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1064 LAGUNA DR; ; 86-658-4; Permit
.. z 0 !i "' j u .. 0 "' I[ 0 u "' .. 0 ... 5 ~ .. z ~ • z 0 ~ z .. .. "' 0 u .. i,: "' " "' 0 ;i: !l O I hereby affirm lhat I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaslona Code, and my license is in full force and etlect USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad. CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT NEAREST CROSS ST. DATE OF APPLICATION VALUATION PERMIT NUMBER JOB ADDRESS ~--,, .... ; ;-/o~z AV, ST.RD. __,L__, , ...... _,, ,v-·v L , -v~-/ ___L__I/_E_ I? ,t....,¢ q tJ _,, ,4-/JI ,tr._ / t'j 111 iv J,,-1,, BUSlrlCENSE # ~ 10 J.cif :?(-,-(,5?-f LOT BLOCK. ,., I SUBDIVISION 9-~-:i,-_3 I ASSESSOR PARCEL NO. , 0/P/"iZ,,7.,A, ~ ~ rtnvv+.JM. ;;;~:77i, ~C;R CONTRACTORS PHONE # CONTRACTOR'S ADDRESS STATE LICENSE NO. ZONE / BUILDING SQ FOOTAGE DESIGNER DESIGNER'S PHONE I hereby afhrm IMt I am exempt from the Con1rac 10,·s L,cense Law tor the following reason (Sec 7031 Cl Business and Protess,ons Code /\ny c1\y or coun!y wh1cr, re- quires a perm,t 10 construct. alter. ,rnprove. demolish or repair any structure. prior to ,ts issuance also requires tile ap pl,cant lor such perm,t to hie a s,~ned stalernenl \hat he ,s I,censed pursuant lo the prov,s,ons of the t..onnacior s License Law :Chapter 9 comrnenc,ng w1lh Sec\1on 7000 ol D1v1s1on 3 o1 lhe Business and Profess,ons Code; or thal ,sex empt theretrom and the basis 1or the alleged exempT,on Any ,oolat":m ol Sect,on 7031 J by an appl1can\ for a perm,1 sub- Jec1S the applicant to a r;1v1I penalty of no\ more than twe hun dred dollars 1$500) ' ~ER'S MA!._,,.~~ ........ ~~ .. ·-~ ,nee•« ('~ Jn-1-b-&. . V. C). ~ ct"l ;;;>...i I i DESCRIPTION OF WORK ,~, a,. ID lL > 0021 06/09 0101 02EldP1,t 15951, 4@ I as owner of me property. or my employees with wages as their sole compensation. will do the wor~ and the struc- lure Is not intended or oflered for sale 1sec 7044. Business and Professions Code lhe Connactor s L,cense Law does not apply to an owner 01 property who builds or improves !hereon and who does such work h1msetl or 1hrough h,s own employees. provided that such ,mprovements are no1 intend ed or ollered tor sale I!, however the building or ,mprove- men1 Is sold w1th1n one year of complelion. the owner·bu1lder will have lhe burden ol proving that he did not build or Im orove !or me purpose 01 saleJ I. as owner of the properly. am exclusively conlract,ng with I,censed contractors to construct the proIecl (Sec 7044 Bus,ness and Professions Code The Contractor's License Law does not apply to an owner o! properly who builds or ,m proves thereon and who contrac1s lor each prnIects with a contractor(s) I,cense pursuan1 to the Contractor's License Law) As a nomeowner I arn ,mprovIng my home. antl \he lollow Ing contlItIons ex,st ~ 1 The work ,s betng perlormed pr 10 le 2 I have lived m my home lo e months prior to completion 01 th,s wo~ I have not claimed lh,s ex durrna.