HomeMy WebLinkAbout2640 VANCOUVER ST; ; 84-749; Permit~'
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalons Code, and my license is in
full force and effect.
Lie No ______ Clm
I hereby affirm that I am exemp1 from the Contrac· tor's License Law tor !he lollowmg reason (Sec 7031 5 Business and Professions Code Any city or counry which re-
quires a perm11 to construct. alter improve. dem<H1sh. or repair any structure. pnor lo ,ts issuance also requires !heap·
phcanl for such permit to hie a signed statemenl !hat he 1s
licensed pursuant to the prov,sM>ns ol the contractor· s license Law (Chapter 9 commencing with Sectt0n 7000 of
01v1s1on 3 ol the Business and Professions Code) or !hat 1s e,c-empt therefrom and the-bas,s for the allegea exemption Any
v10lat1on ol Sect10n 7031 5 by an apphcant for a perm,1 sub
Jects 1he appltcanl lo a c1v1I penalty of nol rT'IOt'e lhan live h1.m· dred dollars (SSOO)
~
s owner of the property, or my employees with wages ffi r sole compensauon. will do lhe wotk and the struc-
o not mtended or olfered tor sate (Sec 7044, Business ~ a Professions Code The Contraclor's License Law ctoes 3 f)Oly 10 an owner ot property who builds or improves
• r n and wno does such work hlmsell or through his own CC ptoyees. provided thal such improvements are not 1n1e'ld·
Y.I ed or ot!ered for sare II, however, the building or ,mprnve-
Z ment rs sold w1th1n one year o1 complet1on. the owner-builder 3: will have the burden ol proving thal he did not build or ,m-0 prove !0< the purpose of sale).
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0 I, as owner ol Ille property. am exclusively contracting
with hcensed contractors to construct the project (Sec 10•4 Bus;ness and Profess,ons Code The Contractor's Ucense Law does not apply to an owner of property who builds or tm-
proves !hereon, and who contracts fDf each proiects with a
conlractor(s) license pursuant to lhe Contractor's License Law)
0 As a homeowner I am Improvmg my home. and !he follow mg cond11ions ex.1st:
1. The work ts bemg perlormed prtOf to sale 2 I have lrved m my home tor twelve months poor to comptehon ot this work
I have not claimed !his exemption durmg !he last lhree years
D lam exempt under Sec ______ . B&PC !or this reason -------------
D I hereby athrm that I ha"'e a cen,11caIe of consent
10 self-insure. or a cer11t1ca1e of Work.ers
Compensation Insurance. Of a cen1t1ed copy lhereor
(Sec 3800 Labo< Godel
POLICY NO
COMPANY
□ Copy IS filed Wllh lhe c11y
0 Cenilied cooy Is hereby lurmshed
CERTIFICATl OF EXlMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need nol be como1e1eo ,, me oe,m11
,s !or one hundred dollars {$100) or less)
0 l certify that ,n lhe performance ol the <NOr'k. ror
which ttus permII ,s issued I shall no1 emplo)' an,
person 1n any manner so as 10 become suti1ec1 10
rr,e Wot1(ers· Compensa1ton L.lws 01 Ca11torn,a
NOTICE TO APPLICANT 11. ahef mak•n~ lhtS Cert,
he.ate of ExemptK>n you should beCome suoIecI I') the Workers Compensat,on provIsIons ot tne L.at>or
Code you must tonh-Atth comply w1Ih such
orovIs,ons or this pe:rmII snan be oeemed revokeO
D I he,et>y attirni 1ti.a1 there ,s a coris11ucIIofl
1en<.11ng agency tor lhe performance ol lne ,,,..on,. lo,
which this oerm11 is 1ssueo tSec 3091 C1v1I COOe)
Lenoer s N,lme ___________ _
Lender, A<kJress __________ _
USE BALL POINT PEN ONLY & PRESS 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. Io;;~ ;;1gT{1
BUSINESS LICENSE # :;,s-r;N¢Y D(P7ij' !2.tV'o V /9 ,,</ C OU V&R c::;-r.
