HomeMy WebLinkAbout2415 La Costa Ave; A; 83-311; Permit"' z 0 ~ "' .. ... lrl 0
~[ i ... z 0 u
"' ~ ... 5 ~ w z ~
z 0 ~ z w .. ,.
0 u
"' ir w "' "' 0 3
![
I Vi I hereby affirm that I am licensed under
kl'ovislons of Chapter 9 (commenc1ng with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force •rfd~J: I ,1 ,,. 1 /'
L,c No ~~ _ Mfi Cla1< .;_,. ---.:5 JCJ -_,
hereb~ aff1r"' that i am e,ernot from the Cont:ac·
tor's License Law f'.lr the fol!ow,ng reasor 1Sec 7031 5 Business and Dro1ess10.1s Code Any c,:y or county which re-au,res a permit t~ corstruct. alter. ,--pr:ive jernol,sh. or
repa r any structu·e pr10· !O ,is 1ssuarce also reqJ res the ao-pl,ca,: lor such perrn,t to fpe a s,gnec statemenl tna: ~e 1s
I censec pwsuant IC the orov1s,o~s 01 the Cortrac·a, s
License Law •Chao·er 9 comme~c.ng w1:h Sec:,on 7000 of
D1v1s1:n 3 s' ·,e B~s,1ess and Pro'ess,o~s Coce: C' tsaIIs ex-
emet there'·om and the bas,s tor tre allegec exeriptIcn Any v1olaIin~ of Se~t,o~ 7J31 5 by an appl cant for a oerm,t su~-
Iects the wo,ic;;nt to a c:v1I oenalty of nol more \oan five hu~-
8red do !ars , $~00'
_ 1 as owner of the p·operty, or my employees w1:h ,iages as theI· sole comoersatIon will do the wor~. and :he sl·uc-
Lre Is ',c)t 1"tended or ottered to· sale (Sec 7044 Business
and Pro'ess1ons Code The Contractor's License Law does
not apply to an owner of oroperty who builds or Impr~ves
thereon and wh~ does such work h,msell or through his own
employees provided '.hat such ,mproverr,ents are not intend-
ed or oife•eo for sale ,f, however. the bu,ldIng or improve-
ment 1s sold wIthIn one year of complet,on. the owner-~u1lder w,II have the burden of proving that he did rot build or im-
prove tor tne purpcse o! saleJ
l. I. as owner ot the property, am exclusively contracting
w,th licensed contr2ctors to construct the oroIect (Sec 7044,
Business and Professions Code The Contractor's License
Law does not apply to an owner o1 property who builds or im-proves thereon. and who con1racts for each prDJects ,v1th a
contrac1or(s) license pursuant lo lhe Contractor's License Law)
C As a homeowner I arn improving my home, and the follow-ing condItIons ex,st
1 The work_ Is be_ing performed pnor to sale 2 I have I,ved In my home for twelve m011ths
pnor !O compIe1Ion of tnIs work
I have not_ claimed this exemption during the last three years
C I am exempt under Sec ______ , B & P.C
for this reason
~ereby atf,rrn tha1 I ha.-e a cen1t,cate of consent
-~~lf•mSure. or a cert1f,cate ol Workers Compensat,on Insurance. or a cend,ed copy thereof
:,c".':o ea~, i.• '3-{7-u/1 -K1
COMPANY -~ ~,~&
~,:°PY <S filed With the crty ✓
D Cert,toed copy 1s hereby furn,shed
CERTIFICAH. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sec1,on nee<:l not be completed ,1 the permit ,s tor one hundred dollars ($1001 or 1ess1
D I cen,ty 1hat ,n the performance ol the wor1< tor which !his permit ,s ,ssued. I shall no1 employ any
person ,n any manner so as to t>ecome sub:ecl to the Wor1<.ers· Compen$a1ion Laws of Cal1!orn1a
NOTICE TO APPLICANT 11, alter mak,n', th,s Cert,
f,cate of Exemp1,on. you should become sub1ect t'l the Workers· Compen$a!1on pro.is1ons ot t~e Labor
Code. you must forthwt!h comply with sucn prov,s,ons or this perm,! shall t>e deemed re,oked
0 I hereby atfirm Iha\ there .~ a cor,s1ruct1on
le'1d,ng agency lor the performance ot tne worl< for wn,ch tn,s perm,1 ,s •ssued ,Sec 3097 C,-11 Code
Lerider s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 "' JOB ADDRESS A-/4 &:s-k -,t
AV. ST. DAT~f£;~ eu~j,~E#
VALUATION PERMIT NUMBER
,:Jlf-/5' ~rt:...,/ AO. ,Z'?> -
V OWNE<~h~ I OWNER'S PHONE /UJR&7~ flu;;, t-' t}~JiJ.s3'/2 ZONE 3// -:.5 ,,
OWNER'S MAILING AOOREP
co~~/;/;AD~ ~ . ~ ~/, LICENSE NO • PLAN 1.0. # BLOG USE CODE
31<7~'::?/
cOT BLOCK I SUBDIVISION I ASSESSORjARCEL NO. --33 DESIGNER J LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE , ,,, .?-'fO !:>S
u.
