HomeMy WebLinkAbout2419 LA COSTA AVE; B; 83-244; Permit"' z 0 ~ "' .. -' u w C
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V, I hereby affirm that t :m licensed under
~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
'"" fo,ce ·.~.~O<I.. n :3 /
Lit No31ri 3 /-Class L,.--~
I hernby affirm tha1 I am exempt from the Contrac-
:or s License Law tor the fo1IcwIng reason !Sec 7031 5 Bus,ress and Proless:ons Code ~rv c,tv or county wh,ch re-q~1,es a per'T711 10 cunst'uc: a:>t; ,rriprove. der,ol,sn, O"
repa,r any str~ctuce_ orIor to its Iss"ance a SJ reou-res the ap
1ca,· 'or sue~ perrn,t to :,le a s,g1ed slaterren: tha! he :s :,, rs1,;in1 tn t~e pr0v1S'G% of t~e Coa•·aclo· s
L1rnr,se Law 'Crapter g :ornrcenc,nq w1t1 Sect10-. 7000 of r-,15 Jr 1 of t"e aus,,•ess anc Prctess101s Code·, 8r tha! 1s e,
emet 1rut1rcr ;i1c The bas•s for 'he 1lleged exerno'.•on My
•11oiat1on o' Sec'.ioc, 7D31 5 t\' a0 appl1canr for a permit suD
iecis t'"e 2.p8,1cant to a c1v1I oenal'y o· net fl'O'e !~,an five h·Jr•
cred ool.ars ,.$500
I, as owner of the property or ""Y empl8yees w1:n wa~es
as their so•e comoe%at1on. will da the wo:~. acd the st0uc-
ture rs 101 ,ntended or of1ered tor sale !,Sec 7004 Business
and Proless1ons Code. The Contractors L1ce~se Law does
~ot apply to an owner ol propert~ w~o builds ar improves
lhereon and wno does such wor~ himself or through his own employees orov,ded that such rmorovements are not intend-ea or offered 1or sale If. however. the bu1ld1ng or ,mprove-
ment 1s soi~ w1thm one year ot complet1on, the owner-bur:der
wril have the burden of orov1ng that he did not build O' rm-
prove for \he ourpose of sale)
L I _as owner ol the property, am exclusively contracting s2:i ~~:;~endd ci~~;:;~~~~!o ci~:_irui~~ncg~f/:~io(?:c L,~~~:e
Law does not appl1· to an owner of property who builds or ,m-proves thereon. and who contracts for each pro1ects with a
contractor/s\ license pursuant to the Coit·aclor's License Law)
'..J As a homeowner I am imorovrng my home and the 10·1ow-
1ng cond1t1ons ex,st 1 The work is being performed prior to sale 2 I have lived rn my home lor twelve months
pr,or to complellOn of this work
I have not claimed this exemption dunng the
last three years
U I am exempt under Sec ______ , B & PC
for this reason ____________ _
~ I hereby aftirm that I have a cer1'11cate of consen1 sell msure. or a cer11t1cate ot Workers
::?:~.~~~'.i'i-"i :'ii'
COMPANY-5',.t"t~C/
&{ Copy ,s filed wt!h the city
/~ Cer11t1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FAOM
WORKEAS' COMPENSATION INSURANCE
(This sect,on need not be completed ii the per.,--.,1
1s lo, one hundred dollars (SHXli or less)
0 I cert,ly that 1n the per1ormance ot the work for
wh,ch 1h1s permit ,s ,ssued. I shall not employ an,
person ,n any manner so as 10 become sub1ect 10
the Workers· Compens..1,on Laws ol Caldorn,a
NOTICE TO APPLICANT 11. al1er mak,n~ th,s Cem
t,ca1e of Exemption. you should become sub1ec1 10
the Workers· Compensa1,on p,o,,s1ons ol the Labo<
Code. you must !orthw,th Gomply w1\h sue"
pro~,s1ons or this permit shall be deemed ,e,oked
0 I hereby alt.rm tt,al there ,s a cons1,uclFO~
,ending agency tor me per1ormance ol !he work to,
wh,ch this perm,1 ,s ,ssued 1Sec 3097 Civ,I Coder
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 (619) 438-5525
AV.ST. VALUATION PERMIT NUMBER
RO. 6...-'
OWNER"S°MILING ADDRESS
OWNER'S PHONE i~~iu~~"-'1,J:-:::,::<f:_"_L_!!.~~~_/,'1_!4{tkjL~(;; ZONE ~ 4+
PLAN 1.0. # BLDG USE CODE ti;.;?6°", hl ~l.
