HomeMy WebLinkAbout2616 LA COSTA AVE; ; 84-455; Permity ~!l
., z 0
" .. "' .. J u "' 0
8
z 0 " ;\ z "' 0. '" 0 u .,
"' "' " "' 0 ;o
11
D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proteas!ons Code, and my license is in
full force and effect.
Lie No _____ _ C'a,'
I hernby afhrm that I am exempt from the Co~trac
tor's License Law tor lhe lo,Iow1ng reason ,sec 7031 ~
Business and Professions Code Ary c,ry o, county wi,c, re
quires a oerm,1 lo c8nstruct alter :mprove ~e01ol·sh 8r
repa,r any structure prior to·ts ,ssua~ce also requ res '.heap-
011cant for such perm,: w t,le a s•cned statement that 'le .s
11censed pursuant to :he rov1s1ons al The contrac10r >
License Law ,:Chapter mrnencIng w,ih Sect,on 7000 o'
D1·,,s1on 3 or ihe B ss and Proless,oss Code1 or thar ,sex
empt therelro nd the bas,s for the allegeo exemp1,o~ Any
·.ioIatIon al ctIon 7031 .5 by an applicant tor a perm•! sub
Iecrs The a lI~~nt to a crvil penally o! not more than five hur
ared dollar (~00)
of the prope"y or my emp•oyees w,rr wages
ompensat,on will oo the work and the struc
ended or offered for sale !Sec 704t Business :i:rfss,on~ Code The Conrractor's License Law does
ot y lo an owner ot property who builds O' improves
the and who does such work himself or through his own
em es, provided that such rmprovements are not .ntend-
ed or offered lor sale 11, however. lhe bu1ld1ng or ,morove
JTient Is sold w,tnIn one year of complel1on. the owner-bu,lder
w,II have the burden of proving that he did not build or ,m
prove to, lhe purpose of saleJ
7 I, as owner ol the property, am exclusively contracting
wI1h 1,censed conlractors lo construe! the pro1ect (Sec 7044
Business and Profess,ons Code The Conlrdc!or s License
Law does not apply to an owner of property who builds or ,m
proves thereon and who contracts lor each pro1ec1s wI1n a
contraclor(sJ license pursuant to the Contractor's License Law)
As a homeowner I am wiprovIng my '1ome anc lhe 'ollow
Ing rnndIt10% exist
1 The work ,s being perfor'lled pr,or 10 sale
2 I have lived In my home lor twelve monlhs prior to completion of 1h,s work
I nave not ciaImed th,s exemption during lhe IJs1 three years
for t'n~: r~~~~f1 under Sec _____ _ B & PC
D I hereby art,rm tr1a\ I have a cert,t,ca1e o' C0'1Se'11
!o self msure or a :ert,r,c.a1e of wo,ker~
Compensat,on lnsu,ance ma ~em',ed c::ooy thp,eol
ISec 38(XJ L.ibor Code\
POLICY NO
COMPANY
0 Copy ,s tiled w1!h lhe city
D Cert,f,ed copy ,s hereby lurn1shed
CERTIFICAH OF EXtMPTION FFiOM
WORKERS COMPENSATION INSURANC~
(Th,s sec1,on need '101 be completed ,•.fo., :1e'"'''
,s tor one hundred dollars 1$1001 or Iess·,
0 I lert1ly 1'1al "' !he pef1ormance ot lhe ,.o,._ 'or
wh,ch th,s perm,! ,s ,ssued I shall '101 emplo, a,i;
persor. ,n any manner 50 as 10 become ~ut:!E'' r I<'
lhe Workers Compe/\&al•on L.iws o• CaI,•orn1d
NOTICE TO APPLICANT 11, atter mas,,,-, lhIs Ce,-,
ltcate of Exernp1,on ;Ou should become sub1en ",
the Worke,s Compensation pros1~Ions of trie L.IDOr
Coae you must lorth,,.,tr-, comply .,.,rr-, s,.,ch
pro~,s,ons or 11"1,s permit shal bf' d,-erned re,,JkerJ
0 I hereby all.rm thai thP•P ,s a ,.or•51r,_,,
:ending agency to, the per1or~,anc.f c' l'ie nvrl<
w'1,ch lh,s pe,m,1 ,, ,~~ued ;Ser )If)? C" I Code
lender~ Name ___________ _
Lenders Address __________ _
, USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV.ST.AD. NEAAESTCROSSST. TlON BUSINESS LICENSE ,t VALUATION PERMIT NUMBER
tb1Zo -·
CONTRACTOR CONTRACTORS PHONE# ZONE 84~5"
1-.A!~"'-'-'i---l..JL~ !;2~,:!=_l_--~21~.L--_.l:::.U?J(l..:..J:~8~~70_ CONTRACTOR'S ADDRESS
LICENSE NO. PLAN 1.0. # BLOG USE CODE
DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK
DES!GNEA"S ADDRESS OESIGNE A'S PHONE
l51AtMW\1Nh J2DOL~ F :P F LR ELEV. NO
STORIES
DCC GP EDU
cCNsus rnAc, I ce CANO use l PARKING SPACE: RCS UN<'S l GRADING PERMIT ISSUED
10 ~ D
y[J --.o
I
REDEVELOPMENT
AREA ,'.] --.□
TYPE
CONST
OCC LOAD FIRESPP
YO NO Not Valid Un!Pss Ma~hme Certified
QTY. PLUMBING PERMIT -ISSUE
I
l '-1, cy,I' QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER , .
EACH f-lXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUII_QING PERMIT 01-00-00-8220 7-7/,'-,0
I-EACH BUILDING SEWER ~--~~ OVER 100.000 BTU
/ EACH WATER HEATER AN U OR VENT ------so-1-~u-~;,-PR ESSo"R UP TO 3 HP
-J EACH GAS SYSTEM I IU 4 OUTLUS 801LER:COMPRESSOR 3 15 HP ---1----~--J--""-'-"-'-"-'=""''--, 0 0
EACH GAs-s,;:srE.M '.) OR MORE -~---\1E'T4L F1REr-:~CE ___ ----------ELECTRICAL 01-00-00-8223 '00
EA~~ 1NSTA~ ALTER. REPAIR ,,.,.ATER PIPE : ____ f· ~-~--lv~Jn-F_~_N·s_!NGL~-□~CT ~ ___ _ ____ _. MEC'1ANICAL 0_1_-oo-oo-s224
/ EACH VACUUM BREAKER /) C{J t MECH EXHAUST HODO DUCTS MOBILEHOME 01-00-00-8225
1-----t-i,~~ATER SOFTNER ' ~ Ii I RELOCATION OF EA FURNACE HEATER. I II MOBILEHOME PARK l~,SP
' SOLAR 01-00-0D·.8_226_ ~C.·::'f· !-1(jljC :)R,'.,_'~j ,
I 11 TOHL MECHANICAL STRONG MOTION 80-92-33-0519 I i ;:,"l> .ao !I FIRE SPRINKLERS 01-00-00-8227
_15_ _j
PUBLIC FACILITIES FEE 32-00-00-891) QTY., SOLAR -ISSUE ---
1 BRIDGE FEE
QTY ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl flKR __L__
s--1 I, _J ------I PH I PH I
FX IS I bl D G EA AMP SVVT BK R I
I PH J PH ~-
1_,, REr>,,1UnEl AlltR PEP CIRCUIT
I
-I'
i [,JI I :crnRs . ~-SCHQOL FEE. □!STRICT
STOPAGt. 1A\•.S l, _ _____g_arlsbad
i:1Q[K ST:JRA(";F
Pllr/P
Encinitas
~an D1egu1to
San Marcos
80-92-21-0519 I
80-92-22·0519 I
80-92·23-0519
r-J!l --TE:.MPP[Jlt JOUA\1PS
Pl M, C>iFC~ ~E: -~-----------jf
----
80-92-24-0519
-----1,-----:====---------+-----OVER lUU A:V,PS LICENSE TAX 01-00-00-8162
TEMP (]CCUPANCY '30 OAYS1 MFF 80-92-57-0519
--------!---------
----------------+---_:_ ---jl CREDIT DEPOSIT I I
I ll!TAIEllCTIIIL/d J500J1: ____ 101A.IOW I TOTALFEESPAYABLE I q~,00
I HAVE CAREFULLY EXAMINE_D THE COMPLETED ··APPLICATION AND PERMIT"' AND DO HEREBY it issued bytheButldtng Oflic1al undertheprov1s1onsoflh1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE itahon and become null and VOid If the bu,ldmg or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
I ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATN)NS OVER
5' O"' DEEP ANO OEMOl.lTK>N OR CONSTRUCTK>N Of
STRUCTURES OVER 3 STORIES IN HEIGHT
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APltR VEO BY DA TE ct I
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ',1",,£-11..,(..,,/, ,,J.4,~'-1JV ,UA n .. l Q /_ GRANTING OF TH1S PERMIT · (,/¥• MNW' I ~' 'r.pl
_3!
lL
~ ~
0 o_
E w f--
D
0
CJ
C m u
o_ o_
<l'.
I
~ C
ii:
0 w w w w w <l'.
