HomeMy WebLinkAbout2425 LA COSTA AVE; B; 83-240; Permit"' z 0 : :l ~ 0
0:
I[
8
0: "' 0 ....
5 ~ "' z !
z 0 ;::
~ z "' ..
"' 0 u
"' "' "' " 0: 0 ;l
![
~ I her~y atflrm t~at I am licensed under
~lslons of Chapter 9 (commencing with
S.ctlon 7000) of Division 3 of the Business
and Professions Coda, and my license is in
full IO<f: pJl'IJlJ"il. /J _-:; /
LK N~~i-Closs ~~-
1 hereby atfirm that I am exempt lrom the Contrac
tor's License Law for the tollaw1ng reason (Sec 7031 5 Business and Pro1essions Code Any c,ty or cou~ty which re-
quires a permit to construct alter ,mprove. demolish. or
repair any slructu0e. pnor ro its issuance also requires the ap-
J11cant for such perm,t to file a s1g~ed sta<ement that he 1s ITensed pucsuant lo 1he prov•sIons ot the Contractor's License Law 1Chapter 9 cornrnenc,ng with Sect,on 7000 of
D1v1s18r. 3 o11he !lus1ness and Professions Codei or that Is ex·
empt therelro"' ard t~e basis lor the alleged exeriptIon Any
·,iolat1on ot Section 7031 5 oy an aopl1cant !or a permit sub-
iects the ~ppl1cant t~ a cIvII penalty of not mare than five hun-
dred dollars (S50Ql
_J I. as owner of •he property, or my employees with wages
as their sole campersatIon. w•II do t~e work. anc the struc-
ture Is not intended or ottered for sale (Sec 7044. Business
and Protess10ns Code The Contractor's License Law does
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 ,mprovements are not intend-
ed or offered for sale If. however. the building or improve-
ment Is sold w,th1n one year of completion, the owner-builder will have \he burden of prlJ\ltng that he did not bu1ld or im-
prove for 1M purpose of sale)
'° I, as owner of the property, am exclusively contracting
with licensed contractors to construct the pro1ect (Sec 7044,
Business and Professions Code. The Contractor's License Law does not apply to an owner o1 property who builds or im-
proves thereon, and who contracts for each pro1ects with a
contractor(s) license pursuant to \he Contractors License Law)
:::::! As a homeowner I am irnprov,ng my home, and the follow-
mg conditions exist
1. The work is being per1ormed prior to sale 2 I have lived in my home !or twelve months prior to complet1on of this work
3. I have not claimed this exemption during the last three years
□ lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
·vi hereby at!1rm that I ha,e a cenil1ca!e of consent ~ self-insure, or a cen,f1cate ot Workers
~~·~"i.'~::,~f\' "'.~"'".'~"t" "".';.'
POLICY NO ¢'2~ . "/" -_;;;,
COMPANY 51f:{ )ti Copy ,s filed with the c,1y
D cen1t1ed copy Is hereby fum1s11ed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not bE' completed of t11e permI1
,s tor one hundred dollars 1s1001 or less)
D I cen,fy that ,n the performance of the wor1< Jar
which th,s perrrn1 ,s issued. I shall no1 employ any
person In any manner so as 10 become subIect !O
the Wor1<ers· Compensation Laws at California
NOTICE TO APPLICANT 11. alter makin;i 111Is Cert,
l,ca!e of E•empt1or.. you should become subJect 10
the Workers· Compensation p10-,sIons o! lhe Labor
Code. you must !onhw1th comply with sucn
provIs,ons or 1h1s perm,t shall be deemed revoked
0 I t,ereby affirm trial There ,s a construct,on
Ie11d,ng a,;,ency 10, !hf> perlormance of the wof'r< for
wh,ch lh,s perm,\ ,s ,ssued ISec )CR? C,-,I Codel
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
JOB ADDRESS
.., 1.t., 5 A
OWNER'S NAME m{')K
OWNER'S MAILING ADDRESS
COT 8LOCK l SUBOI VISION
DESCRIPTION OF WORK
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
L tl&s~ M-0
·owNtR'S PHONE
I ASSESSOR PARCEL NQ... ,::-~
.;l 11<> .i4u = "' '°i
AV. s,;.,DA.:!.·" ·~ .. >· . ._.·, TION
R<). '>/r~f~-::). BUSI.NE$$ _LICENSE #
., J._,,,,:.J I ~I
. ' ),'~~AC,OR LJ{~ . . , I .:.-• l..'.;"'-"TOAS PHONE# ifl...l'WWAI r~~q fl_tf:i.-0."2.d
CONTRA"f"TOR'S ADDRESS 13.ah Da-Ql?n.
:--;-fl UCENSIS NO.
