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Home My WebLink About2335 VIA FRANCISCA; ; 83-271-4-4; Permit.,, z 0 ~ C CIC C ... lrl 0 a: I[ 0 0 z 0 ~ .,, z "' A. 2 0 0 .,, ic "' "' CIC 0 3 i[ O I hereby aHlrm that I am licensed under provlelona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaalons Code, and my license is In lull force and effect. L,c No ______ Class I hereby alfirm !hat I am e.xemp1 from the Contrac· tOf's License Law tor the following reason (Sec 7031 5 Business and Proless10ns Code Any c,ty or counly wh~h re--quires a permit to construct. aller. improve. demohsh, or repair any structure. prior 10 its issuance also requires :he ap- pbcanl tor such permit to hie a s,~ned statement that he 1s hcensed pursuant to lhe prov,s,ons of the Contractor s License Law (Chapter 9 commeocmg w1lh Section 7000 of Drvist0n 3 of lhe Busmess and Professions COde) or that rs ell:-empl therefrom and !he bas,s lor the alleged exemphon Any v~hon Sechon 7031.5 by an apphcanl tor a perm11 sub• Iects t appftcanl to a cIvd penalty of nol more than frve hun· dred ollars ($500) I, as owner at the property. or my emp~ees w11h wages as theff sole compensation, will do lhe work. and the struc-ture Is not intended or otfered for sale (Sec 7044, Business and Professions COde The Contractor's License Law does not apply to an owner of p,operty who builds or ,mproves !hereon and who does such work h,mselt o, through hrs own emptoyee prov~ed tha1 such Improvemen1s are no1 intend-ed or 011 ed lor sale. II, however. the budding or improve- ment I d within one year of completion, the owner-builder will e the burden of proving that he did not build Of im- prov tor the purpose of sale). I, as owner of 1he property, am exciusrvely contracting with licensed contraclors to construct the prOftCI (Sec. 7044, Business and Professions Code. The Contractor's Ltcense Law does not appty to an owner ot property who builds Of im• proves thereon. and who contracts IOI' each pr~ects with a contractor(s) license pursuant to the Contractor's L1tense Law). D As a homeowner I am improving my home. and the follow· ing condihons exist· l . The work is being per1Dfmed prior to sale. 2. I have lived m my home tor twetve monlhs prior lo completion Of th.is WOl'k. 3. I have not claimed this exemption dunno the last three years. D I am exempt under Sec. ______ . B & P.C. for this reason 0 I hereby affirm that I ha,..e a cen,ticate ot consen1 10 self.insure, or a cert,t,cate of w o,kers· Compensation Insurance. Of a cert,hed copy thereot (Sec 3800, Labor CO<lel POLICY NO cm1i!~NY col'Copy IS hied w,th lhe city 0 Cert,hed CoPy 1s hereby tum1sheQ CERTIFICA Tl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE (This section need not be compleled ,t the perm,1 1s to, one hundred dollars ($100) or less1 D I cer11ty that in the performance ol the wo"' 10, which this pemut 1s ,ssued. I shall not employ any pe,son in any manner s.o as lo beeome sub1ec1 to the Workers· Compens.at,on Laws ot Cahtornta NOTICE TO APPLICANT ii. alter maktn1 this Cen1 hcate of Exemption. you should oecome sut>1ect I'> lhe WC>f1ters· Compensahon prov,s,ons ol the LabOr cooe. you must fonh\J111th comply w,1h such prov1s1ons o, lh•s permit shall be deemed revok.ed O I hereby athrm ltlat !here ,s a cons1ruct1on lend1n~ agency tor lhe periormance ol lhe wo111. tor which 1h1s perm,t 1s ,ssueo 1Sec Y:!Jl C,v,1 Codel l endef s Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carl~bad, California 92008-1989 J!,19) 438-5525 APPLICATION & PERMIT - JOB A OORE9S 2335 Via Francisca A V. ST.RO NEAREST CROSS ST. ..HQ.so 1,;E LOT I eLoc,c ,._sueD1v1S1~N I h:· 9.,7 ASSESSOR PARCEL NO CONTRACTOR 7 ---, OWNf R'S NAME l OWNER'S PH ON E Community Resources Corp. Community Resour ces Cor p 483-6500 CONTRACTOR'S ADDRESS OWNER'S MAILING ADDRESS 2204 Garnet, Ave.,, San Diego , Ca . 