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Home My WebLink About2532 UNICORNIO ST; ; 81-100; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of DIYlslon 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,Business 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 e•- 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). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 7044, 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 for 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 for the purpose of sale). :JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd 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 DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO .. ___________ _ COMPANY ____________ _ □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 ($100) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the, Workers' Compensation Laws of California. NO;ICE TO APPLICANT: If, after making this Cer- tlflcaie of Exemption, yJu should become subject >o the Workers' Compensation provisions of the ,bor Code, you must forthwith comply with such 'visions or this permit shall be deemed revoked. ... ';ONSTRUCTION LENDING AGENCY 'by affirm that there Is a construction len- ,gency for the performance of the work for ,n this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. :fc ~2/ JOB 1DDRESS ivR~T.1D:l ~/ ~~cli BUS. LICENSE PERM IT NUMIIER .--. -_.,,,,,,_.,,, ,J( .11 ~.s.· ~I -r-1, .---..,..-T 7 _AAJ~ I I I I I I --. 'r 7 I I I I I I I ~/, OWN,ER ~ ~ ow ·~ .,E..., PRIMS, CONTRACTOR STATE LICENSE 100 116/U!, CO/fl:/11 -t1-1 €/l.Jv)',r h,U.£/l. 7.s-;-srs-1 0{A)h.fv ni.11'fdf'll OWNER'S MAILING ADDRESS 0~ ...__ ~ CONTRACTOR'S ADDRESS CONT RAC TOR'S f. o . /j o)( 92. J PHONE 4/ I 3/8 I 93i t:i 308,9- ~ ··-.. , ... --..... I.OT BLOCK . I ~IIDIVISIO".v' -#-/ LiASSEE~ PARR~~lL NO. 11 O DESIGNER ST ATE LICENSE i/...J 1./1 I J., I I "5, '/J, I 10 11 DESCRIP11K WORK I ' DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING I RES. UNITS 1 PARKlrt-~rt I NUMBER OF STORIES Not V•lid Unless M•chin• c.rtifi«J BLDGS~~,g BLDG$~~ OCC. GP I STAN~/ PLA;; 0 lPLANIOII I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT -~ pr QTY. MECHANICAL PERMIT AMT; /~~~ . . I '7!1 "'EACH FIXTURE TRAP y_ I . I 1k., .. ' INSTALL FURN. DUCTS UP TO 100,000 BTU I,, EACH BUILDING SEWER ,<.o:,_;.... -I . -OVER 100,000 BTU I '/ EACH WATER HEATER ANO/OR VENT .,~ " ... -,_ -BOILER/COMPRESSOR UP TO 3 HP ., EACH GAS SYSTEM 1 TO 4 OUTLETS -z,,:, -, __ BOILER/COMPRESSOR 3-15 HP -qq-u;f I EACH GAS SYSTEM 5 DR MORE /_ .&QLU1111i8MPll!SSf!ll'I 1'6'-3C'?IP rr -~-, EACH INSTAL.. ALTER, REPAIR WATER PIPE ..... VENT FAN SINGLE DUCT 1,:. -u ~ L 11 ILL"T"~ ;__ !'-~ 7~ E:i'oo ~--EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT " I.....,_ .~n. -i-- l -' ~L-Le. ?-,,~ ,~ ~~'e.. .3. po .slGN PERMI ~ ..;.·{7rl-X I I n . I I/. I TOTAL PLUMBING ~ TOTAL MECHANICAL 11/. PLAN c.,ta W. 1,.,tv.sd ..,., 1zxq ~ V . /1lA.~.JTb CONTRACTOR ---~n~ CONTRACTOR ALL INC)..,~ lvi: ni:nu,T -I I I -c;.--TOTAL PLUMBING I I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I I -.. I NEW CONST EA AMP/SWT/BKR I.Jo tr -17.-,I AWNING MECHANICAL I I I I 1 PH .25 3 PH ..,. I PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I I I 1 PH .25 3 PH RAMADA. CABANA I I I I • REMODEL/ALTER PER CIRCUIT -FENCE OVER 6' A 1"1-<n}\)f_ moT t 61() I . I ,l,(:/i/./.. / TEMP POLE 200 AMPS i TOTAL MOBILE HOME /'l MJ,QO -FILM f") ! ,✓ I I .' I , /Lr•V OVER 200 AMPS (I.J<... t'I'~ F-~ ~ fh I t I 17 .. .nhfilJ J TEMP OCCUPANCY (30 DAYS) / I :'--1 I I , tS~l.t..e. ?-._.9}Z' I . I I I TOTAL ELECTRICAL ~ TOTAL FEES PAYABLE I ?io1 <J. t/i 4 CONTRACTOR . I I -"{ I ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS o~ch D O ~ ,£ e,_, -e...-, I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF ~/WJ 1'1 /' "~ I I ~i FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER JSTORIES IN HEIGHT r, ""' BP ~ 0 ~ ~ ;:::: !rl 0.. Vl ~ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-,1/ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND I✓ . -f EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AP~A7~f OWNE~ CONTRACTOR□ IAPP;]VED BY r,p~· AGENT D BY PHONE □ ~ I I ~ .. -- SITE . $/-/CJV ADDRESS: OWNER: . PERMIT NO:. .. ' FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR . INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET . ' 1 '• UNDER FLOOR PLUMBING -J ."'-.. -' .. UNDER FLOOR HEATING r, ... ,, OK TO INSTALL SUB FLOOR . -SLAB FLOOR ' X UNDER SLAB PLUMBING \ ~. \ ~-..-' I , . ~ \ " FOOTING• FORMS• SETBACK • TOILET t' ->I -.. -..... .._~\.. -OK TO POUR CONCRETE . --.. " .,. FRAME l . ROUGH ELECTRICAL . ·""""' 'I:\ -\ .. ·1 ROUGH PLUMBING ROUGH HEATING/VENTILATING .» FRAME OK• PLACE INSULATION '-."\ ...... ' .... ·-. .,. -..; \ INSULATION OK ; PLACE WALLBOARD . \ '. --- WALLBOARD• OK,• P.LACE_ ,:APE . ,. - EXTERIOR LATH OK• PLACE STUCCO ; --' \,. FIREPLACE \ -/ _;.., ,o . .. . I ~ ... -'J J,, "' I ~ . I DAMPER 8: STEEL \,~ .. J •. . I PLATE TIES/HEIGHT OF CHIMNEY -• OTHER .... ,, . TEMP POWER (POLE) • ~ ! .. (' ... , ') '· _i ' • ' . SEWER . ' GAS TEST SWIM POOL • STEEL BONDING ' .. • PRE DECK '· "-. ... ----~ •. FENCE PREPLASTER - SHOWN ~ FBAME . -., • PAN • I ..... , ' FINAL INSP BY BLDG DEPT ,_ OTHER DEPT'S REQ COMPLETED ~ ./ - ELEC METER-PERM-TEMP ·1 JA,.f'G.,/ ~~ GAS METER-PERM-TEMP .. . I,. fl ~. I \ . --~ ; .. : •..., I I .. -. . "' CERT Or.OCCUPANCY ISSUED ., ~ _, ,; . ~ Ill z 0 ;:: C a: j (.) ... 0 a: i[ 8 a: ... 