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HomeMy WebLinkAbout1366 PINE AVE; MULTI-PERMIT FILE; CB961886; Permit2.U/01/'36 1~::3.1 =' "ttJ 8 1 of l f. u J ~1ub Aci(':i-ess: 1366 PINS AV ?ermlt Yyp~: ~LLlMBING Pct[Cel Nu: 20':i-CJciJ-~-7-00 Valuatior,: O Occup,:1ccy GroL: .. _~,: ~,escri pt ior:: ~zSPAI~< GAS L:~I~:S Appl/Ownr L D I N c; P E R M 1 ':i' Suite: .Lot#: Re .E e.:..-ence.±/ : ?enni_ t Nu: i:· r '-' j e cc l\J o : Deve loonk)!l t i\fo: CB'.Hi1886 A96C<'.'.686 Cnnstru::-tiCJr: '::r'ype: VN s:: --=Lt u~c: : Ar,pJ i <:d: i'l.'.)r II::; ·3~ie: ISSUED 1 <)/ U 1 / ':J 6 10/01/96 619 7~ti-u372 CITY OF CARLSBAD 2075 Las Paimas Dr., Carlsbad, CA 92009 (619) 438-1161 A. ; PERMIT APPLICATION PLAN c;:HECIC NO. Cf ty of C.r l st.cf Bufldi ,.;i Deperment 2075 Las P•lms Dr •• carlata:t, CA 92009 <619> 438·1161 l. PERill1' fi'llE ~ ESI".V~ Pl.AH Cl( DFJICHI' ________ _ :AUD.BY ___________ _ DATE From Ust 1 (see bade) give code of Permit-Type: ----------- For Residential Pro!ects Only: From IJst 2 (see back) give Code of Structure-Type: ___________________ _ Net Lem/Gain of Dwelling Unlts ----------------- 2. PRClJF.C'r INFORMATIOH FOR OFFICE USE ONLY Nearest Crou Street \3w LEGAL OESCRIP'tioN l'.oi No. Su6diVJS1on Name/Number Orut No. Phaie No. CH£Ck BELOW IF sOl3Mli lEO: ci 2 Energy c.atcs a 2 Structural Cala a 2 Soils Report D 1 Addressed Erivefope ASSESSOR'S PARCEL e. cp Ar \ '/\. EXISTING USE PROPOSED USE DESCRIPTION OF WORK ' SQ. Fr. -# OF SI'ORIES I OF BEDROOMS # OF BAlHROOMS 3. WN IN.!I PERSON (if dlftel'eht from applicahO NAME (last name first) ADDRESS 4. APPUCAN"I" u UJN lHAC;lUK NAME (last name fint) STATE ZIP CODE DAGEN I fuR aJN I RAC !OR ADDRESS DAY TELEPHONE DOWNER t;JAGENI ffiROWNER CI1Y STATE ZIP CODE I d DAY TELEPHONE 6. OON'l'RAC'luk NAME Oast name fint) ADDRESS CI1Y STATE STATE UC.# 0£SIGN£R NAME (last name hrst) ZIP CODE LICENSE ClA5S DAY TELEPHONE CI1Y BUSINESS UC.# ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensauon Oedarauon: I hereby alhnn iliac I have a cerut1Cate of consent to self-msure wued by the Director of lndusirlal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the Insurer thereof filed with the Building Inspection Department (Section 3800, I.ab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE eeriihcate of Exemp?on: I ceitify that in the performance of the worlc for which this penmt II issued, I shall not employ any penon in any manner so as to become subject to the Workers' Compensation Laws of California. : . S1GNATIJRE DATE 8. oWNl!R-BOllDmt OOCLAJtA·fiON Owner-Builder Declaration: I hereby amrm that I am exempt from the Confracfor's Dcerise Law for the foil6wing reason:, a I, as owner of the property QC my employees with wages as their sole compensadoo, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense-1.aw 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 no1: bw1d or improve for the purpose of sale.). ' a I, as owner of the property, am exclusively contracting with II~ contracton to cohstruct the project (Sec. '7044, Business and Professions Code: The Contractor's Llcense I.aw does not apply to an owner of property who builds or improves thereon, and contract! for such projects with contractor(s) licensed