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Home My WebLink About2261 RUTHERFORD RD; MULTI-PERMIT FILE; CB950338; Permit'>; . B U I L D I N G P E R M I T Permit No: CB950338 Project No: A9500476 Development No: ,· 0~/0~/95 j_4: 15 n~.--...-.·--.t .. f::" >1 Job Addres.s: 2261 RUTHERFORD RD Permit Type: MECHANICAL , Parcel No: 212-061-21-00 Valuation: 0 Construction Type: NEW Suite: Lot#: Occupancy Group: Reference#: Description: REPLACE 3 FLUES PER PHILLIPS 619 \. CITY OF CARLSBAD 0981 03/08/95 0001 01 C-PRMT Status: Applied: Apr/Issue: Entered By: 471-1142 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 ISSUED 03/08/95 03/08/95 DC PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 FSI'. VAL ___________ _ i. PERMIT 'IYPE PLAN CK DEPOSIT _______ _ VAUD. BY __________ _ From Llst 1 (see back) give code of Permit-Type: -----------.,.... For Residential Projects Only: From Llst 2 (see ,back) give DATE-_ ___________ _ ~ode of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units _________________ _ 2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY Address '2. 2. b \ P-.vTHERFo R.O ~p. Buildmg or Smte No. mt o. CHECK BEIDW IF s0BMll'l'EO: [J 2 Energy Cales D 2 Structural Cales D 2 Soils Report [J 1 Addressed Envelope . I NAME (last.name first) ADDRESS . CITY . ...., . STATE ZIP CODE DAY TELEPHONE 4 . .APPUCMH]g;ONI.MCluR DAGENl'FOR CON'IMCluR LJOWNER UAG£Nl'FOR OWNER NAME (last name first) Tow» ( cov"'1T(l.Y Pi(G ADDRESS j $65 CP.Gb"I:-s"f'. If lo/ CI1Y A-tJ Mt::>.~ STATE CP,. .ZIP CODE q2~ DAY TELEPHONE bl 4 7/. / 4 '2,.- NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. OON'l'RActoll ADDru:ss /Sos CUEr:-s-r.. If 101 DAY TELEPHONE NAME (last name first) IOwN ~ Covt.1tfl..Y f>JIP... Gat,1.0l'flt1l-'W f-) IJJc, CI1Y STATE ZIP CODE $PJ,J MP.LOO$ I Cf'. STATE UC.# bf'j'51? UCENSE CIASS C-20 CI'IY BUSINESS UC. # DESIGNER NAME Oast name hrst) ADDRESS DAY TELEPHONE STATE UC.# INSURANCE COMPANY $ fAf'E; ,-UAJ 17 POUCYNO. EXPIRATION DATE /f}..-3 /-9 5 [J D [J wner-u1 er c ara on: a am exemp rom e on ac o s cense w or e o owmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor'.s Llcense 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.). 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 Llcense 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 Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE THIS s£c11oN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school. site?' DYES ONO IF ANY OF nm ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLESS nm APPUCANT ~ MET OR IS MEETING nm REQUlREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm Aill POU.UTION OONTROL DISTRICT. 9. OONS"rnocnON rmmmc AGENcY · I hereby afhrm that there 1s a construction lendmg agency for the performance' of the work for which this permit 1s issued (Sec 3097(1) GIVli Code) .. LENDER'S NAME LENDER'S ADDRESS 10. .Al{PUCA.N I CRR:11F1CMIDN I certify that I have read the apphcatJ.on and state that the above mformanon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City ofCarlsb_ad to enter upon the above mentioned property for inspection purposes. lALSO AGREE ID SAVE INDEMNJFY AND KEEP HARMLESS nm CITY OF CARISBAD AGAINSf AIL IJABILlTIES, JUDGMENTS, CDSTS AND EXPENSF.S WHICH MAY IN ANY WAY Aa:RUE AGAINSf SAID, Cl1Y IN OONSEQUENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition ot construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by pe it i ot commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or ab t tim7 after work is commenced for a period of 180 days (Section 303(d) Uniform Building_ CQde). APPUCANTS SIGNATURE ...,L....._, _ _,, Wi '111\..,.,.__ DATE: ,3='6..,.l,/'2 TE: File '- ..,..~ 02/27/96 INSPECTION HISTORY LISTING FOR PERMIT# CB950338 DATE INSPECTION TYPE INSP ACT 03/31/95 Final Mechanical RI RI ,03/31/95 Final M~chanical TP NS 03/23/95 Final Mechanical RI Rl 03/23/95 , Final Mechanical TP CA '03/22/95 i Rough/OUcts/Dampers RI RI 03/22/95 · Rough/Ducts/Dampers PY NR HIT <RETURN> TO CONTINUE ••• COMMENTS MW/DON/930-5652, RES MW/DON/RES MEET W/T&C WEEK OF 3/27 MW/DON/929-1621 1 \ \ ., · .. • '• .. February 6, 1995 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Drive Carl~bad, California 92008 Re: Replacement of Furnace Flu8s at 2261 Rutherford Road · Carlsbad, California Smith Consulting Architects Architecture and Planning I have prepared the attached package of information for submittal to the Building Department in -order to obtain a miscellaneous mechanical permit for replacement of flues. This submittal approach was previously discussed with Tim Phillips. · .Attached are the following documents: 1. CH&A Test Report of existing furnace output. 2. Letter from-Engineer of Record.indicating acceptance.of proposed flue, based upon test report information. 3. . Installation detail -Note that a 2• clearance to combustible material as required per U.L. ... _ -listing MH7076(N) (for flues unc;fer 1 a• diameter), is maintained with use of thimble at · roof. 4. Information on replacement flue. s/nce you have had a chance to review, I would appreciate a call to let me know if a permit can be i~_sued or if you require additional information. ML/sjmt cc Leo Grassilli, CALLAWAY GOLF Dan Siskowic, SEVIER SISKOWIC ENGINEERS Tim Umbarger, GOOD & ROBERTS 5355 Mira Sorrento Place • Suite 750 • San Diego, California 92121 • (619) 452-3188 • Fax(619)452-3907 ? f (/7.,77 ', ·_;" ', •}, ,, ,, I , '',.) ~-~ . ~ ;;-' .· ' ~ '.' ,,: •• ~. ,: ,1· , : . --, .> •, ·~ . .. ,,.,· ' 8989 Rio San Diego Drive, Suite 240 .San Diego, California, 92108 619.299.2161 F~x 619.299.5415 February 9, 1995 Mr. Mark Langan SMITH CONSULTING ARCHITECTS 5355 Mira Sorrento Place, Suite 750 San Diego, CA 92121 Ref: 2261 Rutherford Flues/Callaway Golf SSE: #2821 Dear Mark, ..... ,-~;:nEB. ta.1995 __ _ SEVIER SISKOWIC ENGINEERS, INC. Consultiug Mecl1auictJI Engineers I hav.e reviewed .tbe submittal for the proposed flue, namely the Van Packer HT model ceramic lined flue, and find this flue to be acceptable for this application based on the results of the actual gas furnace flue temperature tests performed by CH&A Corporation . Sincerely, SEVIER SISKOWIC ENGINEERS, INC. Jauu:J£~ Daniel E. Siskowic, P .E. President Engineer of Record #23244 DES: jl September 21, 1994 Mr. Led Grass ill i CALLOWAY GOLF 2285 Rtttherford Ro~d Carlsbad, California 92008-8815 / ~ .. . . i ' . ' Evaluation of Gas Furnace.Flu~ Temperatures Re: CH&A Project No.: 98380428;71 . ' i Dear Mt. GrassiUi: . . - Pursuan~ to your req~est CH&A Cprporatlon has performed an evaluation of the referenced gas furnace flue system. :The purpose of the evaluation was to result in a recommendation· of a safe flue sys~m. · . . Mr. l.4ry Dougherty of ,CH&A Corporation inspected the installation and installed a temperature data logger on the two operating flues for t~O adjacent furnaces. Data w~ recorded on two different dperation settings for the two furnaces. One furnace, channel i, was operated as installedt op~rating at 100% burner output during weekly startup and temperatute maintenance. The second; furnace, channel 1 was limited to 65 % burner output during iriitial startup and temper~ture m~intenance. The fire attached data display the operation temperature during the last set of tests. iNote that the data from previous test have been omitted due to a :,large amount of noise present that voi_ded the results. • • • \ I I '• • '• • • ~ The approxim:are mean ·operating remper~ture at I 00 % burner operation was 600 ° F. _and_aL65. % bumer-op-eration was 4~XJ0r: ·The temp;erature fluctuations within £he flue where measured was reduced rrorn a delta temperature of approximately 440° F. to 200° F, without affecting the output performance of the furnace.