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Home My WebLink About2422 LA PLANCHA LN; MULTI-PERMIT FILE; CB043723; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 09-29-2004 Plumbing Permit Permit No: CB043723 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2422 LA PLANCHA LN CBAD PLUM Status: Parcel No: 2550912500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 PIZZINO RESIDENCE WATER HEATER REPLACEMENT Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Plan Approved: Issued: Inspect Area: Owner: PIZZINO FAMILY TRUST 11-01-93 2422 LA PLANCHA LN CARLSBAD CA 92009 ISSUED 09/29/2004 MDP 09/29/2004 09/29/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 2205 09 /29 /04 0002 01 CGP Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of es, 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 I x i n of whi h uh I n i n N Tl E imil r hi r f limit i ns h r vi u I h i 27,,()0 PERMIT 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 ______________ _ Address (include Bldg/Suite Ill Business Name (at this address) Legal Description 8 855 -O l ~;;>'5-C:12) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units As('.!;sor's Parcel # t ~)cce, L;:c ex: Proposed Use ptioof Work #of Stories # of Bedrooms # of Bathrooms iS·?~ti;rCO:N[ltR'8tlt(),i3[;~1100MRANi~~M~i~~~r1~o~~i1~;l~J~~J!lif:[m~:~'1f;~Jia111l~~11l~l~i~1W~l~~,~m~~m1ri~~~illifillffl~~.~~ (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt -therefrom, and the basis for the alleged An violat'on of Section 7031.5 by any applica for per'."it subj c~ the applicant to a c)vil penalty of noJ more _an five hund ,d dol,ars J 5 O ). TJ ~~~&...Ll.~~~-1-l...p....d.JiL-..!,...l~~---4Ll'L..L.:,__ic::c:.Llo....l....d,...µ,:i.~4.+-..:,,µ=,,.6==..1.....1..,1,.U~.J....L.J.~..LJ Designer Name Address City State/Zip Telephone State License # __________ _ j6J~r~~~0J{t~i{SJi~q0Mi£tti(~Aif1JlfJ~urtJ:~mi11:~µ~~J:;~:tm;;;r~~t}Ut1~[ii1:1:1'~ti~~1~r,~~1{TIJir5itl\1t,nli1~~:~~1=~-~-~!ffiijJ~4ii11i~~~f~_]jt;j~~~1;)~J~1~11:1;~~:;; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance ~~e work for which this permit is issued. m 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 ·o pens tion insura policy number are: · 2_ ~ (-"Jl.1 . . 4·1/'-t:=,.. Insurance Company ~.L...U--""1....J-"""""--"L-"-':L.--"""'"'-S--------Policy No, 11 ·Jo J 70-~ -1 Exporat,on Date.......1. • v .._J _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS} 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. sotion covera e Is unlrw , and shall subject on employer to criminal penalties and civil fines up to one hundred '~'_ 1 ~·~-.~~~-'~: •• 0.mF~·a""·e·c~ij~ ·tt·oN':~~t~i,~~:;~;ri~·•, '::11,,:::t 1 ;::1~1:z:;:,,,~:~:~::::]::,:::i::1~::;~;~~;j:l_.,i~,,L,Q_:~:),:;_,,.:_._:::::.:.,:::,:::;;,,••·~:,e1 ~7. h.,55,,-.P.W!~l;fJ.~B, ,. I.!.~.~ .. J~~ ,. p .:. ~1 cl. . l,:;:r.,-i!fi111e;,;:~1'i~ih'.'!6.·. r~.i ... il!'l.'n'I:~. .,.,;,,.J!ild.~~£;,ltJii!!!1;t'!! -i'iillilil,ii~lli.:J:iMil--.lfJ,!1>,:ijl;~·;;!!i:,~L ~,ttl'Gifu~fi;t,~;lu;:1":iiiit.;i!!!!;iili~L~~1M!i~'W.F.;;;,ri;;\)!JIA1i!t..~1.~:r..u111nW-''"H,di' 'li+'!!111iltt·.:1111,ii!f'f.·f~;,iij:1il';..,:t111 I hereby affirm that I am exempt from the Contractor's Licen Law for the following reason: 0 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 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. D YES ONO 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 f~llowing 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 --c----,-,------- /C0fy1R,!;;Ti:1ijii:j1~i:~~J:\[i!!$!'JJE!'>8l,.qQ_Mf']'i!JipteiJfJ),iJ/21!.Ql~JiljfJl3jp]ijm@~~~J[_gy~~:J;i2lJr{I!l~~~~,,ti~~l1iJ~-ii,11~:);,lJ:T~~(fuj~,mi~[f,ll:ai~h~µJJ]j;J,[0k~,; Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25534, of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ttJt?~f.~fgQJ{§[,8.U9.trilQ~~,~~eNP.)[q!lmi~N&M~filitJ~~~!}l~~:li~~~l~~li~~;,:i~t~~T~1t~J~iiih~!!if~~l!~~{!ljf~~~~iil~ll~~~~~~~~~~;:~[lhtU~~~!~1:~~.,~£~·k~itJJ~~: 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 __________________________ _ 19'),!