punuant to the Contractor's Licen5e I.aw). ! D I am exempt under Section Business and Professions Code for thb reason: , i (Sec. 7031.5 Business and Professions Code: Any Oty or County which requires a permit to construct, alter, improve, demolish, QC repair any structure, prior to its issuance, abo requires the applicant for such permit to file '.a signed statement that he is licensed pursuant to the provisions of the Contractor's License I.aw (Oiapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he ii exempt therefrom, and the basis for the alleged exemption. Any violation ot Secdon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [SSOO]). SIGNATIJRE DA'IE COMPLETE lils sEciioN FbR NON-RESIDENTIAL BO!rn!NG PERMl l's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardOUI materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Al:f.? a YES a NO Is the applicant or future building occupant required to obtain a permit from the air pollution control d1strict or air quality management dlstrlct? C YES [] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? · a YES a NO IF ANY OF nm ANSWERS ARE YF.S, A FINAL CHRTIFICATE OF OCDJPt,NCY' MAY NOT BE~ AFTER JULY 1, 1989 UN1J!SS TIIE APPLICANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OIIFICE OF EMERGENCY' SERVlCl!S AND nm AIR POU.lIT10N CDNTROL DISTRICT. 9. wNSIROCIJOR LENDING AGRNtY I hereby alhrm iliat there IS a construction lending agency for the performance of the work for which this pernut Ii 1SSUed (Sec 3097(1) dvil Code). LENDER'S NAME LENDER'S ADDRESS IO. APPLICAN I CEkitFICAl'RlN I certify that I have read the application and state that the above information is correct I agree to comply with all dfy ordmance; and State laws relating to building construction. I hereby authorize representatives of the Qty ot Carlsbad to enter upon the above mentioned property foe Inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLl!SS nIE CfIY OF CARISBAD AGAINsr All LlABlUilES, JUDGMENTS, CDSTS AND EXPENSF.S WHlOI MAY IN AaltUE AGAINST CfIY IN CDN~ OP TIIE G~ OF TIDS PERMIT. Expiration. Every permit issued building or work authorized by such pennlt ls suspended or a APPLICANTS S1GNATIJRE eep and demolition or construction of structures over 3 51:ories in heighL , . '6ciialiwll!'iA:hel~ns of this Code shall expire by limltation and become null and void if the -,.,=-.:.c"', ~r""u{fl1,;n 365 days from the date of such permit or if the building or work au · by is commenced for a period of 180 days (Section 303(d) Uniform Bulldin ). DA TE: --'-"+-+-'.__ " . PERMIT# CB961886 DESCRIPTION: REPAIR GAS LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 10/02/96 STE: INSPECTOR AREA PLANCKf CB961886 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1366 PINE AV APPLICANT: LAW-EDWARDS, MARTHA CONTRACTOR: PHONE: 619 720-0373 PHONE: OWNER: REMARKS: MW/MARTHA/720-0373 SPECIAL INSTRUCT: TOTAL TIME: PHONE: INSPECTOR ~"77''-----:~<--~~~~~- - CD--LVL---DE-SCR_I_PT_I_O_N _________ b--,) ACT COMME. ~ ~ 23 PL Gas/Test/Repairs ~~ ~~ ~~ -~~~-----~-----~ ---~-----~--~---~~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP, COMMENTS ,,~ ifi~ BU IL DIN ,G P E R M I T Permit No: CB950903 Project No: A9501286 Development No: 07/06/95 09:50 Page 1 of 1 Job Address: 1366 PINE AV Permit Type: PLUMBING Parcel No: 205-020-37-00 Valuation: 0 Construction Type: VN Occupancy Group: Description: GAS R~PAIR Suite: Lot#: Reference#: Status: Applied: Apr/Issue: 619 Entered By: 720~0373 © . INCORPORATED '. ~ c:f} .. _. . ""_ :· -~~.: . f!o!J[J.