HomeMy WebLinkAbout2431 La Costa Ave; A; 83-221; Permit"' z 0 : ~
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''M I hereby affirm that I am licensed under
.,fr\vlslons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my licen3te i in
full f~r~e~l.,/ /) _ L,c No lJ:;ft Class -----!.,;/
I hereby affirm that I am e~empt 1rom the Contrnc-
tor·s License Law for the following reason (Sec 7031.5
Business and Professions Code. Any c,ty or county which re-
quires a perm,t to construct. alter. l'Tlprove demolish. or repair any structure. P'•0r to ,ts ;ssuance also requires the ap-
plicant fo' such permit to file a s1Gned statement that he 1s
I censed pursuant to the wovIs,ons ol the Contractor's
License uw 1Chapter 9 comrnenc,nQ with Sect,on 7000 of
o,v,s,or 3 of the Bus11ess and Professrnns Code\ or !hat 1s ex· empt tierefrom and the basis for the alleged exemption Any
v10 at1on 01 Se:t1on 7031.5 by an appiicant for a ~enn1t sub· iects t~e apol1cant '.o a civil oenalty ot not more than t,ve hun-
dred dol.ars ($SOO',
::..: I. as owner of the property, or my emplo)'ees w,m wages
as their sole CO"lpensa!1on. w,11 do the wor~. and ihe struc-
ture 1s not 1n1e1oed or offered for sale (Sec 7044. Business and Professions Code. The Contractor's License Law does
not appiy to an owner ot property who builds or improves
thereon and who does such work himself or through his own employees, provided mat such improvements are not intend-
ed or offered for sale 1f. however. the building or improve-ment 1s sold w1thm one year of completion, !he owner-builder
will have l~e burden o! proving that he did not build or 1m-
or011e for the purpose of sale)
-::: I, as owner of the property, am exclusively contracting with l1ceosed contractors to construct the project (Sec. _7044,
Business aM Professions Code. The Contractor's License Law does not apply to an owner of property who bualds or im-proves tMreon. and who contracts for each pro1ects with a
contractorls) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my home, and the !ollow-1ng cond,t>ons exist· 1. The work 1s being performed prior co sale
2 I have lived m my home for twelve months prior 1o completion of this work I have not claimed this exemption during the
last three years
::::J lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
~
he1eby affirm tha1 I ha,e a cer11!,cate or consent self-insure. or a cer11!1cate of Workers
. :,::~~';}."~~•~!,; 71); :'i"fi°'
coMPANY ~ tef-i:A nIT ,X Copy ,stiled w,111 the c,ty
D Gert,f1ed copy 1s hereby fum,shed
CEATIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no! be completed 11 tne perm,t
,s tor one hundred dollars 1s1001 or lessJ
0 I cer1,ty tha1 in the perlormance of the work lor
which !his perm,1 1s ,ssued. I shall not employ any
person 1n any manner so as to become sub1ec1 10 the Workers Compensation Laws of California
NOTICE TO APPLICANT If. alter makln'J th,s Cert,
1,cale of E~emp!1on. you should become sub1ecl t-:,
111e Workers· Compensat,on p,o-,s1ons of the Labor Code. you muS1 !or1hw1th comply wolh such
p,0~1s1ons or !hos permit shall be deemed revoked
0 I hereby affirm !ha! There ,s a coristruct,o~
lending agency 10, lhe per1ormance ol tne worl< to, wh,ch this perm,T ,s ,ssued 1Sec JQ97, C,-11 Cocte1
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
JOBA~::J~J * Ja. (\,~A/ AV.'S1). OATE:0,.A~f!l: ICA_TION eu:,;NEss 'LICENSE # VALUATION PERMIT NUMBER
}( W& A0,1 ~ ,, ,.,, ,, :13-, S,;-,'F • • • ,
OWNER.:S NAME Rosco OWNER'S PHl!tNE • (l) ~j;J;) l'f UMJ,/r1~ CONTRACTORS PHONE# ZONE ~?-I -·' .:.l)~l/,; -, -, /_:.
