HomeMy WebLinkAbout2210 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; CB990172; Permit- - to
City of Carlsbad
01/15/1999 Plumbing Permit Permit No 0B990172
BuiIding Ins'pection ReuestLine(76O)438-3101 •.
t 1
. .•.,• .' ,
Job Address 2210 PALOMAR AIRPORT RD CBAD
Permit Type: PLUM - Status: ISSUED . .
Parcel No: 7602211400 •. Lot #: 0 Applied: 01!15/1999
Construction Type: NEW , -Entered By: : MDP -:
Reference #:'. : Plan Approved: 01/15/1999 ,-. .,'
Issued 01/15/1999
Project Title NEW GAS SERVICE Inspect Area I
Applicant - Owner ,
ALBERT PLUMBINGHEATING & AIR WESTERN PEIGHT INC . *
.• 2.2 tO PALOMAR'AIRPORT RD'.
619-431-5536
5933 SEA LION PL,
Total Fees $27.00 iotaI PaYrfntfö Due $27.00
Fixture or Trap $0.00
Building Sewers~ ld~ $0.00
.00 -Roof Drain 0 0
Install/Repair Water Line 0.00
Water Heater and/or Vent $0.00
Geis Piping System 1 $7.00
Vacuum Breaker 0 INCORPORATED. . $0.00
Other Plumbing Fees 1952 $0.00
Master Drainage Fee ., $0.00
Sewer Fee 0 $0.00
.-
TOTAL PERMIT FEES ,$27.00,
,.- - - - * - - 41. •'.. ' i.L 44 . , •.,.' -
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4 11
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FINAL A PFOVAL
Date ___________ Clearance
NOTICE: Please take NOTICE that approval of your project includes the imposition" 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 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 —s, • .
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. - l
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy -
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any t *
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. -
- . .- - .
-. CITY OF CARLSBAD
'. •' •: - • .'.-. 2075 Las Palmas Dr.,Carlsbad,CA 92009 -(760)438-1161-
-- ,- - * - -., - - -...,. .- - . . I • -.- -. . - -. -. •-. - - ., -- . . -. •j,-i----... _I'
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CL 143 i
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-
PERMIT APPLICATION , •
CITY OF CARLSBADBUILDING DEPARTMENT' -i
ójCrrs D?.CrIbadGA 92009 '' --
t(760)438..1161 . % .
---.-• .-.,•.
FOR OFFICE USE ONLY '.
- PLAN CHECK NO.
EST. VAL.
.-•, Plan Ck. Deposit'
Vlidted.By_.. .
Date
..
..lROJEçJ.lNFoRIVlQN.... ... .• A.. •... .
-.---
Address (include Bidq/Suite #) Business Name (at this address) '' '.
Legal Description -* --- ---. - Lot No.-- Subdivision Name/Number- ',- - ... Unit No. .. — -..Phase No. -. ..Total # of units
it P :1, -- •'i%.- I )•flC . e'. -i-A
;Assessor's Parcel # Existing Use . Proposed Use ,J 4,
- -• - - - . - -.. - --- - .. - - - - .. ...........- •t---- . - -
-
Description of Work ---- . .. - SQ. FT.....-. .. dlof,Storie . - # of Bedrooms : ..... ,# of Bathrooms
Name - -.-. — -----. Address - - - - . - City S: Zi p Telephone #1 Fax #
-
- . •.. -.. .: '-
4/4er+ L 'le //'rt,Q 1qr— 1r1' //$,yJ/'L f7 92q
,Name — - --. . . -...../ .. ...Addresa'.. -.-- . - --- City-. -, stt:p. .Telephone# .............
PRoPER OWR W
I, ./J7
Name 4kddress . . City , State/Zip • Telephone # -
LS! RACTORZgLOMPANYNI~ME 777
(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
lChapter.9,,commending with, Section, 7000 of Division 3, of the Business and Professions - Codel or that heis exempt therefrom, and thebasis for the alleged It
exe tion. Any viol ti n of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001). 41,L r,2.-g,-r-- 1 p -/7/?c7c z 7 q.
