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HomeMy WebLinkAbout2409 La Costa Ave; A-D; 83-262; Permit.. z 0 ~ "' .. -' 0 .. 0 .. IL 0 0 .. .. 0 -' 5 ~ .. z ! z 0 ~ z .. .. ,. 0 0 .. ic .. " "' 0 ;J ![ ~ he1tl:>y affirm that I am licensed under sions of Chapter 9 (commencing with on 7000) of Division 3 of the Business :~1f;?~~/fj;,::: my(:.}/ I nereby aft.rm !hat I a:n exempt from the Contrac to,·s License Law !or the follow,ng reason !Sec 7031 5 SusIness and Professions Code Any ~,ly or county which re-au1rns a perm,1 10 corstruct. a:te~ ,.,,a,0·1e. ce~o1,s~. or ·ep21· any struc1u·e. prior to •ts ,ssua",ce also ·eou,res The ap- ol,cant !Jr sucn permit to file a signed statement Iha'. re _,s we"i•<i ~•;rs1Ja~1 to tr,e ;>'OVIS"Jns 01 lhe Ccrtractor s I ,cense Law , Ctiapter 9 commenc,ng w1\h Sectior, 7000 ol D1\',s1or 3 ~I •'1e Susiness and Profess,ons Code., or that ,sex e'1"pt 'nere'·crr, and t~e oasis •o• the alleged e,emo· on Any mla: or of Sec:,on 7031 5 O\' an app ,cant fJr :i permit scb· 1ects ;he ape,Icdn! t·J a c,vI, penalty of not l".ore Thar t,ve h~n- j0ed doll<irs iS50Q> _ 1• as owner of the orooerty. or my employees w,:h wages 2s their sole comoensat,on. w1I' do the WJrk. and the Sl'uc- tu'e Is nol ,ntende~ or o:fe,ed for sale [Sec 704~. Business ard Professions Code The Contractor's License Law does nol apply to an owner of property who builds or improves thereon and who does such work h1msel1 or througn h,s own employees provided that such improvements are nol intend- ed or offeree for sale 11, however. the bu;lding or improve- ment Is soId w,th,n one year of complet1on. the owner-bu11der will have the burden o! proving that he did not build or Im• prove for !he purpose ot sale) ,-I. as owner of !he properly am exclusively contracting with licensed contractors to construct the pro1ect {Sec 7044, Business and Pro1essions COde. The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon. and who contrac1s for each oro1ects w•th a contractor{>) license pursuant to the Contractor's License Law) :_ As a homeowner I am improving my home, and lhe follow- ing cond1t1ons exist 1 The work Is being performed prior to sale 2 I have lived In my home for twelve months prior to completion of th,s work I have no! claimed this exemp!1on during the last three years _J lamexemptunderSec _______ B&PC for this reason ____________ _ t hereby a!tirm thal I have a cert,1,cate of consent self-,nsure. or a cert,ticate ol Workers ISec ~•:'::'.:;;:c~";:;'.,';'~'" cert•'"'":{?•'""~' POLICY NO p3. _ _ __ f""" 5; Copy >S f,le<l woth the c,ty Gert,l,ed copy ,s hereby furn1sne<1 CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section need not be completed ii the perm,t ,s for one hundred dollars 1$100) or less) D I cert,!y that ,n the performance ot the work for .,.,h,cn 1h,s perm,t ,s ,ssued I shall not employ any person ,n any manne, so as to become sutl1ecT 10 the Workers Compens.at,on La.,.,s of Cal,tom,a NOTICE TO APPLICANT If. after makrn", 1n,s Cert• f,cate of Exemp1,on, you snould become sub1ec1 10 tne Workers· Compens.at,on prov,s,ons ot the Labor Code. you must tor1hw,th comply .,.,,tn sucn prov,s,ons or 1n,s perm,\ snail be deemed revoked r 0 I nereby af1irm that !tiere ,s a construc1,on Iend1ng agency to, \he performance of the wofl< lor ....