HomeMy WebLinkAbout2429 La Costa Ave; A; 83-219; Permit"' z 0 ;::
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C • ;i I herlby affirm that I am \lcensed under
o ~lslons of Chapter 9 (commencing wltti
,-[ Section 7000) of Division 3 of the Business ~ and Professions Code, and my license is in
IE full force •<:}~~ect., ('I -~ '";? /_~ ~ L,c No31 ot>3-t-Cla11 t;7 /P _ or
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I hereby affirm that I am exempt from me Con\rac· tor's License Law for the 10IIowIng reason (Sec 7031.5
Bus•ness and Profess1ors Code· Any c,ty or county which re-quI,es a perm,t to co~s!ruct aI1er improve, demol1sll. or
repa,r ar,y struct~re prior to ,ts ,ssuance also requires ttle ap-
ol·cant 'o, sue~ permit to file a s,gred statement that he ,s
,1ce~sed oucsuant to the provisions Of 1he Contractor's
License Law :Chapter 9 commenc·,ng with Section 7000 of
;JI·,·s•0~ 3 o• t~e Business and Professions Code\ oc tha11s ex-e~pt Thecelrom and the basis for tr,e alleged exemp11on. Any
vI0IatIon o' Se~t,a~ 7031.'.l by a~ app'1cant for a oerm1t sub·
1ects the ap;ilIcan1 ~ a c1vII penalty o'.not morn than l,ve nun-
dred dol'a"s ,:$500•
_ 1. as owne1 o: the property, or my employees with wages
as the,r sole camoensation will da 1he work. and the struc-
ture ,snot intended or offered '.or sale {Sec 7G44, Business
and Professions Code. The Contractor's License Law does
no•. apply 10 an owner of property who builds or ,mproves
thereon and who does such war~ h1msel1 or through h•s own
emoloyees provided 1hat such Impr011ements are not intend-
ed or o1lered for sale If, however. the tm1ldmg or ,mprove-
ment Is sold w1th1n one year o1 GOmplet1on, the owner -builder wIII have \he burden ol or011Ing that he did not build or im-
prove tor The ourpose of sale)
-' I, as owner o1 tre properly, am exclusively contracting
with licensed contractors to construct the proJect (Sec 7()44,
Business and Professions Code The Contractor's license Law does not appiy to an owner of property who builds or im-
proves thereon, and who contracts for each proIects with a contractor(s\ license pursuant to the Contractor's license Law)
7 /Is a homeowner I am ImprovIng my Mme. and the lollow Ing cond,tIons exist
1 The work is being performed prior to sale 2 I nave lived In my home for twelve months prior to completion of this work
I have not claimed this exemption dunng the last three years
7 I am exempt uniler Sec ______ , B & P C
for this reason
,{
hereby affirm that I ha;e a cer1,1,cate of consenl
sel!-msure. o, a cer11f,cate ot Workers :::,::~~~:~10;9:m'
,COMPANY 5iclie.,'1,'\(\ 0, ¥ Copy IS filed w•th the c,ty / d Gen1l1ed copy ,s hereby turn1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION lNSUAANCE (Th,s sec1Ion need not be completed,! the pe<mII
Is tor one hundred dollars Is1001 or less)
0 I certny that ,n the performance of the wor1< tor
whIcn th•s perm,! ,s issued. I shall r1ot empIoy ar,y
person '" ar,y mar1r1er so as to become subIec t 10 the Wor1<ers· CompensatIor, Laws ot Cali!om,a
NOTICE TO APPLICANT 11. alter makm;i lhIs Cert•
f1ca1e of Exemption. you should become subIec1 t,:,
the Wor1<ers · Compensation provIs,ons of the Lat>Or
Code. you must !orthw11h comply w,th such
pmv,smr,s or lh,s perm,t shall be deemed reeOke<l
0 I he,eby affirm ttlat there ,s a construct,on
Iend,ng agency to, ttie performance 0f 1he ... o~ for ,..n,cti th,s perm,I 15 ,ssued (Sec J()97 C,v<. Code)
Lenders Name ___________ _
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
?J;J-Jssc; 71-· l IJ !~1 .hl,-e_.1 -. OWNER'SNC5 ~ J,'r1 0WNE "'S PHONE
' AV. S1'. VALUATION PERMIT NUMBER • RO, ~3~ rt ZONE ?--
OWNER'S MAILING AooAESS PLAN 1.0. # BLDG USE CODE
LOT BLOCK l SUBOIVISION ] ASSE!if.;'•~oS" S-I..., STANDARD PLAN # BUILDING SO. FOOTAGE
0ESCRIPT10N OF WOAK " ~ DESlGN£R'S ADDRESS OESIGNE R'S PHONE
I----~~-~~---,1, FLR ELEV . NO I occ GP I EDU
STORIES
S-'; :-~~;,; ~r ... r: ...
