HomeMy WebLinkAbout2342 Marca Pl; ; 80-345; PermitLICENSED CONTRACTOR'S DECLARATION
t hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes·
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
!::11 hereby 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 courlty which requires a permit to 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 lo the provi•
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code} or that is ex-
empt therefrom and the basis for the alleged 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 five hundred dollars
($500).
L.' 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 of·
fered for sale (Sec. 7044, Business and Profes-
sions 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 of·
fered for sale. 11, however, the building or improve•
men! 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 con·
tracting with licensed contractors to construct
the project (Sec. 7044, Business .?.nd 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•
1ects with a contractor(s) license pursuant to the
contractor's License Law) t
for this reason ) ~ _
I am exempt under Sec '1 l ~, (
-~~H(,i--Y----,J.~cJ!-
Date Owner -~~
WORKERS' COMPENSATIO~~LA~·~◊N
I hereby affirm that I have a certificate 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 _____________ _
LlCopy is filed with the city.
UCertified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th;.s se:;tion need not be completed ii the per·
mil is for one hundred dollars ($100) or less).
I certify that in thli performance of the work for
which this permit is issued, I shall not employ any
perpon in any manner so as to become subject to
th<fMork;;:-,,~'.Compensation Laws of California.
N ICE TO APPLICANT: 11, after making this Cer•
·te of E1-emption, you should become subject
, Workers' Compensation provisions of the
Code .. .-mu must forthwith comply with such
sions or this permit shall be deemed revoked.
CONSTRUCTION LE'NOING AGENCY
•uebv affirm lh<>l lh<>r" ic:" r,nn<:.lrnr,tinn l<>n•
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
I I '°I~.:? ~1"'1 I I I
x~AD,D~SS I I • 'A ,_ ,~/4_~1' •
tRr· 1cz;; /P;C;TION
OWNER
11/,,. ls!1fi_:J35,; PRIME CONTRACTOR I I
I i'l"l c_, ~ + )-E I. v' •• : ;, JC' ~r-:,, · /, b-, Con5:h1-tr J.; o,,
OWNER'S MAILING ADDRESS , CONTRACTo~•s ADDRESS
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER -:J-1 tJ /__ t7 kfo~3 f~,,...,., STATE LJCEJISE
3022,9
CONTRACTOR'S 8• I 1tso L;11rJ~ 0s-14-51tAJ m Fl ,-c.,05, e_/f "':J. _ 1:n. R.,.., 11.s-u IJej -~r PHON; ~ 1'"7<--94~ I-
lq>!f I o/f.K J-~ 'I ;,WDIVISjO~ IL, JI ..... -I ASSESSOR'~ ~RC~\.;~-DESIGNER .... ri, q ..,,,,1 5TATe'" LICENSE
-. ' I 1' f ' L.. ' ,<", ' "' /' ' /YI://,,,,-lJral'-r--DES~TION OF ORK" I .. ,::-, f,;_ DESIGNER'S ADDRESS 7 DESIGNER'S PHONE
..::,A-IJ m~r= 7'-I'/-&/-/{,
CENSUS TRACT GP LAND USE ZONING sf I RES, UNITS I PA#KING SPACE I NUM~F STORIES
Not Va.id Unless Machine Cartified
BLOG SQ. FT. BLDG USE acc. GP I STANDARD PLAN 11 I "ffl-'; r 5 I TYPE CONST I occ. LOAD
I ___./
~~ QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
I/ / EACH FIXTURE TRAP -~A ~ I INSTALL FURN. DUCTS UP TO 100,000 BTU J .~
I EACH BUILDING SEWER =,:C[J? OVER 100,000 BTU -? I EACH WATER HEATER ANO/DR VENT ,, . P)z BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS ')_. 'JL BOILER/COMPRESSOR 3-15 HP -EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ,.., EACH INSTAL., ALTER, REPAIR WATER PIPE .a.....~ ~-VENT FAN SINGLE DUCT -z. ,✓~
'-ii; l3C, EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST HOOD/DUCTS '"' -.~ VALUATION: i1.2 (/7,.'
