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Home My WebLink About2421 LA COSTA AVE; B; 83-241; Permit,,, z 0 " .. 0: .. -' u "' 0 ~ , E I tieref,, affirm that I am llcensed under o visions of Chapter 9 (commencing with ,_ [ Section 7000) of Division 3 of the Business ~ and Pro. ••.sslons C.ode, and. my license is_in I!: 1,11 fo,oo 'f;),")}••h c-~ f 21 '" '"°3~CH-""'. vi:::> 0: "' 0 -' 3 ~ "' z ~ 0 z 0 a z "' .. "' 0 u "' "' "' " 0: 0 3 ![ I hereby alf1m1 that I am exempt from the Contrac-tor's L,cense Law lor the to·1ow1rg reasor !Sec 7031.5 Business and Professions Code Aey c·tv o' county which re- quires a perm·I to co~sl'uct. alle' improve. demolish 0' '. epaic 2ry s1ructu:e pr ,or to its 1ss"arce also 0equ1res the ap. · r.I,car1t f:Jr such perm t 10 l1le a s,gnec statement that he ,s ,,c,e~ced ~o:suant to the pro·1:s·:ns o/ the Contra-:tor s ~Ic~:1se Law ,:Chapter 9 cornmen{.ng with Sect,on 7003 of J11•,s1;-c; C .J' tre Busness ana P·of~ss ~ns Code,: c· 1,2.1 ,s e,-em8t rh0·ct,orn and the bas,s for the alleged exempt101 Any mlat,01 o· s~ci,on 70.'J1 5 oy an a~p-,cae! io, a oe·.,,,• suo- 1ects the apo11cant ro a ci,i: r;enalt)' of not more tha~ 've iun· d:ed dol·ars 1S50•J1 I, as owner of 1he 0°operly or my em~loyees ·1-ll'h wages as the,, sole comoersat1on. will do '.he war~ end the st0·Jc ture ,s not ,ntended or Offered for sale (Sec 7044. Business and Profess1ors Code The Contractor's Lice~se Law does not apply to an ow~er of property who ou,lds or improves thereon and who does such work h,mselt or through h1s own employees. prov,ded that sue~ 1morovements are not intend• ed or ottered for sale. If, however. the building or 1mprove-11ent ,s sold w1th1n one year of completion, the owner-builder w1:I have the burden of orov1ng that he did not tJu1ld or ,m- prove to: the purpose Of sale) ::J I, as owner of llle property. am exclusively contracting witll licensed contractors to construct the project (Sec. 7044 Business and Pro1ess1ons Cocte The Contractor's License Law Ooes not apply to an owner of property who builds or 1m· proves thereon. and who contracts !or each pro1ecls With a contractor{s\ l•censa pursuant lo the Contractors License Law) = As a homeowner I am improving my home. and the follow-mg conditions exist 1 The work_ 1s being performed prior to sale 2 I llave lved m my home for twetve months pnor to completion of ttlrs work I have not claimed this exemption during the last three years c.l lamexemptonderSec _______ B&P.C for this reaso~, ____________ _ 'V hereby aftirm Iha! I ha·,e acert,f,cate or consent_ ~~ 1 self-msure. or a cert1!1cate of Workers ~~':".'i'~"'",\' ",'()cet"''"'"o~o, ,cecw< POLICYNO ~. • -IL - to/PAN' ..5 ft_ fl A. Copy ,s tded w,m the c,ty 0 Cert,t,ed copy ,s hereby turn,shed CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section need not tie completed ,1 the perm,t ,s tor one hundred dollars 1s1001 or less) 0 I cert,ty !hat ,n the pertormance ot the "'Ork tor which this perm,! ,s ,ssued. I shall not emoloy any person ,n any manner so as to tlecome sub1ect to the Workers· Compensation Laws of Ca1,torn1a NOTICE TO APPLICANT 11. af!e, ma1<1n;i tt11s Cert, !,ca1e of Exemption. you should t.>ecome sub1ect t'l the Workers· Compensat,on prov,s,ons o! lhe Labor Code, you must !orihw11h comply with such pro~,s,ons or th,s perm,t shall tie deemed •e•o~ed 0 I hereby affirm 1h31 1here ,s a construct,o~ 1end1ng agency !or me periormance ot the wor1< tor wh•ch this perm,! ,s ,ssued 1Sec YE?. c,-11 Cooe, Lenders Name ___________ _ Lender'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) 43~-5525 JOB ADDRESS -;L..a rJ,osk, I be AV. ST. BUSINESS LICENSE# VALUATION PERMIT NUMBER ,, j.J---, I A . RO. ~~~4 '«;,.., ' CONTRACTORS PHONE# ZONE z 11 OWNER'n..'A-'/ > OWNER'S PHONE =y_.L!Cf':_~!S,.':::/_~/I, OWNER'S MA1l.1NG ADDRESS ~);i'OR"S ~# /2_ · A/&"ii3 I LOT BLOCK 1 SUBDIVISION l ASSESSOR PARCEL NO. ~ t l -2 I(., ;;J.'tO :S'"S .... T DESIGNER u LICENSE# DESCRIPTION OF WORK 1----------------------------~ DESIGNER'S ADDRESS DESIGNER'S PHONE ~---ga.