HomeMy WebLinkAbout2433 La Costa Ave; A; 83-207; Permit.,, z 0 :
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r¥ t hMeby affirm that I am llcensed under
~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
fullf~~:~effect. c,3:/_
Lie N°.:3tCJ~/ -Class -~
I here~y affirm that I am exempt from the Contrac-
tor·s License Law for the fo'low,ng 'eason 1Sec 7031 5
B~s1ness and Protess1ons Code A11· city or county which re-quires a perm,t '.c construcL alter. ,m~rove, demolish 0'
rep21' any struciwe, prior to ,ts ,ssua~ce also ,equ1res the ap-
:il,c;,.nt for sucn permit to file a s,gned statement that he ,s
Iceised pwsuani to the provIs.•ons ol the Contractor's
L,cense LJW !Cnapter 9 commencing w,th Section ,000 ol
S''J1S'Jn 3 af tre Business and Pro:essians Code) nr I hat ,s e~-
ern~: tt'e:efrom and the basis for tne alleged exempt·on A~y
vI0.ct·0n c: Sen·on 7031 .5 by a~ applicant for a perrM s~b
1e~ts the cpplIcdnt ro a c,vII penally o' r,ot more Thar. five hun-
d•ed dorns ,S50~'
I, cs owner of the property. or my em;Jloyees w·t~ wages
as the,r sole compensation will do \he work and :he struc·
ture is ~ot intended O' offered lor sale {Sec. 7044. Business
and Protess1ons Code. The Contractor·s License Law does
not apply· to an owner of property who builds or Irnoroves
thereon and who does such work himself or through h,s own
employees. orovIded that such improvements are not intend-
ed or oltered tor sale It, however. the bu1ld1ng or improve·
ment Is sold w1thIn one year 01 completion. the owner•bu,lder
w,II have the burden Ill proving that he did not build O' Ir!"'-prove for tile purpose of sale/
= I, as owner of the property, am exclusively con1ractrng with licensed contractors to construct the proiect (Sec _7044.
Business and Professions Cooe· The Contractor's License
Law does not apply to an owner ol property who builds or im-
proves thereon, and who contracts for each pr□1ects with a
contraclOr(s) license pursuant to the Contractor's license law)
= As a homeowner I am improving my home, and the lollow-
Ing conditions ex,st
1 The work_ 1s be_1ng periormed prior to sale
2 I _have lived In my home for twelve months prior to completion ol thrs work
I have not claimed this exemption during the
last three years
7 lamexemptunderSec ______ ,B&P.C
for this reason
iihereby affirm that I ha•e a cert,flcate of consenl
. self-.nsure. or a cert,f,cate ot Workers
iS.C ~•:c;.e~l,;~~;e :: CM ':"'~:;:;ceol
POLICY NO ~ ~ __ _ __ D,..::}f
COMPANY ._'('\.(j ~ Copy ,s hied w,th the c,ty
0 Cert,t,ed copy Is hereby turn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need no1 be completed ,f 1he permil
,s for one hundred dollars ($100! or less)
O I cert,fy tha1 m the performance ot the work tor
wh1ch this permit 1s ,ssued. I shall not employ any
person ,n any manner so as to become sub1ect 10
the Workers· Compensation Laws of Ca1itorn1a
NOTICE TO APPLICANT 11. af!er makIn;i this Gert,
t,ca1e of Exemption. you should become subJect 1ri
the Workers Compensat,on pro.is,ons of !he Labor
Code you must !Orthw1!h comply with such
pro.-,s,ons or th,s perm,! shall be deemed revoked
0 I hereby at1irm 1hat !here ,s a construcloon
1end1ng agency for the perlormance ol the worl< for
which th,s perm,! ,s issued 1Sec 'J(F.J7 C,.il Code>
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD M.r'rLIVl'\1'11 ,..,, ............ .., ••••••••• __ _
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB;~ A-
. (£iS1J ✓~ OWN-ER'S NAME -J-1-~ ei' ~
ln ,-f'.r. £ ~/~ -A~iTr~i7i3'0N
OWNER'S PHONE C/(s,w;}OR fl Ju~ ~jA'f CJ
I ~-~-I %~--""""'" 9~:..0312 ZONE I~ c? /
BUSINESSLICENSE# I VALUATION
OWNER'S MAILING ADDRESS I J.,b BLDG USE CODE CONTA.A.CTOR'S ADDRESS l9'Qb f'pJ tPn,, LICENSE NO, I PLAN 1.0. :t-
3188"3 I
LOT T BLOCK , 1 SUBOIVISlON T ASSESSOR PARCEL NO. .1. 1 ~ :l."t_O 5 ':5 04 DES!GNER ~ LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCR!PTION OF WORK I I DESIGNER'S ADDRESS I, ~ e---~-~--P ,
CENSUS 'RAC, I G>cAND USE !'ARK >NG SeACE RES UN,TS I
QTY. PLUMBING PERMIT· ISSUE I -J~
I /
GRADING ~ERMIT ISSUED
¥0 ND
,1, FLA ELEV
vO NO
I REDEVELOPMENT
AREA
vO NO
QTY. MECHANICAL PERMIT· ISSUE
NO
STORIES
TYPE
CONST
3~
DESIGNER'S PHONE
;, : .... -·. ~we.J,. ..
