HomeMy WebLinkAbout2101 LAS PALMAS DR; D-G; 82-102-DEFG; Permita,
USE BALL' POINT PEN ONLY & PRESS HARD" APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
'I hereby affirm -that I am licensed under
- o provisions of 'Chapter 9 (commencing with
Section 7000) of Division '3 of the Business
and Professions Code, and my license is in'' 1.
4 • full force and effect.
L. Lic. No. __________......... Class .o_ •,_, --
i hereby affirm that I am.exempt from the Con.
tractor's License Law for the foliowingreason. (Sec. 7031 . Business and Professions Code:-Any city or
county which requires a permit 10 construct
- alter, improve, demolish, or repair. any structure, prior 10 its issuance also requires the applicant for
Such permit to file a Signed statement that he is licensed pursuant to the provisions of the Con-
tractor's License Law (Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-
- ,, tessions Code) or that is exempt therefrom and the
- - basis, for the alleged exemption. Any violation of -
Section 7031.5 by an applicant for a permit subjects .) tne applicant to a Civil penalty of not more than five
- hundred dollars ($500)., '(
0 - ..a . 0 I, as owner of the property, or my employees.'
*ith 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:
w The Contractor's License Law dOes not apply to an I Z - • 'owner of property who builds or improves thereon and who does such work himself or through his own -
- .,0 employees, provided that such improvements are.
'a not intended or offered for sale, It, however, the building or improvement is sold within one year of -CI
- completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale):
. 's.- 0 I. as .owner of' the propety, am exclusively
, Z . , contracting with licensed contractors to Construct 2 , 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 .1
, 4 thereon, and who contracts for each projects with a
contractorfs) license pursuant to the Contractor's License Law):
lu
--- a'
- , 0 lam exempt under Sec -. -. B. & P.C.
'for this reason
- .',, .
.,. ,
,
.- .•'. a'- I,
, ,
•:
', 0 t hereby affirm that I have a certificate of consent to self-insure, or a certificate, of Workers ,x Compensation Insurance, or a certified copy thereof
' - (Sec. 3800. Labor Code). , . , .
-'z 14.,POLICY O.
.''a'COMPANY _____
0 Copy s fit ed with ttleCty a-a
'
' :us 0 Certified copy is hereby, furnish . CL
.0 CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit
is for one hundred dollars ($100) or tess)
I certify that in the performance of the work for 0 which this permit is issued. I shaft not employ any 13:• person in any manner so as to become subject to
the Workers Compensation Laws of California.
I, ,' •,. , -
* - NOTICE TO APPLICANT: If. after making this Cerli
ficate of Exemption. you should become subject to the Womkers'Compensation provisions of the Labor
.,Code, you, , must forthwith comply with such
. provisions or this is permit shall be deemed revoked.
f" .D I hereby affirm that there is a construction..
IM tending agency for the performance of the work for Lu • ' a - - which this permit as issued (Sec. 3097, Civil Code).
zl ' , _l..,a
f Lender. s Name
a' L Lender's Address
'I
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
-
- 1200 Elm, Carlsbad, California 92008 (714) 438-5525 . • ' I, - , " , ,- a
JOB ADDRESS , , a' ' AV, ST. DA E OF APPLICATION BUSINESS LICENSE #
RD.L4,r,'
VALUATION PERMIT NUMBER
I aLUC
. /f O NER'S NAME - '' OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE II ZONE
Lr-i I C wwap (c Sk33 2/O/ 1151
OWNER'S MAILING ADDRESS .. ' CONTRACTOR'S ADDRESS BLDG USE CODE
U
LICENSE NO. P # ~"l0,
O E 5t -R /61,' O&71Yt (A
LOT BLOCK
J SUBDIVISION 1ASSESSOR PARCEL NO. . DESIGNER ' LICENSE # ,STATE STANDARD PLAN # - BUILDING SO. FOOTAGE
DESCRPONOFWOR...7
,
j
D:slcpRS ADDRESS DESIGNER'S PHONE
' çL OFF,cr_— a' , -'
, - i..., - '
• 'STORIES
,
FIRE SPR 'CENSUS TRACT ' . GP LAND USE PARKING SPACE RES UNITS . '.' GRADING PERMIT ISSUED REDEVELOPMENT ' 0CC LOAD AREA
IN I
-.
- ''a' -: .. vO ND. -. 'vDND t YO NO Not Valid Unless fafac/pjneCertified
- PLUMBING PERMIT-ISSUE -
-.
- ''OTY.
..0 ''.'--•"J - MECHANICAL.PERMIT.-ISSUE . . . -. SUMMARY/ACCOUNT NUMBER
FIXTURE TRAP , -INSTALL
JB
OTY.
