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Home My WebLink About2804 LA COSTA AVE; ; 81-359; Permit- • .,, z 0 ;:: < a: < .J 0 Ill 0 IC I[ 0 0 a: Ill 0 .J 5 I! a: Ill z ~ 0 z 0 ;:: ~ z w Q. ~ 0 0 .,, ic w :,,:: a: 0 ~ il 0 I hereby affirm that I am licensed 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 , --... Ht Class _____ _ I hereby affirm that I am exempt from the Con- ~!cf9;~~:~S: ~; ~f~~,:1~~~~,\~; county which requires a permit to construct after, improve, dem~ish. ex repair any structure. pnor to its issuance also requires the applicant for such pemut to file a signed statement that he ,s hcensed pursuant to the prov1s1ons of the Con-tractor's License law (Chapter 9 commencing with SeclK>n 71:0J of 01¥1s1on 3 of the Business and Pro- fHs,ons Code) Of that ,s exempt therefrom and the basis for the alleged exemption. Any ..,,olat1on of Section 7031 5 by an applicant for a permit sut>,ects tne apphcant lo a c1v1I penalty of not more than five hundred doll•~ ($50()). □ 1. as owner ot the property. Of my employees .. ,th wages as their sole compensation, will do the wort(, and the structure 1s not intended or offered for sale (Sec 70,iU, Business and Protess1ohs Code· The Contractor·s Ucense Law does not apply to an owner of property who builds or improves thereon and who does such woril himself or through his own employees. provided that such 1mproveme:tts a,e not mtende1 or offered for sale If, l'lowever. the bu1ld1ng Of improvement ,s sold w1thm one year of completion, the owner-builder will have the burden of p,ov1~ tN.t he d.C, not build or improve lor the purpose of sale! □ I. as owner of the property, am exclusively contractmi with licensed contr~tors to construct the pro,ecl (Sec 70,iU, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for each pro1ects with a contractOt'(s) license pursuant to the Contractor's license Law) D l amexemptunderSec _____ .B &PC forth,sreason __________ _ □ I hereby affirm that I ha.-e a certificate of consent to self.insure. or a cert1f1cate of Workers· Compensation Insurance. or a cert1f1ed copy thereof (Sec 3800. Labor Code~ POLICY NO COMPANY ---· ... ·r-.-...,___ □ Copy IS hied wllh the city 0 Certified capy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit 1s fOf' one hundred dollars (S100) or less> 0 I cert,ty that in the performance of the won-. for which this permit 1s issued, I shall not employ any person in any manner so as to become sub1ect 10 the Workers' Compensatton L:aws of Cahtorn1a NOTICE TO APPLICANT 11. after makm;i this Cent hcate of Exemption, you should become sub1ec1 t0 lhe Workers· Compensation prov1s1ons of the Labor Code. you must torthw11h comply with such provisions or this permit shall be deemed revoked I 0 I hereby affirm lt\al there 1s a construclton 1end1ng aoency for the perlormance ol the wof'k tor which this permit 1s ,ssue<J {Sec 3097, C1v1I Code) f Lenders Name ___________ _ Lenoet's Address __________ _ I l ' USE BALL POINT PEN ONLY & PRESS HARD ----··--·-· . -·--·--· -. ·----······-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . -· -· CARLSBAD BUILDING DEPARTMENT 1200 Elm , Carlsbad, California 92008 (714') 438-5525 APPLICATION & PERMIT JOB ADDRESS A~i .T· 1 DATE;;;;;;TIONI BUSINESS LICENSE # VALUATION ;;-, PERMIT NUMBER :;2 1rlJ.J, \.Pr-U).S,-ty Prv6 .. }- OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR , ))' CONTRACTORS PHONE • ZONE 3s9 , ~ ... . ,, . _, _,.,. . .. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. 1 PLAN I.0. # BLOG USE CODE ··-.. ~ ~ .. vr· -i . , ·; Pi . LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER Si'ATE. LICENSE tr STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION OF WO R'.s'o ~~ fbr' ,rti/'l_ (.;A-'2. . JC... t, A---DESIGNER'S ADDRESS DESIGNER'S PHONE 1?.-Sus risv"'\.S Q .06" 5pt+ -..J F/P FLA ELEV. NO OCCGP EDU -rwo [~,-, ,JA-,~ STORIES vO NO CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS GRACING ~ERMIT ISSUED I RE0EVEL0PMENT TYPE OCC LOAD FIRE SPA AREA CONST YO N D YO NO vO NO Not Valid Un~s Machine Certified QTY. PLUMBING PERMIT· ISSUE I_ "'11 QTY. MECHANICAL PERMIT· ISSUE --SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT , EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING :n EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -1 -· EACH INSTA~ .. ALTER, REPAIR WATER PIPE y . VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR II . I TOTJ;L MECHANICAL STRONG MOTION -I fl . TOTAL PLUMBING FIRE SPRINKLERS ~, PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE 2.00 QTY. SOLAR· ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS -~. SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS 7-Carlsbad EXIST BLDG EA AMPISWT/BKR . ROCK STORAGE I • Encmilas I PH 3 PH 7, PUMP l.;.....-; San 01eguito ~· REMODEL/ALTER PER CIRCUIT ' I . r PLAN CHECK FEE u ·, San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ,--I TOTAL ELECTRICAL -7 . TOTAL SOLAR I I TOTAL FEES PAYABLE "'j_ -::2.. ,r I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY Expiration Every perm,t issued by the Building Ofllc,al under the provisions ofth,s * AN OSHA PERMIT IS AEOUIAED FOfl EXCAVATIONS OYEFI CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expue by hm,tat,on and become null and vood If the building or wort< S' O" DEEP ANO DEM0UTION OR CONSTIUJCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced within 180days from the date of such STRUCTURES OYER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· r~::c..:i '!, '~y i;:,,:::·~:~~~~=~!":~~~~~ :::r::::,i'~ ~~~ or / STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • OWNER□ CONTRACTOR ISi' APPROVED BY DATE I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -,~1 4 j: I . ' BY PHONE 0 -•I--· I'°' GRANTING OF THIS PERMIT . .,._ r "'". ..... #'.., • - ~ u:: >-ai 0 0. E Q) I- I -0 0 (!) c cG -~ a. 0. ~ I .:,,:. C a: 0 UJ UJ Q) UJ UJ ~ I ~ .Q Q) >- ,ti UJ Q) 0 0 a: cG <ii 0 §: Q) 0 C cG C u:: C Q) ~ (!) 0 0 Q) 0. UJ C ~ .c ~ .. l, • INSPECTION TYPE DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY I I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING I I FRAME I EXTERIOR LATH lNSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I - SEWER AND BL/CO I PLUMBING UNDERGROUND ' PLUMBING TOP OUT --- TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE I BONDING A I 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 ' I ELECTRICAL I . I"/ I MECHANICAL nv/-"14 1 l 1r,1r;,1 GAS ,v I _J.,...:,---, BUILDING ----SPECIAL CONDITIONS V CERT OF OCCUPANCY ISSUED 8"I ✓3s-c; FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO 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 I PILES CAISSONS -·- -- , , ~