HomeMy WebLinkAbout2525 EL CAMINO REAL; 228; STE 228 PRE 2016; PermitCITY OF CARLSBAD
BUILDING D'ARTME 10
729-1181 -Ext. 36
For Applicant to Fill In
Owners N
Mail Add
Contractor
-
To Consf. 0 To Add 0 To Alter 0 Convert 0
To Move From
Type of Const.
Frame, Masonry, etc.
To Be Used For
_____________ No. of Stories Kind of Foundation________________
Floor Spa
AppIkafionS BUILDING Permit
Building Permit Fee
'//'fBuildinci Dept. Use Onl
Building Address
St. Near
Set Back Bldg. Valuation
Front P.L. Main Bldg.
Side P.L. Garage
Rear P.L. Other
Group Zone Approved by
Contractor City Bus. Lic. No
Water Meter Sewage Disposal System
Inspection Record
Legal Description
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes 0 No 0
Signature of Applicant
I ACKNOWLEDGE THAT 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 ABOVE DESCRIBED R TIAL PROPERTY.
SIG, T,RE
LZ.TEE
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
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced withTh 60 days of issuance.
CITY OF CARLSBAD • PERMIT NO.
BUIIDING DEPARTMENT ,99 •TAL FEE $
729-1181 -Ext. 36 Application for MECHANICAL Permit
For Applicant to Fill In
NO. ITEM INSTALLATION AND/OR RELOCATION EACH AMT. 4 OCT 15-69 — cc 1i72 *** * * 13.
For the installation or relocation of each forced-air or gravi-
ty type furnace or burner, including ducts and vents attached
to such appliance, up to and including 100,000 B.t.u.'s $ 4.00
For the installation or relocation of each forced-air or gravi-
tytype furnace or homer, 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 installation or relocation of each suspended heater,
recessed wall heater or floor mounted unit heater. $ 4.00
Building Dept. Use Only For the installation, relocation or replacement of each ap- $ 2.00 pliance Vent installed and not included in an application.
For the repair of, alteration of, or addition to each heating
appliance, refrigeration unit, comfort cooling unit, absorption
unit, or evaporative cooling system, including installation of Iii) IJO controls regulated by this Code. 4.00 BUILDING ADDRESS
For the installation or relocation of each holler or compres-
sor to and including three horsepower, or each absorption T'I. £ 1' S 2_.'2. B system to and including 100,000 B.t.u.'s. $ 4.00 _, STREET NAME
For the installation or relocation of each bolter or compres-
sor over three horsepower to and including 15 horsepower, or
each absorption system, over 100,000 B.t.u.'s to and inclu- CONTRACTOR
MAY
ding 500,000 B.t.u.'s $ 7.50
For the installation or relocation of each boiler or Compres-
sor over 15 horsepower to and including 30 horsepower, or OWNER
each absorption system over 500,000 B.t.u.'s and including
1,000,000 B.t.u.'s. $10.00 btv OThS W. Pico ADDRESS 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- LiD'S A LI()LE.) CALI cOt2I,I A cluding 1,750,000 B.t.u.'s. $15.00 CITY
For the installation or relocation of each boiler or refrigera-
system over 1,750,000 B.t.u.'s. $25.00
tion compressor over 50 horsepower, or each absorption 1 CITY BUSINESS LICENSE NO
For each air handling unit to and including 10,000 cubic feet
per minute, including ducts attached thereto. $ 3.00
CITY BusINess LICENSE NO. For each air handling unit over 10,000 cubic feet per minute. $ 5.00
For each evaporative cooler Otl,tr than portable type. $ 3.00
GROUP 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
INS 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 fisted in this Code. $ 300
For the issuance of this permit. $ 3.00 3 a
I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AN STATE THAT
THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT /L %rE AND CITY
LAWS REGULATING THE MECHANICAL CODE OF THE UIIFcjRMJBUDING CODE.
I CERTIFY THAT I AM PRO PF
t
Y REOISTE*ED AID QI IICJNSED As RE-
QUIRED BY THE CITY OF C/AO ATE LI IA OR THAT I
HE
AI
AM THE LEGAL OWNER OF(O 0 C DATE JOB FINALED
SIGNED BY PERMITTEE. I
CITY OF CARLSBAD
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS .'Q'a4 /4I
CITY TEL. NO.
PLUMBER 'M
ADDRESS/a3 .s
CITY TEL.
