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Home My WebLink About2320 VIA CLEMENTE; BLDG 1B; 83-271-1B; Permit"' z 0 ~ < ac ... c a: I[ 8 z 0 ~ < "' z "' Q. 2 0 u "' ic "' ..: ac 0 3: 1[ O I h~eby affirm that I am licensed under provlalo1'a ot Chapter 9 (commencing with Section 7000) ol Division 3 ol the Business and Profusions Code, and my license is in "111 force and effect. Lie No ------Class I hereby alfirm thal I am exempt from the Contrac· tor's Lttense Law tor the tollowmg reason (Sec 7031 5 Business and Professions Code Any city or county whkh re-quires a permit lo construct. alle<. improve. demohsh or repair any structure, prior to ,ts issuance also requires !heap-phcant lor such penrut 10 hie a s1Qned statement that he 1s hc:ensed pursuanl 10 the prOVis,ons of the ContractOJ· s license Law (Chapter 9 commenc1r,q with SecllOfl 7000 of DJV1s1on 3 Df the Business and Proless,ons Code) or lhal 1$ e.x-empl therefrom and lhe basis for the allegea exempl,on Any vlOlallo 1 Sec11on 7031 .~ by an ~hcanl lor a perm,1 sub· Je<:ls e apphcant 10 a CIVIi _penalty of not more than five hun-dr dollars ($500). I, as owner of lhe propeny, or my employees wilh wages as their S<Me compensation, will do the work. and the struc-ture 1s not lnrended o, offered for sale (Sec 7044, Business and Profess,ons Code. The Con1rae1or·s ucense Law does not apply 10 an owner ol property who buikls or imprOYts thereon and who does such work himself Of through his own employees. provided !hat such improvements are not intend-ed or offered lor sale. II, however. lhe bu1kl1ng or lfllf)l'OYe-menl is sokf within one year of completion. the owner-builder w1ll %::av he burden ol prov,ng that he did not build or im-prove lhe purpose of sale) . . as owner of lhe property, am exclusr,ety coo1racting ticensed contractors to construct the proteet (Sec. 7044, Business and Prolesst0ns Code. The Conlract«·s License Law does not apply to an owner o1 property who builds or Im- proves thereon, and who contricis tor each projects with a contractor{s) hcense pursuant to the Contracto,'s License Law). D As a homeowner I am improvmg my home. and the follow· 1ng conditions exist 1. The work is being performed pnor to sale . 2. I have 1,vea in my home for twe1Ye mon1hs prior to completion of this work. 3. I have not claimed this exemption during the last three years. g /hf;':-:.:::'_"_"""_' s_ec_.::::::---· B & p C. □ I hereby a,1trm that I have a cet11hcate of consent to self-insure. or-a cert1f1cate of Wono.ers Compensation Insurance. or a certified copy thereof I ;tSec ~~ Labo< Code) C NY ,s hied w,th the c,1·y 0 Cer11hed CO()y 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permll ,s tor one hundred dollars (S 1()0) or less) 0 I certify thal ,n the performance ot the wor1t lor whteh this permI1 Is issued. I sh.all nol employ any person in any manner so as to become. sub1ec1 to the Wori<ers· Compensation Laws ol Calltorn1a NOTICE TO APPLICANT It. after makin) tt11s Cen1 hcale ot E xemp11on. you Sh<>uld beeome sub1ect ,., 1ne wonc.ers· Compensation prov1s1ons ot the Labor Code. you must lonh...., 1th comply with such provIs,ons or ttus permit shall be deemed revoke<l 0 I ttereDy attom th.al lhere Is a construction Iefl(]1ng agency to, the periormance ot the work lor which th,s permit is ,ssued tSec "Y:B7 C1v1I Cooe1 Lenders Name ___________ _ LenOer s Address __________ _ r USE BALL POINT PEN ONLY & PRE~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 l0 T~ O it J~ONI BUSINESS LICENSE ,t VALUATION PERMIT NUMBER 2320 Via Clemente Hosn ~ J,_L -"l-0 83-271 -1-B LOT BLOCK I SU.BOIV•SION I ASSESSOR PARCEL NO CONTRACTOR f 6 CONTRACTORS PHONE • ZONE Community Resources orp. OWNER'S NAME I OWNER'S PHONE CONTRACTOR'S A0ORESS LICENSE NO. PLAN 1.0. # BLOG USE CODE r.nmm11ni t.u Q0c:,1"'111rC"'.P~ r.nrn 483-6S00 OWNER'S MAIc,NG ADDRESS DESIGNER LICENSE # STAN0AR0 PLAN ,t 7zG9:!vGE 2204 Garnet Ave .• San Diego. Ca . 