HomeMy WebLinkAbout2612 LA COSTA AVE; ; 85-719; Permitr
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a: I[ 0 I hereby altlrm that I am licensed under
provlalona of Chapter 9 (commencing with
S.,,tlon 7000) of Division 3 of the Business
a.'ld Professions Code, and my license Is on
tulllorJ,i'£?);t. c,c:3 l•t No !_Q._ Ct•· ;.>
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I hlteDy·ifttrin ttwl , am e•emot lrom lhe Contri\. IOr's Loeeo,t La• lot !"° ,_,11!1 reason !Sec. 7031 5
Bos,riess and Proiessions Code Any tity or county wt\.ct. re quires • permit 10 construct. ~:ler. Jmprove. demolisr,, or
repa~ structure. prior toils issuance also requ11es !heap P4lc.lnt Jor $UC,h perrn4 10 rite a S!Qt\ed sta!t"menl Iha~ ~ IS
ken.sed pwswnl 10 the prtN1$JOIIS Df the Conll.Ct!lf I
L>ttns, L"" !Cn,oter 9 conwnonc,ng •-tn St<.!.,. 1000 o1 pr,,s,on 3 ol r~• e..-.nus ...i Prol,wons Code; or 1na1 ,s.,.
emp1 lherelrom and the basis tor I.he altec~ eaemp11cn Any '""'"1lOII ol S.Cloon ,031.5 by an aooJ,t;,nt lor a jle!!!lll sub
,ec!s lht ~nt to a c~ penitty ai no! more l!\an f•vt hun dr,c oa:!ars iS500i
' 1. JS owner 01 ll'le prooerty. or my empioyees with wages
as '"°" '"" COOIDt!I\Sill,nn, ~rn oo 111• -~. ano lhe \true· t.ure Is. nol intended or ctereo tor sa!e (Sec. 7OU SuSiness
ano "'-• CGGe. 11,e Colltraclor' s tJceose L," dOoS
not •ootv 10 an ..,,., 01 ·IJIIIP011Y -bu•JOs or: ,mpro,es ~reon ancs who d0eS such wor ~ h,mse1r or thrwgn his o"'n
employees, pr0v1ded riut such empr0vements are not ir.lelld-Bd o, o1:1ro<1 !or sai. H. ,,...._.., 1J1e ouild•no or lmOfl'vt·
ment tS SD6d witfun OM year~ COflll)!e:01. !Pe owner-buudtr
,.;;i llavl 1be burGen ot jwa,-,ng llla1 lie 11,d co: bU11d or .m-p'°" lor !l>e. purpose Ol sale]
,.,_ I'. as owr,er ot the property. am exctusivety contracltng
,.11!ticellsod tonlrlJCIQtS IOCOOS!:ut! I .. ptojec1 (Sec. 1044, &niness •nd Prolt$Sl0n$ eoo.: Tl,. ton~auor·s Lcense UW ~ f'l;l apP,:y ID an D¥tnet ~ property woo buiids or 1m•
Pf()'wtS !hereon. a'1d wtio cont~ toe ead\ prDfttts with a
~{aC!O((S) lteenu pu,suant to Inf! Contracloc s lttense
~ As a,.._.., t amunpro.1ng my lone, and lot lollo•
·ing tondlto'ts ell \St' 1 l he wodc IS be\ng per1drmea POOf 10 sale 2 I have lived 1n my Nlme lor 1we1.,., monlhs prlOf 10 comple.l,on Of UIS ,,_., ;, •
3 I have noc ct.armed this exemp1•on dtmng 111e last lhltt years
B&PC ... I am exempt unoef Sec. _____ _
lo, nus reason ____________ _
2....1 I llereby aff,rm that I riave • cer1,!1cate of consen1 to
se1t1nsure. 0t a certihcate o, \':~111.ec;s; Compensatrori. ,~
