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HomeMy WebLinkAbout2240 JEFFERSON ST; MULTI-PERMIT FILE; CB020140; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-10-2002 Mechanical Permit Permit No CB020140 Building Inspection Request Line (760) 602-2725 Job Address 2240 JEFFERSON ST CBAD Permit Type: ,MECH Status: ISSUED : 'Parcel No: 1560311200 Lot #: 0 Applied: 01/10/2002 Valuation: $0.00 0 Entered By: CB Reference #: Plan Approved: 01/10/2002 Issued: 01/10/2002 Project Title: ANGAROLA RESt GAS LINE REPAIR Inspect Area: - & NEW FAU . Applicant: Owner: SOUTHCOAST HTG & AC ANGAROLA FAMILY REVOCABLE TRUST 07-06-99 .4055 OCEANSIDE 131- /\ /\ OCEANSIDE CA 92056 / (2 L918o / - 4J ,-8582 01/10/02 0002 01 02 / COP 5100 Total Fees: $51.00 Total Payme I f// ' Mechanical Issue Fee Install/Furn/Duct/Heái Pumps F Fireplace Installdtion Exhaust Fan Fe Installation/Relocation Vent Fee 0 Hood Fee. Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES Date: "$000 " Balance Due F V $15.00 . rg -00 s0.00 E $27.00 $0.00 INCORPORATED / $51.00 1952 V \ on 1 $51.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NozeT)2f) '4O brry OF CARLSBAD BUILDING DEPARTMENT EST. VAL. Plan Ck. Deposit 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By C6 Date_____________________ i.'.iEcr INFbFqATI .................................. 2 '2 L-ff) Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Asses f r's Parcel # Existing Use . . Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms ACT SON (If different from applicent) . . . . . . . 119 Name Address City State/Zip Telephone # Fax # APPLICANT .0 Contractor Agontf or Contractor :f] Ovnei' -DAgent for Qwr'or' State/Zip Q Telephone # Name Address City PROPERTY OWNER ' Name Address City State/Zip Telephone # 5 CONTRACTOR COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to Construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 . by any applicant for aPerpitsu theli5,antW acivil pehy ?f not more thp five hundred dollars MOOD Nam—e - - - - Address City State/Zip Telephon State License # License Classi__ lL 7..O5L.3kj2 City Business License # (t2?7c27 ('175 Designer Name Address . City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. 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 corn ensation insurance carrier and policy number are: . . I I I Insurance Company "2! c.2'(Z..-'3 ( ..4-4 Policy No.lA..Xi, 29l3f& C C Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) C3 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 worker.' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil finesup to one hundred thousand dollars (S 000). in addl the coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE '4?t.Lj 1.P DATE f-' 10 -0 2- 7.-OWNER.BUILDERDECLARATION-.-........... .:........ ...:.. .... I hereby affirm that I am exempt from t e Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school Site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8 CONSTRUCTiON LENDING AGENCY 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__________________________________________________________ 9 ' APPLICANT CERTIFICATION 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after days (Section 106.4.4 Uniform Building Code). nX~ APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#:' CB020140 Type: MECH ANGAROLA RES/ GAS 'LINE REPAIR ' - & NEW FAU Date Inspection Item inspector Act Comments 01/25/2002 29 Final Plumbing - RI AM PLEASE; BEFORE NOON 01/25/2002 29 Final Plumbing .GG AP ' 01/25/2002 43 AirCond/Furnace Set - RI AM PLEASE - BEFORE NOON 01/25/2002 43, AirCond/Furnace Set ' GG AP, 01/25/2002 49 Final Mechanical'; - - RI . . AM PLEASE - BEFORE NOON ' 01/25/2002 49 Final Mechanical ' GG AP 01/14/2002 43 AirCond/Furnace Set GG CO SEAL B VENT © LID -I -- 1- ' . .