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HomeMy WebLinkAbout2404 EL BOSQUE AVE; ; VARIOUS; PermitMODEL' Nu. • BUILDING PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No <Z JOB ADDR ESS 2494 H B(£5qt^ iom*, Carlsbad ASSESSOR'S PARCEL NUr^BER ' , U E CAL I DESCR 11$ (Q^SEE ATTACHED SHEET) MAI L ADDRESS 2 Pmderosa Hcffl&s, 140 toiuc men Dr.» *104, Solsm B^di» Ga. 9207S 755-S7S6 CON TRAC TOR MAIL ADDRESS STATE LIC. NO. 269SS2 CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO 4 J^tes, Bass^iiBn ^ Ft!l£ax^;» 3749 €m^v& Dr. t^s^rt: ^ac^ 32660 752^^24 CSBS ENGINEER MAIL ADDRESS 5 mds: Bs^neeriaa* 3620 Friars M., S.IX 91110 PHONE LICENSE NO SOB 9416 COMPENSATION INS. CARRIER MAI L ADDRESS 6 Ifee Ei^lc^^ Self Ins,, 4OS0 Sal^re Blvd. UA. Sfl^Sl USE OF BJILDING 7 siogle fesily w/gara^ NO. BDRMS_ NO. BATHS. z 8 Classofwork KNEW •ADDITION • ALTERATION • REPAIR • MOVE • REMOVE 9 Describe work rt^itotial Wim 124 Ol 10 Change of use from Change of use to 11 Valuation of work $ '"/'A ^AA / • PLAN CHECK FEE S ^Z''^ PERMIT FEE S /Z) A SPECIAL CONDITIONS Type of 'T*^'" t , Const J^,^ Occupancy^^*-^ MICRO FILM FEE Type of 'T*^'" t , Const J^,^ Occupancy^^*-^ MICRO FILM FEE Size of Bldg ^ •^'r^', (Total) Sq Ft /J // No of / Stories / Max Occ Load Size of Bldg ^ •^'r^', (Total) Sq Ft /J // No of / Stories / Max Occ Load Fire "x-* Zone use I'J i Zone /v. " / Fire Spnnklers Required Qves DNO APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED FjOSjlS'SUANCE BY .•••ATE " Fire "x-* Zone use I'J i Zone /v. " / Fire Spnnklers Required Qves DNO APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED FjOSjlS'SUANCE BY .•••ATE " No of / Dwelling Units jf OFFSTREET No. Covered PARKIN(3,SPACES Sq. Ft. ^ / yiOpen 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % WATER DEPT. r 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 EXAI^INED 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. z '...AA,'-^.-- / % 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 CASH ..I t-J TOTAL FEES $ INSPECTOR INSULATION CERTIFICATION Thisis 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 0 ^ ^'^ Bosque Aveiiue, Carlsbad, California , EXTERIOR WALLS Owens-Corning and ^Friction ' Manufacturer Johns-Manvilie Thickness/Type 3i" Fit BELOW ,, R-Value I I !• CEILINGS Owens-Corning and : Batts: Manufacturer Johns-ManvilleThickness/Type ^" ; Blov;n : . Manufacturer Thickness/Type Wt./Bag Friction 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 LICENSE #_ DATE SCHMIDy INSULATION CONTRACTORS, INC. LICENSE # 221517 C-2 TITLE Vice President DATE Inoulotlon Nomlnol Idonillllcallon onlv R Thlchnepo Strlpo 2V2" il em SVs" III BW MM IMM fififi find UUU OUti i • I' ' > ' ' , "^Z i'z- 'J ^ Z'f" fZi'xZ'"'• MECHANICAL PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. o T.4 2 m > a o JOB ADDR ESS . LEGAL 1DESCR. 125 (I Is EE ATTACHED SHEET) MAI L ADDR ESS CONTRACTOR A mi^, 140 "msm vjm ms., mm. mmk mm 9270s 275-1852 MA I L ADDRESS LICENSE NO 'KMEgMR <3mnmm5. 2333 vimmi. im 92025 746-5700 15861^ 10774 ARCHITECT OH DESIGNER MAIL ADDRESS LICENSE NO. ENGINEER MAIL ADDRESS LICENSE NO MAI L ADDRESS USE OF BUILDING 8 Classofwork: IS NEW •ADDITION •ALTERATION • 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. Bollers-H P. Ea Gas Fired AC Units-Tonnage Ea. Forced Air Systems—B T.U g{) M Ea m 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 Heaters.-B T U M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS 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 IS 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 IS 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 IS 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 IS 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 IS 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- CFM NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS 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 IS 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 IS 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 IS 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 IS 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 IS 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 IS 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. SIONiTUBE OF COTNTRACTOR OR AutFlOrtTZEO AGENT TDATfe)"*' SIGNATURE OP OWNER (IP OWNER BUILDER) (DATE) SIONiTUBE OF COTNTRACTOR OR AutFlOrtTZEO AGENT TDATfe)"*' SIGNATURE OP OWNER (IP OWNER BUILDER) (DATE) PERMIT $ SIONiTUBE OF COTNTRACTOR OR AutFlOrtTZEO AGENT TDATfe)"*' SIGNATURE OP OWNER (IP OWNER BUILDER) (DATE) TOTAL FEE $ X m. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR •^^.V " t. , .7.. -j^'sr;- PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 - ~ m3*ffi«***2^t} Applicant to complete numbered spaces only. Phon© 729-1181 Pefmit No. JOB ADOR ESS ,LEGAL IDESCR 1^ D'WIJIER I MAIL ADDRESS. 7"^j ZIP~7, /% ' , PHONE COUTRAC TOR MAI L ADDRESS 7 MAI L ADDRESS 1 PIHON E STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER LICENSE NO ENGINEER MAI L ADDRESS LICENSE NO COMPENSATION fNS CARRIER MAIL ADDRESS USEOFI^BUI^DING / ' Ki6\Z\(0ZA^ 8 Classofwork ••i^NEW ^ •ADDITION •ALTERATION • REPAIR 9 Describe work nU.tf^QllU 7 PERMIT FEES No Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) / BATHTUB LAVATORY (WASH BASIN) .3 ti:J / SHOWER / :->^ / KITCHEN SINK & DISP / 5T> 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 / APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE: / WATER HEATER / it? 