HomeMy WebLinkAbout2413 LA COSTA AVE; A; 83-262; Permit"' z 0 !;; a: C -' ~ C
,V hereby at~rm that I am licensed under ~ l ~~slo. ns of Chapter 9 (commencing with ~ Section 7000) of Division 3 of the Business ~ and Professions Code, and my license is 1n I!: 1,11 focce J?o/?-"\J
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I heretiy afl,rm that I am exempt from '.ne Conlrac-
tor·s L,cense Law for :ne follow,ng reason (Sec 7031 5
B~s1ness ar(j Dro'ewo~5 Code Any -~r•y or :.aunty which re·
ou,res a permit to construct. alter ,mprove demolish. or
'eoair ar,y st•ur1Lre. pr,or rn its issuance aIso requires '.heap.• olrcant for such permit lo file a s1g-ed slatemert that he ,s
11ce";~d i;ursuanr to the prov1sIcns of the Contrac'cr s ~-oen;e ·_a,.-(Chapter 9 comncenc,ng w,tn Se:;t,or 7000 of C· ~-,~ en J :;f tre 8Js1neso and P·ot~ssr)ns CodfJ or that rs e,
empt trr-rftrcrn aod tne bas,s for •.ne al'egeC exemp:,on Any
v10,at,Jn c' SeC1or 703' 5 by an app 1c;;nt tor :i 1errn,t sub-
1ects '.~e cor,11cant to a c11"1i pe~alty c' not more then five hun-
a·ed do'lors •:SJOQ
I, dS owner of the prope~y. or my ern·Jloyees w·th wages
as \he•r sole co-npe"sa1,on will do t~e wo•~ and 'ne str,"c·
ture 1s not in'.endeC or offered tor sale !Sec 70.;4 Busrness
and Pro'ess,ons Code The Contracto(s License law does
0 01 apply to an owner of proper!)' who builds or improves
thereon and who does such wor~ h1msell or through his own
emoloyees provided that such improvements are not 1n\Md·
ed or offered Jo, sale If. however. the building or 1morove-ment 1s sold within one year of compietron, the owner·bu1lder
w,11 have the burden ot proving that he did not build or ,m. orove tor the purpose 01 sale)
: I,. as owner of the property. arn exclusively contracting with licensed contractors to construe\ the pro1ect (Sec 7044
Bus,ness and Pro1ess1ons Code. The Contrac!or's License
Law cloes not apply to an owner ot property who buiids or ,m-oroves thereon_. and who contracts for each pro1ec\s with a contractor(s) license pursuant to the Contractor's L>cense Law\
~ As a homeowner I am improving my home. and the 1ollow-
•ng conditions exist
1 The work 1s being performed prior 10 sale 2 I have lived 1n my home for twelve months
prior to complet,on of this work
3 I have not cla1mect 1h1., exemption dur,ng the last three years
I am exempt under Sec _____ _ B&PC for this reason ____________ _
~ I hereby a!!,r.m that I ha,e a cer1,f,cate 01 consent
sel!-msure or a cert1f,cate of Workers ::,::~~PJi;;o"i~":U'
COMPANY 5:k:t k_J-(A rt d ~ Copy 1s hied with the c1ty ·/ci-Cer11!,ed copy ,s hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Tt,,s section need not be completed 11 ttie perm,t
1s tor one nundred dollars 1s1001 or less)
0 I cer11fy that ,n the pertormance of lhe worl< for
.. n1ch 1h,s perm,1 ,s issued. 1 shall no1 employ an,
person m any manner so as IO become sub1ec1 to
the Worl<ers Compensation Laws o! Ca1,tom1a
NOTICE TO APPLICANT If. alter makin~ this Cer1•
hcate of Exemp1,on, you should become sub1ec1 l"l
the Worl<ers · Compensation prov,s,ons ot the Labor Code. you mus1 torthw,th comply with sucti
pro~1s1ons or lh•s perm,t shall oe deemed revoked
O I hereby affirm 1,-ld1 1here ,s a construc1·on
1end1ng agency lo, 1he pertormance of the wofl< to,
which th,s permit ,s ,ssued 1Sec 309? Ci.ii Code;
Lenders Name ___________ _
Lendefs Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLAFIATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
_1200 Elm, Carlsbad, California 92008-1989 (6_19) 438-5525
AV. ST. BUSINESS LICENSE# VALUATION PERMIT NUMBER
RD. ~.:.-:t.:....6:_':.t~':::'..-l---------~ 3 r• ~~~-~b__!::~:.,_.!:::'.!,..~~:.....---...L=:::t...L::L...t-.~ ZONE 2' 2)
OWNER"$ MAILING ADDRE~S
LOT I BLOCK I SU801VISION
DESCRIPTION OF WORK 4/1 <
0
CENSUS TRACT GP LAND USE
I :2/~%R'o;J f?_o I ,
ASSESSOR PARCEL tjp. .:2 ai I~ ~4'<.J S-S ~t, OES!GNER (_J
1/110 DESIGNER'S ADDRESS
-----------·-e;e FLR ELEV.
YO ... o
PARKING SPACE RES UNITS GRADING f'.ERMIT ISSUED REOEVELOPMENT
AREA
,□ ' D YO NO
_;{~ X
NO
STORIES
TYPE
CONST
QTY. PLUMBING PERMIT· ISSUE 7E!!--1iQTY.[ MECHANICAL PERMIT· ISSUE 3~
LICENSE NO.