•;j['AP,_iit:tc:Aiiiif~G-~ititic'l(,"tio.ijj:ii:':Wf;;i~t,~.~~~~:;m~~~~1{~~;~&f~i'Jiii].'1'1~"1!Ui~l~Wf~mt'®~'m.l.1~~ilf~llltl'i.ailliHll~CTit£1lii~~liih11:k~I~ 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION; Every permit issued by the building Official under lhe provisions of this Code shall expire by limitallon and become null and void if lhe building or work authorized by such permil is not commenced within 180 days from the date of such pe It or if the building or work authorized by sih per7· Is suspended or abandoned al any time after lhe work is commenced for ape . days (S ' 106. ifor Building Code). ("lj '1f1 ' f-4 J APPLICANT'S SIGNATURE J • DATE ..:J.,. /."( V'1L------- WHITE: File PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/19/2004 Permit# CB043723 Title: PIZZINO RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2422 LA PLANCHA LN Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: PIZZINO FAMILY TRUST 11-01-93 Remarks: OR 619/987-4487 Total Time: CD Description Inspector Assignment: Phone: 7604364814 Inspector: Requested By: NA Entered By: CHRISTINE 25 Water He.11.tyrNents ~ f:lN~ ~Comment i6P-----~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments City of Carlsbad 08/24/1999 Plumbing Permit Permit No:CB993200 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2422 LA PLANCHA LN CBAD PLUM Parcel No: 2550912500 Lot#: 0 Construction Type: NEW Reference #: Project Title: WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Waler Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES FINAL APPROVAL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/24/1999 OT 08/24/1999 08/24/1999 $0.00 $0.00 $27.00 $27.00 Inspector: s ~\ Date: C\\8)~ 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 capactiy 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 r i I I I I \ l I \ I . '· I 1 ., FOR OFFICE USE ONLY PLAN CHECK NocR9-z£0c EST. VAL. _________ _ Plan Ck. 0epo1i\ Validated Bv_..,..,..,./--'-5_!......_ ____ _ Date, ____________ _ l1'iM~•eU11tWilliCMWWNMHHll3z 2422 I.a Plancha lane >c' YIIIC 11,,.r,n Unit No. PhaH No. Total I of unita CSN. ,oa,.1.,._. Md,,......,. Cede: AIPf Qty• C9UlltY whldl ,..._ 1 lllfflllt '8 ..-uct. lll■r, ..,_. tlefflollah or re«ialr any ■ttuctt,.e, prior to tu IISUMCe, 11N reQUirN IN applicant for ludl pennlt to Ill I ligned 1111mmt tNt he II....., puraant to the p,ovilion■ of th• Conuactor·• UcenH I.aw IChloW I. -,am111clio9 with &lclioll 7000 of DMlioft a ol lhl .,._ 11111 l'lola11lofll todeJ • that he II IUllll)t thtrafrom. and the b1111 to, the alleged A~-~ .. ~~~trl031.& ~.r,cr~ ~~·-·--~ ~r-'lY of e,..~or• ~\')'!-1 h'r6~,~,eU.f~l7 NIIM G30120 Addr... C-36 Qty ltate/Zip 12003541phon1 ' lllti U... •--------Ucerwt ?"'--------_City lu■ln■u Uoen■t •------ N/A Telephone _ 1t.,·iOIIO!Ntetw:c>ttNNl4'M.k•iMff1 L+$1Waem \Pi~ !~;=~i-.: \-o W ...... C1 J -.._ 01 .. adeft; l~1Ulnaundlr ~ .. ,..;r,w .. lftt ............ tieMI Q I 111ft 1M w11.......,,,. a---. ef -.nt ta ........ f• ___. 11 J IF dee "'I,,..... by lac11an 1700 of \he Labor Code, tor lha parformanca ., ... ---.., whlcn 1hla ptffllil......... . XO I ... • wll .......... werura' .....,... • ,..._ by ..... 1700 of"the LIN, Ced■• for the ,-for-■ of the wor« for which Uva permit la --. M¥-W•~~•PIIIYIUIINf~ N2007-56-51 CONI'INUOUS ---c..-v . ,....., Ne,.__________ Explr■Uon Oat, ______ _ mu IIC1ION NIID NOT U QMIPUTID • THI WT II POA ONI tllNDIIID DOWUll lt100l 01 LUii 0 ca'IWICA'TI OIi IXIMP'TIONt I .-illy \hat In the,,.._ .... W9lk ._ wlliltl IN■~ I■ llauN. I lhall not •mploy any Pttaon In any mannar IO 11 -~ ~ \0 tht Worura' eom,..atiolt LaWI el c■lllllliL la llllllwM. 11111 11111 ...... • ....,. ti ..... ,aneiUaa and dvll tlnaa ur, ta -IIUf\CWICI "IGNATUJll:-:;-;;,~~~~~~~~~5~::~~:; ...... m.1:aiiiiilliij~~--jiit.im;lar,jj .... iiiija 1::--xo . ~ln~■r•1~ lOfMy'1t111. • ~•·owt-lNUILOUI DEQ·•~not, -, ~ciM•:~;£(1;, · · ~::;y ll&M Ullt I -..._ff-IN CatWIIOllaf'I LINnN Law t•-......... ,_ 0 I. U IIWMI' of tN .....,.., • IIIY 9ffllllo\W wlUI -.