surance. 0( a cert;hed c:ciP'Y ine,.at tSec . .-00. U.001 Code)
POI ICY NO
COM3A~Y
'Cv~y ,5 lied :#a!l!\ lhe city
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1/) i 1.a,;;•; copy •• he,eby ""'•"ao />3~593
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CERTIFICATE OF EXEMPTIOt, FROM
WORKERS' COMPENSATION INSURANCE
1Tt11s seclt0n need not be compfeted if the permit
is lor one hundred dollars 1$100\ Of IHS}
. ~ I cert,ly that ,n tM' performance of the •OfK for lfllot'!tcii
this perm,1 is issued. I gna,1 not employ any person in al'ly
mannef so as to beeome sub1ect to lhe WOfkera' Compen•
sa11on Laws 01 c,1,tom,a
NOTtCE TO APPLICANT If, atter maktng this Certificate
l of Exempt,on. you shOuld become sut)Ject to the Y/o,lo;ers
Compensation provisions cl the L.ab<M' COde. you must
for1nw1th comply w,lh such prov,s,ons or 1r11s perm11 Shill
be dffmed reYOked
il C I hereby atl,rm that thete •• • construction lend,RQ
agency fOf the perlormanc.of the work fn, ""ruct, this pet·
m,t Is issued iSec J097. C1't'1 Ccodel
Lende(s Name /4~/~
Len~,~ Aaa,eJ // Wt/ _C--
d POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
I CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
DATE OF APPLICA-TION-BUSINESS L•CENSE"
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, ~.N~ p ",AW l Ip ~~ ..-0 :::l--OLJ CON• RAC TOR .....,.-....,..,, C0N1AAC•C>RS P>;QNf • 0 (Jr 71 q
L OWN< ,·s-"o" C "/-3ac,o {)::; -
,')8 AOORfSS
2b!Z. lACc>srA
~or BLOCK
AV ST RO
Ave.
NEAREST CROSS ST
-. A' DRESS 7i. 9¥Y-bJU}!l-' 2htz L~ C,,m,. 11.IJ'L r'J i% Ill-Mtss,o/Y ,., •. k,,.,o, ?2S9"'1 C5· ec,...... 00
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ne ,CRtPT rmo• .-.ol'!py,. ?co oL s;:~,, ~------·----c!f ~ocs GNER <; ,.00.,rss
,! :al'\iE'R Of ~IGl'rl[ R'S PHONE
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F LR ELEV NO
s•ORIES
LICENSE NO
DCC GP EDU
Te1T71861:1T60
D1JOTl3tsa 5
ru,·~sa rur,sJ
CE.NSl.(S TRAC_) I QP LANO uSE I PARl(o"'G SPACE RES UNITS l GRADING PERMIT ISSUED
r □ "D F EIIELOP'\.IENT
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TYPE
CONST
DCC LOAD FIRE SPA
-.□ "'□ Nor Valid Unlffs Machine Cer/lhl!<I
QTY PLUMBING PERMIT · ISSUE
'1 7s-ol QTY MECHANICAL PERMIT . ISSUE SUMMARY/ACCOUNT NUMBER . --
EACH FIXTURETRAP j I I INSTALL FURN. DUCTS UP TO 100 000 BTU I I BUILDING PERMIT 001 810-00-00-8220 /IO ;::s D
EACH BUILDING SEWER -----~-OVER 100,000 BTU --+----SIGN PERMIT 001·810·00·00-8221
I EACH\VATERHEATEtAr.o~vENT BOILERCOMPRE SSORUPT03HP -PLANCHECK 001:810-00:-oo:aaoo 17.~.S-
1---+-E_A_C'--H GAS SYSllil-1 l.Q.4 OUTLOS ~ BOILER COMPRESSOR 3 IS HP ____ -4 ___ .....;._--,11--TOTAL PLUMBING 001-810-00-00·8222 / r:-o 0
