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Home My WebLink About2322 La Costa Ave; BLDG B; 79-618-B; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapte, 9 (commencing with Sectio!\ 7000) of Division 3 of the Business and Profes- sions Code, and my license is in lull force and ef- fect OWNER-BUILDER DECLARATION '='l hernby affirm that I am exempt from the Con- tractor's License law for the following reason • (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit 10 con- struct, alter, improve. demolish, or repair any structure, prior to its issuance also reQuires the applicant for such permit to file a signed state- • ment that he is licensed pursuant to !tie provi- sions of tile Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or tllat is ex- empt therefrom and the basis for !he alleged ex- emption Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars [$500). L1 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 of- fered for sale {Sec 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property wllo builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or of- fered for sale, 11, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving !Mt he did not build or improve for the purpose of sale). =: I, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec, 7044, Business 2nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im. proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor"s license Law), I am exempt under Sec. ____ , B. & P,C_ for this reason __ --.---____ _ Date { 6--,f_:S a'bowner ~--- WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certHicate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec, 3800, Labor Code), POLICY NO. ______ ----~----COMPANY -~-________ _ ~~ Copy is filed with the city_ .JCerlified copy is hereby furnished, CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed ii the per- mit is for one hundred dollars [$100) or less), I certify that in the performance of the worK for which this permit is issued1 I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Californta. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisfons of the labor Code, you must forthwith comply wilh such provisions or this permit shall be deemed revoked. LOT BLOCK CITY OF CARLSBAD-BUILDING OEPARTM. L POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 79-5 L C t J.08 1>.DDRESS a os a Ave._ P-c;-R'-s-r OWNER'S PHONE DESIGN-ER 4\/. ST. Dl>.TE Ot 1>.PPLICATION RD 6 La Frederick J. Meyers DESCRlPTlON OF WORK Bld "B" BLDG SQ, n. /;;).,70t> UTY. PLUMBING PERMIT EACH FIXTURE TRAP (?_ EACH BUILDING SEWER (!,. EACH WATER HEATER ANO/OR VENT EA CH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE CONTRACTOR QTY. ELECTRICAL PERMIT EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMOOEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS SSE TOTAL ELECTRIC CONTRACTOR & DESIGNER' 5 ADDRESS 3611 RES. UNI~ OCC. G'P Si ANDARD PLAN # PLAN ID 1f ~-, AMT. ,~~AWNING PORCH SET-UP 79- RAMADA, CABANA MA I IVl'I .. ' •.. - BUS. LICENSE PERMIT NUMBER STl>.TE LICENSE ST ATE LICENSE C 5034 DESIGNERt-S PHON~ f/Oft:7! /b -3i-7f 110?1- $11&.t Gc-7 _l,;py-Jr,o~ OF ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-F I LM TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED iHE COMPLEIED "'APPLICATlON AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEAEON 1S TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT !S ISSUED; TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP H!