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1590 JEANNE PL; ; 85-559; Permit
"' z 0 " .. .. .. ct w 0 .. iL D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ol Div1s1cn 3 ol the Business and Professions Code, and my license 1s '" full force and effect ,. 0 - u r .?{1),::F); .. w 0 ~ 3 .. ir w z '" 0 z 0 " ;;! z w ~ ,. 0 u "' "' w " « 0 '" il L:'; '.•I ~-:r;·;-0< w "'1n ,ng "'cn:"s :i,r, exel'"Dt ,cder ~H. _____ _ B & p ~ 'or th·s reasuc ____________ _ 0 : he•eby ;ifllrrn !'131 I h<1,e a cen,1,cate ,:-' ~Gn\f>r'! to Sf"t ,nsure o, a cer1,t,cate cl Wc,ree,s C0mpens.at,o~ Insurance or o 0 en·•,'c"(J :rip,"""""' ,Sec ~ l.3t>or Cude1 POLICY NO COMPANY 0 Copy ,s '"ed ..,,tn the l ,ty 0 Ce<1d1ed cor:y ,~ heretJy lurn ~tie,C CEPTl~ICAH OF EXE:MPTION FROM WORKERS COMPENSATIO°' 1,-.SURAN :E IT .. ,s se(t,on need "01 be COfT'Qll'l,>d ,I -~p [•PrrT ,, 'o, 0ne r1unCrPd dcllars ,s100, c;, es~, 0 1 cert,•y ttia1 ,n trie perlor,nancf' "' !'1/c' "'""' 1, ,.r,i,r, th,s ::,errr,11 ,s ,~sued I shall no: er-;:,1r,,, Jn, persor ,n any marr,er ~0 as :o Decome s~b1e·. t 1 :he Workers C-0fT1pens.a11on c..a .. , ,,1 C:d•,t,,r,· a r,.,QTICE TO APPLICANT If .iftec m.ik,n] th,•, Cerl ',c.ite of befT1pt,or sOL should Dt-corne sub1e•t' lhf' Workers CQmpens.it,or pro,,s,ons 'Jt 'h" ,.itx;• Code ,ou m~sl •orin,.,1r, · urn;i1, w•lti s~ r vo.is,ors or 'i">,s percn T sna1 bf' ,Jee~er1 'P<''""': D l">eret, ,;" r,p rrat •rere s a ,"•,r ~r, .. , • ;· e·,,J,r,_; ,;ger•c, 'r,, 1'1P p<>d,,•rc,1r·, P ,,' • .,., "'"'' ,.n,c~ :~,5 p,-rrr' s •,s,.l•C ,'.:,,_•r \[,"!' , C:Jx1~ ce-ae' s Nd"'"------------ ~e<>de• s Aaa,,-ss __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS 15ft) AV. ST.RO. ~.vl'C ffe~r' NEAREST CROSS ST. .-27"'1.t<R.A <!,k I D;T: ~ ;·~';?NI BUSINESS LICENSE # IV/U~IO~ PERMI i~' TNUMBI t ~~o ii LOT SUBO!VISION CONTRACTOR I BLOCK " I ASSES~OR PAB,f;E1_ NO :1-LJ7 I -='-t SOQ owJl/8:. 8W'\IE R'S NAME :.:.t'. EK.,?.J IIBNll~'()l:~ I 7z.1 :w;1c:;:: CONTRACTOR'S ADDRESS OW"JER'3 MAIi.iNG ADDRESS $;IA IT' O~SCAIP~ 01',/ OF WORK ·''"" .iAflA ~.1nr I- , ?"3C4~ - )., (0 fl C"oCC'SAC' 1 •,'_ANOLSC I >AP""" CPA CC I e,s u"''' I QTY' PLUMBING PERMIT· ISSUE c- EA[H FIXTURE:. TRAP -~-~--F:_~~ ~-i~ I N~'._SEWE ~ : EACH WATfH HEATEH Ar<.LI CIR VE'NT E.ACH GAS SYSTE~ · TU-1 LlJT LFTS EACH GAS SYSHM J OR ~ORF I ~-0 I! -J?:--1. + /_ --- --+--- I DESIGNER OfSIGNER'S ADDRESS GRADlr-.G PERMIT ISSUfr"; · O ~ D FP ~LR~LE\I ·C '.~ I REOE:',Flc.JP'v1E"-T ARE:A . ~ ·,□ QTY i MECHANICAL PERMIT· ISSUE INSTALL FURN DUCTS UP TO 100 000 BTU OVER 100 000 BTU BOILER-COMPRESSOR UP TO 3 HP BOILER COMPRESSOR 3 l'.J HP t/t:1.Al ~ ~E:.PLAC:;-: -------------r NO STORi ES TY Pf CONST CONTRACTORS PHONE# LICENSE NO. LICENSE :t OESIGNE A'S PHONE ace GP I EDU OCC LOAD I FIRE SPFI YO --.