HomeMy WebLinkAbout2022 CIMA CT; ; 82-150; PermitDECLARATIONS
LENDER.WORKER S COMPENSATION OWNER/BUILDER CONTRACTOR
•- •- I'D '?3~g 5»l° ? nngS f?"a
n a 1- »<- 1 <•» - J«- O O Z C "3 r
;* °"SS a - * L?»-*ISTRUCTION WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE INDEMI*KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCfGRANTING OF THIS PERMITII HAVE CAREFULLY EXAMINED THE COMPLETEDCERTIFY UNDER PENALTY OF PERJURY THAT ADECLARATIONS ARE TRUE AND CORRECT AND 1 FISSUED TO COMPLY WITH ALL CITY COUNTY ANIMPLICATION AND PERMITLL INFORMATION HEREONURTHER CERTIFY AND AGRD STATE LAWS GOtfERNIN•-MC TlOo
c>Eo2-noO1 ' W = Zrn9TSS3£i§m
iSS|3iffim D o z aim
APPLICANT S SIGNATURE * OWNER Q CONTRACTC^T"s^A<%t/lfe&l&& B¥ PHONE D>•o
3
0
m
O
CD
O
f C D tion E eryoe m I issued by Ihe Bu IcCode shall exp e by 1 m tation and becomeauthor zed by such permit is not commence!permit or if the bu Iding or wo k a thorabandoned Ma y t me after the work is conngOlfcal dertheiull and vo d It tne 'I w thin 180 days f omted by such perm tnmenced for a oeriod>ro s ons of'th siu id ng or w kthe date of suchs suspended orof 180 davs ^_* AN OSHA PERMIT5 0 DEEP AND DCSTRUCTURES OVEIS REQUIRED FOR EXCAVATIONS OVEMOLlTdjN OR COfeSTRiXnCN Gff) 3 STORIES IN HEIGHT9
H
O
r—
mr—m
r*
H
1—
1 —
C/5o
i
\^TOTAL FEES PAYABLE^
^,
1 TEMP OCCUPANCY (30 DAYS)0
m
so
INJ
g
-o
V)
R
<:
—
_,^MPPOLE 200 AMPS1*=
«5;
—- ^
3D
EMQDEL/ALTER PER CIRCUITz
m
-nffi
=»
V^
^<;
00
3
fn8
Oltr
i
CO
-
I
I
->
~s
^
CD
CO
O
3
O)roen
o01
CO
m
(1ST BLDG EA AMP/SWT/BKRROCK STORAGEA,
=_fc
^
^*~-
m
1
V)
OJ
OOl
IO
-
I
-o
X
en—io
33
m
co
S
^
^.
o11
V)
S
7)
OJ\
CO
z
W CONST EA AMP/SWT/BKRCOLLECTORS ^ / ' J\SCHOOL FEE DISTRICT3
ELECTRICAL PERMI-i
</>
Cm
O
SOLARCm
BRIDGE FEE\White — Inspector Green — (1) Finance (2)PUBLIC FACILmCOsm
so
§| TOTAL PLUMBING |TOTAL MECHANICAL-n
33m
C/)I
z
m
O
i
-j
1
c
G
2
OlCJi
2O
5
g
00Oo
0333>
2Crt
§
CO
0
3J
o
ro
X
\<WATER SOFTNERRELOCATION OF EA FURNACE/HEATERMOBILEHOME PARK INSPi
*\EACH VACUUM BREAKERMECH EXHAUST - HOOD/DUCTS0
O3
m
o
m
o
cr EACHINSTAI. ALTER REPAIR WATER PIPEm
Z
H
Tl
Z
z
CTr—m
O
cn
H
m
Oi
o
f—
o
roro EACH GAS SYSTEM S OR MOREI
-n
REPLACEm
m
o— i
33
S
O
§
O
roCO EACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 3 15 HP— io
r—
E
E?
en
o
ooo
Jfcro EACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HPTJ
|
O
m
0
O
og EACH BUILDING SEWEROVER 100 000 BTUco
CT
Z
-om
33
S.
