HomeMy WebLinkAbout2657 VANCOUVER ST; ; 83-83-10; Permit"' z 0 ~ " IC
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~Mreby affirm that I am licensed undar
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeulons Code, and my license 1s In
fuli force a2'9t\'fi5 Bl Lie No ______ Class
I l'lereby alhrm thal I am exempt lrom lhe Contrac-
tor's License Law lor the lollow1ng reason (Sec 7031.5 Business and Proless,ons COde Any cIIy 0< county which re·
quires a permit to consuuct. iltet. Impro11e. demohsh. °' repair any struc1ure, prior lo I1s tssuance also requ,res !heap-
pucant !or sucn permn to IIte a s1qned statement lhat he Is
licensed pursuant to the provisions d1 • the contractor· s License Law (Chapter 9 c«rwnenc,ng w1lh Sec1100 7000 ol Orvis1on 3 of Ine Business and ProfesS01s Cede) or lhat Is e.x.
empt therefrom and the taasss for tl'lfl alleged exemp1,on . Any
v1olallon ol Sechon 7031 5 by an appucan1 foi a perm11 sub • IecIs the appl,cant to a cilnt pena~y ol not more than 111,e Po•-
dred dollars ($500)
r, I. as owner oi the property, or my employees with wages
as thetr ~ compensation will do the work. and the struc•
lure 1s nol intended °' olfered !Of sale (Sec. 70«. Business
and Professt00s Code The Conlractor's ucense Law does
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0 :~ ':roe°:'s!t~Ttiir:~, ~
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employees, provided lhal such improvements are not intend· ed or offered lor saie It, however. !he building or 1,nprove-menl is sold wIthIn one year of completion, lhe owner-builder
will have the burden ot provmg that he did not buIkl or Im•
prOYe lot the purpose ol saJe1.
O I, as owner ol lhe property. am exclusively contracting with licensed con1ractors to construct lhe proteel (Sec 7044,
Business and ProfesSfOfls Code The Contractor's License Law does not apply to an owner of property who builds or 1m-proves thereon, and who contracts for each protects w1lh a
contractOf{s) lttense pursuant to the Contractor·s LiCense Law).
D As a homeowner I am improving my home. and 1ne loOow-
ing condItIons ms!: l. The work is bemg per1ormed prior to sale 2. I nave lived in my home for lwetve months pnor to completion of this wOf'k.
3, I have not claimed this exemptfOl"I dunng the
last three years
g /;,~ r":s'::t under Sec ______ . B & P C
-------------
~reby aft1rm that I have a ce111t,cate of consenr
10 self•1nsure. or a cer1if1cate of Workers
Compensa1,on Insurance. Of a cer1,f1eC copy thereof !Sec 3800. Labof Code)
POUCYNOWP 233-02-48
co~Nv Fir eman 's Fund
d:t' Copy IS filed w ith the CII)'
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section nee<i no1 be compleled ,I the permit J1' tor one hundred dollars (S1001 or less)
rg,1"" cen,ty that In the per1ormance ol the w()OI tor
wtuch lh1s permit 1s issued. I sha.11 not empIoy any
pe,son In any manner so as 10 beeom~ sub1ec1 10
the Wonters· Compensa11on Laws of Ca11torn1a
NOTICE TO APPLICANT If. alter maktnJ this Cen•
licate of Ei:emption you should o,ecome sut>Ject I?
lhe WoOl.ers' Compensat1on pro..-1st0ns ol lhe labOr
Code you must forth .... 1lh comply wI1h svcf'I
pro..-1s1ons or this permit shall be deemed ,e ... mea
~reby allHm Iha! lhere os • conmuc1oon lending agency tor the pert01mance of lhe ,.-,()(11 10,
wl'HCh lh1S perm1I tS 1SSOe<J !Sec )097 C1v1I COO@I
Lende,sName Cr ocker Bank
Lender"s """'"" San Diego
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARA1 iv .. ----
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RD. NEAREST CROSS ST
!
