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Home My WebLink About2646 UNICORNIO ST; ; 85-611; Permit"' z 0 .:: < cc < _, u ... 0 cc I[ 0 u cc ... 0 _, 5 ~ ... z 3 0 z 0 .:: < "' z ... CL ~ 0 u "' a: ... "" cc 0 3 ![ O I hereby attlrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ol the Business and Professions Code, and my license is in lull force and ellect. lie No ____ _ Clm I hereby alhrm lhat I am vcemp1 from the Cootr.c· 10,'s License Law lo, Ille lollow,ng reason (Sec 7011 5 Busmess and ProlessIons COde Any city or county whK:n re· q1.mes a permI1 10 construct. aner, improve. demohsh. °' repau any slruclure pr,or to ,ts issuance also requIr~ !he ao· piicant tor such ptttm1t to tile a s,qned statement !hat he 1s beensed pursuant to lhe provisions ol the con1rac1or s license Law (Chapter 9 commencmg w1lh SecllOl'I 7000 ol Otv1s1on 3 ot !he Business aod ProtesSJons Code) or lnat Is e,- empt lhefelrom and !he basis !or the alleged exemphon Any V10lalI00 of Section 7031.5: by an apptant '°' a pe,mll sub-1ects the applicanl to a civil penalty ol not more than t1'1'e hun· dred dol~rs (S500) 1. as owner o11ne propeny _ or my employees with wages as their sate compensation_ will do the wock. ano lhe siruc· lure is not mteoded or olfereo IOf sale (Sec 7044 Busmess and Prole:sSIOfls Code The contractor" s ucense ldw ooes nol apply to an owner ol property who builds o, improves thereon aod who does such work himself or Ihroogh hts own employees, provided that such 1mprovemenls are not intend· ed or offered lor sale 11. however lhe bulldmg or improve· men I Is sold w1lhm one year ol comp(ellon _ lhe owner-builder will have 1he burden of proving thal he did not build or lm· prove for lhe purpose ol sale) r, I. as owner of !he properly, am exclusively con1racting w11h hcensed contractors lo construct !he pro,ec1 (Sec 7044, Business and Professt0ns Cade The Conuactot's license Law does nol appty 10 an owner of property who builds or 1m· PfOVes thereon. and who contracts tor each pro1ects wnh a contractor(s) license pursuant 10 lhe Con1racl0f's license Law) 0 As a homeowner I am improving my hOme, ano !he lolklw mg cond111ons ex.isl 1 The wor1< 1s being pertormed poor to sale 2 I have hved 10 my home lor twelve months pnor to compteuon ot this wort< 1 have no1 clatmed this ex.empt10n during the last three years Q I am exempt under Sec. _____ _ B&PC !Of' this reason ____________ _ 0 I hereby affirm that I have a cert111cate of consent to sell-insure. or a certificate ot Workers· Compensation In. surance. or a certified copy thereof (Sec. 3800. LabOr Code) POLICY NO COMPANY :J. Copy 1s liteQ wItn me city ::J Cert1l1ed copy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Tn1s section need not be compfeted 11 the permit ls for one hundred dollars ($100) or less) :::J I certify thal in !he perlormance of the work for which this perm111s issued. I shall not employ any person In any manner so as to become sub1ect to the Wockers Compen- sation Laws of Cahtomia NOTICE TO APPLICANT: It, after making this Cert,hcate of Exemp11on. yoo should become subIect to the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or lh1s permit shall be deemed revoked D I hereby affirm that there 1s a construction lending agency IOf the performance of the work fo, which this per- mit is issued (Sec. 3097. Civil COde) Lender's Name ___________ _ Lende(s Addfess,________ _ __ USt IIALL l'UIN I l'tN UNL l & l'Ktl>l> HAIIU r,1 • -·---···· •• --• ·--••••••• -• - CARLSBAD BUILDING DEPARTMENT '~ Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION &.JERMIT :;A:R4-L . t £../'r\:.,,,,,.,...,_ AV_s:RO-NEARESTCROSSST l°ATEOFAPPLICATIONI BU~CENSE• 4-qAL~l~o PERMITNUMBERI 1 ~P.3,. 