HomeMy WebLinkAbout2508 EL CAMINO REAL; A | MULTI-PERMIT FILE; CB061322; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
' > 05-15-2006 Plumbing Permit Permit No: CB061322
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
2508 EL CAMINO REAL CBAD St: A
PLUM
0000000000 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Project Title: PICK UP STIX Inspect Area:
REMOVE AND REPLACE EXISTING GREASE INTERCEPTOR
Applicant:
DOHENY PLUMBING
1311 CALLE AVANZANO
SAN CLEMENTE CA 92673
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
0
0
0
Owner:
ISSUED
05/15/2006
MDP
05/15/2006
05/15/2006
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.00
$0.00
$0.00
$0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $60,00 Balance Due:
FINAL APP~VAL
. Date: l{,4 ~t ._ Clearance: _____ _
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposi.tion of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exa i ns f whi h h v r vi I n iv n N Tl E imil r hi r a ·whi Ii h a te flimitations ha revi u I oth rwise ex ired.
M~~-11-2O~~ TH~ 10:48 A~. CITY OF CARSLBAD. ' FAX NO. 760 602 8558 P. 03
FOR OFFICE USE ONLY
PERMIT AfPUCATION •. PLAN CHECK NO. C'.£<'.fe f 5 "2, )__
CITY OF CARLSBAD BUILDING DEPARTMENT ..... · • ::· ::~.-,-Ii _____ _
1635 Faraday Ave., Carlsbad, CA 92008 Validated By
,..,:.,~.., .. .....,..~ .. ~ ...... ~ .,,~ ,:, ""' .. , ... ~, .. ~ ,,. ~ . ~,z;,. "~•·10:,•-:r,•-~cc 011• ----------
<~ b:: u;;;::.;_,~-d"·"'';J'~.:.,.,;.~-4-~,.-.~,,"'~"'""t1/' /¥
Unit No, Plllse No. Totll # of units
Propa91d Uae
DIICflPliCII! of Work SO. FT, , of llaclnJam& , of ll•lhraom1
Nome Addr-CIIY 1it1n/Zlp Ttltphono II
~ti .. lsililillni.~~~~~~~~~~~™~~~~~1.i~§~:~5~·~~~;~:~~~t~:-:
N,me Meir~ 'City -s.11111/Zip Tllephone #
~~~~~~~~"-t:'~~~~~:i~t'!-!~~.~,i!;-;.=:
!SIC, 70S1 .& llulinH41 on<I l'tofHl!ona c~: Any City o, CllllfttY Wllk;h ,...,.. • permit.to coMtruct. lltlr, ;_., damollsh or ripi,lr •nv stt11C1ura, prior to Its
l11uonc1, 1110 ,...,.,,.. th• 1pPUC111t fDf ouch pettlllr to fNo o slllflld 11119fflent 11111-li. ;. lic:anled pu11111111t to '1111 llfOYioianl .of lht Comro_clar's U~on&• Low
[Chtptll 8, carnmondln11 with Stclion 7000 of Dlviliall 3 of 1h11 lulln-11111 -iUIOnl c .. , at '11111 ht ,. llHn,pl lll«efrom, Ind t!le bHI& fat Int 1Hag1d
1x1mplian. Any vlall'llan of, Slcllon 703\,t by ony lflllliclm for • permit 1u11jee1111ha .,.,iieem 10 1 civil ~ nf not more tllllll five hundred llelllllno, l$600ll, l)tiJ/,£N l-'(t/;'J/J..1/!f~ IJ//c;A.,1,'6 ,,(PAN.Up_~ .fAN <JA;s,tf/;,~ ,( '2 8 '}_1/9'-t 92. • ~/J;)
Name Addr•• City Tllophont ,
&11111Jctns1,j 'J ?G.;(J/ 'Lt;1n11CI-t; .16 Citylll1ln-Uc.,..l_..,s.._,.. ..... "k---
City &!tit Uctn111 ________ _
~~~&5-!~~'A':~~~'5~~~;~~,.!ti.'.i~&~-~-~;;,~.~:£,;i
WGlklrs' Cofflllll*tlon DK!lmlon, I hereby 1ftlrm l!Mlt '"'""""o, 1Mliutv OIII of Ille fotlowing dacllrtllor,c \
Cl I have arid wlN rntlmlln I ctmlic:IU of cDnMnt to 1111-intllll fllf __,.. COtnPtnNlian u provldlcl by Sl!Clioft 3700 of the i..bat Code, for thl performance
of lilt wtllk for which thll P•mit i• iHUtd .
• E21' I hAva ind wi" tn1inl1in work~ OOIIIP"*lion, 11 rtqulrld by S.ctlan 3700 of th• Labor Code, far tho J*fortn1ric1 of the wllk for which thia ptrmit i1
"lnutd. Mv wtllktll's COfflJMnllllan irwuno~ clttl•·•ncl policy nurnll,lr 111: / /_ /
ln1unnca Company /I 4 W ,4 ,z .? Tic. I'~ 2 A. r, ,o'i /7 , ,PoJAi:v No, <J 2 K ~ I> ('J J tJ OB J Expirtllan DIii• 7// /0 I>
mu IECTIOff NIED NOT IE COf1111LffiP IF THE l'IIIMIT-IS FOIi IINi tlUIIIIP DDU.AIII fHOOJ OIi I.Ult --
Q CEIITlflCATE OF l!XIMPTION: I cartify tflll In till parf0ffflll!C9 of 1111 warll 1111 which 1tli1 permit ia 111111<1, I lhlll not employ any p111an In any mannlf so as
10 DICOIM l\llljlc:t ~ the Worlett' Comt*lllitioll· Llws of Ctlifamll:
WARNING: fallrn •-......., .. .,., ... ~ ~ 111111111,wM, --~-"""'°"' te afo!,l,w ,-aN1111111t1 c:1v11 -.. to""" h-'1'111 --dollrirt1t1ao.ooa1,.,........,te111aCNt.r,.. .. ....,, .,,,.... • ......,.,.111...._ :s101 llft111-Llllllr .... lnC*Mtand111t01My'•f-.
SIGNATURE'.-----''-----,-,.-----------,...0.-------.-,----llATl ___ ~,-----*:'iliilii:iAif(' iAiii~<iliS!'iii~WS.,.::ifii!i!~i~~~.'fll'S':,.'1'~~~~:Et.~:;
I hll'lbv 1fflrm 1h11 I 11rr1 •Kiffllll from Iha Contractot'a Llol"" l..a'I' flll 1114 fotlo¥riNI INIDll: . t:J I, u ownir 01 Ille llloPIIIY or my amploYNt with WIIIIN M Ulllr·• ~"'"""""'Ila", wiN do the work and tha 11""""'9 it no, lntendad Ol'offered far nla
(Sic, 7044, Blllllnau and 1'rof1111iana c .. , The Contractor'• LI..,,.. Law""" not IPtllY 10 111 own• of PflljllRy who bulkll or lmJIICIIIH lherlOII, 11\d who -
1uch -k hllllfflf or thfough hil o.wi tlllPl"YI•, pNIVidtid that IIUDh lmpnw111111111111 nat lntandtd Of ott.rad ,.., Hie, If, how-, 1111 building ar impn1Vlmont la
eald within -yMr of comfliation,_ th• owrw•llllild11 wlN hove 1111 ~ crl pr1Mf11 thll lit d<I r\at build 01 tn,p,ov• for the pulP.Off of 1111).
Cl I, ~ Owntt of tho praparty, 1rn 1>1Clulivetv contrae1in9 with lic..,..d-contractort to <lltlllruct 1111 11111itct (Sic, 7044, l!Ulirieu -Prof°"10ns Cadti: TIie
ContrlClor'a ~ Llw daM not IPtllV to Iii -af PfllPl!IY who bui4lla or imptOYH t""-i, 111d ContrKII far audl projlcls with cont!K1or(sl llcinud pursuar,1 to the Contracto,'1 Ucenso:Liw).
