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2636 LA COSTA AVE; ; 84-94; Permit
"' z 0 .: : :l u .. C IC il u IC .. " ., 5 I .. z ~ z 0 ~ "' z .. .. "' 0 u "' "' .. >< IC 0 3 ![ 0 I hereby affirm that I am licensed under provtalona ol Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and ellect. Lie No ______ C'a,, I hereby affirm that I am exempt lr0'll the Contrac- tor's License Law tor the fol!ow,ng reason (Sec 7031 5 Bus,ness and Pro!ess1ons Code Any c1ly or counly wh,cl, re- quires o perrnII to rnnstruct. alter. Impro;e, demol,sh or repa,r any structure. prior to its issuance also reou,res !he ao- plIcant for such perm,t 10 :ilea sl~ned statement that he Is licensed pursuant to the provIs1ons ol the Con1,actor's License Law !Chapter 9 commenc,ng with Section 700~ of D1v1s1on 3 ot the Business and Professions Code; or that Is ex empt therefrom and 1he basis for me alleged e~emptrnn Any vIolatIon o1 Section 7031 5 by an applicant lor a perm,t sub Iects the applicant to a c,v1I penalty 01 not more than 11ve hui- dred dollars 1$)00) I. as owner of the property. or my employees with wages as their sole compensation will do the work. and the struc-ture ,snot intended or otfered lor sale (Sec 7044. Business and Protess1on, Code The Contractor's License Law does nol apply to an owner of property who builds or improves thereon and who doos such work himself or through his own employees. provided that such improvements are not intend-ed or altered for sale 11, however. the bu1ld1ng or improve- ment Is sold within one year ol completion. the owner-builder will have the burden ol proving tha1 he d•d not bu.Id or im- prove :or the purpose o1 sale) 1: I. as owner of the property. am e~clus1vely contracling w,th licensed contractors to cons1ruc! the pro1ec1 (Sec 7044. Business and Proless,ons CDde. The Conlractor's License Law does no1 apply to an owner of property who builds or im-proves thereon, and who contracts tor each pro1ects w11h a contractor(s) license pursuant to the Conlractor·s License Law) LJ As a homeowner I am Improv1ng my home. and the follow 1ng conditions exist 1 The work ,s being performed prior to sale 2 I have lived m my home !or twelve months prior lo comple11on ol this work I have not claimed this exemphon during the last three years ~ I am exempt under Sec ______ . B & P C !or this reason ____________ _ O I hereby atrirm trial I ha~e a cert1!1cahl of cons;enl to sel!-msure. or a cer1,!1cate at Workers Gompensat,on Insurance. or a cer11!1ed copy thereol !Sec 3800 Labo!' Code\ POUC,NO r COMPANY D Copy ,s filed w,th 1he city D Cer1'11ed copy ,s hereby tur CERTIFICATl OF EXE:.M ION FROM WORKERS COMPENSATION INSURANCF (This section nee<l not t,e compleled 11 The ;:,e•m,1 ,s tor one hundred dollars ($1001 or iessi 0 I certify 1hal ,n the performance al the worl< to, wh,ch !his perm,! Is ,ssued I shall not employ an, person ,n any manner <;0 as !O become subIe( t t<J !he Worl<ers· COmpensat,on Llws of Cal1lorn,,. NOTICE TO APPLICANT 11 al1er makInJ This Cert, !,cate of Exemption you should become sutiIec1 t~ the Wor!<.ers COmpensa!1on pro.,s,ons of the LlDor Code you must lorth,...1th compl)' "'11h such prov,sIons or this permI1 shall be deeCT1ed re,01:ea 0 I heretiy afl,rrn thal there ,s a <..O"~lfuctI0" Iend,ng agency •o, lhP perlorrr.ance ,,1 ,r,p wor1< ',:,r which this pe•mIT ,s 1~5ued 1Se( Wi c,,, Code, lenders Name ___________ _ Lenders Address __________ _ . I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. RO. NEAREST CROSS ST. DA TE OF APPLICATION BUS~ SS LICENSE # VALUATION ~~MIT NUMBER • i-_fJ I, 3 c;:;. J A r'Pnr-T ,,,_ ;"';,, ,--#:l. /I 2" -., LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CON.TRACTOR CONTRACTORS PHONE 11 ZONE :?~ I ~un/ie--.;. A'.')_,.' : ,. ,;,,. '7ll/~ ow7;;;, I}} p:-i/ I OWNE R"S PHONE , CONTR,CTOA'S AOCi!IR"ESS " -,~ . CJ LICENSE NO. PLAN I.D. # BLOG use CODE / 3,r, ~ /1 ~ ,)r; ,l:l.-_-;J' I .L/ .lJ,5,? ,,j_.,( OWNER'S MAILING AD0ResJt ' //t::::c:?a .-1L.. ~ h :1.