HomeMy WebLinkAbout2391 SPRUCE ST; ; 84-173; PermitI
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0 I hereby affirm that I am licensed under
provl1lona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No ______ Cl,ss
I hereby affirm thal I am exempt lrom the Conirac•
lot's Lanse Law lot !he IOllowmg reason (Sec 7031 5 Business and ProfesSJOns Code Any city OJ county wh1Ch re·
Qunes a permrt ro construcl, al1er. improve. demohsh. or repair any structure. poor 10 fts issuance also requires the ap· phcant tor such permit 10 file a Sfgned statement that he ,s
lttensed pursuanl to !he prov1s10ns of Ute Conuac101·s License Law (Cl!apler 9 commencing w,lh Seclion 7000 ol
Olv1s1on 3 01 lhe Busmess and Professions COCle) or that 1s ex· empl lherelrom and lhe basiS tor lhe allegeo exernp110n Any vlOlal,on of Secl,on 7031,5 by an applicanl IOI a perm,1 sub· jecls the applicant 10 a cMI penally of not more than h\le hun·
dred dollars ($500).
D I, as owner ol lhe property. or my employees w11h wages as lhetr sole compensation. will do the work. and the struc-ture is not inlended Of offered for sale (Sec. 7044, Business
and ProlesSJ()lls Code· The Con1rac10<'s License Law does nol apply 10 an owner of p<operty who builds o, improves
lhereon and wno does such work himself or lhroogh h1s own
employees, provided that such improvements are not Intend· ed or ottered for sale. 11. however. tt,e buikhng Of improve-
ment is sold within one year of cornp!elion. the owner-builder
will have !he burden ol proving Illa! he did not build or ,m-p,ove for lhe purpose of sale).
D I, as owner of the property, am exclusively contracling
with licensed conlraclors lo conslruct lhe project (Sec. 70<14, Business and Professions Code: The Contrac1or·s license Law does not apply to an owner of property who buHds or im-proves thereon. and who contracts for each pro;ects with a
contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and lhe lollow·
ing conditions exist: 1. The -k is bemg performed prior to sale.
2. I have I Wed In my home for twelve months p<ior to completion of lhiS wwk.
3. I have not ctamed lhtS exempllOfl during the tast three years.
D I am exempt under Sec. ______ , B & P.C.
tor this reason
□ I hereby athrm 1ha1 I ha·-,e a certificate of consent
to selt-msure. Of a cert1t1cate ol Workers·
Compensahon Insurance. or a cert,hed copy thereol
(Sec 3800. Labor Code)
POLICY NO 2/..t 3 'II(£
. I\A.,Wr' COMPANY -,-,~ ,. • n
~y IS hied w11h t city
□ C'.ert1f1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sectton need not be completed 1f the perm,1
1s tor one hundred oouars (S100) or tessl
0 I certify that in 1he performance 01 lhe wo~ 10<
which 1h15 permit 1s issued. I shall not employ any
pe,son in ¥\y manner so as lo beeome sub1ect 10
the WO(i(ers· Compensation Laws ot Ca11tom1a
NOTICE TO APPLICAN T If. alter mak1n1 this Cert•
hcate of E•emp11on, you should become sub1ec1 l'J
the WMe,s· Compensation P,OVISK>OS ol the Labot Code. you must forth-.·1th comply with such
provisions or this perrmt shall be deemed revOke<l
0 I hereby a1t1rm !NI there ,s a cons1,uc1,on
lend,no ~ency tor !he performance ol lhe won.: tor which lh1s perm11 ,s 1ssueo (Sec Yfj7 Cml COde)
lendet s Name ___________ _
Lenders Aeldress __________ _
USE BALL POINT PEN ONLY & PRESS HARD ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -----·--~-----
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 9/11· i r 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
Joe ADDRESS
-Sfleuc e,
AV, ST.RO. NEAREST CROSS ST. I~~ 11:t?ti BUSINESS LICENSE # VALUATION • PERMIT NUMBER ;J.3q1 Sf-, .5c,qg gY-/
LOT I 8LOCK I SU80l 'VSION l ASSESSOR PARCEL NO ltJiskefl-J SvJJ O;rrlR ~ CONTRACTORS PHONE • ZONE /13 zez,...,223(, -
~-SNAME
!J{!_.,,V/JI+-I q3 Zj_~E3c}3q I cJ tYL ~St/~3 AO°fldbk/41/s /ld LICENSE NO. PLAN 1.0. # 8LOG USE CODE
{/3WJ7/ OWNER'S MAILING AOORESS
: Sftme, DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOT AGE
OESCRtPTrON OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE --
II )a_-;f;',,t IJ!oi"vf (I~ 31 d/c.'t.t;Lo/--F/P NO EDU I" ' ~ u FLA ELEV. OCC GP •• STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unlffs ~chine Certifitd
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT. ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
I EACH WATER HEATER AND/OR VENT d .57} BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLE.TS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 JO -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00·8223
EACH INSTA~ .. ALTER, REPAIR WATER PIPE .... VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·0Q·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00·00•A??R
TOTJ;L MECHAN ICAL STRONG MOTION 80·92-33·0519
TOT AL PLUMBING I 10--FIRE SPRINKLERS 01·00-00-8227 -
QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
NEW CONST EA AMP/SWT.1BKR COLLECTORS ' SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
) PH 3 PH PUMP San Dieguito 80·92·23·0519
REMODEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /0 -
I HAVE CAREFULLY EXAMINED THE COMPLETED --APPUCA TION AND PERMIT" ANO DO HEREBY EapiraliOn. Every~ aied byttlt lluildifl90lllciel under tt,ep-oiltlis * AN 08HA PEAMIT IS IIEOIMED FOIi IEXCAVAl10NS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCWDING THE ~ Shell expire by hlllltatlon _,di.:oa. null 11111 •Old II the butlding or work 5" 0-DEEP AND llEM0lmON Oft CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS onzedbyauct, permit 19 notcommenc:ed w-t80dayalromll1edateolsuc'1 STRUCT\IAfS OVER 3 STOAIES IN HEIGHT perm~ if the butldi:2:~~ authOrind by 9UCh permit ,, suaoended or ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON III anv bme a work II c:om~ for a .,.,,od of 1110 "-• ·~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . .y4'LJ ~~ _re 0 CONTRACTOR~ APPROVED BY/ V 1?M/f1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO ~ R
EXPENSES WHICH MAY IN ANY WAY .. i\CCRUE AGAINST SAID CITY IN OONSEQIJEN7THX_p? ~ 'L1/ BY PHONE 0 GRANTING OF THIS PERMIT~ _ _ _ _ £/'l7'(
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION !
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHjAR
FRAME I
EXTERIOR LATH I
INSULATION !
I
INTERIOR LATH & DRYWALL I • .
I
PLUMBING I •
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER --
TOP OUT D WASTE D W/>,TER
TUB AND SHOWER PAN I
GAS TEST I .
D WATER HEATER □ SOLAR WA_TER '
t ••• j
ELECTRICAL I
D ELECTRIC UNDERGROUND D j.JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I ., ' I
I
MECHANICAL i
D DUCT & PLEM., D REF. PIPINIG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
\
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
FINAL
SPECIAL CONDITIONS
...
8'4-t,3 ~:.' ._, \
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
I SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED I CONCRETE
POST TENSIONED ' CONCRETE j, ~ '
FIELD WELDING ~ '
HIGH STRENGTH : BOLTS -----
SPECIAL MASONRY I .
l'i•, i I
PILES CAISSONS j ,. I
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