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. ITEM FEE
TOILET @ $1.25
BATH TUB @ 1.25
- SHOWER @ 1.25
WASH BASIN @ 1.25
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
WATER HEATER & VENT @ 1.50
GAS SYSTEM 1 TO 15 .30 EA. ADD. @ 1.50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES I To 5 @ 2.00
GRADING PLAN
YESE NO
PERMIT $ 2 00
TOTAL FEE $
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 DESCRIBED.RESIDENTIAL PROPERTY.
SIGNATURE
IJMBIN6
PERMIT - APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP ZONE
Inspecflon Record - -
APPROVALS DATE INSPECTORS SIGNATURE
UNDER _FLOOR _WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
-r------ . - I
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
Fl HAL
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.
PERMIT NO. TOTAL FEE $
Application for ELECTRICAL Permit
T 1-69 5 ii******18.75 PAID
Buil ing epr. tYse iniy
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
PERMIT FEES: Each Fee
BUILDING ADDRESS: /?ii3 Item Recpt. Sw.
Lighting fixtures w/ballast for each 10 $ 1.00 01
sS4'7
t8/
/
St. Near
Elec. Ranges, Clothes Dryers, Water Floaters .50
OWNER: StoP Elec. Space Heaters Dishwashers, Garbage
isposers, Auto. Washets, Sta. Cooking Units .50 ADDRESS: 4.I75' 2 cc
MOTORS: 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 State City Business
License/QS 413 License 15 to 50 - $ 2.50
50 to 200 $ 5.00
Group Zone SIGNS: -.
No. trans. Ea. $ 1.00
Inspection Record: Nb. lamps over 50 ea. $ .50
SERVICE: 0 to 150 AMPS
For each additional 100 Amps.
$ 10.00
$ 2.00
00,020-0
Vow
Temp. Power Pole, 100 AMPS or LESS $ 3.00
For Each add 'I Meter, over one per service $ 3.00
MISC:
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit
TOTAL:
Temp. Power
Wiring
F ixtures
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 ANDTHE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIB RESI-
DENTIAL PROPERTY.
SIGNATURE 0
PERMIT TEE:
D. G. & E.
FINAL:
CITY OF CARISBD
BUILDING DEPARTMENT
OWNER MAIL
ADDRESS ' ca
CITY TEL. NO..
PLUMBER 'AM
ADDRESS I /4R7
CITY TEL. NO ,'7A4..
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. ITEM FEE
/ TOILET @ $1.25 /
BATH TUB @ 1.25
- SHOWER @ 1.25
/ WASH BASIN @ 1.25 /
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25 4
LAUNDRY TUB OR TRAY @ 1.25 I
_
i'
AUTOMATIC WASHER @ 1.25 .L.....
/ WATER HEATER & VENT @ 1.50 / 32
GAS SYSTEM 1 TO 15
.30 EA. ADD. @ 1.50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00 -
/ MISC. WATER PIPING @ 1.50 f
GARBAGE DISPOSAL @ 1.00
1 VACUUM BREAKER OR BACK
FLOW DEVICES I TO 5 @ 2.00
GRADING PLAN
YES D NOD
PERMIT $ 2 00
TOTAL FEE $ p ire)
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 OALSBAD AND STATE OF CALIFORNIA OR, THAT I AM TE I4(GAL OWNER OF THE ABOVE DESCRJBEb RESIDFJlTI PÔPERTh'.
SIGNATURE
OF PERMITTEE
PLBIN6
PERMIT - APPLICATION
ci0
JAN -8-70
BUILDING
ADDRESS
NEAREST CROSS ST. C.'t.ô'-t•
GROUP I ZONE
Inspection Record
APPROVALS DATE INSPECTORS SIGNATURE
UNDER _FLOOR _WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
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.
S APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
NO. JOB ADDRESS ?cT L çA I
AV. ST. RD DATE OF APPLICATION BUS. LICENSE
?o 3 7
PERMIT NUMBER
A~y
OWNER OWNER'S PHONE I
AA
PRIME CONTRACTOR
yL
STATE LICENSE
3)
OWNER'S MAILING ADDRESS CONTRAIORS ADDRESS
4t4c4,4 &•
CONTRACTOR'S
IO/I E Dun i U35i i3/'UG/ I
.
-
Not Valid Unless Machine Certified
LOT BLOCK SUBDIVISION ASSESSOR'S PARCEL NO. IGNER 92?.
S TATE LICENSE
DESCR.TION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
___
CENSUS TRACT ' GP LAND USE ZONING RES. UNITS PARKING SPACE St
#
NUMBER 077ORIES
BLDG SO. FT. ' BLDG USE 0cc. GP ISTANDARD
AMT.
, .
,,."
,"
-" .
.
.
