HomeMy WebLinkAbout2727 SPOKANE WAY; ; 86-142; PermitCl) z 0 ;::: < tr: < .J u "' C
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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
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~~,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 ($500)
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as their sole compensation w!II do the work. and lne struc-ture 1s nol 1nlended or oflered f()( sate (Sec 7044, Business
and Prolessions Code The Conlraclofs Lanse Law does
not apply to an owner of properly who builds or improves !hereon and whO does such worJ! h1msell °' lhrough his own
employees, provided thal such improvements are not intend-
ed or offered tor safe If, however_ !he bu1lchng or improve· ment 1s soki w1thm one. year of compktt10n, the owner-builder
wdl have the burden of proving !hat he did not build or im-prove for !he purpose of sale)
[ t. as owner of the property, am excluswely contracting with lteensed contractors lo construct the proiect (Sec 7044,
Business and Prolessions Code The Contrac!or' s Lteense Law does not apply lo an tl"Nner of property wt\O builds or im-proves thereon, and who coniracts !or each prOjects with a
contractOJ{s) liCense pursuant 10 the Contractor·s License Law)
D As a homeowner I am 1mprOV1ng my home. and the lollow mg conditions exist. t fheria:r~1~~be~~g ~:= f~iort!0e1:le monlhs
prior to completion of lh1s work.
3 I have not claimed th,s exempt10n during the
last three years
□ I am exempt unoor Sec ______ • 8 & P C for this reason ____________ _
0 1 hereby affirm that I have a cert1hca1e of consent to
self-Insure. or a certU,cate of Workers· Compensation In•
s.urance. or a certified copy thereof (Sec. 3800. Labor Code}
POLICY NO
COMPANY
0 Copy 1s filed w1th the city
D Certified copy 1s hereby furnish
CERTIFICATE OF EXEMPT!
WORKERS" COMPENSATION I
(This section need not be compfete\, if lhe permit
~ 1s tor one hundred dollars ($ 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~:..
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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