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Home My WebLink About2010 FARADAY AVE; MULTI-PERMIT FILE; CB101199; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-29-2010 Electrical Permit Permit No: CB101199 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2010 FARADAY AV CBAD St: MP ELEC Parcel No: 0000000000 Lot #: 0 Reference #: PC#: Project Title: Applicant: SASS ELECTRIC INC STE 165 REPLAC_~ EXISTING METER PED 11657 RIVERSIDE DR LAKESIDE CA 92040 619-456-4500 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/29/2010 KG 06/29/2010 06/29/2010 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: FINAL APPROVAL Date: ?::: / :2. -I cJ Clearance: M.-u. .... \ t2 $0.00 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 fo1th 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 vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «~ ,T Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check NC~/ 0 I { q ~ CITY OF CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck. Deposit Date --0 JOB ADDRESS SUITE#/SPACEII/UNIT# Z.,o\D CT/PROJECT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~0Y'Ov!.. ~ rq1k,ce. elisB~ {\i.,vJ ai{Q.l (t..lDtlAec.t ~Tsh~ EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL #BEDROOMS GARAGE (SF) ZIP el~ ARCH/DESIGNER NAME & ADDRESS STATE UC.# # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) AIR CONDITIONING NoD YEsONoO ~- STATE ZIP u:c Cft..c'-{o loov-e... CITY STATE ZIP PHONE FAX EMAIL STATELIC.# CLASS CITY BUS. UC.# FIRE SPRINKLERS YEsONoO C-\(l'-fSl C...-\ (? l,.'2. ,...,, (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 1s 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 penalty of not more than five hundred dollars ($500)). , -l ,:' ··'' '' •· '. I;' Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following dedarations: Q ~ve and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. ~ have and will maintain yi,o,r~er ',compensijion1 8i,req~ired by Sec.jlon 3700 of~ Lab_or Code, for the perfonnance of the work for which this pennit is issued. My workers' compens · n i~ral)Ql carrier and policy numberare:lnsurancecoY~ 0~\ VIA,,\00'\, h (._ .l.~• Cu. PolicyNo. WC...'l..DC.0"3!1~("') ExpirationDate •-::, UI This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance 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' compensation co age I awful, and shall J tan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Se oft Labor code, te st and attorney's fees. Ji5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 Contra::tor'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). 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 contra::tor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ .,.,usiness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes ONo 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone/ contra::tors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name/ address/ phone/ 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 I address I phone/ type of work): .@S' PROPERTY OWNER SIGNATURE 0AGENT DATE ..,.... ________ \ -:,-...-.,,,...--------------------------=.....,,.,.....,...