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Home My WebLink About2006 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; CB132011; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-26-2014 Permit No: CB132011 Building Inspection Request Line (760) 602-2725 Job Address:' 2006 PALOMAR AIRPORT RD CBAD Permit Type: PME Status: ISSUED Parcel No: ' 7602216000 - Lot #: 0 Applied: 08/20/2013 Entered By: LSM Reference #: Plan Approved: 08/20/2013 #: ,PC - Issued: 08/20/2013 Inspect Area: PY Project Title: MAGELLAN AVIATION- REPLACE 2 A/C UNITS- ROOF MOUNTED WILL NOT BE SEEN FROM STREET . Applicant Owner PACIFIC COAST HEATING & AIR CONDITIONING INC MAGELLAN AVIATION 1903 CHEYENNE CIRCLE 2006 PALOMAR AIRPORT RD OCEANSIDE CA 92056 CARLSBAD CA 92009 760-726-1715 Plumbing Fees $0.00 Electrical Fees ' . $000 Mechanical Fees - ' - . $154.00 Other PME Fees $0.00 TOTAL PERMIT FEES . . , $154.00 Total Fees $154.00 Total Payments To Date $154.00 Balance Due $0.00 FINAL APPROVAL Inspector: Date: ______________ Clearance NOTICE: Please take NCE tt ap'roval 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 connetion 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. (1, cjLLOWlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [--]PLANNING DENGINEERING DBUILDING EJFIRE EIHEALTH DHAZMATIAPCD1 - • .. Building Permit Application Plan Check No. n (I • 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C I TV 0 F ' Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: bUildingcarlsbadca.gOv Plan Ck. Deposit www.carlsbadca.gov Date' 120 (i..3 ISWPPP JOB A ES ôo L ?l"--- it r rittZp UITE /SPACEC/UNITC APN - - - CF/PROJECT e LOT A . PHASE A A OF UNITS A BEDROOMS A BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP [". ". DESCRIPTION OF WORK: Include Square Fe of Affected Area(s) vrs.o . •(cr1& Fr .tt5 I • . • - -. ' .-: - . - -. PROPOSED USE - EXISTING USE - : GARAGE (SF) PATIOS (SF) - DECKS (SF) FIREPLACE - - AIR CONDITIONING FIRE SPRINKLERS • . .. YES A. NOII YES IIN0 YESD NOII APPLICANT NAME (Primary Contact,ift ADDR SS - . , APPLICANT NAME (Secondary Contact) • . ____-.\O3 , ADDRESS • -. , . - CITY i • - SJATE ZIP • 7Q5/. - PHONE - - crrr' -- STATE ZIP. - - , • •. -: FAX PHONE ' • • -- ' FAX . -- - F EMAIL • , . - . • EMAIL . • . , . PROPERTY OWNER NAME L - CONTRAc .ME 1h1 &€ ADDRESS • ,4t/ia,+ ADDRESS - - . .,. .-, . .' - CITY /\ STATE ZIP OY PHONE ' • CITY . • STATE ' ZIP - • -. - - .-• • . -. - _______________________ FAX PHONE - -- - FAX • • - EMAIL • • , • ' - EMAIL . • ARCH/DESIGNER NAME & ADDRESS . - -':- • STATE LIC. A . STATE LIC.A CLASS •• - - - CITY BUS. LiC.A (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 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 7031.5 by any applicant for a permit subjects the applicant to a civil oenalty of not more than five hundred dollars 1550011. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .- 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. - ["l have and will maintain workers' ompensatlon, as required by Section 3 00 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation s lance crrier and policy number are: Ins . urance Co.i (' ')I (ULL.V' Policy No. tif(! tIL , Expi ration Oate 11/4 / 3 This section need not be completed if the permit is for one hundred dollars ($100) or less. , ElCertificate 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 10 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, 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, damage