HomeMy WebLinkAbout2320 VIA SANTOS; BLDG 1-2; 83-271-1-2; Permiten z 0 ~ er C j 0 w 0
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i;:J 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
full force and effect.
lie No ______ Cl•ss
I hereby affirm that I am exemp1 from lhe Contra<:· tor s license Law lor lhe lollaNmg reason (Sec 7031 5 Bus1ness and Profess10ns Code Any city or counly wh1Cli re-
qulfes a permit lo construct, alter, unprove, demolish, o.-
repatr any st,uclure. pnor to its issuance also requires !heap-
phcanl for such oerm11 to hie a signed statemenl lhal he 1s
hcenstd pursuant 10 the prov1s1ons of the ConiractOf • s
License Law (Chapter 9 commencing w1lh Sechon 7000 ol Devision 3 ol lhe Business and Professions COde) or thal 1s ex·
empt therefrom and lhe basis for the atlegea e1<emphon Any
viola;EI SeclJOfl 7031.5 by an apphcanl lo, a permII sub-JeCIS I apphcant to a c1vrt penally of nol more than 11-ie hun-
dr otlars ($500)
I, as owner of the property, Of my employees Wlth wages
as their SOie cornpensalion. will do the work and the struc-ture as not intended or ottered tor sate (Sec 7044. Business
and Pro1ess00s COde The ContractOf's license law does not apply 10 an awne< of property who builds or improves
thereon and who does such wo,k hunself or 1hrough hts own emP'oyees. provided !hat such lmptovemen1s are not Intend·
ed or otle fo, sale II. -.Ver. the building or improve-ment 1s ld within one _year ol completion. lhe owoer·builde,
will ha the burden of proving that he did not build or im-prove 0< the purpose ot sale}
I, as owner ot lhe property. am exclusrvely conlract,ng with licensed contractors to consiruct the pro,oct (Sec 7044,
Business and Professions COde The Contractor's Licensa Law does not appty lo an owner of property who builds or im-proves !hereon, and who contracts tor each pn11ects with a contractor{s) license pursuant to the Contractor's Lteense Law).
D As a homeowner I am improving my home, and lhe lollow·
ing conditions eKist:
1 . The work is being perlormed pnor 10 sale
2. I have lived in my home lo, twelve monlhs prior to completlOII o1 this wo,k
3. I have not claimed lh&S exemption during the Lasl three years.
D I am exempt under Sec. ______ , B & P.C. for this reason ____________ _
□ 1 hereby affirm lh.at I hat'e a cert1t1cate ol consent
to sell•insure, or a cert1hca1e ot Workers Compensation Insurance. Of a cet11!1ed copy Inereol
!Sec 3800. Labor Code)
D Cet11t1ed cooy 1s hereby tum1shed
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec11on need no1 be compte1eo 11 lhe perm,t
is tor one hundred dollars (S HX>) Of tess)
0 I cer11ly that in the pertormance of !he w()(1it. r01 which ttus perm11 ,s issued. I shall no1 emp10y any
person m .,,.,, m~ner so as 10 become subJecl to
the Workers· Compensa11on Laws of Cahlom,a
NOTICE TO APPLICANT II atler makm~ lh1s Cert,
t,cate of Exemption. you shoutd beeome sub1ecr t? 1ne Worl\ers· Compensahoo prcw1s1ons ol lhe Labor
Cooe. you mus! lorthv.,111'1 comply with such
prOViSIOOS or 1h15 permll Shall be oeemed ,e..,01teo
0 I hereby alhrm thal 1nere 1s a construction
Iencing agency t01 the penormance ol lhe won-. to,
wh1Ch 1ri1s oerm,t 1s issued tSec 3097 C1v11 Codel
Lenoer s Name ___________ _
Lender 5 Address __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
f'-1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOOAESS AV ST.AO NEAREST CROSS ST. I DATE OF APPLtCATIOl BUSINESS LICENSE It &7Zo PERMIT NUMBER
2320 Via Santos Hosp
LOT BLOCK I SUBOIVJSION • ! • ,-I ASsE1se,it,A'!W '-"~ 0 J
OWNER'S NAME
r.nmm11n i t.v HP!::n11rt"".P,S Corn.
OWNER"S MA•LING ADDRESS
-, OWNEA"S PHONE
483 -6500
CONTRACTOR
Community Resources Corp .
