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O I hereby affirm thst I am licensed under
provl1lona of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Profaaslons Code, and my license 11 1n
lull force and effect
I hereby atf11m That I am exempt from the Comrac
ror s License law lo, lhe lollow,ng reason (Sec 7031 ~
Bus,ness and Protess,ons Code Any c,ty or county whrU, re quires a perm,1 to construe! al1er. improve. demo11sh or
repa,r any strucrure pr,or IO ,rs issuance a1so requires '.heap
p1,can1 lor such perm,1 10 'rle a srQned stater11enr That he ,s
I,censed pursuan1 lo the pro~1sIons ol the comr.ic!O' s
License Law rChapler 9 commencrng with Sen,on ?000 ol
D•v•S<on 3 of the Business and Pro1essoons COde, or that ,s e, ernpl therefrom and the bas,s lor the allegea exemption Any
violat,on ol Section 7031 S by an applicant lor a perm,! sub
1ects t~e applicant 10 a c,v,I penalty ol no1 more than tive hun
d'ed dolla'S ($)001
1 as owner of lhe property_ or my employees with wages
as The•r sole compensa1'0n will do lhe work and t~e struc
lure ,snot ,nrended or olfered for sale (Sec 7044. Bus,ness
ond Protess,on~ Code The Conl!ac10,·s License Law does
not apply lo an owner 01 properly who builds or improves
thereon aM who does such work himself or through h,s own employees. prov,dea that such Improvemems are not ,ntend
ed or ollered •or s.ale If, however. the butld1ng or ,mp rove
ment ,s sold w,thm one year of complet,on. the owner•bu,lder
w,II have lhe burden of proving !haT he did nol build or Im
prove for 1he purpose of sale/
,. as owner o! the property, am exclusively contracting
w,rh 1,censed contractors to construe! the pro1ec1 (Sec 7044
Business and Professions Code The Contractor s I ,ce~~e Law does not apply to an owner of property who builds or ,m
proves thereon and who contracls lor each pro1ects wI1h a
contraclorls) license pursuant to the Conlraclor's 1,cense Law)
As a homeowner I am ,mprov,ng my home. and the lollow
,ng cond,t,ons exist
1 The work ,s being performed prior ID sale
2 I have lrved In my home lor twelve mont~s pnor lo completion of th,s work I have nol clarmed th,s exemption during T~e last 1nree years
tor t'h~: r~:::t under Sec _____ _ B& PC
__ I hereby aft.rm that I nave a certd1cate of consent to
self insure or a cer1,f1cate ot Workers Compensation In
surance or a cer1,f,ed copy thereof 1Sec '.l800 Labor Cede)
POLICY NO
COMPANY
Copy rs 'rled Wl!h !he City
Cer11t1ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sect,on need not be completed 1f the permit
Is for one hundred dollars ($100) or less)
_ I cert,fy that ,n the performance of tne work fo, wn,cn
1n1s permII Is ,ssued. I snail not employ any person In ary
manner so as to become subJect 1o the Workers· Com pen
sat,on Laws of Cal,fom,a
NOTICE TO APPLICANT If. after making this Cert,l1cate
of Exempt,on. you should become sub1ect to the Workers
Compensation prov1sIons of the Labor Code. you must
lorthw1tn compI, w,tt, such prov,sIons or This permI1 shall
be deemed resoked
_, I ~ereby afhrm that there ,s a construction lena,ng
agency lor !he performance or 1ne work for wnIch this per
mIt Is issued 1Sec 3097 Ci,1t Code,
Lende' s Name
Le·1der s Address
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOS ADDRESS
1.017 L,,.,_ c..-r-
AV. ST.RO. 7¥Z~r
,or BLOCK l SUBOl VISION I ASSESSOR PARCEL NO.
.:JO S "3 'Su '-4,4.l'tJ 1)
CONTRACTOR
OWNER'S NAME OWNER"S-PHONE
1:::·r,,,, ,,,._,,, , --. ,C <:r F,,.., '-l"l~<J 9?{;'tJ CONTRACTOR'S ADDRESS
OWN"i:R"S MA!LtNG Alf"ORE.SS •
OE.SIGNER
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND t,.
APPLICATION & PERMIT
DATE OF APPLICATION
<:!-JI-8t 8U'17ACENSE #
VALUATION
o2~
CONTAltifrPHONE• ZONE
STATE LICENSE NO.