DATE OF APPLICATION' BUSINESS L,CENSE tr VALUATION PERMIT NUMBER
2657 Vancouver Street 11-7-83 3681 109448 83-83-10
LOT BLOC~( ;-D'iJ;~uso, v1s ON I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE XXXK8XXDl HI /''f nnaker Pt. 1 1,p, Y4:l t O 'CO Standard Pacific of San Diego 279-2042
1WNE R:, Ni\ME
I
OWNER'S PHONE
CON"RAC.~OR'S ADDRESS LICENSE NO PLAN 1.0. It -BL"DG USE CODE Standard Pacific of San Diego 279-2042 (same ) 294215 •WN· R'S MA NG ADDRESS
7290 Clairemont Mesa Blvd., San Diego, CA 92111 DESIGNER , IC[NSE 11 STANDARD PLAN # BUILDING SO. FOOT AGE
Buzard-Henning & Associates NR 2205
OESCIP •Pf 1~ OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE -• ~
Single-family dwelling-att ached garage 4883 Ronson Ct., San Diego 921 1 278-6855
-FIP F LR ELEV NO OCC GP EDU
STORIES 1_ 11 J6l1!3Zi46 20O~;.uf; Pl <>n 3c;n v□ NO --2 R-3 1
CENSUS TRACT I GP LAND USE I PAR;;; SPACE I RES;NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST -
y □ ND v□ Nlg VN vO ~ Nor V11/id Unless M11chine Certified
QTY. PLUMBING PERMIT -ISSUE 7£!., QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
12 EACH FIXTURE TRAP I _j{). 0( 1 INSTALL FURN. DUCTS iJP TD 100.000 BTU 4 .00 BUILDING PERMIT 01-00-00-8220 458 .00
1 EACH BUILDING SEWER 6.5( OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -1 EACH WATER HEATER AND/OR VENT 2.5( BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 299.35
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2. 5( BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 4g_oo
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 10.00
EACH INSTA~. ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT t,, nn MECHANICAL 01 ·00-00-8224 11 . 00 -~
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR n1.nn.nn.oooc
TOTJ;L MECHANICAL 11.00 STRONG MOTION 80-92-33-0519 7 .66
TOTAL PLUMBING I 49. oc FIRE SPRINKLERS D1 ·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE s-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-8933
NEW CONST EA AMP SWT BKR 100 ? c;. oc COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS ..
Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT 'BKR ROCK STORAGE '\ Encinitas 80-92-22-0519
1 PH 3 PH PUMP / . \ San D1eguito 80-92-23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE / \ '\ San Marcos 80·92-24-0519
TEMP POLE 200 AMPS I ,JI' ,~ /2189 .oo
OVER 200 AMPS I ~ nt' .; I LICENSE TAX 01-00-00-8162 -~
TEMP OCCUPANCY 130 DAYS) l rV 1 1v
\ ...., "\ CREDIT DEPOSIT ("'243.55>
TOTAL ELECTRICAL
I
JO.Ol ~SOLAR-TOTAL FEES PAYABLE
I 2800 .46
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT"' ANO DO HEREBY E>ep1rat1on Every permit issued by tt'le Bu,ldmg Ott,c1al under the prov1s,ons ofth1s * AN OSHA PERMlT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING.THE Code shall expire by l1m1ta11on anci become null and vo,d at the building or work 5· 0 .. DEEP ANO OE.MOUTtON OR CONSTRUCTION OF authorized by such permit is not commenced w1th1n 160 days from t"e date ol such DECLARAllONS ARE TRUE Al-;0 CORRECT AND I FURTHER CERTIFY ANO .AGREE IF A PERMI.T IS :~':!~0n°~ '!t t=~~
1~ei;h:~r:~!hi~~~e~ie~~~~ rn!.'!!~~:rd~~~ or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH I\LL CITY COUNlY ANO STATE LAWS GOVERNtNG BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEM.NIFY AND APPLl~ANT"S I AT OWNER O CONTRACTOR 0 APPROVED BY
1°1½i/f3
KEEP HARMLESS Tt-tE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS COSTS AND r EXPENSES WHICH MAY IN ANY, WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE An •~ BY PHONE 0 GRANTING OF THIS PERMIT r --,r., U -
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TYPE I DATE INSPECTOR , --
'' ~ ' -~3-&3-10 BUILDING I ~ ... ' I
FOUNDATION ' ' j~ ' ,., 2:::2 -,_ FIELD INSPECTION RECORD I ',~,
REINFORCED STEEL I / _VI v-a..----
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I REO IF INSPECTOR'S
GUNITE OR GROUT ' INSPECTION CHECKED APPROVAL DATE
I
FLOOR & CEILING SUB FRAME I > SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR _, PRIOR TO
I •~111•V-"
FOUNDATION INSP FRAME n _I STRUCTURAL CONCRETE EXTERIOR LATH I,;< OVER 2000 PSI
INSULATION ""2.r?/7·~ ~OI \ PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I ~ l~i~ 2r!'-IA JI./) POST TENSIONED I
l --CONCRETE
PLUMBING ' / FIELD WELDING I
SEWER AND BUCO DIPUCO I ', ,_ rO"'.l ~ HIGH STRENGTH I BOLTS D WATE;r' /V V \JV -...... UNDERGROUND D WASTE
D W~TER z_, \'/, QM _, -SPECIAL MASONRY TOP OUT D WASTE ..., J\
TUB AND SHOWER PAN I --1
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WAiTER
I
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ELECTRICAL I
D ELECTRIC UNDERGROUND D li,IFFER
ROUGH ELECTRIC I '' •il,~ ~c_ cr N . ' D ELECTRIC SERVICE D TEMPOJqARY
' .,
D BONDING D POOL -~ ~---:._-__ I ' r I
MECHANICAL I /
D DUCT & PLEM., D REF. PIPl~G ·iz-1f'J-W VO_...lf
HEAT -AIR COND. SYSTEMS I . I -,, .;.,: "'r
--VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECTl0N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I -. -
PLUMBING I ...A~ 1--'~
ELECTRICAL I -~ (~~
MECHANICAL I ~~ "~
GAS I ~ ~11 ··-o• I
BUILDING I L ,;V
SPECIAL CONDITIONS I
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