HomeMy WebLinkAbout2743 SPOKANE WAY; ; 84-43-106; PermitoO
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~ hefeby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force ani effr,t-
L1< No 29 2 5 Class _ _fil
I hereby affirm th.al I am exempt from the Cootrac·
tor's Lw:ense Law tor the lollowmg reason (Sec. 7031.5 Business and Professions Code Any city or county which re-
quires a permit lo construct. alter, improve, demolish, or
repair any structure, prior to 11s ,ssuance also requires !heap-phcant for such permit to file a signed statement lhat he 1s
licensed pursuant to the provisions of lhe Contractor·s Li<ense Law (Chapter 9 commencing wI1h section 7000 ol
O.Visoon 3 of Ille 8uslf10Ssand Professions COde)or that is ex-empt therefrom and the basis tor lhe allegea exempliOn Any
v10lat,on of Sect,on 7031.5 by an applrcant for a permit sub-jects the applicant to a cr.-Jt penalty of not more than five hun•
dred dollars ($500)
0 I, as owner of the property, or my empl0yees wilh wages
as lheir sole compensahon, wdl do the work. and the struc-
ture is not intended or ollered tor sale (Sec 7044, Business
and Protess,ons Code: The Conuactor·s I.Jcense Law does not apply to an owner ot property who buikls or improves
thereon and wllo does such -k h1msetl or through his own
employees. provided that such improvements are not intend-ed or ottered for sale. If, however. the buItding or lmprove--
ment is sold within one year of com~ion. the owner-builder will have the burden ol prov,ng that he did not build or im-
prove lor the purpose ot sale).
D I, as owner ot the property, am exclusively contract,ng with licensed contractors 10 construct the project (Sec. 7044,
Business and Professions Code: The Contractor's License
Law does not apply to an owner of property who builds or im· proves !hereon. and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the follow· Ing CO/ldtt,ons exist: t. The -k is being pe~ormed prior to sale. 2. I have lived ,n my home 10f twelve mooths
p<iof to completion ol lhis work. 3. I have not claimed lhis exemption during the last three years.
0 lamexemplunderSec. ______ , B&P.C. for this reason ____________ _
"nerel,,/ •lf,rm that I ha•e a cen1t,ca1e ot consent
to self.insure, or a cert1hca1e of Workers
Compensahon Insurance. or a cett1f1ed copy theteol
(Sec J800. Labor Code)
POLICY NO 233-02-48
co)'PANY Fireman's Fund
56' Copy IS hied w,th the city
□ Cer11hed copy 1s hereby lurmshed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
Zsecuon need not be comp1e1ed 11 1r,e pe,m,1 s fo, one hundred dollars (S 100) or less}
eruty thal in lhe: performance of 1he wM IOf
wh,ch this perm11 ,s issued. I shalt not employ any
person in Niy manner so as lo become sub1ect to the WOOl.ers' Compensation Laws of Cahfom,a
NOTICE TO APPUCANT If. after makinJ this Cer11
hcate ot Exemption. you shoukl be-come subIec1 ,,,
the W()n!.ers· Compensation prov1s1ons of lhe Lat>or Code. you must torthw11t1 comply with suer,
ptov1s1ons or this perm,1 shall be deemed revOked
I. r-.ereby affirm IMt mere IS a cons1ruc1,on
lending agency tor tr.e performance ot !he work lor
wruch th•s permit ,s issued (Sec 3097. C1v,1 COdeJ
Lenders Name c~ocker Baak
Lende, s Address -~~--~-----San Diego
USE BALL POINT PEN ONLY & PRESS HARD ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATION~.
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO NEAREST CROSS ST. I DATE 6oi;~jL~:T10NI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2743 Spokane Way " /
3681 121608 -
Yil, BLOCK ls~BOIVISION j ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE J 84-43-106 innaker Pt I 1,7 4 '!. \ <., ~ Ou
OWNER"S NAME (..,j,~4' I OWNER'S PHONE Standard Pacific of San Diego 279-2042
CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.O. # BLOG USE CODE Standard Pacific of San Diego 279-2042 (same) 294215 OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
Buzard/Henning & Associates NR 2205 DESCRIPTION OF WORIC
DESIGNER'S ADDRESS DESIGNER"S PHONE
SFD -Plan 350 4883 Ronson Ct., SD 92111 278-6855
--.. ----~ ---·-" --NO 6/2f/tj"06t..b 39;i-1.7 F/P F LR ELEV. OCC GP EDU STORIES '-.... vO NO 2 R-3 1
CENSUS TRACT I GP LAND use I PARKING SPACE 1 RES UNITS 1
GRADING PERMIT ISSUEO REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
579 1 YO N 0 vO ~ VN v□X.o Not Valid Unkn Abchine Certified
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
