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Home My WebLink About2501 EL CAMINO REAL; MISC; 77-3542_MISC; Permitf·":'-.')~----'!,:-<71;,0-:?-~~r::'l':=··~~7"-''"-:"~--, .7 ··-:=;-;:,=.-= =, .,,.., .-' ...... ~ ,.s-•• -_.._...,.,,.,0--,, ..... .: ---=· "--"~-:~·-_--:::!-• ·, .... ~\-\•,., ... '. ·. ._.. . . . . .• . . MODE[,. NO •. ~-'-,'~}a--· u1l.oiNG PERM1i AP~uC1T10N . City .. of JCARLSBAD, CALIFORNIA 92008, ,r;;_ Phone. 729-1181 · Applicant to complete numbered spaces only flermit No •• .., !!" ,,. -· . --. .,-,:;:::<" .. Joe AODR ESS I -_.,-t ,;F· 1/ ./5' ASSESSOR'S ,.,.-::, /. ,,.,. .. · . ;;2. ;,~; / I r /.CI/--A .!,-• ';! ' . 4-,...,.,.t~ ~-., PARCEL NUMBER ,f ,,,¥ ~ .,r ..,,,,. _.,. ..., "'f ~..i-....,..., ,.,.i"A·A. J.{ ..,;,";.,!'· '!'.-... .,. ~ ~a,.;~ ~1.; .,,,.. /' ,1,' -· "ft ,,r,· ,el, ,-~----:i-. {. ... ,t;.r' ... , • ... ,I I ,. -•• -1'~-.L ~ LOT NO, I a~K I .TRACT Jt' ' ---BOOK ! PAG~ I PAR, LEGAL I ~ • ~~SE[ ATT~CHED SHEET} l~ESCR, - ' ,· 1 O~yiN ER /' MAIL ADDRESS 21P PHONE 11-h•29P.. 3040 . 2 1,~ S~s i;bopp1tlg-!Ja~s 1-, t-640 Caait» Dill Rlc.' No-., San Uie®-,.,. Ga 9210$ CONT,1--RACTOR MA~L ADDRESS. PHONE . st·ATE-LIC, NO, CITY Llc.-·No. 3 DQll ~er&. So:i Corp 191& m. Capitan nr., :Latleu,-ca_ ·92041 hol•tthS 277908 ' , .. -· ARCHIT~CT OR DESIGNE'R MAii ADDRESS PHONE LICENSE NO. 4 ~o~.T~ S-i~on 1270 ttlli ... 1t,y, A,q:.,, La~a.,_ ea 92041 h6l-o2$1 It..,> lj-:>_ ' ENGINEER MAIL ADDRESS ' PH~ONE LICENSE NO, 5 'COMPENSATION INS. CARRIER ' MAIL AQDAESS BRANCH J:~ . / 6 Indu$tnat ~v -·JSSS-ONtd.m. Jlel a:to-So~ ~ -· 92136 ~~r.1' ,. '!I' ca /,: .-•'7t ..... 4·1>_.,.,. tt, ...... ,t.';.,. ~ ;}~ :.·.~~,~ USE OF BUILDING • / l' . -........ ; . .7 Sa~~-~-, ' , NO. BJHS NO. BDRMS ~:. . ; . . . ,. -/:_ . ' ~.:-• • • I, DNEW tJ AOPITION ~ ALTERATION ' '0 REPAIR OMOVE': 0-REM0VE ,.., ,8:--_Class cif work: ., 9 D~scri~e work-: ·h.,~_pl:an 0 lyO\v~--1 _J i ~ V Of~ ~u ·• -' _.i, ,.,..., --i'. .. I \c)' .10 Change of use from ~-~ ,, .. . Change of use to Sav.inp.&-Lo(lJ1 .. , ' .11 Valuation of work; $ 11.,000..~ --, v ;· :··~--I __ _. :_--~- PLAN CHECK FEE$ .,,..) ~ .. , . PERMIT FEE $:;;" .(1' ,.:.,,.,....- SP.ECIAL CONDITIONS: ;,-,.,. MICRO FILM.FEE. r Type of 'OCC\JPa.ncy Const. Groap --.. , ... Size of Bldg. _No. of Max. (Total) Sq. Ft. Stories O~c. Load ...... ~·:..;;::.i,_ ~~~-~ ... ;:i~~: '. ., .... .,.. ,...~-.. ~ . Fire Use Fire Sprinklers ~,j~ --· .. APPLICATION ACCEPTED !!.Y,s'~ '¥~AN~ p~CKEfl BY J .fPPROVEl:>;f~R ,iSSU~~E BY Zone Zone • Required DYes DNo, . 1·,t, -~ l . • ~ ff/' ~;.' ,,,, '1'1i.i.;v-• ' ~ ~~·-w··. OFFSTREET PARKING SPACES: ' • ~ ~~,'\.>. . •, . ~·!:'" Jl-: -t/ No. of IN : DAT.~ "'.f':;" / .· Dwelling Units No. _Sq. Ft. •. Ogen DATE Covered NOTICE ~ ;."' Special Approvals Required Received, Not Required -'i!_ SEPARATE PERMITS ARE REQUIRED F..OR ELECTRICAL, PLUMB-PLANNING OEPT.. ING, HEATING, V~NTILATING OR AIR CONDITIONING. HEALTH DEPT. JHIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION Al,JT<RORIZED IS NOT COMMENCED .WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPEND.ED OR' ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) ~ '. ·. I HEREBY CERTIFY THAT I-HA-VE READ AND EXAMINED THIS t~N.G/NEERIN!3 QEPT.. ,'' , ·,' ·, APPUCA:rlON-AND KNOW-THE SAME TO.BE TRUE 'AND CORRECT, -- ' WATER DERT, . ·, ~q~l-~~vJ.,iJ'~~s w9EL L:rts\~1~LPEiDWi~~c..~~ irlHVt~~~gl lt~6 ,. ' HEREIN OR-NOT, THE GRANTING 'OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS-OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.S:rRU<;TION O)_THE ~E~CE OF CONSTRU(:TION. ~~'\:\,; tt ,,?1 ' -·r/4~/&J . ..f.n1 _ .. \ Sl<;N'ATURE 0~ CONTRACjOR OR AUTHORIZED A'iiENT ~ (D'ATE) "f!' ' ., SIGNATURE OF OWNER IF OWNER SUILDER) (DATE) ', .. WHEr-,l•PR'dPERLY 'i/ALIDATED:0N.THIS SPACE·) THIS IS YOUR PERMIT PL.AN CHECK .VALIDATION CK.· . M.O. CASH PERMIT VALIDATION CK. M.O. ' CASH -_ ~-5-,..,, TOTAL FEES $_~_(_.l--'Y',-· _____ __,..._--_-_ INSPECTOR -• . ,· '' INSPECTION RECORD· DAT£ REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION.WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL t.,,2f .. ~7-;7 ~ r USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM - CITY OF CARLSBAD Nf SE 1578 r BUllPiNG. Oi:,PT. ENGINEERING DEPARTMENT 729-11'81 EXT. 35 r/11c__ " .. ISSUED BY . ' FOR APPLICANT TO FILL IN .. DATE ISSUED L-. ;; .. 7f5 l:: fo,,-/4"· (~.,."',ft~..,,.-,·r M .;::c;,) '•. .. " BUILDING ... 'Z t; c.:Jo ; ADDRESS VALIDATION .. .. OWNER t,.,,;.'l r l: P.:r'o···· /7/"1 ;;.,, L i'q', .. . . C./t; /-1?·/A ...... .s 7',;_ 1 t,,'PJ T,w,, r>-,, T f MAILING ;::?. ~ /j/r>4--./·" (7 , ....... ~ t~ ,.:,,.,.,,/-.,,.. Dr. -f'1'e. ib:, ,, ADDRESS ·. A/.~ ::1. -. ,..~~ • (,;;, ~-LATERAL CHARGE COMPUTATJQN /·'w,,r"';,. / ~ -"·" P,-:1'/,.cf .. ., .. CONTRACTOR f, .. ,.,. 30;, v. 1Q') .. · ,. , ..... , //,./ ~, . ... , .,. ,Yo ( ,.,., .fi". STANDARD 4" (Max. H • OVER 30' H-. @ ' FT. .. ·• CONTRAC:J'OR'S OVER 10' V. @ FT. . . .. ADDRESS STANDARD 6" (Max. H. 30', v. 10'). " OVER 30' H. @ FT • . .. ' I BUILDING I )(. @ .. NEW BUILDING EXISTI.NG OVER 10' V. ,, F1_". LEGAL DESCRIPTION TOTAL CONSTRUCTION COST· .. . . 14·3 ~ SERVICE CHARGE (REPAVING ETC,), ',: ;,: Pct'v--r,.,: I . ~-.... , ...... 7 ?c) PFr/ .r.l'.t,fi--'38 .. f -) -.... _ .... _ ..... _ /.' ......... .... -~ TOTALLATER~LCHARGE . . . .. REMARKS: UNE. COST DAtA .. ., ., . .,·~;~7 /;;,/ r'1-·1.,~.,.-,/ .-..,, . . -/,,-~') •, i ,:,~ -ASSESSMENT DIST. NO. .. . . ~t\-~I~© -· FRONTAGE COST PER FT. r<;ffAL ·- ~~cl. ~ OTHER \-'I i (),,,.R...i-u. oJ \ LATERAL LOCATION CONNECTION-FEE ·. .', 1-1 I I t..'. NO. UNITS i:uo ., ..... Cl) Cl). . '·~~~;:' { .', ., --COST PE~ UNIT TQTAL I ,; I'"' I' r'\ Pl;JMP STATION FEES '-,I '-I/ ·- NO. UNITS COST PER UNIT-· TOTAL _,,._. --¥ I -) .. ' ST. ., rr: ,_ -.·,,· .. , .. - TOTAL CHARGES (LATERAL ETC.) Ii l ,_ .-,_ LATERAL NO. INSTALLATION DATE , 1D B Gt_\~\? t ~~M·l-f~~ . App I i cation for Grading Perm i toe= ( I etter code + number) , _CJ TY OF CARLSBAD L= I ot PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision 1200 Elm Avenue C=City contract 729-1181 FOR APPLICANT TO FILL IN Site Address . ! ~ 1,. ~; f ,( Lt""·/~~_; i( L .. -"". c: ,, J /7" ,.___ Leg a I Des~.d.:r2,t i on __ 7 ,.-~ , :, Map No. ( _ .. / _. ' t-... ,,,,_. / ' Subdivision Name ,·;. ' /,., .: .. _:1,-i1, ·.,n tir-:t, ( - ) Address Phone ·•. ,' , -~ ,·' ;-.. i •, i·1 ;:,· J ,··.:"j ·1• (, C·C\ I '· -~11\~ •.: !1 l·'--J-~~ / ..l.l, ftl-JJ f ~ i>'' t • , - Soi I En~li neer . . . .. R.C. E. Phone · ,_, •. // ,h) '.J ... '--, a( : t::"/,J'~Jvf ! ·-/1 Z 5' Grading Contractor .,,... Phone ---.'l //! ( .... l { t\ r Address -I •• f 4} Check if supervised qrad i nq L.,,,.......-• . I • I l .l 'I •._ t' ,,,..,. /) ! i .Party responsible for overal I supervision ··' J . , ..... oJ , I .-.,'--;./,,,, ~ ,·.,..-....,,_ .•.. ,fl"'t Proposed use of grade site • . • I ' • ,: ( ,-< •. \i ·:,__ /Z.... Number of· cubic yards Cut Fi 11 Import Total Compacted f i I Is ( yes or no) .:. . :_ ~ /~ Proposed Schedule of.:::.';::f'Start Operations (dates) .(Cl.:;-:~~ ... , -; ·1 I Waste Finish ,~, .J ,\,•.! -, .'..." I hereby acknowledge that I have read the appl ica- Surety Bond Bond No. Surety Company Surety Address Date Fi led Rec'd by Cash deposit $ Rec'd by Date f i I ed The fol lowing document$_9~e required and shal become a pa rt of the gh::iJJ tr:i'f{:pe rm it when they are,,,approved. v0rading plans v#'So i I report .,,. Ora i nage structures ,,,,,Compaction report _, Specifications ,,.Vicinity map -Retaining wal Is _c.:_Other SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT I. Authorized hours of operation: 7:00 AM to 5:00 PM, Monday-Friday. 2._ Hau I routes are to be approved by City Engineer. 3. Adequate provisions shal I be made for erosion and s i I tat ion contro-1 • 4. Al I slopes shal I be planted per direction of Parks & Recreation Director. ~ \) ---'"'· It,,,.<!"'-}.',--....... ~· ~<·: ',/' ,. ,.._ _______________ --:--:-~=-=-=::-:-::- tion and state that the information I have provided INSPECTION DATE INSPECTOR'S is correct and agree to comply with all City SIGNATURE ordinances and State laws regulating excavating ano Ground preparation grading, and the provisions and conditions of any 1---::-----:----:-:---------------- perm it issued pursuant tq, th f s app,I i ~?St ion. , .___Ro_u __ g_h_g_r_·a_d_i n_g ______________ _ • • r':" .. ·1 · 1 ·.__t-J (~. 1 ~ 1 ( .. ;\:-~-{ Compaction report rec'd. SI gnature of Perm1 ttee r. \:v 1,i,! t ...,i., \.,,.)/ ·; ;:-·l>·,' ~\.., ....__P_I a_n_t_i_n_g_&-dr_a_i_n_a_g_e ___________ _ \~ 1 ~,ii,: 1 \ f_,"' _ r , / • Of,~ Owner or author i zed agent ·'..,,,ii ·: '· l: ... 'i r: :J. '. -:-, 1J, 1--':::'.'F-:-. -1:---""'."t-:-. -=-f 7'". ---:t-:.---,=--d-:-----------1 na cer 1 1ca 10n rec • ···1 1;_,,r· '' I Grading permit fee$ Work completed Surety bond released Permit Val idati9n by ' -.~"' Date • '/ .· ---------------_......,... ___ _ / ? Permit Expiration Date r • · :'/:., .. 'r · ·, · · .. ; '."'2 TH IS FORM WHEN PROPERLY VALi DATED BY SIGNATURE I S A PERMIT TO DO THE WORK DESCR I BED _;I THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD ,,.. -~- ' , e· ·e·_ . PLUMBING: PERMIT.APPLICATION City o.f CARLSBAD, CALIFORNIA 92008 :·-v · • .,. - Applicant to complete numbered spaces only. JOB ADOR E$S · )!hon~ 729,4181 C/::2 ~~:c::J_l,~.-. .,_l:; __ l~ :IC"·' A,-1 Permit No .--&-~ ~ __ ; ___ z&.~/4. I-:-A Jr1rft PHONE : ... /'.,•, ARCHITECT OR DESIGNER 4 ENGINE.ER MAIL ADDRESS PHONE LICENSE NO. 5 ~AIL ADDRESS BRANCH USE-OF' BUILDING 1 7 -8 Class of work: ONEW 0 AD.DITION 0 ALTERATION 0 REPAIR /. F': 9 Describe work: ,.J.__~ _________ P_E_R_M_IT_F_E_E--'S;,,.--,--',-.,..---~---~ Type of Fixture or lt~ijr; _.J.• No. SPECIAL CONDITIONS: r j WATER CLOSET (TOILET) : >':•".'! BATHTUB f LAVATORY (WA!?H BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER Fee ~ . $ j ,:.:,) tJ APPLICATION ACCEPTED BY AP~R071J5;A:;:lf1~. _·_· -+-~-:-~_T_N_i_:_/_w_TA_R_t_Hy_E_R ____________ -t---+----l DATE f'1/P . WATER HEATER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTl;lUC- TION AUTHORIZED IS NOT COMMENCED WITRIN 120 DAYS,O.R IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD-OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE" TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF_ A PERMIT DOES NOT PRESUME TO GIVE AUTHO.RITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE· OF CONSTRUCTION. SIGNAT\JRE Of"CONTRACTOR OR AU'{!'