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HomeMy WebLinkAbout2403 EL BOSQUE AVE; ; VARIOUS; PermitMODES NO. BUILDING PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No JOB ADDR ESS 24d3 Bl 'Bos(^ » Carlsbad ASSESSOR'S P.ARCEL NUMBER ,LEGAL IDESCR 122 del l^csiierosa ^2 ([^SEE ATTACHED SHEET) MA IL ADDRESS 2 J^sntoosa ffesBS,, im mdm Vias! Sr., 1104, Solsaia Beadi, 9207S CON TRAC TOR MAIL ADDRESS STATE LIC. NO. 2^502 CITY LIC. NO. 9023 ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO ^ Bates, B^seaiaa § Pekairek, ^40 C^pis Br, S, NenDpoyt ISeadi 9^60 752-^24 CS3SS ENGINEER MAIL ADDRESS LlCENSe NO 5 Sick Bagiaeertog, S62& Fsls3cs ad., S.a 92110 IO 9416 COMPENSATION INS. CARRIER MAI L ADDRESS 6 -Bie B^ejre^s Self Ins. , 40S0 m^PB Blv4., 90051 USE OF BUILDING NO. BDRMS_ 4 NO. ,BATHS. 8 Classofwork g NEW • ADDITION •ALTERATION • REPAIR • MOVE • REMOVE 9 Describe worl< vesSdmtial Him 274 BE 10 Change of use from Change of use to 11 Valuation of work $ ^/\ ".-^7;;>? ' J""" PLAN CHECK FEE S ^ PERMIT FEE S /ZP^~y SPECIALCONDITIONS Type of -y-^' 1 1 const /y Occupancy w.i-i!'"'' ^ ""T Group / MICRO FILM FEE Type of -y-^' 1 1 const /y Occupancy w.i-i!'"'' ^ ""T Group / MICRO FILM FEE Size of Bldg tf^ (Total) Sq Ft /ff ^sit JjNO of - J, Stories j^S^ Max Occ Load '..«-».., Size of Bldg tf^ (Total) Sq Ft /ff ^sit JjNO of - J, Stories j^S^ Max Occ Load '..«-».., J ' Fire , ^ Zone «^ zone j Ftre Sprinklers j. Required Dyes QNO APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED'FOR ISSUANCE BY Fire , ^ Zone «^ zone j Ftre Sprinklers j. Required Dyes QNO APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED'FOR ISSUANCE BY No of i Dwelling Units ^ OFFSTREET No. «,^.^ Covered PARKING SPACES Sq. Ft. 1/^^.j|open NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLANNING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. HEALTH DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FIRE DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SOIL REPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OTHER (Specify) NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ENGINEERING DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. WATER DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR'ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDATION CK. M.o TOTAL FEES $. CASH INSPECTOR INSULATION CERTIFICATION 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 ,!0MO3 Bosque Aveilue, Carlsbad, California EXTERIOR WALLS Owens- Corning and Manufacturer Johns-Manville Thickness/Type 3i-" Fit ^•n i 4.. •*SEE CODE * Friction nr^r^m BELOW ,, R-Value CEILINGS Owens-Corning and * Friction Batts: Manufacturer Johns-Manvi1le Thickness/Type 6" Fit Blown: Manufacturer Thickness/Type Wt./Bag Sq. Ft. Covered FLOORS Manufacturer SLAB ON GRADE Manufacturer Width of Insulation FOUNDATION WALLS Manufacturer Thickness/Type Thickness/Type Inches Thickness/Type R-Value 19 R-Value R-Value R-Value R-Value R-Value GENERAL CONTRACTOR BY TITLE ONTRACTORS, INC, LICENSE # DATE LICENSE # 221517 C-2 TITLE Vice President DATE Inoulotlon Nomlnol only R Thicftnepo SVa" B13 R19 B22 IdoniilicQtion Strlpo •7 "5^*'^^,'7f(r^' •" Permit No._ ! . Applicant to complete numbered spaces only. MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 o z m 3) JOB ADDR ESS 2m jgpsqas m.. - LEGAL 1DESCR. 4^ (I Is EE ATTACHED SHEET) 37^^ 92025 ?^r5700 15S688 ....^.W* MAIL ADDRESS LICENSE NO. MAI L ADDRESS USE OF BUILDING 8 Class of work: NEW • ADDITION DALTERATION • REPAIR 9 Describe work Type of Fuel Oil • Nat. Gas • LPG • PERMIT FEES SPECIALCONDITIONS No. Type of Equipment Fee Air Cond Units-H.P. Ea $ Refrigeration Units—H P Ea. Boilers-H P. Ea Gas Fired AC Units-Tonnage Ea — -Forced Air Systems—B T U X{X) ^ Ea 4. 