-n,ch th,s perm,! •s issued {Sec 3097 Ci.ii Code, Lenders Name, ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND PECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 24-69 JJ PERMIT NUMBER /4 (>,nJ;. --✓i·//')) e__ AV. ST. AO, 11 Itfi.:Jtf} JJ/ 0M J ~o 1':J}J:o;;;:-; -- VALUATION LUNE 2,2.r-~;;"~A ti'-~l)AJ+-r3Ji•20A'?J;"l YI;,, J;;/ _llijfj3 I PLAN I.D. # BLDG USE CODE OWNER'S MAILING ADDRESS • LOT 1 aloc1< \ sus□1v1s10N 1 ASSESSOR PARCEL NO. DES!GNER J 7 v LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE [ca,rnoN OF WOAKtr°' ., ft,42 -6 J OES,GNEA'S AOOAESS -"' FLR ELEV. YO "<□ GRADING ~ERMIT ISSUED NO STORIES TYPE CONST DESIGNER'S PHONE DCC GP EDU DCC LOAD FIRE SPA CENSUS ,RAC, l ce cANO uSE l SARK>NG se•ce RES LJN,TS l y O N □ I REDEVELOPMENT AREA ,□ '.0 v□ NO Not Valid Unless Machine Certified mYI PLUMBING PERMIT· ISSUE ~-~~•~•~C~H_f~IXTURETRAP EACH BUI LO ING SEWER I I • .A ::, -0 J--- I QTY, -ll---- MECHANICAL PERMIT· ISSUE INSTALL FURN DUCTS UP TO 100.000 BTU OVER 100.000 BTU .3 :::::-SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT 01-00-00-8220 ----'---1-01-00-00·8221 ·-- f----- EACH WATER HEATER AND:OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS ------ i -~ +BOILER/COMPRESSOR U_P TO 3 HP I t PLAN CHECK_____ 01-00-00-8806 I +----~-_ -~ s~1-~E_R,1CoMPREssoR-3--,s-HP --TOTAL PLUMBING 01•00-00-8222 /~ - ~ METAL FIREPLACE ELECTRICAL 01-00-00-8223 --EACH G_~s SY_S!_E_~5 0 R MO RE --·--------· 01-00-00-8224 ---VENT FAN SINGLE DUCT EACH INSTAI,.. ALTER. REPAIR WATER PIPE t---+--------+---MECH EXHAUST H00Q/OUCT0S __ _ MECHANICAL -----t~MOBILEHOME ____ "_Co1-qq-oo-82~ EACH VACUUM BREAKER WATER SOFTNER . -------------- EACH ROOF DRAIN :1~S'iDE1 --.. ---- F~ TOTAL PLUMBING r I-- ---j---~--,f--+-RELOCATION OF EA FU_~NACE/HEATER MOBILEHOME PARK INSP SOLAR --+------11-------------TOTI.L MECHANICAL STRONG MOTION ----- FIRE SPRINK_L~E~RS~--- ~~~~-~~~~d.-"""T--~---1t--::PU-::B~L-:-;:IC FACILITIES FEE __ _j_ 0_1_:_00-00-822_6_ 80-92-33-0519 01-00-00-8227 ----- 32-00-00-8923 QTY.I ELECTRICAL PERMIT· ISSUE ~~-iQ..~ I 5!!-QTY. SOLAR -ISSUE BRIDGE FEE ) NEW CONST EA AMP:SWT BKR lPH 3 PH --- EXIST BLDG EA AMPiSWT/BKR I PH 3 PH REMODEL'ALTER PER CIRCUIT TEMPPOLE 200AMPS t-+-OVE_~_200 _AMPS ----~~ -- TEMP OCCUPANCY {30 DAYSI ·----+- -~ ·--j-· --- ----+----- COLLECTORS ---- STORAGE TANKS If--+----ROCK STORAGE -------- PUMP ·------+---+-'--- _ ~-LA\I C'iECK FEE ----'--. --+-· ---------+-----· ---II-----.. -- ---- ---'--------"H--"S'"CH.CCOOL FEE -DISTRICT Carlsbad 80-92-21-0519 :san u1eguit_o San Marcos ___ --+-----~1---:nci~itas ----::· __ ____ 80-92-22-0519 ____ tlU-~£-_lj·U:J I~ -----L-- 80-92-24-0519 f----+-- --+------ii- --l-- ·--- --- ---- ·--- --- --- -- -'-TOTAL ELfCTRICAL 1 -II-----+- TO I AL SOLAR - TOTAL FEES PAYABLE ' r /(},~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION ANO PERMIT'' ANO 00 HERESY_ ·ccc.:;,;rmfiti-,uedt,ytheBuilding~,I.K)cfettheproviaionsofthit CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORM~TION HER~ON lN_CLUOING THE , limitation and t,eco,rie nillfaridYOW. If the building or work DECLA1'AT10NS ARE T-RUE AND CORRECT ANO I FURTHER 'cERTIFY ANO AGREE IF A PERMIT IS it is not commenced wittitrf:t90 days fro~ the date of such tSSUED: TO,bOMPLV WITH ALL CITY, COUNTY AND STATE LAWS GOVEflNING·ButLOING CON· work ~h0flzed.-l)v, -:,,penn~is 1sr9pended or STRUCTION, WHETHER, SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO -, ;_ 8 o *~--QSHA.w.(T 1$~ FOR UC,AVA. TIOHSOYEA -$"#" OEM0UTION OR CONSTRUGTlON OF $TAUC 0Vat 3 STORIES lff HEIGHT ~ KEEP HAFffioffESS THE CITY Qt bAffLSBAD AGAINST ALL LIABILITIES, JUDGM~TS, COSTS.AND • 0 ,, ~AO CONTAAClOR IJi exPENSES,,WHJCH MAY tN ANY WAY AcCRuE AGAINST sAm CITY uif CON~®ENCE, 6Fi'RE" ,, ~>'.-<--, r°'d GRANTING OF THIS PERMIT, /,..,!..-:.• •. ;,._... SY PHONE APPROVED BY lo).--103/to/ii I , ID LL >-:, 0 0. E ID >- ~ . j ' c ro .~ 0. 