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Home My WebLink About2315 VIA SANTOS; BLDG 3-3; 83-271-3-3; PermitIll z 0 j;; C a: C ... u ... 0 a: I[ 8 z 0 j;; C Ill z ... IL ::t 0 u Ill ii: ... ""' a: 0 3 ![ O I hereby affirm that I Ill" licensed under provisions of Chapter 9 tl!bmmenclng with Section 7000) of,Dlvlslon 3 of the Business and Pro fessions Code, and my license is In full force and e ffect. lie No ______ Class 1 hereby affirm that I am exempt lrom the Contrac· lor's L1tense Law for the lollowmg reason (Sec 7031.5 Business ind Protess10ns Code Any city Of county whttti re-quires a permII 10 conslrud. alter. tmprove. demohsh, or repair any s1rucIure, prior 1011s issuance also requires !heap-pllcant fOf such peumt to file a S19ned statemenl that he Is licensed pursuant 10 the prov1s1DOs of the Con1rac1or s L,cense Law (Chapter 9 commenc,ng with SectlOO 7000 ol OIVISIOO 3 of the 8us111ess and Profess,ons COde) o, that ,s ex-empt the lro,n and the basis 1or the allege(! exempt,on Any Vlolah 01 SecI,on 7031,5 by an appl1e1n1 tor• perm,, sub- Iects applicant to a c1v,I penalty of not mo,e lhan hve hun· dr ~oflars ($500) 1. as owner Of !he ptoperty. Of my employees will'I wages as their sofe compensaII00, will do the work. and lhe struc-lure ,snot intended or otlered IOf' sale (Sec 7044. Business and Professions Code. The Contracto,·s L,cense Law does not apply lo an owner of Pfoperty who builds or lfflproves lhereon and who does such work htmSeft or through his own employees, provided that such 1mprovemenIs are not inlend· ed or offered tor sale II, however, the building or improve· men~ls wI1hIn one year o1 complett0n, lhe owner-builder wlll ha the burden of p,ovIng lhat he dlCI nol build Of un- prov or tile purpose of sale) I, as owner ot the property, am exclusively contracting with hcensed cootractOfs to construe I the pro,ect (Sec. 7044, Business and Pfotesst00s Code· The Conttactor's Lteense Law does not appty to an owner of property who builds or im· prOYes thereon, and who contracts IOf each prqects with a ~f~ctor(s) hcense pursuant 10 the Contractor's License D As a homeowner I am ,mprovmg my home. and the follow- ing conditions exist 1 . The work is being pertorrped priOf 10 sa.Je 2. I nave lived In my i.im, tor lwelve months prKJr to complebon ot this work. 3. I have not claimed tt11s exemptoo during the last three years. g :hi:,:tl under Sec. ------,-, B & P.C. ------------- D I hereby affirm that I haite a cen1t1c.a1e ol consent to self-insure. or a cert,t,cate of Worke,s Compensa1ton Insurance. Of a cen1t1ed copy thereof (Sec 3800, Labo< Code) ~ C NO NY y tS flied with the CIly 0 CerM,ed copy 1s hereby furnis~ CERTIFICATl OF EXEMPTION FROM WORI\ERS· COMPENSATION INSURANCE (This section need not be comple1ed 1f the pe,m,t ,s tor one hundred dollars (S 1()0) or less) 0 I cet1,ty tf'\at m the performance of !he work tor wh1cf'I this perrrut Is issued. I shall nor employ any person in any manner so as to become sub1ec1 to Ille Wol'1(e,s· Compen~11on Laws ol ca111orn1a NOTICE TO APPLICANT ti. after maktnJ lhIs Ce111 hcate of EJi:empt1on you should become sub1ec1 t? lhe Wonters· Compensation pro\1Is1ons ol the labor Code. you must forthwith comply with such pt0\1Is1ons or lh1s pe,m,t shall be deemed ,e...,oked O I hereby atrum lhat there 1s a construction lending agency tor the penormance ot lhe wont lo, wtucn ttus pe,m,1 •s ,ssueo tSec m1 C1v1I Code1 Lencse, s Name ___________ _ Lenoe,·s AdO,ess __________ _ ----·•--.•.-···· • -·· -··-· -• ··---······------ I --CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. 1r;;7't7i~0 N I BUSINESS LICENSE • VALUATION PERMIT NUMBER 2315 Via Santos . Hosp 32.0 ;2.~ LOT BLOCK I suB0Iv,sI0N I ASSi Sl~?R~Y'+OO CONTRACTOR I CONTRACTORS PHONE • ZONE Community Resources Corp. 83-271 -3-3 OWNE R•s NAME I OWNER'S PHONE Community 483-6500 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG USE CODE Resources Corp . OWNER'S MA•LING ADDRESS 2204 Garnet Ave., San Diego, Ca. 92109 DESIGNER LICENSE rt STANDARD PLAN # BUfq~;[TAGE DESCRIPTION OF WORK ,. Ojj(t, t 111l 11 ~ DESIGNER'S ADDRESS DESIGNER•s PHONE , I Bldg. 3-3 ,, r 12 Units f)\)4c.