HomeMy WebLinkAbout2641 VANCOUVER ST; ; 84-442; Permitr'{~ ,./~
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I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
and Profeaalons Code, and my license Is ,n
~~:I ~~r~~~3 Class ~,($ ____ _
I hereby att1rm that I am exempl lrom lhe Contrac· lor s l icense law lor the loUowmg reason (Sec 7031. 5
Business and Profes~ons Code Any city or counly wh.ch re-quires a permll to construct. alter. improve. demohsh, or repan any slruclure. pnor to 11s issuance also requires !heap-
plicant lor such permit to li\e a s,pned statement lhat he ,s
licensed pursuanl lO lhe provisions ol lhe Contracto(s
License Law (Chaprer 9 commencing with Sect1011 7000 ol 01V1s1on 3 of the Busmess and Professions Code) Of thal 1s ex· empt lhere!rom and !he basis tor the anegeo e11emp1ton Any
v10la1,on o1 Sect10n 7031.5 by an apphcanl for a permrt sub· iects !he apphcanl to a crvll penalty of nol more than five hun·
dred dollars ($5001
I. as owner ol the properly, or my empkrjees w11h wages
as their sole compensat10n. w1t1 do the work_ and lhe struc-ture 1s not Intended °' offered lor sale (Sec 704◄ Business and Proless1ons Code The Conlracto(s Ucense Law does
not apply to an owner of property who builds Of improves thereon and who does such work tumself or through ms own
employees. provtded lhat such impfOvements are not intend-
ed or ollered lor sale If, however, lhe building or Improve-ment 1s sold within one year of comple11on. lhe owner-builder w,n have lhe burden ol provmg thal he did not build or im-
prove tor the purpose of sale)
0 I, as owner of !he properly, am exclus1vety contracllng
with ltcensed contractors 10 construct the prOJecl (Sec 704◄ Busmess and Professions Code· The Contractor's license law does not apply to an owner or property who builds or im-
proves !hereon, and who coniracts tor each proiects with a
contraclor(s) license pursuant to the Conlractor's license Law)
D As a homeowner I am 1mprov1ng my home, and the follow
mg conditions exisl
1 The work 1s being perlormed prt0r to sale
2 I have lived 1n my home !or twelve months
prior to completion of lh1s work
3 I havtl not claimed this exemptton dunng lhe last three years.
D I am exempt under Sec ______ , e & PC
for !his reason -------------
D I hereby afl!rm that I ha"e a cert1f1cate ot consent
to self-insure, or a cer11t,cate of Workers
Compensat,on Insurance or a cen1l1ed copy rhereot
(Sec 3800 Labo< CodeJ
POLICY NO
COMPANY
D Cooy ,s hied w1tl"I lhe c,ry
0 Cen,t,ed copy ,s hereby lurrushed
CERTIFICATl OF EXEMPTION P 0M WORl(ERS COMPENSATION INS RANCE (Th,s sec11on need no1 be complete<' me permit
1s_j}1 one hundred OOllars (S 1001 less,
~rt1ty 1hal 1n lhe pet1ormance ot lhe wo"' tor
wh•c" th,s perm11 1s issued. I shall not emoloy an) person ,n any manner so as lo beeome sub1ect tu
the WoO(ers Compensa11on Laws ol Ca111orn1a
NOTICE TO APPLICANT II, alter makmJ in1s Cen1
licate ol Eiiemotion you should become subIecI I?
lhe Wo~ers Compensation p,o..,1s1ons ot ltle Ubor
Cooe you must tonh"Allh comply with such
p,o..,,s,ons rn 1t11s permit shall be deemed ,e..,oked
0 1 hereby atlirm 1tia1 there 1s a cons1ruc11on
1end1no aoency tor !he perlormance ol the ..-.0111 tor
which this perm,I 1s 1ssuea tSec 3097 c, ... ,I Cooe,
lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO -. ----.. --------. ------~ ----.. -------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PEF i'11~ 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST. RO. NEAREST CROSS ST.
DR,tiLBfl
BUSINESS LICENSE # -...i VALUATION PERMIT NUMBER th4l '-t~ !::.,v\~~ -~--r: f'//-.IE/~ (~'71.o-S-4-#2. I
~ l i,o~
'6U'!,i .l'ISION I re,,~~ ~-~ :Jp;;;~~R
. CONTRACTORS Pl<0NE • ZONE
r -.,V,A/~'-/ ;/~~ OWNER'S NAME . 'J/1. J OWNER'S PHONE f4 V'..J .JSH-Mve.i'-~ CONTRACTOR'S ADDRESS ~v~-~ LICENSE NO. PLAN I.D. # BLOG use CODE
(J,, -181..'f ,:;;te,77 r'✓;e., '36//$:3-~ ~,ADD. OWN'Ei!l'S MAIL NG" AO0RESS
<!.A.l~ DESIGNER LICENSE• STAN0ARD PLAN# l!o~o~ ~--~ DESCRIPTION OF WORI( ;,, I.A ilt _.Q9(ut:,
DESIGNER'S AODRESS 0ESIGNER'S PHONE --r ,-• .
;-_~ --~\.lO O,\)E;.f?. -F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARl(ING SPACE I RES UNITS I GRACING PERMIT ISSUE0 I RE0EVEL0PMENT TYPE OCC LOAD FIRE SPA AREA CONST -
y D ND vO NO vO NO Wor 1,,;J;{t t/t!!Psr 1u/,,inJ Certified • ,.
