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Home My WebLink About1884 High Ridge Ave; ; 83-567-62; Permitsrvi[ 0 0 .. z 0 ~ "' ~ :al 0 "' w 0 ... 5 .. ii: w z ~ z 0 ~ z w .. ,. 0 0 .. "' w " "' 0 ;r il O I hereby affirm that I am llcensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Profess!ons Code, and my license 1s in full force and effect L,c No _____ _ Clo,, I hereoy a1hrm lhal I am exempt 1'om the Contrac ior s License Law lor lhe !ollowong reas~n (Sec 7031 5 Busmess and Professions Code Any cIt·1 ar rnun:y which re quires a permit to construct. aller ,morove demol,sh or reoaIr any slructure prior to ,Is issuance also requires '.heap plIcant 1or such pe'm,t 10 file a s,qned statement lhat he .s I,censed pursuant 10 the provIs1ons of the Contracror s License Law (Chapter g commencing w1!h Ser:1,on 70C0 of 01v1s1on 3 01 'he Business and Professions Coce; O" I hat ,sex empt therel,om and the basis for the a,leqeo e,empt,on A~y v,olat,o~ of Seci,on 7031 5 by an appl,cant lor a pe,m,1 s~b 1ects the appl1can1 to a cw,I penalty of not r,,ore than ,,,e hjr Cred dollars !$5001 I, as owner ot the property. or my errployees w'1~ wages as lheir sole compensation will do lhe work ana t~e si•uc- tu'e ,s nm rntended or of1ered for sale 1sec 7044. Business and Professions Cooe The Contracw s L•cense Law does nol aoply to an owner ol property who builds or improves thereon and who does such wor~ himself or lhrough his own employees. provided tha! sucn improvements are not ,ntend-ed or o11ered for sale. 11. however. the bu,ld1ng or improve· ment ,s sold within one year ol comple1ton. the owner-builder will have the burden of proving that he d,d not build or ,m- prove 1or the purpose of sale) I. as owner of the oroperty. am exclusively conlractIng w,lh licensed contractors to construct the pro1ect I Sec 7044 Business and Pro1ess,ons Code The Con1racro, s llrnnse Law does not apoly to an owner of property who burlds or Im proves thereon and who ronlracts !or each pro1ects with a contractor{s) license pursuant to the Contractor's L,cense Law) ·-As a homeowner I am Imwovmg my home. and lhe lollow Ing cond1t1ons exist 1 The work Is being perlorrned prior lo sale 2 I have lived 1n my home tor twelve months prior to complet,on ot 1h,s worl<. I have not claimed Th,s exemption durin~ the last three years ~r 11h~:'r~~~~t under Sec _____ _ B & PC D I hereby aHtrm thal I ha,e a cerl1t,c<1te o' consent to self ,nsure or a cert1f,ca1e of Workers Compens.,t,on Insurance or a cer!,he<l ;oo; thereof 1sec ~-Labor Code) POLICY NO COMPANY 0 Copy ,s lile<l with 1he cIly D Cend1ed copy Is hereby fu,n1she<l CERTIFICATl OF EXl::MPTION FROM WORKERS' COMPENSATION INSURANC.F_ (This sec11on need no1 t>e compIe,ed d me ;:,er.