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HomeMy WebLinkAbout2727 SPOKANE WAY; ; 86-142; PermitCl) z 0 ;::: < tr: < .J u "' C a: I[ 0 u a: "' 0 .J 3 ~ "' z 3: 0 z 0 ~ "' z "' ... :I 0 u "' a:: "' :,,:: a: 0 3: 1[ r>J ' hereby affirm that I am licensed under ~alona of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Proleaalons Code, and my license Is in ~~ 11 ~~,c~i'&c1ass ~8._..,_ __ _ I hereby alfirm !hat I am exempt from !he Contrac tor's License law for the following reason (Sec 7031 5 Busmess and Profess10ns Code Any city or countv whteh re- quires a perm,! to construct. alter improve. demohsh, or repair any struclure. puor to I1s issuance a1so requires !heap- pltcant for such permit to 1,1e a s1Qned statement lhat he 1s t,censed pursuant to the prov,s10ns of the eon1rac1oc s license Law (Chapter 9 commenc,ng with Sec1t0n 7000 ol O,vis,on 3 ot the Business and Professions Code) or lhal 1s ex- empt therefrom and the basis tor the a!legeo exemplion Any VJolaUon ol Section 7031.5 by an apphcant '°' a permit sub· iects the applteanl to a c1v11 penalty of not more than live hun- dred dollars ($500) r, I "" ..... ,.,.,, ,.f ,.,,. ..... ,....,. ... , ,., -•• ,.,....,. _ _,.. .. .,u,, ,., .. ,..,,. • --_,.., .. , ... •·•-I' ""'•·•J• • I ... ,-.,,. ... ·• •-:t,..• as their sole compensation w!II do the work. and lne struc-ture 1s nol 1nlended or oflered f()( sate (Sec 7044, Business and Prolessions Code The Conlraclofs Lanse Law does not apply to an owner of properly who builds or improves !hereon and whO does such worJ! h1msell °' lhrough his own employees, provided thal such improvements are not intend- ed or offered tor safe If, however_ !he bu1lchng or improve· ment 1s soki w1thm one. year of compktt10n, the owner-builder wdl have the burden of proving !hat he did not build or im-prove for !he purpose of sale) [ t. as owner of the property, am excluswely contracting with lteensed contractors lo construct the proiect (Sec 7044, Business and Prolessions Code The Contrac!or' s Lteense Law does not apply lo an tl"Nner of property wt\O builds or im-proves thereon, and who coniracts !or each prOjects with a contractOJ{s) liCense pursuant 10 the Contractor·s License Law) D As a homeowner I am 1mprOV1ng my home. and the lollow mg conditions exist. t fheria:r~1~~be~~g ~:= f~iort!0e1:le monlhs prior to completion of lh1s work. 3 I have not claimed th,s exempt10n during the last three years □ I am exempt unoor Sec ______ • 8 & P C for this reason ____________ _ 0 1 hereby affirm that I have a cert1hca1e of consent to self-Insure. or a certU,cate of Workers· Compensation In• s.urance. or a certified copy thereof (Sec. 3800. Labor Code} POLICY NO COMPANY 0 Copy 1s filed w1th the city D Certified copy 1s hereby furnish CERTIFICATE OF EXEMPT! WORKERS" COMPENSATION I (This section need not be compfete\, if lhe permit ~ 1s tor one hundred dollars ($ 1()()) Of less) ert1fy 1ha1 ,n the performance ol lhe work for wh1Ch p mut 1s Issued. I shall not employ any person in any manner so as to become subJect to the WOfkers Compen• sauon Laws of California. NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become suFJ to the Workers· torthwi~h comply with r ~1s or perm11 shall Compensation prov1sl~ns o La e. you must be deemed revoked. D I hereby affirm that there is a construct,on lending agency for the performance of the work lor which 1h1s per• mil is issued (Sec. 3097, Civil COde) Lender's Name ____________ _ Lenders Address, ____________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFOR~ION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLIC1~ & PE~"'/] JOB ADDRESS ~1?.;:) 7 AV.ST.RD. NEARESTCROSSST. ~------ ~ :~k!:~J~~='()~~t'9~M~'£r~~SOIIB;;;:ic~~/~~.r'~~.;~~~~---C<;;;;;-;;~;:;-;-lD;A~TiE~O~F~A;P~P~Ll~C~A~T-~IOJN etJIJ. -'°' I acoc• ,{; -,. / ,y'-/ -~&, -r;/ '"i i' • v.,u.,,o, OWNER"S NAME =~----'~::----1-:-------;;tt~~-;::::::-::+:---.I / 7 -z_.: 0 0 .._ ~ CONTR,.,CTORS PHONE • ZONE owom ""'"" ,!?tf-/v,e,.; / .,_ ~ co,morna•s,ooa,~ ~ '1, · ~.5.5 -~~ ss -1.... ' HJ A 7:>? ~~.,,,,,.,.,,a .,,.,,,,7 ~,e~ ✓'/,,,.,1,,,v 3P/l3J I:. """'"·' OESCR1PTION OF WORK PERMIT NUMB!A DESIGNER ---I , / _\' \ z I DESIGNER"S ADDRESS ....., • -1 7 7 DESIGNER'S PHONE - LICENSE NO. ~ ?