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Home My WebLink About2330 VIA FRANCISCA; ; 83-271-1-3; Permit" ~ U) z 0 ;: C a:: C .... u Ill 0 a: I[ 0 u z 0 ;: C C/1 z Ill a. :IE 0 u C/1 « Ill "' a:: 0 ~ if ~ 0 I hereby affirm that I am licensed under provlalona ot Chapter 9 (commencing with Section 7000) of Division 3 ot the Business and Proteaalona Code, and my license is in full force and effect. Lie No ______ Class I hereby affirm 1haI I am exempt lrom !he Contrac• tor's License Law !or the following reason (Sec 7031.5 Business and Professions Code: Any city or county whrd'i re• quires a perrrul lo cons1ruc1. alter. improve, demohsh, or repair any structure. prior to its issuance a!so requires !heap· phcanl for such permit 10 hie a St!lned statement that he 1s licensed pursuant lo the provisions of lhe ·conttactOf· s License Law (Chapter 9 commencing with Sec!IOO 7000 ol Dr,,,sion 3 ol Ille Business and Proless,ons Code) or that Is ex-empt lherefrom and !he baS1s for the allegeo exemption Any vI0la110 ol SectJOn 7031.5 by an apptttanl lor a permit sub- Iects e apphcanl to a civil penalty ol not moJe lhan five hun• dr dollars ($500). I, as owner of the property, or my employees wIlh wages as their sole compensation. will do the wOfk. and ttie struc• ture Is not mtended or ottered fClf sate (Sec. 7044. Business and Proless.ons Code· The Conlractor's License Law does not apply 10 an owner of property who builds or improves thereon and who does such w«k h1mset1 or through his own employees, provided that such improvements are not intend• ed or offered la< salt. If, however, the building oc improve· men~is d wilhin one year of completion, the owner·bu1kler will the burden ot proving that he did not butld or ,m-p,ov the purpose of sale). I, as owner of the property, am exclusm:ty contracting with licensed contraclors to construct the p,orect (Sec. 7044, Business and Professk>ns Code· The Conlractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projecls with a contractor(s) license pursuant to lhe Contractor's license u,w). D As a homeowner I am improving mt home. and the follow-ing conditions exist: 1. The work is being performed pr10f lo sale. 2. I have lived in my home !or twelve months prior to cornplelion ol this work. 3. I have not claimed lhIs exemption during the last three years. □ lamexempluoderSec. _______ B&P.C. tor this reason ____________ _ □ I hereby aft1rm that I ha,,.e a cert1hcate of consent to sell-,nsure, o, a cer11f1ca1e ot Workers Compensation Insurance. or a certified copy lhereot (~~I ~~ Labor Code) CO PANY Copy IS filed win, lhe city 0 Certified copy 1s hereby tum1sned CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed ii the perm,1 ,s tor one hundred dOllars tS 1001 o, tessJ 0 I certify !hat in the performance ot the work lor which this penrut 1s issued. I shall nol employ any person in any manner so as 10 become sub1ec1 to the Work.ecs· Compensation Ulws of Cahtorma NOTICE TO APPLICANT If, after mak,nJ ttus Cer1, he.ate ot Exemption. you shoutcl become sut>1ec1 ,., the Workers· Compensat10f1 pro..,1s1ons ot the Labor Cooe. you must torth'l\o1th comply w1lh svch provisions or rhis pe,m,t shall be deemed ,e..,okecJ 0 I hereby ailhrm lhal !here •s a construction tending agency 10, the penormance ol the work lor which this perm11 ,s issued 1sec .l097 c,v,1 COdel Lenoer s Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -- CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 JOB AOORESS AV. ST.RO. NEAREST CROSS ST. I o,71;FoP'f-iAi ONI BUSINESS LICENSE • or~<) PERMIT NUMBER 2330 Via Francisca Hosp LOT BLOCK I SUBOI VISION I ASSESSOR PARCEL NO CONTRACTOR it CONTRACTORS P>iONE • ZONE , 83-271 -1-3 Community Resou ces orp. OWNER'S NAME I OWNER'S PHONE CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE r.nmm11n i t.v Roc,r,qy,r~!'; rf'lrD . 483-6500 OWNER•s MAILING ADDRESS - DESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE 2204 Garnet Ave .. San Diego, Ca. 92109 llo.1 9.;2() DESCRIPTION OF WORK a o~,-"t'ff'~~ DESIGNER'S ADDRESS DESIGNER'S PHONE , ' A\w9€> 10/e2/~7~ 126Bd.c:I Bldg. 1-3 21 Units . ---. ---- --c.._::..