- - Tuesday, January 29, 2002 , - ' : Page 1 of 1 City of Carlsbad 08/17/1999 * . Plumbing lPerMit Permit No:CB993084 Building Ihspectiori Request Line (760)438-31O1 Job Address: 2240 JEFFERSON ST CBAD 0 / 7/ 0001 01 0" Permit Type: PLUM Stät?fS. SUEDr_MT 27.00 Parcel No: 1560311200 Lot#: 0 Applied: 08/17/199r9( ConstructionType: NEW Entered By: RMA Reference #: •. Plan Approved-.,08/17/1999 Issued: 08/17/1999 Project Title: ANGAROLA RES-GAS PIPE ONLY FOR Inspect Area: FUTURE LPG TANK (TO FUEL FAU UNIT)-TO BE. Applicant: Ovner. BOYLEPLUMBING ANGAROLA JOSEPH V&LILY J . 20 JEPFERSONST 1458 POWELL RD _._.c2 &32' CA 92056 619-758-5229 /v \ Total Fees: ..$27.00 1 L.Total Payments ToDateJV • $0.00 Balance Due: $27.00 Plumbing Issue Fee $?0.00 Building Sewer 0 0.010 Water Heater and/or Vent 'yo $0. ' 00 Gas Piping System acuum Breaker • \\ :?:T? INC 1 1952 "o ORPORATED 7' Other. Plumbing Fees • cç • • $0.00 Master Drainage Fee o.00 Sewér Fee, . • • $0.00 • TOTAL PERMIT FEES • $27.00 • . • •:. CITY OF CARLSBAD •. • 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 a PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Pl(.k' X146 1 PROJECT INFORMATION '" , 4O Jec/ecf S FOR OFFICE USE ONLY PLAN CHECK NO. _____ EST. VAL. Plan Ck. Deposit Validated By Date V 'IT 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 # . Exsting Use Proposed Use co-, /c Icr,ik c?cec %use Q,1Jj ,v C' Description of Work SQ. FT. #of Stories # of Bedrooms ' # of Bathrooms 2 CONTACT PERSON 11 different from appIit) Name Address City State/Zip Telephone # Fax # 3 APPLICANT Contrctor 'D Agent foCoracor 4 6. c C'fei6of/d w ( '75 ç Name 1 , Address ' - City State/Zip Telephone # :4.RTOW :. Ic ' Name ' Address City State/Zip Telephone # 5CONTRACTOR. COMPANY NAME -''.' 2 ' -:. .'' --• - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a ermit subjects the applicant to a civil penalty of not "more than five hundred dollars ($500)). ,q-C),,, r -c 4G I . ci-rJp -ic"r ( 51Z 3oo Name I ,,,/Address City State/Zip Telephone # State License # '4' ~" t 3 '51- License Class C 3,.0 City Business License # i L? 3 - ô Designer Name - Address City ,State/Zip Telephone State License # 6 WORKERS COMPENSATION ,. ,.a,, .. ,r " * Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 'I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.. o l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the w&k for which this permit is issued. My worker's compensation insurance carrier and policy number are: lnsuranco.Company - Policy No. - ' Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - -CERTFFlCATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties .and civil fines up to one hundred thousand dollars ($100.000). in addition to the cosl of compensation,damages as provided for in Section 3706 of the Labor.code. Interest and attorney's fees. SIGNATURE ,/27&..>7 ,q /27 DATE q i 7 OWNER BUILDER DECLARATION , -. ' .' .. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: El I, as owner of the property or my employees with wages as their sole compensation"will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business andProfessions 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 personally plan to provide the major labor and materials for Construction of the proposed property improvement. 