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1302 PINE AVE; MULTI-PERMIT FILE; CB880829; Permit
I L U) z 0 ~ a:: ~. ~ 0 ... .. ·~. .,"" ~ C e[,. 0 q1ereby affirm that I am licensed under <J provisions of Chapter 9. (commencing with =· · 'Section 7000) of Division 3 of the Buslnel!S 1--and Professions Code, and my license ,is In ~--, 'full force ~nd effect. ur -.-.. -.. .. . - •I, here&y'•afhrm that 1· am exempt from the Contrac-tor's Lic'e1i(~ _Law for the tolloy,iog reaso.n (i!ec._ 7Q31.5 Business'and.Professions Code: ·Any city or county whicti re-quires a permit to construct, alter, improve, derriolish, or repairi~ny structure; prior to iJs issu,ance also feq'uir8s !heap; IIC I.I.I" ~- 3 --ii: w z· •• 0 z 0 ~ z w a. :I 0 u•· rj,. a:: w "' a:: 0 ~ pllcanl for such· permit to file ~ s1g_~ed s!al.~ment that he !~ of _ _ _ _ _ __ and Prolessions·Code) or'thal is·ex-e!"Pl ltl~ie)rom·?nd:thebasij;,for thHll~g~a efemP,t10~. ''Any yIolallon of'Sect1on 7031,5 5y_an applicant tor a perm1t,s,m-Iects the applicant lo a civ1J penally of not more.than-live hun-dred doll~rs ($500). · 1 i. I, as,bwner of fhe.prope/ty, or,my'empioyees with w~ges as their,sole-comperlsation, will-do·the work, and·the,struc· ·lure is.not intended or,offered,for sal,e (Sec, 7044, Busine~s and Professions Code: The 1Contractor's -ticense· law·'does not apply lo a,j owner of property Who Ouitds or 1mprmies thereon .and who does.such work himself oi lbrough his own employeBs, pro'vided that-such ifTlproverilents are-noHntend-ed or offered.for sale. JI, however, the timlding·or improve- m~nl i~ )Old within one year ~f'conipletioq, the owher-b4ildeJ will have the burd.en of prov111g that he did not build or 1111- prove for the p_ur?ose_ of sale) _ I !• I,. as_ owner ,of the prop,erty, am-exclusively contracting .with licensed contractors to construct the proIect (Sec, 7044, Business and Professions C.ode. The Contractor's tIcense Law,does not,apply to an owner of property who builds or im· proves thereon, and who contracts for each projects with ·a· contractor(s) "license .pursuant to the Contractor's License Law). - il As a horoeowner I am improving my home, and the follow-·1ng,cond1tlons exist: 1. The work-is being performed prior to sale, 2 I have lived m my home for twelve months prior to completion of this work. 3. I have not claimed this exemption dunng the last three years. D I am exempt under Sec.,-------, B & P.C. for this, reason . D I h,ereby affirm thaUhave a certificate of consent to self-insure. Qr.a certificate of-Workers· Compensation ln- .surance,'or a certified copy thereof (Sec. 3800. Labor Code} POLICY NO; COM PA.NY CJ Copy is· filed with the city 0 Certified copy Is hereby furnished CERTIFICATE·OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed,if the.permit is for one hundred dollars ($100) or less) 0 I-certify that In the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subje_ct to the WorJsers' Cqmpen- sation Laws of C~hfornia. NOTICE TO APPLICANT: If. alter making this Certificate of Exemption. you should bei:6me subject to the Workers· Compensation provisions of the Labor Code. you must forttiw1th,c9mply,v-iith suCh provisions or thley permit shall be deemed revoked. . • :'1'-' . . ·'' · t1 ,0 I hereby affirm that there is a construction lending ffi ' ~ 'age:ncy fo; the P~rformance of the work for which this per• O mit is issued {Sec. 30971 Civil Code) z ' . UJ ~ Lender's1.Name , ..J • --~ ,.. Lender's e,ctdress ____ ~~ , USE'BALL POINT PEN ONLY & t»RESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ' ,. . CARLSBAD QUILDING DEPAflTMENT APPLICATION & PERMIT · _. 