~ ---------·------~ F/P FLA ELEV. NO OCC GP EDU ~~ P'o\)IJbffta..:> ~-tr vO NO -- S~IES e-, CENSUS TRACT I GP LANO USE 1 PARKING SPACE I REr,TS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA ~ NST vO NIX. y D ND vO N'll. -1 ~1. Not Valid Un~s Machine Certifitd Q TY. PLU MBING PERMIT -ISSUE QTY . M ECHANICAL PERMIT • ISSUE SUMM ARY/ACCOUN T NUMBE R /- EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 /. !J./L~.,,. EACH BUILDING SEWER DVE R 100.000 BTU SIGN PERMIT -01-00-00-8221 ,., -.,,. EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ,S/jf".,,. EACH GAS SYSTEM I 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 INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00· 8224 EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBlLEH0ME 01 ·00·00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??" _,...,~ TOTJ:.L MECHANICAL STRONG MOTION B0-92·33-0519 -~:.: TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 / QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 /~~--QTY. ELECTRIC A L P ERMIT· ISSUE r , - BRIDGE FEE NEW CONST EA AMP'SWT 1BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLDG EA AMP/SWT 18K R ROCK STORAGE Encinitas 80·92-22-0519 I PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL ALHR 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 (30 DAYSI CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOT AL FEES PAYABLE I /~'8S~ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT .. AND DO HEREBY Ex~rah ve,y rm1t IUUed by the Bu~dlng Off1c1et un-the provisions of tlltS * AN OSHA PENAIT IS REQUlflEO FOR EXCAVATIONS OYEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sll ex re limitation end become null end vord II the building or worti 5' 0" DEEP ANO DEMOUTION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS author d by rm1t 19 not commenced wl1111n 180 days lrom the dateol such STIIUCTUAES OYER 3 STORIES IN HEIGHT perm, or Ii.-~I . J or work euthonzed by such permit 11 s~ded or ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• ab b a er Ille work is commenced tor a Der-ol t -• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND t 1c,r·r:,:::_ATU•RE • OWN~ CONTRACTOR 0 APPRO. EDBY ._, t'7,T KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~~~ I IO I g-,., EXPENSES WHICH. MAY IN ANY.WAY ACCRUE AGAINST SAID CITY IN CONSEOIJENCE OF THE t ~'--BY PHONE 0 GRANTING OF THIS PERMIT 7 7 r 7 ~ u:: >, .; 0 a. E ~ I "'O 0 0 C 5' a. a. <t I -"'-c a:: 0 V, V, (I) V, V, <t I ~ .2 Qi >- V, V, (I) 0 0 it "' co 0 ~ (I) 0 C "' C u:: :::. C (I) ~ 0 0 ti (I) a. V, C ~ .s:: !!: ·' ,5:' ,,,.. \ ; ·~--· \ ... --TYPE I DATE INSPECTOR -· ' " . ' -I f'?,-~7 , ... lJ5 BUILDING _, \' \ r, I ' ' ' Fi FOUNDATION I FIELD INSPECTION RECORD ' I M REINFORCED STEEL I ., REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY -.,.. J REQ IF INSPECTOR'S I GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE I - FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FOUNDATION INSP FRAME I I STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI INSULATION J PRES TRESSED CONCRETE INTERIOR LATH & DRYWALL ! ' POST TENSIONED I CONCRETE : PLUMBING I FIELD WELDING SEWER AND BUCO DIPUCO I rnu.-r ~~ HIGH STRENGTH '\.. --~' " \ -. BOLTS ·.;,.:._ .,._ -"'~-. UNDERGROUND D WASTE D WATER - ' TOP OUT D WASTE D WATER SPECIAL MASONRY : ' -. TUB AND SHOWER PAN I ~' GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER ,. I ELECTRICAL I I D ELECTRIC UNDERGROUND D ;t)FFER ' ,.,:,:., .. _) \ •--I <. :9 \~ ROUGH ELECTRIC I '·"· ~., ,-... •, ' . . D ELECTRIC SERVICE D TEMPOAARY ·, ...,_ '-' ... ....._ -D BONDING D POOL ; I I • # ._ .. • l ,r.,;,, \ ' i ' •• I ,,..'' ... &_ j , I MECHANICAL I D DUCT & PLEM., D REF. PIPlf'tlG -.. -' . . • r ;-., ' ~ .. .. . •·-, ,, -~ , . -,,,, --.... a--a· .. ,.. HEAT -AIR COND. SYSTEMS I ... ~ . VENTILATING SYSTEMS I \-· ~ ~ ~· . .. ~----:.. r<;J, -~._, : •\, • r, • i · -•. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE - ITEMS ABOVE HA VE BEEN APPROVED. FINAL ' I PLUMBING I ELECTRICAL I .. MECHANICAL -JI" I ' GAS ! / l,t.J' I \ .