0. <( I ~ C a: 0 w w ID w w <( I ~ .Q <D >- "' w ID u 0 a: ro ;; 0 ~ ID u C ro C LL -I C ID i" C) 0 u ID 0. w E I ~ re ;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION , REINFORCED STEE·c MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL . ' MECHANICAL I-! ,. A J ,./ GAS 1 I i,/ 11 BUILDING SPECIAL CONDITIONS CER"l: OF OetUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ·-· ' ~ . . : --• I ------·--- ~ -~- ,,, z 0 ;:: .. 0: ::l " .. 0 ~ I he;,by affirm that I am licensed under ~ [ slons of Chapter 9 (commencing wit.h ~ on 7000) of Division 3 of the Business ~ and Professions Code, and my license isz ~ 1,11 lorn, "J',::i'/'J")/ c· ? i Lie No 30--V 7 Cla;, _--:,.;,:J, "". "1 I ~ereby atf1rm that I am exempt from the Contrac· tar's License Law tor the 10I:ow1ng reason (Sec 7031 5 Bo_s,~ess and Pro'ess1ons Code Any cl'y ~r co~nty which re- quires a Jerrn,: to construct. alter, Irnwove, demolish, or repa•r any structure. p_rior to its ,ssua~ce also 'equI°es the a~· p:,cai: 10, such ~erm,t to file a s19ned statement that he 1s "' .. 0 ... 5 ~ .. z ~ z 0 s z .. .. :,; 0 " ,,, "' .. "' "' ~ · 1·cen,ec Jursuant to lne prov,s,ons ol the Cv11\rac10, s ·_,cense 'JW !Chapter 9 comme,,c,~g with Sec'.on ?0'J0 of J1·11s•Jn 3 ~f the Bus,ress ard Professions Ccdei or that ,sex- empt tt'erpfrom and the basis for tt'e alleged exer1ptIon Any ,•,oiation o' Seu,on f'J31 5 by an aopl,cart 'or a nerm,t sub ,ects tre ap~l'c~r-1 :o a c,v,: pena1ty of not more tha~ five hur.- d'eC aoI a"S I $5CO'I I as ov,ner o' tre property or my employees with wages as their sole compensal,on. will do tne woro<. and t~e struc- ture ,s ~ot In1endeG O' offered for sale (Sec 7044, Bwness and P•otess,ons Code· The Contractor s License Law does ~ot app,y to an owner o1 property who builds or Irnproves thereon and who does such wor~ himself or through his own emoloyees provided that such improvements are not intend-ed or offered for sale If. however, the building or improve· ment ,s sold w1\h1n one year of compfllt1on, the owner-builder w11I have the burden of proving 1hat he did not bwld or im- prove for the purpose of sale) '----_ I._ as owner of the property, am exclusively contracting with licensed contractors lo construct !he pro1ect (Sec. 7044 Business and Proress,ons Code The Contractor's License Law does not apply to an owner of property who builds or im- proves thereon_. and who contracts for each pro1e_cts with a contractor(s) license pursuant to the Contractors License Law) C As a homeowner I am 1mprovIng my home, and the follow-ing conditions exist 1 The work ,s being performed prior to sale 2 I have loved in my home for twelve months prior to completion of th,s work 3 I have not claimed this exemption during the last three years I am exemp1 under Sec ______ , B & P.C for this reason ____________ _ MI hereby af1rrm that I h ~self-,nsure, or a;e a cer1,t,cate of con ::,::~~~11•~~~ed~~~~~2.: COMPAN' s'12 'f_~ r ·· °-i iialcopy ,s t,1eo witri ,. JC_J-V-V/CL ~: .. ec,ty D Ger1,t1ed cop , Y s riereOy 1urn,shed CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be completed ,! the perm,t ,s for one hundred dollars 1$1001 or less) 0 I cer1,!y !hat in the performance of lhe worl< for whIcr, th,s perm,t •s ,ssued. I shall not employ any person ,n any manner so as 10 become subIec1 10 the Worl<ers· Compens.at1on Laws of Californ,a NOTICE TO APPLICANT It. alter malun~ this Cer1, f,cate o1 Exempt,on. you should become sub1ec1 t0 the Workers Compensation pros,s,ons of lhe Labor Code. you must torthw,th comply w,th such prov,s,ons or th,s perm,1 shall be deemed ,e,oked ![ D I hereby affirm lhat ,r-ere ,s a cons1ructI0~ ~~~•~~h~~e;ecr~'.f'.i~!