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Home My WebLink About1028 IRIS CT; ; VARIOUS; PermitMODEL NO. Applicant to complete numbered spaces only. BUILDTNG PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Permit No. JOB ADDR ESS . LEGAL 1 tSESCR. ESSOR'S PARCEL NUMBER ^ r\ n D r c c ([^<la£_L-ArrT^C H E D SHEET, BOOK ^1 Jr^^ TON TRAC TOR MAI L ADDRESS MAI L ADDRESS CITY Lie. NO. ARCHITECT OH DESIGNER MA ( L jAODRES S MAIL ADDRESS C0MPENSAT10N^^.,^^^JiJ^ / . MAIL ADDRESS (BRANCH-^ USE OF BUILDINC NO. BDRMS. NO. BATHS. 8 Classofwork: JJt^NEvy • ADDITION •ALTERATION • REPAIR DMOVE • REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE S PERMIT FEE $ SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Size of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ Load '^PSUiCAT^N ACCEPTED BY PLANS CHECKED BY APPROVEiyPOR ISSUANCE BY Fire Zone Use Zone Fire Sprinklers Required nves DNO No. of Dwelling Units OFFSTREET PARKING SPACES: No. Covered Sq. Ft. INo. Open S-H-I^^y NOTICE ^ / SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 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. Special Approvals PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. Sl CN ATU RE OF CONTRACTOR AU THORIZEO/AIENT SIGNATURE OF OWNER (iF OWNER BUILDER) (DATE! Required Received Not Required WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.o. CASH TOTAL FEES $ PLUMBING PERMIT city of CARLSBAD, CAUFORNIA 92008 Applicant to complete numbered spaces only. PhOnC 729'1181 PermitNo n.oo 7f- /yo^ J0> ADOR C»S , LCSAL IPISCR. LOT NO. \7J 3"? 7>y^#//^«^ AIL AARESS UP PHONC \tindm/*n Cuiir^ ^^^^ TWriiAeToR MAIL ADDRCSS PMONC ^7/ £)Sr6. ? STATE LIC. NO. CITY LTC. tl ARCHITCCT OR DCSIGNCR MAIL ADDRESS PHONE LICCNSCNO. ^ CMGINCER ' Uf • . ... ^ MAIL ADDRESS LICIN«C NO. COMPENSATION fNS. CARRIER J ,. X »• MAIL ADDRESS T t- . iSSlieH ~ ~ USE OP BUILDING / \> ^ 8 Classofwork: )f<NEW •ADDITION •ALTERATION •REPAIR 9 Describe workgO^^^^^^ 3^^^ ^ P|RMIT FEES No. Type of fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPMAflOl^ ACCEPTED BY PLANS CHECKED BY APPROVEOj)OR ISSUANCE BY. OATE '>/fat^ LAUNDRY TRAY / APPMAflOl^ ACCEPTED BY PLANS CHECKED BY APPROVEOj)OR ISSUANCE BY. OATE '>/fat^ CLOTHES WASHER APPMAflOl^ ACCEPTED BY PLANS CHECKED BY APPROVEOj)OR ISSUANCE BY. OATE '>/fat^ WATER HEATER S /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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. DRINKING FOUNTAIN /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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. SLOP SINK /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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. OUTLETS < b /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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. t WATER PIPING «. TREATING EQUIP. .•E^•" X' /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 SVSTEM /^y.JLf • NOTICE ' THIS PERMirBECOMES NULL AND VOID IF WORK OR CONSTRUC- 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 AFTER 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 NUMBER Cl FAUOIITS „ CESSPOOL J J SEPTIC TANK * PIT ROOF DRAINS ^liTwwI^T eoNTRACTOH on yTRomiEO AGENJ^" SIGNATURE or OWNER (IP OWNER lUILOERI ^liTwwI^T eoNTRACTOH on yTRomiEO AGENJ^" SIGNATURE or OWNER (IP OWNER lUILOERI r ISSUANCE FEE S ^liTwwI^T eoNTRACTOH on yTRomiEO AGENJ^" SIGNATURE or OWNER (IP OWNER lUILOERI TOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION aty Off CARLSBAD, CALIFORNIA 92008 Applictnt to compM* numbered spaces oiily. Phone 729-1181 Permit No.. -MB ADORCM -M2^ .LESAL IDESCR. p LO. a MAIL AODRESS (^1^ ATTACHED SHEET) uAii *r\n*v*« BUfiue STATE I un CITY LIC. NO. CONTRACTOR MAIL ADDRESS « > STATE LIC. NO. ARCHITECT OR DESIONER MAIL ADDRESS ^ ..