CONTRACTORS P!iONE • ZONE 7
83-271 -1-2
CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use COOE
DESIGNER LICENSE# STANOAAO PLAN# BUILDING SQ. FOOTAGE
2204 Garnet Ave., San_J)iego, Ca . 92109
oescA•PT10N OF WORK ,,.,"'f,, l""f-,t\,~ I OES•GNER·s ADDRESS
I'-,, 9~0
I 21 Units ~~1'L-'-fl . ~ .,__ -Bldg. 1-2
<bCut.., ~Jlll)All~ ~ ,,-
F /P FLR ELEV.
vO NO ---
CENSUS TRACT I GP LANO USE I PARKING SPACE I AE~,•TS GRACING PERMIT ISSUEO
YO ND
REDEVELOPMENT AREA
v0 N'M
QTY.I PLUMBING PERMIT -ISSUE QTY.I MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND /OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST • HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF ORAIN (INSIDE)
TQT/;L MECHANICAL
TOTAL PLUMBING 1
iQTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE
NEW CONST EA AMP/SWT BKR COLLECTORS....-----\
I PH 3 PH STORA~NKS ft ~ . /
EXIST BLDG EA AMP/SWT BKR R# STORAGE .Fi '1
1 PH 3 PH
7
,?;uMP )7_ / V I 7
REMODEL ALTER PER CIRCUIT
TEMPPOLE 200AMPS
/I PLAN C/fCKffi "\ ,'6 /I ,..l]JJ7/v
OVER 200 AMPS TTTV~
fEMP OCCUPANCY (30 OAYS) \(V (/ __,.,,,,, ~
DESIGNER'S PHONE .f_0l,JYi;;.47.., -~
NO OCC GP I EDU
STO IES ~-\
TYPE DCC LOAD I FIRE SPA CONST
-.l • vO N\( I Not Valid Un/Ms Machine Cuttli«J
SUMMARY/ACCOUNT NUMBER
IA I -
BUILDING PERMIT of:'oo-oo-'s220
SIGN PERMIT 01-00-00-8221
?.270-
--• ...-'!
PLAN CHECK 01-00-00-8806 -xn·rc:
TOTAL PLUMBING 01-00-00·8222
ELECTRICAL 01 ·00·00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00·0Q-8225
MOBILEHOME PARK INSP
SOLAR QJ ·QQ·QQ-8226
STRONG MOTION 80-92-33-0519
... -6 ..-1
~!!
FIRE SPRINKLERS 01-00-00-8227 J /.
I PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
llJ../IYO' ,
7 SCHOOL FEE -DISTRICT 7 Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San Oleguito 80-92-23-05!9
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE l 4~887J. -,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' AND DO HEREBY Exp,ralion Everypermi1,asuedbythe8uildong0fl,cialunderlhepro.is,onsoflriis * AN OSHA P£Nil1T IS REOU1RED FOIi EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Codes xp, by limiuillon and become nun and void If the bu,lding or wor~ 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF . auth ed permit Is not commenced w1th1n 180 days from the date of .such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe, building or work authorized by soch permit ,s suspended or STRUCTIJR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-~•~~;t;IY~!!L;jl~_!aft!!!,!er!._lhe!!!!_!W!!o~rk~._!,,:C=!ommenc!!!!!!!!!!~ed!2_!f!?;Or!,_a!..J.l~il!!...O!!!lt..1!.!!!,!c.2!!!ll.---=➔~~~~~-------------:--.,.-r--"11
~~:~C:!~~L~~~iRc~;,Eg~igR~::!~ A~~:~~ AILrt~fB~ifi~i TJ~~~i~~~~~~~; :~g AT URE • J CONTRACTOR O APPAOV BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMlf ~ ~
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TYPE . DATE INSPECTOR ( . .. ' I
I.: .... ~·-~\~~·~
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'6?,11 • ·. \ ,, \ \ ) I " ,\ ' -117 / -1--?.. ~ \ BUILDING ' I
FOUNDATION F I FIELD INSPECTION RECORD " \
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' \ MASONRY I •
' ~ I REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE -
M
FLOOR & CEILING SUB FRAME i SOILS COMPLIANCE SHEATHING D ROOF D SH~R PRIOR TO
FRAME I FOUNDATION INSP
' STRUCTURAL CONCRETE EXTERIOR LATH I / OVER 2000 PSI
INSULATION I / PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I •A-K.4 1--·~J POST TENSIONED ' CONCRETE I
PLUMBING ' FIELD WELDING /
SEWER AND BUCO DIPUCO I ID•L'fi-·~ ~ HIGH STRENGTH ~,: "·~\ \~"' BOLTS .'-'~ 'I. • UNDERGROUND D WASTE D WATER
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
I
D ELECTRIC UNDERGROUND D JUFFER ,.. '
""'1e-.... ~ '".:.:~~ ."' ~~ ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY ~~~ ,..._, .. '\ ....