-.th_e last1hreeyears Y.J DESIGNER'S ADDRESS STAfELIC-ENSE NO. (3/ / -t-fl ~-///#,r t"J,,,vi:,r, ·-----~-~---- YC NC] j ee >cR '"j [ NO~ occce L EDU l STORIES LL, 3 ILL 'L_ TYPE ace LOAD FIRESPP I I eASK>NG c,eAce "":}'TS I GRADING PERMIT ISSUED I REDEVELOPMENT AREA ~□N □ ,o~ 'PiY ,□ ,)d' Not Valid Unless Milch1ne Certified QTY. PLUMBING PERMIT -ISSUE I 7.601: QTY. 1, MECHANICAL PERMIT -ISSUE .3 t)C:, SUMMARY/ACCOUNT NUMBER ~ EACH FIXTURE TRAP 1 7(0 ---""711NSTALL FURN DUcrS:JP To 100000-BTU----/£ . .,;:;;-BUILDING PERMIT 001-s1d-~o-oo-s220 _p.s-=---¥ EACH BUI LUING SEWER _ I ),-£, "'; I I OVER 100.000 BTU .. SIGN PERMIT 001-810-00-00-8221 c--~ ~-CH wiliRITTillRAN_oOR VEN-! -~-~~--1----fB01LER,coMPREss-□R \Jp-ro 3 HP --------~-PL~CHE~K-____ ~s10-oo-oo-ss21 411 --= ~ :EACH GAS SYSTEM _1_2_Q_4 0~TLETS t /lJ ~ _ i------___ + 801LERJ:~-M~-~E~_0_R L~5-~P __ _ __________ _;__ -~~l PLUMBIN_G __ __ 001-810-00-00-8222 /6f ~ !It "" EACH GAS svsr~~2R~~-______ ------.---___ . __ 1--~ 1 M~TAL~~~c~ _ _ ___ _ _ __ _ _ /Y.__::: ELECTRICAL ____ ~s~-oo-s223 ./oS- ::..C I am exempt under Sec ~ B~ tor this reason .....-.: t t ~ EACH_~_ST~. ALTE~~ RE'.~IR V~T rn PIPE _ _ __2 V~NT !_~N SINGLE O~T __ __ _ __ .. ___ __!6 -:-_MECHANICAL __ ~0~0-00-00-8224 61- l.-. ~ EACH VACUUM BREAKER 1 .,LL MECH FXHAUST HOOD DUCTS /)-.-MOBILE.HOME 001·810-00-00-82.25 r..,,._'t C:::-, 1..:i WATER SOFTN~---_ _ i _ RELOCAT_l~O~E~RNA~~ATER SOLAR 001-810·00-0~-8226 __ ---~-__ _ '""-/ !~ fr 'ACH 9Q()F [1R,\IN I Nc;,JE ± i.J-DRYER VENT g· ,r sn~_~G MOTION 880-519-91_)3 ----__ _/"_S" .!,.£ _ .-111ernbyaff'1mthat1ha•e&ice"'hcate;>1c nt i.-----------/ TOTt..LMECHANICAL FIRESPRl~Ji<LERS 001-810-00-00-8227 self-,nsure. or a cert1hcate ol ~s Comp&11 n I f E'---_ _ , ~ __ __ / surance O<acer1it,edcopy 1"C!.0+c 3BD4:l~b Cot,;:_,,, ----Tlilll PluMB!Nc 7 /6/' ::,:;--"'II i &; 7 ~ PUBLIC FACILITIES FE~.,s 320·810-00·00-8740 ~,¥tJ.7 -I PoLlcv No ''<' .t, ~ 1 s-RIDGE FEE 360-810-oo-oo-s140 cc"'·'" ~ ~ QTY. ELECTRICAL PERMIT -ISSUE r-: ~d i QTY. MOBILE HOME SETUP PARK IN LIEU AREA .L_ ,-~ -'. I ~at>,;,.- cees ,s '''" w,,c '"-'"' .., fq -J • ,i I I I~~-'-'___ ,;;,<.. do ce11,r1ed copy 1s hereby turnished ~ ~ NEW CONST EA AMP SWT l:lK'ft-" 1~()~ /00 -!1 CAR PORT ______:__ T.IF ,;'. ·0, ~t-_ 134-810-00·UU-88~ --1.!j'___4_D _ ~ ~ I ' 1 PH J PH II I AWNING _· ---LA COSTA TIF ____ 133-810-00·00-8835 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Th1s sect,on need not be completed Lf the permit Is for one hundred dollars \$10{)) or less) ~ I certify that ,n the pertormance ot the work tor wh1ch this permit ,s ,ssued. I shall not employ any person Ln any manner so as to t,ecome subJect to the Workers Compen sat,on Laws of Callforn,a FXIST 6LOG EA AMP·SWT 8KR I / GARAGE I PH J PH 1--f---~-~~~-------t-~-~~-tt--~t-- REMOnEL ALTtR pf.R CIRCUIT --/----------+---·.---+-- TEMPPOLE 2UUAMPS OVER ?OU AMPS ------- T[MP O[CUPANCY 130 DAYSI -7~----- FMF J ~ ±_LICENSE TAX 7 /A 001 s10 oo nos 52 -=--- -----_ MFF__Kf.QJ. 'f._ _ _880 519 92 57 3(,tl - -· -- . --·------~--~·-+-~~--~~-, CAEDlT DEPOSIT -7,~· C""'\" -_; NOTICE TO APPLICANT. IL after making this CertIf1cate of Exempt,on. you shou!d become sutlIecl to the Workers· Compensat,on Provisions ot the Labor Code. you must lorthw,th comply w,th such provIsIons or thLs permit shall be deemed revoked TilTAl ELEl.lHl[:Al ~ --Ji-±=- /oS: I I '0;;;:----~-t-· _· , 1.,3.75"-.