2075 Las Palr'nc:!S Dr., Carlsbad, CA-92009-1915 (619) 438°1161 -.. · · · · · ----.... ~ -l , ' JQS·A{?OR~ ... . ' • .: ., AV, ST.RO. THOMAS BROS NO, DATE OF APPt..lCATIONI eusi'NESS,t..iCENSE # . VALUATION PERMIT NUMBER V ':1/5., :;__ ~/A~?/ ! -· ~1/'wl ,.,j /-.. ,~.-::J.. ~ ~r-~ 4 f, -· · .. 11.b . BLOCK 1 SUBOl~-!~101)1 I 3.o~~D~o •. (/'I"'). . ' CONTRACTOR • CONTRACTORS PtiONE # ZONE -. , . . -.. "'do, ~1 _ _ _ NA Me , -[ 7..;;2_'."'"'"~ '"o" OtAl:IIJ~ 1$ o,O' -/.,.. .-. ,; //A_,,_, ___ ~/./' ,. . ,......-:: ./'~ .~ CONHIACTOR'SAPORESS STATE LICENSE NO. BUILDINGSQ.·FOOTAGE foe v ;c:..;.1r ---~, .,.. .,,/<..· / -'7-~7/'":i · · · · - OWN~R'Sf'A_~AODfl_ESS . . ' , . 08"10 07/26/88 {)1\Qj ().1 {}"J /: C)d):., I' ~,,,41/at ':-A 'ff'L~ /.,(J , 0Es1GNER . .0Es1GNER's PtiONE __ . f:ldPmt· .. __ 335,;Q( DE~ '1PTIOJ:lOFWJ5'R1< .A -(/~ _ J. ( •· ~ ) "1 ~T') (._::;?.J,,.-,,1 ti.'./'_,~ ~·,7---m,-. j"'.;:,.i, :•J . DESIGNER'S ADDRESS STATE LICENSE NO. ~'";)~,; rn·~ '5?-z.,, 4--[/ c,e CCR,a€v, ,o OCCG> €00 ' ~hL.._~ .... "'--'<:~~4 vONO 'STrlES M ... ·-- CENSUSTRACT PARKINGSPACE 'RESUN'ITS I --GRADfNGPERt;11TissaED lREDE\i'E:LOPMENT . ·r' '(}U E '-•. QC(;:'LOAO' F'IRI;SPR ---· • -•· · ' ,. , ' AREA . _ . . Y .O N D v D NQ . , YO NO __ N_qt Valid Unl~s ~achine <;ertified . _ '5b. -. QT)'. PtUMBING PERMIT -ISSUE -7 ;;;..-QTY. MECHANICAL PERMIT -ISSUE -/!:;;,· ~ SUMMARY/ACCOUNTNUMBER - (..;.,. EAG,H_F1xtu~E TRAP • .--:: _ ·-_ /,0_ -~ ,!~STALL FURN. OUCTS_UP TO 100,0_00 BT_U _. tJUILUINIHtMMII UUHlJU-UU-U0-llnU ~-,_...:-. __ , -/, EACH BUILDING SEWER f-.-!,?J, OVER 100,00J).,B"l"U SIGN PERMIT 001'810-00,00·8221 • '/ EACH WATER HEll,TER AN010R VENT -,_.!:>0 BOILER/COMPRESSOR UP TO :i~ PlAN CHECK ---001·810-00-00-8891 / -bq--- / EAC.HGASSYSTEM1T040UTLETS 7,--..:,l-) BOILER/COMPRESSOR:3-J;i1tP 'fOTALPLUMBING 001-810-00-00·8222 "'Z,Aq EACHGASSYSTEM50RMORE METAL FIREPLACE / E_LECTRICAL ·-. 001-810-00-00·8223 ·-7...,..:5 ---, EACH INSTAL.. ALTER, REPAIR WATER PIPE \I.ENT FAN SIN)XE OUCT MECHANIC/\L 00-1-810-00-00·8224 • ~ EACH VACUUM•!lREAKE'R MECH E~UST HOOOIOUCTS MOBILEHOME 001-810-00·00-8225 WATER SOFTNER R~TION QF EA FURNACE/HEATER SOLAR 001-810-00-00·8226 EACH .ROOF. D~Al,N (INSIDE), DRYER VENT STRONG MOTION 880-519-92·33 ' _, TOT/iL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227 -'to,TAt P.LUMBING t I ~ . ._ PUBLIC FACILITIES FEE 320-810-00-00-8740 _ . . _ ~ _ BRIDGE FEE 360·810-00-00-8740 QTY. ELECTRICAL PERMIT -ISSUE 0 QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l NEW CONST EA AMP'SWT BKR CAR PORT TIF 312-810°00-00-8835 · • 1 PH 3 PH _ _ _ , AWNING LA COSTA TIF 311·810-00-00-8835 E'XIST BLOG EA AMP/SWTfBKR ·GARAGE FMF 1 PH .... 