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HomeMy WebLinkAbout2221 LAS PALMAS DR; MULTI-PERMIT FILE; CB142846; Permit•· . r J ... __ ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-22-2014 Permit No: CB 142846 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2221 LAS PALMAS DR CBAD St: F PME 2130503101 Lot#: Status: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: PALOMAR CLEANERS-INSTALL NEW 1000 AMP ME:TER MAIN PANEL AND DISTRIBUTION SECTION Applicant: D LOWEN ELECTRIC INC 2194 ALESSANDRO TRL VISTA CA 92084-4235 7(>0-941-8332 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees TOTAL PERMIT FEES Owner: HOUSE OF CARDS INC 3310 WEND AVE #400 NASHVILLE TN 37203 ISSUED 10/22/2014 SKS 10/22/2014 10/22/2014 $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '.f!:les/exactiolis." 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 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 ou have reviousl been iven·a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. .,1 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING 0ENGINEERING 0BUILDING 0FIRE 0HEALTH OHAZMAT/APCD Plan Check No.~/ {'Cityof Carlstiad Building Permit Application 1635.Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov {'--( SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# :::II,?' CT/PROJECT# UNITS # BEDROOMS #-BATHROOMS OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKlERS YESO. NOD YES0No0 YEsONoO APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME t/. ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX EMAIL (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, Isa 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 exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). _ ' Workers' Compensation Declaration: / hereby affirm under penalty of pe,jury one of the following declaraffons: _01 have and will maintain a certificate of consentto self-Insure for workers' compensation as provided by Section 37.00 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain worl<ers' compensatlo~, 1' required by Section 3700 of the Labor Code, for the performance ae work for ich t~it.e.ermit is issued. My workers' compensation i urance cpr;piid policy numberare:lnsuranceCo. S7/74___ @t'fi . PolicyNo. o/tf Cf ExpirationDate_/~-~~3~~:,.<J ___ _ This section need not be completed·if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permilis 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 worl<ers' o nsation 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, damage s o tied for In Section 3706 of the Labor.code, intere~t and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 yearof 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4, 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/ contractors' license number): 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): 25 PROPERTY OWNER SIGNATURE _ 0AGENT DATE ,, )ii~:iw,~~l]\f~ :~mo~· 0~~0,~_ru,:,(F~m .!1-J¢tit<}v::@Oo©.ii¢vq~_11-:mT$·o~?v~~::~~~~otr~~·¢1iY~i: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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. . I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that! have read the application and slate that the above infonnation is conectand thattl)e infonnation on the plans is accurate. I agree to comply with all City o!dinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad 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: M 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 I under the provisions of this Code shall expire by limitation and become null and void if the building ormrk authorized by such permit is not commenced v.1thin 180 days from the date of such permit or if the bu· or oork authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . .Ji5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commercial Projects 0 n I y l Fax (760) _602-8560, Email building@carlsbadca.gov or Mail the completed form _to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS -· BUILDING ADDRESS CITY STATE -_ ZIP CITY STATE ZIP --Carlsbad CA ·------' ' --PHONE --1 _FAX. ; EMAIL -OCCUPANT'S BUS. LIC. No. -· DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) . OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION -MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION . -----· " Rf APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142846 Type: PME 1?.a!e -·· Inspection Item ____ _ 01/16/2015 33 Service Change/Upgrade 01/16/2015 33 Service Change/Upgrade 01 /16/201 !? 39 Final Electrical 01/16/2015 39 Final Electrical Wednesday, Jam,iaty 21, 2015 Inspector -~ct RI PD PD AP RI AP PALOMAR CLEANERS -INSTALL NEW 1000 AMP METER MAIN PANEL AND DIST Comments Page 1 of 1 soG/'1 '" d'E A ~ Se~pra Energy ullllly- ELECTRIC UNDER.GROUN.D M · ··_ · · 1:ustom ~ .~ -_<. '. , • Wanted Date: On Inspection ServiceType: UG SelVice New. Proiect No: 456879 I Job No: 010 ProiectTitie: LAS PALMASCOMM BLDG ProJectAddress~ 2221 LAS PALMAS DR Profect City: _ CARLSf3AD ' Customer Phone·#! . . ... - Contact: DESI LOWEN Contact Phone#::· 760-71 o-0636'' ·. n Traffic Control Permit Required. Excavatjon/Encroachment Permits R~ulred By Customer ServiceAttachmentPointand/orMeterLocation: Locate 1000·amp panel· on leftwall of electric room opposite the existing.1200 amp. pinel. Customer is.to provide all excavation,. ttenchi 3!" 5" DB conduit, backfill~ compaction, 314" ptifling and measuring tape in all' conduit and surface repair from XFMR to new meter panel. Maintain 61 clear and level working space in front of UGPS. Must have final'inspection from SDG&E Trench Inspector ~nd City of- Carlsbad. before SDG&E crews can-energize and set meteri · .. '. '• -~~, -·-· ···-··-•• ..,;'"-' .,:__~,.,_.;~_r;;.~-·-· -... ·.c:,·· . jg! SDG&E Appfication,Requirecl-Call:. 1 •800;.411-7343· · .. Municipal lnsoection Required BY City of Carlsbad · · . .·. · Meter height-A'O" inin. (3'0" min. for mulUple meter !nstallallon) -6'3"·ma From finish grade to centertlne·of meter base:· Meters are· - required to be readily accesslble-24 hours per day. Meters mU$t ·b!l focated In a safe, area free of; ~ny poteriUaUy h•rdous or dangerous condition .. Pfl?Vk:Je 3-ft. X 3-tt.. Mlnlmu,n· cleat and revel:wotking sp~ In trol'.lt of:meter~ ·. VVh_ere·meter room is .p,rol)QSed; . contact Iha planner at the nearist $DG~~-OffiQ!! •... : :~ ·, .,\ __-, ... ·: .~: . ; . . ,. ,..:/-'.": .~:,, -. ~.-: .... :.';\: ;,.: , :· ·.· . --:.-. . .. Meter baseuf)d tnetit service dis.conneqts rr,ust ~e loceted at oJltnm~lately ~Jacentto e)Ch otht and' tie lden6fied·wlth 89,dress and unltnumber It seives.': · · ~--· · · , · ·· · · · : · · · .. . _ PROCEDURE FOR INSTALLATION: . . . . . · · f. PHONE DIG ALERT 1•800•227~26Q0·AT LEAST TWO DAYS PRIOR.TO !RENCHING FOR LOCATION. OF UNDERGROUND UTILITIES~: · 2. Phone-$DG&E, at760~480~7754 for the:.following;'. ·. S-• ? •· 3 worfdng days prior to trenching to arrange pre-meet with Inspector and Initiate trenching .process::. • . After-excavation of trench, installation,of conduihnd ~ervice entrance equipment at meter location, CALL. FOR INSPECTION. Do not cover conduit withoutlnspector's written approval to b~Qkflll. . . • When trench 1$ backfilled and compacted, CALL FOR INSPECTION. • · · If service entrance equipment 1$ Installed after backfill; CALL FOR"INSP~CTION OF THE EQUIPMENT. 