HomeMy WebLinkAbout2330 VIA SANTOS; BLDG 2-3; 83-271-2-3; Permit"' z 0 .:: C a: C .., u "' a
C
I[
0 u
z 0 .:: ~ z "' Cl. ~ 0 u "' iic "' >C a:
0 3
![
0 I hereby affirm that I am licensed under
p,o•lalW of Chapter 9 (commencing with
,S.Ctlon 7000) of 0Mslon 3 of the Business
and Professions Code, and my license is In
lull force and effect.
Loe No ______ Class
I hereby aftirrn !hat I am exempt from the Contrac· tor's License Law fOf the lollowmg reason {Sec 7031 5 Business and Profess10ns Code. Any city or county wtuch re·
quires a permI1 to constrocl ailer. 1mpr0Yt1, demohsh, or repair any struclure, pnor 10 its issuance also requires !heap-r~•~~!Jor ~~~ta~':1
1
1~e'"~,!;~~ :r'i:e~~t;:!S!!! License Law (Chapter 9 commeoong with Sechon 7000 of Dlv1s+on 3 o1 lhe Busmess and ProfesSfOf'ls Code) or that tS ex·
empt therelrom and the basis lor the allegeo exemphon Any
v,o1a~10 f Section 7031.5 by an appllcaint for a permit sub· Iects t apphcant to a c,vD penalty of not more than ftve hun•
dr ollars ($500)
I, as owner of the property, or my employees w11h wages
as theu sole compensatoo. wall do the work. and the strut· ture 1s not intended or ottered for sale {Sec 7044, Business
and ProtesstOns Code. The Contracloc's License Law does not apply to an owner of property who builds or improves
thereon and who does such work himself or through h.s own employees. provKled thal such improvements are not intend-
ed or ottered for sa~ 11. howe\ler, the bu,ldtng or improve· men! is d w1lhm one year of complehon, the owner-builder
will ha the burden of prov,ng that he did nol build or Im· prov or lhe purpose ol sale)
I, as owner of the property. am exclusrvely contracting with lteensed contractors to construct the pro,ect (Sec. 7044,
Business and Professions Code: The ContractOf''s license Law does not appty to an owner of property who builds or im-proves thereon. and who contracts tor each prc>,ects w,th a contractOf(S) heense pursuanl lo lhe Contractor's license law).
D As a homeowner I am improving my home, and lhe lollow·
ing conditions exist: 1. The -k is being performed prior lo sale. 2. 1 have hved in my home for tweJve months prior to completion of this work. 3. I have no1 claimed lh1s exempUon during the
last three years.
D I am exempl under See. ______ , 8 & P.C.
tor this reason -------------
□ I hereby affirm that I ha-,e a cert1hcate ot consen1
to self.insure, or a cert1ftca1e or Workers
Compensation Insurance, or a cen1!1ed copy !hereof
(Sec 3800. Labo< Godel
O Cen1hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s sec11on neec:i not be compleled ,t the perm11
,s tor one hundred dollars (S 100) or less)
O I cen,fy thal m the performance ot tne wo~ to, wh,ch 1h,s permit Is issued. I shall not employ any
person 1n ¥1Y manner so as to become sut>1ec1 to
the Wo~e,s' Compensa11on Laws ol Calltom,a
NOTICE TO APPUCANT If after malunJ this Cent
hcate ot Exemp11on. you should t>ecome sut>1ec1 I'>
the Workers· Compen~tion provIs,ons ol the Latx>r Code you must for1h\lli.1th comply w11h such prov,s,ons or ttus perm,t shall be deemed ,evoke<J
D I hereby affirm Iha! there 1s a cons1ruct,on
1end1no aoency to, 1he penormance ot ine 111rt0"'-ro,
wh,ch ttus permI1 Is ,ssueCI !Sec 3(/37 C,v1I COdeJ
Lenders Name ___________ _
Lender's Address __________ _
-----·--. -···· • -·· -·--· -• ··---······--...... ----. ~ -.. ·----·••·····-··--
CARLSBAD BUILDING DEPARTMENT --
APPLICATION & PERMIT
I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST.RO. NEAREST CROSS ST. 1°1; 7;,pp t5°NI
BUSINESS LICENSE Jt
~
~TION PERMIT NUMBER
2330 Via Santos Hosp ,,~f
LOT BLOCK I SUBOIVISION I ASSESSOR PARCEL NO CONTRACTOR ,[, 1c CONTRACTORS PHONE • ZONE i°t .~-, 1 <.,i .:2.S"b <f4Q<.) Community Resour es Corp. 83-271 -2-3
OWNER'S NAME I OWNER'S PHONE
CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLOG USE CODE
r,.,mm mi tv 'Ri:>i::ources Coro. 483-6500
OWNER'S MA1LING ADDRESS
DESIGNER LICENSE It STANDARD PLAN# BUILDING SO. FOOTAGE 2204 Garnet Ave., San Diego , Ca. 92109 /61 0 ~3 DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE ~
Bldg. 2-3 15 Units /1-fl-,f PIE.>J+ S . ,I 0/ [.21§~{~ 7541 .? --F/P FLA ELEV. NO OCC GP EDU
ST~ES 2-1 -vO NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE RisNITS
1
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND v0 NO( "tl-\1.... J# v□ Nr&. Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER ~-
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100,000 BTU BUILDING PERMIT 01·00·00-8220 ~.1¥)-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 ~ --EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 , 'Jt:)h '..J.
