HomeMy WebLinkAbout2719 SPOKANE WAY; ; 84-43-201; Permit5~\) ~ I here!>y affirm that I am licensed ·under ~ ~alona of Chapter 9 (commencing with
1-[ Section 7000) ot Division 3 ol the Business : ~;1 ,:~~cr«•nd m~e~. se is In
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1 __ hereby af11r_m that I am exemp1 lrom the Contrac· tor·, License law IOI' lhe lolloWillQ reason (Sec 7031 5 Business and Professions Code Any city or coonty whl(.li re· ou1res a perm11 to constwct: alle, imp,OYe demolish, 0t repa,r any structure. pr.or to ,ts 1ssuaoce also requires !neap :~~:~°'p~~:a~:•t 1
1::e"1:r~~~te;1 ~~'r:t~~!c:/;
license Law {Chapter 9 tl)f'l"l(OtflCHlQ w1lh Section 7000 ol
OlvlStOA 3 of lhe Bvsmess-and Pfotessions Cede Io, Iha! ts ex· empt therefrom and 1110 bas,s f,r 1ne allege<! e,empt,on., Any
v,otahoq ol Se<:11"1 7031 .5 by·~ OJll)il<aMI for a pemlll SUl>-te(IS tbe applican1 to a tlvU penally _ot not more lhan Cfllt ttun-
dr!<l d01\ars (S~OO)
U. I. as owner ol lhe property. or my emptayees'wtth wages
as thttr sole compensat10n; wi11·00 the ·work. and the struc-
ture 1s n01 lntenaed or ottered for saie (Sec 7044. Business and Profess40n~ Code .. The Contrac:tor'!i License Lawi does
not apply to an· a.vner ot property who builds or ,improves !hereon and who does such work himself or !hrough his own
employees. provrde<S lnal such improvements are no1 1ntend-
eo·or: ortered fo< sate. If. however"lhe building or improve-ment IS SOid Wtll'ilO one year of COfflpiehOO, lhe owner-builder ;:!ve hat::~ ~:e o!,P::rg lh~~ he did no1 build or, 1m-
O I. as owner of the prapecty. am exclusrvety contracting wtth licensed contractors to construct lhe proiect (Sec 7044, BuStness and Professions Code The Contractor's Lteense
Law does nol apply to an owner o1 propeny who butlds or Im· proves thereon. and who contracts for each pro1ects with a
con1ractor(sJ license pursuant to the Contractor's License Law)
D As a homeowner I am ,mprnv,ng my home. and lhe lollow-ing conditions exist:
1 The work Is llelng per1-pr,or 10 sale 2 I have lived in my home for twelve months
3. r:: =p~~~of 11:~ ::~phon during lhe last three years
D I am egempl under Sec. ______ • 8 & P C.
for this reason ,.i.
.J ereby alltrm Ulat I ha·.-e a ce<t,hcate ol consent
1
1
1
~11-,nsure. or a cert•flcale of Workers
Compensation Insurance. or a cemfted copy I hereof I
(Sec 3800. Labor '1,•, ::>-, /} -L.Jf;I' I
POLICY No Wr ~'"Y'-?i: ~o,,J 1
COMPANY:p;-~TU,r'(lf I
~y IS hied Wlll"I lfle city '
D Cer11f1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COM PENSA TtON INSURANCE llh,s section neeo no! be completed ,I the perm11
,s to, one hundred OOllc11s rs 1001 Of Jessi
0 I cen,ty that ,n the per1ormance or ll"le work 101
wh,ch this perm,1 1s issued, I shall noI ~ploy an)
~;~~e~.,.~:,~~~~o~5 ~w~r'c:11f~,~!ct 10 l
I
NOTtCE TO APPLICANT II. al!ef mak1n1 this Cef1• I
licaIe ot Exemphon, you should t>ecome sub1ec1 I?