3. Meter cannot be ~etunttl Inspector has approved installation, including service equipment, and receipt of · · cltv/countv/state insnectlon clearance;. . . POVJer Source: 589-408 _ I Structure Number.: 021621 o· JolntTrench with! Electric Only Handhole Installed by: -. . Standards Page#:· . .. . --Handholelld Shall Read; · · · · -· Ladder Arms: _ I Stop T~ench: from pole I Riser Q~d: Bend lnstalled-br. Customer Tvoe: Transform.er 511 90 Deg 36"R D860 • .Conduit Installed bv:· Customer Conduit Size: 3 • DB 5" . SeNice Panel Rating: 1000;·. ~. Number/Size,of Main Swijch: 1@.1 OOOamp: . Voltage: 277/480 # ofWires: 4,, Phase: Th tee · Utilities.M~imum Contribution to Fault Current 3'0000 Amps . Metering~ CT Meter Clips: 15 Temo Service Chame Due on First Bill$ ------·-- .~c,,py:,. ' .. ·. -,- .. l ·.;-:-: _,. ---~ ... · ... -.: , .. -" - f • , :~,-.:'-: .. --I.AS· PAL.MAS . DR ' . ' . ~-'-" ' .. T.8. 1127-D4 ------ Date Prepared: 10/13/2014 / 1....1 .-....,i-.... __ -,,. ..,. 589-408 750 HNS 589-199 i 0216210 300H8S / 03478668756/ , / . /' D3476368754/ £'> ,L~ _,/.'<:? • r: :):_: :-0:~~ :.-: .. --•• i:;_· .;·. -. ,/\~ ·~ '!)O~"' "'· 4 ,1 I (. ;. . -.. ,~ .... , --· .. r~. .... - .. -. . '',. (, : : 1;', ,' : ' • .' ' ~ I ~ ·, ~ • • • ., ·, :, ~ . " ', , , t , : . , · PARIONG-BACI< IN ·· · · . , t , .. · · -~ FOR. TRUCK ACCESS~:. ·. r · -,~ :-· · ~:s·: · TO EU:ctRIC ROOM -··-"\ r. -:.-:---, -. . ----·· - .-J~ ' >---3-s· oa, ,ss· · 3 RUNS OF.3/C i,ooo at 1/C #750, 173 NORTH 'i :11, RECE:IVE ' OCT 22 2014 CITY OF CARLS AD BUILDING DIVIS ON I·,:. r.-. · ___ ..__...._ ___ ...._ ___ _,_ ____ ~--------------------- '.' SIDEWALi< & LANDSCAPING 1 O' 1 { t \ £Itc .. ft~ ,, Nl;:W 1000.4. 3p,4W,27'l/4ar:/ti 12221 LAS PALMAS DR.I Additional lnformatlOn:. D Right-of-way_ Required· Assessor's Parcel Number: ; .. Please-call your Project.Planner Carole Cowley ~t 760~~7754 with q1.1estlons·about application, insp9ction, L : constrµctfon·installation·and to schedule-a crew;_-:': --· J ff l !----'---------------·- If SOG&E encounllrs hazardouc-or loxlc niaterill whit petfoming consrucuoil of your project, SOG&E will halt WOik lmmedialety and It wil be·your ' . responsibillty to remove "1d.lor clean up al! hlmlo111 or toxic malerlal prior to SOG&E continuing conslruction. SOG&E shal have no liability or obligaUon • .. whalsoeve(:lo clean up, remove or remtdlJ!e any ~aza'dous.or toxic ~ clscovered di.Ing lhe course of consl(uclion unless It is lhrol.lgh negigence of SDG&E. . . . .. ·._·... . .. . . . . . . . · Customer-owned facllll9i 1D raeeivt eleclrlcal ~ 11'1 sllbjtcl to all applicable local and state of Callr«nia !nspecllon aulhorlty requirements. Building address andlQl'meter •must be posledprlar!Omel« set. Information on lhlssheetisvokf aller -~~s fi . . te. Keep'lhis !lee with building . ptrtriL. · · , . . · . _ · . . Alllnstallallons performed. uodfi( 1h11 ordlr rixlst meet SDG&E standn unless a written devlatio _ .·~ B ·u IL.DIN .G ..... . P. ·E R ·M I T'. P~rmi t No:. c:139·0·0.2~2 02/08/90 14:04 Page 1 .of· 1 . Job Address : 2 2 2.J.~_J,,h.§.-.~_A_~~~p..__P.R J?ermi t Type: ELECTRICAL . P·arC:el No: 213-050-31-00 · Valuc;ltion: o ·. Conitruction Type: NEW · . : Pr.?j~~t No:·/.A900039.~ '!119'-Develo'pment ~o.: S-tr: ·. pl~·.:·. ~: it;.£:) ._·. ~~.1.9-02/08/90 0()01 01 . 02 .. ' . C-PRMT . . · 1{:<5 .. @Ci ·occupancy Group: · Class Code:· {Y.-,P!J / J ·. Status '· I ssuiao. Description: 200 AMP E-LECT, .Sl:!/e_,JJC£ v-· , : ..sv.s .. f'AIJ~ (A)/ A· .su,PJ>LIY. ~ ·· r'JJ... I ~l!'M6'J T: · . . Applied : .. 02/06/90 CONTRACTOR ··'' \, Apr/Issue :-02/08/90 Validated By: JPY .· ... FINAL APPROVA~ /-_., JA" :INSP. ~G DATE ~J£t.12_ CLEA~. · . . CITY OF CARLSBAD . : · , 2075 Las Palm~ Dr.; Carlsba.d CA 92009 (619) 438-lipl . . . ··:-" i i ., ,--: \. --.. ..... ' .PERMIT APPLICATION. . r qty of Carlspad Building. Department 1: ••• ' - 2075 .L~i Pal ma,: Dr. , Carl s~ad, CA 92009 ,,,,, .,._.,~ . ~'; i --'i>ERMIT TYPE \ . . .-A i )i;/'COM,MERCJ AL ·TENANT I_MPROVEMENT \ -• -' . B'• -0 INDUSTRIAL . · ONEIJ 01E~ANT ·IMPROVEMENT \ _ , _ c, ORE~!DEN11,6,L . OA~ARTMENt QCONDO O'SINGLE. FAMILY DIJELLl!lp_. QADDITION/ALTERATIO,N. ,Ooui>'tEX. ·t)oEMOLITION OREL0CATI0N OMOBILE HOME )jEL~\JRICAL QPLUMBING · (;JMECHANIG~L []POOL OsPA ORETAINING WALL osoLAR t\o ER · 2. . PROJECLINi=:oRMATION PLAN CHE~;.H,. LEGAL_ DE,l,L'RIPUON; Lot No. Subdivision ·Name/Number CHECK BELOII ·1 F.' SUBMl,TTED: O2"Enenjy'calcs; ·02 'Str,uctural Cales :, . AS'SESSOR i S :PARCEL '. , ·• DE~CRiPtt6N,:OF-J/bRK-v. -'• • _ , B,LD_G. Sil_-. · Fl:f:,. -· ~; CO:NT-"'-CT P.ERSON • . ~ ': NAM{ '3orx <;;:,C\,.-\l ~!,TY '.~G lf"\ S, 0... \\ 'slGll~HJRE ele.c..+ r ~ t- C.. o- D 2 soi ls Report #_ OF STORIES STATE ,· \ D 1 A_ddressed -Envelope• 4,. ' NPPtICAN~ CONTRACTOR D AGENT FOR CONTRACTOR -._()_--~-:t.:'· EST. VAL._..!!...!~:..,=a...a..-=-t-l--'--a-;,+..._-.,--- PLAN CK 'DEP.OSH_,.,... ______ .,..a----;----- , ·' '.,VALID. BY __ __;;.:_-'-'--'--,-,-'--,-----'-- DATE -------"--.:....,.-'----c-,---'-;-~ PROPOSED USE D AGENT ,EOR. 0IJNE,R, ' ·~. NAME:,· :Ji:.. ADDRESS c_rn --:~0--~~ : C\.,'5_ 3 STATE ZIP CODE ~ DAY TELEPH0N_E -.. . . . -; -A~ !de--.. D 5 •. "PR0PE~rt OWNERf\',. )-. _ f_0IJNER L!'-JJJJ t.-__ .a,,J.,;,,.~~,E . -N[\ME q J (,;::$.re.d. , \_; ,e_.\)e,.. 0 {,J .f,W, r,-ADDRESS ~ '.)-· ~ ,._,,.._ r·• ~ C(TY C.:t-:\-i.l, 4?':d ~ STATE ZIP CODE -'}~€)? . -'-6"-. -'-C-ON-"'_ T:::::,.R-=AC-'-'T.,1-:0st;..R=-,.._ -"""--l-=-=-----'----'----'-----',.'-"'... . ·'. . NAME _ . --, , ,d;f:. $0--,(11f\,.e_' ~ <::, 3 C'tTY ADDRESS 'ZIP CODE \ --, \ -DP,Y., ·IEtEPHP.NE DAY, TELEPH0Nt ,[]-TENANT --STATE LJC. # 4Zo/57 h-o LICENSE CLASS'---~---_') ___ _ _CIT{·BUSJNE$S LIC-#_ -----,-------'- S!GNATURE , ?ES I GNER NAM CIT-Y, S!ATE TITLE ADDRESS Z!P CODE DATE ' . ,2.,..:l--11)• DAY( TELEPH0~.E . ~ ST~TE LIC~ #_ ·_ WORKERS-t COMP,-ENSATION ·;11or-k?cs! 'Ccin)pehsati_ori:Decl·aratio_n: ! hereby aifirm that I 'have _a ~ert_ifidate of cons~_n·t ·to se~f-insure _issued by ~he Dire~t~r ·of_ lndustr!al _Relation;, or a·certi·ticate of 1,lorkers • compensation Insurance by an aa111 tted insurer, or an exact copy· o~-dupl 1 c_ate ,thereof c~rt 1 f 1 ed by the 01 rector of t~e ,{ · insu~er tHereof ,f.i'l~' with the Building Inspection Department (Section 3800, Labs C). ~ ·-, ------.'.'a.~-~IN,::::SU:::::RA:::NC~,E_::;,C~~~PA~-NY~-~·.;:s~:..!..P..:::'.t::::.,.!:13.::c;,_.,-'-, :-,,c.::::JJ\~$~(1!.!"r'ili,!::-~i'l\~ce:::;_·~~11!:!;,,__:.;.PO::.;.L;.:::1 C.:..,Y_ ,.::.:NO~-, -,.;.,;l O:::-;;~t,:;2~27:'--~3=q,=-f-J.7E7:;P7.I:::;RA~T I~ON~QA:T:T_E~_ -~17.:'t::;-):-;:;<"'::--· ·:t:e>:-;-')::;;-:;;;. ::;:1;:-0;;:;:::;;:;-;;;;;;:;;:;:;:-----'--,- . , c,ertifica'te· of ._Ex~mption: I 'certi'fy that in 1:he, · for.ma e of ·the work for wh_ich this per~it i_~ i.s_suea_, I stral l rjot employ any person in· any manne'r · _ so'as·-to-bec_qme subject to the 1/orkers' Compensation Laws of California. si_GNATU~E _ DATE 8. -OWNER,.,.BHILDER "DECLARATION owoeo·Bllilder -Dec:l arat.i on:· -·.1 · hereby aft i rm that am exempt from th-e ·contcactor' s License Law. for ,the fot_low_i·ng. reason: tJ· •! "as iwn~r of the property or. my employees with wages as their sole compensat i ~n·, wi l-l do the wo'r.k ancl thi, structure-is not" i nteni:Jed or offered-for _sale (Se~. 7044, ·~us,iness arid-Professions Code: The Contractor's License-Law does not app_\y-to an.owner, of.prop.erty·wh~ .pllHds or improves:thereon,, and who. -_ does such -work •himself or 'through his own employees, provi cjed. that s~ch impr6vel)1ehts .are ;nol:-,i n'tendeo or offered_ {or sa re.