0 YES ONO — - 2. I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to Coordinate, supervise and proyide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE ' DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY ' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO - Is the applicant or future building occupant required to obtain a permit from the air, pollution ontrol district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES,'A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - I 8' CONSTRUCTION LENDINGAGENCY'' ' t - I hereby affirm that there is a construction (ending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ 9 APPLICANT CERTIFICATION-017" 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 Cit' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST- ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. - EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days IS tion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /'242 _,7,'_.. - DATE _/9...c01 -' WHITE: File YELLOW: Applicant PINK: Finance S . Air N, City of Carlsbad Inspection Request Lu For 9/20/99 Permit#CB993084 Inspector Assignment: . SR Title: ANGAROLA RES GAS PIPE ONLY FOR. . . Description: FUTURE LPG TANK (TO FUEL FAU UNIT)-TO BE . INSTALLED ON SEPARATE PERMIT. VERIFIED TUD('%I It--U Qfl12 TUAT MATI 10A (AC MrT AIAII ADI Type: PLUM . •. Sub Type: S Phone: 7607291051 Job Address: 2240 JEFFERSON ST . Suite: . , Lot 0 Location Inspector APPLICANT BOYLE PLUMBING. Owner: Remarks: . . . . Total Time: . . : . . Requested By. MR. ANGAROLA ,. 5 ..... . Entered By: CHRISTINE CD Description .. Act Comments . . . 23 Gas/Test/Repairs'-P JO1) Inspection History Date Description . Act insp Comments . . . 9/13/99 21 Underground/Under Floor WC SR , - • 9/13/99 23Gas/Test/Repairs . AP' SR 8/19/99 21 Underground/Under Floor WC SR 8/19/99 23 Gas/Test/Repairs CO SR NOT DEEP ENOUGH, NOT ENOUGH PSI . S .5 . S S • . 5 ', .1's . 4 - S . . • S . - - - • , . ' . SDG San Diego Gas & Electric 1623 WEST MISSION ROAD • ESCONDIDO, CA 92029-1109 . FILE NO. PLA 590 PROJ# August 10, 1999 Mike Peterson City of Carlsbad 2075-Las Palmas Drive - Carlsbad, CA 92008 . Dear Mr. Peterson: 0 Subject: .2240 Jefferson St., Carlsbad Your application for gas service to the above project has beèñ reviewed. 0 . A preliminary investigation showsthat your residence is located a considerable distance from our closest available source. On lengthy extensions, the cost is sometimes prohibitive.. - You may want to look into alternate sources of gas such as propane to meet your heating needs. • • The purpose of this letter is to keep you informed and to clarify our position.. If I may be of - further assistance or if you have any questions, please call me at the number listed below. OUr - hours are from 7:00 AM - 4:00 PM, Monday through Friday. 0 • 0 • Sincerely, - . 0 • - • •• 0 0 0 0 Mara Fielding • 0 .. 0 • , • 0 Customer Project Planner •. • , 0 0 0 Telephone: (760) 480-7761 0 0 • - 0 , 0 Cc: J. V. Angarola - 0 • 0 0 0 • - 00 0 •• P.O. Box 332 0 • 0 • •••• - Carlsbad, CA 92018 • 0 0 , 0 • • 0 City of Carlsbad 07/26'1999 Mechanical Permit ,; Permit No: CB992792 . Building lnspeôtion Request Line (760),438-3101 - - q Job Address: 2240 JEFFERSON ST CBAD Permit Type: MECH -: Status: ISSUED Parcel No:. 1560311200 Lot #: 0 Applied: 07/26/1999 Valuation: $0.00 Entered By: MDP Reference #: : Plan Approved: 07/26/1999 Issued: 07/26/1999 Project Title: ANGOROLA RESIDENCE Inspect'Aréa: REPLACE FAU AND ADD A/C Applicant: Owner-..... SOUTHCOAST HTG & AC ,. - ANGAROLA JOSEPH V&LILY J * 220JEFFERSOlS'-T 4055 OCEANSIDE BL . le E -,., N OCEANSIDE CA 92056 -' CARL 5!16" -" 0 223 07/26/99 000f 01 02 r.-PRMT - S(O Total Fees: $53.00 /Total Payments To'ff0 so.00\. Balance Due: $53.00 Mechanical Issue Fee $15.00 I \ Fireplace Installation Fee 0 0.00 Exhaust Fan Fee 0 0.00 Installation/Relocation Ven~t Fee 0.00 Hood Fee 0 INCORPORATE'D 0.00 Other $20.00 TOTAL PERMIT FEES FINAL APPROVAL Inspector: SctrttAk'-e-c._. Date: (o2i. Clearance: NOTICE: Please take NOTICE that approval of your project includes thelmposition 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 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO.__________ EST. VAL. Plan Ck. Deposit Validated By_________________________ Date Address (include Bldg/Suite #1 1 Business Name (at this address) £/. ffeicm S1 Legal Description Lot No. Total # of units 2. CONTACTPERSON (If dlfle ntfmm applicant). ':'.- •,,. :. - .:............... Elmer &4#rn ?/(7 /722J7OfC Name / Address City State/Zip Telephone # Fax # 2 Address City State/Zip Telephone # - / Name ' V Address . City State/Zip Telephone # -- S CONTRACTOR COMPANY NAME - (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 is issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption.—Any vioJ ion of Section 7Q31.5 b any applica tjor ap it st4bject the ap lice to a civil enalty of not re than five hundred doll rs l$5001). C Q$t' /oci' - d'ean cic7 g2,IZ' 4'/,- 7e7d0 Name Adtiress City State/Zip Telephone # State License # 6 '(5P License Class City Business License # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Fr 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 comp satio insur ce C rrier and policy number are: Insurance Company. ,4d'* fc5J' . Policy No.7O 8'2 7_S Expiration Date /' / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 , In addition hqost of compensation, damages as provided for in Section 3706 of the Labor code, In erest and attorney's fees. SIGNATURE . 111 '!4ç,ø2" DATE —p9 7 'OWNER-BUILDERDECLARATION ........ ......: .......... :.. ........ I hereby affirm that I am exempt from the ntractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). C3 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. 0 YES ONO 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 number / 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 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 name / address / phone number / type of work): - PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESiDENTiAL BUILDING PERMITS ONLY , Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE, REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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_______________________________________________________ . ... 9 APPUCANT CERTIFICATION . , 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 Cite of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, - JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is no commenced within 385 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after th work)iX commenced for erl9çof 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE 111 DATE 2 WHITE/File YELLOW: Applicant PINK: Finance - - - - - USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS 0 I hórWtlrm that I srt licensed 'under -. o' .provlslons of Chapter 9.(commenclng with 10 " Section 7000) of Division '3 of the Business i - and ,Professlons'Code; and my license Is in ' full force and effect.'-:, - -- 'Lic. No.' i_,,i,_,,2CIaSs' 4 F' o V a' .0 -V.., - I hereby affirm that I am exempt from he. Con,- tractors License Law for the foIlowingreason.(Sec.cI 70315 Business and Professions Code: Any city or L county which requires a permit to construct alter, improve, demolish, or repair any structure, P rior to its issuance also requires the applicant for such permit tO.file a signed statement that he is licensed pursuant to the provisions of the Con- r - tractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro- - fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects trw applicant to a Civil penalty of not more than five hundr lam , as owner of the propert or my enloyees • 5 ' with wages as their sole compensation, will do the worU, and.11he structure is not intended or offered for ' sate (Sec. .7044, Business-and Professiohs Code:.4 tat The Contractor's License Law does not apply to an Z owner of property who builds or improves thereon" - - and who does such work himself or through his own 0 employees, provided that such improvements are,,, * . " not intended or offered for sale. It, however, the ' S-' '' building or improvement is sold within one year of completion, the ownerbuilder will have the burden• ,- of proving that he did not build or improve for the purpose of sale( (I) Q 1 ,V5 ownvr of the properly, am exclusively £ Z contracting with licensed contractors to construct . 