HomeMy WebLinkAbout2550 EL CAMINO REAL; MULTI-PERMIT FILE; CB080100; Permit` City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-11-2008 Mechanical Permit
Permit No: CB080100
Building Inspection Request Line (760) 602-2725
Job Address: 2550 EL CAMINO REAL CBAD
Permit Type: MECH
Status:
ISSUED
Parcel No: 0000000000 Lot #: 0
Applied:
01/11/2008
Valuation: $0.00
Entered By:
KG
Reference #:
Plan Approved:
01/11/2008
Issued:
01/11/2008
Project Title: BANK OF AMERICA:CHANGE OUT
Inspect Area:
EXISTING ROOF MOUNTED HVAC UNITS -
Applicant: Owner:
SUMMER SYSTEMS, INC.
28942 HANCOCK PKVN
VALENCIA CA 91355
661-257-4419
Mechanical Issue Fee
$15.00
Install/Furn/Ducts/Heat Pumps Fee 1
$9.00
Fireplace Installation Fee 0
$0.00
Exhaust Fan Fee 0
$0.00
Installation/Relocation Vent Fee 0
$0.00
Hood Fee 0
$0.00
Boiler/Compressor to 15HP Fee - 0
$0.00
Other
$0.00
Additional Fees
$0.00
TOTAL PERMIT FEES $24.00
Total Fees: . $24.00 Total Payments To Date: $0.00 Balance Due: $24.00
FINAL I APPRVAI
/
lncnPctnr: Date: 0'Y Clearance:
NOTICE: Please take NOTICE.that approval of your project includes the "Imposition" of fges, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the -date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file.the protest and any other required information with the City Manager for
processing in accordance with Carlsbad -Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
City.of Carlsbad
1635 Fa4aday Ave., Carlsbad, CA 92008
760-R2-2-rir 7 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check
Est. Value
Plan Ck. Deposit
Date / //__0 K 9�/
108 ADDRESS
CT/PROJECT 9 LOT
Et
FPHAS## OF UNITS OOMS
- —
SUITE#/SPACE#/UNIT#
#BATHROOMS TENA BUSINES AME
CONSTR.TYP OCC.GROUP
-----'---
DESCRIPTION OF WORK:
S • MAW-. t -.
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES ❑ #_
NO ❑
AIR CONDITIONING
YES ❑ NO ❑
1FIRE6PRINKLERS
YES ❑ NO ❑
CONTACT NAME .(If Different Fom Applicant)
APPLICANT NAME
ADDRESS
ADDRESS
r
CITY
STATE ZIP
CITY S
hr�1" " r
�4ie�%
ZIP
PHONE
FAX
PHONE IF1M1/\
6 O
FAX
•�
EMAIL
EMAIL 1
Y' a So�WITrf irlc, 1'�Cf
PROP TYT NAM
AD
2
CONTRACTOR BUS. NAME
S o m mw
ADDRESS-
s c.
CITY ^ (S r_- x
t%G�
zoo STATF,�
Cl TY\14 STA
P
L/♦(
PHONE
FAX
PHONE
(,4p?. t
FAX
45
2
_
EMAIL `
EMAIL
ARCH/DESIGNER NAME & ADDRESS
STATE LIC. #
STATE LIC.# -
CLASS
CITY BUS. LIC.# -
(Sec: 1031.5 Business and Profess'ians Code:.Any City or County, which requires a -,permit to construct alter improve demolish or repair structure prior to its issuance, also -requires the gliant for such permit to file a signed statement that he Is
licensedyyunuant lathe provisions of the,Contractor's License Law {Chapter 9, commending with Section Y060 of Dwislon 3 of the Business' and Professions Code} or that he is exempt therefrrom, 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 fire hundred dollars {$500}).
:'y`••�,z'•j g, y,: .::`�,q. .:, # 2r `^'.- 3. i`z' yr' •v^, r`• #,'.;..• s, :ibg4,.=;. �~' '`:,`
,.^,�.� r}'.�,��!+°:w-.'. �.' ' ;�:.;'... -4'cx, ,•.,?'�;�t^r .�. �e, c«::�G�,. :>�:�`��'r3&`a:•€:a.;�t�3��>"
Workers' Compensation -Declaration: I hereby affirm under penalty of perjury one of.the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workeW compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is. issued.
10141 have and will maintain rkers' co ensatio as requ' ed by Sectipn 3700 of Libor �od'e,4forr the performance of work for which this permit is issued. My workers',compensation i sur ce carrier and policy
number are: Insurance Co V1Ltd ni1•cA••a: �f�[�O� Policy No. I v0 Expiration Date I��10
This section need not be completed if the permit is for dollars ($100) or less.
❑ Certificate of Exemption: I certify that in th erf nce the work•for which thi rmit' issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to.secure w rke om satfon cov rage is u ul nd I) subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation,,da s vided for in S ion 37 - th a interest and attorney's fees.
