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Home My WebLink About2250 RUTHERFORD RD; MULTI-PERMIT FILE; CB151355; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 05-05-2015 Permit No: CB151355 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2250 RUTHERFORD RD CBAD PME 2120611700 Lot#: MERCEDES-BENZ-REMOVE AND 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: REPLACE (3) A/C UNITS LIKE FOR LIKE W/ ADEQUATE SCREENING Owner: ISSUED 05/05/2015 LSM 05/05/2015 05/05/2015 PACIFIG· COAST HEATING & AIR CONDITIONING INC MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC C/O SARAH TLJCCI 1903 CHEYENNE CIRCLE 2250 RUTHERFORD RD OCEANSIDE CA 92056 760-726-1715 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES CARLSBAD CA 92008 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: EXPIRED PERMIT PERMIT HAS EXPiREO IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY .. C.18.04.030 DATE~.\~\~\~ SIGNATURE_,i--.J,,Jr'---f'\--- Inspector:_ ------ FINAL APPROVAL Date: ------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 "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 capacity changes, nor planning, zoning, grading or other sirnilar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. .._, TH,E FOLLOWIN~APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING OBUILDING OFIRE OHEALTH 0HAZMAT/APCD ('Cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ~ 51 ~~ Est. Value Plan Ck. Deposit Date .5J ,s-/ -SWPPP JO~~ SUITE#/SPACE#/UNIT# APN CT/PROJECT#' # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS YEsONoD APPLICANT NAME 0 STATE Q'16t FAX DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL STATELIC. # Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations: D 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. D I have and will maintain worken' i'>mpens ·on, 8A,.reQUired by Section 3700 of the Labor Code, for the performan,ce o the work for which this ermit is issued. My workers' compensatiru nee ca number are: Insurance Co. /IV e.: \'.!. ~ Policy No. W (: °r1 (? r;;:--{J Expiration Date ( 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 permitis issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of L California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), In addition to the cost of compensation, dam a es as provided for in Section 3706 of the Labor code, interest and attorney's fees. KS CONTRACTOR SIGNATURE "" ~ 0AGENT m,:"'=-------==-----~-,--=..,.,...,-,-'l"'O",:-,-~~ I hereby affirm that I am exempt from Contractor's Ucense 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 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), D 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), D 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/ 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): KS PROPERTY OWNER SIGNATURE 0AGENT DATE 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 ME_T OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ; I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au!horize representative of !he City of Ca11sbad to enter upon !he above mentioned property br 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 demoliton or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by !he Buiiding Offk:ial under !he provisions of !his Code shall expire by limitation and become null and void if the buiiding or v.ork au!horized by such permit is not rommenced 'M!hin 180 days from the date of such permit or if the ~ing or~aulhorized ~spended or abandoned at anytime after the v.ork is rommenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . ...@S° 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. '_ l-' f: C ~J } 1'1 ri C Y 1Commcrc1iif Projects 0 n I y j Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm 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 ' I 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 ~ APPLICANT'S SIGNATURE DATE • September 29, 2015 MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC C/O SARAH TUCCI 2250 RUTHERFORD RD CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: PLUMB/MECH/ELECT PERMIT CCityaf Carlsbad Permit Number: fO.B.1.M3:515] Issue Date: May 5, 2015 PACIFIC COAST HEATING & AIR CONDITIONING INC 1903 CHEYENNE CIRCLE OCEANSIDE CA 92056 ADO RESS: ~~~([~11:(ij!;Rf_O~b-RD] PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Oar records indicate that your building permit will expire by limitation of time on November 1, 2015 The provisions of CBC, Section 105.5 as amended by the Carl$bad Municipal Code state: "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 orwork authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the buildin'g or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work 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 one hundred eighty calendar days of the date of permit issuance. Work shall oe presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be 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 order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee. holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this lefter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed 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 Division at 760-602-2700. Maria Emery Senior Office Specialist Community & Economic Development Building Division J 1635 Faraday Avenue Carlsbad CA 92008-7314 J 760-602-2700 J 760-602-8560fJ www.carlsbadca.gov .-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02--12-2009 . Sign Permit Permit No: CB090242 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#:. Project Title: Applicant: Buflding Inspection Request Line (760) 602-2725 2250 RUTHERFORD RD CBAD SIGN 2120611700 $0.00 Lot#: 0 Construction Type: NEW MERCEDES-ELECTRIC FOR NEW MONUMENT SIGN- Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/12/2009 KG 02/12/2009 02/12/2009 P.S. SERVICES MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC C/0 SHELDON SLACK SUITE B 316 E DYER RD 92707 714-513-1870 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee OtherBuilding Fee Additional Fees TOTAL PERMIT FEES 2250 RUTHERFORD RD CARLSBAD CA 92008 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 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 "fees/exactions." You have 90 days from the date this perrnit·was iss'ued 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, o( annul their imposition. Yo~ 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 applicatfon processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 ,760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov ·Building Permit Application ---' OBADDRES~ "L..'25""2> Date CT/PROJECT# LOT# T,N~ CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING. USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NOD YES D NOD CONTACT NAME (If Different Fam App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX -EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME·& ADDRESS STATE CIC.# (Se~. 7031.5 Business and Professions Code: Any City or Countr. which requires a permit to construct, alte~ improve, demolish or ieP.air any structure, prior to its issuance, also requires the aP,plicant for sue permit to file a signed statement that he is ficensed _pursuant to the provisions of the Contractor's license law {Chapter 9, commending with Section 1000 of Division 3 of the Business and Proiessions Code} or that he is exempt there from, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applica_nt to a civil penalty of-not more than five hundred. dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the periormimce of the work for which this permit is issued. 0-!·have and.will maintain workers' co n lion, as required by Section 3700 of the Labor Code, for the periormance of the work for which this Rermit is issued. My workers' compensation jllsu nee arr' rand policy numberare:insuranceCo. . PolicyNo. e..sPo:2.-f"3VfJ: ExpirationDate (:}_ b '<) 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 periormance of the work-for which this permit-is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the·Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE 1.----DATE '-< I hereby affirm that I am exempt from 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 Licerise 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 build,ing or improvement is sold within one year of completion,-ttie owner-builder will have the ourden 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 Professjons 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). D 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 D Yes D No 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/ 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 I 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): ~ PROPERTY OWNER SIGNATURE DATE :: ~~rcii:rtvff~W-' 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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@'w'$~t{~1,,_ .. -; I hereby affirm that there is a construction lending agency for the performance ot!he work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ',:-(.' 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 representative of the City 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 stones in height. EXPIRATION: Every J)!lrmit issued b 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 180 days from the date of such · r if the building or work auth · ed by such permit 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). \ ~APPLICANT'S _SIGN DATE ~} City of Carlsbad Bldg Inspection Request For: 04/27/2009 Permit# CB090242 Title: MERCEDES-ELECTRIC FOR NEW Description: MONUMENT SIGN- type:SIGN Sub Type: Job Address: 2250 RUTHERFORD RD Suite: Lot: 0 Location: APPLICANT P.S. SERVICES Inspector Assignment: MC --- Phone: 7144025047 Inspector: -M, 6 Owner: MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC Remarks: a m please Total Time: CD Description 38, Signs ~ :~~t,....--- Act Comments Requested By: JOSE Entered By: CHRISTINE A~ A::;>,.,,_,b ----A I ~-' .''