The URL can be used to link to this page

Home My WebLink About1701 EVERGREEN CIR; ; 75-1469_misc; Permit0 BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Ph 729 1 8 ~ -n_~_fl Applicant to complete numbered spaces only. One -1 1 Permit No. ('? 7 Joe ADDR t.55 . ASSESSOR'S ,, 0 \ I=. V \:_~ (2.P N CJ..\'!. -("_ f) 1 J. l . l C P ARCEL NUMBER ' ... I LOT NO. law< I To.CT BvvK PAGE I PAR, LI.C:AL \ ~.s Qsct. ATTAC)-1£0 5HC[T) 1 DtSCA, -1 !;._ L OWNC.Jllil MA IL ADDlllllSSE ZIP PHONE 2 l e.tJ ,.;e Th rnvekJ,.ha1/ c......tt.. 9-;1.Dt:. ..., .2.. ~ -.z ,I ~(., COHT,U,CTOlllll MAIL AODA tSS PHON C LIC[NSt NO. STATE CITY 3 -A.JfV ·F'-\ ( ' ')C I ' fl. "fJ.. ~ ..-<?-JifJ l .1:_..:.J e Sijwe--e /j ,Bou \ AlllllCHITtCT OR OCSICNCA ~ MAIL AOO,i![S.5 PHOM[ LICtNSt NO. - 4 ""...VNfJA.. \ -EHGIN[t,. MAIL AODAtSS PMON [ LICENSl NO, 5 £' IJ ,.,,._. ~. ) COMPENSATION INS, C ARRI ER MAIL AODlltSS SIU ,HCM 6 USC o, BUILDING 7 8 Class of work: O NEW [I ADDITION 0 ALTERATION 0 REPA IR 0 MOVE 0 REMOVE / 9 Describe work: Re~A 1rJ1 1 WA J...f-b" tii,~e -J:?.e7'ni:Ji~ .., , TtJ o' ,;; .... . -5o~d 'k7~ ;zf ;J. .. oa 10 Change of use from s-u , 'V i3 ', V "":fl I /-! (J , .. - Change of use to --t/ ~ if' ~s-a 11 Valuation of work: $ S-ocJ v~ J /Vr I PERMIT FEE $ -O ·CJI ~ -PLAN CHECK FEE$ SPECIAL CONDITIONS: MICRO FILM FEE Type o f Occupancy Const Group Size o f Bldg. No. of Max (Total) Sq. Ft Stories Otc Load .... Fore u se Fire Sprinklers APPLICATION ACCEPTED 8Y PLANS CHECKED BY APPF!O\IE O FOR ISSUANCl BY Zone Zone Required 0 Yes 0 No d-~t·-· No. of OFFSTREET PARKING SPACES .c:: Dwelling Units No. I No . DATE Covered Sq, Ft. Open NOTICE Sp.,cial Approvals Required Received Not Required SEPA RATE PERMITS ARE REQUIRED FOR E LECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, V ENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID f F WORK OR CONSTRUC· TION AUTH ORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT CONSTRUCTION OR WO R K IS SUSPENDED OR A BANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT A NY TIME AFT ER WO RK IS COM· M ENCED . OTH ER (Specify) I HEREBY CERTI FY THAT I HAVE READ A N D EXAMINED T HIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE A N D CORRECT, A L L PROVISIONS OF LAWS AND ORDINA N CES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT , THE GRANT ING OF A PERMIT DOES NOT PRESUME TO GIVE A UTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF A NY OTH ER STATE OR LOCAL L AW REGULATIN G CONSTRUCT I ON OR THE PE RFORMANCE OF CONSTRUCTION. stGNATUJU. 0,. CONTflACTOft 0,-AUTHQIIIIIZCD AGE.NT (DAT£) ) ~ il' '-A 51GNATllflt[ 0" OWN[,. (IP' OWN(III IUILOl,_) (OAT CJ WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-1 9-75 Very 200d footing and steel work . O.K. to pour. T. Mata 9-25-75 Steel: O.K. B. N 0 G PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No. / LE.CAL 1 DESC". OWNER 2 I LOT NO. ' ,,.., .( l,,. CbNTIIIA.CTOR 3 t L_ .... AIIIICHITECT OR OES1CN£A 4 tN C IN£[ A 5 COMPENSATION INS. CARRI ER 6 USE Of' BUILDING 7 8 Class of work: [] NEW 9 Describe work: _., t,, I 10 Change of use from Change of use to ASSESSOR'S PARCEL NUMBER BOuK /10CK I TRACT <O stE ATTACHED .SHcE.TI PAGE I MAIL. ADDRESS ? IP PHONE •" l' 0 I < .. MAIL ADDRESS LICENSE NO. STATE I\ MAIL ADDRESS LIC£N51. NO. MAIL AOOR£S5 L IC£.N5E NO. MAIL AOOAESS \ /. • ~-r4rA ,1f// I -x/ :1·-·;"'/-8AANCH 0ADDITI ON ( DALT~~~ !r WAIR 1 6MOVE 0 REMOVE j ( ~ PAR. CITY 11 Valuatio n of work: $ ,, -._ __ PLAN CHECK FEES l PERMIT FEE S' _.L -~S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: ________ • __________ --lTypeof Const. ~----------------------------...f Size of Bldg. (Total) SQ. Ft. 1---------....... ----------..