HomeMy WebLinkAbout2830 WINTHROP AVE | 2832 WINTHROP AVE | 2834 WINTHROP AVE | 2836 WINTHROP AVE | 2838 WINTHROP AVE | 2840 WINTHROP AVE | 2842 WINTHROP AVE | 2844 WINTHROP AVE | 2846 WINTHROP AVE | 2848 WINTHROP AVE; ; 86-24-19; Permit<I) z 0 ;::
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0 I hereby 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
full force &Qd,a/~.6 B -l
Lie No -~L.~='L.~t)=tj~ Class
I hereby alhrm !hat I am exempl trom the Contrae· tor s Ucense la>N tor the follOwmg reason (Sec 7031 S Business and Profess10ns Code Any cIIy or county wh,ch re-quires a permI1 to conslruct, alter, 1mp1ove_ demot1sh. or repair any structure. p11or to I1s issuance also requires !heap-phcant tor such permI1 10 hie a s1Qned stalemenl that he Is
licensed pursuant to the prov1s10ns ol the conuactor s license Law (Chapter 9 commencmg with Section 7000 ol
01V1s1on 3 ol the Business and Professwns COOe) Of that Is ex· empt lhtretrom and the basis for the ar•egea exempllon Any
v,01a110n ol Section 7031.S by an applicant for a permit sub-,ec1s the apphcant to a c1vII penally of no1 more than tr11e hun·
dred dol,.rs ($500)
I, as owner ol the property, or my emptoyees w,th wages
as their SOie compensatKJn, w:11 do the wcxk. and the struc·
lure ts not 1n1ended or oflered tor sale (Sec 7044. Business
and Proless1on!i COde The Contrac1or·s License Law does not apply to an owner of property who builds 01 improves
!hereon and who does such work tumse!I or tnroogn his own
employees. provided lhat such 1mprovemen1s are not 1ntel'l(3-e<S or ottered tor sale If however the bu1k:hng or 1mprovt-
ment 1s sold w1thtn one year of comptehon. the owner builder wtll have !he burden of proving 1hat he d•d nor build or 1m•
prove lo, the purpose of S,llel
r I, as owner of lhe property. am exclusively contrac11n9 w11h licensed con1ractors to cons11uc1 the proiec.1 (Sec 70•-◄
Business and Profess10ns Code The Con11ac1o<'s License
Law does nol appty to an owner of propefly woo builds or im-proves thereon. and who contracts tor each proiects with a contractor(s) hcense pursuant to the Contractor·s License Law)
As a homeOwner I am tmprOY1ng my home_ and the follow tnQ cond111oos ex1s1
1 The work ,s be,ng performed prlOf to sale 2 I have hved in my home for twelve months prKJr to comp!etKJn ot 1n1s work
3 I have ~ claimed this exemp11011 dunng the last lhree years
I am exempt under Sec ______ 8 & P C tor this reason ___________ _
8 I hereby affirm that I have a cer1'11cate of consent to
sell•insure. or a cer11flcate of Workers Compensation In•
surance or a certified copy thereof (Sec 3800. LabOr Code)
POLICY NO WC 4 500 0 1 9 70
COMPANY ARCD NAUT
--, Copy IS filed with the c,ty
Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need no1 be completed 1f the permit
,s for one hundred dollars ($100) or less)
D I cen,ty that 1n !he performance of the work for which
1h15 permit 1s issued. I shall not employ any person in any
manner so as to become sub1ec1 to the WOfkers· Compen-
sation Laws of Cahforn1a
NOTICE TO APPLICANT If. afler making lhis Certificate
or Exemption. you should become sub1eet to the W01kers·
Compensation pr?v1s1ons of 1he Labor Code, you must
forthwith comply with such pr0\l'IsIons or this permit shall
be deemed revoked
D I hereby affum that there is a construction lending
agency !or the performance of the work !or which lhIs per•
m,1 1s issued (Sec 3097 c,v,1 Code)
Lendefs Name UNION B
Lender°s Address--525 II B" StreeL
San D i e go, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 ✓ -
JOB ADDRESS AV ST AD NEAREST CROSS ST I DATE37 1A;;~;TIQNI
BUSINESS LICENSE :t VALUATION PERMIT NUMBER
2840 Winthrop Ave nue 1710 54307 6 86-24-19
LO,-BLOCK l~SUBD VIS ON I ASSESSOR PARCEL NO CONT A ACTOR CONTRACTORS PHONE • ZONE
6 CALA HILLS 82-16
PACI FIC SCENE , 299-5100 OWNE A·S NAME I OWNER'S PHONE INC .
