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Home My WebLink About2281 LAS PALMAS DR; MULTI-PERMIT FILE; CB960233; PermitCitv.of Carlsbad PERMIT APPUCATION City of CarLsbad BuiLding Department 2075 Las Patmes Dr., CarLsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: PLAN CHECK NO. C ( 3 Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. Nearest Cross Street M 2- 2 I L-S. Pqi' C1 e M LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: - 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK 54 5e—i. vi.y ,pj OF STORIES # OF BEDROOMS # OF BATHROOMS A. 4-1014 MCI PERSON kit rom applicant) NAME (last name fitt) ADDRESS CI1U L 4'' STATE ZIP CODE - DAY TELEPHONE 2 3 3 L7173 APPLICANT D CONTRA(JIUR U AGENT FOR CONTRACTOR DOWNER U AGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) ADDRESS CITY I STATE ZIP CODE DAY TELEPHONE CONTRACTOR NAME (last name first) ADDRESS Cf 'TATE ZIP C Elo/ DAY TELEPHONE 231-3 ( 7$ STATE UC. # 2 '/chc( LICENSE CLASS C2j t.n0 CITY BUSINESS UC. # (.4 S 70 DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director ot Industrial 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, Lob. C). 037 INSURANCE COMPANY Li h-e,' , ,A/].,L( POLiCY NO.1411)—/1J- EXPIRATION DATE .1/) / tj L.clulicdLe UL r.xeuipuon: I ceriity 1EL1 in me periormance or mrie worK ror wnicn mis permit is issuea, i snail not empioy any person so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DEC3ARA1TON Owner-Builder Declaration: I hereby affirm that I am exempt trom the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: (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 toa civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitymanagement district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU11ON CONTROL DISTRICT. ereDy affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN ICEIfI1FICAflON I certify that I have read the application and state that the above information is correct. I agree 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARJSBAI) AGAINST All UABIUTIES, JUDGMENTS, COSTS - AND EXPENSES WHICH MAY IN ANY WAY A(XRUE AGAINST SAID CI1Y IN CX)NSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE DATE: _ City C arlsbad :Tfl r1i .1 .1114i iD1 lU DATE 01/02/97 PLAN CHECK EXPIRATION PC# CB960233 DATE 02/07/97 TO:. SDA SECURITY SYSTEM,: ADDRESS: 2281 LAS PALMAS DR 2054 STATE ST .1 V SAN DIEGO, CA 92101 You have applied to have your plans checked on the date shown above, and you have-not obtainedyour building permit. V The provisions of Section 304(d) of the Uniform Building Code state. "Section 304(d) Expiration of Plan Review Applications for which no permit is issued V within one year following the date of application shall expire by limitation, and plans and other data submitted for review * may-.thereafter-be ayV thereafter be returned to the applicant V V or destroyed by the Building Official In order to renew action on an application after expiration, the applicant shall resubmit V plans,and payá new plan review fee." V V Please check the appropriate box indicating your choice V and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED I WILL PICK UP PLANS WITHIN 10 DAYS PROJECT ABANDONED PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619),438-1161 extension 4331 RAENETTE ABBEY Building Department 2075 Las Palmas Dr. • Carlsbad CA 92009-1576• (619) 438-1161 • FAX (619) 438-0894 1 .. - . I . B U I L DING -PER MIT Permit No.CB951887 12/26/95 14:21 • - Project No: A9502749 Page 1 of 1 • Development No: Job Address: 2281 LAS PALMAS DR. 'Suite.: Permit Type: PLUMBING '. Parcel No: 213-050-29-00 . .Lot#: 0 . Valuation: , -• Construction Type: VN OccupancyGroup: . . . Reference#: Status: ISSUED Descripti'n: ADD SINK Applied: 12/26/95 Apr/Issue: 12/26/95 Entered By: MDP Appl/Ownr : CSI CONTRACTORS . 