ided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE DAGENT DATE ooO e 41 - I hereby affirm that lam exempt from Contractor's License Law for the following reason: F-1 1, as owner of the properly 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 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-builder will have the burden of proving that he did not build or improve for the purpose of sale). [J I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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). [] I am exempt undel Section ______________Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed properly improvement EYes [:]No .... ' I (have I have not) signed an application for a building permit for the proposed work. - - I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): . 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone I contractors license number) - 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address / phone! type of work): ..PROPERTY OWNER SIGNATURE -. . . . - .• . []AGENT DATE 01. Is the applicant or future building occupant required tosub mit 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? Yes L No ,. Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [)Yes No * - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. 11 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097(i) Civil Code). . Lender's Name Lender's Address - -. - i certify that I have read the application and state that the above Information is conactand that the information on the plans Is accurate. I agree to complywith all City ordinances and State laws relating to bulldingconstnictlon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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. -e OSHA.An OSHA permitis required for excavations over 69 deep and demolition or construction of structures over 3 stones in height. - 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 .180 days from the date of such permit orif the building or uthorized by such permit is suspended or abandoned at any time after the worlcis commenced hrapedodof 18O days (Section 106.4.4 Uniform Building Code). .APPLICANT S SIGNATURE DATE 90 ) - ( r - -r - , STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. - - - - Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects OnfyJ r '- - Fax (760) 602-8560, Email buiIdinp).car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. - CO# (Office Use Only) CONTACT NAME . - - .. - . OCCUPANT NAME ) - ,..-- • ; •. -. - . -. - :3.-S - •: - - S -. • . . * -• -: ADDRESS - -. -- --'-'. BUILDING ADDRESS ----—----------------------. - -- - -. CITY STATE - - ZIP ., CITY - - STATE - - ZIP - Carlsbad - CA PHONE - FAX ........ . - . -. EMAIL .. . -. . , - . - . OCCUPANT'S BUS. LIC. No., DELIVERY OPTIONS PICK UP: CONTACT (Listed above) 'OcCU PANT (Listed above) CONTRACTOR (On P. i) -. . .,- -, . ,.. - .. •- ..... . . - '. -. .. '- ASSOCIATEDCB#_. MAIL TO: %CONTACT (Listed above) )' OCCUPANT (Listed above) CONTRACTOR (On Pg 1) NO CHANGE IN USE/ NO CONSTRUCTION . MAlL/ FAX TOOTHER: - . - CHANGE OF USE/ NO CONSTRUCTION - . .APPLICANTSSIGNATUREt DATE -. - - - C • ••• .. . . . Inspection List ' ••' . Perñiit#: CB132011 .Type: PME MAGELLAN AVIATION- REPLACE - - 2 A/C UNITS- ROOF MOUNTED WILL N 'Date Inspection Item Inspector Act Comments 11/18/2014 49 Final Mechanical PY AP 09/17/2014 43 AirCond/FurnaceSet PY AP 09/17/2014 49, 'Final Mechanical PY AP : - - S - ' • Tuesday, March 03, 2015 - - - ' - Page 1 of 1 - , - ' - • ' - --• .- - 5% XT f ' .