HomeMy WebLinkAbout2738 LA COSTA AVE; ; 81-277; Permit.. z 0 : :I :.l 0
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USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
~• l hereby affirm that I am licensed under
"'pr'&vlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. l"'f , /
L,c No7~_Cl,m ---V{p __ _
I hereby o1ff1rm tha,1 I am e~empt from the Con r~~o;·~~~~:;:: !:: ~~l~~i'i~~~/~~i~r
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADORES$ '
'9-:'7__~!3_ · 4·~m Av6.
OWNER'S NAME A.,,,.,',. ... d.tt ~,-
OWNER'S MAIL1"4G ADDRESS
• --. ~l'Aa-il. Au,;,
LOT I 13~0CK SU~BDIVISION
0ESCR1Pl"ION QF,WORl< _ ,,
'•~--_.~ .-,,, A...d
l -OWN0'S---
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A~:T·1~,:;:9;ATIO"I BUSINESS LICENSE #
,;;..3.S-13
VALUATION
, ,;-ao
PRIME CON-TRACTOR CONTRACTORS PHONE # ZONE
<.,., -st, --nil ~ ... ·-' 5'YS-l.f9t/l
CONTRACTOR"S AD~S$
~--~, ,::;nt, n,
LICENSE NO.
-..lo.i:-.I·lOSJa:,9 ~ PLAN I.D. #
$TATE LICENSE # STANDARD PLAN#
i:1:lJ j?,.i gs,
DESIGNER'S PHONE
<!.!-PERMIT NUMBER
$1-"
~ ?/
I BLDG USE CODE
I BUILDING so_ FOOT AGE
county wh,ch requi1es a permi1 to constn..1ct
alter, ,mpro~e, oemollsh, o, repair any structure
prior to rls issuance also requm:!s the applicant tor such pem,,t to hie a s,gned statemen! that he rs
licensed pursu.1nt to the prov,s,ons of !he Con
tractor's License Law !Chapter 9 commencmg with sect,on 7000 ol Dtv1s1on 3 o! the Busoness and Prn-
tessmns Code) or that ,s exempt therefrom ano the
Dils•~ tor the alleged exemption Any v1olatIon o!
Sechon 7031 5 by an applicant for a permit sub1ects tne applicant to a cr,.il penalty ot no1 more than five
hundred dollars ($500) e,J::2/[':: 1,-.... '!. ·•,
I •
. £ ~f:G~~ ~::rt111ws_1 F/P FLA ELEV.
v□ NO __ .
CENSUS TRACT GP LAND USE PARKING SPACE AES UNITS • AREA
NO
STORIES
TYPE
CONST
ace GP
ace LOAD
EDU
FIRE SPA
a C r:·60~ j~; D I, as owner of the property. or my employees
,,,nth wa,ges as their sole compensation, will do the
work, and the structure Is not intended or ottered tor
sale (Sec 704,,t, Busmess and Proless1ohs Code
The contractor's License Law does not apply to an
owner ol property who builds or improves thereon and who does such work himself or through his own
employees. prov,ded that such 1mproveme,1ts are not mtende-:l or ottered for sale II, however. the
budding or improvement Is sold w1th1n one year of
completion. the owner-builder will have the burO!ln ol proving that he did not bwld or improve !or the
purpose of sale)
GRADING PERMIT ISSUED r REDEVELOPMENT
YONO v □ND vO NO Not Valid Unlt!rs lbchine Certified
QTY. PLUMBING PERMIT -ISSUE 7{!;/ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP • INSTALL FURN. OUCTS ilP TO 100,000 BTU • BUILDING PERMIT --D I, as owne,-of the property, am e~clus1vely
contractm9 with licensed contractors to construct
the proJec1 (Sec. ~-Business and P1otessions
Code The COntraclor's L,cense Law does not apply
to an owner of property who builds or improves
thereon. and who contrac1s for each proIects with a contrac!ofjs) l>cense pursuant 10 1he Contraetor"s
License Law)
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT
I I EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO J HP --_ • PLAN CHECK -----I 3.rc
EACH GAS SYSTEM 1 TO 4 OUTLETS _ _ . BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING ______ _j_ __ .il,_ .,.-0
□ I am exempt under Sec
tor this reason
. B & PC
EACH GAS SYSTEM 5 OR MORE ./0 METAL FIREPLACE . ELECTRICAL
EACH INSTA~ .. ALTER, REPAIR WATER PIPE ------~------VENT FAN SINGLE □uCl·-. MECHANICAL --I
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS . MOBILEHOME
I I WATER SOFTNER _ RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
' EACH ROOF ORAIN (INSIDE) . SOLAR
STRONG MOTION ,.,.-I hereby aflmn !hat I ha-.'e a cert1t1cate of consent -~ sel!-msure, or a cert1!1ca1e of Workers _j I .n TOT..G.L MECHANICAL
Compensation Insurance, or a cer1if1ed copy thereof -----r ___ Ffillf" /_
!Sec 3800. Labor Codef TOT AL PLUMBING / ""' _;(" FIRE SPRINKLERS
f-'UljLIL FACILITIES FEE
------
POUCY NO _ .5'83 6 e~~-I --QTY. SOLAR -ISSUE 3!il?-------
COMPANv':,JJt'TE CcwJP _J_ _ 'D QTY. ELECTRICAL PERMIT -ISSUE
0Copyishledw•ththe c•ty -, \ f'I NEWCONSTEAAMP/SWTIBKR -I
D Cert1f1ed copy ,s hereby tu,rnsh~ \'I\ 1 PH 3 PH I
CERTIF!CATl OF EXEMPTION FROM ' EXIST BLDG EA AMPISWT/BKR I
WORKERS" COMPENSATION INSURANCE ----1\--
(Th,s section need not be comple1ed 1! the perm,t 1 PH 3 PH
Is !or one hundrer.1 dollars ISH))) or lessI --+----
COLLECTORS
STORAGE TANKS --------
ROCK STORAGE
PUMP
7 .col
BRIDGE FEE
SCHOOL FEE -DIS.0T'-'R"'IC_c_T ____ _
Carlsbad
Encinitas
Sa
~ "
.
--
REMODEL/ALTER PER CIRC_U_IT __ _ --"--_""'c__----~A~ ~HECK FEE Sa
1 D1egu1to
1 Marcos ----+-------------" 0 I ceT11fy that In the performance of the work to, which lh1s permit ,s issued. I shall not employ any
person m any manner so as to become subIec1 to
1he Workers· Compensa11on Laws of Cal1torn1a
!----------1--TEMP POLE ZOO AMPS
I I OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI -+---------+-----+----------
--+---
-----------+------
.
NOTICE TO APPLICANT II. alter makm;, 1h1s Geri
hca!e 01 Exemption. you should t.>ecome sub1ect 10
the Worl<.ers· Compensa11on provIsIons ot tne Labor Code. you must forthwith comply with such
prov,s,ons or this permit shall t,e deemed revoked 1--__j
TOTAL ELECTRICAL -i ----&----
TOTAL SOLAR ----/~-/iRII TOTAL FEEs PAYABLE ! /j'~~3. 3-e, ,ijt
D I hereby a!!11m tha1 the•e Is a conslruc1Ion
Iend1ng agency tor the performance ol the work lor
wh,ch this perm,t Is ,ssued {5ec 3097 C,v,I Godel
Ler1der s Name ___________ _
·, HAvE CAftEF1'11f •tS(AMia£6 t"He ~:;-~~· ...
CERTIFY. ~t'IAI.TY OF "PERJURY_ TH,\l=· --~-~ . l>l,ClAAArlONlt""" l'.RllE AND CORRE(;>' i®fl . . . i"
c~, • -·:.r11
A
c!J~_·· _<c..-1_·-':ilf#_: =_,,.:,_~~~v::'::::~~°!i~':
~=~ _-__ ., • ----, 80dayrtfromthe-datedfsuch --, __ -~.. 7 I ilid .__k.Pfflllit,1$ SUIIOll'lded Qr ~ -•pariOd of 1,Ah it .....
* M O$HA PEMIIT IS REQUIAE!D-FOR EXCAVATIONS 0YP
·$' O" 0EEP ANO DEMOUTI0N Qf1 C()NS.TRUCTION OF~
srRtfCl\:IRES OVER 3 STONES IN HEtGHT --. . , ,
APPROVED BY
I
I
Lender's Add,ess __________ _
!SSUEO: TO cciMfLY WITH ALLCO"Y, _(;f)UN.'tf -~ffl'!f; --
sTIIIJOTl!),i; lfflETIJ!Slj.~l:lrtll'l•llil>I "">@)1: Hl$0 .,_._ KE!"P Ft>;llt,!LESS tlll!.,,IN'dF.ellJ;ILSMO ~
EXPENSES WHl¢r\. MAY tN 1~NY WAY ~RllE ~,~fO"-QltY IN.
