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Home My WebLink About2555 EL CAMINO REAL; ; 82-260; Permita O 2 U W O I hereby, Othat 'I, arr• licensed under '0 provisions of Chapter 9 (commencing with Section 7000) of.Divislon •3 of the Business and Professions Code, and my licenseris, o F full force and effect. OLic No. _ Class _ U I hereby affirm that I am exempt from the. Con- tractor 's License Law for the following reason (Sec. 70315 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 Con- tractor's License taw (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro- fessions Code) or that is exempt-therefrom•and the basis for'the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects W the applicant, to a civil penalty of not more than five hundred dollars ($500). G A ❑ I, as owner of the property, .or my employees with wages as they sole compensation, will do�the to work, and -the structure is not intehdedoroffered for sale. (Sec. 7044, Business and •P.rotessiohs Code. W, The Contractor's License Law does not apply to an 2 owner of property who builds or improves thereon 3 arid -who does such.work himself or through his own O employees, provided that such improvements are not! intended or offered for sale. It, however, the budding or improvement is sold within one year of -completion, the owner -builder will have the burden oYproving that he did not build or improve for the purpose of sale) ❑ 1, 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 -who contracts for each projects with a contractors) license pursuant to the Contractor's License Law). ❑ 1 em exempt under Sec. ._ , B. & P.C. for this reason ❑ I hereby affirm that I have a certificate of. onsent 1 to self -insure, or a certificate of Workers' ) Compensation Insurance, or a certified copy thereof (Sec. 3800,,Labor Code) POLICY NO. COMPANY _ ❑ Copy is filed with lh t ❑ Certified copy is hereb furnished. I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Ohis section need not be completed if the permit fs for one hundred dollars (9100) or less) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws -of California. NOTICE TO APPLICANT: If, after making this•Certa ficate of Exemption, you'should become subject to y the Workers' Compensation provisions of the Labor 1 Code, you must forthwith comply with such j provisions or this permit shall be deemed revoked , 2 - I hereby affirm that there is a construction lending agency for the performance of the work for W which this permit is issued (Sec 3097, Civil Code), t] wLender's Name Lender's Address a USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANn DECLARATIONS_ CARLSBAD BUILDING DEPARTMENT ' 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & ,PERMIT JOB ADDRESS AV.'ST.' DATE OF APPLICATION BUSIN LICE '# Ro. OWNER'S NAME - - 6WNERi!gS. PHONE -PRIME CONTRACTOR- CONTRACTORS P I%ON94 VALUATION PERMIT NUMBER _ A ZONE OWNER'S MAILING ADDRESS Ci CONTRACTOR'S ADDRESS A+DDREES,SS /f LICENSE NO, PLAN "I.D. # BLDG USE CODE LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. a -DESIGNER STATE LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE, OESCRI PTI ON OF WORK, DESIGNERS DDRESS DESIGNE'RB PH NEE' ' t�ryy 0171r3�Q ry��/rah 'b2 Ll IJ'1�F%9 Not Valid Unless Machine Certified t ,/ • F%P F LR ELEV. V❑ N❑ NO STORIES' C GP EDU CENSUS TRACT GP LAND USE 1'=SPACEI RES UNITS I GRADING PERMIT ISSUED - - Y' O N ❑ REDEVELOPMENT AREA Y ❑ • N ❑ TYP C T � Al OCC LOAD - FIRE SPR Y ❑ N ❑ QTY. PLUMBING PERMIT - ISSUE 7.50 QTY. MECHANICAL PERMIT - ISSUE 3.00 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PEW 01-000-4220 EACH BUILDING SEWER OVER 100;000 BTU SIGN PERM 0-4221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP , PLAN CHECK 01-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS 801LE OMPRESSOR 3-15 HP TOTAL PLUM ING 01-000-4222 MiTH—G SYSTEM 5 OR MORE META IR LACE ELECTRICAL 01-000-4223 _ EACH INST L., ALTER, R P I ATE PIPE VENT FAN tIPJGL MECHANICAL 01-000-4224 EACH VAC Bfi�fff_ MECH EXH = OOD/DUCTS MOBILEHOME 01-000-4225 WATER SO NER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226 TOTAL MECHANICAL STRONG MOTION 65-640-0519 TOTAL PLUMBING FIRE SPRINKLERS 01-000.4227 QTY. ELECTRICAL PERMIT - ISSUE 2.00 QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE NEW.CONST EA AMP/SWT./BKR COLLECTORS SCHOOL FEE - DISTRICT 1=P ' 3 PH 'STORAGE TANKS Carlsbad 65-623-0519 EXIST B.L, EA AMP/SW ROCK STORAGE Encinitas 65-624-0519 1 PH JW 3 PH PUMP San Dieguito -65-625-0519 REMODEL/AVER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 TEMP,P-OLE 200AMPS OVER 200 AMPS TEMP OCCUPANQY (30 DAYSI. ' TOTAL ELECTRICAL TOTAL SOLAR t TOTAL FEES PAYABLE i HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued by the