^HONE LICENSE NO. t'l ^ O 45 '. .- ENSINEER MAIL ADDRESS V ^,^HONE LICENSE NO. ^ COMPENSATION INS CARRIER MAIL ADDRESS USE or BUILDINS / * ' C 8 Clan of work: D<flE EW • AOOITION • ALTERATION • REPAIR 9 DMcrib* work SKCIAL CONDITIONS: APPLICATI^I^^ripO r PLANS CHeCKEOeV: APPROVED P(Mr ISSUANCE SV °ATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OP 120 OAYS AT ANY TIME AFTER WORK IS COM MENCED. I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTINQ 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. SISNATURE or CONTRACTOR iH;T.\*ii.nn«-T.i:u,B«jE'a;uJTnn-ii.i TOR OtTMITHORniEO AM^ r (JCTE) t. PERMIT FEE* SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO ANO INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 ISSUANCE FEE TOTAL FEES No. / Each PM WHEN PROPERLV VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR tATiO^^AL TRUST AND SAVINGS ASSOCIATION RETURN ITEM ADVICE LETTER 'ayrr^nt'of th'> 'v?ihin described check(s) negotiated by you HAS BEEN REFUSED for one of the following reasons ai'tndicated bv the leUar shown in the column Reason," A Not Surficient Funds G Refer to Maker B Endorssment Missing c C Cannot Locate Account : D Signature Missing ; E Poil Dated 3 F Recount Closed J (2^ Wa return herewith ' [Z] VVe hold at window^ BRANCH H Payment Stopped I Uncollected Funds J ; if not called for in 5 days, we will send to you by ordinary mail. r~] We hold for instructions at window_____ • We . 1ADE BY APPROVED BY_ AUTHORIZED SIGNATURE No.877540 DRAWN BY DRAWN ON DATED REASON AMOUNT pi p.rie "i .c ^K^.;r 16-66 We have charged your CHECKING TOTAL, Account City of Carls-ba.d 1200 Elm Ave. Carlsbad, CA 92008 10)1? -80200 •^9 ^ 72.00 BR. NO. ACCOUNT NO. TR. CODE AMOUNT DO NOT WRITE BKUOW THiS LINK DIANE Mc KAY ^z/j^ • /.^/^ PETTY CASH ' [ i PAY TO THE ORDER OF 580 SANTA FE DRIVE ENCINITAS, CA 92024 iCLit. i BANKOF^ERieX^.'^cS'^c'S 16-66 /^ iqt7f 1220 . DO NOT; Rl ENCIMTAS, CAUF. 92024 >MMj//A< ^ rfH i^ir/T :* , „ II wsmmmmmBcmmmmmammm -Ttm LARS /^Jlf .^A^ V. jOilF INSPECTOR OWNER PERMIT NO TIME:. .DATE: ADDRESS. 7^/ V ^^^^ ^ n FOUNDATION • REINFORCING STEEL • MASONRY CJ GROUT GUNITE • FLOOR AND CEILING FRAME n SHEATHING • FRAME • EXTERIOR LATH • INSULATION • INTERIOR LATH OR DRYWALl FINAL PLUMBING • UNDERGROUND PLUMBING • UNDERGROUND WATER • ROUGH PLUMBING • TOP OUT PLUMBING • SEWER AND PL/CO • TUB OR SHOWER PAN • GAS TEST • WATER HEATER • FINAL READY FOR INSPECTION: ELECTRICAL • TEMPORARV SERVICE • ELECTRIC UNDERGffOUND • ROUGH ELECTR^ • POOL BONDINC • ELECTRIC SERVICE • CEILING HE^ • G.F.I. • SMOKE DETECTOR • FINAL MISCELLANEOUS ^ ^^10 i,/^,C • PLENUM AND DUCTS ^^S, L • COMBUSTION AIR — • PATIO C/^ -/^ n SIGN /{S'C^<^' • GRADING • DRIVEWAY • CONDITIONED AIR SYSTEMS • REFER PIPING • FINAL • TUESDAY • WEDNESDAY • THURSDAY • FRIDAY SPECIAL INSTRUCTIONS. REQUESTED BY. PHONE naf^^ y^/3 PERSON TAKING REPORT. REQUEST FOR^ INSPECTION * '• • -4T7\ ......n^^i^fs INSPECTOR! OWNER TIME:. C/: S-v PERMIT NO.. .DATE ADDRESS. BUILDING • FOUNDATION ^ REINFORCING STEEL • MASONRY • GROUT-GUNITE • FLOOR AND CEILING FRAME • SHEATHING • FRAME • EXTERIOR LATH • INSULATION • INTERIOR LATH OR