> l /5;'1/57~ !,t, ' ~ I hereby aff,rm that there Is a const<uct,on lending I agency tor \he perlormance of the work for wh,ch lhIs per I mIt IS ,ssued (Sec 3097. CIYII Code! Lenders Name Lender's Address_ --I TOT AL FEES PAYABLE V j . -' I HAVE CAAEFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every per_mn issued bytlieBu1ld1ng Ott1cu1!under the prov1s1onsotthts CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall ellpire by hm_itation and beeome null and void II the bu,ld1ng or work DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT I~ aulhonzed by such permit IS not commenced w1th1n 180days !rom the date o! such ISSUED. TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON permit, or ii the bu1td1nff Or work authonzed by such permit is suspended or STAUCTION. WHETHER SPEC1FIED HEREIN QA NOT. I ALSO AGREE TO SAVE INDEMNIFY AN~ abaf'ldoned at 8 8 er the work is commenced for 8 nod ol 180 da s KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAB!UTIES. JUDGMENTS, COSTS ANO APP. AN OWNER O CONTRACTOR 0 EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ____________ ;:;.;;; ~~i,,&C...-~ BY PHONE [J * AN OSHA PERM:T tS REWIRED FOR EXCAVATIONS OVER 5' 0 .. DEEP ANO OEMOLITICJN OR CONSTRUCTION OF STAUCTUAf.S OYER 3 STORIES IN HEtGHT APPROVED BY ;I-, DATE 11/y&/g'J ' 0. E ID f- l :2 0 CJ ;= m ~ 0. 0. <{ I ~ C a: 0 ' ' ID ' ' <{ I 3 .'2 © >- ID u C m C U: C ID ~ CJ 0 u ID 0. ' C ~ i' > TYPE ' DATE BUILDING FOUNDATION I REINFORCED STEEL I ' MASONRY ' GUNITE OR GROUT SUB FRAME □ FLOOR □ CE(UNG SHEATHING □ ROOF □ SHEAR FRAME ' ' EXTERIOR LATH I INSULATION ' INTERIOR LATH & DRYWALL ! I ' PLUMBING . I □ SEWER AND BUCO di LICO UNDERGROUND □ WASTE != WATER TOP OUT D WASTE □·WATER TUB AND SHOWER PAN ' -1 'GAS TEST 1 . ,,· □ WATER HEATER □ SOLAR WATER ' ,. ! -. ': ELECTRICAL I .. , C ELECTRIC UNDERGROUND rn UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL I I MECHANICAL I ' □ DUCT & PLEM., □ REF. PIRING HEAT --AIR COND. SYSTEMS ' VENTILATING SYSTEMS I I --. ---. ---. ITEMSA[iOVE HA:VE BEEN APPROVED FINAL ' PLUMBING I '- ELECTRICAL ' ~ ' MECHANICAL ' • GAS ' ~ BUILDING I . ' - SPECIAL CONDITIONS ~- INSPECTOR .. \......- c:::----...--.r ~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REO IF I INSPECTORS CHECKED APPROVAL DATE , ,~I ~~i~~ ~~/,!~·'. is'K E 1 ~ I fCi,.)NCA.l;()r-.,• 1~,SP I SfRUCTl.:PAI CC',"."jff-l~-____ -----{I' -----------' ------ OVEll 20'.10 PSI -+ -----< P"iESTRESSfD '."::ONCVi'TE P·:JS! Ttr--.C.,'._;l\i:-~-_ ....... _____ --+--~~ CG/\JC9C-:-E _ --l---------- ~IE!_D 1-','.ElrliN(:; I ~-~ .. ---+-+--f•':;r: Sl RE".~""iT.~ 1 ~~~~-. I --- "'"''AL 1,"A';:lN'lY.-·➔---j I ·----1 r--------------------+----....... -------+-------, . I PIL.ES CAl:~SOi\,'.:" ~----------+--·-- 8&,-~-4 INSPECTORS NOTES -+---1---c~--~--~~-1---~+-.-~-=-i~--1 ~I---~~-~~~~------, 1------. ---+-----+----_f_ ~ --------------------------------1 1------_-----+----.