L~,BLOCK I SUBDIVtS/40N_K~ ASSESSOR PARCEL NO LY~u E ((_ CONTRACTORS PHONE • zot<E
l<P/Al..i
OWNER·s NAME I OWNER'S PHONE
OAV/0 L.. h"LLcle 72 9-r'))?'"j(/ CONTRACToR·s ADDRESS LICENSE NO. PLAN 1.0 . ;t BLOG USE CODE
OWNER•s MA LING ADDRESS
:J6YC> l/19N'Cou✓l£/e DESIGNER LICENSE ,, STANDARD PLAN# BUILDING SO. FOOTAGE sr c A£{ ~.lf"~n rA. DESCRIPTION OF WORK
_j_ DESIGNER'S ADDRESS DESIGNER'S PHONE
/4 ~~ (~v..fr ~V'-f
~ /(/ ;-i---F/P F LR ELEV. NO OCC GP EDU
~C.(1\-( ~pec:s. STORIES Td/f~/bl.l ~;;iU f-.. r vO NO ---• , •I I J .-, f, (..,. j CENSUS TRAC1 I GP LANO USE 1 PARKING SPACE l RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA -AREA CONST
y D ND vO NO vO NO Not Valid Un(!Ss Mact,ine Certdied
QTY. PLUMBING PERMIT -ISSUE
-~
QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ~
EACH FIXTURE TRAP , INSTALL FURN. DUCTS iJP TD 100.000 BTU BUILDING PERM IT 01-00·00-8220 ~ir --
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 ~~~-EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806
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 INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 -
EACH VACUUM BREAKER MECH EXHAUST HODD DUCTS MOBILEHDME 01-00·00·8225
WATER SOFTNEA RELOCATION OF EA FURNACEtHEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE! SOLAR _ 01--00·00-~??~
TOTJ.L MECHANICAL STRONG MOTION 80·92·33·0519 ~ .::)V
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s---QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP'SWT BKR ROCK STORAGE Encmilas 80-92-22·0519
1 PH 3 PH PUMP San DIegu1to 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 MFF 80-92-57-0519 -. CREDIT DEPOSIT
.L --~ TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I {()Lt V
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERM'.,.-AND DO HEREBY Expiration Every permit issued by the Bu,ldtng Off1c1aI under the provIsIons of this * AN OSHA PEfWllll IS REQUIRED FOR EXCAVAT~S OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ex.pire by hm1tat1on and become null and vo~d If~ t e bu1ld1ng or !Alork 5· 0 .. DEEP ANO DEMOLITION OR CONSTRUCT OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ts not commenced within 180 days f om the date of such STRUCT\JR£5 OVER 3 STORIES IN HEIGHT
ISSUED TO COM Pl Y WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON :~~~n°~ 1!t t=~y ~;~~1~He~~h=~~r:~~~~:1eile~~~r per n~'6?r:rci~~ Of '\ I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
;
~ANT'S SIGN~ATURE Jf OW:E1\R CONTRACTOR 0 f°\t'EDBY I 0A1'1: KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
',/~. ~~~ BY PHONE 0 --.... I L:!.. I lz.• ,q ,M GRANTING OF THIS PERMIT '-,__....,.,, -~
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TYPE I DATE INSPECTOR
BUILDING I 14,07<.jq \ ~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ..
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
-
EXTERIOR LA TH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY ,,
TUB AND SHOWER PAN I .
GAS TEST I PILES CAISSOI\/S
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPOll!ARY ---D BONDING D POOL I
I ' -.. ,,
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I . i
' .L.
I
C.
VENTILATING SYSTEMS I . ·,
I -. -.
I --
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED . .. . ·-.. --. .
FINAL I
PLUMBING I / '
ELECTRICAL I c,-........
MECHANICAL I ,6/)" I .
GAS I \ r . ~
,•
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BUILDING I • \ ✓ \. /; 'IV
SPECIAL CONDITIONS : V\. II
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