HomeMy WebLinkAbout2824 La Costa Ave; ; 83-278; Permitrll 0
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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 1rom the Contrac·
tor's License Law for 1he tollowmg _reason (Sec. 7031 5 Bus mess and Professions Code: Any city or county w!l1Ch re-
quires a permit to construct, alter, improve, demolish. or repair any structure. prior to_ its 1ss_uance also requires the ap-
plicant for such permit to 111e a signed s1atement tllat he 1s licensed pursuant to the provIsIons o! 1he Contractors License Law (Chapter 9 commencing with Section 7000 of
D1v1s1on 3 of the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged exemption Any
violation o1 Section 7031 .5 by an applicant for a permit sub-
1ects the applicant to a civil penalty ol not more than !Ive hun-
dred dollars 1$500)
CJ I, as owner 01 the property, or my employees with wages
as th_e1r sole compensa!ion, will do the worK, and the struc-
ture Is not In!ended or oflered for sate (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 hrs own
employees. provided !hat such improvements are not intend-
ed or o!fered for sale 11, however, the bu1ldIng or improve-
ment is sold within one year o1 completion. the owner-builder
will have the burden of proving that he did not build or im-
prove tor the purpose ot sale)
~I, as owner o1 the property, am exclusrvely contr.acting
~1censed conlr2ctors to construct the project (Sec. 7044. Business and Professions Code. The Contractor's License
Law does not apply to an owner 01 property who builds or im-proves thereon, and who contracts !or each prOiects wrth a
contractor(s) license pursuant to the Contractor's License Law).
□ As a homllOwner I am improving my home, and the tallow-ing cond1!1ons exist:
1. The work 1s being perlormed prior to sale
2 I have lived in my home for twelve months
prror to completion 01 this work.
I have not claimed this exemption during the last three y8arS
□ I am exempt under Sec ______ . B & P C
for this reason
D I hereby atlirrn that I ha.ea cert1t1cate ol consen1
lo self-msure, or a cer11f1ca1e ot Workers
Compensation Insurance. or a cen1f1ed copy thereof
(Sec 38Xl. LabOr Code)
POLICY NO
COMPANY
D Copy •s toled w1tt, !he c,ty
D Cer11f1ed copy 1s hereby furmshed
CERTIFICATE. OF EXEMPTION FROM
WOR1<;ERS' COMPENSATION INSURANCE
(This sechon need not be completed ii the permit
1s !01 one hundred dollars IS100) or leSS)
D I cen,ty that ,n the performance o! 1he worl< tor
which this permit ,s issued. I shall no! employ any
person "' any manner so as to oecome sub1ec1 to
the Worl<ers· Compensation Laws ot CaI,!orn1a
NOTICE TO APPLICANT I!. alter makin-;i this Cert,
f1cate o! Exemption. you should oecome subiect l'J
the Worlie rs· Compensa11on prov1sIons ot the Labor
Code, you mus1 forthw,th comply w,th such
provIs,ons or !his perm,! shall be deemed revoked
0 I hereby affirm tnat There ,s a construc1,on
Iend,ng agency to, lhe perlormance ol The wo,1,; lor
wr.u;:h m,s perm,! ,s <ssued 1Sec 3097, Civil Code!
Lenders Name ___________ _
Lender's Address __________ _
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
:,0";'\AODfl\ESS;-;-; · --.\=~· .. -----. . . > ..• lJ$t~1~NSE·.• . . . ,,,... . ·---,·.·,·. .. m . . ·. 'l..4 . .. ... . ~V' :':LJ'.·:
VALUATION I PERMIT NUMBER
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ZONE 7
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i:6-NTAACTOR'S ADDRESS
. ' UCENSI! NO.
-
I BLDG USE CODE PLAN 1.0. ff
-
,-• _.,._ ,SU~~""'"" ,OESJGNER ,, « 'LfCE,NSE'# STANDARD PLAN# I BUILDING SO. FOOTAGE
DESCRIPTION OF WORK;
~~NEiL'S:AO-Dfi\"ESS ,~& ~ONE .._~.----~,~. -------------------------------------1 . . . . . 5l2S 111331!!!3 I Z; 8!1
/!.-on-IJ)/(!.. Ou0J3533 SAllS/ a, 12;:'
, ~ ": F/P FLRELEV. OCCGP EDU --~-.. • .