-If, how-ever, the building i,r impro\lement' is sold within one-year o.f completion, the owner-builder wiH hir,:e._;the'burderi of ·prov_ing th'lt he-did not:build or improve for the purpose ofsal'e.). ' . ' ' ;-_·-• '•' .. ' '_ D -I,. as owner o~ ·th; pro~rty, am exc.lusively contracting with licensed 'cohtra-ctors-,to construct the' project (Sec. 7044, Business and Professions Code: The :Golitract9r•s -License law-does not af)Rl·y to an owner -of, property who buHds or improves thereon,_ and_co,itracts for such projects with contractor(s)· Uce!;sed -P4rsuant to the Contrac~or 's License Law). ' .tJ. 1· am ·!'xempt ·,under sectio'n ~---~------Business ancl Professions Code '.tor' t,his re;,son: .. _:, : . -' : . ' ·, -' . . ' . . - -· -·---(Sec_. ·7031.5 B\;lsiness·and Professions Code: Any City, or County which requires a perniit tQ constnJct, a_lter, improve; dem6l i~h, .or _re.pair any structure, . . prior to :its 'i~swlrice, ;,lso requires the appticant for such permit to file-a signed statement that he is :l.i~ens.ed pursuant t9 th·e ,pcovisions of the -, ., , -c:Ontractor•~ License Law (Chapter 9, comnencing with section 7000 of Div.ision 3 6f -'the Business ang Pr.ofessions' Code) or -that 'he. is exempt therefrom, '4: .and the basis for the alleged exemption. Any viol-ation·of Section 703'1..5 by any applioaht for a.-permit s~bjects the applicaot to a civil penalt.y of. not -.},.' IJlOre .. than ,f,i,ve h~ngred do Llars [S500J). ' • • · ,, -S~GN!i-nfRe: r-, DATE- , -.. . . ' l t;QMPtETE .THIS ~E~riON F,OR NON-RES·IDENlIAL BUI~DING PERMITS ONLY: , ., _ . . l s1 the appl-icant · or ,future· building occupant reqUi red ·to submit a business plan, acutel'y hazacdous:niaterfals regi str.ati on form or risk-management and ·prevent-i 6iJ program un<;ler section~ 25505, 25533. or 25534 of the Presley-Tanner Hazardous ?Ubstance Account A9t? · •, ' . ~. , , [J YES CJ NO • .. • . 'is _the-aJ,plicant,or future buil'ding occupant require_d to obtain a permit fr9111 the air pollution,confrol district or air qua·tity·manageinent district? Ores ONo· · , ·Is' tiie' foci l ity-tq ~ constructed within 1,000 feet of the outer boundary' of a school-site? o~ o~ -- .. ' 'l, ' I~ ANY Of THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER' JULY-1,' 1989 'UNL~ss· THE APPL:ICANT :~AS MET()!! IS MEETING THE REQUIREMENTS _OF THE OFFICE· Of' EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT_ · . . ' . 9. '.C'ONSTRucn'.oN LENDING· AGENCY . . . -, . --. • • J ' ' -• J, MrebY,·~ftfrm that there is a coastr.uct:ion lending agencY, for the performance of the. w'ork for,_which this per111i,t is is~ued (Sec 3097(i) Civil Codei-.- [ENDER'S ADDRESS -1..tO~--.APP[ICAN-J';.S SIGNATURE . _ _ _ -A-· . .. · l certify that I have read the applicatfon and state-that the above informati_on is cprrect •. I agree, to compl,y with all ci-ty-ordinances and S,tqte-laws relating to buHding -cqnsfouct i ori. I , hereby .authorize representatives of the City· of Carl'sbad to enter upon· ~he abov_e meriti oned pr.operty for· i'nspecti on pur.poses. I ALSO . AG~EE TO SAVI: 'INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL L'IABILITIES JOOGMENTS COSTS AND EXPENSES WHICH. MAY-iN ANY WAY ACCRUE. AGAINST SAID CITY IN, .CONsi,:QOENCE OF THE GR.ANTING OF THIS PERMl1. -_, . • . - Explr.ation. · Every P';rmit issue,;! ,by :the Building Official under the proyiS-i'ons 9f this Code shal;l exp/;e by limj-tation and become'~ull and void if the building, -or wor.k authori.zed by _such p·ermit is-riot ~om11Emc~d within 180 days from tne date of; such p~rmit or if the bui·lding or work ,authorized by su_ch permit is-susp5?nded or ?bandoned at any time after the work 1s omnenced for a peri.od of 180 days (Section 303Cd/ Uniform B\Jildihg, Eocje). · -, ... _ --- • ~CTO.R ·°i:J'sY PH~llE. WHITE: File YELLOW: Applican! PINK: Firian.ce· APPROVED ·8Yi. -'--~-----"-';.:..;:..'' · DATE: ·----'--'--''-"'-~-- PERMIT# CB90023~ DESC~;rPT:;I:ON: ~,200 AMP. ELECT TYPE: E:i.Ec CITY OF CARLSBAD INSPECTION REQUEST FOR 02/13/90 STR: JOB ADDRESS: 2221 LAS FALMAS DR APPLICANT: BONSALL ELECTRIC CONTRACTOR: BONSALL ELECTRIC PHONE: 940-0889 PHONE: OWNER: PHONE: INSPECTOR AREA MC -·PLANCK# .CB900232 OCC GRP CONSTR. TYPE NEW FL: STE: REMARKS: Tl/MH/JAY/431-8306 SPECIAL INSTRUCT: SUITE B. INSPECTOR --+-f--.-¥-'1,/----- TOTAL TIME: -~RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB881538 CTI STATUS ISSUED .ACT COMMENTS 39 EL · Final Electrical ~ C.St#$~t:._~ (I..) IL IG:7> .A!:!:!:_P ~ --------............ -----~ ISPPo/ C&T Zl-2 !Ji. ~P.MJ# t'#ll(. ------------------------------------------------· --------------- ***** INSPECTION HISTORY***** PATE DESCRIPTION ACT INSP COMMENTS ; T H+------.......i ~ ~ ..... ~., . ., --· .,._...,._, .. ~, ... ~· '~ '! . ;;;-_______ ., . --·~ -1-----:J v> r---. -. I r . -'i ~ .. 3 J: ___ .... -. -.~---, .. ;,,,. ------ . ..,.-. I 'aJ (() j ...... ~-g ::::> ·-- I . : v> 0-. ------·--: t I . J I ..... ---~--~----,.·~ .-.. -.. I I 1/) z o· ~ a: Cl[ .J 0 w C ' I USE.BALL POINT ·PEN ONlY & PRESS .l;tARD .. APPLICANT TO FILL-IN INFORMATION WITHIN SHADED AREA AND·DECLARATIONS. ,. . a: .O. I h.erel!y affirm ,lhJlt J am licensed under o ·provisions of Chapter 9 (commencing with 1-·[· ~!Ion 7000) of Division 3 of the .. Business. ~-· ·•and Professions Code, and i'ny license is in l!!j lull force and ell.eel. . z. .. Lie No ______ Class 0 ·O I I ! I .I I i: h'efeby affirm that ,! am ex.empt lroin the Contra,· · I ~~~1n;~~~:Jtp~i~;:~in:hi;~~:o~~~gci\~a;r0~0J~:;~~~~.~ . I : -qufres a permit to co"nstruct, alter, improv'e1 demohsh, or repair any.s.truCtllre, prior to its issuance also requires the ap-·plicant for such permit to !II~.~ Signed statement that he Is ,licensed, pursuant to the provismps of the Contractor's License Law (Chapter 9 commencing with Secllon 7000 of Division 3,of the Business ana Professions Code) or that is e~, empt th'erefrorii and !he basis for the alleged exemption Any Violat,on of Section 7031.5 by:arr applicant tiir ·a·permif ,sub•, ,ject? \he applicant to.a c1v~[pen~lty of '1~1 more·tbaii tIve hon; , , 1 dred,.dollar~ ($500) .. " ··. • , . . . • 1 . ~--¥ -, •• '-' .. .. .. --.. :CARLSBAD BUILDING IDEPARTM'ENT APPLICATION & PERMIT .. ·· ·:,1Jo"o·E1.m, Carlsbad, Ca.lifornia 92008-1989. (6.:19) 4;38-5525 Ja~g_1_., ~/t-s· .P¼~STCoi:. Sur/H· ,~~6~5NI.-BUSINESS LICENSE.# VALUATION f'ER°M'IT NUMBER -~ ....... . .. ' LOT BLOCK .•. l su:a:q1v1si~N : I ASSESSOR PARC_EL NO. ·coNTRAcT6R CONTRACTORS PHONE # !O.~I; #~f/3': CL,. VG EC.e-c~; ~-. 7Sr<.f.tl-~ . ' - OWNER'S -NAME "43 OWNER;;~ONE . DON j-o.\:J. Co~ : CP.o~B~s A~is?--- ·LICENSE NO. PLAN 1.D'.'# . !jLDG CJ~E CODE . . 8-91 9/ qJ-.c..Jbc.J.5 OWNER'S MAILING AQORE!SS ,.· fA-Lm+S . . ~ '' . . . !-2~ t---:S--L ~ DI<._ r;eD 1P-P..c'4. 9/JQ:/) LICENSE# STANDARt;> PLAN# BUILDING SO. FOOTAGE . . ~- ·0Esc7FJr:i ~ · /Do f't... ~ ,P rJ A-5~ l.,o,;-D 5--. ·L Q.i;G1Sr4th s_ A(!DRESs' OESIGN'EA'S PHON!c .. o·-1, as·owner of the property, or my employees with wages ffi ·as t~.~rr 50I,e c~mpenr.auon, -will d9 the w9rli, and the s\ruc-c ·,:., ·· ture11S npt.mtended,oroffered for,sale'(Sec. 7044, Business -:i. C.8-',v\-8l_ t'o ex_,s,f, IVC:: · &....ec.f/L1L. j. ~18p/j;lp[j4fl S 5[1~00 . . ~~tU:~~e~· -~t8f?I ss .J and ProtesS1ons Code· -The-Contractor's License Law does . F/P . FiaFi EL:Ev.:: · ,__ -· ---··-NO occ GP .. ... EDU .. -. 