HomeMy WebLinkAbout1854 MARRON RD; MULTI-PERMIT FILE; CB880215; Permit— -. --. - * - -t — — —
2 hI hereby affirm that lam licensed under —;provisions of Chapter 9 -(commencing with
Sóctlon7000) of Division of the Business I
aiid Professions Code, and my'ficense is in'
L'tu!t force and effect.
- - iheleby- affirm that lam -exempt tram the -Pontiac- -Law br the tot10win9 reason )Se. 7031.5-1.
a .Businessand Pretensions Code; Any city or county whicr. Ce' . ,.qoites a permit to-construct. alter, improve, demolish, or repair any 5!rOCture. prior to its issuance also requires the ap' I plicant for: such permit to tile a signed statement that he is - - -- licensee pursoant -torheprovisinns-'ot 'Ike Contractor License Law (Chapter 9 commencing with Section 7000 01 I
01visu0n,3n1 the Business and Professions Cede).er that is ex, -j - empt therefrom and the-banister- the allegee,enomprion.'Avy e violation of Section 7031.5 by an applicant for a permir subi' I ecrs the applicant to a civil pe(ral!y;et notmore than live hon
- -,....,dred dollars.)5500). ._. *
-'. - I I. as owner of the property, or,rny_qmployees With wages
. as their sole compensation. will do the work, and the struc'
o 'turefis not intended or olterAd Or sale (Sec. 7044, Business I
- - .J- -'and Professions Code: The Contractor's License Law does 1' - •-q. not apply to an-owner 'of propefly who builds or,, improves • ..._lhereen.and who does such work himself or through his own-
- - emplsyeesprovidedjhat such improvements are not inrenrl' I w ed or otrered for sate.- II, however, the building or improve---p'- -
meolissold within one year of comptbrioo.'the.owoerubuitdor '1 -
' will have :he burden 01 provingihat he did nol'build or rn' I
- 0 ., preve.forthe purpose of sale).
I I. as owner of the Properly. ani exclusively contracting.
.. tb licensed Contractors to construct the project (Sic.-7044, - Boniness and Professions Code: TlieCenrracror's License Law does not apply to an owner of property who builds or I im- provesg- thereon-and who -contracts for each projects with, a..(_'t ceotractor(s) license trursoant to the Contractor's License Z - 'Law).-
2 ' ' -i-. "- 1- '. I I As a homeowner lam improving my home, and the follow- - I 4 - - ing condili005 eoist:. • . ' '.' . . - -,
--• - ' I.
fThe rk is-being performed prior to sale. . * have
wo
lived' in ,my. henrefnr- twelve 'months -
U
- prier In completion 01 this work... '. P. W . - 3__I have .vetclaimedthis enemplion duriog- the -
- 0 - last three years.
- - IT] lam exempt under Sec. - - * . B & P.C. - !or this readon A .- 2- .-. - . - - •i .' r
-
--
-
- D -- I-hereby affirm that I have a certificate of consent to 'I -
j ")4.setf.insvre. or a certificate of Workers'.Cornpensation tn.'Iy.
surau'Ce era certified copy m ,eTeor ISec' 3800 Labor C68el
CO3MPANY . . ' ..
-I.- ,Cop)A filee with the city.. .-...,.. -. - .u 5e
Z D
city-
Certified copy is hereby tunnishe-n r'-d-I 1Na*
lxi
--S - - — --' ------
o !':1 qERTIFICATE OF EXEMPTION- FROM- I
0 - - "WORKERS COMPENSATION INSURANCE (-0 - 'jThis sectiovveed v'sr be completed it the permit -
- I I\ is -breve hundred dollars IsteOl or lesUA
Ir
si
trQ I certiry that in the performance of the work for which
' n'pe?rnnif is issued; I 'shalt not employ any person inany I -:
- 0 mrianiter so as t&beEAme subiecilo ttr0 Wdrkei's' Coriipen- -
- I sation Laws of California. - NOTICE .10 APPLICANT:'II, after making this Certificate
'-of Eeemytion. you shoul's.becorne sub/Act to the Workers
:Córr-rpensatien provisions of_the Labor ode.Tyou must -
&-fl0rthsith dom'piy with such povisionsor this permit shall-
be deemed revoked. - - -' - -- ' - -
, ' I
_)D;tJrereby aflimnn that Ihere;is a c005troctios lending IX
LLI aorcY to, me performance of the work for which this per.
limit .Ih-lAAued ISec. 3097. Civil Code)
wi Lender's Name, - -' •---. - —
- v-- Lendees Address
USE BALL POINT PEN ONLY & PRESS HARD - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING -DEPARTMENT-
- -- - 2075 Las Palmas Dr., Carlsbad, CA 92009.1915 (619) 438-1161 - -
-. &'PERMIT , APPLICATION
. .
