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HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; MULIT-PERMIT FILE; CB091569; PermitCity of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 09-24-2009 Sign Permit Permit No: CB091569 Building Inspection Request Line (760) 602-2725 Job Address: 1921 PALOMAR OAKS WY CBAD Permit Type SIGN Status ISSUED Parcel No: 2120911800 Lot # 0 Applied. 09/24/2009 Valuation: $1,500.00 Construction Type: NEW Entered By: JMA Reference #: Plan Approved 09/24/2009 PC # Issued: 09/24/2009 Project Title. INTEG. APPLICATIONS: NEW ILLUM Inspect Area: SIGN Applicant Owner CUSTOM MEDIA MFG. COGNAC PLAZA L L C C/O PRUDENTIAL REAL ESTATE INVEST 4 EMBARCADERO CTR #2700 136 NEPTUNE PL 92026 SAN FRANCISCO CA 94111 739-8753 Building Permit $3508 AddI Building Permit Fee $0.00 Plan Check $22.80 AddI Plan Check Fee $0.00 Electrical Fee $20.00 Renewal Fee $0.00 AddI Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $77.88 Total Fees $77.88 Total Payments To Date- $77.88 Balance Due: $0.00 E:±3iI FINAL APfROVAL Inspector: Date /0/f0,/ Clearance NOTICE Please take NOTICE that approval of your project includes the imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their Imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired U CITY OF <K 45) Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/ 2718/ 2719 Plan Check No. CPO 01 Est. Value P S0O IAR LSBIAID ax: (bU-bU2-Sbb www.carlsbadca.ov rid" UK. Ueposix I________________________________ JDate q zLf lol kit'vv JOB ADDRESS / z / ' I SUITE#/SPACE#/UNIT# I APN I ?_ra - 011 / - / -00 CT/PROJECT # LOT C PHASE # C OF UNITS # J1EDROOMS # BATHROOMS NANT BUSINESS NAME CONSTR TYPE 0CC GROUP DESCRIPTION OF WORK Include S are Feet of Affected Area(s) ,t I- 4e11c TtL QA-- I (6C c- Lorre fJ- EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE JAIRCONDITIONING YES 0 #_ NO 0 I YES 0 NO 0 FIRE SPRINKLERS YES 0 NO 0 CONTACT NAME (It Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS Cliv STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CONTRACTOR BUS NAME CL. +O ADDRESS i3C' 0 +(tpJ P1. CITY STATE ZIP CITY STATE ZIP C-ce lzo 6, PHONE FAX PHONE 9-??- EMAIL ___________________ EMAIL Ci41'L iJ& 60 x 7L ARCH/DESIGNER NAME & ADDRESS _______________________ I STATE LIC # STATE UC.# I W10&q ILL/ CLASS liv BUS. UC.# 0 ,. F.UUe '.,lty OF F..ouflty wnicri requires a permit to construct, alter, improve, demolish or repair any Structure, prior to its issuanch, lso requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$50011 Workers' Compensation Declaration. I hereby affirm under penally of perjury one of the following declarations O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued C3 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance camer and policy number are. Insurance Co Policy No Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less '"Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' ompe'ation coverage is unlawbd, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, d ages provi d for - e on 37060 e Labor code, interest and attorney's fees. ..ONTRAcTORSlGNATURE'° C DATE '7 I hereby affirm that lam exempt from Contractor's License Law for the following reason' Cl I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) Cl I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) Cl I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement El Yes El No 2 I (have! have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number) 4 I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name! address! phone! contractors' license number)' 5. I will provide some of the work, butt have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work) ,,PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant reqLired to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? E3 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes I] No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. (+ I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address I certifythat I have mad the application and state thatthe above information iscoriectand that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to buildingconstructjon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA- An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the Budding Ofil underjKe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit ls not