619471-9388 135 VALLECITIOS DE ORO #A .' SAN MARCOS, CA. 92069 *** .Fes Required ** Feesllected & Credits -• Fees: ' 340 p Adjustments: f.oJza!l/&edit1s: Total Fees: • "a ment . 00. • . . .Ba.aneue\ 34.00 Fe& description - Unit'\/Unt Ext fee Dat's 7 20.00 Y INCORPORATED 1952 . - 89 1/26 '9 0001 03 0' , 34 00 I -. - , • r 4 4 0 ~ . . . • - I 4 -.•I• .- -' .-• --: 'J FINALAPPROVA - - * -• ' NSPL..DAT . . '.. IC $LEARANCE_ 4 •• -.- - •1 0- - . • •: CITY OF CARLSBAD . - 20754,as Paithas Dr., Carlsbad, CA 92009 (619)438-1161 I . - - ••0 ,,.I - 0 .. • • •- - -I 0• I -. 4 - • 0 - l• 4 PERMIT APPLICATION "--- City of Carlsbad Building Departnt S 2075 Las Palmas Or., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. EST. VAL PLAN CIt DEPOSiT_______________ VALID. BY From List 1 (see back) give, code of Permit-Type: --------------------------------------------------------- For Residential Prolects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECF INFORMATION FOR OFFICE USE ONLY Address ' V—L AS (J(Z. Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITIED: 02 Energy Calcs 02 Structural Cabs 02 Soils Report Dl Addressed Envelope OF WORK C 1) Ajh) L4 LA 5 1,1j pc_ SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS J. WNTALI PLHJN (ii different from applicant) NAME (last name first) C.. T ADDRESS CITY ,. STATE ZIP CODE DAY TELEPHONE APPLICANT JCONTRACTOR U AGENT FOR CONflAC1UR DOWNER U AGENT FOR OWNER NAME (last name first) Cc ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CX)NTRAC'IDR NAME (last name first) ADDRESS t VctUACCRbS,t Or-o A CITY V1 1J'-Q55 STATE Ct- ZIP CODE Z-6 DAY TELEPHONE ') 38Y STATE LIC. # LICENSE CLASS. (3 CITY BUSINESS LIC. # DESIGNER NAME Uast name first) ADDRESS CITY > STATE ZIP CODE DAY TELEPHONE STATE tiC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial 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. Q. - INSURANCE COMPANY 5t POLICY NO. t4 k??3. EXPIRATION DATE 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 Lows of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: 0 1, 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 Low 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.). o 1, 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 Low 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 Low). 0 1 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 License Low (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 [$5001). SIGNATURE DATE - COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13- 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 school site? DYES 'DNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFrER JULY 1 1989 UNLESS THE APPLICANT HAS WIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDN111OL DlSTIuCr. WNSTRUCI1ON LENDING AGENCY LENDER'S NAME LENDER'S ADD] I certify that I have read the application and state that the above information is correct. I agree 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 THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACXRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under/tie provisions of this Code shall expire by limitation and become null and void if the building or work authorized by suc rm isi nbimencedv\thin 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandqned at a y time after the Avj! commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE c-ff \ _.. ,- DATE: - /V 3O BU I L D IN G PE R I T - Permit No: CB930779 11/03/93 13:54 .Proj'ect No: A9301129 Page 1 of 1 - - - Development No: . Job Address: .2281 LAS PALMAS DR' Prmit Type:-MECHANICAL ' ' . • z -I - - Parcel No: 213-050-29-00 - Lct# 45,4 11/03/93 0001 01 (Y' Valuation: 17500 , . .'• .' C-PRMT -'. 312-00 'construction Type:'NEW4 Occupancy Group Reference# Status ISSUED Description: ADD AUTOMATIC-SOLDERING . • - - Applied: 08/0.9/93 .:MACHINE .•.•-, . ..