· The startup temperature at l00% was 1040° F and at 65 % was 820~ F. · · Physical ·inspection of the standard weight carbon steel flue pipes that are currently· installed. revealed : accelerated ·deterioration· due· to the operating temperature, thereby significantly compromising the expectant flue life. . .. · 333 East GJeriooks: Blvd. Gleridole. California 91207 . --~7-S911 (800) 410-3444 Fax (818) 637-5922 -r :.~ ,,,,.------, -------- Foilute1'nolysis • Forensic €n9lneerin9 • Lobbroton<:ps • Computer Graphics/Video• Information Systems '! \ ' . . . )J Gas Furnace Flue September 21, 1994- Page ~2.:. Consulting with metallurgists on the proper type of flue metal to use, CH&A Corporation does not recommend the 'high cost ceramic. flue systems available on the market and discussed at meeting with Calloway personnel. The operating temperarure illustrated on the attached charts will not have adverse affects on chrome-moly'steel or'stainless steeL The'd1rome-inoly should contain l 1/2 to 5 % chromium and 1/2 % molybdenum. The stainless steel such as 304 could be used. In conclusion, it is the opinion of CH&A Corporation that the operation of the existing furnaces within the Calloway 'Golf manufacruring plant are safe and do not create an extraordinary fire hazard. The existing flue shows accelerated deterioration that is not a hazard at this time. The proper flue material 'tO be used for the anticipated life of the furnace should be chrome-moly steel as · described above or s~inless ste~l with adequate insulation to the roof and proper physical-space separation from wooden ·b.uilding materials. CH&A Corporation Yvill be available for further clarification and assistance on this matter. Sincerely, CH&A CORPORA T,ION fl ('\ ~ ----\.··~-~ Vr--~- Raymond D. ·Arms, P.E. Consulting Engineer · Attachments -5 graphs cc: Mark Langan/Smith Consulting Architects Dan Siskowic~ P.E./Seviet Engineers RDA:cw -------· k .<t Joo%. fl n i J 'r.'I -i 1 . • .. ,.. J I ... VEU CH 1 r.:=-·-.:, 1\lf a r,--:.o; ~n 1:«egi C 1aone1 1 find c ,ann~ . ~ n ·1: · c=:J ltn l l:'.::::J CH 2~01:n r----------------------------------------~-. J . I 2025, 38 I -n&B. n l 1512,17 .1255{56 ~ .\ 998,961 . ' I' :I I • • !J rf?. 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E ~ X 0 ~ ·rirne History C1at<J ,· Channel 1 (Dr~ 900 ,----,--------- 800 700 600 ;; 400 t~ . I l I \.~ 300 200 I 100 I \ 8~'27 1 i:3-9:54 PMT I 8/29 1.2:39:54 AM I 8/28 12:3~ :54 At...1 8/30 12:39:54 NJ ,----- 8/..31 12.;39:54 Atf4 8/31 "10:2-9:~-4 PM ,. ' I.I e .,, Ti me H isto rv Data ,. CHANNEL 2 /C.O ~ 1.2 1. 1 t.O ~ 0.9 in Q) 0.8 qi L. O'I !~)~'ii~ . ·\rf1~m t> """. 0.7 t a oo 1:, Q> C ..... 0 :J_ C,) . Q.6 ...., J 0 0 \... . IV .c a.I-0.5 f·-- V I-0.4 X <( ~ 0.3 0.2 L . \ \ \ 0.1 I ' 0.0 1 l I t ' 8/27/5l4 12:39;54 Pl-A B/29/94 12:39:54 AM I 8/31/94 12:39:541AM 8/28/94 12:39:!~·t .A.M 8/30/94 12:39:54 AM 10:29:54 PM • 1 1 --" ·1 "i Ck :-1.1 i .i d r., -• • 1 ~n i-eqi Cd«nn~l KEY: CH 1 ~==:1 ID£ t ~ -. 2281.99 1--------------------------------------7 ~!)'ji:' l\O 1 I 6;tJutJ1J'J --1tt1,n. 00-.I ~-~. V l 1512,20 1 ,,;e-., 1 !~JJ1b!i l f M A 9g9,~2i . ..... ... .... .. •. 1 1 X ~s~ rl2i I 1li~ i4 f I ~ "!!I 1 Q, 1 t . ; . 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(l<..::-4,::> ., ~A f./1,.-,, .. 76.,t,,f> ~ 4 o (I t ,..,,, 4 • , .. ~.' 1 }~inii,~ 1:~ • 1i::11.,, "'"11:!o ~ X r,:-..,:1 >-:: ... le'_-_, . _;,w r ~ ' •: ' .. .. j __ ~ v--t------N~ r=,:..~ ------~ 3.dj" ~ -t=i.- ~ ~ ~. ~~ ~ ~ November 11, 1994 Mr. Pat Kelly CITY OF CARLSBAD, BUILDING DEPARTMENT 2075 Las Palmas Drive Carlsbad, California 92009 Re: Callaway Gc,lf Facility- 2261 Rutherford Road Carlsbad, California Dear Pat, Smith Consulting Architects Architecture and Planning We have received a report prepared by CH&A on temperature readings obtained from the furnaces at the above-referenced project. There have. been numerous problems associated with obtaining this information and I do apologize for tlie elapsed. time in g~tting you this information. , I • • • The results have been discussed with Callaway Golf and although the recommendation in the report is for a stainless steel flue to resist the 1,040°F maximum temperature, Callaway Golf wishes to use a ceramic lined flue for an extra safety factor. The proposed flue is manufactured by Van Packer and is Model HT, which is rated up to 1,800°F continuous and 2,000°F intermittent. I believe information was previously submitted to the Building Department on these flues, but contact me if you should require additional information. We are asking for your review of the .proposed solution before commencing with any work. Please contact me or respo once you have had a chance to review. cc tlli, CALLAWAY GOLF 'Dan Si owic, SEVIER SISKOWIC ENGINEl:RS Tim Umbarger, GOOD & ROBERTS Rick Williams, TOWN & COUNTRY 5355 Mira Sorrento Place • Suite 750 • San Diego, California 92121 • (619) 452-3188 • Fax (619) 452-3907 ,' \ September 21, 1994 Mr. Led Grassilli CALLOWAY GOL:.'F 2285 RJtherford Ro~d ... Carlsbad, California 9'2008-8815 / .... h Re: Evaluation of. Gas Furnace. Flue Temperatures qH&A Project No.: 9838942871 Dear Mt. Gra.ssilli: ' Pursuan~ to your req~est CH&A Cprporation has performed an evaluation of the referenced gas furnace flue system. :The purpose of the. evaluation was ,to result in a recomrne.ndarion· of a safe flue sys~m. : Mr. Lalfry Dougherty of .CH&A Co~oration inspected the installation and installed a temperat~re· data logger on ·tne two operating flues for t~o adjacent furnaces. Data w~ recorded on two. different ,_operation settings for the two furnaces. One furnace, channel i, was operated as it1$talled, operating at 100% burner output during weekly startup and temperathre; maintenance. The second furnace, chann~l 1 was limited to 65 % burner output during iriitial startup and temperatilre maintenance. The· fire attached data display the operation temperature during the last set of tests. Note that the data.from previous test have been omitted due to a :)arge amount of noise present that voided the results. The approximate me.an ·operating temperature at 1.00 % burner operation was 600 ° F. and ar 65 % burner operation was 49(}° F. The temperature fluctuations within Ihe flue. where measured was reduced rrom a d~lta temperature of approximately 440° F. to 200 6 F, without affecting the output performance of the furnace.· The startup temperature at 100 % was I 040 ° F and at 65 % was 820~ F. · Physical ·inspection of the standard weight carbon steel flue pipes that are currently ·installed revealed : accelerated · deterioration· due to the operating temperature, thereby significantly compromising the expectant flue life. I \. 333 East GJenooks Blvd. Glendofe. California 91207 __ --~7-5911 _(800) 410-3444 Fax (818) 637-5922 /r.,,.