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D I hereby alflrm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 70CXl) of Division 3 al the Business
and Professions Code, and my license is 1n
lull force and effect
L,c No---· c:o\'
I hereby at11rrn tia1 I a-exern8' irom t"~ Cc0'•ac
·a, s License Law ·er tne lcl-ow•ng ·easor !Sec 703· ':· Bus,~ess lnd Profess,ors Cc-de Any c,ty 'Y co,,n1v wh,r.l re
quires a permit t~ corstrcct J,'e• ,rnpro·1e demo/ sh ur
repair 2ny sl'ucture pr,or to ,Is ,s,~a~ce also 'eQul'es '"e ;io p11unr tor such Gerrn,t •c Ille a s qnec s1,:emen1 roat "e ,
1,censed pursuanT to :he prov1s ons O' Th~ License law :Cha~ter 9 corrmenc,ng ,-,,rh Sfc::on
o,,,s,on 3 ~f the B,,s,ness and P•otess1ons C-,de, v·
e"lpt therefrom c.nd the bas,s •or lhe al!egea e,en1~· un
,icIa110n o! Sec:ion ~031 5 ny an aopl1canI tor a per,111I
1ecrs t~e app11cant to a cIv11 penalty of not more tnar t,·,e
dred dollars (S500'
I a, owner 01 the P'80Wly or ~y e~,pIoyee, NIIc wdge,
os 'heir sole cc-rnpensa',on w1II de The work anc :1e ,tr,.c
'·J·e Is rot 1°,tended G' Offerea lo· sale IS~c 704-1 flus ness
and p,0Iess1on\ Coae Tne Cantrac•or's L1cerse ·.aw aoes
nor app'y to an owner o! property who builds o, improve>
thereo1 and who does such wo'k ~1rrself o, throuq~ ~1s 0·;1n
emotoyees provided that such Imp~ovemen:s are ·101 11terd
ed or offered Jo, sa'e If, 1owever. Ine bu1ld11g o, Imorove·
rnent ,s sold w1!h1n one year or cornpleI1on the owner-bu1loer
will have the burde~ ol proving tnat he d,d not build or •m
prove lo: the purpose ct saieJ
as owner of lhe property, am exclus,vel)' c0n1racr,~q
w,tr licensee cortractors le constr,Jcl tne 0'01ecl I Sec 7044 Elusmess and Prolessmns Code The Co1I,aclor·s License
Law does not apply to ar awne, of property who buI,ds O' ,m
proves thereon. and ;i~o cornracts tor each oroIecIs wit~ a
con:ractor(sl license p,irsuant IO the Contracror s License Law)
As a nomeowner • arn Irrp~ov•n~ my ~ome, and the lul;ow
Ing condIlIons ex1s!
1 The work Is neIng per'or-r.ec prI0' to sale 2 ' have lived In my home Jar twelve mor.t~s
prior !o cornple!1or of th,s work I have rml c;loirned this exe~ptIor dJcrng :he ·ast three yea-s
I am exempt under Sec B & PC for this reason ____________ _
I ~e,eby aff,,m that I have a cert,f•cate ol consent 10
se'f ,nscre. or a cer1,f1cate of ','Jo,kers Co'llpensat1on In
surancc or a :e·t,•1ed copy Thereof 1Sec 38C{)_ La::,o, Code)
POLICY NO
COMPANY
Copy ,s liled ··"',h the city
Certified copy ,s nereby furnished
CERTIFICATE OF EXEMPTION F
WORKERS COMPENSATION INSUR
ITh1s section need not be completed ,! 1~ permit
,s to, one hundred dollars ($1001 or l~ss)
I cert,fy that In the performance of lhe work for which
m,s permit ,s ,ssued I shall not employ any person ,n any
manner so as to become subIecl to the Workers Com pen
satIon Laws of Cal,forn,a
NOTICE TO APPLICANT: If. after making lhIS Cert1f1cate
of Exempt,on. you should become subIect to the Workers
Compensation pro-,sions ol the Labor Code you must
!o,thw1th comply with such provis,ons or th,s perm,t s1all
be deemed revoked
I hereby affirm that the1e ,s a construction lending
agency for the performance of the work forwh,ch lh1s per
m,t ,s ,ssued (Sec 3097 Ci.ii Code)
Lender's Name
Lende,·s Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Caclsbad. Caldomla 92008·1989 (619) 4385525 APPLICATION & PERMIT -
J;_~qs~ L\~~s°'.)~1 ~:~~ G~~b~ 9~os \A;:tA\P~s~ VBUS~%SE# VALOON &:5~MITNUMBER
L?,L sLocK I suaoIvIsI0N , AssEs~oR PARCEL No coNTRAcToR r _,...,. r-\..A t()r::sb~ coNTRAcToRs PHONE" zoNE O j l:J ~ ll 1:, /1 I .::J,Ar--Y') ('\<,) , , -.-, • ,_J 7-.,_~ac 71
OW"JER.S NAME OWNER'S PHONE "'-l,;;O~...::::::i, rJ y 'lJ,,,w, l r/7"0~ £_. C~T~CTOR'S AD~= ,....l' j") _I T°""!o t LICENSE NO. PLAN I.Q_ # BUILDING SQ FOOTAGE
OWNER'S MAil.iNG ADDRESS ~\~::"'-03,~~W,!::.:c'..•:,...,l::::!:~~~ ''Clvv\.,:!:::.~.s:~~~~~-~ Kd~l.l----------.l-.---------_j-----------1
,-.i,,J:j O l 1NJJ~Y /)~ ~ES}~NER OES!GNEffSPHONE
DESCRIPTION OF WORK V \ AA Ck . ,,, --. ,. / ~ ---v ,,_ --□-,-s-,_G_N_E_s_·_s_A_D_D~R-,-s-s-~-----------+--LI-C_E_N_S_E_N_O_. ____ .,.
