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Home My WebLink About2325 VIA CLEMENTE; BLDG B2; 83-271-B2; Permit.., z 0 ;::: C a: C ~ u Ill 0 C I[ 0 u 'a: Ill 0 ~ 3 I Ill z ~ z 0 ;::: ~ z Ill A. 2 0 u .., iic Ill "' a: 0 ~ 1[ ... 0 I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfeHlons Code, and my license is In full force and effect. Loe No ______ Clm I hereby allorm that I am exempt from the Contrac-tor's ua,nse Law lor lhe follow,ng ..ason (Sec 7031.5 Business and Professions Code Any c,ty or counly whtth re-quires a perm1I to construct, alter. improve demohsh. or t'epa1r any s1ructure. pnor 10 ,ts issuance also requires !heap· pl.cant fo, such permit to hie a su:ined statemenl that he •s licensed pursuan1 to the prCMs,ons ot the con1rac:1or s l.Jcense Law ( Chapter 9 commencing with Section 7000 of OfvIs1on 3 of the Busmess and Protess,ons COdeJ or that 1s ex· empt theretrom and the basis for the all'lleo exempt1011 Any vootatoon of Sectoon 7031.5 by an apphcanf for a pe,m,t sub-1ec1s the apphcant to a civil penally o1 not more than t,ve hun- dred ~rs ($500) ~as owner ol the property, or my employees w1tl'I wages as their sole compensat!OO. will do the work. and the struc-ture 1s nol Intended or o11ered for sale (Sec 7044, Busmess and Professoon, Code. The Contractor's License Law dOeS no1 apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, prOVlded that such improvements are not intend-ed o, olfered fo, sale II. however lhe bu,ldmg or lmp<OYO- ment 1s SokS within one year of comp,e1ion. the owner-builder wlll have the burden of proving that he did not build or im- prove for the purpose of sale) o-<as owner of the property, am exclusively contracting with licensed contraclors to construct the project (Sec. 7044. Business and Profess10ns Code The Contractor's Lteense Law does not apply to an owner of property who builds or im--proves thereon, and who contracts tor each pr0f8Cts With a contractor(s} ltcense pursuanl to lhe Contractor's license Law). □ As a homeowner I am improv,ng my home, and the follow· mg conditions exist: 1. The work is being per1ormed priof lo sale 2. I have lived in my home lor twetve months 3. r:v: ~:cioc 1 1~i: =~ption during the last three years. □ I am exempt under Sec. ______ . B & P.C. for this reason ____________ _ □ t hereby affirm lf'lal I ha..-e a cert,t,cate of consent 10 self-insure, or a cer11f1ca1e of Workers Compensation Insurance. or a cert,t,ed copy thereof (Sec 3800. Laoor Code) POLICY NO COM~ ~Copy tS hied with tile Ct1y □ Cert1hed CoOy IS hereby lum,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sectt()f'I need no1 be completed 11 lhe pe-rm,t 1s tor one hundred dollars CS 100) or less) D 1 certify lhat ,n the performance ot Ute wonc to, which 1h1s permit 1s issued. I shall no1 employ any pe.-son ,n any manner so as to become sub1ect 10 the Wonters· Compensation Laws ot Cahtorn,a NOTICE TO APPLICANT If. alter makm1 lfllS een, hcate of Exemption you shOold become subject I'> lhe Wor1'.ers· Compensation provisions ol the LabO, Code, you must torttr~1th comply with such prov1s,ons Of this perm11 shall t:>e oeemed revokeo 0 I hereby attum that !here 1s a conslfuct1on tenchng agency tor !he pefiormance ot me wor1t to, wtuch lh1s permit 1s issued lSec 3097 C1v1I COOel Lenders Name ___________ _ Lenoer·s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD • J08 ADDRESS 2325 Via Clemente CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 AV ST.RO. NEAREST CROSS ST. Hosp APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT l1~7F, lpp i ~N1 BUSINESS LICENSE • VALUATION '3~.'l.~ CONTRACTORS PHONE • ZONE ,. PERMIT NUMBER SUBOIV•S•ON ASSESSOR PARCEL NO CONTRACTOR ~ ER'SNA"'1E , . l1.,d3i, :::,""t) <..fl.fOO . Community Resources Corp. .. . . / OWNERS PHO_!!j t;::::~;::-:-;:-;-;::-;;:;:-:-;::=-::=:---------+:--c::-:=::-:--:-::----~~--------J-------__J tJM }1 /,(, Al rTI .. oR O Ii" ~ r'. 