-BUT LD L N.-,G P E R M IT Permit. No: CB900586 04/11/90'-13:52 I i' Project No A9000691 Page 1 of 1 Development No Job Address 2006 PALOMAR AIRPORT RD Str Fl Ste I .P rmit Type :. PLUMBING .-. . -• . ' , 4731 0/11,<90.0001 01 02' Parcel -No C-FFJIT t10 00 Valuation:. . . 0 'Construction Type NEW Occupancy -Group:..'Class Code Status ISSUED 'Description INSTALL BACKFLOW PREVENTER . - Applied 041/11/90 FOR IRRIGATION OFLANDSCAPING Apr/Issue 04/11/90 Validated Bj CD CONTRACTOR ECOSYSTEMS-IMAGERY INC Li6., C NO .. 436"2094 -- 1329. LAKE DR ENCINITAS,-CA92024 C Fees Required -t%Fees Collected &. Credits. . \ S ............... ...Fee s:/IO.Ocp'flJ Adjustments: . i'/ .00 ,,.,Tot-al Credits- .•S ..:oo Total Feès:-. / 0.O0 , • -00 5/ BalacéDue: ' 10:00 10 IT .Feedescriptionf Ext fee Data for Plumbing"Issue ee 7. Edc hVacu'u'm.Breaker i...o b' ~~2 )5, 0 *'PLUMBING TO~AL 101. ! 1: I -: •' • S •• • .5 - CITY OF CARLSBAD PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. REMIT TYPE I A -,Z COMMERCIAL ONEW DTENANT IMPROVEMENT B - EJ INDUSTRIAL DwEi DTENANT IMPROVEMENT C - DRESIDENTIAL []APARTMENT DCONDO DSIWGLE FAMILY DWELLING DADDITION/ALTERATION DDUPLEX . DDEMOLITION DRELOCATION DMOBILE HOME DELECTRICAL ,.'MBING []MECHANICAL DPOOL []SPA DRETAINING WALL DSOLAROTHER - - EST. VAL PLAN CE DEPOSI _______________________________ VAL ID. BY DATE f// Z. PROJECT INFORMATION PLAN LHECK NO I FOR OFFICE USE ONLY Address L. i ding or Suite No. Nearest .cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELII4 IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope ASSESSORS PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK 1ZUJJ JV LA BLDG. SQ. FIG. H OF STORIES 3.. CONTACT PERSON NAME O6f.4t5 ic... ADDRESS 'D.... CITY %, f-\ 05 STATE CA ZIP CODE CLO..tLJ DAY TELEPHONE (.t( 00 Iq ?( 20 q U SIGNATURE APPLICANT ...2-'TRACTOR 0 AGENT FOR CONTRACTOR . DOWNER - DAGENT FOR OWNER NAME j'S sAZM My%c. ADDRESS (... twL. CITY 0,S STATE C, 7N ZIP CODE DAY TELEPHONE (..(Lt) PROPERTY OWNER NAME OWNER ADDRESS L IZ) DLESSEE DTENANT CITY k STATE ZIP CODE - DAY TELEPHONE -'?jt- 6t CONTRACTOR NAME 1E, A A , ADDRESS 2_\ LGLC.. N- CITY — . STATE ZIP CODE S'%O'2.3-A DAY TELEPHONE STATE LIC. H ,1iL41.- LICENSE CLASS f_2. CITY BUSINESS LIC. SIGNATURE TITLE DATE - DESIGNER NAME ADDRESS (j131b .4L0LCJrJ( t'. '1,60 CITY Ap'. STATE £..A ZIP CODE DAY TELEPHONE Il5_Rs STATE LIC. # ________ 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 Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY LJ'J P¼' 2..At4l!. - POLICY NO'..4.1 j.,01136(.g1 ( EXPIRATION DATE Li Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not enjldy any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors 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 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 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 sale.). 0 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 Contractor's License Law (Chapter 9, commencing with Section 70D0 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 (55001). 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 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES E] NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER .i'ULY 1, 1989 UNLESS THE APPLICANT HAS MET ON IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY A/ /A 'I i I hereby affirm that there is a construction lending agency for the performance of the work for which this permi t s issued (Sec 3D97(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 permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended abandoned at any time af e thework is comenced for a period of 180 days (Section 303(d) Uniform Building Code). APPL ç4iSIGNATUR, 0 OWNER ,,CNTRACTOR 9BY PHONE APPROVEd BY ________________ DAZE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLS BAD . V 7 INSPECTION REQUEST PERMIT# CB900586 . 