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Home My WebLink About2141 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; 87-757; Permit(D 0, a, a, r USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.., 9 (commencing with I Section 7000) of Division 3 ot the Business- and Professions Code, and my license is in full force and effect. - '' 'I hereby affirm that 1 am exempt from the Contrac- I - tor's,License Law 101 the following reason (Sec. 7031.5 Business andProtessions Code: Any City Or county whiCf', re - quires a permit to construct. alter;' improve, demolish, or I' repair. any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is trCeflsed pursuant to the provisions of the Contractors I License Law (Chapter 9 commencing with Section 7000 01 - . Division 301-1he Business and Protessions Code) or that is en- - - empt theretrom and the basis for the alleges exemption, Any •1 violation 01 Section 7031.5 by an applicant for a permit sub' . edo the applicant to a civil penattyiot not more than tine hun' - dred dollars ($500(' I. as owner 01 the property, or my employees with wages - r as their sole compensation, will do the work, and the struc- ture is not intended or ottered for sate (Sec. 7044. Business i and Professions Code: ,,_The Contractor's Ciced'se Law does - r. not apply to an owner of properly who builds or improves m thereon and who does such work himselt or through his own - ,'emptoyees: provided that such improvements are not intend- let ed or offered for sale,- 11. however, the building or improve- Z "•' ment is sold within one year 01 completion; the owner-builder I will have the burden of proving that he did not bAitS Or im' —prove (Or the purpose 01 sale). .-' -----' - - I I, as owner of the property, am exclusively contracting - with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License I - Law does not apply to 01 property who builds or im- proves thereon, and who contracts for each projects with a U) contractor(s) license pursuant to the Contractor's License I ,Law(.,.. ., I II As a homeowner tam improving my home, and the 10110w I 4 ing cc conditions exist:, r r •,,',. - 1. The work is being performed prior to salo.d I - 2. I have lived in;rny home or-, twelve 'months C) prior to cornpletioo:ot this work. let - 3. .1 - have-, not claimed this exemption - during the -' 0 last three years. - 0 I am edempt under Sec, - - B & P.C. I for this reason' ..-____ 0 thereby affirm that thave a certificate of consent to I sell-insure. era certificate 01 Workers' Compensation In. surance. or a certitieet copy thereof (Sec. 3800. Labor Code) - 'POLICY NO., - COMPANY . . '-..,,.-Copy is-tiled with the city"— -"- - - - Dertitier copy is lireby furnished' let" a 0 - " CERTIFICATE OF EAEMPTION FROM COMPENSATION INSURANCE - - 90 ' (This section neednot be completed it the permit I - " is for one hurrdred dollars ($tOO) or less) uJ 0.1 certify that in the performance 01 the work for which this permit is issued'l shall not employ any person in any 0 ' manner so 3510 become subject to the Workers' Compen. - "sariov Laws or California. I NOTlCETO.APPLtCANT It, after making this Certificate ''01 EuernpliOn. you Should become subject to the Workers - Compensation provisions of the Labor. Code, you must ,, - forthwith Comply with such provisions or this permil.shatl - be deemed revoked. ' ' -- :' ' ¼,'l"l' , - ,,-, , - . I :0 - t hereby'iftirrr that there is a construction lending l OcI "'' Agency,torlhe)idrtormahce of the work for which this per-" IM 01 mil is issued (Sec.' 3097. Civil Code) - I - I WI Lender's Name -' '' '' •' 44 L Lender's Address" CARLSBAD BUILDING DEPARTMENT APPLiÔATiON& PERMIT ' $ 2075 Las Palmas Dr,, Carlsbad, CA 92009-1915 (619) 438-1161 - •'• • - - -' JOB ADDRESS , AV.ST.RD. THOMAS BROS NO. DATE OP PPLICA BUSINESS LICEN at VALU I PERMIT NUMBER JON zdk..44 ':-ff/zc-i "o '- 142.4 - LOT BLOCK - SUBDIVISION 1, ASSESSOR PARCEL NO. ' - - CONTRACTOR CONTRACTORS PH NEC -7 --j --)- -ZONE' .fl, OWNER'S NAME OWNE A'S PHONE /4/g4I?