~IZED. AGENT -"" S1> (t>ATEl/ SIGNATURE OF OWNER flF OWNER-BUILDER) (DATE) URINAL / DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM B.e_EAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEAN0UTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O . ..,,,.. .... ,..:..._ -, INSPECTOR $ $ CASH --·r. INSPECTION REPORTS DATE ITEM · REMARKS INSPECTOR .. -----'" -. ---. ~ . ---.. -- -iv~,--'?7 L~-Ml ~ / , , USE SPACE BELOW FOR NOTES, FOLLOW-UP, .ETC. '·"", :···· _. ,., . . . . . ::···,,,,.·s·;-·• ·" ' : ... ,, .... _. _,.,, ..... , , ... ,,-.-.. ( •.· .. \· • .. ,-,,,,:-,•,'•> •a',O--c .n . , ·.' .,, . ·.. , . \ ·;, ;., " ·•: ·,. ,·, ,· -: ;. : ,.:,:. ·, ,,.-, .' •;1'.;. ";,·,:·''. ';.-:;,:·,,,,. .. ·.' .. ,· ... ,;,""'~\ ·,,,,·,·. ": c-:,,•.,,,7 f·,',:<(;,'.>{::,.{'~!:;'<'>?\.;ifl{f,, . . . . . . . . . . . . . . . . . . · ..... · POOR . · ... ·. . . . . . ..·· QUALITY· ~ . . f. ~ ~ l': " ! . . . : ·. O·RIGINAL S . ·_ t~r c~~~~ Ii~flq!.~~-: . ,': . ' ' . . .. : .,· r. ~-: ... 0 REPAIR ,·. .' ~ ;-'1 J . ~~-~::::~~ ~~i -~a .. ,: :-.. ,~ , ·fr "'-'P_·_,~_·-----~-~,c,J · ~,;~~; ~/;.;;tS .,, .. ';;;~~1·J .:_,...-,...;.-'"~~"c..;-'=:.~~:~-,,..-_,-~"c'C'-1;..;._"'/:-~-~_'f_,:,a.;1~,.:,··.:_:-~:"':t"!,~2::.~,'±I~~~ :~~\' ~~; ~-~"'-"--+---+'-"~,--,,'ii,:::,.;. l-~-'-'~----------,--~--'-'',-,-'-'-------'-~-'----~~--f--'---,i--'-F,,,,,--;-.~-",4"-f"~""'=,+.~-'-,'----",.~-"-,.;,./e,;:;;',--,~----+-~--,1,'-,-',,-,,:•::i' , '·,c: I :-APP_tlCATIO~ ACCEPTED BY .PLANS CHECKED BY. APPROVE.[) FOR.fSS\JANCE .BY ... 'DATE -~i*~~ ·f. :·>, ,·e,_r.~ ~::::' ~ ·~'' ,:, ... · ~tM~m~0VA~J6~~/,t?,)\l.f ~, , ''~'.,,;;-.. • .. ·j~iii ..• ·• c~t'f-i{,i~Jq~iCjJPf i9 f 1 _t . ,,--.. -~;,/-; ··y ~~1-_·.:.>-}/ .. • i .~.-..... :. ~- .... _-;t·f 1-~·;::- ·~ ,,•~,:>,, , :,· :i \I-· r ::.:....:. ... _' INSPECTOR ·e -1 INSPECTION REPORTS ,-Rl:MARl<S DATE ITEM INSPECTOR ·~ ... ------··-· ----~-.. --::----, ----.:: ·--. "! < ------~------:-n:r-... -----.,,,,..-----., --;..r,-----:--,,,;,:--.,--,---.... ':"'~-----, ,-i, .. 77 / ~--,.,1J ~ USE SPACE BELOW FOR. NOTES, FOLLOW-UP, ETC.~-, -, ~:. . -*---~,.. .... ---;--.-------__.~, _ __;: _____ --·----·"!""' --· ,_ -·-· -- ,} ;.~;;-' .... ,., ~-.-·_ •· j,··, • ~~~ . ~ . EtECTRICAL-.PERMl'T APPLICATION . City of CARLSBAD, CALIFORNIA 92008r -. . j,· . , . . ~ _ . ' ,-; ,, --,":: ~;',2 -..xt<~~~~t-t· Applicant to complete numbered· spaces only. . Phone -7 2 9-1181 : p~;rn-it. N~:~ , ~) '.i,F'',.if,,IW;,:; / .!.;;· "Y f· ::;, _ /_.·1 +-· a -el t-; o J ~,;,..t,.,,Le I o l,:: 1 1 ~OB ADDRESS LOT NO. -BLK, TRACT <OsEE' ATTACHED_SHEETl LICENSE NO, 5 BRANCH 8 ·Class of work: DNEW 0 ADDITION ~ALTERATION 0 REPAIR _ 9 Describe work: PERMIT. FEl:;S SPECIAL CONDITIONS: . i-;;.,...;;;.;;;.;.;..;-'-----------'-----------------1 SWIMMING POOL WIRING, NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF -120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 5 ljATURE OF CONT IGNATURE OF OWNER IF OWNER BUILDER DATE NO INCREASE IN SERVICE REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 ISSUANCE FEE TOTAL FEES .. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. ·· M.o. CASH '· PERMIT VALiDATION CK. INSPECTOR No. Each M.O. Fee nt:: r:11 _:i/':JJ(,t,'' CASH ----7j , : . .-1" ~-'7 (' /;' . r.'./ • --l.-,. - -- INSPECTION REPORTS. '. DATE ITEM 8EMARKS · INSPECTOR .. . . . L-ft~? f7 /_ ~--~;;:' ~../ . Cd -,~' . ' USE SPACE BELOW FOR NOTES, FOLLOW-UP, E . INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPART~ENT BUILDING ADDRESS: ~ •••. ilii Jl'.-,,.,.;;l,.p~'.:~ r --- PLANNING DEPARTMENT -::;,,.._ ~ RECEIVED DATE:_....,,...,....,-r-, __ -rnErJ~r.+7 ~--MA'< g ;JI I CITY OF CARLSBAD Bulldhig Departmcr:t ZONE LOT SIZE LOT WIDTH ------------------------~----- UNITS ALLOWED UNITS PROVIDED ---~-------------------- PARKING SPACES REQUIRED PROVIDED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED ---'------ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ,; ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: DATE OK TO FINAL DATE -------~ -~--~-------- ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS -----'------------ SEWER CONNECTION DRIVEWAY LOCATIONS ------------ GRADING PERMIT . EASEMENTS DRAINAGE --------------------- LEGAL DESCRIPTION -----~------------------'------- ADD IT ION AL COMMENTS --------------------:---'----~- OK TO ISSUE: ---DATE PWI _OK TO FINAL DATE ------------------ FIRE DEPARTMENT 'SPRINKLING SYSTEM FIRE PROTECTION EQUIP. -------- FIRE ALARMS EXITS '.f' ---------------~ ~ FIRE HYDRANTS LOCATION ---------------------------- ADD IT ION AL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ ~,'1, ~.--. .-, . ~~-., ~-' .. !~. ~ l! "" l it I~ ~ /· " ,. -,_ 11)~ l ~ f<>~B-;ii -~ I ' -~ I t ~ ., ~ :a t-- 1' '\ I) I~ -).. !~ ,, 1t i . it:) ,. ' ·11 7-~tG" . ---·---____ .;. --\ .. AR::"·c: .·H···-1 TE c· T:. 'i..lV£//S)/7T~!.IT£ 011/C){ ·. i. :·. :J?CEIIT/Ml ffPG?AL .9/WN&S/LOAN AIWHITECTURE -PLANNING -. ·ENGINEERING~ CAl?L5BAP SIIO?,v/1v'c;C:£NTE/<. . . .,,. U: • . · · · lif, ,:t · 251 : /-//Gh"/4/AY 78.Cl/l/rORIV/A-. ~~70 n1versity Ave.,La ~e!ia, C~. : ~~~! ~ "~ COAJTf?4CTtJ/<-tif,e. a:Jl'ICCJ1T£1<. .. JOB AOOR ESS MAi2.oOi\J floAo ASSESSOR'S EL 0A,t,t t#O g6A.l-~ PARCEL NUMBER 1 LOT NO. I 9LK I TRAC.T BOOK l PA!3E I PAR, LEGAL I <OsEE ATTACHED SHEET) 1 DESCR, - 2 DWNE~AA i-i_ l.oM P+\v tt MAJ L ADDRESS ZIP PHONE CONTRACTOR NSl ~~DDJ§;o PHOV '3L tA!TAT~r-. t8 CITY lclC, NO. .3 ·~-rA,H)AtiD c.A~,1 ·j. '· ... . · i .. WAStf1µG10 • <, ~ / ',(;ifb . . /77/7 4 ARCHt1tf\ riGN~: ~t~l~ov MAIL ADDRESS PHA LICENSE NO. 1~w fiot...t 't~, Et ' . :) " l ... ~ . ENGINEER ,MAIL ADDRESS PHONE LICENSE NO. 5 6 cortUiff N ~rft!1:i~h\u srDDIIESS ,.._ t .· o t.t UTU$'4 Pl' -· t;A,;r BRANCH _,,.,, ,t.,V). A~ t:t.·e·s ~CA.~ USE Ot_,BUILDJNG .. 1 fit'·7A1l c~11?";,"'(--:r NO. BDRMS NO. BATHS .... • "l'.a.. '•" f ,,_,/ ~ ·""' 8· Class of work: DNEW 0 ADDITION. ' ALTERATION D REPAIR 0 MOVE 0 REMOVE .. 9 Describe work: f!D.Aove ($ ee .. \;\.\~!' A,,t..,t_ f=t)(tv1?€" U.,J')J:· LI-~. r'',~ tt,iAJ. ~. i • . '}< .. '::ff tAJ 1' tea. f e ~~c:m, , AL I 'J 10 Change of use from Change of use to 11 Valuation of work: $ Soi 00{) ,;,i' PLAN CHECK FEE$ /,J.CJ :!.£' I PERMIT FEE$ A17ui:o1 ,._/' ·. SPECIAL CONDITIONS: Occupancy MICRO FILM F£_.1' (,'I Type of ' ""f -· ., -I" a•¥ Const, Group " ,,.t-u {.,/:~ {. .,./< f.a_ ... ,;;,.:-e,, _J:e,..-· ,:"-~:~::~¥"~u"-.;.1:.·-; v :,;/ Size of Bldg. No. of Max. ! ._,.~¥ ... ~ '. ~ ,/.;1:,t.. /'' .. i!~ . 4!C~:~'r J +· . -~ • -· , .. -· .. ~Le.. ~--r-~~ ~; .. ~~ (Total) Sq. Ft. Stories 0cc. Load -_¥ ;:,--,t~. ',, ~,r.: ~ .... t•..... • p·~--t:-1!' t.:M~···,;,".....,A'-,.,· ;, _,,,,. Fire Use Fire Sprinklers APPLICATION ~:.~F7 PLANS CHECKED BY APPROVf£>'~.Wl"iSSUANCE BY Zone Zone Required DYes DNo .:J .. -~ 'JJ 71 01' .· OFFSTRE~T PARKING SPACES: ~ >¥". f ·No. of 'No, DAT~ / -;,.,,,· ~ DA;E·· . ,,,. Dwelling Units No., Covered Sq. Ft. Open NOTICE Special, Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT. R""' ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTf·I DEPT. -P" THIS·PERMIT BECOMES NULL AND VOID LF WORK OR CONSTRUC-. IP'" .p,, TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT. CONSTRUCTION ·OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT .,:,,-· PERIOD OF 120 0AYS AT ANY TIME AFTER WORK IS COM-.,.:,.,,,-MENCED. OTHER (Specify) l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. ,A,,,,-APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ~-ALL PROVIS"IONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF tV.:ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ,OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUM,E zro GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISl,O~S OF A~Y OT~ STATE OR LOCAL LAW REGULATING coNSTECTION /.R:'JH . PERFORMANCE q,F coi,Ruf 10N. ! ·i . 11 ~p, ~ ~, t ,./:f,f_,; • -i '" ;J 12 :-1-'=t t j<...,,., ~· --' SIGN.A'TURE OFrCON.,ACTOR OR .AUTHORIZED AGENT /!DATEf ~-,, • # SIGNATURE OF OWNER (If' OWNER l!!SUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE.AMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .:;,; TOTAL FEES $_~_· .. _ .. _·/_Y_"'_,._,...,._· __ _ INSPECTOR • -... INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING. CONCRETE SLAB .. FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY /~c1~ ~ ~-. FINAL ~- / .. · ~ USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. LICENSED '9ONTRACTOR'S DECLARt,TION r heretiy affirm that ·r am -llcens!ld un~er provl• slons, of Chapter-9 (commencing with Section 7\)(Kl) 91 Division 3 of Jhe Business and Profes: •sions Code, and my lldense·Is ln·fulJ force·and el- . feet.· r owr:l'ER:BulLDER DECLARATION. Dl'hereby aflimi-.that I am exempt lrom·t.he Con- tractor's license Law for .the following reason (Sec. 7031:5 ,Business and Professlons-Coqe); Any· city or county which ·requirE!S a p!)rnilt to con-. struct, alter,.:improve,. d_emolish, or repair any struciure, prior• to -Its fSS\Jance also requires the _ appllcan.t for' sue.I] p,:,rmit jo Ille a signed state-. men! that-he is licensed pursuant to the provi- ,slons· of the.Contractor's License Law (Chap_ter 9 · commencing wltli Section 7000 ·of Dlyislon 3 of the Business and .Professions Code) or that-ls-ex- empt therefrQm ~nd the b11sls for \l]e ·alleged ex-. emption. Any violation qi Section 7031.5 by an ap- ·pllcant for a permit· subjects· ttie applicant to a civil-penalty of not more than five hundred dollars ($500) .. 