PLAN # PLAN I D B I TYPE CONST 0CC. LOAD
QTY. ,—'iCHANICAL'PERMIT AMT..
INSTALL FURN. DUCTS UP TO 100,000 t"
- OVER 19A.O(BTU
BOILER/COMPRESSOR UP}8'HP
BOILER/COMPRS&R15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT .
MECH EXHAUST - HOOD/DUCTS .' . VALUATION:
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE ,,''
EACH INSTAL., ALTER, REPAIR WATER,W(
EACH LAWN SPRINKLER SYSTjM(
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER . - BUILDING PERMIT I I I I
ISSUE ' -flfl -TSSHF. .. oo SIGN PERMIT - TOTAL PLUMBING . .
CONTRACTOR
. TOTAL MECHANICAL
I CONTRACTOR '
.PLAN CHECK
ALL INCLUSIVE PERMIT
QTY. - ELECTRICAL PERMIT AMT. QTY. - MOBILE ROME PERMIT AMT. TOTAL PLUMBING
ELECTRICAL, -
NEW CDNST EA AMP/SWT/BKR AWNING MECHANICAL
I PH .25 3 PH . PORCH .-. . MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR , , . SET-UP ,,,.' . . .
--
SOLAR
1 PH .25' 3 PH RAMADA,CABANA
REMODEL/ALTERPERCIRCUIT FENCE OVER 6'
TEMPPOLE200AMPS . . TOTAL MOBILE H9M ' MICO-FILM
OVER 200AMPS
TEMPOCCUPANCY(30DAYS)
2';_flfl - _____________________ _______ STRONG MOTION:
TOTAL ELECTRICAL
CONTRACTOR ..5_-_
TOTALFEESPAYABLE
- .
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CAR LSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST,SAIO CITY IN CONSEQUENCE
' OF THE GRANTING OF THIS PERMIT.
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER, -
5.0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
' SCHOOL FEE :.
AP _OWNERO
_:&;~?X~ AGENT BYPHONED
f /
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section 7000) of DivISion 3 of the Business and Profes-
sions Code, and my license lain full force and ef-
fect.
- OWNER-BUILDER DECLARATION
Dl hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code). Any
city or county which requires a permit to con-
struct, alter,, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500). -
Dl, 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 of-
fered for safe (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not Intended or of-
fered for sale. If, however, the building or improve-
ment 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).
Dl, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractors License Law does not ap-
ply to an owner of property 'ho builds or im-
proves thereon, and who contracts for such pro-
jects with a Contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec._, B. & P.C.
for this reason_______________________________ 11 A
Date
Oracertificate
WORKERS' COMPP CLARATION
I hereby affirm th4 I ha of Con-
sent to self-Insure, 'r a e of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3 00, Labor / -
POLICY NO. ' "i' fl
COMPANY J,4'J '-
OCopy is filed Ith th city.
OCertified copy is hereby furnished.
- CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less).
I 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.
NOTIQE TO APPLICANT: If, after making this Cer-
tlficate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provis' ns or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
which this permit is Issued (Sec. 3097, Civil Code).
CITY OF CARLSBAD— BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
- ii,JijI
CITY OF CARLSBAD—BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
n APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
NO.1 . -.
r'iirvi
JOB ADDRESS AV. ST.
I
RD DATE OF APPLICATION BUS. LICENSE
_____
PERMIT NUMBER
OWNER OWN R'S PHONE
-pp 4rnSzz) PRIME CONTRACTOR ç STATE LICENSE -
OWNE MAILING ADDRESS... —
(__-r— 9v-'-
ONTRA TOR S ADDRESS
2t1/ â /w
CONTRACTOR'S
?4'
( fia W_
. .
-
- •, -.
Not Valid 'Unless Machine Certified
STATE LICENSE
NUMBER OF STORIES
LOT . BLOCK SUBDIVISION ASSESSOR'S PARCEL NO. DE9IGNE3-- I
III 11111111 ,_l.,
DESCRIPTION OF - - -_- 1ci
— '-D ES I SN ER'S ADDRESS
-
,
. 5 ., , 61W
.
DESIGNER'S PHONE
CENSUS TRACT GP LAND USE ZONING RES. UNITS PARKING SPACE. sf
BLDG 50. FT. BLDG USE 0CC. GP STANDARD PLAN S PLAN ID U TYPE CONST
AMT, QTY, MECHANICAL PERMIT AMT,
. - INSTALL FURN. DUCTS UPTO 100,000 BTU
, . OVER 100,000 BTU
. . - BOILER/COMPRESSOR UP TO 3 HP
. - VENT FAN SINGLE DUCT .
