HomeMy WebLinkAbout2423 LA COSTA AVE; B; 87-125; Permit"' ;ii: 0 ;;::
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D I hll!'eby amrm that I am licensed under
provision• of C1',apter 9 !commencing with
S..Ctlon 7000) of Division 3 of the Buslneu
•nd Prof■aalons Code, and my license is in
lull torce and effect.
I h~reby aflrfm that I am exempl from lhe Contrac· tor's Lice.nse Law !Of tne IOIIDwing reason \Sec. ?031.5
Bu~mess aria P-rote~smns Code· Any city or county whict, re-f
qrnres a permit to construct aller. improve, demolish. o,
repair an~ Slruclure, prn:ir to its fssuance also requires !Jle J.p-pI1can! lor such permit 10 Hie a s,gned statemenl !flat he Is
I1censed pursuant to me provis10r1s Of the Conlfa.;Wr' s 1 Ll_cense Law (Cllapler 9 commencing wrth Sechon 7000 □1
D1111'.S1on 3 of ltie Business and Professmns COde) or tha1 js ex empt lherefrom and ,n~ oasis for the alltgeu eJ"ernptIon Any
v101a1ion o! Section 7031.5 by an apphcant lor a permit :s.ub-j€Cts tile appl1can! to a tIvI! penalty ot not mme than fjve hu n-
d.ed dollars ($5001
----~' .!as own~r ol the property, or my employees w1fh wages ffi €Jh·e~r sole c:ompen.sat1on. w1H {.Jo the wGrk, and the s1,uc-
O lurn 1s not ici.tended or offered for ~le (Sec 7044, Business
..J and Prolessmns Code-Ttie Contrat!Or's Licer1se law does I 3 not apply tG an owner 01 property whO builds o< improves
• thereon and wtio does -sur;:h work h1ms.er1 or throu~h t11s owr& ~ emp~oyees. pro-v(ded rhat such Improvemen1s are not mtencl-
w.i e<I or ollefed for sale. IL however, the bwlding or ImprDY.:!-
Z merit ,s sold w1HlIn o.ne ye.Jr o-l co-mpletiOn, tl1e owne<-builder 3 will have ttie burden Gl proving thal he did not bwfd or Im• 0 prove for the purpose ol s.:ile)
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J I,_ as owner of !Oe prnper1y. am e::.:clus,ve!y contraclmg-
wIth licensed contraclors to corislrucl the pn'.lJ~l \Sec 7044 1
Business and Professions Code-The Contrac1or's ucen~
L~w does not apply to an awrier Df property who bwlds or ·•m-
pmves tllereon. and wtio contracts. for each pro1ec1s wrrti a
con1r~ctor{s.) i1cense pLJrsu.anl ID the Cm1\ractof's license L.aw)
U As a ~omeowner 1 am ~mprnving my nnme. an-d lhe follow
I11g cond111ons e~1s.t
1 The wor~ 1s bemg per!ormed prior to ~le
2 ! h.ave lived m my tmme tor twelve mon1hs
prior to co-mpjeti-a-n al Thrs wor~ I have rnJl da1med H11s. e,:emption durrn~ the 1 lasl three years
□ I am ex~mpt undef Sec _______ , B & P C
lor this reason -------------
I
CJ I hereOy ~fhrm ttiat I ha\'e a ce1\1!icate of consent to I
self-inst.me,, or a ceftificate of Workers· Compensation In• I
su~ance. or a certiried copy thereof {Sec. 3800. Labor Code► I
POLICY NO. I
COMFJANY
C Copy is filed \i\lith the city
C Certified co.p~ is hereby furnished
CERTIFICATE OF EXEMPTlON FROM
WORKERS" COMPENSATION INSURANCE
(This sechon need not ~e completed if the pe,mtt
is for one hunclred dollars {$100) or less) = t cert1ty that in the performance or the wofk for which
this permi( i:$ is.si.ted. I shall not employ any person many
manner so as to become subject to the Workers· Com.pen,
sahon Laws of California.
NOTICE TO AP~UCANT: If. attef making this Certificate
of E.-:emption. you should become sub-ject to1he Workers·
Compensation provisforis of the Labor Code. vou must
torthwith comply with such provislonsor this permit shall
be deemed revoked,
D I hereby affirm that there is a. constn.1ct"1on 1end·1ng
agency for tMe performance of the work for which (his pet-
mit 1s issued tSec. 3097. Civtl Co-de•
Lender s Name__ _ __
leilder"S A(ldre:ss_
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITI-IIN SHADED AREA AND DECLARATIONS. ~---'---.;;..;.,~--'---"""""'"--------------------------------------------------::., CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
BUSINESS L.ICENSE # VALUATION PERMIT NUMBE flt
,--CON-.-TA_A_CT_OR_S_PHON __ t""'·-.,--z-o_N_E ________ ~ 1. ") ~ /,7'
OESIG/,IEA'S PHONi:'
STATE LICENSE NO.