--t----i------ -· --f--·--t--·------+--·--- I --➔-~~ J I l'cF'""': t•;. u= iy+·· q;-li'f -p ... )' .!. ~------------'-------'----------.i------~ .. z 0 " : .. -' " "' C a: I[ 8 a: "' 0 -' 5 ~ "' z ! ' z 0 ~ .. z "' .. ,. 0 " .. "' "' ,,, a: 0 3 O I hereby affirm that I am llcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeealons Code, and my license is in lull force and effect I Mreby a1hrm !hat I arn e,empt from the Contrac tor's License Law tor the follow,ng reason {Sec 7031 5 Business and Protess,ons Code Any Lily or county wh,ct-, re quires a perrn,t 10 construct alter ,mprove. demoI,sn. or repair any structure. prior to ,ts issuance also requires '.heap pl,cant lor such permit lo hie a s,~ned sta1ement lhal M ,s I,censed pursuant to the provIs,ons ol the Coniranor s Locense Law ,.Chapter 9 commenc,ng w,th Section ?Q00 ol o,v,s1on 3 of the Bus,ness and Pr□lessIons Code) or I hat ,sex empt lherefrom and IM basis for 1he allegea uemphon Any v,0Iat1on ot Section 7031_5 by an applicant lor a permI1 sub Iects the applicant lo a c,v1I penalty ol no1 more than five h,Jn dred dollars {$500) 1 , I. as owner of the p1operty. or my employees wI•h wages as The,r sole compensa1rnn, will do the wor~ and the slruc ture Is not intended or O!lered for sale 1sec 7044. Business and Profession, Code The Con\raclor s License Law does not apply to an owner of property who Du1lds or 11nproves thereon and who does such work himself or through h,s own employees. provided 1hat such Improvemen1s are not 1n1end- ed or offered for sale 11, however. the bu,Id,ng or improve- ment 1s sold w1th1n one year of comple\1on. the owner-builder will have the burden ot proving that he did no1 build or im- prove tor me purpose Of sale1 I. as owner of the property, am exclusively con1ract1ng with licensed contrnc1ors to construct the pro1ect (Sec 7044, Business and Protess1ons Code The Contractor's License Law does not apply to an owner of property who builds or im- proves ttmeon, and who contracts for each oro1ects w1lh a contracrnr(s) license pursuant 10 the GontraCTor's License Law) 1-As a homeowner I am Improvrng my home. and the follow ,ng conct,11ons exist 1 The work Is t,e1ng perlormed prior lo sale 2 I have l,ved In my home tor lwelve months Drior to completion ot this work I have not claimed lh,s exemption durmg !he last three years I am exemot under Sec ______ B & PC 1or this reason I he,eby aflirm ti.at I have a cert1J1cate Jif consent to selt-1nsure. or a cerlIf1cate of Worke,s· Comtensat,on In surance. or a cert,fled copy thereof 1sec 3800. Labo, Code) POLICY NO COMPANY Copy 15 hied Wl\h the CI1y CerHhed copy is hereby furn1sl>ed CERTIFICATE OF EXEMPTION FR:OM WORKERS-COMPENSATION INSURANCE !Th,s sect,on need not be completed 1f the permit ,s for one hundred dollars (51001 or less) __ I certify that ,n the performance Of the work for which th,s perm,t Is issued. I shall not employ any person In an~ manner so as to become sub1ec! to the Workers Campen sat1on Laws of Cal1forn,a NOTICE TO APPLICANT It, after making this Cer11f1cate o' Exemp1,on you should become sub1ect to the