'
EACH FURN DUCTS UP TO 100 000 BTU PERMIT 01 000 4220
EACH
.-UILDING
BUILDING SEWER OVER 100000 BTU IGN PERMIT/9 000 4221
EACH WATER HEATER AND/OR VENT - - -. , BOILER/COMPRESSORUPTO3HP LAN CHECK'ff "7q .01-000-4806',
EACH GAS SYSTEM ]TO 4 OUTLETS a- BOILER/COMPRESSOR 315 HP TOTAL PLUMiNG ' 01-000-4222./ 50
EACH GAS SYSTEM 5 DR MORE METAL FIREPLACE 1 - ELECTRICAL 01-000-4223 00
- EACH INSTAL..ALTER REPAIR WATER PIPE tnt VENT FAN SINGLE DUCT MECHANICAL .01-000-4224 00
EACH VACUUM BREAKER " MECH EXHAUST -'HOOD/DUCTS a MOBILEHOME - 01-000-4225'
WATER SOFTNER i RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) '. • .,.', ' • ' ' ' ' ' '-. ' SOLAR ' -. , 01-000-4226
4. , .• '. - ' ! , 'TOTAL MECHANICAL . '
. - --a '-
-. - - -
1
' I1
STRONG MOTION' -' ' 1 657640-0519
TOTAL PLUMBING IL . - FIRE SPRINKLERS . 01-00O4227 -
ir
- '
QTY ELECTRICAL PERMIT ISSUE o QTY SOLAR ISSUE PUBLIC FACILITIES FEE a' 25-000-4933'
-FEE BRIDGE
NEW CONST EA AMP/SWT/BKR
.-
COLLECTORS SCHOOL FEE DISTRICT
-
1 PH t 3 PH • " STORAGE TANKS Carlsbad 65-623-0519
EXIST BLDG EA AMP/SWT/BKR "1 ROCK STORAGE Encinitas 65-624-0519
1 PH ,. 3 PH a" a' PUMP San olegutto 656250519 -
REMODEL/ALTER PER CIRCUIT PLAN CHECK EE " San MarCos 656260519
''.TEMP POLE -200AMPS ' •.. ' "•- . .-' -' '. /,;\ - .J ,) - ' ' ' ,,- •,,,. , '. ' '. '-
OVER 200 AMPS
. -,TEMP OCCUPANCY (3ODAYS) - ' - •' \ \ / ' .' aa" ,,' S \' -'_,: -F
TOTAL ELECTRICAL ThAfrSO1Z'I1 TOTAL FEES PAYABLE
I HAVE CAREFULLY. EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthiS AN OSHA PERMIT is REQUIRED FOR I~CCA~ATIOINS OVER Code CERTIFY UNDER PENALTY~01` PERJURY THAT ALL INFORMATION HEREON INCLUDING THE shall'expire by limitation and become null and void. If the building or work -5' 0" DEEP AND DEMOLITION OR CONSTRuCTiQN OF -PERMIT SAh riced within 180 days from the date of such vSTRUCTURES DE'CLARATIONS.ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A IS peuy0Tj or if'1I b uitdinr work horIzed by such permit is :usPOnd or 'I ,•.-' OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- afld4fled eny'time4)Ier the woK4s commenced for a period of 180 days.STRUCTION, WHETHER SPECIFIED HEREIN OR NOTOrl ALSO AGREE TO SAVE I NDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS SIGNAcRE /1 OWNER 0 'CONTRACTOR A
,,
PJ0VED BY -
" H' - DATE
, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , 4' .1(1 - GRANTING OF THIS PERMIT. U .r BYPHONE , ,
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
- PLUMBING,
SEWER. AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A
G. F. !. - SMOKE DETECTOR
- MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT - AIR COND. SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROesJ,E1')
ITEMS ABOVE HA VEt BEEN APPRO VED/J
JOB SITE FINAL
PLUMBING /. \
ELECTRICAL
MECHANICAL /1kAol, GAS
BUILDING
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD 16
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INS EON c • REQ. IF. INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE . . .c ux;( PRIOR TO
FOUNDATION INSP .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE . . .
POST TENSIONED - - -
CONCRETE . . . . . .
.:F4EtDVELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONR I
PILES/CAISSONS
. • : --
•
. -'•-. . .
S0, •- 1' . _-*,• ____
0
•• S • :'i' _____ ___
0 • •' - V
::; v .-..., _--
•
. 0 I hereby affirm that lam licensed under
o ' provisiona of Chapter 9 (commencing with
11- Section 7000) of Division '3 of the Business
and PrOfessions Code, and my license is in l 5' full force and effect
- [, Lic. No. ' - Class
40
' I hereby affirm that I son exempt from IheCon-
- 'tractors License Law for the foilowingreason.(Sec. I 70315 Business and Professions Code:"Anycity or county which requires a permit to construct i
- alter, improve, demolish, or repair any Structure,.
prior to its issuance also requires the applicant for such permit to tile a signed statement.that he is licensed pursuant to the provisions of ,the Con- tractor's License Law (Chapter 9 commencing with
- -, Section 7000 of Division 3 of the Business,and Pro- fessions Code) or that is exempt therefrom and the
• basis for the alleged exemption. Any violation of. Section 7031.5 by an applicant to, a permit subjects
tne applicant to a civil penalty of not more than live
hundred dollars ($500).
0 I. as owner of the property, or my employees
5 with wages as their sole compensation, will do the .1 work, and the structure is not intended or offered for - 'sale (Sec. 7044, Business and' professiohs Code: isa . .The Contractor's License Law dOes not apply to an Z - owner of property who bui!ds,or improves thereon 3t ..and who does such work himself or through his own
o employees, provided that such improvements are - not intended or offered for sale. It, 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 tOr the
purpose of sateji -
(0 Z ' I, as ownerot 'the property, am exclusively
- • . contracling with licensed contractors to construct - li ',
the project (Sec. 7044, Business and Protessions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves
lz thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's
. ,. License Lawl,",'uA 0 .,,D lamexemptunderSec " .61&P.C.
for this reason
.5.
0.1 hereby affirm that I have a certificate of consent ' to sell-insure. or 'a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Cod e). '
-I,. POLICY NO. ' _-_,,g,f'•__s:
'2
0 Copy is tiled with the city.,,
- 0 Certified cô'°y is hereby furnished.
':.
o v • CERTIFICATE OF EXEMPTION FROM-
-' WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is lór one hundred dollars ($100) or less)
39
-' 0 I certify that in the performance of the work for 0 which this permit is issued. I shall not employ any, •
....
person in any manner so as to become subject to the Workers' Compensation Laws 01 California.
'NOTICE TO'APPLICANT: If, alter making this Corti. licate 01 Exemption, you should become subject to
the Workers' Compensation provisions 01 the Labor, I Code, you must forthwith comply with such.
'
provisions or this permil shall be deemed revoked.