' - MECH EXHAUST-- HOOD/DUCTS .
BOILER/COMPRESSOR 3-15 HP
' BOILER/COMPRESSOR 16-3OHP
0CC. LOAD
-
\ThJ.tThTPTflT•
QTY - PLUMBING PERMIT
EACH FIXTURE TRAP
- EACH BUILDING SEWER .
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO OUTLETS.
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL-., ALTER, REPAIR WATER PIPE
EACH-LAWN SPRINKLER SYSTEM
WATER SOFTNER . . RELOCATION OF EA r-u-nNAoc,'IIc a' BUILDING PERMIT
ISSUE 3.00 ISSUE . 3.00 - SIGN PERMIT
TOTAL PLUMBING . .
CONTRACTOR .
-
. .
TOTAL MECHANICAL /g-'PLAN
CONTRACTOR .
-•"
CHECK
ALL INCLUSIVE PERMIT
GTY J ELECTRICALPERMIT - AMT. - QTY, MOBILE HOME PERMIT AMT. -TOTAL PLUMBING
-
- ELECTRICAL
NEW CONST EA AMP/SWT/BKR . AWNING ' . . MECHANICAL
— I PH 25 3 PH . PORCH . MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR . . SET-UP - . ' SOLAR
1 PH ,25 ' 3 PH . RAMADA, CABANA
— REMODEL/ALTER PER CIRCUIT . FENCE OVER 6'
- -TEMPPOLE 200 AMPS . TOTAL MOBILE HOME - . MICO-FI I.M.
— OVER 200 AMPS
- TEMP OCCUPANCY (3ODAYS)
ISSUE 2...OU ' mRc)Na rrrTON: - -
TOTAL ELECTRI CAL
CONTRACTOR
- . . . TOTAL FEES PAYABLE .-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEDTO COMPLY WITH ALL CITY,
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS 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.
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
.
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF, - -,
STRUCTURES OVER 3 STORIES IN HEIG
OO
/// . '
A3( 5 1IG o:::R CONTRACTO: 1APP R Y
-
ATE
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason.
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, 'or repair any
structure, prior to its Issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
Dl, 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 of-
fered for sale (Sec. 7044, Business and Profes-
sions'Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale. If, however, the building or improve-
ment is sold within one year of.complellon, the
owne-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
Di, as owner of.the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property .ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec.-, B. & P.C.
for this reason_______________________________
Date _____________ Owner
WORKERS' COMPENSATION JPEC01dTION
I hereby affirm that I have a rt%jte oKcon-
sent to self Sur or a certiliatj'ofVprd,
Compensation ins.urance, or rtlf, copy thersof (Sec. 3800, Labor Cede).
POLICY NO._________________________
lIed with the city.
oçell d copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit is issued, I shalt not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws 01 California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate c.'i Exemption, you should become subject
to the Workers' Compensation 'provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
i hereby affirm that there is a construction len-
ding agency for the performance of the work for
which this permit is issued (Sec. 3097, Civil Code).
1
,3 p
- 0. I hereby affirm that lam licensed under
o .:Pr0 8i0fla of Chapter9 (commencing with '-I '$ection'7000( of Division 3 of the Business-
9
and ,Professions Code, and my license is in
I" full force and effect. • •.
ic. No ______________ Class
- :'- -
-I i hereby affirm that i am exempt from the Confrac-
or's License Law for the following reason (Sec. 7031.5
5, 'Business and Professions Code: Any city or County which re'
tquires a permit to construct, after, improve, demolish,, or -' ,repair any structure, prior to its issuance also requires te ap-
plicant for such permit to tile a signed statement that he is
..,. . licensed pursuant to the provisions of the Contryctor's
License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that is en'
empt therefrom and the basis for the alleged -exemption. Any violation of Section 7031.5 by an applicant for a permit sob' ' jects the applicant to a civit'penalty of nut mote than tive hun' hun-
dred dot, )S500): ' " ' •
0 1. as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-ture is not intended or-offered for-sate Sec. 7044, Business
- and Professions .Code: '-The Contractor's License Law does / 5 not apply to an owner of property who builds or improves . . a thereon and who does Such'wOrk himself or through his own
'. " employees,' provided that such improvements are not intend- W ed or offered fur sate. It, however, the building or improve-_ " Z • ,'. most is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im'
0 prove for the purpose of sale).
- 0 I, as owner of the property, am exclusively contracting
v with licensed contractors to construct the project )Sec: 7044, Business and,Protessions Code: The Contractor's License
-. Law does not apply Ivan owner of property who builds Or im- proves thereon, and who contracts for each projects with a e' U) , . contractor(s) license pursuant 'to the Contractor's License ' -Law).