--, l .. .._. '"~-•• ". ,f. ~'I, I . , ~ -~ ~ .. -.... . " " BUILDING I "' ,, .I d fy"\ n. ..,,. J~ ' • -- SPECIAL CONDITIONS '(' L p I ..,, - ~ • IC en z 0 ~ a:: C ... (.) w 0 ![ 0 (.) a:: .., 0 ., 5 ~ w ~ z 0 .:: C en z w ... ~ 0 (.) en a:: w ~ a:: 0 3 il 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proleaalons Code, and my license Is In full force and effect. Lie No ______ Class I hereby affirm th.al I am exempl 1rom the Conuac· 1or·s license law for the following reason (Sec 7031 ~ Business and ProfesslOf\s Code Any c11y 0< coun1y wh1cii re-quires a permit to construct. alter, improve. demolish, Of repair any structure. pnof to I1s issuance also requires !heap· phcant fOf such perrnn 10 Ille a sI9ned statement that he 1s lteensed pursuanl to lhe prov,sI00s ot lhe contrac10,·s lteense Law (Chapler 9 commencing with Section 7000 of O.v,s,on 3 of the Business ano Pro1ess10ns COde) or lhal ,sex· empl lherefrom and the t>as,s for t.he allegeo exemplt0n Any V1olatIon o1 Sect,on 7031.5 by an apphcaru for a permII sub- teets the apphcant to a cIv,I penalty of not more than hve hun- dred dollars ISSOO). ~ I. as owner ot lhe property, or my employees with wages J S_ry.e1r sole compensation. wlll do lhe work, and lhe SlrUC· lure 1s no1 intended or offered fOf sale I Sec 7044, Business and ProtesslOOS Code. The Contractm's lteense law does not apply to an owner of property who builds Of improves thereon and who does such work hmsett or through his own employees. provided that such improvements are not intend· ed or ottered tor sale. It, however, lhe bUl~mg or improve-ment tS SOid within one year of complehon, the owner-buUder will have lhe burden of proving that he did not build or im- ~ or lhe purpose of sale) as owner of the property, am exclusively contracting ensed contractors to construct tl'le proiect (See. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owne1 of property who builds or im-proves thereon, and who contracts lor each P'Oi«ts wnh a contractor(s) license pursuant to the Contractor's Ltcense Law). D As a homeowner I am nnproving my home, and the follow- ing condthons exist· 1. The work is being performed prior to sale_ 2, I have lived in my home tor twelve months 3. rr:: =~~::;t I~~ ::~pllOO during the iast three years. D I am exempt under Sec. ______ . B & P.C fDf this reason ____________ _ □ I hereby alt.rm that I ha-.ie a certificate of consent to self•1n5ure. or a cen,f,cate of Workers· Compensahon lnsur¥1ce. or a cer11fted cooy thereof (Sec 3800. Libor Code) POLICY NO \.?PANY ~y 15 hied with the City □ Cen1t1ed copy 1s hereby lum•shed CERTIFICATl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE (This section need not be completed ,t the perm11 15 fOf one hundred dollars (S 100) Of less) D I cer11fy that 1n the performance ot the wOOI. fOf which 1h1s perm11 15 issued. I shall not employ any person in any manner so as to become subJect 10 the Workers' Compensation Laws of Gahtorn,a NOTICE TO APPUCANT If. after makin-, this Cen, ticate. ot Exemption. you should beeome sub1Kt I'> the Workers· Compensahon provisions ol the LabOf Code. you must tonhwrnth comply w,th such prov1s,ons or 1h1s permit shall be deemed revokea D I hereby athrm lhal there ,s a cons1ructIon tending a,gency tor lhe peflormance ot lhe woni. tor wn1ch this perm11 ,s issued tSec J097 C1v1I COdel Lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525 JOB AOORESS AV. ST.RO. NEAREST CROSS ST. IOATE OF APPLICATIONII BUSINESS LICENSE It 1/ALUATIO., PERMIT NUMBER 2330 Via Francisca Hosp 9/21/83 ' ~e!j! ~~ ,~rJH, 1l' \'' LOT BLOCK I SUBDIVISION -I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE OWNER'S NA"'E I OWNER'S PHONE Community Resources Corp. e/3'1 483-6500 CONTRACTOR"S AOORESS LICENSE NO. PLAN 1.0. # BLOG use COOE Community Resources Corporation OWNER'S MAILING AOORESS 2204 Garnet Avenue, San Diego, Ca. 92109 OESIGNER LIClNSE It STANOARO PLAN# BUILDING SQ_ FOOT AGE DESCRIPTION OF WORK OEStGNER"S AOORESS OESIGNE R"S PHONE ';j/ r: I / w.:i3U0b ---./.i-387;GP __ B1:1ilc:ting_J.