HomeMy WebLinkAbout2431 La Costa Ave; C; 83-223; Permit.. z 0 ~ .. ~ CJ ..
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~l hereby affirm that I am licensed under
~lslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
'"" fo,oo .,~~'l".l,, ,,.. . 3 /_ Lie No "31~ ~ Class __c_..._:::_ p
I hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec 7031 5
Business and Prnfess1ons Code· Any c,:y or county which re-
quires a perm,t to construct. alter, ,mprove demolish. or
repa,r any structure. orior to its 1ssua~ce also requires the ap-
plica~t for such perm,t to hie a s;gned statement that he is
l·censed Jursuant to the prov1s1ons of the Contractors License ~aw iCr.apter 9 commencing with Section 7000 of
D1v1s1on 3 81 the 3us1ness a~d Proless1ons COde) ortnat 1s e~-
empt the'efrom anc •~e basis for the alleged exempt1or. Any
v1olat1on ~f Sect1or 7031.5 by an applicant for a perm,t sub-
1ecls the aopl1:ant to a cIvII penalty of not more than five hun·
Cred dollars {~500
I. as owner ot lhe property, or my emoloyees with 1vages
as their sole compensation. will do 1he work, and the struc-
ture 1s not intended or ottered for sa•e (Sec. 7044 Business
and Professions Code. The Contractor's License Law does not apply to an owner o! 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 offered for sale. If. however. the bu1ld1ng or improve·
ment Is sold w1thm one year of completion, the owner-builder
will have the burden ot proving !hat he did not build or 1111•
prove tor the ourpose o! sale)
l I._ as owner of the property, am exclusively contracting
with licensed contractors to construct the proJect (Sec. 7044,
Business and Professmns Code. The Contractor's License
Law does not apply to an owner or property who builds or im-
proves thereon, and who contracts for each pro1ects with a con!ractorls) license pursuant to the Contractor·s License Law)
---: As a homeowner I am improving my home. and the follow-
mg cond1t1ons exist
1 The work IS being performed prior to sale 2 I have lived in my home tor twelve months
prior to completion of this work
I have not claimed this exemption dunng 1he last three years
I am exempt under Sec ______ . B & P C
for this reason ____________ _
)/ I he,eby a.tf,rm Iha.I I ha-.-e a. cer1Jl,cate o1 consen1 n selt-msure. or a cer1,l1ca1e of Workers
POLICY NO b ~ f_l. ...:)
~":,,'':';.';.!:'J~,1",'._.z~' "'.'."''""".:: '~""'~
COMPANY 5'1c<.1 . ,\'(\
O{ Copy 1s tiled w,th the c,ty
't]' Cer1,t,ed copy 1s hereby fum,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sect,on need no1 be completed ii the permn
Is for one hundred dollars {$1001 or leSSI
0 I cert,fy that In the performance ot the ""orl< tor
""h1ch th,s pemiIt 1s ,ssued. I shall nol employ any
person In any manner so as to t>ecome subject to
the Worl<ers Compensat,on Laws o1 Cal1!om1a
NOTICE TO APPLICANT 11, alte, mak1n;i th,s Cert,
l,cate of Exemptoon. you should become suto1ect t'l
the Worl<ers· Compensatron pro~1s,ons of the Labor
Code you must for1hw,th comply w,th such
pro~,s,ons or this perm,1 shall be deemed revoked
D I hereby aflirm that there ,s a consHuctI0~
Iend1ng agency to, the performance of the work for
which th,s pe,m,t ,s ,ssued (Sec Y/97 c,-11 Codei
Lenders Name ___________ _
Lerider 5 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 (619) 438-5525
APPLICATION & PERMIT
;;;.~i r. /r,i {:osh_ A A_V;c.T• 0A1'£()F , , TION A~JY?:: • VALUATION ~ :.ERMIT NUMBER -R .t, ~lift':-: : . ~~.,; ~ . ·, 7)111'' -~~.3 '',.I W
owNeA·s NA++o y T I OWNER'S PHONE /) /<, ',f,:7Xi ·· , pfr . ;,J)Jna I.Nf'ITAA'-ilVl"t>-PffONE# ZONE '7'1..2-03</~ -
OWNEA.S MAI LING ADDRESS (.;VNTR,CTOR'SAOORE1 , ~ lf':-2iJ LICENSE NO. -PLAN LO.# BLOG USE CODE
13/::Jt. n11 , . , .. ~l?R~/
LOT l BLOCK I SUBDIVISION I AS~l~p~~i)NOSS' O!S DESIGNER 0 . LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK .
I\ Df;:SIGNER'S_ ADDRESS -DESIGNER'S PHQNE :1 ,.,: _;_;;,~ .. ,;;;,
p /'\,. O, A .. --~-
V, • .... ~!t.2· .~ ,::, .. •.: ' . . .c '" FLA ELEV. NO OCC GP EDU STORIES
YO NO
CENSUS TRACT I GP LAND USE ! PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE -;.£!!.-QTY. MECHANICAL PERMIT· ISSUE 3 ,_ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ' INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
L --------------------
EACH WATER HEATER AND'OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
--------------------In EACH GAS SYSTEM 1 TO 4 OUTLETS i BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00-00-8222 -~ -----------------. -
EACH GAS SYSTEM !:o OR MORE -•-_'1,--~ METAL FIREPLACE ELECTRICAL 01-00-00-8223
-----------------
EACH INSTAl.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00-8224
--------------------
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 ·--------·-------------
1 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ----+----·--·---------
j EACH ROOF DR~I~ ~"J~~DE) --SOLAR 01-00-00·8226 -----_I TOTt..L MECHANICAL STRONG MOTION 80-92-33-0519 :~-.· /11· ,-~--·----
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
~ -----
3---?._rt' -~. PUBLIC FACILITIES FEE 32-00-00-8923
QTY.i ELECTRICAL PERMIT -ISSUE QTY. SOLAR · ISSUE BRIDGE FEE
' NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT ·-·--
: 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 -----------
EXIST BLDG EA AMP/SWT:BKR I ROCK STORAGE Encinitas 80-92-22-0519 --------J -
: 1 PH 3 PH PUMP San Diegwto 80-92-23-0519
! REMOOEL~LTE~ -PER CIRCUIT ___ _
--------·-----
PLA"J CHECK i=EE San Marcos 80-92-24-0519 -
------i-T_E_MPPOLE_ 200~MP? ____ _ __ _ ---·---------
I OVER 200 AMPS --------------------------------------------
TEMP OCCUPANCY 130 DAYS!
---------------~--
I i ---------. ·-------· --------
TOTAL ELECTRICAL l TOTAL SOLAR I TOTAL FEES PAYABLE In --! ·,
I H4Ve CAREFUU Y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' Al':,ID DO HEREBY ........... £ -.....i..6.l......,~ui,li.,t1,e~oi'il.lio .. -~:•kr~~~OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE eode mattex by1trnitaflori· naa. ..-d:VOhf. ·tt the botfdingOr'WQfk --authotlZed permit it. wttbifriao days from the date of such " DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or· ._, f)uilding -aufbOrizW tty·sucli-permit ia suspended OJ-:.. " , , . , OVER 3 STOFIIES fN HEIGHT
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-ai--:....v11me----work i. -· .... of 180 , ... STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN ::r'·:·z:. I~~ OWHE:RD CO .. TA~o/1 GI AP"" rD BY :°!!1/t-=3 KEEP HARMt.ESS THE ClfY-OF CARLSBAD AGAINST ALL UAB!LIT!ES, JUDGMENTS, COSTS
EXPENSES WHICH MAY IN ANY WAY ACCAUE AGAINST SAID CITY IN CONSEQUENCE OF THE ··av PHONE □ __,, ., GRANTING OF THIS PERMIT. ' ,,, /. . , ,
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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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ~. I
MECHANICAL '1'. . I"' I
GAS I I 11 , rr
BUILDING I. ; I I
SPECIAL CONDITIONS '
CERT OF OCCUPANCY ISSUED
~3-~~3 ,
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
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