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Home My WebLink About1814 MARRON RD; MULTI-PERMIT FILE; CB132080; PermitPlumbing Fees / Elêctricäl Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES '----- .s15400 ' /so.op \ I $154:00 ; City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-04-2013 .. Permit No: C131 32080 Building'Inspection Request Line (760) 602-2725 Job Address: 1814 MARRON RD CBAD Permit Type: PME Status: ISSUED Parcel No: 1563011600 Lot #: 0 Applied: 08/27/2013 Entered By: SKS Reference #: Plan Approved: 09/04/2013 PC #: . Issued: 09/04/2013 InspectArea: Project Title: BESTA-WAN RESTAURANT- REPAIR. GASLEAK IN KITCHEN - Applicant \ Owner \ / REBECCA SANCHEZJTENANT / ' "PK I NORTH COUNTY PLAZA L P C/O KIMCO REALTY CORP (. \ 1814 MARRON RD / .- 3333 NEW HYDE PARK RD-#100, CARLSBAD CA 92008-1172 / /\ NEW HYDE PARK NY 11 042 760-717-2285 / // S •:- 7(\ \ Total Fees: $154.00 Tot Pa I ') ,' sJo Date • Gi.00 BaIanc I ! Due: / $0.00 \ (I INCORPORATED / 1952 FINAL APPROVAL Inspector: Date: L3 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. You have 90 days from the date this permit 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 information with the City Manager for processing in accordance with Carlsbad 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 1iHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING ENGINEERING . BUILDING FFIRE [--]HEALTH OHAZMAT!APCDI " Building.Permit Application Plan Check No. Est. Value 1635 Faraday Ave., Carlsbad: CA 92008 I T Y OF, .""C Ph: 760-6022719 Fax: 760-602-8558 Plan Ck. Deposit 1ARL email: building@carlsbadca.gov * ate J //, - SWPPP - www.carisbadca.gov - 14 . JOB A7R , , SUITEC/SPACEC/UNITC APN CT/PR JECT B - T# PHASE B B OF UNI~#BEDROOMS B BATHROOMS TENANT BUSINESS NAME CONSTR, TYPE 0CC. GROUP,, EXISTING USE ' PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS - YESD#. . NoIl YES [:]NO El YES NOIJ APPLI T NAM NE (Primary Con Ct) hie- . Oh Z_ . . APPLICANT NAME (Secondary Contact) • ADDRESSI / . • ADDRESS •ic CITY Cq,ithc CITY STATE ZIP.. . PIIEQ T) JEMAIL FAX PHONE FAX kx',çt (A)0,k) QO EMAIL . . . PROPERTY OWNER NAME • . ., . ::::: BUSE , ADTRESS - CITY , , - STATE. ZIP STATW ZIP 77' PHONE, FAX - . -. 4o ,z5S3ô y 1 OE 17111 -• . EMAIL . •.-: . 7L ,4 ARCH/DESIGNER NAME & ADDRESS * 'STATE B . C STATE LIC.# -1i - IeC. (U,AL.O uuSineSs ano 'roressions cooe: Any City Or county which requires a applicant for such permit to file a signed statement that he is licensed pursuant to Business and Professions Code) or that he is exempt therefrom, and the basis for civil penalty of not more than five hundred dollars ($500)). OOuo° 1De)c) - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [J I have and will 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 work for which this permit is issued. have and will maintain workers' compens tio, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation in rance er and icy number am: Insurance Co. ..7I2)Ak I ,t),~ Oh/'2' Policy No. L.2c2 ~g$27 / tZ Expiration Dale 1/7/7) '7" This section need not be eompleled if the permit is for one hundred dollars ($100) or less. [J Certificate of Exemption: I crfify 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 subject to the Workers Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, a shall Cu ' an e ployer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost :f v / cornPensa7es asawvrd,7 , 7o;ft5!h:!