HomeMy WebLinkAbout2310 VIA FRANCISCA; ; 83-271-2-4; Permita: 0 I hereby alllrm that I am llcensed under
l P<o•lslons of Chapter 9 (commencing With
S.Ctlon 7000) of Division 3 of the Business
and ProfeHlons Code. and my license Is In
full force and effect.
lie No Class
0 or I hereby affirm thal I am exemp1 from the Contrac-
I tof"s L,cense Law for the lollow,ng reason (Sec 7031 5 , Business and Professions Code Any city or coun1y which re-quires a perm,t to construe!. allet improve, demolish, Of
repair any slructure. pno, 10 its ,ssuaoce also requires :he ap-
pile.ant fOf such permit to tile a s19necl statement Iha! he 1s
lte:ensed pursuant to the provis~s of lhe Contractor s
' I license liw {Chapler 9 commencmg w,th Section 7000 of Oiv1$t011 3 of the Business and ProfesStOns Code} Of I hat ,sex-
empt 1here and the ba~s for !he allegeo exemption Any
vlOlatron Secf,on 7031.5 by an applicant tor a perrrut sub• rects I apphcant to a c,vil penalty OC not more than fi11e hun~ gr oUars (S!>OO)
I. as owner of the property. or my employees with wages as lhelf sote compensahon will do the work. and the slruc·
ture 1s not intended 0< offered !or sale (Sec 704◄, Business and Profess10ns Code The Con1ract0<'s License Law does not apply to an owner ol property who budds or improves
thereon and who does such work h1msell or through his own empk>yees~ provided that such improvements are not intend· ed Of otte tor sale If, PWwever, the bu1ldmg or improve--
msn1 1s Id within one year of completion, the owner·bu1lder win ha the burden ol proving that he did not build or im-prove or the purpose of sate)
. I, as owner of the property, am exclusively contracting
,I I with lteensed contractors 10 conslruct the pro,ect (Sec. 7044, Business and Professions Code: The Contractor's License I law does no1 appty to an owner ol property who builds or im--proves the,eon, and who contracts tor each prqects with a I .., contractor(s) license pursuant to lhe Contractor's License I z Law). 0 I j:: □ As a homeowner I am improving my home. and lhe lolk>w· I C ing cond11tons exist: a: 1. The work is being perlormed pr,or to sale. I C ..... 2. I have IIYed in my home lor tw~ve months I u prior to compte110n ol th,s work. l&I 3. I have not claimed lh,s exemption during lhe ~ 0 t three years.
. B& PC . • . , ' I ' ' ·-
~ I ~ 1 ~t,e,~~~~~~m ~~1 ~ na;:,:,~~:;~ca~~ 0~%~ -~~~,~~•~e~e. or a cer1,t,eo copy 1nereo I
1 g\ POLIC O t
CO ANY '
C ..,
l z 0 e,en,lled copy 1s hereby turn1she<l ... CL ::f
CERTIFICATl OF EXEMPTION FROM 0 (.) WORKERS" COMPENSATION INSURANCE rJI (Th,s section need not be compIe1ed it the perm11 ix ,s !Of one hundred dollairs (S100I or less) ...
:.: 0 I cer11ty tnat ,n the pertormance of the wo"'-. !Of a: 0 wl'\ich nus permit Is issued. I shall not employ any
3 son 1n ~Y manner so as to beeome sub1ec1 to ~ Wof'kers· eompensa11on uws ot Cahtorma
OllCE TO APPLICANT It. atter malun1 this Cert•
~c~te of Exemption. you should become subIect t'>
the Wof'kers· eompensahon provIsIons ot !he LJbof cooe yOIJ must lorlh-.1lh comply with such
pro..,s,ons or thlS permit shall t>e deemed revOke<J L
1[
0 1 t,ereoy affirm that mere 1s a. cons1ruc1ion iend"'O a,gency tor the penormance ot !he wot'k 10,
-"W:.h 1h15 perm,, IS ISSUe<J fSeC 3097 C1v1t CooeI
Len<Je, s Name
Lender s Aod,ess
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -····. .. -·-· . .. . -·-· ..... -. ·--. -. ---·· ... -. -
--CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO NEAREST CROSS ST.
