HomeMy WebLinkAbout2021 LEE CT; ; CB891258; Permit"' z 0 ,=
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~ I he,eby ■!firm that I am licensed under
~lslona of Chapter 9 [commencing with
Section 7000) of Division 3 of the Business
and Proleaslons Code, and my license 1s in
full force and effect.
I hereby afhrrn tMr I am ex.empt from lhe Contrac Tor·::. License Law tor the follow111g reason rSec: 703' 5-
Busm.ess and Profes.s1ons Code Any c,ty or county whirr-= 'e· qu-I,es a permit 10 -c.onsrruct. ailer improve. demol•s.h_ o•
re-p;m any struclure. prior to its LSSuance also reouIres !heap·
DlIcant for such permit lo tile a s1Qned statemen1 tha1 I1-e ,s. 1,cens.ed pursuant to t'he provisions of !tie Contrar.to•· s.
License Law iChapl-er g commencing with Se:~t,or 7000 0-1
D1v1smn 3 -of the Business and Pro1essmns Code1 or 1ha11<; e-x
empt therefrom and rhe Oasis fot rhe allegiet:I e:wBmpt1on An)'
violation at Section 703t S by .an appl,can1 tor ;:i pe-rrnIr ':iUb
Jects t~e a.ppltcant to a -::11tII penalty ot not more than !we n1Jn
dred CloHars. Ui~OOt
I as. owner af lhe property.army employees :N"t" wage::.
a-s their snle campens.at1on_ w:11 do ttl,e, worL.:. and trie struc-ture 15 no1 intended or ofleied for s.ale iSec 704~. Rus1ness
and Profess1on5 Code Tile Contr.actor's License L.;i...,,. does
rro1 Jpply to al'I own-er or orop-erty who bmlels or 1r!"p•oves
rhe-reon and wtlo d-0es such. wO-rK hmisel1 or through his owri
employees_ prov1L1ed lh.al such Imoro1tements are not 1nte-no-
ed or offered for sale. II. howeve• the bu1ldmg or Impra-ve
ment 1:> sold w1th1n one-ye-ar of complefmn:. !h-e owner-bu1h::ler
will n.a\Je-the b-urden ol pra-ving ttial he did "lot build or Im
orove tor Ille purpose ol sale)
1 a:s owner of the-prop.erry am exc:lusIveIy contr~ct1ng
with licensed co"rractofS to construc1 !he proJe-c.t {Sec_ 7044.
Business and Professions Code The Co11tract□r'-s. License
Law does not appty to an owrr,e,' of p-rop-erty who tJu1lds o, Im
proves tri-er-eon. al'IIJ wh-o contr.ac:!s for eacri pro,ects with a contractor(&) license ptJrsuant to the COl"ltractar·s l1cer-r;e law)
As a homeownel I am 1mpro\/ing my home. and: the rollow·
Ing -conctitiolls exIs1·
1 The work Is being performed prior to saIe
2 I have !1Ved fn my home for twelve 'TIOnlhs
prior to complet,on ot this wo, k
I have not clalm;;d trus c1eemption -d\,lrtn,g thB
last three years
1 am e:1;empt unoer Sec Bl.PC lor this reason ____________ _
t rieieby affirm tha,1 I have a cert1t1cate of consent to
-si,fd-1nsu,e. or a ce-Hificate of Worl<.,Ns Cornpen,sat1on In
surance. or a certified CODY thereof (Sec. :1800_ Labor Code)
POLICY ~O
COMP-ANY
Copy is liLed with Hie c1Ly
Certilied copy Is hereby furnished
CERTIFICATE OF EXEMPTlON FROM
WORKERS' COMPENSATION IN5URANCE
(Th,-s section need not be complele-d it the permJt
is for one hundred dollars ;$100) or less•
~ I certify that m Ille perforrnarice of 11,e work for which
rhIs perm,t Is issued. I sh.all not employ any person 1n ar.y
manner so as to becorne subject lo (t,.e Worl-l.ers· Cornpen-
sation Laws of California.