9:3-t 5 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE LOT BLOCK 83-271 -8.4 ld~p~~::?~lllET/fr~ 5JtVDE~ C;~~dJ DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE 09~4__ DESIGNER'S PHONE ~ LL >-oi 0 0. E Q) I- i 'O 0 C, i: ro u I · ~r,A-&1:M~Nts I DESIGNER'S ADDRESS I I Rl dg;_.b2 . _ 12_JJnits ___ ~J.SO. ';)E.~ y:;~.,b. --·--· _ 1 1 •• ~ • i • e->d.C~..., l>u..~T_ F/P F LR ELEV. NO OCC GP I EDU I -t(3/ ,i:e /~ u§LI s13Es 2-t ... ---~ .......... ,. vO NO --- REDEVELOPMENT TYPE occ LOAD I FIRE SPR eos1,u2 I r ( CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRAOING PERMIT ISSUED AREA ~c~< \~ YO ND vO NK _T, v□ NK.1 Not Valid Unless Machine Certifi«J QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER ('\,.. _,_. ~ EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 RS~ EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-8806 ,,. l.nlff"\- EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUM BING 01 ·00-00-8222 EACH GAS SYSTEM 5 0 R MO RE 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 -HOOD/DUCTS MOBILEHOME 01-00-0Q-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) TQTJ;L MECHANICAL SOLAR llH!Q·llll-B226 STRONG MOTION 80-92-33-0519 . ~l.~ TOTAL PLUMBING l IQTY. ELECTRICAL PERMIT · ISSUE QTY. I SOLAR • ISSUE FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE _ _ 32-00-00-8933 BRIDGE FEE .,,,. l,. Ul\lL- NEW CONST EA AMP/SWT 18 KR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas 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 TEMPPOLE 200AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE l _acs-,~ Expo,_, Every pemut -byllle Bulldlng Offlc,at Ufldllr the provosionsof 11111 Code sh api limflahon and beeome nUII -vo/CI fl Ille butfdillg or worll autllOr• h m,1 ,. not cornmencad wtlhin 180 days from Ille date of such I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH Alt. CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· perm ' °' ~dl~r wor1& aulhoroad by such permit 1 • suspended or * AN 06HA PE,..IT IS AEOUlflED FOR EXCAYA TlONS OYl:11 5" O" DEEP ANO DEMOUTION OR CONSTRUCTION Of' STflUC11JAES OYER 3 STOfllES IN HEIGHT STRUCllON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND Ille"'°"' IS w.ruiienced tor a 0d of 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND TURE If. J CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT; , ,_,_,..__ ~-.-~ BY PHONE 0 AP~ 1~#, I 7 7 7 C a: 0 Ul Ul Q) Ul Ul <{ I 3: 2 <ii >- ui 1/) Q) 0 0 ct ti! <ii 0 §: Q) u C ro C U::: :::.. C Q) Q) c., 0 0 Q) 0. 1/) C 2 .c 3: I J. TYPE I DATE INSPECTOR BUILDING I FOUNDATION ' l REIN FORCED STEEL J MASONRY I GUNITE OR GROUT : FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SHFAR FRAME J EXTERIOR LATH I r2A~·~ ,, '.J INSULATION l INTERIOR LATH & DRYWALL : I PLUMBING I SEWER AND BUCO DIPUCO I ~ l UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST I ' D WATER HEATER D SOLAR W4TER I ELECTRICAL I D ELECTRIC UNDERGROUND □1UFFER ROUGH ELECTRIC I 1 D ELECTRIC SERVICE D TEMPORARY D BONDING □ POOL I I i MECHANICAL I ' D DUCT & PLEM., □ REF. PIPl~G . -· ..... ~-;·••,._ HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ' I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOV_f 1-fA I/.E BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ~ -- - ... ' . \ ... g£)_ .. ; . ,._ ~ 3..,.77 l .. \ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -REQ IF INSPECTORS I ~ INSPECTION DATE CHECKED APPROVAL - SOILS COMPLIANCE PRIOR TO fOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED ' CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH " _ _.,. f ·-. -BOLTS • t-: ~-'-- SPECIAL MASONRY . " ""'• < -.. --. - ' PILES CAISSONS . .,. - - I -~ .