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Home My WebLink About2221 LAS PALMAS DR; E | F; 81-454; Permit,. I .· . . .. ..,. . __ . . ~ _ . ·. \ ·usE BALL POINT PEN ONLY & PREs_s_HARD' . .. . . . . _ _ .· . . . .• :. • APPL.1c~N:r t · ')LL 11'.1 INFORMATION w11HiN sHAD~P. Af,U,:A A.ND DECL,AR~· ·-=·· ~!he_ af11rm_th,iF1am·11cens_edunder I CARLSBA UILDiNG DE~ARTMENT -A ,.~ ._ .... :0 . ~vlslons .• o.f 9hllpt~r •• 9 (commencing with I (71_4) 4~-5~2? · -\'-., -.:.._··, ... ~- ,.· C,. ," an<! Professions Code, ancl my llcense·ls \n l JOB.AuOR~_ss. ' A'f,;;_T· !;>ATE OF AP~LICATIQN · PER¥1T NUMBE·R · [i:" • ~[ .Sectlon.7000) of.plvlslon ·3 of the Business. ~ . ..... · · · · , , · · · ...,_ .~ full,fo~i$v,ect. . . s -I .. -,~ :"2-f . ..,,.-?'_ //.,:,. ....-~fJI ·: .'.'i'\ ~-&/"/_:_ . '.> ·t 4·· f:=4 c:-· · . z. Lie. No ~ Class I ~;-. · . -r-"' .:> ... . . ·.;,;,;.; ·.:1 7""-~ -0 <ll ~. <8,r J ( • ~ -· • . • __ ..____ ! OWNER'S PHONE PRIME CONTRACTOR • ._ • CQNT.RACT.ORS,PHONE.#, .'_ZONE, 1_t ;':°':., ~ ,:.·.., 8 ·. . ·: 8_ .. ·; l,herebyaffirmthatlamexeinptlrom-theCon-r . C · OA ~/S.e .I ·,·, :.l~,LJ -.-,· e '' ·"' '·, · E fl) z 0 ~ II: j CJ .w 0 '.~ '·tractor's u.cense Law tor the,tp_119wing·'.eason._<~. 1 . . . . . . "IE//2. ,,:, I\ t...._ #-Ar.. v;;, o TV · -:, -.., ,,-,...-. ~-fl{,;::, .•. ·::·: . . '·-. . . ~ ." !-~1•5 Business ~nd Profes~ton~ Code, Any city or ·j OW!llER·S MAI LING ADDRESS LICENSE NO l · 'PLAN I ti '# \ · BLDG USE CODE COUntY. Which r~Ulf8S "a perrmt to construct • ' ~ 1 i ,i_ • , ' :, : ' • r · alter, improve; demolish, "pr· repair any' structure, · 1 · · V · e-/1 , . ·· · 1 •-l"l"t · r '.1,,;1. · prior t_<fits_,ssuanc_e also requires-!lie;applicant,f'?r, I . . I A ~GH: 0 \..,'4et.,'$,O,t• · · ·, · ,. :· 1,tiiN • HI' i: · E , sue~ permit to Ille ~ signed ~tatement that he-,s -·. . ·· · .. 0 llcensed ·pursuant to the provisions of the Con, j . ASSESSOR PARCEL NO, BUILDING'SQ. FOOTAGE 0 tractor's License.Law (Cliapter·9.c.oinrriencf~g.with • . · . . Section ~000 of·Divisidr\ 3 of the Business· and Pro-] l--c-::-!~:L.::=.;;;;.~.,,..,=--,J,.~~'---.;.,--..,...-'-------'----,,.,..---'--;_-----11 J. · 'I' · · f~ssioiis C;ode),o'r th~t-18 ~-~~~pt th.ereffom:~nd·tne:., I ,,_ .,.. n l, tlM basis for the alleged exemption. Any v1olat1on of " -.... r.-,,{:,t ~ o · c~· Section-7031 5 by,an applicant.for a permit subjects J l--"a::::l ... 5,,'\,½,,L~t-,:~--'-J...ei'1,,[.~...L.W~~-:!S~LI!C~oe;....li....a.i ... U!!IL..::lllill~-'4--II . ' c tne apP,licant to"a civil ·penalty of not more than. five I . , <ll ·. II: Ill" 0 ,..J hundre,f ddllars ($500). .. :a 51- 01,·~owne;oftheproperfy:orinye/nployees:·\. .F/P .. F'LA.ELEII. 'EDU ..... -.. 2: with .wages as their..sole compensation, will do the I <( m i worl<, and the structure is not lntenaed or offered for I '. ,,: · . sale (Sec. 7044, Business anil Professiohs Code: vD NO· -.--1 ··-, , \ '·· \ , '··.., ·I The Contractor's Li9ense u,w· does not apply to·an I · . ., .. . ,.: · .' . · · · · . ownerof'propertywhobuildsorimprovesthereon REDEVELOPMENT I Fll'l!,_SPR '2 -~ -and·whocloes~~chworl<hmiselforthroughhisown -I AR.EA ' . ·- employees, P'.Ov)ded, tha_t sush improvements are· I . y D N D y tJ ND v\d NO Not Valid· Unless Machine Ce_rtified a,. not intende1 .or offered for sale. If, .however, the ,._ _______ ._ ____ '---....J'--------___ ~-_ . . ___ . _. liuii~ing cir imj>rovement is sold within one year 91 J completion, the owner-builder will have the burden I of· proving that he did not build or 1/nprove for the ~urpose or_ salej. -• I tJ I, as ·owner of the property, ~m exclu~ively I : f~t~l~~ ~-11~~~u~~~!';;t~~~ %~~s~\~;! j Code: The :COn't/actor's License Law does not apply I to an· owner o( prOJ>8rtY wt,o builds or improves · thereon, ahd who contracts for each projt?Cts wi,th a I contracto~s) license pursuant to the Contractor:S · I License Law)! I D I am exemp!'under Sec.· , 8.-& P:C. I forth1s re~sdn ~-----------I D I hereby affirm that I have a certificate of cori~ent to self,inSure~ or ~ a Certificate of Workers' ComPt!nsation Insurance, or a certified copy thereof (Sec. 3809, '-'\bor Code). I -I I I I I . _z POUCY~O. ___________ j . g 'COMPANY -----,-------I ~ 0 Copy is. fl.led :,,it.h the city. • I . ~ ··: 0 'Cer:tified:copy fs.he'reby.;urmshed. -1 1 ::E '• . ,'. . . • · .. O, . . . CERTIFICATE. OF EXEMPTION Ff\OM I µ, : ' ··woRKERS'·COMP.ENSAT.ld.rll°INSURANCE I -t (This sectio'n-need,not.be.completed if the. permit ] '.w I is fo'r~6ne hundred dOllars,($100) or less) , " · . --~ '-f;;/f. l,certify·that i,n ,the performance-of the worl< for 1 1 ,.0 ~h~this.perinit is issued, I shall not·employ any 3: perSbn In-any manner so as to become sUbJect ·to I · · ,Jhe '-:'6rkefs' Comp~n~tfo~ ,'tw~ orcantrirnia -· · J NOTICE TO-APPLICANT: If, aflermakin~.th1s.Cert1· l ticate.of .Exemptio'n, .you should' become sub;ect to I the Workers·· eomPf3n5ation pfov1sions of the Labor r ·Cod'e; yOu must fort~with comPly with ~uc .. h, j ,,pfqv1sions or this Permjt shall be dee~m~d revo~ed, · ._o~e-.;\'.?~~ ·. · · D I· herepy. afhrrivthal · there 1s ,a construqt,bn I ffi _ , leodmQ:ageocy· for th~J~erlcjrm_{!nce _oJ the Wqrk for \ 0 w~1ch this p_enp~t is-issued /Sec 3097, c,y,1 Code). • QTY. PLtJMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER QTY . • I EAC:H FIXTURE TRAP EACH'BUILD'ING SEWER ·EACH ROOF DRAIN (INSIDE) TO_TAL PLUMBING NEW .. CONST !:A AMP/~WT/BKJ:j . 