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Home My WebLink About2051 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; CB920810; Permit- •' -. - BU,ILDING PERMIT Permit Jo 10 08/14/92.O8:27, Proj'e'ct No: A9201865 Page: 1 of 1 ' 0 Development No: -Job. Address: 6155 EL CANINO REAL- - Suite: Permit' Type: PLUMBING - 8889'08/14/9- 0001 01 02 Parcel No:. 213-020-14-00 . Lt#: C -PRMT 41.0o 'Valuation: 0 Coii:struction Type:. NEW Occupancy Group: . - Reference#: . Status: ISSUED Description: PLUMBING ALREADY INSTALLED . Applied:. 08/14/92-, 4 DRAINS1-FLR SINK 2-GAS 2-WC 2-LAV.ETC - Apr/Issue: 08/14/92 Validated By: PY Apl/Ownr : HUGHES AIRCRAFT - -€4-5, EL CANINO RLO.c/ -,,'z /9,,',rr fl CARLSBAD,CA 92009 CONTRACTOR : BRANDEL PLUMBZNG, N 'c. C 76778 . 316-408-0400 - 15100 TEXAC0'AV .. - PARAMOUNT /CA *** Fees Required F&eG ,ce' & Cfedits - Fees: / tTo/ - . - 00 .' f P .\ •; ar~c 41.00 it Ext fee, Data __!!_! _ _ PLUMBING TOTAL 1 1952 Each Plumbing Fixt re or- T -2.-50 27_50 Gas'Piping System 2.5 5.90 ACORPORATED 41 ;00 - * ,<5 e?J fr1i 44S/ W4 0• *-.• c4,_,_c,. -- • . •.- • - •. 0. . - - -- • - 0 - '- wç& /• AW-AM0 Z, - - P17'. 9c% - . 0 CITY OF CARLSBAD 0 - • 0 • - 2075 Las Palmas Dr Carlsbad CA-92009"(619) 438-1161 0 , •, . * S _.._ - '0 • * 0 * • - •-1 .01 *, 0 • • -* PERIvUT APPLICATION City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE A -,Commercial U New Building 'enant Improvement B - U Industrial U New Building EnmjjnpEqviiTent C - 0 Residential 0 Apartment D Condo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home U Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ Li[!] I 0"AJS]iL'IViIIJi PLAN CHECK NO. ESF.VAL PLAN CE DEPOSIT __________ VALID. BY ti 17 DATE /, FOR OFFICE USE ONLY Nearest CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT. # OF STORIES / 2-o1i LF&'c 2-44VS 2-4I/V1J1S 4/12 UJNIAL1 Vt.KSON (ii dilterent from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT UCONTRACIUR L.AGENr FOR CONTHA(JIUR DOWNER LJAGENT FOR OWNER NAME kJ j/ if ADDRESS /J'c,c,4-if- CITY ,4-/11'OL/Z/7 STATE Z,44 ZIP CODE ~5~72_3 DAY TELEPHONE (?/)) NAME - 'v~v..4c ADDRESS CITY STATE ZIP CODE DAY TELEPHONE (DNTEACIDR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # /777 LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMI'ENSAllON Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-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 R,,4'4L POLICY NO. 4'zqq EXPIRATION DATE my ...,.., UI IIC VVUII' IUI IVulItil hub pCI lUlL lb lbbCU, I blldii not. empioy any person in any ma 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 Contractor's License Law For the following reason: 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-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 contractor(s) licensed pursuant to the Contractor's License Law). 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 [$500]). 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO 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 MR POLLUTION (X)N11tOL DISI1Ucr. 9. WNSTRUCTION LENDING AGENCY LENDER'S NAME /V/4 LENDER'S ADDRESS 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 TillS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories 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 365 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 w rk is commenced for a period of 180 days (Section 303(d) Uniform B ilding Code). APPLICANTS S1C4TURE . / DATE: CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB920810 FOR 08/17/92 INSPECTOR AREA MC DESCRIPTION: PLUMBING ALREADY INSTALLED PLANCK# 4 DRAINS 1-FLR SINK 2-GAS 2-WC 2-LAy ETC 0CC GRP44-' TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2051 PALOMAR AIRPORT RD STR: FL: STE: APPLICANT: HUGHES AIRCRAFT PHONE: 619-?????????? CONTRACTOR: BRANDEL PLUMBING, DON PHONE: 310-408-0400 OWNER: PHONE: REMARKS: MH INSPECTOR SPECIAL INSTRUCT: f TOTAL TIME: --RELATED PERMITS-- PERNIT# TYPE STATUS CB880652 MISC EXPIRED WDP02018 WDP ISSUED CB920396 ELEC ISSUED CB920445 MECH ISSUED AS920048 ASTI ISSUED A5920052 ASTI ISSUED A5920054 ASTI ISSUED CD LVL DESCRIPTION ACT COMMENTS 24 PL Rough/Topout fliA(. (-C EJ1 (61# crric/,4tL, 72 INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 1' Q INDUSTRIAL PRODUCTS DIVISION Industrial Electronics Group August 18, 1992 Mr. Mer P. Camero Building Inspector Building Department City of Carlsbad Carlsbad, CA. 92009 Ref: Plan Check #92-445 Dear Mr. Camero, I hereby acknowledge that the General Contractor, Saffell and McAdam, Inc. has installed building underground and above ground plumbing and piping systems in compliance with applicable sections of uniform plumbing code pertaining to materials selection, installation and testing procedures,' city approved construction design documents and specifications Thank you. Sincerely, Kasi Ramakrishnan P.E. Sr. Facilities Engineer cc: John Ozurovich Facilities Manager ffI NO P41026258 " EXP._'J OF C Hughes Aircraft Company 2051 Palomar Airport Rd., Carlsbad, CA 92009 (619) 931-3000 • TWX/TLX: 910-322-1393 USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DE(LARATION I hereby affirm that I am licensed under provisions of Chapter-9 (commencing- wIth-I _SectIon7000) of(D(vlston 3 of the Business and- Professions Code, and my license is in _________-Class no I hereby affirm hat t 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 In construct, alter, improve, demolish, or -. - repair any structure, prior to its issuance also requires he ap-,., plicant for, such permit to tile a signed statement that he is licensed: pursuant to the provisions of the Contractor -License Law (Chapter 9-commencing with Suction -1000 of Division 3 o the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any - violation 01 Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more'than live hun- dred dollars ($500).n ...t. Cr . . t, as owner of the properly, or my employees With wages LLI as their sole compensation. will do the work, and the struc-ture is not intended or offered tursate (Sec.7044. Business .1 and Professions, Code: The Contractor's License Law dues 5 ---trot apply to an owner of property who builds or improves - thereon and who dyes such work himsell or through his own employees, pooided that such improvements are not intend- ed or uttered for sale. If. however, the building or improve: Z • moot is sold within one year of completion, the owner-builder - will have the burden of proving that he-did not build-or im- prone for the purpose of sale).- t,'s owner of the property, am enctusively contracting with licensed contractors to construct the project (Sec. 7044. - Business and,Profeosions Cede:' The Contractor's License r: Law does-not apply to an owner of property who builds or rn- - proves thereon, and who contracts for each projects with a (I) contractor(s) license pursuant to the Contractor's License F Z , Law).-..-- 0 f.d '(01 As a homeowner lam improving my home, and the follow' cc Pg conditions exist: -' - - - t-. The work is being pertormed prior In sale. '( '. 2. :1 have lived in my homo for) twelve months - - - .w-_ priorrfn completion of this work. - - , -, - Ui 3. I have 001 claimed this euempt ion during the 0 - , last three years. O lam 800mpt under Sec. . B & P.C. a V - --for this reason - - - ---- to v..- _ • ,.•, ,4 f'.' . .0 thereby affirm that I have a certificate Of consent to &ett.insure, -or. a certificate of Workers' - Compensation Insurance, or a certified CODY thereof - ( ' (Sec. 3800. Labor Code). 