92109 ---. OESCR•PTtON OF WORK ,.Jt~ DESIGNER'S AOORESS OESIGNER"S PHONE ji.j/ ~c:/8'3.47~ I J ~Q •• J vr . ~ . Bldg. 1-B 21 Units -~ .. ---·-------· ---.. ' F/P F LR ELEV. + r-lP EDU ~~ ~ I.&. I ... ,, .. T .. ,'1 .. , _J ~-LJ M,·, vO NO I . CENSUS TRACT I GP LANO USE PARKING SPACE I R r, ::;:,_,s GRADING PERMIT ISSUED I RE0EVE LOPMENT i}PE OCC LOAD FIRESPR AREA ~ i5M-rz YO ND vO N YO N's/ Not Valid Uniffs Machine Certified , QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT • ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 /-:,/{,,/ - EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 ./ __, EACH WATER HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 1jJ /, ..ll EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING -01 ·00·00·B222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL OHl0-00·8223 EACH INST Al .. Al TEA. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 EACH VACUUM BREAKER MECH EXHAUST HOD0IOUCTS MOBILEHOME 01 ·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??~ -TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519 ?11 ,7 1 TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 /O'fJI()-" QTY. ELECTRICAL PERMIT · ISSUE I BRIDGE FEE NEW CONST EA AMP/SWT 1BKR COLLECTORS SCHOOL FEE • OISTRICT 1 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 Dieguito 80·92·23-0519 REMODEL '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 OAYS) CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /U;,1f. 21 I HAVE CAREFUUY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT'" ANO DO HEREBY Expiration Every permit -byllle Building Olf,cjal under the prov1s,on1 of ll1ta * AN 06HA PERMIT IS AEOUIAE0 FOfl EXCAVA Tl0NS OYER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING Tt-lE ~ xp;re by hmitat,on and bacoma null -vOld If the bund,ng or work ~· 0" DEEP AND 0£MOUTlON 0A CONSTIM::TION OF author ~~-...... 11 ,a not commenced w1lllin 180 days from lhe dale of such DECLARATIONS ARE' TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS per . or I tfdt~ or work authorized by such permit •• suspended or STAUC'I\RS OYER 3 STOAIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON t n t,..,. a er Ille work II commanced tor • _....,, of 180 ... _ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ['7;:_RE• OWNE,,, CONTRACTOR 0 APPR~ \/ED BY . ' 0 _; 1°,4 KEEP HARMLESS Tt-!E CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND d EXPENSES WHICH.MAY IN .ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~--BY PHONE 0 GRANTING OF TMIS PERMll. .._...,_ .I .J .1 J • r 7 7 " / -,- ~ u:: >, .; 0 0. E Q) I- I u 0 CJ ~ -~ a. 0. ~ I ,:,: C a: 0 "' "' Q) "' "' ~ I ;;: .2 Qi >- "' "' (I) (.) 0 a: .,, iii 0 ~ Q) (.) C .,, C u:: C Q) Q) ~ 0 ti Q) 0. "' C ~ ~ ~ ... ·"- TYPE I DATE INSPECTOR --I I ' ' ' ' \ <d3.,;),7) -J /3 ~Au/ BUILDING I ---' . FOUNDATION ·, a,~~-,, FIELD INSPECTION RECORD ' I .......-"YJl F REINFORCED STEEL I / ,-,--. - I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I = -.. REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE M FLOOR & CEILING SUB FRAME I I SOILS COMPLIANCE SHEATHING D ROOF D SHEAR /' PRIOR TO ~ fOUNDATION INSP FRAME I 11~ (I} K; ~ I STRUClURALCONCRETE EXTERIOR LA TH I OVER 2000 PSI INSULATION I PRESTRESSED CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE PLUMBING I FIELD WELDING SEWER AND BUCO D IPUCO l -"> Q. .9...,2.. al-.., HIGH STRENGTH . I ..... ( BOLTS ,\;. ~""" ·,'. .._ ___ D Y'JATEA"" --. UNDERGROUND D WASTE . ----.-- /2-1-~R-? ~ SPECIAL MASONRY I ..... ·-:-. ~ ! TOP OUT D WASTE D WATER 1-.---Ll .. " -TUB AND SHOWER PAN I I GAS TEST I .. PILES CAISSONS D WATER HEATER D SOLAR WATER ,. I ELECTRICAL I D ELECTRIC UNDERGROUND □,UFFER ./ .,.,.. ":, . ,r•\ -,r•.,.~ '! ' ' ROUGH ELECTRIC ' f7_,,. ;u-~ ~ • -I -r . -i ~ ·._,_ ... · . ., -D ELECTRIC SERVICE D TEMPORARY -- D BONDING D POOL I I t ..,. ,~~ . ,, I ' .. ,, MECHANICAL I . ' D DUCT & PLEM., D REF. PIPING . \ ►-.• .. 