>-RM- LESSTHE CITY OF CARLSB.AD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY wAV ACCRUE AGAINST SAi~ CITY IN CO~SE.OUENCE •AN OSHA PERMIT IS REQUIRED FOR EXCAVATlONS OVER 5'-0" DEEP A.ND DEMOLl---rlON OR CONSTRUCT10N 0~ STRUCTURES OVER 3STOR1ES IN HEIGHT OF Tl-4E GRANTING OF THIS PERMIT CONTRACTOR□ 1t;J>f'~ I SITE i3DDRESS ' INSPECTION WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOP UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK •..-TOI.LET_ OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY .... -t::•·~ ........ - OTHER - ....-TEMl=>'Pt,ft~ .._E) SE'r\'.~R -GAS TEST -- ' SWIM POOL• STEEL BONDING ... ;-............ • PRE DECK . , .• •,:::~NCE PREPLASTER SHOWN . FRAME . PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S"'REQ. "CCMIIILETED , ELEC METER-PERM-TEMP i GAS METER-P,ERM-TEMP L__ ) I G~5:r OF OCCUPANCY ISSUED OWNER: FIELD INSPECTION RECORD --DATE INSPECTOR f . ..... ··-... ,.._,_ ... -..... PERMIT NO: INSPECTOR'S NOTES - ' -~("-'Iii..... ,.. ... ' ,.. ,-. .. , ell z 0 i:; : ~ u Ill Q a: I[ u lit Ill Q ... 5 ~ Ill _z ~ z 0 ;:: ~ z Ill a. :I 0 (J en a: Ill ¥'. a: 0 3 0 I hereby 1 ; I am licensed under provisions of , 9 (commencing with Section 7000) of ucd:>iOn 3 of the Business ■nd Professions Code, and my license Is In lull force and effect. L,c No ________ Class __ thereby iiffirm thal I am e:xem~t from the Con-¥:~~·9~~~~;:: ~; ~~~.~-:i:~1;~~-\~; county which reqiuir-es a permit to construct alte,, in,pro.e, demolish, or repair any stfucture. prior to its issuance ,also requires the applicanl for such perrmt to ffl.e a signed statement that he is licensed pursuant 10 the provisions of the Con- tractors License La-(Chapter g commencing Wflh Sechon 7(D) of Division 3 of the Bu:S.ness and Pro- les5'ons Code) o, that 1s e,empt lherelrom and !he basis tor the all1911ed e,emplion. Any violaloon of Section 1031.5 by an applicant lo,a perrnjl subjecrs me appiicant to a cfYil per.atty of not more than five hundred <lollar,; ~- □ I, as owner 01 the propen~. or my employees 111,iU, wages as their so~e compensalf.on, -.itl do the won., and the S1ructure is not mte,ided or offered tor sale (Sec 7044, Business and P,-ofessiohs Code: The Contra(i;tor's License law does not app•y to ao owner o1 property who bu11ds or improves thereon and who doe~ such work himself or through his own employees, provided that s1.1ch improveme;,ts are no1 1ntende1 or ottered for sale. U, however, the bu1ld1ng or imp(ovement is ~d within one year or completion. the owner-builder wi II have the burden of proving thal he did not b"JUd or imprme for the purpose of sa1e1. □ I, as owner of the properly, am e,,clus;.ely contracting wit,.. licensed contr~lors to COflstruct the projecl (Sec. 7044. Business and P,-ofessiens Code: The Contractor's License Law does not apJ>'y to an owr,ef ot proper,y who butlds or 1mpr-ows thereon. and who contracts for each pc-01ecrs with a contractor(sl license pursuant to the Contraetor's Ucense t.a1i111~. 