JOB ADDRESS AV. ST. RD. THOMAS BROS NO. - DATE OF APPLICATION BUSINESS L CE SE # VALUATION , - PERM M IT NUB ER
/6 —gL /L54 /4A//Cj /O1
, - -----------. LOT BLOCK 1' SUBDIVISION ASSESS6R PARC L NO. • CONTRACTORS PHONE a ,ZONL CONTRACTOR
- OWNERNAME . OWNER'S PHONE - - •
-,
- CONTRACT AS A D ES STATE LICENSE NO ' • .- • ' BUILDING SO. FOOTAGE'
10
OWNER'SJNG ADDRESS --
rl.NFIFISPHON -DI ,2S -
OF WORK
- . -- DESIGNER'S ADDRESS - - STATE LICENSE NO.--
- F/P F L R ELEV. - - - - - - - . -- NO 0CC OP EDO - •
,
r
-
-- - siopis - - - 001202/16 0101. 02B1dPrnt- - - 30--0 - ' - D. D - -
IL CENSUS -TRACT — PARK-INC SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
- - ----'' - - - - AREA -- -
TYPE -0CC LOAD. FIRE SPR- - -. ------ --
YO N 0 ; YO No -
- CONST
- - - , - sD N Not
—
Valid Un/eec Machine Certified
-
OTY PLUMBING PERMIT ISSUE OTY - MECHANICAL PERMIT ISSUE - SUMMARY/ACCOUNT NUMBER -
- -- - Tc FIXTURE TRAP , - . - INSTALL FURN. DUCTS UP TO' 100,000 BTU • - - BUILDING PERMIT 001-8)0-00-00-8220
EACH BUILDING SEWER - - - - - . - ,_ - , . -• - - OVER 100,000 BTU •-., - - , ---- - SIGN PERMIT - 00-1-810-00-00-8221 - .---'• - --
'•- EACH WATER HEAT E R ANDOR VNx - .. --- BOILER/COMPRESSOR UP TO 3 HP - - - PLAN CHECK - - 001-810'00'00'8891
-EACH GAS SYSTEM 1-T0 4 OUTLETS' - - - ' ' BOILER/CO'MPRESSOR 3-15 HP - - - TOTAL PLUMBING 001'810'00'00-8222 - -
-EACH GAS SYSTEM S OR-MORE - - - , . -METAL FIREPLACE - - - ' - - ' - - - - ELECTRICAL - - - 001-810-00-00'8223' .3.- - -
EACH INSTAL.. ALTER, REPAIR WATER PIPE'• - .
—
VENT FAN SINGLE DUCT ' - - MECHANICAL 001-810-00'00-8224
c- EACH VACUUM BREAKER -- ' - - , MECH EXHAUST HOOD/DUCTS - - - . - - MOBILEHOME - 001-810'00-00-8225 -
- WATER SOFTNER7 RELOCATION OF EA FURNACE/HEATER,, SOLAR 001-810-00-00-8226 - - - — -
ECH ROOF DRAIN ('INSIDE) - - - -- -
DRYER VENT . STRONG MOTION - 880-519-92-33 --
-
-- - - '_ -. TOTAL MECHANICAL -
-
' 5 - - FIRE'SPRINKLERS - 001810-00-00-8227 -
-- - IUIAI PlUMBING j,TIES FEE 32081000008740
OTY.
- -------- .r;e . r.
ELECTRICAL PERMrr - ISSUEN..
* .500 Tr
Q.
- , \1GE E'9?'\ 360'810-00-00-8740 -
PARK•(N -LIEU - - - -- (A\- . - j - -- -MOBILE,HOM.SETU? - : - - 7<
- NEW CONST LA AMP'SWBKR --''•' CAR PORT - Jr ,,Wn '\ 12'810-00-O0-8835
I PH -- - - - -3 PH - 1. -. -. ( :'- - AWNING - - ' - \ 311-810-00-00'8835
EXIST BLDG EAA'MP/SWT'BKR - a ' GARAGE'- - ' -. '•'
- ' l' FMFr ')• - '' - -
1PH 3 PH - -. ' - - - \u tPX 001-S10'O0-O0-8162
---
REMOOECALTLR PER CIRCUIT — \t bLx',pyJ ,h 8805199257
--
---''-TEMP POLE- 200TAMPS.- ,
,-r. *'. - -' -. - *, * -- _ S -, -- . _•• * - ' - ' - -- -
- OVER 200 AMPS . - .• S. - ' - - - -'° ' T. MP OCCUPANCY 130 DAYS) I - -- —, - - - -
7r7.'-,i CREDIT DEPOSIT.
IOIAL ELELIRI(AE It TOYAI
-- — TOTAL FEES PAYABLE -
—
I HAVE CAREFULLY EXAMINED THE COMPLETED --APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Building Official undem the provisIons ollhis * CodeLshalt expire bylmrnitatm and become null and void If he building or work -- * AN OSHA PEtT Is REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEthon zed
tr
such permit is not commenced within 180 days from of such 5' 0 DEEP AND DEMOLITION OR CONSTRUCTION OF
the bulldlna on work authorized by such :us:nr flflMPI V WITH Alt CITY r,rlllktiv dM11 STATF I SlAbS CCllFBhIIklC. WIll flINC ITS
STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT " erm - n if
au
fSSIfFfl' ,Tfl - xb&nddln SI dl li,*w* n.Iioi Ilie omark .' *,uriiilm,ii,es STRUCTtON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY D
KEEP HARMLESS THE.CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND LIC T'S SIGNAT E * ,j
WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYI'NCONSEOUENCE 0 T
fur a peIIUU OI IOU U605. A OWNERD CONTRACTOR
-
/0 ED BY - - AT
. r-'s- y - D4
/' -
.,GRANTING OF THIS PERMITS L. - - J,,,' /)iJ, BY PHONE 173 /JU / fb - -
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY I -
GUNITE OR GROUT
SUB FRAME LI FLOOR DCEILING
SHEATHING 0 ROOF 0 SH!EAR
FRAME I -
EXTERIOR LATH -
INSULATION
INTERIOR LATH & DRYWALL
-
PLUMBING
0 SEWER AND BL/CO Li P(/CO
UNDERGROUND DWASTE UJWATER - --
TOP OUT D WASTE 0 WATER
TUB AND SHOWER PAN --
GAS TEST
D WATER HEATER DSOLARWATER
ELECTRICAL S
IELECTRIC UNDERGROUND Di UFFER --
ROUGH ELECTRIC
Li ELECTRIC SERVICE 0 TEMPRARY..
O BONDING 0 POOL -
- MECHANICAL
O DUCT & PLEM., 0 REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN-ALL APPROPRIATE
ITEMS ABOVE HA'EBEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING - -. - -• -
_________
SPECIAL CONDITIONS
- -- -
- 4 *5-.-. - . - -. 4 ••t - - - - ,*- -
,-
04
FIELD INSPECTION RECORD - * - -
- REQUIRED SPECIAL INSPECTIONS - -. INSPECTORS NOTES - -. - - - -
INSPECTION -
REQ. IF
CHECKED
INSPECTOR'S
APPROVAL -
DATE - - -
- - - -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP -
- - -- - -
- - -
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
-
- POST TENSIONED -
CONCRETE
- - - - - - - - - - -
FIELD WELDING -- - -. - - -. \ - -- - - -- :--
BOLtS - -- - .
