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Home My WebLink About2325 VIA SANTOS; BLDG 3-4; 83-271-3-4; PermitIi) z 0 .:: < a: < ... u ... a C I[ 0 u z 0 ~ .,, z ... ... :I: 0 u .,, a: ... ..: a: 0 3 ![ D I nereby affirm that I am llcensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my llcense Is in full force and effect. Lie No ______ Clm I hereby alhrm that I am exempt lrorn the Contrac- 1or· s License Law tor !he following reason fSec 7031 S Business and Professt0ns Code Any city or county whtcil re• quires a perrmt to construct alte1, tmprOYe. demohsh. or re_pair any structure. prior to its issuance also requires !heap-pl,cant tor such permit 10 Ille a s1Qned statement that he 1s hcenseCI pursuant 10 the prov1st0ns ol lhe Con1rac1or·s license Law (Chapter 9 commencing with Sect10n 7000 ol 01Y1s1on 3 of lhe Bus+ness and Pf~ess,ons Code) or Iha! ,sex- empl therefrom and the basis for the allegeo exemption Any violation of Sec.lion 7031.S by an apphr.anI tor a permit sub Jee~ ~ apphcant to. a civil penalty of not more lhan live hun- dro/ollars fSSOOI I. as owner of the property, or my employees with wilges as the,r sole compensalion, wiU do lhe work. and lhe struc• lure Is 001 intended or offered tor sale (Sec 7044, Business and Prolesst0ns Code The Con1racl0f0S Ucense Law dOes not apply to an owner of property who builds or ,mproves !hereon and who does such WOfk h1mseH or lhrough hts own employees, provided lhat such improvements are not Intend• ed or ollered f0t sate If. however, the building or improve-ment ,s d withm one year ot complehon, lhe owner·buIkier will the burden of proving !hat he did nol build or im-prove lhe purpose ol sale). 1. as owner of lhe property. am rixclusrvely contracting with licensed conlractors to construct the pro,ect (Sec. 7CM4, Business and Professions Code· The Cootractor·s license Law ooes not appty to an owner of property who builds or inr proves thereon, and who contracts for each pro,ects wilh a contractor(s) t.cense pursuant to the Contractor's Lteense Law). O As a homeowner I am improving my home. and the follow- ing condIhons exIsl: 1. The work is being pe~ormed prior to sale. 2. I have lived In my home for lwelve months 3. rr:v: :;'i:::t 1~1~ :'!ption during the last three yurs D I am exempt under Sec. ______ . B & P.C. for !his reason ____________ _ 0 I hereby affirm thal I ha~ a cen1hca1e of consent to self-insure. or a cen1f,cate ol Workers Compensation Insurance. or a cert,hed copy I hereof (Sec 3800. LabO< Code! 2:NO NY 1S hied with the Ctly 0 Cen1fied copy ,s hereby lurn1s~ CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This secuon need nol be completed 11 lhe perm,1 1s tor one hundred OOllars ($100) or Jess) D I certify thal 1n the performance ol the wortc. tor which lh•s permit 1s issued. I shaJI not employ any person ,n any manner so as 10 beeome sub1ec1 10 the Wor1c.ers· Comoensauon Uws of Cailifom,a NOTICE TO APPLICANT If afUtt mall.in~ lhIs Cen, hcate ol Exemp11on. yoo shoutd become sub1ec1 1? the Wof'k.ers· Compensation provisions ol the Labof Code you musl forth.._., 11h comply w+lh such prov,s,ons or lhts permI1 shall be deemed revOke<J 0 I ~reby athrm ltiat there 1s a const,uchon lending agency tor lt'le periormance ot the wor11 tor wl"IICh 1h15 permit 1S issued (Sec :m7 C1v1I Cooe) Lenders Name ___________ _ Lenders AO<lress __________ _ UolL ""'"~~ • v.,•• • ~•• ..,,.~, ~ • n~~.,, ''""., CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, C.3rlsbad. California 92008-1989 (619) 438-5525 JOB ADDRESS AV ST.AD NEAREST CROSS ST Hosp UoE ,te~ 2325 Via Santos LOT I BLOCK -, SUBD1v1S10N I r'\~~~-:--, ASSESSOR PARCEL NO. lt,i .;l.SO 44 00 CONTRACTOR Community Resources Corp. OWNER"S "'AME ' Community Resources Corp. I OWNER"S PHONE 483-65_90 CONTRACTOR"$ ADDRESS OWNER'S MAIL1NG ADDRESS DESIGNER 2204 Garnet_Ave ., San Diego, Ca. 92109 DESCRIPTION OF WORK I f1.f 1 Affp,i, l"h I DEStGNER"S AODREss I ,. Bldg. 3-4 12 Units .. ~ .... CAu~" ~ ---------- ~.L..";,,Q Sa.v Ji\)..,~~~ F/P FLA ELEV. vO NO --- CENSUS TRACT GP LANO USE PARKING SPACE 4<.