-3 _ _ . _ _ _ 21 Units - -----------F/P FLA ELEII-NO OCC GP EDU STORIES FOUNDATION ONLY ,. -; vO NO -- ceNsus TRACT I GP LANO use I PARI\ING SPACE I RES UNITS I ~ \., • \ I REOEVE LOPMENT TYPE ace LOAD FIRE SPA AREA CONST -- i ~,~ vO NO vO NO Nor Valid Unkss Machine Cerrifi«f -;r'1 t 3-QTY. PLUMBING PERMIT -ISSUE ~":,,. d"-, L PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER / -' - EACH FIXTURE TRAP jf 1 ~ ,~ f)U 'UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 Y¥,1}1") EACH BUILDING SEWER C) :::'() OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 v - EACH WATER HEATER ANO/OR VENT 1 '\\I"\ d"-::, ~ 0 TO 3 HP PLAN CHECK 01-00·00·8806 '?<'-I<""~ .5 HP TOTAL PLUMBING ~ EACH GAS SYSTEM I TO 4 OUT LETS \ 01-00·00-8222 EACH GAS SYSTEM 5 OR MORE \ _, cACE ELECTRICAL 01-00·00·8223 EACH INSTAl-. ALTER. REPAIR WATER PIPE \ VENT FAN SING LE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER 1 MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00-0Q-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-Q??~ ,,,,.,J -TOTl:.L MECHANICAL STRONG MOTION 80·92·33·0519 l/e>J TOTAL PLUMBING I FIRE SPRINKLERS 0Hl0·00·8227 --, I QTY. ELECTRICAL PERMIT -ISSUE ..s-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-8933 ~--<x7- BRIDGE FEE NEW CONST EA AMP/SWT 1BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -Encinilas 80-92-22·0519 1 PH 3 PH PUMP San Dieguilo 80-92-23-0519 REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 TEMP POLE 700 AMPS OVER 700 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY !30 DAYS) 7,, .,,., CREDIT DEPOSIT /II~/ TOTAL ElEl:TRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I //3$171 I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT" ANO DO HEREBY &x.-_e " ' t,vlheButldinOOlficialundtrlhe.,,__ot_ * AN 08HA PENIIT 15 IIEOUIIIED FOl'I EXCAVATIONS OVEfl CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Coda~shall ex . Md~ null-Vo,cl ff the llullding 0<-5' O" DEEP ANO DEM0UTlON OR CONSTAUCTl0N OF authorized II it • commenced -In 180 days from the date of such OE CLARA TIONS"AAE-TRIJE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT tS pe,11111. or the'~~-aultlorilff by IUCh perm,, ,. suspended or STRUClUIIES OYER 3 STORIES IN HEIGHT ISSUED TO COMPl.Y WITH All CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON-_,.,. at am,,imil -the work• COlll--.l lor a...,...., o1 Ulil "'-•. STRUCTIOl>l. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~Cd.J~ OWNER □ CONTRACTOR 0 AP]VED BY . • _ ,I._ ; ·<· • ~ ~/~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUOGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTI_NG OF THIS f'ERM!T ~ _.. ~-- l -:7 $ u:: >, ;;; 0 C. E Q) f- l " 0 (!) ~ -~ a. C. <{ ~ ~ C a: 0 IJ) IJ) Q) IJ) IJ) <{ I 3: .2 Qi >- vi IJ) Q) u 0 a: <ti (0 0 € Q) u C <ti C u:: :::::, C Q) Q) <, 0 0 Q) C. IJ) C ~ .i= ~ #- -4 TYPE I DATE INSPECTOR BUILDING I / I FOUNDATION I ~ !ff . .,a. VJL r>r7Tl~J REINFORCED STEEL ' / l CT -I MASONRY ! I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SH~R FRAME I EXTERIOR LATH ' I INSULATION I I INTERIOR LATH & DRYWALL I I PLUMBING I SEWER AND BUCO D IPUCO I '-. 1/"'l / UNDERGROUND D WASTE D VVATEFV -• -as·\;:) ~ ~l TOP OUT D WASTE D W,ATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR W~TER I ELECTRICAL I D ELECTRIC UNDERGROUND D \JFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I ,• MECHANICAL I D DUCT & PLEM., D REF. PIPl~G HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE B~EN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ·~ \ , ... '.\.v lic --\. ' ~ \ \ ~~.,~,, ... \~., ~ ~ . -- FIELD INSPECTION RECORD '.. ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ~· . INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL --~ .. _,_ -, .... '\ .,:. SOILS COMPLIANCE \ \ .. PRIOR TO . FOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI PRESTAESSED : CONCRETE POST TENSIONED CONCRETE FIELD WELDING . HIG~ STRE,:.JGTH BOLTS ,, '' \ ,~ , ...... ~ .. ,-.... SPECIAL MASONRY µ -. ' ' -I - " PILES CAISSONS ◄, -.. I --, , .. ~ , __ ' ::,·_ ... :'( ....... ,..., ·•'-. r---~'"'-. V ~\. ~ ', •s -"" ' ' -· " •, I~ • - ' ' "'' ' • 1-· :• ~' t - : -' . . -•1"".