HIGH STRENGTH
- - - - -
SPECIAL MASONRY
PILES CAISSONS -. - - - - -
- - - - - -S - - ------
____________ ____ _____
S .•' S
• , . - i , .-...'•i-
- .- S - - -. -•. . 5'_.5' - -.
- . ' -. r '_L-. t; . •jt - * .,
iir RAIl PAINT DrAll fillY 2 PRFCC 11ADfl - . .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-
- - - 2 rzD iherebyatflrm that I am licensed under
ukt pro rielona of Chapter 9 (commencing with I
I •tlo 7000) of Division 3-of the Business
Hind Professions Code, and-myIicense is in
,L tujj!orced.ftct. '
o ..- . . -
- 4 11here5y'alhrm that I am enempl trom the Cootrac .5
tor's,Licens'e Law br the following reason (Sec. 7031.5
Business and Professions Cede: Any city or County which re -
quires a- permit 10 construct, alter,. improve- demotishr- or -r, repair any structure, prior to its issuance also requires the ap- I 0' phcant for such permit to tile a signed statement that he is
- licensed pursuant Wide provisions of the 'Contractor 's
License Law (Chapter 9c6rnmencing with Section 7000 01 I
., ..Division 301 the Business and Professions Code) or that is en- -. --
- empt therefrom and the basis lot the altegee eiremytienrAny -
violation ot Sect on 7031 5 by an apphcanl for a pern I Sub I - -jects the applicant ba civil penaltyot.nol more than live hun.
dred dollars ($500). - -'--'--" - -
- I t, as owner 01 the property. or my employees with wages. -
' as their- sole lcompensation. will dothe.work, and the struc'
lure is not intendedor uttered br sale (Sec. 7044. Business I
and Professions Code: The Ceot(actorsLicense,Law does
'Qtnol apply Wan owoerrot property who bAilds 'or improves - m - he eon and who does such-work himsell or through his own I -
, employees, provided. that.such improvements are not ietendr.0. it I ed or uttered for sate.- tt however. the building or improve-'-
Z ment is sold within nrteyearot,ç'ompletion, the owner-builder I
. will have the burdenit yrndng'iiial'he did not build or im' 0 ..PtO00 for the-purpose 01 sate(. -
• -: —
I I I, as owner 01 the property, urn exclusively contracting -
with licensed contractors to coystruct the project (Sec. 7044.
_f Business and Professions Code: The Contractor's License I
Law does not apply to an owner of property who builds or im-
proves thereon and who contracts or each protects with a
%ontructor(s( license- pursuant in the Contractor's License -,
. 2 ,.a tl-(
I.]' Asa homeowoi tam'mproving my.hnme and the 10110w' I 4 ....ing conditions:euist:.1 .'sr •
IC - let .-Tke work is being pertor'med prior to sale' 2 I ;Pave-lived' in my home tor ,.twelve months I
- prior to cumpletion:ot this work: ' 7 Z - I have not. ctaimed.this' exemption, during the -
last three years. • - I
- - Dl am exempt under Sec,"a 'B & P.C.
for thsreaSon..•k-T7L-. . '-'tvTv
w
,'J vP
F - 0 thereby affirm that I leave -a certificate 01 consent to $ - -. " sell-insure. or certiticate-of Workers' compensation lO'1 V j
suiance.or a certified copv thereol.lSeU..300e, Labor Code) - -
P.
.-2 tile •1, 4F rl : '-_,Copyls d with the 4 D Certified copyrs hereby furnished
UA
A.
S.-.-
0 -J.--. !'-.CERTIFICATE OF EXEMPTION FROM
0"' WORKERS' cOMPENSATtON'tNSURANCE
- - (This seCtinnneed not becompleted it the permit
- ...' 1. ' - is-tee ode hondred dollars IStOOl or less) - I
.fOlcerhty.thatflthe,perto;maflCe0ttheW0rkt0rwhiChI
5. Ltiris pArmt is issudI'shatt not employ any person in pv 0 manner soas to become subject to the Workers' Cnrnpen- -
IN sation Laws otCatitornia.
-NOTICE-,TO ,APPLICANT: If. after making this Gertiticate
ot Enemption, you should become subject to the Workers'
Compe nat 0 'pi-ovisions,of the Labo Code yo xl sr
. Itnrthwitirdornpiy.with suchprovisiuns Or this Per shall.;
--be deemed revoked -'7- • , - '*-, - - .5 -
LJ
b(10 Lbt/te allirm ttat rnncrnrrrixn tp,.rii.rg
'agency to, the performance-of the work'turwhich this p'er.
mit is issueg,(Sy..3097, Civil Cnay(
- l—•—" - - '-'-- ----A- - — --
UJ .IeneIr'e trluxele •. ' _____
- Address' ''' . ••••t••..•,.••. -
- '
--S I
l A I .5-. - I III II I F% DEPARTMENT A Th I A I-BUILDING, -- •.. ., ... - .¼,keFU- MiJ UILIIuI' U Mfl IlVi l I - APPLICATION & PERMIT ' 2075 Las Palmas Dr., Carlsbad, CA 92009.1915 (619) 438.1161 - .
.108 ADDRESS AV. ST. RD, THOMAS BROS NO. - DATE OF APPLICATION
iiat "' ' ' ' H______
BUSINESS LICENSE 8 -VALUATION-'- - PERMIT NUMBER
5'
LOT BLOCK SUBDIVISION ASSESSOR PARCEI NO: , ' . CONTRACTOR ' CONTRACTORS PHONE' ,ZONE. _... .. ..42'V .7
- - - : OWNER'S i3L6 E_-c--r - ' . .S- ' . -• • - ' NAME OWNER'S PHONE - ,
- CONTRACTOR'S ADDRESS PAT AAe L(_. ;J t
5 7A 944
__________
STATE LICENSE NO. - - BUILDING SO. FOOTAGE -
OWNER'S MAILING ADDRESS , .0/oió-s-- o'X5C-/° --- - 'L'/ -_OO2O2/1'O1O1:02B1dPtt_--
- - -- • - DESIGNER DESIGNERS PHONE ,
DESCRIPTION OF WORK B , P
- - -. .- S •' •5. .