0 I, as owner-of_ the property, or my employees with -)Nages as their sole compensation, will do the work, and the structure is not ln\en,d.!!d or of- fered ·for sale· (Sec. 7044, Business and Profes- sions Code: The c;:ontractor's license Law ·does not apply to an Qwner of property who builds Qr improves thereon and wtio does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve, . ~ent Is so!d. within one year of. completion, the· owner-builder 1oYi11 have the burden of proving that, t,e did not build or Improve for. the purpose of sale). . '01, as owner.of the property, am exclusively con- 'tracJlng ·wltl) .. ilc·ens!ld co!)tractors to construct the proJ~ct (Set:, 7044, Business .and· Professions Code; The·Cohtractor's·Llcense Law does not.ap- ply to an owner of pr,operty_ l•ho buiids or ·im-- . prolie_s thereon, anq. who. contracts ·for ·SU!)h-pro• facts .wlth:.a,confractor(s) license. pursuant to the contrac,t<ir's. License L,aw). I am e~empt und11r Sec: . , B. & P:C'. for this reaso • Date Owner, --~~-~ WORKERS'1COMPEr-,iSA l]ON ·DE;CL'ARATION I· hereby afllrm•ihat l'have.a,certiflcatEi.of con- sent to self'insure,. or-· a certificate cil Wori{ers' '9omp~nsa\ion insµrance, Qr a.: certlffed copy " thereof .(Sec. 3800, Labor Code).. . POl!CY'Ncl: . . . ., GOMPA~Y~.-~~~-'---'--~-'--'-'-... ER • OF EXEt,,P,:IO -f Ot,1 . WORKEl;lS' COMPENl'\ATION,IN~Ufl~NC~ , (This section-need not be-compJeted lf-the.-per- mit is for, on(l,hundred,dollars·($10!)).or-less).:.- 1 c_ert!fy that in.the perfocmance:of the work for which_ this per111li ls.l,ssued; l's hall not employ.any . person In any m,anner so as,fo ,be.come su_bj(!ct:tp the Workers.··qompensatlon-Laws of Californ\a: NOTICE TO AP~LICAN'T: II, afferml!king' thls·Cer- tlllcate of Exemption, you should become.subject to ihe Wori<er~· Comp,ens.ation J?[OVl~iohs cii ·111e Labor Code, you must forthwith comply-with such provls~ons or thi\i permit stiall be deemed revokecj. CONSTRUCTION.LENDING AGENCY I h~Jeby 'affirm th~! there.ill' a constructfow.len- dlng agency for \he.performance of-the work·for ~ . j: ••• US.EB-ALL. POINT .PEN'ONLY. CITY PF. CARi,.SB~D-BUILDING DEPARTMl;::~T ·AP~LICATION.& PERMIT 1200 ELM AV.ENUE : (714} 438-55~5· ···-:· ~~T6~AiTr~?J ~~~ 'tn~~~~~ -_, •. '.-~--... ; -:,., • . ti~• \-;"• ·; •,~' c J .-:c:• ··-, .-. o·~-~-. ,JOA ,A~R~S~ , ·. . ·-AV~t:IDATE OF' APPLICATIC:,N : ·· ·. · <-_;.,11,;.':J::;:-. IV O, ·I</;*-~ . . . . , .. ·.., _, eo 12 1S'."'1'?1 ,. I I + r I /r/1, L.J· .+ I I I. I I l.. I I I." I I ,.·1-__,J L_::.L_L_ ~-'"·· B'Us. LICENSE/:·· ~ ~Cf I/ . --<Y~/30 PE.RMIT NUMBER ·•. :•· --~-~. ~.-.-. owNER'sPHoNE . P,~~i~c:;1R7};jir; c;;N~l'• C;·. _.;;;; ~E;i·-·, :J .. _A /"". .. . I/ .. ~TRACT~S ADDRE,"f_f.' -.,... •• ,. ·1\. ~--1'-1· \.,.,1f• O(J'r:) I . 7J'-'2. (..;~u-OrriWi,~. -.VJ'?~ . . ... 7·1 . . ' ' . :{"rl,,_ :_&_.._ . a-, .. ¥~~~RACT.OR.'S .• 9~.i-9 .:1. ">I .. DESIGNER -: ST,:A,TE LICE"!5E··. +J.!,,,l,L;lli,~'.lf..~~-~:3;~~~!;:,..~f..-~~~c::!, _ __;!.,_,:~t;_. __ _.:.~,.,..,---,--I DESIGNER'S ADDRESS Ol;fil,GNER.'S !:'.HONE ,,_ ----. CENS,US TRAC'1', GP LAND USE : ZONING, RES, UNITS . 'PARKING SPACE STO~ri,s BLDG SQ, FT. BLDG USE o,i:c. GP ;frA~DARD PL,AN # • 'PLAN I D_II TfPE CON.ST 'occ. LOAD QTY. PLUMBING PERMIT AMT. EACH FiXTUR~ TRAP [~H BUl~DING SEWER EACH WATER HEATE_R AND/OR VEfff EACH GAS SYSTEM· 1 TO 4 OUTLETS ·EACH GAS SYSTEM 5 QR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE QTY. 'MECHANICAL PERMiT iNST'A·Ll FURN. DUCTS !JP TO 100,000 BTU ~ QVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILERiCOMP!IESSOR 3°15 HP BOILER/l;OMPRESSOR 16-30 HP VENT FAN'SING!cE DUCT AMT. . ·~ ~· . '·· EACH ~AWN SPRINKLER SYSTEM MECH EXHAUST _:_HOOD/DUCTS VALUAT'ION: 8/ ,1,,.1 mo~~:1:19 N1Jt V1/ii/' Unless M1cf/{n~ Cartifitld WATER,SOFTNER RELOCAI'_O~ OF EA FURNA~E/IJEATER BUILDING PERMIT I 1 • J T8SUE ~.nn t~srrn . ·3,.0fV : .SIGN;PER.M!T I t , .-1 TOTAL.PLUMBING '(OTAL MECHANl{;J\L .'PLANCHECK . I I ' ~ _CONTJlACTOR CONTRACTOR ALL l~CLUSIV;.PERMIT 1--_l . . . -TOJAL PLUMBING -'1 l ! _O.TY.. ELECTRICAL PERMIT · AMT. . Q.TY. MOBlLE H9M~ PERMIT AMT. ·_. ELc.,, : NEW CONST'EA AMP/SWT/BKR AWNING . Mc~""' r, . . . . . . , . rnTRICAL --· rn".NICAL ·I.; . . ·1 PH . 25 . . . f PH PORCH ··· ·-MO-,-· R11·i;··.Ho~E :;Ol:AR. I ' . . . ·. EXIS1~LDG E'AAMP/SWT/BKR. SEN~( . • . ~----:" ~-. · • -- '. .1 -~~ · 1 PH' ._25 . 3 PH FiAMAi:IA, CABANA.. ,~ .. . 1. ·,. I' I j : ' <-., REMODEL/ALTER PER CIRCU_IT ta. '.!.,..:' . . ~M, u~ FENCE'ovER'S' . . .. ,: •. • :. . ''I: , . t T . :fEM_P.P.O!-E ,2!)(1_.f,MP~ ·ro:rALMOBILEHOME·_·_· ___ :c ·-·--'~--~ICQ."'Fl:l:M ·1·~-I.T OVER ~QO AM!'S ,1' V, -~ ·1 ;, · r'· 0 1 , rr•·i 0'' \..Lr,_ 1;\, ,,.-,·.!' ~: 1, l .1. I ..• ,. :· ·-1 •• • • ,? JE_MP Q,CCIJPI\NCY (30. pAYS) . \¢"' ' STRON~ mTION: ,, . . .. ' -~ . . . ,-, 'TOTAL~FEES:Pb)'A,BLE ':' .. >·-~,. iFl 1 • , torAL Et:ECTRICAL . -----,-------',. 1-_L,__.'l'A''' · .-1. . ____,___ -CONTRACTO.R: · "I ~AVE CAR!,FUL:LY EX,O.MINED THE COMPl.£.TED "APPLICATIOf\! AND'PE.RM\T,.ANDDO ~c=~~~~~:~~I~;~~~ ~tR 1 ::~R:t:~~7/1~~%iuN!=i: ~~UC~~~~ yci~TRHE;:t.~:;.~, COUNT.Y·AND STATE'LAVtiS GOVERNING BUILDING CONSTRUCTION, WHETHER. ,,... ___ ., · SPECiFIED·HEREIN OR NOT. 1,ALS9 AGREE TO SAVE·IN.DEMNIFY AND KEEP HARM-'SCJIOOL FEE:- LESS THE Cl.TY· OF CARLSBAD AGAINST ALL tlABILITIES, JUDGMENTS. COSTS AND •...----r -,-Pf'"'ZL.o---. EXPENSES WHICH MAY-IN· ANY WAY ACCRUE AGAINST SA lb c1:rY IN CONSEQUENCE \r:'::::-:'::-:-::-:::-::\::-:-:-:-:-:-=-:-=::-:--;---6-'i!~~--:--~--,--==="=~~r=.--,--,...,,.;--,-,--:::::;-7t~='::-:-=:---:::=---;--:,......,.,>---",-.,.;.,-...:,.-,-=-'-'-- .• OF THE GRANT-ING OF THIS !'ERMIT. . ' I .. ~ "-"-------------- · ·.which thli, permit.is lss~ed (l;liic. 3(/97, Clyli.Cod.e). , i __ ·--~ ,"'-·--...... ~ HP ' ' I ~ a ~ > a i= u ~ V) .t?; SITE· ADDRESS·~ •• INSPECTION_ WOOD FLOOR . · :FooNDAT10N. F'oRMs -.:sET .BACK •'To1u~:'r UNDER FLPOR PLU~BING UNOE:R FLOOR' HEATING OK -TO INST'AL.1:-_itJB FLQOR '.SLAB FLOOR. UNP!::R SLAB.fl,.UME)ING , . · F00~NG !' FORMS. SETBACK • TOILET OK. TO POUR <;:Q'NCRETE FRAME ROUGH ,EL\='.CT.R.IGAL ROUGH PLL!MBING . ROUGH HEATING/VENTIL.A..TING . FRAME OK~ P(ACE INSULATION. IN.SULATION QK • Pl.ACE _WALLBOA_RD WALLBOARD __ O!( • PLACE TAPE_ E)<TER!OR LATH QK • PLACE STU<;:~<;) FIREPLACE ·DAMPER 8: STEEL PLAT!;: TIEs/HEl<;;_l:'ITOF CH.IMNEY --'-~;_-:~ ..... OTHER TEMP PQWER (POLE} SEWER -~_AS.TEST SWIM POOL ~ STEEL.BONQ!NG. • PRE DECK • FENCE .PREPLASTER SHOWN • FRAME ~~ : DAT.E-. 1:·, 0INSPECTOR ,, .. ~. . ·, .. 'ti. '------".....c ~ .;1,_ -~ • • PAN I /'. __ la~ FINAL INSP BY BL0G DEPT QTME~ l)EPT'S REQ_ COMPLETED ELECMETER~PERM-TEMP GAS METER-PERM-TEMP CERT OF OCC.L!PANCY ISSUED ,- --:. \ ~ .-.•. .-OWNER~. J:11:L·D JNSPEGT.ION RECORD. . 1 ~---_.1_,. -'?f:::-_!~ ,-~{ .. ~_\··-!. i ;..~ ~ ,;< .. ' ,• ~ •• -t,' -.. !.,; -.-~ .. : •. .-~t.;*"' • .J :,.'.'-1: .-, .-~~"1· . ..;-,.. .. , 1_ \: T • " < -.~ f'ERMIT'N.P{ ·80.·oo & r:-... • • -"< . --____ L;J._ -2": INSPECTO~'S N0TES . ' ~ . :, ·,,, ;'\ --~ . . -~.-.. -- I • ~ • o-·~ -~ ·" ~. ' -~ti<.:"~.:; '\, .. ' .\-~ .r. :-:.·· .'t-' ;·"' -·"''f; .-., •• ·~ t • : • ..:e. : 11· ···.' -t. : ...... :+-•'' ' .. ·---'-t "1>", •1' ::-;;. ' ~_:_ ~ " \~ +.-·;~ ~-'lu-• '"), I . -t, ;;' ;;;;_:· ·--i~~ -t-:: .- LICENSED GONTRACTOf!'S ·DECLAf!ATION · I heret?y affirm_ that ),.am licen_sed .und_er provl· sions ot,.Chapter, ,9' "(commencing with Section • 7000) ,qf "Divisloo -3 of the B(lsiness and Profos- , s]ons~de, and'iny-llcense is lh full force-and'ef- fect. ; ·- , _ QWNER-BUltDE;R'DECLARAJION _ 01,hereby affirm that·l,ani,exempt'.from the'Cori- • tr~ctor's License taw for 1jle following reason (Sec. 7031.5 ,Business and Profession~ Code), Any · city or county which requires a· permlt to don- :sfruci, alter, 'irriprove, ·demolish,· or· repair any structure,, prior to its issuance also requires the · appilca1J.t fqr, ·such permit ,to file a signed state- ment that he is licensed pµrsuant to the pcovi- sions-of the Contractor;s Llcem;e Law (Chapter 9 commencing with Section-7000 of Divislon 3 of·, the Business and Professions.Code) or'that'ls ex,, empt therefrom and-the basis for the alleged ex- emption. Any violation of Seciion 7031.5 by an ap- plicant fof ll permit ·subject's the, applicant' to a civil penalty of,not moce than five hundred-dollars ($500). DJ, as ·owner of the property, -or my employees with wages as their sole compensation, will do the•work, .and the structure is not intended,or of- fered for .sale (Sec. 70~4, Business and Profes- sions Code: The Contractor's License Law does rio"t 11ppiy to an owner 91 property who builds or improves thereon · and who i:loes such work himself--pr throu9h his own employees, provided that such Improvements are not intended, or o'I·· tered·for sale. If, however, the building or improve- ment is sold within one Yl!ar of complet!on, the 9wner-b4ilder wi\l have )he burden of proving that he did .not t?uild br Improve fqr, the purpose qf sale). QI, as-owner of the property, am exclusively con- tracting ,with licensed contractors Ip construe! !lie project (Sec. 7044, Business ;md Profes~loris ·Code:-:r~e,Contractor's .License ·taw-does _not ,ap- ply ·to a,n o_wner of property t•ho builds or Im- , proves-thereon, and-who-contracts for such ;pro- Je'cts with a contrJlCl,or(s) liqense-p\Jrsuant to the .contractor's Lil;:ense taw). ._ ,I (Im exempt under Sec-~----B. & ·p_c_ for·1h1s·r~ason,--;,--'-',-------~~-+--~ i;>ate Owner ·1 .I f .I j ·1 . WORKERS' COMPENSATION DECL:ARATION 1 I hereby affirm that !' have a certltic~t11 of qon- sent to-siilf-lns.tlre, ·-of-. a certifl_cl!te o/-'Wofkers' CompEJhi;a!iori insurance;,',.'.[./ celtified_ ·gopy ~hereof(S.e~.,~8~2• '$;r': , _'· • · _ , I poucv-No.·{r· .. _ .·. 80 COMPAN,Y V~ • /.' )-7'_; t;;I.Copy.js !lied with;the cjty . ..!> (' O'Certlfled copy, l~ .. he(eby furnished. --~g~~JtJ~~6t~:~\xA;,~6~1fJtt~~~ce. ; {ih!s ·seqtion ne~d (lot be ·compl~ted-lf. tt,e,per-. ·/nit 111 for:o,ne hundred.c;lollars ($100) or·Jess). • I certlfy'that_in tii~ perfcirnis1-nceof-the wO:rk·for , • w_hlch' this PE!rqilt Is issued, J'~hali l)Ot;!1Jllpl9y.any · · • ' perso~ fn::any {!1an:nei·so:as-,t?'be_coirie.s,ubj_ei1:!, to : ' the Workers' compensation Laws of California. ·, 1 · NOTICE :ro ABPLICANT:,Jf, after, rriakirig:t_his'Cer- •. tillcate of-Exemption, you should.become subject: to the Wor~ec~I Compensatio·ri provision~ 9( lhe Latiqf'Co_de, y~ rriusfforthwith compiy-wljh s,uch _ provlsio·ns or tlils P,eripll ~hall be deemeg revpked. :. '• ' • ',i.,. • ' . CONSTRUCTION:LENDING AGENCY TMreby l!ffifm.,tb~-t~e(e.•is~a co~~truction.leD~,: d_ing agency .for .th.e ,performance _ _of !he wotk for · _wt,lch thl~,11~r!llll.!s.lssue__cl.