HomeMy WebLinkAbout2755 SPOKANE WAY; ; 83-43-103; PermitY"'/ s/1[
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1' 1 hereby affirm that I am licensed under
provtalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfeHlona Code, and my license is in
full force~~ l~"f's Loe No ________ Class Bl
I hereby aHirm lhal I am oempt lrom lhe Coolrac-1or·s License Law lor lhe lollowing reason (Sec. 7031 5
Business and ProfessK111s Code· Any city or coonty wtuch re-quires a perm11 to construct. alter, improve, demolish, or
repair any structure. prior to its Issuance also requires !heap-
plicant for such per.mil to tile a signed statement tha1 he is licensed pursuant to the prov1skms of the Coniractor's
License Law ( Chaple< 9 commerocing wi1h Sec lion 7000 ol 01m10n 3 of lhe Business and ProfessiOns COde) or 1ha1" ex·
empl lherelrom and lhe basis for lhe al/oge<J exemplion Any
YIO!alion of Seclton 7031,5 by an appl,cani !or a permit sub· jeclS lhe applicanl 10 a civil penally of not more lhan live hun·
dred dollars ($500).
0 I, as owner ol lhe property. or my employees wilh wages
as their sole compensation. will do the work, and the struc-lure 1s not intended or olfered IOf' sale (Sec. 7044. Business
and Professions COde: The Contractor's License Law does
not apply lo an owner of property who builds or improves thereon and who does such work himsen Of through his own
empk>yees. prO\IKled Iha! such lmprOYements are not intend-,
ed or ottered tor sale. If. however. lhe building or improve-ment is sold within one year of comp6etion. the owner-builder
win have the burden of proving that he dtd not buikt or im-prove !or lhe purpose of sale).
□ I, as owner of the property, am exclusively contraciing wi1h licensed conlractors lo cooslrucl lhe projecl (Sec. 7044, Business and Protessk>ns Code: The Contractor's License
Law does no1 apply 10 an owner of property who builds or Im-
proves thereon. and who contracts tor each projects with a conlraclO<(s) license pursuanl 10 lhe Conlraclor's License Law).
0 As a"""-""' I am improving my home, and lhe lollow-Ing conditions exist 1. The work is being pe~ormed prio< 10 sale. 2. I have lived in my home lor lwelve mon1hs
3. r':v~
0 =~i:_: t1~! =~ption during the last three years.
0 lamexemp1 unde<Sec. _______ B&P.C.
few this reason
ditte,eby aflirm I hat I ha,e a cert,hcale or consent
to sett-,nsure. or a cert1hcate of Workers· Compensation Insurance. o, a cert,hed copy thereof
(Sec 3800, Labor Cooe)
POLICYNO 233-02-48
c<yi'PANY Fireman' s Fund
L!i" Copy IS hied with the city
□ Cer11fte<J copy ,s hereby lurn1shed
CERTIFICA ll OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
Zh section need n01 be tompleted 1f the permI1
1s tor one hundred OOllars (S100) o, less)
certify that In the perlo,mance of the woo for
wh,ch this permit 1s issued. I shall not empI0y any
person In any manne, so as lo become sub1ec1 10
lhe Wof'ke,s· Compensahon La'#s of Cahfom1a
NOTICE TO APPLICANT If, afler matun1 lh1s Gerti
t1ca1e of Exemptt<>n. you should beeome sub1ect f") tne Workers· Compensation prov,s,ons ot !he LabcH
Code. you mus1 for,hw1th comply with such prov,s,ons or th,s perm,1 shall be ~me<J revoked
/he,et,y allorm lhal mere ,s a cons1ruc1oon
lending agency tQf lhe per10fmance ol the wOf'II lor
whtCh this perm1I 1S issued (Se<; 3097. Crv,I Code)
L<ndersNam• Crocker Baok
Lender's AdOress s au Die go
USE BALL POINT PEN ONLY & PRESS HARD -----···· . --· --·-· --··------------· -......... ·-· .............. ---------------------··-· APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS .
i ' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. I DATE OF APl'LICATIONI BUSINESS LICENSE • VALUATION PERMIT NUMBER
2755 Spokane Way 6/11/84 · 3681 89684
LOT BLOCK I SUB:ll1v1~ft :~ ASSESSOR PARCEL NO. CDNTRACTOFI CONTRACTORS PHONE• ZONE 83-43-103
103 Sp nn er Pt l 1o, u ~ l ~S~ ~tandard Pacific of San Diego 279-2042 OWNER'S NAME c;r 71.f'-OY' OWNER'S PHONE
Standard Pacific of San Diego 279-2042 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
(same) 294215 OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE
_uzard/Henning & Associates NR 1583 DESCRIPTION OF WORK --
DUIGl'IER'S ADDRESS DESIGNER"S PHONE u, ~ Ir_ U• _ •b.f..r
SFD -Plan 330 4883 Ronson Ct., SD 92111 278-6855
--F/P FLA ELEV. NO OCC GP EDU
'!. 1-.. -STORIES . '\.' ...... ' ,.. . ' ~ -vO NO --1 R-3 1
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA CONST 614 1 YO ND vO ~ VN vO ~ Nor Valid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP 25.00 1 INSTALL FURN . DUCTS UP TO 100.000 BTU L,, ()() BUILDING PERMIT 01·00-00-8220 403.00
1 EACH BU◄LDING SEWER 1 6 .50 DVE R 100,000 BTU SIGN PERMIT 01 ·00-00-8221
1 EACH WATER HEATER AN O/OR VENT 2 . ">{) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 261.95
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ? c;.n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 44 .00
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00-00-8223 30 ()()
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 7 ()()
EACH VACUUM 8REAKE.R MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00·00·8225
WATER SOFTNE R RELOCATION OF EA FURNACE/HEATER MOBILE.HOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-•??~
• -;. ·-TOT t;L MECHANICAL STRONG MOTION 80-92·33-0519 r.. 1fl
TOTAL PLUMBING I 7.00 ,. ,. "'" FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 5.00 ~ J BRIDGE FEE
NEW CONST EA AMP/SWT1BKR 100 25.00 COLLECTORS r.4f .
t SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS J I 'f' Carlsbad 80-92·21 ·0519
EXIST BLOG EA AMP/SWT/BK R ROCK STORAGE I ,l7 ..1""' \ Encinitas 80-92-22·0519
1 PH 3 PH PUMP n lw f::/\•' h-San Dieguito 80·92-23-0519
REM ODEL 'ALTER PER CIRCUIT PLAN CHECK FEE \, y 111• San Marcos 80-92-24-0519
TEMP POLE 200 AMPS . . .:.
OV ER 200 AMPS LICENSE TAX 01-00-00-8162 1 7qq nn
TEMP OCCUPANCY (30 DAYS) MFF r..nn nn
CREDIT DEPOSIT -
TOTAL ELECTRICAL I 30.00 ,
TOTAL SOLAR TOTAL FEES PAYABLE I 3151.25
' . ~:e-,.,.,.... llluedllylht8uildingOfflciallfHler1"8prov111lonaoftt1ta * AN~ IIEOIMED FOft EXCAVATIONS OVf.111 I HAI/I; O,.~Y_EXAMINED THE COMPlETEO MAPPLICATION ANO PERMIT"_=-DO HEREBY
CERTIFY UN ·=NtTV·OF PENURY THAT AU INFORMATION HEREON UDING THE eo... ............ ., lilllilMiaft -bllcome'TIUII and VOid "the bulldmg or-s· cr ANO -· OR CONSTAUCl10N OF DECLARATIO SA T U£ AND ~CT ANO I FURTHER CERTIFY ANOMFIIEJ!lf;;Af'ER•IIT IS _,...... !Iv-" ...,.,,;c ianatcom-teedwilhlll tl0ctaystromt11e.)laieol IUCh s-· ..,_ l STORIES IN HEIGHT ,--_•it,~ -aullloriMCI i., tuc:h perm11 or ISSUED: TO COMPLY WITH ALL CITY, OOUN'FY AND STATE LAWS GOVERNING-IIUIU)ING CON-........ ---IA c--,ced tor •---ol ,1111---/ I /
STAUCTION, WHETHER SPECIFIED HEAElN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPI.ICAN!'9 -if_ OWNER□ CONTflAc:'Toft 0 APPROVED BY i ~ (7uAi KEEP HARMLESS T~ CITY OF CAAUl8AD AGAINST AU UABIUTIES. JUOGMl!lifra. COSTS AND EXPENSES WHl(:tf .. AV iN AN'( WAY ACCRUE AGAINST SAID CITY IN CONSBIUENCE OF THE )('t;/I L ~ .-. .. 6 _ 8YPHONE 0 GRANTING OF .fHIS PEAIIIIIT, 'IT-~ I.T , __ "'-
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: -, : ... ( 1~-_.-t .. "";_ ----'J: ~~'-,/ ,-\ ' < TYPE DATE INSPECTOR ~~ t~-4'~--103 \ b~
...