EACH GAS SYS TE.M S OR MORE , \IE-A, r!REP1_A 'r ELECTRICAL __ _::;_00:..1_:-8:.cl_::_0·.:.00:..-.:.00:..-.:.:82~2.:.3 -J--.L.....,_ _ _.,.~lf!_--1
EACH INST Al -~LI ER, REPAIR l'~AT ER PIPE --f--VENT F~G~E OUCT __ -~--MECHANIC~L --001-810-00-00-8224 r EACH VACUUM BREAKER MECH EXHAUSl HOOD OUCTS MOBILEHOME 001·810·00-00-8225 I I
WATER SOFTNER _____ RELOCATION OF EA FURNACE•HEATER MOBILEH0ME PARK INSP
EACH ROOF !)RM; •iNSID( --IQTt;L MECHANICAL _ SOLAR
001-810-00-00·8226 ,_
1--10TAL PLUMBING 7 T~Dl' STRONG MOTION
FIRE SPRINKLERS
880-519-92-33
001·810-00-00-8227
/, DO
QTY ELECTRICAL PERMIT· ISSUE s-n' QTY. SOLAR · ISSUE
NEW CONST EA AMP SW! BKR COLLECTORS
1 PH 3PH STORAGE TM,,:S
~ EXIST bLOG EA AMP SWT BKR ROCK STORAGE
PUBLIC FACILITIES FEE
SCHOOL FEE • 0ISTRICT
Carlsbad
Encinitas
332-810:00_-oo_-89~ I-
1 PH 3 PH PUMP I II San 01egu1to
~£..-+_R~_'.,IO_O_E_L_AL TtR PfR CIRCUIT ___ --+--------=if---1 p, Ar! CHE:CK FEE n San Marcos
TE MP PO LE 700 AMPS
LICENSE TAX
OVER 700 AMPS MFF -----880-519·92·57 2i>
TEMP OCCUPANCY (30 OA YSJ _ __,.___ _ ----------+-------11-------------.+--=.....-,....,.-, d-~
-~i----+--~---~ --------+----CREDIT DEPOSIT 1 {> _:> ---L----------,1---;r--oq, 1 'OTALWLAR I TOTAL FEES PAYABLE / c// _s-0
001-810-00-00-8162
lOTAL fl~LlRICAl
E •p,rat,on E._.e,y permit issued by tt'lec 8u1ldi'19 Qff,ctRI ._nc:,pr the prov1c;ion~ o! tt,1s
Code shall expire by IPT\ltat10~ and become null and void It t!'l.e building or --.c·rt,.
au!~or,z.ed b', such permit snot COl'T'l-nenced 'flll•th1ri, 180aa'I", !rcim ll"le rJatie,o! such
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~•A.c ~, .. FULLY E;XA'.\.',E 1 fH[ COM~LE!ED APPL _A' _,N ••-" "ttl'A.! AN;: 00 HERFBY
l"~nT,F• <.NC-HI PiNAI.TY OF •r-q_,u,iy THAT AL •,FOAMAT!Ot, f'E'1EON ",CLJOING TtlE
',ECLARA'10NS ARE •R:Jf M,) (.e,F-RE.CT A'.:) I FJRTHEK C EAT FY ANO AGREE I' A PEF!M-T 1;;
_::,,)[, TO COt.:PL Y Wl•H Ala rny ~Ol 'HY MW r,TA~E. ..A-NS C.OVEAN\NG 91,;L01:,G C,'.)N
,,•i:iucr:n•, WHHHE>l <.iECIF,ED H~11EII, OR NOT ALSO AGAEt ro ',AVE •NOEMNIFY AN!)
, EE p HARM.E' ~ 1HE C. TY CF t AR~< ••AD AGAINST ALL L•4B1L 'IES. JU;>u•.1ENTS C')SlS ANO
UPE',SES V1H CH MAY 'I A:JY ,'IAY .O.C(S<UE AGA11;7 S410 C.TY tr. cor,s~c.1,E.t.CE OF THE
C RA',ToNG o• THIS PEGt,IF
perm,t or 11 lt'I buildmg or 'ffor• autnonzed by suc.h permit 1s suSperi.oed r., .c
aoandOned a time .after rne work 1s comMencea for a eriOd of 180 aa ~
~
OWNER Cl
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,_ ~ . _,.., TYPE I DATE INSPECTOR J -.
