HomeMy WebLinkAbout2804 LA COSTA AVE; ; CB880644; Permit"' z 0 ;::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Proleeslons Code, and my license is in
full force and effect
1 hereby a11,rrn That I am exe"1p\ trom lhe Con:·ac
lor's L,cense Law tor the following •eason (Sec 703' ~
Bus,ness ano Pro1ess1ons COde Any c,ry o, county wh,cro re
Quires a permit to cons1rucr alter ImDrave. demol,sh or ,eoa,r any slructure. prior to ,ts ,ssuance a•so requires !heap
plIcant for such perm,t to l1le a s,~ned slatemenl that he ,s
I,censed pursuanl to lhe prov,s,ons of tne Lon1rac1~r"
L,cense Law i Chapter 9 commenc,ng with Sect,on 7000 of
D1v,s1on 3 ot The Business and Professions Cade; or mat s e,
empt lheretrom and lhe bas,s tor the alleged e~emolior A.ny
v,olat,on of Section 7031 5 by an apol,can1 for a oerm,1 suo 1ecls the appl,cant to a c,v,I penalty of not more lhar, t,·,e hun
dred dollars 1$)00)
I, as owner of the property. or my employees ,,,Th ,iages
as lhe" sole compensahun w11I do the wo,~ and the struc
ture ,snot intended or ottered lor sale :Sec 7044 Business
and Professions Code Tne Conrractor s L,cense Law does
nor apply to an owner of property whO builds or ,mp,oves
lhereon and who does such won, h,msell or lhrough h,s own
employees prav,ded lha1 sucn improvements are not ,ntend
ed or ollered lor saie It however. the bu,ld1ng or Improve-men1 ,s sold w1th1n one year ol compler,on. lhe owner-bu,lde•
w,II have the burden ot proving lhal he did not build or ,m
prove lor the purpose of sa1eI
I 1. as owner ol the property. am exclusively con1ractI~g
with licensed comractors to construct the pro1ecl (Sec 7044 Business and Professions Code The Contractor s License
Law does nor apply 10 an owner ot oroperty who bu,lds m Im proves thereon. and who conlracts fo, each proIecrs with a
contractor(sl license pursuant to the Contractors License
Law)
As a homeowner I am Imp•ovIng my home. anr! the lollow
Ing cond,hons ex,st I The work 1s being perlormea prior to saie
2 I have lwed In rny hOme for twelve months
onor to complet,on ot lhIs worK
I have not claimed This e,emp1Ion curing the last three years
for 11h~: r~:~~A' under Sec _____ _ B&PC
I hereby affirm thal I nave a cert1!icate of con sen! to
sell-insure or a cert1f1cate or Workers Compensation In
surance or a certll1ed copy thereo! 1Sec. 3800 Labor Code!
POLICY NO
COMPANY
Copy ,s 'lied with 1he city
Cert1hed copy Is ~ereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sect,on need not be completed 1! the permit
,s for one hundred dollars 1$1001 or less\ 7i cert,ty that ,n lhe performance ol the work to, which
this permit Is issued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers Campen
sat10n Laws ot California
NOTICE TO APPLICANT If after makong th•S Cert1f1cate
of E,empt,on you should become sub1ect to the Workers
Compensation provisions of the Labor Code you must
torthw,11\ comply w,th such p,ov,s,ons or this permit shall
be deemed revoked
I hereby aff,rm tha1 t\lere Is a constn .. cl,on ,end "Q
agency for the performance o• the ,,.ork 'or whit" t~1s ~er
rr,1•, ,s issued ISec 3097 C1v1I Code,
Lenders Name
Lenders AOd'ess
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV.ST.RO. THOMAS BROS NO. 1;1:;;;;~;to• BUSINESS LICENSE # Vff· PERMIT NUMBER
df5M /._ /J /Ii: s 717-/liz: :9/.J. ?So/ woCo~ LOT BLOCK I SUBOIVISION I ASSESSOR PARCEL NO CONTR4CTOR 1A CONTRACTORS PHONE # ZONE (!,£ l&..8/L< ;;1,J,rJJM:J/Nd 757.;;:3-g;J {);::5i"~ r f'tt/:IJL'5 Gt ~w;;;;PHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING~TAGE
/656-77/fBdJJt' R]J i//5TP -il6ff'IK' OWNER'S MAILING ADDRESS
DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK ,/4 _ / ., ucl.e It;, t? ./fi,/ -'S DESIGNER'S ADDRESS STATE LICENSE NO.