2 . the project (Sec. .7044, Business and Professions' Code: The Contractor's License Law does not apply to an owner of properly who builds Or. improves - 4 thereon, and who contracts for each projects with a contraclolls( license pursuant to the Contractor's V 0 License Law(.0 L - .--' I am exempt under Sec.......,,._,B. & P.C. forthisreason * 0 I hereby affirm that I have a certificate icate of consent V ' . to seltiosure, or a certificate of Wake rs' Comp ensation Insurance, or a certified copy thereof .(Sec. 3800, Labor Code). POLICY NO. •':- _tV't'•i V . COMPANY- ' in 0 Copy is tiled with the city.' Z . • •'"v" ,V LLI 0 Cerlitied copyIL is hereby furnished. 0 .. . CERTIFICATE OF EXEMPTION FROM V V - WORKERS' COMPENSATION INSURANCE , -. (This-section need not be completed if the permit V for one hundred dollars ($100) or less("LU 'VI ' ' 'l"certity that in the performance of the work for 0 whiCh'this permit is issiied I shalt not employ any person n any manner so as to become subject to . I the Workers Compensation Laws of California., - VS •. NOTICE V ".• •'• . ., .- 0 TO APPLICANT: It. after making this Certi- I ticate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must - forthwith comply with such isions or IN ermil shall be deemed ked. tJ 4 0 -hereby aftirm that there is construction the performance 01 the work toLAI which this permit is issued~(Sec. 3097. Civil Cod ,.CARLSBADILDING. DEPARTMENT.AP•cATION & PERMIT • ,. . - . 1200 Elm, Carlsbad, California 92008 (714) 43&5525. . V , V , V • V, - JOB ADDRESS .. , AV, ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION' . ''- . PERMIT NUMBER - 2a21O __ RD 1 OWNER'S NAME - - OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE C ' - ZONE. •' , • . Id lit,a<'/y497i%_F7c9%ii7 Me e OWNER S MAILING ADDRESS CONTRACTORS ADDRESS u LICENSE NO PLAN 1.0. #' BLOC USE CODE -- . ..V . ' • -.V ___ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. • DESIGNER V STATE LICENSE # - STANDARD PLAN #,. BUILDING SO. FOOTAGE' DESCRIPTION OF WORK. DESIGNER'S ADDRESS 'DESIGNER'S PHONE - V .•."' 00 _- _ V ,, - F/P FLRELEV - NO STORIES OCCGP , * EDU .' V . .• " "V , . _ • V. .•V , ' ' -'.. V , FIRE SPR ,CENSUS TRACT. : GP LAND USE. PARKING SPACE RES UNITS - . GRADING PERMIT ISSUED vO _N.D __:__- REDEVELOPMENT - TYPE .- OCC.LOAO - .[REDEVELOPMENT CONST DD YO NO - , .'.vDD I - Not Valid Unless Machine Certified -' - ' - -'i-V. •' V , - * - - , V . ,•• ,'V . • - V - - V V . . -'v' - QTY: '- PLUMBING PERMIT ISSUE .. QTY. ,MECHANICALPERMIT-iSSUE - . - SUMFARYIACCOUNTNUMBER EACHFIXTURETRAP.' _. -,.. _- INSTALLFURN.DUCTSUPTO100.000BTU .:_-' "BUILDINGPERMIT' 01-000-4220 - EACH EACHBUILDING SEWER i..- _. - _•-.-.- .• - ___--- ____OVER100,000,BTU '- - ___..- -SIGN PERMIT.*(,V ,0000ii221 EACH WATERHEATER AND/OR VENT _ F BOILER/COMPRESSOR UPTO_3HP , PLAN CHECK ,iOl_000_4806 EACH GAS SYSTEM 1TO4OUTLETS — BOILER/COMPRESSOR315HP - TOTAL__ PLUMBING _____" ____01_000_4222 EACH GAS SYSTEM 5 OR MORE c METALFIREPLACE ____________V ELECTRICAL __01_000_4223 EACH_INSTALLALTER__ REP AIRWATERPIPE VENT FAN SINGLE DUCT MECHANICAL _______01_000_4224 EACHVACUUMBREAKER iMECHEXHAUSTHOOD/DUCTS MOBILEHOME_____________01_000_4225 WATERSOFTNER RELOCATIONOFEAFURNACE/HEATER MOBILEHOME PARK INSP V. EACH ROOF DRAIN (INSIDE) SOLAR - 01 000 4226 TOTAL MECHANICAL STRONG MOTION * 65-640-0519 - _...