HomeMy WebLinkAbout1264 OAK AVE; MULTI-PERMIT FILE; CB151169; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
04-17-2015 Permit No: CB151169
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1264 OAK AV CBAD
PME Status:
Parcel No: 1561902700 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
HUTTON R T&J T
HUTTON: 100 AMP TEMP POWER
FOR CONSTRUCTION
1264 OAK AVE
CARLSBAD CA 92008
760-818-9617
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Owner:
HUTTON R T&J T
1264 OAK AVE
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
04/17/2015
AEK
04/17/2015
04/17/2015
$0.00
$160.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Clearance:
$0.00
t approval of your project includes the "Im osition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" u 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 Carlsbad 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions 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.
.. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING Q ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT/APCD '-----------------------~~~~~~~~~~~~-~~~~~~~-~~--~ ---~---~
{'city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
r!B1~-I/C9
SUITEI/SPACEI/UNITI -( 'lt, -2 7 -b b
CT/PROJECT# PHASE#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
EMAIL
ADDRESS
CITY STATE
PHONE FAX
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
,Ca~
ZIP
CONSTR. TYPE
FIRE SPRINKLERS
YEsO NoD
EMAIL
EMAIL Yr;'HJ6!5 17'rT!l>N@ GA1./f-1 L . Ll).u.._
STATE UC.# STATE UC.# CLASS CITY BUS. UC.#
(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)).
c;W O R K E R S ' C O M P E N S A T I O N .
... ~ ... C., -N=-~ ,~ -= ~-• • ---~ ' -a, 0 ----~-• , -.. = S 0,. ,c,_ ,>_,
Worl<ers' Compensation Declaration: I hereby affirm urxier penalty of perjury one of the following declarations:
0 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 wor1< for which this permit is issued. D I have and will maintain worl<ers' compensation, as reQuired by Section 3700 of the Labor Code. for the performance of the wor1< for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date---------
!section need not be completed~ the permit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of
omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to tho cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
_KS CONTRACTOR SIGNATURE O AGENT DATE
if~""'~"';,,"'h ">0 « -, --=7 « « -«--~o, '°= <--,-, --H ---------«v -----« ~
~.~£~ ~ E R • B U I L D E R D E C L A R ~ T ~ (?_ N . . _ • . • , . . d • : , • • • --· : _ ••
I herebY affirm that I am exempt from Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< 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 himsett or through his own employees, provided that such improvemenls are not intended or offered for
sale. II, 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). D 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 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) .
.Ql I am exempt under Section Business and Professions Code for this reason:
i.p-1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have I 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 I phone I contractors' license number}:
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone I contractors' license number):
5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name I address I phone I type of wor1<): TB D
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 district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? Yes 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.
I hereby affirm that there is a construction lending agency for the performance of the work 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 infonnation is conectand that the infonnation on the plans is acaJrate. I agree to comply with all City ordinances and Slate law.; relating to building construction.
I hereby authorize representative of the City of Car1sbad kl enter u~ the alxlve mentioned JJOl)erty b' inspection purJX)SeS. 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 permtt is requi'ed klr excavations over 5'0' deep and demoliti:Jn ex construcoon of structures over 3 sklries i1 heght.
EXPIRATION: Every permit issued by the Building Offcial under the provisi:lns of this Code shall expire by linitaoon and berome nun and voo ~ the building ex work authorized by such permit is not rommenced "Mthin
100 days from the dale of such permij ex if the buildilg ex work authorized by such permij is suspended or abanooned at any time after the work is commenced klr a period of 100 days (Secoon 100.4.4 Unoorm Building Code}.