~ab~ attomeysfees DATE )K CONTRACTOR SIGNATURI ork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's us such work himself or through his own employees, provided that such improvements are not intended or offered for ilder will have the burden of proving that he did not build or improve for the purpose of sale). roject (Sec. 7044, Business Ad Professions Code: The Contractor's License Law does not apply to an owner of od pursuant to the Contractor's License. Law). )roperty improvement. EYes [—]No • ' . - ude name address! phone I contractors' license number): '• • . . - ipervise and provide the major work (include name / address! phone / contractors' license number): e the work indicated (include name / address I phone I type of work): - * ' []AGENT - DATE permit to construct alter, improve, demolish or repair any structure, prior to its Issuance, also requires the the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 301 the the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a 4. 7: . 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 Hazardous Substance Account Act? LiVes L..No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Dyes 0 No . Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? - LiVes LJNo . 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. . wr hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name . Lender's Address . - I certify that l have read the application and state thatthe above Information is conectand that the information on the plans Is accurate. I agree to comptywfth all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I 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. - 0511k An OSHA permit is required for excavations over 60 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 shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the bu1 orwork authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). .APPLICANT'S SIGNATURE - , DATE . CERTIFICATE •rp ;•_t P1NJ Fax (760) 602-8560, Email buiIding(Carlsbadca.QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Ave'nue, Carlsbad, California 92008. ,• Coll, (0Use Only) . , - - . - . , . . . ONTACT NAME - - '.., , 'OCCUPANT NAME . . ADDRESS . , . - . . BUILDING ADDRESS CITY , STATE . . . . ZIP CITY • sSTATE ZIP . . Carlsbad - A PHONE . •- FAX - ..4. . . . . - .. -,• - EMAIL . . - BUS. LIC. No. DELIVERY OPTIONS PICK UP:. CONTACT (Listed above) . OCCUPANT (Listed above) - CONTRACTOR (On P. 1) ASSOCIATED CB# .. - MAIL TO: CONTACT (Listed above) '. OCCUPANT (Listed above) -- -. - -- .....00CUPANT'S CONTRACTOR (on Pg. 1)' çTNO - CHANGE IN USE/ NOCONSTRUCTION , • MAIL/ FAX TO OTHER: CHANGE OFUSE/NOCONSTRUCTION I - .5 :-' 4__ ._ •--.. _4 . APPLICANT'S SIGNATURE DATE -P. ..... ._, . .4 -- - .4 ... -. . . ., .5 . 4 4 -. ,, ' . 4 'S - • . 4 -- ... . A. .'-' --.4 • . - '.4 / - '-S 4 - - S , - --' STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. . , Complete the following ONLY if a Certificate of Occupalicy will be requested at final inspection. City of Carlsbad vol • 1635 Faraday Av Carlsbad, CA 92008 01 &-2002 Plumbing Permit Permit No:C13020047 Building Inspection Request Line (760) 602-2725 Job Address: 1814 MARRON RD CBAD Permit Type: PLUM Status: ISSUED :. .ParceI No: Lot #: 0 Applied: 01/07/2002 Construction Type: NEW Entered By: MDP -' Reference #: Plan Approved: 01/07/2002 Issued: 01/07/2002 Project Title: LAGOON BAR & GRILL Inspect Area: WATER HEATER REPLACEMENT Applicant Owner 46 01/07/02 0002 01 02 TORREY PINES PLUMBING - Cop 27.00 STE1O1 6121 NANCY RIDGE DR \ SAN DIEGO CA 92121 619 677-5445 / • - Total Fees: $2700 Total Payments To Date: $0.00 N Balance Due: $27.00 - ,- -- ' Plumbing Issue Fee / . $20.00 Fixture orTrap / \ 1 0 ,1L $000 Building Sewer / 0 $0.00 Roof Drain 0/ - $0.00 Install/Repair Water Line ' I/O ç '$0.00 Water Heater and/or Vent Cl / 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker /. /' 0 $000 Other Plumbing Fees - / $0.00 Master Drainage Fee • -i '- $0.00 Sewer Fee \ \_ \ - • $0.00' Additional Fees -' - $0.00 \ TOTAL PERMIT FEES - / ,$27.00 I / EXPIRED PERMIT prn HAS EXPIRED IN ACCORDANCE WITH U.R.C. iç4b?MME •- * . FOR OFFICE USE ONLY PERMIT,,APPLICATION PLAN CHECK NO.___________ CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. Plan Ok. Deposit 1635 Faraday Ave., Carlsbad, CA 92008 Validated By__________________________ ' Date-- bi FWFA^ It UP ' OAA Address (includa Bdg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number - Unit No. Phase No. Total # of units Ass e or s Parcel # Exist g Use -W'(XC1 \rrr,rx Proposed Use Descriptiorof Work . SQ. FT. #of Stories # of Bedrooms # of Bathrooms . : c .• .j:9 ':: Name Address City State/Zip Telephone ft Fax ft 3 PPLICANT 0 tctr' Aen Li Ag ' b " D ZI , Name" Th 3 Address ) ,) City State/Zip Telephon ft 4. PGOWNER . , S .. R.... . . r... . . ' cDV ,. Name I . Address . City Siate/Zip Telephone # (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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged ex gion. Any violation of ction 7031.f hy an apQlicant fr a permit subjects the applicant to a civil penal of not more than five hundred dollars ($500)). 1L vytr cu' c&crr\j aJ ExV LQ S 1 2 2- (Y)L ( 100 D q 7-174 Nam Address City _) S e/Zip Telephone ft State License #..c1 - License Class 'P 1 , C. 2.J City Business License ft I rj3cY7jD Designer Name , Address . City State/Zip Telephone State License ft 6 r'WKR' CbMpENSATIöNT n. _i. ii , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code; for the performance - K e work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d. My worker's compensation insurance carrier and olicy number are: - ' Insurance Company L..4 , Policy Expiration Date 7 t 02__ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ' Li CERTIFICATE OF EXEMPTION: 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 subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . DATE _____________________ IF .7.;;:! OWNER BUILDER DECLARATION j I heieby affirm that I am exempt from the Contractor's License Law for the following reason: 0 - I, as owner of the property or my employees with wages as their sole compensation, will do the work and the Structure S' 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 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 not build or improve for the purpose of sale). El I, is owner of the property, 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 irnprves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ' Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DM0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): I planto provide portions of the work, but (have hired the following person to coordinate, supervise and provide the major work (include name / address! phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type of work):. PROPERTY OWNER SIGNATURE . . DATE - tdM- otvwltHIS SECTION FOR NON RESIDENTIAL B iLDINGJ,T ONL1Y 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 Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant, required to obtain a permit from the air pollution control district or air quality management district? Li YES Li NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES Li 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. 