HomeMy WebLinkAbout2525 EL CAMINO REAL; 212; STE 212 PRE 2016; PermitCITY OF CARLSBAD
BUILDINbEPARTMENT Application WELDING Permit
729-1181 -Ext. 36 Building Permit Fee
For Applicant to Fill In
1013-6-69 s!.0 170
I
ner s Name
l Address 2 Building Dept. Use Only
Contractor
Contr. Address
To Const. 0 To Add 0 To Alter 0 Convert D
To Move From
Type of Const.
Frame, Masonry, etc.
To Be Used F .__'4.t
Kind of Foundatio 1'L' No. of Stories /
Floor Space (Sq. Ft.) 7O
Garage Floor Space (Sq. Ft.)
Attac
Detach
Legal Description
Lot Block
Subdivisi4&.1 __or 021
Section Township Range
No. of Existing Building
Will this constru ion include any plumbing installation or alter-
ation? Yes No fl
Signature of Applicant
Building Addres 2/
St. Near
Set Back _ Bldg.Valuation
FrontP.L. MainBldg.
SideP.L. Garage
RearP.L. Other
Group Zone
14
Approved by
Contractor City Bus. Lic. N
Water Meter ,_._. I Sewage Disposal System
Inspection Record
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVEaESCRIBED.RE$IDENTIAL PROPERTY.
SIGNATURE
OF PERM]
Utility Company Notified - Date By
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
_Ibuildirg permit will be immodiately revoked.
City of Carlsbad Building Dept.
rmit void if work is not commenced within 60 days of issuance.
PERMIT NO. TOTAL FEE $ CITY OF CAKLSBAD
BUILDING DEPARTMENT 3 3
729-1181 - Ext. 36 Application for ELECTRICAL Permit
For Applicant to Fill In BuildMSr69UethIy762**** *
PERMIT FEES Each Fee -11 BUILDING ADDRESS: Item R ecpt . Sw.
-62 Lighting fixtures w/ballast for each 10 $ 1.00
9L A
St. Near
Elec. Ranges, Clothes Dryers, Water Heaters .50
OWNER:T'Mo ' /1c eec. Space Heaters Dishwashers, Garbage
Disposers. Auto. Washers, Sta. Cooking Units ' .50 ADDRESS
I OTORS: Per each motor H. P.
CITY 0 to 1 $ .25
1 to 2 $ .50
TELEPHONE NO. 2 to . 5 $ 1.00
5 to 15 $ 1.50 Statc"'O .7,>57OC i ty business
License License 15 to 50 $ 2.50
50 to 200 $ 500
Group Zone By SIGNS:
No. trans. Ea. . $ 1.00
Inspection Record: 4',ji .- ifCi'c7'4/C No. lamps over 50 ea. $ .50
SERVICE 150 AMPS
tonal 100 Amps.
$ 10:00
~22
$ 2.00 ,y /7:o iCO/27a,#t
Temp. Power Pole, 100 AMPS or LESS $ 3.00 Cc'/ll.67?irt_-/ C,e__.,-
For Each add I Meter, over one per service S 3.00 93r'P MISC: .
.
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit
TOTAL:
1mp. Power
R. Wiring
F ixtures
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI-
DENTIAL PROPER Y
SIGNATURE OF
PERMITTEE:
S.D. G. & E.
FINAL:
BUILDING DEPARTP T Y
, PITY OF CARLS
729-1181 -Ext. 36
For Applicant to Fill In
-
. Air, 1"9 T NO. ITEM INSTALLATION AND/OR RELOCATION EACH AMT.
For the installation or relocation of each forced-air or gravi-
ty mace or burner, including duct type fu s and vents attached
to Such appliance, up to and including 100,000 Bun's $ 4.00
For the installation or relocation of each forced-air or gravi-
ty type furnace or burner, including ducts and vents attached
to such appliance over 100,000 B.t.u.'s $ 5.00
For the installation or relocation of each floor furnace, in-
cluding vent. $ 4.00
For the instaIltion or relocation of each suspended heater,
recessed wall heater or floor mounted unit heater. $ 4.00
B uilding Dept. Use Only
For the installation, relocation or replacement of each ap-
pliancy vent installed and not included in an application. $ 2.00
For the repair of, alteration of, or addition to each heating
appliance, refrigeration unit, comfort cooling unit, absorption 7'/7 t;i';? ('°T '.
unit, Or evaporative cooling system, including installation of Plaza Camino Real controls regulated by this Code. $ 4.00 BUILDING ADDRESS
For the installation or relocation of each boiler or compres-
sor to and including three horsepower, or each absorption
system to and including 100,000 B.t.u.'s. $ 4.00 STREET NAME
For the installation or relocation of each boiler or compres-
sor over three horsepower to and including 15 horsepower, or
each absorption system, over 100,000 Btu's to and mclv- CONTRACTOR a Limited
compres-
OWNER
- ding 500,000 B.t.u.'s $ 7.50
For the installation or relocation of each boiler or
sor over 15 horsepower to and including 30 horsepower, or
each absorption system over 500,000 B.t.u.'s and including
1,000,000 B.t.u.'s. $10.00
ADDRESS 10738 W. Pica Blvd. For the installation or relocation of each boiler or compres-
sor over 30 horsepower to and including 50 horsepower, or for
each absorption system over 1,000,000 B.t.u.'s to and in-
j
Los Angeles, 90064, Cal . cluding 1,750,000 B.t.u.'s. $15.00 CITY
For the installation or relocation of each boiler or refrigera-
tion Compressor over 50 horsepower, or each absorption 8740 system over 1,750,000 Btu's. $25.00 CITY BUSINESS LICENSE NO.
