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Home My WebLink About1091 LAGUNA DR; MULTI-PERMIT FILE; CB011320; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/09/2001 Demolition Permit Permit No:CB011320 Building Inspection Request Line (760) 602-2725 Job Address: 1091 LAGUNA DR CBAD DEMO Full Demo: Y Status: ISSUED Permit Type: Parcel No: Lot#: 0 Applied: 04/09/2001 Entered By: RMA Occupancy Group: # Dwelling Units: Reference #: 1 Structure Type: SFD 2 Bathrooms: 1 Plan ApprO&'.-IWi nil~',~0~02 0l lsstlti'tf. "11.:Y,,fi'9Y:ro Inspect Area: GP Bedrooms: Project Title: DEMO-FUTURE EXTENDED STAY AMER HOME & GARAGE Applicant: ESA SERVICES INC STE 310 2525 CHERRY AV SUGNAL HILL CA 90806 562 981-5885 Total Fees: Building Permit Plumbing Fee Other Fee $30.00 Additional Fees TOTAL PERMIT FEES Owner: ESA SERVICES INC STE 310 2525 CHERRY AV SUGNAL HILL CA 90806 562 981-5885 Total Payments To Date: $0.00 $20.00 $10.00 $0.00 $0.00 $30.00 FINAL APPROVAL Balance Due: Date: z-Z,,,Jl""o-Z, Clearance: $30.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseNations, or other exactions hereafter collectively referred 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 Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feesfexactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. 02 30-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C.6 tJ If 3 :..o CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Ass_essor's Parcel # ~ ille(YIO I I l/c111 Existing Use STe.u::...7,.,-e_e, a.,ooo Proposed Use i;l I Description of Work sa. FT. ·,p I #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# r3j, "'IEl'il!11,i'ii'tem:!ii11~\li1>t;, ,,m·,~~iiii•r,,rn,Agetli,ioi,~!lii, : .. ,.· ... c:2.s ::r. a :)..S-Chee~ Y'£. .fl:. Name Address ..,,,. •fo•ijliii~iiiYJ•QWl!lil!>;, Name Address City State/Zip Telephone# (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 License Law (Chapter 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 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 dollars ($500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ~;,;::::::M--•r11SIIIBilM1:IQ"ii!i~'l}!;·;:;;:;0: ~;:~:1iiii~i;:,:: ,; :,:::''~:i1~'.t i'.(f'.'· :~ ''.iif!:i;JM;iil~~;:~,:;rn;:::! Workers' Comp•n11tion Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for tha performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No. ____________ _ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 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 Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penahles and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE ________ _ ~\:1:t::;CllfAll~i:cif~EDiO-.M■M~'.:l:":k!1dt-;,:·t;i::;:1;-:·:· ·:!;~,~,,:,,;,.i--,~~1:··'.!~l ·, .: -,~~~ ·:: .. :::.,,)', ·;:;'.::;;:-::~~~1:1~'.'.~!'.::-.:Zi!~::1:~~:~:;it:!1~i!il~~~~!5,~i;~~fJi!~'.'.~~'.1?::.:~c~-:it'.[.~!!1i~''.'.: ::;:;,-i:\ciI!'·i~::-.: ·' I h•r•by affirm that t am exempt from the Contractor's Lic•nH L1w for the following reason: 0 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 License 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). tl I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ~orltractor's License 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 License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES il,_NO 2. I e have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): To !>~ l>L"T~e M: ,vL d.,. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, s pervise and provide the major work (include name / address / phone number/ contractors license number): T e e_ -r.2; L ,~ L 5. I will provide some of the work, but I have contracted (h1{ed) the follow1n.9 p~ons to provide th9t work indicated (include name / address I phone number / type ofwo,k), -qj' ~T'4CrYl,,..,.I.Cl'.... PROPERTY owNER s,aNATURE Mo;tt; ~ DATE 7'.