HomeMy WebLinkAbout2431 La Costa Ave; D; 83-203; Permit"' z 0 ;:: .. a: .. ... " w 0
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_.YI hereby affirm that I am llcensed under
~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and •'-'Ject. /i .. ··'2 /
l,c No3f<l'i3f-"'" L,J-/:7
I hereby affirm that I am exempt from the Contrac-
tor 5 License Law 10, the 1ollowrng reason (Sec 7031 ~ Business and Protess,ons Code Any c,ty O' county which re-
Gu1res a permit to coos:-uct. al:e-,mprove demolish or ,epa1~ any strucl:Jre prior to ,:s 1ssuaoce also 'equ,res the ap-
o·,caol :or such perfl1I1 !o file a s1gneC statemen! that he Is
!1ce~sed pu-suant to Ille prov1s,o~s of the Contractor's
License Law ,:Chapter 9 commencing with Sec:,on 7000 of J,·✓Is:8n 3 ol tre 8Js1ness and Pr8fes,;nns Code1 or that ,sex-
eo1pt !hwefr~m a~a the bas,s for ihe alleged exemption Any
v ~Ia1Ion of Secl1on 7031 5 b·1 an aool,;:a~i to-a perrP,: sub-1ects t~e applicam to a civil penalty ot not more than five hun-
dred dollacs 1$5001
I. as owner of lhe p,operty. or my employees with wages
as their sole compensation. w,I1 do the work. and the s'.-uc·
ture Is not ,nte~ded or offered for sale {Sec. 7044, Bus,ness
and Professions Code The Contractor's License Law does
not apply to ar. owner of property who builds or improves
thereon and who does such work himself or lhrough h,s own
employees provided ttiat such improvements are not intend-
ed or offered for sale If, however. the bu1ld1ng or improve-ment Is sold w1th1n one year of completion, the owner-buiIder
wall have the burden of prov,ng that he did not build or im-
prove !or the purpose 01 sale)
= I, as owner of the property, am exclusively i:ontract1ng
with 11censed con!ractors to construct the project (Sec. 7044, Business and Protess,ons Code The Contracto(s License
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each proJects with a
contractor(sl license pursuant to tt:e Contractor's License Llw)
:--' As a homeowner I am Improv1ng my home. and the follow-
ing conditions exist
1 The work Is being pertormed prior to sale
2 I have lived in my home for twelve months
prmr to completion of this work
3. I have no! claimed this exemption during the
last three years
~r t'ht:r~:~~t under Sec ------· B & PC ------------
)../hereby at!,rm that I ha,e a cert,hcate of consent
~-~elf-insure, or a cert1f1ca1e ot Workers
Compensation Insurance, or a certrf ,ed copy thereof
(Sec 3800, Labo1 COOe)
POLICYNO 63 s,_70? -%3
COMPANY sfc:<, C,..,-h.,\,J.'\(_l.
Vcopy IS filed with the c,ty
_.,. d Cert1f1ed copy ,s hereby lum,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Tti,s section need not be completed .i the perm,1
,s to, one hundred dollars ($1001 or less)
0 I cer1ofy tha1 ,n 1he performance ot the work lor
which th,s permit ,s issued. 1 shall nol employ any
pe,son ,n any manner so as to t:>ecome sut;,1ect tu
the Worke,s· Compensation Laws of CaI1torn,a
NOTICE TO APPLICANT 11. a11er makIn;i th,s Cert•
l,cate ol Exemption. you should become sub1ect !')
the Workers· Compensation pro11,s,ons o1 the Labor
Code you mus! forthw,11, comply w,th such
prov,s,ons or th,s perm,1 shall be deemed revoked
D I hereby affirm thal there ,s a cons1ructIon
Iend,ng agency for the perlormance of the wor1< to,
wh,ch th,s perm,i ,s ,ssued 1Sec 3097, C,v,1 Code1
Leroder s Name ___________ _
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT _goo E~_Carlsbad, California 92008-1~9 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS BUSINESS LICENSE # VALUATION PERMIT NUMBER -aJ/231 ~ ~~ A.Alt Av,:;;_T.,OAT~ o;= APPYCATION
S/51~ ~~ -
1. OWNE;J NAME
~.In r j(p ~ " .
OWNE A'S PHONE
O~R'S MAl~G ADDRESS
1 fl .l"il;Jl"· 74:.,, z; ~
CONTAJCTOR'S ADOAESS
,~ J,, t: ()t) t I? (J;.. J ~
COT BLOCK TSUBOIVIStON T ASSESSOR PARCEL NO._
A 11o :::.40 5'?
DESCRIPTION OF WORK
f)7 DESIGNER <J ...