3 PH-LICENSE TAX • 001·810·00-00-8162 - REltlOOEL'A-LH_R PER CIRCUIT -"'Z,/). -MFF 880-519-92-57 TEMP PO LE 200,AMPS ( OVER iQO A:MPS --• T-EMP OCCUPANCY (30 DAYS) , .* .. ~ CRE_OI.T:PEPOSiT; .. --4'/~ti_ .. ;> .. TOTAL ELECTRICAL ·1 ~-: '. TOTAL i TOTAL FEES PAYABLE-I· _ ~JJ;fJ rro , -I HAVE CAREFULL y EXAMINED.THE COMPLETED "APPLICATION AND PtRMIT" AND DO HEREBY Edxpirahon. Every per,mit is!ued by the Building Offic,al under the prov,~ionsofthis * AN 'OSHA PERMIT IS REciulf!EO FOA EXCAVATIONS OVER CERTIFY' UNDER PENALTY 0F PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Co e ~hall e~p,re by hm1tat,on •nd become null 8nd void If Ih8 building or work 5' O" DEEP ANO OEMOl.lTION 0A C~STROOTION OF . , aothonzed by such permit ,s not commenced w1th1n 180 days from the dale of such • · DEClARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 permit, or if the building or work authorized by such permit 15 suspended or STRUCT\JRES OVER 3.STOAIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN'!Y AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv time after the work 1s commenced for a•oenod of 180 davs 1 • •. S1'RUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND , , ,; / .-' , APPROVED BY , .. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND' APP~_)!: _.!.GNATURE . "WN~ CONTRACTOR O . i~; · :,; -.:--.·~-. · , -D¼ATE • EXPENSESWH!CHMAYINANYWAYACCRUEAGAINSTSAIDCITYINCONSEQUENCEOFTHE / /.A --:,'I.~~ / -BY PHONE O ,"_,·.,, ');:1\.,';';•' ''-·' ---1 /A/ii'?"' : ' ' GRAN:flNG OF THIS PERMIT. / -·:yv --' . . -. ·~ j 1 · fJ I ot:> .,, 2 u::: >, ~ C( ·c. E' Q) f- l -o' 0 C} ·-c <1l () C. C. <i: I .J<: C a: c5. Cl) Cl) Q) Cl) Cl) <i:, I 3: .Q a3 >- Q) () C <1l C u::: !::. C Q) Q) 0 ~ .8 (), Q) C. Cl) C -~~- .c ~. t.::' ,,, ~- ~ .., ~ ~ .... '-,,~ -::, ".:, \: ·, -~ ~-'-:-·,:..:::-.; ~i'iS'1tO·i'~ TYPE . . DATE INSPECTOR ~ ... --. ·""" . BUILDING __ .. , FOUNDATION FIELD INSPECTION RECORD REINFORCE_D ST.E!=L ,_ R~QUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' GUNITE OR GROUT . l SUB FRAME D FLOOR INSPECTION REQ. IF I INSPECTOR'S CHECKED APPROVAL DATE -~c.-_ ~'-\ ~ e le_ '] "-Zf"'~-r~ · _ D CEILING SHEATHING ~ROOF . ZSH~AR ,--t·Br ~-,ve-. . FRAME I 1'1. ~, -r ;;.;;{ '. EXTERIOR LA TH INSULATION· INTERIOR LATH & DRYWALL I ,. PLUMBING D SEWER AND BUCO D Pt;JCO . UNDERGROUND .D. WASTE D )IVAtER q:·1.v 'I#' I i-/.Ji:::11- TOP OUT _ ffWASTE D "'1ATER ~2,s-rr-1 ---1 rue AND SHOWER PAN : GAS TEST ; D WATER HEATER D SOLAR WATER --·---'··' ·-'- J. ,. SOILS COMPLIANCE PRIO.R TO FOUNDATION INSP STRUCTUF.lAL \CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH . ' BOLTS ·.-·, SPECIAL MASONRY PILES CAISSONS ELECTRICAL , pi D ELECTRIC UNDERGROUND D;UFF.ER .: -, ROUGH ELECTRIC : ,-_ 1,-PJ·Yy ~ · 1 1 1 D ELECTRIC SERVICE D TEMPORARY . D BONDING D POOL MECHANICAL D DUCT_& PLEM., D REF. PIPl~G ·1· . .-i..;-i' ,... ..... ' .,_ , •. ....,.ir _}t;;.."'r "2:~~ .. HEAT -AIR COND. SYSTEMS ------ VENTILATING SYSTEMS ' \;~-,;·~.~.:.,·-~ :'«:.~·-·,,·_'\.;c:::~:.i: ) CALL FOR FINAL INSP~CTION"WJf/Ef•l'ALL. APRROPRll(TE '· .. -. · 2t· -...: ,,:.,·.;'\, .. \ ~-, . . -~ ITEMS ABOVE HAVE BEEi.N.'APPRQVED, · · · · -i -' FINAL : .. -· I ·. :·_. ··. I,::: ·, :~----1 I I ELECTRICAL : ~ ·-_~~,.