'-':'l. -,_\..._ -
D BONDING D POOL I
I ~-. ·,.,i-._·1:, . I !'-' Ji • )<' MECHANICAL I ~ i
I
D DUCT & PLEM., D REF. PIPING -.. ---I • .. • -. t .• -• J. , . , ";' : -' ., . -· . -) .. . , HEAT -AIR COND. SYSTEMS t, -. I
VENTILATING SYSTEMS I :' •.• '
I _ • r-::--·~l .... I
.. " I' I.. ' CALL FOR FINAL INSPECT!iN WHEN ALL APPROPRIATE .
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
~
~~~ " . PLUMBING I
ELECTRICAL I G.fl ~~ I
I } /\~~ Lo/. . --MECHANICAL -I
GAS I ~ 7/J'¼ --t---~ .•...
BUILDING 1 ~ V'
' I / /
SPECIAL CONDITIONS I ' , ....
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O I 11e1~y affirm that I am licensed under
,;,rovlalona ol Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Proleaalons Code, and my license Is In
lull force and ellecl.
lie No ____ _ Clm
I hereby alhrm lhat I am exempt from the Contrac· tor's Ucense law tor lhe following reason (Ste 7031 5 Busmess and Professions Code Any city or county which re-qwres a permit to cons1ruct. alter, improve, demolish, or
repair any strucIure, pnor 1011s issuance also requires !heap-plu:ant lor such permit to flte a signed statement that he 1s
hcensed pursuant to the prO'VlStOOS of lhe Con1racIor s Ltcense Law (Chapter 9 ccmmelltmg wIlh Section 7000 of llMsion 3 of the BuSiness and PrOfess,ons COde) or that IS ex-
empl therefrom an<I the basis far the allegea exemption Ally Y10lahon of Section 703 I~ by an applicant for a perm,r sub-Iects the apphcanl 10 a crvII penalty of no1 more than five hun-
dred dollars ($$00)
't:: as owner of lhe property, or my employees wtth wages e,r ~e compensaI,on. w111 do the work, and the strut-s not ,ntended 0< oflered for sale (Set 7044. Bus,ness
and Proless;ons COde. The Contractor's License Law does
not apply 10 an owne< of properly who builds or lmp,oves thereon and whO dOes such work hImsel1 or through his own
employees, provided lhat such Impr0Yemenls are no1 intend· ed 0< olfered toe sale. II. however, the building Ol improve-
ment Is sok1 within one year of compJe11<1n, the owner-builder will have the burden of prOY!ng that he dtd not build or ,m, prove 10< the purpose of sale)
.d, .. J, as owner of the property, am exclus1vety contracling ~rln licensed contractors to coostruct the projet1 (Set 7044. Business and Profess10ns Code· The Contractoc's Lteense
Law does not apply to an owner o1 property who budds or im-proves thereon, and who contracts tor each pro,ects with a contracto,(s) lttense pursuant to the Contractor's IJcense Law).
D As a homeowner I am improving my home, and the tollow·
Ing condttions exisl: t. The WOfk is being pertormed ptlOl 10 sale. 2. I have lived In my home ID< twelve months pfiDf to completion ot thtS W<>fk. 3. I have not claimed !his exempUon during the
last three years.
0 I am exempl under Sec. ______ , B & P.C.
for this reason ____________ _
□ I he,eby affirm that I ha-...e a cert1t,cate of consent
lo sett-insure. or a cert1t1cate of Workers
Compensatt<>n lnsu,ance. or a cen1fled copy thereof
tSec 3800, Labo< Code)
POLICY NO
ENY
IS hied with the Ctly
tied copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1Ion need not t>e completed 1t lhe permI1
Is tor one hundred dollars {S100l Of less)
0 I cer11ly that In lhe pertOfmance ot the work lo, which Ih1s permit Is issued. I shall no1 employ any
pe<son in any manner so as to t>ecome sub1ec1 to the W<>r'(ers· CompensaIt0n Laws ol Cahtom,a
NOTICE TO APPLICANT 11. alter makln'J this Cent
ftcate ol Exemption you should t>ecome subject I?
the WOf11.ers· Compensa11on provisions ot 1ne Labor
Code. yOtJ must forthwith comply with such
provisions o, 1h1s permit shall be oeemed revokeo
0 I ne,et>y aftum 1hal !here 15 a consIruc1Ion
Iend1ng caoency to, !he performance ol lhe wo~ IOf
-Nruch this permit Is ,ssued t5ec J/Yj7 C1v1I Code)
Lenders Name ___________ _
Lenders Ac)dress __________ _
----·----•
I
) CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
...... 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST AO. NEAREST CROSS ST I OA;~;~ ;::ICATIONI
BUSINESS LICENSE # VALUATION PE AMIT NUMBER
?,?/'\ Vi ::i ~:mt.os Hosn -. -#-~jq; \ ,...,-
LOT BLOCK l suoo1v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTAACTOAS PHONE • ZONE ✓ S~,,_-:tl'
OWN£ A'S NAMf I OWNER'S PHONE Community Resources Corp.