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUM BING 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 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A?OO ~ -,1
TOT J.L MECHANICAL STRONG MOTION 80·92·33-0519 ,2/#!f.!
TOTAL PLUMB ING I FIRE SPRINKLERS 01-00-00-8227 .,
PUBLIC FACILITIES FEE 32-00-00-8933 /47,i,tf~-
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE J BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT 8KR 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 PO LE 200 AMPS I
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTA L FEES PAYABLE I 1.~1//~
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" AND 00 HEREBY Ex1>1rahon E"9t)' perm,t ISSUed by the Buotdlng Qft,c,al under the pro••soons of th,s * AN OSHA PE,..IT IS REOUIMO FORl'E.XCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code~t>•I~ p.re by lim,tat,on and become nutl and vo,d If the buIld1ng or work 5' O" DEEP ANO OEMOUTIOtl Of! CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS author b sue rm,t ta not commenced wrthm 180 days from the date .:,t such STRUCTIJAES OVER 3 STORIES IN HEIGHT c,ermI or 1 , 1~ or work authonzed by such permit 11 suspended or ISSUED • TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-a t1 e a er the work ,s commenced tor a oenod of 11!0 "•u•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A UC:v~s I URE • OWNE"' CONTRACTOR 0 APP_R40VEO BY -, , -f!JJ¾ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHtCtl MAY IN ANY WAY ACCFIUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ u.f BY PHONE 0 I/'// 'J~ GRANTING OF THIS PERMIT -_A .. • .I • 111
I 7 7 7
!E
LL
>-;;;
0 a. E
Q) t-
i
'O 0
C}
C rn
()
~;: a.
<{
I
"" C a:
0 r/)
r/)
Q)
r/)
r/)
<{
I
;;:
.2 a; >-
fl)
r/)
Q)
() 0 a:
rn <ii 0
~
Q) ()
C rn
C ~
:::..
C Q) ~ C}
0
0 Q) a. r/)
C
~
.c 3:
'
TYPE I
BUILDING I
FOUNDATION !
I F
REINFORCED STEEL I
M MASONRY t
GUNITE OR GROUT r
=LOOR & CEILING SUB FRAME I F
s
F
,HEATH ING D ROOF □ SHEAR
I RAME I
EXTERIOR LA TH !
INSULATION j
INTERIOR LATH & DRYWALL :
t
PLUMBING I
SEWER AND BUCO □IPUCO I
J
UNDERGROUND □ WASTE □ WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN l
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ )JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING D POOL :
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPll'i!G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I :
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
\.' ' _,.....
., ,. ~ '
' '· \
FIELD INSPECTION RECORD " " ?
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
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
~ ... -
_--'JC.,""'~"
.A ,.v·.~
1/9 £. ~ "\r-'
FINAL I i.--
PLUMBING I / '-~ "~ ...-r-I /'-' ----.,,IA
ELECTRICAL ! Al~ /.\.~
MECHANICAL I _1L"'l 17>7 , -~JXY
! ll GAS I r JI ;1; V -
BUIL,DING I / Cl//
SPECIAL CONDITIONS I -I
,~ :, ;. • ~-.--~ .. -.~------.,
-,-":. . ~
• ' "j i?>1 ~7 l -;)_,3 \ .• \ .
. INSPECTOR'S NOTES . . . \t;'. DATE . ,,, . C
I
' ..., ·~-~-=-~ .. ·
··~ . -=·
'I '
'
I
-'·"· "' ~
:-'t> -
-
•• J _:·:._. :. ..• ;6-•
-... ,
A ,
-,. '.• ' .,, ~ r
' ' \. l. =· ~ -~' _, •
• j ' .. .. ·' ,. ':--.._-. ..,_._ ',. ·. ' ' -..
~ °'\ ',
"' z 0 ;::: ,c a: ,c
..J u "' 0
C
I[
0 u
z 0 ~ "' z "' ... 2 0 u "' a:
"' ><: a: 0 3
i[
0 I ~y affirm that I am licensed under
pro,,l11ona of Chapter 9 (commencing with
.Section 7000) of Division 3 of the Business
and Profeaalons Code, and my llcense Is In
full force and effect.