0 I am exempt 1,1 nder Sec ______ ,B.&P.C. for 1fi1s reason . __________ _ □ I hereby affirm tr,at I ha~acer11t1cateofconsen1 to self-,nsul'e, OI' a certificate ot Worke,s· ComipensatlOI" Insurance, or .a. c.ertihed copy lhereof (Sec 3800. Labor Gode) POLICY NO. CEFITrFICAU OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This se.ct1on need not be completed 1I 1he perm,1 1s for one h\Jnd,ed Oollars f$100) or less) D f cer11ty that m the pertormance 01 the work for wh1cn this pemilt 15 issued. l shall .rio1 employ any pe,so.,, m any manner so as to become subfect lo the Woriiiers' Compensation Laws of Cal I forrua NOTICE TO APPLICANT If, •lier mo1<m1 this Cett, hcate or Exemption. you should iDecome sl.lbiect I? the Workers· Compensation prov,s,ons of tl'le Labor Code. you must torthw I u, com pf~ w 1th sucli provisions or lh1s permit sha!I be deemed revol\ed l D I hereby att1rm t'1a., ,here 1s a cons1ruct1on a: 1en(l1ng agenicy fOf 1h,e pef1mmance at ttle work 1or ~ '"-wt11ct1 rti,s petm11 1s ,ssuecl tSec .3097. C1v1I Code-) z ~ Lender's Name ___________ _ L@'n.Cfer's AOdress __________ _ USE BALL POINT PEN ONLY & PRESS HARD CAR APPLICANT TO FILL IN INFORMATION WITHIN SHADED .AREA AND DECLARATIONS. \D BUILDING DEPARTMENT 1200 Eln. .dbad, California 92008 (714) 438-5525 F/P FLFI ELEV. vO NO FIEOEVELOPMENT AFIEA APPLICATION & PERMIT NO STORIES TYPE CONST DESIGNEA'S PHONE OCC GP EDU OCC LOAD FIRE SPR VALUATION ZONE PLAN 1.0. # STANDARD PLAN# PERMIT NUMllER BLDG USE CODE BUILDING SQ. FOOT AGE Y □ ~ 0 v □ NO Nor Valid llnlllfs M.chine C,rtifi-1 QTY. MECHANICAL PERMIT -ISSUE SUMMAR~ACCOUNTNUMBER BUILDIJjl,l PERMIT SIGN PERMIT EACH WATER HEATER AND/OR VENT ------------------!----l'---41---~l""l!--+--------,-----::-::------::-----::---------+------------------- EACH GAS SYSTEM 1 TO 4 OUTLETS 8DILERICOMPRESSOR 3-15 HP PLAN CHECK TOTAL PLUMBING EACH GAS SYSTEM 5 0 R MORE METAL FIREPLACE --------- EACH INSTAI. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS -------1----------tr----+-- W A TE R SOFTNER RELOCATION Of EA FURNACEiHEATER EACH ROOF DRAIN I INSIDE) .._----l------------------TOT/..L MECHANICAL TOTAL PLUMBING QTY. ELECTRICAL PERMIT -ISSUE NEW CONST EA AMPISWT1BKR I PH 3 PH -·-------· -·-------+- EXIST BLOG EA AMP/SWT /BKR QTY. SOLAR -ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE ELECTRICAL MECHANICAL MOBILE HOME --~·-MOBILEHOME PARK INSP SOLAR STRONG MOTION- FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad Encinitas 1-------1-----------------------------------·------------+--------I>-----I PH 3 PH 1------f-----~~--~ San Diegu ito PUMP -+--------,,-----.----------· -·-------------+--------1~----------- RE MOOE UAL TE R PEA C!R CU IT PLAN CHECK FEE San Marcos -·------+----- TEMP PO LE 200 AMPS I----+-·-·--~.