__-t ·:~,·~• •• --~'-'_ ,-_ ' ;;,•-·· : \ ·, ~--c:--r"" \ ....... \ \ :_ -:-.' t -\ I .,. ' _I ·--.,.._,,,:".:_~_:__-., __ ... ~~ PLUMBING -~-- MECHANICAL GAS BUILDING ~' SPECIAL CONDITIONS \ I ii ' ' i. . ~ .--· .... ~. 'v ( ' i -'--.\ .... ~~ . .,., I, ,-. .... .._. -~- .~~ \. / ,_ ~~ • 1:.· ~ POOR ' . QUALITY ~ . t ! . f . . , ! . . · ORIGINAL S . . . ~- -. ,' ·~ ; -:: . . ' . ·-· ~~t _ ... ~-,--~· ' .. . . -,•.J., ... ·-·, -' --.· ~ . \ : ' .; ·:·;_ ... ,"- , . .·.·-,?· ·,:, -..,,. II) z 0 ~ a: ,c ... (.), w O· m: I[ 0. (.). ·-=· w 0•· ... 5 m ii: w j 0 :z: o· ~ z w A. :I: 0 (.) Ill a: w :,,:: a: 0 ~ O 1'.heret;,y at\lrm th~t kam.lJcensed,lindl'r provisions· 91 q,aplf!r· 9 ·(9or,nlT)enclng with· Sectl/>n ,7Q!JO) of Division 3 of the :Bµslnes~. and P.rofesslons Code,' and my llce~se Is In full· force a.nd·etfect. . lie No· · · Class ·I hereby· aUirm that I am exempt fr~m the Contrac- tor's Ucense caw for the tollowmg reason (Se'c. 7031.5. Btismess and Professions Code. Any city or county which re· qi.Hfes a p'8rm1t, to construct, alter, nnproVe, demolish, 'or repair any structure, p~jor to its iSsuanCe also requires-the ap- pl1can!'for'-such permit to file a signed statement·that,he is licensed pursuant to·. the provisions .. of the Contractor's License Law (Chapter 9 ,commencmg:lvith Section 7000 of Div1s1on 3 of the Business and Piofess1ons Code) or tm,t is ex· empt:therefrom and )lie basis for the alleged exemption. Any violation of Section 7031,.5 by an applicant for a perlrnt sub•. , 1ects the app(i,cant to 'l civil penalty of not more than five hun:, dred l!ollars ($5QO). D I, as owner of th~··property, or my employees with wages .. ,. their, sole,compeflsation;w111'do·the' work, and the struc· re is'not'lntenl!ed or•oflered for·sale (Sec. 7044, Business and Profess10ns' Code: -'The·Contiactor's·license Law does not· apply to an own'er bf (lro~erty w.h9 b~Ilds, or improves thereon and who does·such work himself or through his own employees,.piovided that such'improvements are·not mtend· ed or oflered·for sale. lf,,(1owever, the·bu1lding or-improve·· merit is sold wrthin one year of complel10n. the-owner-builder will have the burden of proving that he did' not build or Im· prove tpr th.e P.urpose of sale).:· . D I, as owner of.the property, am exclusively contracting with licensed contracfois·to construct the pro1ect (Sec: 7044, Bus1ness and Professions Code. The •Contractor's License Law does not apply to·an owner of pr.operly w~o liuilds or im-proves thereon. and who ·contracts for each projects with a '~re)~ctor(s) license pursuant _to the Contractor's License ·o As a hOmeowner I am improving my home, an.d the folio\'/· iog conditions exist· 1. Tlie work is being performed-prior to·sale. 2. ( have lived in my home for twelve months prior to cqmpletion,of this work. 3. I have not claimed· this exe.mption during the last three years. · D I am exempt under Sec.