HomeMy WebLinkAbout2645 VANCOUVER ST; ; 85-158; PermitCl) z 0 .:: < a: < .., u Ill Q
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No ______ Class
')( I hereby affirm Iha! I am exempl from the Contrac-
Ior·s Ltcense law !or rhe lollowtng reason (Set 7031 5
Business a=d Pr ess,ons Code Any city or coun1y which re-quires a r to construct, alter. ,mprove. demohsh, or
repair any s ucture puOI' 10 I1s issuance also requires !heap-plicant lor such perm.I 10 hie a s1qned statement that he 1s
htenSed pursuant lo !he PfOVt~S ot the Conuactor s
Ucense Law {Chapter 9 commencing with Section 7000 ol 0Msion 3 of ine Business an<S Protess1oos Code} or that Is ex
empt therelrom and the basis for the allegeo exemption Any v10lal!on of Secl1on 7031 5 by an appl+cant IOI a permI1 sub-
,ecIs the appflcant to a civil penalty of not more than live hun·
died dollars (S500)
J I as owner o1 the property. or my employees win, wages
as lhelr SOie compensa11on., will do lhe work. and the struc· ture ,s not mtended or offered for sale {Sec 7044 Business
~nd Professions Code The Contractor's Lscense l aw does
nol apply to an owner ol property whO builds or ITT'proves !hereon and who does such work h,mselt or through his own employees. provided that such Improvemen1s are nol mtend· ed or otlered tor safe II, however, the build mg or improve-
ment 1s SOid w11h1n one ytar ol comptet,on, the owner-builder
will have the burden of proving 1nat he did no1 build or im-prove fo, the purpose of sale)
J I. as owner of the property, am exclusNely contractmg
with hcensed contractors to cons1ruc1 the proIeet (Sec 704◄ Bus.mess and Professions Code The Contractor's Ltcense
Law does not apply to an owner of property who builds or im-prn'i'es thereon. and who conuacts for eacll prOfecls with a
conIraclor(s) license pursuant to the Contractors license Law)
C As a homeowner I am improving my home, and the follow
mg cond1t1ons exist. 1. The work is bemg performed prior to sate 2 I have lrved m my home lor twelve months
poor to comptet10t1 of this WOfk
3 I have not cIa11ned 1hIs exemphOn dunng lhe last three years
D I am exempt under Seo ______ . 8 & P C
tor !his reason ____________ _
□ I hereby aff,rm lhal I ha.,,e a cert1ticate ol consent
to self insure. or a cet11f1cate of Workers
Compensation Insurance. or a cer1,t1ed copy thereol
(Sec JIKlO. Labor Godel
POLICY NO
COMPANY
□ Copy IS flied w1lh the city
0 Certified copy 15 hereby furnished
CERTIFICATl OF EXlMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need nor be comoleted 1I rne perm,1
1s fOf one hundred dollars ($100} or less)
0 I certify that ,n lhe 04?r1ormance ot the wor1!. lot
wh,ch lh1s permn ,s issued. I sha.11 not emc1oy any
person 1n any manner so as 10 become sub1ect 10 the Wot11ers· Compensation Laws of California
NOTICE ro APPLICANT If_ aflet mak1nJ 1h15 Cem
hcate of Exempt.on. yoo stlOuld become sub1ec1 I'>
the Wori..ers Compensa11on pr0v1s1ons ol lhe Labor
COde you mus! 1onn-.-.,1h comply w1lh such
prov1s,ons Of this permit shall be deeme<I revoke<J
0 I llereby alfum Iha! there •S a construc11on
1end1ng agency tor 1ne pertormance 01 the work tor wn,cn lhrs perm11 ,s 1ssueo tSec .3097 C1v1I Code1
Lenders Name ___________ _
Lenders AdOress __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV ST.RD NEAREST CROSS ST I D;E-~ ;~L;?NI
BUSINESS LICENSE I/ VALUATION PERMIT NUMBER
~c/) f,, 4rJOOtl Vt:ie. l~~ ~1.s-r LOT I BLOCI< I sueoI v•s ON I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE' I i.. 7 <-ly 2 0 , OD
OWNER'S NAME I OWNfR'S PHONE '°'lc.)v~ ,. ,. CONTRACTOR"S ADDRESS LICENSE NO PL.AN I.D. # BLDG USE CODE
,Yl • "'· c, c.. .S Heu•'' c ..(. Y-s.,,-.s-1 1..1 I '-OWNER'S MA NG ADDRESS
5~At OESIGNER LICENSE • STANOARD PLAN# BUILDING SO. FOOTAGE
' ' -DESCRIPT,ON OF WORAJ'/;:ci/ ro ~/:I) I b,11~k;. OESIGNER'S ADDRESS DESIGNER'S PHONE ~