<oS RES UNITS tt GRADING PERMIT ISSUED YO ND REOEVELOPMENT AREA v□ Nr).._ QTY.I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP QTY.I MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS UP TO 100.000 BTU EACH BUILDING SEWER OVER 100.000 BTU EACH WATER HEATER ANO/OR VENT BOILER /COMPRESSOR UP TO 3 HP EACH GAS SYSTEM I TO 4 OUTLETS BOILER /COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT EACH VACUUM BREAKER MECH EXHAUST -HOODIOUCTS WATER SOFTNER EACH ROOF DRAIN (INSIDE) I I RELOCATION OF EA FURNACE/HEATER TOTJ;L MECHANICAL TOT AL PLUMBING T QTY. ELECTRICAL PERMIT • ISSUE NEW CONST EA AMP'SWT BKR QTY., SOLAR · ISSUE COLLECTORS I PH 3 PH STORAGE TANKS EXIST BLDG EA AMPISWT BKR ROCK STORAGE I PH 3 PH PUMP REMODEL 'ALTER PER CIRCUIT PLAN CHECK FEE TEMPPOLE l00AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ELECTRICAL ] TOTAL SOLAR BUSINESS LICENSE I# VALUATION PERMIT NUMBER 32o:\.~ CONTRACTORS PHONE • ZONE 83-271 -3-4 LICENSE NO PLAN 1.0. # BLDG USE CODE LICENSE " STANOARO PLAN# BUILDING SQ. FOOTAGE ~89~ DESIGNER"S PHONE I EDU 101 !2l,~u7a4 ·sos·1iu -\ I FIRE SPA vO Nbl Nor Valid Unlrss Machine Certified SUMMARY/ACCOUNT NUMBER -"' ,..,..,, BUILOING PERMIT 01·00·00·8220 ,~o- SIGN PERMIT 01·00-00-8221 ., • ' PLAN CHECK 01 ·00·00-8806 (o'-10- TOTAL PLUMBING 01·00·00·8222 ELECTRICAL 01·00·00-8223 MECHANICAL 01 ·00·00-8224 MOBILEHOME 01 ·00·00·8225 M08ILEHOME PARK INSP SOLAR Ql·QQ·QQ-8226 STRONG MOTION 80·92·33-0519 .. ~~ FIRE SPRINKLERS 01 ·00·00·8227 , . I PUBLIC FACILITIES FEE 32·00·00·8933 'Olll>'i-- 8RIOGE FEE SCHOOL FEE -DISTRICT Carlsbad 80·92·21-0519 Encinitas 80·92· 22·0519 San 0ieguito 80·92· 23·0519 San Marcos 80·92·24·0519 LICENSE TAX 01-00-00-8162 CREDIT DEPOSIT TOTAL FEES PAYABLE J _895'1~ I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICAT.ION AND PERMIT"" AND DO HEREBY Exp,rabon E .. ry permit Issued bytheBuildlngottrc,al under the provisions ofth,s CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code 1 •Ptr ilm,tatton and become null and void II the bu1ld1ng 01 111or• * AN OSHA PEf .. lT IS REQUIAEO FOfl EXCAVATIONS 0\/EA 5· o· DEEP ANO DEMOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT tS aulhOf1 b rmit •• not commenced w1th1n 180days from Ille date of such I ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDlNG CON-L~~~m?:;;°'~~t'~n~¥/:11~1~~o!..r~w~o~•k~•.!!~t!.:h~Of~ized!!!!!!!!!by:!!!su:..!2ch~pe,~mf'1 ~1!. 1s2!...sus~pen~ded!ll.-o~r -::::::-~~!'!'!!~~~------------.... ~L.""!"--~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND It a er lh8 WOfk rt commenced for 1 ' ol l80 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND G ATUAE Jf-AP~R VED BY -_, .., se, r, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . ~ GRANTING Of THIS PERMIT ~~ BY PHONE O I STRUCTIJA£S OYER 3 STORIES IN HEIGHT 7 7 ~ u:: >-" 0 a. E Q) t- i "O 0 0 C Cl! -~ , I _,,_ C a: 0 "' "' Q) "' "' <( I 3 .2 Q) >- "' "' Q) 0 0 a: Cl! ~ 0 ~ Q) 0 C Cl! C u:: C Q) ~ 0 0 u Q) a. "' C ~ .c ~ TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BUCO □IPUCO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ jUFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY D BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPlfilG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE__f3fE_N APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ., . \ 1 • ..._ l . FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS INSPECTION REQ IF 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 -) .i .... ...-. t·· ~ , f ' I . I a '. • -·-~ '. . ... -. . ' ' I ,~ .. \.\" ,, i ~3->71-3,4 INSPECTOR'S NOTES ~ . .J , .. DATE --- ·:·.