.ES CONTRACTOR SIGNATURE DATE A& /!
x.a•.u: �� i;, - �'>•`yx�,••s: , :;� `» rz ..y>:�z-: ;4o-(c,"c" :=k„' : t�: x,,• .. �'3: �.°; ' 'rR�>.-:��:�;.' ?��n-t< :'�r r» {•t, �: ..$.`, ^'rCd: ;: `Y .r., e?-c i„'? :.,no ,c•(r .•4, P; �x;r;Y".n.. a;s•t-'-`,. "`�.K•'iti. i.. s;'2`?• �',.',•.'i, t al sR
c' '�"�-ft, ^r•� tr .r ,�: k - c ,•v`• ,�, §-e� _ ,<,r,. ;'t....,a.x`>�`�;':Y<?�' `t„ �'s. <i ,x�a'.,�`-,. , .:�- .�'L . ,�,.•« a?.
`''�'LnY"��d,-�..`�•: �'ml<`�"'F„a+"'M��-v`+�>• `r...�."5 ., 3 .-,._.....�.. ..�_d.��'#aa�:a may.,.. ,..3-�'::' h.. r.1a 'Sr`:-A2i .,aC+?;'^ «•k ,i., _ y .L,.;,:
I hereby affirm that I am exempt from --Contractor's License Law for the following reason:
D. I, as owner of the property or rriy employees with wages as their sole compensation, will'do the work and the structure is not intended oroffered for sale (Sec.,7044, Business and P ns 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 suc , ements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will hale the burden of proving that he did not build o ' e for the purpose of sale).
73 I, as owner of the property, am exclusively contracting, with licensed contractors to construct'the project,(Sec. 7044, Business and Profess' e: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such proj cis with contractors) licensed pursuant to the'Contracto ' se Law).
O I am exempt under Section Business and Prof 'sio a for this reason:
1. I.personally plan to provide the major labor and matPpemi
atfor on rt tion of the propo arty improvement. O Yes O No
2 1(have I have not) signed an application for a builds for the pro ork.
3.1 have contracted with the following person (firm) to provid oposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I h the following person to coordinate, supervise and provide the major work (include name / address I phone I contractors' license number):
5.1 will provide -some of the work ave contracted (hired) the following persons to provide the work indicated (include name ! address ! phone ! type of work):
.ES RTY'OWNER SIGNATURE DATE
. f,. ;.{. .:s .:,: `°%;,u>s.ar ,.k,.. .; `tir.;• it ,i"";:''aa�. ..:._- 1J,
. 7afv1;: ,:;;I,•. `.G•i.,_' ,.. .I:
':.1%m`%'3 .«i w_'r *•c: ,,L�1- �'�v''.',- n a:.s'6i`m .� a S` '� a'-v, e° c .;'�°'-t,;r,r;^(., ��•'•'� 'bk�z,=.:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley -Tanner Hazardous Substance Account Act?' O Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air q My management district? O Yes Xplo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes * No -
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES -AND THE AIR POLLUTION CONTROL DISTRICT.
-e<•; €.,':e.t, >. e +^`a: aym. b'.::,."-. F„r'Yaa:^...trt,c.:?r"ia�•.'« :.:.r,;;;l�..,,,,,,,�
•'s.. `:i `j - r,°.iv : �w,.Y sf2..`� r ..'yh -z• r,. :•P`5,:�'w F•�,ig . .,%„t .-- �, r: {Y `.i
�' ..aaaW.., .'ve .l ?,sr ,`- •. "'''-➢.i3''N.:':.ti- .11.�'" ti a; Y'77
'`^`'�3.:
I hereby affirm that there is a construction lending a n for rformance of the wor 7 (i) Civil Code).
Lenders Name Lender's Address
-- -� -`Fi.z:i:'N• `n,2`�t sx�'f •'•f .j i=. :'�``'sa°>�'���•:t#t'o •�r.r#• ri!^'.k. . :p i?`..r,,`•_pi,xei'.;.,a <. �..Ln.'J.i�� ;. F2�.�:T^�.C.'.r, ' ,,e�'„4>w-S`'.
i''i�I.;- 3„ ;..a :u.;�a;,'.,•*'; :.'3�, r�'.°`'�4.`'+;`=;day^-`Yx�::.�' a>.: 5.;'•.?' .s"�:`w�."M,,Y�xi>i'.,st'a��. �. ,. ,5.<.�,:: �:�
I certify that I have read the application and state that the above Information is correct and that the information on the plans isaccumte. I agree to complywith all City ordinances and State laws relaUngto building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, CO EX NSES WHICH MAY IN W ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA permit is required for ex on er5'O' ep and demolition or ctio of structures over 3 stories in height.