1 BLOCK I sueo, v1s10N--&':, I ~SSE;SOR ;ARCEL NO. ,,.✓,-'\ CONTRACTOR CONTRACTORS PHONE • ZONE 1 0 S" -~ \ IU, ,:i ~~ II'\-1 --L:l.. \ c::::-~s~-CS l ~vu 0 OWNER'S NAME I OWNER'S PHONE l"Jll)/1)~~ }le)) ll yl (!. WJ4LJ:,$c/,(;tf/1Jr. ::IP J/.:11)1-3 II'/ CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE OWNcR·s MAL NG ADDRESS -7 q ..:::t - -'\ J • , J ✓• / 1 0 ,_ OES,GNER DESIGNER'S PHONE ,. \I' -, 'P u An e () I! Al I o .;;) , . ocSCRIPT ON OF WORK _ DESIGNER'S ADDRESS LICENSE NO. : ri /'1"1 !1 ... Y-h-:-.. -k:" _ ~ 1en11~~~7~-~-_ _ 2~e;~a 1 -0\---l ' ) c,e,,....' 0... F p FLA ELEV No occ GP EDU q~qE~~ l. !B"J..l 7 es. age~i:1 STORIES -.-, vO NO ll<· ~ c7Nsus TRACT I GP LAND usE 1 PARKING SPACE RES uN1Ts I GRADING PERMIT 1ssuEo I REDEVELOPMENT TYPE Dcc LOAD FIRE SPP I AREA ~o~sT.) y D N D v O NO V-1\1 vO NO Not Valid Unless Machme Certified QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100.000 BTU BUILDING PERMIT 001·810-00·00-8220 ~ ~ ~ - EACH BUILOING SEWER -------f---------ll---+-----OVER 100,000 BTU SIGN PERMIT 001·810-00-00-8221 EACH WATER HEATER ANO OR VE Nl BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00-00·8806 \ q_ ~. 9 S' I EACH GAS SYSTEM I TO 4 OUTLETS --_ j BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00-00-8222 ---_ I EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 \ t:) -- 1 EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 I -----I EACH VACUUM BREAKER MECH EXHAUSl HOOD DUCTS MOBILEHOME 001-810·00-00-8225 I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN !INSIDEI SOLAR 001-810·00-00-8226 11----+------------------1-------11---'~-~~~~~~~-----~---'--------=--------"'-+-----=---.-,,,--~ -----~---'--__ TOU.L MECHANICAL ~ STRONG MOTION 880-519-92-33 ,._ _3. L./,'::> ro r AL PLUMBING I FIRE SPRINXLERS 001-810-00-00-8221 QTY. ELECTRICAL PERMIT -ISSUE 5°' _ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-8l0-00-00-8930 NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT l PH 3 PH STORAGE TANKS Carlsbad EXIST 8~DG EA.AMP·SWl BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San 01egu110 REMODEL ALTtR PER CIRCUIT ~ . -PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY 130 DAYSI MFF 880-519-92-57 ~ _ CREDIT DEPOSIT l 1 ~~-91:;, lOTALELEClRICAL ] , o .-TOTALSOLAR TOTALFEESPAYABLE I ~q~4g, I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY Exporauon. Everypermll ,ssued bylhe Buildmg Ofl,c,al under the pro.is,onsoftnrs * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERT FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmotSt'on •nd become null aoo vo,d 11 the bu•ld,ng or work S' 0" DEEP AND D£MOllT~ OR CONSTRUCTION OF 1 . authorized by such permit ,snot commenced w1th•n 180 da~s tr m the date of such """ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,t. or of the building or work authorized by su,n per t ,s suspenoed or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH A LL CITY COUN l Y AND ST ATE LAWS GOVERNING BUILDING CON L.:•::::ba::_:n~do:::.n:.:.:ed:::...:•:!.t ~•n~nv~t~•m:.:.:•~a::_fl~e!_rt:.:_:h~e_:w::,:o!!:rkC-!1!-• ~co~m:.:.:m:.:.:e::.n~ce~d~f::::\~ra ~r~•od~o'.!...f .!l180~d!!!au_••--..-"!""-...,..,.-----------------~ t STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND p • I~ 0 raROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP UCANT S SIGNATURE Jf. OWNE CONTRACTOR ~ i DATE : EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 'N CONSEQUENCE OF THE~. • JJ D /' .-,. IJ~ J • f\ BY PHONE ()-0 "'-I"\ • 0 / J 1 GRANTINGOFlHISPERMIT ,,va,,Q .61.,.