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Home My WebLink About1815 MCCAULEY LN; MULTI-PERMIT FILE; 87-182; Permit<I) z 0 ;;: C a:: C .., u w C II: I[ [.) II: Ill C .... 5 • ii ... z ~ z 0 ;;: ~ z w ~ :a 0 u "' ic LU "' a:: 0 :t D I hereby affirm that I am nceosed under 1 provision, of Chapter 9 (commencing w,th Section 7000) of Division 3 of the Business and Proleaalons Code, and my license is in full force and effect. 1 hereby al11rm thal I am ex-em-pt lrom the C.ontrc1c tor's license Law tor the t\Jllowing reason (S-ec 7031 5 1 Business aM Profession 5 Code An~ city or coun1y wh1U, re- quires a permit w wnstrucl. alter. Irnpr□11e, clemol1sr. or repair any structure, prior t-a its 1s5uance also :-equ1res '.fie ap- plicant far s:uch Derm11 lo tile a s.1qried s.tatement that he-1:s licensed pursuant to the provisions of ihe tontractor"'5 l1CS-t"!Se law (Chaoler 9 commenc:,ng w1rh Ser:!IOn 7000 of D1v1s1on 3 ol lhe Business af'Hl Professions cooe~ or thJt Is e11:- em pt the•etrom ilind the basis lor n,e alleg!lel e);emp11□11 Any vI0Ia,Ion of SecMn 7031 5 tly Jri apDl1can1 for a perm 1: sub 1ects the app11ca11t lo a cwil o-enal,y DI not more 1han five '",un-dred dollars ($':JOO) I as owner ol the pro perry. or my efl'1playee-s w1ttl wages as. !11e1r s-ole compensation. w1il <lo the wor~. ana 1re stru,c lure ,s riot 1ntende-d or o!!ered 10-1 sale {Sec 7044, Bu:siness ano Prolessions Cade The Contractor's License Law does riot .3JJPI!' ta ari owner al p1opefty who Duiltl3 or improves 1 hereon ;md who (loes such work h1msell or Thf01.JQ h h15 own ernpl-Oy!les. pro111c:led lt7at sucn 1mp-rovern-ents are-not mtend- ed CH □lferecl lor sale. If, rmwever the bu1ldmg or irnprove- --nent Is said w11i'1in one year of completion. fhe owner-builder w1~I tia11e the burden of provw1g lhal he d1c:t 11at bu1lci 01 im- prove lor the ourpose ol saleJ I. as owner of the property, am e11:clus1vely contrJcting w1tri licensed contractors lo construct the Pr□JP.Ct ( S-ec 7044. Bus.mess an:d Prnless.lOris Code· The Contra(lor·'S l1(ense law does riot apply to an owner ol property who bwlds a.r 1m- pm11es thereon. ar1d who contrac.ts for each prn1ects with a c□ntractor( s) license pursuant to th-e Contractor's L 1cen-c;e Lallo') i As a l"lameawner 1 am 1mprovmg my home. and the tallow Ing cond1Mns e)(1s, · 1 The work is Oe1ng p-er1ormed prior to sale 2. I have l111ed m my home !or tw,el11e mo'1th~ prior 10 complet1on ol this work 3. I have nol cla1me-d 1h1s e:xemptmn r1urmq rhe last thfee vears B & P.C. I l\ereDy arl1rm th,H I llali'e 3 certificate ot consent 10 1 se-11-insure. or a cer11!icate of Workers Compensation lfl• surance. or 3 cert1t1ed copy Hiereof ISec 3600 Laber Gode~ POUCV NO. COMPANY Copy 1s filed with the cI1y Certified cop~ 1s r'lereby lurn1slle-d CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This secliori need not be comolefed 1! !he permit :s for or,e 11 undred do•i a;s (S 100) or I ess} _ I certify Ill.at m 1he perform a rice ot the work for wr11ch tll1s perm1l L$ issued. I sh.all not employ any person 1n ar,y manrier so as Lo become SUbJ'act to the Workers Com pen sation Laws ol Calilom1a NOTICE TO APPLlCANT: If. after ma.king ttns Ceri1!1cate of Exemption. you shoold become subJect to lhe Workers.· Compens.atLon pro1,1IsIans of the Labor Code you musl 1 torttlw1th comply w1!h such provis.1011:S or this permit sllall De deemed re1,10'-ed. '= I hereby att1rm that there 1s a co-nstructI{in lending agency for the pedormance of the work ior whx.h H11s pef mit Is issued iSec. 3097, C1v1I Co-de) Lende(s Name __ le!'lder's Address USt IJALL l'Ullfl l'tll Ulllf & l'Nt:i:i ltAKU l"\rr~,v-••• 1v r IL.