~·~ ·' =-~ . ' I ' ,, .,;_~ . " -, ... , t-··)1~ ·- ' r-. ·-I •-~ ... ,.. , .. . J._. . ,, . ·:-1 -' . . , ... .,,_ • ,: ~ . I ~ -, \ ' . . -. . ... ,..,-. \" • -. -- .,, z 0 ~ < a: < _, 0 .., 0 a: I[ (J z 0 ~ ~ z .., CL :I' 0 (J .,, ir .., "' a: 0 ~ 1[ O I hereby affirm that I am licensed under provf&ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Loe No ______ Ct•ss I hereby alltrm lhat I am exempt lrom the Contrac• tor's License Law tor tile lol1owmg reason (Set 7031 5 Busmess and Professions Code Any city or county which re--qwres a permll 10 construct. ~lter, improve. demolish, or repair any structure. prior 10 ,ts issuance also requires !heap-- phcant !Of such perm,! to Me a stQnec:t statement lhal he 1s l,censed pursuant to the prOYtSIOfls of lhe ContraclDf s License Law (Chapter 9 commencing with Sect,on 7000 ol Division 3 ol the Business and Professions Code} or lhal 1s ex- empt therefrom and the t,as,s tor the •llegeel e,empt,on An~ VJOlat,on ol SettlOfl 7031.5 by an appt,cant tc. a perm,t sul>- Jecls the applicant to a c1v,l penalty ol not m«e than ltve nun· t dottars ($500) as owner of the property or my employees wIIh wages heir sole compensallon. will do the work, and the struc• snot intended or offered for sale (Sec. 7044, Busmess and Profess,ons Code The Contractor's License Law does not apply 10 an owner ot prnperty who builds or improves thereon and who does such work himse!I or through his own employees, provided that such improvements are no, intend-ed Of olfered tor sale. 11, nowever, lhe bu11dlng or improve- ment 1s sokt within CN1e year of cornpfetioo, the owner-builder wiH have lhe burden of Pf0Ying th.al he did not blnld or ,m- f e tor the purpo,se of sale) . as owner of the property, am e..cluswety contracting t licensed contractors to construct the project (Sec 70«. Business and Prolessions COde The Contractor's Lk:ense Law does not apply to an owner 01 property who builds ~ 11n-pr0Yes thereon, and who contracts tor each prc,ects with a contract0f(S) license pursuant 10 lhe Contractor's license Law}. □ As a homeowner tam improving rrr, home. and the follow· ing conditJons exist t. The work Is being performed prior to sale. 2. I have 11ved in my home fof twetve monlhs 3. r~: ~:i~ot 11:: :=~ption during the last three years. □ I am exempt under S.C. ______ . 8 & PC IOI' lhis reason ____________ _ 0 I hereby affirm thal I ha-...e a cert1t1cate ol consent to seir-,nsure. or a cer11hcaIe of Workers· Compenyt1on Insurance, or a cer11t,ed copy lt\ereof (Sec 3800. Lobo< Code) POLICY NO ENY • 'f IS filed w1lh the c,ty 1fled CoPy Is hereby tum1shed CERTIFtCATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This seclton need nol be completed 11 the perm,I 1s fo, one hundred dOllars fS 100I °' less) 0 I cert1ty that m lhe performance ol lhe work 10, whicn lh1s permit Is issued. I shall 001 employ any person in any manner so a.s 10 beCome subIect 10 the Workers· Compensallon Uws of Cahtorn,a NOTICE TO APPLICANT II. aller maktnJ !his Cer1• hcate of U.empt1on, you shouk1 beeome subIec1 I'> lhe Wo,il.ers· Compensa11on p10vIs10ns ol the Labol cooe. you musl torth~1th comply w,th sueh provIst0ns or this pe1m11 shall t>e oeemeo revOfileo 0 I hereby allirm lhal triere ,s a cons1tuc1Ion Ienchng ~ency tor the penormance ot the work ror which ttus perm,t •s Issueo !Sec X/37 Cn,,I CooeJ Lenoer s Name ___________ _ Lenders Address __________ _ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT JOB ADDRESS 2325 Via Santos LOT B~OCK j SuBo, v1s1ON OWNER'S NAME 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 AV ST.RO. NEAREST CROSS ST Hosp ~SSESSOR PARCEL NO OWNER'S PHONE DATE OF APPLICATION 9121/83 CONTRACTOR Community Resources Corp . uvL.riiaa BUSINESS LICENSE • I V vl.L&ir,/N / _'.) ai ".l fl-:t ~ CONTRACTORS PHONE • ZONE t~·;~';:;ii I- Community Resources Corporation 483-6600 OWNER'S I\/IA•LING ADDRESS 2204 Garnet Avenue, San Diego, Ca . 92109 OESCR1PTION OF WORK hui lding-3~4... -~ -.12. .llnits_ FOUNDATION ONLY •· CONTRACTOR'S ADD"ESS / .L OESIGNEA "T DESIGNER'S ADDRESS F/P FLR ELEV. vO NO GRADING PERMIT ISSUED REDE VE LDPMENT AREA "rlo STORIES TYPE CONST LICENSE NO. LICENSE• DESIGNER'S PHONE OCC GP EDU OCC LOAD Fl RE SPR PLAN 1.0 . # BLDG USE COOE STANDARD PLAN # BUILDING SO. FOOTAGE 21, ... Q,.,. I_ L CENSUS TRACT GP LANO use PARKING SPACE RES I y D ND vO NO vO NO Not Valid Unless Machine Crrtifil!d QTY. PLUMBING PERMIT -ISSUE 7.£!!