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Home My WebLink About2480 JEFFERSON ST; MULTI-PERMIT FILE; CB054031; Permit* - -. - City of Carlsbad - 1635 Faraday Av Carlsbad, CA 92008.--. , - • •. 11222995 Ml 4-- •. • .•' sceIIaneou; Permit.' Permit No: CB05403 Building Inspection Request Line (760) 602-2725 - : • I • •- - • ..., 4 '-• Job Address: 2480 JEFFERSON STCBAD • Permit Type MISC . Subtype RE ROOF Status ISSUED Parcel No 1551600800 • Lot #: 0 Applied 11/22/2005 Valuation , $1,350.00.. . Entered By SB -' Reference # Plani Approved 11/22/2005 - •, - -'- 4 • Issued:. 11/22/2005: ,- • Project Title LAINE RE S 1000 SF REROOF Inspect Area - 5 B.U.R.TOB.U.R. - --• -..• :- :;.c ;., , •-. - Applicant Owner SCHOTT ROOFING INC LAlNE ELLIOTTR REVOCABLE LIVING TRUST - •- -• 225 E CARMEL STREET #1 PO BOX 4272 SAN MARCOS, CA 92069 - •- CARLSBAD CA 92018' •- • • ,- ,. ; + 6197446450 -- . • , •- p •-- • \)t'-_I JY) --'\--•-. -• '.--•( -.. - Miscelaneous Fee #1 / PERMIT FEE $'47 00 Miscelaneous Fee #2 / $0.00- Additional Fees / $0 0 TOTAL PERMIT FEES/ $47:00 C . I.' •- Total Fees ( $47 00'Total Payments Date $47.0p,BalancDue- $000 -' 11 4 fri-S •. I • -, -• - - -, 4. .- * , - v-• '- 4 4'- I & 4 •%, - 5 •%• -• - • S -• • - - . -. .•-•- - -i-: •- 4 -. -. - . .•.- ' .- - - - r - 2 - •,; ..._ 4.- - - 4 . .4 • 4 . .- - - • -4 - TI t •., --- . - .& 4' - .4- • 7 - .- •.- .. . - .4 4 - -. -.- '• . -- -- - i_•__* - - - ' - .' •• . . ' -.••.4_t ..., . -.....S... . ..-.S . .. s-:. 44. FOR OFFICE USE ON PERMIT APPLICATION PLAN CHECK NO - EST VAL I 3 CITY OF CARLSBAD BUILDING DEPARTMENT ~Vtl 1635 Farady Carlsbad CA192c5O8 AW PlanC Deposit Validated - * Date_ {ECJJRIAIIQN s-s-,. Address (include BldglSuite #) Business Name (at this address) ii -- . --. -,.s-. - . •.'t_- . 4' ' . - 'b.. . Legal Description . Lot No Subdivision Name/Number Unit No Phase No ' Total # of units i — /tO- - £c 't:2c9 - . s- '*s ............. . •.. s-. Assessor's Parcel # Existing Use Proposed Use ID P Description of Wjk 9 SQ FT ' J -• #of Stori - # of Bedrooms * - # of Bathrooms U Eg AJiffopp) 5-- I * -. S 5 S ..•S . p -. •'-t -- Name Address • i City State/Zip Telephone .# Fax # 3 APLs-IfNT Q Contr ctor LI Owner LU S S 44 TZD7 77<'7uc Name Addfess.. - City State/Zip Jelephone # '.., rPjOPERTtYôWiiIER - si~---- '-.. L t - 5-7 ) (. _(J I Name U Address Citr State Z p Telephone # -- (Sec 7031 5 Business nd 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 lucnsed pursuant to the provisions of the Contractr 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 ,exemption. Any violation of Section 7031.5 by anSi applicant for a permit subjecis the a;- 1icant to civil penalty of not more than five'hündred dollars 1 S500]).- 5ciDt O nQ1L'2CI. d/. 'M(.j 1GL# 740-7V Name s.,J Address City State/Zip.,.,' Telephone # State License # License Class ____________________ City Business License # *4 II -- Designer Name •.., , Address . •.- City . -. State/Zipi . Telephone . .. i . ,' ts- 5_.. -S' S -t 5 .5 sI -s-.t.•- • .5,, 5 7. s,,. I' State License XWORIKERPLYPO .. ,Workers Compensation Declaration I hereby affirm under, penalty of perjury one of the following declarationb 5, S 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 for the performance . of the work for which this permit is issued I _7. - - S 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 compeicsation insurance carrier and policy number are . Insurance Company '.5' .5 ''5-''_ PolicyNo.3Z-S 2'9c :. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - o CERTIFICATE OF EXEMPTION I certify that in the performance of the Lark 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 . - .11 WARNING Failure to secure workers cojnpensatlon coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred .t thousand doll rs ($1 0 00), in additi n to the cost of c m nsation, damages As provided for in Section 3706öf the Labor çode, intre t aj attorney's fees.- 'X' SIGNATURE DATE )/ /2Z/ S kUM ML ER,i ? ( hereby affirm that I am xempt from the Contractor s License Law for the following reason 4 0 I as owner of the property or my employees with wages as their sole compensation will do the work and t1.he structure is not intended f l or offd or sae (Sec 7044 Business and Professions Code The Contractor s License Liw 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) l 0 I as owner of the property aii 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 contractos) licensed pursuant to the Contractor's License Law) ,. .' .. 0 ' - lam exempt under Section Business and,Professions Code for-this reason: -. " - .5 - •- S - 1 s- I personally plan to provide the major labor and materuals for construction of the proposed'roperty improvement 0 YES DNO V --, • - - .--- S . t' 5,4S " S's-I 5 S •'rrs-- . . . 