HomeMy WebLinkAbout2723 SPOKANE WAY; ; 84-43-202; Permits1/'I[
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..,d I hereby affirm that I am licensed under 1
~ona of Chapter 9 (commencing with I
Section 70001 of Division 3 of the Business I
and Professions Code, and my license is In I
fulifor~ 8-' 1 t,c Nn...-Clm -~
I hereby alfirm lhat I am exempt lrom the Contra<:· lo(s Lounse Law for lhe lollow,ng reason (Seo. 7031 5 Busmess and ProlesstOns Code Any city Of coun1y whtcf'i re·
quires a perm1I lo cm:1struct. alter, improve, demolish, or repa,r any sllucture, prK>I' to ,ts issuance a1so requ1res !heap· phcanl tor such permit to lite a s,~ned statement !hat he 1s
licensed pursuant 10 !he pr<7itsl0fls ot the Contraclor s
License Law (Chapter 9 commenc,ng with Sec110n 7000 of OiV1s10n 3 of the Business and Pr0fess10ns COde) Of !hat 1s ex·
empl lherelrom and the basos lor the allegea exemploon Any v101aI10n ol Secl10n 7031 .5 by an applloanl lor a perm,, sub-
jects the apphcant to a cW"N penalty of not more than hve hun•
dred dollars ($500).
n I as owner of the orooer1v, or mv emolovees with waoes as 1htir so4e compensation, will do the work. and the struc-ture is not intended or ollered for sale (Sec 7044, Busmess
and Professions Code: The Contracto,'s License Law does
not apply lo an owner of property who builds or ornproves !hereon and who does such WOfk h1msett or 1h1ough his own
employees. provided that such Improvements are not mtend· ed or ottered tor sale. 11, however. the building or improve-
ment is sold wilhin one year of completion, the owner·budder will have the burden 01 proving thal he did not build or im· prove tor the purpose al sale).
□ I, as owner ot the property, am exctus1veky conuacting
with hcensed contractors to construct the pro,ect (Sec. 7044, Business and Professions Code: The Contractor's license
Law does not apply lo an owner of property who builds or im-proves thereon. and who contracts for each prCJiects with a contractor(s} license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and the follow·
ing condiltons exis1: 1. The work is being performed prKK to sa~. 2. I have kved in my home for twetve monlhs
prior to completion or lhis work.. J. I have not claimed this exempt.on cturing the
last three years.
D lamexemptunderSec. ______ ,B&P.C.
lor this reason -------------
.... J. hereby affirm that I ha~e a cert,hcate ot consenl :
~elt-rnsure. or a cer11f1cate ot Workers I
Compensa11on Insurance. or a certified copy !hereof
!Sec 3800. la/"': ec,,l O' I
POLICY NO l,N ,--r-2~~ -(}..),..L.[o
COMPANY Prem.~-+<-tWl
K'Copy IS filed Wtlh lhe c,ty
D Cert1hed copy 1s hereby lurn,she<I
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need nol be completed it the permit
1s tor one hundred OOllars IS 1()01 OI less)
O I cer11fy that in the pet1ormance ol lhe wor\ tor
which lh1s pem11t ,s issued. I st\all nol emp10y any
person m any manner so as to beCome sub1ec1 10 lhe Worke,s Compensahon Uws ot Calilorn,a
NOTICE TO APPLICANT II. a'1er makmJ this Cert,
hcate ol Exemp11on. yoo shOuld Dec.ome sub1e-ct t')
h~o~~s· ~.per~~·~~:'°;~o;: o~:~: ~~ I
prov1s1ons or ttus perm1) shall be deemed re11oke<l
!here ,s a con~:~~t~~ ,t .. ,.., '",;:-.~";;., •• ~,::;,~,,
~aoenc,~ f'-
wr,ich ltus pe ",;a.--•~ I Jj• Lender s Name
USE BALL POINT PEN ONLY & PRESS HARD -------.. -··-· --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIO~~
; CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ;o;
7
A;;A~s;okane Way Av ST.Ro. NEAREST CROSS ST. l°ATE ~,;j~:ATroNI s;~;; L•crnse,. ~A;~~ PERMtT NUMBER
'20oT 2 , BLOCK l-.SUjlDI Vl~ON p I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE ~-'-13-"JP)..
