HomeMy WebLinkAbout2423 LA COSTA AVE; ; 83-215; Permit"' z 0 ~ "' j
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~ I hereby affirm that I am licensed under ~ ~lsions of Chapter 9 (commencing with ~ L Section 7000) of Olvlslon 3 of the Business ~ and Professions Code, and my llcens. o i~ ~ full force •!'l<tjV,~ ; /\ .,,.. --::> ~ Lie No 3 /---6-"6 ?f Class --\::7--_) j
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I hereby atfirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec. 7031 5
Business and Professions Code Any city or county which re-
quires a permit to construe\. aller :mprove, demoi1sh, or repa;r any structure prior to its issuance also reQu1res the ao-
plicant for sue~ permit to file a sisned statement that he Is I censed pJrsuant to the provisions 01 \he Contractor's ~,ce~se Law !Chaple'. 9 cornrnenc,ng with Section 7000 of
J1·,"s1on 3 o: :he Business and Profess,ons Code) or that Is ex-
empt :nere',o"° and the nasIs 1or the alleged exe!'1ptIon Any
v1olatIon Q\ Section 7031 5 ~y an aopl1cant 10, a oerm,t sub-
1ects the applrccnt to a c1vIJ penalty of not more than five hun-
dred dollars ($50!)'
~ I. as owner of lhe oroperty, or my employees with wages
as their sole comoensatoon, will do the worK, and the struc-
ture Is not intended or ottered for sale (Sec. 7044, Business
and ProtEss1ons Code· The Contractor's license Law doos
not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
ed or _offered for sale If, however, the building or ,rnprove-
ment Is sold w1th1n one year ol completion, the owner-builder
will have the burden of proving !hat he did not build or im-
prove !or !he purpose Of saleJ
L I, as owner of the property, am exclusively contracting with licensed contractors to canstruct the pro1ect {Sec 7044,
Business and Protess1ons Code. The Contractor's License
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts !or each proiects wrth a
contractor(sl license pursuant to the Contractor's License Law)
2 As a homflOwner I am improving my home. and the Jollow·
Ing condIl1ons exist
1 The work_ is being perlormed pnor to sale 2 I have lived In my home 1or twelve months prior !O complet_ion of this work
I have not claimed this exemption during the
last three years
r:: lamexemptunderSec ______ , B&P.C
for this reason ____________ _
t hereby athrm 1hat I ha•eacert,!icate ol consent
self-insure. or a cer1,f,cate of Workers
~~':'.".:,;,'~ .. ~\'.;;,~"~''" 'ed _:"~' ~"""'
POLICY NO /;, _;I,.!:;,
C0_1,4PANV ::::s·tc:::A.
?<_Copy ,s f,led wrth the city
0 Cert1t1ed copy •s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (Th,s section need not be comple1ed 1! the permit
,s !or one hundred dollars 1$100\ or less)
0 I cert,ty tha1 in the pertormance of the work for
which th,s perm11 ,s issued. I shall not employ any
person in any manner so as to t:,ecome subJect 10
tne Workers Compensation Laws of Ca1,fom,a
NOTICE TO APPLICANT 11, a!!er makin;i tl'lrs Cert,
1,ca!e of Exemption. you should become sub1ect 10
the Workers Compensa11on prov,s,ons o! 1ne Labor
Ccxle, you must !orthw11h comply w1\h such
prov,smns or this permit shall be deemed ,e,o~ed
D I hereby affirm that there ,s a cons1ruc1,o~
Iend,ng agency lo, the per1orrnance ol tne won. tor
which Th,s permit ,s ,ssued 1Sec )097, c,-,I COdel
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
I -2_
CARLSBAD BUILDING DEPARTMENT
1200 El_~, Carls~~~ California 92008-1~9 (619) 438•5525 APPLICATION & PERMIT
_,.08 ADDREs.s v:7/_ ,__,ol Ll
11~ ✓.~
OW~NAM/1 .>='74-J Lt, fVl
J..a-OWNER'itc-~.1/J/'7~ NE# ZONE 8;37 / < VALUATION PERMIT NUMBER
OWNER'S MAILING ADDRESS ' c~Z206ADOR~ ~ ~LIC~;.831
PLAN I.D. # BLOG USE CODE
LOT l BLOCK } sU001V1s10N I ASSESSOR PARCEL NO.