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT . I , "-/U''? 1~
Issue 3.on ISSUP <, (\' SIGN PERMIT ~ ~-'f-7'-J'b I I , I
TOTAL PLUMBING ..5() -TOTAL MECHANICAL /4--!..£-, PLAN CHf'CK /'.s',.f' •.S/7 1'F' /::qa O' I 1':<l.1 A'5
CONTRACTOR CONTRACTOR ALL INCL I
AMT. TOTAL PLUMBING J • ... [7J . . .JI-,
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I, • '.,, -
NEW CONST EA AMP/SWT/BKR AWNING -MECHANICAL ,III., "--
WV• ~p~ .15 ; 3 PH ,Y1;"~ PORCH \ MOBILE HOME r i· , I
EXIST BLOG EA AMP/SWT/BKR SET-UP -SOLAR I I I . I
1PH .15 3 PH RAMAOA, CABANA l I I I , I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' l I I I . I
TEMP POLE 200 AMPS /O."" TOTAL MOBILE HOME ' MICO-FILM ! I I
OVER 200 AMPS . I I I I -,1
TEMP OCCUPANCY (30 DAYS) '--, STRni'JI:: MnmTnN• I I I/. -r-.
Issue 2.00 I I I
.
TOTAL ELECTRICAL t,.P--':J2 TOTAL FEES PAYABLE I .<)110 ~ CONTRACTOR I I
SCHOOL FEES:
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT. AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~ ~~ 'i"i~ tF\> /5 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'·0'" DEEP AND DEMOLITION OR CONSTRUCTION OF -.. ~ ~ j fJJ -,,
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED:To COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT ~ ., . ~, ffa /.;z, COUNTY AND ST ATE LAWS GOVERN I NG BUILDING CONSTRUCTION, WHETHER J, .:.ff n .. ~" ·-) SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM '"-rv1
-~-,:: Q
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT APPLfcANT'S SIGNATURE7 OWNE~ CONTRACTOR□ J,APPROVED 8/. a DATE
A~-••-,..., -· ---· -...., .U1'--. ~L~,.... 17-/fl·
?
0
!
~
~ ;=
~ a. V,
~
·1·-:$
,:::3.--µr
g,)
SITE ~ ✓3'-fe=. ADDRESS, OWNER, ' PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK• TOILET
UNDER FLOOR PLUMBING .
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET
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
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN //
FINAL INSP BY BLDG DEPT 5 · S-:, I 4,7
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
' i GAS MCTER-PERM-TEMP '-----.,
' • ~--
C
CE:'<T OF OCCUPANCY !SSUED ~--
REQUEST FOR INSPECTION TIME:_· -..-+---
INSPECTOR _ ____c•_Ti_.__,Zc..cH~.__ ____ PERMIT NO _______ DATE: ~ik1
OWNER _______________________________ _
ADDRESS---":~~~~~-_j_UA~t.1P..~C~¢':~ .... -------------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
D MASONRY
D GROUT -GUN I TE
D FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
D EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
1..:t. FINAL
PLUMBING
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
OG.F.1.
D SMOKE DETECTOR
~ FINAL
.. ·'~•l\ ___ M_IS_C_E_L_L_A_N_E_o_u_s ___ ---l 1------------------1 '",..,,.,,
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
°)l FINAL
; , D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
~ FINAL
READY FOR INSPECTION: ~ONDAY D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY _________________ PHONE N0._......_,,,_1--,,----
PERSON TAKING REPORT---'b,-'-c----
c ·oRRECTION NOTICE
INSPECTOR
CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE · 438-5525
TIME: ______ _
BUILDING
o FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
Note: Final Inspection Required DATE: ~•5(),y'/
@&w/26'. Uot/,<I[ AIUIIJUL 1(1) C/JUr/tA f:$ cat oil
772 d&tt~
D FLOOR AND CEILING FRAME (J} ~ &aA'cT: .£!-tp 6/tJ LL,E,,t/NIJV'T<r
D SHEATHING
o FRAME {Jl..£'t.)()E I/€~ #/I.Irr /'U P'AllJT£,,(2 /:A~L)
D EXTERIOR LATH
D INSULATION
o INTERIOR LATH OR DRYWALL
PLUMBING
o UNDERGROUND PLUMBING
o UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
o GAS TEST
□ WATER HEATER
ELECTRICAL
o TEMPORARY SERVICE
o ELECTRIC UNDERGROUND
o ROUGH ELECTRIC
o POOL BONDING
□ ELECTRIC SERVICE
□ UPPER GROUND
D G.F.1.
o SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION A IR
D CONDITIONED A IR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER
§! <;",rfLJL tll(? 4 4 £ ~ eif/1?,<,«JL, 771Lt)M(U
$£/CK a,~) 'if: dTltc£5:L ...
~L, Ede /,1/ALv {(:£/t.itJ{) (i] 6'At(, t2()t>L
a/?-4'»6<. 0/H/U:
@ ~ft£/A"bu,.$'E /24,h( 4"/t/ef //<ff t,J,FA;r~. f"-rt/M
{iJ /lft)V@tef /lAµ// lfi~J:J r: I/ £Al"/'
0 Uovr &l(ov#IJ t:As 41/Je G?tt. ~,.ee .eLMe ~ d'ltl<r e:x~JI/£) u~ ~c' d()Lc') , .
@) C,18,t;I~ &?ffh, OJ;; -Z-v& <:/: 7?)t-lff /'dlt/&-r:i;>
CA~
..
MEMO---------------.. -L->t/-l--M~ ft_
...
~F ~GErf:'LE:;.. ,o
lJ, ... IV) ~ ~ tC-w &J,.) w
~c..u '~ i>,v ~"'~ w ,._ /
~(l.1tJ KL£:.R It ..
MITCHELL BUSI NESS FORMS -New Location
1536 Murray Canyon Road
San Diego. Ca 92108
Phone: 299-77 40-For Better Service
TD
CORRECTION NOTICE
INSPECTOR
CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525
Note: Final Inspection Required
2-> 4 2-.ll'I /J ,t,e, R
TIME: _______ _
DATE: 2. · :z. S"· ,Y/
BUILDING
D FOUNDAtlON
@ch;d~J;? MO« 6<?4<.12 A/,W(,.,W'/ IA/ C(<:)->EI
+-
D REINFORCING,STEEL'
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
o SHEATHING
D FRAME
o EXTERIOR LATH
□ INSULATION
o INTERIOR LATH OR DRYWALL
PLUMBING
o UNDERGROUND PLUMBING
□ UNDERGROUND WATER
o ROUGHT PLUMBING
D TOP OUT PLUMBING
o SEWER AND PL/CO
o TUB OR SHOWER PAN
D GAS TEST
o WATER HEATER
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
o ELECTRIC SERVICE
□ UPPER GROUND
D G.F.1.
o SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER
TIME,_· -~--:..,,_;J...__,~--RE_O,i. ., T FOR INSPECTION
INSPECT~------SR-,,--,---PERMIT NO ______ DATE:
OWNER~-.,,_-11~-~~~--,---------------------
?--')..J -ii
ADDRESS,_ ..... 2..:.3_:i......,._d_k,---"-"""-"'-'y=,,.,,\',,...._,I ___________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT • GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
9--!NSULATION
GP}NUIHOR LATH oR"o'RYWALL /
D FINAL C -· -----
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTIO
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
0 SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
j_._.,,...~-1:.ir!AL
HURSDAY D FRIDAY
""''" , .. ,.~~T fal' E ,w:;,;,
REQUESTED BY ~ V\ q D (f':= PHONE NO. fl J.3~ 6 lflf I
PERSON TAKING REPORT_..,,,yl"'R-----
ST FOR INSPECTION TIME-· _____ _
T
INSPECTOR --,TOI\ PERMIT NO. _______ DATE: ___.c2-c=.-· ''--'-'-' _Y-c/~_
OWNER _______________________________ _
ADDRESS-~2'""--'5<-'f~).,.=-<..::/)'J..<.:/J:.=.</,..,C:,::/J.___ ________________ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
)8l" FRAME I
D EXTERIOR LATH ;CJ .;
ELECTRICAL
D TEMPORARY SERVICE
~ELECTRIC UNDERGROUND
~ ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
~ INSULATION -/A/~/lf1?I t~ µtJ
D INTE~IOR LATH OR f>RYWALLCt' p)1
D FINAL //, 1.j$fjtl.,Wi,,l'e.__-----------J
~------------~-----------PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER __..-----:-~ ROUGH PLUMBING~,veetJ '7'~,t
D TOP OUT PLUMBIN t,,1J1s-r6e,t'f.