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER u LICENSE# STANDARO PLAN# BUILDING SQ. FOOTAGE
~' I.a, .;l.<:,O
DESCRIPTION OF WORK
a~ l/11~
ss c'.2~
DESIGNER'S ADDRESS DESIGNER'S PHONE
-----· -~------1 FIP F LR ELEV I I NO I occ GP I EDU '
YO NO
GRADING f'.ERMIT ISSUED
STORIES
TYPE
CONST
OCC LOAD FIRE SPA
.;; rc·.~~~:'7.~i
CENSUS rnAO ID USE r RK'NG 5'ACC r,-u,ms I
v □ ND I
REDEVELOPMENT
AREA
vO NO vO NO Not Valid Unless M•chine Certified
aTYJ PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER >---+--------·.
I --;1£!-QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
3~ SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
-
SIGN PERMIT 01 ·00-00-8221
--I------
EACH WATER HEATER ANO,'QR VENT
'---'-°'EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MO RE >---+-
] 2 ~4~~f:;;~;:;:;~;:;:: ;'.::;~"-C_"----l----~--1----PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
01·00-00-8806 I
01-00-00-8222 /0 ~ -
01-00-00-8223
EACH INST Al .. ALTER. REPAIR WATER PIPE
~CH VACUUM BRE~ER
_LWATER SOFTNER
---
----
VENT FAN SINGLE DUCT
MECH EXHAUST -HOQO/QUCTS ---I---+--
RELOCATION OF EA FURNACE1HEATER ------'----~--..
MECHANICAi 01-00-00-8224 --------+---
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
01-00-00-8225
-+---
r~-~09'._?RM, l-~S10E'._ __1 _ ---, _
TOIALPLUMBING _J _____ /[} ;:t: _______ _ TOTi:.L MECHANICAL ~RON~ MO!JQN
0_1 ::_Q_Q_:_00-822_6___
B0-92-33-051~9-+---
01·00·00·8227
--
FIRE SPRINKLERS
l--PUBLI_C FACILITIES FEE
BRIDGE FEE "" mcrnoc" °'"""~SSC~ I 5="loTI so~, ,s;o,
NEW CONST EA AMP SWT BKR COLI ECTORS ·--------------+-------11---SCHOOL FEE -DISTRICT
Carlsbad ~ 1 PH _ _} PH_ __ STORAU TA~KS
EXIST BLDG EA AMP,SWT.BKR
I PH 3 PH
REMODEL ALTER PER CIRCUIT -+
. --i---
I-----
--ROCK STORAf;F
.il---J.PU_M_P_
PLMi CHEC!< ~EF ---4----
---+-
-------11---
Encinitas
S~n_ Dieguito
·--8-San Marcos
-
---+---
32-00-00·8923 ---+---
----
B0-92-21-0519
80-92-22-0519
---~BC0-92-23-0519
80-92-24-0519
------
----
-----
-----
----
-----
--
--f--,. TE~___!'.~-l~--2~~~~~~ Lf OVER 200 AMPS l-----+----+----+------------+------
, TEMP OCCUPANCY 130 DAYS/
,--~' _J_ __ _ l--
TOTAL ELECTRICAL
rHAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION .ANO PERMIT" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS AR£ TRUE ANO CORRECT AND ~fUflTHER CERnFY AND AGREE IF A PERMIT IS
ISSIJED: 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 ciTV.-OF CARt.SSA.0 AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~~~~~~~~ ~~~c:is~~1~~/'NY WAY ACCRUE AGj\~T SAID CITY IN CONSEQUENCE OF THI
_________ ______j -----------j
---
TOTAL SOLAR -+---·---11 TOTAL FEES PAYABLE I 1.L_O a::: J
Code shat! expife 1mitaUOh arid ·and told: If thlt'bulltling or-woti:
authoriZed by such mlt is not com ithin 18(1 day. from the date of 9UCtl
• t.Jtt~_PEAMIT _IS~ FQft EXCAYATIONS OYER
•$'(r DEEP AiND OEM0UTlON OR CONSTRUCT10N Of'
Sl1IUC1UR£S OVER l STOAIES IN HEIGHT
Exl)ira1ion. Eve~-byt~<lffldalu;,deithe;,;;,.._.olu,;s
~i~, or . if _ the . · · "9 or. work _ by:. such penntt ie ~ or ............. ~--~------------·------·-··-· ---7 ~ -~=·u:r:;-. ~;a"9'1CON·•··~. : .. :. ~ ... -.r•PP. ~ · , · atf _9'-f /11 ./~---17,~ ~~q . '•'" -· .... ... . .. ·-
F"'° BY --yr, ~ IA f'll I ra.Ut-WV-.. .,.....,--,
DATE
1 S-·l2·83
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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 1.-~U.,n. t'"\\
ELECTRICAL V V I I
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUP~NCY ISSUED .
V . '
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 WELDfNG
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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