17 I- - ; Z 4.POLIC N YOlhCJ 846-537:L -2 - MPN —Inaustria1 indemn: 4P' ••. - I'-- (,) to --.0 Copy is filed with-the City- Z Lu ' r . •0..Certifed V, is fereby furpishéd,, - JJ CEIFIFICATL OF EXEMPTION FROM -ri: WQ3tER5 COMPENSATION INSURANCE - (Thro sction need not be completed it the permit .t. forone hundred dollars 151091 or tess I ' -Ax certify that in the perforrnandePl the work for - 'which-Ibm permit is issued. I shalt not employ any person in any manner so as to,0eC0me subject to the Workers' Compensation Laws Of California - ''-NOTICE TO APPUCANTIt. atter'makin3 tr i's Cciii- .' pfica1e,o( Exemption. yousho'uldDecome soblect I0' - the.Worlrers' Compensation provisions of the Labor L "s(,Code. you "mast /forthwith •comply with ç.Sactr -. P250 2 or. this Permit shall be deemed revoked 10 ..... D,l 'hereby -affirm that, there is -a construction cc IJ:enrtng'-agency or the performance 01 the wow or which this permit is issued jSec 3097, Civil CoOei zli . ' 4' - I - ' Lender's Name Lender's Adetress • • - -- -- - CARLSBAD BUILDING DEPARTMENT. -- - - ----- --APPLICATION-& PERMIT----- --- - - - - —t - - -1-- - 1200Elrn, Carlsbad, California 920084989 (619) 438-5525 I - JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. - DATE OF,APPLICATION BUSINESS LI9ENSE # -..-VALUA-TtON. -._.. - KERMIT-NUMBER- 2051 Palomar Airport Road , 6/27/84 LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR ZONE 3S CONTRACTORS PHONE N - - 213050-39 OWNER'SNAME ' OWNER'S PHONE Amelco Electric, - , 232-635 5 Hughes Aircraft Co. 438-9191iai CONTRACTOR'S ADDRESS - LICENSE NO, - ------------- PLAN .0. ' E BLDG USE CODE - - • - j OWNER'S MAILING ADDRESS - 2001 Kettner Blvd. 273896 6155 El Camino Real, Carlsbad, CA DESIGNER - LICENSES STANDARD PLANS BUILDING SO. FOOTAGE -j Hughes Aircraft Co. - . N/A DES RIPTION OF WORK p 4 d4/ / DESIGNER'S ADDRESS DESIGNERS PHONE -- - - - same same ELV, F/P FLR 6/29/846260 - -- OCCGP .EDU , STORIES I'D NO CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT . TYPE 0CC LOAD FIRE SPR - . . . - - -- - •,. . ,_,3 r , AREA CONST YD N 0 YO NO t'•' - ' YO -NO' Not Valid Unless Machine Certified QTY. PLUMBING-PERMIT - ISSUE - - - ' OTY. 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 III EACH WATER HEATER AND/OR VENT - BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK 01-00:00-8806 - FF- EACH GAS SYSTEM 1 TO 4 OUTLETS r • - ' - •. '• BOILER/COMPRESSOR.3-1.5 HP - -' ALPLUMBING. - -..__- -01-00-00-8222 EACH . GAS SYSTEM S OR MORE METAL FIREPLACE • 01-00-00-8223 EACH - INSTAL.. AL-TEA, REPAIR WATER PIPE . VENT FAN SINGLE DUCT ECHAN)CAL EACH LLECTRICAL VACUUM'BREAKER MECH EXHAUST - HOOD/DUCTS -010O-OQ-8225 )yAT-R . -OBILEHOME •_- SOFTNER - - - -: RELOCATION OF EA FURNACE/HEATER , BILEHOME PARK INSP EACH ROOF DRAIN-:(INSIDE) - - - — - --- - - -• -'- - - - - - - ' ' - SOLAR -. - - 01-00-00-8226 - -i - . - - - TOTAL MECHANICAL - - - - - STRONG MOTION 80-92-33-0519 • ,--' TOTAL PLUMBING • I - . - - . = - - FIRE SPRINKLERS 01-00-00-8227 -- • Ty: - ELECTRICAL PERMIT - ISSUE T - QTY. - SOLAR- ISSUE - - r -- -- - - - PUBLIC FACILITIES FEE - - 32-00-00'8933 - - -- •. - '- • , BRIDGE FEE - - NEW CONST CA AMP/SWT!BKR - ' . - - . . -. - COLLECTORS - - L - - SCHOOL FEE - DISTRICT -- 1PH --- . -3 PH-- - ,.. . -. -- STORAGE TANKS - - -- .*- - ----- EXIST-BLDG EAAMP/SWT/BKR - • ROCK STORAGE - ' , - Encinitas 80-92-22'0519 - 1 PH - 3 PH - •, - . I PUMP San Djegailo - 80-92-23'0519 - .LBEMOOEL.ALTER PER CIRCUIT pIt1~ ,/çi - CT ...•._ PLAN CHECK FEE . - - - . • - - -- San Marcos - -80-92-24-0519 - TEMP POLE 200 AMPS : • ' - --- - , OVER 200 AMPS - - , - __. - • . - - I -- - - . '' ---Carlsbad ---------- LICENSE TAX 01:60.00.8162 - - -- - - TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTALE1E-L-TRfCA1 •.I ---I - - .' TÔTAL,SOLARt'----';..