" "O As a homeowner I am improving my home, and the fellow' 4 , !. iog conditions exist:
t. oThe work is being purformedptior to sale: 2. I .have lived in my home .tor'- twelve, months prior to completion of this work" lea ' 3. I have not claimed this evemplion ' during the , 0 '' '' last three years.'
0 tam exempt under Sec. ' -. B & P.C. - for this reason eT
0 thereby altm thar1havea'eritcateot onsent
- to -self-insure. or a certificate Or Workers'
v Compensation Insurance, or a cerritied copy thereof f. '(Sec. 38, Labor Code):'
tJPLtCYN0 —
COMPANY
0 Copy is tited with the city . Z uJ 0 Cerriried Copy is hereby tarnished
- .--. -, 0 • '-a' 'CERTIF,ICATI. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE ,. (This section need not be completed it tie permit C, •islor one hundred dollars f$t or less)
Ne CC , 0 I certify that in the performance of the worry for
0 • which this permit is issued. I shall not employ any.
person in any manner so as to become subject to the Workers' Compensation Laws or California . I
NOTICETO APPLICANT It, aIte"mak1n3 INS Cerr,
- ticate Or Enemption, you should become subject to
the Workers' Compensation provisions 01 the Labor
"Code, "you mast forthwith Comply with Such
- , provisions or this permit shall be'deemed revoked
. '-' ' '' - if
•
- 0 I' hereby' alti,m that there is a construction
I lending agency ioi the performance of the worry loif
Uj
-which this permit is issued (Sec 37. Civil Code)
uj Le ow sName -
I Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD'BUILDING DEPARTMENT APPLICATION 8i PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ' ' .• . - ' ' '
JOB ADDRESS , AV. ST. RD. NEAREST CROSS ST.
25-zc ,Z- C1'fl/'VO /Lfl
DATE OF APPLICATION BUSINESS LICENSE S VALUATION
An
- PERMIT NUMBER
Lk C in-ci
ZONE
______
LOT BLOCK SUBDIVISION ' ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE C
71 - L2aie-71 ' 222cty UY 7 OWNERS NAME 1) 'C OWNER'S,PHONE
CONTRACTOR'S ADDRESS LICENSE NO. - PLAN CO.-*- BLDG 'U CODE -
/ 254 1?2t?,)' 8— -3$T :
' - /ol OWNER'S MAILING ADDRESS
. I 2- EZ_ '1)1'1iA.O /tES't a'Q,; 23 DESIGNER / / LICENSE # STANDARD PLAN S ••
, . - 'v
BUILDING SQ. FOOTAGE
' - DESCRI TION OF WO '
DESIGNER'S ADDRESS DESIGNER'S PHONE , 6/0/Ub86 - 67'8.lfj
OOr33G
- FLRELEV' NO OCCGP * EDU - ryf.v STORIES. -
v-.,,•.. ,._. ,_ ''.'"------'-' '"-,'''.".r
CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - TYPE 0CC LOAD FIRE SPR' GP,LANO-USE7
" AREA CONST
.1-" w - -- -- ' - .0 • ' t YO ND' - . vD ND, ' • 'vO NO - Not Valid Unless Machine Certified
-
QTY.
4 .
PLUMBING PERMIT- ISSUE
.'
QTY.
