HomeMy WebLinkAbout2231 RUTHERFORD RD; MULTI-PERMIT FILE; CB041799; Permit1/ 05f1 \ ~_f\~,A/~ City of Carlsbad
-.j 1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB041799 05-'1_,-2004
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2231 RUTHERFORD RD CBAD
SIGN Status: ISSUED
05/18/2004
SB
05/18/2004
05/18/2004 -
Parcel No:
Valuation:
Reference #:
2120701900
$3,000.00
Lot#: 0
Construction Type: NEW
Applied:
Entered By:
Plan Approved:
Issued:
Project Title: MED-EX 31 SF ILLl)M WALL SIGN Inspect Area:
Applicant:
STANFORD SIGNS INC
2556 FAIVRE ST.
CHULA VISTA, CA 91911
619-423-6200
Boilding Permit
Add'! Building Permit Fee
Plan Check
Ac!d'I Plan Check Fee
Electrical Fee
Renewal Fee
Add'! Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $95.55
Inspector:
Owner:
BECKMAN/CARLSBAD I L L C
C/0 COVEY COMMERCIAL
6183 PASEO DEL NORTE #280
CARLSBAD CA 92009
2356 05/j./3/04 0002 01
CGi=i!
$45.79
$0.00
$29.76
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$95.55
Total Payments To Date: $0.00 Balance Due: $95.55
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.O.
SECTION 106.4.4
OATE..\-~~SIGNATURI:~
FINAL APPROVAL
Date: -------Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing Jn 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 rightto 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/exar.tions of which vou have orevio11slv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired.
02
95t~ 55
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. G~ { /7 91
'• City OF CARLSBAD BUILDING DEPARTMENT
EST. VAL. _________ _
1635 Faraday Ave., Carlsbad, CA 92008
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
'Assessor's Parcel # Existing Use Proposed Use
# of-Bedrooms # of Bathrooms
Name
·=~:.....:....!:..~=~=,...=.=---=::..,.u..£.......L.,::....:..:::.~"'1--L~~~.L..J,L.::;__..i,.a<::..<.~-'=+------'~--'--'~-1-_µ,,.~~::::.__::J=6
Name Address
(5"" -.,:9,Q,r,IJ'M,~1:'Pfl.~ :Q.QM(At.!YJ'{~M~ .,, ·. "' , ,.',.,; .. : r_::,
-Name
State License #--~----~--
City State/Zi';z / 3, ,-Jtphone #
City Business License # / '1 ~
Designer Name ·Address City State/Zip Telephone
State License #----~-----
l~} MJ(!t'.Q!'l!(.El\~"CQ,Ml:'f:t,1.MTJ,Qt,l" ... -.·,.. , , ~;,, 7 _, ....... ,w .. ,::· .. ~~~s.,,..::~'.:'::;;:::: ,·. i .: .. c...:,\;J,.",:,:,;,;,·._:E-~;""·7_:;:,:<:,;;;;:~;::]
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
-S., I have and will maintain workers' compensation, as required by Section' 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compen af n in~ance arrle and P licy number are: . /?~G(} r/4r {)A--. . ;/ / fa C
Insurance Company . , U, ...,,,,....-,,, Polley No. . . (1... ? , -, . Exp1rat1on Date ~ // ~'.,L_.
(THIS SECTION NEED-NOT B'E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100)-0R LESS}
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to· secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ,0 , in addition to t st of compensation, damages as provided for in Section 3706 of the La 9r,lo e, ~terest and attorney's fees.
SIGNATURE '. DATE 5"i /u f} 'r'
;t;J:>WflER-BUil!DER"ojcLARAT:IOi(, ,,.·. · .>'·' 'C•. . .• ",' .-·,:::' -~··.,.:,1:_: ·· :.:~-,'':;'f,_'j'' :-'i-,,,(,,·: ,,;:',;;;::.,'.J,,_:;c·;.~'~J_;'·:t:::.1•!
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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 appJy·to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for. the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: .The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law} .
