HomeMy WebLinkAbout2646 UNICORNIO ST; ; 80-132; PermitLICrL10N~CT!~:~R:::
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
0 1 hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve. demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he Is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
0 I, as owner of the property, or my employees
with wages as t_tteir sole compensation, will do
the work, and the structure Is not Intended or of-
fered tor sale (Sec. 704-4, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not intended or of-
fered tor sale. If, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve tor the purpose of
sale).
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•ho builds or Im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec. _____ B. & P.C.
for this reason, ____________ _
Date Owner
WORKERS' COMPENSATION D
I hereby affirm that I have a ce1icate of con-
sent to self-Insure, or a certiflcat of,workers'
Compensation Insurance, or a rfl
thereof (Sec. 3800, Labor Code). ~~~~~yo bf Wf~ l
□Copy Is filed with the city.
□Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, attar making this Cer-
tlfl&ate of Exe"1ptlon, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
~hlch this permit Is Issued (Sec. 3097, Clvll Code).
CITY O F C ARL SBA D -BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (71 4) 438-5525
~k,,J/. h
JOB ADDRESS
i'Rr• j°A;o:s~l;.;N itJ.JJ 1l! . ./!J1R1AJ. /d!J1 ,S.+; I I I I I I I I I I I I
°if A£ PiJ L· Pe.It£~ E JR,4 AL~so;;ER?e:;~
PRIME CONTRACTOR rT!fE r:J/~ -A ~'
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER IJ?S/?--g "--l .. J~ STATE LICENSE
$t/7~-.io
OWHER'S,1/'MifLIHG ADDRESS CJ, t_,.1:~~(>< ,,,4, (7,4-
;J 5 , J,,,/, A/t.Flu .lfl •R(!,ff-~ '#/ ~6
CONTRACTOR'~ ADDRESS ' (? -
2.29 U11 l:L lJ-4/l?f/#~ ~~ ~ Wl~ 'I J)
I »1~°CA1 ;::-AA;;t ~ H -/if-~ ;(
ASSESSOR'S PARCEL HO. -"C' r1D DESIGNER ST ATE ICENSE
1 LS,-l~.676 1 -'I SJJ-/L'f~ 3sf7¥7t1 DESCRIPTl~H WORK (~ F,tf-J!.,t I L ✓ KcS/ f.>E 1tJC C / A.) 7LF DESIGNER'S ADORES! DESIGNER'S PHONE
I .:S,4pte_ ~-,94/ 3/26/804747
CENSUS TRACT GP LANO USE ZONING
4r'Jo 'TC
fG?1 ' • 11..-I I RES. UH'l 1;ARKlqj;E Sf I HUMBER OF STORIES
Not V1/id Unless Machin, Clrtifilld
BL~fir BLDG USE OCC. GP STANDARD PLAN II I PL!b::J~✓ ITYP~c;srJ s~O f-~ ,. -..
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT
17 EACH FIXTURE TRAP .,...,_oc; I INSTALL FURN. DUCTS UP TD 100,000 BTU
✓ EACH BUILDING SEWER -·<-.4D OVER 100,000 BTU
/ EACH WATER HEATER AND/OR VENT 'P ,(!J/!j BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
/ EACH GAS SYSTEM 5 OR MORE 2 . ..11' BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE / VENT FAN Sl~lGLE DUCT
/ EACH LAWN SPRINKLER SYSTEM Le,0 ) MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
T c c:,110 3 .00 Issue
TOTAL PLUMBING 11Go TOTAL MECHANICAL
CONTRACTOR CONTRACTOR
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT
Uk. NEW CONST EA AMP/SWT /BKR n .OD AWNING
1 PH .25 3 PH PORCH
EXIST BLDG EA AMP/SWT/BKR SET-UP
1 PH .25 3 PH RAMADA, CABANA
REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
.I TEMP POLE 200 AMPS Ai" .l}l'J TOTAL MOBILE HOME
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
Issue 2 .. 00
TOTAL ELECTRICAL SJ.4, CONTRACTOR
I occ. LOAD i
AMT .
""--~ .
---~. u-r-
~-~ UZ'. T TT Z-.l"T1T()l\l • / /J f ~;ts-
BUILDING PERMIT -
j .. uu SIGN PERMIT /11-..... s 41!!:) PLAN CHECK ~s-/~'Jlflt.Kl
ALL INCLUSIVE PERMIT
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
.
MICO-FI LM
c+--rn-nn m n -t-i nn
--cT -
TOTAL FEES PAYABLE I .