.u EACH FIXTURE TRAP Jl . .J!J 1 INSTALL FURN. DUCTS UP TD 100,000 BTU 4.00. BUILDING PERMIT 01-00-00-8220 41:m.uu
1 EACH BUILDING SEWER 6.50 OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
1 EACH WATER HEATER AND /OR VENT 2.50 BOILER /COMPRESSOR UP TD 3 HP PLAN CHECK 01 ·00-00-8806 317.20
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 54.00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 30.00
EACH INSTA~ .. ALTER, REPAIR WATER PIPE ") VENT FAN SINGLE DUCT 4 ()(). MECHANICAL 01·00-00-8224 11.00
1 EACH VACUUM BREAKER 2.50 MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00-8225 -
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIOEI SOLAR n,-no.nn-oooc
TOT.C.L MECHANICAL 11.00 STRONG MOTION 80-92-33-0519 8.51
TOTAL PLUMBING I r:;J, ()() FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
r:; nn BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR 1 nn ?c; nn COLLECTORS /i SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TAN KS A' Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/8KR ROCK STORAGE ,. ~V' I Encinitas 80-92-22-0519
l PH 3 PH PUMP ) ,H (J r I San Oieguito 80-92-23-0519
REMODEL 'ALHR PER CIRCUIT PLAN CHECK FEE .I 1 1A .1 V f.t-San Marcos 80-92-24-0519
TEMPPOLE ,200AMPS I 'fl -;.,_t,
OVER '200 AMPS I /J_JV LICENSE TAX 01-00-00-8162 ?1, ".l.? nn
TEMP OCCUPANCY 130 DAYS) z ...,,,.,,, t:;fl(l (\()
CREDIT DEPOSIT
TOTAL ElEClRICAL I 30.00 TOTAL SOLAR . I TOTAL FEES PAYABLE 3940. 71 ~
I HAVl: C,-AEFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY E,cpi-E,rery perffltl oaaued by the Bu~ding 0fflctal under !he provrs,ons of thts * AN OSHA PEMIIT IS RE0UIAEO FOR EXCAVATIONS OYER
CERTIFY CINDEf! P.~AL:TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -I expore by It-_,d becOffllt nulf and _,, II 11'18 butldtng Of -5'c:~ --, 0EMOUTlON OR C0N$TRUCTION OF authonzed by such permit ia nol com~ wolflon 180 days from the dlle of such DECLARATIONS ARI! TRUE ANG CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT 15 perm,t_ o, ,'!JI!, butld•~ worll aulhonZ.cl by auctt pem,11 ,. •~-or St,_ 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITHALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~ -a Ille work ,a -to, a ~,od of · ~--·· / .
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPL~• OWNER 0./coNTAACTOR □ APPROVE~~ ~/44' t<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of' THE . --~ BY PHONE 0 GRANTING OF THIS PEJUtllT.-,,--, ..---
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TYPE J DATE INSPECJOR I •
BUILDING ! ' /
"\. ' 4·-\ -. '\~·--9q ... 4~-\0Jo -'-.:. .... r. '
FOUNDATION i ., ,.,.,,_ i-,-~ rt -~ FIELD INSPECTION RECORD
REINFORCED STEEL ! I r ---I
MASONRY !
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME ' I
SOILS COMPLIANCE -
SHEATHING □ ROOF D SHEAR -
FRAME I
I 1"1 f) ,'>«: ~ I
EXTERIOR LATH I I
PRIOR TO . -FOUNDATION INSP ,,
STRUCTURAL CONCRETE • l ' '· OVER 2000 PSI -INSULATION I
INTERIOR LATH & DRYWALL I
PRES TRESSED ' CONCRETE
POST TENSIONED ,,
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I _ ...,_,ln ~ I .....
UNDERGROUND □ WASTE □ WATEW ' IJ ... I -u -.,
TOP OUT □ WASTE □ WATER? CjtJ,l)Ln ,6, ~ t ... , __
HIGH STRENGTH
BOLTS
• SPECIAL MASONRY I .
TUB AND SHOWER PAN : / , -• '
GAS TEST I I,
PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
' I
,, •'
L l • I .,
ELECTRICAL I ,, . ,
AC □ ELECTRIC UNDERGROUND O1UFFER --. .
I .
ROUGH ELECTRIC I r_/,7/J•"ll ~J I
.. □ ELECTRIC SERVICE □ TEMP~RARY ,
□ BONDING □ POOL I ' '
I
" ' . . I I
l <
I "
MECHANICAL I I
□ DUCT & PLEM., □ REF. PIPING C..f ,1/)-'rJJ,, r~ . '
HEAT -AIR COND. SYSTEMS I .. _ -..
I
VENTILATING SYSTEMS !
I
CALL FOR FINAL INSPEC~
1
ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL i
PLUMBING I
ELECTRICAL I ; ,..._ , I
MECHANICAL I ~ \.~ J •
. .
GAS I '-1 :J " , \L/ v-:l
BUILDING ! ~ ~ ~ J~ 1:::i I l
SPECIAL CONDITIONS ! -..lk' "\
V
t
l I -'
I
LOT # /0 b CITY OP' C~BAD ;
INSPECTION RECORD
ADDRESS :.). ?c/3 ~ L ✓
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME FLOOR ( ) CEILING
SHEATHING ( ) ROOF ( ) SHEAR
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH' DRYWW
FINAL ?-If~ =-. z;.,,
PLUMBING
( ) SEWER & BL/CO ( ) PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEAT;~ SOLAR WATER
FINAL /1/1 ~ ~
ELECTRICAL
==-=-====
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR CONO. SYSTEMS
COMPLETE BUILDING FINA~~
DATE : J,-/f✓
CLEARED WITH GAS ANO ELECTRIC
DATE: :3--/ 1-Lo1ll.
NOTES ON REVERSE SIDE ••••••