HomeMy WebLinkAbout2425 La Costa Ave; A; 83-239; PermitIll z 0 ~ a: C ...
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hefeby affirm lhat I am licensed under ~ [ alona of Chapler 9 (commencing with
1-Sec11on 7000) of Division 3 of lhe Business ~ and Professions Code, and my license ~Is In ~ full force and effect/ C-3 z L,c No,31 f"&a Class 0 ~ (
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I llefeby affirm that I am exempt from the Contrac·
lo<'s License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which ,.,..
quires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance also requires the ap·
phcanl for such permi1 lo file a sipned statement that he is licensed pursuant 10 the provistons ol the Contractor's
License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and ProfeSSJ011s Code) or that is ex·
empt therefrom and the basis for the alleged exemption. A"'f
violation of Section 7031.5 by an applicant for a permll sub· jects the applicant to a civM penally of not more than five hun•
dred dollars ($500).
D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc· lure is not intendod or ottered kl< sale (Sec. 704◄, Business
and Professions Code: The Contractor's License Law does a:r::~~· :;. c:r .. n:rs~t~"!"tii:~ ~~i~~.:v~~r;c:w~
employees, provided lhal such Improvements are not intend· ed or ottered for sale. If. however. the building or Improve• ment is sold within one year of completion. the owner-builder wlH have the burden of proving that he did not build or Im-
prove for the purpose of sale).
D I, as owner of the property. am exclusively contracting
wtth licensed contractors lo construct the project (Sec. 704◄, Business and Professions Code: The Contractor's License
Law does not apply to an owner of property who builds or in>-proves <thereon. and who contracts fOf each pro;ects with a
conlractor(s) license pursuant lo the Contractor's License Law).
D As a homeowner I am improving my home, and the loflow· Ing conditions exist: t r~~or~~ be/::9 ~rf= l::r10'i!e~lemonlhs
3. rt: :;1P~of ii:/: =ption during the last three years.
D lamexempt undefSec. ______ , 8& P.C. for this reason ____________ _
\.( I hereby affirm lhat I ha-..e a cert1hcate of consent ~ self.insure. or a cert1t1cate of won-:e,s·
Compensation Insurance. or a certified c0py thefeot
z :;==~Lame~i g COMPANY 4'\_ i X Copy 1s t1le<l with Ille c11y
f O Certified copy ,s hereby furnished
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CERTIFICAT~ OF EXEMPTION FROM WORIIERS' COMPENSATION INSURANCE
(This sechon need not be completed 1f the permI1
1s tor one hundred dollars ($100) or less)
D I certify that 1n the performance of the work for which this permit 1s issued. I shall not employ any
person ,n any mMiner so as to become sub1ect to
!he Won(ers· Compensation Laws of Gahtorma
NOTICE TO APPLICANT It, after mak•n~ tn,s Cert,
ftcate of Exemption. you should beeome sub1ec1 t'l
the Workers' Compensation prov1s1ons of the Labor Code, you must forthwith co,nply with such
p,o.,,s,ons o, lhtS permit shall be deemed ,e.,oked
0 I hereby affirm tf\at there 1s a construc11on
lending agency tor the performance ot lhe work. lo,
wruch 111,s perm,t 1s issued (Sec 'JIJ97, C1v11 Code)
Lender"$ Name ___________ _
Lende(sAodress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT .. 1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525 '
J08AOOAESS ,4-/aC'o~h A,ve A~:T•l°ih~83l
BUSljHS LICENSE # VALUATION 3ERMIT NUMBER
.,::Z..Jl;)S ~ '-..~~~~ .. 8' , ~,,
ow~~;:.] I, Y7 ~ +z M /J_A I OWNER'S PHONE fl~i:{ f( ~t:>Mc, l'HONI• ZONE ~zft r-,t..l,n . . 17,'-0311-2.
OWNER'S MAILING ADDRESS
~~A6oR·s?l,§; fo ~ ~ ~ , UCEN8ENO. PLAN 1.0. # BLOG USE CODE
3/&'q~/
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. -DESIGNER
. () . LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
.lit~ ~4-0 ss ~
0£SCRIPTION OF WORK
DESIGNER'S ADDRESS .. . . --.. OUIGllll.dPNONe--·
l'\_Ae--'
~---,-~ •• \.1l ~ NO EDU -F/P FLR ELEV. OCCGP
STORIES 51121~~.09· 1li,OO vO NO '
ceNsus TRACT I GP LANO use I PARKING SPACE RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA --~tc1:S !/Iii RJ 90~90 AREA CONST
y O N 0 vO NO vO NO Not Valid Unlt!ss •chin~ C~rtifitld
QTY. PLUMBING PERMIT · ISSUE -7>::!-QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP V INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 0Hl0·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT OHl0·00-8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 ·-I EACH GAS SYSTEM 1 TO 4 OUTLETS '} __ ::,u BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING · 01·00-00·8222 //"J'=---
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00-8223
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00--8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER •· MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00-00-R?21i -iJ TOTt;L MECHANICAL STRONG MOTION 80·92·33·0519
TOTAL PLUMBING I /V . PO FIRE SPRINKLERS 01 ·00·00--8227
QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
QTY. ELECTRICAL PERMIT · ISSUE 5-; BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80--92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92·22·0519
1 PH 3 PH PUMP • san Oieguito 80-92·23-0519
REMODEL/ALTER PER CI RCUIT PLAN CHECK FEE San Marcos 80--92·24·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
-
TOTAL ELECTRICAL l . TOTAL SOLAR TOTAL FEES PAYABLE I /o ~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E,cpil'lltlon. e_., permit iAued by-lluilcllngOlllc:llllunder ... =ofltli9 -,t ...... 1'1111111'.REGUIIEI) FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Col» lllall expire by fimltallon and~ nulf and void. ·1011e · o, worft -'1.-mEPMDIIIIIIOUTIOII Ofl C0NSTAUC1l0N M
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ..,lhorlZed i,y IUCh ~ no« com wiltlln 180dllya "-1t1e or_,, SIIIUCNl8 011£113 S10MS IN HEIGHT P9'mil. o, ii 1tle bu 01 work IZed by IUCh .-,nit le IUlll9flded or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abanCloned at -Ille -COIIIIMIICld tor a _._.of fliii ~ ·
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPL~~~f-~R□ CONTRACTOR~
A~ ~ OATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 15', ffl..~83 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 GRANTING OF THIS PERMIT. • / 'J u
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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
PLUMBING
ELECTRICAL
MECHANICAL
GAS ,,./ -
BUILDING r'/ I If->-
SPECIAL CONDITIONS /j'{l'I\ /✓
CERT OF ~UPANCY ISSUED ,··w· ..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL --
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE ·-POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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