'l, :~. I ~ . ' YI , .. _ :. •· .. . .... -. HEAT -AIR COND. SYSTEMS I ~ ""• I VENTILATING SYSTEMS I -· ,& -• --.if ;_ ... • I ' .. ~ CALL FOR FINAL INSPECTV.lON WHEN ALL APPROPRIATE ITEMS ABOVE HA I~ BEEN APPROVED. FINAL I } PLUMBING ' A ~~j...-i---I ELECTRICAL I :/"~ I 4ll.--~c~V-MECHANICAL I . GAS, /(', U./" \/ 0 . l ,, t,-i. •\ . , -. I BUILDING I ~ \.--V SPECIAL CONDITIONS I " I I -_--'( - Cl) z 0 ~ C a: C ... (.) "' 0 a: I[ (.) a: "' 0 ... :5 !!! a: "' z ~ 0 z 0 ~ Cl) z "' ... :I 0 (.) Cl) « "' ¥'. a: 0 ~ il 0 I '?«eby affirm that I am licensed under proYl11ti;1 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfHalons Code, and my license is In .<full force and effect. L,c No ______ Clm I hereby afllrm lhat I am exempl lrom the Con1rac· !or's Ucense Law for the followmg reason (Sec 7031 5 Business and ProfesStOOs Code Any cily or counry whttl'i re-quires a permit to construct. aller, unprove, demolish, or repair any structure, prlOf 1011s issuance also requires ?heap-plicant for such perm,t to hie a S1S1ned s1a1ernen1 !hat he ,s licensed pursuant 10 the provisions of the Con1rac1or·s LJcenso Law {Chapler 9 commencmg wilh Sec1ion 7000 of Olv1st0n 3 ot the Business and ProfesSiOns COdeJ or that as ex-emp1 1herelrom and lhe basrs lor lhe allegeo exempl,on Any v1olalion of Section 7031.~ by an applicant lo, a permit sub-1ec1s the applicant to a civil penalty of no1 more than hve hun• &:ollars ($[>()()) as owner of the property. Of my employees with wages 1r sole cc;,mpensal1on. will do the work. and the struc-ture 1s ll01 Intended or offered lor sale (Sec. 7044, Business and Prolesstons Code The COnlractor's Litense law does not apply to an owner of property who tk11lds or Improves thereon and who does such work hunself or thr01Jgh hts own employees, provided lhat such unprovements are not intend-ed Of ottered lor sale. II, however. the butk.ling or Improve-ment is sold within one year of completion. the owner-builder will have the burden ot proving th.al he did not build or im- "'"' lor lhe l"'rpose ol sale) I. as owner of ltte .. Pfopeny. am exclusively contracting "1icensed conrraclors to£Onstruct lhe project (Sec. 7044, ·eus1nbs and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or tm· proves thereon, and who contracts tor each pro,ects with a ~~{actor(s) hcense pursuant 10 the ConlractOf's License D As a homeowner I am improving my home, and lhe lollow· Ing conditions exist· l The work IS being perfOf'med pnctf lo sa~ 2. t hm hved in my home lor twelve months prtOI' to completion o1 lh1s WOfk. 3. I have not claimed this exemption dunng the last lhree years. ~ /~~,:,:gr under Sec. _______ B & PC ---------- D I hereby athrm that I ha..-e a cert1t1cate of consenl to self.insure. or a cer1tf1cai1e of Workers Compensa11on Insurance. Of a cert,hed CoPy lhereol (Sec 3800. l.al)or Code! POUCYNO~ C PANY '!,._/ '}!:...Copy IS I I" l"e coty 0 Certified COf)y 1s t,ereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This secuon need not be completed ,1 lhe permit 1s fOt one hundred dOllars 1$1001 or less) 0 I cer11fy that 1n the performance ot the wons. IOf which lh1s perm,1 ,s issued. I shall not employ any person m any manner so a.s to t>ecome sub1ec1 lo lhe Workers· Compen~tton Laws ot Cahfom1a NOTICE TO APPLICANT II. afler mak1n1 this Cent hcate of EJ1empt1on. you should become sut>1ec1 I"> the Wonters Compensation pro\11St0ns ol lhe labor Cooe. you musl forth'llltth comply with such prov,s,ons or th,s permit shall be deeme-ct re"okeo 0 I hereby aftum 1hal there 1s a con~lruc11on 1eoo1no agency tor 1ne oert0tmance ol the wOOI, IOI wruch ll'us perm,1 1s issued iSec 3097 C1v1I Code! lenders Name ___________ _ Lenoe, s Adore-ss __________ _ I I f I ~ USE B!Ll POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT _J_ 1200 Elm, Carlsbad. California 92008-1989 _ _1619) 438-5525 ;oe ADDRESS "2.:,'"2-o C AV ST RO. NEARESTCROSSST l r Mc,,. "~~ --. rr; ;L~:rliJ BUSINESS LICENSE # ~~ CONT'{ACTOR CONTRACTORS PHONE • -, ASSESSOR PARCEL NO LO:J BLOCK Ut""Ar J su~o;:toN l/~1::;;;7u~Q-/{,/),1M$ ~-Jjj;_~;;Nf _;'I lr.,7 ~sp «-t-4-0l) Comm1..