~'l~~n~~•. ~,~,~c~~~r Lenaer s Name ___________ _ Lendefs Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND PECLARATIONS CARLSBAD BUILDING DEPARTMENT 1200 Elm, _Carlsbad, Califo!nia_ 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS :;l-}()9 C Ja to<e;-1&. Mu Av .. sT--:-,oATE 0FfPPL1cr-10N " 0 . z::; lie/I~~ BU;:;-;_Lzp;,# OWNE~C(_(:,(., OWNER'S PHONE ri,,l!u~7°t.:J d/ { J ~ t;__jqJJr:()34'. OWNER'S MAILING ADOG LOT I BLOCK I SUBDIVISION I ASSE~SOR PARCEL NO. CONTRACTOR'S ADDRESS l~lc2b nl) t ~ A'fl37zg3/ DESIGNER _, LICENSE# [CRleT>ON OF W~R~~4 ~ ) i DESIGNER'S AOORESS F/P FLA ELEV NO STORIES DESIGNER'S PHONE OCC GP EDU crnsus TRACT I GF CANO use I eARK<NG se•cc RES LJN,TS I GRADING ~ERMIT ISSUED ~ D N □ YO NO TREDEVELOPMENT AREA YO ... o TYPE CONST CCC LOAD FIRE SPA YO NO VALUATION PERMIT NUMBER ZONE J_ i,z f_ PLAN 1.0. # BLDG USE CODE STANDA~PLAN # BUILDING SQ. FOOTAGE Not Valid Unless M.chine Certified OTYI PLUMBING PERMIT. ISSUE ·:-0 1~11 QTY MECHANICAL PERMIT· ISSUE -7~ :,-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 1 -·----1---~TALL FURN. DUCTS UP TO_ 100.000 BTU BUILDING PERMIT 01-00-00-8220 f---EACH BUILDING SEWER C----EACH WATER HEATER AND-OR VENT ------ EACH GAS SYSTEM 1 TO 4 OUTLETS r---+------ ~CH GAS SYST_EM:, OR MORE ~H iNST-~LTER, REPAIR WATER PIPE , EACH VACUUM BREAKER ' WATER SOFTNER r------t-EACH ROOF DRAIN -L_ ~-t---=-rBOILE_R,COMPR~~SoR UP-TO 3 ~~ t __;J_ ~~-l~ILER~ESSOR 3 15 HP OVER 100,000 BTU --+-· METAL FIREPLACE SIGN PERMIT PLAN CHECK TOTAL PLUMBING -I ELECTRICAL VENT FAN SINGLE DUCT MECHANICAL --+-------. --+--C---MECH EXHAUST -HOQQ:QUCTS MOBILEHOME --+------ir----t-RELOCAT_ION OF ~~_F_URNACE/HEATER TOTi:.L MEl,MI-IN\l,AL t=t ,.., . .,,,.., 1-_ . _ -M~:~EHOME PARK INSP -- ~ / 1:INSIDE1 I • /,ilb I I-STRONG MOTION TOTAL PLUMBING --~ ~ ~--.-~-~-~-FIRE SPRINKLERS ··---~ff:::: l _j/J·=~:;::,---,,;,r1">,o::::=jL~~ 01-00-00-8223 '-------- 01-00-00-822~4c.-, __ 01-00-00-8225 01-00-00-8227 -- ------ ·--- QTY7 ELECTRICAL PE~MIT • ISSUE -_]-_t>~~TY SOLAR· ISSUE PUBLIC FACILITIES FEE ______o.1_:_Q_. Q_-00-8226~· . 80-92·33·0519 ______B_:_QQ.:00-8923 _ BRIDGE FEE --- >---+-~-::--c_O_N_ST EA AMP SWT BK RJ PH---± -t ~~~::~:o;:NKS ---+------.,._~S_CHOOL FEE· DISTRICT ___ _ -------1-- I-------- _,__ ~:~STBLOGEA-AMP.,SWT:BK;pfi-.. --.1.--.y::::S"MS> . ---------,if--t f---I ;:~~~~~;l~ORA:~R CIRCUIT -----_-:---~ . __ -PLA~ CHE~ ---- Lf'DVE_R_2DO AM.PS _ _ _ --·· --• _j_ TEMP OCCUPANCY 130 DAYS) ' T )__ Carlsbad Encinitas San D~e_g_uito San Marcos 80-92-21-0519 80-92-22-0519 f--- 80-_g~23-0519 _ 80-92-24-0519 ---I--_ '---- -- -- ·--·· ·---+ -------- TOTAL ELECTRICAl ! TOTAL SOLAR TOTAL FEES PAYABLE I l!J.~ I HJ\.VE CAAEFu"tt"i'fXAMINEOTHE COMPLETED, "APPLICATION AND PERMIT:' AND '()o li.ERE8Y CERTfFY UNDER f~NALTY OF PERJURY THAT All INFPfWATION HEREON INCLUDING THE 0€0LARATIOOS AR{ ~UE AND CORRECT ANO r FURTHER CERTIF'YiAN~ tF A PERMIT IS ISSQEO: iO COMPLY WITH AU CITY, COUNTY ANO STATE LAW&GOVEFtNfHGBUtLOlNG CON- STRUCTION, WHETHERSPECIFtEO HEREIN OR NOT. I ALSO AGREE TO-SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OP CARLSBAD AGA!NST ALL LIABlUTIES, ~OGMENiS, COSTS ANP EXPENSES ;'Vt:IICH MAY IN ANY WAY ,o\CCf!:UE' A:GAINS:F si10 crt(OHX}N~ OF"TKE GRANTINaOF THIS PEFtMtT. ' ~talion. Every permit iQU9d bytheBuifdini:a~ ~derthe~~cithis Code shall e)(pite by lil'tlitMH>r'I' arid becomt, ltulf"'jfttU'Oid. lflhii bOJt$lf' Of' 'M>tl '"1horized by sue .. "a3. . is not commencod w. &·' days from the date of such IMtl'fflll, or if the buif or wOJll, •uthofia4 -·"IUCI, pemut ia 9U$piWtded or at,anc:toned~~---. ~i'S"CO.nil '10taperiMotfllll'f'I-· .Affl.lC~A • . . n~n,. . ~ ·-·.