HomeMy WebLinkAbout2665 VANCOUVER ST; ; 84-656; Permit~ t &:I I hereby •fflrm that I am licensed under
µ>visions of Ch•pter 9 (commencing with
• Section 7000) of Division 3 of the Business
II: full force •nd effect.
/
and Professions Code, and my license is in
~ i lie No Clm
Ul z 0 ;: ,c CIC ,c .... 0 ...
0
CIC ... 0 .... 5 !! CIC ... z 3: 0
z
0 ;: ,c Ul z ... ... :I' 0 0
Ul « ... "' CIC 0 3:
1 hereby aflmn that I am exempt from the Contrac·
lof's License Law '°' lhe tooow,ng reason (Sec 7031 5 I Business aoo Proless1ons Code Any city 01 county wh,ct. re-Quires a perm,1 to conslrucl, alter, improve, demolish. or
repair any siruclure. pnorto tts issuance also requires !heap-
pltcanl lor such perm,, -to Ille a signed s1a1ement tha1 he 1s I1censed pursuant to !he provIs,ons of the Conirac1or • s
Lieense Law (Chapter 9 commenc1119 with SechOn 7000 ol 0tv,s1on 3 a, the Busmess and ProtessiOns Code; or Iha! ts ex·
empt lherelrom and U'le basis for lhe artegeo exemphon Any v,oiauon of SechOn 7031 5 by an applicant for a permu sub·
1ects lhe appllcan1 10 a c1v1I penalty ol nol more lha11 t1ve hun· dred dollars ($500).
I, as owner o! the property. or my employees with wages
as 1he1r sole compensa110n, w,11 do the work. and the suuc-lure 1s not Intended or olfered tor sale (Sec 7044 Business
and ProlesStOn!) Cooe The Contractor's Ltcense Law does
not apply to an owner of property who budos or improves thereon and who does such work himself or through his own
employees. prov,Oed lhat such improvements are not mlend-
ed or ollered for sale II, however the building or 1mprove-men1 IS sold within one year ol compleMn, lhe OW"ner·butlder w,11 have the burden o1 prOVJng lhal he did not build or im-
prove fOf the purpose ol sale)
0 I, as owner of lhe property. am exclus,ve1y conlraclmg
with licensed conlrae101s to construct the protect (Sec 7044. Business and Proless10ns Code The Con1rac1or·s L1eense Law does nol apply 10 an owner of property who builds°' 1m• proves !hereon. and who contrac1s for each protecls wllh a
contractor(s) license pursuant to the Conuac1or·s L,cense Law)
D As a homeowner I am improving my hOme, and the follow
Ing condillOns ex,s1. 1 The work is being performed prior 10 sate 2 I have hved m my home tor twetve months
prior to comp~lton of this work 3 I have not claimed this exemption dunng lhe last three years
D I am exempt un<ler Sec ______ , B & P C
lor th,s reason -------------
D I hereby aftum that I n.a,e .a cen,t,cate ol consen1
to self insure, or a cemf,cate ot Workers
Compensatton Insurance or a cenit1ed copy thereof
ISec 3800. LabOI Code)
POLICY NO
COMPANY
□ Copy IS hied w1lh the c11y
D Cert,f1ed copy ,s rie,et>y lurn,sheo
CERTIFtCATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed 11 lhe oerm,1
1s tor one hundreo oonars (S 100) Of less)
0 I cer111y that 1n lhe pe-rtormance ot 1he <N0rtir. tor
which lh1s perm11 ,s ,ssued, I shall no1 employ any
person m any manner so as 10 become sut>1ec1 10
the Workers Compensation Laws of Ca11torn1a
NOT.CE TO APPLICANT II alter makmJ this Gerti
f1cate ol Exemption yoo should become subIec1 I?
!he Wo,t.;ers Compensahon prov1s1ons 0I lhe Laoor Cooe you musl tonh .... 1th comoi)' w1!h such
prov1s,ons or this permit shall be aeemed revol!..e0
i[ 0 I hereby affum that there ,s a cor1s1ruc11on
1end1ng aoency tor the perlormance of lhe wor1o. lo,
wtucn 1h,s perm11 ,s issued 1Sec )097 C,11,1 COOe1
Lenoer s Name ___________ _
Lenoe, s AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATI~ PERMIT
JOB ADDRESS AV--ST. RO. NEAREST CROSS ST
2..bG~ ✓AtVCO l{V 6K
DATE OF APPLICATION VALUATION PERMIT NUMBER
LOT I BL06: l SUBOIV SION I ASSESSOR PARCEL NO I I OWNE R'S PHONE J:'o< (M+dlo 'f.3'1-'l'-11/S co111-i11 .... crnR'sAo1iREss ucENsENo. 1 PLAN1.o.# 1 aLoGusecooE
OWNER'S MA L NG ADDRESS I i../4 /9';;
OWNER·s NAME
II -'?J' -'l-1 /p O '(St.r," ~ _
CONTRACTOR J CONTRACTORS PHONE. ZONE lo cl LP
Do..fJ E,11(nf11v 433 511-z.