~ C AQ.M.tl - ~UW\1T F/P FLR ELEV. NO OCC GP EDU .,o, ~/63.47..Bti ·'-~ CS. 1.r.. ~t.>D•Ttalll STSES ~-\ __ _.. --•--.:. _, sosr~u:. vO NO -- CENSUS TRACT I GP LAND USE I Itc:,5ce I AES\ u.i:s I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA tfr-),.~. YO ND v□ N~ v0 N ~ Nor Valid Unless Machine Certified QTY. PLUMB ING PERMIT · ISSUE Q T Y. MEC HA N ICAL PERM IT -ISSUE SUMMAR Y/ACCOUNT NUM B ER I'\.-~ 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 AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 (o4 l}·-- EACH GAS SYSTEM 1 TD 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 BR EAKER MECH EXHAUST HOOOIDUCTS MOBILEHOME 01 ·00·00·8225 WATER SOFTNER I RE LDCA TION OF EA FU RNACEIHEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-nn-nn.ooo~ TOTJ.L MECHANICAL STRONG MOTION 80-92-33-0519 .t.'l..1i 4 TOT AL PLUMBING I FIRE SPRINKLERS 01-00-00-8227 -· • QTY. EL ECT RIC A L PERMIT -ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00-8933 \o'ioa-t BRIDGE FEE NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT l 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 ./ r,../ San Dieguito 80·92· 23·0519 REMDDEL'ALHR PER CIRCUIT PLAN CHECJY{EE J, San Marcos 80·92· 24·0519 TEMP POLE 200 AMPS £ 11/v \ / OVER 200 AMPS If IP,., C>_.,. / LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY !30 DAYS) n;v ,/ ./ ',r ../ CREDIT DEPOSIT TOTAL ELECTRICAL I --.a.-TOTAL SOLAR I Scs-,'l~ TOTAL FEES PAYABLE Ex~i,.rahon very m1t 1uuec, by the Butldmg Off1c1al under the provisions of th,a • I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT' AND DO HEREBY * AN OSHA PE ... IT IS AEQUlflED FOfl EXCAVATIONS OV£A CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sh • re 1m1tat1on and become null and void If the building or work S' o--DEEP ANO DEMOLITION 011 CONSTRUCTION OF author by rm,t ,snot comm.enced w,thul 180days from the date\)f such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm1 or 1f lld1J or won authorlled by such permit ,s suspended or STAUCT\JAES OVER 3 STOAIES IN HEIGHT -ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOIIERNING BUILDING CON· abl1n n ,~ a e r l"8 w o rk II commenced lor a oenod ol 180 da•• -STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAIIE INDEMNIFY AND Al ,c~ 7::ATURE • OWNE? CONTRACTOR 0 APPRL .. l t:,, .... !:~'" 1or1/t~3 I\EEP HARMLESS THE CITY OF CAAlSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY iN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~'J. ,, ,&._~ ev PHONE D ~ . . ... GRANTING OF THIS PERMIT, ._ I I 7 I ~ u:: >, ;;; 0 0. E Q) t-- 1 -0 0 (.'.) C "' -~ 0. 0. ~i) I -"'-c a: 0 (/) (/) Q) (/) (/) ~ I ~ _Q <ii >- Cl) (/) Cl) <.> 0 a: "' cii 0 ~ Q) <.> C "' C u:: :::. C Q) ~ (.'.) 0 0 Q) 0. (/) C ~ .c 3: i TYPE ! DATE INSPECTOR BUILDING I FOUNDATION '. REINFORCED STEEL ! MASONRY I GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SHEAR FRAME I J EXTERIOR LA TH I INSULATION I INTERIOR LATH & DRYWALL I, I I PLUMBING I SEWER AND BUCO DIPUCO I 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 D :UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPOOARY D BONDING D POOL I ' MECHANICAL I D DUCT & PLEM., D REF. PIPl~G -, . HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I r . ] CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPRPJIED_. __ FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS . r. ' ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS INSPECTION REQ IF CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO 'l t ,.- FOUNDATION INSP STRUCTURAL CONCRETE ,. ..... OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS . . l ·--· -, .. ; •• j, ~ ~ , , ,, --. -. • I . ., '- ' ' j . ' ·1-i s-~--d-71,~ 3 ·3 •, '"' ' INSPECTOR'S NOTES . ,,_ ' • I - DATE .. - --:-1,rf • lr 4•_ ...... ;:_-- ...i..,. .. " . --. -' . >' • to I , • • I •· , r' ---·-- V •"-.. f .