HomeMy WebLinkAbout2690 VANCOUVER ST; MP; 84-26; Permitu, z 0 ~ ac C _,
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
lull force and effect.
Lie No ______ Clu.s
I hereby alfirm lhal I am e•empt lrom the Contrac·
tor's License Law l0I the tollowIng reason (Sec 7031 5 Busmess and Protess10ns COl1e Any c,ty or county which re· quires a pernut to construct alter. 1mpr-0Ye demolish. or
repa.11 any structure, pnor to its issuance also requires !heap-plicant for such perm,I to file a s~ned sIaIement lhat he Is licensed pursuant to the provisiOns of 1he Contractor·s
L«:ense Law (Chapter 9 commencing with S.Chon 7000 of DN1s1on 3 ol lhe Busmess and PrOMISSJOns cooe, o, lhat 1s ex· empt 1herelrom and !he basis lor lhe alleged exemption Any
VK>lahon of Section 7031.5 by an appltcanl for a permll sub-,ects 1he appltcant 10 a cIvIl penalty ol not mo(e than hve hun-
dred dollars ($500)
□ I, as owner of the property, Of my employees with wages
as their SOie compensation. WJH do lhe work. and lhe slruc·
Iure iS nol inlanded or offered tor sale (Sec 7044, Business al\d Professions Code The Conlractor·s license Law does
not apply 10 an owner of property wno builds or tmproves thereon and who does such work h1msell or through hts own employees, provided that such Improvements are not mtend· ed Of offered for sale. u. however, lhe building or improve-
ment Is SOid within one year of completlOO, lhe owner-builder will have !he burden o1 proving thal he did not build or ttn· prOYe lor the purpose at sale),
D I, as owner of the property, am exclusively contraclmg
wI1h lecensed conlractors to construct the protect {Sec. 7044,
Business and Proless,ons Code: The Contractor's License Law does not apply lo an owner ot property who buikis °' ,m-proves !hereon. and who conlracts !or each projects with a
contractor(s) license pursuant to the Conlractor's Li.cense law).
D As a homeowner I am ,mprovmg my home, and the lollow·
Ing cond1Uons exist' t. The work Is being performed prlOI' to sale 2. I have INed in my home kN' twelve months
prior lo complet10t1 of lhis work.
3. I have not claimed this exemptton during the last lhree years.
D I am exempt under Sec. ______ . B & P.C
fOf this reason -------------
D I hereby affirm that I ha..-e a cert,hcate ot consenl
10 self-insure. or a cen1hcate of Workers
COmpensat,on Insurance. Of a cen1l1ed copy thereof
(Sec 3800. t',1>0'.f"'e>
POLICY Noy
COMPAN\' •
□ Copy IS hied with 1he city
0 c.en,fted copy 1s hereby lurn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permI1
Is fOf' one hundred dOllars (S 1001 or less)
0 I cert1ty lhat in the performance ot lhe woOI. tor
wh,ch this permit Is ,ssued. I shall not employ any
person ,n any manner so as to become subJecl !CJ
lhe Workers· Compensation Laws ot Ca11tom1a
NOTICE TO APPLICANT 11. after makinJ thtS Cent
t,cate ot E11emp11on. you should t>eeome sub1ec1 I? the Wortlers Compensation prov,s,ons ot the Lat>or
Cooe. you mus! tonhw1th comply w11h such
provisions or this permit shall be cteemed revOke<J
0 I heteby altum thal there ,s a con!:truct,on
lending agency 10, the perto,mance ot !he work. tor
wh1Ch lhlS permI1 IS issued tSec 3097 C1v1I COdel
Lenders Name ___________ _
Lencte, s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -~· -
CARLSBAD BUILDING DEPARTMENT APPLICATI~~ ~ PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS \/;q_~ r ;;s:;v d,~ESTCROSSST IOATE OF APPLICATIONII BUSINl~~SE,, VALUATION PERMIT NUMBER ~C9o · 1·--9> foo4 ~ /,,..., : / tl/'~ l LOT BLOC!< I SUBOIVISION I ASSESSOR PARCEL NO. {)
/r+;~R2!fRc,~T
CONTRACTORS PHONE • ZONE
,~,1_.\,1...\11 2..s;.: nr
Cw ER'S NAME•~~ ~I~ I b~ I OWNER'S PHONE
il--1 _,,, .-A ~O;T;c;;_R'S ~DOC A-~, ~L> \/, J ~~ LICENSE NO. PLAN 1.0. # BLOG USE CODE
OWNER'S >/AILING ADDRESS ~
DESIGNER LICENSE 11 STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