@~~ . CITY OF CARLSBAD 2607 07 /06/95 0001 01 C-PRMT 2075 Las Paimas Dr., Carlsbad, CA 92009 (619) 438-1161 ISSUED 07/06/95 07/06/95 MDP 02 27-00 PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palma Dr •• Carlsbad, CA 92009 (619) 438-1161 (D • . . . PLAN CHECK NO. 1. PE.RM1'f 1YPE From List 1 (see back) give code of Permit-Type: ----------- For Residential Projects Only: From list 2 (see back) give Net Loss/Gain of Dwelling Units----------------- 2. PROJECT INFORMATION FOR OFFICE USE ONLY LEGAL OESCRlP'1'1oN Loi No. SubdJV1S1on Name/Number Orut No. Phase No. cH£d( BELbW IF SOBMII IED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRlPTION OF WORK C. ,45 (} c_p A~ J)_ PROPOSED USE SQ. IT. # d;-STORIES # OF BEDROOMS # OF BATiffiOOMS :':{. UJN"l"ACI PERSUN (It &fferent from applicant) NAME Oast.name first) ADDRESS CITY 4. APl'l1CANT OWN IMCIOR NAME (last name first) STATE ZIP CODE DAGEN I FUR wN I RM.; !OR ADDRESS DAY TELEPHONE DOWNER QACEN'I' FuR OWNER CITY STATE ZIP~DE DAY TELEPHONE STATE UC.# UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CTIY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOtOCEltS' WMPENSATION Workeri' Compensanon Deciarauon: I hereby affirm that I have a ceruficate of cc;msent to sell-insure 1SSUed by the Director of Iridustnal Relations, or a certificate of Workers' Compensation Insurance by an admirted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLlCY NO. EXPIRATION DATE Certificate of Exemption: I cerofy that m the performance of the work for which this pernut IS ISSUect, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. ' SIGNATIJRE DATE 8. 0WNER-B01IDIM OOcLARATION Owner-Builder Declaration: I hereby aftfrin that I am exempt from the 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 work and the structure is not Intended oc offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 ls 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 Llcense 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: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he ls exempt therefrom, and the basis for the alleged exemption. Any vio4ltlon of Section 7031.5 by any applicant foe a pennlt subjects the applicant to a civil penalty of not more than five hundred doll.an [$500]). SIGNATIJRE DATE COMPLETE 'nlls sECl1oN FOR NON-RF.SiDEN11AL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha:i:ardous Substance Account Act? DYES ONO Is the applicant or furure building occupant required to obtain a permit from the air pollution control district or air quality management disnict? DYES ONO Is the faallty to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF 1lIE ANSWERS ARE YES, A FINAL CERTIFlCATE OP OCDJPANCY MAY NOT BH ISSUED AFTl!R JULY 1, 1989 UNLESS nm APPllCANT HAS MET OR IS MEE1lNG 1lIE RF.QU1REMENTS OF nm 0~ OP EMERGENCY SERVICES AND nm AIR POLLUI10N CDNTilOL DISIRICT. 