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HomeMy WebLinkAbout2413 La Costa Ave; C; 83-262; Permit"' z 0 : ~ u ... Q a: }r,' l"hereby at?l'rm that I am llcensed under o [ /ri1t,vtsions of Chapter 9 (commencing with t; Section 7000) of Division 3 of the Business ◄ and Professions Code, and my \lcense i,, IE. full force and effect. /1 ~ ~ l,c No.3f'j<t3-/-Clm l,...c_::-_:J _ ur .. ... Q = ::, ~ ... z ~ z 0 ~ z ... .. ,. 0 u "' i,: ... " .. 0 ;o 11 I hereby a1firm Iha\ I am e~emp1 lrom the Contrac- tor's License Law tor \he tollowmg reason (Sec. 7031 5 Business and Protess,ons Code: Any city or county which re-au,res a permit to construct, alter. improve. demolish, or repair any structure. or1or to 1\s issuance also requ ,res the ap-pi1canl ro, such permit to hie a s;gned statement that he 1s 'Icensed pu'suant to the provIs,□ns of the Contractor's L·cense Law :Chapter 9 commencing w1t\1 Section 7000 ot Ow1s1on 3 ot 'ne Business and Protess1ons Code\ or that Is ex emp\ :neretram and t~e basis 1m the alleged exemp1,on. Any 'J10la\101 :if Se:110~ 1031 5 by ar applicant for a oerm,t sub 1ects the applicant io a cwil penalty o• not more than 1we ~un- dred do:lars {$50!)1 _ I. as owner o~ t~e property, or my employees w,th wages as 111eir sole compersatIon. will do the work. a~d the struc· ture 1s not 1~\enc!ed or offered for saIe 1Sec 7044. Business and Proless1ons Code_ TMe Contractor's License Law does not a~ply to an owner of property who builds or improves thereon and who dQ'JS such work h;mselt or thrnug~ his own employees orov1ded that such improvements are not intend· ed or ollered tor sale. If, however, the buIld1ng or improve- ment Is sold within one year ol completion, the owner·builde, wII1 have me burden ol Proving that he did not build or ,m- prove 1or the purpose of sale) = I, as owner o1 the property, am exclus,vely contrachng w,th I,censed contractors to construct the proiect (Sec. 7044, Business and Pro1ess1ons Co1Je-The Con1ractor's License Law does not apply to an owner of property who builds or im-proves thereon, and wtio contracts for each pro1ects with a contractor{sl license pursuant to the Contractor's License Law) CJ As a homeowner I am improving my home, and the lollow· Ing conditions exist: 1. The work 1s being performed prior 10 sale 2 I have lived 1n my home for twelve months prior to completion of this work I have not Claimed this exemption during the last three years 7 I am exempt under Sec ______ . B & P C tor this reason V, hereby aft,rm that I ha~e acer1,t,ca1e ot consent .~ sel!-,nsure. or a certd1ca1e ot Workers ~•1,;_:i":".m":."'°"" 0, "-'~" '""q_'..'. ·~~e,eo< POUCYNO 1· i .... COMPANY , _ _ f\._. ~ Copy IS liled ,...,,h the c1ty 0 Cer11f1ed copy ,s he•eoy fum1shed CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s seci,on nee<! no1 be completed ,1 the perm11 1s to, one hundred dolla1s 1$1001 or less) 0 I cert,ty that 1n the per1ormance o1 the won< 10, whtch !hos perrrnl ,s issued. I shall not employ any person 1n any manner so as to become sutJ1ect 10 \he Workers Compensat,on Laws ot Calo!orn,a NOTICE TO APPLICANT If, alter mak1n;i \his Cer1, hca\e of Exempt,oo you should become sutJ1ect tel the Workers· Compensat,on prov1s,ons o! the Labo< Code. you must 10r1hw1!h comply with such prov,s1ons or th•S permit shall oe (leemed •evoked • 0 I hereby affir,--,, 1hat !here ,s a ~onsirucloor ,ending agency to, !hi' per1ormance o• lhe ,1,ori< lor wh,ch this perrn,1 ,s issued ,Se,, Y::FJ7 Civil Code1 Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS (J Lo.., (1 fi-.,··/c,v AV.ST. DATE r,,7c;;;: ·:;;:;~ 'Ill-# VALUATION PERMIT NUMBER ;U/-13 ;< '.,{Je., RO. i-C' ('.1, P· j OWNER;;~he.-,,, II' j( I OWNER'S PHONE ()~'i(f);J;. Ii I "bi q;AACTORS PHONE 8 ZONE J._{ ;;_ 't'h1 (It) ► '-12 ~f2 ';.:' OWN(R'S~MAILING ADDRESS -~;'3DZ AO°/J;SS#✓ ~ . /e.,, LICENSE NO. PLAN 1.0. # BLDG USE CODE J,I J 3;gg31 LOT I BLOCK [ SUBDIVISION I ASSESSOR PAAC~O . DESIGNER ( )-' LICENSE.# STANDARD PLAN# BUILDING SO. FOOTAGE .21 i., ;> 5S =>4 DESCRIPTION OF WORa/j <: /, ',. 