DESIGNER·s PHONE
l. •L",,-.J b'I .,,/ 'IJ l!-°l?'iJ>~
STATE LICENSE NO.
PERMIT "-UMBER
7>1" 7f/
BUILDING SQ FOOTAGE
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STORIES
ace GP EDU
0024 09/17 0101 02BldF'mt 33.c;;p ~ -I
r•NSUS TRACT I SARK ,NG se•n
QTY. PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND OR VENT
EACH GAS SYSTEM 1 TO 4 OUT LE TS
EACH GAS SYSTEM~ OR MO Rf
EACH INST AL ALTER, REPAIR VVATEH PIPE
EACH VACUUM BREAKER
WATER SOFTNEH
f'ACH ROGI IJR . .l. 1! '\iSIDr' 1
l(l!Al PIUMHING I
QTY ELECTRICAL PERMIT ISSUE
NEW CONST EA AMP SW! l:lKH
IPH IPH
EXIST HLUG [A AMP SWT 8KR
1 PH 1 PH
REMOOEl Al TtR PER CIR(Ull
TE MP PO l E 100 A'viPS
□VER 2ll0 AMPS
IEMP OCCUPANCY ,JQ OAYS1
l(lfAL llll,lRILAl I
RCS UN,,S l
2_;$
-
£' ~.,() -J--
,[J "-'D
GRADING PERMIT ISSUEO l REDEVELOPMENT
AREA
YO ND ,c -...□
QTY MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS i.JP TO 100 000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
801LER·COMPRESSOR 31~ HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE,HEATER
DRYER VENT
TOT ,C, lMtC HAN I CAL
QTY MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
101 Al
TYPE
CONST
/..!)-.£.::;..
ace LOAD FIRE SPP
vO NO Nor Valid Unless fhchme Cerrd1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PER!JTT 001-810-00-00-82 20 '3 3
SIGN PERMIT 00 1-810-00-00-82 21
PLAN CHECK 001-810-00-00-8891 ,;l./
TOTAL PLUMBING 00; -810-00-00-82 22
ELECTRICAL 001-810-00-00-82 23
MECHANICAL 001 ·B 10-00-00-8224
MOBILEHOME 001·810-00· 00-8225
SOLAR 001-81 0-00-00-8226
S rRONG MOTiON 880-519-92-33 .:!_lJ
FIRE SPRINil:LERS 00 1 ·81 0-00-00-8227
PUBLIC FACILITIES FEE 320-81 0-00-00-87 t..O
BRIDGE FEE 360·810·00·00·87 40
PARK-!N-LIEU (AREA
TIF 312·810-00-00-8835
LA COSTA TIF 311 ·81 0-00·00·8835
FMF
LICENSE TAX 001-S 1 O<-O-:o-s1 62
MFF 880-519·92-57
CREDIT DEPOSIT <._ :Z1, 'l"'>?
TOTAL FEES PAYABLE I $<;~50--o
1 HAVE CARE.f;ULLV EXAMJNEQ THE COMPLETED ··APPUGATION AND PERMIT" AND DO HEREBY
CERTJFY _UNDEfl ,PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE tF A PERMIT If:>
tSSUED' TO-COMPLY WITH ALL CtTY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
1<EEPttA°RMlESS THE CITY OF CARlSBADAGA1NST All LIABILtT!ES. JUDGMENTS, COSTS ANO
EXPENSES WHit;H l'JIAV !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiralion. Every per_mi1 iss~ by the-Building O!;ticu1:1 undef ttJ• prov1s.1ons oftli.1s Code shall expire by hm11at1on and become null and void ff the bu11dmg or work
authorized by such perm ii is not commenced within 180 days from the date ol such
permit. or if the building or work authonzed by such permit 1s suspended or
abandoned at an.Y.!_l~Wr the work ,s commenceQ_J9r a penoct of 180 days
* AN OSHA~AM'f 1$ FIEQUIRE0 FOR EXCAVAltoNS OYER s· 0" DEEP ANO OEMOl.lTK)N OR CONSTAUCTIOf,,I Of
STAUCT\JRES OVER 3 STOAtES IN HEIGHT
l lCANT;EATURE ,. OWNERJ!I' CONTRACTOR 0
--z_ i BY PHONE [J 7 . ,JI --.,, -----A-.
y
AP~RO~EO BY , r DA TE
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I ,/'\ /
REINFORCED STEEL I <\"'' .,r
MASONRY I
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEll!.ING
SHEATHING □ ROOF □ SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL ! I
PLUMBING I
□ SEWER AND BUCO L P~ICO
UNDERGROUND D WASTE □ 'WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □,UFFER
ROUGH ELECTRIC 7
□ ELECTRIC SERVICE □ TEMPC>RARY
□ BONDING □ POOL
I
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA'lE BEEN APPROVED
FINAL I
PLUMBING ' \ I
ELECTRICAL I \.~·,
MECHANICAL . \ ·:,-, I
GAS ' ~' \:~ . I ·-BUILDING I •'·\ -, -. ) -.)