- ' - -. -- ' • . ' - DESIGN ER'S.AODRESS - - STATE LICENSE NO. - -. - - - -w-'4---1'-- --- - -
HP FLRELEV NO OCCGP EDU
STORIES
- vDD L2 - ' . ' - - -
--
- - •.
- ' - -- PARKING RESuNITS GRADING PERMIT ISSUED REDEVELOPMENT - TYPE - OCCLOAD PIRESPR 7EN-TRACT I AREA '.CONST '-'S'S '---_•_•• ••
•S••••
- L nO iro - vD NO - . . .v r O .1 - Not Valid Unless Machine Certified - -
QTY J PLUMBING PERMIT- SUE 7 50
5
OTY
' "5''.
- MECHANICAL PERMIT ISSUE
'-'
15.00
' .'
SUMMARY/ACCOUNT NUMBER
.• EACH FIXTURE TRAP , • - ' I' - , ': INSTALL FURN.-OUCTS UP JO 100,000 BTU , - BUILDING PERMIT 001-810-00-00-8220 . - • -
- EACH BUILDING SEWER —p - OVER 100,000 BTU': 4.---- -SIGN PERMIT
- EACH WATER HEATER ANOtOR VENT1 - BOILER/COMPRESSOR UP TO 3 HP .1 PLAN CHECK 001-810-00-00-8891
EACH GAS SYSTEM 110 4:OUTLETS' •
-.
'
. BOILER/COMPRESSOR 3-15 HP - ' - - - - -' TOTAL PLUMBING - 001'810-00-008222 - - '- -
EACH GAS SYSTEM 5 OR MORE---- '-j . - METAL FIREPLACE ----ELECTRICAL.,
EACH INSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT I MECHANICAL 001-810-00-00-8224)
' EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS - MOBILEHOME 001 81000008225
-
WATER SOFTNERL - , RELOCATION OF EA FURNACE/HEATER SOLAR - 001-810-00-00-8226 -
EACH ROOF DRAIN ONSIDE) a - 'l DRYER VENT STRONG MOTION 880 -519-92-33
C I 11 , - - - - TO AL MECHANICAL —
'
FIRE SPRINKLERS 001-810'00'00:8227-' " -
TO IAL PIUMBINL "S ' I PUBLIC FACILITIES FEE 32081000008740 —
01Y I ELECTRICAL PERMIT ISSUE -.5.00 CITY. - i6 MOBILE HOME I\15 S -
. - - BRIDGE FEE - 360-810-00-00-8740
- \ PARK-IN-LIEU (AREA'
— NEW CONST EA AMP SWI BKR I - CAR PORT /,Z.Y 4- .o;:b:\ TIF 31281000008835
— 1 PH , 3 PH ir, AWNING 00 LA COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMPISWT BKR r " GARAGE -4 rt io FMF
— lPH - - 3 PH t LICENSE TAX .,001'810-O0-00-8162
REMOOELALTLR PER CIRCUIT \t CITY 0Fg III MFF 8805199257 -
-TEMP POLE'- 200 AMPS '- & •._- o'/' - ., - -- -
• O-VER,200AMPS _-, - ' ,-'-'-. .' - -- -. ' -
--- .--- \ - '-- -
TEMP OCCUPANCY I3ODAYSI
,,CREDITDEPOSIT .-._'... ..,
TOTAL ELELIRILAL FEES PAYABLE 1 j6iO - w - '-
I FjYE CAREFul I Y FXAMINFIT THF COMPI FTFII u 001 ICvTtflyj 0 PCDMIT MID DO I ICIlED F tin P PPxlIf 110 dIE, II.' 0 lIt y tI xl UIrUIr, tIle prOntsiwro ovrniir * AN OSHA PERM T IS REQUIRED FOR EXCAVATIONS OVER -void -If CERTIFY - UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE expire authorized by h0 '° permit is I
and the building or I 5-0" DEEP AND D€M('X ITN Qfi CQtTRUCTION OF lfQm the- S!HtLIUBfE, OVER I YôRI IN HQHT I FIIRTh IF A PFRMIT I DECLARATIONS ARE TRUE AND CORRECT AND CERTIFY AND AGRFF 410 II U IltrIB UtJtlUltt OF WON Authorized b s('
WIIH,ALL DIIY. COUNTY AND STAT 91111 DING (0N- 155UEU 10 LUMPLY I.AWSOVERNING .',' d.' jIB WLttR IS cuIttInenea nOr-terIod - ' - ''5 - - of I8 days
IHULlIUN, WHhIHEH SPELIF-lED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND -
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE * OWNERD - -AP 0 ED'BY' - - - ' - - -- CONTRACT - -' - U.i •. - - DATE/
EXPENSES WHICH MAY IN ANY, WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE - BY PHONE 0 - ~114 GRANTING OF THIS PERMIT. .
- - .. #.5
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME El FLOOR El CEIIJNG
SHEATHING El ROOF El SIIEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
El SEWER AND BL/CO El PUCO
UNDERGROUND El WASTE DWATER
TOP OUT 0 WASTE El WATER
TUB AND SHOWER PAN
GAS TEST
El WATER HEATER 0 SOLAR WATER.:
ELECTRICAL
0 ELECTRIC UNDERGROUND El UFFER
ROUGH ELECTRIC
El ELECTRIC SERVICE El TEMPORARY
El BONDING El POOL
MECHANICAL
El DUCT & PLEM., El REF. PIPING
HEAT - AIR COND. SYSTEMS -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS AR()VF HA VF RFFNIAPPR()VFO-
FINAL !
