HomeMy WebLinkAbout2460 IMPALA DR; MULTI-PERMIT FILE; CB940523; PermitC/
B U I L D I N G P E R M I+T Permit No' CB940523
05/10/94 08:50 .. .. . :Project No:.A9400747
Pae 1 of 1 .. .Development No:
..Job-Address: 2460 IMPALA DR' ;., Suite: ,
Permit.Type:.ELECTRICAL.
Parcel No: 209-041721-00 . Lot#: .•
Valuation 0 1 LCi . 00101 0.
C-FIRMT '30 00 Construction Type: NEW ••'_\
Occupancy Group:. . . Reference#:- Status: ISSUED
Description: ADD CIRCUITS TO EXISTING' . . . : Applied: 05/10/94
PANELS .. .. Apr/Issue 05/10/94
Entered By:.MDP
Appl/Ownr : MOUNTAIN ELECTRIC -. 619-746-.87.5,0 I
201 E.. GRAND AVE
ESCONDIDO, CA. 9202.5 ,. .
*** Fees Required & Credits
.Fes: 6.000P - \' ,Adjustments: I - 1.0.0 .. TotCredits':;.\ .00
' Total Fees: I6006... TotaPamesq) \ .00
-
•. /,. -. . . V4Balance\Du.e.: .. \ 60.00.
Fee description / \ Ext fee Da 1a
Enter 'Y" 10.00 Y .
Remodel/Alter, Per AMP , 25 50.00
ELECTRICAL TOTAL, 60.00
INCORPORATED,
1952
•.
. . •T
. 2FAL)PPROVAL
1NSP.-"1 DATE
[LEARANCE
-
•: CITY OF CARLSBAD .
- . .
2075 Las Palmas! Dr., Carlsbad, CA 92009 (619) 438-1161
PERMiT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PLAN CHECK NO. 1'4 -
Esr.vAL__________________
PLAN CK DEPOSIT_______________
VALID. BY____________________
DATE
From List 1 (see back) give code of Permit-Type:
-----------------------------------------------------------
/ . or Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address a çi p / Building or Suite No.
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subdivisi9ft Name/Number Unit No. Phase No.
CHECK BELOW IF SUBMIITED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
(uN 1NJI P.H.SUN (it different from applicant)
NAME (last,name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
APPUCANU CONTHACIOR. DAGENI FO CON IRACIUR DOWNER DAGEN[ FOR OWNER
NAME (last name first) 44/fe,, ,44cc/< ADDRESS '?/ F J J'Lt 7
CITY , ,.,/ ',../ STATE ( 11 ZIP CODE DAY TELEPHONE 7 £./ - 8? 5 C
PROPEWLY OWNER
NAME (last name first) . ADDRESS 24' .O /t7(Z / P/Z
CITY / (/ STATE C' 4 ZIP CODE DAY TELEPHONE
' (! ADDRESS NAME (last name first)
CITY i C/ C/Ca STATE 0'4 ZIP CODE DAY TELEPHONE
STATE UC. #52121r3V 9 LICENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
WORKERS' (X)MPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of IndustnaI
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).
INSURANCE COMPANY ,, : A i. s L i,, 7.POUCY NO. I0t .? 90 223tCPIRATION DATE 'J
so as to become subject to the Workers' Compensation Iiws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License 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.).
o 1, 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).
0 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 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, 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). -
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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?
DYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES 0 N
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MIET OR IS MEEI1NG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISflUCr.
WNSH{UC11ON LENDING AGENCY
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
APPLICANI CERTIlFICATlON
I certify that I have read the application and state that the above information is 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS (1)51'S
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 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 18p:days (Section 303(d) Uniform BuildingCode).
APPUCANS SIGNATURE '- DATE:
WHITE: File YELLOW: Applicant PINK: Finance
'.1,
• S
CITY .OF CARLSBAD.
5 INSPECTION REQUEST ' S I •' ' • I..,..
,PERNIT# CB940523. ' ' FOR06/10/94 " -INSPECTOR., AREA.'.