9. illNS'IROCfiON Li!NDING AGP.NcY I hereby afhnn that there 15 a coristruction lending agency tor the performance of the worli. for which fhls pernut IS lllSued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICAN I cmt11FICA:t10N I certify that I have read the application and state that the above information Is correct I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the dty of Carlsbad to enter upon the above mentioned property for inspection purposes. I AL50 AGR.F..R ID SAVE INDEMNIFY AND KF.EP HARMLESS nm Cl1Y OF CARI.'iBAD AGAINST AIL~ JUDGMENTS, CDSTS AND EXPENSES WH1Cll MAY IN ANY WAY UH AGAINST SAID CTIY IN CDN~ OP nm GRANTING OP TIIlS PERMIT. Expiration. Every permit issued building or work authorized by su ' such permit is suspended or aband ' APPUCANTS SIGNATIJRE Dm:leF-U!J::.Jl!~fsicITT$'of this Code shall expire by limitation and become null and void if the ys from the date of such pennlt or If the building or work autho enced for a period of 180 days (Section 303(d) Uniform Buil · ).._ DATE: --'-+-"'+-'-..._ / WISHIWLIQ n,s,1,::rtow 0AT1 1-(z ·-£2-tMs,1cro11 DC2._ ..---...;;;.. ____________ _ PEJUCIT t 9 6:9 0 3 • PWICJC t -----.JOI ADCUSI / 3£Pu cg;_ fd am > TIMI UJlIVla ____ TIXI' t.DVI:: ______ _ co t.vt, c23 ------·----- PDIIJTI •1111•• DUQIPl'IOII AC'l' CCNNDTS @Ml L]f __ _ ------ - I ~ 0 i= C a: :5 (.) w C I r• ------~·. r · · .· -0 :H1ereby·afflnn ,11\111 I am licensed Ullder ! [" • proyjaloria. of' Chapter. 9 '(commencing with t; . -Seollon 7000) of Division 3 ol the Business-:! , ·aoo Proleaslone Code, and my license Is In ~ · ·• · lull force and ellecl · · · • .. · 'z' Lie No Clm 0 ·--. . . . . --. . . • .,u, ·a:. ,W C ... 5 • il w· z ~ 0 :_ · I hofei,y alf;rm that I am exemp1 lrom tho Controc· • tor', Lteenso Law for the followmg ,-on (Sot 7031.5 · BuSlness and Prof....,,,. Code Arr'( aty or county which r&- qULm I pemut to coostruct, alter, 1mprOV11, demolish, or · , . •repair any s!ruciuni, pnor to 11' i=nc:o .i.o requlr"" the IJr . plant for SllCh pomvt to !M •. SJAnod.~temont_that ho I' . locensod ·IXJrsulllt "' the piov,sm, bl tho contractor's L1conse Law ( Cll,ptM: 9 commenc,ng wrth Socoon 7000 of DMsm 3 of the Business iilld Professions Code) or that" ex· empt t horaf rom Ind tho baS<S Jo, the .a. I"' d exemphon Arr; • VIO!atton al SIIC!Ioo 7031.5 by an apl)flcant for a pe,mrt srub- )OC!s tho 1ppt 11:,1 nt to a C!Vll penally ol nol m ora than five oo n- drod dolllrs ($500). • D I, ., OWTW ol tho property, or rtri "'1*"{005 With W11JOS u their lOle c:ompensabon, Mil.do t1io worl<, and tho stnuc· ture" nol intended or ol1ofod for Mio (Soc lQ,4,4, au.u,.., • nd Pro!esson • Code Tho Contr.lctor • • I.Jcemo L.1w does --~~~o~ :' SIJ°'ct,"~r:,i:,:~h°:': 11111 ployoos, proYld od I hat O\J ch I rn p!OYBmOrlts lfll nol Ille nd- od o, offllfe<J for ... If, ~r. the build!ng or IJT1)fow- rn.,nt II sold -ooe yoar ol cornplellon, the IJWJUlr-b<lldor wi a 111\'!1 tho oo rde n of f)fOYlng that ho did not tnnld or , m- prove for the -ol SIio). D I , u owno r ol the property, am exd uslvely conrtractlng "1th llcensod cootrulof! to construct tho prO]Ocl (Soc 704-4, . Bum"' Ind -l'rofessilns CrAl!r The Conlrictor' I l.Jcen .. Law does nol apply lo an owror of property who bmlds or ITT\-provoo thereon,, llld Who contracll for ooch p,qocts W1lh ,1 E:,;f~ctor(s) IICOl1S8 pt.W"IUll1! to tho Conlrictor's ucen.,, D As1-iamlT1)fOY1flgmyhomo,llldtholalow-111g cood"'°"1·ex111· . • t I"~OO: r:i= \7:':: months. pru,r lo ~ r:A tJns WOI1< • • 3 I haYe oo! cl.limed th IS· exsmptJon dunng tho luttlne)'IIII!. giJ:::;::u!m<Soc.