HomeMy WebLinkAbout2504 EL CAMINO REAL; C | MULTI-PERMIT FILE; CB891467; PermitUSE BALL PO!Nl PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN'·SHADED AREA AND DECLARATIONS.
--.... . -1 '. .CARlSBAD.BUltDING 'DEPARTMENT : ,co·[ .. o· l,h· b; f'fl .th:·,t I. II d d ~ •\ 2075 Las Palmas or:, Carlsbad, CA 92009-1915 (619) 438-1161 ~ .. ~ . , ere y\.a rm a .... c!m ce"nse un er -, , '· ~ · ,. , , " , , , ·u: ' . ,Prc;,vlslons 0:f Ch.apt'!/,, 9. (conlri]en,clng with I THOMAS arn.._o. BUSINESS .. t· -=tl~~f:~~1:g~~:'.o:"~ ~;:1~~~~~=17:~~ ·: rr ·-c26o ·--t-. 1·----AV/(~---
0 full.force.and effect. ...,_.,o;;..,..,-..:..---"f-:----=::;..c...;~-1~::...::;.-,,::"----,--"=="-------'-----.,;:...----..-------,,----_,_+,l--'c..~t......"--+---.., _ , _ -"7 , 'uc· _.,,, , , I CONTRACTORS PHONE# ZONE . _ • ,, ....
APPLICATION & PERMIT
LICENSE# PERMIT N'UMBER
.. I .hereby aflirm. that. I am .exempt from the Contrac-I ' · tor:s licerse Law loi the following reason (Sec. 7031.5 I ': • -· -,Business atid Professions Code, Any cily or county which re-. -·-quires a permit: to-construct, alter. improve, demolish, or ·I
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· repair~any structure,.prioi" to its issuance also requires the ap-t ·
plicant for su~h permit to file a signed statement t~al he is_ • 1..!..=-.u~J.....S.,,:::..~~:!lli-;iw:::=-ie.::=\-,-l,~=Lli:.....li~i--Jloo,:=l.~e::.i~:i.::z:~:.::.......Jtul'!!:tll<!:.:t---1 licensed pursuant to the provisions of the contractor's I license Law (Chapter 9 coinniencing with Sectjon 7000 of 1 · ~ ~01v1s1on13 oMl'}e Business and Professions Code) or that is ex--:---·.
empt therefrom ~nd·the 6as_is, for the/all~ged exemption. Any I ---=--, vmlation ol-Sect10,p 7031,5 by,an applicant for a·perm,t sub· 'l' 1'~~~=1C:,.,l..-.~~L..~!Cll!!l.U~'-'-~...J!,,,et;;,.ett),,--,.-..c::~:::!..J;;;...._cg..,_ ________ ,1
,jects the applicant to a civil penalty of,not mo're-than•l1ve hun-1 ___ ...ll-.J!l.!!r:!!:S:.-..---------------+===-===
dred dollars (S5ooi: · -" -· -• • I •-:-------.,--..,----7"-------~--------------------·--...
--1 I I, as owner.of the-property. or-n\y-employees,wilh wages I· i · ~s their sol~ comijensation. will,do the work, and the-struc-I
. ·~ENSE NO.
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-·, l:iTAII:. LIGENSE-NQ.
lure is Q0I infended or qlfere_flor saJe (Sec .. 7044, Business. __ f .