For each air handling unit to and including 10,000 Cubic feet
per minute, including ducts attached thereto. $ 3.00 3,.....- CITY BUSINESS LICENSE NO. For each air handling unit over 10,000 cubic feet per minute. $5.00
For each evaporative cooler utlrvr than portable type. $ 3.00
cnoUp For each vent fan connected to a single duct. $2.00
For each ventilation system which is not a portion of any
heating or air conditioning system authorized by a permit. $ 3.00
INSPECTION RECORD For the installation of each hood which is served by me-
chanical exhaust, including the ducts for each hood. $ 3.00
For the installation or relocation of each domestic type
incinerator. $ 5.00
For the installation or relocation of each commercial or
industrial type incinerator. $20.00
For each appliance or piece of equipment regulated by this
Code but not classed in other appliance categories, or for
which no other fee is listed in this Code. $ 3.00 c' For the issuance of this permit. $3.00 3
I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT
THE ABOVE It CORRECT AND AGREE TO COMPLY WITH ALL STATE AND CITY
LAWS REGULATING THE MECHANICAL CODE OF THE UNIFORM BUILDING CODE.
I CERTIFY THAT I AM PROPERLY REGISTERED AND'OR LICENSED AS RE-
QUIRED BY THE CITY OF CARLSBAD OF CALIFORNIA Ola THAT I
C
5TATE
AM THE LEGAL OWNER OF THE A 5 RIBED PRO& ERT YJ DATE JOB FINALED
SIGNED BY PERMITTEE_________________________________________ ____
PERMIT NO.9 TOTAL
Application fo HAN CAl Permit
50
CiTY OF CARlSBAD 0-
BUILDING DEPARTMENT
OWNER Thom McAn
MAIL ADDRESS Plaza Camino Real Center
CITY Carlsbad TEL. NO.
PLUMBER Proffitt & Durnell Plbg.,I
ADDRESS 12630 So. Hawthorne Blvd.
CITY Hawthorne TEL. NO. 772-2768
STATE CARLSBAD BUSINESS LICENSE NO. 165581 LICENSE NO. 8733
NO. ITEM FEE
2 TOILET @ $1.25 2 50
BATH TUB @ 1.25
SHOWER @ 1.25
2 WASH BASIN @ 1.25 2 50
KITCHEN SINK @ 1.28
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
1 WATER HEATER & VENT @ 1.50 1 50
GAS SYSTEM I TO 15
.30 CA. ADO. @ 1.50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
1 MISC. WATER PIPING @ 1.50 1 50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 5 @ 2.00
1 Drinking Fountain 1 25
GRADING PLAN
YES [3 NOQ
PERMIT $ 2 00
TOTAL FEE $ 11 25
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE QCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERMITTEE
UMBIN&
PERMIT - APPLICATION
96
.MW 10-69 5PAID * ** * * 125
NEAREST El Camino Real & Vista Way CROSS ST.
GROUP ZONE
Inspection Record
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER _FLOOR _WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED I
FINAL
BUILDING C ADDRESS
VALIDATION
This is a Plumbing Permit When Properly Filled Out Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.
CITY OF(ARLSBABO S SEWER
BUILDING DEPARTMENT J.. - PERMIT - APPLICATION
ac C
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOTNO. I3 1 4 CfMi0t*n1?4L
BLOCK TRACT
USE OF
BUILDINGS 04f Q( ,i. L_.
CONTRACTOR c..
ADDRESS
CITY (' TEL. NO.
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS @ $5.00
OVERFLOW SEEPAGE PIT. DRMNFIELO EXTN.,
CESSPOOL, DRYWELL, MANHOLE @ $5.00
HOUSE SEWER CONNECTING To
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.50
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
@$
OWNER'S PERMIT $ 2 00
AUTHORIZATION TOTAL FEE
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR
OWNER'S AGENT
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-
ERTY.
SIGNATURE
OF PERMITTEE
BUILDING
ADDRESS _7_1f_fe3&4
NEAREST
CROSS ST.
OWNER 11J.1 W A N iJC.., MAIL
ADDRESS 67 I
CITY 4 SS. TEL. NO.