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I HAVE CA REF ULL Y EXAMINED THE COMPLETED ""APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL F~~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND '-;'""\ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -OF THE GRANTING OF THIS PERMIT. ~~•T' IGN~ OWNER□ CONTRACTO!;ll11AP' ~Y.B:a LL ,0;72".~ I -:L AGENT D BY PHONED -,
I/
~
SITE
ADDRESS: ~--OWNER: -P.ERMIT NO: S'O ..... , '3.d-.
•--_:. , FIELD INSPECJ:"ION RECORD -
1---------------....::...---,-----.-------,
INSPECTION DATE INSPECTOR .• INSPECTOR'S NOTES -
WOOD FLOOR ,
FOUNDATION • FORMS • SET BACK • TOILET , :
UNDER FLOOR PLUMBING . ,_ •• ~ l • • , _. _ _ • ..
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR , ,I\• \ I
UNDER SLAB PLUMBING (;:,1 ! •~ '. •-• l
FOOTING• FORMS• SETBACK • TOILET ., , , , _ ,. ,., _._ '.'°'l •.,i . -...,•, ,
OK TO POUR CONCRETE , \ ·, 1 ~. >f-• • " . --. --, •
• I \
FRAME
ROUGH ELECTRICAL ,:; , ; :_, -.,i,.. , • . .
ROUGH PLUMBING ~ ·"-•• ,. •
ROUGH HEATING/VENTILATING -t-;. • ..~ .
FRAME OK• PLACE INSUL ATION
INSULATION OK • PLACE WALLBOARD {.::; •. ~:' .
WALLBOARD OK• PLACE TAPE • , : ,~ -
EXTERIOR LATH OK• PLACE STUCCO • • .,. '"• -' ....
FIREPLACE 1--------------------''---'''-"·-+-----11----------1 •
DAMPER &STEEL ,,. ~-•. ·-:;;,
PLATE TIES/HEIGHT OF CHIMNEY ... :
OTHER '.,
TEMP POWER.(POLE) .:_ ~ ' ' t;'"
SEWER
G AS T EST
SWIM POOL • STEEL BONDING
• PRE DECK i ' ,,., /0 'I
• FENCE PREPLASTER _ •
SH(!WN _ • FRAME / { \
' -• • PAN j j "-...._ • J
FINAL INSP BY BLDG DEPT V. /f(; Jtf.) r.,,,,,,-....,., •
OTHER DEPT'S REQ COMPLETED ...,. / -•~ ,. •-
ELEC METER-PERM-TEMP ... • ,_ • ._,
GAS METER-PERM-TEMP , • ~, ._"1,,.,
_; .. " \,-.. ....
-· .. \\
CERT OF OCCUPANCY ISSUED
,, ,J,.i..
5 ,...,. ,_;
\.
REQUEST FOR INSPECTION TIME: '/:~
INSPECTOR CQ PERMIT .NO. 1 0 -/ 3d-
OWNER • • Q \ ~~
DATE: 7-ti -io
ADD~ESS ,;:J.41-j{; LJ CY1 1 C1UL:-o I o
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
R LATH OR DRYWALL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
□~HEATER
FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
G.F.I
i"(ECTOR
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS ~G ~ .,/~ FINAL
READY FOR INSPECTION, D MONOAY ~WEONESOAY □THURSDAY □FRIDAY ~~ ~ .a.l
SPECIAL INSTRUCTIONS ~QC<)\r:1\ w <'
REOUESTEo BY ~[\(_,6~f\ C-0 PHONE No. Yd b 7 (,qo I
~ PERSON TAKING REPORT _ _.~'-4,,1'0'-----
REQUEST FOR INSPECTION TIME:
DATE:-~~~-fo--
INSPECTOR f1E ~PERMIT NO,_;Jj-/3 V
OWNER
ADDRES=-S--=c?(_~r::::~n::'b~---::~~~, --, ----------
BUILDING
D FOUNDATION
D REINFORCING STEEL
□ MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEl!JII\I.G FijAME
0 SHEATHING
□ FRAME
0 EXTERIOR LATH
□ INSULATION
ELECTRICAL
0 TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 INTERIOR LATH OR DRYWALL \
D FINAL I~
D SMOKE DETECTOR
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
□ UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
□ SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
READY FOR INSPECTION:
0' \ ·,e, 1 _n:r~" MISCELLANEOUS 1
0 PLENUM AND DUCTS
□ COMBUSTION AIR
Q.eATIO
□ SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
1WEDNESDAY D THURSDAY D FRIDAY
SPECIAL I NSTRUCTIONS__,,L. ____ .::,_ ____________________ _
REQUESTED BY t>&/~ PHONE NO. {///-6ij/
PERSON TAKING REPORT-r',4,rc-~.c:a'4,;..p..----
REQUEST FOR INSPECTION TIME:
4 C PERMIT No. fo· -f3;;L DATE,
tt '.'j_o
INSPECTOR
OWNER ~ . . (< f2-e.1 Fl UL-
ADDRESS q -"-' I \f Ll 'Y\ t ~ ; o.
