HomeMy WebLinkAbout2525 EL CAMINO REAL; 164; STE 164 PRE 2016; PermitMODEL NO. 9/2 /793750 . 9/24/79 196411 TtA BUILD1G
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. _____
JOB AOOR ESS
,'
I ASSESSORS
PARCEL NUMBER
LEGAL 1 OESCR.
I LOT NO. I TRACT I ()JSEE ATTACHED SHEET) BOOK PAGE PAR.
OWNER MAIL ADDRESS
2 V"C
ZIP PRONE
CONTRACTOR MAIL ADDRESS
V4WWOvsL2l/c.
P HE STATE LIC. CITY LIC. NO.
MAIL ADDRESS ARCH TECT OR DC IGNER Be
Tkw 1A Zs'ô V,/e1_Z3,
PHONE
-zir
LICENSE NO.
ENGINEER fMAIL ADDRESS
5
PRONE LICENSE NO.
COMPENSATION IN ARRI E. MAIL ADDRESS
6fr
BRANCH
USC F BLIILOI G
NO. BDRMS __________ NO. BATHS__________
8 Class of work: U ADDITION AALTERATION U REPAIR U MOVE U REMOVE
9 Describe work:
10 Change of use from L
S
Change of use to
11 Valuation of work: $ PLAN/HEC rFEE $ ldw ! ~4 PERM $ /FIE
SPECIAL CONDITIONS: . Type of
Cons .
Occupancy
Group
MICRO FILM
5'
Size of dg.
(Total) Sq. .
of
Stories
Max.
0cc. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Elves ONO APPLI.ØfONIkCCEPTED BY. I PLANS CHECKED BY
j TE ZA!L
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No. INo,
Covered Sq. Ft. Ooen
NOTICE .
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB.
ING. HEATING, VENTILATING OR AIR CONDITIONING.
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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN. OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMPNCE OF CONSTRUCTION.
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
RE OF " CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ ____
I:
MODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS % A0 ASSESSOR'S
PARCEL NUMBER
LEGAL
LOT NO. BLK
.
TRACT
ILJS(E ATTACHED SHEET
DESCR
)
- BOOK PAGE PAR.
.
I I
OWNER MAIL ADDRESS
2 T7 Sin
ZIP PHONE
CONTRACTOR V MAIL ADDRESS P NE STATE LIC. N,pi- CITY LIC. NO.
V84i5½1/?t2At.$)4JC /7i?SSt C0/kLi Lt83 37 'L3"
ARCHITECT DR DESIGNER MAIL ADDRESS
JcAW/M/ei- Mo #epotC.cifrerPr.
PHONE
-t'r
LICENSE NO.
ENGINEER S MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS. ,ARRI ERH MAIL ADDRESS BRANCH
6
USEOF, BUILDI G f)
7 <'1-(:L,$ NO. BDRMS NO. BATHS__________
8 Class of work: LI ADDITION ILTERATION LI REPAIR LI MOVE Li REMOVE
9 Describe work:
10 Change of use from q •-
Changeofuseto J/ )
11 Valuation of work: $
PLAN CHECK J?.tj $ .f.4"PERJ,E
SPECIALCONDITIONS: Type of
Const:
Occupanc
y Grou'_f _'2.
MICRO FILM FEED
-. Size of '0)4g.
(Total)S1 7EJ1 /..' T01
Stories
Max.
0cc Load
.. Fire "
Zone
Use
Zone
Fire Sprinklers
Required Lives ONO' APP 4CCEPTED BY. PLANS CHECKED BY AP)ROVEgFOR CE Y
OFFSTREET PARKING SPACES
DATE___ Dwelling Units
-
No. No _Covered [sq.Ft. _Open
NOTICE SpecialApprovals Required Received NotRequired
PLANNINGDEPT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
OTHER(Specify) MENCED.
ENGINEERING DEPT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
WATER DEPT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING OF CONSTRUCTION OR HE PERFORMA C CONSTRUCTION. 44,E
,'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT •(6ATEI
SIGNATURE OF.OWNER (IF OWNER BUILDER) (DATE)
- WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
- TOTAL FEES$
INSPECTOR
a
•
PLUMBING PERMIT APPLICATION 49°
City of CARLSBAD, CALIFORNIA 92008 ..
Applicant to complete numbered spaces-only.' Phone 729-1181 Permit No. 21 VI JON ADOR ESS
LEGAL 1DESCR.
LOT NO.
I
J BLK
I
TRACT
—
PHONE MAIL ADORES ZIPS
c--ec Cc', is L, /RJ /( 4
CONTRACTOR MAIL A DRESS PHONE S1#ATE LIC, NO,
-' 1i2 ?? T i4
CITY LIC. NO.
/iô•
4
ARCHITECT IGEA MAIL ADDRESS PHONE LICENSE NO.
ENGINEER MAIL ADDRESS - PHONE LICENSE NO.
. BRANCH COMPENSATION (Ns. CARRIER MAIL ADDRESS
6
USE OF BUILDING -e Sz
8 Class of work: NEW EOITION E ALTERATION D REPAIR
9. Describe work:
•1- L2ñ /_ 1atJ—' •/ ,7)
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: TT WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
- . KITCHEN SINK & OISP.
DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY (APPROVED FOR ISSUANCE BY.
LATE
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER -
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
PE'RIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
; -
:JHEREIN
URINAL
DRINKING FOUNTAIN .
FLOOR—SINK OR DRAIN _ ..__.
- SLOP SINK - - I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
___________________________________ GAS SYSTEMS NO. OUTLETS
- ' WATER PIPING & TREATING EQUIP.
I WASTE INTERCEPTOR
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING VACUUM BREAKERS -
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS - - - CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OpUFHORIZED AGCNT
•
I ATE)
•
_____________________________________________________________ SIGNATURE DP OWNER (IF OWNER BUILDER) (DATE) •
, , ISSUANCE FEE $ -;-
TOTAL FEES' ' $ - WHEN PROPERLY VALIDATED.(IN THIS SPACE) THIS IS YOUR PERMIT -, PLAN CHECK VALIDATION . CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. • CASH
/3 ——•
- -• V - . -
APPLICATION FOR SIGN PERMIT
ClT OF CARLSBAD BUILDING. DEPARTMENT ..-
- p .1200 ELM AVENUE - FEE: 4
CARLSRAfl CALIFORNIA 72q-11R1
- PERMIT No.
S -. -00
Owner's Name oy .2525 Plaza Camino Real, Carlsbad M.
(PLEASE PRINT) (LAST) (FIRST) (MIDDLE) - - NUMBER STREET . , CITY . PHONE
Contractor . Jackson Electric Signs . Mai ling Address -_4714.Felton St. San Diego .282-2969 -.
rl ,.(PLEASE PRINT) NUMBER STREET CITY PHONE
State Contractor s License No 239993 Classification C10 City License No 18342
Person or Firm •
in control of Property . Mailing Address- . r .1
-.. . - .
. . .- - NUMBER STREET .5 CITY PHONE
LEGAL DESCRIPTION -• - . . .
-
-. LOT BLOCK SUBDIVISION ... -a,.
.• ,•t -S - .
JOB:LOCATioN 2525 'Plaza Camino Real Store 1i
NUMBER. -.. . STREET •.
Carlsbad
'
. Near •, , .
(CITY OR TOWN) . - . . (NEAREST INTERSECTION OR LANDMARK) -
C6ndit. Use Permit or ..Signature
ZONE VARIANCE NUMBER of Permittee
LOCATION:.
,• : . . ..
0
FRONT: feet from center line of street to sign SIDE: feet from center line of side street to sign
Valuationof Sign $ 5OOO9- -. . Area of sign 18 square feet. •- '-. .
•
-. f .
Building Permit Fee .$ Planning Dept Approved by ' Date
Plan Check Fee $ ______________________ Plans approved by Date
THIS SPACE FOR LOCATION SKETCH. SHOW NORTH ARROW ELECTRICAL -PERMIT - ii . - U I. I- I I 1 I H I. 1,1 I I I I I.. I I I-.-d I H-.
Each Sign $5.,00 d -
First 2 Trans :.$3.00 each —
Tadd/@ 50 each
1. to - 10 /ampho/ders - .25 . - .. • . —
• 0 : - - 11 to 25 * .50 -
26t0 50 100
.51 to 100 2.00
101 to 200 3.00 . .
•
DIMENSIONS Material Panel Show advertising copy belo
-lëight - L -Z Length •• Uprights
-Number and size of posts Bracing Bolt to wall-
.NIimb&and-size-of.braces ________________ If neon, show colors ____
Depth inground - Reflector-material? Plastic
Distance between panel and ground Illumination? Yes
Reference to plan on file _________________ Copy on both sides? No
f'AI I Ir\I, Al I iIIC'fl ifric' lrIt'l I irIrit' rIrlAI - Lt-LL run #-LL uI'JrL I IUIW II',LUL)llNJ ruuNML. -- -. -
INSPECTION REQUIRED ON FOOTING EXCAVATIONS BEFORE SIGN IS ERECTED. APPROVED PLANS SHALL BE KEPT ON JOB.
-
••'. -' ;,.'_
., '. . USE BALL POINT PER ONLY.& PRESS HARD *
. .' -.
hereby afflWt I am llcensed.under -
o - provisions of Chapter. 9 (commencing with
1- -Section 7000) of'Divislon'3 of the Business
,and ProfeasionaCoder' and my license is in
full force and effect.
- z j- lic. No. • .........L.. Class
8 -, •. -" " ---. ''
hereby .attlrm_ that .1. am exempt from the. Contrac- _ - tor 's 'License. Law for the following reason (Sec. 7031.5 ¶-
- . Business and firolessions Code:. Any city or county Which re-._ I . qoires, a permit to construct, alter,- improve;, demolish, or
,' " repair any structure, prior toils issuance also requires the, plicant tsr such permit to tile a signed statement that he is -
licensed . Lapursuant to the 4-license w Cha .,provisions, 01. the Contractor's -,
(pter 9 comrnenclnQ with .Section 7000 st. . Division 3 of the Business and Professions Code) or that is ea- - erupt therefrom and the basis for the alleged exemption:. Any -
violation of Section 7031.5 by an applicant for a permit sub-
jects the applicant to civil penalty 01 not more than fivehun-
dred dollars ($500). ' •
. - a,_.' '. , 4- rt."-'--- -
i10 rl, as owner of the property, or my.ernployees with wages
w as their sole compensation, will do the work, and the struc-
0 ." tare is not intended or offered for s' and Profossions Code: iPhe Contractor's License Lavi dues ( not apply to an.owner, of-property who builds or-.Improves
'thereon and, who does such work himself or through his own
,CC .employees, "provided that such improvements are not intend- W -ed or uttered for sale If, however, the building or-improve-- Z went is sold within one year otcomptetion, the owner-builder
will have the burden of proving that he did not build or im- . 0 prove for the purpose of sale).,"-
- - •' ,,D I, as owner of the property, ant exclusively contracting ' - - ,with licensed contractors to construct the project (Sec. 7044,
., . Business and Professions Cede: the Contractor's license
- Law does not apply in an owner of property who builds or im, - 4proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law). - •. ._
-
0 Asa homeowner I wit improving my home, and the follow- - ing conditions exist: .................- The work Is being performed prior Jo sate. h
2. SI have lived In my- home for,' twelve months - O '. prior to completion of this work. W ' - 3.'°I 'have not claimed this exemption 'during the' 3' - , . ' • last th,reoyears..,
0 tamesempttndersec. 4.' f 0 . , B&P.C.
for
this reason
v ','"),t,.'"0 . .
' L.' -• i
- 0 'thereby affirm that I have a certificate of .coesent
il,-v '.1tO -setf-insure,. or e, certificate of Workers'
- CthpensaIion Insurance, or a certified copy thereof
(Sec. 3800, Labor Code).-
z _.POLICY NO
D Copy is filed withe city. s
.' '5- v - -.0 Certified copy is hereby furnished. '..,..
0 '-' 'CERTIFtCATEOF EXEMPTION FROM
j WORKERS' COMPENSATION INSURANCE
hundred dollars 101001 or less) CC uA ~~ti
t in the performance of the work Ior_$0 it is issued. I shaft not employ any
anner so as to become subject to
the Workers Co
''v
mpensation Laws'of California.. ',r—',*' '
.., . NOTICE .10 APLtCANT: If/alter making this Cern
, licate olEeemptionou should become subject to - the Workers' Compensation provisions of the Labor
- -.. Code-you must forthwith comply with .such, 4r prOvusiorrs or this permit shalt be deemed revoked.
1:
'O"l lireb'tfr,m that here' us a construction 1
-' I ..,.lending agency lot the performance 01 the work for
, whih thus pOrmil'.s 'shued lSec3097.'CiuurCodel,
-, 'zi' . .- q' vj'gu , fuji -.-----Lender.s Name. -
- t":-'i- - t '- . L- Lenders Address
C
APPLICANT TO FIWIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-, APPLICAdQ & PER
- 1200 Elm Carlsbad Caiiforrua 92008-1989 (714) 438-5525
JOB ADDRESS . )3- .. AV, ST. DATE OF APPLICATION BU SS LICENSE #
RD.
,c7zg/g.zj
- VALUATION M
1000.
. PERIT NUMBER-'
.-- .52S e44iALO
ZONE • •. - OWNER'S NAME . OWNER'S Pt-tONE CONTRACTOR CONTRACTORS PHONE 0' . - -
4:5
T 71 7ge
OWNER'S MAILING ADDRESS , •.
'
CONTRACTOR'S ADDRESS LICENSE NO. - PLAN 1.0.`# ' BLDG USE CODE' -
757z 3—i' . 7f ,j .:..' ''•
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER LICENSE # STANDARD PLAN # BUILDING SO., FOOTAGE
-
'
-. . .
__________________
.',.-----
.. ' ' -
. ••' -
' --- 9 __ •
DE lPTtON OF WORK - •
DESIGNER'S ADDRESS • , . DESIGNER'S PHONE - . • • . •'. - • ..• -. •
sale (Sec. 7044, Business,'f j F/P
STORIES
F L R E LE V NO 0CC GP -EDU I
y0 ND ,
- , •" '- ' -
• SPACE RES UNITS GRADING PERMIT ISSUED TYPE 0CC LOAD FIRE SPR CENSUS TRACT -' OP LAND USE -
.
1-PARKING
1 ' • - ..
R EDEVELOPMENT, ..4.'. • --,-.-.'-.AREA - - --'ui- --'CONST c_'_' '" ''" ' • ''
4 r' " . ' ' ,' 'tD N 0,. - — - YO NO , -. . - YO NO, - Jot1ya/idçJnIessMchineertiiied
'ISSUE OTY 'PLUMBING QTY MECHANICAL PERMIT ISSUE 3o SUMMARY/Ac 82 3. I PERMIT
- EACH FIXTURE TRAP , - 'a -, , , -, ) INSTALU FURN. DUCTS UP TO 100,000BTU - - , - BUILDING PERMIT , , 01-00-00-8220
- 17;
C'.'•EACH BUILDING SEWER - - ' -• . • --.. -: . - • . OVER 100,000BTU . ,p,.., a.' . . SIGN PERMIT • - .-. - .01-00-00-8221
EACH WATER HEATER AN4'R • .VENT - --- BOILER/COMPRESSOR UP TO HP . ' -' 3 -' •' • . - - • - 01-00-00-8806 - 'PLAN CHECK , • .'
- EACH GAS SYSTEM 1 4 OUTLETS - . • ' ' - BOILER/COMPRESSOR 3-f,5 ' S-' - '. -.' - • TOTALPLUMBING • '-01-00-00-8222 - .- -
EACH GAS SYST 5 OR MORE ' METAL FIREPLACE -f -'
"
,., ., ELECTRICAL or 01-00-00-8223
- r, EACH INS T ,,ALTER;REPA'IR WATER PIPE - - -- '. VENT FAN Si E DUCT - , . - - ' MECHANICAL - 01-00-00-8224 • - -. - . . '
EAACUUM BREAKER -----" -
. .
-' '' MECHEAUST - HOOD/DUCTS ' - .,-. - MOLEHOME -• . 01-00-00-8225
- WATER SOFTNER RELOCATION OF CA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE), . -. . ", '
- , -, - • t- ' * 'SOLAR • '' ' 01 _0171-0171-1122f; - - '— -u -- r—" -n--' -: -- •TOTAL MECHANICAL,— :
I - - - , '
' • -' - '
STRONG MOTION • - - 80-92-33-0519' -- - " -
• - TOTAL PLUMBING-' - , I - ' - ' FIRE SPRINKLERS 01:00008227 "
QTY' ELECTRICAL PERMIT -'TISSUE
0 - ' . - ' QTY. S OLAR - ISSUE • - • - . .
PUBLIC FACILITIES FEE 32-00-00-8923
* -. COAPY flu . • '''' .*4)'o,_' • ' 4 BRIDGE FEE -
NEW CONST EA AMP/SWT/BKR - - COLLECTORS - a SCHOOL FEE DISTRICT
1 PH - -f ' ''3 PH .' STORAGE TANKS Carlsbad 80-92-21-0519
EXlST,BLOGEA'AMP/SWT/BKR -- - '. - ' AOOK TORAGE '' ' ' - • - Encinitas u- -- - ' -80-92-22-0519
- •.(This section need not be completed 4 the permit. 1 PH 3 PH PUMP San Dlegulto 80-92-23-0519
- REMOOEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 8092240519
TEMP POLE 200 AMPS - - -- -
--OVER200A 'MPS-- --c... , -'t ' - - - I - - 1' • - - '.. -. - - • - -' -.'- •.- ..
TEMP OCCUPANCY (30 DAYS) a - '-S. •- - - -4k- - - - — -' ---w--•--
______________________
TOTAL ELECTRICAL
''•••)
r TOTAL SOLAR 4 TOTAL FEES PAYABLE - - F -
- ' -• ,.-_. .-.--.----a -. . .. L. . .' -, 5 -' - LJ•
IHAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANL PERMIT" 'AND DO HEREBY Espi?alion. Every permit issued byfheBuitding Off iciI tirtderthe provisi6ni o(Ihis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
.0 de shall expire by CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE :dbUCheI8 is f
become null and void. If the building or work 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF menced within 180 days from the date of such - uthoriz
permit, DECLARATIONS-ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCTURES OVER 3 STORIES IN HEIGHT or if the b' or work jthoriz by such permit is suspended or GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS abandoned at anyfIge ae the work is commence for a period of 180 days. - -_-
. -
'
EXPENSES
- KEEP HARMLESS THE crry OF
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY APPLICALSP(~g4,~~T~i * 7)OL LIABILITIES, JUDGMENTS, COSTS AND WNER 0 CONTRACTOR APP VEDBY
WHICH MAY IN ANY WAY ACCRUE AGAfNST SAID CITY IN CONSEQUENCE OF THE
-
BY PHONE 0 - - t.
- -. GRANTING OF THIS PERMIT.
- ,'q' -' -- - ,•a •-,-.-
-
S - -- ,.,, - I '--
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION-
REINFORCED 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-
TEMPORARY 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 INSPECTION WHEN-ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL . . .
MECHANICAL
BUILDING
SPECIAL CONDITIONS
CERTVOF OCCUP' ISSUED
V.
\V
FIELD INSPECTION RECORD
V V
V
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES, .
INSPECTION REQ. IF
CHECKED APPROVAL DATE INSPECTORS
V
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
- V
V
POST TENSIONED
CONCRETE
FIELD WELDING .
V
HIGH STRENGTH
BOLTS
SPECIAL MASONRY -
PILES'CAISSONS
-
V .
5 . • , J -. . . .. .. USE BALL POINT PEN ONLY.& PRESS, HARD . :.. - . -. • APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
FZ1 I hereby affirm thaI I am licensed under
OI'tprOvlelone of Chapter 9 (commencing with $
Section 7000) of Division 301 the Business I'
rand Professions Code,' and my license is in
- full force and effect.". ............-- '
'C., -C -' p . I.... I hereby 'ailirm that I am exempt' tram the Contrac ',tors Licenses-Law for the following reason lSec 7031.5
Business and Protessions Coll Any city or county which
-
re-
quires a permit to Construct, alter, improve, demolish, or
repair any strocture, prior to its issuance also requires the ap-
p Ii
cant. for such permit to file a signed statement that he is
licensed pursuant to I he provisions of the Contractor's
License Law (Chapter 9 commencing with Section 7000 of
0ivisioo 301 the Business and Prolessions Cudel'o'r that is I-
empt therefrom and the basis for lheallegou exemption. Any violation 01 Section 7031.5 by an applicant tnr,a'permit sub" I
- .. ..ads the applicant to
- a civil penally Of not.more Captive hurl i dred dollars 105001, -
' I
-Il :l.ras owner at the property, or my employees with wages
19 e • 1as their sole compensation, will do the work, and the stroc'
a lure is not intended or uttered for sale (Sec. 7044. Business I
and Professions Code: The Contractor's -License Law does 3 not apply to an owner of property 'who builds or improves
' thereon and who dnes,suth work himseli or 'through his own I
._ emptoyees provided that such improvements are not intend-lxi ... ad or altered for sale. .11, however, the building or improve- Z moot is sold wijEio o,ye'ar of completion, the owner-builder I
3 will have the burden of proving that he did not ,build or irn', 0 - prove for the purpose nt)sle).
I'] I. as owner 01 the property,' am exclusively contracting i S with licensed contractors to construct the phoject (Sec. 7044.
Business and Professions Codd': The Contractor's License) Law does not apply to an owner 01 property who builds or im-
proves lher000: and-who Contracts for each projects with a
contractorisl license pursuant to the Contractor's License I' Z - LWi.' • - i' ,
'-'5 ' . I
- 0. As a homeowner lam improving my home, and the tallow' I 4 iog conditions exist: 1 . 1 $ .The work is being portormed prior to sale.
I have lined in my home for 'twelve months prior to completion 01 this work," T. us ' ' 3: have 'not êlaimed this' exemption during the
'5 0 l I
ast three years.
0,1 aoernpt under Sec. ' ' B & p5.c. r r,- forthis reason -. • '. - , !I I -
'i' •' ,, . 07 i hereby attirrrr that I have a cerfiticate of consent to I
OP
utme.
l.irsure. or a cerriticare of Wurkers' Compensation In. I -
or aCertified cepy thereol ISec. 3800. Labor Codel
UCY'N0.1!iE
_ E/op"is filed with the City
Certified Copy is hereby 1rr0i1red ',,_, -
_
o .,' •.' CERTIFICATE OF EXEMPTION FROM I
C) •' - - 'WORKERS' COMPENSATION INSURANCE '5 IThissection need not be Completed if the permit
,' - is for one hundred dollars lsroel or less)
:1 certify, that in the performance of the work for which
this permit is issued. I shall not employ any person in any I. 0 manner so as to become subject to the Workers' Compel 3 5afon Laws of Calitornia.
',NOTICE,TO APPLICANT: If. afteiking this Certiticate <
.of Exempt ion. you should become subject to the Workers'.
- Compensation provisions of fhe,Labor Code, you must 0, 4forthwith , comply with such provisions or this permit shall (
,be, deemed revokeds-. 'iil
hereby aftirm tbat there is a c000troction lending
'agency 11.ox tire pertormavce of the work for which this P.
a) 'mit Is issued
Lender's
(Sec. 3097, Civil Code) _, '. ,.,. - ZI ...... .... l&i ( r's Name , , a
I Lender's Address . . . a ,
A.
* -
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr.,Carlsbad,-CA_9?009-4859(619)438-1161, APPLICATION .&PERMIT re—,. _
-.
JOG' ADDRESS r ' AV. ST. RO. NEAREST CROSS ST. DATE
#4 t
___
F APP ICAT16—N BUSINESS LICENSE VALUATION _.PEITNUMBER
•
LOT \ _BLOCK _\j1SUBDIVISION _ASSESSORPARCELNO_ - CONTRACTOR j --CONTRACTORSPHONE# ZONE - V
OWNER'S NAME - - . . .OWNERSPHONE
' - BUILDING SO., FOOTAGE CONTRACTOR'S ADDRESS STATE LICENSE NO.
OWNER'S MAILING ADDRESS ____ -
DESIGNER
DESCR7NOF WORK .'__.• Za
DESIGNER S ADDRESS STATE LICENSE NO. J . . 1()04 02/18 0101 021dPmt . 755.4
F/P R ELE V. f NO EDU - - -
a "ONO . . - ' •
STORIES',..
. --
-
PARKING SPACE RES UNITS - GRADING PERMIT ISSUED'
'
REDEVELOPMENT,.
AREA, •
I , TYPE.
CONST
0CC LO xI
•
r.4RE SPA
' '
- 1 0 o 0 _Y 0saD J _ND Not Valid Unless Mac/tine Certified
QTY.
' -
" _(
' PLUMBING.PERMIT-ISSUEI
•
'1 QTY. MECHANICAL PERMIT'.
. (re,7. - -
°°'ESUMMARY/ACCOUNT • O ISSUE r—. NUMBER -. I , ' ' ' __. -Z C _-'
EACI'5FlXTURETRAP1 __** INSTALL FURN_ DUCTS UPTO 100_000BTU - BUJ,DINGPERMIT)001_81000008220 .
_ /
EAi-I OJNö,SEWER")'\'N.__• ' OVER100,000BTU ' SIGF'.PERMl 001'810-00-00-8221-' .
Li'' TEACH WATER HEATER _AND/OR VENT -. _-, - BOILER/COMPRESSOR UP-TO 3 HP •* , _• PLAN0HECK ,*001'810'00-00-8821.... _1I_
CH EAGASSYSTE1ITO4OUTLETS _- - '•. BOILER/COMPRESSOR315HP___- ' ,
_
T0TACPCUMBI 001-810-00-00'8222
'EACH'GASSYSTEM_SOP MORE _"•-' _-' METALFIREPLACE-. _.'- ' ' ' .'ELE1'R(CAL__'-001-81&0O-00-8223 - '.•_
EACHINSTAL.. ALTER, REPAIR WATER PIPE- , . - - VENT FAN SINGLE DUCT -. ''..~0.4_MECHANICAL lb —4001-810-00-0 0-8224 --"7!_-
-, EACH VACUUM BREAKER- ...- ; • MECH EXHAUST - HOOD/DUCTS .•,' \\__l0BILEHOME _001'810-00-00'8225
W'ATERSOFTNER'-, _* -'*--'' RELOCATION-OF EA FURNACE/HEATER r *. SOLAR 001-810-00-00-8226
EACH ROOF DRAIN IINSIDEI ' , DRYER VENT ' 'STRONGMOTION 880-519-92-33
- .• ' -'' ' • TOTAL MECHANICAL.
'- . - - . - . '•
*
.,-
FIRE SPRINKLERS 001-810-00-0 0-8227
,... 4 TOTAL PLUMBING Ir a - . PUBLIC FACILITIES FEE _320-810-00s-00-8740 '
QTY. ELECTRICAL PERMIT -ISSUE - -. - -QTY, 4 MOBILEHOME_SETUP
BRIDGE FEE ' - 360-810-00-00-8740 ' '
PARK-IN-LIEU (AREA .) .
A * - NEW CONSTEAAMP/SW1_'BK R •- -._'.- .- . • CARPORT- __-.
1 -_, * • , - - - • -- -
-: I•P •t.' _•.3PH "
,. • AWNING -, LA COSTA TIF ' 133-810-00-00-8835 •
EX'51ST5BOGE.AAMp,Sw'r/skRb-,,_S GARAGE
-......•'TIF --.•'-•.-134-810-00-00-8835
FMF -. - .
f:PH ' __F ''3PH -'- __- r
,,•,
- ____. ,',.*. LICENSE TAX, ., 00.1'810'00s-00'8162. —*
REMODEr.L'ALTER'S*,PERcIRCUIT _____* ./t)-" .- _..-a- - ' - 'MFF •-'.'--880-519-92-57- .a -• ' -
— 7777
OVEa200 4111 -
TEMP.00CUANCY(30 DAYS) •.• _-. :.T- __
r•
,- _
.a ' - ' • ._-'
- -- -- ' - I. CREDITDEPOSIT ---r_-''
_
'.q••'• -
_TOTALELECTRICAL __
.
ba TOTAV a TOTAL FEESPAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued by the Building Of • oderthepronrsxonsofihis * AN OSHA PSRM:T IS REQUIRED FOR EXCAVATIONS OVER - Code shall expire by limitation and become d If CERTIFYIUNOER PENALTY OF' PERJURY THAT ALL INFORMATION HEREON INCLUDING THE n an udding or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
,
such permit is not commenced I ta r
ed
•1rnt DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS, authorized uch or ifhnthe in :u:n:r STRUCTURES OVER 3 STORIES IN HEIGHT permit, ovor ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON'-_,a_mea?er _' _rk I_0_df_periodof180dey0_I
is ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TOSAV-€-*kE.MNFYAND_- KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITfES, _APP
- EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
TO3 _BY _• __-_']_J w / 0 CONTRAC , • - ./ /.' - 'GRANTING OF THIS PERMIT. * - '
BY P ONE 0
TYPE " '. DATE INSPECTOR
BUILDING -s -
FOUNDATION
REINFORCED STEEL'
MASONRY .. -
GUNITE OR GROUT
SUB FRAME El FLOOR El CEI1LING
SHEATHING El ROOF El SI1IEAR
FRAME
EXTERIOR LATH INSULATION V
INTERIOR LATH & DRYWALL j
PLUMBING
El SEWERV7ANOBLCr, El FL/CO -
UERGRNI- El WASTE d WATER
TOO OUT 'El WASTE .DINATER
TUB AND SHOWER PAN
GAS TEST
El WATER HEATER El SOLARATER
ELECTRICAL
El ELECTRIC UNDERGROUND EI UFFER.
ROUGH ELECTRIC An 27
El ELECTRIC SERVICE. El TEMPDRARY
El BONDING El POOL
V MECHANICAL
El DUCT & PLEM., El REF. PIPNG V
HEAT — AIR CON 0. SYSTEMS. I
. . _________
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHV N ALL APPROPRIATE V V
ITEMS ABOVE HAVEBFEN'APPOVED'
FINAL
PLUMBING .. 7777 —5
ELECTRICAL
MECHANICAL
BUILDING _Ah 1_-
SPECIAL CONDITIONS
.
\ /
— \
\,.__
-•----
:
'' "r'
V
•..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS '- .INSPECTOR'S NOTES V
-'
INSPECilON IREO. IF INSPECTOR'S V
V -..:
. CHECKED APPROVAL DATE
SOILS COMPLIANCE V
PRIOR TO V
FOUNDATION INSP
.
V
-
STRUCTURAL GONCRETE
OVER 2000 PSI \
PRESTRESSED V
CONCRETE
POST TENSIONED
CONCRETE. V
FIELD WELDING
HIGH STRENGTH BOLTS V 'V
SPECIAL MASONRY
PILES CAISSONS
5-
V
ç V . ___0003\18OTOT o3BJqbc_
\V•V4VV\VV___
V V
V. ' '• -- V . V
-
-
_---' ____•': ,_- __
....-"___' ____'
-. . . , , - - -. . - S , V V• V.
. ' V ?VV -.- . V .
V.--. •' .._V._4 V .-
BALL' POINT -PEN ONLY & PRESS HARD —
''1• tt •. a,. _'.p4 • a,.' d . - a
2'rTD If lh&bV'fllrmlhet'l èulicnsedTinder
I
. of Chapter 9 (commencing with
-I S.ctlàn 7000) of DIvision 3 of the Business )
'— 4"-snd Professions Code, and my license is in I
full force and effect.
- .
I hereby aftiim m that I a exempt from the Contrac'
' br's License Law for the following reason (Sec. 7031.5 - - Business and Professions Code: Any city or county whict' re''Tf
quires a permit to Construct, alter, improve, demolish, or '1 - . repair any structure. prior to its issuance also requires the
plicant for such permit to file a signed statement that he is
licensed pursuant to the 'previsions Of the Contractors - •.. License. Law (Chapter 9 commencing with Section .7000 of Division 3 of the Business and Professions Csdu)0r that is ex-41 it empt therefrom and the basis for the allegeu exemption. Any violation of Section 7031:5 by an applicant for a permit sub.',.7
jcts the applicant to a civil penalty of not more than five hun'
dred dollars ($500).
I las owner,- of the property, or my employees with wages •j
ull as their solo compunsation, will do Ihe work, and the sfruc'
ture is not inleri'ded or offered for sale (Sec.- 7044. Business
, ,,and ProfessionsCode: The Contractors License'Law does I'
...,not. apply to an owner of property who builds or improves p. '?.thereon and who does, such work himself or through his own
employees, provided that such improvements are not intend .1 Mi ed or offered for safn. Ll,hnwever: Ihe,buiIrJingor,mprove- i
Z meot is sold within one year of completion. fheowner' builder
will have the burden of proving that he did not build of im -I -
prove for the purpose of sale). '
r -41.1. .as owner, of the property, am exclusively contracting
.,wifh licehsed contractors to Construct I he project (Sec. 7044.
, owner-of and Proteosions Cede:' The, Contractor's License
Law does not apply to an property who builds ,,'prnvns thereon, and who Contracts for each projects with a .p
" - i1 As a homeowner I am.imp'roving,my homn.,and the follow'
4 -- 09 Conditions exist:' 0. ' - '' •k ' _ - I 11 f.'The work is being pertormed'prili'r to sale"
2. I have lived,in my home: for ,fvietve months - ..- prior to completion of this work.."- --.-- - I --
Mi - - 3. I have not claimed this exemption during the 0 , -a,- last three years.. ,
under
-, -for this reasun ..-,.-., - -
?'pcs ,.'..i, -E
0 I hereby affirm thf I h3'va erfiticaIe of consent to
- (surance.'or a certified copy thereof tSec: 3500:'Labor Code) I - -! -..a.... -rI.'. ,, -''.' .I POLICY NO.-
IAZ Z - p' •: -
-0 Certified copy is hereby furnished'
L "CERTIFICATE OF EXEMPTION FROM - -
ffl IThis section need not be completed it ff10 permit - 'is flir one harIdre'd dollars $1001 or less) ui 0 fcrtity that in the performance of the work 100 which
this permit is issued. I shall Aol em'ploy an person in any WO
,, manner seas to become subject to the Workers' Compen (I
"sation Laws of CaIitornia,"""' '
NOTICE TO APPLICANT: If, after making this Certificate
'";ot Exemption. you shliut'd becothe subjeCt'to the Workers'
Compensation provisions ot,Ihe Labor Code. youmusf'
forthwith comply with such provisions or this permit shall
'bedeemed revoked.'njL U. '
[]-I , hereby affirm that there Is a construction lending!
"f agency'!or tIre performance of the work for which this pert
—mil is issued (Sec 3097. Civil Code) Z a. Mi Lender's Name
5"-'-,......
Lender's Address • ...
- --- -- '-,. --- — - .-- -I-,.
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
- ;•---- - -' CARLSBAD BUILDING DEPARTMENT
''' APPLICATION & PERMIT - -2075 LaiPalmas Dr., Carlsbad CA 92009-1915 (619) 438-1161 . — ' '-- - - '-
'-
JOB
-. _
oAØ/q
,
BUSINESS -. PERMIT NUMBER
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR .
CONTRACTORS PHONE C ZONE -
V_o45'1ucflG.\,i ,,•,L 4•35 _4_3
- OWNER'S NAME OWNE AS PHONE
CONTRACTOSADDRE STATE LICENSE NO, BU7/OOTAGE
J4 1'9 OWNER'S MAILING ADDRESS (W-UP&O, CA 'i5
' -
- DESIGNER DESIGNER'S PHONE
IV.ch.A14_,AtA DESCRIPTION OF WORK -
_____'t2o08 Zi*) e' %8
- DESIGNER'S ADDRESS . .-p 'STATE LICENSE NO.
- .,.......- 5232 03/08/89 0001 01 02
/f/ _ (c,9t j7( 10 I! '--- - - - - -' E1dPmt 2630
F/P FLRELEV, - - NO OCCGP EDU
YO ND ----- -
.......
'FIRE CENSUS TRACT PARKING SPACE RES UNITS--.'- - 'GRADING PERMIT ISSUED REDEVELOPMENT - .. )--- — - 'TYPE - 0CC LOAD
— " ' AREA - CONST .
YDND _nONO - vD,rvD, , Not Valid Unless Machine Cerlilied --
QT.Y. --- PLUMBING.PERMIT - ISSUE
•
- 75k,__-. QTY,. MECHANICAL PERMIT,- ISSUE ..,- — - -' , .,SUMMARYlACCOUNT, NUMBER— ,_L-_-._- -
EACHFIXTURETAP-' - -- _-: ' . INSTALL F URN. DUCTS UPTO100,000BTU_' BUILDING PERMIT . 0018IO'00'0O'8220 72_n , -
Law):,cnntractur)s( license pursuant to-the Contractor's License
EACH.BUILOING_SEWER.,' ' OVER'10O,O0O,M" , SIGN PERMIT 001-810-00-00-8221
EA'CHWATERHEATERANDiOfi_¼C'V4T1 ,- _. _,-,- --' BOIl,ER/COMPRESSORUPTO,$Pa"-.. ______,_._ -,_ - PLAN CHECK -.. . ' 001-810-00-00-8891
— EACH GAS SYSTEMITOp(UTLETS ' 8OI1ERICOMPRESSOR3'' , TOTAL PLUMBING 001'810'0O'O0'8222
— EACH GAS SYSTEM,).MORE _-- --' METAL FIREPLAE '- -. _ELECTRICAL 001-810-00-00-8223 —
v. EACH INSTAL.,)1ER, REPAIR WATER PIPE '.,.. VENT FAN S0J1 IfLE DUCT •.'i ___,_a,. . ' --MECHANICAL..-'-001810'00'0O'8224 .----
.
EACHVd'1M'BREAKER '''",•o - '. ___, MECHEX(AUSI -H000!OUCTS ' MOBILEHOME O01-810-O0'0O'8225
WATfr'"SOF-TNER -------' _•" ,'
5
' 'RELOCATION OFEA_F'URNACE/HE'ATER _-
______-001-b-06008226
S EACH_ROOFDRAIN.IINSIOEI__,,.- ___.-: , DRYERVENT STRONGMOTION 880-519-92-33
'._.selt.i'nsure. or a certificate of Workers' Compensation In.
TOTAL MECHANICAL
'
. ' '' -- ' . - ''
FIRESPRINKLERS 001-810-00-00-8227
-TOTAL PLUMBING '_[-_-' :- -- . - -"'PUBLIC_ FACILITIES -FEE ''32O810'00'008740' '• —
QTY
. ,_
ELECTRICAL PERMIT ISSUE - — . , ' . — QTY MOBILE HOME SETUP
--SOCAR -
. - BRIDGE FEE .360-810-00-00-8740
PARK-IN-LIEU (AREA :li- 'Copy is filed with the ,,
NEWCONSTEA'AMP'SWl'BKR -"i --_. '--.,'' --- CARPORT— --------- -
- l'PH -- _'3_PH--,- , _-•'.- , AWNING , LA COSTA TIF 311-810-00-00-8835
C) ,,,, a,WORKERS' COMPENSATION INSURANCE I EXIST BLDG EA AMP/SWT/BKR - - - : GARAGE - .. I , -' - • . FMF
5- --'-312-810-00-00-8835 ---------
TPH -,.-- _-.3P,H - .... -,.. --- __--.—.-._---_' - .- • ,. — LICENSE __10-OO-00'8162- _
-'.-_-/_7_-- REMODEL'ALTR PER CIRCUIT -' ' " ' I ' - - - MFF 880-519-92-57
.TEMPPOIE200 AMPS
---
- ............jv--,'-'.,- OVER 200AMPS _____'i • ''--' __________ - ___- _-
,a, - TEMP OCCUPANCY 130 DAYS) -. " I - '
'
, a - .- ' - '
T ,,-'--- -.' ' CREDIT DEPOSIT
TOTAL_ELELIRILAL _- ___- "
" TOTAL - TOTAL FEESPAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER limitation If the building or work Code shall expire
authorized CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE SO" suchBrmit is 1 commenced within 180 days from the date of such DEEP AND DEMOLITION OR CONSTRUCTION OF
Ihe building or work authorized by such STRUCTURES OVER 3 STORIES IN HEIGHT - DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITS permit, or It the ISSUED: TO COMPLY WITH ALL CITY. COUNT AND STATE LAWS GOVERNING BUILDING CON abandoned at any time after the work is commenced for a period
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT,--) ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND APPLIC
-
S SIGNATURE * - OWNER 0
of180 days. .
APPROVED BY" CONTRACT O . - - — - DATE
' EXPENSES WHICH'~MAYiN ANY WAYrACCRUE,AGAINST SAID CITY IN CONSEQUENCE OF, THE
GRANTING OF THI S PERMIT. BY PHONE 0
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SfIEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
0 SEWER AND BL/CO 0 AL/CO
UNDERGROUND 0 WASTE U WATER
TOP OUT 0 WASTE Cl VATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR VATER
ELECTRICAL
0 ELECTRIC UNDERGROUND UFFER
ROUGH ELECTRIC I
0 ELECTRIC SERVICE 0 TEMPbRARY
O BONDING 0 POOL
MECHANICAL
O DUCT & PLEM., D REF. PIP(NG
HEAT — AIRCOND.SYSTEMS I
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT(ONWHENALL, APPROPRIA)TE
ITFM.q A Re) V UAVP RF-FN APPR1VFfl
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS O
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
OVER 2000 PSI
STRUCTURAL CONCRETE
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
- '
- S.--.-- -- - -'-i ' • -..- • - -. -' •.
"- -. ' .'. '•%'
.- (_. - " -..-' - - - -- -"- ,-
-
-.
.' -.- ,.-.•t- ' I ----. . ..'. -. s- ' .