•u ,ty ,~~coeu.s~~ CONTRACTOR'S ADOREsl;- rtr):;;J~;; At1F. -· .. ~ ~JJ~ ~01 DESCRIPTION OF WORK / 7 DESIGNER / ~~G.e 1~ ~ ~ 7--1 i}N,·-,S !°'"""""""""' ~ ' !,h R'rT7 0 ~ ([)A)~ F/P FLR ELEV. vO NO GRADING PERMIT ISSUED Nb STORIES LICENSE NO LICENSE " DESIGNER'S PHONE DCC GP EDU OCC LOAD FIRE SPA VALUATION lh1i.,D0 ZONE 7 PLAN 1.0. # STANDARD PLAN # PERMIT NUMBER 1~-,;Jl,r ✓?.; lfLOG USE CODE BUILDING SQ. FOOTAGE CENSUS TRACT' !LANO I PARKING SPAC1 RES UNITS YO N □ l REDEVELOPMENT AREA vO NO TYPE CONST vO NO fio{ tiJ/ UnW~ine Certified ,. 1 -, 7 • : QTY. PLUMBING PERMIT· ISSUE EACH FIXTURE TRAP EACf{8U°JLOING SEWER QTY.I MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 I 0 -,;;,Dx -....... --EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 M.J,7--1; ---, 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 BA EAKE A MECH EXHAUST -HOOO/OUCTS MDBILEHOME 01 ·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBI LEHOM E PARK INSP EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING I I I SOLAR QJ ·QQ·Q!Hl226 TOTJ;L MECHANICAL I STRONG MOTION 80·92-33·0519 FIRE SPRINKLERS 01 ·00·00·8227 ~-//, Y,Q- QTY. ELECTRICAL PERMIT· ISSUE QTY.I SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00·00·8933 BRIDGE FEE ~~,.~- NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT l PH 3 PH j STORAGE TANKS Carlsbad 80·92·21·0519 EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92·22·0519 l PH 3 PH PUMP San Dleguilo 80·92·23·0519 REMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519 TEMP POLL-200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS) ~ ....L CREDIT DEPOSIT ~ ¾""'} TOTAL ELECTRICAL J TOTAL SOLAR TOTAL FEES PAYABLE 1 ' -• ~-911 'i I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT. ANO 00 HEREBY rm,t ,ssued byl~eBu,ldmg Off,c,alunoer thepro,,s,onsofthos * AN OSHA PERMIT IS AEQUtAEO FOR EXCAVATIONS OVER CERTIFY 'UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE :t~!•~~t"c';,':.,t;.,~~~~ r:.:~:::i~~o~~V~ 1 1,~embi'i','!d~~~e ~t :i;~ 5' o• DEEP AHO DEMOllTIOH Of! CONSTRUCTION Of DECLARATIONS ARE TRUE ANO CORREC r ANO f FURTHER CERTIFY AND AGREE IF A PERMIT IS or work aulhOrtZed by such perm ii ,s suspended or STRUCTVAES OVER 3 STOfllES IN HEIGHT ISSUED TO COMPLY WIJH /\LL CITY, COUNlY AND STATE. LAWS GOVERNING BUILDING CON-er rhe work ,s commenced for a STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-f-~=."-f.o~ii":-7"f'=:...::;e:..:=::..:.:======"-';0::'-"""-':<:...=-==--:0=:-1"':A~P~P:°!:R~O::"V:'!1~8::'Y~--•-•-•'"":'-------,"'°'T-~---, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO OWNER CONTRACTOR I l , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BV PHONE 0 GRANTING OF THIS PERMIT ~ ~-L-• ,.a, I 7 I ~ ii: >-~ 0 a. E ~ "O 0 c., C Cl! u a. a. <( I ::,:_ C 0.," 0 fJ) fJ) (1) fJ) fJ) <( I :: .2 ~ >- (/) fJ) (1) u e Cl. Cl! 'iii 0 ~ (1) u C Cl! C ii: ::::.. C (1) ~ c., 0 0 (1) a. fJ) C ~ .c ~ ' TYPE .,. ' BUILDING I OUNDATION J " ,EINFORCED STEEL F R M G F s F E ~ I IASONRY I iUNITE OR GROUT I . LOOR & CEILING SUB FRAME ' I HEATHING □ ROOF □ SHe\R RAME I I XTERIOR LATH 1 INSULATION I INTERIOR LATH & DRYWALL ! I I I. • PLUMBING 1 ~ SEWER AND BUCO s □IPUCO I ........ UNDERGROUND □ WASTE □ 1/i'ATEly TOP OUT D WASTE D WATER- TUB AND SHOWER PAN I GAS TEST I I □ WATER HEATER D SOLAR WATER I ELECTRICAL I D ELECTRIC UNDERGROUND D l!JFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPOl!IARY D BONE>ING D POOL I ~ ,,. .,. I I MECHANICAL I I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I I i I I ffE DATE INSPECTOR INSPECTOR t')f16 'L--... ..L.. , ....... ---- 11.u ...... _, .A"JJ'/\ -·v fl, .,,.,., ~ ~_,,-- .A -vr l lV/'-J, - \l•\l.r-~ ~~ - \\ ,\t.'i<o 1.0\/\ .. - /_ \l·\l1r~ ~-. j .. ~-.· ~ CALL FOR FINAL INSPECT~jN WHEfl! ALL APPROPRIATE , ITEMS ABOVE HAV BEE~PFtQV.ED....,.., "'J, r.:.. • FINAL I -~ ' \ ·•: PLUMBING I ···, \ ►-,~ , .............. ·~ ~ ' --~ ---~ '\"" ,~-,e-.