(""\ I •• ') ., -• ~ ' . Cl) z 0 ~ a: C .., 0 ... a a: I[ 0 u a: Ill a .., :5 Ill ii Ill z ~ z 0 ~ C Cl) z Ill IL :I' 0 0 Cl) ic ... " a: 0 3 il O I hereby affirm that I am licensed under provisions 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. t,c No ______ Class I hefeby affirm that I am exempt !com the Contrac- tor's License Law tor Ihe fotlowmg reason (5ec 7031 5 Business ar,c, Professions Code An~ city or county wh1th re· ~•res a permit to construct, alter. Imprnve, demolish, or rep.air~ structure. pnor to 11s issuance also requires !heap- p1icant !or such permit to hie a signed statement lha1 he Is licensed pursuant to the provIsIons of the conIractor·s Ucense Law (Chapter 9 convnencmg w1Ih Settton 7000 of 0IvIsIon 3 of the Business and Protessoos Code) or 1~1 Is ex.- empl therefrom and the baslS lor the alleged exemption Any v1<>'ation o1 Sect10n 7031.5 by an applicant for a permit sub-Iects !he applicant to a crw penalty ol not more than five hun• dre<I dollars ($500) 0 I. as owner of the property, or my employees with wages as the,r sole compensat10n, will do the wOfk. and the struc· lure 1s not lntended °' ottered !OJ sale (Sec 7044, Business and Prolesslons cooe: The Conlraclor's License Law does not apply to an owner ol property who bUIIOs or improves !hereon and who does such WOfk himself or through his own emplOyees, provided lhat such lrTlprovements are nol mtend· ed or otlered !or sale n. however. the bt.ttldmg or improve--men! is sold within one year of complelion, the owner-builder will have the burden ol proving that he did not build or 1m• prove 10< Ille purpose ol sale) D I. as owner of lhe property. am exclusively contractmg with lteensed con1racIors to construct the pr01ect (Sec. 7044, Busmess and Professions Code: The Conlractor's LK:ense Law does not apply to an owner ol property who buikts or 1m· proves thereon, and who contracts for each protects with a contractor(s) license pursuant to the Con1racIofs License Law) D As a homeowner I am ,mpr<Mng my home. and Ille loilow ing condihons exist 1. The wOfk Is being performed pr,or to sale 2. I have lived ln my home tor twelve mooths 3. rr:v~ =p:~f 1t,i =~lion during the last three years. g 11h':'r":.":J;g' under Sec ------· B& PC. ------------- D I hereby affirm that I na.-e a cer11t1ca1e of consenl to sell insure, or a cert•t1ca1e of Workers Compensation Insurance. or a cert,hed copy thereof !Sec 3800. Labor Code) POLICY NO COMPANY □ Copy IS tiled Wlltl lhe city D Cer11hed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechoo need not be completed 11 !he permit 1s tor one hundred dollars tS tOO) or iessJ 0 I cer11ty thal in the pertormance 01 the wo,1,r. !Of which U'Hs penn,t 1s ,ssued. I shall not emp1oy any person in any manner so as to become subIec1 to 1he Woni.ers· Compensa11on Laws of Cahtorn,a NOTICE TO APPLICANT It after mak1n1 th,s Gem ltcate ot Exemption. you should t>ecome suo1ect l'l the Workers Compensation provisions 01 1ne LabOr Code. you must tor,h.,,,,lh comply w11h such provIsIons or this permit shall be deeme<I fevoke<J O I hereby attum th.ll there •S a con!Uuc11on Iendmg agency tor the per1o,mance ot lhe wort.. tor wn1cn 1n1s perm11 1s issued {Sec J097 C1v1/ Cooe) Lenders Name ___________ _ Lender$ Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . ----- I CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS AV ST.RO. NEAREST CROSS ST IOA~~;;~;ONI BUSINESS LICENSE# VALUATION PERMIT NUMBER .:;__a.30 ~j ~~ ~/~ SJ3-:l7/-/~ LOT BLOCK I SUBD1 v•sI0N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE ~/&)t'LJ ~ /.-?/~fl-¥?9,1 p OWNER'S NAME ~-: . ~ ~ ~-L~;.::~·: :;:;, A,, CONTRACTOR'S "°60RESS ~-- LICENSE NO. PL AN 1.0. # BLOG USE CODE -~¢s-¢ /I ~ ~44.dll OWNER'S ..,A LLNG A~SS V / , -2..::J tJ 4. ~ ~,, r; -AA :_ ~,, ..:,_, DESIGNER , LICENSE" STANDARO PLAN # BUILDING SQ. FOOTAGE DESCRIPT10ili OF WORK (/ DESlGNER'S ADDRESS DESIGNER'S PHONE ---~ . */~ --2/ ~ --F/P F LR ELEV. NO OCCGP EDU ij f 72!.✓036~6£' l:36 .. 5□ STORIES . ~ - vO NO --. - CENSUS TRACT I GP LANO USE I PARK LNG SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO N □ vO NO vO NO Not Valid Unk<s lhchine Certified QTY. PLUMBING PERMIT -ISSUE ?,So QTY. MECHANICAL PERMIT -ISSUE .~~CJ() SUMMARY/ACCOUNT NUMBER /4. EACH FIXTURE TRAP .:r's-,,:2 . -~ INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 / EACH BUILDING SEWER A ·Sl.