HomeMy WebLinkAbout2151 LAS PALMAS DR; MULTI-PERMIT FILE; CB010208; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01/18/2001 Miscellaneous Permit Permit Nb:CBOI 0208
'Building Inspection Request Line (760) 6022725
Job Address: 2151 LAS PALMAS
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DRCBAD
Permit type: MISC Subtype: OTHER Status: ISSUED
Parcel No: 2130503200 'Lot #: 0 ' Applied: 01/18/2001
Valuation: $0.00 Entered By: MDP
Reference#: . V , Plan Approved; - 01/18/2001
V V Issued: 01/18/2001 .
V V Project Title: - US MICROTECH Inspect Area:
REMOVE NON BEARING PARTIONS @ EXISTING OFFICE - V
9274 01/18/01 0002 01 02
Applicant: V Owner: COP 60.00
HARMON CONTRACTING - LASPALMAS INDUSTRIAL PARK ASSCS LLC
P 0 7271 V 7065 'EL CAJON BLVD
RANCHO SANTA FE 92067 V
V SAN DIEGOCA 92115 V
619 759-9589
Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00
Miscelaneous Fee #1 PERMIT V V V $OO - V
Miscelaneous Fee #2
TOTAL PERMIT FEES V V V $60.00 V
V V
V
V
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V
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•V -
V V • V V V
V V
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. 'FINAL APPROVAL
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V V
Date: / Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of feed, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 332030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition, V V
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactiohs DOES NOT-APPLY to water and sewer connection' fees and capactiy
change, nor planning, zoning, grading or other similar application processing or service fOes in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
V
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JN—I6-2001 TUE 09:38 fIll CITY OF ChRLSBfID FAX NO, 760 602 8558 P. 02
FOR OFFICE USE ONLY -
PERMIT APPLICATION PLAN CHECK NO.__________
CITY OF CARLBAD BUILDING DEPARTMENT EST. VAL.
Plan CL Deposit 1635 Faraday Ave.. Carlsbad, CA 92008 . . Validated By --
Date_______________________________
1. .........
7/) L,s P,/m,q /)A. 05 Dec..'b...
Address linclude 6ldg!Soita of . Business Name let this address)
1,45 PpI,n,c c'sPk,7 Cb4's.L5 ter2 *ACVV 7/ "Li /
Lngoi Description 1.01 No. Subthv.oioA PlaMelNum5s, UnIt No. P0,000 NO. Total I of writs /
Assessart P0,501 a Enisting IOe Proposed Use *
Description of Work SO. FT. tot Stone1 S of Bedroonvu S of Bathroolfis
4.. COJ PERsoNl V ............
V
Name Addlect City StOtOIZIP Telephone I Fool
7 :4àrtLt riai: rraAgont4ot Owhac .f . .'. .
Name . Address - . city . State!Zlp Telephone
VY7) 4 PROPERTY OWNER -. P,li-,:/ .5g -'h7 •
VV iV?)
Name Addle Cup StaitarZip TelephOne I
ft " $ CONTAACTOR COPANYiitAME'. _ V VV ,. V.
lEst. 7031.6 Busiilef* *04 plOfasalana Cod.: Any City or County which 100111,03 0 pwmit to construct, alter. Improve, demolish or repair any structuro. prior to its
issuance, also requires the applicant for Sv*0 permit to file a signed statement Viol he Is licensed Pursuant to the Provisions of the Contrattor'a UCOISSO 1.5w
(Chapter 9, commending with Section 7000 of Division 3 of the Runinese end Prof.aoioe$ Codal or that he in exempt theroftorst, erlil the basis it, the illogOd
10110mpti00. Any vglatiot,of Seçron 7031.5 by any sarliceni for a permit seblacts tIle epplicon1 toe igvil panollx of riot no than five hjErdl.d do1SVlJS00ll.
i -.i ,ei',ii- ck(14 -' /
C'?- 9?_/21
?rn 2?"si(
State UtonseP License Class city Business License
Designer Name Address City Slate!Vp Telepheno .