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 86 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 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 86 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 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 86 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 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 86 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 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 86 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 / 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 86 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 PIPING & 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 86 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 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 86 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 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 86 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 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 86 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 '/ SEWER NIIMRFR ri FANniiT.q 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 86 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 CESSPOOL 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 86 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 SEPTIC TANK & PIT 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 86 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 ROOF DRAINS SIGNATURE OF CONTRACTOR O^AuTHDRlZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) ISSUANCE FEE $ SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TOTAL FEES $ 2:/ WHEN PROPERLY VAUDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M O.' CASH PERMIT VALIDATION CK M.o. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION'-^ t No. ,7^' City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. PhOfl© 729-1181 Perm i JrK>£^^:i JOB ADDRESS .LEGAL 1DESCR. LOT NO. MB (•SEE ATTACHED SHEET) MAIL ADDRESS OWNER CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY LIC.-NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. ENG INEER MAIL ADDRESS LICENSE NO. COMPENSATION INS CARRIER MAIL ADDRESS USE OF BUILDING 8 Classofwork: 13 NEW •ADDITION DALTERATION •REPAIR 9 Descnbe work. mm^^^l C^gfe© «f sm&C^iS^ PERMIT FEES No. Each Fee SPECIALCONDITIONS. SWIMMING POOL WIRING, NO INCREASE IN SERVICE SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 100 m NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 100 m APPLICATION ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 100 m APPLICATION ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER 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. 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. NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER 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. 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. REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA AMPERE OF INCREASE 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. 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. TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. 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. 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. TEMP, SERVICE' OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) ISSUANCE FEE % ^.^^^ m SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TOTAL FEES m WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,. "|fri;<,,. .... INSPECTOR LOT /jJ^S BUILDING FOOTINGS ^ FOUNDATION \ VQ2 . / REINFORCED STEEL j //<C, j 7/f MASONRY GUNITE OR GROUT SHEATHING 9//A^ kd FRA.ME d/3/74 INSULATION 7/2/d EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND Vl./CO'ddpc WATER f/d/ PLUMBING UNDERGROUND 7"/-7^ COPPER A- >v^^W TOP OUT Sluh^ ~kd^ TUB AND SHOWER fd/'i^f GAS TEST ^I line, ELECTRICAL UNDERGROUND ROUGH fdd/fd CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. PIPICG^'^ HEAT--AIR VENTILATING SYSTEMS FINAL: \Jn I hereby affirm that I am licensed under FPQvlslons of Chapter 9 (commencing with - Sectlon-7000) of Division 3 of the Business and Professions Code, and my license is m full force and effect Uc No Class I hereDy affirm that I am exempt from lhe Contrac- tor's License Law tor the following reason (Sec 7031 5 Business and Professions Code Any city or county whicfi re- quires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance also requires the ap plicant for such permit to Me a siqned statement that he ts licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex-empt therefrom and the basis tor the allegeo exemption Any violation of Section 7031 5 by an applicant for a permit sub lects the applicant to a civil penalty of not more than five hun- dred dollars ($500) n I, as owner of the property, or my employees with wages as their sole compensation will do the work and the struc- ture IS not intended or