-. ');,, ,· F · I t?ll/~ ELECTRICAL I \. \ MECHANICAL I ,. /y\t-~AY GAS I -All~ ~Y" BUILDING \ (~ 1/ ,..rY.n SPECIAL .CONDITIONS I .,;;,, \-'V • l " . ~ ·" '-'-...........,..-- '"'1 I~"-\ ,\..' . \ FIELD INSPECTION RECORD '.: \ \ REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTOR'S INSPECTION 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 PILES CAISSONS ' l \ ~ ' ·-\ -.I;''<""· ' • ' ·.-... _,., ',-l--\. \ . --~,~ .._.. ... ,: ., . --~, _-, .,_,.,_ r '). '\ -'.,.. ~-\.:-J ~, - ~ ' .. -~ , , .., . ' INSPECTOR'S NOTES DATE ". .. .. . S,~-:J7 J -I 8 ... < (1?'. ~ .• - \ l ( . ' ' ~ •. -.. ·,,,' . . .. " .. f • ' "---' ... ~ ... ~c-... • - ' • ' I' .,,. ' . ' • • • r, ,.. \ ... ,::: • .. .. , .. . . . \ ' " .. . ~ ' ' _I :;,. • . ' . [ •. Ill z 0 ~ C Cl: C ~ u "' 0 c O I hereby attlrm that I am licensed under o pro,,llllooo of Chapter 9 (commencing with 0 [ Sec._!lon 7000) of Division 3 of the Business c and Professions Code, and my license Is In ~ ,eluli force and effect. z lie No ______ Class 0 0 II: "' 0 ~ 5 ~ "' z ~ 0 z 0 ~ z ... A. :I 0 0 Ill a: ... "" Cl: 0 ~ i[ I hereby affirm 11\at I am exempl from lhe Coolrac-lor' s License Law lor the IO!low1ng reason (Sec 7031 5 Business and Professions Code Any cI1y or county wh,cn re· quires a permit 10 construct~ alter. improve, demolish. °' repair any slructure. pnor 1011s issuance also requires !heap- plicant few such perm11 to me a sI9ned statement lhat he Is licensed pursuanl 10 lhe provIst00s ot the COnlracto(s Lanse Law (Chapter 9 commenc,ng w11h Sect10n 7000 of Otv1s10n 3 ol the Busmess and Professt0ns Code) or that ,sex• empt therefrom anct !he basis tor the allegeo exemphon Any V10!aI1on ot Section 7031.5 by an appt,cant tor a permI1 sub· jects the apphcant to a civil penalty of not moce than five hun- dred dollars ($5001 rJ I. as owner of the property, or my employees w,1h wages as theu SCMe compensatlOO, w1H do lhe work_ and lhe struc· lure Is not intended Of offered lor sale (Sec 7044 Business and Professions Code. The Contractor's license Law does f:;,:tzn~0 .:~o =:rs:~:::it1i1:!:, t;·::o~~:=~ employees. provided lhal such improvements are no! intend· ed or ottered for saJe If, however, the bu1khng or imprOYe-ment ts sotd w11hIn one year of completion, the owner-builder W1II have the burden of prOYIng that he did not build or im• prove 10< Ille purpose of sale). D I, as owner of the property, am exclusively contracllng with licensed contraclors to conslruct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon. and who con1racts tor each prOfecls w11h a contractor(s) license pursuant to lhe Contractor's Uc:ense Law). □ As a llomeoWner I am improving my hOme. and Ille lollow· ing condiHons exist: t [heha:'~~ be/:,19 ,i:;rt= r.,i()( ~18months prior to completion of this work. 3. I have not claimed this exemption dunng the last three years D I am exempt under Sec. ______ . B & P.C. for this reason _______ ~----- D 1 heteby att1rm that I ha-,e a certificate of consent to self•tnsure. Of a cert1hcate ot Worlf.ers Compe.nsahon Insurance. or a cer11hed copy thereof (Sec 3800. Labo< Code) POUCY NO COMPANY Q Copy IS filed Wllh lhe City 0 Cen1hed copy ,s F\ereby tum1shed CERTIFICATl OF EXEMPTION FROM WORKERS'COMPENS~NSURANCE (This se,ct,~Ot'T'IP_~e_led 11 !he perm,1 dollars (S 11)0) Of less) ty tffS't'""1e perlormance ot !he wor). 10, ICh lhlS permit IS issued. I Shall not employ any per n m any manner so as lo become subJect 10 the Workers· Compensa11on Ulws of Cahforn,a NOTICE TO APPLICANT II. after malun~ this Ceft1 flute ol Exemption, you should become subject I? the WQl'kers· Compensation prov1SIQflS ot lf'te LabOr COde. you mus! 10f1h.,,lh comply with such prov,s,ons or th,s permit shall be deemed revokeo O I hereby a!f,rm 1h31 !here ,s a construc11on 1end1ng a,gency tC)f lhe perio,mance ol the wo"'-to, which lh1s perm,I ,s ,ssue<I (Sec X:137 C1v1I Codel Lenders Name ___________ _ Lender's Aodress __________ _ 1 USE BALL POINT PEN ONLY & PRESS HARD ( ' CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADORESS APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------- APPLICATION & PERMIT PERMIT NUMBER ~ u::: >-2.:, 20 u/A CL Av. ST.RO. NEAREST CROSS ST -e Jilt ~. }/'P: l°i,E;;;;JiT~N, LOT BLOCK I suao,v1s,0N I ASSESSOR PARCEL NO. CONTRACTOR ~ / - A.,.J11tJ.l!./r:,,,,,,,. --· .