HomeMy WebLinkAbout2505 LA MACARENA AVE; ; 82-450; PermitI
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D I hereby aft, ,,at I am licensed under
provisions 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.
Lie No ______ Clas,
I hereby affirm that I iJfTI e1u1mp! from the Con-
~~~-~~~;:;::~; ~f~1:1~C~,/8.:~i\~,
county which requires a permit to construc1
aUer, improve. demolish, or repair any structure,
prior to ,ts issuance also requires the applicant !or such permit to fole a signed statement that he ,s
licensed pursuan! to the prov,sions of lhe Con• trac1or's license Law jChapler 9 commencing w1lh Section 70'.Xl ol o,v,s,on 3 ol the Business and Pro-
fessions Cooe) or that 1s exempt therefrom and the ~•s for the alleg,ed exemption. Any v,o1ahon ol
Section 7031 5 by an ,ippl1cant !Of a permit subJects tn-e applicant to a c1v1I penalty or not mo.-e than five hundred dollars {$500)
O I, as owner of the property, Of my employees
111,nth wages as their sole compensat,on, will do !he
won<. and the structure 1s not intended or offered for sale (Sec 70"4, Business and Proless1ohs Code
The Contractor's L1cem;e Law does nol apply to an
owner of property who bu1!ds or improves thereon
and who does such won<. himself Of through his own
employees, provided that such 1mproveme;-,ts are
not intende-l or ollered for sale II, however, the
building or improvement 1_s sold w1th1n one yNr of
complet,on, the owner-builder w,11 h.we the burden
of proving that he did not build or ,mprove tor the
purpose of sale)
O I, as owner ct 1he property, am exclus,vely
contrac!1ng with licensed contractors to construct
lhe proiect (Sec 70"4, Business and Professions
Code: The Contractor's License Law does not apply
to an ownef of property who builds or improves
thereon, and who contracts for each proJects woth a
contractor(s) license pursuant 10 !he Contr&etor·s
License Law)
D I am exempt unde, Sec
for th,s reason
. B & P.C
□ I hereby affirm that I ha,e a cert,f1cate o! con sen!
10 sel!-onsure, or a cert1!1ca1e ot Workers
Compensatmn Insurance. or a cert1hed copy thereof
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ~••o DECLARATIONS.
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CENSUS TRACT
~-------------------CARLSBAD BUILDING DEPARTMENT
GP LAND USE RES UNITS GRADING ~ERMIT ISSUED
" ' ' F/P F LR ELEV
vO NO
REDEVELOPMENT
AREA
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
-OESIGNE'A'S PHONE
DCC GP EDU
OCCLDAD j FIRESPR
VALUATION
ZONE
PLAN 1.0. #
STANDARD PLAN#
I
,~PMIT NUMBER
A-'SC>
BLDG USE CODE
BUILDING SO. FOOT AGE
v □ ND YO NO v□ NO Not Valid Unless ,.chine Certified
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
<-'---+-_E_A~CH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
l --.,....1
MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PE~IT 01-000-422:0 _
OVER 100,000 BTU SIGN PERMIT ------___ 01-000-4221
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
PLAN CHECK 01-000-4806
TOTAL PLUMBING 01-000-4222
ELECTRICAL 01-000-4223
EACH INST AL ALTER, REPAIR WATER PIPE ------j-
EACH VACUUM BREAKER -------
WATER SOFTNER
I i I VENT FAN SINGLE DUCT "'""""'""""
MECH EXHAUST -HOOD/DUCTS
RELDCATIONOF ~RNACEIHEATER ----
Ul:f'I-IAI.Jlf'AI 01-000-4224
MUBILEHOME 01-000-4225
MORILEHOME PARK INSP
SOLAR 01-000-4226 l-----+-E-~CH ~09~R-~l~-~I_NSI DE)
TOTAL MECHANICAL STRONG MOTION 65-640-0519
~·~~ ~~~ .... ,. ~~~ (Sec 3800. Labof rodeJ.. , ;· J
eouc, NO we (;U {;, '6J o J -17
COMPANY W.~~ ~JQTY.I
TOT AL PLUMBING ~-: ~~ I II t"IHt ::,t'HINI\LtH::, 01-000-4227
PUBLIC FACILITIES FEE 25-000 4933
~y IS l1led with the city~
D Cert,hed copy 1s hereby !um1shed