D SEWER AND PL/CO ~
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
MISCELLANEOUS
p(,PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY _){WEDNESDAY □THURSDAY □FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY _________________ PHONE NO._--.,....,,../J.__ ___ _
PERSON TAKING REPORT __ !f""o/''-------
---······ -······ .. ··----------
RJ:QUEST. FOR INSPECTION TIME-· ----
INSPECTOR ~ PERMIT NO. to-~ Lj ( DATE: t.-<z-8/
OWNER __ --L&~0~~~L~~~<~6'-#-0IV--------------------~-
ADDRESS __ 2'"--£-tF_5,..~.,__,c,A?.~',(/,,,_,,,ll,/v=--=-A:c..,t:..,_.:..._ ______________ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT-GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING e,.gVT
~FRAME ~ •
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
~ ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING pd ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
~ PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: )(MONDAY D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY _ __.:7a'--'-':-=d~-----------PHONE NO. 2.:Z}:-41'4 1
PERSON TAKING REPORT ___ 1-.L ___ _
'7/?;,, ;;~#'I ~pL,.~~
/~/Pd-JA/"'1~f
., ,.
R~QUEST FOR INSPECTION TIME·-------
INSPECTr;>R_.,__ __ 7:,_____,~::,,=--·=_,,,,,"-------PERMIT No ??> -?Ks -DATE· .l'.:-2 -...2. r-<?"
OWNER ________________ ~L._.=""°.,·""""'="•~"""'-"::::,,."'---------
ADDRESS ___ ____.d::,=c..-..;Li:.......z".z::....r:rJ"""----~L.:.....!::::32::!:::::::..!=d-e:=.---c:. __________ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY ~UESDAY □WEDNESDAY D THURSDAY D FRIDAY
DA.M.
DP.M.
REQUESTED BY ___________________ PHONE NO .. ---.-<.L'./4--~0.,,__ __
PERSON TAKING REPORT·_-_7'---_---:___,?"-·-· __ _
.. ········---------
FOR INSPECTION
·1NSPECTOR ___ __:U-=:..:.-=----PERMIT NO
REQUEST TIME:_· _____ _
DATE: /'gz /,Pd 7 I
OWNER----------------,-~-----------------
ADDRESs~2-"'----"'3'---'-'-l-'--A-_.,_(Y\--'-"-(J/4C/4'-...c:...___....1.A_:~::..-=:::==-----------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY j
----,gf.GROUT · GUNITE~ -')M'-' ' / CJ FLOOR AND CEILING F'fiAME
D SHEATHING
D FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
OG.F.I.
D SMOKE DETECTOR
D FINAL
cJ:S'µ ~ o--• o ,,.------------,
PLUMBING 1------------------
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
~ MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
0 SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
DA,M.
