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Home My WebLink About2415 LA COSTA AVE; E; 83-315; Permit"' z 0 ;: .. "' .. --' ~ 0 ~L :! ~ z 0 u "' .. 0 --' 3 I .. z ~ z 0 a z .. .. ,. 0 u "' ir .. " "' 0 3 ![ ti, ! hereby affirm that I am licensed under frt.,lslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. L,c Ne~-/ =✓./C'm -:.,Z.t,71 ,. J / -~-~✓ I hereby affirm that I am exempt from the Conlrac- tor's L,cense Law lor the lollow1ng reaso~ 1Sec 7031 5 Business and Professions Code. Any c,ty or county wh,ch re- quires a permit lo construct. alter. improve. ae'nol1sh. or rnpa,, any structure prior to ,rs issuance a,so reou,res the ap- plicant for such permit to file a s1g1ed statement that he •s l,censed pursuant lo the prov1s1ans of the Ccs:ract~r s License Law IChaote, 9 commene>ng with Section 7000 of DIv,sIon 3 o~ ine Business and Profess,ons CodeJ or ttiat ,sex-empt \here'rom and the bas,s for the alleged exenotIon Any v1olatIor of Section 7031.$ by an app:icant !or a ~erm,t su~- 1ects the applicant to a c11·,I penalty of not more than live ~un- dred dollars \$5001 I, as owner of the property, or my employees with wages as their sole compensation. wrll do the wor,. and the struc- ture is not intended or offered for sale (Sec 7044, Business and Pro1ession~ Code. The Contractor's L1ce~se Law does not apply to an owner 01 property who builds or improves thereon and who does such work h1mselt or through his own employees, provided that such ,mprovemenls are not intend- ed or Offered for _sale. If, however. the bucldIng or improve- ment ,s sold within one year 01 completion, the owner-builder will have the burden of proving that he did not build or ,m prove 1or the purpose 01 sale) l.J I, as owner of the property, am exclusively contracting with_ licensed contr~clors to construct the pro1ect (Sec. 7044, Business and Pro!essIons Code: The Contractor's License Law does not apply to an owner of property who builds or ,m-proves thereon. and who contracts for each prqects _with a contractor(s) license pursuant to the Contractor's License Law) □ As a homeowner I am improving my home. and the follow- mg cond1t1ons ex,s1 1 The work_ Is being performed prior to sale 2 I have lived in my home !or twelve months prior to completion ot this work I have not claimed this exemption durm~ the last three years ~ lamexemptunderSec _______ B&P.C for this reason ____________ _ 'Y., I hereby a!tirm tnat I r,a,e a cert,t,cate of consent fo>\self-onsure. or a cert1l1cate ol Workers Compensation Insurance. or a certil,ed copy thereof (Sec 3800. """" Cpd•l-_::j~J, 9-? 2._ POLICY NO -b 3. f-::.-t ~ --r "(;."''"' 5 ,0. ' ;,?{.{ (\ (1 ,A copy ,s filed with trie ~,ty ~• - D Certified copy ,s hereby fum,shed CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section nee<l not be completed d 1he perm,! ,s tor one hundred dollars ($100) or 1ess1 D I cert1!y !hat ,n 1he performance ol the won< tor wh,ch this perm,t 1s ,ssued. I snail not employ any person ,n any manner so as 10 become sub1ecl to 1he Workers Compensat,on Laws of Cal1lorn,a NOTICE TO APPLICANT 11. at1er mak,n~ th,s Cert, f1cate of Exempt,on, you should become sub1ect l'J the Worllers Compensa11on pro-,s1ons ol the Labor Code. you must rorthw,th comply w,tn such pro~1s1ons or 1h1s perm,t shall be deemed revoked 0 I hereby aflirm that there ,s a construc1,0n 1end,ng acency to, ihe µertom,ance ol the work. ',:;r wll,ch lh,s perm,t ,s issued 1Sec )097 C,,, Code, Lende• s Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT ~200 Elm, Carlsbad, California 92008-~989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS ;ul-/5£ /4 6:,sb-AV. ST. BUSINESS LtCENS # VALUATION PERMIT NUMBER A-v-e.-, AO, .Jk2 ~-3. ((4f!iiJfJ c~iQ0_3~7 ZONE B f s--OWNER'S NAME (1...