30 APPLICATION ACCEPTED BY PLANS CHECKED BY / APPROVED FOR ISSUANCE BY -Gravity Systems—B T.U. M Ea APPLICATION ACCEPTED BY PLANS CHECKED BY / APPROVED FOR ISSUANCE BY Floor Furnaces—B T U M APPLICATION ACCEPTED BY PLANS CHECKED BY / APPROVED FOR ISSUANCE BY Wall Healer&-B T U M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Unit Heaters-B.T.U M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Evaporative Coolers NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Clothes Dryers NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Ventilation Fan NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Range Hood NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Air Handling Unit- C.F.M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Incinerator NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION -— NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED (S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION SIGNATURE' OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE 07 OWNER (IF OWNER BUILDER) (DATE) SIGNATURE' OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE 07 OWNER (IF OWNER BUILDER) (DATE) PERMIT $ 3. SIGNATURE' OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE 07 OWNER (IF OWNER BUILDER) (DATE) TOTAL FEE $ 7 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR PLUMBING PERMIT APPLICATION. 5 ir 3.a«-«B5o City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. PhOOe 729-1181 Permit Nn. ""I^^" <y// ^ JOB ADDRESS LEGAL DESCR MAlLj^ADDRESS CONTRACTOR .'fj . "AIL ADORESS_^ • PHONE J. ^ STATE LIC. NO. CITY ; ^r PHON E CITY LIC. NO. ARCHITECT OR DESIGNER MAF L ADDRESS LICENSE NO , EN G IN EER MAIL ADDRESS LICENSE NO. 5 — COMPENSATION fNS CARRIER MAIL ADDRESS USE QF^B'uUDIh^G ^ 8 Class of work. "•^EW • ADDITION DALTERATION • REPAIR 9 Describe work PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) BATHTUB /. LAVATORY (WASH BASIN) SHOWER / KITCHEN SINK & DISP / s& DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE LAUNDRY TRAY APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE / CLOTHES WASHER / J3 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE / WATER HEATER / NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION URINAL NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION DRINKING FOUNTAIN NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION FLOOR—SINK OR DRAIN NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION SLOP SINK NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION / GAS SYSTEMS NO OUTLETS / NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION WATER PIPING t, TREATING EQUIP NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION WASTE INTERCEPTOR NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION VACUUM BREAKERS NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION LAWN SPRINKLER SYSTEM NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION / SEWER NIIMRFR ri FANOllTS s CESSPOOL / / / SEPTIC TANK & PIT ROOF DRAINS SIGNATURE OF CONTRACTOR OR AUTH0fl1-2ED AGENT <^ SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SIGNATURE OF CONTRACTOR OR AUTH0fl1-2ED AGENT <^ SIGNATURE OF OWNER (IF OWNER BUILDER) ISSUANCE FEE S Z SIGNATURE OF CONTRACTOR OR AUTH0fl1-2ED AGENT <^ SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) tOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATidN ; City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. PhonG 729-1181 Perm it No. JOB ADDRESS ,LEGAL 1DESCR. LOT NO. i BLK. TRACT (•SEE ATTACHED SHEET) OWNER MAIL ADDRESS Il4^ MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. ARCHITECT OH DESIGNER 4 MAIL ADDRESS PHONE ' LICENSE NO. ENGINEER , 5 MAIL ADDRESS PHONE • LICENSE NO. tv. COMPENSATION INS CARRIER BRANCH USE OF E 7 UILDING 8 f Class of work: El* NEW • • ADDITION DALTERATION y • REPAIR 9 Describe work: t^s^Xli SPECIALCONDITIONS APPLICATION ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED is NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONT RACT OR-OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) PERMIT FEES No Each Fee SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF.MAIN SERVICE, SWITCH, FUSE OR BREAKER i m NEW SERVICE ON EXISTING BLDG. FOR EA AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. "SERVICE OVER 200 AMP. PER 100 1 ''. • , • ISSUANCE FEE GO TOTAL FEES •• CO, WHEN PROPERLY VALIDATED (IN.THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION it'" CK. M.O, CASH INSPECTOR LOT BUILDING FOOTINGS FOUNDATION REINFORCED STEEL 77/ Tidil GUNITE OR GROUT SHEATHING FRj^vME '^/A/y^ hdo INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND y-L/CO^d//: WAJER f/o'/v^ PLUMBING UNDERGROUND wdli ltd COPPER Q^^^- TOP OUT ^ h/7<^ U/JL f-f—p —7 TUB AND SHOWER ?/A/'^^AiX- GAS TEST ilnhb hd ELECTRICAL UNDERGROUND ROUGH CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. PIPING HEAT—AIR VENTILATING SYSTEMS FINAL: //A^A P^Jo . Az ^ 5V) 08-16^004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB042381 Building Inspection Request Line (760) 602-2725 Job Address. Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title 2403 EL BOSQUE AV CBAD RESDNTL Sub Type 2550820100 Lot# $79,722 00 Construction Type- Reference #. 0 Structure Type: 0 Bathrooms: WIEST RES-774 SF ADDITION RAD 0 VN Status: Applied Entered By Plan Approved Issued Inspect Area' Ong PC#- Plan Check# ISSUED 06/15/2004 RMA 08/16/2004 08/16/2004 Applicant. MARK MCKINNEY Owner: WIEST RUDOLPH B&ANN C 2403 EL BOSQUE AVE CARLSBAD CA 92009 760 804-1383 Building Permit $469 56 Meter Size Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0 00 Plan Check $305 21 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0 00 Plan Check Discount $0 00 CFD Payoff Fee $0.00 Strong Motion Fee $7.97 PFF $0 00 Park in Lieu Fee $0.00 PFF (CFD Fund) $0 00 Park Fee $0.00 License Tax $0 00 LFM Fee $0.00 License Tax (CFD Fund) $0 00 Bndge Fee $0.00 Traffic Impact Fee $0 00 Other Bndge Fee $0 00 Traffic Impact (CFD Fund) $0 00 BTD #2 Fee $0 00 Sidewalk Fee $0 00 BTD #3 Fee $0.00 PLUMBING TOTAL $104 00 Renewal Fee $0 00 ELECTRICAL TOTAL $20.00 Add'l Renewal Fee $0 00 MECHANICAL TOTAL $43.50 Other Building Fee $0 00 Housing Impact Fee .• $0.00 Pot Water Con Fee $0 00 Housing InLieu Fee $0.00 Meter Size Housing Credit Fee $0.00 Add'l Pot Water Con. Fee $0 00 Master Drainage Fee $0 00 Reel Water Con Fee $0 00 Sewer Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $950 24 Total Fees. $950 24 Total Paynnents To Date $305 21 Balance Due: $645.03 8582 08/16/04 0002 01 02 CGP 645«03 BURTDING PLANS _JL_IN STORAGE ATTACHED ^ I MM. L A Ri Fr SIGI^ATURE A^C>t— PERMITAPPUCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECTINFORMATION i . W^ai^^lT""' FOR OFFICE USE ONLY PLAN CHECK MO. ^Jfl EST. VAL. /f^ %^ Plan Ck. Deposit Validated, Date Jted^y CfTTjA Address (include BIdg/Suite #) Business Name (at this address) 4418 06/15/04 0002 01 02 Unit No Phase NCGpTotal # of uruJ©5»21 P P Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use 2- Proposed Use Descnption of Work 2.tXC0NTACT*fERSdNflf dpereht from-appl'iclntr" SQ. FT. #of Stones tt of Bedrooms tt of Bathrooms Name Address 3Ji^AggyCAN5, , 111 Contractor - ,0 Agent for Contractor City State/Zip '•(lIS.wneiaS'Agen^or. Owner Telephone tt Fax # Name Address City State/Zip Telephone # Name :WQPERTY;OVfNEF~ ..... :. ^ ^iSi^Plfe .Sir^^:'^' /SSf. Iff^.^i^i^^^gfe.^ , -S" "1 Address City State/Zip Telephone tt .5.^ coNTic^-cTOR-'sc'oMPANiMMEv :'•„/ T*:'• •-' -^¥ti..r:^.;,;i;sswffi^i (Sec 7031.5 Business and Professions Code' Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exennption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City State/Zi] City Business License # Designer Name "State License tt Address City State/Zip Telephone mm '%Krf«QRKERS:?;(MBENSATipN. ..;:V, ' • j£; j-jfiiLr^, Workers' Compensation Declaration' I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are Insurance Company .Sy^Tg /^<....o/0 Policy No. /(jto&'y^^ Expiration Date 7— C? 