HomeMy WebLinkAbout2756 UNICORNIO ST; ; 80-245; PermitLICENSED 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•
sions Code, and my license Is In full force and ef•
feet.
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 thal 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).
□ 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 ISec. 7044, Business and Profes•
slons 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. II, 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•
tracllng with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply lo an owner of property t•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 ertlflcate of con•
sent to self-Insure, or a certlf ate of Workers'
Compensation Insurance, c1rtified copy
thereof (Sec. 3800, Labor c
POLICY N0•-----+1---'-lf..PC....--,--,A-COMPANY ____ _;;_ _ _.. _ _,\-lli-A ..... ~
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 California.
NOTICE TO APPLICANT: If, after making this Cer•
Jlflpate of Exemption, you should become subject
tai the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
• ctlNSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction ten·
ding agency for the performance of the work for
CITY OF _cARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
M' ,2 :i-~1 l/ill/,e.,tJlflf!t1 o 1
JOB ADDRESS
I I I I I I I I I I I 02:)~~-OWNER'S PHONE
?.53-tJJ',/J
D.
DES~PTION Of' W~~ <" /) -• _b .A
<.:/ n Q ->'./ rr ~ r ~ ~ / / ~ r-r,-/.
~ ~/~~-~ -zr
AV. ST.lDATE OF APPLICATION BUS. LICENSE
1 1 1 1 1 7 /d~ V6
PERMIT NUMBER
p7l/;;J~ ' //35>~ ~ ,-,2~.S-
c:;~3;~ »~ I ~:;,,JtJ
,!:; t,-,Az_(,!4r; t>Jv ~ 7, G 2:-&
DESIGNER
A~ -----4
D£§1GNER' S ADDRESS
./7.,,,, __ 11
STATE LICENSE
DESIGNER'S PHONE
CENSUS TRACT I GP LAND USE I ZONING RES. UNITS NUMBER Of' STORIES ;R.-/ /
P.p;RK~A~..(_
,S?ro .s..p. I Not Valid Unless M11chin1 Cartifild
BLDG SO. f'T. I BLDG USE
:295D S.f <S,,p,D,
QTY. PLUMBING PERMIT
ILL EACH FIXTURE TRAP @ <z., 07)
l -i
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
7 EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
£5~~
TOTAL PLUMB"6
CONTRACTOR _-~_A .A-,J..-~ ,
QTY.I ELECTRICAL PERMIT
I/ 6ol NEW CONST EA AMP/SWT/BKR ~ , ;lef
1 PH .25 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
P>~
1~:·; STANDARD PLAN# PLAN ID # TYPE CONST OCC. LOAD
7~-5?.S-JI-II
;;gll7
5,
.2. =-.:
MECHANICAL PERMIT
INS.TALL FURN. DUCTS UP TO 100,000 BTU
~,--OVER 100,000 BTU
AMT.
A .<Tl
!d-~
BOILER/COMPRESSOR UP TO 3 HP 7
k_"l:i
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT G. VD
MECH EXHAUST -HOOD/D UCTS
RELOCATION OF EA FURNACE/HEATER
0 .CTEJ :a~ <r1J f? <t4 TOT~ MECHANICAL
CONTRA~~ ll_,___,,,,_
__;;J_
17
AMT. QTY. MOBILE HOME PERMIT AMT.
(37. ~l, AWNING
7/ ,
PORCH
SET-UP ~
RAMADA, CABANA ./
FENCE OVER 6'
5 ." 0
/
TOTAL MOBILE ljQ!l(E
-:.Z-."1.> ~
~
,rt:~
I Q ~ I 'f-'7
JD' ~~· /Oqo~ ,
BUILOIN(t PERMIT
SIGN PER IT -
PLAN CHEC 12:4, Sb J
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR -r!t:---/AA ~ Yi5-V7~ Ml ·Fl LM
,' gP),~-/oTM-.
!:!-
1 -~~-?