DCC GP EDU
OCC LOAD FIRE SPA
vD NO Nor Valid Unless Mllchine Cerrified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220 '----1--'E"-A"'CH FIXTURE TR AP_ __ _ __
EACH BUILDING SEWER f-----+-------
EACH WATER HEATER ANO/OR VENT
1-,c ----
EACH GAS SYSTEM 1 TO 4 OUTLETS
I I j EACHGASSYSTEM50RMORE
r---t-EACH 1NSTA~-_:ALTER~-REPAIR WATER PIPE +-----
---t-~ INSTALL FURN_ DUCTS iJP TO 100,000 BTU -----------
OVER 100,000 BTU +--,--
J_~~
-t ~----~-
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP I-------~
METAL FIREPLACE
SIGN PERMIT 01-00-00 8221
--------~.,,,--
PLAN CHECK 01 00-00 8806 "T'v _,.,.,...,.
-J.---~--+ TOTAL PLUMBING _----=-01-00 00-8222 :.,,1 ~ _/
+----
ELECTRICAL 01 00 00-8223 j ,----.. -----+------
-----i~6 __ _
C------------
01-00-00-8224 -----
1 EACH VACUUM BREAKER
---+--_·_HVENT FAN Sl~G_LE DUCT_ I . ± _M.ECHANICAL --
1 MECH EXHAUST HOOO.-'OUC~S-----+--. _ ~BILEHOMi____ __ t~~~:a:~~:R,,,:o,,-..--,___ 01-00-00·8225 -----\----------
RELOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP +-----·-----·---
SOLAB_ --_ ------_ J ~1'17 TQT,4.L MECHANICAL STRO~OT\ON
_ _fil::00-!)0-8226_
80-92-33-0519 -· --+-
----
·-----
TOTAL PLUMBING l JI.,,~= ~~p--c.=~-=~~~~~~~~~4aa.~7'"4'-r.fl'-~-~= ----. --01-00-00-822~
32-00-00-8923----l---
IQTY.I ELECTRICAL PERMIT. ISSUE -~ >~ _ OTIY 1:: _ SOLAR_ ISSUE ---_ _ .,--+-F---,,'
NEW CONST_EA AMP SWT ~ _ _ ___ _ _ , COLLECTOR:i --,----,1/---7'---~--J-S~HOOL ~~ DISTRICT_ -----~--
1 PH 3 PH STORAGE TANKS Carlsbad ----------------------r1h"~ ,....-c--r
EXIST BLDG EA AMP,1SWT:8KR
-----·--
I PH J PH
I --------,----------~
ROCK STORAGE Encinitas
80-92-21-0519
80-92-22-0519 -----. -+--
-~ ------r!--~ PUMP ----,4,<---,4------+-_ ___?an Oiegu~ _____ 80-92-23-0519 _ e---------REMOOEL.'ALTER PER CIRCUIT -·G_w-------·· -· --· TEMPPOLE 200AMPS
-----------PLAN CHECK r'EE I--------San Marcos -80-92-24-0~1 ~
----. -------------
1-----+o~~-2osi___~M~S ___ _ __
, TEMP OCCUPANCY 130 DAYS) ·-r-
_ _L
TOTAL ELECTRICAL l
I
f-----··----+-
-------t--·+--
---I---
----··-+-·-·
I H,<y-E CAREFULLY EXAMINED THE:C0MPLETE9 "APPUCATION ANO PERMIT" ANO 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
D~f!ATIONS ARE JRUE A-NO CORRECT ANb-J FURTHER CERTIFY ANO 'AGREE IF A PERMIT IS
rsst)EO: ro COMPL'Y-9'1tTN ALL ClTY, COOtfT'fLAND STATE LAWS GOVERNING BUILDING CON-
STRUCTtO,t4;-wtt£THER~PECfFlED HEREfN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HAiWfltf::SS THE-~~CAm..s&AQ A.OAtNST Al.l LIABJL,1JtES1 JlJOGMENfS, COSTS AND
EXPENSES WHICH ¥AY ,~:At&'WAY AC0RUE AGlt.t~~AtJ) C)TY IN,WNSEOUENCE OF THE
GRAN-TING: Qi=' THIS PE~T. -'
----¼---•--------
f---
--------·--
--------------
TOTAL SOLAR TOTAL FEES PAYABLE f---I I I /t! :::---J
;,__,, ,,. ,>,1--;;;-i~ ,------,,-
1:xpiration. Every permit i ½, ~~. ~-~JIEfWft, 1$,~ f08 ~VA TI0HS OV8' CQ<M th'.ah expire by limi " , «\-:,~~ -Ob10t,.mON (JR CONSTRUCTION OF authorized by tuch perm •· ) ,t,,~ ovp 3 STORIES IN HEIGffT
~rmit~':'· · ,il!i!!li£1iffi!.!2!!ti .-,.;.,>5:,;·; · .A-,
APPtreAN~TU~··· .. OWNE··. ·A □ COIITR.~-...... JAPPROVEOBY '' ' •°11'2 ~ ..-. ~ . .'.'' .. &~~!~ /x!,./f-yf/µ
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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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL ,,
GAS -~~,fi'1 "'/'
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
o3 "d-D7
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
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
F!ELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
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