and Protes~,ons.Cod~, Th~.ConJracfor's ~1c¢iis~ Law does I F/P FLR ELEV. NO occ GP ED!) I 023,. /\0/·")9/l:J-9 0001" r.1 not apply to an owner of .property, who builds ,or improves STORIES >Cf V7 -"-, v thereon-and-who does such work himself-or through·his own j· o· '·o -· . . •"'-f-'l"'.•MT' , employees. provided !hat such improvements are not 1nfend· Y N ---. -<:: • !'WI ·ed·or oll~red tor sale. ti, however;Jhe bu1iding qr l)Tiprove-ment 1s sold within one year of,complet1on, the owner-builder will have the burden,ot proving (hat he did riot build or im-prove-for the purpose of'Sale). · · • ·
I CENSUS TRACT , .. PARKI_NG SPACE I RES UNITS I GRADING PER~IT ISSUED
YD ND I REDEVELOPMENT · AREA
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TYPE
CONST
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vO NO Not Valid Unless Machine Certified
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.r J I, as owner of the.property, am exclusively contracting with licensed contractors to construe! the project (Sec. 7044, Business and Professmns Code· The~Contractor's License ~~:~i~t;t.~~~Ji~~J· ;t:it~~i!,~T&er:,rp~~~~r: ~:,hm~ . _
QTY. PLUMBING PERMIT· ISSUE --=f-.50 QTY. MECHANICAL, PERMIT -ISSUE .. (,5~ SUMMARY/ACCOUNT NUMBER ,-:../'
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contractor(s) license .pursuant to the Contractor's License ,Law).
.... ' • ' ... l -[] As a homeowner t-am improvmg·my home, and the follow--· ·,rig conditions exist: -,
1. THe woik 1s'being performed prior to sale, • 2, • 1 have' lived in my home ·,or twelve months prior to completion of this work. 3. · t have not claimed this exempt,on during the last three years.
EACH FIXTURE TRAP I ------:,1 _[iNSTALL FURN. D__lJ_~T_S UP TO 100,otl_(JB~L! I • ----., BUILDING PERMIT 001-a10,oo-00·8220 7J
'EACHJlUl':__Dl~_SEWER l IL L_ --' OVER 100:000 BTU I 11 SIGN PERMIT 001-810·00·00·8221
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EACH WAT.ER HEATER AN010R VENT , BOILERICOMPRESS!)R UP TO 3 HP • PLAN CHECK . 001-810·00·00·8891 I . • ,
1 .'EAt'HGASSYSTEMi'T040U'fltTS • BOILERICOMPRESSOR3-15HP • TOTALPLUMBING 001-810·00·00-8222
_70·
I -EACH GAS SYSTEM 5 OR MORE , · METAL FIREPLACE -. • • ElECTRICAL 001-8-10·00-00·8223
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.2!>=00
0 I am exempt under Sec.--~----• B & P .c.
(or this reason--·~---:-----~--~
I EACH INSTAL .. ALTER, REPAIR WAT-ER PIPE • VENT FAN SINGLE DUCT • MECHANICAL 001·810·00-00·8224 1 1 ., I . EACJl VACUUM BREAKE.R , MECH EXHAUST HOOD/DUCTS • -MOBILEHOME OOH10-00-00-8225 •
.: · \f'!A'[~R SQFTN_E_R ~ _ • • . . _ ' . RELOC.ATION .OHA FURNACE/HEATER • -SOLAR ---· 001-810·00·-00-8226
I EACH ROOF DRAIN (INSIDE) • DRYER VENT • STRONG MOTION 880·519·92·33
-0, therebyaflirmthan;ha~eacertil_,cateofcon~entto I •. ,. ---TOT/iL MECHANICAL 1· FIRE SPRINKLERS -00(810-00-00·8227 self-msure.ora_ce.rtitLcat~~!:yvorkers Compensation In-( • • '. _ . _
-su_r~nce.orac~f'.:~copy-tfiere?l(Sec.3800,LaborGode) ,j ·•· · TOTA-[ PLUMBING _ I _ ._ .. _ PUBLIC FACILITIES F.EE 320·810·00·00·8740
P0LIGY' NO. '. ·
Z COMPANY I oO , BRIDGE FEE 360·810-00-00·8740