-·--------------;t,-------1- OVER 200 AMPS ---------+---------- TEMP OCCUPANCY (30 DAYS) ------_ _,. __ ---+_ 01-000-42 20 01 _·OOD-4221 01-00D-4806 01-000-4222 01 ·000-4223 01-000-4224 01-000-4225 01-000-4226 65-640·0519 ---- 01-000-42 27 25-000-4933 65-623-0519 65-624-0519 65-625-0519 65-626-0519 TOTAL ELEt:TRICAL TOTAL SOLAR TOTAL FEES PAYABLE APPROVED BY ------ CATE .!!? u:: ~ m 0 Cl. E 0) I- I -a 0 CJ "E m ~ a. Cl. <( I 0 U) U) Cl> U) U) <( I 3:: .Q iii > ., rt.l (I) 0 e a. m -; Cl §: 0) 0 C m C u::: C 0) ~ CJ 0 0 (I) Cl. U) C INSPECTION TYPE DATE INSPECTOR ~-" 1&-P re BUILDING FIELD INSPECTION RECORD FOUNDATION REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -Rf;INFORCED STEEL INSPECTION REO IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI --PRES TRESSED EXTERIOR LATH lNSULATION CONCRETE ·- INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING ~-- SEWER AND BL/CO HIGH STRENGTH PLUMBING UNDERGROUND BOLTS ---~--------•-~-r----• PLUMBING TOP OUT SPECIAL MASONRY I - TUB AND ~HOWER PAN ' I I -~-----··---~-- GAS TEST PILES CAISSONS ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING /1 G. F. I. -SMOKE DETECTOR -MECHANICAL -~-···- DUCT & PLEM., REF. PIPING , \ ·- HEAT -AIR COND. -SOLAR SYSTEMS -VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . ITEMS ABOVE HAVE BEEN APPROVED. ~--~•--.,._ J • ,../]'. ~ ' . ~ -. -. JOB SITE FINAL --~ , . ~ Pt.UMBING ----I I J /..{_,,#YVv- ELECTRICAL j ,v{:_--- MECHANICAL I I ~ GAS , ... '--.------BUILDING SPECIAL CONDI~· ~-1\Js --. -•-----~ - CERT OF OCCUF SSUED II) z 0 !i IE C .J :':d 0 IC I[ 8 IE :!: -' 3 I w z ·• 0 z 0 ~ z w a. :I 0 u II) iic w :.:: a: i . 0 I hereby •f •m Ucemied under provisions of C, , (commencing wllh Section 7000) of ....... 1on 3 of the Business and Profnslons Code, and my license is in lull force and effect. lie No __ _ Class I herabr affirm U1'1t I am exempt from the Con- ~l'!t~;~,:'; ~ ~f:':i~~~i\~ county which requires a permit to construc"1 alter, improve, <lemolish, or repair any struclure. ptior to its issUilnce iillSO requires the applicant 1or such permit 10 file a signe<I s1a1emer,I ltlal he is licensed pursuant to the prO¥isions of the Con- tractor's License Law (Chapter 9 commenc;ing with Seclior, 1000 of Divisior, 3 of !he Business -Pro-fess,ons Codel or th;,t 1s e•empl thefl!lrom and the t,;isis !or the allagad exemption. Aoy violation ol Sectior, 7031.5 by an applic.,t for a permit SUbjaCIS 1ne apphcanl lo a civil pena'ty of not more than riwe hundred clollars ($500). □ I, as owner of the property, or my employees •1th wages as th@ir sole compensation, wiU do the WM, and the structure is not intende<I or offef8d for ~e (Sec. 1044, Business and Professiohs Code: The Contractor's License Law ooes nol apply to an Owlll!f of property who builds or 1mprovies thereon and who does such W0Bi h~mseu or thmugh h;s own employees, prmitded that such Improveme.its are not •nteode1 or offered for sa~e. If, however, the bt.11lding or improvement 1s sold within one year 01 completion, lhe owner•bui-tdef WIH haw the burden of proving tl\at he did no1 build or improve for the pUfPOS8 ol sale). 