The URL can be used to link to this page

Home My WebLink About1815 McCauley Ln; MULTI-PERMIT FILE; 61-4119; Permit1815 MCCAULEY LN PREVIOUSLY ADDRESSED AS 2988 VALLEY ST 1562202700 1 APPLICATION FOR B iQ D II G PERMIT 4119 CITY OF CARLSBAD ..-BUILDING INSPECTION DIVISION PHONE PArkwoy 9-1181 -Eat. 36 f P;:::e ~~;::1 .... t2..~T~1.Y../eTiFi~·······/l···T~~.S..~.-Moilir19 Addreu ·····~·!~3. ...... ~(1Y ··· .s-ti:· ············ Ph~~; Con+r•ctor ........... O. ... W. ... N.."5!!. .... B.-.. ................................ -...... -.. -.. ·······-·M•iling Address ......... ~.9..M. .. e.... ....................................... -.................. . (Pleose Print} Number Street City Phone To Construct O To Add ~ To Alter O To Repoir O To Convert D To Move From .......................... ••·····················-··········· Type of Const4.~ .. Kind of Foundotion ...... c~.f ........ No. of Stories .... ./. ....... To Be Used for .~~~.il. .. J.J..1. ................ . (Freme, M11sonry, Etc.] (One Fomily Dwelling, Store, Etc.) Floor Sp11ce of Proposed Construction (sq. feet) .......... /...!P...8':. ................. Const. Velu.tion $ .......... L.'2.ie?..0. ... ~.~ ............................................................... . ... attached D Floor Spece of Sarega (sq. fHt) ....................................... '.:-::::: .. detached OConst. Valuation $ ... -·•·················································-···················----- LESAL DESCRIPTION ························•·····························································-··························•········································································································-······ Lot Block Subdivision or ·······································•·······················································································-·S•ction .................................... Township .......................... _ Rang•···•·················-· .. . Loceted et .. r:!2 9!!ed ··tC'1e ~ .................................................... str.et, NHr ............................................................................................. __ _ LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................. ,.,,._················• ........... (INDICATE SIZE, USE AND LOCATI~ PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ........•.... -. NO ................• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS RESULATIN& BUILDING CONSTRUCTION. If II check is tendered for ~-oyment of the obove fee ond the check is not honored when presented for poyment, your Building Permit will be immediotely revoked. I ' Front Yard Set Back ........ U. .......... /'!1. .. 1. .• b:.I.. ....................... . Side Yard Set S.ck ....................................................................... . Rear Yord Set Back ....................................................................... . I , Distance Between Bldg •... /b. ........ /!i!J.1..1!/.. ........................ . Off Street Parking Spoc•s ......................................... , ................. . Sewege Dispose! System ... 2.l?..t.Y.'9 . .1.(,, ............................ . Zone -Residential { Zone • Commercial Variance l ···········-····--············~---- l ················•········································· Eng. Check By ............................................................................... . Driv•way Permit Required Yes ( ) No ( ,{ Fee ..................................... . Greding Permit R•quired Y•s I ) No ~ ...................................................... . Sewer Disposal Pl11nt C.pitel Cont, Fee ............ ························••···-·········-····--···· .Sewer Pumping Stotion Copitel Cont. Fea ........... ··············································-·····•• Sew•r Mein Line Cost ..................................................................................................... . Sewer Loterol Connection Charge ...................... ·············································-······-·· Woter Stocked Lands Charge ....................................................................................... . Water M•in Pipe Line Fee ........................................................................................... . Water House Servic• Charge ........................................................................................ . Wot•r M•ter Charge ..................................................................................................... . Sub Total ..................................................................................... . D11te ....... J_;)., .. ::-::;J.__~~ ... ,./ ............................................................................ . -· APPLICATION FOR B ~ D l NG PERMIT CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkwey 9-1181 -Ext. 36 \{;.:;. ~:,~t77 !:. iS;t~j~f ,M,lliog Add~u 2f.{{-.-7.:!.~,,.e{(------~;~; Contreetor ............ ~t(..p~j·i·······················································M11iling Address •····~·~··--·~·····city .................. Ph~~; To Construct 1'.l:_&' To Ad~ To Alter D To Repair D To Convert D To Move From ................ Add;~·~~···"·"'······················• Type of Const. M .... Lh. .. Kind of Foundation ....... ~ .. ~No. of Stories ...... /. ...... To Bo Used for ...... ~-ti~ .. -, ............... . l e, Masonry, Etc.} ,J!lne Fomily Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ......... £ .. ~ ... t!J. ............ Const. Valuation $ .... 7 .. {.,f.. .. ~ ............................................................... . attached D Floor Space of G11r,.g11 (sq. feet) ........... 7 ................................. det11cheµ::.-C:.-ond. Valuation $ .............................. :·····-;,;-::;:_·-;;···.'.····· .................................... . LEGAL DESCRIPTION ....................... ~ .................................................... ··--···-····~······g./~.""h ... ~ .. ~ Lot Bloc Subdivision ::,:: .. ··.2.f.{;£~~,e:: __ : __ .__ .. ::::~·N,,,.2i:::,....,(_d;; _._:•••: _________ _ LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... {INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES................ NO ..... ?(. ... I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ts CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If II ched is tendered for payment of the above fee 11nd the check is not honored when presented for p .. yment, your Building Permit will be immediately revoked. SIGNATURE OF PERMITTEE ···························•···························································-······· Front Yard Set Back ............. ~~······························--········--· Side Yard Set Back ................. / .... f?.. .......................................... . ~ I' Rear Yard Set Back ······································································- Distance Between Bldg .............. ~, .................................... . Off Street Parking Spaces ........... ~ .................................... . Sewage Disposal System ............................................................... . Zone • Residential ( / } ........................................................... . Zone -Commercial ) ················•········································· Vari11nce Eng. Check By ...............................................................................• Driveway Permit Required Yes ( Grading Permit Required Yes ( I No ( ) Fee .......................... _ ...........