~ 11• 11-.1 -•1,.-,...,.~•-• ....... ,,,, ... -····---..... --.L•~-·------·••···------ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 JOB ADDRESS '{\\c__C. AV. ST.AO. NEAREST CROSS ST. Io:;:/~ :P;;:,10NI BUSINESS LICENSE # VALUATION PERMIT NU,,.BEA \<Z\~-~ ql ci L._I\ tJ~ I 7-\ ~ /: -LOT BLOCK I SUBDIVISION I ASSESS◊, .;"'l}CE.!1.~ ~?Oi:> CONTRACTOR . CONTRACTORS PHONE • ZONE Ii,µ '"• 0 W Wt:~ OWNER'S NAME ~K"-t\Jr1-i.=E0 ~~R~ OWNEA"S PHONE N\uRJ(A'\ 12.J.l---O<o ti? CONT flACTOA"S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE OWNE R"S MAILING ADDRESS $;/J-j,,\_-('__ DESIGNER DESIGNER'S PHONE DESCfi<PTION Of WOAKSPwf'r Y f,J/~~ /f-p.e_ OESIGNE R'S ADDRESS STATE LICENSE NO. ~r;~-., 7P' .f'r' w f? IC A/ ii uJ 0002 03/10 0101 02BldP11t 16-SD l/4ul-i I .... ----___ ----,,,-.7-· ---------' p SLR ELEV. NO OCC GP EDU ~~f.,tl,{}'-tfl_.f)y-M: t-( ..rsv.e STORIES y[: .,,c PARKIN(, SPAC~ 1 RfS UNITS I GRADING PERMIT ISSUED I REOEVE:LOPMENT TYPE OCC LOAD FIAESPFI' AREA CONST ,o ~ □ ,O ,C ,□ NO Not Valid Ur,/ess Machine Certd1ed IT QTY PLUMBING PERMIT ISSUE 7--011 QTY. MECHANICAL PERMIT -ISSUE 30o SUMMARY/ACCOUNT NUMBER _) !• EACH FIXTURE TRAP , INSTALL FURN ouns JP TO 100,000 BTU BUILDING PERMIT COHl'0-00 00 8221] . I -- J ~~ EACH 6UllllING SEWER OVER 100.000 BTU SIGN PERM1T 00181000-D0-8221 -+-· -------· -·------·--~~-- EACH WATER HEATER MW OR VENl BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001 810-00-00-8821 . J /6:~-----------------· EACHGASSYSlEM I ru~ UUTLE[S BOILER COMPRESSOR 3 IJ HP TOTAL PLUMBING 001 :, IO D0-00-8222 . ~· -------·---' .. -·---· ------ EACH GAS SYSTEM o OR MOR~ META'. F.•EPL.~CE ELECTRICAL 001 810-Q0-00·8223 ~ ---------·-----· ---~,--·-::;_ -, + _____ ... -----------~ ._L_ _EA~H INST/l,~-~.:_E_R. REPAIR WAHR PIPE I VENT I-AN SINGl E DUCT MECHANICA·" 001 8'0 00·80·S224 .... t -.. .. + --. --· --·-------- ~EACH VACUUM BREAKER I : MECH EXHAUST HOOO DUCTS MOBILEHOME 0(11·81'1 ·00-J0-8225 ---T WATER SOFTfiiER I RELOCATION OF EA FURNACE.HEATER SOLAR OC 1-81 O 00-00-82 2_1j_ _ ----.. ~-- fACY ~::(1' '.):::!.',,•~ i ''\JSll)'. 1 i DRYER VENT srnONG MOT',llN ssc-o 19-92-33 _J TQT,:;,L MECHANICAL ·-------· JI,~! FIRE SPRINnERS 001-810-0D-D:•• 8227 ~ --. .. ----- TUIAL PLIJMKING I PUBLIC FACILITIES FEE 32-J-810-DD 00 814D . ----- ., __ soo Ii QTY BRIDGE FEE 360-810-0[10[18740 QTY. ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP -- ---I PARK-IN·LIEU IAREA I I' I CAR PORT NEW CONST EA A!AP 51'11 UKR I TIF 134 810-00-00-8835 ·-·--- I PH :l PH : AWNING L.A COSTA TIF 13H1 D·00-00 ,3835 -----~ rXISI □LlJG EA AMP:SWT 8KR I GARAGE FMF ~---.. -.-.... ------------~--- I PH "l PH LICENSE TAX 001 -S I O-C1::·-0'J-S 162 ----· ·--~---- REMODEL AL lH! Pf R C : 8 CU IT .. MH 880 519 92-57 -·-·11 ! -·-- lEMPPCilE !00 AMPS ., --~----·--· - IJVER20UAMPS ·---· -.. -------- TEMP OCCUPANCY ']0 OAYS1 __ ., --·----------·---- _l_ __ , ! CREDIT DEPOSIT -.. -- l()TAL Fl[LTHII Al "OTAL I TOTAL FEES PAYABLE l /~.