HomeMy WebLinkAbout2644 VANCOUVER ST; ; 84-435; Permit<II z 0 ;: ,c a: ,c ... u Ill 0
I hereby affirm that I am licensed under
,;;a, /Qrovll)ona of Chapter 9 (commencing with
·s.ctlon 7000) of Division 3 of the Business
and Proleealons Code, and my license is In
lull force and effect.
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I herfl)y afhrm that I am exempt lrom the Conuac• tor's License Law tor the tonowmg reason (Sec 7031 5
Business and Professions Code Any c,ty 01 county which re· quires a permit to construct. alter. improve. demohsh, Of
repair any struciure. prior 10 11s issuance also requires :heap• plttanl tor such permit to hte a s1~ned statemenr rhal he 1s
ltcensed pursuant lo lhe' prov1s1ons of the COntractor s license Law (Chapter 9 commencmg w11h Sect.on 7000 of Drvislon 3 ot the Busmess and Professions COde} 01 thal ,sex• empt therefrom and the basis fDf !he a!legeo exemption AAy
vt0lal10n of Section 7031 5 by an apphean! !or a permtl sub· Iects the app!icanl to a CIVIi penally of nol rTIOfe than live hun•
dred dollars ($500).
I, as owner or !he properly. °' my employees with wages
as !heir sole compensahon. will do the WOfk. and lhe struc-
ture is not mtended °' ollered for sale {Sec 7044 _ Business
and Professions COde The Contraclof's license Law does no1 appty 10 an owner of property who builds or Improves
thereon and who does such w0<k himself or through his own
employees. provided that such improvements are not mtern:1-
ed or offered IOf sale. If. however. the building or Improve-menI Is sold w1lh1n one year of comple11on. the owner-buikter
will have the burden of provmg Iha! he did no1 build or im-
prove tor !he purpose of sale)
0 I. as owner ol !he property, am exclusively contracling
w11h licensed confraclors lo conslrucl the Pfotect (Sec 7044. Business and Profess10ns Code The Conuactof's License Law does not appty to an owner of property who builds or im-
proves !hereon. and who contracts for each p(Ofecls with a
contractor(s) license pursuant to the Conlractor's License Law)
0 As a homeowner I am ImprOY1ng my home, arn:1 the follow 1ng con<hl1ons exist 1 The work 1s bemg pertormed prior 10 sale 2 I have hved m my home lor twelve months
pnor to completion of this work I have not claimed this exemption dunng the bsl three years
D I am exempt under Sec ______ . B & P c
tor this reason -------------
0 I hereby afl1rm that I ha~e a cert1hca1e ot consent
10 sell insure. or a cert1t1cate ot wo,...,ers
Compens.alK>O Insurance_ or a cen,heo copy thereof
!Sec 3800, Labor Code)
POLICY NO
COMPANY
0 Cooy ,s hied w1lh the c,ty
0 Cen,fted cogy ,s hereoy lurn,shed
CERTIFICATl OF EXtMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1t the perm,1
1s tor one hundreo OOllars ($1001 or 1ess1
D I certify !hat ,n the performance ol the wort,. !or
which 1t11s perm,t ,s ,ssued I shall no1 emplo)' any
person ,n any manner so as 10 become suo1ec1 to !he Wor1(ers· Compensa11on Laws ol Ca11lom,a
NOTICE TO APPLICANT II after m alun;, this Cert1
f1ca1e ol E•emp1,on you should Oecome svo1e-ct I'?
the WoO(ers· Compensa11on prov,s1ons ol 1he Lat>or
Code you must tonh-.-.1th comply w11h svcn
prov,s1ons or !his perm11 shall be aee:med revo11.eo
0 I hereby affum !hat !here ,s a cons1ruc11on
1end1ng aoency tor the per10fmance ot 1ne work 10,
wruch this perm11 1s issued 1Sec )()97 c, ... 11 COdel
Lenoe, s Name ___________ _
lenoer s Address __________ _
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
JOB ADDRESS AV.ST.RO NEAREST CROSS ST.
OAa:;8~~
BUSINESS LICENSE 1' VALUATION PERMIT NUM?' ~,# J/4J/'6 u '1'1£A & /~-loo 1..i-✓~1 ~ 'BLOCK l~,BOrVISION -~SESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
..... 1 ... I) w , r L:> -o~~sNC~ I OWNER'S PHONE /
S111PPJA}l/ ~--~ j~ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE
_1-..,~ -I•,,,, --OWNER'S MA1 L1N~RESS ~-~ <'ft-~G 9.t~ DESIGNER LICENSE u STANOARO PLAN # BUILDING SO. FOOTAGE .i~.t~ .. ;;-e..vvr_,. £;-0 kJ ,.,,,.. ,12... --
DESIGNER'S ADDRESS DESIGNER'S PHONE
SLALJ C:v~ ?-,-z-/ ---fi;4~ + --F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST
y D ND vO NO vO NO Not Valid Un/en M~chine Cuctlied
QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER QTY. PLUMBING PERMIT -ISSUE
7.l 'ID c~-.. ~ -EACH FI XTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU BUlLDING PERMIT 01-00-po-0220 ,~ •~V
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221 i--I I ,·-,,.;f EACH WATER HE ATER ANO OR VENT 80tLER/COMPRESSOR UPTO 3 HP PLAN CHECK 01·00·00-8806
EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00·00·8222 .
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTAl . ALT ER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 -EACH VACUUM BREAKER MECH EXHAUST -HODO DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ('NSIDE) SOLAR 0.1_-00·00-R??F.
TOTJ;L MECHANICAL STRONG MOTION 80·92·33-0519
TOT Al PLUMBI NG I FIRE SPRINKLERS
~--
01 ·00·00·8227
PUBLIC FACILITIES FEE QTY. QTY. SOLAR • ISSUE 32·00·00·89ll ELECTRICAL PERMIT· ISSUE .~-BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 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 Olegu1to 80·92·23·0519
REMODEL ALTfR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80·92-57-0519
I '. CREDIT DEPOSIT .
TOTA L ELECTRICAL I TOTAL SOLAR . l TOTAL FEES PAYABLE l 'P#;.7.r-~
I HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Exptrat,on Every permit ISsued by the Bu1ld1ng Ofhc1at under the provrs,onsofth1s
. * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lrmllallon and become null and void If the bu1kMg or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF authonzed by such permit 1s~~o f Aimenced within 180 days from the date of such STRUCnJRES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or 1t the buildtn or O thonzed by such permit ,, suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STA.TE LAWS GOVERNllm BUILDING CON-abandoned 11 anv lime after e 15 commenced tor a oenod nl l80 days ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANDimpp ~-s •~TUR 1/. OWNER ~ CONTRACTOR 0 APPRlD BY
DA~¾
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~;t
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT • _ -,., -_ BY PHONE 0 .. ....
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TYPE DATE INSPECTOR
BUILDING
FOt-,NDATION . . ~ ,~
REINFORCED STEEL . ' ~ t \
MASONRY •
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LA TH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO D IPUCO
UNDERGROUND D WASTE D WATER -
TO~ OUT ~-• D WASTE D WATER
TUB ANO ·sHOWER PAN
GA-§, TE~T .
D WATER' HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING I _,1 \/A )
ELECTRICAL . J;-f .. _-, ,.. A..
MECHANICAL: (..1 l ., /J Z I ) ' ( ~v I t1X GAS V / l ~ BUILDING
SPECJAL CONDITIONS J \/ . -, .>c· . .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION IN$>'
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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-·
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REO IF INSPECTORS
Cf:iECKED APPROVAL
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INSPECT OR'S NOTES I
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