~ -.. ; .. ' ·Ir'"' .. \~~ • ":. -·\f"'" ~ - . I . ~' ' ' 1 _(7' .. ;.. I ' " ,· - Ill z 0 ~ er j (.) "' 0 IC I[ 0 (.) z 0 ~ ~ z "' IL 2 0 (.) Ill a: "' "' er 0 3: ![ O I hereby affirm that I am licensed under provlalona of Chapter 9 (ebmmenclng with Section 7000) of .Division 3 of the Business and Proleaalons Code, and my license Is In full force and effect. Lie No ______ Class I hefel>y alllrm Iha! I am exempt lrom the Conuac- to<'s License Law lor the loilowIng reason (Sec 7031 5 Business and Prolesst011s Code Any city or county whttli re-quires a perm.I to construct. alter improve. demolish, or repa,r any structure. pnor to 1Is issuance also requires !heap--phcanl for such permit to Me a s.gned statement thal he LS hcensed pursuant 10 the prOYISIOflS ot lhe Con1racto(s Lieense Law (Chapter 9 commencing with SecllOn 7000 of Orv1s1on 3 of the Business and ProfeSSJOns Code) or thil is ex-empt therelrom and the basis IOI' the allegeo eumpt,on Any violation ot section 7031.5 by an apphcanr tor a perm,, sub-jects the applleant to a CIVIi penalty or no1 more 11\an hve hun- i ollars ($500) as owner ol lhe property. 01' my employees with wages ,r sole compensation. will do the wot'k, and the struc· ture Is not intended or offered tor sale (Sec 7044, Busmess and Proless,ons Code The Conlract0<'s Ucense Law does nol apply 10 an owner ol property who builds Of improves !hereon and who does such w0<k hlmsell Of through his own employees, provided lhal such Imp<ovemen1S are not intend· ed or offered for sale. II, however. the buikhng or improve- ment 1s sold within one year ol complehOn, the owner-bu1kter will have the burden ot proving that he did not bo11d or im-- pr 10< the purpose ol sale). I, as owner oc the property, am exctusrvdy contracting ith licensed conlractors to construct the prOje<:I (Sec 7044, • s and Proless,ons Code· The Contracl0<'s License Uw does not apply lo an <M"ner ol property who builds or 1~ proves thereon, and who contracts for each projecls with a conlractor(s) Ocense pursuanl lo the Conlractor's Ucense Law). D As a homeowner I am imp,oving my home, and the lollow· ing conditions exist: t. The WO<k IS being pertOl'med priOI' lo sale. 2. I have li'l!<I m my home IOI' twelve months 3. r:v~ ~~of t 1 ~~ =~ption during the La.st three years. ~ tlh:,::t under Sec. ______ , 8& P.C. ------------- □ I hereby athrm that I hai,,e a cen1hcate 01 consent to seU-msure. or a cer11t1cate of Workers· Corn~sat,on Insurance. o, a cert1t1ed copy thereol (Sec 3800. Labo< Code) POLICY NO C/JPANY ,l!l-£or,v Is hied with the city 0 Cert1t1ed copy Is hereby lurmshed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sec1100 neec not be compleled 1! lhe oermI1 is to, one hundred dollars CS 1001 or less) 0 I certify that ,n the per10<mance ol lhe woni: tor which lh1s permit ,s issued. I shall not empl0y anv pet"son 1n Niy manner so as 10 become sub1ec1 to lhe Wot11ers' Compensation Laws of California NOTICE TO APPLICANT 11. after maktn1 rn,s Cert, ticate ot Exemption. you snould become subJect t'l the Wot11.ers' Compensahon provisions of the l...abot Code. you musl tortn..-.11n comply with such p,ov1s,ons or this permit shall be deemed re"o11.e<1 D I hereby affirm lhat 1nere 1s a cons1ruct1on Ieoo1ng agency tor the pertOfmance 01 the wo"'-lo, wtnch lh1s permit Is issued tSec .)()97 C1v1I Code I Leooer s Name ___________ _ Lenoer s Address __________ _ .,._,.. -••--• -•••• • -•• -••-• -• ••---••••n-. - CARLSBAD BUILDING DEPARTMENT APPLICA T_IO_N & PERMl1/, ()¥-{)99 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB AO0RESS AV ST.AO. NEAREST CROSS ST I OA;;;~ ;;;ICATIONI BUSINESS LICENSE,# I • PERMIT NUMBER--;, ~~ ,/, ~ 2315 Via Santos Hosp 01') ~~ - ~:1111-~' LOT I BLOCK I sueo1vis,0N I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE OWNER'S NAME I OWNER'S PHONE Community Resources Corp . CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE Communitv Resources Corporation 483 -6500 n ,,~, ... ~ ')!II .. ;.