0 ..., 3 I ... z ~ z 0 ;:: ~ z ... Q. 2 0 (.) Ill ic ... "' a: 0 ~ 1[ O I hereby affirm that I am licensed under l)f0¥1alona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaalona Code, and my license Is In full force and effect. ltC No _ Clm I hereby affirm tnal I am exempt from the Con· ¥:~~-~~;,:: ;:-~f~~:~~r~I~ county wtuch requires ii pemut lo construct a,ter. ImproYe. ctemohsh. or repa,r any structure, pnor to its issuance 1190 requires the apphcant tor such permit to hie a signed sta1ement that he ,s hcensed pursuant to the provIsIons or the Con- 1rac1or·s ucense Law (Chapter 9 commencing with Sechon 7000 of Dtv1s1on 3 or the Business and Pro- fess.ans Code> or that Is exempt therefrom and the t,,as,s tor the al)eged e.xemptton Any vK>tahon of Sect10n 7031 ~ by an applicant tor a pemut sut>tects tne apphcant to a c1vII penalty of not more than h¥e hundred doll-($500) C I. as owner ot 1he p,openy, o, my employees ,.,th wages as their sote compensation, w,11 do the wont. and the structure ts not mtencted or offered for sae (Sec ~. Bos1nHs and ProtessK>fts Code The Contractor's License Law does not apply to an owner of property who bu1Jds or Impt'0¥85 there<>fl and who dOes such WOf'k tumself or through his own empk)yees, provided tNt such Imp,oveme.its a,e not mtende1 or ottered for sale II. however, the bu1k:11ng or improvement Is sok1 w1th1n one year ol comptetton. the owner--OU1lder will haYe the burden ot proving that he did not build or improve for the purpose ot sale) □ I. as owner ot the property, am exclusively contrach"i) with hcensed contracto,s to construct the PfoteCI {Sec 70U. Business and Professions Code The Contractors License Law does not apply to an owner ot property who bu1k:ls or Imp,o,,es thereon. and who contracts for each protects with a contract0t1s) license pursoant to the Contr.cto,'!t License Law) . C lamexemp111n0e<Sec tor this reason .B & PC 0 I hereby attmn that I ha-le a cen1t1eate ot consent to self,1nsure. or a cert1hcate ot Wortte,s Compensatton Insurance, or a cert1hed c0py thefeol (Sec 3800. ~ Code) POLICY NO COMPANY 0 Copy ts hied with the Ct1y 0 Ce-rt1fted cooy Is hereby lurmshed CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be comp~ted 11 the permit ,s to, one hundred dollars (S 100) or ans) D I cet1,ty that ,n lhe pertormonce ot 1"" wO<k 10< which this permit Is issued. I shall not employ any person In any manner so as to become subIect to the Wortte,s • Compensahon Laws ot ca11torn1a NOTICE TO APPLICANT If. alter mak•ni th,s Cet1• he.ate of ExemptK>O. you shoukS becorM subIect ,., the Wortters· Compensation provisions of the Labor Code you must for1hw1lh comply with such provIs10ns or ttus permit shall be <>eemed revOked D I hefeby athrm that lhere ,s a consuuc1Ion lending .gency tor the per1ormanc;e ot the woo to, which Itus perm,t Is ,ssueo (Sec J097 C1v1I CocMI Lendet s Name ___________ _ ' Lender, AOdress __________ _ USf .All ,OINT PEN ONLY & PRESS HARD .. I/It/ CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 J0s' AD0R ~ss APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT BUSINESS LICENSE # VALUATION PERMIT NUMBER .!!! u:: >, A~iTr;:_; ;:L;;ION 1 2S"32. VNICotN10 --, ~ J -o -I ~ g, _/Dok 'lWNER"S NAME 1-/E~J!, Col/lI,v 172 '/::;;;ONE PRtME CONTRACTOR CONTR4CTORS PHONE• ZONE 11 t R w ~ N /1"1 ,i.i, ti/I OwNfi/l-&,hJ.i)C:/l. iii u a. E OWNER'S MAILING A0ORESS 7..S-fiJ-S-'Ys-:J CONTRACTOR'S A0ORESS LICENSE NO. PLAN 1.0. # BLOG USE CO0E p. o. Bex 72.l c..A~L.f~,IJD cA /03 I BLOCK I sulfo,v,s,oN I ASSESSOR PARCEL NO OESIGNER STATE LICENSE # STAN0ARO PLAN# BUILDING SO. FOOTAGE ~E"Ao #'I 21.r -z<fb -~✓ IPo) OESCRIPTION'FOF' WOR IC ~tp ~.12.b "-\ ..r, l) OESIGNER"S AOORESS DESIGNER'S PHONE ~\l ,-ia.>o -i. ""-.~~~ Tl) '8 I -F/P FLR ELEV. NO OCCGP EDU ~{23/81 132 63;s:: :: ', .. _l'I _......_~ .... lln-r-/ -~ cCZ.. • 11,AtJ STORIES 000 1 Hf lil23/ 51 Tton vO NO ~3.5; CENSUS TRACT GP LANO USE PARKING SPACE R"tJ '51Tf"" -GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST T O ND vO NO vO NO Nor Valid Un~ ,Uchin~ <Arrifi«J QTY. PLUMBING PERMIT . ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER ('I) --EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT ~x - EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -,,,r ·-~J -EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -----EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEH0ME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR T0TJ;L MECHANICAL STRONG MOTION --------r--TOTAL PLUMBING FIRE SPRINKLERS PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -Enc1ni1as I PH 3 PH PUMP San 01egu1to -REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DA VS) ----------~,.., TOTAL ELECTRICAL 7-· TOTAL SOLAR TOTAL FEES PAYABLE I i:,~-~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO 00 HEREBY Exprabon.E""'Y--ilk,edbytheButldongOll1C1aluncleftheprov...on•otttH1 * AN OSHA PERMIT IS MQUIE> FOf' EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limttat,on end become null and VOid If the building or work s· o·· DEEP ANO DEMOUTION OR CONSTAUCTION Of OECLARA TIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autllor,zecl by ouch perm,t II not commenced w,th,n 1110 day, from the date of ouch 1STIIUCTUAES OYEA 3 STORIES IN HEIGHT -m•L or 11 the bu~or work autt,orlled by ouch -mu 11 _ _,_ or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ~ "1 ...,. bme the worl< 11 commM\Clld for a "'"flod of Ulil "•v• ~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY AND ~~ OWNER{)' CONTRACTOR 0 APPR\ ~ 1,✓-,-~fs1 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 BY PHONE 0 GRANTING OF THIS PERMIT. ~ 7 7 7 ~ I 'O 0 (.!) i: nl -~ a. @ T~ .:,,:. C a: 0 "' "' Ql "' "' <( I 3 .Q ai >- 1/) "' Q) 0 e a. nl <ii 0 §: Ql 0 C nl C u:: ::. C Ql Q) (5 0 0 Ql a. "' C ~ :c ~ Ill z 0 ;:: C ac C .... u w 0 IE i[ 0 u IE Ill 0 .... 