••·~" -:,,• -------~-,-. foi/ur~(Ano/1.,1sis • forensic €n9lneerti19 • Lc,boratories • Computer Groph1<:s/Video • lnformotion Systems \ I \ Gas Furnace Flue September 21 , -1994 Page ~2.:. - Consulting with metallurgists on the proper type of flue metal to use, CH&A Corpor~tion does not recdmmend the 'high cost .ceramic flue systems available on the market and discussed at meeting with Calloway personnel. _The operating temperarure__ illustrated on the attached charts will not have _adverse affects on chrome-moly $tee! or ·stainless" steel. The chrome-rnoly should contain 11/2 to 5 % chromium and 1/2 % molybdenum. -The stainless steel such as 304 could be used. In conclusion, it is tlie opinion of CH&A Corporation that the operation of the existing. furnaces within the Calloway 'Golf manufacturing plant are safe and do not create an extraordinary fire h~rd. The existing tiue shows accelerated deterioration that is not a hazard at this time. The proper flue material ·to be used for the anticipated life of the furnace should be chrome-moly Steel as -described above Or -stainless Steel with adequate insulation to the roof and proper physical.space separation from wooden building materials. CH&A Corporation y.,ill be· available for further clarification and assistance on this matter. SinGerely, CH&A CORPORA T~ON ~-~Dt----- Raymond D. Arms, P.E. Consulting Engineer · Attachments. -5 graphs ' cc: Mark Lanaan/Smith Consulting Architects Dan Siskowic~ P.E./Sevier Engineers RDA:cW: '" I I. • ,;....,.t.,~,::o 0:-le""-w• ·c-,. "-,,Q;i 11..,Q Ui',.11 IL.J''') m:;tt ~-it.~ IC""") f""""'-.... --1 ·~ ~ ir.~ I~ _... 111, -=-,JI ... .. .. .. '" .. .. -ll:;i1~-t 1,,t"":11 ~ :i:-,, ... , 11.f'"!:s ieo U::...,,:il 11..,·~ IQ" .. I J .. 0::, Ca.:;11 ,,..o _.., I.II"'",) Q' ~ ~ "-"""~ 11u""""iW.."""l("w..) . ~so r.-. a.t'? 'U:W.::I . c,r-. 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H,, !I:"",·· :1:.a:~~ ("• . .::~ t ' Job Address: 2261 RUTHERFORD RD Permit Type: MECH Parcel No: 2120612100 Citv of Carlsbad MECHANICAL Lot#: Status: Applied: Approved: Reference No: Issued: EXPIRED 01/19/1994 PC#: Inspect Area: Project Title: INSTALL TWO AIRBRUSH STATIONS Applicant: Owner: WING, JOHN JOHNSON DWIGHT N&DONNA D 9369JQUAIL CANYON ROAD EL CAJON, CA. 619 390-7803 00136104224 :* MECHANICAL TOTAL Fees: i $25.00 ! Additional Fees: I :1 $25.00 ; ~---~' $0.00) r--------------------------, Total Fees: , $25.00 , Balance: $0.00 I 0 ~·~57/y ~ ~uCAnoW . PLAN CHECK NO. . City of Carlsbad Building Departlllel'lt 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 • . EST. VAL;..._ ___ =-t-=-------,:-..,,...-:::~ PLANCKD ' VAIID. BY ____ .....L.-'-'"'.,_:....~-=--,-- 1. PillMII 'IYP£ DATE · A -0 Commercial D New Bulldmg O Tenant Improvement B -D Industrial a New Building D Tenant Improvement 542.t 01/19 /9,f 0{}1)1 ,)1 ()2 , C -C Residential O Apartment D Condo C Single Family Dwelling C Addition/ Alteration C Duplex O Demolition O Relocation O Mobile Home C Electrical D Plumbing C-Ff;i~iT Z5 -G:) }(Mechanical O Pool O Spa O Retaining Wall O Solar C Other ____ _ 2. PROJECT :JNF()RMATJON Address "'z.. 2.. b / FOR OFFICE USE ONLY Nearest Cross Street LEGAL DESCRIPTION Lot No. suixhv!Slon Name/Number Omt No. Phase No. CHECRB£WW IF SOBMIIIEO: D 2 Energy Cales a 2 Structural Cales 02 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPbsEp USE DESCRIPTION OF WORK SQ. FT. # OF STORIES 3. WN IACI PERSON (If dmerenf from apphcanf) n.. .,.,.. ,· I C ,, L!:) _ J NAME Jch.,,., l.v,'·--j ADDRESS o/ '3G '7 ""v-... "'-"''/"'f ''--Cf CITY ($ I C.c;..,it'1 STA~ Cit ZIP CODE 'tz_o-z_/ DAY TELEPHONE (6 I '7) .S9c, -7'ls"O ;$ 4. .APPDCA.N I O Ctr'l'RACioR )lrEN I FOR WN'l'RACIOR a OWNER a AGENT FOR OWNER · - NAME V<O l-J ,'I tel ,'..-,5 ADDRESS <'/ 3 , ~ a; vc,~ ( c~ -,,,, YPl't ,e__/ CilY IE="/ Cc.j(>"I STATE Crt ZIPCODE q-z_c>-z DAYTELEPHQNE(Cli) 3$o -7f"t!>' S. PROPmtiY OWNER ,J J 'i /" 1 11 I NAME ,,.. // Go/+ ADDRESS "22..G.I x.vr11ev-+.,,.,,01 r--a, .... .0.. ~ .....,,".,, CilY (_"'-..,, /s b,,._,J STATE C..J+ ZIP CODE 9-zr:;;ci9 DAY TELEPHONE '12. 7 -C~? 7 6. OONTRAci'oll , -7 NAME )1.:, fl1"".-u._,-ewrc'rlJ-~')$-,.ev>1 ":> ADDRESS 'J3C, o/ G( v~.,~ I C ,:;.vr.,p>rA .e_,,., CilY E f C ~ J1 " "1 STATE C, ~ ZIP CODE 'o/ Zen. I DAY TELEPHONE 3 7 ~ -7~ O ;> STATE UC.# S '-Ji Z£/ OUCENSE CIASS /'.:) -J CilY BUSINESS UC.# DESIGNER NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE LlC. # 1. WollkERS' OOMPENSA:hoN Workers' Compensation Declaration: I hereby afhrm that I have a cernhcate of consent to self-msure issued by the Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY (",:,./ ,'.(:' 'J:w ale.,,,,111 ,'..J., POUCYNO. p300?Sz3l3EXPIRATION DATE 1/ I /'7 .51"" SIGNATURE DATE s; oWNER-BUDDElt bECLARAnoJil bwner-Bmider Declaration: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg 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 Llcense 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 Llcense 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: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pe~it to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DAIB COMPLETE THIS s£cnoN FOR NON-RESIDENTIAL BUILDING PERM1Ts oNLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials.registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a YES a NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES ONO IF ANY OF TH:E ANSWERS ARE YFS, A FINAL CERTJFICAIB OF OCDJPANCY MAY NOf BE~ AFTER JULY _1, 1989 ~ TIIE APPUCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLlfllON OONTJlOL DISllUCT. 9. OONS'nlUCIIDN mNDJNG AGf!NCY - I hereby afhrm that there 1s a construct1on lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS 10 • .APPJ.lCA.NT cmt.tmcAnoN I certify that I have read the apphcauon and state that the above mformauon 1s correct. I ~gree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARLSBAD AGAINST AIL UABilJ.TIES, JUDGMENTS, CDS'fS AND EXPENSF.S WIIlCH MAY IN ANY WAY ACillUE AGAINST SAID CITY IN OONSEQUENCE OF TIIE GRANTING OF 1lllS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of rso days (Section 303(d) Uniform Building Code). APPIJCANT'S SIGNATU w _ · DATE: 1,/19,/r; 1 : File YEllOW: Applicant PINK: Finance ... B U I L D I N G P E R M I T 03/09/92 12:30 Page 1 of 1 Job Address: 2261 RU'rHERFORD Permit Type: ELECTRICAL Parcel No: 212-061-21-00 Valuation: O Construction Type: VN RD Class Code: Occupancy Group: B2 Description: REMODEL : MFGR OF ELEC FOR TEST MACHINES SPRINKLER HEADS Str: Permit No: CB920265 Project No: A9200658 Development No: Fl: Ste: 6705 03/09/92 0001 01 02 C-PRMT 20a00 Status: ISSUED Applied: 03/09/92 Apr/Issue: 03/09/92 Validated By: MH 619 438-4111 619 741-1593 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 r -~ f) PJµWIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Departlllef'lt 2075 Las Palaas Dr •• carlsbad. CA 92009 (619) 438-1161 ESf. VAL _____________ _ . . PLAN CK DEPOSIT _______ _ VAIID.BY __________ _ 1. PEllMl'l' 'IYPR DATE. ____________ _ A • D Commercial D New Bulldmg D Tenant Improvement B -D Industrial D New Building D Tenant Improvement . C -D Residential OApartment O Condo D Single Family Dwelling D Addition/ Alteration Cl Duplex O Demolition D Relocation D Mobile Home D Electrical D P!umbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other_-,-__ _ FOR OFFICE USE ONLY CHECK BEWW IF sOBMII 1£0: D 2 Energy Cales a 2 Structural Cales a 2 Soils Report D 1 Addressed Enyelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE 3: WN IACI PERSON (11 different from apphcan0 NAME ADDRESS Cl'IY. STATE ZIP CODE DAY TELEPHONE 4. APPilt!ANT NAME. UWNIMCIOR DAGEN I FOR cON'I'RACIOR ADDRESS U OWNER U AGEN I' FOR OWNER CI'IY STATE ZIP CODE DAY TELEPHONE s. PROPMiY UWNEit NAME ADDRESS CI'IY STATE ZIP CODE DAY TELEPHONE 6. ciJNTRft',;l,UR . 