lhe Workers· Compensation pfovIsIons ot !he Labor I
Coc1e. )'OU must tor1h .... 1lh comply w1lh such j
p,ov,s,ons Of 1h1s perm1I shall be deemed ,e,..okeo
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST RO NEAREST CROSS ST I DA;~;/ ;:LICATION I BUSINESS LICENSE ii VALUATION PERMIT NUMBER
2719 Spokane Way 3681 t~ I ?JOR" 125tt-'13-)-0I LO~ I BLOC• k:BOIVISION .~ ASSESSOR PARCE NO CONTRACTOR CONTRACTORS PHONE• Z~NE 201 '>..I innaker Po nt I CD7 4~3 3-7'CO Standard Pacific of San Diego 279-2042 tWNEF<S NAME C!:-r "NJO-+ I OWNE R"S PHONE
CONTRAC-OR"S AODRfSS LICENSE NO PLAN 1.0. # BLOG USE CODE Standard Pacific of San Diego 279-2042 (same) 294215 OW"-E RS MA "'G AOOfl[•,S -
7290 Clairemont Mesa Blvd., SD 92111 DES GNER L ,ce NSE STANDARD PLAN# BUILDING SO FOOTAGE
Buzard/Henning & Associates NR ~c)-C6 DE~ ' ~r ,.._ Ot-WO~,(
DESIGNER'S ADDRESS DES GN£ R'S PHONE -b(22/84. 4883 Ronson Ct., SD 92111 278-6855 -vJ'''-1 ,.. • SFD -Plan 350
~ FI P F LR ELEV. NO -~ OCC GP EDU
vO NO --~ES (2~ I ---
-CENSUS TRACT I GP LAN~~~ t PA3~2r I RE5/NITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA cvN vO ~ YO ND vO ,_){_ Nor Valid Unlers Machine Certrfied
QTY. PLUMBING PERMIT -ISSUE -7~ QTY. MECHANICAL PERMIT -ISSUE :~-SUMMARY/ACCOUNT NUMBER
J ... EACH .FIXTURE TRAP /c-S7 ..:=u 1 INSTALL FURN. DUCTS iJP TO 100.000 BTU Lf,. BUILDING PERMIT 01-00-00-8220 700-
EACH ~Ul_~OING SEWf/l ~ ·<" r: -' OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO/OR VENl ,::J,,,-r'.TJ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 7,/ 7,rl71
J EACH GAS SYSTEM I TO 4 OUTLETS I t7t"'.. 'J BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -.t:::"'LJ--EACH GAS SYSTEMS OR MORE METAL FIREPLACE ELECTRICAL -01-00-00-8223 :~o-
EACH INSTA~. ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT if .-MECHANICAL 01·00-00-8224 l l
J_ EACH VACUUM BREAKER ~w -
MECH EXHAUST HOOD/DUCTS -MOBILEHOME 01-00-00-8225 -WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) i SOLAR 01-00-00-R??~
TOH,L MECHANICAL STRONG MOTION 80-92-33-0519 7f Ir:::, I
TOTAL PLUMBING I 5"'f--tt -FIRE SPRINKLERS 01-00-00-8227 --PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR -ISSUE
BRIDGE FEE
NEW CONST EA AMP SWT BK R /(1) :.2':)-COLLECTORS ... SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS rl . \ Carlsbad 1//7'1:' 80-92-21-0519
EXIST BLOG EA AMPISWT'BKR ROCK STORAGE ~ }-N I \;\I\ Encinitas 80-92-22-0519
I PH 3 PH PUMP M' 1,/'1 .. .A .. )t \ San D1eguito 80-92-23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE \ }F ~\\ -\ J. San Marcos -80-92-24-0519
TE,MP PO LE 200 AMPS ~ , ~ \)
OVER 200 AMPS -'\" LICENSE TAX,01-00-00-8162 ;;)-'t~-
TEMP OCCUPANCY (30 DAYS) . /'trc ~co-
CREDIT DEPOSIT ---=----
lnTAL ELELTRICAL I ~--TOTAL SOLAR TOTAL FEES PAYABLE I 2)C/'-f01 7 /
