HomeMy WebLinkAbout2751 SPOKANE WAY; ; 84-43-104; Permit(1/ s)l
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" hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full force ~'lj 4~~5 lie No _,......_.:u~--'-Class .B.l
I hereby affirm lhat I am exempt from lhe Conltac· !or's License Law !or !he lollowing reason (Sec 7031.5 Business and Professions Code: Any city or county whteh re·
quires a permit to construct. alter, improve, demolish, or repair any struclure. prior to 11s issuance also requires the ap· plicant for such permit to hie a signed statement thal he 1s licensed pursuant to the prov1st0ns ol !he con1rac1or's
license Law (Chapter 9 commencing with Sect10n 7000 ot O,vis,on 3 ol lhe Business and Protess,ons Code) or that IS ex·
empl therefrom and the basis tor the allegeo exemplion. Any
violallon of Section 7031.5 by an applicant tor a permit sub· jecls the applicant lo a civil penalty of nol more than five hun•
dred dollars ($500).
0 I. as owner ot the property. or my emp!Oyees w1tn wages
as their sole compensahon, will do the work. and the strut· ture is not inlended or offered !Of sate (Sec 7044, Business
and Professions Code: The Contractor's License Law does nol appty to an owner of property who builds or improves thereon and who does such work h,msett or throogh his own
employees, provided thal such improvements are not intend·
ed or offered for sale. 11. however. the building or improve-ment is sold within one year of complelion, the owner-builder
will have the burden of prOYlng that he dtd not buHd or im-prove for the purpos, ol sale).
D I, as owner of the property, am exclusively contractmg
with licensed contractors to construct the project (Sec. ICM◄, Business and Professions Gode: The Contractor's l.Jcense
Law does not apply to an owner of property who builds or im-
proves thereon. and who contracts tor each projects wrth a
contractor(s) hcense pursuant to the Contractor's License Law).
0 As a homeowner I am improving my home, and the lollow· ing conditions exist:
1. The work is being pertormed prior to sale.
2. I have lived in my IMlme for twelve months prior to completion ot this -k. 3. I have 001 claimed this exemption during the tast three years.
0 I am exempt under Sec. ______ . 8 & P.C.
for this reason -------------
,, hereb',' alhrm that I ha.-e a cert1hca1e of cpnsenl
10 self-insure. or a cert1t1cate of Workers·
Compensation Insurance. Of a cert1t1ed copy thereol
(Sec. 3800. Labor CodeJ
POLICYNO 233-02-48
co,{PANv Fireman's Fund
ri Copy IS hied with lhe city
0 Cert1hed cop.,. 1s hereby turn,shed
CERTIFICATL OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sechon need not be complete<J ,t the perm11 rs fOf one hundred dollars IS 1()0) °' tess)
fS I certify that 1n the perlo,mance ot the work '°' wh,ch lh1s pemut 1s issued, I shatl nol employ any
person 1n any manner so as to become sub1ec1 Id
the Workers· CompensattOn Laws ot Cahtom,a
NOTICE TO APPLICANT 11. alter makinj !his Cert•
hcate ot Exemption. you should beCome sub1ec1 I?
the Workers· Compensation prov,s,ons ot lhe Labor Code. you must IOfthwtlh comply with such
prov,st0ns o, this permit shall be oeemed re'IIOkecJ
/,hereby atfo,m 1na1 me,e ,s a coos1ruc1,on
1end,ng agency to, the per1ormance ol the work lor
which lh1s pe,m11 1s issued (Sec .)097 C1'tl1t Cooe1
LenoersName Crocker Bank
Lenoer's Aoo,ess San Di ego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOO,.ESS AV. ST.RO. NEAREST CROSS ST. I DAT~;~~;~:ATtONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2751 Spokane Way 3681 g-tlt,f4 ?f-f3-1J/ LOT IJ BLOCIC: I SUBOI VISION J ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
10 Spinnaker Pt. 1 <., 1 4~ \ c-,1., oO Standard Pacific of San Die~o 279-2042 OWNER'S NAME CT ,4-0~ I OWNER'S PHONE
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE Standard Pacific of San Diego 279-2042 (same) 294215 OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE tt STANDARD PLAN # BUILDING SQ. FOOTAGE
Buzard/Henning & Associates NR 1sr3 DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
SFD -Plan 330 4883 Ronson Ct.,' ~D 92111 278-6855 6/2 l /t:14:iti:::~ 3. I S I a.:.'f
~ ----------------~ ---F/P FLRELEV. NO OCC GP EDU STORIES ,(!_, 3 I .. . vO NO I ---
CENSUSTRACT I GP LANO lJSE
I
PAz,N;;PACE I RE,NITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAO FIRE SPR
AREA N'fll. COP# y D ND v O N vO ,Jt Not Valid Un~s Machine Ctrtifi«i
QTY. PLUMBING PERMIT · ISSUE 1..52 QTY. MECHANICAL PERMIT -ISSUE .1-SUMMARY/ACCOUNT NUMBER
/V EACH FIXTURE TRAP ~c-I INSTALL FURN. DUCTS iJP TO 100,000 BTU it~ BUILDING PERMIT 01·00·00·8220 ~~-
I EACH BUILDING SEWER 1-Sll OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
I EACH WATER HEATER ANO/OR VENT :L..S?J BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806 .:21:.I. //.<
I EACH GAS SYSTEM 1 TO 4 OUTLETS ., en BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 44-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 ~/)-
EACH INSTAL .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224 ?-
EACH VACUUM BREAKER MECH EXHAUST -HOO0I0UCTS MDBILEHDME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-QQ.A??I:
.... TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 .t,.~
TOT AL PLUMBING I ~.,.-7-:-FIRE SPRINKLERS 01·00-00·B227
QTY. ELECTRICAL PERMIT· ISSUE ~--QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
I\ I BRIDGE FEE
NEW CONST EA AMP/SWT1BKA //J"D _;;i_,-COLLECTORS H -l ,, SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS .r 4,. ~ Carlsbad 80-92-21-0519
EXIST BLOG EAAMPISWT/BKR ROCK STORAGE "' ✓ ...J -l'f Encinitas 80·92-22-0519
I PH 3 PH PUMP "\ \J' "" ,v San Oieguito 80-92-23-0519
REMODEl'ALTER PER CIRCUIT PLAN CHECK FEE \ r T .I\:'\ San Marcos 80-92-24-0519
TEMP POLE 200 AMPS " -..