-n.t ,s tor one hundred dollars 1s100, '-" less, D I cert,ty 1r,at In the per1ormance of !'1e ,..or. to, wh,ch this perm,? Is issued. I sh<1II nol erno•oy dn, person ,n any mar>ne, so <lS lo t,ecome sub1ec• t, the Worl<e,s Compens.at,on Laws of CaI1forn1a NOTICE TO APPLICANT It afler rnakIn:i tr,is C.en, locate of E•emp1,on you should become sut>1e< t '' lhe Workers Compensation pro.isIons ot lhe Labor Code. you mus! lor!h,..,th comply w,lh s.,, ~ provIsIons o, lhIs perrnI1 shall o,> Oeerne<1 re,,,ked D I hereby alt,rm that !here Is a ,_or,str~,-rIcr lending agency lo, mP per1orm¥Ke J' me ,..or. rcr wh,ch this oerrn,1 ,s 1~ssJed ,Se,. XJ9? Ci.ii Code, lenders Name ___________ _ Lenders Address __________ _ 1 U->l. U'"-LL ru1n1 rl.n un~o rnL~.> n.._nu CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 t:iU::.INt::J:J Lf,._tN::.t # : ,oei"iZ/s 1-fiqh R!dacz, ~~-ST.RD. ii;;:;;;;~x 1o•;'i1/;;;TION ---·-. --·-VALUATION LOT atoci< Ass~;PAF~lJ,SL/L/OD coNTRACTOA CONTRACTORS PHONE t ZONE PLAN I.D. # I I ho~w~N;;,~A~-!s~M~AblLL~IN!G~A¼O;;:O~A~E~Sts~;x~---------~1][1,,,;~=-2 ~~,d_--t~~!l...:Iirla:ll:Xiic£~~15:_,;5.1o.__cfi ________ J=-cc-::-c= I ::, I ANU"""U t'LAN # ~ • DESIGNER ·--··-----···-•---· • ' '-D.41 .1ii-l:Jarrl Or. .:;uc;-_ .s«i ~-Ca 9':J.11'-f ,... ,.., _____ ; __ HLH ) : l..J~::t.~:lf:;[lle!:t;___.::uo'1)j1:cc_.f:!l.ll:!J.l!.f._-=1~i:::ill;;l<!ZiDCJe.~--.I DESIGN E A"S AO DA ESS :L _____ _Jl-'J<r:JD ______ J.:!Bi::l..~i:.:::ic;~~rEIC.:'.iij.O:i~ Ll\...tN::>t,, OE.SIGNE A'S PHONE . '71'1- "1<;;2-/9!/C, ace GP EDU I vC NO --- CENSUS TRACl GP LAND USE PARKING SPACI: RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT F-IRE SPP AREA I PERMIT NUMBER 53--St:_, 7-E, .2. BLDG USE CODE I BUILDING SQ FOOTAGE Q'.:J ,9 1 y O N O , 0 ~ v □ ,,_ Not Valid Unless Machine Certified 11--~--_L _____ .L_h~/--+-L--L.--~~c:._._::...,:c__ _ _L __ __:.=_=~=~-_L.:il.~-.,_---L'.-=-=w--_::::_:.::::_.:::::::._=__:-=.__:::__ __ ~---J SUMMARY/ACCOUNT NUMBER QTY. PLUMBING PERMIT -ISSUE 1 7~ ">h Ii QTY. MECHANICAL PERMIT. ISSUE I -z- "1 nn-oo-s220 I EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU -BUILDING PERMIT cwu, ~=- EACH BUILDING SEWER ______ _____ OVER 100.000 BTU SIGN PERMIT EACH WATER HEATER AND OR VE.NT BOILER:CUMPRESSOR UP TO 3 HP l-----'----1-PLAN CHECK I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER,COMPRESSOR 3 lS HP TOTAL PLUMBING I EACHGASSYSTEMSURMOHf ---+---MtTA-1~F1REPLACE ---ELECTRICAL I --------.----"--'----+ ----------- EACH I~-~~~~~~. REPAIR \".'ATER PIPE --+ -+--ti -~~~-A~ ~ING L~~~T __ _____ ____ __ _____ MECHANICAL EACH VACUUM BREAKER I, MECH EXHAUST HOOO·OUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK INSP 1---1---------------- I I I I 'IOTY I I I FAU--1 ~;::or 18,°\lt, , ·~.s lil, SOLAR TOT kl ME CHAN I CAL STRONG MOTION - TU1ALPLU".'1fllr,,;(, I S"I- ELECTRICAL PERMIT· ISSUE .s-- NEW CONS r EA AMP SWT bKR /U) ~ - ·"1 . QTY. I SOLAR· ISSUE COLLtrORS -FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT I PH STORAGt. TA~JKS EXISIBLUGEAAMP·SWTBKR I ---·· :1 IROCKSTGRAGE I 11 - 1 PH 3 PH I, Pl!