QTY. PLUMBING PERMIT · ISSUE "t.sn QTY. MECHANICAL PERMIT · ISSUE -~-SUMMARY/ACCOUNT NUMBER ---EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 "'7D,';7U
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·0,P·8221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSO R UP TO 3 HP PLAN CHEC~~ '28" ,.o~~ . n I I . -EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 -EACH GAS SYSTEM 5 OR MORE 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 M0BILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN ('NSIDEI SOLAR 01· ·00-R??f;
TOTt.L ME CHANICAL ~ STRONG MOTION 80·92·33·0519 .~o ·--TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227 -
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll QTY. ELECTRICAL PERMIT • ISSUE s-BRIDGE FEE
NEW CONST EA A MP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encin1las 80·92·22·0519
1 PH 3 PH PUMP San D1eguI10 80·92·23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP PO LE 700 AMPS .
OVER 700 AMPS LICENSE TAX 01-00·00-8162
TEMP OCCUPANCY 130 DAYSI MFF BQ.92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE l tq,CJO
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY EJC.pirahon Every permit is.sued by the Bu1ld1ng Off1c1aI undttt the prov,s,ons of tliIs * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF ,PERJURY THAT ALL (NFORMATION HEREON INCLUDING THE Code .snall expire by l1m1tat1on and become null and void It the budding o, work 5' O" DEEP AND DEMOLITION 0A CONSTRUCTION OF authorized by such permit ,s not commenceo within 180 days from the date of such DECLARATIONS ARE TRUE I\ND ~ORRECT AND I FURTH ER CERTIFY AND AGREE IF A PERMIT IS permII. or 1f the bu,ldin~ or work aulhonzed by such permit 1s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned 11 any 11111e a er the work 1~ommenced tor a oenod ot 180 davs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPL:n_c s~z;RE ~ OWNER□ CONTRACTOR @t" ~ rROVED BYtJ ,~~Jo ·&f-KEEP HARMLESS THE CITY OF CARLSBAD A.GAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE [ . ~--~--' -GRANTING OF THIS PERMIT ~ ""'r,, N BY PHONE 0 1'fAAIAJ.1 ·•. If' 1 r 'f •~
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TYPE i DATE INSPECTOR
BUILDING I
OUNDATION I
EINFORCED STEEL I
IASONRY I
UNITE OR GROUT I
LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
E
HEATHING □ ROOF □ SH~AR
RAME I
XTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W~TER
TUB AND SHOWER PAN I .
GAS TEST I
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOli!ARY
□ BONDING □ POOL I
I
MECHANICAL r
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS [ I \I
I
C:111 -
' :. f' • -~
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEK-APPROVED.
FINAL I
' • -I I + -1 -PLUMBING I 1 I
ELECTRICAL I • C .
' MECHANICAL I
. :, '-L -
GAS I r, I r -BUILDING I l '{l,-'£1>~ v~ ~ ,
SPECIAL CONDITIONS I
I
; 1
.
,.
• . -
' ; '; • '"'--'I
~i.f ~UO-:l • " -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS ~ .... INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY ·~ ~ -"r's\ ,_ -
PILES CAISSON!::
''l> '\ f-r-" , ~. .. -..... -'!-' '· , --~ ' .
\ ~·-' , ('' ..._"\."'· -'-'--"
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' ' --,, ... \ I I . , . . ~. ,-.\ ... -. ~ ... l"\'' • ' ' ,, . ' -~ ' ' £ ~ ' J "''"C\o ~ -
; ~"' -le--\ \ -' -t'-------, l " ~ -..._ . '-~ -~
PLAN CHECK NUMBER l'f!--~'Y£ ADDRESS e2,6 ,y/ ~ DA TE
a:
L.J 3 L.J
..... L.J > I-~ ~
TYPE OF STRUCTURE~ ~ ~-
SCHOOL FEES: SAN DIEGUITO --------
ZONE:
ENCINI TAS --------
SAN MARCOS --------
QUIRED SETBACKS -----
FRONT ---------
REAR ----------
0~ □ REDEVELOP~1ENT APPROVAL REQUIRED: s ~ □ -------~----------=----~;; □ a: O' 01..J UC::
OK TO ISSUE:~ DATE:"f>/30/~L{ OK TO FINAL: DATE: ----------
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? Yes
P.F.F . _______ PARK IN LIEU ef/J-
R.O.l~: IMPROVEMENTS: 6]51 S/
A.P.N. CHECKED~
_____________ E.D.U: ---=871~-~--"-/ ____ _
SEWER: ~ t s,77-r,.} 0
LATERAL : €lf r £.7P'rJ C,
~ GRADING PERMIT: d//1---~ L.J ~-✓~;r<-.:.~ ,----------------------
DRIVEWAY : __ 6/4_...__c __ W---______ _
~ ~ DRAINAGE: ___ u/::..._ ''-----"' _______________________ _
~ □
i=El □ UC:: u.J .....
C::=> □ a:: O'
0 L.J u c:z::
EASEMENTS: ~c,. At'(~/
* ENGI NEERING INSP
PUBLIC ~'ORKS I NS
FINAL OK:
ADDITIONAL COMMENTS: _____ _
-----------+ DATE: _____________ _
* IF THIS ITEM rs NOT CHEC KED,
(DRIVEWAYS, CURB CUT, DRAI NAG E,
DEPARTMENT WILL MAKE ALL INSPECT IONS