Q .. · o· '' ' ' ) QTY. ELECTRICAL PERMIT -ISSUE -ri QTY. MOBILE HOM;E SETUP PARK-IN-LIEU (AREA ) 1-..., Copy1s1flledw1ththec1ty ·-1 ·· · · · · · -- · --. (_J J I < ' ·, ' ' ~ Ocerlil,ed_copyisherebytwriished_ I ---·.NEW.CONSTEAAMP_:SWlllK.8 .. :_ .. , 1 CARPORT __ , ... ___ ._ TIF 312-810-00-00-8~35j .1
-~. _ _, __ . : ___ _ 1 PH _ , _ 3 PH ' -' , AWNING . , LA COSTA TIF 311-810-00·00-8835
0 PERTIFICATEOf EX~MPT!ON FROM I EXIST BLDG EA AMP/SWT/BKR , • . GARAGE • ' ' .. • FMF ,.. . .. , •. .u. WORKERS' .CoMeENS/1 TION. INSURANCE ' ' .. -· I
Y,, '(This section need not be completed if the permit I 1 PH 3 PH ; 1
1 • ' • LICENSE TAX 001·810·00·00·8162 • ffi: __ ~--i.:S_f(?r...,?_neh_9~dreddoll~rs(~100)orl~ss) I, ___ .. _, · t ---· • --· ·-_-
,· -"' .p·1certily'tha!in'.!heperlormanceo1theworklorwhlch I . ·REMO()E·L'ALTER PER CIRCUIT ' · • , . MFF 889·519·92-57
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•C --~· _ this'perm1!lsiss~ed,lshall.notemRloyanypersoninany, I .. TEMP PO., .. 20,;-AMPS', --: . ', : . " • · , · • .. .. ··, J· -· -----· , -3:, ma?nersoastobe~ome_subJecttotheWorkers·,compen-, Le . u • -• 1 ·~-s?t,on L~ws of Ca~forn,a. . _. _ OVE-R·200 AMPS _ • . ' • ; . I I
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N0TICE TO APPLIC'ANT: u:.afteomaking this'Certfllcale. I, ' . ' ' ' ' --
•··: _ ... ofExernpt1o_n,_you_shquld\l~~ome,[ubje_ctt9)h_e\'lork~i~'. .. :L _ T.EMP-OCC.UPANCY (30 OA.YS) . , , , , ,, , 1 : , . · ... r "; Co~p~l)~~ti?n prc;,visi~ns 9f, the Lpbor Code, y9u .. ~'!St, I ·I ' . -~ . . . . ;
:;)''·· _1~rth_.,ithcomplywi)h'suchprovi,;Jot,sort_hls_permltsh_all I· .... -···-· _ _ .. •. '.·· ~ ', · -. , ,. ·... -_ 0 ·,' • •• , •• ·, --,. CREDl'T'DEPOSIT --··-· -------,-·-;_ ·I
11 . •• ,~ deemed revoked. , , I , 1 • , ,.. • •
I_;'(':: -_ ,._ ·• ~--• _TOT_~.L~LECTRICAL : . ·: ·_ -, • '_ .-•• :OTA½_ I , L. _ _ _ _ __ , __ TQTA_LFE§S_PAYABL,E 1-_!~~~ ..•
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Q) a. (I) · f-t O I hereby affirm-th8.t there 1s ~ construction lending ffi, . 1 , ~gellcy t,~r,..t~e pe"rformance of the-work for which this per-
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I I HAVE CAREFULLY EXAMINl:D THE COMPLETED "APPt.lCATtON AND PERMIT" AND DO HEREBY Expiralion. E~ery per_m,t issued bythe8uildm9 Offlqat ul1dertheprov1s1onsoflh1s -* AN OSHA PEflliUT IS REQUIRED FOR EXCAVATIONS·0VER J
I CER-l'JFY UNDER PENALTY OF PERJURY THAT ALL INF.ORMATIQN HEREON INCLUDING THE Qode shall e'l<ptre by ilm,t~l•on and beco!"'e null ~nd void 1l the b1,uldmg or work 5• O" DEEP ANO DEMOLITION Off CONSTRUCTION OF ,
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, -· • · . authorizedbysuch-permlt1snotcommencedw1thm 18Qdaysfromthedateotsucti · la, DECLARATIONS ARE TRUE AND CORBECT AND I FUR-fHER CERTIFY AND-AGREE IF A PERMIT IS permit, or 11. the building or ¥,;Ork aythonz_ed, by.such permit ,s S\J$pended or. _ STRUCTUR£S ?VtR 3 STOfflES IN_HEIGHT · =
ISSUED: TO COMPLY-WITH ALL·cttY. COUNlY AND STATE LAWS GOVERNING BUlt:DING CON· abandoned at anv time after the wor.k. 1s comm......,.d for a oenod of 180,davs , .c
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE 'INDEMNIFY AND ' ' j) (/· D _., AeAAO~0" . "~ I ' " ' KEEP HARMLESS THE CFfY·OF CARLSBAD AGA1NST ALL LIABILITIES, JUDGMENTS, COSTS AND A~::GN URE * . OWNER CONTRACTOR,...._ --:::;:: ¼U· ' E_ ~.