Lie No ______ Cla~s
I hereby alhrm lhal I am exempl from the Conlrac-
101· s l,cense law lor lhe fOllowlng reason (Sec 7031.5 Business and Professions COde Any cily or county whicli re-
quires il perm11 to cons1ruct, aller. improve. demolish, or
repan any structure. puOf to its issuance also requires !heap-
phcanl for such perm,t 10 lile a sr9ned stalemenl that he Is
hcensed pursuant to the provIs10ns of lhe COntracto(s
license Law (Chapter 9 commencing with Section 7000 at
Olv15'0n 3 of the Business and Professions COde) or that lS ex• empl therelrom alld the bas;s !or the atlegea exemption Any VJota110n of Sect,on 7031.5 by an applicant for a permit sub-
jetls the applicant 10 a tMI penalty of not mo<e than f,vt hun-
~
dollars ($500).
as owner ol lhe property. o, my employees w11h wages
1r sate compensa110n, will do the work, and !he struc-ture 1s not Intended or offered for sale (Sec 7044, Business and ProfesSIOOs Code. The Conlrac1or·s L1tense Law does
ool apply 10 an owner 01 property who builds o, improves
!hereon and who does such w~k himself °' lhrough his own empktyees. prOYtded !hat such 1mprovemenls are not inlend·
ed o, offered tor sale 11, however, the building or improve-
ment 1s sCMd w,thm one year ot compkltJon, lhe owner·buiJder
will have the burden of proving lhat he did not buUd or im-~ fo, lhe purpose ol sale}
as owner of the property, am exclusively contracting
icensed contractors to conslruct the proieci (Sec 7044,
Business and Prolessions Code: The Conlraclo,' s License Law does n01 apply 10 an owner Of property who builds o, im-
proves thereon. and who contracts tor ~ch protects Wtth a contractCM'(s) lteense pursuant to the ContractOf's License Law).
0 As a homeowner I am improving my home, and the lollow· ing condIlions exist
1. The wo,k is being pertormed prior lo sale.
2. I have lived In my home for lwelve months prior to completion ol lh,s work.
3. I have not claimed lhis exemptK>n during the last three years.
D lamexemptunderSec ________ e&P.C.
lor this r~son
□ I hereby afhrm that I ha..-e a cert1ftcate of consen1
to self-insure. or a cen1t,ca1e of Workers Compensation Insurance. Of a cer11f1ed copy thereof
tsec 3800. Labo< Code)
POLICY NO
ENY
y IS filed with the city
1hed copy Is t1ereby turn,sheO
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Tl'us sectton need no! be completed 11 !he permit
1s tor one hundred d<>tlars {$100) o, less)
0 I cen1ly thal 1n the performance ot the wort.. tor which this permit Is issued. I shall not ~.ploy any
person ,n ¥\'f manner so as to become sub1ec1 to
the W~e,s· Compensa11on Laws of Cahlornia
NOTICE TO APPLICANT 11. afte, mai,.1n;1 this Cet11
t1cate ot Eii:emp11on. you should become subIect I'>
the WOf'kers' Compensation p(OVISIOOS Ol lhe labor
Code. you must torth1A1lh comply with such provIs1ons or U'ltS pe«n1t shall be deemed revolile<J
O I hereby affirm lhat there Is a construc1Ion lending agency tor the peno,mance ol the ..-,on.: tor
Wl"IICh lh1s perm,, IS issued tSec JIE7 C1v,I Code,
Lenoe, s Name ___________ _
Lenders Address __________ _
-·· -··-· -• ··---······-......... -.. .... -· .. ·---···-------
' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ..... ~ 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB 400RESS 4V. ST.RO NEAREST CROSS ST.
ID~;;~ ;;;1cAT10Nl
BUSINESS LICENSE # VALUATION ~ D PERMIT NUMBER
2330 Via Saatos Hosp ~--/~~ '),"' ?> LOT BLOCK I S\JSOt VISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE ~?J_,,-1l,,
OWNER'S "IAME I OWNER"S PHONE Community Resources Corp.
483-6500 CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG use CODE Community Resources Corporation
OWNER'S MAll.•NG ADDRESS
2204 Garnet Ave., San Diego, Ca . 92109 OESIG"IER LICENSE ti STAN DARO PLA"I # BUILDING SQ. FOOTAGE
OESCR1PTI0N OF WORK
DESIGNER'S AOORESS . DESIGNER'S PHONE ~~ .l/~3'301i .. 27a6~ ,,
R11i lrlin~ ~ ______ 1 5____!ln__i_t_li_ --------F/P FLR ELEV. NO ace GP EDU STORIES FOUNDATION ONLY vO NO --
CE"ISUS TRACT I GP LA"IO use I PARKING SPACE I RES U"IITS
1
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAO FIRE SPA AREA CONST
YO ND vO NO vO "10 Not Valid Unlffr ~chine Certifi«I
QTY. PLUMBING PERMIT -ISSUE 7.£!:.. QTY. MECHANICAL PERMIT_-ISSUE 3-SUMMARY/ACCOUNT NUMBER 1/,,,.,,,6,
EACH FIXTURE TRAP , INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 7vD--
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 ;t.}5.:) -
EACH GAS SYSTEM I TO 4 OUTLETS 801 LEA/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~. ALTER. REPAIR WAT ER 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) SOLAR 01 ·00·00-R??I\ ../,i2
TOT.t.l MECHANICAL STRONG MOTION 80·92·33·0519 ,.-~
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00-8227
.