DESCRIPTION: ADD CIRCUITS TO-EXISTING ' PLANCK# CB940523
PANELS :' ' 0CC GRP
TYPE: ELEC ' ' CONSTR. TYPE NEW
JOB ADDRESS:' 2460' IMPALA DR ' ' ' STE: - 'LOT:'
APPLICANT,: MOUNTAIN ELECTRIC " PHONE: '619
CONTRACTOR: - S • PHONE-.*"
OWNER
]4 -8750
PHONE
REMARKS: 'BJN/MQUNTAIN/.746-8750 •., .. -INSPECTOR I
SPECIAL INSTRUCT: ' •
.
c ' S ' - S
•
TOTAL TIME
--RELATED PERMITS ,-,PERNIT# ' TYPE, STATUS S -
•' •
' S
''
-
S C0910174 ', COFO ISSUED S S •
AS940034 AST! ' ISSUED ' • ' , S
CD LVL DESCRIPTION ACT COMMENTS
,34 EL 'Rough Electric • 'S ___
.5. - 5 •
S ' ,,'
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
S '• • •: -
55
5k S • S ' -S ' '' ' S
S
S
,•
S S , - -- - - S S
4' I S S
,
555 5 5• • 4 5 5 5 - - - S S
- ..- -
-
VOLTAGE &I.C. PANEL MOUNTING MANS
PHASE LOCATION A4..c.316I 'OUSSING 2
WIRE FEEDER -- FEED_______________
LT C 1C{P WATTAGE A
A __
WATTAGE
(R&!SHLTG
f_
LOCATION
7 A 8 1 -
•
:1• :,_' jltit .c 12 _1 A
,.•
113
lis lie l___________
• ____I 7_EJ181
____::; ;j' .':f 19 £ 2O1 _____
-.
21 7T
231
T__ -I _
p
••• L•1\ j-•
& 1 25 ' A 26i • ..-&
• :____
.•
.•_____________ 1 27 7ti
___ ___ L •
_______ 431 1 &132_/-_-
___
A4-"1 10
l933 $ $34 /j -
39
.141 TI42 1 1 .1 • •
I SUBTOTAL •
0 -
. . ________________ . • 0
I TOTAL.$A JQ_/t 00
I TOTALLODs11 -' WAITSAT '10 /- _4 W.7)7_
HIGH -; — - WATTS AT t V,i2W A _)
0 •• •0
0 • • 0 • .0: . ...........
0 .:—- . .•. 0 ...
- •'.* - I - —
-.'.-
'
_I
•4/
VOLTAGE _ c PANEL To MOUNTI NG MAINS Oô
PHASE 10, LOCATION .T BUSSING _
WI E ______4- - FEEDER9L C.-4 LkL iI u 37 FEED__ 17 C*Q _____________
LOCATION
WATTAGE WATTAGE toéA1
A 05 •
f* 21!
4
172- c)
V V 7 A
.o'17,Tio 1
7l Jc12j
F3•: 7 fJ13j
_L21511 lie 1J
_V_iLL.i!..
1 201
1 121 1 22.j I V
71_1_LIL.1 J2 1L _LLJ____
-ç 72Z 25 A
- 72.1 1 291C30
i_--_- '1600 - 31 A 32
_',00'L35c3e__
37 A33
39 9 .140 iiii142 IILi_______-ii
SUBTOTA
TOTAL 4A ç) $8
.1TAL LOAD. 2.'7c_6o0 WATTS AT 1Io/7C ( _V 3.A
HIGH: P4.ASE - ________ WATTS AT .V.,12W.* A V
CALL FOR FINAL INSPECTION WHEN-ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
NG >aø: i/
SPECIAL CONDITIONS ..-
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0-CEILING
SHEATHING 0 ROOF 0 SFEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL I
PLUMBING
0 SEWER AND BLICO 0 PLICO
UNDERGROUND JWASTE D1WATER
TOP OUT DWASTE 04IATER
TUB AND SHOWER PAN
GAS TEST
EJ WATER HEATER EJ SOLAR W}TER
ELECTRICAL
0 ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
o DUCT & PLEM., 0 REF. PIPING
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS
.... .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS . INSPECTOR'S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
-APPROVAL DATE -.
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP - - -
OVER 2000 PSI ---- - -
STRUCTURAL CONCRETE
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
-
FIELD WELDING -
HIGH STRENG1H
BOLTS -. • ________ ____________
- . .