_S I. - CONTRACTOR'S ADDRESS ,J STATE LICENSE NO, - BUILDING SO. FOOTAGE WI - j7 57 OWNERS MAILING A E(74' 24/,j - DESIGNER DESIGNER'S PHONE - 000I.-OSI25 OiOl 021tJru,t, 1G.O LA/1A~ A foR7 ICJ) IO OF WORK '' ç .A_,II! 4I. DESIGNER'S ADDRESS - r STATE LICENSE NO. ____________________________________________________ - F/P FLRELEV. - NO OCCGP EDU - - . , STORIES - - - -. - - - YOND FIRE SPA - ' - - "CENSUS TRACT'' PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD -AREA -'' - '' CONST N 0 Y O NO YO NO Not Valid Unless Machine Certified - QTY. PLUMBING PERMIT ISSUE QTY - MECHANICAL PERMIT ISSUE /3' SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP - . - - . INSTALL FURN. DUCTS UP TO 100,000 BTU • BUILDING PERMIT 001-810-00-00-8220 - EACH BUILDING SEWER - . - " - OVER'IOO,OOO BTU • ' - - £, ' - 'SIGN PERMIT -- 001-810-00-00-8221" -. EACH WATER HEATER AND/OR VENT . - BOILER/COMPRESSOR UP TO 3 HP - -' - PLAN CHECK 001-810-00-00-8891 EACHGAS SYSTEM I 104 OUTLETS ' - BOILER/COMPRESSOR 3.15 HP , TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM'S OR MORE;- - . - -1601 - - - METAL-FIREPLACE - . - - - ELECTRICAL-'-- - - 001-810-00-00-8223 -- - EACH INSTAL,, ALTER, REPAIR WATER PIPE' . - VENT FAN SINGLE DUCT - - MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER - , - , MECH EXHAUST HOOD/DUCTS - ' - MOBILEHOME 001-810-00-00-8225 - WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER - - - -- - - '- -SOLAR -- - ' - - 001-810-00-00-8226 -- - - EACH ROOF DRAIN ONSIDE) : - - - DRYER VENT - - STRONG MOTION - 880-519-92-33 - - TOTAL MECHANICAL . I' FIRE SPRINKLERS 001-8110-00-00--82V - TOtAl. PLUMBING -----I PUBLIC FACILITIES FEE - 320-810-00-00-8740 BRIDGE FEE 360-810-00-00-8740 - - PARK-IN-LIEU (A - QTY. - - ELECTRICALPERMIT - ISSUE - OTY. - MOBILE HOME.SETUP' ' - NEWCONSTEAAMP'SWI,BKR - '- - CAR PORT ' ---.-. TIE __,,_,312-810-00-00-8835 - IPH _-3PH --- - AWNING - LA COSTA .T(F -311-810-00-00-8835 EXIST. BLDG EA A'MP/SWT 'BK R - - --,- GARAGE 'r"''''-', - - -. - FMF ------' - - ' - -' IPH _3PH --,- ,- - , '' ' , LICENSE TAX 001-810-00-00-8162 - -- - - - REMODEL'ALTR PER CIRCUIT MIFF 880-519-92-57 _- - TEMPPOLE' 200:AMps -OVER-200AMPS _-•--- - -' -'-' ' - - - TEMP OCCUPANCY (3ODAY.S),,, •- '-'-'- ____. -_C_'' - : -. - .-- ' - - _ .-: - - - - - '• CREDIT DEPOSIT --- -- --- - -- --- - TOTAL ELECTRICAL - - TOTM -If 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 of IRiS * AN 051-IA PERMT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE expireCode shall such by limitation and become null and void If the building Or work authorized by of such menced within 180 days from the date 5' Ø'• DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the buiIdin Or work authorized by such p:rrnd is TO COMPLY WITH ALL CITY, COUNTY AND STATE-LAWS GOVERNING BUILDING CON-' STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: abandonedatanytimealter the work is commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN DR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND - -KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT S SIGNATURE * OWNER 0 WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 'IN CONSEQUENCE OF THE of180days CONTRACTOR 0 APPRO V - - - DATE - ( ;; ",10",,e; GRANTING OF THIS PERMIT, EXPENSES x , BY PHONE 0 J - - __ _- I