A II -
,S--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00-00·8933 t?'o///1 QTY. ELECTRICAL PERMIT · ISSUE
8RIDGE 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 Encinitas 80·92-22·0519
I PH 3 PH PUMP San Dieguito 80·92·23-0519
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI /i1-a1'~
CREDIT DEPOSIT L/J~/
TOTAL ELEURICAL
I TOTAL SOLAR TOTAL FEES PAYABLE I 27)~~?
I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION ANO PERMIT"' AND 00 HEREBY Experallon~nut~t,i,tt,e8utldongOftlc1alunde<lheprOV19tOMoflh11 * AN OSHA PEMffT IS IIE0UIIED Fol E.XCAVAT'°"5 OVEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code _, ex tim, -become null and •Old If the building or wort,. 5' er OUP 4NO OEIIIOl.lTIOH OR CONSTAUCTIOH OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGI\EE IF A PERMIT IS authorized b auc perm, t commenced w11t11n 180 days lrom !fie date ol such STRJCTUIIES OVEII 3 STOIIIES IN HEIGHT permit. or dd•J worli aulhorized by such permit II suspended or ISSUED TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-al>ando at tune the wort, 11 com~ for a oenOd Of t 80 ,tavo STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TD SAVE INDEMNIFY A~D
APPUr!:SI~~ OWNER □ CONTRACTOR 0 APPAi "ED BY a ~ I
:~/$~
KEEP HARMLESS THE CLTY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS. COSTS AND -":.., EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OF THE BY PHONE 0 L ... GRANTING OF THIS PERMIT. --• -~
-I
2 LL
>, ;;;
0 a. E <I> I-
"O 0 C,
? (.)
a. a. ~
I
X.
C a:
0 "' "' <I> "' "' ~
I
;;:
2 Qi >-
,,; "' <I> (.) 0 ct
(ti
iii 0
§:
<I> (.) C (ti
C
LL
C
<I> ~
C,
0 u <I> a. "' C
~
.c ~
TYPE I
I BUILDING I
OUNDATION F
R
M
G
F
s
F
E
I ":2
~EINFORCED STEEL I t
I IASONFiY l -
iUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
HEATHING □ ROOF n SHFA R --+-----
RAME I
:XTERIOR LATH I
I INSULATION I
INTERIOR LATH & DRYWALL !
I
' .,, PLUMBING I
/
SEWER AND BUCO □IPL/CO I ' UNDERGROUND □ WASTE D WATERe"
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST ' I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL ' I
D ELECTRIC UNDERGROUND □lUFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPQRARY
D BONDING □ POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
DATE INSPECTOR
/
f}d')02 f)JVI
,·v,;vv --
--
·-
--,..,. 1)1p ~ IY.Jl.l > ...
/
!MIJ ~ ~11 ---, ... J ----7
1<2.-?,82, ~
/
IP fA,lS LY.P} -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVtE BEEN APPROVED. ~
FINAL : .. ~
PLUMBING l ( /"'
r \, _\ ... ~ ----. ' .. " t ' •. '• .
' FIELD INSPECTION RECORD '·
REQUIRED SPECIA L INSPECl IONS '.;
REQ IF INSPECTOR S INSPECTIO N DATE CHECKED APPHOVAL
SOILS COMPLIANCE
l'HIOR TO
fOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
I !ELD WELDING
HIGH STRENGTH
BOI TS
SPECIAL MASONRY
PILES CAISSONS
}
-. -
I
V
I
ELECTRICAL I / n '~G ~ >)
MECHANICAL I ,.,.. /'✓fu--I
GAS I cf'~ (r' V \
BUILDING I ._..,/ ( y----I "V SPECIAL GONDITIONS .l --I
.,
ia-;;, 1 -;)--3 re ~ ,
INSPECTOR'S NOTES ' ~~~~., ~ -. -,: . '
-," -.. .. ·. . ' :\:· ~ -----'\ I'
V
·:L
I I ,
I .
-.
'<Jt -.. \ I
..... ;. --\ ....... .
. -· ' '-~ ' -
'"~-~-~ ., • ."t '"" _('
:,!"'~-)_ --"\' .... , ..... ,:· t ~ . ' ,a ., ' .
I
<' ~
-.. .
r·::,~i'• .... ~·~--~ l-r
,
' '\.
: .r_' . . "' 7 -.
' \,<: C . -;"',
(I) z 0 ;::
C oz: C _, u ... 0
-a:
I[
0 u
a: ... 0 _,
5 I ... z ~
z 0 ~ (I) z ... ...