State License C
8. WORKERS COMPENSATiON V. V.,V.,V. ' .' -.
Wsrkb,e' Compensation Decteretien: I hereby elf lrre under penalty of perpuy one of the following declarations:
I have and will maintain a certificate of consent to aalf.inoure (br workers' ccmpdnaatlon 05 provided by Section 3700 of 1110 (.5001 C.otfo. to, the performance
otpte work for which this permit is Issued. V
I hkno and *111 frteletoirt workers' cempensetion, is reWired by Section 3700 of the Lobe, Code, for the performance Of lIt, wore far which this permit ii
ions 4. My worker's II ri Insurance carrier, and policy nwttber ira;
utsorence Company l°C,V1 e1 le - PothvN4667'20d Eapiration0ate2( 'O
(THIS SECTION NEED NOT BE COMPLETED IF *IA PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit it issued. I aloull net employ, one parson in arty manner so as
to became subject loose Workers' Conrparllstion Laws of California.
WARNING: haila,* to eeoone meeker.' eceepaoaatiep cavaireffix Is ladomftd. was .511 au*ct an .mpiayer to criminal peeteitlea and doll f100* up 00005 bandied
tltattiand dollars (a 100,0001, in eddoiw, to the cost of compensatIon. demeges as provided for In Section 3705 of the Labor cod.. (etonoat and ettamay'. fm
SIGNATURE . DATE
7 "•- ,.,T a VV.
- - V. -
I fleloov of rem that I em exempt from the Contractor's Linens. Law for the following reason:
I. as owner, of the property or my employees with wages as their sale comperisution, win do the work and the structure is not attended or off sled for Oslo
Soc. 7044, Business and Prof essioeo Code: The Contrectos's License Law dose not apply to an owner of property who builds or improvaa tlrersen, and who does
ouch were himself or through his own employees, provided that Ouch Improvements are not intended or offered for sole. If, however. the building or Improvement is
sold wititinene yaf of completion, the owner-bald., will have the burden at Proving that ha did not build or Impress for the purpose of tale).
O I. as owns, of the property, set exclusively contracting with titaneed contractors; to construed the proissi (Sac. 7044, Business and Professions Code: The
Cantraores'e License Law does not apply to an owner of property who builds or crnproeoa thereon, and contracts far mmh projects with otettrectttll) litenlsd
pursuant to the Cornroctnr'o Licarrae Law). -
E3 I em exempt under Section ___________ Business and ProfessIOns Code for this lessen:
I. I por50000y plan to provide the nro$or labor and materials for construction of the proposed property Improvement. 0 v'ss ONO
I leave I have not) signed on application for e building permit for the proposed work,
I hove contracted with the following person IfirmI to orpeldO tee Proposed conotiuction lInKeds, name I, sOprano, p0100, number I conit.ctere Iiowse numbarl:
I plan to provide portions of the wwk, but I have hired the following person to coordinate, ilupdryrsb and orovtde thO SOlos wOIlI (intludb name I oddlesa I phone
number! contractors license nutebarl:
I wit provide some of the work, but I 11050 contracted thlrodi tile following patient to erevlde the welt Indicated lieclude name! address 1911000 number I typo
of warbl:
PROPERTY OWNER SIGNATURE . DATE
COMPf.ETEThIS SECTIOMFOirNONIR DCiYTS5Lr9UIS0I$0p5RMjT*WfLy
Is the applicant or future building occupant required to submit & business plan, acutely hazardous materials registration form or risk management and prevention
progrem under Sections 25505, 26533 w25534 of the Prouley-Tennar Narerdoisa Subatanca Account Act? 0 YES .0 NO
lath. applicant or future building occupant roquirod to obtain a permit from the sIr pollution control district or air quality management district? 0 YES Q NO
Is the tscdity to be constructed within 1,000 foOt of ISe outer boundary of a school acts? Q YES 0 NO
IF ANY Of THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SEN VICES AND THE AIR POLLUTION CONTROL DISTRICT.
B CONSVRUCI1ONI.ENDING AGENCV .
I haeby affirm that there is a construction landing agency to, the performance of the work for which this permit is issued (Sm. 30971i1 Civil Code). -
LENDER'S NAME LENDER'S ADDRESS -
opf'jdcArdr CEfOliFf CATION— ,-, -, —
I certify that I hors reed the application and stole that the above information is tenant and that the iniormatior, no the p1.1w is aceccreta. I apron to comply with all
City ordfnanti AN State laws retstng to building construction. I hereby authorize representatives of the Clt* of Cvlvbed to enter upon the above mentioned property far inspection nurpooes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UASIUTIES, JUDGMENTS, COSTS ACiD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OS)-IA permit It required for excavations over S'O' deep and demolition or construction of structures over 3 storIes In rteipm.