- r 0 I hereby affirm that there is a donstruclion I lending agency 10, the performance of the work for which this pilsissued (Sec 3097 Civil Code) ol
UJII " ' Lender's Name
' L Lender's Address
11SF RAIl PAINT PFN AMIY £ PRFSS NARB APPLICANT TO FILL IN IPIFflRMATIflN WITIIIN'SHAflFfl AFA ANn fla9 ADATIflJ
CARLSBAD BUILDING DEPARTMENT ' " . ' 'APPLICATION & PERMI 1200 Elm, Carlsbad, CalIfornia 92008 (714) 438-5525 I 'RESS pl~.- , ' .• - ' ' ' AV. ST. DATE OF APPLICATION ' BUSINESS LICEN
___i
RD__I UI8
VALUATION ,
___
. PERMIT NUMBER
WNER'S NAME :L.' - , ' '
' OWNER'S PHONE PRIME CONTRACTOR' v- ' ' CONTRACTORS PHONE ft V ZONE'
I j1p
OWNER'S MAt ING ADDRESS ,- - CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # ' ' BLDG USE CODE
#Z? c7 OZ. CO14V1 MP
LOT BLOCK,, - SUBDIVISION ' ASSESSOR PARCEL NO. DESIGNER ' ' ' STATE LICENSE # STANDARD PLAN # r BUILDING SO, FOOTAGE
DESCRIPTION OF WORK - j ptp4ISV DESIGNER'S ADDRESS DESIGNER'S PHONE -4.
1610-7 _V _"t LEMAAef .
jr 4ç'7J 1__OFk _x
LR ELEV. NO
YO No __
STORIES
0CC GP EDU'-
CENSUS TRACT GP LAND USE" PARKING SPACE ABS UNITS - GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPA AREA CctlST I '-
- Y 0 __N _0 _vO_ND V'N vO ND Not Valid Unless Machine Certified
-
QTY. PLUMBING PERMIT ISSUE 7 _50 QTY MECHANICAL PERMIT ISSUE 3 00 — "1 SUMMARY/ACCOUNT NUMBER
'EACH FIXTURE TRAP .-.--', ,-!-1 INSTALL FURN.DUCTSUPTO.100,000BTU ,,..400 ' BUILDING PERMIT! '-01-000-4220 EACHBUILDINGSEWER - OVER 100.000 BTU SIGNPERMIT __01_000_4221
EACH-WATER HEATER AND/ORVENT __— BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK 7'._&?5'_01_000_4806
EACH GAS SYSTEM 1TO4OUTLETS' BOILER/COMPRESSOR 3_15 HP- TOTALPLUMBING _\ _"01_000_4222 ,
EACH GAS SYSTEMS OR MORE METAL FIREPLACE ' ELECTRICAL \__01_00074223 - _00
EACHINSTAI,__ALTER_REPAIR WATER PIPE VENT FAN SINGLE DUCT " /A f. 'MECHANICAL_______"01_000_4224
, EACHVACUUMBREAKER '0 MECH EXHAUST — HOOD/DUCTS ''3_.2O MOBILEHOME t________01_000_4225_'
WATERSOFTNER ' RELOCATION OFEAFURNACE/HEATER MOBILEHOMEPARK1 INSP
EACH ROOF DRAIN(INSIDE) ___,
_.
''-_- -'_5 ''"'
.-:_'' ''-., SOLAR -('I _-- _01-000'4226 ,
- ' - •-. •'••, ' ', ' - TOTAL MECHANICAL ' STRONG MOTION \. 65-640-0519
_PLUMBING 0 _OO nTOTAL FIRE SPRINKLERS ___01_000_4227
PUBLICFACILITIESFEE ____25_000_4933 QTY ELECTRICAL PERMIT ISSUE 2 00 OTY SOLAR ISSUE BRIDGE FEE
NEW_CONSTEAAMP/SWT/8KR,DO _k' , COLLECTORS — SCHOOL FEE DISTRICT
1PH -3 PH STORAGE TANKS Carlsbad ___-•__65_623_0519
EXIST BLDG EA AMP/SWT/BKR v — S WK-STORAGE Encinitas 65624-0519' —
I PH 3 PH _______
— PUMP SanD(egulto 656250519
REMODEL/ALTER "PER CIRCUIT PLAN CHECK FEE _________"(,. \ _SanMarcos _\,______Y65626_0519\
TEMP POLE _200AMPS _____-- ___________ /__•_) ___________
t,, _"'r
— OVER 200AMPS -________ — /_f_\ _,. -" ,_'' _• '0
- TEMP OCCUPANCY (30DAYS) ,'' -,'. '''.-_/_(f/./ _ '- '• __-,r- ___ .-',,', _'-'
I_cl'-1_0
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE / 17
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Everyoermltissuedby the Building Official under the provisions o(thls * AN OSHA pfl IS REQUIRED FOR EXCAVATIONS OVER Cod h 11 exPure
suc
Jjtlmttation an
s
d become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON,INCLUDING THE . -50" DEEP AND DEMOLITION OR CONSTRUCTION OF h. ' I not mmenced within 180 days from date of such DECLARATIONS,ARE TRU,E AND CORRECT'AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS per mA, &IXthe d authorized by such S :usnded r . STRUCTURES OVER 3 STORIES IN HEIGHT - ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- aban(bon t anS tAre or thd.Jork is commenced for a period of 180 days. ' STRUCTION, WHETHER SPECIFIED HEREIN-OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 'PIC 'S SL'I'AT " ,jj 0 -APPROVED BY. ' DATE .1/RE1-7, OWNER CONTRACTOR KEEP HARMLESS THE CITY OF CARLSBAD,AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ff/ - EXPENSES WHICH MAY IN.,ANY WAY ACCRUE AGAINST SAIDiCITY IN CONSEQUENCE OF THE /// ' -, -
' "Ej PHONE 0 - ' ' ' GRAN•riNG,,OFTkbSPERMIT. ' - v / '
c 4-il " ,qp- P.b8 • ' -
'S
51
C) a) 0, U) C
'a)
. - - - I - - , * •- 4 . - - S.
S
0 ?
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES . -
REQ. IF INSPECTOR'S DATINSPECTION, —E . . CHECKED APPROVAL
SOILS COMPLIANCE -S-e, ,' f, c—e / c.4 Yo 7 ç Lo PRIOFi
FOUNDATION INSP (A j c'_e.c- - -e / STRUCTURAL CONCRETE /, _t_
oc OVER 2000 PSI
PRESTRESSED '
CONCRETE . .