' . \ v
1,~ ; . ·.
I j PARKING SPACE I RES UNITS I ;.
GRADING PERMIT ISSUED
,o N 0 1
REDEVELOPMENT AREA
,□ -,□
TYPE
CONST
OCCLOAD FIRESPR
10.0 ~
QTY PLUMBING PERMIT ISSUE ! c-C --;:,,:.---1 QTY. MECHANICAL PERMIT -ISSUE SUMMARY~CCOUNTNUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 810·00·00-8220
EACH BUIL~ING SEWER I OVER 100,000 BTU SIGN PERMIT 001 810 00-00-8221
-------·-------------~-----<-·---------,<----
EACH WATER HEATER ANfJ.QR VENT .,A,' BOILER,COMPRESSOR UPTO 3 HP
/ EACH GAS SYSTEM I TO 4 OUT LETS -:::i,,_/: ___ '~--801LER!COMPRESSOR 3 15 HP
EACH GAS SYSTEM 5 DR MORE METAL FIREPLACE >----t-------------------·-.,..-------11-----+--------------
PLAN CHECK
TOTAL PLUMBlflG
----------4<-----
ELECTRICAL
OD 1-810-00-00-88 21
-----i-------c_,.----
001 810 00 00·8222 _ /f2_ -
00 I 810 00-00 8223 __ _:__ __ JI.'.,.,_ ____________ _ • . -<:-\ t_M_E_CH_A_N_IC __ A_L__ _ __ 00_1_8 IO 00·00 8224
t-----t-_E_A_C_H~_V-::-A_C_U_U_M_-B __ R_E_-A_-K_E_R_-===-=--------_-___ •-_t+-__ -_-_-__ ,t---------,_M_E_C_H=E=X=H=A_U_S_T __ H_O_O_O_~_D_U_C_T_S_-_-_--------+-,,..,--~~-.-\;-;,,--<.-~_~_-'--tt---~-!O __ BILEHOM E
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
WATER SOF fNER RELOCATION OF EA FURNACE:HEATER ..r I"\\,)":">~ SOLAR
00 I 81 ri 00-00 8225
001 810-00-00-8226 ----------=-"'l.-+c-,,C"'------
t------t-F_A_r:_H_R_.C_1C_!F_1_:1P_.~_l_\_:_·,_;'._,_ri_L_1 -----------+---------11--~~D_R_Y_ER~V~E"'N""T~==~-::='7c-------11,....r-1-' \~i,;.L'_,_·----~~-----11------s_T__RO ~ UT I ON
..,--TOT;; L ME CHAN I CAL __. =!lFialf,IW;!r~-'-::--rJ~i<Uili' >,t--C>isc_• ____ 0_0_1-_8_10_-o_o_-o_o_-8_22_7--+----------l
-----+--------------!
880 519 92-33 ------------
TOIAL PLUMBING---·----r---:727·: --1 _ _ -~ ~\s>~IW:(:'~JtiLITIES FEE 320-810-00-00-8740
QTY.
!-l_. ,,_. <-'~!ffliDGE FEE 360-810-00-00-8740
ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP C_-_.-c-'·\'.-• ••·•': . -PARK-IN-LIEU (AREA ) t---+--N_E_W_C_D_N_S_T_E_A_A_M_P __ S_W_T_H_K_R _______ -+-------J+---+-C-A_R_P_O_RT---------------llf":~'-'-.-• .,__""·· ...a+ .. -.,-'-----ff.--f-lF~-~:..c.:_=._. __ -, 3-4--8-1-□---□-□--□-□--8-83-5--1-----------1
t----t-----------------------+----------lf----+-----------------------+---'------11-------·-----------------+-------··
AWNING .,._,::, •., ., LA COSTA TIF 133-810-00-00-8835 1 PH 3 PH
Ex1sr BLDG EA AMP:SWT:81(R
1 PH 3 PH
REMODEL AL HR Pm CIRCUIT
TEMP POLE 100 AMPS
;;•,;,..,
GARAGE FMF
--11---------------1---·---·------l
LICENSE TAX 001-810·00-00-8162 --------------+-----------··· -
MFF 880-519-92-57 ---+-------....... ----+----------.. ---------------t--~------... ---------------------+-------------1
>----+----------------------+--------;+-----+---------------·--·------------n-----------------------+------------1
OVE A 200 AMPS
TEMP OCCUPANCY 130 DAYSI -11-----------------------1---------
CREDIT DEPOSIT
TOTAL ELECTRICAL !