~~~-,~ " --:ft t?i-!>1.p~~~ AJr"riE" P~ 4 . ~\&al-Ii 0~ Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo[Y Date Description Act _lnsp Comments 04/24/2009 11 Ftg/Foundation/Piers AP MC APBYPY 04/23/2009 11 Ftg/Foundation/Piers AP PY 04/23/2009 31 Underground/Conduit-Wiring PA PY CONDUIT I :"'- ~ ~ i I ~ "Z ~ BY APPROVED FEB 12 2009 Cii\y of CARLSBAD BUILDING DEPT 0~ D f--=---, l,, f:tij I I rm·~ ·1 a a DDoi:= = c:i COURTYARD -------------------------------------------------------------------------------------------------- -~II Architectural Graphics Incorporated 2655 International Parkway Virginia Beach, VA 23452 1.800.877.7868 • www.agisign.com ,,,. Client: Mercedes-Benz USA Scale: NTS Project Title: MB Carlsbad CA Advance Design Div Proposal: 1a,cc,~1:• .... - ' i -=;:~ j. ~ " tt V, \ I .... - ~ ~ C) a: a: ;~ N :![rl·!· ~ City of Carlsbad ~ . •· 1635 Faraday Av Carlsbad, CA 92008 08-20-2008 Electrical Permit Permit No: CB081603 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2250 RUTHERFORD RD CBAD ELEC 2120611700 Lot#: 0 MERCEDES-BENZ-TRENCH FOR 5 ELECTRICAL FLOOR BOXES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/20/2008 LSM 08/20/2008 08/20/2008 DPR CONSTRUCTION, INC. MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC C/0 SHELDON SLACK 6333 GREENWICH DR SAN DIEGO, CA 92122 619-597-7070 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 2250 RUTHERFORD RD CARLSBAD CA 92008 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $55.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: .$65.00 Balance Due: Inspector: --:g;j"2 Cleaiance: ------ $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 "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 Cartsbad 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. Cit~~ of .Carlsbad · Plan Check No. ~0 8' ( (t:)0 .3 1635 Faraday Ave., Garlsbad, CA 92008 ~760-60-2-2717 I 2718 / 2719 Fax: 760-El02-~558 Building Permit Application JOB ADDRESS -7-_i5? 1Zu¼e, fu.,J _ · ,SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date t/ ~Jo~ I nm --- -CT/PROJECT.# , I tOT# , ·PHASE# I #OFUNITS I #BEDROOMS ,--/I BATHR0O¥S -r TENANT BUSINESS NAME I lYPE OF CONST. I OCC. GROUP ' mo _r.,. ~ ,.J _o --< -~-~ .... DESCRIP'IJON OF WOR~: (Pl••• dNcrlbe PfNent.,.. and propoHd uae) - , 1V-f'V\.rl.'""" ..fur C:. ~o Acvr -e.o~e.s , -.. --BUILDING AREA (SF) 1-ADD~~ AREA (SF) I GARA~SF) I P~Tl0S (SF) DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS 3~ l)c:¥> -YESD #_ NOD . YES)!(J. NOD YES~ NOD -- CONTACT NAME (ff Dlffe_rent Fom Applle,mt) APPLICAN~ME Ll"l'I\.C.. c -fo'l\c-;sca ADDRESS ADDRESS to ~'7~ G-<1"-e'I\ LA},,..;c;,... b...tue (...,.,' i-S:.. \%. crr:Y. STATE ZIP "CITY STATE ZIP • S O\v-. \)1e·,~ Cfr O"i2.l2.-"L PHONE PHONE I FAX ~ c:;-e,-S1~-'t01"i) I FAX t:35-a~'.511-7=\ .EMAIi/ ,EMAIL , , ~'lGi\V\.CI\SC.D '@. tJ:f"-1 IV\.<:..-(Clh.... ( OWNER NAME Mt"(e6~s ~-<'\It c CONTRACTO~StAME -Q.._ ( O\'\. S'""' .., e,,'l\' ~ ADDRESS \ "\ 1 Ll_1.. (qw~~-st -ADDRES~ . -' ~;1 (b "("( "'-l...v¼,' e,~ '\>v- CITY .,. . STATE ZIP CITY -STATE ZIP "!.'(' \J 1 '-r<_ C. A--°I ~&\9" :£;6,:;-t ~V\~t'~'V Ur '12.-l"2.-°t PHONE 1,_\.\. ~.,. i \ b...:· {)'b(!) I FAX (q4 '\) PHONE I FAX· ; . 41b--1-3,b6 . _ 05-'b-54 -r 1d"h.> s~ ~ "r-1---, _ EMAIL EMAIL ARCH/~IGNER NAME & ADD~ESS I STATE ;_'C, # . STATE LIC.# I CITY Bus. ucj'1 C\ q 'v:"4-'-I · ()(V,111/lC\-_ let>e(cG\Mi..,v't'l"C\l. C...tcui"'-( ?l ~.4 \ ~-~, i'Lf/e, (Sec. 7031.5 Buswu and·Prqlessioas Code: Air, Cily, or CoulllY, which ~uires a permit to consti1!<1, alre~JmJlll!Ye,:~ish or.r,P,air any-slrUClllre, prior to its issuance, also requires the-applicant for such permit to file a signed statement that he is -rKenstdJ!.unwt·to the pl!YlsiotlJ of the C..lh,cloi's l.icetllt~ {(Qjll!r 9, aNlffltllding with Secdoll ,IIW of Dmsion 3 of the Business anUnnessions Code} or that he is exempt therelii>m, and the ba111 for the alleged 'exemption. Ally violation of Section rol 1.5 by any a;plicant for a pnit silbjeai •· _ · · _t,to a ciYi peialty of not l!IOft th~ five hundred dolan {$500}). · --· . WORl(ERS' COMPENSATION Workers' Conipen1atlon ~lantlon: / hereby ah • penally d f)ll(f,xy one··d the following declarations: Cl I have and will maintain a.certificate of consent to self-insure for workers' ~nsation as provided by Section 3700 of the Labor CQde, for the performance of the work for ~hlch this permit is issued. CJ I have and will malnlainworxeri' compensation, as required by Section 3700 of the Labor Coqe,Jor the perforl)lance,Qf the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: )J · ~ · W ~l S-d, ~L£ -~ J · 'Insurance Co. -A:-0 0-f\Q. "-, ,&::{'\ Policy No. _______ "T_~iration Date O k This section need not be completed if the ~is for one hundred dol~ ($100) orless. r _ . a Certificate of Ext!ftllllon: I certify that in the perfonnmice of the work for whic_h 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: Fallµre to •~ri worker1' compenllllcin qovirag, la 11nlawfl!I, and shall subject an employer to crfmlnal penaltln and civil fln11 up to one hundred thou11nd dollars (&100,000), In iddHlon to the c:Qat of compensation, dam1111111 ~vlded for In Stctlon 37il& of the Labor code, lnterllt and attorney's fees. CONTRACTOR S~NATURE · _ '<\I\. _ _ _ . I hereby afflnirt~ I am exempUrooi Contri1Cfor's License Lew for-the following reason: a I, as ow~ of the property 6r my employees with wages as their sole compensation, will do the work and the sln,lcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Liceose{aw does not apply to an owner of property ·w110 builds or Improves thereon, and who does such work himself or through his own employees, provided that sDch lmptovements are not intended or offered for.sale. , If, however, the building or'improvement is sold within one year of completion, the own$1'-builder.will have the burden of.proving that he did not buiJd·or improv11 for the purpose of sale). a .1, as :own.er of the property,:am excluslv11ly contracting with licensed contraclors _to construct the projecl (Sec. 7()44; 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 ~ense Law). · a I 8i!l exempt under Section _~ __ Business and Prof~lons Code for this reason: 1. I persQnally plan to (iiQvide the major:labor and mat~ for construction.of the proposed property improvement O Yes Cl No 2. I !~ave / have not) sig~ an application for a blllldl~ permit fQI' the pr!lPQSed work. ' 3: I have 09ntracted with the following person (firm) to provide the proposed construction (Include name S!ldress / phone / contractors' license number): 4. I plan fo provide portions of the wO!lc, bufl have hired th41 following per&Qn lo coordinate, supervise apd provide the major work (include name/ address/ phone/ contractors' license number): ~-I wil! provide-so~ of the work, but I have contracted (hired) the following persons to provid11 the work lndicated.(include name/ address/ phone/ type of work): -==-,....;;:-___ ~ ~~ !certify that I have read the application and.st&~ lli~.t:~~;aboye in~on is doirecita1ifhat (he infol'nlatioli:on'the:~8!1S is accurate. I agree to comply.with all City ordinances and Slale laws relating to building construction. · . -·. -· · · I hereby authorize representative of the City of Carj~bad to enter UPQn·th'e !!bov\l men!loned prOP,9rly for ln~pection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS,CQSTS-iAND El<PENSES-V/H1Cil-MAY'IN'ANY:WAY£,6,0CR-UE AGAINST SAID CITY-IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSl:IA permitis required for·excav&!ioos over 5'0' deep and !lemolition·ot construction ofsfructures over 3 stories in.height EXPIRATION: Every permit issued by the Bilil<ling 0flicial under the provisions of this Code shall ~pire by limitation and become null and void if the building or work authorized by such permit Is not commenced within ~ ~ the dale of such permit or if th.e building or work authorized by such perrnitis suspended or ~bandon_ed al any lime after the work is commenced for a peri~ of 180 days'(Seclion 106.4.4 Uniform Building t1;:--..M;:;~_1C_iANT_'s_s1G_N_AT_U_RE __ • -~-'----=-« __ 4--_--,--,-_____ -~---'---D-AT_E __ 9_/_;_/_°1.:..:f.~o~L_---------__J City of Carlsbad Bldg Inspection Request For: 09/05/2008 Permit# CB081603 Title: MERCEDES-BENZ-TRENCH FOR Description: 5 ELECTRICAL FLOOR BOXES 'Type:ELEC Sub Type: Job Address: 2250 RUTHERFORD RD Suite: Lot: 0 Location: APPLICANT DPR CONST~UCTION, INC. Inspector Assignment: PD --- Phone: Inspector:~ Owner: MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC Remarks: TRIED TO RESET BUT NO NUMBER Total Time: CD Description Act Comments Requested By: FRANCISCO Entered By: CHRISTINE 39 Final Electrical ;L _______ _ Comments/Notices/Holds Associated PGRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 08/21/2008 31 Underground/Conduit-Wiring AP PD 08/21/2008 34 Rough Electric WC PD City of Carlsbad "i # 1635 Faraday Av Carlsbad, CA 92008 07-01-2008 Electrical Permit Permit No: CB081256 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2250 RUTHERFORD RD CBAD ELEC 2120611700 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: MERCEDES-BENZ-RELOCATE SOME Inspect Area: ELECT OUTLETS AND ADD 5 NEW ELECTRICAL FLOOR BOXES · · Applicant: DPR CONSTRUCTION, INC. 6333 GREENWICH DR SAN DIEGO, CA 92122 619-597-7070 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 it I Owner: CHRYSLER CORP PT 485-12-30 1000 CHRYSL!=R DR AUBURN HILLS Ml 48326 -- ISSUED 07/01/2008 LSM 07/01/2008 07/01/2008 $10.00 $0,00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $45.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: FiNAL · Inspector: Datrl--+,,;,l'-\J,,,-+l-'IC..W.....-Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this perrnitwas issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required fnforrnation with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. w.-City of Carlsbad Plan Check No. CS O ~ l ~p 1635 Faraday Ave., carlsbad, CA 92008 ' 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS -z,z.c;-b CT/PROJECT# LOT# PHASE# Est. Value Plan Ck. Deposit Date 1· I· Ob c~y S 41 SUITE#/SPACE#/UNIT# ~A-. l C[2oor; · · APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP JV( e.