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) • 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred /thousand dollars tM4Q.OOO). In aMitiorUm th^io^ol compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ( ^.-yLoA ^yA-'-^^A^ DATE J^-y.i'-'IV A 7P;. OWNERlBUILDERiDECfARATION; I hereby affirm that I am exempt from the Contractor's License Law for the following reason O 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~l I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 contractorls) licensed pursuant to the Contractor's License Law) • I am exempt under Section Business and Professions Code for this reason. 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement. D YES flNO 2 I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number). 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work)' PROPERTY OWNER SIGNATURE DATE <COMgLEIE|rH!S SECIION F0fl|!P/V-/?fS/£!fiVr/-4ilBUlLDlN^ - .,' , . f, ,' . ' i.^^^, . -... J Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? jZ] YES n NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C] YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT [8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which lhis permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME !9r— LENDER'S ADDRESS APPtlCANTCERTIFICATIONj I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representatives of the CitV 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE 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 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 180 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 penod of 180 days (Section 108 4 4 Uniform Building Code) . APPLICANT'S SIGNATURE DATE WHITE-File YELLOW: Applicant PINK'Finance City of Carlsbad Bldg Inspection Request For 07/28/2005 Permit* CB042381 Title: WIEST RES-774 SF ADDITION Description: Inspector Assignment' JM Type-RESDNTL Sub Type RAD Job Address: 2403 EL BOSQUE AV j (s>J Suite: Lot 0 Location' APPLICANT MARK MCKINNEY Owner: WIEST FAMILY REVOCABLE TRUST 09-04-01 Remarks: Phone: 7603105736 Inspector' Total Time: GD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: ALVIN Entered By: CHRISTINE Act Comment Associated PCRs/CVs PCR04155 ISSUED WIEST RESIDENCE, CHANGE BEAM TO STEEL, JOIST SPACING Inspection History Date Description Act Insp 01/21/2005 27 Shower Pan/Roman Tubs AP JM 12/15/2004 17 Interior Lath/Drywall AP JM 12/03/2004 16 Insulation AP JM 12/02/2004 18 Extenor Lath/Drywall AP PC 12/02/2004 84 Rough Combo AP PC 11/22/2004 83 Roof Sheathing/Ext Shear AP JM 09/22/2004 21 Underground/Under Floor AP JM 09/07/2004 11 Ftg/Foundation/Piers AP JM 09-21-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No:PCR04155 Building Inspection Request Line (760) 602-2725 Job Address 2403 EL BOSQUE AV CBAD Permit Type PCR Parcel No 2550820100 Lot#: 0 Valuation $0 00 Construction Type NEW Reference #. GB04-2381 Project Title WIEST RESIDENCE CHANGE BEAM TO STEEL, JOIST SPACING Applicant BRINKLEY CONSTRUCTION Status. Applied: Entered By. Plan Approved Issued. Inspect Area Owner: WIEST RUDOLPH B&ANN C ISSUED 09/09/2004 MDP 09/20/2004 09/21/2004 760 310-5736 2403 EL BOSQUE AVE CARLSBAD CA 92009 Plan Ctieck Revision Fee Additional Fees $120.00 $0.00 Total Fees: $120 00 Total Payments To Date $0.00 Balance Due: $120.00 1670 09/21./04 0002 01 02 CGP 12G.00 Inspector FINAL APPROVAL Date: Clearance' NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMit APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carisbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. ONLY .'