HomeMy WebLinkAbout2433 La Costa Ave; D; 83-204; Permit"' z 0 ~ "' .. -' ~ 0
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i\/'1 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 license is in
full force and effect /'3 £,
L,c ':315~1 ·· Clas; -V f-l-
I liereby affirm that I am exempt from the Contrac-
tor's License Law :er the lollow1ng reason !Sec 7031 5 Busrness and Professions Code Any c1t1 or county wh,ch re-
ou,res a perrrnt to construct. alter. ,'Tlprove demolish. or
repair any S1' Jcture prior to ,ts issuance also requ,res the ao-□1,cant 'or such permit to file a signed statement that he ,s
,ce~seo pucsuant to the provisions of the Contractor's
ucense ,aw ,.Cnapter 9 ~ommencIng w,th Section 7000 uf
D1~1s1on 3 Jt the Bus,ness and Professions Codei or that Is e~-
empt therefrom and The bas's for the aileged exer'lptIor. Any v1olat1on o' Section 7031 5 by a~ apoi,cant 1or, ~erm1t sub-
Iect, the apoI1cJnt :o o c,vII penal!y of not more than 11ve hun-
drea doIIars 1$SOO'r
I as owner of the property, or my employees with wages
as their sole comoensatIon. will do t~e work, and the struc·
ture ,s no\ rntended or offered for sale (Sec. 70~4. Business
and Professions Code n,e Contractor's License law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or 1hrough his own
employees. prov,ded that such ,mprovements are not intend-
ed or ottered tor sale II. however, tM building or improve·
menl Is sold w1th1n one year of completion, the owner-builder
w,I' have the burden ot proving that he did not build or im-
prove for the purpose of saleJ
~ I._ as owner of !he property, am exclusively contracting
with licensBd contractors to construct the proIect (Sec 7044
Busmess and Professions Code The Contractor's license
Law does not apply to an owner o! property who builds or im-
proves thereon. and who contracts for each projects with a contractor[s) I,cens.e pursuant to the Contractor's License Law)
I, As a Mmeowner I am improving my home, and the follow-
ing cond1toons exist
1 The work Is being pertormed prior to sale
2 I have !ved in my home for twelve months prior to completion o1 this work
I have not claimed this exemption during the
last three years
7 lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
},/1 hereby atform that I ha•e a cert1t,ca1e ol consen1_ ~ self-onsure. or a cert,!1cate of Workers
Compensat,on Insurance. or a cert1!1ed copy !hereat
:,c".':o'"-'6.3S7QJ -~3
COMPANY 5'""'/zl lt..h\..\.0
XCopy Is tried w,th 1he c1ty
0 Cert1!1ed copy Is hereby tum,shed
CERTIFICATl OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(Th,s sect,on neea no! be comple1ed ,f !he perm,!
Is 1or one hundred dollars ISH)')) or less)
O I cert,!y tha1 ,n !he pertormance of !he won< !or
wh,ch th,s perm,1 ,s ,ssued. I shall no1 employ any
person m any manner so as to become subIec• to
the Wori<ers· Gompensa1,on Laws o• CaI,1orn,a
NOTICE TO APPLICANT 11. at!er mak,n~ 1hos Cert,
!,cate of Exemp11on. you should become subIec1 l'J
the Wori<ers· Compensat1on pro.is,ons ot the Labor
Code. you must torthw,th comply w,th such
provIs,ons or !hos permI1 shall be deemed revoked
0 I hereby aflirm tnal there ,s a cons1ructI0~
rending agency to, the per1ormance ol lhe work lo,
wh,c~ this permn ,s ,ssued (Sec 'J{E7 c,v,I Code)
Lenders Name ___________ _
Lenders Add•ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, _Carlsbad, ~alifornia 92008-1989 (619) 438•5525
OWNE A'S PHONE
COT BLOCK SUBDIVISION ASSESSOR PARCEL NO _
ff., ~'-Hl 5'::> 0 l OESIGNER
DESCRIPTION OF WORK k. I oes,GNER'S Aooaess L~ .. ~~~~ F/P FLA ELEV
YO NO
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
QTY. PLUMBING PERMIT· ISSUE S-0 --EACH FIXTURE TRAP
+-
GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA
QTY.
v0 N 0 YO NO
MECHANICAL PERMIT· ISSUE
INSTALL FURN_ OUCTS UP TO 100,000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
APPLICANT TO FILL IN INf'UHMAI IUN WII MIN ::JMAUC.U 1-\nc.M 1-\l'IU u ... ..,._,..,n,..,, ,..,,.....,.