-• 1hllr .. ll■Jfflllllen. wll M 1ha wk Md 1tw ■tructute La not int1nd1d or oflarad for Hie (IN. 70M, ..._ .,. "9f■-ianl CeN: The c:.nu..a.,t, LINnN Law._ Mt '"'1 teen IWIW of ,ni,arty who build■ o, lmp,ov .. theraon. and who den .,. .,. .._..., • ltveugh hie -111111lr,■-. llfewlllM tlllt lUIIII ~ II III ftlt......., •.,,__for Nie. If, howeva,, the building or improvamant la ......... .,.., ........ .., ... _," ................................... ...,_ .. INIMpoNOfHlel. 0 I.• -If tha ....-,ty ... •• f1?lly....,.... wWI --.U ••---18 ...,_.the,,.. (Seo. 7044, 8\llineaa and f'rofaul-Code: The CtntrNtef1 U.... I.aw tleN Ml ~ 18 Ill ...., el """"'_.. _.. • ..,_ 111■r--. lftll _..,.... ftt wch projec:tl with eontreotorlal licet\lN ...,. • .. Cenertcur's U... Law). · C , .,.~ under &action _____ lullntallldl'lofllllonlCod■ tor1HI r111on1 1. •,-,,...,ian,1.,,..,..thaffl■iorlaborlNl_....fw•• ◄I .... ....,..."9Plftyilllpre.-■nt.O YES ONO 2. I a.we ll•vu,otl .... ,-IDDBHIIM •• I Ii ••.; ........ .-•• Pi J • ~------- a. I haw .nanctN wiltl lhe followiflg PlflOft Ulral 19 .,___ 1tll......,. -.1NGtlan llnducle n■me I lddreu / phone numbar / contt1cto1e licenaa numb■rl: '• 1 IIIM • trovtde ""'°"' of 1hl work. but I haw hlrN the flllowlne ,.._ \0 ...,.II. IUfllMM and provldl 1tll fflljor work linclud1 ntma I 1ddre11 1 phone ...... , ......... 11cante..-.1:. ______________________________________ _ I. I wll "9¥ida ._ of VII work. but I hlff -VIG&N ltllracQ Iha I ...... .,.,._ \0 pnMda the Win lndlcalad Unciude nama I addt ... I phone numbtt I 1YP1 .. welkl:. _______________________________________ _ OATI ________ _ ,1 .. , 1.., • ,,. 11 : • ,. • • • .... , .,.~~ • 1":" .... •,,►,1 .... ,./'6 '..Ji ~ • • :~,~i;;,,·4 II thl ---• fulure llulclllg ..... '9QUlr9d •.._I ..... -~ ...._. -■url■I■ ~ form or flak m1n111em1nt and p,■vantion ....,._UIIIWleaiolll2IIOl.21Na•21H4tllhe,..._TIIIWHeunlall•N1-AccaurllAa&J O VII O NO llthl ........ •fuluft....,._...,..._._.,.,,_...,_the•,...... ..... ....,.. •• IIUlll&Y..,..91111entdiattlct1 0 Yi$ 0 NO llthtf..._ •• ....,.......,..,.000, ..... lhe .. ......,., ........ , C YII C NO • NfY Ol'TNIM8WIM W YU. A ....... OM\'lilCIATIO, 00.,,.... MAY NOTN--UNIWTtllM'ft.lCANT HAS MIT 0111 la MiliTINQ THI IIIQ'IIISP■na 0, TNI OMCI OP IWIGINCY IIIMCU Ale 'TMI Ml fOLLUTIOII OOlffllOL. DISTIIICT, ~~~ LINDING·~-il&~J.:~1-~;.·: . , , . I--atllra 1het 1hae II I ClftltlUCIMIII .... ....-, f• .. ,,.. ___ .. -■ wll ........... ,erllllt II luuecl llec, 3087111 ClvU Cooel. \.INOIA*I NANI____________ UNOllfSADONII _____________________ _ t;,~.MNCNl'tCD~~~:.~.lf69l~~ ~I.ti,;'~,~.-,.~. I WIiiy 1hlt I MW '9M Utt ■n:1 mlan and llall that the...,,. :n,.,..._ I■ OMICt • lhet the lnlormation on tha plw la •ecutate. I aQ<H lo comply wilh aU Clly willmea .Jnd Stata ln,a ftlldng w ~ --.•Ian. I hlrll,y ......_ ,.,,......,_ of the Oty of Carl■bad to entar ~on tha •IMN• m1ntlOt11d f101M1tY t• 1M1uelbl1 ~. I ALSO AG11H TO IAVI. INOIMIIPY AND U9 .KAJIMlill THI CITY Of' CAIU.SaAO AClAINST ALL UAIIUTIU, JUDG11B111. COSTS Ale 1XPB11U WHICH MAY IN Nlf WAY ACCIIIIMMIIT IAID CITY IN CONIIQIIIENCI Of THi GRANTING Uf TKli PiRMIT, QSHAz M 01MA permit 11,..._ fa,_,.._..,_ 1•0-... Mi ~IN SQI A er ..... t n -I~..,_ 3 ltorlN In hllght. UPIIIAllOlb lw,y ,-llt l■■uad by the ...... ~--~• W•• If tHa c.dl ltllll uplre lly llmltatlen and become nuU and void ii the buildin9 Ot -_., ~;~ '-'!!1:,!I" ... ef 1111h IMfflllt • If the buiklllg Clf work aulhoriud by such~•g'~ Is 1uapeno■d .,..,....anytime ~---:-~•va'5lclllft10l,4,4UNfona~.