- 7 QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ----EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00-00-8220 ,b, ;ii, J~ EACH BUILDING SEWER OVER 100.000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP SIGN PERMIT PLAN CHECK 01 ·00·00·8221 01-00-00·8806 ......._____ ~'1_.1,21' EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 EACH GAS SYSTEM 5 OR MORE MET AL 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 HOOO/OUCTS MOBILEHOME 01 ·00-0Q-8225 WATER SOFTNER RHO CATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) TOTl,L-MECHANICAL SOLAR STRONG MOTION 01 ·00-00-8226 80-92-33-0519 7.~ TOTAL PLUMBING l FIRE SPRINKLERS 01-00-00·8227 QTY. ELECTRICAL PERMIT -ISSUE :r--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE BRIDGE FEE 32-00-00-8933 ~X'-Z.---4-- NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas B0-92·22-0519 1 PH 3 PH PUMP San Oieguito 80-92-23-0519 REMOOEL 'Al HR PER CIRCUIT PLAN CHECI:< ffi I ; I San Marcos 80·92-24-0519 TEMPPOLE 200AMPS ./)"1 OVER 200 AMPS / -/),. /Y_j_/ LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYSI / .t: TOTAL ELECTRICAL ] + lf!i-,~ z 7 .. :b 7" TOTAL FEES PAYABLE CREDIT DEPOSIT (-//~ ~' ] ' 7 -~l~,o:; . ··-_ .. _ ___ _ __ __ . .'WE'!l'f ~rll!Ntllf _,..,=--=::..~..=i::=r.:-°!::: * ANOIHAPEAMITISAEQUNOFOIIEXCAVATIONSCMR I CERTJFY UNDER PEl'IALTY OF PERJURY lt1AT ALL INFORMATION HEREON INCLUDING THE it•notcommeooedW1-l80011ys~omthedale~such S'O"OEEPANODEltlOUTIONORCONSTRUCTIONOF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT lS ,tt,ejtlutjjhng or -...U,O,fmd by such _,...1 11 ---or STRUClUIIES 0V£R l STONES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• L!~!!!!!~~.!;lt)~~!!Jllle!!!..!-"~L!•!..!!com..-cl!!!!!!!!!!!!!!!!!.!!fore!._!a~~-i!!!!..!!ol!...!J1 !QJ!DL---::--,~~~~~---"""!~~~~'""'!--""'!!.i,--~!""'-., I ST·R· UCTIO. N. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND URE .tf. 0 CONTA O ]OVEO BY , • -:-, •,. -, I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUOGMENTS. COSTS AND OWNER ACTOR • :.. I EXPENSES WHICH .MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEOUENCE OF THE BY PHONE 0 I GflANTING OF THIS PERMIT-GL,,t, ~ 4 .C 1'---------------------------....1-'--""'"""'---------------------=----------~:__-L_!:!-~~ I 'O 0 ~ ~,:, C: ~ tl a. a. ~ I :,£ C: a: 0 r/) r/) Q) r/) r/) ~ I 3 .2 ai >- r/) r/) Cl) tl 0 ct ~ co 0 ~ Q) 0 C: ~ C: u:: ~ C: Cl) ~ ~ 0 0 Cl) a. r/) C: ~ .c ~ ' .. -~ "\ --·~ -. TYPE DATE INSPECTOR I -... i 8'i-:)., /• ~ --<-f ~r.:, BUILDING I ' ' I . ' . FOUNDATION F I, FIELD INSPECTION RECORD M REINFORCED STEEL I ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I -I REQ IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE . ' -FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE SHEATHING D ROOF D SH~AR PRIOR TO \ ' .. ., I FOUNDATION INSP ,, FRAME . F F STRUCTURAL CONCRETE . . . EXTERIOR LATH I r I OVER 2000 PSI INSULATION I L PRES TRESSED I CONCRETE 1 INTERIOR LATH & DRYWALL I 1.·\ln·~ 1c.....z:J POST TENSIONED I CONCRETE -- -PLUMBING I FIELD WELDING ,, SEWER AND BUCO D IPUCO I HIGH STRENGTH -' -~-.• ---~ 7-· BOLTS ', ' ,. D WATER UNDERGROUND D WASTE TOP OUT D WASTE D W'ATER SPECIAL MASONRY I -. '\ -~ -·· -\ ' TUB AND SHOWER PAN I _j I I , GAS TEST • t -\t,, -"',di r-/4 //JJ r ' I PILES CAISSONS I D WATER HEATER D SOLAR W~TER . II I ELECTRICAL I , D ELECTRIC UNDERGROUND D \JFFER / -!';,t. \. • :.. ROUGH ELECTRIC \ · \q,•_ I -I ...i~~ '. D TEMPORARY -- ~\~-, . D ELECTRIC SERVICE . D BONDING D POOL I --.;.._ ... '' . , -I -..... MECHANICAL I D DUCT & PLEM., D REF. PIPIKIG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I -I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE "lll.·1 ,r.'? ~I,;,. ITEMS ABOVE HAVE BEEN APPROVED. -,. FINAL I \~'Vl 1--I ,,., PLUMBING I ~vi~~ ELECTRICAL ! -s;\~ ,,., 1tvrA~ MECHANICAL I ,./ 'Ml. i! ... C-1' 'Y'J ' I ..,. n - GAS ! z fj-JI 15 -. ', ' BUILDING ! (r) rtV ' SF>ECIAI., CONDITIONS I \r -- I I - ... rb z 0 ;: < a: < .., u "' a a: o,,.. ll u a: "' a .., 5 ! "' z ~ z 0 ;: < rb z "' CL 2 0 u rb ir "' ~ a: 0 3 il O I.hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 or the Business and Professions Code, and my license Is In run force and effect. lie No------Class I hereby afllrm th.1t I am exempt flam the Contrae· 10..