HomeMy WebLinkAbout2739 SPOKANE WAY; ; CB890119; Permit"' z 0 ;::
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O I tle(et,y alflrm lhal I am llcenMd under
pr0"lalooa of Chaple, 9 (commencing wllh
Sectloo 7000) of Olvlaloo 3 ot the Business
and ProfaHlona Coda, and my license Is In
tun tor ca and effect.
I hereby affirm lhat I am ll'tn'IPI from lhe Conlrac· 10, s Ltcense Law lo, Ille lollowrng reason I S.C 7031 5
Busmess Mid Protewons Code Any Cdy Cl county whlCJ'i re• quires a perm,t to consuuc1 liter improve demol1Sh. or repair any slructure, prior to its issuance also requires !heap·
p,unt tor such 0tfrNI to hie a Slqned statement 1h11 ne 1s
hc1nsed pursuant to the prOYts,ons ot the contractor s
Locense Law iChapler 9 COfMlen<:rng w11h Seclron 7000 ol
O,v1$10fl 3 ol Ille Busrness and P!oles-. Coele) or lhal ,s ex emQI lheretrom and the t,as,s to, the: ai1~ exempt,on Atty ='~: :0:.::1:~~~~~ =~~~:r:'!: = :~ dreel dollors iS500)
I. as owner of the properly or my em~oyees w11n wages
iS lhe,r SOit compenQlMUt w,11 dO lhe work and lhe SIIUC· Me 1s not tnttnded Of ottereo to, s.lt (Set 7044 Busmess and ProfeSSIOfl!, Code The ConnaclDf s License Law does
rm ap~y to an owner 01 ptoperty •ho builds Of improves
thereon and wno does sucn w«k hims,ett or through his own
emotoyees provfded lhat such tmprovements 11e nol intend-
ed or offered for Sile II_ hOwever the bu1kJing or improve·
ment ,s sold wi1h1n one rt¥ oC cm,olebon. lht owner-tM.u60er
wllf have lhe buroen of proving t~t he did not bu1ki or 1m• prove lor the purpose ot sate)
I I. as D'lltntr of 1ne property, am exctusrvefy con1tact1ng
with hcensed conlractors to construct the: pro,ect (Sec 7<M4.
Bus.mess and Professions Code The Conlr,ctcw s lteense
LIW does no< apply 10 an owner crl property who oo,lds °' m-P'CMS thereon. ano who contracts tor each pro,ects wJlh a contraclo,(s) license pursuanl lo lhe Contrac10,·s License Law)
11 As a homeowner I am ,mp,ov,ng my home. and Ille looow 1ng cond1hons exist
1 Ille -k IS Detng performed "'"" 10 sale 2 I have lf'ved m my home lor rwetve monlhs pnor to complehon ot lh1s wo,k 3 I have not dauned 1n1s exempt,on Our1ng ll'le: lasl three years
0 I am exempl under S.C ______ . B & PC
to, this reason
0 I hereby affirm that I have a cer111tc11e of consent to
self-insure or a cer11hcate of Workers Compensation In-
surance. or a c.en1f1ed copy thereof (Sec 3800. LabOf Code!
POLICY NO
COMP.t.NY = Copy 1s hied ..-,th the c,1y
0 c.t"hheo copy ,s hereby turnlshed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This sect1on need no1 be compleled 1t the permit
,s tor one hundred 0001,s tS 1001 °' less)
CJ I certify that In the pet"1ormanc:e ot the wOfk 101' wh1ci'I
this permit ,s Issued. I I.NII no1 employ any person in any
manner so as 10 become sub1ect to the Workers Compen-
sa1,on Laws of California
NOTICE TO APPLICANT If. att1, making this Cer11ficat1
of Exemption. you should become sub1ec:t to the Workefs
Compensauon p,ovislons of the Labor Code, you must
torthwI1h comply with sueh p,ov1a..on1 or this perm11 sha,11
be deemed reYOked
0 I hereby altum !hat thetl Is a construction len01ng
agency tor the pertorm1nc:e of the wo"' lo, wruch this per.
mil ll llsued ,s.c. 3£197. Civil Code)
Lender s Name ----·----. ----
Lenders Address ___________ _
J USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARAI IUN::J.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOOAESS AV. ST.AO. THOMAS BROS NO.
lil.±;J·B~TIONI
BUSINESS LICENSE # hocJ PE AMIT NUMBER
2739 5 evkC\v-. e_ W ~ v ,. ~ g-9 t'J/19 m
1
8LOCK 13/4°.:.tt:2~ I 1b1-Rl{!;f:t~ -0 0 CONTRACTOR CONTRACTORS PMONE • ZONE u
r:.:+~--¼-"f.r~ ~~~er~ I 72~~;S6HONt CONTRACTOR"S AOORESS STATE LICENSE NO BUILDING SO. FOOTAGE
ow .. E R"S MAILING ADDRESS
7_ . , ~ <, <; t;x, K q ""e. ~✓ DES•G,.ER DESIGNER'S PHONE
~{"!,_ION °(WORK 4505 01/31/89 0001 01 02 ,O ove~ DESIGNER"S ADDRESS :;1ATE LICENSE NU. BldP11t 26-~ ,~-d:t' ~7,, -C-G~ /?I.. .. r. T>. .. ----~
' , V V F1P F LR ELEV NO OCCGP EDU
__.,/'J A ,. • .JI
STORIES
vO "O '-..//I I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND vO "O vO NO Not Valid Unlffs Machrnt Ctrtll1«!