- -- .,'
MECHANICAL - ISSUE4
. 3 ,.•
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 7j INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00 8220 /9's
EACH BUILDING SEWER1 , r .. ,L J' OVER 100 ,000 BTU , .. SIGN PERMIT 1.01-00-00.8221 - '.-
' EACH VATER'HEATER ANO/ORVENT ' - "-c 171 BOILER/COMpRESSOR UPTO-3 HP - PLAN CHECK - 01-00-00-8806
EACH IJAS SYSTEM I 104 OUTLETS; BOILER/COMPRESSOR 3.15'HP' -- - : TOTAL PLUMBING - - - O1'00'00'8222'
EACH GAS SYSTEM 5 OR MORE.. e METAL FIREPLACE ..ELECTRICAL,,,, 01-00-00-8223
-
EACH INSTAL'.ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT 1 MECHANICAL 01100-00-8224
... EACH VACUUM BREAKER '" - ' - ', MECH EXHAUST - H000/OUCTS - 'MO'LEHOME • 01'150-15Q-8225
VATER SOFTNER '
. I ' ' '
• ,
,,••
RELOCATION OF EA FURNACE/HEATER ' , MOBILEHOME PARK INSP - . -. , -' ' ... ' .._.•. • - .. -
EACH ROOF DRAIN (INSIDE) ' ' - - • - ' . ' . ' ' ' SOLAR v - 01'00'00'8226
- - • - 9 •. ' -- - , , •. TOTAL MECHANICAL . '
-- ' . '
' " - -
- it/_, STRONG MOTION
- TOTAL PLUMBING • I
° '2 44— - 'FIRE SPRINKLERS 01-00-00-8227
OTY ELECTRICAL PERMITSSUEC QTY SOLAR ISSUE PUBLIC FACILITIES FEE '-32-00-00-893D
* FEE
NEW CONSTEAAMPlSWT!BKR -- 4
BRIDGE
COLLECTORS ' , - - SCHOOL FEE ' DISTRICT -
I PH - H • ' ' ' STORAGE TANKS • ' - - Carlsbad 80-92-21-0519 -
EXIST BLDG EA AMP/SWT/8K - ROCK STORAGE-. ' • -' . - --- • - Encinitas — - • - - 80'92-22'0519
PH" - - 'a - -.3 PH ' , , " ' . , PUMP ' - , - San Olegoilo ' 80'92'23-0519 '
REMOOEL.'ALTCR PER CIRCUIT "' . " PLAN CHECK FEE - -- -San Marcos -' 80'92'24'0519 - -
- TEMP POLE 200 AMPSb,
OVER 200 AMPS ' t"r LICENSE TAX 01-00-00-8162
TEMP eCCUPANCY (30 DAYS) - ' . ' . '
. MFF 80-92-57-0519
'I • - ' ' '' . . . ' CREDIT DEPOSIT • .• /'2SJ i4r -
TOTAL ELECTRICAL cr- TOTAL SOLAR TOTAL FEES PAYABLE [ g ,,'
- -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND bo HEREBY Expiration. Everypermit issued by the Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void. It the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building 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- abandoned atAby time after the work is commenced for a pegod 01180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND —
I la KEEP HARMLESS THE CITY OFCARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS COSTS'AJD .. rPPLI I'Q" IGNAT'UE ; .'•. -s CONTRACT APPROVE BY - DfE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , ' ' • (d'
' BY PHONE 0 GRANTING OF THIS PERMIT, r ,7
I -
INSPECTOR
, -.--.
-
-' -
*
'" - ' -• ''- TYPE DATE
BUILDING
*
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
REQUIRED SPECIAL INSPECTIONS' - INSPECTOR'S NOTES MASONRY _
REQ. INS PEO.TJON IF
CHECKED
INSPECTOR'S
APPROVAL DATE ' , GUNITEORGROUT
FLOOR & CEILING SUB FRAME
PRIOR TO
SOILS COMPLIANCE
SHEATHING E ROOF SHEAR j _________ JDATIONINSP
Ir r- -
FRAME
EXTERIOR LATH
STRUCTURAL CONCRETE
OVER 2000Psi
INSULATION PRESTRESSED
CONCRETE INTERIORLATH&DRYWALL POST TENSIONED
CONCRETE I
PLUMBING FIELD WELDING.
SEWER AND BLJCOIPLJCO HIGH STRENGTH-
BOLTS - UNDERGROUNDD WASTE DWATER -
SPECIAL MA-SdIRY - TOP OUT Li WASTE 0WATER _______________________________________________________
-•
TUBANDSHOWERPAN -.'
_ GAS TEST PILES CAISSONS
D WATER HEATER EJ SOLAR WATER
ELECTRICAL
0 ELECTRIC UNDERGROUND 0JFFE'R.
ROUGH_ELECTRIC___\ ,21V,'P_
0 ELECTRIC SERVICE 0TEMPOIAR,Y-
0 BONDING -0 POOL
0 DUCT &PLEM.,0 REF. PIPIN'G
HEAT -AIRCOND.SYSTEMS
MECHANICAL
VENTILATINGSYSTEMS
ALL-APPROPRIATE CALL FOR FINAL INSPECTION WHEN ITEMS ABOVEHAVE_BEEN APPROVED
S *
* .
.' -.*•I_ - - , -- _-.-. _:';
• - - ---, -. _.*c,:;:_._\-_
'
-k--
--S
S. -
- : - ,. - •• -.
FINAL ' -
PLUMBING _',- -•:- _- __________
ELECTRICAL;
MECHANICAL _-
GAS --
BUILDING _••--_-_'-
SPECIAL CONDITIONS 'I
______ ________
*
1200 ELM AVENUE TELEPHONE
CARLSBAD CA 92008-1989 (619) 438-5525'
CLtp of Qartbab
BUILDING DEPARTMENT
July 16, 1985
I A Gregory Corporation
2566 Montgomery .
Cardiff, California
2525 El Camino Real , Suite 228,' PARKLANE
This letter will confirm our inspector's request'for R-19 insulation
in the dropped ceiling area of the subject job The State of
lifornia Energy Regulations require this insulation.
MARTIN ORENYAK 0
0
DIRECTOR OF BUILDING A D PLANNING
0
0 1 hereby affirm that im licensed under 0 _ .provisions of Chapter 9 (commencing with I Section 7000) of Division 3 of the Business i r I and Professions Code, and my license is in
- - I - full force and effect, I
,
Lic No ______________ Class
- - I
- Ufl. ' I
I hereby affirm that I am exempt from the Csntrac-
or's license Law for the following reason (Sec. 7031.5 I
Business and Professions Code: Any city or c005ly which re--quires a permit to construct. alter, improve, demolish, Or
repair any structure, prior toils issuance also requires the ap-
plicant for such permit to file a signed statement that he is
licensed pursuant 'to the provisions of the Contractors -
License Law (Chapter 9 commencing with Section 7000 of I
Division 3 01100 Business and Professions Code) or that is ox' I - empt 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 a civil penally 01 not more than tine 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-
tare is 001 intended or offered for sate (Sec:7044, Business
and Professions Code: The Contractor's License Law does I
not
apply to an owner of property who builds or improves -
thereon and who does such work himself or through his own
employees, provided that such improvements are 001 intend- I ed or Oltered or sale. II, however, the building at improve- I - moot is sold within one year 01 completion, the owner-builder
will have the burden 01 proving that he did not build or im' I
prove for the purpose 01 sale). I
O I. as owner 01 the property, am exclusively contracting I
with licensed contractors to construct the project Sec. 7044,
Business and Professions Code: The Contractor's License
- Law does not apply loan owner 01 property who builds or im-
proves thereon, and who contracts for each projects with a i contractor(s) license pursuant to the Contractor's License Law).,__
O As a homeowner I am improving my home, and 100 10110w- I
- ing conditions exist: I 1. -The work is being perlormed prior 10 sale, -
I have lived in my home for twelve months
prior to completion 01 this work. I 3. I have not claimed this exemption during the last three years.
01am exempt under Sec. . B & P.C.
for this reason
Dl hereby affirm that I have a certificate 01 C000enI I
to seII.iosure, or a' certificate 01 Worker s'
Compensation Insurance, or a certified copy rhereot
[Sec. 3800, Labor Codel. -. - . I
POLICY NO
- COMPANY •/ ,.- -
Copy IS with the City
Ce copy is hereby tarnished
ERTIFICATL OF EXEMPTION FROM -
4cO9KERS' COMPENSATION INSURANCE
N?LJ1'pisrion need 001 be completed if the permit I
is 10, one hundred dollars l$1091 or less) I
I certify that in the performance of the wow for I
w this permit is issued. I shall not employ any
person in any manner so as to become subject 10
the Workers' Compensation Laws 01 California
NOTICE TO APPLICANT If. Iter making rhis"Cerri
ticate 01 Exemption, you Should become subject I') I
the Workers* Compensation provisions'cd the Labor I Code, you must forthwith comply with such
provisions or this Permit Shall be deemed revoked I
I hereby affirm that there is a conslradtiov I
lending agency ror the performance 01 the wow for
which INS perrnil is issued (Sec 3097, Civil Code)
Lenders Name -
'Lender's Address
-
IX U' 0 -J
m
U' Z
0
3
- USE BALL POINT PEN ONLY & PRESS HARD .•, APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING-DEPARTMENT - APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
-
AV. SJ 7 NEAREST CROSS ST. E. ea esf 8c)I2 2AT OF APPLICATION
2525 El Camino Real Ste. 44 Jefferson (S w. gear area X0 J2,I7g
BUT LICENSE S VALUATION
ZONE
9 12 -0215/
YP
ERMITNUMBER'
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. #4) CONTRACTOR
A/e4-Z 7e.4'4
CONTACTORS PHONE N
OWNERS NAME
May Centers 1 (314) 342-6201
OWNERS PHONE
CONTRACTORS ADDRESS
//8 6eee,//4k
LICENSEIlO. PLAN I.D. # -. -' BLDG USE CODE
- OWNER'SMAIUNG ADDRESS
611 Olive St. Ste. 1555 St. Louis,. MO. DE SR
DESCRIPTION OF WORK . .-. .'