92109 DESIGNER DESCR IPTION OF WORK I ~ pKA•~:,i'">.-<; I DESIGNER'S A D DRESS .Bl.dg_L__it_~4 a Units__$~ 4AAM.L I--- ~~4'o ,EE CENSUS TRACT GP LAND USE LlO QTY.I PLUMBING PERMIT -ISSUE QTY. EACH FIXTURE TRAP 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 BREAKE R WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING l ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP/SWT 'BK R I PH 3 PH EXIST BLOG EA AMP/SWT/BKA 1 PH 3 PH REMODEL:ALTtA PEA CI RCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL HEClRICAL ] RESBITS. , -F/P FLA EL EV. vO NO GRAOING PERMIT ISSUED y D N D j REDEVELOPMENT AREA vO N~ QTY.I MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS i.JP 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 -HOOOIOUCTS RELOCATION OF EA FURNACE/HEATE R TOTt.L MECHANICAL QTY. I SOLAR -ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR NO s3Es TYPE ~NST l.lL.• 11.J - BUSINESS LICENSE It VAL UATION PERMIT NUMBER CONTRACJ'ORS PHONE • 1Jl_118 ZONE 83-271 -4-4 LICENSE NO. PLAN 1.0. # BLDG USE CODE L ICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE DESIGNER'S P"ONE t,,118 OCC GP R-1 EDU ti!I !a2f83~{a~ _ §6 OOP~76~ .101!21 63lYS6 l~l • DCC LOAD FIRE SPR vO NO Not Valid Unlffs Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME MOBILEHOME PARK INSP SOLAR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad Encinitas San Dieguilo San Marcos LICENSE TAX 01-00-00-8162 CREDIT DEPOSIT 01-00-00-8220 01-00-00-8221 01 ·00·00·8806 01-00-00-8222 01-00~00·8~23 01 ·00·00·8224 _Q_l -00-0Q-8225 __O_l-_OQ-00,8??fi 80·92-33-0519 ---······- 01-00-00-8227 32-00-00-8933 80-92-21-0519 80·92-22-0519 80-92·23-0519 80-92-24-0519 TOTAL FEES PAYABLE l "-Ill _.f '10- ~0-t- ~ ~~,,~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Ewryperm1t-byltle8ulkltngOffN:tatunderlheprOV1S1onsofth11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re mitahon and become null -void II ttte building or work * AN OSHA P£AMlT IS REQUIAED FOfl EXCAVATIONS OVER S' O" DEEP ANO DEMOUTION OR CONSTRUCTION OF STAUCTIJAES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,z sue m,t 19 not Commtnced within 180 days from ttte date of such I ISSUED. TO COMPLY WITH ALL CITY COUNl'I'. AND STATE LAWS GOVERNING BUILDING CON• he d•~ work aulhorlZecl by such pe,m,1 11 suspended or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND "-:';;:'f;;.~;d:'7.~~:=a::::.,:ltle7.:•~orll=11=com~!:;menced~~:.!for~•!.f5-"00!!!....!0!!.1:.!180~!!UL--:~~~~---~------!'""------'llf----~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND .. J-OWNER CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ..... BY PHONE 0 7 7 I ~ u:: >, .; 0 a. E (I) I- I "O 0 (!) C co -~ a. ~-f t./ .:,: C a:: 0 (/) (/) (I) (/) (/) <t I 3 .2 Qi >- rJi (/) (I) () e a.. co ai 0 ~ (I) () C co -~ lJ._ ~ I C (I) ~ (!) 0 ti (I) a. (/) C ~ .c. ~ TYPE l ' 1 • BUILDING I OUNDATION I I ~EINFORCED STEEL 1 ,1ASONRY I :aUNITE OR GROUT I LOOR & CEILING SUB FRAME I I F R M G F s F HEATHING □ ROOF □ SHEAR RAME I I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I SEWER AND BUCO D IPUCO t UNDERGROUND □ WASTE □ tJATER TOP OUT D WASTE □ WATER TUB AND SHOWER PAN I GAS TEST I □ WATER HEATER □ SOLAR WATER I ELECTRICAL I □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL I -· ' I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING I HEAT -AIR COND. SYSTEMS .l VENTILATING SYSTEMS I I DATE INSPECTOR . \.-' ""·J '-J C" ... , ,,: I • CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. FINAL I PLUMBING ' I !'" \ -. ~-" ., .. . . ' ' ' ' .. 1, ,, FIELD INSPECTION RECORD ' REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTOR'S 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 . ... ' ,,. i"- ' ' ·.;: -~ ~ , ~ ,: .,, t I . , ' . ' . . . .. -~ -.... ELECTRICAL I ' r.xi /'_ -.,. J MECHANICAL GAS BUILDING SPECIAL CONDITIONS .,. .,_ I I f I I . I I I -_..a, ,r -~, ~ ~ ~. \ -~ Ll u ' - ~ _J -<t .JI~ I fJ ~ ---\ ............ ~-I ""_, -,-1 - -~, '-'-!"·~···•· .. ~- '· \ ......... ,, • •, I 'f.-' ,. -. ('\ , . 'B'~, d-'t I -1../.'f j ' ~ --- INSPECTOR'S NOTES . ~ l • ' ' DATE -~ 1'1Yi ,)'(.:-;__ ' I .. -. .. i ~. , . ' fi ... , > .... 'd;\. . I '/ ·~ .. I I•••• I-,... . ' • ' ,~, v-·-' I 't• ,, , • ~ i,,. "·~ -.,_ \ . .i, . ~ "')( ..... u •• '\~- . II \ '\" I i . "\ , .. , ,.,. t, r- s .... . ., - .,, z 0 ;::: C a:: C ... 0 ... 0 e[ ~ II: ... z 0 u z 0 ;::: ~ z ... Q. :I 0 u .,, a: ... "' a:: 0 3t 1[ .. 0 I hereby alllrm that I am licensed under provision■ of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaalons Code, and my license is In full force and effect. ltt No ______ Clm I hereby a111rm that I am eicempl lrom the Contrac· tor's license Law lor the lollowing re,son (Sec 7031.5 Business and Professions Code. Any city or county which re-quires a perm11 10 construct. alter, ITT'lpfovs, demohsh. Of repair any structure, pr~ to its issuance also requires the ap-~cant for such per1TN1 to file a s19ned statement that he 1s hcensed pursuant to the prov1s1ons ot the contractor" s License Law (Chapter 9 commenoing w,th Secl!Ol'I 7000 ol Devision 3 of the Busmess and ProfesSIOf\s Code} or that 1s ex-empt therelrom and lhe basis tor lhe allegeo exempl!On Any V!Olalion ol Secllon 7031.5 by an applicant 101 a perm,t sub· jects~he plitant 10 a civil penalty of not more than fivt hun-dred rs ($500). , as owner ot the property, or my employees with wages as their sole compensatKN'I, will do the work, and Ille struc· lure is nol intended or offered lor sate (Sec. 7CM4, Busmess and Professions Code· The COnlrac1of' s License Law does nor appty to an owner of property who builds or improves !hereon and who does such work h1msell or through his own employees, provided that such improvements are not Intend-ed or ottered for sate. If, however, the buUdmg or improve- ment is SOid within one year ol completion. the owner-builder will hav the burden of provmg that he did not build or im-prove the purpose ot sale) . as owner of the property, am exclusivefy contracl!ng with licensed contractors 10 construct the project (Sec. 7044, Business and Prolessk>ns Code: The Contrac1or·s License Law does not apply to an owner of property who builds or im· prOYes thereon, and who contracts for each prCJiects with a contractor(s) license pursuan1 10 the Contractor's license Law). D As a homeowner I am unproving my home, and the lollow· ing conditions exist: 1. The work Is being perlonnod prior to sale. 2. I have lived In my home tor twelve months prior to completion of this work. 3. I have not cla:Kned this exemption during lhe lasl three years. D lamexemplunderSec. _______ B&P.C. for this reason □ I her~y athrm that I ha\'e a cen,hcale ot consent lo self,1nsure, or a cert1f1cilte ot Workers Compens.ahon Insurance. or a cen1hed copy thereof (Sec 3800. Labo< Co<lel POLICY NO COM~ ~y 1s flied with lhe City 0 Certified copy ,s hereby lurn1shecl CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechon need not be completed ,f the permI1 1s for one hundred OOUars (S 1001 or less) D I cen1ty lhal in the pertormance ol lhe w~ tOf whtCh this pem111 ,s ,ssved. I shall nol employ any person 1n any manner so as to beeome sub1ec1 10 lhe Worker,· CompenSit1on Liws ot Caltlorn1a NOTICE TO APPLICANT If. alter makin;1 this Cert• hcate of E11empt1on. you should become sub1ect I".