Workers Compensation prov,s,ons of 1he Labor Code. you must forthw,th comply W'111 such prov,s,ons or th,s permit st,all be deemed revoked l I I he,eby affirm that there Is a construc1,on lenc,ng ffi agency forti.e performance ol the work forv.h1cr \his ,er 0 m,t Is issued 1Sec 3097. C<v,I Code) z lil Lenders Name ~ Lenders Address USE BALL POINT Pi, ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 ;cb_c.J APPLICATION & PERMIT JQ8 ADDRESS ~t..Hf 'v tJ ,;._ AV. ST.AD. NEAREST CROSS ST. !°ATE OF APPLICATION LOT BLOCK I SU8D1 VISION · F~-~tlf I ASSESSOR PARCEL NO. ~ LICENSE# :/'c)rn:;1f! >ERM>T NU;;_.~ r ~ / ,?6-6'->0 #/'9-ZONE t1 l OVIINE R'S NAME _, """ Wl~J.. ~A/.. -·~ -1-~ I a-i'iN':.'77';;', CONTRA.CTOR'S ADDRESS ~:o,M~ A3-;s,f) fa'~f/4h ~-DESIGNER DESCRIPTION OF WORK STATE LICENSE NO. ":::__;_~ """' ... r. c:--· t?ir~V DESIGNER'S PHONE ~ u. >-~ 8. '7,)ol. DESIGNER'S ADDRESS <o #If Afe!:-/31"1-t ~/.2__ ~ STATE LICENSE NO. 0021 06/09 0101 02BldPmt E 1484-?p ~ I j'AR"NG SCA CC l RCS UN>TS I QTY PLUMBING PERMIT· ISSUE i 7_50 GRADING PERMIT ISSUED YO ND , e FLA ELEV YO "'□ I REDEVELOPMENT AREA ,8 .... o QTY. MECHANICAL PERMIT· ISSUE NO I occ GP STORIES ,)' % ~1 /1 ace LOAD FIRE SPFI ,□ '1li Nor Valid Unlt!!s Machine Certified ( q. c~ -I SUMMARY/ACCOUNT NUMBER 001-81 o=-oo-oo-s220 EACH FIXTURE TRAP INSTAl L FURN DUCTS i.JP TO 100.000 BTU BOTLDING-PERMIT f--~-t'-EC.'.A.'CC.H:B~U~l'-'L_O"-_C.IN°cG=S~l~W'-EcR:--~---_-_~:::_:::_:::_~-t~==::~=-~-+--f-"=.:.C.:_:__-"'.c.:_.::..:'.C'..:_::._-'O"-v_-,E"R:_cl0,:0:c._Oc:0::.0..:B:.:T_.:U:__-t--_ ---==--_-_+~ocSoclG"'N~P"E"RM~,~,T-~~~~-cOO~l-8_10_□-0·0·ci-8-22-1 _ EACH WAT~E~R ANU O~E~ _ -A~ . . BOILER,COM.PRESSOR UP TO 3 HP ---->----~~--PLAN CHE~K__ ~~1-=-~~00-00·8821 _?JZ t-- +-_-Zf_,i_ __ - EACH GAS SYSTEM 1 TO 4 OUTLETS ~~ . BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 r-~+EA~ ~YSTEM; o_R MO Rt __ 1~~~--0--,Y2-_ -----!0~jAL~1REP~AcE--------------ELE°ZTRW ---_ 001-810._oo-oo.s?23 +~-~-~-~---J EACH IN?Al _:~LTE_~~ RE~-A~~-W~T_E~l~i,V ___ I ~ ~ _. ,..(b ---1.:,~ VENT FAN SING LE DUCT ________ ,__ MECHANICAL ____ ..9.9..2..:_810-00-00·8224 EACHVACUUMBREAKER _C__~ --: ~ A'\,.,.,-_.~ MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225 w_ATER SOFTNER -<~/' I RELOCATION Of EA fURNAC_E·HEATER -~1-~~-SOLAR 001-810-00·00-8226-+--~~~2Q__ CACHRnmn~m-:·,Js1or.~ ------~ □RYER VENT-------------~TR□NG MOTION 8~9-92-33 _ _/3 ~ ,-- t------TOTi'..L MECHANICAL FIRESPRl~li<'.LERS 001-810·00-00-8227 ~---·---------- fOT Al PLUMBINC PUBLIC FACILITIES FEE 320-810-00-00·8740 --------------~~+--------! 'A~ C::: BRIDGE FEE 360-810·00-00·8740 OTY. ELECTRICAL PERMIT. ISSU~~ ...:...J . 