HomeMy WebLinkAbout2669 VANCOUVER ST; ; CB890228; Permit"' z 0 .:; C ac C ... 0 IOI 0
a: e [ ~ I hereby affirm that I am licensed under U /p;o,,talona of Chapter 9 (commencing with = Section 7000) of Division 3 of the Business
,-. and ProfHalons Code, and my license Is In
~ lull force and affect.
u I het'eby "lhrm that I am exempt tram the Conuac· lo<'s Lounse Uw tor Ille IOllowmg ,.,son tSec 7031 5
Business and Pro'lessions Code Any city or coun1y whK.t. re qu,res a pecm1I lo construct alter improve, demohsh or
repair any slructure. poor to Its issuance also requues !heap-plicanl tor such permll 10 hte a StQned statement lhat ne 1s
hcensed pursuant to lhe provIs.ons of lhe l.OntractOI' s lteense Law (Chapter 9 commencing #Ith Section 7000 of Oiv1s1on 3 ol the Business and ProfesStOns Code} or that 1s ex· empt thefetrom and lhe basis tor the allege<, exemption Any ,,.
v1otation 01 Secl10r1 7031 5 by an apphcanl tor a perm11 sub-
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Iects the apphcant to a c1v1I penalty of not mo,e lhan live hun
dreo COiiars 1$500)
I I, as owner at the property or my employees wllh wages
as their sole compensahon will do lhe work and the Slfuc· lure 1s not intended or ottered !Ol sale tSec 7044 8usmess ano Professt00s COde Tht Con1racIor·s License Law does
not apply 10 an owner of propeffy who builds or improves !hereon and whO does such work h1mstlf or lhrough r'Hs own
employees. provided lhal such improvements are not 1ntencl ed or offered lor sate It. however, 1ne bollc:Mg or improve•
menl Is sold w11hIn one year of completion !he owner-builder w,II have lhe burden ot proving !hat he did not build or ,m-
ptOYe !or !he purpose ot saleJ
I 1. as owner of the property. am exclusively contracting
wIltl licensed conlractors lo construct the pro;ect (Sec 7044. Business and ProlesstOns Code The ConlrKtor·s License Law does not appty to an owner of property who builds or im-proves !hereon. and who eonlracts tor each p101ects with a contractor(s) license pursuant to the ContractOf's ucense I Law)
r1 A.s a homeowner I am ImprovIng rny hOme. and lhe follow
1ng cond1tK>ns exist 1 The WOl'k IS being performed prKH to sale 2 I have hved in my heme tor twelve mon1t1s
poor to compteliOn ot this work I have not clam'led this exempuon during the last lhree years
D I am exempt under See _____ _ B&PC for lh1s reason ____________ _
c_ ~ hereby athrm lhat I ha¥e a cer11tica1e ol consent to
~f.,~;ure. or a certihc:ale of w orkers· Compensation In.
:::~-:~ Z~c.ld/oJ'5);p1~· ~1 COMPANY 0/;'tl>C/f6t/,;lf'C,,,rl/ ~ Y-copy ,s !tied w11h u,e city /
~ 0 Cerlllled copy 1s hereby furnished
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CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be compfeled It the permit
is tor one hundred dOllars tS 100) o, less)
0 I certify lhat in 1he performance of lhe work tor which
!his permit Is issued, I shall not employ any person ,n a.ny
manner so as 10 beeome subJeet 10 the WOJkers· Compen•
satIon Laws of Caltforn1a.
NOTICE TO APPLICANT II. after making this Cer1ihcale
of Exemption. you shOuld beeome sub1ect to the Workers
Compensation provisions of the LabOr Code. you must t ::t:~!':s°~!!:th such provisions or this permit shall t
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~ hereby affirm !hat there ,s a constructton lending : ffi r -;;~'f for the performance of lheW0rk fOf which 1h15 pet·
O mit Is issued lSec 3097. C,v,I Codel z 1M Lender s Name µfo·
_. Lender's Address_ _.,7ML..::_: ______ _
USE BALL POINT PEN ONLY & PRESS HARD 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 Aoo,:,ESS AV. ST.RO. THOMAS BROS NO IOATE :F;~p~~:;N1
BUSINESS LICENSE II VALUATION PERMIT NUMBER
e/)u&,9 t/RN"l"'a-,~ /¥ e-.::i.. ~? i'o , :3,qO eh 89 0 2-~ LOT I BLOCK I SUB01v1s,o ... I ASSESSOR PAR~E ~/· CONTRACTOR / ~ CONTRACTORS Pt10NE • ZONE
//A 7--3G, -cc :;-:.A •_,4c;. ,,~ 5&:,/-?"6S OWNf R'S NAME OWNER'S PHONE
I 7.;2.,-63(',.S CONTRACTOR'S ADDRESS STATE LICENSE NO. Bl/lLOING SO. FOOTAGE
'Tl!>A1 < .CJ .1? 11h :JA/E ~ ~.A-L:, J?tp7'1 ~A,e/tLA 4/'l. ~-:SV7/71 OWNER'S ... A,LING AOORESS
~f_,.