'J //~ c/;--c7/ll C.. NAME 1-rr:-'O Glf 6' .{'. 1 .... r.;.·1.-;7• ADDRESS s, o l)uct1J r/J-o~ · S/J"':' M!Jf?.c. 6-J STATE C~ ZIP CODE 9?... b (, 1 DAY TELEPHONE ( }Q 7lJ/-/J"9 3 STATE LIC. #L/6o//98 LICENSE CIASS C-/D CITY BUSINESS LIC. # CQ 1-81 {) -c:,ooo -J?IYO Cl'IY STATE ZIP CODE. DAY TELEPHONE STATE LIC. # 7. WORRERS' wMPRNSA:uON · Workers' COmpensat10n Declaration: 1 hereby affirm ihat 1 have a certihcate of consent to self-msure issued byihe Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exempnon: I certify that m ihe performance of ihe work for which this permit 1s issued, I shall not employ any person m any manner so·a~ to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. oWNtfu.-DODhmt DEc0JtA11oN · 6wner-Bu1ider Deciaranon: I hereby afhrm ihat I am exempt from the ·Contracto?s License Law for the foliowmg 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 co_nstruct 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 exe!Ilpt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE DATE coMPLE'IE THIS SECTION FOR NON-RESIDENTIAL BUtIDiNG PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tann.er Hazardous Substance Account Act? DYES 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? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a ~hool site? DYES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oc:nJPANCT MAY Nor BE~ AFl'Ell JULY 1, 1989 UNIJ1.s.5 TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF nm OFFICE OF EMERGENCY' SERVICFS AND TIIE AIR POLLUTION CDNTilQL DISlRICT. 9. UJNS'IR0Cl10N IENDING AGRNCY . . . I h~reby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS io. APPllcAN'l' CElt.1111CA1ioN I certify ihat I have read ihe apphcanon and·state that the above mformation 1s correct. I agree to comply with all city ordinances ana :state laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 10 SAVE INDEMNIFY AND KEEP~ TIIE Cl.TY OF CARISBAD AGAINSf ALL UABllITIF.S, JUDGMENTS, CX>STS AND EXPENSFS WHICH M{\Y IN ANY WAY A(Xl{lJE AGAINSf SAID Cl.TY IN CDNSF.QUENCE OF TIIE GRANTING OF 1lllS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such~ it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: _____ _ WI-IlTE: File YEIJ..OW: Applicant PINK: Finance .. ._.d, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920265 FOR 03/16/92 DESCRIPTION: REMODEL ELEC FOR TEST MACHINES MFGR OF SPRINKLER HEAD$ TYPE: ELEC INSPECTOR AREA MC PLANCK# CB920265 OCC GRP B2 CONSTR. TYPE VN JOB ADDRESS: 2261 RUTHERFORD RD APPLICANT: DWIGHT N. JOHNSON CONTRACTOR: PROGRESSIVE ELECTRIC OWNER:. STR: FL: STE: REMARKS: MH/AM PLEASE SPECIAL INSTRUCT: TOTAL TIME:· --RELATED PERMITS-- CD LVL DESCRIPTION 34 · EL Rough Electric 34 EL Rough ~lectric PERMIT# TYPE CO920043 COFO ----------------------------------------------------------- PHONE: 619 438-4111 PHONE: ,// //_,\ /J PHONE: 619 741-1593 7£_ INSPECTO~j/) _.- STATUS ISSUED ACT COMMENTS 1 f;&c- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS .., J ONE LINE DIAGRAM AND LOAD CALCULATIONS ' ' , ,,, For: Hunter Industries 2261 Rlltherford Carlsba_d, Ca. x.. • PNL: Pl (EXISTING) VOLTS: 277/480 AMPS: 400 PHASE: 3,4W MAIN: MLO w p C A HT p I T AR 0 R T S I L C s E p E DESCRIPTION 115658 3 100 3 TI 3 15658 3 100 3 TI 5 15658 3 100 3 TI 7 7202 3 40 3 COMPRESSOR 9 7202 3 40 3 COMPRESSOR 11 7202 3 40 3 COMPRESSOR 13 2216 3 20 3 MILL 15 2216 3 20 3 MILL 17 2216 3 20 3 MILL 19 4986 3 30 3 AC #1 21 4986 3 30 3 AC #1 23 4986 3 30 3 AC #1 25 1 20 1 SPARE 27 1 20 1 SPARE 29 1 20 1 SPARE 31 4986 3 30 3 AC #3 33 4986 3 30 3 AC #3 35 4986 3 30 3 AC #3 37 4986 3 30 3 AC #4 39 4986 3 30 3 AC #4 41 4986 3 30 3 AC #4 PHASE A WATTS PHASE B WATTS PHASE C WATTS 74964 72610 73441 TOTAL WATTS · 221015 p HT AR S I p 0 L w C A I T R T C $ . E p E DESCRIPTION 2 3324 3 20 3 LATHE 4 3324 3 20 3 LATHE 6 3324 3 20 3 LATHE 8 12050 3 60 3 HOT WATER 10 12050 3 60 3 HOT WATER 12 12050 3 60 3 HOT WATER 14 4986 3 30 3 AC #2 16 4986 3 30 3 AC #2 18 4986 3 30 3 AC #2 20 3518 1 20 1 LTS 22 3213 1 20 1 LTS 24 3518 1 20 1 LTS 26 3213 1 20 1. LTS 28 1524 1 20 1 LTS 30 2050 1 20 1 LTS 32 360 1 20 1 LTS 34 1 20 1 SPARE 36 1 20 1 SPARE 38 7479 3 60 3 TEST TANK~ AJ 4iil 40 7479 3 60 3 TEST TANK ,v~ 42 7479 3 60 3 TEST TANK el{:(' PHASE A AMPS PHASE B AMPS PHASE CAMPS 270.63 262.13 265.13 NOTE: ALL BRANCH Cl<TS. TO BE IN EMT OR METAL FLEX WITH CU CONDUCTOR ALL TEST TANKS TO HAVE SAFETY DISCONNECTS. ... C I R C 1 3 5 7 9. 11 13 15 17 19 21 23 25 27 29 31 33 35 37 we.I)) {!i ·1Kf . PNL: P2 (EXISTING) VOLTS: 120/208 AMPS: 225 PHASE: 3,4W MAIN: 225 AMP w p A HT p T AR 0 T S I. L s EP 900 1 1080 i 1260 1· 900 l 850 1 850 1 850 1 120 1 350 1 .1080 1 900 1 900 1 1080 1 1260 1 1260 1 1080 1 1260 1 1080 1 1260 1 1380 1 1380 1 E DESCRIPTION 20 1 PLUGS 20 1 PLUGS 20 1 PLUGS,KITCHEN 20 1 PLUGS 20 1 PLUGS,COMPUTOR 20 1 PLUGS,COMPUTOR 20 1 PLUGS,COMPUTOR 20 1 TIME CLOCK 20 1 REST RM. 20 1 PLUGS,OFFICE 20 1 PLU(;S,OFFICE 20 1 PLUGS,OFFICE 20 1 PLUGS,OFFICE 20 1 PLUGS,BACK RM 20 1 PLUGS,BACK RM 20 1 PLUGS,BACK RM 20 1 PLUGS,BACK RM 20 1 PLUGS,BACK RM 20 1 PLUGS,BACK RM 20 1 WINDERS(NEW) 20 l WINDERS(NEW) w p C A HT p I T AR 0 R 'i' S I L C s EP E PESCRIPTION 2 1320 3 4 1320 3 6 1320 3 8 2280 1 10 2280 1 12. 600, 1 14 1440 1 16 J.,440 1, 18 ,850 1 20 1 22 600 1 24 12;1..2 1 26 1536 1 28 1056 1 30 1644 1 32 1776 1 34 1776 1 36 236 1 38 156 1 40 4320 1 42 4320 1 20 3 TEST TANK 20 3 TEST TANK 20 3 TEST TANK 30 2 AC #6 30 2 AC #6 20 1 FAN (NEW)1 (NEW) · A) ti)) (NEW> e1<:r 20 2 WATER HEATER 20 2 WATER HEATER 20 1 DISPOSAL 20 1 SPARE 20 1 PLUG BACK RM 20 1 OFFICE LTS 20 1 OFFICE LTS 20 1 OFFICE LTS 20 1 OFFICE LTS 20 1 OFFICE LTS 20 1 OFFICE LTS 20 1 EM LTS ~ EXITS 20 1 EM LTS & EXITS 50 2 TEST TANK (NEW) 1_ /Jew 50 2 TEST TANK(NEW) j C,K:( PHASE A WATTS PHASE B WATI'S PHASE C WATTS 15658 19642 17262 , PHA:SE A AMPS PHASE B AMPS PHASE. C .AMPS 130.48 163.68 143.85 TOTAL WA'l,'TS 52562 . NOTE.: ALL BRANCH CK.TS. TO BE IN EMT OR METAL FLEX WITH CU CONDUCTOR ALL TEST TANKS TO HAVE SAFE'l.'Y DISCONNECTS. ,'f' • ,. .J ~-r ,---_J 0 -- Cl) z 0 ~ a: < ... CJ Ill C CIC I[ Z, 0 CJ a:· Ill C ... ·5 ID ii: Ill z ~ z 0 ~ z Ill 0.. :I: 0 CJ Cl) a: Ill :.:: a: 0 :I: ll I : usOAU POINT PEN,ONLY & PRESS HARD ..._. '.:.:;. • • ';:;,J 'If~~ ---.. ' • -CARLSBAD BUILDING DEPARTMENT .. A.PPL.l"ATION &-p· ERMIT .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA-AND DECLARATIONS. O I hereby l!fflrm that I-am licensed under provisions of Cnapter 9 (commencing, with Sect[or, 7000) ·of Division 3 of the !3u·s1ness and Profess.Ions Cpde, and my license is in f\lli for<Jtl q'-rM,f/ect. ,,,, _ '71.. (p Lie No.,>(· ~_;;t,9~ Class "-;;J,.. I hereby affirm .that' I afl) ·exempt from th~ Contrac- •tor's License Law for the following reason (Sec. 7031.5 Business and P,rofessions.Code, Any city, or county which re-•qlmeS a pe'rinft-to construct', alter, iinprovef:'" dern,ohsh, ·or repair ally Structure. Prior,to 1151ssiJance also requires the.ap-plicant for such .permit to file a 'signed statement that he IS 'licensed pursuant Jo the ·provisions of the .contractor's License Law (Chapfer 9 commencing' with Section 7000 of Ofv1s10ri 3 of the Business ilnd Professions Code) or that 1s ex-empt therefrom and the basis for the alleged exemption. Any violation of Seclion'7031.5 by'an applicant for a permit sub-jects the applicaoMo a civil penalty of not [llore than live hun- ared dollars ($500). I i ·' I .I l I i ,I I 'I I I I I I I I Carlsbad, California 92008-1989·. (619) 438'5525 ' • · . Ii~ . : · -~ J(;)BAdoRESS _ AV.ST.RD. NEARESTCROSS\,T. , IDATEbFAPPL1C~T10Nj · }~!