SPECIAL MASONRY . - •
PILES CAISSONS
- '• S
-
- ',•
S
-•.-.,- ______
. S
F - . - ___________________________________________________________________________________________________
-- Le .,• -
xy 1"
- . - • -•• -
• . - r - , •.•
p - -•-4 - - , . ---
__________ ____ ______ ___ -. .-. C.- •
-. -
. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
- — —
r
- "-CARLSBAD BUILDING DEPARTMENT APPLICATION9DDI1IT
L hereby affirm thatam I cens under
-
- _2075 Las Palmas DrCarIsbad CA 92009-1,915 (619) 438 1161 __. PERMIT I
- -
U provisions of Chapter 9v*(commencing with joe ADDRESS .. AV ST RD THOMAS BROS NO DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER /P
I.. Vcind Professions Code, and my license is in
of the Business
: M 1Z iY
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR • CONTRACTORS PHONE # ZONE
hereby
CONTRACTOR
that l'amexempt from the Chntrac I'
~,IOE',s License~Law for the following reason (Sec. 7031.5
Ousiniass"and Professions Code:_ Any cilyer county whicr. re OWW€aL ,.., OWNER S PHONE k' 't~r)5 '7..7'C'' - - - - -
-. quires fpermil to COnSIruCI, alter, improve, demolish, or L_/ -E ) tt '-s' CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE repair any structure. prior to its issuance also requires !he ap-
- '? . ._r tkD (V I.Y—\ '1- -S i s)-'7'__I 1\ F4_/ P '.A 7 '7 .. . . - ._ ... .
hcensed pursuant In the -prninrrs 01 the Contractors OWNER'S A'S MAILING NC ADDRESS " I•_$i'-S3' °'t (-7'7 I ______________________________ _______________________ -- license law (Chapter commencing wilhSection 7000 oç_.g - L - __________ ___________________________ ______________________________ . tL.r
oi~ision 161 the flusiniiss and Professions
or that is ex-
ernpI therefrom the bsaioriheaUegeOexhwpIionAny1 violation of Section 7031:5 by an applicant for a~cr~rmil sub- I
DeSI I1p1 q7 3O23 jjilO/88
BidPmt 25 )
,....jects.Ihe applicant to a Civil penally 01 not more than,Iive hen..... DESCA 2 ION OF W02K
dretl dollars ($500) •Z x 1 c' R'uoccO .L wx pkj L/ --rvL C1M -&A€B- _________ --
,.e.I I I, as owner 01 the properly, or my employees wilh wages '1j our
'Sole com ' nsalion will do the work, and heku as their
P, SIruC
and Professions Code',, The Contractor's License'~Law, does tL kI -v 9 x 15h n i F/P F LA ELEV. NO 0CC OP EDU -- - - -
not apply 10 an Owner 01pr0per1y who botldsor.Improves , .. STORIES.-. ..._ - .. . ...__ - .-.- -----..- - --. - . -S-.--
am
k himself rough is r r re%hIhr rdn (.Jr..I._J' P D NO ( Ui - ed or offered-for sale 11.1 however., the building -or improve-
Z inert is sold within on; year ilcompletion,. the ewnerJbuildor CENSUS TRACT PARKING SF - NITS - NO PERMIT ISSUED •_ REDEVELOPMENT - , . ... TV.PE. 0CC LOAD .-FIRE SPA ..-'------------' ---'- - --
II have the burden 01 prey ng that he dud not build or. rm .._ ....-_.. - -.-- ..] \'O AREA L I CONST
- 0 prove for the purpose of sale). '
. -\ 0 - 'V 0 NO YO ND Not Valid Unless Machine Certified
l:as: owner pt the property. amexcluswely contracling ' ' - - - ' ..............
