HomeMy WebLinkAbout2763 SPOKANE WAY; ; 86-1211; Permit.., z
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O I hereby affirm that I am licensed under
provlalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
lull force and effect.
I hereby alflrm lhat I am exemp1 1nm Ille C0,1uac-l0<'s license Law !0< the follow,ng ruson (S.C 7031 5
Busmess and Professions Code Any c11y or coonty whict. re-quires a permit 10 construct alter. unprave, demohsh. or
re:pair any structure, prtOt" to 11s issuance also requ,res :heap· plic.nt for such permit to ftle a s,gned statemenl that he 1s
licensed pursuanl to the prov1s10ns of the Coniractor s I.Jcense Law (Chapter 9 convnenc,"ll with Set!IOfl 7000 of 0Ms10n 3 of I~ Busmessand Professtons COde) 0< that ,sex· empt therefrom and the basis for the ,uegec:i extmpl10n. Any
YIOlahon of Section 7031.5 by an appllcanl t0< a perm,1 sub· 1ects the applicant lo a cMI penalty of not more lhal'I trve hun-
dred dollars ($500J
1 I as owner of the property. or my empktytes Wt!h wages
as their sole compensation, w1H do the work. and the struc-
ture Is not intended or offered for sale (Sec 7044. Business and Profess,ons Cocle The ContractOf s Ucense-Law does
nol apply to an owner of proptny who buikis or mprO\les
thereon and wl'\O does such work tHmseff or through his own employees, provided that such improvements Me not intend-
ed Of oUered Jor sale, If. howeve1. the building or 1mpcove· ment 1s so'd w1thm one year ot completion, the owner-builder wrtl have the burden of pr0'i1ng that he dld not build or im-
prove 10< the purpose of saleJ
rJ I. as owner ol the property. om exclusriety conuac1,ng
w1lh fu:ense<t con1rac1ors to construct the pro,ect (Sec 704◄,
Business and Protesst00s Code The Con1rac1or·s Uc.ense Law does not appty lo an owner of property who builds or tm-ptoves !hereon, and who conttacts tor each pn:,iects with a
conttactDf(s) hcense pursuant to the Contraclor's License
Law)
0 As a homeowner I am ,mprovmg my Mme. and the IOllow mg cond1t1ons exfst·
1 The work 1s being performed pr)()( to sale
2 I have llved 1n my home tor twelve monlhs
prior 10 comp'8t10n of lhfs wCKk
I have not ctanned ttns exemption du'rtng the lasl lhree years.
D I am exempt un<Je< Sec. ______ 8 & P C for this reason ____________ _
0 I hereby afhrm tl"lal I have a cert1f,cate of consent to
sell-insure. or a cert1f1cate of Workers· Compensation ,~
suran.ce. or a certified copy lhereot tSec. 3800 Labor Code)
POUCY NO
COMPANY
0 Copy IS filed with the city
D Cert,lied copy 1s hereby lumished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sec11on need not be compleled II the permit ,s for one hundred dollars ($100) or less)
0 I cen1ty that in the pefformanoe of the work for which
!hrs permit is issued. I shall not employ any person in any
manner so as to become subiec:t to the Workers· Compen-
sation Laws or California.
NOTICE TO APPLICANT If. after making lh1s Certificate
of Exemption, you should become subject to the Workers·
compensation provisions of the labor Code. you must
forthwith comply wilh such provisions or this permil shall
be deemed revoked.
0 I hereby affirm that there ,s a construclion lending
a:gencv for the performance of the work for which this per•
mit Is issued (Sec. 3097 Civil Code)
Lender's Name ____________ _
Lender"s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV ST.RO NEAREST CROSS ST.
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ASSESSOR PARCEL NO
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CONTRACTOR
S.£.'-~
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
IOATE OF APPLICATION!
//-IP-~
BUSINESS LICENSE •
CONTRACTORS PHONE •
Co•;:/t:,;;Jif v
ZONE
PERMIT NUMBER
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OWNER'S NAME -J d.Se:.PH :r: {!o .A/ Alo "-E.
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I OWNE A'S PHONE
~.3',I-.J-3 ')... 9 CONTRACTOR'S AOORESS STATE LICENSE NO. UU.lU UUJ. lJ./J.ij/~'JOFOOTA@u.pu
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I OE~PT ON OF WORfl -I DESIGNER'S AOORESS '19-rt o c-o Ve!Z
DESIGNER
(A. 9".244 S£t-,,C
I-F/P F LR ELEV.
vO "'O
PARKING SPACE RES UNITS
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
STATE LICENSE NO.
