HomeMy WebLinkAbout2640 VANCOUVER ST; ; 86-150; PermitII) z 0 .: C IC C _,
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Ql I hereby affirm that I am licensed under
provisions of Chapter 9 (coMmenclng with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force~ ftlf1,ej. c ... 20 Lie No -~~O~O~'--~ Class
I hereby af11rm Iha! I am exempl lrom lhe Conirac·
ror s License Law !or !he following reason (Sec 7031 5 Busmess and Prolessions Cade Any c1l'y or county wh1cl'l re-
Quires a perm11 to construe!. a11er improve, demohsh or repair any structure onor 10 11s issuance also reou1res !heap·
plican1 !or such oerm11 to hie a s1Qned statement Iha! he 1s
licensed pursuant 10 !he prov1s1ons of !he Gon1rac1or s License Law !Chapter 9 commencing with Sect,on 7000 01
01v1s,on 3 ol the 8usmess and Protessions Code} or I hat 1s ex-empl therefrom and the basis for the a11egea e>'empt1on Any
violaHOn of Sec11on 1031 5 by an apphcanl for a permn sub
1ec1s the applicant lo a C1'fll penalty of not more lhan hve nun dred dollars 1$500)
I. as owner ot the property. or my employees w1lh wages
a5 their sole compensation. W11! do the work. and !he strut· ture 1s no! ,ntencted or oflered for sare (Sec 7044 Business
and Prnless,ons Code The Conuactor·s License Law does
nor apply 10 an owner ol property who builds or improves
thereon and who does such work himself Of lhrough his own
employees provided Iha! such improvements are not intend· ed or otlered !or sate II, however the building or 1mprove-
men1 ,s sold w,tnm one year al comp1e11on the owner-builder
w1U have the burden of provmg that he drd not build ar im-prove 104" the purpose of saleJ
n I. as owner al lhe property am excluswely conrrachng w1lh hcenSed contractors lo construct lhe prO)eCt (Sec 7044
Business and Professtans Code The Contractor's License Law does not apply to an owner ol propeny who bu rids or im-
proves thereon, and who con1rac1s tor each prOjecls w,th a contractor(s) hcense pursuant to the Contractor"s License Law)
D As a homeowner I am improving my home. and the loHow ing cond1l1ons ex,s1
t . The work 1s being performed prior to sa•e 2 I have lived m my home tor lwelve mon1hs poor to completion Of !his work
I have not claimed lh1s exemption Clurmg the last lhree years
~r 11h~:/!~~1 under Sec _____ _
.XJ I hereby atrt,m 1ha1 I na .. e a cenit~~of consenl
to self ,nsure or a cert,t,ca1e ol Workers
Compensation Insurance. or a cer1111 cooy 1nereol
(Sec 3!!00. Labo, CodeJ \
POLICY NO wen 4 .... 3a....000001
.,
coMP .. NV Argona,ijt Ins, Co ,
D Copy 15 ftleo with me city
0 Cert,hed cooy 15 hereby 1urn1sheo
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSUR•NCE
(Th+s section need nol be compleled ,t the perm,,
1s. fOf one hundred dotlars (S HX)\ or less)
0 I certify lhal 1n the per1ormance ol 1rie woni. tor
which this perm,t 1s issued. I shall not employ any
person m any manner so as to become sut:>1ec1 to the Workers Compensation Uws ot Ca11torn1a
NOTICE TO APPLICANT II aller makm'J this. Ceni
tica1e of Eit-emp11on you shOulCI oecome sut>1ec1 t?
lhe Workers Compensation prov,s,ons al lhe Lat>or
Cooe. you must tor1t1¥.1th comply with sucn
prov1s1ons or 1h1s perm11 shall t>e cJeemeo revok.eO
0 I hereby afhrm that lhere is a cons1ruc11on 1eno1ng agency 101 1ne pertormance 01 1ne won. 10,
which lh1s perm,, IS l~!tued iSeC .)097 C1v1I Cooe,
Lenders Name ___________ _
Lender 5 Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ------------·----· -··-------------··-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
i -
APPLICATION "&j'ERMIT ' CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.AD. NEAREST CROSS ST.
'
DATE OF APPLICATIONII
9608
NESS Ll\"NSE u VALUATION PERMIT NUMBER
, .,.,2640 Vancouver St. Elm Ave, 1 ... 28 ... 86 ~ll,,.,
[Co LOT BLOCK I suso1v,s10N I AS167~42?:as
0 CONTRACTOR CONTR ... CTORS PHONE • ZONE ..
OWNER'S NAME I 729~;;;R'S PHONE
Untverstty Mectla(\tcal 745-6913
F'e1ler.' Davtd #7237 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0 . # BLOG USE CODE
OWNER'S MAll>NG AOORESS 888 Ra.ncberso Dr" Sutte f 88552
\
l~"GM""'cos? CA 9tU69 2640 Vancouver Stq Carl ~bad 92008 LICENSE a STANDARD PLAN# BUILDING SO FOOT AGE
DESCRIPTION OF WOAI< N/A
fn~t;:il1;:iti'nn l'lf ;:ii'" t"nnrlttrmin□ ,v-. .., .. DESIGNER'S ADDRESS DESIGNER'S PHONE
' NIA ,_ F p FLA ELEV. NO OCC GP EDU
I STORIES
vO NO --
CE NSUS T RA Cl I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR 2/ I T/86901 a ea;oe A REA CONST
y D ND vO NO vO NO D 0/J~ atlt!iikf, iYciiUcee;ed e3~00 l
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PEAMlT 01 ·00·00·B220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMlT Ol-OO·OO·B221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP 4.00 PLAN CHECK 01·00-00·8806
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 ---
EACH GAS SYSTEM 5 OR MOR E METAL FIREPLACE ELECTRICAL 01-00-00-8223 15 .00
EACH INSTA~, ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 7.00
EACH VACUUM BREAKER MECH EXHAUST HOOO'OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACEtHEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ilNSIDEi SOLAR 01-nn.nn.0000
TOT/;L MECHANICAL 7 .. 00 ~NG MOTION 80-92·33-0519
rDlAL PLUMBING I FIRE SPRlNKLERS 01 ·00·00·8227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8930 QTY. ELECTRICAL PERMIT • ISSUE s-.oo BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encon11as 80·92·22·0519
1 PH 3 PH PUMP San D1egui10 80·92·23·0519
-1 REMOD EL A l TtR PE R CIRCUIT 1 (). ()() PLAN CHECK FEE San Marcos 80·92·24-0519
,......J TEMP POLE 200 AMPS
_, OVER 200 AMPS LICENSE TAX 01·00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92·57-0519
l I ..J CREDIT DEPOSIT
I I I lOTAL ELELTRICAt 15 00 TOTAL SOLAR 23.00 I I TOTAL FEES PAYABLE
I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp1rat1on EYery permit issued by the BU1ld1ng Off1c1al under the prov1s1ons of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON iNCLUDING THE Code shall expire by lim1tahon and become null and void 11 the bu,tding or work 5' o· DEEP AND DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced withm 180 days from the date 1Jf such STRUCTURES OVER l STORIES IN HEIGHT ' ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~~~~On~'!, t~~v ~~~!1~ffe~~h:~!r:~!hii~~e:Je~~~~ :=.~1~1sf~~~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APP~ICA .·ss1GNA.~1f-OWNER□ CONTRACTOR;,<-APPROVED BY ~ DATE
l 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 Id---/l ---ft I GRANTING OF THIS PERMIT
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TYPE • • DAJ E INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
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 HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
.
'ff(:, ,O I ST)
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR"S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED I CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY I
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I PILES CAISSONS I
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