HomeMy WebLinkAbout2246 SPRUCE ST; ; 83-22; Permit<I) z 0 ~ a:
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code. and my license Is In
full force and effect.
Lie No _____ Class
I hereby affirm lhal I am exempt trom lhe Contrac·
!or's Uconse Law lor lhe folloWlng reason (Sec. 7001.S Business and Profess10ns Code: Any city or county which re-quires a pennit 10 conslruct, aher, lmprOYe, demolish, or repair any struclure, prior to its Issuance also requires the ap-
plicant lor such permrt to file a sig<led stalement that he is licensed pursuant to the provisions of !ht Contractor's License Law (Chapter 9 commencing with SecllOn 7000 of Division 3 01 lhe Business and ProfesSIO<IS Code) or that Is ex-
empt lherelrom and the basis lor lhe alleged eumpllon. Any r::~~ :p~1~1n1J~3i~ ~n~~~~'::..:~ ~~ ~~
dred dollars ($500).
D I, as owner ol lhe property, or my employees with wages as their sole compensation, will do the work, and the slruc-ture Is not Intended o, oll8fed for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law does
not apply to an owner 01 property who builds or lmPrOYeS thereon and wllo does such work himself or through his own
employees, provided that such Improvements are not intend-ed or ottered for sale. 11, however, !ht building o, improve-
menl is sold within one yoar of completion, the owner-builder will hm the burden of proving that he did not build or im-
prove for the purpose o1 sale).
D I, as owner of the property, am exclusively contracting whh licensed contraclors to construct the project (Sec. 7044, Business and Prolessions Code: The Contractor's Uconse
Law does not apply to an owner o1 property who builds or 1m-proves ·111ereon, and wllo contracts for each projects whh a conlractor(s) license pursuant to the Contractor's Uconse Law).
D As a homeowner I am improving my home. and the follow· Ing conditions exist:
t. The work is being performed prior lo sale. 2. I have Uved in my home for twelve months
3. rfa! '.:'p:of 1': ~lion during the last three years.
D lamexemptunderSec. ______ , B&P.C.
for this l13SOl1
□ I hereby affirm that I ha'le a certit,ca.te ot consent
to self-insure, or a certificate of Workers·
Compensation Insurance, or a certified copy thereof
(Sec. 3800. ubot Code~
POUCY NO ______ _
COMPANY
□ COpy IS hied w1lh the city
0 Certified copy Is neret:>y furnished
CERTIFICATl OF EXEMPTION FROM WOR]SERS" COMPENSATION INSURANCE
(This ~lion need nol be completed 1f the permit
tor one hundred dollars (S1001 or less)
_ I certify that 1n the performance of the work fOf
wh~rmil 1s issued. I shall not employ any
person 1n any manner so as to beeome sub1ec1 10 the Wortlers· Compensation Laws ot ~\tor01a
NOTICE TO APPLICANT 11. 11!8fiju~ Cert, hcate of Exemphon, you should e--subtecl t?
the Workers· Compensa.hon prov1s1 the UbOt
Code. you must forthwith c Ith such
PfOYISIOnS Of 1h15 perm,, shall be ed revOked
O I hereby . afflfm thal 1ne,e 1s a consrruct1on
fendmg ,1Qency tor the performance of the work for
w·h,ch lh1s permtl 1s •ssued !Sec 3097, Cm.I Code.)