0 t, as owner of the PfopeftY, am exclusively conlfactin,g with ltCensed contr~tors 10 coo:s1ruct the P<<>i9<:I [Sec. 70M, Business and Professions Code: The Conlractor"s License Law does no1 apply to an owner of propert't' who builds or imp,oves thereon, and who contracts for each pro1ects with a cor,tractor,s) I icense pursuant to the Contr-.clor·~ Ucen:se La:w). D lamexemplunderSec. ___________ B &P.C. for th,s reason □ I hereby affirm tha1 I ha·-e a certificate of consent to self-msure. or a certificate of Worke,s· COmpensa.hon 1ns1w1 ranee. OI' a cenif1ed c:opy thereOf (Sec_ JIIOO. Labo,-Godel :~:✓. . - ~-,~ hi~ w~~ !he c,ly. vlJJlL O Cer1il1ed copy ,s hereby furnished /J' ,_-- CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Ttfrs sec11on need not be completed 1f lhe permit 1s tor one hundred dollars ($100) or less) D I ceniry that m the performar,ce of the work for which 1h,s permit 1s •SS.ued. I shaH no1 ernptoy any persor, 1i, an~ manner so as 10 become subtecr 10 !he Wor\cers' Compensation laws of Cahforn1a NOTICE TO APPLICANT If, ahe, makm~ lh,s Cert1- hcate o1 E,:emJ)t1on. you should become sub1ecl lo the Wo~rs · Compensation prOVI-SNlfls of the Labor Code. you ITtUSt for1hw1th comply with such prov1s1ons or th-Is permit shal1 be deemed revotc-ed 0 l hereby antrm H•a1 the-re-js a construcl1on lending agency fo,r th@ pertormance of the work for wtHch !h,s perm11 1s 1ssuecl (Sec .3097. Civ1I Code) Lender"s Name ___________ _ Lender"-s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD CARL 1200 Elm_ QTY. PLUMBING PERMIT-ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER >---+-- EACH WATER HEATER AND/DR VENT ,__ _ __,__ EACH GAS SYSTEM 1 TD 4 OUTLETS ----- EACH GAS SYSTEM 5 DR MORE EACH INSTAI,, .. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER D BUILDING DEPARTMENT .ad, California 92008 (714) 438-5525 QTY. ----------- YO ND F/P FLR ELEV. REOEVELOPMENT AREA vD ND MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU _t~-::_-::_-::_-::_ ___ --1---+-B_O_I_LE_R_IC_D_~R~S~OR UP TD 3 HP BOILER/COMPRESSOR 3-lS HP METAL FIREPLACE ------+- VENT FAN SINGLE DUCT APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT TYPE CONST ·eusu,11:ss·ucENSE # VALUATION .?-..'1~ LICEJilsEll!O, _ PLAN 1.0. # Jth:11/.: ace GP EDU OCC LOAD FIRE SPR PERMIT NUMBER q-t,/B BLDG USE CODE BUILDING SQ. FOOTAGE ; r!': vO ND llot Valid Ufllr!ss M.chine Certifi«I SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-000-4220 SIGN PERMIT 1)1-000-4 221 PLAN CHECK 01-000-4806 TOTAL PLUMBING 01-000-4222 ELECTRICAL 01-000-4223 ,dl) MECHANICAL 01-000-42 24 -------~-------1-------·····--·----------~r---------n------ MECH EXHAUST -HODD/DUCTS MOBILEHOME 01-000-4225 ------1t----+--------------+--------lt---- RELOCATION DF EA FURNACE/HEATER MOBILEHOME PARK INSP -----+---------4----+---SOLAR EACH ROOF DRAIN (INSIDE) I----+------------ TOTAL PLUMBING QTY. ELECTRICAL PERMIT -ISSUE NEW CDNS~-E~ AMP/SWT;BKRl,IX)@ 1 PH 3 PH TDTt.L MECHANICAL QTY. SOLAR· ISSUE COLLECTORS STORAGE TANKS 01-000-4226 STRONG MOTION 65-640-0519 FIRE SPRINKLERS ___Q_l_-000-4227 PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE SCHOOL FEE -DISTRICT ---------------------+----------tl-----'--''-----"-'--"-Carlsbad 65-623-0519 ----·------ EXIST BLDG EA AMP/SWTiBKR ROCK STORAGE ,_ _ __, ________________ _ 1 PH J PH PUMP REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE •------i-------------------------+---------+-----t------ TEMP PO LE 200 AMPS 1----+- 0 VER 200 AMPS 1----+-------- TEMP OCCUPANCY (30 OAYSJ TOTAL ELECTRICAL --+-------·--------· -~ - TOTAL SOLAR Encinitas 65-624-0519 San Dieguito 65-625-0519 -----. San Marcos 65-626-0519 ------ TOTAL FEES PAYABLE 4PPROVEO BY ------- DATE J.P,..r- -~ S! a. C. <( I 0 "' "' Q) "' "' <( I ~ .2 Q) >- ui "' <I) 0 e a. Ill ni 0 §: Q) c.:, ,:: as ,:: u::: 0 u Q) C. "' ,:: INSPECTION TYPE DATE INSPECTOR ,q ... t,,8 -E . BUILDING FIELD INSPECTION RECORD FOUNDATION REiNFORCED STEEL R~°-UIRED SPECIAL INSPECTIONS INSPECTOR'S ~OTES MASONRY INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL .. -------~ GUNITE OR GROUT SOILS COMP!_IANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI -.__ --· ·-PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE ---·-. INTERIOR LATH & DRYWALL 1 POST TENSIONED . CONCRETE PLUMBING ---··--FIEL"D WELDING I -' SEWER AND BL/CO -HIGH STRENGTH ·--i PLUMBING UNDERGROUND BOLTS I -----------~------··---····---· I PLUMBING TOP OUT ! SPECIAL MASONRY 7 i ---! TUB AND ~HOWER PAN I I j ---··-------~ --.. GAS TEST PILES CAISSONS l ELECTRICAL ------- TEMPORARY POWER ELECTRIC UNDERGROUND I ·---- ROUGH ELECTRIC --------, ELECTRIC SERVICE ! ' BONDING ,'\ i ----------· G. F_ I. -SMOKE DETECTOR . MECHANICAL ------------·----··------ DUCT & PLEM .• REF. PIPING -------~--~--------~-- HEAT -AIR COND. -SOLAR SYSTEMS ~ ' •. ~ -· VENT! LAT! NG SYSTEMS . I -. ·--- ---~---·- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE i . , ITEMS ABOVE HAVE BEEN. APPROVED~.· ' i. --------~ --1 JOB SITE FINAL ' ... ' -. '· PLUMBING .,/1 -·---· -----1 ELECTRICAL -"'. -,j 11\llf~: -- MECHANICAL 'j i J--' I --------- GAS -. :... / ',~ L= •, BUILDING ·-' ·-----·------·-------- SPECIAL CONDr'..,,.,,,'IS ~ ------------- CERT OF OCCUP/ ';SUED Ill z 0 i= C lit ~ (J Ill 0 e[ ~ ... z 8 lit Ill 0 .... 5 I ~ ~ z 0 ~ z w ~ 2: 0 (J Ill ic w "' a: 0 3 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dlvlslon 3 of the Business and Profnslons Code, and my license Is In full force and effect. lie No ______ Cliss ------ I hereby att1m, that I lffl ·•-I lrom the Con-~:·r~= ;:-~,=~~~~ county which requires a pemut to construct alter, improwt, demot11h, or repa,r any structure, poof" to its issuance also requires the ilPPlfcant for such penn1t to Ille a stgned statement that he tS hcensed pursuant to the proy1sf0m of the Con- tractor's Loc.nse Law {CNll)ter 9 commencing with Sectt0n 7(0) of Otv1s1on 3 of the Business and Pro- teuoons Codel or that Is exempt the<efrom and the basis tor the alleged nemptoon Any vlOlatoon 01 Sectoon 7031 S by an applicant tor a permit soorects tne applicant to a civil penalty of not more than f111e hundred dollars ($500). □ I, as ownet Of the property, or my employees .,,th wages as their so4e compensation, will do the wo,1c,, and the structure Is not intended Of offered for sere (Sec 704-C, Bus.ness and Protessoons Code The Contractor's License uw does not apply to an owner of property wno builds or imp,OYeS theteon and whO does such wOttt h1msett or through his own employees. p,oyIded that such lmprOYeme:its .