1 PH " 1:-XIST BlQG EA AMP/SWT/~KR -~ .1 PH :i'PH. · . · REMOOEL/ALTbR PER-CIRCUIT T!:MP PO~E 200 AMPS OVER·2Cio A_MPS· TEMP OCCUPAN~Y. (~O 011,Y.S) INSTA0LL FURN. DU~TS UPTO 100,000 BTU BUILDING' PERMIT OVE'R l(j0,000 BTU SIGN PERMIT PLAN CHECK TOTAL PLUMBING __ .....:.._-4-_..!.,..i..:M·E ElECTRIGAL MECHANICAL MOBILEHOME RELOCATION OF EA FURNACE/HEATE.R : MOBILEHOME PARK.INSP SOLAR TOT!.L MECHANICAL -"STRONG MOTION FIRE SPRINKLERS PUBLIC'FACILITIES FEE QTY. SOLAR · ISSUE · BRIDGE FEE COLLECTORS . · SCHOOL FE~ -DISTAi.CT 'STORAGE TANKS Carlsbad ·• ROCK STORAGE · I U' · Encinit~s ,,. PUMP I I San Di~gu_1to PLAN: CHECK FE~ 1 San Marcos TOTAL ELECTRICAL' ,TOTAL SOLAR•.· TOTAL FEES PAYABLE ~gj('; I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION-"AND PERMIT'' ANP D0 HEREBY Expiration. Every per_mi_t ls~ued bytheBuilqingOff1clal \mderthe.provisionsoffhis C[;:FlTIFY UNDER PENAL, TY OF PERJURY THAT ALL lNFORMATIQN HEREON' lNCLUDING THE Code l!haU expire by hm_1tallon and b~6me n(!ll !'nd void, If the bulldlng or ';Nork DECLARATIONS ARE TRUE AND CORRECT AND I· FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhor,zed '?Y such ~r'!l1Us not commence~ w1th1n, 180days fro"'! the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY. AND STATE LAWS GOVERNING BUILDING CON· ~~m~n~ tf /he .b!Jlldmff or work 81!1h0nzed by such per"!11 is suspended or * AN,OSffA PERMIT \S REqlllf!E~ FOR EXCAVATIONS, OVER ·5' O" DEEP AND DEMOLITION OR-COHSTRUCTION OF STRUCTUR£S OVER 3 STORIES IN HEIGHT ' 0 en en ·<D en en <( I :i: .Q Q) >- tn en Q) 0 e a. <ll 1ii Cl §: Q) 0 C <ll C ii: I C Q) ~ 0 ,.._ 0 0 Q) a. en C ~ .c ,t ··ri ¥· . . . . :~ . . : -~ .. Lender's·Na;;,e ' · ' I ~---:-~-. Lender·s·A~d;~~s .-----~--,----\ ~ -----·--.. -----. ·--:---.. • STAUCTION. WHETHER SPECIFIED HEREIN OR NOT, l ALSO AGREE TO SAVE INDEMNIFY AND !l ~ an t1~e a ter the work is commenced for a nod of 180 da s. . • . .,. . ~ , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT,$ SIGNATURE lf OWNER O CONTRACTOR APP~!IED B,Y; \ '• (.'"\ • "--~~ -, D~T):' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ C D.. d . . -. . ,, ' '[L GRANTING OF THIS PERMIT. f' ~ , "----<...'""" •(} , ~ • BY PHONE O . ·. · ·I T 3:· ·----· ... -----· "" .. .... .,,_ INSPECTION TYPE DATE BUILDING fOUNDATION REINFORCED STEEL MASONRY GUNITE QR GROUT FLOOR & CEILING SUB FRAME SHl::ATHING l FRAME -I I EXTERIOR LATH lNSl:JLATION · j I I. INTERIQR LATH & QRYWALL PLUMBING -.-. SEWER AND BL/CO I INSPECTOR ~ FIELD INSPECTION RE¢0RP REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP •_. -· REQ. IF I INSPECTOR'S CHECKED APPROVAL STRUCTURAL CONCRETE 1 OVER 2000, PSI PRESTRESSED CONCRETE , POST TENSIONED CONCl'!ETE FIECD WtLDING .; ,; HIGH $'rRENGTH P!-UMBING UNDERGROUND { I ' I.. . I DUI . -_ PLUMBING TOP OUT I <>ri1.TS -- SPECIAL ·MASONRY TUB AND ~HOWER PAN l GAs TEST 1 1 . r .. l . . , ELECJRICAL TEtiJIPORARY POWER E_LECTRIC UNDf:RGROUND • ROUGH ELECTRIC EU~CTRIC SERVICE BONDING J i l I l ' l; ,. . - PILES•CAISSONS .. ~ "'-.. > '/· ..; ')_;_" •·. INSPECTOR'S NOTES DATE I ,: .... l I ---., • .,.; I pf, G. -f. I. -SMOKE DETECTOR'. MECHANICAL I : ' I • ~ DUCT & PLEM., REF. -PIPING · i •. ·:·· ·', :. '.· _..' • \ ;.· • ·,.·, • ·:· \ --""·,"\-:', • • • •. HEAT -AIR COND.---'-SOLAR SYSTE~S .. ·. , • . .. -~ ~ ~ . , ... ,. ~--. '.'.'". .: ,-.'· I -~ J -lf~-"7..f ~ \ :" •:. / VENTILATING SYSTEMS f ,·. • • . . • • ..• , , • ·-• • -~ • CALL FOR FINAL INSP~CTION ~HE~~'A~~ .. ~p~,f~~~IATE--._ ... -, : : --· . · .. '.' --~ ~-,· ... '· . r---'-..:._~---1l!-h1'-:-----=~=/!-----~~~---·I ' . \ -"' --"' ITEMS ABOVE HAVE PEEN APPROVED. . . . . ' JOB SITE FINAL -! . . · ' ·. -· ~ . . ' . . , 'I "' , • . I - ---·-I { / I ·'-•'-• ', : J ::~ ~ -__ ; '.1,/" ~ -: • . ~ ·_ . ~ -q~....:....-----1 1 IV .-:' ... IJ I · ' · 1--,--..:__:...i-t-7h-ll-~~t:;.-L~:,t~;--'----_:____,____,_:_ :_;~ . I _I /1 IJ.,/ ' ' ,. -·L c.::~ ' . ~077-: ·-· . · 1 ·-'-' I ': ·• V -01--.... f;/r~~------'· ' PLUMBIN"G ELECTRICAL I L--~· ' MEC.HANICAL \ GAS BUILDING I SPECIAL CONDITIONS I CERT OF QC.filCY ISSUED -'! I I .,'!, ~· l USE BALL POINT PEN, ONLY &. PRESS· HARO APPLICAN_t 1\Fl!-L I~ INFORMATION WITHIN SHADED ARl;A ~~D-DECLARATIONS. CARLSBAl'BUILDIN'G "DEPARTMENT • • • I A 'UCAT,ON ,& Pl:RMIT ;-•~ .· ~,,;,.,;,,,.,.;.m,;~,._, "'"• I o ' -,,p(ovllilons ,bVChapter. 9 (commencing with -- .--t; [ '• 5!!:tlon 7000) of Division :a of the Buslress . I . JOB ADDRESS 1~00 ~lm,yarlsga<;l,g!lllfqrriJa 9~<?Q~ (~1,4L1~-552~ c ' : arid •Professions ~ode, and my license Is In ~ I , · A ~ -full fo'rce and effect. . -. • -•1 ,:":J-/ --, z. Ltc. No. ______ Class ______ --,, • ,;.,:;., . a ~ .:8-. -. '.'· I BUSINESS LICENSE # f> .z_4o· , ---"-+-''--F,-O",,,-....,;.--''---,-....... PW~£:~~~. . 2;;::i;;t'_., ZONE Svtte -e~F • OWNER'S PHONE VALUATION PERMIT NUMBER 8l-4Y4-fi,L Cl) z 0 ~ IC j ~ C , .. r i ;· ~ . .I hereby affiml'lhat I am exempt from.the. Con-. · .' 'tractor's License Law-for the following reason (Sec. I :;?. ~ ,.... •, 7031,5 Busrness·and 'Professions eode: /i.ny dty oi' f 7 .. '5'<: .. ~1[ is:- IC ·--~ ,..., 5 Ill ii: w z 3t 0. z 0 ~ z w A. ::E o,,· 0 Cl) a: w :.,: IC i 1 COUnty which requires -a J)enn_1t to construct 1 er--CONTRACTOR'S AD·o;'.'s~ C ,.. , I LICENS!= NO. , I 'PLl','N ,,.o. # .BLDG USE CODE alter, ,impr6ve, !ferTIO!fSh, -pr repair· ariy StruCtufe; ! pnor'tO·its issuar,ce.'al~ r&quires J:h8 appli~~nt·for I l~!i"79-s()~ /_/'½ · ·.:. .... such pem,it to. Irle, a srgned. statement that, he is 1----,-;=,:'....:..!'::~~~:j;,..:_,..,..-.._ ___ _:.,. ------licensed pursuant---to the provisions of' ·1~e Con-I · .ASSESSOR PARGEL NO. iractor's ticerise Law((Cfiapfer 9 :Commencing wilh ]-DESIGNER . 7i,,;;-~;z;., ~~ STATE LICENSE# STANpARD PlAN .# ~UILDIN~ SQ. FPQTAGE Section 7000·of Drvrsion 3 of ,the'Business arid Pro-1--====-:-,-,--,,-,-,,-,.-c--'-----,------,--'-----,--------------11 • • 'fessions' Code),oi that.is exempqherefrom ana lhe' I , basis ·tor 'the alleged exemption. /liny violation'_ot' I • 1-.