0 I 1111 IXllmpt under Stctlan _____ •~•In• and Prafaniona c.-far lhla -n:
I, I p,iraonelly plen u, pn,vld1 th1 rnaJOf IJ!lor and mnlri* for conalnlctian of tlll prOflOIICI pr'apeny impiov•"""'· CJ YES C]NO
2, I (have/ hive no,) lllgnad 1n applieatian for• building fll'mlt for the pf'O/IOlld-k,
3, I hlYt contrlcl8d _with th4I follawln11 PIIIDfl (finnl Ill provide 1118 fllllllOlld contlructlon Clnolude namo I ,cld< ... I pholle riuinb• /"contraetors Ucanu number):
4. I plan lo 111ovtdt Pllltlon& of the -k, 1M I hlva hired the followiiit Pl'*'" Ill caardkl1t1, IIIPIMH and p1ovilll lht majo, work (indudt n1_m• I addra!s '1 phone numbl;/comroctarali...,..numlHl!l:. _________ -_____ '--_____ ~----------------
5_. I wil pro,,;cie aoine of the waot, 1iut I -comr1ctlld lhlrllll thl fllllwinl ,..,._ 10 prO¥iClt me wartc indic,1111d fonctudt name/ addrau / ~ number I type
gf-~): ' ' --'
Pf!Ol'ERTY OWNER SIGNATURI DA'11i ••i'fit rr:r ·,.tram, ..... rr 11mtitw;a&1"iWiCIPtT3t'ir~-rd:i-r-ili""·~--is-,.~-.. ~---.-.-·m"'",.-,,-~---i:-.Wiru~~~~~.
Is the apjlliOlllt 01 fUIUlt building ilc:cuplftt l'tCIUlrlCf to tubmit a .....,,... p4ln, IMlly ti,,urdlkil IM!wlll1 rljillnllian fo,m,at_ 11111 mantgeffllllt ,and Pf'l!Vintian
progr~m undll SICIIOM 2H06, 2&1i33 ~ 25634 of tho l'!Hlly. Tenner Hu1Nllliis S11Mt1nce Al:cGIIIW Aet? Cl YES O NO
ls
0
tht 1pp!k:ln1 • M\IFI building CK:CUplnl llll\lhd 111 ob~ • permit from !hi air pollution control dlt111ct or 1ir quility ffllftltllmtnt di&trict7 q YES Cl NO
11 thl ftclllty ro bl coneuuated within 1,000 flll of th• out• boundlr; of a achoo! lilal [J YES Cl NO
IF AMY Of ')'HE ~IWEIII AA!< Yl15, A FINAL c:EllllflCATE OF occu,ANqY MAY NOT. ISSUEO UNL£IS THI! AIIPUCAIIT ltAI MET Oil IS MEETING THE IIEOWIIElllifNr OFTIIEOfflc:E Of IEMIIIGENCY IElMClU MD THI Alll l'OI.LUTICIN CONTIIOL DISTIUCT.
fll!Ottlir:& m :n:rrt nte±:mtr?"'t"''r~~i~:;~-,t.~~~~~'lfi~~s,;:~~~~-~:~.
I htlllly tfflrm lhal 111111 ill • c01111Ni:tion landing lllflCY for tho performance of thl WIIII< far which fflis Plllllil II iNuad (&IC. *>97(11 C[vil Coclal.
L!ND!ll'S NAME LENOEll'S ADOIIESS ______ .....,. __ ....,.. ____________ _
• ·:, F'. . C iiiii"~~'.i:jfi)i~~~~~~iii.\':f~,
I cen(fyffilt '""" Alld lhl«l'fll/c:tllon-lUIII thlttM ....... infa,mltiotl II COl'NCI Ind !hot the inlOrlllllion an the pllnl II IICGUrltt, I llll'N ta comply"wilh 111
City ordinanc• ind &tale 111111 rtllllillg 10 blildlftl -..ction, I hlrllly llllhqrin rap19tlnllllva of thl Ci,t of t;ltltbld IQ oncer upon the illove mtntionld
"""'*'1 lot #ltjllC1fon -· I AL1C1 AGM& 10 IAV!. Na1NIFY AND l(EIP HAIIMU:lill TIii CITY OF CAllllUO AGAINST AU. ilAUJTIES, JUOIMENT&, CO&Tli AND~ WHICH MAY IN ANY WAY "CCIIUi AGAINST SAID CRY IN COflSEOUE~ OF n,i GMHTING OF THIS PERMIT,
11511A: An OSHA Plffll)t Is r1C1Ulred for ixcov11lona over-1'0" dNp 1n«f clllffllllillan or con&llllellon of l1rUClura ov• 3 ltOIIN In height.
EXPlflATION: !=very permit IUutd by 1111 bul(!llng Officlll under 11111 pravlliona ot lhla elide "1111 pPilll by llmlllllon lflcl btcen'NI nUff and void H the bulldlng Of -11
1ultlo!ized by IIICl!pem,ll le not _ Id wllhin 180 diiya flllllltllt CIIII al IUClh permit ar W tht b\llldlng or WOik aulhailllld by eucn pe~ °' llblndoned
al lftY Urne llllllrlhe wort< it , for a -ol ~ (6eclkln 108.4.4 Uniform llulldlnO Colle), ,tJ/-r , A /
APPLICANT'S S~ATURE ' -DATE ~ V' Is (/ (J , ~ 7
WHITE: fllt YEUOW: ApJllielllt PINI<: Fm1~
City of Carlsbad Bldg Inspection Request
For: 06/20/2006
Permit# CB061322
Title: PICK UP STIX
Description: REMOVEAND REPLACE EXISTING GREASE
INTERCEPTOR
Type: PU,IM Sub Type:
Job Address: 2508 EL CAMINO REAL
Suite: A Lot 0
Location:
APPLICANT DOHENY PLUMBING
Owner:
Remarks: Call 1 Hr before inspection
Total Time:
CD Description Ad Comment
Inspector Assignment:
Phone: 9496835402
lnspectot: L
Requested By: JERRY
Entered By: CHRISTINE
24 Rough/Topout f,J(__, ------,---~-~'----,----.-~'------'---
·--tJ _______ A/I /1,1-:/l _o9Uld6 /_µf ~
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
" ·"
(' ~-i~ "-..} . ·c),~ ~ ;f :· X: ·~ ~ .... .....
1 ..... ~.":'J ....,
~ \) ~
:::, " cl \U
~ Cc, j v ~ -'")
-t\.. ~
.
:
\. '{ J ·t ti "'· t .... i7
:.J
t-' ... ,
,,l
~ ~
,
'
Approved
Department of Environmenftl 7:;alth
(Co/~~ 5(5 ~
Specialist Date . .
r
.
/ / /
i
.._... .....
750 GALLON
GREASE INTERCEPTOR
MODEL JP750G .
TRAFFIC RA TED ACCEPTED BY UPCe
24" CAST IRON
FRAME &: COVER
WITH GASKET
<!> . tTWO STANDAR~7·
SIDE VIEW .
' (CUTAWAY) . _ · AS R£QIJ/R£D
12" MIN. __ A __ _
WHEN SUBJECT fllllll------1191f 2432· RISER-3", s• ~ tt
TO ,AEFIC
,!' r
KET ·._
7
0Ull£T
: 6'-o" .. .
s'-o" ' . 4'-9"
' ' '
' .
·. . . -~------· L ·:._ / ~
• •. • .... I : ': • .•' "• • • .• -~ • :.4' ,• ,a' •,'f •• •• • 4 '• .•,:•,• • '•' • ,/ • . •··•. -~ ._.4_ •.. ,. .• · ... ·-: :·· .... :.-.• •• ........ ,._ ...... · • .;. .. ~----
-----8'-f' -----------4"PVC INLET
& OUTLET PIPE
AND FITTINGS
STANDARD
• LIQUID CAPACITY: 750 GALLONS.
• TANK DESIGNED lR H-20 TRAFFIC WHEEL LOAD WITH DRY . SOIL CONDITIONS WATER TABLE BELOW TANK)
. EARTH COVER O R TANK NOT TO EXCEED 6. FT.
MmMt EXCAVAllOO Sl2E:
5'-0-X 9'-1" X fE>lH REQ'D.
• SUITABLE NATIVE OR SUB-BASE SHALL BE PREPARED TO HANDLE ANTICIPATED LOADS.
THE EXCAVATION SHALL BE BEDDED WITH SUITABLE: GRANULAR MATERIAL AND SHALL
BE ·COMPACTED TO 90% MAXIMUM DRY DENSITY, OR ro REQUIREMENTS OF THE PROJECT
GEOTECHNICAL ENGINEER.
• FOR COMPLETE DESIGN AND PRODUCT
INFORMATION CONTACT JENSEN PRECAST •. ·
10-01"'.',03
7500_.P-W.dwg.
0 2003 Jen1en Prec011t
lHE DES1GN ANO DETAIL Of' lHIS DRAWING ARE' lHE · PROPERTY Of' JENSEN P,RECAST ANO l!OT TO BE USED EXCEPT IN CONNECllON WITH ns OWN WORK.
