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2425 LA COSTA AVE; E; 83-216; Permit
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"' "' i ![ ,J, he:.Wy a~lrm "'that I am llcensed under ~~i:slons of Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ~<J,effect. c . 36 l,c No 3I D <33-/ Class . _ I hereby affirm that I am exempt from the Contrac- !or' s License Law for the tollowIng reason {Sec 7031 5 Business and Professions Code Any c,ty or counly which re- quires a permI! to construct. alter. ,mprove. demolish, or repair any structure. onor to its issuance also reau1res the ap· p:,canl fa, such permI1 to file a s,gneO statement that he Is I,~ensed pursuant 10 the provis·ons of the Contractor's License Law I Chapter 9 commenc,ng w1!h Section 7000 of :Ji.·1s,or 3 oi :ne Business and P:ofess,ons Coce.1 or that Is ex- em~t theretrorr, and the basis lor the alleged exemolion_ Any s·IaIa•1on of Sectior 703! 5 by an app'1cart lor a permit sub- 1ects 'he applicant to a c1v1I penalty of not more than five hun· dred dollars ($500' '.._ I. as owner of the property. or my emoloyees with wages as lhe1r sole cornpensat,on. will do the wor~. and the struc- ture Is not intended or ottered for sale (Sec. 7044, Business and Professions Code The ContracTOr's License Law does not apply to an owner 01 property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not rntend- ed or _offered for sale If. however, the building or improve· ment Is sold w1th1n one year of complet,on, the owner-builder will have the burden of proving that he did not build or im- prove for the purpose Of sale) L_ I. as owner ot the property, am e~cIusIvely contracting with_ licensed contractors to construct the projec1 {Sec _7044, Business and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or im· proves 1hereon, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's License Law) C As a homeowner I am 1mprovIng my home. and the 1ollow- Ing conct,t,ons e~•st J ?~a~t~i~!l811 ~9 ~;r1~~:~d f;;ort!0e1~!18n1onths pnor to complet1on ot this work I have not claimed this exemption during the last three years I, larnexemptunderSec ______ ,B&P.C for this reason ____________ _ ')I , hereby affirm that I ha,e a cert,!1ca1e of consent ro,.. self-insure. or a certi11cate of Workers ~~':".;'0:,~.:,c'.'"'"~\' "i' ""''-~'''":'.ij'"''~' POLICY NO -/:2 _.. . cqMPANY _ A_ t\ ~ Copy ,s filed with !he Ctty D Cert,t1ed copy •s hereby furn•shed CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sect.on need not be comple1ed 11 the perm,t Is tor one hundred dollars 1$100) o, less) 0 I certify tha1 ,n the performance of the wo11< 10, wh•Ch this perrn,1 Is issued, I shall not employ any person ,n any manner so as to become sub1ec1 to the Worlle•s· Compensat,on Laws ot Cal1forn1a NOTICE TO APPLICANT 11. af!er makm~ this Cert, 1,cale ot Exemption you should become sutJ1ect 10 the Worllers· Compensa1,on prosIs,ons o! the Labor Code you musl !orthw,th comply with sucri pros,sIons or this permrt shall be deemed revoked 0 I he,eby aH1rm that there ,s a construct,on Iend1ng agency lor the pertormance of the worl< for which this perm,1 ,s ,ssued (Sel XF.J? Ci.ii Code1 Lenders Name ___________ _ Lenoe,·s Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525 APPLICATION & PERMIT JOBAOORE~~ ~ let CD~ .f\ . Ip,, 8UStNESSl.lCENS£ # VALUATION PERMIT NUMBER -;ft~g OWN~-~E ) ~ • r OWNER'S PHONE -.,.. I fore./ 1...,...-t· OWNER'S MAI LI NG ADDRESS r JftfJ;JrJ ~ u rAh1' --ZONE &-3) , ~ 1~;czA'Sn, /ti,, PLANI.O.# BLDG USE CODE A;; -~8'8'31 , - Lf'T T BLOCK SUBDIVISION T ASSESSOJlPARCEL NO. _ t!,., DESIGNER u LICENSE# STANOARD PLAN# BUILDING SQ. FOOTAGE ~ol 11;:, ol-4Q 5~ DESCRlPT1ON OF WORK DESIGNER'S PHONE ~l·GSi. ;:'(#-..