POST TENSIONED .
CONCRETE . _. .
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY\
PILES/CAISSONS
INSPECTION TYPE 1 DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
--PLUMBING I
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND S
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING I
G. F. I. - SMOKE DETECTOR I
MECHANICAL
DUCT .& PLEM., REF. PIPING
-5-,.
55
15f ( r -'- ' S — - - •Tz--:;
(-5-S - - -
HEAT -AIRCOND.-SOLARSYSTEMS. '
VENTILATINGSYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPT; ('
ITEMS ABOVE HA VE1 BEEN APPRO VED.
JOBSITEFINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL C ONDITIONS —
CERTOFOCCUPANCYISSUED
IIF RAI I PflhIdT PFId ANIY £ PRFqq I1ARfl APPI I(ANT TA II I IIJ IPJA9iI1ATIAIJ WITWlIJ'I1Aflfl AA APJfl fltf I ADATIIIlIC
fl I hereby affirm that I am ilcens d under -.
provialona'of Chapter 9 (commencing with
Section, 7000) of Division '3 of the Business
and Professions Code, and my license is in
£ I • full force and effect.
lic. No.,'., Class - —
0'' .
hereby affirm thai I am exempt iroanthe:Cbn-
tractors License Law for the ioitowing'reason(Sec, .1
70315 Business and Professions Code:-Any city or -1county which requires a permit to Construct
alter, improve, demoiish, or repair any structure,
prior to its issuance also requires the applicant bc such permit to tile a signed statement that he is
licensed pursuant to the provisions of the Con. :
tractors License Law (Chapter 9 commencing with,
Section 7000 01 Division 3 01 the Business and Pro-
tensions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of
- Section 7031.5 by an applicant for a permit subjects
use applicant to a civil penalty 01 not more than live
19 4hundred dollars ($500).
- I, as owner of the property., m or my eployees
5 with wages as their sole compensation, will -do the
a. ;woilr, and the structure is not intended or altered for
- 'sate (Sec. 7044, Business-and' ProtessiOhs Code:
a. w The Contractors License Law does not apply loan
- Z owner 01 property who builds or improves thereon
and who does Such work himself or through his own
j. employees, provided that such improvements are
not intendeJ or offered for sate. It, however, the
building or improvement is sold within one year of
completion, the owner-builder will have the burden i of proving that he did not build or improve for the
purpose 01 sale).-
" • C as 'owner, ,ot the prorty, am exclusively 1 Z ' contracting with licensed contractors to construct' 2 "- " the project (Sec. 7044.- Business and Protessioris
- ' Code: The Contractor's License Law does not apply ,to .an owner 01 property. who builds,or'improves
. thereon, and who.contracts for each projects with a - -i ,. ,, r-contractor(s) license pursuant to the Contractor's
uJ
I License Law). .- .•- -'
x Diame'mpt under Sec. - - B P.C.
br this reason '
S -
0 I hereby at) irn that I have a certificate 01 consent
to sell-insure, or, a! certificate at Workers' Compensation Insurance, or a certified copy thereof
(Sec. 3800. Labor Code). •
,.
J
..• -.. -, 1' R ? POLICY NO.
'•
nf
-
, '- COMPANY,
- ,FA 0 Copy is tiled with the City. •',
'.D Certified copy is hereby, burnished, -.
0 ' • CERTIFICATE OF EXEMPTION FROM ' 't WORKERS' COMPENSATION INSURANCE'
- . '(This section need not be completed it the permit
-
is for one hundred dollars ($100) or less)Lu - "0 l'certify that in the performance 01 the work for
, 0 . which this permit is issued. I shall not employ any
, person in any manner so as to become subject to .1 the Workers' Compensation Laws 01 California.-',
NOTICE TO APPLICANT: It, alter making this Certi -
• . f
ica!e 01 Exemption, you, should become subjecl to - he Workers' Compensation provisions of the Labor I Code, you must 'forthwith,. Comply with such;
provisions or this permit shalt be deemed revoked.
-
n..'r t a. . . '.
- r - hereby, affirm that there is a construction
uJ I • lending agency to, the pertormance 01 the work for
which this permit is issued (SeC. 3097, Civil Code). I,
- Lender's Name'4
'I
L Lender's Address
CARLSBAD, BUILDING DEPARTMENT
' ". APPLICATION & PERMIT..i206Elnn, Carls~bad, California 92008 (714) 438-5525 +
JOB ADDRESS , . ,• •'. AV. ST. DATE OF APPLICATION BUSINESS LICENSE # RD 4 5z I Z4 \t
VALUATIO . PERMIT NUMBER
ZONE, ' • WNERS NAME . '- ' OWNER'S PHONE PRIME CONTRACTOR - '4 LCPNTRACTORS PHONE a '
Tk LL4
OWNER'S MAILING'ADDRESS CONTRACTOR'S ADDRESS (/ LICENSE NO. PLAN I.D. BLDG USE CODE'
02 --to?, Comm Is4f1 -
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. a DESIGNER ' • STATE LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE'
a . . .- -,
' . ' DESCRIPTION OF WORK .- ' • .