~•I. AUG 2 11~ I~ APPUCANTIIIGNA City of Carlsbad Inspection Request For: 9/7/99 Permit# CB993200 Title: WATER HEATER REPLACEMENT Description: Type:PLUM Sub Type: Job Address: 2422 LA PLANCHA LN Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: PIZZINO FAMILY TRUST 11-01-93 Remarks: TYPE OF INSPECTION??? Total Time: CD Description Act Comments Inspector Assignment: ~ Phone: 7604364814 Inspector: SQ Requested By: GAIL Entered By: CHRISTINE 24 Rough!Topout ~--------------~ ~~ ~ '£~ Inspection History Date Description Act lnsp Comments B U I L D I N G P E R M I T Permit N1..1: CB~➔5035t! A9500519 03/14/95 10:36 Page 1 of 1 Job Address: 2422 LA PLANCHA LN Permit Type: PLUMBlNG Parcel Nu : 255-091-25-uu Valuation: O Construction Type: VN Occupancy Group: Description : WATER HEATER Appl/Ownr : AJ FOSTER 2819 CENTRAL AVE SPRING VALLEY, CA . Fees Required Fees: AdJustments : Total Fees: Fee description Suite: Lvt#: Reference#: 619 Project No: Development No: 1062 03/14/95 0001 01 C-PRMT Status: Applie11: Apr/Issue: Entered By: 697-4151 02 27-00 ISSUED l)J/14/95 13/14/<-lS MDP * *-,.. Total Credits: .oo .00 27.00 Tbtal Payments: Balance Due: ~;:;::;;;~Units Fee/Unit -7 .0U Ext fee Data 20 .00 Y 7.00 27.00 OVAL ___ DATE ___ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . Pjl\MIT APPLICATION 3~8 PLAN CHECK NO. f fr 'W"J City of Carlsbad Buildi~ Departa!nt 2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438·1161 I EST. VAL i. PRkMII li'PE PLAN CK DEPOSIT _______ _ VAIJD. BY __________ _ DATE From List l (see back) give code of Permit-Type: ___________ _ --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _______ ...;S::.FR='----------- Net I.Dss/Gain of Dwelling Units 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Address 2422 La P.i ancha Ln. Nearest Cross StreetLos Pinos Cir. Butldmg or Suite No. LEGAL DESCRIP'I ION Lot No. Subd1vis1on Name/Number 0mt No. Phase No. CHECK BEWW iF SOBMII IED: □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL E:\!SU~~ ufl' DESCRIPTION OF WORK Water Heater Replacemen\.allon Gas PROPOSED USE SQ. IT. # OF SlDRIES # OF BEDROOMS # OF BATI!ROOMS 3. WN IACI PERSON (II .Alllerent frorIJ..3.ppifcanf) NAME (last name fin;t)!'l.ZJ.no, lial..L ADDRESS 2422 La Plancha Ln. CITY Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE 436-4814 4. APPIJCANi UCONIRACIUR 3e]AG£NI FORWNIRACIOR DOWNER OAGENI FOR OWNER NAME (last name fin;t)Kristy Foster ADDRESS 2819 Central Ave. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONJ697-4151 5. PROPEkiY UWNPJt . NAME (last name first) Gail Pizino ADDRESS 2 422 La Plancha Ln. CITY carlsbad STATE CA ZIP CODE92008 DAY TELEPHON!il36-4814 6. wNiitAC'luk NAME (last name firsr)A & J Foster, Inc. ADDRESS 2819 Central Ave. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE IJC. # 630120 IJCENSE CLASS C 3 6 CITY BUSINESS IJC. # J 2QQ354 DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WuRkEkS' WMPENSAl10N Workers' Compensauon Declarat1on: I hereby afhnn that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). □ □ □ 5-1-95 not emp oy any person m any manner 3-ID-Ct':5 Owner-BuJJder Declaration: I hereby arhrm that i am exempt from the Confradofs license Law for the ioiiowmg reason: 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 Llcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit ro construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRE DATE toMPLE IE I HIS SEcliON FUR NON-RESIDEN IIAL BDILbiNG PERMIIS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF TI!EANSWERS AREYES, A FINAL CERTIFICATE OF oa:IJPANCYMAYNOf BEISSUED AFIER.Jlfl.Y 1, 1989 UNLESS TI!E APPUCANT HAS MIT OR IS MEJITING TI!E REQUIREMl!NTS OF TI!E OFFICE OF EMERGENCY SERVICES AND TI!E AIR FOLLUTION CONTI\OL DISl1UCT. 9. WNSIRUCIIDN LENDING AGENCY I hereby afhnn that there is a construction iendmg agency for the perfonnance of the work for which this permit IS issued (Sec 3097(1) Civil Code). LENDER'S NAME None LENDER'S ADDRESS 10. APPDCANJ CEklll'ICAIION I cemfy that I have read the application and state that the above mformat1on ts correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TI!E CfTY OF CARISBAD AGAINST AIL UABILITIES, JIJIJGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACill\ll! AGAINST SAID CfTY IN CONSEQUENCE OF TI!E GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPIJCANT'S SIGNATURE • ~f:ly-~ -{ 0 -°75 DATE: WHl . File YELLOW: App tcant PINK: Finance 0 "' z 0 ;:: .. a: .. J 0 .. 