••-•._ ':"-' IJIaLrlcI- 'AyAliLh I - •- I - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY i Expiration. Every permit Issued by the Building Official under the provisions of thin * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code shall expire by limitation and become null and void, lithe building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such permit, or ii Ihe 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 any time after the work is commenced for a period 01180 days -V I STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND J'APPROV I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S SIGNA CONTRACTOR ?EY -- DATE I - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE TU1~ NER A/-- -T- C-) It) 0• U) a) TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY I GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL 'PLUMBING SEWER AND BLICO DIPLICO UNDERGROUND 0 WASTE 0 YYATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WArER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 OFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPORARY o BONDING 0 POOL MECHANICAL O DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS ________ BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ. IF INSPECTORS DA INSPECTION CHECKED APPROVAL TE - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS APPLICA O FILL ININFOR - MATION tHIN RED LINES. a CITY OF CARLSBAUILDING DEPARTMENT APPLICAN & PERMIT USE BALL POINT PEN ONLY - 1200 ELM AVENUE (714) 438-5525 NO. IOØII I 1P111 L JOB A DRESS RD i 1Po 1i -r O ib AV. SJF2F I I I I APpLICATION 5-81 BUS. LICENSE 3317 PERMIT NUMBER -_ I - OWNER OWNER'S PHONE PRIME CONTRACTOR OAK INDUSTRIES 485-93oO BAKER ELECTRIC INC. STATE LICENSE Clo 161756 Drive., San Diego, Ca. 92127 I IONRACTOR'S ADD .RESS . 2180 Meyers Ave., Escond.i CONTRACTOR'S PHD o 5-2O01 - -- - DESIGNER'S PHONE 6/I5/SI3LL5b 00DItj5b "6/15/8 1 Not Valid Unless Machine Cirtifled - - 12.OIJ 12. 00 - LOT J BLOCK . SUBDIVISION - I ASSESSOR'S PARCEL NO. DESIGNER - I I - DESCRIPTION OF WO RK 'P1PNr. ?I1WR - DESIGNER'S ADDRESS STATE LICENSE CENSUS TRACT GP LAND USE ZONING , RES. UNITS - ARKING SPACE sf I ' - I NUMBER OF STORIES 1 P # ' ' BLDG SQ. FT. BLDG USE 0CC. GP STANDARD PLAN S I PLAN ID S TYPE CONST AMT, ciTY, MECHANICAL PERMIT - AMT. . - INSTALL FURN. DUCTS UP TO 100,000 BTU . OVER 100,000 BTU - . . BOILER/COMPRESSOR 3-15 HP VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS . BOILER/COMPRESSOR UPTO3Hip BOILER/COMPRESSOR 16-30 HP 0CC. LOAD - VALUATION: CITY. - PLUMBING PERMIT EACH FIXTURE TRAP . - EACH BUILDING SEWER - EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM I TO 4 OUTLETS - EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM - - WATER SOFTNER - . RELOCATION OF EA FURNACE/HEATER - - . - BUILDING PERMIT - Issue 3.00 1 Issue 3.00 SIGN PERMIT TOTAL PLUMBING CONTRACTOR - . TOTAL MECHANICAL CONTRACTOR PLAN CHECK ALL INCLUSIVE PERMIT - QTY. ELECTRICAL PERMIT -AMT. - QTY MOBILE HOME PERMIT AMT. TOTAL PLUMBING - ELECTRICAL 22 zPP . NEW CONST EA AMP/SWT/BKR - - AWNING . - - \ MECHANICAL - I 1 PH .25 - 3 PH - . PORCH . MOBILE HOME ' I EXIST BLDG EA AMP/SWT/BKA - . SET-UP . - SOLAR 1 PH .25 3 PH . RAMADA, CABANA REMODEL/ALTER PER CIRCUIT . FENCE OVER 8' TEMP POLE 200 AMPS , . TOTAL MOBILE HOME - . . MICO-FILM I I I OVER 200 AMPS - TEMP OCCUPANCY (30 DAYS) . - strong motion' Issue 2-.00 . - s"- _\'',- - I_I_I - T13TING_TE TOTAL ELECTRICAL 10.00 CONTRACTOR _________. _12.00 -. TOTALFEESPAYABLE - . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE - OF THE GRANTING OF THIS PERMIT. - 'AN OSHA PERMIT Is REQUIRED FOR EXCAVAPONS 5-0" DEEP NO DEMOLITION OR CONL k STRUCT S ER 3ST IES IN HEI SCHOOL OVER .