5fJ~(Jfj· STORIES 5 ,not ~pply !O an.owner of property,wh~-bu1lds ·or improves m thereon and wlio does such work h1mself'.or through hlS own ·J a:: employees, provided that such improvements are,not intend· ;. '":>e.Q.c..>' <. G-. . Plvs. 4 ·'I )-.()J r1 ~ev.i~ ~ YO NO _._., ' -.. ~ .. ~ ' ··' .. .. . w ed'or,ciffeied·tor sale ff, however; the bullding·or.improve' .... , z. , ment-is sold wifhin one-year of com_pletion, fhe·owner:builder 31: will have:the burden ot:prqving-ttiat·he·did=hqt build-or im-p prove for the p.urpose QI sale); · • • O• I, a.s owner of the property, am exclu51vely-contracting wit)l licensed contractors·to construct the project (Sec. 7044; · Business.and Professions Code: The Contractor's 'License 'raw.does not apply to ai\ owner.of property who builds or 1m'. proves.thereon, and.who confracts to, eacfi projects·with a E~~)~oloiM license pursuant to. the Contractor's .~icense p As a h?.~eoi~·er i' ~m·i~proving.iny hQme, aDd the f0Jiow.-mg.cond1t1ons eX1st: , . -· .• t' · 1;. 1he·,wor~ is being,pertormed p[ior to sale. • · · ,. • 2. ,1-have· lived in my home for-twelve months-· r. nor to completion of this .work. . . z,. 0, .j:a ~ z w 0. :Ii 0 0 1/) a: w :,,:: a: i 3, ·· have no( claim.ed, this exemption during the· · · -last tnree years. · · D·-1 am exempt under Sec. ~'----~-, B &'P.C. for this reason~-~---------'-'--, d I ~ereby affirm that I have a certificate of consent tO self:1nsure;-·· or a-cert,frcate of Workers· Compensation Insurance, or a c,ert1f1ed copy thereof • (Sec 3800, labor Code). POLIQY NO. COMPI\NY b Copy ,s hied with the city D -Cei11f1ed ·copy IS hereby furnished CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANGE (Tt11s section nee() not be completed 1f the permit 1s for one hundred_dollars ($100) or less) d I ceri1fy that m'the performance of the work tor which th1s,perrn1t 1s issued, I shall not employ any person m any rnanner so as to become sub1ect to th~ Workers' ~mpensation Laws of Callfotn1a N01:ICE TO APPLICANT If, after makm;i this Certi- ficate of Ex~mphon, yoµ should become sub1ect 10· the Workers' .CompenSat1on prov1s1ons 9! the Labor Code, you must fortnw1th comply with such prov1s1ons,~r y11s perrr;11t shalt b'e deemed revoke"d 1[·· -'[enders Name_-,---------~-- , Lend~r"s Address . ..,__~~~~----~- O l hereby ·affirm ,,tl)at there, 1s a construction lending agensx for the per;formanc_e of the work. for which this permit 1s Jssued (Sec 3097. C1v1J Code) ': c-e·Nsus;.rRAC.T 1 · GP 'LAND.USE. I PARKING SPACE ~,ESONITS ·l. GRADING PERMIT ISSUEQ l RE;'QEVELOPMENT 'TYPE OCC L9AD FIRE SPR 1· , AR.EA , CONST .. -·- ! . . YO ~-0 . , .. :.D ~o YO 'N[J -Not Valid Uql(!Ss Machine Gertified . ' . . ' I -'15~' MECHANICALPERMIT -ISSUE'. .. -., I QTY. PLWMBING PERMIT. -.ISSUE, Ql:Y. ~,------: SUMMARY/ACCOUNT NUMBER I. . '" ... -··-· INSTALL PU_RN.'Dups~uno 100,000 BTU ""' BUI.LDING.PERMIT 01 ·00-00-8220 ['· ... ,E,ACH FIXTURE TRAP EACH BUILDING SEWER . OVER 100,000 B:J"·U . .. I " ., . ' ' I_, _ SIGN PERMIT • 01 ·00-00-8221 .. .. !, EA(;:H WATER"HEATER ANDTQR 'ilfNT ', BO I LER./COMPRESSO R UP TO .3 HP • PLAN CHECK 01 ·00'00·8806 .. I ' , ' ' ' .... '. • Ef\Clj GAS SYS·TEM 1 TO 4 OUTLETS · .. BOILEA/CffMP.RESSOR 3-15 HP .. . -TOTAL P~W,ilBING .. ' 01-00-00-.8222 ! EAClj GAS S.YST.EM 5 0 R 'MORE M~TAL FIREPLACE .. E~E.CTRICAL 01 ·00·00-8223 · ,S-:-_(.--CT -. ! EACH INSTAl .. ALTER, REPAIR·WATER PIPE: VENT FAN SINGLE OUCT MECHANI.CAL , 01·00-00·8224 I EACH VACUUM BREAKER M~CH EXHAUST • HOOD/DUCTS" MOBILEHOMI: . . ' 01 ·00-00-8225 ! W,ATER SQFTNER ! RELOCATION OF EA f.UR_NACE/HEATER "MOBILEHOME PARK INSP .. ! EACH ROOF DRAIN (INSIDE) .SOLAR 01-on-on.Q??" I TOT.¼L MECHANICAL STRONG MOTION 80-92-33'0519 · .. l. TOTAL PLUMBING I FIRE SPRINKLE.AS I t 01 ·00-00-8227 I ELECTRICAL PE:RMIT·-ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00·893) j QTY. .-5' r,--BRIDGE FEE ! NEW CONST EAA°MP/SWT!BKR COLLECTORS SCHOOL FEE • DISTRICT ! 1.PH /t)lf?A~ 3PH . S-o ~ I STORAGE TANKS Carlsbad 80·92-21-0519 I EXIST BLDG EA. AMP/SWT/.BKR ROCK STORAGE .. Encinitas -· 80·92-22-0519 ! i PH 3 PH PUMP San Dieguito 80-92-23-0519 I ! REMO DE LtAL T£R PER CIRCUIT PLAN CHECK FEE San Marcos 80°92·24·0519 .. I T.EMP POLE -200 AMPS . I O\IE R 200 AMPS . LICENSE TAX 01-00-00-8162 I TEMP OCCUPANCY (30 .DAYSI MFF 80-92-57-0519 I ! .. CREDIT _DE_pOSIT , .. .. I TOTAL HECTRICAL L -~<~ TOTAl SOLAR TOTAL FEE,S PAYABLE J ,<,-i5-erl1-: I -( . --, !. I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expifation. Every-permit Issued bythe Bu,fding Official under the provisions of this i * AN OSHA PERMIT IS REQUIRED. FOR EXCAVATIONS OVER 1: CERT.IFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code .shall expire by lim_it,tion and become .. n~fl and void. If the building or work 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF . authorized by such permit 1s not commenced w,thm 180 days from the date of such I DECLARATIONS ARE T-AUE AND CORRECT AND f FUR:rHER CERTIFY A~D AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE.LAWS GOVERNING BIJILDING CON-. abando.iia'at anv time a ter the work is.commenced.for a oeriod of 180 davs. I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~ . ~ APPROV,ED'BY;-/,·:..:..~ DATE I· KEEP. HARMLESS THE CIT'( OF CARLSBAD AGAINST All; LIABILITIES, Jl/DGMENTS, COSTS ANQ APP. A S SIGNI\Tl/RE Jf. ~ OWNER O CONTRACTO /:$--~~-·;.-.,~ .. ~--.. ~ -I $'./0l£-tfr 1. ~XP!:NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,~ t::.. ~ """ ·BY PHONE 0 C GRANTING OF THIS PERMIT. . .J ../ A .A / ,.,,,.,,I";) ~ ' I ... . . I· ~ u:: >-rn 0 a. ,E (l)' ·I-: I 'O' 0 CD ...., C @w J_,, ~ .a:' <( . I' .S:: C OJ ~ <Ii fil U'l <l: ·I 3:: .Q Q) >- Cl) U'l (1) u 0 ct ar ro 0 §: (1) u C res C u:: ~ C (1) E? CD 0 u (1) a. ,CJ') C 2 .c ~ ' -"' ..... TYPE i DATE INSPECTOR - BUILDING I \~. .\ .., ..-~ ... di ~ ~~. -.:?\ (_·· .... ""' . - ,::;. .. ,,. rs=~3 I FOUNDATION I . FIELD INSPECTION RECORD REINFORCED STEEL I. MASONRY r r GUNITE OR GROUT I .. REQUIRED SP.ECIAL INSPECTIONS 1NSPE9TOR'S NOTES .. -~· 1KiS-PEG-t-FON•0..:, REQ. IF INSPECTOR'S DATE < ... ....., ( .. -.. ~...:;..._ CHECKED APPROVAL FLOOR & CEILING SUB FRAME i - SHEATHING D RQOF D SHqAR FRAME i SOILS COMPLIANCE PRIOR TO FOUNDATION INSP . EXTERIOR LATH i STRUCTURAL CONCRETE OVER 2000 PSI INSULATION i ' INTERIOR LATH & DRYWALL I. PRESTRESSED CONCRETE POST TENSIONED i \ ~ ,. -, ....... _ CONCRETE ··.: ~:: PLUMBING • i FIELD WELDING SEWER AND BUCO DIPUCO j UNDERGROUND D WASTE D WATER HIGI-I STRENGTH BOLTS TOP OUT D WASTE D Wk.TEA SPECIAL MASONRY TUB AND SHOWER PAN i GAS TEST j PILES CAISSONS D WATER HEATER D SOLAR WATER . i -·-•T'-, ~ -A. _.., ELECTRICAL 1 ' .. A~·.;...~- D ELECTRIC UNDERGROUND D CIFFER I ROUGH ELECTRIC j D ELECTRIC SERVICE D TEMPOAARY I• D BONDING D POOL ! I . MECHANICAL I [J DUCT & PLEM., D REF. PIPIN~ ·- HEAT-AIR COND. SYSTEMS . . - i -< " VENTILATING SYSTEMS i ·-, . •. , .. i ~ .. ,..,,, I I 1 ' -. ' I ,, l -CALL FOR FINAL INSPECTION WHEN Alt APPROPRIATE ITEMS ABOVE HAVE BEENAPPFlQVED_.• ,·- . .. -I ----. -·-~ . 1'' ~. ' \ . . --. , ,.._ .. -.__,·\ ' ; I '1 ~ ! -FiNAL \., --, . PLUMBING J , I\ '. ,, - ' I -· .. ' I ELECTRICAL MECHANICAL -· -\ ... ""I ' -.. , -. -. ' ~ ,~'-{_..-._ ~. -,~ l ,·.-' .