> the W~ers· Compensatt0n provisions ol lhe LabOr Code, you must lor1h~·•lh comply with such prov1s,ons or uus permI1 shall be deemed ,evoked D I hereby altirm lhal there 1s a construc11on Ierx1,~ agency fOt" the pef'iormance 01 the Nor1'. to, which this permit 1s ,ssueo (Sec ;m1 Civil Cooe1 Lenoer s Name ___________ _ Lenoer s Aoore,ss __________ _ USE BALL POINT PEN ONLY & ~E~S 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. ' DAT E OF APPLICATION! BUSINESS LICENSE # VALUATION PER1 TI N;~~~ 2335 Via Franscisca Hosp 9/21/83 -983 5:1;{',~ LOT I BLOCK I suao,vrs10N I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE ~"J''" OWNER'S NAM E 1 OWNER"S PHON E Community Resources Corp. Community Resources Corporation 483-6500 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE OWNER'S MAILING AOOAESS 2204 Garnet Avenue, San Diego, Ca. 92109 DESIGNER LICENSE ,r STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION Of WOfUC: ' DESIGNER'S ADDRESS OESIGNEA"S PHONE ~l_l~~u6~ 1983;61. ~11ilrlina-4-4 R U~its . . ------F/P F LR ELEV. NO OCC GP EDU FOUNJjATION ONLY STORIES vO NO -- CENSUS TRACl I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED REOEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST vo ND vO NO vO NO Not Valid Unless Machine Certifitd QTY. PLUMBING PERMIT -ISSUE 7 1;!.. QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER -1-EACH FIXTURE TRAP . INSTALL FURN. DUCTS lJP TO 100.000 BTU BUILDING PERMIT 01·00·00-8220 ~- EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 -I'"' EACH WATER HEATER ANO/OR VE NT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 •00·00-8806 -::l.'.:l{ ,C;I'" 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 • HOOD/DUCTS MOBILEHOME 01-00·0Q-8225 WATER SOFTNER RELOCATION OF EA FU RNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN IINSIDE) SOLAR 01-00·00-R??~ .. TOHiL MECHANICAL STRONG MOTION 80·92·33·051 9 :> -::: TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 QTY. ELECTRICAL PERMIT -ISSUE :r-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 J Lt l'-i- BRIDGE FEE NEW CONST EA AMP/SWT 18KR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TAN KS C3rlsbad 80·92·21-0519 EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE -Encinitas 80·92-22-0519 I PH 3 PH PUMP San Dieguilo 80-92· 23-0519 REMOOEL."AL TEA PER CIRCUIT PLAN CHECK FEE /4 ,..... San Marcos 80-92-24-0519 TEMP POLE 200 AMPS If I ,f ,,.._r OVER 200 AMPS rt\) v9---· ,....v LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS) ,v (ti\), ) __ ,' \ \..J'[ /v CREDIT DEPOSIT < \\ =:£!/ TOTAL ELECTR ICAL . l TOTAL~LAR 'O I TOTAL FEES PAYABLE -l \<:li~~ • 1 HAVE CAREFULLY EXAMINED THE COMPl=-•. •Aflfil.lCATION ANI>'=. • rr--ANO oo HEREBY ~-~....----./ ilftdirllle~oftllta * AN OINAPEMlfl 1$ AEQl#IED FOIIEJICAVATIONS 0'IIEII ; CERTIFY UNDER PENAL1'Y OF PERJURY T :, ,M.L tffi"OfftAATION N IIIICLUOING THE Coele-1111111~ ............. ---..... _·_ If Ille bulldtngO<worl< s· er DEEP AND DEM0UTION °" CONSTAUCTION OF DECLARATIONS ARE TRUE AND CORRECT ft=Ulffl,f£R CEJfflFY A1ifl).AGREI IF A PSRMIT iS "' ·1•not~...., ,aoci_..1rom111ec1a1aofauc11 S~ OVER 3 STOIIIIES .. HEIGHT ISSUED: TO COMPLY Wl'DiAU..CITI:. COU8'.tf' ~:ST,t.TE LAWS ~NG ~llDING CON· penny-or ,ZX.'~~ _.. IIUllloriUd 11y 1UCh ...,...11 is °' ..__..._ .... __ oflall"- STRUCTION. WHETHER SPECfFJEI) HIAEIN OR fil()t. I ALSO AGREE SAVE INDEMNIFY AND ,.~~~. OWNER□ CONTRACTOR 0 APPr-wVEO BY . E;/4? KEEP H-'RMLESS THE CITXJ)F ~D AGMIST'iU.L 1.IA81UT1ES,-,IUDQMENTS, COSTS AND EXPENSES WHICH MAY IN ,\NY WAY··ACCRU£ A'GAIN8T SM0 CITY ~NCE OF THE BY PHONE 0 I ,_ GRANTING Of THIS.PERMIX. • • • --... .J II. .L ( ' 7 / 2 u:: >, ;;; 0 n E Q) 1- 'O 0 0 ~· u n n <( I .::,:_ C a: 0 "' "' Q) "' "' <( I ;;: .2 -a; >- "' "' Q) u 0 ct <O -;;; 0 ~ Q) u C <O C u:: !:. C Q) Q) C, 0 0 Q) n "' C ~ .c ~ TYPE I DATE INSPECTOR BUILDING I FOUNDATION I I REINFORCED STEEL I MASONRY I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I / SHEATHING □ ROOF [¥SHEAR .. ,.&-X'll I ~~ FRAME I . I I ---EXTERIOR LATH I .. z..