--1 Section 7031.5 by an ilpplicant;for a permit subjects 1-~=-_.,ca..,_....,_ _ _....,~ """1 l~k:::;..,7. Rt>\)\ P\2\.Pk..\""f' _ l ~f l.f:£. bES1GfYER'S ADPRESS tne applrc~nt to·a cryil,penallY.·Of not ri]ore than five j ' hundred'dollars·($500). ., . , I 0 I, as owner o( the property, or my employee'!, • .,.,th wages as their sole compeosation, wrll do the' I worl<, and the structure is not Intended or offered for J sale ·(Sec. 7044, Business' ana, Professiohs ,Code. 1 Ttie Contractor's License Law does nqt,;,pply to an , - 1 .. ., .,. ----I . . I , 1 . ,owner of property who,builds or-improves thereor I ~ENSUS TRACT GP LANp uSE Pl'-~K-ING SPACE' RES UNITS and who does such work himself;or through his own 1 • , • 8mpl6yees, provided ·that· ·Such improvements-are I · · ~ · , · not inteiide'1 or offered, for 'sale. If, however, the I · -' · · ,buiidrng or inlprovemellt, is sold Within one year. of · • • --· • ~ , 7 .F/P FLR.El:EV. vO NO GRAD)NG PERMIT ISSUED ' , . . . . . REDE.VELciP'MENT AREA , . YO N [} vO NO completion, the owner-builder will have·the burden· l QTY . 1 ·5o Y , ot praying that he did not build-or improve for the· • PLUMBING PERMIT· ·ISSUE , . QT . MECHANICAL PERMIT -ISSUE NO STORIES :J'YPE ·CONST .1-5,ob ,57'"J-I~ ~ OESIGNE'R"S PHONE .OCC GP 'EDU bee LOAJ? .I FJ'RE SPA vO NO 1112J1B134ee o~bJ~~afu· 1~1ij31ai Not Valid Unless Machine Certified SUMMARY/ACCOUNT NUMBER I ,.4 ' purpose of sal~)-I -· · -· _ __ I EACffFl)(TURE TRAP • INSTALL FURN. ou·cTS µPTO' .100,000 inu • BUILDING PERMIT 39!!60 11,/>so [:], I, as' owne'r of the property, am exclusively contractinQ with licensed contractors to construct ttie proje<;t (Sec. 70«, Busrness and Professions Code': The Contractor's Lrcense0Law does not apply to .:in owner of property who builds or iinproves t,t~reon, ahp,who,Cb'ritracts f9r eac.h prOjects with-a contr~tor(s) license pursuant to the Cqntractor:s License La.w). l . . EACH BUl,UJING SEW.ER . ·• ' · OVER 100,000 BTU • SIGN PERMIT , I . EA_C_H WA:fER HEATER AND/OR VENT __ -• BOfLER/COMPRESSOR UP TO _3 HP , • PLAN CHECK _ ,, 0 I ~m exempt under-Sec. ____ . _, B. & PC. forth1s reason~------------ D I hereby affirm that I have a certificate of consent to self-insure, ·or ,a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, \,,alXlf'Code). POLIC.YNO. ----~------- COMPANY 0 Copy ,~ hi"</ wrth -the city. D Certified c~py is her~by furnished. CERTIFICATI: OF EXEMPTION FROM (Th~.:C~,~~s~~~bf~s~i~~e)~~~t:~mrt rs for one hundred dollars (SHJO) or less) J'.?!-1 certify that in the performance of~the'work for which this pem,it 1s issued, I shall not employ any person m any manner so as to become subJect to \he. Wo!l<ers"Compensation Law~ of C~l1foinia J ' EA4H GAS SYSTEM 1 TO 4 OUTLETS • / BOILER/COMPRESSOR 3-15 HP Al')· ,Y.p l ,:;;;.;,,/1/ TOTAL PLUMBING P'7 _ c:;;r) I I EACHGASSYSTEM50RMORE • • .METALFIREPLACE ' -• ELECTRICAL · '7 .. 0 /) : '/ EACHINSTAl,.,,ALTER,REPAIRWATERPIPE /'/~ .. r;;;;f... f. VE-NTFANSINGLEOUCT /f.~nr, MECH/ .,. ] ' EACH VACUUM BREAKER . • -• ~(.! MECH EXHAUST -HOOD/.OUCTS ' 1 - ,NICAL --MOBILEHOME 1 , , wATER soFTNER '"' . '7.... ,-r;:r .RELocATI0N oF EA i=uRNAcEtHEA:rER l EACH ROOF' DRAIN (INSIDE) -- I TOTAL PLUMBING J 1/JJ~r:;r TOTAL MECHP..NICAL . t!J.rDO MOBILEHOME PARK lNSP SOLAR ., STRONG MOTION FIRE SPRINKLERS QTY. I ELECTRICAL PERMIT -ISSUE ·,i. ,0 011 QTY. SOLAR -ISSUE .. PUBLIQ FACILITIES FEE BRIDGE FEE NEW CONST EA AMP/SWT/BKf;l .I ii I COLLECTORS SCHOOL FE\: -DISTRIC'f 1 PH 3 PH I II I STORAGE TANKS Carlsbad EXISJ BLOG EA AMP/SWT/BKR I: II · I ROCK STORAGE Encinitas --1 PH 3'PH PUMP S?n Dieguito San Marcos , REMODEL/ALTER PER CIRCUIT' !'LAN CHECK FEE 1 ~--+--..----------,------,---~ " ' , TEMP POLE 200 AMPS ·• OVER 200 .A:MPS' .. NOTICE TO:...Pl'LICANJ:Jf. atier, makio;i thrs Cert,, , .ficate of• Exemption, you stiould become subJecJ to j 'ttie Woii<ers' Compensation provrsrons of Jhe Labor ·Code, you must -forthwith comply wrth such I· TEMP OCCUPANC.Y (30 !JAYS) . , -l·-. {. _ _ _ _ .. _ j . , pr$)V1sjons-or this it Shall be deemed ,r.evoked. J " .-w~-.. · (d·/{;---.r. 1 fOTALHECTRl~Al ---J. '[ J..·QG, ---'-'------<TO~~~:'S?LA_R. TOTAL FEE;S PAYAf?~~ _ j . ~-l5"0~ . I HAVE CAREFULLY EXAMINEO'THE COMf?LETEO "APPLICATION 'ANP PERMIT" AND 00 HEREBY E;'.xplrl!fipn. E~ery permiJis~ued byth!I Building·Of!lcial '!ndetthe pr9v\~ionso(this· * AN·OSHA PERMIT IS REQUlflED FOR EXCAVATIONS OVER · 0 j,. h~'reby, fflrm that there 1s a construction I ffi l~nl!r.n.g •OJ; cy fqr th~ performance of_ the v,:orl< for 1 · CERTIFY UNQER PENALTY OF PERJURY THAT ALL lNFORMAJl0N HEREON INCLUDING THE Coae ~hall exprre by fimitabon and become n~ll ~nd. void, If the burldmg or work ·5' O" DEEP AND DEMOt.lTION OR CONSTffUCTION OF . • · · ,, , . · authonzedbysuchpermit1snot·commencedw1th1n 180daysfromthedateofsuch ·. !!:! u.: >, -~ 0 0. E ~ I -0 '6 C!l 'E Cll .S! ,1i:;§: ; <( ,.l 1· ~ C . a: 0 en en Q) en en <( I ~ ,Q ai >- U) en Q) 0 e a.. Cll iii 0 N -,- (I) 0, C al, C U:. :--.' :!:,. C Q) ~ (,? ~ '0 'Q) 0. -en C: '<' [ -• #./!L-. I 0 wh,ch Jhr P.ermrt JS, rssued (Sec 3097, c,vrl Code) · z , 'ii• •· ·. I ~ , ... Lenders Name • . ., • , . 1~ , • •• , l DECLARATIONS ARE TRUE Ai.D CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS _permit, or if the .bull<jlng or work authorize<! by such permit is suspencjed or STRUCTUR£S OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND ST_ATE LAWS GOVERNING BUILDING CON-·L..::a::::ba:::n:.::do=ned:::,:-a:::l,;.(lf.l,.:L.,?,·ti;,:ame~a::,:fl;:::er~t::,:he;.,;~o:;.rk,;l;s_,;co:!!m!!;m=en~c,::e~d.!:fo:!!r..!a!.J.o=ri~od~o:!.