·v<!.'f! de .r -8e vi. z.. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~t,-t £1Ct>hvi.' bldj tJ 'l>, MO sf. /ih .v ./--t.,,,,. .. ;,,,. /-l,,,...f'.,,.Wt:,_ e""-f-l-t/4..,--ij ?'"q e-<--rerv,J,.,/'j {(,,,oe,p rf; C"""51sl, ..... j ,f-'1 .... ....-?"''""f/ t:°dlv-r-ef a. ~tox, ,C-looir,..,j. 5:eor-e y..,.,/L etfs,. tA,,,C/..,.dt: ,,_, I"'< fo<:'.._ ,1-,.,.,t) s,i;,,u e!KfJl-,..,.j e.,{"t'e h,-te-. / t?V/-~f-$ 'I--a ,,/c/,.:,j rrv,./.. /j §°" 1-1-t'....- e lu_l-,,.,u.,._ f /to,,,_ bt1x~i. · EXISTING USE. ' PROPOSED USE /1 I . GARAGE (SFJ Av 1-o D-t: Sil,"'-c~..._ 1-.. ,,,. Aviv ~J/d1""L4-,rt'v CONTACT NAME (If Different Fq,11 Applicant) ADDRESS CllY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME. ADDRESS • , , 1 ~ '2 C tJVVAVI Sf-- CllY /nn11e. PHONE 1'1-'t-41<, -hoo EMAIL ARCH/DESIGNER·NAME &ADDRESS / __ C1>n_ 1wi""' Av~t,.,./-.ee..r"'> STATE ZIP CA-92.~1'-f FAX -··. . f+°I -Lf.7<, -Z7 t.,G, STATE UC.# C"31~+l PATIOS(SFJ DECKS (SF] APPLICANT NAME ADDRESS (0~ CITY PHONE FIREPLACE YESD. v?;o-,;qEJ-q"fo,1 EMAIL. CONTRACTOR BUS. NAME ADDRESS u ~ '3,:J CITY . $« .... Dt e o PHONE Sst$-r;-Gt7-7o,o EMAIL STATE UC.# G11 etfts. AIR CONDITTONING FIRE SPRINKLERS N<G-YEs@NoO YES[3"NoO STATE cA-ZIP FAX STATE ZIP CA-qz.11.,,1- FAX CLASS CITY BUS. UC.# /:> ~ l'i<i't'f (Sec. 7031.5 Business and Professions Code: Any Cily_or County which requires a permi1; to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sil/Sled statement tllat 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 exem.11ttherefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil ~anally of not more than fiye hundred dollars t$500]). . . · . Workers' Compensation_Declaratloil: / herebyallirm underpenaltyof peifll}'oneofthe fol/owing decklrations: 0 I have and will maintain a certificate of consent to self-insure forworkeis' compensation as provided by Section 3700 of the ~µoi-Code, for the perfonnance of the WOik for which this permit is issued. DI have and will maintain workers' compensalion, as required by Section 3700oflf!l lar,~ forthe perfom\a_nceof theworkforwhich this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo )/~n,;4/ tJ111rva /;re. /,,,,,,s. "l-,P,f't"W11"JI.F'd'C'/.No. _we /5qa,4;2~ ExpirationDate Se,ef I) tooe, J]!i§.section need not be completed if the permltisforonehundred doliars ($100) orless. LJ _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 seclire w0111ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation,~ provided for in ~06 of the l,abor code, interest and ~omey's fees . . ..€5' C0NTRACT0RSIGNATU~ c/ ~~ A-Vt.. :::::-. . . DATE 7 · / · tJ8 /hereby affirm that I am exempt from Contractor',s License LawJoithe followlng reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work an<) the structure is not intended or Offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s ~nse Law does not apply to an owner of property who builds or improves thereon, and who does such work himself 9r through his own employees, provided that such improvements are notintended or offered for sale. lf,.however, the building or improvement is sold within one. year of completion, the owner-builder will have the bu Ill en 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 Contracto(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 constiuction of the proposed property improvement 0Yes QNo 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 constiuclion Onclude name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I.have hired the following person to coordinate, supervise and provxle the major \\U!k Qnciude name {address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work ill\iicated Qnclude name I address / phone / type of wolk): ..£S' PROPERTY OWNER SIGNATURE DATE ' @,iii, , ' uiJ,~.0 -~ ,1·ctfj~\~7,:,-:; lf@t~ .~.:s)Y:C:c;~&[~'Sj~it,:U.:~~1~t~.t:i}~'.1,'~:~:~g;~;~t~~~;~J~~1j}:~~i~i:~:}tf;:f,\/\ ::_ Is the applicant or future building occupant required to submit a business~, lK:lllely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TannerH8?llfdouS SUbslanceAccountAcl? 0Yes llc:::JNo . . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai!.9!!~ management district? []ves ~ Is the facility to be constructed within 1,000 feet of the outer boundaJY of a school site? 0Yes ~o IF At« OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I herebyaffinn.that there is a consbuction lending agency for the performance of the work this permit is issued (Sec. 3097 0) Civil Code). 'Lender's Name Lender's Address ' : ,.. ·~ .,, ~1:. -'~, -. ,, -, _,' :'};'\'- ,, . _s:.: >~.,:~ < . IC811ifythatlhavereadtheapplicatlonandstaethatlhea1JCM!inbmatlonisconectandthatlheinlonnaliononlheplansisaccurale.lagree1Dcomply\fflhallCilyordinancesandS1atelav.srelatlng1Dbuiklingconstruction. I hereby authori2e reixesentatiYeofthe Cityof CarlsbOO to entef UJX)ll the aoove menooned i:ropertyfor[nspldion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALLLIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pemit is required for excavations CNfJf 8fJ deep and demolition or IXll1Slruction of structures owr 3 stories in height EXPIRATION: Everypemit issued b'jthe aJiloog Ollicial UIUlfthe IX(l'lisions of this Code shal exµre b'J Hmitation aid oocome.nuB and void if the building orv.ork authorized by such permit is not rommenced v.ffllin 180days from the date of such pennit or if the · · orv.orkauthori2ed b'J such pemit is suspended or ooandoned at anytime afterthe v.orkis rommenced for a (Biod of 180 days (Section 100.4.4 Uniform aJilding Code). ..@S" APPLICANT'S SIGNATURE ~fl+. f:;~----" DATE City of Carlsbad Bldg Inspection Request For: 07/17/2008 Permit# CB081256 Inspector Assignment: Title: MERCEDES-BENZ-RELOCATE SOME Description: ELECT OUTLETS AND ADD 5 NEW ELECTRICAL FLOOR BOXES Type:ELEC Sub Type: Job Address: 2250 RUTHERFORD RD Suite: · · Lot: O Location: APPLICANT DPR CONSTRUCTION, INC. . Owner: CHRYSLER CORP Remarks: Total Time: Act Comments Phone: 8587357428 Inspector: ~ Requested By: JERRY Entered By: KA THY CD Des~ription 34 Rough Electric *~ ~--~---'----'f¼P ---------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments II) z 0 ~ ac: C .... O• w 0 I } I c . . I e [ O I hereby affirm that I am licensed under t ·o: ... · provli,lo!)a of Chapter 9 (commencing with [ ~ . . . ·Section 7000) of-,Dlylslon 3 •of the Business J i-, : • :· ;an!l Professions Code, and my license is in ·I ~ . ·1~11 :force-~nd-effect. ! O'r;-·" .. ,, •: : ' ··I· hereby-alfirm that I am exempt· from the Cont(ac·· \. .tor's t1i:ense, Lax, for -the following reason (Sec. 7031.5 1 Business and'Professions Code: Any.city or county which re-f .Qll1r8s a perQ111 ,to''CoristruCt, alter, 1mpf6ve, demOHSh,-or rep~ir ariy.strvcture, pr,ior to its i~suance also r~quires the ap· 1 plteant for s~ch permit lo file a s1gnedcslatement that he IS ·,· licensed pursuant to the provisions ·of ,the Contractor's · · License Law (Chapter 9 commencing· with Secllon 7000 of J ·. • 01v,sion 3 of the·Busfness a"nd Profess1_6ns Code) or that 1s ex-, empt therefrom and the basis for the allegea exemption Any 1 r1olatio~ oe~~ct,on 7031_':5 ,by an ?PPlteant for a. pir~,! sub· f 1ec1s the applicant to a civil penalty of not more than liv~.hµn· I dred dollars ($500). , . I . I I 11 as·oy,ner of th~:p'roperty, or-my employees with-wages ffi· as,their sole.comRensation, will do,the work, and·the struc-·c I I ·1 0 ' lure is not.iniended:Or offered.for sale (Sec. 7044, Business ..J and Professions· Code: • The Contractor,· s· ~icense•Law does 5:' ',not.apply 10:an owner of 'property wfio'builds,or improves. 1111: . .(hereon ~nd·wh~ does·iuc_h wprk himself or through,fii~ own ii: tmployees, provided that such improvements are not intend· w ed or offered for.sale. fl, however-, the building or,improve-! Z . ment ,s·sold within one year· of compltition,.the owi1er·bu1lder 31: will have the·burden of•provirlg that he did-not•bu1ld·rir ,m-o ·provefonhe purpose of sale). f I I I I l l l ·I, r l I z 0 ~ z w G. :IE ·o 0 II) ic w ,..; ac: 0 31: 0-1, as owner of the-property, am exclusively contracting with llce"nsiid contractors to construct the proj~ct (Sec. 7044, • Busines.~ ~na Profes_siqns. pode: The Contra,tor'.s Licerse ' Law does not apply to an owner of property.whp ~ullds or 1m-prov,es. thereon, and who.contracts for each ,prorects w1).h a contractor(s)-license-pursuant to the Contractor's License -~aw). • . _. , D ~s a homeowner lam.improving my Mme. and the follow· · ing i::O'rid!tion'S exist: ~ · ~ .L Tne. vibrk is being performed .pnor to sale . 2. I have lived in • my home for tvletve months prior to completion of th1S work. , 3: I have not' claimed 'this exemption during the last three years. . · . O· f am exempt unde.r .Sec. , , B & P, C. I ·tor this reason . ' ' r --.-·, IJJ e,c;-· "(Q2 ~ 7-I .,g> I l D I hereby affirm that I have a certif te of consent to I self·mSure. or a certificate oi Woikers· mpens ·on Iii· J · surance. or? certified copy thereof (Sec· . tfr Co ) POLICY NO. • . I COMP/INY , ' [ D Copyislll X ) I . q Certl(ied c I C~RTIF!Ct-lLE OF EXEMPTION FRO l WORKERS' COMPENSATION INSURANCE ~ (This section need not 'be completed 1f the permit l Js for one hundred dollars ($100) or less) D I certify, that in the performance of the work for which . this permit is'lssued, I shall-not employ.any.person in any manner so as to become subject to the Workers· Compen- sation Laws of California. NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become subject to the Workers· , ~ompensatIon provisions of the ~ab9r~ Code, you must forthwith coriiply with such provisions or this permit shall be deemed revoked. -· • · l[ D ·I h;(eby -afflr~ that there i~ a construction lending agency f9r the-performance of the work forwhIch this per· mil Is Issued (Sec. 3097, Civil Code\ •Lender's Name ____ ·~'-· _______ _ Le,;'i::ler's ,AdctrS~s ._ •. .,_' USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT . AP~~ICATION & J . MIT .. ... 