0 IC i[ 8 a: .. 0 J 3 ~ .. z 3 0 ' z 0 s z .. .. :I 0 0 "' "' .. " a: 0 3 ![ }..,( I hereby affirm thal I am licensed under ~lslons ol Chapter 9 (commencinQ with Section 7000) of Division 3 al the Business and Profesalons Code, and my lict1nse is in full force and effect I hereby afl,rm That am e,empt lrom The Con:·ac 1or s License Law tor the following reason (Sec 7031 5 Business ano Professions COde Any c1ly or couniy wn,crs re ouores a Derm,t 10 consirucT .ilTer ,mP'oae de110I,sn. or 'epa,r any slruclure. pro or to ,ts ,ssuance also requires !he ao ;il,canl lor such perrn,t 10 hie a s,qned sta1emen1 :na1 he ,s ,censea pursuant to lhe prov1s!ons ol the Contrac1or s License Law , Chaoter 9 commenc,ng wrth Sect,on 7000 oi Oiv,s,on 3 ot 1ne Business and Professions Code, or lhal ,s e,-emot theretrom and the basis for lhe allegea exemot,on Any ,iolahon 01 Sec!oon 7031 5 by an applicant 'or a perm,1 sub 1ens the applicant lo a c1v11 penally ol not more than tive h,Jn dred dollars !SS001 I, as owner ol the property or my employees .,,,,lh wages as Their sole compe%a1ton w,11 do The wor.: and :he siruc lure ,snot intended or otfered lor sale !Sec 7044 Business and Profession, Code The Conlractor's License Law aoes nor apply to an owner 01 property who budds or improves Thereon and who does such work h,mself or through h,s own emoloyees proVl[led that such ,mprovemems are ~01 ,n1end ed or 011erec for sale II however the bu1ldong or ,mprove f'lenl ,s sold w,th1n one year o1 completion the owner-builder w1I' have the burden al proving tnal he d10 nol build or ,m prove lor lhe purpose ol sale1 I. as owner o' the properly am exclus,vely contract,n~ w,m licensed coniractars to construct the pro1eu !Sec 7044 Busrness and Proless1ons Cl){je The Con•ractor s Ucense I aw does not apply to an owner of prope<ty who bu,lds or ,m proves thereon. and who contrac1s lor each oro1ec1s w1lh a contractor(sl license purs'Jant to the Conlractor·s Lrcense Law) As a homeowner I am ,mprov,nq my home and the fol'o·.-1ng cond11>0ns exist ' Ihe work ,s being per1ormeo prtor to sale 1 have lived ,n my home lor lwelve months Jrio, to co1nple1,on ol I~" work I have not claimed lh,s exempT,on du,,ng me asl lhree years r arn exempt under Sec _____ _ 8 & PC 'or lh,s reason ____________ _ YI !"\ereby all1rm \!"\at I nave a cer1d,ca1e of consent to se~-~rsure. o, a cert,••cate ol 'Norkers Compensat,on In svance er a cer1,',ecl cop, t!"\ereot 1Sec :1800 Labor Code1 POLICY NO COMN"' 1013568-87 Cop,· ,s t,st"cft:~ c,Fund XCert1hed copy ,s "erebv lurn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSAT•ON INSURANCE 1Th,s sect,on need not oe corr.pleled If the permit 1s br one hundred clo' a'S ,,SIOOI or leSSI I certify I hat tn the perlormance of t"e work for which this permit ,s ,ssued I shall not employ any perso~ ,n any rranner so as to become subJect to the Workers Campen sat,on laws ot Cal1forn1a NOTICE TO APPLICANT 11, alter mak,ng th,s Cert1f1cale of Exemption you should become sub1ec1 to the Workers Co<npensat,on provis,ons of the Labor Code. you mus1 forthw,th comply with such pro,,s,o~s or this oerm,t shall t>e deemed ,evoked I ~ereby affirm that lhe•e ,s a construct,on lending agency lor the pec•ormance of the work lor wh,ch this per ,,,i ,s ssueo 1sec 3097 c.v,I Code) Lenders Name Ler,der·s Address None USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV. ST.AD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LlCENSE # VALUATION PERMIT NUMBEFl 2422 La Plancha Ln. Los Pines Dr. 19451 rt </fJ/) LOT BLOCK ·1 SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE \_; .)f;fo OWNE A'S NAME I NONEOWNER·s PHONE Arlen Foster Plumbinq 697-4151 Gail Pizzino CONTAACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE OWNER'S MAILING ADDRESS 2819 Central Ave. 443348 DESIGNER DESIGNER'S PHONE 'ln'l r ~ n, . r- DESCRIPTION OF WORK -DESIGNER'S ADDRESS STATE LICENSE NO. . ' ' FLRELEV NO DCC GP EDU STORIES vC -...,:J 1 CENSUS TRACT I PAf'KING SPAC~ RES UNITS I GRADING PERMIT ISSUED ! REDEVELOP'v1ENT TYPE OCC LOAD FIRE SPF! AREA CONST ,□ 'D •□ -...