• Sewer Disposal Plant Capital Cont. Fee .................................................•.................. · Sewer Pumping Station Capital Cont. Fee ................................................................. . Sawer Main Line Cost ........ ·················•-•·································· ...................................... . Sewer Lateral Connaetion Ch11rge ....................•...•...........................•......................•.... Water Stocked Lend, Charge ..................................•..................................................... Water Main Pipe Line Fee ............................................................................................ . Water House Service Charge ...................................................................................... . Water Mater Charge ............................................•..........................................•............•.. Sub Tot11I ..................................................................................... . Plans Approved by .................................................................................................... Plan Check Fee ....................................•........................................................•.......... Approved by ......... ")::}r.. .. ,.~ ...................... Building Permit Fee ....• t,. ...... ~~·····················•• .............................................. . -~ Date ................ J.!/..:2c.¢"-··:2, ..... r. ............•.......•....................•........ , Total Charges -........ 6. ...... -t;: .............................................................. _._ 13 MODEL NQ. _________ _ BUILD NG PERMIT APPLICATIO~r City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm It No Joe AOOA ESS ASSESSOR'S ;;). 9? X' 1/~'1 y 1-t'/ S/?i!"I"~. PARCEL NUMBER LOT NO. I SLK I TA ACT 8vvK PAGE I PAR. LW.L I 10SEl ATTACHED SHEET ) 1 0£,.CA. OWNER MAIL ADOAE.SS l IP PHONE. 2 . ~'< ( e< f;..t-. t:: •/ 1· . , (' /.Ii N t;,,-1 r, , f_. CONTAA.CTOR ' MAil ADDRESS PHONE STATE LIC, NO. CITY LIC. NO. 3 /' ... ARCHITECT OR OE..SIGNC:A MAil AOOAESS PHOM E LICENSE NO. 4 EHGINt£A MAIL A.OOAESS Pt-!ONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL 4001111[55 &JU.NCH 6 USC 0,. BUILDING 7 I • .. , 1 I r NO. BDRMS NO. BATHS 8 Class ol work: □NEW 0 ADDITION 0 ALTERATION ~ REPAIR 0 MOVE ·REMOVE 9 Describe work: It, /.-,( ,{} t/ t,: /~wµt';,.1"T Ot..•.f /.: X /CR,e,,,...: I <c-0#.,•. I 1,.f'-"'01/~ .,P< ' 1 ~on·.-:: /~. /( ">e,,'f',-t-.h.;: /-1' .. ,,,.J:'"~~ . , , ,,, 7.::r. #'r,~,--:::. u ✓.::- 10 Change of use from Change of use to ' " 11 Valuation of work:$ /4,soo o CI I PERMIT FEE $ PLAN CHECK FEES SPECIAL CONDITIONS: Type of Occupancy MICRO FI./EE Const. Group ,·~-, Size of Bldg, No. of Max. /, (Total) Sq. Ft. Stories 0cc. Load , Fire Use ~--\ Fire Sprinklers APPLICA rf,PN ~CEPTEO BY PLANS CMECKED BY APPROVED ~.OR I $UANCE BY zone Zone Requlfed DYes □No ~ -9-~77 6-~-No. o1 OFFSTREET PARKING SPACES: ~.H .. Dwelling Units No. JNo. DA . Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT, ING, HEATING, VENTILATING OR AIR CONDITIONINr;i. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• MENCED OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. ,.,..A..Jt_. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT. HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT ,-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATUA[ 0,-CONTIIU,CTOJII Ott AUTHOIIIIZtC A.GENT (OA'TE) SIGN.i.TU"E 0,-OWN£~ 11, OWN[lll BUIL.01.R) DA.Tl,} WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR REQUEST FOR INSPECTION TIME~---- Address •• B'JILOING PLUMBING MISCELLANEOUS Insulation ................. ~· .................................. O ................................ D Drywall .................... D Gas .......................... D Pool Bonding .......... D Plenum & Ducts:-:. .... D Porch ........................ O Fdn. Forms .............. O Water Heater ............ D Temp Pole ........... O Patio ........................ D Steel ........................ D Sewer ................ O ................... D Driveway .................. D Sheathing ................ D Undergrnd. Plbg ....... O Underground .......... O Sign .......................... □ lath .......................... D Undergrnd. Water .... O Cei I Heat .............. O Wall .......................... □ Frame ...................... D Rough ...................... O Rough .... ................ D Fence ...................... D ::~;;··;~.-~.;~.~ ·::.:e ~--•;·~".::. ~;;:· □ G-ading .................... O Special Instructions -- Aequested .. by ............................................................. ···--................................................. -·-~;I?· ....... . Phone number ............................................................ Person Taking Report: .c.Q: ......................... . -----------------------------··"· . ----- RE.QUEST FOR INSPECTION TIME----- Inspector·--+-'· ..... . ............. --Permit No. _____ Date ... f:,;? .. f.':::.] 7 Owner ________ _,1__ _____________ _!::::.~~~_£~~~~ Addres;s._ ____________ --c'";l-4'¥9:__-~hL-~-f'------.J:f Lot Number BUil.DiNG PLUMBING CE:LLANEOUS Insulation ................. □ .................................. □ .............................. 0 enum&Ducts ....... Q Drywall .................... O Gas :. ........................ O Pool Bonding .......... O Porch ........................ O Fdn. Forms .............. D Water Heater ............ D Temp Pole ............. D Patio ........................ D Steel ........................ D Sewer ................ D ................... D Driveway .................. O Sheathing ................ D Undergrnd. Plbg ....... D Underground .......... O Sign .......................... O Lath .......................... D Undergrnd. Water .... □ Ceil Heat .............. D Wall .......................... D Frame ...................... D Rough ...................... D Rough .... ................ D Fence ...................... D :::~ ;~···;~~·~~~;;~n~ F::~ .. ·;~~~::· ~~--FiQE □ Grading .................... □ ~ecial lnstructi~:: .. :: ..... ::~::::::~:::=..~:~:·····V± Requested by····················---························· Phone number·--------·····--------·-······ Person Taking Peport: ..... & / ----····------------ 1Ja7 ~ ,µJ./ d .· 1~ ~. ~ ,wft ~- REQUEST FOR INSPECTION TIME ______ l :;..._f-._Lf:........;6=----- . Inspe_ctor ····-~7-·····J.:1··/.'tc..\:lL. Pe,mit No. -···············-·········· Date __ '?__~J1..:_1J Owner ___________________________ _ Address •• BUILDING MISCELLANEOUS Insulation ................. D .................................. D ................................ O Plenum & Ducts ....... O Drywall .................... D Gas ......................... □ Pool Bonding .......... D Porch ........................ 0 Fdn. Forms .............. O Water Heater ........... D Temp Pole .............. D Patio ........................ O Steel ........................ D Sewer ................ □ ................... D Driveway .................. D Sheathing ................ 0 Undergrnd. Plbg ....... 0 Underground .......... 0 Sign .......................... 0 lath .......................... O Undergrnd. Water .... □ Ceil Heat .............. D Wall .......................... O Frame ...................... D Rough ...................... O Rough . . . . .. .. .. .. .. .. .. .. D Fence ...................... O Final ........................ D Final ........................ □ Final ...................... D G-ading .................... O Read~ fOf lnspe~tion --c'°2 :esi~;~ _ ~r~J ~ [ O •. ~ 0 I\. ?i . Spec 1a I Instructions --............................ :::::::::::-................................................ .a •.•••.••• ~··········· .......• ·····~··L··L~~~······W .. ~+t.:-....... b:.:e.t. ............... _ ......... . Requested by --····¾'-'1t·r····z··········a~···~lt1 ~ct-e,1.4 . J__Cf i'1:> v~ s Phone number •.•....•.•...... :.L.cr.:. ... ~ .. ~ ... :"J................. Person Taking Report: ····~················..(). ••.•.. -- ~-Jt/~0 ./u JJ -;/u ~ ~ ... 41 ~. .dfl ~ .Av~ ~-»p -~-·--........ ---·--~-------- REQUEST FOR INSPECTION . I o-/'"J--(}J m1t No,······•··········-·········· Date •·······-················· Address •• MISCEL.L.AN EOUS _...J.wiulation ................. D ~I ................... . Fdn. Forms .............. D .................................. □ Gas ·········· ................ o Water Heater ............ D □ Pool Bonding ......... D Temp Pole ............ O Plenum & Ducts ....... 0 Porch ........................ 0 Patio ........................ O Steel ........................ □ Sewer ................ D ................... □ Driveway .................. 0 Sheathing ................ D Undergrnd. Plbg ....... 0 Underground . . . . .. ... . D Sign .......................... □ Lath .......................... 0 Undergrnd. Water .... D Ceil Heat .............. O Wall .......................... □ Frame ...................... D Rough ...................... □ Rough .................... D Fence ...................... D Final ........................ D Final ........................ □ Final ...................... O Grading .................... D Ready for Inspection •~ Mon., Tues,, Wed., Fri. Special Instructions •· ==s~~m:r :~::::::~-~·~.··~ ...... ,·.·.·.T.·.~.i.· .. ·?...·· .. ···· .. -.· a.P.. .\.,f~·~~:::r~ f.!:..__/ Person Taking Report: ··••-<r·····-······················ . . . ~(,<_ Zo /~ ➔ ~ -;14/JVIA_ ~ u -t~f~. ( 0-I J __ ,c _____ _ PLUMBl~G PERMIT APPLICATION City of CARLSBAD CALIFORNIA ' Perm it No. 7 7_ 7'Pd0 Applicant to complete numbered spaces only. Joe A.DOR £5S </,A"? ~y( E t:;-y /Ii L (:'? M /., '/.,. S ~Hi', LOT NO. 1 •LK ; I TAACT L £GAL I 1 Dtsc•. •-, OWN EA JL/4 (; /? ADD••s; ll P PHONE 2 J/--tl(. ,,; 14 c'_ , CONTl'tACTOR MAIL ADDRESS PHONE LICENSE 1110, STATE CITY 3 ., Cv ~ ARCHITECT OR 0£51GNER MAIL A0OR[5.S PHONE LICENSE NO, 4 ENGINEER MAIL ADDRESS PHONE L ICENSE NO, 5 COMPENSATION (NS. CARRIER MAIL ADDRESS BRANCH 6 USE OF BUILDING 1 8 Class of work : □NEW 0 ADDITION □ALTERATION 0 REPAIR g Describe work : PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) / SHOWER / KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED FO~ ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER DATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK MENCED. GAS SYSTEMS: NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL.. THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT ROOF DRAINS A ~ SIGNATUR[ or CONT"ACTO,. Oft AUTHO"IZ.tD AGENT (DATE) -;.~.,.::,r ·1~~ .,r_--'!--,,. ,,1--/:1 PERMIT $ J . .) ti SIGNATU,U'. o, OWNE" 1,-OWNlJII BUILOEA) OAT[) TOTAL FEE $ -7 ~ : ..... WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ., - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 ·'":] __,/:) v Applicant to complete numbered spaces only. Permit No. ,.~,..,'"'II.,r~~r~ JOB AO0RESS ~ 'l A' .,J> I I ';1t:.