HomeMy WebLinkAbout2427 La Costa Ave; B; 83-218; Permit"' z 0 ~ a: C J u .. C
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~ 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
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~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
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OWNER'S~E , " OWNER'S PHONE U/JZ.1°" o/ 'h, CONTRACTORS PHONE 4t ZONE
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/\ 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
~-
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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
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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 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
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