- ___V•— _t_'__- TOTAL PLUMBING --'"I_• -. V - FIRESPRINKLERS -'*'01-000-4227 V - V ' •PUBLIC FACILITIES FEE ___'-25O00-4933 BRIDGEFEE QTY. ELECTRICAL PERMIT ISSUE QTY - _SOLAR _ISSUE . NEW CONST EA AMP/SWT/BKR $ COLLECTORS ________.. — SCHOOL FEE,-DI STRICT - 1 PH' _______.. __3_PH _.,, STORAGE TANKS Carlsbad ____656230519 EXIST BLDG EA AMP/SWT/BKRV ROCKSTORAGE 6,Encinitas 656240519 . (PHi . ''3PH -._, PUMP'--.:'-•." .,,• .,San Dieguito .'.-65'625-0519 _•- -.--': REMODEL/ALTER -PERCIRCUIT, _ ---r PLAN C1-(ECKFEE -U-- _-'- _• - .. San Marcos 65-6?6-0519 -. . IV TEMP POLE 200 AMPS '- OVER 200 AMPS '.__'V __•'' ' ' ,-y, ' '',.' ___--.. -- ,--- __V - TEMP OCCUPANCY (30DAYS) — V - — a A. TOTAL FEES TOTALF E _ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION A PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis • AN 061-IA pu.n IS REQUIRED FOR EXCAVATIONS OVER Code shall limitation and bec ome null and void. If the building , CERTIFY UNDER PENALTY OF PERJURY THAT'ALL INFORMATION HEREON INCLUDING THE .5 0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not comme nced within 180 days from the date of suDECLARATIONS Cor ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permi . o f the or work authorized by such permit is suspended STRUCTURES OVER 3 STORIES IN HEIGHT LAWS GOVERNING BUILDING CON- a th ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE abandonedat any time fter the work is commenced for aperiodof180days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND ,' APPR VED BY ' . S119NATURE OWNER CONTRACTOR t.i ...i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND /'LICANT •. • . . ,DATE PHONE 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENC -' :-- - '-'--S. •- :-- - '- -.- -_.# .- .. ''-- , -. .-. .-.",-'- -- .-• - - - 4 :ç • .. I I INSPECTION TYPE DATE INSPECTOR.` 'BUILDING FOUNDATION '. - REINEORCEDSTEEL\"- . -'. MASONRY -' GUNITE OR GROUT FLOOR &.CEILING SUB FRAME - SHEATHING FRAME EXTERIOR LATH INSULATION - INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING'UNDERGROUND PLUMBING TOP OUT-' TUB AND SHOWER. PAN GAS TEST •, .. 0 , -. --- - - ELECTRICAL ... TEMPORARY POWER 'ELECTRIC UNbERGROUND.-. ROUGH ELECTRIC :"• .' ': •-' ' 'ELECTRIC SERVICE BONDING G.' F. I. -.SMOKE- DETECTOR I MECHANICAL DUCT & PLEM., REF PIPING- . . .. 'HEAT AIR COND. - SOLAR SYSTEMS 'VENTILATING SYSTEMS . .---_ 5-. -. •---•- ' •- :'- ' ,_5_. ':. - : FIELD INSPECTION RECORD - IR REQUED SPECIAL INSPECTIONS INSPECTOR S NOTES - I INSPECTION$ CHEC F INSPECTOR'S DATE KED SOILS COMPLIANCE PRIOR TO •, . - ,, - - - ,. . - fl". FOUNDATION INSP STRUCTURAL CONCRETE. OVER 2000 PSI P) .- PRESTRESSED 'k'.,. CONCRETE POST TENSIONED CONCRETE -- . - - FIELD WELDING - . - . -. . . - -. -. - .,•-' -L, - - . -. .. ., * ' . . - . •. . .. HIGH STRENGTH BOLTS -.5. ., ____ ., •--': --. ___________ SPECIAL MASONRY . -.. - - ., -• -'--S ..-,' ,_ _ .. .- _____________.- PILES CAISSONS -4' -. - -• - . -- _________________- •- ____________________ 4 - ________________ - •L''. '-' _,t ,. . -..j-.-4,.-• ..-. .4. ,. . ,_i_____. - .- .- S S _-•S ' * 5 - . s _' . k I?r\ LI \I - - CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE VEJ BEEN APPROVED JOB SITE FINAL PLUMBING ELECTRICAL lot -MECHANICAL 'GAS .'. -•" ' -:.- ' .- BUILDING - SPECIAL. CONDITIONS CERTOFOCCUPANCY ISSUED - -'-v.'. . '' ' ..'. -. •. ' 0 . s . - •. 11SF RAIL POINT PEN ONLY & PRESS HARD ... ' '. APPLICANTFILL IN INFORMATIONWITHIN SHADED AREA AND DECLARATIONS. hereby affirm that i 'r licensed under CC provisions of Chapter 9 (commencing with .Sectioii 7000) of Division 3 of the Business. and Professions Code, and my license is in I full force and effect. - - L Lic. No. '• ,_,_.... Class 0 '0T5 • L.. hereby affirm that I am exempt fromCon-tractor's License Law for the following reason (Sec. 