Lenders Name ___________ _
Lenders Address _, _________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS A':i;_T., DATE OF APPLICATION! BUSINESS LICENSE# VALUATION PERMIT NUMBER
7'2..4/o sy>~..,.,_~ Av r-C.t:\C.'-.. <~A,....._ /-/z.--~3 <~~-~ OWNER"S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE I ZONE
N . , .-. •~ ... c: ~;;-.:? A.£.•t>. ~-1-F-Co:>..i5 ~ .. <" 'Ti ov ✓1,-1) ,~~ -S'fr:r
OWNER'S MAILING A00RESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
' l"'f:o th,....; L/~71 fi11s.R.5,D~ -I "36'11 l/Cv
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER LICENSE Ii STANOAROPLAN # BUILDING SQ. FOOTAGE
rF>t,, o :5""• -. ...... .-. n
DESCRIPTION OF WORK -,_ <;e,._.R' ;:,, /'_r, ).J l\) ('<_L "T i< E-< , r,..:_ "' ,"\ ~ 0ESIGNER"S ADDRESS OESIGNER"S PHONE
------~ -------.. ~ ----F/P FLR ELEV. NO OCCGP EDU STORIES
vO NO --I/ 1 r --
CENSUS TRACT I GP LANO USE I PARKING SPACE f RES UNITS I GRADING f'.ERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unlffs llildliM urtifim
QTY. PLUMBING PERMIT -ISSUE 7'<2 QTY. MECHANICAL PERMIT -ISSUE d,t/-zJ SUMMARY/ACCOUNT NUMBER
EACH FI XTURE TRAP -~ INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
/ EACH BUILDING SEWER Z3. ... ~ -OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER AND/OR VENT ..... BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01-00-00-8806 --
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 /q.~
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 -HOOD/DUCTS MOBILEHOME 01·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) c,n1 AD n1_-...... ~ .~
,/, TOTt.L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING 'I 7~1),, FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE 5efrJ QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00-8923
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS cansbad 80-92·21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San DiMuito 80-92-23-0519
REMODE L/ALTER PER CIRCUIT C ' PLAN CHECK FEE San Marcos 80-92·24·0519 I
TEMP POLE 200 AMPS I
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
.. •
I TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I JI/-~ I
I HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATiON AND PERMIT' AND DO HEREBY. Exp,rat,on. E,ery permit 15Sue<I by the Bullding Off1clal underlliel)fO'll,,.onsofthlS * AH OSHA PEIWfT IS REOUIAEO FOR EXCAVATIONS OYER
CEBT,FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING· THE Code shall exp,re by lim1lallon and become null and •ood JI lhe bulldong or work 5" 0-DEEP ANO DEJIIIOl.mott OR CONSTflUCTlON Of'
DECLAR .. TIONS AR!: TRl!E AND CORljECT AND I FU!jTHER CERTIFY ANQ AGREE IF A PERMIT IS authoriZed by such permit fl not commenced within 180 days from 1he date of such S1'~S OYER 3 STOfllES IN HEIGW-perm,t. or 1f the bUildi::J: or work authatlzed by sucn p«m,t is suspended or ISSUED· TO COMPL y wmi /\LL CITY, COUN1Y AND SIA IE ~AW$ GOIIERNING BUIL_Dllm CON-abandoned 1t anv bme a et the. work,. commencea for a """Od of !80da••
STfil!_CTlQllf, WHETHER.SpECIFIED HE.REIN OR "I0T I ALSO AGREE TO SAVE' INDEMNIFY AND 7Vt:~ IS=A~•-~
OWNER□ CONTAACTOtff°¥ APPROVED BY ~l!iJ ,D7/tl/l') . KEE;P HAPM!..l:SS THE ~ITY OF CARLSBAD AGAINS·r ALL UABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY 11.f ANY WAY ACCPUE A(iAINST SAID CITY·IN GONSEQUENCE OF THE BY PHONE L GRANTING OF THIS PERMl1 \ .. A... . -• --
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INSPECTION TYPE DATE -···-INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY -
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION '
INTERIOR LATH & DRYWALL
PLUMBING ' --
SEWER AND BL/CO
I
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN I
GAS TEST I,
ELECTRICAL ' '
TEMPORARY POWER I
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
' ELECTRIC SERVICE .
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRE TE ..
FIELD WELDING
HIGH STRENGTH ,,
BOLTS -SPECIAL MASONRY
'
PILES CAISSONS I C
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INSPECTOR'S NOTES
DATE
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