HomeMy WebLinkAbout2421 LA COSTA AVE; A; 83-242; Permit"' z C : j
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'W, here' affirm that I am licensed under
~Ions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull for~ ar,d ,i}ect., C -:-::,, /~
L,c No .,;~ .. (t'6-~J Clas, .. -:-" Vp
I hereby a1f1rm that I am exempt from the Contrac·
tor's License Law for the fol'ow1ng reason (Sec 7031 5
8Js1ness a~d 0:oless.ors CoCe A.ny '.:-\1· Jr s%nty which re-
qu,rns a perm•I to onstruct. alter. 1cn:nve. demolish. or
reoa1c any st,ucture, prior to ts .ssua%e also requ1·es the ap 0I,cant for such perm,t to fi,e a sI~nec statement that he Is
•censed pursuant lo th~ µruvis,ons ol the ::::vntractur's License Law ,Chanter 9 commencI,",g with Secl,on 7000 oi
DP, s,cn 3 c-t toe Business ard 0rofess1ons Code, c' •iat Is ex
e~pt :hwefrom ard the basis !Gr tee alleged exemption An~
v1olatI00 ol Sect·o~ 7031 S by a~ aophcar1 le' a oe 0cnIr sub Iec'.:; t~e apoIIcant to a c,vII peraI1y 8f no1 more t~,an t,ve hln·
dred C8I',ars 15:,00,
I. as owner of the property. or my em~loyees with wages
as their sole con'pensat1on. w1LI do the wo'k a1d the struc-
ture Is not intended o~ Offered fo• sale (Sec 7044. Business
and Professions Code· The Contractor's License Law does
~ot apply ta dn owner of property who builds or improves
thereon and who does such work h,mselt or through his own
employees. provided that such improvements are not intend·
ed or oflered for sale If. however. the building or ImP'ove-ment Is sold w,tmn one year of completIon, the owner·bu1lder
wIII have 1\le burden ol proving that he did not build or Im-
orove for the ourpose ot saleJ
_ I as owner o1 the property. am exclusively contracting
with licensed contractors to construct the pr□Iect (Sec 7044,
Busmess and Professions Code The Contractor's License Law does not apply to an owner ot property who builds or im-proves thereon. and who contracts for each proIects wI1h a
~~ractor(sl license pursuant to the Contractor's License
_ As a homeowner I am 1mprovIng my home, and the lollow-
Ing cond1t1ons exist
1 The work_ rs being performed pnor to sale
2 I have lived m my home 1or twelve mon1hs
prror to completion of th_,s work 3 I have not claimed this exemption during the
last three years
'.J lamexemptundersec ______ ,B&P.C
for this reason ____________ _
·:thereby affirm !ha1 I have a cer11t,co1te of consen1_ sel!-msure or a cert1f1ca1e ot Workers
Co pensat,on Insurance. or a cert1f1ed copy 111ereo! :,c".':o "p.35"7,0't -}C::;
\:,'PAN< .sit:,\_ e:h..t(\_cl
~ Copy ,s !1led with the city
0 Cert,t1ed copy ,s hereby turn,shed
CERTIFICATE_ OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(ThLs section need not be comp1eted ,1 ttie perm,i
,s lor one hundred dollars iS100I or less)
D I cert,ly !hat ,n the performance of the work tor
wh,ch th,s perm,! 1s ,ssued. I shall not employ any
person ,n o1ny manner so as to become subIect 10
the Workers Compensation Laws of Co111!ornoa
NOTICE TO APPLICANT 11, atter makin;i !!1IS Cert,
!1co1te ot E~empt,on, you should become subIect 1'J
the Worl<.ers· Compensation prov,s,ons of t!1e Labor
Code, you mus! torthw,!h comply with such
prov,s,ons or 1h1s perm,! shall be deemed revoked
0 I hereby affirm ttial There ,s a construc1,on Iend,ng agency to, !he performance ol the won. for
wh1ct1 tt1,s permLt LS ,ssued tSec 3097, Ci.•I Code1
Lenders Name ___________ _
Lenders Add•ess __________ _
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
IM-c,11 ,J-~-~k 7T -/'{II'--
OWNER'S NAME l t €-S___e< T OWNER'S PHONE
BUSINESS l.lCENSE # VALUATION PERMIT NUMBER
ZONE z4z_
OWNER'S MAILING ADDRESS 13/~ZRSo;; ~ AJ;£ si~3/ PLAN I.□. # BLDG USE CODE
LOT BLOCK I SUBDIVISION J Ass_ss,~:r b9€ ~5 DESIGNER cJ LICENSE# STAN DARO PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS 1--------------------------------1
~-~----8-Cl.5_ JJ.i~--
c"sus TRACT r-, LAND use l 'ARK'NG seAce
OTY.I PLUMBING PERMIT -ISSUE
ASS UN,TS 1 GRADING ~ERMIT ISSUED
YO N 0 --v
F/P FLA ELEV
YO r-.0
rAEOEVELOPMENT
AREA
YO r-.0
·7 :?.--I! QTY. MECHANICAL PERMIT -ISSUE
7 _____JL__ -~ST_ALL FURN. DUCTS iJP _TO 100,000 BTU EACH FIXTURE TRAP
EACH BUILDING SEWER '-----------
OVER 100,000 BTU
L BOlLE_~iCOMPRES_SOR UP TO 3 HP
~ -----------•t--+-E-ACH WATER HEATER. ·~~□,o~_y~NT---i. -__ --~-~~
__ __J_B~l~_ER/COM~~~SSOR 3-15 H_P __ _ +. EACH GAS SYSTEM l_TO ~__9~~ETS _____ ~ _z_ ~--
~EAC_~_G_~~YST_F~~ OR MORE ---+-METAL FIREPLACE
NO
STORIES
TYPE
CONST
OESIGNE A'S PHONE
DCC GP EDU
OCC LOAD FIRESPR
YO NO
.;: I ; t •_ • "' 7 L ,-'"" .... •• ..