~·-~,, OWNER'S MA•L•NG ADDRESS :,E, I 't • 2204 Garnet Avenue, San Diego, Ca. 92109 DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WORK DESIGNER'S ADDRESS OESIGNER"S PHONE Building 3-3 12 Units ~-----~----------~----F/P FLA ELEV. NO OCC GP EDU FOUNDATION ONLY vO NO STORIES -- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST y D ND vO NO vO NO Nor Valid Unkn Machine Cerrilitd QTY. PLUMBING PERMIT -ISSUE -?:!!!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER I , -I, EACH FIXTURE TRAP r INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 , . .; ~ , ..Jt ) EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPT0 3 HP PLAN CHECK 01-00-00-8806 7,-9.q ~~ EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -r EACH GAS SYSTEM 5 OR MORE 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 I WATER SOfTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP \ EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??• I T0TJ:.L MECHANICAL STRONG MOTION 80-92-33-0519 7-i,..q TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227 , QTY. ELECTRICAL PERMIT -ISSUE 5=-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 'i.f1S<-Z... - BRIDGE FEE NEW CONST EA AMP/SWl BKR COLLECTORS _,,,,,,-' scicioL FEE • DISTRICT l PH 3 PH STORAGE TANKS / / Carlsbad 80-92-21-0519 , EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE / t' ~ V Encinitas 80-92-22-0519 1 PH 3 PH PUMP / Jfi 1> \ / San Dieguito 80-92-23-0519 RE MOOE L 'ALTER PER CIRCUIT PLAN CHECK FEE I Al I / San Marcos 80-92-24-0519 TEMP POLE 200 AMPS IV'\..() /. OVER 200 AMPS I ,. IJ ·1 / LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS) \ v ~ / . \. , ,)' CREDIT DEPOSIT ✓ 1/,U.' TOTAL ELECTRICAL I TOTAL SOLAR "-._ ./ TOTAL FEES PAYABLE I ~i,~.tA - I HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERMIT" AND DQ HEREBY Ex~e.. I -bylhe8uifdlno0tftciel unde<the provos,onaofthtl * AN OSHA P£1Wff IS IIEOUIAED FOIi EXCAYA"°"5 OYEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sllall • 8 lim· and beconwt null and void If Ille building or wofl< s· o·· DEEP ANO DEMOUTION 0A CONSTRUCTION OF . authonzad sue not commenced wllhtn 180 days from !he date of such STAUClUAES ~ER 3 STOAIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT ANO I FUAT.HER CERTIFY AND AGREE IF A PERMIT IS _,,,,t. ii ri'~bu~tl or work authonzed by such pe,mil II suspended or ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-aban at b er ,_otll II com-for a oenod of 180"•u• sTRUCTION WHETHER sPECIF1Eo_ HEREIN OR NOT r ALSO AGREE TO SAVE INDEMNIFY AND 7ICANZ' u~ OWNER□ CONTRACTOR 0 APPII OVEDBY J" ! • . ":.> 1~/f3 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO E . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ) -. ...I. .l GRANTING Of THIS PERMIT _ , 'A' --• .J -/ ~ ii: ~ ~ 0 a. E ~ I -0 o :!°!i (.'.) C 0) u a. a. ~ I ~ C a:: 0 "' "' Q) "' "' ~ I ~ .Q ai >- Cl) "' Q) u 0 a:: 0) co 0 & Q) u C 0) C LL C Q) ~ (.'.) 0 ti Q) a. "' C ~ L:. ~ TYPE I DATE INSPECTOR I BUILDING I ' ........ -• -· -\._'-;.;'-.--· .. (" _., -- ' ' ' ¥'~-:J-7 ,.. l, -3 ,-=ou.-.o . FOUNDATION I FIELD INSPECTION RECORD ' ' REINFORCED STEEL I I MASONF;Y I - GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I I - -- REQUIRED SPECIA L INSPECl IONS INSPECTOR'S NOTES -.. . ;.. -' j INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -~ . .. -... ,.... • ... -:- ' ' '·, ;--\ / SOILS COMPLIANCE ' SHEATHING D ROOF 0 SHFA R ·--------------l'lllOR TO ~ .... --+--- FRAME I EXTERIOR LATH I I rouNOATION INSP . ' ,, STRUClURALCONCRETE ' OVER 2000 PSI •• INSULATION I INTERIOR LATH & DRYWALL I ; " PRESTRfSSEO \ I ·' CONCRETE -· POST TENSIONEO I I CONCRETE -. PLUMBING I 1·1ELO WELDING -J SEWER AND BUCO DIPUCO ' I UNDERGROUND D WASTE D fiATER ,,,,-- TOP OUT D WASTE D WATER l • l'i -~n IA rn.l) HIGH STRENGTH ... ~ '"' ---BOI TS Ii ... -- SPECIAL MASONRY ·. '• . ., TUB AND SHOWER PAN . . / I GAS TEST I :Z-ft,,.--~ '7 ,n~J PILES CAISSONS D WATER HEATER D SOLAR WATER - I ELECTRICAL I D ELECTRIC UNDERGROUND D 1UFFER ROUGH ELECTRIC I I D ELECTRIC SERVICE D TEMPdRARY . ·,. . . '~ " ... . . ... ., .. ·; .. 