HomeMy WebLinkAbout2824 LA COSTA AVE; ; 83-159; Permit., z 0 ~ ;
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O 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 _ Glass _
I hereby affirm that I am exempt lrom the Contrac-
tor's License Law for the following reason (Sec 7031 5
Business and Professions Code: Any city or county which re-quires a perm,t to construct. alter improve, demolish. or repa,r any structure. p_rior to 1!s issuance also requires the ap-
plicant tor such permit to 11le a signed statement that he ,s
licensed pursuant to the provisions of the Contractor's
L,cense Law (Chapter 9 commencing w,th Section 7000 of D1v1s10~ 3 at the Business and Professions Code) or that 1s ex·
empt 1nerelrom and the basis tor the alleged exemption Any
v1olat1on of Section 7031 .5 by an applicant !or a permit sub
jects lhe applicant 10 a c1v1I penalty of not more than live hun·
dred dollars ($500)
:7 I, as owner of !he property. or my employees with wages
as their sole compensation. will do the work. and the struc-
ture 1s not intended or o1fered 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 himself or through his own
employees, provided that such improvements are not intend-ed or olfered tor sale. If. however. the building or improve-
ment 1s sold within one year of completion, the owner-builder
w,11 have the burden of proving that he did not build or im-prove tor !he purpose of sale).
L, I. as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044, Business aM Professions Code: The Contractor's License
Law does not apply to an owner 01 property who builds or im-proves thereon. and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my home, and the follow-
ing cond1t1ons exist
1 Th-e work_ is being pertormecl prior to sale. 2 I have lived in my home for twelve months
prior to completion of this work
I have not claimed this exemption during the
last three years
[7 lamexemptunderSec _______ ,B&P.C.
for this reason
0 I hereby a!firm that I ha~e a cert1t,cate of consent
to self.rnsure. or a cenif1cate ot Workers Compensa1,on Insurance. or a cert1!1ed copy thereat
(Sec 38(X), Labor Godel
POLICY NO
COMPANY
0 Copy Is hied w11h 1he city
0 Cert1t1ed copy ,s hereby turn,shed
CERTIFICAH_ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the perm,t Is tor one hundred dollars 1$100) or less)
~en,ty that ,n the performance ot the work tor ~ Hus permit ,s issued. I shall no! employ any person ,n any manner so as to become subIect 10
the Workers· Compensat,on Laws of Calllorrna
NOTICE TO APPLICANT If, alter maktn;J this Cert,
f,cate of Exemption you should become subIect 1,, lhe Workers Compensat,on prov,s,ons of the Labor
Code you must •orthw,th comply with such pro~,s,ons or this perm,1 shall be deemed re,oked
o-1'1<,'
D I riereby aff,rr,, that there ,s a constr<.1chon Iend,n1, ..,_,ency •or the performance ul lhe wor1< to, wh,ch th,s permJI ,s ,ss<.1ed !Sec 3097 Civil Code1
Lenoer ~ Name ___________ _
Lenoers AOOress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 ~19) 438-5525 APPLICATION & PERMIT
J08:Jt7JJL L,t,,. (1 AV.ST, l°ii;?/~N BUSI N ;AL\ICENSE # VALUATION \~ PERMIT NUMBER
• b.1,8 RO. ✓ I i-J;, t8·-. ;
OWNt:'R'S !\JAM.~.,
j 41j:"/;,i2· M~:;,;:✓ 1 Au lJ CON ACTORS PHONE # ZONE 33-1~'1 / .1 I ,t,e, if. l.1t.L t;y' £./; ?(.,-/Ir I
OWNER'S MAILING ADDRESS co'NTRACTOA'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE COQE
<; ,d l'l-t 6-7110 Al. ~(. u4,A"l I ,t,,• .4'~'-,<./()' 9q '7
<3f'{ I 0/.4'." ( ,Jd ;u;_o,v?:" If ,I Ass!i,"l.•"':' 2°5'/ d -'lX DESIGNER LICENSE# STANOARO PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
. "DESIGNER'S ADDRESS DESIGNER'S PHONE
r1 C"Jl,\ e 0-" e-t-G,~O c\l Sfl)PL-/" ~ ..