Not Valid Unless ~chine Certified
3~ SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
-----SIGN PERMIT 1-----
PLAN CHECK __ ._ ----,1--,-□TAL-Pl_U_M_B_IN_G_
'-
01-00-00-8220
01-00-00-8221 ---=--+-
01-00-00-8806
-. --
--
~-
-----
--
I EA.>,s,-."ms "'" S MHS '"' ~ t [ ornrns S,Se<rnoon
ELECTRICAL
MECHANICAL
01-00-00-82tt2~/
01-00-00-8223
____ 01_-o_q-oo~-s~2~2•__, _______ __,
EACH VACUUM BREAKER MECH EXHAUST HOQ □:ouCTS MOBILEHOME o1-oo-oq-a225--+-----1-~0-ER -~-o-~~E-~ _ =--~------RELOCAT1DNOF}_A ~RNACE~HE_A_T_E_"----+-------ll--MOBILEHOME PARK INSP __ --------+--~ EACt-1 ROOF DRAl'li !''\:SIDEI -r---------~J== TO-Tt..L MECHANICAL I ~RONG MOTION
===r= TOTALPLUMBl_~-G J ~LO~-~-.....---------~ WRESPRINKLERS
SOLAR
QTY_ ELECTRICAL PERMIT -ISSUE
---------< _->_~_---J~T~--SOLAR -ISSUE
NEW CONST EA AMP SWT·BKR H 1 PH -----3 PH --
-----------------
EXIST BLOG EA AMP·SWT.:BKR
---+--
' ~: 1 PH 3 PH
-----------,
--+---
REMOOEL'ALTER PER CIRCUIT L l TEMPPOLE -,ooAMPS -----
' □VER 200 AMPS
TTEMP OCCUPANCY 13-□ DAYS)---t----------
COLLECTlJRS
__ __cT~~A~T AN KS --if---4--ROCK STORAGE
PUMP
I -----41----PLAN CHECK r'EE ~ ----
-~---
------ll--------+-
___ _jj__
L---.f_UBUC FACILITIES FEE
BRIDGE FEE -JI-
SCHOOL FEE -DISTRICT -r------.--
--l------'----ll--
Carlsbad
Encinitas
San Oieguit_o_
San Marcos
01-00-00-822..Q_
80-92-33-0519
01-00-00-8227
32-00-00-8923
-----~
80-92-21-0519
-----==:~-_80-92-22-0519--r_----
80-92-23-0519
80-92-24-0519 +--
1---
---
-
-
---
--
-
-
---
---
TOTAL ELEC"IRICAL
_L__ --
TOTAL SOLAR TOTAL FEES PAYABLE
1 r I ---l---_-~ I / 0 ':--
----..--
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY E:iy,iration. E~P'-f"}"l~tu+,ect_by,t\e~· .
CEFfTIFY UNDER Pi.NALTY OF PERJURY 'TtlAT ALL INfOAMATION HEREON _INCLUDING THE CodeShaUexptrebyhm~lionandbecome
oect:ARATIONS ARE TRUE ANO CORRECT AND l FURTHER CERTIFY ANO AGREE -fF A PERMIT IS =a::ze:,. t~c~t or not~
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GO~ffNtffl'!-BUILOING CON-abandotted at an time er the work
STRUCTtQN,WHETHERSPE. Cl_f;lEf,}!-iEREtNORNOT. IALSO,AG.REE. TO.SA. VE.INDEMN.!FYAND//4·'CA , G URE 1f. DATE KEEP HARMLESS THE Crnt OF GARlSBAD' AGAINST ALL UABl4TfE$, JUDGMENTS,.,COSTS ANO
EXPENSES WHICH MAY IN-ANY WAY ACCRIJE AGAINST SAID CITY IN CON~QUE~E CW-1'HE .• : --, ,,,,,.<.,::j7:~,.;,-~ 5 , , ~,Z
GRANTING OF THIS PERMIT. -, ~-WV\-WJ.J I -• -w ~
'77
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INSPECTION TYPE C 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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS I,
BUILDING ., ?, 111'
SPECIAL CONDITIONS ll 0 ,
CERT-OF OClllJPANCY ISSUED
83.·;;)4~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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