HomeMy WebLinkAbout2431 LA COSTA AVE; E; 83-302; Permit"' z 0 ;::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No Class
I hereby afhrrn that I am exempt from the Gontrac·
tor"s License Law tor •he •0IIow1ng -eason ,:Sec 7031 5
Business and Proless,or.s Code Any c,:y ~r cv~nt\' wh,ch re-
~u,res a permit t~ c~nst,uct alter Imaro-1e demo 1sh or
repa,r as)' s1·,,c:u,e, p':or :o 11s 1ssJcnce a SJ reqJ,res t~•eap-p ,cart !Jr such perm,t to 11 ea s,g~ed stalernent that he 1s
;icensed Jursuant to the orwrs,ons ot the Cc1:rac'.or's
c,c-.~se Law 1Cha~tw 9 ~O"''llen~,n~ w1!h Sert,or 7000 o!
Drvrs·Jn 3 ct the 8Js1ness and Pro•ess1ons Code', o· •~al Is e,
empt there'rom and the Oasis for :ie alleged e,ernpt,on A.ny
v1olat,on ot Sect,o~ 703' 5 oy 2.n aapl1carl 'or c Jerm t s,b-
1ects the ap8I cant to a rn:I penalty o' not "Qre than five hon-d·ed do'lars ,:$50Q•
7 1. as owne' o1 the property. or my em8Icyees w1Th wages
as their wle com8ensatIon. will cto the wor,. ana the s•~uc·
ture Is iot 1nterded or offered for sale (Sec 7044 Bus,ness
and Professions Code· The Contractor"s License Law doos not apoly to an ownsr of oroperty who builds or improves
1hereon and who does such work ~Imself or through his own
employees, provided that such improvements are not intend-
ed or offered ror sale It. however. the building or improve-
ment Is sold w1thIn one year ot completion. the owner-builder w,11 have the burden of proving that he did not build or rm-
prove for the purpose of sale)
C: I, as owner of the property, am exclusively contracting with licensed contr2ctors to 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 wrth a
contractor(s) license pursuant to the Contractor's License Law)
C As a homoowner I am improving my home. and the follow
Ing cond1!1ons exist
1 The work is being perform€{! prior to sale
2 I _have lived In my home for twelve months prior to completion of this work
I have not claimed this exemption during the last three years
C I am exempt under Sec ______ , B & P C
tor this reason
O I hereby all,rm that I ha,e a cer11f1cate of consent to self-rnsure, or a cer11t1ca1e of Workers
Compensation Insurance, or a cert1!1ed copy the,eof
(Sec 38((), Labor Code)
POLICY NO
COMPANY
□ Copy IS filed with The city
0 Cer11f1ed copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
/Th,s sec1,on need not be completed ,f lhe perm,t
1s tor one hundred dollars 1s1001 or iessi
O I certify that "' the performance ot the work lor which th,s pemi,t ,s issued. I shall not emp,oy any
person rn any manner so as 10 become subIect to
\he Workers Compensation Laws o1 Ca1,torn,a
NOTICE TO APPLICANT If. after makm~ this Cert,
t,cate of Exemption. you should become subiec1 t'J
the Workers Compensa1,on pro,1sIons of lhe Labor
Code you must lor1hwrth comp1y with sue!' pro~1s,ons or lh1s perm,1 shall be deemed re,oked
D I he,eby alf,rm that there s a cons1ructIon
lending agency tor T"f' per'or"·ance o' •r.e war-lo, wn,c>i :h,s perm,! ,s 15sued 1Sec ',097 C,,il Cod,,,
Lender~ Narr>e ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SH.A,lll,D AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
APPLICATJON .&. PERM1Y3///3)
AV. ST. BUSINESS LICENSE # I ~N RO. 2431 LA d,sm '4-vc
OWNER'S NAME
JosE/Jff-4 I/J4RJAJo
J CONTRACTORS .-nvn .. ,. I <-v,.._
'i/'1:'J!-1'" NUMBER
I '""""'" I'""" I ?--D ~
OWNER'S MAILING ADDRESS
Z43/€ u ~.sm Ave CONTRACTOR'S ADDRESS I LICENSE NO. I PLAN 1.0. If BLDG USE CODE
COT BLOCK r SUBOI VISION l ASSESSq.(i PARCEL NO J_ ;.i ,..., ;;l40 !>-i,;-O<o DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCFl!PT!ON OF WORK /,Al 5nk..'-Jt1.or w~ /./EA ,"12 Lf,tl),,. DESIGNER'S ADDRESS DESIGNER'S PHONE
l. ll€Jl~-··---------· ------· ~ ----1 F.'P FLA ELEV. I I NO DCC GP I EDU I I I
STORIES
YO r-.0
GRADING f".ERMIT ISSUED ace LOAD I FIRE SPR CENSUS TRACT I Ge CANO use rRK<NG 5'ACe RCS UN,TS J
¥0 ND I REDEVELOPMENT
AREA
YO NO
TYPE
CONST
YO NO ;;1 re ·,3~_..,se ..