D FRIDAY
REQUESTED BY2,/&~ PHONE NO. /YY-b.5'7}
PERSON TAKING REPORT ~
REQUEST FOl3 JN(\&ECTION
1NsPEcTo_R . • ~ \ • PERMIT No Zo ~ ~t.f-5"' ::::,.. S~Ja~ 26.cR
TIME_· ~l~o~: 0_1~-
DA TE, _.,__I o----'-:Z--'--1 -__,fc,_0_
BUILDING
NDATION
0 REINFORCING STEEL
0 MASONRY
D GROUT-GUNITE /P~
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
)Rj UNDERGROUND PLUMBING /
0 UNDERGROUND WATER j(/t7f'/!.
D ROUGH PLUMBING IIV IA~"-"
0 TOP OUT PLUMBING
j8l SEWER AND PL/CO tJI-' ,J )
D TUB OR SHOWER PAN pr11j
D GAS TEST ,t;J
0 WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDA(~EDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS-'-~------~-=....Jfl-l--l'----~-'--"...=;....::.,::;-==<-s=--><-laa.A--"--1.._-___ • ___ _
C---
REQUESTED BY ___ ~D--;\.-0~---------PHONE NO. 1 t/t/-l,3-s--0
PERSON TAKING REPORT __ __,~'S-... R ___ _
·-··--· ....... ·~···---
. .__
ppt'¥1t. 6,RoV/f/rJ Pi.Hit!. AJA!' No"P IN!/'• .Pi/~ ,-o /ZilN.l)l!ii~
eov-G;(... /;Jee,-~iTH ~,t-0e;J ;P~v.,,,,,. ,,.vo t,Je,,,,./P ,-ve,e_
.,Z,.t.v~ V/.fVAL,f'e?J~ill) ;P~v~. wAf wet.,<-11VJiA'-'-W
5 o ,.t7£v,,,J. 1,v A1 J 17/A/atJ o ~,-:
. -. ' 4 I ' ' ' -.....
' ' ---~ '
~ ... ~ COMPLETE IN DUPLICATE AND POST WITH THE INSPECTION RECORD CARD
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE
OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS
Number Street City
EXT ER I OR WALLS
Manufacturer --"O'-"W""E"-N"'Sc.;C,e:O~R'-"N'-"I,.,_N:..,Gc:.__ Thi cknes s/Type --~3½=,'-' _ R Val ue _..,_1.!..1 __
CEILINGS
Batts: Manufacturer _ ___.:O~W..:.E::.:N::.:S;___;;CO=R:.:N:.:IN:.:G=--Thickness/Type __ 6c.._'_' _ R Value _.::.;19;___
Blown: Manufacturer __________ Thickness/Type ____ No. Bags
Wt./Bag ________ Sq. Ft. Covered _______ R Value __ _
FLOORS
Manufacturer __________ Thickness/Type ____ _ R Value ___ _
SLAB ON GRADE
Manufacturer __________ Thickness/Type _____ R Value ___ _
Width of Insulation ____ Inches
FOUNDATION WALLS
Manufacturer __________ Thickness/Type _____ R Value ___ _
GENERAL CONTRACTOR ______________ _ LICENSE NUMBER ____ _
BY ___________ TITLE _________ DATE ______ _
O NTRACTO R ....:cD:.:AN=A:..:J,;.O:.:H:.:Nc;;S:.:O:.:N:....:.:IN:.:.S:cU:.:L::;A.:.cT:.:1:.:0.:.cNc::,I::.cN:.::C::.c. __ LI C ENS E NUMBER ---,,.:3:.::0:.:64::;9:.::3 __
BY _ ___,qa _________ TITLE ..:.A:.:u:.:;th:::o"-n:::·z.::,ed'--"R:::.ep"'r-"es,s<,,;Dle,:a,:.tiv"'e'--_ DATE _ ___,,._/_1..,-',,_0_,'f"--/ __
I I
INS
Bl Form #121
22175
I TERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT~
~UILDING ADDRESS:
PLANNING DEPARTMENT
{) (_ ZONE f
Bulldln1 partment
LOT SIZE LOT WIDTH -----------------
UNITS ALLOWED _____ / ______ UNITS PROVIDED __ ~t _________ _
JI PARKING SPACES REQUIRED J.-PROVIDED /,--------,,------------,-----=----
1 / ~ /(; PROVIDED 1,ss-//,&,,v l/C, 7o I ----------'--------------., 5 ' I / BUILDING HEIGHT ALLOWED ~ PROVIDED 7 ---------------------
% COVERAGE ALLOWED
FRONT SETBACK: f SIDE SETBACK: REAR SETBACK :
ALLOWED
''PROVIDED ~/ -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMYNTS :
_3:ffeo/ ,f~f'S -E/JCIN1714-~-= l20tJ '!9 SAN 'l:>1rc~u1ro:= 1~7~ ~ ?Omt..=2171~
HRONMENTAL PROTECTION REQ: £x, /I I L TIONAL COMMENTS, 5','~ ~ .. -,,-.$-t-.z-16-.,-z-: N-.. -i-,v-'l'-1/-~,-e,-.,-Tt-e_fi_'lt_, __ _
7 '!zE. I '2 /
TO ISSUE JI,,~ DATE~OK TO PI NAL ~t;xt. D
P~-,_,,o-r ~ '.i:>
~. W •€',ai2-J)Q.1V6)1*'1INDUSTRIAL WASTE A/ 4 IMPROVEMENTS Lf}:IST
ER CONNECTION .i,c._::-=,,.,,,.gc:....-'3'o0_..::-DRIVEWAY LOCATIONS HUS✓ &!f 3' t4-;ft jl_
DI NG PE RM IT -~~1-----✓7'-\ A ,
GAL DESCRIPTION~~~-L+--~~~~~~~~::I:f~A.....-___.~~~~-1-----
pITIONAL COMMENTS~---~"--~liii;i&laiiiilll~----------------
TO rssu,,J}JJL DATE 6-Ji✓ BJ Pw{))Jr~~ TO FINAL~(:: DATE k,;y\·~\
RE DEPARTMENT
RiliKLING SYSTEM FIRE PROTECTION EQUIP. -------------------
RE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
-~VITIONAL COMMENTS
TO ISSUE: DATE OK TO FINAL DATE -----------------------
l DEPARTMENT
REMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
April 29, '1981
Mr. Scott Nielson
Westland Masonry Supply
1650 Linda Vista Drive
San Marcos, California 92069
Dear Mr. Nielson:
3244 So. Platte River Drive
Englewood, Colorado 80110
Phone: (303) 761-0905
Dr. Jay L. McGrew• President
I have performed computations using our detailed heat flow technique
as permitted by the 11Alternate Compliance Method" of the California State
Energy Code and find the following .
The total actual winter time heat loss through the uninsulated but
full grouted 811 x 811 x 16 11 block walls is projected to be 74 therms . The
state code using Rll insulation would require a loss not to exceed 74 therms.
The total actual summertime heat gain through the uninsulated but
full grouted 811 x 811 x-16 11 Block walls is projected to be 11 therms. The
state code using Rll insulation would require a gain not to exceed 35 therms.
The grouted block wall thus equals Rll performance in the winter and
is substanti'a lly superior in the summer.
Using 42¢ per heating therm, winter wall heat loss will cost the
occupant a total of $31.08 for the enti're winter. Using $2 .29 per cooling
therm, summer wall heat gain will cost the occupant $25.19 for the entire
summer.
The grouted wa 11 s wi'thout i'nsul atfon comply with code requirements,
and further, additional insulation will neither save significant energy
nor energy costs.
My computations are attached.
Enclosure(!)
JLM:ms
Yours truly,
~-~l ,~~~
Dr. Jay L. McGrew
B.S.C.E., M.S.M.E., Ph.D. Chemical Engineering
)
Assume requirements are Rll wa 11.
San Diego cl imate= 1307 winter D.D.
and 722 summer D.D.
Loss ~ Rll requirements.
Total wal l area = 2248 ft2
Q winter = 1507 x 24 x 2248 = 7,391,424 BTU
11
Q surrrner = 722 x 24 x 2248 = 3,541,213 BTU
11 10,932,637 BTU
= 109. 33 therms
Loss ~ Santa Clara Data.
winter summer
Ori'entati'on Area ft2 unit total unit total
N 320 -.168 -53.8 -.057 -18 .2
E 744 -.040 -29.8 +.020 +14.9
s 440 +.088 +38.7 -.002 -0.9
w 744 -.040 -29.8 +.020 +14.9
-74.7 +10. 7
(~)
•.