> OVER 100,000 BTU -SIGN PERMIT 01-00-00-8221 --31 EACH WA TEA HEATER AND/DR VENT -~~ .st'. BOILER/COMPRESSOR UPT0 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 C/ 3t,.,,:, O EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE I ELECTRICAL 01 ·00-00-8223 , EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 --'7 EACH VACUUM BREAKER /'7 .<"il MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00-00-8225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIOEI SOLAR 01-00.00.•oo~ TOTI.L MECHANICAL STRONG MOTION 80-92-33-0519 TOTAL PLUMBING I 4~~-S(. FIRE SPRIN~LERS 01 ·00-00-8227 ~11() PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP SWl BKR COLLECTORS ----SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS / Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT BKR ROCK STORAGE / J I I Encinitas 80·92-22-0519 I PH 3 PH PUMP I (\ Ar' } 'I/ San Dieguito 80-92-23-0519 RE MOOE L 'ALTER PER CIRCUIT PLAN CHECK FEE .nllY A~'/ San Marcos 80·92-24-0519 TEMP POLE 200 AMPS \T // / OVER 200 AMPS I -,!) / LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS! i / - ~ CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I Y3i,":>o I I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT'' AND DO HEREBY ~ permtt ~ bylhe Bu,ldlng Offlciel under theprov1s,ons of this * AN OSHA PE,_.IT IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ltffltl811C)f1 and become null and YO♦d It 1he building o, •ork 5' o· DEEP .r.NO l)fMOLITION OR c~~TION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit as not commenced w1th1n 180 days trom the date of sut"h ltclt1~rk •~~•d by such .~mu ,s suspended or STRUC'T\IR£S OVER 3 STOfllES IN HE ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• Cloned at bffle menced for a nod of 180 dav• ~ u: >, ;;; 0 a. E Q,) t-- 1 " 0 (!) C <1l u ~ <{ I ,:,: C a: 0 (/) (/) Q,) (/) (/) <{ I ;;: 0 a; >- (/) (/) Q,) u 0 a: <1l .; 0 & Q,) u C <1l C u: s C Q,) ~ (!) 0 0 Q,) a. (/) C _1 STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SA\/E INDEMNIFY AND:rlCA~T'S IGNA ~r OW~ ~OVED.S,,.-----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 THE1 _____, GRANTING OF THIS PERMIT I -/ -- TYPE I DATE INSPECTOR I BUILDING I FOUNDATION I REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME I I SHEATHING □ ROOF □ SHE~R FRAME I EXTERIOR LATH l I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I SEWER AND BUCO □IPUCO I I UNDERGROUND □ WASTE □ VVATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN I I GAS TEST I □ WATER HEATER □ SOLAR WAiT"ER I I ELECTRICAL I □ ELECTRIC UNDERGROUND D IJJFFER ROUGH ELECTRIC I I □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL I I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING . - HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I ~ I CALL FOR FINAL INSPECTl:fN WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ~ . I I I I I I I I I I I I I I I ',. ---'~ -.-.i) .lit ~I 11)"\.V~ ~~ .,,,,, ~a •~ix ~(J -y. - FIELD INSPECTION RECORD 83 -~1, .. ,~ ~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION. INSP - STRUCTURAL CONCRETE ' OVER 2000 PSI ' PRESTRESSED . CONCRETE .. POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY I PILES CAISSONS ~ .. -~ \ ~ l r -·, ... ~-~ '\ -' ' •· ·-.; - ' -,,1"'-i_.,--.---.. •. 'I ' -. ' "" . ~ ~ , ... .. ' '· ' -' I -'I,,.' .... ,.:'"' ,, ., A .· ' " '· . . '-- ' - • Ill z 0 .:: C IIC C ...J 0 .., 0 I[ ~ 0 <.> IIC .., 0 ..J 5 • ii? .., z ~ z 0 .:: ~ z .., a. ::Ii 0 0 Ill a: .., ><: IIC 0 3 tl O I hereby atllrm that I am licensed under p<ovlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaafons Code, and my license Is In full force and effect. lie No ______ Class I hereby aftmn lhal I am exempl lrom the Conlrac· !or's l~ense Law lor the lollow,ng reason (Sec 7031 5 Business and Profess,ons Code Any city 0< county which re· quires a permit lo construct. alter, improve, demohsh, or repair any slructure. pr.or to ,ts issuance also requi,es !heap· phcanl for such permit 10 Me a s19ned statement that he 1s hcensed pursuan1 to the prov1si0ns of the Contractor's Lteense Law (Chapter 9 commertC.ng with Sec1100 7000 of Dlv1s10n 3 of