1roJ,i 7t~IONI
BUSINESS LICENSE " jl),#3 PERMIT NUMBER
2310 Via Francisca Hoso
LOT I BLOCK I SUB0.1,tVISION I ASSESSOR PARCEL NO CONTRACTOR I I CONTRACTORS PtjONE • ZONE '\· ,.-,
OWNER"S NAME I OWNER'S PHONE Community Resources Corp. 83-271 -2-4
Community Resources Corp . CONTRACTOR·s ADDRESS LICENSE NO PLAN 1.0. # BLDG USE COOE
OWNER'S M6'1L•NG ADDRESS
2204 Garnet Ave ,, San Di ego, Ca. 92109 DESIGNER LICENSE • STAN DARO PLAN# BUILDING SO. FOOTAGE
l()~t153 OESCAiPTION Of WORK
-UI J' .tlf II f5 DESIGNER'S ADDRESS DESIGNER'S PHONE
Bldg. 2-4 15 Units 111'''~\...~0
~ --~ \.,.. --
-F/P FLA ELEV. NO OCCGP EDU
<;tt., l=c,-,~t) A:r\C.J vO NO
ST~ES ~-\ -'-~' !21~~fJ.~ 1s41 :;v1
CENSUS TRACT I GP LANO USE I PARKING SPACE
1 RE\sTS 1
GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA :fl' "r-TI\..,-YO ND vO N ,. vO N~ Not Valid Unkss Machine 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 01 ·00-00-8220 ~-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00-00-8221 _j --
EACH WATER HEATER AND/OR VENT 801LER/CDMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ~~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT . MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST -HODD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP , .
EACH ROOF DRAIN IINSIDEI SOLAR n1-M-nn.oooo ~----TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 .Z/QI -TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00-8227 ~
PUBLIC FACILITIES FEE 32-00-00-8933 /.A'l;.f';i(-
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE .I BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMPISWT SKA ROCK STORAGE -Encinitas 80-92-22-0519
1 PH 3 PH PUMP _,,,.,,,----' San Dieguito 80-92-23-0519
R"EMDDEL'ALHR PEA CIRCUIT PLAN CHECK Ee[ San Marcos 80-92-24-0519
TEMP POLE 200 AMPS / -;J,. __ J-"
OVER 200 AMPS / /_,/4,,)'-" 17 LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) I .., ->~ /
1 ✓ ,/ CREDIT DEPOSIT
TOTAL ELECTRICAL I "----TOTA TOTAL FEES PAYABLE I t,51/11-' I .
• j "HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"" ANO DO HEREBY Expiration E""'Y permrl rsaued bythe8uildlng0fl,c1al under the prov,s,ons ofllus * AN 06HA PERMIT IS AEQUIAfD FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING Tl-IE Code shall e•:~•• hml1aloon and become null and void If the bu,td,ng or wo<k 5' O'" DEEP ANO OEMOllTION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS au1h;:i:1•: y rmrt rs not commenced wrlh,n 180 days t,om the dale,>t such STRUCl\JAES OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON perm • "' 1 ny ld•J.~o;,.:'!,~~t=~:i~~ ~'!',!!,,'~f•r:r~~ or -
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO OWNER}q" CONTRACTOR 0 APPRO ED BY . "\1 ~-/'o/,1/g~ KEEP HARMLESS THE C. tTY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO r.L~rz·c TURE • '.
EXPE~SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAtO CITY IN CONSEQUENCE OF THE \ L:l .. GRANTING OF THIS PERMIT • l / -A. BY PHONE 0 • • • •
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-TYPE DATE INSPECTOR -BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
--~
GUNITE OR GROUT --FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHiAR
FRAME
--~ EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO I
• UNDERGROUND D WASTE D \t'VATER
TOP OUT D WASTE D ~,ATER I I I
• TUB AND SHOWE8.PAN
GAS TEST _______,-1
~ER H.~TER D ~,-6 LAR W.4.TER -· .c..:s--..