-- . . -c • :Apr/I ;ue:, 11/03/93 . . - . . . .. • • Entered By: TP Appl/Ownr : RICCO, RICH. . • 61:9-431-5050-105 2281 LAS PALNASDR . . '• . • .. . . . . ;CARLSBAD CA .92009 . . . . . .. - - 4 .. 4 - .- 4. . " •• . .- _1_rre ----* * - oeted&rethts' ------p Fees: • 12.0 . . - -, - . - Adjustments':-.- . •. .4. . .0. : . Ttl rettS • .00 Total Fees,:,*- .3,200/ T i yes.: 00 ,Bala ic tre: , 312.00 Fee description / e )n. t Ext fee Data .4 . -------------------- - - a ----- ------------- . MECHANICALT:TA rt'i,c&L PC/BP . . INCORPORATED • 1952 1 42 4 4 - V - 4 -' P. . -.4 • -4 . - 4.. .4 4. -4 4. - i4/ck .. . ... - . &,4tt •.• . . -'4.. . '4 \• .' - • . - 4. - 4 - - 4- . . . • . :- .4 . • - . V • . CITY OF CARLSBSS 2075 Ls Palmas Dr..Carlsbad, CA 92009 (619) 438-1161 • . .4 . •.• 4. 4 I • 4. -4 I - . PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 S I. PERMIT TYPE A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ PLAN CHECK NO. 9?-7'7 7 EST. VAL PL—.1tJ PLAN CK DEPOSIT_______________ VALID. BY DATE 2. PROJECT INFORMATION J FOR OFFICE USE ONLY ,_~!ddrT \ '1Nçj4 Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope DESCRIPTION W SQ. FE # OF STORIES J. WN1 NAME A1P I tor Irom applicant) ADDRESS?'ë tg c CITY TATE\ ZIP CODE4oq DAY TELEPHONE NAMEj\\)t$'.3('\ - ADDRESS -. CITY() STATE C.k ZIP CODE j)(Q"' DAY TELEPHONE -714 - b. tUftUJ I NAME ADDRESS-\ CITY ) STATE ZICODE4 DAY TELEPHONE LJLJN I FEAUJUR NAME ADDRESS CITY U W STATE ZIP CODE DAY TELEPHONE STATE UC. # LICENSE CLASS CITY BUSINESS UC. # L)ESI(iNEK NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMPENSAHON Workers' Compensation Declaration: I hereby affirm that I have a certilicate 01 consent to sell-insure issued by the Director of Industrial 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, Lob. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 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). 1 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 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 [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING TI EE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. WNSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certily that i nave read the application and state that the above information is correct. I agree 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 THE CITY OF CARLSBAD AGAINST ALL UABIIIflES JUDGMENTS, CX)STS AND EXPENSES WHICH MAY IN ANY WAY A(X3WE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TillS PERMIT. OSHA: An OSHA permit is required for excavations over 5,0' deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNA7jURE A i/ DATE: ' TO: RICCO,' RICH 2281 LAS PALMAS DR PLEASE CALL FOR AN INSPECTION CARLSBAD CA 92009 IF WORK IS COMPLETE RE BUILDING PERMIT EXPIRATION ADDRESS 2281 LAS PALMAS DR Our records indicate that your building permit will expire by limitation of time on 11/03/94 The provisions of UBC, Section 303(d) 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 or work authorized by such permit is not commenced within one calendar year from the date of such permit, or if the building Or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months. or if the building or work authorized by such permit exceeds three calendar years from the issuance date of 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 year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained 1. - PERMITS WHERE WORK HAS. NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of' issuance, a renewal permit may be obtained provided No changes have been made or will be made in the original plans and specifications for such work. That the expiration has not exceeded three years from the original issuance date. (C). That the same edition of the, model codes is in effect as used in the initial plan check. (D) That a fee equal to one-half the amount required for a new permit be paid The renewal permit shall expire three calendar years from the date of initial permit issuance 2075 Las Palmas Drive • Carlsbad California 92009-1576 • (619) 438-1161 --I - - _ USE BALL POINT PEN ONLY & PRESS HARD * -••--.