&.. L. .,, r' ,1-IKC R 4 1 LOT NO, I e LK, I TRACT ---(Q sEE ATTACHED SHEET ) LEGAL I 1 0ESCR, OWNER MAIL ADDRESS ZIP PHONE 2 ,~/I, s. ,,Lr/,,-I ,,,, /IC / CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, C ITY LIC. NO. 3 u,_, A/ r_~-;,:t . ' ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION I NS CARRI E R MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE J NEW CONSTRUCTION, FOR EACH A,PLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER DATE NEW SERVICE ON EXISTING BLDG. C --tJ{; FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH , FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODELb AL TERA Tl ON ~ NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM I_. MENCED. IN SERVI E, FOR EA. AMPERE OF s { I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE ---APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· v'? PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ~ 1- PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -- TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHOR I ZED AGENT (DATE) ISSUANCE FEE p-V'-' TOTAL FEES . c; lf~NATURE OF nwNER IF OWNER BUILDER OA E ----· WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR MODEL NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 -? /.. _ /t, / f Applicant to complete numbered spaces only Phone 7 29-1181 Permit No . Joe AOOR E~S ASSESSOR 'S ,.. ?kk i. I_S c; r. PARCEL NUMB ER I '· / t:0T NO. I OLK l TRACT BOOK PAGE I PAR. LE GAL I (Q 5E[ ATTACHED SHE.ET/ 1 0ESCA, OWNC.A ,,t.M ,"' I M~IL A.00RE5S ZIP PHONE ~~/ 2 -~ , ., I -~'✓ ,. ... CON TAAC TOfl K MAIL ADDRESS Pl-«ON E STATE LIC, NO. CITY LIC, NO, 3 J AACH I TE.CT OR 0E51C.NEA MAil ADDRESS PHONE LICE.NS£ NO. 4 ENGINE£~ MAIL A.CORES::. PHONE LIC(NSE NO. 5 COMPENSATION fNS. <;.fi-RRI ER ,.~~A-MAIL AQOA(SS 'A/ • 8111AMCH 6 ;_;, t J. _J.A .A A~.,,,f ,JA.._,..4~.J? , ~.Af'M ,,, -~ -~~.,--_ - US[ OE 8Ull0JN..G 7 NO. BORMS NO. BATHS 8 Class of work: 0 NEW 0 ADDITION (] ALTERATION 0 REPAIR 0 MOVE 0 REMOVE I 9 Describe work: ·,:.,_A A>-eA,,,.r.. 0 _,,✓_.,£_ -.... ...-o. ..... ~ --,4' ~L-A~~ ~, ----.,,, -,,. -,.. J v ) ~ .... "ll. - 10 Change of use from Change of use to --.. 11 Valuation of work:$ -4 ? ~;.9..1 /(:;;-a I ~.::.,;. PLAN CHECK FEES PERMIT FEE $ SPECIAL CONDITIONS: MICRO FILM FEE Type of /-Occupancy Const Group ,;17 s,ze of Bldg. No. ot I Max. /I (Total) Sq. Ft, Stories ' Ot: L ad ' Fire Use .,) F re Sprinklers APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED. l'/OA ISSUANCE BY Zo ne Zone Required 0 Yes 0No ft?tr~ N o. of OFFSTREET PARKING SPACES: OATS Dwelling Units No. I No. DATE Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-HEALTH DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR~CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE o,-CONTRACTOllt. 01111 "UTHORIZ[D AGEN T (DATE) SIGNATU RE 0,-OWNER (IF OWN E III; BUILDER) IDATE) 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 & ' . WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL . EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 7-30-76 Frame· electric all O.K. Proceed, John Bertics did electric. M~L ----------------------- a:; I[ 8 a:; uJ 0 :2 :::, • ii: uJ z :I: 0 z 0 ;:: ~ z uJ IL :I 0 u r/1 ii: w ,.: a: 0 ~ ~"'"'"Y affirm that I am Hcensed under provisions of Chapter 9 (commencing with Sec11on 7000) of Dlvlsion 3 of the Business and Professions Code, and my license is in :~t ~~¼ ~d•1'1':/:~ _ Class,--, 9--c:5500 I "9reby affirm thal ! am e.:empf from the Con- r~!°,r~~~~~~: ;;;: i~~,~~jfi~j~~/1~~~ ;~r county which r,equires a perm i I lo construe 1: alter impmlt'e. demohsh. or repair any struc1ure, prior to its •ssuance also requires the applicant for suct1 pe,,-m1t to Ille a signed statement that he 15 hcensed pursuan1 to lhe pro'IIISfons of the Cofl- tractor's Ucense Law (Chapter 9 commencing w,tn Section 7COO of Or,1,sion 3 o1 11·,,e Bus,ness amJ Pm tessions Code1 or that Is ex.empt !heretrom and the bas•s. for the alleged exemption . ._ny v•o~ation al Section 7031 5 by an ap,pl1cant fof a perrn1T sub1ects lne applicanr w a c I\11 I penaUy at r)Qt more I han I I-.,.,e hundred -dolta.r.; ('$500) 0 I, as owner of