^ Plan Ck. Deposit Validated By. Date Address (include BIdg/Suite #) Business Name (at this address) Legal Descnption Lot No. Subdivision Name/Number Unit No. Phase No Total tt of units Assessor's Parcel # descnption of Work SQ. FT #of Stones tt otl Existing Use f£;i''|cblrjcj PERSON Proposed Use ^Bedrooms tt of Bathrooms Nanne Address City State/Zip WMf^Mx^ cSifS^qr: iQ-Ageft^piatr^ ^EalOwnejic'DSiinf P "Owriil.... . • ?^*1^pi» Telephone # Fax # •'-i, '.1^'' '.W "'^i P^i4f.?, Name Address City State/Zip Telephone tt •: 'sks 'is:*'";' Name Address City State/Zip Telephone tt (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 IChapter 9, commending 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). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # Workers' Compensation Declaration- I hereby affirm under penalty of perjury one of the following declarations. • I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance earner and policy number are- Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERIVIIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS) n 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shail subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE DATE K^fOWNiRpUiiDERpEa^R^iTip^^^ V,43i.#. .2:K::'iU,. » .1...... I^^iife^lii^. ^sfj-,'/''^?^-3 I hereby affirm that I am exempt from the Contractor's License Law for the following reason; n 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). n 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~l I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and matenals for construction of the proposed property improvement. D YES QNO , 2. I (have / have not) signed an application for ,i building permit for the proposed work ^ 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE ;c5MtirE#HisJsEicfjoi^^^ ,. l^ijMn^K. JX3S^S^iJS2Z:L.., -jtSr^" '••''SLv MJsSZZi. Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES • NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 3.:nic^STRUcfioN^ y ^ -"S^ —»i. €v*.."Pf: 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 9i»ftei?tlC*NT'CERTIFlCATI0N! ....•luMSt'''' icW^'-^:-..,-^.,,.. i-a«i»^rsi.u:K."-. ..-:«™N5E™- ->S^IA I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the buildmg 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 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE. File YELLOW: Applicant PINK Finance CB042381 2403 EL BOSQUE AV CBAD WIEST RES-774 SF ADDITION f^ESDNTL RAD Lot# MARK MCKINNEY ID-30-0f. £=<:G-2r CLAI 7(ld-i •X)^fJdT^^Aa^> I •7/''i|05 >^iAA;^ K^Od.^ • VN.'-^i,£>LW>^\fl^ .fCAtTHOEPT .HAZMAT/MR QUAL . OTHER SEWER DJSTTt TO FROM ± T T^SCMOOtfOW* ^^CFOFOai P6aMV»ORKSME<;' BtOG Fees covf. t _ PtAN CORR ^ ESGIL CORR _ FIRE CORR 06-27-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB070362 Bull(ding Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2403 EL BOSQUE AV CBAD PATIO 2550820100 Lot# $6,240.00 Construction Type WIEST RES-416SF DECK 0 NEW Status Applied Entered By. Plan Approved- Issued' Inspect Area Plan Check# ISSUED 02/09/2007 LSM 02/09/2007 02/09/2007 PD Applicant WIEST FAMILY REVOCABLE TRUST 09-04-01 2403 EL BOSQUE AVE CARLSBAD CA 92009 Owner WIEST FAMILY REVOCABLE TRUST 09-04-01 2403 EL BOSQUE AVE CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $76 59 $0 00 $49 78 $0.00 $1.00 $0 00 $0 00 $0 00 $0 00 $127 37 Total Fees $127 37 Total Payments To Date $127 37 Balance Due: $0.00 Inspector FINALAPPROVAL Date 7//4/'7 Clearance NOTICE Please take NOTICE ttiat approval of your project includes ttie "Imposition" of fees, dedications, reservations, or other exactions fiereafter collectively referred to as "fees/exactions" You have 90 days from ttie date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ^-^/)3(^;D EST. VAL. Plan Ck. Deposit Validated By Date Address (include BIdg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No Phase No. Total tt of units Assessor's Parcel # Existing Use Proposed Use escnption of Work SO. FT. pr. tt of Bedrooms tt of