3 ~ Ill z ~ z 0 ;:: ~ z w IL 2 0 u 1/) ~ w "' ac 0 3 il 113 I her8' that I am licensed under ~OYl1lon1 o, _.,.-pier 9 (commencing with Section 7000) ot Division 3 of the Business and Profeaalons Code, and my license Is In full force and effect. L,c No ____ Class I hereby affirm that I am Hempt from Ille Con-~~o;·~~~=: ~ ~,~::~c!lt'~1~ county wtuch requires a penn1t to construct altet', improve, demohsh. Of repa:tr any structure. pnor to its issuance also requires the applicant for such penmt to hie a signed statement that he ,s hcensed pursuant to the Pf'O¥tsH)fls of the Con tractor's Lteense Law (Chapter 9 commeoc,no with Sectk>n 7(0) of 01v1st0n 3 ol the Business and Pro- fesst0ns Godel o, tha1 11 exempt therefrom and the t,as,i fOf the alleged exemptt<>n Any vK>fahon of Section 7031 5 by an apphcant '"' a perm11 su~I• 1ne apphcant to a c1v,1 penalty ot not more than five hundred doila,s (1500) □ I, ~ owner of Ille p,0P<lf1Y, Of my employees ,.,th wages as their sole compensation, will do the W'Of1t, and the structure 1s not intended or offered fo, sale (Sec 70M. Business and ProlesstOl"ls Code The Contractor·s License Law doe-s not apply to an owner of property who builds or improves thereon and who ooes such WOf'k. himself or through his own employees pr0"11ded lh.11 such ,mpn:,¥ements are not mtende1 or offered for sale If. however lhe building °' improvement 1s sold w1th,n one year of complehon lhe owner-builder will have the burden of provmo that M dtd not bu1kl or improve fo, the purpose of sale~ □ I. as owner ot the property, am exclusively contrac:tin" win, hcensed conuactOf's to construct the pro,ect (Sec 70U Busmess and Prolesst0ns Code The Contractor's License Law does not apply to an owner of property who builds or improves ~=,:,~ ~nc:1~~!~~ ~:~t!'~~~.:;:.: Loeehse U W) D I am exempt undef Sec tor this reason ____ 8 &PC 0 I hereby affirm that I haw a cen1hcate of consent to self-insure. or a cert1hcate ot W011ters Compensation Insurance. or a cen1t1ed CoPY !hereof (See 3800. ubOf cooe1 POLICYNO __ COMPANY _ ~ Copy ,s hied w11n ,ne city G, tt 1 D Cert1hed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechon need not be compleled 11 the permit 1s IOf one hundred dollars {$ 100) or tess) 0 I certify thal 1n the perfOfmance ot the wont lor whteh lhtS permit IS issued. I shall not employ any person in any manner so as 10 become sut>,ec1 to lhe W<>rkers· Compensauon Laws of Cahforn1a NOTICE TO APPLICANT If, alter nw.1n~ 1n,s Cert, hcate ot Ex.emphon, you should become wtiject l'J !he WOf'kers· CompensatJC>n p,ov,stons ot the Ubor Code. you must tonhw,1h compty with such ptov1s10ns o, this permit shall be deemed re"oked O I nere0y alfirm that 1nere 1s a consHuct,on 1en<hrw;J agency t()f the pe,rfotrnanee ot the wQt1o. to, which this permit ,s issued (Sec 3097 C'"" Code) len<lef s Name ___________ _ Lenoe, s A.O<l,ess __________ _ USE BALL POINT PEN ONLY & PRE~S HARi> _.,,,--._ ~ APPLICANT TO Fill IN INFORMATION WITHIN SHAQ.-"' ~REA AND DECLARATIONS. - CA 3AD BUILDING DEPARTMENT ( ) APPLICATION & PERMIT I 1200 L ~arlsbad, Callfornla 92008 (714) -438-5525 JOB ADDRESS Uvt, ;_o.,. ..,.;, o A9i:O~AP~~710NI BUSINESS LICENSE It VALUATION PERMIT NUMBER ·-2.5~2. Z.3110 -Bl-too OWNER'S NAME ~M<Jle~ l1~:7=tc:ts~ ~= :o~T~c~ / ~c_ f v 1 ·c_ CONTRACTORS PHONE• ZONE ~ C.,,o k~"" 7cr, "2_qq~ owr·c;~•L,NG Alsf~ X c;S-~R~:;E1 ~ \J~ If ~v ~ J, LICENSE NO. PLAN I.O. I< BLOG USE CODE orz.s 33>~31~ r;:;J c:r-:r-, LOT I BLOCK I sueo1v1s,0N) _ I ASSESSOR PARCEL NO OES GNER \JAUE(~~ JSTATE LICENSE " STANOARO PLAN # BUILDING SO. FOOTAGE :; DESCRIPTION OF WORK DESIGNER'S AOORESS -'"t>ESIGNER"S PHONE -tco AMf. ~l~"lt, ta.) "!>•Fil). 9/04/816330 21.or ~ F/P f LR ELEV. NO OCC GP EDU 00016330 8/04/ 8 I STORIES 27 .O!'' vO NO --00016330 04 8//'JIJ/1 CENSUS TRACT I GP LANO USE I PARKING SPACE I RE S UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE 10cc LOAD FIRESPR AREA CONST v □ ND vO NO yQ NO Not Valid Unlffs AbchiM ~rtifitd QTY. PLUMBING PERMIT· ISSUE ?cSn QTY. MECHANICAL PERMIT · ISSUE ~-{Y') SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100.000 BTU BUILDING PERMIT EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -- EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ·-- EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL '11.ilO --EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR TOT.C.L MECHANICAL STRONG MOTION ----r· -TOT AL PLUMBING FIRE SPRINKLERS d .