TREE'IDPS UNLIMI'IED 299-5100
CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO FOOTAGE
OWNEA·s MAIL NG ADDRESS 3900 Harney St., San D iego , CA 272686 11,806
3900 Harne y St. , San D i e g o , CA DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK: BUZARD/HENNING & ASSOC . 278-6855
BUILDING 'IYPE # 3 -10-olex (BUILDING #19) DESIGNEA·s ADDRESS LICENSE NO 3/IE/864251 4883 Ronson Ct., San Die go, CA C4729 95005~5 I
2-A· 4 -B; 2-C; 2-D e-I F p F LR ELEV NO OCC GP EDU
STORIES
vO NO ---2 R-1 10
CENSUS TAACl I GP LAND USE I PAAKl;G SPACE I AE~~NITS I GRADING PERMIT ISSUED I A EDE VE LOPMENT TYPE DCC LOAD FIRE SPP
AREA CONST
YO ND ,□ ~ VN vO ,n Not Valtd Unlesr Mdchine Certtfted
QTY. PLUMBING PERMIT • ISSUE 7 .50 QTY. MECHANICAL PERMIT· ISSUE 3 .00 SUMMARY/ACCOUNT NUMBER
9 0 EACH FIXTURE TRAP 225 .00 10 INSTALL FURN DUCTS uP TO 100 000 BTU 40 nn BUILDING PERMIT 001·810·00-00·82l0 1 --5.4 Q_..__QD_
10 EACH BUILDING SEWER 6 5,00 OVER 100,000 BTU SIGN PERMIT 001 ·B 10-00-00·8221 ,--~ ---------
1 0 EACH WATER HEATER ANO OR VENT 2 5,00 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00·B806 1.001.00
1 0 EACH GAS SYSTEM I TO 4 OUTLETS 2 5 &0 BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 001-8 10·00·00·8222 3 4 7 .5 0 ----EACH GAS SYSTEM!> OR MORE 1 0 METAL FIREPLACE -----30.0 0 ELECTRICAL 001·810·00·00·8223 ?~~ nn
EACH INSTAl. ALTER. REPAIR WATER PIPE 1 4 VENT FAN SINGLE DUCT 2 8 .00 MECHANICAL 001·810·00·00 8224 1n1 nn -----------..... ----EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I t-JSIDE I SOLAR 001·810-00-00·8226 -TOTi.L MECHANICAL -STRONG MOTION 880·519-92-33 38__, 0 1 -101.00 <.' 1o\810-oo-oo-8221 -
-TOIAL PLUMBING I 3 47.5 0 FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT· ISSUE 5.00 QTY. SOLAR • ISSUE PUBLIC.~~I~~ J:.' ~-810-00-00·8930 r.,, ~o lD ,_.86-L _QQ_
1n NEW CONST EA AMP SWT BK R 1 no 7\MD ?~n nn COLLECTORS M'ooL FEE . Dl~T ~9'u
1 PH 3 PH STORAGE 1 ANKS Carlsir!ltC ? LTR_~-
EXIST BLOG EA AMP SWT BKR ROCK STORAGE -.,-.~P ·-Enc1ni1as -~tO,: ~\lfi.,
I PH 3 PH PUMP Sa~u11GI '-()€::t~ <,\\'\G ~
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE ~1 'c.a.s.-"11 ..
TEMP POLE 700 AMPS ............... , .. ...
