HomeMy WebLinkAbout2427 La Costa Ave; A; 83-217; Permit.. z 0
" .. a: .. .,
~ 0
a: ·\Jf-1 hereb;"att1rm that I am licensed under o MYlslons of Chapter 9 (commencing with ~ [ Section 7000) of Division 3 of the Business ~ ~;1 ,:::::.~;:!!~~, and my ;..cens3e i'/~"
~ Lie Noj-J-o-o.::,1 Class -V-~
or
a: .. 0 .,
5 ~ .. z
!
z 0 s z "' .. ,.
0 0 .. .. .. "' a: ~
il
I hereby atf1rm that I am exempt from the Contrac-
~or' s License Law lor the lollow1ng 0eason \Sec. 7031 5
6us,ness and Pro1ess1ons Code Any c1t1 or county which re-ou1res a perrn,t to construct a,ter. ,mprove demolish_ or
'ep~,r any st,uctu"e. pr,or to its issuance also requires the ap-ol1cant for sucn perrn,t to file a s,gned statement that he ,s
1cen$e\1 pursuant to the p,ov1s,ons ot the Contractor's L,cen;e Law iChapte, 9 cornrne.1c,n9 w,th Sect.Jn 7000 of
D1v1s100 3 G' :~e Business and Pro1ess1ors Code1 or t~at Is ex empt :here''crr ana the Das1s lor tre alleged exemption Any
,·ola!1or of Sec·,on 703\ 5 by an appl1cart fer a aerm,t sun
1ects lhe app11can! to a c1v1I penalty of not more than five hun-
d0ed dollars 1550D'
_ I. as owner of the oroperty, or my employees with wages
as their so•e compensation. wrll do the work, and the struc-
ture ,snot intended or of1ered for sa'e (Sec 7044. Business
and Profess,ons Code. The Contractor's License Law does not apply to an owner of propert·1 who builds or improves
thereon and who does such work himself or through hts own emoloyees, provided that such improvements are not in•.end-
ed or offered for sale If, however. the bu;1d,ng or improve-
ment ,s sold w;thin one year ot completion, the owner-builder
will have tne burden of orov1ng that he did not build or im-
prove for the purpose of sale)
I I. as owner of the property, am exclusively contracting w•th licensed contractors to construct the pro1ect {Sec 7044,
Business and Professions Code. The Contractor's License Law aoes not apply to an owner of property who builds or im· proves thereon, and who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's license Law)
~ As a homeowner I am improving my home, and lhe follow-
•ng conditions exist 1 The work 1s being pertormed prior to sale 2 I have lived in my home for twelve months
prior to completion of this work
I have not claimed this exemption during the
last three years
c.J lamexemptunderSec ______ ,B&P.C
lor this reason ____________ _
');/I hereby atf,rm 1hat I ha·,eacert1!1cate o! consen1_ /fr:\ sel!-msure. or a cert1!1cate of Workers :,::}~~fl;: 7{)ed9:' 831
COMeAN' ;5~~-f'-lno A Copy ,s hied w,!h the c1ty
D Cert,t1ed copy ,s hereby !urn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(This sect,on need not be completed ,f the perm,t
,s for one hundred dollars ($11):)) or less)
0 I cert,ly that ,n the performance of lhe work !or
which 1h,s perm,t ,s issued. I shall not employ ;my
person ,n any manner so as lo become sub1ect 10
lhe Wor1<ers' Gompens.atIon Laws of Calitorn,a
NOTICE TO APPLICANT 11. a!ler mak1n;i lh1s Cert•
!,cate of Exempt,on. you should become sub1ec1 t'J
the Workers· Gompens.atron prov,sIons ot the Labor
Code. you mus1 torthw•1h comply w,th such
prov,s,ons or th,s perm,! shall t,e deemed revo~ed
D I hereby af!"m that there 15 a COf1struct,on lend,nQ agency •o• lhe performance of the worl< lor
which this pwm,t ,s ,ssued 1Sec 3097 c,-11 Code!