ELECTRICAL
D ELECTRIC UNDERGROUND D \JFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
' D BONDING D POOL
1-MECHANICAL
D DUCT & PLEM., D REF. PIPIUG r
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CAUFOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
'ELECTRICAL
MECHANICAL
GAS
BUILDING
-sPECI.AL CONDITIONS
r
-
\ -✓ -. .
r, \ • \ \ . . . ; FIELD INSPECTION RECORD '
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR"S NOTES ' . . DATE -'\
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~ I hereby affirm that I am licensed under ~ [ pro•lalona of Chapter 9 (commencing with
1-Section 7000) of Dl•lslon 3 of the Business ~ and Professions Code, and my license is In
c lull force and effect. ~ lie No ______ Clm
0 0
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I hereby afllrm lhat I am exempt from lhe Contrac· !or's Lttense Law for the f00ow1ng reason (Sec 7031 5
Business and Profess.ons Gode Any city Of county whK:h re-quires a penml to construct, alter, improve, demohsh, Of repair any slruclure. pnor to 11s issuance also requires ~heap-pheanl for such permrl to Me a s1Qned statemenl that he 1s
hcensed pursuanl to the prov,sKJns of the Con1rac1or' s license Law (Chapter 9 canmenang with Sechon 7000 ol O,v1s,on 3 ol the Business and Profess,ons Code) or lhal ,sex-
empl therefrom and lhe basas tor lhe allegea exemption Any violation ol SectJOn 7031.5 by an apphcanl lor a permit sub-)eets the apphcan1 to a civil penalty 01 not fflOfe than five l'+un~
dre<l dollars ($500)
~
s owner of !he property, or my employees with wages r sole compensation, w1II do the work, and the struc· tu e s not inrended or ottered tor sale (Sec 7044. Business
I
and Prolesst0ns Code The Contractor's License law does
not apply lo an owner ol property who builds or Improves thereon and who does such work htrnself or through his own empk>yees. provided that such improvements are not intend-ed Of offered for sale. II. however, the bo11dmg or improve-
ment Is sold w1lhin one yur of complehon, the owner·bu11der will have lhe burden of proving that he did no1 build or im-z. lor lhe purpose of sale).
as owner ol the. property. am exclusively conlractmg
iunsed coniractors 10 cons1ruc1 the proiect (Sec. 70-44,
Business and ProlessiOns Code. The Contractor's Liunse Law does not apply to an owner ol prope~y who builds or im-proves !hereon, and who cootracts ror each prOiecls with a
contr.tctor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and lhe follow-ing conditions exist: 1. The work is being pertormeo prior 10 sale
2 I have lived In my home for twelve months pnoc to completion ol this work.
3. I have not claimed this exemption during !he tast three years.
D lamexemptunderSec. ______ ,B&P.C. tor lhis reason ____________ _
□ I hereby alhrm lhat I ha.-e a cen,t1cate ot consent
10 self.insure. or a cen1tica1e of Workers·
Compensa11on Insurance. or a certified copy !hereof
(Sec 3800, Labo< Code)
POLICY NO
':°JPANY Jiil.... Copy IS hied with the Ctl)'
D (At11he<J copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
{This section need not be compleled ,t lhe pe,m,1
,s IOf' one hunoreo dollars is 100, Of' less)
D I certify lhat in the performance ot 1he work toe
wh1ct1 this pem,,t 1s issued. I shall nol employ any
person m any ~nne, so as to become sut>1ec1 10
the W~ers· Compensation Laws of Cahtom1a
NOTICE TO APPltCANT II. atler makinJ !his Cert1
ftcate of Exemption, you should t>ecome sub1ec1 I? the W~ers· Compensation prcw1s1ons ol lhe Lab()I'
Code you mus1 lorthw11h comply w11h such
prov1st0ns or this permit shall be deemed revot,,eo
i[ O I hereby athrm lhal !here is a cons1,uc11on
len<hno agency IOf the periormance ot me w QOI. tor which tn,s oerm11 is issued \Sec )097 C11,il Code!
Lenoe, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
!