TYPE . DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR E CEILING SHEATHING 0 ROOF 0 S1-EAR - FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING - - - - 0 SEWER AND BL/CO [J PL/CO UNDERGROUND 0 WASTE EJWATER TOP OUT 0 WASTE 0 VIIATER TUB AND SHOWER PAN GAS TEST O WATER HEATER D SOLAR WTER ELECTRICAL O ELECTRIC UNDERGROUND 0 UFFER - - - ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPRARY 0 BONDING 0 POOL - MECHANICAL O DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS i VENTILATING SYSTEMS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS . I INSPECTORS NOTES INSPECTION CTIO REQ. IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE - PRIOR TO FOUNDATION INSP - STRUCTURAL CONCRETE OVER 2000 PSI I PRESTRESSED CONCRETE - POST TENSIONED - - CONCRETE FIELD WELDING HIGH STRENGTH BOLTS, SPECIAL MASONRY PILES CAISSONS . H CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATEITEMS ABOVE HAVE BEEN APPROVED. - - ,- - CT(T FINAL . -I - • . . - PLUMBING. ELECTRICAL MECHANICAL GAS BUILDING- SPECIAL-CONDITIONS .- • 1 . .XI hereby.affirm,that I ant itó.ensed under fviaiona of Chapter 49'(commencing with Section ,7000) of Divisl&i 3 of the Business 4 . •. Ifland Professions Code, and my license is in L lass 0 (.3 -,- - • n I • h_ereby 'affirm that I am exempt from the Contiac " tots License Law for the following reason (Sec. '7031.5 'Business and Professions Code: Any city or county which re a. quires a permit to construct, alter, improve, demolish, or • repair any structure, prior to its issuance also requires the ap' - - " phicant for such permit to tile a signed statement that he is licensed pursuant-to-the provisions 01 the Contractors License Law (Chapter 9 commencing with Section 7000 of I C Division 301 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 tar a permit sub- [the the applicant to a civil penalty 01 not more than live boo- - . dred dollars (5500). flJan owner oJ.t property, or my employees with wages asole p nsalion, will do the work, and the struc- tend or oltered tsr sale (Sec. 7044. Business assions ode: The Contractor's License Law does 3 nty to an netof property who builds or,imp'roves tnd who oes such work himselt or through his own Cite - prnvi ed thatsuch improvements are not intend- W le d for ale. II, however, the building or improve-.Z •- set withi ono year of completion. the swner'bailder w the or en 01 prosing that he didnot build or im'0 pr the r ose el sale).- 0, owner n the property, am exclusively contracting - with licensed contractors to construct the project (Sec. 7044. Business and Protessions Cede: The Contractor's License Law does not apply lean owner 01 property who builds or im' proves thereon, and who contracts for each projects with a U) - contractor(s) license pursuant 'to the' Contractor's License Z Law). -' - 2 f • . ... - 4- ' 0 As a , g homeowner lam improving my home, a - nd the follow- ing conditions exist: - , • 1. ,,.The work is being performed prior to sale. • 2. I have lived in my home for twelve months ' prior Is completion 01 this work, ," Ui ., ,, 3. I have _not Claimed this exemption during the •' last three years. 0 I am exempt under Sec.-- ' , B & P.C. - - , for this reason - ..i r - ' C - -•- 1 "•- - C i;-' 't her;bY affirm that I have a c titica of consent to -: 105ure or certificate 01 Work rs' mpeeootion In- surance. or a certilied copy the, I> xc 0-0.Labor Code>- P ,_ - POLICY No.' - - - COMPANY ' ,J'• _s ( .