CONT RAC TOR'S AO0AESS LICENSE NO PLAN 1.0. # BLOG USE CODE
Community Resources Corporation 483-6500
OWNEA'S MAIc•NG ADDRESS
220A 6arnet Ave., OESIGNEA LICENSE # STAN0AA0 PLAN# BUILDING SO. FOOTAGE
San Diego, Ca . 92109
0ESCRIPTI0N OF WOAK Cl ..L,2 I , -~ ./ _
DESIGNER'S A00AESS DESIGNER'S PHONE ~ ' ---~"1C/e .
_j3uiJ_<!_i!}g 1-2 21 Units -~--------F/P FLA ELEV. NO OCC GP EDU
STORIES FOUNDATION ONLY vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PEAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAE SPA
AREA CONST
y D ND vO NO vO NO Not VJ/id Unlt!ss Machine Certifi~
QTY. PLUMBING PERMIT • ISSUE -7:}!:_ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER I /') -
EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00-00-8220 I..P6,Jt0
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 --,,.-.. ~i.
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 /17'> ,_
EACH GAS SYSTEM l 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 INST Al. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEHOME 01-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR n1 .nn.nn.ooo~ I I fJd
TOTJ.L MECHANICAL STRONG MOTION 80·92-33-0519 t£-.,,J..
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-B227 ,I
s=-PUBLIC FACILITIES FEE 32-00-00-B933 -j".j9,JJ,--
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWTIBKR COLLECTORS SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT/8KR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguilo 80-92· 23-0519
REM0DEL'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 /11--->--
CREDIT DEPOSIT ./II~
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 4JP;-r~
1 HAVE CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERMIT·' AND DO HEREBY Exp,ratoon. E.ery permit IU.-by lfle lluildiftg Otftcial under the proY11tona of this
~
PERMIT IS RE0UIAED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by fimllalton .,d become null -vood tt the bu,ldi119 or wort< PANO OEMOUTIDN OR CONSTRUCTlON Of' authorized by such permit ta not commenced w1thtn 180 day1 from the date 1>f such DEClARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS =~ •~ t~v i::,,:•~:11,:~or:u~":"o:'~:' .""'_:~•~,•~~ or
7..;.,-;--.;;;:_:, OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON
SlRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE • OWNER□ CONTRACTOR 0
APIT:~. ' -.
I~{/~~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONED GRANTING OF THIS PERMIT
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TYPE ' DATE INSPl::CTOR I
BUILDING I j3.~71-l<l ,:()u..l' C,
FOUNDATION I ' /.."ln.11 q::2 l~Sl\
REINFORCED STEEL \ I ,-,,'-', ._ . -·-
I
MASONRY I
I -· --
GUNITE OR GROUT !
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHf:AR --FRAME I
FIELD INSPECTION RECORD
·-REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES __._~ -
INSPECTION REQ IF INSPECTORS DATE '-\ -': -•, --~· CHECKED APPROVAL
--✓-~-1..-~----·
' \~,i:::,, SOILS COMPLIANCE '\ ,~, .•· ·-------PIUOR TO I rouNDATION INSP
EXTERIOR LATH ' I '
-STRUCl URAL CONCRETE OVER 2000 PSI
INSULATION I /
INTERIOR LATH & DRYWALL I /. 4-·KJI-Y~OJ
PRESTRl:SSED CONCRElE -POST TENSIONED : -CONCRETE
' .,. PLUMBING I / r1ELO WELDING
SEWER AND BUCO DIPUCO I "" ! /J ;,A (l2_ f'121i\
UNDERGROUND D WASTE □ v,JATEFV IV• V/ --
TOP OUT D WASTE D WATER
HIGH STRENGiH "~.-:,::,.s.. BOI TS ~" ... .., ....... ' --,, 11 SPECIAL MASONRY
1 -
TUB AND SHOWER PAN ' --" \ ' GAS TEST I ' I PILES CAISSor-.;s
D WATER HEATER D SOLAR WATER
' ELECTRICAL I
I ' D ELECTRIC UNDERGROUND OIUFFER
ROUGH ELECTRIC I ' ,, ') ' ! ' c_:i.. < ..... ;.._ ' . -D ELECTRIC SERVICE D TEMPQRARY ' I -
I I ~'-_, .. ,;
D BONDING D POOL I . C
, " ' ' 1-: f -.;. -~~ ~ ._ --' ,_...._-,
I . ~
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING --<
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I -I
CALL FOR FINAL INSPEC7&N WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'E BEEN APPROVED.
c:~ \ \{,>f :.-. \ .,.. ... ..