EXPIRATION: Every Palms hSSod by me buildIng Official under the provisions of We Code Shall expire by limlllilllxl and become foill and void If the building or work authorized by Such ported is not commenced wit ISO days limp the data 01 xsoft permit at it the building or work otlrorised by such permit is suspended or abandoned
at any time Otto, t110 work is cQmrhWWj54*" . - 0usd 011 (Section 108,4.4 Uniform Building Coo.). -
APPLICANT'S SIGNATURE -_V -' DATE
OF
- . WHITE: Pile YELLOW: ApplIcant PINK; plvn*Ce
- City of Carlsbad Bldg Inspection Request DwNh
For: 02/21/2001 .
Permit# CB010208 Inspector Assignment: 0
Title: US MICROTECH
V
Description: REMOVE NON BEARING PARTIONS @ EXISTING OFFICE
V
Type: MISC Sub Type: OTHER
: Phone: 6199219362
Job Address: 2151 LAS PALMAS DR
Suite: Lot 0 . .
Location: V Inspector:
APPLICANT HARMON CONTRACTING . V
V
Owner: LASPALMAS INDUSTRIAL PARK ASSCSLLC . V
Remarks: DEMO INSPECTION V 0
V
V
Total Time: . . V 0 0 Requested By: .CARLOS V
V V • • . Entered By: CHRISTINE V V
CD Description Act Comments V
V
V 14 Frame/Steel/Bolting/Welding Z/' V. V
ig 4/0
V
V
V V 'Associated PCRs 71 V
V
Inspection History V V • V
Date Description
V
Act Insp, Comments V V
City of. Carlsbad
VO / o q 5,( :=,
PERMIT APPLICA11ON
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT 1YPE
A -,ommercial Li New Building
I
Tenant Improvement
B - 0 Industrial 0 New Building 0 enant improvement
C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
0 Mechanical 0 Pool a Spa 0 Retaining Wall 0 Solar 0 Other__________
PLAN CHECK NO.
EST. VAL 1), 060
PLAN CK DEPOSiT______
VALID. BY
10
3886 11/30/98 0001 01 02 C-PRHT 79..00
FOR OFFICE USE ONLY
flUUI Cbb ':2-i 9 I 'lA,!:;
UUiiUiii UI .UI LC Inv
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BEWW IF SUBMITtED:
02 Energy Caics .2 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ,,
ASSESSOR'S PARCEL II '-rnv- ?'2- EXISTING USE PROPOSED USE SAAE
DESCRIPTION OF WORK 'Sipi
SQ. FT. # OF STORIES
J. WNIAUI PLHJN (it cliflerent from applicant)
NAME Ku ADDRESS 170 W420L-L q-R lrii
C, STATE CA ZIP CODE 2f2DAY TELEPHONE
.
NAME ,-( ADDRESS 4lf
—
CITY STATE, ZIP CODE g7_2 DAY TELEPHONE
NAME ADDRESS 5 /4 d-/ 0 2
CITY Ji€-1,,1) STATE \ ZIP CODE DAY TELEPHONE 10o. q 3 j' 6. Wr'uHAI.ft
NAME 7 - S
ADDRESS Cfl 10 cjc2eLA- i2-e9 It it
CITY
, i'), STATE 4:5A7 ZIP CODE 12420 DAY TELEPHONE q. g459
STATE DC. # '1'—,-LICENSE CLASS - CITE BUSINESS LIC. # I LCp']'11,1 DLSKiNEK NAME ,ALg7fA -
AIJURESS C7 - ?OL....j...J (j7f 47 1 1 6
—
CITY 'SI) -------STATE4- ZIP CODE 6#2b DAY TELEPHONE --515 STATE LIC #
- Workers' Compensation Declaration: I hereby atlirm 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 theinsurer thereof filed with the Building Inspection Department (Section 3800, Lob. C).
INSURANCE COMPANY (L7uL 13.. . 7-1 POLICY NO. j..j Ufjj-XPIRATION DATE
,,I LHC VVUII', IUI WUILII UUSPC[ IIIIL IS isuu, I snaii fbi empioy any person in any so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby attirm 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: ThContractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or tj,(ough his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvem/nt is sold within one year of completion, the ow)rer-builder will have the burden of proving that he did not build or improve for the pugose of sale.). ,f
I, as owner of the property, am exclusively contractiwith licensed contractors to construct the proje9t'Sec. 7044, Business and Professions
Code: The Contractor's License Law~d p.,_f an owner of property who builds or improvesjhereon, and contracts for such projects with contractor(s) licensed pursuan ctor's License Law).