DESIGNERS ADDRESS -. . DESIGNERS PHONE , . —tAi1' 'B J
f 0"7 'L /vJ
F/P F LR ELEV. NO
STORIES 0CC GP EDU
4. 4'T * OFPC a YO NO
FIRE SPR CENSUS.TRACT GP LAND USE PARKING SPACE RES UNITS 'GRADING PERMIT ISSUED .' REDEVELOPMENT - - TYPE 0CC LOAD AREA CONShT
v 0 N 0 YO NO Vp' v 0 ND Not Valid Unless Machine Certified
-
QTY PLUMBING PERMIT ISSUE.aT? MECHANICAL PERMIT ISSUE 3 00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP e5' - /,_,, INSTALL FURN DUCTS UP TO 100 000 BTU 4 BUILDING PERMIT 01-000-4220 / C)
EACH BUILDING SEWER , OVER 100,000 BTU q - OVER SIGN PERMIT 01 000 4221 -
' EACH WATER HEATER AND/OR VENT — BOILER/COMPRESSOR UP TO 3 HP I . PLAN CHECK (05' 01 -000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP - - TOTAL PLUMBING 01-0004222
EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE l ' ELECTRICAL - `01-000-4223 op
EACH INSTAL.,ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT . MECHANICAL -, 01-000-4224 70 • 0 P
EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS ' - MOBILEHOME - - 01-006-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
.1 EACH ROOF DRAIN (INSIDE) - SOLAR 01-000-4226 -
'TOTAL MECHANICAL .,t- ,
- ,,,
'i', '- .
a g
STRONG MOTION ,.. ,, 65-640-0519 -,
TOTAL PLUMBINGu, " 1 • FIRE SPRINKLERS 01-000-4227
QTY ELECTRICAL PERMIT ISSUE 2 00 QTY SOLAR ISSUE PUBLIC FACILITIES FEE 250004933
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR Z70 A COLLECTORS " . — SCHOOL FEE DISTRICT
'r, 1 PH , 3 PH STORAGE TANKS 'Carlsbad 'N. 65-,623-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE -. Encinitas - 656240519 - -
— 1 PH 3 PH * '" - PUMP "4 San Dlegulto 656250519
- REMODEL/ALTER PER CIRCUIT PLAN CHECK FEEe San Marcos 656260519
— TEMP '-'4 ', -'
'. • ..''''". ' '. , , - .::- , - - - - - OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) , a.( '-' -'-' V.
TOTAL ELECTRICAL — TOTAL SOLAR L TOTAL FEES PAYABLE
Expiration. Every permit issued by the Building Official under the provisions 0(this I HAVE CAREFU LLY EXAM I N ED TH E COM PLETE D "A PPLICATIO N AN D PERM IT"'AND DO H EREBY AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER; llrnitatlon and become null and void. If the budding or work
OECLARATIONS,ARE TRUE AND CORRECT AND 'FURTHER 'CERTIFY AND AGREE IF A PERMIT IS - ifthe STRUCTURES OVER 3 STORIES IN HEIGHT
CERTIFY UNDER PENALTY OF PERJURY THAT ALL -INFORMATION HEREON INCLUDING THE. .5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized b It it is not the date of such com ed menced 180 days by such pe
hin permit, or blno or rmit is suspended or -- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING-CON- ailaas oned tiany-ti alier the ,brk is commenced for a period of 180 days.
STRUCTION, WHETHER SPECIFIED- HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY,AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AItPAN// SIG?U2 */ . OWNER 0 CONTRACTOR I' DATE
EXPENSES WHICH MAY IN ANY WAY ACCRE AGAINST SAID CITY IN CON SEOUENCE OFTHE
GRANTING OF THIS PERMIT J/'- 4jvjjjf BY PHONE 0 ffiliALUaLA 30
INSPECTION TYPE DATE INSPECTOR
BUILDING I I I
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITEOR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND,-,,
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING 4 I
G. F. I. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -_ AIR COND. -_SOLAR_SYSTEMS,. *
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL APPROP-RI4TEk
ITEMS ABOVE HAVE BEEN APPROVED.
JOBSITEFINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIALCONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'SNOTES _-
INSPECTIOJ, REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
-
-
CONCRETE
PRESTRESSED
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY\ 4 _4
PILES/CAISSONS t
• --.-- _________
* _•,_4 •
7 ::1•-;T'7 - • • _______ ________________________________________________________
* •
- >
•'
-•'•• ••
__
_______ ___
'-: :t
.1
0 1 hereby affirm that lam licensed under
o' provisions of Chapter'9,(commencing'with
Section 7000) of Division '3 of the Business IU and..Professions Code, and my license is in
full force and effect.. IC
01 z lic. No. ___________ Class '--'
'tO . .. -
I hereby affirm that I am 'exempt from the. Con-
o. tractors License Law for the following'reason.(Sec.
. , 70315 Business and Professions Code: Any city or
County which requires a peffniti to construct alter, improve, demolish. or. repair any structure, I 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 Con-
tractor's License Law (Chapter 9 commencing with -
Section 700001 Division 3 of the Business and Pro- 'I
' fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of ,. Section 7031.5 by an applicant for a permit subjects me applicant to a Civil penalty of not more than live
* hundred dollars •
) 0 I, the or my employees as owner of proerty, 5 with wages as their sole compensation, will do the
m -• work, and the structure is not intended or offered for sate (Sec. 7044, Business.and- Professiobs Code:
iii The Contractor's License Lae does not apply to an
Z owner of property who builds or improves thereon
- and who does such work himself or through his own
0 employees, provided that Such improvements are
• not intended or offered for sale. If, however, the building or improvement is sold within one year of , I
- completion, the owner-builder will have the burden of proving that he did not build or improve for the , purpose of sale).
ç. Q 'I, as oiér of the property, am exclusively I
. ' contracting with licensed contractors to construct
- '
-'-'
(Sec. 704.4, Business and Professions
met ' Code: The Contractor's License Law does not apply
-- 'to an owner of property who builds or improves thereon, and who contracts for each projects with a
-J contractor(s) license pursuant to the Contractor's I 0 - License Law).
, ,' ./
-. . -.. 0 lam esempl under-Sec. - , B. & P.C.'I'
.forthiSreason'
;-.••
-,.......: :r( 0 I hereby affirm that I have a cerlifi e of consent to self4i,nsure_ or a certificate of Workers'
• Compensation Insurance, or a certified copy thereof
, (Sec. 3800. Labor Code).
z POLICY NO.
o ' 'COMPANY- .
Ch
0 Copy is filed with the city..
4". Z
-
'
0 Certified copy is hereby furnished. - -
. CERTIFICATE OF EXEMPTION FROM
01 • .