GRANTING Ot=° THJS ~MIT. , ' ~ . " ' -~
.;,<,.~ ~JRAGTOl!}I(
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING . --
SEWER AND BL/CO
PLUMBING UNDERGROUND
_PLUMf!!NG TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR'
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING • ELECTRICAL r _,_ n I •
MECHANICAL I 1/ I t J
GAS -, I '. )}_ r, J 1/N-
BUILDING I V'
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
~I -c"?7,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE -~ CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
-SPECIAL MASONRY
PILES CAISSONS
--
----
------
-------
·--
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0 I hereby affirm that I am llcensacl under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No Cla;s
I hereby alf,rm that I am &Jempl from the Con
~t;·~~~7i;:: ~; ~~t~~,~~~c:it':~~.~
county wn,ch requires a perm,t to construct
alter, improve, demolish. or repa1r any structure.
prior to ,ts ,ssuance also requires the applicant for
such perm,! to ftle a signed statement that he ,s
licensed pursuant to the pmv1smns of !he Con-
tr~tor's License Law (Chapter 9 commencing with
Section 700) or DIYISIOfl J ot the Bus,nes.s and Pro-
fessmns Code) or that ,s exempt lhefelrom and the
b.ls,s for the alleged exemphon Any vtolaloon of
Section 7031 5 by an applicant tor a perrml sulJte(:ts u,,e applicant to a c1v11 penalty of not more than five
indrfld dolla~ ($500)
. as owneJ al the property, or my employees
wages as the,r sole compensation, w,H do the
0!1<, and the structure ,snot mtendecl or offered for
sale (Sec 70.U, Busmess and Pmtessmtls Code
The Contractor's License Law does not apply 10 an
owner ol property who budds or ,mproves thereon
and who does such work h1msell or througt: h1s own
employees. provided that such ,mproveme.,ts are
not ,n1ende1 or offered for sale II. howev-er, the
buoldmg or ,mprovement is sold w,th,n one yeal" of
completion. the owner-bu,lcler w,11 have the burden
of provmg that he did no1 build or ,mpro11e for the
purpose of salef
D I, as owner o! the property. am exclusn<ely
contractmg with llcensed contractors 10 construct
!he proiect {Sec 70.U. Busmess and Profess,ons
Code The Contractor·s L,cense Law does no1 apply
to an owner of property who builds or improves
thereon, and who con1racts for each pro,ects w,th a
contractorls) license pursuant to the Contr;;,c1or's
License Law)
D lamexemptunclefSec
for th,s reason
,B &PC
'61't-reby afhrm that! ha.ea cert,hcate ol conseot
~;lf-msure, or a cert,l,cale of Workers·
Compensahon Insurance. or a cert,hed copy thefeof
lSec 3800. Labor COde)
POLICYNO (;)C,,, ?£'8717
COMPAN'(')'JF.l;_.c.o . ~ Copy ,shied with the c,tyG,l-\-,
0 Cert,loed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed ,1 the perm,t
,s !or one hundred dollars (Sl(IO) or less)
0 I cer11!y !ha! ,n the pertormance al the WOfk tor which th,s penrnt ,s issued. l shall no1 employ any
person ,n any manner s.o as to become subiect to
!he Wort<ers· COmpensat,on Laws al Cahlornia
NOTICE TO APPLICANT If. alter makm;, lh,s Cert,
locale ot Exemp1,on. you should become subject t'J
1he Wort<ers· Compensat,on prov,s,ons ol the Ullbor
Ccxle. you must !orthw,th comply with such
prov,s,ons or th,s perm11 shall be deemed revOked
0 I hereby alt.rm !hat there ,s a construct,on
1end1ng agency tor tl'le performance o! 1he wort,. tor
wh,cl'l !h,s perm,! ,s ,ssued (Sec YE7. C,v,I Godel
lender's Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS,
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT '
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS . A~;T I o~J~/•}/AT,ONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
Z... 7'<.R L-4-W.ST4 AvE. ;2 ,er-t> 81 ---I
OWNER'S NAME I 4:s;:::/;,22, PRIME CONTRACTOR ' ' CONTRACTORS PHONE ll ZONE ' 31C MFJ'~,1. /,~•-/1 IC: /fr,,/~ f' /e.-. " ' OWNER'S MAILING ADORE:SS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
7.1-~8'; /1--COST-4-r,/lrJ/ <rf< /11') ('fi_
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. ( DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
OESCRIPTIO~ Of WORI( ,, ~ c..L..£~Tl:) "1 C 1n15.....,, · ' "L 50, ·-" c,...__, DESIGNER'S ADDRESS DESIGNER'S PHONE
ta,o~ ~ ?1 wE.~ · .