----------1 Fire APPROVED FOR ISSUANCE BY Zone PLANS CHECKED BY APPLICATION ACCEPTED BY I No. of DATE ~ '• DATE Dwelling Units NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. SIC.NATlJR r OP' OWH[llt IP' OWH[JII 8UILD£"1 DATE.I Special Approvals PLANNING DEPT. HEAL TH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) Occupancy Group No. of Stories MICRO FILM FEE Max. 0cc. Load use Fire Sprinklers Zone Required Oves 0No OFFSTREET PARKING SPACES: No. JNo, Covered Sq. Ft. Open Required Received Not Required WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & . WEATl-iER PROOFING CONCRETE SLAB FRAMING .. INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE, SPACE BELOW FOR NOTES, FOLLO. W-UP, ETC. § / ./ ~-//(? -;J.~v~~~--------- 1/) z 0 ~ a:: C .... 0 l&I 0 C I[ 0 0 C l&I 0 .... 5 ~ l&I z ~ z 0 j:: ~ z l&I IL 2 0 0 1/) ic l&I "" a: 0 3 ~ereby a .... that I am l!"'l!.sed 1il"11er Pf'OVlslons of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my license Is In full for;rn,,eci. I) .s ~ Lie No ~ 27--Class / (. Y I hereby affirm that I am exempl from lhe Con· ~~o;·~~!f::: ~ ~,~':1:1~~·~i~ county which requires a pennit to construct alter. improve, demolish, or repair any structure. prior to its issuance also requires the applicant for such permit 10 file a signed statement that he is licensed pursuant to lhe prov1St0ns of the Con· tractor's License Law (Chapter 9 commencing with Section 7000 ol Otvis,on 3 of the Business and Pro-fessions Code) or that is exempt the..,frorn and the basis for the alleged exemptk>n. Any violation of Section 1031.5 by an applteanl for a permit subjects tne applicant to a civil penalty of not more than five hundred <lollars ($500). 0 I, as owner Of the property, or my employees •ith wages as their sole compensation, will do the worl<. and the structure is not intended or olfe<ed for sale (Sec. row, Business and Professt<>tls Code· The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such wonc himself or through his own employees. provided that such imprOYeme;its are not intende1 or offered for sate If, however, the building or improvement is soki w1thm one year of completion, the owner-builder will have the burden of p,ovino that he did not build Of improve for the purpose of sale). [J I, as owner of the property. am exclusively contractini with licensed contr~tors to construct the p,01ect {Sec. 7C>,,M, Business and Professions Code: The Contractor's License Law does not apply to an owner of praperty who builds or improves thereon, and who contracts for each projects with a contractorts) license pursuant to the Contract0<'s License law}. 0 I am exe<npt under Sec ____ , B. & P"C tor this reason ~eby affirm that I ha·~ a certificate of consent ~ 1 :':i~~msure, or a certificate of Wof'kers· Compensahon Insurance. or a certified copy thereof <Sec 3800. Labor Code). &:, 'lJ O I POLICY NO ~-~ ----- COMPANY t&)e.6.:tJl:m.ett~ D Copy ,s hied w,th the c,ty. D Cert1hed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit ,s tor one hundred dollars ($100) or less) 0 t certify that in the performance of the work fOf which this permit 1s issued. f shall not employ any person 1n any manner so as to become sub1ect to the Workers· Compensation Laws of Gahforn,a NOTICE TO APPLICANT 11. after maktn1 this Cert,- hcate of Exemption, you should become subJect t'J the Workers· Compensation prov1s1ons of the labor Code. you must forthwith comply with such prov1s,ons o, this pemut shall be deemed revoked O t hereby afftrm that there 1s a construction lending agency t0< the performance of the work to, which ttus permit 1s issued (Sec Y137, C1vll Code) Lende(s Name __________ _ Lender's Address ---------- USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFO AMATION WITHIN SHAD ED AREA A~·"'\.OECLA RATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS • A~;T·rw~·;;1 BUSINESS LICENSE # VALUATION PERMIT NUMBER l7DI -L::"--. -t!~J ~11.~L-t ,1~1r1 ~-L.: .,...._ OWNER"$ IICAME ~-l?~ll-~27E ~CONTRACTOR~ ~ h~~ CONTRACTORS PHONE t ZONE (ao 1r~A} h1,t.l11~•$t'~ :,.c...,. ~· _.~ .• ~ ,?81-22.~ 1 OWNER'S MAILHIIG ADDRESS coiifi:~ ~ LICENSE NO. PLAN I.D. # BLOG USE COOE ..S~Mt e 3?