8 CONSTRUCTION LENDING AGENCY i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970( Civil Code).' LENDERS NAME LENDER'S ADDRESS_____________________________________________________________ 9 APPLICANTCERTIFIc'ATI5 g. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit, of Carlsbad to enter upon the above mentioned ' property for inspection purposes. I 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. OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Ever permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work - authorized by such permit Is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c menced for a period of 180 days (Section 106.4.4 Uniform Building Code). %. APPLICANT'S SlGNATUR '!5'LA4f)/Y)J 2- VY)r Oii-JIAJ -. - DATE 21 1&1Q/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad June 10, 2002 Permit Number: CB020047 Issue Date: 1/7/02 LAGOON BAR & GRILL 1814 MARRON RD CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION ADDRESS: 1814 MARRON RD PERMIT TYPE: PLUM PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 7/6/02. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a periOd not exceeding. 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 Building Counter • (760) 602-2719 • FAX (760) 602-8558 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. —. CARLSBAD BUILDING DEPARTMENT- . . . '--- - --- - APPU ATION& - - 2075 La's Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS ' ' AV, ST.RD. THOMAS BROS NO. - DATE OF APPLICATION BUSINESS LI NSE ot - — VALUATION-' ''- -PERMIT NUMBER - ----- LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR - CONTRACTORS PHONE C ZONE SC -k3o? E\Ec OWNER'S NAME r WNER'SP ONE k ' 447f___ CONTRACTORS ADDRESS - STATE LICENSE NO. - - . BUILDING SO. FOOTAGE . 3go C. OWNER'S MAILING ADDRESS V DESIGNER V DESIGNER'S PHONE ' U7/24pf 4.) -6571 04/28/89 0001' 01 -02 - ' 0ECRIPTIONOF WORK , L MeI2 V DESIGN iOS' STATE LICENSE NO. .. , -- . B1dPt - - 30..0I 6?774:.) •. F/P FLRELEV.---- NO- OCCGP EDO-.- --..-- - STORIES 'yD ND. .CENSUS TRACT,, PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR - - L . oD sO , AREA , , yD ND CONS T - ' vO NO --. . -Not Valid Unless MàchineCertllied - OTY. PLUMBING PERMITThS,SUE 7 OTY. MECHANICAL PERMIT - ISSUE - ' I' - - SUMMARY/ACCOUNT NUMBER'T EACH FIXTURE TRAP , . . -. - INSTALL FURN. DUCTS UP TO 100,000 BTU -' - ' - - - -' BUILDING PERMIT -'- 001'810-00-00-8220 - — EACH B'U(LUiNG SEWER . , . , OVER 100,000 BTU , , SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER AND/OR VENT ' . BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 -EACH--GAS SYSTEM .i TO 4 OUTLETS - - --, . BOILER/COMPRESSOR 3.15 HP ' - : ..-.- - - TOTAL PLUMBING - _001'810-00-00-8222 EACH.GAS SYSTEMS OR MOR.E , , METAL FIREPLACE r . - . ELECTRICAL - 001-810-00-00-8223 ', O — EACH INSTAL., ALTER. REPAIR WATER PIPE . — VENT FAN SINGLE DUCT El) MECHANICAL -- 001-810-00 06--8224 - — EACH VACUUM BREAKER --- , - -MECH EXHAUST HOOD/DUCTS , . - .--- -MOBILEHOME. - - - .001810.00.00.8225 WATER SoFTNER - ' . RELOCATION OF EA FURNACE/HE1A4'E1t, -- . SOLAR 001-810-00-00-8226. EACH ROOF DRAIN (INSIDE)'-'-' , DRYER VENT -- - V ' ' .1 ' ft39_- STRONG MOTION —880-519-92-33 -- — ' . TOTAL MECHANICALS . ty of. 1,CARLS6AD - FIRE SPRINKLERS 001-8-10-00-00-8227 - - - 101 AL PLUMBING. . PUBLIC FACILITIES FEE 320-810-00-00-8740 ' - .auci rtttjt ING SERV BRIDGE FEE- ___-360-810-00-00-8740 QTY. ELECTRICAL PERMIT - ISSUE n' QTY. I , MOBILEHOMESETUP -, ' PARK-IN-LIEU(AREA -I NEW CONST LA AMP'SWT EIKA CAR PORT - TIE 312-810-00-00-8835 . - ...... - 3 PH' , ' - I PH r , AWNING ' ' - - - —,' - 'LA CO'STA'TIF - - -311-810-00-00-8835-- -- - . - - — - - EXIST BLDG EA AMP /SW T.BKR — - -.. . - V GARAGE,-.