FINAL I _,,,-
PLUMBING I OJi,/
' ELECTRICAL (,,,-
"
~·~ -r:.. I '-. ,,,---/ M I )
MECHANICAL I ~\)'~ A~ I
~: -. ,
GAS I re-A-~ ... ((}.. ;i,~ -·"· ' ·,;~ 'r --' BUILDING I ~ l/1 " LO J
.. :~AL CONDITIONS I V .,., -I
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f) I hereby affirm that I am licensed under
pro,,lslona 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.
Loe No ____ _ Class
I hereby affirm lhat I am exempt trom the Contrac· tor's License Law for lhe 1otlow,ng reason (Sec 7031 5
Business and Profess10ns Code Any cl!y « coun1y whicn re-qu,res a permit ,o construe!. auec improve, demot,sh or
repair any slructure. prior to its issuance also requires !heap-phcanl tor such permit 10 file a signed stalemenl 11\at he Is hcensed pursuant 10 the prov1s10ns of !he contrac1or·s
License Law (Chapter 9 commencing wIlh Sect10n 7000 of
()l:v1SJOn 3 ot the Business and ProfesSKW1s Cade) or that ,sex· empt therefrom and !he basis lor the allegeo exemption _ Any
V!Olatoon 01 Sect,on 7031 .5 by an apphcant for a perm,, sub· Iects !he apphcan1 to a CMI penalty of not more lhan hve hun•_
dred dollars ($5001
n I. as owner ol Ille property. or my employees w11~ wages
as lheIr sole compensahon, will do the W04"k and the slruc-
1ure Is not lntenoeo Of offered for sale (Sec 7044 Business
and Profession!) COde. The Contractor's Utense law does
:r::t~o w~ ~oe":'~~r:ti,,::, ~1~~ou~h~;o;;~
employees, provided lhat such improvements are not mlend-
ed Of ottered lor sale. II, however_ the building or improve-ment Is sold within one year ol complehon. the owner-builder
w,11 have the burden ol provmg tNI he did not bt.uld Of" im-
prove lo, lhe purpose ol sale)
O I, as owner ot the property. am exclusrvely contracting wtth hcensed contractors 10 construct the proteet (Sec 7044.
Busmess and ProlessK>fls Code The Contractor·s license Law does not appty 10 an owner ol property who builds Of im-
proves thereon, and who contracts for each projects wrth a contrac:tor(s) lfcense pursuanl to the Contractor's License Law).
O As a homeowner I am improving my home. and !he follow tng condt110ns exist l The WOf"k IS being performed Pf10f 10 sale
2 I have lived tn my home tor twelve monlhs
3. n:.:: ~:rP~t::31 t1
~1
1
: -:'~ption during the last three years
O tamexemptunderSec. ______ , B&P c.
lor this reason _______ _; ____ _
O I hereby affirm 1hat I ha-1e a cert1hcate of consenI
10 self-msure, or a cert1hcaIe ot Workers Compensation Insurance. o, a cen,hed copy thereat
(Sec 3800. LabO< Code!
POLICY NO
COMPANY
□ Copy IS hied Wllh (he Ctly
D Certified copy 1s hereb',' furnished
CEATIFICATl OF EnMPTION FROM WORKERS COMPENSATION INSURANCE
(This section neeo not be completed 11 lhe permit
,s tor one hundred dollars ($100) o, less)
D I cer11ty that in the per1ormance ot the woo Ior
'lJlolh1ct1 this permit ,s issued. I shall not employ c1ny
person ,n any manner so as 10 beeome suoIect 10
ltie Wo"'ers Compensation Laws of Cahtom,a
NOTICE TO APPLICANT ti after makin] lh1s Cer11
hcate of E.1empt1on. y04..t should t>ecome subJecl t'> the w oniers Compensat,on pro,..,s,ons ol the Laoo,
Code, you must torthv.1lh comely w1lh such
ptO'tlSIOt"IS 0, 1h15 penTUI Sf\all 0e <Jeemed re ... ok.ed
0 I hereby altum lhal ,~,e s a con!Iruc11on
Iend1ng agency t()f the per1ormance ol !he wo,11 to,
~,ch this perm,I ,s ,ssued tSec x,:J7 C1v1I Codei
--.:..