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 (6_19) 438-5525
JO").ij~ 7 z1: ACl1 t~✓'S t!J A-v0 VALUATION PERMIT NUMBER
&'3 -
OWNER'S~, ..Jp,.... -,, OWNER'S PHONE ZONE ~,,
OWNER'S.MAILING ADDRESS ,;;_;C;t,R'Sn~'; J<£Lu.JUJ3ir'i:il PLAN I.D. # BLOG USE CODE
::,. I, 11
LOT T BLOCK I SUBOI VlS!ON I ASS~SOR PARCEL NO DESIGNER ~ LICENSE# STANDARD PLAN# sfflLDING so. FOOTAGE·
.J 11., :2,',fi) S5 I'+
DESCRIPTION OF WORK I OESIGNER'S AOORESS
L---~ ~ ~ I "' CCR ecev I I ST~~IES I occ c, I EDU I
vO NO
DESIGN-ER'S PHONE
crnsus rnAc; I c, CANO use , ,ARK,NG seAcc RCS UN'TS I GRADING ~ERMIT ISSUED
YON 0 I
REDEVELOPMENT
AREA
YO NO
TYPE
CONST
ace LOAD I Fl RE SPA
vO NO Not Valid Unless Mllchine Certified
QTYJ PLUMBING PERMIT -ISSUE 5~ 7.-II QTY MECHANICAL PERMIT -ISSUE 6~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP -------
/ ~ I INSTALL FURN DUCTS JP TO 100.000 BTU
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
LlEACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
1-----------L~ A TE R SO F TN E R
--+ ------
__ j
1~-~-~
OVER 100,000 BTU
__ .j_B_OILE~C-~MPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
~~ VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
---+-------'----.f------pELoCA TtON □F-E ~ _ F _u RN ACE ;HEATER
_EACH ROOF ORAi~ ,:~NSIDE) _ ----l--------11--TQT.l.l MECHANICAL
BUILDING PERMIT
_:_------I-_ SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
C:QLAR .___J
QTY.j
TOT Al PLUMBING
ELECTRICAL PERMIT -ISSUE
1
, rno, --~c_ll2~4~,--~ ~-~___i--r-~
--VO .5-_ QTY. SOLAR -ISSUE
I-STRONG MOTION
CIDC CDRINKLERS
PUBLIC FACILITIES FEE
-~l--BRIDGE FEE
H 1---1 PH
EXIST BLDG EA AMP/SWT:'BKR
NEW CONST EA AMP:SWT 'BKR
---
JP_H _____ I-
------+--
COLLECTORS
STORAGE TANKS 1----I--------
---------1,
SCHOOL FEE -DISTRICT
Carlsbad
---+-------11 Encinitas
01-00-00-B220
01-00-00-B221
01-00-00-B806
01-00·00-B222
01-00-00-8223
01-00-00-8224
01-00-00-8225
01 ·00-00-82_26
80-92-33-0519
01-00-00-8227 ----
32-00-00-8923
80-92-21-0519
80-92-22-0519
--
lD
I
-1
-,---
-
---
-
I---1 PH _ ___ _ _ __ _3_ ~--
ROCK STORAGE.
PUMP -------+---------11---San Oieguito
---t--------'--11---_pan Marcos
80-92-23-0519 -----+-------------1
REMOOEL:ALTER PER CIRCUIT
----
--~POLE 200 AMPS
____J_ U"'.'_~200 AMPS
TEMP OCCUPANCY {30 OAYSJ
,_____l_ --------
TOTAL ELECTRICAL I
I
l--
PLAN C',ECK tH 80-92-24-0519 --------
.II------+--------+----
--------+-
---4-----
_ _____jl_ . ---+---
TOTAL SOLAR TOTAL FEES PAYABLE I LO --
I HAVE CAREFULLY,EXAMINEOTHE COMPLETED "APPLICAilQN_ANci ,PERMir' AND 'oo HEREBY ofc:;~.~-~~~~~~-~~nder-,', lf=~~°'i= " -~-( t_ 1!!t!'._ I ',, -~--~-FOA EX~V~TIOffS ()VEA
CEffTIFY UNDER PENALTY OF PERJURY, THAT ALI. INFORMATION HEREON INCLUDING THE authoriZed by such permit is COtnmenced wiQ\iniBO days from tne dale of such ' \>;.,:., -)~,:~MU,iEMOUtJON OR CONSTRUCTION Of
OEOt.ARAT10NS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT IS penntt, or if tbe Duildl ,Jf9l'1t authoriad bi auch permit ia suspended or , OVER >STORIES 1N HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE-LAWS GOVERNING BUILOING CON-liblndoMd e11 tirW work 11 -• ol t -~-~
,-STAUCTlON;WHETHER SPECIFIED, HER.EJN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO A S SfQNAT Jf. ·;· _, Q __ ,' --(j APP OVED BY /
KEEP HA~SS THE CITY OF CAffl.SSAq AGAINST ALL LIABIUTIE~, JUDGMENTS, COSTS AND , , ,: ~,,._,,(>WNEfl_ CONTR.ct0R , /;
EXPENSES WHICH MAY IN ANY WAY ACCAVE AGAINST SAID CITY IN CONSEQUENCE OF THE''" ~ -\!:_-t . BY PHONE O '1 .-
GRANTING OF THIS PERMIT. ~~h'r!:.....i:'rl ----~· _____ .::.:::-:.::.L::dt~::::'.:::=::=:::.:~.:.:~-=.:.:.:+ ~-
!!! u::
>-<ii 0 " E ID r-
I
'O o~"' ('.) .
c ~ g
" " <t
I
y
C a:
0 00 00 ID 00 00 <t
I
~ ~ Qi >-
,;
00 ID '-' 0 ,t
~ <ii D
~
ID '-' C ~ C u::
-I
C ID ID i5
i5 ;:;
ID " 00 '=
I
~ =
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ' ELECTRICAL C • '
MECHANICAL I V -'i
GAS '1 ' ,,..-
BUILDING I I I /
SPECIAL CONDITIONS '
CERT OF OCCUPANCY ISSUED
8"?. 'd-11
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS 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
-~
-----.. . ' A . ~
---
-