HomeMy WebLinkAbout1000 CAMINO DE LAS ONDAS; ; VARIOUS; PermitiWfWMii Wl, I I'lmmmmmmmmmmmmmmmmmmmmmmmmtmmmmmtmmKmmmmmmKmmitmmmmii^mmsm!!
6796 & 6798
PASEO DEL NORTE
ARE NOW
1000 & 1002
CAMINO DE LAS ONDAS
AS OF 2014
FOR MAIN HOME&
SECOND DWELLING UNIT
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numb&red spaces only. Permi
'"17ff
IDESCR.
CONTRACTOR MAIL ADDRESS M - PHOHE LICENSENO. 5T A 1 n. V. I 1 r
ICHITECT OR DESICNCR MAIL AODRESS RHONE LICENSE NO. r
AODRESS - IIP PHONE _^
&ff9^iu^/^, nook </j}('^jj
AIL ADDRESS M RHONE LICENSE NO. STATE CITY
MAIL ADDRESS LICENSE NO.
COMPENSATION fNS. CARRIER MAIL ADDRESS
USE OF SUILDING
8 Clan of work: DNEW XCl ADDITION • ALTERATION
•Cx XT-
REPAIR
9 Describe work:
PERMIT FEES
No. Typa of Fixture or ttem Fae
SPECIAL CONDITIONS: WATER CLOSET (TbiLET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK I. DISP.
DISHWASHER
APPLICATION ACCEPTED BV PLANS CHECKED ev APPflOVEO FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING I> TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
•fSyOK AUTHORIZED ACENT tOftTt)
CESSPOOL
SEPTIC TANK * PIT
ROOF DRAINS
PERMIT
SIGNATURE OF OWNER (IF OWNER SUILOER) TOTAL FEE
WHEN PROPERLV VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERIVIIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
2SP
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLIGAliC^
aty of CARLSBAD, CALIFORNIA 9200iB
/Applicant to complete numbered spaces only. Phone 729-1181
I LOT NO. SLK TRACT
Permit No.
,LESAL 1 DESCR.
JWNER y _ MAIL ADDRESS ~
:61jTRACT0R ^ MAIL ADDRESS CONTRACTOR MAIL
ARCHITECT tfR DESISNER MAIL
STATE LIC. NO. CITY LIC. NO.
MAIL ADDRESS
-f^^r i4<^oSf /5C77
LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION fNS. CARRIER MAIL ADDRESS
USE OF BUI LDING
8 Classofwork: DNEW •ADDITION • ALTERATION • REPAIR
9 Describe work /j/ft/^^C S^^^<L
PERMIT FEES
No, Type of Fixture or Item Fae
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BAT H^UB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY | PLANS CHECKED BY
T
APPROVED FOB ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HBflEtN OR NOT, THE GRANTING OF A . PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING 1> TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS,
CESSPOOL
SEPTIC TANK <> PIT
ROOF DRAINS
ISSUANCE FEE
SIHNATURE OP OWNER llF OWNER SUILDERI lOAtE) TOTAL FEES ^1 >^ ^
WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPEaOR
INWECTION REPORTS
DATE ITEM REMARKS INSPECTOR
V,
-
USE SPACE BELOW FOR NOTES, FOLLOW-VP, ETC.
rmtmmmF^mm
REQdlST INSPECTION
^V^^-^L-^^ PERMIT MQ. INSPECTOR
OWNER_
TIIVIE:
£4
.DATE:.
ADDRESS I f U / t-t''^
BUILDING
• FOUNDATION
• REINFORCING STEEL
• MASONRY
• GROUT - GUNITE
• FLOOR AND CEILING FRAIME
• SHEATHING
• FRAME
• EXTERIOR LATH
• INSULATION
• INTERIOR LATH OR DRYWALL
• FINAL
ELECTRICAL
• TEMPORARY SERVICE
• ELECTRIC UNDERGROUND
• ROUGH ELECTRIC
IZI POOL BONDING
• ELECTRIC SERVICE
• CEILING HEAT
a G.F.I.
• SMOKE DETECTOR
• FINAL
O UNDERGROUND PLUMBING
IZI UNDERGROUND WATER
O ROUGH PLUMBING
TOP OUT PLUMBING
,SEWER AND PL/CO MSE
TUB OR SHOWER PAN
• GAS TEST
• WATER HEATER
• FINAL
MISCELLANEOUS
[• PLENUM AND DUCTS
IZI COMBUSTION AIR
IZI PATIO
• SIGN
O GRADING
• DRIVEWAY
• CONDITIONED AIR SYSTEMS
• REFER PIPING
• FINAL
READY FOR INSPECTION: • MONDAY DTUESDAY DWEDNESDAY DTHURSDAY
D A.M.
• P.M.
/4^RIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY_
PERSON TAKING REPORT-tl
•
CITY OF CARLSBAD • ,
AGENDA BILL NO. ' ^.T 73" lept^uly/^ Q
fc>ATEi March 21, 1978 ; ^ KttY.^fS^
DEPARTMENT: Eng ineert ng • ' C, Mgr.
Subject:
SEWER THROUGH PRIVATE EASEMENT 6798 PASEO DEL NORTE
Statement of the Matter .
Charles and Alice Kramer have requested City Council to grant permission to
sewer an existing residence near Fuchsia. Lane through a private sewer ease-
ment. The residence is currently served by a failing septic system. The
County Health Department has ordered the residence to be connected to a pub-
lic sewer or repairs to the system be made. The Kramers have a utility
easement through adjacent property to the existing public sewer in Fuchsia
Lane. City CoiinciI Policy Statement, adopted January 7, 1958, requires that
the applicant enter into an agreement with the City concerning his share of
future sewer costs.
Exhibits
t. Memo from City Engineer dated March IQ, 1978.
2. Applicant's letter requesting approval of private"sewer easement. .
3. Official Notice from ODunty of San Diego Department of Public Health.
4. Agreement with Applicant regarding future sewer costs. .
5. Vicinity Map. •
Recommendation
If City Council concurs: (I) Adopt a motton authorizing connectton of the
existing residence to th6 Fuchsia-Lane sawer through a private easement; and
(2) Direct the City Manager to enter'into an agree-
ment with Dr. and Mrs. Kramer regarding future costs of constructing a public
sewer to serve the residence.