I I EXPENSES WHICH MAY IN At'JY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE O ~ r, ~1 I ' GRAN:rlNG OF THIS PERMIT, -.i. -' --. • -• ~ 'I '.2-, ' r V'.'v ~ • ' . '
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0 l , mit,is lssued (Sec 3097, Civil Code) I z -----· · --" ----r ~ Lender's Name I •
~ ~. Lender·$" Address,· ___ • __ ~_-_. _______ _
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.-....1·· ,._\ \ ~ ' ·-i \. '.:: .. \ ~'-i '\_ TYPE ! DATE INSPECTOR '-, ·, · \ · \ .,
BUILDING : . _ . ..
_FOUNQATION I FIELD INSPECTION RECORD F l--'------------------,-...-----------,----------.....-----------~---'i _REINFORCED STEEL i REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . ;
_MASONRY . r REQ. IF INSPECTOR'S -·, · ' ·-------·· GUNITE OR GROUT 1 INSPECTION CHECKED APPROVAL DATE • • ·· I· ·s .
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SUB FRAME D FLOOR D CEILl(I.\G SOILS COMPLIANCE
.SHEATHING D ROOF D SH~R PRIORTO .. ::..:..:.=:...:..:...:_:_~;;__--=::__------...__---+-----,---+---~---t FOUNDATION INSP F~ME I
· . STRUCTURAL CONCRETE
EXTERIOR LATH I OVER 2000 PSI 1---------~-----'-------------------'---------""'""1 ' ~---------+----+-~----t------1 INSULATION I PRESTRESSED _ I · · · CONCRETE INTERIOR LATH &. DRYWALL I I--PO_S_T_T-EN_S_IO_N_E'--D---1------1------+-----I • .
. j 1--· .I:...90~N_:C_:R.::.ET_:E:__ ___ --4-__ --I------+----; 1-------=-------___;:__ ______ ___; _______ ----t
PLUMBING I FIELD Wf:LDING. • l-----------------------------1 D SEWER AND BUCO D PUOO HIG~STRENGtH_ ~-' . · · . BOLTS UNDERGROUND D WASTE D W \TER 1----. -. ----C..---+---+-------+-----1
TOP OUT D WASTE D WA ER 1--S-PE_c_1A_L_M_A_so_N_R_v __ +-----+-----+---,,-, ~----------'~-----------------1
.TUB AND SHOWER PAN I 1---------------+----+-----+-----t 1-----------.. _-________________ -'--____ _,,
GAS TEST i PILES CAISSONS • . -..