:I 0 u
(I) ac ... "' oz: 0 ~
1[
O I hereby affirm that I am licensed under
prcwlolona 'bf Chapter 9 (commencing with
S,,Ctlon 7000) of Dlvlolon 3 of the Business
and Proleoalono Code, and my license is In
lull lore• and effect.
Lie No ------Clm
I hereby affirm that I am exempt from the Contrac·
tor's License Law lor the IOllowing reason (Sec 7031 5 Business and Pro1essions Code Any city or county wh1cl'I re• qu,res a perm,1 to conslruct. alter. improve. demolish. or
repair any slructure, pnor to 11s issuance also requires !heap· plican1 for such permit 10 file a s19ned slatement thal he ,s
licensed pursuant to the provis,ons ol the con1rac1or· s License Law (Chapter 9 commencing w,lh SeciK>n 7000 ol
0Ms,on 3 of the Bu~ness and Proles5"lOS Code) o, Iha! is ex· empt therefrom and the baSIS IOf !he allegeo exemption Any
vKXallon of 5ecttOn 7031.5 by an apphcanl tor a permu sub·
1ects the applicant to a ttvil penally of not fflO(e than live hun· dred dOllars (S500)
0 1. as owner of lhe prc,perty, or my employees wilh wages
as 1he1r SOie compensalion, will do the work. and the struc-
ture is not intended or ottered fo, sale (Sec 7044, Business
and Profess,ons COde; The Contractor's license Law does net apply 10 an owner ol praperty who builds or improves
thereon and who does such wor1t h1msell or tbrough his own employees, provided that such improvements are not intend-
ed Of offered for sale If, however. the build mg or improve-
ment ls sold w1thm one year o1 completion. the owner-builder will have lhe burden ol provmg that he did not build o, im-
prove fa, lhe purpose of sale).
D I, as owner ol the property, am exclusivety contraclmg
with licensed contraclOfS to construct !he protett {Sec. 7044, Business and Profess.oos Code The Contractor's Lk:ense
Law does not apply to an OWnef of property whO builds or im-proves thefeon. and who contrKts tor each prqects with a contractor{s) license pursuant to lhe Contractor"s License Uw).
□ As a homeowner I am ,mprovmg my ho,ne, and the IOllow· ing conditlOfls exist:
1. The wo,k Is being per1ormed priO< lo sale.
2. I have lived io my ho,ne tor twelve months
3. r':v~ ~~i::
1
,1:l: :"!ption during 1ne last three years.
D lamexempt underSec. ______ ,B&P.C. for this reason ____________ _
□ I hereby athrm !hat I ha~ a cert1t1cate ot consent
10 self-insure. or a cert1t1ca1e of Workers
CompensatJOn Insurance, or a cert1f1ed copy thereof :I::~ Lat>or Code) fl
COMPANY
D Copy 1s hied w1tl"I 1he city
D Cert1hed copy 1s hereby furnished
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This s,echon neec, not be completed 1f !he perm,t
1s to, one hundred dOllars (SlOO) °' less)
Q I cer11fy that 1n the pet1ormance OI lhe work !or
whteh this permit 1s issued. I shall not emp10y any
person 1n any manner so as 10 beeome su01ec1 to
the Wo~e,s· Compensation Laws of Gahforn,a
NOTICE TO APPLICANT U, after makmJ 1h15 Cena
hcate ot Exemp1ton. you should oecome subject I'> the Wortlers' Compensation p,~1s1ons of 1ne Lat>Or
Code. you must f0t1hw1th eomp1y w11h svcn
prov1s1ons or lh1s perm,, shall De deemed revoke<J
D I hereby att11m mat there 1s a cons1ruc.1ton
lending .-gency f()f tf'tt> o,eriorma.nce ol the w()f'lo. lo,
which lh•S permit 1s ,ssued (See 3097 C1v1I CodeJ
Lenoer s Name ___________ _
L~, s Address __________ _
---
CARLSBAD BUILD.fNG DEPARTMENT --' APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.AO NEAREST CROSS ST. I DATE OF APPLICATION'
3 ;~;:SS UCEr
VALUA TION PERMIT NUMBER
2330 V !...a .$a.n·t,n •• El Camino Real
/3_ -,,,7 I e:' .. •;~ ~-.