Name I . ' }.'- Address' t.. 3 .' City, : ,State/Zip, . ,Telephone # ç_ 747,7
State License # /7'72 ,2.'-' .' LicensClass 1 3'' c"Z€.2 • City Business License F I. .j U. . , •. , .
Designer Name Address - City , State/Zip Telephone
. ? iState License # 1 •*... .. - • I • . ,.. -, 17 . - ... -. - - L '1 I .'.. .
. .., -
[ WORKERCOMPENSATION .-.
'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 copention as provided by Section 3700 of the Labor Code for the performance ('
,of the work for which this permit is issued.
have and -will maintain workrs' compensation, as required by Section 3700 of the Labor Code, for-the performance of the,work for which this .permit. i.,
issued. My worker's compensation insurance carrier and policy number are: - .....• . .CT •. . . / - .
Insurance Company "-?f-"i, ' Policy Nor 4/3 /6T .t21 Expiration Date t
(THIS SECTION NEED NOT BE COMPLET 'D IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)-..
CERTIFICATE OF EXEMPTION: lcrtify that in the performance of the work for which this hermit is issued, I shall not employáhy person in any manners; as
to become subject to the Workers' Compensation Laws of Clifornia 1' t i-I .. " . - - I - ,WARNING: -Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and. civil fines up to one hundred
thousanddollars($1 AO I itio forinSection 3706 of th7bo.7 and attorney stees
DATE
ft7OWNER_BUILDERbECLARA1'ION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - • L.' - ' . - ) ,, _• . .
0 I, awner of the property or myemloyeesvith wages astfeir slecompesati&n.'will'do the workand the jtruttr is notitended àr offeredfor sale1 --
((Sec. .7044, Business and Professions Code: Jhe Contractor's License Law'does not pplio an owner of property who builds or !mprbves thereon, and wh does /
7such 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 pupose of sale):--
0 I, as owner of the property, am exclusively contracting with licensed contractors to corstruct the project (Sec.- 7044,- Business and Professions Code: The
'Contrtor' LiceiseLaw doenótapply to an Ownr & opert#ho buildor improves thereon, 'and contractsfor such projects withconträctor(s( licensed *),0,
pursuant to the Contractor's License Law). - • ' •'. '" . i. .,. .' . ,". -
0 (am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DFO,.,. . .
2r - I (have/ have nàt)%igned an applicätibr fOr a building permit fOr the proposed work. - — -. -.7
ti 3. -1 have contracted with the following person (firm) to provide the proposed construction (include name / address /phone number).'áontract6rs license nuriber):'-
-. I plan to provide portion's of the work, but I hive hired the foIlöing person to coordinate, supervise and provide the major work (include name / address / phone A. 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
OMP - ' • - . • ." -.-. -' - --':: .. *
Is the applicant or future building occupant required to submit a business plan, acutely hazardoii rnate'riaIsregistration fm or rikmnenet and preventi0Th'
-
- program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous. SubstanceAccount Act? --0 YES -.D. NO - •.M- - - --
Is the applicant or future building occupant required t 'obtaina 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 - - r • , -
IF ANY OF THE ANSWERS ARE YES, A FINAL- CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS METOR.IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.' - ' • . t ,, - - - - "-- -
-
Le CONSTRUCTION_LENDING_AGENcY.:
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). f
. LENDER' NAME '' __' _
______
'I ''LENDER'SADDRESS' __r_-..- _' _4 1f'_L"t.'•':.'
•
IAPPLICCERJFIpATION •
- '
I certify 'that I have read the application and state*that the above information is correct and that the information on the plais is accurate. I agree to comply with all - -
t: City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 -- -
I; OSHA:`An OSHAprrit'isrequired for"xcávations oe'r 5'0" deep and demolition or construction Of trijctus ove 3'stories in height. —' - I I, • ,-t. -• , ._ - -" -'
';shall
• - * /' - • *4 '• - I. . I EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shallexpire b', 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 menced for a of days (Section .1 064:4Uniform Building COde)'.-.