~ 1- i I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" At,D DO HEREBY E,;pirabon Every permit issued byttie Bultd1ng Of11c1al under ,oe provrs1ons o1 th+s * AN OSK&. PERM:T ~ REQUIRED FOR E.XCAV,t,TIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaU eKpffe by 11mttat1on and be-come nun and void It the bu1!d1ng or work J;;:t: ,.NO 0ElieOLITION DA CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authorized by such permit is not comme-nced within 180 days from the date of such ✓ 1 RES OVt:A J STORIES IN HEIGHT permH, or if the buitd1nfi or work au1horized by such permit 1s suspended or ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STME LAWS GOVERNING BUILDING CON-aba doned al an~ llme ate, the work '"commenced lor a oeriad·:iif' 180 davs. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO ]lNT'S SIGNATURE~; _OWNER Cl,,-" CONTRACTOR 0 t?;i? L~IL--1>i~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND AP! EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE\.__; J.}J._.J\.A,,(J\ \ ~ BY PHONE Oi GRANTING OF THIS PERMIT ( I l C Ol u 0. 0. <{ I 0 ,,, "' aJ C/l C/l <{ aJ u C: Ol C: u.. 0 u QJ 0. "' C: TYPE I DATE INSPECTOR BUILDING ! FOUNDATION I REINFORCED STEEL ( MASONRY I I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEILING SHEATHING D ROOF □ Sf.lEAR FRAME l EXTERIOR LATH ' ' INSULATION I INTERIOR LATH & DRYWALL I : PLUMBING ' □ SEWER AND BUCO □ RL/CO* UNDERGROUND D WASTE ~ATER ...,.1.;s.j"\ ~ TOP OUT □ WASTE D WATER TUB AND SHOWER PAN ' GAS TEST I ' D WATER HEATER D SOLAR WATER I -ELECTRICAL iJ ELECTRIC UNDERGROUND OJ UFFER 90UGH ELECTRIC ! b ELECTRIC SERVICE D TEMPbRARY □ BONDING D POOL I MECHANICAL I ' D DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS J VENTILATING SYSTEMS I I ' CALL FOR FINAL INSPECTION WHEN ALL APPROPR/A TE ITEMS ABOVE HA1VE BEEN APPROVED. FINAL 1 PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ_ IF INSPECTORS DATE ~ 1o r ../ ,41'_()~ s: \oAo)ft..""" J_ -1-. _n CHECKED APPROVAL ,,. ~ --L. ..... -le ~..t...~ cJL /_,,,, -t... SOILS COMPL:ANCE --- PRIOR TO ~e.~-' u;.._1~ ~ • -I FOUNDATION INSP -r--_. --.-~L _ _,, -·----"t"-------·------------~---. -STRUCTURAL CONCRETE --4 ,tLJ • a .ec.~ S-n. u ............. OVER 2000 PSI ..... .,. .. ,... PRES TRESSED ~ /3-87 /u..Aha-~ CONCRETE POST TfNSIOf,EO 0 CONCRETE FIELD WELDING : -r--! -- HIUH STRENGTf--1 SOL TS ':iFECrAc 'v1ASONRY I \ ---- PILES CAl~SONc: ~-----r--------~ ---+---------+--·-t------·----·- --f--·-~--- - ---t-------- ~-I----~-- -----··-•-- .... ,.., -------.,_.. __ l"\--1"."\'F"\ ",I' ..... L'. ■ji' ..----...... ,.. ... \;t ..,-,'\/ -....--...-,1. .... . . - i I I CASHIER'S VALIDATION QUtu nf Qtarlsbah SEWER PERMIT APPLICATION APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE 31:s l -----~------ BUILDING PLAN CHECK NUMBER: PC ---------- BUILDING ADDRESS: NUMBER OF EOU'S: _____________ _ OWNER: --+---'-="-'----......:..~--f-~',,;£-11:....,_.__.,._-,.c....:..,S_,,0"--,J ___ --I CALCULATIONS: ______________ _ MAILING ADDRESS: _______ 2-__ 2-J.o __ 2--______________ J ________ _ CONNECTION FEE COST PER UNIT _____ x NO. UNITS __ / ___ _ LATERAL CHARGEJ TOTAL CHARGES: ).2 I 5. '{)V ASSESSORS PARCEL NUMBER: __________ PREPARED BY: (PRINTED NAME) COMMENTS: ______________ 1 ______________________ , WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant "' z 0 ~ C a:: C .... (.) "' 0 IC I[ 0 a: "' 0 .., 3 I "' z lJ 0 z 0 ~ "' z "' ... :I 0 (.) "' ic w "' a:: 0 lJ il 0 I lleraby affirm that I am llcenoed under pro,,lalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profaaalono Code, and my llcense Is in full force and effect. I hereby alllrm 11\al I am exempl from ll'le Contrac· lor s l,cense Law tor the following reason (Sec 7031 ~ Business and Professt0ns Code Any city or county wh1tt, re-quue.s a petmtl to construct. alter, improve