HomeMy WebLinkAbout2664 VANCOUVER ST; ; 87-443; PermitCl) z 0 ~ a: C _,
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I hereby affirm that I am licensed under 1
tcwlalona of Chapter 9 (commencing with
:lion 7000) of Division 3 of the Business
I Profaaalons Code, and my license Is In
lull force and effect.
I hereby attirm that t am exernpl from lhe Conlrac-I tof's L.:ense I.Jlw tor the totlow1ng reason (S.C 70Jt 5 I
~~~::s: ~m7i0~:~:iiiu:~ a1fe~~ ~:P~~~%n~~~ r: I repair any structure, pnor torts issuance also requires !heap· I
ri~:~orp~:a:r:111~11~,~~roo~ :a•:e~~~~!c~:•! I
l1Cense Law (Chapter 9 commencmg with Sectton 7000 of I ~;:~~e~e~~~e aB~s;:s~a: ,:~:~~e~~~P~~~ 1s :;y I
v1olatt0n o$ Section 7031.5 by an applicant lor a perrml sub· I
~,'.'J ~':;~ff\fs:;:,\o a crvll penalty or not m0<e I/Ian hve hun 1
, l I, as owner ol the properly. or my employees with wages
as lhtnr sole compensaoon, will do the work, ana lhe siruc-lure 1s not intended or ollered for sale (Sec 704◄. Busintss
and Professions Code The Contractor's Lcense Law does
not apply to an owner ol property who burlds or Improves !hereon and who does such wOJk h1msell or lhrough tus own
employees, provided thal such improvements are not mtend-ed or ollered tor sa;e It, however, the bu11dmg Of 1mprova-
men1 1s sokS within one year o1 complehon, lhe owner-builder will have the burden of proving Iha! he did 001 build Of im-
prove tor the purpose ot sale)
n I. as owner of the property. am exclusively contracimg ;~':,!:s"~ co;~~:~~~!o t::iru~~~g~~::J~:C t1~~~ l
Law does not apply to an owner ot property who builds or 1m-I
~:~~ic11~~~~tt:: ;:s:"~:a;=~s,:: ~~~J:ri~'\:~~s! I uw) I
D As a homeowner I am improving my home, and lhe follow I
,ng cor;dtt'°j1~ e;:~ 1s being perlormed prior 10 sale I
2 I have lived in my nome lor twelve months I
rr:v: :f P~:~ot 11~i': ::~Pilon dunng the I
last three years
______ ,B&PC
I hereby affum that I have a cert,ticate of consent to I
rself-insure. or a, ~erhf1ca,1e ol Workers· Compensation ln-1
~surance. or a cert,fted copy thereol lSec. 3800. Labor Code) I
0 Copy is filed with the city
D Cert1he<1 copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed lf 1he permit
is for one hundred dollars ($100) or less)
0 I cer1,ry that ln the perto,mance ol the w()(k for which I
1h1s permit ,s issued, I shall n01 employ any person tn any I
~a~~;nerl~::s~~ ~fo~:t:~bject to lhe Workers· Compen-I
NOTICE TO APPLICANT If. arte, making th1s Certificate I
ot Exemption. you shoulel become subJe<:I to the Workers I
Compensation provisions of the Labor Code. you mus! I
:~'!'~~~:~h such proYisions or this permit shat1 I
I 0 I hereby affirm that there IS a construction lending I
agency for !he performance of the work !or which this per•
m1t ,s issued (Sec. 3097, C1V1I Code} I
Lender·s Name _____________ I
Lender·s Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS
uA-..>c.ov~
AV. ST.RD NEAREST CROSS ST. I :;E~;;P:•;;,;N1
BUSINESS LICENSE # 7Z$0 PERMIT NUMBER
'2. ~ Cc, 4,: Sr. ~ /~;>-'f
LOT BLOCK _ I SUBD1v1S1DN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 4~ /t..744,AtnfJ Ud.A ft.L ~U\'\e"S ~~z..,1q OWNEA·s NAME OWNER'S PHONE ,-I
Au,~ CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING 50. FOOTAGE
lo l'1 So ~ li,u ,4,i)P,. ST Z..i(f µi' J&t> OWNER'S MA LING ADDRESS
,:)." c., 4, \I ~ CO \l \J SIL !r r ... ". --s ft,""
DESIGNER DESIGNER'S PHONE
~ DESCRIPTION OF WORK
DESIGNER'S ADDRESS STATE LICENSE NO.