1-·--" " . D BONDING D POOL I . ' . ,-. . . ~ .. I -I MECHANICAL I I --D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I . I I ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE H_A'a_ BEEN APPR0VE_D. ___ _ FINAL I .-., ~ .• ., ' - PLUMBING I ·.J ' ,.,: _.!I - ELECTRICAL I I MECHANICAL I •'v - ... ~ ! GAS I . •. BUILDING I I . _\. . ., , . .s .. ·t - SPECIAL CONDITIONS I . ... ' "\ I T "' z 0 ;:: <( a: <( ~ 0 Ill 0 IC I[ 0 0 a: Ill 0 ~ 5 • ii: Ill z ~ z 0 ~ "' z Ill a. :I 0 0 "' a: Ill :,,:: a: 0 3 i[ O I hereby affirm that I am licensed under provlalona of Chapter 9 (cO.-enclng with Section 7000) of Dliclslon 3 of the Business and Profeaalons Code, and my license is in full force and effect. lie No ______ Class I hereby affirm tha1 1 am exempt 1nm the Contrac· tor's license Law tor the lollow,ng reason (Sec 70315 Bus,ness and Proless,ons Code Any city or county which ft· quires a perm,1 to construct, alter mprove, demolish, or repair any structure. pnor to 11s issuance also requires !heap-phcarH !Of such permit to tile a SJgned statemenl that he Is hcensed pursuant to the pcovis'°"s of the Conuactor s L,cense Law (Chapter 9 commencing with Sect,on 7000 of O.v1sKH1 3 of the Business and Profess10ns CQde) or that ,sex- empt therefrom •nd lhe t>as1s lor lhe illleQ<O exernphon Any violatKH1 of Sect,on 7031 5 by an appucant for a permit sul>- ,ects the apphcant to a crv,1 penalty of no1 moce than fNe hun· dred dollars ($500) r I, as owner ot 1he property, or my empk)yees with wages as their sole compensation. will do the work. and the struc-ture 1s not intended or offered tor saie (Sec 7044. Business and Pro1ess10ns Code The Contractor's License Law does not apply to an owner ol property who l>Uilds or unproves thereon and who does such work h.msett or through his own empk>yees, provided that such lmprcwements are not intend-ed or offered 1or sale. 11, however. the building or improve- ment 1s sok1 w1th1n one year of compklion. the owner·bu11der wlll have !he burden of proving that he did nOI build or im-prove to, lhe purpose o1 sale). D I. as owner ol the property, am exclusively contractmg wnh hcensed contractors to coostruct the pta,ect (Sec. 7044, Business and Professions Code The Contract0t's license Law does not apply to an owner ol property who l>Uilds or ,m-l)(OYes lhefeon. and who contracts tor each pro;ects w1lh a contractor(s) license pursuant to the ContractO<'s License Law). D As a homeowner I am rmprovmg my home, and the lollOW· ing conch hons exist. 1. The work is being performed prlOf lo sale 2. I have l.ved in my home '°' twewe months 3 r':'av'e° ::1pci:~of 1:~ :~lion during the last lhree years. g /h~:r::gi u!lder Sec. ______ . B & PC ------------- D I hereby affirm that I hav-e a cert1flca1e of consent lo sell insure. or a cer1,t1cate of Workers· Compensation Insurance. or a cer11t1ed copy thereof (Sec 3800, Labor Godel POLICY NO COMPANY □ Copy IS hleo with tne city □ Cer11t1ed CoPV IS heteDy tum,shed CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need no1 be completed 11 the pe,m,1 1s !or one hundred dollars ($ WO) Of less) 0 I cen,ty 1hat in the performMlce of lhe woril. '°' which this perm,t 1s issued. I Shall not employ anv person ,n any manner so as 10 become subJecl to the WO<kers· Compensation Laws ot Callt01nia NOTICE TO APPLICANT If. alter mak1n-;1 th1s Cert, t,cate of E•emptton. you should becOme sub1ec1 ,,, Ille Wol1(e1s • Compensation p,01,11s1ons ol lhe Lat>or Code you musl lor1h-.1th comply Wllh such prov,s,ons 01 lhts permit shall be deemed revoke<:2 O I heteby attt,m lhat there •s a con!trucllon 1end1no agenq for the perto,mance ol the won.. 10, wh1Ch l htS permit •S issued tSec 3097 C,v,I Cooe1 Lenders Name ___________ _ Lenders Address __________ _ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm~ Carlsbad. California 92008-1989_!519) 438-5525~ ,OB AO0RESS e:A.S/t;-~~ AV STR0. NEAREST CROSS ST ~/~ DATE OF APPLICATION ///4.:i/r-3 BUSINESS LICENSE • VALUATION PERMIT NUMBER LOT BLOCK SUBOIV•SION-ASSESSOR PARCEL NO. CONTRACTOR r.,~~ ... ~ CONTRACTORS P>iONE • ZONE J 3 .-.2 7 /-/ )-. OWNER'S PHONE ~i!:?'.!