"'1 N'f', ~1(1 ~~s ~l}'(ll t;ert1f.!.ed 1n_o
' _'_____i_D._ __ _Q
QTY. PLUMBING PERMIT· ISSUE 7,~c;,11 QTY MECHANICAL PERMIT. ISSUE ,5/00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
t:ALH tlUILDING SEWER
EACH WATER HEATER ANO·OR VENT f---+---··----
EACH GAS SYSTEM 1 TO 4 OUTLETS
_L -z_::-~-~
l----EACH GAS SYSTEM 5 OR MORE ·
J--+-EACH INSTAi:ALTER-, REPAIR WATER PIPE t
t---EACH VACUUM BREAKER !
!NS TALL FURN. DUCTS i.JP TO 100,000 BTU
OVER 100,000 BTU __ ----+-
BOILER/COMPRESSOR UP TO 3 HP __ _,_ _____ ---~DILERicoMP_R_E_ss-□R-:i 15 _H_P __ _
------+----'---i
METAL FIREPLACE
BUILDING PERMIT
SIGN PERMIT
-----
PLAN CHECK --.
TOTAL PLUMBING
ELECTRICAL
H~T~RSOFTNER
r:=--. r_H_ R: ~RAI~ l!NSIDEI
VENT FAN S!NGLE DUCT I ± MECHANICAL
MEC'H EXHAUST -HOOD-'DUCTS I ~ MOBILEHOME
RELOCATION OF EA FURNACElHEATER ----· ---f---~-lf--+----+------ji~L~HOME PARK INSP
TOTAL PLUMBING I
TOT.k.L MECHANICAL Lo•A
SOLAR
STRONG MOTION
FIRE SPRINKLERS
01-00-00-8220
01·00-00-8221
---o-,--oo-oo-880-67 1-----------11
01-00-00-8222 JV 7"' ----
01-00-00-8223 -----
01-00-00·822"4-+-------
01 ·00-00·8225 -----
---
01-00·00-8226
80-92·33-0519 -+---------1
01-00-00-8227
QTY I . ' ELECTRICAL PERMIT -ISSUE 3-;Q:'J ll QTY-+---SOLAR · ISSUE PUBLIC FACILITIES_FEE ____ 32-00-00·8923 -j--------,
BRIDGE FEE
! NEW CONST EA AMP 'SWT BK R
I PH 3 PH
EXIST BLDG EA AMP/SWT.'BKR
J-·--1----
REMODEL'ALTER PER CIRCUIT
I PH 3 PH -·-t-
-+---TEMP POLE 200 AMPS
UVl::H 200 AMPS --+-------
>---+ TEMP OCCUPANCY (JO DAYSI
--
~ ----
TOTAL ELECTRICAL
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK i=EE
---+-
-----
TOTAL SOLAR
SCHOOL FEE • DISTRICT
Carlsbad
Encinitas
San Die_~u_i_1o __ _
San Marcos
~,Rt r •-
TOTAL FEES PAYABLE
80-92-21-0519
80·92-22-0519
80-92-23-0519
80-92-24-0519
----
I
------
/O ----
·~
Expiration. Every permi_t issued by the Building Official under the provisions oft his
Code shall expire by limitation and become null and void If the budding or work
authorized by such permit 1s not commenced within 180 days from the date of such
permit, or 11 the building or work authonzed by such permit 1s suspended or
1r AN OSHA PERMIT IS REQUlREO FOR EXCAVATIONS OVER
-5' O"" DEEP .\NO OEMOUTION OR CONSTRUCTION OF'
STRUCTURES OYER 3 STORIES IN HEIGHT
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~ abandonecl at an time after the work 1s commenced for a nod of 160 a s. "'"----..--1---,----1
I APP~RE --O~:"E~ CONTRACTOR O " ,c
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT'" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO! FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BU1LD!NG CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABlLITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID C!TY IN CONSEQUENCE OF THE ;~;1:f ~-J-!; GRANTING OF THIS PERMIT • ~ ~ SYPHONED 0,...
.... ~ ..I.
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 /TIU,. .-,,ry ;--_, LID.-? •If' .rin ,I ,,,,. -,nr l
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-
-
-
-
-
-
-
-
-
-
-
' . . • c.:;~~d'v -
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
OVE~ 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
..... ·:. . '~ ;,> -. -.. •
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