7 FOR 04/13/90 . INSPECTOR AREA MC DESCRIPTION: INSTALL BACKFLOW PREVENTER . . PLANCK# CB900586 FOR IRRIGATION OFLANDSCAPING 0CC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2006 PALOMAR AIRPORT RD STR: FL: . STE: APPLICANT: ECOSYSTEMS IMAGERY INC PHONE: CONTRACTOR: ECOSYSTEMS IMAGERY INC PHONE: 436 .209 - OWNER: . PHONE: REMARKS: 'T1/MH/GRACE/436-2094 4 INSPECTOR I j41 SPECIAL INSTRUCT: TOTAL TIME --RELATED PERMITS-- PERNIT# TYPE STATUS . CB890041 CTI ISSUED' SE890008 SWOW ISSUED . . . CB891109 PLUM ISSUED SE89 0109 SWOW ISSUED CB891855 CTI ISSUED L'.'•.. ,, , ,CD. 4LVL ,DESCRIPTION . ACT COMMENTS . . • •,' 26 PL Plumbing Repairs/Sprinkler 1qP flto 7 . . . .t .4 ¼ , 1c1* INSPECTION HISTORY.***** ,DATE DESCRIPTION' • -- ACT INSP COMMENTS - 4 - 4 . i' •4 41 1 4 . ', ., .4 • '' - 4 . 4 5. . P •' .4 .'-. 4 4 . ' •.i . . ,- 8 4 8 ' 4' 4. - . 4 4 ¼ ' . . 7 8 •. '5 •l 4' . 4 . 4 *7 4 .- 4* - 8 8 • , - 7 -' . 4 8 3'_• . . - -. * . 4 4- Q• . 4 ., 4.,4 - . . - V -. V - V V• - - - -•V. - - - .. ._. .,4 •VV - , -- V VV_ •V •V• -. V •g - •V V• V .. • V • ..-• .: .• V • - -• 'V •V - B U I L D I N G P E R M I T Permit No CB900094 ..-01/23/90 .11:48 '••' . - :. -Project No:' A90Q0128. '- .Page 1. of -1 V . - V V Development No: I .''Job Address:.2006 PALOMAR AIRPORT RD V• VStr: Fl: Ste:'Ja * Permit Type PLUMBING - 01/23/9 .0001 01 ()7 Parcel No 1.0 -00, 'Valuation-:..• 0 I '2. )5 / Construction Type:. NEW Occupancy Group Class Code Status ISSUED Description REPAIR GAS LINE Applied 01/23/90 Apr/Issue 'V.:.01/23/90 Validated By DC -' - : V• -. •• V* - CONTRACTOR':. KMP PLUMBING* - - V V Mc. C 294110 -, -- 619 259-9300 ' - 4425C000Y ST VV •V - SAN DIEGO CA' 92111-. V -. • V OWNER MISSION WEST/A /L1c N ------ 5/0h1t&Cr --------- Fees /io ooI Sç3 \ Adjustments. I \.00 / Total\Credits.\. .00 - Total Fees / i000/ 7f\jtal Paye'n's \ 00 ------------------------------- - 'Enter, ":Y " for Plumbin,gPjIsjs~e'tee 7 5. Y , p. -system PLUMBING TOTAL' .10.0"o- 1 4 Do too a to, 61 'V ••VV V V 'V S -S • - S f-' .4 - V - V • •V * •V -. •• *J . S V •• . f _•_VV . -5 'V S • j 4*V - -" 1 V a CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 4 - - 'V I •'- - . VV • V V••VV - •VV .V* ' •V •' •- e . • - V V V 4 - . V - - * V r •h. • . • - * V . ,-, _• 5 - :yi. V '~•V V.. V- .- * •• * _VV V V • -. - V -t '_• V. 4 el 71 1. PERMIT TYPE . I A - VLCOMMERCIAL DNEW 'TENANT IMPROVEMENT B - INDUSTRIAL []NEW OTENANT IMPROVEMENT C - RESIDENTIAL DAPARTMENT DCONDO []SINGLE FAMILY DWELLING DADDITION/ALTERATION [3 DUPLEX []DEMOLITION I2RELOCATION, DMOBILE HOME DELECTRICAL DPLUMBING []MECHANICAL [3 POOL DSPA DRETAINING WALL [-]SOLAR DOTHER________________ PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL PLAN CE DEPOSIT_____________________________ VALID. BY DATE Address Building or Suite No. Nearest C eets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. 