0 • DESIGNER'S ADDRESS DESIGNER'S PHONE ~/ i3 :;: ' ; 3: ' ·~ .. _ _a _______ ~---·-,_.:-;,·1~ :,i:: e1;; -. . . . - ue FLR ELEV. NO OCC GP EDU STORIES YO NO CENSUS TRACT I GP LAND USE ! PARKING SPACE l RES UNITS ! GRADING f:EAMIT ISSUED 'REDEVELOPMENT TYPE OCC LOAO FIRE SPA AREA CONST y D ~ □ vQ NO vO NO Not Valid Un/en Machine Certified QTY! ! -'}~ 5-~ PLUMBING PERMIT -ISSUE I QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP -+ / . INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00·8220 EACH BUILDING SEWER ---. ----e-------------------------- OVER lQ0,000 BTU SIGN PERMIT 01-00-00-8221 ---------------t------' ------------------~ -------------------- EACHWATERH~_TER~!J.P·'..9.~__':':_~N~ -l --_:_ --BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ---e---~ -r------------------------e------------------- E~CH GAS SYSTEM 1 TO 4 OUTLETS _____ _j_-____;J,__;$Q BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ~..LD~------~--~---------~-------- EACH GAS SYSTEM 5 OR MORE i METAL FIREPLACE ELECTRICAL 01-00-00-8223 ----------·--------------·--__ I---------·---I---------- EACH INSTAI,. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ~ EACH VACUUM BREAKER ---- ----~----·-------·· ---------------r-------- I------:__ - MECH EXHAUST -HOOD/DUCTS MDBILEHOME 01-00-00-8225 ---------------------1-------·------.-~------------------~ 1----..L W~TER SOFT~ER _____________ RHOCAT10N OF EA FURNACE/HEATER MOBILEHOME PARK INSP -------·---· .----------------f--------J ~ACH ROOF DRAIN :·1'.IISIDE) SOLAR __ _ _ _ _ 01-00-00-822.6._ ~ ----------------------------- -_I TQT.C..L MECHANICAL STRONG MOTION 80-92-33-0519 -TOT A-L PLUMBING -I -_ iJ2 -If!. -------------------- FIRE SPRINKLERS 01-00-00-8227 -------~ -------~ = I mcrn,c,Corn"" ~ssoe ~1: ~ ~ m, ____ SC,~"~ sso~ ~-_ PUBLIC FACILITIES FEE 32-00-00-8923 ------------------- BRIDGE FEE -------------------- , NEW CONST EA AMP SWT BKR COUECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH ± STORAGE TANKS _ ------------ Carlsbad 80·92·21-0519 ---------. -------l------------------_ --r--~-r-------------I-------- EXIST BLDG EA AMP1SWT BKR ROCK STORAGE . E11cinitas 80-92-22-0519 ~ 3 PH --·-PUMP ----------------------- f------------t------------i---------------__ San Dieguito ______ 80-92-23-0519 _ -------- REMDDEL'ALTER PER CIRCUIT PIAN CHECK i=EE San Marcos 80-92-24-0519 ~ TEMPPOlE-2oOA-MPS ________ -~ -------------------------------------------~------- --,--------------------------------------------------------H OVER 200 AMPS --------------~------------------------·------------------~------- TEMP OCCUPANCY i]O DAYS) --t -------------------f-------------------------------------------- I ---------------------------~-I --~- ,TOTAL ELECTRICAL TOT AL SOLAR TOTAL FEES PAYABLE I //) rn_; ' i I HAVE CAREFULt":~XAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND 00 HEREBY EXpfratlon. Every permtt i~ by the Building Official undef the prOvisionS of this * AN~ .ic-rr IS REOUffD FOi! EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Coot shall ellpffe by limitation and beCom"e nutr-and vok:I. U the buitdlng or wor11. ' .;• OM DEliP AN(>'DbMJi.moN OR COHSTAUCl'lON OF OEGLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authorized by such permit is not commenced within 180 Oeys from the date of such OYER l STORIES 1H HEIGl<T _A permit. or if the buildi~ wo!Juthorized ~ 80Ch permit ia ~ar::!ded or 1!:isuED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-ab$tdoned at anv ti-.. thew is comffl911Ced-for a .... riod of 1 d-. • / &TFIUCTION, WHETHER SPECIFIED HERElt\l OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO APP~ATUR'Jf OWNER□ CONTRACTO~ APPROVrBY~ , 0 ;1i KEEP HARf,U:.ESS THE CfT'V OF CARLSBAQ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE ,,,-BY PHONE 0 '~) --·••-•••---~•"<""nCCIU!T -~ '" rr ~ I ( / . , • ID u:: >, <ii 0 0. E ID f- l D 0 (!J ~;:, ~I 0. 0. ., "' C a: 0 00 00 ID 00 00 ., I " S! " ,.. "' 00 ID 0 0 a: ~ oi D §: ID 0 C ~ C u:: C ID ID ~ 0 Q ID C. 00 C ~ L s: 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 liHOWER 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 l '// MECHANICAL ,/ GAS I -:,,,,,_ .J/, BUILDING ,-_,,. / . - SPECIAL CONDITIONS CERT OF .QCCUP/\NCY ISSUED ~~;;>-{c,J ~L 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 ·.~ -~- ·----- - . -• I"?: --. ,.;. ~ . --' . . ---· -··-