-,?.. .(;J -14/"i/..}') INSULATION I INTERIOR LATH & DRYWALL I ' ' > I PLUMBING I -I SEWER AND BUCO DIPUCO I -' ' UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WtATER (14~.<:!.A -~ TUB AND SHOWER PAN I ., I GAS TEST I D WATER HEATER □ SOLAR WATER I -. I ELECTRICAL I □ ELECTRIC UNDERGROUND □ µFFER ROUGH ELECTRIC I I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL I ,_ I I MECHANICAL I D DUCT & PLEM., □ REF. PIPltilG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ~ I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL I MECHANICAL I GAS '· I BUILDING I • SPECIAL CONDITIONS I I _, -I \ FIELD INSPECTION RECORD ,. \ ( ·-~\::.., .. .,..... "~-\.: \ ' ' \ ' \ REQUIRED SPECIAL INSPECTIONS INSPECTION REQ 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 I< BOLTS SPECIAL MASONRY PILES CAISSONS ' ' . > . I - t ,I ·' ., ,... ~6 • d'"tl· l/-~ -rs .... INSPECTOR'S NOTES I -I ' -. -, :iC::_> . ( I ' ' ' ' I I I • I ' ! :! .• ·;-1 •--' . 11 - i -j r; I ; ... I ' . < ; I ). ___ ,,.., - ._ ,,, \ F? - :;.·:-f!-:- " ... -.. .. r . ~•· ~ a" ,-.-. ~= l ...... ' . I ·--. a • \\ \" :, -...... ..,~ -I v .. t ---: •. I ""j ~'°., l Cl) z 0 ;: C a:: C ~ u Ill 0 .. '\. C I[ 0 u ., 0 I hefeby affirm that I am llcen•ed under provlalona of Chapter 9 (commencing with Section 7000) of Dlvlolon 3 of the Bu•iness and Profeaalono Code, and my license is in full force and effect. Lie No ______ Cla~s CIC Ill 0 ~ 5 ~ Ill z 3 0 z 0 ;: C Cl) z Ill ~ :II! 0 u Cl) ic w "" CIC 0 3: ll I hereby alhrm !hat I am exempt lrom tt)e Contrac· tor·s t,cense Law !or the foltow,ng reason (Sec 7031 5 Business and Prolesst00s Code· Any coy or county which re qU1res a permII to consIrocI. aller; improve. Clemohsh, or repair any structure, poor to ,Is issuance also requires !heap-phcant lor such permit to hie a siqned statement that he 1s licensed pursuant 10 the provisaons of lhe Coniracto( s License Law (Chaoler 9 commencing w1H1 SechOn 7000 of Olv1s10n 3 of lhe Business and Pfotessions Cooe; or that Is ex· empl therelrom and the baS!S fw lhe alleged exempllon Any v101al10I\ of Secuon 7031.5 by an apphcant tor a perm,t s.ut>· Jects the apphcant to a tMI penalty ol noI more than frve hurt-.· dred dollars ($500) [ l I., as owner o1 the property. or rny employees w,th wages as me,r so~ compensatton.,wilf do the work. and the struc· ture Is nor mtenoed or ottered for sale (Sec 7044 Business and ProfesStOn!t COde The Conlracfor • s LtCense Uw does not ap~y to an ownM of proper1y wt,o builds or tmproves thereon and who does such work l'umseIf 0' lhrough h,s own employees... provl(3ed lhal such 1mpr"'ements are not mlend· ed or o1fereo 101 sale If. hcw~ef, the butld1ng m_: Impr1>1e-ment Is sold w1lhin ooe year of completJon, lhe owoer-builder w,u have Ule burden 01 p,ov,ng Iha! he did n01 build DI' Im-prov• lo, Ille pu,pose ol sale) I, as owner of the property_ am exciusrve,ry con1racting w,th icensed contractOfs to tonslruct lhe pro,ecl (Sec. 7044, Business and PfOless1ons Code The Contractor's Lteense Law does not apply to an owner of ~rty wtio bUI1d_s or Im· proves I hereon, arid who coo tracts for each pro,ects with a contraclor(s) ntense pursuant 10 lhe Conlractor·s Lteense Law) ' ' J As a 11m11,owner I am omprOY<ng my home, and Ille fotlow tng condI11ons eiust • 1 The work tS being performed pr.or to sale 2 I have IJYed m my home for twelve moolhs 3 rr~!!' =p~~I It~~ :'~1~ during !he las! three years 0 I am exempl under Sec ______ , B & P C lor this reason ____________ _ □ 1 heret>y alf1rm that t ha ... e a cer'hhcale of consenl to self insure. o, a cert1t1ca1e of Wo,kers Compensa11on Insurance. or a cer11fted cop:y !hereof rs« 3800. Labor Code! POLICY NO COMPANY 0 Copy IS Med wilt, lhe Ctly □ Cen1lled CODY IS hereby furnished CEATIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE nh,s sect,on need not be completed ,, me perm11 ,s for one hundred dOllars tS 1001 or less) 0 I cert,ty thal ,n the performance ot the woo lo, •h1cn this permll 1s ,ssueo. I shall not emp1oy afly t)ef'son 1n any manne, so as 10 become sub1ec1 10 the Workers Compens.atton Llws of Cahfomt.a NOTICE TO APPLICANT If atler ma.kin4 lh1s Cen1 he.ale of Exemp11on. you should become sut>Ject tt) lhe Worllers Compensation p,ov,s,ons ol lhe Labar Code you mus1 f()f'1h-.1th comely with such prov1s1ons or this permit shall oe deemed revokeo 0 I hereby altum lhal lhere 1s a COfl!lruc11on 1eno1no agency tor the per1ormance of me won.. ror oNt'IICh lh1s perm,, IS issued ,Sec 3097 C1v1I eoae, Lenders Name ___________ _ Lender~ 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 ADDRESS AV ST RD NEAREST CROSS~/ .t/ ~ ! DATE O~PPLICATIONI BUSINESS LICENSE" VALUATION PERMIT NUMBER .:2, 3 3 6 -a?',., -7~ ✓•k>-?/ ,f' 3 J' 3-~ 7 /-17 L01 BLOCK I SUBDIVISION I ASSESSOP PARCEL NO COl'<TAACTOR cnNTAACTOAS PHON(. ZONE }"'/,),.-r:,/1./ -~ /_;_ ~p,1/9?'~-t/PJ r tWNE ~·s NAME p_ ~ '"/9;~;;·:;;~2 ~ .,_ P: _..,, CONTRACTOR'S Ai!)6RESS t:,i' LICENSE NO PLAN 1.0. # BLDG USE CODE - ~Jt_n/,,,; )Zi ~4.,;t~ !12.,_ ---I •WNE R'S MA N,:?£:, A SS II' • .:2.:20 I/ /4/,.,/i . .:.. Dl~ GNER V LICENSE u STANDARD PLAN# BUILDING SO FOOTAGE ~ ...... ---n- oESCR ,p T ior,,. oF woP ~ V OESJGNER'S ADDRESS DESIGNER'S PHONE ~,t-// J>'~ '-1.ria,,e~~eef, lBu,aG -FIP FLRELEV NO OCCGP EDU STORIES vO "-0 ---- CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRACING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPP AREA CONST YO ND ,□ NO vO NO Not Valid Un~s Machine Ctmf,,w QTY. PLUMBING PERMIT -ISSUE I 7,.5a QTY. MECHANICAL PERMIT -ISSUE 3,0C} SUMMARY/ACCOUNT NUMBER I ...,-.,f' EACH FIXTURE TRAP I <J-:-: -INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 I EACH BUILDING SEWER I ~ -st OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 ---- X' EACH WATER HEATER ANo,oR VENT ,;Ju-.., BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM I l O 4 OUTLETS ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 12'6_-_ ---->--- 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 / -~ ~ ..:2 ~ EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBl~EHOME PARK INSP EACH ROOF DRAIN IINSIDEI SOLAR 01-0Q-00-R??~ TQT,!;L MECHANICAL STRONG MOTION 80-92-33-0519 -------- TO I Al PlUMBINL I /P~--FIRE SPRINKLERS 01-00-00-8227 . ,!;()~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT . 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San D1egu110 80-92-23-0519 REMODEL AL HR 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 OCCUPAN.CY (30 DAYSI CREDIT DEPOSIT TOTAL E LE Cl RICA l I TOTAL SOLAR TOTAL FEES PAYABLE I 13'1, -, 1 HAVE CAREFULLY EXAMINED THE COMPLE !ED' APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued by ttle Bu tiding Off1c1a1 under the prov1Sfons of tM1s * AN OSHA PEFNIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY lHAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by hm,tation and become nutl and vOid U the bu1ld1ng o, work ~-O" DEEP AND OOIOLITION OR CONSTRUCTION OF authortzed by such permit 1s not commenced w,tn,n 180 days from the date ot such DECLARATIONS ARE TRUE AND CORRECT ANO I FURi HER CERTIFY AND AGREE ff A PERMIT IS ~tf the buildinr. or work authonzed by such .!>£:.'.mil 1s suspended or STRUCT\JR£S OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON do at any lime a ler the work ~s commenced for a onn of 180 davs STAUCTION. V1/HETH. ER SPEC. IFIED HEREIN DR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:rD ,XZPLI NT S SIG TTuy;;A ow 1 CONTRACTOR 0 APPROVED BY -Bf_ DATE 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 TH ~ BY PHONE 0 I 1/-J.7 GRANTING 01',THIS PE.AMIT "' , ~ u: >-~ 0 0. E (I) 1-- :!2 0 <.'