~,1P J PH Carlsbad Encinitas San Dieguito J..,,ffi REMODEL Al lt:.R PEH CIRCUIT ~IM, Cf-l~CK FtE ------------ll--San Marcos TEl\i1PPOLF lDUAMPS u 1-vu-00-8221 01-00-00-8805 - 01-00-00-8222 ~- 01-00-00-8223 3 - 01-00-00-8224 7 - 01-00-00-8225 - _fil.:_Qfr00:a22_6_ - 80-92-33-0~.§1_ -o_,__'=,_9_ 01-00-00-8227 32-00-00-893:J o/H_S'-1_ ·-- -- 80-92-21-0519 80-92-22-0519 80-92-23-0519 80-92-24-0519 I OVER 200 AMPS TEMP OCCUPANCY' :]O DAYSI II ,_ LICENSE TAX 01-00-00-8162 +-------------+-------+f----M_FF~B0-92-57-0519 l L~ .. ~&ro~_ -~-~--l B'oQ -I CREDIT DEPOSIT I I TOTAL FLfLTRICAl ! ~.-' I TOTAl SDLAR TOTAL FEES PAYABLE r I 4 ,l5l; L <.:, q I I I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT" AND DO HEREBY fapiration. Every permit isSueo by the Building Offlc1al under the provisions of this CERTIFY UNDER PENALTY OF PER44.JRY THAT ALL INFORMATION HEREON INCLUDING THE Cooe shall_ expire by hm_1tat1on and become null and void If tha btrild,ng or work * A_N ~HA PERhUT IS REQUIRED FOR EXCAVATK>NS OVER I OECLf>._RAT!QN&·,RE TR,_UE_A~ CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 1S aulhorized by such permit is not commenced w1th1n 180days from the date of such 5 0 DEEP ANO OEMOLfTk)N OR CONSTRUCTION OF I iSSUE(Y ·"to CDtiPl Y WtTH All OlTY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-rrm;r Of ii the budding or work authorized by such permit 1s suspended or STRUCTtlRE:S OVER 3 STOfUES IN HEIGHT I STRUCTION. WHETHER SPECIFIED HEREIN DA NOT. I ALSO AGREE TO SAVE INDEMNIFY AND '-;~b~on:;;o~o~ed~a~t~•~';;'~•m~•1•~ft~e,~lhe~~•~o~<k~,scc~o"m~m~eo~ce£!!d~lo"':''!J,!;'C'od"1.SOLl1180~!1d!>'.J'L-:;;:;-1'":°::::l:':,:::~~~------------.:or-fo-----~ KEEP HARMLESS Tt-jE c1:ty OF CARLSBAD AGAINST ALL UAB!LITIES. JUDGMENTS. COSTS AND AP GNATURE .. OWNER O CONTRACTOR 'fil'. .. I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C!TY !N CONSEQUENCE OF THE / ► GRANTING OF THIS PERMIT BY PHONE 0 .3! ii " ;;; 0 0. E w f-- :2 0 "' c m u 0. 0. <( I ~ C 0:: 0 w w w w w <( I ~ _2 w >- w w w u 0 a: m ;;; 0 ~ w u C m C LL =- C w ~ "' 0 u m 0. w C ~ L ,:: TYPE I DATE INSPECTOR ~---------------__________ ------------------------~~-'----- BUILDIN~ I 1 ✓ • ·-'8'"3-51.ol-"~ • • FOUNDATION \&Zit , ... , 11t_.e -, n.1!°b''A' ,~ FIELD 1NsPEcT1ON RECORD REINFORCED STEEL 1 • REQUIRED SPECIAL INSPECTIONS 1 ~====l;;N;;S;,,,PE;:C;:T;;Oc;,;R;,,,S=Nc:;O""T,;aE~S=====~============< MASONRY ~ ~--~ F 1 ., REO IF INSPECTORS GUNITE OR GROUT , , r.