-~---~-, B & P.C. ·for this reason ____________ _ ' D I hereby affirm that I have-a cert1f16ate of consent to self-insure, or a certificate of Worl(:ers' Compensation In· surance. or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO. GOMPANY D Copy is filed with ,toe city 0 Certified copy Is hereby fllrnished wit~~~9~~~~N~x:ri:1iNs~=~~CE (This section need not be completed If the permit is for one hundred dollars ($100) or less) D I ~ertify that in the performance of the work for which this permit is issued; l shall not employ any person In any manner so as to be'come subject to the Workers· Compen- sation Laws of California, , NOTICE TO APPLICANT: If, after making this Cert,f,cate of Exemption, you should becorhe sub1ectito the Wor.kers· ,1 "' Comper,~ation provisrons of ttle labor Code, yOu must- forthw1th.comply with such pr'ovlsiOns or this permit shall ... be qeemed~r:voked. ' .. • l' 0-+I-hereby affirm ·that there rs a construction lending ffi agency for the'perform8nce of the work.for which this per- ~ • n,il. is issue'( (Sec. 3097, Clvll Code) ~ ' Lender's Name ____ , _________ _ . ' ' · Lenderis Address,~~~=-~-----~-- I : USE BALL P0INJ PEN ONLY·& PRES~ HARD APP~ICANT TO FILI,. I~ INFORIVl~Tl91':' WITHIN SttADED AREA AND D~CLARATIONS. .. I CARLSBAD BUILDING DEPARTMENT "' ' . . \·. }: · carisbad, calitornia 92oos-;1989 (619) 438-5525 · APPLICATION & Pl:RMIT w, I 'AV ST.AO. BUSINESS LICENSE# . v·ALUA'ribril. U::: r .· 'l-~~~~~:'._-4-7.l,~~------,-------...J.Z'Alt:21~~':Z;~Lt.~~L.U.lJ~~'L-~C..:L..-=~~---'....J ~-------....... -~---------r -~-· .. ~ ;',.....-:1 ~ : CONTRACTORS PHONE# ZONE " 1: ! y· . , , 8_ I 1",:-:=c::-4c;c-c".-c,L-::----F'=-"-"'--,..__,:....::..__,..-----',__ __ ,:a__...:::..~-----'--,-----· ·' I E . w 1 ~-~ ' . . ~ ( , J·,-.-..--,.-_.,~-.,,,_Ci ttCENSE NO. PLAN I.D. # BUILDING SO: FOOTAGE· j 1, ~ ~ .. ' ~ j, DESIGNER D,ESIGNER'S PHONE (9 1~~~~=,...JL-~~,---1!~~---=-------"~· .r·L-~~~~~ N?-:61/ 1-/'~Ill DESIGNER'S ADDRESS LICENSE NO. !Diµ I /l:lD2o I I . qiJ~l2~.l.t.J.µt'G_1/ 05 \I* I I -. · · 1r,_d' l 1tP , I I 'h Oii .m .( - . I . I . · F/P' 'FLA ELEV. ~(:)'' l oc~ GP I EDU STORl!,S WPUI i::!b 17 DI •' H !'-I•• .,, ·1 Wll ! Ill!=~ I . . . <{ i · · · y,0 NO -·-.-1 1 . 1. ·I , CE;_NSUS T.RACT l c:;p LAND U,SE i--~ARKING SPACE RES.UNITS · 1 GRAciiNG PERMIT ISSUED I REDEVELOPMENT . I •, ' '. AREA ' ., i . .. . . ' . . . ' . y O N D YO NO I I I I YO TYPE ·I occ LO.AD -!'"FIRE SPA CONST. ,NO }. :QTY.I . PLUMBIN0 PERMIT-ISSUE ~,50 ~ QTY'..! MECHANICAL PERMIT·· IS~UE ., . I . SUMMARY./ACCOUNTNUMB~R' I , • __ ._. I EACl:{'FIX.TURETRAP . ),., . .-__ INSTA~LFURN.O(JCTSUPTOl,bQ;OOOBTU. 1 • ·; _,.,,_,,,_, ___ ,.,_. tlUILUINl:i t'tKMI I 001-810-00-00'8220 r, I EACH.BUILDINGSEWER p.;;,<-. . QVE.Rl00,000.BTU .• • -·----"--···--- ! . ·. ' ::illiN.Pl:;HMII 001·810-00-00·8221 i EACl-j WAT!;R HEATER AN'D/OR VENT • BOILER/COMPRESSOR UP TO 3 HP • • _ I EACHGAS,SYST~f\_11TQ40,UJLETS . BOILE.R/COMPRESSDR3·15HP 1 ·.-. ; ,_, .. _, __ .. ,_ ... _ _ • I • ----- PLAN CHECK 001·-810-00-~o-8806 I · 1#:.i,<'Jn TnTAI Pl IIMRINC:: no1-810-oo-oo-8222 \ I :EAC.H GAS SYSTEM 5 0 R MO RE • METAL FIREPLACE . _. • : -~--.... _,._ I EACH INSTA~ .. ALTER,REPAIR WATER PIPE . VENT FAN SINGLE DUCT u ··--··· .. ··-··- I ·. . " EACH VACUUM BREAKER . MECH EXHAUST -HOOOIDUCJS • 11 .. , __ , __ ,,_..,_ Fl Fr.TRlr.At 001-810·00-00-8223 MFCHANICAI 001-81p-oo-oo-8224 MnRII F~nMF I . .. • t WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER . 11 ,., __ , __ ,,_ .. ,_ ........... ,. 001-810-00-00-~225 I MnRII Fl·lnMF PARK IN<::P I EACH ROOF DRAIN (INSIDE) :: vv-n" cnf h.D :· . · ·· . ;. TQT,;L MECHANICAL • STRONG MOTION FIRF SPRINKI FRS J .TOTAL PLUMBING \ · /'-I--.OV I T .. I . ···--,· ·······--·.-- PUBLIC FACILITIES FEE ' QTY. I. '·.;LE_~i:WCA_I,. P-EfiMl:r •--ISSUE • " ' l!; QTY. SOLAR -ISSUE : -NEW CONST EA AMP/SWT 1BK·R COLLECTORS 11 __ .. ___ • _, I 1 PH 3 PH . STORAGE TANKS ., __ ,, <::r.1-mni FF~ -DISTRICT Carlsbad I EX:ISTBLDGEAAMP/SWT/BKR · ROCK STORAGE .. : 1 PH 3 PH • PUMP :; -~~-_ Encinitas <::an rneguito f REMODEL/ALTER PE·R·CIRCUIT . PLAN CHECK FEE :1 I T~MPPOLE 20(1AMPS I II I ________ _,__ ___ ____:~~~~: ____ __ I I I O\JER 200 AMPS I II I I j : \, I TEMP OCCUPANCY (30 DAYS) I II I I I · . --- San Marcos I .7 Llvt:NSt: !,AX Mt-t- 001-810-00-00·8226 · 880-5-19-92-33 001-810-00-00·8"227 . 332·810·00-00-8930 001-810-00-00-8162 880-519-92-57 ~, ~ l.1 TOTAL rncrn,c,, I i I I II I /£1-: I I .TO'fAL SOLAR CREDIT DEPOSIT TOTAL FEES PAYABLE I !.IX~ I I i I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND DO HEREBY I .Expiration. E-:ery per_ml_t is~ued by the Building Officlal-,mderthe provisions of this CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Codi! ~hall expire by hm1tahon and become null and void. If the building or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AN0 AGREE IF A PERMIT IS au\h~nzed by such peri:nlt is not commence_d within 180 days fro"! the date of·such ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ' per ' he buildinri or work aulhonzed by S\fCh permit IS suspended or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND a ndQned al " time a ter the work is commenced for a er' , 1180 da 5·. * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRllCTVRES.OVER 3 STORIES IN HEIGHT I I f-. KE".HARMUcSS rn, c,w oe CASCSMO AGA,NST AL!. UAs,urnes, JOOGMENTS, c05'SANO "'"""'' "•""""' ow• oN,RACTOR D AeeRo,eo ~ om I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAtNST SAID CITY IN CONSEQUENCE OF THE "-~~~~~P=' . . lbJJJ r1y . I, GRANTING OF THIS PERMIT.· • i;.-,u~-BY PHONE O · .'!:.' , .1 ,. , fl);,,•· 10-(:.;r-J I . --,, ~ ,' . I • . I .0,: C ·a: 0 en en w en en <{ I ~ ,0 ©·-;,- rn en w ·(.) 0 a: rn al 0 ~ w (.) C rn C u::: C w ~ (9 0 t, w a. en C I, w :§' s l err TI.PE DATE INSPECTOR FOUNDATION BUILDING I I _L RELNFORCED SJEEh MASONRY GUNITE.OR GROUT : . SUB FRAMED FLOOR O CEIL!ING 1 1 1 _._. __ . . . SHEATHING D ROOF D SHEAR FRAME I J_ EXTERIOR LATH IN$ULATION INTERIOR LATH & DRYWALL ! l PLUMJ31NG 1 TOP OUT D WASTE D WATER TUB AND SHOWER PAN i GAS TEST I D WATER HEATER D SOLAR W~TER ELECTRICAL i D ELECTRIC UNDERGROUND o:uFFER ROUGH ELECTRIC l D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL Ml;CHANICAL 1 D DUCT & PLEM., D REF. PIPl}JG ~--·-- HEAT -AIR COND. SYSTEMS ) I I . / VENTILATING SYSTEMS ! I I / l I -1-.-/ CALL FOR FINAL INSPECTION WHEN ALL APYROP'!:f.!E . ITEMS ABOVE HA V.E BEEN APPRO,VV/J. . FINAL i I · · z·r 7.7 ·] · PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS i~ I ·VJ:V~t,.,r l I ,J t.. 7V1Ji I . ~-·' t.