□ YO "<0 Not V~lid Unit!!! Milchme Cert1hed QTY PLUMBING PERMIT -ISSUE e;7 ~n QTY. MECHANICAL PERMIT· ISSUE / SUMMARY/ACCOUNT NUMBER EACH ~IXTURE TRAP INSTALL FURN DUCTS dP TO 100 000 BTU ./ ----suTT_UIN'-, n:rvvil I UU1-i:l1u-uu-0·J 8220 EACH BUILUING SEWER OVER 100 000 BTU / S·GN PERM!T 001-810-00-00 8221 ' EACH WATER HEATER AND OR VENT ~~ rn BOILER·COMPRESSOR UP TO 3 HP ./ PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEM I TO 4 OUTLETS . SOILER-COMPRESSOR 3 1'.J HP / TOTAL PLUMBl"JG 00 ;-s · ,J-:J0-:J0-8222 ,,, n nn -EACH GAS SYSTEM J OR MORE METAL FIREPi ACE:. / ELECTRICAL 001-6 ° 0-00 • 00-82 23 EACHINSTAL ALIE.H. REPAIR \\'ATER PIPE V_fNT FAN SING.J.R"fiU p MECYANICAL 0G 1-81 J-00-00-8224 EACH VACUUM BREAKER i.,,,. J:HEXIHl"UST • In ~ DUCTS MOBILEHOME 0G 1-81 ::J-00-00-8225 WATER SOFTNER "'N OF "' RNACE HEATER SOLAR ·:)0 1-81 0-'J0-G0· 8226 : A(:f--< RU(F r•,R~ 'S , 'J'.-,,['.>, n YER\Q:rr , E!: STRONG MUT ,UN 880-519-92-33 '(r h,:, .. 1 .. J;,L Mllil H~ICAL i::1RE SPRIN'\LERS oo 1-81 o-o=,-oc -8227 Q:..., TUI Al PlL'MHINi, I <"-1 n ,...,.., c:.c -_y FlUBLIC FAC'L1TH::S ;:EE 320-81 0-0G-00 -8 7 ~C / o-17 -~ / BRIDGE FEE 360·810-00-00-87 40 QTY. ELECTRICAL PERMIT -ISSUE Q M~I~ HOME SETUP • . I,; PARK-IN-i... E:.U 1,AREA NEW CONST EA AMP SW! bKK ./ ,. . CAR ~T .-..., ./ . TIF 312·810-00-00·8835 I PH \ PH ,, -AWNING .... 0.. ~ . LA COSTA TIF 311-81 0-00-00·8835 fXISI IHllG EA AMP SWT 8KR ./ GARAGE u,,, ,/ FMF I PH 1 PH / ,,.. ,, LICENSE TAX :o' -s· ~-c,c-2•0-s 1 ~~ REMODEL AL Tt R PER Cl KJ;..{l"i T -./ MFF 880-5'.9-92-57 IE.\1PPOLF )ilO ,'IMPY ./ OVER )lJU AMPO:::./ ../ Tt 'V1P [l[C.1'1"f\'Ar,.[Y ,30 OAYS1 _,/ ./ . CREDIT DEPOSIT TilfAt flll.THILAI I , 'OHl I TOT AL FEES PAYABLE c-.n ~- I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY E1tp1rat10n Every permit issued by the Bu,ldtng Olflc1at under !he prov,s,ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OYEA CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDtNG THE Code shall e)(ptre by hm1tat1on and become null and votd II the building or work ir 0 .. DEEP ANO OEMOLITK>N OR COHSTRUCTK)N Of authorized by such permit ,snot commenced w,thm 180 days lrom the date of such DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT lb permit. or 1f the buitdinft or work authorized by such permit 1s suspended or STRUCTVRES OYER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at an" 11me a ter the work 1s commenced for a =nod ot 180 da"S STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND PPUCANr [] APPROVED BY DATE _F KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO~-S SIGNATURE ~ OWNER CONTRACTOR Ji; Pt 1 Yu/err EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ BY PHO E rJ GRANTING OF THIS PERMIT rl n •-._L _I ~ N !!! u. >-§ 0 a. E ID f- D 0 (.'J c ~ u a. a. "' I ~ C a. 0 " m ID " " "' ~ 2 0 >- ID u C ~ C u. C ID ~ (.'J 0 u ID a. m C 2 ~ ;; TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING 0 SEWER AND BL/CO □ PL/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE D TEMPORARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED FINAL I PLUMBING _, ! ELECTRICAL (, 'i\ >.\/ MECHANICAL ' . ' GAS \ J ~;--: BUILDING ~ ' SPECIAL CONDITIONS ' tp;gg o9~V FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE ----l OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING -----HIGH STRENGTH BOL is . SPECIAL MASONRY PILES CAISSOr-...C:: ------. --~ ::! 0 : :l 0 .. 0 IC ~ereby afrnm that I am licensed under O j") provisions of Chapter 9 {commencing with t-, Section 7000) of Division 3 of the Business ~ and Profesalona Code, and my llcense is in IC full force l'JP effect. ~I-1,c No~Y~Z-}--Class -B 0 a: .. 0 -' 5 i .. z • 0 z 0 ;:: :; z .. .. ,. 0 0 "' "' .. " a: i ![ I hereby affirm that I am exempt from the Con• V~J0;:'B~~~:;:: ~; ~~f~~~.