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Home My WebLink About1979 Palomar Oaks Way; ; 86-620_misc; PermitCO z o oHI o [~| I hereby afflrrn t^t l.am licensed under proyltkKis of Chapter 9 (comfT>enclr>g with SeotJon 7000) of Dlvls[oh 3 of the Business and ProfeaslOTS Code, aAd my license Is In I hereby iftrrm ttut I em exempt Irom ttw Contnc- tor's License Law for the toflowmg reason (Sec. 7031 5 Busness and Professions (^' Any aty or county vrhrch re-piuret I perrrut to corrstrud. atler. anprove. demoli!^, or repair any structure, pror to As esuance aJso raciutres the ap- ' piccact lor such permit to hie a slpned statement tlol ha ii icensed pursuant .to the pramnrts of the Comractor's License Law (Chapter 9 commenong with Section 7000 of Driwon 3 of the Business and Professions Code) or that ts exempt therefrom and the basis lor the aBeped exemption. Any vfotation of Section 7031.5 Ijy an appBcanl tor a permit sub jects the appbcant to a ovil penalty of not more than tiva hun dred dottars (S500). □ I. as owner of the property, or my employees with wages as therr sole compensation,' wSJ do the worli, and the structure a not intended or offered for sale (Sec. 7044, Businessand Professians Code: The Contraclor'i LIcanae Law doesnot apply to an owner of property who buAds or inprwesthereon and who does such work wnsalt or through his ownemployees; provfded that such improvements are not intended or offered tor sale. It, however, the buDding or improvement IS sdd within one ysar of completion, the owner-buikferwd have the burden of proving that he dKt not build or Improve tor the purpose ot sale). ' □ I. as owner ot the property, am exclusively contractingwith tcersed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's bcenseLaw does not apply to an owner of property who buMs or improves thereon, and who cortracts for each projects with acontractor(s) bcense pursuant to the Oinlractor's Licensa-Law) □ Asa homeowner I am nprxMng my home, and tt>0 toSow-irtg condttions exjst-1. The vmrk is bsmg performed pnor to sale."L I have lived In my home w twelve monthspnor to complstkin of ttni work.3 I have not damad this exemption during thelast thrae'years □ I am exempt under Sec. ,BiPC. for the reason i G I hereby oltirm that I have a certificate of ooneent toself-insure, or a certificate ot Workera' ComperiMbon In surance. or a certified copy thereof (Sec. 3600. Labor Code) POUCY NO. COMPANY . Gt Copy IS filed with the dty G Certified copy la hereby fumlehed CERTlFtCATE OF EXEMPTION FROM WOFIKERS' COMPENSATION INSURANCE(This aeotlon need not be completed If ttie permit IS for one hundred doliari (SlOO) or leea)NJj'[_7*i<;g^ify that In tt>e performarKe of the work lor whichthr^^^rmit la tsaued. 1 shaJI not employ any person in anymanner so as to become aubfect to the Wooers' Compen- • aatkxi Laws of California NOTICE TO APPLICANT: If. after making thie Certificale of Exemption, you should become subject to the Workers'Compenaalton provfalons of the Labor Code, you must forthwith comply with such provieione or this permit shaJI be deemed revoked. G I hereby affirm that ttiere is a construction lending agerKiy forthe pertormanceof Ifie vrork for which this per mit 18 issued (Sec. 3097. Crwi Code) Lender's Nafrm Lender's Address : USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. JOB address- CARLSBAD BUILDING DEPARTIVIENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT . AV. ST.RO. NEAREST CROSS ST: SLIBOI VISION ASSESSOR PARCEL OWNER'S NAME OWNER'S MAILING ADDRESS * OWNER'S PHONE CENSUS TRACT GP LAND USE DATE O^ APPLICAJION BUSINESS LICENSE CONTRACTOR CONTRACTO£^ AODBESS • / CONTRACTORS PHONE • 1 LICENSENO ^ DESIGNER'S ADDRESS F/P F LR ELEV yQ-nQ PARKING SPACE GRADING PERMIT ISSUED Y □ N n REDEVELOPMENT AREA yG nG ■ STORIES TYPE CONST DESIGNER'S PHONE UCENSE NO. EDU FIRE SPR yG nG VALUATION ZONE PLAN l.D. # PERMIT NUMBER ' BUILDINQ 80. FOOTAGE e/T77B6TT97QDDT'tT07'e7T77 gg /Vor Unhss MMchine Certified r7S50 QTY.PLUMBING PERMIT - ISSUE 7 5'o QTY.MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU L—/ ■BUILDING PERMIT 0G1-810-M-0O-8220 /a- EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PUN CHECK 001-810-00-00-8806 7 ' EACH GAS SYSTEM 1 TC 4 OUTLETS BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 001-810-00-00-8222 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 EACH INSTAI... 