{)() PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE BRIDGE FEE ,1/U NEW CONST EA AMP1SWT BKR COLLECTORS SCHOOL FEE • DISTRICT '1rtT (1 PH -:) 6 , 1 J::: 3 PH "7 .,,I, . ,,. r.. STORAGE TANKS Carlsbad EXIST BLO"C EA AMP/SWT BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San 01egu110 REMODEL/ALTER PE R CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ---· ----·- --r - TOTAL ELECTRICAL 1.,, 1, ,oD TOTAL SOLAR TOTAL FEES PAYABLE I 'L7 , ()0 I I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT ANO 00 HEREBY bptr11ton. E .. ry permit 1uued by the Budding Off1c11I under the provis1on1 ofth11 * AN OSHA PERMIT IS AEQUlflE0 FOfl EXCAVATIONS OV£R CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expue by lim,tat,on and become null and void II the building or work 5· o·· DEEP 4NO 0EM0UTION OR CONSTRUCTION Of authOf'IZed by such permit 11 not commenced w,th1n 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS :~r;:~~ '!t •=~v ~~•:x:~c:~:~!h::~:.:~~~ r~1::~•~,•~~~ or STAUCT\IAtS OYER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON- STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A~TSSI' r~ (< OWNER□ CONTRACTOR,Pl APi :;: Hh~J- DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 16-1'--Bf GRANTING OF JHIS PERMIT -J - \.. .? u:: >, ni 0 a. E Q) .... I 'O 0 Cl C: "' ,5.1 ~ a. 1'\( I _,.,_ C: a: 0 ., ., Q) ., ., c{ I ~ .2 Q) >- Iii ., Q) 0 0 a: "' .;; 0 §: Q) 0 C: "' C: u:: C: Q) Q) c'5 0 0 Cl) a 1/) C: ~ .c ~ ·•· ; ' ' DATE INSPECTOR INSPECTION TYPE BUILDING FIELD INSPECTION RECORD FOUNDATION .. REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL REQ IF INSPECTOR S I INSPECTION MASONRY CHECKED APPROVAL GUNITE OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP .. SHEATHING STRUCTURAL CONCRETE -~ FRAME OVER 2000 PSI ' PRES TRESSED . , . : .. EXTERIOR LATH lNSULATION CONCRETE ' INTERIOR LATH & DRYWALL t ~ •t"~ POST TENSIONED ,._ CONCRETE • I .;, PLUMBING l FIELD WELDING .... "' -- SEWER AND BL/CO HIGH STRENGTH ,, PLUMBING UNDERGROUND BOLTS .. . PLUMBING TOP OUT SPECIAL MASONRY TUB AND ~HOWER PAN GAS TEST PILES CAISSONS ELECTRICAL TEMPORARY POWER . . .. ELECTRIC UNDERGROUND .. ROUGH ELECTRIC I I .. . '" ELECTRIC SERVICE I A I -,. BONDING ... --! G. F. I. -SMOKE DETECTOR. MECHANICAL . .. DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS ,.. •r ~ •' i-~, t-11. .. -..-,-, ,i . -. --· ----...__., --' -. VENTILATING SYSTEMS .. ~· CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE /____, ITEMS ABOVE HAVE BEEN APPROVED. ~ r:---JOB SITE FINAL "' ~)Y" ........ PLUMBING , .t\.' I .-_;..,/"' '\ 1 ELECTRICAL rA./1./'./ ,1/ .... J.,~ ... r ... ~ - MECHANICAL l JY I'/ ~ '" GAS ./ t .-, V BUILDING ... , ,, ,..... SPECIAL CONDIT10NS \ CERT OF OCCU 'ISSUED ~ ! ; . . .. - - INSPECTOR'S NOTES : DATE ' ···: : .. ~~ . , I .-•• -. ' ... .. l, .. : .. ! ., ' -,. . '..: ., ' , - -- _, . _ .. - ' '·· ,, : . - . t ~ _ ... . .., . .; '• H' • • • ' -,... t: r :t , t ' ·--I • ......... _ _. -· ) ' \ •' . , .'. . .. - --·. t . .. .. ' .. -.. ., : .. '. . I. . - :.. " ,. ., ......... I ( ) '11 ~ - - "' j .. . .. ~~·~ - ~~ .... ' -' ., •~I•' ' . .. .. :--,r.,,.J--'--".;o = .. -• (".' l . . .._ I· - Cl) z 0 ;:: C a: C ... u w 0 C I[ u ac "' 0 ... 3 I "' z J: 0 z 0 ;:: ~ z w ... :I 0 u Cl) ii: w ..: a: 0 J: ![ 0 I M. ,m that I am licensed under provision• ..;t,apter 9 (commencing with Section 7000) of Division 3 of the Business and Profa■slons Code, and my license Is In lull force and effect. Lie No _ Cfass ___ _ t hereby affirm thAt I am exempt from the Con =!c;:·~~~7~°,S: ~ ~t~'::1:-~,~~r county whteh requ,res a pem111 to construct alter, ,mprOYe, demohSh. O< repa,r any struclure, prtO< to its issuance also requires the apphcant for such perm11 10 hie a stgned sta1ement that he 1s hc.ensed pursuant 10 lhe proY1SK>ns ot the Con tracto,·s Ltcense Law (Chac>ter 9 commencing w11h Section 7000 of o,v,s.on 3 of the Business and Pro-fessions Code) or that ,s exempt thefefrorn and the bas•i tor lhe alleged exemphon Any v101.i1hon ot Secllon 7031 5 by on appllQl!I IOf a permit sut>tects tne apphcanl to a c,v,1 penalty of not more tha.n t,ve hundfed dollars (S500) O 1. "" owner ol tl>e p,ope,ty. Of my employees .,,1h wages H their sole compensat,on. wl.11 do the wor1c.. and the structure 1s not intended Of offered 10< sale (Sec 7044. Business and Professions Cooe The Contractor·s Ltcense Law does not appty to an owner of property who builds Of improves thereon and wno does such wont h1mseI1 0t through his own employees provKSecl th.at such 1mproYeme:its are not mtende1 01 ottered tor u~ It, h0'#ever the building or 1mpr0Yef1'lenl 1s sotd wnhm one year of completion the owner builder w,11 have the bur<len of p,-ov1no that he did not butld or improve for lhe purpose ol sale) □ I, as owne< of the property, am exclusively contract1ns, with l~sed contractors to construct the P'OfttCI (Sec 704' Business ~ Profess,ons COOe The Contractors License la• does not ac:>()ly to an owner of property who builds or improves ~~~.;:, ~~c;'~!~~ ~f~~~~;::-: Ueense Law~ 0 I am .. empt unde< Sec to, ttus rea.son .B & PC □ I hereby aft,rm that I hate a certificate ol consent to sell-,nsure. or a cert1f1cate of W()n(ers· Compensation Insurance. or a cen,tted copy thereof (Sec 3800. Labor Cod<!) POLICY NO COMPANY 0 Copy IS filed With the city D Cen1hed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need no1 be completed 1f lhe:pjt ,s to, one hundred dOllars (S 100) or ~ I cerMy that ,n the performance ot the 01" ~ ,ch this permit 1s ,ssued, I shall not employ any ,n any manner so ~ to t>ecome subject to lhe Mers Compen$.ittOn Laws of CaMornia NOTlCE TO APPLICANT II, a'1er m.akm~ this Cert1 late ot E•emptton you snould t>ecome sub,ec1 ,., lhe Workers CompenS,ifl()(l PfO\'IStonS ot lhe UbOf" Code. you must IOf1l'lw1th com.ply wtlh such provisions Ot ttus perm,t shall t>e deemed revoke<l 0 I he1eby aHum tha1 there 1s a cons1ruct1on tend,no agency to, the pert01m.ance ot the wM-lo, wruch tn,s perm11 •S issued 1Sec J097 C1v1I Code:) Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRE~S HAP!