DESIGN ANO JNVENTION· RIGHTS ARE RESElMO •.
COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH
APPLICATION FORM/FEE SCHEDULE
FOOD AND _HOU$1N.G DIVISION-PLAN Ct-JECK
· North co·unty Office--
338·Vfavera:Cruz·#20.1'
Sa.n M~rcos; r;A 92069
(7§0) 471,0730"
. OfficeJiours. a·to 4. .
-Gentral:Cdunty-Office:.
1255-lmp~rial.Ave. ~rdfl._
Sari-Di!!go; CA.921Q1
(619) 338-2364 -
Office-hours,8:to'5 , . _ .
:East Coui\fy,Office. ,
. · 200-•E "Main-Sff6lli.F.loor .. El Qajoi,, GA s2020
(619) 441-4030,
··office:hoiJrs l!'to 4 .
Est Name/Type & t< . 11, :: ttx emner/Applicant .;?;:;:. 1../4,. >,27 K C,-19 ·
Mailing Address:') .e-----~-Star: _____ dp: ____ Phone#
Site Address: :P -~ (1~ e;,I 6:MUkO ~)¥: . e« rfaAZicl ~ APN: ____ C.T. __
P/U Coota9t: Contact Phone #:
.-FOOD PLAN CHEC .,:~
t.<i~A 'f_e~-Co~e. Time Ace~. A~c;t.m~sk Project Typ~ Fe~--. (~0%:c;r~dit) Amt
6FSFF--EH0*". 429SOO 9232-932 0-499 SQ. Ft $ 560.00 ($ 56.00) $ 504.00
6FSFF--EHO** 429S01 9232-932 0500 -1999 SQ. Ft $ 890.0Q ($ 89.00) $ 801.00
6FSFF--EHO** 429S02 9232-932 2000 ~ 3999 SQ. Ft $1,005.00 ($100.50) $ 904.50
6FSFF --EHO** 429S03 9432-932 4000 -5999 SQ. Ft $1,1·15.00 ($111.50) $1,003.50
6FSFF--EHO** · 429S04 9232-932 6000 -7999 SQ. Ft $1,675.00 ($167.50) $1,507.50
6FSFF--EHO** 429S05 9232-932 8000 ~ 19,999 SQ. Ft $2,230.00 ($223.00) $2,007.00
6FSFF--EHO** 429S06 9232-932 20,000 + Sq. Ft
(S05 FEE + Sq. Ft @ PREP) $2,230.00 ($223,00+) $2,007.00+
6FSFT - -EHO** 429S07 9232-932 TECH ASSIST $115.00* ($ 11.50) $ 103.50*
6FSFT --EHO** 429S07 9232-932 GREASE TRAP SITE $ 115.00 ($ 11.50) $ 103.50
6FSFT - -EHO** 429S07 9232::g-3·2-PREPACKAGED (4 hr min)_$_ ,roo:oo -($ 46:0o) $" 414.00
6FSFR--EHO 429S10 9232-932 REV./EQUIPMENT CHANGE $ 335.00 N/A $ 335.00
6FS08--EHO 429S08 9232-932 REINSPECTION $115.00* N/A $ 115.00*
6FS11--EHO 429S11 9232-932 PLAN RECHECK $185.00 N/A $ 185.00
6FS97F-EHO 429S97 9232-932 INVESTIGATION WRK _ $115.00* N/A $ 115.00*
PbOt PL.AN-CHECK
· !(IVA"J=~e.G~de Tir:rie Ace~. Acct./Task Project Typ~ Fee (10% credit) Amt
6FSPP---EHO** 429S80 9237-927 1-2 POOLS $1,115.00 ($111.50) $1,003.50
6FSPP·--EHO** 429S81 9237-927 POOLS (ea. Over 2) $ 280.00 ($ 28.00) ,$ 252.00
6FSPR--!:HO** 429S82 9237-927 RESURFACING/ EQ CHG $ 225.00 ($ 22.50) $ 202.50
6FSPA--EHO**-429SB2 9237-927 AS-Bl.JILT $ 225.00 ($ 22.50) $ 202.50
6SSPR--EHO** 429S83 9237-927 R~SURFACING (Over 1) $110.00 ($ 11.00) $ 99.00
· 6FSPT --EHO** 429S87 9237-927 T~CHASSIST $115.00* ($ 11.50) $ 103.50*
6FSPT - -EHO** 429S87. 9237-927 PLl.,JMBING CHG (6 hr min) $ 690.00 ($ 69.00) $ 621.00
6FSOP--EHO 429S10 9237-927 POOL BLDG/MAJOR R~V. $ 335.00 N/A $ 335.00
6FS88--EHO 429S88 9237-927 REINSPECTION $115.00* NIA $ 115.00*
6FS11--EHO 429S11 9237-927 PLAN RECHECK $185.00 N/A $ 185.00
6FS97P.-EHO . 429S97 9237-927 INVESTIGATION WRK $ 115.00* N/A $ 115.00*
MISCELLANEOUS PLAN.CHECK
. k1VA-fte.e.·-¢q~e.· Ti!l'ie. Acct. Acct./Ta~k Project Type --Fe![!_ (10% credit) Arpt
6FS9i3--.EHO** 429S98 9232-932 RE-STAMP/NON-HEAL TH $120.00 ($. 12.00) $ 108.00
6FSOM--EHO 429S10 9232-932 PLAN CHECK MASSAGE $ 335.00 N/A $ 335.00
6FSOT--EHO 429S10 9232-932 PLAN CHECK TATTOO $ 335.00 N/A $ 335.00
6FSOF--EHO 429S1·2 9232-932 PLAN CHECK MOBILE $ 155.00 N/A $ 155.00
EXPEDITE SERVICES
~IVNfee. .C::od~__ _ Tin;ieA~c;:t. Acct./Task Projei;t Typ~ Fe.e (.10% cr~cjit) Amt
6FS95F -EHO** · 429S95 9232-932 FOOD EXPRESS PLAN CHECK (2X PROJECT FEE MINUS 10%)
6FS9_5P-EHO** 429S95
6FS96F-EHO**
9237-92? POOL EXPRESS PLAN CHECK (2X PROJECT EE MINUS 10%)
429S96 9232-932
6FS96P-EHO** 429S96 9237-927
*Site visits done at a two-hour minimum rate.
Specialist:---------~----
FOOD AFTER HOURS INSP ·$ 345.00 ($ 34.50)
POOL, AFTER HOURS INSP $ 345.00 ($ 34.50)
**Qualifies for FY'0S-0610% Reduction
Proj_ect #: /1,,,,_ V:3 /
$ 310.50
$ 310.50
Check Number /12 fx':.3 Conf. Number_~ __ CASH ___ _ TOTAL-FEE: $ /()3. S':O
I am aware that Plan Check Fees are not fully refundable ..
Date: Si nature: Title:
DEH-FH 154 (REV. 7/05) NCR Distribution: White .,.. Plan Check Copy Yellow-Owner Copy Pink-Cashier Copy
.' ~-
City of Carlsbad. ·
1635 Faraday Av C~rlSbad, CA 92008
02-24-2005 -Sign Permit Permit No: CB050565
ding .Inspection Request Line (760) $02-2725
Job Address:
Permit Type:
2508 EL CAMINO REAL ·CBAD
SIGN
Parcel No: 0000000000
$2,000.00
Lot#: b
Valuation: Construction Type: NEW
Reference #:·
Project Title:
Applicant .
. KENDAi:_L SIGN CO
SUITE.2Q.1
PICK UP STIX ADD 2 LOGO SIGNS
3SF
14809 CALVERT STREET 91411
818c 780-6494
Building Permit
Add'! Building Permit Fee
Plan Check
· Add'! Plin Check Fee
Electrical Fee
Renewal Fee
Add'! Renewal Fee
O:ther Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
. Status:
Applied:
Enter!:ld By:
Plan Approved:
Issued:
Inspect Area:
-i .
ISSUED
02/24/2005.
SB
02/24/2005 ·
02/24/2005
·$38.1-3
· $0.00
$24.78
$0:00
$20.00·
$0.QQ.