,;i. I_(., .;J. 40 s~ ). \
DESCRIPTION OF WOAK
OESIGNEA J LICENSE# STANOARO PLAN # BUILDING SQ. FOOTAGE
I ~ I DES<GNER'S ADDRESS DESIGNER'S PHONE i/2;. 31a~:-... ~-p F/P FLA ELEV.
vO , ... 0
GRADING ~EAMIT ISSUED
NO
STORIES
TYPE
CONST
OCC GP EDU
OCC LOAD FIRE SPR CENSUS TRACO I ce CANO usE I eARK>NG se,cE RCS UN,TS 1
YO ~ D 1 REDEVELOPMENT
AREA
vO NO vO NO Nor Valid Unless Machine Cerrified
QTY. PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
/.::, "'ti II QTY. MECHANICAL PERMIT· ISSUE
. OVER 100,000 BTU
,tHJ 3-SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220
-----
SIGN PERMIT 01 ·00·00·8232____i_ ---. ---
EACH WATER HEATER ANO:□R VENT
I----/ EACH GAS SYSTEM 1 TO 4 OUTLETS
t--, -·-'. ir "" rn,, """'""'" '"' ~ "" 1 -· ·. :. B0-1LER1cOM-PRE_s~-RUPrn 3 ~P -_--I I PLAN CHECK +--/4 . "1 s□-1LER1cO~sso~~5 HP ----TOTAL PLUMB_IN_G __ _
____ 01·00·0D-8806
01-00-00·'-82-22-I,-,/~ -
I--EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL _,__ __ 0!~_00-00-8,.2-c23'-+----------
I EACH INSTAI. .. ALTER, REPAIR WATER PIPE +--------------------____ .,__~NTFANSINGLEDUCT M EC HANO lc,CccAL~_ 01-00-00·8224
'-----EACH VACUUM BREAKER ._ MECH EXHAUST -HOQOiOUCTS ---+------i-
1-. =1--~-rtEL□cAlioN-_□F EA Fu_~ACE/HEATER
MOBILEHOM_E __ _ 01-00·00·8?25 __ --I-------
~~-~~ER SO F T,N ER
~ -~-RO?!JlR_~~~~
__ j -J .. F TOTAL PLUMBING L----~~ ... =
----·+----
---1-----'---ll-~M~O~B~I L~EHOME PARK INSP
SOLAR
TOT!'.l MECHANICAL
01-00~_Q0-822~+---
~TRQNG MOTION
FIRE SPRINKLERS 01-00·00·8227
PUBLIC FACILITIES FEE 32-00-00·8923
80-92-33-0519
------
NEW CONST EA AMP'SWT-BKR ------=-----COLLECTORS ----I i SCHOOL FEE-DISTRICT
BRIDGE FEE ---~n I "'""'" """" '""' }'"" ,-. oocs, '""'
~ 1 PH ---. ----3 PH -_:rnRAGE TANKS 1 Carlsbad 80·92·21·0519
80-92-22-0519
--------EXIST BLDG EA AMPiSWT/BKR I ROCK STORAGE Encinitas .. -----------~--·-------It· -1 PH 3 PH -----+--
REMOOEL.'ALTER PER CIRCUIT
-----------
PUMP ----~FN CHECK f=~_E -------t--------jlf----
--1-----11,
S_an Dieguito
San Marcos 80-92-24-0.~5_19'-.jf----
B0·9_t23·0519 +----~:::
---~ TEMP POLE 200 AMPS --.--· 1-----
OVER 200 AMPS >----+-
TEMP OCCUPANCY !30 DAYS) ~-
TOTAL ELECTRICAL
-
·1
_ _:__ ---ll---. !---
-~-------i --
___jj_ .__j__
-·-·--· ----ll----. .1----·
. • ••\' ,,, ;.,r-,·,,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATIQN.AND PERMIT" ANO DO !iEFlfFljY.
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND f FURTHi;:R CERTIFY ANO AGREE IF A PERMIT 1$
ISSUED: TO COMPl;Y WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPiClPIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OE CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY fN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PiRMIT.
·------
TOTAL SOLAR TOTAL FEES PAYABLE r /,') ?---( .
-vexpwati;.. Every per;n-~ by theSuildiflg Offk:i~l un~: tti8 p
0:0viSiorls of-this
Code Shatt expire by limitation bKome nutrartd void If the buifding or 'it1'111l
authorized b)'~hpermit is mmencedwithin 180dayS from thedateofsuch
penYllt.. or if building or: rk authorized by.such permit rs SU$pended or
~do#N,d • any~ aft work is commenced for a periOd of j80 ...... _
·,cg_-··.··
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'SSIGN~ 1f-,·OWNER □ CO~TRACTOR □ --X:/rr,,,.,-e,, BY PHONE 0
-
I . *,r<r~':"'~~~°'O¥£R
STfilUCTUREs OVER 3 STORtES IN HElGHT AJ:BY
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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 SHOWER 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 _L
ELECTRICAL I/ /I
MECHANICAL I ,,,_1_ /
GAS f{ //Y'l.. II ~
BUILDING I ' , ,-
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-.., . .... , -..,
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 WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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