.) C m 0 ~ 0. <( I .:,:. C a: 0 Cl) Cl) Ill Cl) Cl) <( I ~ .Q ai >- Cl) Cl) (I) u e a.. m iii 0 ~ (I) u C m C ii: :::. C Ill (I) c'.3 0 0 (I) 0. Cl) C ~ .c ~ CJ 0Y I[ 0 0 Ill z 0 ;: C a:: C .... 0 w 0 a:: w 0 .... 5 • ii w z 3 0 z 0 ;: ~ z w ... 2 0 0 Ill ic w " a:: 0 3 if . . ~ O I hereby affirm that I am llcensed under provtalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfHalons Code, and my llcense is In full force and effect. Lie No ______ Class I hereby affirm Iha! I am exempt from the Cootrac-tor's License Law tor the fOflowmg reason (Sec 7031 5 Business and Professions Code Any city or county which re-quires a permit to construct alter. improve. demohsh, or reparr any structure. prior to 11s issuance also requires !heap- rt~~or p~~~:ari:1 I~ 111~,~~~=: ~:311h~~o~:!c~! 1! lt<:ense Law (Chapter 9 commencing with Seel.on 7000 o1 ()vlsl0f1 3 of lhe Business and Professions Code) or that ,sex· empl therelrom and the bas,s lor lhe allegeo exempt10n Any VIOiation o1 Section 7031.5 by an applicant tor a perm,1 suo-Jecls the applicant to a c,vd pen.atty of not more than five hun- dred dollars ($500) □ I. as owner ol lhe property, or my employees with wages as their ~e compensation. w~I do the work, and the struc- ture 1s not Intended or offered for sale (Sec 7044. Business and Prolesst0ns Code. The Contrac1or·s license Law does not apply 10 an owner of propeny who builds or Improves thereon and who dOeS such work hrmself or through his own employees, provl(led lhat such 1mpfDvements are not mlend- ed or ottered for sale II. however. !he building or improve- ment ,s sold within one year of comp1et10n. the owner-builder will have the burden of proving that he did not build oc im· prov,, for the purpose of sale) D I. as owner ol the property. am exclus,vely contracting with licensed contractors to construct tho prorect (Sec. 7044. Business and Pfolessions Code: The Contractor's License Law does not appty to an owner of property who buikts or im· proves thereon, and who contracts tor each projects with a contractor(s) hcense pursuanl to the ContractOf's L,cense Law). D As a homeowner tam m,proving my home, and the follow· ing conditions exist 1. The work is being pertorrned prior to sale 2. t have lived in my home for twelve months prior to compJetion of this work. 3. 1 have not claimed this exemption dunno the last three years D I am exempl under Sec. ______ , 8 & P.C. tor this reason ____________ _ 0 I hereby affirm that I ha.-e a cer11hca1e of consent to self-insure. or a certificate of Workers Compensation Insurance. or a cert1f1ed CoPy thereof ISec 3800. Labo< Code! POLICY NO COMPANY D Copy ,s hied with the c,ty D Cen1fled copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS.COMPENSATION INSURANCE (This sec11on need no! be completed 11 1he perm11 ,s tOt one hundred dollars (S 1001 or less) O I cen,ty that 1n the per1ormance of lhe wo~ 10, wh,ch th,s permit ,s issued. I shall no1 employ any person m ariy manner so as to oecome sub1ec1 10 the Workers· Compensa1l()l'l Laws of Calilom,a NOTICE TO APPLICANT If. after matun1 lh1S Cen1 hcate of Exemption. you shouk.1 t>ecome sub1ec1 I'> 1he Wor1ters· Compensat,on provisions ol 1he Labor Code. you must forthwith comply with soch prov,s,ons or this perm,, shall be deemed revoked 0 I hereby affirm Iha! there 15 a consHuctton 1end1ng aoency tor the penOfmance of the wo,1,. !or which this permit ,s 1ssuea 1Sec XJ97 C1v1I Code) Lender~ Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN O~Y & PRESS _HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I' j CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm , Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS --F J'\J/l Jj ,;: ;~R: .J1. NEAREST CROSS ST. I 0i;;;:;;;r1 :Ji~fSE• VALUATION PERMl;~M;Et-'1~, L1h I J • I _, • LOT BLOCK I SUBOt VISION I ASSESSOR PARCEL NO l3e;J/~'~11'~-J/t;L~ CONTRACTORS PHONE • ZONE ~,,'Y ~/,2, /t?