DATE OF APPLICATIONI BUSINESS LICENSE# VALUATION 1"'.: PERMIT NUMBE\ \
231 0 Via Francisca Hosp 9/21 /83 I 'l!ff2S, 2? /{l),lJ~ D .,.... ,-''1
JOB ADDRESS "ii..v ·sT. RO. NEAREST CROSS ST.
BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE. ZONE , ;, 1,.1 \
: owNr~-s NAME j owNER's PHoNe Comrnuni ty Resources Corporatior i 1
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
r.omm1mitv Resources Corporation 483-6500
LOT
0WNER"S MAIL<NG ADDRESS
2294 Barnet Avenue, San Diego, Ca. 92109
OES1GNER
DESCRIPTION OF WORK
DESIGNER'S .6,00RESS ---------------------------------------41
~ildj ng 2 ... 4 15 Units
FOUNDATION ONLY
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS
QTY. PLUMBING PERMIT -ISSUE ~$-
EACH FIXTURE TRAP 7
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN ( INSIDE)
TOT AL PLUMBING T
QTY. ELECTRICAL PERMIT -ISSUE .::r---
NEW CONST EA AMP/SWT BKR
I PH 3 PH
EXIST BLOG EA AMP/SWTIBKR
t PH 3 PH
REMODEL 'AL HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL T
-F/P F LR ELEV.
vO NO
GRADING PERMIT ISSUED REOEVELOPMENT
AREA
YO N 0 vO NO
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS iJP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOODIOUCTS
RELOCATION OF EA FURNACE /HEATER
TQT/;L MECHANICAL
QTY. I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
7w
STORIES
TYPE
CONST
3-
LICENSE # STANDARQ '''j''t ./1_ L. BUILDING SO. FOOTAGE
L..1,11:. 'I -
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD Fl RE SPR
vO NO Not Valid Un~s MJchine Ctrtified
SUMMARY/ACCOUNT NUMBER }/_ ,..-/-
BUILDING PERMIT 01-00-00-8220 7r.:,5 ..,_
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01-00-00-8806 -:?K_~!?
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-0.Q:8225
MOBILEHOME PARK INSP
SOLAR 01-00-on-~??~ __,, .......
STRONG MOTION 80-92-33-0519 I lD'_::.. I
FIRE SPRINKLERS 01-00-00-8227 A
PUBUC FACIUTIES FEE 32-00-00-8933 207l-
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San 01e.2_uito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
/J /.!u'-
CREDIT DEPOSIT Z 17?:1/
TOTAL FEES PAYABLE l ~1'ts:2-'1 ..,
I HA\/E CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Exp, t,i,lheBulkllngOlltcialunclerlheproo,tSlonaofltus
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code and become nlll-•oid ft the building or wot\
* AN OSHA PENtiT IS~ FOR EXCAVATIONS OVEII
5' O" DEEP ANO DEMOUTION OR CONSTRUCTION OF
STAUC'IUfllES OYER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulh not commencad Within 180 days lrom the dataol such
..,
ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON all or work ■ulhorizad by such permit 11 •--or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-:;;;;::;=~~~O~~~~c!.!!,.!.:COffl!:!!!;!!!ffl!!!-!!!.!:c■d!!!.!!1°'!!..!a~!!"Od!!9..2'0ILl!!J!JIIU---=-t-~~~~~------------------4
KEEP HA. RMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND A OWNER O CONTRACTOR O AJPPR VED BY _. , ({; I
I EXPENSES WHIC.H MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, _/4
1 GRANTING OF THIS PERMIT. BY PHONE O ~ / 13
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TYPE l DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL !
MASONRY I
GUNITE OR GROUT l
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
' PLUMBING ,, ., I
SEWER AND BUCO DIPUCO I • ,. • I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER D SOLAR WATER
I
l
ELECTRICAL I
□ ELECTRIC UNDERGROUND D µFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE □ TEMPO.RARY
□ BOl')IDING □ POOL l ' I . !
