HomeMy WebLinkAbout2721 VANCOUVER ST; ; 84-113; 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.
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I hereby alfirm !hat I am exempt lrom lhe Conlfac· tor's Ucense Law IOf !he following reason {Sec 7031 5
Business and ProlessK>ns Code Any city or county which re-quires a perm,1 to construct. alter improve demohsh. or repair any structure. prior to its issuance also requ11es !heap·
phcant for such permit to ftle a s1Qned slatement that he ,s licensed pursuant 10 rhe provisions ot lhe !,;on tractor" s License Law (Chapter 9 commencmg with Section 7000 of
Division 3 of the Business and Prolesst0ns Code) or that 1s ex· empl therefrom and the basis fOf lhe anevec, exemphon Any
V!Olal10n ol Sect,on 703 t . 5 by •• applicant lor a permit sub·
teets the applicant to a crvil penalty of not more than five hun· dred dollars ($500)
, as owner of the property, Ol my employees w1lh wages
as ,r sole compensation. wIl1 do the work, and !he strut·
a ture Is nol intended or otlered lor sale (Sec 7044. Busmes:s _, and Professions Code: The Con1rac1or·s license Law does 5 not apply to an owner of property who builds or improves
• thereon and who does such WOl'k himself Of through his own ii empk>yees. provided that such Improvemen1s are not 1n1end·
II.I ed or ottered for sale. 11, however, lhe building or improve· Z ment Is sold within one year of com~e11on, lhe owner-bo,lder ~ will have !he burden of proving that he dKt not build or ,m-0 .,_t,.r1>1e lor the purpose 01 saleJ .
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. "'YJ '1. as owner ol the property, am exclusive!y conlfacting -with tK:ensed contractors to conslrucl the pro;ect (Sec. 7044,
Busmess and Professions Cade: The Contractor's License law does not apply 10 an owner of property who builds or im-
proves thereon, and who contracls for each projects wllh a
contractor(s} license pursuant to the Contractor's License Law).
□ As a homeowner I am 1mprovmg my home, and the lollow·
ing conditions exist 1 . The work is being performed prK>f to sate
2. I have hved m my home for twelve months prior to compk=lion of 1h1s work.
3. I have not claimed this exemption during the last three years.
0 lamexemptunderSec. ______ ,B&P.C.
tor lhls reason -------------
D I hereby aftirm lhal I ha·.,e a cert1hcate ot consenl
to sell-insure, or a cert1hcate of Workers
Compensation Insurance. o, a cer11f1ed copy thereof (Sec 3800. Labor Code)
POLICY NO
COMP-.NY
□ Copy IS filed Wllh the CIly
D Certified copy Is hereby turmshed
CERTIFtC-.Tl OF EXEMPTION FROM
WORKERS" COMPENS-. TION INSURANCE
(This sechon need nol be completed 1f !he perm,t
,s tor one hundred dollars (S 100) o, less)
0 I certify that in the performance of the work tor
which th,s perrrut ,s issued, I shali noI employ any
person In any manner so as lo become subtect 10
the won..ers· Compens.a11on laws ol California
NOTICE TO APPLICANT If. after maktn~ HHS Cen1
hcate of Exemption, you should oecome subJecl I?
the wooers· Compensat,on prov,s,ons ol rne labor
COde. you must lonn--.,,rn comply with such
prov,s,ons or this permit shall be oeemect revoke<.J
il
0 I hereby afhrm 11'\al there is a consiruct,on
Iend1og agency t(>f the performance ol Irle wor11. tor
wf•uch this permit ,s ,ssued 1Sec .3097 C,v,1 Cooe1
lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I • 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS. AV ST.RO. NEAREST CROSS ST.
10;:E.:, 7p~;N1
BUSINESS LICENSE I/ VALUATION;,o PERMIT NUMBER f
~/3 .l7;l.l V~tJil~I( ST /. J 1fll-_-
LOT I BLOCK I SUBOI VISION I ASSESSOR PARCEL NO. CONTRACTOR -, . CONTR-.CTORS PHONE • ZOfll'E 1,~,y~~C:1-C( 0 W (\)s:'fJ.._ OWNER'S NAME h1J OWNf4 6HB'E MRS 1) T Gf" I I I\~:.:~ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
OWNER'S MAILING ADDRESS
J.-1 J..1 VML'ouil~ 5""r ~ISIJ-l)1_ (!,g , DESIGNER LICENSE o STANDARD PLAN # BUILDING SQ. FOOTAGE
DESCRIPTION OF WOAK
DESIGNER'S ADDRESS DESIGNER'S PHONE
~-:2. Yb__~ /da-♦ -----~ ----F/P FLR ELEV. NO OCC GP EDU ~.al .'?/~.C,ti~& 3ll ~ J:l STORIES
vO NO --GJC.l;1+60a ;#ll}l 94 31...31 ..