1KLCL StUN ir uaiuILu: 02 Ei'iergy Calcs 02 Structural Calcs 02 Soils Report Di Addressed Envelope ASSESSORS PARCEL EXISTING USE . PROPOSED USE DESCRIPTION OF WORK (4ST GA L)IU BLDG.' 50. FIG. . # OF STORIES 'CONTACT PERSON NAME L. 7U MtA'tf I'Ub ADDRESS CITY £ct4 STATE ZIP CODEI '2...O75 '' DAY TELEPHONE'2...S"43O0 SIGNATUR ' APPLICANT JyCONTRACTOR [:]AGENT FOR CONTRACTOR DOWNER [-]AGENT FOR OWNER NAME /fV &VM6a6 ADDRESS ,S LET oS ,1v. CITY bL_./L)A-" ?',-ea STATE ZIP LODE g2_bf' DAY TELEPHONE 'z..s- -q306 PROPERTY OWNER ' OWNER DLESSEE DTENANT NAME I41SS 1 010 IA.) E'&I' ADDRESS oOj, tafiq _ A-, CITY CJjZ't..af?Y'*g-j STATE ZIP CODE '7Opj DAY TELEPHONE CONTRACTOR NAME )f) f' PL_ Me),' C 'ADDRESS L/'35 9 CITYI,5'Q -lJf'7" STATE ZIP CODE ? DAY TELEPHONE -.4.5 STATE LIC.,H R1L1) !IO LICENSE CLASS .' (f? CITY BUSINESS LIC. # • - SIGNATURE ?'7 -' TITLE ..Se .Q DATE 'Zz_. - 9' ) CITY 7U STATE ZIP CODE DAY TELEPHONE STATE LIC. # 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 Building Inspection Department (Section 3800, Lab. C). - INSURANCE COMPANY KItP_LCI'f POLICY NO.(..-JC.100 Ot91 EXPIRATION DATE 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. SIGNATUR DATE C1 Owner-Builder Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: fl-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 Contractors 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-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed con'tractors 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 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 ContrActor's 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 DNO - -Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? - - DYES NO - Is the facility to be constructed within 1,000 feet of the Outer boundary of a school site? DYES ONO IF ANY 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. Expiiation. 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). - CANT'S SIGNATURE ' DOWNER ,,CONTRACTOR 0 B PHONE v &TE.:------------------------------------,, - WHITE: File YELLOW: Applicant . PINK: Finance • - CITY OF CARLSBAD . INSPECTION REQUEST PERNIT# CB900094 . FOR 01/26/90 INSPECTOR AREA MC DESCRIPTION: REPAIR GAS LINE • . • PIANCK# CB900094 OCCGRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2006 PALOMAR AIRPORT RD STR: FL: STE: APPLICANT: KMP PLUMBING PHONE: 619 259-9300 CONTRACTOR: KMP PLUMBING PHONE: 619'259-9300 OWNER: MISSION WEST PHONE: REMARKS: T1/MH/JEANNIE/259-9300 INSPECTOR SPECIAL INSTRUCT: ;• .• . • t . • - .1 TOTAL TIME: _____ • • --RELATED PERNITS-- PERNIT# TYPE • STATUS CB890041 CTI ISSUED • . SE890008 SWOW ISSUED • CB891109 PLUM • ISSUED SE890109 SWOW ISSUED • . • CD • LVL DESCRIPTION ACT COMMENTS • 23 PL Gas/Test/Repairs /- - • • • • ***** INSPECTION HISTORY ***** DATE DESCRIPTION •- ACT INSP COMMENTS • • USE BALL. POINTPEN ONLY. &.PRESS.HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. _. CARLSBAD"BUILDING -DEPARTMENT T ' * ATION & PE MIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS , AV- ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSI)e i&fxt VALUATION ZONE.. .f. . PERMIT NUMBER .—// °?-- - LOT BLOCK • SUBDrVISlON ' ASSESSOR PARCEL NO. - , - - CONTRACTOR- - - m P CONTRACTORS PHONE.$ Zi OWNER'S NAME - '/) - - - - ',' - - - 11 T lel OWNER'S PHONE - - Y9fs78- COTRACTOR'S ADDRESS STATE LICENSE NO. - . --- BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS DESIGNER - DESIGNER'S PHONE — - - 9585'772B'/89'000fO1'-02 B1 dF'lTit - iO.00 ' Not Valid Unless Machine Certified - DESCRI Ti OF woFIFO .....•. - j °? 2 4 DESIGNER'S ADDRESS v. - STATE LICENSE NO 1 - - - - - -- - - F/P FLR ELEV. ' NO STORIES - ' 0CC GP EDU - - I) I - , . /qcci%Xe.