--------------~ P F LR ELEV "-10 OCC GP EDU
srne, es I I / 0 7. • . <, ,u __ 2/ i uo , 16 alio2e0U
CEN':,USlRACl I CPLANOU':,E IPARKl''H,SPACE I RE:SUNITS I GRADINGPERMITISSUED !REDEVELOPMENT TYPE OCCLOAO FIRESPP AREA CONST
v O N D , D ,.,,Q v □ l'.0 Nat Valld Unless Machine Certified
QTY PLUMBING PERMIT. ISSUE ! II QTY. MECHANICAL PERMIT. ISSUE SUMMARY/ACCOUNT NUMBER
EACH f IX I URE IR AP ____ I I NS TALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220
FACHBUII.OINGSFWER --------+---4--! OVERlOOOOOBTU SIGNPERMIT ---□-01---810-00-00-8221 -------
1----_E:ACHWAT_FRHEA.TERAr-.UORVE~) __ --~----.:...---4---·-·BOILER,CUMPRESSORUPTO]HP j---------~ANCHECK-------001~810-oo-00-8806 ---
EACH GAS SYS!~_i9 __ 4 OUTI.ElS • -i·: r'LER:C~M~RE?SOR] 1:J HP_ __ ___ _ __ ....:__ TOTA~PLUM_~~-001-810-00-00-8222
EACH GAS SYSTEM '.J UR MOR~ , MFTAI ~·R[Pul.Cf:_ ELECTRICAL 001-810-00-00-8223 i---------,-----------------------.----+ ----------· ---·---
EACH INSTA~ AL TE:R, REPAIR \r','ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224+--
t--1-iACH VACUUM BREAKER ' t -MEcH-FxHAUSl HOOD DUCTS ---------~LEH~---~810-~225
WAl[R so~ IN[R RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK Ir.SP ,S-0, c, 0 ~ ---.----·----------+-------+-·------. ------------+--------!>---------~----·----+----~--~
_ ~ R.():-:-F l,KC<.\ ~ ______ ·----~ -~--==-s==~=~-----~--~------~ SOLAR _Q_QH10-00-00-8226 ___ __ _
t----j -----_ -------,----11 fOH.L MECHANICAL STRONG MOTION 880-519-92-33
TOTAi Pl lJMl-llNC 1 1, _£(~RINKLERS 001-810-0_Q·0~0~·8~2~2~7-+----------l
I AA "'4./L./E PUBLIC FACILITIES FEE 332-810-00-00-8930 -11 ~-v. 0 Q OTY. ELECTRICAL PERMIT. ISSUE 'i QTY (Vf -)\ff· ISSUE //) (J-0 -·-------·· -~ .. · ----
NEWCONSTE.AAMPSV'il flKR _______ ___J ((ll1.~C'~,r;s ----+-----' ~□~-FEE:OISTRICT ____ ---=-___ _ _
\ PH \ PH I --1-----SlURAGt TA'JkS ----·-----+------__ Carlsbad _______ _
EXISTblDGEAAMPSWTBKR I R()CKSfGRAG[ Encinitas . -----. --------------+-----
1 PH 3 PH PUMP ---------------+-------jf--San D1~10 ______ _
f---+-RUflODEL Al TtR PE'R CIRCUIT ---!-PA\ ~:IIE'.'K fEE San_M_a_,_co_s __ _
TE'1PPOI.E-/0IJA'1PS -------· ·~ --sLr rlr° ~· ~ -3o <Ef.7l'f'!wUL /t>J Lur.J <. uJ.,<n)
OVER 200 AMPS ------------------+------!< IrcfNsE TAX 001-810-00-00-8162
_ ~ OCCUPA~-~y 1.Jl.l OAYSl ___ ----!--+. -+------------------+----_ M-F~/c_ i>'"J,,,t)~ ·,,~a·o_.·5"1cc9~·9cc2~5~7+--~,,,~=-,-(/V~c--_l --+------------+-----CREDIT DEPOSIT r) -, . ., ,.,. .C,_ 1
TllTAL HfURIU\l ] -! -----,□TAL SOlA-1• I ~1) U-0-TOTAL FEES PAYABLE I '"\ cl/
11 : ' oJ-.<\02--00
I HAVE CARE FULL y EXAMINED THE COMPLETED , APPLICATION AND PERMIT" AND DO HEREBY Exp1rat1on. Every per_mi_t issued by the Building Official urtderthepro111s1onsollhis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm_itation and become null and void. 11 !he build.rig or work 5·0--DEEP ANO OEMOLITtON OR CONSTRUCTION OF authom:ed by such perm,t Is not commenced wIthm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or 11 the bmlding or work authorized by such permit ,s suspended or STRUCTIJRES OVER J STORIES IN HEtGHT