1 am exempt under Section usiness and Professions Code for this reas
(Sec. 7031.5 Business and Professions,&Ie: Any City or County which requires a pV
aignZcoa
' nstruct, alter, improve, demolish, or repair any structure, prior to its issuance, Wo requires the applicant for such permit to file tement that he is licensed pursuant to the provisions of the Contractor's Lic~e Law (Chapter 9, commencing with Section 709 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 cipenalty 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 0 N
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES 0 N
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES 0 N
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 AIR POLLUTION CONTROL DISTRICT.
9. WNSTRUCflUN LENDING AGENCY
I iiereuy dliirHI inai me7 is a conS[ructiOn ienaing agency tor the perrormance or the Work [or which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME tU / /k LENDER'S ADDRESS
IcertilythatIhave read the application and state that the above intormation 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 ThIS 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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE:
BUILDING PERMIT Permit No: CB940653
05/27/94 1.4:20 - Project No: A9400904
Page 1. of 1 ,.' Development No:
I Job Address: 2151 LAS PALMAS DR1-•' F -j 0t27/94 , , Permit Type: MISCELLANEOUS ..1 C
Parcel No 213-050-32-00 Lot# C7-PRMT 2: 00
Valuation: 0
Construction-Type: NEW -
Occupancy Group: I; Reference#: - •Status: ISSUED
Description: REMOVE8' NON DEMISE WALL Applied: 05/27/94
16' DEMISING WALL INSPECTOR'S. DISCRETION . . Apr/Issue: 05/27/94
Entered By: DC
Appl/Ownr : DESIGN WEST BUILDERS 619 6334;17.3.4
3228 PIRAGUA STREET *
CARLSBAD, CA 92009 0000 -
" *** Fees Required Fees.r Gollected & Credits
.<p_1 .•
Fees 2100
Adjustments 00 Total-....Credits 00
-'.- , Total Fees: - -J25,..00.....:" #2.' TotaiPaymen.ts:\.. .. .00 'F -
iancb .\- ,- . 25.00 .
Fee description .l-..- -f Units Fee/Unit-a Ext fee Dàt1a
,_._v.__... . --------------
Miscellaneou 1P,,% 25 00 DEMO
MISCELLANEOUS TOTAL ,
INCORPORATED
1952
i1
CLEARA
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMiT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From List 1 (see back) give code of Permit-Type:
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION
PLAN CHECK NO. 'i7
EST. VAL
PLAN CK DEPOSIT
VALID. BY
DATE
FOR OFFICE USE ONLY
AciUreSS -------,,
, -
nuuuing or aune No.
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW IF SUBMIYrED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report Dl Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
OF WORK..,
SQ. FE.
WN lAUI PERSON (ii
NAME (lastname first)
h')dLS
# OF STORIES - # OF BEDROOMS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPLICANT U CONTRACTOR U AGENT FOR CON RACIOR U OWNER U AGENT FOR OWNER
NAME (last name first) ADDRESS
STATE ZIP CODE DAY TELEPHONE
MvIE (last name ADDRESS /25 diiA1 "E"
CITY STATE /fL ZIP CODE 9 ,//)i 7 DAY TELEPHONE
I L WNTHAUtUK—.... i\ -
—NAME(last name first) / J// ,4ADDRESS ?32
CITY STATE ZIP CODE DAY TELEPHONE 33 /735/
STATE UC. # D724 LICENSE CLASS CITY BUSINESS UC. # ' 5/
STATE ZIP CODE DAY TELEPHONE STATE UC. #
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 COMPANYp,p77/)(J/,q POLICY NO. /fl7'fjC./ EXPIRATION DATE /:/-7 ?' Certificate of Exemption: 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.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors 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 [$5001).
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 AFItR JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTmcr.
WNSThUC liON LENDING AGENCY
I hereby affirm that there is a construction lending agency for the pertormance of the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPLICANt CERTIFICATION
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 10 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 (XNSJENCE OF THE GRANTING OF ThIS PERMIT.
OSHA An OSHA permit is required for excaydionspeeç 5'0" deep and deji'olition or consJruc'ion of structures over 3 stories in height.
