HomeMy WebLinkAbout2431 LA COSTA AVE; E; 83-483; Permit., z 0 ~ "' .. ~ u .. C
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D I hereby affirm that ! am Ucensed under
provtaiona of Chapter 9 (commencing with
S.Ctlon 7000) of Olvlslon 3 of the Business
and Professions Code, and my license is m
full force and effect.
Lie No -----~ Clase,
I hereby af11rm that I am e,empt lrom the Contrac-
l~r's License Law for the lollow1ng reason (Sec 7031 5 Business and Pro!ess,ons Code Any c,ty or county which re
quires a permit to construct. alter. improve. demolish. or
repair any structure pr,or to its issuance also <eou1res the ap
pl1cant !or such permI1 to file a sIqned statemenT That he Is licensed pursuant to the prov,s,ons of the com•acior"s
License Law {Chapter 9 cornmenc,~g w,th Section 7000 of
D1v1s1on 3 ol the Business and Professions Godej 01 lhat Is ex-
empt therefrom and the bas,s !or the allegea exemption Any
vIolatIon ol Section 7031.5 by an applicant lor a per-nI1 sub-
Jec1S the applicant 10 a cIv,I penalty ol not more than 11ve hun-
dred dollars ($500_)
--I, as owner of the property, or my employees with wages
as their sole compensation. will do the work. and the struc-
ture Is no1 intended or of1ered for sale (Sec 7044. Business
and Protessions Code: The Contractor's License Law does
not apply to an owner 01 property who builds or improves
thereon and who does such work himself or through his own
employees, provided 1hat such Impr011ements are not intend-
ed or oHered tor sale 11, however, the building or Impr011e-
ment 1s sold w1thm one year of completion. the owner-builder will have the burden of proving that he did not build or im-
prove for the purpose of sale)
:J I, as owner of the proP€rty. am exclusively contracting
with licensed contractors to construct the proiecl (Sec 7044.
Business and Professions Cor;le' The Con!racto(s License
law does not apply to an owner 01 property who butlds or Im•
proves thereon, and who contracts tor each pro1ects with a
contrac!or{s) license pursuan1 to the Contractor's License Law)
8 As a homeowner I am Improv1ng my home, and the lollow Ing conditions exIs1
1 The work is being performed prior to sale 2 I have lived in my home for twelve months prior to complehon of this work
3. I ha~e not claimed this exemption during Ille last three years
ior /h1: r:~~~it under Sec ______ _ B&PC
0 I hereby aHlfm that I ha,e a cen,t,cate of consen1
10 self-insure. or a cert1!1cate ol Workers
Compensation Insurance. or a cer1,!1ed copy thereot (Sec 38((), Labo• Code)
POLICY NO
COMPANY
□ Copy IS hle<l w-1th !he city
D Cer11!,ed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(This sect,on need not t>e completed 1I the perm,1
Is tor one hundred dollars (SHXll or lessi
0 I cert,ly that 1n the pertormance ol the worl< tor
w-h1ch 1h,s pem,,1 ,s issued I shall no1 employ any
person m any manner so as to t>ecome subrecr tu
the Workers Compensation Laws of Ca1itorn1a
NOTICE TO APPLICANT 11. al1er makin] this Cert•
hcate o! Exempt,on you should become sub1ec1 1,,
the Workers Compensa11on prov1s,ons of the Labor
Code. you must lonh .... I!h comply w,th such provIs,ons o, this perm,1 shall be deemed re"o~ed
0 I he,eby atl1rm 1r.a1 Ther~ ,s a con~irvct,o~
leridmg agency lor the performance ot the work lor
w-h1ch lh1s perm,t ,s ,~sued 1Se, y::,:J? Ci,il Code;
Lenders Name ___________ _
lende• s Add•ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT (619) 438-5525 -ST.
ft't/o. -~
&ONIT~~CTOA ·::r. .