OCC GP EDU
OCCLOAO I FIRESPR 1 GRADING PERMIT ISSUED l REDEVELOPMENT AREA
YO NO v □"'O ----vO NO Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUI LO ING SEWER
-J-~TY.
7 V
MECHANICAL PERMIT -ISSUE~ I SUMMARY/ACCOUNT NUMBER
BOTClliNGPE RM IT J,
OVER SIGN PERMIT
EACH WATER HEATER ANO OR VENT .,,./ I I I BOILER/COMPRE-s-so_R_u_e_ PLAN CHECK
EACH GAS SYSTEM I TO 4 OUTLJIS"___ _ SOILER/COMPRESSO 15 HP TOTAL PLUMBING ~~·8223_
EACH GAS SYSTE M 5 OR MOif I . METAL FIREPLACE ELECTRICAL O(ffilJ ·00·00-8223
EACH INSTAl_._~_Ll~l~'fPAIR WATER PIPE ---it---+--VENT FAN SINGLE DUCT_ MECHANICAL v -10-00·00·8224
EACH VACU~EAK-ER MECH EXHAUST HODO DUCTS MOBILEHOME 01-810·00-00-8225
WATERWTNER -· 1 ------. -l -l RELOCATION OF EA FURNACE/HEATER T TI SOLAR ( iii:-\ 001-810-00·00·8226
30~
EAC OOF DRAIN (INSIDE! DRYER VENT STRONG MOTION ~V 880·51_9_-9_2_-3_3_,_ ________
1 TOT I.L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227
QTY.
TOTAL PLUMBING I
ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SWl BKA
1 PH 3 PH
1PH PH
REMOOEL ALT£A ~ CIRCUIT
TEMP POLE ~MPS
OVER 200~$
TEMP o!ZuPANCY (30 DAYSI
TOTAL ELECTRICAL
/
l
~£Y JJ QTY.
,✓ CAR PORT
AWNING
GARAGE
PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360-810·00·00·8740
MOBILE HOME SETUP PARK·IN·LIEU (AREA )
TIF 134·810·00·00·8835
LA COSTA TIF 133·810·00·00·8835
FMF
LICENSE TAX 001·810·00·00·8162
MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL TOTAL FEES PAYABLE r >O~
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERM Ir AND DO HEREBY Exp,ration faery perm,t 155'•'1<1 by the Bu,td,ng Oft1c1al unde• the prov,s,onsoflh1'
CERTIFY UNDER PENALTY OF PERoURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm11a110.·,· end Decome null and void If the bu,td,ng or wo••
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT t', author,zed by such perm,t IS no, commenced w,th,n 180 day, trom the date ol sucn
ISSUED· TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CO,; :~r;:;;;,no;,i~tt=~ ~~~:•;rie~'th=~~,:~t~~~•d by suc7 perr;1ot '5 suspended or
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5 0 .. DEEP ANO DtMOllTIOH OR CONSTRUCTION Of
STRUCT\JRES OVER 3 STORIES IN HEIGHT
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO menced to 1 •od ol ISO da s
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO PLICANT S SIGNATURE OWNER CONTR~C;TC\_ [J
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT ._,_ ~
GRANTiNG OF THIS PERMIT Ai~::C..-~....t ,1/P~:,e~.-.:;~..----t:::.__ BV'E•HONE []
APPROVED BY fl I DA1 /; f/ft,
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TYPE ' DATE INSPECTOR I
BUILDING I
I
--.. r ' :r ~lo ...., l -:)..4 l
FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL !
MASONRY I
I
GUNITE OR GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE . CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEil-iNG
SHEATHING D ROOF D S~EAR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION :
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I
I FIELD WELDING
□ SEWER AND BUCO □ RUCO HIGH STRENGTH
UNDERGROUND D WASTE d WATER BOLTS
TOP OUT D WASTE D fv'ATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR ~ATER ,,
I . ' ' ]· ,· .
ELECTRICAL I
D ELECTRIC UNDERGROUND Q UFFER
ROUGH ELECTRIC I
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D ELECTRIC SERVICE D TEMPP RARY -r ' . ~ -. . --
D BONDING D POOL t
I
MECHANICAL I
I
D DUCT & PLEM., D REF. Pl~ING
HEAT -AIR COND. SYSTEMS I :
VENTILATING SYSTEMS I
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ITEMS ABOVE HA¥E BEEN APPROVED.
FINAL 1
PLUMBING ' ~
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ELECTRICAL
MECHANICAL
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GAS a C .,,
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BUILDING " .. ..
SPECIAL CONDITIONS .....__
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