~,:t.3 LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. OESIGNER STATE LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE DESCRIPTION OF WORK -DESIGNER'S ADDRESS DESIGNER'S PHONE Lt).67. <At..·%: llfl-4R /l1-:# 2/ 18 /828967 10.0 ' - ' F/P FLA ELEV. NO OCC GP EDU '"2.. Qi) STORIES ~-Q-,S2-vO NO --- CENSUS TRACT I GP LANO USE I PARK ING SPACE I AES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA CONST YO N 0 vO NO vO NO Not Valid Unwss Abchine ~rtified QTY. PLUMBING PERMIT -ISSUE .,.,~ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ~ INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000·4220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000-4221 I EACH WATER HEATER ANO/OR VENT ,_,~) BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-000-4806 c.. EACH GAS SYSTEM 1 TO 4 OUTLETS --BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 In 17J EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223 EACH INSTAl-, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-000-4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226 TOTJ;L MECHANICAL ' :sTRUNu MOTION 65-640-0519 TOTAL PLUMBING I /,11.flU FIRE SPRINKLERS 01-000-4227 . PUBLIC FACILITIES FEE 25·000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519 1 PH 3 PH PUMP San Dieguito 65-625-0519 REMO OE L/ALTE R PER CIRCUIT PLAN CHECK FEE San Marcos 65·626-0519 -TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) - TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I to-cfO •••~-v-----~•oo-~ration. Ew,y permit--byllle8uildlng Offici9I uncllrtM prowillc)M ofltlla * AN OSHA PENtlfY IS~ FOR EXCAVATIONS OVE1t CERTIFY UNDER PENALTY OF TlON HEREON INCWDING THE Code 1MII expire by Hmi1811on and ~ null and YGid. If tM ~ or work 5' o· OUP AND DBIOUTION OR OONSTNICTlOH OF DECLARATIONS ARE TRUE ANO &c&RTIFY ANO AGREE IF A PERMIT IS authortzed by IUCh permit is not-ad w1t111n 1eo-,. from 1t1e ol lUCh STAUCTUIIES OVER 3 SYOAIES IN HEIGHT permit, « ii Ille bullcll~or -" aulhoriDd by auc:11 l*fflil IS or ISSUED: TO COMA. Y WITH AU. lfATE LAWS GOVERNING BUILDING CON-ellMdoned at -11me ---.. tor a --ol tllft --S~ WHETHER~ I M.90 AGREE TO SAVE INDEMNIFY ANO APPL~~~_; ~0 CONTRACTOAt'.i APPROVED BY DATE KEEP HARMlEIS lHE CITY OF Ml,~ JUDGMENTS, COS'TS ANO EXPENSES wtQ IIAY IN AN'( IN CONSEQUENCE OF THE BYPHONE 0 ~ 1-' tl?J ·~1.-GRANTING OF nt1$fll5AMIT. ::, . { ,.,_.-,-~ -~ I v - 0 (/) (/) CD (/) (/) <( I 3 .2 ~ ti) (/) CD 0 0 a: as iii 0 ~ CD 0 C as C u:: 0 0 CD a. (/) C INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING -- SEWER AND Bl/CO' ' ' PLUMBING UNDER.GROUND- PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING ,, 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. JOB SITE FINAL •,' PLUMBING '2 ,lJ..,J<.L-'121.l.'\ ELECTRICAL . ' . '' MECHANICAL GAS .. ,.. -. . ' ,, ' BUILDING . SPECIAL CONDITIONS CERT OF OCCUPrr;y ISSU!;D ' " - i I I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE REO IF INSPECTORS CHECKED APPROVAL DATE t-;:P"'o"'sTC'CCT'CCENCCS~,o~,EccD,------s---+-------+----, CONCRETE FIELD WELDING HIGH STRENGTH I BOLT_S ______ -t------+--------f-----, SPECIAL MASONRY ----------r------------,------1----, PILES CAISSONS ~--------ff-------·-----+------, ! ., f---------+--------------1----, ' t '---~-----+----f----~ INSPECTOR'S NOTES t----------------------------------------1 --------------------------------- . ----------- t---------------------------_________________________ ___, ,------------------------------------ >--------------------------------------------- r-----------------------------------------------, >-------------------------------·------------ ----------------------------------------- -------------·-----------------·- 1------------------------------------------f 1-------------------------------------; 1------------------------------------------f +----.-----.. ------~~--~------------------·-·--·-~ "' .. . r------------------------------------·----, t-------'-.,-C-----~-~-------·---·-- ,-------------------------------·---------------,