DRYWALL • FINAL ELECTRICAL • TEMPORARY SERVICE IZI ELECTRIC UNDERGROUND • ROUGH ELECTRIC WPOOL BONDING "O ELECTRIC SERVICE • CEILING HEAT D G.F.I. • SMOKE DETECTOR • FINAL ok. (Mr PLUMBING • UNDERGROUND PLUMBING • UNDERGROUND WATER ^ ROUGH PLUMBING • TOP OUT PLUMBING • SEWER AND PL/CO • TUB OR SHOWER PAN • GAS TEST • WATER HEATER n FINAL READY FOR INSPECTION: /HMONDAY) • TUESDAY •WEDNESDAY • THURSDAY • FRIDAY MISCELLANEOUS • PLENUM ^^ND DUCTS •] COMBUSTION AIR • PATIO • SIGN • GRADING • DRIVEWAY • CONDITIONED AIR SYSTEMS • REFER PIPING • FINAL • P.M SPECIAL INSTRUCTIONS. REQUESTED BY. .PHONE NO. PERSON TAKING REPORT. REQUEST FOR INSPECTION TIME:. INSPECTOR OWNER. PERMIT NO._ .DATE: \ ^(IA\ ADDRESS. 0 >1) £2- BUILDING • FOUNDATION • REINFORCING STEEL • MASONRY • GROUT-GUNITE • FLOOR AND CEILING FRAME • SHEATHING • FRAME • EXTERIOR LATH • INSULATION • INTERIOR LATH OR DRYWALL • FINAL 1 ELECTRICAL • TEMPORARY SERVICE • ELECTRIC UNDERGROUND • ROUGH ELECTRIC • POOL BONDING • ELECTRIC SERvicE • CEILING HEAT D G.F.I. • SMOKE DETECTOR • FINAL IZI UNDERGROUND P IZI UNDERGROUND WATER [• ROUGH PLUMBING IZl TOP OUT PLUMBING Zl SEWER AND PL/CO ? . Zl TUB OR SHOWER PAN (/ • GAS TEST • WATER HEATER • FINAL READY FOR INSPECTION: SPECIAL INSTRUCTIONS MISCELLANEOUS • PLENUM AND DUCTS O COMBUSTION AIR • PATIO Zl SIGN Zl GRADING • DRIVEWAY Zl CONDITIONED AIR SYSTEMS Zl REFER PIPING Zl FINAL TUESDA Y^^ WEDNESDAY • THURSDAY • FRIDAY REQUESTED BY. _PHONE NO._ PERSON TAKING REPORT. ^4 INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DATE : BUILDING ADDRESS MAY: 1979 CT OF CARLSBAD 4 D.^ artment PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH UNITS ALLOWED UNITS PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED _PROVIDED_ PROVIDED PROVIDED SIDE SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK ENVIRONMENTAL PROTECTION ADDITIONAL COMMENTS OK TO ISSUE; DATE C/(fh'l QK TO FINAL DATE ^ ENGINEERING DEPARTMENT •-f R.O.W, INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS EASEMENTS LEGAL DESCRIPTION Cy/^.>-<n<-^ DRAINAGE ADDITIONAL COMMENTS OK TO ISSUE DATE ,.5 f? H'S PWI _0K TO FINAL_ DATE |IRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS ^K TO ISSUE FIRE PROTECTION EQUIP. EXITS LOCATION DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_ DATE /ouy jz^,^ ^.5 S^<DO /y^/^Z^ in z O < < .J o UJ o Ir- E iL oc UJ o -J n £ UJ z o z o < tf) a. Z o tf> cc O Q^niereby 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 and effect. Lie NO' O r- Class o z I fieretiy affirm thai I am exempt Irom tfie Contrac- tor's License Law for tfie following reason (Sec 7031 5 Business and Professions Code Any city or county wtiicn re- quires a permit to construct, alter, improve, demolisti, or reoair any structure, prior to its issuance also requires the ap- plicant tor sucti permit to tile a signed statement lhat he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9 commencing with Section 7000 of Division 3 ot the Business and Professions Code; or that is ex- empt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty of not more than five hun- dred dollars ($500). i 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc- ture IS not intended or olfered for sale (Sec. 7044, Business and Professions Code. The Contractor's License Law Ooes not apply to an owner ot property who builds or improves thereon and who does such work himself or through hts own employees, provtded that such improvemenls are not intend- ed