00 QTY MOBILE HOME SETUP PARK IN L',EU IAREA ____ . ___ ~ 134-810-00-00·8835 -----+-----__ --~---1 CAR PORT -~--NEW CONST EA AMP SWT llKR ----· Tlf - LA COSTA TIF 133-810-00·00-8835 t PH I PH . f I AWNING L I EXIST Bl lJG EA AMP·SWT BKR -~~--c"---------~==-GARAGE --~---------, --~--;f---- -------+--~---~-~---j FMF ------- ::-:::_-__ 0_0_1 --s 10-00-::-0_0-_--s::-,_51=_2-+--------~ ----- t PH 3 PH LICENSE TAX ---. --+--------11---f-- REMODEL Allt:.R PER CIRCUIT f----·---~---f------+-f----+----Mff 880-519·92-57 -- TEMP POLE ?OUAMPS OVER 200 AMPS ---------~---- TEMPOCCUPAN_CY !30 DAY~------1------tf-+--__ ---------~--,-~~ f----~------~-~ -- CREDIT DEPOSIT -- ~--~~~-·-- TOTAL FLELIRILAl - ---t--· OT i\l I I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT 1$ --~ -~ -11 l -I _i1'Lf: ~ I TOTAL FEES PAYABLE * AN OSHA PERM:T IS REQUIRED F()A EXCAVATIONS OVER 5" 0 .. DEEP AND O£MOl.lTION OR CONSTRUCTION OF STRUCTUMS OVER 3 STORtES IN HEIGHT !SSUED: TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· \j~~~~~!!t.ll!J!~~:!!!~~'-.'!-'2!!'!:~-"'1._!;e.!~~~!..li!!!'.j!!,L_,~}-~~~~~-----------::"."::':"'---:';"'-~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO ,_''..,oil>!"'"' APPROVED BY 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 THISSl'P~E~R~M~•T~------------------------""":;::::;:,.~~==:;:~::c:~~-=:'.::!:::::. _____ ..:.:.:.:.:::.:.:.L ________ ....,c!..!.. ____ 1_;,2e{:::_f_ __ I 'O 0 CJ c ' 0 0. 0. <! I X C n: 0 ~ ~ w ~ ~ <! I ~ 0 w >- w 0 C ' C U: C w !" CJ 0 ;:; w 0. ~ C ~' ~ > TYPE ! DATE INSPECTOR BUILDING I I FOUNDATION REINFORCED STEEL ' MASONRY I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ St-iEAR FRAME I EXTERIOR LATH I INSULATION I I INTERIOR LATH & DRYWALL I I PLUMBING ' ' □ SEWER AND BUCO □ f'UCO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ jNATER TUB AND SHOWER PAN I SAS TEST I □ WATER HEATER □ SOLAR lf\'ATER - ! ELECTRICAL ' I □ ELECTRIC UNDERGROUND Q UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL ' ' ' MECHANICAL . I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOV~ HAVE BEEN APPROVED FINAL PLUMBING ! ' \. ELECTRICAL I u., . ~--. MECHANICAL • ' GAS I ' -'3 . . '\." BUILDING ' ~ "-.V'J SPECIAL CONDITIONS ~'-J ~ ' -~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS L==SPECTION __ i S0 1LS COf..'f-Cl_lANC E I PRIOR TO FOUNDATION 1~,SP STflUCTURAL co~cnFTE REQ~F INSPECTORS CHECKED APPROVAL ------ DATE C\..'f·R )OOC L''.~I PR~STRESSED c:O~CRETE --~ --1--- ---~--~~~~~;~~~~-~------ INSPECTORS NOTES -- POS."T TEN-~ ON[[~ + -I_I ·--~' C0NC9E "l .l ~IE~_[) l/l<E:...Q1r-.,,c; ----------+-------------1---~ !----------------------------- . ~:~~1;,;,1ei:Nrip:;--r-i -·· ---i ---______ J .-Sl-'ECIAL_.r,.~t.~_iONPV ---t-----_J ~-------r -+--- f-----C ~"~'_= IS',0¾: ~:.,~F==t--=~-i~~---J r1----------= ------t-----,----------t- 1----,-+ ----. -\---+---------,------ r--------;----------t---·----1-----·----+------- ' /-------------+-----------+------I I----·---------1----+-----+-----I !--------~+-------+ ~ ~'.;)SI ·:·;:, ::,~ -::,:·-:,~ )! ._:11.' , . ..:, ., ... • :-~JfN• ~ .. I L__------~-------~-~~I FINA~! &U-lli.DING INSPECTION PLAN CHECK NUMBER: 86-658-4 DATE: 9-1-88 PROJECT NAME: ___ ...a_____;cg_u_n_a_C_o_n_d_o_s ______________________ _ ADDRESS: ___ 1_0_G_4_La-----'g_u_n_a_U_n_l_ts_1_9_-_2_2 __________________ _ 83-23 PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: __ 4_U_n_lt_c_o_n_d_o _____ NUMBER OF UNITS: CONTACT PERSON: __ T_o_n-'-y __________________________ _ CONTACT TELEPHONE: __ 2_8_1-_7_1_9_1 ________________________ _ II >c INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE INSPECTED: DATE INSPECTED: APPROVED __ _ DISAPPROVED __ _ APPROVED DISAPPROVED __ _ COMMENTS:--------------------------------- I,, Rev. 1/86 WHITE: Suspense BLUE: Water Dlstrl GREEN: Engineering PINK: Planning GOLD: Fire FINAt&U"DING INSPECTION PLAN CHECK NUMBER: 86-658-4 DATE: 9-1-88 PROJECT NAME: ___ La_g_u_n ___________________________ _ ADDRESS: 1061.l Units 19-22 PROJECT NO.: 83-23 ________ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: __ q_U_n_it_c_o_n_l.l_u ______ NUMBER OF UNITS: CONTACT PERSON: __ T_o_n_y ____________________________ _ CONTACT TELEPHONE: __ 2_8_1-_7_1_9_1 ________________________ _ II C INSPECTED DATE /2J~~PPROVED ✓ BY: INSPECTED: DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: _B_E_C_E_I _V_E_D_S_E:--_, _0_2_1_98_8_~t{/;.____,.~._, _0/~--------- .. Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Englneerln NK: Planning GOLD: Fire -FINAL 8UH.!DING INSPECTION PLAN CHECK NUMBER: 86-658-4 DATE: 9-1- Condo• PROJECT NAME:--------------------------------- ADDRESS: 10G4 3-23 PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: ___ U_1_it_co_n_<.o ______ NUMBER OF UNITS: CONTACT PERSON: __ T_o_n_y ____________________________ _ CONTACT TELEPHONE: __ l _J_-_7_t _9_t ________________________ _ t INSPffr~b ~ DATE ,o1-=1ee rx BY: Ori~ INSPECTED: APPROVED DISAPPROVED cs INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: ---------------------------------- Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilltle~O: Fire FINAL BUILDING INSPECTION RECEIVED SEP 1 1988 PLAN CHECK NUMBER: DATE: ADDRESS: 10G4 L 19-22 PROJECT NO.: 3-23 _______ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: __ 4_U_n_it_co_n_Cl_u _____ NUMBER OF UNITS: CONTACT PERSON: __ T_o_n_:_y __________________________ _ CONTACT TELEPHONE: __ l _O_l-_?_1_9_1 ________________________ _ II ~y~PECT(_~~ DATE INSPECTED: /-4/~/J:J,-: APPROVED ~ DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: --------------------------------~ FINAL BUILDING INSPECTION -----------~ RECEIVED SEP 1 1988 ) PLAN CHECK NUM ER: DATE: 03-23 PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: CONTACT PERSON: __ T_o___:_y __________________________ _ CONTACT TELEPHONE: __ 2_8_1_-7_1_9:.._1.:..__ _______________________ _ ~Ny~PE~c4/4 DATE /¥44}:I / INSPECTED: APPROVED )C DISAPPROVED -,- INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: --------------------------------- Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plan ng GOLD: Fire / FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 86-658-GAR-4 DATE: 9-1-88 PROJECT NAME: ___ La_g~u_n_a_C_o_n_d_o_s _____________________ _ ADDRESS: 1064 Laquna I Bldg B Garac.,e PROJECT NO.: __ 8_3_-_2_3 ____ UNIT NUMBER: _______ PHASE NO.: TYPE OF UNIT: __ G_a_r_a _q_e_B_ld_q __ ts ____ NUMBER OF UNITS: CONTACT PERSON: Tonv __ ...;.._.....;..._ __________________________ _ CONTACT TELEPHONE:_--'-2-=-8-=-1--7"--=-'19:;...1=--------------------------- 11 J INSPECTED toJ4 .R. DATE OCT. 0 51988 BY: INSPECTED: INSPECTED DATE BY: INSPECTED: INSPECTED