APPLICANT'S SIGNATURE - '
- -- -- - - - • '-:'-WHITE: File ''YELLOW: Applicant - -PINK: Finance - '. .,'. - . .. • 4
- -
41 1
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of
BUILDTNG f PERMIT PermitNo CB 982243
07/15/98 13 11 Project No A9802970
'Page 1 of 1 Development No
Job Addres 2210 PALOMAR'AIBPORI RD Suite —
Permit rType ELECTRICAL
Parcel No 760-221-14-00 Lot# 1
Valuation 0 Construction Type VN
Occupancy Group S tit uc ISSUED ,Reference#
Description ADD ONE CIRCUIT F9R LEAK - Applied 07/15/98
J. * DETECTION Apr/Issue:,07/15/98
Entered By MDP
'. Appl/Ownr 'SCHOOP' ELECTRIC
610 WEST ASH STREET 9061 07/15/98 000101 02 SAN. DIEGO CA 92b4O
*** Fees Required Fee,. Collected & CrediEs
20.
as-
-
---el —20
.00
00
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Fee e dscription tsç c''nt Ext fee Data
---c-------
lot
p:4
It
'\]XPIRED PERMIT-A '•
B.C.
_16flOW1 6.4.-
TU SIGNA RE DATE
- :
'FINAL AF OVAL
4 - a
INSP DAlE
CLEARANCE
CITY OFCARLRAfl
2075 LasPaImas Dr., Car d, C92009 (619) 438-1161
I
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad -CA 92009
(760)438-1161
1 PROJECT (NFOATI /
15Z2/Q ,s2
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL. -
Plan Ck, Deposit
Validated By______________
Date
Address (include Bldg/Suite #) / Business Name (at this addres-"
Legal Description . Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's arc I # Exi ting U e . Proposed Use
j 74 ZL
Description of Work - SQ. FT. #of Stories , # of Bedrooms # of Bathrooms
2 CONTACERSdNWOàIIC) t
n& &0 1aLec(7e ) Oi.12 7d8c2
Name Address • City StateiZp Telephone # Fax #
"Al net D A iQvner
.iOA ix2? E $e/ AJ P6 /1 (2- - 76- 32c -
Name - Address . . / -'City State/Zip Telephone #
al 4 PROPOWNER/ AQ &e cLQ1
Name . . Address City Stat /Zrp Telephone #
.. a
(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 Code] or that he is exempt therefrom, and the basis for the alleged
ex e ti . Any violet n of action 703 .5 by any applicant for a permit subjects the appi an to a civl penalty of ot more than five hundred dollars l$500fl. -. 32 c4d,' (L-,9 f p. o LL-c4 th -90 0 yc /9-3 PL 2.- 0 9'.-
Name / / Address City ' State/Zip. Telephone #
State License # License Class City Business License # '2- S' T_-( ' . . •
Designer Name Address .' ' -- City State/Zip Telephone - 4.
State License #..-,-
6RKERthM'ENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 1 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 ONE HUNDRED DOLLARS [$1001 OR LESS)
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. ' - . . •
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred -
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. . . . SIGNATURE__________________________________________________________________ DATE . ' . '. •, ,
IC6 id ON
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: -. .
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale '
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. - If, however, the building or improvement is -
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licened
pursuant to the Contractor's. License Law).
0 l 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 / 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 / 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 I contractors license number):
I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type / of work): ---' .
PROPERTY OWNER SIGNATURE DATE
COMPi:EE THIS SECTIONFOR NON-REIIDENTIAL BU11D1NG PE!I1%ONL'( : r
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. - •- . , - -
l8CONSTUCTONLNENCL
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME • - LENDER'S ADDRESS .'--.--' -*
.p,
-' '- --
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 Citti 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 ec tions over 5'0 p and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every it is d by t Building Off i der the provisions of this Code shall expire by limitation and become null and void if the building or - - - - work authorized b such permit not om cad w cm t e te of such permit or if the building or work authorized by such permit is suspended - - or abandoned at a y time after th is c or a period of days (Section 106 44 Uniform
APPLICANT'S SIGN
, -
WHITE File YELLOW Applicant PINK Finance
'1
5
CITY, OF CARLSBAD
INSPE1CTION REQUEST
PERNIT# CB982243 FOR 07/16/98 INSPECTOR AREA
DESCRIPTION: ADD ONE CIRCUIT FOR LEAK PLANCK# CB982243
DETECTION 0CC GRP
TYPE: ELEC CONSTR. TYPE VN
JOB ADDRESS: 2210 PALOMAR AIRPORT RD STE: LOT:
APPLICANT: SCHOOP ELECTRIC PHONE: S
CONTRACTOR: PHONE:
OWNER: : PHONE:
REMARKS: C/ AN PLEASE INSPECTOR
SPECIAL INSTRU
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
31 EL Underground/Conduit-wiring
S
***** INSPECTION HISTORY ***** I
DATE DESCRIPTION i
.