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 WATERSOFTNER -RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE)' SOUR 001-810-00-00-8226 TOTAL MECHANICAL STRONG MOTION 880-519-92-33 . <-0 '■ TOTAL PLUMBING FIRE SPRINKLERS 001-810-00-00-8227 QTY. -QTY.SOLAR-ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930 LLtU 1 MIL.AL HtMMI 1 - IbbUt NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH 1 STORAGE TANKS Carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Enclnltas 1 PH 3 PH ■PUMP San DIeguito REMOOEL.'ALTER PER CIRCUIT PUN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY (30 DAYS)MFF 880-519-92-57 CREDIT DEPOSIT total'eleotrical TOTAL SOUR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMfT ' AND DO HEREBY CERTIFY UNDER PENALTY- OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEDECLAaATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING (X)N. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 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 leaued by the Building Olffciaf under the proviaions of thisCode shall expire by limitation and become null and void. If the building or workauthorized by iiii Imiii"'ii i I'I I II i| i niini iKiiii m I within 100 days from the date of such-permiL or wftbt^uiiding or workSuthorlzed by such permit is suspended orabandoQ^^^Tany lime an^^tbe woriy Is commenced for a period of^BQ davs GNATJ^E *OWNER Gx-^ONTHACTOR □ BY PHONE □ * AN OSHA PERMfT IS REQUIREO FOR EXCAVATIONS OVER 5- 0" DSP AND DEMOLTTION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPBaVEDJV TYPE 1 DATE INSPECTOR BUILDING 1 - FOUNDATION 1 REINFORCED STEEL ' MASONRY 1 GUNITE OR GROUT * SUB FRAME □ FLOOR □ CEimNG SHEATHING □ ROOF □ ShIeAR FRAME [ EXTERIOR LATH I INSULATION 1 INTERIOR LATH & DRYWALL | ! PLUMBING 1 □ SEWER AND BUGO □ PpCO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN [ GAS TEST 1 □ WATER HEATER □ SOLAR WATER 1 1 ELECTRICAL ' □ ELECTRIC UNDERGROUND n\ UFFERROUGH ELECTRIC ] □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL 1 MECHANICAL i □ DUCT & PLEM., □ REF. PIPING HEAT — AIR COND. SYSTEMS I VENTILATING SYSTEMS I 1 1 ■ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL i f\PLUMBING 1 ■ ELECTRICAL i MECHANICAL I GAS !11BUILDING '/ /\SPECIAL CONDITIONS .1/f \ 1 1 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REG IF CHECKED INSPECTOR'S 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 -- \ o S 3 O g o p s n I f>»r*t)y ittlrm that I am lloanted.undof provlslona of Chapter 9 (commencing with Sact^ 7000) of Division 3 of tt>e Business and Professions Code, and my license is in full force and effect. Lie No Class 1 hereby affirm that I am ocampt from the Contnc- tor's License Law-for the fdowtng reason (Sec 7031 5 , Busmess and Professions CMe' Any city or county whi^re-c^res a permit to construct, attar, improve, denxtish, or repair any structure, pnor to its issuance also requires the ap-..plrcant for such parrivt to tile a signed statement ttut he ts Konsed pursuant to the - provisions ot the-Contractor's License Law (Chapter 9 commencing with Section 7000 ot DtvisKin 3 of the Business aixi Professions Code) or that is ex-Xtherefrom and the t)asis for the anegeo exempt^ Any on of Sectjon 7031.5 by an applicant-for a permit sub- fects the applcant to a crvit penafty of not more than five hun dred dollars ($500) ^ - . □ I, as crwner of the property, or my employees with wagesas.thefr sole compenutlon. wiQ do ths wor1<. arid the struc-ture'fe'nof intended or offered for safe (Sec. 7044, Businessand Professaxo Code The Contractor's Licensa Law doesnot apply