MEMORANDUM
TO: City Manager
FR(M: City Engineer
DATE: March 10, 1978
SUBJECT: Private Sewer Easement for 6798 Paseo del Norte
Dr. and Mrs. Kramer have requested Council's approval of a private sewer
easement to serve their residence at 6798 Paseo del Norte. As reported
by the County Health Department, the existing septic system has failed
and the residence must be connected to the public sewer or the system
must be repaired.
Repair of the system, in essence, would be to construct another septic
drain field on the property at a cost of approximately $2,500. Since
this lot is "land locked", sewer service must be provided by private
easement. I recommend the request be granted provided Dr. and Mrs.
Kramer enter Into an agreement regarding future sewer construction
costs.
Ttm Flanagan
City Engineer
TCF:FNL:veb
6798 El Paseo Del Norte
Carlsbad, California 92008
March 2, 1978
City of Carlsbad
1200 Elm Avenue
Carlsbad, California 92008
Re: Reguest to sewer existing residence at 6798
El Paseo Del Norte, Carlsbad, Califomia through
private sewer easement.
Gentlemen:
Our home is located at 6798 El Paseo Del Norte, Carlsbad,
California. It has been serviced by a septic system
since construction. This system has been marginally
effective of late and is leaking sewage as set forth
in the County of San Diego Department of Public Health
Official Notice dated March 1, 1978 attached hereto.
The Official Notice provides that connection concerning
the referenced residence be made to sewer system within
thirty (30) days from March 1, 1978 (date of Official
Notice). We are prepared to effect a sewer connection
• on adjacent property (Fuchsia Lane) pursuant to pro-
visions of Easement Deed dated February 28, 1978, photo-
copy attached hereto. Original of said Easement Deed
was forwarded for recording by the San Diego Covinty
Recorder on March 1, 1978. Upon recording, a photocopy
of the Easement Deed with recording data thereon will be
filed with the City of Carlsbad. We have made arrange-
ments with a plumbing contractor to do the necessary
connection work. We request that the City of Carlsbad
grant the necessary approvals to allow us to proceed
with the sewer connection. Because of the time limit
referred to above we would appreciate that action be
taken on our request as quickly as possible.
CHARLES J. RECEIVED
(..AR 2 1978 ALICE M. KRAMER
CITY OF CARLSBAD
Engineering Department
OFFICIAL NOTICE Sheet ..,...^....of ./...Sheets
Rei nspect on or about
Establishment Number.
Name.
First
Date„.
Last Owngf^Permittea. Agent, Tenant
Address ...^-V^-Zi'- ^..S.i^..™......!Ls!i^..™.-.../4^5^^-. City „C^^^««^"--
You are hereby notified that an inspection of your .35^)6!«i?..!3#ie5« Sc«i>/fl.i< —..^r located
^ Hou^J. Cafe. Apt. rttjy^e. Etc.
at Hft^^C .<!!3kri(^!r.i!»..ci...._(«»Hncorpw^ was made ontS^frlJ^
Adaress oLViolation ^ Citv Oate
by .JL,..,.^„JM!^tJ.tzt.'iii»fl^.. -T_ of the County of San Diego Department of Public Health. The
Sanitarian ^ .
following described condition(s) is/are in violation of „Si»^..I)/!!?rqP....^?*^
.> - ij Publ<E_HBalth Laws
..... and shall lae corrected within .i^O. days:
.„|::/ft»fcA^ is „1.7!S;*^*-^. .i^.......
. •:;|i^,A*ai^-.ir^ jyt<^.....„_.^.r«*4«^
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..:......_..Abit......:.i«e«f.......:..y»«.«z.2«^^ '3^..sJiQjS!ALf^
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Received By:
•5: Jirff-lf/... .7^^. .^i«A/ft>*<JC „../;».^<fa/>«
. Sanitari
COUNTY OF SAN DiEGO DEPARTMENT OF PUBLIC HEALTH
1600 PACIFIC HWY., SAN DIEGO, CA 92101
PHONE 236-2243
SAN 41 tf.73| aOM
CAHLSBAD THACr NO 72-2.2
RECORDING REQUESTED BY AND
WHEN RECORDED MAIL TO:
CITY OF CARLSBAD
1200 Elm Avenue
Carlsbad, California 92008
Space above this line for Recorder's use
Documentary transfer tax: $ no fee
Signature of declarant determining tax-
firm name
City of Carlsbad
Parcel No. 214-140-12
AGREEMENT
PARTIES: The parties to this agreement are the CITY OF CARLSBAD, a municipal
corporation of the State of California, hereinafter referred to as City, and
CHARLES J. KRAMER and ALICE M. KRAMER, hereinafter Jointly referred to as Applicant.
RECITALS: This agreement Is made with reference to the following facts:
1. Applicant owns certain real property located In the City of Carlsbad, County
of San Dlego, State of California, commonly known as 6798 Paseo del Norte. Satd
property Is not presently connected to a sanitary sewer system, but Is sewered by
on-site septic tank procedures.
2. There Is no sanitary sewer In publlc right-of-way adjacent to said property.
3. Applicant has obtained a private sewer easement by which they will be able
to sewer their property Into a sanitary sewer located tn Fuchsia Lane.
4. Private sewer easements In the City of Cartsbad must be approved by the
City prior to construction.
COVENANTS: Now, therefore. It Is mutually agreed between the parties hereto as
follows:
1. City grants to Applicant authority to construct a private sewer tateral
connecting their said property Into the sanitary sewer In Fuchsia Lane.
2. Applicant shall pay to City a sewer front line charge In the amount of Nine
Hundred Dollars ($900.00) to be deposited In the City Sewer Revolving Fund.