II DESIGNER'S ADDRESS DESIGNER'S PHONE .u j ,u:1~ -Y.J1-_V~ ---~ ~ I"' -_-_-..... I --F/P FLA ELEV. NO DCC GP EDU l J-n,t& p .uL-) STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARl<INGSPACE I RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA
AREA CONST
YO N 0 vO NO vO NO Npy r,jd l!nJtrs~ine Cerrtfied
QT Y. PLUMBING PERMIT · ISSUE -7~ QTY. M ECHA~AL PERMIT· ISSUE ~-SUMMARY/A d"c'OONt~YlMB\:'R '!: -
EACH FIXTURE TRA.,...___ ~ INSTALL FURN . OUC~UP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER "-..... ~ER 100,000 BTU -SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER ANO/OR~ BOILER/COMPRESSOR UP Tb..a,HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS ~ BOILER/COMPRESSOR 3-15 HP "'-.... TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE "-METAL FIREPLACE "-.... ELECTRICAL 01 ·00·00·8223 ~ --.
EACH INSTA~. ALTER, REPAIR WATER PIPE ............ VENT FAN SINGLE DUCT "' MECHANICAL 01 ·00-00-8224
EACH VACUUM BREAKER ............... MECH EXHAUST HOOOIOUCTS r---.... MOBILEHOME 01 ·00·00·8225
WATER SOFTNER ---RELOCATION OF EA FURNACE/HEATER ............_ MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) .......... _
SOLAR 01-00.nn.•oo~
TOTt,L MEC HANICAL STRONG MOTION 80·92·33·0519
TOT AL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 -Q TY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PE RMIT • ISSUE .,_
BRIDGE FEE
NEW CONST EA AMP'SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH (3 pH) '-0 ,:---STORAGE TAN KS Carlsbad 80·92·21 ·0519
EXIST BLOG EA AMPISWTIBKR ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San Dieguito 80·92·23·0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE y. LI San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS n ~ • .I~ I
OVER 200 AMPS 'llV fl..N /I LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DA YSI V \, .
CREDIT DEPOSIT
TOTAL ELECTRICAL I 6-St ~ TOTAL SOLAR T OTAL FEES PAYABLE I .~s.-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY bporation Every perrntl a.-by the Bu,tdtng Off1c111 under the prov,s,ons ofltus * AN OSHA PERMIT IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code .,,.,, expore by hmttat,on and become null and void If the build,ng or work S' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
OECLARA TtONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS 1uthor1Zed by IUCh perm,t tS not commenced w,thm 180days from the date1}f such STRUCTIJAES OVER 3 STORIES IN HEIGHT permit. or ,, tne buddt~or work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON, ~ at any bme the worl< IS commenced for a pemxl al •80 dav•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:~O PPLIC~T'! '.5'~:TURE .. OWNER □ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AN ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 I/-f-J''I GRANTING OF THIS PERMIT. I (\ --
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TYPE I DATE INSPECTOR . '
BUILDING I ~t..f-~
FOUNDATION -I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT i
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE SHEATHING D ROOF D SHEAR
FRAME I
PRIOR TO ' ',. .
FOUNDATION INSP .-
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO ' I
UNDERGROUND D WASTE D 'l\tATER
TOP OUT D WASTE D WATER
HIGH STRENGTH •
BOLTS
SPECIAL MASONRY I
TUB AND SHOWER PAN I
I
GAS TEST ' I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I >
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPOflARY \. I.
-D BONDING D POOL I
'
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I
MECHANICAL I ~' ,:, ~ .... ~ _,
D DUCT & PLEM., D REF. PIPING ···-' < . -
HEAT -AIR COND. SYSTEMS I
I -!
VENTILATING SYSTEMS I . ! "
I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
I -
FINAL I -.
PLUMBING I -ELECTRICAL I I /~IL,-rYJJ i
MECHANICAL I
\ I ·''-I
GAS I " . -· ·-·-
BUILDING I ' I
a .
SPECIAL CONDITIONS I
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