Expiration. Every permit issued by the
building or work authorized by such p
ç—such-permit is suspended or abandon
APPLICANT'S SIGNATURE . If
)~ions of this all expire by limitation and become null and void if the
g65 days date of such permit or if the building or work authorized by
commenced fo riod of 180 days (Section 303(d) Uniform Building Code).
DATE:
6/
0
DEMOLI T1 0.
APPIkPv DRIVE
MAY 27 1994
TAD
HEAT SEALING :ffr
PT.
J
MAINTENANCE
0 QUALITY CONTROL
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0 0
HARDWARE
OVE PRODUCTION OF I
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1 I
CONFERENCE RECEPTION I
ROOM I AREA POWER
DISTRIBtJTIO
ROOM
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- -' -
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-2-20b5 Sign Permit Permit No CB052784
Building Inspection Request LRe (760) 602-2725
4' 4• 4 I- -
Job Addreès: 2151 LAS PALMAS DR CBAD St-,D
Permit Type SIGN Status ISSUED
Parcel No 2130503200 Lot # 0 Applied 07/26/2005 4
Valuation _3300.00 Construction Type NEW Entered By MDP
Reference # Plan Approved 07/26/2005
Issued 07/26/2005
Project Title LAP TOP PARTS .. * Inspect Area
ONE WALL SIGN
-.- Applicant Owner .1
JOHN MILKS ..'tASPALMASiNDUSTRlAL PARK ASSCS LLC -,
N/9
"
-
7065EL CAJON BLV
303 GREENVIEW RD 92026 - - SAN DiEGO CA 921
760 803 2047
Add Building Permit Fee ''
Plan Check $8.40'
Electrical Fee $0.00
Add'I Renewal Fee $0.00
"Other Building Fee 00
Additional FeeE
.
00
Total Fees \s21 33 Due / $21 33
JN-COR PRATE
4. : 0002 01
- •' -; - - : .. PERMIfHAS EXPIRED IN ACCORNCE WITH C.B.C. •. •CGF - 21.33.
•
.' 'P ..SECTION Il AAS - -::
_ttD(4 OIG)ATURtOkJ"
''• ?.r * F1NALAPPROVAL -q . .• •
-. Inspector: Daté:'-- • Ctearáncé: -
- NOTICE: Please lake NOTICE that approval of your project includes the "lrnpositior" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you myst
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030: Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
- changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any * •
- fees/exactions of which you have previously been given p NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired, -
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PERMIT APPLICATION
CITY Or CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By_________________________
Date
:QN \
Business Name tat thia'address) Address (include Bldg/Suite I)
'2A ( L &&s P : 4ç.
Legal Description , Lot No. Subdivision Name/Number I Unit No. Phase No. Total # of Units
Assessor's Parcel # Existing Use Proposed Use
Description of Work , SQ. FT. #of Stories # of Bedrooms # of Bathrooms
VI ciw. 2Sc .......................................... ........................
i . .L ................. .
Name . Address . City State/Zip Telephone # Fax
Ah
Name Address . . City State/Zip Telephone #
44}
•
. J.fr
Name • Address . . - City S.tat/Zip Telehone #
(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, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged
exempt n. Any violation ofsSection 7031.5 by any appjj,cant for a prmit sub' ts he applint to a civil penalty of,00t more than five hupdred dollars ($500)).
Vil.( . .. ('ti Q')m t, fl (/ \ M't— -e'4
Name Address City Staie/tip ±,Kpho
State License # __1 3983 S' License Class (L /0 Ck L t4v> City Business License O'\
Designer Name Address . City State/Zip Telephone
State License #
J t4 tLf
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
.
.
o I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company . . Policy No. . Expiration Date__________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONEHUNDRED DOLLARS ($1001 OR LESS)
OF EXEMPTION: 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.
WARNING: Failure orkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($11V.d tI n o c t of compensation, damages as provided for In Section 3706 of the Libor cod, interest and attorney's fees,
SIGNATURE . . DATE '\ Li o5"
4. igo
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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),
0 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).
0 I am exempt under Section • Business and Professions Code for this reason: •.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number):
I will provide.some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): •
PROPERTY OWNER SIGNATURE • • DATE
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
iJ. .L.F1421"RE5, _U
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30976) Civil Code).
