HomeMy WebLinkAbout2775 SPOKANE WAY; ; 84-43-98; Permitv'V s, I[
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~hereby alllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
~~:1 :,ce ~n44'2i1s Clm Bl
I hereby affirm lhat I am exempt from lhe Conlrac· lot's License Law for Ille lollow,119 reason (Sec. 7031 5
Business and Professions Code Any city or county wh.ch re-quires a perm11 10 cooslruct. alter. improve, demolish, or
repair any structure. pnor to 1ts issuance also requires !heap-pltcant for such permit to Ille a signed statemem lhat he ,s
licensed pursuant to the prOV1s10ns of the Conuacio( s license Law (Chapler 9 commencmg with SechOn 7000 of
0iv1swn 3 of the Business and Profes~ons Code) or that 1s ex-empt therefrom and the basts for the alleged exempt10n Any
violation of Section 7031.~ by an applicant for a perm,, sub-Jects the applicant 10 a civil penalty ol not mofe lhan t,ve hun-dred dollars ($500).
0 I, as owner o11he property, or my employees w1lh wages as their sole compensation, will do the work. and the struc-
ture is not tntended or offered 10< sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does not apply to an owner of property whO builds or Improves
thereon and who does such work himsen or through his own
employees. provK1ed lhat such improvements are nol intend-
ed or offered for sale. If. however, the buildmg oc improve-
ment is sotd within one. year of completion, the owner-builder will have the burden ot proving lhat he dtd not build or im-prove lot the purpose of sale).
D I, as owner of the property. am exclus;vety contracting with licensed contractors to construct the prCJiect (Sec. 7044,
Business and Professk>ns Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts tor each protects with a
contractor(s} license pursuanl to the ContrKtOl''s License Law).
D As a homeowner I am improving my home, and lhe follow· ing condrtk>ns exist:
1. The work is being pertormed prior to sale. 2. I have lived in my home for twelve months
3. rr:: ~:t~°' t1~: :!~ption during the last three years.
D I am exempl under Sec. ______ , B & P.C.
for lhis reason
□ I hereby alhrm lhal I ha.ea cet11hca1e of consent
to self-insure. or a cer11f1ca1e of Workers·
Compensation Insurance. or a cen,ht'd CoPy thereol
!Sec 3800. ul>O< Code)
POLICYNO WP 233-02-48
co}lPANv Fireman I s Fund ri Copy IS hied With 1he Clly
□ Cen,hed copy 1s hereby tum,she<l
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(Thas sechon need not be Completed 1f the. perm_,t
· /is for one hundred dOllars IS 1()0) o, less)
Ji I cen,ty that 1n 1he performance of the work ror
which this permit ,s issued. I shall not employ any
petson m any manner so a.s lo become sub1ec1 10
the Woft(ers· Compens.a11on Uws of Cahtom,a
NOTICE TO APPLICANT It, a'1er makmJ ll'us Cen,
l,cate of Eltemphon. you should become sub1ec1 I'> the Workers· Compensation prov1s1ons ol the uoor
COde. you must forthw1lh comply with such
prov1s1ons or this permll shall be deemed revoked
L,eby all11m lllal lhere •• a cons1ruc11on
tending agency tor lhe per1ormance of lhe wor11. to,
wruch this perm,1 ,s issued !Sec ~7 C1v1I CocJe}
Lenoer s Name Crocker Bank
Lender's Address San Die ~o
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. I OAT~;~;;~;ATIONI
BUSINESS LICENSE # VALUAl'T'ON PERMIT NUMBER
2775 Spokane Way 3681 121608
LOT I BLOCK J SUBDIVISION ·d ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE 84-43-98 98 Spinnaker P • \ u,1 4~.l WO oc:J Standard Pacific of San Diego 279-2042 OWNER'S NAME C;:t '74'-0-t' I OWNE R"S PHONE
CONTRACTOR"$ AOORESS LICENSE NO. PLAN 1.0.-# BLOG USE COOE Standard Pacific of San Diego 279-2042 (same) 294215 OWNER'S MAILING AOORESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE• STAN DARO PLAN # BUILDING SO. FOOTAGE
Buzard/Henning & Associates NR DESCRIPTION OF WORK 2205
DESIGNER'S ADDRESS DESIGNER'S PHONE "6/E I /t:,L '.r.r.
SFD -Plan 350 L..AA ':t ~nn---f"t-_ ~n Q?' 11 ?7~~~'i'i ----··-----------· --·-·~---F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO --2 R-3 1
CENSUS TRACT I GP LAND USE I PAA;,;; SPACE RES U~ITS j GRACING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y O N 0 v□ N ~ VN v□ Ne Nor Valid Un~s !Nchine Certifi«J
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
13 EACH FIXTURE TRAP 32.50 .1 INSTALL FURN. DUCTS i.JPTO 100.000 BTU 4 .U_U BUILDING PERMIT 01 ·00·00·8220 l..AA ()()
1 EACH BUILDING SEWER 6.50 OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
] EACH WATER HEATER ANO/OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 'l.1..2 .211
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01·00·00-8222 C /, r,r,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -...