\ ,. APPLICANT TO FILL IN INFORMATION WI I HIN ~HA!j-• •o,cA ,.,,.u uc"'•-''""' '..., .. c. 1BAD BUILDING DEPARTMENT \ ) APPLICATION & PERMIT 120(, . Carlsbad, California 92008 (714) 438-5525 JOB AOORJ_s-3 7 ~ / IJJ1 ~Plt/11 iO A~i.T 1 0A10~1~~;0N 1 BUSINESS LICENSE " VALUATION PERMIT NUMBER 2 '373() ?/-/()0 p OWNER:HP. I? I, (/)/2,,n I OWNERS PHONE PR!)c;;v;~;~ 4 J/py,9 f I) c;;;;;tr;;;-17 ZONE 7~Y 5"'f.J"1 OWNEPMa~c, Zoi r A~f>IJ{) -CONTRACTOR"S ADDRESS LY?ort 11 PLAN I.O. # BLOG USE CODE t/2~ rA. 1 OR /3/'U,S6//s£ VIStA 1.ICf,> I BLOCK 1 ~flr;;;1,;;J~, I A ·•,1sESSOR PARC;-~El NO -: . / DESIGNER STATE. LICENSE• STANDARD PLAN # BUILDING SO. FOOT AGE ,,-_7 0-v /fo9~f7 ·;·· ~ DESCRIPTION OF WORK I •11µ I .Jr ■ I .. . I -. I ..•.. !: OESIGNER"S ADDRESS DESIGNER"$ PH6NE - p /_p,J:; J ii o/· anl-1 -.. -F p FLR ELEV. NO OCC GP EDU STORIES vO NO -- CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO N 0 vO NO vO NO Nor Valid Unkn Machin~ C.rtifild QTY. PLUMBING PERMIT· ISSUE 7 -.~() QTY. MECHANICAL PERMIT· ISSUE ~-[)() SUMMARY/ACCOUNT NUMBER 11 EACH FIXTURE TRAP c:i:..,, ,-d.-INSTALL FURN DUCTS UP TD 100.000 BTU BUILDING PERMIT d ~ -I EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT i -------- EACH WATER HEATER AND/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK .,. -·--11 EACH GAS SYSTEM I TO 4 OUTLETS '\_~-BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING #?f_::.;.- 'I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ----· --EACH INSTAl.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME ----- WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) . ~ SOLAR 11~ TDTI.L MECHANICAL STRONG MOTION ---. r . -TOTAL PLUMBING FIRE SPRINKLERS ~-rY'i PUBLIC FACILITIES FEE ./ QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE BRIDGE FEE ----NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL F~RICT 1 PH 3 PH STORAGE TANKS .....,.....carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE __..,,, Encinitas 1 PH 3 PH PUMP ~ San D1egu110 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ~ San Marcos TEMP POLE 200 AMPS ~ ---OVER 200 AMPS -1,r°) .. ~ - TEMP OCCUPANCY 130 DAYS) ,a.JP~ ---:11\)~ .,. -- TOTAL ELECTRICAL ~r--w TOTAL SOLAR TOTAL FEES PAYABLE I 7/9'~-./ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO P ·• ANO DO HEREBY Expiration Every permit ,saued by the Bu1ld1ng Ofhc1al under the prov1s,on1 of 1h11 * AN OSHA PERMIT IS FIE0UlflED FOR EXCAVATIONS OVIR CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION AEON INCLUDING THE Code shall exptre by hm,tahon and become null and void II the building or work s· 0" DEEP ANO DEMOUTIOIII 0A CONSTIIUCTION Of' author,z.ed by such perm11 ,a not commenced within 180 days from tne date of soch DECLARATIONS ARE TRUE AND CORRECT ANO l FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~~::On~ 1~t 1~~y '::'~1J:r~c:~.:~!':~~~~~~ r~"::::,i'~f•r:ge:.~ ~ STRUCl\lAES OVER 3 STOfllES IN HEIGHT ISSUEO; TO COMPLY WITH ALL CITY, COUNT~ AND STATE LAWS GOVERNING BUILDING CON SlRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AP17I~G;;r;~WNER□ CONTRA~r□TO. APPROVED BY II 1°A?6/r/e1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PH E 0 GRANTING OF THIS PERMIT IC/I ~ , (/ I 7 2 u: >-ffl 0 C. E Q) I- I -0 0 (!) c t1l -~ a. C. ~ I .:,: C ii: 0 "' "' Q) "' "' ~ I ~ .2 ai >- rri "' G) (.) 0 a: t1l ai 0 ~ Q) (.) C t1l C u:: C G) ~ (!) 0 0 Q) a "' C ~ C 3: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes• slons 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 Ucense Law tor the following reason (Sec. 7031.5 Business 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 provl• slons 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 vlolatlon 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). D I, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or of• fered for sale (Sec. 7044, 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 for 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 for the purpose of sale). '.JI, as owner of the property. am exclusively con• tractlng 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 c•ho builds or Im· proves thereon, and who contractstfor such pro- jects with a contractor(s) license pe,tsua~t to the contractor's License Law). I am exempt under Sec ~, }Y' for this reason 1 Date Owner~i/ ~ .,_'\ / WORKERS' COMPENSATION't>ECLAR'ltTI I hereby affirm that I have a certificate of sent to self-Insure, o, a certificate of Wor,.rs' Compensation Insurance, or a certified copy thereof (Sec. 3800;.Labor Cqde). POLICY NO W "-.:l,, '"¥ '71 COMPANY~f-e_c 0 'C!(;opy Is filed with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mlt 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 Callfomla .. NOTICE TO APPLICANT: If, after making this Cer• tlflcate of ~•emption, 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. CONSTftc.JCTION LENDING AGENCY I hereby affirm that there Is a construction len• ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Clvll Code). c..t I Y U t-C AFU.SBAO-BU ILOING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 EL M AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. :J.f13:~, t-, 111 I Co~N'io JIOZ,8 ADDRESS a...,R--tRr-lo? :,iLii TION BUS. LICENSE r_;!!J'41T NUMBER ~c..osrl'¼-_ ~:l ss , I I I I I I I I I I I I I I I I I I I I I I I I ~~/ OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE '-"lL ~ 1s-s --.%.: % II~,. rJ 6L,--r,:..;;~ ~90:,.~o ,,_ "fj)_'&AILINIC,:;S '1., 3 CONTRACTOR'S ADDRESS -CONTRACTOR'S ~ /csY; .2Yo4S-'r. £tic. 7.S3-1'S83 LOT BLOCK I SUBOIYISION I ASSESSOR'S PARCEL NO. DESIGNER ST ATE LICENSE I I I I I I I I I I I owRl~Ol ';{ _w~ ~' --. ,,, -~,.,A,.