HomeMy WebLinkAbout2452 LA COSTA AVE; ; 82-281; Permit"' z 0
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0 I heret;;, affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No [la,\
I hereby alf,rm that I am exempt from the Con ~~or~c~~:;:: :;; ;~~f~h5~1fi~l~~/et~~~~~~;
county wh,ch ,eqwres a perm,! to construct
alter. improve, demolish, or repair any structure,
p,.o, to its ,ssuance also requ1res the apphcant for
such permit to frle a s,gned statement that he ,s
licensed pursuant 10 the prov,s1ons of the Con
tractor's L,cense Law (Chapter 9 commenc,ng with
Sect,on 70CJO of D,v,s,on J of the Business and Pro-
fess,ons Code) or that ,s exemp! therefrom and the
bas•~ tor the alle<;ied exempt,on Any v,01at1on ot
Section 7031 5 by an appl,cant for a perm,t subiects
tne applicant to a c,.,I penalty of not more than five
hundred dollars ($50CI)
O I, as owner of tht! property or my employees
;1r,ih wa,ges as their sole compensat·on, w,II do the
wor1,,; and the structure ,snot intended or offered for
sale (Sec 704,I, Business and Profess,ons Code
The Contractor's License Law does not apply !Dan
owne, of properly who builds or ,mp,oves thereon
and who does such won,; h,msell or throug~ r,,s owr
employees prov,ded tha! such ,mproveme;i!s are
not ,n1ende1 or offered for sale 11. however. the bu•ld,ng or ,mprovement ,s sold wIthrn one year ot
complet,on, the owner-bu,lder will have the burden
of pro•Ing that he d•d not build o• ,mprove lor the
purpose of sale)
O I. as owner ot the property arr e~clus,vely
contract,ng with l,censed contractors to construct
the pro1ec1 1Sec 704-4 Business and Pro!ess,ons
COOe The Contractors L,cense Law does r>ot apply
to ari owner of property who builds or improves
thereon, and who con\racts fo, each proiects wI1h a
contractOr\SI l,cense pursuanl Tn the Cont,aclor's
License Law1
0 I am exempt under Sec
tor lh<S reason
B & PC
D I hereby alf,rm that I ha,e a cert,hcate ol consent
1o self-,nsure or a cer11f1cate or Worke•s
Compensation Insurance, or a cer11f1ed copy 1hereof
(Sec 3800. Lat.x:,r Code)
POLICY NO
COMPANY
0 Copy IS filed w1!h the c,ty
D Cer11!1ed copy Is hereby tum,shed
CERTIFICAH. OF EXE:MPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sect,on nee<l no1 t>e completed ,f the perm,t
,s tor one hundred dollars {SlOOI or less)
D I cert,tv that ,n the per1ormance of the worl< for
wh>eh this perm,! ,s issued. I shall not employ any
person ,n any manner s.o as to t>ecome sub1ect 10
the Wor1,,;ers· Compensat,on Laws ol Cal,forn,a
NOTICE TO APPLICANT It, al1er mak1n;i th,s Cer1,
t.cate of Exemptmn. you should t>ecome sub1ect \")
lhe Wor1,,;ers· Compensat,on prov,s,ons of the Labor
Code. you must !orthw,th comply with such
prov,s,ons or th,s perm,! Shall be deemed re.-ol<ed
0 I hereby afl1rrn lhal \'1ere 15 a cons1,uc1·on
:endrng agency •or the per1ormar'•,e c' lhe ...,on, to,
wh•ch th,s pe,m,• ,, \~Jed ,c,t', m1 C,v,I Cooe,
Lender~ Name ___________ _
Le-~a .. , S Add·e55 -----------
l PEN ONLY & PRESS HARD APPLICANT TO' ~LIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -------------------------CARLSBAt JILDING DEPARTMENT
(714) 438-5525
AV. ST.
RD. v~
OWNER'S PHONE PRIME CONTRACTOR
91j{)~7Sc ·1:.e
CONTRACTOR'S ADDRESS
PARCEL NO
.21\. l·'eQ ,'f-OU ·?Je,v
.7'=> ~ &J_r-Q _F
c.. l q' w·,~.e:... f'_,p FLA ELEV.
yCJ .. o
QTY,
GP LAr-..D uS'
PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
~
' _EACH WATER HEATER ANU llR VENT
EACH GAS SYSTEM I TO 4 OUl LETS -------
EACH GAS SYSTEM 5 OH MORE
EACf! ~~ST A~~ ER, HE!A IR WA TE_~ _P~ PE.
___ j EACH VACUUM BREA_KER _
~~Ti~ __ ?_9F_T_NER _
: EACH ROO~ JR,'111~ 1 ~S'DE:
j
+
8ES U",ITS GRAD'NG P_ERMIT ISSUED
,□ ~ □
RE:DEVELOPMENT AREA
,o "\□
I QTY MECHANICAL PERMIT· ISSUE
'
I
+
INSTALL FURN DUCTS UP TO 100 000 BTU ---------
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER-COMPRESSOR 1-15 HP
AP~. :CATION & PERMIT
Nb
STORIES
TYPE
CONST
BUSINESS LICENSE#
CONTRACTORS PHONE #
LICENSE NO.
