HomeMy WebLinkAbout2431 La Costa Ave; B; 83-222; Permit,,, z 0 ;:: : :l u w C
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'Wt hereby affirm that I am licensed under
-~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcen.se i;;_; '"" 10,~7~,i,;i,1 /"\ ._-:z Lie No:;>-'-f::Jli:5 Class ~ _2,
I hereby affirm that I am exemDI 1mm the Contrac-
!or's License Law for the 1ollow1ng reason (Sec 7031.5 Business and Protess,ons Cooe Any city or county which re-
quires a perri,t to construct, alter, improve. del'lol1sh. or
·epair any structure. prior to_ ,ts issuance also requ,res the ap·
~l,ca~I 'or such permit to file a signed statement that he is 11censeo pursuant to the ~rov1s1ons o! the Contractor's
L:cense ~aw :Chapter 9 comrnenc,ng with Section 7000 of D,v,s,an 3 of 1"e Bus1~ess and Professions Code) or that Is ex-
empt tt1erefrom and the basis !or the alleged exempt,on A~y
violation of Section 7031 :, by an aopl1can1 for a permit sub-
1ects t~e app1Icar.t to a cIvI1 penalty of not more man five hun-
dred dol'ars ($5~01
I, as owner o\ 1he property or my emplo1ees w1Th wages
as their sole compensation. will do Hie work. and the struc-
ture Is ~ot intended or offered for sa•e 1sec 7044. Business
and Protess1ons Code· The Cont-actor's license Law does
not apply !o an owner of property who builds or improves
thereon and who does such work ti1mself or through his own
employees, provided \hat such improvements are not intend-
ed or ottered for sale If. however. the ou1ld1n9 or imorove-
men! Is sold w1th1n one year of completion, the owner-bu,lder
w,11 have the burden of proving that he did not bu,ld or im-
prove for the purpose of sale)
::::J I, as owner ol the property, am exclusively contracting w1!ll l1censed contractors to construct the project (Sec 7044,
Business and Profess,ons Code. The Contractor's License
Law does no1 apply to an owner of property who builds or im-
proves !hereon, and who contracts for each pro1ects with a
contractor{s) license pursuant lo the Contractor's License C.wl
"J As a homeowner I am ImprovIng my home, and the follow-
ing cond1tIons exist 1 The work 1s being performed prwr to sale
2 I have lived in my home !or twelve months
prior to completion ot this work
I have not claimed this exemption during the
last three years
0 I am exempt under Sec _______ , B & P.C
for this reason ____________ _
vhereby at!1rm that I ha~e a cert1!,ca!e ol consenl
~~~elf-,nsure. or a cert1f,cate of Workers :l::~~"tjs-.\' "7:;;c=,. ~_;
~OMPANY 5/-Ct ie-ti.Ar\d K Copy Is filed with the city
D Certified copy Is hereby furrnshed
CERTIFICAH. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec11on need not 0€ completed 1f the perm,1
Is for one hundred dollars !SH)()) or less)
O I cert,ty 1hat In the performance of the work for
wh1Ch this permit ,s •ssued. I shall not employ any
person .n any manner so as to t>ecome subrect 10
the Worl<ers COmpensat,on Laws of Ca11torn1a
NOTICE TO APPLICANT It_ alter mak,nJ th,s Ce,i,
t,cate of Exemption. you should t>ecome sub1ect t-:,
the Workers Compensat,on p10.is,ons of the Labor
Code. you mus1 forthw,th comply with such
prov,s,ons or th,s perm1t shall be deemed re,oked
0 I hereby aflirm that !here Is a construc1I0~
lending agency to, lhe pertormance 01 the wons lo,
which this pe•m1t Is issued 1Sec 3097, C,,,I CodeI
Lende, s Name ___________ _
Lender 5 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
JOB AOOFIESS .-La &;;_,h ~ ~ A~6.i'los7i7~N, BUSINESS LICENSE # VALUATION PERMIT NUMBER
., fr, LA Ii{~ --?lf':JJ 13
OWNE~E°'l\~ eA OWNER~PHONE ~Rhc//lJ I /JI~ k ~lq'if!2:o-;J; ZONE ~;<.),_
OWNER'S MAILING ADOAESS ~7;;t"'@ A Ji=3CJit.31 PLAN 1.0. # BLDG USE CODE ~. ){"Tlr<,
LOT I BLOCK I SUBDJV!S\ON I ASS!i'Si°(!PAl~osS' O"! DESIGNER J LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK
I 1 /Pb . .) r o
. , I DESIGNER'S
. ~ --\ • -,1, FLR ELEV.
