HomeMy WebLinkAbout2775 SPOKANE WAY; ; CB880235; Permit.,, z 0 ;:
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0 I he<eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and ProfHalons Code, and my license is In
full to,ce and effect.
I hereby alhrm lhal I am exempl from the Comrac·
tors Lttense Law for tne following reason (Sec 7031 5 Bus,ness and Pro1essions Code Any city Of county wh1ct. re· quires a perm,1 to construct aller. improve. demobsh or
cepaIr any structure. prlOf lo its issuance atso requires ?tie ap-
plant for such permit 10 hie a s19ned slatemenl Thal he 1s 1ieensed pursuant to the provisions ol the t:omrac1or·s
l1Canse Law (Chapter 9 commencmg wnh Sec11on 7000 of Ofv1s1on 3 ot the Bus.mess and ProlesSJOns Code) or th.al 1s ex•
empt lheretrom and I1'\e basis lor the allegea exemphon Any v1ota11on of Section 7031 ~ by an appbcant lor a perm,I sub
1ecrs the applicant 10 a c,~,I penalty ol !lOI more than live hun-
Ored O~lars ($500)
I. as owner of the property. Of my employees w1lh wages
as their sole compensahon wtll do the work and the srruc-ture 1s 001 intended or otlered !Of sale tSec 7044 Business
and Proless1on!. COde The Conlrattor·s License Lav., does
not apply 10 an owner ol p,operly who builds or improves
thereon and who does such work himself or lhrough hes own
employees, provided that such 1mprovemenrs are not intend· ed or ottered ror sale II. t\oWever the btuldmg or 1mprove-
men1 is SOld wlltlln one year ot complehon. the owner-builder will have the burden of proving that he did not build Of im·
prove to, !he purpose of sa")
1 I. as owner of rne property, am excluswety contractmg
with hcensed conuactors 10 cons1ruct the prCJieCI (Sec 7044.
Business .and Prolesst0ns Code The Con1rac1or·s License law does not apply to an owner ot property who builds or1m
proves !hereon, and who cOfltracrs lor each protects wllh a contractor(s) hcense pursuant to !he Contrac1or·s Lttense Law)
[ 1 As a homeowner I am 1mp,ovmg my home, and lhe lollow
1ng con<111ions exist 1. The work 1s being perlormect prior 10 sale
2 I have hved in my _home tor twelve months poor to comp1e110n of this work
I have not claimed this exemption during the last lhree. years
D I am e.x.empl under Sec ______ • B & P C
for 1h1s reason
D I hereby altum that I have a cert,hcate ol consent 10
self.insure. or a certll1ca1e of Workers Compensation In-
surance. or a cert1hecl copy lhe,eol (Sec. 3800. Labor Code)
POLICY NO
COMPANY
Copy tS filed w1tn ll'le c,ty
0 Cerhhed copy 1s hereby lurn1Shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
lTt11s section need not be compfeted If the permit
1s for one hundred dollars \S 1()0) Of tess)
0 I cert1ly that in lhe performance of lhe work for wh,ch
trHS perm11 1s issued I shall not employ any person in any
manner so as to become sub1ec1 lo the Workers' Compen-
sa11on Laws ot California.
NOTICE TO APPLICANT: If. alter making lh1s Certificate
of E11emptlon. you should t>ecome sub1ec1 to the Wockers·
Compensation provisions of the Labor Code. you must
torthw,th comply w,th such prov,sions or this permit shall
t>e deemed revoked
0 I hereby affirm that there is a construction lendm9
agency fOf the performance of the work for which this PEN"·
m11 is issued {Sec 3097. Civil COde)
Lender s Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AODRESS AV. ST.RO. THOMAS BROS NO.
j°;T:: ::;;;1 BUSINESS LICENSE II VALUATION PERMIT NUMBER
.2. ??J .S,.::,aKAuE lvl'9l/ C-"9,a,L.S'a4'a CA~ tiiW>-:{ LOT I BLOCK I SUBDIVISION I '6SES57,7~ ~3/ -~ 0 CONTRACTOR CONTRACTORS PHONE • ZONE
OWNER'S NAME k~,~w;;r o, ~ A./ E /l
.5~77,9..,J .::u; ~E-o CONTRACTOR'S AOORESS STATE LICENSE NO. BUILDING SO. FOOTAGE
., -.