-#i ' - - ' -- t' 1 CENSUS TRACTPaR*OING 1 SPACE t'' -- RES UNITS GRADING PERMIT ISSUED ' f - n 0 N 0 REDEVELOPMENT YO NO ARE'A'I''-'-CONST ' - TYPE 0CC LOAD FrRE SPR YO NO OTY. PLUMBING PERMIT - ISSUE .cJ OTY. MECHANICAL PERMIT- ISSUE ----.---------(i-(-- '...i- SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , I - INSTALL FURN. DUCTS UP;TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 - EACH BUILDING SEWER - - - L- - -- — - -- ---- -OVER1O0,00O BTU- — -- — '. --- - -SIGN PERMIT-- - 001-810'00O0-8221 - - - - - -. - -- - 71J EACH WATER HEATER AND/OR VENTI -- I BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK - - 001-810-00-00-8891 -- EACH'GAS SYSITEM1TO 4 OUTLTS i BOILER/COMPRESSOR 3-15 HP - TOTAL PLUMBING 001-810-00-00-8222 /_ - EACH G-ASS-YSTEM5 ORMORE I - -- ---- --- - - - - - METAL,FIREPLACE-- - 4 - — - c-- --- -- - - -ELECTRICAL--- -- 001-810-00'00-8223 -'- - - EACH INSTAL: ALT-ER 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 - EACH ROOF DRAIN (INSIDE) I - DRYER VENT - - STRONG MOTION 880-519-92-33 p-/ - TOTAL MECHANICAL --- FIRE SPRINr(LLRS 061-810-00-00:8227 --- - TOEAL PLUMBINU ------v ' :_.' - U.BLIC_EACILI1TIESEEE — 320810-00-00-8740.. - - -------- - -- -- QTY. - - -' '' . -ELECTRICAL PERMIT - ISSUE' ' — f '. ' OTY. f I . -- - MOBILEHOME SETUP -- - - - BRIDGE FEE - 360-810-00-00-8740 — - - - -. ------___ — -. PARK-IN-LIEU (AREA NEW CONST_EA AMSW1,J(KR._, " f CARPORT - ., ,,j - TIF. - 31281000008835 - AWNING , - LA COSTA TIF 311-810-00-00-8835 - - I PH - 3 P; 'u1L- EXIST BLDG EAAMP/SWTBKR ( tGARAGE '1( - " FMF -- - 1PH 3PHi 1 ,nrt4l-a.c. LICENSETAX 001-810-00-00-8162 - - - REMODEL ALTIR PER CIRCUIT MFF 8805199257 i ... _-,. ____ , -O-V-ER-'200AMPS ---------. LEMPOCCUPANCY, 130 DAYS).-'--4 i - - ----- ---.---- CREOITDEPOSIT- --I TOTALELELTRRALI LL. TOTAL FEES PAYABLE 1/____ — I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued byline Building Official underline provisions O(this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY -UNDER PENALTY OF' PERJURY - THAT ALL INFORMATION HEREON - INCLUDING THE Code shall expire by limitation and come null and void. If such permit is not commenced within 180 days :.e building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorize rom the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buihd[nq or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT -ISSUED:- TO COMPLY WITH'ALLCITY:' COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at an5 time alter the work is commenced br a period 0(180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP 0 -- -, - -KEEPHARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMENTS, COSTS AND APPLICANT'S SIGNATURE OWNERD CONTRACTOR . ,, BY - DATE -- EXPENSESWHICH MAY IN-.ANY.0WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE - - - . - - — - - - 'GRANTING OF-THIS PERMIT— - -- - BY PRONE 0 eiwo fli hereby affirm (haLt am licensed under 8d0ITj provisions of Chapter 9 (commencing with I I - SectIon.iOOO) of Division 3.01 the .Business and Professions Code, and my license is in L—fult force and effect., Ju I hereby .atlirm,thal I, am exempt from the..Contrac- Ex-- .-. tor's license Law for the following reason (Sec. 7031.5 - 4. J Business and Professions Code: Any city or county whicr. re - - '-quires apermit -to construct, 'atter: impruve, demolish, or repair any structure, prior to its issuance also requires the ap plicantJoçsuch,permit to1i1ea signed state!ne!rtlhat,heis licensed pursuant ito,. the provisions of the Contractors License Law (Chapfer.9:comnrencing with Section 7000 01 i .