-· --I <1-\4,) ~a_, ,L,, r•s•GNER'S AOORESS '~.---------------I F/P FLAELEvf [ NO loccGP f EDU ' CENSUS TRAC, I Ge LANO usE I eARKONG seACE QTYT PLUMBING PERMIT. ISSUE RES uN,TS I GRADING ~EAMIT ISSUED ~ D N □ vO r-.0 REDEVELOPMENT AREA .-□ "'□ '?~ II QTY. MECHANICAL PERMIT· ISSUE EACH FIXTURE TRAP _j___ I __ . --+--INSTALL FURN DUCTS UP TO 100,000 BTU ---··· EACH BUILDING SEWER OVER 100.000 BTU STORIES TYPE CONST <'~ OCC LOAD I Fl RE SPA v□ NO Not Valid Unless Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERMIT 01-00-00-8221 I--1 EACH _WATER H_EATER AN □_.:□ R v_~NT l so1LER1COMPREss□-R ~PTO~-~~ -"----~ ---PLAN CHECK _ ___ m-oo-oo·8806 ___ __ ~cH GA~sYsTEM 1 TO 4 a unETS_ __ 1-..,c-'-~::J----------+---~-~-TOTAL PLUMBING 01-00-00-8222 /o .,_. ----·------ EACH GAS SYSTEM 5 OR MORE , _ _j__ ELECTRICAL 01-00-00-8223 bEAcHINSTAL-~-ALTER. REPAiR_WATER PIPE --+-~--vEITTFAN SINGLE DUCT -·---------!------~ MECHANICAL 01-oo-oo-a_2_24_t-- EACH VACUUM -~~EAKER -----+--MECH EXHAUS_T __ H_O_o_o_:_o_u_C_T_s_ -----1-~ --·-·-, __ M_OBILEH_O_M_E_ ----01·_00_·_00_·_8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I ~ MOBIL_EHOME PARK~_ EACH ROOF ORA1-N (!r-.JSIDE) +----SOLAR _--r__ _ ----~ TOTt;,L MECHANICAL sTRQNG M□T10N =- -TOTAL PLUMBING I FIRE SPRINKLERS ------ QTY. ELECTRICAL PERMIT. ISSUE . -,_ QTY. SOLAR· ISSUE ___ ,_ ____ _,,_ BRIOGE FEE --. 1-~ "'""" s,cms ITT ~1---.1-N-EW_C_O_N_ST-EAA~p:swT iK_R --=---______ -_ COLLECTORS -·----1-------11-SCHOOL F~E -DISTRICT _I _PH _________ 3_PH ____ --_ --• _ST_O_RA~~ TANKS ----. -----t------11--Carlsbad EXIST BLDG EA AMPlSWT/BKR I J ROCK STORAGE I PH REMOOEL'ALTER ·----------~ _ +--__ · _ __(_ PUMP----- PLAN CHECK FEE 3 PH PER CIRCUIT Encinitas ~~Di~~ San Marcos 1-------~POLE 200 AMPS ··------II-----+------ ~ OVE_~~~? AM_£'.? --.i----------+---,-----+-------it--- _ _j_ TE~~-~-CUP~N_CY_I~□-DAYS! ·--- ____.L 1 ----+-- --l--------- -~00-B_ll~ -- 80-92-33-051~--+----- 01·00-00-8?~ 32-00-00-8923 __J___ ·----+- ·--- ·- ·- ·--------< 80-92-21-0519 __ +--- 80-92-22-0519 L_ 80·92-23-0519 80-92-24-0519------l------- .-- ---- ---· ------ l---- --+----- TOTAL ELECTRICAL TOT AL SOLAR TOTAL FEES PAYABLE ~•----'--~ I I ~ 10- I HAVE CAREFUttY EXAMINED THE COMPLETED "APPLICATION AND PERMIT,. AND DO Hl;REBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE OECLARATIONSAAE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· STRUGTION. WHETHER SPECIFIED HEAEtN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E~~. E\'41rypet!TiltisauedJ>yt~BuHctmaOffic:ial.· ·--.. ,". underthePA)vmons~t{tis., r····.*. -~flSWff ~~ FOR.EXCAVA~OVER Code stt«II expire by r itMlon ~~. 'al'\tf'Ybtd. 11 the bOirtfihgbt-..:ft."' ~ •, "> ·· ~ DEMOt.mON Oft CONSTRUCTION Of' out.hortHO by. ,,..h ·1.;, "°' .. oom 180days from the date of IIUCh ··· '"~OVER 3 STORIES IN HEIGHT permit or if the ng or work • by tuch permit is suspended or-· __; abando~at ·~~ . _'~'--. •••~~JJ!i_ NAT:2Z, .· a;:OV-_.· · RD· c __ ONTR. •~ORO I AP~~ o/~ /4 . /;/-.. . . ~•-··· ·.. BV'~O -· I 1/6'i "{7 ~ U: >, <ii 0 0. E © f- 'O 0 "' C:1 m -~ 0. 0. .,: I "' C a: 0 w w © w w .,: I ~ g <ii ,.. w w © " 0 a: m " 0 ~ © " C m C "- C © !" "' 0 ;:; © 0. w C ~ .c :;:: INSPECTION TYPE DATE ---INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION 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 ELECTRICAL MECHANICAL I' I GAS 'I ./ BUILDING f1 ./1, ( I SPECIAL CONDITIONS , ' 'I CERT OF OCCUPANCY ISSUED a5 -c).I lo 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 - --- • 'V . ·T . -; I --- ,