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Home My WebLink About1401 FOREST AVE; MULTI-PERMIT FILE; CB154424; Permit• • • 12-15-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB154424 Building Inspection Request Line (760) 602-2725 1401 FOREST AV CBAD PME 1561109600 Lot#: 0 CREALOCK: CHANGE OUT FURNACE FURNACE I COIL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/15/2015 SLE 12/15/2015 12/15/2015 CREALOCK PAMELA L REVOCABLE TRUST 11-19-09 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 1401 FOREST AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: Inspector: $0.00 $0.00 $163.00 $0.00 $163.00 $163.00 Balance Due: Clearance: $0.00 NOTICE Aease ta<e NOTICE ,w"CMi cl yo.r prtjed irdt.des the "lrrpa;itiori' cl 1"'5, dedcalicns, reservatiais, or ether exa:licns rere,,ter cdlectivay referred to as 'fees'ex.dcns." You have 00 di¥ frtm the -ttis pemit v.as issuad to pretest irrpositior, cl trese feas'ex.dcns. If )00 JJctesl 1h3rr\ )00 rru;t fciloothe JJctesl Jl"OO'(ires set IO'th in GcM3mrert Code Sedior, 6!irn(a), en:! file tt-e pretest en:! any ether r,q.ired infooretior, wth the Oty IValaglrfcr ?(XllSSing in aa:adamwth Ca1sba:I Mridpa Code Sedioo 3.32.CID. Falcreto tirralyfdloothat ~wll ta-anys.bseq.Jert lega edior,toatta:k. review, set aside, \Od, a anJ ttar irrp:stioo. You ere hereof FLRTl-ER NOTIREDthat yo.r rig-I to pretest thespedfied fees'ex.dcns DCESf'Or APPLY to.at« en:! """"'OOl"lnedior,f"'5en:i capocity chrges, nor plmng, zxri~ gmng or ether smla-'l)plicatior, ?(XllSSing er s«Voe leas in arnectio1 wth ttis prtjed. !\CR DCES IT APA-Y to any f exadiaisctwi tlcM3 \e1a ·m1crtotti a v.Hdl ctHni i has ·se THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILD1NG OFIRE DHEALTH D HAZMAT/APCD «~f Building Permit Application Plan Check No. ('i?)\ 't>YL\c.J-.f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date 12-1<::'-1<: JswPPP www.carlabadca.gov JOB ADDRESS SUITt#/SPACEf/UNITf lAPN 1401 FOREST AVE --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) CHANGEOUTFURNACE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS v,so,, No[] vesONoD vesONoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME PAMELA CREALOCK ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1401 FOREST AVE CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA 92008 PHONE lfAX PHONE I FAX 619-590-9337 7607297530 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE lfAX PHONE 619-590-9337 lfAX EMAIL EMAIL TSTATE LIC. # STATE LIC.# IC"-SS I CITY BU& LIC.1200804 513115 c20 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, pnor 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 ftlat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaralion: I hereby affirm under penalty of perjury one of the following declarations: D I have and wm 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 'M'.>rk for which this permit ls issued. [Z] I have and wUI maintain workers' compensation, as reciuired bv Section 3700 of the Labor Code, for the performance of the work for which this pennlt Is issued. MyWOlkers' compensation Insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Polk:y No. ASWC605204 Expiration Date 9/112016 J,hw.secUon need not be completed If the pennit Is for one hundred doll!l'S ($100) or less. LJ Certlncate of Exemption: I certify !flat In the performa Of the WOik for which this pennlt ls Issued, I Shall oot employ any person In