- -.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = ______ 6"
Add. Horiz. @ 4" = ______ 6"
Add. Vert. @ 4" ==______ 6"
Total Construction Cost
10% Service Charge I -
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. Aa 11
LINE COST:
C. C. dwelling
P. S. @ / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
St. ' NORTH
ENGINEERING SEWER DEPT.
Signed t::.;3—'- Signed
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
- APPLICANT TO FILL- IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS:'.
3EECs.Yj, CO4DLUO'12 'I
- gr--- I-hereby affirm that lam licensed under-1 GuIrffteione of Chapter 9-(commencing with' I
' —:I---'--SsctIon 7000) of Division 3 of the Business-1 e- 3 and Professions Code, and my license is In Z.force and effect.-'-- : .HVi,iCvi
hereby' atlirm' that-i 'am eeempt-irom 'the' Contrac' - 'c Io'r'. License Law, for the following reason (Sec, 7031.5 . . - - "Busindss and Professions Code: Any city or county which re-_
quifes a permd to Construct, alter, improve, demolish, er b r '4 repair arfy.structure. prior to its issuance also requires the ap
plicant br such permit to tile a signed. statement •that.he is..--
- licensed pursuant to 1he7 provisions of the, Contractor's
License Law (Chapter-9-commencing with Section 7000 01 Division 301 the Business and Prdtessiood C'ede)or thatts eu''- r empt therefrom and the basis far the allégeo eoemptidn 'Any .t" violation 01 Section 7031.5 by an applicant for a 'permit
'edo the applicaflt ma ciypenally of notjnore'lhan five huv''.
dred dollars ($500). •
't,l4l:as owner of the property,'nrmy. employees with wages A I .Las their. ole'compensation. 'will,do,ltrd work, and the Struc' '
-- -_lure is not intended or oltered tor -sale (Sec. 7044. Business —.1 .j3. and Prot000ions Code:iThe Contractors License -law does , a
D nut apply to aoowner'ef propeity"who builds or improves
thereoq,and who does such work himself or through his own * D fiflI,ernptoyes,provided that such improvements are not'intend-%e
—W —ed or offered for. sale ..tt, however.--the, boilding or improve------ Z merit is sold within o'vd.yIar 01 comptetion,the'owner'buitder I
__ ,,,,_,,wi11 have the burden of proving that he' did Jrpt build qr im,,1
0 ,prove for the purpose of sale),
- .
I 'Ir as owner of the property.- am exclusively contracting-- CJ 0 .with'ticensed contractors to construct 'the -project (Sec. 7044, ,.._'Basmness and Professions -Code: Contractor License
' '
Law does-not apply lean owner of property-who builds orim-
s proves thereon, and who contracts for each protects with a)6 (A -
bO "- contractor(s)' license' pursuant to the Contractor's 'License LaW) ,f ECithC
honioo'wner tam improting my homo'and the fóttow'", 4 L ,,; ing'conditions'exist -l1.i lBd1UJ u-flu _Tgework .is.beiog.pertormod
- 2. I havehved jn my home 'f twelve months o _________ prior tocnmpfetiorr oi-this'Work, W '"3"t"havenot claithe'd'thiseth'nPption'duridthe''
fl
last three years, - . - ' •' ' :
hO I am enemptunder Sec.'__''B&P,C.ef ci
- ' fÔrthi reason- 'n - - •
In H0MEb-I
thereby fitrm that 1-have a certificate of consent to
sure, or a certificate of Workers* Compensation in
sance.or a'certitied'Copy thereof (Sec38tX). Labor Code(
- fl )
... ur
t1S1L U Jg j4 5I POLICY No.
Cd5'TsIitedwith;t'peCi'i'' I.fj(i'Jk'
. .., ,.,Certified copy,is het reby furnished...,_.,_,_,,..,,,.,i
Sal . a
0d-CE FIT iFICAT O ' EX-EM PTION FROM • . --Q -'WORKERS'-COMPENSATION INSURANCE
need not be completed if the permit
-.-. -.,_.,__,__,.,_iS for one hundred dotlars.IS100tor.tesst
E Di cd'i'rify that ifl'the performance Or the work for which
" - - this permit is issued. I shall-not employ any.person in any .1• • EJ' manner so as to become subject to the Workers' Compen.
,.,_.sation Laws of California..
H' V NOTICE T6'APPLICANT If." (t(,ak g this Ce If cati'V
of Exemption, you should become subject to Ihe,Workers',,_,.,_,,, I ni CompensarI'on próvisiorrs of ,theLabnr Code. u' yo must
- forthwitk comply with'sUCh p'ov1sions or this permit shalt .
VOt4A - u
bE! a!' ,'perebt a!irm thtfrere is,,,, construction Iendirrg
fJ l4 agency for theperformance of lIre work forwhich this per.