~ APPLICANT'S SIGNATURE DATE L/
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C E f/ 1 I f I C A T E or OCCUPANCY (Commcrc,,11 P r o 1 t' C t '. 0 n f, I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
~ APPLICANT'S SIGNATURE DATE
I 0
Permit#: CB151169 Type: PME
Date lr:ispection Item
05/19/2016 32 Const. Service/Agricultural
05/19/2016 39 Final Electrical
05/19/2016 39 Final Electrical
Monday, May 23, 2016
lnsp~c::tor Act
PY
RI
RI
AP
HUTTON: 100 AMP TEMP POWER
FOR CONSTRUCTION
Comments
Page 1 of 1
sog;
~ ~Sempra Energy "'111V"
ELECTRIC OVERHEAD METER & SERVICE LOCATION
C..lillllMrCopy
Wantlld 0&'8: on inspection ~Type: OH Service T-.,rwy
Plajllct No: 3'2370 I Job No; 030
Ploje(i TIii: HunDN RESIDENCE (SOT)
PiojldAdcir~ 12M OAKAV
Prqe:;t City" CARLSBAD Culaornel Phone,:
ConlllOt: TERRY HOTTON Conllct Phale I: 760-966-7171
D Trelk C<INOI Pelmt Roquiio:1
El!mvalonlEIICII09Choni P•mill RaqLfid By
Servile Mlll::lmn Pont mm tiilNer l..ocllion: lllltlll 100 lfflP umporwy IMCer' pole "1littlin 100
felt of poll P121513 ..... poll must be within 20 ftlt of driveMlt lUlf,ce tor trvca
ICCIII. F.c. lllltlrtown driVln Wl'I Md pem1111--llbll wittl ldlhu.
Temporary fee of S 565.00 will appear on first month's bill.
181 SOG&E Appicetial Requied-Call: 1-800-411·7343 I
~ lnilpec:lian RlqUnd By City of Clrilbad .
Mm hogll --4'0' min. (J'O" l1lit for mc.4liple mew inealllllionl -· 6'3' ITllt'<. From finilifl ~ to c:e11t.tile d mew
baa. awn n ~ to be r~ ecDelllilll 2-4 hwra per day. .._. IIIUlll l>e looBled ill e-, na flee ol
W!Y ~ hazlraoul OI ~OIII ccindilion. Plowll 3-ft. X J.lt lotninun deer 1111d i.,et WOllurg l!*e in flOnt at mew. Whn ·mew rocm ii~ oon11ct flO pleonertt,. n.911 SOG&E ollco.
Molei' blllM 11'111 mew eervice ciaccnncda rraiat be loaid at er ~ edjaoln tc 881:h Olhor w be
ldwfied will eddnlll nl ll1lt oombcr ii .....
-· Power-Souroe: C04-U I Strudl,e Nuno«: P126513 ! PnMie ltil1lln Groond Cleefnie Of: I 10 FT From bottom of Sip loop It ..-vlct wire point of lUachment l 12 FT Over drivtw1y orpPing .... l I
1
i I ;
I
' Servioe Pwiei Ra&lg: 100 NumbedSL,e cl tJaif1 Sd:n(ea): . j lofWires: 3 Phe&e: Sift9le VdllQe. 12Ql24G . I tJfit8 Mlldlrlum ConrbllWI To Fait Current 10000 ~
M9llrlng: Sel-Contained Maw~:' l
T tlfl1> &rviae Chirve Due ai Frst Bill $ 5'5 J -------·
T.B. 1106-FS
CllftljMf Type Rllidilltial 0a1e Prllpilled. 11111r.?01 J
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Milionll lnu1!1111ion: 0 RkP]l-of-way Required Assessor's Parcel Number:
Please call your Service Coordinator Andrew Cutro at 760-476·5614 with
qU811ion1 about application, Inspection, conltruction installation and to
schedule a crew.
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P11rmr: LOIS A HIGGINS I Tellphone'. 760-476-5613
1 USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
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·-' -\ .....• r I INSPECTOR _,,, -I TYPE I DATE .. . ' BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I . REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEl~ING
1A. •. ,~-~.J /1h.(( ff~ /",.A. A~ ----'/1C,$'_, ---~ SOILS COMPL IANC'E ...,., -SHEATHING D ROOF D SH1EAR PRIOR TO -' r u -
FOUNDATION ,NSP FRAME I ·-I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE I
PLUMBING I .. FIELD WEtDING
D SEWER AND BUCO P~/CO HIGH STRENGTH
D 'WATER BOLTS t'\~, r r,r.1 ~, ..... -UNDERGROUND D WASTE --~ .......... • .. ·~• .. ,.;" ~,;:\;~1"(",··~-t' ~'E-tt~:
D WATER SPECIAL MASONRY iea.} ~1 ·""~.,11~-..... -... -~-TOP OUT D WASTE --....... ..,., .. .....,,. i..l !'.~ TUB AND SHOWER PAN I
I r. GAS TEST I •I I . l" J , _ _;;-~ PILES CAISSOr-..~
D WATER HEATER D SOLAR WATER
( ;l'\ (;' \-J J/ f.• P. I
I .. _
--.. ~ ... .J., ,.~ .. ., •.. ELECTRICAL I ...
D ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPQRARY --,__ --
D BONDING D POOL I -~-
I -MECHANICAL I -~ --•,
D DUCT & PLEM., D REF. PIPING i i -HEAT -AIR COND. SYSTEMS ' ' ' -I '
VENTILATING SYSTEMS I r • . r L -. •. ..... -..
I
CALL FOR FINAL INSPE~10N WHEN ALL APPROPRIATE --ITEMS ABOVE HA E BEEN APPROVED. -L ' '! I
FINAL I ) , / J-'1 I ' . r.
//,b ' •·· 1
'l ' PLUMBING ' -,..,-, . J ~V1JJ,v I ---....~ -. ' I
ELECTRICAL I t?~....-0/ //Fr/ IJ -1-l,,, I
V / -MECHANICAL I /JV . '· -GAS /' I -.. -·· .... BUILDING I
I
SPECIAL CONDITIONS I
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O I hereby affirm that I am licensed under
l)(OVlslons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full force and effect.
l~ No C~u
·' ~ereDy afllrm that I am e,empt lrom the Contrac· IOI s ~,cense law tor the I01to~m11 reason (Sec · 1011 5
Buslness and Professions Code Any city or county~hltn re-quires a pe<m,t 10 ·construct. atter. ·,mprove. demolish. or repair any structure, prior to 11s issuance also requires !heap·
plicant tor such permit to t11e a si~ned starement 1na1 he !~ licensed pursuant 10 lt;e prov1S100S of the Contracior s
License Law 1Chap1er 9.commencing with Section 7000 ol o,v,st0n 3 of the Bosmess and Pfot&Ss,on,s COdei o, 1t1at t5 ex•
empt therefrom and ttie basis for the anegeo exemp1ton Any
v1olahon of Section 7031 5 by an applttant lor a perm,t sub·
Jects the" apphcanl lo a civil pena1ty ot not more than hve nun·
dred dollars ($500)
I, as owner of lhe property. or my employees w1lh wages
as their sole compensation. will do the work. and lhe struc· ture 1s not intended or ol!ered 1or sale (Sec 7044 Business
and Professions COcle The Contractor's License Law does nol apply to an owner of property who builds or improves
!hereon and who does such work himself or through his own
employees, provided that such improvements are no1 intend-ed or offered for saie. II, however, the bu1ld1ng or improve-ment Is sold within one year of comp1et1on. the owner·builder w,u have the burden of proving that he did not build or ,m-
prove !or the purpose of sa1e)
C I. as owner of the property. am exclusively contracting
with l1tensed contractors to conslruct the pro1ect (Sec. 7044,
Business and Protesst0ns COcle The Contractor·s License Law does not apply to an owner of properly who builds or im-
proves thereon,. and who contracts tor each proiects with a contractor(s) hcense pursuant 10 lhe Contraclor's License Law)
L As a homeowner I am 1mprov10g my home. and the follow mg cond1t,ons ex,sl •
1 The work 1s being performed pr,or to sale . 2 I have hved in my home lor twelve months
pnor to comp1e1ton of this WOfk 3 I have not clauned this exempltan during the last three years
D I am exempt under Sec. -------B&PC tor this reason ____________ _
D I hereby affum that I ha.re a cert1f1cate of consent
to self insure or a cer11tica1e ot Workers Compensation Insurance. or a cert1hed cooy thereof
(Sec 3800. Lall<>r Code)
POLICY NO
COMPANY
D Copy IS hied With the Ctly
0 Cen,hed copy 1s hereby lurmshed
CERT I FICA Tl OF EXfcMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need no1 be comp1e1ea ,t rne perm11
1s tor one hundred OOllars l$100l or less)
0 I certily that in the performance ol tne woril. tor
which this permit 1s issued I shall nol employ any
pe<son 1n any manner so as to become sub1ec1 10 lhe Woril.ers· Compensa11on Laws ol Callforn1a
NOTICE TO APPLICANT If. alter makin'1 1n1s Cer11
t1cate ol Exempllon you should become sub1ec1 l'J the WQf11.ers Compensallon pro"V1S1ons ol the Labo,
Code. you mus! f0fth.i.11h comply w,1h such
pro"V1S1ons or this perm11 shall be oeemed re"VOke<l
O I nereby affirm 1na1 ltlerf" 1s a cori~1ruct1of'I
enO•no agency tor !he Pf"rformance ot lhe wo~ tor
which 1h15 perm,1 ,s ,ssueo 1sec 3097 Cn,.1 Code-1
Lenders Name~------------
Lenoer s Address -----------
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