offered for sale (Sec 7044 Business and Professions Code The Contraclor s License Law does not appiy 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 intend- ed or offered for sale If, however the building or improve; ment is sold within one year of completion, Ihe owner-builder will have the burden ot proving that he did not build or im-prove for the purpose of sale) • I. as owner of the property, am exclusively contracting with licensed contraclors lo construct the protect (Sec 7044, Business and Professions Code The Conlractor s License Law does not appiy to an owner of property who builds or im- proves thereon, and who contracts for each projects with a conlraclor(s) hcense pursuant to the Contractor s License Law) • As a homeowner 1 am improving my home, and the follow ing conditions exist 1 The work is being performed prior to sale 2 I have lived in my fiome for twelve months pnor lo completion of this work 3 I have not claimed this exemption during lhe last three years B&PC • I am exempi under Sec , for this reason Q I heieby affirm thai 1 ha^e a certificate ot consent to self insure or a certificate ot Workers Compensation Insurance or a certified copy thereof (Sec 3800 Labor Code) POLICY NO COMPANY Copy IS hied with the city Q Certified copy is hereby furnished CERTIFICATE: OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (J100) or less) • I certify that in the perlormance of the work tor which this permit is issued I shall not employ any person m any manner so as to become subject to the Workers Compensation Laws of California NOTICE TO APPLICANT If after making this Cerli ficate of Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth*ith - comply with such provisions or this permit shall be deemed revoked Q I hereby affirm that there is a construction lending agency for the perlormance of the work (or which this permit is issued (Sec 3097 Civil Code) Lender s Name Lender s Address . USE BALL POINT PEN ONLY & PRESS HARD «c ^ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. OWNER'S PHONE , :^Bh^/^A-'^'''•'z.zZ--^ ^'^ :,. • \ z •. ZATZJZzA^^ CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. California 92008-1989 (619) 436-5525 APPLICATION & PERMIT JOB AOORESS AV, ST'flD NEAREST CROSS ST. .'4S./v^ Tz. SUBOt VtSUON , ASSESSOR PARCEL NO CENSUS TRACT GP LAND USE PARKING SPACE ni I IK II DI KI/-> r-»i—ri»*i-r rLuiviDiivvj'rizr-^ivii i EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAI. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING OATE QF APPlltCATION CONTRACT.OR CONTRACTOR'S At30RESS 7 'r"^J^M:^4C^: DESIGNER.. OeSlGMEBS APUBESS.|!";t,r F/P F LR ELEV RES UNITS GRADING PERMIT ISSUED V • N • OTY t ELECTRICAL PERMIT - ISSUE MCi^/u rn^jCT F rt A MP.'^.'A'T/P. R 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR I PH 3 PH REMODEL/ALTER PER CIRCUIT TEMPPOLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL titi -51 REDEVELOPMENT AREA YQ ND INSTALL FURN DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL NO STORIES TYPE CONST BUSINESS LICENSE # ^CONTBACJpJlS PHONED LICENSE Mo LPCErJSE f DESIGNER'S'PHONE ' FIRE SPR VALUATION PLAN I O # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUILDING SO ROOTAGE /Vof yalid Unless Machine Certified BUILDING PERMIT 01-00-00-8220 SIGN PERMIT 01-00-00-8221 PLAN CHECK 52.1^$- j^gC oZ-CB-Oo/a^ TOTAL PLUMBING 01-00-00-8222 QTY SOLAR - ISSUE rniIcrrnDc STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR ii5HAfcE"0|f^EF4l#feMf|EplT^ :-gBRfiFY:' {jrfB|#PBNlE&^e. BlMuR.Y*fH»e^^l;LJMF6RSf*TloHWEhE0^rJ THE- ^ISsiEtt•Tl^'•C0MPL%W^J•rtALt•|;JWY;QbUW^^ STATE.LAWSB'C|$RNfNe-BaiLD«e^CON5 'SlBUtfTION-,SjyS6tHER>VtoFIED^Bffiatet>B''tet- I ALSd'ASReeiT(f«AVe1t)PeMN'lFY ANO ..KEEVH^FiMLEfS-frtB.SF#0P eAptSBAO A6l»fef-AM.,0ABtUTIES}^ -gcPENSESfWHtbA'-MAY l^-ANYSlAf'ACCFftjIiAHAIHet SAIBJOITY 4M|eOdSEC!UENCE- Oi? •-•(IflAWflNS pETfilSpiRftlf|r.'-*4»K ""l-I f^' '-''#4C'T'-'- r Z"'- ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOLAR 01-00-00-8226 STRONG MOTION 80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8933 BRIDGE FEE SLMUUL l-tt - UlblHILI Carlsbad 80-92-21-0519 Encinilas 80-92-22-0519 San Dieguito 80-92-23-0519 San Marcos 80-92-24-0519 LICENSE TAX 01-00-00-8162 CREDIT, DEPOSIT TOTAL FEES PAYABLE pecmli ror if, th'f, bu»%f}a ""m. w«j('«ui«brrs!eaf'by>ul;C:ii3Si;rnfl'.!S iuspended'of > abaniiontfCatah^ tim& afttf>4rhe woA'is a#nnie'iwia''fotypeodd oWSO tats?-" AND" THE APPLIg iZz^^ZAAA^^^^A" •" f^iz^.0^°^ APP'HOVED BY . TYPE 1 ' DATE INSPECTOR BUILDING 1 FOUNDATION ^'^.