2. s-I (have /..hae not) signed an. application for-a building permit-forthe proposed work. '- - • - - . 3 1 have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors)icense number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / contractors license number) I- - s 5 l will provide some of the work but I have contracted (hired) the followin'persons to rovide th'work indicated (include n'me I address / phone number / type rofwork):s-:- .'s-'2 PROPERTY OWNER SIGNATURE .. DATE 5, St -. Is the applicant or future building occupant required to submit a business plan.acutely hazardous materials registration form or risk; management and prevention tprogram under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? -D YES C] NO - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be"onstructed within 1 000 feet of the Outer boundary of a school site? 0 YES 0. NO ,IF ANY O 1. F THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOTtBE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TaHE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT INDIMAGENO t S I hereby1affirm that there is a construction Iendin agency tor the p rformance of the work for hicS this purmit is issued Se 3097( 1 Civil Code) %. .s--- ' .i - 'N ' s-,15 - - - - . .•- - - t.,--. 1 - - LENDER S NAME LENDER'S ADDRESS I IçANrCERjIfls-çATlON - I certify that I have read the applicalicn and s-tata that the above information is correct and that the intceirnauon 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 th CitV of Carlsbad to enter upon the above mentioned property for.,inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF PAR LSBAD 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 50 deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work " authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is comme for a period of 80 days n 106 4 4 Uniform Building Code).' 1 1 4APPLICANTSSIGNTUE ., DATE - WHITE File YELLOW Applicant PINK Finance * I -I. - * City Of Carlsbad SUPPLEMENTAL BUILDING. PERMIT APPLIC A T I O N F O R R E R O O F I N G JOB ADDRESS TYPE OF BUILDING: RESIDENTIAL COMMERCIAL • • - '-- -. •. • ROOF SLOPE. RISE -4— in 12 inches NUMBER OF EXISTING ROOF COVERING (circle one) 2 3 TYPE OF EXISTING ROOF COVER 1 N G 1 H E A T H l N G & d .. NEW ROOF MATERIAL _ CLASS __WE1GHT PER SQUARE 7. 'NUMBER OF. SQUARES hO 8 TRADE NAME 1101f W-4 ~WKX _MANUFACTURER 9. ROOF SYSTEM USTIN ULNo. ___________ICB0 No. /777/j__3jfl 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? NO All roof coverings are required to be CLAS S A C o m b u s t i b l e r o o f c o v e r i n g s of any type or classification are prohibited. I understand the following inspections are required 1 Tear Off/Pre-inspection prior to install new roof covering - 2. Final Inspection - I agree-to provide a ladder extending at le a s t 2 r u n g s a b o v e t h e r o o f f o r inspection Signature _____D a t e Contractor Owner ___•Contractor Name_______________ *6 - Rolled Roofing, StandardlLite Tile, AsphaW C o m p Fiberglass, Built up, Other.. • : - -'•- • -- •,_ • • V - 0701 City of Carlsbad Bldg Inspection Request For 12/06/2005 Permit# CB054031 Inspector Assignment PC Title: LAINE RES 1000 SF REROOF Description B.U.R. TO B.U.R. Type: MISC Sub Type: REROOF S , 7607446450. ,Phone: Job Address: 2480' JEFFERSON ST Suite: ' ' Lot 0 ' Location:' inspector: , APPLICANT SCHOTT ROOFING INC Owner: LAINE ELLIOTT R REVOCABLE- LIVING TRUST Remarks: Total Time: , , ' , Requested By: PAM S S Entered By: CHRISTINE' ' "S 'CD Description •' Act Comment' ' S AO JrO &1 5 (11 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs 'S 5 S '• S ' : ', ' '. S ' S Inspection History : ' S ' ' ,• ' S Date Decription 'S Act insp Comments :11/29/2005 15 Roof/Reroof, AP PC 5 ,5 '• S , 'S 'S , ' 5 I hereby affirm that I am licensed under t_)I.._provisions ol. Chapter .9.(commencing with. I'%•.1S.ction 7000) of Division 3 of the Business - —and Professions Code, and my license is In... LC,futt force and effect. I hereby laflimin that I am exempt from the Contrac- Or S L Cense Law or the following reason (Sec 7031 5 Business and.Protessions Code: Any city or County which re ,,uguires a permit to construct, atter, improve, demolish. or - . -.-. repair any structure-prier to its-issuance also requires the ap- -" - pticant for such permit to tile a signed statement that he is - licensed pursuant to the provisions 01 the Contractors License Law (Chapter 9 Commencing with Section 7000 'at Division 301 the Business and Professions Code) or that is ex- is hArd tom and the basis tar the 'allegeO exemption. Any• . violation of Section 7031.5 by an applicant for a permit sobr,' facts the applicant to a civil penalty of not more than five hun- dred dollars ($500). A •( I-I. as ouoe7of be operty.,orrny'ein90yees with wages cc .as their sole compensation, will do the work, and the straC-.. tare is not intendedor, offered for sale (Sec.