I
TOTAi TOTAL FEES PAYABLE I
·1 ~AVE CAREFULLY EXAMINE!) THE CO;PLETED _;APPLICATION ANO PERMIT"' ANO 00 HEREBY Expiri,t;or,. E"9ry l>i>rmil iSsuedbyttieBuMingOlticial unde,tt>t,prov1$ionsoflhis * ANO$HA PERMIT IS REWftED FORi0CAVATION$ OVER
CERTIFY UNDER PENAL TY .. OF .. PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pira t,y f\milatoornnd become null aod void II lne b!i<l<l•ng °' work 5-O"'tlEEP it.ND DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 aulhorizet1 by such pe,m,! IS not commenced wi!htn !80 days from the date .:.>f such · lUAE fOAl&S: ···. ~
ISSUED: TO COMPLY WiTH ALL .CITY COUNTY AND ST A TE LAWS GOVERNING BUILDING CON =~'::::Ono~ 1~1 ~~=•:11.~~h~~r:':!";;>~:'.:t..J%~ :-.;.-::~•~,s~~'!':" or . STRUC · ,.. . S OVER l S"J / : i~ IGHT
STRUCTION, WHETHER SPECIFIED: HERE:'IN OR NOT .. I ALSO AGREE TO SAVE !NOEMNlFY AND.'--====.=="'. -==..;:;,..;;...a=.==::....:c==="'--'=:..lf=~"'-'""'-='""----t,,-----------.... -------,-/2--,.-....
. KEEP HARMLESS THE.Cl'TY OF CA.RLS.BA_D AGAINST ALL LIABII.ITIES. JUDGMENTS, COSTS AND APPLICANT'S SIG~ATURE • · . .. . . QW:~EA ... CONIBACTOR O APP'10VED BY c;f/.· .. · l'□.J1.~IE/ ' .. /--__ / ._r7
EXPENSES WHICH MAY JIii AMY'WA.Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ·· .. /. ~~ / , · . . _ /--~
G. RANTING OF TtllS PERMIL . _. "-~~ -:, ~ ·-~ BY PHONE 0 ./--. . . , /
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING
FRAME
□ ROOF
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
□ SHEAR
DATE INSPECTOR ----------------•----·-·-----·--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS "-------~---__ -__ ----~-=~--~--....--~
E:CTION REQ IF \ INSPfCTOR S
CHECKED! APPROVAL DATE
---------·"-+=~--~···~-.-r-~~=. ====1=====1
I SO!LS C~_:~ .. t-·! ,,~.~~·.cf.
[ PRIC_H1 Tn
r0~~-1\_:,_0_N l~~sc· ----' _ ---j_ _____ . ---\--------"
s rrn)CT1n.,,~ :::_·•rK.Flf 1 E I
INSPECTOR'S NOTES 1===-·~--=· ===========''==-~"'======-c===========.....;
>------------------------=-------
1-----------------------------==--
OVER ~'C!CU •}~-:;1 _____ I
f'f1fSTl1E;';~,E'..:: -L' ----j ~-----I
CONC:~~TE l
: F'CST T;:f',C ·JN[~----t----~---------------------------,
I Cur,~:9ic:~ --+------~--------' II,
! rlt-1_:_, Vv,_LD:i\J'.,
r-~,,;H SlREr-..:C;rr --,1··· t' -----~---·1 11 I i HOI. TS ~
T_U_B_A_N_D_SH_O_W_ER_PA_N ________ I------+----·----II ,,; ~~,,-~/,\CO,ir,,-Y ---'-------+•---I j! :---·--------------
GAS TEST LEs-·1" r ~ I i._,,.,,..., ._),_JI_,,, I I
~--:-L-:-:-~-:-:-E-:E-:L-~-:C-RT-G:-~-;-;-;-:-R-W-~-Au-T F-E:-E--R--+-----+------'i ~ =----·=-·=--·_·_·---~---~~r-; ___ .-_-_r=-=· -=--=--~ F I ~-------_·-_----------------~---------1
UNDERGROUND □ WASTE WATER
TOP OUT □ WASTE □ WATER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMP,ORARY
□ BONDING □ POOL i
I
I
MECHANICAL I
D DUCT & PLEM., □ REF. PIRING
HEAT -AIR COND. SYSTEMS ;
VENTILATING SYSTEMS
~-~~ -~---=~ ~~-r=-1 r -_-· -----~~~=----=--oo~'.50____,0,_3~\.~'o~').~'t, .... ,J~c-.:,-B....,TQ ..... ~,-:.•+.,._. -~.-·~·~Ot""")--i
~~--~-~-"-··· --1 ~·--~~-~~
1--------------+--------+---____, ----------=---------------~----;
CALL FOR FINAL INSPECJION WHEN ALL APPROPRIATE
ITEMS ABOVE HA.VE BEEN APPROVED.
1----------1-----+----+-----.l i----~---~~~
I
~--------+---------<,=----+-----I r----------------------------1 FINAL ,
PLUMBING I
ELECTRICAL I
I
MECHANICAL I
-~~-I I
/) i .. i,,e,... i--------------------------1
-i J _ L,,i 1-r L.J" ,_.1.,,-----------+----+------1--------1 i---------------------------
GAS I
BUILDING I
I
.,. ',/1,J/I' I I $~""1---------~---+-------l------l --------------.---""'l'Jv~__,._~--1+-,----"--~
SPECIAL CONDITIONS I
I '-.----=====---~-------------_..!