-,.,-, FMF -1 PH - 3 PH ' - ' - LICENSE TAX 001-810-00-00-8162 - - ' REMODEL'ALTR''PERCIRCUIT _...: - ' - ' - -:_- . MFF - - - - ' 880-519-92-57- TEMP POLE 200 AMPS OVER 200 AMPS -,.•-- . . -' -' TEMP OCCUPANCY (30 DAYS) - ---------- TOTAL ELELIRICAL _I_- ..TOTAL - TOTAL FEES PAYABLE I (-(AVE CAI-1LI-LILLY EXAMINED THE COMPLETED "APPL(CAI ION'AND PERMIT" AND UU HEPEV -CAfJrISUUII, every iJelIrIll ISSUWU tiy file Bowing UtItL'ILtI UIIUBI tIlS fUViBl0fl9 071919 * AN OHA #u:T IS REQUIRED FOR EXCAVATIONS OVER l,,,EH (i-V UNUEH PENALlY 01 PEHJUI-4V tHAt ALL tNi-UHMA I ION HEHE1JN INI,LUUIN(, I f-lb "'t' shall 511151ra Is" ,.d ai s rrae -J tr.J lb If., bv outh permit is E ri r o DEEP ?IND DEMOLITION Of CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT'AND I'FURT(-IER, CERTIFY AND AGREE IF A PERMIT 0err,it or if the buildina or work authorized by such porrn:p 5Ot.' iS3U5. 1i ôêl,IFL'i' WI?i I ALL I1'i'. .errUH'I"r' Atdt. 5IATe LAW3 C5Vr'iI4(t4ê BUILOINO - hoanaonea SI8fIi liMBoIler theworkiscommencedfora' perrodof8auu. nQQQ STRUCTURES OVER 3 STORIES IN HEIGHT -_-. STRLICTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , JUDGMENTS, COSTS AND APPLICANTS SIGNATURE * OWNER 11 CONTRACTOR D APPROVE BY ' ' - V '- ,, DA'E KEEP HARMLESS THE CiTY OF ARLSBA,D AGAINST ALL LIABILITIES, EXPENSES WHICH MAY IN ANY WAY -ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V BY PHONE . - GRANTING OFTHISPERN1IT. USE RAIl PAINT PEN ONLY & PRESS HARD r 1 0 1 hereby affirm that i'am licensed under 10- uI- - provisions -of Chapter 9 (commencing with i )section 7000) of Division 3 of the Business Professions Code, and my license is in tuii force and effect. — — - 'tO ' • 'i hereby attirm that I am exempt tram the Coxtrac tors License• Law tar the lhllowing reason (Sec. 7031,5 - r Business and Professions Code: Any city or County which re quires a'permrt to Construct, alter. improve, demolish. or repair any structure, prior to its issuance also requires Ire ap' bplicaot or such permit to file a signed statement that he is —licensed • pursuant to Ihe provisions 01 'the Contractors '-i License Law (Chapter. 9 commencing With Section 7000 of -Division 301 the Business and Prulessinos Code) or that is eu',_,_,, empl therefrom and the basis for the alleged exemption.. Any violation 01 Section 7031.5 by an applicayt for a permit sub' -jecls the applicant to a Civil penalty 01 not more than.hvh hun- -_ -..dred dollars ($500). CC I -... I I. as owner 01 the property, or my employees with wages as.their sole,compensâtinn, will do-the work, and the struc' It 0 lure is not intended or- offered for sale (Sec. 7044, Business - - and Professions Code: lhe'Conlractor's License law does 5 J not apply jo an owoer-ol property, who builds'Or improves - thereon and wOdoessuch work himsell or through his own employees, provided that such improvements are nulinlend. d, f K d,sat • edor otlored for sale. II, however, the building or impruvel I mont'is- sold 'within 'one year 01 completion, the owner-builder will have the burden 01 proving lhal'he did not build or im' . 0 .....,.,prove.tor_lhe purpose at sale). ,_ : - - If I I, as owner 01 the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:' ',_The Contractor's License ....