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HomeMy WebLinkAbout2814 LA COSTA AVE; ; 81-439; Permit"' z 0 ~ "' ~ [rl 0 e[ ~ .. z 8 ... z ~ z 0 s z ... .. "' 8 "' "' ... " "' i ![ O I hereby affirm that 1 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 l,c No ___ Closs I hereby alflrm that I am exemp1 from me Con r~~~n~~~:;:: ~; ~~1::::,~~lic:Je"'t~~~,(~r county which requlfes a permit to construct alter. 1mpro11e. demolish, or repair any structure. pnor to ,ts issuance also r11quores the appl,can1 tor such perrmt to hie a signed s1atement that he ,s l,cen5ed pursuant to the prov1s1ons of the Con tractor's License law (Chapter 9 commenc,ng with Sec!1on 700CJ o! o,v,s,on 3 of the Business and Pro !ess,ons Code) or that 1s exempt therefrom and the bas1s for the alleged exemptoon Any v1olat1on of Sechon 7031 5 by an applicant for a perm,t subiects tne 8')pilcant 10 a CIVIi penalty of no1 more than live hundrflg. dollars (S50J) ·1, as owner ol the property, or my employees w.-m,..,,,,,ages as the,r sole compensat,on, will do the wonl. and the structure ,snot intended or olfe,ed tor sale (Sec 70.U Business and Profess,ol'ls Code The Contractor's L,cense Law does not apply 10 an owner of property wl'lo builds or improves thereon and who does such worlo: himself or through hrs own employees. provided that such ,mprovemerits are not mtende1 or otfered for sale If. however. the building or improvement Is sold w1th1n one year ol complet,on, the owner bu,lder will have the burden o! proving that he did n~ build or ,mprove !or the purpose of sale! , ·;_./ • / t -, ~ ,;;. D I. ;as owner ot the property. am e,cIus1vely contracting with l,cense<l contr.tCtors to construct \he pro1ect (Sec 70.U Business and Pro!ess,ons Code The Contractor·s License Law does rio1 apply to ari owrie, of property who builds or ,mproves thereon. and who coritracts !or each proiects w11h a contractor1sI license pursuant to the Contr;;c1or's License Law) O I am exempt under Sec !or 1h1s reason , B & PC D I hereby af!,rm tha1 I haoe acertil,cateof consen1 to self-insure, or a certi!1cate of Workers· Compensatmn Insurance. or a cert1!1ed copy thereo1 (Sec 3800. Labor Code) POUCY NO COMPANY □ Copy IS filed with the c,ty O Cer1i!,ed copy ,s hereby furnished CERTIFICATE. OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This sect,on need not be completed 11 the permit Is to, one hundred dollars ($1001 or less! 0 I cer11ty that In the performance ol the ""orlo: for wh,ch this perm11 ,s issued. I shall no1 employ any person in any manner so as to become subIect 1o 1he Wonlers· Compensation Laws ol Cal1!om1a NOTICE TO APPLICANT I!. after makIn;i thts Cert, flcate of Exemption. you should Decome subJect i--:, the Wof'llers· Compensat,on prov,smns o! the Labor Code. you must lor1hw,th comply w1th such prov,s,ons or 1h,s permit shall be deemed re,oked D I hereby affirm !hat there ,s a cons1ruct,or- Ier,d,n,;;i agency for tt>e performance ot the wori< lor wh,ch th,s perm,! <S ,ssued !Sec 3097, Ci.ii Cooe·, Lenders Name ___________ _ lende• s Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARO APPLICAN' FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAu BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADORJSS AV. ST. DA TE OF APPLICATION BUSINESS LICENSE # -z,q+B PERMIT NUMBER ' a-at+ I lJc r tnf'A P.,. ts:::. AO. /o-l&,-01 r,"... . 81-43'! "'1 ,ER'S NAMEV • '· I 1~=0188 PRIME CON"fRACTOR CONTRACTORS PHONE it ZONE ,J/:::f'~\/~ 16 f't,iJ,vi.. ~. ow:;~i~~•;!'