3. In the event a sanitary sewer Is constructed In future street right-of-way
to serve the subject property. Applicant shall make any additional payment In an
amount equivalent to adjoining properties, or If a 1911 Act Improvement District
Is formed, the moneys paid Into the City Sewer Revolving Fund shall be refunded and
the property will be assessed Its full share of the cost of Improvement.
4. Applicant shalt be responsible for ali repairs and maintenance of thetr
said sewer lateral which Is located on private property.
Dated: ^//s. /
CITY OF CARLSBAD
By ^ :
PAUL D. BUSSEY, Ctty Manager
QL
APPLICANT
STATE OF CALIFORNIA )
)
COUNTY OF SAN DIEGO )
On , before me, the undersigned, a Notary Publlc In and
for said State, personalty appeared Paul D. Bussey, known to me to be the City Manager
of the City of Carlsbad, a municipal corporation of the State of Caltfornia, known to
me to be the person who executed the within Instrument on behalf of said municipal
corporation, and acknowledged to me that such Ctty of Cartsbad, Caltfornia, executed
the same.
WITNESS my hand and official seal.
Notary Publto
(SEAL)
-2-
'-4
STATE OF CALIFORNIA )
) ss.
COUNTY OF SAN DIEGO )
On March 13, 1978, before me, the undersigned, a
Notary Public in and for said State, personally appeared
CHARLES J. KRAMER and ALICE M. KRAMER, known to me to be
the persons whose names are subscribed to the within
instrument and acknowledged that they executed the same.
WITNESS my hand and official seal.
Notgfry Public
(SEAL)
OFFICIAL SEAL.
DONALD W. LYNCH
NOTARY niBUC . CALIFORNIA
PRINCIPAL OFFICE IN
SAN OIECO COUNTV
My Commission Expins April 28,1978
-.3-.
APPLICATION FC^ PEf^NHT T0|:OMNECT TO CtT¥MWIiR SY$Tglll
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
AODRESS
MAILING
AODRESS
MAILING
AODRESS
CONTRACTOR • .' • ..• • • '* '''^'''"''' CONTRACTOR'S
AODflESS
• . •:' " :.!•'•(. V
CONTRACTOR'S
AODflESS
CONTRACTOR'S
AODflESS
NEW. BUILDING EXISTING BUILDING yC
LEGAL DESCRIPTION
ISSUED BY
DATE issueb-X *at. -fc. •» 7 g
VALIDATION
LATERAL CHAHGE CO*»kltA,Tl<lJN,
STANDARD 4" (Max. H. 30*, y. LOT).,....
<:-:''• •-.•••:.'•' .''.y..^.'X' WA:.-.^^:7%5
OV6R 30* H 3 iJ.fH'.—
OVER IC V , ',- WT.
STANDARD 6" (Max. H. 30*1 %. tift
OVER ac H (8L—lfi
OVER ttvv. . a , ..^ft
TOTAL CONSTRUCtlONiilC
SERVICE CHARGE (REPAViNQ^Emi
TOTAL LATERAL QHiljtRji
LINE COMDI
^ .i.'-'J
REMARKS:
ASSESSMENT DIST. NO
FRONTAGE J^^LSLCOST PftRj
OTHER
CONNECT|ON'|,-ipeE
utaf-^
^TDtAL , A, "
LATERAL LOCATION
NO. UNITS lP/r£: ..COST PER TQTAL^
. LATERAL NO
i:keMiLi^^.Msi,^t,ittiuS&i,^
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V . // '^•< .'
PLUMBING PERMIT APPUCATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces oply. Phone 729-1181 Permit No..
'7, 'I--' RP
3.on tl
JOB ADOR e$S
67^,
4 LEGAL
IDESCR.
MAIL ADDRESS
CONTRACTOR 6798 PASBO pg. HflKTB m06-
TUAIL ADDRESS '^PMONE
.5-
PHON E
STATE LiC. NO. CITY LIC. NO.
2»5707 13787-LICENSE NO.
MAIL ADDRESS DCENSE NO.
COMPENSATION T^S. ^ARRIER MAIL AODRESS
USE OF BUILDING
CO,, r.o, BEg 6L211. 3MI BIBao. CA. 923.38
8 Classofwork': DNEW •ADDITION • ALTERATION • REPAIR
9 Describe work:
f PERMIT FEES
No. i Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) S
BATHTUB
LAVATORY (WAs'fi BAsINf
SHOWER
Ji'. KITCHEN SINK & DISP.
# DISHWASHER
APPLICATION ACCEPTED BY
, il ij ^2
PLANS CHECKED BY
?-?^
APPROVED FOR ISSUANCE BY.
D AT E
LAUNDRY TRAY APPLICATION ACCEPTED BY
, il ij ^2
PLANS CHECKED BY
?-?^
APPROVED FOR ISSUANCE BY.
D AT E
CLOTHES WASHER \
APPLICATION ACCEPTED BY
, il ij ^2
PLANS CHECKED BY
?-?^
APPROVED FOR ISSUANCE BY.
D AT E 1 WATER HEATER 00
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL / NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
DR INKING FOUNf/tfR''' " '
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
FLOOR—SINK OR DRAIN
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SLOPSINK
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
GAS SYSTEMS: NO. OUTLET^
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WATER PIPING & TREATING EQUIP.
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WASTE INTERCEPTOR
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
VACUUM BREAKERS
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SEWER NIIMRFR ri PiNnMT.<;
/ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR -IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTgR WORK IS COM-
'MENCED. ' .
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
CESSPOOL
SEPTIC TANK <> PIT
ROOF DRAINS
SfJwrTuHE or CONTRACTOR OR AUTHBRIIED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATEI SfJwrTuHE or CONTRACTOR OR AUTHBRIIED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
,ISSUANCE FEE $
SfJwrTuHE or CONTRACTOR OR AUTHBRIIED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATC) TOTAL FEES $ 5 06
•%
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC.
OFFICIAL NOTICE Sheet .......^.„ of ;„„_^... Sheets
Reinspect on or about
Establishment Number.
