HomeMy WebLinkAbout2771 SPOKANE WAY; ; 84-43-99; Permit"'\) )' I[
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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 Professions Code. and my license Is In
lull force and effect.
Loe No 2Q4211i Class --U
I hereby affirm that I am exempt lrom lhe Contrac·
tot's License Law lor the lollowong reason (Sec 7031 5 Business and ProlesslOfls Code Any city or county which re-
qutres a perrmt to conslruct. alter, unprove, demolish, or repair any structure, prior to ,ts issuance also requires ?heap·
pltcanl tor such perm11 to hie a stQned statement that he is licensed pursuant to !he provtS1ons ol the COntraclor's
L,cense Law (Chapter 9 convnenc:•"ll w,th Sec1Klf1 7000 ol Otvis1on 3 o1 the Busmess aM Pl'oless,ons Code} or that 1s ex·
empt lherefrom and the baSis lor the allegeo exemp!Kln Any violation ol Sect10n 7031.5 by ao apphcan1 tor a perm,1 sub-)ecls the applteanl to a t1V1I penalty of not mOl'e lhan live hun·
dred dollars ($500)_
0 I. as owner ol 1he property. or my employees with wa90s
as !heir sole compensaHon, will do the work, and the struc-ture is not intended or offered for sa!e 1sec. 7044. 8u5'ness
and Pr01ess1ons Code: The Contractor·s license Law does
not appty to an owner of property who builds or improves
thereon and whO does such work himseH or through his own
employees, provided that such improvements are not intend·
ed or ollered for sale. If, ha-Neve.-, lhe buikhng or improve--ment is sold within one year of compitt1on, the owner·buikier
will have the burden ot proving that he did not build or im-
prove lor the purpose of sale).
□ I. as owner ol the property. am exclusively conlracling with licensed contractors 10 construct the project (Sec. 70..4,
Business and Professions Cooe: The Contractor's Lteense
Law does not apply lo an owner of property who builds or im-proves thereon, and ·who contracts for each pro;ects with a
contractor(s) license pursuant 10 the contractor's Ucense Law).
O As a homeowner I am improving my home, and the follow-
ing conditions exist:
1-The work is being per1ormed prior lo sate_ 2. I have lived in my home tor twelve months
prior to completion DI this work. 3. I have not claimed this exemption during the last three years.
f;, /h~~r::t under Sec _______ . B & P.C_ -------------
~reby affirm that I ha-..e a cet11hca1e ot consenl
to self-insure. or a cert1f1cate of Workers·
Compensation Insurance. or a cet11hed copy thereof
(Sec 3800. Labo< Code)
POLICYNO WP 233-02-48
corANv Fireman's Fund ri Copy IS hied with the C1ly
0 Cet11hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE (This sect,on need not be compleled ,, !he ?erm11
,s fOf one hundred doilars (S100) or less)
D I cen,ty that in the performance ol the work tor
which lh1s penn1t 1s issued, I shall not employ any
person in any manner so as 10 beeome sub1ec1 10
!he Workers· Compensation Laws of California
NOTICE TO APPLICANT If. af1er maktn;I thtS Cen1
t1cate ol Exemption, yoo slloutd be<:.ome sub1ec1 t')
the Wonters· Compensation p,o._,,s,ons ol lhe Llbor Code. you must forthwith comply w,th such
prov1s1ons or this permit shall be deemed revoked
L.by attum 1ha1 there ,s a construcuon
tel'\d,ng agency •or lhe performance or the woni. tor
which this permll ,s ,ssued (Sec x,:)7 C,1111 Cooe1
Lenoer s Name Crocker Bank
Len0er"sAddress San Di e~o
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I r. CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT '
JOB ADDRESS AV. ST_RQ_ NEAREST CROSS ST.