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s section need not be completed i1 the perm,t ,s lor one hundred dollars ($100) or less)
0 I cert,ty that in 1he performance o! the wol1\ lor which this perm,I +s issued. I shall not employ any
person in any manner so as to become sub1ect 10
the Wol1\ers· Compensation Laws of Cal1torn,a
NOTICE TO APPLICANT If. alter malun-;i this Gen,
f,c.ite of Exemption. you should become sub1ect 10
!he Wol1\ers' Compensation prov1s,ons of the Labo,
Code, you must !orthw1lh comply with such
prov1smns or th,s permit shall be deemed revoked
O I hereby aH1fm that there ,s a construct,on
1endmg agency for the performance of 1he wor1< tor
wh,ch th1s perm,i ,s ,ssued {Sec 3097 c,~,1 Godel
Lerider s Name ___________ _
Lender's Aad,ess __________ _
ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP,'SWT 'BKR COLLECTORS SCHOOi FF~ -DISTRICT ------4f----+--------------------+-----------------
lPH J PH
EXIST BLOG EA AMP/SWTiBKR
1 PH 3 PH
REMOOEL:ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS j----j---------
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
11<\VE'CAAEFUllY EXAMINEl>.Tli~-Pt;mA;;..lll'l-"ll't~W_j
CER'ff'FY UNDER PalALTV OF pei:\Jt)Ry_l'~'t ·Atl4t4FGRflJ\'1~_'
r>,E(;_LAAATfONS ARE.-TRUE ANO CQR6EC"T AND_ I_ ~ER'.deffl'W( __ J
ISSIJED: TO COMPLV WITH ALL ClfY."CO~ MlpStATEt:AWSQOYi
STRlJCTION, WHE"THER SPECIFIED HE~ ~ t'Q.T: ·1 ALS:.Q AQEJEE T<
KEE'P HARMLESS THE d'TY OF CAR\..58,\0 f.G~NST;,\[J. UAB,1:tn't$,\J1
EXPENSES WtttCHcMAY IN ANY.WAY •OCRLJt AGAIH$T SAU),-Ci)Y fN-,--GRA:NTING OF TH1S PERMIT. -~ :-+---~---__ , v ;t-:',
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
Carlsbad 65-623-0519 ---------
Encinitas 65-624-0519
San Dieguito 65-625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE
,;'---.. ~~ '~~--~~~uf-, :t•~•~OVER~ , S'.!li ,. , _,_ ,<, ": __
APPROVED BY DATE
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INSPECTION TYPE DATE INSPECTOR
BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS MASONRY INSPECTION CHECKED APPROVAL DATE
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME 1-cO~V~E~R~20~0~0~P~S~l-----t------j------1-----1 PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE 1---------+---
g d ~-0
INTERIOR LATH & DRYWALL ~g~~~~~fONED
PLUMBING 1---F-IE_L_D_W_E_L_OI_N_G----+---+------r----f-------------------------------
SEWER AND BL/CO HIGH STRENGTH --
PLUMBING UNDERGROUND f-s~o~L_T~s------+----r------+---1--------_______ -----------------------------,
PLUMBING TOP OUT SPECIAL MASONRY
1---------t------,--------j-------,
J"UB AND SHOWER PAN
GAS TEST ' PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER 1-----------+----+-----+---1
ELECTRIC UNDERGROUND r---------r---r--------t-------, r---------------------------------,
ROUGH ELECTRIC
ELECTRIC SERVICE
! ---------------------, BONDING ,,,
G, F, L -SMOKE DETECTOR
MECHANICAL 1--------1-----+-----+-------, t----------------------------------
DUCT & PLEM,, REF, PIPING , 1-----------+---+--------t-----t 1--------------------------------------
HEAT -AIR COND, -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE L
ITEMS ABOVE HA VE, BEEN APPROVED,., n( ~__y.='-----------t---'--+------+--'-1 1---------------------------------
JOB SITE FINAL , i\ \'"1 '/ ,,. 1-------------------------------i
PLUMBING 'J '/ & f/ ';;l'r------------+----t--------+-----t 1-----------------------------____ 1 ELECTRICAL /,1 I /'Iv..-
MECHANICAL / ~ / ',I... V I-----------+----,-----+---~ 1-----------------------------------------i
GAS II\ / / C-.L -r----------+------,-----+-----f 1----------------------------------------, BUILDING ( I~; t /-
SPECIAL CONDITIONS -I \' 1-------------t---------+------t--------1 -----------------------,
CERT OF OCCUP~' V ISSUED ' V