. i \\ • . — eo L _Btrsinisi and Professions Code:. T he 0 . .4. PLUMBING.PERMIT..- ISSUE , - - CHANICAL PERMIT - ISSUE ,5 SUMMARY/ACCOUNT NUMBER.
claw_does not apply to an owner of property who buildsOriiin.,y/ ••... - - __________________ C 1 - - -
4.pruvesthereoe and who contracts for each proiects with a contractor(s) license pursuant Willie Contractor's License'a EAc'4,XTURE TRAP O 0 iNSf44,FURN DUCTS liP TO 100 000 BTU BUILDING PERMIT 001 8(00000 8220 /reJ
lawl - - - - EACH BUi1N.L,,SEWER I , OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
Ii- !,J,Asa homeowner lam improving-my home- and IN :\ EACH WATER HE-er-11 Oil .g,NDiOR VENT . ,V' - ... ... BOILER/COMPREUPTO 3 HP. - ..' . PLAN CHECK . . •. 001-810-00-00-8891.../,. c -
-1 — EACH _GAS SYSTEM I BOILERICOMPRESSORi'°PIJP__," TOTALPLUMBING 00i_81000008222
- U - , _,tv,çnmpIeliovuIthiswprk.__,_._.,,_.,__,.__,1.., .. - ...-.. .- -.--_.---- - _ - - 3. I have not claimed this exemption during the - EACH GAS SYSTEMS OR MO METAL FIREPLACE - -. ,. . •' ELECTRICA[ - 001:816-00-00:8223- prior
- 0 . , last three years.
- OIam exempt tinder Sec 'o& . EACH_INSTAL__ALTER)&IRWATER VENT FAN_SINGLE DUCT -...,, - MECHANICAL 001_810_00_00_8224
Or his reason - - P, - EACH_VACUUM J4'fKER'. ____a -
— MECHEXHAUST ____DUCTS _'%_., MOBILEHOME 001_810_00008225
- - ------ -'--'---------. I -. WATER_SO)#'.ER.4 ___..-.._ ._t ' s..," - - RELOCATIO8(EA_FURNACE/HEATER _F- ._ - SOLAR _*001_810_00008226
FACHFDRAINIlNSIDEI - _I 1 DRYER '•s.. STRONGMOTION __880_51992_33
~")E] ~1,hereby affirm that I have a certificate of
selnsueoacelcateoIWokesConnpesato tl,L ,,
—
— TOT A L MECHANICAL 's._
,
FIRESPRINi(LERS _001_810_00008227 Ot ace oacel tied copye e thollSec 3800 Lebo;Codel I 4 1 TOIAL PLUMBING J " -.- - t -.--.. - - --_PUBLICFACILITIES__FEE__--320_8100000_8740-
--
-. - POLICY;NO._ . . - r. -
OMPANY t'•\l - I BRIDGE FEE _36081000008740
o a huld r1'r...j '. OT ELECTRICL PERMIT ISSUE - -- ,
MG
MOBILE HOME SETUP - '-----
0 Copy s I led writhe oil - PARK_IN_LIEU(AREA
---.Celled copy 5 ho eby fun shed -.-- ..- -- .NEW''SST_EA_AMP__SWI__BKR_---- _* _ .....-POR%,, _______(--.,. _____-_ -TIF-. -----------312_810_0000_8835 -.- -.-- - — -
911. -5IPH_-._3PHSS__I 'NING I LACOSTATIF 31181000008835
O trS.LSCERmFICATEOFEXEMPTI0NFROM E,XISIBLDG__EAWT_BKR AGE / _.•-._I FMF - IL
(I) lT!rssecLoo:eedneIbecomPl:tedtIh:Perntri — IPH _'-...___ 3 p>"
h'.__l _i..,, _____________
._LICENSE_TAX-------001_81000008162
cc
CUJI eily that the performance of the wok 10 which P REMODEL _ALT18_PER MFF 880-519-92-57
is-for one hundred dollars (SIOO) or less)
rmiris'isseed.i shall not employ arrypersoninany'I" .. - . .- . ,,_ . . ,, -- . - r'-" j'mannersoasto become subject te the workers'CemPen — TEMPPOLE200 _Pjpes - - - -1' - . . - - - *
sahon Laws;ofCalilernia.*-.._ -- O'E R'200 AI - •.v'..,..- -__55*'.