demolish, or rep.11, any slructure. prlOf to 1ts issuance also requires !heap- plicanl tor such oerm11 10 hie a ~gned stalement that he 1s licensed pursuant 10 lhe provisions ot the ContractOl'·s liclnse Law (Chapter 9 commencing with Section 7000 of Olv1s1on 3 ol 1/\e Business and ProlesSJOns Code) Of thal 1s e~-empt lherelrom and lhe basis lor rhe allegeo exemption Any vi0lal1on Of Section 7031.5 by an applttanl for a perm11 sub- Jects the aopl1eant to a c1v~ penalty ol no1 mo,e tt'lan five hun dred <lollars ($500) I. as owner of lfle property, or my employees wllh wages as lhetr SOie compensa11on w~I do lhe WOfk. and !he struc· lure •s nol intended or oflered for sale (Sec 704'. Business anc:l Pro1ess10n~ Code The Conlraclor"s lteense Law does not apply to an owner ot properly who builds or improves !hereon and whO does such work himself °' through tus own employees, provided that such improvements are not mtend• ed or oflered tor sale If. however. !he bu1ldmg Of improve· men! is sold w,thin one year of comptellon the owne_r•budder will have the burden of proving lhal he did not bu1~ or im- prove tor the purt)O$t of sale) I as owner of the property. am exclusively contracting w11h licensed contractors 10 conslruct tl'lt protect ISec 7044 Busmess and Prolesst0ns Code The COntractor·s License law does not apply to an owner of property who bu,kis °' im- proves thereon. and who contracts fOI' each pr0jec1s with a contractor{s) hcense pursuan1 ro !he Coolractor·s license law) I I As a hOmeowner I am 1mprovmg my home. and lhe toOow mg condl!tons exist t The WOfk 1s being per10fmed pnor to sale 2 I have lived 1n my home fOI' twelve monlhs pnor to comple11on ot trus woik I nave not claimed lh,s exemp110n during the last three years □ I am exempt under Sec ______ • 8 & PC for this reason LJ I hereby affirm that I have a cert1ftcate of consent lo self-insure. o, a certificate of Workers· Compensation In- surance. or a certified copy !hereof tSec. 3800. Labor Code) POLICY NO COMPA NY Copy 1s tiled w1u, 1ne city D Cert1l1ed copy 1s hereby furmShed CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This sec11on need not be completed ii the permit ,s IOI' one hundred dollars tSlOO> or IE'SSI 0 . I certify that in the performance of the wOl'k for which lh1s permit 1s issued. I shall nol employ any person in a.ny manner so as to become subJect to the WOl'kers' Campen• sat,on Laws of Cahforn1a. NOTICE TO APPLICANT· If. after making this Certihcate of Eic:emp11on. you should become subject lo the Workers· Compensation provisions of the LabOf Code. you must fotlhwilh comply with such provisions or lh1s perm11 shall be deemed revoked 0 I hereby affirm that there 1s a construction lending agency lor the performance of the wor1l lo<wtucf'I this pet· m11 1s issued (Sec. 3097, C1v1I Cooe) Lender s Name_______ ___ _ Lencter·s Address USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT JOiiiS' 7#1 ~ r ~v;;:,:;::_BROSN°c ~Ulj IOATE.OF APP_,L1CATION-I , ~'/ / r I(_"', ~I ~ BUSINliSS L_\CENSE • ;· /;(; VALUATION PERMIT NUMBER $1)000 LOT BLOCK l SUBOIVISION AS~SOR PARCEL NO ffi~&J~pjj[ OWNE.A"S MAILING A ot,AESS PO l3n<-h:)._ (,_.:t OWNER"S PHONE 2df ~tt;.. c'oNTRAc'i-0'3. /I ./"- CONTRACTOR"S A"t>ORESS DESIGNER / 1' l'/n ,. , . OESIGNER"S AOORESS lh ,f /Jtc ' ., F/P F LR ELEV. f.