}, ,@pa iNsPEcrioN cHEcKrn APPRO'✓AL □ATE FLOOR & CEILING SUB F6-AM.E ~ / SOILS COMP•. "CE SHEATHING ~Ro= ri SHE!AR _Q _ c< -~ -PP10R T~ • ,, ,.,, 7 1 f-C,UNDATIO'..J l"-<SP FRAME -{...)"C,-' I l-------------------_____ I----- STRUCTU9A:... C(1NCRE~ E • EXTERIOR LATH I cvrn 2erno PS, I-----=-=-'------+---+------+---INSULATION PHEs-REssrn 1 CCNCRETE INTERIOR LATH & DRYWALL ' I-P-O-ST---,E-,-,-,0-N-,-r,---+---+------+-----I 1--------------------------------, ~ CO~CREff --------1---+ --------l------< 1-----------------------------~ PLUMBING I 'IECD WELDING SEWER AND BUCO DIPUCO 1 '\ 11 L_(',4 c1ic;H s,PeNGra • ----------------- UNDERGROUND D WASTE D ~ATEFy 1 ' . -. 1-8-CJL_T~s------+---1------1------1 1------------------------------1 TOP OUT D WASTE D WATER s,u:,,, MASUNPY TUB AND SHOWER PAN 1 ----l------·---t-------+------- GAS TEST : ~~::; c~;ssc~-,- 0 WATER HEAETLEERCT:l::~ARWA~ER =-----------+---~----~---- □ ELECTRIC UNDERGROUND D l+JFFEf! ~ ROUGH ELECTRIC I e---------1-----. __ _ D ELECTRIC SERVICE D TEMPOfilARY ,___ _______ +---+-----____ _ ___ _ D BONDING D POOL 1 ------------- ' MECHANICAL I -------+---- □ DUCT & PLEM., D REF. PIPIN,G HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS , --•· I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVF BEEN APPROVED. FINAL I ./' PLUMBING : -/ ELECTRICAL 1 / .. _ / , MECHANICAL 1 / \I" GAS I hl,,. BUILDING : / / SPECIAL CONDITIONS ' I : I ,__ _________________________ _j IL___ ____________________________ _j _____________ _,_, __ __. ____ L__ ___ __J fl[ "' z 0 ~ "' ~ u .. 0 "' .. 0 .... 3 ~ .. z ~ z 0 ~ z .. .. ,. 0 u "' "' .. " "' ~ 11 D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect l•c No ____ _ C1a,1 1 hereby alf,rm tha1 I am exempt •,o,.., the Conl'ac- Tor's License Law for the loliow,nq reason 1sec 7031 S Business and Proless1ons Code A.n)' c1ly or counly wh,ch re- quires a perm,1 to construct. alter. 1-nprove. demolish, or repair any sHucture, pr,□r to ,ts ,ssua~ce also requires the ap- plicant !or such ~erm,1 to hie a s,qned statement that he ,s 1,censed pursuant to the prov1s1ons ol the Comracror·s License Law (Chapter 9 commencrng wrrh Seu,on 7000 of D1v,s1on 3 ol the Business and Profess,ons COde) or I hat 1s ex empt there!rom and the basis for the allegeo exemption A~y violation of Section 7031.5 by an applicant lor a permit sub 1ects the applicant 10 a c1v1I penally ol not more than t1ve hun- dred dollars ($500,1 I. as owner ol the property. or my employees with wages as their sole compens.ation. will do the work. and lhe s1ruc- 1ure 1s not m1ended or offered for s.ale {Sec 7044, Business and Professions Code: The Contractor's License Law does not apply 10 an owner of property who builds or ,mproves thereon and who does such work himself or through his own employees, provided that such improvements are not intend- ed or oflered !ors.ale If, however. the bu1ldmg or