~~l~~,~~.',~r county which reQu1res a permit lo construct alter, improve. demolish. or repatr any structure. prior to its issuance also ,e,qu,res the a.pplrcant for such pem11t 10 file a s,gned statement that he ,s licensed pursuant to the provisions ot the Con tractor's License Law (Chapter 9 commencing with Section 7000 ol D,v,s,on 3 of the Business and Pro less1ons Code) o• that ,s exempt therefrom and the bas,:. for the alleged exemption Any v,olat,on of Section 7031 5 by an applicant for a permit subJects tne applicant to a c1v11 penalty o! not more than live hundred dollars ($500) D I. as owner of the property. o, my employees ,,,nth wages as the,r sole compensat•on, will do the worl<, and the structure ts not intended or ottered tor sale {Sec 704'!. Business and Proless1ohs 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 ltlroug~ h,s own employees. provided that such ,mproveme;,ts are not mtende1 or offered for sale If. however. the building or ,mprovement ,s sold within one year ot completion, the owner-builder w,11 have the burden of proving that he did not build or improve for the purpose of sale) D I, as owner ot the property, am exclus,vely contractm9 with licensed contractors to construct the pro1ec1 (Sec 7044. Business and Professions Code· The contractor's License Law does not apply 10 an owner of property who builds or ,mproves thereon, and who con1racts tor each pro1ects w,th a contractorjs) license pursuant to the Contractor's License Law) D lamexemptunderSec tor th,s reason BS.PC D I hereby alf:rm that I ha,eacert,t,cate or consent to self-insure, or a cert,ficate of Workers Compensation Insurance, or a ce>11f1ed copy thereof (Sec JOOJ. La~r"'I~:~,_. eoucrno U/lA(Jl,j7tJ / _ _ _ __ COMPANY /J)e!!f' ~ ~y 1s 11180 with the c,ty M- O Ce'11!180 copy ,s hereby fur~ CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need not be comple1ed ,f the perm,t ,s !or one hundred dollars (S100) or less) 0 I ce>1,ty tha1 in the pertormance of the wor1< !or which th,s perm,! ,s ,ssued. I shall not employ any person ,n any manner so as to become sub1ect to the Worl<ers· Compensa11on Laws ot Cai>forn,a NOTICE TO APPLICANT If. after maktn;i 1t11s Geri, f,cate of Exemp1,on_ you should t>ecome sub1ec1 t0 the Worl<ers· Compensation provisions of the Labor Code. you must forihw1th comply w,th such prov,s,ons or this permit shall be deemed revoked D I hereby att,rm that there ,s a conslruct,on ,ending agency tor the performance ol 1he wor1< lor which th,s permn ,s ,ssued !Sec 3097 c,.-,1 Code, Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN o••v ::.&.:..PR::..:E:::;SS::..;H:::A:::R=-D __________________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN~ 'lECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLIC~l9Ji ~ PERMIT JOB ADDRESS sv$1NE'!fS Dcrnse # VALUATION PERMIT NUMBER ;)L./ d, ::J OWNER'S NAME ::SO.sePH LJJ. pl />r NCH_ /1_ ~z.z.lNo l 11 Ne.. --~~~-r¥u·:az0Nt ... ~... I ~"';..;•&61~ ~p_ ;,1, 115"3:7192.. .... /./1-99 CONTIVtCTORS PHONE• Lf.3-2,;t,2/ ZONE ,, 1)' /5~ OWNER'S MAILING ADDRESS S,tme.-zs1/~A0~~.1c.S1-:1 a;~ z 3 LOT BLOCK l SUB:IV~SION I ASSESSOR PARCEL NO. DESIGNER I DESCRIPTION o_F WOWl/:Tu, -a£~ I DESIGNER'S AOQRESS _('.,,ha NQe. , Ct..C} --··"------,1, FLA ELEV. vD NO GRADING ~ERMIT ISSUED Pl ,,{17,17n NO STORIES TYPE CONST ;TATE LICENSE# DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRESPR PLAN I.a.