U.;JL U,.LL I U"• I • &on v1•&. • -.. • 9'&.~ ... unn..,
' --I CARLSBAD BUILDING DEPARTMENT -APPLICATION & PERMIT
' 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO NEAREST CROSS ST. -I DATE OF APPLICATION•, BUSINESS LICENSE # VALUATION PERMIT NUMBER
;;_3~0 Ua ~mb.5 .llo.s n "'"' El ~mN'" ~ t //-/',,£-t/3 J3-l.l/-/O LOT ,,·BLOCK, .I SVBOI ~ISION I ASSESSOR PARCEL NO CONTRACTOR Hu~~
CONTRACTORS PHONE • ZONE
' ' . /d,//o~,4..:MQStJI) 7/✓9?'¥-~79/ r OWNER'S NAME I O!f'NER'S PHONE
e,n,mJJIJ,·t-v £a=~5 &rp,
CONTRACTOR'S ADDRESS -LICENSE NO. PLAN 1.0 . # BLOG USE CODE
~l;}~,.3-~ .t4'-$~ A-L 6/4~,I/ -1-::. ,..fo-~ • OWNEA·s MA1'--ING ADDRESS
..;l :zo <I, 6a,-~e 't .»n2?/~Gf a~ DESIGNER LICENSE" STANOARO PLAN rl BUILDING SO. FOOTAGE
DESCRtPTtON OF WORK
OESIGNER•S ADDRESS DESIGNER'S PHONE
._B/dc; /0 c:2/ e,t/))f.s _ ,t ll_?SYB:ifleec 43~.sc ----, F/P FLR ELEV. NO ace GP EDU ··---
STORIES --vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAO FIRE SPA
AREA CONST
YO N 0 vO NO vO NO Nor Valid Un~s Machine Certr/ied
QTY. PLUMBING PERMIT · ISSUE ]S'o QTY. MECHANICAL PERMIT -ISSUE ..$a-' SUMMARY/ACCOUNT NUMBER
1/.U/ EACH FIXTURE TRAP e "~o ~<;'~ •. ..,;-,1 INSTALL FURN. DUCTS UP TO 100.000 BTU BU)LDING PERMIT 01 ·00·00·8220
/ EACH BUILDING SEWER ~-s~ ~--~O OVER 100.000 BTU SIGN PERMIT 01·00·00·8221
::;~/ EACH WATER HEATER ANO OR VENT ..J,,S'O _,r,,, ,.._....., BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 . . ~b
EACH GAS SYSTEM I TO 4 OUT LETS BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01 ·00·00-8222 y~C.. ,-;;-'-
' EACH GAS SYSTE M 5 0 R MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
'1 EACH VACUUM BREAKER .2,,..;"6 /IJ;!:,0 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.nn.nn.ooo~
TOT.l.L MECHANICAL STRONG MOTION _8()_:92·33·0519
TOTAL PLUMBING I ~:Jt..Si.~ FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933
QTY. ELECTRICAL PERMIT· ISSUE 5,oo QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS ,1}-/,, Carlsbad 80·92·21·0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE .f"" y I -Encinitas 80·92·22-0519
I I PH 3 PH PUMP -H>F .J. San D1egu1to 80·92· 23-0519
I REMODEL A LTER PER CIRCUIT PLAN CHECl'/W:E ,._r ..,1/ San Marcos 80·92· 24-0519
I
I TEMP POLE 200 AMPS / I),
I OVER 200 AMPS (I LICENSE TAX 01-00-00-8162
I TEMP OCCUPANCY 130 DAYS) I
I CREDIT DEPOSIT --·
I TOTAL ELECTRICAL l I L/3(~ ~ I TOTAL SOLAR TOTAL FEES PAYABLE
I
I E:Kptrataon Eyery perrntt tSSued by the Budding Otf1c1el under the provisions of this * AN OSHA PEIWIT IS REQUIRED FOR EXCAVATIONS OVER
I I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATlati HEREON INCLUDING THE Code •~~• •Pl by ftfflttabon 9ftd beeome nut! 8f\d vo,d ff the bu•ld,ng or work 5 o· DEEP AND DEMOI..ITION OR CONSTI!UCTION OF
1 DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT IS
■uthortled b permit ta not commenced w,tnm 180 days from tne date of such STAUCl\JR£S OVER 3 STORIES IN HEIGHT permit. o, the .adl~Of' worll authortZ.ed by such permit 1s suspended or
I ISSUED TO COMPLY WlTH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON -atan -Ille---• toraoeroodol 180<1a••
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT ) ALSO AGREE TO SAVE INDEMNIFY AND Azi~"''k·s TURE~'l 0~
CONTRACTOR 0 APPROVED BY DATE
i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND "11. •1 ~'-~S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
11 '~-~ BY PHONE 0 I /2-J-f ( • -·-DC<IMIT.