"' FLA ELEV. NO OCC GP EDU
~ (€-z_.':{'" tl1 ~ / I STORIES
vO r-.0
CENSUS TRACT I GP LANO use PARKING SPACE RES UNITS l GRADING f".ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST ~ii,,! ~•ittA. Ce,t;J;e,J 1ei.4'1 YO N □ vO NO YO NO
QTY. PLUMBING PERMIT -ISSUE 7,£!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 I LY.. 2r:2_ --------
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
---____ c ,, 4; -----
PLAN CHECK ~u,--1:.~ i,§_01-00-00 8806 b I EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS , r, LF! 80ILER/COMPRE.SSOH 3-1':i HP TOTAL PLUMBING -. 01-00·00·8222 '"" .z;, ----------l--. EACH GAS SYSTEM 5 OR MORE i METAL FIREPLACE ELECTRICAL 01-00·00-8223 10,tV -------------------·-----------. EACH INSTAI, .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ---;, ?,O _l · EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHDME 01-00·00-8225 _r~~~~~-~T-~~~~ ---------------.-
RELOCATtON OF EA FURNACE/HEATER MOBILEHOME PARK INSP --I , ? I j EACH ROOF DRAIN (i'IISIDE) SOLAR 01-00-00-8226 _I TOT.t..L MECHANICAL STRONG MOTION 80-92·33-0519
TOTAL PLUMBING T-1L, -FIRE SPRINKLERS 01-00·00-8227 -
QTY. ELECTRICAL PERMIT· ISSUE s-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00·8923 -------------
BRIDGE FEE
NEW CONST EA AMP·SWT BKR COLLECTORS SCHOOL FEE · DISTRICT ---·
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 -------·----~--------------~
EXIST BLOG EA AMP,1SWT BKR ' ROCK STORAGE Encinitas 80-92-22-0519 ---------I PH 3 PH PUMP San Dieguito 80·92-23-0519
_\ ·--------_-__ 6_-REMODEL 'ALTER PER CIRCUIT PLAN CHECK i=EE San Marcos 80·92-24-0519 -··-· ----------
TEMP POLE 200 AMPS ~----------------------r I---------·----------~
OVER 200 AMPS f-->------------------------------------------
TEMP OCCUPANCY DO DAYS/ -r--------------------~------------------
__ _l ---·" --------------------
TOTAL ELECTRICAL l 10 _.,,. TOTAL SOl AR TOTAL FEES PAYABLE I (<J.i__7, I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Offieaal under the provis1onso(tttis * AN~ PEJNJT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sha+I expire by limitation and become nuH arn;t void. If the building or work 5' O" DEEP ANO DEMOLITION Oft CONSTRUCTION OF
DECLARATIONS AR€ TRUE AND CORRECT ANO t FURTHER CERTIFY AND AGREE IF A PERMIT IS authori.Zed by such permit is not commenced within 180 days from the date of such STRUCTURE:S OYER 3 STOAtES tN HEIGHT permit, or it the building or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv time a er the work is commenced for a Deriod of 180 ,.m;,~:
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"$ SIGNrU~ :-} o:'?') CONTAACTOR_;;;ac; APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
/l,/;e--/,a_ EXPENSES WHICH MAY JN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ----r:>.~ C.:.R.6.1,iTINt:: nr:, TMIC::. Pi:RUIT u"'l,,,,__, --/',,__ BY~ONE_CT-I
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNOATION -......._ .
REINFORCED STEEL ...-"°"'M 1'
I/
MASONRY
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 ~HOWER PAN ,.
