HomeMy WebLinkAbout2431 La Costa Ave; E; 83-208; Permit"' z 0 ;:: C "' C ... u w 0
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M I hereby affirm that l am licensed under
~visions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in 1,11 fo3t~"'L /1--i / Lie No ~/-Clas~ J::2 _
I hereby affirm lhat I am exeript from the Contrac-
•or s L,ce~se Law lar the fo'low1ng 'eason {Sec 7031 5 Susmess and Professions Code A~y c,11 or coumy which re-
Quires a perm-I 18 c~nstruc' aiier ,mprove demo:Isn, or ,ena,r any srructure prior to its 1ssuanrn a'so requires the ao-
~l1cart 'or such permIi to '.1le a s1g1ed statement l~at ~e Is
Icensed pwsuant 10 the prov,sIons of the Contrac'.or' s L,ccn:.e Lciw :(:~.apter 9 corr.me~c,~g w1tr, Section 7~00 c'.
J1v,s1c~ 3 of :ne 8us1ness a~d ero'ess,ors Code! or Iha! ,s e,-
e,,,~t !here''J''"' ;i0d the has,s tor tre alleged exemption Any
·..ola'.•0~ vf Section 7031 5 by an a8~I1ca~1 fo, a pe'f'l"1t sob-
,ects the appIIcam to a c1v,I penal!,' of not more than ',ve hun·
d·ed do1lars ,:$~on·,
I. as owner of tre properly. or my employees w,tr. wages
as their sole compensat1on. will do t~e wor~. and tie struc
ture Is not rntendeC or offered for sa•e (Sec 7044, Busrness
and Profess,ons Code· The Contractor's License Law does
not apply to a1 owner of property who builds or improves
mere-on and who does such work n,mself or through h,s own
employees, provided that such improvements are not intend·
ed or ottered tor sale If. however. the building or improve-
ment Is sold w1th1n one year of completion. tile owner-builder will have the burden ot proving that he did not ~u,ld or im
prove for the purpose ol sale!
___J I. as owner ol the property, am exclusively contract,ng
w11h licensed con1raclors lo construct the pro1ect [Sec. 7044,
Business and Professions Code The Contractor's License
Law does not apply to an owner of property who builds or im-
proves thereon. and who contracts for each pro1ects with a
contractor{s) license pursuant to the Contractors License Law)
7 As a homeowner I am ImprovIng my home. and the follow
mg cond1t1ons exist
1 The work Is being performed pnor to sale
2 I have lived in my home for twelve months
prior to completion o! this work
I have not claimed this exemptmn during the
last three years
L I am exempt under Sec ______ , B & P.C
tor this reason
''t, I hereby athrm that I ha,e a cer1'11cate of consen1 ~ self-,nsure. or a cemt,cate ot Workers
Compensation Insurance. or a ce,id,ed copy thereof
:,c".:o "'"''$'.3£," 7()'1-83
COMPANY .::::s:-m~,,d "J!J Copy ,s 1,1ed w,th 1he city
D Cert,hed copy 15 hereby lurn15hed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectmn need no1 be completed ,f 1he perm,t
,s for one hundred dollars (SHXll or less)
D I certify trial ,n 11le pertormance ol the won< tor which 1h1s perrn,1 15 15sued, 1 shall no1 employ any
person ,n any manne, so as to become sub1ec1 to
11le Won<ers· Compensation Laws of Ca1,torn,a
NOTICE TO APPLICANT 11, after makIn;i lhis Cert,
1,ca!e of Exemption. you should become sub1ect t'>
1he WoO<.ers' Compensation prov,s,ons ot the Labor
Code. you mus! torthw,1h comply w,th such
p,ov,s,ons or !h,s perm,! shall be deemed revo~ed
D I hereby affirm lhat 1he<e ,s a constn,ct,on
Iend1ng agency lor the per1ormance ol the wor1< for
wh,ch 1h•s perm,\ ,s ,ssued 1sec 3097 C,v,I Code!
lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
E
COT BLOCK SUBDIVISION
OESCRIPT!ON OF WORK
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525_
).a,~ -4tt.-
OWNER'S PHONE
ASSESSOR PARCEL NO .,;l I ... :l-'-10 :S° '€° 0 (;:,
AV.ST,
RD.
-·-~ ?Lo "~ oes,GNER"S AODRESS
"' FLR ELEV.
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING F'.EAMIT ISSUED
vD r-..D
REDEVELOPMENT
AREA
APPLICATION & PERMIT
BUSINESS LICENSE #
CONTRACTORS PHONE #
¥-2-03<1.