. 0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I p_ersonally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
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 / phone number / contractors license .number):
4. I plan to provide portions of the work, but I have hired the fqllowing person to coordinate, supervise and provide the major work (include name / address / phone
number/ 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 nam~ / address / phone number/ type of work):,...,. _______________________________________________________ _
PROPERTY OWNER SIGNATURE ____ ~-------------~~--DATE ________ _
iCQMf.!ll.~:1llllS:SECl10NjOltNON;lES/PEN11AJ, 8UILQ!tfG\PERM1TKONL;~. ,'. ' .... ' . ';;:;,,; : .. ,;11;;!':!7t F~-~.-,;;tXt::.Si~"?;.t~1>:;{;N·;:;:;Jt'':'-;;:±~<~-'>~JJ
ls 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? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution-con_trol district or air quality management district? 0 YES O NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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.
rt~JfoWffiuwoti,1:,ewm"G~·~:----,-.,,_T-:--,,-:-"'"'·::-~~~~:''-"~~,:__7;~8,7::'S:.::I~~S::r:-:-,:~-:;:':~-}7::-c::;:.."?z-:.e.:~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
~APPLICANT;'ceirrlJICA:rt-Of! ..... : . . .· .: , -.,,, .-.. :-. .. _-. .. .. : .... _; ~ ::2 ,._.. ,_ ... "' .. :-j. .. · ... .-:·: ·. :, -,·.:,s~.:· ... ;,·;r .. ,· ·· :::;"':t'-~;~~~
I certify that I have read the application and state that the above information is correct and that the information on-the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authori,zed by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized.by such permit is suspended or abandoned
at any time after the work is commenc for a eriod of 180 d s c · n 106.4.4 l:Jniform Building Code). G" /2,1/ J-/ ,J
APPLICANT'S SIGNATURE -'--,.,..-!!~'.!:::;~~~L-~:&~~~~7--~-------DATE ----,'~'--+p' )_I_'(-_____ _
PINK:· Finari~e
' ' ' City of Carlsbad
i-UOG•hl·l •J4•L•IU,14hl
September 30, 2004
STANFORl) SIGNS INC
2556 FAIVRE ST
CHULA VISTA CA 91911
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: SIGN
Permit Number: CB041799
Issue Date: 5/18/04
ADDRESS: 2231 RUTHERFORD RD
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our-records indicate that your building permit will expire by limitation of time on 11/14/04.
The provisiops of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION.
Every permit issued by the Building _Offi~ial under the provisions of this code shall expire by limitation and
become null .and void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit.
Wbrk shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be
presumed to be stopped if the perinittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the injtial commencement of work authorized by such permit.
. . . ...... B.efore .. such...w.ork..can...b.e recommenc.ed,.a~ne.w .permit.shalLbe .. obtained .to do so, and .the .fee,.therefore, shall be
· one-half the amount required for a. new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. In ord¢r to renew action on a permit after expiration, the permittee shall
pay a new permit fee .
. Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to comrtlence work within the time period required by
this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
. beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. {attach a letter of explanation)
Renewal permit requested.
If the project has been completeq and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
Christine Wanschek
Office Specialist
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 . @
l ' I
USE .BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS .
, CARLSBAD BUILDING· DEPAR:r.MENT · -=0 . t.~-, --, , .;-, , ·. '. ·· · -----·1 · --· · , 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 1 ·1-[iA::t--'h!f!ll>Y.~!!!r~·ttja~l:am_llcensedunder _1_ . _ . · ' • . ___ ,. · . · .. ' . . •
APPLICATION & PERMIT-·· -· ---
· U .pr~l_~tons of Chapter 9 (commencing with JOB ADDRESS . AV. ST.RO, THOMAS BROS NO, • IOATE OF APPLICA'TtONI BUSINESS LtCENSE # • · VALUA'TION · f ·• PERMIT NUMBER-..