LICENSE " .2G.b5 VCIWC.uuvrLv (_ ~ oEs,GNEA --STANDARD PLAN # BUILDING SQ FOOTAGE
DESCRIPTION OF WORK .;2 NI-~ ' ft, j {' ., ... Qe<.k I DESIGNER'S AOORESS I . 5 -r_,.~v '11 ~"'-'-.,, .... \. r w.J c:Jl~,e ~ J ~~l (L~ -z_70 tp t--
CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS l
QTY.I PLUMBING PERMIT · ISSUE
EACH FIXTURE TRAP
2~
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM l TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
GRADING PERMIT ISSUED
YO ND
F/P FLA ELEV
vO NO
REDEVELOPMENT
AREA ,o NO
QTY.J MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER /COMPRESSOR 3 15 HP
METAL FIREPLACE
DESIGNER'S PHONE
Nb OCC GP EDU I 1 /1Jb/~4!7b~b ~ • ... .. -STORIES ~0U_l?u~6 1::110~1 e~
TYPE OCC LOAD FIRE SPA
CONST
vO NO I Not Valid Unless M~chine Certtlied
3--I SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00-8220
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01·00·00-8806
TOTAL PLUMBING 01-00-00·8222
ELECTRICAL 01-00-00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
VE NT FAN SINGLE DUCT~-------+---...:...--+--:=:=~~~---+ _ _:__-lf---t--M-:E::-C H~E ::-:X HA UST HOO O '0 U CTS
MECHANICAL
MOBILEHOME
01·00-00-8224
01·00·00·8225
WATER SOFTNEA RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE! SOLAR 01-00-on-•00~ --
TOTAL PLUMBING ]
TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 t-----
FIRE SPRIN~LERS 01·00·00-8227
QTY. ELECTRICAL PERMIT • ISSUE s--QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE EncmItas 80-92· 22·0519
1 PH 3 PH PUMP San 01eguilo 80-92-23-0519
REMODEL AL TtR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24-0519 I
TEMP POLE 200 AMPS
OVER 200 AMPS ~ LICENSE TAX 01-00-00-8162 I
TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT I
6.J,
i;a~
-0
-
I
I
TOTAL ELECTRICAL J TOTAL SOLAR TOTAL FEES PAYABLE I /o~,,J.J
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by !he Building Ofhc1al under the prov,s,ons ol lh1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m1tahon and become null and void If the budding or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author,zed by such permit•• nol commenced w11hm 180days from the date 01 such
ISSUED TO COMPL y WITH ALL CITY. COUNl y AND STATE LAWS GOVERNING BUILDING CON ~~~1t. nor ,1 t th~ bu1ld,n~ or work au1honzed by such permit " suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ed a • time• er the work is commenced lor a nod ol 180 da
KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND AP I NT S S!G ATU~ OWNER O CONTRACTORJ!i(
EXPENSES WHICH MAY JN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT BY PHONE 0 ~ 7
* AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER
5 O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVn BY
d,l.;2 .A. ~__L...L -1 "1!/9/J~
I
I
2 u:::
>-:;;
0 a.
E (I)
I-
I
'O 0
0
C
(1) u
0. a. cl'.
I
~
C a:
0 "' "' Cl) "' "' cl'.
I
~ 0
~ >-
Cl) "' (I)
{) 0 a:
(1)
iii
0
~
Cl)
{)
C (1)
C u::
;::
C
(I) ~ 0
0 0 (I) a. "' C
~
.c ~
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHeAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING 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 WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE 0 TEMPORARY
D BONDING D POOL I
I
MECHANICAL ' I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I .. ' ,,.. . •s. -~
·-r~ ( . -
1:i.,l •
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ I_T_EM_S ABOVE HAVE1BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
\
I
. -
-.. 81.f---ft:,'!::,~ '\ ,,_
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSOr>.S
,. . . , ...
' "-
' • r I;· ✓·, '\ ~. ' -'• '-" ,-~ -~ -J I. C
,. . .
• T '
-• "" ~'Y-
. r ~-~: .
''::"\_' . --
\ . -'. . ~ \
' -'
l'