^ 1 /) -V REINFORCED STEEL f ^ [MASONRY 1 GUNITE OR GROUT | FLOOR & CEILING SUB FRAME [ SHEATHING • ROOF • SHEAR FRAME 1 EXTERIOR LATH ' 1 INSULATION 1 INTERIOR LATH & DRYWALL \ 1 PLUMBING ! SEWER AND BUCO DIPUCO | /I UNDERGROUND WASTE §1 WATER / TOP OUT • WASTE • WIATER 1 TUB AND SHOWER PAN \ GAS TEST 1 • WATER HEATER • SOLAR WXTER 1 ELECTRICAL ' • ELECTRIC UNDERGROUND • jUFFER ROUGH ELECTRIC | f • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL i f 1 MECHANICAL i • DUCT & PLEM , • REF PIPIf^G HEAT — AIR COND SYSTEMS i 1 VENTILATING SYSTEMS ' 1 1 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE FINAL 1 PLUMBING "\ 1 f\ ELECTRICAL [ J) MECHANICAL \ i I GAS \; BUILDING 1 / 1 SPECIAL CONDITIONS i 1 • • 1 FIELD INSPECTION RECORD REOUIRED SPECIAL INSPECTIONS INSPECTORSNOTES INSPECTION REO IF CHECKED INSPECTOR S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI - PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSOfMS > - • - • \ -• 08-12-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB032122 Building Inspection Request Line (760) 602-2725 Job Address' Permit Type: Parcel No: Valuation: Reference #: Project Title: 2404 EL BOSQUE AV CBAD MISC Subtype: 2550810300 Lot#: $7,868.00 GAINES RESIDENCE 28 SQUARES EAGLELITE TILE REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/31/2003 MDP 07/31/2003 07/31/2003 JM Applicant. PRENTICE ROOF CO Owner: GAINES RICHARD A&SHELLEY A 2917 ANAHEIM ST ESCONDIDO CA 92025 760 737-9636 2404 EL BOSQUE AVE CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $141.00 $0.00 $0 00 $141.00 Total Fees: $141.00 Total Payments To Date: $141 00 Balance Due: $0.00 Inspector: Clearance: NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other 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 ol limitations has previously othenwise expired PERIVIIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL Plan Ck. Deposit Validated By Date 3. 'Z-l-LZ- Address (include BIdg/Suite tt) Business Name (at this address) Legal Descnption Lot No. Subdivision Name/Number Unit No Phase No. Total # of units Assessor's Parcel # Proposed Use Descnption of Work #of Stones # of Bedrooms # of Bathrooms \l^-U^ ^^^jp C-Mjics- \ ^ ^ Name Address City State/Zip 'telephone # Fax # game C4((H^ ^^^^TTgs^ '^^^^^^^^^^Z^FT~A^ wmm^immmz*^"-'- ^Az{.i&*mMzmAMAM i^** mzm^:^' mrhmMM*zsmiz:''ZiZiiiz^- "-uii n-'-z^zmz (srlil/<L^ 3iy-yv«r Name % Name Address City State/Zip Telephone # (Sec. 7031.5 Business arid 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 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 f)ve hundred dollars l$500)). Pi^rK cA i^pr <^. Name , State License # Ili'^CL-n' Address License Class City State/Zip Telephone tt City Business License # /""T^l 'Z^~^'^ Telephone Designer Name Address ' City State/Zip State License tt Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations: IZI 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. VQ I have and will maintain workers' compensation, as required by Section 3700 ot the Labor Coda, for the performance of the work for which this permit is Isi^ed. My worker's compensation insurance earner and policy number are: / i Insurance Company 01 W{ CfhD { BettgyNo. C/glA/jX l^-^^113>Afe:gS: Expiration Date 4 jlyCn-f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) « l~l CERTIFICATE OF EXEMPTION: I certify that in tho parformanca of tha 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 ($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 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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) D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 materials for construction of the proposed property improvement. C] YES (~lNO 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): V 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 3:oMi>tETJfTMssECTibN;^^^ 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? O YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? • YES C] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • 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. I hereby affirm that there is a construction lending agency for the performance ot the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS_; 'lit'-^eiiG^iNTCERTllCATIftN'^ "•.:{Z Z'iZ^ZZ^^^ZZh.^t'! ^ T'-V 7'krt..ik ••^•".•^•T' ' .ZZ!?^ .Z^Z-. •''"^ 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 tha CitV of Carisbad 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 authorized by such permit is noJ^cJBrlsmenced witiiinJSO days from the date ot such permit or if the building or work authonzed by such permit is suspended or abandoned at any tin- iMer the work is c^menceditfpa (ier^^flSO days (gsetien 106 4.4 Uniform Building Code) / f APPLICA - SIGNATURE/ \AZ ( )AL ^ DATE ^ 13 ( J& YELLOW; Applicant PINK: Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: ^64 7^<y3(^^ 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL , 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Q 2 Z 5. TYPE OF EXISTING ROOF COVERING^^^SHEATHING / >c4 *6. NEW ROOF MATERIAL 776^ CLASS/( WEIGHT PER SQUARE 7' 7. -NUMBER OF SQUARES ^ 8. TRADE NAME (^1(4^ Tit^ MANUFACTURER ^Crt^<-LP^ 9. ROOF SYSTEM LISTING UL No._ ICBO No. ^LOp 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-lnspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ( ^d \7yC Date ^/^t^ Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 08/12/2003 Permit* CB032122 Title: GAINES RESIDENCE Description: 28 SQUARES OF MONIER LITE TILE Inspector Assignment: JM Sub Type- REROOF 2404 EL BOSQUE AV Lot 0 Type: MISC Job Acjdress: Suite: Location: APPLICANT PRENTICE ROOF CO Owner: GAINES RICHARD A&SHELLEY A Remarks: Phone: 7607379636 Inspector: 3^ Total Time: CD Description 19 Final Structural Requested By: CHRIS Entered By: ROBIN Act Comment 1 £4 A4 ^M.w^ Associated PCRs/CVs Inspection Histop/ Date Description Act Insp Comments 08/01/2003 15 Roof/Reroof