-Law does not apply loan owner 01 property who builds or im ' proves thereon., and who, contracts for each projects with a U) '- contractor(s) license pursuant to the Contractor's' License Z Law)-- . Oi jrf' v. ' '. It ,Aa homeowner I um'improviog my home. and the follow. v- 09 Conditions exist:, r . .. -' ,,..,,- .,, n' r " .1,,. j.,ll rlrihe work is Irving perbormed prior to sale. - it — - " -- 2.'- V have 'lived• in my home' for' - twelve months ---i' prior to'completioo at this work -4 .3.. I have.inol,claimed,tliisexemptren during the last threeyears. V - - - 0 i am exempt under Sec.- ' ' ' .5 & P.C. - ..e for this reason ".t. .J1: VAi) -.0 thereby allirrrr that I have a certificate of consent to .$. séil.iosvre. or a certificate-el Workers' Corrnpensatiun.lp. II' sura'rice. or a certilied copy thereat (Sec. 3809, Labor Code) -- t 4! .r POLICY. .N0.'c. 3342kc- - ' - ID 1 i 0M12 : , ..EJo'py shIed with the city - ----------'. 41111, 0 Certihied cup is hereby furnished: --V — IL .10 • 04 )'CERTIFICATE OF. EXEMPTION FROM - - U ' WORKERS' COMPENSATION INSURANCE -7 (this section need not be completed if the permit Lu One hundred dollars $1001 or less) -DI certify that in the performance of the work for which r this permit is issued, I shall net empiuy any person in any -0 manner seas to become subject to the Workers' Cornpen. - . sation Laws of California. ,NOTICE TO- APPLICANT: I. viler making this Ceriilicate tot Ecemption. you 'should became subject to the Workers' I Compensato go suns 01 the Labor.Code.,yqu must forthwith comply w lb such provisiionso this pew t shall - be deemed revoked.''- -.- - V -• , , - . - -•i" L i- herhn att(em that there is a construction lending .a/lanr.y bar lIre pertvrmrani-u nI Ike .enrh.fnr ehivh Ihix pxr... I ol. -çmit is issead (Sec. 3097. Civil Code) - ..' 2-i - -' •'"e' .u..3 - lull Lender's Name---''' C., ..1..r1. -.- Address '-'-- '0 C-) a) a U) TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND,BL/.CO Li PL/C6 UNDERGROUND' 0 WASTE 0 IN 'TER TOP OUT DWASTE Li WATER - TUB AND SHOWER PAN GAS TEST Li WATER HEATER 0 SOLAR WATER ELECTRICAL Li ELECTRIC UNDERGROUND 0 UJRFER ROUGH ELECTRIC 0 ELECTRIC SERVICE Li TEMPORRY Li BONDING 0 POOL MECHANICAL Li DUCT & PLEM., Li REF. PIPINGi HEAT — AIR COND. SYSTEMS IF- VENTILATING SYSTEMS \-- _____________________________________ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS A Fin VF HAVE REEN APPRQVED- ' FINAL PLUMBING * - ELECTRICAL 411 -' MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECT, ION REQ. IF CHECKED INSPECTORS APPROVAL DATE — PRIOR TO FOUNDATION INSP SOILS COMPLIANCE STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTA. BOLTS SPECIAL MASONRY - - PILES CAISSONS • -- ________________________ _________ - -: ______________ ______ S • S. * ¼'k L •**5 '*••• - .- '*5 •: - - - -. - - S - r -. -* cl * * r. - '-S * 'f '1 -. • i- :---- -'-• - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - USE'BALIPOINT'PEN ONLY- &'PRFSSHAR'D1 0-'- • CARLSBAD BUILDING DEPARTMENT . , APPLICATION & PERMIT -' '--- -2075 Las Palmas Dr.,'Carlsbad, CA'92009-1915 (619) 438-1161-'- -- - • '' - - - . - . ., _•* JOB[[4RE 5S • ' ' AV. ST.RO, THOMAS BROS NO. DATE OF APPLI T 0 BUSINESS LICENSE U VALUON PERMIT NUMBER /l44-fL1e'A)Jth ZONE LOCK SUBDIVISION SSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE ((z V '. S y ' ~d 41(117 12/(7/RR 0 AME;7-::>. OWN R'S HO C ' Jg/s j ffAO9AO, , STATE LICENSE NO. O1'fl S FOOO - /1 ' !_o z- BtA t 101NG 0 /o/.E. OWN E RS MAILING ADDRESS / NSHONE —.—. D)SNE ' - OE SCRIPT I ONF,O A K é P . . STATE LICENSE NO. OEpN ER'S APDR,S C. 7oj F/P FLRELEV. NO OCCGP EDU STORIES -' -p - - .