-·,v:\~ {\ tllU( :"· ,:.,;_; ! lJ\l ,_,," .. I . ,u I' ! '. \ \ r •. 8'.S----71.:l. .. ...... ~ --; ' ' ...... FJELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTOR'S ~ INSPECTION REQ IF DATE -~. \. CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS i SPECIAL MASONl:IY , PILES CAJSSONS ' . "', ·--. - -· ' ' .... I .. I .. ;4 .. . ' . .. -' ' ' .. I - f ... ,... .... ~ ._.: ' --1J , ... _ --.. . --"· . . . . .. . ·i. ~ . ' I . .. -.. ... , __ . en z 0 .:: ,c rr: ,c -' u w 0 ac I[ 0 u ac w 0 -' 5 !! ac w z 3 0 z 0 .:: ,c en z w a.. :I: 0 u en a: w ,.,: rr: 0 3 ·1l O I hereby 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 ______ Class I hereby affirm that I am exempt from the Contrac-tor's license law for the following reason (Sec. 7031.5 Business and Professions Code· Any city or county which re-qU1res a permit to construct, alter, improve, demolish, or repair any structure, prior to I1s issuance also requires the ap-plicant for such permrt to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor s License law (Chapter 9 commencing with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption Any violation of Section 7031,5 by an applicant for a perm rt sub- jects the applicant to a civil penalty of not more than five hun- dred dollars ($500). I, as owner of the property, or my employees with wages as their sole co pens · n, will do the work, and the struc- ture is not inte e o fered for sale (Sec. 7044, Business and Profess· s ' The Contractor's L'rcense law does not apply ner of property who builds or improves thereon a w 1does such rk himself or through his own employee r ded ~t u · provements are not intend-ed or offe r sale. If, owe r, the building or improve- m~nt is sol ithiij ye of mplet1on,_ the own~r-builder will have e bur pr that he did not build or im- prove for e pur s I sa ). D I,_ as owner of the roperty, 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 im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's license Law). D As a homeowner I am improving my home, and the follow-ing conditions exist: 1. The work is being performed prior to sale. 2. I have lived in my home for twelve months prior to completion of this work. 3. l have not claimed this exemption during the last three years. D I am exempt under Sec. _______ , B & P.C for this reason ____________ _ D I hereby affirm that I have a certificate of consent to self-insure, or a certIt1cate of Workers· Compensation Insurance, or a cert1f1ed copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY 0 Copy Is t+led with the city 0 Cert1f1ed copy Is hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 1! the permit is tor one hundred dollars ($100) or less) D I certify that in the performance of the work tor which this permit is issued, I shall not employ any person m any manner so as to become subJect to the Workers· Compensation Laws of California NOTICE TO APPLICANT If. after makmJ this Gerti flcate of Exemption. you should become sub1ect t0 lhe Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked 0 I hereby affirm lhat there Is a construction lending agency for !he periormance ol the work tor which this permit 1s issued (Sec 3097, C1v1I Code\ Lenders Name ___________ _ Lender"s Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. QTY. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 _,:,_"'-' , o, o , 0s ,, ,i'o,,_ e-,,,,, '£', o.iil"VJs°' _,,._;;..,,~.,.d>.,. .. <e7°, ,.°'"'>i:i..,s..,; ....... ....,;;;,;;,;,..,,.;,..4~ilii,,'.-c..~":,e.s,'~<'.< YO NO REDEVELOPMENT AREA APPLICATION & PERMIT TYPE CONST OCC LOAD I FIRE SPA VALUATION ZONE PLAN 1.0. # STANDARD PLAN# PERMIT NUMBER 5'Y:) BLDG USE CODE BUILDING SQ. FOOTAGE v D N 0 YO NO YO NO Not Valid Unless Machine Certified PLUMBING PERMIT· ISSUE $-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I II I INSTALL FURN. DUCTS UP TO 100,000 BTU I I 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 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 01·00·00-8222 -· -- EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE . ELECTRICAL EACH INSTA~. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT . MECHANICAL EACH VACUUM BREAKER . MECH EXHAUST -HOOD/DUCTS . MOBILEHOME 01 ·00·00-8225 WATER SOFTNER \ I\ \ RELOCATION OF EA FURNACE/HEATER l O MOBILEHOME PARK INSP EACH ROOF DRAIN I INSIDE) I II I I II SOLAR TOTt;L MECHANICAL 01-00·00·82.2,.IL._j_ _______ ---l STRONG MOTION 80·92·33-0519 ------------------------· --~+-------------\ TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY. I ELECTRICAL PERMIT -ISSUE s-QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 BRIDGE FEE NEW CONST EA AMP/SWT1BKR COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21·0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519 1 PH 3 PH PUMP San Dieguito 80·92-23-0519 REMODEL'AL TER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMPPOLE 200AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT 10TAL ELECTRICAL -0 TOTAL SOLAR (I) u:: c ~ 0 0. E (I) I- I u 0 ('.) C C1l (.) 0. 0. <( I .Y. C a: ~ 0 Cf) l/) a., Cf) Cf) <( I ~ .2 ai >- Cl) Cf) a., (.) 0 a: C1l cri 0 & a., (.) C C1l C u:: C a., ~ ('.) 0 ti a., 0. Cf) C ~ .c ~ ll-l S-.. >t1 TYPE I DATE INSPECTOR .g-~--B+-3 BUILDING I ' FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES fNSPECTION REO. IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME I I SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FRAME I I FOUNDATION INSP EXTERIOR LATH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRESTRESSED INTERIOR LATH & DRYWALL I I CONCRETE POST TENSIONED I CONCRETE PLUMBING I FIELD WELDING SEWER AND BUCO DIPUCO I I UNDERGROUND D WASTE D 'rJATER TOP OUT D WASTE D WATER HIGH STRENGTH BOLTS SPECIAL MASONRY TUB AND SHOWER PAN I I GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER I I ELECTRICAL I D ELECTRIC UNDERGROUND D 1UFFER ROUGH ELECTRIC I I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I I MECHANICAL I D DUCT & PLEM., D REF. PIPll'i!G HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECT{iN WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED. FINAL I PLUMBING I I ELECTRICAL '"\ -_._\ 4.."'\! i/l, _ ,·1{},:./JAnt7 L-, .<P.()'I ~.~/)} MECHANICAL -ri -\,../ C.-'"--- GAS I ,, -. BUILDING I SPECIAL CONDITIONS I I I