--~--· :.B&P.C:, D-1 hereby attl~ ihal I ha.-e,. cert1f1cate of con.sent to self-insure. or a cer:,1tica1e or Workers· Corn,pensat1on Insurance, or a cert1l1ed copy !hereof !Sec 3800. ubo< Cod•I POLICY NO COMPANY i Copy ,.-;,led _w,I~ the CJly. • 0 eert,hed copy" hereby lum1shed CERTIFtCATt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th-ts sechon need not be complirted 11 the permit ,s IOl one hundred dollars ($100) or ~•I d I cen1ly that in the performance at the woni. tor --whtch 1h11 permit rs 1s.s.ued, I shall not employ any · person in any ma.rvlel so u to become sub,teel to lhe Wof'kers' Compensa11on U.w1 of CaJ,torni.a NOTICE TO APPLICANT If. alter m,ikin;i th,s Gerl•·· , ha1e or Exemp11on, you should become sub10C1 10 the Worke<s · Compensat,on prov, s,on, of the lllbof Cede. -you must forthwith comply with-50eh r proY1sions oi 1h18 pemul sha.11 be deemed revoked ·ffi~~-l · 0 r hereby 8mrrr: thal lhe<e 1s a coo!lruc11on · 1-end1n.,;t agency tor the per1omw1-ce of the woni. 101 whi-ch this pem,11 15 is.sued (Sec 3097 C1v1I Code) Lenders Nam-e _________ _ Leoder·s Addt'Ms ---~------ I I I I I . I I I I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ( ' .. -CARLSBAD BUILDING DEPARTMENT . -· -· -----·--.. "APPLICATION & .PERMIT -·-----~ . --.. . . . -. -__ ,. . I 1200 ,Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB AOOAESS , : AV.ST.AD. NEAR£8T CROSS ST. I DATE OF APPLICATION' .,;t;.E~~~ VALUATION PERMIT NUMBER /96,-·P//VR A-//R,. CY1le~4'UJ 6//,Y/£¥ ~ . -,_ .. ---· -..... ~ ---· -- LOT I ~L-OCK .. I ~UBOl~IS:~N I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE i ZONE ;2. 70 -~ ~ ~-CC>.lt/.s7?e.UC77o;z/ 7'2?-.S??.3 .. -.... . OWNER'S NAt,,lE ' I OWNER'S PHONE Bi-A~ 19-lr~K/A/S 7.2.y-:i/ ~.:? CONTRACTOR'S ADDRESS ... -• LICENSE NO. . PLAN I.[).#. . BLDG USE CODE .. _r;ft:Jo Gie"9(V.h /9-f/E ~._ -'°--... OWNER'S MAI LING ADDR.ESS .. , . . 'l . . ... -... ·· /.3.G If, .~/A/£ "9v~ 0/1 /(U' o' /'J.L) DESIGNER , LICENSI! # STAN OARD PLAN# BU1LDfNG SQ. FOOTAGE ' -' .. . ·; . 5/ I 4/3L.2E2'~-I l·,,.;l_ ·. - OESCRl~-TJON OF WQAK ' . , • ' . t:;;' ,rS' ~/VE, -. ', . /;J ,-p·..:::i ·~ -' DESIGNER'S AD_DAESS .... -DESIGNER'S PfjONE .. UUU I c: c:c::b b/.14/ 8/,-. . I J or.::' -( dud12225 [J3 :i/ ! IJ/ ;3,' ·-, ..... .. .. . F/P FLRELEV NO OCC GP EDU ~ STORIES vO NO .. .. --- CENSUS TRACT I GP LANO USE· I P~AKl~G SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA -CONST . . . . -' .. .. -.. -\ YO N D vO NO vO NO Not V•lid Unlttfi MlchiM ~rtifi«J --· .. ... -. --. . ... .. QTY. PLUMBlt:JG PERMIT -ISSUE ,. 5'6 QTY. MECHANICAL PERMIT -ISSUE _3,oc'J . . SUMMARY/ACCOUNT NUMBER . . .. EACH FIXTURE TRAP . -· .. INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PER¥1T 01 ·00·00-8220 EACH BUILDING SEWER --OVER 100,000 BTU .. SIGN P.ERMIT. ,. 01 ·00-00-8221 - EACH WATER HEATER ANO/OR VE.NT BOILER/,COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS' -::;: .50 BOILERiCOMPRESSOR 3-15 HP TOTA°L'PLU.MBING 01 ·00-00-8222 16.0D EACH GAS SYSTEM 5 OR MORE • ,. METAL FiREPLACE . -. ELECTRICAL -.. 01 ·00-00-8223 .. ·-. . EACH INSTA~ .. ALTER, REPAIR-WATER PIPE VENT FAN SING LE O UCT MECHANICAL 01·00-00-8224 -EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS . .. MOBiLEHOME •· ·01-oo·-oo-822s WATER SOFTNER RELOCATIO_N OF EA FURNACE/HEATER MOBILEHOME PARK INSP ... EACH ROOF DRAIN (INSIDE) I SO' A~ 01-,,~r" .. TOl,l;L MECHANICAL -·STRONG MOTION · · · 80-92-33-0519 .. TOTAL PLUMBING I Io .oo FIRE SPRINKLERS 01-00-00-8227 QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE s.oo BRIDGE FEE NEW CON_ST 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 Dlagulto 80-92-23-0519 -REMODEL.'AL TEA PER CIRCUIT PLAN CHECK FEE ... -.. '· San Marcos 80-92· 24-0519 TEMP POLE 200 AMPS -' .. OVER 200 AMPS UCENSE TAX 01-00-0<J.8162 TEMP. 0 CCUPAN CY (30 DAYS)_ .. .. rn PP - CREDIT DEPOSIT .. .. TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I Io. CJ l) ' . . .. - f HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permrt ouued by the Bu tldlno Off,clsl under !he provtst0n• of this * AN OSHA PERMIT IS REOUIREO ~ EXCAVATIONS OVER CERTIFY UNDER PENALTY OF Pl;RJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmltlltlon and become null and void. t1 the butld,n~ or work ··· s· o· ·oeep >.NO OEMOUT10N OR CONSTRUCTION oF authorized by such permit ls not commenced wllhln 180 daya from the da e-of such . DECLARATIONS ARE TRUE AND C,ORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perrmt., or rt the bu~dl~ or worl< authorized by oucti permrt is "'!~aded or STRUCT\JRES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPl,Y WITH ALL CITY, COUNTY AND STATE 1,-AWS GOVERNING BUILDING CON-allandofled al anv tune a er the worl< 19 commenced !or • nAruVt of 1 d•v• . STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE Jf, • OWNE~ CONTRACTOR O' lfPAOYED·BY :-~~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINSl' ALL LIABILITIES. JUDGMENTS, COSTS AND · 1 ·s/1t;/8f EXPENSES WHICH MAY IN ANY'WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE eV~ £7.L? ,..f~ 6-dPef~.o ~ GRANTING QF.THfS PERMIT-' . . . . -,r (../ -~ Q.l q: >, ~~ 0 . a. E Ql I- I -0 0 <? ''J Tc 0d () a. a. <l'. I 0 Cl) Cl) Ql Cl) .Cll <;t: l ~ 0 a3 >- Cl) ··<Jl • Ql () 0 C: Cll ni 0 ~ 'ai u C Cll C -E ~ 0 t, Q.l a. Cl) C I' I TYPE I DATE INSPECTOR BUILDING I FOUNDATION I I . REINFORCED STEEL I MASONRY I GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SHE.(I.R FRAME ! I EXTERIOR LATH ! INSULATION ! INTERIOR LATH & DRYWALL I I ! , PLUMBING I SEWER AND BUCO D\PUCO I UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W4TER TUB AND SHOWER PAN I GAS TEST ! D WATER HEATER D SOLAR WAtER I_ ELECTRICAL I D ELECTRIC UNDERGROUND D l)FFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPI~ HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE! BEEN APPROVED. FINAL I PLUMBING I A ·I J I ELECTRICAL I ~ . •A'/ L .1l\ ~ 1 MECHANICAL l (\' ,I 'jJ ,I,~\ GAS I ~ ,-I BUILDING I ~PECIAL CONDITIONS I I I ....: s<fJ;),7u FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO - FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGT-H BOLTS SPECIAL MASC;NRY- PILES CAISSONS . --·- ' .. -.. ' ' \ ',