HomeMy WebLinkAbout2640 VANCOUVER ST; ; 83-83-5; Permit..,
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~ hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 70001 of Division 3 of the Business
and Professions Code, and my license Is In
full force al>lWIJftc:-1-5 Bl lie No __ L_':J_''+_L_.l._ Clm __
I hereby affirm that I am exempt from the Conuac• tor's License Law 101 the lollowmg reason !Sec 7031 5
Business and Professions Code. Any city or county whte:n re· quires a permI1 to construe!. alte<, •fflPfOYe, demohsh. or
repa11· any structure. pnor to 11s issuance also requires !heap·
plttant lor such pem111 10 file a signed statement lhat he is
hcensed pursuant to the prOVtsions of the Contrac1or" s
License Law (Chapter 9 commencmg with SecttOn 7000 of Dw1st00 3 of the Busmess and Profe.sSJOOS Code)°' lhat 1s ex~
empt therefrom and the ba~s for the a11ege(I exempuon Any V10lat,on ot Section 7031.5 by an applant for• perm,! sub·
Iects the applicant lo a civil penatty of nol more than ltve hun·
dred dollars ($500)
□ I. as owner of lhe property, oi my employees w1Ih wages
as the,r sole compensation. will do the work and lhe struc· ture Is not 1nIended o.-offered fot sale (Sec 70,44. Business
and Prolessions Code. the Contractor's license Law does nol apply to an owner of property whO budds or improves Ihereon and who does such work himsell or through his own
employees, provided lhal such Improvements are not tntend· ed or ollered tor sale. 11. however. the building or Improve-
menI is sold within one year ot comP,etion, lhe owner-builder
WIii have the burden ol proving lhal he dlCI not bu1kf Of Im-
prove fo, the purpose ot sale).
D I. as owner of the property, am 9clus1vety contracting wnh lteensed contractors 10 construct !he pro,ect (Sec. 7044. Busmess and Profess,ons Code The Contractor's Uc:ense
Law does not apply to an owner of property whO builds or im· proves thereon, and who contracts !or each protects with a contraclor(s) license pursuant to the Contractor's license Law)
D As a llomeoWner I am unfl(OYIng my home, and the follow·
Ing conditions b:ist:
1 The work Is being performed pn0< to sale 2. I have lived in my home for twefve months
3. r'~v: ~::: t1~: ::-:nptk>n during lhe last three years
D I am exempt under S<c. ______ , B & P C.
tor !his reason ____________ _
~reby affirm lhat I h.a11e a cert1hca1e of consen1
10 selt-msure. or a cert1t1cate ol Workers
Compensation Insurance, or a certified cooy thereof
tsec 3800 Labo< Code)
POLICY NO WP 233-02-48
coMPANY Fireman's Fund
~y 1$ filed Wlltl the Ctly
0 Cert1hed copy ,s nereDy lurn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This section neeo no1 De completed ,1 the perm11
• /> 104' one l'lundre<I dOllars ($1001 o, less)
~ cer111y !hat ,n lhe per1ormance 01 the work tor which !his penn11 1s issued I shall nol employ any
person in any manner J,o as 10 become sut>Ject 10
lhe Wonters· Compensl,hon Laws of C-aMorn1a
NOTICE TO APPLICAJ'H II. alter m.J,n11n,s Cen,
hute of E1.emp11on. you should become suD1ect I? the Wonters Compen~IJOn prov,s,ons oJ the Lat>or
Code. you must fo,1h,.1th comply w,1r, such
prov1s•ons Of 1h15 permit shall De deemed revoked
✓ hefeby altorrn Ina1 there Is a con,irue1,on
leno,no a,gency t()f the performance ol the rwo~ tor
wruch this oerm11 1s issued (Sec )097 C1vd C<Xlel
Lende<sName Crocker Bank
len<lerSAddress San Diego
USE BALL POINT PEN ONLY & PRE1S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS AV ST RO NEAREST CROSS ST
!