-7044. Business and Professions Code: The Contractor's License Law does - not apply to an owner ot,property who builds or improve's Ither000 and who does such work himself or through his own employees, provided that uuch,impr000men!s are not intend. III ed or offered for sale. 'It, however, the building or improve' Z merit is sold within one year, at completionthe owner-builder 3 will have the burden of proving that he did nor build or im' prove for the purpose of sate). I owner-of the property, ant exclusively contracting with licensed contractors to construct the project (Sec. 1044. '- Business and Professions Code: The Contractor's license f law-does not apply to an owner of property who builds or-im-' proves thereon, and who contracts for each projects witha - f cOotractor(s( license pursuant to the Contractor's License - -Law)-. . '- '-•.•, - - lt'tiAsa homoxcneri arrrrcroving my home, and the tolIow'' ing conditions exist: I. The work is being performed - priOr, to sale. - - -1 -have tived' To 'my home I o twelve months, - - - , - prior to completion of this work : 3, I have not claimed this, 000mptiov during the last three years. '-k- -- r , tv i*Yl •'t. " •'• ' ( 100 I am exempt underSecy" ' '.B & P.C. ''fOr this reason - - - F "eesy attirmiiat I have a certificate ot conseo't to, f,\ lt.insure.COr a certificate of Workers"CompensatiOn' in. ' r r t,surarrci. era certified copy thereof (Sec. 3000 Labor Code) POLICY NO. COMPANY.JL,-- El Copy is tiled with the cirij0e ' El Certiried Copy 5 he furnished uo - - CL - ' •-,. , ' x. -: --- - CERTIFICATE OF EXEMPTION FROM ' 0 '3 - WORKERS' COMPENSATION INSURANCE (I) .,' .IThis section need net be completed if the permit, jt jyis for one hundred dollars 151001 or ressl WkU . .'x n -' '0 t certity that in the performance of the work for which IZ .P.,'rhis permit is issued. I shalt not employ any person in any manner sops to become subject to the Workers' Compen., nation w Las Of California.s r1 L c". - NOTICE TO APPLICANT: jt."atter making this Certificate I -''of ExemptiOx..yOu should become subject to the Workers 'r Compensation provisions,Ot the 'Labor' Code, you must - - -.r rorthw m irh,coply with such provisions or this permit shall - bhe deemed revoked.' '. I'- - iA '[, Oi I, hereby affirm t'ht there is a lending Ogeny br the pertormance 01 the work for which this per. cc 01' mit is issued (Sec. -304T. Civil Cudel,'.. - Z N. ne• *4,' Wt.....-_ Lender's Name-- -- C. Lender's Address__________________________________ USFBALLPOINT PENONLY '&PRESS'HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 'CARLSBAD BUILDING DEPARTMENT : - t APPLICATION & PERMIT I- 1A275 LaPàIrnas Dr. Carl sbadCA-92OO9-1915(619)'438-1161 JOB ADDRESS ' - - AV, ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE rk VALUATION PERMIT NUMBER qJfe LOT I BLOCK -- SUBDIVISION - - ASSESSOR FARCE 0. ' CONTRACT '1 4 I (AJo R CONTRACTORS PHONE 7j ZONE - -. • - -' OW5NA ME I OWNERS PHONE e CONTRACTOR'S ADDRESS I 7 97,5 STATE LICENSE NO. BUILDING SO. FOOTAGE '02~ -- . .,. _•.. -7—- - -- -- - -• tk 76 OWrJER'S'MAtLING ADDRESS , , r -. I'-' ' f 1ti 09/20/88 000i'UI '02 Q44 A/ ' - DESIGNER DESIGNER'S PHONE .. 1dPmt 30.0 ..." ,-.. . - OF WORK .. , .. DESIG R'S ADDRESS STATE LICENSE NO. rDESSCRIPTION 2l E,:cI2 F/P FLRELEV. NO OCCGP ' ' - EDU -' -_--'• YO NO STORIES"-- - CENSUS TRACT PARKINGSPACE RESUNITS' GRADING PERMIT ISSUED REDEVELOPMENT ' ' TYPE OCCLOAD' FIRESPR -- --.- -- AREA , CONST -' _...___vD,D,, - - , Nor,Va/id Unl00s,Machine Certified nO eo -YO NO _-, -- OTY. - - PLUMBING PERMIT - ISSUE - _750 QTY. - MECHANICAL PERMIT' ISSUE ' , s. ___-SUM MARY/ACCOUNT-NUMBER - - - - EACH _FIXTURETRAP INSTALL FURN_ DUCTS UPTO100_00v BUILDING PERMIT 0011-8110-00-00-82210 ,EACH.BUILDINGSEWER - _-, . ----_' OVER 100.000 BTU PERMIT 001-810-00-00-8221 EACH WATER HEATER'AND/OR'VENT- . .- BOILER/COMPRESSOR UPTO3HP •'- _ $CK'- _'-001-810-00-00-8891-' - EACH.GASSYSTEMITO4OUTLETS. -, BOILER/COMPRESSOR3.15HP P*'7:,. C WAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE - - ' - ' - METALFIREPLACE _Ct ELECTRICAL 001-810-00-00-8223 EACH INSTAL..ALTER:REPAIR WATER PIPE,'• - VENT-FAN SINGLE DUCT _.. ___p9 'MECHANICAL -'*Oo1-810-oo-Oo'8224 ' EA'CH,VACULTMBREAK'ERW ". _- _: - MECH EXHAUST HOOD/DUCTS -- -- MOBILEHOME 001-810-00-00-8225 WATER SOFTNER __.'-•-. -, - RELOCATION OFEAFURNACE/HEATER _: DRYER VENT - SOLAR 001-810-00-0 0-8 22 6 EACH ROOF DRAIN (INSIDE) - -• a '--.-- '- - - - - ,- STRONG MOTION ____- __- _880_519_92_33 , . , - TOTAL MECHANICAL - - - . - - - " - FIRE SPRINKLERS 001-810-00-00-8227 t* 101 AL PLUMBING - - * 2 PUBLIC FACILITIES FEE ___32081000008740 ' ' - , OTY. - MOBILE HOME SETUP - - - • ' . BRIDGE FEE 360-810-00-00-8740 ,___-- PARK-IN-LIEU(AREAI __ - OTY'. - ; ELECTRICALPERMIT. ISSUE e - • '' .