- o ,_.,oit id;iu'd t$ec. 3097, Civil Co/el
-
'Lender's Name______________________
.1610
Lender's Address
'I - . .•-
TT APPLICATIONA PERMIT
t2075Las'PImasDr., Carlsbad, CA92009-1915(619)438-1161 ___- ___' _'' _.•- .•
JOB ADDRESS • f -
• AV. ST. RD. THOMAS BROS NO. DATE OF APPLIC TI NI BUSINESS LICE # VALUATION , - PERMIT NUMBER
-12
LOT , BLOCK SUBDIVISION ; ASSESSOR PARCEL NO. __________4_ _CONTRACTOR CONTRACTORS PHONE,e
OWNER'S - /,t' 7/ff/W7
_OWER'SPHONF
CONTRACTORS ADDRESS - ' S TE LICENSE NO. '• -•• BUILDING SO. FOOTAGE
4 - OWNE R'S MLING ADDRESS --'-7S- --------
_______ _______________
__ DESIGNER I • DESIGNERS PHONE , -
ODAI
f
1W
'DIdPitt. 3233 - Of
kOLL7_ FP V 'NO (\ I 1 n( 0 GP EDU STORIES ,
ô-_-
ENSUS'lRACT' PARKING SPACE RES UNITS GBNG PER MiT ISSUED , REDEVELOPMENT,
- '" 'AR A '
_-
. I TYPE 0CCLOAD FIRE SPR ' - • • ' ' ' '. , -
IJ I - I Y ON_0 _-, _v 0 ND v 0 ND Not Vand Unless Machine Certified
QTY, PLUMBING PERMIT - ISSUE - -, -- QTY.
)____
MECHANICAL PERMIT- ISSUE
'-
-..---,__-_.___---•---- ' '"' -
' ' •. SUMMARY/ACCOUNT NUMBER -
-
J -- EACH Hxlu_____IRA__,j -INSTALL FURN. DUCTS UP TO 100.000 BTU' - BUILDING PEAMFE _001810 00 00 8220
EACH BuILDINGSEWER:4 -1~1 ".' •,,
-
-j- -'-'--'---1--------------------OV-ER_'100.0008 U--- -------------- —SIGN-PERMIT- , ----OO.1--8-10-O0-OO-822-I-- ----
EACHWATERHEATERAND/ORVENT_!_' - _'- - BOILER /COMPRESSOR UPTO3 HP- - j '•- _-- PLAN CHECK 00181000008891 . _1
lEACH6ASSYSTEM710'4OiJT[ETS _ -
8OIIER/COMPRESSOR315 I'dP ' I' -• -'TOTAL PLUMBING _--*001-810-00-00-8222
EACH_G'ASSYSTEM__5'OR'MORE ---- -______ -a- -'---- 'METAE-fiREPLACE--------,-------- ,,_ .L..ELECTR)CAL,_____OOi:8.1OOOuO08223,.
'E'ACHINSTAL- ALTERREPAiRWATER PIPE - ' . - -?,,,--VENT FAN SINGLE DUCT - -
' • ' MECHANICAL 001-810-00-06-8224
__..-i LEACH_VACUUM-BREAKER._--_-_-_.- _ •,,, _-- , j MECHEXHAUST _H000IDUCTS - . '.- -MOBILEHOME it, 001-810-00-00-8225 -, - -
WTERSOFTNER.1,1 L.. .__.__ .L._. RE.LOCAJJONO.EA.,URN.iCE/J:&Eft1EJ1 ..__.... ..,SOLAR.,.___001-8.t0;00-00,8226..
EACHROOFDRAIN(INSIDE) _- , DRYERVENT __. __- - STRONGMOTION '-._880-519-92-33 /0 •,-
-
-'"' - -------TOT-ALMEC+tAN1C-ALr'-'--"---"----" - ----
-
- -
'------:---- -F')RE'SPRFNKLE'RS'-------00181000-008227 '-
TOTALPIUMBI ,---'- [- PUBLICFACILIT)ESFEE 810 00 _320008740
*
JE" oO - - .1-" a - BRIDGE FEE - ' ' 360-810-00-00-8740
Y. ELECTRICAL PERMIT - ISSUE-
_____
QTY. ' - MOBILE HOME SETUP i -------------- .'T _____ " PARK-IN L(E1J'-(AREA —') - - -
NEW.CONSLE.AMP'SW1.BK.R.,,... 1 0 - , CARPORT' _-- _,.j - - TIF , _312-810-00-00-8835 '•--
LI,.H _'L _... -,
AWNING -• , ' . - - -_..
_- LA COSTA TIF - -' 311-810-00-00-8835-- -
EXISTBLOGEAAMP/SWT ;--— '".,GARAGE; --'--
I PH _3PHj 1l-,8c-iF/ Z~Ct - 1 .. ' _-• . _-- :c -_-LICENSE TAX 001-810-00-00-8162
- REMODEL -ALTER PER CIRCUIT 1, (7ifiELn ,., . '- -; '. - -- - ' - I- - - - - MFF.-,880-519-92-57 ..-:'.