__,, _____ ..,._ ____ ~-- @0@@0,@00: 'i!tllfo t,9j@u'O®W (?(!)@ W@i!Je,@1)000@{p~~ @l.!)Of1_0QWSBi@am@&~ 0Wi1\1 ·: Is the applicant or future building occupant required to submit a business~cutely hazardous materials registration fonm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes I..J,!JNo Is the applicant or future building occupant required to obtain a penmtt from the air pollution control district or ai!:.9l!aj!J¥ management district? [Jves ~No Is the facility to be constructed within 1,000 feet of the outer boundal)' of a school site? OYes ~o 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). Lender's Name Lender's Address I oerfifythatl have read the application andstatethattheaboveinfonmation is correct and thattheinfonmation on the plans is accurate. I agree to comply with all Cityordinanoos and State laws relatingto building construction. 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penmit is required for excavatkms over 5'0' deep and demolttion or construction of structures over 3 stories in height. EXPIRATION: Eve!)' permit issued by the Building Official under the provisions of this . e shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180days from the date of such permit or if the building or work aut · by such per i is suspended or abandoned at anytime after the work is commenced for a period of 180days (Section 106.4.4 Uniform Building Code). ,6 APPLICANT'S SIGNATURE DATE /0 '-<«1 "'~-~ CITY OF ARLSBAD DATE: 2 ---A -/ ctJ PERMIT#: c: B IICJ/ ( 99 UNSCHEDULED BUILDING INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: _ _L::.g==:::R::::::.__ CONTACT: ------- PHONE#: ______ _ JOB ADDRESS: 20 J,t) ,Ge:~~ A-~- DESCRIPTION: _____ ~------------- CODE :3'2 Bldg Inspection Form DESCRIPTION Page 1 of 1 ACT COMMENTS 7-Jp I Rev, 06/09 ~ U) z 0 ~ ac ,c( _, 0 l&I 0 ac ~ereby affirm that I am,l!censed under o [ provisions of Chapter 9 (com·menclng with 1-Section 7000) of Division ·3 of the Business ~ and Professions Code, ana my lfcen~e Is In ~-full force .~'!!!.!!.ffech_ _ , z L1c. No . .z.n:lln f. Class -'--UJ 0 -or ac ,. l&I C .,J. 5 I l&I,. z :I: 0 .z 0 ~ z l&I a. :E 0 0 U) a: w :.:: ac 0 3: 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, prior 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's License Law (ChaRter 9 commencing with Section 7000 of Division 3 of the Business and ·Prolessions 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 sub-jects the applicant to a.civil penalty of notmore than flve·hun-dred dollars ($500). · • D 11 as ownir of the property, or my employees with Wages as their sole compensation, wlll do the work, and the struc-ture IS not intended or offered for·sale (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 who does such work himself.or through his own employees, provided that such-Improvements are pot intend- ed or offered for sale. If, however, the building.or improve-ment is sold within one year of.completion, the owner-builder will have the burden of proving that he did' not build or im-prove for the purpose of sale). 