$0.00
$0.00
$0.00
$82.91
Total Fees: $82.91 Total Payments To .. D~fe: $b.oo Balance Due: $82.91
EXPIRED.PERMIT
PERMIT tlASEXPIRED IN ACCORDANCE WITH C.B.C. 2478 · SECTION 106.4.4 AS AMl:NDED BY C.M.C.18.04.QSO
DATE ?..b;.~[O(t;S!GNATURE..(;..C~W~· ~-)'--__ _
FINAL APPROVAL
Inspector: · bate: --'------------Clearance:
02/24/05 0002 01
CGP
NOTICE: Please take NOTICE that approval of your project.includes the "lmpqsition" of fees, dedications, reservations, ·or other exactions hereafter collectively
referred·to as "fees/exactions." You have 90 da,ys from the-date this permit was issued to protest lmpo~ition of these fees/exactions. If you protest them, you must
follow the protest proceclures set forth in Governrnent Code Section 66020(a), and file the protest and-any other required iriformat.ion-wilh the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent.legal action to attack,
review, set aside, void, or annul their imposition.
You are 1hereby FURTHER NOTiFIED that your right to protest the specified fees/exactions DOES NO~ APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees;in-connection _with this project. NOR DOES IT APPLY to any · ·
fees/exactions of which vou have-oreviouslv been aiven a NOTICE similar to this or as to which 'the statute of limitations has nreviouslv otherwise exnired.
02
132 .. 91
.. PERMIT APPLICATION· ') ,,
FOR OFFICE USE O~ Y
PLAN CHECK NO.. (So .:S-~6"::>-
CITY OF CARLSBAD BUILDING DEPARTM~NT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ~<r:>c>O -
Address (include Bldg/Suite #J
Plan Ck. Deposit ~
Validated ~ ~
DateZ.[2<{(--./ (.
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel.# Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
~. ,, .. · .. •'
· Name Address City
Designer Name Address City
State License#---~------
[lii\Z;WQ~!{E!@;(,qO],,r_e"'§JU'IRNJ/e,,, · .::,: ';-:}; ·:ri;·,·.. . . :1 ·t '.: :< . _-;; .,, ·--. .
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
· S.tate/Zip Telephone#
State/Zip Telephone
."-'f/i
0 I.have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance z.e work for which this permit is is!!ued. . .
I have and will maintain workers' compensatiqn, as required by Section 3700 of_ the Labor Cqde, for the performance of the work for which this permit is
issued. My worker's co P. ns ion_i urance i::arr"er and policy number are: 1 L·
Insurance Compan~ . . \ . f'olicy No. I .l:j..v 1/ZO Expiration Date.,_. -I C2.5
(THIS SECTION NEED NOT BE COMPLETED I THE PERMIT IS FO~ ONE HUNDRED DOLLARS [$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit.is issued, I shall not emplqy any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure.to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided·for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE. ___ __,---~--'--'-----------~---------DATE ___ ~------\i:;·;rii;;iw~e1JEQ~@pe_ii:i~1:~iiArjoiif'.:;;:,:::\\it ,'.:•,ft,,. :::r;/:.!i>-;,; t t:.·~ · :",::=r::.i: ·,:;;\:}>--;:;-:/·: :~ i' :'·_.-/i.-.;;, ,:·: '·:·
I hereby affirm that I am exempt from the Contractor's License Law for the following-reason:
0 I, l!S owner of the property or m_y employees with wages as their sole compe~sation, 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 riot 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 pr 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 t_he_purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Law). ·
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and ~ater.ials for construction of the proposed property improvement. 0 YES ONO
2. I ·(have· /"have not) signed an application for a building p·ermit for the proposed work.
3. I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):·
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license numberl=..,...---~~---------------~-----~-----~--'-----------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / ·phone number / type
of work):. _________________________ .,-------------'--------------'-------
,,-::~ -' ... ; . ,~ . ~ . ..:, .
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 tlie Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the .applicant or future building· occupant required to obtain a permit from the air pollution control·district or air quality management district? [] YES O NO
Is the facility to be ccinsuucted within 1,000 feet of the outer boundary of a school site? D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ta,;,~CQ .. st.RliCJ.IO~t.ENDING,AGEN¢'Y-'·'.~·i.:'.: ;:;,_::::,-:,( _. ·-· ......... JN .... ,. . . -----··· -________ , . ---·· __ ,_. , ..... , ....... . .:-·. '. '.:. ·~. . .. ' . ,~. . :---· ·(· .
I hereby affirm that there is a constn.ictiqn lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
I certify that I have read the application and state that the above information is correct and that the .information-on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize repres!3ntatives of· the Gitt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSE$ WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN·CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
OSHA:· An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories ·in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire py limitation and become null and void if the building or work
authorized by such permit is not commenced w hln 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 d-of 180 days (Section 106.4.4 Uniform Building Code).
DATE2,1~03'
PINK: Finance
City of Carlsbad
. i=-i!Othhi•i•l4·Eliii,i401
July 7, 2005
KENDALL SIGN CO
14809 CALVERT ST., STE 201
VANNUYS CA 91411
RE: BUILDING PERMJT EXPIRATION
PERMIT TYPE: SIGN
'
Permit Number: CB050565
Issue Date: 2/24/05
ADDRESS: 2508 EL CAMINO REAL
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
O_ur records indicate that your building permit will expire by limitation of time on 8/23/05.
· The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal. Code state: "EXPIRATION.
Every permit issqed by the Building Official under the provisions of this code shall expire by limitation and
become null and void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit ( unless issued prior to 7 / 1/99 which is one year from date of 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 180 days or if
the building or work authorized by sµch permit exceeds three calendar years ftoin 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 180 days of the date of permit issuance. Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that. 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 one year. In order to renew. action 6n a permit after expiration, the permittee shall
pay a new permit fee.
Any person holding an unexpired permit may apply for .an extension of the time within which work may
commence· under that permit when the permittee is unable to commence work within the time period required by
this section for good and $atisfactory reasons. The Building Official -~ay ,extend the time for action by the
permittee for a period not exceeding 180 days on 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.
· Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. Eattacha letter of explanation)
Renewal permit re.quested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact_the Building Inspection Department at (760) 602-2700.
Christine Wauschek
Office Specialist
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @
B U T L D T N G P E 2 M I T
11/05/93 13:37
PagG 1 of 1
,Job Address: 2508 EL CAMir{O REAL Suite: A
Permit Type: SIGN
Parcel No: Lot#:
Valuation: 1v700
Construction Type: NEW
Occupancy Group: B-2 Reference#:
Description: TWO WALL SIGNS INCL. ELEC
Permit No:
Project: No:
Development No:
4599 11/05/93 0001 01
C-PRMT
Status:
AppJ.:.ed:
Ap:r:/ISSLll:1:
Entered P.y:
CB93:l199
A'.?-30'.:?n.:.
ISSUED
1.:../05/9::.
11/fl 5/ ':) :J
~~IDP
Fl~APPROVAL
INSP. ~ DATE /&b/27
CLEARANCE ---------1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION PLAN CHECK NO.
City of Carlsbad Building Department . .
F.sT. VAL . ruusk:J (}) Q 4 oO 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161
PI.ANCKD ' ..
1. PfiltMIT WP£ ~1:-:· BY 'JI' e f ctG)
A -)fcommerc1al LI New Bu1ldmg D Tenant Improvement
B -D Industrial D New Building D Tenant Improvement
. C -0 Residential D Apartment D Condo D Single Family Dwelling O Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
.LEGAL DESCRIPTION Lot No. SutxhVIs1on Name/Number 0mt No. Phase No.
CHECK BEWW IF sOBMn 1'£0:
CJ 2 Energy Cales a 2 Structural Cales I;] 2 Soils Report Cl 1 Addressed Env~lope
6 Oo
s l~-s.
. SQ. FT. . # OF STORIES
3. -~~~~lffere~canQ ADDRESS
STATE Cly-
CITY STATE ZIP CODE DAY TELEPHONE
s. PRoPfiltn' bWNfilt /f\JR (::5:.LL--p, o, BoX 87 00
ST~TE ~
ADDRESS
ZIP CODE 'f '2-{j t; d DAY TELEPHONE ·-rf:3 · -7 .2,~--
NAME
CITY STATE
STATE IJC. #
ADDRESS
ZIP CODE DAY TELEPHONE
IJCENSE CLASS CITY BUSINESS IJC. #
DESIGNER NAME ADDRESS .
CiTY &TATE ZIP CODE DAY TELEPHONE STATE IJC. #
1. WOJ1.R£ltS' OOMl'ENSA:IIDN
Workers' Compensauon beclarat1on: I.hereby affirm that I have a ceruhcate of consent to self-msure issued by the Dm~ctor of Industnal
Relations, or·a certificate of Workers' Compensation Insurance by aq admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
. C;eruhcate of Exemption: I cerufy that m the performance of the work for which this permit IS issued, I !!hail not employ any person m any manner
so.as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oW.Nfilt-BOIIDmt Drn1ION
Owner-Bmicter beclarauon: 1 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 cir
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
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 structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3-of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the an!:ged exemption. Any violation of Section 7031.5 by any applicant for-a permit
subjects the applicant to a civil ~ lty of not more Mn five hundred dollars [$500)).
