HomeMy WebLinkAbout2649 VANCOUVER ST; ; 83-559; Permitth z 0 ;:::
C a: C ... 0 "' 0
IC
I[
0 0
a: "' 0 ...
5 ~ "' z J: 0
z 0 ;:::
C 1/1 z ... Q.
:I 0 0
1/1 ix: ... "' a: 0 3
il
O I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code. and my license is In
lull force and effect.
l•c No ------Clas•
I herebV affirm. lhal I am exempt lrom lhe Cootrac• tors L""nse-Law tor me 1c,1ow,ng , .. son (Sec 7031 5 Bus1ness and Professions COde Any ell)' or county which re-quires a permit to construe! aHef. improve. demolish, or
repair any structure. poor to Ifs issuance also requires !heap-
plicani !or such perm&t to Ille a S1Qnecl statemenl lhat he &S hcensecl pursuani 10 the prov,s,ons ol 1tie ton1rac10r s license Law (Chapler 9 ton'WllfncIng w1lh Sect,on 7000 ot
Ornst0n 3 ol the Business and Pr01eS$tDl'IS Code; or that IS u empl theretrom and Ille ba$/S tor the anegea exemption Any
violahon 01 Section 70J1 5 by an apphcant !or a permI1 sub·
1ects the applican1 10 a cMt penally ol not mo,e lhan five hun·
dre<I dollars (S500)
I, as owner ot me propetly, or my emptoyees wIIn wages
as !heir sole compensa11on. will do the wo,k. and 1he struc-ture 1s not intended or oUered foe sale (Sec 7044. Business
and Professt0ns Code. The Contractor's l.Jcer,se Law dOes
not apply to an ownef ot property who buuds o, Impr011es thereon and who does such work himsef1 or through his own
employees, provided that such improvements are not intend-ed Of offered for sale If, however. the bu1k1m9 or mipn,ve-ment ,s ~d wIlh1n one year ot complehon. the owner-builder will have lhe burden of provmg that he did no1 bulld or im-
prove lor !he purpose ol sale)
D I, as owner ot the property, am e.xclusrvely con1rac11ng
With IICensed contractors to construct 1he prCJteCI (Sec. 7044. Business and Profess,ons Code The Contractor's License Law does not apply to an owner of property whO builds or im-
proves thereon. and who contracts for each projects wilh a
~)actor(s) hcense pursuant to lhe Contractor's license
□ As a homeowner I am improving rrry home, and !he tallow· Ing conditions exist.
1. The work IS being performed pnor to sale 2 I have hved in my home for twelve months
prior to complel1on of this wo,k 3. I nave no! claimed this exemphon during lhe last three years.
l;_ /;.: ,":.";:I under Sec ______ , s & p c -------------
D I hereby ath,m thal I have a cen1f1ca1e of consent
to self-insure. or a cen1hcate of Wor~ers
Compensation Insurance, or a cenihed coPy I hereof
is.< 3800 Labor Cooe)
POLICY NO
COMPANY
□ Copy IS ltled with the C•ly
0 Certified copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This sectK>n need not be complele<J 11 ltle pecm11
Is 104' one hundred dollars (S 1001 or less}
0 I certify that ,n the pertounance ot lhe wor\. tor
which ttus perm,t Is ,ssued I sh.all not employ any
person ,n any manner so as 10 become subrecl to
1ne WOfkers· Compensa11on Laws of Cahtornia
NOTICE TO APPLICANT 11. after maktn;J 1n1s Cen•
licate 01 Exemplton you should become sub1ec1 I'>
lhe Wor1c.ers· Compen~11on prov1sI00s of tne L.lbot Code you mus! torth.,1th compty with such
prov,s,ons or this pe:rm,t shall be oeeme<J ,e ... 06'.e<J
0 I hereby attirm that there ,s a cons1euc1Ion
Iendin~ aoeocy to, tne penormance 01 1he wot1< 10,
wh,ch lh1s perm,t 1s issued 1Sec 3097 C1v1I COOf'i
Lenoer s Name ___ ..;, _______ _
Lenee, s Address __________ _
I
I
I
I
I
I
I
I
I
I
I
I
I
USE BALL POINT PEN ONLY & PRE~S 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
1M~f AV ST RO NEAREST CROSS ST I t~r11JP~laiNI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
\l~cn,~ ~I 1,,190-Bi-561 ~ 4t\~1~v~ !ru~-s ON I ASSES>'() p PARCEL NO CO,.TRACTOR CONTRACTORS PHONE • ZONE
nwNE R'~ NAME ~Ai,:,f~10NE ~~. ~. SCH~\C-.redt CONTRACTOR"S AO~RESr) ,\ ) LICENSE NO PLAN 1.0. # BLOG USE CODE
lZe, ... AOO QW",1€ R'c-MA, "G ADDRESS .
.6'/t, 1'C',-(t\l Jt' ~-( tzl"'~Nf)\Dn ql/n'J~ DES GNE~ \ V '-,I / LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE ;~l.m. OESCR•PT·O~ OF WORt<
_9~ ~E R~OOR.ESS DESIGNER'S PHONE
f~\O i / i-'I V F,P FLA ELEV NO OCCGP EDU
STORIES .,. vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE 1 RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D ND vO NO vO NO Nor Valid Un/ns Machine Cerrified
QTY. PLUMBING PERMIT -ISSUE 7,.50 QTY. MECHANICAL PERMIT· ISSUE 3,,()t;J SUMMARY/ACCOUNT NUMBER --
EA CH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01 ·00-00-8220 ~lo7;=JTJ
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -
PLAN CHEC'rf? J;,{'f;,nJ, ~ O'?~licffi
-
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING l' . 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST H00010UCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION Of EA FU.RNACEIHEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.nn.nn.oooc
TOT/;L MECHANICAL ~ONG MOTION 80-92-33-0519 -7-_; r .J
I ---TOT AL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE , <,00 QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP1SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 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 D1eguito 80·92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~Cf~oo
t HAVE CAREFULLY EXAM1NED HiE COMPLETED APPLICAT,ON AND PERMIT' AND DO HEREBY Exp,,ahon Every perm111ssued by t"e Building Off1c1al unde<the prov,s1ons ofth1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalJ ex.pire by hm11a11on and become nult' anct void ff 1he building o, work 5· o• DEEP AND 0£MOUTION OR CONSTRUCTION OF
DECLARATIONS ARE H!IJE AND CORPECT AND I FURTHER CERTIFY AND AGREE IF A PERMr'T IS authorized by such permit is not commenced within 180 days from the date of such STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED'. ro COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• :~~::On°:ci 1~t t=~v ~~•:~e~~h=~~,:~~~~~:Sa~Je~~~~ :9~~!;~,s~:g~:~~ or
STRUCTlON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE Jf. OWNER□ CONTRACTOR 0
A~
DATE KEEP HARMLESS THE Cl TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
1Jt•U83 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING" OF THIS PERMIT
Q)
ii:
>-.;
0
0.
E Q) I-
I
-0
0 (.!J
C:
<1l -~ •a. 0.
<{
I
.>< C: ii
0 rn rn Q) rn rn <{
I
~ 2
ai ~
rn rn Q) 0 0 a:
<1l ro 0
~
Q) •u
C: "' C: ii: .. ;::-
C: Q)
Q) a
0 0 Q)
0. rn
C:
~
.c
3:
TYPE I DATE INSPECTOR J
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I ·--
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES .. --· ..
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I I
SHEATHING D ROOF D S~R
FRAME I
·-· --
SOILS COMPLIANCE l'FHOR TO f0UNDATION INSP
EXTERIOR LATH I
I
STRUClURALC0NCRETE OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTR~SSED
6 C0NCRElE
POST TENSIONED I
l CONCRETE
PLUMBING I rlELD WELDING .
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE □ V\'ATER
TOP OUT D WASTE D WATER
HIGH STRENGTH BOLTS
SPECIAL MASONRY
' TUB AND SHOWER PAN I -~
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND OIUFFER --... \,, ~ C .,..,. .
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPqRARY ' ~-" ---·---' D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I -. -
VENTILATING SYSTEMS I < Vt. V I
I .
CALL FOR FINAL JNSPECu;oN WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. ',
FINAL I
-. ,
-r • , . ;-
. I I _. ~ .
PLUMBING ! ""'t I l t -' .. t ·-. --~ .. --. ·, ~
ELECTRICAL i --
MECHANICAL I ·-
GAS -
! '
.
...._ ,,.. '--
~ ' -0
BUILDING I
I
"-'•
SPECIAL CONDITIONS I
I