BUSJNESS LICENSE# I VALUATION I PERMIT NUMBER ... ~-
1 CONTRACTORS PHONf. I ZONE I y ~ 3
"LICENSE ·NO. PLAN 1.0. # BLDG USE CODE
'S
LICENSE# STANDARD PLAN# BUILDING sa. FOOTAGE
I "' .. 5 "" · w,--• y··. , -" . , I oes10N-ER'S AQoRetS, Jj ' 4 . ! , " ¼ ' • ' "
OESIG~EA'S PHONE
~. ,;c~/b-7ffc. "--+--I F,P FLR ELEV I j NO occ GP j EDU I t I I
• "' k · STORIES
L~ jf__,_L. '1 Jlf:! L;r-r!T--ft, :3 r . 1 , .
. If•.,.
tO N □
YO r-..0
REDEVELOPMENT
AREA
•□ NO
TYPE
CONST
DCC LOAD I FIRE SPFf
YO NO Not Valid Unless Machine Certified
QTY.I PLUMBING PERMIT· ISSUE st> -QTY.I MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I ' II I INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00·8220
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
Pl AN f;HFr.K EACH WATER HEATER ANO,'QR VENT I BOllER1COMPRESSOR UP TO 3 HP 1 , 1 _,.,,, -···--.. 01-00·00·8806
IUIAL f'LUMtllNG EACH GAS SYSTEM l TO 4 OUTLETS __ t----· ·-·-·-_ ~ BOILER/COMPRESSOR 3-15 HP 11 ----·-01 ·00-00-8222
EACH GAS SYSTEMS OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE .-----i--_ VENT FAN SINGLE DUCT
EACH VACUUM BREAKER I MECH EXHAUST HOOD-'OUCTS
MECHANICAL 01-00-00·8224
MOBILEHOME 01-00-00·8225
<;'_
WATER SOFTNER I II I RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
FACH ROOF DRAIN IINSIDF1 SOLAR 01-00·QQ-8226
TOI Al PLUMBING
TOT.liL MECHANICAL 1, oo I STRONG MOTION 80·92·33-0519
FIRE SPRINKLERS 01-00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE s=.. QTY. I SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
NEW CONST EA AMP:SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLDG EA AMP1SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Diegu1to 80·92-23-0519
REMOOEL'ALHR PER CIRCUIT PLAN C!-iECK FEE San Marcos 80·92-24-D519
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECIRICAL TOT Al SOLAR TOTAL FEES PAYABLE 7'00
.-······· ••• ,;,".f .. ·, ). ·. ~i::>o.HEFleB.Y : Eli:~iE\leryiP8(mit~tJ,lte~ii'\gOlfwtlft~def:theinC?111!!11ortsofthis * AN~ PEAMIT IS REQUIREO FOR EXCAVATIONS OYEff
±. . Code th;fllf expire by fiJrntation,..am:J become nult.-and 110id If th& buttdiflg 6-r WOrfl 5' O" GE£P~ D£MOU1lON OR: CONSTRUCTION OF ~r:mm THE authortzed by such permit is l'lot commenced Within 180days fro~ the date Of such STAUCTUR£S OVER 3 STORIES tN HEIGHT 1 P-FRMff IS permit or if the buildrng or wo(k aull'\orWl(f f)y-such permit ts suspended or
DING CON• abandoneG •' time after the w rk is. com for a r10d of 1 .
NlfY. AND APPLICANT'S SIG'1Uftf * " / .. _OWN~cdNTRACtoR D APPROVED BY DATE ) '.>STSANO ,,... ~ ,JIJ . ,•,~ , · ":) 0
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TYPE I DATE INSPECTOR cg-3 ~4-i< '5
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHE~R
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ' I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
' CONCRETE
PLUMBING I . FIELD WELDING
SEWER AND BUCO □IPUCO I HIGH STRENGTH
BOL Ts
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSON!::
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ LjFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
' I
MECHANICAL I .
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I . ~·.;. ... ' . . . VENTILATING SYSTEMS !
I . ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV£1 BEEN APPROVEQ
FINAL I
PLUMBING I
ELECTRICAL I -
MECHANICAL I /I'] -fl<.·(\--C1U
GAS I
BUILDING I
SPECIAL CONDITIONS I
I I