2075 Las Paimas Dr., ~arlsbaa, CA 92?0~-.4859 (619) 438-1161 ... ·-,. .. ·- JOB ADDRESS • ~ AV, ST.,AD .. 'NEAREST CROSS,ST. I DATE ·oF APPLICATIONl S~SIN~ENSE # VALUATION o/MIT NUMBER "2 'Z..!'O ~J./J:._1;-,._ ()/!,J-,. 7-/ p .... g-7 · .. . . . nfeol) . t' . . . , ' LOT BL_QCK r~U~DIVlSIGN . •, I ASSESSOR PARCEL NO. CONTRACT.OR CONTRACTORS-PHONE-,# , -ZONE • .. 7.C c°"'~r; ( t'~e OWNl;R'S NAME ,a~,/44t I QWNER"S PHONE . ' .. . ~hJt..v .! /4.n. ;;;T;/·s;;:~:A,,('r r)J: J~ STATE LICENSE NO. BUILQING SQ. FOQTAGE '-/'IC/o/319 OWNEFfS MA:ILING ADDRESS ~-. 22 ro Rc:>fhe~ ~~ ~ ""' DESIGNER. ., DESIGNER'S PHONE • • 'ii, . 0016 07/14 0.l.01 02BldPmt 48 .. SJ 0~:Tr;:;~11, () ~ }-_/4 -~7t~ DESIGNER'S ADDRESS STATE LICENSE NO. . 't-7.;~,~~;i-~!". e~~-'RJI--.. ' ' •F/P FLRELEV. NO EDU OCC GP , .. STORIES " : '" . ,. . YD NQ 1 PAR~ING:SPf>.CE , RES UNITS .\ ... GRADING PERMIT ISSUED I 'REDEVELOPMENT TYP!; ' QCC L04°D FIRE SPA .I . '.. YO N 0 AREA CONST YD Nd vO ND Not Valid Uniess Machine Certified . 50 is:~-QJY. PLl)MBIN.G PERMIT -ISSU!c: 1~ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/AQCOUNT NUMBER , .. . ~ .. •· .EA~H. Fl)\TURE TRAP .. INSTALL FURN, DUCTS UP l'O iOQ,000 ~TU . .. BUILQING PERMIT 001-810-00,00-8220 E'ACH BUILDING SEWER OVER 100,000 BTU ·. . ' SIGN PERMIT · 001-810-00-00·8221 · --· --· !:ACH WATER HEATER Af'!l;J/OR VENT BOILER/COMPRESSOR ~P T03 HP ""'~\o' PLAN CHECK 001-810-00:00-88 21 . .. . . EACH GAS SYSTEM. 1 TO 4 OlJT~ETs: 80 I l-ER/CQMPR ESSO R 3-,15 HP -TOTAL P~UMBING 001-810-00-00°8222 .EACH GAS SYSTEM:5 OR M'ORE -METAL \:!REPLACE ... , ~tECTRICAL 001-81Q·00-00'822~ -·~ . . ' -.. EACH tNSl'AI,, .. AL+E;ll, REPAIR WATER:PIPE VEN'f FAN SINGLE DUCT M~CHANICAL OQ1 ·810·00·09·8224 U-51....·s~ ---. -. ' EA~-H VACUUM BREAKE!J1. MECH EXHAUST -HOOD/DUCTS ' MOBILEHOME 001-810-00-00-8225 ,· . WATER SOFTNER ' .. _ . RELOCATION OF EA F-URNACE/HEATER SOLAR ., 001-810-00-00'8226 EACH ROOF DRAIN (INSIDE) .. DRYER VENT ·S'l'RONG MOTION 880-519~92·33 . TOTt;L MECHANICAL. .. tt~-~ FIRE SPRINKLERS 001-81 ocoo:oo-8227 ', TOTAL PLUMB_ING I PUBLIC FACILITIES FEE 320-810-00-00-87 40 ~~ BRIDGE FEE 360·810-00-00-87 40 QTY. ELECTRICAL PERMIT -ISSl)E QTY. MOBILE HOME SETUP t PARK-IN-LIEU (AREA ) I NEW C.O.NST EA AMP/SWT rBKR CAR PORT •. TIF 134-81 Q·00-00-8835 J PH 3 PH AWNING LA COSTA TIF 133-810·00-00-8835 ,; ' EXIST BLDG EA AMP/SWTiBKR . GARAGE FMF ' u:. ,', ~ ' ·, J , •.' 1 PH 3 PH ~ICENSE TAX 001--810-00-00·8162 ... '~ .. '' REMODEL/AL HR PER CIRCUl1 MFF · 880-519-~2-57 ... ) T~MP PO LE-200 AMPS " ', . • . ' ~ OVER 200 AMPS -~ . •. ! " TEMP OCCUPANCY .(30 DAYS) I ' I CREDIT DEPOSIT .-·,. I TOTAL ELECTRICAL I ' { I -t.f/i' Jo TOTAL TOTAL FEES PAYABLE I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued bytheBuifdingOffic1alundertheprov1s1onsofth1s * A F REQUIRED FOR EXCAVATIONS OVER I I CER'l'lFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION. HEREON INCLUDING THE Code ~half expire by lim!t~ion and become 0'-!11 and void. II the building or work 5' O" DEEP DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such pemllt is not commenced within l80 days from the date of such \. l ' ' permit, or 1f the bulfdmff or wor~ r:.1.honzed by such permit 1s suspeodecJ or / STRUC S OVER 3 STORIES IN HEIGHT I- l ISSUED: TO' COMPLY WITH ALL CITY, COUNl'Y AND STATE LAWS GOVERNING BUILDING CON· abandoned at any time a •ta, the wor s commenced for a nenod of 180 davs. -, ._ l . l STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND fp '~__:_;;t ·711 ~ ' r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND \ PLICANT SI A E lf. OWNER O CONTRACTOR f; APPR~iBY -~ g; [ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE l'r ' .. · --" 1-GRANTING OF THIS PERMIT. \ qP,¢? f~ PHONE •• • .; \' \,, ~~ ! .I I . J I -.._ _ .. ·1 ·"'-,. l- '- --------~---==------"'-----\ -\ ~ \~ TYPE DATE IN$PECTOR -BUILDING FOUNDATION ! REINFORCED STEEL MASONRY ! I GUNITE OR GROUT I j SUB FRAME D Fl.,OOR D CEILING D SI IEAR .. SHEATHING 0 ROOF FRAME EXTERIOR LA TH INSULATION 4 INTERIOR LATH & DRYWALL t •. I • I j ,·.,! PLUMBJN(3 ·: D SEWER AND 6LJCO· 1 D ~UCO UNDERGROUND . , o·wAs:re· OWATER TOP OUT ti, WASTJ:: -. D VVATER TUB AND SHOWER PAN 1 ,,.../"') GAS TEST . .....,,.,.. -~ l /H7 D WAT~R HEATER D SOLAR WATER -v ) ELECTRICAL i D ELECTRIC UNDERGROUND GJ UFFER ROUGH ELECTRIC l D ELECTRIC SERVICE D TEMP bRARY D BONDING D POOL l MECHANICAL • 1 D DUCT & PLEM., D REF. PIPiJNG i . ;\', ,-!) 1 Vt t:::-. HEAT -AIR COND. SYSTEMS -· . . 1 ' r. . t ..... ,-.-. VENTILATING SYSTEMS I' ,~... .... ' 'j i '!'"::;t ,,,.-:. ..... , l ..... ~· ...... J...,. __ .. ! "'. I i ._ l . '. • '4" ' ; j .. _·1 . _,.,; -- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE .ITEMS ABOVE HAlVE BEEN APPROVED.~"__-_' A. - FINAL PLUMBING l ' EL~CTRICAL · MECHANICAL GAS BUILDING SPECIAL CONOITI0N~ -· ---,u • -... ' \ . ~: i ~ , \ • • • I _ :a;, ' \ ••• 1, I •• , ' .. I -\ \ • ,.. "~ 11• '-... , I t -~ FIELD INSPECTION RECORD ', RE;QUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -· ' t .• REQ. IF INSPECTOR'S-0 // 'J /J · ~ ; ;-:-· ... , r:\· INSPECTION CHECKED APPROVAL DATE rV\--R._., ~ .. _:j(;;P ../'°:/ YJ ,_ 1 SOILS COMPLIANCE IA )"' l'A ;/ 't . Lr· 1-?/I ,..J A" /, ~ f'i1--:,,,/, n_ PRIOR TO V V V • ~ --~ I ---,. -, . , I . -r tJ FOUNDATION INSP /) •• _, C J..J. ,?7~ i. /1/4-· ,_~ /? ":/.#.~ ...,. "r-// STRUCTURAL CONCRETE / \ V v I' . / , ' "' -• A ,.,t;..-~--' ,.--, • ~, -·v OVER 2000 PSI /J ; ~ ~ ~ ~ _,,.._,;., ,J .., , r. • _// .£.___/4.,, 11A ~,/,,. --_,__, : PRESTRESSED / /'l _,-_ ·.z _' --, . , '. -.,.. -~ CONCRETE '/ Ad_( .?:l//'7 Z:,A/ / •, ~ C? )t,i / A/ lf.-r J / • -, -r , • E/i' I,, POST TENSIONED .,., T l CONCRETE FIELD WEl.,QING \ HIGH STRENG:r.i=!-:-.._ 'BOLTS , . .__ • -· SPECIAL MASONRY (_° '. ,.·' >'"?(} 1----'-·~~~_;_------------------------------i PILES CAISSONS .~;,::'. 'T~:· ...... ..... ·...,:."'' '•'";J .. -~ ..... ~ ...... J =:~ >... 1---i _-_ . .:.._'·_::.~·J:,;:--~------------------------------i ~-.......... r~; ~ ... -#./· ·f \--:-,"'r I -·_., I t ~ ~ J i• -· ~ ~,,. ..... ., "',: ,\·:·1 COH c,.:..,,.x1 tro:r 0'5£:Ji.:'.:,t.:'f ~·-3-; ... , ~~ -.. .... -,.. -\ ~ ..... f $ l--------,--,-..,.:....,---'-::--,-.::..,,-.:...,..~-------------------i I • ' ' I ( ~ \. ~ir -1------------+----t------+----t I ' ' I ' --. ' '. ', ·~ ' i ' .. "!'. \ -~ . -\ '\-·' ._ ' ____ __..,,.,, ,., - ~ :'.\~,.,,, ., ,,.,1,1;, ......• ;· .,·, .. , ",: ·.•'• •.'> (' .-I ·,<J, > c 1 ..... ..,.. ,,, ., "r< v,, •• ....-,.,~.,.~" ,• .. N·'-·1~.sl'"'l!'t''-"' l '""·"'''! 11i\_":' ·:· !:,.· :·. ;:.: ··. ' ' ,' r: _·:;;}{~i~.~-i~::~·---~~;p;:~}:I:-: •. _--.-:;:::\::}~}i:\•, -.• :.:::1iif }::~1: Yt:~~~i~~~~~T. ~\;"(?(·-···· --·••· .-.. ,,.·1.···· .. ,,, ...... San Diego, CA 9213.8.-.·1':·,· .. · .. -. .-· ·:-··;··,.:·,:,·.·,,_:., ... : .. ,. · .·· .,., ., ....... .-,.·.-,·NOTICE,:TO COMPLY., ·Q.:·.,... ···· ·.·· / "• ,. _;.·· • , ,',•.1 r :.,....,.._..,._..=.._'-l.;,.:-,,_..., .. ...:,...,....,...;:;~._i.:..:;:....;.,;.;.;;;.i,.-..,..1""-~--.i,:;....1.,~;i.i.,.-.;.i..,-1,~;,;.;.,.,:;;.,i.~o;,;;,--=-,-'-';..;."""'_,.-F..,..,-.-,-.,_.,_,__,......,..;a;,~--t ·_. :··· ... ,·, ... -: ··.:. . •, ... . _r-: . . :•:::·.: ..... . ·:,, ,;: .: : . '_'•:•'!,••I~·:~,:':,~.:'' • _.: · · · :<:r. f~~t--,....,.t-,...,.-,.;.. .... ..,.. __ ...,...,..,...,...,,..., ... ...,,.•.;; .. ...,.·· .. ··.,..._,...,.,__,:.,-_..,...;.._..,.. _____ ...,_ .. ., .. ....,,,,., .. ··,..·f,. .. : ... :_· ·-··...,,.;-.,.,...,·-· ·.-· ,.\ .. ·,.:·.,· ... ·.,.·· •. : . .,:., .. · . .,..,.,..,._ .... .,._,..:..,..-...-,-·,....,·.,..,,...-4 \?· ·:: ·~ : .. :::: .. --~ , :·~·<Y:· ·"'. ·.:::;,_ · · .·.\ _:; 1 t\.:··.:· . .:: !:}/:i. · --.··>it?·-;.::. Y: :--::: ·', .>,·. :.::?.i!"·?B··f ?\~it~···i( .. : .::_-. ·:: ·::>\l/?tf f; f :~ \\ '::::. :,,,/ .:: \ ;>\( . / : ·; ~!: ;\t~:>,_ .• _ -....... · -. ...,-,.-..... --.--. ·""-:;,:_..-. :·-.~-·~:·\"':;."':i-::··. -:.-.. -.. ~ .. :. ~"'··"'· .""-.:·. -~:--: \"":_.'". -.. '" ........... , ::-.· --.. -1 :-:."'>"'·_~.,:~-,-:-__ ·:.-··\-."'=··.'"·.:.-.<-:.-::·.~..,:"'.-._-... --~.-::_-. --:;-~--~ .. -;"'~i"'·~~-,~~"~:--.:;."':·'.-:;.;:::""3"': i"'\ ... :("'~-"'/:..'.; .. :'.-: .:-: :·-; ·'" .... i ·'"'; :'"·~:·r;,;( .. : y_"':::_.;;I,,.:~·"":::·;~;"';~"'\,..:.!-~'.'"-~~.,. :::-\:-::-, :-i-; .-·~"'\""_:~"'·,"'_:-.-~ .... \ ..... "'·:·: .'". -~-'":·.:.·;~--.-:-··.--: .-1 \·; ..... /,:._;_ .. \., .. · .. :,:_: ._ .. _ ... -· .... .,.·_·...,._,... ____ .,,.. ____ ....,. __ ,...,...,...,._,..,....., ______ ..... .,..,_,_..,. .... ;,_ _ _;...,._:.,......;, .... -,',;...,. .... ----,.-..,.,,;,.....-..:,.,.,.;;,..,.....;.....,.--............ ,.·.,..·.;·-·· .. · .. · .. · --1 .... ., ..... . ... ·:. · ,·,, ,:· .. ·.•, . ,.·. . , .:· ~:· :.,;::--:\.·:':\:· '. ·:· '·,:·.:?.\"/?:;_\:,:: ·'.-:-:' .. ,·::">:·.:,.-1:1.~··: . .. : -.. . . ·' . ,: ,·· .... '',· .. •. •': · . .'····. ,•:, . .. ~ . . :·•! -.. -. .. ' . .. ,,.,, .. -.~ . ... :~\ . -.. ,. .. : : ···:. ~" : ',:.' ....... ,, ~ . ~. .. : · ... ,._:,,.· ,· .. •, ,•. ' .... ~ ... . t' . \:: ,· •: ·.-.:~·.i'',./_ ,::>r·.·:. :/;;.{l.tlr ./.::-.{.·: .... ;_·/\; .. ft::.\·.·,.·· , ··r ·.' ·., -~ ,• • .• :.·_.1_ •.• ". •" :;·~ :• ,.•. •. -·::,', , ... ·:,: .~-· ~ .. ~ · ... . (~ : : .. :.: ;.f. ,. .. ·./.·· '· ' •', . . . . .( ~-. :: . ' ., . .. . :~ .. ·: ', ' , : • ... ... , ' r ~-~:,.·:: '. ·" .. ·.-.:·· : ~ .. '' ,:r -· .;. f ~. •: .,,":' ":' . ...... · i .: ·-., .. : ... _ ...... , . . :. ' . .:.: .:·, ,/ ~:·· , .... : ' . ·.:...'-<!:~·-· ._: .. -? ·.\{ . .' ;·_ I' '., : . .-·~.' . : . ... '.•.,•,:::· .. , ... . ,, ·-:.·:·-· . .. ., ?·· !.· .... ',!o--,-..... ---:---..... -=------~,-..~-----:--:-..... ----..,,,.:-----:--· '-·-· ·---'"'l""'~------....... ...,.---------J iHIS REPORT DOES NOT RELIEVE THE CONTRACTOR .. OF HIS RESPONSIBILITY TO BUILD PER THE PLANS~ .SPECIFICATIONS AND ALL APPLICABLE CO.DES. . . • •• ' ,..!...:: ' ·,rJw;'i_\::::· " •' I•:',',, .. ' ,·:·: .,:. ~. . ' -. : -. : __ .'._ '•' .