OVER 200 AMPS P[lc.;ENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 1 0 X 1 1 20 880·519·92·5 7 1 1.200 .00
CREDIT DEPOSIT f338 .00
TOTAL ELELIRICAL ! TOTAL SOLAR I 250 .00 TOTAL FEES PAYABLE $25,005 .5 1
i HAVE CAREFULLY EXAM,NED THE COMPLETED APPLICATION ANO PERMIT° AND DO HEREBY Expiration Every permit issued by the Butldmg Ott1c,al under the prov1s1oos of th,s * AN OS~ IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m1tat1on and become null and void If the bu1fd1ng or work 5· o·· A DEMOLITION OR CONSTRUCTION OF authorized by such permit ,s no~~c menced w1thm 180 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if the bu1ld1n or w k uthor1zed by such permit Is suspended or ST"' / OVER 3 STORIES IN HEIGHT ~
ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON abandoned el env 1,me aFier th !r.'! ,s commenced for a oer,od of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:~A /1-&_ tt', CONTRACTOR 0 APPROVEQ____ 1-,rl,, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AN UC t SIGNATURE -OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 't;;O '1':F)..f BY PHONE 0 GRANTING OF THIS PERMIT ~ ~ J
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEll!.ING
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING ' I
D SEWER AND BUCO □ P~/CO
UNDERGROUND D WASTE □'WATER ,. TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
,S3AS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER
~OUGH ELECTRIC I
D ELECTRIC SERVICE 0 TEMP(J)RARY
D BONDING D POOL ' I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPll'JG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTYON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'IE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
. ,· ' \
', \ -,. \ . ~ ' ' FIELD INSPECTION RECORD -'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
r
STRUCTURAL CONCRETE ~,·., ,:•· ..
I (,bf. -OVER 2000 PSI . , -.. PRESTRESSED ... _ ~ .-.:, .. , .. ' CONCRETE (~;, j .. ..
POST TENSIONED .. •. .-:~· :"'i CONCRETE . ,,
FIELD WELDING j .'
I .. ....
HIGH STRENGTH
• ' I, b J;,,,, BOLTS -I ✓ ... ' ..
SPECIAL MASONRY _ _, .r ~ JJ
PILES CAISSONS
.
' . ~ ..
~
-0 ~ ::.,eby attlrm that I am licensed under ~ '[ provlalona of Chapter 9 (commencing with t; S.Cllon 7000) of Olvlslor 3~1 the Business
c and Profeaalons G:ode, and my license is in
~ full for~ ,1,/1'1, .ir""t.-B l z Loe No -=L.=--=/--= L.'-'t>~O~O_ Clm ~-~~--
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I hereby alflrm !hat I am exempt !tom lhe Contrac·
tor's L,a,nse Law lor the following reason (Sec 7031 5 Business and Professions Code Any city or county which re-quires a permit to construct, alter. improve, demolish, °' repair any struclure. pnor to its issuance also requires !heap·
phcant f()( such permit to hie a signed statement that he 1s licensed pursuant to lhe provrs1ons o1 lhe Coniracto(s
License Law (Chapter 9 commencing with Section 7000 ol DMstOn 3 ol the Business and Profess,ons Code) or that 1s ex-
empt lherelrom and the basis tor the a11egec:i ex:empt,on Any violalK>n ol Sechon 7031 .5 by an apphcan1 !Of a permit sut>-
,ects the applicant to a ttvd penalty o1 not more lhan five hun•
dred dollars ($500).
0 I, as owner ot lhe property, or my employees with wages
as their sole compensation, will do the work, and the struc· lure is not intended or offered !Of sale (Sec 7044. Busmess I
and Professions Code: The Contractor's License Law does
not appty to an owner of property who builds Of improves thereon and who does such wrt himself or through his own
employees, provided that such improvements are noi intend·
ed or offered lor sale. 11, however, the bu1ld1ng or imp,ove-
ment is sold within one year of completion, the owner·buik!er will have the burden o1 proving that he did nol build or im·
prove for lhe purpose of sale).
D I, as owner of the property, am exclusively contracting
with lk:ensed contractors to construct lhe project (Sec. 7044, Business and Prolessions Code: The ContractOf's Ltcense Law does not apply to an owner or property who builds or Im•
proves thereon. and who contracts for each pro1ects with a contractOf'(S) license pursuant to lhe Cootraclor's License Law).