DATE BY: INSPECTED: c;o~ta Real Muni'cipal Water District COMMENTS: Engineering Department (619) 438·3367 ) . \ ~ APPROVED ✓ DISAPPROVED APPROVED DISAPPROVED APPROVED DISAPPROVED Rev. 1/86 REEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire " ' --.. (i) • , . BUILDING DEPARTMENT , I. City of Carlsbad CERTIFICATE OF OCCUPANCY I I i:,Z Building Address /06 if-J.. /I G I/ # l'1 -IS--J/ Building Permit No.?G -t s-r-f Business Phone .f:, / 7/9 I Occupant Name ~< ~tk,.u-1-elf)(;.· Building Owner 1)tu,,.;,,~ Pe➔l~A, /ch/., Business Phone .~ 7, fl OwnerAddress ,Pd &Z:c:2/a ~ ~~& c?e;;fd/d Describe exact use of all portions of each building and lot j( /<4,{<d7: fi.-d ~ I certify that this building or portion complies with the Uniform Building Code for the group and division of occupancy and the use for which the proposed occupancy is classified. The above information is true and correct, and I make this statement under penalty of perjury. Dated this 0« _ !}Y of#Atrl ,,:; , 19 c;..£L..--"-7--~-in the City of Carlsbad, California Signature of Applicantp,-? -1. tt: / ~, - -./ /} Signature of Building Official --i,&,r.....___.__x0Y1-=-=::__,1----d~~.:...j~~v;-1--4,a""'Z~-'---------------- FOR DEPARTMENTAL USE ONLY Date Routed _______ _ Use Zone ~ Occu~ Group Inspected By ~~~ /2-/ Type of Construction __..tf'--'-tJ ____ _ Inspected By _____________ _ Inspected By _____________ _ Datef O ;k • ~pp roved 1--Disapproved Date Date Approved Approved Disapproved Disapproved COMMENTS: --------------------------------- WHITE: Applicant BLUE: Building GREEN: Engineering CANARY: Health Dept. PINK: Planning GOLD: Fire FINAL BUJLDING INSPECTION PLAN CHECK NUMBER: DATE: 9-1-S G ~AR-Q PROJECT NAME: _______ .... _o_.,_d_o _______________________ _ ADDRESS: 1064 Lo Bldg PROJECT NO.: __ 0_3_-_2_3 ____ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: CONTACT PERSON: Tony ------'----------------------------- CONTACT TELEPHONE: 281-7191 ------------------------------- BIi dpt INSPE5ID) d ti BY: LU 01 . J~ INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: 10/~~ APPROVED )( DISAPPROVED __ _ APPROVED DISAPPROVED __ _ APPROVED DISAPPROVED __ _ COMMENTS: ---------------------------------- Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utllltle : Fire \ ' FINAL .BUl~DING INSPECTION PLAN CHECK NUMBER: ,-658-CAR-4 DATE: 9-1-88 PROJECT NAME: ___ _,=.l,,..,::.;-_:...._C=-o=-n:...:.d=o=----------------------- ADDRESS: ___ ..:..10=-6::....:....-==:..:...:..:=---___;B=ld::.:a::__:=---==-=..:::..=.. _______________ _ PROJECT NO.: __ 8_3_-_2_3 ____ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: __ G_a_r_a_q'-e_B_l_d.-c___t:J ____ NUMBER OF UNITS: CONTACT PERSON: Tonv ---'---'-'---------------------------- CONTACT TELEPHONE: _ __:;.2:...::8....:.1_-...:...7...:...1.;::_9.;;..1 _______________________ _ II , ::'v~PECTED /)),~ ~•:Jiecrm H/1 APPROVED ~SAPPRoveo __ _ INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED DISAPPROVED __ _ DISAPPROVED __ _ COMMENTS: --------------------------------- I L Rev. 1/86 WHITE: Suspense BLUE: Water Distri Y: Utilities PINK: Planning