Bathrooms Name Address j City State/Zip Telephone # ^ Fax tt Name Address City State/Zip Telephone # Name f^gfMPlCTQR .M'OmMXMMflB Address City State/Zip Telephone tt (Sec. 7031.5 Business and Professions Code' Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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, commending with Section 7000 of Division 3 of the Business and Professions Codel 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). Name State License tt Address License Class City State/Zip City Business License # Telephone tt Address City State/Zip Telephone Designer Name State License # f^iiSlcps'peQiSMSAtw ''L: - . .... -^jM^sir" i.-s:^Fsm Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance earner and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) • 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and sliall subject an employer to criminal penalties and civii fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. , SIGNATURE DATE / N hereby affirm that I am exempt from the Contractor's License Law for the following reason: / O I, as owner of the propeny 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 solc^ithin 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 contractorls) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason. 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement. • YES DNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed_constructjari (includ(iname,/ address / phone number / contractors license number): have contracted with the following person (firm) to provide the proposedconstruction (includ(LPame,/ c 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number). 5. I will provide some of the work, but ljTa;ia.5ontracted (hired) the following persons to provide the work indicated (include name / address / phone number / type if work): V \/PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT JCjOPlBUCBSM.LJp\IMfL<i-.*^3ENj^i'i 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 SiT^iRp/jjlcMf CERjIHJ31BN:..;S5:!ZU..IIJI)l 'Luii'TMSM^^Ml:- 'IT''','""-'iWlu^' :fCir';^Mk:33I I certify that I have read the application and state that the above Information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAV ACCRUE 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 stones 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 authonzed by such permit is not awwTiencedjyithin 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is C9ffim8nced JfTa jjenod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTTON .DATE / &//7 INSPECTOR PERMIT# Q / C>^C^ • PLAN CHECK,# JOB ADDRESS 2^6^ ^ feQS>Qvjg- DESCRIPTION <g^/C • CODE DESCRIPTION ACT COMMENTS 06-07-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Perinit No: CB070675 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2403 EL BOSQUE AV CBAD POOL 2550820100 Lot#- $21,128.00 Construction Type WIEST RES- 556 SF POOL/SPA 0 NEW Status Applied Entered By Plan Approved Issued. FINAL 03/09/2007 LSM 03/30/2007 03/30/2007 Inspect Area: PD Applicant MISSION POOLS OF ESCONDIDO INC Owner WIEST FAMILY REVOCABLE TRUST 09-04-01 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-743-2605 2403 EL BOSQUE AVE CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electncal Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $192 09 $0 00 $124 86 $0 00 $20 00 $27 00 $2 11 9? $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $366 06 Total Fees $366 06 Total Payments To Date $366 06 Balance Due: $0.00 Inspector FINAL ARPROVAL Date n mo'7 Clearance NOTICE Please take NOTICE tlVat approval of your proiect includes ttie "Imposition" of^fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures sel forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure lo timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading orother similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviousiv been given a NOTICE similar lo this, or as to which Ihe statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. d^Ol O0)lS EST. VAL. r??