· .;~0 C<lf1; ... "'..;_-;'.:'I. • ~. . ll¥ -0 . li'A . . V/ - •.·•* ~-""~·~--...... , , '3s~~~Of APPROVED •c:~ 1~w1 ~ t w LL >-.; 0 0. E w f- I :2. • 0 . "' I c "' 0 ii 0. " I ~ C a: 0 "' "' w "' "' " I ,: 2 oi >- "' "' w 0 2 a. "' <ii 0 ~ w 0 C "' C LL ~ I C " ~ "' 0 ;_; " 0. "' E I ~ :c ,: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION ' _,r FIELD INSPECTION RECORD ' REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO SHEATHING FOUNDATION INSP STRUCTURAL CONCRETE FRAME OVER 2000 PSI EXTERIOR LATH lNSULATION PRESTRESSEO CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING -FIELD WELDING SEWER AND BL/CO HIGH STRENGTH PLUMBING UNDERGROUND BOLTS PLUMBING TOP OUT SPECIAL MASONRY TUB AND ~HOWER PAN . GAS TEST PILES CAISSONS ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL .. DUCT & PLEM,, REF. PIPING HEAT -AIR COND, -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. -----f JOB SITE FINAL : . : . . . PLUMBING ELECTRICAL r1. MECHANICAL ,ii M GAS 10 Ii BUILDING T . SPECIAL CONDITIONS I f CERJ OF ~CUPANCY ISSUED "' z 0 ~ "' :I u .. C 0: IL 0 u "' .. C ,. ::> ~ .. z ~ z 0 ;::: .. "' z .. .. "' 0 u "' a: .. " "' i ![ ~ I her&by affirm that I am licensed under r lslont1 ol Chapter 9 (commencing with Sec Ion 7000) of Division 3 of the Business and Professions Code, and my license is iri, '"" to,'" •"'1-,1'1"':> I ,-2 I lir No 3; ~ Dr Class ~J,k.:J ! hereby atfim> that I am exempt from the Contrac- tor's License Law tor !M following reason (Sec 7031 5 Business and Proless1ors Code Any city or county which re-qu,res a perm I tu construct. al:er 1mpr~ve. derno,,sr or repa1· a~y st,ucture pr,or to its 1ss·;ance also requires !heap- plicant for such permit to !,le a s;g1ed s1ateme,,1 t~at he ,s ',cpnc;ed r.lJfsuant tv the prav1s1ons of the Contractor's ~1ce0se Law 1crapter 9 corn:'.enc1ng ·11'1h Section 7000 o! ~11;1s·o1 3 ol the Business anc Pro\ess1a"s CDde/ c,, 'hat 1s ex emoi t~erel-o'll a1d the basis for tne alleged exernpt,on Any v101;;1 vn of Section 7031 Joy a" cool,ca~t to, a per"11t sub-•ects t~e applicant t:i a civil penalty 8f no1 rnore tran •·~e ~un- dred dol ~rs !~JO~• _ I, as owner of ;he property or my employee, with wages as thei' sole comoensa!rnn. will do the work. one t~e struc· ture 1s not intended or offered for sa1e (Sec 7044, Business and Profess,on, Cocle The Cort·actor's license law does not apply to an owner 01 properly who builds or improves thernon and who does such work himself or through h,s own employees, provided \hat such improvements are not intend• ed or offered for sale It. however, the building or 1mornve- me~t is sold within one year of completion, the owner-bu,lder will have 1he burden Ill proving that he did not build or rm· prove 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 !O an owner of property who lluilds or im-proves thereon, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor·s License Law) = As a homeowner I am improving my home, and the follow· 1ng cond11lons exist 1 The work 1s being perlorrned prior \o sale 2 I _have lived in my home !or twelve months prior to completion of this work I have not claimed tl11s e~empt1on during the 1ast three years ::1 lamexemptunderSec ______ ,B&PC tor this reason \,::! I hereby affirm 1hat I ha,e a cert,t,cate of consent ~ selt-,nsure. or a cert,t.ca1e ol Workers ~~•:e.;,;,~5;:;'.