any manner so as to become subject to the Workers' Compensation Laws of CaHfomla. WARNING: Fallureto secure workers' com satlon covera els unlawful, and shall subject an employer lo crimlnal penaltles and civll fines up to one hundred thousand dolla11 (&100,000), In addition to the cost of compensation, damages as provl for In on of the LabOr code, lnter1st and attorney's fees. flS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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 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 OI' through his own employees, provkted that su:::h lmprovements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completlon, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professklns 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). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provkte the major labor and malertals forconstructlOll of the proposed property Improvement Oves Oo 2. I (have I have not) si'i}ned an application for a building pennlt for the proposed work. 3. I have contracted with the follOY,ing person nn) to provkle the proposed construction (Include name address t phOne I contractors' license number): 4. I plan to provide portions Of the work, but hired Iha followtng persoo to coordinate, supervise and provide the major work (Include name I address I phOne I contractors' license number): 5. I will provide some of the WOO., but I h tracted followlng s to provide the work Indicated (Include name I address I phone I type of work): ,.S PROPERTY OWNER SIGNATURE 0AGENT DATE \ 'COMl'LETI! THU SECTION FOR JilOJil•lfl,UDENTJAI. Bl1UD1Ji1G PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk maiaiiement ard prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or Br quality management district? Cl Yes O No Is the facility to be constructed within 1,0C() feet of the outer boundcry of a school site? D Yes Cl 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 certify that I have read the appllcatlon and state that the aboY& infonnatkJn Is conectand that the lnfonnatlon on the plans is accuratB. I agrv&to compty'Mth all City onllnances and State laws relating to building construction. 1 hereby authorize rei;resematt-Je ct the City of Ca1sbad benterupon lhe atove mentiJned prq>erty for inspe::tb'l PJIJX)S0S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cll'I IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations ove, deep and derrdition or struc:lbn of structures over 3 stories il height OORATION: Eveiy pennlt osuoJ by lhe Bultllng under lhe provls Code shaD ex~m by linltallon and bocolre "'' and lllid I lhe bul~ing or--by Si.di pem;t. notCXllITTOflCOd --~- 180 ~ tom thedaB of such Jmlll or ifttle buiklir(! sucti permit is suspended or aba'ldoned atanytrne afterlhev.«k Is commerm bra perbd of 180 ~ (Sectm 106.4.4 Unibm Buiklilg Cooe) 1---\ ~ '\ AS APPLICANT'S SIGNATURE DATE . ' Inspection List Permit#: CB154424 Type: PME Date ___ Inspection Item ___ _ 02/0112016 43 AirCond/Furnace Set 02/01/2016 49 Final Mechanical 01/29/2016 43 AirCond/Furnace Set 01/29/2016 49 Final Mechanical Tuesday, February 02, 2016 Inspector Act RI RI PY AP PY AP CREALOCK: CHANGE OUT FURNACE FURNACE I COIL Comments Page 1 of 1 \ • • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-20-2006 Electrical Permit Permit No: CB062080 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1401 FOREST AV CBAD ELEC Status: Parcel No: 1561108700 Lot#: 0 Applied: Reference #: Project Title: CREALOCK RES-REPLACE 100 AMP PANEL WINEW 200 AMP PANEL Applicant: PHOENIX UNITED CONSTRUCTION 5028 S FREEMAR OCEANSIDE CA 92054 760 397-7912 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 100 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: CREALOCK WILLIAM I B&PAMELA L 1401 FOREST AVE CARLSBAD CA 92008 ISSUED 07/2012006 RMA 07/2012006 07/2012006 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: /,fl, ~ FINAL APPROVAL C O'=> Clearance: Date: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 infonnatlon 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 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 fee /exaction of which o h v r vi u I n iv n N Tl E imil r hi rs owhich h t te flimiati n ha r vio I h iwi FOR OFFICE USE ~L '( PLAN CHECK NO. G}tJ{, 2.0/0 . . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 · Plan Ck. Deposit-----...--.,.-- Validated Bv_.....,..+~..---+•-:-::_,.J .... A-......... _ Oate __ --z+-1-z.,,,,..MJ~/,..,..o-.C __ Addrnl (Include Bldg/Suite II Buslneu Name (at this address) Legal De1cription Lot No. Subdivision Name/Number Unit No. Phase No. T ptel I of units Alse11or'1 Parcel I Existing Use Proposed Uae "I. Description of Work I of Bedrooms I of Bathrooms .I " CL-ECT'(Llc.A L Name Addreu Name Address City ner St1te/Zip City State/Zip Telephone I Fix I l!l I Telephone C ~g,a· ~~BD!B?lim!I!~~~ CAf?J.-l,Ab GA ~ :U>c8 City · S.tate/Zip -:x W •LLJAM Gt,§.A,LO~K... Name l':1,01 @JY;f:>TAf, Address Telephone I (Sec. 7031.6 Buslnua and Profeaalona Code: Any City or County which requires I permit to construct, alter, Improve, demoll1h or rep1lr any 1tructure( prior to Its lssuence, also requires the 1pplic1nt for such permit to file a signed statement that he Is. licensed pursuant to the provision, 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, end the basis for the alleged exemption. Any violation of Section 7031.5 by any 1ppllcant for• permit subjects the applicant to a civil penalty of not more than five hundred dollera 1•6 01). t:) CDJJ oz.1>. C.,.~ISMIW o Ne l)t; ~U::>54 '7/pc'!:,~1)-7:uz ·,· Address 4-: City State/Zip Telephone« State License I £1'1'1 Y ]... Cj License Class _id City Business Ucenae I J "2.Z.'2..~,''"1 '1 b Neme Designer Nim• Address City State/Zip Telephone State License I f!:,' I I rt 23: Workers' Compensation Declaretion: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certlflc1te of con.sent to self-insure for workers' compen11tlon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have end will m1int1in workers' compens1tion, 11· required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My worker's compensation lnsurence carrier and policy number ere: Insurance Comp1ny Polley No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) --Q CERTIFICATE OF EXEMPTION: I certify that in the perform1nce of the work for which this permit l1 l11ued, I shall not employ any person In any m1nner 10 11 fo' be~oma subject to the Workers' Compensation Laws of C1ilfornla. . WARNING: Failure to worur.' cornpen11tlon coverage II unlawful, and lhall lliljNt an employer to atmNil penaJdN and clvl tliwe up to -hundred thousand dollars 1noo , In addition to the coat of comp-atlon, damag1111 provided fOf In Section 37 8 of the Labor , lnterut and attomay'a fna. SIGNATURE · ATE .0 I heieby affirm th1t I am exempt from the Contr1ctor'1 