HomeMy WebLinkAbout2722 LA COSTA AVE; ; CB890741; Permit., z 0 ~ ~ .,
irl 0
" il 8
a: ..
0 .,
5 ~ .. z • 0
z 0 ;:
~ z .. ..
" 0 0 .,
"' .. " a: 0 •
![
0 I hereby affirm lhat I am licensed under
provtalona of Chapter 9 {commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profaaslons Code, and my license 1s in
full force and effect
I nereby altmn lhal I am exempt trom lhe Conrrac
1or s License Law lor lhe lollow•ng •eason !Sec 7031 ~
Business and Proless,ons Code Any crty or county w~r( • re quires a pe•m,1 to construct. alter ,morove demolish or
repa,r any structure pr,or IO ,Is issuance also reQurres 'heap
p1,can1 lor such oerm,t to file a s,qned statement tnal he ,s
1,censeo pursuant to the prov1s1ons of The (,ortractor s
License Law '.Chapter 9 comrnencrng wrlh Sec1,on 7000 ol
01v1s,on 3 ol the Bus,nessand Pro•ess,ons CMe; or :hal rs e• emot therefrom and The basis !Of the allegeo e,empt,on An1
.io1at1on ol Sec1,on 7031 5 Dy an applicant lor a pe,m,1 suD 1ects the applicant 10 a c,v,1 penally or not <nore than tive hun
dred dollars 15500!
as owner ot the property or <ny employees w1'h wages
as the,, sole compensa1,on wi!I do the wor, and lhe ,1,uc
lure ,snot intended or offered lor sale 1Sec 7044 Business and p,01ess,ons Code The Contractor's License Law coes
not apply 10 an owne, of property who builds or ,moroves thereon and who does such work himself o, through hrs own
employees. provided lhal such improvements are nol 1nlend-ed or offered lor sale If. however tM Du1ld1ng or ,morove-
ment 1s so•d w11n,n one year ot complet,on. the owner-builder w,11 have lhe burden of proving that he did not build or ,m prove for the purpose of sale!
1 as owner of l!le pro~erly am exclusively con1ract1ng
with 1,censed contractors lo construcl the pro1ect !Sec 7044 Bus,ness and Proless,ons Code The Con1rac1or's License
Law does not apply to an owner of properly who builds or ,m proves thereon. and who contracts lor each pro1ects w,th a contractor1sl 1,cense pursuant to the Contractor's License Law)
I As a homeowner I am ,mprov,ng "'Y home. and lhe follow mg cond,t,ons exist 1 The work IS being performed pr,or lo sale 2 I have lived m my home lor twelve monlhs
prior lo comple!IDn of th,s wor~ I have no1 claimed th,s exemption during the
last three years
_ I am exemp1 under Sec -----~ B & PC for this reason ____________ _
I hereby affum that I have a certificate ol consent to
sell-insure or a cert,l1cate of Wor~ers Compensation In
surance or a ce•!d1e<:J copy !Mreol !Sec 3600. Labor Code)
POLICY NO
COMPANY
Copy 1s filed w1!h the city
_ Cert1t1ej copy 1s hereby furmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed il the perm11
1s •or one !11mdred dolla•s 1S100) or lf'SS)
_ I certify that ,n the performance ol me work for wh1cn
lh1s perm•t 1s ,ssued. I shall not employ any person 1n any
manner so as to become sub1ect 10 the Workers· Com pen
satron Laws ol Cal1for~1a
NOTICE TO APPLICANT If. after making this Cert,l,cate
ol Exemption. you should become sub1ec1 to the Worke,s
Compensation pro-,s1ons of the Labor Code. you must
forthwith comply with such prov1s1ons or th,s perm,t shall
be deemed revoked
I hereby atlirm that 1here ,s a cons1ruct100 leading
agency tor the performance of lhe ,.,ark Jar wh,ch \his per
m1t 1s issued (Sec 3097. Ci,11 Code!
Lender's Name
Le~der's Address
: CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
I JOB ADMESS AV. ST.RO. THOMAS BROS NO. BUSINESS LICENSE# PERMIT NUMBER
: 5 : 1T ~ CONTRACTOR CONTRACTORSPHONH i1-0 7i.f-;
I OWNER'S NAME l--,-,,,--?Jv.J..::.,_: _ _:/J..::.,..1,::::,fl-c....::::_ ______ -4--,,=="'-====---lf----------+-;:=====;;;;.,-;,.--, .J OH tJ /v1 (J $ £ U 7 "51$-]500 coNTRACTOR·s ADDRESS STATE LICENSE NO. BUILDING SQ FOOTAGE
t OWNER·s MAIL!NG ADDRESS
1 z "2-2. <-A-A-V/f;,, CA,(u_ S {3/lf> oes,aNER oes,GNER'S PHONE
~
u..
> ~ 0
: To G, /rfl.. Ire-If-oes1GNER's ADDRESS STATE LICENSE NO.