LOT BLOCK I SUBOIVISION •• :,I ASSESSOR l';ARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE
. Beach Cities Const .& Ele ct 7'6-1U10 OWNER·s NAME
'I
OWNEA"S PHONE
-CONTRACToR·s AODAESS LICENSE NO PLAN 1.0. # BLOG USE CODE Community Resources Coro. 438-6500 3619 1tmigos Ct . Oceanside 343226 OWNE'1'S MAILING ADORESS
2204 Garnet Ave. San Deigo OESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
CESCRIPTION OF WO RK
,:;,, __ .,__ ~ -~ _, -~--~----DESIGNER'S ADDRESS ,· DESIGNER'S PHONE -~---~~~---.. ~.'/2/ ~ -~ -F/P F LR ELEV. NO ace GP EDU ~t ~7 lljJJi!.'.~ ~ '.·'-STORIES 11:: --' • • ' -· -• • ..1..';-•• vO NO --
CENSUS TRACT I G P LAND USE I PARK ING SPACE I RES ufTs I GRAOING PERMIT ISSUEO
I
REOEVELOPMENT TYPE ace LOAD Fl RE SPR
AREA CONST
YO N □ vO NO vO NO Nor VJ/id Unhsr M~chine C~rrified
QTY. PLUMBING PERMIT -ISSUE -;~ QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
,, INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUI LDING SEWER .. OVER 100,000 BTU SIGN PERMIT -01 ·00·D0-8221
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 01 ·00-00·8223 /'~< --
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VEN T FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.oo-nn.aoo~
TOTAL MECHANICAL STRONG MOTION 80·92·33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE f"--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
NEW CONST EA AMP/SWT BK R /2buJA, / ..c""'h --COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH -STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT.'BKR ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San Dieguito 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 OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELE(:TRICAL I /_~--TOTAL SOLAR TOTAL FEES PAYABLE I /5~--
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rahon Every perm,, -by the Buddinv Olf•etat uncle< the prov,s,ons of 1111s flOSHA PERMIT IS AE0UlflED FOR EXCAVATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY T.HAT ALL INFORMATION HEREON INCLUDING THE Code shell ••p,re by lim1te11on and beeome null and YOl<I II the bu,1<1,ng or work •• DEEP 4NO DEMOLITION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhOf'ind by such perm,t ,a not commenced Wltllm 180 days from lhe <late ch 1llJC1\JR!S OVER 3 STORIES IN HEIGHT permit. Of' ,1 the budd,Jl Of' won aulhor1Z8<1 by such perm,t ,s ded or ISSUED. TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any bme a ... the worll .. commenced for a I rlav•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ l~ OWNe,lli!r'" COIIITR4CTOR f!'f APPROVED BY ._ ....
1Dr11r
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND )I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE --BY PHONE 0 GRANTING OF THIS PERMIT. ~~-;::J 7' .....
--_;., '7
Ql
ii:
>-0)
0 a.
E Ql fo-
l
-0 0
(!}
c Ill
-~ a.
i·
I .,,_
C a::
0 "' "' Q) "' "' <{
I
3: .9.
ai >-
"' "' Ql
(.)
0 ct
Ill co 0
~
Ql (.)
C Ill C
ii:
C Q)
~
(!}
0 0 Ql a. "' C
~
'E ~
TYPE : DATE INSPECTOR
BUILDING I
-. , .
~~.,:).1 \ e-,~ ~ ,.
:·• \ { " . ..-......... , ... -.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ! INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHEAR SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH !
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I ; ' '~ELD WELDING
SEWER ANO BUCO D IPUCO I '
UNDERGROUND D WASTE D WATER
HIGH STRENGTH·
BOLTS -
TOP OUT D WASTE D WATER SPECIAL MASONRY .
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
D WATER HEATER D SOLAR WATER ,.
I ,·
ELECTRICAL I . ---·-"
D ELECTRIC UNDERGROUND D UFFER ' ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY ..
D BONDING D POOL I .....:..,:?-~~ '
I -
MECHANICAL I
D DUCT & PLEM., D REF. PIPING I
HEAT -AIR COND. SYSTEMS ' ,
I . "
,-• ' ' •
VENTILATING SYSTEMS I .. -
I
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED .
FINAL I . c?faV
PLUMBING ' ~,, ~~ i
ELECTRICAL ! -<OA ?CPI'
MECHANICAL I (0 f?/1V1·V ..
GAS I ~ ~/ft ~ I •.
BUILDING I V I
SPECIAL CQNDITIONS I --I '
I
7
,,
.,, z 0 ;:: < a:: ~ 0 ... 0
-C
I[
0 0
a:: ... 0 ... 5 ~ ... z 3t 0
z 0 ;:: < .,, z ... ...
:IE 0 0 .,, a: ... ,0:: a:: 0 3t
![
0 I he<etly affirm that I am licensed under
p,ovlelone of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleulons Code, and my license Is in
lull force and effect.