· <t -o I ®M~'rtllli!il!i\t[QNiJ'(l~Jll~ffiij'[ij!:[ii,ffl!',!q!!!ll!lll!if!l!'.j;i!ltY'iEE!ie•:i'ihc:''''"'' ,,. ;;;:;,,;,,,u:,0e!iim"""'''"'"':i!!w,00f¥*[iwl'[Fi!fii ,; [' •:'Pi &[,L];•fr 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 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 . .ij!:i:i,QQjiit'.tlil/Cl1111l!"~Pi8'il~-111i•'.'"•"ei::::,:: .·::,.,,,,,. :· :,;,t· 1,,,i;i;Vif;I:;,•:•••· :;.,,: •,;,;,;iiifa:\:'"''":::;:i} ,,,:., ··,,/::: , .. .,,.,,, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad 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 over 5'0" 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 authorized by such permit is not commenced within 180 days from the date of such permit or if the building or won<: authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 s (Section 106.4.4 Uniform Building Code). ,. APPLICANT'S SIGNATURE ~L'.,:i,~;t_;;t,__;o,~~~~~======---------- WHITE: File YELLOW: Applicant PINK: Finance DATE -'l'+-0.L..,y ...... (JL.jj,___ __ ' . -~ ,, trom ~o2 ~~/ Ulo~ ➔ KRAZAN CORONA FEB·Oi-2001 OS:24PM FROM-EXTENDED STAY AMERICA 562-111·0185 T-125 P. 00!/00! page 3 F-124 ~• City of Carlsbad li1 111Gii,ill:IA 16111111Alil DEMOLITION ASBESTOS CERTIFICATION ADDRESS: ____.J..,,.0c,.9J.J ..,r.._ilLW\,\u.im .... aa....1.Dco1L..1.iJ~TA~J.Ca~rr.J1.!is.i;ba,ao.d.,.;, CA::!..~92fi.l0~0~8~--------- USE OF BUILDINO TO PE DEMOLISHl:D: Single-family Residential SQUARE FEET 1 , 000 X NUMBER OF STORI~ ~-"---- PROPERTY OWNER: -"s"'anccd;;;;;o::::r'--"-W=-• .:S::.:haaapery=-'--------,,=.,..,..-------- ADDRESS: 1133 Columbia St, #105, San Diego, CA921 OlPHONE 619/293-4700 APPLICANT: Mr Matt O'Shea ADDRESS: 2525 Chercy Ave. #310. SjgpaJ ijilJ cA 908°fi.tONE 562/981-5880 Sactlon 19827.S of California Health and Safety Code riatu In put1 NA demolition permit shall not be Issued by Any city ... as to any building or other structure except upon receipt from the permit applicant of a copy of each written asbestos notification regarding the building that hB.ll beQn required to be submitted to the United States Environmental Protection Ac'ency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Re;ulatlons, or the succasior tll that part. The permlt may be inued without the applicant submitting a copy of the written notificatkm if the appllcant declares that the notification Is not applicable to the scheduled demolition project," As applicant for a demolition permit' in the City of Carlsbad, I certify that/ I have read the excerpt from Section 19827.5 of the Health and Saf.ty Code provided above1 the information I haw provldod on thii; form is true and correct; and I further certify the followini:: (X) On the attached 1 pages are copies of all written asbestos notifications regarding the above referenced building that are required to be submitted to the United State, Environmental Protection A:ency or to Part 61 of Title 40 of the Code of Federal Regulation,, or wcce11or to that part, ( ) I declan, that the written asbelt05 notification Is not applluble to the scheduled demolition project, 2!ldzt {)fJL"' ~-Cf -o I Applicant' J Signature Oat• r,lwordVormolbulldins\domollUon perm!, l'OC!uiremon"doc RE.V August 9, 2000 1631> fie.raday AV.8r'IU., • Carlsbad, CA !i12008-7S14 • (7150) 602-2700 • ptAX (780) 802-B580 * APPft\)"09 BY __ .J.r\4----'l'-+---- APRt;;;Ol City of CARLSBAD BUILDING DEPT. . ,, ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION Operator Project# I Postmark II Date Received I Notification # 114-01013 I. Tvne of notification IO=Original R=Revised C=Cancelled): 0 2. Facilitv information /[dentin, owner, removal contractor, and other onerator) Owner name: Sandor W. Shapery Address: 1133 Columbia Street. Suite 105 Citv: C"---· State: ~· I Zin: 92101 Contact: Sandor w. Sha=..,, Telenhone #: ( 619) 293 4700 Removal contractor: NIA Address: Citv: State: I Zin: Contact: Telenhone #: Other onerator: ESA Services-Inc. Address: 2525 Cherry Avenue, Suite 310 Citv: Signal Hill State: CA I Zin: 90806 Contact: Matt O'Shea Telenhone #: 3. Tvne of Oneration (O=Demo O=Ordered Demo R=Renovation E=Emer. Renovation): D 4. Is asbestos nresent? (ves/nol Yes 5. Facilitv Descrintion (Include building name, number and floor or room number) BldP. Name: Sinnle Familu Residential Structure Address: 1026/1050 Grand Avenue and 1085/1091 Lammr1 Drive Citv: carlsbad State: CA I Zin: 92008 Site Location: Grand Avenue & Laguna Drive west of the San Diego Freeway 'Id' s· '.;'-P~;;~x. Bui m0 1ze: &~ --# of Floors: one I Age in Years: annrox. 50 vears Present Use: sinnle familv residence l Prior Use: undevelo"'°" 6. Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material: Ccxnprehensive ACM Survey, PI.M analytical method 7. Approximate amount of asbestos Nonfriable Asbestos Indicate Unit of material: RACM Material not to be removed Measurement Below a. Regulated ACM to be removed to be @ Category I ACM not removed removed Cat I Cat II Unit c. Category II ACM not removed Pines LnFt: Ln m: Surface Area ~??! !i;i~ -& Saft: 3,000 Sam: ·a Vol RACM offFacilitv Comnonent CuFt: Cum: 8. Scheduled dates asbestos removal /mm/dd/vvl Start: Comolete: 9. Scheduled dates demo/renovation (mm/ddi=' Start: 3/16/01 Comolete: 3/23/01 SDAPCD -SUBPART M • Rule 361.145 Page I of2 ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION (continued) ., ' 10. Descrintion of nlanned demolition or renovation work, and method(s to be used: conventional demolition I I. Description of work practices & engineering controls to be used to prevent emissions of asbestos at the demolition and renovation site: Material will be keot wet durina demolition. 12. Waste Transnorter #I Name: Address: Citv: State: I Zin: Contact Person: Teleohone #: Waste Transnorter #2: Name: Address: Citv: State: I Zin: Contact Person Teleohone #: 13. Waste Disnosal Site Name: Location: Citv: State: I Zin: Contact Teleohone #: 14. If demolition ordered bv a !!OVernment a!!encv, olease identifv the a!!encv below: Name l Title: Authoritv: Date of Order /mm/dd/=1: I Date Ordered to Be!!in (mm/dd/vv\: 15. For Emeroencv Renovations Date and Hour of Emer!!encv (mm/dd/vv): Descriotion of the Sudden, Unexoected Event: Explanation of how the event caused unsafe conditions, or would cause equipment damage or an unreasonable financial burden: 16. Description of procedures to be followed in the event that unexpected asbestos is found or previously non friable asbestos material becomes crumbled, pulverized, or reduced to powder. See attachment 17. I certify that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be onsite during the demolition or renovation & evidence that the required training has been accomplished by this person will be available for inspection during no/business hours. ~, /4 ~ 1/ -.. -2,, f-"I (Sinnature of~ wiler/Ooerator) !Date) 18. I certify that the above information is correct: / /~ _A'd ~-'l..r-o/ · • (Si!!natufe of nll :,✓riooerator) (Date) SDAPCD-SUBPART M-Rule 361.145 Page2of2 / FAX NO. : 8586131495 Mar. 15 2001 11:55AM P2 .,,.! ... II/LIU I\J.tJLJ bl~ ~~7 0101 p.3 03,· lS/Ol O&:J.) ft100 Ul !eO~ CULSllAD IIIID li)DOZ/00~ --qjJ~ of Carlsbad March lS. 2001 1133 Columbia St. S,iite IOS SanDioaoCa. ,2101 1'o Wba111ltMay c.-..m: Per yiiur req,1111, we have l:IIJIO\'ed lllt wa\lf lllelffl from die lite at dis SE eed of LaSQII& Dr. I W I•5 Utl NB C!lll otGl'llld Ave I WI•!. Pll'ffl 20:1-IJ. Jot,; I S,18.20. 1111d 34. The con-""!"'Mina account nmnbeas and addre""' fonhes, mmn arc as follows. ACCOUNTNO Sl0ll00--04 Plll20D-04 110)300--03 1101400-03 1101500-02 . ADI>jESS IOSO Grand Ave. I 026 Orllld Am. IOSSLapaDr. I 091 lquna Dr, 1 coo La111111 J)r, Ifl cl!J be of w fllrtll= anim.nce concam:11 wa:er metor1, please feel li'et ro eiill me at 431-lnl,: 71$1 !IIISO ■I Camino R-• Carlllbad. CA IIIOCll,.81113 • ~ 43N?a2 • FAX ('760) 43'1•1801 • ------------------------ • •• _.,\oltL...IU • ' •• FAX NO. : 8586131495 .,JIIIII \...II,, I L.ltl C."r""'lbt.