EXPIRATION: Every permit issued by the ildi is der the provisions ofth' es Ilexpire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit e ' d' r work authoriz y su it is nded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
A!SAPPLICANT'S SIGNATURE DATE
P
r
�i
• ;t
City of Carlsbad Bldg, Inspection Request
For: 02/20/2008
Permit# CB080100 Inspector Assignment:
Title: BANK OF AMERICA:CHANGE OUT
Description: EXISTING ROOF MOUNTED HVAC UNITS
Type: MECH Sub Type:
Job Address: 2550 EL CAMINO REAL
Suite: Lot: 0
Location:
APPLICANT SUMMER SYSTEMS, INC.
Owner:
Remarks: .p m please NO CARD ON SITE
Total Time:
CD Description Act Comments
49 Final Mechanical
Comments/Notices/Holds
Associated-PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
-Phone: 6615109627
Inspector:
Requested By: JANIE COXIJAVIER RAMIREZ
Entered By: CHRISTINE
° - 6'UILDING PERMIT`
08/'13/98 12:15
Job 'Address: 2560 EL CHMINO REAL
Permit Type: PLUMBING
Parcel No: 167-030-50-00
Veluation»' 0
Ocoupancy Croup:
Description., INSTALL ICE MACHINE
:
Suite:
^�\
' Permit No: CB98255f \v
Project Not H90-0��71
Development No:
lot#�
Construction Type: NEW
Reference#^ Status: ISSUED
Appl/Ownr : TH CONSTRUCTION
513 U11I8M PLACE
8REA CA 9287-1
*** Fbea Required
-------------
Fees
' 47.
Md'us'tment5: �
Fee description
__--_-----------------
E'nter vYo for Plumb
Each Install/Repmi �
Other
^~ '
/
A,pplied: 08/13/98
Apr/Issue: 08/198
Entered
8y: JM
714 529-4659
0O5#'0B/33/98 001 01 02
'Fo: lecteJ- &
C-PRMT 47^00
Credits ***
--_---------_-_
'
00 ,
Total
1;5,
.00
47.0'0
£xt fee Data
-�-p20.00�
-----------�--_
Y
7.00
20.00 ELEC
INCORPORATED
1952
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr', Carlsbad, KA9%0U9 (6430-1161
B U I L D I N G P E R M I T Permit No: C8982551
11/30/98 11:31 Project No: A9803371
Page i of i Development No:
Job Address: 2560 EL CAMINO REAL Suite:
Permit Type: PLUMBING'
Parcel No: 167-030-50-00 Lot#-.
Valuation: 0
Occupancy Group: Reference#:
Description: INSTALL ICE MACHINE
Appl/O,wnr : TRG CONSTRUCTION
513 UNION PLACE
BREA CA 92821
Fees Required
----------- ---------------
F'ees: 47
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plu
Each Install/Repa
Other -
Construction Type: NEW
Status: IS -SUED
Applied: 08/13/98
4pr/18sue, -08/13/98
Entered By: iM
714 529-4659
Collected & Credits
PAI ---------------------------
CITY OF CARLSBAD
2075 Las Palmas, Dr., Carlsbad, CA 91009 -(760) 4384161
.0.0
47.00
.GO
Ext fee- Data
---------------
20-00 Y
7.00
20.00 ELEC
0-oo
Moto ,
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-11=61
FOR FOR OFFICE USE. ON� _
PLAN CHECK. NO.���
.EST. VAL. 7_i--�_
-Plan Ck. Deposit _
Validated By
Legal'Description Lot No. Subdivision Name/Number Unit No. Phase No. Total of units
.Assessor's Parcel # Existing Use Proposed Use
Description,of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2 . Ct7lCT�Pi$„QIV(if-aif�etogt,frgm"apji)[centl , .,. , w. 'xF.�
Name - Address City State/Zip Telephone ,# Fax #
Name Address City State/Zip f Telephone #
14PE[i1
Name Address City State/Zip Telephone #
dSec. 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, commending 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 vi�jation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than ive hundred dollars [$001)).. ,
_.�,r... /(- . _-Z i-- 9 e' . . •„ ..._ — / ./'2 s v/A �A �OLL ) 4742— 5f'/ S -Y . .
Name ??' Address city state/up —i eiepno
State License #' (� �cat License Class City Business -License #
Designer Name Address City State/Zip Telephone
State License #
X: n O__KSRS,_gQ PPENS�i P
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,
❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700- of the Labor Code, for the. performance
of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section- 3700 of the Labor Code, for the performance of- the work for which this permit is
jssued. My worker's compensation insurance carrier and policy number are:
Insurance Company !� SUN t� Policy No. Z ✓`t? ,� Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
❑ CERTIFICATE OF EXEMPTION: 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 Worker omp io Laws of California.
WARNING: Failure to a re work compen tion coverage is unlawful, and shall subject an employer to criminal penalties and c`vit fines up to one hundred
thousand dollars ($186000), in tion to the ost of compensation, damages as provided for in Section 3706 of the Lab ade in mteand attorney's fees.
