HomeMy WebLinkAbout2429 La Costa Ave; B; 83-220; Permit"' z 0 ~ "' .. J 0 .. C
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;}(,_ I htmtby affirm that I am licensed under
~lslons of Chapter 9 (commencing with
Section 7IXIOJ of Division 3 of the Business
and Professions Code, and my license is tn
full force ,11.nd effect., C • 7 /_ Lac No~'o3---i-Cla;s ~
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I hereby affirm that I am exempt from the Contrac-
tor's License Law for the Jollow1ng reason (Sec 7031.5
Business and Professions Code· Any c,ty ~r county which re-
quires a perm,t to construct. alter ImproYe. demolish. or
repair any STruc:ure prior to ,ts issuance also requires the ap-
plicant for such per;nit to file a signed statement that he is
licensed pursuant to the prov1s1ons of the Contractor's
license Law (Chapter 9 commencmg with Sect:on 7000 of
~1v1s1on 3 of the Bus-ness and Pro:ess,ons Code) or that ,sex
empt there''orr and ths basis tor the alleged exemplrnn. Any
v1olat'on of Section 7031.5 by an applicant fo• a permit suo-
iects the applicant to a c,v1I oenalty of not more than five hun-
dred dol1a"s ;$500',
__ I. as owner of the property, or my emoloyees w1:h wages
as their sole compensation, will do the work. and the struc-
ture Is ~ot In1ended or ottered tor sale {Sec 7044, Business
and Pro•ess1ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees, P'CIVlded that such improvements are not intend-
ed or offered lor sale. I!. however, me bu1ld1ng or improve-
ment 1s sold w1th1n one year of completion, the owner-bu;lder
will have the burden of proving that he did not build or im-
prove for lhe purpose of saleJ
7 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-
provBs thereon and who contracts tor each pro1ects with a contractor(s) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my home. and lhe follow-ing conditions exist
1 The work 1s being perlormB-CI prior to sale
2 I have lived in my home for twelve months
prior to completion o! this work
I have not claimed !his exemption during the last thrne years
L tamexemptunderSec ______ , B& P.C.
for this reason
4herebyat!,1m 111at I ha•e a cer1,t,cate ol con sen I
sel!-,nsure. or a cer1rl,ca1e ol Workers :,::~~"~j~·z:;9:;.B,
COMPANY 5 ta., ic....--ti.A..t\d,
XCopy Is flied with the c,ty
0 Cert1t1ed copy ,s hereby turn,shed
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no! be completed .J the permI1
,s tor one hundred dollars ($1001 or less)
D I cer11fy that rn the performance of lhe worl< lor
wh1Ch HHS permit Is issued. I shall not employ any
person In any manner so as to become sub1ect to
the Worl<ers Compensat1on Laws ol California
NOTICE TO APPLICANT 11. alter mak,n~ tri,s Geri,
t,cale of Exemption. you should become sub1ec1 10
the Worl<ers Compensation prov,sIons o! trie Labor
Code. you must lor1hw,th comply w,1~ such
provIs,ons or 1h,s perm,! shall be deemed revoked
D I hereby aff,rrr, thal There ,s a construction
1endm9 31,ency lor the perlormance ol lhe wor1< to, wh,ch th,s perm,1 ,s ,ssued 1Sec 3097 C,v,1 Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN[J DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
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·-······ --OWNER'S-NA~;:;/a_r\ -. I ·v.1/·1s11AP11~0N BUStNESS LICENSE # LI ,;zl/,i.f . VALUATION ~iE!MIT NUMBER
OWNER'S MAILING AooAq;s .......
OWNER'S PHONE !1Xl//,4JlJ P/uAk h1~, :jJ.3_":;J"J:;i. ZONE .? ~ 0
cOT BLOCK . j. SUBO! VISION I ASSESSOR PARCEL NO.
.:i-1 "' ;).l/0 55" DESCRIPTION OF WORK
~ Gm-:;.--~
CENSUS TRACT T c, cANO US1 eARK,NG 5'ACC RES UN<TS r
3/~,TG'SA~ -~
t '
DESIGNER
PESIGNE~'S. ADDRESS
F/P FLR ELEV
vO f\a[J
GRADING f:ERMIT ISSUED lREDEVELOPMENT
AREA
y O N 0 vD ""D
,_)
NO
STORIES
TYPE
CONST
'L!ctNSENO.