the Busmess and ProfesslOf'ls Code} or !hat is ex· empt lherefrom and the basis for rhe a!legeo exemption Any V10lahot1 ot SecbOn 7031.5 by an apphcant for a perm11 sub· IecIs !he apphcanl to a cMI penalty 01 nol more lhan live hun- drecl dollars ($500). O I. as owner 01 the property. ot my employees with wages as ll'leir sole compensation. will do the wDfk, and lhe strut· ture is not intern::led 0t offered lor sale (Sec 704◄, Bus mess and Professtons Code. The Contracto(s license Law does not apply to an owner of property who builds or improves thereon and who does such WO(k himself Of lhrough his own empk>yees. provided that such improvements are nol intend-ed or offered for sale. If, however, the budding Of improve· ment is sold within one year of complellon. the owner-btJI1der will have the burden of provmg lhal tie t:hd not build or im· prove \or the purpose ol sale). D I, as owner of the property, am exclusively contracting with hcensed contractors to construct tl'le project (Sec. 704◄, Busmess and ProlesstOns Code: The Contractor's License law does not appty to an owner ol property who builds or im-proves thereon. and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). D As a homeowner I am iml)roving my home. and lhe follow· Ing condiUons exist: 1. The work is being pert or med prlDf lo sale. 2. I have lr\led in my home lor twelve months prior 10 compfelion o1 this work. 3. I have not claimed this exemption during lhe las\ \hree years. □ I am exempt under Sec. ______ . 8 & P.C. lor this reason ------------- D I hereby affirm that I ha-,e a certificate of consent to self insure. or a cer1,t,ca1e of Workers Compensation Insurance. or a cer1,f1ed copy thereof !Sec 3800. Labor C:00..) POUCY NO r COMPANY □ Copy IS filed with lhe city D Cen1hed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thjs section need not be comple1ed it the permI1 Is lor one hundred dollars 1$100) or Jessi D I cert,ty that ,n the performance of the wOf11 lor which lh,s permit ,s ,ssued. I shall not employ any person in any manner so as 10 t>ecome sut>1ec1 10 the Wonters· Compensa11on Laws of Cahtom~ NOTICE TO APPLICANT II. atter makm1 this Cert1 hcate of ExemptlOl"I. you should be-Come sub1ec1 II) the Wonters· Compensation provis,ons of the Labof Code. you must forthwith comply with s-uch ptovIs1ons or 1h1s perm,1 shall be deemed revot1.eo O I hereby affirm thal !here ,s a constructton Iend1ng agency tor !he pertormance ot lhe wofk lo, which 1h1S permit •s ,ssued tSec .)()97 C,v,I COdel Lenders Name ___________ _ Lender's 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 -~~----------------- JOB A00'3o L, i /4-.FI". AV ST.RO. ,q_ VALUATION PERMIT NUMBER LOT BLOCK I SUBDIVISION ASSESSOR PARCEL NO. 1-.u.L.!--=....:....!KL.!,-Ji.,..~~~::::..,j4-~~~L......L.M.L:...-+-"'-:!-_::-::::c"::-:-7::="-4__,,l!C.. ZONE f?J ✓-Y71( I PLAN 1.0 . # BLDG USE CODE ;I.&, LICENSE " STANDARD PLAN # BUILDING SQ. FOOTAGE o0ESCR1PT1dN OF WORK 7 -n--7 ............ ._..,, ~~. ~ rS,GN•RS RDDRm . F/P FLA ELEV. vO NO CENSUS TRACT GP LANO USE PARK ING SPACE RES UNITS QTY.I PLUMBING PERMIT • ISSUE -?~ EACH FIXTURE TRAP / EACH BUILDING SEWER EACH WATER HEATER ANO/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) TOTAL PLUMBING I QTY.I ELECTRICAL PERMIT· ISSUE s'- NEWC0NSTEAAMP/SWT1BKR 4/V"I L /n-11 - 1 PH 3 PH , EX 1ST BLOG EA AMP/SWT /BK R l PH 3 PH REMO0E L 'AL HR PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) TOTAL ELECTR ICAL I I • I /t>S--- GRADING PERMIT ISSUED . 1 REDEVELOPMENT AREA y D ND vO NO QTY. 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 ME CH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOT.C.L MECHAN ICAL I QTY. SOLAR -ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE I TOTAL SOLAR I I ----iw STORIES TYPE CONST 3- I DESIGNER'S PHONE _fr,;;. 