-\ ' . ' _.,., . -.... ~-~~ ) . ·, ~:l <}~§ BUILDING ' ' r ' -. ., --' . ., , ' \ SPECIAL CONDITIONS - 1/) z 0 ~ CIC ,c .J frl. ,;::i r ·'-- USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN"INF0_RMATION V/1,Tt!IN SliADED ARJ:A A .. NQ.DEC!-A~ATIONS. -·---··· ---------------l . ' . .. . . '" . .. . .. : . .. .. . .. ... . . .. . .. -,_ . -. . . . '~ . .. ,r/: -,:_ [} 1· hl!reby affirm, that 1 ·l!,m l_icensed under · o,'.-[· ·: , . provlsfon,s ~9t: Cliapte.~ ~: (com_inenclng with t,: · ··Section-700!)),.<>f Division: ·3 of ·the B!lslness· , l '. . . , ' '. \. CAFJ.LSBAD eu,LDING, DEPA~T,Ml;NT ' : '' ' .APPLICATION &.·P.ERMIT .. '' ' f. .,_; .. ···_'\ ,.,_ .-·,-12Q.QE.ll'f!,Qa,r!sJ?a\J,·C,?J!fornia,!}20Q~M,~8\}(f!1.9)~31;f:5_!?.?5_' ·. ____ ·, ___ ; ,_-_,: __ ........ : ... · .-. .. : ·, ...... · .. , • , . -._: : a> J', JOB ADDRE~S. . . : !':] · . ("\ . . ~ <Av,;it.,DATl:_OF APPLiCA,TIONI PicJS'ftfA~E # · Vl',LtJ_~,:-1qN . !'EF!!"'IT'.NUMBER : ii: c: -·and ·Professions Code, ancf my·llcense -is In I!:· ; full -force an(j-effect. c" • ' .. --z Lie. No.~~e-----Class _____ _ 1 _.;2~/ LA-s rPrLMl\-.s· '-fr-RL~~Pr.b Sc.,. L3 · · s-~3--e.;31 ~ _ · --.-·'. · -_-·-:'" · t \ ~';A-;a.tt>a-~vs: P~clst~i::~ ~;~:;;·KCL,"""eud: '°~;;;"~1 '""'·> . . .:,?.6 f ··.•. J 8 .I .hereby affirm that I am exempt. from the Contrac-to(s. ~Jcenie. ~?W for t~e fo,llowi~g, reason. (Sec, 7031.5 .Business and Professions.Code; ,Any city or.county which re· . quires a )!erm,i-fo .construct, alter, Improve; demolish, or repair-any s_tructure,_prior to Its lssuaQce al~q regu!res the ap· ·Fi~;~~~Jorp~~~a~f!~t /~e111~rgvf1~o~"s'1-~la\~~ei~1~:!J~;!~ !. OWNER'S MAILING.ADDRESS _ _J.__ () ~ONTRACTOR'S-'\D~S -. 1,.ICl;N_SENO. , · PLAN 1:0. #. • 'BLDG.USE·CO~E. I \ ~3 ~4 GttfE. Del.. /}-f;~-lo -'-ARLs (3Prt:> · 8x:5 t:, "J... \....~Do~.:p r>A-. dd--~4-S . · · . · -· _ · . · :Q License Law (ChapJer-9 commenclng:wilh Section 7000 of Division 3 of the Business aDd Professmns Code) or that is ex· empt therefrom and the basis for the alleged exemption. Any violation· of Section· 7031,5 by an applicant for a perm,r sub· · je~ts' tije appljcan.t:to a civil'jierialty of·not. rii_oretha"ii-flve hun,'. .[ LOT. I BLOCK I SUBOJ-VJSJON I, .ASSESSOR PARCEL NO. . DESIGNER ·-·-. LICENSE# STANDAf.!~~./tj3-9$· jij!LDIN!3 so. F~JAG\,J.. (5_·:.' 1 _ _ • _ • . , _ ,r,1/'t ·_ ""11.i_Jl,lffli·, ... -,{fl6 'llJQ -l!~il 1-DE~CRJPT(ONOFWOR~."'.'1-' ' ' • . '.: ·····-"'-'~ ._!~/es; -l~!i..:t:1~, i1,1 . . . . f-A,'. /c . . . ,l;JI,/, . ,,;;, ' ~-. . . '" ., ' ~ -·! .... : _ . +-_IL>S_ ~L...; · ~-<:f}.. .p ,8 l,I •· ··DESI.GNER'S At/DRESS •· .. OESJGNE·R'S PHONE . • . ;, . . .; ··:·· : :_:~·-·-·. :· c~ .. / dred d9il~(s1(~500), , . • · · .-. .. -, . , D i: as ~w~~; of ;h_e,;roperty, o( my employees wllh w~ges .ffi,. ·as their sole' compensation: ·will do the-work, and:the struc, ~ 9 ';;) ,-{~~8 lA .. ,..•: .. tA .. .J .. '.J ---.. u~ ..... ~1-• .... I .. tr> ....... n~ ~ n .. ~,.:.;:..:' .. * -: aoi> 17-3 -frfft-SG · ELEc-~~/t::-_ -_ ... _. _ . . . . _ . · -:· -. .. . · -, .·. ~-~ ·,· .. . ' ' F/P F'Lfl ELEV., . . NO ' oi;;c GP . ' ·EDU • . ' . , . . . . ' ·C:. ·. 3 _. no ·11··=·1 1-<"°' . . ,-:::, · .. ' ': STORIES , , . · · · • <( ;ec ioHafe. 1t,;iiovlever,.the,b1Jildiiig10F1niprove· ·k ~ e~ :=,_e::-:_ . , . _ ,.. . . · . . . ·. .· · · . ., .... ~ . : vq · _ _Nl:f ._·. :-; i-. :·: :'. · .:~ , ., _ , . . _.,.: ' . --, :''-~ -. -~--. ', . __ .. -. , , . .. ... . . ·. -. . -'· " -· -: ' I, -'w· , ·-I· o_· ,Jd WJ!h(i\:one·y~ar ~f'comjlletfori,_ltheowner·bulld~r-:. -{-<;:ENSCJS ;q'l·AC:r, . ,. _<;,R L·AND us~ ·t·P'I\AKl,NG SPAC!, I ~ES LJ_NJTS ,,i:···, (\AA!JING ~-!,AMIT·lll~(!lj.D .,,,'l~~iv.e~o.P_M\',N_T., . . , _ ,. . _ :TY.f'.~ . r9!=<;:,J:.OAD , _ FIRE, SP,R . . .. . . • . .. . . .> .·. _ .. , the burden of provmg·that he d1d'not:bulld or·lm· , ' · · . . ' · . · . · , . · . . · CQN!;T · · .. pr~ve for,.the piirP,ose'.CJ.!'.s~le). . . ·. ·, [ • · . · : · · · . · · · . '· : YO ··N o: · :-.: v Q r,;iJ · · · :v,O NO . · _ _ Noi Valid tinless:M~chine Cer.fified • I ,, 'l 1'). • I • t,. · "' • , •-· • > t -• • l • ,' ,_,. • !, , ,,• , , • ' . S(h1 :11;1~~:ct"~~Q~l;;l~~rtt~2~strt~i::t,18;~r:;r(~~~t~~i~~~ 1 1 or· y_. PL. u. ·M.· BING' ·P:E-, R. MIT .. , 1:8-SUE. '. 7· -, S"?_ ' . QTY : M.' .. ECHAN·_.-.1.CA.L P-6-R'MIT'' IS, SUE-· ' ' 3· ..;.;_· ... ' .. . .. ~UMMARY/ACC·0·1:1·N. T·NUMBER.. :I -. ·, ,-' Bq~lness,an~ ~rofess1pns Code; T~e Contra.ctor's Lfqense . · · . . · • . . :---' · · · . · . • · · · . _ . . _ , ·, u . , . · · · .. , . -, --La'(I ~~s not-apply Jo a~ oymer of property, who -~ullds or Im·, 1 . . • · _ _ · · · , . _-. . · ' ·--. . : . _ -· . · ·. . · · · · -· ' 0-~-• • • • • ·. ,. _ • • -•• • -· • : , -·.. -' , • • • ·,· • ' • .··::._:prq~e~,\here9n_:a~~-:,:,~g,co~traqt~foreac,~·P,ro1~~tswJt,h·a .,,,, ·, ··EACH·FIXJ.URETR'AP.. , -• .' • ,_. .. INSTAtl-FU'RN.DUC-TSUPJ0,1000008T.U· ,•.' · ·. -~!J.11.:Q)NGP.ERMll'-.. 01:0Q,00·8220· • contractqr(s). l1cense pursuan!lto ,the Contr&ctor s License I •. " . . ... -• •.. -•. · .. , •· .. , • ,. . • , " • • . · , • , -.. , ,. ... • • , . -: · · , f· ~--·-,Law),-•· ,4 • • • ··' • • • • I • -i:·· 1:NCH'BUl[DiNG'SEWEFV'· , .: ... • · .. · OVER 100,000'BTU·-· · · ·;: • · .SIGN·PERMlf · · .... · .. 01·00:00·822-1 .:::·~;-~g~~~ro~:c:s:r:iam:im~rovl~g'."yhome,aoci!hefollow·-;, 'EAC~-~A-fER--H~A~E'RAND.i.ORVEN_T,.. .. • : BOiLER/COMPRESSOR'UPT03HP;,·· ... • ,P.i:AN·CHECK. '.,-.· ,01··-mi:66·88~6-·· . ' ' ', 1. The work ls·belng.perlormed·priorto sale. f ·, ·•. ·. ·. : .. ',. . . -.' . . , , . ' · :· •. . c · • • • ' .. ., --00.·8?22 . • .• 2; I ri~~~~-~~~~ie\~0~mJ1~~~o/~'. twelve months. I-. EACl-j G'AS S_YSTEM 1 TQ 4_ Q U-TLETS . , . • _ 801 Ll;R/COMPRESSOR 3-15 HP '. ,, • TOTA~ PtU~Bl~G . . Ul·t/U·9_ .. •' 3, '_have not claimed this exemption durlng·the j , EAeH'G·AS SYSTEM 5 OR MORE · ME'rAL FIREl'lACE . -• ELECTRICAL · 01'00·(1P ·z o· ~ -~ -las_tthree years. . . -., ·. . . . . c • , ·," . . · . ' -•• .. -· · " . .. . . . l ' · EACH·INSTA~ .. .l)LTE):i,, REPAIR WAT,ER P(PE. . VENTFAN SING LE O.UCT , · ,ME~_HANJCAL C-8223 •· 0 I am exemptun_de( Se.c,---,--+'----, B &.P.C. .for this.reason_·~·---~--------- I .. . . . . • .. .. ., j . 'EACH VACUUM BREAKER • -. MECH EXHAUST -HO!)Dtriuc_ts _ _ _ _ , • MOBILEf10ME l WA TE fl ~OFTNER • RELOCATIQ~ OF EA FURNACE/HEATER. . • . MOBI_LEHOME PARK INSP 01 ·00,00·8224 01-.00-0·0·8225 -- _.. , ••• .. c ... ---~----· _. _ l . EACH ROOF DRAIN (INSIDE) • · · • SOlAR v,·uu·, n< :nn OQ-8226 -' . , '· . . .. . . 'TOTl<t MECHAN/CAL .. T I STRONG MOTION . TOTA'L PL~MBING ' . " I . ' . . . ' . I . . . I. F!Rl;SPRINKLERS -80-92-:fa-0519 01-00-00-8227 POLICY NO. ---~----r----. . " COMPANY ~ K ~ 7 i.( I P Cop;,. f;led.~1th· -~-PUBLIC FACILITIES FEE I ; IOTY,. -~ r. . 1 PH , -,-_ ry3PH--:-:EO(JA~b~' /lf?~-v . ' STORAGE TANKS . ' :. : .• '(:<1rlsbad V'!"' SOLAR • IS~UE. · Bl!IDGE FEE .r,:_Nl;W-~ONS:f·EA·AMP/SWT/BKA ~ COLLECTO_~S . '--&(:_HO.O_l F.EE-DIST.RIGT ELECTRICAi,. PERMIT-.18$1:JE. QTY. 32·00-00-8923 an.0~""1 ·0519 · · i · · i •· E-X-IST BLDG EA'AMP/SWT/s,i;ir · .: . ' '' • ROCK STORAGE · · . · · • · .• · -·• • . Encinitas · CERTIFICATE OF EMPTION FROM , : • · , · · . · . - . ' WOAKE!lS' C0MPEN ATlqN LNStJRANCE : · , l PH · 3',PH . ,. . • • PUMP , • San Dieguito ,.u·;:,,· (This section need not be compl~ted, 1f the permit . 1-. • • .· . , _ • .