. ,. WORKERS' COMPENSATION INSURANCE (this section need not be completed it the permit
- -" is or one hundred dollars ($100) or less)
, CC v.0 I certify that in the performance 01 the work for
- ' 0 ' which this permit is issued, I shall not employ any
I' person in any manner so as to become subject to. the Workers', Compensation Laws of California.
'NOTICE TO APPLICANT: If, after making this Cerli-
'. of Exemption, you should become Subject toj' :he the Workers' Compensation provisions 01 the Labor
Code., you mast forthwith comply with such pronisions or this permit shall be deemed revoked.
-• I 0 I hereby affirm that 'there is a construction lending agency for the performance of the work for uJ which this permit is issued (Sec.' 3097, Civil Code):
-. I _-iI Lender's Name • , •
' '.'.v' L Lender's , Address -
11SF RAI I PflINT PFN ANIY & PFS I1ARfl APPLICANT TO FILL IN INFORMATION WITHIN'SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT '
'APPLICATION , -', & PERMIT-4
'
. • - 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS . - ' , AV, ST. DATE OF APPLICATION BUSINESS LICENSE #' VALUATION - , - PERMIT NUMBER RD44
JLJ 1 7 A ri Oz 61f. NAME , . . , • •' OWNER'S PHONE PRIME CONTRACTOR - CON.TRACTORS PHONE II ZONE
.
VNER'S
'
t,i 1r Pv 'Li cJ3c Ca5 181-033
OWNER'S MAILI C ADDRESS '- - = 0 II . CONTRACTOR'S DORESS " ENSE NO. ,
Zl~c52 ZTJI`
PLAN I.D. # • BLDG USE CODE
tOj f•S_rAP_';'~LliJOZZ S -Io. -jCo4. uiiP1 LOT BLOCK J SUBDIVISION ASSESSOR PARCEL NO. ' DESIGNER ' 'T ATE LICENSE # ' ' STANDARD PLAN # ] BUILDING SO, FOOTAGE
DESCRIPTION OF
WORK,_rJlrtiJl.. A DESIGNER'S ADDRESS DESIGNER'S PHONE
F/P F LA ELEV. NO
STORIES 0CC OP - EDU
+ 461 .* (1 YO NO
. •
. . -
CENSUS TRACT SPACE 'RES UNITS -. 'GRADING PERMIT ISSUED REDEVELOPMENT ' ' TYPE 0CC LOAD FIRE SPR - .
GP LAND USErPARV
.I
NG
AREA -
tO ND ' - Y0` NO ' V - '. yD tD , - Not Valid UnletsMachine certified
QTY PLUMBING PERMIT ISSUE QTY MECHANICAL,. PERMIT ISSUE 3 00 SUMMARY/ACCOUNTNUMBER
EACH FIXTURE TRAP ,'-'
" ..
INSTALL'FURN. DUCTS UP TO 100,000 BTU - -
- 4' - ' BUILDING PERMIT. - 01-000-4220
EACH BUILDING SEWER v - .-,' ''71 .-' • OVER 100 000 BTU SIGN PERMIT " 01-000-4221
- EACH WATER HEATER AND/OR VENT - , , . .- - BOILER/COMPRESSOR UP TO 3 HP ' ' 'PLAN CHECK
r5 &501-000-4806 '
,EACH GAS SYSTEM I TO 4 OUTLETS - - .' -. . .•' BOILER/COMPRESSOR 3-15 HP.- . ,'
-, '-.
, • 'TOTAL PLUMBING ' ., • 01-000'4222' '. J
EACH GAS SYSTEMS OR MORE ! ' . -- .). METAL FIREPLACE .. ..-.' - -• •. , , . ELECTRICAL . -r - -, ..01'000'4223
- EACH INSTAL,. ALTER, REPAIR WATER PIPE ' . - - VENT FAN SINGLE DUCT MECHANICAL - ., ' 01-000-4224 ' ' 101100
EACH VACUUM BREAKER' ," "c • •-,,•
'
, MECH EXHAUST --HOOD/DUCTS , - -
3
- t MOBILEHOME , 01-000-4225'
WATER SOFTNER"C' nv " ,; ,, , ,., ' ' RELOCATION OF EA FURNACE/HEATER '' . , '. MOBILEHOME PARK INSP
'EACH ROOF DRAIN (INSIDE) - ' : -
- ••' •
.- . . ., • -- .
'
•. - - ' - SOLAR ,. • .'. - - 01000-4226
' - . .,, ' • - ,• '''''/"TDTAL MECHANICAL' - - . ' ' - . STRONG MOTION " 65-640-0519'
-- -- '• . , - • -. _t
-
-
-• - TOTAL PLUMBING 1h - - , 'VI- ' 'FIRE SPRINKLRS E 01-000-4227 - .-.''
QTY. ELECTRICAL PERMIT - ISSUE , --.2. 00 'QTY..
-' . '" - -
. ,, • SOLAR - ISSUE
' --.
'
PUBLIC FACILITIES FEE - 25-000-4933 -" ' -
BRIDGE FEE
, , -
' NEW CONST EA AMP/SWT/BKR COLLECTORS i -* - SCHOOL FEE DISTRICT
1 PH '" , ' 3 PH ' • - - -' STORAGE TANKS - - , . - , --
. - .' ' - Carlsbad - . - - 65-623-0519
EXIST BLDG EA AMP/SWT/BKR IOK STORAGE' '. -' . .. • - ' ' - ' Encinitas ' 65•6240519
I PH , - - - 3 PH PUMP ' - - ' - - .' - San Dleguito - 65-625'0519 -
REMODEL/ALTER PER CIRCUIT . . . . PLAN CHECK FEE - - ' ,,.- . - - . - -, ' ,San Marcos . - .65'626'0519
-
TEMPPOLE200AMPS.