-e not int.,._, or offered tor sale It, ho-, the bu11d1no or 1mpnwemen1 ,s sokS w1th1n one year ot cornptetoon, the ownet-llu11de< will ~ the burden of provI09 tt\lt ~ dtd not build 01 ,mproye for the purpose ot sele) □ I, as ownet of the p,openy. am exclusl'Yety contracttOi with lteensed contr~tors to construct the PfOJect (Sec 7044, Business and Professt0ns Code The Contractor's License Law does not apply to an owner of property who builds or ,mprO\leS ~'c:~i;:, ~~nc:'~~!~: ~::~~~~:.:::-: License law) 0 tame•emptunderSec _____ ,B &PC fo,th1s reason ___________ _ 0 I hereby afflnn that I have a cer11hute of consent to self-insure, or a cert1l1cate of Wotkers· Cornpensatton lnsurance. or a certified copy thereof (Sec 3800. 1.a1>o< Code) POLICY NO COMPANY □ Copy IS hied w,th the city □ Cen1tted copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec1ton need not be completed ,t the permit ,s to, one hundred dollars CS 1001 or less) O I cen1fy that in the perfonnance of lhe WOtk tor whteh ttus pemut Is ,ssued. I shalt not empk)y any /. =~~e~Y=;::sa':!C: ~-~f'c:11~t>,::':' to .ll • '?Ot..lCANT 11. atter malun1 this Cen1- you should t>ecorne sut:,iect t? -at,on pro"¥1s.ons ol the Labor Nllh comply with such ,atl be deemed re,,oked L >...:or::.-.. provIs,ons o, th ![ f: 0 I hereby affirm ttk lending a,genty fo, Ille p. wruch this permit 1s 1ssueo, :. a construcuon eot thewo,'lil. tor <)97. C1Y1I Code) Lenders Nome ___________ _ lencter s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -- CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Gallfomla 92008 (71-4) 438-5525 J08 "-,,._..-~.2. A~;Tr;i:,;;;TION1 9USIIIIESS LICENSE # VALUATION PERMIT NUMBER -.~· t_..__/"". --.l....,.....--~.~~ /./Al-- OWNIWSNAME l OWNIER'S PHONIE PRIME CONTRACTOR CONTRACTOAS PHONE t ZONE 7q-(g l ~J6M C. M-a In.\ ,-,..... ... _ , ... M11Rb ,I~ l=tJvfl.. l?h-57'/ OWNER'S MAILING ADDRESS CONTRACTOR"$ ADDRESS UCEN8ENO. PL.AN I.D. # BLDG USE CODE 1-z[) ~l'V"'"~ ... ~l /"""-r-,-.._ .. .\--Q../'"9119, ,-, QL,.l>~-L aJ. . ~ fl. , r'.Ml-~.,,... !fl~ ,a,_ /,, ,e, "& LOT I lll.OCK j suaDtVl!IIIION I ASSESSOR PARCEL NO. D~GNER ~ STATE LtCINSIE # STANDARD PLAN# BUILDING SO. FOOTAGE -' ~ .- DISCRtPTtON OF WORK CJ-·-c:!/fil7 /r.a::l4F,, J 11:L'.h.l"! DESIGNER'S ADDRESS DESIGNER'S PHONE ---, --I --- -~'ba ~ -u-.\rr:A.-5i~ 7,8---F/P FLR ELEV, NO OCCGP EDU tJ "'.ii, ~t,.J~ STORIES vO NO CENSUS TRACT GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO N 0 vO NO vO NO Not Valid Unlffs Mlchine <Artifi«I QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE ~.l.2.'.: SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP z INSTALL FURN. 0UCTS UP TO 100,000 BTU nntn BUILDING PERMIT 01·nnn._42?n EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS _.::; 881tEtt,eeMPft~~!OPI 3-15 FIP '"J:>2.'"!~~ 0 fJ(.; TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE n METAL FIREPLACE ,~.cD ELECTRICAL 01 ·000-4223 EACH INSTAl.. ALTER. REPAIR WATER PIPE .,_;;.;.· VENT FAN SINGLE 0UCT '0./,Q MECHANICAL 01·000-4224 ~"2.t!O EACH VACUUM BREAKER l"'1 MECH EXHAUST -HOOD/DUCTS .