HomeMy WebLinkAbout2759 SPOKANE WAY; ; 87-225; Permit.,, z 0 .: C CIC ~ u Ill 0
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O I hereby affirm that I am licensed under
ptO'llalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
I hefeby affirm I hat I am exempt from the Conlf ac· tor·s License uw tor the lollowrng reason (Sec 7031 5 Business and Profess.ions Code Any city or county wh1cli re-quires a perm11 to construe!, a lier. improve, demolish. °'
repair any structure. prlOf to ,ts issuance also requires !heap•
plant IOf such perffllt to Ille a signed statement that he ,s hcensed pursuant lo the provisions of the Contrae1or" s
License Law (Chapter 9 commencing w1lh Section 7000 01 OlvIst0n 3 ot the Business and Protess,ons COOe) or Iha! Is ex
empt therefrom and the basts tor the alleged exempt10n Any "'°'l""n of Sect,on 7031 5 by an appltC>nt to, a perm,1 sub·· 1ec the applttanl lo a c1vll penalty of nol mofe than ltve hun-
dr dol~rs ($500)
I, as owner of the property, or my employees w11h wages
"'C!_r sole compensalion, w,11 do rhe wOl'k and the struc-1tre rs'l!ol Intended ,.ollered tor sale (Sec 7044. Business and Protess10nSa Code The Contractor's license Law does
not appty 10 an owner of property who builds or ,mpnwes !hereon and who does such wock h1mseI1 or 1hrough his own
employees, ptOV1ded thal such ,mprovemenls are not mlend·
ed °' ottered toe sate. It, however. the bu,ldmg or improve-ment 1s sokl w1th,n one year ot completion. the owner-builder
will have the burden of prOYlng lhal tie did not build or 1m· prove lor the purpose ot sale)
n I, as owner of the property. am exclusively contracting
w1lh 1,cense<S contractors 10 construcl lhe proteel (Sec 70-44.
Business and Professions Gode The Contractor's License Law does not appty to an owner ot property who builds °' im-
proves thereon. and who contracts tor each protetts wnh a contract0t(s) hcense pursuanl to the Contractor's License Law)
l1 As a homeowner I am 1mprov1ng my home. and the lo1low-
mg condrtt0ns exist t. The w01k is being perlormed prior to sale
2 I have hved in my home lor twelve months prior to completion ot this work
3 I have no! claimed this exempl!OO durmg lhe last three y~rs-
0 I am exempt u.-Sec ______ . 8 & PC
tor this reason ____________ _
0 I hereby affirm tl"tat I have a cert1hcate of consent 10
self-insure. or a certificate of Workers Compensation In•
surance or a certified copy I hereof (Sec. 3800. labor Code)
POLICY NO
COMPANY
0 Copy ts llled with tl"te city
D Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Ttus section need not be completed if the permit ,s lo~dred dollars ($100) or less)
that In the performance of the work for wl'uch
LI is issued. I shall not employ any person 1n any
as to become subJect to the Workers· Compen-
ol California.
NOTICE TO ~PLICANT; If, after making this Certificate
of Exemption. you should beeome subJect to the Workers·
Compensation provisions of the Labor COde. you mus!
forthwith comply with such provasions or this permit shall
be deemed revoked.
0 I hereby affirm that there ,s a construction lendino
agency IOf the performance of the wor1t for whlcl"t this per•
mt! Is issued (Sec. 3097. Civil Code)
Lendef"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 • 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 ~7~9 $~kt~~~i AV.ST.RO. zs~~SS~T ~O;A.;L;T;N1 BUSINESSLICENSE# 7?Jf~ 0:RMITNUMBER
LOT BLOCK 1suBO•V s,oN
1
--so/~P:R~rij _ ~" CONTRAC~R CONTRACTORS PHONE• ZONE/ ~~~
OWNER"S NA""E OWNE'R'S PHONE µfu._.:'./.~~~_.:;µ-:_.=L::::=....:· R._:,_..::_ _________ ...._ ________ -1----------1-----------l
/
-/ / _.4 ,_.. ~ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE .,,,,,,.,, ,_ -,..._ -~ (,, ~~ ....-¥-7 ~ -..s:;::t 7 7
OWNER"S MAr IN<t'ADORESS / / ~ 7 c;9 s..e, ...... ~A~-_/2, L Li Gr-l<LJ DESIGNER DESIGNER'S PHONE
OESCR•PT •ON OF WO•H< .r _,/ '
l----,:,---------,,,q. __________ _.,,.;z._-________ _. DESIGNER"S ADDRESS STATE LICENSE NO.