7 lt4e.r·~ • OCC GP EDU OCC LOAO Fl RE SPA vO NO Not Valid Un~s Machine Certifil!d SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01·00·00-8220 SIGN PERMIT 01 ·00-00-8221 PLAN CHECK 01·00·00-8806 TOTAL PLUMBING 01 ·00-00-8222 ELECTRICAL 01-00-00-8223 I /AS-- MECHANICAL 01·00·00·8224 M0BILEHOME 01-00-00·8225 MOBILEHOME PARK INSP SOLAR n1.nn-nn-ooo~ STRONG MOTION 80·92·33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00·8933 BRIDGE FEE SCHOOL FEE • DISTRICT I - Carlsbad 80·92·21·0519 Encinitas 80·92-22-0519 San Dieguito 80-92-23-0519 San Marcos 80·92-24-0519 LICENSE TAX 01-00-00-8162 CREDIT DEPOSIT TOTAL FEES PAYABLE /cJS" -- I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION ANO PERMIT" ANO 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS Exp,rabon Every perm11 issued by the BuoldlnQ Offocoar under the provIs,ons ofln,s * AN OSHA PEN,IIT IS REQUIRED FOR EXCAVA T10NS OVER Code shall expire by flmotabon and become null and void If the building or work S' O" DEEP ANO OEMCIUTION OR CONSTRUCTION Of authoozed by such permit II not commenced w1th,n 180days lrom the date ol such S OYER 3 STORIES 1H HEIGHT permit or 1f the buold1ng or work aulhorized by such -mIt •• s pended or ISSUED TO COMPLY WITH All GITV. COUNlY ANO STATE LAWS GOVERNING BUILDING CON abantloned at an 1,me after me worll 1s commenced for a a~o~~..!!l.ll.--:j,-i:~~~~~~-----'"":'"""'~--~~:'.'""~r---, STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A~NO APPLICA • URE ,. OWNE ONTRACTOR APPROVED BY '-• KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO /I EXPENSES WHICH MAY IN ANY"WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ,4' _ BY PHONE O I GRANTING Of THIS PERMIT -!i, r ~ ~ ___ _ 77 T 2 LL >-~ 0 a. E (I) )- "O 0 (!J C co .<:? a. a. <{ I ~ C a:: 0 (/) (/) (I) (/) (/) <{ I ~ .2 .; >- (/) (/) (I) (.) 0 a: co ~ 0 §: (I) (.) C co C ii: C (I) ~ (!J 0 ti (I) a. (/) C ~ .c 3: ... ·,. ~ . . .. ::-,._, ,, TYPE ; DATE INSPECTOR BUILDING 1 -, ~ -.. ,_ ;---. FOUNDATION 1 FIELD INSPECTION RECORD REINFORCED STEEL : MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT 1 FLOOR & CEILING SUB FRAME : SHEATHING □ ROOF □ SHIEAR REO. IF INSPECTORS INSPECTION DATE CHECKED APPROVAL , SOILS COMPLIANCE PRIOR TO FRAME 1 FOUNDATION INSP EXTERIOR LATH : STRUCTURAL CONCRETE OVER 2000 PSI INSULATION l PRES TRESSED INTERIOR LATH & DRYWALL 1 I , _____ P __ L_U __ M_B_I_N_G ___ I --, -r-------t----,-,-, ·· i SEWER AND BUCO DIPUCO , CONCRETE ., POST TENSIONED .. CONCRETE FIEL~ WELDING HIGH STRENGTH UNDERGROUND □ WASTE D V\'ATER BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN 1 I GAS TEST : □ WATER HEATER □ SOLAR WATER PILES CAISSONS 11 ' ' : il ELECTRICAL I □ ELECTRIC UNDERGROUND □ UFFER I ROUGH ELECTRIC 1 □ ELECTRIC SERVICE □ TEMPO~ARY '\... ,. .. □ BONDING □ POOL 1 ----1.i .-...:_._ ~ ..,,_ ... ' I MECHANICAL 1 □ DUCT & PLEM., □REF.PIPING HEAT -AIR COND. SYSTEMS ; r-- VENTILATING SYSTEMS 1 , ...... .- ,.. .. --I --' ... ' 1 .. CALL F9r1,;,~1fa,g::i~~Fi:i~tp~Wa{G b.~~PRIA T~ •< FINAL I -• .. ~ \ •. • . PLUMBING •• N_ I -; .. ··" ,, j I , ... 1&11 ~ ""'" .... ',, ... '· ' . \) . ,,._-, -....c,,,,_t--. ,--\ : ! ... 'I\ ' ' ·,1 " \ ... \ --~ '~-,-,_, It"· v -.. \ .. . . .. -' .. )\ . •·' • -..,,"t-,•J'I._' .. ~ ' \ . __ ,., . -ELECTRICAL ; • ..¥ . , \•~, r-\:" . .. . ,, "~ u --.. ,_ .. '!Y "' .. , ;. - ~","" ·, )'\'·'-,·-. --\ .... \, ' MECHANICAL 1 .hr' 1 V\ ~ _. GAS I -~ 1-»JJl1i.: • ':Jt'· ,.,.~ • .. BUILDING ; .. • v I • JO, ,- SPECIAL CONDITIONS 1 ,-,._r -I 7 I -. ~ -·c-·: .....,....._ .. ' -. ..._\, ~,t .. " \\ -: . -' .. ·. .. -.. • .. - \ \. . \, ''"""' . ". . '• ,,: ~ -- 9~·,-7 J-5 ~r i• ....... -.. <, •· ~ .. --- I .. 1, " .,. I ~ <, " " ,, City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY B'eLDING DEPARTMENT 1200 ELM 438-5525 Address where Business will be conducted Name of Occupant Address of Home Office of Occupant if different from above Owner of Building Type of Business Describe exact use of all portions of each building and lot Previous use of Building Type of flammable or explosive liquids to be used, if any Address VALIDATION Building Permit No. -::t'1 -1- Business//-?,,/_ ~/0/ Phone 7 ...:::1 ¥- Home Office Phone Phone /Jf .J-6 .5oo 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 o Applicant Use Zone Englneerln Departme Fire Prevention Health Department Building Department -L , 19 In the City of Carlsbad, State of Callfornl Signature of Building Otticial 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.