\· '~" cen••·"";.,~·r'"··" POLICY NO b, .3S: 7 ✓. COMPAN> ~:;;_ (_\j\l .9( Copy ,s filed with 1he city 0 Cert,1,ed copy rs hereby !urrnshed CERTIFICATE_ OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section need not be completed ,f 1he perm,1 ,s !or one hundred dollars ($100) o, less) 0 I cer11ty that ,n 1he per1ormance o1 the wor1< lor wh,ch th,s permit ,s ,ssued. 1 shall no1 employ any pe,son m any manner so as to become sub1ect w The Wor'i<ers· Compens.,,t,on Laws ol California NOTICE TO APPLICANT 11, after makm;J this Cert, 1,cate ol Exemption. you should become sub1ec1 t'l the Workers· Compens.,,11on prov,s1ons of the Labo< Code. you mus1 torthw,1h comply w,th such provisions or th,s pe,m,t shall be deemed revo~ed 0 I hereby affirm th?.1 '1here ,s a constructoon 1end1n,;i a,;iency tor lht..;..ierlormance ol the wor1< 10, which th,s pe,m,t ,s ,ssued 1sec 3fE7 Ci.ii Code! Lenders Name ___________ _ Lender·s Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525 OWNER'S. NAME OWNER' LOT [ BLOCK DESCRIPTION OF WORK ' W10 ...... e'k:21 v....-I DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE PAA KING SPACE AES UNITS GRADING ~EAMIT ISSUED F/P FLA ELEV. YO NO REDEVELOPMENT AAEA APPLICATION & PERMIT BUSINE~ LICENSE # VALUATION 4 PERMIT NUMBER ZONE ? ·-z r,, 2 f) PLAN I.D. # BLDG USE CODE I STANDARD P'[AN # eoifu1NG SQ FOOTAGe DESIGNER'S PHONE NO I occ GP I EDU STORIES TYPE I DCC LOAD I FIRE SPA CONST y O N 0 YO "'□ vO NO Not V;ilid Unless M~chine Certified QTY.I PLUMBING PERMIT· ISSUE S-0 QTY.I MECHANICAL PERMIT· ISSUE .3~ SUMMARY/ACCOUNT NUMBER INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH FIXTURE TRAP EACH BUILDING SEWER --------- I EACH WATER HEATER AND·DR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 0 R MORE l---+--EACH INSTAI,. .. ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER ---- j__ - j ,2----2' ! OVER 100 000 BTU ----' --1------1-- BOILER/COMPRESSOR UP TO 3 HP SIGN PERMIT PLAN CHECK TnTAL PLUMBING BOILER/COMPRESSOR 3-15 HP ,y, METAL FIREPLACE ELECTRICAL VE NT FAN SING L0E_:D_:U_:C:__T ___ _ MECHANICAL MECH EXHAUST HOODiOUCTS MOBILEHOME RELOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP 1------------i-W~TER SOFTNER ----J------.Jl----1------- EACH ROOF DRMiJ ,: 'IISIDE) I I I . SOLAR J----------------. TOTt<.l MECHANICAL l STRONG MOTION TOTAL PLUMBING -4:--i;ft, FIRE SPRINKLERS QTY. ELECTRICAL PERMIT -ISSUE -.q:f:_ QTY. SOLAR· ISSUE . BRIDGE FEE --- NEW CONST EA AMP ·sw1 •BKR -__ ._COLLECTORS -SCH□OL FEE --D1sTR1cT-- 01-00-00-8221 01-00-00-8806 01-00-00-8222 t 01 ·00-00-8223 01 ·00-00-8224 01-00-00-8225 01-00-00·8226 B0-92-33-0519 01 ·00-00-8227 ---- 32-00-00-8923 -J ~ PUBLIC FACILITIES FEE ------- 1 PH 3 PH STORAGE TANKS Carlsbad -------------------------- --·-·---ROCK STORAGE Encinitas EXIST BLOG EA AMl-':SW I 'l:lKH I PH 3 PH REMOOEL'ALTER PER CIRCUIT ------ l----'--T_:E:__M.:__P PO L E 2 0 0 A M PS I OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) ---,-- I___[ TOTAL ELECTRICAL ---· -- PUMP__ __ __________ . San_~~eguIto PLAN CHECK FEE . San Marcos TOTAi SOLAR TOTAL FEES PAYABLE 80-92-21-0519 80-92-22-0519 80-92-23-0519 80·92-24·0519 10 I()_ ·:::::.-- 1 HAVECAAEFUL~t~,EXAM;:NEDTHECOMPLETED "APPLICATION AND PERMIT" A~D cio.~~ijf:sy CEFtffFY 'UNDER PEN/4TY Of PERJURY ,THAT ALL INFORMATION HEREON INCLUDlNG lti,E OEOL.ARATIONS AREJ§UE.AND CORRECT ANb'i FURTHER CEAttFY ANO AGREE IF A PERMIT IS ~~OF~~ ·1$8\'JEO: TO COMP!;,Y'.Wft'H ALL CITY, COLINTY,A.ND STATE LAWS GOVERNING BillLDING-,CON~ , ___, •ri STR\JcT. )TIQN·,•, W WHH!ET. MER $PEGtAEOHEREJ~ ORN.OT., I ALSO AGfU:E TO SAVE INDEMNIFY ANO ... .-"'""•- KEEP ~ THE,bt'N,()t:,~O AGAINST 'ALL UABILITfES; JUOGMEt,ITS, COSTS AND , , ~tS~.'~fAY'.~ AG~Nsr SAID CITY"IN CONSEQUENCE OF THE 'R 3 stofUES tN HEIGHT .'