~ 4..1'1'~ MOBILEHOME 01-000·4225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000·4226 TOTJ;L MECHANICAL 1?2.lfl) STRONG MOTION 65-640·0519 TOTAL PLUMBING -I FIRE SPRINKLERS 01-Mll-4?27 QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 65-623·0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624·0519 1 PH 3 PH PUMP San Dieguito 65-625-0519 RE MODE UAL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 TEMP POLE 200 AMPS OVER 200 AMPS -TEMP OCCUPANCY (30 0AYSI TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 8'J...~,, 0 :VCAREFULLY EXAIIINED~l:IED'W'PUCA'l'IONAND W-ANO OOHEAEBY bpnllon. 1..ypenn11.....,t,r111e8uilcl,.Olficlelunc1er._=°'1111a * MGIIMl'INlll'•M!Ql__,l'OREXCAVATIONSOVEII UNDER PENALTY 0,: THAT AU. INFONM110N HEREON INa.UDING THE c... .......... br llllilallon --null -YOid. ff Ille . Of_. · ·l'rllaPAND IBGLffl0N CIIIOONSTAUCTION OF aulllClnlNt,r8UCllpamlllienotc_ieed......,1.,.,_,,_.. ol81dt DECLARATIONS ARE TRUE ANO 00IJflECf AND I FURnlERCEllfflFY ANO MJRE£ IF A PERMIT IS ...,._ or II IN ~ worlt MIIIICWiNd br IIICh pennll la or tffllUCIUIB OWIII ISIONES .. HEIGHT IS8UEO: TO COMPLY WITH ALL CITY, COUNTY AND STA15. lAWS GOVERNING BUILDING CON-111atc1Dtleda&-11me lheworttla 1o,.~,,.,an.;.. ST11UCTION, WHETHER SPECIFIEO HEIIBN OIi NOT. I AUi() MIAEE TO SAVE INOEMNIFY ANO APPUCANrS SIGNATURE • ()WNIR □ CONTRACTOR 0 APPROVED BY DATE IC&P IWWL£98 THE CITY Of CARI.IMONWHST AU. UAIIIUTIES. JUOGMENTS, 00ST9 AND 8IPINSES WHICH MAY IN AHY WAY .... AGAINST U,O OlfY IN OONSEQUENCE OF TH£ BYPHONE 0 ~, ,.~.g-,... GIIMrnNG OF THIS fll!NollT. . · · ~ u::: >, 1G 0 a. E Q) I- I u 0 C, c <II .s> a. a. <{ I -" C a:: 0 ti) ti) Q) ti) ti) <{ I 3 .Q ai >- <Ji ti) Q) 0 0 a: <II <O 0 §: Q) 0 C <II C u::: !:, C Q) ~ C, 0 0 Q) a. ti) C ! :c ~ INSPECTION TYPE DATE INSPECTOR • BUI LDll\''j FOUNDATION R.EINFORCED ST' MASONRY ' -_,,_)· -' ,,1~1 e: _0' , .,;JUT _C, ., & U:::fLING SUB FRAME - EATHING t-. VlE -EXTt::RIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING -- SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT -~- TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE ftONDING :·i_ G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING ' HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS ~- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL . PLUMBING ELECTRICAL :... ' MECHANICAL <;;._ AA/ ~rv..,._• GAS / ., 1 ~-. BUILDING . -. _I • SPECIAL CONDITIONS - CERT OF OCCUPANCY ISSUED --"'A .. ~18' -rn FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO. IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION iNSP STRUCTURAL CONCRETE OVER 2000 PSI ·---------•----~-----·------------PRESTRESSED CONCRETE ~~ --. -----------~~---POST TENSIONED CONCRETE ·-- FIELD WELDING ! HIGH STRENGTH ------------1 BOLTS ------------· SFECIAl MASONRY I i I --·-·--·-.. ------------ PILES CAISSCNci - ----• I ----------- ________ ., r--------~- ~---·-···--------~----------·---··--------I I ,· ,, ·····-· ··---- I ,___ ___ ---I I ! ----·-------··-·---~~- i . ---------------I ! . ·-----·------~-~ -----··-------~--~ -------·--·----·----~-~ ----·•--·~