Uc1nH Law for the foilowlng 1111on:· 0 I, 11 owner of the property (1( my employ ... with wagN 11· their sole compeilsetion, will do the work end the structure is not intended or offered for HII (Sec. 7044, Bualnus end Prof111iona Coda: The Contn1ctor'1 Ucente Law doaa not 1pply to 1n owner of property wh_o builds or lmprovu thereon, and who does such work hlm11if or through his own 1mploy111, provided th1t such lmprov1m111t1 ere not Intended or offered for Hie. If, however, the building or lmprovem111t 11 sold within one y11r of completion, the owner-builder will have the burden of proving th1t ha did not build or l.mprove for the purpOH of sale). 0 I, 11 owner of the property, am exclusively contr1cting with llcen11d contr1ctore to construct the project (Sec. 7044, Bualn111 end Prof111lon1 Code: The ·contr1ctor'1 Ucwa Law do11 not apply to an owner of' property who builds or improv11 thereon, end contr1ct1 fOf euch project• with contractor(sl licensed pursu1nt to the Contractor'·• Uc1nse Law). 0 . I am exempt under S1ctlon Bu1in111 and Profe11lons Code for this r111on: 1. I peraonaUy plan to provide the major l1bor and material, for construction of the propoNd property improvement. 0 YES ONO 2. I (have I have not) signed 1n appllcition for I building permit for the propo11d work. · 3. I have contr1ctad. with th• following person (firm_) to provide the proposed construction (Include nema I 1ddr111 I phone number I contractors lic1n1• numberi: 4. I plan to provide portions of the work, but I have hired 'the following person to coordinate, auparvlH and provide the m1jof work (Include name / lddr111 / phone number I contr1ctors license number): ___________________________________________ _ 6. l will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name/ 1ddr111 / phone number/ type ofworkl: ______________ _,.--------------------------------------- PROPERTY OWNER SIGNATURE-------.---,--------------DATE-----------~ 11 the applicant or future building occupant required to submit • buaineas plan, acutely hez1rdous m1t1rlels registration form or risk management and prevention program under Section, 26606, 26633 or 26634 of the Presley-Tanner Huardous Substance Account Act? 0 YES O NO I, the applicant or future building occupant raqulred to obtain • permit from tha air pollution control diatrlct or air quality management dl1trlct? O YES O NO 11 the feclllty to'be constructed wlthln 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 ANO THE AIR POLLUTION CONTROL DISTRICT. . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS------------------------ I ~lrtify .that I h1v1 reed the 1pplic1tl~n and 1t~t~ th1t the 1bove Information 1, correct 1nd that the lnform1tlon on the plans ii 1ccur1te. I agrn to comply with all City ordinances and Stet, laws rel1tm11 to budding construction. I hereby 1uthoriz1 r1preHnt1tlv11 of the Cltt of C11lsb1d to enter upon the above m1ntlon1d property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILiTIES, 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 6'0" 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 shell expire by ilmltatlon and become null and void If the building or work authorized by such permit Is not commenced within days from the date of such pennlt or If the building or work authorized by such permit Is suspended or abandoned . at any time after the work is commenced for erl of 180 days (Section 106.4.4 