S. ACT INSP COMMENTS -
- - - *
I .
• .
S - -
0. a)
>-r -
USE JALI POINT ,PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-1-here licensed Cinde,
/ and
Setion,7OOOyorDivislon 3'orthe BusInêSs'
).Profeselons Code, and my license is in •
ful
l
to___nd4eor
'U :-v ('t . I
I_ hereby. altirm that I am exempt rem the .Contrac._ I - torn license. Law for the following reason (Sec. 7031.5
- Business and Professions Code: 'Any city or county which re- - - quires a- permit to construct:alter, impruve. demolish, or.
repair any structure, prior to its issuance also requires the ap-
plicant (or such permit to file -a signed statement that he is.
licensed pursuant 4 the provisions of the Contractor's I License Law (Chapter 9 commencing with Section 7000 of,.,
oivision'3 of the Business and Professions Code) or that is eui"
empt therefrom and the basis for the alleged eeemption. 4np, (I violation of Section 7031.5 by ao.applicant for a permit sub-- jects the applicant to a 'civil penalt of not more thud live hun-
dred dotlars'($SOO)'
- . 0 I. as owner of the property: or my employees with wages
as their sole compensation, wilt dothe werh, and the struc- I
tvijn,i1ot'intended or uflereb for sale (Sec. 7044. Business - - - _ • and Pretensions Cede:, The Contractors License Law does
5 7 'v not apply to an owner of preperty who b'uitds or, improves I
in - thereon and who does such work himself or through his own'- -
I employees. provided that such improvements are not intend- - .
W .. edor offered for sale. It, however, the building d( ifoprove- .._
Z meot is sold within one year of completion: the owner-builder
39 will have the burden of pruning that he did not build or 12-- 0 prone for the purpose ot'sale). '
- - 0 I, as owner,ol the properly, am exclusively-contracting - 1 with licensed contractors to construct the project (Sec. 7044. •
- Boniness and Prolessions Code: The Contractor's License - Law does not apply 1000 owner of property who builds or im. proves thereon, and who, contracts br each'prejects with a'3 I
In _ contractor(s) license pursuant to the Contractor's License- -.Z • Law).
-. . . - -' 0 As a homeowner tam improving my home, and the follow' - 4 . log conditions-exist: .! -i-:'- L4 ?,4 *1. 0 - 1.. The w'drk is being porborm'ed"prier to saleS. 2. I have lived' in 'my home for twelve months
u prior to completioo'ntJhis wvrkd $'
y tot 3: 'have not claimed 'this exemption during the I last three years.
- 0tameoemptuoderSec. ' '' - B&P.C.-
-
- . for this reasen '5 rr ... ' . -
"'° I
•
- 0 thereby affirm that I have a certificate or consent
- ' sell-insure. .Or, a certilicale of Workrs' P I 41 Compensatron,Insurance.or a cerlihed copy thereof
'Sec. 3800. labor Code).'... -
Z POLICY-NO,--- ' ------'- -- -
- ' -
- , COMPANY - c. . 0 Copy is filed with the city .0-4u1'b.
Z
- . Q'Ceriilied copy is hereby furnished
t.tfh)a 'O a' P','( 6'-er • . ' ' CERTIFICATL OF EXEMPTION FROM . '' WORKERS; COMPENSATION lNSURANCE' i .4 (Ths section -need not be completed itthe permit
* -*r s for one-hundred dollars 15100) or less)-. -n, I,-
Ne '94 ';•.! r -
'I cerlity that ,n !he performance 01 toe work for
chth.s perm itTs issued. I shall not employ any I. 1 , I person 0 any manne, so as to become subject to
- Inc Workers: Compensation Laws-of California ,r. ...