1~ .. 1::.; -
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N; ·'f3 (6/: ~: '.1\!l . ·: ~·
u FLR ELEV NO ace GP EDU ··-'-j ---STORIES
vC NO
I CENSUS TRACT ! PA PK ING SPACE RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP
AREA CONST
I ,□ 'D ,□ --..□ vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7.g QTY. MECHANICAL PERMIT -ISSUE /S-/!JJ. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU ou1Llil1~ci r-tMll'lll UU 1-IJ 1 U-UIJ-00-ottu
EACH BUllOING SEWER OVER 100,000 BTU SIGN PERM IT 001 810-00-00-82/1
EACH WAHR HEATER Ar-.O OR VE:Nl BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0·00-00-8891
EACH GAS SYSTEM 1 ro 4 UUT LE TS '7 ~ --0 BOILER:COMPRESSOR 315 HP TOTAL PLUMBIIIJG 00 -810-00-00-8222 //'\ -
EACH GAS SYSTEM '.l OR MORt. rv1E-1A\ FIREPLACE ELECTRICAL 00 -810-00-00-8223
EACH INST AL ALTER, REPAIR WATE.R PIPE . VENT FAN SINGLE DUCT MECHANICAL 00 1-8 ~ 0-00-00 ·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 00 1-8 · C-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR 00 1 -810-00-00-8226
fA[H R::,(JI I:PAl'J il'JSID'. 1 DRYER VENT STRONG MOl lUN 880-519-92·33
TOHL MECHANICAL & ,1 w "'~0 t',.._ FIRE SPRl~JXLERS DO 1 ·8' C-Q0-00-8227
rQIAl PlUMBINl.. T /U.~ ~ .. ~NRLIC FACILITIES FEE 320-810-00-00-87 40
s~ >'!' ~ ~EE 360-810·00-00-8740
QTY ELECTRICAL PERMIT· ISSUE QTY. MQBILE HQME SETUP ~ "" '<\\l.i PA -LIEU {AREA
NEW CONST EA AMP S\t/1 BKR CAR PORT .. '" -'j 312·810·00-00-8835 .-
I PH 3 PH . AWNING .-~ .--.. ; r-v-~~;-~ ~A TA TIF 311-810-00·00·8835
EXIST BIOG EAAMP.SWT BKR GARAGE ,.-_ :· ;~ ~TTr:\b, a
I PH J PH \ d) JiW'ENSE TAX 001 ·31 Q-0:J-0:J-81 E2
RE~OOEL ALTtR PER (!R[UIT "~ ' .c;.-i.rFF 880-519-92-5/
TEMPPOlE !00 AMPS ~l'zL..-'-1/
OVER l!JU AMPS
TEMP lJCCUPANCY '30 DAYSI
CREDIT DEPOSIT
!ill Al ELlLTHICAl I TOT Al TOTAL FEES PAYABLE I /o -
I HAVE CAREFUll Y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT .. AND DO HEREBY E){piration Every permit issued by tile Bu1!dmg Off1c,a1 under the prov,s1ons ofth1s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e){ptre by llm1tat1on and become null and void 11 the build,ng 01 work 5' O" DEEP ANO OEMOLITK)N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~
authorized by such perm1t 1s nol commenced wtlh1n 180 days trom the date o! such STRUCT\.IRES OVER 3 STORIES IN HEIGHT permit, or 1f the bu1ldinff or work authorized by such permit ,s suspended or
ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at arui time a ter the work ,s commenced for a nenod of 180 da"s
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO
u~ATURE. ttO~NERn CONTRACTOR 0 APPROVED BY ' & 1s--}~1~ ><EEP HARMLESS THE C!TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
f/PENSES WHICH MAY IN ANY INAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 7 r,,lj /21 BY PHONE rJ f GRANTING OF TH!S PERMIT , o -n
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN /)
GAS TEST 5/11,7/-I
□ WATER HEATER □ SOLAR WATER , I I
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL /)
PLUMBING ~t-,~ $'/27,,. I
ELECTRICAL I '
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
Cb~ o tp '-11'-f
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS l=====~IN:;;S:;;P:;;E:;;C:;;T:;;O:;;;,;R='S=N=O=T=E=S====--==============j
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ------+------, ,. ..
STRUCTURAL CONCRETE f-------'-'-,a_,-'~'"• . .,-.,----------------------------7
OVER 2000 PSI . "·" \. 1--------",.-'',---------------------1 PRESTRESSEO Y:,\
CONCRETE >-----------,,,_~-~·--------------------------! POST TENSIONED °;:: ~
CONCRETE >-----------,.,-;-'~---------------------------j -
FIELD WELDING -----t---------t-----, f----•-------------------------------------i HIGH STRENGTH
BOL Ts f--------....c·'.;.·~----------------------------,
J, -SPECIAL MASONRY >· ~:h· ,7'!:'.·:
i----'~--'~----------------------1
PILES CAISSONt'
f------------j----,t-------i------