'i 1'.7031 ", Business.and Professions Code: Any City or .county,. which requires a permit to construCt ,. - alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for - such permit to file a signed statement that he is licensed pursuant to the .provisions.ot lhe,Con- - tractor's License Law (Chapter 9 commencing with. , Section 7000 of Division 3 of the Business and Pro. - '. _' fessions Code) or that is exempt therefrom and the .' basis for the, alleged exemption. Any violation of -. Section 7035.5 by an applicant for a permit subjects A ' trw applicant to a civil penalty of not more than five hundred dollars ($500).LU ..,., '. .. ' . " -'- 0 l.ias r,ot the .5 with wages as their sole compensation, will do the -. m ' work, and the structure is not intended-or offered for ' sale (Sec. 7044, Business and Professiohs Code: ui The Contractor's License Lawi does not apply to an Z owner of property who builds'pr improves thereon - ' and who does such work himself or through his own .0 'employees., provided 'thaI such 'improvements are ' no! :intended oroItered: for. sale. It, however, the. - building or improvement,is sold within one year of. ,. completion, the owner-builder will have the burden. of proving that ie did not build or improve for the purpose of sale).r- .fL.li" Q I,' as owner 'of the property, am exclusively t-contracting with licensed contractors to'constrUct 2 1"4 " )( - the project (Sec. 7044, Business and Professions Code: The CoNtractor's License Law does not apply , Zlo an owner of property.who builds or improves" ('n, thereon, and who contracts for each projects with a contractor(s) license pursuant to the.Conlractor's uJ " 0 I amexempt under Sec. ....... ,,; B. & P.C.' for this reason ' • 'yr ,. ' ---'.-... ;,,,.• - , •... ; 0 thereby affirm that 'I have a certificate of consent' I to- self-insure, or, a, certificate of Workers' - Compensation tnsurance:or a certified copy thereof .v.:)e 3SOO.LabolCor POLICY N, 0 Copy is filed with the 54y.", UA .• -' 0 Ce,,rtified copjis hereby furrished. J U CL )•. ..-' .'." $ CERTIFICATE OF EXEMPTION FROM 'WORKERS' COMPENSATION INSURANCE ' (This section need not be completed if the permit . is for one hundred dollars ($1001i or less)uA : Cr -0-I certify that in the performance of the work for r,0 which this permit is issued. I shall not employ any At person in any manner so as to become subject to the Workers' Compensation Laws of California.' -r -'' ''ztt...,i. . '•'. 11 NOTICE TO APPLICANT: It, after making this Cern- I ' tticate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor "1" "Code. you must forthwith comply with such ,,1 provisions or this permit shall be deemed revoked. ,41 .Ir ji DI h&reby affirm that there is a construction I . .Iending agency for the performance 01 the work for - ( ' which this permit is issued ISec. 3097. Civil Code). zi' uJ Lender's Name * - ': Lenders Address CARLSBBUILDING DEP'ARTMENT --i APPLICATION & PERMIT .1200 Elm, Carlsbad, Caiifornia 92008 (714)438-5525, - .-. .. i , . • ' ,.-' , - ,'. ,•• - - ..'.. - ' . , JOB ADDRESS AV. ST. DATE OF APPLICATION1 BUSINESS LICENSE # i St RD. JISY ouf VA'LUATION PERMIT NUMBER - OWNER'S NA E OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONES ZONE 79/i'5? /#7' ' . • .- - '1 _______ OWNER'S MAILING ADDREN CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # '. , - BLDG USE CODE øZ LOT BLOCK ev UA 1ç, If 04 -0 /___'3/-. ASSES OR PARCEL NO. DESIGNER ' _ o/çye. STATE LICENSE # STANDARD PLAN # ,- BUILDING SQ. FOOTAGE DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE ': ' Z 17 d _____ F/P FLR'ELEV i:Y0 ' NO _STORIES, NO • EDU __1e QZ& .. . , , -. • . -. .. CENSUS TRACT' ,I GP LAND USE' - PARKING SPACE ' RES UNITS ,• GRADING PERMIT ISSUED... ' REDEVELOPMENT ,. TYPE ,, .0CC LOAD FIRE SPR ,•*''•' __•'••fr - _ .. . - . _, . ,. . - - 'rYDND • AREA 5. _-'vDND • . •, . _. *. _.VDND CONST 'r __Not Valid Unless Machine Certified '- OTY PLyMBINGPERMIT__ISUE Q1'Y _ISSUE PERMIT * MECHANICAL SUMMARY/ACCOUNT, NUMBER , v.. 