-:. ____________________________________________ ______________ NEW CONST EA AMP SW] BKR ' - CAR PORT TIF__hnk __-31281000008835 PH '.'e'' -: AWNING _.:1 , LA COSTA TIF 311-810-00-00-8835 • EXIST BLDG EA AMP/SWT4BKR ' GARAGE ____t_I FMF LICENSE TAX - -, PH, .3 PH -'-'' . -'-'-' -'- -- - * - '- '- - , - 001-81000-00-8162 - REMODEL ALTER PER CIRCUIT x MFF 8805199257 TEMP POLE _200 _AMPS __'''' - i OVER200AMPS Ili 11 - - - - - ---' - _- • FEMP,OCCUPANCY 130 DAYS) . , -, - " - r CREDIT DEPOSIT TOTALELELTRftAL ___,TOTAt - , - TOTAL FEESPAYABLE __F_ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit Issued by the Building Official under the provisions of this * AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER Code sttoI expire limitation and become null and void. It uilding b rom CERTIFY UNDER PENALTY OF, PERJURY' THAT ALL INFORMATION HEREON INCLUDING THE authorized by f, b permit is not commenced within 180 days : ?fwork the such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or it the building or work authorized by Such permit IS LAWS GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE abandoned at any time after the work is commenced for a period suspended or STRUCTURES OVER 3 STORIES IN HEIGHT -_- WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND - APPLIS Si69RE *A WNER 0 01180days. STRUCTION. CONTRACTOR APPROVED BY -_•._- _DA G XPENSES WHICH MAY IN ANY RANTING OF THIS PERMIT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE - _ ~(...r ________ ..1 (INSPECTOR TYPE F DATE BUILDING I j I FOUNDATION 4'6 I FIELD INSPECTION RECORD REINFORCED STEEL _______ REQUIRED SPECIAL INSPECTIONS INSPECTORS OTES MASONRY - INSPECTION- REO. CHECKED INSPECTORS APPROVAL -DATE"' GUNITE OR GROUT F - - — - - - SUB FRAME LI FLOOR LI CEILING SOILS COMPLIANCE..J FOUNDATION NSP PRIOR TO - - - SHEATHING ROOF LI SHEAR g: JjfJ....- FRAME EXTERIOR LATH -— 2 I 1L.. STRUCTURAL CONCRETE INSULATION - PRESTRESSED -- CONCRETE -- - - -- - — - - - INTERIOR LATH & DRYWALL - - POST .TENSIONED -.CONCRETE PLUMBING FIELD WELDING LI SEWER AND BL/CO LI PL/CO .. - BOLTS - HIGHSTRENGTH - - UNDERGROUND. LI WASTE LI WATER - SPECIAL MASONRY - - -__- - - TOP OUT WASTE ATER TUB AND SHOWER PAN GAS TEST PILES CAISSONS I EJ WATER HEATER D SOLAR WATER C 4 ¶ - ELECTRICAL LI ELECTRIC UNDERGROUND 1_UFFER _ - _- J44- -* - - --, - - - - - - ROUGHELECTRIC I ..- LI ELECTRIC SERVICE _LI_TEMPORARY I LI BONDING LI POOL _________________________ MECHANICAL El DUCT & PLEM., _.._El_REF.. PIPING HEAT — AIR COND. SYSTEMS, _____ - ________ - -• - VENTILATING SYSTEMS - . -----.4. - ______ V. r .AI%f-TAT (Vs CALL FOR FINAL INSPECT!ON—WHEN-ALL'4PdPROPRiATE.p. ITEMS ABOVE HAVE BEEN APPROVED' 'jr FINAL - ,,-. _. PLUMBING -. - '' 1 '- z., _'• -' - ELECTRICAL MECHANICAL- ~Sl --- _____ _______ _____ __ __- - GAS \\_i ' BUILDING SPECIAL_CONDITIONS APPLICANT TO.FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.' L_. .JCARLSBAD 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 240 JEPFEIWV 4VE 2 7loO LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR , CONTRACTORS PH • ,.(tr,; . -.--- .. 2 1 °E I /eS - /60 —08 r HvzLce . OWNER'S NAME • OWNERS PS-lONE • -, ..- - ---- - . . -- -- r • - - BUILDING SO FOOTAGE CONTRACTOR'S ADDRESS STATE LICENSE NO -07 , IS 4.74AMW 4440&* Zllllt~ 13 OWNERSML5NG ADDRESS /29' ,fO3E4'sT&,v 7J77 DESIGNER / DESIGNER'S PHONE — - 4 DESCRIPTION OF WORK - __________________ - . ' .- .• - - DESIGNER'S ADDRESS - - - • STATE LICENSE NO. - ' ' ' • '-' 4#LI4E OP 7Z/ L,,,'1ZL1 - - F/P F LR ELEV. NO - - •' -. -- .STORIES_- - , 0CC GP EDU _00307/270101.031dPmt - 17.5 - - YO NO •-•. - - • '' CENSUS TRACT ' PARKING SPACE REX UNITS -' GRADING PERMIT ISSUED • - - --' REDEVELOPMENT - '- : TYPE - 0CC LOAD FIRE SP,R, • - - - — - ç -' 4 I' - .-- CONST Y 0 e 0 - o ND YO orD /.'or Valid Unless Machine Certified — On' PLUMBING PERMIT ISSUE On' MECHANICAL PERMIT ISSUE 1 T -" SUMMARY/ACCOUNT NUMBER - proves contractor(s) license pursuant. to the Contractor's- .License -'-' EACH FIXTURE JRAP - - - ' - INSTALL TURN, DUCTS UP TO 100,000-BTU -v - ,, , - BUILDING PERMIT 001'810-00-00-8220 -- EACH BUILDING S,EWER , '• -' -'-' .' - •' - -"i - OVER 100,000 BTU ., — t -t ' -SIGN-PERMIT - ' ' '001n81000.00.8221' — EIOCH WATER HEATER ANOiOR VENT" i BOILER/COMPRESSOR UP TO 3 HP ' • -. PLAN CHECK - - 001-810-00-00-8891 "ECH'GAS'SSTE'M'iYO'4'OUTICTS - BOILER/COMPRESSOR 3-15 HP - , TOTAL PLUMBING 001'810'00'00'8222 - - 'EACH GAS'SY.STEII 5-OR MORE 1 •- - - - --' ,--- a-' METALFiREPLACE •r ' - a "- -• - -' - - - ELECTRICAL- .' -- —0011810-00-00-8223 - .'EACH INSTAL.. ALT.ER;REPAIR WATER PIPE-- ' . .VENTFAN SINGLE DUCT , - ' ' - 'MECHANICAL ' 001810'00008224 ' '•' •.' * EACHV.CUUM BREAKER.' - - - . , .. ,-.-- MECH EXHAUST .H000-'DUCTS -. MOBILEHOME 001-810-00-00-8225 WATERSOFINER!