-L "£. I A ·-• ·.'l....i • ,A A_,,\...._ ,.., 11;>....1,O rx~ a -, ' ~ IL >, oi 0 0. E Q) I- I •'O 0 CJ C :BP 81'L <( I .:,:; C a: 0 rn r/) Q) rn rn <( I 3: 0 ai >- rn rn Q) u 0 a: (1) iii 0 ~ Q) u C (1) C ii !:. C Q) ~ CJ 0 u Q) 0. rn C ~ .c. 3:: TYPE I DATE INSPECTOR BUILDING t FOUNDATION I I REINFORCED STEEL I MASONRY I GUNITE OR GROUT I SUB FRAME D FLOOR D CEIIJING SHEATHING D ROOF D SH;EAR .,, FRAME I //211/Jt, IT/J EXTERIOR LA TH I ✓AHri rr INSULATION ............ 1 :/" l . ~ /) INTERIOR LATH & DRYWALL I ~ Z/S-/J,/ 17 I ,, t PLUMBING ' I D SEWER AND BUCO □ PL/CO UNDERGROUND D WASTE D ,WATER TOP OUT D WASTE D Vy'ATER TUB AND SHOWER PAN t GAS TEST I D WATER HEATER D SOLAR W~TER I ELECTRICAL I D ELECTRIC UNDERGROUND □: UFFER /) ROUGH ELECTRIC I //14/r, 'T" D ELECTRIC SERVICE D TEMPORARY , . D BONDING D POOL I I I MECHANICAL I D DUCT & PLEM., D REF. PIPl)'JG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I . ,•· ·c I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL. ' I PLUMBING "" I ~ -I . ELECTRICAL " I /} MECHANICAL "" ; .. .. -r .. . -~ . GAS "\'. -' I ~, Y" I BUILDING '"' ~ ·1 SPECIAL CONDITIONS " ' I I I / • S5 ·0 1 l FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS l======IN=S=P=E=C=T=O=R='=S=N=O=T=E=S~====-=============j INSPECTION' REO IF INSPECTOR S DA TE , •• CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 200ct PSI _ PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH- SOL TS SPECIAL MASONRY PILES CAISSONS ...... ;· \.:·.": - -· - ~ . I t( ', , ~ .• QiJ~U\t I WU L \ I.JC' ul.'\;· ••u .. H':\. t , \.I:-::!\.,.., I C,,;-,p•(t 11· t' \ • J • -~ .~-\. ' ' . ~--.. ·- ' ~ ~-· -._ .. .... -. . ., ~ . • J ' e-.. ... r • I J ,, DATE : ESGIL CORPORATION 9320 C IIES,\l'E.\KE DH .. SL'ITE ~08 S .\~ DIE(;(), C.\ !):.?l ~:J (Ii 1 !>) .:;,;o. 1-rntt 0 APPLICANT JURISDICTION: ~ JURISDICTION 0 PLAN CHECKER 0 FILE COPY OUPS PLAN CHECK NO : 0 DESIGNER PROJECT ADDRESS: PROJECT NA.'-!E: □ □ □ □ □ □ The plans transmitted herewith have been corrected where necessary and substantially compl y with the jurisdiction 's building codes . The plans transmitted herewith will substantially comply with the jurisdiction 's building codes when minor deficien- cies iden ti£ ied-~~ e.:ccL-D\,Ll ei;:;r.,1AtL.\<'j..,. are resolved and checked by building department staff . The plans transmitted herewith h ave significant deficiencies identified on the enclosed check list and shoul d be corrected and resubmitted for a ccmplete recheck . The check list transmitted herewith is the jurisdiction 's copy for your information . The plans are being held at Esgil Corp . until corrected p l ans are submitted for r echeck . The applicant 's copy of the check list i s enclosed for the jurisdiction to r eturn to the appl icant contact person . The applicant 's c o py of the check list has been sent t o: Esgil staff did not aavise the applicant contact person that plan check has been compl e t ed . Esgil staff did advise applicant that the plan check has been completed . Person contacted: 6 Eof:.k:G :5.c.Htrl/D'j'J Date contacted : 1 -uJ -e.h Tel ephone # 1i3o -!5£:4- BY:.-L.=--~4-J~~~--'-""..;c_,.c...L..;....,._..L...-.-----ESGIL CORPORATION ENCL : ________ _ 1/t,, .. Jurisdiction rcf 1 ✓F82 Prepared by1 '1Ck '/ f-tJ[.,~l VALUATION AND PLAN CHECK FEE □ Bldg. Dept. O Esgil PLAN CHECK NO. _q:; -0 ti ,2J :5 .. ',} BUILDING ADDRESS APPLICANT/CONTACT BUILDING OCC UPANCY e-3 ---='--=----- TYPE OF CONSTRUCTION 11 -,11 BUILDING PORTION BUILDING AREA <f J tfoJN -" PIN) /✓.,., _J~ .' '1 ,:; .'.;J,';'1 ,.__ Air Conditionin~ Comm ercial Residential Res . or Comm. F ire Snrinklers Total Value PHONE NO . 2...P,.x:; -I 5Q4: DES I GNER PHONE ------- CONTRACTOR PHONE ------ VALUATION VALUE MULTIPLIER '(' I -,I-le @ @ @ c;;, ~ fee Adjusted To Refl ect 0 Energy Regulations (fee x 1.1) 0 Handicapped Regulolions (fee x 1.065) Building Perm it fee $ ____ _ s P l:in Check f ee_.;!..