-. - FEES: - A IGNATLJRE - OWNE CONTRACTORD AGENTO BYPHONED JAPPROVED BY LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031 .58uslness and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior 10 its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap pllcsnt for a permit subjects the applicant to a 0a.enalty of not more thanfive hundred dollars owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is. not intended or of- fered'for sale (Sec. 7044 Business and Profes- sions 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 of- fered 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 improve for the purpose of sale). - - Dl, as owner of the property, am exclusively con- tracting with licensed Contractors to construct the project (Sec. 7044,, Business and Profe sions Code: The Contractor's Li nse Law does t ap- ply to an owner 01 prope .40 lid proves'thereon, and who c~~k jects with a contractor(s) l contractor's License Law). -1 am exempt under Sec. for this reason______________________________ -. - Owner w I hereby affirm that I haviflcate of con- sent to self-Insure, or a ce'hiPticate of Workers' Compensation Insurance, o\ certified copy thereof (Sec 3800 abor PANYLLj POLICY N .4e/JIrp opy Is filed with Ihe city. OCertifled copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the LaboCCode, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for whIh IhI n—It I. Irn 'fl07 (I,Il (nrInI . I I SITE - ADDRESS: - .5 5, OWNER: PERMT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECToR INSPECTORS NOTES WOOD FLOOR - FOUNDATION S FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING S UNDER FLOOR HEATING --- OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET OK TO POUR CONCRETE FRAME . ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY . POWER (POLE) OTHER TEMP SEWER GAS TEST SWIM POOL • STEEL BONDING PRE DECK - - FENCE PREPLASTER SHOWN • FRAME 9 PAN S FINAL INSP BY BLDG DEPT -- - OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP - -' - GAS METER-PERM-TEMP . -- - CERT OF OCCUPANCY ISSUED - a U 4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9' (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con- 'tractor's License Law for the following reason (Sec. 7031 .5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed state- ment that he is llcensed'pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031 .5'by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). . Dl, 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 of- fered for sale (Sec. 7044, Business and Profes- sions .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 of- fered 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 improve for the purpose of sale). Dl, as owner of the property, am exclusively con- tracting with licensed contract to construct the project (Sec. 7044, B in ofessions - Code: The Contractor's ns not ap- ply to an owner of or I-hW or im- proves thereon, and wh C r t such pro- (acts with a contractor(s) lic 5 suant to the contractor's License Law) I am exempt under Sec for this reason Date wner WORKER MPENSATION DECL ATION I hereby a that I have a certificate of Con- sent to self-In Ure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 00 L b r Code. POLICY No S 44 CO PA V coy is flied with the city. ,•• / Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- dIng agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). -" ---.'--- ---.'---- , - . CITY OF CARLSBAD— BUILDING DEPARTMENT APPLICATION'& PERMIT APPLICANT TO FILL IN INFOR - USLOINT PEN ONLY .,.1200 ELM AVENUE (714) 438-5525 ' MATION WITHIN RED LINES. o. . . JOB ADDRESS. • . ' , ' AV. ST. JDATE OF APPLICATION .. RD BUS. LICENSE PERMIT NUMBER ' ' . - . • - OWNER OWNER'S PHONE O1QKT, 'bur,f/s . - PRIME CONTRACTOR . - STAT LICENSE OWNER'S MAILING ADDRESS. '04D hip Bet J14O ToODçg4. • CONTRACTOR'S -. . - 44 - - •, ,' - . '' . - - Not Valid (In/ass Machine Certified' LOT BLOCK SUBDIVISION ASSESSOR'S PARCEL NO I I I I DESIGNER STATE LICENSE WORK 474?))iO DESCRIPTION 5 ?AJ P 1I DESIGNER'S ADDRESS f - DESIGNER'S PHONE -. - ñ7 fhQw )T JoAMI.. SI7Zt CE SUS TRACT ' ' GP LAND USE , ZONING ' . RES. UNITS - . PARKING SPACE NUMBER Sf OF STORIES BLDG SQ. FT. - BLDG USE , DCC. GP