MECHANICAL I
D DUCT & PLEM., □ REF. PIPII\IG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I , I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
PLUMBING
""'ELECTRICAL
MECHANICAL
GAS
BUILDING
FINAL
._ SPEQIAL CONDITIONS
...
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FIELD INSPECTION RECORD \
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REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTOR'S INSPECTION DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE ' POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS .
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
LIC No ------Cl•ss
I hereby amrm that I am exempt lrom the Contrac· lol's License Law 10< lhe lollowmg reason (Sec 70315
Business and Professions Code Any city Of county whK.ti re· quires a perm.t to conslluct. alter IITll)fove. demoUsh. or repair any structure, pr'°' 10 I1s issuance also requnes !heap· pl1tant IOt such permit to lite a Stgned statement that he iS licensees pursuant to the pcov1s1ons of the Conuactor" s Ucense Law (Chapter 9 commencing with Section 7000 ot Otv151on 3 of lhe 8o5'At:SS and ProfeSSiOOs Code} Of lhal rs ex•
empt therelrom and the bas.1s fOf the anegeo exemption Arty
v1otauon of SecllOn 7031 S by an appbcant tor a perm11 sut,-. Iecls ttle apphcant to a crvil penally ol 001 mOfe than five hun·
dred dollars ($500).
[l I. as owner of lhe property. or my employees wIlh wages
as their~ COfl\pensat10n. will do the work. and 1he strut·
lure is not mlended or offered IOI' sale (Sec 7044, Business and Professions Code The Contractor· s License Law does not apply to an owner of property who butlds Of improves
thereon and who does such work tumsett or lhrough his own employees, provided that such Impr0Yements are not mtencl· ed ot' olfered tor sale 11, however, the building or improve-ment is sold w1lhin one year of completion. lhe owner-builder wul have lhe burden of provmg lhal he did not build or Im-
prove tor lhe purpose ot s.le)
D 1. as owner of the property, am exc1us1vety contracllng
with lteensed contractors to construct the pr0tett (Sec. ,0.44, Business aoo Protess10ns Code The Contractor's License
Law does not apply to an owner ot property who builds or im-proves thereon. and who contracts for each proiects with a
~:}actor(s) license pursuant to the Contractor's License
D As a homeowner I am !mpfOY1ng my home. and the follow·
Ing cond1ttons exIs1: 1 The WO<k is being performed prior 10 s.le 2 I have l!ved in my home for lwelve months
3 rr~v~ =p::;t I~~ =~phon during lhe
last three years
D lamexemplunderSec. _______ e&P.C.
fOf this reason ____________ _
D I hereby affirm 1na1 I ha.,e a cert1f1ca1e of consent
to self-insure. or a centf1cate ol Workers
Compensatt0n Insurance. or a cen,t1ed copy thereof tsec 3800. l.al>Or Code)
POLICY NO
COMPANY
0 Copy IS hted with the Ctly
O Certified copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need no! be completed 1f lhe permit
,s 10f one hundred dollars ($100) Of less}
0 I cet11fy thal m the perf0<mance of 1r,e wo,11. tor
which lhiS permit 1s 1ssue-d. I shall not emplOy any
person 1n any manner so as to become sub1ec1 to
the Wot1ters Compensation ~ws of California
NOTICE TO APPUCANT It. after mak1n1 this Ceni
hcate of E11empt1on. you should be-Come sub1ec1 I?
lhe WOl1lers· Compensatt0n prov1st00s ot lhe Labor
Code you must for1h"A1lh comply wllh such
provisions o, this permit shall be deemed re1ooked
0 I he,eby affirm lhat there 1s a con!truc:11O"
1end1ng agency tor lhe performance ot me w()(tl. to,
wh1Ch ltllS permit IS ISSUed (Sec 3()97 C1v1I Code1
Lenoe:, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ·------• ----
, CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS AV. ST.RO.