to an cwner of property who builds or mprovesthereon and who does spdijKrt rdmseff or through hrs ownemployees, provide that such improvements are not intended or effort for sale. If, however, the buhding or improvement IS sold within one year of completion, the owner-bulderwtI have the burden of proving that he dxl nof butd or Improve (or the purpose of sale). □ I, as owner of the property, am (Dtclusivefy ccnlnctingwith itcensed conlncton to construct the project (Sec. 7044, •Businw and Profess»ns Code- The Contractor's LicenseLaw does not apply to an owner of propel who buids or vn-proves thereon, and who contracts for each pn^ectj with a^rictoits) license pursuant to the Contractor's License □ As I homeowner I am improving my home, and the loflow-jng corxhtons eusU1 The work B being performed pnor to sale.'2. I have Irved-m my home-for twefve monthspnor to completion of thB work.3 I have not daned ths examplion during thelast three years □ I am exempt under Sec.. for this reason '3&P.C. □ I hereby affirm tt^at I l>ave a ceriiftcate of consentto self^insure. .or a ,-certificate of Workers'Compensation insurance, or a ceriified copy thereof (Sec 3800, Labor Code) POUCYNO COMPANY □ Copy IS filed with the city / . Q Cerlifi^ copy is hereby furnished CERTIFICATL OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE(This section r>eed r>oi be completed if the permrt IS (or ooe hurvdred dollars ($100) or less) l_ certify tfial in the performance of the work lorthis permit IS issued. 1 shall rvot employ anyin any manner so as to beconie sut^ieci to rs Compensation [_aw3 of California TKCE'TO APPLICANT 'if. alter making this Cenilicale of Exemption, you-shoukl become subfect lothe Workers (Compensation provisiorts ol-the LatXKCode, you must forthwith comply' with 'suchprovisions or this permrt shall be'deemed revoked 'Q I thereby affirm that there is a consiruciionlendir>g agency 'or the performanct o( the work (or-which this permit is issued (Sec 3097 Cwi (Code) Leixfer's Name ! ! Lender's Address . USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. CalHornIa 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS av.st.rd nearest cross sr. BVOCK iS,-SUBDIVISION ASSESSOR PARCEL NO. OWNER'S NAM^OWNER'S^ONE OWNER'S Mailing address /f7 9 DESCRIPTION OF WORK i/vL-i P'TV CENSUS TRACT GP LAND USE DATE OF.APPLICATION BUSINE! icense # CONTRACTOR 1MT Q A r--r D'C ArM-iQco« I ir'cuac jjm _ ^ 't Z PCONTRACTOR'S ADDRESS DESI DESIGNER'S AODRESS c/r // F/P FLR ELEV. yO nG PARKING SPACE RES UNITS GRADING PERMIT ISSUED YG N □ REDEVELOPMENT AREA yG nG NO STORIES TYPE CONST DESIGNER'S PHONE EDU FIRE SPR yG nG VALUATION ONE LAN 1.0. # STANDARD PLAN # PERMIT NUMBER 5^+ BLDG USE CODE BUfLDlNQ SO. FOOTAGE b/I j/fcl5bl6U.bMb[Bi'bL b/IJ/gg Not Valid Unless USachine Certified \7'oDQ 17,00 QTY.PLUMBING PERMIT - ISSUE QTY.MECHANICAL PERMIT - ISSU E 3-SUMMARY/ACCOUNT NUMBER EACH EIXTURE TRAP INSTALL EURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 Vi/ . EACH GAS SYSTEM b OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 EACH INSTAl. , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA EURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE)SOLAR oi-no-nn-H?2R - TOTAL MECHANICAL -STRONG MOTION 80-92-33-0519' ' - TOTAL PLUMBING EIRE SPRINKLERS 01-00-00-8227 QTT.ELECTRICAL PERMIT - ISSUE 5'QTY.SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8930 ■ BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE - DISTRICT 1,PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200,AMPS . '. . OVER 200 AMPS UCENSE TAX 01-Oa-OO-B162 TEMP OCCUPANCY (30 DAYS!MFF 80-92-57-0519 -CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR.TOTAL FEES PAYABLE - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED. TO COMPLY WITH ALL CITX COUNTY AND STATE LAWS GOVERNING BUILDING.CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY-ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisioris of thisCode shall exptre by limitahon and become nufi