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 im-proves 'thereon, and who contracts for each projects with a r~Wf?ctor(s). license pursuant to the Contractor's License D As a homeowner I am 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 3. rtv~ ~~r p~r::inegi 1ri1t~~!~ptlon during ,the last three years. 1 D lamexemptunderSec. _______ , B&P.C. for this reason~----~~-~~---- ~ereby affirm that I h~ve a certificate of cqnsent to s~lf-insure, or a certificate of Workers· Comi>ensat1on Insurance, or a ce·rtif1ed copy thereof (Sec. 3800, labor Code) POLICY NoWC.. '&<b .-qOIJ;J?..7-7 ·coMPANYttlt#J(£f5 rolvtf£ i~srmr:iN --£ A\\lil~r.r.-1,1a ~opy ,s f,ieowitti'i'hecity.""'."" • -~· D Certified copy 1s hereby ,furnished. CERTIFICATf OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need noi be completed 1f the permit ,s for one hundred dollars ($100) or less) .d I ce(l,fy that m thtl performance of the work for ~:r'~~~!~~s ~~,!~~~~~~e~; 1 t~~~c~~e8~~~e"c~~~ the Workers· Compensation Law_~ of Callforn1a NOTICE TO APPLICANT: If. after making this Cen,- 'ftcate of ;i:c~mpt1on, you .should become subject to the Workers· Compensation prov1s1ons of the Labor Code, you must forthwith . c.ompty with such prov1s1ons or this perrmt shall be deemed revoked ;[ D I hereby affirm that there 1s a construct1on lending agency for the performance of the work for wh1ch-thrs permit 1s issued (Sec 3097, C1v1I Gode) 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 DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 APPLICATION & PERMIT JOB-ADDRESS /_ /--:;l,.k-V"" AV,j,T.lDATE,OF APPLICATION! BUSINESS LICENSE# VALUATION PERMIT NUMBER 1.GlD t::t\\U\D~Y A\lBJHE ~ co/'"0 ~ RD. J JU\lE !'1B'?) I 71:/ftTh OWNER'S NAME , . I OWNER'S PHONE CONTRACTOR _ r-co~_N_T_R_A_CT_o_R_S_P~H-ON_E_# __ Z_O_N_E---~------1 ~t O 1 ~ i KOLL LD\\Y:n(UtflO.hl L'.fiM'f'ANY . • . fh\CJ)l,C}J_,;ij~lj,(} ~ei.vn~aN ro~-~J1Ufu CDWlV'AHY' (.bfCU7441DTk:.O OWNER'S MAILING AC\DRESS . .·'· . CONTRACTOR'S ADDRESS ·• LICENSE NO. PLAN 1.D. # BLDG USE CODE T1i7J7 D.\tiHJUKRD,0fi\\lD\([iJJ j [J;l( q7J n . r.o.oot~1 J ~fltUK~\UJJ3 Cl\. 727 ... 1~1> . LOT BLOCK l SUBOI-VfSION I ASSESSOR PARCEL NO. DESIGNER 11-7JJl:5l LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE DESCR).fiJilP,N 9F,Y.,W;l~~, nr" r"',,.,.rm l':1r\l· ,.-,,,~ _ 0022 06/03 01.0j 02E:ldP,rit 30.,0) .~L'1•M H.\1\1 v-1.,-:111., "'.'HI'.l!J. Frllf,u~,rL oEstGNER's ADDREss DEStGNER's PHONE . mo. N-'lf \' t ~ t;.(n.1/\lb F/P FLA ELEV. NO OGG GP EDU STORIES ·vo NO -- CENs'us TRACT 1 · GP LANO· usE I PA.AKI NG SPACE RES UNITS I GRADING PERMIT 1ssuED I REDEVELOPMENT TYPE occ LOAD FIRE SPA . ". AREA CONST -y D N O vO NO vO NO Not Valid Unless Machine Certified QTY. PLUMBING PE'RMIT -ISSUE '7,. .<a QTY. MECHANICAL PERMIT -ISSUE dtJ-,. SUMMARY/ACCOUNT NUMBER' EACH FIXTURE TRAP INSTALL FURN. 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 - EA¢H WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 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 EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE _ ELECTRICAL 01-00-00-8223 EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT F.AN SING LE DUCT MECHANICAL 01-00-00-8224 EAeH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP _ EACH ROOF DRAIN {INSIDE) . ,..