~<;&_~e# vALUATlo~· ·· . PERMiTN_U~IBER :-<. J-<c., R \I.,,. \.'v,..~ '<" ~~,-c:k. \\S> --r "'' \ -e.:~\-\c.:. """"· 1 -10 -a4 I J-:, <,1 il ·ci.e . ~ -s. ~~-.. · · -. LOT 'BLOCK ··1 SUBD!,VISION I ASSESSOR PARCEL NO.: ~ ' CONTRACT.OR • ' . ·_ CONTRACTORS PHOt,/E # • ZONE ' • . _at,, 5 '. 'OWNER'SNAME ' ·, 0WNER'SPHONE A~\."'-~~-i~~\,j,,),A''t\\t.\ll>'\,\.),Vl._i 71'-C/.-'i.,9:lf ·-. ·. . . , 'f i .\. \ ~ ~~ . J • . . CONT-RACTPR'S :ot~E:S.. \. \, l ~~E~~E NO. . --~~AN·I.Oc # ' · · • .-BUILDING 'sa.,FOOTAGE_ 0WNER'SMAILINGADDRE$S. , !2-.(s.t\1 ~~~""'-~> <1-., ..... \~ \t,~ <;JI-'f g~q(!) ~ :.2. ~ \ ~ ~\r....-Q..\-~~"("'&.. R~. '-DESIGNER DESIGNER!SPHONE '. . '. > v.,;°" . n,.l --rl'W1'Q7,flt!!Cl!:'.Jr~ ;-,r,1t:·e1 DESCRIPTION pF WORK ts.. .. -~ I ' . ', .· . -~~9~" ' '"" ;· _. '.: ,IJ.i-.0~. , ..,,., ,\.(\. \\\ ('Ht.._ \ , ...... g \.:..,.-\~'\/ ~ o'ESIGNER'S ADDRESS LICENSE NO. q~~r~~~~ r:11;~1, BS '1'0~0E3 " I .... . , . . . .-D 1, as owner of the property, or my employees.with wages as their sole-comµ,ensalion, will do the work, and the struc- ture is hot intended rir offered foi sale.(Sec. 7044,'Business . and ,Professions Code: The, Contractor's Ucense Law· does not apply to ·an owner of property who builds or improves thereon and wfio does such work himself or through his own emploiees, provided ih.at sucli Improvements are not intend· 1,: ; .. F/P FLRE;L)oy, NO OCCGP: EDU ·;_ ' · STORIES '•. - ed or offered0for sale. ,If., liovlever,, the building or improve- ment,is SOid Wllhm one.yea/ Of completion,the owner'builder w10_have the ·11urden·ot proving that he did not build or im- pro_ve tor the purpose of sale). D I, as owner ot -the property, am exclusively contracting .. w1th'licensea contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner 6! prope(IY. w~o buil~s o~ im-: •1. proves thereon, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's [jcense · vp NO. , : . ,. . . .. • ... , . ; cE:Nsys TRACT ·:1 GI;' LAl',/D us·e ii\· PARK ING SP;ACE F\ES U~ll'~ · 1 ' _GRADING PERM1r'1ssu'E0 ,. ·:1 RED_EVEL:QPMEN•T ·;' TYPE ' . 'OCG LOAD Fi.RE SPA • ';"· :· ' ' ' . ' I ' ' . . . ' . ' ' AR!;!>-CONST ., •, ' ' ·.· . , · · · '. · , · : _ · y D · N 'D '· _ , · : vD NO , _ Y:O ND. · (Vat Va/id:LJill~s lrfachi(l~.Certified ' '· ·QTY: PLUMBING PERMIT. 1S$.UE \1 ~ QTY. , MECHANICAl PERMIT· ISSUE ~ -SliJMMARY/ACCOUNT NUM.BER , . . . EACH FIXTURE T_RAP ' -,INSTALt FURN. DUCTS UP T0,100,000 .BTU --. BUILDING PERMIT 001-8W·00-00-8220" ' .. _ Law). . r, __ EACH BUI.LUING SEWER , _ _ _ OVER 100,000 BT!J SIGN PERMIT. 001-810-00-00·822·1 ' D As a homeowner I am improving my home, and the follow-ing conditions ·exist: 1. Th,e_ work is being-performed prior to sale. 2. I have lived in my home for twelve. months pnor·to completion-of this work. 3. t )lave no) claimed Ws exempt,on· during the lasrthree·years. D tam exempt under Sec. -~-----, B,& P:C. for this reason-.,...-~~~-----~- ll I htby-afhrm t,hat I have a certificate of consent to self-insu . or·a certificate of Workers· Compensation In- surance. r a certified copy thereof (Sec. 3800. Labor Code} POLICY NO. COMPANY ~ Copy 1s filed with the city D Cert1f1ed copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This ,section need not be compt~ted if the permit 1s for one· hundred dollars ($100) or less) D I certify that in-the performance of the work-for which this permit is issued, I shall not employ any person in any manner so as to·become stibject to the Workers· Compen- sation Laws of Cahforma. NOTICE TO APP~ICANT: If, after making this Certificate of Exemption. you should become subject to the Workers· Compensation provisions of the Labor Cadet you must forthwfth comply with such provisions or this permit shall be d.eemed revokE!d. · D !·hereby-~ffirm that-there Is a construction lending· ~ge,nCy fo~ the performance of the work for which.this per-' mil is issue~ (Sec. 3097, Civil ~ode) Lender's Name ________ -___ _ Lender's.Address ________ ~~~-- EACH WATER HEMER AND/OR VENT · _ '$DILER/COMPRl:SSOB UP TO 3 HP _ PLAN CHECK 001·810-00-00-8806 / EACH GAS SYSTEM 1 TQ 4 OUTLETS · ~ r.._ 801 LER/CQMPRESSOR 3-15 HP TOTAL PtuMBIN_(i OQ1·81Q·00·00·8222 / t) • ! lrl) EACH GAS SYSTEMS OR MORE . . METAL FIREPLACE ELECTRICAL 001·?10·00·00·8223 • EACH INSTA~ .. ALTER, REPAIR WATER PIPE vENr FAN SING LEO UCT MEGHANICAL · 001-·81,0·00·00·82i4 ' 1 EACH VACl'.JUM BREAKE-R · MECH EXHAUST · H000/DUCTS · MOBILE~IJME 001·810-0.Q-0_0·8?25 .• -.. _ ', WATER SOFTNER RELOCATION OF EA>FURNACE/HEATER . ' MOBILEHOME PARK INSP -- EACH ROOF DRAIN (INSIDE) SOLAR 001·810·00·00·8226 . -- 'TOH,L MECHANICAL . STRONG MOTION _ 880-51.9·92·33 . TOTAL PLUMBING I / /) -, /_ _ I . FIRE SPRINKLEBS 001'810·00·00·822} - QTY. ELECTRICAL PERMIT. ISSUE , '5 -QTY. SOLAR. ISSUE ,Y -~ PUBLIC FACILITIES FEE 332·810·00·00·893.0 ' ' NEW CONST EA AMP/SWT!BKR COLLECTORS / v~ t /,A v SCHOOL FEE. DISTR.ICT -· 1 PH 3-PH STORAGE TANKS ,. / JI" L I Carlsbad : EXISTBLOG.EAAMP/SWT/BKR ROCKSTORAGE ~, .I J/ /. Encinitas -" I 1 ,PH 3 PH PUMP . , -/ San Dieguito : REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE / l San Marcos I. TEMP PO LE 200 AMPS I OVER 200 AMPS • -LICENSE IAX OOHi10-00·00·8162 ll---+--'-------------------l----.----4f---+----------~------lf--------1~----------------l---------1 I TEMP OCCUPANCY (30 DAYS) MFF 880·519·92·57 : CREDIT DEPO$IT : 'TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES.PAYABLE I / o. tri) 1r------------------------t1------,~----------..i..----..ll,------------,,i..----... ~;..::~ .... --~ I I HAVE CAREFULLY ·EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY El(piratton. E~ery per_mi_t iesued by1he Building Official ~nderthe provi~ions of this * AN OSHA PERMIT IS REQUlflED FOA EXCI\VATtONS OVEA CERTIFY Ul'IDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON, INCLUDING THE Code shall expire by limitation 8nd become 0'!!1 '"d void If Jhe bulldmg or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF I . . authorized bY such permit Is not commenced·w1thm 180 days from the date of such ·-. · -I· DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permi!, or ,t 'the building or work authorized by such .permit is suspended or STRUCTURES OVEfl 3 STORIES-IN HEIGHT , ISSUED: TO COMPLY WITH Al,.L-ClTY, COUN1'Y AND STATE LAWS GOVERNING BUILDIN~ CON· abarldoned at any time after the work 1s co.mmenced for a oeriod of 180,dav,._ • . I• STRUCTION, WHETHER SPECIFIED HEAEIN OR NOT. f ALSO AGREE TO SAVE INDEMNIFY AND L~-, · · · M APPRlr;-· .. • · I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LiABILITIES, JUDGMENTS, COSTS AND APPL: NT S SIGNATURE Jf. ~ OWNER O CONTRACTOR·~. . : q . BY DAT/E. ' /i & f, EXPENSES WHICH MAY IN ANY .WAY ACCRUE AGAINST SAIQ CITY IN CONSEQUENCE OP THE , ~-~ _ '\ ~ ~ . BY PHONE. 