Uniform Building Code). /.PPLICANT'S SIGNATURE ...., DATE (2'7 kloh ...... ---·· r I City of Carlsbad Bldg Inspection Request For 08/09/2006 Permit# CB062080 Title: CREALOCK RES-REPLACE 100 AMP Description: PANEL W/NEW 200 AMP PANEL Type: ELEC Sub Type: Job Address: 1401 FOREST AV Lot Suite: 0 Location: OWNER CREALOCK WILLIAM I B&PAMELA L Owner: CREALOCK WILLIAM I B&PAMELA L Remarks: 1pm please Total Time: CD Description Act Comment 33 Service Change/Upgrade Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7603977912 Inspector: f.,t,L.- Requested By: NATHAN Entered By: CHRISTINE ( "' z 0 ~ a: "' ~ (.J w Q .. i[ l a: w Q ~ 5 I w z ~ z 0 ~ "' z w .. ,. 0 (.J "' "' w " a: 0 ;t ![ O I hereby . m 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 L,c No C1a11 I hereby att,rm tha1 I a,m exempt from the Con r:i 0t~~~;;;;: ~: ~~1~::.1i~1~c:Je'8t~~i;;~. coun!y wh,ch requires a permn to construc1 alter. ,mprove, demolish, or repair any structure, prior to ,ts ,ssuance also requires the applicant for such perm,t to f•le a s,gned statement that he ,s licensed pursuant to the prov,s1ons of the Con tractor's license Law (Chapter 9 commenc,ng with Section 70C(J of O,v,s,o" 3 ot !he Business and Pro less,ons Code) or that ,s exempt therefrom and the Das,~ !or the alleged exempt,on Any v,olat,on of Sec!mn 7031 5 by an applicant for a permit subJects me applicant to a c1v11 penally of not more than live hundred dollars ($5001 D I. as owner at the propert)'. or my employees 1•nlh wages as their sole compens.at,on, will do the worl<. and the structure 1s not intended or olfered for sale (Sec 7()4.(, Busme% and Protess,ons Code The Con1ractor's License Law does not apply to an owner of property who builds or improves thereon and who ooes such worl< h,mself or througr his own employees. provided mat such ,mproveme~ts are not 1ntende1 or ottered for sale ll. howeeer. the bu1ldmg o, improvement ,s sold w1th>n one yea, ol comple11on. the owne,-bu1lder will have the burden ol proving that he did no1 build or ,mprove lor the pur~se of sale) D I, as owner of the property. am exclus1eely contractmg w1lh licensed contraoctors 10 cons1ruct the proJec1 (Sec 7()4.(, Business and P,otess1ons Gode The Contractors L,cense Law does not apply to an owner of property who builds or improves thereon. and who coniracts for eaoch proiects with a, contractons1 license pursuaont 10 the Contractor's L,cense Law) D I am exempt under Sec !or 1h1s reason , B & PC 0 I hereby alform that I ha,e a certol1cate ol consent to sell ,nsure or a cenif,cate ol Wor~e,s Compensa1,on Insurance. or a cer1,!1ed copy !hereof (Sec JOC(l, Labor Godel f<>UC'NO 1,1-Jt (} d,:? 4:-3 s COMPANY (:-fl~ O Copy ,stoled w1tn the cny 0 Certd1ed copy ,s hereby furnished CERTIFICATE:. OF EXE:.MPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the perm,t ,s 1or one hundred dollars 1$1001 o, less) 0 I cert,fy 1ha1 ,n the performance ot 1he wor1< for .. h1ch this permit ,s ,ssued. 1 shall not employ any person m any manner so as to become sub1ecr to the Worl<e,s· Compensation Laws ot Ca1,forn,a NOTICE TO APPLICANT If. alter maktn~ 1h1s Cert, f1ca,te of bempt,on. you should become sub1ec1 •,:, the Worl<ers· Compensation pro~,s1ons ol the L.aOOr Code you must lorthw1th comply .. ,th such prov,s,ons o, tn,s permit shall be deer,ed ,e,oked 0 I hereby af•,,m that There ,s a consirucT,or ending ager-cy Tor lhe per<or'T'ance ot the worl< for w'11c" th,s perr,-,.1 ,s ,ssued 15e<.. YJ97 c,~,. Code1 L~ndersName ___________ _ Lenders Add,ess ----------- USE BALL POINT PEN ONL.,_Y :.