- _'.:_--- -- __- ' .L. RELOCATION OFEAFURNACE/HEATER, _-L'_. ----,' -SOLAR -----''-001-810-00-00-8226 ' - --•:. _- ---j-'- EACHROOFDRAINUNSIDEI '-,• , - DRYER VENT ' '- - .- STRONGMOTION __880-519-92-33 f A, - TOTML MECHANICAL - - - - ' --- - - -- ' ,•. FIRE SPRINLbRS 001-810-00-'06-6227. 101 ALPlUMBING _--I,. . PUBLIC,FACILIJIES_FEE:___320-810-0000-8740-,- -- - - . - On'. -' _•. -_- , •--- ' -, ' _ ELECTRjPERMiT - ISSU __- - OTY.. • • ,,,:, - MOBILE HOME SETUP - -- - -- BRIDGE FEE - 360-810-00-00-8740 • - —:'' _ T'--- -•PARK•'IN!LIEU (AREA - --r - - -'---- NEW_CONSTEAAMP _SWIBKR.. CAR PORT TIF___- 312_81000008835 - - PH ___-3 H I .-' ,---,• AWNING .' - . LA COSTA TIF - 311-810-00-00-8835 C) ,.WO'RKERSSCOM PEN SATION INSURANCE - E X IST BLOG.EAAMP/SWT'BKR GARAGE r'' - _, - '- - FMF' ----------------' ': ---n--'- -I 5PH 3PH •-., - _-' ' ' , LICENSE TAX -'001810'00O0'8162 - - EMODEL'ALTER PER CIRCUIT . - ' •- .j .,-•- _- _- - . . . MFF - , 880-519-92-57 -. - - - ,,manner so as to become subject to the Workers' Compen- TEMPPOLE'200'AMPS_______-' :'. ' -•-1 . __. '' 'T'' _- -' - -OVER 200 AMPS -f--------------•- ' - - -- - .CLEARED . ' TEMP OCCUPANCY 130 OAYSI .. '- _-••- _ ---'' __________.r.,, --:' ____ •u- ..*.CREDITDEPOSIFP 3(1-1987 bedenmed'rdvOked • . S — _______________________________________________________ 11)TALELELTRUAL_ _--.'w-..-.7 IOTA) TOTAL FEES PAYABLE 1 1 ? St) __-''g i- -•'' . ..- -_----"''r' ____.•ss. lCIAfl_--:T,af4"-- I HAVE CAREFULLY EXAMINED THE COMPLETE . D':APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bythe Building Official under theprovisions by limitation and become null and void If the building or PENALTY PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall ixillire 0JWEI EXCAVAT'ONS OVER OP D=%M§!nV'qOR C ERTIFY UNDER OF authorized by such permit is not commenced within 180 days from the date of Such CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, orif the buildin? work authorized by such permit or suspended or ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON _or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH abandoned SI any time a_farthe work ts commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , 0 01180days APPROVED BY - C ." 1 7 DATE APPCA,S SIGA,E * KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND OWNER CONTRACTOR - -.. , / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE It - GRANTING OF THIS PERMIT, '1, BY PHONE 0 - " ' - -- _ ,- _- - ' , •:.. ,, - -5' - - - — BALL POINT PEN..ONLY & PRESS HARD 2r DJ hereby aff1rm that lam licensed under U r provlelons of Chapter 9 (commencing with i ... SectIon 7000) of Dlvlslon3 of the Business - .' 1-I1'and Professions Code, and my license is In L full torce.and,eftect.,.._ I, her ebyuttirm. that .1 am exempt from the Cootrac- . tors License Law for the toIloxing reason (Sec. 7031.5 ...i Businessland Professions Code: Any, city or county which me' - quires"a permit to construct. atter improve,demnIish or - repair any structure, prior to its issuance atso requires ho ap- -'plicant to, such permit to tile a signed statement that he is " Ircensed pursuant to the provisions of the Contractors I Lrcense Law (Chapter 9 commencing with Section 7000 at - Division 301 the Business and ProtessiensCode) or that is ea-;'i empi therefrom and the basis or thoattegeo exemption. Any t I7 viotatron 01 Section 7031;513y an applicant tar a permit sub - jects the applicant to a civil penalty 01 not molithux live hun , dmed dollars ($500).' • -- .1 I i. as owner of the proprty, or my employees with wages . as'their.soe compensation, will do the'rirork. and the struc- I tore is not intended or,ottered for sate (Séc. 7044, Business ...a 'and Protessinns Code' The Contractors License Law does n' not apply to a owner of properlyviho builds or improves I . -thereon and who does such work himself or through-hi s own - I employees. provided that such improvements are not intendT,.5 IIJ ed or Otlered for sate' It, however, the building or improve' Z ment is sold within one year 01 completion, he owner•huilder will have the burden of prooiog that he did not'buitd or rn- -- prove for the purpose of sale). - - -- . -.-Ii I, as owner 01 the property, am eactusioety 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'ot properly who builds or-im-thereon,and who 'contracts er each projects with,aj,, Z , Law). 2 ;)t''" I I As a homeowner I am improving my home, and the 10110w" IX 4 E,Jng ceoditions'enist:' '., • . .,x , '5 The work is being pertorrned prior to sale, 2. I .'have lived in my home for twelve monlhs L) prior to Completion of this.*ork,. UI' '... ' -. 3. I 'have mot 'claimed this'eoemplion during Ihe I last three years. , • ' .J' ,O lam exenpt under Sec..' ' : & P.C. tor his, reason' p4- _••• -. - - ' L'9-o-." .7 t4 • ________________________________ hereby altirnh that I have a certificate 01 consent to i. t se(( or or a certi atetol Workers' Compensation In'- - .