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT :
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME l
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I I
I
PLUMBING I
I
SEWER AND BUCO DIPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,f'1ER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WA;T°ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D r;JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOAARY
D BONDING D POOL I '
MECHANICAL I
0 DUCT & PLEM., D REF. PIPl~G
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS < I -
I
I
CALL FOR FINAL INSPECTl(!)N WHEN ALL APPROPRIATE
ITEM~ ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
"" -~IAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASt>NRY
PILES CAISSONS
't,
~
REQ IF I INSPECTOR'S
CHECKED APPROVAL
p~
~~ .. ;i.71-tb~
INSPECTOR'S NOTES
DATE
.-
"' z 0 .: C IIC C ~ ~ 0
a: • 0 I hereby affirm that I am licensed under
~[ "'Provisions of Chapter 9 (commencing with ,_ Section 7000) of Division 3 of the Business ~ and Profe11lona Code, and my license Is In
~ full force and effect. z I.Jc No ______ Clm
0 0
IIC ... 0 ~ 5 • ii ... z 3 0
z 0 a z "' ... :I
0 0 "' a: "' "' IIC 0 3
if
I hereby att,rm thal I am e:xempl trom the Contrac-
lor's License law !or the tallowing reason (Sec 7031 !>
Business and Professions Code Any city Of county which re· quires a permtl to construct, alter, ,mprove, demolish. or
repair any structure, pnor to IIs issuance also requires ?heap· pkcant fOf such perm1t to file a s,qned statement Iha! he is
heensed pursuant to the prOV1sions ol lhe conIract01' • s License Law (Chapter 9 commencmg with Section 7000 ol
Dlv,sron 3 of the Business aoo Professions COde} or thal 1s ex-empt theretrom and the basis lor lhe allegeo eKempl10n Any YlolallOn ol Sect,on 7031 $ by an apphcant tor a permII sub-
Jetls the apphcant to a clv!I penalty ot not more than h,e hun-dred dol~rs (55001
rJ I, as owner of the propeny, or my employees with wages as their sate compensauon. w,11 c:10 the WOfk.. and the struc-
ture Is not intended or offered for sale (Sec 7044, Business
and Professions Code. The Conlractor's License Law does nol apply 10 an owner of properly wno builds or improves
thereon and who does such work h1mseJ1 or Ihrough his own employees. proVJded that such improvements are not 1nlend·
ed or ottered tor sale It. however the buikhng or improve• ment is sofd within one yw of tOO'lplehon, the owner·butkler will have the burden ot proving !hat he did oot build or ,m-
p,ove tor lhe purpose ol sale).
D I, as owner ot the property. am excluswety contracting
with rtcensed contractors to construct the prOf!CI (Sec 704-i. Business and ProtessIons Code The COntractor·s License
Law does not appty to an owner of property who builds oc im-proves thereon, and who contracts tOf each proteets with a contractor(s) license pursuant to lhe ConIractof's License Law).
□ As• homeowner tam ,mp,ov,ng my home, and the totlow· ing conditions exist: 1. The work Is being pertormed pnor to sale. 2. I have lived 1n my home lor twelve mooths
prior to completk>n of this work. 3. I have not claimed this exemption during the last three years.
g :h1:,::t_u_n_de_r_Sec_.============• 8& P.C.
□ I heteby athrm that I h.a-te a cen,t,cate of consent
to selt-,nsure. or a cenihcate of Workers Compensation Insurance. Of a cen1l1ed copy the,eot
CSec 3800. ubot Code)
POLICYNO r COMPANY
0 Co(,y 1$ hied with lhe Ctly
0 Cert1t1ed copy Is hereby lurn,shed
CEATIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This sectton need not be compIe1ec, 11 the permit
Is to, one hundred dollars {S 1()0) or less)
0 I certify that in the performance or 1he wof1il lo,
which this perm,1 1s ,ssued. I shall not employ any
pet"son ,n ~Y manner so as to t>ecome sub1et1 to
the Wot11;ers· Comoensahon uws ot ca11Iom1a
NOTICE TO APPUCANT ti, alter ma,k1nJ this Cen1
ttcate ot E•empt1on you should t>ecome sub1ect t'J
1he WOOlers· Compensation provisions ol the Labor
Code. you must forthwith comply with such
prov,s,ons o, this permt1 ShiiJI be oeemed ,e..,Oked
O I hereby affirm lhat there Is a construction
lending agency tor !he penormance of the wot1t tor
.itruch !his perm11 ,s issued tSec. XIJ7 C1..,,1 Code>
Lendef s Name ___________ _
Lender's A<k1ress __________ _
-CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ./