-• . ,storone·hundrecldollarsts1001or1ess) ; ' REMODEL/ALTER PERCIRCU11 .. , ·• . ; PLANCHECKFEE . : • SanMarcos ---- -0 ·I certify that ,n the pertorinar\ce of the worl< to, ; . , · ... • · · · · · wh1c~ this permit is issued, I shall not employ any' , TEMP POL,E 200 AMPS person,:in any·manner' sb,as to become subJect-to i ~, · ·, , · ' · \h!, W?ri<<lr~·:.Compensalion La,w;s.of California I OV.ER 200 ·AMPS NOtlCE TO-APPLICANT: If, after ni~kin;i this Cert,-I TEMP o.CCUPANCY .(·30 DA VS) . fi~te of·EXenipt1ori, you Should become sub1ect·t':) the Wor1<erS' Compensation prov1s1ons of the Labor Code. you ·must forthwitt, comply-with such · I • . /4 ~~ prov,s,onsorttiispermitshalli;>edeemedrevoked. I TOTALl;LE.C:fRIGAL __ _,,~ TOTALSOLAR TOTALFEESPAYABLE /~ ~ . ! ' . . . ' ' '. .-,- ao:~?-22·0519 an.M.'>3-0519 RM?-1'4-0519 ~ C a: I,.. 0 en en. ·Q) ·en en <( I == .Q 0) ;>- en en Q) 0 e a. Ill :iii 0 §: Q) 0 C Ill C u:: :?::- C Cl) ~ C!l 0 0 Q) a. ·en C 11 • _ ffir·:·. . C ' z ~. 0 '1 hE!reby affJrm that, there 1s a construction tepdJnQ agency tq·r me perfor_mance of_ the wor1< for wt\1ch this perryut'. 1s issued _(~c 30971 C1v1I Code)· l:ender's·Name,"""'-'-~-;--,-,-,,--'-~'-..,,..--'-~~ Lender's Address --,.-~-~-,.,..----'- l· ! · , " oo' HEREBY v Expiration. Every pcirm1t i81ued bylhe BuildingOffk:lal under the provisions of this I HAVe CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND-PERMIT AND , Code ahall expire by limitation and become null and void. lithe boildin9 or work Cl:RTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorizedbysuchpermitianotcommencedwithin 180dayafromthedateofsuch * AN OSHA PERMIT 1$ flE0UIAEO l'OR·EXCAVATIONS·OVER ·5' 0" DEEP ANO DEMOUtloN OR'C()NSTMJCTION Of' SlflUClUAES QYEA 3·STOAIES-IN·HEIGHT DECLARATIONS ARE TRUE AND CORRl:CT AND·! FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, ·1 the bl,litdlng or work authorized by such permit ia suspen r , ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDIN~ CON· L'.!aban~~!!!!!f!•~t !•n!!:· t,J!timf!!· !B.!aifi!tt•r!:.:t!!Jh!ej·w~o!:;rk!!J!iswc~O!!;m!!.!m!!:en!!!!!ced~Jfo!!!r!:,_;a~~r[iliod:?!!,_;oQJf:J1!J_!Ud!!aa.~~~~~~~~::--'!"'"--~------~::-:,~:,'~--'!"'"~ ' STRlJc;TtON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE_ INDEMN!FY AND APP CA .SIGNATURE Jf,~ .. ~-OWNERD CONTRACT f. ,. KEEP HARMLESS THE CHY OF CARLSBAD AGAINST ALL LIA!JILITIES, ,IUDGMENTS, COSTS AND 12 . . · -.. , -, '! . EXPEll!SES WHICH MA'l'·IN ANY WAY ACCRUE AGAINST SAID_.OIT.Y IN_ CONSEQUl:NCE OF THE ' . . BY P.H0NE -0. I ~ .c ~- \:. ; /' l GRANTING QF THIS PERMtT. . .• _ . j ~ ·\F.,_·-' .. \/-:;,:··r· :·~::._ r-,:--~:-f·:--(-.; _.r ..... '~ , "\ :-: ·\:::··: !1'!.§PECTI_QN· TIP~ DATE, l_f'!l~PE:CT_9R_ I ' ami..DING. _FIELD INSPECTION RECORD FOUNDATION___: .REINFORCED STEEL REOUIRJ;D SPECIAL I.NSPECT.LONS 'MASON~Y INSPECTION GUNr'TE OR· GROUT. .. . ' SOILS COMPLIANCE . . : ..... ·• ' • .· . . .. ' PRldR i6 f~OOR ~-:CEJ.l:JNG St;JB F_RAMI;; : FOUNDATIOJ\J INSP .· T"0 REQ. IF 1, JNSPECTOR'S CHECKED APPROVAL l?HEATHiNG . ' .. .. .. srnuct'tJRAL CONCRETE ·I .. c.c . . .. .. ·, .. . , · OVER-2000 PSI .........a.AM~ ' ' ... .->·· . . PRESTRESSED -EXTEBIOR LATH;lNSJJL:ATIQN __ CONCRETE·' . ' SATE , ,, I· if_ ,i__f_l'ISPECT;:O_I;!(~ flJ_O~S, "':;. · _ · · . _ . . . , ~J,. _ . ( · _P.p9J" i.E!19IQNED. 1:NTER_!QR. LATH ~,f:1""r~Al,L ~ _ • ;. . _ ....... 90NCRETE _ • =· . . :;. .. . . 1 ._. : . ... . . . . .... :,. . . .. j PLUM,B~N'G· l,·· s--· ;! FIELP WELPIN.G . . • ' . ·' . . . . .. ,: ' .. :·, ,·, • SEWE'R AND BL/Cd I • ... . HIGHSTRENt3TH.;.,..· A • ·_.-' • • • L-_~_-----~-~..,..,.....-..::c.:...~_ ·L~-', """_-----,----~--,----~-~--~ PLUMBING U~DERGRO!JND j. .B\)LTS . . _. . ~---·-.---=c-~-~-'----'-;-,;-;-;-,,_ .. · . · . ' '' . .• . ·. ., ... SPECIAL MASONRY PLUMBlNG TOP OUT . TUB AND ~HOWER PAN GAS TEST PILES/CAISSONS · ELECTRICAL TEMPORARY POWER ELECTRI_C UNDERGROUND :! ROUGH ELECTRIC ELECT~IC S!=RVIC_E BONDING \. ' G: F. I. -SMOKE DETECTOR . MECHANICAL. DUCT${ PLE~ • .!~:REF;.P!~ll'-JG. __ ,_ .: I~-·_: " .. -~."· .. ;:,' \ ,,,_. ("'-· -....... ··--- Hl;:AT -AIR CQND. _;_ SQL,AR SYSTE,MS .. 1,_·· .... 1<,. VENTILATING SYSTEMS · ... ~., . .. , · t ·:·--~ --.-.. --,-·,,, ·-·r. · ··· · I I I -, ... ~ ...... , ,.,. ·-· ·1·· ... · .. ~--'", .. ,._,,. -~\.-. I . CALL FOR FINAL INSPECTION.WHEN ALL APPROP~l'ATE·-'l,,· \-~~-'.·I···;;·, d ~---· I 1 · ITEMS AB(JVE HA VE1 BEEN. APPROVED. r-:-'--:-----'-------~~-----------....:.--i;-~-~-;r;'~.,..:· ~\ ... .. ti'-=r "J.\ -~ ' . ·-·£ ..,,,.. "'i"',,r'*"' ~\;-..,:" ~~-~;»\. ! ,:~-t-'I.J _,_ .... ·.; ,-,_rt, JOB SITE FINAL ·, --~_-.'.. : ., ,.-.i :-:. .· . , .... : ' ·-. •· .~ .... _. . • ~--,-,,:· .. .,. ,._-_ ,.... • · j.,,,..·~-""""·, ..... , ___ , ~· ~·· '-' -=.u ..... • ____ ~.,_ .. "---. -=-''""''"......,-,...,., __,· -_,_. ----,--------.--~----1 r • ·.a: -\ • , •. , • '. :_ ' . '" ;; f -• , ,.; : • •• -' -\ ', "• ~ _P_L_U_M_B~l~N-G..;._;;;, _ _;.____;_;_;;_,.::.;;...;;_.;c;:;;;.._ ___ -,-1...c...,.-_;__,---1-....,_'--_,__ •. ' ' . . . .• - ELECTRI.CAL 1,-., ,. . .,.. \ \ '..: '.:··1 ···' \". '· •:--~-;i. . ...._..:. · '1 , • ·.·..:·_,--::·,-. 1··t· .. -,. :,·' ---· ..... ~-,, v···. ···, ·'·" ' • --------'=----------.....1.....,.....:.·.:.,,·,+..c-~-:...,'-+f-'-4~-+--1-~.:.... r-t' -i ·-••• .::,..-...... -). •,~r .... ·.. . , . .. . ""-; .. ~ -. ... \.r--;----~·.f _ ..... , .. <'_ ._·: •• ' MECHANICAL ., . . . .... . • .• GAS I • !·.' \ ::; _\_ c/ -~.J, ~: ~ :,:, ,:1 \ ;,~··· :) . ;j_ ,. W' _ • ...,_ =-___! \-t: ,. -~ "· BUILDING. ··.' . \<~ .~ \. SPEC(AL CONDITIONS CERT OF OCCUPANCY ISSUED i • \. .--I I ·,. l .. \ ,\ ; r 'if ~, I .. ... Ill z 0 .~ a: :5 0 ·w 0, g[ ,(.) ,!, 8 a: Ill Q = .::, I Ill z ~ } i z 0 ~ z Ill O.· :E 8 Ill ilC Ill ~ ,a:• 0 3: tl M' I hereby affirm that f am ilcensed under .~visions of Chapter 9· (commencing with Section 7000) of Division ·3 of the Business and Professl9ns Cc:,de, an'd my llcense Is ·In full ~d. effect. C-~ )' Lie. ~/,'J."s Class --~-~-11,;e~ l I I l l l USE. B~LL POINT PEN ONLY & PRESS HARD CARLS·BAD BUl~DlNG .DEPARTMENT 1200 Ehn, Carls~ad, California 92008 (714) 438-5525· .,.,.,,-,,~~'~'-_, · i ~I Le(";;;) 1 6kMD~ · _ ·::t.,;U,<1,~-;lr,: J l I I I APPLICANT TO' FILL IN_INFORl';w'IATION Wl"f"HIN SHA[)ED AREA ~ND DECLARATIONS. APPLICATION & PERMIT AV. _l;T, !DATE OF APl'LICATION RO, VALUATION ZONE PLAN 1.0'. # S'T'.AN'DARO PLAN•# I PERMIT IIIUMBER I "$0 ,I BLOG USE CODE I BUILDING sa. FOOTAGE Q) I IT: t':' (1l ,._ 0 0. E Q) I- I 'O I~ I hereby affirm that I am exempt from the C<in, ·-tractor's License Law for·the·following reason (Sec. ,7031 5 Business and Professions Code: Any city or county which requires a permit' to construct alter, 1mProve, demolish, or repair .any struct'ure. prior tO!its Jssuance also requires the applicant for 'SUCh per<mt to fole a signed statement that he IS licensed PU!SUant t'o the provisions of the Con- tractor,'s License Law (Chapter 9 commencing with · Section 7000 of Division 3 of the Business·and Pro-fessions Code) or that is exerript therefrom ahd the basis for the allege<! exemption. Any violation of ;section 7031.5 by an applicant for a permit subjects tne appliCaf\t to a civil penalty Of not 'more than f,ve hundred dollars ~). ! LOT r j DESCRIPTION OF WO'RK ~~~~~~(l~4,:2J!2'.~~~-!:_~~']4~· ~--_fi~~~~2$.