OWNER'S MAILING ADDRESS 3j3TZ'S-A0?$.,f -~ .. i., LICENSE NO. PLAN I.□.# BLOG USE CODE
>3/gg3/
LOT 1 BL.OCK I SUBDIVISION I AS~S~'C~"oss 1u DESIGNER <)' • LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
.
OESCR!PTION OF WORK
. , DESIGN.ER'S ADDRESS DESIGNER'S PHONE
~//4 A
S / .,_:; ::3!~ ....
-~. --"' FLA ELEV NO DCC GP EDU
V STORIES
vO NO -~
crnsus TRAC, I Ge CAND use I eARK>NG se•ce RES UNITS I GRADING ~ERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO N 0 vO NO vO NO Not Valid Unless Machine Certified
QTY.I PLUMBING PERMIT· ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE 3 .!!!!!.. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 -··---
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER A_~E 'ORV-~-~~ _ _ t~-~...,~-' ---
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 .-,.r
~----------------------/&' -EACH GAS SYSJ~M~~TLETS ___ ---+---:,,t_ .. .J BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 .
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
~-----.;. --· ___ ----------
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
------
----·
EACH VACUUM BREAKER -1 MECH EXHAUST -HOOOlOUCTS MOBILEHOME --01-00-00-8225
---------1--------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ----------------------H EA~H ROOF ORAIN-="ISIOE! -SOLAR 01-00-00-82_26
------------TQT;..L MECHANICAL STRONG MOTION 80-92-33-0519
I £_()-~'~ --
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 -----
~ PUBLIC FACILITIES FEE 32-00-00-8923
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE -------
---------C ------BRIDGE FEE . ----
NEW CONST EA AMP:SWT BKR COLLECTORS SCHOOL FEE -DISTRICT ---------
I PH J PH . STORAGE TANKS Carlsbad 80-92-21-0519
' ---------~ .. --------------
EXIST BLOG EA AMP.1SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 -· .--------
IPH ]PH I PUMP San Diegu1to 80-92-23-0519 ---------------· -------
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FFE San Marcos 80-92-24-0519 -----+-----------------L__ ------------------.
1 TEMP POLE 200 AMPS --------H ------------------------------
OVER 200 AMPS --~---~-~--------------------------------
TEMP OCCUPANCY no DAYS) -u --------------------------
' ------,_ --------
TOTAL ELECTRICAL l I TOT AL SOLAR TOTAL FEES PAYABLE I /{.),::_
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATJON AND p_Ef!MIT" AND DO HEREBY ExpiraliOfl. Every penntt · ' -Building C)ltidiat under the provisiQns, of this * -~~PERMIT ISAEQUIREQ.F(Mil EXCAV~TIONSOV~
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Codettlafl
1
~lim · 'M&>mt-JMlilpdvoid.lflhebuifdingorWOfk ·5'. er DEEP Mm D8IOUTIONOR CONSTRUCTION OF
DECLARATiONS ARE TRUE AND CORRECT AND I-FURTH EA CERTIFY AN[):AGREE IF A PERMIT IS auth~rized ~Y ~~~ wilhjn-'t80 csays from the date of such Sl'flUClUMS OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-:'.:::0~ 1f ~v= the.U':.":i=.i:.-e~~~-of~,or .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND rllCA.'IJ'5 SI • cOWNER□ CONTRACTOR 0 APPROV D BY ~Y1/t3 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO /, / /
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE ,-;i . IJ ..A BY PHONE 0 ,. -~ • --GRANTING OF THIS PERMIT, -'~/ i _, , 1 , 1 -1
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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
PLUMS-ING TOP OUT
TUB AND SHOWER 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 , . \ r'I /
MECHANICAL \v .. , 0 ' r GAS \\ \
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
<II~ ,, ;;>d""' I
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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