• -:J~t.i B~LICENSE1< ~TION CONTRACTORS PHONE • ZOf1E -7~/. /!JI/\ -f.3-;)..?//M. 1-§ 0 a. E OWNER'S NAME ~~l""JI'·~ -f_ .. / OWNER'S 'PHONE I~ Ma -/ r ~ 1 i 1\ J CONTRACToR·s AOORESS' --LICENSE NO PLAN I.D. It BLOG USE CODE .?Lit:/ A.M-t/~.:-.. CT, .34~ :2~1-OWNER'S MAIL•NG ADOREI S j '7 '2_,.._Ll f':! .al"lJ<./ l {!}~-LICENSE # STANDARD PLAN# BUILDING SO. FOOT AGE oESCR1PT10,-,loF w o,~ /, ,{J l /.,,v) /"-eJ ~.~ ·-• r j"f' IJ.. J DESIGNER'S 4DDRESS OEStGNER•s PHONE -' v --.. -·-------~ F/P fLR ELEV. NO EDU OCC GP _111 ~ Gt tr.5'-16E~ STORIES M1fi,Qi vO NO --OG8_1 t6£S. 1rllf6l•e:; l!05·.c CE.NSUS TRACT I GP LAND USE I PARKING SPACE 1 RES UNITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST v □ ND v □ NO vO NO Not Valid Unkn M#chine Ci!rtified QTY. PLUMBING PERMIT · ISSUE r-; e QTY. MECHANICAL PERMIT · ISSUE .3--SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 7 INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00-00-8221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO J 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 0 R MO RE METAL FIREPLACE --ELECTRICAL 01·00·00·8223 L/ ,t;~:;!!- EACH INSTA~ . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01·00·0Q·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF ORAIN (INSIDE) SOLAR n,-nn.nn-ooo~ TOT.t;L MECHANICAL STRONG MOTION 80·92·33·0519 TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227 QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00-8933 BRIDGE FEE L NEW CONST EA AMPISWT BKR 4t,<!) ~ .,,LI I 7:1 /'J /"i .,... COLLECTORS SCHOOL FEE • DISTRICT 1 PH J PH ,, STORAGE TANKS Carlsbad 80-92-21·0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH J PH PUMP San Diegu ilo 80·92· 23-0519 REMODEL 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 (30 DAYSI CREDIT DEPOSIT TOTAL ELECTRICAL I Jlr~G 111 TOTAL SOLAR TOTAL FEES PAYABLE I #~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'° ANO DO HEREBY ExporabOO E~ permit i-bylhe Bu1ldo"9 Ofl,c,al uncle< the provisions of this * AN OSHA P£,_.IT IS IIEQUlflED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall eip,re by hm1Iatoon and become null and vo,<! II the bu11d,ng or work 5' O" DEEP ANO DEMOl.lTION OR CONSTRUCTION Of DECLARATIONS ARE T~UE ANO CORRECT ANO I FURTtiER CERTIFY ANO AGREE IF A PERMtT IS authonzed by such permit tS not commenced wtfhm 180 days from ttle date of such STftUCTUR(S OVER 3 STORIES IN HEIGHT _m,I. o, ,1 the bu1ld1~ o, work 1uthor1Z8<! by such -m1t 1s suspended "\ J ISSUED. TO COMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv t,ma a er the worll 11 commence<! for a n,moo ol 180 "-• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND OWNER □ CONTRACTOR~ APPROVED BY ✓/ DATY// KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABILITIES .. JUOGMENTS. COSTS ANO APf'L~-· RE • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THH~ • I /lo/,?3 GRANTING OF THIS PERMIT w '9 .-~--~ BY PHONE 0 Iv ~ ....... 77 Q) )- 1 'O 0 (!J c <O (.) a. a. <{ ·t ,:,t'. C a: 0 (/) (/) Q) (/) (/) <{ I ;;:: _Q di :r rJ) (/) Q) (.) 0 a: <O iii 0 ~ Q) (.) C <O C u::: C Q) ~ (!J 0 u Q) a. (/) C ~ .c ~ "' z 0 ;:: < at < .., (.) .., 0 C I[. 