_!:, -~t';1':i,~':ln~~!'.0!n·~~/~~~~:1
~:~~ .:· ~~31 !e.t,~.;..,-.P."-~ ~t!_,ql!_Jsl,~~ <f.urrf' :i"-Ji-f-"l I ,;;>~72,_ 'ip__/00()_ -_, v··
• Z lull force and effect. I . . · · . . , · Jt ... ·. _;,·,:· ·· · · · -----·· ·.·-1 LOT ·sLOCK 1sueD1vis10N j ASSESSORPARCEL'NO. 0 CONTRACTOR_ . .,coNTRACTORSPHONE# ZONE I r::{)-1~
.: .. .:.... I 'hire~y afllrm Jh~t 1 .. a.m e~e_mpt,_fro,:n th~ Contra~-. I· . ... .. . 'Z-l 2.-t>·-Z O -l I • · ·· . · ...,,/ J ,,...-,,., _,. o , -• . -. ---1 ' (S 7 , , tor's .License (aw tor the following· reason (Sec. 7031 '5 • , • I~ -~ U co 7 .P .. :·ausinessand Professions Code: Anyc1tyorcountywhict.re-I OWNE.R S NAME ·I OWNER'S PHONE A,..,,,J VA h £-' ~ I Ct 1"\ · ( ·• __ qu1tes a.permit to construct, alter,Jmprove, demolish, or-. 1• ll""i / ...,...,..'J< · . 'l CONTRACTOR'S ADDRESS ..,e-t::'--.. ,.Jl~ • _repairanystructure,priorto1tslssuancealsorequires!heap-,..,.J AR..-I ·. ':Jl 0-,-, ;, , ...,_._n."(
STATE LICENSE NO. __ ·•-· BUILDJN.G S!). FQ9TAGE-
• phcant•for such permit to tile a signed statement that he " f • • _,.;;J -" I-V / 'l 7 L,.,, Ct · · W ·; I' -· ;licensed pursuant' to' the ,p/qyi~l?ns· of the ~on1ractor's'" · 1 • OWNl?R'S MAI LING ADOR ESS · · • . . . ~ ~ .::>1 ""l'l -(.).$1:> ,-:, )4.', License Law (Chapler,.9.Col)lmencmg with Sectmn 7000 of -----· -----~ _Divisioo3.oUhe8usiness.andProfe~sions.Code)orthatisex-._ ··I , ., ~ / ,t?1 ..._J .J p ~ empt therefrom apd•the ba$iS for th,e;allegeo ~x~mpt,qn. Any • . .,,._,,.___ ? IC,._ "J ,._ I-_ .A vmlat1oiof.Sect1on '7031·.s by a~ applicant ior, a pecm1t sub· , I, . ·· . " ' ;,-.... jec)s t)le,applic'aotJo a ·civil penalty:of. nolrnore tha.n j1ve,hun-· .•• · .f DESC-R'IPT ION. PF WOA K ".!ii _j, . I $ _,, ·
· dred•dollars•($500).· ---· · --· .. · · --·--· .. • f' I..-, c,J,._. it f I "\ · · ::.'t ,:p n1 /'.} nu l";-s.,. .-.:,-IL! h 'oEi:;IGNER'S ADDRESS
'.'-,' l>.1.-t>,_ I '1 <:Ar
OESIGNEA V DESIGNER"S PHONE
STATE uc·ENSE NO.