OES•GNER \_ DESIGNER'S PHONE
OESCR1PT10,_ OF WORK ¥Z>o9
/4-, #\, ~-. ,,_~ .""2-"'-</6,&,-S?Y/
Pvr ;;:>~L OESIGNER·s AOORESS ~-,,,I{, STATE LICENSE NO .
aa v~ ~U!fk)U, ~ .9~ • ~€7~ 5054 02/28/89 0001 01 02
F IP FLA ELEV. NO
STORIES
OCC GP EDU Bldf'mt 162-0
vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRAOING PER"'41T ISSUED I REDE VE LOP ... ENT TYPE OCC LOAO Fl RE SPF'
AREA CONST
y D ND vO NO vO NO Nol Valid Unlffs Mlch,ne Cerlilitd
QTY. PLUMBING PERMIT -ISSUE 7,50 QTY. MECHANICAL PERMIT· ISSUE :5'.oo SUMMARTIACCOUNTNUMBER /.
EACH FIXTURE TRAP INSTALL FURN. DUCTS u P TO 100.000 BTU BUILUINl> rtMMll 001-810·00·00·8220 /~0
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 00 I ·810·00·00·8221
I EACH WA TEA HEATER ANO OR VEN T BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00-8891 g-a-,.
f EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING oo; -810-00-00-8222 1"'1..
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810-00-00-8223 ~
EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00·00·8224
I EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOF TNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF ORAIN (INSIOEI DRYER VENT STRONG MOTION 880-519-92·33 I
TOTI.L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00-8227
TO I Al PLUMBING I l.:'J , PUBLIC FAClllTIES FEE 320·810·00-00-8740
5.00 BRIDGE FEE 360-810-00·00·8740
QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWl liKR CAA PORT TlF 312·810·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810·00-00-8835
EXIST BLOG EA AMP1SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162
~ REMODEL ALTtR PEA CIRCUIT MFF 880-519·92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSl
'• CREDIT DEPOSIT <~d-. ;>
TOT AL ELELT RICAl I 2J ---TOT Al TOTAL FEES PAYABLE l /6Jav
I HAVE.CAREFULLY EXAMI.NEO THE COMPLETED ·APPLICATION ANO PERM1T' AND 00 HEREBY Eaptretion Every perm•I ,ssued by•~ Butldtng Ofl1c1a1 under the prov,s,ons of th•t * AN OSHA P£Allll:T IS REQUIRED FOR UCAVATIONS OVER
CERT;FV UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by hm1t■t,on and become null and void If the bu1td1ng o, work s· 0. DEEP 4HO OElrlOt.lTIOH 0A COMSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!> 1uth0t1zed by 1uch perm,t •snot commenced .-,uun 180 days 1rom the date"' such STRUCTURES OVER 3 STORIES IN HE~T permit or if the bt.utdl~ or work ■uthorlZed by suet\ pe,m11 ,, suspended or
ISSUED TO COMPLY Wlli-1 ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON at>anooned at 1nv bme a er the •ork ,s commenced tor I oenod or ,AO n ....
STflUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE ,,_ OWNERO CONTRACTOR &l,.. ~fl n•T-
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All L1AB1LITIES JUDGMENTS. COSTS ANO /4 4_ ~-'
, ... ·• .•• \ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Ao~
~
GRANTING OF THIS PEllMIT
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TYPE I DATE INSPECTOR I
BUILDING i
FOUNDATION I ,.,~ ~./
REINFORCED STEEL I ',. t,• \~ j
MASONRY I "
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEit.iNG
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I .
INSULATION I
INTERIOR LATH & DRYWALL I
I .
PLUMBING I
D SEWER AND BUCO o pµco
UNDERGROUND D WASTE □'WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I .
D ELECTRIC UNDERGROUND D UFFER /}
ROUGH ELECTRIC I ;.~/.,~7 !t!"
D ELECTRIC SERVICE D TEMPORARY
IA BONDING O ~OL I A•)~,(r.,,-I • --.
f
MECHANICAL I
1
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
-CALL FOR FINAL INSPECTlON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
C,,85Cj-O-:;)-yt
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE 4)4/fo€ <;OA-13~-ri tftJ d , CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE .
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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