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Home My WebLink About2804 LA COSTA AVE; ; 83-175; Permit., z 0 ~ a: ::l u '" Q C I[ 0 u a: '" Q ~ 5 I '" z ! z 0 s z '" .. " 0 u ., "' '" " a: ~ ![ D 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 __ Class I hereby affirm that I am exempt from tile Contrac-tor's License Law for the following reason (Sec 7031 5 Bu_siness and Pro1ess1ons Code Any city or county which re-quires a permit to construct. alter. improve, demolish, or repair any structure, prior to its Iss_uance also requires ttle ap-plicant for such permit to llle a signed statement that he ,s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9 commencing with Section 7000 o1 D1vas1on 3 of lhe Business and Professions Cods) or tha1 Is ex-empt theretrom and the bas,s for the alleged exemption Any v1ola!ion of Section 7031 .5 by an applicant for a permit sub- Iects the applicant to a cIv1I penalty or not more than live hun- dred dollars i$500) C I, as owner o1 the property, or my employees with wages as their sole compensation. will do the work. and the struc- ture is not intended or offered for sale (Sec. 7044, Business and Professions Code· The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work hrmself or through his own employees, provided that such improvements are not In1end- ed or ottered for sale 11, however, the building or improve- ment ,s sold within one year of completion, the owner-builder will have the burden 01 proving !hat he did no1 build or im- prove 1or the purpose of sale) C I, as owner of the property, am exclusively contracting with licensed contr2ctors to construct the proIect (Sec. 7044, Business and Proless1ons Code. The Contractor's License Law does no1 apply to an owner of property who builds or im- proves thereon, and who contracts for each proIects with a contractor(s) license pursuant to the Contractor's License Law) C As a homeowner I am improving my home, and the 1ollow-Iog cond1t1ons ex1s1 1 The work is being performed prior to sale 2 I have lived in my home lor twelve months prior to complet1on of th_is work I have no! claimed this exemption during the last three years [l lamexemptunderSec ______ ,B&P.C. tor this reason 0 ! hereby atl,rm that I ha~e a cer11!,ca1e of consen1 to self.insure or a cert1!,cate of Workers Compensat,on Insurance. or a cert,hed copy thereof 1sec. 3800. Labor Code) POLICY NO _ _ COMPANY ~ D Copy 15 filed With the city r r O eer1,t1ed copy ,s hereby tum,shed CERTIF!CAH. OF EXE"4PTION FROM WORKERS-COMPENSATION INSURANCE (This section need no! be completed ,1 The perm,t ,s for one hundred dollars ($1001 or iess) 0 I cen,ty 1ha1 ,n 1he per1ormance of 1he woli< for wh1ch this perm,! Is issued, I shall not employ any person in any manner so as 10 become subIect to the Worl<.ers· Compensa!1on Laws ot Cal,torn,a NOTICE TO APPLICANT I!. alter makt"'.,l this Cen, locate of Exemption. you snould become subIect t') 1he Woli<.ers Compensat,on prov,s,ons of the Labor Code. you mus1 !onhw,tn comply w,th suet> prov,s,ons or th,s perm,t shall be deemed revoked 0 I nereby a!!,rm