--et/2_ ---m, STORIES CONTRACTORS PHONE• STATE LICENSE NO DESIGNER'S PHONE STATE LICENSE NO. OCC GP EDU ZONE BUILDING SO. FOOTAGE ~ ii: c:-~ 0 a. E (I) ..... I "O 0 CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED y D N D vO NO REOEVELOPMENT A REA vO r,,O TYPE CONST OCC LOAO FIRE SPA YO NO 0002 12/08 0101 02BldPat Not Valid Un~r Machine Certified 10.or <.? QTY. PLUMBING PERMIT · ISSUE z$-QTY. EACH FIXTURE TRAP EACH BUI LUING SEWER EACH WATER HEATER ANO OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM ~ OR MORE EACH INST AL. ALTER. REPAIR WAT ER PIPE EACH VACUUM BREAKER WATER SOFTNE R EACH ROOF DRAIN fl'lSIOE I 7 ~ Z>, ~-,fL., ,,;;:z... :5 0 "T ~ I O I Al Pl UMBINl, I /0 . tC QTY. ELECTRICAL PERMIT -ISSUE 5 ~ QTY. NEW CONST EA AMP SW! 8KR I PH 3 PH EXISI BLDG EA AMP SWl 8KR I PH 3 PH REMODEL AL HR PER CIRCUIT TE MP POLE 700 A MPS OVER 200 AMPS TEMP OCCUPANCY 130 OAYS) MECHANICAL PERMIT· ISSUE INSTALL FURN DUCTS iJP TO 100 000 BTU OVER 100.000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 1~ HP MET AL FIREPLACE VENT FAN SINGLE OUCT MECH EXHAUST H000'0UCTS RELOCATION OF EA FU RNACE1HEA TE R DRYER VENT TOTt.L MECHANICA L ,c:/4 'i MOBILE HOM_,r~~1UP'" CAR PORT /1'.J AWNING /.~ GARAGE 1~ 1 ·.·~ \".-~ \.. ~!,, W.~ y ~t .,~. " ,;:,,.~,._• ~ <t"'b,:;.-~J1> ~~'i,,"i" ~9'-"'" ID~ JS.t;..!2- ., -... \ ~\. ~\- I\> I . Ail · ~;'/ 'l ~6?.,, .... _,,::,•~,~,,. - SUMMARY/ACCOUNT NUMBER sullolNG PERMIT oo 1 ·810·00·00·8220 SIGN PERMIT 001-810·00·00·8221 PLAN CHECK 001 ·810·00·00-8891 TOTAL PLUMBING 00; ·810·00·00·8222 I o ?-tJ ELECTRICAL 001-810·00·00·8223 MECHANICAL 001·810·00·00·8224 MOBILEHOME 001 ·810-00-00·8225 SOLAR 001·810-00-00·8226 STRONG MOTION 880·519·92·33 - FIRE SPRIN~LERS 001 ·810·00·00·8227 PUBLIC FACILITIES FEE 320-810·00·00·8740 BRIDGE FEE 360·810·00·00·8740 PARK·IN·LIEU (AREA l TIF 312·810·00·00·8835 LA COSTA TIF 311·810·00·00-8835 FMF LICENSE T(X! f . 't' AJ1fi·CN~2 MFF -4,# ~ &-"1Alsl ,... DEC l Q 1987 ~-i ... cRe:>lT MJti11rOf CARUa:tA - TOTAL ELELTRICAL I IOTAl ~.tQem 1 u I AL ~m~t .PMlCiESSIN~-i;vs/ 0 <RI I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT AND DO HEREBY Exp.ration Every perm,t issued bylhe Building Ofhc111 unae, the provos,ons of th,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by limitation and become null and void If the buJlding or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author,zed by such perm,t '5 not commenced within 180 l!ays from the date ol such ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON ~'::::On~'..,'~t':~ i;:,,::~•J:~i:~~r:~to~;:,ed by •~ch permit ,s suspended or SrRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND c menced or a nOd of t80 d KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~APPLICANT"S SIGNATURE • ~ OWNER~ CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ;±;;;, GRANTING OF THIS PERMIT BY PHONE fJ A _.,,_,,._ ---. 7 * AN OSHA P£N.:l IS AEQUIAEO FOfl EXCAVATIONS OVER s· o·· DEEP ANO OEMOUTION Ofl CONSTRUCTION Of STRUCT\JAES OVER 3 STOfll£S IN HEIGHT ~~;~ 1i;;fj7 C l1l ~ a. a. <t I .0,: C a: 0 "' "' (I) "' "' <t I ~ .Q ai >- Q) u C l1l C ii: ~ I C (I) (I) ~ 0 0 (I) a. "' C ~ .r::. ~ TYPE DATE INSPECTOR -----~::i-1080 ---- BUILDING I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY I GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REO IF INSPECTORS .; INSPECTION DATE CHECKED APPROVAL -· ,, SUB FRAME □ FLOOR □ CEl~ING " ' SOILS COMPclMKE " ·' SHEATHING □ ROOF □ SHEAR PRIOR TO FRAME I EXTERIOR LATH I I FOUNDATION INSP I --· 7------·---·-----STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRESTRESSED ~-.· CONCRETE INTERIOR LATH & DRYWALL I POST TEN'.::'.IONED I CONCRETE - PLUMBING I FIELD WELDII!