& .,_PRe.:E,cSS:..;Hc:.A:::R=..D _________________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A' OECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS AV. ST. I DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER J 'IOI-£ot2e5 T .///"e RO 9'-11-'61 ;;_3g,7.5 lJ_v 3Cli4 CONTRACTORS PHONE It ZONE OW~~;;;~LJ9 l7..?2:w753~' PRIME CONTRACTOR 51.1A) 5ot)I/Z ~t<O.l)uc14, C R.e. 'f't Lo'-ff ,<C£3-ll2 I --. OWNERS MA~;';;;~ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE (,'3Vb-RtileRT:ffie ~T. 39~G.:?3_ LOT I BLOCK ! SUBDIVISION I ASSESSOR PARCEL NO. oes,GNERS, b. C. r, 9;? 120 STATE LICENSE it STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION OF WORK OE.SIGNE.A'S ADDRESS ~JJ~JL~.~ ~ ----' ' FLR ELEV ,CJ r-.C CENSUS rnAc, I Ge CAND use l 'ARK>NG se•cc RCS UN>oS I GRADING ~ERMIT ISSUED I REDEVELOPMENT AREA ~ D N 0 y'.:J ,o QTYI PLUMBING PERMIT· ISSUE ?.<ro : QTY. MECHANICAL PERMIT -ISSUE EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU ··----t-OVER 100,000 BTU EACH BUILDING SEWER ----+ . -· I BDILER;COMPRESSOR UP TO 3 HP NO STORIES TYPE CONST OE.SIGNE.A'S PHONE. ace GP EDU ace LOAD FIRE SPA vO NO :-_; / Not Valid Unless Machine Certified ,<, . ,.... r-, SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT ----1-------I.------- PLAN CHECK +----·- - -I-EACH WATER HEATER AND OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE l_ /'J-sq:_ l. .. -,.. 8-0ILERiCOMPRES-SOR 3-15 HP 1·METAL FI.REPL;CE ----------- TOTAL PLUMBING -l-----'---'-/Q,.rfJ E LE CTR IC AL I EACH ~ST~~.:-~LTER. REPAIR WATER PIPE ·---1· VENT FAN SINGLE DUCT-· MECHANICAL ==uACH VACUUM BREAKER MECH EXHAUST HOQQ:QUCTS MOBILEHOME ,-.. 20i~io~TNER-------~=-=-~ELOCATt~N 0F-E~~u-R_N.ACE1HEATER MOBILEHOME PARK 1NsP ___ [ --·-- ~r~ ROD~ DRA'N ,: r,si0 E'! -----t -·--L TOT kl M((HANICAL I ~ :~~~:G ~?TIO~--------·-·---_ i-~~~~~T~O~T~A~L~~~L·~·~BING I . -'= -~ FIRE SPRINKLERS t I ~ ~ PUBLiC FACILiflES FEE QTY.; ELECTRICAL PE.RM. IT -ISSUE . CJ. 1' I QTY. SOLAR -ISSUE ~R-G · • U . B ID E FEE ~-~rn·cONST E"AAMP ~wTIK_R --~---~--==-·· --.-.. -. -~ colLE"C~ORS~-.~------· --------= SCHOOL FEE. DISTRIC~ ~.~~---·__J _j_sT,~R_A~~TA~~ __ _· __ L. Carsbac --+---C---+-------i-- -- -- ·-- ·---+----- -+--- --·-· --·-----+ ---·· --- I PH I EXIST BLOG EA AM~·~WT BKR·--_ 1 _ _ _ _J__ ROCK STORAGE ______ ~ 3~ E~~ 1 PH 1 PH I PLJl,r1P Sa1 D1egu1tJ I- I- --+-- ----- ~DEL ALTER PER_CI.RCUIT -1. PLAI, CHECK FEE ________ : _-____ s~1',1arcos __ _ I TEMPPOLE 200AMPS ' " '""'"" . I I ~ , TEMP OCCUPANCY ,30 DA vs, ! _ ~ _ ------=---= t-=---=---r--I ~-~ HITAL ELECTRICAL 1 ,or,, SOLAR r TOTAL FEES PAYA8.::____.1 LO. ex::> I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" ANO DO HEREBY Ell:piration. Every per_m•t issued by the Building Official undertheprov1s1onsofthis CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,i:p1re by hm.1tatt0n and become null and void. !I the butld1ng or work DECLARATIONS A.RE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE jf A PERMIT IS auth~nzed by such permit 1s not commenced within 180 days from the date of such * AN OSHA PERMIT It, RECIUJFIED ~ EXCAVATIONS OYER 5' O" DEEP A.NO DEMOUTK>N OR CONSTRUCTION Of STRUCTURU OYER 3 STORIES IN HEtGHT ISSUED· TO COMPLY WITH ALL CITY COUNT" AND STATE LAWS GOVERNING BUILDING CON perm:Jo or if the ~Udmg or work authonzed by such permit is suspended. o, STRucT10N, WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND L,·~·~"'~~-~~·~·~·~·;;·~·m~·~·;;:"·~'~'hef'"'0~'''j}''"caoemem'!l!ennc~·~";;'0~'~'j~'''°"~~o~t ~''°;,"~·:·;;;.;-i:tf.:..:li:;rc;;;,----;;::::=::,-----:;:~;-------1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~C~NT'S IGNATURE~ OWNER O CONTAACTO VED BY ~ DA TE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ GRANTING OF THIS PERMIT. / ~ BY PHONE O ~-=-\..