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O I hereby affirm that I am licensed u de
pro lslons of Chapter 9 (commenc g with
Section 7000) of Division 3 of the Busl ess
and Professions Code and my I Ice se '" in
full force and effect
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CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION IN URANCE
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USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATI~ & PERM~ Carlsbad Cal1forn1a 92008 1989 (619) 438 5525
JOB ADDRESS AV ST RD NEAREST CROSS ST
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: ,,:EJ BUrS LICENSE 1 ,, VALUATION PERMIT NUMBER
Jon> -/1"'){,.D r .'-'.,"'-,..•• ...... ~\.<". /7. 2.s-o Cj~ LDT BLOCK I SUBDt VISION I ASSES:JQR PAROEL NO CONTRACTOR CONTRACTORS PHONE # ZONE'
/,,.h-,,,, UI, u~ Jl....f, 1 q/J"'3 f?,3 OWNERS NAME ~ tt..o CJAt.. ~nlr-, I OWNERS PHONE
\ \ me__ CONTRACTORS ADDRESS LICENSE NO PLAN ID # BUILDING SQ FOOTAGE
1 s, ,f vA (/J;ttt,J" u (I c L WN!G 4'G r /(, u OWNERS MAILING ADDRESS .
Io ~-o--/tJ<co r l,i / "1 c:J ,.1..:0. "'-I l-f P'h fE:Sidi4CPt =-'· ✓ DESIGNERS PHONE
DESC,;PTION OF WORK / f, Pi u1 l
1" \' V
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I J~ /),u;;, ,f '72(~ 1 a1a 01as B433 218~£3E 0 F 1•,t1'F/'JJA ()Ct>AA, ll£tl DESIGNERS ADDRESS ./ LICENSE NO ouor □ri~s rn 1001 89 ~re;m
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-~&..S -~ ------F IP FLA ELEV NO ace GP EDU
STORIES
0 NO ---
CENSUS TRACT I GP LAND USE I PARK NG SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD Fl RE SPF! AREA CONST
YO N 0 □ NO YO NO Not Valtd Unless Machine Certll,ed
QTY PLUMBING PERMIT ISSUE 7:£!--QTY MECHANICAL PERMIT ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
,
INSTALL FURN DUCTS t.!P TO 100 000 BTU BUILDING PERMIT 001 810 00 00 8220 /2~ L;"O
EACH BUILDING SEWER OVER 100 000 BTU SIGN PERMIT 001 810 00 00 8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 810 00 00 8806 15_< ~-_,-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 810 00 00 8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 810 00 00 8223
EACH INSTA~ ALTER REPAIR \\ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 810 00 00 8224 --
EACH VACUUM BREAKER MECH EXHAUST HODO/DUCTS MOBILEHOME 001 810 00 00 8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 001 810 00 00 8226
TOT1-,L MECHANICAL STRONG MOTION 880 519 92 33
TO r AL PLUMBING I FIRE SPRIN~LERS 001 810 00 00 8227
QTY ELECTRICAL PERMIT ISSUE :r---QTY SOLAR ISSUE PUBLIC FACILITIES FEE 332 810 00 00 8930
NEW CONST EA AMP/SWT BKR COLL CTOR~ SCHOOL FEE DISTRICT
1 PH 1 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT BKR ROCK STORArE Encinitas
1 PH 3 PH PUMP San D1egu1to
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001 810 00 00 8162
TEMP OCCUPANCY 130 DAYSI MFF 880 519 92 57
CREDIT DEPOSIT
TOTAL EU:LTRILAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~IA, bS-_ -I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY E p at on E e y pe mt ssued by th B Id ng Off cal de th p o soflh * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C de shall e p e by I m tat O a d become ull a d O d If the b Id g O WO k 5 0 DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS tho z d by ch pe m t s at c mm nc d w th 180 d ys f m the d t of such STRUCTURES OVER 3 STORIES IN HEIGHT pe m t O f the bu Id Pt O WO k a th ed by S ch p m t S S pe d d O ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON aba doned at a v t me ate the wo k s comma c d lo a oe od of 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND AP7,LI ANTS SIGNATURE 'f-OWNER □ CONTRACT er APPROVED BY DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /2, ~~/4 ~At~ 112-/z ✓rr GRANTING OF THIS PERMIT I A~A'. ¼,1#/ BY PHONE 0
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF D SHEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BL/CO □ PVCO
UNDERGROUND □ WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN ' I
GAS TEST I
D WATER HEATER □ SOLAR WATER
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC l
I
D ELECTRIC SERVICE D TEMPC:,RARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM D REF PIPING
HEAT -AIR COND SYSTEMS I
I
VENTILATING SYSTEMS I
I -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPI IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TEN<:;/ONED
CONCRETE
FIELD WELDING
·-HIGH STRENGTH
BOLTS
SPECIAL MASONRY
-
PILES CAISSOI\,
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