NEARESTC~~ /~ I DA;p.;;;;_;NI
BUSINESS LICENSE 4 VALUATION PERMIT NUMBER
~3/0 yk.,~
83-:27/-~ LOT BLOCK .. I suBDIvIs10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
~,Pj'1.1 A-::.j.:;,~ 71,/9?¢-tiJ'?/ ~fR·s NAME ~~ I OWNER'SPHONE
• ~-6~'#3-~ CONTRACTOR'S .itf>ORESS ,U.. UCEirlSE NO. PLAN 1.0 . # BLDG USE CODE --.. r a<f/S~/1 Ii~,~~-·
:;~;ILi~
--v
k..,,,,-~ -~ DESIGNER (7 LICENSE " STANDARD PLAN# BUILDING SO. FOOT AGE
.. ,h
OESCRIPTJON OF WORK V
OESIGNER"S ADDRESS DESIGNER'S PHONE ._1tp2,,~·
__ -:11,y /S-~
.. en~n1 ~-~ -, •· F/P F LR ELEV. NO OCC GP EDU -.
STORIES
vO NO --.
CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
YO ND vO NO vO NO Nor Valid Un~l Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7,So QTY. MECHANICAL PERMIT -ISSUE 3 ,oo SUMMARY/ACCOUNT NUMBER
R~ EACH FIXTURE TRAP ~JA .-INSTALL FURN. DUCTS UP TO 100 000 BTU BUILDING PERMIT 01-00-00-8220
J EACH BUI LO ING SEWE"R L-~ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
/;#:, h:ACH WATER HEATER ANO/OR VENT .3'7 . .so BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ~ 7 V, -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00·8223 ---
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
..$ EACH VACUUM BREAKER /-2 ~<::Z MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00·8225 -
WATER SO FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn.oo,~
TOTJ;L MECHANICAL STRONG MOTION 80·92-33·0519 .
TOT AL PLUMBING T _,"7iiJ._ FIRE SPRINKLERS 01-00·00-8227
/ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE ~/di BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKA ROCK STORAGE Encinitas 80-92-22-0519
I PH 3 PH PUMP San Dieguito 80·92-23-0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS .
OVER 200 AMPS . LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE r ;i_ 7 '-/, -
I HAVE CAREFULLY EXAMINED THE COMPLETED ~APPLICATION AND PERMIT"· AND DO HEREBY hp,rallon Every permit JSSued byllle Bu1ld1ngOH1c1al under the prov111ons ofth,s * AN OSHA P£Alllll IS REOUIAEO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code~~hall •• hmot■tion and become null and vo,d If the l>u•ld,ng or work ~-o-DEEP AND DEMOLITION OR CONSTAUCTION 01' . authonze such rm,t 11 no1 commenced w1th1n 180 days from the date Qf &uch DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. If the ildi;:x or work authoflzed by such !f'.::_mit ,s suspended or STAUCTUA£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALI.. CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON aban at any me a er !Wwo,k 11 commenced tor ro""__,80 dav•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND r p AN•~·s SI NATU ~ 0~ CONTRACTOR 0 APPROVED BY rg_ DATE KEEP HARMLESS TiiE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ I II 2..' . GRANTING OF THIS PERMIT BY PHONE C!
./
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TYPE I DATE INSPECTOR
BUILDING t
I 9~•).,7/• ?
FOUNDATION I
__L FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT !
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL -
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SHE'AR PRIOR TO
FRAME I ~·.1n .PA_ L-l"AJ'.)
EXTERIOR LATH r
l
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION l
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
• I CONCRETE
' PLUMBING I
I FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER /
TOP OUT D WASTE D W*TER 1'7· i L,•~ X....AJ)
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I .
GAS TEST I PILES CAISSONS
' D WATER HEATER D SOLAR WA!ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D jJ_FFER /
' • ' -
ROUGH ELECTRIC I /•l'J•ff.i. A!2}f ~
D ELECTRIC SERVICE D TEMPO!ilARY-
D BONDING D POOL I
I
~ t,' ... ...... ' ..
~
I
MECHANICAL ' I
...
D DUCT & PLEM., D REF. PIPl~G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ,_ --~-
I ,
,.. •J ~ ----~ 't . ~-~ --
CALL FOR FINAL JNSPECT/(j)N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. .. -----------·--, ....... -... -... ....
FINAL I
I -.