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GR-.OING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR '} 4t., .. ~ J.117 ) AREA CONST
y □ ND vO NO vO NO Not Valid Unit!« Machine Certified
QTY. PLUMBING PERMIT -ISSUE -J!::-QTY. MECHANICAL PERMIT · ISSUE ?-SUMMARY/ACCOUNT NUMBER -EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 .J!-11~
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 L'3._.S~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222
EACH GAS SYSTEM 5 0 R MO RE 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
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-~??~
TOTt,L MECHANICAL STRONG MOTION 80·92·33·0519 ... 5~
TOTAL PLUMBING I FIRE SPRIN~LERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE .s-=-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00-8933
NEW CONST EA AMP/SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT /8 KR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oieguito 80·92· 23·0519
REMOOEL'ALT£R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI /"1/ ~.r-
.. CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~!L_!>£ '
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT" AND 00 HEREBY Exp,rnon Every perm,t ouued b'f Ille Bu tiding Off1c1at under the provis,ons of tn1S * AN 06HA PEIWIT IS REOUlfl£D ~ EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code _, expire by limitation and become null and vo,d II tne bu1td1ng or wor~ s· o·· DEEP -,.o D£MOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS IIUlllotlZed by such _m,111 not commenced wtlh,n 180days lrom Ille date.:,! sucn STAUCTUA£S OVER 3 STOftlES IN HEIGHT pennot, or of Ille bu1ld1~or WOik authorized by such, .:,:11 os suspended or ISSUED· TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• ~ at anv tome a Ille work is com.-Ced for od of 180 ... u.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . J~h74. '"-APPROVED BY # ?!7,~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS,. COSTS AND" LPP\.ICAN~S GNATU • JI) OWNER CONTRACTOR D
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN. CONSEQUENCE OF THE k Id_ ~ .A -BY PHONE D
GRANTING OF THIS PERMIT ., ;_ ~ 'Vt'~ (/ L , ~ 7 -,;-
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~R
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I .
I
PLUMBING I
I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W,4.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND o:uFFER
ROUGH ELECTRIC I -
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -
HEAT -AIR COND. SYSTEMS I ...
VENJIIJ>.TING SYSTEMS I I ' •. .. , . ' \ \. ...
,.;-. I
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPR_OVfQ_.__ _
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-~-----. ' • ..._, ' -. -,,
~ )<.. W--113 \.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES \ .
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE I
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
--SPECIAL MASONRY ' . . . --
PILES CAISSONS . i.
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PLAN CHECK NUMBER ADDRESS...? 2 .2 I ~ ~ ----DATE*
ZONE: PLANNING:
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TYPE OF STRUCTURE ~ ~ ;,
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
% COVERAGE ------------
BUILDING HEIGHT -----------
FENCES/WALLS ___________ _
TWO CAR GARAGE ------------
------
ENCINITAS ---------
SAN MARCOS --------
REQUIRED SETBACKS ------
FRONT ----------
SIDE ----------
RE AR ----------
;: ~ COMMENTS: ____________________________ _
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REDEVELOP~1ENT APPROVAL REQUIRED: ----------------.....:..----
LANDSCAPE PLAN COMMENTS: -----------------------
ENVIRONMENTAL REQUIRED: ------------------------
ADDITIONAL COMMENTS:
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. PARK IN LIEU -------------------------
R.O.W: IMPROVEMENTS: -------
________________ E.D.U: _____________ _
SEHER:
LATERAL: DRIVEWAY:
GRADING PERMIT:
DRAINAGE:
EASEMENTS: ADDiTIONAL COMMENTS:
OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: ___________________ _
PUBLIC ~!ORKS
FINAL OK: ,, ---____,~_,_ ___ ---r __ ...;.__ DATE: ______________ _
* IF THIS ITEM I BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)