-f .u1B,s0:-ld.,,aa1;s"'._77,-p~~~~'!""'------------------.... ST-RUCTION, WHE1'HER,SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY .AND LICA T' 0 . '<A' APl'ROVED BY · ' (I) :';:'. .s::. ~ Lender's Address ~ ' -l KEEP HARMLESS THE ·cnv OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST$ AND WAPP TUAE OWNER CONTRACTOR-CJ . ~, _ . : . _o~:ri;. __ . • _, ,EXPENSES WHICH MAY IN ANY W/i:Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .-,,,,_,..,...,,.v BY PHONE O . , , f,[··. _..,7, _Q, . ,, GRANTING oF THts PERMIT. . ____ , . , Lr , w-o 77 j 1 =-~;.,. ', "'._.. INSPECTION TYPE DATE INSPECTOR BUILDING I I .FOUNDATION ! REINFORCED STEEL . J f MASONR,Y l 1 . I GUNITE OR GROUT_ . ! FLOOR & CEILING SUB_ FRAME l SHEATHiNG l ' FRAME 1 \ EXTERIOR LATH lNSULATION I ,. ! .. INTERIO_R LATH &_ DR.VINALL 1 ! .PLUMBING l --I SEWER AND BL/CO i -PLUMBiNG 1,JNDERGROUND PLUMBING TOP OUT · l TUB AND $HOWER PAN ! 1 ' • GAS TEST i \ -.I ' ELECTRICAL 'I ' 1 ! Tl;MPORARY POWER l ELECTRIQ -UNDERGROUND I 1 i .. , ROUGH ELECTRIC .. ELECTRIC SERVICE I BONDING .A I I G. F. I. -SMOKE DETECTOR1 • I I MECHANICAL ' I DUCT & PLEM., REF. PIPING I ! HEAT-AIR COND. -SOLAR SYSTE~S VENTILATING SYSTEMS I .. . . .. t '1,1, • -I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. ! ---. JOB SITE FINAL PLUMBIN.G , ELECTRICAL MECHANICAL GAS BUILDING SPECIAL. CONDITIONS C.ERT QF-OCjlf ANCY ISSUED ! I I Flf:LD INSPECTION RECORD REOUIR~D~ SP.':_(;IAL INSPECTIONS INSPECTION . SOILS COMPLIANCE PRIORtO FOUNDATION INSP STRUCTURAL CONCRE~E ,OVER 2000 PSI i:,,._ PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING REQ. IF I INSPECTOR'S CHECKED APPROVAL I DATE INSPECTOR'S NOTES -. I .HIGH STRENGTH I 1 · I 1· SOL.TS 1 '· I . 1-----::_-'---.'--,,-----:__ ____________________ _ SPECIAL MASONRY I·~. . ~ "' PILES•CAISSONS L1~--:--t • ·-, f l --.L \ ,_,,~_f ~"¼ I I.., .. S_ "' -~· 1_, ,Jo._ .... ' -C ,-1 .. ,'! , \ .. -__ ,_._, 4.-~ , ,, ' ' ~ ,~-... -- l (. - 11-~ ._ f --i ~~ I' .. . ., -~ ~ ·1 USE BALL .POJNT PEN. ONLY & PRESS HARD APPLICAN,: 'FILL IN INFORiylATIO'_N WITJ:IIN SHADl;b AREA AND DEGLA_RATION$. . I • I 'a:: :·o· I y afftrm that.I am licensed under I ' . . o . ;provisions of cliapt~r ;9 (commencfng with , I • · • ·• · .. · • 12()0 _Elm, <;:arlsb~~. Ca(lfornla 9?Q0,8 (71~) 43§-5525. , . .. . . . ·-_. . . .. , . , . _ .CARtSB UiLDING ·DEP-ARTMENT A. LICATION &.PERMIT ti [ Sectlon.1.000) of .Division :3 of the, Business ·J JOB' ADDRESS •· · AV-. ST ·1bATE OF APPLkATI0NI BUSINESS LICENSE#. ·· VALUATION PERMIT NUMBER1 ::::; c !"!I, Professions Code, and my ll~ense Is In _ ·, , . , ' • . ~-,, RO. • . . . . , · _ LL .~ _ --fullforceantleffect. ·• -· · -· I Z ,"77 2-/ L , L . , , · · J}--/t-8 / Z 5 {--:O-/ · ·· ·· · · · C:- Z Llc.No . .,...----Class ~~ ! _c-.,. . . P--S· Ir m14..5. . . . . . ()} J} ft/ CD<tl ffr .... ·i:· . . .. ' ... r: O"'.\INER'S NAME· ·, • . ''' • I OWNER$_P.AON~-.• PRIM~ cd_NTRACTOR: . : . I' . c~~RV2'f"7, .ZONE, 5. --: 'i--..::> 'r. l. g_ ,. . ,,a: Ill :C•-._. 5 ·ID ~I· Ill z ~- ,,_he~e~y-affirmthatlamexem~tfrcimthe:Cim-, o,.L-L. · /IA-Lit.:>. . · / . r>.1e:/ 1ir:> .. 0 /vwi b,N"a . r""'o--:z-..... z75i · · E tractor's L,~e.n~e Law for 1he _fol_loy,ong·,reasgn _(Sec. J. . DJ , · . . .-· . , J/ Lr l: #L . /-,-I ·1 . :::> 0 ...7 , ~ . · 7~1.5-Bu.soness an~ Profe~su;m~ Code: Any city or l OWNER'S MAILING ADDRESS .. , CONTRACTOR'S ADDRESS ~ ' LICENSE.NO, PLAN 1.0. # BLDG USE CODE ' ;~~r.'~m~~b~~,':~~1~n; ;~~~ai~'! ~~n::~g:Ure,' . · ·<? 1· _ · · -· µ;J.. · ~ · · · b , / // ·r , /) I ~ , · 7 · · ; I prior to,its _issuance als~ requires tt,,e' applicant f'?r ?> 2,,, Ul z, C::.,v C . 7 c; s -Z, 5 I l( 4-l) fJ . ,fi I ea . t::.. ,d -5'; C 3 7 3 5-a . ,. . . 32 such--perm1t -to. fol,e -a signed, statement that, he 1,s j . , · . · · , , . · · • ' " · . '. .. o licensed -~ursµ'!nl to.,,t~,e. P,•C?visioqs of ,the 'Con-I .LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO, , DESIGNER STATE LICENSE# STANDARD PLAN# . BUILDING SQ. FOOTAGE c, .tractor.'s,Locense Law (Chapter 9 commencing with .• • . -, . , -· ' · · , --· 'Sect_lon7000of_Dov(~io~3oftl)~Bu~inessandPro-I ' ;·' .· ' . ' 1"1·1.£:YBl:3040 .'.'i!e .50 1r f1'~.s1orsCqde):or·11>at•1s·exe~pt,·therefr~m·a~d.the 0ES;~10NpFWORK · 1 , .J C: (' . _,. ,.., _·.,.,-. , .. _ ... 1:1 9 ·• ,tiasos for the alleged e~empt,on. Any V\olat1on of I • -J,., Atv IL,;, ~ , ~ < _ I , _,,, . DESIGNER'S ADDRESS . DESIGNER'S PHONE -111 H'I I ':1·Q4·0 f 0/ J ·C./ ' · Sectoon,7031.5 by an-applicant for.a permit sub1ects-· I -, · · · , · ~, IV "-" , ' · ,., ••<l,i "' lo, I.' 8-1 , '!l I:':' 50 .trH! applu;ant tR a ciyil pe!laltf"of n?t 'more than fiv~ , f · · · , .. • • • • i --• -•· • , • -W ~ ti "-' hundred dollars·($500).. · ( , · ' ' • -·· . . • . I -•. • • • • . • • .. •• O I, as owner,ofthe property,.o( iny'einpJoyll;!ls-:,, · • , F/P. Ft:R'E.LEV,. .. \ilrith wages as theii Sol~ c;:0Jl!per~tion1 .will:.do the, l 6.. . ~::(~~t~'&U'.°~~oi~:,S~~o}~~tet!~i;';igg:r~~'. i . . . . . ,_ vd· NO The Contractor's License Law does,not,apply,to an .. ' . . -.... ,.. .. .. . " I ' ' ' ,. . I . .. . .., :I ' . . ,. owne( qf,prOPf!rlY who puolds or improves thereon \ -C~NSUS_TRA,CT , '· GP LANO U~E . ,_PARK_JNG•SPACE RES UNITS •• 9RAOIN~ f'.ER_MJT l~SUEO : R_ED!'VEL0PM_EJH ~ndwho-~oeSs~ch~P~l;limSelforthroug~h1so~n, ~ ' • . • , , . ~ A:REi6. . . _ ·emplqyees; P.rovided that:'iuc~ ,mpro~~ments are I' · · · · · ·-, Y•D N, D yEJ NO j j· · · I ··1· ·vu not mtende1·'or·otfered, for .sale: If, however, the --· · · · · .. · · ' • buildoi,g .or impro~~inent'is.ssild' withon:,Qn~ year qf I , . . • , ,... , ; -. II 'I : -· ·1 , . .. .. , . . ... . .. . . i'Y. PLUMBING PERMIT -ISSUE · ,._ ~ QTY.:! . ·, MECHANICAL. PERMIJ -.ISSUE -,' .. . . -· · · · 1 E~cH F1xtu.Ri: TRAP -rJ ~ v . I iNsT£1..1.. FuilN. o.ucTs upfff 100.0.90 s-ru Q", """' L ,Bl.)11:DING PERMIT SUMMARY/ACCOUNT NUMBER' ·sT~~ll~.S 0CC,!