. . I I I, as owner ol the property, or_my._employe,ss with wages_ I _ -_ V
, ;,~ . as.their $Ole,compensat1on, will,do,the work, and the struc-1 · · · '·o -lure is nof,intepde~ or·offered·ior:~ale·(Sec. 7044, B~siness . .. . . . . . • , , ..:9i::-1:; 115 /1 ;,,/89 " " ._,, · ·and Professions·code:·"The Contractor's Ucense'·Law does, .. -1 · . • F/P ·F·Lfl E LE,V. · • ·-NO .. -ocC'GP --· --EDU ·-... u .lJ -.,• ~ Ci v001 Oi ' _ 3 ,, n~t·apply_ io'.an,'ow,_n~r .. qfprop_erty,who,tiuilds\6r·improves 1 · STORIES r,1 'f• t-1!1 -· thereon.antf.who.does such work h1msel(or through h1S.own O · :i;,.,_ 0 lfl ~ .·, Ii! employees.,provided·lhatsuchimprovementsarenotmte_nd-I · --v •. NO-----_-:---.... ·• • • ,. · -..... ----.. ·· --· ... .. ... •
·-' 1&1 · • ed·or olleied'for•sale, ff. holYever,.ihe bull<i111g,or.iin),rove--•· 1 t · l . , ·I , · , , " l · · · . ,-.,z • me·nt is·s0Ww1t~Won·e·year.6f conijiretioo :the,owner'bUilder---" · ·•·• • .. • ,., ·, -CENSUS,TRACT.-· • ,,P,A.RK,ING.SPACE RES UNITS ,GRADING PERMIT ISSUED RED~VE LOPMENT , TYPE DCC LOAD ·Fl RE SPR 3: will have the burden;or:prov1ng'tl\at.he'd1d not build or Im-I : . . . I . . . ... . ·.. ... . . . : ,o,REA _ .. • • __ ·. . CONST_ .. ._ . + "-.. ... .
. -0 . ..prove.for the-purpose of,saiei. -:. . : ---• , -f· -. -·;\-"· • --.,• . _ _. -•• ------. .. .. :· , y O /I O , v O NO: vO NO I -Not Valid Unless Machine Certiffeo
,-. ,-.,-;,-~.h{i,i:,;~n~~n~ii~~r~;i~i~~!itrt~i;fti~:i,~r:i,iii'_r~~~~~,. -+ ·or{:, --PLUM Bi NG PERMl'f -ISSLi°E ·-·-7: so· 6TY-.... -MECHANICA.L p§'RMi~ .'isk~E .. /.' r· 00" ··-..... ----. . ··suMMARY)A'CCOONT''N'UM'BER_._ --
·~ iI
>-ro 0 0. E Q) I-
I . /\")._ .... --1 'O
v.:. 42aop_~
__ .. ·---~ -C m ()
'.::'. ::. '.'.~ .:.:~~!d~~~:~~ia~~%erg.~;.~:i:re~f pT:O~;~W~~~gtg~ifd~1~~~~--I. ...: · ---. . · l i /' ; , . . V'
1, · ··Rr9ves.t_he(eon,aod_rwpo,contract~for;ea~hRmie·c_1s:i,ilh·a.,.:-1,·. 'EACHFIXTURETRAP l' ....... ·• ..... -,-·1N'S'TALLFURN~-D'liCTStlP'TOfOOOOOBTl'.J" ·.. •· tlUILUIN\:i'PtKMII -uur·81U'U0·U0·8220 J' --·,;;],:;,; .. ---·-·1·---cn--· contractor(sJ license •pursuant ·to the Contractor's License -.. · , : · ' · · • --__,/_
0.
0.
<{ ~:::;, ,'. >~ L,_w!;/;, .. 1 _,;-: :·: --. _ • . .. . ... : .EACH BUILD l~G"sEWE R . • .. , '. _ ., . . .. .. . • ; __ .. ·, ... . . _ _ __ O\(_E R 19Q,QOO _BTV, _ _. . SIGN PERMIT 001-810-00-00·8221
t-~· . -!l.Asah1meow~er:lamimprovmgmy.home.andth"-follo"'.· .. ' 'EACH"·w· ATER'H. cA·--rER"ANo·o·R VE.NT' ; BOILER/COMPRESSOR UPT. 0 3 HP PLAN CHECK 001-810-00·00·8891 / (n ,C --e ll)QCOnd~1onsex1st. w, ·-~ , ..... 1 -I , ·-, C:: ~I I • , , 1 ·-a::· •, 1. 'The'wcirl\ IS-being.performed prior to,sale. 1· ·.; • . . · ' j· --·2. -1 have'.,!1~ed--i~· my-M,me for·. twelve· months · • ..... EA<::H GAS·SYSffM .. J-T 0--4· OUJL,ETS , · .. · . -.. , BO.I tE~ICO"lPRESSO R 3-1 ~HP--· · , --· --· --· · · :· -TOTAL-PLUM~ING· ---·00·1·8·10-00-00·822~ -:---.. · ----o prior 10.cornpleli0n1of tti,s work•' I 1 , , 1 •
111 .. _. __ .. -3 .. -1-have not clalmedctli1s,e'~enipt100 during.the 1 ....... .EA.CH GA$.s'iSJ:E.M.5.0KMOflE..-. _ _ _ __ _ _ .. ·, METAL,FIREPLACE , · • ELECTRICAL 001-810-00-0Q-8223
10 last three years. , , . .. . .... . _ .. ___ . • .