STANDARD PLAN A PLAN IDA , TYPE CONST ' DCC. LOAD' ', . . ' - . . ' ' , - ' . VALUATION - OVER 100,000 BTU QTY PLUMBING PERMIT AMT QTY.MECHANICAL PERMIT AMT EACH FIXTURE TRAP - " INSTALL FURN DUCTS UPTO 100000 BTU EACH BUILDING SEWER . - EACH WATER HEATER AND/OR VENT ' BOILER/COMPRESSOR UP TO 3 HP . EACH GAS SYSTEM 1-TO 4 OUTLETS . - BOILER/COMPRESSOR 3.15 HP 'EACH GAS SYSTEM 5 OR MORE . . . BOILER/COMPRESSOR 16.30 HP ' . . EACH INSTAL.,ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT I EACH LAWN SPRINKLER SYSTEM - ' . r -MECH EXHAUST -* HOOD/DUCTS - WATER SOFTNER ' ' , RELOCATION OF EA FURNACE/HEATER ' . . ' BUICDING PERMIT - -' Issue . 3.00 Issue ' ".. 3.;100 SIGN PERMIT '.TOTAL PLUMBING - CONTRACTOR . . . - TOTAL MECHANICAL . .- ' CONTRACTOR - PLAN CHECK ALL INCLUSIVE PERMIT •' I I - I a-i-v., - ELECTRICAL PERMIT AMT. QTY. - MOBILEHOMEPERMIT AMT. TOTAL PLUMBING I 'ELECTRICAL .- * NEW CONST EA AMP/SWT/BKR . ' AWNING . -. -' 'MECHANICA L' ' . - { I PH .25 3 PH - . PORCH ' . MOBILE HOME' - ,EXIST BLDG EA AMP/SWT/BKR . . . SET-UP - . " . . SOLAR 1 PH ..25 3 PH ' . . RAMADA, CABANA . . ' - - .'.,- 'I I • I REMODEL/ALTER PER CIRCUIT ' - . FENCE OVER 6''' . ' .- I -I' I / TEMPPOLE 200AMPS - / -DO 'TOTAL MOBILE HOME .. , . . I' OVER200AMPS . . .- . ' . . . ' . ' -.. - '•. -... .. -. I TEMP OCCUPANCY (30 DAYS) ' ' -. ' '- - - '' MfCOFILM . ...I STRONG MOTION: . - -, • Issue 2.00 TOTALELECTRICAL . CONTRACTOR /, 00 ' - - . -. TOTAL FEES PAYABLE , ' - i I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN oR NOT. IALso AGREE To SAVE INDEMNIFY AND KEEP HARM- . LESS 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. ' . STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY - . ' , • . SCHOOL FEES: - . - If AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ' 'I .,-; 5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF ' I ' • - . J/J4Y ,pM - / , ( , Aft' r1 .— - ' , .,-. - - APPL CANT'S SIGNATURE . . OWNER[]CONTRACTORD AGEN1k BY PHONE D APPRO . . . SITE ADDRESS - OWNER ,& PERIIrT NQ - ( FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR ' INSIECTOR'SNOTES t t WOOD FLOOR - - ' \ - • - -, -\ t FOUNDATION. FORMS .SET BACK .TOILET - - UNDER FLOOR PLUMBING - - UNDER FLOOR HEATING - _______________________________ '- r OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL — ROUGH PLUMBING — ROUGH HEATING/VENTILATING — FRAME OK • PLACE INSULATION — INSULATION OK e PLACE WALLBOARD — WALLBOARD OK. PLACE TAPE EXTERIOR LATH OK. PLACE STUCCO — FIREPLACE - DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER \ TEMP POWER (POLE) — SEWER GAS TEST SWIM POOL • STEEL BONDING — PRE DECK FENCE PREPLASTER SHOWN • FRAME sPAN FINAL INSP BY BLDG DEPT — OTR DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP — GAS METER-PERM---TEMP SAM - - - ' CITY OF CARLSBAD—BUILDING DEPATMENT APPLICATION & PERMIT USE BALL POIN11PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. - JOB ADDRESS AV. ST. RD Roft, I I I I I i DATE OF APPLICATION BUS. LICENSE PERMIT NUMBER OWNER OWNER'S PHONE I cY1KS 44S'.1 s7ev1,s PRIME CONTRACTOR STAT LICENSE OWNER'S MAILING ADDRESS I CONTRACTOR'S ADDRES U), A),bo PR. f4daM U4 /,,Wj LOT LOCK BDIVISION I J B SU I ASSESSOR'S PARCEL NO. DESIGNER - DESCRIPTION OF WORK 3,000 Amp .30 S,Li ''gg1jj 1z?j/7 ,JjiJ DESIGNER'S ADDRESS CONTRACTOR'S PHONE * - ' I032 Not Valid Unless Machine STATE LICENSE DESIGNER'S PHONE -CENSUS TRACT GP LAND USE - ZONING . - RES. UNITS PARKING SPACE sf # . I NU MBER OF STORIES BLDG 50. FT. BLDG USE 0CC. SF I STANDARD PLAN A PLAN I D A TYPE CONST DCC. LOAD VALUATION: - AMT. UTY. - PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP ' . INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER . OVER 100,000 BTU EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS . - - BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE - . BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT . EACH LAWN SPRINKLER SYSTEM , , - MECH EXHAUST - HOOD/DUCTS - . WATER SOFTNER RELOCATION OF EA FURNACE/HEATER . BUILDING PERMIT I I I Issue 3 00 SIGN PERMIT TOTAL PLUMBING . . CONTRACTOR . . - TOTAL MECHANICAL - CONTRACTOR - - ' ' PLAN CHECK ALL INCLUSIVE PERMIT I I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT - AMT., TOTAL PLUMBING 0 I0t2.O ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR . ' AWNING . . , MECHANICAL 1 PH .25 1,00 / 3PH/490 3000.00 PORCH . . . MOBILE HOME EXIST BLDG EA AMP/SWT/BKR . SET-UP . SOLAR 1 PH .25 3 PH . . RAMADA, CABANA' . - . 1 - 1/ i2 . C REMODEL/ALTER PER CIRCUIT . FENCE OVER 6' TEMP POLE - 200 AMPS . TOTAL MOBILE HOME -, ' - M ICO-F I LM OVER 200AMPS TEMP OCCUPANCY (30 DAYS) - Issue 2.00 TOTAL ELECTRICAL L.s PAlD CONTRACTOR OW /'/PI/S" ( I Z,-ex,) - TOTAL FEES PAYABLE 9 9a-.°° I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I$iSSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. LESS 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. 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5-0" OEJ AD DEMOLITION DR 9,CMSTRUC ON OF SCHOOL 'FEES .>PfypOVER 3STORIES H ________________________________________________________________________________________________ APPLICANT/S SIGNATURE' OWNER[] CONTRACTORD IAPP j LICENSED CONTFIACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 1000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractors License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit 10 con- struct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to tile a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than flve.hundred dollars ($500). Dl, 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 of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply 10 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 of- fered for sale. if, however, the building or Improve- menl 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). Dl, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply 10 an owner of property .ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, B. & P.C. for this reason_______________________________ Date _____________ Owner WORKERS' COMPENSATION DECLA TION I hereby affirm that I have a certi con- sent to self-Insure, or a certificate Compensation Insurance, or a certified copy 300 ~bc POLICY NOE COMPANY opy Is filed with the cit OCertifled copy Is hereby furn CERTIFICATE OF EXEIION FROM WORKERS' COMPENSATIN INSURANCE (This section need not be leted It the per- mit Is for one hundred dolls or less). - 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. NO11 TO APPLICANT: If, after making this Cer- tiflcate"bf Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provlsl9ns or this permit shall be deemed revoked. a CONSTRUCTION LENDING AGENCY APPLICANTTOFILLININFOR - / MATION WITHIN RED LINES. I hereby affirm that there Is a construction len- ding agency for the performance of the work for __________________________________________________________________________________ AGENT 0 BY PHONE which this permit Is Issued (Sec. 3097, Civil Code). (I ó F SITE ADDRESS: OWNER: PERMIT NO: - - FIELD INSPECTION RECORD * INSPECTION DATE - INSPECTOR INSPECTOR'S NOTES WOOD FLOOR S - - FOUNDATION • FORMS • SET BACK • TOILET - UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET OK TO POUR CONCRETE - FRAME ROUGH ELECTRICAL - - ROUGH PLUMBING - - ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION - INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE - - DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER - TEMP POWER (POLE) SEWER - GAS TEST - SWIM POOL • STEEL BONDING - PRE DECK FENCE PREPLASTER SHOWN • FRAME PAN FINAL INSPBY SLOG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM--TEMP S S GAS METER-PERM-TEMP S f CERT OF OCCUPANCY ISSUED 5