-ai .p ~r:£-li.1/ 'IP vO NO F LR ELEV. NO STORIES OCCGP EDU ti/OI/B615679 00015!i79 4701 BS 35 I 35 1b CENSUS TRACl GP LAND USE PARKING SPACE RES UNITS 1 QTY.I PLUMBING PERMIT· ISSUE QTY. EACH FIXTURE TRAP EACH BUILOING SEWER EACH WATER HEATER ANO OR VENT EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM~ OR MORE EACH INSTAl . ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATERSOHNEA EACH ROOF DRAIN (INSIDE! TOTAL PLUMBING l ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP SWT BKR I PH 3 PH EXIST BLDG EA AMP1SWT BKR 1 PH 3 PH REMODEL ALHR PER CIRCUIT TEMP POL E 200 AMPS OVER 200 AMPS fEMP OCCUPANCY 130 DAYSI TOTAL ELECTRICAL 1 I -4-- --- GRADING PERMIT ISSUED y D ND I REDEVELOPMENT AREA vO NO QTY.I MECHANICAL PERMIT· ISSUE INSTALL FURN DUCTS iJP TO 100,000 BTU OVER 100,000 BTU BOILER /COMPRESSOR UP TO 3 HP BOILER /COMPRESSOR 3-1~ HP MET AL FIREPLACE VENT FAN SINGLE DUCT MECHE XHAUST HOOOIOUCTS RELOCATION OF EA FURNACE/HEATER TOTl<L MECHANICAL QTY. I SOLAR · ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR TYPE CONST OCC LOAD Fl RE SPA vO NO Not Valid Unlns Machine Certified SUMMARY/ACCOUNT NUMBER .-A ~ BUILDING PERMIT 001·B10·00·00·8220 SIGN PERMIT 001 ·B10·00·00·8221 PLAN CHECK 001·810-00·00-8806 ~x , Jo 7 ::u:,oJt TOTAL PLUMBING 001 ·810-00·00·8222 ELECTRICAL 001 ·810·00·00-8223 MECHANICAL 001-810·00·00·8224 MOBILEHOME 001·810·00·00-8225 MOBILEHOME PARK INSP _fil)LAR 001·810-00·00·8226 t-!5TRONG MOTION 880-519:92·33 +----~· S::O FIRE SPRINKLERS 001·810·00-00-8227 PUBLIC FACll,!_TIES FEE 332·810-00-00·8930 I 1 SCHOOL FEE • DISTRICT Carlsbad Encinitas San Diegu1to_ San Marcos LICENSE TAX 001·810·00-00-8162 MFF 880-519·92·57 '- CREDIT DEPOSIT ( 1 g",q,;·, TOTAL FEES PAYABLE ,~s-:10~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE * AN OSHA PERM:T lS REQUIRED FOR EXCAVATIONS OVER DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS s· o·· DEEP AND DEMOLITION OR CONSTRUCTION OF ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON TR\JCTURES OVER 3 STORIES IN HEIGHT STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CONTRACTO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT :-----------------------fJ~...::_...t..:F,:.;c..'--------....:J-..:Q~~=:::::::==.::::::::dL_L~:.. ~ u:: >, ;;; 0 a. E <ll t- i "O 0 c., C "' " a. ieP I Tl. .:,:_ C ii: 0 <I) <I) <ll <I) <I) <( I 3 .2 Qi >- "' "' <ll u 0 a: "' <ii 0 ~ <ll u C "' C u.. s C Q) ~ c., 0 0 Q) a. "' C ~ .c. 3:: TYPE I DATE INSPECTOR ·--. ~--....... --,.--'· BUILDING I I ' \ --· V ~- FOUNDATION I I FIELD INSPECTION RECORD ' ' REINFORCED STEEL I MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT ' J SUB FRAME □ FLOOR □ CEIL!ING SHEATHING □ ROOF □ SHEAR INSPECTORS . .. ,. . INSPECTION REO IF DATE CHECKED APPROVAL .. -·,. . ' . --' .. J SOILS COMPLIANCE : PRIOR TO FRAME I I FOUNDATION INSP EXTERIOR LA TH I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRESTRESSED INTERIOR LATH & DRYWALL I CONCRETE POST TENSIONED I CONCRETE PLUMBING J FIELD WELDING □ SEWER AND BUCO □ P~/CO UNDERGROUND □ WASTE □ WATER HIGH STRENGTH BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY -TUB AND SHOWER PAN ' I ' GAS TEST I PILES CAISSONS □ WATER HEATER □ SOLAR WATER : --~ ELECTRICAL I □ ELECTRIC UNDERGROUND Di UFFER ROUGH ELECTRIC I I -. I -.. □ ELECTRIC SERVICE □ TEMPORARY ., ... \ j .. c.,:. ~ □ BONDING □ POOL I ... --I I MECHANICAL I □ DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I _l VENTILATING SYSTEMS I .... \. ' . .... n ' ... -. ~ L --r , ,. t .. -• . ,.,.__.- ' ' -I CALL FOR FINAL INSPE~1ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL I PLUMBING I I ELECTRICAL I _l_ MECHANICAL I . GAS ' I • BUILDING I -. -·-. SPECIAL CONDITIONS I I I