SIGNATIJRE -=--'°"'· DATE f-/
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 D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
tJ YES CJ NO
Is the facility to be constructed. within 1,000 feet of the outer boundary of a school site?
D~ 000 ·
IF ANY OF nm ANSWERS ARE YE.5, A FINAL CERTIFICATE OF cx:x::uPANCY MAYNar BE ISSUED AFfER JULY 1, 1989 ~ nm APPUCANT
HAS MET OR IS MEETING nm ~UIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTION OONTROL DISTRICT.
9. OONslROCliON 1£NOINC AG£NCY · i hereby affirm that there 1s a construction iendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) ClVI! Code).
I
LENDER'S NAME LENDER'S ADDRESS
10. APPilcANt cm:t.11F1cA1ION
I certify tfiat I fiave read the apphcauon and state that the above information 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I here_by authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AI.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS nm Cl'lY OF CARISBAJ;) AGAINST AIL IJABILlTIES, JUDGMENTS, CX>STS
AND EXPENSF.S WIIlCH MAY IN ANY WAY ACDlUE AGAINST SAID Cl'lY IN OONSF.QUENCE OF nm 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.
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 llny time after the work is commenced for a period of 180 days (Section 303{d) Uniform Building Code).
APPIJCANT'S SIGNATURE DATE: _____ _
WHITE: File YELLOW: Applicant. PINK: Finance
...
.,,.
:::;:·.s ;.2.,,/47 /4$
fT'1s·c 1r·r.r,r•r i:-o ... ,re; ::)~,--,·..-r-~t{ . 1:!: t'1 _ A_ t! •-1 t-"i O • •r~A -..., 0 "'" .. . J
:::: :; S? E c:-c n · ------,-----------~-r.~·-·"'!"'..,., t-1 I ·-----.1-· =-1 ________ __
~CD ADCRESS __ __,,:Z=S?-~~4~U=-~5=.::..:.._-#_,...;_A~-~(s.:::.:..,;1L,..,J=~>------------------
·-.rr:iz 1\I',IUVE: TIHE LE.AVE: ---------------
CD L'/L DESCRI?I'IOU
-----
P Eit. 911 T2
G/l!J/09
. -·
.. ·.---:-. ·--
.,, .
... "
,\CT CC!UlEHTS
.!!£
--·
< •
05/22/90 14:53
BU IL DI.NG P E R N I T.
.Page 1 of 1
jol:;>. Addres$: 2508 EL CAMINO REAL
Permit: Type·:' SIGN
Parcel No:
· Va-luation: 700
· Construction Type: NEW
Occupancy Group:·
De·scriJ?tion: STE A -GOLDEN GARDEN
\
k Str.:
Class Code:
·Permit :No: CB~00843
Project No·: ~9-000946-· .
. Development·· N9: ·
Fl: . Ste·:
5646 0$/22/90 0001 01 -. 02
· . C .... PRaf: -3.t .. 00. ·
Cl{ :tt:. I ~Cf I SJ -: -
Status: ;I:SSUED.
Appli~d :. OS/22/90
Apr /I s·su·e
· ·va~'idated 'By: DC'
714 s·s7-4064 ·
' . ! ~ H ,,/. '
CITY OF CARLSBAD
2075 Las Palmas. br., Carlsbad CA 92009 (6i9) 438-1161
! I ... I
-·~· . ~
\
" . ..J-• ··, .
. ~P.ERMIT APPLICAHON· -•
. C'ity of Car.lsbad BuHd'jng Department .
2075 Las Palmas Dr.,, Carlsbad~. CA 92009 (619) 438-.1161 'EST. VAL•~·--_-_7,,__:._. _____ ...,..--=--~-
P.LAN .. CK DE~IT.,,_ _______ ,._._-,-__ ...,..,,--'--
1. PERMIT
VALID. BY~"'---'--,..'--;-,-'--'-------,--,----,.,.-
DATE ~-.a·---'-----"--'-"-----,.--,---------'--
A • l] COMMERCIAL"
B -[:] INPUSTRIAL
C -0 RESIDENTIAL O APARTME~T
ODUPLEX · ,ODEMi;>LITION
[)MECHANICAL ", QPOOL
, TENANT IMPROVEMENT.
'Q TENANT IMPROVEMENT
OCONDO· QSINGLE FAMILY DWELLING QADDITION/ALTERATION
QREL0CATI0N QMOBILE HOME QEtECTRICAL
OsPA QRETAINING WALL O$0LAR OoTHER
[JP~
CHECK BELC1ol IF SUBMITTED: 02 Energy Ca(cs. 02 ·Structural Cales 0 2 Soi ls Report D 1 Addressed Envelope
ASSESSOR Is PARCEL EXISTING u·sE .
oEscttiPTioN, OF WORK
-~~
BL_DG. _SQ. FTG. 1/ OF STORIES
Unit No. Phase No.
PROPOSED USE
3. CONTACT PERSON ...._ . . ___ ....._
'?:,\.~~ ::> ~\~/ NAME vV\f",.~~ ...,.>O"'"l<:::,':,.a-.-.>
CITY C.O'::,.~ ~~ · STATE (.;9,..
ADDRESS
ZIP CODE '2\ ~~ ?-.ti DAY TELEPHONE 7 \-4
4. D AGENT FOR CONTRACTOR QOWNER .0 AGENT f9R OWNER
NAME
CITY STATE'
ADDRESS
ZIP CODE DAY '(ELEP.H9NI;
5. PROPERTY OWNER OWNER OLESSEE QTENANT
NA~E ADDRESS
-• 'CITY STATE 2,!P CODE DAY TEL_ERIIQNE
6. <::ONTRAClOR .
. NAME~OY\'-j \~~~N<i..-~\~~ ~ ~\'Q_~ ~1 . . '' : . ' .
7.
ADDRESS
C-ITY C....C:,':::,~ '(Y\~ STATE C.:k;' ZIP CODE °\ ~ "-"}...(_ ,DAY TELEPHONE l \ L\.-"5°,$:"'7--~t Ofc. L\
STATE LIC. # 37 ~ l 3.,. 7 LICENSE CLASS ··C'-\$. CITY BUSINESS l:IC. #
~IGNATURE ~ TITLE DATE
DESIGNER NAME ADDRESS
Cl-TY . STATE_ ZIP CODE DAY TELEPHON_E · .STAjE L_IC'. i
WORKERS,· COMPENSATION
· Workers' Corrpensati on Decl_aration: I hereby aff-i.rm that l have a certi'f i cate of consent t,o self· insure i'ssued ·by the Di r.ector of Industrial 'Relations·
or a certificate ,;,f Workers' Corrpensation Insurance_ by an adnitted insurer, or an exact copy or dup,l icate ·thereof certif\ed by ~he Director .of -th;
insurer thereof f.iled with the B1Ji1din~ Inspection Department (Section 3800, Lab. Ch ·
I NSURANC.E (:~PANY .. POLICY NO.
·certificate of Ex~tion:
SO as• tO become SUbj eCt tO the 1/0rkerS I
. SIGNATUR~ -. . \ ,.).. _DATE a·. OWNffi-UILDER 6ECLARATION
owner-Builder Declaration: I he_reby affirm that I am ·exempt from the·eontractor's License Law for the fol·-lowing reason:
. o· I as owner of the property or my e~loyees with wages as their sole corrpensation, will do the work and the structure is not intended' or offered for sale·
(Sec. 7044, Business and Professions Code: The Cont~actor 's License Law does not apply to an owner of proper-ty who-bui-lds or ·improves. ·thereon,.,, and ~ho
does su~t, work himself or through his own ~loyees, provided that such improvements are not intended or -offered for sale. If; however, t~e; building
or improvement is sold within one year of completion, the owner·bui lder will have the burden ·of: provlng that he ~id, not 'but ld or jmprove for the purpqse
of sate.). · '
0 .J, as· owner of the property, am exclusively contracting with licensed contractors to construct .the proi_ect (Sec. 7044; Business and Professions Code::
,The Contractor's License L·aw does npt appty to an owner of property who builds or improves thereon; and contracts f.or ·such projects 'wi;th contractor(s)
l'foensed· pursuant ·to the Contractor's License Law). · · · · ·
'. 0· I a!fl exe_mpt under Sec.tion ___________ Business and Professions Code for this reason:
(Sec. 7031.,5 Business, anq Professions Code: Any City or county which requires a permit to construct, alter, improve, demolish, or -repai'r any structure,
prior to its issuance, a_lso requires the applicant for such permit to fi'le a signed statement that he is ·l;icerised p<,Jrs.u~nt to the·pr9visi9ns of the
Contractor's License law (Chapter 9, comnencing with Section 700_0 of Division 3 of the Business and Professions Code) or that ·he is ex~t therefrom;.
and.the basi~· for the alleged exemption. Any violation'ot Section·7031·.5 by any applicant for a perm\t.sub]ects the·app_licant to a civil penalty.of r\ot
more than five hundred-dollars [S500J). ·
St-GNATURE. DATE
COMPLETE THIS.SECTION. FOR N0N·RESIDENT.IAL BUILDING PERMITS ONLY:
Is the applicant or 'future building -occupant required to ,submit a business plan, acutely hazardous materials registration •form or .risk· management ·and preyehtion-.
program under Sections 25505, 25533 or ?5534 of the Pres Ley-Tanner 1/azardous Substance Account Act~ ·
DYES ONo .