or ottered tor sale If, however, the building or improve- ment IS sold within one year of completion, the owner-builder will have the burden of proving thai he did not build or im- prove for the purpose of sale} ;" I, as owner of the property, am exclusively contracting with licensed contractors io construct the pro]ect (Sec 7044, Business and Professions Code. The Contractor's License Law does not apply Io an owner of property who builds or im- proves thereon, and who contracts for each projects with a contractor(s) license pursuant lo the Contractor's License Law) 1") As a homeowner I am improving my home, and the lollow ing conditions exist: 1. The work is bemg performed prior to sale, 2. I have lived in my home for twelve months prior to completion of this work. 3. I have not claimed this exemption Ouring Ihe last three years. • 1 am exempt under Sec., tor this reason , B&P.C , , I hereby affirm that I have a ceriificate of consent lo self-insure, or a certificale of Workers' Compensation In- surance, or a certified copy thereof (Sec. 3800, Labor Code) POUCY NO. COMPANY Copy is filed with the cily ; '. Cerlified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This^clion need not be compieted if the permit \^ for one hundred dollars ($100) or less) I certify thai in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as lo become subjeci lo the Workers' Compen- salion Laws of California. NOTICE TO APPLICANT: If, after making this Certificale ol Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you musl forthwith comply with such provisions or this permit shall t)e deemed revoked. I hereby affirm that there is a construction lending agency for the performance of the work for which this per- mit is issued (Sec. 3097. Civil Code) Lender's Name Lender's Address JSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. OWNER S NAME OWNER'S PHONE OWNtFI'S MAitiNG ADcSllESS^^ DESCRIPTION OF WORK * CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 *Mr SBOBESS AV. STPWr-«»1lBfi /OZB I [Lis CcMVft LOT SUBDIVISION ASSESSOR PARCEL NO. V lpi*T6 OF^'*l>1'LICATldi ' APPLICATIOIM^ PERMIT CONTRACTOR CONTRACTOR'S AODRESS DESIGNER DESIGNER'S ADDRESS CONTRACTORS PHONE » DESIGNER'S PHONE LICENSE NO. VALUATION PLAN l.D. # PERMIT NUMBER 1£ BUILDING SQ FOOTAGE TBJ'T6?'BB7969 r«'i'.65 t HAVE CAREFULLV EXAMINEO THE COMPLETED "APPUCATION AND PERMIT ' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON tNCLUDINQ THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPEClftED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAtNST SAiD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. * ( Expiration. Every permtt issued by trte Building Official under the provisionsof this Code shall expire by limitation and tiecome null and void. If the building or work authorized t>y such permit is not commenced wittitff 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandofted at any time after the ..work is commenced for a period of 180 davs. abandoned at any time after the work is commenct ^PPi^lCAjms SIGI^ATUftE » 7 \ OWNER • CONTRACTOR BY PHONE • •k AN OSHA PERMiT IS REQUIRED FOR ExCAVAflOKS OVER 5 0" DEEP mo OEIIOLITION OR C0»IST«uCT10N OF ST(«/CTUH^ QvfR 3 STC«ltS IN H^ TYPE 1 DATE INSPECTOR BUILDING ; FOUNDATION ' —. . 