-01·00-00-8223 'l/"\ r\('\
EACH INSTAl .. ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT 4.00 MECHANICAL --....... 01-00·00·8224 , , ""
EACH VACUUM BAE.AKER 2.50 MECH EXHAUST • HOOD/DUCTS MOBILEHOME --• ..,.., 1 01·00·00·8225
WATER SOFTNER RELOCATION OF E~ FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-~??"-
TOH,L MECHANICAL STRONG MOTION 80·92·33-0519 8.51
TOT AL PLUMBING I .:)4 .yv 11.00 FIRE SPRINKLERS 01 ·00·00·8227 -. -.... PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT· ISSUE 5 .00 QTY. SOLAR· ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT1BKR 100 Z.'.:l .VV COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS /} Carlsbad 80·92·21-0519
E)(IST BLD6 EA AMP/SWT /8.KR . ROCK STORAGE ,, . .iY Encinitas 80·92-22-0519
I P,H }PH PUMP II A.P -San Dieguito 80·92·23·0519
REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE fl ,Lt/ 1 .J <,.,, San Marcos 80·92·24·0519
TEMP PO LE 200 AMPS LY ~ i--,-
OVER 200 AMPS / r-✓~ II.) LICENSE TAX 01-00-00-8162 2412 ()()
TEMP OCCUPANCY 130 OAYSI f,,,f'/V MJi'li' 60.0.......00 . CREDIT DEPOSIT -TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 3940.71
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"' ANO 00 t-tEREBY Expiration Every penn,t iUued llpllle lluildlngOlfleial under the P,0¥1S1on&ofth11 * AN OSHA.flll.llT IS REQUIRED FOfl EXCAVATIONS OYEfl CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING Tt1E Code lhall expire Ill' ftm-..., becOlll9 null and VOicl II the bulld,ng or wor1< s· O'~c:.-"9" OEM0UTlON OR CONSTflUCTION OF authorized by such pennil 19 not commenced -180 daya from the date of sue~ DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTt1ER CERTIFY ANO AGREE IF A PERMIT IS perm,,. or 11 Ille bulldl1!" -eulllonZecl Ill' a,ch penntt --or S ··-r-_ OYER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WITttALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• abandoned • -Ille -Is tu, a __,,..of 180 ...... STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO Al'Pl.lCANT'S ~ ~~--()WNEfl□ CONTRACTOR 0 APPROVD ~/2+ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN AMY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 GRANTING OF Tl-!IS PEflMIT, , --,r -... -
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TYPE I I DATE INSPECTOR I
BUILDING I
' .... , -')I"
~'-· 84'•4'6 .. <\ ~ -,. t, ~ I• -.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY ! --
GUNITE OR GROUT I INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL ~ -
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING D ROOF □ SHEAR PRIOR TO .
FOUNDATION INSP .
FRAME I
EXTERIOR LATH ' c..----., -_/ I I
STRUCTURAL CONCRETE I ,-
OVER 2000 PSI I '
INSULATION \.. JL. 9:--<.( ~ V\ J)f-'"''" U1JC/ PW"1
INTERIOR LATH & DRYWALL I \ .R! -~'S. ~
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE .
PLUMBING I . FIELD WELDING
SEWER AND BUCO D IPUCO I ' ~-, .. b■ -/ -r..¥
UNDERGROUND □ WASTE □ WATERI ' --_.,,, HIGH STRENGTH '
BOLTS , I
TOP OUT □ WASTE □ WATER SPECIAL MASONRY ~
TUB AND SHOWER PAN I . • GAS TEST I ' I
□ WATER HEATER □ SOLAR WATER
' . " PILES CAISSONS •
t ,.
ELECTRICAL ! : .
□ ELECTRIC UNDERGROUND □1UFFER
ROUGH ELECTRIC I
I '
□ ELECTRIC SERVICE □ TEMPORARY I -.
□ BONDING □ POOL I I'
l ·.
I
MECHANICAL I
'
' I .. .
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS i
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECUPN WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. /
FINAL I / /'
PLUMBING i J /11 / ,,J
ELECTRICAL I I
/I J
, . W~ 11r I -
MECHANICAL I ~-'!\. 'I L '17
GAS I 7f 1// J.JJ
BUILDING ' , ' J j -~ .
SPECIAL CONDITIONS I )
I
CITY or CARLSBAD . . ., LOT#
INSPECTION RECORD
AJlouss, :£/z;f.~
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR ( ) CEILING
SHEATHING ( ) ROOP ( ) SHEAR
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
FINAL 8-~P(
PLUl!IIIING ~"
) SEWER & BL/CO ( ) PL/CO ·
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL 3~@( <::.:::
ELECTRICAL
ELECTRIC UNDERGROUND ( ) UFFER
BONDING ( ) ~
FINAL ---------...-=------
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR CONO. SYSTEMS
VENTILATING SYtt:
FINAL _______ ......,;-.,;;,.,_ ___ _
COMPLETE BUILDING FINAL ~
DATE: '3-,)..) ~
CLEARED WITH GAS ANO ELECTRIC
DATE: _______ _
NOTES ON REVERSE SIDE •••..•