Is the applicant or future building occupant required to obtain a permit from .the air pollution control distdct Qr;air· qu~l ity management qfstrj'ct?·
OYES ONo
Is the ,f,;,c,il i'ty''to be constructed within· 1,000 feet of the outer boundary of a school si.te?
DYES
IF ANY OF THE ANSIIERS ARE TES, A FINAL c-ERTIFICATE OF OCOJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE-APPLICANT HAS MET OR IS. MEETING THE REIIUiREMENTS
Qf ,THE' Qff,ICE' OF ~MERGENCY SERViCES AND ·r~e 'AIR POLLµTION ~TROI.. DISTRICT. ' •. -
9 . CONSTRUCTION· LENDING AGENCY
. I hereby at.firm that there is a constr.uction lending agency for the performance 9f the work for which this permit is ·iss4ed· (Sec 3097(i) Ci'vil Code).
LENPER 'S NAME LENDER IS AD!)RESS
. 10 .. APPLICANT'S SIGNATURE
I certify'that I"liave read'the appl,icat-ion and state tha.t the above information is correct. I agree·to comply with all City ordinances and St~t.e.laws relat'.iog-,
to building_ constfucti6n. I. hereby authorize representatives of the City of Carlsbad to .enter upon the a9ove mention_e·d groperty for)nspection purppses." t A~so
AGREE 'TO SAVE INDEM~IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JOOGMENTS, COSTS AND -EXPENSES IIHICH MAY IN ,ANY_ WA'!'. A<;CRUE AGAINST SAID
CITY· IN C!J!ISEClUENCE OF THE !,RANTING Of THIS PERMIT. .
Expir.ation. ·Every ·permit issued by' the B0uildfng Official· under the provisions of this Code. sh?H expire by l in\ita,tion and· become null anq. void. if -the build in~
or -work authori,zed by such permit is not comnenced within 180 days. from the date of su,h permit or if' the bui.lding ot work authorized_ by such permft is suspended'
. or abandoned at any time ;ifter the work is corrrnenced for a period of 180 days (Seqtion 303(d) Uniform 'Building·,code).
·Ai;PUCANT IS ·SI GNAT
'(\J\_~
D ·0\INER D CONTRACTOR []BY PHONE
WHITE: File YELLOW: Appltcant PINK: Finan~e
City of Carlsbad
· .... =t!fiHihf•i•l4-i%i#h,t#UI
DATE: 05/03/91 PERMIT NUMBER: CB900843
ISSUE DATE: 05/22/90
LAST INSPECTION.:
TO: HAVENSTINE, JOHN
3188 J AIRWAY PLEASE CALL FOR AN INSPECTION
IF WORK IS ·COMPLETE COSTA MESA, CA 921626
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2508 EL CAMINO REAL
Our records indicate that your building permit will expire by limitation
of time on 05/22/91.
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 calendar year from the date of such permit,
or if the building or work authorized by such permit i$ stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work author.ized 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
issuarice. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspectio~ 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 the 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, California 92009 • (619) 438-1161
...,....":...,.;-".~~:-i·::.!1,.-:,?:':' ~:~~~,,-t--~...z,.-J-., ,J ,~ ~ --, .. , 1----: ,.-;--:::-:.:r,:. -~ .. ,~i..,_-:,.
, '~;.oo~[·~o.~., ;i~~,~. PERMIT APPuc!t10N,
,_ --...
· -, ,___ City :of CARLSB·AD, CALIFORNIA 92008' :"t.:r-,, v -,.__ _ _ ____,_ _,. .• •. -~· ; .-J
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No ' JOB ADDRESS 'la tt fl f'I -}{"/~~1 ASSESSOR'S -~f~:Df D l.ll-•t ·//n. PARCEL NUMBER :::?"' ..I' . --... , .,
I I LOT NO, I 9LK · I TRACT BOOK PAs;,E-i-PAR.
LEGAL <DSEE A°fTACHE.0 SHEET) -1 DESCR,
'OW~ER • M['ll. ADDRESS ZIP PHONE ,,.. ' · .·: :2 ~ Alf,,-;,,f/i!JJ /ifA,-?.<" pz,z .4fbd'J.fet-"J ~~ f,...:J.?~0-.jl..;://r (.292.-.Sf4ll' l ... ·------------. r -.~ ~ ~H~~t ~>t: ~~~) , fyfA.IL AQORESS PHONE STATE LIC. NO. -~.,,..;,",
".a.z2 ;if7cP1.S <I/} "<b r ., 9.,,,;/,tf .,.i(-?',.l ---,v.'~ ____ ..:,...;_.--.J·V. .... ..,,. " i:;-
.,· ;.
~ ~A'ftd'A'f'i'EC'T-cfR D·~S I G1ifEA .. --::--. -MAIL );boRESS !;'HONE LICENSE NO, ~ w ·
4 ><~ ·.... r:~,11/)./ --'--:""'i/ p~t:-?G.£~1?i;I. ,,9 .. ~ ,..;:·v ,.2,.JY,.229".¥ ·. .. • ~-I' ,-,, ....
EN_GINEER· MAIL ADDRESS PHONE LICENSE NO.
5
J
COMPENSATION ·INS, CARRI ER MAIL ADDRESS ...:fl• {,; BRANCH '6 A~11TI{ .r,., d&ft:'.o C,,<;Q/: ·-l'f"J·t ..;-n~-.,. h -:.Y··"--'. ~
u·s,E OF 801,LDI NG I 7 .;,,.,,...,,...,_, r . .tY ;..,:.//~'' ~ ,r"'N.,,.j NO. BDRMS NO. BATHS
8 Class of work: DNEW D ADDITION 0 ALTERATION 0 REP.A:iR 0 MOVE 0 REMOVE -
9 Describe work: ,.$,;;~'11, T fl<~ i,.-:;f".,n1:f}:n£',,"'kr:: A:"c:~;,,,e,-~l">f.r'J/ /-''J/ti .,r1.A-~../ -.-:a\, .... ~y.,;('f re.,,~-' .:.t..-, . ...,/, rV • .f" t, , , ,, . ~ ,. ~~· -~-
10 c~·a~ge··of use from \" \ ~ / 11\) CA ....;_/ .. .. v ~ 7 .I J
...
C~ange of use to ·-· .,
. . . ' , . . . t,,r .:.::; • .,.., %.!}"t 1t~1 ~'c',) ~oo···~ __ .,,.,.,...
11 Valuation of. work·: $ ~•.._P~_) \".· ~-·o PLAN CHECK FEE$ PERMIT FEE$ . . '-+-"--........ ~--
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy .. .. Const . Group
. .
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
. . ~~ .... Fire Use Fire Sprinklers
APPLICATION ACCEPTS(! B'.'t' PLANS CHECKED BY r.~OR e~~E BY Zone Zone Required Dves DNo
~t I OFFSTREET PARKING SPACES: No. of
!No. Dwelling Units No. DAT-E DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PE'RMITS ARE REQUiRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
!NG, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES Nl:JLL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
.. ·.CONSTRUCTION OR W0RK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCf=D. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERINQ DEPT. APPLICATION AND KNOW THE SAME TO·BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT, -~ TYPE OF WORK WILL BE COMPLIED WITH WHETlciER SPECIFIED ";fl HEREIN OR NOT,. THE GRANTING OF j PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOC?ATE -OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATll'!,G ; :;· CONSTRUCTION OR THE PE,MANC!;: ?F CONSTRUCTION.