ISSUED-TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-L!•~b~••~d-O'°"n~od"-'•~t ~••~wLt~,m~•u•~fto~•~t~ho,,_,,w~o~,k~,~•~c£o~m~m~•~e£ce~d;.,,lo~•~•~~"'°n£ode_eo~I ~180°"d~•!tl"'-,.c,:7t-,,,,,,,,,.~-----""l'---------------,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGN~TU O ~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND OWNER CONTRACTO ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /) y PHONE O / ,/ ;• ?_ //-
GRANTING OF THIS PERMIT -1<l I , -
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TYPE ' DATE INSPECTOR
BUILDING '
FOUNDATION ' I
REINFORCED STEEL '
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEll!ING
SHEATHING □ ROOF □ SHEAR
FRAME I
' EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL ' ' I
PLUMBING I
□ SEWER AND BUCO □ P\-ICO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
' GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL ' □ ELECTRIC UNDERGROUND □, UFFER
ROUGH ELECTRIC I
' □ ELECTRIC SERVICE □ TEMP())RARY
□ BONDING □ POOL I
I
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS I
' . . . '•
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA '(E BEEN APPROVED
FINAL ' .
PLUMBING I l I .
ELECTRICAL I "-~
MECHANICAL I \,...,...,
' '-'I ) ' GAS I ( ..
BUILDING I l \ ""' .
SPECIAL CONDITIONS ' \ '-] ~ .
I -I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPEC1 ION REO IF I INSPECTORS
CHECKED APPROVAL -Jc~~~
DATE
SOILS COMP1_ "11\J(;E
PRIOR TO
FOUNOATIO".J '°"SP
STRLJCT1_;RAL. CC"r,,.;Cf--1f-TE
OVER 20:J0 PSI
PRES fRESSED
CONCRETE
POST TEW<IONED
CONCRETE
FlfLO WEL 81/\J(";
•0 !(_]rl STRENGTH
am Ts
SPEC14L MAS,)I\Jqy
PIC.fS C1'-ISSO"..""
---------~--
-.-•
8'~ ...g 0/:;
INSPECTOR'S NOTES
-
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
.r/.
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE-------
SE 2735
ISSUED BY ------------------
DATE ISSUED-----"-;::_-';_:_--=---=----------
VALIDATION
•
LATERAL CHARGE COMPUTATION
STANDARD 4" (Mex. H. 30', V. 10') _________ _
OVER 30' H. ___ @""-___ FT. _________ _
OVER 10' V. @ FT. _________ _
STANDARD 6" (Mex. H. 30', V. 10') _________ _
OVER 30' H. ___ @ ___ FT. _________ _
OVER 10' V. ___ @ ___ FT,---,---------
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS ___ COST PER UNIT---TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL---
TOTAL CHARGES (LATERAL ETC.) _________ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
....... ---~~RLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUNIOR HIGH SCHOOL
RECEIV~Q-{ROM f R \..... ~~~cs ~ ~ \, \ '\ ~ ~ \\ '\ \::,I)'(\\ s-\" e..\' ~ DATE
09427
1.:l.)\\\,;; s;----
FOR ~ ~ !5 ~c,\j.\..i_. ~"(~
USE OF SCHOOL FACILITIES/RENTALS
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$-----
INCOME r'J ABATEMENT 0
CHARGE TO ACCOUNT NO.~ -W It'\')
RElMBUflSEl,\ENTS ~°"""' ~~ TELEPHONE COMMISSIONS $ ____ _
INSURANCE CLAIMS
REIMBURSEMENTS
{EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ 'l \'·i},
4\c /,0.:;) ,3~ 18
RECEIVED CASH □ CHECK (3-'
RECEIVED BY ~c,r,..,oo~ ,-~
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