-5"-srijance, nra Certitied Copy the,eOt ISeC. 3BOo. Labor Code) Z - •.--.u-... Copy is 'tiled with the City 17 r I 6 Certified copy isWereby edturnislr UI' IL o CERTIFiCATE OF EXEMPTION FROM ,setionneed not be completed if the permit f'r lThis "I S ''' 'is'or one hundred dollars IStOOl or 10551 •.: E,.l chrtity that ,i'r the performance of the work for which I rh"spemt 555 ed. Ishall notemployany _person any ' Etion Laws Of California. - NOTICE TO APPLICANT: It. alter 1rrbk5ng tin's Certificate' of Exempt!on. you should decomh subiCI to the Workers" I , c,-y ,Compensation provisions. of the, Labor, Code.'yoa musta.( . forthwith con/pty'with such provisiovdor this permit shall S .-r - ' T . -7•;' SS•••S - - - ri .9• ri '."J . I - L.J I hereby .affirm that there is a construction lending ènCy,,Idr Iheerlo,mance of Ihwork for which this per. I 'DI' 'rinir -is'issed'lSec 3097, Civil Codel - WI Lender's Name - '--. L Lender's Address _________________________________ . ' _ ' .- .0- W ' - V TYPE '•DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL ' V MASONRY ' ' ' - -- GUNITE OR GROUT SUB FRAME12FLO'OR.V.EVVCEILING, SHEATHING ROOF'.--b SIEAR-V.- ______ ---• - FRAME n'-: •V .1 -- - EXTERIOR LATH - - - INSULATION INTERIOR LATHi& DRYWALL _________ PLUMBING 12 SEWER AND BL/CO Li PL/CO ' UNDERGROUND 12 WASTE' EJiWATER TOPOUT EJ'WASTE' .12+ATERI TUB AND SHOWER PAN I GAS TEST- El WATER HEATER El SOLAR WTER ELECTRICAL El ELECTRIC UNDERGROUND di UFFER - ROUGH ELECTRIC ' El' ELECTRICSE9VICE, DHTEMPQRARYV. El BONDING VV.,.EJPOOL,f I VV.V V VV. 'T MECHANICAL ' "•,. V El DUCT & PLEM., [JV REF. PI.PI-JG'- HEAT'-AIR.COND..SYSTEMS '- •'. VENTILATING SYSTEMS " _______ CALL EORV FINAL INSPECTION. WHENALL API -ITEMS ABOVE HAVELBEEN7APPROVEL R'RIATE ., FINAL. PLUMBING ELECTRICAL -,, MECHANICAL / V. GAS BUILDING"_, . i -. - SPECIAL CONDITIONS •" - I 4.- '7-G3- FIELD INSPECTION RECORD:- - ' V - V ' - V • V44'VVV •'VVV. ' ' -. REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES 4I 7- \V INSPECTION REQ. IF INSPECTOR'S DATE _ CHECKED - 'V •VVV-V ---: SOILS7COMPLIAN6E V PRIORVTO L-..... _'V V'V -- - V V ' , -. - V VVV 17 17 STRUCTURALCONCRETEV.- . . _,_' ....i _ - - - OVER2000PSI PRESTRESSED, CONCRETE • .'VV.V'VV VVVVV. _V -V .- _V_V_V 'VV__V_-V POST TENSIONED-- ' - -- -- - ''V - - - V ---------- - 'V V * V • - ' , V CONCRETE FIELD WELDING _ HIGH STRENGTH V ' V.V'V'VV'V 'VVVV*V F '7. -BOLTS_ SPECIAL MASONRYVV - - - V VVVV ' 'V_'V - V_V _,V V •V VV. 'V V - V V - _VVV: 4. , V VV VVVV ' ,'L . ' -' 'PILESCAISSON ,'VV• V V.'V_-VV4V ,.VVVV.V•V. 4•V.VVV'VVVVVV V V-' *VVV'V '_V VVV'V V,, V ,r' _____________ .7•V- VVV_V44SV__V_'V._VVV - ,,, _V_ V 'V'VV - •V'VV'VVVO 'V'VV - :rV._.r • JVL1EI" 4. - -r - - - NV V , , V•V ' _,- - - - - - ,• L ___ - - V T V_4V 4. 4 _V, V V ,,V 'V V V. V V'Vt V V Vt * _V'.M4-;. '-VrV-.--t. tVJ •'-$lIt USI RAL POINT.PFN flNIY & PRFSS HARD - - • . - APPLICANT TO FILL IN INFOR,AvrION WITHIN SHADED AREA AND DECLARATIONS.. . .. FD I hereby affirm that lam licensed under I.a provisions of Chapter 9 )commenäing'ith . I- S.ctlon 7000) of-Division 3 of the Business I andProfoaeionsCode and my license is in' ... ' Ltuit force and effect. - - C.) -- •• '. - C I ltheteby.attirm that I am. exempt from the Contrac- - - 'tots cense'Law or the following- reason (Sec. 7031.5' - Business and,Prolessions Code: Any city or county whictt re ,quires'a perrrrrt,.ro,consttuct, alter, imprOve.,demolish,,orw..t. -'I repair any structure, prior to its issuance also requires he ap- - .) -plicant Or such permit to Lie a signed statement that he is I - - - . licensed- pursuant • tn the - provisions -01 the Contractor's -License Law (Chapter 9-commencing with Section 7000 01 Division 3 vi the Business and Professions Code) or that is ev-J empt therefrom and the basis ,for the -alleged exemption. Anyj violation 01 Section 7031,.5 ,by an applicant for a permit sub' lects the applicant to acivil penalty 01 not more-than five hun> - dred dollars ($500) 7.1, .- -- -...- I I 1. as owner 01 the property. ormy employees with wages IZ as their sole compensationvill_doihe work, and the struc- p . lure is not intended or offered fur safe (Sec. 7044. Business - _i -and Protessions Code:- The-Contractor's License Law does • - - not apply to an owner1oL property who builds orimproves I - -. 1 thereon and who Onus such work hi mselt orJhrough his own mployees.ptovideO that such improvements are not intend- UI - ed or. offered for sale,. It, however, the building or improve-'t-' - - Z .