BUILDING I / ' -.... ~ ,..__ ,_, -
~ -. FOUNDATION I '-M ,._ ""1 FIELD INSPECTION RECORD '
REINFORCED STEEL ' ~ ' --~ I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
REQ IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE .
FLOOR & CEILING SUB F&lM.E ' I SOILS COMPLIANCE
SHEATHING Q"R~□ SHijAR PRIOR TO (,
'\V ~ U· \L,</'-r ~D
FOUNDATION INSP " FRAME ,IL ~ --.. ' STRUCTURAL CONCRETE ! . • EXTERIOR LA TH .-
I OVER 2000 PSI
INSULATION \7-\.\•~4-,...,~ PRES TRESSED .. ... ,.i V CONCRETE ' . .. "\
INTERIOR LATH & DRYWALL ~ i2.: iva :.;-~ POST TENSIONED i ,·
' ' CONCRETE ,· . , ,. ~
I
' PLUMBING I ~ FIELD WELDING '1
SEWER AND BUCO D IPUCO l-,,"2'~ ~ HIGH STRENGTH I ' '· I .._
BOLTS D Y\'ATEFY ,,-~ -' ~NDERGROUND □ WASTE -_,/_ I • .
TOP PUT □ WASTE \ l, tl \R~~ ~ -~ .........,,.IAL MASONRY
I ~
TUB AND SHOWER PAN 1 / -
Ii. 'GAS TEST I / PILES CAISSONS ! I r .
□ WATER HEATER D SOLAR WATER .
I ..
ELECTRICAL : ..
□ ELECTRIC UNDERGROUND OIUFFER ~ g~: • ROUGH ELECTRIC 'l·\vi~~~ -• .. .fi' .
□-TEMPQRARY ' --I ' □ ELECTRIC SERVICE
□ BONDING □ POOL I 1·
i ' '
MECHANICAL I I"' ,, -..L. ./
I A ~ □ DUCT & PLEM., □ REF. PIPING\.\--\10 i -; t::::: .
HEAT -AIR COND. SYSTEMS --
I
VENTILATING SYSTEMS ! '
I
CALL FOR FINAL /NSPEC,~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I -.
PLUMBING ! ' ' ELECTRICAL l ) , ~ ,,fl ( I • r,.. ,
MECHANICAL ! I \ 1 ll" \( '-,
GAS I \_ y {111'
BUILDING I V -;:, I . I
SPECIAL CONDITIONS I ,1 /v
I I '.
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CITY OF CARLSBAD LOT # /t,3 ..
INSPECTION RECORD
ADDRESS: ¢?£:5 ~0 ,
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR ( ) CEILING
SHEATHING ( ) ROOP ( ) SHEAR
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
FINAL. ___________ _
PLUMBING
SEWER & BL/CO ( PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL ------------
ELECTRICAL
ELECTRIC UNDERGROUND ( ) UFFER
BONDING ( ) POOL
FINAL ------------
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR CONO. SYSTEMS
VENTILATING SYSTEMS
FINAL. ___________ _
COMPLETE BUILDING FINAL !~-.
DATE,;3 ·Z1 ·tf.J _,rr,,
CLEARED WITH GAS AND ELECTRIC
DATE: --------
NOTES ON REVERSE SIDE •••..•