(S!'c,, 3Q!l7, (?ivil Co,d_e). • cJTv· .o F _cARi.,se..o,o-su1i. 1;:m~G-DEPARTMENT U'SE BALL POINt P~N: ONL y APPLICATION &-PERM'IT l ioo ELM AVENlJE -' (7.1-4) 4'38-5525 - ' ~ '' ' -··· AP.P.LICANT TO FlLL .fN IN:F,·bR -- MATlON: wrtHl:N RED LIN.E~; PEllMf'f iiiiMBER 8rJ;.·t1d~c ·-.:I~ . -~ < : ;.. • ••• '• , ,'1·· -: ---~--~- {·. ', ~· i'\ . ... ~ \~ ,_STATE LICENSE _;1! 1 -~-v~.h. ~ c ~ iv,,-. .,1 1 DESIGNER'S ADDRE(lS . _j DEl!1G_NER' ~. PHONE yEN·SUS T-RACT. ZONIN(j' . RES. ,UN!TS .PARKING SP'ACE Sf . NUMBER OF" STORIES # BLDG SQ. F"T. BLDG USE OCC. GP ST,ANDARD PLAN II -PLAN I !l./1 .,,n'PE coNs-f '1·,o·t.c:. L:OAD· QTY,. ·Pt,.UMBING PERMIT AMT. aw. MECHANICAL PERMIT AMT. EACH FIXTUR!: TRAP INSTALL: FURN. QUCTS UP TO toD,000 BTU EACH,Bli_lLDIN,G SEWER_ - ' ' oveR 190,ooq,snl · . ~ACH WATE!l HEATER ANO/OR VEth' BOILER/COMPRESSOR UP TO 3 HP- EACtl GAS SYST_E~ 1 'fQ·• ?UTLE.T:S ·-:".1·, :; .t • '~ r s12!.:l1autia. ::7 · OCiD I BGC.7 Ji/;23/ BQ_ .,, 1· :_1.,:'!'1 ,:n r.+ u ,.J ... ,, * r J:71 -.,nn Yl . ' . . --·,,, ·, ·Not Valid Onklss Machin, Certified "'-, '~: "', ·EACH GAS SYSTEM 5 OR MORE EACH·INSTAL., AbTER, REPAIR WATER PIPE ~OILER/COMPRESSOR 3-l5 HP BOiLER/COMPRESSOR 16-30 HP VENT FAN·S~GLE DUCT VALliArioN:. -~ Sa .() '~ , EA.~H LAWN SPRJN_KlER SYSTEM WATER_ SOFTNER. ISSUE- :fOTAL.PLUMBIN~ CO,NTRACTOR :1· OT-Y. ELEQTRICAL PERMIT NEW C!)NST EA AMP.lSYff/BKR ;0 1 PH '.i5 - . -. . '3 PH : J EXIS'rB:tDG EAA!YiP/SWT/BKR_ 1-~H ;Z!i 3-P.H ifEMODEL/ALTER PER i::iRCUIT . TEMP PO LE __ 20P:I\M~S o\i~R ?DO A.MPS :rtMP·p·ccupA'NCY (~ti DAYS) ·1 s sJi'e .. --=- ·i-oTA L ELECT-RI CAL [CONT!l!\'CTOR AMT. -' · 2._o S,<1-1J MECH~EXHAUST-HODD/DUCTS RE~OCATlq"!_OF EA FURNf\CEiHEATER ssue . TOTAL MECHANICAL 'coNTRACTOR QTY .. ' MOBILE HOIV!E PEFi°MIT ,4WNIN(,, .. :PORCH ·setup· RAMADA, 1,ABANA FENCE (_)VER 6' - TOTALMOBILE Hl_l!YIE - '· ~LOO AMT, . -~ -,. -. ~)' . ' . ------·-· . BUiLDING PER~IT SI.GN·PERMIT PLAN Cl-JECK AL~ INC~US!VE PERMIT TOTAL PlUMBING EtECTl;!ICAL '. -: '. MECHANICAL; -'MOBILE,HOML -. S'DL:AR:' . MICOsFltM.1 _, . : --: ro·r,ic:F~E$, PA YAB l:E .,.r.:.,, -~ :-' '.~. ··,~-;:\ .. ,:~-:··.\ ... , ' " ~• --1~· • • • • 1 ./. t -. J HAVE CARJ;:FULLY EX.<>.MINED TH_,E COMPLE;rEo "APf:'LICATION AND PERMIT, AND DO 'AN 9SHA PERil.llT I~ REQU(RED F.OR'E)\C/\1:/~TIO~s·oyER 5'-0" DEEf' AI\ID DEMO.LITIO'N Qf! CONSTRUCTION OF ," ~T.RUCTURE~ OVER 3:Si_-ORIES'l!'J HEIG,HT ' S.CHQOL.: EE;E·S:: ·-: >· , HERE'BY·CERTIF,Y THAT-ALL ,INROR'MATION HEREONHS TRUE AND-CORRECT-AND I F·URTHER CERTlfY AND' AGREE IF A PEiRMIT IS ISSUED;_TO_ ciOMPLv'wm-i At:'L CITY,, COCINTY AND STATE LAWS.GOVEf;lNING BUILDING' CONSTRL/~TION, WH~l'HER SPECIFIED,HEREIN:oR'NolC:· l,ALSO AGREE TO·SA-VE INDEMNIFY AND KEEP·HARM- i:.ESS THE-CJ'i:Y' o{ CA,RLSBAD AGAINST'ALL ,LIABILl:r!ES, JUDGMpNTS. CQS:nf AND ~-XPE"!SsS·V)l!;i'ICH MAY lN ANY V'l7AY·A~CRUE AGAINST SAID CITY i'I\I CONS.EQUENCE OF, T-HE·GRANTING OF THIS·PERMIT. f·: ·,. -. . . --~, :£¥/k,A.iQ' ~? ( -~tUIJI/..IAG~f>!-(O: f!,Y·~HO·~,-/ / • ~ 'l!--;)j'l-ft) < , ~ C • -' •• ~ , ~ • ~. t • ~TE' ADDRESS:.-- · .. iNSPECTIOhI- . wqqD F'LOOR. FQUN[IATI0.!'1 • FORMS • S.ET EfAcK • rott,ET UNDER FLOOR PLUMBl~G UNDER FLpi;>R ff_f:;:!-.l"lNG . OK :re;, .lNST At...L SUB .FLOQR Sh.AB FLOOR UNO!;:~ ~L/S_PLt.!MEifNG '' :; FOOT! NG'• FORMS•· SETBACK • TOILET ---- ,.l'_K TO POUR CON_CRE:TE ·~ FFMME .,f~OUGtl_ELECTRiCAL . ROUGH PL.LIMBING ROUGH 1,!t=:Ai:tNG/VE_NJ'"iLATl~G ··-.. .. . '.oA:r.:E. r:~iN~P-EC:WR • • QWNj=:R: .1.:. ~PE:RMIT NO!, FIELD INSPECTiQf,(RECORD . " .INSPECTOR'S NOTES· -l===========;:::=======:,;:===============================;=:;:;:=====*===========;=========l't ......... , -~~,. . -....... ~ ~ " -,. .... -. ' _ .. _, __ ,., __ ._.,. .... ~-.... ..,..,_...,~ _,...,, .... /.-_,.: ...... :;-.......... --~-........... "~:·,..; ,,., ..... :"-_ --· ...... __ ,. .. , .......... ,.,._,,. -;;-· -,,,_+ FRAME OK. PLACE'IN$ULATION I I I ·h· INSULATION OK'• PLAC.E WA,LLBOARD W,I\LL~_f)ARp 9K • PL:ACE: 1'APE EXTEBIORJ--AT_H OK·-P~CE-~TUccq FJREPL.ACE DAMPER_ 8:·STE:EL·. PLATE TIES/HEIGHT OF C!·HMNEY OTHER TEMP POWER (POLE} SEWER GAS TEST SWIM POOL • STEEL BQNDIN_G • P.RE DECK l • F:ENCE F?REPLASTER SHOWN • FRAME ·• ·PAN ~.nli' .n} 1T-J FINAL lNSP BY BLDG QEPT., , (P'tLZLI-· '", ·- OTHER DEl".t·'S .RE'.Q COMPLETl;D . / .;l:Tk, (..../ I' , ELEC MEtER-PERM-TEMP /V GAS METE:R-PERM-TEM11 .. CERT OF OCC\_IPANGY·ISSUED. ,: ...... -'t, ,-~-~ .... ~"' ~ '< ··~. ! ,._, -, ~~. . ~ .. ( :" ... •• ... .. 'J. ~ :·· ~~' . -~. ': .-:~ .~... •' _.,, ·~ .-'< <. ' -~· 1 ,-. L .'<·, " I. ,, ~ ( . i ~ I INTERDEPARTMENTAL INFORMATION SHEET RECEIVED BUILDING DEPARTMENT BUILDING ADDRESS: . ~ DATE: . MAY2Y 1980 . :J,. -s-0 { it c~ f2,_y_::_ CITY OF CARLSBAD ~#)/ ~ Bulldlng Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ~-------------------------- UNITS ALLOWED UNITS PROVIDED -------------~---------- p ..ARKING SPACES REQUIRED PROVIDED ----------- % ~OVERAGE ALLOWED ____________ PROVIDED _________ _ BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED ______ _ INTRUSIONS -~--- LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: SCHOOL lEES: $ ~~ ,, ADDITIONAL COMMENTS: ~~ -----------------'----'-------- . P. F. PEES: $ OK TO ISSUE: DA~ OK TO FINAL DA TE -------'-------------'--- ENGINEERING DEPARTMENT~~e_,.,,~~ R.O.W. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _ SEWER CONNECTION DRIVEWAY LOCATIONS ----------'----------- GRADING PERMIT EASEMENTS DRAINAGE --------------- LEGAL DESCRIPTION ____ ·~-----------------~------~--- ADDITIONAL COMMENTS ------"--~--------------------P. F. FEES: OK TO ISSUE: __ _ DATE ______ PWI ____ OK TO FINAL ___ -',-_ DATE ___ _ FIRE DEPARTMENT SPRINKLING SYSTEM -~---------FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXITS __ -____________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS--------------'------------------- OK TO ISSUE: _____ DATE-______ OK TO FINAL ______ DAT.E ___ ----'_ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE. _______ _ ' ',' ( 1{ ...__ Iii z 0 '\ ! ·w 0 :!;.[ ·t; •• 11:,., ,'l-z 8 15 a ::! :::,'" I z 3S: 0 z,- 0 ~ z w 0.. :IE 8 !_I> ffiL :,;:; a: 0 ~·-· " .J;lrll),thjit'-1, an\.,llcens11<! under provl11lon~ of Chapter 9 (comm,mclng .. wltt, Seqtloh 7000):of Division ·3 of the Business and Professlons"Code, and my license Is In full•for!.11-.a'¼!~f!lvlB -/ Lie, No."-<. ~Class -"'fl_J.-_.~,___ __ _ ':, hereby affirm that 1-am exempt from the;Con- tractor's License Law for the following reason.(Sec. 7031 5 Business and Professions Code: Any.city or county_ which requires a permit IQ construct alter1 improve, ,derriolish, or repair anY, structure, prior t"q its,1ssllance alSo,requires the-apJ)lic3f"lt tor such permit to ·file a 'signed statement that he is licensed pursuant to the provisions of the Con-tract<;>,r's-Licen~ Law (Chapter 9 comrjlencing wit~ Section 7000 i>l Dlvision:3-of the' Business and·Pro-fessfons Code) or ihat is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects tne applicant to a civil ·penalty of-not more-than five hundred dollars ($500). ' , 0 I, as owner of the property, or my emploY,eeS with· wages as their sole compensation, will do the work, and the structure is n<ll'intended or, offered for sale (Sec, 7044, Business-ilna Professions Code: The· Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does s~ch work himself or-through his own employees, provided that such improvements are not intende1 or offered ioi sale. II, however, the building or improvement is sold wit~in one year of completion, the owner-builder will have the, burden of proving that he did not build or improve for the purpose of' sale). 0 I, ,"l' owner of the property, am exclusively contractinSI with licensed contractors to coflstruct tlie project (Sec. 7o«, Business and Prqfessions Code: The Contractor's License Law does not apply to an oWner of prciperty who builds or improves thereon, and who contracts for each0projects with a contractor(s)· 1iCense pursuant to 'the Contractor's ·License Law), " 0 I aln exerilpl'under Sec. _____ , B. & P.C: for this reason · 0 I ~ereby affirm that I have a certif,cate of cons~nt to self-insu're, or, a -certificate of Workers· Compf!'nsation Insurance, or.a certified copy thereo'f (Sec. 3800; Labor CQde). POLICY NO.~------------ ,COMPAt,IY ./5. ec;py,is file<l wI!h the c1iy, , _ · [J Certified copy is hereby furni$~ed. ·GERTIFIGATI: OF'EXEMPTION,FROM WORKERS' COMPENS,!>.TION INSURANCE (Th1s.S-e~tion n~ not be Cqmpleted if the perm,t , Is for ·one·hondre(/ dollars ($100) qi-less) · D I certify that.in the performance of the work for which this perrf>it1 is issued; I shall not employ any person m any inanner so-as to become sutw~ct to the Workers' Compensation~Laws of California. NOTICE TO APPllCANT: 11, alter niakin;, t'l\is CertI-licate· of Exempt1qn, you should become subject '\o the Work.erst Compensatiqn provisions of the Labor Code1 ·you . ,must fcirthw1th· cori)plY with such p{civ1sions or-this Pernlit shall be deemed revoked.- l I ~ ·• ~--:~ ____ a I [ I ---~....,......-I ----~ >-,---,<;fl ,Ct<1,t• 1\0 < < -...-::;c fd ·:::::C:: 6 ' f "" t-···--·---.7 .......... :;:.:.a:+\ I. -···-·-'-·--··--·-; _____ .Jt: __________ ,. Y I I USE BALL POINT PEN •. ONLY & PRESS. HARD CARLSBAllaJILDING -DEPARTMENT 1200: Elm, C~rlsl:>ad, California 92008 (714) 4~--9525 L '1N .INFORMATION WITHIN S!iAt>ED AREA AND·DECLARATI_0NS; 'CATION & PERMIT. VALUATION lO.}JOO ZONE ffrs:.IT NUMBER. _,'--~ 1, r " , , , , ..e,,,,;;;L , -, ., • , , , -1 , I . ..,. rr v . >--t"T'---...Lv( ,q,, o, :=::Y". • I u u.s,t. V • '"' t f _ j _ . .. j 'l O~ER'S M~H/ING ADORE.§_$ ./ ,,"'\ ( _ CONTRACTOR'S AOOfJEiis _ ucft.JsENo. PLAN 1.0. # BLOG USE CODE l' l --·~-! LOT STANDARD-PLAN # ' BUILDING:SQ. FOOTAGE l -===:-::-=-:-:-::-::-::~-::--7'1r----,..---===----::.o-1---~----""11 l ~· .. ,,,,_,.,~, ' ' I • ,~.-- !- l a=,, S ~-,~.,, ~ 4 , ..... -!