□ ZONE PLAN I.D . .r STANLJARD PLAN u BUILDING SQ Not Valid Unlt!Ss Machme Cer11t1ed 3-SUMMARY~CCOUNTNUMBER BUII_DING PERMIT SIGN PERfvlT --·- PLAN CHtCK ·'--=t TQ,Al PLUMBING . ELECTRICAL 01-00-:JC-8220 --- 01-00-00-822' -13:!.£ 01-00-00-8806 o--no-no.s222 01-00-00-8223 OE ~ FOOTAGE C u C " C Cl Cl <t ~ C a__ 0 m ~ Q ~ m <t a C __ i~£H l~Sl~~ --~2._E:._~--R~'.~IR ',",'ATEfl PIPE t VENT FAN SINGLE DUCT ~ : EACH VACUUM BREAKER I ME.CH EXHAUST HOOlJ lJUCTS --------~- MECHA'iJiCAL MORII f:HOME 01-00-00-8224 ~~' 01-00-:J0-8225 --- © >- '" ~1•,_A TE:. R SO~TNER ____ -------+-t-R_ELOCATION OF EA FURNACE HEATER .. ,v~,~~"V"' ~-1~:~» --______ "_·_· ·"'_,._, _• ---------_---+----TOH L ME CHAN ICA L MnR!I rnnM~ PARK lr~SP ~' ~ © 0 0 IU!Al P·.LJ~1fl.r.L QTY ELECTRICAL PERMIT· ISSUE !-~~=~~~~~ I .£-Ii QTY. I SOLAR· ISSUE NEWCDNSl E_A,IMPSW! DKR I PH ; PH f X 1S I 8 I ll C EA A MP S\·'.-T '.l KR I PH J PH REMODE:.l Al llfl Pt.H,:: 1\CUIT j TE\~Prl1E-){JI) ,',,MPS ' : (Jjl FC(1~S -+----. , ::.~or;::: :E T"'r-.r s ------"---+ RCJ~,•, S :;flti:S[ ~1. r: r: Ji A'·) l'-<Fr i' i U\/ E P )IJU AMPS -----------+---------.---+-__ _ 1 _ _l TOfP llCCUPA~CY 30 nAYS1 1 ) 1:,. L l t l t. i q I(.:,! I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PEAMiT AN!) DO HEREBY CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGR~E !FA PERMIT IS ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GO'/ERNING BUILDING CON· STRUCTION WHETHER SPECIFIED HEREIN OR NOT. ! 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 '1:,·,:,l :<l .'.s~ - SOLA~ SI RONG MOTION FIRE SPRl~Jr<LERS PUBLIC FACILITiES FEE BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbac --<>-_ Enc1n1tas ~D1egu,ta Sar Marcos -----Q1-00-00-8226 80-92-33·0519 *so 01-00-00-8227 32-00-00-8930 --=f_. 80-92-21-0519 80·92-22-0519 -----· i_:_ JQ-92·23-05]_~_ 80-92-24-0519 ---------------+------- LICENSE TAX 01-00-00-81_6_2 _____ --+-------- 0: rn <ii 0 §. ill 0 C rn C "- ,:: C ill ~ u MFF 80-92-57-0519 CREDIT DEPOSIT TOT AL FEES PAYABLE i~k~s:tli BY PHONE fJ * AN OSHA PERMtT IS REQUIRED FOR EXCAVATK>NS OVER 5' o·• DEEP A.NO DEMOllTK>N OR CONSTRI.X;TK)N Of STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED EtY If, I D¼o'' l / "7. If> C ~ > TYPE ., DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT -------------- FLOOR & CEILING SUB FRAME -- SHEATHING -_ ROOF _ SHEAR • FRAME -------------·--- EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL -------, -- ' PLUMBING SEWER P-N0 BUCO =PL;CO I ---· ,----------- UNDERGROUND ::, WASTE := WATER ! TOP OUT = WASTE _: WATER ' ------------------------------------------. ·-· --~--------,. -:-us