•• * • • ':- ' • :.- - • •-•• '- - "•' ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA'AND DECLARATIONS, I hereby affirm that lam licensed under - provisions of Chapter 9 (commencing with • Section 7000) of Division '3 of the Business - 'and Professions Code, and my license is in jL full iico.NI fo( 4 If efferi-7- ?IIClaSs !2O -' I hereby affirm that I am exempt from the. Con- tractor's License Law for the following-reason. (Sec. A 1031 f Business and Professions Code: Any city or county which requires a permit, to.Construc't, * sitar, improve, demolish, ,or repair.any structure, prior to its issuance also requires the applicant for such permit to tile a signed statement that he, is , - - licensed pursuant to the provisions of the Con.- i" tractor's License Law (Chapter 9 commencing with - . Section 7000 01 Division 3 of the Business and Pro-iessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects' .1 ..,.f tne applicant to a civil penalty of not more than five hundred dollars ($500). I,. as owner 01 the property, or my employees • 5 with wagas their sole compensation, will do the work,and the structure i,snol'intendedor offered for i' - sale (Sec. 7044, Business-and- Professions Code: w The Contractor's License Law does not apply to an Z owner of property who builds or improves thereon and who does such work himself or through his own O emptoyees: provided that such improvements are not intended or ottered.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). . , . , '•' Il) . Z .' Q 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 01 property who builds or improves • thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's • License Law),- 0 ' 0tam exempt under Sec. ;B.&P.C. ' for this reason - * • 0 I hereby affirm that I have a certificate 01 consent , to' sell-insure," or a certificate of Workers' 1, ,, Compensation tnsurance, or a certified copy thereof - • ; (Sec. 3800, Labor Code).t 'POLICY NO. COMPANY D Copy is filed with thè'city.1.r,,. ' - - ' 0,ertitied copy, is hereby furnished. *-- Si- 0 WORK CERTIFICATE OF EXEMPTION FROM ' ' ' "RS* COMPENSATION INSURANCE (This section need not be completed if the permit - - is for one hundred dollars ($100) or less)UJI le Cr. - 0 I certify that irk the performancé of the work toi O , 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.- , v NOTICE TO APPLICANT: If, alter making this Certi- - licate of Exemption, you should become subject to the Workers Compensation provisions 01 the Labor Code, you must forthwith comply with such ¼ provisions or this permit shall be deemed revoked. I' 0 I hereby affirm that there'isa Construction I -'' lending agency ror the performance of the work for, iu which this permills issued (Sec. 3097. Civil Code).' zl ••. . 'l ' . - Lender's Name___ • L Lender'sAdd,ess - - ' 3'. - -CARLSBAD' BUILDING DEPARTMENT: p -'& PERMIT -'•. . - 1200 Elm-Carlsbad, California 92008 (714)438-5525"", , --- - - - . ' • . -- - JOB ADDRESS .3 , .,' . • . AV, ST. DATE OF APPLICATION BUSINESS LICENSE # 2Z8! Lo F3LMA DE. RD.j 'VALUATION M PERMIT NUBER OWNER'S NAME'"-" OWNER'S PHONE' PRIME CONTRACTOR ' CONTRACTORS PHONE If ZONE' I,ttERk)FTsk)AL QCoHRr,oL) J43 -'-l4-24_ 'sEr OWNER'S MAILING ADDRESS. " ?ZI LC3 PALMAS CONTRACTOR'S ADDRESS LICENSE NO,' PLAN t,D.