( ' '7W 'xa4! . . ' ~ . •.f,t It -_,
NOTICE TO APpLICANT_Il. after makn3 Ihs'Cert,,_('
hcte oI Euemptorc. you shOuld become, sublect f'
the.Worlrers' Compensaton.pro'Nsons 01 the tSábor I
Code. - you: must - forlhwlh comply —with,' SoCh
P prgnsonC or 1115 perrrfi shall be deemed revoked
'k . - -4r' •a r rCv - -
0 'I hereby" affirm- that, there is a COrSIrUCtOl
'lefldflg agencforlhe'perfomavceoI t0eiaork for
- -jM',wncn thls.prrr erl .s issued Sec 3097, CvI Code)
I Lender's Nam k ' e,' •
-
-br-- - - - I
-_ .$,.-CARLSBAD'BUILDINGDEPARTMENT APPLI&ATION 4-PERMIT
1200 EIm CarlSbad, California 92008-1989 (619) 438-5525' , . - - : ' - - . .- ' - - ' ' •
JOB ADDRESS , AV. ST. RD. NEAREST CROSS ST. 4 DATE OF APPLICATION BUSINES LICENSE # . VALUATION - , PERMIT NUMBER
rQuv-R
LOT BLOCK SUBDIVISION.- - ASSESSOR PARCEL NO. . CONTRACTOR PHONE ZONE ,
- " .
[C~ON-I~RAI!TORS
7 OWNER'S NAME , OWNERS PHONE
PLAN ID # BLOGUSECODE CONTRACTOR'S ADDRESS LICENSE NO.
- OWNERSMLjNGADDRESS
STANDARD PLAN # BUILDING SO. FOOTAGE 2J2__ 1 '0 -L-a fl 1-' • -?R P ,t7 , , DESIGNER , i9 44 LICENSE d
DESCRIPTION OF WORK ' -
-•
, -c) ' S'4 ç , 1'1u 4 3 - : DESIGNER'S ADDRESS __________________
- - - - - - DESIGNER'S PHONE
- _______________________________ ______________ . ••
F/P FLRELEV, NO OCCGP EDU - - ' -
• STORIES
- _oo_'-'f___ -----'--------
USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE -5/d/B'4:3 F7 51*Ot'
•AREA--
0CC LOAD FIRE SPR CENSUS TRACT'7GPND
' Ot1Uij97 ?23p
CONST - ' ' yD ND " , , r rD ND - • - vO ND Nor.Va/,dUn/essMachineeaified.
QTY ' PLUMNGPERMIT ISSUE' QTY MECHANICAL PERMIT ISSUE
-
SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP , . - - - INSTALL tURN: DUCTS.UP TO 100,000 BTU - BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER , • - - ' ' -- ' - - - _-•' _b------OVER 100,000BTU__--.-.-.----- - - - .-,.-.SIGN_P.ERMIL.--.. _•--.01-00-00-8221 - .-_- ------•--...__ .. -
EACH WATER HEATER AND/ORVENT ---- - BOILER/COMPRESSOR UPTO3HP ' __* PLAN CHECK -01-00-00-8806 a
EACH GAS SYSTEM _1TO'4OUTLETS" _• - - 1 8OILER/COMPRESSOR315HP ---- _-- TOTALPLUMBING _01-00-00-8222
-EACH GAS S'YSTEMSOR'MORE --. -•,- FviETALFIREPLACE.._::'_. __.------ ._•_ -__. :. _ELECTRICAL • ___•--..__01-00700-8223-.-
-EACH INSTAL.. ALTER, REPAIR WATER PIPE. . -. ' VENTFANSINGLEDUCT _•,' - --MECHANICAL-' _01-00-008224 -.- __-.-
VACUUM _BREAKER_,,, __- '.'. 1ECHEXHAUST'.-IOOO/'OUCTS _- _--- -MOBILEHOME 01-00-OQ-8225
• WATERSOFTNER. _- __ ,..• _1...•' 2 1, RELOCAT,ONOF,E•AFUACE/H,EAJER __- ...-,.- _MOBILEHOME PARK INSP_
-- EACHROOFDRAIN(INSIDE) ''•. , -• ' • • - --' "SOLAR -._01 -00-00-8226
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'STRONGMOTION _'''8092-33O519'or .---
"-7 I 'TOTAL PLUMBING- FIRE SPRINKLERS' 01_00008227 -
. -• , • - - - - -- • -'
--
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OTY.