tnat tnere ,s a cons1ruct,on lending agency 10, 1he per1ormance of the wor1< lor wh,ch th,s perm,t ,s issued {Sec 3097 c,v,1 Code) Lenders Name ___________ _ Lenoer's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENf· APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB·AOOf'lESS: __ . ' • . , l'JJIJfJ4· LA. &~~ A-~· o~-#1!1/..tu . : ·. I (?WNE f;l'S PHO~ OW~Oc1/~ ~ tfJ-w ~BLOCK', ·.Jtzv&;:~5 J ASS~~O-:z-6 _ DESCRIPTION OF WORI( .d .:;!:<; 4-D/> , ·,; -~. A~t?J~7,#:tts~ ~' ~-·;/ ;•~•¢~-· . ' e<>tfrMcToos PHQNf:, 97'2-JW/7 a:.-?i°ioUc, GI. LICENSE NO. a-rf'IY2-?' LICENSE# o•e··.l JU"'{ t}?--;x,;:4?, -+ O~ER'S-ADORES§- F/P F LR ELEV ,o Nrf, -- NO STIES OESIGNE R'S PHON.E £-3 lw~ VALUATION Ip 1-n- ZONE !2- PLAN I.D. # STANDARD PLAN# PERMIT NUMBER ~3-17£' IBUl~~°rGE CENSUS TRACT eZ:/ 1 >ARK<~>ACE "",•"' l GRADING ~ERMIT ISSUED ,□ N r/ r ELOPMENT A >0 Ne$ ~y1)J OCC LOAD )• /0 FIRlSPR ,□ Nl!f '6/f~/8fi!~ ~l,J~,-/ai,~j{.,fil/jd IBQ, 83 l"'i@ ~ 8 • • QTY.I PLUMBING PERMIT· ISSUE -7.so QTY. MECHANICAL PERMIT· ISSUE s-SUMMARY/ACCOUNT NUMBER ·-j \ EACH FIXTURE TRAP [ F /J ff} II I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER I -OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 PLAN CHFCK 01-00-00-8806 1 EACH WATER HEATER AND/OR VENT --r----: BOILER/COMPRESSOR UP TO 3 HP I • EACH GAS SYSTEM ~-.!.Q_~_SJUTLETS t--_ _ BQILER/C0M!~~SS0R 3-15 HP j i iViMi. r'i.UiviDii~G u···" I "" AO DO H"UOW' 0 , 88·00·8222 I i::1 l'rTRICAL 01-00·00·8223 I EACHGASSYSTEM50RMORE -f----------,.--METALFIREPLACE ---------~--1 I ...... .,, + VENT FAN SINGLE DUCT -----. MECHANICAL EACH INSTA~. ALTER, REPAIR WATER PIPE >----+--- EACH VACUUM BREAKER WATER SOFTNER ~E~~H ROOF CRAIN (INSIDE) TOTAL PLUMBING I MECH EXHAUST -HQQOiOUCTS -·7-1 RHOCATlON OF EA FURNACEIHEATER/ot.t•~ -7 ~ TOTt.L MECHANICAL MOBILEHOME l.: I MOBILEHOME PARK INSP SOLAR STRONG MOTION FIRE SPRINKLERS IfL--=r IOTY. I ELECTRICAL PERMIT -ISSUE I .s--QTY. I SOLAR. ISSUE I I :~~~ ::~ILITIES FEE Q. SOLAR· ISSUE 01-00-00-8224 01·00·00-8225 --- 01-00-00-8226 80·92·33-0519 01-00-00-8227 32-00-00-8923 NEW CONST EA AMP SWT BKR I t COLLECTORS i 1 PH 3 PH -STORAGE TANKS --_ --Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ----~------11---ROCK STORAGE ~-----+ J Encinitas 80-92-22-0519 SCHOOL FEE · DISTRICT -+---- --1 'ZL ,'Sr ~--~ i~ ---- I .i~ I lPH PUMP -------------+-------<l=s'" D,egu,to 80-92·23·0519 I ----1 -·.::..T· I PLAN CHECK ~EE ------------r------, _s~_Marcos 80-92-24-051~ 3 PH REMODEL:ALTER PER CIRCUIT =--~ TEMP POLE 200 AMPS 1-----+-□VER _200 AMPS TEMP OCCUPANCY {30 DAYS) TOTAL ELECTRICAL 1 ! -·----+--- ---~---+--- ------i----+------· //J ✓ t ffi\JE e:4FIEFULl~~J~ THE -~Pt.irEo "APPL1cATIOn ANO PeRM1r•: ANo· 00: HEREB'v, , ~Efl,TIFY .u,kp~ PWL TY OF PERJURY THAT .ALL INFORMATION HEF{E,0t,i fNCLUOING "TH~ QllCLA~TION$ AAG T.ruJE ANO CORRECT'ANb'l FURJ'Hl;R CERTIFY AND' AGREE }F A PEAMtns ISSU,~:. TO CO.Mfil..1Y'Nif'TH';4.i.L CITY, COUNTY ANlYSTATE-LAWS G,OY!RNING BUtLOtNG CON-- TOTAL SOLAR , %"..l. 4-lw !PP, L --A.a; A~ ' --'-~I ! I PP I TOTAL FEES PAYABLE \Po.