- —Division 301-the Business and Professions Code) or that is ex-- emtrt therefrom and the badis for the alienee exemutionAnvf i:• drCdddtthrs$5O0(' '_-- - I I .:as-owner 01 the property. or-my employees-with wages-v- - as their sole cumpensal us will do the work and the struc a - lure is not intended or offered (or sale (Sec 7044 Bus ness and Professions Code: The Contractors License Law does r.-5. not apply to an_owner ofproperly,whoCuilds'orimprones --o - thereon andwho does such work himself or through-his own f employees provided that such impronemeols are not intend ' Mi ed or offered. (or sale II however the building or improve Z menl is sold within one year ut comptetlom. the owner-builder I will have the burden-olpruuing that he did not build or im- I —0 ---prove lnr -the -purpuse'ot-salet.- -- 1.1. as,nwnor.of the property, am.euclasiuefy contracting - with licensed contractors to construct the project (Sec. 7044. I.. !'Basiness and Professions Code:"-The Contractors License Law does nut apply to an owner 01 properly whu buildC'ur m L ,Eprovesttrereonand whn'cuntracls for each projects with a contraclor(s( license pursuant,.tbjhe. Con tractor's _License_- Z LawL ,.. - - 2._jo t1 .'-t :CL-iC . . i. ----.- - --Il -As -a homeowner I am improving my home, and the 10110w 4 •-, v C._iflg Conditions exist g-r. e.geh L f - -'- 1 The work 5 being pertnrmed prior to sale 271 have lived inr,my hnme tnr twelve months I prior lo-tompletinn 0tthi5 work: -.3. - I. have- not- claimed 'this exemption during the - - 0 last three years. Cl lameilFmpfanderSe'-_' B&PC,i e for this reason, I 1kI a - '. a J jh 1 rx hereby attirW that _I have a certificate of consent 16 Or Out nsve or . certificate of Wor kes Cumpe satu I -- . -surance. or a certified copy thereof (Sec. 3800. Labor Code) I E'o't7ds'oitfO t '+43 L /A COMPANY - ..-'QCopy'istiled wilh-rhe-city''--- — —I- 4 it.' - 0 Certitied copy, is hereby turnished UJI A. 40 'j1' CERTIFICATE OF EXEMPTION FROM C.) .. - - ..WORKERS.COMPENSATION iNSURANCE-, ,iCfl 1r.,(This section need not be completed it the permit * .uurs for one hundred dollarsLL, ($1001 or less) - ei'D' certity'rkat in theperformance 01 the work for which I CC ,'th 3emt sss ed Ishall orempluy Any pese any, -_I 0 manner so as to become subject to the Workers' Compen. Cation Laws 01 California. f. iQ'rtpE TO APPLICANT: If SlIer. making this erriticárA-'4. _ot P e mpl on you should become Cub1ecr to the Wo ke 5 - - Compensation provisions of the Labor Code, you musi forthwith m coply with such provisions or this permit fl shall be deemed revnked' 1s i uz. uoIr -z*-r,pTr I -- 4i-hereby.attirm that-there isa consrrucrion lending - 1gency for theCrtirranceot the w'rkYorixhiEh'ilci i. C 01 . mit isTssuerj'lSec, 3097. Civil Code) Uil Lender's Name r-r' - --.--i- * — ---- - ----- C) 0. in C TYPE DATE INSPECTOR BUILDING FOUNDATION I REINFORCED STEEL MASONRY GUNITE OR GROUT SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING UNDERGROUND 0 WASTE 0W4TER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATR ELECTRICAL o ELECTRIC UNDERGROUND 0 U1FER ROUGH ELECTRIC I 0 ELECTRIC SERVICE 0 TEMPORARY O BONDING 0 POOL MECHANICAL O DUCT & PLEM., 0 REF. PIPING , , • ,.. _________ HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ. IF INSPECTORS CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH 8OL1S SPECIAL MASORY -. INSPECTORS N PILES CAISSONS CALL FOR FINAL INSPECTION ITEMS ABOVE HAVE 8 FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS N ALL APPROk'RM TE , ... . ... . .-... . - APRROVEP ', I I I I