AP JM OK TO COVER 12-01-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB062494 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation' Occupancy Group # Dwelling Units Bedrooms Project Title 2404 EL BOSQUE AV CBAD RESDNTL Sub Type 2550810300 Lot# $86,498 00 Construction Type' Reference # 0 Structure Type 0 Bathrooms GAINES 585 SF ADDITION FAMIL RAD 0 VN Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# ISSUED 08/30/2006 JMA 12/01/2006 12/01/2006 ROOM & EXTEND MASTER,124 SF REMODEL OF EXISTING Plan Check# Applicant JULIAN ORTEGA 3333 CAMINITO EAST BLUFF LA JOLLA, CA 92037 858-354-6458 Owner GAINES RICHARD A&SHELLEY A LIVING TRUST 05-27-05 2404 EL BOSQUE AVE CARLSBAD CA 92009 Building Permit $496 51 Meter Size Add'l Building Permit Fee $0 00 Add'l Reel Water Con, Fee $0 00 Plan Check $322 73 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 $8 65 PFF (3105540) $0 00 Park in Lieu Fee $0 00 PFF (4305540) $0 00 Park Fee $0 00 License Tax (3104193) $0 00 LFM Fee $0 00 License Tax (4304193) $0 00 Bridge Fee $0 00 Traffic Impact Fee (3105541) $0 00 Other Bndge Fee $0 00 Traffic Impact Fee (4305541) $0 00 BTD #2 Fee $0 00 Sidewalk Fee $0 00 BTD #3 Fee $0 00 PLUMBING TOTAL $27 00 Renewal Fee $0 00 ELECTRICAL TOTAL $20 00 Add'l Renewal Fee $0 00 MECHANICAL TOTAL $24 00 Other Building Fee $0 00 Housing Impact Fee $0 00 HMP Fee $0 00 Housing InLieu Fee $0 00 Pot Water Con Fee $0 00 Housing Credit Fee $0 00 . Meter Size Master Drainage Fee $0 00 Add'l Pot Water Con Fee $0 00 Sewer Fee $0.00 Reel Water Con Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $898 89 Total Fees $898 89 Total Payments To Date' $898 89 Balance Due: $0.00 BUILDING PLANS A IN STORAGE ATTACHED Inspector' Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other 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 ot limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 0624201-1 0018 08/30/2006 001 FOR eim»iajsra@su«9 PLAN CHECK NO. <^-66^ EST. VAL ^_ Plan Ck Deposit ^ ZLS^ ' I ^ Validated By v^i lrW\ Date ^3C>[t^i^ 1. PROJECTINFORMATION . _ „ i f^^A>^ t^4^ Av^ Address (include BIdg/Suite #) . "T Business Name (at this address) Legal Description . I _ Lot No Assessor's Subdivisj Assessor's Parcel # f • fl k i ExistingJJse Descnption of Work SQ FT. lame/Number Unit No i Ptiase NOi p Total # of units Proposed Use # of Stones # of Bedrooms # of Bathrooms :^2. CONTACT PERSON (if drfferent from applfcant) Name is! APPLICANT _ City • Owner State/Zip Telephone # ^^i^ Agent )or_Owner Address D Contraclor Ej Agent tor Contractor „ _ _ „ State/Zip' Name Address #/{g»7 City Telephone # 14. PROPERTY OWNER ' _1 1 \ V "Z KirAAiiAt Af4£uj^.v<s,Af^ieA 24^^ (^f((^s>l^o/o^- A7^)^M' a\7a Name Address City State/Zip Telephone* i^5.~ CONTRACTOR-ra^ Z_ '~IZZZ'\. -I . . . T/ _ ll-,^.^ ^ _^ ^ „ -7 J (Sec 7031 5 Business and Protessions Code Any City or County vi/hich requires a permit to construct, aitei, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to die a signed statement that tie is licensed pursuant to the provisions ol the Contractor's License Law [Ctiapter 9, commending with Section 7000 ot Division 3 of the Business and Prolessions Code] or that he Is exempt therefrom, and the basis lor 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 [$500]) Name State License # Address License Class. City State/Zip City Business License #. Telephone # Designer Name State License # Address City State/Zip Telephone # 6. WORKER'S COMPENSATION _ Workers' Compensation Declaration' I hereby affirm under penalty ol perjury one of the following declarations • I have and will maintain a certificate of consent to self-msure for workers' compensation as provided by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued • I have and will maintain worker's 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF T'HE PERMirr IS FOR ONE HUNDRED DOLLARS [$100] 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 ol California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crfmlhal penalties and civil fines up to one trundred thousand dollars($100,000), in addition to the cost of compensation, damages are provided lor in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE DATE 7. OWNEH-BUIUjEB DECLARATION I hereby affirm that I am exempi from the Contractor's License Law for the foiiowing reason • I, as owner of the property or my employees with wages as their sole compensation, will d 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 11, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ot 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 proiect (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner ot property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) • I am exempt under Section Business and Professions Code for this reason, 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement • YES • NO 2 I (have/have not) signed an application for a building psrmit for the proposed work 3 I have contracted with tha 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 follovuing person to coordinate, supervise and provide the major work (include name / address / phone number / /ontractors license number) 5. I will provide some ol the work, but I have contracted (hired) the following persons to provide the work indicated (include nama / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Iress (iiiclude Bldq/Suite #) ', Address (iiiclude BldgSuite #) uAi-^r^k^P ,f/5y Business Name (at this address) Legal Desgnption Lot No Subdivision Name/Numtier Unit No^ Phase No Total # of units Assessors parcel # Existing Use Proposed Use Descnption of Wori< SQ FT # ol Stones # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from .applicant) ipiicant) // -h, A In I la. fim (S^) ^^^-6 if% ' State/Zip Telephone # ^ Agent for Owner Name 3 APPUCANT Address D Contractor • Agent for Contractor City • Owner Fax# Name 4 PROPERTY OWNER Address City State/Zip Telephone # r OWNER , ' Address Qty State/Zip ^ Telephone# Name ' Address 5 CONTRACTOR-COMPANY NAME (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 Secton 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 ol 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 ' Slate License # Address License Class f^"/ City State/Zip City Business License #. Telephone # Designer Name State License # Address City State/Zip Telephone # 6 WORKER'S COMPENSATION 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 vrark for which this permit is issued Sr—' 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 vrarkers compensation insurance camer and policy numberare . _. ^/ / OHC'OQi^Y??- Expiration Date ^/oiMcol Insurance Company _ Policy No Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IP THE PERMrT IS FOR ONE HUNDRED DOLLARS [$10iq OR LESS) • CERTIFICATE OF EXEMPTION I certify that in the perfomiance 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 Wori<ers Compensation Lavra of Califomia WARNING Failure to secun/wot|<j:»' compensation coverage Is unlawful, and shall subject an employer ito criminal penalties and civil fines up to one hundred thousand dollars($100,000), in additim to^^os^:^compensatlon, damages are provided for in Section 3706 ofthe Labor Code, interest and attomeyls fee^ SIGNATURE •j^P'^Zj J> DATE ty^l/Ob 7 OWNER-BUILDER'oEct^RATION ' I hereby affirm that I am exempt from the Contractor s License Law lor the lollowing reason • I, as ovmer ol the property or my employees with wages as their sole compensation will d the vrark and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does suoh vrark himself or through his ovm employees, provided that such improvements are not intended or offered for sale If, hovraver, the building or improvement is sold within one year ot completion the owner-builder wnll 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 Preilessions Code The Contractors License Law does not apply to an owner of property vi/ho builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors 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 fbr construction of the proposed property improvement • 'yES ONO 2 I (have/have not) signed an application for a building permit for the proposed vrark 3 I have contracted with the following person (firm) to provide the propased construction (include name / address / phone number / contractors license numtier) 4 I plan to provide portions of the vrark, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ /ontractors license number) 5 I vnll provide some of the work, but I have contracted (hired) the following persons to provide the vrark indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE RIe YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 [COMPLETE THIS SECTION FOR WOAf-flES/OEAfTML BUILDING PERMrrS ONLY _ , ^ _ _ _ _ _ _ ^ j Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf • '/ES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site"' • 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 8~ CONSTRUCTION LENDING AGENCY ~ ^ _IJ Zl L _ Z- Z II ~ ~J I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER'S NAIVIE LENDER S ADDRESS S 7_APPUCANTCERflFIC>TipN_ 1" ' _„ " ~ 1 . 1 . _ ' Z Z1.ZZ..Z. ^ , ^ 1 _ I 11-Zl^ I certify that I have read the application and state that flie above information is correct and that the information on the plans is accurals I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRAN IING OF THIS PERMIT OSHA An OSHA permit is required for excavations of S'O" 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 authorized by such permit is not commenced within 180 days from the date of such permit or il the building or work authonzed by such parmit is suspended or abandoned at any time after tha work is commenced for a penod of 180 days (Section 106 4 4 Uniform Buildinq Code) APPI ICANT R Slr^NATI IRF X/ X.