and void If the building or workaulhonzed by such permrt rs not commenced within ISO days from the date of suchpermit or if the buUdino or work authorized by such permit is suspended iabandoned at any time arter the work ts commefH^ for a perkid of 160 davs APPUCANT'S SIGNATURE *OWNER CONTRACTOR 1 BY PHONE * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' 0- DEEP AND DEMOUTION OR CONSTHUCTKiN OP STRUCTURES OVER 3 STORIES IN HEK3HT APPROVED BY TYPE 1 DATE INSPECTOR BUILDING 'n - FOUNDATION i REINFORCED STEEL ' MASONRY 1 GUNITE OR GROUT ' FLOOR & CEILING SUB FRAME 1 SHEATHING □ ROOF □ SH^R FRAME r EXTERIOR LATH i INSULATION I INTERIOR LATH & DRYWALL 1 iPLUMBING 1 SEWER AND BL/CO DlPUCO i UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN ' GAS TEST i □ WATER HEATER □ SOLAR WAjTER i ELECTRICAL 1 □ ELECTRIC UNDERGROUND □ UFFERROUGH ELECTRIC ] □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL ' MECHANICAL | □ DUCT & PLEM., □ REF. PIPINGHEAT — AIR COND. SYSTEMS [ VENTILATING SYSTEMS i ■ V - 1 K^n //vorco /irrritiv ail.i- f^rn ITEMS ABOVE HAVB BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS 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 HIGH STRBNGTH BOLTS - SPECIAL MASONRY PILES CAISSONS • - 'T' _ INSPECTOR'S NOTES Or U 2 i 8 UJ Q o f~l I h»r«by •ffirm that I am licensed underprovlstont of Chapter ^-(commencing with 8eotk>n 7000) of Dtvlsidh 3 of the Business and Proteealons Code, and my license Is In I hsfBtry iflirm tJiat I «m exempi from the Contrac-lof'i Lxerse Law tor me totiowmg reason (Sec 7031 5 Businos and Protesswrrs (Jode- Any city or county wtichre-qulree i permit to construct, alter, improve, denxteh. eg* rcpafrtny structure, prior to its Issuance also requires the aph' plicant for such permt to fite a signed statement that he ts - licensed, pursuant to the proviswns ot ttw Comractor'sLicense Law (Chapter 9 commenang with Section 7000 d Drvisttn 3 of the Business and Professions Cfode) or that Is bx- empt itWBJfdm and the basis for the alleged exemption Anyvkteion of Section 7031,5 tiy an applicant tor a permd sub-n lects the applicant to a crvil penalty of not more tton frve hun dred cfoUars ($500). □ I. ts owner of the property, or my emptoyws with wages-^ts ttMT sole compensatjon. wriJ do the work, and the structure IS not intended or ottered tor sale (Sec 7044, Business-and Professiofts Code- The Contractor's License Law doesnof appty to an owner oJ-property who buids or enprovesthereon and who does such work himseH or through his own.employees, provided that such imprwements are not intend-.ed Of offered for sale II, however, the building or impro^ment is sdd within one year of completion, the owner-buiIderwtI have the burden of proving that he did nof budd or Im-prora for the purpose of sale) □ I. as cwner of the property, am exclusively contractingwith bcensed contractors to construct the project (Sec 7044,Buatness and Professtons Code. The Contractor's LxenseLaw does not appty to an owner of property who builds or mvproves thereon, and who contracts tor each projects with agntracKiits) license pursuant to the Contractor's License '□ As a homeowner I am improving my home, and the foltow-ng conrhtions exot1 TTie work Is bemg performed pnor to sale2 I hai.^ Iwed in my home lor twelve monthsprior to completion of thu work3. 1 have not cfaimed this exemption dunnp thelast three years. • □ I am exempt under Sec .for this reason B&P.C. □ I herePy affirm that I have a certificate of consentto self-ineure, or a cerlificate of Workers'Compensation Insurance, or a certified copy thereof(Sec 3000, lAbor Code) O t- s oo tro ocUJo POUCYNO • COMPANY □ Copy IS filed with the city Q Certified copy is hereby (urniihed CERTIFICATL OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if tl%e permitIS for one hundred dollars (SIX) or less) yO^I certify that in the performarKe of the work for/wnicf^ thts permit is issued. I shall not employ anyperson in any manner so as to become subject tothe .Workers' CompensatKin Laws of California NOTICE TO APPLICANT If. after making this Cedilicate of Exemption, you should become subject tothe Workers Compensation provisions of the LaborCode, you must forthw'Ttfi comply with sixihprovisions or this permit shall be deemed revoked Q I hereby affirm that there is a constructionlending agency for the performance of the work lorwhich this permit is issued [Sec 3097. Civil Codej "Lender s Name. Lender s Address . USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT1200 Elm, Carlsbad, CalKornIa 92008-1989 (619) 438-5525 APPLICATION & PERMIT ■job address ' SUBDIVISION' AV.ST.RD. NEAREST CROSS ST.BUSINES^LICENSE # A3SESS0R''PARCEL NO. OWNER'S NAME OWNER'S MAILING aODHESS WNER'S PHONE mil DESCRIPTION OF WORK CENSUS TRACT .GP LAND USE PARKING space CONTRACTOR DATE OF APPLICATION TFySZ <zz/lj^ONT-BACTOR'S ADDRESS ^ ^ ^ UCENSE NO. TRACTORS PHONE f DESIGNER ! /DESIGNER LICENSE # DESIGNER'S ADDRESS ^ • ^A , f" Z'DESIGNE F/P F LR ELEV. yD nQ GRADING PERMIT ISSUED Y □ N □ BEDEVELOPfVtENTAREA ' yQ nD STORIES TYPE CONST p'S PHONE VALUATION * 35P ZONE PLAN r.D. # STANDARD PLAN # /PERMIT.NL ■?'/ BLDG USE CODE BUILDING SO. FOOTAGE EDU FIRE SPR yD nQ 1/30/81(9180 r/'cOu Not VaPd UnleSfUtchine Cirtifitd QTY.PLUMBING PERMIT - ISSUE 7 ^3 , QTY.MECHANICAL PERMIT - ISSU E 3.0^SUMMARY/ACCOUNT NUMBER ^ EACH FIXTURE TRAP INSTALL EURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-008221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR OPTO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1-TU 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 EACH INSTAl. , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOOO/OUCTS ■MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE)SOLAR 01-00-00-8228 •TOTAL MECHANICAL .STRONG MOTION 80-92-33-0519 TOTAL PLUMBING FIRE SPRINKLERS 01-0O-G0-8227 QTY.ELECTRICAL PERMIT - ISSUE QTY.SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8930iS-- BRIDGE FEE NEW CONST EA AMP/SWT,'BKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLOC EA AMP/SWT/BKR ROCK STORAGE Enclnltas 80-92-22-0519 1 PH 3 PH PUMP San Diegulto 80-92-23-0519 REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 30-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS)-MFF 80-92-57-0519 CREDIT DEPOSIT TOTAL ELECTRICAL - TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED. Tp COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration, Every'pofmlt issued t}y trie Buildirr^Oflicial under ttie provisionsVttiisCode stiall-expire try limitation and become null snd void II the building or workauthtKized try such permit is not commenced within 180 days Irom the date of suctipermit, or if the txulding or work authorised by such permit is suspended orfltianrtoned at any time after the work is commenced tor ■ penod ol 180 davs APPLICANT'S SIGNATURE *OWN El CONTRACTpS-^ BY PHONE □ * AN OSHA PERMtT IS REQUIRED FOB EXCAVATIONS OVER5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF ' STRUCTURES OVER 3 STORIES IN HEK3HT .^PROVED BY-DATE TYPE 'DATE INSPECTOR BUILDING 1 FOUNDATION | REINFORCED STEEL i MASONRY 1 GUNITE OR GROUT i FLOOR & CEILING SUB FRAME | SHEATHING □ ROOF □ SHEAR FRAME 1 EXTERIOR LATH i INSULATION ; INTERIOR LATH & DRYWALL i 1 1 PLUMBING I SEWER AND BUGO niPUCO | UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ W^TER TUB AND SHOWER PAN i GAS TEST 1 □ WATER HEATER □ SOLAR WATER 1 1 ELECTRICAL i □ ELECTRIC UNDERGROUND □ ijlFFER 'ROUGH ELECTRIC i □ ELECTRIC SERVICE □ TEMPOF^ARY □ BONDING □ POOL i 1 1 MECHANICAL ' □ DUCT & PLEM., □ REF. PIPINIG heat — AIR COND. SYSTEMS i VENTILATING SYSTEMS I 1 CALL FOR FINAL INSPECn ITEMS ABOVE HAV.IB WHEN ALL APPROPRIATE BEEN APPROVED. FINAL 1 PLUMBING ; ELECTRICAL i MECHANICAL 1 GAS 1 BUILDING 1 SPECIAL CONDITIONS i f /V I 1 1 6^~?0r FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S 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 i FIELD WELDING - HIGH STRENGTH ■ BOLTS special MASONRY PILES CAISSONS • V - " I 1tC 'v ,- 3- - '