~.-:,~ /.v:,.;;;-;~ ,,,9.4r -:t~:.· -;,·~ ;" 7 ' . /" "'' ...-,1-... ~.~ • " .... ' •• --~ • J,. • ~
SIGNA'TURE OF' CONTRAc;',TOR OR AUTHO"IZED ~~T (DATE) ¼ , ...-"'-,.,.. . ,,,... "".-\'/,,,. _· , # / •*·.?-.?2 -¥ /'~--Z~.--,,,._~ -/,~,4~.;i:... . . ,..
SIGNATURE· O'F""OWNER llf" OWNER 9UILOER} (DATE':) /
:, ' WHEN P_ROPERLY VALIDATEP (IN THIS SPACE) THIS IS YOUR PERMIT --,, l PLAN CHECI:< VALIDATION CK. M.O. CASH PERMIT VALIDATION
•!
CASH l I ;-•. _.• ·.-•
/ 1 ',;. ----f y . le TOTAL FEES$--~------
CK. M.Q.
--· .. ~ ... -· __ .., ---.. .. ---·.-.--·· ..... --. -___ i'
INSPECTOR'
-• INSPECTION RECORD
DA.TE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH -
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE "SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
~-)7J -~~ FINAL ~ f
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
..... ..., . -~,-' -PLUM8fNG .. PE.RMIT·-APPtlCATION:··
CitY, of CARLSBAD, CALIFORNIA 92008
;.., •,
Applicant to complete numbered spaces"only. Phone .i29-1181 '. ~ 77-10.~~..> Permit No /1 U...J cr-
Joe AOOR E$S ,· -*"' ""'·· ·~,;t~i,..
~ .. S'u~ -13 C a,,. ... ;41,,. ... ·,... t1t~--iJ -I LOT NO, I BLK ·-T,.ACT
LEGAL 1 DESC~.
OWNER MAIL ADDRESS ZIP PHONE
2-.-JI.,' 7 11,:.. _) ~/ t!": /'(''y -.,/ frA-11.s' t '2.,,'2,. ".L 'l?riA1Si,.ff /fJJ. s A,.,. ./)) t+.;; b "). 9" z..,. 1i lf?"/
CON'TRAC-TOR ' -MAIL ADDRESS /!::!:J:2!.: " STATE LIC. NO. c/3/967 3 ::{; t1 r I) 17.1. t,,.;/vJ .B I A/ L / :J.. i I Ava c A-lld Av I: /7vf-"ff"1t1/ ) I 9"/1"6 7
ARCHITECT OR of.~SIGNER MAIL ADDRESS PHONE f / LICENSE NO,
4 JI q /J4 1-1"/./.-l: pJ Jl;.e A--vE--S ,/:), ;z. :I lf -)... ';,,.,I/ 1/'
ENG/IN'EER MAIL ADDRESS PHONE LICENSE NO,
5 _,
6 COM~ENSAT;;:· /4-p p MAIL,t,-DDRESS D~ ~
BRANCH
USE OF BUILOI'r(G l
7 If r C--1 4--v 'ti h' p,f
r' ' <
_;(ALTERATION 8 Class of work: DNEW 0 ADDITION 0 REPAIR
9 Describe worR-.:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: -"' WATER CLOSET (TOILET) $<, 1,;..'Jl)
~
BATHTUB
~ .:,.'/" ~ _,, LAVATORY (WASH BASIN) 4 50
SHOWER
,•, ,. I /c:o KITCHEN SINK & OISP.
I DISHWASHER I 5<:S
APPLICATION ACCEP~ PLANS CHECKED BY APPROVED FOR ISSUANCE BY. r LAUNDRY TRAY V~ ~ CLOTHES WASHER
DATE / WATER HEATER / 'S<>
NOTICE I URINAL I ~o
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN -Ir:' TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF q FLOOR-SINK OR DRAIN I::.,, .i4,JQ CONSTRUCT.ION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME'· AFTER WORK IS COM-SLOP SINK
MENOED. "' I / I :Sl:: I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED :rHIS GASSYSTEMS:NO.OUTLETS
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS. WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN 0.R NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW.REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SY~TEM
SEWER NUMBER CLEANOUTS H
CESSPOOL
\ SEPTIC TANK & PIT IJ c;J; .• ~,t. F I 'l. ...,/5' .. "77 ROOF DRAINS p , ·. . . ___.. . ~--~
S ... ,li.TURE 01' CON TRAC TO~ OR AU~7~1ZEO .AGENT_ (OATH ~
ISSUANC.E -FE·E $ ;ji '¥0
-.. TO:rAL FEES --$ .3,t 't~f;"' SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE).
WHEN PROPERLY VALIDATE[) (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATiON CK. M.O. CASH
INSPECTOR
'·· .,. . •• .., . ;-:,----~;
· .• ---,t ! f •
E-LECTRICAL .PE,R,M,IT ·,APPLICATION
City of CARLSBAD, CALIFOR.NIA 92008 . , . ·?}-/ D;;f i)
A~~!i~=~RtE~~ complete numbered spaces only. Pho,ne 729-1181 ~:~er-':!ut_~o.-:· ~·/ ;,.,~,i .. ___ : ,. : : : ft
~ 5() f3 -i3 ~I c~Yn !NC rwR"~{
1 ~~~~t I LOT NO. IBLK.
. ARCHITECT OR DESIGNER'-ff
4 -ii t{) ,f;.;~ .,-f.i,
5
6
ENG !NEER
COMPENSATION INS:CARRIER
lAJ-t:·c.L.a. tP ~
USE OF BUILDING
7 1? .c..· ..,,, J. 1 } 'f"(i ·Y'\ '+-
I TRACT
MAIL ADDRESS -d. _j-L_ PHONE
-/:ft> I E./~Y',rt:rV/TI 4~
MAIL ADDRESS PHONE
MAIL ADDRESS
8 Class of work: 9(_NEW 0 ADDITION 0 ALTERATION D REPAIR
9 Describe work:
(OSEE .ATTACHED.SHEET)
LICENSE NO,
ft?. 2~\J._?ZVLJ
-tficENSE NO, '°
BRANCH
.-,.-, .L. .I/ PERMIT FEES /-@ .,,t. / b ,-,&7f .i J.,, .~L.. · /f /i ,e 7,..,.,,,. ... · 4 ~I' --------------~-N-0.--E-a-ch~---Fe_e_---1
~SP::e;_;;'""c~1A:L::c:o:N:.:;l
1111iti _,111T~~1·Qi=N~S~:~~~~~~~~~:::::~::::::::::::::::::: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH 1-------....... -----t-~~~~E~B~Y~---r-AP:-=P~R~Ov~E~o-~F~~~,ss~u-?~N~E~BY-t· AMPERES OF MAIN SERVICE, SWITCH, APPLICATION ACCEPTED BY; PLANS CHECK D . FUSE OR BREAKER
d9 (f(( /2..-_.?
FbJ ~ M DATE r~~
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 AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCE5 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 PROV:ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
O" BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO A:ND INCL.:UD-...
ING 200 A.MP. .
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
"'"s 1,_G ... NA""T"'U,...RE.,......o""F ""o"'w""N E=R""""'11,,..F ""o"'w""NE=R,..·e""u""1.,..,LD""E""R..--..................... -,--,--· ... ·-,,.,, D""A"=T""'E,--..,....-·· • · • TOTAL_:FEE,5
WHEN PROPERLY VAL'IDATED (IN THIS· SPACE) THIS IS YOUR' PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALiDATION CK.
INSPECTOR
M.O. CASH
' {
', :e: e
MECHANICAL,· l?.ERMlI. APPLl:CAi10~jt:r1e* ~~u 1','.' .. ~ ].::::
. · City tif CARLSBAD, 'CALIFORNIA ·g2ooa · . . . . · --,-, ._ w ,f
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No l I ID 17
JOB ADDRESS
LOT NO~
1 LE.GAL
DESC ...
OWNE,.
CONT .. ACTOR
3
ARCHITECT OR DESIGNER
4 ,1P;», /
ENG IN EE"
5 -
L~NDER
6 -
USE 0-F BUILDING
7
I TAACT (OSEE AT1'ACHE0 SHEET)
MAIL ADDRESS ZIP PHONE
MAIL ADDRESS PHONE STATE L IC, NO.
MAIL ADDRESS PHONE d... --A H,I~ .tr: ,-., ,~..L'..4: 7 ,, ..£.. '~-J,i9,? U.L:£..JD
LICENSE NO.