· . -~ • • '1• ·~ .~.. • ",,::-·. :. ~ · .. ," 1' ,., ., •. ·' ... :~; ~\:.%:·::i-i: i~i)tt'.:i~F:--.~:)":' {~.:·}~I(~lf'.kt~}ii~ .. ,~s: 'M~f 1tiP;,\~\f tJti~~<'.·!t,rf,tR~t~r:t::~;-:.,,.\d;:{,~1:.~·,'-t-+~··:w~i\,,;;l:;-·i\, '.. ;~. -F,IN)~L"""BUILDING INSPECTION , PLAN CHECK NUMBER 1 -..__----'6_0;,_t} _____________ _ DATE: PROJECT NAME: ______ C;,.._t;__lcc;,.t"_.,'{_;_$;,.:,;l•,:;,;_.J'f';;,..__,,c,_P,;,;;;:t-"1;;;_;_h;_1_;/i;c._ ___________________ _ ADDRESSi ________ :_;_,i_.S~O'--l __ ::-~""""ut'--h_12~r_f_~_r_d ____________________ _ PROJECT NO.: ________ UNIT NUMBER: -------~ PHASE NO.: TYPE OF UNIT: Cono Tl ;,\ /C f, f·?i.:.:Jiinq NUMBER OF UNITS: CONTACT PERSON: fut.,:;Vn CONTACT TELEPHONE~· ___ !:J"-4""';)'"'".--'i!""3'--'t'--'4'-------------------~------ INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPP.ROY.ED INSPECTED DATE , \' ~,~ BY: INSPECTED: APPROVED DISAPPR 1VED '"'"."' ~~I \ , COMMEN:J"S: Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire \ :_; '· ,:-,-_; ... ... ,'' -..... -. ..' .. ~? .. .,_ :' ', ')" .. " ,, ,. '' >I FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 600 DATE: 11-r9 ... a1 PROJECT NAME: ---'------C"-'t-'·u_•,"-ts-'--l'---e __ r_P __ a_e __ i--fi-'c'--_---' __ ---,-~----~---~---~ ADDRESS: 2250 Rutherford PROJECT NO.: ________ UNIT NUMBER: ---~-----,~ PHASE NO.: ---~--'---- TYPE OF UNIT: Comm Tl A/C & Moating NUMBER OF UNITS: CONTACT PERSON: Steve. CONTACT TELEPHONE: ___ _.4_,_4=9-_~..,.3=-1-=-t.-=-t-------------------~--- INSPEC~T -.,1 .I/ BY: _r&::./C,e~ INSPEC D BY: _________ _ INSPECTED BY: _________ _ .DATE INSPECTED: DATE INSPEQTED: 'APPROVED ;, . ' APPROVED DISAPPROYED ~--- COMMENTS: ----------------------,-~-------~--'---'--- Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englneerlng CANARY: Utilities PINK: Planning GOLD: Fire ~c· USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL 111,1 INFORMATION'WITHIN.SHADl;D ARE-A AND DECLARATIONS. ) ~ :' l .;,., U) z ·O ~ C ._,, u w ·C · •' [J.c.1 h11r~dy a1/1~1Ji·ihat1'am llc~nse/under . . , . . .CARLS.BAD BUILDIN'G DEPARTMENT . • 1 • : ~ APPLICATION & .PERMIT ·~ -: . provisiQns Af <?~•iite(9, (com·menclng with 1 ·· ·· · .. · · · · 1299 ~Jin, Q/irtsl?~d, CaliforQ.i~ 9~QQl!·:1l!.B!L(!!·1~).438-q525 •. -. ,....... .. . . •.. . . . · . .·. . .. , ~- .c , •nd, P~ofl!sslons Code, and my ltcense 1s In . , , . . · . . . . . . . . ' · . , • • ' RO, · · · · . · · u:;· ;:, '<11,., t;:u,---~t1on.7000).ofDlvlslon:3-0U heBusl~e~s ··I 'JOBA'DO.RES's ·., ..... ,. '. ·:· . . ' . > 'A-11·~,,1·DATEOFA:PF'LICATIONl1· ·'8USINESSLrCENSE-# . VALUATION I PERMFTNUMBER' ·~ .t"._fult-for2:!~~ct,' i00$5 . ..,, .. .1 .• -;i:z-s-C) .,C"'") '\'."""(.1.. c:::?O~r-6.._,.2" D > • ·, ' •••• t>.1.,. 1·._0)-s A,·tD'""'DC> -·~oo .. . z.,. Loe.No . . Class l ·, . ,.. ,,. · ;~~l,tl. ~t--...~Ll . · · · ' -~ /Q ~-V /i .. . 3 '·1· ·a r-· .. : : ;: ,· ;< . · · ·-· -· . -· . ·owNE·!_'i·s NAME . ,• · • ·, . ., · . ,,. · · . · ciWNlfR'S PHONE . coi-/TRACTOA . : " . · · · · . 9o'N'rRAQTORS PKONE.ft . ZONE . · · ::~ •.. :, · \? --. . Bu~ines&and.Prbfesslons.Cope~Any.c,ty-orcountywhlchre-•-('\ \-\-'2:~'1 s Le.e...~AC....1 R ('1 .13~ 7-~4( > eo~ ~ N~N .. > ~c. ~-i l -> ' • -• -~ I 10 •. _ .I hereby.afllrm that.I am_.exempt.from the Contrac-1 , . . . ·. . -· . . · , ' (5 . ·tor's .License Law for the following ieason (Sec. 7031.5 . · · . · : . ""'\ · . -· . . · · · · · · · .· -, qmr~$·;a· permit to co~struct, alter, improve, ?61l)Olls~, qr j OWNER'S MAI t.:1 NG_IAOORESS • • ' CONT'AACTOR"S ADDRESS . • ··l'f!!! ....._..... • . 1:ICENSE NO. re~air.any structure, prior to•,ts Issuance also requires the ap-• · .. · . . f"'< v -~-" llcaiit for'sucfi Jiermliio me-a s1gneihtatement that<iie is T · · · _ . , . · · · · . ..Ficens~d -p~rsuant,,t~ :the _prqvi~ltjris, -~t .the Contractor's ·1 s~ ...-C.....-" tz::-. -' ·-. ' .. G,.t( D --V' "=f -,, /K~ 0 . 'I<. P ·. . . > 0 s ~ -License La.w·.(Chapter-.S·,coJ0menclng·w1th--Sect1on 7000 of -. : · , -'-• • . . • • , • · , -~~.t;.. '--.?1" · • Ci.. , · · . : · · · ' · D!vis!on 3 of.the Busin~ss·~nd Prqfessio~s Cofi~)'q1;.t~at Is~~-I · 4OT I BL_O<,K • j SUBDIVISION I ASSESSQR PARCEL NO., DESIGNER f LICE'NSI; # empt therefrom and the basis for the alleged exempt,on:<Any, -1 • . · • ·) · . . · . • • .. · · violation of Section 7031,5·by an·applicant·for a permit sub· · · · ~ PLA_N 1.o. # ' STANDARD"PLAN_# BLDG USE· CO[!E 'BUILDING SQ. FOOTAGE bESlGNER'.S ·PHONE· -.,...,;,, ...... --~r~tr~hoi,;rni~~~l~aclvi\pe:lt::'.~~P'~ th ~nfi~e~yn•. ~--.~s:~t7110N~~ 0.;:;t 1,; i . £Ar', Tj_/ .. ·M..o4uA,t~~1 ~ESIGNER'S-ADDRESS_ ·,,~ D·l,a~,ow~er9(t~e.p(OPe[f)'.,-orJTIY.~l!)PIOyeeswith'w,ages· ,· · '/ · · . , _ ffi . as-thelr:sol~ c.~_111pensa11on, w1ll'doih_e work, and the stf!)C· . ! 1 . ..,_ , -' '. , , ·. . . , - Q, '• !_urel~_nqt[~t~~ile?or_offe(egfor,s~le'(S~c.7,044;,Bu,sine~s ,'I --SCc::::rK,· . ··S ·r·· ,. . . .· . . . . . . . > -., •• @l.1_.Ql,~~iW7,_,;· . :::! \. a~d Profe$SIOns Code: The,C,ontractor.'rLlcense raw.does' . .,.., > •• FYP . F LR E·L.EV.' NO . occ GP EDU . • > 0 ~ ~. ~ . i -53&65,, -:::i -,nqt,apply to .. an owner.of P(DPer\y, w,ho.bmlds.or lmpro,ves • 1. • •• _ •• · , • · STORIES !J Q J§,77,7. !3/·f-r.'l/ 1:1'.ll !!! ,-·· t~ereHn ang who poes·such work'hl,m~elf qr-thrqugh hi~ qwn , ,. ·. · ; , • ,-, • · ~ • •· • ·· .. , · • · , , ,, , ,., :. '-''-' ..:• · .. ~-· :U-~ . :j;.a~,s a: ~•·efllpl_oyees,. pro~l~ed thal· such 1mprov~me~ts ~r(notj~tend-, . . · V:0, NO ---· · . ,. . • :W · •etl·or·offered,for·sale. If· however, the·bu1ldlng oelmprove-f. · · . I ... · · .... · ..... ,,. · -· , I . I ·. ,. . . . ·· ,, . I , , , . .. . , ·, , · .. -. . . -.. . z mentissold'wit~)n,one,~ear,of-complellon,.the:owner-builder . CE,NSUST·RACT, .' GP·LAND.USE P,:>-AK•IN_GSPACE RES UNITS _GR_AD}NGf'.ERMIT,ISSUED • _!'!EDEV:EL,OPMENT .•.. ·-TVf_E > _· occ LOAD FIRESPR • · 31: · wlll-have·the tiurdeh of,provingifiarhe•ilid not build or hf · ., . . -. , , · . . ;<\REA . ' ,CONS"( · 9 Pf")'~ for·t~e·p~,~~~e ot·sale): 1 : • • • , -,-·; ·, , · • . • .. , _ ", :· • · , • _ : , · · v o N o ·vo _N_r;J, .• . .. • YD, NO · ~ D 'i, as 9.wner of t~e prop_i,rty,~~111 exciqsivefy_ COFJracllng. L ... · ', • __ . _ _ · " .. · · ~ ,• · · . · .. . . .. • .. -· · · ·-.. · -. -I wlthllcensedcontractorstoconstructtheproject(Sec.7044, ·• QTY. -PLU' -' p . · p,.) QTY ME,....H . CAL. ·s· l:J , .3 SUMM'AR.Y/ACC T U • · ,Busjijessand Professiops c,ode: T)le contr~ctor's License , ' · · · .-. , · f\:'IJ;!ING · ERMIT-ISSUE , ~-· · : "' ANI · . PERMIT· I S' E · . --. OUN N Ml;!ER Law.does not apply.to an-owner of property who.builds or Im·-_' • , -· · · · · · · · · · · · · -·· · · -·. · . · " _... -, • • - _,proves'lhereon.,s~<!-,w.hp,contrac,sforeach·projects~ith~ :. , EACH·FIXTURETRAP / ,, INSTALL FURN o·uci'SUPTO 100000 .. BTU · . BUILDING PERMIT 01·00-00-8220 .._ -~ .... ---·-o .. contractor(s)-llcem;e'pursuant"to the·Contractofs License ! .. . · · ---• , ', '· · -· · · · · ~-.,___ ~-"'-> Not Valid Unless Machine (Jertifiel/. -\ ~--~~)-:. -.. ·:·,:·:. . . . T-'.: 'EACfiBUl:LDINGS~WER • ·, ·. 1 ··• • ·: ~'CiVERl~O;OOOBTU · -• ,· -SIGN·PERMl,T ... •·. O~_:-~ -~ ~: I-'-· D A's a liomeowner, I am Improving my home, and.the follow· • ·· · · ·· -· · ·· .-• -, N. · · · ,. -'1 _:1 /· I -Ing co~~ill~nhse"~~sr~-i~,bel~g perf~rmed' rlo;to sale .• -1 .; . Ef\Gf-1-WAT.E.R HEAJ,E'R ,ANO/OR \JENT _ • _. • ~O!~ER/C~~P~ESSO~:UP T_O 3 HP . ... • _ · Pl'.A fHECK ... • • _Oj-_OQ-.00 ,, .. _ : l!'"J. " .. · '2. I rfof~;-~~~~;;w0nm/i t~~m~}rtwelve !"onth~ j.. EACH GAS S;:STEM-1 TO 4 0 UTLETS ' . . : 801 ~ER/.C()MPRESSOR -~·15 HP .: . , _. I . TOTA!:.,PI c1,.. .: 3. r1 ht9tvhe no!·Jlatmeif,,this exemption -during the ] -EACH G,AS SYSTEM"5 0 R MO.RE. •• · · · . ' METAL FIREPLACE ·--' , --• _I; EL::: '.UMBING ~i:•RICAL as ree years.· · ·1 . . . ' EACH' INSTAl,, ... Al'fER, REPAIFIWAT!:R PIPE • > VENT FAN SINGLE DUCT > J . I MECH/ 13 lamexempt'underSec.' ,.B&P.C . 1NICAL . • for .this reaso.n. · · : _ __ · ' • Ef.,CH VACUUM· ~REA KER . > • • MECH· EX HAU.ST·_ HOQO/OUCTS : I . I MOBIL :HOME ' -I , WATER ~OFTN~R . .. • , . RELOCAT.ION OF-EA FURNACE/HEATER . . • ...... , ....... . MORfi,FHOME-PARK-INSP · EACH 'ROOF DRAIN (INSIDE) · " 0-l·hereby.-a!firm that·! l)a'te a~rtif1cale of consent ~ to. self•insure, , or a c,lft1 t of, Workers' ,Compensation lriSClrance,' ~ 1 1ed copy thereof ·--(Sec, 3800, Labor Code)., -,,.., z. ~~tcvNo-&wC.. /o'b~SS~ 1 . . _.. . • . • . ~ _ COMPANY f/\.Ffl/$/ 0/V' _I QTY. ELEC;RICAL PERMIT •,ISSUE 1 : _ S'=-- U) • rtfeopy is filed'with:1t'e city: 1 • l NEW.CONST EA AMP/SWT/BKR . , . ,· COLLECTORS ''-. ,: l TOTA~ PLUMBING I • TOT/iL'MECH'ANICAL QTY. SOLAR • ISSUE SOLAR STRONG MOJioN FIRE SPRINKl:.ERS PUBLIC FACILITIES FEE 11RIDGE FEE SCHOOL F,EE .-DIS,TRICT z ~ ~ ! ' .. .4 f . Cl .<)"~iii~ copy is he,rel:iy furnished I . , . 1 PH . • , 3·pfi . , . . ' STORAGE TANKS --I . I Carl ~ .. , -,bad g . :·cERTIFiCATr;oF EXEMPTION FROM . -EXIST BLDG EAAMP/SWT/BKR • . .• • . ROCK STORAGE · 1 • · 1 Encl , WORKERS".COMPENSATION INSURANCE I . ,I 11 I -~itas ---~ (This_ section nee<fnot-be-completed.1f. the.permit 1 PH .. . 3 Pl{ -• . . · I • ·II 1. PUMP , ' I . I San D !:,! . is for one hundred dollars (S100)·or less) I I REM. OOE.l/'1L TER PER CIR_CUIT I II I PLAN CHECl< FEE I I San~ eguito a: 0· I certify that ,n the performance of the·worl< for, ~ , · . ·-l---~----11··1----i---------------~--~-t--______ _,_,._ _____ _ O • whtch this perrii1t 1s issued, I shall not employ any ------· ·iarcos TEMP.POLE ~ • person' in any manner /iO as to become sub1ect lo · · the Workers· Compem;ation ~ws ori;;a0tornia · NOTICE TO'.APPLICANT: lf •. after makin~ th1;_Cert1- ficate of Exemption, you should become subject t0 the Workers' Compensation provisions of the Labor Code; )IOU ·must· forthwith comply with such prOVlslons or this permit shall be deemed revoked I \ l ! 200 AMPS OVER 200·AMf>S . TEMP OCCUPANCY (30 DAYS) I ..... I : --#-{L.7 ,_ 01-00-00·8226 80·92:33-0519 _ --OJ ·00-00-8227 32·00-00-8923 i TOTAL ELECTRICAL __ ·] -J'OTAL SOLAR TOTAL FEES PAYABLE I '-1?.-lor.- !-, Expiration. Every permlt·lstuedt,ythelluildi,;Offlci!ll11ndeftheprovisions-of'this * AN OSHA PEAMfT IS R£0UIREO.FOR EXCAVATIONS OVER ' I I C. E •Q) I- I "O 0 C, "E <11· 0,. ~flt At,:, • ·i·t I ~ C: a: ,0 en en Q) en 'VJ· <( I ;:: .Q cii >- in en Q) 0 0 a: <11 iii 0 §: Q) ·o C: <11 C: u:: :c. I C! Q) Q) ... C, ... 0 0 Q) a. en C: if D f hereby' affirm that there 1s a, construction lend mg agenc~t_pr the .P,.erfo1:..rnance o! th~ work tor which this permit JS issued {Sec ,3097, C1v11 Code) , ,1 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION .AND PERMIT",AND l,)O HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECl.PiRATIONS ARE TRUE AND CORRECT AND I FURTHEA CERTIFY AND-AGREE· IF A PERMIT IS I" l Code shell expire by limitation and become null anct-vOid. If the building or work: .5··0" DEEP 4HQ otlilOLITION OR CONSTAOCTION 'OF authorized by·such permit is not commenced within 180 days from the date of such s,;euc~ OVER 3 STOfllES IN H.EIGHT Ql permit, or if thti building or work authorized by such permit 11 suspended or · :!::: ·tender½i NalTie~:. , ~ ' ;. Lender"s 1',ddress -------------'-- ISSUED: TO COMPLY WITH ALL CITY, COUNTY.AND STATE LAWS GOVERNING BUILDING CQN· · abandoned at an time after the work Is commenced for a . riod of.180da . s; sfRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSQ AGREE TO SAVE INDEMNIFY ANO' LICANT'S ~TU ._ OWNER O CONTRACT >· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Al,.L LIABILITIES, JUDGMENTS, <;:OSTS AND . , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE_ .....,,ui.,-.-. .--..:. GRANTING OF THIS PERMIT.. ' . ·,·: . ..,_ . ll'jSPE;CTO~ JN~PECTION TYPE I DATE -. ,, -BUILDING J I. '. .. , FIELD fNSP.ECTION RECORD ,. ... ' FOUNDAl'ION ·'. l .. . ' " -BEOUIREO SPECIAL iNSPECTIONS REINFORCED STEEL . ' .. REO. IF INSPECTOR'S MASONRY .. INSPECTION '. CHECKED APPROVAL ' GiJNITE OR GROUT ' . I SOILS COMPLIANCE FLOOR &·CEILING !;,U~. FRAME . . .. . PRIORiO .. -. -, SHE;ATHING t' FOUNDATION INSP -! ',' .. STRUCTURAL CONCRETE f:RAME . OVER 2000 PSI ,, ' . EXTERIOR LATH 1NSlJLATION PRESTRESSED '., CONCRETE INTERIOR _LATH & DRYWALL : ' PQST TENSIONED ·CONQRETE . PLUMBING ) . FIELD WELDING . -SEWER AND BL/CO ' I ' . ' . --'' · .HIGH STRENGTH PLUMBING _UNDERGROUND BOLTS '. " PLUMBING TOP OUi . ' , SPECIAL MASONRY TUB AND -~HOWER PAN t l 1 GAS TEST" -. l .. PILES•CAISSONS ·ELECTRICAL· ,, TEMPORARY POWER ' .. ELECTRIC UNDEF!GROUN'D ' ,, ROUGH ELECTRIC : ,. . ,. ' . ELECTRIC SERVICE . . '' .. .. BOND.ING ' I ,· I, .. - G. F. I. -SMOKE DETECTOR I . . MECHANICAL ! '. .. DUCT & PLEM., REF, PIPING ' HEAT~ AIR COND. -SOLAR SYST~MS . '~ ~ ... VENT.I LATI NG SYSTEMS --' . ' CALL FOR FINAL INSPECTION WHEN. ALL A·PPROPRIA TE . . ... ' . ITEMS ABOVE HA VE BEEN APPROVED . . . ' JOB SITE FINAL L----~ . . PLUMBING . ,,I , ELECTRICAL . ~-.J/" __,.-. --· MECHANICAL "" y1 JV" __,,.-~I· GAS '..Aµ v-:-~-_sr,· ' .•. .. -. ' BUILDING.: _F--1 ~ / ..... -. . SPECiAL.-CONDITIONS. -, -~ r ·r . . ·- CERT OF OCCUPANCY 1S.Suee---"' ' .. ' . . ' .. 8 3 ,.. 3 'i?.7. . : i ' : .. •. : ... . .. . . :INSPECTOR'S NOTI:S ' DATE - . . .. " -· ' -... . , . . •. ',' - . ·' .. . , . . ' '' '' ., .. -.. 7 .. . .. '' ., .. ' . - •, ..... < '. .. . l .. -!"_;-" . _.. -~ ~ .• ~ ~~~-' ,-· ·-~~. _,,,. . . - -~· ··"' ~ . ' .. .. ,i'~ ... , :-,r- ' ·. ... ·- ' . l l -· .' . ' - ·• . . , ,, ,• - ----" -,._ .. , .. -.. . ,-,-"'' l~"' 4,.. I ..,,, =\ ! ." t :· - --~ " ,\ 1 ~"}\. ~~":'. ~ " . . . ' --._ r ~ ..... --. .. . . ' .. -., - •' . --~ I ., - ' '· ~ ,,. ~--~ . -'' .: .. , _, 7 r1 • ti) z 0 ~i· ,c( a: < ..,J 0 w Iii "' D I· iil&reby a,f/lrm that I arn llc11ilseq Uflder . ·provisions of· Chapter \I (commencing with · Se\)tlon· ·7000) of DlvlsJon 3· of the Business •rtd, f'rofes11lons. Code, and my license Is ·in . lull' .torc.e and effect. ,Lr~. No, · C!ass · : , · I hefebY, affrrm that ,t am exempt from the Contrac· ... tor's ,kicense Law tor·the followmg reason· (Sec. ,7031.5 • '\ ' ,Business arid,Professions Code: :0.riy city or county which re· · ~~ ~~quires' a '/perfuit' to' construct, altef, improve, demolish, or · ..... tepa1r arty sfruCtUre,.J)not to it~ iSSuiince atSo 'regUires !heap'" ''",plr,ant1forsuch permit to file a signed statement that he·is ... licensed ,pursuant; to the proVis1ons of the Contractor's_ .. License Law (Chapter 9 co!]1menclng with Secti9n 1000.of . Orvision 3 of the Business and Professions Code) or that is ex·· ·empt,the/efiom and-t~e basis for the allegea exemption, An~ violation of Section·,7031 ,5 by ari applfcant''for il'permit sub' ' jecfs the applicant to a civrl penalty ot,iiot more ihan five huh· dred ijoltars ,($5,0Q). : , _ ., •. , • ·. • • IJ I, as owner of the property, or my emplo~ees with wages ffi , ·, •' \herr-solB'Compens_atron, Will do·fh~. work,-arid:th,e s_truc-· .. c ,. ., ture'is.not lntend~d oroffered'for sale•(Sec. 7044, ~usrness -' __ and.Professrons.Code: The s;ontractor'·s License Law-does 5 rjot ,apply to an owner of property· who builds or improves 111 ' thereon and who does such wo'rk himself or through hrs own .ii: elnpl,oYees, pro,v/~.ed that'su~h,.improveme~ts are ~·olinlend· 1W ed·.or offered for-sale, ,ti; however, the burldrng·or Improve· 1Z , . '.n\enl':,s sold within orie,year:01 completron, tile owner-builder 3t vtrll have the burden. of provrng that.·h.e drH riol bufld or im· 0 ~~rove for lhe purpose ol sale). · . _ D_ I, as o\Yner·of the prop~rty, am exclusively cbntractrng . ,. wrth licensed·contractors·to construct the pro1ect (Sec, ,7044; ,, ·Business ·iina Rrofesslons Code· T~e Contractor's License .aw Hoes rioi apply lo an ownei ol property who burlds or Im· proves thereo:n, and _who contracts. t,or each projects ~1th a ,c.on,traclor(s) lrcense pursuant' to me· Contractor's License .[aw). · • · · . · 'd As a riome~wner I am improvrng my home·,:a~d the foliQw· ~, -IOQ"Cci'nditibhs exist: , ~ ~ , _ , ' ,t. The.work is belng ,performed·prior' to.sale. .2. I have lived in my home for twelve· months· · priorto complef1on ol thrs work. 3. t have riot ·ctarmed this e~emption during, the ·fast th'ree years: · D. tam exempt under Sec. -~--~--, B & P,C. tor'lhi~ reason _____________ ~ I us·E BALL POINT PEN ONtY & PRESS HARD I APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUit.DiNG DEPARTIVIENT _...., 1200-Elirl, f?rls_Qad, Califor11ia 92_908-198,9 (61~) 43,!l:§525 APPLICATION. & PEAM'IT 'I JOB ADDRESS l ' ~ I . ""2;,---"'2,..--.j. 0 · V . A V.'ST. RD. NEAREST.CROSS ST. h:v-r~,-,re_./j..~_ Pt~E:~+l,.., I LOT · ASSESSOR'PARCEL NO. cor,rrRACTOR t,;j,;7;:;IONI .,. ,' . I BUSINESS ~E It YE.(;! 'f' ., CdNTRACTORS PHONE If j lt-:-,---,,-1-,:----+--'-i--.,..:...---'-~--'-------,----"-'-O-W--,NE,-R-.'S-.P-H-ON_E_,I e £d:J... Co f 3 L ! , CONT·RACTOR'S ADD'AES!, LICENS!= NO. I , /JALU,ATION· ·% ]Of?,_ " ZONE 'PLAN 1.0: # PERMIT NWMBER · i~~J'i,-./ . BLDG USE c6bE ,""='~'.'":E:~+~~'."'t::-::---""---'"~:!..p.L.4.----'--"--=::...:::=--_c_~~~-L.J,_S,.1_"""~-""!:L_;_.\,_.J..J,2L:::!~LJ...~B::.___,,_µ;,,,L,!~~!:.L.!,,,,,E~ - I 'STANDA_RQ·Pl~N It .~Uti:.DING.SQ. FOOTAGE I , ~t:.::,;..-:,,"::..,..~:,.::....J!-"L-..!.-l+,U..Ll.~""-41,.L-~--,--'------,-----~--41 'y1 ~ / ~~~~?~-. 26 ') !l; 111. 1 ~--...,_.'"!!"'!"___,_.. ..... __ ~-----"'!""to---~~---~ ouo·115bb& .u:1130/01.i 2r;9~:jo ll-,_.l..,,,..!~~~Ll~~~:::_~J!~~.,LLJ~UUQN,_.f2.~'-!!.~.r_~~ F/P. FLA 'ELEV. NO . EDU f , , ,.,_, ........ -' I STORIES I -YO' ND -- 1 RE'S UNITS . ' . GRADING PERMIT ISSUED R~_D,EVELOPM.ENT · TYPE occ LOAD ! AREA CONST I yo· N D y p NO · vO NP Not Valid Unless Machine Certified r --. . . .. .. . . . ·. . . . . . . i' Q:fY.. ,PLUMBING PERMIT -ISSUE· 7 ~-:-o T.Y. · MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER : EACH FIXTURE. TR~_ ~ ..__ : ·: : _ INST.A~L FURN. DUCTS lJP TO 100,000 BTU BUILDIN.G PERMIT 01·00-00-8220 D 1 EACltBUILDING SEWER--.-, ---:---. -.-~-r,-.. -. · .. ovER 1.00,000 arn ,slGNPERMlT --· -01,60-od-822-1 . · -~- (! • EACH WATER ,HEATER AND/QR VENT BOILER/COMPRESSO.R l,)P TO 3 HP PLAN CHECK 01-00-00·8806 : . Ef\CHGA?SYST~M1.T040UT6ETS -':. B'CfitERICOMP'RESSOfi3·15HP • l TOTALPLUMBIN~ -,-~- !,. . ~A.CH GAS SYSTEM 5 0 R MO.RE . · METAL FIREPLACE • • . .E~EC.TRICAL . . .• 01 .nn°00-822.2 I -,.--.-----~--------------~------.-.----.- 01-.00-00·8223 ! EACH iNSTA~ .• ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT -• 0 MECHANICAL, ,. vu, : EACH VACU~M B'REAKER . MECH EXHAUST -HOOQ/DUCTS . . • MOBILEHQME ,, v~, j WATER SOFTNER. . RELQCATI.ON OF EA FURNACE/HEATER L . II MQBILEHOME PAflK·INSP . 01-nn-oo,-8224 n1 -nn.no:8225 --, . I EACH ROOF ORAiN (iNSIOE) I • I I • " SOLAR Ul-111'·' D t hefeby affirm that I ha,e a cer11hcate of consent "· :c QQ-8226 I z 0 ~ ti) z W· a. :E 0 ,o ·ti) ic w :.:: a: 0 3t to self-insure, or a cer11t1ca1e of Workers' I • TOT,l;L MECHANICAL I STRONG MOTION Compensation Insurance. or a cer11hed copy thereat·· 'I I (Sec.3800.LaborCode) '1 TDTAhPLUMBlNG . • FIRESPRINKLERS v,vu, , · · · 1· . I -~ I I PUBLIC FACILITIES FEE 1 QTY. , ELECTRICAL PERMIT-ISSUE ..._-.,-QTY. SOLAR -ISSUE .. · . , .J --BRIDGE FEE POLICY NO C:OMP~N~ 8,0-92-33-0519 I' n1-lir\-no:8227 32-00-00·89:Il D Ce1'11fied ·cqpy rs herl!DY ~ 'lo ,,~· ~· l NEW CONST EA AMPISWT1BKR ' COLLECTORS , . • .-.SCHOOL..fEE-DISTRICT I . ..-'.., .. ,.-. , "'" ~ •• -• -~. ·'!":. ""·· ·--I 1 PH 3 PH . STORAGE TANKS . ' • 'Q~rlsbg9' •.,__ ', · •• " 80-92-21-0519 • CERTIFtGATl OF EJ;EMPTION FAQM WORKERS' COMPENSATION INSURA'4CE (,This sectton need not be cqmpleted if the permit I EXIST BLDG EA AMPISWTIBKR • ROCK STORAGE <, .. .. ., , .. E,n.9initas.. ,, . .. ..80-Q.2-22'0519 I ... ~·-; 'i ·.~ .• ·\·, ... :I(_•. I 1 PH 3 PH • PUMP ·'·.·-~. , SanDieguito '~:..:_, "' ·a0-92·23-0519 I' · '\ ,. '.\: ,,. · 1s lor one hundred dollars (StOOJ o'. l!'ssJ 0, I ,certify that m the performance of the won<. for Which this permit ts issued, I shall not employ any person m any manner so as to become subrect to -!he Workers· Coffipensat,on ~~s of Callfo~nia _ : REMOOEUALTER PE'R CIRCUIT . PLAN CHECK FEE • Sa_nMarcos 80-92-24-0519 I TEMP PO LE 200 AMPS . . • ~ ,._ i O~ER 20·0 AMPS: . , . LICENSE TAX 01-00-00-8162 PJO ~"""' ... ., 7 -- ~ ~ u::: >, ~ 0 Q. E a, f- l "CJ 0 (!l ~'I co' . .