ri'' - --. . , '
, . - PUBLIC FACILITIES FEE ___-'32-00-00-8933
OTY' J ELECTRICAL PERMIT 'ISSUE __ -x , ____
-
SOLAR-ISSUE _ •
- BRIDGE FEE" '- ''''± • *
NEW CONST EA AMP/SWTlBKR COLLECTORS - ____________ SCHOOL FEE DISTRICT -
I PH,/&aA-iop 3 5i'~ 9 STORAGE TANKS CasDad 80-92-21-0519
EXIST'BLOG EA'AMP/SWT/BKR ROCK STORAGE-'-'-- EflcifljtS"' . ' 80'9222O519 - m
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1 PH 3 PH I I 0 PUMP San Olegulto 80-92-23-05i9
'REMODEL.'AL'TER PER CIRCUIT - • .,,','"l - PLAN CHECK'FEE - -. ' - - c ' • ' ' - - - .80-92-24-0519
TEMPPOLE 200AMPS - fr.'h .4_'.'l _ i.•_
OVER200AMPS-------,—•.•-o,,.- ____" °'"•S'- , t->t _____-.',' _-•• ,- _- 'LICENSETAXO1-O0-00-8162 - __' ',.•-
TEMP OCCUPANCY (30__DAYS)_
_CREDIT DEPOSIT_ -
TOTAL ELECTRICAL
____
TOTALtSOLAR)_: __1 TOTAL FEESPAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Enprratioo.EverypermitissuedbytheBuiIdingOIficiaIunderfheprvisionsotIhis * AN 0611* P€RMtT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void. 11 the building or work- CERTIFY -UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE EEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such 5'0" D
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITS permit. orif the buildin?_orwork STRUCTURES OVER 3 STORIES IN HEIGHT
TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ,
a__hedbysuchpermilissuspended or ISSUED abandoned atany tImea_19,the_wo__-__mmenced foraperiod01180days
KEEP HARMLESS THE City OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTSSIGNRE/__OWNER 0 00NTRAcTOR
-
APP
c'_-
OVED BY - ç/rL .bA
EXPENSES WHICH' MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTINGOFTHISPERMIT. -
- ---. BY PHONE 0 - - - - • -- " - 1)1-i 1-I
____1--.-,_- -- _--
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TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME.-
SHEATHING 'El ROOF 0 SHEAR
FRAME.
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
- . • . I! -, __________
PLUMBING
SEWERANDBL/CO DIPUCO
UNDERGROUND 0 WASTE El WATER
TOP OUT DWASTE 0\4ATER
TUB AND SHOWER PAN
GAS TEST
El WATER HEATER 0 SOLAR W.TER
ELECTRICAL
El ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
El ELECTRIC SERVICE 0 TEMPORARY
El BONDING 0 POOL
- MECHANICAL
o DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS I
VENTILATING SYSTEMS S
" '0 t
CALL FOR FINAL INSPECTION WHEN ALL APPflOPRIATE
ITFM.q ARflt/P HA VF RFFNAPPROVFD c \ V. -
FINAL
PLUMBING
ELECTRICAL 4A1
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE .
•0 -
--
.
FOUNDATION INSP
PRIOR TO
SOILS COMPLIANCE
0
STRUCTURAL CONCRETE - -
OVER 2000 PSI
-
CONCRETE
PRESTRESSED
POST TENSIONED
CONCRETE
FIELD WELDING -. 0
HIGH STRENGTH-
"BOLTS 0
SPECIAL MASONRY
PILES CAISSONS
' 0
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-
_____________ _____ .-'' 'CrS\S
-• • 0