NOTICE TO APPLICANT: tf. after making. this Cert1f1cate
of E,i:emp1ion_ you should become sub1e-ct to the-Workers·
Compensal1on provisions of the Labor Code. you must
tortttwith corn ply w1U1 such i:irov1sion,s or t!lis permit shaU
be deem€'d ~e-voked
_ _. I hereby amrm tha.1 the,e Is a construction lending
age~cy lor1he performance-at the wor"-. for .,,,,-h;ch :riis per-
mit IS IS.Sued {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 APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS SROS NO. I DATE OF APPLICATION I BUSINESS LICENSE # ~%8~ PERMIT NUMBER
'2/\U / ,e I ~ ' C/3 i1✓, i16 1,t I 0r0/LeY · 1 sueo1 v.:SJ{)N I ASSESSOR PAR~ -. CONTRACTOR CONTRACTORS PHONE t ZONE
L .,, -Z-ll~•-C ... ~ 70 A,..,,(' ~f'~ ,-J ~ .. --,..dtl\..t ~9.r-~ -'---
OWNER'S NAME I II::,;::;;; .
~,_JJ /fltd:LA CONTAACTOR"S ADDRESS ... STATE LICENSE NO. BUILDING SO. FOOTAGE
'i?f!e./lJ.c_ ···A! At#~ ~A. d ;/ --
OWNE A'S MAILING ADDR·ESS .. L-__ .,_ .. "'Ii. x·L
~ ,/"\') ·, I _.,,,..-,,·· DESIGNER DESIGNER'S PHONE ~-<__'L)r '11-tu. DESCRIPT1QN °Jl'l!,•)1,_; ~A4 DESIGNER"S ADDAE.SS STATE LICENSE NO, . ,•·_
'" -:.!; .. -. ·.-.. ·--.· ~ , .. •--• .. ...
F. p F-LREL-E.V. NO ace GP EDU -. "
STORIES
vO ,□ ·--I CENSUS TRACT I PAAKl'-JG SPACE I R'E:S uN:TS
j
GAADI NG PERMIT ISSUED I REOEVf LOP',<E"T TYPE ace LOAD FIRE SPA
I AREA CONST
YO N 0 ,□ ,□ vC NO Nor V;,/1d Un/esf Machine Certrfied
QTY. PLUMBING PERMIT -ISSUE "-JC"..t"\ QTY. MECHANICAL PERMIT· ISSUE if7oo SUMMARY/ACCOUNT NUMBER --, -
EACH flXTURE TRAP INSTAl l FURN DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 001 81000008?20 /0 X
EACH 8UILUING SEWER OVER 100.000 BTU SIGN PERMIT DO 1 810·00·00 8221
J EACH WATER HEATER ANO OR VENT BOllERiCUMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00-8891 ?0 . ,, EACH GAS SYSTEM I TO 4 OUTLETS BOILER.'COMPRESSOA 3 15 HP TOT Al PLUM Bl NG OOi 8'000008222 J7:f:; ,
EACH GAS SYSTEM o OR MOR[ M rT Al F' Rf Pl.ACE ELECTRICAL 001 810 00 DO 8223 ')£,
E.ACH INS TAL . ALI ER. RE PAIR WA TEA PIPE VENT ~AN SINGLE DUCT MECHANICAL 001 810 00 00-82 24
I EACH VACUUM BREAKER MECH fXHAUST HOOU DUCTS M0BILEH0ME 001 81() 00 00 8225 , WATER SOFTNER RELOCATION OF 1:A FURNACE HEATER SOLAR 001810·00·00·8226
LACK ROOF '.lR.~i~ r,\s l)f I DRYER VENT STRONG MOTION 880·519·92-33 I
TOTr;L MECHANICAL FIRE SPR1N~LERS 001·810·00·00·8227
TOI AL PLUMB I NL I x--PUBLIC FACILITIES FEE 320-810 00 00-8740
_c,oo BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK ·IN-LIEU iAREA l
Nl:W CONST EA AMP SWl BKR GAR PORT TIF 312·810·00·00·8835
I PH :l Pl-l AWNING LA COSTA TIF 311-810-00-00-8835
E XIS! ~l DG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 -3 10-00 J0-8162