- . - vpy is tired with the city - Z 0 -Certified copy is hnrvbyirflished - aLU -- - r4 ,. •.., -•. - - • CERTIFICATE OF EXEMPTION FROM a WORKERS COMPENSATtON INSURANCE (This section need not be completed it the permit ''is for one hundred dollars (0100) or less) uJ 0 t certify that in the performance or the werk for which ' o this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compen. sation Laws 01 California. NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become subject to the Workers', , -f- .-. Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall - he deemed revoked. ' • - - - '-- ',. _ . .• ' ' - •_1 " ;. - / $ Cl thereby affirm that in is a construction lending - agency fort ertorman of the work for which this per. - 0 , mit is issued I . 3 - Civil Co LZLJ _.::: :::r I - -•• USE BALL POINT PEN ONLY & PRESS HARD - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT — Afl 1' TIfIt I PU'1LI'CAI ' Carlsbad, California 92008-1989 (619) 438-5525, - ' C , eUSIr.4'S LICENSE 4 """ " VAL ', UATiON" JOB ADDRESS AV. ST.RO. ' NEAREST ROSS ST. Di/E OFf PPLICATtON - PERMIT NUMBE9 ic .r --. LOT BLOCK SUBDIVISION ASSESSOR PARCEL 0. , CONTRACTOR CON RACTORS PHONE -_ ZONE I ' - -. -' OWNER'S NAME , 5OWNER'S PHONE I CONTRAC OR'S A DRESS K3C si-c RIM LICENSE NO. - PLAN I.D.-A. , -.-' --" BUlL NO SO. FOOTAGE -. OWNERS MAILING ADDRESS - -- ii . - - A IcQ I DESIGNER ' DESIGNER'S PHONE g •• J -- ' ' . OESCt4IPT N OF WORK I.J543j( -.t,=.hJi.J. ciAi\r 't14(JJ* DESrONE 'S D B S - LICENSE NO. . . - '•.'''- F/P • FLR ELEV. -. ' NO' 0CC GP EDU - - STORIES - sf3 ND-i. '. ' - - - , -- FIRE SPR CENSUS TRACT OP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT. • TYPE 0CC LOAD- * . AREA - - - .tDji5T - . . ----- :'. . ' - ' • . - . - 0 0 N 0'- YO NO - , - - v 0 NO Plot Valid Unless Machine Certified - QTY.PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . ,' r INSTALL FURN. DUCTS UP TO 100,000 BTU •..' , ' -BUILDING PERMIT - - 001'810'0O'0O'8220 ' - EACH BUILDING SEWER .' . - • , ' OVER 100,000 BTU u ' , '. - SIGN PERMIT ' . 001-810-00-00-8221 .EACH WATER HEATER AND/OR VENT. ' - 0' BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK . , - 001'810-00-00'8806 -EACH GAS SYSTEM'1 TO 4 OUTLETS '• . BOILER/COMPRESSOR 3-I5 HP , TOTAL PLUMBING - . 001-810-00-00-8222 EACH GAS SYSTEMS 0 R,MOR E • . ' . METAC'FIREPLACE - ELECTRICAL . - 001-810-00-00-8223 EACH INSTAL.. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT : . - - MECHANICAL - 001-810-00-00-8224 EACH VACUUM BREAKER - . ' MECH EXHAUST - HOOD/DUCTS . ' MOBILEHOME " - 001-810-00-00-8225 - WATER SOFTNER - '. • -, : ' RELOCATION OFEA FURNACE/HEATER I ', MOBILEHOME PARK INSP - EACH ROOF DRAIN (INSIDE) • ' '- : SOLAR - 001-810-00-00-8226 - TOTAL MECHANICAL • -• = - - - . STRONG MOTION - - .880-519-92-33 - • TO I AL PLUMBING - I ' FIRE SPRINKLERS 001-810-00-00-8227 QTY SOLAR ISSUE PUBLIC FACILITIES F EE 33281000008930 OTY ELECTRICAL PERMIT ISSUE NEW CONST EA AMP/SWTIBKR - • ' '-- j - COLLECTORS - . - ' SCHOOL FEE - DISTRICT 1 PH - • - - (.6D" - r STORAGE TANKS • _ ' Carlsbad - - EXIST BLDG EA AMP/SWT/BK - . - • ROCK STORAGE • .. ' - - Encinitas - , -• _ _-. -- :! PH - - , 3 PH- • - ' PUMP ' , - - - . San Dieguilo . . • :• - REMOOEL,'ALTER "PER CIRCUIT - ' '. - , PLAN CHECK- FEE . - : . San Marcos -• . • • .' • TEMP POLE 200 AMPS- - . J. . - . .' -. • • • - * OVER 200 AMPS - - .. - 11111 - - -. - , LICENSE TAX ,,0,901-810-00-90-8162)V7 - • Ol . TEMP OCCUPANCY (30 DAYS) - ' ' - . , MFF - n(a 881- -92-57 CREDIT DEPOS - TOTAL ELECTRICAL TOTAL SOLAR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Enpirafion. Every permit issued by the Building Official under the provisions ottftrs * MIT I t PER ouIREo FOR EXCAVATNS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATtON HEREON INCLUDING THE ale 0authorized by hby Slrm 8h0m5rmit is fan5become null and void If the building