-u mont is sold within one-year 01 completion: the Owner-builder 39 he will have the burden of proving that_ did oOl'build or im- - o , ,prove Or the purpose of sale). I I. as owner of the property, am exclusively contracting - -with licensed contractors to construct the,project)Sec. 7044, I -. • _ Business.and Professions Code:" ljre Contractor's License - - - -, -. Law does not apply to an owner 01 property who builds or im' proves thereon, and who cnntraCtsjor each projeCts'with a . 't • contractor(s), 1icense pursuant to the Contractors- License t - O Ii As a homeowner tam improving my home, and the 10110w- 4 ing conditions exist:,. - .- E •tt .1-The work is beingportormed prior to sale. 2- I have 'lived in-my home - Or twelve months.- Q . prior to completion of this work'),_ - W 3. t,,haoe not claimed this'eoeniplioe during _the - - 0 last three years. - - 01 am exempt-under Sec. -.8 & P.C.-/ Zborthiswasons .s-. -. 'i? IffAt •Oi\'PES D._t hereby atrium.that have a certilicate consent to - - - sell-insure, or a certiticate of Workers' Co ensation In surance.'or a certitied cop thereól Sec. . Labor Codet_ t - Z COMPANY' 2 a'• .:, - _Cop, is tiled With the City, CIL , 0 •- -. • CERTIFICATE OF-EXEMPTION FROM. - -C.) --. WORKERS' COMPENSATION-INSURANCE t - (0 '' '(This sectibn7reed'601 dx A'ompleted it 1150"Oerwit I • V ,ih for one hundred dollars ISrOOl or cool ,, .0 t certily that in,the pertorwance or the work br which - this permit is issved.t'shalt not employ any person in any, - 0 'rnanner so as to'become subject to theWorkers' Cumperr - -'v'sati'on Laws 01 California. • ' :oTtcE TO APPLICANT: It. alter making this Certificate t C -k. .01 Euerirption. you should become bubject to the Workers' - . - Compensation provisionsoithrL'qbOrCOde.,yOurpusr 1 tfort hwi1h'cnm ply with suCh provisions or this permit shall •-- - be deemed revoked. v-o- -- -.----. - -. 0 1keeb'1ibothaIthe su construction lending I---- agency br-the perrorma'rrCe or the work forWhich this peruj - - olD /bt_is:issu,erj ISec'3097, Civil- Code) - Z I - .-- - WI Lender's Name '- - - l t',.- • - -I- - Lender's Address ' 'i•, '. I 77 . .CARLSBAD-BUILDING -DEPARTMENT--'------ --'-- --' A PLr a &PEM,t I T' 2O75 Las Palmas Dr.,Carlsbad CA 92009-1915 (619) 438-1161 r JOG ADDRESS AV. ST. RD. THOMAS BROS NO, - OATE OF APPLICATION )SINESS LICENSE E VALUATION - 5PERMIT NUMBER jQ FR,OA) 5i-; - . .7(37 . LOT BLOCK - - SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR OWNE R'S NAME /55 OWNERS PHONE FOI5 j1Cf,JC CONTRACTORS PHONE ZONE E - '-; -a CONTRACTOR'S ADDRESS (4O/FF/ STATE LICENSE NO. BUILDING SO FOOTAGE OWNERS MANG ADDRESS - DESIGNER $bj CC)( -M 5(KtS IrJA$I, fl7 DESIGNERS PHONE DESCRIPTION OF WORK. - - i - - 40 DESIGNER'S ADDRESS - • , STATE LICENSE NO, - • - - ' - - - - - -.-'- - ----u -. - 0024 07/13-0101 02B1dPrnt - F/P FLRELEV 1 NO - OCCGP EDU - ' - .• - STORIES - YDND' -- FIRE SPa -• •- - CENSiJS-JACT--- PARKING SPACE RES UNITS GRADING PERMIT ISSUED - REOEVELOPMENT AREA -• .' • - 1 -' TYPE CONST' 0CC LOAD. 0 N 0 yo ND Y O roD - Not Valid Unless Machine Certified OTY PLUMBING PERMIT ISSUE. - A.- - OTY - MECHANICAL PERMIT ISSUE ,57 - SUMMARY/ACCOUNT NUMBER - i.,1. EACH FIXTURE TRAP INSTALL FURN DUCTS rJP TO 100.000 BTU - BUILDING PERMIT 00) 81000008220 EACH BUILDING SEWER r - - _ .- ,•4 ,. • - ... -- OVERIO0000 BTU _.- ..--.. -- —..SIGN PERMIT.-_-. -.--. -001810-00'00-8221- -- ----- ---------- r-'• ,EAtH"WATER HEATERANO'IOR OENT - - - - BOILER/COMPRESSOR UP TO 3 HP - . PLAN CHECK • - -• ' 001-810-00-00-8891 - -. - - EACH GAS SYSTEM I- -TOO OUTLETSF 'I• - ' 80ILERC0MRESS0R3-15P / 44) - - - - - TOTAL PLUMBING 001-810-00-00-8222 -' -.0 , EACH GAS SYSTE 5 OR MORE.--.-u. •. _ - ' -- ,m. METAL.FIREPLACE - . - - .,'' - - ,_' .,,. i _)• ELECTRICAL u- . , .001'810'00'00'8223 EACH INSTAL., ALTtA, REPAIR WATER PIPE' - , - 4 VENT FAN SINGLE DUCT 'fv..r - MECHANICAL - 001'810-00-00-8224 -- - • - _- EACH VACUUM BREAKER MECH EXHAUST HOOD -' ' - MOBILEHOME 001-810-00-00-8225 - - - - WATER SOFTNER. •. RELOCATION OF EA NCE/HEAR v ,SOLAR . - .001'81000008226. ..,, . . -• - - - EACH ROOF DRAIN (INSIDE) - • - - - DRYER VENT - __e (-1' - ' - STRONG MOTION . 880-519-92-33 - r — -'--- - - '- '' --- ' -. __. - '. • _. TO•TAL MECHANICAL • ' , F 4- -'. 4.-4 FIRESPRIN'r(LERS —001810.00:00.8227 ' - TO) AL PIUMBINL-- -- - I PUBLIC FACILITIES FEE 32081000008740 OTY. — - •- - - -IT'- ELECTRIC'AL PERMIT - ISSUE -i • ' - OTY. - MOBILE HOME SEU•PS) -. .psa - BRIDGE FEE " " - 36081000008740 - -• - - -. -PARK-IN- LIEU , (AREA • '(v - - - -- - - ---------------------- 5' - - . -- -------- NEW CONST LA AMP'SWI BKR -- , -- -_ •• t - g CAR PORT ( -. - Sir - - a- . - TIF - - - - u 312-810-00-00-8835 b-PH --- -- t 3 P --. - . • AWNING - , • c'-. , - LA COSTA TIF '' - 311-810-00-00-8835 - • -• EXIST BLDGEAAMP/SWT'BKR' cC T ,----.--GARAGE 'i— ---- .'i --. - ' - ----------: - -- - 3PH LICENSE TAX ' - 001-810-00-00-8162 - - • - - REMODELAL'TiH,PERCIRCUIT MIFF - - - 880-519-92-57 - TEMP POLE- 200 AMPS - -• ,,- -: -. -- - -- . -'- - -•- I- - - •__._•_ __ ____..