~ 0
w >-
<ii w w u 0
0::
ro
ci 0
~
w u C m C
lL
,::_
C w w i5
0 u w o_ w
C
w
~ s:
TYPE
BUILDING I
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
DATE INSPECTOR
q.~letl-
lll
/,.,,. I ✓L
7 VI__
----
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF I INSPECTORS
CHECKED APPROVAL
SHEATHING □ ROOF □ SHE!AR
SOILS COMP~ .\NCE
PRIOR TO I
FO,JI\JDA T:Qr,. INSF ' i
8'-f ~{f'S"~
INSPECTORS NOTES
DATE
FRAME I STRuc:uRAL c6~-CRFTE-------.L------+----------, "----------------------------1
EXTERIOR LATH I OVER 2000 cs, _
PRfSTRESSED INSULATION I CONCRETE
INTERIOR LATH & DRYWALL I POST TENS ONED
' CONCRETE .L
PLUMBING I
SEWER AND BUCO □IPL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W.f\TER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WAlER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ t;)FFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPO~ARY
l!I BONDING ll!l POOL 1
MECHANICAL
'cJ~3-Bf ~
q ,11,.34 I (111
"L/
FIELD VVE-LDING
r-'1(_1H Sl REI\JGT~ -------+----O
BOL rs ------+------+---------1--_J
~FEC,Ai... MAS0N9Y
~
PU:C'.:i CA ISS,JNi:-
t--------·---------+-------+-----
f--------------------+-
f-------------+ ----
---t-------
,.._---------t---+---------+------l
---+--------+--------+-----]
□ DUCT & PLEM., □ REF. PIPINi, I I I f-----------t----+----+------1
HEAT -AIR COND. SYSTEMS 1
' VENTILATING SYSTEMS
CALL FOR FINAL INSPECTJdN WHEN ALL APPROPRIATE
_ ITEMS ABOVE_fj_AVE BEE!N APPROVED.
FINAL I
PLUMBING ~,'
ELECTRICAL y, 111(,// (I,, vf
MECHANICAL ll /1 JN·· t!f I
GAS f /, V I fl
BUILDING _!_,
SPECIAL CONDITIONS
' '---------------•----~--------j ___ _
-------------------------------------------------,
...
)
, ___________________________________ ___
PLAN CHECK NUMBER M-1' S-5 ADDRESS ;)CJ ;G :Z · (: {Al-(. DATE ,r.pf-y
TYPE DF STRUCTURE ___ N-~c.._W __ .,__ ______ _ PLANNING: ZONE: ------
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
% COVERAGE
BUILDING HE
FENCES/WALL
IGHT
s
\
\ '
\\
'-' '
TWO CAR GARAGE. _________ _
ENCINITAS ------:,----
SAN MARCOS ___ -1--+---
REQUIRED SETB C"\----l-,I-----
FRONT __ -+-'~+-1i,._..-:::; __
SIDE, __ -l-~J--.l,-----
REAR, __ ~,....-,1,'------
COMMENTS: ________________________ _
REDEVELOPt1ENT APPROVAL REQUIRED: ____ ~+.;::..-~_, ________ ..:,._ __
LANDSCAPE PLAN COMMENTS: w
ENVIROrf!ENTAL REQUIRED~: -------;i.L,4------------
------------------------------
................. *****************************************************************
ENGINEERIN~. LEGAL DESCRIPTION VERIFIED? /t:?S A.P.N. CHECKED?M,_
P.F.F. ___ 1.,..P .... ~----PARK IN LIEU _ _.....4..,...k~..,___
0
________ _
~R.O.W:__,;€;xi:'-"'-t...,;;;;.~_../ __ IMPROVEMENTS: _..:;6:2$:...,L.J.:...;r..(':.../ __________ _
~-'----------------------~ :--:~r _______________ E.D.U: ......;;~'-"-'------------
a: .... :z .... -.... > I-~ ~
~ □ ;:: ffi D ua: ...,_ ' ~s-o OLU u a:
ATERAL: G?S(,!'T DRIVEWAY : &/,/ .r;: /
GRADING PERMIT: ~"'""-----------------------
DRAINAGE: MA,<ie--,S:d/'<.€ _?be;L J'<.U,,,J ~? ...D,,e,,,,._,,, ~ ~ ~
EASEMENTS: /CI r ..fb-7/=n. ~--,....,,W-ADDITIONAL COMMENTS: _017V~
Q ~ dF ,e11-•r 0 •'19
&.//L--£} ,ee;~ ,::,71.) ;ro;P crP S'cwe"X., ~~/.
PUBLIC ~'ORKS INSPECTOR: _____________________ _
FINAL OK: -----------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
r
\.
,)
" ' \;•
L,
<t
\Ll
\--
t-----I ·~1 ~, -
'~
>--
! !
I,
);
'i
I !i
'·
I'.
):
'L_ -r----I~ !'
-1-,
.:;8 I •
"' ---.
I
l
' ~ •
I I 11
" ! -:i--
I _t