--rt 1"' k \€Q_ I OWNER'S PHONE OWNER'S MAILING Ab°DRESS 3/~TZSAo:o ~J A.VJ ';"iie3! COT BLOCK I SUBD!VIS!ON I ASSESA_OR PARCEL NO o(.I Ip .;l-'-!O .b" ~'1 DESIGNER I OESCRIPT!ON OF WORK q 'I L ... O I DESIGNER'S ADDRESS ee; /-<1"'\ '-----' - crnsus TRACT I ce cAND use I """NG seAcE RcS UN,TS 1 GRADING ~ERMIT ISSUED y O N □ e/e FLA ELEV vO "'O REDEVELOPMENT AREA vO NO J NO STORIES TYPE CONST LICENSE# DESIGNER'S PHONE DCC GP EDU DCC LOAD I FIRE SPA vO NO PLAN I 0. # BLDG USE CODE STANDARD PLAN# BUILDING SO. FOOTAGE Not Valid Unless Machine Certified ... , .. .;..; QTY. PLUMBING PERMIT -ISSUE ]xi QTY. MECHANICAL PERMIT -ISSUE .l.,oo SUMMARY/ACCOUNT NUMBER BUILDINGPERMIT 01-00-00-8220 EACH FIXTURE TRAP EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 0-1--0-0--00--8-221--+-- -----+----~---1--~-TALL FURN. DUCTS UP_ TO 100,000 BTU -----' -------------- EACH WATER HEATER AND:OR VENT 801LERICOMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 /~-1f-,-A-CH GAS SYSTEM 1 TO 4 OUTLETS ; 801L_E_R_iC_O_~~~ESS_O_R_3_15_HP ---TOTAL PLUMBING __ _::_::01-oo-oo-s222 -.--d? EACH GAS SYSTEM 5 OR MORE I EACH INST AL., ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER ----- METAL FIREPLACE VENT FAN SINGLE DUCT ELECTRICAL MECHANICAL MECH E~~AU~~---H000'0UCTS _____ __t__ ~ MOBILEHOME _LL-----i:::::-- 01 ·00-00-8223 -- t-----·-------01-00-00-8224 ---~01-00-00-8225 I -------- RELOCATION OF EA FURNACE/HEATER ~.i.-~ATER S~NER MOBILEHOME PARK I~ ----- I----~ ~OOF DR~I~ il~SIDE) ____ ---+-_ I : r SOLAR __ _ -j ----TOHi.L MECHANICAL I ST_!!9NG M0~I0N --TOT Al PLUMBING ___j_ _ /I;,~ -,------a..=-~=_ FIRESPRINKL_E_RS __ ELECTRICAL PERMIT -ISSUE~1 ..:;--:dc1 QTY. QTY. SOLAR · ISSUE -· l-PUBLIC FACILITIES FEE BRIOGE FEE NEW CONST_EA AMP SWT BKR__ __ _ COLI ECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS r--~ ------------Carlsbad ,L I EXIST BLOG EA AMPi~WT:'BKR I PH 3 PH '---+--REMOOEL·ALHR L------PER CIRCUIT -~M~ POLE 200 ':_~P~ _ L-----1 O~E_R_~~Q_ AMPS TEMP OCCUPANCY 130 DAYSI -~ __l TOTAL ELECTRICAL ---,~ ----<L '_j___ ROCK STORAGE Encinitas ' PUMP ~ Ir--------+ _______ -------It-----+----___ --------1-------l San Dieguito PLAN CHECK ~EE --------San ~arcos C - -+ ~-----+- j___ -rmr ----------+------!I-- --,_ TOTAL SOLAR TOTAL FEES PAYABLE 01-00-00-8226 l------ I--80-92-33-0519 01-00-00-8227 -+--- 32-00-00-8923_,-_ --+-- -+-- 80-92-21-0519 I 80-92-22-0519 80-92-23-0519 -·--- 80-92-24-0519 ----- ------- -- ' -- --+- 1 ·1 V ""-!V ~-.,..- 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 AND CORRECT AND t FURTHER CERTIFY ANO AGREE IF A PERMIT !S °!l: AN Q6HA PERMIT IS REQUJREO FOR EXCAVATIONS OVER 5' 0" DEEP ANO DE:MOUTION OR CONSTRUCTION OF STRUCTIJRES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL C!TY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L7:':;':;':':',:",~:f'"::-','~~!!2'!.!C!.£!!!!!!!!!!E!!!:!l>!..!.1":'12'!.2!.!i!!LJ!!~--,:-,f-,..,..,..,-----,------------..--~ STRUCTION, WHETHER SPEC!FlED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CtfY OF CARLSBAD AGAINST ALL LIAB!LIT!ES, JUDGMENTS, COSTS AND CONTRACTO APPROVED BY • 0v, \DDAT, , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ' ~ ') 'y_ ~ GRANTING OF THIS PERMIT ---__,,..,,.__, .~,:// BY PHONE □ ., I ,. 1,1 V () J ~ . . ~ u: " <ii 0 0. E "' >- I :,:, 0 CJ C .. g 0. 0. « I ~ C ii: 0 00 00 "' 00 00 « I ~ ,Q '" >- .,; 00 "' 0 0 0:: .. ... D ~ "' 0 C .. C ii: C "' "' ~ 0 0 "' 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 HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL JI GAS ilt'-.~ -T BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ~g-:s;<;; 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 PRESTAESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I ---- : . --~-- -------- . . . ' " .