SPECIAL CONDITIONS '
. ..__ . ,\ ..... ~~
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI .
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELD1NG
-·--HIGH STRENGTH
BOL fS
SPECIAL MASONPY
--
Plt.fS CAISSON::'.
--
..
-
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DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
JURISDICTION:
PLAN CHECK NO: 97-7{1 r .IT J
PROJECT ADDRESS: __ -=i~o~;~z----=Y..~-;4"""'~'-':~:~--~,~'-~/-______ _
PROJECT NAME: _____ ~f2e::;.o.::c~/__~-----------
•
□
□
□
□
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified _____________ are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
O The applicant's copy of the check list has been sent to:
O Esgil staff did not advise the applicant contact person that
plan check has been completed.
RI Esgil staff did
been completed.
Date contacted:
advise applicant that the plan check has
Person contacted: ~qi s:9.?,.,/e,,,2 c,..._
'
1 )q/;? Telephone JI !i);o.1---l-6111:/al,//~✓
REMARKS: ___ _;_ _____________________ _
Enclosures: -----------
• '
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 56()-1468
JURISDICTION: CAt?L£eAD
PLAN CHECK NO: 9;7-1,f / ::r.
PROJECT ADDRESS: __ _,~~o"--'-(~z,_~(e~E.____~c~o~v~~-''--------
PROJECT NAME: _____ ___,"-=-E~c~K __________ _
D
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The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified-.-----=----,--,---,-----,,..,,.....--are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
fi The check list transmitted herewith is for your information.
111W The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
faj The applicant's copy of the check list has been sent to:
£/)Ll)f/,Z() r S:n£f'il-ePJ5'>rJ 'Z?JIZ. La 10/!ET ('OQ. ",&/Q , r'(lufr,,uJ)f!
ZOO'b
-O Esgil ~taff did not advise the applicant contact person that
plan check has"b-een completed.
lj Esgil staff did
been completed.
Date contacted:
advise applicant that~he plan check ~as
Person contacted: GI ) ~-e::.-p C.f'k · OQ
9/io/1(:7 Telephone JI ,.,; ):.·,:J.
REMARKS: ____ -'-------------------------
By: ,4;;16~#-ESGIL CORPORAT,I, N
?j-tr/r; . U
Enclosures: __________ _
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JURISDICTION: ·a-·,·,::) Cate '(-'z-,67
PROJECT AOORESS: ?c>1Z t;,#; (,;ucr:
TO: f} &(lf?/••D r_Tp I"" rfFif.Y.' ,,_")r.J
--:-.:,:z... tc=:€ co1¥?r
Cdt<( :5ioY'O, Cl/t 1FCl(1//1fl
PLAN CORRECTION SHEET
Plan; Check No •. ___ -'7:,:4.1-l-~:r.-____ _
Date plans received by the jurisdiction'-----
Date plans received by plan checker $ • 21' -a;?
Date initial plan check completed 7-'2-67
By a,' llut/J A-nk,eL-
roREWORD: PLEASE READ
Plan check is limited to technical requirements
contained 1n the Uniform Building Code, Uniform
Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy
conservation, noi;e attenuation and access for
the handicapped. The plan check is based on
regulations enforced by the Building Inspection
Department. You may have other corrections
based on laws and ordinances enroreed by the
Planning Department, Engineering Department or
other departments.
The items el~eled below need clarification,
modification or change. All c!,oled items have
to be satisfied before the plans will be in
conformance with the cited codes and regulations.
Per Sec. )OJ (c), of the Uniform Building Code,
tho approval or the plans does not permit the
violation or any state, county or city law.