1D•;j~;j;1cAT10NI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2771 Spokane Way 3681 %9'/t1
LOT BLOCK 1 suB01vIs10N .I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE # ZONE ~4-J/-3-?'t
00 ~ ... -1--,,,1r ..... Pt-I <a"1 4~l ,,, 1 f"fD
OWNER'S NAME c-r 74-0'f ' OWNER'S PHONE Standard Pacific of San DieRo 279-2042
CONTRACTOR'S ADDRESS LICENSE NO. PLAN LO.# BLOG USE CODE s1:--..:letrd pa,.ifi,. of San DieQ:O 279-2042 (same) 294215 OWNER-S MAILING ADORESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE rr STANDARD PLAN# BUILDING SO. FOOTAGE
Buzard/Henning & Associates NR /~ff DESCRIPTION OF WORK r,/ r-1/ 111..1.:1~
DESIGNER'S ADDRESS DESIGNER'S PHONE .. -
SFD -Plan 320 4883 Ronson Ct., ~D 92111 278-6855 -•-----·· -------------. F/P FLR ELEV. NO OCC GP EDU
STORIES ~-3 I vO NO '2. --
CENSUS TRACT I GP LAND USE
1
PARl'tt•ACE
I
RES rTS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA covt/
y O N 0 vO ~ YO N}t Nor Valid Unlffs Machine Certified
QTY_ PLUMBING PERMIT -ISSUE 7.Sll QTY_ MECHANICAL PERMIT· ISSUE !-SUMMARY/ACCOUNT NUMBER
/;;J., EACH FIXTURE TRAP -~o-7 INSTALL FURN. DUCTS UP TO 100.000 BTU 41-.-BUILDING PERMIT 01-00-00-8220 4-o . .=t-
I EACH BUILDING SEWER /_. _<7) OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEA HR ANO/OR VENT :=,C-/1 BOILER /COMPRESSOR (JP TO 3 HP PLAN CHECK 01-00-00-8806 u?-1,/. 4,;
I EACH GAS SYSTEM I TO 4 OUTLETS d-,-~/) SOI LEA /COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 d.t:1-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 :fn-
EACH INSTAl-. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT ,:2~ MECHANICAL 01-00-00· 8224 9-
EACH VACUUM BREAKER MECH EXHAUST -HOODIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER .. MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR 01-00-00-•??~ , TOTJ;.L MECHANICAL STRONG MOTION 80-92-33-0519 /_ ao ~ 1-:-TOTAL PLUMBING I 777/~ FIRE SPRINKLERS 01-00-00-8227
~ ... PUBLIC FACILITIES FEE 32·00-00-8933
QTY. ELECTRICAL PERMIT· ISSUE e--QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWlJBKR /01·1P ..:2..~-COLLECTORS SCHOOL FEE -DISTRICT
l PH 3 PH STORAGE TANKS /) Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE ~A' Encinilas -80-92-22·0519
1 PH 3 PH PUMP n ,.y San Dieguito 80-92-23-0519
REMOOEL'A LTER PER CIRCUIT PLAN CHECK FEE /) ff/ I' .,,, San Marcos 80-92-24-0519
TEMP POLE 200 AMPS V ..... __,-// -{L
OVER 200 AMPS rt)'\ '1A' ..,,-LICENSE TAX 01-00-00-8162 I ~ qq_ A-r)
TEMP OCCUPANCY 130 DAYSI r _/0--Al~,C I'...;,.,.,-
r,? CREDIT DEPOSIT -TOTAL ELECTRICAL I 30-:-TOTAL SOLAR TOTAL FEES PAYABLE I 31~7,~
I HAVE CAREFULLY EXAMINED THE COMPLETED •'APPLICATION AND PERMIT" AND DO HEREBY Expiration Eoery permtt -bVtlle8uildln90ftlcial underttle g::;sion1 of t1,11 * Al<f ~ IS AEQUIAED FOfl EXCAVATIONS OV£A CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pt,. by ltm-and become null and VOid II !tie ing or wort< 5' O" DEEP DEltlOlfTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit II not comme,ICeCI wltllin 1111 Cleya lrom the dete ot such STIIUC OYER 3 STORIES 1M HEIGHT permit, or 11 the bulldt~ work aulhonzed by IUCh penntt IS or ISSUED-TO COMPLY WITH ALL CITY CO\JNlY AND STATE LAWS GOVERNING BUILDING CON· aNndoned at anv time !tie -,s ~ tor a _..... .111111 --STRUCTION_ WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICANT'~ A"cr CONTRACTOR 0 APPROVED ~~ ~/{4 · KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 GRANTING OF THIS PERMIT. -.,, V 1·
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TYPE j
BUILDING !
OUNDATION I
:Et N FORCED STEEL I i
IASONRY I
iUNITE OR GROUT I
I LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
,HEATH ING D ROOF D SHEAR
RAME I
EXTERIOR LA TH I
I
INSULATION I • ~ A" ~
INTERIOR LATH & DRYWALL I
I
V /
DATE INSPECTOR ., . "
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPEG.TION REO IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP \•\Cf ,<YA ,,.. ') -STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I J • '-FIELD WELDING .
SEWER AND BUCO DIPUCO ' ,_,..,_.LJ.A ,,
HIGH STRENGTH ,·· I ' --BOLTS D WATEI}" I -----UNDERGROUND D WASTE
SPECIAL MASONRY TOP OUT D WASTE D WATER-~ I-~~-......--=-,
,.....-/ J
TUB AND SHOWER PAN
' r . -
GAS TEST I \. PILES CAISSONS J. ..
D WATER HEATER D SOLAR WATER ... .
l .
ELECTRICAL I '•"" r ... .:.
D ELECTRIC UNDERGROUND OJ UFFER .J C'" ,,~
I 1 ,. ~-~ ,r·' -ROUGH ELECTRIC l ~ l-Y ,.
D ELECTRIC SERVICE D TEMP~RARY . ' . . . . '
D BONDING D POOL I
' I ' .
MECHANICAL I -
./ ' D DUCT & PLEM., D REF. PIPING H, lY' .v. )-1~ 1) ---
HEAT -AIR COND. SYSTEMS I '-
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECUON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I / V
PLUMBING I I A ~
ELECTRICAL ! I V!J /\I" 1'1 ~ J. .
MECHANICAL I -/ I j lV, '11
GAS ' -\~I I '111 I I
BUILDING I "'' / '
SPECIAL CONDITIONS !
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INSPECTOR'S NOTES
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