vO NO
CENSUS TRACT I oe cAND us, l eARKING seAce I
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
R,S UN"5 T GRADING ~ERMIT ISSUED
YON 0 I
REDEVELOPMENT
AREA
YO NO
J ~~II QTY I MECHANICAL PERMIT -ISSUE
NO
STORIES
TYPE
CONST
3~
DE.SIGNER'S PHONE
DCC GP EDU e, , .. ; :;"l?, --
OCC LOAD FIRE SPA
YO NO Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT D1-D0-00-8220
I UVl:.H lUU,000 BTU . SIGN PERMIT 01-00-00-8221 --------
EACH BUILDING SEWER +--/ ~ ~!NSTALL FURN DUCTS UP~~ ~~0.000 BTU
------. ---+ ~--------. *· ___..-~LEA/COMPRESSOR UP TO 3 HP • PLAN CHECK _01-00-00-880_6-+--;_ -_-y ... ~~~ sq~lrn-11:0MPRES~_OR 3-15 HP ----TOTAL PLUMBING 01-00-00-8222
EACH WATER HEATER ANOiOR VENT
L---J_iACH GAS SYSTEM 1 TO 4 OUT LETS
_ ____L_
i-zo --
EACH GAS SYSTEM 5 OR MORE 1---l--
EACH INST Al .. ALTER. REPA!R WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
j METAL FIREPLACE ELECTRICAL 01-00-00-8223 --------+-----
VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ---+----
----MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 -f-C=. ..
RELOCATtON OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
~-1----
EACH ROOF DRAIN :i!IISIDE) 7 1---· ---· SOLAR 01_-00-00-8226 t--r---_ __---·------__ ] __ __ -~ rnTi:.L MECHANICAL I STRONG MOTION 8o-92-33-051TT
'--+--
--TOTAL PLUMBING ] /__Cl _,:.,,,,-1--. FIRE SPRINKLERS 01-00-00-8227 --------
1 __,,.,, PUBLIC FACILITIES FEE 32-00-00-8923 ._5-=::::-QTY. SOLAR -ISSUE BRIDGE FEE QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP'SW_T_.B_K_R _____ _ COLLECTORS . SCHOOL FEE -DISTRICT
STORAGE TANKS Carlsbad ---
ROCK STORAGE · Encinitas
~~ ~H 3 PH --=:c------EXIST BLOG EA AMP/SWT/BKR ---------------+--~ _ __ __??n Di~guito 1 PH -------·
3 PH --+---San Marcos ~--+-REMOOE L:AL TER PER CIRCUIT
---------+-----PLAN CHECK ~EE
--------+---L----+---~POLE 200AMPS t---I OVER_200 ~M_!'S --------
~TEMP OCCUPANCY {30 DAYS) ---------
' ---_l ----
-----+----
80-92· 21-0519
80-92-22-0519 --t------
80·92·23 -0519
80-92-24-0519
.
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---
-
---
TOTAL ELECTRICAL I
I
----+--TOTAL SOLAR -+----TOTAL FEES PAYABLE I /(; .'..:.-:--
I HAVE CAREFULLY€XAMINEDTHE-ooMPLETED "APPLICATION AND PERM1-f\. ANO OQ, l:IE~Eav ilding,~fJ:~-·~~ovfSi~ofthis
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE limitattori JM nwtJt\d ~ ·11 the fMlding or work
DECLARATIONS ARE TRUE AND COAflECT AND I FURTHER CERTtFY ANO AGAtE IF A PERMIT JS men~¥1J'itf\m f80daysfromthedateofsuch authoriZed -by -such perm!! 11 suspended or
?
ts commenced for• riod of 180 d
OWNER O CONTRACTOR 0
BY PHONE 0
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SlRUCl\JAES OYER 3 STORIES IN HEIGHT
APPR~ 1Yo/t1
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNOATION
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 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 I
PLUMBING '\ \ .... I J
ELECTRICAL \ mJtt .I I 0 '
MECHANICAL -\I. I \I
GAS \ \ "' BUILDING '
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'tr5 -c7d'd-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PR!OA 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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