HomeMy WebLinkAbout2425 LA COSTA AVE; D; 83-247; Permit,,, z 0 : ..
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'l.:/! hereby affirm that I am licensed under
~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Co.de, and m'c'· '°. se is in
full force an~~ . .::2 /
Lie No3/ ~Of-Class ·-..,,,,,1(0-
1 hereby a'fl''ll that I am exefllpt from the Contrac-
to· s License Law for the f~llcw,~g reasur 1,Sec 7031 5
8us,ness and Pro:ess ons Code Ary c'IY c• county wh,ch re-quires a perm: t8 :c~s·:"c: a:e· :mpro·,e de,,.,0i1s~. or repa,· any s!,ucture 8r1or :o ,ts 1ss,,:;oce a sJ reau res the a~-
~l·~ant hr such perm•t ;o 1,1e a s.;;1ed s\ate.:-en: :ha! ~e ,s 1ceose:J c.J"<;uanl to the prov•s'O~S of the Ccct,ac'.cr's
I J'/,, !C~apter 9 ccm11enc1ng ·mt~ Se:t,on 7000 □I s,c 0 3 ~-'he Bus,r-ess a1d 0ro•e,,1oos Code,, 8r :ha;,, ex
err:it :here .. J~, a~a lhe tas1s for toe alleged exempt·Jn ~ny
, 0Ia·10" :,t Srcr101 7J31 5 b\' a" a88I1can'. fx a ee'mrt sut•
1ects :he appII~cnt to a cv-, penaIty o' nm rro'e 1.~an t1ve h~·n·
d·ed :JoIl:;rs :$500'
as Jwner of tre property. or rriy employees w,tn wa~es
as t~err sole compeosat,on_ wrll do the wo·k. ard the s!· .JC·
lure ,s nor mter0ed or otfered Jar sale ! Sec 7044 !lus,ness
and Prntess1□ns Code The Contractor's License law does
not apply to an owner of property who builds or improves
thereon and who does such worl( h1msel1 or through ~Is own
employees provided tnat such Imorovements are ~ot intend·
ed or of1ered for sale If however. !he bwldrng or ,mprove·
ment rs solG wrth,n one year ol completmn. the owner·bJ1lder
will have the burden of proving that he did not burld 0° Im·
prove lor the purpose of sa'el
L l._as owner o1 the property, am exclusively contracting
wrth licensed cont~actors to construct the pro1ect {Sec 7044
Business and Professions Cade The Contractor's License
Law does not apply to an owner o1 property who builds or 1m· proves thereon. and who contracts for each pro1ects with a
contractor{s\ license pursuant to the Contrac!Or s License Law)
~ As a homeowner I am improving my horc.e. and the !o low·
Ing cond1tIons exist
t The work 1s being performed pnor to sale
2 I have lived In my home for twelve months
prior to completion ol this work
I have not claimed this exeniptIon during 1he
last three years
_J I am exempt under Sec ______ , B & P C
for this reason
Vi hereby at1,rm ~sel1-onsure that I ha,e a cert 1
!Sec pensatron ins~~ana cemt,cat'~ca~r
01
consen1
3800. ~Code~e. or a certrl>ed c Workers
POLICY NO 7/.i:.-. opy •hereof
{:J''PANY '/e:fu. 831
~OP, ,s ,,,ed "''° -, /1. d.
D Certrl,ed co e c,ty PY IS hereby !urn•Shed
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need no! be completed ii The permit
rs 1o, one hundred dollars 1s1001 or less)
0 I cert,fy 1ha1 ,n 1he performance o' the work tor
wh1Ch th,s permit 1s issued. I shall not emproy any
person ,n any manner so as 10 become sub1ect to
1he Wor1<ers Compensa1oon Laws o• Calrforn,a
NOTICE TO APPLICANT 11 al1e, mak,nJ th,s Cer11
f<cate of E•empt,on you should become sub1ect !'J
the Workers Compensa11on prov,s,ons ol 1he Labor
Code you musl forth,,n1h comply w1\h such
prov,s,o,is or th,s permrl shall oe deemed •evoked
D I hereby affirm !hi.11 111ere ,s a cons1ructI0,i
rending ao;iency to, 'he performance ol !he wor1< tor
which this permit ,s issued (Sec )(Y;l7 c,.-11 Cooe1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
J08 ADDRESS VALUATION PERMIT NUMBER ~3, ;2-'f ,;)5 J) /4.CL ~ ~ A~5.T. OA~~;L~ON BU~j LICENSE#
~--==-::..,L__l---1-----------1
.~/V JIU,Mk;,c, o/":/-2.0":.03~~ 1-+7 OWNER'S NAME M
OWNERS MAH½OORE:.'.,)
OWNE A'S PHONE
~/,;hOR&Rb~~ A-t~
LOT BLOCK I S·U·B-□I VISI: I ASSE.f~'lJA~~t:5 55° 17 OEStGNER ci
DESCRIPTION OF WORK I .§"~ }J 11 ~ I DES<GNER'S ADDRESS
e,e FLA ELEV. NO
STORIES
CENSUS TRAC, I GP LANO USE I 'ARK,NG 5'ACE RES UN,TS I GRADING ~ERMIT ISSUED
YO ND
vO r-..[J
I
REDEVELOPMENT
AREA
vD NO
TYPE
CONST
ZONE
LICENSE NO. PLAN 1.0. 1f BLDG use CODE
R'/~g.31 ..,.
LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESIGNER'S PHONE
DCC GP EDU
' •
DCC LOAD FIRE SPR
YO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE --, ,5,--tl /:::---,, QTY, MECHANICAL PERMIT -ISSUE ,5,n SUMMARY/ACCOUNT NUMBER
I I EACH F.~.XTURE TRAP
, INSTALL FURN DUCTS i.JP TO 100,QOQ BTU --+--
BUILDING PERMIT
SIGN PERMIT
01-00·00·8220
01-00·00-8221
--
EACH BUILDING SEWER +---uVER 100,000 BTU --------+-------
1---I EACH WATER HEATER AND,OR VENT
'----+~Ec_ACH GAS SYSTEM 1 TO 4 OUTLETS
C---'--E_ACH GAS SYSTEM 5 OR MORE
L_
j
-
-Ai t~-~~ER1COMPRESSOR UP TO 3 HP '2.__.7 ____ --~~,-i~MPRESSORIB-H~ -·--t=·----t
METAL FIREPLACE
VENT FAN SINGLE DUCT
PLAN CHECK
TnTAL PLUMBING
ELECTRICAL
MECHANICAL
01·00·00-8806
01-00-00·8222 + /0 "5----=
01 ·00-00-8223 +----
01-00-00-8224 __ ,___ __ EACH INSTA~ .. ALTER, REPAIR WATER PIPE I---+-EACH VACUUM BREAKER
---------+--+ -----
I-MECH EXHAUST HOQO:DUCTS MOBILEHOME ____ c01-00·00-8225 -------
,_ _ _,_.ccWATERSOFTNER +---------+~-ELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN flNSIDEI 7---L TOT/'..l MECHANICAL
$OLAR
STRONG MOTION I--i I ,
TOTALPLUMBING I __ Lr)_<>-4--~--I""""'
QTY. ELECTRICAL PERMIT ISS~E I ~
i::ioi:: c:□RINKLERS
PUBLIC FACILITIES FEE
QTY. SOLAR -ISSUE
NEW CONST EA AMP.'SWJ 'BKR _ --_ --11 I COLLECTORS _ -----
f--+-1 PH_____ _ _ ·-_2 PH _ _ __ .i----STORAGE TAW<S ---+
EXIST BLDG EA AMP/SWLBKR ~--+--------------
1 PH ] PH
REMODEL·ALTER PER CIRCUIT
I TEMP !~-LE. ·~oo AM~s ~
~ OVER_~~ ~M~S _
I TEMP OCCUPANCY \30 DAYSI ,-
J __
TnTAL ELECTRICAL l
ROCK STORAGE
---L--PUMP
PLAN CHEC0K~c~c~E ___ _
---+---
----+
_ ____,__
----·-· ---
TOT AL SOI AR
__ _,,
--+------jf
---+----ll~--
------'------if
·+--·-
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Diegu~l9_. __
San Marcos
TOTAL FEES PAYABLE
01-00-00.:..&2...E·6· __
80-92·33-051 ~ _
01-00·00-8227
32-00-00-8923
B0-92·21·0519
80-92-22-0519
80-92·23-0519
80-92-24-0519
----
--
--
--
--
----------
-------1
--+-----____j
-+---------< -
/cJ':.,---
H>\'/1; CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMlr" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE T8UE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CtTY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPE(;JFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE ~,Qf::CN\LSBAO AGAtNS"t ALL UABILITJES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY lie.AVf"WAY-... OORUE AGAINST SAID CITY 1N CONSEQUENCE OF THE
GRANTIN~'°F THIS~. '
Code shall e)(pir• nm1tatlon and nllll andll"01d.7f the building or wort Expiratton E~rm,t 1nued by the ng Official u'f1aer the provisions of this
authorized by sue rmtt ,snot _d within 180days fr.om thedateot such
, *·.~~ -IT LS~ FOR EXCAVATIONS 0V£R ' ""''"°PEiP~OEIIOUllON-ORCONSTRUCTION OF
-~ OIER-3STOAIES IN HEIGHT permit. or 1f the 1ldlng or aulhOfiZed by such p&(ffiit ia suspended or abandoned at time aftef the IS' commenced tQr a nod of 180 . -.. i. APPL17~AT~ OWNER □ C°:~°11 •~~\!Y1 I--1°As· tz·EB
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LC :;:
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING -' I I
ELECTRICAL 11 I I .
MECHANICAL A -I ,...-/
GAS J :1 /I
BUILDING I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
$~ ·d'-f7
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
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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