the property. -or my employees wiih wages as their s.ole compens.at•on. w,II do the woril:, and the srrucrure ,s nat m-tended or offered lar sale {Sec. 7~, Business and Profess1ons Code The Gonlfactor--s L1ce,nse Law does 001 ap-ply 10 an- owner ot proper'1y who builds or 1mproYes thefeor> and -,..ho does svch work tiimself or throug~ his own emp~oyees. provided !hat sue h 1mproveme;i! s are nol mtende1 or offered for saJe ff. however. the budding or improvement 1s sold w1thIn one year of comp1e11on, !flt' owner-builder will have !he burde('I of prO\ling tha.1 he-d11j not build or 1mproll'e for 1he purpose ol sale) □ I, as owner ot the property am exclusive(,. contracting wrlh licensed cmitr~ctors to consln;ct !he pro1ect (S-ec 704,4, Susmess aod Protess10-ns eooe-The Contractor's Ucense-Law does not apply to ain owner ol property who builds or improves there-on, amJ who contracts tor each proJects w1tri a co-nt,.-actor(s) l•cerise pursuant to the Con!raclor'-s. License Law). □ I am exempt undef Sec for lh1s reason . , B & PC ~ereby affirm !hat 1 hrh'e a cef1:,tjcate o~ consen 1 to s.elf-1nsure, or a cen1t1cale of Wor~er-s Compensation 1nsurance. or a cer11t1ed copy ,nereol (Sec 38()0, Labor CO<lel POLICY NO Bt--~ t{ ~ LO_':;J. COMP ... NY 2-!.L! ~L_t._,i \ --C .. C.oir!" 1s filed ... ,th the cit,- 0 Cer11t►ed copy 1s hereby h.1rn1shed CERTIFICATl OF EXEMPTION FROM WORI\ERS COMPENSATION INSURANCE (This section nee(J not be complete<l d me permit is tor one hundred Collars (S100) or le-ss) 0 I ceri1ty tha1 111 the ,performance ol !tie woOO; tor lllfh1ch lhlS permit IS issued. I shall -1101 employ an)' person 1n any manner so as to be-come sub1ect h) the WoOl.ers: Compens.at1on Laws o1 Cal1lorn1a NOTICE TO APPLICANT H. after makin-;i tr,15 Cer11 1Kate of Exemplion, you should Decome subject 10 trie W-arkers: Comp,er1sat1on provisions of the Labor Code, you m:..isl fof'!tiw1th comply w11t1 -su<:h prov1S•ons or this p,e-rm11 shall be Oeerned ,e;,oked 0 I hereblf afl1rm 1ria1 !here 15 a con~!rnciIon Ienchng .cigency •01 the-pertorman(.e ot the wor'.!: fo, ....,n1ch tr>,s permit 1:,. 1S-5ued (Sec 3097. (1,..-11 Code:, L~neler s Name ___________ _ Lender's. Address __________ _ USE BALl POINT PEN ONLY & PRESS HARO APPLICANT-FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT 8USINESS LICENSE # VALUATION PERMIT NUMBER ,;J.._:'// &, (; A SOL) OWNER'S PHONE -f:::lc./-15?() PRIME CONTRACTO~ -M • · CONTRACTORS PHONE• \-_IA_~-;-~~~ 1601-..:55.SD ZONE PLAN LO. # BLDG USE CODE LOT I BLOCK I suso1v1s10N/ l A..1...~Zp~c~~ I)_ :1 11 DESIGNER / STATE LICENSE# STANOAR_D PLAN# BUILDING sa FOOTAGE -0::Jr:/Y:1°: W<:)R ½ ,h fJ A ,' ✓/4 ~/;A j /4;1~/55 ;J. ss r-O-E_S_IG_N_E_R_"S_A_D_D_R_E_S_S ____________ D_E_S_IG_N_E_R_'S-PH_O_N_E_-+-----------'.._ ________ --1 __L~_ms _er ~ K7t5i1,.,f%, ~L ...... --F-•P--F L-R-E-LE_V..,...--...,.-S_TO~N~!!'"IE_S...,..O_C_C_GP-........ E ... DU-"""' ~ / vO c..0 --- CENSUS TRACT I GP LANO USE I PARK,NG SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REOEVELOPMENT AREA ,,c "<□ TYPE CONST OGG LOAD FIRE SPR Nor Valid Unless ~chine Certified QTY.I i PLUMBING PERMIT -ISSUE i =2r~/) QTY. MECHANICAL PERMIT -ISSUE "3·00 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT -----·----... -----! EACH BUILDING SEWER I ·-·--1---------+---------OVER 100.000 BTU ------ SIGN PERMIT --~ ------+--. -------PLAN CHECK EACH WATER HEA TEA ~ND O ~_y~NJ :,Z/1-.tcL-L ! . -_-_-_ ---~~[s□iLER!C§M_P_RESSO R UP TD 3 HP ,__ _ _,_E_A_C_H GAS SYSTEMl_TO ~ 0.tJ_T_L_E_~( ___ ---· , ----· _ ~--_ l 801LE_Ri£~E~S0 R 3 !.5 HP -----.,_ _____ --+--------------------·----- TOTAL PLUMBING ----t--------+-- EACH GAS SYSTEM 5 0 R MORE 1 METAL FIREPLACE ~,-EACH INST~~-ALTER, REPAIR WAT~P~-j __ ----=~-----~ENTFANSl~GH DUC_T ________________________ ,-t---------. EACH VACUUM BREAKER I MECH EXljADST HOOD DUCTS E LEG TR IC AL MECHANICAL MOBILEHOME t-----,~----------·-------t . ., _____ . __ ,, ------------------l----------11-------- MOBILEHOME PARK INSP -·---- ------~~o-~~-F-D·T·R-·~--l~-N~,s,oEi_-~------+-i .. ---= --~~1_i:i~ OF EA FURNACE/HEATER j ✓ T0HL MECHANICAL -·· --· SOLAR -------+----✓-~;:_-- STRONG MOTION ~- FIRE SPRINKLERS TDlALPLUMBING _!