..Lf.Y:.22. ~¢
MAIL ADDRESS LICENSE NO.
MAIL AODIIIESS BRANCH
8 Class of work: ~W D ADDITION D ALTERATION 0 REPAIR
9 Describe work:
SPECIAL CONDITIONS:
Type of Fuel: Oil D Nat. Gas D LPG. D
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
.2-,. Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Ton.nage Ea.
Forced Air Systems-B.T.U. M Ea.
, .. !
CITY LIC. NO.
Fee
$
APPLICAT1o·N·ACCEPTED BY: PLANS CHECKED BY
APPRDv, ED FDR01ssuA:cE BY· 1----+--G-r-av_i-ty_s_y_s~.t-em~s-_B_. T_._u_. ~-----M-E-a._'----+---+---i ,.. Floor Furnaces-:B,T.U. M
J.11 ._ •. ...-:1-, Wall Heateri.-B.T.U. M
NOTICE ft -1 " ;r Unit He&ters-B.T.U. 1111
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
. "DON AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A Clothes Dryers
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Range Hood
~IT.L~1l~{Jf§7o~~Do~N&~r~ENiAmrDT~fJc1:~ulo~~~:~J~.R-f~is Air Hand1ing Unit-C.F.M.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NO:r PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
ISSOANCE FEE
s .._I OC
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH P,ERMIT VALIDATION CK. M.O. CASH ... ' >
INSPECTOR
,.
:t·' .. '
; lYP~ OF. PERMIT,
··s1_GN
l Et'.ECTBlCAL
FOR. SfQ~·, -· ._
. , ,, '
' l .. tJ.·
p,,
/~ $ l, . > • > $$) .,?_ . 4 .....
Al'Pi.l.ON FO~ SIGN PERMIT
CITY. OF ·C_A~LSB·AD BUI.LP ING DEPARTMENT
·1200 ELM ,AVENUE
CARLSBAD, CALIFORNIA 729~118'1
•• . '
.. "" ~"" . -7",
..,.,,.. ,< -~'
s:·~ ~'.: i '?1;0·:ic -i· 'Jl....:t ~:, _,_,-: •• fl _ r. .,.'..,. "I ho ' .. , ·;.},l~.J
FEE: ,>--~
. PERMJT No .. .q=, ,· a I :;;/:"3 I .. ··S --: . .. l~o . . . . ~-. . ' . ; ,-' '.... ' ' ' . . ' . -. . . ' . •, ., ~ffi
• Owner··s· Name., · : · · .. · . . Maili.ng.Address . . · · · · · i::c
.'"'."'.~,,~ !¥'~€.1 fMW · · Ra,ooco . ,, • ==:~==I=" -~
,Co_ntractq_r JcSi;ij.;f -Ac5Wgiijffi;diEfi,. tklC~ ' Mini.mg Address_ '1i '. , .> . I . • f>1E ..
. ·s~a~e Cp~tr~ctor:'~s-_Ucerise·~o.~ai.3. . Cla~sificatioo C:· S
· Parson or ·Firm, . . · · · . , . · q. ·
C:ity License No ..... : _______ ___,,......,
. in·control of.Property . . ''. -.. I • vs·. p: M:a:iling Address~ . · . · sA~TA A,J,rA be, tp ~. ·. · ·
J..l:GAI!. ·bESCRIPT!ON ' . . . . . . . . .
. tOT-' :. ,Bl:.OCK •. _.·.''£)JI . , ' Sl:JBOIVISION
,-,),
!!l
)J .A.i -411,.e ~~ ~v. ,, . ' ,.. >
;JOB LOCAT.ION· -~~ ~ . . . • 1~ ... ,. . . · J) ~~ER E'c CAA ,~o -~REET-~
~~_lls)fv 011 TqWNJ · Near 1-J·y JdA'I · i geAResrfNTER~~Mtfl4V --~ I
Condit, Use Permit or .• Si9,nature . I
ZONE'. ;,· VARIANCEMJMBER· ·· of Perrnittee ·,
,;i:•-
LOCATION:
.' FRONT: . ieet from'ce!l~er 1-ine of -streeno '·sign SIDE: ''.HL. · feet frC>rn center line_ofsidE;J .str:eeqo s.ign
0
~I
,I ' . .
\.laltiatiqn',of Sign:~ &x>~ r,_;s Area 9f slgn_...______ · . . . .. .
Bui·IOl~g Pemiit,Fee $ , .. , riannin,i tiept, A~proved by:._ ........ ".. .· Da•,fa-r-7
Plar:i. Check.Fee . .$_ ·,._. -..-.,,,_~_,_-1--.J1.-,J.;,,t.-..-.....,........,...~--Dat
' .r.
'ELECfRlC'AL P,~RNIIT
. iaoh s/un· iB,oo. ,, · -
Fir.st 2 Tran$; $3~00 ·e(:lcl,,
. add'i '@.so· eaq'h. . '
1 to --10 1c1mpli<itde.r.~
'1_1 to 25 · -" ·
.26 .to · 50 . : .. : ·~ · ·
5tto .100 . " '.
:: 1.0 no 2QO · ·~ . · ·
•,.
.. ~5
.. qO .
. 1;:()(}
·_·z:oo · · $_.oo ·
~--',.-------'--1--~=~::;::...¥,..L..
· .. THl:S~PAC_E FOR. LOCATION SK~T.CH-. SHOW NORTH ARROW.
-.
. bt·~ENSIQNS Materi~I~ Panel . _. _ Show advertising·copy below,
Height > "1 .; .,, . ',Length , ; . Upl'ights -Woop
NµrnbE)J arfctiize of-posts l L · . Brading_· -----~---
.. Number and s'iz'e'of ·br~des__,, ___ ,....._.....,.,.,''l(r:won, show eolors __ _
Depth in· ground . . , . . · RE!flector material? ______ _
,Pi-stance·· bet\1/~en :pan~I and. grdund' 16.,~ '. Hl.umina:tior.i ?...,;-.. -'· --.---
Re!erence Jo.p;l~an on file-.:· 185 '· ._ · Copy,pn.~o~h sides?~ .
. CALL FOR A~L rtxiSPECTIONS I.N~~l,JDI.Ns; Flf\!AL. _
., -.-
INSPEC-T<ION.HEUUIRED ON FOOTI.NG·EXCAVATIONS;BEFORE SIGN IS ERECTED .• APPROVED Pt.ANS SHALL BS KEPT ON JOB.
, \ ' ~ ' • • : ' • ' -' • ' ' ' '. ' ~ 1 ' ' ' ' .. ' ' •
•,.
...,.._
. '
·''
. ·eLECTRiCAl PERMIT -' -. -.
iach s'ii;n::: 5.o · · · -:,
Firs~ 2 Tran_s-.. · 3;_00 eac .
a<;lq'I ::@ .50 each.,
-,,, --
TH I'S· SPACE' PORLOCATiON· SKETCH. · sl-iow-NORiH.ABROW--. ·--' ' . . . \ -. -~-. . . ,_ -. , ......
.. -1-. ';,; . ~-.
--.
,_ ,i,
·-:r. '.
~' . -
: ... :,. ~ ...
, ,_ ' , -• ~ t. '
·: .. _ .. ··:,_.
.-.
I '1 _to , 10 (.ampbOlc/ers
11.to:, 25 : · ,,. ·
,\ ·. 26 to .. 50 ,;·. ·' . " ·
'.J2,§_.: ..
' -~
. too . ,(; ,
. ~= -~ '. '.... ;
. '' ' '[. ,: ( :~. :
. ,': .:.:' -
' '-~. . 51-to)00 . ,,·
16)1 to 200 · ·-,.
·2 • .00
3.00. .•-. 'i ,:
• 1 .... ,·; •' ~ ·, ' ' .~·; ~ ' .-:: // ~ _: _\; ',•
, .. ,..:_
'"I ' :~
,_;, \ 'I ._ •~'_I'",• '. •
. ;. 1P'IM_EN$10Ns· , -' -, Mater-ial: Pane.t~v~:f~t1'\c. Sho\'\' ad'(e~ising~c~pi-b~iow: ~--~-·.; :· . -; ".~
Height ·S --:~: --' Length -4', · Uprights ~ ,c,,,\·~~t,':L · · " ,-· · · · .: · · -· · ' · .. :
,. 'Number a~d siz~-Of posts (Me: :'Si ,~ .. Bracing ·. ~ -. •• -r . \--< ~·OM~. ·.• .. ' -
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