~~__;I-________ _L _______ ...,..._J j 1-----......,=-------------------'~,........,,,..,....,,.,~_,---,-1 c D I, as ,owner of ihe property, or ,;,,y employees \llith wages as ,their sole compensat1on, will do the work, and the structure is.notintende<I or offere<I for 'sale (Sec. 7044, Business. ana Professiohs Code: The Contractor's License L:aili does not apply to an owner of property who.builds or improves thereon and who does such work himself or through his own employeEiS, Provided that such improv~meilts are not intende1 or offered for ·sale. If, ,however, the building or improvement 1s sold within one year of completion, the owner-bui_lder will liave the burden of proving that he did ·riot build or improve for the purpose of !\'lief -· [j I, as ·owner· of the property, am exdus,vely , contracting With licensed contractors· to-construct il)e project (Sec. 7044, B_usiness and Profes~i~ns Code: The Contractor's ~1cense Law does not apply to an OWfler of property who builds or improves thereori. and who cOntractS for each ProJects with a contracto~s) license pursuant .to the Contractor's License.L,aw), I. I l F/P I //V~ ' FLR ELE,V. I · . · , . . vO N[:;J_ j PARKING SPAC GRADING ~ERMIT ISSUED :~~~VELOPM!jNT 66~~T OCCGP EDU OCC LOAD FIRE SPA· l· YD N O vO NO vO NO, I . l QTY. PLUMBING PERMIT· ISSUE , QTY. MECHANICAL PERMIT -ISSUE lil6/@~t!'J6~ ~~~.tJ~§'( .f/$11:13 I ·EACft FIXTl)RE TRAP IN~TALL FUflN .. DUCTS UHO 100,000 BT.U. . BUILDING PERMIT v, vvv ~~~v 1 EAC.H Blllll,JING SEW~_R __ OVER 100,000 BTU. -SIGN PERMIT 01-000-4221 [ EACH WATER HEATER AND/QR VENT BQILEfl/~0.!>1PRl;SSOR UP TO 3 _HP 01-000-4806 ] EACH GAl,SYSTE_M I TQ 4 Ol)TLETS BQILER/COMPRESSOR 3-15 HP 01·000-4222 I EACH GAS.SYSTEM 5 OR MORE METAL FIREPLACE 01·000-4223' O'lamexemptunderSec. ____ B.&·P,C. • i·. EACHINSTAl .• ALTER,REPAIRWATERP!PE ~ENT,FANSl~GL~_liucT , 01-000,4224 forthisreason ____________ _ [ EACH VACUUM BREAKER MECH EX,HAUST -HQOD/D\JCTS 01·000·4225 I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I EACH. ROOF DRAIN (INSIDE) ' !thereby affirm that I have a certificate di consent I · . · TOT/iL MECHANICAL STRONG MO'ffON self-msure, or a certificate of Workers' l 01-000-4226 65-640-0519 pensation Insurance, or a certif1e<I copy thereof t----'---------------,----'-~a-,"711'-'---11 (Sec.3800,LaoorCo<le). . .IJ;i? I' TOTALPLUMBING FIRESPRINKLERS 01-000'4227 POLICY NcGat:x.,p '33°3 ~-·-. I . , PUB.UC FACILITIES FEE 2·5-000-4933 coMPAN.Y ~::n:;-. C017JP Fl/-iy(i . QTY. ELECTRICA!-PERMIT· ISSUE QTY. SOLAR· ISSUE BRIDGE FEE "'/rcor,Y ,s file<! with the city. [ NEW.CONST EA,AMP/SWT/BKR COLL~CTORS ~ Q. SCHOOL FEE· DISTRICT D Certif1e<I copy 1s hereby furnished. CERTIFICATE: OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need hot be complete<! if the permit 1s for one hundred dollars ($1()()) or less) 4, I certify that m the performance Of the WOrl< for ttii'cti this P,erm1t is issue<!, I shall· not employ any person m any manner so as to becom!! subJect to the Workers' Compensation Laws of California, l 1 PH 3 PH .STORAGE TANKS : EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE I 1 PH 3 PH PUMP l REMODEL/ALTER PER CIRCUIT . PLAN CHECK FEE l : TEMP PO LE 200 AMPS j OVER 200 AMPS I TEMP OCCUPANCY (30 'DA VS) l Carlsbad Encinitas San Dieguito " Sari Marcos 65-623-0519 65-624-0519 65-625-0519 65-626-0519 · 1-0 oOO 10~00 NOTICE T9·APPLICANT·,lf, after·makm~ this Cert1· f1cate, of Exemptton1 you,shoutd become sub1ect fi:>· the Workers' Compensatiori provisions of the Labor C.ode, you must forthwith comply with such prov1s1ons·or this penmt ~hall be deemed revoked. I 1---1-----------,----'------1t---t--r--~-~-------;------:---l}-------,----,-----,---1-,-------,.,.....-----1 I TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE ()(.} [j I hereby affirm th3t there 1s a construct1on lending.agency for the performance of the 'work for which this 'pe·rm11: 1s-1ssued (Sec 3097. Civil Code). Lender's Name..., ___________ _ Lepder's Address ___________ _ I II""!'"'!'"'"!!!"''!!"!"'~~~~ ~~~~ ...c::.,. l ., *::;..---: '.-<'S''.•:', .. 1~.--;-$>,. ""'' CAVATIONS~~-, -5,0 · ANO·-.--STIWCTIOtH>f:. · ;<'.· l . Ill " ,IT .• ,.s,,.-~ , .EX< . ,, ., .. _ l si~.oWA~-rfM"\ · . · E!GtiT, · • '" .. ',. l I l I . ., ,,. · : . s'""' . _ ·,,':,· ··-c I (1l .2 ID.J f.Q. llh .:.:: C a: ,._ 0 en en Q) en ~ I 3: .2 cii >'- 1, ~-Q), ·o 0 a:. CCI' 1ii Cl, g ~· C (1l C u: I . C Q) ~ 'C, 0 0 Q) ·O. en C ~ .s:: ,S: ,,. ... ,, I· i DATE INSPECTOR ~ ,. 1 -,,,. <83 r3c..) . . - C BUILDING 1 ' ' 7 FIELD INSPECTION RECORD ~-FOUNDAilON l ., l REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ... REINFORCED .STEEL I \ -' MASONRY l INSPECTION REQ. IF INSPECTOR'S DATE ! CHECKED APPROVAL GUNITE OR GROUT l I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME I PRIOR to t FOUNDATION INSP SHEAJHING .. ' STRUCTURAL CONCRETE I FRAME l OVER 2000 PSI 9XTERIOR LATH lNSULATION I PRESTRESSE:D l CONCRETE INTERIOR LATH & DRYWALL f POST TENSIONED CONCRETE ( · PLUMBING l ' FIELD WELDING SEWER AND-:Sl(GO f t \ • • r $'. "-•, , .. <?'~ •· I HIGH STRENGTH r., • I• I " 1 BOLTS PLUMBING 1:JNDERGROUND· , .: l PLUMBING TOP OUT 11 , SPECIAL MASONRY . ' I TUB AND ~HOWER PAN I GAS TEST l PILES/CAISSONS ELECTRICAL I '. ,, l~EMPORARY POWER l ' l -. ' 'I' ELECTRIC UNDERGROUND I \ ~- ROUGH ELECTRIC I ' . ELECTRIC SERViCE ! .A l BONDING I '. I G. F. I. -SMOKE DETECTOR' ! MECHANICAL l ' ~ - DUCT & PLEM., REF. PIPING ! HEAT -AIR COND. -SOLAR SYST~MS ; ! --' .. ' ' . ' VENTILATING SYSTEMS ·1 . ·-. . ---·--•. -.I -CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . \ . -. ·' '· ', '-< . \,"' ........ . .,• t" ·' .. ITE¥S ABOVE HAVE] BEEN-APPROVED. '·· ';: .... . -\ ' .. ,:""'• },-.' -:. \ I JOB SITE FINAL l : ' !-fi,;L t: C i_, ---.--~ ~ --1·-f \ ' -' .~ .• ... ... . PLUMBIN'G l . . . • ~ . • I • ,l ~ t', ELECTR.ICAL· l ... ,·, ••• 'll, l t .,) .-\ \ .... ~ " ~ ~-v':.. ... _'• J..: ' ., .,. ·\ • l ', #' -• ;_ < -•'-' . {' ,. ·-.. ,. .. "" ·. -'\ . . ' ,t ~ . t \\"' .. • . '• .. MECHANICAL l . A~ t GAS -·<.,. r-, l'." -~ ' --,L'.">n,~~ ~ )'/f:~rt \.-('.. . ----,n, \ \ ( '; -. . ' I -~• '.: -~ \ ' BUILDING r f • I V !• " ' SPECIAL CONDITIONS l l CERT Of OCCUPAN~Y ISSUED j a: O I hereby aff!rm that I' am licensed under ~[ provisions of Chapter 9 (commencing with· Sectl9n '7000), of l)lvlslon ·3 of the Bu~lriess ,c.· an<! Professions C9de, an'd my lli::ense Is ..In ·II:' full force and effect. l . ..... Lie. No. Class z 0 qr,- 1 hereby alfiffl) that.!.am .. exempt from the. Con-1 tractor's·License Law-for the folio~ reason (Sec 7031 5 Business,;ind Professions e: Any city or .. county Which /requires ,a permit to Construct 1 alter, improve, demolish, or repair any structure, r ·prior to its issuance,als9 requires the applicant for I such permit to file a signed statement that· he is licensed pursuant to the prov1s1ons of the Con-I tractor's License Law (Ghapter 9 commencing witli Section 7000 of Division 3 of the Busine~s and Pro-I Jessions Code) or that ,s· exempt therefrom and the I basis tor !He· alleged exemption: Any violation of Section 7031 .5,by an applicant for a permit subjects J ·II: tne.ai>p!icii:nt to a civil,penaltr o! not more than five I Ill hundred dollars ($500), o· 0 I, as owner of the property, or mY. employees l ;.I l .5 v.iith wages as their sole compensation, will do 'the I work, and the structure is not' intended or offered for I sale (Sec, 7044, Business ilniJ· Professiohs Code: Ill The Contractor's License Law doe.s not apply to an l z owner of property who build~ or improves thereon l 3t and who does such work himself or,through his own 0 employees, pro,videif that such _,mprovements ar~ 1 not intende1 or· offered for sale. If, how~ver, the building or-improvement,1S-~1d within one·year of I compte~ioh, the· owlle'r-builder will have the burden I of proving that he did not build or improve for the purpose of•saleJ. . I "' . D I, as owner of the property, am exclusively I z contracting with, licensed contractors tO construct I 0 j:: the proJect (Sec. ·7044, Business and Professions Code: The Contractor's License.Law does not apply l ,c to an owner of ·property who builds ,o/. ·improve_s· j cc ~ thereon, arid who'contracts for each pro1ects'w1th a ' contracto~s) license pursuant to the Contractor's I (.) :License Law), . .' I Ill 0 0, l·am exempt under Sec. : B.