-s Liuns, Law to, the totlow1ng reason (Sec 7031 5 Business and Profess10ns Code Any c,1y or county whteh re· quires a permit to construct aster improve. demohsh. or repair-any structure, pnOf to its issuance also requires !heap- phcant tor such permit to Me a s,qned slatement that he Is hcensec, pursuant 10 tt,e prov1sK1ns ot lhe con1rac1or's Locense Law (Chapter 9 commencing with Secbon 7000 ot 0Ms10n 3 ot the Busmess and ProtesSIOnS Code) or that IS ex· empt lherefrom and lhe basis few the allegeo exemption Any v,olatoon ot Sectoon 7031 5 by an applicant tor a perm,! sutl· 1ects 1he appllcant to a CMI penalty of not more 11\an hve hun-dred dollars 1$500) I. as owner of !he property. or my employees w1lh wages as the11 sole compensauon. will do the wor1<. and the struc- ture 1s not Intended or offered IOf sa)e (Sec 7044. Business and Pro1ess10ns Code. The ConlractOf's License Law does not apply to an owner of property who buIk1s or Improves !hereon and who does such work h1msett or thr~gh his ow-n employees. provided lhal such improvements are not intend- ed or ottered tor sale II, however the building o, improve· menl ,s soki w1lhin one year m compterion. the owner-builder will have the burden ol provmg thal he did nm build or Im• prove tor the purpose ot sate) D I. as owner of the property, am exclus,vely conlracling wilh ficensed contractors to construct lhe project (Sec 7044. Business and Prolessions Code. The Con1ractor's License Law does no1 appty to an owner of property who buUds or Im• proves thereon. and who contracts for each prn1ects with a contractor(s) l+cense pursuant to the Contractor's Ltcense Law). O As a homeowner I am improving my home, and the follow Ing concllhons exist: 1. The work 1s being performed pnor to sale 2. I have hved 1n my home for twetve months pr10r to complellOn of this WOJk 3. I have not claimed this exempt,on during the last three years. g 11h~:r!~:gi under Sec.------· B & PC ------------- □ I hereby affirm thal I ha..-e a cen,hcate of consent to self ,nsure, or a cer11f,cate of WOfkers Compensation Insurance. or a ce'11f1ed copy thereot !Sec 3800, Labor COdel POLICY NO COMP ... NY O Copy IS Med with the city 0 Cert1hecJ copy Is hereby lurn,shed CERTIFICA Tl OF EXEMPTION FROM WORKERS COMPENS ... TI0N INSUR ... NCE (This section need not be completed ,t the permit 1s tor one hundred dollars (S 100I or less) 0 I cert1ty that m the performance ot the won. tor which 1h,s pemu1 1s issued. I shall 001 employ any person '" any manner so as 10 become sub1ec1 10 the WoOl.ers Compensa11on Laws ol Cahlorn,a NOTICE TO APPLICANT II. alter maktnJ 1h1s Cert, licate ol E•empt1on_ you shoukl t>ecome sub1ect t'J lhe Wor1<ers Compensa11on PfOv1s1ons ol the labOf cooe. you must lonn-.,th compty w11h such provIs,ons or 1h,s perm,t shall be deemed revC>il.ed 0 I hereby affirm that inere 1s a con!lructton Ien(hflQ aoency to, the performance ol !he ""'on. to, wtucti this permit 1s ,ssuec:J (Sec 3097 C1v1I Cooe1 Lenders Name ___________ _ Lender s AcJOress __________ _ _..,_ -----......... • -·· ........ -. ,. ___ ...... -.... ___ ,,, .. ·-. ·--····· ... _, ........ -.. --·-·· ·-__ ., ____ - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -. 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV ST. RO. NEAREST CROSS ST IOATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER ~3:ZS-Ck.,~~~, &~/~1--,-~ 1/'3~J.,/ -(3 LOT BLOCK I sueo1v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTA ... CTORS PHONE • ZONE -f> OWNE R"S "AME I OWNER"S PHONE CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE , OWNER'S MAILING AO0AESS DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WORK DESIGNERS ADDRESS DESIGNER"S PHONE -~ '# /3 /.:? ~ .. --• F1P F LR ELEV. NO OCCGP EDU STORIES ' J,I fi.2~/83BCG'5 .ess.r ·- vO NO -- CENSUS TRACT I GP LANO USE I PA AK ING SPACE I RES UNITS I GR ... 0ING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST y O N 0 vO NO vO NO Not Valid Unll!fs Machine Cemlied QTY. PLUMBING PERMIT· ISSUE 7,.so QTY. MECHANICAL PERMIT· ISSUE 3',otJ SUMMARY/ACCOUNT NUMBER /?