v□ NO --~ •· •
CENSUS TRAC, I GP LANO USE I eARK,NG 5'ACE l RES UN'TS I GRADING f'.ERMIT ISSUED
y □ N 0 I REDEVELOPMENT
AREA
YO NO
TYPE
CONST
ace LOAD FIRE SPA
vO NO Not Valid Unless ~chine Certifi«J
QTY. PLUMBING PERMIT -ISSUE ---J 5 --0 /_-II QTY. MECHANICAL PERMIT -ISSUE --g-SUMMARY/ACCOUNT NUMBER
/ _;:::--INSTALL FURN. DUCTS UP TO 100,000 BTU --BUILDING PERMIT OT=00·00-8220 -t-------. 0VER100.000BTU . SIGNPERMIT ______ 01-00·00-8221 --·-----=-1__------_RITTlER/CoMPRE-Ss-□RUPT □3HP • PLANc~ ------□1-oo-oo-aaos
EACH GAS SYSTEM 1 TO 4 □~!LETS ------f-----·-. BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 01-00-00~ /i•~
EACH GAS SYSTEM~ OR MORE , . METAL FIREPLACE . ELECTRICAL 01-00-00-8223
--------------------C-.-----------' ---------------·--
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT -MECHANICAL 01-00·00-8224
'l. EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AN□i'OR VENT --------
f----------l
--------
EACH VACUUM BREAKER MECH EXHAUST -H00010UCTS . MOBILEHOME 01·00-00-8225 --------. ----0-----------------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
~ ROOF DRAIN (INS1DE1 -• SOLAR
~ ----..--
--P1~00-o~--~;-?6 +---__ _ ---L. ------· ----. ' TOT.C.L MECHANICAL I STRONG MOTION--
_ -TOTAL PLU-Ms-1NG --C ---/;z,-~ -F1RESPRINKLERS
~
80·92-33-0519 ...,
1
f------I
01-00-00-8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE ,------------32·00-00·8~.~23~f----------1 QTY. I ELECTRICAL PERMIT . ISSUE I s--
NEW CONST EA AMPiSWT ·BKR
COLLECTORS -----+-BRIDGE _l:EE _ _ __
SCHOOL FEE· OISTR~ ____ ----+---------J
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 ----ExIsr BL□G EA AMP/SWTiBKR 1 ·-----t----toCK srnRA_c_, _____ _
1 PH 3 PH
----+ -----
~ REMOOEL.'AL TEA PER CIRCUIT
TEMPPOLE 200AMPS
f-----____ __ PUMP
=-t=.-=J_P~A~-~HECK r'EE __ -------· -----+----.:.._--J!f-
80-92-22-0519
San Oi_e~-~~ 80-92-23-0519 . 3
--+--------1>--San Marcos ____ ~~-24-0519 ____ _
Encinitas
---···-1 OVER 200 AMPS
__ ~EMPOc'C·u-PANcv !30 DAYSI -----:---~=-__
------I!----+------+---
-----------+---------_18-lr _---_ ~-+---
----#--------+-------. ----
l.
TOTAL ELECTRICAL I
I
'
_ _:__ ---i-------
TOTAL SOLAR --•-· L L ,2 I TOTAL FEES PAYABLE /2-~0
··~ . ......,~-.,, ... -.. Officlitundi,Jhi........,;;.o1··. ~......, expire 6ylimita&Qn end bi!icome null an(l·~.Jt'~1>uildir)O"of:wi:: 1 HAVE CARE~t.Y·EXAMINED.THE COMPLETED "APPLICATION ANoPERMlr' ·AND oo HEREBY'
CERTIFY lJN.OER PE.NALTY OF PERJURY THAT Ail' INF.ORMATION HEREON INCUJOING THE
DEOLARA.'rlONS ARE TRUE ANO-CORRECT ANO.I FUATHERCERTfFY AND AGREE IF A PERMIT IS ~ ~ Sueh permit is not eotnmenced-withio 1 Jrbtfl the dafeQfftCti
ISSUED: TO COMPLY W\TH ALL QTY, COUNTV AND $TATE LAWS GOVERNING BUllDING CON--~ ~ 1:~ bulldl o, :~-::~ by ~ • II ~ 0,
KEEP HARMLESS l'HE·~·t,¥:" CARLSBAD AGAINST ALL LIA'SIUTIES, JUDGMENTS, CO . ·· · RE SI:RUCTION, WHETHER, SPEQfiEO HEREI.N OR NO. T. I .ALSO AGREE T. 0 SAVE INDEM~NO APAJCA. N.
EXPENSES WHfOt,f MAV:lt,f ANY,WAY ACCRUE AGAINST·SAID CITY JN CONSEQUENCE O THE ~-,'---. ,
+ * o\N ~. PEfNIT IS REQUIREI) fOA EXCAVATIONS OVER
-5:Q•---.moN QftCONSn,(JCTION OF $~0VER3 STIJAtES IN HEJGHf
APPAOvEI! e~ DATE
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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
PLUMBING TOP OUT
TUB AND $HOWER 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 HA VE BEEN APPROVED.
-JOB SITE FINAL ·•
PLUMBING A'i . o11
ELECTRICAL ' .,,,. r, L. /) ' \ ,-\
MECHANICAL \'('\V , YV ' \j \
GAS JA\ ..
BUILDING ' SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
.. . • ---. g-3 J&7~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
' INSPECTION REQ IF ,I 'NSPECTOR s DATE ! CHECKED APPROVAL ··----
! SOILS COMPLIANCE I 1 PAIOR TO ----
I, f-;:JIJNDATION '1NSP
i STRUCTuRAL coNCRETE
1 OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
----
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