PLUMBING
ELECTRICAL
MECHANICAL ) GAS - . I *
£ 4 ':
BUILDING
SPECIAL CONDITIONS -
-..-'
'S -s
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APROvAL DATE
. -
PRIOR TO - --
SOILS COMPLIANCE
FOUNDATION INSP - . - -
STRUCTURAL CONCRETE
OVER 2000 PSI
- - - - - - - -
PRESTRESSED
CONCRETE
CONCRETE
POST TENSIONED.
FIELD WELDING -
HIGH STRENGTH -
BOL15S
- - -
SPECIAL MASONRY
PILES CAISSONS
- \)--'• - ç -
-.
k
- . ...- -
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-- - --._-x-'.-.. •-'--------"--*---.- ______I --
-xr
.. r'HYJ thereby affirm that I am licensed under
proieiona ofCflapter-9'(commèncing with
" S.ctlon'7000)ot Division 30t the Business
. r.a1dPot.5biO Coàe, and my license is in I
• u -,-- ' % h'1 xhereby attitm thai I am exempt from the Contrac-
- or's' license law' or 'the following teadon (Sec. 7031.5 0 'Business and Professions Code: Any city or county whichre-
, quiresapermrt to construct,, alter, improve. demolish, or. - • T repair any structure, prior to its issuance also requires Ire ap- 4 ' Or: plicant such permit to file a signed statement that he is. I -- - lrcensed-r pursuant-' to the provisions of'tttecontractor's
License law (Chapter 9-commencing with Section 7000 of
_,,,,DivisioQ3 g(,the,Busioess and Professions Code) or that,is.eo- -
- empt theretrom and the basis to, the alleged edemption. 'Any' -
violation 01 Section 7031.5,b an applicant bra permit sub -
'ects the applicant lu'a,civil penalty of not inure than live bun- i.e
-. dred dollars-(5500).------- -r- -.--- — - -
- It I. as owner of ihe property, or my employees yvith wages
as theit sole compensation, will-do ttre.work, and the struc-
o - tare is not intended Or-Offered for sale (Sec. 7044. Business -
-- and Professions Code: The Contractors 'License Law does
°- not apply to an Ownarot. pio'perty who builds or improves m' _thereop and who does such ,work hii,is'clt or through his own - - - employees. providett,that such improvements are not intend-
W Ir ed or-offered fir sale. .It- however, the ci .ng'oi or impr66-7 I - meet is sold within one'year of completion, the Owner-builder
C will have the burden-nt-proving that hg_did not build or im- I
0. .. prove Or the purpose. of .sale), ... .
I. as owner of the property, am exclusively contracting I
witlf licensed contractors to construct the project (Sec. 7044, ' -' C., c Business-and Professions Code: The Coot rictor's License
- • Law does not apply-to an owner of property who builds or im-- -
-proves thereon. andwhn contracts lot each projects with a (A contractor(s) license pursuant to tire Contractor's Licen'so - Z'--'-'Law)- 2 'Ll
Ii Asa homeowner I am Improving my home, and the follow. -
ping conditions -exist:, ' vr'v a' r, '•,'-jj' The worhis being performed prior to sate.)
- — -2. I 'have 'lived in, my home' or -twelve,- months
- prior to completion of this work. '--1 -
ua _ 3. I have 001 claimed this',e'vomptioo during - the O - last three years.
'
0 lam exempt under Sec. ___________________ - B & P.C. , 4 for this reason.'-'(v x' •l
...0.-I hereby affirm that t have a certificate 01 consent to
seltinsurv. era certificate of Wuikers Compensation In.
urance. or a certified cop/ thereof (Sec, 3800. Labor Code) .t -
; POLICY NO. 'A
Copy"TJilvd nith the
- •-r'''-a-'-., 0 Certified copy is herebyjuruished
UJI CL
ou
* 9 CERTIFICATE, OF,EXEMPTION FROM -- r r WORKERS' COMPENSATION INSURANCE - fl' ,. 'IThis'sectionneed not be completed itth"permit
r '.' is or one hundred dollars 151001 or less)
- l.certily tlrat in the performance of the work or which
' J thid permit is issued,l shall not employ any person in any 0 manner so as to becobne sObieci t6 the Workers' Cumpen- I
tsatiou Laws of California. •
- - '
N OT'
CE110 APPLICANT: It.' alter making this Certificate " 4 Exemption, you should become sbbiecl to the Workers'
- Compensation provisions 01 the Laboi'ode,' yOU must -
forthwith comply with such provisions'ov this Oermit shall I
- be deemed revoked.-
- -
-'• '"-'
-.-'
"Dl,hr4by altirm that thds a construction lending
agency for the performance 01 the work for which this per. p ol )mil is issued )Sec.. 3097. Civil Code)
Z I wl L -ender's Na - - -me - -. - -•r -. - — -- - -c"
_.Ji
Lender's Address
' -- CARLSBAD BUILDING -DEPARTMENT '- ': -. - . APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 - , • - '
- •-j.__' -
J08 ADDRESS AV, ST. RD. THOMAS BROS NO, DATE IPF APP ICATION BUSINESS LICENSE - VALUATION • PERMIT NUMBER
LOT ,BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR • CONTRACTORS PHONE - - - ZONE - -•
— OW ER'S NAME' _- _
__
. -' OWNERS PHONE
QAJ'iy, ?,
CONTRACTO E
1)
1
LING OWNERS MAI
l< STATE UNO CENSE
- -
BUILDING SO. OTAGE
ADDRESS
DES F?_ J'. ::'juL J DESIGNERS PHONE - • . patr&L S DESCRIPTION OF WO • ,.. - ?i3s'Z_1(_I(_LJ(SIO,-'S STATE LICENSE NO.
z~ i-' ;
S,6 m4,4- . DESIGNER'SffoRESs - - .. ' - .--- - .. --- - - ' ---- .--
____________________________
- - FP - FLRELEV, - NO - 0CC OP EDU - s. - -j . - STORIES -• .