"' FLA ELEV. NO ace GP EDU ; I~ ~ tu'> ~~+'¼E.. ~ / AL:..~ i-) ; ... ,
STORIES
/ .. ... . .
vO NO
CENSUS TRACT 1 GP LANO USE ~ING SPACE RES UNIT~ GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA ' .; ,-..., ' ~-:
AREA CONST
YO ND vO NO vO NO " No.r ~a/id Unlt!ss Machine Certified
. .
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT -----
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -L -----------. -':;.> f'~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
~------
EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR J.15 HP TOTAL PLUMBING -
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL
---------. ----------
EACH INSTAJ,.. .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
-··
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
-·-----·---------MOBILEHOME PARK INS0 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ----
/',!' ""' EACH ROOF DRAIN (INSIDE) SOLAR -----TOT.C.L MECHANICAL STRONG MOTION
--··---1 _ _.___
TOTAL PLUMBING FIRE SPRINKLERS . . -
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE ~6-1 PU~LIC FACILITIES FEE -
BRIDGE FEE --·------
NEW CONST EA AMP/SWT 1BKR COLLECTORS 2 ~ SCHOOL FEE· DISTRICT -~
1 PH J PH STORAGE TANKS ,tr' Carlsbad --____ , ·-. --·---
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE E11c1rntas -------· ---·-----
lPH J PH PUMP -i,,:-tr::. San DIeguI!0 -----·· ----·-----------·---· -·-
REMODEL/AL HR PER CIRCUIT PLAN CHECK FEE San Marcos
------··-· . ---· . ---· -· -
TEMP PO LE 100 AMPS --------·---· -· -·---·-··
OVER 100 AMPS C-----~--·---· -----·------. --------------------
TEMP OCCUPANCY (30 DAYS)
--~·---------~·-~. ----·--I-------
__ __[__ __ -· ·----II----
..
TOTAL ELECTRICAL l TOT Al SOLAR lo i:;., TOTAL FEES PAYABLE I /$ ~-«' -i
·ffQ,ie"ciule.FULLY EXAMINED THE COMPLETED "Af'Plle"TION ANO PERMIT'' ANO DO ~EBY Expntion. Every permtt issued by the Buifding Official under the provisions of this 'It AN OSHA PEAMfT IS RE0WREO FOA EXCAVATIONS OVER
~ LJNOER:PENALTY OF PERJURY THAT All,. \Nf=ORMAT!Ot' H_~R&pN lNCLUDING THE Code shaU expi(a by limitation and become null •~~ building or work s· r DEEP ANO DEMOUTION OR CONST1IUC110N OF authorize(t by such permit is not commenced within 180 d from the date of such ~ ARE TRUE AND-CORRECT AND I FURTHER CEAnFY AND AGREE IF A PERMIT IS permit. or ff~·-~~ ~~ .. !ork authOfiZed by per~~ .. ts-"~.:8nded or STRUCTURES OVER 3 STORIES IN/fEIGHT ··t:oMP!.Y WITH ALL ClTY, COUNTY ANO STATE LAWS GOVERNING BUILDING ¢ON· abandooed at an er work is commenced r II ---i 1 .. . . . ,.
:." . --~ SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SA.YE fNDEMNIFY AND
APPLIC7~T•U~
r QWNER f1'I" CONTRACTOR 0 APPRO '70 BY"" ,1J~ D',TE & , • , -SS THE cm' OF-CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS.AND
ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH"E /_,,~YPHONEO ,7;~] I ~v/ ( . NG ·oF THIS PERMIT. .~--.
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INSPECTION TYPE DATE INSPECTOR ~/-31~ BUILDING
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --
INSPECTION REO IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP SHEATHING ----STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSEO
CONCRETE -----INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING --
--FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH ---·-·-------------------------
PLUMBING UNDERGROUND BOLTS
---------------------
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND SHOWER PAN
------~-
GAS TEST PILES CAISSONS
ELECTRICAL
TEMPORARY POWER -~
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING --
G, F, I, -SMOKE DETECTOR
MECHANICAL ----------
DUCT & PLEM,, REF_ PIPING
HEAT~ AIR COND, -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED, --------
JOB SITE FINAL
PLUMBING / ,
ELECTRICAL l I I ·----------
MECHANICAL II 1 1/?r' ----------
GAS I ,·r, ., I// /
BUILDING I, I I I _., ~ --------
SPECIAL CONDITIONS --------------.
CERT OF OCCUPANCY ISSUED
'