2-REMOOF l All l R Pl:R (IR[UIT MH 880 519-92-57
TE MP POL f !Oil AMPS
OVE fl !00 AMPS
TEMP OCCUPANCY '30 DAYSI
CREDIT DEPOSIT 7 ~ O ,.... -;5
l()fAl UU.IRILAl I ,~ / '(II Al TOTAL FEES PAYABLE l /?;j t-d
I HAVE'CAREFULLY Ex',P.MJNEO THE COMPLETED ··APPLICATION ANO PERMIT"" AND DO HEREBY E,pin1tion Every permit issued by the8ui~~Q!i!'lal '!"dil{lh,■P•!'".'~~ c;;,!1,;_ . ;,t-Nl0$HA "1UT IS REQUIRED FOR EXCAv•TIONS OVER
CERTIFY ·uMDER PENALTV' OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code st,all expire by hm.,tat,on and becOln!! ml.I.and v(>1d.lUt1e building or won. .. . : 5· 0" OEEP MO DEMOl.lTION OR CONSTRUCTION OF ~
DECLARATIONS Ar:iE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE JF A PERMIT I~ authonzed by such pe,m,t ,snot comme11ced . .w.ithln.fll4)daye.lr"'!' tllediite<lf su,;:.h ·· .. !~~'.~Al~ ~ HElGHT ISSUED,, TO,GOMPLY,WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-permit .. or ,f IM bu1/d1~ or won. authOfileo by,, .. suct,. P8<mil .,s. susp,mdlld or . .,.
abandoned at any time a er the work 1s c~. lor a .,..,Kid of 111b rlaus · STAlJCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP~S:;:~
~OWNER □ COJliTRACTOR'tlic. APPROVED fy fl DATE KEEP 1-lARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND /j,J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 " ~~r· GRANTING OF THIS PERMIT. ~ ... I -.
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TYPE t DATE INSPECTOR I
··-.. -.. efs-89·-f ..2.~~ .
' BUILDING ' -A
FOUNDATION I A I II, (j / .
FIELD INSPECTION RECORD • REINFORCED STEEL ' 1 ... \ ·~ \ 't,[-.,
I
MASONRY I
GUNITE OR GROUT r
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION-REQ. IF INSPECTOR'S DATE ...
CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILIN~ SOILS COMPLIANCE
SHEATHING □ ROOF D SHEAA PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE I
PLUMBING I FIELD WELDING
□ SEWER AND BUCO D PUC~
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I ,., I .A n ~
GAS TEST ' ff·~'(· 'pj f 'l,f t I PILES CAISSONS
D WATER HEATER □ SOLAR WAT~
' -.
ELECTRICAL !
□ ELECTRIC UNDERGROUND DUFFER l°'5·i' JA>,\,t
ROUGH ELECTRIC I A
□ ELECTRIC SERVICE □ TEMPORA~Y -I II
D BONDING □ POOL 1 r.t ,cf. }('I f t1<c
I
MECHANICAL I
D DUCT & PLEM ., □ REF. PIPING 1
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I . ... , ~T • • . -
CALL FOR FINAL INSPECT/0~ WHEN ALt. APPROPfl/ATE ITEMS ABOVE HAVE EEN APPROVED. · .·.
.. -·
FINAL I . -..
PLUMBING ' .,.--. . . ..
I
... ····-·-' <
ELECTRICAL I \ .l I -... _ · ....... -· ,. ·.-~. . ' . • . '-~:--
MECHANICAL I . 'JI .
,,
GAS ... \.\ ' I . . .
