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Home My WebLink About2433 La Costa Ave; B; 83-206; Permit"' z 0 "' .. IC :l [rl C IC i[ l IC "' 0 ... 5 I "' z ~ z 0 "' ;:I z "' .. ,. 0 " "' "' "' " IC i ![ rV1 hereby affirm that I am licensed under -tr\vlslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my liceniis in foll 10,,e •~,Jl'5/' t·• J L,c No 311Jb:::;> Class _ _ _ I hereby affirm that I am exempt from the Contrac- !or's License Law for the fol'ow1ng reason !Sec. 7031 5 8Js1ness and Professions Code Any city or cou~:y which re- quires o permit to construcl a:•er improve. demolish, or repa•r any S!'uC'.ure p_r1or to its 1ss_uance also rec~1res the ap· ol•cant for such per::iIt to file a sIg~ed stater.ent tha! ~e Is 1cersed r,,rsuant to the ~roy1s1ons of the Contractors L1ce1se Law ,:Chapter g rnf'lmenc,ng with Section ?OOQ of D1rn,on 3 8f the Bus,r;ess and Professions Cede) orr"at is ex- empt the·efro-a1a !he basis for the alleged e~ernpt,o~. Any 1·1olat1co of See'·or 7031 5 by on applicant for a perm,t su~- Iects the aopIIcani to a cIvI, penalty of not more than f11·e hu1- d·ed dollars i$SOQ', -I, ;;s owner of the p,operty or my employees with wages as their sole comoensatIon. w,II do !he work a~~ tne st:uc· ture ,s no: rntended or offered for sa•e (Sec 7044. Business and Professions Code· The Contractor's License law dDes ~ot app y to an owner o1 property who builds or improves !hereon and who does such work h,msell or through his own employees. provided that such improvements are not intend• ed or oflereo for sale. If, however, the building or ,mprove- ment 1s so'd w1th1n one year of completion, the owner-builder will have tM Durden of proving that he did not build or im-prove for the ouroose of s.aleJ ,~ I. as owner of tt,e property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Profess,ons Code: The Contractor's license law does not apply to an owner of property who builds or im- proves thereon, and who contracts tor each proIects w,th a contractor(s) license pursuant to the Contractors License Law). C As a homeowner I am ImprovIng my home, and the follow-ing conditions exist 1 The work Is 1J.e_1ng per!orme-d prior to sale 2 I have lived In my home for twelve months prior to completion or this work I have not claimed this exemption during the last three years , I am exempt under Sec ______ . B & PC. for this reason ____________ _ W1 hereby affirm that I ha.-e a cen,!,cate of con sen I ~se1f-1nsure. or a cert,!1cate of Workers Compensat,on Insurance. or a cen,hed copy thereo1 (Sec 3800. La.ooyooe) G e(>UCYN0 p3570'1;_-83d. COMPANY -:S'"-/7:'A.. ~"\. }!(. Copy ,s hied w,m !he city D Cert,t,ed copy rs hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed ,f lhe perm,t ,s tor one hundred dollars 1$1001 or lessJ 0 I cert,fy that ,n the performance ot the worl< Jo, wh,ch th,s permit ,s ,ssued. I shall r,ot employ any person ,n any manner so as to become subiect to the Wor1<.e,s Compensat,on Laws of Californ,a NOTICE TO APPLICANT 11, after mak,n~ th,s Ce~, toca1e of Exemption, you should become sub1ec1 l'l the Worl<.ers· Compensat,on pro.-,smns of lhe Labor Code. you mus1 forthwith comply w,th such prov,s,ons or th,s perm,t shall be deemed ,evoked 0 I hereby affirm lhat lhere ,s a construct,or, 1er,d,ng ~er>Cy for the perto,mance of the work for wh,ch lh,s permrt ,s ,ssued 1Sec 3097 C,.-11 Code1 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 JOB AD,ESS A /,.., /1, I AV.ST. 0;;-/4APP f1CATION BUSINESS LICENSE # VALUATION 8?RMIT NUMBER -j). ,-::??, J/b,-RO. '§/ ~3 j IJ , .. , ~ -~tPt owj 'S NAME --, OWNER'S PHONE tih;!AIT0 " /J/dm A';1/, ri5:~i)_; ZONE h/') k ,, OWNER'S MAILING ADDRESS CON~;2TOfloA;;~A7o 1 ~ .A.'>.d. LICENSE NO . PLAN 1.0. # BLDG USE CODE l5/gg3/ COT BLOCK I SUBDIVISION l ASSEJSOR PAR~~ NO s -03 DESIGNER .;._) -' LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE . 11; ~ 0 ':. .'!! ii: >, ;. a °' E "' f- I " 0 "' OESCAIPT10N OF WORK . OESIGNE~'S ADDRESS DESIGNER'S PHONE J}j ~ ~ f, ,, f _, -----, -~ e/e FLA ELEV NO OCC GP EDU STORIES vD NO CENSUS TRACT I GP LAND use I PARKING SPACE RES UNITS l GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA AREA CONST YO ND v □ NO vD NO Not Valid Unless Machine Certified E rn 0 °' °' <( rf ~ C a: -1. 5"° 3,#_ . ,,_ ! . . QTY. PLUMBING PERMIT· ISSUE : ::::--QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 I -· --------·· ·--EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 --------+ .... ·-.er ~-------------·-------·-,':,, , EACH WATER HEATER ANO..-OR VENT ' < . BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 1--_,. ____ v .. - -~ ------------_. __ ~ ·------·-___E.' .» EACH GAS SYSTEM 1 TO 4 OUTLETS 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 INSTAI.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ·---·-. --- :. a "' "' "' "' "' <( I ~ .Q a; >-----EACH VACUUM BREAKER MECH EXHAUST -HOQDiOUCTS MOBILEHOME 01-00-00-8225 --~--------·-.. --· ------.. ---WATER SOFTNER RELOCATtDN OF EA FURNACE/HEATER MOBILEHOME PARK INSP ~ -----· -.. ~--EACH ROOF DRAIN ,:INSIDE! . {,' SOLAR . 01-00-00-8226 -· --· ------~ ~ -· ---· I £ • TOH;L MECHANICAL 111P OTION 80·92-33-0519 -·--1 , zt .;_,.,,,. NKLERS-----01-00-00~8227 ---TOTAL PLUMBING --~--~ ·--· --~ - -")~ V ~UBLIC FACILITIES F~E __ 32-00-00-8923 OTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE --· -----.. 7 BRIDGE FEE -------------· ------~ ---NEW CONST EA AMP.'SWT BKR COLLECTORS , Al SCHOOL FEE -DISTRICT -. ·-. I A, /. ---~ -IPH J PH STORAGE TANKS Carlsbad 80-92-21-0519 -----~-----------11 II / ·-·-------EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22·0519 ---------' --------·----I PH J PH --____ · __ PUMP I / _S~~e[uito 80-92-23-0519 --·--------. ------------. I,, -REMODEL·ALHR PER CIRCUIT ' PLAN CHECK FEE San Marcos 80-92-24-0519 --· ---·--------------------. -~----~-· ------- "' "' "' 0 0 a: rn <ii 0 §: "' 0 C rn C ii: -I -------TEMP POLE 200 AMPS --). 1--/ '--------------------------------·-·--· --. ----· -OVER 200 AMPS -· -. -·--·· -·-----· C "' "' (9 V ·--· -----I----··-TEMP OCCUPANCY 1]□ DAYS! -j_____ ____ . -. ---·------~--~-·-----·--------- ' -----· __ -------·----·----------· -----· .. -l TOTAL ELECTRICAL i TOTAL SOLAR TOTAL FEES PAYABLE I /,:. e,;·-"" I H~ CAREFULLY.EXA•1tlml"flilcOOMPiETE!> "APPLICATION AND PERt,lrr·· AND PO HERESY . ~,:r-~u-.,, ... -~~ ....... ,,..;.,..,,... . '_,t~~.-=~-=~OFOVEA CE FY UNDER PENALTY OF PERJURY ·THAT ALL INFORMATION HEREON INCLUDING THE authoriZed~ ~llhd' withiff•1~«:n~~wo~ OECLARAltONS ARE~A:NO CORRECT AND f FURTHER CERTIFY ANDAGREE1F A PERMIT IS permft. °' i . iklir wof1t. · -. --~.peffltit ia ~ ~ . 'stJlUel\lfl!S OYEA 3 STOfUES IN HEtGHT , J$SUED: TO COMPt.,\' _ ,ALL CffY,-COUNTY ANO STATE LAWS GOVERNING BUILDING-CON-ablindoned Ill · . · b'&,;;.,,,t.;;.. of fiii --.·.' STRUCTION WHETHER·,SpECfFJEO liaJElH .OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO r'&.RU!!.au.· ,, • . c:~- APPROVED BY ' . . DATJ.. ·;1: KEEPH .... THE~.CA!ll$1111PAGM~STALLLIABILITIES,JUDGMENTS.COSTSAND,..-~ "77 :-'~.□ ~mACT . E;XPENSES'\fHlCH ~WAY·~ AGAINST SAID CITY lN CONSEQUENCE OF THE ' .,,~4t:-•;,:; ., ' . ' ·,;· ~ ~ [) l)/4 1 7 /7 GRANT~THISP. .·---· ~ c1t'i4:__"," ,· ' , · · ./ a u "' °' "' E I 2) :c ,; 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 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 HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL - GAS -.,.. -~ ~ BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED 'is'~, ,?0/o FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS --· -~--,.; ... -: i ------ - -- -_.__ - - -