!' u: >-rn 0 0. E " r I u a -! C!J I c I "' • g 0. 0. " I ~ C a: 0 "' "' " "' "' " I ~ £ ,; >- ,; "' " u 0 a: "' ;; 0 ~ " u C "' C u: - I C " ~ C!J 0 u " 0. "' E I ~ .c ;;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION ' , REINFORCED STEEL • . MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL f I ' MECHANICAL ~ ' -A ./ GAS / Ill J I/ BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE --- OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS --- \ I -------l ·: . • ~------- -~ ,,, z 0 " .. "' :l ~ 0 ~[ : 1- 'r "' "' 0 ~ 3 I "' z ~ z 0 " ;\ z "' .. ,. 0 " ,,, ix "' " "' ~ ![ 0 }i I hartbY affirm that I am licensed u. nder .~lslons of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force anq~ / C _';l / Lie No 3-/-{> '6.::>-1-Class _ -J Jo I hereby af1,rrn that I am exempt from the Contrac- !or s License Law lo" :he follow,na reason (Sec 7031 5 Bus,ness and P'otess1ors Code Any' c1!y or cou~'Y which re· quires a perm,t 10 construct alter ,mprove demolish. or repair a~y structu,e prior :o 1!s issuance a1so requires \heap- plicant lor such permit to file a s,s0,ed st.:ltemenl that he 1s 1.censed pu·sudnt to l~e prov·srons of the CootractGr's "Icerse ·"aw ,er.apter 9 comrnencIng w,th Sect1or. 7000 ot )1;, s-on 3 of The Bus,~ess am1 Prolessicns Code, or that Isex· em~t therefrom a~c '.he basis for the alleged exernp:,on Any v1olat1on c' Sect101 7031 5 by a~ app!1cant for a ~ermit Sub· Iects 'he ap;il,cN,t '.o a c·v1I PMal'.y of not "1Dre thar five hun- jred dclms ,.$500, i I. as owner ot tre oroperty, or my ernplcyees with wages as \heir sole comoensatIor. w,II do the work. and tne struc- ture ,snot ,ntendea or ottered for sa'e (Sec 7044. Business and Professions Code The Co~tractor s License Law does not apply to an owner of proper:y who builds or improves thereon and who does sucn work himself or through his own employees prov,ded that such ;mprovements are not intend- ed or ottered for sale. it. however the building or improve- ment Is sold W>th1n one year O! completion. \he owner-bu•lder wrll have the burden of proving that he d,d not ou,ld or rm- prove for !he purpose of sale) :::J I. as owner of the properiy, am exclus,vely contractmg with licensed contractors to construc1 the project (Sec 7044. Business and Professions Code The Contractor's License Law Ooes not apply to an owner o1 property who builds or im- proves thereon. and who contracts for each proIects w,th a contractor(s) license pursuant \o the Contractor's License Law) ~ As a homeowner I am ,mprovIng my Mme, and the follow· Ing cond1t1ons exist 1 The work Is tie,ng pertormed prior to sale 2 I _have lived in my home far twelve months proor lo completion of th,s work I have not claimed th,s exemption during the last three years :.J lamexemptunderSec ______ , B&P.C for this reason ~ • hereby at1,rm that I ha•e a cert,t,cate of consent self-insure. or a cert1l1ca1e ol Workers pensa.1,on Insurance. or a certil1ed copy the,eo! ISec 38:XJ. Labor _5,9del POUCYNO .. CJ,35✓7 COMPANY S· tJ/' Copy ,s filed w,tn !he city "!~f / d Certified copy 15 hereby furn1St1ed CERTIFICATE. OF EXEMPTION FROM WORKERS' COMf>ENSA TION INSURANCE (This section need no1 be comple1ed ,f the perm,1 ,s tor one hundred dollars 1$1001 or Iess) O I certify 1hat ,n the perlormance ol the NOrl< tor wh>Ch th,s penrnt Is 1>5ued. I shall no\ employ any person ,n any manner so as IO become subIec1 to the Wor1<ers· Compensa.t,on Laws of CaI,torn1a NOTICE TO APPLICANT If. alter makmJ 1h,s Gerl• f,cate of Exempt,on. you should become subJec1 t'J the Wort<ers · Compensa.t,on prov,s,ons of the Labo< Code you must