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HomeMy WebLinkAbout2415 La Costa Ave; F; 83-316; Permit"' z 0 ;:: .. "' 5 (.) .. Q C ![ 8 "' .. Q ... 5 i .. z ~ z 0 ;:: ;)! z .. .. ,. 0 (.) V, ic .. " "' ~ ![ ~ 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 . . ~ U: c rn 0 Q. E w f- l D 0 " c rn. • .~ a. Q. « I ~ C a: 0 00 00 w 00 00 « I ;, 0 w >- '" 00 w 0 0 a: rn 1ii 0 ~ w (.) C rn C u.. s C w w i3 0 13 w Q. 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 ,, 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 I ; ·---- --------· - ---- ... -. ~-~ ------- - ~ ------------ ---