PLUMBING I ,. I ' ...... ' -0
' ELECTRICAL I -,~ ~
MECHANICAL I ...,: I /,,,, I MJ
-, ""' ' ' ,. . ~ " ' .
' -GAS I ,;rr A}_. n1y f . • I
' .
BUILDING ' ., I I IU ,
SPECIAL CONDITIONS . y-
I
I
.,,
z 0 ~ a: < ~ u "' Cl
It.
K 8
a: "' Cl ~ 3 ~ "' z 3t 0
z 0 ~ ~ z "' A. 2 0 u .,,
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0 I hereby affirm that I am licensed under
p,ovlalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 ol !he Business
and ProfHalons Code, and my license Is In
full force and effect.
lie No ______ Clm
I hereby afhtm Iha! I am Pompi lrom !ho Conltat· !or's License Law for Ille lollowing , .. son (Sec 7031 5
Business and Professions Code Any city or county which re--quirts a permu to cons1ruct. a1ter. improve, demolish. or repair any structure pnor to ,1s issuance atso requires the ap-
phc.lni for such peflTIII 10 "'· a s,grltd Slatemtnt that he IS hcensed pu1suant to uae P,OVISIOf'tS of the tonuacu:ir • s license Law (Cllapt..-9 commenc,ng ,.,,h s«:1,on 7000 ol
Dlv1s,on 3 Of lht Business and PrOfess,ons COdti or that 1s"" empt therelrom and the basis for tht allegeo exempt,on Any
vlOlalJOO ol SecllOl1 7031,5 by an applanl lor a perm,, sub ,ects the applant to a tMI penalty of not more than fr~ hun· d<ed dollars ($54l0)
TJ I, as OWntf ol lhe property' or my employees Wllh wages
as their sole compensahon, wm do lhe woflic. and the struc-rure 1s not intended or offered IOI' sale (Sec 7044. Busmess
and Pr0fess1011s Code. The Conlraclor's L,cense Law dots
1101 apply to an owne, ol pr-,y who buolcls or improves
!hereon and WhO dots such wor1I h1msel1 or lhrough hlS own employees. provided thal such lml)(OVemtnls ore not mlend· ed or ottered lor sale. It, however, Ille buddmg or improve-
ment Is sold w1th1n one vear of cOl'TlpleUOn. the owner-builder will have the burden of proving tNt he did nol build Of 1m· prove for Ille purpose of sale)
□ 1, as OWntf ol lhe pr-,y om ""cJuSNtly conlfachng w11h licensed conlraclors lo conslrud Ille pro;ecl (Ste 7044,
Business ind Professions Code The Contractor's Lteense Law does not appty 10 an owner ol property who buikts Of tm·
proves thereon. and who contracts for each PfOflciS with a ~1ac1or(s) ilceflse pursuan1 IO Ille Conlr1Clor's License
□ As a homtowntr I am ompr0V1ng my home, and Ille lollow· Ing conditions llllSI 1. The work is being pe~ormed prior 10 sale.
2 I haVe lived in my home lor IWtlve monlhs
3 r:.i: ~~ ::: :'~t""1 dunng the Last three years
□ I am llltmpl under Sec. ------, 8 & P.C IOf this reason -------------
□ I hereby aH1<m lhal Ina.tea cert1t1ca1e or consent
to sell-insure. or a cert1f1ca1e ol Workers Compensation Insurance. or a cert1!1e<2 cooy thereol !Sec 3800 LabO< Coot!