J~.¥
I
_l
I
1· I iuiz ~;;;
1/17.~
f ( · I
, I I · l
I I • ~ I t/4..f
l..._,_ I I I
I I IAO./_
I ·-~~o/'
1 ./,319. '1-"
! < 0 ~ >
~ i'.= ::d 0... V)
~
..f4-.#.l1---I +~--=====+==7 I I 11 TOTAL EL~AL _ /
CONTRACTO_v, ~-~
TOTAL FEES PAYABLE
., l I I .e,1,-~I,.,..,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
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.
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'•0" OEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
-1 _L,_ II AP\/Vnwrt::t7fil&
-SC-,/h()Z... tJAST-F~
~~ -:S'ArN _,.,,_
OWNE~
AGENT D BY PHONE
-¢11~~
~-/..s-~ATE
SITE PERMIT NO: 9n--~ ADDRESS: OWNER:
' ' FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR -FOUNDATION• FORMS • SET BACK •TOILET
UNDER FLOOR PLUMB.ING
UNDER FLOOR HEATING , ' OK TO INSTALL SUB FLOOR -. ' l . ' .
SLAB FLOOR \. ,. . ., ' UNDER SLAB PLUMBING -
FOOTING • FORMS • SETBACK • TOILET \ ~ "· " -
OK TO POUR CONCRETE . . '.
FRAME
ROUGH ELECTRICAL -.
ROUGH PLUMBING .I
ROUGH HEATING/VENTILATING -
FRAME OK • PLACE INSULATION •
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE .
EXTERIOR LATH OK• PLAC E STUCCO
' .
Fl REP-LACE .
DAMPER 8c STEEL .,
PLATE Tl Es/HEIGHT OF CHIMNEY
'
OTHER C
' ,cs
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING .
• PRE DECK
• FENCE PREPLASTER r-... .
SHOWN • fRAME I n \ ' • PAN 'I -_\. /
FINAL INSP BY BLDG DEPT CH:nl ~ ,,,,
I \ • OTHER DEPT'S REQ COMPLETED I
E L EC METER-PERM-TEMP .
GAS METER-PERM-TEMP
\. ~.
CERT OF OCCUPANCY ISSUED ~ . -
REQUEST F.OR INSPECTION TIME: 7 -~
INSPECTOR __ ....:,e.=-,,D"""------PERMIT NO. ______ DATE:~ df I
OWNER ________________________________ _
ADDRESs _ _.,.,J,.'--7._,.a,....,._ __ oLLP~l-=Cd?....:;....,~=.-/V__,_l .=o;..__ __________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR
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
D GAS TEST
0 WATER HEATER
~ 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
0 PATIO
0 SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
~ FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY ~EDNESDAY D THURSDAY D FRIDAY
D A .M.
DP.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO.~Q---:a~'------
PERSON TAKING REPORT-~c,,,,:.,._. ____ _
REOVEST _.F~~ INSPECTION ,,,,.--
1NflPE~ToR ___ ____;½(=.x,.,,__ _____ PERMIT NO. 8 (}-~)
Tl ME :__._/_,,6:......: J.-/'f.,.__ __
DA TE: _1_-.,__I b_-..:....io __
OWNER ____ 'Qa;.:.=.:..~J2:tL44CZ,,~/\~c~Q::.u.~...:.=.:u....iA.<1111,,..o~~t:~,t'.)'\...L, .\------------
ADDRESS __ _..::<)~(\+--~-=---i\?'------"'\)~C'f\.+' 1\-\--1,, .(...J,cvvv\"""--""'....L..:..l\.....,· "-">""-----------
BUILDING
0 FOUNDATION
L-=i REINFORCING STEEL
L7 MASONRY
C GROUT -GUNITE
0 FLOOR AND CEILING FRAME
CJ SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION f3' INTERIOR LATH OR
D FINAL
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
0 WATER HEATER
D FINAL
READY FOR INSPECTIO~Y
(~
□TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
'• 0 POOL BONDING
. il-LECTRIC SERVICE
(/ EILING HEAT
G.F.1.