^rz:g>ag^ DATE City ofCarlsbad Bldg Inspection Request For 07/27/2007 Inspector Assignment JM Permit# CB062494 Title GAINES: 585 SF ADDITION: FAMIL Description ROOM & EXTEND MASTER,124 SF REMODEL OF EXISTING Sub Type RAD 2404 EL BOSQUE AV Lot 0 Type RESDNTL Job Address Suite Location Insps' OWNER GAINES RICHARD A&SHELLEY A LIVING TRUST 05-27-05 Owner GAINES RICHARD A&SHELLEY A LIVING TRUST 05-27-05 Remarks Phone 7609087689 Total Time CD Descnption 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By WAYNE Entered By JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# PCR07019 ISSUED GAINES RES-CHANGE FROM, RAFTERS TO TRUSS'S Inspection History Date Description Act Insp Comments 04/23/2007 17 Interior Lath/Drywall AP PD 04/23/2007 18 Exterior Lath/Drywall AP PD 04/17/2007 84 Rough Combo AP JM 03/29/2007 14 Frame/Steel/Bolting/Welding CO JM STRAPS 03/29/2007 24 Rough/Topout AP JM 03/29/2007 34 Rough Electric CO JM COMPLETE ROUGH 03/29/2007 44 Rough/Ducts/Dampers CO JM 02/27/2007 13 Shear Panels/HD's AP JM 02/27/2007 17 Interior Lath/Drywall WC JM 02/15/2007 15 Roof/Reroof AP JM OK TO COVER 01/26/2007 11 Ftg/Foundation/Piers AP JM 01/26/2007 14 Frame/Steel/Bolting/Weldirig WC JM 01/23/2007 21 Underground/Under Floor AP PC Special Inspections Unlimited, Inc Sll 10444 Flanders Cove San Diego, CA 92126 o . (619) 261 -0984 Phone/Voice Mail SPECIAL INSPECTIONS UNLIMTCD {858)693-3211 Fax Special Inspection Agency / Construction Materials Testing Laboratory Final Report DATE 5/17/07 TO Building Official City of Carlsbad ATTN Tim Phillips 1635 Faradav Avenue Carlsbad, CA 92008-7314 SUBJECT SATISFACTORY COMPLETION OF WORK REQUIRING (PLEASE CHECK AS APPLICABLE) SPECIAL INSPEC TION Q CONSTRUCTION MATERIALS TESTING PERMIT NO CB062492 PLAN FILE NO PROJECT ADDRESS 2404 El Bosque Avenue. Carlsbad. CA 92009-9106 ^^^^The special Inspection services were provided by SPECIAL INSPECTION AGENCY SPECIAL INSPECTIONS UNLiMnEP. INC ADDRESS 10444 Flanders Cove. San DICKO CA 92126 SPECIAL INSPECTOR'S NAME (TYPE OR PRINT) SALVADOR BURROLA (each special mspector is reqmred to complete and submit tins Final Report form) SPECIAL INSPECTOR'S CERTIFICATION NUMBER # 500 EXPIRATION DATE 12/31 /07 I I The construction matenals testing were performed by TESTING LABORATORY ADDRESS RESPONSIBLE MANAGING CIVIL ENGINEER OF THE TESTING LABORATORY (MR /MS ; STATE OF CALIFORNIA REGISTRATION NUMBER EXPIR,ATION DATE COMMENTS FINAL REPORT FOR REOUIRED SPECL4L INSPECTION PER PLANS FOR EPOXY ANCHORS INSPECTION I declare under penalty of perjury that, to the best of my knowledge, all the work requmng special inspection and/or matenal sampling and testing for the structure/s constructed undei the subject permit is in conformance with the approved plans and construction documents, the approved mspection and testmg program and the applicable workmanship provisions of the California Building Code as amended by The City ofCarlsbad Executed on this ITlh da\ of May / 2007 Signature MONTH YEAR (SPECIAL INSPERCTOR OR RESPONSIBLE MANAGING CIVIL ENGINEER AS APPLICABLE) 07-31-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit NO.PCRO7019 Building Inspection Request Line (760) 602-2725 Job Adciress 2404 EL BOSQUE AV CBAD Permit Type PCR Parcel No 2550810300 Lot # Valuation $0 00 Construction Type Reference # CB062494 Project Title GAINES RES- CHANGE FROM RAFTERS TO TRUSS'S 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/25/2007 LSM 01/25/2007 01/25/2007 Applicant Owner JULIAN ORTEGA GAINES RICHARD A&SHELLEY A LIVING TRUST 05-27-05 STE 167 333 CAMINITO EASTBLUFF 2404 EL BOSQUE AVEE LA JOLLA 92037 CARLSBADCA 92009 858 354 6458 Plan Check Revision Fee $0 00 Additional Fees $0 00 Total Fees $0 00 Total Payments To Date $0 00 Balance Due SO 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days fiom 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 lor 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Address (includeBldg/Suite #) T FOR OFFICE USE ONLY PLAN CHECK NO. f<1^01-i9 EST VAL Plan Ck Deposit _ Validated By Date k. Business^ame (at this address) ddress (includeBldg/Suite #) • ^^^^ 1/5 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # Existing Use —, i • D Proposed Use '3- -F. ^'^^<^{r:k-¥'i/>J^\ zV # of Bathrooms ^/Description of Work j SQ FT » ' #of Stones # of Bedrooms ^ , Use- r^f \rclase^ ]l/\^\e^ K^-^r r^r-te^viS Name \ AdSress City ' State/Zip Telephone tt Fax tt ^^^ii|GANT^O &ntraotor llH^pntTa'^ntraotor. OvvneE: i^AgentT^rj Owner " ' • 't!^'9&?''5'6>'^49i-^'<4-S^ A ?3^^|i^GANT:^Q &ntra*otor bH^pnt fM^Contraotor- "-0 Ovvne£'i^Agent^rsOwner Name Addrfes City State/Zip Telephone tf Address State/Zip Telephone # Name 5./lCONTRACfOR-COMfAN*HAMt«*"r"'' ' ~ZtS£"- • ' '' i'?* -T,.-, (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 Codel oi 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 State License # Address City State/Zip Telephone 16. sJWORKERS'db|ilPEN.SATtON "I'-M ri* t. • ' ' 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 O 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THt PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 I aws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal 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 W' OWNER-BUILDEIDEGLIRATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~l 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 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 contractor(s) licensed pursuant to the Contractor's License Law) 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials 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 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 j30MPLETEt;ms;sECTiplM-F0AW0ff-/?