O WNER'S MAILING ADDRESS .. ,-~---,
--s~,.,,,,,,e,_ DESIGNER DESIGNER'S PHONE
DESCRIPTION Of WORK
C:::.LJ1.A-DESIGNER'S ADDRESS STATE LICENSE NO. .,
f /P fLRELEV NO OCC GP EDU 0029 02/22 0101 ·02P.ldf'.mt STORIES 75.
vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAE SPR AREA CONST
y D ND vO NO vO NO Nor Valid Un~s Machine Cutditd
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 15.00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100,000 BTU llUILUINt, ~tHMI I UUl ·HIU·UU·UU·ouu 7...:::.-
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER ANO OR VENl BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891
EACH GAS SYSTEM I ID 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi-810·00-00-8222
EACH GAS SYS! EM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810-00-00-8223
EACH INST AL . ALTER . REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO 'OUCTS -MOBILEHOME 001 ·810-00-00-8225
WATER SOFTNER . RELOCATION OF EA FURNACE1HEAii1'~-~• "'"".-E..-. .. _"-.. ......., ...... _~ SOLAR 001-810-00-00·8226
EACH ROOF DRAIN I INSIDE l DRYER VENT /3 ,_, ~ STRONG MOTION 880·519-92·33
TOT,'.;L MECHANICAL (!-r//,,,, -~ FIRE SPRINKLERS 001-810·00·00·8227
10 I Al PLUMBING I -ro -~ii . ...: PUBLIC FACILITIES FEE 320·810-00-00·8740
5.00 ~ I -~: '·r· 'h~
,.-BRIDGE FEE 360-810-00·00-8740
QTY ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME t;'UP -_, ~~::",:.;;~--::. PARK·IN·LIEU (AREA l
NEW CONS T EA AMP SW1 BKR CAR PORT \$ c\"'(~!. ",i~ri \;I -TIF 312·810·00-00-8835 I
I PH 3 PH AWNING ,~ ... A..;; LA COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMP•SWT BKR GARAGE "!11-_ .. ~7 FMF
I PH 3 PH ~o~ L~_:;,,.,r . LICENSE TAX 001-810·00·00·8162
REMODEL AL TtR PER CIRCUIT MFF 880-519-92·57
TEMP POLE 100 AMPS -
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CR.EDIT DEPOSIT
TOTAL ELECTRICAi I TOTAi TOTAL FEES PAYABLE I -;s~
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT AND DO HEREBY EJtptratton Every perm,1 issued by the 8u1ld1ng Ofhc111 under the prov1s1ons ot ttus * AN 0SNA PlMt:T IS flEQUIAED F0A EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sttall e•ptre by hm1tat1on and beeome null and void II the building o, work 5· o· DEEP AHO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit ,snot commenced w11hin 180 days from me date of such STRUCT\IRES OYER J STORlf.S IN HEIGHT ~~r tf the bu1td1zx~ork. 1uth0t1zed by such permit '~•ded or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ab nee, at any tlme a wa,k ,s commenced for a oenOd t11vJ.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY~ ~ OWNERV°' CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS .. COSTS AND A z SIG ~ l/m~i = EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [J I .z/ .2. ¥ « GRANTING OF THIS PERMIT
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TYPE l DATE INSPECTOR
BUILDING I
l
FOUNDATION I
REINFORCED STEEL I
MASONRY I •
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF □ StiEAR
FRAME I
EXTERIOR LATH I
INSULATION ' ' INTERIOR LATH & DRYWALL I I
I
PLUMBING 1,
I
'D SEWER AND BUCO [J PL/CO
UNDERGROUND □ WASTE □,WATER -
• ► TOP OUT D WASTE D WATER -TUB AND SHOWER PAN l -~ II f. ,.
GAS TEST I ~" ,,,o r lo",,
D WATER HEATER D SOLAR WATER
' -
ELECTRICAL I
D ELECTRIC UNDERGROUND q UFFER -~ II ~
ROUGH ELECTRIC I '1-f /1QQ lJ 'tf. "'\
D ELECTRIC SERVICE D TEMP(j)RARY
D BONDING D POOL :
!
MECHANICAL I
D DUCT & PLEM., D REF. PIPjNG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL /NSPECTIJON WHEN ALL APPROPRIATE
ITEMS ABOVE HA f E BEEN APPROVED.
FINAL ' I
PLUMBING I .I lL
ELECTRICAL I ~ .-r\ ~ la " MECHANICAL I A • \, ti .~
GAS . I ~\ ,)~
BUILDING I I\ ~ \
SPECIAL CONDITIONS q(\ .
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.
-
..._
(1,£810~-y;---, -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL ----
SOILS COMPLIANCE -
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE -
OVER 2000 PSI . .
PRES TRESSED
;~ ~ ~ara •i .. ~ -CONCRETE (; ~ .; .... _
POST TENSIONED ;;,~~ . ~ +,,. \ ,, CONCRETE it " 1:r ' ., FIELD WELDING ,,.,. --f•·" .,
HIGH STRENGTH .; ~j BOLTS ~ •
SPECIAL MASONRY ~ GI --
.. -~3/ --
PILES CAISSONS '-":: ~S'~'S~1/ --+
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