BUILDING I
~'1 I
SPECIAL CONDITIONS I \
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hereby affirm Iha! I am llcansad under
ions of Chapter 9 1commenc In~ with
n 7000) of Olvlolon 3 ot the Business
•nd Professions Code, and my llcen8" , • in
full to,ce and effect
1 "lerebv af11 rm l!'iat c1m e.xemot from The-Cortrac-
1or s L,cense Law ·er the 10110.,..1 '1~ reason ,: Sec 7031 5
ausiness ;me Profess. on5 COde A11y cit'¥· ni rounl1' wh•{r, re
D1.m-es a oerm:t 10 c::::insHuc: a1:er 1moro·Je demo11sn or
·eo.w any s1ruc1ure prior to 11s 1s'iu21nce al'iO req1,1res 'he ao
ol•cant 1or su~h oe,m11 '.c tile a s1qned sratemerr ·i-1a( l'le 1s
'1censet1 ::iu's.Ua"l! !a ·he prov1sic'1s ::il 'he '..:orr,;icior s
l 1cerse law :.:::ria~ter 9 comPient ng w1'.h Sec;" Jn lJQG oi
D1v1'i,On 3 ~, tne 3us1ness. and Pr□/ess1ons ::oc~, er ~llat 1s e11 em0'. rr-er-etror,; ilfld the-Das•s f:ir n,e a ::Eqec e:w:,eMptLon Any
·~10-21-on □1 Sec::,on :-031 "'.l by i:.r apJl•cant tor:!. ;:ienr1• su'J
ec!S ir-e a □p1,.;::a ni 10 a c1·,..11 ~ena1t11 :)f nc~ '11-Jr-e Iha n ~ .ve r:u.n-
d•ed c'Dt·ars 1$5001
as c-w1er 01 1 .. f' r'::i~e,:·1 '.:i' ....,'I e-rc'□yees .-. '" wagtis
a"'i th~1-sme co-m;:i-ensa·,0n N1r· dfl ~he ..... ~d 1·'r '1"18 ,;trv-c
'.•~re 1s "0t 1"t8f1(1er1 0' 01ter-ed for sale :Sfc .·~44 ~1"s m~s~
,:ir.j P:T'ess10~~ CoCe T"'le cc~,t·ar.::11'.H ,; L cense Li'.""'' ;:1Qe'5
i'-QI :1,pply ;o ;,n :wmer iJI ~-o::ier1'y who t}i_.;,ds Gr 'T'ipro.,.es
:nereor ,:j~d •W,"J d□es su~r: 1'/or:.: n rr,sel! Jr '.h',::,.,gh ~1s cwri
ern:=i!oyer:,; orov10e-d t'"1Jt sue,, mproi,,e,,-,ent~ Jre .-.or ritend-
'3-Cl (l' 011ered for sc1ie I' 'lOwe11er Tnt;a bu1ld1na or 1rr(:1r"l-.e-
.-,eri11s ~old w1'."l1n one )'ear o•com::llelion, lhe 5w.-,,er-:J1,11der
¥¥11 ria~e •he ourde,r o1 prov•r\g l~~t he did not bu1lc or 1m-
;:irove 1o; the uurnos.e u~ <,aJeJ
I a-s :iwne· 01 ri-e prope~ty .am excL .. sive'y u1r11'ar.k,g :with 1cens.eo rnntrac1ms to rnn'5'.'wc11he project i"Ser 70:!4
Bu:wies, aM Or<JfeSSi0n'S Coc-e :ti'8' Cori:rdctor s L.cen~ L;iw do~s no! a-;Jply ~o a., :)wne• :i1 prope-,1y wr,o bu·ld-s or 1m-
oro11es tl'1ereo'l and wro contracts ior e<'!.c~ Jro1ects w1!h 2,
canractor1s) 1cers.e p1Jrs.uant t:i tne C,~niractJr"S L,cense Law,1
As a home□.,, ner I am 1mprnv1n!4 my home a11d n,e rouow
1rlg COflL11t1on5-t"'tlSl
1 The work rs being Derto0rned c1nor 10 saie
2 I "lave lived 111 my home 40~ twBlve monrris prior 10 rnmo!et1or of rn1s work
I !'1Jve no1 claLmed lh1s exempMn d1.mng the las! t~ree years
I am exemo~ unde~ Ser ______ _ 5&PC tor this rei!SQn ____________ _
CERTIFICA:"E OF EXEMPTION F-ROM
WORKE'RS" CO~P'ENSAT!ON INSURANCE
1Th1s sBct1on ,;eed no1 be corn;:,le-tea it ~he perm11
1s r-cr o-ne liul"fd'ed do•l.ars 1S1G(I) or le.:c.:c.f
_ 1 c;::ertdy tnai 1n ~re per•orrnar,ce o' tne .... orfi: fo, wt-r,ch
Thts ;:::e-rm1t 15 issued I sh.all 'lot employ a.n·1 pe•son 1n c1ny
niar,'ler sc a5 to becomf" sub1ect lo the 'Wo,kers Cornpe,i-
sat•on Law::, o! ca11 forr,1a.