I HA\IE CAREFULLY EXAMINED THE. COMPLETED ·APPLICATION A'IO PERMIT' AND DO HEREBY Exp1rahon Every permit issued by the Bu,ldtng 01f1c1a1 unde, the provis,ons of tt°',s * AN(N :~•:TIS REQUIRED FOR EXCAVATIONS OVER CERT,FV UNOf;R PE(l~lTYlCF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaH exp1re·by lurutat,on and become null and vo,d If the building or wof"k 5· DEEP OEMOlfTION OR CONSTRUCTION OF authorized by such perm,t ,snot commenced w,thm 180days from the date of such DE(,lAAATIONS'-ARE''ff!UE'ANC>-CORRECT AND I FURTHER CERTIFY AND AGREE. IF A PERMtT 15 permit, or 1f the bo1ld1nfl or work authOflZ8d by such permit ~spended or STR\JCl\j S OVER 3 STORIES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned al an;.; time a ter the work 1s ~mmenced for a period 180 d~s ~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A~S]iNATURE lf-_y OWNERld-"'" CONTRACTOR 0 APPROVQ :ifak KEEP HARMLESS THE cnY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ,. --,
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TYPE,_ I DATE INSPECTOR .., -
\. -~ . 'S4-•<-r3-~, ,
Bl)ILl)ING ' -' -, • , I / -'·
FOUNDATION I ' I I ,ty I\_... ,,,._,, ... FIELD INSPECTION RECORD I
REINFORCED STEEL I ,, ,.... . ~ .....
REQUIRE D SPECIAL INSPECTIONS INSPECTOR'S NOTES ..
MASONRY . -' ' \ I ' -· REQ IF INSPECTOR'S . I INSPECTION DATE = .
GUNITE OR GROUT CHECKED APPROVAL
FLOOR & CEILING SUB FRAME ··--·-I /""'-.. '\ I 'f \ •":,' -"'--SOILS COMPLIANCE
SHEATHING lO ROOF D SHEAR Jl;')..t/--h I I /{ PRIOR TO , ....... , -' ~ !-., -'J: ry. f<Jl FOUNDATION INSP -FRAME I n: Y>J
I . ' -STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED r,Y\ ~ I CONCRETE
..-PLUMBING I / F'Jf.'.1.-D WELD>NG -I I
SEWER AND e11co· .Dl~Lic.O ·''\, '-·-· j "91--, ~ HIGH STRENGTH /
UNDERGROUND 'G WASlE~ D WATEFy -··~ ~~ BOLTS
SPECIAL MAsoJRY_. i \' TOP OUJ" D WASTE D '#ATER lf,f'.:/~ ~ 1rr~ ~ \ -' .
----·< • •• \
TUB AND SHOWER PAN I
GAS TEST I . PILES CAISSO!ll,S. '/..-·
D WATER HEATER D SOLAR W~TER. . \
I ·:·r--\ --... "" \. -ELECTRICAL I ' , ...........
.J •• -·~ ' _\ ---
D ELECTRIC UNDERGROUND □:uFFER ~ \ ,;1 \ '\ ',:-..,..i--:.
ROUGH ELECTRIC I . I-~~ ~ ,.., r . ---\ '\ .. .,.A:· t --D ELECTRIC SERVICE D TEMPORAR'(. . -·~ -..
D BONDING D POOL I ~. -I
I ..,...~ ., . i'-.\/\ )( .\ -·
MECHANICAL I /:: ~
D DUCT & PLEM., D REF. PIPlt',JG lJ.·1~ f"Q_/./) ' ,.,,.. '·-· ·-'") .
HEAT -AIR COND. SYSTEMS I I -· ·.__,.:. -\
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -:-.... -...
ITEMS ABOVE HAVE BEEN APPROVED. ./ .
FINAL I <m~/ I
PLUMBING I .A1'J0! ~
ELECTRICAL I ,t"\l, -re1 --• ·, ' .
MECHANICAL I 'd/ -'\// -....!, ~ -~-., •••
I .. ~ ' -· ~ . ..) ,.'
GAS t ~ . ~ ~ ... '·,;:~ --i . . .. I ,..._ ·,. h..1 I \ _, ' '
BUILDING -. I
SPECIAL CONDITIONS I
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