€S/^^ " :«*ifii,', '-'^-ZZ^ -ZZs. ' ' 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 Accouni 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? • 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 4.LL^C0iilW^IWN^ENlp§AGiPY _ J_ ^ Z'.'JZ^ijZlf . / ~ WWZ^ W"' 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 191'; APpucANTlcfRTifiigWidN "^ "7 ' ~ ' ••• l^ZT^MZAmi . --J-^.TJH \'<m^^ imi^ Z ~r?: ZWm 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 B'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 commencea within 180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned A at any time after the work is commenced for B period 182_iiays (Sectiyi 106 4 4 Unijorm Building Code) / k APPLICANT'S oi"-«-r..o.T DATE WHITE File cant PINK Finance List 1 - Permit-T^pe From the following list, detennine the pemut-type that best describes the work you propose to do Please put the code of that p>enrut-type m the blank at the top of the page on the front of this application Residential permits (only) also require the identification of the structure-type to be associated with the permit Choose a structure-type from "List 2 - Structure-Types" and put its code in the appropnate blank on the front of this application Residential Permits Code Description APT Apartments - new construction. " CONDO Condominiums - new construction. CVNNR Conversion Convert all or a portion of a non residential buildmg to residential use, creating one or more new residential umts. CVNRN Conversion. Convert one or more residences in a buildmg to non-residential usage. CVNRR Conversion. Increase or reduce the number of dwelling umts in a residential structure through interior modifications (i e. a four bedroom house converted to a duplex, with 2 bedrooms each). DEMO Demolition permit (Also specify type of structure from List 2). . - - DUP Duplex - new construction. MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living umt. MOHON Mobile home, pre-fabncated house, or trailer installed (plumbed, wired) m a mobile home park (see distmction from smgle-family residence, below) RAD Residential addidon/alteration, creatmg no new dwellmg umt(s) RREISSUE Residential p>enmt re-issue RREPAIR Residential buildmg repair Damage, fire, etc RREPLACE Residential buildmg replacement (no additional umts) SFA Smgle-farmly, attached - new construction A one-family house attached to one or more other houses, with one or more common walls extendmg from foundation to roof at, or formmg, a lot Ime. Has own plumbing and heatmg system (e g • townhouse, row house, half-plex) SFD Smgle-family, detached - new construction A one family house with open area on all four sides May have an attached or detached garage, or a busmess May be a detached "grarmy flat" May be a mobile home or trader on an mdividual lot, but not m a mobile home park Non-Residential/Accessory Permits Code Description COM Commercial structure, new construction CREISSUE Commercial permit re-issue CREPAIR Commercial buildmg - repair Damage, fire, etc CREPLACE Commercial buildmg - replacement CTI Commercial tenant improvement DEMO Demolition permit ELEC Electncal permit, for electncal work only HOTEL Hotel or motel (mcludmg Managed Livmg Unit hotel) - new construction HOTELR Hotel renovation INDUST Industnal structure, new construction m Industnal tenant improvement MECH Mechamcal permit, for mechamcal work only MISC Miscellaneous Use only if proposed work doesn't fit another activity type PATIO Patio and/or deck PLUM Plumbmg permit, for plumbmg work only POOL Gimite pools and spas RETAIN Retairung wall permit SIGN Sign construction/installation permit. SOLAR Solar energy system mstallation permit (specify structure type to be served). SPA Factory-made or Gumte. List 2 - Structure-Type (Use with Residential Permit Only) From the followmg list, determine the type of residential structure that best descnbes the structure on which you will be workmg Please put the code of that structure-type m the appropnate blank at the top of the page on the front of this application. Code Description SFA Smgle family, attached A one-family house attached to one or more other houses, with one or more common walls extendmg from foundation to roof at, or formmg, a lot Ime Has own plumbing and heatmg system (e g townhouse, row house, half-plex) SFD Smgle-family detached A one-fanuly house with open area on all four sides May have an attached or detached garage, or a busmess May be a detached "granny flat" May be a mobile home or trailer on an individual lot, but not m a mobile home park MF2-4 Multi family, 2 to 4 units A residential structure on a smgle lot, containing two, three, or fotu- dwellmg umts Umts may share master heatmg, plumbing, or electncal service (e g duplex, tnplex, quad-plex) MF5-I-Multi-family, 5 or more umts Same as MF2-4, except the buildmg has a t least five attached umts on the same lot. MOHO Mobile home, pre fabncated house, or trailer mstalled (pliunbed, wu-ed) m a mobile home park (see distinction from smgle-farmly residence, above) CB062494 2404 EL BOSQUE AV GAINES 585 SF ADDITION FAMIL ROOM & EXTEND MASTER RESDNTL FiAD Lot# JULIAN ORTEGA [AJ Am J'F<z , . , \ TO , BUILDING -V-(^fe PLANNING 'ENGINEERING FIRE APPR/rORM HEALTH OEPT HAZMAT/AIR QUAL OTHER SEWER DISTR FROM OM SCHOOL F0RM£7t/A'^ H^^^CFD FORM " p p a u iMnoi^cucp-i PE&M VWJRKSHEET , BLDG FEES COMPLF^ PLAN CORR ENG CORR .'ESGIL CORR FIRE CORR