Name. ...iCZi ivIX
Flr« IttM-* Ao<irtt. Tanant
City jQadSlsAsuJu.
rocated
Address
You are hereby notified that an Inspection of your !?<g«&A<,iifcftc&«. ^feLSi/feg
^ Houfi^ C«f«»Ai». Hqij)i«i7Ete.
§t .JJLSSI' . fp lbggLjg£,.../^!g^ CS^Mr ia r/ , (^iRtncorporatedy was made onr3b±J^
.^^.^..j^^^i^^lg^ ^^^^ ^ owxm
by ^ ,„..../iA/.J^^Mi^^Z!m. of thr County of San Diego Department of Public Health. The
following described condition(8) is/are: in viotation of
and shall be corrected within days:
.4Macl.ii^ut..(li!t£.st!^.....i,
JCS.!.
iii^H.f.Lj!'.. ix.yULX3S^imJtujim
—..MftsSxr..,, §<a<fc*-fc£i<5L-«.- i»».i..j^!!!!ji!3flfiw£i
^.^sJ^ _-5i:^./.ci.„._.Ac_....(::^
,ltiMnmJL.cjL......J^!^.~„
J
Jte-JSLn:.... jaia.s3jLsm
:aywL......„„ _^a«L'../r^..„..7-
..-.A*<»ft.lii.-s. ^j^!SS(Kes.:.:a{. \jSic^.L.....-..JLi:f^3^^
Jfy^JlSSririsl..... t^^L^aSJL/fi Xi^«::^.._..<4£k„ jaOLSsl^SL.,, "
-MM. ..Ar:.s :—JLsLiI.........—
..Z„E.
y-tfjr f,tJ^A»iur.Jl
7. 77
;i^A<..'i;:.v.......35.i!!&:ri^^
Received By
. Agam. Tenant
Sanitariail
COUNTY OF SAN DIEGO DEPARTMENT OF PUBLIC HEALTH
1600 PACIFIC HWY.. SAN OIEGO. CA 92101
PHONE 236-2243
SAN4t wm'nm
o ^ o
oc
Q
m £ IU z
o
• I h«r9by affirm that I am licensed under
provtslons 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 Cfass _______
I hereby attirm ttiat I am exempt trom ttie Contrac-
tor's License Law for the following reason (Sec. 7031.5
Business and Protessions Code: Any city or county wtiicf-i re-
quires a permit to construct, alter, improve, demolish, or
repair any structure, prior to ils issuance also requires the ap-
plicant for sucti permil to file a signed slalement that fie is
Iicensed pursuant to the provisions of tfie contractor s
License Law (Chapter 9 commencing with Section 7000 ot
Division 3 ot Ihe Business and Protessions Code) or ttiat is ex-
empt therefrom and the tjasis for the allegeo exemption. Any
violation ot Section 7031.5 by an applicant for a permit sub-
jects Ihe applicant Io a civil penalty of not more than five hun-
dred doHars ($500j.
r.1 I, as owner of Ihe property, or my employees with wages
as their sole compensation, will do the worl<. and the struc-
ture is not intended or offered for sale (Sec 7044, Business
and Professions Code: The Conlraclor's License Law does
not apply to an owner of property who builds or improves
Ihereon and who does such work himself or through his own
employees, provided Ihat such improvements are not intend-
ed or otfered for sale. If, however, the building or improve-
menl is sold within one year of completion, the owner-builder
will have Ihe burden of proving thai he did not build or im-
prove for the purpose ol sate}.
• I, as owner of the property, am exclusively contracting with licensed contractors tc construct Ihe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a contractor(s) ticense pursuant to the Contractor's License Law).
• As a homeowner I am improving my home, and the follow-
ing condttions exist:
1. The worl( is being pertormed prior to sale.
2. I have lived in my tiome tor twelve months
prior to comptetion ot this work.
3. I have nol claimed this exemption during the
last three years.
• I am exempt under Sec ,B&P-C.
for this reason
Z
o
<
Z
Ui a Z
o
o
ifi
O
Q 1 hereby affirm that t have a certifhcate of consent
(o self-tnsure. or a certificate of Workers
Compensation Insurance, or a certified copy ttiereof
{Sec 3800, l_abor Code)
POUCVNO'2K(3H>'^. 0
C^tAPAHy ^^^^ y\w|7A^
lied with the ctty ^^0*€opy IS fl
• Certified copy is hereby furnished
CC iU a z
CERTIFICATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed it the permit
IS for one hundred dollars ($100) or less)
O I certity that in Ihe pertormance of the ^or^ lor
which this permit IS issued, I shall not employ any person m any manner so as lo become subject to
lhe Workers' Compensation Uws of California
NOTICE TO APPUCANT It, afler making this Cerii
ficate of Exemption, you should become subject to
Ihe Wortters' Compensation provisions ol the Lat>Of
Code, you must forthwith comply with such
provisions or this permit shall t>e deemed revoked
n I hereby affirm thai there is a eonsiruction
lending agency 'or fhe perlormance ot the work for
which this permit ts issued (Sec 3097, Civil Code)
Lender s Name
Lender 5 Address ,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Calitornia 92008-1989 (619) 438-5525
APPLiCATiON & PERMIT
JOB ADORFSS _ ! • AV. ST.BO ^NEARESTASROSSST. - O f\ DAte OF APCUCATION
•TT I HI r^rK I <^iiHni\/i(;inM At;c;F<;c;nn PARrpf Mn / . - m«T«Af-TnB . ' I 01 BLOCK SUBUI VISION ASSESSOR PARCEL NO.
OWNt R'S NAMF . 1 _ OmMtUf PHOHt
OWNER'S MAILING ADDRESS
|}> •>! H<'1 rr,H OF WRKK
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
. . CONTRACTOR ^
CONTRACTOR'S AgpRtSS
ti^'-f^o ma
F/P F LR ELEV.
vD NO
GRADING PERMIT ISSUED
¥ • N •
• IIANih '..ARI-l-ll I r t^AMI>4F1 'HF QOMPlCrtCi
CEHTIFY UNDEfl PENALtV OF PERJlinY THiir XLL
DECLAFV^TIONS AHE TRUt AND CORRECT AN[) I FURTHER CfH-TIFV.
