HomeMy WebLinkAbout2421 LA COSTA AVE; ; 83-245; Permita:
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'ft. I here!ly affirm that I am licensed under
~lsions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
fun force ,nd eftec:/ / _.:::, /
L,c N"3't'F3t Class L.,,.::2,-b
I hereby affirm !hat I am Exempt tr□m the Contrac-
tor·s License Law tor the 1otlowIng ~eason (Sec 7D3-1.5
Br;sfne-ss ~nd Professivns Code.-A~.y city o.-count)' which re-quires a permit t::i cons:ruc:_ aiT,e: Imorove. dernol1-s.n. o,.
re□air ary st~;.icture. ::ir::Jr t:::i its iss:Jarce 2.!so ~ecuires the ap•
~licc1rit •or su,;h permit to :ile. .a Sii;;ned statement that he ·s
:i-:e,,::.e:::: ~u:suant tc the ;:w::vi::::;~s o! the Ccn~ra,:W(s L.'..ense Law /Chapter 9 cctnrne.'<cir.g with Sec!:-:,n 7000 :if
C1v1s::m J ::if tr-e Bi..siness and Pro~essions Cc-de: or trat 1s eK-
em:,! ther-efram .arid the a~s1s le~ the a!1eged ex€mpt1an_ An~
·.'ia ation O! S-ec~ion 703 · S oy ar a8oiican'. tor a ce·,....i! sub-
1ects t'"ie 3.pp,icam to a tivil p-enal~y of nc'l more tr.2n 1:,\/i:! h•.;n-'8 .... ed dc-':2.rs (S'JO')•
-_ I. as .ow"ler ol the property. er my emplo~·e,,~s wi:h wr.ges
as their s::ile cornpens.al.mn. will do the work a:id the struc-
tur-e is rot 1rite"id8'd or olterect for -sale (S~c. 7044. Business
a.nd Pro'essimis Code. The Car-tractor's l1CEms.e Law does not apply to an owner of proper~y who Duilds or irnp'Oves
I hereon a~d who does such work himself ar thrnugh h.is own employees. provided that such improvements are not ;n:tend-
ed or ollereo for _sale_ II. however. the Duilding. or improve-
m~nt ~s soi-ct wIthm one year of com{)letion._ the owner-bui!der
will have the burdsr. of proving th11t he did not build or im-
prove !or the pu<pose of sale}
~-: I, as owner of the property, am e11:clusivety contrac.tmg with licensed contractors to construct the projec! (Sec. 7044.
Busmess and Professions. Code: The-Contractor's License
Law does not apply to an owner 01 property who builds. or im-pro11es thereon. and who contracts for each orojects w:th a
conuactor(s} lic-ense pursuant to ttie Contractor's License
Law}
~ As a tlomeowner I am improving my home, and the 1oliow-
~ng cond1t1ans -exist: 1 The work is tie-mg performed prior to sale.
2. I have lived in my home for twel'lle months
prior to compl-etio11 of this work.
I have not cl.:i:imed ltiis e:irnmption durm.g ,M last three years.
C 1 am ex.empt under Sec ------· B & P.C. lof this reason ------------
~ I hereby afhrm that 1 ha·ll'e a certLf1ca1e of consent ~ seir-tnsure, or a cen1ti-cate of Workers
Compensation Insurance, ma cert,11ed cop-y the.-eof
:IC~O Lab.c;,5: 7 f).,q-i a
.CqMPANY :5"fri ~ I\ cf. l5 Copy !S !iled wiu, the City 'tJ Cer11fied copy 1S riereby furf'lished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sec11or1 -need not b€ compleled .l trie perm11
1s "of ,)ne hundred doUars (S HXJ) or less')
0 ! cert.ty ttlat 1n IMe per1ormar,c,e ;J! lhe \lrOrl<. tor
'IJ!lhiCh ttHS pem'11! IS 15-SU€'d_ I shall not employ an~
person m any marine, i;o as le become suo1ect 11:,
the Workers· Comper,s.at1on Laws. ol CaI1tornra
NOTICE TO APPLICANT ll, aHer ma,1,.,m;i n--,15 Cer11
fie.ate of Exemption_ you should become sutiject ~,:,
lrlE' Wo11-.ers· Compensation pro~1s1ans ol lhe Lab(ir
Code. you mus! Torthw1!h comply w1t!l s-uch
pro~1s1ons or tt11s perm1~ 5.riau b€ oeerned re,,,o~ed
0 I heret:iy a!t,fm thal 1nere 1s a ,::ons.1rur11or-
1e11d1ng agenc:; for !he perlorman~e oi ~r,,e wono. 1~r
wn-cch this perm1! 1s 1S~ue(I 15-ec .1097, Civil Code1
lenders Name ___________ _
Lende(s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
LOT BLOCK SUBOIVISION ASSE~SOR PARCEL NO. _
a()',.:, ol..'-'O ss
DESCRIPTION OF WORK
DESIGNER'S ADDRESS 1---------------------------------------'II ----8'12 __ llil~
CENSUS TRACT GP LANO USE PARK.ING SPACE.