~~~ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE f2£S, AC)D, BLOC1 ,.g~ ,n,JORP NQ ,-7,A-DESIGNER STAT£ LICENSE# STANOAAO PLAN ;t BUILlf :+ 1TAGE ·1·.1·~ '-.C,.. ii .:. ._,,.ir-r J-,,,no DESCRIPTION OF WORK DESIGN.ER'S ADDRESS DESIGNER'S PHONE i::JJ, ... ~, -OOlkY l?ooM _c}_-dj'__x 14'-1)1 F/P FLA ELEV NO OCC GP EDU STORIES 12'-3 y[J NO CENSUS TRACT l GP LAND USE I PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIR£ SPA AREA '\f.;;"t-( .J./0 ,□ ' D YO r-.0 YO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE i QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER . . EACH FIXTURE TRAP i INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT '1""1"·"'"''' --·--. EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT --. -L ··--------f---------·--- PLAN CHECK 1-$.% pd,. ,o:..Jh---B' EACH WATER HEATER ANO·OR VENT BOILER/COMPRESSOR UP TO 3 HP _ _. ___ -f-------· -·--------------- EACH GAS SYSTEM l_TO 4 OUT~TS ______ +--BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING . 1-.~-EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL ---·------t ----~---------------------__ ._ ____ _. EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL -- EACH VACUUM BREAKER MECH EXHAUST HOQO.'OUCTS MOBILEHOME -------· -·--~------ WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP ----.. EACH ROOF DRAIN (INSIDE) SOLAR -----------. I TOT.t;L MECHANICAL STRONG MOTION .i=: n ----·--.'..___ TOTAL PLUMBING _ _J FIRE SPRINKLERS .. -------·-- QTY. ELECTRICAL PERMIT -ISSUE ,i,oo QTY. SOLAR -ISSUE 1 PU~LIC FACILITIES FEE ------~---- BRIDGE FEE -----· -------- NEW CONST EA AMP:SWT 'BKR COLLECTORS SCHOOL FEE -DISTRICT -· ----- I PH 3 PH STORAGE TANKS Carlsbad -----.. ---- EXIST BLOG EA AMP.1SWT/BKR ROCK STORAGE Encinitas -- IPH 3 PH PUMP San D1egu1to -- J ------------- ~~;()_Q REMOOEL:ALTER PER CIRCUIT PLAN CHECK FEE San Marcos I ----------. t------·--.. TEMPPOLE 200AMPS ---------------~--- OVER 200 AMPS -----. --. ------~------. --·--------------- TEMP OCCUPANCY (30 DAYS) ~ --------------------------·---·-------- __j___ --------·-----------~-. -------------·--- TOTAL ELECTRICAL -l 10011 TOT Al SOLAR TOTAL FEES PAYABLE I ..tf"",,2.5::!-. EJtpiration. Every permit issued by the Building Official under the provisions of this t HAVE CAREFUU.Y EXAMINED THE COMPLETED "APPLICATION AND PERMff" AND DO HEREBY * AN OSHA PEFNTT IS REQUIRED FOR EXCAVATIONS OVEFI CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall &xpire by limitation and become null and void. II the budding or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION Of DECLARATIONS AAETAUE AND CORRECT ANO t FURTHER CERTIFY AND AGREE IF A PERMIT IS auth~riutd by such permit is llOI commenced within 180 days ~t~~date of such ~TRUCTURES OVEA 3 S~I~ IN HEtGHT permit. or if the build.in. 01" '-MOfk auth0tized by such permit · ~=~nded or ISSUED: TO COMPLY WITH ALL CITY, COUNT" AND STATE LAWS GOVERNING BUILDING CON-abandoned at anu time a --tt,e work is commenced for 8 ..... r" 1 davs. STAUCTION, WHETHER SPEC!FlED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUCi tlT'S ~GNATUI ~ .. ' OWN~ CONTRACTOR 0 14~Jlt ,.,,... DATE KEEP HARMLESS THE CHY OF CARLSBAD AGAINST ALL UABIUTJES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE h.O -I 10 -•70-BI GRANTING OF TH1S PERMIT. \ . 14:0 fi,, 1)()-,1 (A BY PHONE 0 ~ ii: >-~ 0 0. E m ,- I _Q 0 CJ c m -~ 0. 