--;:-; ,~ cni AR 01-00-00-<>??i: TOTAL MECHANICAL .• / !\,t--· --~ _, {:l~ STRONG MOTION 80-92-33-0519 ---·1 ·""-/ . 7,, TOTAL P.LUMBING , /ft:s~ /:\. -0, \ FIRE SPRINKLERS 01-00·00-8227 QTY. ELECTRrCAL PERMIT. 1ssuE ~ QTY. SOLAR -1ssuE Fi ,~ ~t,ni ,., ~\ PUBL£FACILJTIES FEE 32•00-00-8923 ·· '.-at' t:d-rJ f fif \\ -1 ~'JG l ..,;, \ BRIDGE FEE NEWCONSTEAAMPtSWT/BKR · COLLECTORS I~ ,, ,?jl)_ ,:,-;;lscHooLFEE-DISTRICT -1 PH 3 PH . . STORAGE TANKS \ N ·' · . -. '. '. ;;a Carlsbad 80-92-21-0519 ·- I EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE \~ ,, · · 1 ~ 1/ Encinitas 80-92·22·0519 1 1 PH 3 PH PUMP \~i._ · , \)'. San Dieauito 80·92-23-0519 1 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE '·".:::.,:-;, ________ ,_,,;;.;,.,<tj;--' San Marcos 80-92-24-0519 '. TEMP POLE 200 AMPS --<::,:::_'.~ I f----+-------------------1-------+l----t------------------l-------ll---------------'------'---i----------l . OVER200AMPS ' 1------t-------------------+-·-------lt---+------------------+-------lll---------------------------1 1 _ T)iMP OCCUP.e_NCY (30 DAYS) • I l _\J.Jvl, \y.,L\().,1v-;{- j \..., TOTALELECTRICAL I -71) __.,... T01'ALSOLAR TO~~LFEESPAYAB~E .I ~--~ j .__ i l HAVE•CAREFULLY·.EXAMINED THE COMPLETED "APPLICATION AND PEF!MIT" ANO DO HEREBY Expiration, Every permi_t is~ued by the Building Official~nderthepr'?vi~ions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~half expire by lim_it~tton and become n'!II and void. If-the budding or work -·5' O" DEEP A.ND DEMOLITION OR CONSTRUCTION OF authorized by such permit 1s not commenced within 180 days from the date of such • DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such 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 anv time after the work is commenced for a oerlod-of 180 davs. - I STRUCTION, WHETHER SPECIFIED HEREIN ·OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 'vsjt;; 1~. {1 0 -d:i.,0"' APPROVED~ (~ KEEP HARMLESS THI;: CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPL! ANTS. SIG TU *_J, OWNER CONTRACT.r DAT~~~,/' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE · , • hi\ .,, BY PHONE O • · ~ A ·rA•,''i, t -& 2 ff GRANTING OF THIS PERMIT. .,,_.,> ~ i._ I -\J~ /2 .!!! ii: i:::' co 0 C. E Q) I- I 'O 0 (!J .., c:: co .2 C. 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"':'" _ •• , :PAf l~ FOR. t~f!~'L,}"!_~f;f~l?!~N "W'!/="!';::lc.p_ Af Pl/~~1NA',~E) I·, . :-.-.::,.-~:f/lt it';i, r >:-''tj . : ·., :> ",: . I{ C' ,;: • • :.·-~ .,;·. : ,. _ •• • _ ••• )_ i. · '· ', · ·• · ITEMS A'BO VE 'H'A VE. 'BEEN. APPROVEJ:X' · . · -. · -. . . .. ' .· . , . . ·-•-. ·, t-,;,-~--..,,--'---'-?~~~'----'--"''-','---'c--'-..:_,..,.~l.:..:......~~:.:..::,_:___:_;c:; ' ,. , . ·,. "' "}]~,Jo; $,j~ ~;NAL/ ·.' tf f · ' ··. ·. · · · '. : . ' . :t; i}~.:t.~,~~&-,~'5;, ;\\ '. , < ;:i\>· L . .. ...... . . ~ · . , ,:; \/' ii · ----;; /. I.,..-: .,__. -•: 1,;.. -----~--- <' '~· ·, .•. ;. '!,: · · E LE CTR I GA'L , . : . _.. ·: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: l---s-. ';c-,.c,;···,..1'- 1 -· 7 •• -',,'~~-'~' ":'.,'~~· '~· ~·"'· ;;;:;.,.;..,,,,.c3.,;;; .. ;c;'"""'~·- 1 ~.,_,..