(, □ SEWER AND BL/CO LJ Pl,./CO UNDERGROUND □ WASTE 0 1WATER -.. ... HIGH STRENGTrl BOLTS TOP OUT □ WASTE □ WATER SPECIAL MA::,OfmY - TUB AND SHOWER PAN I I GAS TEST I □ WATER HEATER □ SOLAR WATER I PILES CAISSO~,C: ~ --·--- .~ ' I -- ELECTRICAL I --□ ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY ·-----·- D BONDING D POOL I I j MECHANICAL t - D DUCT & PLEM., □ REF. PIPtNG HEAT -AIR COND. SYSTEMS ' I VENTILATING SYSTEMS ! I CALL FOR FINAL INSPEC110N WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL I PLUMBING I ~ ELECTRICAL I r!' I MECHANICAL t _,.. -GAS i ~ \'-).... BUILDING I " ~ \'-.. I SPECIAL CONDITIONS I \\..\ ~'-A..) " I I .., z 0 ~ 41 a:: 41 _, (.) w C ~ a ... 5 ~ w z 3 0 z 0 ~ ~ z w A. ::E 0 u rJJ ~ w >i:: a:: 0 3 O I h•r•by affirm that , am licensed under 1 provisions of Chapter 9 (commencing with Section 7000) of Division 3 ot ths Business , and Professions Code, and my license is in full force and effect. 1 hereby amrm !hat I am e,i:e-rnp1 trom the Contrac- t-or's Licerise Law tor the following reason (Sec_ 7031 J Business and Profes-sions Code: Any t1ly or county whfc.r. re- quires a permit lo construct after. improve. demolish. or repair any stm-c:lure. prior lo its issuance also requires. ~heap- plicant tor such permit to tile a s1pned stat-em-ent that he is I1(,ense-d pursuant ,o the prnvisfons of rhe t:ontractor·-s License law ( Ch.1pler 9 commencing wilh Secbo-n 7000 of Drvis1on 3 of the Business and Professions Co-de) or that 1s ex- empt the-refrom and the basis 1or the allege-a exe-mphon A-ny 11iolation a1 Sechon 703L'5 by an applicant for a permit sub- 1ects the appl,c.ant ro a civil penalty of not more th.111 fiye h,1.Jn dred dollars ($500! I I. as owner of the property, or m~ employees w1lh wag:es as their sole compensation. will do Iha work, and 1he slruc- ture 1s not intenl1e,:1 or offered for sale (Sec_ 7044. Business. 1 and: Professions, Code: The Contraclor's license Law does nof apply to an owner oi property who builds Of improves thefeOn arid who does :such work h1111-s.elf or through his own employ-e:es. pro11ided 1hat such improvemenls are no, jntend- ed or anered lor sale_ If. however, the t1u1lding or improve- ment is sole! wilhi11 one year of rnmpletion. the owner-builder will have the burclen of proving that he i:Jid no1 build or im-1 prove lor the :purpose of sale) I-:: I._ as owner of the prOl}erty. am exclusively contracting with l1cens.er1 c-ontraclors to construct the project (Sec 7044. Business and Professions Cod.e: The Contractor's License Law does not apply to an owner of PfOper1y who builds or im- PfOVBS thereon. ancl who contracts fof each projects with a conlractOf{s} license pursuant ta the Contractor's License Law). :-A-s. a homeowner I am irnprovmg my tiome, and the follow- ing conditirms e.;ist: 1. The work i-s. being performed prior to Si!lie 2 I have lived in my home for 1welve-mon1hs prior to completion of this work 3. I have no( claimed thi-s. e-1remption {luring the last 1hree years 7 I am exempt under Sec _______ , B & P.C. lor this reason ------------- I hereby a!f1rm lhat I have a r:ertittcate of con:sen1 to • sell-insure-. Of a ceft1ficale or Work.efs· Compensation In-I s.urancee. or a certified co-py !he-reo' \Sec. 3800. Labor Code) I POLICY NO. COMPANY -, Copy is flied with the city =i Certified copy 1s h.ereby fumisti.ed CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This section need not be comple1ect ,f me permit is