-. -~ 'l, ·'" F/P l YD ND NO STORfES OCCGP EDU 6/!Ji/68661::i ocro-1 !iS 1'3 ·· ·s'tb;r I ea • • II l>loo I l 1.... f ,. l I REDEVELOPMENT , ARE·A i:YPE CONST OCC LOAD I FIRE SPR l I I I I · YD N D I vD NO I I· I I vD ~D I Not Valid Unlt!ss.Machine Cmified I ir • l QTY. PLUMBING PERMIT -ISSUE__ ?,Jt, QTY. · MECHANICAL PERMIT -ISSl:JE • I EACH FIXTURE TRAP ./ • INSTALL 'FURN. DUCTS UP TO 100,000 BTU ' • _ : uu,~uu,u, ~ ....... ~• SUMMARY/ACCOUNT NUMBER --· RIii! nl'-IA P~RUIT ___ 01-000-4220 I EACH BUI LO ING SEWER , . ,/ • . OVER 100,000 BTU 1 1 I E~OH WATER H~AT,ER ·ANO/OR VENV -• BOILER/COMPRESSOR UP TO 3 HP • I· . . EACH GAS SYSTEM 1 JO 4 OUTWS • aoiLER/C'OMPRESSOR 3-15 HP . 1 --~---· .... ___ ,_ I , -, • l EACH GAS SYSTEM 5 Ofl ~E ., METAL FIREPLACE • : -·-·· SIGN PERMIT , 01-000-4221 PLAN CHECK 01-000-4806 IUIAL l'LUMtllNl:i 01-000-422,2 tll:t;rAICAl 01-000·4223 1 I --1 EACH'VACUU~EA:KER I ·11 ·1 MEC'H EXHAUST'-HOOO/OUCTS J _ WATER~ RELOCATION OF EA FURNACE/HEATER f EAr.H INSTAI. ALTERA!EPAIR WATER PIPF • VENT FAN SINGLE DUCT • MECHANICAL 01-000·4224 _ MOBILEHOME 01-000,4225 MOBILEHOME PARK INSP ---SO~AR 01 "000-42'26 ~ ! nurcu mu 11u1ic 65-640-0519 FIRF SPRINl<I l'RS ~___,()_1·000-4227 PUBLIC FAGltlTIES EEE 25-000-4933 BRIDGE FEE SCHOOL FEE • ·DISTRICT Carlsbad 65-623-0519 [, I 'EACH' ROOF .DRAIN (INSIDE) • I I , , \ TOTAL MECHANICAL · • <'Tnm,f' llnT,n" I . . I l TOTAL ~LUMB ING . . : ______ ....... , __ ,,_ J QTY. , ELECTRICAL PERMIT -ISSUE _ ~~ QTY. . $OLAR· ISSU!= • 1: NEVirC"ONST EA_AMP/~WT/l!KR COLLECTORS · : -·_ .,., -- 1 . .:1 P.fi· .' ""' , ~ 3'PH . ', ' . • STORAGE TAf\lKS--. .. t · ;;e'xis:flit:bG EA'il:M'i'-1SW'l:jBKR . · · ROCK STORAGE .. Encinitas 65·624·0519 .San rneguito '65-625·0519 :;an Marcos· ·6p·626·0519 I \ 1 _PE\ • . 3 PH ~ _ • .4" PUMP • _ _ " ,_., -- j · -,it_w'.ob,t',l,ZA·L,TER .~ER CIRCUIT . , -~ ~./ , , PLAN CHECK FE~ . , I , -. •• • . I . TEMP PO:LE 200· AMPS •}. . I -. ._ . - , l OVER.2QQ AMPS . . · ' • . . • • !_ TEMP OCCUPAN_ey (30 OA YS) : • ' · • · ,. · JM;;1186 a2·e.,~·ss. ---- I . . . I , • . • . , . . .·. • , --_..,, i'. TOTAL E_LEClRICAL l / ;.. · · TOTAL SOLAR • TOTAL FEES PAYABLE -,_;. ! -···'•·~ _, ··-'~, --. -. -· . ~-........ ,,,.__·,,-... ffi['; . ·O z w ...I , ·• . · . . ·l 1 HAVE CAREFULLY EXAMINED THE·COMPLETED "APPLICATION. AND P~RMIT" ANQ DO HEREBY .Expiration, E~ pe~mi~ ~byt~Building Official '!nderihepr<?vi~i;,.;solthi; * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER " 0 I hereby affirm that there ,s a constructoo~ [ CER'flFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCtUDING THE Code!hallexp,rebyhm!t~tro~~an OOM!nullandvo1d.lfth~buildmgorwork • -5'0"0EEPAHD""MOI..IT"""'ORCON. ·s--.6F lendmg agency tor the performance of the work lor . , , , authonzed by such-permit ,snot menced within 180daysfrom the date of such "" "'" '".,.,,""" wh1cti this per!flit' Is ,ssued,(S\!~ 3097, C1v,I Code), ] DEQl,ARATIONl;i ARE TRUE AND COF!RECT A~D-1,FUflTHER' CERTIFY AN!) AGREE IF A, PERMlT_ I& Rllfmit. 9, if the building ·,or r authorized by $I/Ch permit is suspended or • STROC~ OVER 3 STOAIES IN HEIGHT ,' , j ISSUED: TO,COMPLY. WITH ALL CITY, COUNTY AND STATE LAW$ GOVERNING BUILDING CON• lbandoii41d at,ariv time after·! ii commencedfor'a oeriod of 180 d·"·. . . - • Len_dersNam~ __ 'I STRUCTION,WHETHERSPECIF!EPHEREINORNOT, IALSOAGREETOSA\IEINDEMNIFYAND a-'-·----·---·-·-----_, ·-· ·· "4.. •cccnucncv .;.;_;:., /I I Lender's Address • KEEP HARMLESS T,HE CITY QF CARLSl?,AD A(,iAINST AL,I, 1,.IABIL!TIES,, JUDGMENTS, COST~ AND [ l;XPENSES WHICH_ MAY IN ANY WAY :ACCRU,E AGAl,NST SAID CITY II'/, CONSE;OUENCE QF TH ·t-1 GRANTING Of'THIS PERMIT. .!E ,U:: >. <ii 0 C. E (I> .I- I "C 0 (!} C: !IS '.!:? gr 1,1. ~ C a: 0 If) If) (I> If) If) <( I ~ cii >- If) If) (I> 0 e ,a. as -~ 0 §; (I> 0 C as C u:; ·C '(I> (I> c; 0 .... 0 (I> C. If) C, -~ .c ~ /_ . l l I\ ,.. .. ,,.---...... , BUILDlNG \ ,--< <-" ·"'_ --8';1-_O;L ~'I><. . <Ii FIELD INSPECTION RECORD 1 -• . - FOoNDATION ' 1 ---------------------,rr---'----~----------------------l REINFORCED STEEL ; REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES t==========r====~ ...... ~~-----------' !=========~~-~~~-~=====--=======--=!'=,=========I 1JIASONRY ! INSPECTION , REQ. IF INSPECTOR'S DATE \, ., ---------------,,,---+----+-----. . CHECKED APPROVAL GUNITE OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME / PRIOR to . / FOUNDATION INSP SHEATHING ' ; . ... .,. F / __,,-f ~.,,, 11V' 1-S::-:-T:::=R-:--:u-=cT::-:-U-:-::Rc-:-A-L -,-CO-,-N_C_R_E_TE-+---+-----+-----l FRAME i L..'\'X JV -~ V OVER 2000 PSI ·, EXTERIOR LATH lNSULATION I I/ :o/ ,: r-=?= 0 ~=--=sc""T:,_:_;_i_ED,--. -c.=. ---+------+-_ ---'----1-----l 1--------------------'----~------__J INTERIOR LATH & DRYWALL. l (/NNP ~ POST TENSIONED -·-. PLUMBING . n -,. '/ -l--c_o_N_CR_E_T_E ____ .:..+----l-------1---~ 1--------,-'-----~----------------__J • j FIELD WELDING. SEWER AND BL/CO 1 _ • r--H""rG_H_S_T_R_EN_G_T_H_~-+------+------1-----l i-------------------------------l PLUMBING UNDERGROUND I t-B_O_LT_s _____ -t---+--~--+----l 1-----------------------------l PLUMBING TOP OUT SPECIAL MASONRY ·i----------+----+-------1-----l TUB AND ~HOWER PAN GAS TEST ' PILES-CAISSONS t ,r- ~ i L ELECTRICAL ! TEMPORARY POWER '. r---------~-+------+------+-----l , -- ELECTRIC UNDERGRQUND " ROUGH l;LECTRIC i i---------t----+------1------l .. I ELECTRIC SERVICE I . BONDIN.G A ! . i------~·~---'--------~------~c...:,__-'---..:__J G. F. I. -SMOKE DETECTOR' I r--------1--f-----1------+--- .-.--.. ~ MECHANICAL j ~ ..,. DUCT j PLEM.; REF.·PIPING. .,,,<_.,, ,f/1~11"",J,,,.,,,.<p, \ -·-_.--· ,-: .·., ·, . . ~ -AIR COND: -SOLAR SYSTEMS::' ..:_(~'./_ ' J. ' -: -~~ )" -;" :. ' .. , .-. : ; VENTILATING SYSTEMS 1 _. , J. -.:; ..•. ··•:-· \ ·1··-:-·' \ \ 1 ; • ·• -· '<c ·• ~ · •. '·. l ·1 , - , ' ---~ la 1' ~ CALL FOR.FINAL INSPECT!f!N WHE"f ALJ-APPR.OPh(~TE ,-<·r-:-_.,,---.-:=~--";:~_--,,....=_ -........ _-:-. --_-+-:-.-.,_=--.--.\+, -----.-. _+-_ -. -, ,-.----l.. ·-·., ·-~ ,·, ITEMS ABOVE HAVEi BEEN APPROVED. · . .\;, \ '·:, . ·· .• -. , ,,.-~ -~-. -·-~------< t. '.) rt JOB SITE FINAL 1· . -........ ~,I\ __ --:--;/_, __ -· ·\'---.· _ , , -. -• ...... ( -.-... -·.:. --::·· .. -,,\".,.-.,-. ...,-.--..~.--·i _ __ _. PLUMBI.NG . l ~-~ -_ ··' ,I\ \11 ·77\ j,. ·,, ., 1 ' l . • \.. . ·:· " ·. ,.'. , '' ·, \ -\. .• \'., ' '·-~ ., . 1---• '••, ~-·:.;-:::;...., -;:::;:-=:=::-:'::=-:-:---"--------!-'---::--,--1f---,...,---1!'11-r!M:.__4-....;fi..f;_ ·-. r • • _ELECTRICAL , ~-,t\' ·,uv"';;_:--J\ll. \, i •. -._ \ .. • .-. -.. ,_,t-;:,.....::-_,.:.,:--::_~7~7\-::"\:--_-__ -__ -. __ -,----__ ,t...,.,-:_...,..--,,_:-.1-_--:-,-~----------~-~1 MEc' HAN.ICAL i ." · AA.Al 1r, v --: ·. .·. c::-\ i . / • . ... • , • · • , . ,' \ . ·:-·, . •. · ~ :..": . , -·\ ·• , • } ., GAS . l ,j/},7 '1r~.1~ ·v. 1 . ~ • .) ~ • --····.:. .• .... -..... ) ~-ft.Ii("-· .... I/ :./-i.J-.... , ...,. __ /~--.. .. \ \ .. , .... 1 ''.t ... -'. --t-, J. ' I, ,. ,~. -... . .- BUiLDING'-• -.. ,._ '· · i ·)~--_ .. !-2/'~ ... X · ··.; ·, • '£ ·.: \"' -·:.:.r 1 •• , ·-·--_, .• • 1,1:..,. ·· ' , .~ __ SPECIAL CONDITIONS ;'/./ [A 1/t,'1-J . -(.,_/ ' . -' \ \ r-,---·---------~·-~ ----~---~~-~~---l CERT OF OCCUl?ANCY ISSUED . ' I I/ ~-/· · ·. . • . -' l ' -" -L---,.-----,'-,,.-•. ------'~-----'---------__..J II) z 0 ~-a: ~ fd i;, ~[ ~ .. a:. I-' -i u ' • USE BALL POINTPEN ONLY & PRESS HARD APPLICANT, TO Fl IN INFORMATION W!THIN SHAD_EDAREAAND DECL.ARAT_IONS. [2pl hereby affirm ·Iha! l'.li:f'/1 llc;ensed Lfncle.r .prqvlslons 9f C!Japter 9 _(coinmenc\ng with .. CARLSBAD DING DEPARTMENT 120!) Elm, Carlsbat:J, California 92008 (714) .438-5~25 ,tTION &. 'PERMIT _Sect19n .7000)" of Division ·3 .of the Business I J ~~d Professl~ns Cc;de, an'd my license Is In . l bB AOl;>RESS Av.g_T. BUSJNE:,f L~EN__5E # full for\eflf!1.~gl. · .,... --z.o 1 .,, t::::o f r, A 11..A .. ,.. _ "0: -R ~ Lie. No. · ~ Class \,;;.. -r-7 C--V'fl'I fV' ·VALUATION PERMIT NUMBER ·_ l·hereby.afflrm that l.am.exen\pUrom the:Con- . \ 01,1/NER'S NAME . . OWN1$R'S PHON.E Pfjlf\,JE CONTRACTOR ~~CTORS PHONE# ZONE 2,_,-¢3 I AV NG# 0 1.:. tractor•s:ucense Law ,for the following ·reason. (Sec. 7031 ~ Business.and:profess)ons Code: Any-q1ty.or ·a:' Ill Q = ::, ~ Ill z ~ z 0 ~ II) z Ill ,a. :E 8- !.'> a: w :,;:'' a: 0 :JI,, ""("('.,, county whic~ requires a permit' to construct l P'L'AN i.o. # BLOG ·USE CODE . I . I -SAM6' ,,. .,_ .• . alter, Improve, demolish, or 'repair any structure, p'rior 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 Con-tractor's License ,law' (Chapter 9 commencing With Section 7000 of Division 3 of the Business and Pro-fessions Code) or thai'-ls exempt therefrom and·the basis for the alleged exemption. Any violation of Section-7031'.5 by an ·applicant for a perm\l'subJects tne applic~nt tci a ciyjl pen~lty of not·more'than five ) LOT BLOCK SUBDIVISION ·. , l,,SS~:~.AFIQ.EI,-N_q,.,,t:,; i; .l • ;:,_; STANDARD PLAN # ' BUILDING SO. FOOTAGE I .. ,, ·" hundred dollars ($500). ' • a I, as owner of t~ proJ)!'rty, or my employees ..,ith wages as their ·sole compensation, will do the wOfk, and'the structure is not-intended or-offered for sale (Sec. 7044, Business. il_na· Professiohs Code: 1 --------·-·· ----------- TI ~--, .... :r:r:::1 '• -• >::res , I . ---·· I I:; ~·...a· ! ¥\' ~-VI I .. -., -. !' I I ,i,,-' FLR· ELE;V. vO NO REDEVELOPMENT AREA DESIQNER'$ !'HON!;,,{,_-, ,:,· -.~' f;· ¥ .-,~~~:-J>~. NO . I occ GP .-I "EDU Sn:JRIES . I. TYPE I ace LoAo I FIRESPR° CONST ~/lij/627178 qqq,itiz[ Jl.J.~I BE Jo.~.oc 10'~0 The Contractor's License La~ does not apply to an owner of: propeny who builds or improves thereon and who does such wOfk tiimself'or through his own employe,s, prqv1ded that such impro~ments are not intende1 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 1 j I I 1j I I YD ND I vO NO I I ) I ! I vn Nn I Not Valid Unlt!ss ~chine Certified purpose of sale(. . : QTY. PLUMBING PERMIT -ISSUE ~!QTY.I MECHANICAL PERMIT -ISSUE ,$,/JQ SUMMARY/ACCOUNT NUMBER 0 I, as owner of the property, am exclusively contractini wllfl licensed cOntractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License ·Law does not a~ply to an owner of property whp builds or imprdves thereon, ang who c;ontract~ fc;,r ~ach,projects ~ith a contractor(s) license pursuant ,to the Contractor's Liqense Law). I EACH FIXTURE TRAP • ! EACH BUILDING SEWER . • . • .. . • __ , __ ,, ____ ,...... v, vvv ~LLV INSTALL FURN. OlJCT_S UP TO 100,000 BTU OVER 100,000 BTU- BUILDING PERMIT 01-000-4220 SIGN PERMIT 01-000-.4221 \ EACH WATER HEATER AND/DR ·VE'NT 1 . 