HomeMy WebLinkAbout2755 SPOKANE WAY; ; 84-574; Permit;![
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O I hereby attlrm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and ,ny license is in
full force and effect. l,c No ______ Clm
1 hereby affirm that I am e~empt lrom the Cootrac·
to,'s Locense Law for t~• lollowong ,eason (S.c 7031 5 Business and Protess100s Code Any city or county which re-
quires a perrmt lo construct, alter IITlprove, de~1sh. or repair any structure. prlOf to its issuance also requtres !heap-
plicant lor such perm11 to 111e a signed statement that he ,s hcensed pursuant to the prov1s1ons ol the Contrac1or·s
license Law (Chapter 9 commencing with Sect10n 7000 of O!vrs1on 3 ol the Business and ProfesSlOrls Code) or that 1s e.-
empt therefrom and the ti.as,s !or the allegeo exemption Any
v10latoon of S.Ctoon 703 t 5 by an apphcani fo, a perm,1 sub· Jects the applicant to a civ,I penalty of not mOJe lhan five hun·
arec a011ars ($500).
'1 I, as owner of the property, or my employees w1lh wages
as their sole compensatton. wiU do lhe wDfk. and lhe struc-ture 1s not intended or offered 1or sale (Sec 7044. Business
and Protesst0ns Code· The Contractor's Ltcense Law does
not apply to an owner ol property who builds or improves
!hereon and who does such work h1mse!I or lhrough t11s own empJoyees, provKied that such improvements are not intend·
ed or offered lor sale II, however. the bUlkhng or improve-ment 1s sold within one year of completion, the owner-builder
will have the burden of proving !hat he did not build or ,m-p,ove for !he purposo of sale)
□ 1. as owner of the properly, am exclus1ve{y contrae11ng wtlh l,censed contractors to construct lhe project (Sec. 7044,
Business and Profess,ons Code The Conlracror's L.c:ense Law does not apply to an owner of property who builds or 1m•
proves thereon. and who contrac1s for each protects with a contractor(s) license pursuant to the ContractOf's License Law)
D As a homeowner I am tmprovmg my home, and the follow· ing cond1t100s exist:
t The wo,k Is beong pe~ormec proo, lo sale 2 I ~ve hvec on my home for twelve months pnor 10 complelion of lhts work
3. I have not cla1med this exemption dunng !he last lhree years
D I am exempt under Sec ______ , B &PC
for this reason
□ I "ereby affirm 11'\at, ,..a.-e a cert1flca1e ol consent
to self-insure. or a cer11t,cate ol Workers
Compensation Insurance, or a cen1l1ed copy thereot
!Sec 3800. LabOr Code!
POLICY NO
COMPANY
□ Copy 1$ hied w1lh 11'\e C1ly
□ Certified COP)' IS hereby furnished
CERT!FICATl OF EXEMPTION FROM WORKERS· COMPENS ... T!ON INSURANCE
(This seclion need not be completed ,f the permit ,s to, one hundred dollars tS HX)) or iess)
O I certify !hat 1n the per1ormance ol lhe wont tor •tuch 1h1s pen-mt 1s issued. I shall not employ any
person m any manner so as 10 become sub1ec1 h.l
the Wor"-ers· Compensation Laws of Callfo,n,a
NOTICE TO APPLICANT 11. af1er makmJ lh1S Cert•
ftcale ol Exempllon you should oecome sut>,ecl I')
lhe Work.ers· Compensation prov1s1ons of lhe Lat>or
Cooe you mus! lorth-.11n comply with such
prov1s1ons or th,s permit shall be aeemed revoke<!
O I hereby affum that !here ,s a COOSlh,JCIIOn
lending agency tor the performance or the wot1o. for
which lht$ permit ,s 1SSueCJ (Sec 3097 C1v1I Godel
Lenaer s Name ___________ _
lenders AcJCJress __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHAD:i:9-AREA AND DECLARATIONS.
I ... CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT •
~7:?~ ~ p{),~t-rJ;.RtJ~CROSSST. DA TE OF APPL!CA TION BUSINESS LICENSE # VALUATION PERMIT NUMBER 0 ~/
LOT I euOCK' , ~Mt!-l~SESSOR PARCEL ~o+:J CONTRACTOR
.SA-i..~ ~t OWNER"S NAME
L5'Tl}~/JII'~ () f)/k,, /h c. a F ~ 0 . k;~_;:p;;_: CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. /t BLDG use CODE
OWNER"S MA, L<NG ADDRESS
7:;. -t_<) C/111,,11.1,,.,0,1< /2eJr (?l.Jn J.t:) Q1JZ
DESIGNER LICENSE tr STANDARD PLAN # BUILDING SO. FOOTAGE
['C:: ,~~ 3 -tr-ujµL-. ~"""""""""'
/~7 4
F/P FLR ELEV. ---;::ro-
STORIES
DESIGNER'S PHONE
OCC GP EDU I' □I uSI I ti44 7b3
0001~7b3'10/D~/BU 3tlo
CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNITS I
QTY.I PLUMBING PERMIT· ISSUE I ?:!:!!-
QTY.
EACH FIXTURE TRAP I 7
EACH BUILDING SEWER
EACH WATER HEATER ANO •OR VENT
EACH GAS SYSTEM l TO 4 OUT LETS
EACH GAS SYSTEM 5 OR MORE
EACH INST Al. ALTER, REPAIR WAT ER PIPE -+-
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN !iNSIOEl
TOTAL PLUM8ING ]
ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP SWT BKR
I PH 3 PH
EXIST BLOG EA AMP SWT BKR
l PH 3 PH
REMODEL ALTtR PER CIRCUIT
TE MP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL 1
..::r--
vO NO
TYPE
CONST
OCC LOAD FIRESPR GRADING PERMIT ISSUED
y O N 0 1 REDEVELOPMENT AREA
vO NO vO NO Not Valid Unle<s Machine Certified
QTY.I MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER --INSTALL FURN . DUCTS UP TO 100,000 BTU J I BUILDING PERMIT 01·00·00·8220 ~~.:ro
OVER 100,000 BTU I I SIGN PERMIT 01·00·00·B221
BOILER/COMPRESSOR UP TO 3 HP I I PLAN CHECK 01 ·00-00-8806 N1 _?0
BOILER/COMPRESSOR315HP I O TOTALPLUMBING 01 ·00·00·8222
I-METAL FIREPLACE ELECTRICAL 01·00·00·8223
VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224
MECH EXHAUST HOOD DUCTS I II MOBILEHOME 01 ·00·00·8225
RELOCATION OF EA FURNACE/HEATER I II MOBILEHOME PARK INSP
SOLAR 01-00-00•R??R
TOT t;L MECHANICAL STRONG MOTION 80·92·33-0519 I I
FIRE SPRINKLERS 01 ·00·00·8227
QTY. I SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00·893l
BRIDGE FEE
COLLECTORS SCHOOL FEE · DISTRICT
STORAGE TANKS Carlsbad 80·92·21-0519
ROCK STORAGE Encinitas 80·92·22-0519
PUMP San Diegu,to 80·92·23-0519
PLAN CHECK FEE San Marcos 80·92· 24·0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57•0519
CREDIT DEPOSIT
TOTAL SOLAR TOTAL FEES PAYABLE I ~, So
* AN OSHA PEFM:T IS REQUIRED FOR EXCAVATIONS OVER
5· o·· DEEP ,\NO DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
I HAVE CAREFULLY EXAMINED THE COMPLETED •APPLICATION ANO PERMIT"" ANO DO HEREBY
CERTIFY UNDER PENAL TY OF PERJURY 'THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON· STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '---'-:-:-~~~-=<--"-,-=:::...:===~F===~~~"--'<!....!>"'-'"'-"'---i,-"""'""'I!""'------------------......
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~""°""'~---:,,~ / V L) ~LL KEEP HARMLESS THE CITY OF CARLSBAD .AGAINST All LIABILITIES, JUDGMENTS, COSTS AND DJ)ti 1/
GRANTING OF THIS PERMIT ,; BY PHONE D r-tf~LA--.,.__.....,.llo_,,__ I 7 0 T
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH!;AR
FRAME I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,(\TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAtER
r
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER
ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEMPOli!ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING . '
HEAT -AIR COND. SYSTEMS I < . '
VENTILATING SYSTEMS l r ·-\ \ ' -~
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HA VEi BE~P.f'ROV:ED.~ · ~ •.,; ,J,•.,,
FINAL
PLUMBING I ')
ELECTRICAL
MECHANICAL
GAS
BUILDING ..
. , t,\ SPECIAL CONDITIONS
j
-·
'
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FIELD INSPECTION RECORD
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REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR S INSPECTION DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISS01'.S
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INSPECTOR'S NOTES
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