~ .. , · . i ··, • ·, ... ,-\,,.,'" , . -. . . f.' ~ ,,. '. --l'.'\ L.: C" •~ ~-" ·---- " --. ' C ! ::· i " ' --. ,, '· I I -. ,;. ..... ~; •y r..,-... ~ . ' . • ! ... ' ' - C • i[ 0 (.) .,, z 0 ~ a:: C .J (.) .., D z 0 .:: C .,, z .., Q. 2 0 (.) <II ii: .., "' a:: 0 3 il tJ I hereby affirm that I am licensed. -,nder prO'llalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda, and my license Is in full force and affect. L,c No ______ Cl•ss 1 hereby affirm rhal I am exempr from lhe Conlrac· w·s License Law lor the lollowmg reason (Sec 7031.5 Business and Professions Code Any city°' county which re,. quires a permII to construct alter. vnprove, demohsh. Of repair any structure. prKX 10 its issuance also requires !heap-plicant tor such permit 10 hie a S.tQned statement thal he 1s licensed pursuanl to lhe provIs1ons of lhe Con1ractor' s Lmense Law (Chapte, 9 convnencmg with Sechon 7000 of DMs1on 3 ol lhe Busmess and ProtesSK>ns Code) OJ lhal •sex· empt therelrom ano the basis IOf tile alleged exemphon Afrt vIolatIon ot Section 7031 . 5 by an app1tun1 for a permit sub- iects tl'le apphc;:ant to a crvii penalty of no1 more than five hun· dre<I dollars ($500) ~ owner ol tile property, or my employees with wages as their SO$e compensation. wm do the work, and the struc-1ure Is not intended or ollered 1or sare (Sec 7044. Business aod Pro1essklns Code The con1rac1or·s license law does no1 appty to an owner ot property who builds o, improves !hereon and who does such wo,k himsell or lhrough h1s own employees. pcovlded that such improvements are not intend• ed or of1efed tor saJe_ 11, however, lhe bu1khng or improve- ment 1s sold withtn one year of completion, lhe owner·bullder will have the burden of proving that he dJd nol build or 1m· pr..., ).9< the purpose of sale) lJd"'f._ as owner of the pr~, am exclusfvely conlracting wuh licensed conuactors to cons1rucl the pto,ect (Sec 7044, Business and Prolesstans Code. The Contractor's license Law does not appty to an owner of property who buitds or 1m-proves thereon. and who contracts lor each projecls with a contractor(s_) hcense pursuant to the Contractor's License Law). D As a homeowner I am ,mprovmg my home, ano tile follow-ing conditions exist: l. The work is being per1ormed prior 10 sate 2. 1 have lived in my home for twetve months prior to comp!etion ot lhis WOfk 3. I have not claimed tilts exemption during the last lhree years D lamexemptunoerSec ______ , B&P.C for lhis reason ____________ _ D I hereby atltrm that I na"e a cer11hca1e ol consenl 10 self insure. or a cert1hca1e of Workers Compensation Insurance. Of a certified copy !hereof (Sec 3800 I.Abo< Code! POUCYNO COMPANY 0v ~ IS loll(Jr.tr>e Coty D Cen11ted copy ,s heteby lurn,she<J CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section need nol be comptered 11 the permit ,s tor one hundred dollars ($ lOO) Of less) O I certify 1hat in the pertOfmance of the woo tor •h1cn 1h1s permu ,s issued. I st\a:11 not employ any petson in any manner so as 10 become sut>Iect 10 the Wor1(ers' Compensatton Laws ot Calltorn,a NOTICE TO APPLICANT If, after makIn1 this Ce"' hcale of Exemption you should become sub1ec1 ,., the WOfkers Compensa11on provisions ot the LabOf Code. you mus! toonw1lh comoly with sucn provisions or this permtl shall be deemed ,e..,oke<J 0 1 heteby att1rm lhal there is a con~1tuctIon 1endIng agency lor !he performance of !he w~ to, wn,cn th,s perm,1 ,s issued (Sec YJ97 c,..,,1 Cooei Lenoer s Name ___________ _ Lenc>er s Address __________ _ t I I I I I I I I I I I USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I fl 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 ~i~~I ), j p AV ST.RD. NEARESTCRO)SS,:ST/ l°Af ~ ;p~;p;N BUSINESS LICENSE • Jovi!