- YO No FIRE SPA .Y CENSUB.TRACT' PARKING-SPACE RES UNITS ' GRADING PERMIT ISSUED REDEVELOPMENT ARE AV ' TYPE 0CC LOAD CONST Q '- - Y 0 N 0 Y O. NO .— - YO,NO Not V460 ,Unless Machine Certified TY.~4 ISSUE' OT'. MECHANICAL PERMIT - ISSUE; . ' . -SUMMARY/ACCOUNT-NUMBER -------'- - "I EACI1,'T4JI TRAP ' . : , , INSTALL FURN. DUCTS UP TO 100.000 BTU - BUILDING PERMIT OO1'810'OO-OO'8220 _73 EAIUING SEWER - - I . — OVER 100,000 BTU - , SIGN PERMIT 001'810-00-00-8221 HEATERAND/OR.VENT BOILER/COMPRESSOR CHECK - - 001-810-00-00-8891 SYSTEM UP TO 3 HP -PLAN ITO 4 OUTLETS ' VE&ER OR MORE BOILER/COMPRESSOR 3.15 H SYSTEMS METAL FIREPLACE ELECTRICAL ALTER, REPAIR WATER PIPE .. OO1-810-OO'OO'8223 L., VENT FAN SINGLE DUCT- --i - -. . -- MECHANICAL BREAKER - 001-810-00-00-8224 UUM MECH EXHAUST ' HOOD/DUCTS MOBILEHOME 001-810-00-00-8225 FTNER RELOCATION OF EA FURNACE/HEATER , SOLAR - COI -810-00-00-8226 - - - -. EACH ROOF DRAIN (INSIDE) ' -- . ,,. — DRYER VENT _, - ,' — • . . STRONG.MDTION . 880-519'92-33 - .. TOTAL MECHANICAL - - • - - --- - - -- -- - . : -- -. -- FIRE SPRINKLERS 001-810-00-00-8227 TO I AL PLUMBING , . . . - PUBLIC FACILITIES FEE' '320-810-00-00'8740 BRIDGE FEE 360-810'00-00-8740 OTY. - ELECTRICAL PERMIT - ISSUE QTY. MOBILE HOME SETUP - , ' * PARK-IN-LIEU (AREA NEW 6NSIEAAMPSW1 BKR - - CAR PORT ' - : ' - '' TIF - - ' - - 312-810-00-00-8835 '3 PH' - . - • •• - , AWNING • -'. . ' . . LA COSTA TIF - 311-810-00-00-8835 - EXIST BLDG EA'AMP/SWT/BKR GARAGE - . FMF ].PH - -- - 3 PH -- -. -- -. -• - --' -.-- -- -a-- -- - ', ' LICENSE TAX' 001-810'00-00'8162 --------'--- — - — REMODEL'ALTE,R-. PER CIRCUIT - ., ' MFF 880-519-92-57 — TEMP POLE 200 AMPS I I. . ,/() . . . - • OVER 200 AMPS , - . • - - -- - - - - - TEMP OCCUPANCY (30 DAYS) • ' • . • . . I , ' - - - , " - e , . - -, - •• -- ' - - CREDIT DEPOSIT - - TOTAL ELELIRILAL IOTA) I I. • TOTAL FEES PAYABLE i welts CaQEEttt 1 EYaMltutFfl THF CflhdPi FTFIS APPI ICATtflN ANfl PFRMIT ANfl PT) HFAFRY Exprraf on Every perm fissuedbylheBuilding Ofl cretunderfheprovrsronEoflhrs * AN QP-1A T 4 REQUIRED FQR XAVATNS OvEFo CERTIFY UNDER PENALTY QF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Loue bltdtt expire ny limitation one OBCUIOB run dIRt ncrlci if irrinttutioiltyurwurR 5 0 DEEP AND DEMOLITION OR CONSTRUC1ION OP 'DECLARATIONS ARE TRUE ANb ORET AND I FURTHER CERTIFY AND AGF1[L II A I1LIIMIi lb permrl. or It the building or work author rued by such permIt rs suspended or SILtUNUVH JStL4Ib IN HkRaHI tUEtY' t U L.UMFL! unr r II ALL i,t II. r,AJUIrI II ,-er'uu IArr LA'oV OOsTTII4tt4r OUILll4O COti BLIBItUUIIBU at any ime me Wule' IS cuulrllrBrlculi lot S J,tIiIIt,tli lit IOU STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , APPLICANT GNATURE OWNER 11 'APPROVED BY ' '1 ' " - A - CONTRACTO,I .' - , . DATE 4 - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY OF PERMIT. WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING THIS BY PHONE 0 ' fl Dli hereby affirm that I am licensed under ul -provisions of Chapter 9 (commencing with I 'Ssction 7000) of Division 3 of the Business I :.fld Professions, Code, and my license is in. L. full force and effect. I hereby affirm that I am exempt from the Coot rac' - tots License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re '1 quires a permit to construct, alter, improve, demolish, or - .repair any structure, prior toils issuance also requires the op plicunt for such permit to tile a signed statement that he is licensed pursuant to the provisions 01 the Contractor's - - License Law (Chapter 9 commencing with Section 7000 01 Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged enemptiAn Any I.. .