-~ '&;s;rl'J-t!J/C, DESIGNER ~ . LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE ' . -~·-·. ., OESCRlPT!ON' OF WOR«> ' . . QJSl~~.ER'~,A,QM~·~:-:;:~~\-,~-. •' OESIGN.Efl:S,PHON.E . . ... ~,,_,. . //~.J:+1/"e,,L .. C /1-N J-/',f,-; . . . . ~. '··--I tv. ~ ~.t-[.. . (IQ A-7'-',= ,r.2.. . ' F/P FLA ELEV. , NO ace GP EDU i !. ' • STORIES i.t i:.. ,1;,r_!·41~; . t . vO NO .1. -~--·:-.:. .. .;.·~ ... ' CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPFf AREA CONST vO ND vO NO vO NO Not Valid Unless MJchme Certtf1ed QTY PLUMBING PERMIT -ISSUE ' -1 £!!. QTY. MECHANICAL PERMIT, ISSUE 5-SUMMARY/ACCOUNT NUMBER I EACH FIXTURE TRAP I INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER ..--n OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 - / EACH WATER HEATER ANO·OR VENT >. BO!LER1COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 .~ I/ EACH GAS SYSTEM 1 TO 4 OUTLETS -j BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 /t:? ::--------- EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 --~- EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 --------~- EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MDBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN 1'NSI0l1 SOLAR 01-00-nn-"""~ ., ,,rv TOTi:..L MECHANICAL STRONG MOTION 80-92-33-0519 -' . TOT Al Pl UMBING I //J --FIRE SPRINKLERS 01 ·00·00-8227 - PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT · ISSUE S-QTY. SOLAR· ISSUE BRIDGE FEE NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT ·- I PH J PH STORAGE TANKS Carlsbad 80-92-21-0519 tXISf BLOG EA AMPtSWT·BKR ROCK STORAGE Encinitas 80-92-22-0519 --- I PH 3 PH PUMP San D1eguito 80-92-23-0519 REMODEL AL HR PER [IRCUIT . PLAN CHECK FE'E San Marcos 80-92-24-0519 TEMP POLE ?00 AMPS OVER IOU AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI ~~.,::: CREDIT DEPOSIT TflTAL ELECTRICAL l Ii TOTAL SOLAR TOTAL FEES PAYABLE I ./cJ~ I ' . . 1-"t EXJ)ffM~ e.ery'.pemm isilutcf tiy-V,. Mdfug Offlciaf under the prov1s1ons of !his'. t HAVE CAREFULLY EXA~NED THE COMPLETED "APPLICATION AND PERMIT' AND 00 HEREBY * AN OStlA PEf-,IT IS~ FOft EXCAVATJON$ OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDrlNG THE Code shalt ex~ ~ alkf1Jlctfni'e bUII artd"v!»d. 11 the bwtding or work' 1 5" 0,. DEEP ANO DEMOl..lTION OR CONSTRUCTK)N Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE tF A PERMIT IS aulhorized by such permit is nQt commenced witrnn'180 days from the dat& of such STRUCll.lRES OVBI 3 STORIES IN HEIGHT permit. or if ihe buildi!'&"' IJr Vll!Oft!. auttw,aed by such perm ti 1s suspended f' ISSUED: TO COMPLY WffH..All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abal1dooed .at --time -~ii commenced tor a ..... nod of 180 da .... -.. STRVCTION. WHETHER 5PECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY ANO APPL2SIGNA~ 10 ' OWNER □ CONTRACTO~ AF'r,AQVED J, JI---~ w KEEP HARMLESS THE,ClTY ,Of ,CAAl.SBAQ AGAINST ALL UABIUTIES. JUDGMENTS, COSTS ANO EXPENSES WHl'CH MAY I~ At-4Y,WA:t. ACPRJJE. ~A1NST SAID CITY IN' CONSEQUENCE OF THE ~A' GRANTING OF THIS PERMIT,~ " • 'C BY PHONE 0 . , . ' , ~ CL ~ ~ 0 0. E © f- l u 0 CJ C rn u 0. 0. "' .I ~ C a: 0 "' "' m "' "' "' ~ 0 w r ,;; "' m u 0 a: rn '" 0 G m u C rn C CL ~ C m m i3 0 u m 0. "' C 2 .c ;: TYPE I DATE INSPECTOR BUILDING I • • 'lf4-,..q y FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I ' MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME I ' SHEATHING □ ROOF □ SHEAR SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH I I --~--~ STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRESTRESSEO INTERIOR LATH & DRYWALL ' I CONCRETE POST TENSIONED CONCRETE PLUMBING I FIELD WELDING SEWER AND BUCO □IPUCO . I UNDERGROUND □ WASTE □ WATER HIGH STRENGTH BOL is TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN I GAS TEST I ' PILES CAISSON;:; □ WATER HEATER □ SOLAR W.61TER ' I ELECTRICAL I □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC . I □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL I ' I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING - HEAT -AIR COND. SYSTEMS I - VENTILATING SYSTEMS I ' I CALL FOR FINAL INSPECT:fN WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. Fl AL I ----. PLUMBING 11) :...4 . f/1 ,t:;-'' ... , ) I ELECTRICAL ' ' ' I MECHANICAL I ', -' GAS I BUILDING I SPECIAL CONDITIONS ' I