ISSUED TO COMPLY WITH ALL CITY. COtlMTV AND $!Utt^UiSI& C
&1HUCTJON WHETHER SPtClhlED HEREIN OR NOT. I ALSO-AGflt^
hi.r F.' hAHMl V.A THt '.iTV OF '..AMI iSMQ MAIllst AU-l.tMH.Tnt.'
tn- -iSfj v." t H V/l • iN i^r AAi WMUL A-oAllibT SMO C-ITV
.CI!l«NTING43f THIS PERMIi.. <^'—. ^ V- • "'
REDEVELOPMENT
AREA
<U ND
NO
STORIES
TYPE
CONST
•USINESS LICENSE «
CONTRACTORS PHONE «
LICENSE NO.
LICENSE
OCC LOAD
EDU
FIRE SPR
VALUATION
ZONE
PLAN I.O. #
STANDARD PLAN #
PERMIT NUMBER
BLDG USE CODE
BUILDING SO FOOTAGE
Not Valid Unless Midline Certilied
QTY. PLUMBING PERMIT - ISSUE 7^ QTY. MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ^ 1 INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER 1 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
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 16 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM b OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO'DUCTS -MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING /o- -FIRESPRINKLERS 01-00-00-8227
QTY. QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
QTY. bLbUlHIUAL HtHMI 1 - ISSUE QTY. SOLAR - ISSUE BRIDGE FEE
NEW CONST EA AMP-'SWT'BKR COLLECTORS SCHOOL FEE - DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT.'BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMPPOLE 200 AMPS
•
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL j TOTAL SOLAR TOTAL FEES PAYABLE /cr-
(iiniurftaa bv su'-'h pcrimi n mil rmnmanwl aattfiiA ftfl M*t I'om 'lw dai*IHmeh
piirin>! nr il Uia biiiidiiia <ir wura «uthaima bt «uch parmn n sutpandv) v,
* •« (n|r lum worli n oamnwtfta' •wnod of ijjldgifc
fM-fian^ FIPHn <« REQUiWO FOR E|ICAV>TIOI|IS QVEH
« <r.yiiP XHb«Ei*OLmoM OR coHtsmacnoiHit
STRUCTURES OVER 1 STORIES IN HEIGHT
TYPE 1 INSPECTOR
BUILDING ;
FOUNDATJQN - |;
REINFORCED STEEL i
MASONRY 1 •' - ' GUNITE OR GROUT |
Fl^g^lJiLINGSWB^^
SHEAtHfNG • ROOF • SH^ _
• ; ••,'>.•- •'• FRAME '
EifrS^IOR LATH 1
filSULATION- ;
INTERIOR LATH & ORYWALL !
f| _ .s>^'-^':-^WMBIHQ: ^ { • :J: ^
SEWmAWd BL/CO DIPUCO l' i
UNDERGROUND OWASTE • \jvATER
TOP ouir:*:, Q WASTE " • V\4^TER
TUB ANtfiSHOvVER F^AN <
GAS TEST 1
•>: • WATER HEATER • SOLAR W/(TEH
1. ; i
ELECTRiCAL 1 --, - . ;
• ELECTRIC UNDERGROUND • jJFFER
ROUGJ:! ELECTRIC I
• EtfeCTRIC SERVICE . • TEMPoh>^RY
•.BONDING.:.:. •.. -a:«OQL;;,.„ - ! ; =;J . ': ,, 'i. : .a, -: ;..^.,w:'.' .. >
^^^^^^^^^ 1
•• DOCTl^.RLEMirSrS;iP%^ a.- • - —.
WEAt-^ AlftCK)NDi SYSlili^ *
VENTILATING SYSTEMS
•: / .. '-'• • '••: • • 1-;, ....
CALL FOfl FINAL INSPEQTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ^
PLUMBING ^6^^ 1 <% ELECTRICAL i
MECHANICAL ^ |
GAS 1 i ,
BUILDINU ' 1
SPECIAL CONDITIONS i
- 1
^ - .. " ^ . . •• ' , -I"'" - '''' •\ A •
• FIELQ INSPE€TfOM RECORO" • ^. • . . ' . / ." : v," • f • ' . .:.':A..^]\ •^.^'•- .i- : • ''/' '"fy-u-i
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES ' - ' •^:>,. .
INSPECTION REQ IF
CHECKED
INSPECTORS
APPROVAL DATE
'••'•: ..' ' . -" • : SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
, L " • ' • •• ,•• - - : , SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP • ' ^: '•'''• ' • '^i'''"''-'^. -' J . ' : i
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTWESSED
CONGflETt r •. .. .... ' . POST TENSIONED .
CONCRETE
FIELD WELDING J:
HIGH STRENGTH""
BOLTS ••' . .. ! • '-r:', ^ - : ; .
SPECIAL MASONRY *
PILES CAISSONS
:.-<-th
' i " V . , -J . . ^ ^ ^ •
.. . -,c '• - '•'--
.... d
.'. - • '• :'i'
-• • w t.r. • . • • .. •), :?^-^:~:--. '- .•• - - . . , I. . I • ; : • •
• - . • • • : ..... - ^. ...4 , • •
...