1 REINFORCED STEEL i MASONRY 1 GUNITE OR GROUT ' —^ j SUB FRAME • FLOOR • CEILING SHEATHING • ROOF • SHJEAR FRAME 1 EXTERIOR LATH i ' — — —^—v# INSULATION ; INTERIOR LATH & DRYWALL ' 1 PLUMBING ! • SEWER AND BL/CO • PL/CO UNDERGROUND • WASTE • IwATER TOP OUT WASTE • vf/ATER TUB AND SHOWER PAN ' GAS TEST I • WATER HEATER • SOLAR W|\TER 1 ELECTRICAL 1 • ELECTRICUNDERGROUND UFFER ROUGH ELECTRIC ' • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL \ (\ 1 \ MECHANICAL i V 4 • DUCT & PLEM., • REF. PIPING HEAT — AIR COND. SYSTEMS i L' ZS VENTILATING SYSTEMS I •' / 1 1 / ITEMS ABOVE HAVE BEEN APPROVED./ miATE FINAL ; PLUMBING ' ELECTRICAL i MECHANICAL \ GAS ' j BUILDING i , / SPECIAL CONDITIONS \ / FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 P£) PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOI f S SPECIAL MAS.ONRY PILES CAISSONS / • /t f\ / \ S\^ ' / \n J ^ • -—^ _t • 3 ;.: I L D I N G Pernii*: Nr.; r3')''l>:. Pro ject. K o Ex-."ve 1 L^pinent No 3963 06/15/97 OOCl 01 02 •'vrniit Type: MI S "EL LAN EOI': •arcel iiS 214-4 0 2-1,^-00 'aluation: 6,8C4 •cupancy Group; P.ef erence*f : escnption.: REROOF :?00n SF, LITF WGHT TILE Appl/Ownr : CAHEY ROOFING 3048 VIA MARIPOSA CAFLSBAD, CA 9 2 009 ,t A A tees Requ i r e Adjustrriarits : Total Feds : Fee cle s cr if11 i on Miscellaneous .Fee A MISCELLANEOUS TC C-PRHT Convj t I'll c-r 1 on '".'ype Ft3tU.S Applies'] Apr/Ii'jsue Eritere<l Bv N'EW 0 6/16/9'^ {; 6 /' 1 6 / S 7 .ly. 7 6 0 5 01-3123 Cx-edit: . OC 14 9.0 C Ext fee Data 1 4. S , f'^ 0 PFR*"'" 14 9,0 0 CITY OF CARLSPAD 2075 Las Palmas Dr., Carlsbad, GA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT iNFORMATIOAl /02fe >%,s CT FOR OFFICE USE ONLY PLAN CHECK NO.^ EST. VAL. Plan Ck. Deposit Validated By. ~1 / Addrass (Include Bidg/Suitfl #1 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total tt of units Assessor's Parcel H l^g. roD(^ o) V^U Existing Use Proposed Usa Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms !2. CiOlNTACT PERSON (If dHfarant from applicant) Name Addrass City State/Zip 1?^ APWJCMif^ T ' Name Address City Telephone if Fax if State/Zip Telephone # Nama Address isiTcdfmucToR'i ^c^ -' ' ''• City State/Zip Telephone # (Sec. 7031.5 Business and Professions Coda: 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 License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codei or that he is exempt therefrom, and tha 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 hundrad dollars ($5001). Name State License # B ^ ^ Address License Class 3± City State/Zip City Business License # Telephone 0 Designer Name Address City State/Zip Telephone State License # ^6.' : WORKERS'.COMPENSATION O'o Workers' Compensation Oeclaration: I hereby affirm undar penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work fpr which this permit is issued. I have and will maintain workers' compensation, as rsquired by Section 3700 of the Labor Code, for the performance of ths work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company S'^C-S g- P Policy No. M M St ~ ^ ^ Expiration Date ^8 (THIS SECTION NEED NOT BE COIMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Lews of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employar to criminal penattlea and civil fines up to one hundrad thousand dollars ($100,000), in addition to tha cost of compansation, damages aa providad for in Saction 3706 of tha Labor coda, bitarest and attomey'a faaa. SIGNATURE DATE 7. • OWNER-BUILDER DECLARATION ;:;»:-::-C,..^;:v:v,::,:;. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do tha work and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: Tha Contractor's License Lew 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 la sold within one year of completion, the owner-buiider will have the burden of proving that he did not build or improve for the purpoaa of sale). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business snd Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with eontreetorls) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed sn application for a building permit for the proposed work. 3. I hava contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / eddress / phone number / contractors license number): 5. I will provide some of the work, but I luve contracted Ihired) the following persons to provide the work indicated (include name / address / plione number / type of work): PROPERTY OWNER SIGNATURE DATE. COMPLETE THIS SEeTiOlt FOR /irOA^«Si»£A^^ " Is the applicant or future bullding occupant required to submit a business plan, acutely hazardous materials registration form or risk msnagement and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 Q YES Q 1^0 Is the applicant or future building occupam required to obtain a permit from the air pollution control district or air quality management district? O YES • NO Is ths facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS !9. '••APPUCANTCERTiFlCATiON• " ~ I certify that I hava read tha application and state that ths above information is correct and that tha information on the plans is accurata. I agree to comply with all Crty ordinances and Stats laws relating to building construction. I hereby authorize representatives of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations ovar 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 shsll expire by limitetion and become null and void if the building or work authorized by such permit is not commenced within 365 dsys from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time aft^L^ie work is commenced for a pariod of 180 days (Section 106.4.4 Uniform Building Code). V->w^ f'v L >-..v^ DATE io- I W • 1 -? WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 10 2?^ C-^ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING f>\^o-\LA^ SHEATHING ^ 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (S> Z 3 *6. NEW ROOF MATERIAL 1^ QT Co^C, CLASS WEIGHT PER SQUARE ^ ^S 7. NUMBER OF SQUARES 29) 8. TRADE NAME SVr. \^ MANUFACTURER L/t: 1 t 9. ROOF SYSTEM APPROVAL UL Ho. S,2\ 0 Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ^ NO If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A Class B I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlstod 13 u 11 ci i m g D e p. 111 rt i o n t REROOFING PERMITS A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by Appendix, Chapter 15, TSW^Unifociri Building Code, OR 2. A lighter weight roof covering is being replaced with tile, (Engineering calculations may be required for the supporting structure.) The attached Supplemental Building Permit Application must be completed in addition to our standard application. Our adoptive ordinance requires that all replaced roof coverings be CLASS B or higher. REQUIRED INSPECTIONS: 1. TEAR OFF- Inspection required for existing or new sheathing, prior to underlayment or covering. 2. FINAL INSPECTiON 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619)438-1161 UNSCHEDUI.ED BUTLPrNG INSPECTION ^^^'^TV /-^ INSPECTO ri RMIT # 7 " 5 3 PLAN CHECKS JOR ADI3RESS /^^^ 3 Cf DESCRimON iiMi AH ]•' 1 IM) • ^ CODI-: ! )i ..SrRll>TlON ACT COMM]£NTS