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
EONESOAY ~□FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __ ~_,c......D,,L../V\...l-"-""",
0
.,..c-9~--------PHONE NO. // ))-oqgO
PERSON TAKING REPORT __ _,~..,,.➔(----
REQUEST : FOR INSPECTION TIME:, ______ _,.-;---
INiPE~T~R ~ PERMIT NO. _______ DATE: -1~/4~/Li,,_J._~_;;_ __
OWNER __ Oel'J~e:L...=:.itJ...%....>...( ~.-,,,:;...._~tto~~l,.....t!::..l,....:::...L.C:/..4-f-,,.-------------
ADDRESS~d::_2L..:,~:::....W)--'-------4,,,<(}~N'4lC{)~-'---'(LN=-.,,.._._f o=---------------
BUILDING
□ FOUNDATION
C J REINFORCING STEEL
Ll MASONRY
C GROUT· GUN I TE
□ FLOOR AND CEILING FRAME
0 SHEATHING
"¢FRAME 1
□ EXTERIOR LATH
!2(1NSULATION l~. □ INTERIOR LATH OR DRYWALL \I/ \ \ L---□-F_IN_AL _____ --1 1 c~ ~
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
0 ROUGH PLUMBING
~ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
D FINAL
(J
D
~
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
0 POOL BONDING gELECTRIC SERVICE
CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
g COMBUSTION AIR
PATIO
D SIGN
□ GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY
□A.M.
D THURSDAY -,d'RIDAY
D P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO.,_....,.C2=,_.,..+------
PERSON TAKING REPORT_""~~_.:;;;__ __ _
REQUEST TIME: ______ _ F?~~TION
INSPECTOR,-----~------PERMIT NO. !o -LYJ---DATE:
OWNER _____ ~D2===--~~===-=~c.:.~--------------------
;2 7 \) 6 -?/ AA I :,. -1 ,,.', AJ ADDR ESS-----------=~'-4-,;✓~T~___:__.o:;_'-..,.---'-~-'---------------
BUILDING
0 FOUNDATION
.-=i REINFORCING STEEL
L7 MASONRY
C GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
L-=i SHEATHING .. .-i°
~1 FRAME -/"-, ~ """\''
□ EXTERIOR LATH
)ii INSULATION
6 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP 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 A.M.
D P.M.
ELECTRICAL
□ TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
jCI ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
FINAL
0 PLENUM AND DUCTS
¢coMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY :;£),e'a,t~ PHONE NO.
PERSON TAKING REPORT _______ _
·_ ·COR.RECTION NOTICE ... CITY OF CARLSBAD
INSPECTOR
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525
Note: Final Inspection Required
..:J7o<p V/ll&J1<NI 0
BUILDING
D FOUNDATldN
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
o INSULATION
□ INTERIOR LATH OR DRYWALL
PLUMBING
o UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
o SEWER AND PL/CO
□ TUB OR SHOWER PAN
o GAS TEST
□ WATER HEATER
ELECTRICAL
OE f&51/Jflll.s
TIME: --~t...f-'--,,,__ __
DATE: _7=-l'/4'""'£'.=-J~...........,"'----
□ TEMPORARY SERVICE
o ELECTR IC UNDERGROUND on kl rY f<.CJ7JU I o ROUGH ELECTRIC
o POOL BONDING
□ ELECTRIC SERVICE
□ UPPER GROUND
□ G.F.I.
□ SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
o COMBUSTION AIR
D CONDITIONED Al R SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER
@ pµ;v /tie tifJ 1rfP/l,(Jj)£§0
TIME =---,i•1---,,-• __ REO'-:'EST F_9fl INSPECTION
INSPECTOR __ __...,~"-=-------PERMIT NO., _______ DATE: <Jf>t@
I
O~NER ~ tfr • ~1,/
ADDRESS,_.....!;)-~•·_J.1,.flp=::__---LUL.:AJ:..::....,.t_C.0_.,__1-..:...M__:_i..(___:0=-------------
BUILDING
D FOUNDATION
0 REINFORCING STEEL
□ MASONRY
0 GROUT · GUNITE
□ FLOOR AND CEILING FRAME
~SHEATHING
D FRAME
0 EXTERIOR LATH ~
0 INSULATION
D INTERIOR LATH OR DRYWALL ~J •
D FINAL V I
.__ ____ P_L-UM_B_I_NG ____ __,\t l t·
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
0 WATER HEATER
D FINAL
-I ' ) ~ -
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
□ CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
0 SIGN
D GRADING
□ DRIVEWAY
D CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY )'TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
D A.M.