commenced within l8O days from the date ofsuthpemiitori7thuddin 6rwoy(Ith di miitissuspe or abandoned at any time after the work is commenced for aperrodof100 days (Section 10044unBujjoge) APPLICANT'S SIGNATURE '9 i" L'' DATE 1-;i- xw d City of Carlsbad Bldg Inspection Request For. 10/29/2009 LJ Permit# CB091569 Inspector Assignment: Title: INTEG. APPLICATIONS: NEW ILLUM Description: SIGN Type: SIGN Sub Type: Phone: 6199778753 Job Address: 1921 PALOMAR OAKS WY Suite: Lot: 0 Location: Inspector: APPLICANT CUSTOM MEDIA MFG. Owner: Remarks: Total Time: Requested By: BILL Entered By CHRISTINE CD Description Act Comments 38 Signs Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments T Permit No: CB920056 Project No: A9200174 Development No: Fl: Ste: 5955 01/16/92 0001 01 02 C-PRMT 90.00 I Status: ISSUED Applied: 01/16/92 Apr/Issue: 01/16/92 Validated By: SBB 471-6133 B U I L D I N G P E R M I 01/16/92 16:30 Page 1 of 1 Job Address: 1921 PALOMAR OAKS WY Str: Permit Type: SIGN Parcel No: Valuation: 2,200 Construction Type: NEW Occupancy Group: Class Code: Description: NON-ILLUMINATED WALL SIGN/11' PVC Appl/Ownr : CLEAR COMMUNICATIONS 619 425-B RYAN DRIVE SAN MARCOS, CA 9209 CONTRACTOR : CLEAR COMMUNICATIONS Li. C 482325 619-471-6033 425 RYAN DR SAN MARCOS, CA 920t,9 *** Fees Required *** Fees Collected & Credith Fees: 90.01: - Adjustments: .00 TotalCredit: .00 Total Fees: 90.00 Tota], Payments: .00 - Balance Due; 90.00 Fee description Unts Fee/Unit Ext fee Data --------------------------------------------- ------------------------------- Building Permit 54.00 Plan Check 35.00 Strong Motion Fee 1.00 * BUILDING TOTAL 90.00 10 - DATE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - OCOPIMERCIAL DNEW DTENANT IMPROVEMENT B 0 INDUSTRIAL []NEW OTENANT IMPROVEMENT C - []RESIDENTIAL DAPARTMENT []CONDO []SINGLE FAMILY DWELLING DADDITION/ALTERATION ODUPLEX [I DEMOLITION []RELOCATION [-]MOBILE HOME DELECTRICAL OPLUMBING []MECHANICAL [:1 POOL C] SPA []RETAINING WALL []SOLAR DOTHER_______________ EST. VAL PLAN CE DEPOSI VALID. BY DATE 7— 1 Address i ,, 5ng or Suite NO. I. ci Bu Nearest Cross Street() - A -L . i J/ apAl AI i D2 Energy Calcs 02 Structural Calcs 02 Soils Report Di Addressed Envelope ASSESSOR'S PARCEL ,-C,/f—/'EXISTING USE - PROPOSED USE 7e ,'— ,0C BLDG. 50. FIG. # OF STORIES CONTACT PERSON NAME Q QJy i-rn .- k1L L\Q. ADDRESS 9 c C,c P0S -r o-r C)o 11cD c la CITY \ç\ STATE, ZIP CODE ..0 0 'R DAY TELEPHONE SIGNATURE APPLICANT 'NTRACTOR [J AGENT FOR CONTRACTOR DOWNER []AGENT FOR OWNER NAME ADDRESS -. p CITY (N\0,rfQi STATE (\ç_ ZIP CODE 9, O L1 (7 DAYTELEPHONE / _V 71 4 e -S- PROPERTY OWNER NAME Q , -_i? CITY CONTRACTOR CITY NAME Cm ' []LESSEE DTENANT ADDRESS O c c p-S ur'--- c..-( STATE ('APt- ZIP CODE 7 /) 0 't'' DAY TELEPHONE ADDRESS STATE ZIP CODE DAY TELEPHONE STATE LIC. A t/'- _32S LICENSE CLASS -I_U CITY BUSINESS LIC. 4 /1,7,07 _#/7 SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. A WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Buildina Insoection Denartment (tact, nn Rflfl Ih ri SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-bui(der will have the burden of proving that he did not build or improve for the purpose of sate.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management DYES ONo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site DYES ONO IF MY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME -- LENDER'S ADDRESS APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such ermit is n9fcoamienced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or aba on at fly ti ftc the commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLfç)1 0 OWNER 4-EdR BY PHONE APPROVED BY; WHITE: File YELLOW: Applicant PINK: Finance Cit of Carlsbad DATE: 12/30/92 TO: OPUS SOUTHWEST 1921 PALOMAR OAKS WY CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT NUMBER: CB920056 ISSUE DATE: 01/16/92 LAST INSPECTION: PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE ADDRESS: 1921 PALOMAR OAKS WY Our records indicate that your building permit will expire by limitation of time on 01/16/93. The provisions of UBC, Section 303(d) state: "EXPIRATION. Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the building official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: No changes have been made or will be made in the original plans and specifications for such work. That the expiration has not exceeded three years from the original issuance date. That the same edition of the model codes is in effect as used in the initial plan check. That a fee equal to one-half the amount required for a new permit be paid. The renewal permit shall expire three calendar years from the date of initial permit issuance. 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 cc n" 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with I Section 7000) of Division 3 of the Business I- and Professions Code, and my license is in L full force and effect U'— 'hi a -j 'ha El I hereby affirm that I have a certificate of consent to oell.insure or a certificate of Workers Compensation In- surance or a certified copy thereof ISec 3800 Labor Code) POLICY NO COMPANY Copy is filed with the city O Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars 151001 or less) o I certify that in the performance at the work for which I this permit is issued I shall vol employ any person in any manner so solo become subject to the Workers Compen. oaliOn Laws of California NOTICE TO APPLICANT If, alter making this Certificate of Exemption you should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked 0 I hereby affirm that there is a construction lending agency for the performance 01 the work for which this per- mit is issued (Sec 3097 Civil Code) Lender s Name Lenders Address_________________________________ O tam exempt under Sac , B & P C for this reason I hereby affirm that I am exempt from the Contrac-tors License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county which re quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap-plicant tsr such permit to tile a signed statement that he is licensed pursuant to the provisions 01 the Loniractor License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is ex-empt therefrom and the basis for the alleged exemption Any violation 01 Section 7031 5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than live hun dred dollars ($500) I I as owner 01 the property, or my employees with wages as their sole compensation, will do the work, and the struc- ture is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend- ed or offered for sale It, however, the building or improve-ment is sold within one year 01 completion, the owner-builder will have the burden 01 proving that he did not build or im-prove for the purpose 01 sale) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner 01 property who builds or im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law) Ii Ass homeowner lam improving my home, and the follow ing conditions exist 1 The work is being performed prior to sale 2 I have lived in my home for twelve months prior to completion of this work 3 I have not claimed this exemption during the last three years 11SF SALE POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915(619) 438.1161 cJs-'I JOB ADDRESS AV. T.RD. THOMAS BROS NO. ION BUSINESS LICENSE * L AT PERMIT NUMBER jq, ô 00 LOT SUBDIVISION I ASSESSOR PARCEL NO. t-01.S I3 £ I LI CONTRACTOR CONTRACTORS PHONE C ZONE 7 JBLOCK T Lé __________________ __________________ __________________ OWNER'S NAME ___________________________________ OWNER'S PHONE ___________________________________ CONTRACTOR'S ADDRESS Opfe'4 £c) 57' pernJ 6oz-'1,B-7ow r- AJOI-+h . __ __ STATE LICENSE NO. BUILDING S 7TAGE $O?sq,-,3 OWNERSMAlADSS4 ,4 so14 va Z.7O DESIGNER DESIGNER'S PHONE VtrJ)) #r&4i'-4- SOl4 0, u, DESCRIPTION O WORK Y7 STATE LICENSE NO. 6735 05/05/89 0001 01 02 pryeth .2q$L 92w BldPmt OEflfl /1-1O )4/Iln f rer riLJ'e14io.ief 120 F/P FLR ELEV I NO STORIES 0CC OP J EDU I YO NO ____ . CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT I I TYPE 0CC LOAD I FIRE SPP I AREA I I CONST f f Y 0 N 0 "0 ND ND Not Valid Unless Machine Certified -- OTY PLUMBING PERMIT - ISSUE 7. 5R)QTY MECHANICAL PERMIT. ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU BUILDING PERMIT 00)'8)0'00-00-8220 '7 2 - EACH BUILDING SEWER , OVER 100,000 BTU , SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER ANDOR VENT , BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 - EACH GAS SYSTEM 1104 OUTLETS - BOILER/COMPRESSOR 3 15 HP , TOTAL PLUMBING 0011'810'00-00-8222 EACH GAS SYSTEM S OR MORE - METAL FIREPLACE , ELECTRICAL 001-810-00-00-8223 EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS , MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER . SOLAR 001'810'00-00-8226 F EACH ROOF DRAIN IINSIDEI DRYER VENT . STRONG MOTION 880-519-92-33 - TOTAL MECHANICAL . I FIRE SPRINKLERS 001-810-00-00-8227 . IOIAL PIUMBIN(, PUBLIC FACILITIES FEE 320-810-00-00'8740 - BRIDGE FEE 360-810-00-00-8740 OTY ELECTRICAL PERMIT. ISSUE OTY MOBILE HOME SETUP PARK-IN-LIEU (AREA NEW CONST EA AMP'SWI BKR CAR PORT TIF 312-810-00-00-8835 I PH 3 PH AWNING LA COSTA TIF 311-810-00-00-8835 EXIST BLDG EA AMP/SWT'BKR GARAGE - FMF 1 PH 3 PH . LICENSE TAX 001-810-00-00-8162 REMODEL'ALTER PER CIRCUIT . . MFF 880-519-92-57 TEMP POLE 200 AMPS OVER 700 AMPS TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTAL ELELTRICAL TOTAl , TOTAL FEES PAYABLE - 12-0 — - I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY 1 Expiration Every permit issued by the Building Official under the Code Shalt supine by limitation and become null and void if the provisions of this * AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5'O" authorized by Such permit is not Commenced within 180 days from the dale of such DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permit, or if the building or work Ihonized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED' TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time is _mmenced_for_s_period_of_180-dews STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND _______ APP'LIC OWNER '&NTRACT0R KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 0 APPROV GRANTING OF THIS PERMIT. BY PHONE 0 or U- > 0 CL E or I- 0 0 0 (2 or CL in C or -C VA TYPE I DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEIJNG SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO Li PJCO UNDERGROUND 0 WASTE DWATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC O ELECTRIC SERVICE Cl TEMPORARY O BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPEC1JON WHEN ALL APPROPRIATE - ITEMS ABOVE HAVE BEEN APPROVED.- - FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CA 7,6 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS - . - '.-.- -•. - cc r I horoby affirm that I am licensed under U fróloiona of Chapter 9 (commencing with I Boction 10O) of Division 3 of the Business 0- I and Profoagions Code, and my license is in L full force and effect U I hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county which re- quires a permit to construct, alter, improve, demolish, Or repair any structure, prim to its issuance also requires the ap- plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption Any violation of Section 7031,5 by an applicant for a permit sob- lects the applicant to a Civil penalty Of not more than five hun- dred dollars ($500) II I, as owner of the progeny, or my employees with wages as their sole compensation, will do the work, and the struc- fore is not intended or offered for sale (Sec 7044, Business .J and Professions Code The Contractor's License Law does not apply Is an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend- lea - ed or offered for sale If, however, the building or improve- 2 mont is sold within one year of completion, the owner-builder 0 will have the burden 01 proving that he did not build or rn- o prove for the purpose of sale) II I, us owner of the property, am exclusively contracting with licensed contractors to construct the protect (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or im- proves thereso, and who contracts for each projects with a (10 contractor(s) license pursuant to the Contractor's License Law) C] As a homeowner lam improving my home, and the follow ing conditions exist 1 The work is being performed poor to sate 2 I have lived in my home for twelve months o prior In completion of this work 3 I have not claimed this exemption during the O - xxi three years 0 lam exempt under Sec ,B&PC for this reason I hereby affirm that I have a certificate of consent 10 sell-insure or a certificate of Workers Compensation In- surance Or a cer1i11ort5i2p5.ihereof (Sec; 3D02 Labor Code) POLICY NO (' COMPANYrPem&S "if4 c >cDopy is hInd With the city 0 Certified copy is hereby furnished B. CERTIFICATE OF EXEMPTION FROM O WORKERS COMPENSATION INSURANCE (I) (This section need not be completed if the permit 00 is for one hundred dollars ($100) or less) too kc 0 I certify that in the performance of the work for which 00 this permit is issued, t shall not employ any person