for one hundred dollars ($1001 or less) ,~ I certify that in ,he performance of the work for which 1h1s permtt 1s 1s.su-e-d. I sh.all n,01 ernpioy any person in an)' t manner so a.s to become subject ro the Workers· Com pen sation Laws of California NOTICE TO APPUCANT: If, af1er making lhis Certificate of E)(emption. you should become subject to the Wo,kers· Compensation provisions of the Labor Code. you mtist 1 lorttiw11h comply wfth such provisfons or this permit shall 1 be deemed revo~ed. ~ I hereby affirm tha, there is a construction lend,ng 1 agency for the performe1nce of the work forwh1c't'I this o-er mil is issued (Sec_ 3097. Civii Code) Lender s Name Lender's Address ________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADEDAREAAND DECLARATIONS. JOB AOOAESS LOT 8LOCI( t.""··. OWNEA'S NAME ' CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 Av. ST.AO. I JJ. NEARf..ST CR. 0SS ST. l\)~l-..L~~ . I I ASSESSOR PARCEL NO. CONTRACTOA aw \.Jc~ APPLICATION & PERMIT 8USINlaSS} ICENSE # · • CONTRACTORS PI-IONE # VALUATION ZONE CONTRACTOR'S A OD RESS STATE LICENSE NO. BUILDING sa FOOTAGE QTY. DESIGNI ~ I' ~ ,JJ P. ORESS F LR €.LEV. ~□ I 1 PARKING SPACEr RES UNITS 1 GRADING PERMIT ISSUED I RE DEVELOPMENT AREA , 0 N 0 vO "'D PLUMBING PERMIT -ISSUE ! ' I 7so QTY MECHANICAL PERMIT -ISSUE . EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU EACH BUI LUING SEWER I OVER 100.000 BTU NO STORIES TYPE CONST 300 OESIGNE R'.S PHONE STATE LICENSE NO. OCC GP EDU 0002 03/02 0101 02Bldf'ltt 15.0( OCC LOAD FJ RE SPI> vO NO Not V;J/id Unless Machine Certrf1Bd SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 001-610-00-00·8220 SIGN PERMIT 001810 00 00·8221 ----------------------<i--------1,------------~----•----------------------------+------------, EACH WATER HEATER ArW OR VENT i BOILERiCOMPRESSDR UP TO 3 HP PLAN CHECK 001·810-00·00·8821 ---+----------------------<--------jf---------------------------+-------+----------------------~-,...--------·· .. 1----+--E_A_C_H __ G_A~~~S~~ !2SJ.~9_l!._Tl E TS _ ___ __ ;.. . _______ •_ _ _801 LE_R,C~~~~E~'.9_R]_~ HP __ ___ _ ____ _ TOTAL PLLJMBI% ~0'-810·00·00·83,l..t\) _ 1---+-E_Ac~ _G_A_s_s_Y_S_T _E M_,_a_R_M_□_R_E ______ ~--. _ ___ _ ___ M.§.:A_.L_F_1R_E_P_I A_C_E__ _ _ ELECTR1CA0L ______ 0_0_1-..:.a_10_-o.:_co~A--1.,1.,~~,.__ •t-_ _,_/_~S:,-:_·_::;..-_·_· --------1 VENT ~AN SINGLE lJUCT MECHANICAL 001-81 ~t\-8224 ... . -··-· .. ·--·----·---------·----4------n-----------7"'.--,,...,,,.___--,tt-----------j ~0~1J~o-oo-sm~ J\ n . EACH INSTA~. ALTER. REPAIR WAT ER PIPE r---r---------·--. -·-- EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME RELOCATION OF EA FURNACE HEATER ~--,---- DRYER VENT STRONG MOTION WATER SOfTNER --r---~--------·--- lACH ROOF GRAIIJ li'JSlllri ---------+-----------. --·-r ~-s10-o□-Ql).'~26 _(Av---=f~~ '-' ~~9'92-33 fJ..\,," ,{) SOLAR 1---1----------------------+-------f--l----'---~,~O~T~A-L~M~E~C~H~A~N~l~C~A-L------~----'--------+--F-l·R--E-SPRINi<LERS 001 flf(l~oo oo-:S,i,,J ~~------- TOT Al Pl UMBINC -1-- I ------------- PUBllC FACILITIES FEE BRIDGE FEE 320-81 ()-00-(6\740~ ~- 360·~~-oq_~ QTY. ELECTRICAL PERMIT · ISSUE SIJD ! QTY MOBILE HOME SETUP PARK IN-LIEU [AREA ____ i~p~\' -~----------1 NEW CONST E:A AMP SW! BKR CAR PORT TIF 1~~00-00-8835 1----+--l-P_H _________ :_J -PH _____ _J_ _____ -+--+-A_W_N_IN-G--------------+-------ll---LA_C_OS_T_A_T_IF-----1-'l3 ... 