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HomeMy WebLinkAbout2415 La Costa Ave; C; 83-313; Permit'" z 0 a: .. a: .. ., " .. 0 m: i,;i I hereby affirm that I am licensed under o .~lslons of Chapter 9 (commencing with ~ and Protessl.ons Code, and my license is ln ,_ [ Section 7000) of Division 3 of the Business ~ full force and~& ::,J [;• .3-(, ~ Lir No 3 / t ~y1m __ l:J " a: .. 0 ., s l/i! .. z ~ z 0 a: .. '" z .. .. ,. 0 " '" "' .. " a: 0 3 ![ I hereby affirm that I am exempt from the Cont·ac-tor' s L1ce~se Law for the tolow,ng reason iSec 7031 5 Business and Pro!ess1ons Code· Anv city 0r county which :e-qu1res a oerm1t to cons!'uct alter. ,mo,o,e, aernol,sh or repair any structure, p·10r to its issuance also requ,,es t~e ap- p11cant 'O' such oerm,t to Ille a signed statement that he 1s l,censea pursuant lo the prov1s,un~ 01 the Contractor's LICe~se Law 1,Chaoter g cof'lme~c,~g w,th Sect,on 7000 of ~1·1,s1or 3 of the Business and Professions Code) or that 1s ex- emat tnerefrom and the basis for tr.e alleged exemption. Any v,olat,on ot Sec/1on 703; 5 by an appl,can\ for a permit sub· 1ects the applicant to a c1v1I penalty of not more man tive hun- dred do,lars !$500! _J I, as ow~er of the property. or my employees with wages as their sole compensation will do \he work. and the struc- ture 1s not intended or Offered for sale (Sec 7044, Business and Protess1ons Code. The Contractor's L;cense Law does not apply !O an owner o! property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not ,ntend- ed or offered for sale If, however. the building or improve- ment 1s sold w1tn1n one year of completron. the owner-builder will have the burden 01 pr0111ng that he did not build or im- prove tor the purpose 01 sale) :J I, as owner ot the property, am exclusively contracting with_ licensed contr~ctors to construct the pro1ect {Sec 7044, Business 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 !or each proiects with a contractor(s) license pursuant to the Contractor's License Law) :J As a homeowner I am improving my home. and the follow- mg conditions exist 1 The work is being periormed pr,or lo sale 2 I have lrved in my home for twelve months prior to completion ot this work I have not claimed this exemption during the last three years ~r /ht~ r~~~~~t under Sec _____ _ B & P.C ~ I hereby affirm 1ha! I ha•e a cer1,t,cate of consent to self-insure. or a cemt,ca1e of Workers Compensation Insurance, or a cert,1,ed copy thereo1 (Sec 380'.J. Labor,_Qode) ,.. eoucrno £,,•-9r5. P'i --o.J1, COMPANY __ '"5"_~ ~J\CJ ~ Copy IS tiled w,th The c,ty 'J 0 Cer11!1ed copy ,s hereby furnished CERTIFICATE. OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE (Th,s se.::t1on need not be completed ,1 the perm,t 1s for one hundred dollars Is100I or less1 D I certify that in the performance ot the work tor which this perrn,t 1s ,ssued. I shall not employ any person in any manner so as lo become sub1ect tu the Workers· Compensa1,on Laws of Cal,1orn,a NOTICE TO APPLICANT It. alter makrn;i lh,s Cef1• !1cate o1 Exemption. you snould become sub1ec1 T'J t'1e Workers Compensation pro111s,ons ol the LabO< Code, you must fort'1w1th comply w,th such prov1s,oros or th,s perm,1 shall be deemed revoked 0 I nerebv atfirm 1ha1 lhere ,s a cons1rurt1or- ·,end111g agency •or 1he performance ol n-.e wor1<. lor ...-n,ch this pe•m,t ,s ,~suecl 1sec. 3097 C,v,1 Cooe, Lenae, s Na,,..,e ___________ _ Lenaers Ada,ess __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 43~-5525 me•3!//5' ow~/4E·HeJ fl) 7: /Y_ . J AV. ST. BUSINESS LICENSE# VALUATION PERMIT NUMBER G r-a L,,.(J.51tL e,, AO ~~~c.I..,.