$ _____________________ .::_$_--""(p:..:../<-..C.... _.,_fl~--- COM MC N Vi :..:-------------------------------- DATE: ESGIL CORPORATION 9320 CHES.-\l'E.-\KE on .. Sl'ITE 208 SAN DIEGO, CA 9:.?123 (ti 1 U) 5<>0· l ~68 Q APPLICANT JURISDICTION: ~ JURISDICTION 0 PLAN CHECKER 0 FILE COPY OUPS PLAN CHECK NO: z, 5 -l;," :a:. D DESIGNER PROJECT ADDRESS: 2~ \JtJlC.DR..iJ1D PROJECT NA:-IE : .Aou,TIDf'I □ • □ □ □ □ □ The plans transmitted herewith have been corrected where necessary and substa:1tia!ly com~ly with the jurisdiction 's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified ~~ ga...£>w are resolved and checked by building depart~ent staff. The plans transmitted herewith have significant deficiencies identified on the enclosed chec~ list and should be corrected and r esubmitted for a complete recheck . The check list transmitted herewith is the jurisdiction's copy for your informa tion. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person . The applicant 's copy o~ the check list has been sent to: Esgil staff did not advise the applicant c ontact person that plan check has been completed. Esgil staf/ did advise applicant that the plan check has been completed . Person contacted: Date contactec : Telephone# _________ _ lkA,.-rriJ t.. RaDrll -1 F-t-tl'EA:( ,~ An.bED -&Pc~ !<E'CDU\ e. 1:p. __ 0..:...<...,j)'--'AO~.,.,o.,___ f I r ! ESGIL CORPORATION 9320 CIIESAPE .\KE OR., SL'ITE 208 SAN DIEGO, CA 92123 (619) 560· 1468 DATE: acroe1;:,e 2.1, 1':l~ QAPPLICANT • JURISDICTION D PLAN CHECKER D FILE COPY QUPS J URISDICTION: ---=c~n~~-L~~=e~n~D....._ __________ _ PLAN CHECK NO: --~B~S=---~~"'--'-1\,_~:::;I:..-=-----------D DESIGNER PROJECT ADDRESS: lJ f/1 LDC: I\) I,) PROJECT NAME: □ D ■ □ ■ D ■ D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdittion's building codes. The plans transmitted herewith will substantially comply with the jurisdiction 's building codes when minor deficien- cies identified _______________ are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is the jurisdiction's copy for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant 's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to : Esgil staff did not advi se the applicant contact person that plan check has been comple ted. Esgil staff did advise applicant that the plan check has been completed. Person contacted: Date contacted: Te l ephone# ---------- REMARKS : __________________________ _ BY: .4 at~ IJ,,,11'1'-,0[7 ESGIL CORPORATION 0 ENCL: _______ _ \0 /lv:, JURISDICTION: C,A'gL!if;.Ao DATE )b-21 -&s-' Enclosures: __________ _ PROJECT ADDRESS: 'l..kAb LII\JILOet\J\Q ~El TO: W . ~ :r PILQ e5 Date plans received by jurisdiction \0-15-lb5" Date plans received by plan checker \Q-\p-B~ Date initial plan check completed11>-"2. I · &5' by(d)r,e_<-/ FORWARD: PLEASE READ Plan check is limited to technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the handicapped. The plan check is based on regulations enforced by the Building Inspection Department. You may have other corrections .based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments. The items circled below need clarification, modification or change. All circled items have to be satisfied before the plans will be in conformance with the cited codes and regulations. The approval of the plans does not permit the violation of any state, county or city law. 1. Please make all corrections on the original tracings and submit two new sets of prints, and any original plan sets that may have been returned to you by the jurisdiction, to: L.0:1 o~ LAf<46AP l;A,JILDl(\.