-o'°i/q PERMIT NUMBER ,--i ~ ~ .MJ ~ I_. ".J'\ tlt..iJ ~ •• ,. ~,~~" LOT ,'!ILOCK I SUBDIVISION I ASSESSOR PARCEL NO {' ~NTRACTd'Rd_ 'fl ;(~ CONTRACTORS PHONE• ZONE I I f/...1;;~ OWNER'S "'AME -L £ ~11 ti P/7.?C~ nd OWNER'S PHONE 11~1 ~ I -; Wct.S fk.----u ,,,.; • ; 1/kZ-/.,,, \~tJ CONTRACTOR'S AD,SS , I LICENSE NO. PLAN 1.0. # BLDG USE CODE _4_;;;t4;R;:·fl I /l-t1, ... C ~ .. 1\I C/1 11 i109 DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WOR1< / 7 .. DESIG,.ER'S ADDRESS " DESIGNER'S PHONE - ---~ ..h;"...., ~ --,..__....-. 1-i.-U tJ ,_75'_ F/P FLR ELEV. NO OCC GP EDU ~-~/~i £8~. -~ ~ J ... \....li. jr""T1 t> t f /'). .l l I A STORIES es·,a~o3 vO NO . CENSUS TRACT GP LANO USE I PARKING SPACE RES UN'7 I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Not Valid Unless Machine Certifitd QTY. PLUMBING PERMIT • ISSUE QTY. MECHANICAL PERMIT -)SSUE SUMMARY/ACCOUNT NUMBER -J . . EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 TTTT ..J • J J EACH BUILDING SEWER OVER 100,000 STU SIGN PERMIT 01-00-00-8221 - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01 ·00·00-8B06 ,, __ ',I Cl. w.. 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 HOOOIOUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn-oooa TOTJ;L MECHANICAL STRONG MOTION 80-92-33-0519 7. ;,;q I --, 7 TOT AL PLUMBING FIRE SPRINi<LERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00·00-8933 "1.-l"J K~-- QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -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 AMP/SWT/BKR ROCK STORAGE C Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL.ALTER PER GlRCUIT 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 OAYSl \ ' -" CREDIT DEPOSIT ,. < II,~ ) TOTAL ELEClRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I 1---~ ,~ .o~ t HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY ~~~ rm,t JSsued by tne Bu1ld1ng Off1c1el under the prov,s,onsof tr11s * AN OSHA PERMIT tS REQUIRED FOR EXCAVATIONS OVER CERtlFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE e b hm,tahon and become null and YOtd If the bu1k:f,ng or worh 5' o-DEEP AND DEMOLITION OR CONSTRUCTION OF ch . rm1t ,snot commenced w1U'un 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT tS dO f • • t~~~e~ 1th:~!,:~:h:~~:'~[.;~~~ ;>:7.~•~,'~86~~~ or STRUCTUR£S OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND PP;J;I J-' IG URE Jf. OWNER□ CONTRACTOR 0 AP:C ~ 1~,'171,~ 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 THE . ;.._..," BY PHONE 0 GRANTING OF THIS PERMIT 7 7 >-~ 0 C. E Ql I- I -0 0 CJ C <ti _,! C. ~ I .:,,:. C ii 0 u, u, Ql u, u, <( I 3 .Q ai >- u, u, Ql 0 0 a: <ti iii 0 ~ <I> 0 C co C: u::: C: <I> ~ CJ 0 0 <I> C. u, C ~ .c ~ ' TYPE I DATE INSPECTOR I ' .. ' ' BUILDING I 1'--' ' \. \ \ i\ '"" 7AJ/X -. "·. \ ,, FOUNDATION I ,ii;;:: •'" l.., ~ FIELD INSPECTION RECORD ·, . REINFORCED STEEL I / -'"' -~ I REQUIRED SPECIAL INSPECTIONS MASONRY I REO IF INSPECTORS GUNITE OR GROUT l INSPECTION CHECKED APPROVAL DATE FLOOR & CEILING SUB FRAME I I SOILS COMPLIANCE SHEATHING D ROOF D SHeAR PRIOR TO FOUNDATION INSP FRAME I _/ i..,, EXTERIOR LATH I /,_~,-~ ./ STRUCTURAL CONCRETE I 4-9"'..I OVER 2000 PSI INSULATION I -. PR ES TRESSED CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE I PLUMBING I FIELD WELDING SEWER AND BUCO DIPUCO I HIGH STRENGTH D VVATER BOLTS UNDERGROUND D WASTE SPECIAL MASONRY TOP OUT D WASTE D WATER TUB AND SHOWER PAN I I GAS TEST I I PILES CAISSONS D WATER HEATER D SOLAR WATER I I ELECTRICAL I D ELECTRIC UNDERGROUND D l!JFFER ROUGH ELECTRIC ' I D ELECTRIC SERVICE D TEMPOF.IARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPING .. . I. I O • f' • ... , \ HEAT -AIR COND. SYSTEMS I . , ,- I ·~ . VENTILATING SYSTEMS I ·-!-. .. .. . - I -- CALL FOR FINAL INSPECT!iN WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ,. I I ' I I I ~ 1..A/' I I 1 I I t i 4j c-,,('\,,,,. /1 ~~ /,]~ l.i1 n ~l.