~~~~~----~~~'":::f.rloa.-~~E2... __ ~6~~~~~~~~'$~-~~~2>!~~7~ C°,;,=;R'S PLAN 1.0. # BLOG USE CODE ;f • _/ ~ _' _ . DESIGNER ,J~ ~ ,><Zizi.,/ ~ DESCR1PT1QN OF WO~t< ~ I --. I DESiGNER"S ADDRESS ~~/-1. /42 ~ F/P F LR ELEV. vO NO CENSUS TRACT l GP LANO USE f PARKING SPACE l RES UNITS I GRADING PERMIT ISSUEO 10 N 0 I REDEVELOPMENT AREA vO NO QTY. PLUMBING PERMIT • ISSUE ?L EACH FIXTURE TRAP -? EACH BUI LO ING SEWER 1/.4. EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE 3 EACH INSTAl . ALTER. REPAIR WATER PIPE 1---EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN JINSIDE) TOTAL PLUMBING r QTY. ELECTRICAL PERMIT· ISSUE NEW CONST EA AMP SWT BKR 1 PH 3 PH EXIST BLOG EA AMP/SWT BKR 1 PH 3 PH REMODEL"ALT£R PER CIRCUIT TEMPPOLE lOOAMPS OVER 200 AMPS TEMP OCCUPANCY !30 DAYSI TOTAL ELHTRICAL I -- 7,ScJ /?o.- _h~ 30-- ..s-.- ,.;139 - l ,tJo QTY.I MECHANICAL PERMIT· ISSUE INSTALL FURN. DUCTS UP TO 100.000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 15 HP MET AL FIREPLACE VENT FAN SING LE DUCT MECH EXHAUST -HOOD/OUCTS RELOCATION OF EA FURNACE /HEATER TOH,L MECHANICAL QTY. I SOLAR • ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR (./ ----iw STORIES TYPE CONST .J',dP LICENSE .:i STANOARD PLAN # BUILDING SO. FOOTAGE ! . . f'' •.••. ~ ~ OE SIGNE R'S PHONE .,__..., -- OCC GP EDU occ LOAD I FIRE SPR vO NO Not Valid Unkss Machine Ctrtifi«J SUMMARY/ACCOU NT NUMBER BUILDING PERMIT 01 ·00·00-8220 SIGN PERMIT 01·00·00-8221 PLAN CHECK 01·00·00·8806 TOTAL PLUMBING 01 ·00-00-8222 I ,,..:23~ - ELECTRICAL 01·00·00·8223 MECHANICAL 01 ·00·00·8224 MOBILEHOME 01 ·00·00·8225 MOBILEHOME PARK INSP SOLAR Ill ·llQ·QQ·8226 STRONG MOTION 80·92·33-0519 FIRE SPRINKLERS 01·00·00·8227 PUBLIC FACILITIES FEE 32·00·00·8933 BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad 80-92·21·0519 Encinitas 80·92· 22·0519 San D1e~ui(o 80·92·23·0519 I San Marcos 80·92·24·0519 LICENSE TAX 01-00-00--8162 CREDIT DEPOSIT TOTAL FEES PAYABLE [ o23C/, - I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on E.,_ry permit 1ssueclbyl.,.Bu,ldmg0ff1c1alunder theprov1s1onsofth,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1t1h0n and become null end void If !he bu,td,ng or work * AN OSHA PERMIT IS REQUIA£D FOR EXCAVATIONS OYER s· o·· DEEP AND DEMOLITION QA CONSTRUCTION OF STRUCTUA£S OYER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,zed b such mil ,snot commenced w1th,n 1 m the date.:,t such ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON or STRUCTION, WHETHER SPECIF:EO HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND L:':ii"=:::=:=r.~:Z..::~=~p!-.;,=~~~~!!!..!!!!..!!.J!l!~~!!..!.~W.L.--... .., .. ____________________ ... KEEP HARMLESS THE CITY OF CARLSBAD AGA(NST ALL LIABILITIES, JUDGMENTS COSTS ANO TORO APPROVED BY fj DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT BY PHONE ~ • l / I -2--i 7 ~ u: >-.; 0 a. E Q) I- I -0 0 <!) C (0 -~ a. a. 4: I .:,! C a: 0 en en Q) en en 4: I ;;:: _Q ai >- en en Q) 0 0 a: --(0 iii 0 §: Q) 0 C (0 C u: C Q) ~ <!) 0 u Q) a. (/) C Q) J::. ~ TYPE I DATE INSPECTOR BUILDING I FOUNDATION ! REINFORCED STEEL I MASONRY 1 I GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SHEAR FRAME I 1 EXTERIOR LATH ! INSULATION t INTERIOR LATH & DRYWALL I i ii PLUMBING • I SEWER AND BUCO DIPUCO I r UNDERGROUND □ WASTE □ WATER TOP OUT D WASTE D W~TER TUB AND SHOWER PAN l I GAS TEST I r □ WATER HEATER D SOLAR WA1ER I I ELECTRICAL I D ELECTRIC UNDERGROUND D (JFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPO IRA RY D BONDING □ POOL ' I I MECHANICAL I D DUCT & PLEM., D REF. PIPl~G HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS . I " I l CALL FOR FINAL INSPECTl(J)N WHEN ALL APPROPRIATE ITEMS ABOVE HAVI! BEEN APe_ROVED FINAL . J PLUMBING I ' " ' ELECTRICAL I MECHANICAL ' I GAS I ~ .... , ~ ---<:. BUILDING .. -. I SPECIAL CONDITIONS ., I I I . . - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS \ -_; {'', . ,-· L_ . - .. ·-. ,, r -. ·' t. .. :,-. ~f-- -~ -. ---'a ' -< . ' ,,....: ,:. ' ~ ~ ,. '~ ... -, --.,, > -' C . 