0 WATER HEATER D SOLAR WATf:R 1----------'-' +----+-----t----,----1 1-----------------~~---------------t
I
" ELECTRICAL i
D ELECTRIC UNDERGROUND D UfFER ·._;
ROUGH ELECTRIC 1 1---------f----+---~-~1-----i \ _
0 ELECTRIC SERVICE D TEMPOR~RY , • .. · ~ -
D BONDING D POOL : --. : ,., --:-~-----=-------~~----,----------'-------1 I
MECHANICAL 1
D DUCT & PLEM., D REF. PIPIN~ 1--------t--'-----t----t------, -
HEAT -AIR COND. SYSTEMS 1 ~-,---~-------+----+-~----+----1 -
VENTILATING SYSTEMS i \'; '~. 1 '._
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___ c_A_L_L_F...,.o_R __ F-,N-A_L_I_N~S~PE~c~i~,o"!'."N~W~l:l~E~N-=--A':""'.L~L-A~P::-::P~R-=o-=pR-=-1::-:'.A-=rE-=-.. ___,t . • . , ' -:-·
ITEMS ABOVE HAVE BEEN APPROVED. - · . . ,. _
' FINAL l . > --. . . \ I ' . ,_ . --. . t I ' \ ' • ',:
PLUMBING ' ; I f f ' \ ·-I • ' '' ' '. 'J--.
ELECTRICAL . ! r ,. , , -• ' --, , _ ·; "".' _\
MECHANICAL r _ \. ,\ .\ .. ·--. _ '_j ·• \_,.. · \
:~~DING ~ / ( o Ai) 1 ... i: f ;;~ 7~' ~ ~/jjj~, -~-~~ \.; r-': -j-~ ,<: \,-~ ;-,\~ -: -~~'Cr ___ : : \ , . -'
SPECIAL CON-DITiONS : V L I . . / I
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j: 'USE BALL POINT PEN· ONLY &,PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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. IC ·; :--~-: . . .. .. . 1 . • / ·. C~RLSBAD BUILDING 0DEPARTMENT·--· ·-· · --APPLICATION &"'PERMIT --· ---
:o ., h-. .,b, 111 "tht·, 11 ed d I / 2075L.asPalmasDr.,Carlsbad,CA92009-1915(619)438-1161 · . ~ 1 .... [. . ere y a rm a am cens un er .1 · • • · • --•
· ~; ,provl~lona of Chepter 9 (commencing with I JOB AOO.RES'$,h' · _{)_ kG.AAV, ST.RO. THOMAS-BROS NO. IDATE;-Fi A PL/4C TIONII Bl)SINESS LICENSE#· @ ... ALUAT~ · -.. PERMIT NUMBE'R J·;
IC' Section 7000) oLDIYlslon 3 of the .. Buslness .. _./') ~ ~ · / ... A ,.,.a /"} qt?'\
1-andProfe99lonsCode,andmyllcenselsln • ··~(.)4-} ··.Al.Ult<?)·. t ~,,~ A 1;:-_f(!;(l,. ~7'{,~7' ~ V·. -· .. .. ... Z_ . lull force and effect. . _ I · · 't"" :8· ,·, • _ . 1 LOT BLOCK· I susf:?1v1s10N· ] ASSESSOR l"ARcELNO. CONTRACTOR 'I I ' c~~c-ro~~jNJ' -ZON!l ~Pi 1 \ , • ·r-. , I hereby alhrm that .I am exe,:npt fro_m fhe Contrac-I t · · · ' / • .;;>.!J,t::, -, .-· · · · · · . . . _,,-·--t . · tors License Law for the following reason (Sec. 7031.5 · ; · . • ...--_,., • • ~ Businessan'cJ,ProtessionsCode Anyc1tyorcountywh1cr,re· I OV)INE'l'l'S NAM!, · OWNER'S PHONE v:7A-t1l74 ,..,.. /J~ ~ • , ·1
-·.~quir.~~_aperm,ttoconstruct;a,ll~r,!mprove;de'!lohsh,·6r 1·1<f2·. 1 /J. ; .I\ ·1 -co·NTRACTOR'SALO ess ~1 ~ SiATE.LIGl':NSENO. -···---repair any structure, pnorto ,ts issuance also requires !heap· · . -,1'; -,; , ,. "'-,~ ...,. I I -· -,1 .,,.,. ,. •...., ..,.. ,. A J plicant·for s~ch permit IQ Ille.a ~igned statemen~ that he is~ • .L it:'~<:;a. "i..,, = ~v n....., • -. ::,...~ F' ~ -I .,.,,, JU , ,11....., _ .,.,..-\ . , .----= · · -r#/1 ... _-
h~ensed pursuant IQ the ~ro,v1s19ns ~f the ~ontractor s I OWNER'S MAJ LING ADDRESS • · \ IV?">/ 1--L I. ll . I 1' . { ~ -A~ At J&;,.