~--,-.',~--'--'-~"""~~-~'-'---"~,--,'-'--:-~c-'-:i .. -\,-··.,. ..; •}' ·~· ;_ -... :.. '~ -,< -~~·-----· ----¥ •'_ .oil CITY OF CARLSBAD ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS: ~/0 F/2=~.t>Ar: /ft/?- S.E.O. Service Equipment Only Reason, If Denied: / \/ELECTRIC METER: YES NO COMMERCIAL RESIDENCE NEW SERVICE RELOCATE T.P.P.B. V(?,e,,e./&:A7/,,,.J ~ -YES V GAS METER: Called in By TEMP. P/P UP-GRADE TEST METER NO -C:CEitRED -JUN 71988 City of CARLS~ COMMERCIAL DEVElOPMENF IROCESSING ~ RESIDENCE NO TEST METER i !1/ &f ~ Date 3~/~ Time Time Cltitp of Cltarlshab REQUEST FOR INSPECTION RECORD ~ • INSPECTOR ~f .,/7./ PERMIT NO. c::;;e,.-,A 7 "'"'I ]Y TIME: 7""/ 0 () V 0-0 DATE: S-Z7-%¥ ----=---.----'"---- OWNER -C -~,-., /?A (\/ --J,_ /A _7_ ---J/_ /"A_ A ADDRESS ~--- REQUESTED BUILDING D FOUNDATION D FOOTING D SLAB D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING SUB FRAME D SHEATHING D ROOF D SHEAR D FRAME D EXTERIOR LATH D INSULATION , D INTERIOR LATH ORD D FINAL PLUMBING D UNDERGROUND PLUMBING D SEWER AND PL/CO D TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WATER D FINAL D TEMPORARY SERVICE D UFFER GROUND D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D ELECTRIC SERVICE D FINAL ~~·~ ~ MISCELLANEOUS D CONDITIONED AIR SYSTEMS D SOLAR HEAT D PATIO D POOL D SPA D SIGN D GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS _____________________________ _ Ready For Inspection: D Monday D A.M. D P.M. D Wednesday D Thursday o Friday Cl) z 0 ~ a:: :3 frl C ~[ ~ 1-z 0 u a::. w C .,J 5 ID ii: w z ~ z 0 ~ z w 11. ~ 0 u Cl) a: w :,,=: a:: 0 3: ~ 1[ D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division ·3 of the Business and Professions Code, and my license Is In full force and effect. Lie. No. ______ Class _____ _ 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, prior to its issuance also requires the ap-plicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of D1vis1on 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any j~~:~t\i~ ~~~1f;!1it"tb~3;1vT! ~~n~?t;gr~~1~J~! ~f~~~~ ~~~: dred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc-ture 1s 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. If, however, the building or improve- ment ,s sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Im-prove for the purpose of sale). 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 im-proves ·thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). D As a homeowner I am 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 3. rr~;v~ ~~r p~~/~~3' /~11: ~~~~ptlon during the last three years. i { l f l I l i t I D lamexemptunderSec. ______ , B&P.C. ! for this reason i -f J :..13"i hereby affirm that f have a certificate of consent ! · to self-insure, or a certificate of Workers· , Compensation Insurance, or a certified copy thereof f (Sec. 3800, Labor Code). ''I' . / . ' I POUCYNO.