SIGNATURE DATE
I hereby affirm that I am exempt fro the Contractor's License Law for the following reason:
❑ 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 does not apply to an owner of property .who builds or improves thereon,, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he -did not build or improve for the purpose -of sale).
❑ 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).
.❑ 1 am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ YES ONO
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted• with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide'the major work (include name / address / phone
number / contractors license number):
5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE. DATE
fJMPI E ft11S 3E lQ N ` @ I PI Q E [ 5 —69
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ YES ❑ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ❑ - YES ❑ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES ❑ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
—7 M -
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
9 P ICA „CERT( T10 � ,�,....� a ......,...�.......,-„�...w�..� ..,.....,..,. _ -� ..a,. ,...�._; .��..,�:..� .meµ :...... . ......�..��'m�
I certify that I have -read the application and -state that the above information is correct and that"the information on the plans is accurate. I agree to comply with all
City ordinances and State 'laws relating to building construction. I hereby authorize 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 1 Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is fequired'for excavation over 5 " deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued b Bull ' g Official rider the provisions of this Code shall expire by limitation and• become null and void if the building or°
work authorized, by such permit' ot�comm ced within 65 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 menced f a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S. SIGNATURE DATE ���
WHITE: File YELLOW: Applicant PINK: Finance
:. City of Carlsbad Inspection Request
a For: 3126/99
Permit# CB982551 Inspector Assignment: TP
Title: INSTALL ICE MACHINE
Description:
Type: PLUM Sub Type:
Job Address: 2560 EL CAMINO REAL
Suite: Lot
Location:
APPLICANT : TRG CONSTRUCTION
Owner: VONS COMPANIES INC <LF> KELLY RI
Remarks:
Total Time:
Phone: 7602508027
Inspector:
Requested By: ROB OR BOB
Entered By:- CHRISTINE
CD Description Act Comments
29 Final Plumbing Epp
Inspection History
Date Description Act Insp Comments
8/25198 29 Final Plumbing NS TP
8/25198 39 Final Electrical NS TP
8/17/98 89 Final Combo CO TP CORR LIST ATTCH
BUILD I N G P E R M I T
10/11/95 12:50
Page I of I
Job Address: 2550 EL CAMINO REAL Suite:
Permit Type: ELECTRICAL
Parcel No: Lot#:
Valuation: 0
Occupancy Group: Reference#:
Description: INSTALL 5-HPS LIGHT TO COMPLY
: WITH AB-244-AROUND ATM
Appl/Ownr : AMTECH LIGHTING SERVICES
9181 KEARNY VILLA CT, #A
SAN DIEGO, CA 92123 ___-
Fees Required
--------------------
Fees:
Adjustments;
Total Fees:
Fee description
------------------
Enter "Y" for Ele
Enter "Y" for Rem
* ELECTRICAL TOTA
2-0Z
. 0.0"�\
. do,\-
2,0.0,
s /ue Fee
WCORPORATED
1952
Permit No: CB951443
Project No: A9502107
Development No:
4086 10,,1111111/95 00071 0-1 0,2
C—PIRMT 20 - 00
Construction Type: NEW
Status: ISSUED
Applied: 10/11/95
Apr/Issue: 10/11/95
Entered By: RMA
292-7700
Fees"C1lected & Credits
/- ",-, -Q------------------------
'its:
.00
A-t 3
.00
\
D)leX
20.00
ee/Unit
Ext fee Data
------------
10.00 Y
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
10.00 Y
20.00
D A T 5
PLAN CHECK NO.
PERW1 APPLICATION
city of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92D09 (619) 438-1161
From List 1 (see back) give code of Permit -Type:
---------------------------------------------------------
For Residential Proiects Only: From List 2 (see back) give
Code of Structure -Type:
Net Loss/Gain of Dwelling Units
EST. VAL
PLAN CK DEPOO -
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 25�0 � /��90L Building or Suite No.
Nearest Cross Street
RI tl
t3,44K
❑ 2 Energy Calcs ❑ 2 Stru ural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
ASS SSOR'S PARCEL - EX NQ USE PROPOSED USE
DESCRIPTION OF WORK /1,OplrlON of ffPS G/GHi3�j $ o� R /ft/ST+�NG �L�Gph'�rrnJ� TD v�G,e,9PP G iG�/T G v�GS ro
SO. FT. # OF STORIES `�► fLil h c) # �F $�DR�&45 �, # OF BATHROOMS
NA E- (last_name first) ADDRESS
CITY
STATE ZIP CODE DAY TELEPHONE
NAME (last name first) eJ P,16N¢� Ctfe15 ADDRESS 9 iYI �eF.+°� V144 J GAT 44
CITY .6,4N STATE t`4 ZIP CODE 92% 2 3 DAY TELEPHONE
5. PROPERTY OWNER. NAME (last name first) 1gf f1/c' Of �Jiyi6.e�G�A ADDRESS G� �� Gs�/'�'� QLf/�
CITY Cos' 06,eJz5 STATE e-f ZIP CODE �% �/� DAY TELEP14ONELF=NTRA
UR
NAME (last name first) �MrEdy G1cH7W6 6key,,-,1C'5 . ADDRESS g/-`V ``vi��
CITY -rxN .U6.0, STATE 6� ZIP CODE G2/23 DAYTELEPHONE(a,"J
STATE LIC. # W/ /`' �O LICENSE CLASS ` — /o CITY BUSINESS LIC. #
DESIGNER N7= (last name irst 7-4ehe 4 e e-7r"Vy
WorKers-LAmpenSaUOR ueciaiauuu: 1 „c,cuy atm... u,a. , ,.o......... •...�...- .-. _-..----- -- ----
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 filed with the Building Inspection Department (Section 3800, lab. Q.