-B,UILDING.50. FOOTAGE
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License Law (Chapter 9 commencing with Section 7000,ol ~g::;;-~ A A · Q.,v,sion3oftheB~sinessa~gProfessmnsCode)ort.h~tis-e~-+ /l . __,,,.. / __ Alli ol:SIGNER • .•~,,.~~ OESIGNER'SPHON~ e!"Pl.therefrom~ndthebas,s_tqrthea)legeaexemptmn. A~y I ?.'. ('...f.11,JJ(C't") l ~-'J...-....._ll_l'\ r4,t ~ ~ ~ v1olatm.n,of,Sect1on 7031.5'by an.applicant 1or-a,perm1t,sub· , . -• jecls_lhe applicant-to a_c!vil penalty at~?' more trian·t~_e hun::, I oe'SCRf PT 10N OF wo R'k • '/t..,,.~ . . • 7148 05/24/89 0001 01
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dred dollars ($500). I ,~ OESIGN~ODRESS ST/TE CENSE NO. •
I I, 1-.-as owner-of the property, or my employees with wages. I · • ·
.as their sole-compensation, will·do the work, and.the struc-·I Jl _ ., ,., ,_,. , ,. l d ,,,...,;-A --• ·ture IS nQI iniended,or Offered for sale (Sec 7044, Business { J £)MM. 1.n ..:::=)1 A 1' andProless,on&COde: TheContractor'sL,crinseLawdoes · I F/P · FLR-ELE1V.. ·-I NO OCCGP not apply. to'an Ol'/ner of property, who ·builds or improves I ·thereon and who does such·work himself or through his own · · employees, provided that such improvemenfs are not intend· I vO· NO ·---·--1 I , _ IP5' STORIES I ·-· / ··-.,.
mentis,foldwithinoneyearofcomplelion, theowner·builder • ·· 'CENSUS TRACT .. PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE I occ_ LOAD I, Fl~E SPA .CONST
ed' or olfered for sate If, however, the building or nilptove· • 1 I' ,I I I
will have the burden of proving that he did not build or im-I . · ARE A · proveforthepurpose,olsale): I · ·· ·• ·-.. .,;, . y O NO vO NO, _ vn NO
I l I, as owner of the property, _am exclusively contracting with licensed contractors to construct the pro1ect (Sec 7044, Business and Professions-Code; The Contractor's License
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I Not Valid Unless Machine Ctrtified
_ Law does not apply to an owner of property who builds or im·
~11 • ·proves thereon, an~ who contracts for e~Ch pro1ects with~ contractor(s) license. pursuant to the Contractor's License Law).
I QTY. PLUMBING PERMIT· ISSUE 7. $0 QTY. MECHANICAL PERMIT -ISSUE ·15 ol) -SUMMA.RY/ACCOUNT NUMBER . I . • _.,/
I , EACH FIXTURE TRAP . INSTALL FURN. OUCTS UP TO ioo;ooo BTU .. .--. BUILDING'PERMlT • ·uul·ti1U·UU·UU·oav ""J '-4---
I 'EACHBUILOINGSEWER . OVER100,00QBTU _. • SIGNPERMIT 001·810·00·00·8221 I . .. .. ..