3-.,.8-1 □--0-□-□-□-8-8-35_.,___ ____ --- 1---1---------------------+--------<----+-----------------------t---------llf----------------------+------------1 EXIST BLOG EA AMP·SWLBKR GARAGE FMF ------•-----------------1------------1 PH J PH LICENSE TAX 1----1----------------------+-------f--l---+----------------------+-------~I------ REMODEL AL HR PER CIRCUIT MFF 00181000-008162 880-519·92 57 ---~----···------------+------------+--------------. ----___________ __, TE MP PD LE 100 AMPS r □VER 200 AMPS ---------------------+--------<-----1-------------------------+------------------------ rEMP OCCUPANCY o:30 DAYSI > j 6 -I ' ' CREDIT DEPOSIT ' ' TDTAL FLtCTHICAI I /S--; I i TOTAL TOTAL FEES PAYABLE I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. EYtt~ permit !$Sued by the 8uildifl1l Ofllc1a! underlheprov1s1on• otth1s CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the buold1ng o, work DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I& aulhor,zed by such permit is not commenced wilhm lSO days f,am th" date <>f such ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· ~~';;°!on~•~, •~~v ~~~i~e~~h:'=~,:~tc~~~e:le~I~~ :::.i::::,i'~t"f~~:' 0 ' STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , l\~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ~D ~ ~ICANT S SIGNA T E I OWNfi.~CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY JN CONSEQUENCE OFT~ U l B p 0 GRANTING OF THIS PERMIT " _ 1 ': F\. • y HONE u * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~-O" DEEP AND DEMOLITION CIA CONSTRUCTION 0~ STRUCTURES OViA 3 STORIES IN HEIGHT APP~~·~ DATE I s-z..-Y/ I .'!! IL >, ~ 0 C. E <ll I- ~ 0 G c ro 0 Q. C. <{ I .0,: C (l_ 0 <fJ <fJ a., <fJ VJ <{ I ;;: 0 a., >- a, 0 C ro C u:: 0 0 a., C. <fJ C -- TYPE I DATE INSPECTOR BUILDING I FOUNDATION ' REINFORCED STEEL I MASONRY I GUNITE OR GROUT ! SUB FRAME □ FLOOR D CE~LING SHEATHING □ ROOF □ SMEAR FRAME I EXTERIOR LATH I INSULATION \ I INTERIOR LATH & DRYWALL I ' PLUMBING I 1- SEWER AND BL/CO --f!>L/CO -LC UNDERGROUND D WASTE □ WATER TOP OUT D WASTE D lv\/ATER TUB AND SHOWER PAN I GAS TEST I □ WATER HEATER □ SOLAR \!VATER -. I ELECTRICAL I D ELECTRIC UNDERGROUND t UFFER ROUGH ELECTRIC ! D ELECTRIC SERVICE □ TEMAORARY D BONDING D POOL l j I MECHANICAL I □ DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS l ' VENTILATING SYSTEMS I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAJ.VE BEEN APPROVED FINAL ! I PLUMBING ' ELECTRICAL I '{. Z.J,--") d~ / .. MECHANICAL ; GAS BUILDING SPECIAL CONDITIONS I -j I ~ __) I &-?-fra7 --------------- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS -:;::----_-:---=--~-=-=·----,.-~-~-........ -~~ R[Q IF-l INSPECTOR s 1 l~ISi-'ECT ION CHECK EDI APPROVAL DATE r;-,l-:~:--:--:/,NC,: f ====!====' I c,F:i!uR T(I I I !'c,u:,cA~1:.·,r-i 1~JS'' I '~-----------------~-----J. ______ - srquCTl;f-iAL C'C~C~~H-Tf_ I UV[R ~:c1:":,,;_:: pc;1 j-----,,-----,--,-,-----------+---~~----------i--------Pr1.tS--H[,:-:::~i::D I ,------•------r----1--, ! -' ---------------;-· --~e-------l---- 1 PILES C/\1'~':.,Y,c'. ~------------·---------+-------r---- ! ,·------------,---~ ----- -------- -----------t-----------+------------- ~----··-~----•---------------+-----~------1----------- '-------~ ______ _,_____ ____ t--,------------___ __, I-~--------------·. , ____ .___ __ --------1-------~ --~~~~ ·. ------L.....-----~ ~-~--------1-----'·:,.,,,.• +----------1----------l ', . I I I INSPECTORS NOTES ------~---~----------------------- '. '"4 -•• • .,. -~ ,, .,,;--_-:·✓-,. _r. r-----------------------------~ ooos O'.l\OS oror Cf5i:J •-¾,lilf . I