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HomeMy WebLinkAbout2415 La Costa Ave; D; 83-314; Permit"' z 0 : .. ... !rl 0 .. !l 8 ffi 0 ... 5 i "' z ~ 0 z 0 ~ z "' .. "' 0 " "' .. "' " .. i il V I hereby affirm that I am licensed under /~visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in foll fo,<;1. •".q' ~ i -·,.-3t· Lie No'....(!,,,.,. f Cla;I f , ·'} JI. 1...-'- I hereby affirm that I am exemot lrom the Contrac- tor's license Law for the following reason {Sec 7031 5 Business and p,ofess1ons Code. Any c,ty or county which re- Quires a permit to construct. alter, improve. demoI1sh. 01 repa,r any structure, pnor to I1s issuance also requires the ap- p,,canl fo, such perm,t to hie a signed slilte,r.enl !ha! he ;5 licensee pursuart 10 the provis,ons of t~e Co~t-actar's License Law 1Chapter 9 comme~c,ng with Sect,or 7000 of o,v,s,an 3 81 the Business and Professions Codei or that •sex· empt therefrom and the bas,s 1or the alleged exemot,on Any v,o,at,on of Sect,on 7031 .5 by an apol,cant for a perm,t sub· ·ects the apolIcan! to a civil penalty of not more than five hun- d,ed dollars !$5001 _ I. as owner of the prnoerty or my employees with wages as lhe1r sole compensation. will do the work. ano the struc- ture ,snot intended or ottered for sale [Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of prooerty who builds or improves thereon and who_ does such work h1mself or through his own employees. provided that such improvements are not rntend-eo or ottered for sale If. however. the building or improve· ment Is sold w1th1n one year o! completion,. the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale) C.... I. as owner of the property. am exclusively contracting with licensed contrcctors to construct the pro1ect (Sec ?!J44, Business and Professions Code. The Contractor's License Law does not apply to an owner o! property who builds or Im- prO'les thereon. and who contracts for each pro1ecis with a con1ractor{s) license pursuant to the Contractor"s License Law) I As a homeowner I am imprO'ling my home, and the lallow- Ing cond1t1ons exist 1 The work 1s being performed prior to sale 2 I have lived In my home for twelve months prior to completion of this work I have not claimed this exemption during the last three years CJ I am exempt under Sec ______ , B & P C for this reason ____________ _ ~ I hereby af!,rm tha1 I ha•e a cerM,cate ol consen1_ ~ selt-msure, or a cert,f,cate of Workers ~~':"."o::'J€""c~e o, ·.;'"''o ;: '"'""' POLICY NO_~-' ..-. / _ / ~-~- COMPANY 5, . , I,.,\_ Y\{__j, \ I -, ·, \CJ Copy 15 foled wtlh the city / CJ Cert,t,ed copy ,s hereby turn,shed CERTIF\CAH. OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE (This section need not be completed ,1 !he permII ,s tor one hundred dollars (SH))) or less) O I cert,fy 1hat ,n the per1ormance of the worl< to, which th•s perm•1 ,s ,ssued. I shalt not emplo:, any pe,son ,n any manner so as IO become sub1ecl to the Worl<ers Compensat,on Laws ot Cal,lorn,a NOTICE TO APPLICANT 11, a!le, mak,n~ rn,s Cert, hcate of Exempt,on. you should become sub1ect I? \he Workers Compensa1,on prov,s,ons ol the Labor Code. you must forthw11h comply w1\h such prov,s,ons or 11'1<S perm,! shall be df'emed •evoked 0 I hereby a!lirm \hat there ,s a construcl·on ;enct,ng agency tor ihe performance ol tti(' -,.on, to, ,..h,ch !h,s perm,1 ,5 ,ssued 1Sec 3097 Ci,il Co<l!.'1 Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (6_19) 438-5525 JOB ADDRESS 2tr/s 7) la Z?osftl-, .i/ AV. ST,lDATE"O~PPLlt._TION ,.-:, , RO . h/.;;ZI / Y3 OWNEA"S NA)Ph \ ( V'1J,, f\... 1 OWNE A'S PHONE r:,., CON~ACTOR L , -=~~!tla) I'\."