~ :;;
0 Q_
E "' f-
I
D a C!J
DESCRIPTION OF WORK
,rl' /r/1 a ~,,., , DESIGNER'S ADDRESS DESIGNER'S PHONE c --------d----'" FLA ELEV NO OCC GP EOU
·.~ ~.1~ ---~ .. ;o-~.:.. STORIES
YO NO · · · I;; 1.. ii~ · --
CENSUS TRACT l GP LANO USE I PARKING SPACE~ RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA -
AREA CONST
YO ' D •□ NO YO NO Nor Valid Unless M;,chine Cerrified
rn u
Q_
Q_
<(
I -t
.::,:;_ ~j"'
C a:
QTY. PLUMBING PERMIT· ISSUE 7, So QTY. MECHANICAL PERMIT· ISSUE ..J,<10 SUMMARY/ACCOUNT NUMBER 0 00
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 00
"' -------------
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
~-..-EAi~WATERHEATERAND,ORV~~!_-~_-L /t,, --· --------------' ---
BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00-8806 r'C..)
·7 EACH GAS SYSTEM 1 TO 4 0 UTLi!_~ +-......,.,. -~ ../ ---
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 /fl.-~--
--I-----
~ EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -t -----
I ElliCH INSTA~ .. ALTER, REPAIR WATER PIPE ' VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ---·-
00
00 <(
I
3 .Q
" >-
----½ACH VACUUM BREAKE_£1 __
----
MECH EXHAUST HOOD:□UCTS MOBILEHOME 01-00-00-8225 . ---I--------
, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I-----1----------------------
i EACH ROOF ~□-RAI~ IIN~~-~----------$OLAR 01-00-00:fl.22_6_ -
LJ rv TOT kl MECHANICAL STRONG MOTION 80-92-33-0519 -I ~ -
TOT AL PLUMBING /P __ ._ FIRE SPRINKLERS 01-00-00-8227
~ -
.Co() SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 . ------QTY.I ELECTRICAL PERMIT· ISSUE QTY.
--~ -------------BRIDGE FEE
vi 00 "' u 0 ,i:
rn ;.
0
§:
"' NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE · DISTRICT u C ----
I PH 3 PH . STORAGE TANKS Carlsbad 80-92-21-0519 rn C --------------
I EXIST BLOG EA AMPtSWT-'BKR ROCI< STORAGE Encinitas 80-92-22-0519 ii
--------------
I PH 3 PH PUMP _s~~e_g~ito 80·92-23-0519 --~----------
REMODEL ALTER PER CIRCUIT PLAN CHECK tEE 1 San Marcos_ 80-92· 24-0519 -------------. ------·--·. -----------
-I
C
TEMP POLE 200 AMPS ! --------------. -------. ------, i3.L.:r-----~ --
OVER 200 AMPS ---L ~-----------------------------------~-
"' "' " TEMP OCCUPANCY 1:30 DAYS) '
-------------------------~· -
___ l -l --------------------
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I 1;) ,£~-
I _, ,_-;
l HAVE CAREFULLY EXAMINED THE COMPLETED '"APPUCAnON ANO PERMIT" AND DO HEREBY E,pi,alion E~t ;,.,~
1
~Udlag Olllol,i ,ode, the p,o,l,loas olthl• * A.N OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire bY. 1talion and b me null and void. If the buddfng or work ·5' O" DEEP ANO OEMOLrTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S auth(!rized ~Y such rm1t fs not co ced w,thin 180 days from the date of such ST~ ;;reR 3 STORIES IN HEIGHT permit, or 11 the ildinx or WO thorized by such perm,t 1s suspended or 1SSUEO: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at a time a er the is commenced for a =riod of 180 d-·--.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY ANO Aflf'Lu•GNATu/7 OWNER □ CONTRA.CTO~ APPROVED BY V·d , t;J•I I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABIUTIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 . l ~/J-/Jf3 GRANTING OF THIS PERMIT. I. ... ~ --
-----
0 u "' Q_
00
00
I
~ " ;:
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL •
GAS IL'-3tJ-/3 I
BUILDING I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUEO
"63 ~ '"3 11
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 i
!
-·-
i
------
. -4 --' -. •
! .. -.-;
---------
-----·------
~ -