►---ii'LJ_~ -----I F/P F LR ELEV / j NO I ace GP / EDU ! vO NO GRADING f:ERMIT ISSUED STORIES TYPE CONST ace LOAD Fl RE SPA PLANIQ.# BLDG USE CODE STANDARD PLAN# BUILDING SQ. FOOTAGE J - CENSUS rnAc, I Ge LANO use I 'ARK'NG seACC RCS LJN,TS T y O N 0 TAEDEVELOPMENT AREA YO NO vO NO Not V;,Jid Unless M;,chine Certified OTY. PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER I---+--- I /~IIOTY MECHANICAL PERMIT -ISSUE 3'~ OVE_~~~,000 BT~--+--- SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01·00-00-8220 01-00-00-8221 ------ SIGN PERMIT j___ f--~WATER ~EATER_~~D·O~~-! EACH GAS SYSTEM 1 TO 4 OUTLETS ---- ~ ~~ A '"'"'"""' ,srn aorn •• oom -1 - I---~. BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR UP TO 3 HP ----- PLAN CHECK 01-00-00-8806 +----1--------P-+-TOTAL PLUMBING~ 01·00~00-8222 I _/ 0 ~ - ~~ACH__E_~ SYS:!_~~5 OR MORE METAL FIREPLACE ---------1------_. --ELECTRICAL 01 ·00-00·8223 MECHANICAL ! EACH VACUUM BREAKER ---MECH EXHAU-S~H □0-0:oucrs c• EACH. IN. ST Al.· A.LTER. REPAIR WATER PIPE ~ 1· VE.NT FAN SINGLE □U. C.T _· __ -JI--MOB IL EH O "'______ 01-00-00-8124 +--- 01 ·00·00-8225 --~ ------t-::LEtf~~~~:~~R:~;DEI ----------+-~--RE~~l-□~-_§~F~~E~ : L SOLAR T ----· ----------TOTJ..L MECHANICAL I STRONG MOTION ----TOTAL PLUMBI_N_G___ _ '-~ /J)_ ---~ ~ F1RES.PRINK-LER_§__-_-- 6y I ~CTRICAL PERMIT ISSUE ~1~ ~TY+ SOLAR. ISSUE MOBILEHOME PARK INSP ----· --- Qj_:_QQ_·_Q_0-822.i··. 80-92·33-0519 01 ·00-00-8227 32-00·00-8923 ------ ---- NEW CONST EA AMP SWT BKR COl..LECTGRS 1----+--··------------ 1 PH 3 PH -± STORAGE TANKS EXIST -~LOG EA~~-'~W~~R --+-__ __ ROCK STORAr,r 1 PH f-----I-------------- J PH PUMP +--+---------- ~ I REMOOEL·ALTER PER CIRCUIT ------------------- H~-P P()LE___200 AMPS OVER 200 AMPS -TEMP OCCUPANCY 130 DAYS) --~' - TOTAL ELECTRICAL ---l- ---"-~A~J:~~~~-!f'E ---l- --'--j___ -- TOT Al SOLAR L-PUBLIC FACILl_!_!~~~- BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad Encinitas -------+-----'----l( __ San_Q~gu1to ---I-----,-11--San Marcos ---+---------+------,:I--- ---- ---1- 80·92-21-0519 80·92-22-0519 B0-92·23-0519 80-92-24-0519 ---+--. ---- --- --- ---- --- --- - /) --+-I I I I TOTAL FEES PAYABLE /'<J~ ------,----r--:-7 "t..,.Ml-~PEFMJ JSftEQUIREO FOR EXCAVATIONS (l¥Efl '·5'.,0"' DE£P ~ DEMOLmoN OR CONSTflUCTION OF stfiUcTllAES OVER l STOfltES tN HEtGHT I HAVE CAREFULLY'EXAMINEO THE COMPLETED ''APPLICATION AND PERMIT'.' AND 00 HEREBY CERTIFY UNDEB PENALTY OF PERJURY THA"( All INFORMATION HEREON INCLUDING THE OEOLAMTIONS ARE·TRUE AND CORRECT-AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED: TO COM PL y WITH All crrv, COUNTY AND ST ATE LA.WS GOVERNING BUILDING CON· STRltCTIQ~. WHETHER SPECtAEOHEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HA~LESS THE c,tv OF CAffLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, cos~ AND EXPENSES WHttH MAY IN ANY WAY ACCFIUE AGAINST SAID CITY 1N "coNSEdtJENCE o'F THE GRANTING OF THIS PERMIT. APPl.l ,"'=,'dry>f2ii,~ A~ DATE 15· lZ·83 .3! u: > ~ 0 a. E "' f- l u 0 CJ c rn 0 a. a. ct.: I ~ C 0:: 0 "' "' "' "' "' " I ;: g Qi >- oi "' "' 0 0 a: rn <ii 0 ~ "' 0 C rn C u. s C "' "' " 0 0 "' a. "' C ~ .c s: 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 I ,./ I. GAS . Jr'" BUILDING ,r ~ I SPECIAL CONDITIONS I , 7 CERT -OF OC.UPANCY ISSUED %'3-;:}-4 I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP ------STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE -POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ·- ---- - -·-- ·----- ·-- ~ -- ----