LENDER'S NAME
LENDER'S ADDRESS________________________________________________________
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate: I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citr 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 THIS 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 gmmenced within 18d 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 work is co_ ihc r a ii d of 0 days (Section 106.4.4 Uniform Building Code). • . • •
APPLICANT'S SIGNATURE • -
• DATE • 1i_c °r -
- • fj WHITE: File • YELLOW: Applicant PINK: Finance
Cit of C arlsbad
-
May 30, j'AIIIT.
JOHN MILKS
303 GREENVIEW RD
ESCONDIDO CA 92026
Permit Number:CB052784
Issue Date: 07/26/2005
'S
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2151 LAS PALMAS DR #D
PERMIT TYPE: SIGN , PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 07/22/2006:
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for aperiod of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit.
Work. shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (attach a letter of explanation)
Renewal permit requested
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725. S
If you have any questions, please contact the Building Inspection Department at (760) 602-2700
Christine Wauschek
Office Specialist
1635 Faraday Avenue • Carlsbad, CA 920087314 • (760) 602-2700 • FAX (760) 6028560
-
Cit Of Carlsbad
Permit Number:CB052784
Issue Date: 7/26/05-
JOHN MILKS
303 GREENVIEW RD
ESCONDIDO CA 92026
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2151 LAS PALMAS DR #D
PERMIT TYPE: SIGN PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE S -
Our records indicate that your building permit will expire by limitation of time on 1/22/06
The provisions of UBC, Section 106.4:4 as amended by the Carlsbad Municipal Code state: "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 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or •
work authorized by suchpermit is stopped at any time after the work is commenced for a period of 180 days orif
the building or work. authorized by such permit exceeds three calendar years- from the issuance date of permit.
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by theBuilding Official within 180 days of the date of permit issuance. Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by, the Building
Official within each* 180 day period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtainedto do so, and the fee, therefore, shall be
one-half the amount required for 'a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons. The Building Official may extend the 'time for action by the
permittee for-a period not exceeding 180 days on written request by the permittee showing that circumstances
.beyond the control 'of the permittee have prevented action .from being taken. No permit 'shall be extended more-
than once.
Please check below indicating your intentions and return this letter to us
Project abandoned. A new permit will be obtained prior'to commencing work.
- -
, No fee extension requested for 180 days. (attach a letter of explanation)
Rendwal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
Christine Wauschek
Office Specialist
1635 Faraday Avenue.. Carlsbad, CA 92008-7314,. (760),602-2700 • FAX (760) 602-8560
— --- ._ —'
g r'iD hèieby affIr 'thIIt lIcensed under -
Ui- . .proviaióne of.ChapIèr9 (commencing, with -
I e"Ssctlon 7000) of Division 3 of the Business or If-I .nd Professions Code, and my license Is In.,..
L full force and effect.
- hereby .alli(m that I am exempt rem the Conlrac'
Or's License Law or the following reason (Sec. 7031.5
Business and Prolessions Code: Any city or county which re-
quires a, permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance also requires lie ap- -
plicant for Such permit to life a signed statement that he is.
licensed pursuant to thu provisions 01 the 'Contractor's
License Law (Chapter 9 commencing with Section 7000 ol
Division 301 the Business and Prolessions Code) or that is ex-
empt IhereIromand the basis for the alleged exemption. Any
violation 01 Section 7031.5 by an applicant for a permit Sub' -
lecls the applicant to a civil penalty 01 not more than live hun-
dred dollars ($500). -
'II, as owner of the property,, or my employees with wages
as their sole compensation, will do the work and the struc'
a - lure is 001 intended or altered for sale (Sec. 7044. Business
and Professions Code:' The Contracror's'License Law does
3 not apply to an owner 01 property' who builds Or.improves'
£ the, andwhO does.such murk himself or through his own
employees, provided that such improvements are not intend-
116161 ed or offered for sale.; It., however, the building or improve- Z men[ is sold within one year of completion, the owher'builder
will have the burden of proving that he did not build Or im -
0 prove for the purpose 01 sale). -
Il-I,' a àAner of the properly, an) exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
Business-and Professions Code: - The Contractor's License '
Law does not apply loan owner 01 properly who builds or im--
-' 'proves thereon, and who contracts for each projects with a-
1. conlraclor(s( license .pursuant 10 the Contractor's License
- Law). -, - -
Ii :Aa homeowner jam improving my home.' and the .Iollow- - .iog conditions exist: '.0-,. - -- - . - - -
I.
The work is being performed prior 10 sale.