&P.C I for tbis reason I I I D .1 h~reby affirm'that I ha,e a certificate of.consent j. to s~lf-insure, or a certificate-of Workers· l Compensatiot:'l lnsurar;ipe, or a certJf1ed copy lh,ereof l · (~. 3800, Labor Code). I z POLICY Nb. I 0 1 j:: ,c Copy IS filed,wilh the ~ity. ,~ I II) z rtif1ed copy is hereby furrn . 1 I w a.. l ::E, r• 0 CERTIFICATE OF EXEMPTION FROM (.) I II) WORKERS' COMPENSATION INSURANCE iic (This section need not be completed ,, the perm,t l w is for·one•hundred dollars ($100) or le'ss) I ll.: O l·ce!1ify that ,n the performance of the work for cc I o. wp1ch· this permit 1s 1~~~. I shall not employ any ,, 3t person 1n any manner so as to become subject to I ,{ the Wo_rkerS' Compensation 4ws of California~ I NOTICE TO APPLICAN'T· If. after makin1 this Cert,-I , I ficate of Exemption, you should become subject·t? I >I the Workers' Compensation prov1s1ons of the Labor Code, you must forthwith c61'(lply with such I !>' provisions or this permit shall be deemed revo_ked. I I ·1r I O ·1 hereby affirm that there 1s a construction I lending ag,:!:r,cy_tor the performance-Of the won<, for which this permit ,s issued (Sec· 3097. C,v,I Code) I Lender's Name l Lender's Address l I l I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsl:!ad, Californla 92008 (714)·438-552~ J°i°;i;._1 L,1s 7AL-q;~ 8l.Dc,~_I'--/ OWNE'R'S N?4S '1 L ~tos&-.. "-rR.O()~c::f.:s" OWNER'S PHONE -~~t'·L:;;;.ssp~~:.+~-/)R~ :~~~~ LOT ·1 ~LOCI< I SUBOIV!SlON DESCRIPTION OF WOR'K --· A . l ASSESSOR PARCEL NO. /) s~~ ca ___ . ~~~T. ~;;,4TWN · · ·. :i'Nl//:1~ # ...-------,----,-,--11----------1 _pa_:_t¢7;;sR e:::_~_i_§t±t1.} (_ ,. CONTRACTORS PHONE lt "?S3~'-f--l-r] 'VALUATION ZONE ,./(S--3 /' PERMIT NUMBER cor,r'\'!"AOT01''.S ADORE~ (lj_ f'-..... ,-,_pi-._ .... Ro.6S"b¥ ~A--4 .. ....,~7 .-LICltNSE NO. • PLAN 7 BLDG USE CODE 612 ' B\JILDING ·so. FOOTAGE ~ lil'ATE LlchJse # ~ -~DARO PL,!>.N # ~079'-,L-7/ Q)\ ii:\ >, al 0 C. E ~ I 'O 0 C, .... C: «l .2 ·r!Zi?-. ~.-NO ~ -u F/P FLA ELEV. STORIES <( _ . _ _ . . . . . . vO NO' --2/ l 6/tllaBitS:J 5a~oo a~ CENSUS TRACT GP LANO USE PARKING SPACE RES·UNITS GRADING PERMIT ISSUED· REDEVELOPMENT FIRE SPA -'•---•--. ~, v~ No AREA vO· Nd · vO NO ~q~j/JZ,i.~ntes?"'J,,f,{b}~ified 1''18~QO i ' -' -' '.' ' . QTY: PL,UMBING PERMIT -ISSUE ,MECHANICAL PERMIT -1-SSU~ SUMMARY/ACCOUNT NUMBER · EACH FIXT_URE TRAP , '" ·EACH·BUILOING·SEWER EACH'-:"ATERJ:tEATERAND/OR VENT EACH GA~ ~Y-STEM 1 -TO 4 0 UT LETS EACH GAS SYSTEM 5 0 R MO RE EACH INSTAI.., ALTER, REPAIR WAT.ER PIPE E)\CH, VACUUM BREAKER WATER SQFTNER EACH ROOF DRAIN (INSIDE} TOTAL PLUMBING T INSTALi, FURN. DllCTS VPJ\TO lOO;QOO.BT\l] v. . I . B0ILE_R/i:OMPRES~OR uf T~ jlHP JI/ 1 7.1 II \!{ \'i> .• op~Fi 1~1i.D,110,.w@ A ,. \r../i/ · BOILER/COMPRESSOl!J'-15 l;\P , 'f} / METAL FIREPLACE --~ "/\ //' I II \ · BUILDING PERMIT ~ SIGN'.PERMIT PLAN CHECK 01-000-4220 !!1-_000-422.f. 01,-000-4806 TOTAL Pl:UMBING .• Ol-000-4222 ... ELECTRICAL 01,-000-4223 -~r..;?~ VENT FAN-SiNGLE DUCT/ , Y MECHANICAL 01-000-4224 MECHjXH~UST -1:1oop_¢JcTS MOBILEHOME 01-000-4225 . f'·RELOCATION'Of EA l)fflNACElflEATl:R · MOBI_LEHQME PA°RK INSP 7 SOLAR 01-000-4226 'TOT!iLM}CHANICAL I FIRE SPRJNKLERS / I STRONG MOTION 65-640-0519 01,000,4227 QTY. / ELECTRICAL PERMIT -ISSUE ;;-~TY. 25-000-4933 SOLAR -ISSUE PVBLIC FACILITIES FEE ·, . BRIDGE FEE / ,. .,r .. ·,-eoi.s1 £A AMP/SWT/BKR lPH /'SPH7J:.$'ZJ¢ . -~~ SCHOOL FEE -DISTRICT EXIST BLDG EA AMP/SWT~ ~ORAGE TANKS 7IMcK STORAGE Carlsbad Encinitas · 65-623-0519 65-624-0519 1 PH 3 PH 7 PUMP San Dieguito 65-625-0519 REMODEL/ALTER 'PER_ CIRC.UU:.._ -~ I . . 1 I PLAN CHECK FEE I I I I TEMP POLE 200 AMPS · / San Marcos 65-626-0519 OVER 200 AMPS I / TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL l So>-u_:s1 -TOTAL SOLAR. "'l\ • Ql.r-\ < -~, -( ' " ' '1•"# '! ·--~~ \TOTAL FEES PAYABLE f S--.;2..!!2 -- * AN ~ PERMIT IS REQUIRED FOR EXCAVATION~ OVER ,5• 0" DEEP ANO·OEMOUTK* OR CONSTRUCTION OF 0 Cl) 'Cl) Q) Cl) Cl) <( I ,:- .Q Q) >- Cl)- CI) Q) O· e a. a:I ai 0 ~ Q) 0 C: «l C u: C C: Q) Q) & 0 0 Q) C. Cl) C: C l HEARTVl~YCAUREOFUE Ll Y S<AMINEO THE COMPLETEO"APPUCATION ANO PERMIT" 'ANO 00 H . ~. · :·~·~~':::c~~undertheprovisionsofthia r N fl PENALTY OF PERJURY THAT AU. INFORMATION HEREON INCLUDING '1'H .-..~ . .. , _.,. ,,,_.,..void. If the building otwork DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGflEI! IF A PERMIT IS . ·~ ~=-:2.:IIOt tl!Jffl-iced within 180 days fro"! the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUii.DiNG C()N. or wo,11 ~~such P«"!il 18 suapeoded or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AhD l~i1!~~-~~--~~~-~,!!worll~~-~-~•i!11•!!!•!!!ad~~fof'~a~~od~.o~f 1~80~d~~-~;:,;~~:'{'o~;-;~---------~~-:t----~ KEl;P HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND SIGNATURE K. ~ QWNEAD CONTRACJO nATc ,r STRUCTURtS OVER 3 STORIES IN HEIGHT /vi1:12L~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r') GRANTING OF THIS PERMIT. __,,.._. ......... ~../K_ ,. . .}._ .6 . I t l ·t l I IN~Pl':CTION TYPE . I DATE INSPECTOR BUILDING I. f . FOUNDATION l I REINFORCED STEEL l • MASONRY I I I'-l GUNITE OR GROUT ' ,. {I .-~i FLOOR & CEILING SUB FRAME ! ; .-i:· SHEATHING l 1 FRAME I EXTERIQR LATH 1N$ULATION l I INTERIOR LATH & DRY.VVAL,,L f ' PLUMBIN.G , f T . , I SEWER ~ND BL/CO I '· I PLUMBING UNDERGROUND l PLUMBING TOP OUT l ,t TUB AND ~HOWER PAN GAS TEST l ELECTRICAL ! I TEMPORARY POWER f ELECTRIC UNDERGROUND I l ROUGH ELECTRIC I I ELECTRIC SERVICE { BONDING A I I• I G. F. I. -SMOKE DETECTOR' MECHANICAL i ' DUCT & PLEM., REF. PIPING I HEAT -AIR COND. -SOLAR SYSTEMS _, VENTILATING SYSTEMS f I ' -.. CALL FOR FINAL INSPECTION tvHE~ A£L APPROPRIATE· ITEf:1S ABOVE. HAVE] BEEN-~PPROVED. . I. --;-. -"::,:~ -• 't-' ;;r--~-1' '" FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP "STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE · POST TENSIONED __ 1 CQNCRETE .FIE!cD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES/CAISSONS REQ. IF I INSPECTOR'S I· DATE CHECKED APPROVAL I . . \ I : . I I -. 1---n - --t-)-\ _r"' -~~· • --~~~,.53 INqPECTOR'S NOTES ~ ' -,.!-,,: . ··=' \ =-----:-== .,_ .. __ -----~-~-_____JI ~-:-.( . PLUMBIN"G ' ELECTRICAL MECHANICAL JOB SITE FINAL I -· ':.·~--1\ :.: -~ ... --~ ~-: ::.-.• l . ·•• -1. ' .. \ i", I ,; T ,-.. '·_\ i:,.:__:"':_ __ .--=._.::.::-::: __________________________ I f ' ~~~LDING \ ·_1··:··~ \ I ··-· d ,:· ~~r--'": . , :r ·:·j ·> :,,s= ·-r · ,_; I . ~:#~ \ -·' --~ ~1-: ... -~·:_·-_·-_::-.... _-_~_'-. .. ___ -_· __ -__ :. ___ ·__.:,~:.._._1 _____________ '7"' __ -, ,._ --- '• 1 SPECIAL CONDITIONS r--___:cei:n OF OCCUPANCY ISSUED ~ ~ 6 ~ . ii l· • Ji