1 ~![ 8 C/1 z 0 .: C a: ~ () .., a a: .., a ... 5 I .., z 3 0 z 0 ~ z .., ~ ~ 0 () C/1 er .., "' a: 0 3 il O I her.t>y affirm that I am licensed under provisions 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 ______ Class I hereby attirm lhat I am exempt from the Contrac· tor's Lteense Law lo, the tollowmg reason (Sec 7031 5 Business and ProtesslOfls Code Any c11y or county which re· quires a permII to construe! alter, improve, demohsh. or repair any structure prior lo ,ts issuance also requires !he ap,- p#canl fOf' such permit to We a signed statement thal he ts licensed pursuant 10 n,e provisions ot lhe Contractor· s license Law (Chapter 9 ccmmenc,"!! with Section 7000 ol 0rvas1on 3 of the Business and ProfesSK>ns Code) or that 1s ex- empt therelro,n and the basis lo, the allegeo exemption Any vt0Ia110n of SectJOn 7031.5 by an apphcant lor a perm11 sub· 1ec1s lhe apphcant to a civil penally ol not more than live hun- dred Oollars !$500) r I, as owner of !he property. or my employees with wages as their sole compensation. wiK do the work. and lhe strut· tu,e 1s not intended or ottered for sale (Sec. 7044. Bus mess and ProtessM>ns COde. The ConHactof"s L1tense Law does nol apply 10 an owner of Pfoperty who builds or unproves !hereon and who does such work hunself or through his own employees, provided that such improvements are not inlend• ed 0< ottered tor sa~ If. however lhe building°' improve· ment is sokt w1lh1n one year ol complehon, lhe OWl'lef·buikler wHI have the burden ot pro,mg lhat he did not build o, im· p,ove to, the purpose ol sale). D I, as owner of the property, am exclusIvety contracting w,th licensed conuaclors to construct the prOjeci (Sec. 7<M4, Business and ProfBSSIOfls Code The Con Ir actor's Lteense Law does not apply to an owner of property who builds or rm-proves thereon, and who contracts tor each p11Jjects w1lh a contract0<{s} hcense pursuant to the Contractor's Lteense Law). D As a homecwner I am improving my ho,ne, and the lollow· ing conditions exist: I. The wo,k is being perlormed pr,or to sale. 2. I have hved In my home lor twelve monlhs 3. r~v~ 1:1::::I t1~: ~~hon during !he last three years. g ih~:r:t under Sec. ______ , B & PC. ------------- 0 I hereby affirm lhat I ha¥e a cert,t,cate of consent to self-insure. or a cen1t1cate ot Workers Compensahon Insurance. or a cer11hed coPy thereof (Sec 3800, Labor Godel POLICY NO COMPANY □ Copy IS filed wtth the city O een,hed cooy 1s hereby lum,shea CERTIFICATl OF EXEMPTION FROM WORKERS· COM PENSA T,ON INSURANCE (This section need no! be completed 11 !he permit 1s IOf one hundred OOllars {S H)O) or less) 0 I cer11ty thal m the per1ormance of the w~ tor which th,s permit 1s ,ssue-d. I shall not employ any person 1n any manner so as to become sub1ec1 to !he W()n(ers· Compensahon Laws of Calllorn1a NOTICE TO APPLICANT II. after mat..1n1 th1s Cert, hcate of Exemption, you should become sub1ect I? the Work.ers· Compens.il1on provisions ot the Labor Code. you must tort.h-.+th comply with such provisions or this permit shall be deemed revokeo O I hereby attum lhal !here 1s a construclion lending agency IOf the penormance ot the work tor wh,ch lfus perm,1 ,s issued tSec J097 C1v1I Codel Lenoer s Name ___________ _ Lenoer sAddress __________ _ I CARLSBAD BUILDING DEPARTMENT -C APPLICATION & PERMIT ---. 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I JOB ADDRESS AV ST.RO. 1 N~REST.CROSSfi. 1 I OA7E?f?NI BUSINESS LICENSE ,t VALUATION PERMIT ;;,B:: (=_ 2315 Via San-',.,os E.. amino ea 33774 LOT BLOCK I SUBOIVISION I ASSESSOR PARCEL NO CONTRACTOR ( ( I CONTRACTORS PHONE 1 ZONE CRo:-2, OW"IE R'S NAME I OWNER'S PHONE Beach Cities Cons . & Eleci . 726-1010 Community Reso~rces Corp. 438-6500 c16if 0lml0 goE~s ct . , LICEN3E N3. 