'EACH Ifiv FIXTURE TRAP, _',. _•-- , _. ., INSTALLFURN.DUCTSUPTO 100,000 BTU - _- BUILDINGPERMIT _•• __. _• ...'.-'5 '.EACH8LjItDNGSEfJER ''' _"r-. - - ___''-: • --- EACH WATEI _HEATER_ AND/OR 'VENT J, ",.. :. 'BOILER/COMPRESSORUPJO.3 HP, _• BOILER/COMPRESSOR 0.VER'lOO,OOOBTU ,. ' _. — EACH GAS SYSTEM 1104OUTLETS BOiLER/COMPRESSOR3_15_HP EACH GASSYSTEM 5 OR MORE METALFiREPrACE '.-' " - /'_CTRICAL EACH iNSTAi.,ALTER, REPAIR WATER PIPE ',', " VENT FAN SINGLE DUCT' - ' , ., ___""' MECHANICAL •.-, _____-- ____________________ EACHVACUUMBREAKER __________'- - MECHEXHAUST -HOOD/DUCTS ___7_\ MOBILEHOME ,,_. SWATERSOFTNER. __-'- _--'-.'---- .- - - - , - -RELOCATION OF__EAFURNACE/HEATE_•—j - , - - MOBILEHOME PARK iNSP EACH'ROOF,DRAIN(INSiDE)'•'"'v ''.. -"- __'''• _.- - SOLAR. -' -' . -' t.,,, TOTLMECHNICAL - - '.X FIRE.SPRINKLERS / STRONG MOTION TOTA[ PLUMBING. -,,._--- - . - , . : ELECTRICAL_PERMIT____ISSUE . " QTY ' ' . '' - ' SOLAR ISSUE-..- ' • PUB LIC FACILITIES FEE ____•.., ___________________ \ANCH_K _,_•_:'' _________,+ 'Eifl, BRIDGEFEE ' .0 NEWONSTEAAMP/SWTIBKR •,,' .,-, _' ' COLLECTORS_,,,' SCI-IOOLFEE - DISTRICT _ --- -L, .1PH___-3PH STORAGE TANKS - ' ' ' .., Carlsbad"- EXIST_BLDGEA'AMP/SWT/BKR' _--,-- . :, ROCKSTDRAGE _'_- _- _- __- --Encinjtis --• '- .5 - - - .. ,PUMP.,,,-''./.• SanDiegfflto - __,.'• _- REMODEL/ALTER _PERCIRCUITt __ "- - PLAN CHECKFEE San Marcos TEMP POLE 200 AMPS OVER200AMPS , ' _ -,y__:, '_. -_•f .-... '- - : ' - ,. -,- -. 'TEMP OCCUPANCY (30 DAYS) . " " .- _-. ' -- _________- .. _- _j - ' - .' -. _'-:-'- _- . TOTAL ELECTRICAL TOTASOLAR TOTAL FEES _PAYABLE___'v''v I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued bythe Building Official under the provisions off his * AN OSHA PERMIT Is REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void. menced If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF t m authorized by uch permit is no such within 180 days I y °s date' tefd usn the DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such rr it r STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY STATE LAWS GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, AND abandonedatan time afterthe workiscommencedforaperiod.ef'180days STRUCTION, WHETHER SPECIFIED HEREIN 08 NOT. I ALSO AGREE TO SAVE INDEMNIFY AN . -. ICANT'SG,4E, _- OWNER1 CONTRACTOR 0 ?°•?.- KEEP HARMLESS THE COY OF CARL,SBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS _ . - -- _r'/ _'j - , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY iN CONSEQUENCE OFTHE fBY PHONE 0 GRANTING OF THIS PERMIT. BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT• FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION, INTERIOR LATH & DRYWALL PLUMBING - SEWER AND BL/CO, - 'PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE -• BONDING G. F. I. -. SMOKE DETECTOR MECHANICAL '. DUCT & PLEM., REF. PIPING HEAT — AIRCOND. — SOLARSYSTEMS VENTILATING SYSTEMS \ ' CALL FOR FINAL INSPECTION-WHEN ALL APPROPRIATE ITEMS ABOVE. HAVE BEE'NAPPROVED. - C JOB SITE FINAL Z .ç PLUMBING ELECTRICAL MECHANICAL N ' A ' - • GAS ' .--. BUILDING -. . .. -... . - SPECIAL CONDITION'S CERT OF OQjPANCY ISSUED INSPECTION TYPE DATE INSPECTOR - - 46 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS - INSPECTOR'S NOTES . -i---- INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE - STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE - POST TENSIONED 'CONCRETE FIELD WELDING BOLTS HIGH STRENGTH . . SPECIAL MASONRY .- . PILES!CAISSON . 4 . ' ,' -•T S. 'S \' ' — r \ _r-\. \ - - Adilk -. __