COMPANY SJ POLICY NO. ?3/0-S EXPIRATION DATE �"dy7�yuoc�s
so as to become subject to the Workers' Compensation Laws of California.
DATE
❑ 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 does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
❑ 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 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 [$500I).
SIGNATURE' DATE
-COMPIElt THIS SECTION FOR NQN-RESI�AL BUILDING PERMITS ONLY'
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 2550S,25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act?
❑ YES L'1*O
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
❑ YES A"o
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
❑ YES
NO
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 DISTRICT..
LENDER'S NAME LENDER'S ADDRESS
--r—certily that I Have reaa Hie app tcauon an state that the a ve information is correct. I agree to comply with -all Cify or manes 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
AGAINST ALL LIABUXIIES3, JUDGhUNM
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSes. I ALSO AGREE -TO SAVE INDEMNEFY AND KEEP T CITY IN CONSEQUENCE THE CITY OF OF THE GRANTING OF THIS E ORT. �S
OSHA: An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such 4is-not=rr need�v in 365 days from the date of such permit or if the building or work authorized by
such permit is suspended oabd%�Fon h-work is Zorn enced for a pe...od of 180 days (Section 303(d) Uniform Buildin e),
APPLICANTS SIGNA- "� DATE: O
iJ
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951443 FOR 01/23/96
DESCRIPTION.: INSTALL 5-HPS LIGHT TO COMPLY
WITH AB-244-AROUND ATM
TYPE: ELEC
JOB ADDRESS: 2550 EL CAMINO REAL
APPLICANT: AMTECH LIGHTING SERVICES
CONTRACTOR:
OWNER:
REMARKS: MW/CHRIS/2-92-7700
SPECIAL INSTRUCT: AM WOULD BE GOOD
TOTAL TIME::
--RELATED PERMITS-- PERMITf TYPE
CB890743 ELEC
CB890810 MECH
CB940786 MISC
STE,:
PHONE• 292-7700
•
PHONE.:
PHONE
INSPECT
STATUS
EXPIRED
EXPIRED
EXPIRED
CD LVL.DESCRIPTION ACT COMMENTS'
39, EL Final Electrical -
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
INSPECTOR AREA
PLANCK# CB951443
OCC GRP
'CONSTR. TYPE NEW
-1 LOT:
B U I L D I N G P E R M I T
10/07/92 10:30
Page I of I
Job Address: 2550 EL CAMINO REAL Suite:
Permit Type: ELECTRICAL
Parcel No: Lot#. -
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#i
Description: ADD 100 AMPS FOR COMPUTERS
Appl/Ownr : CUPERTINO ELECTRIC 408
714 E. EVELYN AVENUE -__
SUNNYVALE, CA 949,"-
Permit No: C3921078
Project No: A8901275
Development No:
9619 10/07/9*2 0001 01
S t ra- fft W,
Applied:
Apr/Issue:
Validated By:
991-1000
E
Fees Required
------------------------------- 7kT
Fees:
Adjustments: 0 Tq ("d"*
�ta e J
"' C;�e)r Tp-t---al aly. Total Fees,
41
Bala
Fee description t jff�
------------\ 1-3
-
Enter-"Y"-for- 0 f
Three Phase Per AM' > 10 0/-?
ELECTRICAL TOTAL
, :3)
Y
INCORPORATED
1952
0-t.
02
I S E, U ON 00,
10/07/92
DC
cted --& — Credits
--------------------
.00
.00
60.00
Un t
Ext fee Data
-----------------
10.00 Y
50.00
60.00
MJA
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
AL
ri
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
B-13Industrial ❑ New Building ❑ Tenant Improvement
C - ❑ Residential ❑ Apartment ❑ Condo ❑ Single Family Dwelling ❑ Addition/Alteration
O Duplex ❑ Demolition ❑ Relocation ❑ Mobile Home ❑ Electrical ❑ Plumbing
❑ Mechanical ❑ Pool ❑ Spa ❑ Retaining Wall ❑ Solar ❑Other
CAYV%I"M 06'ft-
PLAN CHECK NO.