~~. -DESIGNER'S ADDRESS DESIGNER'S PHONE ,A -#'t!!:!., JI V "' ..,, ' CENS..,TRACT GP LAND USE ZONING I RES. UNITS I PARKING .SPACE I NUMBER Of STOR IES S/f~/8 J J71:. I 11 8 I6.Q: I ~· VHif f.11._ Mlclli('f (4(tifi" I• BLDG SQ, FT, BLOG USE occ. GP I STANDARD PLAN II I PLAN I D II I TYPE CONST I occ. LOAD I . - QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU ~ .. LZll EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE -~ VENT FAN SINGLE DUCT ~ .a:, ( )£ ~ 1 /1 -r'rt-EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS , . WATER SOFTNER RELOCATION OF EA FURNACE/HEATER B-UI LOING PERMIT l . I I I / .... __. , • .I ( -f ./J (I /A..,,1,~ """--"'10 SI GN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL 16 .oo PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1...116~1-- 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA ~ 'I -I , I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' _A/~.~ .. m ,.J, ~ I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILIV l I l I OVER 200 AMPS I . I I : I TEMP OCCUPANCY (30 DAYS) I . I I I ,FA _.,,,1, J ~AO I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR , . I I , I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO .::'~ ,/_ ,a,J y -1-~ •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0"' DEEP ANO DEMOLITION OR CONSTRUCTION.OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3ST0RIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ,/,, /~~//~ .. SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM /4A .. ,.S--/3-...P/ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO -~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 1>-PPLICANT~GNATURE~ OWNER□ CONTRACTO)!IAPPROVEO BB~ ~h V, ;.«-,.... . AGENT D BY PHONED 7 7t • w < 0 ~ ~ ;= ::d 0.. V) ~ iL-1 REQUEST FOR INSPECTION TIME:_--,----__ INSPE.CT(:)R ___ 7...,/Y/__,__,._.e_t_ ___ PERMIT N0._?_1_.,,_1_tyO __ DATE: Jfjb OWNER ________________________________ _ ~S-3? // -• ADDRESS_-=~------'~:C........,,.__--'~"------'"'--------"----------------- □ REINFORCING STEEL □ MASONRY □ GROUT -GUNITE □ FLOOR AND CEILING FRAME □ SHEATHING □ FRAME i (!,/J, □ EXTERIOR LATH W. □ INSULATION □ INTERIOR LATH OR D~L FINAL q/ r 7J' ,..., PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING □ SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL D READY FOR INSPECTION: D MONDAY D A.M. ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING ELECTRIC SERVICE CEILING HEAT G.F.1. □ SMOKE DETECTOR FINAL MISCELLANEOUS □ PLENUM AND DUCTS D COMBUSTION AIR □ PATIO D SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING □ FINAL D WEDNESDAY D THURSDAY D FRIDAY D P.M. ~ 4:-£)_ SPECIAL INSTRUCTIONS ___ ...,,,,..sJ:__..,._ __ q:,.__=----'------------------;;;, REQUESTED BY ~ / ~✓-~:,;; PHONE NO. PERSON TAKING REPORT_ ..... Ji...,.~.,.~~,.._-F'---- CORRECTION NOTICE CITY OF CARLSBAD • ~ p, C,4~1LDH~G INSPECTION DEPARTMENT ' TIME: ______ _ INSPECTOR PHONE -438-5525 DATE: / {)-1-7,-r: BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING D FRAME o EXTERIOR LATH o INSULATION □ INTERIOR LATH OR DRYWALL PLUMBING o UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGHT PLUMBING □ TOP OUT PLUMBING □ SEWER AND PL/CO □ TUB OR SHOWER PAN o GAS TEST □ WATER HEATER ELECTRICAL □ TEMPORARY SERVICE o ELECTRIC UNDERGROUND o ROUGH ELECTRIC o POOL BONDING □ ELECTRIC SERVICE □ UPPER GROUND D G.F.1. o SMOKE DETECTOR MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION Al R D CONDITIONED AIR SYSTEMS D SOLAR D GRADING D POOL D PATIO D SIGN D OTHER Note: Final Inspection Required @ --~.A-----,-1J----,-'tl_€r==-__ £>o_()r.t--=----_c_~ ___ ____:;__Jf_,_7: ___ _ ~ p ~n- GJ I fl,PP: $15--7 &o/)'7Wv ~, 7t=7 ~~ f:Yt'T~· REQUEST TIME: t~<f INSPECTOR~ ___ _.__.......:..,,~.------PERMIT NO. _______ DATE: ~ --~';l -..z?, BUILDING □ FOUNDATION □ REINFORCING STEEL □ MASONRY □ GROUT -GUNITE □ FLOOR AND CEILING F~~nM~ □ SHEATHING yr r O F S ATION TERIOR LATH OR RYWJ).LL • FINAL PLUMBING 0 UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY D P.M. ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING ILING HEAT .F.1. MOKE DETECTOR FINAL □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO D SIGN □ GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL WEDNESDAY □ THURSDAY D FRIDAY □A.M.) SPECIAL INSTRUCTIONS __________________________ _ REQUESTED BY __ ~4 L}d~='-L---~~-=-----l~h------PHONE NO. t/3 ,~4 qf r PERSON TAKING REPORT-...,qbl--iff'--,,-_-_-_-_-_ -_ -_ REQUEST BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING ~ FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL 0 FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER EfJ ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 11§. ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY D FRIDAY REQUESTED BY D A .M. D P.M. Sh\ [\&{A PHONE No. 7x;b ~ Cf oJ] ~SON TAKING REPORT_.....,'\---e----- REOU~ST F,Pij INSPECTION TIME: INSPECTOR ~ /"' PERMIT NO. _______ DATE:~$ 7 ~ OWNER _________________________________ _ D REINFORCING STEEL D MASONRY D GROUT -GUN I TE D FLOOR AND CEILING FRAME D SHEATHING rst°FRAME /□EXTERIOR LATH D INSULATION D INTERIOR LATH D FINAL D NDERGROUND WATER OUGH PLUMBING P OUT PLUMBING D SEWER AND PL/CO □ TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY ;>4-M. D TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND !)('ROUGH ELECTRIC ./ □ PboL BONDING D ELECTRIC SERVICE CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL CELLANEOUS 0 PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □WEDNESDAY XTHURSDAY D FRIDAY D P.M. ~ f.,✓ I SPECIAL INSTRUCTIONS _____ ___;_ _____________________ _ REQUEST FOR INSPECTION TIME=·-~-- INSPECTOR ___ GJ() _______ PERMIT NO. _______ DATE,#/ OWNER ________________________________ _ ADDRESS_..!::::~~~=--&2.=----____J/)~'N~I_CO..::....:..=e....:.AJ.=....t,_/ =o ______________ _ BUILDING ELECTRICAL 0 FOUNDATION t'Gff!:> 0 REINFORCING STEEL ~ TEMPORARY SERVICE 0 MASONRY O ELECTRIC UNDERGROUND 0 GROUT· GUNITE O ROUGH ELECTRIC 0 FLOOR AND CEILING FRAME O POOL BONDING 0 SHEATHING O ELECTRIC SERVICE 0 FRAME O CEILING HEAT 0 EXTERIOR LATH D G.F.1. 0 INSULATION □ SMOKE DETECTOR D INTERIOR LATH OR DRYWALL k D FINAL D FINAL ~ L-----------'~1 4--r---------' PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL \"11~---~ MISCELLANEOUS 0 PL: NUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN ~ 0 GRADING ~\ 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY ~URSDAY D FRIDAY D A.M. O P.M. SPECIAL INSTRUCTIONS __________________________ _ REQUESTED BY __________________ PHONE NO._f!_~"""""---- PERSON TAKING REPORT_~-=:;.....,..----- REQUEST FOR INSPECTION INSPECTOR DATE: ~ PERMIT NO. 1 {~(Oi) OWNER __ ~-~-=:::;....;....:.........:...___; 0 ::....1,~---_,l_{;....;..L.....,_(.~l'J+------------ ADDRESS_· _ ..... :/----'-'d-'-r---?_,_,... _·_~____;LJ __ l')")___;__,_~-"'--___;__;._"\,,_I_(_?'------------ BUILDING 0 REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN D 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. D SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN D GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY □TUESDAY D WEDNESD D FRIDAY ~ O P.M. SPECIAL INSTRUCTIONS __________________________ _ REQUESTED BY ~ C <,, ">½:~ '<\ °'-" Jl PH ON• NO,------f-~ 4__:_(;__,-__ y .......,h...c;._;31_ PERSON TAKING REPORT_'-''iE:------- CORRECTION NOTICE CITY OF CARLSBAD INSPECTOR BUILDING INSPECTION DEPARTMENT PHONE · 438-5525 Tl ME: __ _,_/_-'/'---- DATE: -J....,if,._~---6--1/f:_c_:__/ _ BUILDING o FOUNDATION D RE INFORCING STEEL o MASONRY D GROUT -GUNITE o FLOOR AND CEILING FRAME □ SHEATHING o FRAME □ EXTERIOR LATH Note: Final Inspection Required d:{~-2, t)N/CIJ(L/J IO (j M"(2aWJT {j) f f:.OV/Oe VE~ (Uoz)J,.JD 97/fr7\-JPA1'C:D feJ(l btrf □ INSU LATION ~ □ 1 NTER 1OR LATH oR DRYWALLl39,___'f>---=-Rd71 _ __,1'"""oec........::.... __ ~c:....:....::.L......::~t4n-4llt1{:u1--L-===-Y-1--------- PLUMBI NG ~,..,, - 0 UNDERGROUND PLUMBING Jrn.A v111 es C]2. ~O('J5 {To □ UNDERGROUND WATER □ ROUGHT PLUMBING □ TOP OUT PLUMBI NG □ SEWER AND PL/CO □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POO L BONDING □ ELECTRIC SERVICE □ UPPER GROUND D G.F.I. o SMOKE DETECTOR MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION A l R D CONDITIONED AIR SYSTEMS D SOLAR D GRADING D POO L D PATIO D SIGN D OTHER TIME-·_'-!-__;___•----R E Q~_EST FQ~ INSPECTION _ 7 i _ 1/1d INSPECTOR tvf' · • PERMIT NO. __ 0 __ 'IJJ ___ DATE: '-(-,,_ ( S ~if OWNER __ ___,[._):1~\ [~\ __J~L../-z....1.....<.L..=..J ~~~-------- J_ f 3 ~ LJ rn \ Go fvV\ l ·o ADDRESS------~---__:_' l _____ ___:_....::__ _____________ _ 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 0 INTERIOR LATH OR D FINAL PLUMBING 0 UNDERGROUND PLUMBING ['.j__uNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN D GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY ELECTRICAL CTRIC UNDERGROUND POOL BONDING 0 ELECTRIC SERVICE D SMOKE DETECTOR FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN D GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL ~ SPECIAL INSTRUCTIONS~~-------------------------- s ~ vVI. R PHONE NO.__:q_L{_/--..,......t.f_i.__,_-:X_ PERSON TAKING REPORT _ ___.4~R------ ~;::;;;;;;::;;=~;:::;::::;;;;;=====::==--=- REQUESTED BY --~~--/, --.:~-~'> "'~ ------ ;:l. -~MAli.\JP...A~~~~IA/4./4.JAP<'\l,v)vA,~IAv~.lA.t~~~~~-~ ► ~ ► 1 ffirrttfirutr of ®rrupattry E j CITY OF CARLSBAD ~ ~ v.~~~-~ ~ ~ This Certificate issued pursuant to the requirements of Section 306 ► j of the Uniform Building Code certifies that at the time of issuance ~ ~ this structure complies with applicable ordinances of the City ► j regulating building construction use. ~ ~ ~ 3 ~ UseClossificot,cn Single Family Dwelling Bldg.PermitNo. 81-100 ~ Group _____ Type-Constructicn _____ Fire Zone ______ Use Zone______ ► Occupant Lood_______________________________ ► ~ OwnerofBuildir,pz:He.rl> Cohen /• ..... ,. 'MdreH P. o. Box 923, Carlsbad ► ~ BuildingAddres/,:~25-32 Uni-c&.rn io.... ~ Carlsbad-CA . 92008 ~ ~ .r--► ~ ~ ~ ~ ~ ~ -~'f NOTE: 41t..-o-tt-ona, chonge s, odciitiona or cho ----··-·-·----------· INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT D;!E CEJVED B ~ r L DING ADD RE s s : -=~_,1S._3_~------'-~""'-f'C'-~=-..... ~'-=--=.L....::........::....·:....._ ____ ,,IU1~AI-GIR'-'lll-4a-l-'1{,19e!W-'11---- CITV OF CARLSBAD BuHdlna Depa, tment ... PLANNING DEPARTMENT ~ONE ___ i/Z____,__-_,:__ ___ LOT SIZE _________ LOT WIDTH ________ _ ITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED J'\Il PROVIDED ___ --=_,_,,__ ____ _ % COVERAGE ALLOWED --------46[~+~~------PROVIDED () le. BUILDING HEIGHT ALLOWED PROVIDED-----=-'------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED======<f\::ir::==== INTRUSIONS VF o(L LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: FINAL _______ _ ENGINEERING DEPARTMENT J FD I R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ,ef)US DRIVEWAY LOCATIONS GRADING PERMIT LEGAL DESCRIPTION ------------ EASEMENTS--,.....