T OVER200AMPS ' ' - - ,. . , .•1' '- ' '-'y' . . - , '- 'C - - ', - '_' •!— ,• . -
TEMP OCCUPANCY (30 DAYS) I _____U_" =,
/,.M.%__• , __________- ___*
F ._,-" .-'' .'. ''. _'__''''¼ F'•'• '.'-. ......'• C
TOTAL ELECTRICAL ____
V -
TOTAL SOLAR - \ TOTALEES__PAYABLE _1g8,17
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBuilding Official under the provisions o(this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code If building or work J ' CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE -' arys
1the 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OFau 6 is n menced within 180 d the date of such IT IS per, or I the IIina or
it DECLARATIONS,ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERM rom
o ajthorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT "1 ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abnon_S_ any ml.
zed such
Inslierth_w_rkis
commenced for a period of 180days. STRIJCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND PI1cCA_T'_SIGIJ.4LISRE* ________0 __________ris4APPROVED BY' a I - ' DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 11 7 - '1 OWNER CONTRACTOR J II L. EXPENSES WHICH MAYAN ANY WAY ACIRUE AGAINST SAID CITY IN CONSEQUENCE OF THE j/ If ' V P' E 0 A i - ' ' , GRANTING OF THIS PERMIT. _____..,
a___
- - _._.-s.._ •--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
IF INSPECTOR's DATE
'-
- INSPECTORSNOTES
REQ. INSPECTI®N 'CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
-
FOUNDATION INSP
TPUCTURALCONCHhIE -
OVER 2000 PSI
PRESTRESSED • -___________
CONCRETE
POST TENSIONED
CONCRETE '
•_'
FIELDELDING'
HIGH STRENGTH.
BOLTS
SPECIAL MASONI(-, -' '' ' •
PILES!CAISSONS
INSPF(TI(N TYPF I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
--
SEWERANDBL/CO
PLUMBINGUNDERGROUND
PLUMBING TOP OUT
TUBANDSHOWERPAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND'
ROUGH ELECTRIC
ELECTRICSERVICE
BONDING A
G.F.I.- SMOKE DETECTOR'
MECHANICAL I
DUCT&PLEM.,REF.PIPING - _______
HEAT - AIRCOND. - SOLARSYSTEMS
VENTILATINGSYSTEMS
r
CALL FOR FINAL INSPECTION WHEN ALL APPROP/YA
ITEMS ABOVE HAVE BEEN APPROVED
JOBSITEFINAL t
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIALCONDITIONS
CERTOF OCCUPANCY ISSUED*
/ ' "•.
'' ' '
-'• Citypf Carlsbad 'P ..MlSCELLANEOUS -
1200 ELM, CARLSBAD, CA-92008 • TEL. (714) 438-5525 RECEIPT ,.q
AddressZlbl ZI?t LA L4 i MISCELLANEOUS FEE RECI'1
Owne
82
PLAN CHECKEE o1-o6do6' 7(,, i!
. 4_10' VALUATION _14
E DEMOLITION?"
I /
HOUSE MOVING
- Lit Mailing . Address __.. __
.
City i- P Tel
Contract El oL • ,,- - • ---
liii PARKS AND RECREATION
-
FEE
.
__ Address- . -, .. .- -
E*Jto-SLt. _.- •
PUBLIC FACILITIES FEE_______________________ Cit
Zip Tel
Li SCHOOL FEE - DISTRICT _______________ State L' s.ciassit.2Qq 7
_zi3S81-0333
City
Li Carlsbad
fl CO'MPLETE FOR PLAN CHECK ONLY Encinitas
- LEGAL DESCRIPTION_ Li San Diego_.
LI San Marcos___________________
_• __-.',..-i -*i-i ASSESSORS PARCEL NO: . . . N. jt El
DESCRIPTION OF WORK4E VA
Li____________________
El
Lr 24 A 7-z /1 1!)
14 v
- PLAN 10N6' /6 2- Cl I—L
-
DESIGNER ADDRESS ...--
:..
, ':-ç-.; ,,--: . .
t_________•.
.--__.'.;'; El PHONE
-:- • 17 .TOTAL FE
________
ARNING PLAN CHECK FEES WHERE NO ACTION IS TAKEN BY THE APPLICANT IN180 DAYS AND NO BUILDING PERMITIS ISSUED, FEE ARE FORFEITED TO THE CITY
CONTACT_PERSON _________-
-
(__77yl_9J
COMMENTS:-
•7 ____4
:. ___-
.1
.9rJ .; --•
StgnatureofApcan _'fl/>1 __Date /
-
)- White.— Applicant, ' Yellow —'.File 'Pink — (1) Finance (2) Data Process Gold - Assessor1 q , I
- - _______•tt' -- •.,_.1., ....
- .- .---
ESGHA CORPORATION
. 9320 CHESAPEAKE DR., SUITE 122
SAN I)IE(;O, CA 92123 F (714)560-146M
"
'. 1
L/Q 9W QZJ C ir vf
a.
c. /t)O1 I1Q 7sfr'1 bg4 () 9 4"------------- -- 1a7
I xr,e, 77/1/27 ,naka7 Q7 ; p *
.
&? ~r/FT
flzeoai
o,'
1LQ Cie.
all
24
.Q2Z& ,Ø CA.J2
?d f
1L ZO 21
.1e A-t-x-op 44?~~ t-~
,i.L (Z-t--UAt . . •
- -
LI • - - - . . . . . •__4 .'.
1• -
_____________________________________________________________________________________ _•4-_ 4__•.•. 4. . -. . *
Date. Jurisdiction _
Prepared by* p Bldg. Dept
19 VALUATION AND PIN CHECK FEE
c_'• • i -
PLAN CHECK NO. 6 /C . •
BUILDING ADDRESS
I APPLICANT/CONTACT q/ PHONE NQr-:z /1 W38/
BUILDING OCCUPANCY DESIGNER
TYPE OF CONSTRUCTION CONTRACTOR PHONE____________
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
_iip S3
7 --
L33
Air Conditioning
Conrnercial.
Residential
wire_SDrinklers
Total Value /. 7O7
Building Permit Fee
Plan Check Fee
7? L Sci c372 3.7 -Z-
./,.73/o /55.3o
I
'—CARLSBAD FIRE DEPAPTMENT'
DISAPPROVED
PAGE1O '2-'' .1275 ELM AVENUE,, CARLSBAD, CA. 9200.8 -•
W4) 4 ,8-5521
3, t4J oPLAN CHECK REPORT 30 OTHER REF II
PROJECT S
: ADDRESS . . .