« " BUILDINGPERMIT
09/04/96 08:25
Paqe 1 of 1
Job Address:, 6798 PASEO DEL NORTE Suite:
Permit Type: ELECTRICAL
Parcel No: 214-531-51-00 Lot#:
Valuation: .0
Occupancy Group: Reference*:
Description: OVERHEAD TO UNDERGROUND CONVER
: FOR STREET WIDENING-20 0 AMP
Perniit No:
Project No;
Development No:
CB96165b
A9602357
Appl/Ownr MART ELECTRIC
3621 TRIESTE DR
CARLSBAD CA 92 008
619
Construction Type:
Status:
Applied:
Apr/Issue:
Entered By:
4 34-8386
NEW
ISSUED
09/04/96
09/04/96
RMA
*** Fees Requir
Fees:
Adjustments:
Total Fees:
illected & Credits
. 00
. 0 0
. 00
APPROVAL/
CITY OF CARLSBAD
2075 Las Palmas Dr.. Carlsbad, CA ^009 (619) 438-1161
PERMIT APPUCAHON
City of CarlstMd lui Iding DcpartHnt
207S LM PalHS Dr., CarlstiKl. CA 92009 (619) 438-1161
1. PKHMfr'lVPK
From List 1 (see back) give code of Pemit-Type:,
For Residential Proiects Onlv: From List 2 (see bade) give
Code of Structure-lVpe: ,
Net Loss/Gain of Dwelling Units,
PLANCHECKNO. f[S^^
EST. VAL
PLANOCIXPQSrr
VAUaBT
DATE
Z PRCJECT INFORMATION FOR OPnCE USE ONLY
Address
Nearest
Building or Suite NO.
r Unit No. '•-niase No.
i Street
LECAL DESCRIP'noN CoTRo: Subdivision Name/Number
THEnrmzwTrsDBKjrnm ;
P2 Energy Gates • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope ASSESSOR'S PARCTL EXISTING Vf)F PROPOSED VSE
SQ.FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS '^('A^fi
NAME (last name first)
cmr STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPUCANT
NAME Oast name first)^7 ^^CTKlC ADDRESS ^ jj, 2. / '-^(LI^Tg P^.
QTY
5. PBOP! ij^^j/^wd? /^^ STATE (Pjj., ZIPCODE ^T-QO^ DAY TELEPHONE /T 3 (f.^
PROFEinT OWNER /)
NAME Oast name Tmi)tji / /tC^l/^/H ^/l
CITY STATE ZIP CODE
ADDRESS
6. OUKIHAL'mH
DAY TELEPHONE
NAMT(1M name first)/77^/2 T B^'C^-f^C ADDRESS '^Gt} ~~t ^ (p^'^ € X^/^,
dj^l^^^^ ^ATE ZIPCODE <f-^(3 0 g!^ DAY TELEPHONE </5V-" ^38^
STATE UC. #(/(,?9fl UCENSE CLASS CITY BUSINESS UC. # I I'^'TOQ (>
UBIUNEH NAME (last name hrstj " AUUREliii =i=!=s===
QTY STATE ZIP CODE DAY TELEPHONE STATE UC. #
Workers' compensation Declaration: I hereDy attirm tnat 1 ha ve a certiticate ot consent to selt-insure issued by the Director ot industnal
Retatioiu, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exaa copy or duplicate thereof certified
by the Director of the insurer thereof flled with the Building Inspection Department (Section 3800, Lab. C).
INSURANCECOMPANY POUCYNO. EXPIRATION DATE
Certiiiicate ot bxempuon: i ceruty that in the pertormance ot the work tor which this permit is issued, I shall not employ any person in any manner
so as to becffne subj^t to the Workers' Compensation Laws of California.
SIGNATURE
•QWWEIFBI
uwnl
DATE
uiioer ueciarauon: i nereoy aitiim tnat i am exempt irom tne unitractors ucense Law lor the toUowiiig reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for saie. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Ucense Law does not apply to an ovmer of property who builds or improves theieon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense Law).
I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contraaoi's Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than flve hundi«d dollars [S500]).
•
r
SIGNATURE DATE
COMPLETE THIS SECTON FOR NON-REglBENTlAL BUILDING Pimm's ONLV:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
• YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disDict?
• YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
O YES • NO
IF ANY THE ANSWERS ARE YES, A FINAL CZimFICATE OF OCCUPANCY MAY NOT BE ISSUED 1909 UNUESS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
g. UJWyWUaTONLKNUlWdimKNL'V
1 nereoy attirm tnat tnere is a construction lending agency tor tne penormanee ot tne worK tor wnicn tnis permit is issued isec sw/W uvii (Jode;.
LENDER'S NAME
10. APPUCANT UEH'llPlCAilUN
LENDER'S ADDRESS
I ceruty tnat l nave read tne appiicaDon and state that tne above iniormauon is correct, i agree to comply with all Uty ordinances and state laws
relating to building construction. I hereby authorize representatives of the Qty of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO ACREE TO SAVE INDEMNIFY AND KEEP HARMUESS THE OTY OF CARLSBiWJ AGAINSTT ALL UABtUTIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work autiiorized by such pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPUCANT'S SIGNATURE DATC:
WHITE: Ffle YELLOW: ppiicant PINK: Finance
\3
CITY OF pARLSBAD
INSPECTION REQUEST
PERMIT* CB961658 FOR 09/10/96 INSPECTOR AREA
DESCRIPTION: OVERHEAD TO UNDERGROUND CONVER PLANCK# CB961658
FOR STREET WIDENING-200 AMP OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 6798 PASEO DEL NORTE STE: LOT:
APPLICANT: MART ELECTRIC PHONE: 619 434-8386
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/JOE
SPECIAL INSTRUCT: ASAP
INSPECTOR
NO ELECTRIC
TOTAL TIME:
CD LVL DESCRIPTION
33 EL Service Change/Upgrade
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
05-15-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
PermitNo: CB120887
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
6798 PASEO DEL NORTE CBAD
PME
2145315100 Lot#:
DEHMOUBED RES-BUILDING NEW
FIREPLACE IN FAMILY ROOM, FRAME OUT AND INSTALL
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
FARZAN DEHMOUBED
6798 PASEO DEL NORTE
CARLSBAD CA 92011
416 624-4133
Owfi0n
GOLDEN SURF HOLDINGS LLC
13067 CAMINITO DEL ROCIO
DEL MAR CA 92014
ISSUED
05/11/2012
RMA
05/15/2012
05/15/2012
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00 $150.00 $0.lM)
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalmiceOiM: $0.00
Inspector:
FINAL AtPiOmL
Date: G^llWtTf Clearance:
NOTICE: Please take NOTICE that approval of your project Includes the "Impositiorr of fees, dedications, reservations, or other exactkxs hereafter collectively
refeired to as fees/exactions.' You have 90 days from the date this permit was Issued to protest Imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required Infomiation with the City Manager for
processing In accordance with Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set askJe, void, or annul their Imposltton.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactkins DOES NOT APPLY to water and sewer connectkxi fees and capacity
changes, nor planning, zoning, grading or other similar appHcatkm processing or servk» fees In connectkm with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of llmltatking ha..i nravlniiglv Qthawiisfl exnirBd
:m*..-w.i"-n'mKii
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carisbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
*w5 Z.
