HomeMy WebLinkAbout2415 La Costa Ave; F; 83-316; Permit"' z 0 ;:: ..
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~ I hereby affirm that I am licensed under
~slons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force an~9'f~t.,, , I" /
l>e No j / Y,-g':7 /''"' . L,, --8-;;
I ~ereby atf1rm that I am exempt lrom the Contrac-
tor's License law tor the following reason iSec 703' 5
Bus•ness and Pro1ess1o~s Code Any city or county which re•
Quires a permit to construct. alter improve. ae"lol,sh, or
cepair any structure. prior to_ I1s ,ss_ua~ce also requires the ap·
pl1canl lo· such permit to file a s,~ned statement that he 1s
l.ce~sed pu·suant to the provisions of the Contractor·s L,ce~se Law 'Ghap!er 9 commencing w,th Section 7000 or
D1v1s1:m 3 of the Business and Profess,ons Code: or :hat ,sex-empt ther~fro'.17 a~~ the basis for the alleged exe!'lptIon. Any
v1olat1or of Sec',on 703: 5 by an aopl,cant for a permit sub· 1ects the app1,can1 to a cIvII oenalty of not more man tIve hun-
d'ed dollars 1$5001
I. as owner of lhe property, or my emoloyees w1'.h wages
as lheir sole compens.3tIon. writ do the wor~. and the struc-
ture ,snot intended or offered for sale (Sec 7044. Business
and Professions Code· TM Contractor"s License Law does
not apply to an owner of property who builds or ,mproves
thereon and who does such work himself or through h,s own
employees. provided that such improvements are not intend
ed or offered 1or sale It. llOweVBr, the building or improve· :n_ent Is sold w1\hIn one year of compl€11on, the owner•bu1lder
will have the burden of proving that he did not build or Im•
prove for ttie purpose of sale)
I_J I, as owner of the property, am exclusively contracting with licensed contr2ctors 10 construct the project (Sec 7044.
Business and Professions Code· The Contractor's License Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's License Law)
L As a homeowner I am rmprov,ng my home. and the lollow-
Ing cond1t1ons exist 1 The work Is being performed prior to sale
2 I have lived ·1n my home !Or twelve months
prior to completion o! 1h1s work
I have not cl;Hmed this exemption during the last three years
:J I am exempt under Sec _______ , B & P C
tor this reason
,¢\1 hereby attirm 1hat I have a cert,f<eate of consent
10 sel!-,nsure. or a cert,!,cate ol Workers
Compensat,on Insurance. or a cert,f•ed copy thereof
iSec 3800. Labo;.,codel . ,.,. ?):$),;,?
eoucrno _q:> $..;;:, /0. J -"7 ~
.COMPANY ,s.·/zl tr '\.(!} l6 Copy 15 tiled w,th the c,ty
I (j' Cert,!•ed copy ,s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed .J the permit 15 for one hundred dollars 1S1001 or less)
0 I cert,!y that 111 the pertormance ot the work for
which 1h15 permit ,s ,ssued. I shall nol employ any
person ,n any manner so as to become sub1ecl lo !he Won<.ers· Compensation Laws of Ca1,torn13
NOTICE TO APPLICANT If. after mak,n] this Cen, !ica1e ot E,empt,on you should become suD1ect t,:,
the Workers Compensation pro~,s,ons al the Labor
Code. you must lor1hw,th comPI> w1lh such prov,srons or !his perm,1 shall be deer,ied revoked
D I hereby affirm 1na1 1here ,~ a construclIon
Iend,ng agency lor the performance ol lhe -"Oris to,
wn,cn th,s perrr>ot ,s ,ss;ued 1sec 3097 c,,,I Code;
Ler>der s Name ___________ _
Ler>der s 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 -/Ll_ /osdv AV. ST, VALUATION PERMIT NUMBER
-211-1§ r /
ow~ {µ(/2,/hJ,:Z
OWNER'S PHONE
RO. r:=i~~=-'f-==---g-:;,, ~ ZONE 3/ 0
A
OWNER"S MAILING ADDRESS CONTRACTOR'S ADDRESS
3U6 i::>eR.. £~ M-111~3/??3/
COT BLOCK I SUBDIVISION I ASSE~OttAl.'.+60 S'5 d-~ DESIGNER \ LICENSE # .