STATE LICENSE 1'
DESIGNER'S PHONE
occ GP I EDU
ace LOAD I FIRE SPR
vO NO
VA;:/;N
ZONE
PLAN 1.0. #
STANDARD PLAN 'l'1'
. C
• ;·
PERMIT NUMBER
'8' ;.-·vf J
BLDG USE CODE
BUILD!~:;: F?
//{'
Not Valid Unless Machine Certified
~L 00 SUMMARY/ACCOUNT NUMBER
-G ~_!!~IT
TOTAL PLUMBING
----------------------------------ELECTRICAL
MECHANICAL
MOBILEHOME
/1----,MOBILEH~ME PAR~
--------SOLAR
_01-000-4220
01-000·_5221
01 ·000-4806
01-000-4222
01-000-4223
01-000·4224
01-000-4225
-
tE3
1
TOTAL PLUMBING
STRONG MOTl□N-
---------------"--~------.il-FIRE SPRINKLERS
01 ·000·4226
65-640-0519
_Q_l-000-4227
____1§~000-4933 QTY. ELECTRICAL PERMIT -SOLAR -ISSUE
~-~-'N'.-'EC.:W~C ON ST EA A MP wn 8 K R
I PH
EXIST BLOG EA AMP,·S f---------+---------------------------
1 PH J PH
('.C,I_U:.CTCRS
STORAGE' TANKS
ROCK STORAGE
PUMP ----
-------------------
REMODEL'ALTER PER CIRCUIT 11 I PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS <----+-
TEMP OCCUPANCY 130 DAYSI
_____L -
TOTAL ELECTRICAl
! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON 1NCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S
ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BU!LDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
TOTAL SOLAR
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Ericimtas
Sari Oieguito
65·623-0519
65-624-0519
---65-625-0519
65-626-0519
------------"~~l__h_ ~-~ fl ~ ~------; TVA
TOTAL FEES PAYABLE I
AP
BY PHONE 0
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTURU OYER 3 STORIES IN HEKiHT
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION " REINFORCED STEEL 7-~C>-V.' 'f
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 , .I/ V •• J
MECHANICAL I' "'I/ i \I' -
GAS ' , I I
BUILDING
SPECIAL CONDITIONS
CERT OF OCC"0 ANCY ISSUED
'" . g ~ -~"if I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO 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
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--·
-----
------·
. ..
----
-f..--~---·--
'
INTERDEPARTf1ENIAL INFORMATION SHEET
BUILDING DEPARTMENI Dl}E~EIVED
BUILPING ADDRESS: ;2..£/S<K.. ~~ t.Z.e.. JUL 281982
A.P.N: :2 tfo -/b o -!'f C.T~'1-#/yf{,-zyttbo S;
llli..£t.£Ji.Di * * t * * * * * * * * * * * * * t *ili<_;; * * * * * * * * * * * * * ********&~~~ft~;>*
£LANNING D~PARTMENT
ZONE:_ l;\-~ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS ____ CARLSBAD _____ _
UNITS REQ'D: PROVIDED: ----------------------
% COVERAGE ALLOWED: .PROVIDED: __________ _
PARKING SPACES REQ'D: PROVIDED: __________ _
BUILDING HEIGHT REQ'D: PROVIDED: ________ _
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED:
PROVIDED_: __ \J~.\~s---
INTRUSIONS: O!C ------
RE-DEVELOPMENT APPROVAL REQ'D: ___ _.n .... L~A ____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: (V '1 ~~-------------
ENVIRONMENTAL PROTECTION REQ: f:f_(;('l'ip-(' --=--'---~--'--------------
ADDITIONAL COMMENTS: ____________________ _
OK TO ISSUE: ms DATE: ,\;)(hJ--OK TO FINAL: ____ DATE: ___ _
i;_U * * ~;-u * * * * * * * * * * t * * * :\i * * * * * * * * * * * * ;t; * t * * * t * * ·s fr-;,-* * t * t * * * * * * * * * ·S * * * * * * ~-* i; ;'· * EriliINEER!NG DEPARTMENT
R.O.W: IMPROVEMENTS: --------------~--------
PUBLIC FACILITIES FEE:_· __________ SEWER CONNECTION: ___ _
• ,.; DRIVEWAY LOCATION(S) :-----------~-----__
GRADING PERMIT: -------------------------
EASEMENTS: ---------DRAINAGB: _____________ _
LEGAL DESCRIPTION: _______________________ _
. ADDITIONAL COMMBNTS: ______________________ _
*CHECK JF ENGINEERING INSPECTION RBQ'D. ON FINAL:
oK To IssuE:~1R~QC_.,DATE:]~E/P--P1n: _ -0K_T_o_1-,1-N-AL_: ____ _
DATE: ----
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPi\RTMENT WILL MAKE
FINAL INSPECTION.