1 1 BOILER/COMPRE: ~ _ • _, ______ _ I EACH GAS SYSTEM 1 l'O 4 OUTLETS : : SSOR UP TO 3 HP PLAN CHECK 01-000-4806 BOIL,ER/COM~RESSOR-3-15 HP TQTAL PLUMBING 01-000-4222 I EACHGASSYSTEM5_.0RMORE • •. ·-------, I • I ------·----------~-I • -• ---___. • 0 lamexemptunder·Sec. ____ ,B.&P.G. · : EACHINS'fACALTER,REPAIRWAT'ERPIPE : • "" •· ---· ' " . METAL FIREPLACE ELECTRICAL 01-000-4223 VENT FAN SINGLEOUCT MECHAtllOAL 01-000-4224 · for this reason--~----------! EACH VAClJUM BRE_AKER ,,' " ' MECH EXHAUST -HOOO/DUCTS MOBILEHOME 01-000-4225 RELOCATION OF EA FU.RNACE/HEATER · MOBILEHOME PARK INSP I WATER SOFTNER --:'. , • ,I'! 1 EACH RQQF DRAIN (INSIIJE) I • 71 ' I V\O ' I . I I . I • • <• . ' "II nno •n _, --~ ·--- (!!' I herebyafhrmthall haveacertificateof COOS8nl l ' -'-r••.a-.,, • -... ... ~,-•• •ur•U1tra 1 -,. -__ __ ___ __ 1 1 . . -·--------=-· _·-.:.:..VJ SOLAR 01-000-4226 to self-insure, or a certificate of Workers' [ " . ~-~ ~' ••• Compensation Insurance, or a cert1f1ed copy thereof L : 1 : II (Sec.:)800,Laborpode) .. j. TOTALPLUMBING, . · POLICYNO~~-. I. . . I u l'kL MtCHANfCAL = SOLAR -ISSUE ·STRONG MOTION 65·640,0519 FIRE SPRINKLERS 01-000-4227 PUBLIC FACIL)TIES.FEE. 25·000-4933 BRIDGE FEE : 9~MPANv .A\"-IN QeNtM1'fl QtY. ELECTRI.CAL PE_RMIT -1ssuE ~ _ . .. .. 0CopyiSliledwith'th~city. [, NEW.CONSJEA:AMl1/SWT-/BKR' ·n " ' JI¢ Certified copy '~-t,ereby furmshed. '\ 1 PH -· 3,pH :: :} ~,~ Q1:Y·_I GOLL~CTORS SCHOOL fEE • DISTRICT . . ,. l E·XJSTBLDGEAAMP/SWT/BKR CERTIFICATE OF EXEMPTION FROM . WORKERS' COMPENSATION INSURANCE . ·(This section need not be completed if lhe permit is for one hundred dollars.($10()) or _less) · tJ I certify. that in the performance of the work for, wt\1c~ this perm.1t is issued, I sriafl not einpl!)Y any person 1r;1,any manner so~as 10 becpme ~ubJect to )he -.yorkers' Compensation Laws of California. t-1 I 1 /1H 3 P-H [I I' REMO°c:lEUALTE.R PER CIRCUIT I ·1 --. I ·TEMP PQ_LE _JOO AMPS l I-I. OVER 200_AMPS II ' ,. TEMP OCCUPANGY (30 DAYS) STORAGE TANKS Carlsbad 65-623-0!j19 RO'CK.STORAGE Encinitas 65-624-0519 PUMP San Dieguito 65·625-0519 PLAN CHECK FEE Sail.Marcos 65·6'26-0519 ·N0TICE TO APPUeANT. If.-after makin; this Cert1-fic3te·Of Exe1Tlpt1on, you,should.become subjeCt:to the·workers' eom·peniatioh provision"s of the tabor Code, you must forthwith comply with such PrOvrS,o.ns ·or this permit ~hall be deemed-revoked I - . . \l TOTt\L ELECTRICAL 10f/\L_SOLAR, T0TAL.FEES PAYABLE /ff~ ~r"· .w ... [ . . . . 0 1 hereby affirm lhat there is a conslruction [. , I HAVE CAREFU.LLY EXAMINED THE COMPLETED "APP)-..ICATION ANO·PERMrr' A;NO DO HER~BY lending agency 10, the performance of the work for l , CERTIFY UNDER PENALTY OF PtRJl)RY il-lAT ALI,. INFORMATION H£REON INCLUDING THE * AN 06t,tA PERMrT IS flEQUIAEO f'OA EXCAVATIONS OVER. -5' o" DEEP AHO otMot.moN' ORCONSTAiJCTION·oF 'STflllCTURIS OVER,3.STOAIES IN HEIG*tT Lender's Name __ -'---"--,:..~------ ·Lender's Address -~-"-'--~------ which this permIt·Is issued (Sec 3097,.C1v1I Code). DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS j ISSUED: iO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-: ! STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND w:;:-~~!!!L..!!!.!!!~~!!.!!:.~~:Jil:!!!!!!1~~!2!.!J!l~2:.2!,.!.!!l!.lllW.,-;----.--P,~'!'!'"'!!"~-------------:•_•_----...IJ 1 KEEP HARMtESS THE Ct'rY OF CARLSBAD AGAINST ALL LtABILl'TIES, JUDGMENTS,,COSTSAND __._..,.._.:.:' APPROVED, BY a· : 1 · EXPENSES WHICH MAY·IN' ANY WAY ACQRUE,AGAINST SAID CIT'( IN CONSEQUENCE OF THE BY PHO. O . :l Gl'IANTIN~ OF THIS PERMIT. -• NE _ . ·1 _ y 1 :> l(?·:1 ,. ~ ; ..!!! ii: ~ ~ 0 a. E {!!. I . "C 0 C, .... C co .2 C. a. ~t' IT-I. ~ C a: .... 0 CJ) CJ) Q) CJ) CJ) ~ I :::: .Q ;e rn CJ) Q) 0 0 a:. «I 1u 0 g Cl) 0 C co .c ii: :s C Q) ~ C, 0 0 Q) a.-CJ) C I• I t' ' '' . ( -· ...... _ INSPECTION TYPE : DATE INSP~CTOR , -: • . .. -. 'cg' d---~Qcf;)-<-f 3 .' BUILDING ! ' _____ -=-.::...:..::~--------r:--t-----f~----FIELD INSPECTION RECORD FO<:lNDATION i 1--------. -----------'--T"T----------------------"-------~~--i REINFORCED STEEL ! REQUIRED SPECIAL INSPECTIONS t========IN=S~P=E~C=T=O=R='S~N==O=T=ES=======-=======~=======j '· REQ. IF INSPECTOR'S i\i!ASONRY I INSPECTION CHECKED APPROVAL DATE GUNITE: OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME 1. PRIOR TO . ' FOUNDATION INSP SHEA TH I NG I I-S_T_R_U_C_TU_R_A_L_C_O_N_C_RE_T_E-+----t------;-~--1 FRAME I , +--o_v_ER_· 2_o_oo_P_s_1 ___ -+---+-------+-~----1 ! PRESTRESS'ED EXTERIOR LATH lNSULATION I CONCRETE 1---~------+---+--~---t-~--i INTERIOR LATH & DRYWALL I POST TENSIONED _, , I--CO_N_C_R_E_T_E_. ____ -1-----+------+----i PLUMBING FIELD WEL'DING SEWER. AND. BL/CO -:, , ... , . , r , ! 1--H-,1G=-H-:-s=T=R=EN_G_T,__ H----'''--'·"-+---+-----;-------i PLUMBING UNOERGRP,l)Nb: l BOLTS , 1-------1 -. -------------------------1 P.LUMBING TOP OUT : SPECIAL MASONRY 1------·-·-----~~------------------1 TUB ½ND -~HOWER PAN ! -·· --. \ _. ' -•, . '·.! ·. , . ,. --~--------,----------------------; GAS TEST · i PILES•CAISSONS ELECTRICAL 1----------+----+-------+------+ ., TEMPORARY POWER ! 1--------~t-----+------+------1 , · -------------~"""·-,---~~---,-~ I El,.ECTRIC UNDERGROUND ) ROUGH ELECTRIC ELECTRIC SERVICE 1 · 1--------..,..,.--+----+,-'------+--~ 1----------~-i-------~-----~-~~---1 BONDING A .• >) -:. . G. F. I. -SMOKE DETECTOR' 1-----------~------~------------i MECHANICAL /"">.// DUCT&PLEM.,REF.PIPING ! 1,. /~11! '.; , .;i·. :_; .. ~ ',1 ~-·---~:>,· HEAT-AIR co'ND. -SOLAR svstEMS 1Y" r 1 . _I 1 1 . VENTILATING SYSTEMS j ' -I . ,· _·: ·• . ; l { ; I' ; \. ,' T '} :, '. ; I-; I:_;. + CALL FOR FINAL. !NSP~CTION ,·VHEN 'illl.APPROPRIATE\· r: i;·· (\ ;~ ·, ·q· ,_,. j /'' r' -. ._ 1_-._'-, 1..1,~, ITEMS ABOVE HAVE BEEN.APPROVED. . . ~--. . • ~ , t 7 \ , • j'' 't 1 • ~ :f f_ ' JOB SITE FINAL ,. · ,,_-_ . ,,!' · ; , .-, -· -.i-:--:--'-__ -'-" •. --"--_--_ ...... _.-,.-'-',.__,-1----'_-,,...---;,c--,-, -----------~---; PLUMBING ! 11 t.. II I ./ • ELEcTR:1cAL 1 ~ n I( · _ J.lJ,/':_ _. _ . : ~ t. \·.. . . · , .-· · ... MECHANICAL l . • /1//1/.i..,,..J,,,--:" A .,1/ , , GAS ! _ ///'/ 1/1'///';/~-, .. _--1-...... "+'+"H-~···-,-,··_·,-'--··-~----,----~--------~---; BUILDING '. ~, IJA I b -,Jo// . ' -' . '. ' '······ ·- SPECIAL CONDITIONS i/", ,,., 11. -[---------------~-~-------~--; CERT O,F OCCUPANCY ISSUED ' ' I _._ .Jiiiii,'._ L,--,,,-..,.--~,-'----,j. -.... ,,... ---------~----,---------,--- j .. B U I L D I N G P E R M I T 1.2/'.J:4/90-14,':23 · Page 1· of · :1 Job.Address:-2501 EL CAMINO REAL P-erm.it Type: COMMERCIAL TENANT IMPROVEMENT J?arcel No~-·156-302-08-00 ·· ·.valuation:. i~ 606 Construc~ion Type: VN Occupancy Group: . Class Code: . .D.es·cription_! 371. SF CANDY COUNTER IN STORE Str::. .. ·, i •• ~ ;', I ··I Permit t,;I.o: CB9'·01943.-I :·J?~oject ·No:· 'A.90'0223~·-I Fi1:v:::l~:::.: 02 :1 -. C~·PRM1' . 63:a{)Q j .· cJe.57. 3 ~--.. :I St.atixs: Ali.PROVED··.'; Applied:.·-12)14',/~6 . Appl/Ownr: CEU.RVORST, MICHAEL Apr/Iss-ti.e: -12/14/90 .· Va;U.d~ted B.y: .Y:D. :. ·· · 81-B-888~~946: . . ... , 21241 VENTURA BLVD, #293 WOODLAND HILLS, CA .. 9-1-3'6~ ·~-·--< ... :. . / . . ,: ~: . •' !· ... ____________ , ........ _..,_._~ .... :.,' CL 2075 Las P.ilma. ;'.; c:b~i~ (619) 431H161 . . .· ,·. : ) ,-'· , ·; __ :_:'j:' ~ ,j l • .. . -'. . .. . . .. ' -------· '''••·\ ... -- PERMIT APPLlCATION • City -of Carlsbad Building Department 2075 Las Palnias ·Dr., Carlsbad, CA 92009 (619) 438-1161 EST.. VAL._....,...~-"--------,.--,,-__;-- PLAN CK DEPOSIT_·....,.......:...--,--"--'------,----....;.._- VALID. ·i!Y .... -"-....:...-------'--'-'-_...,..,.-----'-- DATE -----...---'-"'-,-,--'------'-i. PERMIT TYPE w --A -COMMERCIAL TENANT IMPROVEMENf OTENANT IMPROVEMENT B ' O·INDUSTRIAL C ' D RESIDENTrAL [J APARTMENT D DUPLEX D DEMOLI Tl ON t]MECHANICAL OPOOL OcQNDO OsINGLE FAMILY DIIElllNG [JADDI-TION/ALTERATION OREtOCATION OKOBILE HOME OELECTRICAL OPLUMBING []SPA ORETAINING IIALL Oso~AR oar ER De t. Stor 2. PLAN CHECK No. ea LEGAL DESCRIPTION [ot No, Subdivision Name/Nunber Unit No. ·Phase-No. · 'CHECK BELOII IF SUBMITTED: 3 •. 4. 02 Energy-Cales 02 Structural Cales ASSESSOR Is PARCEL Tenant Improvement .- BtoG: SQ. fTG •. j__~; ~ CONTA~T PERSON /' N_AME M \Re-(!,ei.,p,.-.,..,, ~~;- CITY (.<.)c,i::,~L-~'!!, ~''-'-::> SIGNATURE~ ~ r e.,4 APPLICANT. . . ~ CONTRACTOR NAME Michael E. Ceurvorst cm Woodland Hills 0 2 Soils Report 0 1 Addressed Envelope EXIST-ING USE . . PROPOSED USE .. #_ OF STORIES STATE <;'A- ADDRESS ZIP CODE O-AGENT FOR CONTRACTOR ADDRESS STATE CA ZlP CODE DAY TELEPHONE 0 OIINER [] AGENT FOR OIINER Ron Poulson Assoc., Inc. 21241 Ventura 91364 . DAY TELEPH_ONE ( 818) 88$-.3 946 Bl, •. , #29-3· 5. PROPERTY OWNER NAME ""'-AY ~f!'I I--"( OWNER ;, OTENANT AD.DRESS STATE G-4-, ZIP CODE q / fo O (,, DA.Y TELEPHONE 6: CONt'RACTOR . . ·NAME Ron Poulson Associates, Inc. AoDREss 21241 Ventura Blvd., #293 . 7. cm Woodland Hills STATE CA ZIP CODE 91364 DAY TELEPHONE ( 818) 888-3946 STATE u CENSE C~ASS _B_-_1 __ _ TITLE ADDRESS ZIP CODE Vice Pres. CITY BUSINESS UC. # DATE D.A.Y TELEPHONE · ST.A.JE ~-IC. #. WORKERS' COMPENSATION llorl<ers• C0fl1)<!nsation Declaration: 1· hereby affirm-that I have a.certificate of consent to self-insure iss~~ by th~ Dfrector ~f lnd~st.rial Rel.~tions', or a certif-icate of llorRers• Con-pensation Insurance by an acinitted insurer, or an exact copy or duplicate thereof certified·by the Director of the insyrer thereof filed with the Bui.lding Inspection Department (Section 3800, Lab. C). _1NsuRANc_e cOMPANY Transamerica/Fairmont Poucr No: WCP8Q504559 ,EXPl~AT!ON DATE 4/1/91 Certificate of Exerrption: I certify that in the performance of the work for which this permi.t is issued, I shall not empl'oy any person in·any manner· so as to become subject to the llorkers• C0fl1)<!nsation Laws of California. !llGNATU~E DATE -8., OWNER-BUILDER. DECLARATION .owner-Builder 0ec.lara1:ion: I hereby affirm that I am exempt from the Contractor!s License Law for the follo~ing ,:reason: ·o I as owner .of the property or my employees With wages as their sole con-penJ;ation, will do the work and the structure is not intended or offered for sale · _(Sec. 704'4, Business and Professions C.ode: .The Contractor's License Law does not apply to •11 owner of property who buiTds'or' improves ·thereon,, and:who ·does _such work himself or through his own errployees, provided that such ilTlflrovements are not intended or offered-for sate. If1 however, the building .or improvement fs sold within one year of completion, the owner-buHder will _have the b\;rden of proving th·at he .. did not build ~r improve for ·the purpose of. sale.).