ppinna er t., 1 i.~~.,r."3 .3g'1Y) Standard Pacific of San Diego 279-2042 I~ t
OWNf R'S NAM!; c;tl'-1--04' I OWNER"S PHONE
St d rd Pacific of San Diego 279-2042 coNTRAcToA·s Aoo Aess LICENSE No. PLAN 1.0 . # eLoG use cooE
an a (same) 294215
OWNER'S MAILING ADDRESS 7290 Clairemont Mesa Blvd., SD 92111 oes,GNEA uceNse,. sTANoAAo PLAN # BUILDINGsa.FooTAGE
0EscAIPTI0N o F woRK Buzard/Henning & Associates NR L 5' 8" ~
.,_ ______________________________ ,. DESIGNER'S ADDRESS DESIGNER'S PHONE
Sru -Flan 3iv ====================-1883 Rc~sc~ Ct .• SD 9?111 278-6855
----------·· -----•· F/P FLA ELEV. NO CCC GP EDU -
YO NO --s;:2Es /2-?-i / oJ::>UBtdU9~ -•, ;8.-:.:
CENSUS TAACl I GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I AEOEVELOPMENT TYPE CCC LOAD FIRE SPA _, L / h / r □ N □ AREA YO N"fII. fl'N YO N1}r'.' Nor ValidUnlnsMachirteCertified -
QTY. PLUMBING PERMIT -ISSUE 7..£!!.-QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
J:::.J EACH FIXTURE TRAP ~. -7 INSTALL FURN. DUCTS UP TO 100.000 BTU -q_ . -BUILDING PERMIT 01-00·00-8220 ~/ J-i( -
/ EACl:I BUILDING SEWER ~ ~ .f~ DVER 100,000 BTU SIGN PERMIT 01-00-00-8221
/ EACHWATER HEATERANO/ORVENT ..::;i..._~'\0 BOILER/COMPRESSORUPT03HP PLANCHECK 01-00-00·8806 ~[ ,q--,
/ EA CHGASSYSTEM 1T040UTLETS ::r.P,t. BOILER/COMPRESSOR3-15 HP TOTALPLUM8ING 01·00·00-8222 L./,q-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -01-00-00-8223 ·~c)-
EACH INSTAl. ALTER. REPAIR WATER PIPE / VENT FAN SINGLE DUCT ..::2_ . -MECHANICAL 01-00-00·8224 -&:f -
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn-~?7~
TOTJ;L MECHANICAL -STRONG MOTION 80·92·33-0519 I':_.,< i'"J
TOTALPLUMBING I ~--q .-FIRESPRINi<LERS 01·00-00-8227
QTY. ' ELECTRICAL·P£RMIT -ISSUE ~-QTY. SOLAR. ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 .:::> --BRIDGE FEE
NEW CONST EA AMPISWT 18K R / Cl');Cr ....J.~ -COLLECTORS /J , l \ SCHOOL FEE • DISTRICT
1 PH 3 PH -STORAGE TANKS ,JV e " \ . Carlsbad Vt--77<... 80-92-21-0519
EXISTBLOGEAAMP/SWT/BKR ROCKSTORAGE Mf ,,. .)(\J ~~ Encinilas 80·92·22-0519
1 PH 3 PH PUMP ~ Vv "'Q I\ San Dieguilo 80-92·23·0519
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE () \J \ """\,.I San Marcos 80·92·24-0519 -
TEMP POLE 200 AMPS , V ,v
OVER 200 AMPS LICENSE TAX 01-00-00-8162 / / '-fCf-
TEMP OCCUPANCY (30 DAYSI /Yf1 ; -~ {)0-
CREDIT DEPOSIT ------
TOT AL ELEClRICAL I r-:SO-:--TOTAL SOLAR TOTAL FEES PAYABLE_ I ~ /'z)~;;;.G
I HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND DO HEREBY Expiration Every perm,t issued by Ille Bu11dor19 Offoc,al un-the prov,s,ons ofth,s * AN~RMIT IS REQUIRED FOf1 EXCAVATIONS OVER
CERTIFY UNDER 'PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by hmolahon and become null and VOid If the building or wor11 5· o·~ANO OEMOUTION OR CONSTRUCTION OF
DECCA RATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulnor,zed by such permit ,snot commenced woth,n 180 days from the date ol such ST'"'".-f.,_c OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-:::o.:,•~l~v i::i~: tllewo.:.:~!":'o!~u~~ ~r;:~•~•~-~ or '"7'"""'._.. ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 1 •C 3W // __ =,, 0 APPRO~D B" ~1/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO AP Az,T' IG/ / URE Jf. y OWNE-=> CONTRACTOR ( Jl t
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V\ B O 0
GRANTING OF THIS PERMIT ,..,.. '---V PH NE ,, V
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_TY~E I DATE INSPECTOR .,...._ ? -I
B(ilLDIN'G'· --.. 1 I /"
. -" \ ' ~ -'+~ ., ~ l-.. , ~ ' I •. ---' \ -
FOUNDATION -... i ...J ,f A.-,#. .LJ ~~ ' FIELD INSPECTION RECORD
REINftQRCED STEEL I ~ W • V ..---........