# BLDG USE CODE STANDARD PLAN# BUILDING SQ. FOOTAGE t /~.7 i / crnsus TRACT I ce LAND usE I eARK>NG seAcE I RES uNm I YO N 0 I REDEVELOPMENT AREA vO NO vO NO Not Valid Unlt!ss lbchine Certified QTY. I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT ----------- 7,50 QTY. MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU 1 ,Z r5_0 B01LERICOMPRE_5_5_D_R_U_P_TO 3 HP SUMMARY/ACCOUNT NUMBER _BUILD_IN_G PERMll_ 01-000-4220 SIGN PERMIT 01-000-4_?2_1_ Pl At-J f;HECK 01-000-480~-- I--EACH GAS SYSTEM 1 TO 4 OUTLETS _ ----+ 1-METAL FIREPLACE I BOILER/COMPRESSOR 3-15 HP ~-~·· IUIALPLUMBING 01-000-4222 ELECTRICAL 01-000-4223 EACH GAS SYSTEM 5 OR MORE EACH INSTA~ .. ALTER, REPAIR WATER P!PE VENT FAN SINGLE DUCT ---+--/ ----------- MECHANICAL 01-000-4224 EACH VACUUM BREAKER MOBILEHOME 01-000-4225 --------------------------WATER SOFTNER MOBILEHOM f---+------------------+------+ -------· _ _j_ - EACH ROOF DRAIN (INSIDE) ____ -~~~~~-~-rl;-4CC:~::::~:: .. :,:::_"_~ __ :•~":'~':'~ ___ --"" l-A--1--A---"-' t= I QTY. TOTAL PLUMBING ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP/SWT ,·BKR _J ~ PARK INSP I [ __ ~~-·--01-000-4226 STRONG MOTION 65-640-0519 FIRE SPRINKLERS 01·_990-4227 _ ~ PUBLIC FACILITIES FEE 2_5-009_·_~33 _ _]-BRIDGE FEE ---I-- SCHOOL FEE · DISTRICT lPH JPH ---------------+-------11--'C"'ar"lsccba-cd"---65-623-0519 --- ---- ROCK STORAGE -----------1----------11-Encinitas 65-624-0519 -~'.-J/-,.,1,-.:.-'"''--J---t-P"'U'"'.MP ____ ---· _______ ------'-------'-----" Sa·n Dieguito --~65~-~62~5~-0~5~1~9---t-1-------- -~~-~-□~-~L_TER PER Cl~C_U_I_T -l,,'--,-L.f-----4-PLA~~~i~K_f_EE -------------· --_ San Marcos 65-626-0519 I EXIST BLDG EA AMP!SWT/BKR r-_ -·---------- 1 PH 3 PH --- -- TEMP POLE 200 AMPS -------- OVER 200 AMPS ,I--f---T-EMP OCCUPANCY 130 DAYS) ____ _ ___ _,__ ______ _ _ __ -_-_-_·----------"---------"- I___J ------- TOTAL ELECTRICAL -1 I --+-- I Hit.VE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJVRY THAT ALL fNFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· STRUCTION, WHETHER SPECIFIED MEREJN QR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CAAL.SBAO AGAINST All LIABlLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. TOTAL SOLAR ----11 I I TOTAL FEES PAYABLE j {), 00 Expiration.e.yperinit---~Oftidetunctw~-ot',hie Code 3baff i,xpin, by )imitatibi\ ind~ null and void, If thtt Loikffng or work aut~ by such permil is not~ wtthin 180 dayefrom tMdateof such permit or if the buildtnQ o, wot11.'.~lt«t by such pepnlt_ ii suspended or aban~ ~ ~Y ttme tffet the 'flri:!!': Iii c6mtnencad tor a ptriod of 18() dayJ. A~uer_·sJ7'ATuRE~-• _,L .. --_. , , oWNER □ "CONTRACTOfil"'O ~ ~ BY PHONE 0 * ANqeHAPEAIIIT_. -•. _ ~--. VATIQHS6vai ·5'0" Dl!EPAND , , , ~Of' s11!UC'!llllEsovar;I . llf"8GNT A;7◊\/EO BY . t4--tM1 l.11 A /(11 1-- DATE 14-21-82 2 u: >-~ 0 C. E ~ I "' 0 (!J c "' -" 0. c.. "' I -"' C a: 0 "' "' "' "' "' "' I "' _Q w >- ., "' ., u e a. "' ei 0 ~ "' u C "' C u.. C "' "' i5 0 1, "' C. "' C ~ £ ;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/Cb ' .. PLUMBING UNDERGROUND PLUMBING TOP OUT - TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING 1 G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM .• REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL . lll!ECHANICAL GAS BUil.DiNG SPEelAL CONDITIONS CERT OF OCCUP. ·r;y ISSUED - '. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - INSPECTION REO 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 I BOLTS ------ 1 SPECIAL MASONRY I PILES CAISSON~ I --- I ! ! ----------- -------· -. L , ! --- ------i . -i ' ---' ! ! . ., ' \ ---------~ ' ! . - -------- ------ ; CICitp of CICarl~bab REQUEST FOR INSPECTION RECORD • • TIME: ~ ~~~~~TOR,:z:u-J~ PERMIT NO .. --. ________ DATE'· p-2 ADDRESS __ 2:;7--~¼~? rr✓~ • REOUESTEDBYt:;'aL< PHONE No. 2s-::1-7'297- PERsoN TAKING REPORT z :5 . BUILDING ll FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING SUB FRAME D SHEATtllNG D ROOF D SHEAR D FRAME [l EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL D D SEWER AND PL/CO D TOP OUT PLUMBING □ TUB OR SHOWER PAN D GAS TEST 'efJwATER HEATER D SOLAR WATER D FINAL ELECTRICAL D TEMPORARY SERVICE □ UFFER GROUND D ELECTRIC UNDERGROUND D ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D FINAL MISCELLANEOUS D CONDITIONED AIR SYSTEMS D SOLAR HEAT D PATIO □ POOL D SPA D SIGN D GRADING □ DRIVEWAY D FINAL • SPECIAL INSTRUCTIONS ___________________________ _ R';,8J,Y For Inspection: □ 9-"".M. □ P.M. Monday D Tuesday ednesday --•-------------------~·-~-~-"--·--• - D Thursday D Friday