__-- -_:.._____.,___ - -- - ,-....__. 0$JE-A 200 AMPS .:' -• - : ;.t••a' ,. - ' - ' - -, '- ' - . • -- - TEMP OCCUPANCY I3O DAYS) ' ''V- - • ' • -'- ______________ -- ' • - ,-r-. 04 '2 oCREPI1IP.EPQSIT -- - - TITTAL ELECT RIIA[I IOTA) ---':' TOTAL FEES PAYABLE - — I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provrsionsbithis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE dalltheO :t expire ,by limitation and become null and void If the building or d by such permit is not commenced within 180 days from the date of work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by 'such rrnits suspended or STRUCTURES OVER 3 STORIES IN HEIGHT COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- ISSUED: TO abandoned at any time after the work is commenced for a period 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 APPLICANTS SIGNATURE * OWNER 0 01180 days '- - - - - - - - APPROVED BY - CONTRACTOR • D G tAICINSES WHICH MAY IN ANY RANTING OF THIS PERMIT IAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE.( BY PHONE 0 -- - - i - -' - - ' • - J '-'S.. - -• -- - -- ' - 'C' - -- - (" t' '! TYPE ' I . DATE. BUILDING FOUNDATION. . - - REINFORCED STEEL MASONRY V VGUNITE OR GROUT ! SUB FRAME E]~FLOOR - 0 CEIJNG SHEATHING D ROOF D SHEAR. FRAME.' V - EXTERIOR LATH. INSULATION - O - INTERIOR'LATH&RYWALL PLUMBING. Li SEWER AND BL/CO Li PLICO UNDERGROUND Cl WASTE DWATER TOP OUT VDWASTE\V. .DVATER' - TUB-AND SHOWER PAN tit GAS TEST. D WATER HEATER' EJ SOLAR WTER' 'ELECTRICAL V• - Li ELECTRIC UNDERGROUND E UFFE - ROUGH ELECTRIC ! .---• T" - 11ELECTRIC SERVICE- Li Li -TEMPRARY Li BONDING E) POOL -: - - I - _.__• . . V• * - V *_V 3-V V3-V -V V MECHANICAL 3-" V VV Li —DUCT& PLEM., 0 REF.PIPI:NG HEATL — AIRCOND.SYSTEMS VENTILATING SYSTEMS r t. INSPECTOR GALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE - V V ITFM.cVARnvc 14A VF RFFN APPR()VFfl V ...-3-FINAL PLUMBING __V ..-m - _- ELECTRICAL' .V MECHANICAL ___V,• V ___V GAS _*.-:- BJILDING ____ SPECIAL CONDITIONS V V 3-I__V V'* - - - •3-V _VV - V 4-V j .3.3- -.2 1. ------ FIELD-INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR SNOTES .REO. IF INSPECTORS CHECKED APPROVAL •• DATE SOILS COMPLIANCE- PRIORTO- FOUND ATION INSP STRUCTURAL CONCRETE OVER 2000 PSI 'PRESTRESSED' CONCRETE.- - --- .-- POST TENSIOVNEO V ,, , V , . _V V V - - - V . - - - V V V3- - V -h - - ,, ,,• CONCRETE •. — . ___.• WELDING STRENGTH . S IALMASoNRYJ r V '• V - V• ___V. ---.'.- -_- PILES CAISSONS.-._,. - ., • . V V V - - , V _'.3- - . .'.V V . 3-. .V1,• 4. V.Vç V , •, - '-V ' . V_V •V - - .................- ' V .' 3-V - , . -, - V V V . . - - -- - 3- -. - - _- - -4. _. 3-__-V 3-,.V* - - V 'V - - •.. - V .......... _ - - VV -. - - .V - -. . 3. - 3- - 3-_V 3-3- - - - , . •V3-V V VV. - j - V3._ __V -. ___3._ _V•3.3--V4 I V VV 3.kVV. 3V.3 -V V - 3 3 - V-( • - V - V. V 4• - . ..... 4 - . . - V V V VV 3 V V V. .' . .s 3 — . .:.,. ,_-.. — _-___ — .n -' -- -. V ? - . - VV . .,;V V V ,. • 3 -.3 .- V , • V - V V: V V .,-' - V _- ._ - VV.V - . .__, - V- - , _ ........... V - . 3- - -. V 3-' 3-_ V - _ V V - -- 3-V - - . V-V - V - - -- '.3- VV . - V-V3-3- __.VV _3-V_•_3- V4V V CITY OF CARLIBAD BUILDING DEPARTMENT S SEWER t4op PERMIT - APPLICATION 6 7S APR _754* 3136***** 131.50 FOR APPLICANT TO FILL IN DESCRIPTION LOT NO. I BUILDING Z 4'5C) c-So 'V ADD RESS BLOCK TRACT I NEAREST I CROSS ST. /3CeAJ,4 4%37,+ ,4v&- USE OF I BUILDINGS I OWNER 5uS41vC C,41t.17&' MAIL CONTRACTOR ADDRESS CITY TEL. NO. I ADDR TEL. NO. CONTRACTORS STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO DESCRIPTIONOFWORKFEE HOUSE SEWER CONNECTING TO • PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS @ .OQ OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., CESSPOOL, DRYWELL, MANHOLE @ $5.00 HOUSE SEWER CONNECTING TO PRIVATEDISPOSALSYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORKTO HOUSESEWER @ $1.50 ALTER. REPAIR OR ABANDON HOUSE SEWERORDISPOSALSYSTEM @ $2.00 @5 OWNERS AUTHORIZATION PERMIT 2 00 TOTAL FEE 5 co I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. CONNECTION DATA Lateral Charge Computation /1500 30' H., IC' V. @ 4" = ____ 6" = Add. Horiz. @ 4" = _____ 6" _____ 1410,(/C Add. Vert. @ 4" = _____ 6" _____ __AIVAIC ________ Total Construction Cost / 1510 0% Service Charge O74" °' '"°'—" /_i.z Total Lateral Charge Let. No.: ___________ Looaed in Plot: _________ UWF (f)ST nATA A. D. & Assmf. No. /LJO/V5 LINE COST: C. C. W / dwelling P. S. @ / dwelling - OTHER TOTAL A'oA/e SIGNED THIS DAY OF OWNER OR OWNERS AGENT ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF.CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED R SI £ TAI PROP- OFPERMITTEE Grand Total, Lateral, etc. FOR SEWER LOCATION H L/) 1- Iv, St. NORTH SEWER DEPT. Signed ENGINEERI Signed This is a Sewer Permit When Properly e___ut_ - Issued By ttzr_ PERMIT VALIDATION IV