0Vb'1 200 AMPS
_, ... . ' LICENSE TAX 01-0CHJ0-8162 11q9,--
TEMP OCCUPANCY 130 DAYSI MFF L~--
CREDIT DEPOSIT -
TOTAL ELECTRICAL I :JC,-TOTAL SOLAR TOTAL FEES PAYABLE I a1SI.~
I HAVE C~REFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"' ANO 00 HEREBY Explrailon. fwely peffllll .....,.,,111418tiildlng0fflctal under the prov111onsof th1a * AN iliiio .::::; IS AEOUll'IED FOR EXCAYA110NS OYEfl Code lllall ....... II, llmllllllOn 81111.,_,.,. null and VDKI tt Ille buoldmg o, _,.. CERTl'FY \INOEA l!,IN~l,Y Of .PERJURY THAT /ILL INFORMATION HEREON INCLUDING THE IIUlhorind by_,. perm,t is 1101 _,_ willm 190 clays from Ille date ot such 5' 0" -· OR CONSTAUCTION OF
DECLARATIONS Al'IE UE'ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or If · or -" -.i<ized by a,ch permit ~8ge,111ed or 5-:--~_7 , 3 STOAIES IN HEIGHT
tSSUEO-TO COMPLY WITH All CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON• ..... ldoned • .,. -----wtt•-~b ■-,OCI I ......__ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPi.i-• OWNER CONTRACTOR 0 APPROVED½,__4,-
1~/44-,
t<EEP HARMlEs& 1lt£ CITY Of CARlSBAO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ..:v·o~//-2 EXPENSES WHICtl'MAY IN ANV WAY ,-CCRUE AGAINST SAID CITY tN CONSEQUENCE OF THE ,;~ BY PHONE 0 GRANTING OF THl&PEAIIIIT.
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I_ J..'\_' ,_ , ·•· •. TYPE I DATE INSPECTOR l ,--al, r-~-84-<f "b__;Jotr r.
I BUILDING I -_·-,-, C--, ----I
FOUNDATION I ~ 1"7-n A ~ FIELD INSPECTION RECORD
REINFORCED STEEL I I ,----. -l REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I ~ -.1
INSPECT~ON REO IF INSPECTOR'S GUNITE OR GROUT I CHECKED APPROVAL DATE --
I --FLOOR & CEILING SUB FRI\ME I SOILS COMPLIANCE . -. ;~-:,-:--
SHEATHING Cll .... ;-..... ~~o SHFAR PRIOR TO I I \ \_ • •• .6 / DATION INSP . ,~~ ...... --FRAME '~ \'\·'u,~ -., ✓-~ ,
'I 6 6 .. ~ a STRUCTURAL CONCRETE ·,. ' ., --. EXTERIOR LA TH ' / OVER 2000 PSI ,i I . -
INSULATION I \7., ... <;l\ ~..,.f / PRES TRESSED , ' ,:
CONCRETE
, '' '• INTERIOR LATH & DRYWALL j \'l. -\~··;" ,.. -POST TENSIONED ·, '"' I CONCRETE \ . p
_l 'r " PLUMBING I . -_:, FIELD WELDlr~_G .
SEWER AND BUCO DIPUCO 1"1 IZ ~ W 1.--n HIGH STRENGTH • . ,._ I ... BOLTS UNDERGROUND D WASTE O_t{ATE~ I' I , ---. ~ \ ..... _ ' t\ n~·,-;".":-.,,. 1.-, "JI SPECIAL MASONRY . -TOP OUT D WASTE -~ -I TUB AND SHOWER PAN .. V I
GAS TEST I / ,, ·-I PILES CAISSONS t'. D SOLAR WATER
,. > D WATER HEATER -' I .. ! -..
I -
~ :.. ..... .,, ......
ELECTRICAL I . ............ .
.1 -~ • -' ". :.,. •.. . ..
D ELECTRIC UNDERGROUND O 1UFFER -6,
...,_ ' . '-"""'(-"'· • < ... ~. .. -. ' ROUGH ELECTRIC \ I .. \ h 't(u; X~.6' 1-· ..... , .. . ~--. -.
D ELECTRIC SERVICE D TEMP{1RARY r--... ,._ . ~ "..! --\" ..
D BONDING D POOL I ' .I . ' ' . .
'•1. . -I . . / •· I _/' ' . MECHANICAL A ----D DUCT & PLEM., D REF. ft!ftlN~,i\~i , ....,,. .,. '. . I •. . ., . l,II I ~ J , . -~ ·•: ' HEAT -AIR COND. SYSTEMS ~ I .
VENTILATING SYSTEMS I,
I
I -. -CALL FOR FINAL /NSPECUON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. -.
FINAL I
PLUMBING I L
ELECTRICAL I .
I -, .
MECHANICAL I ! .... •\ ., .... \ -~ -~
GAS I ' . • --i BUILDING r
SPECIAL CONDITIONS I
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