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Home My WebLink About2628 La Costa Ave; ; 80-559; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION ~,1 hereby affirm that I am exempt from the Con- tractor's license Law for the following reason (Sec. 7031.5_Business and Professions Code), Any city or county which reQuires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex· empt therefrom and the basis for the alleged ex• emption. Any violation of Section 7031.5 by an ap· plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C:' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered !or sale {Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner·builder will have the burden of proving that he did not build or improve for the purpose of sale). =.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec. B. & P.C for this reason>--------- Date Owner ·-WORKERS' COMPENSATION DECLARATION I hereby allirm that I have a certificate of con- sent to self-insure. or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Labor Code). POLICY NO. ____________ _ COMPANY ____________ _ □Copy is liled with the city LJCertified copy is hereby furnished. ._,_ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after making this Cer· t1ficate of Exemption. you should become subject to the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction Ian· ding agency tor the performance of the work for 1i CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 , ' ')' / fli ~ Ai,A "r;; :ci~'.''J ,~ I ..-~ . ._.. 'I( T I ' ' I I I I I I I ' AV.ST. [DATE OF APPLICATION I ',' OWNER ~ .._ &_,,_{_j .&11~ OWNER'S PHONE PRIME CONTRACTOR /u. ,t,IJ.., 0WNER'5JtL/G(JDDRE~~Zo-• ~ • .-n • k.-r;J:>(o~;t l-10 7 CONTRACTOR'S ADDRESS COT BLOCK I SUBOIVISION I ASSESSOR'S PARCEL NO.V DESIGNER ' ' ' ' ' ' ' ' ' ' ' OESCRIPTION OF WORK u,, /}, C . , "'A'-z: n-z~ -DESIGNER'S ADDRESS (1/ /_,,7 CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER STATE LICENSE fu-S"SJ CONTRACTOR'S PHONE STA.TE LICENSE OESIGNER'S PHONE ~S. UNITS 1;ARKING SPACE Sf I NUMBER OF STORIES Not Valid Unless Machine Cmifisd BLOG SQ. FT. BLDG USE occ. GP I STANDARO PL~ lPLANIO# l TYPE CONST I occ. LOAD I [!TY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 0 UT LETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I Issue 3,00 Issue 3 .• UI SIGN PERMIT I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I ELECTRICAL PERMIT AMT, TOTAL PLUMBING I I QTY. AMT. QTY, MOBILE HOME PERMIT ELECTRICAL I ' NEW CONST EA AMP/SWT/BKA AWNING MECHANICAL I I 1PH .15 3 PH PORCH MOBILE HOME I I EXIST BLDG EA AMP/SWT/BKR SET·UP SOLA.l' . I I I A., ~ I PH .15 3 PH RAMADA, CABANA I ·,~ "' I/" ,£4,l. r•· p , ' I ,. - REMODEL/ALTER PER CIRCUIT FENCE OVER 6' II ,.,,,_,....,,,,.-nu;;c:-I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME Mrco-r1LM I O I I OVER 200 AMPS I I I I · TEMP OCCUPANCY 130 OA YSI -, . • . Y-... :01 KU1,u l'!Vl !UN: I I I I T~ono 2,00 I ' I I TOTAL ELECTRICAL -,. TOTAL FEES PAYABLE I J,5 {J: CONTRACTOR I I , I HAVE CAAEFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMlT. AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"-0"' DEEP AND DEMOLITION OR CONSTAUCTION OF FURTHER CEATIFY AND AGAEE IF A PERMIT 15 ISSUED;TO COMPLY WITH ALL CITY. STRUCTURES OVEA 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -~ SPECIFIED HEAEIN OA NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND .-i n EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT APPLICANl''S S)GNATUAE• I OWNER □ CONTRACTOA0 I APPROVED BY~ DATE l ' , \"' .' AGEN~ . I i' x·· ",, /,"_;.-/-_ "'---),, ' ' .. •· _. BY PHONE 0 ' • w .... < Cl ~ > z 0 j::: u "' Q. V, ~ f-11 , ___ SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR ..... UNDER SLAB PLUMBING i ' . FOOT! NG • FORMS• SETBACK • TOILET \..,-.., OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING i • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP ~. : GAS METER~PERM-TEMP i ' --· -.... ' ' ~ L.~-:~_R") OF OCCUPANCY ISSUED i • REQUEST FOR(lN~PECTION TIME-· ---INSPECTOR -~~...d. PERMIT NO_~ ______ DATE: /4 ~; :5 :::: ~~ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL 0 FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WAT<:R HEATER D FINAL READY FOR INSPE~ -~ 0P.M. □TUESDAY ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 SMOKE DETECTOR FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN D GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL ' WEDNESDAY D THURSDAY D FRIDAY / ,,..,. REQUESTED BV'_l.&::~~~"=.....U.~C::::~::::_ ____ PHONE NO. ,?ZJ -,::I J"',j' J PERSON TAKING REPORT ___ :f'~------------------· . ·--· CORRECTION NOTICE ... " CITY OF CARLSBAD ' . -BUILDING INSPECTION DEPARTMENT TIME:----+--- DATE: {p /4Jo INSPECTOR BUILDING D FOUNDATION D REINFORCING STEEL o MASONRY D GROUT. GUNITE D FLOOR AND CEILING FRAME D SHEATHING o FRAME D EXTERIOR LATH D INSULATION o INTERIOR LATH OR DRYWALL PLUMBING o UNDERGROUND PLUMBING o UNDERGROUND WATER o ROUGHT PLUMBING o TOP OUT PLUMBING o SEWER AND PL/CO o TUB OR SHOWER PAN o GASTEST o WATER HEATER ELECTRICAL o TEMPORARY SERVICE □ ELECTRIC UNDERGROUND o ROUGH ELECTRIC o POOL BONDING o ELECTRIC SERVICE o UPPER GROUND PHONE· 438-5525 Note: Final Inspection Required (/j Fl{0VIOB (j) fl(.t)W@ litEi#1 OA> rop or- ,'H--L-swees !'E« CJTj ~ ® f&Wlf) e? aE!l'lr 0:tte re&. r ' /;OtjLA.-S {~ 71le, d$f S1..P£ @F 1tl8 !M)IUJJ~ 1'6> ~ STh3r:E: / o G.F.L D SMOKE DETECTOR ~j'.:)A--1,~fjl!~q..j,~MP~=---------------- MISCELLANEOUS" ~I• ~ D PLENUM AND DUCTS \.:,O'r -~--'~:+------------------□ COMBUSTION AIR ~ D CONDITIONED AIR SYSTEMS D SOLAR D GRADING D POOL D PATIO D SIGN D OTHER f • • " l -8»ff &1;-e-t: l<//dvz,--R4UP. t/~e1,~. i ' . &wvu(.:.... o."',!) /;,y ID!/ uc,,,:(.. 'I I '.4 Dote Redi7nn 4S 465 I h■ / I YJ,U4.,.J.X:.~ ~<...:.,_ .J .. '!,.:, ,,. cl{:--::(/,·':-", .L)-K.!f_~,l!A ,/-r ./;,[. ... _ I /1/ ,,,( t c:-_\,c__~ I ·, . ., r. . .. j , .,, Q ;,, I! I ,J..( ,t. (_ .. , P,W'f ,-( ·<..J!., .• Signed &/'),./~~ • CITY OF CARLSBAD Building Department ~ I I . Signed L} /11/jJ SEND PARTS I AND 3 WITH CARBONS IN: / J ros., Pok 1$0 te!d 4P46S PART 3 Will BE RETURNED WITH REPLY. ,. LwntTE 11-noN'T SAY 11--.. ~ER-DEPARTMENT MEMORANDUM ,. TO Ray DATE 6/5/80 19 Dave Ar~old called wants letter stating house and pool were completed and inspected and finaled. Found in closed files -cleared 11-17-78. Cannot find final inspection slip in file. 1° Allied Builders of San Diego 3410 Crown Point Drive San Diego, CA. 92109 ·--------·------... __ -~- Attn: Dave Arnol~ '. ~ 7Z ~~ .... ~r:r d<. ~sddo.,~ ~~: --~~~~~ REPLY ON THIS SHEE FROM HH A,M. P. M. WILMER "SEFWICr"'w,, STANDARD INTER OEPT. MEMO FO"M lt-24-PO Cfo't'tE-!:J !Pine~ Con~uftin9 July 17, 198() P. D. !Box 38 Ca.,d,ff !By 'Jfu c5~a., C!a.f,fo,nia. 92007 ( 714) 755-1705 ( 714) 275-3778 Allied Builders, ~. Limited 3410 Crown Point Drive Partnership San Di ego, CA ,I Attention: Dave Arnold