- 2. I have lived in my, home for twelve months ' prior In completion 01 this work.
- 3. I have not claimed this exemption during the
- . - lasl three years...- • ' •
.x .a.'. - 0 tam eoempt unde'
r Sec.1 ' , B • & P.C.
for this reason
t - 47 .
. 0 Ihereby affirm roar I have acertilicate 01 consent to
sell-insure. or certificate or Workers Compensation In'
I surance, or a.'certilied copy thereol (Sec. 38 Labor Code)
POLICY
O
,NO.
o ,CM,P
•
ANY ,,• - -
0 Copy is filed vvith the '
4 •,. . ..- - 0 Certilied copy is hereby lurnistred
UJ
- -- CERTIFICATE OF EXEMPTION FROM" -. —
- - k- ORKERS' COMPENSATION INSURANCE
sn ..V IThi
W
ssectior need not be completed if the permit
CC is to, one hundred dollars 101001 or less)
.0 I cerlily that in the performance 01 the work or which -
1' this permit is issued. I shall not employ any person in any
' manner so an 10 become subject In the Workers' Cernpev.
;sation Laws of California. ,
NOTICE TO APPLICANT: it. after making this Certilicare -
for Exemption, you Should become subject In the Workers'.
Corn pbnsaliàn provisions of the Labor Code, you must
Iorlhwith comply with such provisiovs or this permit shall
be deemed revoked.__"
4rir I hereby alt irm that there is a construction lending
LAJ cc
gencyter the performance 01 Ike work br which this per.
mil is issued (See, 3097.Civil Code) i ZI tehed .Lender's. Name .-.
L Lender's Address A -
*
'US['BALLPOINTPEN'ONLY&PRESS'HARD ''i ,•x,'.-,_4 TOFILLININFORMATIONWITHINSHADED AREA ANDDECLARATIONS. ____5.• _____'APPLICANT - --
' 1, ' iCARLSBAQBU.IIDIN&DPARTMENT" -
, APPLICATION' & PERMIT 2075 Las Palmas Dr Carlsbad-C442009'1915 (619) 438-1161 - - - - - - ---' ------ --- - -
.108 ADDRESS 'I. xx, x. - - 0'r AV, ST. RD. THOMAS BROS NO. DATE OF PPLI TION BUSINESS LICENSE #
Ik N1
VALUATION ' PERMIT NUMBER
1 A-15 p4tImIq
LOT BLOCK . SUBDIVISION . ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE N ZONE ' -
45.rx,..) I'2U S G _5f . ?-O7 0 . - . ,_ ,-..'• -' - - - - -
' OWNER'S NAME / / OWNE AS PHONE
2-157 (_45 t719L'fl4S / CONTRACTOR'S ADDRESS STATE LICENSE NO. - BUILDING SO. FOOTAGE
P' ,iiqqq7
- 33 ILIL. /rz2-/ OWNER'S MAILING ADDRESS -
DESIGNER "
SCR ON OF WORK DEPT
- DESIGNER'S ADDRESS STATE LICENSE NO. . 67 1227 08/12/88 000101 025,rM PUPA -75.00
( Fip FLR ELEV. ' NO 0CC OP EDU
-t. a •7c.+ D NO.
'STORIES '- -
CENSUS TRACT - , PARKING SPACE RES UN114 -. ' GRADING PERMIT ISSUED REDEVELOPMENT ' LOAD FIRE Spa - - - '-. - - - '
-.
- -- - -'• . AREA CONST
Y N 0 nO ND ,
TYPE ...0CC
_Y0 ,N0 ._ Not Valid Unless Machine Cerr,l,ed,,
-
QTY
-
' PLUMBING PERMIT -'ISSUE. j _1 OTY..