l
MASONRY I
GUNITE OFJ GROUT ' / I
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES .-. , . . . . INSPECTION ~ REO IF INSPECTOR'S DATE ---. • CHECKED APPROVAL
FLOOR & CEILING SUB F81\Mf' I
I
SHEATHING '8LB.0 -.,._, SHEAR /
FRAME o-~--' 1111.1-~ ,.,..~ ~ I
EXTERIOR LATH I .
I
------"""-SOILS COMPLIANCE -.. --PR IOR TO --' ' ' .. ~ FOUNDATION INSP .: ~---~ --
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION q . v·, .. '>i1-' "v"'A.I'
INTERIOR LATH & DRYWALL I ,._.
I
PRESTRESSED
CONCRETE
POST TENSIONED j ~ ,-i_ \ ., CONCRETE I-.. -·,
PLUMBING I '-..... ....
F,f;(D WELDING ~-
SEWER AND'BUeO '~J'plJC_o'·,•,; ' I ' I h.J/ ~ 7
UNDERGROUND' ; tJ WASTE , ·ca. WATER) u,,J-, Ni:::::..)
TOP OUT D WASTE D WATER~ l'.J. l 1'-~'r ..... ~~
HIGH STRENGTH . BOLTS I
I, ' SPECIAL MAlSOl)IRY-.._ ' t "'!;,. ~ ~ t'
TUB AND SHOWER PAN ' / .
I
I .. ~ .. .,,
GAS TEST 'L
D WATER HEATER D SOLAR WATER
' I -
' ~ I• PILES CAISSONS -I
I . ":r ' \ -· I -~ --
ELECTRICAL I \
D ELECTRIC UNDERGROUND □1 UFFER
ROUGH ELECTRIC I \ ( ,~,.(A ~~-I
D ELECTRIC SERVICE D TEMPORARY"
1 I --s '· . -.
'-':· ;)c: I -" .
'1'"___.,. ~ (. -~ ~-. -"' \ ' -;;:. ' . . -. --~(' ' ~S ..1_-----1· -· ' ,, ....:; ----..
D BONDING D POOL I . . -_ --, ~. ~--r. ' ' . -
I ..
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MECHANICAL I /
' ... ->-. . ~ -~.;, #,'!'· f _v\ '
., -\
D DUCT & PLEM., D REF. PIPING 1.,,C,a! ·¾'-~~
HEAT -AIR COND. SYSTEMS I I I
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--\ ---\ -.. ~ ' -
VENTILATING SYSTEMS ! lt," .
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA V.E BEEN APPROVED.
; \--~ _,
FINAL ' -" .
PLUMBING
ELECTRICAL . . .
MECHANICAL
GAS -\.""-" ~ \~-.\
"· .... -. ~ .. i .... < -",·.._ . -.... I, ' -
BUILDING --. ,:-_
. · SPECIAl.,CONDITIONS . ,
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