EST. VAL
PLAN CK DEPOSIT
VALID. BY
DATE
FOR OFFICE USE ONLY
Nearest Cross Street
t No. Subdivision Name/Number Unit No. Phase No.
—CHECK BELOW IF SU13MI ITED:
❑ 2 Energy Calcs 0-2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
_ ASSESSOR'S PARCEL EXISTING -USE PROPOSED USE
DESCRIPTION OF WORK
SQ. FT. 1 ' ` 3 # OF STORIES
�ir differentfrom applicant) !1�
NAME ef(— sy ADDRESS 7Q ( *�
CITY Set -A- STA TE CA" ZIP CODE GI S 52 C. DAY TELEPHONE l 1 � 9 ` g 9 Q=
NAME
CITY 5w►"-i V-r.- -R—
,ap6 2.-)r ro E,E'C.ivatL
STATE ems -
ADDRESS '°:-1 q C-. Et/G6--q n /fives
CODE 9 la 5 C,:, DAY TELEPHONE LL'
J. Yl(Vl'1:1(lI Vg1Y1:1[ t
NAMEtt� ADDRESS j,Q PnS
CITY Fyt,r -�S c, STATE 4t ZIP CODE "/ I 1 i DAY TELEPHONE C- ��J
NAME (`V N-p E(Cc,�TrtG, ADDRESS
CITY C) gr� STATE ear%. ZIP CODE 11 K 00 6 DAY TELEPHONE
STATE LIC. #I _f b3�UCENSE CLASS 6 f 0 CITY BUSINESS LIC. #
DESIUNER NAME ,*+ ADDRESSo AVi
CITY';,,vaA— STATE Ca— ZIP CODE 1-1 OW_ DAY TELEPHONE
IG�ot�
I STATE LIC. #
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director the insurer thereof filed with the Building inspection Department (Section 3800, Lab. C). / /�
INSURANCE COMPANY ��f CJ POLICY NO.0 C� � "F3�IRATION DATE �/ 114
so -as to betonfe subiect to the Workers' Compensation laws of Califomia.
DATE 6 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 does not -apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will.have the burden
of proving that he did not build or improve for the purpose of sale.).
❑ 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).
E3 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
COMPLETETHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505. 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act?
❑ YES 1N0
Is the applicant or future building occ nt required to obtain a permit from the air pollution control district or air quality management district?
❑ YES WNO
Is the facility to be constructed within 00 feet of the outer boundary of a school site?
❑ YES NO
IF ANY OF THE ANSWERS ARE YES, AL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS -MET OR IS MEETING THE REQUIREIdEN TS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ereby a inn at there is a construction en mg agency or the performance of the work for which this permit is issueu (Sec SUY7U) Livtt coae).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
certify that 1 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE-CPIY OF CARLSBAD AGAINST ALL LIABIITI IES, JUDGMENTS, OOSTS
AND EXPENSES WINCH 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 stories in height.
Expiration. Every pe4orn
e Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work autermit is not commenced wit ' 365 days from the date of such permit or if the building or work authorized by
such permit'is suspened at any time after or is commenced for a period of 180 days (Section 303(d) Uniform B ilding Code).
APPLICANT'S SIGNATU DATE: 0 ��
1
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB921078 FOR 10/22/92 INSPECTOR AREA MP
DESCRIPTION: ADD 100 AMPS FOR COMPUTERS PLANCK# CB921078
OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 2550 EL CAMINO REAL STR: FL: STE:
A-PPLICANT-: CUPERTINO ELECTRIC PHONE:'408 991-1000
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MH/546=8634 INSPECTOR Ke
SPECIAL INSTRUCT: NEEDS TO MAKE APPTMENT TO MEET W/INSP CTOR
TOTAL TIME:
,—RELATED PERMITS-- PERMIT#
TYPE
CB8907,43
ELEC
CB890810
MECH
CB920991
ITI
CD LVL DESCRIPTION
33 EL Service Change/Upgrade
STATUS
EXPIRED
EXPIRED
ISSUED
ACT COMMENTS tt
Aa
4 Z; ,E.J C>� �
No W0 a Obutt cam+ Se.2�r tx, t,
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS-
4
I
USE BAIL POINT PEN ONLY 9 PRESS HARI
06-71.
00
iloo
.Lfter`etiy afflim1tiat l am licenssd'under--
., ,U' pr"slons of Chapter 9 (commencing with f
Sectlon_7000),of• Division 3",of the Business, I
and Professions Code, and my license is in
ZI full -force and.effect.
_,I. fieieby affirm that I am exempt_from-the Contrac,- i
i tor's, License Law for the fdllowing'reason (Sec. 7031 5 , 1
-Business aed Professions Code: Any city or county which re-
• - -guuera permit to construct; alter; •improve; demolish, or •- �I
repairany structure, prior to its issuance also requires the ap-
_'plicant 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 is ex-
empt therefrom and -the basis for th'e'allegea exemption. Any
violation 01•Sectmn-7031.5 by an applicdnt for a'permiLsub-
lecis ihe'applicant to i civil penilty'of not'moredhan five hdn-
died dollars (E500): - - - " - " ' " - I'
-�-• Q .. _14.1,•as owner -of the property, or -my employees with-wages-
-'W ` I as•fjhei1.r.,sole.compensation, will dothe work, and the strut- t
p , lure is not iotehdedor offered`for sale (Sec. 7044, Business
,J and Protessions.C' e; -The Contractor's License Law does
'j poi apply lo.ah owner bl property who builds -or . improves I
p - thereon and who does -such work -himself or through his own
: 'employees; ppidvided that such improvements are not intend-
_: ed_or Wered10 sale, If, however:the-building or improve- 'I
Z merit is sold within one yeai-of, cornplehon„the pwner•builder j
will have the buidemof proving that he did not build or im-
O prove for ihwpurpose'of safe) ' I
1 1-1. as.owner of the property,, am exclusively. contracting.
` with licensed contractors to construct the project (Sec. 7044,. T
-Business and Professions- Code: The Contractor's License
Law Foes" mil -apply to an owner of property.who builds or im-
• ,pr,oves;tperegn, add Whoxtibtracts for each projects with a ' tl
U) _ Lavij etoi(s) license pursuant to. the Contractor's License
O
t- 17 Asa homeowner I am improving my home; and the follow-
ing conditions exists -
-" • t_ The Work, is-being•performed prior to sale. I
2. 1 TlaveA ved -im .my home fu twelve -"months "
U prior to completion„of lhls work.
W 3.- I have, not -claimed this -exemption during - the
l0 last three years. I
O_i am exempt undec Sec, B 8 PC-., (.
_ for thfSreason*
I hereby affirm that I have a certificate ofconsent to
Velf-insure. or a certificate of Workers' Compensation In..
surance, or a certified copy thereof (Sec. 3800: Labor Code)
O', COMPAN,Y - -•
'-"� - - • CoP -s filed with -the city
Certified copy is hereby turnishad=
0 CERTIFICATE OF EXEMPTION FROM
U. -•. . -- WORKERS' COMPENSATION•INSURANCE
-
- d/) .a (This,section need not be -completed if the permit
Q ' - - _ is for one hundred dollars (5100) or less) _
W
`: ]C 0 Acenify 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' Compen-
-sation Laws of California.
' 'NOTICE TO APPLICANT, -If: after'making this'Certllloate
_ of Exemption you should become subject to the Workers'
Compensation,provisions•of-the Labor Code, you must,
• '• foithwlth complywith such provisions or this peirnitshall
Lie deemed revoked.
hereby` aAr n that 6ere is a construction lending
• ,� t .. ,agerlp for the performance of'fhe work for which this per-
-'O mist is issued -(Sec. 3097. Civil Code)
,Z ,.. .. - _ _ ...
W Lender's Name 2,'
.. -n Lender's Address
APPLICANT TO FILL IN,INFORMATION, WITHIN SHADED AREA AND DECLARATIONS.
1_ CARLSBAD BUILDING DEPARTMENT APPLICATION' ai PERMIT
f ,07 25 Las Palmas Dr., Carlsbad, CA. 92009-1915 (619) 438-1161
JOB ADDRESS AV,,ST.RD, THOMAS BRAS 140. DATE OF APPLICATION
BUSINESS Lic,
VALUATION - 'PERMIT NUMBER
LOT BLOCK SUBOi VISION • ASSESSOR PARCEL NO. CONTRACTOR
CO 'P CTORS PHONE #
ZONE
OWNER'S NAME It - ` -OWNER'S PHONE
�y
6 ` .` CONTRACTOR'S ADDRESS /�/���
TA E�LICENSE NO.
BUILDING•SO. FOOTAGE
fC�
OWNER'S MAiLING ADDRESS. &
DESIGNER
DE GN R'SPHONE
�Z M -
DESCRIPTION OF WORK
--
DESIGNER'S ADDRESS
STATE LICENSE NO.
-7278 05/31/9,9 0001 01. 02-
. .. ..
x ldpiht 24 ROC
'-. F/P FLR ELE V.,. NO-
Occ GP -"MU'-
„.
STORIES
` -1'PAhK4NG SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' TYPE
OCC LOAD FIRE SPR
7ENSUSTRACT-
- - AREA _. CONTT
I
" Y O N ❑ Y ❑ NO'
Y O N ❑
Not Valid Unless Machine Certified
QTY.
PLUMBING PERMIT - ISSUE
�%
QTY.