ARCHITECT ADDRESS ______________ PHONE 2,3 p71. 2.os
OWNER ADDRESS ______________ PHONE
OCCUPANCY _26 L ONS TOTAL SQ. FT. Z—/ CC STORIES
..D SPRINKLERED TENANT IMP. .
APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE
FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING
CORRECTIONS.
++++++++++++++++++++++++++++++++++++++++++++++--++++±
1. Provide one copy of. the floor plan(s), site plan, and sheets . . S.
Storage, dispensing or use of. any flammable or cmbustible.liquids, flathmabl.e
liquids, flammable gases and hazardou chemicals shall. comply.with uniform ..
Fire Code and _ 41a-tt 4 %z.pV ,•,4•_ :
Building(s) not approved for high piled combustible stock Storage in closely.
......
. packed. piles shall .notexceed 15 feet.in height,.12 feet-on pallets-or in racks.::
and 6 feet for tires, plastics and some flammable liquids If high stock piling
is to be done, comply with Uniform Fire Code, Article 81
Medical gas system(s) shall comply with N F P A Standard 56F
5 Fire extinguishers shall be provided based upon the following criteria
1-2A rated ABC extinguisher for each /(p sq ft or portion thereof
maximum travel distance to an extinguisher of -7( feet
other
6 Fire sprinkler system(s) per N F P A Standard shall be
provided to protect.., . . . . .
7 Dry chemical extinguishing system(s) shall be installed per N.J. P A Standard
96 to protect cooking equiprnent.and exhaust system. •. . . . . 0
.. 8. Plans of . ..: . .. . .
system(s) shall be approved by the. Fire-Department prior to installation of
system(s)
Show -'on site-plan locations of all nearby proposed or existing hydrants within
200 feet
Hydrant(s) shall be proiided and located Olt 0-1
Show location(s), on site-plan. Fire Flow: . '- gpm for . hours from
hydrants. - -. .: ............. . S ' S , - .
Access for fire apparatus is not adequate Provide
12. . -.
•, .
. shall be of hour construction
with openings protected wih hour assemblies. . .
13.'Comply with regulations on attached sheet(s)
Plan Examiner .. . S bate
Report mailed to architect Met with . - . S •.Attach to Plans
-.-. ......
k-f -
k. ..... .. ...
.
-' '- PAGE .2 OF
' PLAN CHECK REPORT
PROJECT
PLAN CHECK
14 Drapes and other decorative mat
e
r
i
a
l
s
,
s
h
a
l
l
be flame retardant. Certification...
threof shall be provided. Exits, exit lights, fire àlar.stations, hose cabinets and extinguisher locati
o
n
s
s
h
a
l
l
r
i
o
t
b
e
c
o
n
c
e
a
l
e
d
b
y
d
e
c
o
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a
t
i
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material
15 Interior finish shall conformwithlitle Cal ifornia Administrative Code' regulations
16. Fireplaces and other appliances
e
m
p
l
o
y
i
n
g
o
p
e
n
f
l
a
m
e
s
s
h
a
l
l
have metallic, guards. 17 Loose chars exceeding 299 shall be bonded together in gr
o
u
p
s
o
f
3 or more 18. . Storage.and janitor closets 'shal
l
be of.one-hour construction wi
t
h
a
l
l
o
p
e
n
i
n
g
s
'
'..'•'
'. protected with 3/4 hour self closing and latching
a
s
s
e
m
b
l
i
e
s
19 An approved fire alarm or two-wa
y
-
c
o
m
m
u
n
i
c
a
t
i
o
n
s
y
s
t
e
m
s
h
a
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b
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p
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o
v
i
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p
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r
Title 24, California Administra
t
i
v
e
C
o
d
e
.
20 An occupant capacity sign, wi
t
h
m
i
n
i
m
u
m
o
n
e
i
n
c
h
l
e
t
t
e
r
s
a
n
d
n
u
m
b
e
r
s
,
s
h
a
l
l
b
e
,
posted near main exit ( square feet per person) 21 Exit doors shall be openable fr
o
m
t
h
e
i
n
s
i
d
e
w
i
t
h
o
u
t
t
h
e
u
s
e
o
f
a
k
e
y
o
r
a
n
y
special knowledge or effort
SS 'V22. A"THI'S DOOR MUST REMAIN UNLOCKED 44 EVERTHF'P1IRL-I-G-1 -PRES€N.T" sign, with minimum one inch letters, shall
be provided adjacent to main
e
x
i
t
d
o
o
r
(
z
J
7
.
23 "EXIT" signs shall be in block letters minim=
.-6 inches high Luminance on face of sign shall be 50 lux
24 "EXIT" signs shall be electrically illuminated a
n
d
e
n
e
r
g
i
z
e
d
f
r
o
m
s
e
p
a
r
a
t
e
circuits. Show on electrical-plan(s).'
25 One of trie above circuits shal
l
b
e
p
a
r
t
o
f
t
h
e
e
m
e
r
g
e
n
c
y
l
i
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h
t
i
n
g
s
y
s
t
e
m
26 An "EXIT" sign shall be poste
d
o
v
e
r
e
x
i
t
d
o
o
r
and directional signs located
Show locations on floor plan(s) 27 Approved oanic hardware shall
b
e
p
r
o
v
i
d
e
d
o
n
e
x
i
t
d
o
o
r
s
Show on door schedule 28. Corridor . . . , shall be Of one-hour construction with'
d
o
o
r
o
p
e
n
-
:
"
:
.
'
"
'ings prcteccec ii 'n 20 minute self closing and
latching assemoltes 29 An additional exit door shall be provided in
per Uniform Building Code, Chapt
e
r
33 30
ñ7T1 &- '9)éd4 ccc, e thr - jjj 7
I
. ,