/_ EACH FIXTURE TRAP /OA. -INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220 / EACH BUILDING SEWER ~ -,""i"'.l OVER 100,000 BTU . SIGN PERMIT 01 ·00·00·8221 - /,.1 EACH WATER HEATER ANO/OR VENT ,::j'O. -BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8B06 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUM81NG 01·00·00·8222 o-239, - 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 .'J EACH VACUUM BREAKER it,_ -ME CH EXHAUST H000I0UCTS M0BILEH0ME 01·00·00·8225 WATER S0FTNEA RELOCATION OF EA FURNACE /HEATER M0BILEH0Mf PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??" T0H,L MECHANICAL STRONG MOTION 80·92·33-0519 TOTAL PLUMBING I ,;?~9--FIRE SPRINKLERS 01 ·00·00·8227 QTY. ELECTRICAL PERMIT · ISSUE /' 1/()() QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 BRIDGE FEE NEW CONST EA AMP/SWT •BKR COLLECTORS SCHOOL FEE • OISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLDG EA AMP/SWTIBKR ROCK STORAGE Encinitas 80·92·22-0519 1 PH 3 PH PUMP San Oiegu1to 80·92·23·0519 REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519 TEMP POLE 700 AMPS 0VE A 700 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYSI CREDIT DEPOSIT TOTAL ELEGTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I. .:i. 3'7, - I HAVE CAREFULLY EXAMINED THE COMPLETED, "APPLICATION AND PERMff ANO DO HEREBY Exp1r1tton Every permit issued by tl'le Bu1ld1ng Ott1c111 under the prov1sIons ofth1s * AN OSHA PERMIT IS REQUIRED Fo,I EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cade shall exprre by hm1ta11on and become null and void If the building or wof1l s· o· DEEP AND DEMOl.lTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by~such perm,,t 1.1 not commenced within 180 days from the date of such STRUCl\JMS OVER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON r~~~~ 1!t th l1 1:ffe~~h:~~~!~a!~~~~~~ ~~~ 1 ~?f:r'ci"a~':1 or STRUCT!ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TD SAVE INDEMNIFY AND APPL17/SIZTh Lf ~ CONTRACTOR 0 APPROVED BY ~-OATE 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 1 !1-1-1 GRANTING OF THIS PERMIT ~ 7 Q) u:: >, ~ 0 a. E Q) I- "O 0 (!J C (1) u a. a. :ct. i .>:: C a: 0 <I) <I) Q) <I) <I) ,ci:: I :: 0 ai >- <I) <I) Q) u 0 ct (1) co 0 £! Q) u C (1) C u:: ;=:- C (1) ~ (!J 0 u (1) a. <I) C ~ .c ~ TYPE I DATE INSPECTOR . I 83"" e>i I _. f:' BUILDING I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL ! I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ! REQ IF INSPECTORS GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE ' FLOOR & CEILING SUB FRAME I J SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FOUNDATION INSP FRAME I I STRUCTURAL CONCRETE EXTERIOR LA TH _I OVER 2000 PSI INSULATION I PRESTRESSED CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE PLUMBING ! FIELD WELDING SEWER AND BUCO DIPUCO l HIGH STRENGTH D \JYATER BOLTS UNDERGROUND D WASTE SPECIAL MASONRY TOP OUT D WASTE D WATER TUB AND SHOWER PAN I , I GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER I I . I ' ELECTRICAL ,, . ~-. D ELECTRIC UNDERGROUND D lilFFER ROUGH ELECTRIC I ' I -~ D ELECTRIC SERVICE D TEMPO121ARY ' -.; '\'.., ... D BONDING D POOL ~ ' I I -1 I MECHANICAL I D DUCT & PLEM., D REF. PIPI~ I r '· ,._ I .. -HEAT -AIR COND. SYSTEMS . ---,__ .... _j I, J. VENTILATING SYSTEMS I ··-.... . ""\ ...... '-,. -.. - I CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. FINAL I I J PLUMBING ' ,,, I ELECTRICAL I A ✓ ,r I ,I I MECHANICAL -v,r A I )\\Tl I • GAS I I ., ,J l • . ,.. ' . ~ I II' ,, BUILDING I 1\ •. J SPECIAi. CONDITIONS I rlYF I .. . I ~,[ 0 u Cl) z 0 ;:: C cc C .., u Ill 0 cc Ill 0 .., 5 ~ Ill z Jt 0 z 0 ;:: C Cl) z Ill G. :Iii 0 u Cl) ic Ill ,0: cc 0 31: ![ O I hereby affirm that I am licensed under provision■ of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In lull force and effect. lie No ------Cla!.S I hereby afllnn thal I am exempt trom lhe Contrac· tor's License Law 101 the following reason (Sec 7031 s Business and Protesst00s Code Any c11y Of county which re-quires a perm.I 10 consttuct. alter. ,mprcwe. demolish. or repair any structure pnor to its issuance also requ11es !heap· pllcant for such permit 10 Ille a sipned s1atemenI lhat he Is licensed pursuant 10 lhe. provisions