-- -. . -* - - 0
I NOTICE TO APPLICANT It: alle mak ng this Certificate — — a-.- -
- - ol Exemption. you should become Subject lo the Wo kern lP - - TEMP_OCJ'PANCY(30DAYS) __-_I _A_ -,It CompensaI on provisions of Ihe Labo M I
m
Code you mu —
- - lorthw tO Coply w lh such p 0 o S n I s s or this ye m hall - -. __ ._ ,_4...__ -_?- _-' - ------ -a-.-- - I - _ CREDIT DEPOSIT - - -' - -- - - -
l. (be deemed euked)p
-
TOTALELELTRILAL IOTA(.LTOTAL FEES PA 11,L_ in;
' o r I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Eopiration Every permil issue bylhe Building Off cual under INc provus onsol thu * AN 0611* IS REQUIRED FOR EXCAVATIONS OVER "k - that there is a construction lending - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THECodeshall lurynulalton and become null and void It the building or work 5' 0" DE AND DEMOLITION Of CONSTRUCTION OF 4 -
Uj (a ~y for Iffojp !!omnance of the work for which this per.
s in uilding or work authorized by such permit is suspended or sued:C3O97lC: : - I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT l) permit, or ysuCperml is not commarrcedwlhuv ST RES OVER 3 STORIES IN HEIGHT 2 iv
Z _ 'aZ ISSUED TO COMPLY WITH ALL CITY COUNT AND STATE LAWS GOVERNING BUILDING CON abandoned ala_lime after the work is commenced for a period 01180 days.
UJL IerrdesName _" KEEPHARMLESSTHECFFYOFCARLSBADAGAINSTALLLIABIU1]ES,JUDGMENTSCOSTS APPLICANT,LAT4Or)..4 OWNER JCONTRACTOR qJ APPRED
- - -- -
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
.- - t •. -- CARLSBAD BUILDING' DEPARTMENT APPLICATION &PERMIT' '
'2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE VALUATION - -,PERMIT NUMBER
_ nLI44
LOT BLOCK BLOCK SUBDIVISION ASSESSOR PARCEL NO. - - CONTRACTOR . * CONTRACTORS PHONE aZONE -- -
_-. OWNER'S PHONE fl(&)_-(2 C3kD 'a-'-'- OWNER'S NAME .
BUILDING SO: FOOTAGE -
-
' CONTRACTOR'S ADDRESS STATE LICENSE NO.
_EO
OWNER'S MAILING AD DRESS _ \kSTPc-
.3 15-1 At94iAxe0W0F 25L- 6~-5 DESIGNER C)75
-' . DESIGNER'S PHONE 0018 10/210101 02B1dPmt 69.0<
'F-PlJeL),h_C &i)MQ,_'SOUc2L1 _-_(--ir
DESCRIPTION OF WORK
DESIGNER'S ADDRESS - STATE LICENSE NO. - -
I,,>_ _
- F/P F LR EL EV I NO 0CC GP EDU -, - -STORIES . -
vDruD --, - -
- - . • . CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - - TYPE TYPE 0CC LOAD FIRE SPA
- I ' ' AREA- - - - . - - CONST
_"
--- -' y0n0 - _- _vDND - ' vD ND - Not Valid Unless Machine Certified
OTY. PLUMBINGPERMITISSLE -_-- OT(. ---MECHANICAL.PERMIT - _ISSUE . -SUMMARY/ACCOUNT NUMBER '
EACHFIXTURETRAP INSTALL FURN. DUCTS UP 10.100,000 BTU - ' ' , - BUILDING PERMIT
2 EACH BUILDING'SEWER 1 _--_.- -- , - - a.4i7 a.4.QL SIGN PERMIT - 001-8-10-00-00-8221---a-- -
'.j. 'EACH WATER HEATER ANDIOR VENTL - . BOILER/COMPR SSOR UP TO 3 HP - . - ' - PLAN CHECK 001-810-00-00-8891 * "
EACH GAS SYSTEM'I'TO 4 OUTLETS - ' .. ' BOILER/COMPRESSOR 3.15 HP - - -TOTAL PLUMBING 001'810'00-00-8222
• 'EACH GAS SYSTEM S OR-MORE- -. .. ,- ' -.'- METAL FIREPLACE -- - ,- - , - -' - ELECTRICAL - 001-810-00-00-8223 - ---- . - -- --- - - ---- -
- EACH INSTAL., ALTER, REPAIR WATER PIPE - .- ..' VENT FAN SINGLE DUCT, ' ' : - - MECHANICAL 001'810-00'00'8224 69 d-O
it A EACH VACUUM BREAKER - - , . MECH EXHAUST HOOD-DUCTS - . -- . MOBILEHOME - 001-810-00-00-8225
In. W'ATER SOFTNER( - ' ' - - - - T . - RELOCATION OF•EA F, -AE-tHE-AjER -, -- - , - . - SOLAR - -: ..- .-001-81000-6b-8226 - - -- -
- EACH ROOF DRAIN l3NS10E1 - . - . , , '- DRYER VENT . -' '- STRONG MOTION - 880'519-92-33
or certificate of Workers-Compensation tn., I1, TOTAL ANiCAL A - -
40 - - - •,
h\- 'v - -
(0 -- - 0
FIRE SPRINKLERS - '001-810'00-00-8227
tUlAL - PLUMBING--- . - - PUBLIC FACILITIESFEE 320-810-00-00-8740 - - - - -
pTY. 4 - - . ,,, - ,x - ' - ,
-ELECTRICAL PERMIT --ISSUE '---
'T'
QT'. , / flj I'-4(( - - - BRIDGE FEE - 360-810-00-00-8740'-
- PARK-IN-LIEU (AREA 1ILE HO94%NJP .