or work 50" DEEP ANDpTN CONSTRUCTN OF commenced within 180 days from of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT tS permil, or it the buildirtq or work authorized by such perrnrt is :u:ner STRUCTURESER OPIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the Work IS coTrnenced for a period of 180 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AN JUDGMENTS, COSTS AND APPROVED Dltlil c' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, EXPENSES WHICH MAY IN AliY WAY ACCRUE AGAINST SAID CITY hi CONSEQUENCE • BY PHONE 0 - :, - GRANTING OF THIS PERMIT , Jw I-' TYPE I DATE INSPECTOR cBUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT - - SUB FRAME Li FLOOR LI CEILING SHEATHING 0 ROOF 0 SH;EAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL : PLUMBING 0 SEWER AND BL/CO 0 P1/CO UNDERGROUND 0 WASTE DWATER TOP OUT JWASTE D/ATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER LI SOLAR WTER ELECTRICAL LI ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC 10 0 ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 POOL MECHANICAL 0 D,UCT& PLEM., LI REF. PIPI)JG HEAT— AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTIfON WHEN ALLAPPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED- FINAL PLUMBING ______ ELECTRICAL -- MECHANICAL GAS BUILDING SPECIAL CONDITIONS. - I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE . ..- . . SOILS COMPLIANCE PRIOR TO . . FOUNDATION INSP - - OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED tsCRETB" _______ -_________ _______ ___________________________________________________________________ FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ________________ ______ V / ______ '--• . i ,.i • - -- S -.--.S .•- - ... - - -S. . -. ..;,; 1. •., ..- ..S-.- -. - - ._• . • I . - * ESGIL CORPORATION 9320 CIIESAI'EAKE DR.. SUITE 208 SAN DIE(;O. CA 92123 (6 19) 560-1468 DATE: JA3 127 []APPLICANT ' tIJURISDICTION JURISDICTION: []PLAN CHECKER []FILE COPY PLAN CHECK NO: []UPS 0 DESIGNER PROJECT ADDRESS: Zt41 PALo- R. 41or I. PROJECT NAME: The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified 5SLQvJ are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is the jurisdiction's copy for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil staff did not advise the applicant contact person that plan check has been completed. Esgil staff did advise applicant that the plan check has been completed. Person contacted.: / Date contacted: Telephone # REMARKS: ELTit..L CbTAcycT Q1t) rc SCLJ PLALS, 3'. ENCL: I Ii I - Datei27/u, Jurisdiction____________ Prepared byi o Bldg. Dept. VALUATION AND PLAN CHECK FEE o Esgil PLAN CHECK NO. _&'5 BUILDING ADDRESS 2141 P oi-itP-.. /iT.pp -R APPLICANT/CONTACT MA - PHONE NO. t,,tq 4SI 73 BUILDING OCCUPANCY - - DESIGNER PHONE (olq 41 TYPE OF CONSTRUCTION CONTRACTOR PHONE___________ BUILDING PORTION ____________________ BUILDING AREA VALUATION MULTIPLIER -V-ALUC-- I-tOL)L / c3a 54,17cI Air ConditioninE Commercial Residential Res. or Comm. -Fire Sprinklers Total Value Fee Adjusted To Reflect 0 Energy Regulations (Fee x 1.1) OFlandicapped Regulations (Fee x 1.065) Building Permit Fee $ Plan CheckCheck Fee $ $ . 4. COMMENTS: USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANI) flF(I ARATIONS C....,....'.. 