0 _ -, ./ o--'f-~ GRANT-ING OP THIS PERMIT. ' ' . : . ' ... . -I ' ' p' Q) u:: >, ;;; 0 n. E Q) I- I "O 0 CJ ap ·tu· C<l' () Q. Q. <( I ' ,:;;: ,c 0:: ~ 0 CJ) CJ) Q) CJ) CJ) <( I :;: . .Q Q) ;>-- oo" en Q) () 0 a: C<l -;;; 0 ~ Q) () C C<l C u:: C Q) e CJ ~ 0 u Q) n. en C 2 :c ~ [ :1· ~- TYPE DATE INSPECTOR . BUILDING ,. ' '. FOUNDATl(iN .. r.,' ,~_-:. --... __ ~ .. _\ REINFORCED Sfi;EL .. ~-. .. .. MASONRY.·.· GUNITE OR GROUT \ ' SUB FRAME D FLOOR D CE;ILING SHEATHING D ROOF D SHEAR . . 'l' F,RAIYIE · ,,.,··•:,;·,., \11 i.'. l EXTf:RIOfhl:.A.Tf:f\ t \' ~: :,ll I) INSULATION INTERIOR LATH & DRYWALL PLUMBING D SEWER AND BUCO D PL/CO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN GAS TEST D WATER,.HJ:ATER D SOLAR WATER . ELECTRICAL ., D ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC Q ELECTRIC SERVICE D TEMPORARY d BONDING. D POOL '. I ' . .·~ '-:·.., i. MECHANICAL -,...._; y. . \ t) .[;>UCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS . . VENTILATING $YSTEMS CALL FOR FINAL INSPECTION WH~N ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. .. FINAL PLUMBING . . . . . . .. ---. ELEGTRICAI,. MECHAN1CAL GAS Bl;JILDING SPECIAL CONDITIONS ; . . ' ., - FIELD INSPECTION RECORD . , . . ' . REOUIRED'SPEGIAL INSPE8TIONS INSPECTION SOILS. COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2.000 PSI PRESTRESSE:D CONCRETE POST TENSIONED CONCRETE FIELD WELDING HJGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS :-J \ '., ' \ ' :\ . ' , __ . REQ. IF I INSPECTOR'S CHECKED APPROVAL \• \ -.... DATE ,,,...._ '3' ft:, -;J-::::, I 1 ..j. l l ' . l . INSPECTOR'S NOTES l i -l 1 j t . / I } I ..I I f I I ; l l I J. r j f l • I 4 ·I l I I ' I l I i " ' I .. ~.!{ l 4 I I I t ,. i -t f 1 r •• I -t I J I J J ! i I 1 i. USE BALL POINT PEN ONLY & PRESS HAR"D ·_ . APPLJCANTTO fll,.L lfl! INFQRMAT.ION WITHlfl! SHAPED ~R!:A AND DEC~~RAJ.:IONS. )'7 ' ' f CARLSBAD BUil.Di.NG DEPARTM:ENT 'I f I I Ill z 0. j:: < a: < ... U· ·w· C ac O I· t,ereby affJrm _that l..~m licensed under o provisions of Ch\lpter 9 (commencing with 0 [ _ Sectlop. 7,000! oJ Plvlslon 3.,cif the Buslne~s · c · · ·and Prq{esslons C9de: and my license Is, in f!!: . fulrtorce and effect. z Lie. No~----Class 0 '··-' ---or , . . · • ,I hereby affirm 'that I am exemP,t from 'the Contrac•·"~-tor's License Law for the following.reason (Sec. 7031.5 Bus1ness·apd Professions Cod~· Any,cily 9r county wh,ich re-quires a permit to construct\ alter, 1mP,rove, demolish, or .... repcilr ariy structure, Prior to its iSSuance also requires the ap-plicant for such permit to Jile a signed statement that he·1s i -Carlsbad, 'Cali.fornia 92008-1989 (619) 438-5525 ,,,, .!,Joa~;~/ ·/<.~Jf~JJri!. b;T.AD, NEAAESTCROSSSL 4 %"~~SE# VAL~ATION PE.RMITNUMBEA t kOT . BLOG)$' •. ,· .. S:VBDl'\;S1QN '.. ASSESSOR PARCEL NO. . ·CONTRA~TORS PHONE 1t" ZONE , q O 7 / OWNER'S NAME ' ,. OWNER'S PHONE 5a 41 S?Sll .,· .. Ft"Jlaro '43?:...~UI OONTRA.CTOF.1-'SAODR~S •. PLANl.o.#· suitoiNGSQ,FOOTAGE APPLICATION & PERMIT licensed pursuant lo the provi,s1~ns of the 9ontraclor'_s f OWNER'S MJILING ADDRESS ~ License Law (Chapter 9 commen,cmg with Secllon 7000 ol '" , Division3of,lheBusinessandPlofessionsCode)orthatisex-·! -;J.." II .Y) _M f' ' A' ·empftherefrom ?nd'the basis forlhe-?lleg_eci ex~inption.' Aiiy' ·-· I ' d-C {'C:.l).CJ 1-b-Q"'C, /....ll' '3 ?L erc,09-,t:t-. o'ESIGNER DESIGNER'S PHONE. vIolat,on of Section .7031,5 by an apphcant·for a permit sub--· · ("' jects\he~pplicant;toativilP,enaltyofnot·morethanfJyehy~-I DESCRIPTIOfi Q~ VfORK,/ ~ J , · /J. / _,)Ci'~ •· dred dollars '($500). ;. ·:, · • , ·:~ I / .... ..!~I. J ·'--f -~ 'fl:ly,._ L)(,t.~ ,,,f2_ u~ I f'k-("')\I"'\.. · DESIGNER'S· ADQRESS · LICENSE No: ."\. 'l • ffi•· Q) ii: >, <ii 0 ·o. E Q) I- I --0 ·o 0 c ·ro u C ... 5 ~ D_ I, as.owner qi the properly, pr my employees with wages i · · ~-/ (/ • • . -<t_ ."v as their sole tompensation, will do the work,'and lhe·struc-1· . -l -<" ');> lure is not intende~·or offered for sale (Sec. 7044, Business "2,l(t.Sch-~ bl.A.. t · . . . . . . -and Professions Code: The-Contra"tor's ~icense Law.does >J .i'S --, • · F/P · fl:R ELE·V, " . ·-NO o~G~ ,-E0U--· · ---, -:,~"'1/T','j'~llllc;7~-~~--not apply to an owner of proP,erty who bu1l_ds or improves J , STORIES • .~ • · C. · Cl f'l.!ii.l 'I' •. thereon.and WhO•_dOeS~UCh,WOik·himself·or•lh!OUgh hiSpl'/_n • , ,.._t\_\) '00'01t'7':7,1'r:t', 'fOJ, 'fl:/' El~ employees,prov1dedthat.s~ch1mprovementsarenotintend-vO NO . : ~-\ • --. ,v.:iu .. ft,, -· .. .-.''. .. "l ,_i:;;, ..... ~ ed,or offered forsale .If. tiowever, the building onmprove, f · I '[ J · " · I · · · .I. "'· · · · · 4 ..._y ~,~. · ·· ·; ;,,~ 11io. _:., _,. ~ . 'la -~~. ,_. L.:: w z ~ z 0 ~ Ill z w a. :E 0 u Ill a: w ~ ac 0 ~. ment·1ssofdw1thinone•yearofcomP,letion theowner-bu1lder CENSUSTR·~c,: GPLANQY$E ,.Pl!,R.Kl"!GSPACE RES UNITS , ,GRADING PERMIT ISSUED R!cDEV_ELOPMENT TYP~. ''-' uCCL(?AD FIRESPR·· ~v~ <r1-' willhav_eth'eburdenolproving:thaihedidlnotb~lldorim--I· · . . . , . _ AREA , • _cqNS:f_ . ~ · • .:_. ""-'-• r. ~'\. w · , proveforJhepurpo~~of·sa!Q), I,_,_ .. ' --·:--.--. :.-_ . _ _ .· vD ND vD NQ .. ~~ v~· ',_\i~ NotValidUnlessMachineCertified [! I: as ow~er ol the property, ?ITT exclusiyely contracting I · __ · . · _ .. _ . . . · · · ., "9" t_'(.. ~~~I~I;:;-s;nddci~~\:~~~~~!0Jg;?u{~;hbg~f/!~fa~~:\i~~~t. Ir QTY. PLUMBIN.G PERMIT -fSSUE ·~ ~ QTY, MECHANICAL PERMIT -[SSUE ~. o, . ~:. .O'·"' ~MARY/ACCOUNT Nl:JMBER' Lal:I does no\ apply to an owner of property who builds or im-. • /' -~ ·. t prpvesthere~n_,a,ndwhoco_ntractsfor.each-projectswit~,? / EACH Fl·XT•URETRAP . · . tNSTA·LLFURN 0UCTSUPT0.100000BTU · • · -t1Ta11~~1vm --· 001'-810-00-00-8220 • . co,nl(attor(s) license pursuant to the-Contractor's License · · 1 .. · · , , ' · · · :' , · · , · · ~-~-: .. · ' · · ~aw). .. . . EACH-BUILDING SEWE-R • , OV.ER 100;000 BTU • ~\~t!MIT 001-810-00'-0Q-8221 . 1 -· ~g ~gri~n~.::::0:~:r1~m improving my home, and the follow• i EAGH WATER R EAT'ER ANO/O'R VENT ' BO I LE R/COMPRESSO R UP TO 3 HP . • '. ~l!LAN' c'HECK 001-810°00·00-8806 :1, Ihh1orkisbeingpertorn\edpnortdsale. / •• · · · .' · . . · · .. 2. 1 have ,hyed--in ,my home for twelve rnonths \ , , E-ACH GAS SYS,TEM l TO 4 OUTLETS • BOILER/COMPRESSOR·3-15 HP · • TOrAL·PlUMBING 001'-810·00'00-8222 prior to complet,on of this work. · · ' · ' • -' · · 3; las~a~~re~o:ef)tmed this exemptmn during the j EAGH GAS SYSTEM 5 QR MORE _ _ _ , · METAL FIREPLAQE , ELECTRICAL 001-810-00·00-8223 . _ _ D I am .e~empt-µnder Sec.--~~~--, B & P,C. for this, reason_. __ . ' D I hereby affirm that I have.a certificate of consent to selfJ.insure. or a certificate of Wor}<ers· Compensation In· , surance,.or a cert1hect·copy thereof (Sec. 3800, Labor Code) POtlCY NO. COMPANY D Cop;·;: flied with the city D Certified copy is hereby f~rnlshed · CERTIFICATE OF EXEMP'.f!ON FROM WORKERS' COMPENSATION INSURAl'ICE (This section need not be completed if the permit 1s for one hundred doifars ($100}.or less) D J certify that In the performance of the work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compen- satior, Laws of,Callfornia. I EACH INSTA~., ALTER, RE~AIR WATER PIPE • VENT FAN SINGLE DUCT • • MECHANrGAL OOt-810-00-00-8224 7 _7, ·---1 ' ' ' . j EACH VACUUM BREAKER ' , . MECH·~XHAUST -H000/0UCTS , MOBILEHOME · 001-810-00-0p-8225 · : WA_TER SOFTNER . RELOCATION OF EA FURNAC,E·/HEATER _ _ , • MOB{LEHOMEPARK IN~P j EACH ROOF DRAIN (INSIDE) . . /ClL,,,' r -, U. fU. SOLAR 001-810·00-00-8226 I . , l_ TOTl,L M~CHANICAL . . STRONG MOTION . 880-519-92·33 1 1 l · TOTAL PLUMBING \. . · /:;;.