=>P I ·EDU TYPE -~cc LOP.D,,r FIRE SPR 1 ,CONS1: n NO . f, E.o:OH"BUltDING SEWER •, . • · . • 'r,:SL '. · ·' ; OVE'R 100,000 BTli . • ·-·---. __ ,,.,... 1 ~I •. SIGN'PERMIT . EACl;l,WATER HEAT.ER ANO/OR VENT --,__ -• / . J ~OILE'R/COP,IIPR_ESS!)R yp_:ro 3 HP _ -~ PLAN CHECK . . • ~ , ~m, -~ I PLAN CHECK / _EACH !iAS ~YSTEM 1 TO 4 OUTLET~~ Wl-l_ ,aJ~ o/.;M_ ~OILE_R/COMPRESS'OR 3-15 HP . • TOT'AL Pl:UMBING --?{_I"} - , • r"' • ' --... , EAOH GAS SYSTEM 5 OR MORE · · · · ·METAL Fl.REPLACE · · .. :l-1 TOT'AL Pl:UMBING El:ECTRICAL ., ] EACHIN~TAI_ ... ALTER,REPAIRWATE~PIPE. . ..,~,r: VENTFANSINGLEDUCT ___ . . -•. -MECHANICAL . J' -~ I ,_., .. ,_, ____ .. .1 • • E~!:H VACUUM BREAKER · . • . . MEOH ,EXHAUST -HOOD/DUCTS , \I' \ :i '·· _... ·-·-MOll'iCEHOMe-•. :• ~ .. :· _ • . . l WATER SOFTN~R ----::.-~-....... ·-... "'t'..:' ' -. -RELOGA'FION·Of'EA'FU'RNA'tEit-iEATER.. • • . • MOBILEHOME PARK.INSP ' \ .... ·0, l·hereby,afform that l•hase a certificate of consent to self-insure, Or a, certificate of 'WOrkers' Corrij:)eOsation lnSurance, or a·certihed copy thereOf • (Sec. 380Q. Labor ,cc,ae), · · POLICY NO.---~------- , COMPANY D Copy is toled wit_h the ~ity. ·o: Certified copy is hereby /urn,shed. CERTIFICATEc OF EXEMPTION FRO!,f hi'Z°se'::~i~~s~~~bte~s~~oP~~/~~~~:~~it 1s for o_ne hundred dollars (SHlO) or less) --- \ , EACH RQO~ DRAIN (INSIDE) • , • SOLAR I ' -. .__ TOT,!;L MECHANICA'L • I . STRO,NGMOTION ! TOTAL PL'l.lMBING j . .?b ~ \0 -_ . FIRE SPRINK~ERS --! . ·,.: ~ . -----...,_ PUBLIC FACILITIES FEE I QTY. ELECTRICAL PERMJT -ISSUE QTY. SOLAR· ISSUE . 'BRIDGE FEE : , . NEW,CON~T EA AM~/SWT /BK~ _ •. COLLECTORS ' • .SC~09L FEE -Ql~TRICT I ' · 1 PH . 3 PH • STORAGE TANKS • Carlsbad EXIST-B(DG E-A AMP/SWT/BKR . • · ROCK STORAGE · • Encinitas 1 PH 3 PH .PUMP , • San D1eguito T~. .2 ci. C. <( I ..x: C i:L 0 en en Q)• en en <( r == .Q a) >- rJ)' en Q) 0 0 a: ~ 0 ~ Q) 0 C <ti C u:: C. ~fy that in the performance of the work lor 0 I ;.t,;,i;-Th;s permit is issued, I shall not employ any person 10 any manner so as to become subject to th~ WOrkers' eompensati6n Laws ot C3htorn1a • _ . . I II I PLAN CHECK FEE I ~ San Marcos -1 I REMOOE UALTER PER CIRCUIT TEMP PO LE 200 AMPS ,;;: OVE.R 200 AMPS· C Q) . ~ CJ . a:[' 'Ill. C z w . ... ~ . . NOTICE-1'.0 APPLICANT: 11,.after makinJ.thos .Certo-ficate·of Exeinpt1on, you should become sub1ec1 t<> -the Workers' Compensation prpv1s1ons of \he Labor I ~ e, · ou must forthwith comply wolh · such pr ' 100s/r :hos permit shall be cleemed revoked I ~' I 0 I hereby • affirm that there 1s a ·construction lending.agency tor the p~rtormanC~ o{ the work for which this permit 1st'1ssued .(Sec 3097, C1v11 Code). I I ·1 . 1 I I Lender's-Name __ ...,..,_,_--,~---'------,' Lender's Address ___________ _ I I TEMP.OCCUPANC:V.(30 DAYS) - TOTAL EtECTRICAL l. TOTAL SOLAR TOTAL FEES PAYABLE "1 ¾~- I HAVE CAREFUL!, Y EXAM IN ED THE COMPLETeD "APPLICATION AND PERMIT" AND DO HEReBY 'Expiration. Every per_mi_t is!ued by the Building Official i!nderthe pr<?vi~ions o(this * AN OSHA PERMIT 1$ ReQUIRE0 FOfl EXCAVAT,lONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm_,tabon and become nf.!II ~nd void. _If the building or work ,5• O" DEEP AND·0£MOLITION OR CONSTRUCTION OF DECLARATIONS ARE l'RUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT JS aulh~'ized ~y such ~rm,t Is not-commence? w•th'" 180 days fr<;>"'! the date of such STRUCTURES OV°ER 3 .,,T.ORIES IN HEIGHT · permit, or ti the building or work authorized by such permit 1s suspended or ~ · ISSUED:-TO COMPLY WITH ALL CITY, COUNTY AND ST ATE LAWS GOVERNING BUILDING CON-L.!a~ba~n!:do~ned~a~t:.!a!!!n.l..!!li:!!m!!e..!a!!.!ft:!!;er~t!!.!h!!!.e.!W!!!O!!!rk~i!!_S_.!:C:!!,O!!Jm:!!m!!e!!inc~·e!!:!dc.!f!!!o'rc2a!.J!!~n!.!e·od!!!.J:O!!.f .1'180!!!!.Jd.!,!&!X§;s,_::~::::P~~~~~----------------~"""" ~1~~CJli~~i1tt~t:iRcf-ivEg~~fJ::!:f A~~~~1-A'Lti~faf~fi~~-TJi~~~~~~~;~i~~; 1~g APPLICANT'S Sl~NATLIRE.,.!' OWNER o APP ~D a DATE/, . : EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , 1 d 1 · · JJ,/: (l' 11 t r/l7 GRANTING OF THIS PERMIT. \7" ~.,re.--~ ' J /I( I . . b / l I V 1'I .. f [ 0 0 Q) C. en C ~ :c ~ .. .. INSPEQTIO~ TYPE 1 D,6.TE INSPECTOR BUILDING I I 't FIELD INSPECTION RECORD . - •FOUNDATION· -1 '. I REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL I ,, .. ~ r· REQ. IF INSPECTOR'S MASONRY ! INSPECTION CHECKEQ APPROVAL ~-.:y GUNITE OR GROUT SOILS COMPLIANCE FLOO~ & CEI UNG SU'3 FRAME L PRIORiO SHEATHING ; ' FOUNDATION INSP . , f l , STRUCTURAL CONCRETE ' FRAME. I OVER 2000 PSI . ,• PRESTRESSED EXTERIORL.ATH-1NSULATION l CONCRETE t '. INTERIOR LATH & DRYWALL ., POST TENSIONED PLUMBING I CONCRETE I FIELD WELDING SEWER AND BL/CO j --~/7 HIGH STRENGTH PLUMBING UNDERGROUND T F/lr' BOLTS , PLUMBING TOP OUT , SPECIAL MASONRY I TUB AND ~HOWER PAN ! l GAS TEST I '1Lr::;::,1CAISSONS ' ELECTRICAL l TEMPORARY POWER l i' ELECTRIC UNDERGROUND I ROUGH ELECTRIC I ELECTRIC SERVICE l -\ BONDING .~ . I '' G. F. I. -SMOKE DETECTO~. I , MECHANICAL i - ! DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTE~S - VENTILATING SYSlEMS I I CALL ;OR FINAL /NSPicnoN ~HEN ALL APPROPRIA T.E - ITEMS ABOVE HA VE BEEN APPROVED. .. JOB SITE FINAL J -en_,)/ PLUMBING I ELECTRICAL .,, -?,, "¥ u -- I MECHANICAL 'I h ''-//''. /J // I I GAS I .. -/J ,-nVIII. , ;:µ I BUILDING I ///'./ I V' I SPECIAL CONDIT.IONS I IV CERT OF OcaJPANCY ISSUED I II .,,_., -., . INSPECTOR'S NOTES DATE --- .. ';0) /$<., .L,, ;:, ~ - I -' . \ -·-. -· \ ( ,, ... \ ·. '"\ ' --. .......,_. -,- k7 ;,,g ... . ' ; ' - ' . .. ' . . -. . , . /~1/i#F~ ,, '"f P/ 7- _: •----.. e -~. . . ·~: ' 0 :1 ._here~t ·afflrrn'•that I am IIC81'!S8d und!3r· ... • , O , ,,PfOY!slpn,s• of Ch!lpta,r 9 .