~-r·J ~v~~ ~ G""'f-/ J~e'c.5 /7 / / 3 ( C, / '/ FIP FLA ELEV NO DCC GP EDU / y ~ -STORIES · 7-v0N0
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE occ LOAD FIRE SPR 0012 03/17 0101 02BldPllt 44.5 AREA CONST
YO NO vO NO YO NO Not ValidUnlenMachintCtrlified
QTY. PLUMBING PERMIT . ISSUE 7 5°() QTY. MECHANICAL PERMIT· ISSUE ~ Ol:> SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 ;J. / _..
EACH 8UILOING SEWER ____ OVER 100,000 BTU SIGN PERMIT 001·810·00·00-8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP___ PLAN CHECK 001·810·00·00·8821 ft -
EACH GAS SYSTEM 1 TO 4 OUTL£TS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00·00·8222 ----
EACH GAS SYSTEM 5 OR MO Rf METAL FIREPLACE --------------1 ELECTRICAL 001·810·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
-1-
EACH VACUUM BREAKER MECH EXHAUST HOOO'OUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT STRONG MOTION 880·519·92·33 ,,.,e;7}
TOTl:.L MECHANICAL _ _ _ _ _ FIRE SPRIN~LERS 001·810·00·00·8227
TO I AL PLUMBING I -~ ~ 'R AR.El J PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT -ISSUE ~OD QTY. MOBILE HOME SETUP ~ ,.. Ann7 ......,/ 1, J j , "' 4"4W PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT Bt<R CAR PORT v...., .._ ---TIF 134·810·00·00·8835
1 PH 3 PH AWNING -•.a.-_ ~ADl-41ttcl 11.l'iA COSTA TIF 133·810·00·00-8835
EXIST BLOG EA AMP1SWT BKR GARAGE ___ ::• ·,,.::. -------••• si:rNf~
1 PH J PH 11,, .... ..,,.. , .. :... • ..... -~--·· ·'=-n""c~EN_s_E--TA __ x ____ o_o-1--a-10--o-o--o-o--8-1_6_2+-------~-4
REMODEL ALHR PER CIRCUIT MFF 880·519·92·57
TEMP PO LE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSJ
CREDIT DEPOSIT ,
TOTAL ELELTRICAL I TOlAl C TOTAL FEES PAYABLE I t.f. L/.<50
, HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT .. ANO 00 HEREBY Exporallon Every permll issued by 1~8 Bu,lding Othcrsr under lhe p,ov,s,ons oftnis * AN OSHA PERM:T IS REQUIRED F~ EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON NC LU DING THf Code snail exp,re by lrm,lahon 8nd become null "nd void II the budd,ng 0 ' work 5 0 DEEP AND DEMOLITION OR CONSTRUCTION OF • authonzed by such permit ,s not commenced w•th,n 180 days from the date ◊t such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permr1. or ,t lhe building or .,ork authorrzed by sucn permll 18 suspen"8<1 or STAUCTVRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH .ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON L..=•.:cbs::.n:.::do.:cned=_:Se...1 =::'n'-'>Y....:1::.:•m.:::e_:l::.:fl::,;erc.,l::.:;he,e_::_"'0.:cr.::k..o''c..:C::sO::.:m::.:m.:,:e::.:;nC,:.,ee,,d....:IO,c,r~a,_,oe"::'-'rr::,,od"--"'olc..1cs8,cO.,,_da,,_,•u'-'5--:-➔'"'!'~!"'■-~~-----------------4
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~C " 0 APPROVED BY /. KEEP HARMLESS !HE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO AP LI AN GNATZURE ~ -~· ... ~~NTRACTOR j/f, OATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY p O [] ~ 7111'7
GRANTING OF THIS PERMIT ---.,,.......__. -• --H NE I / ., ,.._ -I
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TYPE I DATE INSPECTOR I
BUILDING I I""'-,-~1.,;~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl)...ING
SHEATHING □ ROOF D StliEAR
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL -'
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
J
I
PRE STRESSED ~ ·, C..[1 ,n(; CONCRETE . ' -·
POST TENSIONED ' . -~ ~·-,DI CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO O f UCO HIGH STRENGTH
UNDERGROUND D WASTE [ WATER
TOP OUT D WASTE D WATER
BOLTS
SPECIAL MASONRY \ l ~:S i-: J J'
TUB AND SHOWER PAN I
GAS TEST : PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL :
D ELECTRIC UNDERGROUND [!] UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPPRARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIAING INf>I VJ.,I~ VHH u.,nlJ'"'IP"T ""-~"'
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL JNSPEC ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. ..
FINAL I -
PLUMBING I ' '
ELECTRICAL I ,1.,., ' a
MECHANICAL I \'-\~
GAS I \'' ~
BUILDING I _; ~
,.1 -.
-' . . -.
SPECIAL CONDITIONS I I \
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