· · O' I; ~s owner or th~ property, am exclusively contracting with licensed contractors to construct the pr9ject (Sec. •7044, ·Business and Profess'ions Code.: The Cont_ractor' s License Law does not apply to an owner of property who buitds or improves thereon, and contracts ·fo.r :such R"<?iects with contractor(s) l·i.censl!d pursuant to the Contractor's License Law). · ·o I ani exempt under Section .a·--~-------Business· and Professions Code for this reason: (Sec. 7031'.5 Business and Professions Code: Any City or Coun~y 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 l ic~nsed pursuant to-the provis'iohs of the· .Contractor's License Law. (Chapter 9, coninencing with Section ,7000 of Div-ision 3 of the Business and Profession~ Code) ·or that he is -exempt therefrom, and the basis for the al·leged exemption. Any violation cif ·section 7031.5 by any applicant for a permi.t subjects the appl-icant to a .ciili l penalty of ncit lllOre than five-hundred dollars [$500)). SIGNATURE:: .. DATE ·COMPLETE THIS. sec-rioN ·FOR NON-RESIDENT !AL BUI LOI NG PERMITS ONLY: is the applicant ·or future building occupant required to submit a business plan, acutel.Y hazardous materials registration form or risk management and ·pr~vention program under Sectipns 25505, 25533 or 25534 of th!! Presley-Tanner Hazardous Substance Account Act? · , . Ores ONo is the applicant -or future buHding occupant required to obtain a permit from the ·air pollution control distr-ict_ or ,a_i r qual i'ty·managenient pi strict? . Dru o~ Is the fac.ility to-be constructed within 1,000 feet of the outer boundary of a school site? DYES 'IF ANY OF THE ANSIIERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT, HAS MET OR IS MEETING THE. REWiREMENTS !J.F THE_ OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION c;ONTROL DISTRICT. 9. CONST-RUCTION LENDING. AGENCY I_ hereby ~ffir!l' that there is a construction lending agency for the performa.nce of the work 'tor which .. this permit is issued (Sec 3097(i) ·Civ.il Code). LENDER IS NAME LENDER IS. ADORES$ 10. APPLICANT'S SIGNA:fURE . . l certify ·that I have read the application and state that the above information is correc,;. agree to comply. 11ith· all City ordinances and State laws re!atfog .to ·bui'ldir,ig. construction. I hereby authorize representatives of the City of C:arlsbad t_o enter upon the above mentioned property for 'inspection purpose~. I A~SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS· THE CITY OF ·CARLSBAD AGAINST ALL LIABILIT!ES., JlJ\>GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY IIAY ACCRUE AGAINST -SAID CITY IN CON$EQUENC!; OF THE GRANTING OF THIS PERMIT. , . Expiration. Every pei-mit issued by the Bui'lding Offic·ial ~nder the provisions of this Code shall expire by L·imit;ition 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 w9rk authorized by such permit _-is suspendep; · or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). · · · · o OIINER ~ONTRACTOR OBY PHONE \1:e~,D_'.ilYf',:_::::i<: ,· ·;, ·. '/:._:.'. +i>, WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED INSPECTION DATE 2/~a_,/9,1 PERMIT# ______ _ INSPECTOR ~u p~CK# _____ __ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901943 FOR 02/15/91 DESCRIPTION: 371 SF CANDY COUNTER IN STORE TYPE: CTI JOB ADDRESS: 2501 EL CAMINO REAL APPLICANT: CEURVORST, MICHAEL CONTRACTOR: RO POULSON ASSOC OWNER: MAY COMPANY PHONE: PHONE: PHONE: INSPECTOR AREA MC PLANCK# CB901943 OCC GRP CONSTR. TYPE VN STR: FL: STE: 818-888-3946 REMARKS: MH/DAN/818-888-3946 SPECIAL INSTRUCT: INSPECTOR ,!\/'-PC ----'--f-7--y---- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ~-----~-- -------,---,,----~-- 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ---------------------------------"'-------- ***** INSPECTION HISTORY***** DATE 013191 012991 012991 012991 012891 DESCRIPTION Ftg/Foundation/Piers Rough/Topout Rough Electric Frame/Steel/Bolting/Welding Underground/Under Floor ACT INSP AP MPC NR MPC PA MPG PA MPC AP MPC COMMENTS SLAB RESTORATION LIGHT FIXTURES CEILING GRID NDS SLAB DOWELS & REIN 2560 ORION WAY CARLSBAD, CA 92008 QCitp of <iearli,bab FiRE DEPARTMENT PAGE 1 OF __j_ TELEPHONE (619) 931-2121 APPROVED V-- DISAPPROVED PLAN QH ECK REPORT PLAN CHECK# -Cd 9D..J 94.'5 PROJECT .f}/11:u {! n ADDREss c}56I fl {!14it111.J() K ?At.~ 2D - ARCHITECT ----"-0--'--------~--ADDRESS ---,--------PHONE ------ OWNER -/iJAA (' t:J . ADDRESS -,,------~--PHONE . OCC..YfANCY Q /3-d::: · CONST. TOTALSQ. FT. _____ STORIES E'.JSPRINKLERED 'i]Y(ENANT IMP. __ ._J_SO ___ d'-'-' ------,----------'---'--'---'------ APPROVAL OF PLANS IS PREQICATE,;> ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING •, THE FOLLOWING CORRECTIONS: PLANS, SPECIFICATIONS,. ANP PERM.ITS .-~~-· ___ • 1. Provide one copy of: floor plan(s); site plan; sheets ------,,----+--------------'- __ 2., Provide two site plans showing the location of all existing fire hydrants wit, in 200 feet of the project. __ 3. Provide spec_ifications for the following: ----~----,-----!'-~----,--------,---- ~-Permits are required for the installation of all fire protection systems si:i mklers s'tand pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the fire departme · o installation. ----·5_ -:-· 6. __ 7, :r~e busipess owner shall complete a building i_nformation letter z return it to the fire department.· FIRE PROTECTION SYSTEMS A7• EQtHPMENT . . The following fire protection systems are required: . . D -Automatic fire sprinklers (Design Or.iteria: · . · · · . · p Dry Chemical, Halon, CO2 (Location:· I . ; ) D Stand .Pipes (Type: . _ . . _ . . ) D Fire. Alarm (Ty_pe/Location: _ _ . . . I . . _ _ . -. ) Fire Extinguisher Requirements: · · . d. . . . tJ On~ 2A·:ated ABC extinguisher for ea9h · . q. ft. or portion therec;>f with a travel distance tothe nearest extinguisher not to exceed 75 feet of travel. · D An extinguisher with a minimomratingof to be lqcated: . . . · _ _ - . D O.ther:._'----,--~--------+--------~~----------'----- --8. Additional fire hydrant(s) shall be provided --fl'-'.'---------'-----------'------~ . · . . /'EX.ITS __ 9. Exit d~ors shall b.e openable from the inJ.4e with·out the use of a key or any. special knowledg1e or ett,ort. __ 10. A sign stating, "This door to remain If locked during business hours" shall be pl~ced above the main_ exit and doors . · · . . . . . . . . . _·_11. ·. EXIT signs (6" x ¾" letters) shall be laced over all requirea exilts and directional signs IQcated as necessary to clearly indicate the locatiozof xit doors., . GENERAL · . ____ 12. Storage, .dispensing or use of any flammable or combustible· liquids, flammable liquids, flammable gases and hazardoos chemicals s~a ,I comp'ly with Uniform Fite Code. :;-~_·. 1_~. · Building(s) n<;>t approved fo high_piled combustible stock. Storage i'n closely packe:d pil~s shall not exceed 15 feet . in height, 12 feet on pa ets or in racks and 6 feet for tires, plastics· and ·some flammable liquids. If high stock pil- ing is to ·be done, co · ply with Uniform Fire Code, Article 81. · · __ 14. / · --.-15. Comply with re~ulations on attached sheet(s). Plan ~xaminer (, Kl_(/ t",--:g J 12!::>a.-f c_j.___. , Date_..._/;)._=-c+-;,/J-+../+-/-'+'.?3.,,__--'-_ l •• { -· -Report mailed to architect ~~-Met with ___________ , __ _ __ 'Attach to Plans 08/03/94 13:03 Page 1 of 1 B U I L D I N G Job Address: 2501 EL CAMINO REAL Permit Type: MECHANICAL Parcel No: 156-302-08-00 Valuation: o Construction Type: NEW P E R M I T Suite: Lot#: Occupancy Group: Reference#: Description: REPLACE EXISTING HVAC EQUIP. /. : Wl,TH NEW,/ IN COOL-ING-TOWER CITY OF CARLSBAD Permit No: CB940950 Project No: A9401340 Development No: 8039 08/03/94 0001 01 C-PRMT 02 !, 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPIJCATION PIAN CHECK NO. City of ·Carlsbad Building Department 2075 Las P~lmas Dr., Carlsbad, CA 92009 (619) 438-1161 F.S'f. VAL;..._ _________ _,,,. 1. PERMIT 1YPR PIAN CK DEPOSIT. ________ _ VAUI>. BY __________ _ DATE From -List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling l,Tnits --------------------------- 2. PRaJF.CT INFORMATION FOR OFFICE USE ONLY Address 2.S-o I €/ (!,arrimo ~,u,ldmg or Suite No. Nearest Cross Street LEGAL DESCRlPTibN Lot No. cfi£cRH£WW IF SOHMl'l'!Eb: Subd1V1s1on Name/Number D 2 Energy Cales , p 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope -Unit No. Phase No. ASSESSOR'S PARCEL DESCRIPTION OF WORK (2,e..()l~t.C-. ~l,.~4--... j t0iAc.. ~\J,--p u,i.. f\).e. EXISTING ;f E PROPO~SE i.J SQ. FT. # OF STORIES # OF BEDROOMS # OF BA1HROOMS ;{. wN IACI PERSON (1f dmerent from apphcant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPl.lCAN1 Q(CoN'IMCloR DAGE.NI FoR CoN'IMCIOR OoWN£R dAGENI FOR OWNER _ NAME (lastname first)(?,h...-iit-evt'>e\l\ 1 M{ te, ADDRESS -4,,J S Jef 6tl'flJ I lof"'" 5740 CITY 'Te · le G .~ STATE ZIP CODE qr DAY TELEPHONE 1, NAME (last narile first) '2-c) ~ \N~O-A-¥\,A 4-f ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. -cON'l'RActOR l3oo NAME (last name first) ADDRESS CITY ~ (evt.aa, le,_ STATE u:,.._ DAY TELEPHONE ZIP CODE q ft04 UCENSE CIASS C-$'2 _ . STATE UC.# /2J/{pq0 CITY BUSINESS UC. # bESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WORIMtS' OOMPERSATION · Workers' Compensation beclarat1on: I hereby afhrm that I have a certthcate 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). v!JC-10 ZJt>&>410 INSURANCE COMPANY POUCY NO. EXPIRATION DATE , Cert1hcat:~ of Exe~ptlon: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOilDER bEctAltA'noN Owner-Bmlder Deciaratlon: I hereby afhrm that 1 am exempt from the Confractofs License Law 'tor the followmg reason: O 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 pot apply to an owner of property who builds or improves thereon, and who does such work himself or through his_ own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement.is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owi:ier 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: (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 Cpde) 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 THts sEci1oN FOR NbN-RESIDEN'nAL B01LDING PERM1Ts 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? 