(COllJITI!l{l~lng. ',(,'It~ . · ·ti'[· ~Uon. 7000) of Division ·3 of .th:e Bu'slness . , ·c: ·· and· Prof4!1sslons Cqde; ano my license Is In II: full force and-affect • · • • · ' ~-Lie No,C.ll~·3,ia?,1(;/;1ass C,_ -H~ -:8r-··. ' .. · '. . · .. u,· z 0 i=' ·C re. :5. frl· C "· ffi1· . .9: 5 ~·1· ·W· z 3 o•-- I herebyaffirin that I am exempt froni tfie Con-tractor's License Law fodhe following reason, (Sec. 7031 5 BusmeSs.and Pioiess1oris Code: Arly city~or · county' •which requires a permit to. ,construct. ' alter, ifnprbve, defll61iSh·, Or r8pair, any ,st'rllcture, ( ,prior to 1ts· issuaric£! ~ISO requir8S the' @plicant for such permit to Ille a signed statemerit that. he is \ hc~nsed .p~rsu~nt I~ the provisions of lhe. Con, [ . tractor's. License Law•(Chapter·9, commencing' with. Section 7000 of Division 3 of the Business and Pro-I ·fession~ Code) o'r thatnS exempt thereti-Or;rl and \he·.i . 1[ basis for th!' alleged ~xemplion. Any violation· of Section 7031.S'by an applicant for a permit s~bjects { tfl<l aP,Plicant to·a ciy1I penally of nckmore than five . -!'undred cfollars·(~). ' . • ·.. [ IJ. ,, .. ¥: .owner ,of !he proP!'r:tY, or iiiVemplQY."!lS . [ with wages·as their sole compensation, w1ltdo the work, and the.structure is not intended'cir olfereo for sale (Sec. 70«, Business ana Professions Code: -The Contractor's ticense,law'•does•not apply to an owner of property l(iho bui\ds ·or improves !her.eon and who does such 'work himself or through,1JIs own ·employees, providOO tha.t such improVel'Tl8fits,. are not intendi¥.! or offerea for, sale. If, ,however, the buil~i(\Q qi' im.P,r~veffien) if? SOid whtJill ori13 year' of completion, the owner-builder will have the. burden ,JI·, of'Prbymg tha:t he d1d~n91,build or 1mProv8~for· ~he , ,purpose-of sale). '. , ··1· ' .. 1,, , 0 I; ~s' '~~n~r of' the property, am exclusively · con'tractin!ir with licensed contractors to Construct l z ,0 ~ z•· w A; :E 0 0 '!!!. re w :,0:: -~ 3 . • ·J~e'.'Project (Sec'. 7044, Business and Professions Code: ,The Contractor's License Law ooes not apply ! lb an owner-01 'property .wtio 'builds or improves . •.thereon, an~-w!iO contre~t.~ for e~ch pfojeqts with ,a coptractor(s) Jicense pursuant to the G.oritractor _s I· 7:icense Law).. I . . · D· I am exempt•under Sec _____ ,B & P.C. for this re3~0n --' I I ! 1 D !·hereby affirm that I-have a certificate of consent I to self-insure, or a certificate of Workers· , Compensation insurance, or a certified copy thereof f (Sec. 3800: Labor Code): . ' POLICYNo.'1'1:fG ~'2~612.Di_ 1 coMPANv F1Ri;:MAN:1o l=uNI? Ias.t a:'Copy is feted with the city f....\L. ' ; 0 Certified copy;~ l]er~~Y furnished. } , , • I ., CERTIFICATE OF EXEMPTION FROM , ' WOflKERS' ,COMPENSATION •INSURANCE (This section need not.be completed ,f the permit is for one hundred dollars ($100) or less) 0· I certify that in, the performance of the work for which this permit is issued, I ShaH not employ any person in any manner so as to become sub1ect tQ the Work~!s' ·eompensat1on laws ?f G~liforn1a. NOT!C!: TO APPLICANT: If, after mak,Q;J thos Cert 1: _ flcate.of Exemption, you should become sub1ect to the Workers',Compensation provisions of the Labor Code, you · must forthwith .comply with such Provisions or th1S permit ~tiall be deemed revoked. t I USE BALt POINT PEN ONLY·& PRESS HARD . APPLICANT TO FIL.L iN INFORMATION WITHiN SHADED ARf;A,AND DECLARATIONS .. . . ~ . CARL.SBA OILDING .DEPARTMENT -, ICATION &. PERMll -A ' -: , , ::-·-.. 1200 Elm, q11rls1?.ad; California. 92008 (714)'438-5525 .. . .. --• * ~~ ' Joa AooREss-· Palomar Airport ausine1:;1s Park ' AV.'ST, I OAT,E ,QF APPLICATION I BUSINESS LICENSE # ' VA:LU.A.TtON PERMIT NUMBER ' '.2221 La,s Palmas. Suite E & F. Carlsbad. CA • RD.· 12-11-81 . 2:J,.294 Less than $5 )0 POl~PI ,. . ' . OWNER'S NAME I ~ . . OWNER'S PHONE , PRIME,CONTAAC,TdR CONTRACTORS·PHONE # . ZONE %1-Lf.S'""c/- .. " Bradshaw·· Engirt<?~rinq ·283-3966 o\l'liNER'S MAILING AOORE:,lli CONT-RACT(?R'S ADf?AESS San Diego LICENSE NO. PLAN 1.0. # -, BLDG USE CODE " --445.5 Twain Ave.CA. 9,2i20 . , .. Cl6--383330 -· . ' ·LOT . BLOCK . I-SUBDIVI.SION .I ASSES~OR PARCEL NO. -DESiGNER STATE LICENSE#'. S1'AN ~("lf ~~/h~ 53 6 ,.BUILDING SQ. FQOTAG!'b ., 1 . --I 6i,f:i qESC:RIPTION,Of'Y,IORI<; f"J.re s~;:inK.ter work. . 000153D9 1/:?/f 1?1 !:l'i: .. , ·rr: c:n In.c:::i+:::i11 annr.r.v. 7. ·one:! +r. no,,T f"i:>i Tirirr -DESIGNER'S ADQRESS .. . ·.DEStGNER'S,PHON E -. ·, d.' . ' .·:---_f v..-·~~ • .,,_ - 1L.4-I. • A,. A_ iu, '• ~,, ,_. . . -i~F/P 'F\,R ELEV' . NO ·OCC,GP EDU V V STORIES . . '. , '• . . ... . . ' . "<0 N_D. , -, -·· ·-, , ~-~NSU~ TRACT· 1 GP LANo_u·liE r·PARKI_NG SPAC.~: Rl:S·li~ITS, ·I ,GRADING ~ERMITiSSU!cD ., f:!EDEVELOPMENT -TYPE OCC,LOAI? 'FIRE SPA ,, AREA . . ' , CONS'. .. ·vo ::.N_,q • yQ,NO '. ~ No_t Valid.Unl~s Machine Ce;tified 'I' • ,, vO ·NO . : . ~ . . . ' :, . ... ,•. I ... .. ' ' • ~-! ' ~ '• ' ,, ... t· .. . . QTY. PLWMBING PERMIT· :ISSl),E QTY.' MECHAN'IG'AL PERMIT~ ISSl)E SUMMARY/ACCOUNT NUMBER ' ., , .. . . ~ . . -. . ~ . -.. ·, ,. EAC.ti FIXi"URE TI\Aff " 'IN.STALL F~RN. QliC.TS UP To·1oli,090 !!TU : . ·su1LDiN.G PERMIT !• ~-EACff BUI.LO ING SEW~R .. . OV.ER 10·0,QOO BTU ·-... ·-SIGN·.PERMl.f ·, .. ,, - BDILER/COMPRESS(jR LiPTO:i°Hp' "' . PLAN·CHECK-'· I':... ~S""'o , .