<-c.,, -. '-"" IQ /1 l / k""I ,) -, ~ ii ~ rn 0 °" E " f- l D 0 (!J c rn .~ °" °" <t I ~ C ;;: 0 00 00 " 00 00 <t I ~ 2 .; >- ,ii 00 " u 0 0: rn <ii 0 ~ " u C rn C u. C ID " i!J 0 u " °" 00 C 2: :2 ;; INSPECTION TYPE DATE INSPECTOR Bl-34'--f BUILDING FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - MASONRY INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL --GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO -- FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE: ------ FRAME OVER 2000 PSI ·--- EXTERIOR LATH lNSULATION PRESTRESSED CONCRETE -·-· ---------------------- INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING - FIELD WELDING SEWER AND BL/CO HIGH STRENGTH 1--------------·---·· -------------·-··-- PLUMBING UNDERGROUND BOLTS --.j.___ -----~--------------------------- PLUMBING TOP OUT i SPECIAL MASONRY ! ' TUB AND SHOWER PAN !---· --------------GAS TEST I PILES CAISSONS ELECTRICAL ! TEMPORARY POWER ------------------ ELECTRIC UNDERGROUND j I ----. ROUGH ELECTRIC i ELECTRIC SERVICE i ' ' -------· ·--·-BONDING II i G. F. I. -SMOKE DETECTOR. - MECHANICAL ~--------------------~ ------- DUCT & PLEM., REF. PIPING ----------~ HEAT -AIR COND. -SOLAR SYSTEMS >------· -- VENTILATING SYSTEMS --~- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. _i.--·-··------ JOB SITE FINAL / ·----·--- PLUMBING -· !/ / ELECTRICAL ... '} ,, MECHANICAL .. , '1 / ----------- GAS 'Y/ ~1 BUILDING ... ~ --/,<I -------- -------, SPECIAL CONDITIONS .,.,. --------------- CERT OF OCCUP ';YISSUED ./ ----- CITY OF CAlfrSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 PERMIT NO. 3 0 ~ TOTAL FEE $ 3.oo Application for ELECTRICAL Permit For Applicant lo Fill In Building Dept Use Only PERMIT FEES, Each Foo Item R ecpt. Sw. BUILDING ADDRESS: 1111! -1 • .C.O 5PAIO • •"**** * ** t.110 IJ..Jhl f-,, -~ <:. -t- Lighting fixtures w/bal last for each 1(1 L/ $ 1.00 ' ~ SL Nf!at 6// (/tr- Elec. Ranqes, Clothes Dryers, Water fluaters .50 H a, Fla ..,i....,, OWNER: rr,, ...... Elec. Space Heaters Dishwashers, Garbage ,. Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS, I~ t) I ·p,.. r .o c-7 MOTORS: Per each motor H.P. r,. -1 ~ 1-._ J 0 to 1 $ .25 CITY: 1 to 2 $ .50 2 to 5 $ 1.00 TELEPHONE NO. 5 to 15 $ 1.50 State :2 l> _ ~ /nC_ity Business 15 to 50 $ 2.50 License 5 i License . 50 to 200 $ 5.00 ,O'/<!G <..:>/.GC//<lc. SIGNS: Group Zone By No. trans. Ea. $ 1.00 No. lamps over 50 ea. $ .50 Inspection Record: SERVICE: 0 to 150 AMPS $ 10.00 For each additional 100 Amps. $ 2.00 Temp. Power Pole, lOOAMPSorlESS $ 3.00 For Each add"I Meter, over one per service $ 3.00 MISC: Approva Is Date By: SUPPLi::uENTARY PERMIT FEEi $ 2.00 Conduit ~ _/-,, t\../1, ·-n, ,;s ..... Temp. Power TOTAL: R. Wirinq Fixtures V S.D. G. & E. I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL: WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI OENTIAL PROPERTY, SIGNATURE OF PERMITTEE: 00