TEMPPOLEu200AMPS"j
OVE'R"200AMPS--' —i I rlLh 'J'h.tV.t,t ' - - ' - ' - - ' - - - '-- ___________________
.:TEMPOCCUPANCY-)30DAYS)_-4 ', -r-' ' - - -' • -- - t' '
-
_-•--_ : '--- :ru,ru vvu CREDIT DEPOSIT ________
J4LELE CTRICAL- _ Vi toLAD1E
L~f .TOTALFEES E-
CERTIFY UNDER'PENALTY, OF -PERJURY THAT ALL,INFORMATION HEREON INCLUDING THE CO~ila litheill expire by'limitaliciri"and bectirrighull andvoid-Ifthe build ing'Or work 5' 0" DEEP' DIEWOUTION OR CONSTRUCTOON Of uthorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANDAGREE IF A PERMIT IS permil, or it the building Or work authorized by such permit is suspended or 'ISSUED:-TO 'ALLCITYCOUN1Y AND STATE LAWS GOVERNING BUILDING CON- --
STRUC S OVER 3 STORIES IN HEIGHT
(HAVE CAREFULLY EXAMINED .THE COMPLETED ;'APPLICATION AND PE,1ITAf4DDDHEREBY., ErWn Every permit issued oyfhe Building Official ndthe provrs__nsof tfl___*AId EAM__4EIREO FOR EXCAVATIONS OVER
COMPLY WITH abandonedatany 0_e _after the work is commenced
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND _______
KEEP5HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ATUL, ,,
for a period 01180 day s. —.— -- - ' * APPROVEI'iBY OWNER 0 CONTRACTOIf,rJ\ _______E'
EXPENSES,WHICH MAY INANYWAY•'ACCRUE AGAINST SAID CITY IN'CONSEOUENCE OF THE -- J7//' - -'---'----------------- -
--------
OF'THiSPERMIT. -- __/7/_BY -' ----------¼'-- P 8 ,
_-_'1 __'
-- - - - -TYPE-- ------- —DATE,— —INSPECTOR—
BUILDING. --.-- .- - - - - -_- ----4---
FOUNDATION- .-----
REINF0RCE6.STEEL:
5- . ..-. - - - - VS - I• - MASONRY....V
GUNITE ORGROUT
SUB FRAME 6 FLOOR rn CEILING-
SHEATHING-,'_`,0' ROOF
FRAME—_,'p-
EXTERIOR:LATH ., --
INSULATION—C - -
INTERIORLATH&DRYWALL
/— ---PLUMBING.
E, SEWERAND-BL/CO-
UNDERGROUND D WASTE cJWPTER
TOPOUT..SVD..WASTE DWA1ER
TUB ANb: SHOWER, pAN
GAS TEST:.., --
- - - I
- - - ELECTRICAL- — --:-- --- - . -
0 ELECTRIC :UNDERGROUND —D UFFER. - --
-. -
ROUGH ELECTRIC - -...\
0 ELECTRIC SERVICE EJ VTEMPORARY-
D WATER HEATER 0 SOLAR WATR---
0BONDING- 0 POOL
-
--
— - -MECHANICAL--- - - --
0 DUCT& LEM D:REF.PIPIN . T
HEAT — AIRICOND. SYSTEMS
VENTILATING SYSTEMS - .••• - - -,- - -
\') -_'2 'c\c S'
CALL- FOR -FINAL- INSPECTION - WHEN-ALL-APPROPRIATE
ITFM. ARtD VF- HAVE BEEN APPROVED . - -
- -FINAL -. .:
PLUMBING_ •-
-- - ----- -- --- - -
ELECTRICAL,V .V
MEcH-ANIcAL::T - -
GAS
BUILDING.---
SPEcIAL:coDITIoNS 4-
-- - 1-
I
- - -- I S..S • . V -- - -- . 5_ \ \ r S ••\ I - S'% •. - - . S - - -. -
U?g.qq3c3'J
--FIELD INSPECTION RECORD .
REQUIRED SPECIALSPECIAL INSPECTIONS - INSPECTOR'S NOTES - --
INSPECTION REQ.IF INSPECTOR'S ATE --'_•',.) -
- CHECKED APPROVAL .
V -
-S -- V•' -
- SOILS COMPLIANCE •_
VV5
-
PRIOR TO - -- - - - -
FOUNDATION INSP - - - - - -
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE .
FEiDWELDtNiG
- -I-UGH STRENGTH L C
BOLTS -.- -:-- ___V'SV_ 5_ SPECIAL MASONRY
-
- ----- - - \cSS
PILES CAISSONS
V - - -- - -- S
• VI
_,S
•_
S
- V
ç\\'
- - t\'•\ ' •V • IS - - • -
\\ - '- "
S.- - - - . - - --5-- S.-. 5 -\ V. ••_••
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-14,68
DATE: 2
JURISDICTION
JURISDICTION: L-,YA '°''- jPLAN CHECKER
FILE COPY
PLAN CHECK NO: 89-'23) SET: / DUPS
7) 4') / *- ODESIGNER
PROJECT ADDRESS: 2 L5(
4-
PROJECT NAME:
zy The plans trans(itted herewith'have been corrected where
necessary and substantially comply with the -jurisdiction's
building codes.