I 'EACH INSTAL.. ALTER REPAIR WATER PIPE • : VENT FAN SINGLE DUCT 1 • MECHANICAL 001-810-00-00-8224 I . . .. . :_ ... , ...... -. ----. . ; . , .. --
I' · EACH VACUUM BREAKER , , -·.. . • . . · MHH·rnHALJST HOOO·lt;)UCTS· --· · ·•• ... M0BllEHOME • uu1-~.1u•u
{ "WATER SOFTNER ; ' . . RELOCATION OF EA FURNACE/HEATER . SOLAR vv, v,v V
.,.
:.D· J'~l)l ~xemRI un~er_S~t; ,: ~ &·P.C • -l~r, !his reason, , ' .-. · , ·
-•I, • •• .... "
--, -· --0-00-8225
nn1 .Qrn.no-o0-8226
' ,. -.. EACH ROOF ORAi~{ (INSiDE) . DRYER VENT ----. , STRONG MOTION -. -. '.. . • --. . I . 0 : 1 hereby-affirm _uiat l·have-a certi!!cate of consent 10 .. · . . · . . _ •. TOlJ;.L, ~EJ:HAN ICAL FIRE SPRINKLERS ..... __ self-1nsure.oracertI1tcate of.Wq(Rers Compensation In-l • ··---~ -----·-. -~· . . .
·suranc~.or.acertifiedcopylherep[(Sec.38QO.Laborco·gei I . -. . TOTAL PLUMBING . I . . . PUBLIC FACILITIES FEE ___ .... _
: L _ POLICY NO,' 0 {., .;J...l<f ' 7·-rf I . BRIDGE FEE o"n,Qin.nn""'·"''''
·Z -,.COMP/INY 5+1f+&.-J::.. .I' I · . ' A() . ' ' ~ -: ~opy.,s.'iJieg •. with,\he.city_:~"-..... 1 Q!Y-: ELECTRICAL PERMIT -ISSl,JE · $ U QTY. MOBILE HOME SETUP _ _ _ _ PARK-)N-LIEU (AREA
.. ~ 0 certified copy.is h'er~by:1urnished : , NEW CONST EA AMP'SWT BKR · CAR PORT • TIF
~ ( i 1 PH 3 PH -. AWNING · , • . -• LA COSTA TIF
.~: .. _,ceRT1F1cA1EoFE)IEMPTtollfFRot.1·· f .... ·Ex1ifrBLDGEAAMPtSWT'BKR .· ·_ GARAGE • FMF ' U WORKERS' COMPENS/ITION INSURANCE { · · .. • . ... ..
.··, ¥), ,., -!Th!• ~suon need nol be comple\ed if the permit f i' PH . 3 PH . . LICENSE TAX
"·: 1 ,z: , , ' ,is for one hundred dollars ($100) or less) , ·
... ·~ • _·0 .1certif;u;~tintheperforma~ceoftheworkforwhlch ·f :-REMOOEL'ALTfR PER CIRCUIT· • · .. • MFF • • .a: this.permit is issued. I shall not employ any person in any I 0 ·-mannersoastobecomesubjectto·theWoikers·comp~n-I --TE-MP POLE .2-00 AMPS .. 11 , , , ..