O P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY D::tfJJIJI} PHONE No.-41-G ""09f t)
PERSON TAKING REPORTif,2.. -.....::.:::
REQUEST FOR INSPECTION TIME:, ___ _
INSPE;~OR
0
PERMIT NO .. _______ DATE: f /2zjto
OWNER, ________________________________ _
ADDRESS ;2._ / s-l, ~
BUILDING
0 FOUNDATION
D 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 DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
\L ~~1.3
~ TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
• G.F.1.
SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: □ MONDAY □ TUESDAY □WEDNESDAY
D A .M.
D FRIDAY
0 P.M.
SPECIAL INSTRUCTIONS __________________________ _
PHONE NO. __ ---,, ____ _
PERSON TAKING REPORT_J.../4-~--"---"------
REQUEST FO~~PECTION O _
INSPECTOR ~ PERMIT NO. /I O!-;:i__ '{J
TIME: ______ _
DATE:3-2~
OWNER ;;a::~
BUILDING
FOUNDATION
REINFORCING STEEL
MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
D P.M.
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
□ SMOKE DETECTOR
□ FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D THURSDAY D FRIDAY
~J'O-O
SPECIAL I NSTRUCTIONS ___________ __,~{..,L-----~-.:.= -====------
REQUESTED BY ~ ~ PHONE NO.
PERSON TAKING REPORT _______ _
REO!,JEST =R INSPECTION
l~SPECTOR, __ ___.:~'-"-.,__ ______ PERMIT NO.
owNER_~~~..L..::........l:'o~AA~_____..:C~m.1.J.,...s"""'-'-. _______________ _ .
ADDRESS {t:7S ~ LhJ/ c Pl/h " u
[$J REINFORCING STEEL
MASONRY
0 GROUT · GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
ELECTRICAL
TEMPORARY SERVICE
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
POOL BONDING
0 ELECTRIC SERVICE
~. ~~;~'.NG HEAT
SMOKE DETECTOR
FINAL
___ ___,.):___ _____ ci...:;;..;.;;;..--:V~l./'~F--___.;:S ;___;\l_'-------l ___ \ _ __,;;___;._
• PLUMBING MISCELLANEOUS
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
REQUESTED BY __ ()..._·-+\_f?L-_ __________ PHONE NO. 1 ~ °3-0 Cjff p •
I
PERSON TAKING REPORT--re/if'f------
TIME: ______ _ • REQUEST. FOfl~~PECTION
l~SPEC~~R _____ --=-6-cCil, ____ PERMIT NO. 8°-~ y s-DATE:_3 __ -_,;£..._e.,__ __
OWN ER ___ :::;,'-~._.L..-,J/J,,i;..,'c.../,'-AL1,:.4,L./rVY?=....:::·=-=-------------:------::-----------
ADDRESS __ &L_~·:2='-t>'.L7-=s=--_r;;(~_2f--=+-==-~~==-~-' =-..::....::::...=\:..=..__ _______ _
----------------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 DRYWALL \,
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
-D G.F.I.