. -' '.
- NEW CONSTEAAMP'SWTBKR _.,-'- " -- '°' - CARPORT '\, _p14RE.R _00 - TIF -.,1312-810-00-00-8835
lPH -'' '_ 3PH -'-'' -.:, AWNING 'CRLSJ"0 _ . - LA COSTA TIF - 31.1-810-00-00-8835 -.- -
EXISF BLDG EAAMP/SWT -BKR )'.- —.-- - ' ---- .- GARAGE- _\--------.- _•- - ' - .- '-' FMF
is for one hundred dollars 101001 or less) ltPH I _.3PH __- - ' -'-'I *'/i - -LICENSETAX 001;810'00'00'8162
REMOOEL'ALTE'R _PE'R'CIRCUIT'___&, -_ --- .--' _Z-"_- _-4 _'T TMFF --_----_•'S'"880-519'9'2-57 a •' *
i(rainer so s to become subject to"the Workei's' Compen. - ],,, ., - FEMPPOLE _200AMPs, __a-'4 - _-,-,-,'.. ',e-tS,., _.t'--''--'..'\- __, _m'_-' - w--
- _- ___
-ji - - ''--J.
TEMP OCCUPANCY 130 DAYS). F
'.I ). _______-(1" .- ',. __-.I'*,.If! ,. CREDITDEPOSIL ..,.-
TOTAL ELLLTRI(AL
-
- ____ ___r ___- TOTAL FEES PAYABLE
-w
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions olthis - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
- CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON Code shall expire by limitation and become null and void If the building or work
thorized INCLUDING THE
au by such permit is not commenced within 180 days from so" DEEP AND DEMOLITION OR CONSTRUCTION OF the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or itIhe building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
WITH ALL CITY. COUN1'Y AND STATE LAWS GOVERNING BUILDING CON. -ISSUED: TO COMPLY abandonedatanylimeafterthework _iscommencedforaperiod01180days
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP/ir+CtNT S'SIGNATUy - OWNERD
-
- APPR 0 BY CONTRACTOR t - - DATE -
AGAINST SAID CITY IN CONSEQUENCE EArCN,1ES WHICH MAY IN ANY
GRANTINGOFTHISPERMIT.
_VIAV ACCRUE ____________BY OF THE PHONE
USE BALLPOINT PEN ONL S HARD
514róby affirm that lam licensed under
UFZ. proviaiónaot Chapter 9 (commencing with 1
I.:-. Ssctión7OOO)o! Division 3 'of the .Business 'I
I. 'and Professions Code, and my license is in 'L!tuii force and effect.
- -'• '--r -- i hereby 'attirm;that I am exempt from the Conhrac- ''tor's,i,icense Law' dr 'the following reason (Sec. 7031.5 I '-'Business and Professions Code: Any city or county whict't, re quires a permit. to_construCt, alter, improve, demolish,. or
,repair any structure, prior to its issuance also requires the ap I
- -plicant' br such permit In tile a signed statement that he is
trcensed pursuantto• the provisions of tie Contractor's' - License Law (Chapter 9-commencing With Section ,oea or _.oivisron 3 of the Business and -Professions Code) or that is en'.