# ' ' BLDG USE CODE -- LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. , DESIGNER , 1:'k)c STATE LICENSE # 472 STANDARD PLAN # BUILDING SQ. FOOTAGE DESCRIPT NOFWOK DESIGNER'S DRESS DESIGNER'S PHONE r - EDU F/P FLR ELEV. - , NO STORIES 0CC GP ' - YO ND ' • - -' ' - -. • ' CENSUS TRACT,' GP LAND USE PARKING SPACE RES UNITS - GRADING PERMIT ISSUED REDEVELOPMENT TYPE ' 0CC LOAD FIRE SPA AREA CONST Y. 0 N 0 Y E] ND v 0 ND Not Valid Unless Machine Certified QTY. PLUMBING PERMIT ISSUE 7 50 QTY MECHANICAL PERMIT ISSUE 3 00 SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP , • . ,. . INSTALL FURN. DUCTS UP TO 100,000 BTU' ,. ' - BUILDING PERMIT - 01:000.4220 ' , , • - EACH BUILDING SEWER OVER 100,1000 BTU SIGN PERMIT 01-000-4221 - EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO '3 HP " 4... PLAN CHECK 61-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS " BOILER/COMPRESSOR 315 HP 4... TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE - METAL FIREPLACE , ELECTRICAL 01 -000-4223 EACH INSTAL..ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT 4. MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME 3' 01-00 0 4225 WATER SOFTNER. ,. ' ' 4 . , , , * RELOCATION OF EA FURNACE/HEATER. * - ,.- • - . - MOBILEHOME PARK INSP ' "' '" - - ' ' • * EACH ROOF DRAIN (INSIDE) - - - - '- -, , . - - , ,: , SOLAR - - '' • '' ' - . • - - • - -TOTAL MECHANICAL - ' • - • • - - •' • . - ' STRONG MOTION • 65'640'0519 -• TOTAL- PLUMBING -• ' I -- - - FIRE SPRINKLERS • - - " 01'000'427' n' • QTY ELECTRICAL PERMIT ISSUE 2.00 QTY SOLAR ISSUE PUBLIC FACILITIES FEE 250004933 NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE DISTRICT 1 PH: • - 3 P - ' * STORAGE'TANKS ' • • - '. , .' - Carlsbad -' ' 65-623'0519 Y., - . - - EXIST BLDG EA AMPISWT/BKR ''n ROCK STORAGE Enclnitas -' 65-624-0519 • -1 PH • - v3 PH •r.— ,, -. . ', PUMP • - . ' ,.'- San Dlegu(to - . - 65-625-0519 , ' • * - —',,REMODEL/ALTER PER CIRCUIT " PLAN CHECK FEE San Marcos 65-626-0519 TEMP POLE 200 AMPS • OVER 200 AMPS, - - -• - • •• • ' • - , - -- - - . '- - , - - ___________________ TEMP OCCUPANCY (30DAYS) • ' -- ' - • . - - , • , ': . - * ' -•'.• ' TOTAL ELECTRICAL - TOTAL SOLAR TOTAL FEES PAY ABLEr3 3cjt, oo -- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND bô HEREBY Expiration. Every permit issued bythe Building Official underthe provisionso/this * AN OSHA PERMIT IS REQUIRED FOR EXcAVATCNS OVER Code shall expire by limitation and become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 180 days from date of such -5'0- DEEP AND DEMOLITION OR CONSTRUCT11DN OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS :us:nr STRUCTURES OVER 3 STORIES IN HEIGHT permit. or if the building authorized work authozed by such ISSUED: TO COMPLY WITH ALL ,CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for a period of 160 days.STRUCTION, WHETHER SPECIFIED HEREIN 08 NOT. I ALSO AGREE TO SAVE INDEMNIFY AND " APPLIT'S SIGNATU *,4 OWNER 0 CONTRACTOR APPROVED BY - • 7/ DATE I' IEXPENSES KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS - , WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I a(*,n "•-. • ;. .''c .. INSPF(TIONTYPE . DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY ' GUNITE OR.GROUT ' FLOOR & CEILING SUB FRAME SHEATHING .FRAME EXTERIOR LATH1NSULATION IIJTERIOR LATH & DRYWALL PLUMBING' l' SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT- TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. 1. - SMOKE DETECTO14 MECHANICAL DUCT & PLEM., REF. PIPING .HEAT- AIR CON D. -SOLAR SYSTEMS VENTILATING SYSTEMS - - S •SJ,SS• - - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE!BEEN APPROVED JOB SITE FINAL L PLUMBING ELECTRICAL MECHANICAL GAS ' -1 XM'- BUILDING /L\11 SPECIAL CONDITIONS I - I CERT OF OCCUPANCY ISSUED 4 S , £;;* 573 •" \, 1 FIELD INSPECTION RECORD' REQUIRED SPECIAL INSPECTIONS ' INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE FOUNDATION INSP ., SOILS COMPLIANCE,, PRIORTO OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL'MASONR .4' 5 PILES/CAISSONS SS; S " titiA - .5.- _•'4 .-----, ' S S -' -- 'f' : - 0 iheLamUcenseur provisions of Chap (commencing with I Section 7000) of Division -3 of the Business and -Professions Code, and my license is in 9.11 to (3 I hereby affirm that I am exempt from the. Con- tractors License Law for the fottowingreason.