0 SMOKE DETECTOR
D FINAL
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0 ROUGH PLUMBING O PATIO
0 TOP OUT PLUMBING D SIGN
0 SEWER AND PL/CO O GRADING
D TUB OR SHOWER PAN O DRIVEWAY
0 GAS TEST O CONDITIONED AIR SYSTEMS
0 WATER HEATER O REFER PIPING
D FINAL D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D THURSDAY D FRIDAY ==~ ~p{/o2 '.P~~
SPECIAL INSTRUCTIONS __ ~_,,,_,_,c--__ ~---------------::::::;::::=-----=--L.-,G..----
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PERSON TAKING REPORT ___ _,_P ____ _
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j <;I TY OF CAR LSBAD , t ~ ~ j This Certificate issued pursuant to the requirements of Section 306 ,-:;~6:)1+-" ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~
1 regulating building construction use. ~ ~ ~
3 UseClossification SINGLE FAMILY DWELLING Bldg.PermitNo. 80-245 ~
• ~ Group _____ Type Construation _____ fire Zone ______ Use Zone______ t,-
~ Occupant Load______________________________ ~
~ Owner of Bui ldinr.• .Denbar Constr.uction 'Mdress 7638 Calle Madero Car] sbacl ~ ~ k i. 2'7 5 6 U • ' • d ' ~ ~ Bui lding Address .·... ~-n1torn10 , .. C rlsba CA. 920 08 ~ . • ' r.. ~ . ~ J .... ~ ., I_ ·•\ ::::::....... ~ · 1 -•• :-•• •. -' • ~ • _, ~
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j.)· ,~~-INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DARECEl\'ED
BUILDING ADDRESS:
OCT 191979
CITY OF CARLSBAD
PLANNING DEPARTMENT Building Department
ZONE. ____ t"-'--,_\ ____ LOT SIZE _________ LOT WIDTH ________ _
• UNITS ALLOWED ) UNITS PROVIDED -----------------+--------
PARKING SPACES REQUIRED PROVIDED -I
% COVERAGE ALLOWED PROVIDED---✓-+------------------------=---------
nuILDING HEIGHT ALLOWED PROVIDED -----------
' FR~T SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED /
1
INTRUSIO_N_S------,-,f'------
------
LANDSCAPE & IRRIGATION PLAN COMMENTS: {'I Ix
ADDITIONAL COMMENTS:
OK TO ISSUE:
ENGINEERING DEPARTMENT tJ ,S: t 5c:2 ~
T"U!/.\r, ~ I:>. ) ,.
R. 0. W. l=oR. l)(21v1::UA7' INDUSTR1)\'L WASTE NA: IMPROVEMENTS L :X /,;-7 IY 6r
SEWER CONNECTION --=.,,..-~/ ____ DRIVEWAY LUCATIONS __ ~Q4/.~V _______ _
GRADING PERMIT ~;;'~c:~6~~~11-...r .. ~ASEMENTS t11 }f.-:_ ~RAINAGE O/<-.
LEGAL DESCRIPTION ~ t2J Jll'1---L-....,
ADDITIONAL COMMENTS _____________ -+-,-,-------------
<1K TO ISSUE: J1l(1'._, DATE /-"J--"8{)
FIRE DEPARTMENT
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARJlfS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO FINAL ______ DATE ____ _
'
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE
71-
PHILIP HEN KING BENTON
,.,u:.,o.NT . CIVIL C.NGINKKfl
Denbar Construction Company
7538 Calle Madera
Car I sbad , Ca I i forn ia 92008
BENTON ENGINEERING. INC.
AP'P'LIEO SOIL MECHANICS -l'"OUNDATIONS
aa•o RUl'"l'"IN ROAD
SAN OIEGO, CALll'"ORNIA 921 ZJ
March 11, 1980
Subject: Project No. 79-9-21M
Gentlemen:
Moisture Contents in Subgrade Soils
Lot 483 of La Costa Meadows Unit No. 3
Carlsbad, California
TllLU'HONll 1714 ) IUl!I 19!1!1
This i$ 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 Carlsbad,
California. •
The soil samples were obtained on March 10, 1980 and the results of the moisture determinations
are presented as follows:
Approximate
Location of Samples
Southwesterly portion of proposed building area
Northeasterly 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
(%_j _!X __ w_-"t ) __
24.4
23.3
23.0
24. 3
11. 3
23. l
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 recommended in our report under Project No. 71-7-170, dated October 19, 1972.
Respectfully submitted,
BENTON ENG I NEERING, INC.
By £~ ~---=---R. C. Remer
Reviewed by~,~ iii,: .,--on~
RCE No. 10332
Distribution: (3) Addressee
RCR/PHB/c
PHILIP HENKING BENTON
P'Rlt8101:NT • CIVIL KNGINl:UI
Denbar Construction Company
7538 Calle Modero
Carlsbad, California 92008
BENTON ENGINEERING, INC.