1 :II: :s~tion Laws of California. .. . I Q VER 200 AMPS ' · . .. -
,, .. ero-,"'"",.~ .• -...... ~"'"°'" , · · . I I . I I ,· , , Com~fl~at10n prov1~1ons o\ the Labor C~de. yo~ ,mu~t I , . · · I · forthwlth·comply With ~uch provlsJons or this permit shall I • , • _ CREDIT DEPOSIT
'·. ~ . . "' -
8/l0-519-92-33 '1 I
001-810-00-00-8227 ---1 ..
~?0-810-00-00-8740
VVV U IV V~ ~: ;:;; .;o • I
)
312·810·00-00-8835
311'810-00-00·8835 ---
001-810-00-00·8162
880-519·92·57 · --
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.o"•~•'~· ~ ""'" ~-'"""°' •~ w,_ TE MP OCCUPANCY 130 OA YSI . -. · · -· • -• •. . • . • • • ~ . . •
.... { '."'deemedre~oked.. : _· TOTAL EL!CTRICAL ' I . . ' . TOTAL . TOTAL FEES PAYABLE I ~~ ro .
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l • l . 0 I '.hereby affirm that there 1s a construct1on lending ( ~ffi -agen~y !O~rth.e-performanceof the work for which this per-1
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Explr•tion. Every per_m,t issuedbylhe Building Ofllciehmdertheprov,s,oosofth•• * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIOHS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shell expire.by hm.'tet,on and become "'!fl aod vo,d If the building or work S' O" DEEP ANO DEMOLITION 0A CONSTRUCTION OF authorized by such permit ,snot commenced w,thm 180 days from the date of such · DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 permit, or ii the budding or work authorized by such permit 15 suspended or STAUCl\JAES OVER 3 STOAIES IN HEIGHT ,!:?
ISSUED: TO COMPLY WITH AL,L CITY. CQUNTY AND STATE LAWS GOVERNING BUlLDING C.ON-abandoned at an time alter the work 1s commenced for a nod of 1 da . :C
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , _,#., -, • .. ------3':: KEEP.HARt;ilLESS TH_E CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO A~PLI ANTS SIGNATURE lf-OWNER0 CONTRACT0"'1 03/;ATE ,h
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /) ~ ~ . ~ BY PHONE o &,IJ~~nm-1//. r ,GRANTINGOFTHISPERMIT. -'-'(. ,~ I ~, _·· -1
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
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SHEATHING D ROOF DSH~R
FRAME l
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EXTERIOR LAtl-i 1
INSULATION . !
INTERIOR LATH & DRYWALL l
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PLUMBING I
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D $EWER AND J~UC_O · · c· D PUCp
UNDERGROUND.· · EJ'.WASTE D WATER
TOP OUT D WASTE D WAT[ER
TUB AND SHOWER PAN I
' GAS TEST I
D WATER HEATER D SOLAR WATE;R
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ELECTRICAL I
D ELECTRIC UNDERGROUND D U~FER
ROUGH ELECTRIC I;
D ELECTRIC SERVICE D TE:MPORARY
D BONDING D POOL .
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MECHANICAL I
D DUCT & PLEM., o· REF. PIPING;
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
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DATE INSPECTOR
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CALL FOR FINAL INSPECT/OH WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE lJEENAP-i?ROVED.\.A--·'i . · , .. ·
FINAL
PLUMBING
ELECTRICAL
ME:CHANICAL
GA$
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . . ·-REQ. IF INSPECTOR'S '. INSPECTION CHECKED APPROVAL DATE ,. -. ·'
SOILS Ca°MPLIANCE
PRIOR TO
FOUNDATION INSP
STRL}CTURAL CONCRETE
OVER 2000 PSI
F!RESTRESSED --
CONCRETE
POST. TENSIONED
CONCRETE
FIELD WELDING ..
HIG'i_ STRENGTH·. ·
BOLTS f .. ,..
SPECIAL MASONRY
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PILES CAISSONS
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