s,ons of !he Con:·act8r s 1..:.t~>e , aw , Chaoter 9 COC",r,,.en-:,nq w,:h Sect,cn 7000 ~f
C,v,s1on J of the Bcsi1ess anc F·otr,\s'.ons CodeJ or t"Jt s e,
e:npt ttieretrom and the bas,s for the allegea exemptIor Any
·1Iola110n 01 Section 7031 5 by an ;ipp 1c~nt 'or a Jerm t su~-Iec1s t~t aoolIcan1 to a c1v1I penal!)' c• r8t more tha~ ''Ye ~un-
cred col ars 1$5CJI
I. as cwner of tne oroperty. or my emplcyees w1tti wages
as their soIe comoensatIon wrll do the work and t~e struc-
ture Is 1ot 1ntendeC ~r ofteree tor sa'e rsec 7044. Business
and protessIons Code The C□rt,actor's License Law does
~ot apply to an owner of property who builds or improves
thereon and wno dl)eS such work himself or through his own
employees. ~rov1ded that such improvements are not intend-
ed or offered for sale. 11, however. the bu1ldmg or improve-
ment Is sold w1thrn one year of completion, the owner·tJc·1lder
will have the !Jurden 01 proving that he did no1 build O' Im·
prove 1or the purpose o! sale)
-. l._as owner o1 the property. am exclusively contracting
w11h licensed conlrac\ors to construe\ the project (Sec 7044 Business and p,otess1ons Gode The Contractor's L,cense
Law does not apply to an owner ol property who builds or im-proves thereon, and who contracts fo, each pro1ec1s with a
contractor(s) license pursuant to the Contractors license
Law) = As a homeowner I am Improv1ng my home, and !he follow
1ng cond1t1ons exist 1 The work 1s tle1ng per1ormed prior to sale 2 I _have lived ,n my home for twelve months
prior to comple!IOn of this work
I have no1 claimed this exempt;on during the last three years
-I am exempt under Sec ______ , B & P.C
for this reason
'),/ I hereby aftirm that I ha;e a cert1hcate o1 consen! ~ sell-insure or a cert1f1cate of Workers
~~':':;',,:;;'~""",\' "~"'" '"":'~~'"'""'
POLICY NO 6 . . {),..
COMPANY 5 t\ A Cooy ,s hied w1!h !he city
D Cen,t,ed copy 1s hereby lurn1shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,1 the .:,erm,t
,s tor one hundred dollars 1$1001 or less)
0 I cer1,ty tha1 1n 1he per1ormance of 1he work to, which th<S perm,t ,s ,ssued. I shall .--,01 employ any
person ,n any m3nner so 3S to become sub1ect lo
!he Workers· Compens.,!101'1 Laws of C3l1fo,rna
NOTICE TO APPLICANT If, after makm:, th,s Cert,
l,cate ol E.emp11on. yOlJ should become 5ub1ect t'l
1he Wori<ers· Compensat,on prov,s1ons of !he Labor
Code you must lor1hw,1h comply w1lh such
provisions or th,s pe,m1\ sh;i.11 De deemed r('soked
,•
0 I he,eby af1,rm th3tt,.there ,s a construct,or
-end1nQ agency to, lhe pertorm3nce ol tt,e wor1< tor
wn,ch th,s perm,1 ,s issued (Sec 3097 C,-11 Codel
Lenders Name ___________ _
Lender's Acld,ess __________ _
USE BALL POINT PEN ONLY & PRE~S HARO
COT BLOCK SUBOI VISION
CARLSBAD BUILDING DEPARTMENT
ASSE.S,SOR PAJ:!~_E_b NO . ...,. __j .-.:, \ Iii .,...,,, 6°';:, ,:,.:,
(619) 438-5525
DESCRIPTION OF WORK I 90.,.s \, 0 e-I OESIGNER'SADDRESS
CENSUS TRACT GP LANO USE PARKING SPACE AES UNITS GRADING ~ERMIT ISSUED
y D N □
F/P FLA ELEV.
vO NO
REDEVELOPMENT
AREA
-.-□ NO
QTY. PLUMBING PERMIT -ISSUE f!-QTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU
--·
EACH BUILDING SEWER OVER 100,000 BTU
---------
EACH WATER HEATER ANO:□R VENT BOILER/COMPRESSOR UP TO 3 HP
~
EACH GAS SYS!~~-~____!Sl 4 OUTLETS
r.H GAS SYSTEM 5 OR MO RE
'7--BOILER/COMPRESSOR 3-15 H_P ___ _
~
----------
EACH INSTA~. ALTER, REPAIR WATER PIPE --------
j
-➔
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST
----
HOOD/DUCTS --0~ VACU~M BREAKER
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ------+· -------
! EAC_H PQ~~I~ fiN~-TOT.4.L MECHANICAL
pec~~~~T~O~TA~l~PL~U~M~BING ~_l___ ;j)~
QTY.' SOLAR -ISSUE ELECTRICAL PERMIT· ISSUE 1¢-r~
NEW co~_EA AMP SWT BKR -------COLLECT.ORS
1 PH 3 PH STORAGE. TANKS
EXIST BLDG EA AMP,SWT BKR I ROCK STORAGE
----~----
1 PH 3 PH
REMODEL·ALTER PER CIRCUIT
------
' TEMP POLE 200 AMPS +---+□VER 200 AMPS
. TEMP OCCUPANCY IJ0 DAYSI
' _l_
TOTAL Elt'CTRICA!
PUMP
PLAN CHECK r'EE
I HAVE CAREFULL \')')!XAMINEO-THE COMPLETED "APPUCATION AND PERMll"" AND 00 t::IEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOTNG THE
OEct.AAATIONS ARE TRUE AND CORRECT ANO r FURTHER CERTfFV AND AGREE IF A PERM1T rs
ISSUED: TO COMPLY WITH ALt. CITY, CO\ffiTY ANO STATE LAWS GOVERNING BUILOING CON-
STRUCT~::WHETHER SPEOF♦ED HEREIN OR NOT. I ALSO AGREE TO SAVE INOEMNlf'Y ANO
KEEP HA11NlL-ESS THE CITY OF OARLSBAO AGAINST All UABIUTIES, JUDGMENTS, COSTS AND,
EXPENSES WHICH MAY IN ANY WAY ,\CGAUE AGAINST SAID CITY '1N CONSEQUENCE OF TH~-
GRANTING OF THIS PERMIT. .
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
3~-
VALUATION PERMIT NUMBER
,--,, I 2, 'v
I,,. .,. ••• ,nuc f ;10;;_ "'
BLOG use CODE
STANDAAd)ri..A,,. #J...; ·:ag1LDING sa. FOOT AG&
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD FIRE SPA
vO NO Nor Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
----
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00-00-8222 -----
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MO Bl LEHO ME 01-00-00-8225
MOBILEHOME PARK INSP -----·
SOL~R ___ 01:_00-00-822_6_
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE -------
BRIDGE FEE
SCHOOL FEE -ms~TR~l~CT~--
Carlsbad
Encinitas
~n Oieguito
San Marcos
80-92-33-0519
01-00-00-8227
32-00-00-8923
80-92-21-0519
80-92-22-0519
80-92-23-0519 ------
80-92-24-0519
~ ::...----
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION •
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 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 ~ /
ELECTRICAL .,.,.,
MECHANICAL 1-1 / .
GAS Ill /kn /J.r•
BUILDING (U/
SPECIAL CONDITIONS
CERT OF-OCCUP .... NCY ISSUED
&'"5--dXP~
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
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
~·. ,-. . •
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