I ~199:~J
LICENSE#
DESIGNER'S PHONE
OCC GP EDU
OCC LOAO j FIRE SPA
YO NO
PLAN 1.0. #;;
~
STANDARD PLAN#
!1':DG USE CODE . -
BUILDING SO. FOOTAGE
Not V;,Jid Unlers ~chine Certified
SUMMARY/ACCOUNT NUMBER
1---+-.=-EA_C_H_F_IX_T_U_R_ETRAP
EACH BUILDING SEWER
INSTALL FURN. DUCTS UP TO 100 000 BTU BUILDING PERMIT 01~00-00-8220 --
-+ --------------------------------·----t---:--4]------o\/ERlOO:o□□BTU . SIGNPERMIT--01-00·00-8221
l. ---_ _ :_ _ BO I ~~co~-~~so ~~-TO 3 -~~ --. 1 PLAN CHEC_K__ ---01-00-00·BB06 ~ --+--~:5i)__ B_Q!~R/C~E~SOR 3:1~ HP . TOTALPLUMBl~_G __ . __ 0)_:~0-00-8222 ~~ EACH WATER HEATER AND·OR VENT ---·-------------
+AC H GAS SYSTEM :J OR MORE
I EACH INSTA~--ALTER, REPAIR WATER PIPE ---------·---
METAL FIREPLACE _ 1 ELECTRICAL Ql·00-00-8223 --
VENT FAN SINGLE DUCT MECHANICAL --"---+----.··-----------
MOBILEHOME
01-00-00-8224 -------i-
EACH VACUUM BREAKER -+---~~CH-~~~ALJ_~ HOOOiOUCTS -----i-------___ 01-00-00-8_225 +-------
F 11 RNACE1HEATE R ---------l"'A_T_E_R SOFTNER__ --__j ___ ~-+---l"'_LO_CATION"_F.~,.:..:: ~ E!'1Ci--l ROOF ORA1\I 1''11SIDF1 -t ~-~====,;.,=.,-----·-,-~-------..-SOLAR _ 1 --------~-~ TOT.C.L MECHANICAL STRONG M9_Il_9N ---.
Q~ ELECTRICAL PERMIT· ISS~E___ ~ QTY. SOLAR· ISSUE -------,-----:~~~~~::~ILITIESFEE __
-+-
_01-00·00-82.ZL
80·92·33-0519 -----+--
01-00-00-B227 32-0□--_0o-B923=l ---TOTALPL_UMBIN_G__ _ s ~fa_ -~ --------~ FIRESPRINKLERS
_ NEWCONS!.E_AAMP_SWT-BKR_____ __ _ COLLECTOl=!S ---+------7' SCHOOL£~DIS~ ~ 3 PH STORAGE TANKS Carlsbad 80-92-21·0519
EXIST BLDG EA ~MP 1S~T.'BKR _ I ROCK S~O~AGE _-._-_-_-_-_-_-_:-_-_-_-_-_-_-_-_-_-_-_,:_ Enc1mtas B0·92·22-0519
PPOLE 200AMPS
R ?00 AMPS
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TOTAL ELECTRICAL
1----+--I_P_H 3 PH i PUMP San Dieguito 80-92-23-0519
ODEL ALTER PER CIRCUIT --_ _ . PIAN CHECK FEE _ ------· San Marcos 80·92-24-.□519
POCCUPANCYIJOOAYSI --=-~[ ---~---·---·TOTAi SOLAR -~ ~=i==~f= :~FEES~:ABL:-~=1;~¢-7 ------
l HAVE CAREFULLY E~MINED THE·COMPLETED ','APPUCATION,AND PERMfr·\,No 00 HEfl_EBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARf-TRUE: ANO CORRECT AND) FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISS\IED: TO COMPLY WITH ALL CITY, COUf,fNANO STATE LAWS GOVERNING-BUILD!NG CON·
STA\JCT\ON, WHETHER SPECIFIED HEREfN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HAWMLESS THE crtv -~ CAALsBAD AGAINST ALL UABIUTfES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY iJ11 ANY WAY 1'ccm.lE AG~T SAID ellY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMrr;.
Expiration. E,i,ery permtt tstu9d t,ytheBuitdingOtftcia( ~Cider the proviaionSoiihis t , * __ " . ". PE ~ ~ FOR EXCAYATIONS OVER
Code Shall expire by limitlltkm' and me mm and VOid. If the buifdihg ot JIIJ01k ' "'•''•' ~ ,: . -' . DEMillmofi OR CONSTAUCTION OF
•"'ho<ized by~' tt isno~cedwith~_180daystromthedateofauch "' ' OVER3STORIES IN HEIGHT permit. or if the ng or aulhoriUld ~ .such permit is ~ded or ' •. . · , ...,,1
aban~at _ ~~ is~toraperiodof186dpyf. ~•-···•--·-"'-•
~·rrN~ -□ CONTRACT~ -u . _ 4 ,. SYPHONED
APPROVED BY~ ~o/o/£1 ..
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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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ;
MECHANICAL LR
GAS /-1, ., • BUILDING fl I '? 1
SPECIAL CONDITIONS '
CERT Of' OCCUPANCY ISSUED
~3-~;;:?.
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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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