- empt therefrom and ttre'basis'tor the attegeuexemptibu. C Any -VZ
- violation of Section 7031:5:by an—applicant tot a permit sub' ects the applicant tuacinil penaltidt not more than tine hun-
-...w-dred-dollars 155001.'-'-- _.p.
II I. as owner 01 the property, or,my employeeswirh wages
-as their sole compensation. will do the work, and the struc'
- ' lure is nut intended or uttered lot sale (Sec. 7044, Business I
-I 'n and Professions Code: The Contractor's License Law does
I not apply to an owner of property who builds or imprunes -
thereon and whu dues such work himself or thràagtr his own I
- employ.ees-:.pruvided.that such improvements are not intend- tAt 1.-I Cd or uttered for sale.; It,' however, the building or improve - Z ment is sold within one ye'arot completion: the owner-builder 1 -
will have the burden of proving that he did not build or im- I
. ,_ prone for the purpose of sate(..
- ' l.t I. as owner of the property, am exclusively contracting .1 With 'licensed contractors to construct the project (Sec. 7044, I C- Business' and Professions Code:' The Contractor's License
- -- Law does not apply to an owner of-property who builds or im- I proves thereon, and who contracts lot each projects with a _( .. In contractnt(s(Clicense pursuant to the Contractor's License I
,Z '''Law(.
a.homeowner I am improving my home, and the 0110w' I 4 ing conditions enist:. n ,thme#.'J .'- 5n'-( .- 'S ..1. The work is being,perlormed-prior to Cale'
-2.- t have tived in:luy home', or, twelve'months I.
prior to completion of this work. • + ' tAt __. ._,._,3,.. I kane ,.not 'claimed .this 'exemption .during the, •. -
- 0 last three years: - I
'0 -1 amenemptander Sec: '"- -' ''B& PC. !Vtor tkis.-reasnn'_r ' '
- -U- thereby affirm that I have a certificate 01 consent to I
- ',. surh'nce. or a certified copy thereof lSeb38,00. Labor code)
C,>P- NY ,
- Cop"is filed with the-city.—
'Ce t t Cd copy she ebyfurnished,' (.,
CL Lu
' t''hCERTtFtCATE OF EXEMPTION FROM'- I C) WORKERS"COMPENSATtON INSURANCE 50 . (This sethion,need not be completed it the permit
Uj Icertity that in the,pertormun whi ce of the work or ch
-'. irris permit is issxd I-shalt not employ any person in any I
, ,e "5atio'n Laws Of CatitOrnia.
-NOTICE To APPLICANT: tt, alter making this Certificate-, -
ot-Eiei'pr ion 'you should become 'subject to the Workers'r
,.,Compensation provisions 01 the'Lab'ur Code, you must 1.
I torth'with'cumpty'witlr such pro 'uisions or this permit shall
be deemed revoked. ..' '-' i
- -ojii . '.• - -. ' - I
- - -* Z-'. .. LJ'-I.hereb;'.'xItirrn.Ihat there is a construction lendingcc
-
agency tom the performance of the work for whiCh'this per1
- mil is issued lSe, 3097. Civil Code) . z -- -*- —,.-. — -..-, , --' -- .•-.--- I - - tAt Lender's Name . "' - .'P •i,.e ,.- -
'Lender's AddresA
-. •
'FIELD INSPECT'ION'RECORD - -. ' •, ' : ..
S ' - •,, . 4- . . - 2, - , 4- . ' .-.•
REQUIRED SPECIAL INSPEC'ONS S ,lNSPECTOR NOTES • .
INSPECTION REO. IF INSPECTOR'S
CHECKED APPROVAL. DATE
SOILS COMPLIANCE
,PRIOR TO
, -
FOUNDATION INSP
- . - . - • . (4, 4, ,STRUCT,URALCONCRETE
CONCRETE—
OVER 2000 Psi
PRESTRESSED
.POSITENSIONED . - .. .5 ,- - . - ...
..............
.-- . - -.5 4 I CONCRETE F
FIELD WELDING -
HIGH STRENGTH h' -' ., - - 2.5S2 - -S • •
BOLTS
- SPECIAL MASONRY
..PILESCAI5SONS •___- -
- - -' ----- ----
- • .• . -.- . - . - ...,_ ,_ . . __ _,•._,,_ , -
' ._1.
r' ----
'__.