BUILDING
0 FOUNDATION
[] REINFORCING STEEL
0 MASONRY
Ci GROUT · GUN I TE
0 FLOOR AND CEILING FRAME ~
C:J SHEATHING
0 FRAME
~TERIOR L~
D INSULATION I
0 INTERIOR LATH OR DRYWALL f'.. 1 (
D FINAL lJ
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
~
[.p -I 7 -i 1:>
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
,□ THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ~ / ~ Co • PHONE NO. 4 'J(,-bq O I
PERSON TAKING REPORT 4sQ
REQUEST FOf.Jd INSPECTION --/3>-TIME:
INSPECTOR • W/ PERMIT ND. fa-If,/"' DATE· ~
OWNER ~
ADDRESS ptt6 tt ~
0 FOUN
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
\6'FRAME
/h:J EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING . ~ UNDERGROUND WATER
,1 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
~GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
i)C ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL ok ~111,·"L...._-_____ _____,
i" MISCELLANEOUS I
0 PLENUM AND DUCTS
~OMBUSTION AIR
6 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
THURSDAY D FRIDAY
0 P.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY Ar 4 PHONE ND. W...//.,-/
PERSON TAKING REPORT ~ 7
REQUEST FO~~PECTION
....., .L PERMIT N~. g'o -/3 2-
OWNER 2£.c::JL-~
INSPECTOR
TIME: Y~ So
DATE: b -y
ADDRESS 2' Y? 1--(4.(_ ~ ~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUN I TE
0 FLOOR AND CEILING FRAME
□ SHEATHING
0 FRAME
□ EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
□ FINAL
0 ~PLUM Bl NG
0 UNDERGROUND WATER
i ROUGH PLUMBING
TOP OUT PLUMBING
SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
□ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
0 POOL BONDING
□ ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
' FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
0 COMBUSTION AIR
□ PATIO
□ SIGN
□ GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY FRIDAY
D A.M .
c5)
SPECIAL INSTRUCTIONS ____________________________ _
REQUESTED BY riv}£.-~ e,,," PHONE No z' :3l -('lo I
PERSON TAKING REPORT ~
REQUEST FOAn INSPECTION TIME: f;i..;--
INSPECTOR , &, :c:-:::'( A PERMIT NO. 7 Q -/ 3-;.-DATE: !J-;_;;2~
OWNER 1 • ~ ----\c 'I\ t::' ::'\ 1 , "wd'.
ADDRESS o<-v ''-' u,,...,,.., \~ l"u
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
~ 0 FRAME
0 EXTERIOR LATH
. 0 INSULATION
D INTERIOR LATH OR DRYWALL A'
D FINAL
I PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDA
~.M.
-.J
I
1\ \i
H1\
I
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
□ CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D WEDNESDAY D THURSDAY D FRIDAY
~ , D P.M.
'iP~L INSTRUCTIONS __________________________ _
"STED BY ~ z PHONE NO. ~ PERSON TAKING REPORT..,,,.,._t,._ _____ _
Lf (} fo --~tjo I
REQUEST FOR )!,ISPECTION TIME: r:: y't1
l~SPECT~R ~ )._, PERMIT NO .• g (/ -/ ;1_.2..,DATE: C(,-,1._<j
OWNER · ~/l,,t.,,.e,e_
ADDRESS 2 t Y (, ~ ~
BUILDING
0 FOUNDATION
~-:] REINFORCING STEEL
L"J MASONRY
C GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
Cl FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
~
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
□ FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY <.__.□THURSD~
D A.M. ,1--_ ... ~k ~
D P.M. ~ f /J'C1~ .,... (}--ll.A.... r . 'I,, J t1
SPECIAL INSTRUCTIONS 7
REQUESTED BY ,ij'Zecg,.,,,,,,..,.,,__ ~ r PHONE NO. 1/ J/-t" f Ill
PERSON TAKING REPORT ~
TIME: ______ _ REQUEST FOR _l~ECTION
INSPECT~-~ c:.. A PESMIT NO_lf o -I J.2.-
OWNER -~ e,e_,
AD~RESS -<.tYt ~--/ ~
DATE: fr-/6-
BUILDING
□• FOUNDATION ~ REINFORCING STEEL
~ASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
□ EXTERIOR LATH
0 INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
□ TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
ELECTRICAL
0 TEMPORARY SERVIC'E
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
□ POOL BONDING
0 ELECTRIC SERVICE
□ CEILING HEAT
G.F.1.
SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
□ SIGN
0 GRADING
CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
D W~DNESDAY ~Y~FRIDAY ~ ~
SPECIAL INSTRUCTIONS V I 1--1,tA-1;,1;-"f, 'AP.M.
REQUESTED BY ,$-z~ C.,, PHONE NO. )(J£ -6 J'o /
PERSON TAKING REPORT i? •
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Building Department
RESIDOOI8L ENERGY ...D.ESJGLCEBTIEI CATION._
Permit No.
TELEPHONE:
(714) 729-1181
--------
Issue Date. --------
CERTIFI0\1E .OF .ca1eLIANr£ ~~IJ}l ~ERGY COrJSERVfilION DE.SIGM 8EQUIRrnb~
CONTAINED IN ARTICLE 1, PART 6, TITLE 24, CJ\LIFORNIA AITt CODE
I ,--~ X·~ , her eby certi fy t hat I am familiar
with the state energy ·conservation standards mandated in
CAC Title 24, Section T20-l~Ol through T20-l406, and that the
plans and other docume nts submitted in support of the ap~l ication
for a building permit at_:).-_. _f_~_b __ ~---~~.,.....,..----fl=_._ _____ _
Address 3b-~/ra ;;»;;-3So-.s/
-:------.---=---=-~---' Assessor's Parcel No. l 7 Dated
comply with all current
Signature CJ~
Title · ~
requirements of these regulations.
/~ l .•
( Architect, Engineer, Contractor, Other.)
State Licens e or Certificate No. 317 LJ;Jo ------=---------
Date S->i /lo
1
Submit to the Building Department with permit application.
Form 78-101
INTERDEPARTMENTAL INFORMATION SHEET
'"
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE :--t;;;;IIR,-.r--£...--.-c---=-£ ,-::---v E o
MAR 5 1380
C11:{,/?F CARLSBAD
mg Department
ZONE ___ -+fZ~--~/ ___ LOT SIZE _________ LOT WIDTH_.!f() __ ,_5"" ____ _
PLANNING DEPARTMENT
UNIIS ALLOWED / UNITS PROVIDED I ------------------------
PARK I~ G SPACES REQUIRED ~ PROVIDED ____ -3 ______ _
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED ----------
FRONT SETBACK:
ALLOWED Q-c}
SIDE SETBACK:
~,LY'
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENT
OK TO ISSUE: TE ____ _
ENGINEERING DEPARTMENT ~t:7 ?~..S
°?lfh4 If 'R.g,t) , / ~ //
R. o. w ~~ 1>l.,vt"'1AY INDUSTRIAL WASTE NI A,, IMPROVEMENTS_.fZ .... -..,,_X/=-=.S-=--T ___ _
SEW~R CONNECTION8?f ?~. ~ DRIVE,l_Y LOCATIONS __ c:::,_K.__-"---------
GRADING PERMIT ;J/ A-EASEMENTS /Y l>NI.....-DRAINAGE t.11<.. J -----
LEGAL DESCRIPTION
ADD IT Io N AL CO MME N-T-S -------------A----=-P*,-r--J.-,s:---3-5-0-.... =5=/=======
OK TO ISSUE: .ID DATE 3-Jif-yjJ PWI JJlli2 0 K TO FI NA L Jj/ft!__ DAT ll-11 fO
FIRE ~DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. -------------------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
. .
PHILIP' HIENKINQ ■ltNTON
f"ll&elO.NT • CIYI ... •HotH•aM
Th e Gregor Company
229 North El Camino Real
~nclnltas, Cal lfornia 92024
BENTON ENGINEERING, INC.
APPLIED SOIL MECHANICS -l'OUNDATIONS
BII .. O RU l'l'IN ROAD
SAN DIKGO, CALll'ORNIA 1121:lll
February 28, 1980
Subject: Project No. 80-2-2 1M
Gentlemen:
Lot Inspection and Moisture Contents in Subgrade Solis
Lot 475 of La Costa Meadows Unit No. 3
Corl sbod, Californ ia
This Is to report the results of our Inspection of the subject lot and also to present the re1ults
of tests to determine the moisture conte nts of the sol ls in the upper three feet below finished
grade In the proposed building area at t he subject site In Carlsbad, Callfornla.