NOTICE TO APPUCAN1: tf. alter mai<1ng H715 CertJ~1::.ale
o-• Eiempt1or you should become subject :o ;tie Workers·
Comp-ensai.mn prcvis,ons ol the Labor Code yov "TIUS.t
lorthw I tli comply with such pro., 1sions or I n,s per,,., ,t shall
oe deemed revokea
__ I he~e . aflir'TI ' ,at there •5 a const;uct1J1 le'lc:I rig
agel"fcyt t ~t:'rlo c1.,..cec'theworl<.1or·81'11cl"',"h,::.ier
rn1t 1s 15 e ,.Sec9L97, v1 Code•
Lender s "'-I ame _ __ _ ____ _
Lender s Addres ____ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICAT~ &: PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009·1915 (619) 438·1161
JOS AOOA!'SS lr F,,
AV, ST.AD. THOMAS BROS NO.
t
0lli7R910NI susz;;F V~Azr:o
PERMIT NUMBER
,91):) J r1 I , ~iq /Y I ~ LOT-BLOCK I SUBDIVISION I A~tf~~RCito~~ (:"\~CON~R./ AWr·r, CONTRACTORS'!SHONE JI ZONE Ci ~<~-t,t/4? OWNER'S NAME . I OWN£ l'l'S PHQN E ./
IYYr-FP -CONTRACTOR'S ADQRfS 'f"'t:!-'JD STATE LICENSE f'lO, -BUILDING SQ FOOTAGE
✓jr/_-#q ff7J<.<.uM (-0 t'CtJ J ~ '-1997:; r3 OWNER'S MAILING AL:>DRESS
~Afnl' DESIGNER , -I DESIGNER'S PHONE ) ,c...Bo 5c./21-P DESCl'IIPT10N OF.WOr;.¥-~t f) () MlTY<.i / A 1 . . 'J
~ r"' DESIGNER'S ADDRESS STATE LICENSE NO. --. .. ... ' .,.
: / I l/L/ tt u-~~&JY
.. --
~ C p •L9c,E1! "<0 DCC GP EDU ; STORIES
-,~ ...... ~=, --i ! CENSUS TRACT I PAPK,I'-~:'"_; SP:, CE I RC"S -)'\. ~ 0 c;AAiJING PERM Ir ISSUED / ~u,c·. EL0"S<E"<T I TYPE OCC LOAD F1Rt; SPP
I ARE:A I CONST
i ' ,O ~ 0 C --'•,~ i vLJ --.□ Nor Valid UnlrH Machine Cerr1l1ed
I QTY 7s-zi I
PLUM Bl NG PERMIT ISSUE QTY. /j--SUMMARY/ACCOUNT NUMBER MECHANICAL PERMIT -'SSUE ~ /'
EACH FIXTURE TRAP / INSlAll f URN uUCTS JP TO 100 ODO BTU/ ~U·! Ol~G >'tHM;T '.l'J I 31<HJO·O·:••En~ rL..1
EACH 8UILlJING SEWrn / OVER IOD ~U SIG\ CER'~ T JI') '· ?, . J-00-•)'.; 322" ,
EACH WA TEH HEATFR A~l~V[¾T BOllfR.(OMPRESSOH UP T0..),'1'1'P "LAN CHECK 001-8: 0-00-00-8891 --?..,;;s
EACH GAS SYSTEM l 1J,t!uu1 Lt Vi BOILER COMPRESrnfi~HP rn: AL PLUM Bl~•, oo·, d ', U•, DC 22?? ,
EACH GAS SY,;J f!,1-"(i)R MO Rf M,-,\, f'O[P•c~CE/ ELECTRICAL co· ~1,c: '~1,,J-l][l-82'23
EACH INSIALfaTEH HE PAIR WATER P1PE VENT fAN ~lE DUCT MECHM,ICAL [10: -.~;' C-OC·-,JQ-3224
EACH VA.li'1f UM BREA n R MECH f4HAUST HOOD DUCTS MOBILEHOME C,1J I -6 '0·00·00-82 25
WATER SOff"<ER RELOCATION OF EA FURNME HEATER SOLAR 00' o I ~-J0·00-8226
r:.::~ w,,,, ·,c,\ ', ·~~•")l DRYER VENT ,,TRO\G MOT'U', BE.C ,. 1 •J •J2 33 ' TOTi.l MECHANICAL I F RE SPRl1J;(LEPS CJ1 ·81,:,-1)1:--0:-2.227
l(] I Al Pl UM81Nla I PUBL C FACIL,TIES FEE 32"-s 1 c1-1:1c--c,c -s:,i: . -s BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT· ISSUE -QTY. MOBILE HOME SETUP PARK· I~ LIEU I __ AC:E.i\
MW CON'.,! cA.:.MPSW'. HK F, -CAR PORT ·:r 312-810·00·00·8835