~ a.' Cl. <! I .Y. C: ii 0 en en, a, Cf), en <! I ;:: .2 :a;' >:- en" en· Q) g q:: ~ co 0 ~ a, (,) C co C ~iI C a, ~ (!l . NOTICE TO APPLICANT If. after makm3 lh1s Cer11 11cate of Exempt1011. you should become sub1ect t? the:Workers· Compensat1on,p~ov1s1ons of the Labor Code, · you must forth~tth comply with such p~ov1s1onS or this permit shaJ/ be deemed revoked 1 Y.EMP dccUPANCY 130 DAYS). • • MFF 80-92-57-0519 . ~ I .,, _ ~ ... ,t,.£, I : . . . CREDIT DEPOSIT j&JC I 1 ~. 7 ~ i TOTA LELEC1 "CAL · 1 . . TOTAL SOLAR . . TOTAL FEES PA y ABLE , ~ 1/ J-;.-,<f2._ ~.: ; , -I , ' .-.[, 0· 1 h8reby ,affirn;i that' ,there 1s a c;onstruc11on 'ffi' • lending agency tor the performance al tbe work ·for 0 ' which this per~1t 1s issued (Sec 3097. Civil Code> z· , . UJ -.... '1.ender"s Name _______ _ ..,J' , , , ·Lender's Adqress -------~ I ' • · • · ,. N DO HEREBY Expiration. Every permit issued by theBulfdlng'Ofliclal underthe provi$ion$'ofthis I I HAVE CAREFULLY EXAMINED T.HE COMPLETED 'APPLl<;ATION AND PERMIT A D ' Code shall expire by limitation and become null aOd void. 11 the building or work I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMA'flON HEREON INCLUDING THE authorized by such permit is not commenced within 180 <fays from the date of such * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER s· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or 11 the building or work authorized by such permit 1s suspended or I ISSUED: TO COMPLY WffH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time after the work is commenced for a DAriod of 180 davs. • · · · • t STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUCA~ T'S SIGNATURE 1f, L OWNER D CONTRACTOR O APPRO~, .BY or~~ l KEEP HARMLESS THE CITY OF CARLSBAD AGAINST,Al!c !-!ABILITIES, JUDGMENTS, COSTS ANP )( I .' / .,. ' . . ,v, , I EXPENSESWHIOHMAYINANYWAYACCRUEAGAINSTSAIOCITYINGONSEOUENGEOFTHE ./ ,;:_--;.--_-:: ~ ---4~.v SYPHONED.'; J ~, l' ~-.A_ I 'Ill-,~ GRANTING oF THIS PERMIT. r t--tV · ~ >-7 ---i , ·-G: "" . ,,_.' . . (J ~ 1 ' '"" J' . l I ~ .c 3: ... . TYPE l DATE INSPECTOR BUILDING I i FOUNDATION i. REINFORCED STEEL I I MASONRY i GUNITE OR GROUT i FLOOR. & CEILING SUB FRAME i . SHEATHING D ROOF D SH~AR FRAM!; . r EXTERIOR LATH I I J FIELD INSPECTION RECORD . REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI REQ. IF I INSPECTOR'S CHECKED APPROVAL DATE ~ t""Llf ... ;6,~ tit: --:--··-, ... ,--.,.-·---·--X-~~ t - ' ~ ' _-.... _ -'~ ...... "".:.;~-~ .. I 'i, .-,~~~-.... l, --~-. '\., 11'\!SPECTOFl'_;;]'J_O]'ES \:"'-.,:"· .... ~-.-·-.. ~ \ ·. ~--~-.. ~ ~;> ~~ ---~- v-. ~;~~~:-i,~_~:_}g).ti ~~·· INSULATION i ' INTERIOR LATH & DRYWALi:, PRESTRESSED CONCRETE . C P2"'~~-;.fi. ~;J~,-c._f' oa_ 1/1£2:~:e;,,,._ ., ·,i(, i I PLUMB'ING . I SEWER AND BUCO DIPUCO i . l,JNl;>ERGROUND D WASTE D "YATER TOP OUT· D WASTE D W~TER TUB AND SHOWER PAN l I GAS TEST i ' D WATER HEATER D SOLAR WAtER I ELECTRICAL ' I D ELECTRIC UNDERGROUND D l)FFER ROUGH ELECTRIC i D ELECTRIC SERVICE D TEMPO~ARY . D BONDING P POOL l i . MECHANICAL l D DUCT &. PLE;M., D REF. PIPING t. ~-?'"·· ... '\_&-: ,4 ... l ~---~ HEAT -AIR COND. SYSTEMS I .. ,... ~ . " .. "-... •. I VENTILATING SYSTEMS I --~. -. ·; _', . .:~.¥-·,-:---. } < t·:·t. -; ' . .I --· • --• ,-I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVEIBEEN APPROVED. FINAL . PLUMBING ELECTRICAL ·' POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH ... " BOLTS •.•. '•-~ SPECIAL MASONRY PILES CAISSONS "--_:·$ ...,,.,,~-, -, ~.-·-··-"" ·r-..:J t..:.,:·-.. -\.-, t ' _::i,;,_ :.-;FT_ t ~ · 'i ! .'!!'!\I..,';-.• ~--~ ··-. i • 7w ,,-- 1 ~ ?.v 12a1..) " " •• -i •• .-.,_ I. ., ·--.:,_ ... ,..,_J ·1 -) '/~ , # - \ ·..: ..... , it .~ .. -...;.,j \. ...... ~ .. \ . ;.y· ~;:\ .. it~\:'~· ,· l ~; {..; -I__________!_ MECHANICAL . GAS -~UILDING . . .. ~ ~"'::· ,~,.,; ~"i Ui:.Li If . ~ -· -f .-•. . rl •"i"-. • . '·. j '• ........ -Y~ L -;t. ·• :. .. ·. ' , I I I I . t' ,, .... . -.... -~· ,.., . ~. . ~ ' 1'-l. \ \ • "'· /\ ~CIAL:;;C::..:O::.:N:..::D::.:l:...:..T.:...:10::..:.N..:..:S=-------'---+----;----, -~ 1 · '\I •• \-. ' ' \ . / ~ ~·-z· .. : . I • CITY OF c'ARLSBAD-BUILDING DEP:ARTMENT a:· .. _._..__,_ . ~ . ·.· .. · -' . · --~ APPLICANT TO F·ILL IN INFOR- 1 CENSEDCONTRA9TOR'SDECLARATION . ' . ' . • . APPUCATl()N & PERMIT . . . hereby affirm that,l;i;arhlic13hsed underproyi-USE BALL POINT PEN ONLY l200 .ELM AVENUE ,(714) 438-5525 MATION. ITHIN RED LINES. ions of Chapter, 9 :(commencing ·with Section • 7000) "' Dlvision·3 of the Business ljnd Profes-· NO JOB ADDRESS BUS. L E SE P.ERMIT' NUMBER sions Code,and my license is-in !Lill ·l()rce and el-• · · · . . . ~ #' ,/ t· . 7. . , .• feet. . . _ __,___ . . . ,~ r. · Q · C . OWNER'S PHONE CONTRACTOR. STATE hlCENSE ·. · , ':,) . OWNER'-BUIL:DEF! DE LARATION, .. ., . · . · . DI Hereby affirm that I am exempt from the Con-.-. / ,. ~ .. 1 · ~o'.~--, .i.::--· ·-' ·· ·tractor's :License 'Law for the following reason .. ~~ I •-~I ~ • 1-..;:i. , · (Sec. 7031:5,Busfness and Pr<;>fesslons C<>.de), Any . city or county which requires a permit to con· - .struct, 'alter, improve; dfll'(IOlil!h; or repair ,my sfructure, prior to Its l5_suance also-require~ thi! applicant for suqh p,en:nit to file a sign,:id st.at,:i· , · • ment that he is lic_ens'ed pursuant to the pr<;>vi-' ' 11------,-----..... --......... ...,.,.... ......... ..,.. ...................... ....,...,.i .... .._..., __ .__..,_.....,..,....__.__,,.. '. ---6-. 11 'tii1-1ai.i1~01'.'·::_ · . IJ'O'Df 7;j;:if':"fT:(-TJ7.l S-4 slons of tfie·Contract<lr',S License Law ,(C~apter ~ ·. . · ,· . commencing w!th .Section 7000 of Division 3 ·of. .:f-~dl~~~~!...=~!:~~._.:::!LJ:~¼;l:tl!~2!.l..,..:,...,.~D.,_,;;~ JIE.SJGNER s. P.HONE -tl'le Business· and .Professions Code) or, that ,is-ex: empt therefrom and the basis for the alleged' el\, · e!Jiptlon.Any-violationo!Sec.tlon7031,5byan:ap:,-·"f'F"· ~, :---,. ." . ~~\··· '. /fj •• ,-,.,,,. '!''-.. pl,icant ·to( a· pen:pi\ subjects the-applicant to a . f:IUMBE~ OF STORIES civil penalty of.notil'nore than:five hun.dreid doJlars : i-·:. ·~ · • "NofiValid Unlesi-Machine.'CertifietJ: ($500). . . . . . .. . . _ . ] B'LDG so. FT. ' ilt.:DG'ius,E' 9cc. GP · S:T'AND,ARD '·PLAN,# PLA'N' l•D # ·d I, as owner :of the :property_; .or my emph:iyeei;, ·.• • . with wages as their sole compensation,' will do' · l , ! · ·0 --, • • ·, • • · the Y,(Ork', ~n.d th_e struc.ture.ls_.riot intended or of---,. · ~¥ECHANiCAL PERMIT fered' 'for sale ·(Sec. 7044, E!ui@es~-and 'Profes- sion~ Code: The ,Coritractor.'s License !,.aw.·\lo.es UTY: ·-AM'.f. .Q:Tyo:,. riot apply·to ao owner di property who b~ild!i or , r--...--,-,,-,.---~------,-~---,--.,....,.--.,....,.-~-.,.....___,, ,-.,--,---. . _ .. ~ .. . _ :1m·proves there.on ,and·: who does such work · ,., 'EACH ,FIXTURE-TRAP ·, , •. •· . -~ · ._-INSTALt·i=U.RN. DUCTS-UP T0,100 000':!n.u: . ·,;· :pp,JMB}NG PE;RMIT' :.·AMf .. ---. himself or-through his own employees,.provided ." . .. .... . ·.. . . . ... · ·.. • ' _"1 , that such Improvements ar.e. not int,:inded or .of-: :J:.AfH. BUl~QIN_g_.SEWER: _ _ _ .. (?VE_R. 100,~00.~ Y .. ,. , 11 ferec;t for ~~le. If, h<lwe.~er, tliebtjilding o'r-improve-, · EAC'H WATER HEATER AND/OR VENT • · .• BOILER/COMPRESSOR. UP TO 3ij.jp m~,t is sol~ within one year :of .. completion, Jhe . . · · ·. .. · ·: · .• ·•· · . · _: · _: · •. ,; ··, .' · , : · · owner-build!lr ~111-haye th!l burden of pro~ll)g·'that : . :EACH. G·AS SYSTEM ·t·'[O' 4 ·0 UTtETS "" · B.O I tER/CQMPR ESSO R 3-15 HP ..._,1•, ~ -i- , __ -""~ '\":' ... , he did not build or improve forthe-purpose of · .. · ..... .'. . ·. ··: : · '· .. ··· _.. ". · ·,. : · .. sale): . . · < . · . · ;. · . EACH,.GA.S SYSTE'1'1 ~ OR·'.MORE , BOl~EIJ./CQMPRESSOR W:30_HP . , . . ·-,~ ... :!i t. , ... c11.1 • I ) b< ! J: ~: _tf~as ownerof the pr~;eity, am exclus;~~ly'co~-: -~AClilN,S~A!-'.'.ALT_E_R;~i;PAIR_WA!ER·P:IPE. '•. ,,. ... ~r:~.A~ SjN'GL,ED:uc_( . . . .. , 0 :,i A_: -. -~_-· .. I \racting with ·license<;! contractors to con!i\fuct , EACH .LAViN:SPRINKl.:ER SYST-EM · _!.1E,f~E-XHAUST-:HOO!)/()UCTS _· . p'~~--.. .. , ~:d~~1~~t2!~~~a:~~::sBL~~:n~~\!~ :~~~e~i:0 :{ : 1 , ~ATE~ SOFTN:ER. . RELQ¢ATJo~· !)FEi\·F'tiRNACE/HEAT~R . BUILDING PERMIT 1 . , I ·; . . I ply to an owner ot' prbperty \•ho buUd~ or Im-, ./ A A ; • ~-, _ : d. (}-'() . ·, .,/, __, .A·~:~. o . ' . ~ J-5'':t/'7) SIGN PE'RMII ' . ·I , ,. ' I proves thereon, apd wh<;> contiacts for such pro, . . . • . , . ' · · · . · · : 1;,. jects wltti ~ c':'ntrac'tor(s) license-pursuant to the TOTAL-PLUMBING . -:rDTAL MECHANICAL Pt::AN CHECK· I _, : I .I . . I contractors License Law). T CONTRACTO.R · · • ·• · · · · · •· · .. · · .I . I am.,exempt under sec·---,-~ B. & P.e. · 'CON RACTOR · . ALL l!"'ClUSIVE PERMIT I I· .j : for th.ls reaso . t I, . I · I TOT:AL' PLUMBING ·1 i:-, .,.' · I . Date Owner WORKERS' COMPENSA~CLARATION I hereby a,ffirm !hail a~~~!?ertificate of don- sent to se11:1nsure, ~ eftiflcate of Workers' Compensation lnsu · e, or .a 9ertified copy thereof (S~~~d_jl)~ . • POLICY N ~ q-. '2,..- COMPANY \~.10\~"1'" ( ~opy is fll;;;wth the city. · · D Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' ,(This section need not be completed if t'he p,er- mlt is for one hundred dollars ($10!)) or, less). I certify·that in the performance-of the work for which this permit is Issued, I shall not employ any person In any mann!)r-s<l as to become subject-to the Workers' Co_mpensatlon Lav.:s of Callfornla. NOTICE. TO APPLICANT: If, after m;ikh\g'thls Cer- tlflc;ite of Exemptlo11, you should become subject to the Workers' Compensation provisions of the · Labor·Code, you·muiif forthwith comply with such provisions or this perrhli shall b_e deemed revoked. CONSTRUCTION LENDING A_GENCY. . I hereby affirm that there Is a· construction len- .. ding age_ncy ·tor'the performance, ,;if the wqrk for· which this.permit.ls Issued (Sec. 3097, Clvll Code), ~ I : . i ,QTY .. EL~CT.Rl;CAL PERM ff· . NEW'CO~SJ EA AMP/SW:i'/BKR I ~; I t PH )$ .. "&£>A -.. =3i•H~ EXIST.IU,D~ EA AMP./SWT/_B~_R_ ' 1 PH .25_._"' . ~A-~P!lZ,.