--------=AGE d!S---cJ-.do ~/ ~1 3 k:J. · #.. ; ADDITIONAL COMMENTS ~ • 7 a~ r---<'-<.- PWI ____ OK TO 'i'-- 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 ________ _ 8/-100 'L BENTON ENGINEERING, INC. Al"l"LIEO SOIL MECHANICS -,..OUNOATIONS 1111<10 R U P',-IN ROAD SAN DIEGO, CALl,-ORNIA 112123 March 30, 1981 l"HILII" Hll:NKINQ ■t:NTON rtt•elDtlNT • CIVIL SNGINkCII T&L&""OH& I 714) 888-1888 Mr. Herbert Cohen P .0. Box 923 Carlsbad, California 92008 Subject: Dear Mr. Cohen: Project No. 81-3-26M Moisture Contents in Subgrade Soils Lot 13 of La Costa Meadows Unit No. Carlsbad, California This is to report the results of tests to determine the moisture contents of the soils in the upper three feet below finished grade in the proposed building area at the subject site in Carlsb.od, California. The soil samples were obtained on March 27, 1981 and the results of the moisture determinations are presented as fol lows: 'A • pprox1mate Location of Samples Southerly portion of proposed building area Northerly portion of proposed building area Depth Below Existing Grade (in feet) 1.0 2.0 3.0 1.0 2.0 3.0 Moisture Content (% dry wt) 18.2 17.2 14.7 16.7 23.8 18.8 It is concluded from the field observations of the various soil types and the final results of the moisture determinations that the soils in the upper three feet below finished grade at the locations sampled have been sufficiently moistened to minimize the potential expansion of the soils, as recomme ,ded in our report under Project No. 70-10-28Ddated October 12, 1971. • It is recommended that positive d rainage, 6 inches of vertical fall in 6 feet horizontally, should be ,:>rovided around the perimeter of the house in landscaped areas. Drainage systems \· Nlr .• litsrl.HSI I Lolltsn Protect No. 81-3-26M -L- should also be provided to collect all runoff from roofs and conduct the water in watertight plP.es either into the streets or storm drains. All surface drainage should be prevented from ponding adJacent to or running over the tops of slopes. Inlet boxes and watertight pipes should be installed when necessary to comply with the above requirements. Respectfu 11 y submitted, BENTON ENGINEERING, INC. Distribution: (3) .Addressee RCR/PHB/Jr 'iJlZB/77 LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE ~ Owner 1s Name Vi·ctor Ottenstein Mai l i ng Address ,_P ._. _,,Oe...a.,_,,.B"'o..,x..,__..J..,._3-'-'43,.___ _________ _ Rancho Santa Fe, CA .~92~0~6~7 ____ _ Service Address: ----------------- Tract Description: lot 13, Meadows #1 Assessor 1 s Parcel No. o<../S ,,;;__cf> 0 ~/ I Phone No. 231-8788 SEWER PERMIT ISSUED UPON RECEIPT o:= BUILDING PERMlT. ElUILD!t·lG PERMIT MUST BE B-3 APPLIED FOR BY fJ-6+9~ Type of Building s.f. No . Units l Connection Fee $600.00 Lateral Size: 411 --6~,~, ---'--"--8-,-, __ S_a_d_d-le Easement Connection (pre-pd 200.00) Extra Footage: __ @$ ---- Amount Rec 1d $ 400 00 Ck. No/Cash #._3-56_· __ Date 8/30/79 Rec•d By s.williamson_ Extra Depth: ___ @$ __ _ Lateral Fee Prorated Sewer Servic~ Fee 400.00 Total $600.00 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 th e 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 that part of the sewer system that extends from the main collection line in the street (or easement) to the point in the street (at or near the applicant 1s property line) where the service lateral is connected to the applicant 1s building sewer. The applicant is responsible for the construction, at the applicant's expense, of the sewer pipeline (building sewer) from the appli- cant 1 s plumbing to the point in the street (or easement) where a connection is made to the service lateral. The connection of the applicant's building 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 MJ\-~ 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 StKVlSE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONS IDERED INVALID AND WILL NOT BE ACKNOWLEDGED. The prorated sewer service fee is based upon the date the District estimates that service will beg i n and covers the balance of the fiscal year. There wil~ be no additional fee or refund if service actually corrmences on a different date. For succeedfng fiscal years, the sewer service fee will be coll_ected on the tax roll in the same manner as property taxes . The undersigned hereby agrees that the above information given is correct and agrees to the conditions as stated. 9980 Owner ~s Signature Date Account No. 1200 l::LM AVENUE CARLSIJAO, CALIFORNIA 92008 Buildi ng Department TELEPHONE: (714) 729-1181 .. •. ~itp of <1:arizuati RESIDHffIAL ENERGY.JJESIGN CERTIFICATION ,. . . .-CERTIFIU\1E .OF .CCT·12LIN.JCE HI.TI1 EtJERGY COtISERVMION DESI.GU REQUIREMEfffS co~rrAINED IN /-\RTICLE l, PART 6, Tllli 24, CALIFORNIA AD',1,. CODE . I,·----------~-, hereby certify ·that I am fami·liar with the state energy.conservation standard~ mandated in .·· . ·. -CAC Title 24, Sect~on 120-1401 through T20~1406, and that the • plans and other .documents submitted in support ~f the ipplication ,. for a bu i 1 ding permit_ at --------=--c-,----,--------Address • .• . ---------' .. Assessor's Parcel No. Dated comply: "A current requiretne~ts of these regulations. :Signature ~ J.l. ~-.! Title ✓ ~ • • ( Architect, Engineer, Contractor, Other.) .State License or· Certificate No. Dat✓-Af"•~ !); l1tt .------------ Submit to the Building Department with permit application . '. ,. Form 78-101 \