GAS TEST <,:: ·----. Ii'
ELECTRICAL I
TEMPORARY POWER •
ELECTRIC UNDERGROUND r-1/IJih 11' -,
ROUGH ELECTRIC
ELECTRIC SERVICE .
BONDING ,-~·" l'f'
G. F. I. -SMOKE DETECTOR I
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ' .
MECHANICAL .'6V -I\ I '.R"
GAS .~ "L ,,• (j "\\
<A\' -.
BUILDING
SPECIAL CONDITIONS '
CERT OF OCCUPANCY ISSUED
--
5?3-IS-~
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
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.l',., ,:-•11, ~ " . ·•
----
..
. .
•
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
<tCitp of <s:atlsbab
TELEPHONE:
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL i297. I understand
that neither a swimming pool building permit using a fossil~fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at L. 6 'l-<-f { -.< c~, r-,,. efu 6.
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January l, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name: I, ( '\IC 6-l r z. ,.._,.£-/
Owners Signature: ~,,; ·,, \,_ ,U: ., :..----,,..-_---: > / Date: 4--ir~ 87
Print Contractors Name: ____ l"l_~...;;_0~0:;.....;€~~..:......:~/ __ ~A~o~6~-L~·~.J:.__'_· ________ _
Contractors Signature:
Address: 7t}t> -1/ lzC C..,,t:,,-,,,.,,...o /2tf'4-C-£--1!'Cr/f/'lf'~J7
9 z 0• <I
lECEIVED
INTERDE.e.8.RTMENIAL INFO RMATION SHEET
BUILDING DEPARTMENT
BUILPING ADDRESS: c4l;l 1/ ~ ~~ ~
APR 2 2 1983
crff~ CARLSBAD
Bulldlng Dcp::irtment
A. P. N: ;). /{,, -,.2./t) -,,2_ S-C. T: _____________ _
t t t 1· * ¼*****ti·*½ t * t * * t ;:-* :'i-:; * * * * :§ * t t * t t t *¼ti*** t * * t t t X * * t t t * fi1iil"f(;f..6.'ti.£-;; t * ;f1f1i:!i
fl.ANNING DEPARTMENT
ZONE: _____ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS CARLSBAD ------------
UNITS REQ'D: PROVIDED: ----------------------
% COVERAGE ALLOWED: . PROVIDED: ---------
PARKING SPACES REQ'D: PROVIDED: -----------BU IL DING HEIGHT REQ'D: PROVIDED:
FRONT SETBACK
ALLOWED: aj
PROVIDED: ~
INTRUSIONS: ---=~---
---------
SIDE REAR SETBACK
RE-DEVELOPMENT APPROVAL REQ'D: ~'~
LANDSCAPE & IRRIGATION PLAN COMME~~\\-.,,_ ____________ _
ENVIRONMENTAL PROTECTION REQ :~ -------------------
ADDITIONAL COMMENTS: -----------------------
• OK TO ISSUE~_=( _____ DATE: i~l'~0, OK TO FINAL: ___ DATE: ___ _
:t....:JiF-k * ** * ** ** ,!. ** * ¼ ;k i ** ;5 * ** * :h * -'; ·1•t * * X T * £-}; * ;'; i· ** •~ t ** ** ** * * ;k * t ***ti• t •l:.~'ffTT"fi
• ENG I NEER I NG DEPARTMENT A~ r. ~
R. 0. W: ______ t;:-;;ROVEMENTS_: ________________ _
PUBLIC FACILITIES FEE: SEWER CONNECTION: --------------
DRIVEWAY LOCATION($): __________________ _
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION:
ADD'ITIONAL COMMENTS: -----------------------' '--------------------------------
*CHECK II' E
OK TO ISSUE.~~~_!
DATE: ----
* IF TIIIS ITEM IS NOT CIIECKED, Bll(LDJNG DEPAllTMENT WILL MAKE
FINAL INSPECTION.