(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 tile a signed statement that he is licensed pursuant to the provisions of the Con-tractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro- ..fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects me applicant to a Civil penalty of not more than tive', IZ hundred dollars ($500). 0 1. s owner of the property, or my employees. 5 with wages as their sole compensation, will do the - wo& and the structure is not intended or offered for -.. sale (Sec. 7044,' Business-and- Professions Code: tel , The Contractor's License Law does not apply -to an - Z y owner of property who builds or improves thereon. 39 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 r' completion, the owner-builder will have the burden T - of proving that he did not build or improve tor the , purpose of salej (I) • ,.'Q I, as owner of the property, am exclusively Z - contracting with licensed contractors to construct - -. the project.7044, Business and Professions - - Code: The Contractor's License Law does not apply :.I,- to an owner of property who builds or. improves - 4111:' thereon,and who contracts for each projects with a I -J contractor(s) license pursuant to the License Law) Contractor's , 0 im'e'xempt under Sec.L., B.& P.C. for this reason - -. .- 0 thereby affirm that I have a certificate of o - Cot to self-insure,, or a certificate of ers' Compensation Insurance-Or a certifi co ereof (Sec. 3800, Labor Code). pe .- - v •y ICYNO./tl - '.COMPANY/6 k - W "Copy is filed with the cit. •" r Z - - - ILl -0 Certified copy is hereby-furnished. .- - -' CERTIFICATE OF EXEMPTION FROM - - WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit - is for one hundred dollars ($100) or less) - cc 'le D I certify that in the performance of the work for, '0 which this permit is issued, I shall not employ any , I' person in any manner so as to become subject to - the Workers' Compensation Laws of California. - NOTICE TO APPLICANT: If, alter making this Certi- Ir * Iticate of Exemption, you should become subject to - - the Workers' Compensation provisions of the Labor - Code, -you must forthwith .comply with, such J , - provisions or this permit shall be deemed revoked, L - r- 0 I. hereb 'affirm that there is a construction -, -fir lending agency to, the performance of the work to,. ) - which this permit is issued (Sec. 3097. Civil Code)- _zl"•'- -v wi Lender's Name __________________ _II ," ,,. *, 'I L Lender's Address - - ,., --.. • - - - '' '•-," ''f',-'- "i.' ".757.',' USE BALL POINT-PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA_AND DECLARATIONS:.. ,.-.--CARLSBACiiiDING DEPARTMENT • 'AP*ATION& PERMIT 5W - • -41200 Elm, Carl sbad,'uifornIa 92008 (714)438-5525 ' . .- - W - •' " ' -'•-.- 0-) ' - JOB ADDRESS • - ' '-L - . AV. ST. DATE OF APPLICATION BUSINESS LICENE'#1I zzi L RD '52 —] -OWNER'S NAME .'. ' , -- OWNER'S PHONE PRIME CONTRACTOR A ' - CONTRACTORS PHONE C rW7?i1. 49N2 "1 - - VALUATION - PERMIT NUMBER ZONE OWNER'S MAILING ADDRESS - - - 635 E. c,io 4. t $B CONTRACTOR'ZAESS s ,.,j UCENSENO. -.. - PLAN ID, # - ' •, BLDG USE CODE , LOT BLOCK SUBDIVISION _T A _SSESSOR PARCEL NO. . DESC RI PT I 0 OF WORK DESIGNER STATE LICEN # STANDARD !LAN # • BUILDING SO. FOOTAGE - __ 5/26/825492 " - - - ' • '- - + Not Valid Un/ess Machine Certified EDU ?135 oCOA4QP - ________________________ • ' F/P - FLRELEV, '5,.- '• .,•- - -Y0 NO -_ -. - NO STORIES S OCCGP . .• .•. S CENSUS TRACT • 'I. •, - --:- GP LAND USE,' - - PARKING SPACE 'S , RES UNITS -' , GRADING PERMIT ISSUED ' •vD ND - REDEVELOPMENT AREA - vO ND' ' , TYPE CONSTt ' 0CC LOAD , - FIRE SPR -vIJ No QTY 4 - - -' PLUMBING PERMIT ISSUE ' S .. 7 50 QTY .