HomeMy WebLinkAbout2640 VANCOUVER ST; ; 84-577; Permit« 0 , M,..,, ,mm "" , •• """-'""" o [ provisions of Chapter 9 (commencing with t; S.Ctlon 7000) of Division 3 of the Business \
,c and Professions Code, and my license ls in ~ full force and effect. z lie No ______ Class
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I hereby .iffirm lhal I am exempt lrom the Conlrac• tor·s License Law tor lhe lollowmg reason (See 7031 5
Business and Professions COde Any city or county which re-quires a permit 10 construct. a1ter. improve. demolish, °' repa,r any sIrucIure, prtOf to IIs issuance also requires !heap-
plteant for such permtt 10 hie a s,pned sIaIement thal he Is licensed pursuanI to the provisions of the t,;ontractor s
license law {ChapIer 9 commencmg with SecIion 7000 ol OMs,on 3 ol the Business and Profess.ens Cade~ or Iha! ,sex• empt lherelrom aod the basis for the allegeo exemp110n Any
v10&a110n of Section 7031.5 by an apphcan1 !or a perm11 sub· IecIs the applicant to a ctvil penalty of nol mOfe lhan five hun·
d~ dollars ($500)
as lh~:~!'~':~~Z,i,~o~t:"'~i~~w;~~ ~i~~~ ture 1s not mtended or olfered lor sale (Sec 7044. Business and Profess.ons Code The Contractor's License Law does
not apply 10 an owner ol property who bwlds or improves thereon and who does such work himself or through his own
employees, provided that such ImprovemenIs are not intend·
ed or ottered for sale II, however. the building or improve· ment Is sold w1th1n one year ol completion, the owner-builder w1U have rhe burden ol proving that he did not build or Im-
prove !or lhe purpose ol sale)
0 I, as owner of the property, am exclusively contracling
wtth I.Censed cootractors to consuuct the Pfotetl (Sec 7044 Business and Protess10ns COde The Contractor's license Law does no! apply 10 an owner o! p:operty who builds Of 1rn--proves thereon, and who contracts for each proiects with a
contractor{s) license pursuant 10 !he conuactor's license Law)
As a homeowner I am ,mprovmg my home, and the foftow Ing condIhons exist 1 The wOfk is being perlormed prior 10 sale
2 I ha11e lived in my home for twelve mon1hs
3. rr:v~ ~:ip~::~of 11~11: :;~pl100 dunng !he last three years
B&PC D I am exempt under Sec _____ _
for lh1s reason ____________ _
0 I hereby affirm thal I na-.,e a cer11f1ca1e ol consen1
to sell ,nsure or a cert1hcate of Workers
Compensation Insurance or a certified copy lhereol (Sec 3800 I.Abo< Code!
POLICY NO
COMPANY
□ Copy IS hied With lhe c,ty
D Cer11t,eo copy ,s heteov lurn,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section nee<I not oe completed ,1 1ne oerm,1
1s tor one hundred CSOllars cs 100, o, less)
0 I cen,ty that ,n the performance or the wof'11. tor
which this perm11 1s ,ssued. I shall no1 employ any
person 1n any manner so as 10 oecome sub1ec1 10
lhe Wo111ers Compensation Laws of California
NOTICE TO APPLICANT If aller mall.tn-J lh,s Cer1,
ltcate ol Exemp11on yOY should oeeome sv01ec1 ,.., 1ne Workers Compensallon prov1sIons ol tne LabOr
Cooe you mus1 1onnv.11h comply w11n sucn
pmvIs,ons or 1h1s perm11 shall t>e deemed re,.oked
O I nereby allum 1na1 Ihere 1s a cons1ruc11on
1end1ng agency tor the per1ormance ol lhe wooi lo,
wn1ch 1n,s permI1 ,s issued 1Sec 3097 C1v1I Cooe1
Lenoer s Name ___________ _
Lenders Adoress __________ _
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
JO;D;~ V 1'9Nc0tJ V~R AV;·;· NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE." VALUATION 154E'::-IT NUMBER
L~, BLOCK l SUBDIVISION I ASSESSOR PARCEL NO. ,' CONTRACTOR -1'2,___ CONTRACTORS PHONE. ZONE ~77
OWNER'S NAME 1 OWNE ffS PHONE t--_..,_IJ.c..._u/-=;._..:!,/;.__~ ___________ t-,-:-==::-:::c::-:-=------1t----------+--:-::--:-:-::-:---:---~
OA,/l..o L. FeL..t:.€ K' 7 2 ?-CJ ?9 </ CONTRACTOR'S AODRESS LICENSE No PLAN 1.0." BLOG USE CODE
OWNER'S MAI Li NG AODRESS
Z _/ ./ •~ DESIGNER LICENSE " STANOAROPLAN# BUILDINGSO.FOOTAGE (:,yo ir/1;</Covv'(:;.,...._ s ·r. C. -A-;:,S;;?A.o c.i
OE.SCRIPT ON OF WORK -'J1, p,o .? ."<!c, Afa'IP /2 ,.., r ~ 1=r.;, DESIGNER'S A□□REss 0Es1GNEA's PHONE --------~~~----'----......,~-~~--.-.~~~~-.....'---1
l£~ OJ?yc/f? ;9-N.P /J/1< CO ,(/0/7°/o~//4"6 F/P FLA ELEV. NO OCCGP EDU
~/ _ . . STORIES T LJ/U:l/btlG~02 O .1
7 Co..-</ ve-.,ve,-;VCc 0U7"~~ /N <;;/lKJi'~ v□ ,-.o --U(HHtiYn:;. f'f).lnCtf ..... 1 , •