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP I---+-------------··
EACH BUILDING SEWER
EACH WATER HEATER ANO-'OR VENT
F/P FLA ELEV.
RES UNITS GRADING ~ERMIT ISSUEO REDEVELOPMENT
AREA
t-t
£!-QTY.
vO "'□
MECHANICAL PERMIT -ISSUE
INSTALL FURN. OUCTS UP TD 100.000 BTU
OVER 100,000 BTU -----
BOILER/COMPRESSOR UP TO 3 HP
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANU U~CLAKA 11ur1~.
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
VALUATION PERMIT NUMBER
PLAN I.D-# BLDG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
DESIGNER'S PHONE
OCC GP EDU
~ ,: .. ., ~
OCC LOAD FIRE SPR
Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
----
PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OU1 LETS
J .. --~
i.,__ -:z_....__. -BO I l EA IC OM~R ESSO R 3-15 HP_ __ --~-+------.....--TO_T_A_L PL_U M_B_ING --. ___ 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224 -----------
MOBILEHOME 01-00-00-8225
::~HHl::T;u~~:-~TRE:~:~:AIR WATER PIPE _J---iM:-:-:--F-E:-:-!'u-Nsf E--~--~--~-~;U-CT_··~~---_·· -
WATER SOFTNER--------t ---RELOCATION Of EA FU-RNACE/HEATER-EA-CH-RD□-F-0-RAIN 1 ''JSIDF i" ---_ ___ ----~Fi----_--.,,.)---_-----T-□T M-L-,,:~ c-H_A-=N=-i-c-:-L=-:_-_ -_--_-_-_ ---~------~+-------~~~~~ _ __,,__ __
TOTAL PLUMBINGC~ ____1 ~-/o _ _:_ _ __ --t
MOBILEHOME PARK INSP -------
SOLAR ----01-00:00,822~ ------
STRONG MOTION 80·92-33-0519
FIRE SPRINKLERS 01-00 00-8227
1---f---ELE~TRICAL PERMIT -ISSLJ__~-_l __ ..:5-tnl_~ ____ f_QTY.
--==~~~--~=~~~,======➔-
SOLAR -ISSUE
NEW CONST EA AMP.SW! BKR COLLECTORS ---· ··-----____ ., ~-+--------------
1 PH J PH
EXIST BLDG EA AMPiSWTBKR
1 PH J PH
RE MOOE LAL HR PER CIRCUIT
TEMPPDLE 200AMPS 1 OVER 200A MPS -+-
I TEMP OCCUPANCY 130 DAYSI ---,-
_ __L
TOTAL ELECTRICAL
-, i
-t~--:~~:-~:o:~~~ -~-i-:~:: CHECK-cE~E=-. ___ _
~-----+----
TOTAL SOLAR
--------+---------<~
-----+----
-----
PUBLIC FACI llTIES FEE 32-00-00-8923 ----
BRIDGE FEE
SCHOOL FEE -DISTRICT ---------
Carlsbad 80-92-21 0519 --
Encinitas 80-92-22-0519
San _ _Q~e9uit~ _ 80-92-23-0519
San Marcos 80-92-24-0519
----
TOTAL FEES PAYABLE
* Ml O$liA PEff,IIIT 1$ ~-fOl'I .. EXCAVATIONS i;>VER · -s· o· o&P 4ND DOIOUTION OR COHSfRl.ciloN OF
S'mUClURES OVER 3 STORIES IN HEIGHT
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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 HAVE BEEN APPROVED.
JOB SITE FINAL I
PLUMBING
ELECTRICAL
MECHANICAL I
GAS Tj,/ / I
BUILDING "/ -i I ; , _.-/
SPECIAL CONDITIONS (I 1/f~ , /''
CERT .QF OC~PANCY ISSUED r
g3~~s
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2D00 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
.. ~ -··
PILES CAISSONS
~ ~ . "' .. ·-
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