improve-ment Is sold w1th1n one year ol completion, the owner-builder will have the burden of proving thal he did not build or Im· prove for the purpose of s.ale/ 'J I, as owner of the property, am exclusively contracting with licensed contractors lo construct the pro1ec1 (Sec 7044 Business and Profess,ons Code The Contractor's license Law does not apply to an owner of property who builds or tm proves !hereon, and who contracts for each proiects w1lh a contractor(s) license pursuant to the Contractor's License Law) O As a homeowner I am 1mprovIng my home, and the tollow Ing cond1t1ons exist 1 _ The work is being per1ormed prior to sale 2 I have l1v&f in my home for lwelve months prmr to completion ol this work I have nol claimed lh1s exempliOn during the last three years :"; I am exempt under Sec ________ B & P C !or this reason D I hereby att,rm that I ha~e a ceriof1ca1e of consen1 to self-msure. 01 a cert1!rc1te ol Workers COmpensat1on Insurance. or a ce11!1ed copy 1hereot (Sec 3800. Lat>Or Code) POLICY NO COMPANY 0 Copy IS filed w•!h the c11y D Ceri1hed copy 1s hereby fu,,.shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1! the perm,t 1!> lor one hund,ed dollars ($1001 or less) 0 I cel1,fy tha1 1r1 1he pertormance 01 the work to, which 1h15 perm11 ,s issued. I shall no! employ orny person In any manner so as to becomE' sut,Jett to the Workers Compensation L.lws o' CaI,1orn,a NOTICE TO APPLICANT If. a11er makIn~ tn,s Cen, 1,cate of Exempt,on, you should t>ecome sub1ect l'J the Workers· Compensation provisions ol !11e Labor Code. you must tonh..,,th comply with such provisions or this perm11 shall be deemed •evokE'd D I heret,y a!f,rm 1riat lhe,,, ,s a conc1ructIor 1end1ng agency lor thP perio,mance ot lhe won< '0r which 1h•S perm,t Is issued rS,er 3097 (:,v1 Code, Lenders Name ___________ _ Lenders Address __________ _ -I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. . . l:~A T£ OF"A~fC)\ TrON BUSINESS L!C~~ VALUATION PERMIT NUMBER 1884 Hi.ah Ri&.,. Ave. Tamarack . ' . '1"'1::U'l 104 ' . "0~4 • /.,,., 9cJ LOT BLOC"£ ~ 1,sueot-vJSION I ASSESSOR PARCEL NO CONTR.ACT6R ' .. CONTRACTORS Pl ONE 11 LUNE 62 · · · 82-SA ' ' \ , ' ~ ... T .,( ,...._· • . retaining wall OWNER'S NAME . l 483_~~~~-s PHONE WESTANA BUilllERS; 483-4880 83 5r;7_e;',., t.; .. ' LICENSE NO. .,&MAND~ CONTRACTOR~ AO~!'~SS-«ste-.~r~-0 F'LAN 1.0. # BLDG USE CODE OWNER'S MAI UNG AOOAES$,f 4241 Jutlcmd nr, •• ; · • · r ' 404130 --· .. • ., ---I d241 Ju• • .. . !Jr• -""'"• _o~s•GN&ff" -·._ -0 • _;;:l <•:,3.t-;;-• LICENSE# STANDARD PLAN# BUILDING SQ FOOTAGE 215-8an Di""""' CA 92117 . :'-t: ' " j ••'•, ' 0£SCA1PT1of'rt·of' WQR)C ., ,_, 0,_;i' "7 ' ' ·1• ~ • • • • w ,, :·• .·: ·····, ;, . ,0£;$lGN~~:t; ''W v , OESIGNE R'S f'HONE Lon/~ I ' ' RETAINING ~Ai,T: 4;1 i . ,,,,1,':Je ''· Hiah"X 24 '. l • %·---: .0 t~fr .. .