HomeMy WebLinkAbout2652 VANCOUVER ST; ; 85-249; Permit<II z 0 ~ a:: < ..,
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license is In
full force and effect.
lie No ______ Class
I hereby alhrm lhat I am exempl lrom the Contrac· tor's L,cense Law tor the foOow1ng reasoo fSec 7031 5
Bustness and Professt0ns Code Any city oc county which re--quires a permit to conslruct. al1er. improve. demolish. Of
repair any struclure. pnor to its issuance also requires !heap--phcant IOI' such perm11 10 file a signed statemenr lhal he ,s
llcansed pursuanl 10 lhe provisions of lhe Contractor· s li<ens, Law (Chapter 9 commencmg with SectlOn 7000 ol
Orv1s1on 3 of the Busmess and ProlessK>ns Code) or that Is ex· empt therefrom and tne ba5'5 lor the aUegeo e.-emplton Any
vIolat10n of Section 7031 .5 by an apphcanl for a permit sub·
Jects the appllcanl to a c1vII penalty ol nol more than hve hun-
dred dollars ($5001
l"J 1, as owner ol the property, or my employees with wages as their sole compensa11on. will do the WO(k, and the struc•
ture Is not intended or offered tor sate ( Ste 7044, Business
and Pro1ess10ns Code The Contraclor's Ltcense Law does nol appty 10 an owner of property who butlds 0< Improves
thereon and who does such work h,mse1f or through his own employees, proY-ided that such amprovemen1s are not mlend·
e<I or offered tor sale II. however. the building °' lmprove-menl 1s sold w,thm one year of completion, the owner-budder
will have the burden o1 provmg thal he did not build or im-prove lor the purpose ot sale)
D I, as owner ol the propeny. am exclusrvety contracting with licensed contractors to construct the proiect (Sec 7044,
Business and P.rofess,ons Code· The Contracto(s license Law does not appty to an owner ol property who bullds or im-proves thereon, and who contracts for each projects w11h a
conlractor(s) license pursuant to lhe Contractor's Lk:ense Law)
D As a homeowner I am imprO'-ling my home, and lhe lollow-ing conditJons exist 1 The work 1s being per1ormed prKM' to sale 2. I have lived in my home for twelve months
3. F'~!,!0 =P:;:;' 11~;; =~ption dunng the
last three years
D I am exempl under Sec ______ . B & PC
10f lh1s reason ____________ _
D I hereby athrm that I na..-e a certificate of consent to sell-insure, or a cemt,cate of WO(kers
Compensallon Insurance. or a cert,he<:I copy lhereol !Sec 3800. Labo< Codel
POLICY NO
COMPANY
□ Copy IS hied With the C1ly
D Cen,hed copy 1s hereby furnished
CERTIFtCATl OF EX~MPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm11 1s tor one hundred dollars rs 1()()) or less)
0 I cert,ty lhat in the performance ol lhe won< tor
t11h1ch th,s permI1 Is ,ssued_ I shall not employ any
person .,, any manner so as to become sut>Iect 10
the Wor1il.ers Compensa11on Laws ol Cal,tom,a
NOTICE TO APPLICANT It. atler mal\.1n1 !his Cen1
l1cate of Exempt,on. you should become sub1ect 1')
the Workers Compensation prov,s,ons ol lhe Labor
Code. you mus! tonh .... ,th comply with such
prov,s,ons or this permll shall be deemed revoked
0 I nereby attirm mat there 1s a cons1ruc1,on
lending agency to, !he pertormance of the won-. !or
wtuch 1h,s perm11 ,s ,ssueo 1Sec 'J097 Civ,1 COde1
Lenoer s Name ___________ _
LeoOer s Aodress __________ _
I
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATw,NS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMI~ ~ Tl> [~C
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T SUBDIVISION
1°1J;7Ei BUSINESS LICENSE # I~ ;;:-;Jff
L~ BLOCI< I ASSESSOR PARCEL NO
ty7 c../4;) o~Du
CONTRACTOR
°:s;;_;;~~ 44'/f5Ui:D 1~n11tet:-{ ~;~v;~NE
f)/_,,1)/y~
CONTRACTOA"S ADDRESS
DWNE R"S MA, L NG ADDRESS
.:20.Q }///7VUJttv~JT. ~MD DESIGNER
DESCR•PT ON OF WORK
DESIGNE R"S A.DOR ESS
..._ ~-; 1'2£~ f ~~AS--Jth-/ £.iV~vs1'v~ /e;,z,,,,,itr:__
FIP
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F LR ELEV.
NO
CENSUS TRACT GP LAND USE PARK ING SPACE
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUI LO ING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE!
-TOTAL PLUMBING I
RESUNITS I
70-u
GRADING PERMIT ISSUED REDEVELOPMENT
AREA
QTY.
Y O ND vO "O
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
MET Al FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHSAL
~
STORIES
TYPE
CONST
3-
CONTRACTORS PHONE • zoNf
LICENSE NO PLAN I.D. # BLDG use CODE
LICENSE ,, STANDARD PLAN# BUILDING SO. FOOTAGE
/4'\ '\213 7~ S,,
DESIGNER'S PHONE
OCC GP EDU
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occ LOAD I FIRE SPA I ~ O ~ ~ ,.. .•·' \,
vO "□ ~ Not Vali'tJ,.Unler~achine Ce('!!'
BUILDING PERMIT
_SUMMARYl~Jl;;~~i-tP
01·0~
SIGN PERMIT 01 ·00·00·8221 .... --
PLAN CHECK 01 ·00·00·8806 -z.~.~
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01·00-00·8223
MECHANICAL 01·00·00-8224
MOBILEHOME 01·00·00-8225
MOBILEHOME PARK INSP
SOLAR Ql ·OQ·QQ-B226
I-STRONG MOTION 80·92·33·0519
FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE
1 QTY. ELECTRICAL PERMIT • ISSUE 5-QTY.\ SOLAR -ISS~ 32·00·00·89l)
BRIDGE FEE I
I NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21 ·0519
EXIST BLOG EA AMP1SWT BKR ROCK STORAGE Encinilas 80·92· 22·0519
1 PH 3 PH PUMP San Dieguito 80·92·23·0519 -REMODE L ALTl:R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 _L_ d-0.'
CREDIT DEPOSIT -s:7>-.,--/
TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE I ,.(!> -
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY ve,y permit issued by the Butld1ng Ofl,c,at unde, the prov,s,onsotth,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE p,re by hm•lat,on and become null and void It the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT such permit ,snot commenced w1th1n 180 days from the dale of such
* AN OSH.f, PERM:1 IS REQUIRED FOR EXCAVATIONS OVER
5 O" grtp AND DEMOUTIO OR CONSTRUCTION F
ISSUED_ TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING C tz~ ~~~~•~rie~\h:'!:~r:~tonzed ~y ~~c~ permit ts suspended o, STRUCTVR£S OVER 3 ST ES IN HEIGHT
'-~------~-
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STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND comme ce o a nod of tSO da 5
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST AND SIGNATU~RE Jf. OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 0 GRANTING OF THIS PERMIT ~---"T • • BY PHONE 0
APPROVED BY ... br
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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 SH~AR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL • I
I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I --I J GAS TEST I LS ... t.,/ ,., '1 Y~1"-
D WATER HEATER D SOLAR WATER .
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!IFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
I
D DUCT & PLEM ., D REF. PIPING ·. ......
HEAT -AIR COND. SYSTEMS I ' ~-I I
VENTILATING SYSTEMS -' -r I -' . " .
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
--~l~TE=M~S~AB_OVE HA VB BEEN APPROVED.
FINAL I
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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 STRE~GTH
BOLTS 'l'".:. -••
SPECIAL MASONRY
PILES CAISSONS
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I REO IF I INSPECTOR S
CHECKED APPROVAL
...1. "----~:-·• -16
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DATE
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INSPECTOR'S NOTES
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PLAN CHE.CK 11~eER fr~ooR~ss dbs--? ~ DATE ,~r
TYPE OF STRUCTURE ~ ~ ·_ • ZONE: ____ _ PLANNING:
a:: 1...1 ::J: 1...1
SCHOOL FEES: SAN DIEGUITO -------
CARLSBAD -------
% COVERAGE ·-----------
BUILDING HEIGHT ----------
FENCES/WALLS -----------
THO CAR GARAGE ·----------
ENCINITAS ______ _
SAN MARCOS --------
REQUIRED SETBACKS ____ _
FRONT .
SIDE &?Z:
REAR ---------
;: ~ cm'iMENTS: _________________________ _
~ c§
~ □ REDEVEL0Pt1ENT A?PROVAL REQUIRED: 5 ~ □ -----------------.----
w-a:: ::::::, 8 ~-□ LANDSCAPE PLAN C0rt1ENTS: ---------------------
ENV rnm:~-,ENTAL REQUIRE9: ---------------------
ADDITIOi'IAL COMMENTS: .;_ _____________________ _
OK TO ISSUE : ~ATE: ~llaK TO FINAL: DATE: 7 ----------
P.F.F. ______ PARK IN LIEU------,-----------
R.O.W: IMPROVEMENTS : _______________ _
_______________ E.O.U: ___________ _
SEWER: _________________________ _
LATERAL: -----------DRIVEWAY: __________ _
a:: ~ GRADING PERMIT: _______________________ _
-1...1 > I-~ ~ DRAINAGE: _________________________ _
~ .□
-o □ I-1...1 ua::
l.&J-
EASEMENTS :-~----·------ADDITIONAL C0"'1ENTS: ______ _
a:: ::::::, . 8~ □ -------~--,.'",lo-.---------------------
OK TO ISSUE: __ /_~______ DATE: We::~
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC ~ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTl"IENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)