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HomeMy WebLinkAbout2427 La Costa Ave; B; 83-218; Permit"' z 0 ~ a: C J u .. C e[ : ... z 0 u a: .. C J 5 ~ .. z ~ 0 z 0 a z .. .. ,. 0 u "' "' .. "' a: 0 3 ![ ~ I hereb~afflrm that I am licensed under visions of Chapter 9 (commencing with tlon 7000) of Division 3 of the Business and Professions Code, and my license is in '"" fo'.§tg effect fl .-=z/_ Lie No ' . f31 Class __ 6£--1'9- I hereby att,rm that I am exempt from the Contrac-tor"s License Law lor the tollow1ng reason (Sec 7031 5 Business and Professions Code Any city or county which re- quires a perm,1 to construct. alter. ,rnprove. demolish, or repa;r any structure prior to its 1ssua~ce also requires the ap- pl1can1 'o· such perm,t to 11le a s,gne~ statement t~at he ,s l,:e1sed pu·suanl lo the prov1s1ons o1 the Contractors L.:ense Law !Cha~:er 9 commencing with Section 7000 of D1v:s1on 3 oi tre Business and Professions Code) or that Is ex- empt t~erelrom a~d the bas•s 1or the alleged exemption Any vIoat,on o' Scet1on 7031 5 by an applicant far a permI1 sub-iec:s the appl:cant to a cI1·1I penalty 01 not more than five hun- dred do la-s (550QI _ I, as owner oi tt'e property, or my employees w,th wages as their sole compensat,on_ wrll do !he work. and the struc- ture Is not intended or o1fered for sale (Sec. 7044. Business and Professions Code The Contractor's License Law does not apply to an owner of prope~y who builds or improves thereon and who does such work himself or 1hrough his own employees. provided 1ha! such improvements are not intend- ed or offered lor sale_ It. however. the bu1ldmg or improve-ment ,s sold w1th1n one year of completion, the owner-builder w•II tiave the burden o1 proving that he did not build or im-prove for the purpose of sale) r-I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code The Contractor's License Law does 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) _'.J As a homeowner I am improving my home. and the follow· mg coM1tions exist 1 The work 1s being performed pnor to sale 2 I have lived In my home !or twelve montlls prior to cornplet_iOn o1 th_,s work J. I have not claimed this exemption during the lost three years C:: I am exempt under Sec _______ , B & P.C for \his reason ,Vhereby afhrm tha1 I l'la,.e a cer1,1,cate ol consent ~ 1 ~el!-1nsure. or a cer11t,cate of Workers ~~':'.,".~.:•~;,:,:\' o,7-fkacen•••eo :•;i""' POLICYNO p3 /j __ 0, . COMPANY (\, /~ Copy ,stiled wr!h the c,ty 0 Cer11hed copy ,s hereby !um,s~ CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be completed 1! the perm,t Is !or one hundred dollars 1$100) or less) O I cert,ty that ,n the pertormance o1 the wor',,;, tor wh,ch this pem,,t ,s ossued. I shall not employ any person in any manner so as to become sub1ec1 lo the Wor1<ers· Compensation Laws of Cahtorn,a NOTICE TO APPLICANT I!, after makin] !hrs Cert, t,cate ot Exemption. you should become sub1ect t'J the Workers· Compensation prov,s,ons of !he Labor Code you mus! forthw,th comply w,th such prov,s,ons o, th>s perm,! shall be deemed revoked D I hereby al!1rm Iha! lhere ,s a conslructIon Iend,ng agency !or the per1o,mance ol the worl< lo, which th,s pe,m,t ,s ,ssued 1Sec YE7 Civil Code1 Lenders N-ome ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS 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 JOB A24_'J / ~ In (~,--h, A-v6 AV.