6 PLAN 1.0 . # BLOG USE COOE 0ceansic e 4 22 OWNER'S MA< LI NG AO DRESS 2204 Garnet Ave ., San Deigo DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE OESCR•PTION OF WOR,c; 1.1, __ .,._.:_.:_, 1.r.:-.:--DESIGNER'S ADDRESS DESIGNER'S PHONE . -------.. ... ----·· ... ------. ----. ----· ~ F/P F LR ELEV. NO OCCGP EDU 4/C.b/t,;-1 b~;;; STORIES ,_r-· ~ • vO NO --< • oeu,1 ~~st ~,acr c1. l,,.' ,-~ . CENSUS TRACT I GP LANO USE I PARl(ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDE VELOPMENT TYPE OCC LOAO FIRE SPR AREA CONST y □ ND vO NO v□ NO Not Valid Unlffs Machine Certified QTY. PLUMBING PERMIT -ISSUE -;-E!-QTY. MECHANICAL PERMIT -ISSUE 3>-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TD 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 OHl0-00-8223 "')..-0.,.\ _,... EACH INSTAL .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 EACH VACUUM BREAKER MECH EXHAUST • H00OI0UCTS M0BILEH0ME 01 ·00·00-8225 WATER S0FTNER RELOCATION Of EA FURNACE/HEATER MDBILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??S TOTliL MECHANICAL STRONG MOTION 80·92·33-0519 TOI AL 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 AMPISWT BKR COLLECTORS SCHOOL FEE • DISTRICT I, l PH 3 PH '-J~l"J A -;,,,,,a-) -STORAGE TANKS Carlsbad 80·92·21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encini1as 80·92·22-0519 I PH 3 PH PUMP San Dieguito 80·92·23-0519 REMDDE L '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 ELECTRICAL I "?A'i. TOTAL SOLAR TOTAL FEES PAYABLE I "'Z,(Jr--,--- I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT· AND DO HEREBY Exp,ranon E~permrt-1,rlhe8ulldlngOlhctalunderlhepl'0\'1SIOflSoflh111 * AN ---· ~2RE0UlflED fOfl EXCAYATIOMS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire t,y ltmrtallon and become nutl -\rOld II lhe llutlding or worl< 5· O" ..x... •··-M0UTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such pe,m,I rs not com,-,cec1 within 180 days from the date of such STAUCT\IAE~-ER 3 STORIES 1H HEIGHT / _m,1, or rf the burldr~or work aulhorad by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY, COUNlV AND STATE LAWS GOVERNING BUILDING CON• ~ at .,,Y time the worll 1a commenced for a 011nod of 180 -... ~-. STRUCTION, WHETHER SPECIFIE.D HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND, APPLICAl~S SIGNATURE ... OWNER□ CONTRACTOR~ "APPROVED B~ ,7 b/~'-/-KEEP HARMLESS THE CITY OF Cl'RlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 9( t EXPENSES WHICH MAY IN ANY 'I/WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -.. .-.. _J . .--BVPHONE 0 GRANTING OF THIS PERMIT. r -~---y--, I ~ ii: >-;;; 0 a. E Q) I- I -0 0 (!) C (0 -~ a. a. <f I .>:: C a: 0 1/) 1/) Q) 1/) 1/) <f I ,: .Q Q) >- <Ji 1/) Q) 0 0 ct (0 cii 0 ~ Q) 0 C (0 C ii: C Q) ~ (!) 0 0 Q) a. 1/) C -~ .c ~ TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I REINFORCED STEEL I MASONRY ' ' GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SH~R FRAME I EXTERIOR LATH I INSULATION ' I INTERIOR LATH & DRYWALL I ' I I PLUMBING I ~ SEWER AND BUCO DIPUCO I UNDERGROUND D WASTE D WATER TOP OUT D WASTE D ~ATER TUB AND SHOWER PAN I GAS TEST I I D WATER HEATER D SOLAR WATER , I . . ElECTRICAL I D ELECTRIC UNDERGROUND D 'UFFER ' ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPQRARY D BONDING D POOL I I - MECHANICAL ' I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ' I CALL FOR FINAL INSPECTl'()N WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL I MECHANICAL ' I GAS ! BUILDING i SPECIAL CONDITIONS I i I I,_ ' ' . .. ,---...... FIELD INSPECTION RECORD ..,. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES " INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -·- I SOILS COMPLIANCE PRIOR TO FOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE PQJ,T TENSIONED CONCRETE FIELD WELDING . HIGH STRENGTH BOLTS . SPECIAL MASONRY .i ,I " PILES CAISSONS ,· ""--"\ ' I -. •, -dt~ -.. _ I. .' . ,_. - . ,. ' ,• -. • ' ""'= ·, •· 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 S.AtvTo:S 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 VALIDATION / 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 -C- Planning _,,, Department~ Engineering Department Fire Prevention Health Department Building Department , 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 -Building Dept. Yellow -Applicant Pink -Finance Gofd -Fire Dept.