APPLIED SOIL MECHANICS -f'OUNDATIONS
IIIIA0 RUP'FIN ROAD
SAN DIEGO, CALIFORNIA 92123
September 25, 1979
Subject: Project No. 79-9-21M
Inspection of Lot 483
Gentlemen:
La Costa Meadows Unit No. 3
Carlsbad, California
TELE~HONll (71.t) IUlll-191111
In accordance with the request of the Building Inspection Department of the City of Carlsbad,
we have mode on inspection of the soil conditions existing on the subject lot.
An inspection was made by a representative of our organization on September 20, 1979 , and
it is concluded that the soil conditions are essentially the same as presented in our report on
the grading of this subdivision dated October 19, 1972. Piles of loose soi I have been placed
on the rear portion of the lot. It is recommended that these be removed prior to the start of
construction. The soils in the upper three feet below finished grade were classified as Type A
(critically expansive), and therefore the recommendations for special design and precautions
presented in the above dated report should be incorporated in the plans and specifications for
any proposed construction on this lot.
If there ore any further questions concerning the soil conditions on this lot, please contact
us.
Respectfully submitted,
BENTON ENGINEERING, INC.
By-z:;{?.~~ ~.c. Remer
RevieWed by r' :J' -~ -p~~..;:ai .. i __ p__.H •. -. ... ~-;1-0 ... ~-,--iv_i_~ __ n_g_i_n ... e""'e ... r __________ _
RCE No. l 0332
RCR/PHB/jr
Distribution: (3) Addressee
1200 ELM AVENUE
CA~LSBAD, CALIFORNIA 92008 Bui1ding Department
T ELEPHONE:
(714) 729-1181
•
Qtitp of <!arLzuab
.. .EESIDE!'[IAL ENERGY DESIGN CERITEICATION __ ,.
Permit No . ---------
Issue Date. --------
. CERTIFICATE .OF .CCT·1PLINJCE HI.IB ENl:RGY COUSERVfilION ,DESI.GU REQUIREMENTS
CONTAINffi IN ARTICLE 1, PART 6, TITLE 211, CALIFORNIA AD't CODE
'J) 13-IJ {;IVL c o./U S 7 .
I • • • ., hereby certify that I am fami·liar • , -----------'
with the state energy_conservation standard~ mandated in
• CAC Title 24, Section T20-1401 through T20 -1406, and that the
-plans and other .documents submi tted in support of the application
for a building permit at 2 75G UJJ/COfc_/V/ D
Address ·
-.---....--:::----:;--:-;------' Asse ssor 1s Parce l No.
1 ·?· /f'c:f-D
' Dated
co mp ly with
:Signature
.State License or Certificate No.
Date
Submit to the Building Department with pennit application .
. . ,.
Form 78-101
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2-8-78
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner 's Name Grace Henderson
Mai 1 i ng Address 23581 Verrazanno_a~-------
Laguna Niguel, Ca 92677
Service Address: 2756 Unicornio St
Tract Description: lot 483 La Costa Meadows
Assessor's Parcel No. 215-350-59 _ _..;::~::...::.....::---=-.::.._ _______ _
Phone No. 714-493-0166
SEWER PERMIT ISSUED UPON
Rt:CEIPT OF BUILDING PERMIT.
su:LDIMG PERMIT MUST BE
APPLIED FOR BY ~ ---Z... 5-)$ () .
Type of Building _s_._f_. ______ No. Units 1 Connection Fee$ 600 .00
Lateral Size : 4" __ 6" _ 811 _Saddle _ Easement Connection _ pre-pd200.00)
Extra Footage: @ $ ___ Extra Depth: ___ @$___ 400.00
Amount Rec'd $.!Q0.00
Ck. Mo/Cash 358 ~--Date 9-20-Z-9 __ _
Rec'd By g. frank] in
Lateral Fee
Prorated Sewer
Service Fee
Total $ 600.00
The application must be signea 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 wi ll 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's property line) wh ere 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 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 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 i s 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 commences on a different date. For
succeeding fiscal years, the sewer service fee will be collected 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 ditions as stat d.
(c::,77~
Account No.