>---·--·
4 •
~ Jiu:; ~7r-~ 1 OES>GNER•sAOORESS
'"
v□ NO
FLA ELEV. NO
STORIES
GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA TYPE
CONST
CONTRACTORS PHONE #
Cf L£2--D.3fl 2
ZONE .,,A~.3
LICENSE NO. PLAN I.Q_ # BLOG USE COOE
c~/ <f?''x. ~ /
LICENSE tt STANDARD PLAN# BUILDING SQ. FOOTAGE
DESIGNER'S PHONE
ace GP EDU
ace LOAD ! FIRE SPA crnsus TRAO I oe CANO use I 'ARK,NG seAce Res UN'TS I
v □ N 0 vO r-.0 YO NO Nor Valid Unless Machine Certified
QTYJ PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP ------
"}~ QTY. MECHANICAL PERMIT -ISSUE 3 er<'
-~ ..:·E
SUMMARY/ACCOUNT NUMBER
-~ ] -j1NSTAll~~RN~OUCTSu:rn100_:_ooosTU _ l -1 I307LDINGPER~IT _ --01-00-00-8220 l----
EACH BUILDING SEWER I t=t OVER )00 000 BTU =d t SIGN PERMIT OH0-00-8221 --·----+-------------------. --------
~
ACH. GAS~!_STEM_2 _ _!_040UTLE_I_~ __ J-~ -+""LER~ESSORJ15."'_ TOTALPLUMBING ·--_G1:(10·008222 I__/£_:-"" C--
EACH_Vw'.A~~_ATER ANO:_~~EN~ _ j_ __ BOIL~OMPRESSOR UP TO 3 H~ _ PLAN CHECK __ .--?1·00-00-88~6 &ti: .-
ACHGASSYSTEMSORMORE · --------------•l
EAC~ INST Al .. A~TER. REPAIR WA~ER PIPE_ -------i-___ _ II I v~NT FA_N s_I~_GLE ou~_T_
------i--METAL FIREPLACE ELECTRICAL 01-00-00-8223 l--
MECHANICAL 01-00-00-8~
-
---
~~~ACUUM BREA_KE~ 01-00-00-8225 -----.JI---+ MECH EX HA US_T -_H_O o_o_,o_u_CTS ____ ---+-~-------,«-· _M_OBI LEH OM E
RELOCATION □~-EA FURNACE/HEATER ---m-1t-r------;'~lt-MOBILEHOME ~ARK INSP --~AT_ER SOFTNER
EACH ROOF QR,',I1\ 1 '~SOE) . SOLAR
l ~j--TOT/.iLMECHANICAL STRONG MOTION
--TOTAL PLUMBING l_. ---,-/Z~ -===--------FIRE SPRINKLERS
I-__ Q1-00-00.-822[
80-92-33-0519 ---. -
__ 91-00-00-82_27
---
QTY. ELECTRICAL PERMIT· ISSUE ~--QTY. ___ _s_oLAR · ISSUE
PUBLIC FACILITIES FEE __ 32-00-00·89~
L_ _ _j_, c_N:.:Ec::W C_O_N_ST_E_A_~MP.SWT BKR
3 PH I---1 PH -------
EXIST BLOG EA AMP'SWT:BKR ----
L--~------J PH
REMODEL'ALHR PER CIRCUIT ·-+---
r-·~~_20.0A_.~~s ~------f q~~-20~-~~s ___ _
TEMP OCCUPANCY !30 DAYS!
TOTAL ELECTRICAL l
I
-+-. COLLECTORS
STORAGE TANKS
__j _ $ac,sio,AGE
I PUMP
-4---
--+--
-----PLA'II CHECK FEE --+--------=-----
--...., ____ _
__ · ~----+----
-----1--
-------+I--
BRIDGE FEE C--
SCHOOL FEE· DISTRICT ---M J Encinitas ; """'" San Marcos ------. ------
-.,,, --1-----
Carlsbad B0-~2-2_1 ·05_!~
80-92-22-0519 --
·--80-92-23-0519 --! --------<
B0-92-24-0519_--+------
TOT Al SOLAR
----1-_.__.
----I-----------
·-·---+ . -II---------
I I I /ts:!---I TOTAL FEES PAYABLE
_/1m~ the proYffiOM Oltrns 1 -~. If the bulldingi"Or'work " " · days from the date of SUCti
t.cHLQSIIAPE!lllff IS-fQA m:AVATiiiNs.OYI!' ~•••DEEP ANl><l£MOl,lt10llOII CONS~ Of'
lltilucl\lAES(NEB lSTOOIIES IN -, .•• . '*
I HAVE CAREFULL Y:EXAMINEO lHE COMPLETED "APPLICA,,!lON ANO PERMJT!· AN[} *[)Q HEREBY
CEAl°IFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HER_~.QN INCLUDING THE
oet:LARAllONS ARE TRUE-ANO CORRECT AND,-r FURTHEFfGERTIFV ANO,j;(38EE'IF A PERMIT rs
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVEfmfNG BUllDINGOON-
STRUCTJON,-WHETHEA SPECIFIED HEREIN OR NOT. f ALSO AGREE TO,SJWE INDEMNIFY AND ~~~~f,;f!ll!.!!!l!!.!!!!!(
KEEP HARtlt.ESS THE CITY Of! CARLSBAD AGAINST Al,.l LtABll..l]lES, J000ME~-!i,0Sts, AND,
EXPENSES WHJCH MAY IN ANY WAY ACCRUE AGA1NSf SAID c;,rv-1a cbNSEQUIU'U;t 01=" Tl-fE*'.·
. ~ Tl ? _ \;1)8f.mlt is SU8pendecl or Ja!..Qtli 'fOf'a_~odOfl~ ~·--• .,,,,r·•--· -~-,,.,:_::•!:~tf~Efl □ COfo!TRAC!~ APPROVED BY
/"~a .;.;;,t1~2:, SY~ "d I
. .
(#)·· Ws GAANTING(ciF THIS PERMIT. . . . .
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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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL ,.
GAS <""-~-rs ,,,
BUILDING I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
~--ao3
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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
-. -a ·a -
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