/t1 ,10\/VNER'S NAME I i,. JI\ ~C..t,C:, I i/~03 N~~E ~i1TA;::s~ er J~,je LICENSE NO. PLAN I.D. It BLOG use CODE ....__ M ,,.1 t, ,. , 3'~,7~ owNER·s MAIL •~G AD6Refi ~ .t:JI "J ~ lb ~A./' ... 1 PT A,) r DESIGNER r LICENSE# STANDARD PLAN # BUILDING SO. FOOTAGE , DESCR1PT1cfN OF WORK I I # I L.. I .... L, ~ ~, DESIGNeR·s ADDRESS DESIGNeR·s PHONE ~ r V,... • ~ • J; I .... £ l -c ~-r J'I ~ ~ ----F/P F LR ELEV. NO DCC GP EDU STORIES vO NO -- CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I RE DEVELOPMENT TYPE OCC LOAD FIRESPR A flEA CONST r □ N 0 vO NO vO NO Nor Valid Unkss Machine Cerrili«J QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 STU BUILDING PERMIT 01·00·00·8220 EACH BUILDING SEWER OVER 100.000 STU SIGN PERMIT 01 ·00·00·8221 EACH WATER HEATER ANO/OR VENT 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 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL --z,c~ --01·00·00·8223 EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 EACH VACUUM BREAK[R MECH EXHAUST -H000I0 UCTS M0BILEH0ME 01·00·00·8225 WATER S0FTNER RELOCATION OF EA FURNACEIHEATE.R M081LEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR n1.nn.nn.oooc TOT t.L MECHANICAL STRONG MOTION 80·92-33-0519 TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227 QTY. ELECTRICAL PERMIT · ISSUE >-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 BRIDGE FEE NEW CONST EA AMP/SWT,1BKR COLLECTORS SCHOOL FEE • DISTRICT I 1 PH 3 PH L/{") 0 -z.a,;_--STORAGE TANKS Carlsbad B0·92-21-0519 , EXISf BLDG EA AMP/SWTIBKR ROCK STORAGE Encinitas 80·92· 22·0519 1 PH 3 PH PUMP San 0ieguito 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 130 DAYS) CREDIT DEPOSIT TOTAL ELECTRICAL I ~..r--TOTAL SOLAR TOTAL FEES PAYABLv-b -i.o.r- I HAVE CAREFULLY EXAMINED THE COMPLETED ,.APPLICATION AND PERMIT .. AND DO HEREBY Exp,ratlon Every permit -by Ille Bulldtng Olf,c,el uncle< the pr0YISlOOS of this * AN OSHA;:aPf. IS IIEOUlflED FOIi EXCAVATIONS OVER CERTIFY UNDER PENALTY.OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hmrlat,on and become null and vo,d If the bu,ld1ng or wort. s· o--DEEP DEIIIIOLITION 0A CONSTRUCTION Of authoriied by such permit ,. not com,,._ within 180 days from the date of such DECLARATIONS ARE 'TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ,f the budd•~ or wort. authoriied by such permit 11 suspended or STRUC OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY. COLJIOY AND STATE l.AWS GOVERNING BUILDING CON• allandoned at any time a er the work II commenced for a oenod ol 1Ail ~.... • -I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY AN~AP C E • .,,. OWNER □ L.. ROVErY.1' I~/, /2et, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A CONTRACTO_... EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH • -~~ ~ BY PHONE 0 GRANTING oF THIS PERMIT \.. -Ir -·1.-.. r_j -., 7 ~ u::: >-~ 0 a. E ID t- i -0 0 <.!) C <ti -~ a. a. <t: I -"' C a: 0 rJ) rJ) ID rJ) rJ) <t: I ~ .Q .; >- rJ) rJ) ID 0 0 a: <ti <a 0 ~ ID 0 C <ti C u. :::. C ID ~ <.!) 0 0 ID a. rJ) C ~ .c ~ City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING 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 Previous use of Building Type of flammable or explosive liquids to be used, if any <:.A. :.s Address VALIDATION Building Permit No. Home Office Phone Phone E. 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 UseZone ~C,_ Planning Department Engineering Department Fire Prevention Health Department Building Department , 19 Signature of Building Official FOR DEPARTMENTAL USE ONLY Occupancy Group Type of Construction Disapproved By Disapproved By Disapproved By By By White -Bulldlng Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.