torthw1th compl', with such prov,s,ons or 1nIs perm,t shall De deemed re,oke<.l .. D I hereby attirm tr>.,, Tnere ,s a construc1,on Iend,ng agency !or tl1e perto,mance ot the wof1< to, wn,ch 1h,s perm,t ,s ,ssued ISec 3097 Ci,11 Code\ Lenders Name ___________ _ Lender S Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT VALUATION ZONE PLAN 1.0. # -: ~ LOT / BLOCK ASSESSOR PARCEL NO. STANDARD PLAN# DESCRIPTION OF WOAI( I 5ifCO ~ I I DESIGNER'S ADDRESS DESIGNER'S PHONE -------~ F/P FLRELEvl I NO locCGP I EDU r CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING J:ERMIT ISSUED vO NO REDEVELOPMENT AREA STORIES TYPE CONST OCC LOAO j FIRE SPR PERMIT NUMBER ;z <o 'J.___C, BLDG USE CODE > BUILDING SO. FOOTAGE YO N 0 YO NO vO NO Not Valid Unlen ~chine Certified QTY. PLUMBING PERMIT -ISSUE ~ -QTY. MECHANICAL PERMIT -ISSUE 3~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER 1-------+--- EACH WATER HEATER ANO:OR VENT ----------- +-+- r-tACH GAS SYSTEM _.I TO 4 O_UTLETS ~CH GAS SYSTEM 5 OR MORE 1 _EA_C_H_-_IN_ST_A,_-_· -._-L~E_R_. _R_EP_A_IR 1/._'A_T_E_R_P~~E __ J EACH VACUUM BREAKER WATER SOFTNER INSTALL FURN. DUCTS UP TD 100.000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BUILDINGPERMIT ----SIGN PERMIT PLAN CHECK B~ILER/~~MPRE~s()R 3-15 HP -------r I TOTA-LPLUMBING METAL FIREPLACE ELECTRICAL VENT FAN SINGLE DUCT MECHANICAL --- MECH EXHAUST HOOD-'OUCTS MOBILEHOME ------------- RELOCATION OF EA FURNACE,1HEATER MOBILEHOME PARK INSP 01·00·00-B220 01-00-00-B221 01 ·00-00-8B06 01-00-00-8222 01-00-00-B223 01-00-00-8224 01-00-00·8225 --------l----------------------- -_tEACH ROOF DRAI~ i~NSIDE1 TOTAL PLUMBING QTY.I ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP.'SWT BKR 1 PH 3 PH EXIST BLOG EA AMP.,SWT:BKR r-----t------------- 3 PH 1 PH --- SOLAR TOTkL MECHANICAL I STRONG MOTION -/lJ.~ -~I . FIRE SPRINKLERS ~ -PUBLIC FACILITIES FEE Y-QTY. SOLAR. ISSUE. ~BRIDGE FEE ----t-COLLECTORS ---------. --,-SCH-OO·L·FEE-DISTRICT -c-STORAGE TANKS Carlsbad -----t----·--·---·---- ___ I _ ROCK_~TO~~ __ ___ __ Enc1rntas 1 PLJMP _ _ _____ ____ • _____?~n _Qieguito REMODEL:ALTER PER CIRCUIT _-nMPP□LE __ ~_gO ~-~is-PLAN CHECK i'"EE San Marcos -+ OVER 200 AMPS TEMP OCCUPANCY !30 DAYS) --- _ __J_ TnTAL ELECTRICAl 1 Alive CAREFULLY~MtNEIHHE COMPLETEB ··APPUCATtON AND PERMIT.;, AND oo HERi=:sv CEffl'tfY.UNOER P(N"'J.LTY OF PERJURY THAI All INFORMATION HEREON INCLUDING THE OE6LAAATIONS ARE TRUE ANO CORRECT ANQ;f.fURlttER CERTIFY ANO _AGR~ IF A PERMIT IS JSSllE(k ro COMPL:Y WllH ALL CITY, COUNTY':AND STATE LAWS GQVEANIHG·BUILOING CON• STRUCT~;~ETRER sPE. GIAEf>HERElN OR. NOT. I ALSO AGREE TO.~VE INDEMNIFY ANO KEEP H~~s THE Cl'T't)Qf,CAfll.SSAQ AGMHsi' All Li~, JUOG~TS, costs AND EXPENSES WHICH MAY l>V~ WAY t,COIWE. ~•M> ClTY \if-l)ON$EQUENCE OF THE GRAN1'~,()FTHISPERfi!'T .. ·. "'·~ . , J ¥' • ___ 01-00-00-B226_ 80-92-33-0519 -- 01-00-00-8227 32-00-00-8923 80-92-21-0519 80-92-22-0519 80-92-23-0519 ------ 80-92-24-0519 ---eµ= I I ~ U: >, <ii 0 0. E © f- I -~ "O 0 "' c ~ u 0. 0. 4'. I "' C a: 0 00 00 © 00 00 4'. I ~ g Qi >- .; 00 © u 0 a: ~ oi 0 ~ © u C ~ C "- C ., ~ "' 0 u © 0. 00 C ~ .c ;;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION • - REINFORCED STEEL. . MASONRY GUNITE OR GRQIIT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL ' GAS I I • ' BUILDING "' ,{,./" SPECIAL CONDITIONS -)I V CERT OF OC.'tUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE REO IF I INSPECTOR"$ CHECKED APPROVAL l OVER 2000 PSI I l PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS -- INSPECTOR"$ NOTES DATE ·-----------7 :: ... . ,; , ·;. -------------------------1