The plans transmitted herewith will substantially comply fl with the jurisdiction's building codes when minor deficien-
cies identified • are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check' list and should be corrected
and resubmitted for a complete recheck.
E' The check list transmitted herewith is for your information..
The plans are being held at Esgil 'Corp. until corrected
plans are submitted for recheck.
fl The applicant's copy of the check list -is enclosed for the
jurisdiction to return to the applicant'contact person.
LI The applicant's copy of the check list has been sent to:
Pq Esgil staff did not advise, the applicant contact person that
"plan check has been completed.
Esgil staff did advise applicant that the plan' check has
been completed. Person contacted:
Date contacted: Telephone #
REMARKS:
By (4-7Pt't.41 Enclosures.:
ESGIL C RPORmION •
GA • 0 AA LI vw 0 D
Datei____ Jurisdiction________________
Bldg. Dept.
VALUATION AND PLAN CHEC o Esgil
'PLAN CHECK NO. _9 - 37
BUILDING ADDRESS 2L
:APPLICANT/CONTACT
.BUILDING OCCUPANCY
TYPE OF CONSTRUCTION
PHONE NO._______
DESIGNER PHONE
CONTRACTOR PHONE.
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
. . 3 ' . _______ ____________
Air ConditioninE
Commercial 1 _____________________
Residential .
Res. or Comm.
Fire Sprinklers.
Total Value
76
Building Permit Fee $_/5'9, _' / "- '• ________
Plan Check F e e $ • $ 3' 2.. 2 C2 &
COMMENTS: •
7.
• SHEET * OF_____
12/87
B U I L DI N G P E R M IT Permit No: CB951477
11/07/95 11:42 Project No: A9502159
Page 1 of 1 STYLES FOR LESS S Development No:
Job Address: 2525 EL CAMINO REAL Suite: 212
Permit Type: COMMERCIAL TENANT IMPROVEMENT 429 0001 01 02 Parcel No: 156-302-09-00 Lot#: -
Valuation: 99,360 Construction T1't: VN 91?00
Occupancy Group: B-2 Reference#: Status: ISSUED
Description: GUT INT IMPR,NEW WALLS-DISPLAY Applied: 10/16/95
OPEN CEILING,ADD LIGHTS,HAND UPGRD BATH Apr/Issue: 11/07/95
Entered By: RMA
Appl/Ownr: HENDRICKSON, PAUL 310-985-0923
5729 MALAGA PL
LONG BEACH, CA 190814
*** Fees Required & Credits
Fees: 1,11-2.00 /±.V °r)• >\
Adjustments: / .09O14t) ToaV1Credit's: .00 I . r ( ' Total Fees: 1/132.00 Tot.a.1P,annts\ 215.00
.ala&e:\ 917.00
Fee.de%
B
cription / , Units\cJ'e'/Ut Ext fee Data
Building ,Permit . 640.00
Plan Check 416.
rl Strong Motion*Fee
BUILDING TOTAL ,
Enter 1 ii
'PLUMBING I
Enter Y" for Remod'e'l > / 10.00 Y
* ELECTRICAL TOTAL \ INCORPORATED / 20.00
Enter 'Y' for Mechancal Is ue Fee> 1952
. / 15.00 Y
MECHANICAL TOTAL \ f/)5 . _.'\ '/ 15.00
WE
S
I
S - S.
• 'iNSP
/N,L APPROVAL
1CLEA NC DATE 4Z4Øi
Lj
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
/Le
---5-
PERMIT APPLICATION
City of Carlsbad Building Department
-2075 Las PaLmes Dr.., Carlsbad, CA 92009 (619) 438-1161
PERJIITTYPE .
PL CHECK YO. i 'L.4-77
3'f)OO
,PLAN CKDFSJT.
VALID. BY _-
fef From List I (see back) give code of Peit-e: '
DA l P I I
'For Residential Projects Only: From List 2 (see back) give . . -
.
4181 10/16/95 0001 01- Code of Structure-Type:
- C-FRMT 215 o r
Net Loss/Gain of Dwelling Units
PROJECT INFOPMA11ON . - .. -
-. . . 52R OFFICE USE ONLY
Address a-i- c,wii'o ,r Suite No. /'Z12. (PMz4 C*14VE) 3. Nearest Cross Street /-f41ZiZc)/ . . •. • : - ..
LEGAL DESCRIPTION Lot No. Subdivision Name/Number 4 .. .- . Unit No. . Phase No.
CHECK BELOW IF SUBMIITED: -.