DATE OF APPLICATION! BUSINESS LICENSE Ii VALUATION PERMIT NUMBER
2640 Vancouver Street 11-7-83 3681 80716
LOT BLOC><tt'°'"l sueo1v1s10N l ASSESSOR PARCEL NO ) CONTRACTOR CONTRACTORS PHONE• ZONE 5 I'~ 1 Spinnaker Pt / 1,o,u. L, o 50( Standard Pacific of San Diego 279-2042 83-83-5
OWNER'S NAME OWNER"S PHONt
Standard Pacific of San Diego 279-2042 CONTRACTOR•s ADDRESS LICENSE NO PLAN 1.0. # BLOG USE CODE
(same) 294215 OWNER'S MA•L•NG ADDRESS
7290 Clairemont Mesa Blvd., San Diego, CA 92111 DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
Buzard-Henning & Associates NR 1583 0ESCA1PTtON OF WORK
DESIGNER'S ADDRESS DESIGNER•S PHONE
Single-family dwelling-attached garage 4883 Ronson Ct., San Diego 921 1 278-6855 1,1 /~~/~:S~;y+~ • 465.•i! --_, -F/P FLA ELEV. NO OCC GP EDU
STORIES
Plan 330 vO NO --1 R-3 1
CENSUS TRACT I GP LANO USE I PARK;;;PACE I RES{NITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST VN
y O N 0 vO .Js vO NE3 Nor Valid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7$ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP 25 .. 00 1 INSTALL FURN. DUCTS iJP TD 100.000 BTU t. ()() 8UILDING PERMIT 01-00-00-8220 1.7~ ()()
1 EACH BUILDING SEWER 6.-50 OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
1 EACH WATER HEATER ANO/OR VENT 2.-50 BOILE R/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 ?/,{:., 1,c;
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.-50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222 /, /, {)(\
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 30:00
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 7.00
EACH VACUUM BREAKER MECH EXHAUST -H00DI0UCTS M0BILEH0ME 01 ·00·0Q·B225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1 -nn-nn-oooc
TOTJ;L MECHANICAL STRONG MOTION 80·92-33-0519 5.65 7.00 TOTAL PLUMBING I /,/, -()() FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-8933
NEW CONST EA AMP'SWT BKR 100 25.00 COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH PUMP -San Dieguito 80·92·23-0519 ,
REMODEL AL Tt R PER CIRCUIT PLAN CHECK FEE _,,/" ·/ San Marcos 80-92-24·0519
TEMP POLE 200 AMPS / I /
OVER 200 AMPS / .r /. LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 0AYSI I (J,JY-< ./ ., ....
I {'? 1l"'y ./,,. CREDIT DEPOSIT ,,£+.) • .J.J/
TOTAL ELECTRICAL I 30.00 TO'-SOLAR ~ TOTAL FEES PAYABLE I 465.45
t HAVE CAREFUi.LY EXAt,flNED THE COMPLETED· ·APPLICATION AND PERMIT' AND DO HEREBY hp,ral!on Ewe,y -mil -by tlle Buddrng Offrc,1I under tl>e provIs,ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERJ;IF/; UNDER PE~LTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shatl ••p,re by hmttation and become nutl and vo,d If the bu1ld,ng o, wor• ~-o·· DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such -mtl rs not commeneed w1thrn 180 days from tne date ,>f sucn DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS _m,1, o, 1t Ille bulldl~o, work aulho,,zed by such permit ,s suspended or STAUCTVAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CtTY, COUNlY AND STATE LAWS GOVERNING BUILDING CON• ~ at anv b-a Ille woa rt.commenced for a ""r10d of t80 dav• .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"SSI • ~ ~WNERc::VcoNTRACTOR□ APPROVED BY ~ (1JJ.!/r3
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~ -:~YPHONE 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING !
I /
FOUNDATION I ' ~,...,. 11 e--2 ~
REINFORCED STEEL I . ../ l., IV • ~ ~
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FfiAMJt ' I
SHEATHING fld'Ra~ ~Vb SHE~R
FRAME I ·•7/~ -eo, I -,n,-, ..
~ IY \
EXTEflflOR LATH /f, -
INSULATION -;,·,,~&YO : '-\ /
INTERIOR LATH & DRYWALL I l ~-\.,;-~ .... y_j}:7\
I f -I
() PLUMBING I / ' SEWER AND BUCO DIPUCO I ...... ;-.,,., ; .Q2, "77\
UNDERGROUND D WASTE D WATER" t,,, ~ ...,.,, !_.-.., _,
TOP OUT D WASTE D WATER ?-?2-9.it'I ~
TUB AND SHOWER PAN I _,--
GAS TEST I
D WATER HEATER D SOLAR WAt ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC '2-·2,2,~ ~ .. I ... _y ~
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I / I
D DUCT & PLEM., D REF. PIPING lf·7.L-·P· I I I\
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
j
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ l~TEMS ABOVE HA V5 BEEN APPRO¥_ED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-<;
83-C08.3 ,\ \ .\
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
..
PILES CAISSONS -
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