HomeMy WebLinkAbout2665 VANCOUVER ST; ; 84-523; Permit~
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O 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 license Is In
full forclDAd 11t14i:-~SC I , lie No _:;}_'1._co_,_t, ~ Clmlf 7
I hereby affirm that I am exempt from the Contrac·
tors License Law for the following reason (Sec 7031.5 Busmess and Professions Code: Any city or county which re-quires a permit to construct, alter, imprOYe, demolish, or repair any structure, prior to its Issuance also requires the ap· plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commencing with SectlOO 7000 of Otvis1on 3 of the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged exemption Any
Yiolation of SectlO<I 7031.5 by an applicant for a perml! sub· feet• the applicant to a civil penalty of not more than five hun-
dred dollars ($500).
0 I. as owner of the property. or my employees with wages
as their sole compensation. will do the work. and the struc· lure is not intended or offered for sale (Sec 7044. Business and Profess,ons Code: The Contractor·, License Law does
not apply to an owner of property who builds or Improves thereon and who does such work himself or lhrough his own employees. provided that Stich Improvements are not Intend· ed or offered for sate. If, however. the building or Improve-
ment is sold within one year of completion. the owner-builder will have the burden of proving that he did not build or im-
pro,e for the purpose of sale).
0 I, as owner of lite property, am exclusively contracting
with licensed contrzctors to construct the project (Sec. 7044. Bosiness and Professions Code: The Contractor's License
Law does not apply to an owner ot property who builds or Im• proves thereon, and who contracts tor each projects with a
contractor(s) license pursoan1 to the ContractOl''s License Law).
O As a homeowner I am Improving my home. and the follow-ing conditions exist:
1. The work Is being per1ormed prior to sale. 2. I have lived In my home for twelve months
3. rr:: :;1Pc~i~of ~l: :x~ption during the last three years.
0 I am exempt under Sec. ______ . B & P.C. for this reason
D I hereby affirm that I have a cen,t,cate or consent
10 self.1nsure. or a cen1t1cate of Workers·
Compensation Insurance, or a cen1hed cooy thereof
:1c~~La~-{9 ~f\-,
COMPANY ~ ~
0 Copy IS filed w1lh the City 1
D Cert1hed copy Is hereby furn,she<I
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need nol be completed 11 lhe perm,1
•s tor one hundred dollars {S tOO) or less)
D I cen,ty that in the perfo,mance ot the work fOf
which this permit Is issued, I shall not employ any
person m any manne< so as to become subJect to
the WoO(.ers· Compensa11on Laws of Calllorn1a
NOTICE TO APPLICANT If. after makm;i this Cen1
flcale of Exemption, you should become subIecI I? the Won..ers· Compensation provIsIons of the Labor
Code, you must lonhw1lh tompty with such p1ovIsIons 01 ttus permit shall be deemed revoked
D I hereby affirm thal the,e ,s a eonsIruc1Ion lend•OQ aoency tor the pef10fmanc't ol lhe wortic; IOf :::·:::;?;n~1'"" ~·
Lenc1e,·s AOdres: JvC Ct ,.
uSE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 11!~ 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
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BUSINESS LICENSE it VALUATION ~~MIT NUMBER abbS--'-b.~cc-,~').__\[e '( . /,~
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SNAME h Co--rl v.'( j 434~~44i!-E-n~o;F\A-=-C "(\\.~.
CONTRACTORS PHONE • ZONE/ S-o23
r,,S c ~ i'""\ bq 3-'6~2
OWNER'S MAILll'.IG ADDRESS c~,\:s~, a\ ~N~l+·s ACe~m~<~ D \\-1~\.1 LICENSE NO. PLAN 1.0. # BLOG use CODE ~ ~ S--✓o f\ COJ..V e. f' ~-£. :>C{ob4 S-
LOT I BLOCK I SUBOI VISION 1 ASSr~~AR==L n ¼ :>. _ , 1.. DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK <-<._) \0--. < 't\e('1#_/
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DESIGNER'S ADDRESS DESIGNER'S Pt<ONE ~
~---·-·-· --. -----F/P FLR ELEV. NO OCCGP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUEO I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N D vO NO vO NO Not Valid Unlffs Machine Cerlifil!d
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE 3--SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP , INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220
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
EACH GAS SYSTEM 1 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 INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL < 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOB!LEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER .,, MOBILEHOME PARK INSP A
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00•8??6 L~~
TOTJ.L MECHANICAL STRONG MOTION 80-92-33·0519 -
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT -ISSUE -~-BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TAN KS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San Dieguito 80·92·23-0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK i'EE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) --
TOTAL ELECTRICAL I TOTAL SOLAR TOT AL FEES PAYABLE I /(', -
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT .. AND 00 HEREBY -Expiration Every permit -by Ille Bulldlng Olfldal under Ille pr0Vtaton1 of 11111 * AN 08HA PEMIIT 1$ MQUIIED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall up,re by ltmrtatlon and Decome null and vOid If the butld1ng or work S' O" DEEP ANO DEltl0UTION OR CQNSTftUCTION OF DECLAAATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit II not commenced within 180 days from Ille date of such / STflUC1URES OV£A 3 STORIES IN HEIGHT perm,~ or if the butldl~or work aulhorlZed by auch permit 11 1uepended or ISSUED, TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
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.c al>andoned at any time a the wort< II commenced for a -1od of 180 dav• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE lf, ( .. OWNER□ CONTRACTOf\D, APPROVED BY ~:I DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
~f\.Cl.\ J /-~~} EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
~0-..'lu ~r -~
-G~ANTING OF THIS PERMIT. BY PHONE 0
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BUILDING
INSPECTION TYPE DATE INSPECTOR • ~ V . ~ ,g '-f-'5~ ...
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL --
' GUNITE OR GROUT SOILS COMPLIANCE
Fl!.OOR & CEILING SUB FRAM E
1
PRIOR TO I FOUNDATION INSP I
SHEATHING ( STRUCTURAL CONCRETE
F.ilAME I OVER 2000 PSI
EXTERIOR LATH lNSULATION '
PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING ..
-
..
FIELD WELDING )
SEWER AND BL/CO . . .-
PLUMBING UNDERGROUND
HIGH STRENGTH ' ' BOLTS . -· . .
PLUMBING TOP OUT ' SPECIAL MASONRY ,, ... '
TUB AND $HOWER PAN ' -' • l ► -... ~ u
GAS TEST ' I PILES CAISSONS l
ELECTRICAL .. .
TEMPORARY POWER '
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC ' . -,
ELECTRIC SERVICE " ~ ; I .. --
BONDING I -.,. ~
G. F. I. -SMOKE DETECTOR --~ .-· ;
MECHANICAL -
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS -· .. -.
VtNTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE • ITEMS ABOVE HAVE BEEN APPROVED.
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JOB SITE FINAL ~
PLUMBING ~~~ °\A/'t!V tn-1-J ~. ,,.,,,;r a .>'1
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ELECTRICAL ~ ,,
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MECHANICAL I
GAS : • ,.. .. ' r. i . ~ -BUILDING . .
SPECIAL CONDITIONS " --
CERT OF OCCUPANCY ISSUED ' ' -