2'' .hereby atfirm that I am,9tensed under It provisions of Chapter ,g, (commencing with 10— Section7000) of Division 3of the.Business and Professions Code, and my license is in - I hereby affirm that I am exempt from the Conttac- for's License Law for the following reason (Sec.' 7031.5 Business and Professions Code: Any city or county which so' - guises a permit Is construct, alter, improve, demolish, or, repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions i of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is eo', empt therelrnnn and the basisldr the alleges exemption. Any violation of Section 7031.5 by an applicant bra permit sub' ects the applicant to a'civil penalty 01 not more than hod hun' ,d dred dollars (S500).' I, as owner 01 the property, or my employees with wages as their sole compensation, will do IOu work, and the struc' ' lure is not intended or offered br 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 on through his own empluyeos provided that such improvements are not intend' - '. odor offered tot sale., lI however, the building or improve Z — mont is soldwithin one year of completion, the owner-builder 3 will have the burden 01 proving that he did not build or im prove for the purpose 01 sale). I, as owner Of the property, am exclusively contracting with licensed contractors to construct the project )Sec 7044, Bu'sioess and Professions Code: the, Contractor's License - Law does not apply to an owner of property who builds or im- proves thereon, and who contracts br each projects with a conlractor)s) license pursuant to the Contractor's License Z 'Law). - 2 (ur.r'' ..' 0 As a homeowner I am Improving my home, and the follow- It . ing conditions eaiSt:._,.,_ I . cc 1.. The work is being performed prior to sale. I have-lived -in - my home for -twelve months prior to completion 01 this work. • 7 w 3. I have not claimed this' exemption during the 0 " last three years.' lam exempt under Sec. -- . B & P.C. for this reason ' ' 2' • - feb;'aIIirm rl,Aat I hae a cerlrhcate 01 consent - : r ,sell.rnsure. or - a certificate or .Workers' Compensation Insurance, or'a cerliked copy thereof - (Sec, 3809. Labor Code). . ,a 4r • . Z . POLICYNO1 - , ,•__. 4 in i'C0py s bled with the cry UJ - 0 Cerhibred Copy Is hereby' Iu,nrshed Q. 4, 'CERTIFICATE OF EXEMPTION FROM 0 , WORKERS' COMPENSATION Ir4SURANCE,,. - . (INs section need not be completed t the perrnr ,s, for ,5,Irndre,eIdoIlars l$r09) or lessl Cc Cj: I cerirly that in.the performance of the work to, which this permit is Issued. I shall not employ any 3 person In any manner so as 10 become subject 10 the k° orlee 5' CompensatIon Laws of California, NOTICE TO APPLICANT It after making thiss Cerl - trcale or Luemprron, you should become sublecl to a -the Workers- Compensation provisions 01 the Labor -Code. yoa,masr borrhw,rh comply with: SuCh - . ' provisions or this permIt Shall be deemed revoked , . ,' 'Ju,' '"1 1 I hereb'_arkrrrr rrnavihere is •a corrslruCrlOrt it ,,,,,Iendivg agency Or the performance 01 Use worrs los. I • l is (Sec 3097. Civil Codel - Lender's Name - '2'• • - -II •,i" •.' ' L - Lenders Address * :- p . ............. -. CARLSBAD BUILDING DEPARTMENT' - -" APPLICATION &PERMIT . 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 .108 ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATIO BUSINESS LICENSE U - VALUATION 1'taMIT NUMBER 1- &SLO 84'K '•" ZONE LOT SU8DI7SO ' CONTRACTOR . --- ,•• ,- OWNER'S NAME . OWNE R'S PHONE • CONTRACTOR'S ADDRESS / ENSE NO. PLAN I .D. # BLDG USE CODE 2L • f3g a 475r6i 11 f7 . . - . ...- OWNER'S MA .. 2t'. 4L DESIGNER LICENSE m STANDARD PLAN P BUILDING SO. FOOTAGE /7(/ - ,- . •• -• ________________________________________ .' _________________ ___________________ ___________________ DESCRIPTION OF WORK • J DESIGNER'S ADDRESS , DESIGNER'S PHONE • ,. - F/P FLR ELEV. ' NO 0CC OP EDU STORIES - - 7/Is/I? - YD'ND -______ _- • - ,. 1-13 070 • CENSUS 'TRACT. OP LAND USE:, PARKING SPACE RES UNITS -' GRADING PERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD. FIRE SPA AREA ' . ' "; • CONST - -• ..