0 (.) at .., 0 .., 5 • ii: .., z 3 0 z 0 ;:: < "' z .., a. :I 0 (.) "' iz: .., "' at 0 3 i[ 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sectft>n 7000) of Division 3 of the Business and Profeaslons Code, and my license Is In full force and effect. Lie No ------Class I hereby affirm that I am exempl from the Conlrac· tor·s License Law IOI' lhe lol!ow,ng reason (Sec 7031.5 Business and Proless10ns Code Any city or county whcti re- quires a permtl to conslfucl, aller. improve demOl•sh Of repair any structure prior to its issuance also requires !heap• plrcan1 tor such permit to hte a signed s1atemen1 th.it he 1s licensed pursuant lo the pr0\l1S1ons ol the Con1rac10( s License Law {Chapter 9 commencing with Sechon 7000 01 Dlv1Sj()f1 3 ol the Business and Proless,ons Code) or lhal tsex· empt therefrom and !he ba~s for the a11egeo e,Xempt10n Any v101a11on of Section 7031.5 by an apphcant !or a penn,1 sub· Jetls the applicant 10 a civil penally of not more than five hun- dred dollars ($500) 0 . I, as owner of the property, or my employees with wages as thetr sole c0f1\pensat1on, will do the work, and lhe struc-ture is not ,ntendeo or ottered fOf sale {Sec 7044. Business and Professions Code The Contractor's License Law does not apply to an owner of property who bt11k1s or improves !hereon and who does such work rumself or through his own empk>yees, provrdtd that such improvements are nol intend· ed or ottered tor sate 11, however lhe building or improve- ment is SO'd within one year of compleUon, the owner-builder w,11 have !he ourden ol prov,ng Iha! he did no! build or 1m- j)f0Ve lor lhe purposo ol sale) □ I. as owner of the property. am e,cclus,vely contracting w1tl'I ltcensed contraclors 10 conslruct the p1ote(I (Sec 7044. Business and Professions Code· The COnlractor's License Law does not apply to an ov,mer at property who builds or im-p,oves !hereon. and who contrac1s for each pro,ec1s wJth a contractor(s) !;tense pursuan1 to the Coniractof's lteense L>w). D As a homeowner I am improving my home, and the !allow· Ing conditions exist: I. The work ,s Oe1ng performed prlOf lo sale 2. I have lived in my home for twelve months prior to completion of this work 3 I have not clamed lh1s ex.emption during lhe last thret years ~r :h~:r:t under Sec ______ , 8 & PC. ------------- D I l'lereby alf1rm lhat I have cert1hca1e ol consent to se1t-1nsure, or a ce he te of Workers Compensahon lnsurancl!. or 1hed copy thereof !Sec 3800 Labo< CO<le) POLICYNV / COMPANY\. -..rf', - D ~• hied .w))} L <•IY 0 Cert•hed cprfl•s hereby lurn1shed CERT WORKEAs· COMPENSATION INSURANCE (This section need nol be completed ,r !he perm11 ,s tor one hundred dollars cs 100) oc less) 0 I certify that ,n the perlormance ot the wor1-. tor t111tl''HCh this perm11 1s issued I shalt not employ any person 1n any manner so as to beeome sub1ect lo the Wor1ters· Compensa1,on Laws ol Cahforn1a NOTICE TO APPLICANT II. alter malunJ this Cer11 l,cate ot E•emphon. yoo should beeome sub1ec1 l'l the Wort{ers Compensa11on prov1s1ons ot the LabOI Code. you must tonh"'-•lh comply w11h such prov1s1ons or this perm11 shall oe deemed re"'o"-e<l O I hereby affirm 1na1 there 1s a con~1ruction tendtOQ aoency 'or ttie performance ot lhe won.. to, which tt11s permll 1s issued ,Sec X/37 C1v1I COd~1 Lenc,er s Name ___________ _ Lenders Address __________ _ --•• rulftl l'tll ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - ,. CARLSBAD BUILDING DEPARTMENT APPLICA~ & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ' ;QB ADDRESS AV ST.AD. NEAREST CROSS ST 1 1DATE OF APPLICATION I BU~ICENSE • VALUATION PERMIT NUMBEfll I ~3 ~0 i-1cv ~lemP-nt~ ~~Sp --E/(dhJ1~I //-/t:J-~J .......-, I ' :,1,1~ I L OT BLOCK I sueD1111S1DN I ASSESSOR PARCEL NO CDNTf'IACTOfll CONTfll.-e'TORSPHONE • ZONE U4//t:u~~R ~~ ,t:J "1'/~r~--YJ"fi' / ~r1, O WNER'S NAME I~/~ :;;;: ;;:~ &mu n ,-L-v l@.so.::.,,..u..,; Grbo~4✓-1 CONTf'IACTDR'S ADDRESS LICENSE NO PLAN 1.0 . # BLOG USE COD E .t,ps-,;lf-lf6tf"ke//_~e-t; . OW\INE R'S MA•UNG ADDRESS ..t.;,.o~ Wr/?eC ~~b~~ a . DESIGNER LICENSE " STANDARD PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK DEStGNER"S ADDRESS DESIGNEfll'S PHONE ,_ t!q~ -$L? R -F Lfll ELEV. NO EDU -FIP OCC GP STORIES vO NO -----< CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEIIELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND YO NO vO NO Nor Valid Unless ~chine Certified QTY. PLUMBING PERMIT -ISSUE 7,.so QTY. M EC HANICAL PERMIT -ISSUE 311() SUMMARY/ACGO~N~ t-f!J,..MBE 't Id /--?.S EACH FIXTURE TRAP e!, of.S<:J ,?..J,!