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n As·a·homeowner I am improving my home, and the tallow· ing conditions exist: , • _ 1. _ The work is IJ!,mg··performed _prior to sale. I 'EACH WATER HEATER ANO,OR VE.'NT • BOILER/COMPRESSOR UP TO 3 HP , • PLAN CHECK 001-810·00·00-8891 .,.--~6 --"" C a: C .J ~
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2. I have lived m ITIY home -tor , twelve months rrior to completion of this work. 3 · have -not claimed this exempllOn during the last three years,
D I am exempt under Sec. · , B & P.C forthis reason_'_ ---·
I EACH GAS SYSTEM 1 TO 4 OUHETS ·. . . BOILER/COMPRl:SSOR 3-15 HP • TOT-AL PtUMBING 001·810-00-00·8222 ... ·
I I EACH GAS SYSTEM 5 O,R MO RE . • METAL FIR~PLACE. .. . • ELECTRICAL Q01·810·00-00·8223
I .EACH INSTAL •. ALTER.REPAIR WATER PIPE . VENT FAN SINGLE DUCT • MECHANICAL 001-810-00·00·8224 · r . . _EACH 1/1\CllUM BREAKER , • MECH .EXHAUST HOOO!OUCTS • MOBILEHOME 00;·810-00-00·8225 -
I WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER • SOLAR 001·810·00·00-8226
. r · EACH RooF DRAIN nNs1ol:i , • DRYER VENT · • sTRDNG MOT10N 880-519.92.33 ·· / · ..,;...-o , I hereby affir~ .t~at I have acert,t!cate·ot·cons_ent to I • : T.OT J;L MECHAN.ICAL .. FIRE SPRINKLERS 001·810·00-00·8227 ' self-msure. or a g~rt1f1cate of Workers Compensation In· I • · , ·
surance.or:certiliedcopy-t~ereoftSec.3SOO.-LaborCodel ! . TOTAL PLUMBING -I . . PUBLIC FACILITIES FEE 320·810·00·00-8740
z. POLICY NO. 1. --BRIDGE FEE -360-810-00-00-8740 1 • 1
Q: ~ ~MPANY • . If QTY. ELECTRICAL PERMIT· ISSUE · _ C~f}-1) QTY. MOBILE HOME SETUP PARK·l·N-LIEU AREA ~ .---_, Copy 1s filed with the c,ty •. . • ·· ·-· . -r ""J-. · . . . ( . . . )
~ Ocerti!iedcopy-isherebylurn,shed : , NEW_CONSTEAAMP'SWTBKR , .-CARPORT • TIF 312-810·00-00-8835
~ j . 1 PH · 3 PH . . 'AWNING • • -LA COSTA TIF 311·810·00·00-8835 -· .. --•
-~ >. ,'CERTIFl\::ATE OF EXEMPTION FROM I EXIST BLOG EA AMP/SWT 'BKR > • GARAGE -. FMF .O .. WORKERS' COMRENSAT.ION JNSURANCE . I· . . . , • : · · · •.
! , ~ , , , _l;hi~;:~t~i~~;~:~~~~b~ofi~:P/;;~~l,~rt7:s~rm,t 1 1 PH 3 PH _. • • LICENSE; TAl( 001·810-00-00·8162
:· ~ ~ -· -~0 ,_;,;rtil; that ;nth~ ~e;formance of the work for which -I . ' REMOffEL 'A l.T£ R PER Cl R CU IT 1 _ _ · • • MFF ··· 880·519·92·5'7·-· _ ,_:_:§ ~: th,spermit,!sissued,lshallnotemployany,per~qninany ! TEMP POL'E ·~oo AMPS
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,' :.:· .. ' 'salion_Laws_ofC,alllornl~--. . . I • OVE.R 200 AM.PS. ___ _ : · · . • • • ,
-~.._ '-t t -;:-.'"{OTICE T9 APPLIC1\NT: lf."aft~r:makmgJhis,cerhfica~e I _ . ~ , , , . • . · ' , . --· ~
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,:: ~ :: otExemption.yoush·ouldbecomesublecttotheWorkers· TEMP OCCUPANCY (30 DAYS) ' . . .. . _ . _.
t-T, ,_CompensatlonProvlsionsofthe"LabOrCode.·,vou,must. I""" . . '_, ' . --. t • ., ~' ~ ,, ' .,
£ \.:·.'.·,:-' :~:'~!eto~~k;~'.h_s~c~provisionsof.thispermit,shali ·,f · . _ ! . . . ~ . . .. __ _ ____ . _ , . CREDIT DEPOSIT ·-... _. . . . .. .. •.