--, --, '.. • - - Y 0- N 0 . . D NO ' YO NO - Not Valid Unless Machine Certified CITY. PLUMBING PERMIT - ISSUE' '75'b 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 BUILDIN'G'SEWER . , ' . , • OVER100,000 ,.--. SIGN PERMIT. ----. - 01-00-00-8221 -- -- ' -- - EACH WATER HEATER AND/OR VENT • ' - BOILER/COMPRESSOR UP T%3 HP - - PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1-104 OUTLETS BOILER/COMPRESSOR 3:15 H - T0AL PLUMBING' 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE - • - ' METAL.FIREPLACE •. __.'- ELECTRICAL ___ -01-00-00-8223 - ---------.- - - EACH INSTAL.. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUC • - MECHANICAL _'01-00-008224 - EACH VACUUM BREAKER . _• .- ___________________ MECH EXHAUST - HOOD? UCT ' _- MOBILEHOME --01-0O-OQ-8225 '.- WATERSOFTNER RELOCATION OF EA FURN CE/0EATE/i MOBILEHOMEPARKINSP EACH ROOF DRAIN (INSIDE)•' •• ' 2 ,-, SOLAR 01-00-00-8226 - ---'•'-' _"___'--'''. - - • TOTAL MECHANICAL ' ' = - - , , ' . STRONG MOTION ---'-80-92-33-0519 -TOTAL PLUMBING -'-_ •,,;;' FIRESPRINKLERS 01-00-00-8227 • - - •-- &y.ELECTRIcAL - • - •_ • PERMIT,- ISSUE - _ ,,,- - , QTY. , , SOLAR -ISSUE - PUBLICFACILITIESFEE 32-00-00-89w BRIDGE FEE NEW CONST LA AMP/SWTIBKR ' .,'- . COLLECTORS - . ..- SCHOOLFEE - DISTRICT -IPH' _'-• _-'3PH ' _--- :--'.. , STORAGE TANKS- - • - Carlsbad 80-92-21-0519 - EXIST BLDG LA AMP/SWT/BKR s"- p ROCK STORAGE - - - - - Encinitas- _____8092_22_0519,, 1PH -. ' - 3 PH '' -•' PUMP -r .' - San Dieguilo -80-92'23-0519 REMODEL ALTER PER CIRCUIT - PLAN CHECK FEE - SanMarcos ____8092240519 --TEMPPOLE•200'AMPS .- _____,,' 'i - .-'•- * • ' - - .' ', - OVER 200 AMPS -••a -" -.'-•-. . LICENSE TAX 0100'O0-8162 •' ':- TEMP OCCUPANCY (30DAYS) MFF 8092570519 2' " CREDITDEPOSIT -,,• TOTAL ELECTRICAL - - - TOTAL SOLAR I TOTAL FEES PAYABLE HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration.it issued bybhe Building Official under the provisions ofbhs - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HAVE UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code z rtalron mm0m ando It the burldng Or Work 50" DEEP AND DEMOlITION OR CONSTRUCTION OF ced within 180 days from the date of such DECLARATIONS ARE TAtE AND CORRECT AND I FURTHER CERTIFY AND AGREE IFA PERMIT IS rmit, r work a orized by such p:nrnie is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL,CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abando ,Ithewon_iscommencedforaperiodof 180 days. KEEP HARMLESS THE OF CARLSBAD AGAINST ALL LABIUTWS, JUDGMENTS COSTS AD APPLICSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ___o CONTRACTO APPROVED BY EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH PHO GRANTINGOF THISPERMIT, __BY , - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL I MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING El ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO 0PUCO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WTER TUB AND SHOWER PAN GAS TEST EJ WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 OFFER - ROUGH ELECTRIC 1 0 ELECTRIC SERVICE El TEMPOFAaYI. 0 BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPIN3- HEAT - AIR COND. SYSTEMS i VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVF HAVRFENAPPROVED " - - FINAL i. 4 PLUMBING ELECTRICAL MECHANICAL GAS . .\ -. • BUILDING SPECIAL CONDITIONS * _5_ • . - . \• I -' FIELD INSPECTION RECORD . REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION - REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS -SPECIAL MASONR,. PILES CAISSONS .. .- -, \. '- - •55, 555 '•5' -5' • S • . -. - -•;L--•r5--'-'-----.,..,_. S .- -..5 55"• -5' 5 - • - \' - -• S -S