{;-.. -INSTALL FURN DUCTS UPTO 100.000 BTU BUILDING PERMIT I., Q,1 -Op;,OQ,-8J20 .. , ·-Q7 ,. ' ... ,. / EACH BUILDING SEWER 4' . .S-C, ~--SO OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 ---- ;J.../ EACH WATER HEATER ANO/OR VENT ,,,?,!Z> -<":J..4-0 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 Cb<l.~ __ ... EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 0t-00-00-8223 ~ -. . -I EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00· 8224 1/ EACH VACUUM BREAKER ,,jn, f--/ '7.e;-t 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.no.nn.oo,~ TOT kl MECHANICAL STRONG MOTION 80·92-33-0519 TOTAL PLUMBING I 4?,-,<q, ~ FIRE SPRINKLERS 01-00-00-8227 QTY. EL ECTRICAL PERMIT -ISSUE 't:;" QTY. SOLA R · ISSUE PUBLIC FACILITIES FEE BRIDGE FEE 32-00-00-8933 NEW CONST EA AMP SWl BK R COLLECTORS t SCHOOL FEE • DISTRICT ~ 1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21 -0519 &XtST BLOG EA AMPISWT IBKR ROCK STORAGE ~ Encinitas 80·92-22-0519 1 PH 3 PH PUMP San Oiegu1to 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 DAYSI CREDIT DEPOSIT TOTAL ELEClRICAL I -TOTAL SOLAR T OTAL FEES PAYABLE I 4-uq --' I HAVE CAREFULLY EXAMINED THE COMPLETEO ··APPLICATION AND PERMIT" AND DO HEREBY E •D♦ratton. Every permit issued by I~ Building Off1c1al under the prov,s1ons of this * AN OSHA PERMIT IS REOUIAED F0A EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e.:p,re by hm,t111on and become ,u,.I and void If the bu1ld1ng or work 5· o· DEEP 4NO 0£MOLITIOH OR CONSTRUCTIOH OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180 days from the date of such STRUCl\JR£S OVER 3 STORIES IN HEIGHT perm:~•..Y bU1ld1nft or work author12ed by such permit ts suspended or ISSUED-TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON aban at ltme a er the work. ll commenced to, a oermd of 180 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APF rANT1 GNAT?L_• 1/-OWNER□ CONTRACTOR 0 APP~ VED BY 1D'1ft/-/g?,- KEEP HARMLESS THE CITY OF CARLSBAD AG41NST ALL LIABILITIES. JUDGMENTS, COSTS AND(r-J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ~ .. £ . ~ . -. "v --, -, ~ IL >. ;;; 0 a. E Q) I- I -0 0 (.!J C <ll u a. a. <{ I -"' C a: Cl "' "' 'i:ll "' <{ I 3 .2 a; >- cri "' Q) u 0 a: <ll -; 0 ~ Q) u C <ll C u:: :s C Q) ~ (.!J 0 ti Q) a. "' C E J::. ~ TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME I _j_ I I I I I I I I I SHEATHING D ROOF D SHEAR FRAME I I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I SEWER AND BUCO DlPUCO t UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W4TER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR WAt ER I ELECTRICAL I D ELECTRIC UNDERGROUND D ljlFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL . I I MECHANICAL I D DUCT & PLEM., D REF. PIPINµ HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' I I I DATE INSPECTOR / fl:\ln·~ ,, IL,..,'§t!J 1'1'1·~ IJ?J/1) -. -.. . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ___ IT_EMS ABOVE HA VB BEEN APPROVED FINAL : PLUMBING I ELECTRICAL I . MECHANICAL I i GAS I BUILDING ! SPECIAL CONDITIONS I I I r -. ~ -., .... --, \ .. ' ·, -, . ;\,.,.., ' 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 PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I ,, \.. __ .,,, (\. ... \ ..... ,.J f; - ,--, : ,·' j ' .. . , ~ -. ~ • c..' ~jt ... -I \. ~ I .; ' .. ~ ,. .. . -. ~ ' . . . '. ' .. ' . f ' '· 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 E /1JA-JJT5 Describe exact use of all portions of each building and lot ;;J.. J Previous use of Building Type of flammable or explosive liquids to be used, if any Address VALIDATION / Building Permit "No. Home Office Phone Phone -1-B 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 f>•l:. Fire , 19 Signature of Building Official FOR DEPARTMENTAL USE ONLY Occupancy Group \'2...-Type of Construction By By Prevention Disapproved By Health Department Date Building Department Date White -Building Dept. By lsapproved By Yellow -Applicant Pink -Finance Gold -Fire Dept.