, -
MECHANICAL PERMIT: ISSUE J3.- -
-. SUMMARY/ACCOUNT NUMBER--- '--- - •-- ,.-
,
EACHFIXTURE'TRAP _______.. , INSTALL FURN. DUCTS UPTO100.000 BTU ' BUILDING PERMIT ..,O01'810'OO-OO-8220
EACH BUILUING'SEWER' - . . . ' ' OV 0,000 BTU ' ' .- - - SIGN PERMIT 001-810-00-00-8221
EACHWATERHEATERANDiOR..VENT._e--0--'--' --"--e.-,-' ' - BOILER/COMPRESS_P ---4 ''--- PLAN CHECK '' - - 001-810-00-00-8891
EACH GAS SYSTEM I TO4 OUTLETS '' . - BOILER/CORO_.15HP _' , TOTAL PLUMBING 001'810'00'00-8222 -
EACHGASSYSTEMSORMORE - ".. MET AIR E'3E.' _. '-.-' ELECTRICAL 001-810-00-00-8223
, r EACH INSTAL.. ALTER. REPAIR WATER PIPE ._.., VE _SINGLE.OU\--.._-_- -- - . -_--MECHANICAL 1 -.-,001-810-00-00-8224 - -
- EACH VACUUM BREAKER _, _, _ -.- MECHEXHAUSTQbO'O'OU_ -' MOBILEHOME _001-810'00-00-8225
'WATER SOFTNER _'''-•' '•'.' RELOCATIONb'FEAF _, ,•'- _' SOLAR'''' _001-810-0000-8226
EACH_ROOF -ORAN(INSIDE)-.-". '•.- , DRYER VENT . ',-. STRONG MOTION _______880-519-92'33 / __-
-- - FIRE SPRINKLERS .001'810'00-00-8227
11.a ' TOIALPLUMBINI. __I ' PUBLIC FACILITIES FEE " __32081000008740 - - _._.
'n QTY- ' EECTRICALPERMITI55UE . QTY.
BRIDGE FEE '. 360-810-00-00-8740
MOBILE HOME SETUP
PARK-IN-LIEU (AREA 4
• - NEWCONSTEAAMP SW1 BKR n" • , CAR PORT TIF ____31281000008835 —
I'PH'''•'--.-3PH ' _.1 x , . . AWNING _. , . LA COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMP/SWTBKR"' - - ' -' N r . ' GARAGE r - ' . FMF
• 1PH --:3PH ',--- . 4 -- _-',-- -'. LICENSE TAX - 001'810'00'00'8162
- x REMOOEL'ALTERPER CIRCUIT '-. , - - . MFF 880-519-92-57
• TEMPPOLE200'AMPS
OVER200AMPS __- _rl'_-
- . TEMP OCCUPANCY (30 DAYS) • • S - , • .- _--•' ______________ ____________________________________________ _______________________
- r - CREDIT DEPOSIT
TflTALELEL1RICAL _
-
-.TOTAL -• .- .- TOTAL'EEES PAYABLE _-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bylhe Building Official under the provisions of this
Code shall expire by limitation and become null and void It the building or work * AN ôst PE:i IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY' UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 180 days from the date of such sO'- DEEP AND DEMOLITION OR CONSTRUCTION OF
n' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT Is permjl, or it the building or work authorized by GOVERNING BUILDING CON. such permit i suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
for a period of180 days . ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS abandoned elanylime_after the work is commenced
- TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME Li FLOOR Li CEILING
SHEATHING Li ROOF Li SHEAR
FRAME
EXTERIOR LATH
INSULATION -
INTERIOR LATH & DRYWALL -. -
PLUMBING
Li SEWER AND BL/CO Li PL/CO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER -
TUB AND SHOWER PAN
I GAS TEST
EJ WATER HEATER EJ SOLAR WATER
ELECTRICAL
Li ELECTRIC UNDERGROUND LiUFFER -
ROUGH ELECTRIC
Li ELECTRIC SERVICE 0 TEMPORARY,- -
0 BONDING 0 POOL
MECHANICAL
Li DUCT &PLEM., Li REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE.. ITEMS ABOVE HAVE BEEN-APPROVEb
FINAL
PLUMBING - •-'- \ \ \f '"J
ELECTRICAL
MECHANICAL - - -
GAS
BUILDING (/(q7r
040 /liPC
SPECIAL CONDI'TIONS Fi
:-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INS'ECTOR'S NOTES
INSPECTION REQ IF - CHECKED
INSPECTORS
APPROVAL ATE -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP - - -
STRUCTURAL CONCRETE
OVER 2000 PSI
CONCRETE
PRESTRESSED
-
POST ,T E NSIO N ED
CONCRETE --
-
FIELD WELDING
-
HIGH STRENGTH - BOLTS
- .- -
SPECIAL MASONRY - -
-f, -
PILES CAISSONS
• -
• • 4•* •• .- .. - -
• ____
t
_•j-':• - - ,•' -S - ..•c. /.) . - - -
•
4---
-•--.,".. ; •S.•\ ) '
- - - / •• -
-