0. <( I ~ C ii: 0 00 00 w 00 00 <( I ~ _Q © >- "' 00 w " 0 a: m oi 0 ~ w " C m C ii: C w w " 0 u w Q. 00 C ~ .c 3: INSPECTION TYPE DATE INSPECTOR BUILDING "--.. FOLlNDATION .......... /I REINFORCED STEEL " l//,/1• ~ IJ MA¢ONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING -- SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING /1 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 ('/]I' - PLUMBING A~ ./-/ ELECTRICAL . ,,v, / MECHANICAL I/ / ,h GAS \ l'J:,' _/'71/ BUILDING -'P SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED <;;; ).., c..r,3q FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP -STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE -POST TENSIONED CONCRETE FIELD WELDING -f---HIGH STRENGTH BOLTS -~-----------i SPECIAL MASONRY ' PILES CAISSONS -·-------r- ·--·- ; .1 - ----- --·--- ·------ ·--------- - ------ - c, ,< Carlsbad 1200 ELM, CARLSBAD, CA.92008 • TEL. (714) 438-5525 MISCELLANEOUS RECEIPT . I MISCELLANEOUS FEE RECEIPT ?cf.9 • PLAN CHECK FEE_~-~-.c:;-;;.::J-----~-------1 Owner w, t/<e,[/A~K /':) D 1-------~--r-----,---~---,,...._---,,:------- ~J~1;~~s Z<J 14 lA C..os-rA Av£ □ VALUATION ____ 3,;c,_;-~C...-'--Y_Y_'_~----+-------t , Clty C4et-s /dAD P/zoo'il ~'4z ... 0?8Z 0 DEMOLITION ___________ -+-------1 0 HOUSE MOVING __________ -+---------I 0 PARKS AND RECREATION FEE-------+--------t 1-C-lty---------.--Zl-p ----.--T-el-. ------t O PUBLIC FACILITIES FEE---------+--------t Contractor :>W n e., I b I d,,,.. Address 1-----------L-----+--------t O SCHOOL FEE · DISTRICT ________ -+-------t State Lie. City s. Classlf. Lie. No. D 1--------------...r..-------t Carlsbad-------------1--------1 ' ' I COMPLETE FOR PLAN CHECK ONLY LEGAL DESCRIPTION ( .ti -,,_•(...•....)' , ..::, ASSESSORS PARCEL NO DESCRIPTION OF WORK .. • ~"'° V j V -. .. - ~ ~ ' PLAN ID NO. ti~ ~3-? I -" •{ DESIGNER ADDRESS --1) 7 PHONE CONTACT PERSON 1 □ □ □ n n n n n n n Encinitas------------~-------t San Diego _______ -,------+-------1 San Marcos-------,------+--------1 . ,. □'----------------+--------1 □'---------------'-'---+------t □'---------'----------+------t □----------------1-------- □----------------f.-~--"~------ $ c.,, I .Y, 'f TOTAL FEE "WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEE ARE FORFEITED TO THE CITY. COMMENTS: __ ,..__ ________________ _ n 3t,-34t;z..J 7.A-,.Al -0 . --4; 10/N~/<;1 Signature of Applicant l · 1 ~ " ---t--Date __,,___,,'f_, 1------'-) _______ ~,1.,. ________ ___,,-----1 ✓, V '\I\ 1'. ~ ~~\(ti ~ White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor INTERDEPARTMENTAL INFORMATION SHEET EC E IVE D •• BlN:LP.\[NG·DEPARTMENT f DATE· BUitDING ADDRESS: o/!3/ 1/ ola,,. ~ ~ , OCT 1 S 1981 z ~/ --:J?t1 -°"Y · c~d~ 8t:a~~fnP PLANNING DEPARTMENT ZONE. __ --1.:rz,,_----'1 _____ LOT s I ZE _________ LOT WIDTH ________ _ UNITS ALLOWED _______ --r ___ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED () ~ PROVIDED __ ,_o_,_,~ ... -----=------- % COVERAGE ALLOWED __________ __:_ __ PROVIDED __________ _ BUILDING HEIGHT ALLOWED PROVIDED ----------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED __ ~o,...,...~-'--- • INTRUSIONS .LANDSCAPE & IRRIGATION PLAN COMMENTS: ' ENVIRONMENTAL PROTECTION REQ: _e=..iYJl),=~~-''---'---------------- ADDITIONAL CO.MMENTS: _.,Al._\ ... A..1.... _____ ~--------------- oK To IssuE:~ATE 1oj11oj81 oK ro FINAL _______ DATE ___ _ ENGINEERING DEPARTMENT ~ • R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTION ____________________________ _ ADDITIONAL COMMENTS ____________________________ _ PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ____ _ WATER DEPARTMENT REQ~IREMENTS OF APPROPRIATE DISTRICTS'MET ________ DATE _____ ~--- / 81 .. 431