ol the Contractor's License Law (Chaprer 9 commencing wllh Section 7000 of Ckvision 3 of the Business and Proless10ns Code) o, Iha! ,s el(• empl therefrom and the basis for the allegeo exemp1,on Any vlOlalton of Sechon 7031.5 by an apploc,nt for , perm,, sub 1ects the apphcant to a civil pen.atty or not more lhan hve. hun· dred dollars (S500) D I. as owner o1 the property, or my employees with wages as theu sole compensattoo. will do the work and lhe struc· lure Is not Intended or ollered tor sale (Sec 7044, Busmess and ProtesstDfls Code. The Contractor·s l teense Law does not apply 10 an owner of property whD builds o, . improves thereon and who does such wDfk htmsel1 or through his own employees. provided that such improvements are not ,nlend-ed or offered for sale II, however, the bu11dmg or improve-ment Is sokJ within one year ot compteuon. the owner-builder will have the burden ol prOY1ng that he dtd not bl.llki or im· J>(OVe for lhe purpose of sale). O I, as owner of lhe property, am exclusively contracting with hcensed contractors to construct the pro,ect (Sec. 7044, Business and ProfessiOns Code The ContractOJ's License Law does not apply lo an owner ot property who builds or im-proves thereon, and who contracts for each pro,ects with a contractor(s) hcense pursuant to !he Conrractor's lteense Law). □ As a homeowner I am ,mprov,ng my home. and the follow· ing conditions exist: 1. The work is being pertormed prl0f lo sai. 2. I have lived in my home for twelve months prior to complelion of ttus work. 3. I have not claimed this exempttan during the last three years. D lam exempt under Sec. ______ . 8 & P.C. for this reason ____________ _ 0 I hereby affirm thal I ha..ie a cen1t,cate of consent to sett-insure. o, a cen1t1cate ot Workers· Compensation Insurance. or a cer1,11ea cop.,. !hereof (See 3800. u>bOr CO<le) POLICY NO COMPANY □ Copy IS filed w1lh lhe: city O Cen11ted CoP'; 1s hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This secuon need not be completed 1f the perm11 1s tor one nundred dollars (S 100) o, ress) D I certify thal In the performance of the w()(k ro, which this pemut 1s issued. I Shall no1 employ any pe1son in ¥\Y m'1tlner so as to t>ecome sub1ect 10 the Wol'l(ers· Compensauon Laws ol Calllorn,a NOTICE TO APPLICANT II. after mak1n1 !his Cen, hcate of bempt,on. you should become suo1ect I? the Wol1(ers· Compensation provisions of the LabOr Code. you mus! fOr1hw1th comply w1Ih such provisions o, 1h,s oermI1 shall be deemed revokeo D I hereby athrm lhal there ,s a cons1tuc11on 1end1no agency '°' the per\o,mance 01 me wO"'-to, which 1h15 permI1 ,s ,ssueo tSec 3097. c, ... 1I COOel Len<Jer s Name ___________ _ Lender·s Address __________ _ I I I I I I I I I I I I I I I I I t V l l•t I .. ,. v, • ._, ,._ • u .. vv ouon-U..JL V"'-'-t r I . CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS ~o AV <:TAO. NEAREST CROSS ST. liJj~l#l10 NI BUSINESS LICENSE ,t VALUA TION t PEAMIT 1 N~M~Ef;- 23 /,1 l A ~ <;"'.J\. ~c... 3~??1.J LOT BLOCIC I SUB0IV•SION I ASSESSOR PARCEL NO. V lA-::;c;/ J-i..clF---r;J-z}.,; CONTRA~Tot\S'ftoNE• ZONE. ~:i,,. ;;:::~,e11 1 , 71 / R,, ~.;,r,,~ I OWNEA"S PHONE r?..2""~ -J/J/n CONTAACTOA"S ADDRESS LICENSE NO ' PLAN 1.0. # BLOG use CODE ,3la}q A ,IU I~-~ Z.rh:. I t=?//,~2..2L 0 J/io;NG ;;:~:'~10 A lll SA.p a"'~?) DESIGNER --LICENSE# STAN DA AO PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WOAIC , V DESIGNER'S ADDRESS OESIGNEA"S PHONE - _El<e..,1r1 c;AL Lui Rv'A{j GI D & / t:4 bD.; I ~-- ~ FIi' FLA ELEV. NO OCC GP EDU • STORIES vD NO -- CENSUS TAACl I GP LANO USE [ PAAIC ING SPACE I AES UNITS I GRADING PERMIT ISSUED [ REDE VELOPMENT TYPE OCC LOAD FIRESPR AREA CONST YO N □ vO NO vO NO Not Valid Unkn ~chine Certified QTY. PLUMBING PERMIT • ISSUE "'}~ QTY. MECHANICAL PERMIT • ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ,, INSTALL FURN. DUCTS iJP 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 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 -u;>.l .... EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 EACH VACUUM BREAKE.R MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01·00·0Q·8225 WATER S0FTNER .. RELOCATION OF EA FURNACE./HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN JINSIDE) SOLAR n,.nn.nn.ooo~ TOTJ.L MECHANICAL STRONG MOTION 80·92-33-0519 TOTAL PLUMB ING I FIRE SPRINKLERS 01 ·00·00·8227 S"-QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE NEW CONST EA AMP'SWT 18KR COLLECTORS SCHOOL FEE • DISTRICT J 1 PH 3 PH -4'~ ~ _,--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 Oieguito 80-92·23-0519 REMO0EL 'A LTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS) CREDIT DEPOSIT TOTAL ELECTRICAL I ur-TOTAL SOLAR TOTAL FEES PAYABLE L -;,,0,r-,..