--FIRESPRINKLERS 001-810-00-00-8227 : QTY. ELECTRICAL PERMIT -ISSWE -~ erf' QTY. SOLAR -ISSUE • . PUBLIC FACILITIES FEE 332-810·00-00-8930 ' t : NEW CONST'EA AMP/SWT•BKR · • . . COLLECTORS -· -~CHOOL FEE 0 -DISTRICT I 1 PH 3 PH ·. ' STORAGE TANKS . . Carlsbad '-I . . I . EXISTBLOGEAAMP/SWT/BKR . ROCKSTORAGE • Encinitas I • 1 PH 3 PH • PUMP • Sa~ Dieguito l REMOOEL-'AtHR PER elRCUIT ' PLAN CHECK FEE • SanMi)fCOS .• I, TE_MP PO LE 200 AMPS . , f OVER 200 AMPS • . LICENSE TAX 001-810-00-00-8.162 : TEMP OCCUPANCY (30 OAYS) . • • MFF 880-519-92-57 :I . . . . CREDIT PEPOSIT .I .,. NOJICETO APPLICANT: lf,.after-making this Certificate of Exemption. you should be·come subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply,with suqh1Jrovisions or this permit-shaU be. ~eemed revoked. · l TOTAL E~ECTRtCAL ·-I ' TOTAL.SOLAR ' TO~AL-~EES PAYABL~ I / J . ...---. I, I Ii t HAVE ~AREFULL Y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E~ery penn,t ls~ued by the BuildingOfliclat underthe pr'?vis1onsofth1s . * A~ ~~~fiirf is ~ed,~Ri:;~~; {J(~v~TIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by llmitation 8nd become null aod void lf the building or work 5' O" DEEP ANO DEMOLITION-OR CONSTRUCTION OF I authomed by such permit Is not commenced within 180 days from the date of such -DECLARA·TIONS ARE TRUE AND CORRECT ANO I FURTHER .CERTIFY AN,D AGREE IF A PERMlT IS permit, or ,I the building or work authorized by such permit Is suspended or STRUCTIJRf;S OVER 3 STORIES IN HEIGHT r -0 I hereby affirm that tt}ere is a construction lending ffi agency for the performance of the work for which this per- ! ISSUED:_ TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON• abandoned et anv time after the work Is commenced for a oerlod of 180 davs. --1 .I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND ~' ~ APPROVED BY · · ;;;.-, - ·1:, GRANTING OFTHtS PERMIT. · · ' _../( /.__. • -_ "-,,. · _'_~~· .. .t' _'. \ I !!7-/J'J>ir,,;,)I 1 ~ !llil Is' issued (Sec. 9097, Civil Code) _ _ -"' C a: 0 ff) ff) Q) ff) ff) <( . r ;: 0 ai >' rn ff) Q)' u e a.. Cll 'iii 0 ~ Q) u C Cll C ii: £ I C Q) ~ (!} ,.__ 0 ·U Q). O.• ff) C I' ~: .c ~ ~:.: .. ,. K8" """"" n;rnr, O,CARCSS,O AGA1"5T "'"'"unes, aeOGMS,Th, cosrn "" '"'"" S T ' OWN8' 0 C0"1SACTO...,. /fJ. OA .. T - .1-EXPENSES WHICH ,MAY IN Ai'/Y WAY ACCRUE AGAINST, SAID CITY IN CONSEQUENCE OF THE . • """PHONE O . . , ~ , / J j/ fi.··< <" I . . ' . . . ;,.,-·, , ~~· ...........-~ .. I TYPE I - BUILDING l FOUNDATION ! REINFORCED STEE;L ! . I • J MASONRY ! . I GUNITE OR GROUT ' l SUB FRAME D FLOOR 0 CEIL,liNG SHEATHING D ROOF o·SHiEAR FRAM~ I EXTERIOR LA TH I INSULATION l INTERIOR LATH & DRYWALL . I l PLU.MBING : D SEWER AND BUCO 0 Pl/CO UNDERGROUND 0 WASTE OjwATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST ! D WATER HEATER D SOLAR W~TER ' ELECTRICAL 1 . D ELECTRIC UNDERGROUND o:uFFER ROUGH ELECTRIC i ' D ELECTRIC SERVICE [J TEMPQRARY D BONDING D POOL I I ' MECHANICAL ' I. d DUCT & PLEM., 0 REF. PIPiNG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS l J DATE INSPECTOR . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ...... --) i . j .J _ ... _,+...,_ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPUANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRl;SSED· CONCRETE POST TENSIONED CONCRl;TE FIELD WELDING HlGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS V REQ. IF I INSPECTOR'S CHECKED APPROVAL I DATE 85"-90_7 INSPECTOR'S .NOTES ' .:..:'!t~ _,:.,..,.:..., .. :1:.~, n.<·· ,;. ~- , . "' 1.: .,;:-. ·\ r~" .1.· ~~____¥~ , .. '-:\~J~ ~ l/(1~. . '"1-.~~~ "" -..!' F, .I. ' ... -1'·.~ ..,, i~--•. • .J j~ ~ • -.{_) .... ~ ... - ··-;,P :\-[,r l'. 1•=----.:_' !_______.!'._ -4'!,!l~ +~,1--.... ~ t.::-' 1 - . .,., ',,. ' ') -1 I -· ... , .. ~ i 1 ,; r~i t 'I ' ,. I r· ui ~-t ,c ..J ()' ·w 0, ~ hereby ·a{flJm that.i ani 'Ileen.sod under. . . i lslons pf Ch!'pter 9. •(commencing with· tlon, 7000) of Division .. 3 of •the Business. , Proiesslons Code, and ipy llceflse Is In . full force ~nd ,f!ftect. ______ Class . I ~eteby.'.lllirm that I am exempt· from 'the Contrac--tor's ~icense· Law, for the following ,reason (~ec: ·7031.5 Business·and·Professions Code: ·Any city or county which re-quires a· permi, to construct, alter, improve, demolish, or _ rePqir ariy ~,tfuqtufe, J)d6r to its issll~nce alsq reqi.J1res·ttle aP-pllcant·lorciuch permit to Iii~ a _s,~ned statement-that he Is licensed -pursuant ,to, ,the provisions of the Contractor"s Licensii'LaiY (Chapter'9,iomm~n.i:in( ' ·" Oi\lisi6h 3 of the BusinesS and Profess :I, -·empt.'therefrom an~,the_'basi~ lor.th~, .• . . . v,olat,on ol·Sect1on 7031.5'bY an.applicant-'lor a·perm,t sub· feFts \he·appllca.nt to a ·civit penalty·ol ~bt inrire.tpan nv,enun· dred dollars ($509). . ; : . . O I, as. own~r of.the property, or-my em~loyees with wages . ffi·, · a.-thel,sole coinpensat,on,:w,11 do the work· and Ifie struc· . ,c; ; _· tyre is lio_tlintende~ qr pf[ei~d lor sale _(Sec. 7044, Business ..J. . .and -Professions· Code, The Contractor's License Law does .5 : , ,Qot.apply,to·.an.,owner, Qf. pr~perty wh~·byUdsor,improves Ill ·, thereon and-who does·such work,h1mself.or:through hiS own ii: employees, :jirovii!eiJ. that such'improveme/lts ari>noi intend· .w ed,oi,p!lered fo'i-.sale. ·n, however, the-building or improve·· ,Z ·ment is·sold within•o"ne·year:·of com·pletiori, the owner-builder ~ will, have the burden,01· proving, that-he dId, noi-build' or im· q ... PJ~v~,/9r tbu~rppse 01, sale)'. · · 0. I, as.owner of th·, property, am excfusively_ contracting,-, ·\Yi\h ticepsed·contractors to construct th~ proj~ct (Sec. 7044;. · ,Buslness·and Prolessions Code: The Cont(actor's License Law does'.noi a·pply.to an.owne[of.pr<ipe'rty who builds or im-,prov~s th~reop_, and: wfi~,con;racts. fqr·each project, .. V{Ith a. · · :I . : . ;E.~~f~ctot~ ''.':~n'.': p-u~~uant. to the _Con'.racto~·s _ :'~ens: • O As atiomeowneel·am',mprovmg,my home, and the follow· 1. hig-.ccind1timis exist7 , , , , , , · -! , < · • 1 1. The·work is' being perforl1)ed prior to-sale.' . 2., -I,have -lived in. !llY· ,home .. for twelve •months .prior to complet19n .of t~is'Y/of~. • . z 81: < V, z w IL :IE· 0 () U>•·" ic ~ a: 0 3::,. 3. I have not claimed lh,s exemption during the ·Iast'three years, • • · ,· . · · · D I am exempt under Sec.~-~~---, B&P.C. , 0f9r this-reaio~ ... , · I!] I hereby-~f11rrrl.lharl-ha./e a:cert1hcate of oonseot to self~msure·, or ~ c~rt1f1c~,te of· ·worK"ers· Cpmper:isat1on Insurance, qr,a.cert1fled copy thereof (Sec. 3(!00. Labor·Cooe). POLIGHIO:' COMPANY.. D Copy ;s filed with 't D Certified copy 1s her1 ·.1 •• GERTlflCATl OF El<EMPT.ION FROM .· WORKERS' COMPENS,Hl0N lNSURANyE , .(This §,e~t1on-need not be completed 11 the permit , !S for one hundred dolla!s. (S100) or less) D I ·certify that m the performance of the work for wh1ch this perrmt JS 1sSued, J shall not e_mploy any , person-m any manner so as to become sub1ect to t~e Worke~s: ~mp:nsat1~~ ,Laws of Callforn1a NOTIGE"TO·APPLICANT lf;.atter makm;i thIs Cert,, f1cate of·~xempt1ori, YOl-:'·Shoutd betome sub1ect t0 the·Wof1,ters· Compensation p·rov1s1ons of the Labor eooe, you must forthw1~ti comply ~1th such prbv1s1ohs bqhlS per.rrut shalf be. deemed revoked . ,-. ' : USE B~LL PQINT PEN ON.LY & PRESS HARD APPLl(2.ANT TO-FILL IN'!NFO~MATION WITHIN S,HADED AREA AND DECLARATIONS . . APPLICI\ TION. &t PER'1,11T : . . i CARLSBAD ·BUILDING. DEPARTMENT· I , ' : L 120Q Elr'n, Carli;;b?tq, Galifbrryia 920Q8-1989 (619)_438-5525. . . . . .. . . . . . . . .