Project No. OM40 Subject: Reference: Certification of Completion of Work Existing Residence at 262B La Costa Avenue- Dave Arnold, Agent. Gentlemen: The undersigned performed an inspection of the above referenced project this date. We herewith certify that the recommendations or an approved equal have been completed in accordance with our letter dated July 9, 1980, subject "Structural and Drainage Recommendations." Should you have any questions or comments, please feel free to contact the undersiqned. Respectfully submitted, TORREY PINES CONSULTING ~~ Dennis E. Zimmerman, P.E. C26676 .. Attachment: Our letter dated July 9, 198() cc: (3) Addressee DZ:mh Cf ot!lL!J fPine~ Con~ufting July 9, 1980 fP. D. !Box 38 Ca..J.l{f !By 'Jfu .:Sea., Ca.fifo,nio. 92007 ( 714) 755-1705 (114) 275-3778 Allied Builders, A Limited Partnership 3410 Crown Point Drive San Diego, CA 92109 Attention: Subject: Reference: Gentlemen: Dave Arnold Structural anq Drainage Recommendations Existing Residence at 2628 La Costa /l.venue- Dave Arnold, Agent. The undersigned performed a visual reconnaissance of the above referenced site on June 27, 1980. We hereby make the following recommendations per- taining to the drainage of the site and the sidewalk at the northeast corner of the structure: (1) The soil berm adjacent to the west property line and located on the property to the west should be brought up to minimum standards. (2) Provide five inches minimum of fall per five feet horizontally from structure on west side of structure. (3) Provide proper catch basin at ground level on west side and slope finish grade on west side only a minimum of 1 percent to catch basin. Connect catch basin to existin9 drainaqe facilities on west side. Permanently connect roof downdrain on west side to catch basin and/ or drainage facility on west side. ( 4) Pro vi de 5" minimum of fa 11 per 5' hori zonta 11.v on south side ( front of structure) near southeast corner. Provide prooer soil berm on east side at top of slope and a minimum 1 percent gradient adjacent to berm from southeast corner of structure to street. ·----------------------··-·-··----.. • Page two (5) Provide typical downdrain at northeast corner of structure in planter area; connect to existing downdrain at northwest corner of structure with typical drainage pipe to match existing. (6) Provide minimum 1 percent gradient in northeast planter towards new downdrain near center of planter area. (7) Install three cast-in-place concrete piers under the thickened footing of the sidewalk at the northeast corner of the structure. These will be located on the east side where the wood retaining wall exists. One should be installed at the northeast corner of the walk; two additional piers on east side, each 5 feet apart. Each pier shall be founded a minimum of four feet into approverl competent soil materials. Piers shall be a minimum 12 inches in diameter with (4) number 4 bars vertical and number 2 ties at 18 inches O.C. All rebar shall have a minimum concrete cover of 3 inches. Concrete shall attain a minimum compressive strength of 2500 psi at 28 days and shall be internally vibrated with a mechanical vibrator. All work shall be inspected by this office. All concrete work shall be continuously inspected by this office. Should you have any questions or comments, please feel free to contact the undersigned. Respectfully submitted, TORREY PINES CONSULTING Dennis E. Zimmerman, P.E. C26676 DZ:mh