I PH :)IA' AWNING LA COSTA Tl~ 311·S10-00-00·8835
f X 1S T H l [ll_i EA AMP SWTjl'!fH GARAGE FMF
l PH ./ ] PH LICENSE TAX :JO; -3 · C-·:;:-:c-3' f ,1
REMODEL Al 1ty'PER [ I RCUIT MFF 880-519-92-~~
TE r,,,p P[Jl F .,tri1, AMPS
OVER 20~ MPS '
TEMP~CUPAr.CY 30DAYS:,
CREDIT DEPOSIT
LllAL Ill! lHIIHL I T(JT ~l TOTAL FEES PAY~ /1 ...re; ,,,..--
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND 00 HEREBY Exp,rat,on Every permit ,ssued by the Build, ng Oft1c,~oer the pro,,.,ono ohh1s * A~fW:T IS REWIREO FOR EXCAVATIONS OVEFI CERT1FY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall e•p,re by lim!lat,an •nd become null aM vo If the bu:ld:ng or work 5· Q" PANO OEMOLITION OR CONSTRUC~ OF --authorized by such perm,t ,snot commenced wIthm 180 ays from the dale of such DECLARATIONS ARE TRUE AND CORRECT AN_D I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ permit. or ,f the bu,ld,::ll or work aul!>or,zed by sue peim,t ,s suspended or sr Ts oveR 3 STORIES 1N HEIGHT~, J , ISSUED TO COM Pl Y WITH All CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON ....,.noona<I at a~me a ter the work ,. commenced I a tMHIOtl of 18() davs 1
STRUCTION. WHETHE;R SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A:y~ICANT'!t;JG,ATURE ·;J 1rn □ CON:~ ~RO~J-,Do/116)51 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES JUDGMENTS, COSTS AND '-n ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF (H t J di/( BY P NE fJ GRANT.ING QF THIS PERMIT -,A
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION r
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEILING
SHEATHING □ ROOF □ SHEA~
FRAME I
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO D PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WAT,ER
TUB AND SHOWER PAN I
GAS TEST r
□ WATER HEATER □ SOLAR WAT~R
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □ UP.FER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING'
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE liJEEN APPROVED.
FINAL I
I
PLUMBING r -\ I"'\
ELECTRICAL " ~!/ I
MECHANICAL I \ ,\1 I
GAS ~ ""-'\
BUILDING -~' I
"""'· SPECIAL CONDITIONS I ... ' I
I
8ci · 1'2\ ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S -·
CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB891218 FOR 10/16/89
DESCRIPTION: PATIO COVER AND ENCLOSURE
ICBO 3421P
STR:
INSPECTOR AREA PD
PLANCK# CB891218
OCC GRP
CONSTR. TYPE NEW
FL: STE: JOB ADDRESS: 2021 LEE CT
APPLICANT: SO BAY BLDRS
CONTRACTOR:
OWNER:
PHONE: 563 6408
PHONE:
PHONE: {; _
REMARKS: Tl/MH/434-2583/563-6408
SPECIAL INSTRUCTIONS:
TOTAL TIME:
CD
19
LVL D,ESCRIPTION
ST V~inal structural
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INSPECTOR --t:':,..........~~--------
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS