HomeMy WebLinkAbout2660 VANCOUVER ST; ; 84-436; PermitCl) z 0 ;::: < ac < ...I 0 Ill 0
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~ I hereby affirm that I am licensed under
r,o,1alon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11ions Code, and my license is In
full fo!'.tr.,D'~ ~ L,c No O c1•ss <:
I hereby amrm that I am exemp1 !tom the Contrac-lo<'s License Law lor lhe following reason (Sec 7031 5
Business and Proless1ons Code Any city or county wh1cn re-quires a penmr to construct. alter. trnprove. demohsh. or
repair any struclure. prior to its issuance also requires !heap-phcan1 for such permit to hie a signed statement thal he 1s
lttensed pursuant lo the prov1s,ons ol lhe (;oolfacto(s License law (Chapler 9 commencing with SechOn 7000 of D1v1s1on 3 ol lhe Business and Proless,ons Code} or that 1s eit·
empt therefrom and the bas,s lor lhe alleged exemption Any vt0lat1on of Sechon 7031.5 by an applicant for a permn sub-
Jects lhf: applicant to a c1v1I penalty ol nol more than hve hun-dred dollars ($500)
r I. as owner of lhe property, or my employees with wages
as their sole compensatlOn. will do lhe work, and the slruc• ture 1s not mlended or ollered for sale 1sec 7044 Busmess
and Professions Code. The Conlracto(s License Law does not apply 10 an owner of property who builds or improves
thereon and who does such work himsell or through h,s own
employees. proVlded that such improvements are no1 mtend· ed Of offered for sale II. however, lhe buik1mg or improve•
ment 1s sold w11t11n one year ol complelion. the owner·bu11der will have lhe burden ot proving that he did not build or im· prove 10< the purpose 01 sale)
D I, as OWrler of the property, am exclusively contracting wuh ltCensed contractors to construct the proiect {Sec 7044.
Business and Profess,ons Code. The Conlfactor·s License
Law does not appty to an owner ol property who builds or im-proves thereon. and whO contracts for each pr01ects with a contractOf(S) license pursuant to !he Conlractor's License Law)
D As a homeowner I am 1mprovmg my home and the follow ing cond1l1ons exist
1. The work is being performed pnor to sale 2. I have lived in my home for lwelVi! monlhs prior 10 comple11on of lh1s work 3 I have not claimed this exemplton during lhe '3st three years
i;;, /h~~,:~e;;;g' under Sec. ______ . B & p C -------------
~ 1 hereby aft.rm 1nat I ha11e a cert,t1ca1e ol consent
ro-'self insure. or a cert1f1cate ol Workers
Compensation lnsyrance or a cen1t1ed copy thereof
(Sec 3800. Labo< Codef
POLICY NO
COMPANY
~y IS filed with lhe city
0 Cer11!1ed copy ,s hereby furnished
CERT!FIC,t, Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s sec1ton need not be compte1e<J ,1 the oerm,t
,s '°' one hundred ooua,s (S HX>I or less)
D I ceroly that 1n 1he performance of rhe wM !or wh,cn !his perm11 1s ,ssued I shall not employ .1ny
person ,n any manner so as to t>ecome suo1ec1 10
lhe Wot1i.ers Compensa11on Laws ot Cahforn,a
NOTICE TO APPLICANT ti after ma.II.in~ !his Cert1
ricate of Exemption. yOV should oecome suo1ec1 t') tne WOOl.ers Compensa11on p,o._,,s,ons ol ine Lat>or
Cooe you must forthw.1th comply with such pro..,1s10ns or 1h15 permit shall be deemed re..,oked
O 1 hereby afhrm th.JI there 1s a construc11on
tending agency to, 1rie performance ot 1he wor)r; tor
which 1t11s perm,1 ,s issued (Sec. 3097 C1v1t Codel
Lenders Name ___________ _
Lenee, s Aoa,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADOAESS AV. ST. AD. NEAREST CROSS ST. I°~~ w:s+ON'
Bu~~ VALUATION PERMIT NUMBER
Ufao Yf\NC..Ol )\J~ SI 11..~0-&f-1% LOT I BLDCK I SUBDIVISION
IAf~:~ -t-o'l CONTRACTOR CONTAAC(9RS PHONE • ZONE
OWNER'S NAME {~~~wss34 ~,~t::AtJ ~ ("'9~~:...--2.C:,Z-.S'fz..c. Q/n,-,,..
ALYtJ 1 -~ ~-c!'ONTRACTOR'S ADDRESS ,~. LICENSE NO PLAN 1.D. # --l!LOG USE CODE , -L) l\ ./
~/' <::. t..4'>-c, .. -At~ L./ 55'">4 0 ~
• r:2-_,
OWNER'S MAILING ADDRESS r c-r ~
.,-,. " ~ DESIGNER LICENSE sz STAN0ARD PLAN# BUIL1NG SO. FOOTAGE
~ I-:' tr....,; -r-. ~ ~ DESCAIPT,ON OF WORK :,...,,-i;v
0ESIGNER·s ADDRESS DESIGNER'S PHONE
.5lA l t-1 \<\l N 0 fb-o~ +?Pk F/P FLA ELEV NO ace GP EDU
STORIES
vO '-0 --
CENSUS TRACT I GP LAND USE I PARKING SPACE
1
RES UNITS
1
GRADING PERMIT ISSUED I AE0EVELOPMENT TYPE ace LOAD Fl RE SPA AREA CONST
r O ND •□ NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE !Jso QTY. MECHANICAL PERMIT -ISSUE :~-SUMMARY/ACCOUNT NUMBER .-...._ -EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TD 100.000 BTU BUILDING PERMIT 01·00-00-8220 -r~. -:./U
EACH BUI LUING SEWER DVE R 100,000 BTU SIGN PERMIT 01-00-00-8221 1 -I EACH WATER HEATER AND DR VENT 7.,.5( BOILER/COMPRESSOR UP TD 3 HP PLANCHECK£,,o,ff> fA-:.;t_ ~~ ~~ ~•. -
I EACH GAS SYSTEM 1 TD 4 OUTLETS .f :~h BOILER/COMPRESSOR 3·15 HP TOTAL PLUM BING . -01-00-00-8222 }h ~OO I
EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 1c; no
EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 , -
I -~ /J &V EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS M0BILEH0ME 01·00-00-8225
WATER S0FTNER RELOCATION OF EA FURNACE1HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN l'NSIDEI SOLAR 01-00·00-A??R
TOl.kL MECHANICAL STRONG MOTION 80·92-33-0519 •-17 J ~ ---i-TOTAL PLUMBING I ,~ co FIRE SPRINKLERS 01-00-00-8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-893) QTY. ELECTRICAL PERMIT -ISSUE ..._c;--BRIDGE FEE
NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH J PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San 01egu1to 80-92-23-0519
/},, REMODEL ALHR PER CIRCUIT JO --PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
lOTAL ELECTRICAL I 15 _ 00 TOTAL SOLAR TOTAL FE~S PAYABLE
I t~'=t I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERM Ir ANO 00 HEREBY E,cp.rahon Every permit issued by the 8u1ld1ng Off1c111 under the prov-1s1ons of this l* AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become null and void If the bu1ld1ng or work s· O" DEEP ANO 0£MOlJTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days trom the da1e of such STRUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNrY ANO STATE LAWS GOVERNING BUILDING CON• :~~::On°~ 1~t 1:~v ~~:·~n.i~h=~~,:~~hco~~~e~le~~~~ r~~~·~,sr:rcs"a~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~PLICAN SIGNATU If/, A OWNER □ CONTRACTO~ A'f;EDBY~ i°~~i1•8f
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ..._ ~H/~ BY PHONE 0 1 •A/.l.t, GRANTING OF THIS PERMIT. •y -
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I [q .17.84-~
FLOOR & CEILING SUB FRAME • I \d
SHEATHING D ROOF □ SHE'AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
i
PLUMBING I
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ VVATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
_l
GAS TEST I
□ WATER HEATER D SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UJFFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE □ TEMPOfilARY
□ BONDING □ POOL '
_l
I
MECHANICAL ' _j
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I ,' I I ~:Cl
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
..... ~ -~ " ... ,...,
-·~ -~
• ' , "' X-4-" 43e,.,
,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES l===============================-=~====---===-'lr=======j
INSPECTION REQ IF INSPECTOR S DATE ~ 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 MASpN'1Y • \
->v
PILES CAISSONS
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PLAN cHEcl aY :.ll faREssJ??c?o~ 2 n-L t-SY"~ PLANNING: TYPE OF STRUCTURE ./<rd-
Receivt
ZON~U G 2 8 1984
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SCHOOL FEES: SAN DIEGUITO ---------
CARLSBAD
% COVERAGE ------------
BU IL DING HE I GHT_....,...:;;,..::=:::::.....,-------1-
FENCES /WALLS-7"~,,__----~--+--/
COMMENT
LANDSCAPE PLAN Co,,t1ENTS:
ENCINITAS CITY OE CARLSBAD
SAN MARCOS --------
REQUIRED SETBACKS -----
ENVIRONMENTAL REQUIREQ""": ____________________ _
-----------------------------ADDITION>\L COMMENTS: ------------------------
OK TO ISSUE:el-:: DATE:'b\~lf>'1 OK TO FINAL: ___ DATE: ____ _
**********************************************************************************
ENGINEERING
P.F.F. 4/4:
R.O.l~: ~
LEGAL DESCRIPTION VERIFIED? __ ,f ..... _C:S __ A.P.N. CHECKED?_%
__ PARKIN LIEU _ __._4+~---½-___________ _
IMPROVEMENTS :-~~-------------
---------------E.D.U: G?'i~T
fi 6 L /4 r" rl ~ ~-y,J e:-"X-~,Y.&',Jc:,--?7::(. • 7
DRIVEWAY: c:?f/~/-
SEWER : 06 ~CJ T fr<l~&
LATERAL: 6ZY~7 ,
GRAD I NG PERMIT: ___::~-r-~~----------------------
DRAINAGE: &A-~ \<;'.u'&:E: fi"t.,,k~ ,,,R<//\ICJP/= ~A//J~ ~
7 ~
EASEMENTS : ,Atr~G-~.,=,~r-ADDITIONAL COMMENTS: --------
OK TO ISSUE: ---r-+-,~-----
* ENGINEERING INSPEC I
PUBLIC MORKS INSPECTOR: -----7-r-----------
FINAL OK: -----------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAI~GE, ETC .)
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