-'---1-=-------l OWNER'S PHONE (' :;,~;;1;1 ZONE ~ 3/3 OWNER'S MAILING ADDRESS C~Ti~:zs D~P. ~ p u ~~ [ 3j"~g_3 I PLAN I.□ # BLDG USE CODE COT BLOCK l SUBOIVISION I ASSESSOR PARCE~ _NR. -81 DESIGNER \' LICENSE# STAN DARO PLAN# BUILDING sa. FOOTAGE DESCRIPTION OF WORK .:> LI,, ;;t'l:Y 5~ r, AA j/.,,, _,, 0 ! DESIGNER'S ADDRESS DESIGNER'S PHONE {l ' I I I NO I ace c, [ EDU ' F/P FLA ELEV. STORIES -----· ------ v □ r..D GRADING f:ERMIT ISSUED TYPE CONST OCC LOAD FIRE SPA ,. CENSUS TRAC, l ce cAND uSE l eARK>NG seAcE RES UN>TS l v □ ND l REDEVELOPMENT AREA YD ND vO NO Not Valid Unless M•chine Certified QTY. PLUMBING PERMIT· ISSUE 7 I },60 QTY. MECHANICAL PERMIT· ISSUE 3✓oo SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER bf-~:~~ W. AT_E_~~i82._ER~-.N~.□R V~~!- ~ GAS SYST~~ 2_!9_ ~ OUTLET] ~~ INSTALLFURN OUCTSiJPT01~0000BTU . BUILDINGPERMIT ___ 01·00-00-8220 __ I OVER 100.000 BTU SIGN PERMIT 01-00-00 82~1 -L -BO~LER1C0MPRESSO~~p~~3H~ ----• PLANCHECK ___ -_-_-01-00-008806_ --~~I BOILER1COMPRESSOR 3 15 HP TOTAL PLUMBING 010000-8222 'O ' --+ ---" -------------- EACH GAS SYSTEM 5 OR MORE EACH INSTA~ .. ALTER, REPAIR WATER PIPE 1--+------·---. ------- --'----· -----01-00-00-8223 METAL FIREPLACE __ L l:.Ll:.GlRICAL - 01-00-00-8224 -~A~SINGLEOUCT MECHANICAL ---.·-- EACH VACUUM BREAKER MOBILEHOME --- ~~T_E~ SOFT_N~~-----+-------It--~C_ATION OF ~A FU~ACE1HEATER I __ r--MOBILEHOME PARK INSP JL__ ~H E~~AUST HOQO:QUCTS ·~----~-+-~--01-00-00-82~ -- +ACH ROOF DRAIN IINSIDE1 ~ L_ SOLAR -I -----------------..f) --. TOT/..L MECHANICAL I -STRONG MOTION TOTAL PLUMBING ~~-. _ --~ -~-_:_ _ FIRE SPRINKLERS 01-00-00-8227 ___ 01-00_-00-8226 80-92-33-0519 ,___ QTY.I ELEcrn1cAL PERMIT -1ssuE l s3",00 oTY soLAR-1ssuE ~!~~~::~iumsFE_E__ 3200·00·8923 NEW CONST EA A.MP:sw~ BKR _______ :__ ~----=---tt---couiC10f1S------·--------scHOOL FEE. 01srn_1C_T __ Effifu BLDG EA AMP•SWLBJ~H -_ _j -=~~:A!io:;;~~S =-=~ . .. -~!:Ii~~:: --80·92 · 21 ·~ 3 PH 80-92-22-0filf-519. . ---'8'0-92-23-051~ I PH ~---+-------. --l-. ~ _0 ~E-~ LT ER PER CIRCUIT , TEMPPOLE 200AMPS -+-- L ~ O~E_R 200 ~~S TEMP OCCUPANCY !JO DAYS! ' _ _j_ ---------'1--------PUMP ---1 PLAN CHECK i'"EE ~-. -----------~ __ ;._ - --11-_.l. -------..+ - San D~eg_LJ_ilo __ -l---·-· _ ll _ San Ma~c_os 80·?2-24-05) 9 . -'-_73/. T ---------4-------~,L .. _ __j_ ____ -lL- ---- ----- ·------- - - ·---··~ -- TOTAL tLECTRICAL TOTAl SOI.AR TOTAL FEES PAYABLE I /j. }'5!- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE 1F A PERMIT lS ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL LIAB!LIT!ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Code shall expire by hmi !ton and e null and void If the building or work E,p;.ration. Every pe. r_mit issued bylhe B 'Id. ing Official undef" th.,•. rovis;onsofthis authorized by such per is not com ed within 180 days from the date of such permit, or if !he bUII or work onzed by such permit 1s suspended or abandoned at any ti a er the '!10 commenced for a period of 180 d!lv,. OWNER O CONTRACTO BY PHONE 0 .,, ... * AN OSHA PEIWfT IS REQUIRED FOR EXCAVATIONS OVER ·5' O"' DEEP ANO 0£MOUTK>N OR CONSTRUCTION OF STRUCTUR£S OVER 3 STORIES IN HEIGHT APPROVED BY J1 I D\:J/.,-. (g ) 0) .. ~ ~ 0 a. E 0) f- l D 0 Cl C rn u a. a. « I ~ C 0: 0 "' "' 0) "' "' « I ~ Q m ,- "' "' 0) u 0 a: rn ;;; 0 ~ 0) u C rn C u: C 0) !" Cl 0 0 0) a. "' C ~ "' :;: 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 " GAS ,,,_'fh-r;J T BUILDING I SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUEO 83-3.i3 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 PAESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY -·------ PILES CAISSONS ----- --· .. ' ... ·--·-- ·--------- ------- ~ ----- ----