MECHANICAL PERMIT - ISSUE
��%
SUMMARY/ACCOUNT
NUMBER
EACH FIXTURE TRAP
INSTALL FURN. DUCTS UP,TO 100,000 BTU
BUILDING PERMIT=
1 0
`
EACH BUILDING SEWER
OVER 100,000 BT4
SIGN PERMIT
001-810-00-00-8221
EACH WATER HEATER ANWOR VENT
BOILER/COMPRESSOR UPTO 3 HP
PLAN CHECK
001-810-00-00-8891
'EACH GAS SYSTEM 1 TO 4 0UT-LETS
801LER/COMPRESSOR 3-15 HP C_
'TOTAL PLUMBING
001.810-00.00,8222
EACH GAS SYSTEM 5 OR MORE
METAL FIREPLACE ,
ELECTRICAL
001-810-00-00-8223
EACH INSTAL." ALTER., REPAIR WATER PIPE
VENT FAN SINGLE DUCT
MECHANICAL
001-810-00-00-8224
EACH VACUUM BREAKER
'MECH EXHAUST HOODfOUCTS
MOBIL'EHOME
001=810-00-00-8225
WATER SOFTNER
RELOCATION OF EA FURNACE/HEATER
SOLAR
001.810-00-00-8226
EACH ROOF DRAIN (INSIDE)
TDRYER
VENT
STRONG MOTION
880-519-92-33
TOTAL MECHANICAL
FIRE SPRINKLERS
001-810-00-00 8227_
-TOTAL PLUMBING
PUBLIC FACILITIES FEE
320-810.00-00-8740
0
BRIDGE FEE
360-810-00-00-8740PARKIN-LIEU
QTY.
ELECTRICAL PERMIT - ISSUE
QTY_
MOBILE HOME SETUP
(AREA
)
V
NEW COSST EA AMP'SWT_ BKR
CAR PORT
TIF
312-810-00-00-8835
1 PH 3 PH
AWNING
LA COSTA TIF
311-810-00-'00-8835
EXIST BLDG EA AMPISWT'BKR
GARAGE
FMF
1 PH 3 PH
LICENSE TAX
001-810.00-00-8162
REMODEL'ALTER PER CIRCUIT
7
MFF
880-_a19-92=57`
TEMP POLE -200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAY_S)
-
.
CREDIT DEPOSIT
TOTAL ELECTRICAL
TOTAL
TOTAL FEES PAYABLE
.--�
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"AND DO HEREBY ' Expiration. Every permit issued bytheSuiiding Official underthe provisions ofthis
* AN OSHA PERMIT IS REOUMIEO F0(t EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUbiNG THE Code shall expire by limitation and become null and void. If the budding or rk
I' authorized by such permit is notcommenced within 180 days from the d such
5' 0" DEEP AND DEMOLITION OR CONSTRUCTION.OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lb permit or if the builds work authorized
I Pa by such permit
is panda. or
lWTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLX'WITH ALL CITY. COUNT Y AND STATE LAWS GOVERNING BUILDING CON- abandoned at an . ' r the work is merited for a. ri
180 d
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S SIGN E h OWNE
I. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Ot THE ^/y7
CONTRACTOR
BY PHONE O
AP , # ; D BY DATE/
GRANTING OF THIS PERMIT.. .,
NOW
�/
/
U
O
a
E
N
E—
c
cri
d
CL
Q
c
i 0
a
U
N
'a
t, C
4 — " f
-TYPE 1 DATE INSPECTOR
BUILDING r J
FOUNDATION' I
REINFORCED STEEL 1
,MASONRY I
GUNITE OR GROUT
SUB FRAME q FLOOR 0 CEILING
SHEATHING ❑ ROOF ❑ SHEA
FRAME 1
EXTERIOR LATH I
INSULATION i
INTERIOR LATH & DRYWALL I
PLUMBING
0'-SEWER AND BLICO ❑ PL/CO
UNDERGROUND ❑ WASTE ❑ WAITER
TOP OUT ❑ WASTE ❑ WAVER
TUB AND SHOWER PAN I
GAS TEST I
❑ WATER HEATER ❑ SOLAR WAT R
ELECTRICAL I
❑ ELECTRIC UNDERGROUND ❑ UOFER
ROUGH ELECTRIC I
-0 ELECTRIC SERVICE ❑ TEMPORARY
❑ BONDING ❑ POOL
I
MECHANICAL I
❑ DUCT & PLEM., 0 REF. PIPING'
HEAT - AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
CALL FOR FINAL INSPECTION WHEN.ALL APPROPRIATE
ITFIUC AAnVF RIAVF MFFN A•PPRnVFn_ i' L " +
PLUMBING
ELECTRICAL
MECHANICAL
GAS
TUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL
INSPECTIONS
INSPECTOR'S NOTES
INSPECTION
REQ_ IF
CHECKED
INSPECTOR'S
APPROVAL
DATE
{
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED _
CONCRETE
FIELD WELDING
HIGH STRENGTH;l _
BOLTS
SPECIAL MASONRY
PILES CAISSONS
t`
`
1
i
.
\ •.
, �
e ' a Ica � .
i`
0
1
,
I