-', ,•-' ' -- - MECHANICAL PERMIT ISSUE - - - 3.00., - -'-, ' ---S • SUMMARY/ACCOUNT NUMBER ' EACH FIXTURE TRAP ' , , - INSTALL FURN, DUCTS UP TO 100,000 BTU -• . ' '. BUILDING PERMIT ' -- 01-000-4220 EACH BUILDING SEWER, • - - -- - ' • ' " .-OVER 100,000 BTU • - . •- -.- SIGN PERMIT '01-000-4221' • -' - - - EACH WATER HEATER AND/OR VENT - - - - - - . . BOILER/COMPRESSOR UP TO 3 HP - -- .. - • - , 'PLAN CHECK - "01-000-4806. - EACH GAS SYSTEM 1,TO 4 OUTLETS - - • '. ' BOILER/COMPRESSOR 3.15 HP - - -2 TOTAL PLUMBING -' ' - -, -' 01-000-4222 EACH GAS SYSTEMS OR MORE, METAL FIREPLACE ELECTRICAL 01-0100-4223 EACH INSTAI,ALTER REPAIR WATER PIPE',- ' , ' VENT FAN SINGLE DUCT , ,.- 'MECHANICAL 01-000'4224 ' •. 4 3:.gö - EACH VACUUM BREAKER -- ' •. . -' -' - . - MECH EXHAUST - HOOD/DUCTS - - , ' M'OBILEHOME - -- " '- 01-000-4225. 4- WATER SOFTNER -- '- • - -- - - --, . • RELOCA1'IONOFEA FURNACE/HEATER ' - . -• .,, -• ' • MOBILEHOME PARK INSP -. EACH ROOF DRAIN(INSIDE) • • ' - - ,, - • ..• •,. • ' . - SOLAR -. .'- - - 01-000-4226 • -. -- - - • 4 - -• - , 1 TOTAL MECHANICAL- -, • , -' -'! . I' ' - * 4•3 STRONG MOTION . - - 65-640-0519 TOTAL PLUMBING xt' - ' . " - , • '• FIRE SPRINKLERS - 01-000-422i . - ,• ' - ELECTRICALPERMIT - ISSUE -, - - - - ..'•': QTY. -* , , S •,,- . SOLAR - ISSUE- -, : - ,,, - ' -- - - - ' • PUBLIC FACILITIES FEE' -, - 25-000-4933 ' • -' " ' BRIDGE FEE NEW.CONST EA AMP/SWT/BKR - • ' - ' ' ' . ,:. COLLECTORS , ' • ' - - - - - SCHOOL FEE- DISTRICT , - - ' ' - -• - I PH -3 PH .4 STORAGE TANKS Carlsbad - 656230519 + EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE '- Encinitas' "- 656240519 -. i:1 PH .' ', - ,- 3PH,-; '-. - -- Si • PUMP, • - ', 5 ' , -- ,: - SanDiegu)to - 65-625-0519 - ' - - ' ' • - - REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE - San Marcos 656260519 -' TEMP POLE- 200 AMPS :' -• ' - • ', • , - • - - - - - -• - .. - - ' -' - - , - - - OVER 200AMPS -.x'- - ' " - 1 , - , . - f . - • -- - . , - • ' 5 - . - - - .' - TEMP OCCUPANCY 130 DAYS) • ' ' ,, , -- , :- ' , '• -,' , - - •' - ' ' - ' - - - ' • TOTAL ELECTRICAL * TOTAL SOLAR TOTAL FEES PAYABLE 4357 — 'I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued by the Building Official underthe provisionso(fhia * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. It the building or work -510*1 DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or )lthe building or work authorized by such permit is suspended or such permit Is not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT - ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time after the work IS commenced for a period of 180 days STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANU ALL LIABILITIES, ES, JUDGMENTS, COSTS I$ANT'S SIGNATURE * I . _D CONTRACTOR APPROVED BY *-' J /J)!. ./ e6AT/ -f - - G EXPENSES WHICH MAY IN ANY RANTING OF THIS PERMIT. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE_4(1,4Al.' BY PHONE 0 - °•- INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL I MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING: SEWER AND BL/CO, PLUMBING U\JOERGROUNb PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. - SMOKE DETECTOR MECHANICAL DUCT & PLM PIPING HEAT —R COND,L SOLAR SYSTEMS VENTILA*N&SSTEMS CALL FOR FINAL INSPECTION WHEN ALL'4APPROPR7ATE ITEMS ABOVE HAVE BEEN APPROVED. 4 JOB _SITE _FINAL PLUMBING ELECTRICAL 0 l4Y1 MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANSUED 1 PO W -4.lY FIELD INSPECTION RECORD REQUIRED-SPECIAL INSPECTIONS - INSPECTORS NOTES • — INSPECTION REO. IF co INSPECTORS DATEAPPROVAL : 0 • SOILS COMPLiANCE PRIOR TO FOUNDATION INSP 0 — 0 OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE CONCRETE • • POST TENSIONED 0 0 0 - -______ FIELD WELDING - - HIGH STRENGTH - BOLTS - - SPECIAL MASONRY - - 0 • 0 PILES/CAISSONS 0 - - - fob - • -- _____ ________ • _____ ___ 0 • - *ci -- '-'..- :. - - 1_ \ - ______ -NIN 0 - - • "- -•-. ' •- j-\)i Adlh w