SWPP
JOB ADDRESS SUITE#/SPACE*/UNIT#
CT/PROJECT # PHASE* # OF UNIT!
V
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE
DESCRIPTION OF WORK: Include Square Feet of >Ufected Area(s)
APPUCANf NAME (Primary Contact) APPLICANTNAME (S*coni/aiy Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
EMAIL
FAX PHONE FAX
PROPI OWNERNAME. , 7 f CONTRACTOR BUS. NAME
ADDREl ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE,
mm:
FAX PHONE FAX
•HIRKFH NAUFA AMRP» ^ ^ l CTalT I IP il ARCH/DESIGNER NAME & ^MRESS STATE LIC.# CLASS CITY BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to constrttpt alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions w the Contractor's License Law [Cfiapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the aiieged exemption. Any violation of Section 7031.5 by any appiicanffor a permit subiects the applicant to a , civil penalty of not more thanfive hundred dollars ($500)). il
WORKERS COMPENSATION
WorkereXomjwniatlon Dachi^on://wreiy a/lto underpena/fyofpeouryone of (ft^
rj I have and wlil maintain a certificate of consent to leif-inture fbr woriters' compensation as provided bf Section 3700 of the Labor Code, fbr the perfonnance of ttie woik for which this perm it is issued.
G I have and will maintain workers' compensatton, as required by Section 3700 of the Labor Code, lbr the performance of the woik fbr which this permit is issued. My workers' compensation insurance canier and poiicy
number are: Insurance Co. Poicy No. Expiration Date
This section need not be completed if the permit is fbr one hundred doiiars ($tOD) or less.
a Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, i shU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall tubjeti'an employerto criminal penalties and civil finet up to one hundred thoutand dollara (&100,000), in
addition to the cott of compentatlon, damages at provided for In Section 3706 of the Labor code, InterHt and attomey't feet.
CONTRACTOR SIGNATURE •AGENT DATE
OViifU Eti-BUi to Ett OECLARATION
I heyiyaffirrn that I airiexernpt frm CotitrBctoTs Ucense Law for ttte folkming reason:
fy I, as owner of the property or my ehiptoyees with wages as their sole compensatton, will do the work and tlie structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himself or through his own employees, provkled that such improvements are not Intended or offered for
sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder wll liave the burden of proving that he did not build or improve for the purpose of sale).
• I, as owner of the property, am exclusively contracting with iicensed contractors to construct the pnjject (Spc. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who buikls or improves thereon, and contracts for such projects with contractor(s) licensed pursuait to the Contractor's License Law).
• 1 am exempt under Section .Business and Professtons Code for this reason:
1.1 personally pian to provide the major labor and materials for construction of the proposed property knprovement OYes ONo
2. i (have / have not) signed an application for a buikiing permit for the proposed work.
3. i have contracted with the foilowing person (fimi) to provide the proposed construction (include nariipi address / phone / contractors' license number):
4.1 plan to provide portions of the work, but i have hired the fbllowing person to coordinate, supenis^ fid provide the major work (include name / address / phone / contractors' license number):
5. J wiil provide some of the work, but I have contracted (hired) the following persons to provide the wi|k Indicated (Include name / address / phone / type of work):
I PROPERTY OWNER SIGNATURE
JL
•AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future buikiing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2550S, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future buikiing occupant required to obtain a pemilt from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? • Yes • No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affinn that there Is a construction lending agency for the perfonnance of the work this pernilt Is Issued (Sec. 3097 (I) Civil Code).
Lendei's Name Lendei's Address
APPLICANT CERTIFICATION
I certif that I have lead the applksrtton and state that the above Inforniatton is oonect and that the
I heretiy authorize representative of the CIV of Caristiad to enter upon the above mentkx^
AGAINST ALL LIABILITIES, JUDGI\CNTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMTT.
OSHA: An OSHA pemilt Is required fbr excavatkins over S'O'deep and demoMkin or constmctkm
EXPIRATiON: Every permit Issued by the BulMing Ollkaal under Ihe proviskins of this Cod^
180 days fnxn the date of such peinM or if the buiding or worit authorized by such pemiH Is suspe^
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email wWw.buikllnQ@caflsbadca.aov or Mall the completed fbmi to City of Caiisbad, BuiMing Diviston 1635 Faraday Avenue, Carlsbad, Califbmia 92008.
C0#: (Offlce Use Only)
CONTACTNAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITV STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS. UC. No.
DELIVERY OPTIONS
• PICK UP: • CONTACT (Usted above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg. 1)
• MAIL/FAX TO OTHER:
• ASSOCIATED CB# -
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
• ASSOCIATED CB# -
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
JEfAPPUCANT'S SIGNATURE DATE
Inspection List
PermlW: CB120887 Type: PME
Date Inspection ttem
07/17/2012 68 Fireplace/Tie Straps
07/17/2012 89 Final Combo
05/24/2012 68 Fireplace/Tie Straps
05/21/2012 68 FireplaceH'le Straps
05/18/2012 68 Fireplace/Tie Straps
05/17/2012 68 Fireplace/Tie Straps
Inspector Act
Rl
MC
PB
MC
MC
SR
Fl
CO
CA
CA
CA
DEHMOUBED RES-BUILDING NEW
FIREPLACE IN FAMILY ROOM, FRAME OU
Comments
AM PLEASE
SMOKE & C02 OK
PER CONTRACTOR
ENTER ON CAMINO de LOS ONDES
Thursday, July 19,2012 Page 1 of 1
BUILDING PERMIT
09/26/96 16': 59 '
Page 1 of 1
Job Address: 6798 PASEO DEL NORTE Suite:
Permit Type: RETAINING WALL
Parcel No: 214-531-51-00 Lot#:
Valuation: 0
Occupancy Group: Reference*:
Description: 3 30 SF RETAIN WALL-PER SD STDS
Permit No: CB961857
Project No: A9602623
Development No:
Appl/Ownr : CITY OF CARLSBAD-ENGINEERING
207 5 LAS PALMAS DR
CARLSBAD CA 92009
*** Fees Required ***
Construction Type:.NEW
Status: ISSUED
Apgjli^d: 09/2 6/9 6
Apr/fjBsUe: 09/26/96
Enter^la By: RMA
619 4 38-1161
Fees
Adjustments
Total Fees
ted & Cre<aits * * *
. 00,
. 00
. 00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Departaent
2075 Las Palaas Dr., Carlsbad. CA 92009 (619) 438-1161
1. PKRMlT'lVPE
From List 1 (see back) give code of Permit-Type:
For Residential Proiects Onlv: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units .