DESCRIPTION OF WORK OE.SIGNER'S ADDRESS DESIGNER'S PHONE
F/P FLA ELEV NO DCC GP EDU _ ___ ----STORIES
crnsus TRAC, I c, cAND use / 'AR<,NG S>Ace Res uNm l GRADING f".EAMIT ISSUED
y □ N □
vO NO
I REDEVELOPMENT
AREA ,o ... o
TYPE
CONST
OCC LOAD FIRE SPA
YO NO
l'LAN 1.0. # BLDG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
,:;l-:._. .:::~~
Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7.so 11 QTY. MECHANICAL PERMIT -ISSUE 3,oo SUMMARY/ACCOUNT NUMBER
BUil-DiNG PERMIT 01-00-00-8220 EACH FIXTURE TRAP
EACH BUILDING SEWER
INSTALL FURN DUCTS i.JP TO 100 000 BTU -----+-· -1'-~ ---'i OVER ,-oo~o-o_O_B_T_U __ ,1---~--110-SIGN PERMIT c· .~ ... -rBOILE-RiC_(l~PRESS_O•R-UPrn 3_HP ~=-= =E f PLAN CHECK _ =-. oiyo-ooaaosr --crQ_ -
01-00-00-82~
--------
EACH WATER HEATER AND·OR VENT
I /(I ::~; ::: :::J:f ;~~ ~-~¼: L~ET_~ -~--
EACH INSTAI.,, .. ALTER, REPAIR WATER PIPE
~-~~-~LER_'.~~~SOR3-15H_~ _ +-----TOTALPLUMBING___ 01-00-00-8222_~--/Q _~
METAL FIREPLACE ---I--
VENT FAN SINGLE DUCT
ELECTRICAL -+----,--
MECHANICAL
---
>---+--------+------· ----·---
01-00-~0-8~. . · ·-
01-op-00-8?_24 .--+-------------
. . _E~CH VACU_U_~~EAKE~_ _ ___ -r---____ _ _ --~-~~H E~HAU~T -HDDD..-DUCTS MD_BILEHDME ___ --. 01-00-00_:82~
=-=h~T~~ ~£!_NE~ __ --~_!;-O_CATIDN_OF EA fU~NACEiHEATER • _._ MOBILEHO~E PARK INS_P__ _ ·-· L--LJ E~CH ROOF DR~l~~E) _ _ _ .-. --~. __ · SOLA~ ____ 01-00-00-822~
-
[_. J .. ; --r TOTliL MECHANICAL I ~ STRONG MOTION 80·92·3J.0519
-r□TAL PLUMBING C ~L~-.l-=o-~ ---~ _ . FIRE SPRINKLERS ~oo-oo-a221 +--
,---1 PUBLIC FACILITIES FEE 32-00-00-8923
--------
-
-
QTY. ELECTRICAL PERMIT· ISSUE --+-J;oo ~TY.:,_ _ SOLAR -ISSUE t-.--· ----·-------
-· --t-------If-BRIDGE FEE ----
! NEW CONST EA AMP'SWT BKR +--·--------------.. --------+---COLLECTORS ---11----+-----·-----·---t----·----JI---SCHOOL fEE -DISTRICT-·
I PH l PH f-· -+--------:--· -----· -------+-
EXIST BLDG EA AMP1SWT-'BKR ------+-I PH JPH
f--f
REMODEL 'AL TEA PER CIRCUIT 1--
·--ii---.:i--=
STORAGE TANKS
ROCK STORAGE +--------·
PUMP
PLAN CHECK r"EE
Carlsbad
-~an _g~egu1to
-· --+-----j~ Encinitas
San Marcos ---+-----·--------t-----·--11---
80-92-21-0519 I-----
_8~-92-_22-0519 ---t---·
80·92-2).0519---+-----
80·92-24-_051j--+-·-
TEMP POLE 200 AMPS
~ ---· ~ 1 QVE R 200 _AMPS --!-TEMP oc-Cu-PANcY 13i DA vs1
--.-,------,, ~T --··+--· --
----
~· ---tt---
--~ ----------·---+----
TOTAL ELECTRICAL
I HAVE CAREFULL y 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 I FURTHER CERTIFY AND AGREE IF A PERMIT 1$
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 CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
. --· -+------If +---
<()
TOTAL. SOLAR TOTAL FEES PAYABLE I l) ~-Iv ·
ing Official under the provisions ofthis Code shall expire by [imitation and 'nun and void II the·building or work
authorized by such ~rmil is not com d within 180daysfrom the date of such
permit, or if the )d\ldmg or w. ork. u orized by such permit is suspended or abandoned at al)lf,rime_after thew k · commenced for a per10d of 180 dars. .
~,-,-~NATUR~ OWNER □ . CONTRACTOR!'<.
~ .... ~.,r . .,,L)A SYPHONED
* AN OSHA PERMIT lS REOUtRED FOR EXCAVATIONS OYER
5' 0 .. DEEP AND OEMot..fTION OR CONSTRUCTION OF
STRUCTURES OYER 3 STOAH;_s IN HEIGHT
APPROVED BY •4-Y 0'G/~v/~7 I . .
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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 ,,
GAS L"-~tJ-1'1 T
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
g-~-3i~
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
PRESTAESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
~--------·--! PILES CAISSONS
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