BUILDING I
FOUNDATION l t -
REINFORCED STEEL I 1.z1.r, ,v"-r~
MASONRY I
GUNITE OR GROUT ! .
SUB FRAME C FLOOR □ CEIL!ING
SHEATHING D ROOF D SHEAR
FRAME !
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I ;
..... ,-. I 1 J .. ,.
PLUMBING . SEWER AND BUCO [l Pt./CO ~
UNDERGROUND C WASTE Li WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN -I ) /
GAS TEST I ~ 4:/J,'f/., r ~/( "L
C WATER HEATER 0 SOLAR WATER •
I
' ELECTRICAL ' /\
,--, ELECTRIC UNDERGROUND r1 UFFER r .,,,,,,,. VI j ),,. ,,,{';.
ROUGH ELECTRIC I D·VJ ·w I l ( ~ L___
D ELECTRIC SERVICE TEMPORARY -
~ BONDING ~ POOL I
I
J·ZI·t'-r'te. 1l.
MECHANICAL I
0 DUCT & PLEM., .-REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA 1/E BEEN APPROVED.
FINAL
PLUMBING EL CCTRICAL I . \\\_ I I
1ECHANICAL --------~---!-
BUILDING
SPt.:CIAL CONDITIONS
~~ -· -------... . --. --· ...
1 .... X'S <I JO, ..
FIELD INSPECTION RECORD , '--,
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
~ ·---•. REO IF INSPECTORS .: INSPECTION DATE ' ' CHECKED APPROVAL ·--~
~ 501LS COMPL AN(E ... C PRIOR TO
FOUNDATION INSP -----~ STRUCTURAL CONCRETE ! OVER 200Q PSI
PRES TRESSED
CON;'.:RflE I
POST TEN~ ONED I
CO"-CRETE I
I --I FiEI.O WELDING I
HIGH S'RENGHi .---·--I
BOLTS I
<;PEC,AL MASO"iAY I
I ' ,___. L_ PILE', CAl.:,$OM:
----------,_ -,-~-C .--
----~---....
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" . ~ . . ,, . . . { . "; ✓1 .. • ~t I ,, .. -' '' '
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7
PLAN CHECK NUMBER j?s: 7f J ADDRESS _;lb/ .2. cL, t..zu /4( DATE />--;µ.
PLANNING: TYPE OF STRUCTURE ~ /~· ZONE: ____ _
a:: L&J 3 L&J
SCHOOL FEES: SAN DIEGUI~:-r________ ENCINITAS _______ ...,;
CARLSBAD --------SAN MARCOS --------·
% COVERAGE ------------REQUIRED SETBACKS -----
BUILDING HEIGHT ----------FENCES/WALLS __________ _
-THO CAR GARAGE ·-----------::~
~ ~ CGr'iMENTS: ~ ~ --------------------------~
~ □ REDEVELOPttENT A?PROVAL REQUIRED: ______________ ----: __ _,;
6~□ L&J-c:: :::, 8 ~-□ LANDSCAPE PLAN COMMENTS: ---------------------
ENV rner:f-i c'.NTAL REQUIREQ: "'-------------------------.:
ADO IT IONAL COMMENTS: ~----------------------
OK TO ISSUE: ~ATE:/*;;;; TO FIHAL: ___ DATE: ____ _
ENGINE En ING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?
P.F .F • _______ PARK IN LIEU ________________ _
R.0.1~: IMPROVEMENTS: _______________ _
_______________ E.D.U: ____________ _
SEWER: _________________________ _
LATERAL: ------------DRIVEWAY: __________ _
GRADING PERMIT: ______________________ _
DRAINAGE:
I-u.J uo::
i.u-
EASEMENTS: ~ r,--~ ADDITIONAL C0"'1ENTS: _____ _ ~ □ -a □
~ 5' □' ---------,,'""""'-------------:---~-----:::,""'«::::....._ __
S ~ OK TO ISSUE: _...,t./c~t2::~~:::::::::::==:=::::=--DATE:_/~2.-,-+,fi__:/t~!,;,1-:/4.-J1.....:1~::::==--=------
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC ~ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR1T'1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.}