·.a,.··+:: "' F LR ELEV NO OCC GP EDU ' ,,',4 ~-* :· -~ , .. , STORIES ' 1 ' ' -.. ,, "' *A.,·½ vO NO CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO 'Not Valid Unless lhchine Cerrtf1ed QTY. PLUMBING PERMIT· ISSUE : i 11//fi,b; QTY. MECHANICAL PERMIT -ISSUE a;gg SUMMARY/ACCOUNT NUMBER -d<1 EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 1'7• EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 - EACH WATER HEATER ANO:DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 /'/ EACH GAS SYSTEM 1 TO 4 OUTLETS 801 LER/CDMPR ESSO R 3 15 HP TOTAL PLUMBING 01-00-00·8222 , -----!----- EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00·8223 EACH INSTAI.. ALTER. REPAIR WATER PIPE -+ VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ----- EACH VACUUM BREAKER MECH EXHAUST -HOOOIO\JCTS MOBILEHOME 01-00-00·8225 WATER SQFTNER RHOCATtON OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN 1'.'IISlrJE1 SOLAR 01-00·nn_o'l'l<: TOTi'.i.L MECHANICAL _ STRONG MOTION 80-92-33-0519 , sv -: __ -- TOT AL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 QTY. ELECTRICAL PERMIT· ISSUE ;$"JPh QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00·00·8933 BRIDGE FEE NEW CONST EA AMP'SWJ ·BKR COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519 EXIST BLDG EA AMP.,SWT'BKR ROCK STORAGE Ericinitas 80·92-22·0519 1 PH J PH PUMP Sari Dieguito 80·92·23·0519 REMODEL 'ALHR PER CIRCUIT PLAN CHECK FEE Sari Marcos 80-92-24-0519 - TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS! l'YIFF CREDIT DEPOSIT TOTAL ELECTRICAL l TOTA( SOLAR TOTAL FEES PAYABLE I 5) J'S-- I HAVE'.'CAREFULl.Y EXAMtNEtYTfl?C';OMPLETED ··APPLICATION AND PEAM1t·: AND DO HEREBY "' ~a:= ..... -.--~ . ~de,tMPT!?mionSof\his * AN OSHA PEFIMIT IS REQUIRED FOR EXCAVATIONS OYE.A CEATtFY*UNQEA PENAJ...TY·~Oi,=~ry THAT ALL lNFORMATION HEREON INCLUDING THE' ~ , t-•~fw-...... .:;aJ!,ttoebwl,dm~o.rwork 5',0" OtEP AND D£M0UTION OR CONSTRIJCTK>N OF DEWRAnoNs A~Rl)EAl)I ' e:ECT AND I FURTHER CERTIFY AND AGREE IF A PEflMlT IS •u~~~Y." ~ . , :tlkJ ayslromthedateofsuch STflUCTI.IAES OYER 3 STORIES IN HEIGHT ISSUED-TO COMPLY W!Tt{ All. CITY, C.OUNTY AND STATE LAWS,GOVEl'IN!NG BUILDING CON-~. or •~~ .. ~:&:' wc!d!' ~1::!t'ot~~-~~ or . ·sTRUCTlON." ~HETHER SPEClAED FU!REtN'OR NOT ! Al&() AGREFTO SAVE INDEMNIFY ANIY , · , .. _ '": .,· J,--.: -_ . _ . APPAO\ OBY -C,~/ / KEEP tU~RMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES.JUDGMENTS, COSTS ANp .APRLlC -~~~,-·~_': 7 '¼ ;_;.'.?'· _,;e:::,~R:0 CONTRACTOR¥, EXPENpES WH_tCH MA'( IN 'fiM'f-~y ACCRUE ~GAIN ST SAID CITY, IN CON.SE;OU€~CE OF THE ' ~!:, &a . 0"' BY PHO E 0 GRANTING OP'JHIS PER!;4fT. , ';' "" ✓/;<'."' , 4 ,. N } • ~ ... I ' , , ,, "' u: >, ~ 0 0. E ill >- D 0 '-' ;= m u 0. 