\ {) ) \ l .rv-. h:u; OWNER"S MAILING ADDRESS CONTRACTOR'S ADDRESS ___.} 31-< 6' Dg'.2L_~ ~- LOT l BLOCK TSUBOI VISION I ASSE~or C'';w~ !,-.> 3 D DESIGNER ~ !""""""°" ., -·· ~ p,;, R, I""'""'"'""""'" <J >IS F LR ELEV NO STORIES vO r-..0 --- GRADING f'.ERMIT ISSUED TYPE AREA CONST BUSINESS LICENSE # A~ '"J/ L., L 7 .,,. CONTRACTORS PHONE # ftpt)3;J-2.. LICENSE NO. 7/?i".3/ LICENSE It DESIGNER'S PHONE I occ GP I EDU OCC LOAD FIRE SPA VALUATION ZONE PLAN 1.0. /:J STANDARD PLAN# PERMIT NUMBER S-J - 311/ BLDG USE CODE BUILDING SO. FOOTAGE - crnsus rnACT ruse T >ARK<NG SSA Ce Res UN'TS l ,□ 'D l REDEVELOPMENT vO NO vO NO Not Valid Unless ~chine Certified QTY. PLUMBING PERMIT -ISSUE BUILDING PERMIT 01-00-00-8220 -----------j I 7-.sa11 QTY. MECHANICAL PERMIT· ISSUE 3,0<1 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU EACH ~ATER HEATERAN-□.:oR v~~!-L---B0ILER1coMPRES_soR UP TO 3 HP PLAN CHECK Oi-oo-o□-8806 --·---< EACH BUILDING SEWER I ----OVER 100.000 BTU I I SIGN PERMIT ----01-00-00-8221 ~CH GAS SYSTEM_2____!_0 ~ OUTLETS -+--~~_,..._"."If__ SOILER/COMPRESS□RTi5-HP TOTAL PLUMBING____ 01·00·00-82221 tO .!!f'-----.j ./ EACH GAS SYSTEM 5 OR MORE ---4 METAL FIREPLACE ELECTRICAL 01-00·00~~223 -+------ EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT C-------+---------------------- EACH VACUUM BREAKER . MECH EXHAUST HOOD/DUCTS ------------------ ~.i.-W:~~ER SOF__T_~_ -----1~----'----.J-RELO_CATION o_~ EA FURNACE/HEATER -t-----·-I~ MOBILEHOME ~ARK INSP EACH ROOF ORAi~ 1 INSIDE) MECHANICAL ·---- l __ __c _ __Jlf---MDBILEHOME ~ SOLAR TOT.G.l MECHANICAL STRONG MOTION 01-00-00-8224 --+--- 01 -00 -00 -8225 c---- ___ Ql:.Q0-00-8226 I ___ 80_·_92_-33-05~1~9-+-. _ c----r-~--- TOT AL PLUMBING ' J_ /!. ~--,--~- -OTY. ~oa ,___ SOLAR · ISSUE ! GAE SPRINKLERS _____ 0)·0_0-00-8227 I Pll_BLIC_ FACILITIES FEE 32--0o-oo-~ QTY. ELECTRICAL PERMIT· ISSUE . +-- NEW CONST EA AMP'SWT ·8t<R I PH 3 PH -------f EXIST BLOG EA AMPiSWT:Bt<R ---+- I PH 3 PH REMODEL ALTER PER CIRCUIT TEMP POLE 200 AMPS r= -lorn 20.Q_ ~~s---_-- I TEMP OCCUPANCY 130 DAYSI -----4 COLLECTORS ---jf-8RIOGEFEE__ _ __ t.T~~A~~-T~N~ _-_------------+------'----l--~CHOOL..£~DISTRICT ----- Carlsbad ---ll----ROCK STORAGE -______ -J-___ __: _ _Jle __ Enci~ ---ji---' PUMP ~AN CHECK ~EE ---~ San D~eguito --+---------,,~--San M~~o_s . --If---+--- ··---➔---+-- +--EZr. -lC- 80-92-21-0519 80·92·22-0519 e---- 80-92· 23-0519 ·------+ 80-92-24-0519 - - --- --- ---- ·---- -- ------- TOTAL ELECTRICAL I -+- TOTAL SOI AR --+- TOTAL FEES PAYABLE I ., v~ l' .. ..------ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"' ANO 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TH!S PERMIT Expiration. Every permit isaued by the BufldJ.ng Official under the prov1s100s oft his Code shall expire by limitation an ome null and void 1f the building or work authorized by su"i,ih rmit is not enced within 180days fr.om the date of such permit. or if the ding or w k uthorized by such permit is suspended or abandoned at a · ea~ t w k is commenced tor a penod of 180 days. AP7l NATU~E, --OWNER □ CONTRACTO~ / BY PHONE 0 -,,__,,,/ ---- * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCT\JRES OVER 3 STORtES IN HEIGHT APPROVED BY ~ lo~e~ -v\i7 ."! u: >-;;; 0 0. E w f- l TI 0 CJ C rn 0 0.. 0. ., I ~ C a: 0 00 00 w 00 00 ., I ~ .Q <D >- 00 00 w 0 0 a: rn <ii 0 ~ w 0 C rn C u.. s C w ~ CJ 0 ;:; w 0. 00 C ~ ~ :;: 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 ~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 IL-76..;J 7 BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED 'li"~ · "3 IL!,° 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 j : -- --- C ---~ --- --r----- --------