$ REMODEL/ALTER. PER CIRCUIT TEMP PO LI, 200 AMPS QVER 200 AMPS -·.TEMP OCCUPANCY (30 DAYSi ..,,,,· .A _A~;...1.._ __,,,,,, TOTAL EL'ECTRICAL. CONTf!ACTOR AM'.f. . ~ ,...,_er;:,· ___,~-~ .~Of/3 ~- -~ t,6~ UTY: fy10B I LE H.OME PERM IT AWNING . Pi:Ji!Cfi SET-OP . _RAMADA, CA\IAN_A FENCE OVER 6' TOTAL MOBILE HOME AfVIT. :_:JtECTRICAL , .. I ... ~l'frS;. or:) ·-'ME'CHANICAL· . I I I I: :•· ~OBILE HOME· I I I . ·L,:: ~SOLA.R -.__. ·~ ~ ~, I" I , . I i ) /M-1~ -~-f I I I' J7 , I ·i .-"I I MICO_:FILM I I I I I I I I I I I I • I I I I .TOTAL FEES PIWABtE f I·. I '§'"~ e_dl ·1 HAVE CAREFULLY E~AMINED THE COMPLETED "APPLICATION AND PER.MIT, AND DO , HEAEB.Y· CERTIFY THAT ALL INFORMATION •HE'REON IS TRUE AND·CO,RRECT-AND I FURTHER CERTIFY AND AGREE IF A PERMl:r IS ISSUED;TO·COMP,LY WITH ALL ciTY, COUNTY AND STATE LAWS GOVERNING BUIL'DING CONSTRUCTION, WHETHER SPECIFIED',HEREIN OR NOT. l;ALSP AGRE;E TO SAVE INDEM,NIF11' AND KEEP HARM- LESS Tl:IE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES-WHICH MAY IN ANY WAY'ACCRUE AGAINST SAID CITY IN"CON'SEQUENCE *AN QSHA PERM.IT IS REQUIRED FOR: E'?(C;VATION~ ~:E~ 5'-0'.' DEEP AND OEMOI.ITION OB CONSTRUCTION'.OF ' L. .J 1/ STRUCTURES OVER 3 STORIES IN HEIGHT. ,· /' f· OF THE GRANTING OF THIS P,ERMIT.. • 'AtLICl~IGNATURE*. -'V ·OWNERO AGENT 0 /? I CONTRACT6RWjAPPFIO.VEQ BY~;</ 1t B:Y PHONE O I _ D}TE'. • 1#-/. ,:jp i .·, Q·.· ~ j :>, z 0 .i= &.{ Bi 6 'J''y J • ~ -SITE. ADPRESS: INSPECTION - _WOOD FLOOR- 'j' FO:g_~cr~i:tc;>N • FC>RMS~SET BACK -~_TOJLET' Ut-!DER FLOOR PLUMBJN~ ·(,IND.ER F!-OOR HEJ\TING OK TO INSTALL SUB F'L.OOR st.:As''FLboR UN.DJ;::R Sl,,~B P_LUMEl{NG_: . FOOT.ING• FORMS• SET~ACK • TOILET ·oK i'o PO~R coN9RETEi: FRAME ROl.,.IGH ELECT~ICAL: · 'ROUGH PLl!.MBING Rbl!GH HEATlt,IG/VEiNTILATI.NG - FR~ME OK• PLACE INSULATION lNSULATION OK • PLACE WALLl;I0.4,R[) WALl,-B9ARQ OK• PL;t\CETAPE .EXTERlO.R LAT.H 0~ • _PLACJ;:: ST.U<;;<;:o:'' _'' 'FIREPLACE f?AMPER &STE't:L PLATE Tl Es/HEIGHT OF CHiMNE_Y c;>TH~R- TEMP POWER (P?Lt:;' _ SEWER GA$ TE,ST SWIM POOL.• ~TEEL.BONDfNG •· PRE DECK • FENCE -RREPLASTER St,!OWN --• FRAME --• PAN flNAL JNSP_BY Bl.CG DJ;::PT OT-HER DEPT'S REQ COMPLETED ~ ··~~, DATE I -_ INSPEC:TOR ·--~ 'I_' ELEC--MET'ER_;PERM-TEMP ·, ·1 • n . J -~ i ___ /.-~~Ii --:,,:,_ , . OWN.ER; -Fl-ELD iNSPECtlO·N .RECORD. - ., -~f ... -.. ~ ~~- r; .. • -P EBMIT)':1.0: -'.fNSPECTOftS 'NbTES _ __:_,· :, {., ' J. ,· ,--y:) -~--{ ... ~,'-!".<. __ -; .,_;_,.., ·, --·· --~ i:-.--..... :.., -"' • t,-:_.: _,;_- ,:'~-....... J~ ,.,.. •. ,.1 .·,;·~ ,P' _, ' .. ... I GAS Me[ER-PERM-TEMP . . . • . I 1 µi .. ~ ~lff i-:----' ' -~--: ~~~~~~--,-,------1 . 71 I 'U" J. CERT OF OCCUPANCY ISSUED ~ ~- ... ,;,,. ·~; JI' ,. ,i.. ,- t ,f ~1' (/',_ 1'·· I j 111111111m PLAN CHECK NUMBER ff §Y' ADDRESS (7-,2 s-a ~/4(,..., &.ceillfed PLANNING: i'YPE OF STRUCTURE ~ ~ z0!-lrr Z 2 1£lft4 SCHOOL FEES: SAN DIEGUITO________ ENCINITAflTY OF CARI SBAO CARLSBAD SAN MARCOS -------------- % COVERAGE -----------REQUIRED SETBACKS ____ _ 8 U IL DING HEIGHT FRONT ------------------ FENCES/ WALLS ---------,-----SIDE --------- -TWO CAR GARAGE RE AR 0:: LLJ 3 LLJ ------------------------ . ;: ~ COMMENTS: u.J c( ------------------------------0:: Q i Q D REDEVELOPMENT APPROVAL REQUIRED: ________________ ...;..·'·-----...:.. t;~ D LLJ ..... ~, D LANDSCAPE PLAN COMMENTS:_-, __________________________ _ ~- ENVIRONMENTAL REQUIREQ: DATE: 1~ /\2~~ 7v/J~ ------------ ENGINEERJJi~. LEGAL DESCRIPTION VERIFIED?~ A.P.N. CHECKED?-*- p. F. F .__.___._,___ ___ PARK IN LIEU _ ... J~¼-_____ <.....:J::::::: ____ __,.._L/ __ R.O. l~ :_...,__ ______ IMPROVEMENTS: -~-"'---------------------- ~-~ -:r-_ __________________ E •. D. U: ___;~~~-___________ _ SEWER:-------------------------------------- LATERAL: _~ ____ .,......., ______ DRIVEWAY: ___________ _ ~ GRADING PERMIT: ...... A'-·--.',0..:..·'./r ___________________________ _ ..... uJ 7 ~ ~ DRAINAGE: -------------------------------- ~ D -oo ..... u.J UC:: ~SD 0::: O' OLLJ uo::: EASEMENTS: __________ ADDITIONAL COMMENTS: ______ _ / FINAL OK: ------------DATE: _________________ _ * IF THIS ITEM IS NOT CHECKED, BUIL NG DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) Ill z 0 ~ a:: C ..J (J Ill C .. a: I[ 0 (J a: Ill C ::! ::, ~ Ill z ~ z 0 ~ z Ill a.. ::E 0 (J Ill a: Ill :ii: a:: 0 :J ·ll D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In lull force and effect. Lie Class ______ _ I hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions 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 permit sub- jects the applicant to a civil penalty of not more than five hun-dred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc- ture 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 intend- ed or offered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale). D 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 im- proves 'thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). D As a homeowner I am improving my home, and the follow-ing conditions exist: 1. The work is being performed prior to sale. 2. I have lived in my home for twelve months prior to completion of this work. 3. I have not claimed this exemption during the last three years. D I am exempt under Sec. _______ , B & P.C. for this reason D I hereby affirm that 1 ha·ye a certificate of consent to self-insure, or a cerf:ificate of Workers' Compensation Insurance, or 4 "rtif1ed copy thereof (Sec 3800, Labor Code). POLICY NO. COMPANY 0 Copy ,s filed with the city. D Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit 1s for one hundred dollars (SHJO) or less) 0 I cer11fy that in the pertormance of the won<. for which this permit 1s issued, l shall not employ any person in any manner so as to become sub1ect to the Workers' Compensation Laws of California NOTICE TO APPLICANT If, after makin1 this Certi- ficate of Exemption, you should become subJect t0 the Workers' Compensation prov1s1ons of the Labor Code, you must forthwith comply with such prov1s1ons or this permit shall be deemed revoked D I hereby affirm that there 1s a conslruct1on lending agency tor the performance of the won<. for which this permit 1s issued (Sec 3097, C1v1I Code) Lender's Name ___________ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT YO ND vO NO REDEVELOPMENT AREA vO NO QTY.I PLUMBING PERMIT -ISSUE MECHANICAL PERMIT -ISSUE QTY. EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TD 4 OUTLETS EACH GAS SYSTEM 5 DR MORE EACH INSTA~ .. ALTER, REPAIR WATER PIPE INSTALL FURN. DUCTS UP TD 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TD 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE --+-----+----+------ VENT FAN SINGLE DUCT EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS -------+-------+--t---- WATER SDFTNER R EL O CAT ION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) TDTt.L MECHANICAL TOTAL PLUMBING ELECTRICAL PERMIT -ISSUE ~ QTY. I SOLAR -ISSUE NEW CONST EA AMP/SWT!BKR COLLECTORS 1 PH 3 PH STORAGE TANKS EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE 1 PH 3 PH PUMP REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL TOTAL SOLAR APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. TYPE CONST z;;TaN ZONE PERMIT NUMBER ,,v PLAN I.D. # BLDG USE COOE STANDARD PLAN# BUILDING SQ. FOOTAGE OCC LOAD FIRESPR vO NO Not Valid Unless Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERMIT 01-00-00-8221 PLAN CHEC TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOLAR 01-00-00-8226 STRONG MOTION 80-92-33-0519 'O FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8923 BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad 80-92-21-0519 Encinitas 80-92-22-0519 San Dieguito 80-92-23-0519 San Marcos 80-92-24-0519 Q) u: >, ro 0 a. E Q) I- I "'O 0 (!J c <11 () a. a. <! I -" C a: 0 Ul Ul Q) Ul Ul <! I ~ .2 ai >- f/) Ul Cl) () 0 a: <11 iii 0 §: Cl) 0 C <11 C u: C Cl) Cl) C, 0 ti Cl) a. Ul C ~ .s::: 3: • ,_ INSPECTION TYPE DATE INSPECTOR • • BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING - SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITl0NS CERT OF OCCUPANCY ISSUED ,,,,.,,_,_,. f3--11D FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR ro -FOUNDATION INSP -. STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES-CAISSONS -· ; ---·-· -----··-- .. ' - ·-- ., ....-·,,....,.,...,. -- I . l·_. -·--- w ;_ ~7" JECEIVED INTERDEPARTMENTAL INFORMATION SHEET MAR 1 o 1983 BUILDING DEPARTMENT BUILPING ADDRESS: 1-Z5B fZ.t.m..\~ g,D, A.P.N: . C.T: CJ>~i06 CARLSBAD Bulldlng Oepartment ------------------------------'-- ************************************************************************ PLANNING DEPARTMENT ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS · --------------------ENCINITAS ____ CARLSBAD _____ _ UNITS REQ'D: __________ PROVIDED: ___________ _ % COVERAGE· ALLOWED: ________ . PROVIDED=---------- PARKING SPACES REQ'D: _______ PROVIDED: __________ _ BUILDING HEIGHT REQ'D: PROVIDED: --------- FRONT SETBACK SIDE SETBACK ' REAR SETBACK ALLOWED: ______ PROV-IDED: ------INTRUSIONS: RE-DEVELOPMENT APPROVAL REQ'D: ----~---- LANDSCAPE & IRRIGATION PLAN COMMENTS:. ------------------~-- ENVIRONMENTAL PROTECTION REQ: _________________ _ OK TO ENGINEERING DEPARTMENT PUBLIC FACILITIES FEE:· · R CONNECTION: ------------------- DRIVEWAY LOCATION(S) =------------........-----_____ _ GRADING PERMIT: ------------------------EASEMENTS: _________ DRAINAGE: _______ ~----- LEGAL DESCRIPTION: __________________________ _ ADDITIONAL COMMENTS: -----------------------'-- *CHEC~ IF ENGINEERING INSPECTION REQ'D. ON FINAL: _________ _ OK TO ISSUE: ___ DATE: ____ PWI: ____ OK TO FINAL: ___ _ DATE:____ I • • • Ji********* iti * * *** * ** ** * fL'di t;~ * * *** t.JifiJ-Ji}i:£.ff¼~ *.Al.************* il.ii.:Ja:nn • IF THIS ITEM IS NOT CHECKED, BUILDING DEP <fC:'~ ,_· ru:~.' MM,-·~ ~ - FINAL INSPECTION. . : ·l . j