- - YO 'NO --- . • . . . - - - --
- -------- 'CENSUS TRACT-'- 'PARKING SPACE , RES UNITS GRADING PERMIT,ISSUEO REOEVE1LOPMENT , -• TYPE' - 0CC LOAD FIRE SPR
-------4- - —
-
'
' - •, •
w YO ND
AREA -
vD NO
- -n' CONST
'- -
-
-
- -- - 25O • ----' -•, - _______- --
-
YDNO -.
OTY PLUMBING PERMIT ISSUE - 750 OTY MECHANICAL PERMIT ISSUE r 15.00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP - . -, INSTALL FURN. DUCTS LIP TO100,000 BTU ' - BUILDING PERMIT 001-810-00-00-8220 - -'
EACH BUILDING SEWER ' - I. - - - - . - -- -.OVER--100,000 BTU' .)_,_-e_. - — SIGN PERMIT- - .-- -001-8-10-00-00-8221 - ------- — ' '-- -
,:[T ,AcH WATER HE'ATERANOrrOR VENT - - I BOILER/COMPRESSOR UP TO 3-HP • PLAN CHECK 001-810-00-00-8891 - -
EACH GAS SYSTEM') 104 OUTLE'TS - ' - - BOILER/COMPRESSOR 3-I5 H S ,A ' - - , TOTAL PLUMBING 001-810-00-00-8222 - -.
EACH GAS SYSTEMS OR MORE-----". , ':.. - METAL. FIREPLACE.- • - ' - uELECTRICAL - - - - --001-810-00-00-8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE1 - - VENT FAN SINGLE DUCT -, .-
l MECHANICAL 001-810-00-00-8224
E' EACH VACUUM BREAKER - . - -, - :' '. MECH EX'HAUST H'OOO'DUCTS "-' - - c3,Ir.; - - MOBILEHOME 001-810-00-00-8225 -
- WATER SOFTNER - r - ' " - - , -' , -
RELOCATION OF EA FURNACE/HEATERØt —IL - - SOLAR 4. - -• - . - 001-810-00-00-8226 - - - - -
EACH ROOF DRAIN I,INSI0EI - - - - - - ' - DRYER VENT .t19 STRONG MOTION 880-519-92-33
TOTAL MECHANICAL
- -
-
rz- -
, - • - -.
FIRE SPRINKLERS - - - 001810-00-008227 - - - - -' - - - -
- ro I-Al PLUMBING - -- , -• '' - -" - -PUBLIC FACILITIES FEE 320-810-00-00-8740
-
0Th',
- ' - ' - -- ., •, r
', ELECTRICAL PERMIT -ISSUE-'. -1.00 '""T
OTY
- • - . ' -
MOBILE HO M,
BRIDGE FEE 360-810-00-00-8740 - -
PAAK-INLIEU (AREA - -
--
- -' - CAR PORT -- - __.— -- - - - TIF -' 312-810-00-00-8835 -- - -
I PH • - 3 PH - - -,.,. ' '• , . AWNING - - , , LA COSTA TIF 311-810-00-00-8835
- EXIST BLDG EAAMP/SWTBKR GARAGE' -FMF
- IPH -- - - - 3 P -•, - - - -' - , LICENSE TAX - - - 001-810-00-00-8162
-
- - -
NEW-CONSTEA MP,'SW1 BKR -------
REMOOELALTER. PER CIRCUIT -:.-
-- -:. - - - '• ' '-' -
•' i: °88 -
- -- - - MFF • , — • 880-519-92-57 - -
uTEMPP0LE200AMPS c ,..ry- :-- ,__,•
- OVER200Amps 47 - ('iTVTPC(cIIRFP (OJ -
-- ,JEMPOCCUPANCYI300AYSI . . '- - UIYAA
- UFCALSBAD
- -- —CREDIT DEPOSIT .,,•,_
-
TOTAL EiEU1RR:A -. - I ''
-TOTA ..
' ;,•) 'ètV' - TOTAL FEES PAYABLE
- - -
I HAVE CAREFULLY EXAMINED THE COMPLETED '-APPLICATION AND PERMIT** AND DO HEREBY EopiratlonEverypermitissuedbythe6urldrngOfliclabundertheprovrslonsotihls * AN 0511* PRM:T-IS REQUIRED FOR EXCAVATIONS OVER Code shall expire null and void if the building o work - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil, or if the building or work authorized by such permit is ;usnd:d; STRUCTURES
COMPLY WITH ALL CITY. COUNTY. AND STATE LAWS GOVERNING BUILDING CON-
OVER 3 STORIES IN HEIGHT
- — - - ISSUED: TO abandoned at any lime alter the work is commenced for a period STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN~APE~ANT'SATU HARMLESS THE CITY.OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN E NERD BYKEEP.
of 180 days -
APPROVED CONTRACTOR
, fl'1 WHICH MAY IN ANY, WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF
- G
EXPENSES
RANTING OF,THISPERMIT. - '•' - -
--.
- BY PHONE 0
TYPE ! DATE ' INSPECTOR
BUILDING
FOUNDATION-
'REINFORCED STEEL - I
MASONRY
GUNITE OR GROUT
SUB,,FRAME S FLOOR S CEILLING
SHEATHING S ROOF S SHEAR
FRAME
EXTERIOR LATH
'INSULATION
INTERIOR LATH & DRYWALL
- PLUMBING
S SEWER AND BLJCO S PL/CO - -
UNDERGROUND 0 WASTE 0 WATER
TOP OUT S WASTE -S IATER:
TUB AND SHOWER PAN
GAS TEST -
DWATER HEATER D SOLAR WTER
ELECTRICAL - - -- -
O ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC -
o ELECTRIC SERVICE 0 TEMPRARY
O BONDING 0 POOL
MECHANICAL
O DUCT & PLEM., 0 REF. PIPI1G
HEAT- AIRCOND.SYSTEMS I -
VENTILATING SYSTEMS -
CALL FOR FINAL-!NSPECTV ON WHEN ALL APPROPRIATE
-. -ITEMSABQVFHAVFBEENAPPROVFD: -
FINAL
PLUMBING ' - )_'• ç,
ELECTRICAL
' 4 MECHANICAL I (
BUILDING
SPECIAL CONDITIONS
- •.--.-.- - 4 r- - -
'rsO '1,h
FIELD INSPECTION -RECORD
EQUIRED SPECIAL INSPECTIONS.---- -. - INSPECTORS NOTES
INPE'TIN REQ. IF INSPECTORS DATE CHECKED, APPROVAL -
SOILS COMPLIANCE - -
PRIOR TO.,
FOUNDATIONIN5P
STRUCTURALCONCRETE
OVER 2000 PSI _________ ______________ '• -.