PLAN CHECK NO. 7
EST. VAL
PLAN CK DEPOSIT
VAUD. BY.
DATE
2. PROJECTINFORMATION FOR OFFICE USE ONLY
Address ^-^gg p^SElOdfiJ MORTE
Nearest Cross Street CZAMI*^ de [QLS ON
Buiiding or Suite No.
lion Na Subdivision Name/Number
MAP /SiO
LEGAL liKCRlPTWN EoTRS:
L-Oi
CHECK BELOW IF aUBMlTrtli:
• 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope
Unit No. Phase No.
A.SSFSSOR-SPARCF.1. Zl'^-Sai- 5.1 EXlSTlNr, USF. PBOPOSFD USF. ~
DESCRIFnON OF WORK 330 R"^ RETO/Nl/MG \A/Pa_ -^'0. ^iltiOn/Ai-rf/rAO/mn- f^m^S^rri/i fJ/HlK
#OFBA^^o5^^-"^M^/>-^) SQ. FT. # OF STORIES # OF BEDROOMS
3. UUNTALTl' PEUSON |.ir diiierent trom appiicany
NAME (last name first) SCH6DELL SCOTT ADDRESS
CITY
4. APPUUANi • CUN'l'HALTUH
NAME (last name first) CMH OF (2flpZLSBQD
STATE ZIP CODE
UA(;ENT FOR CUNTHALTUR
DAY TELEPHONE
• OWNER UAtjHNTFOR OWNER
ADDRESS 2J015 LAS p/^LA4rt3 CR,
CITY
S. PH0PEH"17 UWNlJk
STATE ZIP CODE DAY TELEPHONE
NAME (last name first) klRAMfcHZj AUCEl
CITY STATE ZIP CODE
6. UUNTRAL'mR TTT^^Z^^Zl^
NAME (last name firsO BEFZr SIMS Sf3C^A|3
ADDRESS (il98 PflSED ti=L AJ0R.7E-
DAY TELEPHONE ~12^ " 039 6
CITY ViSJRi
UtblUNtK NAMt (last name tirstj
ADDRESS BIO MOJROSE
STATE C^. ZIP CODE <5 DAY TELEPHONE
STATE UC.#41(j9i4 UCENSE CLASS <^ CITY BUSINESS UC. #
CITY
7. WORKER*." COMPENSATION
STATE ZIP CODE DAY TELEPHONE STATE UC. #
Workers' Compensation Declaration: 1 hereby attirm that 1 have a certiticate ot consent to selt-insure issued by the Director ot Industnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Ceruticate ot Exemption: 1 certity that in the pertormance ot the work tor which this permit is issued, 1 shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of Califomia.
SIGNATURE
8. OWNER-BUILDER DEOAHATION
DATE
uwner-uuiider ueciarauon: 1 nereoy attirm tnat 1 am exempt trom the contractors ucense Law tor tne toiiowing reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense Law).
I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Ucense Law (Chapter 9, commencing with Secdon 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred doiiars [SSOO]).
SIGNATURE DATE
—COMPLE'IT: THlij iiECnON EOR NON-REijlbEN'nAL BUlLDINfl PERMrri? ONLV: '•
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 2SS05, 2SS33 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
• YES • NO
Is the applicant or future buiiding occupant required to obtain a permit from the air pollution control district or air quality management district?
• YES • NO
Is the facility to be constructed wiihin 1,000 feet of the outer boundary of a school site?
• YES • NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIHCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICTOF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ooN!;mucnoN LENUING mmm 1 hereby attirm that there is a coiutrucuon lending agency tor the pertormance ot the work tor which this permit is issued (bee 3097(i) Civil Code).
LENDER'S ADDRESS LENDER'S NAME
10. APPUaWTUER'm'lCA-nUN
1 cenity that I have read the application and state that the above intormauon is correct. 1 agree to comply with all City ordinances and State laws
relating to building construcdon. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST ALL UABOXnES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMTT.
OSHA: An OSHA pennit is required for excavations over S'O" deep and demoUtion or construction of structures over 3 stories in height.
Expiration,
building or
[ich pqpnii
APBi '1.
Every permit issued by the Buiiding Official under the provisions of this Code shall expire by limitation and become null and void if die
work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform BuildinaCode). ,
TS/§J1QNAVURE DATE:9QSFPQjK
WHITE: FOe YELLOW: y^plicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB961857 FOR 10/07/96
DESCRIPTION: 330 SF RETAIN WALL-PER SD STDS
TYPE: RETAIN
JOB ADDRESS: 6798 PASEO DEL NORTE
APPLICANT: CITY OF CARLSBAD-ENGINEERING
CONTRACTOR:
OWNER:
REMARKS: MW/BILL/PG 989-3875
SPECIAL INSTRUCT:
TOTAL TIME:
—RELATED PERMITS— PERMIT# TYPE
CB961658 ELEC
INSPECTOR AREA PY
PLANCK# CB961857
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 438-1161
PHONE:
PHONE:
INSPECTOR
STATUS
ISSUED
CD LVL DESCRIPTION
66 MA Grout
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS