HomeMy WebLinkAbout2525 EL CAMINO REAL; 159; STE 159 PRE 2016; Permit-
4
'USE BALL POINT PEN ONLY & PRESS HARD , '
d• APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANECLARATIOIS.
- . •:,'' -_,
.1 hereb that
-
lam ; licensed under
,provlalon&0s eptSr;9 (commenclngwlth
V Sectlon7000) of. DivisIon 304 the Business.. -r and Professions Code, and my license Is In
full force and effect..-.- V tic. No. " Class
V.ja
----'
hereby aft inn that anlexempt from the. Con-'
- tractors License Law for the following reason (Sec.
-. - a. 1 '7031 Business and Professions Code: Any city or ''county which requires a permit to construct
biter, '.improve, demolish, or repairany 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, ot the Con-
- tractor's License Las(r (Chapter 9 commencing with It, Section 7009 of Division 3 of the Business and Pro-
- t t fessions Code) or that is exempt fherelrom and the ..
basis for the alleged exemption. Any 'violationol
-. Section 7031.5 by an applicant for a permit subjects. p the applicant to a civil penally of not more than five
- '4 -
- hufldr doltars i$5te" V
!( .. - Q l,a5 w.yer"ot theproprtormy'einpioyeesjI
*ith 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:
* - w - - -The Contractor's License Law does not apply to-an - . - Z owner of property who builds or improves thereon
.. ' 3 V and who does such work himself or through his own V employees, 'provided that such improvements are
- not intended or offered for sale.' II, however, the building or improvement is sold within one year of',
completion, the owner-builder will have the burden
4. . 'of proving that he did not build or improve for the
purpose of sale(.
1,-as one'sl the property, am exclusively
- ' - e Contracting with licensed contractors to Construct -
- f , ._ the -project (Sec. 7044, Business and Professions'
Code: The Contractor's License Law does not apply - to an owaer,of property who builds or'improves' -1 .,,Ihereon, and who contracts to, each projects with a ,contractor(s) license pursuant to the Contractors,. License Law).
- ,0-lamexemptunder5ec.--'__,B.&P.C..-
-. -
k.4v ;i;- • -. --
F"- - - , ,- - - - 0 I hereby altirm that I-have a certificate of consent -
- 'v. to '.selt-insdre. N or, a certificate of Workers" - - Compensation Insurance, or a certified copy thereof -
(Sec. 3809.' LabOr Code). , Y'-.tz.
F;
601,
.'
Z
' OLICY 0.
CV4
filed wit the. city',
,1.UA :' 0 Certified Copy is hereby'lurnis - • ' - .r
- r -/,, • '
,CERTIFICATE OF EXEMPTION FROM
-. ,,, , '4 WORKERS' COMPENSATION INSURANCE -
, •- (This section need not be completed it the permit
Lu 7
,' - is for one hundred dollars ($109) or less)
-
- '0 I certify that in the performance of thework for . 0 '1whrch this permit.is issued. I shall not employ any
3 person in any manner so as 10 become subject to the Workers* Compensation Laws of California. -
- •'-_-, ,-',, j';_
NOTICE TO APPLICANT: It, alter making this Cam.
•-j '. ,,ficale of Exemption, you should become subject t') F' the Workers' Compensation provisions of the Labor - -- - -Code. you must forthwith 'comply' with such.. - provisions of this permit shall be deemed revoked
Dl ahereby affirm that there ma 'construction
- . ' • .I _Iending agency to, the performance 01 the work to, I which this Permit is issued (Sec 3097. C-1 _Code).
- , wi - '-Lenders Name
Li';"t ''LO - I Lender's Address' - V
- '
t - CARLSBADBUILDING DEPARTMENTI c-":'- .' '-AP AW.
PÜCAtIPRMfr'- .1. . 7"1200 Elm, Carlsbad, CaI(fornla 92008 (714)438-5525 .. - - i,', - " - . . '. - • ,•__,, - -
,JO6 ADDRESS '. '5 - • . r AV. ST. DATE 09 APPLICATION BUSINESS LICENSE #
AL- !, RD.
, i F - L-AM1$10
PERMIT NUMBER
-
OWNER'S NAM" E-',* ir •
'1 OWNER'S PHONE PRIME CONTRACTOR - - - .. CONTRACTORS PHONE 4
- -oo': 3
!2-6Z ,OO ,q,c/es- N6/:, V
ZONE. -
.. .
OWNER'S MAILING,ADDNES -. -
- 2'
CONTRACTOR'S ADDRESS LICENSE NO. PL I.D. # - BLDG USE CODE 4
V . - 014- -, ivvcheos Aqmos -..
LO' NUBDIVISIO&
•
ASSESSOR PARCEL NO. DESIGNER ST I EN r
I--- :.
tall
STANOA N9 GSOcAG3
.6ESIGNER'S ADDRESS (5 -—tp C-I--' NE
• - V
•
T JJT (I1fVARJ1 -
- -' - - -- - •. ' I ,F'FLELEV .NO.- CGP EDU
VU 1At.JO ,&L1 PLAZA 6,t1Wc YO ND
STORIES
.• ,
- • - ,CENSUS TRACT GP LAND USE PARKING SPACE 'RES UNITS .GRADING PERMIT ISSUED - - REDEVFLOPMENT TYPE - 0CC LOAD FIRE SPR
a t' ARE A'" CONST
- - .:,, - ' • ' . - 'yO ND - -- ' vD.ND ' .'. r-- rD ND . 'Not Valid Unless Machine Certified 4
QTY.-- PLUMBING PERMIT ISSUE -2'p OTY ' MECHANICAL PERMIT ISSUE 3 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ,, - - - 1 ,vJ jJ 'INSTA ILL 'FURNVOUCTS UP TO 100,000 BTU ' - 4L,_.- BUILDING PERMIT - - '
" EACH BUILDING SEWER - . " -
,'
'' -
--•-'-, -'-.-- --:' - - 7 OVER 100,000 BTU '-- .j• -I '- r- 'S(GNPERM(T""- '- - -- - -- _'- -- - •V.' -'
EACH WATER HEATER AND/OR VENT ' BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
.,'. EACH GAS SYSTEM 1 104 OUTLETS - - . ' -. BOILER/COMPRESSOR 315 HP' - ' , - - • TOTAL PLUMBING ' - V • - •' -- , , 0 o-' -
EACH GAS SYSTEMS OR MORE' ' e'- METAL FIREPLACE ELECTRICAL ' - - •5•:; ii-•-O
- EACH (NSTAL.ALTERREPA(R WATER PIPE .-- , - - , VENT FAN SINGLE DUCT - - ' ' . .. - -r " MECHANICAL . , - . /,
ç EACH VACUUM BREAKER ,, - MECH EXHAUST - HOOD/DUCTS '." MOBILEHOME
WATER SOFTNER ' : - ., - , - - . '-, ' - . .' RELOCATION OF, EA FURNACE/HEATER.- - , .• - - -- ,, MOB(LEHOME PARK (NSP, - • _,. ., ' ,,, , - • -
I EACH ROOF DRAIN (INSIDE) .. , - '. - ' . - - ' , , . - • - , -' SOLAR - • ..V ' - ' , V •
TOTAL MECHANICAL ."
,TOTALRL(JMB(NG . - [_•__••••7tJ,
STRONG MOTION
FIRE SPRINKLERS .,. .,
-4-----' -.''-t '--- PUBLIC FACILITIES FEE
QTY ELECTRICAL PERMIT ISSUE - do QTY SOLAR !ISSUE - BRIDGE FEE ' -
NEW CONST EA AMP/SWT/BK COLLECTORS - . SCHOOL FEE DISTRICT v "
-. 'j9/ '•'f' ,,>J s-', STORAGE TANKS -, '' ,. , .. Car(bad,' • - a'- - 5. - 4
EXIST BLDG EA AMP/SWT/BK " ROCK STORAGE Encitylas
.1 1PHJ 3PH • '...,... '. ' .,."PUMP "
V -
",- - - ,, - . -SanDieuito -• - - '. -
REMODEL/ALTER PER CIRCUIT x PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS ,.,u. — - - "45' •- - a — -' -.-
-'OVER 200 AMPS - ( , a - - '4 •- ____________________
TEMP OCCUPANCY (30_DAYS),, •••• -
'-,," . -
Cc TOTAL ELECTRICAL "[ ,-'
- V ,TOTAL -"4 TOTAL SOLAR - FEES PAYABLE- - -' • -
. - - . - . ;•_•_' . vs. '-.r,,-- - - - , - ,_4,_• -' • - :L '44,, - a -- -, * • , " - - ' "•- - "4 . - *'. V ' , ..
( HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION'AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis * AN 061-IA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire bylimitation and become null and void. It the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE uch -SO" DEEP AND DEMOLITIGN OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by Such permit is not commenced within 180
pe I. or it the bui(IQ Or work authorized by such permit suspended
from the date of
5 r STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNT AND STATE LAWS GOVERNING BUILDING CON- a cloned at any Ii e ter the work is com nced for a period 01180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY -
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AAN
ND 'AP LICANT'S SIG
a OWNER D CON-TRCTORD 'APPRED8Y
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TI-I N 0
GRANTING OF THIS PERMIT. BY PHONE
, cir- •
- '- - - -t -• • - - , - 4'- -. '- - - -- : •- -. b.
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL STEEL
MASONRY
.GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/CO
PLUMBING UNDERGROUND PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEM PORARY. POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR.
MECHANICAL
DUCT & PLEM., REF. PIPING _______ •
HEAT - AIR COND. - SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB _SITE _FINAL
PLUMBING . -.
ELECTRICAL
MECHANICAL
BUILDING -
SPECIAL CONDITIONS
CERT OF OCCU•Y ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
FOUNDATION INSP
PRIOR TO
STRUCTURAL CONCRETE
OVER 2000 PSI
CONCRETE
PRESTRESSED
POST,TENSIONED.
CONCRETE
FIELD WELDING
HIGH STRENGTH -
BOLTS
-
SPECIAL MASONRY-
PILES'CAISSONS - -
- ..
.
.
r •. . -
- -
r . -
• - .
*
ESGIL CORPORATION
9320 CHESAPEAKE DR, SUITE 12 / 9 SAN DIEGO, CA 92123 • / ' (714) 560-1468 .
Datet
.Prear.ed..byt C3. 1a:. Dep.
VIU TIC AND PLN C O r- El 'sgii
PLAN CHECK NO. I33
EU I LD I N C ADDRESS APPLICANT/CONTACT ip-7g PHON NO.1 54.SJ
RUILDINC OCCUPANCY DESIGNER PHONE
TYPE OF CONSTRUflON. • •• • •• CONTRACTOR PHOE. ___: •. •
F BUILDING PORTION BUILDING AREA VALUATION VALUE
• MItT PTPT T
•
• __ • Building Permit 'ee
• Plan Check Eec /
- &Q4_ci'&
"C -
4 n. I USE BALL POINT PEN ONLY & PRESS HARD - "APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
Y" fl I hereby atfirm,that am licensed under
provI8lone'of.Chapter.9(commencing with • ,Section7000),of Divlslo'n'3 of the Business (J" n_-,and ProteaaIns Code, and 'my license is in
lic
,
'uPi'orce_and effect.. Da
a a
_' .1 I hereby., attutm ,that I ant exempt from the Cuntrac-tar's License Law for the following reason (Sec.n7031.5
J.'Business and Prutessions Cede: Any city or county which re-:quires 'a permit to construct, alter,' improve, demolish, or - repair any structure, prior toils issuance also requires the up-
* plicant for such permit to tile a signed statement that he is - I
- ticensed pursuant to the provisions,ot the Contractor's License Law (Chapter 9 commencing with Sectiou.7000 at a Division 301100 Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleges eoemptiun: Any
violation 01 Section 7031.5 by an applicant fur a permit sub-
jects the applicant to a civil penalty of oat more than live hrin-
-• dred dollars ($500).
as owner 01 the 'property, or my employees with wages
'as theit sole compeoCalion. 'will do the wOrk, and the struc-
'°'ture is not intended or'ottered for sale (Sec. 7044. Business
.and Professions Cude:.The Contractor's License Law does'• 5 •, not apply to an owner 01 property who builds or improves
m thereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
u) 00 or uttered for sale: It,' however, the building or improve- ' 0 Z ...'ment is sold within one year 01 completion, the Owner-builder will have the burden 01 proving that he did not build or rn-
' 0 _prove for the purpose of saloL_
0 I, as owner 01 the property, am exclusively contracting
- with licensed, contraclors to construct the project (Sec: 7044, "
uBusinoss and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or im' - proves thereon and who contracts or each projects with a en _ contractor(s( license pursuant to the Contractor's License'' ' Z --Law(.-
-'- P. As a homeowner I arn'improving my home, and the 10110w'
.,., ing conditions euist:_5 -,,,
'-_ T f The work is being performed prior to sale. 2.'- I. have ,lived. in -my hnme for twelve -months
prior to completion 01 this work. - ' .. A ' ILl - 3. I have not' claimed : this 000mp1i00 ,during the last three years.'.- -
- -
" 0.1 am exempt under Sec. • ''''-- - B & P.C. - -
10r this,reason a,, ••,_ . . . •, ,. •
'5
. •' 5 - • S - 0 thereby affirm that I have1 a certificate 01 consent "to 'self.mnsure, or a cerlilcate 01 Workers''
Compensation Insurance, or a cenirhed copy thereof i.'
- Sec. 3800. Labor Code).
P0LtCYt.9 -• -- - .;, -
'••• .
-
5. DCopysttedwththec y - - -,
Z ' .0 - ......... - 0 CL Certmtmed copy mu hereb turnmshed'
- '-- . ':'......'.
- -0 CERTIFICATE OF EXEMPTION FROM - • - WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit
CC " • is to, one hundred dollars ($100) or tess)
-
r 0 I cerity that in the pertormance of the work to,
- - 0 ' which 'this Permit is issued. I shall not employ any
.person in any manner so as to become subject to - 'the Worlme,s' Compensation Laws 01 California
'- NOTICE TO APPLICANT It, alter making ton, Cert,, -I mate 01 Exemption. you Should become subject to
the Workers' Compensation provisions 01 the Labor
- '.' • -' kCode, you imusl forlhwjlh 'Comply with Si
- provisions or IhmS permit shalt be deemed resokeet
T
o Ihereby atfrrrrr that-there is a cormst,uCtmon , I
I Ievdmrrg agency to, the performance 01 the won, to, UJ ( a I -ps,-- which his permit is issued (Sec 3097, Cmu,t Codel
.Z Name L...L *
fi Lender's Address ______________________________
-
a CARLSBAD BUILDING DEPARTMENT n.j APPLICATIa'&PERMIT
1200 Elm, Carlsbad, Cal jfornja 92008-1989(619) 438.5525 - - - .." .-/ -. - .' , - ' • '
Joe AOORESS.a7 . - / AV.-ST. RD, NEAREST CROSS ST. . -
15
DATE OF APPLICATION
H
BUSt SS LICENSE # ." VALUATIONS PERMIT NUMBER
ZON •. -' , ' j 9...l'l LOT 'BLOCK ' SUBDIVISION ' ASSESSOR PARCEL NO. CONTRACTOR ' CONTRACTORS PHONE 0
OWNER'S NAME OWNER S PHONE
• CONTRACTOR'S ADDRESS LICENSE NO, ' PLAN I.D. # ., - . . BLDG USE CODE -
t ' i5 a . 5"•
,.;_. •. --5-
'5-".'. .. - - 'OWNER'S MAILING ADDRESS) / ' '
L .' • - : -' DESIGNER . ' - , LICENSE m . STANDARD PLAN #' BUILDING SO. FOOTAGE.,w
DESCRIPT N F WORK Ar
Ax - DESIGNER'S ADDRESS -
Büx' //
DESIGNER'S PHONE _ "'• ..'. " s,
:r,Ioi.o E --i6 F/P V. LRELEV . OCC GP,
--
- -' - STORIES
' • "0 NO
CENSU.S TRACT.. SPACE RES UNITS - GRADING PERMIT ISSUED ,REDEVELOPMENT -PIRE SPR . TYPE 0CC LOAD 1~GP,I_AN1D.USE_:.*PARKING
,..'
- y. • •
-
AREA . ,' '-'- CONST' '' '•.'
- - - . YD,ND • ' .... YOND Nor. Valid Un/ees Machine Certified
QTY:
. I ' - .
' -PLUMBING PERMIT- ISSUEL..
' es. Z_., ' .
OTY.
' . • ' , - ' - -
MECHANICAL PERMIT ISSUE.
' - - -. .- - . ,•- . . -'--V.
NUMBER,
-a -. '
35L.
' ' ''•" . . .
- - SUMMARY/ACCOUNT UMBER
-I'S-. -
'EACH FIXTURE,TRAP • '- ' '. - INSTALL FURN. DUCTS UP TO 100.000 BTU ' ' BUILDING PERMIT ' ' 01-00-00-8220 - -
EACH BUILDING SEWER - . '. - . - -- . . ,'• g' OVER 100,000 BTU - . .. .. '. SIGN PERMIT . .-. ' —.01-00-00-8221 - ' - __. .
,.- EACH WATER HEATER AND/OR' T - ' - BOILER/COMPRESSOR UP TO 3 HP , • - - - PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 ID TLETS' - .' ' BOILER/COMPRESSOR 3.15 HP ..,. ' - ' TOTAL PLUMBING. • 01-00-00-8222 ---a"-
, EACH GAS SYSTEM R MORE . . . -., . ' METALFIREPLACE . . - -. - . 'ELECTRICAL 01-00-00-8223
EACH INSTA TER,REPAIR WATER PIPE - - • VENT _FAN SINGLE DUCT ,- . , MECHANICAL _01-00-00-8224' h' EACH _UUMBREAKER ',--"- .' .. MECH,EXHAUSI - HOOD/DUCTS •. MOBILEHOME - _'-01-00-00-8225
W R SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOMEPARK_INSP _- _____a'. - ___-.-----_-
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226 S
- - , -- , '•, - • ' - ,-, S ' w ,- ,, ,1TOTt, MECHANICAL
'•-TOTAL PLUMBING 7_71 IT I
-
7_
STRONG MOTION -
FIRE SPRINKLERS ___0100008227 - -
PUBLIC FACILITIES FEE -.32-00-OO-89. - _-.- QTY. ELECTRICAL PERMIT- ISSUE , - . QTY. , SOLAR -ISSUE m -
, BRIDGEFEE .- - _•.- _-. _.' - '.-- - -
- -NEW CONSTEAA'MP/SWTIBKR '-- - ' - COLLECTORS.',--:' SCHOOLFEE -DISTRICT
IPH ' r_-3PH -,'. - _ -'-- STORAGE TANKS '--.
_-'. .. Carlsbad :,80-92-21-0519 '--
EXIST BLDG EAAMP/SWT/BKR '-.. ..•-- - - . ROCK STORAGE _--'---- _.., ' '-EnCjnjtas'-_'- ___a_ 80-92-22-0519 - ' - "/- • -
- _
--3PH PUMP -. . - San Djegj(o •.-.'80-92-23-0519
-REMDDELALrER'PERCIRCUIT / ' PLAN CHECK FEE . - ' 0, San Marcos '-,•
-- TEMP.PDLE.200iAMPS'. ''' --.. _.... -- __••-a--- .,...'-.
OVER200AMPS _--'--•" ,
a
-
______
_m ''-'--:- - LICENSE TAX 01-00-00-8162'
r' TEMP OCCUPANCY 130DAM '•. -.-'-. _- '-'' MFF8O-92-57-0519
-- CREDIT DEPOSIT
-
TOTALELELTRICAL _____
cT' TOTAL SOLAR TOTAL FEES PAYABLE __g'f~_ - -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the BuiIdiraOIIiciaI under the provisions ofthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire limitation become null and void., if the building or Work ' CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE t is
5and suchbY
commenced within 180 days from the date of such 5 0" DEEP AND DEMOLITION OR CONSTRUCTION or
1'ty DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF .,A PERMIT IS permit, or t
authorized
buildinq or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandonedat any time alter 'he work .is commenced for a period 01180 days. '_ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , - - ---."" APPRO ED BY ' . KEEP HARMLESS THE CITY OF_CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICAN SIGNATURE a OWNER 0 CONTRAdTOE ''. - . . .
GRANTING OF THIS PERMIT. __•,.'_ .' _b PHONE 0 __ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE '' / - - - - - '
'5- - - •-- -' 1k, ____
- _
BY
.
-'•'. --
'o.i; - •, -.-.'..', - - a. • -S a' -
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING El ROOF El SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/COEJIPL/CO I
UNDERGROUND El WASTE DWATER
TOP OUT El WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
El WATER HEATER El SOLAR WATER
ELECTRICAL
El ELECTRIC UNDERGROUND El OFFER
ROUGH ELECTRIC
El ELECTRIC SERVICE 0 TEMPOFARY
El BONDING El POOL
MECHANICAL
El DUCT & PLEM., El REF. PIPIN
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEM ABOVE HAV BEEN APPROVED. - I -
MECHANICAL -
Tr I',. t' i 110
— :IJILc
SPECIAL CONDITIONS Mm _____ s
,. c "
FIELD INSPECTION RECORD
REQUIRED SPECIAL
-
INSPECTIONS INSPECTORS NOTES
INSPECLJON - - _ REQ. IF INSPECTOR'S DATE A CHECKED APPROVAL--
SOILS COMPLIANCE S.',
, -
PRIORTO .
FOUNDATION INSP .
. :",j <.•, -.._, --
STRUCTURAL CQNCRETE
OVER 2000 Pat':,.'-
PRESTRESSED"-
CONCRETE
POST TENSIONED -
CONCRETE
FIELD WELDING
HIGH STRENGTH
_2LS
SPECIAL MASONRY
.
.5-
PILES CAISSONS . S
---•.'>
.
I I --
-
... . -. -.
a]
PLAN CHECK NUMBER ADDRESS DATE
PLANNING: TYPE OF STRUCTURE; 1. / V ZONE:
SCHOOL FEES: SAN'DIEGUITO . ENCINITS• V
V
=.. CAR LSBAD SAN MARè
COVER
1'V
'.
REQUIRED:rKJ9 iAIHT: __.. FRONT BUILDING HE
FENCES/WALLS _____V _V, SIDECI_Y _JARLSBAD
-k TWO CAR GARAGE . . REAR t
L.J V
V
LJ
V
• V.
V
LUCOMMENTS : V
cz
V
LU
V VV V
V) V
•
V
REDEVELOPMENT APPROVAL REQUIRED:* V V V
V V V V - V VS V - V V V. V • V
V V LU.-...
V 5 V V 5-
V.0 LI V. VV V LANDSCAPE .LAN COMMENTS:
V V V
V
V
VV V
V V V
V _
-'VI . ___V V
V
V
OK TO ISSUE: . DATE: OK TO FINAL: ___,_ DATE
**
ENGINEERING LEGAL DESCRIPTION VERIFIED' A.P N CHECKED?_)
P F F PARK IN LIEU
R 0 W IMPROVEMENTS:'
E.D.U: V
V SEWER:
LATERAL: V DRIVEWAY:. •';i- V V
GRADING PERMIT: V - • V . V
.
V U.11
,
tcc DRAINAGE:
EASEMENTS:
- V
V
- ADDITIONAL COMMENTS:
uj ~
____________________
+ r
.0K TO ISSUE:
V V
DATE:
* ENGINEERING INS9"I4 REQUIRED
V V
V
PUBLIC WORKS INSPECTOR:
V V V
FINAL OK: -
V V
•
DATE: V V -
VV V
V
IF THIS ITEM Is NOT CHECKED, BUILDING DEPARTMENT WILL, MAKE ALL INSPECTIONS
V V
V - •V' (DRIVEWAY, CURB CUT; DRAINAGE, ETC.)
,
•
V
V V
- A . •V 'V 'C
'USE'BALL'POINT'PENONLY &PRESS HARD'. •' * . V. ' 'APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-
2 '0 I hereby affirm that I am licensed under
provisions of.ChapterV9 (commencing with.
I.'gL.s.ction 7000) of Division 3 of the Business cc t_.'I*and Professions Code, and my license is in
I. futi orce and 'effect. -
hereby altirm that I am exempt from the Contrac
Or's License • Law for the-following reason (Sec. 7031.5
Business and Professions Code; Any city or.cunty whicl' re--;j
quires a permit to construct,..alter;imprond', .demolish, or ..,repair any structure,.prior toils issuance ulso'requires the a
plicant for such permit to tile a signed statement that he is
licensed pursuant to the provisions 01 the contractor's
License Law (Chapter 9 commencing with Section 7000 01
Division 301 the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. tOny'
viotatinn 01 Section 7031.5 by an applicant for a permit sub"
ects the applicant tea civil penalty 01 not more than live hun'
dred dollars ($500).
-•
,_ I I, as owner 01 the property. or my,employees with wages
., as their sole compensation, will do the work. and the Struc'
, tore is not intendod,or oflered for sate (Sec. 7044, Business
- and Professions Code; --The Contractor's License La. does - ' not apply to an owner of property who builds or improves
,V thereon and who does such work himself or through his 'own
..employees. provided that such improvements are not intend'-
lid ed or offered for safe: It, however: the building or improve' Z mont is sold within one year 01 completion, the owner-builder
will have the burden 01 proving that hO did not build or im
prove for the purpose of sale). ,
'el I I. as owner of the property, am exclusivelj contracting
with licensed contractors to construcl.the project (Sec. 7044.
. Business and Professions Code: alhe Contractor's License
- Law does not apply roan owner of property who builds'er im-proves thereon, and who contracts for each projects with a -; contractor(s) license pursuant to the Contractor's License Z Law).
' ('I As a homeowner I am improvingmy home, and th tollow.V . 4 .rng Conditions eeist:,,, m —
fig I.
The work is rm being pertoed priOr to sate,
2. I have lived in my- home br twelve months
prior to completion 01 this work:--V_V V
lid i., - 3. I have not claimed this exemption during the 0 ,, .. _., last three years.
me
for this reason V.V' V V. - •__' V•_
Dx eeby affirm Irral I have a certirtcate 01 consent to
'sell.insure. or a certilicate'ol Workers' Compensation In. -
I .'fsunce.oracertified copy IhereOt 15cc, 3800 Labor Code)
'POLICV NO -
,.,COMPANY V _
- ' 0 Copy is tiled with the cit '/.
0 rtiti ie I shed - —
.....,,_.
.1' !sCtb t f'
- CERTIFICATE OF EXEMPTION FROM -
0 dWORKERS' COMPENSATION INSURANCE
In section need eel be Completed it the permit,
- , is for one hundred dellars IStOOl or less) e...' I-a , .0 .1 certify that in the pertormunce of the work for which •,
. .lhiO permit is issued. I shall not employ any person in any
manner so as to become subiect to the Workers' Cornp_e' -
otCalitoreia. - i'-g '
V.NOTICE TO APPLICANT: It. after making this Certificate -
"ot Ecemptien. you should become subiect to the Workers'1
'Cornrpensali'oe provisions or the Labor Code. you must
forthwith comply with such provisions or this permit shall
'he deemed r'eiioked.-'.-
-
r ' 1,'I31'l'hereh8'attirm that thre'isac tiitir )i/idimig
LLI I! e'ecj for-the erbormance 01 the work for which this per. -
0I'niO"1-Tssued (Sec. 3097. Civil
/zj V liJI...... Lender's Name V5,
-II . - m'.
- Lender's Address
A. - - . , V •
CARLSBAD BUILDING DEPARTMENT ,. APPLICATION & PERMIT- - '2075;Las Palmas Dr.,-Carlsbad, CA 92009-1915(619) 438-1161-. -'-
..i •.
JOB ADDRESS, f..h. . AV. ST.RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE # . - VALUATION - VV•VV._ V -. V -n- --- -•--'-*
PERMIT NUMBER
j I-, •' • V_V -V._ V-V_" - - ' V . V - V'..V - ' V - •V._ - -V. -VV_ •V - V -V •'•_V *y_V -V• -.
2525EI-'Camjn6 REal -- s',i- ,
4/_/q..' 38,258'
'ZONE - - :
,
.'CB880367' LOT BLOCK SUBDIVISION • - ASSESSOR PARCEL NO.
- . - V
CONTRACTOR ' - CONTRACTORS PHONE N
op". 7( 577 , OWNER'S NAME '
V V PHONE '
CONTRACTOR'S ADDRESS ' STATE LICENSE NO. . ' - BUILDING SO. FOOTAGE
.OWNERS
I '
,_
-/ 13i OWNE R'S MPUNCADDRESS
DESIGNER. . V. .' - " - DESIGNER'S PHONE
-0006'04/19 0101 02BldPlltt 17470
__________________________________________ .. .. ,--• V-V - - *-V .,5v,_V,_V _V., _V DESCRIPTION OF WORK • - ' ." - •'.. DESIGNER'S ADDRESS
- - , -' . ,,.
__________________ 'STATE LICENSE NO.
- -V
SALES - 2068 SQ. FT. V '' '
-.
'-V ,,•
__. ,_, ••. - -
\
- - V -VV-VVVV•-V-VV-V .........-V - V-VVV_ EDU F/P .FLR ELEV.
_V - , NO - .0CC OP ' V• VV-V
VDND , B
• PARKING SPACE" RES UNiTS GRADING PERMIT ISSUED''REDEVELOPMENT
-STORIES---_-V-V
TYPE 'FIRESPR''AREA 0CC LOAD 7CENS~PS TRACT
CONST
_nD N0 . nD-NO. ,. ... .. VN,... _. vD ND - . , . Not Valid, Unless, MachineCertifi&
OTY.
- - !75 - . QTY. • PERMIT- ISSUE -MECHANICAL s.. .../51Q . -- - .-- -'V .SuMMARY/ACCOuNT-NuMBER---- ---
-
PLU.MBI.NG'PrERMlTISSUE - '-"n'- " ', - '0 • .iV'
EACH FIXTURE TAAP'T -V -V 7' - ' ', INSTALL FURN.-DUCTS UP TO 100.000 BTU- - BUILDING PERMIT 001-810'00'.00'8220
-
EACH BUILDING SEWER- -- '1 • ' V ' -' - - OVER'100V000 BTU '' ' SIGN PERMIT 0. 001'810'00'00'8221
7 'EACH WATER HEATER ANO/ORVVV,ENT.3 — .-' ' - - BOILER/COMPRESSOR UP TO 3 HP-- PLAN CHECK- V •-- 001-810-00-00-8891 - --
EACH GAS SYSTEM 1 TO 4 OUTLETS . ' BOILER/COMPRESSOR 3-15 HP, - s , TOTAL PLUMBING 001-810-00-00-8222 - -
- EACHGASSYSTEMSORMORE -- _,_. METAL'FIREPLACE __--( _' -' _- -ELECTRICAL -,.001-810-00-00-8223 -
L EACH INSTAL., ALTER, REPAIR WATER PIPE1..- - - - , , - _.. VENT FAN SINGLE DUCT - _- . . , - -,'---.--c--- -MECHANICAL----0 __001-810'00-00-8224 ,'-"•-'.-.-_-
'EACH VACUUM BREAKER -p"--" _, MECHEXAAUST _HOOD/DUCTS .'- -V -. -MOBILEHOME --OO1-810'OO-OO-8225 - ' • -
WATER_SOFTNER-V RELOCATION OF EA FURNACE/HEATER r SOLAR 001-810-00-00-8226
EAC'ROOF'DRIN_rIN)DEl ---v---' _. --,, DRYER,VENT _-- ___•._... -- MQ
-' ____.'_., __- __..t' e -i'-• - - TOTAL MECHANICAL
21.
-
: __________STRONG
- TOIALPLUMBING _ , -- - - 2
VV PUBLICFACILITIES'FEE ___320'810-00-008740_-- "-i---' '-- -- -
I
OTY
, - • . , '. , 4- ELECTRICAL PERMIT ISSUE
at • ' '
' 5'V QTY V • _/_'4 ,
MOBILE HOME_SE/'- -_m\ BRIDGE FEE _ 'P 3,0
;rt._..70'8740 - -
PARK-IN-LIEU (AREA
EVCO~Si-EA .'S _ - ' 'n' • CARPORT, ______
-'/ _. -_.' TIF _'-CIt_nf-CA°_A
IPH _u _\ __3_PH _ôo k AWNING
LA 1fIPMENT_PR1 s EXISh%BLOG EA'AMP/SWTBK'R -- f"t' Cm -- ' GARAGE _, _--- . FMF
(PH •. ___-,-_._V3PH _1---'--'-- ' - - "----'.-- _-•-_-,-_'\ _.- ' LICENSE-TAX -. - -0O'1'S1O'O0'O0-8162'
- ,EODELi:ALTE __ER,CIRCU)T •, _-_- -, _,r.y.• - I '
'_\3 MFF - '' 880'519'92'57 _-
- rEMP.PO,LE,20AMPS\- i: - _---"
'TO'VEI200AMPS1 _'- _,, '.
TEMP OCCUPANCY)30DAYS)
I - -V — CREDIT DEPOSIT
- - - TOTAL EUEL1RtCAL '''
Vt— - 1 e,. • •-' --V - ;_TOTAL' ,
• V
* - TOTALFEESPAYABLE,_d/yc 97 ' -
I HAVE CAREFULLY EXAMINED THE COMPLETED ';APPLICATION ANDPERMIT" AND DO HEREBY Expiration, Every permit Issued bthBuiIdir Official under the provision u'of this - *' AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY, UNDER PENALTY OF PERJURY THAT ALL INFORMATION' HEREON INCLUDING - THE shallCode rPIr6hbY limi
permi
tation and become is not
d flu an
within
8,0od It
days :he building 0 work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorize rom the clateof such -DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF PERMIT IS. permit. or if building or work authorized by such permit is suspended of • - - STRUCTURES OVER 3 STORIES IN HEIGHT
CON- ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING abandoned at any time after the work is commenced for a period 01180 days., t-
.-STRUCTION,"WHETHER-SPECIFIED-HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , - " APPROVED BY - --
KEEP HARMLESS THE CITY OF CARLSBAD 'AGAINST ALL 'LIABILITIES. 'JUDGMENTS. COSTS AND AP T S ShtAiRE -- -- OWNER C1 CONTRACTOR j - -- ,,.,.,, - ,, - DA -
-EXPENSES WHICH MAY IN ANY-WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE - . '11 • '
GRANTING OF THIS PERMIT. , ,
-
BY PHONE
. I
FIELD INSPECTION RECORD
—REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
OVER 2000 PSI
STRUCTURAL CONCRETE
PRESTRESSED 114 .NCRETE
'.P.OST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ' \ BOL1S
SPECIAL MASONRY
PILES CAISSONS
. - .{ .•-) 3 t\
- •-..
99 0
3
INSPECTORS NOTES '..•' •••
•
,?.•. %iV
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME Li FLOOR Li CEILING
SHEATHING LI ROOF LI SHEAR _. __
FRAME EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL ¶7'7fA
PLUMBING
Li SEWER AND BL/CO Li PL/CO
UNDERGROUND 0 WASTE Li WATER
TOP OUT 0 WASTE Li WATER
TUB AND SHOWER PAN
GAS TEST TEST
Li WATER HEATER Li SOLAR WATER
ELECTRICAL
Li ELECTRIC UNDERGROUND OUFFER
ROUGH ELECTRIC
Li ELECTRIC SERVICE Li TEMPORARY 1SDA2
Li BONDING Li POOL vsp4itl -.
MECHANICAL
Li DUCT & PLEM., Li REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS I OF
CALL FOR FINAL INSPECTION WHEN ALLAPPROPRIATE -
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING -,4/ 7°J,*L
ELECTRICAL
MECHANICAL / ft-, /7k2vP
BUILDING .
SPECIAL CONDITIONS
1 4
B UI L 0 I N G P £ R MI .T , Permit N6:,CB982503
09/04/98 12 49 Project No.:--A9803300
Page 1. of 1 £ Development No * - - Job Addres.s:: 2525 ELCAMINOREAL Su.ite:,'159.
Permit Type COMMERCIAL TENANT IMPROVEMENT , .4
Parcel No 156-302-09-00 Lot# -
Valuation 2,500 Construction TypeyN
Occupancy Group Reference# Status ISSUED:
Description REMODEL STORE FRONT AND MOVE -*Applied 08/07/98
STORAGE ROOM WALL' . Apr/Issue 09/04'98
Entered By MDP
Appl/Ownr ROSS VICTORIA 6l9,259-88O7
259 SOLANA HILLS CT 0831 09/04/98 0001 01''02
SOLANABEACH 'CA .9207,5 C-PRMT i2".00'
Fees Required F ees ollected & Credits
: IT .00 T :
Total Fees 12 00 Total P yen 00
e,716 V
. Fe Exe Data. - ------------------------
Plan' A 34.00
1.00
,,-Remodel/Alter Per-AM '25 00
10
_
-
,FINALAp .,OVA L
9/, INSP DA E 921 '4. .' - -' a - - - a.
- 4 ,1 CLEARANCE.
.
' ' .
-. - . - -
-
-'
:
- . CITY OF CARLSBAD - ¶
2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-1161-1.-
- - '- -. 4.. •c - • •• •
.
-.
- •. - . - - - •. - S •
'
FOR OFFICE USE ONLY.
PERMIT-APPLICATION PLAN CHECK NO. 705- j
CITY OF CARLSBAD BUILDING DEPARTMENT- EST. VAL.,
2075 Las Plmas1 Dr, Carlsbad A 92009 Plan Ck(DePoslti _P .
76O)'438-111 . . . -n'-- - - •'-- Validated-By ___
Date__________________________________ '-
- - .. - -. ---.--.-,• - .- - . -. -- - - - - - - . 4,
1 PJECTi N
1 '252 El:--Camino Real- St. 159'' VariationsImports -
Address (include Bid Suite #L, -. . .. . - Business Name (at this address)"
I Retail Store, Plaza Camino Real Mall .,. .159,,, •-, ..,
Legal Description- ' ' Lot No. - Subdivision Na,pie/Numbe - Unit No: Phase No: - Total # 01unit4s
_-. -,. -,,, •., Shoe StoreRetai-l) .Inports. Store,,(Retali:) 'I
Asseso 's Parcel # Existing Use . . Pro osed Use.,
Ad d' Storefront7 Remove7Rep1ac& t Partiion I N /A,
Description of Work- - - '- - --i- --- SQ. F1'-"--- - - #of Stories - - - .' -# of Bedrooms-- ---'-- --- # of Bathrooms
- - _ , . - .' a.; '- . ., - . -' - - -' C -* ?'.
,
.Victoria Ross 259 Solana Hills Ct So1ana.F I Cs.. 9 2'0_;-)-(6'_')_)259_8807
,Name - '4 - - -'t' - - "'Address"- -- - . -'--"- - -----City- — State Zip Tj4-phJr e #'
.---, ,-- .- -- --.---. -,- --.---------- -- - -- _---.--, - -. liar
Victoria Ross. .259. So-lana..T-iilAs Ct. ---S1n- Prn Ca. - P (±c) 29-8r7
Name— - * •- Address - - - '- - City - -' - — State Z p -- - Telephone C -
47PROPEW
WestfielcCdrp. _D 'I) I Ui1shire Blvd, 1 2t11 Fl.. Los A r:l is C -. '°O2 .
Name Address
. -- Sta,te Zip -. Telephone 7 8 4456
DRECOMPANYANAME
(Sec.,7031.5 Business and Professions Code:_Any City.or.County which requires a permit to construct, alter, improve, dernolih o.repairry structure: pri&,toits,,,
'issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of th Contractor's License Law
[Chapter 9, commending with Section-7000 of Division .3 of the Business and Professions Codel or thathiis-exempt.thérefrom, and'the basis1foithe illegWd
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 ($5001). •,
.WestCoast.Woodworkers2588.-proaress.-S4j'..Vif'a..Ca'92083 (76O) 598-3I19'- -
Name Address ,
.,city 1' .X) '-" State/Zip i .Telephone #
State Licei# 736383 ' Lic'nse Class' c6' 1 - CityBuisLicse# BL0046'46 Vista Ca. )
- Same . -
Designer Name -t . ,83
$ . r Address . -- . . State/Zip *,Telephone
~,73
... ', a' ..,. L;:J '. .'.' . • i -
- . State License #
WORKRSçQPENSAThQ '
,Workers' Compensation Declaration: I hereby affirm under penalty of perjury, one of the following declarations:
I ...I P -'' -.• - . . D I have and will maintain a certificate of consentto self-insue' for'.i v.rk'ers'-comen'satio'n as pràvided by Section 3700 of the Labor'Code, for-the performance
of the work for which this permit is issued.
have and, will, maintainworkers' compensation,- as required by Section 3700 of the Labor Code, for the performance -of the'workfor which this permit is -
issued. My worker's compensation insurance carrier and policy number are: , 1. (t$* , r • . •x .t-. '-
rannanCa1coitlP ' - 'T - iW94A11'225O",. rtnat O'tT.28,T98 I- - • - - • • - .4 .41'. - . ... -- 4 1(THIS SECTION NEED NOT-BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)- - ---- - - . --'--- - - - - -
o CERTIFICATE OF EXEMPTION i I certify that in the performance of the work for which this permit is issued I shall not employ any person in any rnanne so as
to become subject to the Workers' Compensation Laws of California.
- - -" '-NJ- - • - ) ,t, •'' 'I _.i
LWARNING: Failure to secure workers' compensation coverage is unlawful. 'and shall subject en 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. . - - - - •-- - .,_ -- ----r---------- - • - - - -* - -- - .----. * - .-_ - a - - ._ - - - - -- - - .',- " . -p . - - - (SIGNATURE . ' DATE '-. . •i ';
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Iv çr. . • i "1 • 'i'-. - L.,-ct a------------- ---- -• --------- • - - r- -.---- - .-.----------- - • - - ,..,.L, .. * ,_ - - • -
0 I, as owner of the property or my employees with wages, as their sole
'
4compensation will do the work and the structure is not intended or offered for sale -
1(Sec. 7044, Business and. Professions Code: The Contractor'sLicensé.La4does.not aply.to an owner of p'roperty whO builds or. improvs thereon,- and'ho ddes -
I 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 purposeof 'sa'le):--
C3 _l as owner of the property, am exclusively contracting with licensed contractors to construct theroject (Sec47044 Busunss and Professions Code The
IContractor'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) - _ , . I.
0 I am exempt under Section ____________ Business and Professions Code for this reason: . - -- , ,- .--- _t -- -
1. 61 personally plan to provide the major labor and materials for construction of the proposed property improvement DYES IDNO -, ;: •- - - -
2.. I (ha ve / have not) signd Wapplition for building permit for throposed k. I • , • 3--I have contracted with-the following person (firm) to provide the proposed construction (include name-/ address / phone number /-contractors license- number): - ii - 4 ' - - - , .. -, -. ...........-. - - - - ...', •_ .. 4 ! -
.4:' I'pIi oprovidertionsof the work, b' I have hired tfollowingirson to 'ordinate, suevie and provide the major work (include name address phone
- rnumber/,contractors license number(: • - ':' b4-t-' 'r -'. . ii_-
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include nameiaddress/ phone number-I type(
j,of work):
.PROPERTY OWNER SIGNATURE ..----.-.----- _.-.-..-------- ___- __-- .DATE
CPtETEtH1SECTIN
- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk rnanagement:and prevention •.
,
,
program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?D YES )" NO'-"'
I4- • -. -. . 'i--'- - $ • . - t' t ' - .. .' - - a'' - t'. • ls the applicant or future building occu pant required to obtain a permit from the air pollution control district or 'air quality management district? 0 YES XNO j
Is the facility to be constructed within 1,000. feet of the outer boundary of a school site? D YES XNO
,IF ANYOF,THE ANSWERS AREYES, A'FINAL CERTIFICATE OF OCCUPANCY MAY NOT-BE ISSUED UNLESS THE APPLICANTHAS MET,OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
F8-rCONSNRJJCTIONILENDING__AGENCY 2 -
'I hereby affirm-that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code)." -It
J
LENDER'SNAME _''._a LENDER'SADDRESS _______' _t' _•- cl i___f'4 f,--
- -- -: - :-::: - - - -: - -
I • - *.,-•, ., _4, •. , ••. -- I --------- 4 . - , -. • --., $.J -' 1I certify that I have read the application andstate that the above information is correct and that the information on the plans is accurate.' (agree-to comply with all $
jt er City ordinances dnd State Iaws*relating to building construction. I heby authorize repreCentatives of the Citt' of Carlsbad: toenter upOn thbove mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS-THE CITY OF CARLSBADAGAINST ALL LIABILITIES,
JUDGMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - - a - - .4. i -- ' i I • 'fl! .J • - A. - -------- - -- - 14 - ' ' ' - - 1 - f. OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height
- I' i • ,.' 4 1 , -. .., pI_J ?- .,. -1 t, 14 ' I - ----
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 I - -
or abandoned at any time after the wo - ommenced r a cd of 180 d s (Section 106.4.4 Uniform Building Code):- '' - - - ---------,'
1APPLICANT S SIGNATURE 3ç1I_1 _a DATE
- • '' WHITE File 'YELLOW: Applicant - PINK: Finar ' ic' T' • - ' -
r • - - *-__'_
4,.-. -
-
-
-
CODE PLUMBING
21 0 Underground/Under Floor
'22 0 Sewer/Water. Service
23 0 Gas/Test/Repairs '
24 'D Rough/Topout
'25 - 0 Water Heaters/Vents,
26 0 Plumbing Repairs/sprinkler
29 0 Final
CODE . SWIMMING POOLS/SPAS
51" '0 Excav/Steel/Bonding/Fence.
52 : 0. Underground Plumbing
53 0 Electric/ConduitPvViring
5.5. 0 Fence/Pre-Plaster
57 0 Guñite
59 0' Final '
- .,.-
QIit of t!tarløbub
REQUEST FOR INSPECTION RECORb:
TIME: 4
INSPECTOR PERMIT NO. bATE:
ADDRESS t€_' .St' \3r ' '•
REQUESTED BY '. - PHONE NO. " .
PERSON TAKING REPORT:
CODE STRUCTURAL CODE . MECHANICAL
11 0. Ftg/Foundation/Piers (rebar) 41 0 Underground Ducts
• 12 0 Steel/Bond Beam . . 42 0 Flues/Vents
13 0 Shear Panels/HD's (o.k. to wrap) . . , D '. Air Cond/FurnaceSet .
14 0 Frame/Steel/Boltirg,'WeIding (Decks) ' 44 0 Rdugh/Ducts/Dampers .
15 0 Roof/Reroof (Patio) 45 0 Hoods .
16 '- 0 Insulation' ' •• 46 0 Repairs
17 0 Interior Lath/Drywall - 47 .0 Fireplace/Chimney
18 0 Exterior Lath/Drywall (Nail/Screw) . .. 48 , 0 Exterior Apliances
,T I' . '•• . 49 0 Final
CODE .. ' ELECTRICAL CODE - .. ' COMBINATION
31
,
0 Underground/Conduit-Wiring 81, 0 Underground'ConTho(ll, 12,21,31) .
32 0 'Const. Service/Agricultural (Temp Electric ,82 0 Drywall, exteriór'Iath, gas'test(I7, 18, 23)
33 ' 0 Service Change/Upgrade * 83 0 Roof Sheathing-exterior shear (13, 15)
34 ' 0 Rough Electric 84 0 Rough Combs (Ceiling TBar) (Grids) (14,24,34,44)
38 D Signs .89 "0 Final Combo (19, 29, 39, 49) .
-39 0 Final -'
- . •'
CODE - '-: MISCELLANEOUS . ' CODE ' ' MASONRY
71 0 Set Ups (Mobile Home) ' , . 61, 0 Footing (Masonry)
- - 77 . 0 Under Floor Bracing (Mobile Home) '- 62 0 Steel/Bond Beam (getting ready to grout) • -
D Other-Specify -. , . , .65 0 Retaining Walls
Special Instructions:
-
' . .
'
*•. -
Ready for inspection 0 Monday. 0 Tuesday. "Wednesday ' O. Thursday 0 Friday