-'· APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
·_7d"f;} -
BUSINESS LICENSE # VALUATION
ZONE
t~E~MIT NUMBER
c:;2t1 I
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUILDING sa. FOOTAGE
OESIGNE R"S PHONE
DCC GP I EDU
DCC LOAD I FIRE SPA
vO ND
SUMMARY/ACG01111i!: Nltl.1BliR"-~ -i :l,:
BUILDING PERMIT 01-00-60-8220
----
SIGN PERMIT 01 ·00-00-8221 -------EACH BUILDING SEWER ~~ WATE~ HEATER!-_NlJ:O~ VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
L _A L.;2._:;::. . BOILER/COMPRES_SOR 3-~5_HP ----+---~--!-
PLAN_ CHECK 01-oo-oo-8ID ~
TOTAL PLUMBING _ _ 01-00-00-8222 ,/tJ .__..,,.,
ELECTRICAL 01-00-00·8223 '
1 EACH INSTA~ .. ALTER, REPAIR WATER PIPE
I EACH VACUUM BREAKE-,--.
·~---··-
WATER SOFTNER
j -·
----
METAL FIREPLACE --------VENT FAN SINGLE DUCT
-·--· -----
MECH EXHAUST -HOOOIOUCTS -------------
RELOCATION OF EA FURNACE/HEATER
MECHANICAL 01 ·00-00-8224
MOBILEHOME 01-00·00·8225 --·---
MOBILEHOME PARK INSP ----
I EACH ROOF DRAIN IINS,DE'1 __ -r-.-. -·--·--. --T--:-;pr;-I I ~R __
TQT.t;,L MECHANICAL I I STRONG MOT,
_ __ 01-00-00-8226
80·92-33-0519
01-00-00-8227
32-00·00·8923
-TOTAL PLYMBING --~~~~~l_ __ J~ _ ___? -~-"~~~~---"'"-~-__,.""4c,..._
QTY. ELE_C_T_R_ICAL__P_ERMI_T_· l~_s_UE-~·~. ·fj·~ QTY, SOLAR · ISSUE
NEW CONST EA AMP'SWT:BKR . ----------
1 PH 3 PH rmS_T_8_L□-G-EA A-M-P-,S-WT-:_B-KR -.---_-__ _
3 PH I PH -l------·
REMOOEL:ALTER PER CIRCUIT
~--[ TEM~-Po LE -2_~0 A-M~---
-+. OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ---+--
TOTAL ELECTRICAL -l
COLLECTORS
STORAGE TANKS
ROCK STORAGE
·---
PUMP
PLAN CHECK FEE
hi ~-CAREFULLY EXAMINED THE·COMPLETED ''APPLICATION ANO PERMt°f" ANO 00 HERE.BY cear,i=v UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
, DeC)LARATIONS ARE TRUE ANOGORRECi",AND t FURTHER CERTIFY-AND AGREE IF A PERMIT IS
1$SUED: TO COMPLV'WtTH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-·STRUliit~flTttB;l ~ECI.FIE0 HERE!~ OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO :,~~~~F Tds~!~T:,?~~\S:~trizi;i ~~~l~~~s,;~~~~~N~6~ ~~~
TOTAL SOLAR
Carlsbad
Encinitas
DISTRICT
__ San _Qieguito ____ _
San Marcos
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 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 ~
GAS ~l(-113 17'
BUILDING I
SPEC_IAL CONDITIONS
CERT OF OCCUPANCY ISSUED
%'3 ·2£>'-/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR·S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE .
POST TENSIONED
CONCRETE
FJELD WELDING
HlGH STRENGTH .
BOLTS
SPECIAL MASONRY
.-~-
PILES CAISSONS
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-' -' ... li: = . .
..
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