0 YES 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF 1HE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCilJPANCY MAY NOf BE ISSUED AFI'EllJULY 1, 1989 UNLESS 1HE APPUCANT HAS MET OR IS MEETING 1HE RF.QUIREMENTS OF 1HE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POLLUTION OONTilOL DISTIUCT. 9. OONSIRUCliON LRNDING AGENCY -. I hereby affmn that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vtl Code). LENDER'S NAME LENDER'S ADDRESS 10. AWUCAN I CER:ll.i1C1criON . . . I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of c::arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 1HE Cl1Y OF CARI.SBAD AGAINSf AIL UABIUTIF.S, JUDGMENTS, CDSTS AND EXPENSFS WHICH MAY IN ANY WAY Acx:RUE AGAINSf SAID Cl1Y IN OONSEQUENCE OF 1HE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940950 FOR--:-»,:6t!s,s4 DESCRIPTION: REPLACE EXISTING HVAC EQUIP.;a..-7;;41 -WITH NEW/ IN COOLING TOWER TYJ;'E: MECH INSPECTOR AREA PLANCK# CB940950 OCC GRP CONSTR. TYPE NEW JOB ADPRESS: 2501 EL CAMINO REAL APPLICANT: PRC MECHANICAL CONTRACTOR: OWNER: REMARKS-: MW/213-245--1111 SPECIAL INSTRUCTs: PHONE·: PHONE: PHONE: 213S~~~p LOT: INSPECTOR--~--------------1 TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# AS930003 .CB921315 CB94_0142 44 ME .Rough/Ducts/Dampers TYPE ASTI CTI MECH ------------------------------------------------------------------ STATUS -ISSUED EXPIRED ISSUED ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS .... ,..,.,., I f ,J, 2075 LAS PALMAS DRIVE CARLSBAD, CA 9200M8.e9 - Date: 3-20-87 To: May Co .stores Citp of Carlihab DEVELOPMENT PROCESSING SERVICES DIVISION PC# 1124 Date: Last Inspection: 10-24-86 none TELEPHONE (619) 438·1161 5100 Lakewood BLVD Lakewood, CA 91204 PLEASE CALL FOR A FINAL INSPECTION IF WORK DONE REF: Backflow preventor BUILDING PERMIT EXPIRATION Our records indicate that your building permit will expire by limitation of time on 4-24-87 I 19_ The prov1s1ons of UBC, Section 303(d) state:· "(d) Expiration. Every permit issued by the Building Official under the provisions of this c·ode 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 authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Before such work can be recommenced, a new permit shall be first obtained so to do, and the fee therefor shall be one-..half the amount required for a new · permit for such work, provided no changes have been made or will be made in the original plans and specifications for such work; and provided further that such suspension or abandonment has not exceeded oi;,e ( 1) year. Any permittee holding an unexpired permit may c1pply for an extension of the time within which he may commence work under that permit when he is unable to commence work within the time required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days upon written request by the permittee showing that circumstances beyond the control of the . permittee have prevented action from being taken. No permit shall be extended more than once. In or.der to renew action on a permit after expiration, the permittee shall pay a new full permit fee.11 Please check below indicating your intentions and return this letter to us. Project abandoned. New permit wilt be obtained prior to commencing work. Maximum 180-day time extension requested. NOTE: Separate letter for an extension request and reason for such must accompany this form. l·f you have questions, please contact this department at 438-1161. V'........_~~-cQ_<t:_ MARTIN ORENY Building Official 11/86 J B V I L D I N G P E R M I T Permit No: CB940142 Project No: A9400204 Development No: 02/08/94 10:55 Page 1 of 1 Job Address: 2501 EL CAMINO REAL Permit Type: MECHANICAL Parcel No: 156-302-08-00 Valuation: o Construction Type: NEW Occupancy Group: Description: REPLACE OLD CHILLER : LIKE FOR LIKE Suite: Lot#: Reference#: WITH NEW 213 CITY OF CARLSBAD 569.1. 02/08:/94 00{)1 o.:.. 02 Status: Applied: Apr/Issue: Entered By: 255-0111 ISSUED 02/08/94 02/08/94 MDP 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT Ai>PUCATION . • PLAN CHECK NO. . City·of Carlsbad Buildif'9 Departllll!flt 2075 Las.Palllias Dr., Carlsbad, CA 92009 (619)· 438-1161 EST. VAL~-----------. . PLAN CK DEPOSIT _______ _ VAIID. BY ____________ _ 1. PERMrl l'YP£ DATE'-------------- A -lljbommerc1al D-New Bu1ldmg LI Tenant Improvement B -D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing i,fMechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PRQJECTINFORMATION . ~ · Address :,ZSC) / ff_ (1;,ij)t1JO ~ FOR OFFICE USE ONLY Nearest Cross Street LEGAL DESCRIPTION Lot No. Sulx!IV1s10n Name/Number CHECK BEIDW IF sOBMI'l'l'Eb: CJ 2 Energy Cales a 2 Structural Cales a 2 Soils Report CJ 1 Addressed Envelope ASSESSOR'S PARCEL DJ;:SCRIPTION OF WORK EXISTING USE PROPOSED USE # OF STORIES NAME · ADDRESS CI'IY STATE ZIP CODE DAY TELEPHONE 4. :-~~M~~M½~2~'t%~:1~10~3~N~"l-~~~o,~c cirr cecu '--L sTATEe4--. zIP coDE '/.2..o DAY TELEPHONE c:213-.:2.. -_ o 11 NAME o ~.so,J~s· -H ADDREss {;/i C4-ulZLL e4N/<Y0 CI~ j.J a STATEe;,.. ZIP CODE DAY TELEPHONE 6 " ~E ~NA<l.CAI /'~or<-ADDRESS (3<70 ~~ lJ-J [_ CI1Y ~@4-l.-€__ STATE CJ1-ZIP CODE '7/'UJ'f DAY TELEPHONE 2f 3-:2. ~-(5/{ ( STATE µc. # '-I( 9<. c/ IJCENSE CIASS e-lC C ~c. CI1Y BUSINESS UC. # , <:s . ~ ~ CI1Y STATE ZIP CODE DAY TELEPHONE STATEIJC. # 1, WOIU<EltS' wMP£NSA11oN Workers' Compensat10n beclaranon: I hereby afhrm that I have a certthcate of consent to seiHnsure issued by the Director of industnal 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). c..o'1--D EXPIRATION DATE SIGNAWRE DATE 8. oWNER-BOnnmt DECI.ARATION OWner-Bmlder beclaranon: I hereby afhrm that I am exempt from the Contractor's Llcense law for the·followmg reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided .that such improvements ar~ not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business.and Professions 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: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair .any structJ,tre, 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 Prqfessions Code) ot 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 [$500]). SIGNATIJRE DATE coMPLETE THIS SECTION Pok NON-RESIDENTIAL BUltblNG PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF nm ANSWERS ARE~ A FINAL CERTIFICATE OF OCX!UPANCY MAY Nar BE 1$UED AFI'Ell JULY 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLUJTION (DNTROL DISTIUCT. 9. wNSniUClioN llNDING AG£NCY I hereby affirm thanhere 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (sec 3097(1) CtVJJ Code). · LENDER'S NAME LENDER'S ADDRESS to. APPLlcANT CllllTIFICA'fioN l certify that I have read the apphcanon and state that the above mformat1on 1s correct. I agree to comply with all Ctty ordmances and State laws relating to building construction. I hereby authorize representatives of the·City of Carlsbad to ent~r upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HAR,MLliSS nm CfIY OF CARISBAD AGAINST AU. IJABIUTIF.S, JUDGMENTS, OOSTS AND EXPENSF.S WIIlCH MAY IN ANY WAY AallUE AGAINST SAID CfIY IN OONSEQUENCE OF nm GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requb:ed 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) Uniform Building Code) . .2-8~'f-APPIJCANTS S~ _________ ::::--:--:, _ _, DATE: xos:coe .,<;iv c., YEU.OW: Applicant PINK: Finance . City of Carlsbad M::;Jhit?ihi·l•l4·kilh,t4hl DATE: 01/20/95 PERMIT NUMBER: CB940142 ISSUE DATE: 02/08/94 LAST INSPECTION: TO: MONARCH MECHANICAL 1300 GARDENA AVE GLENDALE, CA. 91204 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE RE: BUILDING PERMIT EXPIRATION ADDRESS: 2501 EL CAMINO REAL our reco;rds indicate that your building permit will expire by limitation of time on 02/08/95. The provisions of UBC, Section 303_ (d) state: "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 one ~alendar year from the date of such permit., or if the building or work authorized by such permit is stopped at any time after the work. is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained.a required inspection approval of work authorized by the permit by the building official within one year of the date of permit issuance. work shall be presumed to be stopped if the permittee h_as not ob- tained a· required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. , Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: (A) (B) (C) (D) No Changes have been made or will be made in the original plans and specifications for such work. That the expiration has not exceeded three years from the original issuance date. That the same edition of t~e model codes·is in effect as used in the initial plan check. That a fee equal to one-half the amount required for a new permit be paid. · · The renewal permit shall expire three calendar years from the date of initial permit issuance. 2075 Las Palmas Drive • Carlsbad, Califor_nia 92009-1576 • (619) 438-1161 ' ' ' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940142 FOR 02/14/94 DESCRIPTION: REPLACE OLD CHILLER WITH NEW LIKE FOR !,.IKE TYPE: MECH REAL STE: INSPECTOR AREA PLANCK# CB940142 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2501 EL CAMINO ~PPLICANT: MONARCH MECHANICAL CONTRACTOR: PHONE: 213 255-0111 OWNER: REMARKS: MH/JOHN/213-245-1111 SPECIAL INSTRUCT: CHILLER INSTALLATION TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB921315 AS930003 49 ME Final Mechanical TYPE CTI ASTI ------------------- PHONE: . L PHONE: ~-L \ ~ _ INSPECT~,L/4, ' CHECK STATUS ISSUED ISSUED- ACT COMMENTS ('A)_ fr~v~v µ 't: Ll>Ct+ 1E ---------------------------· --------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESC~PTION /· ,,A·_ ~v-, ~~~cit ACT INSP COMMENTS ~-~--~