¥:z DE.et, 2. To facilitate rechecking, please identify, next to each circled item, the sheet of the plans upon which each correction on this sheet has been made and return this check sheet with the revised plans. PLAN CHECK NO: Bs-l'ol I I. □ APPLICANT COPY 0 JURISDICTION COPY □ PLAN CHECKER COPY D FILE COPY 41784 .,, Jurisdiction (AB,l::>BAD Date 1 lb-Zl-135' Prepared by, □ Bldg. Dept. Ce8 a -4 fh...'&i a.. VALUATION AND PLAN CHECK FEE □ Esgil PLAN CHECK NO . __ $ .... 5_-... b .... l\ __ BUILDING ADDRESS Z.~4 '=> UfJ1rnfe:,11D APPLICANT/CONTACT \Al f :[ALa8::S PHONE NO. 443 -!;?1 I le DESIGNER PHONE BUILDING OCCUPANCY __ __,,e_-_.3.__ __ _ -------TYPE OF CONSTRUCTION v -J CONTRACTOR PHONE BUILDING PORTION I ,,111\\f~ A((t:.IQ Air Conditionin~ Commercial Residential Res. or Comm. Fire Snrinklers Total Value fee Adjusted To Reflect ------ BUILDING AREA VALUATION VALUE MULTIPLIER t°IZ. rt\ 4"1~ @ ,. (<l .. @ ¥\'?~ 0 En ergy Regulations (f ee x 1.1 ) □Handicapped Regulations (fee x 1.065) Building Permit fee $ __________________ ,~$--2.=S-3~,.-t2~'2..__ __ Plan Che ck f ee __ S::__ __________ _.:,_ ________ ...;:::$ __ 1.:....::8::."3..::....:...,q...:..:~=-'---- COMMENTS._·------------------------------ 8/4/82 , P:AN CHECK NUMBER rs-~ 11 ADDRESS 2. l & ~ -_,.// ~~.~-TYPE OF STRUCTURE __ ~ ____ /-__ -----~---,,.,.....---PLANNING: ZONE: ----- SCHOOL FEES: SAN DIEGUITO ------ENCINITAS ---· CARLSBAD --------SAN MARCOS ______ _ % COVERAGE ------------REQUIRED SETBACKS __ _ BUILDING HEIGHT ----------FRONT ---------FENCES/WALLS __________ _ -HJO CAR GARAGE SIDE L2 b REAR c:::7 /-C a:: Lio.I 3: I.J -Lio.I > I--Lio.I< a:: Q ----------------- CQt='iMENTS: ------- ~ □ REDEVELOP,1ENT A?PROVAL REQUIRED: 6~□ --- 1.J -C:::-'1 00: s· I i ~,c:: LANDSCAPE PLAN COMMENTS: --------------------- ENV I RCi'!riENTAL REQU I REP: ----·------------·------ ----·······-·---------------·--- ADDITIONAL COMMENTS: ------------------- OK TO ISSUE:_ ~ DATE: t ~ct/t,trfK TO FlliAL: __ DATE: ENGINE ER ING;_ LEGAL DESCRIPTION VERIFIEO? ____ A.P.N. CHECKED?_ P.F.F. PARK IN LIEU ----------· j' R.O.W: IMPROVEMENTS: ------·-------- ------·-- -·-·--------------E.D.U: ___________ _ St:WER: -------------------· --·- LATERAL: DRIVEWAY: ------------------ GRADING PERMIT: ----------------••L---------.... '-",I > I-~ ~ DRAIN.4GE: I-Ll,.I ua:: i.i- EASEMENTS: ___________ ADDITIONAL C0""1ENTS: ______ _ ~ □ -o □ ~~ o • /J, ---OK TO ISSUE:-~,..__ ___ . _____ _ * ENGINEERING INSPECTION REQUIRED: ---- PUBLIC l-!ORKS INSPECTOR: __________________ _ FINAL OK: DATE: ___________ _ * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) ATTENTION PROPERTY OWNER: An 11owner-bui 1 der11 building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your bui l ding pennit. No building permit will be issued until this verification is received. <1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no} --1-f....,£-S __ _ V 2. I (have/haM.e A~t} _______ signed the application for a building permi t. 3. I have contracted with the following person (finn} to provide the proposed construction. Phone ------------Contractors License No. ----- 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work . 5. Name lj Addre-ss--=======/1=2:z===_/]_==✓====== City ___ .....,/----__ 7 ___ +-f __ 'if'-----7 Phone ------------Contractors License No~ ----- I will provide some of the work to provide the work indicated: but I have contracted (hired} the following persons - Name Address Phone Type of Work / Signed: Property Owner 2:2Z:1-4:> .~ bJ" ..,t'. a2'::t~ ~ • -~ t::7 Social Security Number S J/0 -:Jq -,;i.:., d I Date: ~ J 9 ,I t ~ ,r EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD . Initials