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE occ LOAO FIRE SPA I Jp l_ AREA CONST
y D N D v□ NO vO NO Nor Valid Unlns Machine Cer11fled
QTY. PLUMBING PERMIT -ISSUE -? !!-QTY. MECHANICAL PERMIT -ISSUE ,:3 -SUMMARY/ACCOUNT ~U~1BER
EACH FIXTURE TRAP ' INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 f--+-----------------f------+---f-------------------+-------------------------+---------EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00-8806
1 EACH GAS SYSTEM I TO 4 OUTLETS 801 LER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00-00-8222 ~ _
: EACH GAS SYSTEM~ OR MORE METAL FIREPLACE __ _ ELECTRICAL _ 01·00·00-8223 -p~
1 EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01·00·00-8224
EACH VACUUM BREAKER -MECH EXHAUST HOOD OUCTS MOBILEHOME 01·00·00-8225
• WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP •
, EACH ROOF DRAIN liNSIDEj SOL~R _J)_t·00·0.,.,_0-_.,...,A??"'-~-t----------;
TOTJ;L MECHANICAL STRONG MOTION 80·92·33-0519
' TOT AL PLUMBING I FIRE SPRINKLERS --01·00·00·8227 -
• PUBLIC FACILITIES FEE 32·00·00·89ll QTY. ELECTRICAL PERMIT -ISSUE ~ -QTY. SOLAR • 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 BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92·22·0519
I PH 3 PH PUMP San 01egullo 80·92·23·0519
/ REMODEL ALftR PER CIRCUIT £~ PLAN CHECK FEE San Marcos 80·92·24·0519
~ TEMPPOLE ]OOAMPS
OVE A 200 AMPS LICENSE TAX 01-00-00-8162
• TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
1, CREDIT DEPOSIT
TOTAL ELECTRICAL 1 ..& ~ TOTAi SOLAR ·; TOTAL FEES PAYABLE
1
/Ir _
.,.. ____________ ...., ___________ -T" _______________ ..., ____ ~----------------~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expirallon Every permit issued bytheBuoldong Ofhcoal under theprov1S1onsoflhis * AN OSHA PERM:T IS REQUIRED FOR EXCAVAT!Of,IS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e>pore by hmilaloon and become null and void II lhe building or work 5· O" DEEP AND DEMOLITION OR CONSTRUCT!Of,I OF 1 • authorized by such permit 1s not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or if lhe buoldong or work auihonzed by such 1111>rm1t 1'> suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
• ISSUED· TO COMPLY WI TH A LL Cl TY COUNTY AND ST ATE LAWS GOVERNING BUILDING CON ,_~•b=s:':'n=.llo:-'-n:,:ed=•'~•::.n~ylo:!!.m~e..:•:!!.lle~r..!t~he'-w~o~r~k .!.':'"~c~o:!!.m!!!m!:!e:!.!:nc::!e~d..!lo~•....!•~ ~11"''..tf""'-~ cof'-'1~80,,_,,da!.]IV:c,.S_-::::-r~~~~~----------::-"'.":.:-~r---i
, STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 7ZPP ANT'S S G ~1 0 APPROVED BY D/'T~
. KEEP HARMLESS THE CITY Or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND I NATURE Jf, anOWNE CONTRACTOR / / 1!J
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • -/J ../ ,.-;;"J_ BY PHONE D /--r-l '//~
: 1..,G_R_A_N_r_1N_G_o_F_T_H_1s_PE_R_M_1_T ______________________ ..i,;:.;:;~:;~~..;'l&';:;;;:;l,...:;-<;:;;.~••..;-#.;~;:;-£ -~#~;::;;;::'/..;;::~;la;~---------'-----·------'-::,__-__ _l, __ .....J./'.....!:'.,~~ J:___J
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TYPE DATE INSPECTOR
,J,..l
BUILDING 84-~7 -, ·.
I
FOUNDATION FIELD INSPECTION RECORD I
REINFORCED STEEL
MASONRY
GUNITI: OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
INSPECTION REO IF INSPECTORS DATE I CHECKED APPROVAL I
I SOILS COMPLIANCE
PRIOR TO I FOUNDATION INSP ~\ I I
EXTERIOR LATH STRUCTURAL CONCRETE I OVER 2000 PSI ,,,
I ~ INSULATION
INTERIOR LATH & DRYWALL
PRESTRESSED I / \ CONCRETE I
POST TENSIONED I
CONCRETE ~ I
PLUMBING
SEWER AND BUCO D IPUCO
I FIELD WELDING
I
HIGH STRENGTH I
UNDERGROUND D WASTE D WATER ,
TOP OUT D WASTE D WATER
BOLTS I
I SPECIAL MASONRY I
TUB AND SHOWER PAN I
I GAS TEST PILES CAISSONS I
D WATER HEATER D SOLAR WATER .
I
I
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D UFFER I
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY I
D BONDING D POOL I
I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING I
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
-I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIA
ITEMS ABOVE HAVE BEEN APPROVED.
. '-I
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FINAL !
PLUMBING ' I
ELECT.R~CAL •
MECHANICAL
. (> ' I ..
GAS 'I
BUILDING I
SPECMI.. CONDITIONS I
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