__violaf ion 01 Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty 01 not more than live Iran' dm0 dollars ($500). - '-it I iT a's owner 01 the proporly, or my employees with wages UJI as their sote-compunsation, will do the work, and the struc' -, lure is not intended oruttered for sate (Secz 7044. Business .J and Professions Code: The Contractor's License Law doos - - 5 '!lot apply to an Owner 01 properly who builds or impruves' M ) thereon and who does such work himself or through his own employees, provided that such improvements are not intend lot ed or offered for sale. It, however, the building or improve' Z mont is sold within one year of completion, the owner-builder - will have the burden 01 proving that he did not build or im' prove for the purpose 01 sale). II 'as owner 01 the property. am exclusively contracting - with licensed contractors to construct the project (Sec. 7044,.. Business and Professions Code: The Contractor's liceose Law dues not apply loan owner of property who builds or rn proves thereon, and who contracts for each projects with a U) ' contractor(s) ticeoselpursuant to the Contractor's Lice ' Z Law(. u - o 7. 1' 't1Asa homeowner I am improving my home, and the l cc )jlawj 4 - ing conditions exist: The work is being performed prior to sale, I have ,lived in my 'home for twelve months - ' prior to completion of this work. lot 3. I have not claimed this exemption during the 0 - - - - last three years. ....4 • L '•" 3 -çe'.r 0 lam enernt under Sec.'-''', BE P.C. _,. for this reason ' I- • •': t •'' ': "0.. Ihe,eby affirm that I have a certificate of consent to ,sett.insure. era certificate of Workers' Compensation In. sarance.'o, a certitièd copy thereof Sec. 3800. Labor Codel POLICY NO.......... en, r ' _COMPANY . '-..-' 0 Copy is tiled with the i1Yt' 0 Certilied copy is hereby turnished ........... .O- •. j , 1,5 -k..A"e - ' CERTIFICATE OF EXEMPTION FROM O •' ,/WORKERS' COMPENSATION INSURANCE 0/) ' . . This 'setion need not be completed it the permit. is for one-hundred dollars IStOOt or less) ui III:0 I certify that in the performance of the work for which IX this permit is issued. I shalt not employ any person in any 0 manner so,as to become subject to the Workers Compen' satinn Laws of -California. NOTICE TO APPLICANT: It, after making this Certiticate ti 01 Exemption. yoe should become subject to the Workers' 5'Compensation provisions at the Labor Code, you must -' forthwith comply with such provisions or this permit shaft - be de'emed revoked. e' 0. '[T' 0.1 1181059 s,rttm TOOt thOtO IS 000BOtrlJettOn IgneIng ovu,,o,'Ivrtt,o y,rriou,',rar,uuot Itru ,,url, tar ,,IrIofl Ihtu pr 01 mit is tsnrled l$en 5197,'Ouif r,ndel ZI . Ui I — Lender's Name' L Lender's Address - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO Li PL/CO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATE9,., ELECTRICAL Li ELECTRIC UNDERGROUNDD UFFER ROUGH ELECTRIC Li ELECTRIC SERVICE 0 TEMPRY Li BONDING 0 POOL / , L MECHANICAL S o DUCT & PLEM., 0 REF. PIPIN \J HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECT! ITEMS ABOVE HAV N WHEN-ALL APPROPRIATE' BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL ,•.. . . - GAS BUILDING SPECIAL CONDITIONS Cb c1(ID3 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE - POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLS SPECIAL MASONRY PILES CAISSONS - S . \ • - -. 1, - icwr ni, iV