~ACH.WATEiLH~AJER ANPIOR VENT .. ' ., : E/l:CH·GAS SYST,EM 1 TQ 4 OUTCETS. BOILE'R/CdMPRESSOR 3-15·Hf TOTAL PLU~BING I ' ELECTRICAi:. ! ,EACH_ GAS:SYSTEM 5 DR MOR~ -.. METAL FIREPLACE -.. .. · EACH IN$~AI.., A:LTER, REPAIR 1/>!.A:TER PIPE VENT FAN SINGLE DUCT MECHANICAL .. •, ~'ACH'VACUUM !!REAKER . . MECH. EXHAUST -·HOOD/DUCTS .. .. .. MOBILEHOME " WAT.ER-~QFT~ER : .. /lE°LOCATIQN ,OF El\ FURNACE/11E~TER MOBILEHOME PARK INSP ~ACH ROOF DRAIN (INSIDE) SOLAR TOT.c;-L MECHANIG·AL " .. STRONG MOTION .. ' ... TOTAL PLUMBING I I -FIRE SPRINKLERS /t). 019. ( PUBLIC FACILITIES FEE QTY. ELECTf!ICAL PERMIT· ISSUE QTY. SOLAR • ISSUE · · BRIDGE FEE '. NEW.CONST EA A'MP/SWT /BK f:t · COLLECTORS SCHOOL FEE • DISTRICT ·, · 1 PH 3 PH STORAGE TANKS c·arlsbad E-XIST·BLOG EA,AMP/SWT/BKR . . -ROCK STORAGE Encinitas · 1 PH 3 PH PUMP , S_an Dieguito .. REMODEL/ALT-ER PER CIRCUIT .. PLAN CHECK FEE San Marcos " TEMP POLE 200.AMPS .. .. -~ DVER·20Q AMPS ~ . .T,EMP OCCUPANCY ·(JO DAYS) - - '•' .. . -. TOTAL ELECTRICAL I . ' I ~ll~(c,· , TOTAL SOLIIR · TOTAL FEES PAYABLE; - re[ 0 I· hereby affirm that thel'e 1s a construction lending,agency tor the performance of the work for wh1Ch this permit IS ISSU~d (Sec 3097, G1v1r Code) l I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION 'AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ot'this, Code shall expire by limitation and become null and void. If the building or work * AN OSHA PERMIT IS ReOUIMD FOR EXCAVATIONS OVER ~ w C z· -~· ,· '< . Lender's Name··---,------,--,-'--,-,----"----"-- ·Lender's Address ----,--~-------- I f l CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· STRUCTIO,N, WHETHER SPECIFIED HEREIN OR NOT. 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 AC~RUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. . ·5' O" DEEP ANO ~MOLITION °" CONSTRUCTION OF authorized by·such permit is not commencacf within 180 days from the date of such STRUCTUA£S_OYER 3 ST°"IES tN HEIGHT :~::o~ 1!11:~/r~:i~ff.~~t!~~r:~!h~~~a~l.~~~~ f~';J~di~r5f:88d:.~ or ~ APPLICANT'S SIGNATURE 1f. OWNERD CONTRACTOR §{ APPROVED BY DATE. ; ~~-: ~; ~ ~., 1 ,4.Jl,.,..+; ~ f BY PHONE tJ .._, •' . -~IZ-21-/1 . .. ~ ii: >,· nl c-c. E ~ I 'Cl 0 t:.C?i I Q,.I rL C ell :2 C. C. . <( I .::.:: C a: ·o .gi Q). gi <( ·I 3: .Q Q) >- fl) fl) Q) 0 0 a: ell <ii 0 ~ Q) 0 C ell C ii: :c. C Q) iE (!) 0 -0 Q) C. rn C ~ :c ~ ...... ~- ., .. J .,. INSPECTION TYPE I . '• DATE INSPECTOR BUILDING 'FOUNDATION I REINFORCED STEEL i MASONRY : ,. GUNITE. OR GROUT FLOOR, & GEi UNG SUB FRAME i . ' ' . SHE-ATf·PNG •/ : FRAME I EXTERIOR LATH lNSULATION· ! . . L ' INTERIOR L,.ATH & DRYWALL l '< PLUMBING SEWER AND Bb/C:0·1 • '.-.. '··-' l -.. 1 • ...,,; + ' -' -' -.. ' PLUMBING UNDERGROUND' ' . I PLUMBING TOP OUT ! 1 j -~· .. TUB AND $HOWER PAN ' ,, GAS TEST ! . ' . ,. ELECTRICAL "" ; I.' TEMPORARY POWER 1 . j I ELECTRIC UNDERGROUND ! ROUGH ELECTRIC .. ELECTRIC SERVICE BONDING .A G. F. I. -SMOKE DETECTOR'. MECHANICAL .. I DU~T & PI-EIVI .. , REF. PIPING ' HEAT-AIR COND. -SOLA;R SYSTEMS . ,. VENTILATING SYSTEMS ; CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. . JOB SITE FINAL PLUMBIN'G ·' ELECTRICAL MECHANICAL GAS ·, ~ 1 ~ . FIELD iNSPECTION RECORD . REQUIRED SPE;CIAL INS~ECTl~NS INSPECTOR'S NOTES . lt•iSPECTOR'S. . INSPECTION REQ. IF DATE ·' CHECKED APPROVAL -! SOILS COMPLIANCE ! PRIOR ro I FOUNDATION INSP I I "STRUCTURAL CONCRETE ' ' -.. OVER 2000 f'SI - ( PRESTRESSED i CONCRETE . POST TENSIONED ; · CONCRETE ! . ... FIELD Wl;LDING 1 -: HIGH &TRENG:fH : BOLTS 'l SPECIAL MASONRY I ' PILES1CAISSONS ' ' 1 I r - . , .. 1 . 0 ' - I t . ' ' . ,' . I ' -I .. .-' ·. " ,,..., -.. : ' ~ .. I J ' INTERDEPARTMtNTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT ;CNDVS1\2..le(l... O.NE _ ___..fJ_.,,,---=-W\_.:_~---LOT SIZE ALLOWED UNITS PROVIDED OCT 20 1981 CITY OF-1 CARLSBAD · BuHdln.g Oooortment --------------------'-------'--- PARKING SPACES REQUIRED A\,~ PROVIDED /, % COVERAGE ALLOWED _____ v"--+.e_ ______ PROVIDED--__ -_ -_0::1:'~==· =========== BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED bl.Le INTRUSIONS _V"'---\(~'; __ _ o-[,Z-= LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ---------------------------------- ADD i TIO NA L COMME.NTS: DATE ------------, ' ENGINEERING DEPARTMENT ~.o.w. INDUSTRIAL WASTE IMPROVEMENTS ---------------~-- SEWER CONNECTION DRIVEWAY LOCATIONS ----------- GRADING PERMIT EABEMENTS DRAINAGE ~-------------------- LEGAL DESCRIPTION ADDITIONAL COMMEN_T_s_U,_~--e:-..-~--~-,~.~#~f-~-------------- OK TO FINAL DATE ------------ -Zr,.~ , ';J r0(ZM /£.d)_ -IJ ttJ ,JEf:_ --r7J £,{l.£. tJoi)u:> 6 E- FI RE DEPARTMENT ~£.(2.., -F'£f£.S E\. 11/t.,L , SPRINKLING SYSTEM ---------~--~_F6E PROTECTION EQUIP._/ ______ _ FIRE ALARMS EXITS -----------------,~ FIRE HYDRANTS LOCATION ---------------------------- ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE -'-----------'--------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _ '· APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD YJf SE 1827 ENGINEERING DEPARTMENT ' .. 438-5541 ~ i 'If l FOR APPLICANT TO FILL iN ISSUED BY ,J Ir -1 DATE ISSUED /1,..I J ·Ii BUILDING 2 22.i--LA::. f fat Ir/ I/ ;[ ~,"-:··- ADDRESS -:·'\,....,. -· cJ· r VALIDATION ...... t3 p . '4 OWNER l-.c· : i l r I l I . ·. l.-:-,;,b I }'A£.£ C,t vJ I i t l I. I· i f,,: ,,, 1 MAILING ADDRESS LATERAi,. CHARGE COMPUTATION , CONTRACTOR STANDARD 4" (Max. H. 30', v. 10') . OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30', V. 10') OVER 30' H. @ FT. NEW BUILDING I EXISTING BUI.LDING I ,.....--OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST SERVICE CHARGE (REPAVING ETC.) TOTAL LATERAL CHARGE REMARKS: LINE COST DATA " . " L . .';:.n,/ Jl L LA ..,lf\l 0/< ASSESSMENT DIST. NO. FRONTAGE COST PER FT. TOTAL .