~T. Ds-7§713 #-2~ :1':~ ~ ' VALUATION s~T;Ur RO, . OWNER'S~E , " OWNER'S PHONE U/JZ.1°" o/ 'h, CONTRACTORS PHONE 4t ZONE '"~SOI\ 1 /\ 111\r(\ l/ll q tJ,f)-{)_ ::/1.),~ OWNER'S MAILING ADDRESS CONTRACTOR'S AD01 ... ti J. i:;i~93{ PLAN 1.0. # BLDG USE CODE 1~/;::>L I. b '~ .. ~ LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. -\3 DESIGNER <) T LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE ~v-~ 15::, DESCRIPTION OF WORK -----DESIGNER'S ADDRESS DESIGNER'S PHONE .. ., --. .. . - ---I ' L,.. p --,II-.... '" FLA ELEV NO OCC GP EDU v. -STORIES f.. vO NO CENSUS TRACT I GP LAND USE -PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST YON □ v □ .._O vD NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE --7 3-fl ·~ QTY. MECHANICAL PERMIT -ISSUE 3~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00-00-B220 --------------EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 --------l ------11.-----------------~ -EACH WATER HEATER ANO,QR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ' ----2> 0 --------------------------------~---EACH GAS SYSTEM 1 TO 4 OUTLETS --+--BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ~L(' -----EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ----------------II----------------------EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 --------------------- EACH VACUUM BREAKER MECH EXHAUST -HOODIDUCTS _:__ii-MOBILEHOME 01-00-00-8225 -------------------j____ __ - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK JNSP ------------------~j-E~~~-ROOF □:A'N 11~~:PE~--___ ---SOLAR ---___ 0_1-Q_0-00-8226 TOT.C..L MECHANICAL STRONG MOTION 80-92-33-0519 I . '·""' ~ ----TOTAL PLUMBING _ LC: ~ _ FIRE SPRINKLERS 01-00-00-8227 ~-------- OTI eeema,osc "'""". "'°~] s=' PUBLIC FACILITIES FEE 32-00-00-8923 ~-QTY. SOLAR -ISSUE ~ --------,_ I-----BRIDGE FEE -----------l NEW CONST EA AMP SWT BKR ' 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 ---------~ lPH 3 PH PUMP San Dieguito 80-92-23-0519 -------I -----------REMODEL ·AL HR PER CIRCUIT PLA~ CHECK ~EE San Marcos 80-92-24·0519 : .TE MP POLE -----------~---------------200 AMPS -------1----------~--------------------I OVER 200 AMPS ---------------~ Ii------------------- TEMP OCCUPANCY {30 DAYSI ---------__ j__ ______ --, ----------------· ----------------__J ----_:_ __ ----~-------------------- TOTAL ELECTRICAi 1 TOTAL SOLAR TOTAL FEES PAYABLE I /(1 ~ I HAVE CAREFULLY EXAMINED THE COMPLETED ':APPLlCATlON A.NO PERMIT'' ANO DQ HEREQY · ~xpli-ation. Every perffltt iSOUttd by thti Suifdlng Official UOdef thti prov!Sions o(thfs ~*-~~IT IS RfQUIAEo ~EXCAVATIONS~ CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 'Code Shall 4xpif"e b)'iimit8'1ioh and beeelmi iiull and vOfd. · If th& buifding Or ·wortf , ,: . · 0E£P 4ND DBIOLfTION Oft CONSTAUCTION OF authori.Ze(f by such perr,;;_~ not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT ANO t:-FURTHER CERTIFY ANO AGREE IF A PERMIT JS permit, or .... !!_ the buildi o, worit aulho,ized by such permit ta suspended or SfAUCTURES OVEft 3 STORIES tN HElGHT .,, ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILOtNG CON-&ban... 8"" time the-wort iS"commenced·tor a 01trio(t of 180 da:~: STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLl'.r•s flRE ,. OWNER □ CONTRACTOR Qi APPROVED BY ~- 1 DATE i/4 Jr:-; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO <")_ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT. , • --j ' ,!! LL >, :;; 0 C. E ~ I D 0 CJ ...... ? C "' -~ ci C. .,: I ~ C ii: 0 w w "' w w .,: I ~ 2 ,; >- ., "' "' " 0 a: "' 1ii 0 & "' " C "' C LL C "' "' 0 0 u "' C. w C ~ " ,: 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 HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING • I ELECTRICAL I tJ/ MECHANICAL ·1 GAS l< / BUILDING II ,, / SPECIAL CONDITIONS I I // CERT OF OCGtJPANCY ISSUED I 'Fs3 ·;;}\f, 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 PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS --~- - t: ' : .~------. - - - - - -..._ ~ ,, - - -