-I !. . -. . . . ·. I TOTAL ELECTRICAL > l . : ' > ·' • > TOTAL I q .... ,~ u
,-.;: :·---. . (,. • .. -.-.. -. ' TOTAL FEES PAYABLE ·O ·-
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:_ er: : · _: I-hereby affir'? that th~re is a.construct'.on le,nding 1. CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by lim_italion and become null and void If the building or work w agency Jor the performance ol the work forwh1ch this per· I DECLARATIONS ARE TRUE AND COARECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT If, authorized by such permit 1s not commenced within 180 days from the date of such
* ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'·0" DEEP ANO OEMOLITION,OR CONSTRUCTION OF
STRUCTURES OVER. 3 STORIES IN HEIGHT c • ' fn1t Is Issued (Sec. 3097 C1v1I Code) . permit, or 1I the building or work authorized by such permit ,s suspended or z · • · ' --· · · -I lSSUEO: TO COMPLY WITH ALL CITY. COUN1'1'. AND STATE LAWS GOVERNING· BUILDING CON, abandoned at any time alter the work.<!S commenced for a oeriod of.180 davs •
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-----~~-;.l O-' '. -1 l HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBY · Expir•lion. Every permit issued by the Building Ofhciat under the prov1s1ons ofth1s • •
w Lender's Name ,: f STRl:ICTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGR.EE TO SAVE INDEMNIFY AND · , 1~· JM "~ . ~· -· · · · ~ ··~
-.J . • • -, -----------• KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND A~PPLl~Nl1,U ' • ow ... ,D CONTI"Crn" 0 "0 " jmL : / Lenders Address : EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • , BY PHONE O . . '.. . _ .. y rt
.. GRANTING OF THIS Pf,:RMIT.. ~~-----• . <"' I i..; .. I:
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TYPE i
BUILDING i
FOUNDATION (
I
Rl;:INFORCED STEEL l
I
M.ASONRY I
I ·?-UNltE OR GROUT.
SUB FRAMED FLOOR D CEILIN~
.._SHEATHING D ROOF D SHEAR
'FRAME
. J
I
EXTERIOR LATH J.
r
INSULATION [
INTERIOR LATH & DRYWAl,,.L I
I
I .
PLUMBING t
D SEWER AND·BUCO D PUCp
UNDERGROUND D WASTE D W/'ITER
TOP OUT D WASTE D WAliER
TUB AND SHOWER PAN ' l
GAS TEST !
D WATER HEATER D SOLAR WATijR
ELECTRICAL
I
I
D ELECTRIC UNDERGROUND q UFiFER
ROUGH ELECTRIC ;
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL 1
I
j
MECHANICAL t
D DtJCT & f:'~EM., .. p REF. PIPIN~
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS
.I
I DATE I INSPECTOR
.
CALL FOR FINAL INSPECTION WHE,Y,ALL,APP.8,OP.RIATE _,
ITEMS ABOVE HAVE 8EEN'AP.PROVED. · ' L_:_.
FINAL I I -~ PLUMBING . L ; ,. •j ' • ' • • I'
ELECTRICAL . 1 ('\
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING .· -
HIGH STRENGTH' -;
BOLTS ..
SPECIAL MASONRY
PILES CAISSONS
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I I\ ,'
I ' ! •
REQ. IF I INSPECTOR'S
CHECKED APPROVAL
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INSPECTOR'S NOTES
DATE
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MECHANICAL , . . . . . 1· --I ~-f I
GAS I • I . ·: • ' '"· ' J .
' BUILDl~G I 1---------+--·--t------t--~-;
SPECIAL CONDITIONS 1
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