A • f.!:.fil!§.
l. Please make all corrections on the original
tracings and submit two new sets or prints,
and any original plan sets that may have
been returned to you by the jurisdiction,
to: f:V-,14 t"mfPq. 't'D,"cl 9'!zo (Jn,yJff Pi'E IX :;2o~
•·e,1 01f6f) ,c11u/1',,fN1ff c,z ,, ; PH sw-l4t.S
2. To facilitate rechecking, please identify,
next to each circled item, the sheet or
the plans upon which each correction on
this sheet has been made and return this
check sheet with tha revised plans.
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Jurisdiction CARLS&4D Date I q-1-8?
Prepared by1
6, Aw41 h.U{,-VALUATION AND PLAN CHECK FEE
□ Bldg. Dept.
CJ Esgil
PLAN CHECK N0, __ 7'-4'-t __ _
BUILDING ADDRESS _Zo::;,;;..;...:12~-'L::;e::;£~""C"'"r.-'-, _____________ _
APPLICANT/CONTACT _________ PHONE NO. _______ _
BUILDING OCCUPANCY !)£ck.. -DESIGNER PHONE _____ _
TYPE OF CONSTRUCTION ✓-,J CONTRACTOR PHONE ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
z::;Ec,K. /-5T/l//?S 22.0 ,ft,
.
Air Conditionin~
Commercial @
Residential (ii .
Res. or Comm.
Fire Snrinklers @
Total Value ;I,'-Zo=o
J5, c--' Building Permit Fee $-'-------------------~--7 __ w __ _
Plan Check F ee_S=--------------------~$ __ 2_9_, _2_5 __ _
8/87
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ENGINEERING CHECKLIST
Date : _ _.,R,_-_,3<.J./_-""-8.!....7 _______ _
Plan Check No. 1~/ ------'--'-'-------
Project Address: 2o/1 Le£ Coue,
Project Name: ~ui:Eq:: '1-rnno Co)!ER
Field Check =D-=ac::te=-:..: ________ _
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LEGAL REQUIREMENTS
Site Plan
LEGEND
ii7
@
1 , 2, 3
I tern Complete
Item Incomplete -Needs
Your Action
Number in circle
indicates plancheck
number that deficiency
was identified
1. Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks.
2. Show on Site Plan: Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing
and proposed slopes, driveway and percent (%) grade and drainage
patterns.
3. Provide legal description of property.
4. Provide assessor's parcel number.
PERMITS REQUIRED
Grading
5. Grading permit required. (Separate submittal to Engineering
Department required for Grading Permit).
6. Grading plans in plan check PE _____ _
7. Need the following completed prior to building permit issuance:
8.
A. Grading plans signed.
B. Grading permit issued.
C. Grading completed.
D. Certification letter and compaction reports submitted.
E. Grading inspected and permit signed off by City Inspector.
Right-of-Way Permit required for work in public
(e.g., driveway approach, sidewalk, connection to
etc).
right-of-way
water main,
9. Industrial Waste Permit application required. To be filled out
completely and returned to Development Processing.
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FEES REQUIRED
10. Park-in-Lieu fees required.
Quadrant=--====::.::.::_-:_, Fee Per Unit: , Total Fee: --------
11. Traffic impact fee required.
Fee Per Unit: __ --_-_-_-_-_-_-_, Total Fee:
12. Bridge and Thoroughfare fee required.
Fee Per Unit: -, Total Fee:
13. Public facilities fee required.
14. Facilities management fee required. ,Fee: JJv..,#Jr
15. Additional EDU's required: -no oJJ/f ~ .
Sewer connection fee=--======-Sewepermit no.
16. Sewer lateral required:
REMARKS: --------------------------------
O.K. Date: 8-31-87
If you have any questions about any of the above items identified on this plan
check, please call the Development Processing Department at 438-1161.
•
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PLANNING CHECKLIST
Plan Check No. 11/ Address .2011 ll£ {};lRT
Type of Project and Use c)IJNaK ,; aTlo 11,v.1;.e
Zone R-t Use Allowed? YES
Setback: Front oK f;i'tet,'1',A(IJI
Side __ Rear _ffi_
School District: San Dieguito __
Carlsbad _L
Discretionary Action Required
Environmental Required
Landscape Plan Required
Comments
YES
YES
YES
A_ NO
Encinitas
San Marcos
NO Type
------------------------------
Coastal Permit Required YES No_.x_
Additional Comments
I er::,.,._; Chvi.f No CLO# rti/i!J""' '-/. I 10 S/Pt. t°.ea'U7'Y LIA£.
DATE __,_1_-__,l----=B::....<-? __ _