D As a homeowner I am W\proving my home, and the lollow· ing conditions exist: 1. The work 1s being pertormed prlOI' 10 s.ale.
2. I have hved in my home for twelve months prior to completion o1 this wDfk. 3. I have not claimed !his exemption during the lasl three years.
D I hereby athrm Iha! I ha-...e a cer11t,c.a1e of consent
to self-insure. or a cen,t,cate of Wor~ers·
Compensation Insurance, or a certified copy thereot (Sec 3800. Labo< Code)
POUCVNO KWP 265 92 50
coMPANv Fireman ' s Fund
Q Copy IS filed With the city
O Cen1lled copy is hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sec1ton need not be completed ,t the perm,1 •s tor one hundred dOllars ($1001 or Iess1
D I cen,ry that in the performance ol the wort&: to,
which this pem111 Is issued. I shall not employ any
person In illy manner so as to become sut>Iec1 10
the WC>f1ters' Compensation Laws ot Cahtorn1a
NOTICE TO APPLICANT If, alter mak1n1 this Cert,
l1cate of Exemphon. you should become subIecr ,.,
the WOtkers' Compensation provisions ot !he LabOr
Code. you must tonh-.1lh comply with such
prov1s,ons or lh1s permI1 shall be deemed ,e..,oked
0 I hereby attum lhat there 1s a cons1ruc11on
Iend1ng agency tor !he perto,mance 01 the work for
which !his perm11 ,s issued ISec 3097. C,v,I COdeJ
Lenders Name Union Bank
Lenoe,,ACICl,e,s 5 2 5 "B" St ,
San Diego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST.
IDA;~;;;~~ATtONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2840C Winthrop Avenue Seaside Way 1710 10,800 83-502
LOT,JIBLOCK J SUBOIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE 1 ZONE Garage 4 CA AVERA ILLS 82-16
OWNER'S NAME I OWNER'S PHONE Pacific Scene. Inc. 299-5100
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE rireetons Unlimited 299-5100
OWNER'S MAILING ADORESS '~900 n~rnev St_ s_n_ (}21 n 2721iR6
3900Harnev 92110 DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE St., San Diego, CA
DESCRIPTION OF WORK Buzard/Henninq & Ass. C4729 900
DESIGNER'S ADDRESS DESIGNER'S PHONE
GARAGE 4883 Ronson Ct .. San Dieac 278-6855
------F/P FLRELEV. NO EDU OCC GP
STORIES
vO NO ---
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND vO NO vO NO Not Valid Un/,:ss Machine Certified
QTY. PLUMBING PERMIT -ISSUE 1 ,50 QTY. MECHANICAL PERMIT -ISSUE 3. 00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 .Rf; ~o
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 56.25
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 INSTA~ .. ALTER, RE PAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST • HOOD/DUCTS MOBILEHOME 01-00·0Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn.ooo•
TOT.t.L MECHANICAL STRONG MOTION 80-92-33-0519 .75
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE 5., 00 QTY. SOLAR • ISSUE PUBLIC FACI LITIES FEE p-f 32·00-00-8933 216.00
BRIDGE FEE
NEW CONST EA AMP/SWT ,BK R 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
l PH 3 PH PUMP San Oieguito 80-92-23-0519
REMOOE L'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) tYI FF
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE ~ 359 .50
I HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERMIT" AND DO HEREBY E ,tp1rat1on E-v perm,t ISSU8CI by the Building Otttc,et un-the prov1S1ona of th,s * AN OSHA~tS REOUIAED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp1~e hmotatton and ~ null and vo,d If the buold,ng or work S' 0" DEEP D DEMOLITION OR CONSTRUCTION Of 1uth0t1Zed by sue mIt ,s not Wtthm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS perm,t, 01 ,1 the lld1~01 ~ authJ,!Ud by such permit os suspended or STAUC OYER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· aban-at a me a -IOI a Denod of 180 Mv• .
STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLIZANT'S NATU.,.,... ...... ... OWNER□ CONTRACTOR 0 APPROVED ~\_
1~/2(l_
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE __ ,. (,..,.~ BY PHONE 0 GRANTING OF THIS PERMIT ~
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TYPE I DATE INSPECTOR
BUILDING I
_l
21' ~,. ~-n .).-<..f -
FOUNDAJ"ION I FIELD INSPECTION RECORD ',
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL --
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SHFAR
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I PRESTRESSED
CONCRETE • INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I . FIELD WELDING -
SEWER AND BUCO DIPUCO I
!J)NDERGROUND D WASTE D WATER
TOP OUT D WASTE D ~ATER
HIGH STRENGTH •. i BOLTS -.
SPECIAL MASONRY
TUB AND SHOWER PAN I -
GAS TEST ' I PILES CAISSONS
D WATER HEATER D SOLAR WATER -' .
I .
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
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 INSPECr:(ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA WE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
~Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
VALIDATION
1200 ELM -438-5525 You are required by law to complete and return this form to our office.
Address where Business ' ,,,/ _
will be conducted (;..II/\,., rvz. f2_. c,
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 lot
Previous use of Building
:?900H~
Address
Type of flammable or explosive liquids to be used, if any /\) t)y\.,/ ~
Building
Permit No.
Business Phone
Home Office n, Phone c:,o.:
971/0 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 penally of perjury.
Dated this day of
Signature of Applicant
FOR DEPARTMENTAL USE ONLY
Use Zone :...c.... Occupancy Group ,_ I Type of Construction
Planning
Department Date Approved By
Engineering
Department Date Approved By
Fire
Prevention Date Approved By \ ~ECEIVEO SEP O 8 1986
Health
Department Date Approved By
Building Department Date '7. fl Approved By
Signature of Bu ilding Official
White -Building Dept. Yellow -Appllcant Pink -Finance Gold -Fire Dept.
FINAL~ BUILDING INSPECTION
PLAN CHECK NUMBER: 86-24-19 DATE: __ 9=--_4.o_---=8=6 ___ _
PROJECT NAME: ___ T-'-'H'-'-'E"'------'V'-=I=L=LAS=-=------------------------
ADDRESS: _ __,2=8=3=O---'-2=8,._4,_,,8'--_,W"--'1'-'-'n'""'th=re....,o"""c'-----'--'A..:..;ve=n-=u=e'------------------
PROJECT NO.: --'C'"-'T'----"8?=--_.]_,.6 ___ UNIT NUMBER: _______ PHASE NO.: _______ _
TYPE OF UNIT: Condos ____________ NUMBER OF UNITS: 10
Jerry CONTACT PERSON:. ______________________________ _
434-7692 CONTACT TELEPHONE:. _____________________________ _
INSPECTED, ~/, /
BY: __ ~~~~-----
INSPECTED
BY: _________ _
INSPECTED
BY: _________ _
ALL DEPARTI',:1 TS
DATE q a,
INSPECTED: L-I-8 ( APPROVED --'~"""'--DISAPPROVED __ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __ _
APPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS:---------------------------------
Rev. 1186 WHITE: Suspense GREEN: Engineering CANARY: Utilities PINK: Plan Ing GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-24-19 DATE: 9-4-86
PROJECT NAME: __ _,TL!..cH ..... E'-V_._I,._,L,,,,l.,_A,,,,S'------------------------
ADDRESS: _ __..2,.,_8.,.3,:.,O_-...,284=8,___W...,__1.L!n.Llth..,_,__r:,,,_o,,,_p__!A.l.Jy,.,,ewn'-"!u.,,._e_---,--_,--____________ _
PROJECT NO.: ---"C .... J _____ R=2--..... ]6..__ ___ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: Condos ____________ NUMBER OF UNITS: 10
Jerry CONTACT PERSON:. ______________________________ _
434-7692 CONTACT TELEPHONE: _____________________________ _
ALL DEPARTI1E1 TS
INSPECTED~
BY: __ __._(';,......o_-~-----~N~TiECTED: / /o1 fr APPROVED DISAPPROVED __ _
INSPECTED DATE BY: _________ _ INSPECTED: ____ _ APPROVED __ _ DISAPPROVED __ _
INSPECTED DATE BY: _________ _ INSPECTED: ____ _ APPROVED __ _ DISAPPROVED __ _
COMMENTS:---------------------------------
Rev. 1/86