-H
O
O
iEACH FIXTURE TRAPINSTALL FURN DUCTS UP TO 100 000 BTU03
C
en
m33
O
0
O
PLUMBNG PERMIT ISSUE§MECHANICAL PERMIT ISSUESUMMARY/ACCOUNT NUMBERnm
ZCO
US TRACTO
r~
Z
O
C
Wm
PARKING SPACE3)m
CO
Cz
o2
0
NG PERMIT ISSUEDYD N DREDEVELOPMENTAREAvD NDTYPECONSTOnn
0
o
FIRESPRYD NDa ^
z
D
Tl
r
3)
mrm
NOSTORIESOCC GPmg
O
1
3
c!
\
*»i
"X
V
)DESIGNER S ADDRESS| DESIGNERS PHONE jV
|
a 1 DESCRIPTION OF WORK |O
I BLOCKSUBDIVISIONASSESSOR PARCEL NO 1DESIGNER1 STATE LICENSE # jSTANDARD PLAN #BUILDING SO FOOTAGEO
f 31
>O.U1
^N^ Z
IkJ^ f~
j s. zNj o
j>
g
3
^•x*. rni r\ wV VJ <tr
CONTRACTOR S ADDRESS .„WM HAteri&-&lerLICENSE NO _. i&0&&•or
Z
a
BLDG USE CODEO
*
ft-L?OWNERS PHONE jPRIME CONTRACTOR ,S£r\/0hr&jic SO/&-J0
CD
>
Q)
1
?
-i
m
0
*"••"• Tl
•PI
CATIONI" CONTRACTORS PHONE tl\L,45I13D\im BUSINESS.LICEN»M/ JBMV ^ft
^^^ T)
<§4 1
OD
ffl
3 1 CARLSBAlSHUILDING DEPARTMENT Af!1 1200 Elm Carlsbad California 92008 (714) 438-5525ff ICATION & PERMIT. /Data Process Yellow — Assessor _Pink — Applicant Gold — Temporary File USE BALL POINT PEN ONLY & PRESS HARD _ APPLICANT T£^JLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
•
•CERT OF OCCUPANCY ISSUEDu
ITn
0Oz
D
-
O
Z
CO
1 BUILDINGy'
1^1<5
\
"-
-;
-
1
1
r
o>
CO
/
^,v\MECHANICAL/
•V'M
> *
abV,j
^ELECTRICAL/
-
"
>
^*—
s
-
^-"
~
„
J
"
'
-
1
'«CALL FOR FINAL INSPECITEMS ABOVEJOB SITE FINALPLUMBING N5§
1 5
Co 5
rti 5
/ ^^ r^
"^ p"*
53 js,
O ^
^ W8 o
* 5)s
-H
-
'VENTILATING SYSTEMS-
"*}
^
1
i
'
/
i HEAT — AIR COND — SOLARto
to
1
to
D
§
2=
TJ
Tl
33m
Tl
TJ
TJ
Z MECHANICAL—G F 1 - SMOKE DETECTO33
—BONDING=-
_ _ELECTRIC SERVICEROUGH ELECTRIC-ELECTRIC UNDERGROUND—TEMPORARY POWER— -ELECTRICAL-
CO
Hm
CO
—PILES CAISSON^H
CD
Zo
CO
O
m
33
TJ
Z
-PLUMBING TOP OUTSPECIAL MASONRYPLUMBINGSEWER AND BL/CO t ,PIMMRINf; IIIMTiFRttRnilWnf—
•1 HIGH STRENGTHBOLTSFIELD WELDINGINTERIOR LATH & DRYWALIr^POST TENSIONEDCONCRETEEXTERIOR LATH INSULATIONPRESTRESSEDCONCRETEFRAMESTRUCTURAL CONIOVER 2000 PSIo3Dm
Hm FLOOR & CEILING SUB FRAIQWPATMIMf;^m
-
CD
Hm
0
33
333
H
SOILS COMPLIANCIPRIOR TOFOUNDATION INSP1 1 1 l\ ASONRY-_INSPECTIOIO
130m m
00
m TI
O
_
> Zll
O —)^ o
'"GO
D
Hm
D
Tl
E
Tl
2
")
Tl
3
3Tl
Tl
•r*-*. ..
m
O
C
Xm
D
CO
TJ
0
>
Z.
CO
TJmO
H
Oz
C/)
Z
CO
TJmO
O
3D
CO
zo
m
CO
n
3
?
5>
H
5
- coc
r-g
o
_f
. __FIELD INSPECTIZ
Xm
o
X
°/ \-INSPECTION TYPE-_.
O
m
^O^•s.
.V
TJm .^O ^^-
S\J\
r'•^^
i\^,t
*
"