JI~~-· -~Yt: ~4✓-F/P FLR ELEV. NO OCC GP EDU
~l)#/2, STORIES
vO NO E~co/bJ6loi:! •3r n -CENSUS TRACT GP LANO USE I PARl<ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR I ~_., .. , -:
AREA CONST
YO N □ vO NO vO NO Not Valid Unless Machine Certdied
QTY. 7Jt ~ MECHANICAL PERMIT· ISSUE $ -SUMMARY/ACCOUNT NUMBER PLUMBING PERMIT· ISSUE ~TY. -EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO JOO 000 BTU BUILDING PERMIT 01-00·00·8220 'L.1--~
EACH BUILDING SEWER OVER l00,000 BTU SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 I .:z 3 ~~
EACH GAS SYSTEM 1 TO 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM , 0 R MO RE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00-8224 -.---EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN WISIDEI SOLAR 01:.00·00-A??n
TOH,L MECHANICAL STRONG MOTION 80·92-33-0519 ~
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT • ISSUE s--~QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00-89ll
NEW CONST EA AMP SW! BKR 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
l PH 3 PH PUMP San D1eguito 80-92-23-0519
RE MOOE L AL Tt R 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 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I .) /. 3~-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permit issued by the 8u1ld1ng Qff,c,al under the prov,s,ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eic;p1re by llm1tat1on and become null and vo,d If the bu1ld1ng or work 5· o· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s not commenced w1th1n 180 days from the date ot such STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH l>LL CITY,,COUNTY AND STATE LAWS GOVERNING BUILDING CON
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.c. ::don°.:d 1~11:~v ~~~:·:n.~~h:~~,:~~hi~~~~te~I~~ r~~~'~,Sr~d"a~~ or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE if OWNE~ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
i~ ~I 1..1---o(_ J -fd
1--~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT n-}. YJ, BY PHONE 0 ..... _ .........,,_
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT 1
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH6AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE!. BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
--~
-. 8"5"" -, :,~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE ' OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED -
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY I,
PILES CAISSONS
·~ -' ' ' .... . ---,
•
-
-,
• l --.__
' C
#y PLAN CHECK NUMBER / J ADDRESS
• , Received
,;;it, 1/C ~-·ftlf2s10as
PLANNING: TYPE OF STRUCTURE _______ _____,_ __ ____,~T~08t CAftlSBA0
0:
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
% COVERAGE -------------
BUILDING HEIGHT ----------FENCES/WALLS __________ _
-TWO CAR GARAGE -----------
COt''iMENTS:
ENCINITAS --------
SAN MARCOS ---.-------
REQUIRED SETBACKS -----
FRONT&.
SIDE_£
I ~ REAR ---------
---------------------------
REDEVEL0~1ENT A?PROVAL REQUIRED: _________________ ....:_. __
LANDSCAPE PLAN CO~.MENTS: ---------------------
ENV rncr:1>iE:NTAL REQUIREQ: -'----------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE:~ DATE: z/4:r-/riOK TO FINAL: DATE:
I 7 I ----------
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_
P.F.F. _______ PARK IN LIEU ________________ _
R.O.H: IMPROVEMENTS: _______________ _
_______________ E.D.U: ___________ _
SEWER: __________________________ _
LATERAL: __________ _ DRIVEWAY: __________ _
~ GRADING PERMIT: ________________________ _
-Lu :> ,-. ~ ;§ DRAINAGE: _____________ """""':" ____________ _
I-Lu uo:
1.u-
EASEMENTS: ___________ ADDITIONAL COMMENTS: ______ _
' : . ~ .□ -o □
~s o • -
UC::: OK TO ISSUE: __ /_L~-------------
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC l-!ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS _ CIJR~ r11T noarNnr.~ nr ,