-4..-,-- _____
,'•._ ... ...: ,._.
. •4 •5 .7 , .4
- 2 - - -
-
. . ---- - - - - -
• - . , .. -i-. •- - , . .. . *
.:-...; -: -' •.- 7J -7-. -- S - :.%'i- ::-:: 4
. , - . , -' - ' ' ': ,. ,
- ..5- •- . *.. __
2"
,
-5;.,
:' . . .
- . - . - . -. -- -clill TOWTOT - - - - - -. .
- •-- .' ' 5 ,_ , - I''- • '' '' I ' ; r :' - - -:-
-- . - - .-- --..' - . S . ' -- 2S •_• • - -. 4 .
- '• -'-.-: . •. • k-J - 2
S 75 ,
- •,. , . •
.5 - ' - .'-.' . _' . - ' -
- . . :. . •.- t' .....' - -. . '. ' _ •. 1.. -
TYPE DATE INSPECTOR.
BUILDING
FOUNDATION
REINFORCED STEEL' -
MASONRY ! "
GUNITE OR GROUT
SUB FRAME Li FLOOR Li CEILING
SHEATHING 0 ROOF, 0 SHEAR
FRAME. - - '---
EXTERIOR LATH
INSULATION
INTERIOR LATH: & DRYWALL
Ld
PLUMBING
E SEWER AND BL/CO Li P(/CO., ' ..
UNDERGROUND DWASTE JWATER '"" -
TQP OUT. D WASTE 0. WATERY -WATER,-,
TUB AND SHOWER PAN i'• ''•'
_______
GAS TEST:. •,-. . 14
:.' - -
O WATER .HEATEB... O4 SOLARWATER.
r . '
'ELECTRICAL' ...• i--- .: _______
Li ELECTRICUND'ERGROUND •DUFFER
ROUGH ELECTRIC - .: : ..: -'• - -
Li ELECTRIC SERVICE O'TEMPRARY'
Li BONDING - Li POOL " H . '
MECHANICAL I .
Li. DUCT & PLEM., ['EE PIPING .34;1 7
HEAT—AIRCOND.SYSTEMS4
VENTILATING SYSTEMS
CALL. FOR-FINAL '!'NSPECflON
- -ITEMS ABOVE HAE-BEENAPPROVED WHEN ALL' APPROPRIATE. .
,
- FINAL-
PLUMBING. 2
•'
' '"' I k, '
ELECTRICAL :-- • ::-- • ______ , --
MECHANICAL",
BUILDING,.
- . '_- SPECIALCONDITIONS
Alp I 4
tarIbad Fire Department 003178
1635 Faraday Ave. .. Fire Prevention
Carlsbad, CA 92008 : ' (60) 602-46601
Plan Review Requirements Category Building Plan
Date of Report 09/01/2000 Reviewed by
Name SDA Security Systems
Address: .2O54 State Street
: City, State: San DiegoCA92101. ,..
Plan Checker Job # 003178
Job Name: Kud Company Bldg#: CB003178
Job Address 2463 Impala Drive Ste or Bldg No B
Approved The item you have submitted for review has been approved The approval is
__
• based on plans, information and I or specifications provided in yoursubmittal;
therefore anV changes to these items ,after this date, including field
modifications, must be reviewed by this office to .insure continued àonfôrmance
with applicable codes and standards, Please review carefully all comments
- attached as failure to comply with instructions in this report can result in
suspension of permit to construct or install improvements
C -
. Approved -. The.item you have submitted for review has been approved- subject to the
Subject to attached conditions The approval is based on plans, information and/or
specifications provided in your. submittal. Please review carefully all comments
attached, as failure to comply with instructions in this report can result in
- suspension of permit to construct or installimprovements. Please resubmit to
this office the necessary plans and / or specifications required to indicate
'complince with applicable codes and standards. ••
• • •
incornpite The item you have submitted for "review is incomplete: At this time, this office
cannot adequately conduct a review to determine compliance with the
applicable codes and / or standards. Please review carefully all comments:
attáchéd. Please resubmit the necessary plans and / or specifications to this
-
• office for review and approval. • , •. •* - -
:-t
Review 1st 2nd 3rd Other Agency ID
ED Job # 003178 ED File #