An Inspection was mado by a representative of our organrxatlon on February 22, 1980 and
It Is ooncludod that the soll con<.l ltlons ore essentially the samo a s prosonted In our report
on the gradi ng of this subdivision dated October 19, 1972. The soils In the upper three feet
below finished grade we re c lossifled as Type A (critically expansive) and therofore, the re-
commendations for spe cial d esign and precautions presented In the above dated report should
be Incorporated in th ..-~ plans and specifi cations for any proposed construction on this lot.
Soll samples we re also obtained on February 22, 1980 and the results of the moisture determinations
a re presented a s follows:
Approximate
Location or Samples
Southeasterly portion of proposed building area
Northweste rly portion of proposed bu il ding area
De pth Be low
Existing Grade
In Feet
1. 0
2. 0
3. 0
1.0
2.0
3. 0
Moisture Content
(% dry wt)
15. 6
14. 8
14. 3
31. 1
27.6
15. 6
.; Project No. 80-2-2 lM
The Gregor Company
-2-February 28, 1980
It Is concluped from th e field observations of the various soil types and the flnal results of the
moistu re determinations that th e soils in the upper three feet below finished grade at the
locations sampl es have been sufficiently moistened to minimize the potential expansion of the
soils, as recommended In our report under Project No. 71-7-17D, dated October 19, 1972.
Respectfully submitted,
BENTON ENGINEERING, INC.
Distribution: (3) Addressee
RCR/PHB/c
•l[NTON l[NOINl:l: .. INO, INC,
10/18/78
LEUCADIA COUNTY WATER D[STRICT
APPLICATION FOR SHJER SERVICE
O\'m er ' s Name __ ___,H=a,_,_r..:....r..,_y_,L;..,,,..__,__P..,,.ea,,._,r'-'c....,e=,-J .... r ..... .___ _____ _ Phone No. (213) 335-8810
Mai 1 i ng Address _ _._2..._54...__._W ...... _u;Ne ..... \.u.•ib...,u..._r~gh~S .... t,.,_re ...... e_,t _____ _ :;E'NE~ PERMIT ISSUW U?ON
Glendora. CA 91140
Service Address: 2646 UoicorniP.:..S.t-te-e_t _____ _
Tract Description: lot 475~ Meadows #2
Assessor's Paree 1 ?Jo. ___.,2_.J .... S_.-3 .... 5 .... Q .... -.... 5 .. J ________ _
BU:L!)l>lG P;:~M:T MUST S~
:APPLIED FO!\ BY <5'.-.Q.3::m... .. ~
Type of Building ___ s~f _____ No. Units J . Connection Fee $..soo...oJJ-
1.ateral Size: 411 611 8 11 Saddle · Easement Connection (pre-pd 200.00)
Extra Footage: __ @ $ ___ _
Amount Rec Id $1\i:o.ro
Ck. No/Cash:tt;. L\5t::154¼
Date Q-l~ Rec'd By h[ ~
Extra Depth : __ @'$__ .f/ffiCX;
Lateral Fee
Prorated Sewer
Service Fee
Total $_0{&0
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is ttJat part of the se_wer system that extends f r om
the main collection line in the street (or easement) to the point in the street {at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer.· The applicant is responsible. for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the point in the street (or easement) where a connection is made
to th2 service lateral.
The connection of the applicant's build_ing sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT .
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED .
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There will be no
additional fee or refund if service actually co1TJJ1ences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax ro11
in the same manner as property taxes.
The undersigned hereby agreesthatthe above information given is correct and agrees
to the conditions as stated.
4~/c'b Owne's Signature lOQ_Wc Accounto.
~
INSULATION CERTIFICATION
This is to certify that insulation has been installed in conformance
with the curre~rgy regulations, California Administrative Code,
Title 25, Sta/e of California, in the building located at :
~ SITE ADORES ~( 7 e~
Man u f a c t u r e r , OWEN-CORNING
CEILINGS
Thickness/Type_~-~1½~1-" ____ _
Batts : 6" Manufacturer OWEN -OORNING Thickness/Type __ ..:;_ ____ _
Blown: Manufacturer ----------Thickness/Type _______ _
Wt./Bag ______ _ Sq. Ft. Covered ___________ _
FLOORS
Manufacturer -------------Thickness/Type _______ _
SLAB ON GRADE
Manufacturer ------------Thickness/Type --------
Width of Insulation Inches -------
FOUNDATION WALLS
Manufacturer -------------Thickness/Type _______ _
LICENSE# GENERAL CONTRACTOR
BY TITLE OA·TE
R-Value 11
R-Value__1_2
R-Value __ _
R-Value __ _
R-Value ---
R-Value ---
R-Value ---
-------
ABC INSULATION LICENSE # 35229) C2
BY Lfu ~ ~ Production ~ager o ATE f_·/9-_f!i