<•, • ' ---( coMPANY t·_ .',l ;_, L • i· tr t ill'...rl\HL 1!1 ,..,Co l1f'1lrr·1tti'.t'h11.tt itJH~-(I t J ~ py IS I cu WI e Cl y. J ~ I D Certified copy Is hereby furnished. CERTIFICAT~-OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($1CXl) or less) D I certify that ,n the performance of the wor1< for which this permit is issued, 1 shall not employ any person m any manner so as to become sub1ect to the Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after makm;i this Cert,-hcate of Exemption~ you should become subject t-:> the Workers· Compensation prov1s1ons of the Labor Code, you must forthwith comply with such prov1s1ons or this permit shall be deemed revoked O I hereby affirm that there 1s a construction lending agency tor the performance of the work for which this permit 1s issued (Sec '3097, C1v1I Code) -Lender's Name, ____________ _ Lender's Address ___________ _ l I l i l J USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 JOB ADDRESS AV, ST., DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER I RD, . 'I '1\. . OWNER'S NAME I . OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE # ZONE i ,d ·1 I .\ : ! l t ~ . ' '',1.' j : \ ' , ; I• 'l ; ., ' -· ' ' '' 'I ... I " ': . ' OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE l ; ;·,: ; 1, : ! / ~ f ' '. ' , , r .... ' '' l I !\t i: ii\ >. :\ ' i ! d,', nn·-.,~: I!· ) I : I, ' ' • ,, ' l .: t, ·---• f II, LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER '. l LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION 0.F WORK : . ;~ ~ \ 1 j \ '~ : ,'\• i ! n r /i, i ~ .'; . : ! 1'.. , 1 DESIGNER'S ADDRESS DESIGNER'S PHONE i' .·\\ I 1' ; / ' 1 r; \I! l .. ' < -!: • '~ F/P FLRELEV. NO EDU OCC GP STORIES vO NO -- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO N 0 vO NO vO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. 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 UP TO 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 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 EACH INSTAI,,., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) !';OI AR n1.nn.nn-R??1S TOTI.L MECHANICAL I STRONG MOTION /4i~456~. 80-92-33-0519 TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227 _'\ .Q SOLAR -ISSUE ~I>{ ~ '0~ PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE :1 ... ,t QTY. ~ --Tc,<:) ' 0 ft ..>, BRIDGE FEE NEW CONST EA AMPISWT/BKR COLLECTORS 'o{ \\\\\ "\':\ )1:1 .--~ SCHOOL FEE • DISTRICT 1 PH 3PH STORAGE TANKS ~ v-oil.\\) -,::0 -~ Carlsbad 80-92-21-0519 EXIST BLDG_ EA AMP/SWT/BKR R66K STORAGE N rxri1!·~~ ~\~'?,!\~ .f; Encinitas 80-92-22-0519 ''""' 1 PH 3 PH: PUMP \~ t\~.iiii ~0,1,;I'\ ~/ San Dieguito 80-92-23-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ~(.\. ~..,,.. ~~I San Marcos 80-92-24-0519 . TEMP POLE 200 AMPS "-.t>;,...,. . :..c."o/- OVER 200 AMPS ~G-GI: V_./""' TEMP OCCUPANCY (30 DAYS) -- TOTAL ELECTRICAL I __ .... _,. . I TOTAL SOLAR TOTAL FEES PAYABLE ' --.. ... t HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PERMIT IS REOUlflED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work ·S' O" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARA>IONS ARE TRUE ANO CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT JS authorized by such permit is not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit, or if the buildinft or work authorized by such permit is suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv time a ter the work is commenced for a oeriod of 180 davs. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGRE!;: TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE lf-OWNER0 CONTRACTQA 0-APPROVED BY DATE ; ~~~NHS~~M~~~gHT~\$'TJ f~;~~~s:~g:irt~Niii~f ~~~I~ii~~·j~~~~~Ni~s6~ ~~~ GRANTING OF THIS PERMIT. BY PHONE 0 I Q) ii: >, :u 0 C. E ~ I "O 0 (!:l .... C (ll .9 C. C. <( I _,-:: C a: 0 II) II) Q) II) II) <( I 3: .Q ai >-- ui II) Q) 0 0 ci: (ll «i 0 §: Q) 0 C (ll C ii: :s. C Q) ~ (!:l 0 0 Q) C. II) C ~ .c :s: ·.,',, -. :i!'JS.PECTION TY!>E s-:• ,slJilbiNG ',"\., ,•'l>'P•.'~_;_~" -~~·' ·-- ,-,, i t l i 'I. _.,, ~ ' '"\_t, ····1, DAj1;· · . '"· .. !NSPECTOR , ~, ; ,•:!~ 'Fl.ELD INSPECT-IONiRECORD ' ,' '. :: \ -~. - <'l. ··::.: FOUNDAT:ION. ·'-"··-- · .BEINF..QRCED • stE_E_t.~ REQUiR~D SP_5~IAL IN,SF'~_CT'?~$-::.'·:_<:\~~::: ·:· >":l':~ ,. ·, : : -l ''" . . . . ' -REQ: 'IF . ' INSPECTQR1S\: . -.: 1 -".,. -•' ... T· . r. . _ . . .. INSPECTION: . CHE.CKED. · AF?RROVA.l ·. -.. 0ATE . -: ,: -· . -, -.. ·i' -.. . . -. . . ~~ ·-. -.. ' ' " ~, ' -.... GUNFfE' OR GROU;;r -,. ' ' : SOILS COMPHANCE ·--' ---,;' -----_,-·: -------_:, ·--: . . -;· PRldR TO , fl,.09,~_ -or QEI L.IN9 §P~ FRAME · -; FOUNDJ>;TION INSP SBl;ATHIN,~: --. " . I . STRUCTURAL CGNC'RETE FRAME r 'OVER•;woci PSI . -· . ; _ ; .. , . _ ....... , .. -. , -.... , . . • PRESTRESSEQ-- EXJERIQR LArH m~uL.A'TtON· iJ .. coNcRETE : .. -.. -· ---~ . ·:. . . --.. -i·· , POST TENSIONED INTERIOR LATH & 0R)'WALL -l. CONCRETE . .., .. --. ·--. --.. -· ... .-: ... --. . . r ,-·--· . . PJ.J;JM~_I NG I FIELD WELDIN<;, SEWER AND BL/CO --! t-'llGH STRENGTH ,-_ .. ·:. _:-... --: .. :.:.· .. ··_ ··:_:-·::--::.,_ ., · BOLTS - .PLUMBING .. UNbERGROUNP f -'"_ ..... ___ . ··-.::: ----SPECIAL MASONRY _P!-,_lJf\.?BiNG TOP· _OlJf., _ _J · MA$QNij',: · ,, ..... fui{AND ~i:i'6w~1i PAN - " --j ~AS"TEST' ... ___________________ " __ r -PIL.ES1yAISSONS • 1---· -I -•-· •-·-~ -· -L-.-.. -. : I ~;.-,,--.;...c....-__:_--,c-~~---,---'"----;_ ;;----c~~-~-'-'-~~-c-+----=--c-'---1 -------,, .. _ ---.. t ,ELECTRICAL · -------·""'" .,_ --' --· , __ _ · TEM'i':>ORARY P0\,\IER ----. 1 -. . .,. -·---~--. -' . -~ ' .. --, ,, -' --· < ~ ., --., • · EJ~EGTRIQ.!JNDl;R@fiPQNP . 1 . ----. ~ . . --.. - RbUGH :ELECTRIC : --l .. •. I . . ELECTRIC SERVicE. · 1 -~-----. . -_, ~-~ ------" - abNQJ.NG _ -· ·• r · .· --,----.--·;,-, .--.-. l G. F. 1.. :-~MQ_K,_§ DE.~ECTOR ... 1. -· ·--;r _ :· · J: --.. ,,---, ----.. ';r~.,.,.--, -.,.,_ >I.._. ,,n.-, MECHANICAL I . ----'-· - ~lJCF& PLEM., REF. iPIPING l _. -. , ,_' ' • :· -' • -;__ • • t -.. , Ii.EAT -=-__ AIR iG.ONP-· -:· SOL~R SY$I~MS, 'vENTI LATI l'JG $YS1'EMS: l ·--. -. . . ~ C-AL.L FOR FINAL INSPECT!f?N f1HEfl! A~~_ ";PPROPRIATE --· IT_EMS AJJOVE HA·VE1 8/;EN APPROVED .. ----,---cc,cc-·,,-.-I : ·JOB-SITE FINAL .i' · ~tt.JM_BIN'G. . r I . . · 1 . .. .. . -, .. --· -, .. "' E;!,.E;Ql,:RIQAL,.. . ~-~ MECtiANJ.CAL .. _._.I~ GAS .. i ;i,_ JB I i:;bJN G-; ... , ' _SJ',I;ClA!:'. .t:ONOlt16Ns .. ·.,. -.: -1 ·· . 'I • t · ... -. :_ ·:. -~~-r-:~ -. -··i-·1 : :. -... CERTOF':0CCUPANC'i'dSSUED· ----. -l . ' --· . -,·--. '· · ----· -'" .. -. " " -. ·_ l" . . . . -: ' .. , .. " ,_,. -.--- ,t A:-· ·'"':·. ..r·. 1'" c•!!1' . , ,; ' ~