PRESTRESSED \- - CONCRETE
POST, TENSIONED. CONCRETE
FIELD WELDING
.HIGH5TRENGTH
BOLTS
5PEC1AL .MASONRY_. -- - - .. -
-- -
PILES CAISSONS
_______ ___ ____ ___ - -- -•-- 4
-_
iP
- - - - - - - - -_
- -.)'*- I •*•• - -- •
___,___ \__• -. - .1.4 a ---S" _- 8,J
. '. .
_• .,• _, -
-
'
-' -. - . ?-J- A .,. - '• . - •
0 ' -_ - '.'- t
- -, - -
t - • - - I - , - - - - . • - . --
- i'•________ - . - - -, - - - . -
USE BALL POINT PEN ONLY & PRESS HARD - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD-BUILDING -DEPARTMENT-,--- - -Jr
2075 Las Palrnas Dr., Carlsbad, CA 920ö9-1915 (619) 438-1161 APPLICATION & !EMIT . - : - -
j hereby affirm gnarl am licensed under
n
- - - U 'brofeioa of Chapier9 (commencing with • JOB ADDRESS I AV. ST.RD. THOMAS BROS NO. [DATE
/i
0 N
J
.P APP1CATIO - -, BUSINESS LICENSE # VALUATION EAMIT NUMBER-9 on,7 ) of Division 3 of the Business
8 - LOT - BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTR T - - f CONTRACTORS PHONE ZONE . - .
11~01 I am ram
Sn andp : - OWNER S NA ME OWNER S PHONE 77- 52 -
- qurres a permrLto construct., alter.- Improve, demolrsh or -- - - . - - CONT RACTOR'SAOD 51 I ' 1! STATE LICENSE NO. BUILDING SO. FOOTAGE - - -repair any structure, prior toils issuance also requires he ap- C -. t-SUCh permit to file
licensed, pursuant to` the' provisions 'at the-Contraclors
o a signed t
LEN
LING ADDRESS . .5Lic~nse La. (Chapter q,commerciii~ with Section 7000 of 2-. r-(e-
- . Division 3et the Businessand Prolessioss.Code)or that is ex-- - DESIGNER ,, DESIGNER *S PHONE empl therefrom and the basis or the allegeo exempt on Any nC.w-
- I _ - - - u. .,.-_ ._- - _- C,•••,_._ violatiop 01 Section 7031,5 by:aoapplicant toia per. sub-:41teds te applicant toa civil penally 01001 more ll(an live hun OF WORK -
drod dollars ($5001 --- - --' -- - DESIGNER S ADDRESS STATE LICENSE NO - -- -,-- - --- -
I I, as owner01 the ptoperly,'or my employees with wages •
r
do the work. and the St
Io :s i .P9QL Q9/lLO1o1-O2B1dpmt
and ProtessionsCode: -Tlre Contractor's License Law dnes i -I . .. F/P -FLR ELEV. , - . - NO 0CC GP EDUt-not apply lnan ownerojproperty who bijilysni improves-,U ... - -STORIES ' thereon and who does such rirork himsell.or Iht0ugh.his own.-
-employees-provided at snch improvements are'not intend- I
Ui edorolteredIor.saIe,.It1rowevor.thebu4drng:rOwneimprove.C1?l ----. -CENSUS-TRACT----- -PARK-NOT SPACE RES UNITS - GRADING PERMIT ISSUED REDEvELOPMENT , - TYPE - 0CC LOAD FIRE SPP - - - - will have the burdonotprovIrllrutiie,did;nOihuiIdoriirr. i - - - — - _ ' - AREA-n - - -- ' C0NST ,. '_. . - • - 0 _prove brIbe purpose of, sale). - - - _- --------,--r--------- --- } ------------ -- - . -, . nO. N 0 - - - , nO ND - . ,• nO ND - - Not Valid Unless Machine Ce,-ti(ied. - .,
- .IIWin.asownerolthepropory,amexcIusivqlyço9tracti1gJ
licensed contractors to consl~tucl the project (Sec. 704 , _ -- __•..__ _! i__*-----. - - _----,-----. -_----- - - '- -'-- ---''--- - :' . ';_' ' 'S '' tO
flsdPtesons EThCactsLicefl QTY. -PLUMBING PERMIT- ISSUE - 74.:- OTY. MECHANICAL PERMIT.- ISSUE - -J\29..- - SUMMARY/ACCOUNT NUMBER
-. - Law does not apply loan owner nt property who builds orim-
proves
I-'- - C - . -- .v - • - • --- - - - _. _•*•__ •_•_ -
Y EACH FIXTURE TRAP - ' - ' INSTALL IURN. DUCTS UP 10100,000 BTU . - • ' • BUILDING 001-810-00-00-8220 • - - - - . -
Law).