\.,."'X v-- J.~'-11!' • v· ' -- .. ' ' I . . •• 1 -J . ; . . , -C ,...." \.':-,, \ ~ '\:~ \ . ' le -l ._-• : -\ ~ . . . -,. '-.. ~ ~ ~ a -;;n I .J /$ ., 2 ~ INSPECTOR'S NOTES --~ ~t?ft tbo RflA H~ I 1 n • \ l tc:n·/' . -' ..--~ .. .... J,,.- ~, _, ' ' _-(' -........ _ .. ' • -' ·~ f ~ ---·~ .. ~ -" <\· ~ ... ,~: \.1 . --' ?--~•I,?;· , ~ \ , ... ,, t,.•' -,. -.,r ~ ... \'·'\. ' . • \ IL ,(,.,: .,,.. ... . \, •• ','· ' . " -I • ; :Jill'" "\,, \ . ', ~ { ' \ '-' . ~![ 8 .,, z 0 ;::: C er; C ..J <.> 161 0 er; 161 a ..J 5 I 161 z ~ z 0 ;::: ~ z 161 IL 2 0 <.> .,, ir 161 "" er; 0 3 i[ 0 I hereby attlrm that I am licensed under provision■ of Ch■pter 9 (commencing with Section 7000) of Division 3 of the Business and Profe■atons Code, and my license Is In full force and effect. Lie No ______ Cl•ss I hereby alfirm lhat I am exempl lrom the Conlrac· tor·s Ltcense law tor !he l0UowIng reason (Sec. 7031 5 Business and Professions Code Any city or county whicn re-quires a perm,1 to construct. aner. improve, aemohsh. or repair any s1ructure, prior ro I1s tssuancealso requires !heap-phcant tor such permn to tile a s19.ned statement UJat he Is hcensed pursuant 10 lhe prOVtS10ns ot the Conuactor's license Law (Chapter 9 commencing with SecllOn 7000 ot 0Ms10n 3 ot the Business and Professions Code)·or Iha! 1s ex• empt Iherefrom and lhe basis for the allegea exempt,on Any violatlOO of SecttOf'I 7031.5 by an applicant '°' a permII sub· Jetts theaapphcanl I0a cIvII penalty of not more than live hun· dre<I dollars ($500) fJ I, as owner of the property, or my employees with wages as their sole compensahon. wfll do lhe work, and the slruc- ture is not intended or otlered !or sale (Sec. 7044. Business and Professions Code. The Contraclor's License Law dOes not apply 10 an owner of property whO builds or improves thereon anel who does such work h1msett or through his own employees. provided thal such improvements are nol intend· e<I or oflered for sale. II. however, the bu11d1ng or improve· ment is sdd w1th1n one year of completion. the owner-builder will havt! the burden of provmg that he dtd not build o, 1m• prove lor the purpose of sate) □ I. as owner of the property, am exclusively contractmg with licensed contractors to construct the project (Seo. 70-44, Business and Professions Code: The Contractor's Lk:ense Law does not apply to an owner of properly who builds or im-proves thereon, and who contracts tor each projects with a c-ontractorls) lteense pursuant lo the Contractor's license Law). □ As a homeowner I am improving my home, and the follow· ing condihons exist: 1. The work is bemg pertormed prior lo sale. 2. I llaV1! ltve<I in my home for twelve months prior lo completion of this work. 3. I have no! claimed this exemption during the last three years. □ lamexemptunderSec. ------· B&P.C tor this reason ____________ _ D I hereby afltrm that t ha1't! a certificate of consent 10 sell-insure, or a cert1t1ca1e of Workers Compensation Insurance. Of a cer11t1ecl copy lhereol (Sec 3800, Labo< Godel POUCYNO COMPANY 0 Copy IS hied w11r-i lhe city V O Cer11f1ed copy ,s hereby tum1shecl CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th.s section nee<! not be completed ,t the permit 1s IOf one hundred OOllars CS 100l or less) 0 I cen1ty that in the per1ormance ot the wortt !or which itus permit 1s ,ssueo. I sl'\all not employ anv person ,n any manner so as 10 become sub1ec1 10 the Wot1iters· Compensahon Laws of Cahtom1a NOTICE TO APPLICANT If. after makin1 th1s Cert• ticate of Exemp1t0n. you sh<>uki beeome suo1ect I'> lhe Worti.ers· Compensation prov1s1ons ot me Labor Code. you must forth"' 11h comply with such prow,s,ons °' this perm11 shall be deemed revoked O I hereby affum lhat there 1s a cons1tuc11on 1endin9 agency tor !he perlormance of lhe wOOI lor which this permit ,s issued (Sec 3097 C1v1I Godel Lenders Name ___________ _ Lenee, s Address __________ _ I 1 USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. r ,, CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1 989 (619) 438-5525 I JOB ADDRESS ~ST.RD. NEAREST CROSS ST. IOATE Of AP .. LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER c)~.;25 i'J/.u 1./jt,/J?i ('3-,-.71 ~§'~ LOT BLOC!