• ~ OTHER· . LATERAL LOCATION h CONNECTION FEE t; I · I ..,; /OtJl · /tip /4 ' { Cl') NO. UNITS' . · COST PER UNIT TOTAL l/ · r'-/' r'\ PUMP STATION FEES \.. ~ \.l/ NO. UNITS COST PER UNIT TOTAL t I ST. I' .,--~ ,., *~ TOTAL CHARGES (LATERAL ETC.) -,~< ·f-' ....:~ ~~ LATERALNQ. INSTALLATION DATE •;.:"',, -. ~ WHITE: Engineering· GREEN: Finance YELLOW: Sanl/ation PINK: Building GOLDENROD: Permitter I \ \ , .. \ .J . ~ ·--~~- /")~(-. . 1-~~ fo .; . ~~ ~ s ~ " ~ \__' ./) ca \) ~ "'I ? ~ ., \ .• .: ......... . . 11'· ·; •,. ~, .... , ) • ...• , .. ·g.9B NAME & LOCATION: · . ' ,. ~ I. ~ I' ~ i t• " ' r ~ I' l I I ' l l Palomar Laundry 2221 Las Palmas Suites E & F ~ Carlsbad, CA . £"'JC 1-sT, I . ..a.A~<>-ock . 1 T,"' .· · ... ~'''"" N., ,c..J~~------ , .. ·5 ... 4 L. .._ . .. f'2...-0 -~9.-- ~. ----------------· --~ >I : . -~.-_:.:::}Tf~:::r-, ___ :. ·.: ... I . ~-s" · Lf-.S ... t · ----r I t 7f -7,'-· 11J ·':> "O ; . . ~.N . -~ Jij I 0 - ? t-~ ~ ---. -·--.. · ··-·· ..... . . . &~/----:---:---:-:----· CITY OF CARLSBAD ... .:. : ___ _::-5 ":t"D{¼C::£::-::i4~~-S~~_:__:..::·_·~-----------·. ·"'----·- fv,r~cJJl>'-1 s·-'¥, ·;,tl :-·-a'.! ' A -.:""-m.>."""'-/,;, .• ~'""'"'r} ,.,~u i.Z~"' P.:i ~ *-ii.1 &it.Y' By~~-- ; .. . Dat~_(._Z,::;:f._f..,_:f (_ __ _ 7 . -~. . ~-· . r ,,. • 0 ,, , ... o \ .. ~~ ti1/ ·. S.DHEDULE FlRE DEPT. lNsi::iECTlONS_ Al\!D · TESTS 24 :HOURS IN ADVANCEi -~P--~_91·1; :(7~t)4138 ~ q,921 ·. \S• .. ·.-.:.:. ;. -··· .·. I -. : : .. , ..... ---.. "'.-.. --:; ~ -:~ ·- ---~ -,L-Q 3- ; 9 r~tid~ ~ ~P ~ ---. ------- ·--r:-1~ -'11 t 0--,----~ i=. I t t _; I .. ! ~ ~---....J \ ' ,'9 I \D _J4 t-J.T~.- --·-· <:' ~ ''' .. ~~ Q;;) ~ 0 .r= :.+--0 11 l~ L_ __ --,--___ -J-, /~ BOILER.. R..M. tJ.,. S. BRADSHAW ,!;~/ .......... 445_$'~ ·• SAN DIEGO, 0' ESGIL CORPORATION ~e wo~JG I w v~J we f@na;n,-t Im p12.tJ vern ~iris /;y J4 . 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I). ~111t 1411.10 DaGS Ndr /1YtC1...1,,1v<9 Je301/..b?2 !2t>tJYJ,1 6Ji:rf)t,j1p;;1BJ,ft' ' C:4A.-S.. .!)2'°KP r..:..r:=u 1"Lc..-t:::-DQ/V) KUSTI Di ,~1(1:: k"E~ Vf RrfI_f"7t£:I\J "f"'" ,, DISTRIBUTION: A ;PLICANT _I _ CITY _ L CH!!:t:KER ' Date, 1~/3/fl Prepared by1 CJ& C .-1,.,,,, I "-,:.l~1fl.D Jurisdiction 17 (;..""""-,lu 7 ·-------- VALUATION AND PLAN CHECK FEE PLAN CHECK NO. <?;/ -'-/, S-4 . BUILDING ADDRESS Sv1i"E: e'-·P zz.z.J L14s Vr.n..,nn..s APPLICANT/CONTACT f-l:7"/ilZ )<tr:: {;c:z,-;J,;d ,4,/ PHONE NO. L/-3 tf -;;i_ 1 S-G BUILDING OCCUPANCY /3-2 L~J,r.uvorJ.-1 DESIGNER PHONE 11 TYPE OF CONSTRUCTION {lt..r-(.)f), 1,1 ... iLJ CONTRACTOR PHO-NE--1-1 __ _ J :, BUILDING.PORTION BUILDING AREA VALUATION VALUE MULTIPLIER 181-~~= 2'99 OP P--tttT c:3810d -I ~-pt.1)-::.) ~ :.!tf )( 2.91 = S:.3 8 ol. '8°00() -?.91 ~;:. '77 0/ 111101..1..t. 7'~21 tf ~ ( :J.l~-16-~ 1):..(o f.11:1/ ~ tf-~ z_aG, ' ' , - - Air Conditionin~ Commercial -- Residential Fire Sprinklers Total Value S/538 OCf_ _..;,;,,- I Building Permit Fee ___ i_~-4~·_,_o_O ______ _ Plan Check Fee l ~ '/ ' i ~ ---------"-------- COMMENTS, ~ ba.'ib~. . ' . -" ESGIL CORPORATl()N - .,-, ('/ (¥12,,/,,;6 !BfJ 0 Pt-/4,-;/ Ch k 1 g I.; L/. ;;;,-tf - Ylte wore~ 1 rtl-vt:) we -/-enOJn,-f I n--1 p,2.0 vern €-1,1,is v4~ 14 . 'Cc) rl-11-r/ 6r-,-Z C.. 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N<JT /lv~t-1.,,'~ 801U:72 /2<;(.}n,7 (::rj)µJ/J111e+Jr &fA--S.. :j}!!'J_p C:...~f.2Jll~C::-1 60/\./J.~U<Sn Dr-.p ,[Nlf.l... i:--~ .,:JV! l<..f:=_r/Jt=-rJ .,-"' DISTRIBUTION: A 'PLICANT _ CITY _ L N CHECKER . • > ·DEVELOPMENTAL SERVICES O Assistant City Manager (714) 438-5596 ~ Building Department (714) 438-5525 . O Engineering Department , .., · ·. (714) 438'5541 , • O H·ouslng & Redevelopment Department (714) 438-5611 D Planning Department . . · (714) 438-5591 . 1200 ELM AVENUE . CARLSBAD, CALIFORNIA 92008 .. · ·_QI:itp of <!Carl.sbab. SU.SJECT: TESTING ELECTRIC MITER ·oN PERMANE!~T BASE. . . . ~OCATED AT c<,:Zi?,_/x ~ ~~~~~--'==---_.__-I S FOR TEST I NG P.U RPO S Es-. ~t>~N LY • . -THIS DEPARTMENT RES ERV ES THE RIG,HT .TO REM9VE THE ·METER AT ANY. TIME IF ,,. . : THE REQUIREMENTS dF ALL DEPARTMENTS ARE NOT· C..Q:MPLIJ:D WITH EITHER DURING · C0NSTRUC1ION OR AT T[E TIME THE PROJECT rs COMPLETED. ,-···PLEASE RETURN THIS STATEMENT WITH YOUR. SIGNATURE TO THIS. DEPARTMENT • . TH'E METER WILL THEN BE CLEAR~D THROUGH THE SAN DIEGO GAS AND ELECTRIC COMPANY .• THANK YOU FOR YOUR COOPERATION. ~rt~~"~~~ ·.· .. MAiTN ORENYA~-·'-:::.. ... ...__~ BUILDING OFFICIAL . . t t l' 11 ll I )· I I CARLSBAD FIRE .DEPARTMENT INSPECTION REPORT 714-438-5521 BUSINESS: -.a..---'----------'-------DATE: //~ tf.yf --,---~----- ADDRESS: PHONE: -------- CONTACTED: T ITU:: ----~-,--------------------- A FIRE SAFETY INSPE·CTION OF J"HE ABOVE PROPERTY IN-DICATES THE FOLLOWING: ------------~-,-------------------. ·- /. -,P.eof/141.. t),v,t;;. eoPV --~;::: 77/G -,;C"Loo,e r7~A) :) , ... 7?/2.owbp -fJ/.)£ · ~A -'??HTEI> A-8t!. ~,2..G-cxprJt's.,.h~rht=.-42-- ?€/Z.... soQO. t/ l)tz-,. pp;e_no;::; 7fle£.e"CJ,c;, i ..SV8M;, .3 UJr'1E~ C)tc _ ~:P/2-JIJ4f¥:--< ?i./4,,J> /P h~ 2)4=';- ~ ~P'4v,4-L-?/Z..10,,,.---f5' /..v5'771'£..t-PJ-77o..J ,5. · _ ?,e, ,r, uE. St GN A:dt>V4 _ trJ&N £.J~AJ e5fts. ,r Srfrn µe, t. 7rh J /)t>-Ml-To. '1?611A-ol Vlolf-tJ~KM Ova.,,.:;~ 6t1~roJc-5s f-!t:1v~-s Ir 1~ btJe-·1Nt./l. _THANK YOU FOR YOUR COO~ERATION DURING OUR RECENT INSPECTION. A REINSPECTI0N OF YOUR PREMISES HAS BEEN SCHEDULED FOR~-----• IF ALL CORRECTIONS HAVE BEEN MAD~ PRIOR TO THIS DATE, PLEASE SIGN THE FOLLOWING STATEMENT AND MAIL TO: CARLSBAD FIRE DEPARTMENT 1275 ELM AVENUE . CARLSBAD, CA 92008 IF_YOU_HAVE_QUESTIONS, CALL_1HE_FIRE_PREVENTION_BUREAU,438-5521. I ~EREBY CERTIFY THAT TH~ ABOVE FIRE-SAFETY VIOLATIONS HAVE BEEN. CORRECTED. SIGNATURE · ---------'----