3Ejgg3/
LICENSE#
DESIGNER'S PHONE
NO I ace GP I EDU
STORIES
TYPE I DCC LOAD j FIRE SPA
CONST
VALUATION
ZONE
PLAN 1.D. #
STANDARD PLAN#
~MIT NUMBER
/tJf
BLDG USE CODE
BUILDING SQ. FOOTAGE
y □ ~ □ 'y □ NO vO NO Not Valid Unless Machine Certified
QTY" PLUMBING PERMIT -ISSUE ~ QTY"I MECHANICAL PERMIT -ISSUE .3":!'.... SUMMARY/ACCO~~r~u~R-.
~:
I
~1:~~:GT:t;ER
J
INSTALL FURN. DUCTS iJP TO 100,000 BTU I t
OVER 100,000 BTU __ _,_
BOILER/COMPRESSOR UP TO 3 HP ------·----
BUILDING PERMIT ~ n1-oo-oo-8220
u1-00-00-8221
01-00-00-8806 ~\',!ATER HEATER A~O/OR V~NT
. EACH GAS SYSTEM 1 TO 4 OUTLETS ----II----+ 8 q IL ER/COM PR E~SO _R_c3_1_c5_H_P_____ ---""----~-~---J>
r?= .---
--,~ 01-00-00-8222 ~e,.;•
01-00-00-8223 EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE
VENT FAN SINGLE DUCT 01-00-00-8224
-----r EACHINSTA~--ALTER, REPAIR WATER PIPE
, EACH VACUUM BREAKER ,___ -+=-MECH EXHAUST -HOOD/DUCTS i _j.. . J" ~OBILEHOME
RELOCAT_ION Of EA FURNACE/HEATER fl/;7 ~_ILEH_OME PARK_l~_?P
01-00·00·8225
.i.-~~TER SOLTN~~
01-00-00·8_2_26 _ T~~ RO~~-□R~I~ ~NSIDE)
/ ,·"'
-J!!'__/ I SOLAR
TQT.c;L MECHANICAL I :,7/ S-TRONG MOTION B0-92-33-0519
TOTAL PLUMBl"N~G~~~~~~ ,~t_.:
QTY" ELECTRICAL PERMIT -ISSUE -c,-() -OTY" I SOLAR -ISSUE
NEW CONST EA AMP'SWT.BKR
I PH J PH
COLLECTORS
-+--+STORA~T A'~N;;;K-;:S ____ L
EXIST BLDG EA AMPiSWT:BKR ROCK STORAGE
1 PH 3 PH PUMP >---+-----------
REMOOEL'ALTER PER CIRCUIT
TEMP POLE 200 AMPS --+--
OVER 200 AMPS
TEMP OCCUPANCY !30 DAYSI
TOTAL ELECTRICAL
I HAVE CAREFULLY :exAMINEO THE OOMPLETEO "APPLICATION AN~ PERt.ttr A'ND DO H~REBY
CERTIFY UNDER Pf;NALTY OF PERJURY :THAT ALL INFORMATION HEREON INCLUDING THE
-OE£l.AAATl8NS-ARE TRUE AND CORRSCT;AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
tSSOED: TOCOMPlY WfTH ALL C1TY, COUNTY AND,,STATE LAWS GOVEt1~HNGBUILOING CON-
STRUCTION WHETHEft,SPEClflEO HEAElk,OR NQT. I ALSO AGREE TO SAVE INOEMNJFY AND
KEEP HA~ THE CITY 0£ Cl\~ci.-'lG:AINST AL~ LIABIUTIES, JUDGMENTS, COSTS AND
EXPENSES .WHICH MAY IN ANY WAY. Aeci'WE AGAINST SAID. CITY lfl' CONSEQUENCE; OF" THE '
GRANTING ()F TftlS PERMIT, ' . . .. ~ '
TOT AL SOLAR
n1 .nn.no.8227 FIRE SPRINKLER_S _______ _
'<?.nn.no-8923 PUBLIC FACILITIES FEE UL uu'
BRIDGE FEE
SCHOOLFEE-0 ~l~ST~R~IC~T ____ _
Carlsbad
Encinitas
San_p~guito
San Marcos
TOTAL FEES PAYABLE
80-92-21 ·0519
80-92-22-0519
80-92-23-0519
80-92-24-0519
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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 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 I\
GAS I e-..,,._y. ,,
BUILDING !
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
. ~ FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS 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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