I I 1 J I
59c5 '.)5,<-.7/89 '.)()(;1. 0.1 .
f;~dF-1·1t.
c,2 0. --,,,.,, E '·.f•-·· Ql
f-
l F:P FLR ELEV NO ace GP EDU
I STORIES
1 <J "'□ --
1 CENSUSTAACT PARK•NGSPACE: RESUNITS GRADINGPERMITISSUEO REDEVELOPMENT TYPE OCCLOAO FIRESPf'
I ARE A CONST
tO ~ O ,CJ,,,,□ v □ 1-<0 NotValidUnkn~d11neC~rt1fted
rl..1111 'I I ..... HANICAL PERMIT -issue I /j v-II ""' , ·"SUMMARY1~c~~-U~T-~-~M
0
BER ;/.,, I
TSUPTOlOOOOOBTLJ I II OUI\.UH~uri:niv,,, ~~i-~,~-~u-~~-~uu I ':f:/ I
~1 I EACH BUILDING SEWER I I[ I OVER 10( -----1----------1
IESSORUPTOJHP t'LAl~l,Mtl,I\ uu1-ti1u-uu-uu-M~I) v-"" I
7.5°11 OTYI MEC ----
INSTALL FURN DUCTS UP TO 100 000 BTU
1.000 BTU
BOILER,COMPRESSOR UP TO
801LER,-COMPF :ESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 J 7
1REPLACE ELECTRICAL 001-810-00-00-8223 l I
1[ I EACH INST AL. ALTER, REPAIR WATER PIPE I II I VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
1 1 METAL F1REPL
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD·□ UCTS
11tLUl,AIIUN ur ti" , .. ,.,.,A,..r .. rA-.-rn
DRYER VEI
_CHANICAL
HOOO·□LJCJS I ii MUtjlLtHUMt uu1-ti·u-uu-uv·tiuJ I I
1 11 1 --· -'.:ATIQN OF EA rUMNl-ll.t"Mtl-lltf1 I I ~VLl-lf1 uu1-01v·vv-vu-o~~u
VENT _ • STRONG MOTION 880-519-92-33
I r Ir TOTi'..l Mf_
=:jL --=-ir-,, ,, -II r'ITV j MOBILE HOME SETUP J II I CAR
AWi -
Jl _l ----------PUBLIC FACILITIES FEE 320-810·00-00-8740
• • _., 11 BRIDGE FEE 360-810·00-00·8740
llnTv I i::1 i=rn:;iir.t.1 Pl=J::IMIT. 1c::_c:;,11i= 1 'l II 1..1, ,.
1
I I ,? ·• • • ■ t'Af11\·ll~·LltV l/-\f1tP.
PORT TIF 312-810-00·00·8835 -------------1-----1------------------+--------IING LA COSTA TIF 311-810-00-00-8835
GAF I EXISTBLOGEAAMPSINT BKR GARAGI:: ~m
: 1 PH 3 PH LICENSE TAX 001-810-0'.l-D0-8162
I BEMOOEL AL Tt::R PER Cl/1CUIT MFF 880-519-92-57
1 TEMPPOLE lOOAMPS ' 1 OVER 200 AMPS
1 TE~P UCCUPANCY :3□ DAYSI -'
I 1 CREDIT DEPOSIT / ) / ~
: l(]IAL ELltTRI( Al l ~OTAL TOTAL FEES PAYABLE 1
' l 7~
I HAV{CAAEFUL'tY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE * ~'.l;;:~;~ F0A EXCAVATIONS OYEA
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE lF A PERMIT 15 OR CONSTIIUCTIOH OF
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-3 STORIES tM HEtGHT
STRUCTtON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CHY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS AND DA TE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE or THE
GRANTING OF THIS PERMIT BY PHONE 0 I
l
D 0 ('.)
C
~
0
0. 0. .,
I
~
C
ii
0 ~ ~ ru ~ ~ .,
I
~ .2 w >-
ru
0 C
~
C
u..
::c
C ru ~ CJ
0 u ru 0. ~
C
ru
.c ~
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION -."-1 ,.,
REINFORCED STEEL ~ Lb..-/J/ 7
MASONRY I / /
GUNITE OR GROUT '
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF D SHEAR /l
FRAME 1 //41/,i,11 7:.
EXTERIOR LATH ; ',//J/0 Y
INSULATION ' 1 '
INTERIOR LATH & DRYWALL •
' I
PLUMBING I
□ SEWER AND BUCO □ PL/CO
UNDERGROUND □ WASTE D Wi,TER
TOP OUT □ WASTE D WAl'ER
TUB AND SHOWER PAN ,
GAS TEST :
□ WATER HEATER D SOLAR WATER
I
ELECTRICAL ,
□ ELECTRIC UNDERGROUND □ UPFER
ROUGH ELECTRIC ,
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL 1
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING!
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE PEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
I
I
I
c..&iqo7<+/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPL:ANCE
PRIOR TO
FOUNDATION INSP
--STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
--
~---·
PILES CAISSONt'.
' .
--. . . --
..
.