-~A--no D~ F/P FLR ELEV. NO OCC GP EDU
STORIES
vO NO --
I I PARKING SPACE I RESUNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRESPP
AREA CONST
y O N 0 ,o NO vO NO Not Valid Unlns Machine Certr/1«/
QTY. PLUMBING PERMIT -ISSUE 1 -~ QTY. MECHANICAL PERMIT -ISSUE I {~ ,OG SUMMARY/ACCOUNT NUMBER./\'>l.'l -~ I, .5( 1\1\'>f I\.: ,10 I\◄ /\1 ..,.,._
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT VU I ·O 10·UU·UU·~L20 ~;r-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221 ~
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00-8821 /X'
EACH GAS SYSTEM 1 TO 4 OUTLET_S ___ t--BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00-8222 -----.-
EACH GAS SYSTEM S OR MORE -METAL FIREPLACE ELECTRICAL 001-810·00-00-8223
EACH INSTAl. ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810-00-00·8224 --f-
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FU RNACEIHEA TE R SOLAR 001-810·00·00-8226
EACH ROOF DRAIN I INSIDE I DRYER VENT STRONG MOTION . onn '~,31""' ~
TOTt.L MECHANICAL FIRE SPRINKLERY"'I.~;,\.~ ~ •
TOT Al PLUMBING I PUBLIC FACILITIM EE 320-810·00·00·8740
5 -()I BRIDGE FEE ~{60A 1f1:0(\§~7foo QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA JU~, .., v
NEW CONST EA AMP SWl BK R CAR PORT TIF -oa--~--l!A
1 PH 3 PH AWNING LA COSTA TIF .,,,ty . .J· ii.nn nn ,..,,,,,,,, S£lVS.
EXIST BLOG EA AMP SWT BKR GARAGE FMF OEVElUl'l'A!;I• I .. ~-
1 PH 3 PH LICENSE TAX 001 ·810·00·00-8162
REMODEL ALTER PER CIRCUIT MFF 880·519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPAN CY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAi TOTAL FEES PAYABLE I 4t: ,c.Sf) I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the 8u,td1ng OU1c111I under the prov,s-,ons of this * AN OSHA PEAM:l IS REQUIRED FOR EXCAVATIOf,IS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMAT.ION HEREON INCLUDING THE Code shall expire by llm1tet1on and become null and void If the bwld1ng or work 5 O" DEEP AND DEMOl.lTION OR CONSTRUCTIOf,I OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!'> authonzed by such permit ,snot commenced w1lh1n 180 days trom the date of such STROCT\JAES OVER 3 ST~IES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~~n°~ 1
~t ·~~v ~~~':Pte~~h=~~,:~!hco~~~e~le~~~~ r~~~·~,sr:bd:~~ OI
STRUCTION .. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPP~IC T'S SIGNl~tTl RE • OWNER □ CONTRACTO~ ~y DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND /J.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-_... . 1C/~J7 GRANTING OF THIS PERMIT ( I "\I --BY PHONE 0 _.,,,.., -~ 7
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TYPE i DATE INSPECTOR
BUILDING I
FOUNDATION I _:;.~.Te.7 J /ls--.
l '""'...,_ _,_
REINFORCED STEEL J
MASONRY ' I
GUNITE OR GROUT I
l
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SiiEAR
FRAME I
I
EXTERIOR LATH I
INSULATION ' t
INTERIOR LATH & DRYWALL !
I
PLUMBING I
I
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ \NATER
TUB AND SHOWER PAN I I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
J
ELECTRICAL . I
□ ELECTRIC UNDERGROUND [!J UFFER
ROUGH ELECTRIC l
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL :
I
MECHANICAL .
I
□ DUCT & PLEM., □ REF. Pl~ING
HEAT -AIR COND. SYSTEMS I -. -VENTILATING SYSTEMS 1 .. ' •• \. • -' ! -..
I
CALL FOR FINAL INSPECTION WI-JENALL APPROPRIATE., . ITEMS ABQ_'!~ /j~t,/E BEEN APPROVED' • • ' ' ,..:
FINAL i
PLUMBING I -...
ELECTRICAL I 1C\
MECHANICAL ' -~ ~
j -~ -: .\i~\ -GAS _i .fl ..
BUILDING ! I , ~•"'
SPECIAL CONDITIONS I XD
!
.,
--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
~
I REQ IF I INSPECTOR S
CHECKED APPROVAL
-. .,,,,..,_,., ~r •, t, '"-~
'
DATE
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INSPECTOR'S NOTES
DEAEro&wi=:.u Ltr,~
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