JL~l~/R'i?3 l
DESIGNER T LICENSE#
l r·••G••··· ADORE$
1 1 Gt£:, L,j_~~----··-· "' >cR<cevl I NOoccce I EDU STORIES
DESIGNEB'S PHONE
VALUATION
ZONE
PLAN 1.0. 'it
STANDARD PLAN#
B'"~ERMIT NUMBER
,z.40
BLOG USE CODE
BUILDING SQ. FOOTAGE
YO NO 3/::;;; '::'-3~7f,-,i: '' ' ..
CENSUS TRAO l GP LAND USE I eARK>NG SeACE
QTY.I PLUMBING PERMIT. ISSUE i
EACH FIXTURE TRAP
EACH BUILDING SEWER
RES UN,TS T GRADING f'.ERMIT ISSUED
I
REDEVELOPMENT
AREA
YO ND YO NO
7~-11 QTY. MECHANICAL PERMIT -ISSUE
7 INSTALL FURN DUCTS UP TO 100,000 BTU
TYPE
CONST
3~
OCC LOAD FIRE SPA
YO NO Not Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
c_Ir,N PERMIT OVER 100,000 BTU -·-01-00-00-8221
---··· -----t
EACH WATER HEATER ANO/OR VENT l
EACH GAS SYSTEM_~~TLETS +-2 -'·;f, BOILER/COMPRESSOR UP TO 3 HP ~no I ~-E-R.1COMPR ESSO R 3-1 :>-HP
PLAN CHECK 01-00-00-8806 /Q .. ;:r __ TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM:> 0 R MO RE 1·
EACHINSTA~-.: ALTER, REPAIR WATER PIPE -------------------t
EACH VACUUM BREAKER i
METAL FIREPLACE -------
VENT FAN SINGLE DUCT ,,,._,
-~~~~-AUST H000.'0UCTS
ELECTRICAL
ui::rHANICAL
MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN il"JSIDE) N'l•.AR
'-1 ---r---A-TOT..C.l MECHANICAL .-:JUI
TOTAL PLUMBING I I LU-~~~-~~ L-STRON§_ MOTION
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP.'SWT ·BKR
1 1 PH 3 PH
EXIST BLOG EA AMP.'SWT/BKR
I PH
REMOOEL'ALHR
3 PH
PER CIRCUIT ----·
TEMP PO LE 200 AMPS ----------I I OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI 1-· ------------
-----
FIRE SPRINKLERS
.~ QTY. SOLAR · ISSUE I-PUBLIC FACILITIES FEE
BRIDGE FEE
COLLECTORS
-+-~TE_ R!~ TAN KS ===--=t==~ ---_RO_C_K_S_TO_R~~~ -----------+-----jf-
SCHOOL FEE -DISTRICT
r:arlsbad
Encinitas
'--·-PUMP ___ San Oieguito
f--------ll----PLAN CHECK r"EE San Marcos
----+----------------l!------+--
-ll--~1--------
-----1----+--
-
01-00-00-8223
01-00-00-8224
01-00-00-8225 I
01-00-00-8226
80-92-33-0519
01-00-00-8227
32-00-00-8923
80-92-21-0519 I
80-92-22-0519 I 80-92-23-0519 -----
B0-92-24-0519 L
-
TnTAL ELECTRICAL l TOT AL SOLAR TOTAL FEES PAYABLE I /O _.--
--
CERTIFY UNDER PENALTY OF PERJURY THAT,ALL INFORMATION HEREON INCLUDING THE ¾. ,.k'#','~'?tM:~PEIJiitlTISREQUIREQFOREXCAYATIONSOYER f HAVE CA1'EFULLY EXAMINED THE COMPLETED ·'APPLICATION AND ,PERMIT:" AND DO lj~RE.8Y ·1 °. ,,,
DECLARATIONS ARE TRUE AND CORRECT AND I .FURTHER CERflFY AND AGREE IF A PERMIT IS c.:.r::,:;:.; , , ., -\!£~_!_ND OEMOl.l110N OR CONSTRUCTION Of"
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BU~LOING CON-~,. " ..,,,_.""'"•~.ioOVEA 3STORIES IN HEIGHT
STAUCTION. _WHETHER SPECIFIED HEAEI~ OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE Cit¥ OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAtD CITY lN CONSEQUENCE DF THE
GRANTING OF THIS PERMIT.
V
-.--:-,.
,-BV~o
/
APPi
~
pVED BY
7f~, ,-:ii I l11
DATE
I 5•)t;B3
~ u:
~ ~
0 Q. E "' >-
I
'2
0
CJ
C "' .~ a.
Q. <l'.
1---.
~
C a:
0 ,,, ,,,
"' ,,, ,,,
<l'.
I
~ £
" >-
,; ,,,
"' 0 0 ,,:
"' oi 0
~
"' u C "' C u:
C "' "' i3
0 0 "' Q. ,,,
C
~ " s:
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 $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 ,.f
GAS , I J ./ ,
BUILDING 'I II,. t1 ,_,-
SPECIAL CONDITIONS I ,,7 (
CERT OF OCCUPANCY ISSUED
S,3·;}40
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
. . ; : :. . ,
"
-----·