( I SUBDIVISION I ASSESSOR PARCEL NO A c:::ACTOR/J,}!2 ~- CONT~CTO~SPHONE• ZONE OWNER'S NAME I OWNER'S PHONE . /4h.-.,,,._i ...... -L ~ -.,,,._ .. ~ I~__, RACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE COOE OWNEl'l'S MAILING ADDRESS / r . - DESIGNER LICENSE# STAN OARD PLAN# BUILDING SQ. FOOTAGE I •• -- DESCRIPTION OF WORK DESIG"4£R'S ADDRESS. -. i -DESIGNER'S PHONE .A.J-A,11_ L _ . ,'./4 ~-~ I • • .4·, , ,f"/ -~ -------F/P FLA ELEV. NO CCC GP EDU STORIES vO NO -- CENSUS TRACT I I PARKING SPACE RES UNITS I .I 'r-1-.. 7" •• ~ GP LANO USE GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA . AREA CONST YO ND vO NO vO NO Not Valid Unkn ~chine 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 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 /t}/J - 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 FURNACE/HEATER M081LEHOME PARK. INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-nn.nn.ooo~ I TQTJ;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 BKR COLLECTORS SCHOOL FEE -DISTRICT / 1 PH ,/1:-At:J A 3 PH ".lt)/1 .-STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -Encinitas 80·92-22-0519 1 PH 3 PH PUMP San Dieguito 80·92-23-0519 REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 TEMP PO LE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 J:fMP OCCUPANCY !30~0AYSI ~.A,~~-j y-.P:l-'),-7 /S: ./ /./I~ CREDIT DEPOSIT -? I /tJO .p-f)__, I I TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE /t')~ --I I I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION ANO PERMIT" AND DO HEREBY Expirallon E~panntt~' ,8uiltlngOllicialun-lheprov1S1onsoftt111 * AN 0SttA PERMIT IS AEOUIREO FOR EXCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOtNG THE Code IINII Pl)IN by hfflilallOn• -vOKI If the building or wor1< s· o· DEEP ANO DEMOUTION OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS IIUlhOriZed by such pWlftit •not_..,_ wlthtrl 180 days from the date ot such STAUCl\lRES OVER 3 STORIES IN HEIGHT permil o, if the llufldi:X.:or _. ..-o,,lleCI by IUCh permit ,s suspended or I ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· atJandafied •---.,.__. __ N:9CI tor• oenOd of 180 •--- , I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO CONTRACTOR~ APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~S ,_,uno: "\ OWNER 0 ,~,,~ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -.-___ ~ # I GRANTING OF THIS PERMIT. ::Z -• -BY PHONE 0 I ,. ;,,r-;i, ,_ ?"P ~ ii: >, b~ • a. E Q) I- I 'O 0 (!) C <11 u a. a. ~ I -"' C a:: 0 cn cn Q) cn en ~ I ~ .2 ~ >- en cn Q) u 0 ct <11 -;;; 0 ~ Q) u C <11 C ii: C Q) ~ (!) 0 0 Q) a. en C Q) ~ ~ 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 diflerent from above Owner of Building tv/HuNtT Type of Business Describe exact use of all portions of each building and lot Previous use of Building E.W Type of flammable or explosive liquids to be used, if any A) 0 ,J 6 Address VALIDATION Building Permit No. Home Office Phone / Phone 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 ?-L Planning Department Englneerln Department Fire Prevention Health Departmenl Date Building Department , 19 Signature of Building Official FOR DEPARTMENTAL USE ONLY Occupancy Group Type of Construction Disapproved By Disapproved By Disapproved By Disapproved By Disapproved By White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.