/, f Plan Ck. Deposit Validated Bv ^Aio^^'^ Date Jic//p:3 tL Ss.3a//c. /4i/^^ Address (include BIdg/Suite tt) 1^ Business Name (at thiis address) Legal Description , Lot No. ! Subdivision Name/Number Unit No. T) Phase No. Total # of units Assessor's Parceli Kscnption of Work' Proposed Use SQ. FT. #ot Stories tt of Bedrooms # of Bathrooms 2. '§6:^ti[cjm'^%MM[m ^ili^' "^ne Address , fo^oi^ „ , , _ City Address , J*'-,, F^fiSl|lC§NfTC&ractoWpf:gent>oVJip®^- 'WS^'' ' Q^AfStl^r Owne^^i; 7a , 5/^7 Cl Name \ iPRjOTERTYjqWNEBai:* State/Zip City State/Zip Telephone # Telephone # Fax # Name Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code; Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Seption 703V5 by any applicantfpr a permit subjects the applicant to a,civil penalty of not more than five hundred dollars [$50Ql)y!.>o — Name Address Tity State/Zip Telephone # ' ''-^ ^* Name Address State License # i3/^C^7 License Class J'^ Ity State/Zip Telephone # City Business License tt ?' / ^P€rC^ Designer Name State License # Address City State/Zip '•TjMk&^-'^A'SkiiM-,'''' Telephone Workers' Compensation Declaration: I hereby affiim under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance pf the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My worker's compensation insurance earner and policy number are- '\y -rJj , i « /• ^ insurance Company 0^W^/Tt Poli^rfev/Z.^ IH^^/0(^3d/Qf Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) CD CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar^$ 10O.QflO), in addition to<(fle cost ofj:om^n^tion. damages as provided for in Section 3706 of the LaBor code, intgiest and attorney's fees. SIGNATURE ^/<^:^^<of:7^/;![^ yj^o^A^^fy*^ DATE Sj'^10/ I hereby affirm that I am exempt from the Contractor's License Law for the following reason- Q 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). O 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 contractorls) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1, I personally plan to provide the major labor and matenals for construction of the proposed property improvement. O YES I~|N0 2, I (have / have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number). 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE sis. .• fm-'SMi. ,COMffiTJ|K|IJ%jSj!RIIS^ „ , Ja (iSMu,:.': ..Z. Z'''Z^Z fm:%.r':iid- .TZmu Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES C] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^^mmmm^mMm^r.:.jmi:Z.. .LZJZ..^^^^^.ZZZLZ•rv:iSL--, 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 NAIVIE LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITV OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE 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 stones in height. EXPIRATION Every permit issued by the building Otficial 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 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is coip^enced fat a penod of 180 dajl (Section 10S 4 i Uniform Building Code) / / 3/<^/An APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK- Finance UNSCHEDULED BUILDING INSPECTION DATE -TMrs-^^ PERMIT# O^OC^^^ JOB ADDRESS INSPECTOR PLAN CHECK # DESCRIPTION CODE DESCRIPTION ACT COMMENTS ffsspection List Permit*: CB070675 Type: POOL WIEST RES- 556 SF POOUSPA. Date Inspection Item Inspector Act Comments 06/22/2007 55 Fence/Pre-Plaster PD AP check alarms at final 05/18/2007 23 Gas/Test/Repairs JM AP EQUIP ONLY 05/18/2007 52 Underground Plumbing JM AP 05/18/2007 53 Electric/Conduit/Wiring JM AP 05/02/2007 51 Excav/Steel/Bonding/Fence PD AP 05/01/2007 51 Excav/Steel/Bonding/Fence PD CO ON CARD 04/30/2007 51 Excav/Steel/Bonding/Fence PD CO FENCING A^ Friday, July 13, 2007 Page 1 of 1