----* AN OSHA PE~iiiAEOUIAEO FOR EXCAVATIONS OYER I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT AND DO HEREBY Expirahon Every permit 1asued by the 8'.,110tng Off1e11I under the prm,1s1ons of this CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by limltatlon and become null and void tf the bu1ld1ng or work s· o--DEEP 4ND MOUTION OR CONSTAUCTION OF authorized by su<:h pe,m1t ,1 not commenced w1thm 180 days from lhft date 1)1 suet, DECLARATIONS ARE TRUE AND CORRECT t\N0 I FURTHER-CERTIFY AND AGREE IF A PERMIT IS permtt. or 1f he buddtna....m... work authorlZed by such permit ;, suspended or __.JTAUCT\JRES ER 3 STORIES IN HEIGHT . , ISSUED TO COMPLY WITH All CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandoned a •ny liJlllrllner m&-.ork ,a commenced for• """od of lAO ·-·-- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . Is It' l CONTRACTOR t'!f" AP~OVED BY (_ ~ \ 1Do/6/2<t KEEP HARMLESS THE CITY 0. F CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AN~P T IG ATURE ,if, r_., OltVNEA □ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ,-:V ~ • _,_ .-BY PHONE 0 GRANTING OF THIS PERMIT, -• /74" ,,,,, f ~ ~ u: ~ "' 0 a. E (I) ~ :2 0 t, C Cl) -~ a. a. <{ I ..>i:: C 0:: 0 "' "' (I) "' "' <{ I 3: .Q ai >- ,,; "' (I) 0 0 a: Cl) <ii 0 §: (I) 0 C Cl) C u.. C (I) ~ t, 0 u (I) a. "' C ~ ~ ~ TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I REINFORCED STEEL I MASONRY ~ I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING □ ROOF □ SH~AR FRAME I EXTERIOR LATH I INSULATION ' I INTERIOR LATH & DRYWALL I I • . - PLUMBING I SEWER AND BUCO D IPUCO I UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN I GAS TEST I □ WATER HEATER □ SOLAR W ~TEA I ELECTRICAL I □ ELECTRIC UNDERGROUND □ ~FFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL : I MECHANICAL J D DUCT & PLEM., □REF.PIPING - HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I \. . ...... \ "'-.... !. ~ \~ 6'(" I --- -' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN A.PPROVED.-1 -, ' - FINAL , I \ . PLUMBING ! ~~, I ' t . ~ \ ~ : ·-' .. ELECTRICAL I MECHANICAL i GAS I ·?-.,-,, .. , r:., • ' '-, '\ • 'r-' -BUILDING ! ' - SPECIAL CONDITIONS I I I ~,, i .- ' -- • ·, t· I\ r •. -· FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIQNED Cc,"l\jCRETE FIELD WELDING HIGH STRENGTR BOLTS SPECIAL MASONRY PILES CAISSON5 ' • -cl :::;-. ..... , ( I t" . --' , r4 '; - l } .. ~:·-;-' "\ .-·, ' , ·' ' _, -,., .. _ -' \ -.·-"-·,·,· • ' ' ' .. t' ' .-• '· ' t"' ~.,,,. •• ~ ,-.:--.. .... ~ • ~ ·-,. ' ,. < - ·, \ ., -, " • ~ ,~:• . -· - ' ~--- INSPECTOR'S NOTES • II ' "\- --v,·-\ :· .... ""-. ._J 1...-.·. . \ ,:...:. •. . "" '"'."~ ,\i .. J.\ -. - :""\ ;_ • I \' . \ ' ; -, y . - ' .i~•;)-7/, ~ ·~ .. . - -' --' \ ... ~ -', -I -.. ,. I -. City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business will be conducted Name of Occupant Address of Home Office of Occupant if different from above Owner of Building Type of Business Previous use of Building Type of flammable or explosive liquids to be used, If any Address VALIDATION Building Permit No. Business Phone 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 -t:... Engineering Department Fire Prevention Health Department Building Department Date Date , 19 In the City of Carlsbad, State of California Signature of Building Official FOR DEPARTMENTAL USE ONLY Occupancy Group Type of Construction Disapproved By Disapproved By Disapproved By By By White -Bulldlng Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.