(A onlractor(s)'license pursuani'to the Contractor's
-4. 1 EACH BUILDING SEWER - - OVER 100 000 BTU --- ----------- -SIGN PERMIT- -.----001-810-00-00-8221 - -- — - -Ij
.It'AsaIrOrneownerIarnrnproviflgrnyhnme, and the loIIowJ.. EACH A-TER1EATEI ANDiORVENT ( - - B0ILEBPRESS0R UP TO 3 HP - '- - - - • - 'PLAN CHECK - - - - • 001-810-00-00-8891 - - • • cc L -:JA The'viork is being perflirmid-prior,to sale.- EACH GAS SYSTEM ITO 4 OUTLETS I 8OILLR1MPRESSOR 315 HP, - TOTAL PLUMBING 0041-810-00-00-8222 O_
prior to completion 01 this work, .T • • - - . ' - - •- - • -
W __ 3 I have net claimed tIlls enemption durn
three years. i
g the - EACH GAS SYSTEM S OR MORE -- .4 ME12 EPLA ,. -_8 - - ELECTRICAL—_- -.--- 001 810 00008223 - / .-•'- — -
- 0 IameoemptunderSec - - - - B&PC !__ __._ _EACH INSTAL.. ALTER, REPAIR WATER PIPE - VE'TWAN SiLE D • - : I •-, -- MECHANICAI. 001-810-00-00-8224-
Iorthisreason,I' 5 IT'- jf EACH VACUUM BREAKER - MH EX(ST IJCTS MOBILEHOME 001 -810-00-00-8225
L I
-
WATER SOFINER SOLAR - - - 001 81000008226 - - - -- -
i r-e
-
EACH ROOF DRAIN (INSIDE) A1 DRYER JT (' 0 I STRONG MOTION 880-519-92-33 Ij - - sell-insure.l r bcertificate 14 '.. - c " I - - - -tj1 ,13TAL4,ECi-V'NICAL I' - - - ' FIRE SPRINi(LERS -'-0017810-00-00-8227" -
- 5 0 Ce 0 ace II ed Copy the'hoI ISeC 3800 Labor Cndel I - - - - - -
01 TOTAL I A PLUMBING IIC r - '- I '--- - - 0 ;'- ." - - - - -. - - • - - - - - - - t - - a • 0 - • - - . • - -- -M-810-00-00-8740
(i .1IPOLICY ND.33 - - - •- -' i. - - = ________________________________________ _____________
Z YG4Z' - — - - -.-- - - - - X. - -. --' - -' -C2 BRIDGE FEE 36081000008740 >
.
OTY ELECTRICAL PERMIT ISSUE -
QTY 1. ILE HOME SETUP - PARK IN LIEU (AREA I -Fr j- - -- C
0 Celled copy s heEebl dt Oj NEW CONSI EA AMP SWI BK A - CAR PORT TIF 312 810 0000 8835 - - .- - --..-.---.--•-. i — - .--- - - --C - --
CIL I I PH 3 PH - AWNING s LA COSTA TIF 3111 :810-00-00-8835
- -s -CERTIFICATEOF EXEMPTION FROM EXIST BLDG EA AMP/SWT BKR - -'-- - GARAGE -- ----- - - ,----- -- -- - - - FMF - - - - - - --- - '- -
C) e- -- - WDRKERS'-COMPENSATIDN INSURANCE , - -. - - - - - - - - - - - - . - - - - U) , IThis Section need not be Completed if the permit - 1 PH I - - - 3 PH - - - - a -, - - - -- ' LICENSE TAX - " 001-810-00-00-8162 - - - ir I _ B s tO 0 e hundred dollars IStOOl 0 less) - - -
IF0 Icet tylkat the performance ot the work buwhCh I REMODEL ALTIR PER CIRCUIT ° - I MFF 8805199257
ha-this is issued-I-shall not employ any person in any I - - - - - , - - - - - - - - - - - - - - 0 maflnersnasloMcomesubjeCrt0theWoriOers'Compefl.I - - TEMP POLE- MPS '• ---1 - - /1'- -' - - - - ' - ' -- 'w -- - --.-. - - --•
- sarinnLawsolCaIiborrsia..
-.-.. . _ OVER 200'AMPS_
- NOTICE TO APPLICANT:If. alter Taking this Certificate j1,- - - - - - —r . - . --- - , - - - -- - -- olExemption. yo shouldbeconres bteclbotheWo ken - TEMP OCCUPANCY (30 DAYS) — -
CompnsatinnprOnisions Of_the Labor Code.ynu roust' 1 - - -- - -- - - - . -
C ti.Io 1kw th complyw 1k such po sons or th S pe ml shall1 I ' - - - - - - ,. - - I - CREDIT DEPOSIT , - . ._,.... - - '- be deemed revoked. - - '. - -, - - - - - __________________ . - - _________________ - _____________________________ --
-- :-
TOTAL ELELIRIIAL —
- I - ,?- -
TOTA1 L
- - - - --
TOTAL FEES PAYABLE
- re - — -
is a construction lending I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration. Every permit issued by Building Official under me provisions 0Itf S * AN OSHA PERM :T IS REQUIRED FOR EXCAVATIONS OVER.I. reby wirnn the; -
NG THE Code shall expire by limitation and become null and void If the building or work 5'0" DEEP AND DEMOLITION OR CONSTRIJCTIQN OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDI authorized by such permit is not commenced within 180 days from the date
'TnII is issued (SJc3O97 Civil Code)
uch or w IC iS per. - DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such suspended STRUCTURES OVER 3 STORIES IN HEIGHT
Z - - ,_. ._.,. .._ I.. ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for a period 01180 days - - . - - -- - -- -- Ui Lenders Name -- - - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY APPNEANT'SSIaTI tn Il fl rt APPROVE Y I IL - - DATE •
Address KEEP HARMLESS THE CITY OF. CARLSBAD AGAINST ALL LIABILITIES. JULXMENTS. UOSIS ANO • . •••-_ •,'w, ,s.r,-, -_ -•- -. - - • • - -
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUN ITE OR GROUT
SUB FRAME LI FLOOR LI CEILING
SHEATHING LI ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
LI SEWER AND BL/CO Li
UNDERGROUND DWASTE 0! WATER
TOP OUT LI WASTE LI WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER LI SOLAR WATER
ELECTRICAL I
O ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC
O ELECTRIC SERVICE 0 TEMPORARY
LI BONDING LI POOL
MECHANICAL
LI DUCT & PLEM., LI REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPEC7ION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL D ATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
OVER 2000 PSI
STRUCTURAL CONCRETE
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
...
SPECIAL MASONRY -
PILES CAISSONS -:
I