JOB ADOAESS 2320 Vi a Santos AV. ST.RO. 1!1RE~&fflb Rea. OATE OF APPLICATION BUSINESS LICENS VALUATION PERMIT NUMBER
33774
LOT ' BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PH E • ZONE .__._ ___ .....__ ____ ___.._ __________ ....... Beach Cities Const.& Elec • 726-1010 Y3 --;,-,, 71 ~
OWNER'S NAME
CDN1,RACTOA'S ADDRESS
1-------1.1-1.!.W..IIJ.U..Ll~~u.w.,;2..1.!.J,,j~£..li!...~:!.:!;...J:~•.1....__!:t.c3~8:::....--=6::.:::5:....::0:...:::0-1 3 o 1 9 Amigos Ct • ,
OWNE R·s PHONE
0 , LICEN~JiQ. ceansi4e ~". ~~4 ,.,X
~I. 1??h
PLANI.D: # BLDG USE COOE
2204 Garnet+Ave. DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOT AGE
DESCRIPTION OF WORK
OESIGNE R'S AOOA ESS .,_-------+--r-,ff--r---r----:;---H'-:-----------1
~ ---· ·--1 F/P FLA ELEV,
vO NO
CENSUS TRACT GP LANO use PARKING SPA CE RES UNITS
QTY. PLUMBING PERMIT· ISSUE _,e
EACH FIXTURE TRAP 7
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TO 4 D UTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOT AL PLUMBING 1
QTY. ELECTRICAL PERMIT· ISSUE <----
NEW CONST EA AMPISWT BKR ,. , ~ ':>
1 PH 3 PH 7 rr--
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL 'AL HR PER CI RCUIT
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL 1 /115"---
GRADING PERMIT ISSUED 1 REDEVELOPMENT
AREA
y O N 0 vO NO
QTY. MECHANICAL PERMIT · ISSUE
INSTALL FURN. DUCTS UP TD 100,000 BTU
DVE R 100,000 BTU
BOILER/COMPRESSOR UPTD 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOT.l,L MECHANICAL
QTY. SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
3
NO
STORIES
TYPE
CONST
-
DESIGNER'S PHONE
CCC GP EDU I ~,,e~~~
CCC LOAD I FIRE SPA
vO NO Not Valid Un~s Machine C~rtified
SUMMARY/ACCOUNT 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
ELECTRICAL 01-00-00-8223 I 7o;r__....
MECHANICAL 01-00-00-8224
M08ILEHOME 01 ·00·00-8225
MOBILEHOM E PARK INSP
SOLAR OJ ·OO·QQ-8226
STRONG MOTION 80·92-33-0519
FIRE SPRINi<LERS 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 Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE 1 ~ ·,.,,.,,-
E..,._ Evorypermt11UUedbytlleBullding()lficialundertlloprOV1s1on1ofth11 Code Sllall expire by ltmlfaVOn and llocOmO nUII and vOICI II the budding Of work 06HA PENIIT IS AEQUIRED FOf' EXCAYA
O" DEEP ANO OEMOUTION OR CONSTAUC
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY .ANO AGREE IF A PERMIT IS authorlZN by suc11 perm,t as not commoncod wlltlin 180 days lrom date of such
permit, or If tllo butldt"!I or work aulhonzod t,y sucll permit suspended or ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING 8UILOING CON--HlollOCI at bmO aflerlllo wort! as com,wad for a .. ...._.e....:.:1=.:..._...__
STRUC. TION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO ~.S Slo• O
STIIUCTUIIES OYER 3 STORIES 1H HEIGH //\
APPROVED BY #' / / KEEP HARMLESS THE CITY OF CARlSBAO AGAINST ALL LIABILITIES. JUDGMEf'!TS. COSTS ANO
EXPENSES WHI~ MAY IN ANY WAY ACCRUE AGAINST SAID CITY· IN CONSEQUENCE OF THE , ,. ~-'~ \_
GRANTING OF THIS P~RMIT. ~ ~~---
77
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL 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
I
GAS TEST I
D WATER HEATER D SOLAR WATER '
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPO,=tARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS I ·= .... -, .
I
CALL FOR FINAL INSPEC7'.:~N WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
S~CIAL CONDITIONS
~
' I
-
I L I .• ~) I ,
I ri /f,I) u,, ------I
I r'U?------/
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7
• -.
.
_..._.., ,,. \,
---.,. .. ,-,,
.... i . ,-:r --¥~ .. ;n,-, .. ~ e3(..L.e, -1, -' ·-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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE '
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS .
:
I . --.....
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..,. .. -• '.--,..,
_-.... ... ,--~,...
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
Describe exact use of all portions of each building and tot
Previous use of Building
Type of flammable or explosive liquids to be used, if any
Address
VALIDATION
Building
Permit No.
Home OHice
Phone
t./ /
E
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 o
Applicant
Use Zone
Eng I nee rt nQ/\ ,,
Departmenl\JII\
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
Disapproved By
I sap proved By
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.