02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ,. •
ASSESSOR'S PARCEL . - EXISTING USE PROPOSED j7 To
DESCRIPTION OF WORK /A4P Jn'7 / J)AJj 57/')fljS P8M7o/'f
# OF STORIES J - # OF BEDROOMS . '# OF BiTHROOMS .5. WNIA(JI I'IHUN (it clitterent Er m ap licant) NAME (last.name flrst)4'j,. p1//ADDPEsS
CITY IóW& '3d9 STATE ZIP CODE DAELEPHONE 3/0 '5'5T /Z 3. 4. APPLiCANT -0 CONTRA FOR . LIAGEN...FOR CONTRACTOR - DOWNER JWAGENT FOR OWNER -
NAME (last name first) 7ft$ ,ZLf ADDRESS
CITY /42V -He/ti • STATE 6,ZIP CODE tZ97/ DAY TELEPHONE . 7A .-7/)/ -
. O
name
WNER Tr'Er WiZ72 - ME 5 ADDRESS /470/ 41/ZW4 ifrV /2 V4 pi1
CITY LOS AN&it STATE 64 ZIP CODE . 21-7 DAY "TELEPHONE 3/0 47 -*crc' VA
6. (X)NTRAC'It)R' . . ... 5. . . .. . -
NAME (last name first) 2c.c .-v'c... : ADDRESS Cj5.0 is': 'ij A.
' CIT
-
- STATEQt-" ZIPCODE - .DAY TELEPHONE4'-°itQ I)
STATE UC. #51O'(35 LICENSE CLASSI C21 AS & CITY BUSINESS UC. # C 4iu.4 DESIGNER NAME (last name first) ADDRESS ,i,q4 pc4q LI -
CITY L4iV(1 i/ - STATE (24 ZIP CODE '7O/ DAY TELEPHONE-3/4 Sa'913TATE UC. #
7.IWORXERS'-CDMPENSATION -
Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer; or an exact copy or duplicate thereof certified
by the Director of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C).
,
INSURANCE COMPANY j 'Q%/ (IOLJCY NO)JO sço'LS 1RA11ONDATE (- I - C,
- Certificate ot Exemption: I certify that in the performance of the work for which this permit iI1ssued,4.shall7noCempIoy any person in any manner
-
so as to become subject to the Workers' Compensation Laws of California.
- - - 52•
. - -
SIGNATURE DATE
8. OWNER-B ATION -5
- Owner-Builder Declaration: 1 hereby affirm ,that I am exempt from the Contractors License Law for the following reason:
- 0 I, as owner of the p'roperty or my employeeswith wages as their sole compensation, will do the work and the structure is not intended or - - - offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildi
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 5r 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.).
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).
I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County vhich 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE - DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: .
Is the applicant or future building occupant required to submit a business plan, ciiteIy hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? -
. -- DYES. - ONO - .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
-- .. 0 YES 0. NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? .
- DYES. ONO - 4- IF ANY OF TILE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCXUPANCY MAY NOT BE ISSUED AFflIR JULY 1, 1989 UNLESS ThE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTIUCr.
9. CUNSFRUCI1ON LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME - - LENDER'S ADDRESS
.10. APPLiCANT CEKIIFICAIIUN - . . - - . --5 - - •. - - -
I certity that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS ThE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF ThiS PERMIT. - -
-
OSHA. An OSHA permit i required for'excavations over 5'0" deep and demolitionor 5construction of structures over 3 stories in height.
4- .
tExpiration. 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 aban at an time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bu'l - e APPLICANTS SIGNAI
WI-IITE: File YELLOW: Applicant PINK: Finance ,
CITY OF CARLSBAD
INSPECTION REQUEST
PERNIT# CB951477 FOR 11/22/95 INSPECTOR AREA TP
DESCRIPTION: GUT INT-IMPRNEW-WALLS-DISPLAY PLANCK# CB951477
OPEN CEILING,ADD LIGHTS,HAND UPGRD BATH 0CC GRP B-2
TYPE: CTI CONSTR. TYPE VN
JOB ADDRESS: 2525 EL CAMINO REAL STEf 212 LOT;
APPLICANT: HENDRICKSON, PAUL. PHONE:310-985-092
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/MARK/909-270-7780 PAGER INSPECTOR
SPECIAL INSTRUCT: WED AN PLS
TOTAL TIME:
--RELATED. PERMITS-- PERNIT# TYPE STATUS
AS950066 ASTI ISSUED
CB951578 MISC ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural k9
29 PL Final Plumbing
39 EL Final Electrical -
49 ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACTINSP COMMENTS
112095 Rough/Ducts/Dampers AP TP DUCTS (ND A. B. REV.)
111795 Insulation NR PK STILL BEING INSTALLED
111695 Frame/Steel/Bolting/Welding P1 TP NOT READY
111595 Rough/Topout AP TP ND INSP OF UFER TIE IN
111595 Interior Lath/Drywall AP TP @ STORE RM AREA
111495 Interior Lath/Drywall PA PK IN STORE ONLY
111095 Frame/Steel/Bolting/Welding PA PK POP-OUTS
01
pi
c17 I B U I L D.I N G 'P ER M I T Permit No: CB951578
10/27/95 13:35
Page 1 o I
Job Address: 2525 EL CAMINO REAL
Permit Type.: MISCELLANEOUS
Parcel No: 156-302-09-00
Valuation: 0
Occupancy Group: - . - Ref erénce#:
Description: DEMO EXISTING SPACE FOR
FUTURE TI
Appl/Ownr : WESTFIELD. DEV.
11610 WILSHIRE
LOS ANGLES, CA 90025
Project 'No: A9502304
Development No:
Suite: 212.
ot#: 4370 10/27/95 0001 01. 02.
r.-PRMT 30-00 Construction Type: NEW
Status: ISSUED
Applied: 10/27/95
Apr/Issue: 10/27/95
Entered By: TP
310-478-4456
*** Fees Required . • •-- FeO Collected & Credits
Fees: ---30 \/\
Adjustments: . / .00. . . Tt'ai/Gredi •.s: .00
4V/J Total Fees: /30.00 . Total,Jkayments: .00
iialance Due:\ 30.00 /
. . Fee description'
I
Ext fee Data
Miscel-laneous Fee ').._3:0O' • - • 30.00 PERMIT
* MISCELLANEOUS TdTA .' . . 30.00
KcORA
TED POR //)
1. 1952
NSP4*
CLEARANCE
CITY OF CARLSBAD V •
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
'PLAN CHECK NO. ç- ic-
Esr. VAL . .1 -.
PLAN GK DEPOSiT_______________
VAUD.BY
DATE
Ft° WL1-
It
-t - - •. i,' - r,...'.
PERMIT APPUCATION • ' - .. '--
City of Carlsbad BuiLdir Department ..
2075 Las Palmas Dr., CarLsbad, CA 92009 (619) 438-1161 -;
1. PERMIT TYPE
From List I (see back) give code of Permit-Type:
---------------------------------------------------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:_______________________
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION - - ,. * . FOR OFFICE USE ONLY
Address Building or Suite No.
-
Nearest Cross StreetqJ9
. ..' .. .
. ..
I
LEGAL DESCRIPTION Lot No. Subdivision Name/Number . . . Unit No. Phase No. -
CHECK BELOW IF SUBMIITED: -
02 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed-Envelope
ASSESSOR'S PARCEL - - -EXISTING USE ' PROPOSED USE -
DESCRIPTION OF WORK
SQ. FT. '3I S C # OF STORIES ( ' # OF BEDROOMS # OF BATHROOMS
J. WN 1'AUI PFHUN (ii different from applicant) NAME (last, name first) Ia-LQ ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE . .- .
APPUcAWr - DCONTRAC10R AGENT FOR CONTHACIUR DOWNER U AGENT FOR OWNER
. NAME Gast name first)- . ADDRESS
CITY "STATE .-Q, .ZIP CODE •. .:. DAY TELEPHONE 0.4t 'tZO
PROPERTY OWNEI1 'I
NAME (last name first) 1'l1&-," . , ADDRESS -i,i(,O
CITY LJ ,': STATE (2J' ZIP CODE 013' DAY TELEPHONE '310 '--- L-'-tcc,
LUNTRACIUR
NAME (last name first) ADDRESS O
CITY 4gfr STATE (ç' •ZIP CODE' . DAY TELEPHONE '?(L% t.3I 'LVt -
STATE TIC. # S LICENSE CLASS81(?. A5 (-'i CITY BUSINESS UC. #
i DESIGNER NAME (last name lirst) p- - 'p L.
CITY - ' STATE (4C - ZIP CODE CA L)' DAY TELEPHONE '1J OCA1,S.IpOM3 STATE UC. #
'7. WORICERS' COMPENSATION .
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial
.Relations, or a certificate of Workers' Compensation Insurance by,an'admitted insurr, 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 -iç cPOUCYNO.(AJp/ç !;XPIRA11ON DATE
- - Certificate of Exemption: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE , , , DATE
8. OWNER-BUILDER DECLARATION ' Owner-Builder L)eclaration: 1 hereby affirm that I am exempt from the Contractors License Law, [or the following reason: - -
0 ' I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or - -' offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law doesñot 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 buden -
of proving that he did not build or improve for the 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(s) licensed pursuant to the Contractor's License Law).'-
0 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
- - subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE,... -
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, aciteIy haiardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
- -DYES .. - - --ONO -- -•- — •--- ..
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES. — J NO - . ..".'-' - .-.• ......
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES 0 N
- IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
- HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTuUCr. -
,WNSThUCI1014 LENDING AGENCY - -- - - - . -. . -- •. - .- -
1 hereby affirm that there is a construction lending agency for the performance 01 the work for which this permit is issued (Sec 3097(i) civil Code).
LENDER'S NAME - LENDER'S ADDRESS - - - ' - - •
.
APPLiCANt CERIIFICA LEON.
I certify that I have read the application and state that the above intormation is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authodze representatives of the City 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 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 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 stones in height
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the'
- building or work authorized by such permit-is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
- APPLICANT'S SIGNATURE - - ' DATE:
I ',* - - ' - - I I Z - - . •,
WI-IITE: File YELLOW: Applicant PINK: Finance