LICENSE 4 STANDARD PLAN # BUILDING SO. FOOTAGE
DESIGNER'S ADDRESS DESIGNERS PHONE
ft
-
Not Valid Unless Machine Certified -
FIRE SPR
-,4Je---2O-i,ft-- ce 3O e 41.1c cA4J. frl,(o 4IS//
Ai J eI ,iAh V'1 ':
F/P FLR ELEV.
N
.
NO
STORIES
'•
0CC GP' EDU
-
U7d GRADING PERMIT ISSUED
Y O N 0
REDEVELOPMENT
AREA
YO NO
. - TYPE
CONST
0CC LOAD
1 vU ND
OTY. PLUMBING PERMIT - ISSUE _7SV OTY. MECHANICAL PERMIT - ISSUE 3— . SUMMARY/ACCOUNT NUMBER ., .
EACH FIXTURE TRAP - - . INSTALL FURN. DUCTS UP TO 100.000 BTU - BUILDING PERMIT 01-00-00-8220 -.
EACH BUILDING SEWER . OVER'IOO,OOO BTU - SIGN PERMIT 01-00-00-8221
EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UP TO 3 HP ' PLAN CHECK , 01-00-00-8806
- EACH GAS SYSTEM I 104 OUTLETS . BOILER/COMPRESSOR 3-15 HP . - TOTAL PLUMBING 01-00-00-8222 - - -
EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE - . ... - ., -. ELECTRICAL . 01-00-00-8223
EACH INSTAL, ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
- EACH VACUUM BREAKER . MECH EXHAUST - HOOD/DUCTS MOBILEHOME - 01-00-00-8225
• WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER .MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) . - SOLAR - 1. 01-00-00-8226 -. TOTAL MECHANICAL - -
- -
STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I - FIRE SPRINKLERS 01-00-00-8227
OTY. ELECTRIcAl1. PERMIT - ISSUE 5 ..... QTY. SOLAR -ISSUE ISSUE - -
- PUBLIC FACILITIES FEE 32-00-00-8930
NEW GONSAA/SWT/BKR I 960 COLLECTORS - SCHOOL FEE - DISTRICT - -
I PH 3 PH - STORAGE TANKS . . Carlsbad 80-92-21-0519 -
- EXIST BLDG EA AMP/SWT/BKR - ROCK STORAGE - Encinitas 80-92-22-0519 -- - -
- 1 PH 3 PH - PUMP - - San Dieguilo 80-92-23-0519
REMOOEL.'ALTER PER CIRCUIT - PLAN CHECK FEE - .. - San Marcos '-. 80-92-24-0519 -
- TEMPPOLE 200 AMPS - '-. - . - - -
OVER 200 AMPS LICENSE TAX 01-00'00-816j'--
TEMP OCCUPANCY (30 DAYS) M F F 8092570519 -
CREDIT DEPOSIT
TOTAL ELECTRICAL
,5a..O ,. T k 1 TOTAL SOLAR TOTAL FEES PAYALEB .zO ----- —
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HERESY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by
by such
limitation and become null and void. It the building or work
rmit is t commenced within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT. IS authorized
permil, or if thebud1?wo authorized by uspe
n*0 -,
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time the work is commenced for a period of 180 days.STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP I ANT' ROVED BY .---'-' - DATEKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND L C S SIG URE RU CONTR
G
EXPENSES WHICH MAY IN ANY
RANTING OF THIS PERMIT
WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
01 BY PHON % L
FIELD INSPECTION RECORD
- 'jC•r- -
REQUIRED SPECIAL INSPECTIONS - ' -' INSPECTORS NOTES
\NSPECTlON EFD DATE APPROVAL
SOILS COMPLIANCE
PRIOR,TO) A)
FOUNDATION INSP I
STRUCTURAL CONCRETE
OVER 2000 PSI -
CONCRETE
PRESTRESSED
.k ....' -
POST TENSIONED
CONCRETE
\ ) .. , 08 -" I
FIELD WELDING
___________________________________
.\ 'A\\ \ '•)'•
4. c'.. '•
çX.. . I
\.', I
HIGH STRENGTH
BOLTS
-________ ________________
-
SPECIAL MASONRY -
PILES CAISSONS I
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY,..
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH' & DRYWALL
PLUMBING
SEWER AND BL/CO OIPLICO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER D SOLAR WATER
- ELECTRICAL
0 ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORARY
0 BONDING 0 POOL
MECHANICAL
0 DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL' P
GAS
BUILDING
SPECIAL CONDITIONS
- 'S• - - -
'Ii
— I