11 /7 /78
LEUCADIA COUNTY WATER DISTRI CT
APPLICATION FOR SEWER SERVICE
Owner's Name Ellwood Martir. -----=-a~~"--'-=-"-~-'------------
Ma i ling Address ---"'-P-\01-.--.u.Ba .... x.__._2.u0.J.5.L-J _________ _
Sep11lveda, CA 91343
Service Addres~: Marca Pl . .ua_....,ce,c;_.. ____ _
Tract Description: Jot gz, Spanish Village
Assessor I s Parcel No . -~2 .... l 6u:-=..3.._5u..2-=.-L.J26'-L---------
Phone No . (213) 894-8461
SEWER PERl\11T ISSUED UPON
r .. "-:·r:ir OF BUILDING PERMIT.
t · · .. ;---:; P::RMIT MUST BE
APPLi~D t:0~ BY q -;-_d--[ -£0.. ___ : •
Type of Building _ __,;,s'"""i.uog ..... lu:e:-.&.t.QJamw.Ju·1Yy'----No. Units 1 Connection Fee $ 600.00
Lateral Size : 411 611 811 Saddle Easement Connection {pre-pd 200.00)
Extra Footage: @ $ ----
Amount Rec'd$~
Ck. No/Cash 91_._,___,___ __
Date 10-tlo-9
Rec Id By G,.. ·"()Do:\ 1:d1oc-
Extra Depth : ___ @ $ ---
Lateral Fee
Prorated Sewer
Service Fee
'-iU--cJn.)
Total $l..icr--c-O""'O
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted .
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer . The applicant is responsible for the construc-~ion,
at the applicant's expense, of the sewer pipeline {building sewer) from the appli -
cant's plumbing to the point in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense . The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRI CT BEFORE THE SEWER SYSTEM M.-~Y BE US ED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORI ZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED . ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There wi ll be no
additional fee or refund if service actually commences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
_in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the condi · as stated.
\() -\ \o ~7 9
Date ~S~~--.,.,..._ Account No.
;
' I
,,
! ' {
I / .··1
r , I ·
I •
I .,
:/ /~ 1
j/
' ',/ / : , I ,:y<j
,_ I , -·. / /
I • ! • I I
I ,~
I • i 'I
i I I ; I ' , I • ,. I
, ! I I I: ,/ I , ,,,• I
·-~-~~, ~;-;.ii·@i&:~ > .... ,J .,, . ~ ' ~~~=!::;,,~~.z ~'; _t·,: .. ~ .• ·,~., ""'·. -/'<.1. -. . r; . '-,,T: • . : . c,..u,.,....,.,!~~~ ~ . .:.,. 1:1 .-;'· ~•,. · -•~~._,-::••""'~• t • l,' -~, ., . .,#~~ -.. -:.-::~-==-·-:· f •• . . ,-~-,.,--·-•.-.. --
. '
I 'r
I
I
_I
/ \
I.
)'t M~M~MMM/AMM/A/A/AM/A/A~UAM~ X t . ~
Q1 r rt i f i r a t r i1 f Qt) r r 1 t +tu 1 t r !J ~ ~ ~ CITY OF CARLSBAD ~ 1 ' , . ..,_, -c. ~ ~ This Certificate issued pursuant to the requirements of Section 306 t
i of the Uniform Building Code certifies that at the time of issuance i
this structure complies with applicable ordinances of the City ~
regulating building construction use. ~
S . 1 F ·1 D . ~ l Use Classification ing e amJ. Y welling Bldg. Permit No. 8 0 -3 4 5 ~
' ~ Group _____ Type Construation _____ Fire Zonc ______ Usc Zone______ ~
-~ Occupant Load __ ~---------------------------~ ~ OwnerofBuildinf/ ~:· _s~ott, __ L. Niel~onAddress 1650 Linda Vista, San Marcos i
~ Building Address , .. , ·:z,3_42 Ma_r~a Plac~. : Locality Carlsbad_, CA. 920p8 ~ 3 . , .. ,,. --,-•. 1-• •· "• .; d?Pt&"& P:i<. ~
~ _________________ Dote 5-5-81 ~ 1 NOTE: Alterotion1, chongu, odditions or chongu of occupancy nulliliu this certificate, ~~ ~ ~ ~ (Poat In con1picuou1 place) >:
)(,~MM MM MM MM MM M M ~ M M~ww~w~nrww·~~
! I I I I I I
I l
f
I,
I
I
!
I