• -W : Ji;;s;..., ·, ifv{.(.i~r;oit. c/V.ST.RJ NEARES:R~~~ • r;::~;:;;T;NI· .• BUSl~j;ttENSE ~-: ' ~~~UA::~N-' -1 l 'PE~MITNUMBER i' j LOT le.L.0(1K· .. :. _ ,~u~orv'.sloN 1· ASSESSOR'PARCELNO. ,. " :. /coN'TRAC~OR · ~-. CONTRACTOR~~Ht?NEN ____ Z~N,~--.... l> . 0/,Y . g_ I . ' .. , ; ' . ' . 'C" . /tJ J ..L!!:'_f. 'c. IIJL"• i "'j t:!.O E OWNER'S NAME ·, . i. :;,;,,..· f ,. OWNER'i;.f_!-IONE _11111,,)0C,~fA,.--c/ , /C . I . , T-¥'--,-,7. . . " ~ _ ... ·., _. ... ,~ I , • ' •,, • /. ,' 1 !', • ·-· CONT·RACTOR'S A~DDRESS " LICENSE NO, P!,.AN i.o. # BLOC,, USE CODE I . I ' I , ' I I fl OA 1 tiwN1:R'$ r.1~-, u N<i° ;,;~otrnis · ' .. -: II ;J././ !S'o · ,ltJJ~,-.,-'3$</ ,;J.'!> G, · · -· · · '. · I ~ i . . • .\ .. • DESIGNER • . · · • LICENSE# · STANDARD PJ-AN # · "eu1t:D1NG so. FOOTAGE I § ,-, ., ·' -~ - I ·DESCRtPT,ION'OF WORK . ' · .f.. . ""1""'.! -_/' . ' .. -. ...,_JJ!fwtf: j · , • , ·'L / ~ ;:,tc. , ,!::!I,-,....,.___ A,/ P7"c/C_ , DESIGNER'S AD,;RESS, I • .. . . / . I . . . .. .. OESlGNER'S PHONE I . . . . F/P Ft.R EL,EV.' . NO I occ GP I EDU, -1 c Cll () Q_ ,Q_ <! , .' STORIES . ! . .. . . YO NO __ ·. .. • : - : .. qNSL/ST.FlA;;r,j GP·L'AN.Dl:JSE."J~PAF.!Kil'.t'GSPAc·e· "i\ESUNITS .1 · GAADING·PERMITISSUED 1·13ei:iE~EL~~ME~T. . TYPE·.· .Q'cCLOAD':j,FJREi~R . 'f O/g& lci"-6013 q~~r§~ fl ::1qia~l .e ti •-I th'.! SO~OO· M~on . . · _ . : ... A Fl EA . .--• , ~ONST -" , --, · \. , · ··, · Not Valid Unless Machine Certified I , .. -.. -· · ',, · ·· --YO: NO . ." vO NO · · · . · · vD N[i I . . .. ---. . . -. . . . . . . . . . . -. ., ·: a:tv.r; PLUM_B1~.G~Ei{MiT-1·~~uE:. _:t,7'3>~·'·a:Y.·: M~CHAN;~M_P~~_MLt:fSSUE · 1 .7d);.I, .: $U~~~R~!A~C<?LJN:f_N~MBER ·-· -_· t•- ~AC8 Fl)(TURE T:RAP . . : :· -.' -. -. • . iNSTALL·F!JRN~-.[)tJCTS' UP TQ 100.,Q09 .. lff;IJ _,,,, _,,,_ -----·~ ---·· -··· . (EA.~H BUILOING"~EW.ER". • • :: • :. : _ • · . _ _ OV.ER 100,000 BIU __ J 1:;11.·CH WATER H~-~l'ER 11:ND/OR ·\IHNT: J_ . ' BOILER·/_OOMP.fl~_SSOR l)PT-03 H~· Jf -r' ! tlUICUIN\:i·rtttMI r 01-0Q-00-8220. •1 • SIGN_.P.ERMIT. . . .. 01-00·0Q-822,l • ,,_ -- PLAN·CRECK . 01-00-0~·8806 '· ·!, EAG,H GAS Sli'~ll,.Mi] li0:4 O!JHETS· •! 1:f\CJ:t.G.A,SSY.ST.EM 5 O,R. MORE 8\)'I ~E"R/GOMPRESSbfi'f J'~ HP. ~,-.. TOTAt'PLUMBING ' 01-00-00-8222 3e,~--.,. METAL FIREPlACE . .ELECTRICAL l 1: I' EACH'INSTAl .. -AlT,ER •. REPAIR WATER PIPE VENT FAr,l SINGLE OUCr _. Ef'.CH VACljUM B~EAKER 'MECfj_ EXHAUST -Hooq,oucTS MECH/\NICAL MOBILEHOME ·I WATf;R S!'.)FTNER II vvc~" . . . I -~--.. -----~·-"' . !' I EACH ROOF DRAIN (INSIDE)_· TOTl<L MECHANICAL I ' . I I . I . ·----- RHOCATjoN _CJFEAFU RNili/HEATE R ·-------· ,_,., MORIIFHOM~ PARK JNSP <>n1.io 1 . I ~-TOTAL-PU!MBING I. :~Y. _s-.·O,!!-ELECTRICAL PERMIT -ISSlJE QTY. SOLAR -_ISSUE ;:,It1UN\:i MUIIUN FIRE·SPRINXI FRS PUBLIC FACILITIES-FEE BRIDGE FEE I . NEW CONST EA AMP/SWT !BKR COLLECTORS ., _ __ .. ___ . __ I 1 PH 3 PH . . STORAGE TANKS . " . . <::r.HOOI FFF • DISTRICT Carlsba(l ! EXIST BLOG EA AMPiSWT/BKR • . · • ROCK STORAGE ,. " " I 1 PH 3 PH _ . ·PUMP ·; __ ., _,_,_,._ I ·REMOOEUALTER· PERCIRCUIT --··--.----PLAN CHECK FEE Encinitas ~~n niPnllitn San Marcos 01-00-00·8223 ' . 01-00-00··8224 WOO·OQ-8225. 01-00-QQ-!.!226 80"92-33-0519 ' .. 01-00-00-8227 32-00·00-893) 80·,92-21-0519 · 80·92·22°0519 80·92-23-0519 80-92-24·0519 !. TEMP PO LE 200 AMPS . . · ' • . , . • _ • .. :~ 0\/EB 200 AMPS. , . . . ./°~ , . . . LICENSE TAX 01-00-0U-8162 ! TEMP OCCUPANCY (30 DAYS) . _2!. '.iO ~ • MFF"S0-92-57-0519 · · · • · · · :1 _,, • I .'-". .9'1·' Qc!k 0 ·rn rJ) Q) rJ) rJ) <! .I. :; 0 'a5·, >- CJ) fil 0 0 a: Cll 1il Q ,@' d, () C: Cll C: u:: s c::· Q) ~ (!) 1 / T~-:r /4e-fe'~ --~~ 1/..v~ . . . cREpIrpEf:>0sIr • _ -1 o : TOTALl;LE:TRIC 0 AL . j3'"(1"0~..-'. TOTAL~~LAR. .. T-O;rALFEE$~AY':_BLE_ I ... ' ~~ .I!: ... ,~·J l --. . . . . . I ' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLl~ATION 'AN~ PERMIT'' AND 00 HEREBY . Expiration. E~ery-permi_t is~ued by the Building Official f.!nderth~ pr'?vi~ionsbfthis * AN ~~A PERM.IT IS REQUIRED FOR EXCAVATIONS OVER E- 0 1 hereby affirm that· !here ,s a const'"c11on I CERTIFY UNDER PENALTY OF PERJURY THAt ALL INFORMATION HEREON lNCLUD!NG THE Code shall exptre by limtt~t,on and become "'!fl an9 vmd. 1f th0 building or work 5' O" DEEP AND DEMOLITION. OR CONSTRUCTION OF ' • I a: lending agency for the perto,.mance of the work for . . . authorized by such permit ,s not commenced within 180 days from the date of such -, ~ w~•ch thI~ per"),t ,s Issued (Sec 3097, 8iv1I CodeJ I DECLARATJONS ARE Tl'\UE ANO CORRECT AND l FURTHER CERTIFY AND AGREE lF A PERMIT IS permit. or ~ilding or work authorized by such permit 15 suspended or STRUCTUR£S OVER 3 STORIES IN HEIGHT ~ z •· • _ • I· ISSUED: TO COMPLY WITH ALL CITY, COUNTY AN[) STATE LAWS GOVERNING BUILDING CON· aban·donJiit ·adtime after the work 1s commenced for a-oeriod of 180·daos. . .. .c w . tender's Name . _ , STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND · , · n,:; APPROVED' BY . . . . ·s: ...J • . ,__....,_'--"-~~--~~-,! KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITl<=S JUDGMENTS· COSTS AND A~PLJ N NAT J: Jf, OWNER O CONTRACTOR@" . , DA'TE;/4 0· · . Le!TldersAddress · , • Li ' , ' • /0 ~ 'f/ I EXPENSES WHICH -MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , · ~ BY PHONE O . --~ . --. . . ·. . -:z,.. /i . · . ] . __ ~ _ ,. GRANTING·OFTHIS PERMIT. ,.; .,. ~, -. _ .• , r. . ·) _' ... (:,, '\ ),..: . ··· · , ·j ·· · _ . I . --.,.. V '" . "' l ... ,. . ,.... ~ TYPE i. DATE INSPECTOR BUILDING I -~ ~, '• FOUNDATION I REINFORCED STE~L I '. MASONRY l GUNITg OR GRO.UT_ I ' FLOOR.& CEILING SUB FRAME r ' ' . '•:(. ' .... _;, .• . - SHEATHING D ROOF D SHEAR FRAME .I EXTERIOR LATH l I INSULATION I INTERIOR LATH & bRYWALL I ' i P_i..UP.JIBING i > SEWER AND BL/CO: D]PL/CO i UNDERGROUND [) WASTE D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN l ' GAS TEST i D WATER HEATER D SOLAR WAtER 1 ELECTRICAL I D ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC .. I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I i .. MECHANICAL I D DUQT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS i I i ~r-.... -...... , ~...-!. .µ \. f., CALL FOR FINAL INSPECTION WHEN ALL APPR~PRIATE ITEMS ABOVE HAVE1BEEN APPROVE FIE;LD INSPECTION RECORD ·" ,,_, ~~ ' \ :-,.:,:;,:-,-<..Jl._,__ -:'°:'~'-~-,\, ___ . ..,:--:::, \\ --. \: " ._ .. .' REQUIRED $PECIAL INSPECTIONS , 1NS~ECT10N-- SOILS CO.,MPLIANG_E" --~ - PRIOR TO"·· FOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSEQ CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIG~ STRENGtt-J ~ BOLTS SPECIAL MASONRY PILES CAJSSONS <. . ·:~ ,. REQ. IF CHECKED ~. ·~? k~ ·.~ '.'· \ "' \ .\ 1-_. (""' • ·• ~~-'\ ·~ '1. -.,1J.,. ... • INSPECTOR'S APPROVAL .,,.. •.• ;,:i, . ~ i-, DATE -~'/,.~~Jtf ~ ...... _ INSPECTOR'S NOTES ---.... n ":. FINAL 1 __ • ----· ... ---_ .. , .-\. .-. PLUMBING 1 \:',": ·." ·~ ~ .••• ""· ---i --.-'\ \\. \ >~, -.:. "¥"' .• \ ELECTRICAL 1 , -,:;., ·.,,. t t. $ •:··, ---\ -; \ -., \ .\s, r ..r-·... \ l \ '(. -...... ... .. ..... ,l'~.~"'f -~ :r-\ "..::. ~ ·-----.... ·~..: -~ MECHANICAL l --. ' . GAS I ----~-'·'· ~, --~~-__ \ .... ~ ....... ~ ~\ \ .• : I ~ ;,:,. -:;) ·--t--•} 1 • .,'i, '~.t • 4 ... •. ._. BUILDING \., ~:·. ,: .. ,... \J ' ..J . ..! SPECIAL CONDITIONS