QTY. PLUMBING PERMIT · ISSUE 7 .5() QTY. MECHANICAL PERMIT · ISSUE /5' .. ro SUMMARV ACCOUNTNUMBER
EACH FIXTURE rRAP INSTALL FURN. DUCTS UP TO 100.000 BTU tlUILUINl, ~tHMI I uu J-ij 1 U·UU·W-o«u I ':J
EACH BUILDING SEWER OVER 100.000 BTU ~'R)IIT 001-810-00-00-822 I
EACH WATER HEATER AND•0 R VENT BOILER/COMPRESSOR UP TO 3 HP OPC,WCHECK 001-810-00-00-8891 JO
EACH GAS SYSTEM l fO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP ~ \; ► >roTAL PLUMBING 001-810-00·00-8222
EACH GAS SYSl EM S OR MORE METAL FIREPLACE _'( i-Y E~AL -001-810-00·00-8223
EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT \ __ y•··. I\. MYcHMilllA~., .. ~~',-001-810-00·00-8224
EACH VACUUM BREAKER ME CH EXHAUSl HOOD DUCTS .t-.." I'll.I ,:_ ,u,.-~(-) 7 -001-810-00·00-8225
WATER S0FTNER REL0CA Tt0N Of EA f URNACE1HE A TE R ' IL '1l .Ar:,""'" 001-810·00·00·8226
EACH ROOF DRAIN I INSIDE I DRYER VENT .. .,-~,,i~ If, MOTION 880-519-92·33 I
fOTI.L MECHAN ICAL c,,-.. _ ~'\"'flRE SPRINi<LERS 001-810-00-00-8227
TO I AL Pl UMBINu I -~o PUBLIC FACILITIES FEE 320·810·00-00-87 40
V BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT -ISSUE ,S.rY"') QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SW) !!KR CAR PORT TIF 312-810-00-00-BB35
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00-BB35
EXIST BLDG EA AMPtSWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810-00·00-8162
REMODEL A lltR PER CIRCUll MFF BB0·519·92·57
TE MP POLE 100 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DA VS)
CREDIT DEPOSIT
TOIAL ElELTRICAl I TOTAi TOTAL FEES PAYABLE I df.t;
I HAVE CAREFULLY E<AMINEO THE COMPLETE.0 '"APPI.ICATION ANO PERMIT ANO 00 HEREBY Exporat,on E .. ry -""• -by the Bu~dtng 0tt,c,a1 .,,,_ the prov,...,,.. ol t"'9 * AN 0l5HA P£Ml:T IS AEOUIMD FOR EXCAVATIOtCS 0¥£R
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ,natl ••pore l>y hm•tat~a,,d become null and vood II tne bu•ld,ng or work 5 0"" DEEP ANO DElilllOUTION OR CONSTRUCTION OJ
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT L', ■ut9'0,1zed by 1uc~1t II t commenced wIttun 190 days hom the date .,;,t sucn STAUCTUAIS OVER 3 STORIES IN HE~T -mJI, "'ffM work aut1>or1zad by such pa,m,1 ,a ._-or ISSUED TO COMPLV WITH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CO .. at • '" won •• commancad lor • -•od of 11111 ..... STRUCTION WHETHER SPlCIFIEO HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO C CA ~ , ,. OWNERJ'!' COI\ITRACTOR (J APP~ t:V OAT¼ KEEP HARMLESS TH.E CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
E~PENSES WHICH MAY IN ANY WA'/ ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ BY PHONE rJ -~ ~ :--:.~-I / '31 /l'"J GRANTING OF THIS PEl'IMIT ..
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TYPE ' DATE INSPECTOR I
BUILDING I . • a8 8C:::,Op C, ... r -
FOUNDATION I FIELD INSPECTION RECORD -.
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D St-j EAR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
l
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL '
PRES TRESSED
CONCRETE
POST TENSIONED
I
I CONCRETE
PLUMBING I . FIELD WELDING r
D SEW ER AND BU CO D PU CO
UNDERGROUND D WASTE □~WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN r
HIGH STRENGTH {:. .~. BOLTS
-, ~-SPECIAL MASONRY C· ,_ .. . -" '
~ ~
-, -.
GAS TEST ~ -PILES CAISSONS " .
D WATER HEATER D SOLAR Wt\ TEA
r
r ... ..... _J .. )-. '
ELECTRICAL : ~'. -., ,I .. :;,,... ' .. D ELECTRIC UNDERGROUND [l UFFER ~ l ' .
ROUGH ELECTRIC I • v ,
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I . --.. .
I
MECHANICAL ~
0 DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS .
' . -~
VENTILATING SYSTEMS I ' i. I
l EJQbllf s~-~ --
1l~•Jt;; V o ~4 '\!JO \IVV• V4 "" CALL FOR FINAL /NSPEC
1
1
1
0N WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL l .
PLUMBING l -(I'\
ELECTRICAL ' ~ o' l
MECHANICAL l I\. t vV .
GAS l [\ \ I\ ,l\
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BUILDING I ,
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SPECIAL CONDITIONS l . \.'t ~
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