YO r-.0
crnsus TRAC. I Ge LAND USE I 'ARK,NG 5'ACE RCS UN>TS I GRADING ~ERMIT ISSUED I
YON D
REDEVELOPMENT AREA TYPE I occ LOAD I FIRE SPA
CONST
YO NO
QTY. PLUMBING PERMIT -ISSUE
7
I 7.5>-0 -QTY. MECHANICAL PERMIT -ISSUE ..3_ 1!E... +I _ INSTALL FURN DUCTS UP TD 100,000 BTU
----------·-----------"-----~-..... 1---_J_~EA_C_H_F_IX_T_U_R_E_T_R_A_P __
EACH BUILDING SEWER -------
YO NO Nor Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
8Uf[D1NGPERMIT
----SIGN PERMIT
01-00-00-8220
01-00-00-8221
-----
------• . __ __ _ _ O'JER_IOOOO_o_s_r_u_ 1_ 3 ~EACH~ATER~E~~~NEJJ~E~~ __ _i_ ______ BO~E_R~OMPRESS0~~~0_3_HI'._ ___ _j__ __ ___c,___.,_ __________ _ €~~. vs.T_E_.M 1_!_□ 4. ou_TLETS __ --L-__ s~E~~~~R~~ ------'-----'--~ TDTALPLUMBIN_§_ ___ 01--:.·oo-oo-.s222l·---=--~----
t--PLAN CHECK 01-00-00-8806
----l--EAC~_G-':2_S~T~~ !iJR_~ORE _ _ _ __ ! _ M~!_~~~EPL~~ __ _ __ __ _ -~-1-----_!.l:_ECTRl~L __ _Q!.:_00-00-8223-c _____ _
~CH _INST~ ALTER, REP~WATE~~~--_ +---______ ·_ VENT FAN SINGLE DUC'._ MECHANICAL 01-00-00-8224 ----~----1-------
___ J_ __ _:___ M~~~ E~~~S_!__::_ HOOD/DUCTS _j_ ±~BILEHOME ____ 01-00-00-8225 +-_____ _
_ RE~CATION -~-~~-~~A_C_EiHEA_T_E_R .---1 .. -__ __,_ _ MOBI_LE_HOME PARK_!!'!_SP __ _
EACH VACUUM BREAKER ----/------------
~ ~~ T ~ SO FT~ ER ----------t I EA~ ROO_~Ri:_1~11_~0~ --_ --------t-----:__ __l__ I SOLAR __ . _ --01-00-Q0-:.8.2_26 I , TOTJ;.L MECHANICAL I t--STRONG MOTION __ --80-92-33-0519
i== TOTALPLUMBING~~~~-_J _______ .Lt2__~---=".= F\RESPR\NKLERS ____ 01-00-00-8227 ______ _
------·--
---
I i PUBL\C FACILITIES FEE 32-00-00-8923 f QTY.1 ELECTRICAL PERMIT-ISSUE ..j ~ QTY. SOLAR-ISSUE ~ BRIDGEFEE--------------
f-----'---------------------+---------------------r --------------------
NEW CONST EA AMP'SWT BKR __ ____ COLLECTORS SCHOOL FEE-OlSTRICT _ __ __ _ _ _ ---~-
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 1----1---'-----------------------------------------
1 EXIST BLDG EA AMP/SWT-'Bl<R
I PH 3 PH
I REMOOEL:ALTER PER CIRCUIT ---i-:: ---------
--+-_ ~ _ __t _ l :~~: STORAGE----= == =~~ -----+--------11-Encinitas ~~ieguito
80-92-22-0519 +---------
80-92-23-0519 -----•---
PLAN CHECK ~EE --f-------------/~~---jf-San Marcos 80-92-24-0519 --------+------
I TEMP POLE 200 AMPS --~------------. -f----------------------~
---+-------------I I OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS) ---+--------41--------~-------11----------+ ----_ _[_
rnrAL ELECTRICAL 1
I
'
---+-------------
TOT AL SOLAR
-·,···----···--·· -
! HljVE CAREFULL '!'·EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HER:E8Y
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
OEClARATION,E> ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$
ISSUED: TO COMPLY WltH ALL CITY, COUNTY ANO STATE LAWS GOI/EftN.ING BUILDING CON-
----
STRUCTIO_N, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE lNOEMNtFY AND .,
KEEP HA~tE~ THE CITY OF CARLSBAD AGAINST ALL UABlUTIES, JUDGMENTS, COSTS AND -.>.:ft>WNER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -~!•:'•,~;-
GRANTING OF THIS PERMIT.
TOTAL FEES PAYABLE I !IJ --1-A.i't~~~fOAEXCAYA'-QVSI I · :,;, , -ORC<lNS1RIJCTIQN O> , ' '. , bvift 3 STORtES IN HEIGHT '
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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
ELECTRICAL
MECHANICAL M
GAS ~ I '/
BUILDING ()M V"
SPECIAL CONDITIONS ' i ' f I
CERT OF OCCUPANCY ISSUED '
2;'3 -~C,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTOR"S DATE CHECKED APPROVAL
-
SOILS COMPLIANCE
PR/OR 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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