AND SHOWER PAN ------------------------ GAS TEST ::: WATER rlE,ATER = SOLAR WATER --- ! . ELECTRICAL = f:LECTRIC UNDERGROUND = UFFER ! RCfJGH ELECTRIC -----------------------· ---- C::: f.'LECTRIC SERVICE = TEMPORARY --=: BONDING = POOL MECHANICAL = DUCT & PLEM., = REF, PIPING HEAT -AIR COND, SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING '" ELECTRICAL ~ \ ' -, MECHANICAL • ,,- GAS ~\.' " . ' BUILDING • '-..\ :-'\J SPECIAL CONDITIONS -.;::::~ ......... . . F1 Ec_·J IN~>--'::::;--;-;e,·,, ;:;E-:>JP:J REQUIRED SPEC1AL INC::.PE'CTIONS I ------r ~-c~oR C -p=--I F<'~O IF I ~,SPf , ,: I iNSCECTION ic,-,ECKE'.:;i A.PPRCVAL:....C4'c=== -~~~~" DATE ·:-:_.IL'.:; .::: ,: "''~ ,:_ ', ~-rli.:JF -2 '.~t-r ~ :".~- + "~~-~-~~ T F-,,,_ ·c,~ -~ i --~---------+ ----- :,;:;:=::> -r-ic --<t-1 <:''<·~PE -f- ~~.,,;~ ~r'-· -\i~- -';'\•'."'Cl[~ ( ------' .', [ L ;:-· --::;:::,. 7, "• ,_: ,1 " i ~ i5•'5°sai I INSPECTOR'S NOTES I _L__~ I I -------------, >-------------------->----------------~~--~ ' ~ ----·-------·-- ~-------------~---_ _j__------! -------·---~ -------j-----·-- ' I ~========~---------~--------------======= ~ -f - -t ! --~ ,-__;_ ___ _ -~ ---~-- i . ----, -~---+1-~ -~ ----+ i i--------------------+------------------~ i I f---------t-------t------t·---- ' ~---------l __ _ ' - PLI\N CHECK NUMBER .::>SJ ADDRESS t510 ,.,.J~ n~~ DATE~ ZONE: PLANNING: TYPE OF STRUCTURE __ J?c~-1-h..J...='O:.,_ ___ _._ ___ _ ----- SCHOOL FEES: SAN DI EGUITO ENCINITAS CARLSBAD SAN MARCOS % COVERAGE REQUI REC SETBACKS BUILDING HEIGHT FRONT FENCES/WALLS SIDE TWO CAR GARAGE a: REAR ..... :z ..... -..... COMMENTS: > ... ..... < a: Q ~ □ REDEVELOPMENT A:'PROVAL REQUIRED: s~ □ -______________ _..., __ ..._._ "':::, 8 ~ □ LANDSCAPE PLAN COMMENTS:. ___________________ _ ENVIRCr:l-0,ENTAL REQUIREP-.:.: ___________________ _ ADDITIONAL COMMENTS:.: ____________________ _ OK TO ISSUE: :p\t DATE: O 'o) OK TO FINAL: DATE: --------- ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_ P.F.F •. ______ PARK IN LIEU ______________ _ R.O.W: IMPROVEMENTS: _____________ _ _______________ E.D.U: __________ _ SEWER: LATERAL: DRIVEWAY: _________ _ a: ..... GRADING PERMIT: :z ..... -..... > ... DRAINAGE: ..... :§ "' ~-□ EASEMENTS: ci_C... 86 □ ........ ua: 1.1.J -~s-o 0 ..... Et+. Uc,: OK TO ISSUE: _ ___.::::::;J,__,;;. _______ ADDITIONAL COf,'NENTS: _____ _ DATE :.......1.7,1.../3.-.::::_ .:;;:;O-+f...;:~:;... f:"------ * ENGINEERING INSPECTION REQUIRED: _______ 1...,__.J-/ _ _,..._· _____ _ PUBLIC WORKS INSPECTOR: _________________ _ FINAL OK: _________ _ DATE: __________ _ * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE All INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)