LIC No ------Class
I hereby attirm thal I am exempl from !he Con1rac-
1or's License Law lor the lollow1f1ll reason (Sec 70315 Business and ProlesslOl"ls Code Any city or county which re-quires a permit lo construct, alter, improve. demohsh, or repair any struclure, prior 10 11s issuance also requires !heap·
phtanl for such permit 10 file a s,9ned statement lhat he 1s licensed pursuant to the prOV1s1ons of the Contraftor" s license Law (Chaple< 9 commencing with Sechoo 7000 ol
OlvIs1on 3 ol lhe Busmess and ProtesS10ns Code; or lhal lS tx· empl therelrom and Ille basis for Ille aUegeo exempl10n Any
violation ot Secllon 7031.5 by an appbcanI tor a permit sub· ,ects the applicant to a ctvd penil1Y of not more than hve hun-
dred dollars ($500)
0 I, as owner al !he property. Of my emptoyees w11n wages
as their SOie compensatt0n. w,11 do the work. and the slruc-
ture Is not intended or ollered for sale (5ec 7044. Business
and Profess10ns COde The Contractor's license Law does not apply 10 an owner ot property who builds Or improves
thereon and who does such wO(k h1JT1sell or through his own employees, prOY1ded Iha! such improvements are no! intend-
ed or offered lor sale If. IIOwever, Ille bu•khng or improve-ment iS sold within one year of complet1on. the owne,-builder w1U have lhe burden of proving lha1 Ile did not build or im-prove lor Ille purpose of sale}.
D I. as owner or !he property, am exclusively contractmg w,ll, hceosed contractors 10 conslrucl lhe pro,ect (Sec 70-44.
Business and Professt0ns Code. lhe ContrattO(·s license Law does not appty to an owner of property who bu1fds or im-
proves thereon, and who contracts lor each projects with a contractor(s} lttense pursuant to the Conlractor's license Law)
D As a homeowner I am ,mprov1f1ll my home. and Ille follow ing condiOons exist 1 . The work ,s betng perfooned pnor to sate
2. I have lived in my home tor twelve montns prN>r lo camplett0n of this work.
3. I have not claimed this exernphon during the las! three years
□ I am exempt under Sec ______ . B & P C tor ttus reason ____________ _
0 I hereby affirm thal I ha..-e a cert1t1cate of consent
to self••nsure. o, a cer11r,ca1e of Workers Compensahon Insurance. Of a cert1hed cc>py thereol
(Sec 3800. Labo< Code!
POLICY NO
COMPANY
□ Copy IS Med Wtth the Ctl'y
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COM PENSA HON INSURANCE
(This sectton need not be compteled 11 lhe pe:rm,1 1s tor one hund,.ed dollars {S 100l or less)
O I cer11ly that 1n tt'le perlo,mance ol lt'le wor11. IOf
which ttus pem111 15 issued I shall nol employ any
person in any manner so as 10 become sub1ect to
the Worke,s Compensauon Laws ol Ca11lorn1a
NOTICE TO APPLICANT II aflet ma1o.in1 lh,s Cert• 1tca1e ol Exemption. you snoutd t>ecome sut>1ec1 t')
lhe Wo"'-ers· Compensat,on prov,s,ons ol ttie L.aoor Coae. you must torlh¥o•lh comp1y with sucn prov,s1ons or this pe:rm,t shall be dttmecl revo1c.eo
0 1 tie,eby aftum INI mere 1s a C()(l!"Huct1on
1enc:,,no agency t()f me perlo,mance o t the w()(k to,
wtuCh thtS permit 1S IS.Sued !Sec :m7 C1111I Coclel
Lenders Name ___________ _
Lenders Address __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
" 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 Q)
JOB ADDRESS BUSINESS LICENSE • VALUA TION PERMIT NUMBER u::
>-
LOT BLOCK SUBOIVISION ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE cf> 3-J.. 7 J. / J ~
OWNER·s NAME ' /vt,//#e~/J:J;;/v,~IJ ~ 7/~ '.??'f"-~7~ _ • .__._ f
e:?S.5'6
(? AV ST.AD NEARESTCROSSST. .£J/ ft.a ..Jo/J-foS hfu-,e /el ~m,,~ ~u G APPLICATION] /'¥-8
-----
~IJ')munil f?satu-ce.:s .,..,,_....., .. CON:;Ac;,{o R;;oo;;z fl~ ~h1/ /"T LICENSE NO. PLAN 1.0. # BLOG USE CODE ~
o wNeR·s MA,L1NG ooREss .:2V:-Sr ~ ~~ v, ~
-2:20,; (1(7/"'/)e r c:J;;,., Z>~ DESIGNER LICENSE r, STANDARD PL.AN# BUILDING SQ. FOOTAGE <3
OESCR1PT•ON OF WORK
~i31d9 ~ // $ U/J/:C 5
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
OESIGNER·S ADDRESS
GRADING PERMIT ISSUED
y O ND
F/P FLA ELEV.
vO NO
l REDEVELOPMENT
AREA
vO NO
--,;jo
STORIES
TYPE
CONST
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD FIRE SPR
vO NO
I H'l2 ~.II!! "1 l.i e-0
Not Valid Unl~r M~chine CerttfiM
QTY.I PLUMBING PERMIT· ISSUE /,.)0 QTY.I MECHANICAL PERMIT · ISSUE J,or.1 SUMMARY/ACCOUNT NUMBER
i J'#j EA CH Fl__l<_!_URE TRAP _ _ <!!!, ,2 ~ ';I EACH BUILDING SEWER b.,,_~
/~ EA CH WATER HEATER ANO/OR VENT(!!!_;)-Sl')
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL .. ALTER. REPAIR WATER PIPE
,.57 EACH VACUUM BREAKER ~...:1,.__5't,
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING 1
QTY. ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP1SWT BKR
I PH 3 PH
EXIST BLOG EA AMPISWT BKR
I PH 3 PH
REMODEL ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL ]
~/t:),. -
~.so ~7,.50
/-2~SO
,,:)? )7. .,tJ d
~oD
INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220
OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221
BOILER /COMPRESSOR UP TO 3 HP
BOILER /COMPRESSOR 3 15 HP
METAL FIREPLACE
PLAN CHECK 01 ·00·00·8806
TOTAL PLUMBING 01·00·00·8222 I .u_y;_--
ELECTRICAL 01 ·00·00·8223
VENT FAN SINGLE OUCT MECHANICAL 01 ·00·00·8224
MECH EXHAUST HOOOIOUCTS MOBILEHOME o 1-00-00-8225
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
SOLAR Ol ·OQ·OO·B226 TOTi.L MECHANICAL STRONG MOTION 80·92·33·0519
FIRE SPRIN~LERS 01 ·00·00·8227
QTY. I SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
COLLECTORS SCHOOL FEE • DISTRICT
STORAGE TANKS Carlsbad 80·92·21·0519
ROCK STORAGE Encinitas 80·92·22-0519
PUMP San D1eguito 80·92· 23·0519
PLAN CHECK FEE San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL SOLAR TOTAL FEES PAYABLE l ,;27½--
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
;$SUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING OF.THIS PERMIT
E•pir1t1on Every permit issued by the 8u1ld1ng Off1c1al under the prov,s1ons ot this
Code shall exptre by hm1t■t1on aod become null and vo,d 11 the b1,11ld1ng or work
authorized by suet, permit 1s not commenced wrthin 180days from the date of such
permu. o~e bu1ld1ng or work •_ ulh0f1zed by such permit 1s suspended or
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' 0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF
STAUCl\JR£S OVER 3 STORIES IN HEIGHT
1band09'0 at ,ny 11ma after the -..ork .is commenced for a nod of 180 devs __
APPLr~Nfr!.,1-GNATURE CONTRACTOR D L _/~ A~------,-BY PHONE 0
APPROVED BY ?J, I /1-~_2_
DATE
c <II u
a. a. <I:
~
.:£ C a::
0 1/)
1/)
Q) 1/)
1/)
<I:
I
:a:
.2 Q) >-
1/)
1/)
Q) u 0 ct
<II
iii
0
€
Q) u C <II C u::
:::..
C
Q)
~ (!)
0 u Q)
C. 1/) C
2:
.c. ~
TYPE I DATE INSPECTOR I g~ -:>,, I ., t§;-P0u,.v BUILDING I
TYPE I DATE INSPECTOR '
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' _l • REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
MASONRY I . REQ IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME FOUNDATION INSP
STRUCTURAL CONCRETE EXTERIOR LATH !, OVER 2000 PSI I
INSULATION I PRESTRESSED
' CONCRETE INTERIOR LATH & DRYWALL f POST TENSIONED
I CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
BOLTS UNDERGROUND □ WASTE □ ~ATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
I TUB AND SHOWER PAN I
GAS TEST I
_l PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I • --
□ ELECTRIC UNDERGROUND □ l!JFFER . ,
ROUGH ELECTRIC . -I
D ELECTRIC SERVICE □ TEMPOP.IARY ~
\
I '--• f' ' . □ BONDING □ POOL I ..... -c -...
' I
MECHANICAL I
-. □ DUCT & PLEM., □ REF. PIPING j• • ~ : .. ~' " _: ··:, :. -
HEAT -AIR COND. SYSTEMS • I _l
VENTILATING SYSTEMS ! ... ' '
I
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I ./ .,, ----,..-. . ,._ ' ' PLUMBING ' \ ftJI/ ~ ~ J
ELECTRICAL J
Al""! Y' ~/, J. ' ,. \.. '\ ' ·~ .
_,,\~--~ MECHANICAL I .,._l ~ ✓,7,
GAS ' w V" ,._ ,2 ».--r.......-I -, , .. -.., ..
BUILDING ! " ~J!/rJ V •
SPECrAL CONDITIONS J/ -l -
~ I
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business -'13'2&'""\ will be conducted ~ ,;JC..-/
Name of Occupant { Oll... 6
Address of Home Office of
Occupant if different from above
Owner of Building ~HM
Type of Business
--n--N,4-/U,5
Describe exact use of all portions of each building and lot
Previous use of Building
Type of flammable or explosive liquids to be used. if any
Address
UtJ IT
VALIDATION
Building
Permit No.
Home Office
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 "f'-C..
Planning ,:\A
Department ~
Engineering
Department A.J' ,,,..,_._.,
Fire Prevention
Health
Department
Building Department
Date
Date
, 19 In the City of Carlsbad, State of Callfornl
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.