~ * :~~4Ulm_,' ' ;~~_t=OREXCAUTIQHSCNEA '.5'Jt':1)0e' ~,Ofl CONSTRUCTIOfl Of' $~'0VER3STQl!IESIN HEIGHT ,_,_ '~ ' . "' ' . A,:>PROVED BY DATE ' '8T~IQN, WliEl'tlf:!l;$!'l;CIFIEO HERE\11. ()~ J,IQT. l Acso AG>lEt TO SA.VE tj<OEMi,llFY ANO KJEP~f!-'L.E~_JliE;~f(Y, cfF; Cf,ALSBA,D_Aa,AIN~"( ~)., UASIWTIES, ,UJ~ENT~ CQS~ ~fll. _O ~p~ Vft!lCH MAY, tff~AN-Y'V(Af,,~ AG\tfi(ST ~ID cn:Y tN,CONSEQUENGE OF THE. GRANTINGOPTtflS~ER!!1,Cc'. '. : . ·: ... :.· ·...:.:...• _. _...:, __ ··,.·_...,. __ _!:;;t:;2!:=::2Z:~~~~~~~:::.:. __ _.:..:._2:.::::::~'.;_ .,, -7'1:A \ , .......... , I -E>/tct /?f3. ~ ii: >, :;; 0 Q. E " >- I " 0 ('.) c "' -~ Q. Q. « I ~ .. ~: 0 00 ., " 00 00 « I ~ .Q oi >- vi 00 ID 0 e CL "' .. 0 ~ ID 0 C "' C ii: C " ID 0 0 u " Q. 00 C ~ " ;: INSPECTION TYPE DATE INSPECTOR BUILDING . FOUNDATION " . REINFORCED STEEL "' L-7-l'J Ii' I MASONRY GUNITE OR GROUT FLOOR & CE! UNG SUB FRAME SHEATHING ·-.. FRAME e,_-,,L(A " ,. EXTERIOR LATH lNSULATION 7-J-Y!. :J . INTERIOR LATH & DRYWALL ?-1-n 7 64} . PLUMBING --,, SEWER AND BL/CO / PLUMBING UNDERGROUND / I\ PLUMBING TOP OUT , t:-)T-~ 11' TUB AND SHOWER PAN ,, I GAS TEST / . ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND . ROUGH ELECTRIC e;-1.Jl•YJ 11' ELECTRIC SERVICE I BONDING G. F. I. -SMOKE DETECTOR MECHANICAL A DUCT & PLEM., REF. PIPING r-,r-f,J 11' HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE_FINAL PLUMBING ' II ELECTRICAL ' I . I rl-' MECHANICAL ...... . It'll I.J I GAS ...... "'7 I BUILDING ' SPECIAL CONDITIONS . CERT OF OCCUPANCY ISSUED ~3-)7::. ~, FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ iF INSPECTORS DATE CHECKED APPROVAL ' '""•-•---- ; SOILS COMPLIANCE l.tal --· 1 ~LANT vN"U/.t:/(!I PRIOR TO i FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY i PILES CAISSONS I ' ·-· . I 'i!'-'/' ' -~' ''I' . ..:-. ., ' r-::7:;-:$r.T •lJ ---- ·, . .. lNTERDEPARTMENIAL INFORMATION SHEEI l EC E IVE D BUILDING.JJEPARTMENT DAN:R 2 9 1993 BUILDING ADDRESS: ,,2/>d'/ /4 ~ ~ CITY OF CARLSSr18 j / C. ,i LL 1 0CJ'.1rtfl~Cfl t A. P. N: ....tl\. ["2 · a._fo · o( 3 C. T: _____________ _ PLANNING DEPARTMENT ZONE: _____ _ SCHOOL FEES: SAN DIEGUITO SAN MARCOS -------- ~NCINITAS ____ _ CARLSBAD ------ ·,!NITS REQ'D: ___________ PROVIDED: ____________ _ '% COVERAGE ALLOWED: . PROVIDED: -----------PARKING SPACES REQ'D: PROVIDED: ___________ _ BUILDING HEIGHT REQ'D: PROVIDED: --------- FRONT SETBACK ALLOWED: :f> \\ PROVIDElJ: \J~ ..,____.. INTRUSIONS: _____ _ SIDE SETBACK REAR SElrt=, RE· DEVELOPMENT APPROVAL REQ' D: ~\ \\,, LANDSCAPE & IRRIGATION PLAN CO-M-ME-'N_T_S_:_~, .. :() 1c-1~---_ __, _____________ _ ENVIRONMENTAL PROTECTION REQ: -------------------- ADDITIONAL COMMENTS: _______________________ _ OK TO ISSUE: -~ .DA.TE:~ OK TO FINAL: ____ DATE: ___ _ PUBLIC FACILITIES FEE: __________ _ SEWER CONNECTION: ___ _ DRIVEWAY LOCATION(S) =------------'---- GRADlNG PERMIT: -------------------------- "' EASEMENTS: _________ _ DRAINAGE: ____________ _ LEGAL DESCRIPTION: ________________________ _ ADDITIONAL COMMUNTS: * IF TIIJS ITEM JS NOT CIIECKED, BUILDING DUPAll'l'MUNT WILL MAKE FINAL lNSPECTTON. c;P3-J7S-