POLICY NO
COMPANY ,w
□ Copy IS filed with the c,ty ~
0 Cer11fted copy Is hereby turn1slled
CERTIFICATl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE
(This see11on need not be completed 11 lhe permit
is tor one hundfeo d<>tl¥s (S 100} o, tess)
0 f cer11ty lhat 1n the pertormance ot lhe wofit '°' wl•uch this pennI1 1s issued. I shall not employ an)'
person in any manner so as 10 become suoIec.t 10
the-Wo,11.e,s Comc,e-ns.auon U ws ol Ca1tlom1a
NOTICE TO APPLICANT 11 after ma.km'J this Cert,
hcate ol E•emphon. you sl"IOuld t>ecome sobjeel I'> lhe Workers· Compensation prOYISIOf'IS Ol lhe Labor
Code you must t0f'1h"A 1lh comply wI1h such provisions or this permit shall t:>e oeemed revoked
O I hereby .allum tflal there 1s a construction
1end1no agency '°' the perfo1maoce ol lhe wor'k loi
wruch this pe,m,1 ,s issued 1Sec YY37 C1v1I C~t
Lenders Name ___________ _
Lenders Address __________ _
I USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATIO
'
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PE
NEAREST CROSS ST DA TE OF APPL tCA T t ON "
LOT
OWNER~. ~. I OWNER'SPHONE ~~~~i::;;~~~-==~~~o::::!~~:2 ~
OWNER'S ... A,LING ADDRESS
DESIGNER
• ,_,-r.,r,r_
I OESCRIP~ON OF WORK
.£ ~ -~ ~ h---..., .,,.t-g y r ·"··••Hoo .. n
F/P F LR ELEV.
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUI LO ING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING T
QTY. ELECTRICAL PERMIT · ISSUE 5/
NEW CONST EA AMP SWl BKR
1 PH ,,.:: .A " 3 PH -1-_3,t9f)-
EXIST BLOG EA AMP/SWT/BKR
I PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
.;-¼ TEMP O~CUPANCY (30 DAYS)
/.:-'ttiJ.Jjf Ah __,,r,J":i-1,,7 / ~
Vio1AL HEURICAL I 77~-.$.--
I /S-o_-
vO NO
GRADING PERMIT ISSUED
YO N 0 1 REOEVELOP ... ENT AREA
vO NO
QTY.I MECHANICAL PERMIT. ISSUE
INSTALL FURN . DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOOIDUCTS
RELOCATION OF EA FURNACE/HEATER
TOTt;L MECHANI CAL
QTY. I SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
-~ I
~
STORIES
TYPE
CONST
LICENSE NO
LICENSE•
DESIGNER"S PHONE
OCCGP EDU
OCC LOAD FIRE SPA
vO NO
SUMM
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSF
SOLAR
STRONG MOTION ----
FIRE SPRINi<LERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinilas
San OieguI10
San Marcos
LICENSE TAX 01-00-0
CREDIT DEPOSIT
TOTAL FEES P.t>
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT·' AND DO HEREBY Exp,ration E..,,,perffllt1UuedbytheBuiklingOlt1c1a1un-theprovos,onsofth11 ) *
CERTIFY UNDER PENALTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code thafl exp,ra by limttal1on and become null and vOtd If the bulld1ng or wortr
DECLAAATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY -AND AGREE IF A PERIIIIT I!. auth°""ed by such perm,r la nol commenced with., 180 days from !he dale,>t such
ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON =~:i •~t lhe bulkl1~ the~ulftOrlZ8d -:.C,"'~ permit II tusper>ded °'
STRUCTfON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 11 -a of 1
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN~" rs ATU • OWNER D CONTRACTOR APPRO•
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T ...._ __ --. _ _.a, __--,;;
GRANTING OF THIS PERMIT ____ ~ ~ _ ._.--oY PHONE 0
7T7
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438•5525
Address where Business
w,11 be conducted
Name of Occupant
Address of Home Office of
Occupant if different from above
Owner of Buildin
Type of Business
Describe exact use of all portions of each building and lot
Previous use of Building £W
Type of flammable or explosive liquids to be used, If any //JO A.J c3:
Address
VALIDATION
Building
Permit No.
Business
Phone
Home Ottice
Phone
SE
I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury.
Dated this
Signature of
Applicant
Use Zone -<::..
Planning ~,.,
Department~
Engineering
Department
Fire
Prevention
Health Department
Building
Department Date
, 19 In the City of Carlsbad, State of California
Signature of
Building Official
FOR DEPARTMENTAL USE ONLY
Occupancy Group Type of Construction
Disapproved By
Disapproved By
Disapproved By
Disapproved By
Disapproved By
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.