3J_<{g.31
PLAN 1.0. # BLDG USE CODE
LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESIGNER•S PHONE
S/ ;.;) ·s.;~~ ~
OCC GP EDU
DCC LOAD FIRESPR
v□ NO Not Valid Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE 75° LQTY. MECHANICAL PERMIT· ISSUE 3~ I SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BU!LO!NG SEWER ---
EACH WATER HEATER ANO/OR VENT
1----+-.ccEACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE 1----+----·--.
EACH INST Al .. ALTER. REPAIR WATER PIPE
-------
~ INSTALL FURN DUCTS i.JP TO 100,000 BTU ----+--+
1 ---! BOILER/COMPRESSOR _UP TO 3 HP I t=PLAN CHECK i..------; -1'!! B□ILER/coMPREss□-R 3-15 HP --ToTALPLUMBING
METAL FIREPLACE ELECTRICAL
OVER 100.000 BTU
. _ _,__
BUILDING PERM If
SIGN PERMIT
----
VENT FAN SINGLE DUCT MECHANICAL
01-00·00-8220 ---+-01-00·00·B221 --
01·00·00-8B06 L--,-----,,,.,.,.·
-~ oi:-00-00-stt. Zc -
01·00·□_0-82~ ------
__ _Q_~-0_0_·0_0·_8_224 _j_ ____ _ EACH VACUUM BREAKER I--
WATER SQFTNER ---+---~~EXH~~S_T_HO~_o_1o_u_CTS ·-----+-----·-f--MOBILEHOME ___ 01·_00_·_00_·_82_25_, ________ _,
RELOCATl~_?_£ __ EA_FURNACE/HEATER -+-----MOBILEHOME PARK INSP
EACH ROOF ORA:N i'NSIDEj -------
I---
1------l
I SOLAR ---+---____ ,__ TQTt.L MECHANICAL
, STRONG MOTION
01 ·00-_00·8226
80·92-33-0519 TOTAL PLUMBING I r
FIRE SPRINKLERS 01-00-00·8227
.,--
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP:SWT BKR
-~II QTY_:t--=,.
COLLECTORS
SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00·8923 ·------
BRIDGE FEE ---+------1-----
I PH 3 PH
I EXIST BLOG EA AMP/SWT.'BKR
j--I PH 3 PH --
~ REMODE_~L TE~_ PER CIRCUIT
~-TEMP PO LE 200 AMPS --+----OVER 200 AMPS t---+------·----
__ .;...T_E_MP OCCUPANCY (30 DAYS)
'
STORAGE TANKS
ROCK STORAGE
----
PUMP
PLAN CHECK f'EE -------+-----,I
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Dieguito __ _
----+-------------1------H SanMarcos
---,I---. -.--
------4---------+---
B0-92-21-0519
80·92-22·0519
80·92-23-0519
80·92-24-0519 ---
-----+--·-
----
---
--
·-
------
TOTAL ELECTRICAL !
I
j ---_____..,_ -+---
TOTAL SOLAR TOTAL FEES PAYABLE I I
1 /o ?-I
! HAVE CAREFULLY EXAMINED THE OOMPLETED:'APPLICATION ANO PERMIT" AND ·oo HEREBY ·Expiration. EverypermitiSBIJtdbythe&ffdinoOK .. lundertheprovisi<>Mof'tltis
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~tiaff exptre by ltm_ . and become n(lli'~ void. tf UW-bojfdlng Orwort'
DECLARATIONS ARE TRUE ANO CORRECT ANO f FURTHER CERTIFY ANO AGREE IF A PERMIT IS auth~nzed ~Y. sucti ~rr_n1t i ot commenced within 180day• from lhe date Of Sucti
ISSUED: TO COMPLY WITH ALL CITY, COONTY AND STATE LAWS GOVERNING BUILDING CON-permit. or I the ~ildin work 81:'thoriad by &ueh-P8f"!lt is suspended Or
STRUCTION, WHETHER,SPEC!FIEO HEREIN OR NOT. t ALSO AGREE TO SAVE !NDEMNIFY ANO me r the work IS c~. t '
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UASIUTlES, JUDGMENTS, COSTS AN~ T'S SIGNA RE ._ :~'OWNER □ CONTRACTOR□
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . _ .. --
GRANTING OF THIS PERMIT. /"'=-=~~ BY PHONE Q
,,,-~_._~~':!':~:.:::~g_t~~~OfOVEA ~ OVER 3$TORIES IN HEIGHT
APPROVED BY !~-4 1°5/2/r~
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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 B)../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 i
MECHANICAL /, I
GAS ' . I , ,..I
BUILDING I 'j (/1,, #J/
SPECIAL CONDITIONS , ' .
CERT OF 0/;;CUPANCY ISSUED
8"3-~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PAESTAESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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