~ ,., ' ' Mar. 15 2001 11:55AM P3 ~!~ ~~1/-·Ul9l p.4 11.!oo~tooJ . ,. ·? 0 "· ., .,,,, . \: ) -· , '>L "i• @ ••• l/J!{ NOTICE OF SERVICE DISCONTINUANCE .. _._ , ~T DEPARTMENT ~R_COUNTV OF £'.Apt f.bAD ELECTII~~ CIAS 8El'MCE WILL Bl DISCONTINUED TO -/' I oq I LA&.OOA i::e I CE') AaDIIUa ' BY !}/Ll,,/t)J DAft All SEIIVICli LINES WU II! 11£MOV£0. :1 ..... THIS 8UIU)ING CAN 8E MOVEI> 0tl RAlEO AFTER TttE ABDVI! DA.TE. SAN DIEGO GAS & ELECTRIC BY_ {'.N'AL.IJ &ll)6'" --------------- MTE 17/Uo/OI f'IGNE ~D -~t, ·IA 'l...~D , ..... ,uw•,1 _______ ,,,,__________________________ -------· --.-------------------- I ·, /· __ ,.., --- 0 • • I , " 11 . . • •• ! " • ~ " f ! ~ • ii • • ' ~ ~ -ri ~ ~ ffl ,.... w ,.... ~ 3 ., :1 l\l -.,I ~ ,.... <Sl \I) ... w ~ ~ CITY OF CAlttSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 PERMIT NO, ~ TOTAL FEE $ ~~ Application for ELECTRICAL Permit .1 ... tt-"8 5P:l0 1 616*******5.00 Bu, d'H'\"9 D~p"f. U~ '-="" y For Applicant to Fill In PERMIT FEES· Each Foe /[)q/ ;/.a. (Jc.,..,,<_{l Item Reqit. Sw. BUILDING ADDRESS: {I Lighting tixturns w.·'bai!ast tor each 10 $ l.00 St. f\Jcar Elec. Ranges, Clothes Dryers. Water Hu2;ters ,50 £J(. (p~ E!ec. Dishwashers, Garbane OWNER: Space Heaters Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS, PrJ. /3,w f' ;:z__, MOTORS: Per eo~h motor H.P. {!j,t_d 0 to 1 $ .25 CITY: 1 to 2 $ .50 2 to 5 $ 1.00 TELEPHONE NO. 5 to 15 $ 1.50 State tt:.. City Business §<[ 15 to 50 $ 2.50 License license 50 to 200 $ 5.00 SIGMS: Group Zone By No. trans. Ea. $ 1.00 No. lamps over 50 ea. $ .50 !nspection Record: SERVICE: 0 to 150 AMPS $ 10.00 For each additionat 100 Amps. $ 2.00 Temp. Power Pole, 100 AMPS or LESS $ 3.00 For Each add"! Meter. over one per service $ 3.00 .:100 MISC: Approvals Date By: SUPPLEMENTARY PERMIT FEE, $ 2.00 Conduit .:5t1!!-Temp. Power TOTAL: $ •• R. Wirinq Fixtures S.D. G. & E. ! ACKNOWLEDGE THAT I HAVE READ THIS APPL!CATJON AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FINAL: WITH ALL C!TY AND STATE LAWS REGULATING ELECTRICAL W!R!NG, I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OFCARL-SBAD ANO THE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ~OVE DESCRIBED RES!- DENT!AL PROPER~ ~ S!GNATURE OF _ ~ PERMITTEE: ~ l ./ ~----~--· OTY Cl ORISBAlc QPLNIN6 • IUILDING DEPARTMENT PERMIT·. APPLICATION ' OWNER £~bl. J/ ~£(.I .Ml-6-68 5~ -cc ltJJ*******j MAIL ~ fi 9~ :::RESSe ~{~=-:1 TEL. No,7'2.g.LLJ'l PLUMBER &utd!c->n BUILDING ~ ADDRESS . gi~~;:;T,1/1¥. ~~4 CITY TEL. NO, GROUP I ZONE STATE CARLSBAD BUSINESS lnseection Record LICENSE NO. LICENSE NO. NO. ITEM FEE TOILET • $1.2!5 BATH TUB • 1.29 SHOWER • 1.29 WASH BASIN • t.211 KITCHEN SINK • 1.215 DISHWASHER • t.25 LAUNDRY TUB oil TRAY • 1.28 AUTOMATIC WASHER • 1.2!S WATER HEATER a VENT • 1.150 ~ GAS SYSTEM 1 TO 115 • 30 SA, ADD.. • l.!10 I ,,,.-I) \ FL.OCR DRAIN OR SINK • 1.25 LAWN SPRINKLER • 2.00 MISC. WATEft PIPING • 1.150 CAR9AGE DISPOSAL • 1.00 VACUUM ■fUlAKIEft OR BACK F'LOW DEVICES t TO D 0 2.00 APPROVALS DATE IN&~ltCTOR•B SIGNATUII& UNDER FLOOR WORK ROUGH PLUMBING GRADING PLAN PERMIT s 2 00 GAS PIPING YH □ NOQ TOTAL FEE s ~ ~-0 GAS VENTS 1 ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS PLUMBING FIXTURES MISC. REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI• CENKD AS REQUIRED ~ THE Cl~RLSBAD AND GAS TEST STATE OF CALIFORNIA iTHAT I AM LEGAL OWNER OF THE ABOVE DEW RESIDEN L !OPE:TY. UTILITY CO. NOTIFl~D SIGNATURE. • -{.,_f ~ FINAL. OF PERM ITI"EE, / • C/ VALIDATION Thi• 11 i Plumbing Permit Whon Properly Allod Out, Signe.I ond VoRdatod. hrmtt void If work ii not commenced within 60 clays of dete ·of i•il•nce.