_ ·---- -=------=----===-----=--~-·---= 1==----=-----=-= -~ ~=============='==,====~-=-◄!--·-PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE SOLAR -ISSUE --BRIDGE FEE --·----· SCHOOL FEE -DISTRICT Carlsbad ::l,QQ_ QTY.~- NEW CONST EA AMPSWTB-K=R========--~----;,,-_ _,.,/-:____ r-COLLEC_T_O_R_S __ J:~_----_-)~~6;5~-:.~':~\ '--+----~~--,1,- e---+--' _PH_ _3_P_H_----::,,,-£-__.,......----t--___ ~ --~T~R~~ETA~S _L -j 9 / :'.\ (1.,; T~ • ✓1 EXIST BLDG EA AMPiSWT:BK~ -----------_ --+-R_O_C_K_si:o_R~_G_E _ --.. /'\ ,7 ,,,,J;v- PIJMP J II \ L ~,(' JJ,V~ 1 PH REMOOEL'ALTER TEMP POLE ---+--□-V-ER~S AMPS PH CIRCUIT __ ~--~ -=~----------------~----+_-P_~-AN-C-HECK FEE /I/ v /1¥~----- >---- ·- Encinitas San Dieguilo San Marcos __ ..,_ ___ ------· -· -----·- -------+---· ---------; -------- --- +----------~- ·----~ -----------_ _,_ ______ _ ,_ __ ,_ __ ---,,.,~·--- TEMP OCCUPANCY !30 DAYSI ---,---~------ __J_ __ ----------------l U: _\1 :1/ -----;;,r-_-__ ----_-_--.. _--=--~I----=--~~-~~ -------_-___ -__ -+-_-__ -_-_-__ ~,tf"')--~-~I.~----==:==----_--__ - -1 TOT Al SOLAR -/-j;7;:,..--'11-~~~--T-O_T_A_L_F_E_E_S_P_A_Y_A_B_L_E __ r--l-.!../2-~"':."'"""--i,-q_-_~_:--,i,..._---t - f---- --------- TOTAL ElELTRICAL I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS Expiration. E•ery permit issued by the Building Ofticial uncle< the provisions of this * AH 06HA PERMIT IS R£QUIAEO ~-EXCAVATIONS OV£R Code shall e•pire by limitation and become null and void. If the building or work DEEP A. DE ,.,. mucTJON OF authomed by such permit is not commenced within 180days from the date of such 5" Oft ND MOl.lTION vn CONS p,,rmit, or 11 the buUd1ng or work authorized by such perm,! Is suspended or STRUCTURES OYER 3 STOAIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STA TE LAWS GOVERN ING BUILDING CON-~a~b!cart~do~n~ed~•~l.!:a!!!nl'..!yl!!!ime!!?.a!!afl~te!!!r.,!l!!he!_!W!!;O!!]rk~iS!._;CS!O?!m!!!m~ent)!ce!:!fd!,_;f~o!Lr ,!BJ08!!(!ri!2!lodll.S,o!!,f.,!1,!!80!Ll!d!!!&)!!lf:S~. __ 4 ___________ _,,,.'t· ✓~.,¥,, A----~-.,.-----'! STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SJ,G A, 1:X-~" / D D APPROVED BY P' 7)1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO TURE • . . ·/ OWNER CONTRACTOR EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE'-n,-1 ( / • BY PHONE D I,'/ /;-//7;~ GRANTING OF THIS PERMIT, / f / -~ ~ "j ,., .(.-, , _, ,f(..._,, /, /'-f' .,- ~ u.. :>, ~ 0 0, E Q) I- I , -o,; 0 (,'.) C rn (.J 0. 0. <i:: I "' rJ) Q) 0 0 it '1l iii 0 ~ Q) 0 C rn C u: 0 0 (I) Q, rJ) C (I) rs-;;;i---3 13 ' INSPECTION TYPE DATE INSPECTOR BUILDING -FIELD INSPECTION RECORD FOUNDATION ~ REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL 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 ---- -- f FIELD WELDING SEWER AND BL/CO HIGH STRENGTH --·---·--~- PLUMBING UNDERGROUND BOLTS ----•-•--••• -•---•--•••-----r••• -- PLUMBING TOP OUT SPECIAL MASONRY TUB AND ~HOWER PAN I -------I--··-- GAS TEST i PILES CAISSONS ELECTRICAL I TEMPORARY POWER "- ' ELECTRIC UNDERGROUND ---~-- ROUGH ELECTRIC ELECTRIC SERVICE I i, ------BONDING 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. -------- JOB SITE FINAL • -• PLUMBING .(P~ ELECTRICAL .-C..\ \i 01 MECHANICAL _.,,. __ , _,>-"',.. 'in" J .,_ •. ,,..----~ GAS 7\1 V? V rJ']J >--- BUILDING y . t~ . (if - ---~-.. SPECIAL CONDITIONS \l . CERT OF ocr· •DANCY ISSUED