in any manner so as to become subject to the Workers Compen- sation Laws of California NOTICE TO APPLICANT If, after making this Certificate of Exemption, you Should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked PERMIT NUMBER BALL POIT PEP 01LV A PLSS HADD APPLICANT TO'FLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD IUDLLIO 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438.1161 JOB ADDRESS AV. ST. "0. THOMAS BROS NO. /Zf Pa(o*wv-OJe5 ui LOT I BLOCK f SUBDIVISION j ASSESSyk OWNER'S NAME trv6 .j:;q,f jy37-f3 OWNER'S PHONE OWNER'S MAILING ADDRESS f?2/ tA)cZ DESCRIPTION OF WORK / ci2-'tc31,1 CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED YO N QTY. PLUMBING PERMIT- ISSUE CITY. MECHANICAL PERMIT- ISSUE /4 SUMMARY/ACCOUNT NUMBER — EACH FIXTURE TRAP F - FURN DUCTS UP TO 100,000 BTU ................1INs1AL1 kçi .IBUILDING FERMI T 001-810-00-00-8220 — EACH BUILDING SEWER OVER 100,000 BT'T _4 ' , SIGN PERMIT 001-810-00-00-8221 — EACH WATER HEATER ANOiOR VENT - [ IBOILER/COMPRESSOR UP 103 HP ' PLAN CHECK 001-810-00-00-8891 /r? EACH GAS SYSTEM 1 TO 4 OUTLETS - ..............1 BOILER/COMPRESSOR 315 HP 1 '. '-. TOPLUMBING 001-810-00-00-8222 EACH GAS SYSTEM S OR MORE - — METAL FIREPLACE ., - 2?' ECTR(CAL 001-810-00-00-8223 — EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ,,• .-'; - - -. 001-810-00-00-8224 - EACH VACUUM BREAKER - — MECH EXHAUST HOOD/DUCTS s,ju .-,- 1L MOBILEHOME 001-810-00-00-8225 WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 — — EACH ROOF DRAIN (INSIDE) - — DRYER VENT STRONG MOTION 880-519-92-33 TOTAL MECHANICAL f FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING -i . PUBLIC FACILITIES FEE 320-810-00-00-8740 QTY. ELECTRICAL PERMIT - ISSUE "1 [QTY MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA NEW CONST EA AMP'SWT BKR CAR PORT 1 . TIF 312-810-00-00-8835 - I PH 3 PH — AWNING - LA COSTA T)F 311-810-00-00-8835 EXIST BLDG EAAMP/SWT'BKR [ GARAGE FMF — 1 PH 3 PH - fj . LICENSE TAX 001-810-00-00-8162 REMODEL'ALTR PER CIRCUIT ' . MFF 880-519-92-57 — TEMP POLE 200 AMPS . — OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) CREDIT DEPOSIT 11 [TOTALELELTRICAL - TOTAL - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED AND PERMIT" AND DO HEREBY Explrabon Every permit asued by tho 2luelding Official unGer tha provisions CERTIFY UNDER PENALTY Off PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code shall expire by limitation and become null and void tithe building or rsorti Iof this 0" DZEP AE4O 0E 1 TDT1 OR COT4STRUCTTOS3 O DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I authorized by auth permit is not commenced within 130 days from me data of such I permit, or it no building or 'or 'uttsorizod by Such p3rm.t is su:pznded or STtUCTURtES O%5 3 STG7EES 104 )E0G0lT ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON I abandon'.nd Ct crs, time cflcr th ar STRUCTIOP.I WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND V4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND tJC T'S SIG04ATUi! PROVED BY EXPENSES WHICH MAY If'. ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF - ad 'a - o-r'cd 0 130 dio f GRAN' iG OF THIS PERWT 37 Pi kE 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this per. 01 mit is issued (Sec 3097, Civil Coda) 21 WI Lenders Name________________________________ -a' L Lender's Address_________________________________ TRACTOR 7t4%,?,-t JWeiit ftz. I CONTRACTOR'S AODRESf 3 c,J.23'-;/,)//-Tt DESIGN R DESIGNER'S ADDRESS kZ3 . 3ik F/P FIR ELEV I I NO STORIES YO NO - REDEVELOPMENT TYPE AREA CONST YO NO öLOCTO©G!J &i GJOT DATE OF APPt,ICATlOd SUSINSSS LICENSE # 3' 1 cc, cc fv CONTRACTORS PHONE It qf7it(—P2 4 STATE LICENSE NO, DESIGNER'S PHONE 17c" IL ( STATE LICENSE NO fc 0CC GP EDU OCCLOAD FIRESPR vD NO 6525 04/27/89 0001 01 02 BldPmt Not Valid Un/ens Machine Cern/ned a- IM 0 Q(aQ TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR El CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO LI PL/CO UNDERGROUND El WASTE 0 WATER TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATER ELECTRICAL El ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPORARY O BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL INSPECTION WHEN ALL APPROPRIATE FINAL PLUMBING ELECTRICAL MECHANICAL GAS I BUILDING(.S/6I SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY INSPECTOR'S PILES CAISSONE I I I I