0. <{ I ~ C a: 0 00 00 ill 00 00 <{ I ~ 2 '" >- 00 00 ill u 0 a: m '" D ~ ill u C ro C LL s C ill ill 0 0 u ill 0. 00 C 2c TYPE I I I DATE INSPECTOR BUILDING I ~ FOUNDATION I ")I\\ 'Z. REINFORCED STEEL c11z:f46 I MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING □ ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL I PLUMBING I SEWER AND BUCO □IPUCO ~ UNDERGROUND D WASTE D WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ' _[ ELECTRICAL □ ELECTRIC UNDERGROUND D lJIFFER ROUGH ELECTRIC ~ □ ELECTRIC SERVICE □ TEMPO~ARY □ BONDING □ POOL MECHANICAL I I Q_ DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS ~ VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE _ ITEMS AB()V_E HAV~ BEEN APPROVED. FINAL I I I " PLUMBING I I l<:"A I') ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS '6 3-~"1,, 7 ~I,, :l (cw FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION RED IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE ----r· OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING Hl(~H STRENGTH BOL Ts SPECiAL MASONRY PILES CAISSON::' -- APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD N. SE 2330 I ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN ISSUED BY err &6-# ?511,,):fF dvE. DATE ISSUED BUILDING ADDRESS VALIDATION -::-/ # / /4.s-oc I OWNER ~ ,. • . , ~4/J/72,, J,. . ?/ I t I MAILING ~ /\I ..£.;Qr d~ ' ADDRESS I. LATERAL CHARGE COMPUTATION '1, /1/1/A ...&'7f.J/.a-7/. CONTRACTOR JI 4. STANDARD 4" (Max. H. 30', V. 10') _'1f/~r~.o...?J.:. #z/.s OVER 30' H. @ FT. ----"' OVER 10' V. @ FT. ____,- CONTRACTOR'S c-. --ADDRESS ,,,,//'v ~/C0-0,, (_';'Cl STANDARD 6" (Max. H. 30', V. JO') -OVER 30' H. @ FT. NEW BUILDING ·-I EXISTING BUILDING I OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST -l. t, r / c:::: -/I, SERVICE CHARGE (REPAVING ETC.) TOTAL LATERAL CHARGE REMARKS: LINE COST DATA y/(~. -/.._FC) /LOr/ --ASSESSMENT DIST. NO. - FRONTAGE COST PER FT. TOTAL OTHER LATERA L LOCATION CONNECTION FEE i-: I I i-: /1¼/ I Ul Ul NO. UNITS COST PER UNIT TOTAL }. ,,.....,_ /' .....,_ PUMP STATION FEES '-~ '-./ NO. UNITS COST PER UNIT -TOTAL r- I I - ST. r,; ~ ()()Q - TOTAL CHARGES (LATERAL ETC.) LATERAL NO. INSTALLATION DATE WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter THIS IS TO CERTIFY THAT INSUI ~,TION l'.AS BEEN INSTALLED IN CONFORMANCE WITH Tlli.. CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIL, IN THE BUILDING LOCATED AT: SITE ADDRESS: / 8:8 y NumbeT EXTERIOR WALLS Manufacturer JJ (}1 Thickness/Type.31/t.- 11 R/Valu&-/ / I CEILINGS Batts: Manufacturer Ot [Y] Thickness/ Q II R/Valuev(· 30 GENERAL CONTRACTOR : __________ __:LIC. # ______ _ BY ___________ TITI..E _____ DATE ______ _ INSULATION CONTRACTOR: APOLLO INSULATION LIC.# :.'H6015 _:::._:_:c-...:..:.._ __ _ BY/ltd fl?tzM TITI..E¥-1,. DATE 3-;27-8 <