',t-, A' JQRES~ A'V 5T RD. NEAREST CROSS ST
!Di ~;;JATIONI
BvS1 .. cSS L CENSE " VALUATION PERMIT NUMBER
/,2/o'/ b!K-#t~tlt./t#iJ . <t?~l/1 I SUBD 1,1 SION
. ~-----,,, BLOC.I< I ASC,FSSOR PARCH 11,1') CONTRACTOR l"ONTRACTORS PHONE• ZONE
OWAI~ OWNER',NAM!!. I ,ss:o<J Z/2-,<J.-,: HullDN CONTRACTOR'S ADDRESS LICENSE "10: PLAN I.D~# BLDG USE CODE
~1/4A L oiri_E5)k Cis>L>. OES•GNER LICE.NS£ II STANDARD PLAN # BUILDING SO FOOTAGE -
:1APROVER"~~, ,-,ftCA/ itJl/flAJG DESIGNER'S ADDRESS DESIGNER'S PHONE ,
~ F/P FLRELE\I NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACl
I
GP LANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR
AREA CONST
YO ND ,o NO vO NO lMr .¥'elllii'JIA.1Machine Cert1f1ed 11:l !! C
• I !' ' -HL
QTY. PLUMBING PERMIT · ISSUE '7 §!!_ QTY. MECHANICAL PERMIT · ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN OUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 ----------
EACH WATER HEATER ANO OR VENT BO I LE R/COMPRESSO R UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222
'--~(7 !11-~ I -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 .. ~
EACH INSTAl ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·00·00·8224 ---------------
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS M081LEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ]OLAR -01 ·00-QQ-A??~
TOT.t.L MECHANICAL STRONG MOTION 80·92·33·0519 --I.--· ' ---~ . --
TOT AL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933
QTY. ELECTRICAL PERMIT · ISSUE ~-QTY. SOLAR · ISSUE -
BRIDGE FEE
~ ~EW CONST EA AMP SWT BKR /Ot) A..t11 t,$ i..:J e;-~ -COLLECTORS SCHOOL FEE · DISTRICT I - -I I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Dtegu1to 80·92·23·0519
REMODEL Allt:R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS -
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT .•
TOTAL ELtURILAL I ,3C,~-I 3~1e---' TOTAL SOLAR TOTAL FEES PAYABLE
i MAVE e,AREl=ULLY EXAMINED fHE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY E11:p1rat1on Every permit issued by the Bu1ld1ng Off,c,al undertne provisions o' lh1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVlqJ!
CERTIFY UNDER PtNALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shatl ew:p,re by hm1tat1on and become null and vo,d lf-1he burtd,ng or ... ork 5· o·· DEEP AND D£M0l1TION OR CONSTRUCTION Of authorized by such permit is not commenced w,thif'\ 180 days from the datevr such ::>ECLARAT ON':, ARE TRUE' AND CORREC, AND I FURTH[R CE'RTIFY ANJ AGREE IF A PERMIT 1<; permit. or ,1 the build1nP. or work authorized by such Pt";) 1s suspended or STRUCT\.IRES OVER 3 STORIES IN HEIGHT
,-;SUED TO COMPLY WITH ALL C,-,Y COUNlY AND STATE LAWS GOVERN NG BUILDING CON abandoned at anv time a ler the work ,, commenced fot\a .><I of 180 davs
:'>TRUC'T10N NHETHER SPEC.,FIEO HLAE.lls OR NOT I ALSO AGREE: Tu SAVE tNOE MNIFY ANO APPLICANT·S SIGNATURE •
~0WN1( CONTRAC'OR 0 APPROVED BY .ikd},/,f3 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS COSTS AND ~-A-./., EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSFOUENC'E OF THE ,. BV PHONE ::) GRANTING OF THIS PERMIT / ·-
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT !
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL !
!
PLUMBING I
SEWER AND BUCO DIP UCO ' UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOIRARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl"'!G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTl(!)N WHEN ALL APPROPRIATE
--~ITEMS ABOVE HA VE BEEN APPROVED
FINAL
PLUMBING I
ELECTRICAL
MECHANICAL
GAS
BUILDING I
SPECIAL CONDITIONS
I
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<if'~; 'f, 7 "' FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES f
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL l
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING \
HIGH STRENGTH ~
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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