Building Official under the provisionsotithis 1t AN OSHA PERMIT IS REWIRED FOR EXCAVATIONS OVER Code shalt expire by limitation and become null and void, If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5' 0" 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 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by such permit is suspended o STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND PTATE LAWS GOVERNING BUILDING CON- abandoned;at an ime after the work is commenced fora period-of180 tla s. STRUCTION; WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT` NATV` n A PROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 4 O NER ❑ NS R TOR ' / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Y PHONE ❑ n GRANTING OF THIS PERMIT, V a 0 I INSPECTION TYPE DATE INSPECTOR BUILDING .i FOUNDATION i REINFORCED STEEL MASONRY GUNITE OR GROUT Y FLOOR & CEILING SUB FRAME i SHEATHING I Z FRAME EXTERIOR LATH INSULATION A INTERIOR LATH & DRYWALL PLUMBING SEWER AND BUCO ` PLUMBING UNDERGROUND PLUMBING TOP' OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL x TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE 1 BONDING G. F. I. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS j . CALL FOR FINAL INSPECTION (WHEN ALL APPROPRIATE ITEMS ABOVE HAVt BEEN APPROVED. JOB SITE FINAL I PLUMBING ' ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPAWY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ.IF CHECKED INSPECTOR'S APPROVAL DATE y SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES!CAISSONS ' of 4, 0 J APPJoIVANT PLAN�WWORKKSHEET PCRMIT NIIMBC•_R JOB ADDRESS 0 iAo - �- ESTIMATED VALUATION OF WORK 2US'7b 6 , The value shall include all construction work for -which the permit - is issued as well as all,finish work, painting, roofing, electrical, plumbing, heating, air conditioning, elevators, fire -extinguishing sys;ems and any other permanent equipment, including contractors overhead and profit. y. BRIEF DESCRIPTION OF WORK_ BUILDING BUILDING OCCUPANCY OR USE TYPE OF CONSTRUCTION c=r- AREA PLUMBING Plumbing Fixture'Traps Lay./Sink.......................................................................................... Toilet ................................................................may....................... Tub/Shower................................ ....... .. Floor Drain/Sink....................... ......�............. .............. ........ Clothes Washer Standpipe.......f ......................... Grease Trap.; ................................................................................ Budding Sewer......................................................................................... Water Heater/Storage Tanks .................. :.................................................. Gas Piping Outlets............................................................................. Water Piping Install or Repair.................................................................. Drain/Vent Install or Repair ................... ....... ....................... :................... Lawn Sprinkler System :................... I ................ ............ ......................... Vacuum Breakers Hose Bibbs.......:........................................................................... Dishwasher... ....... . ................................................... Other Fixtures or Equipment............................................................. Ram Water Drains (interior) ........................ ......................................... :... Number MECHANICAL / p '��-- Number' Heating Units Number /, Forced Air Unit.............................................1..................................... ) 100,000 BTU or L"s............................................................................... Over 100,000 BTU ............................................... :....................... .............. Wall Heater ......... ......................... Suspended Heater............................................................................. ............ Floor Mounted Heater...................................................................................... Floor Furnace.................................................................................:. .......:..... Compressors, Heat Pumps, Industrial Boilers 3 H.P. or Less/100,000 BTU or Less... ............................................. ........... Over 3 H.P.j15 H.P./100,001-500,000 BTU .......................................... ............. Over 15 H.P.-30 H.P./500,001-1,000,000 BTU .................................................... Over 30 H.P.-50 H.P./1,000,001-1,750,000 BTU ................................................. -Over 50 H.P./ over 1,750,000 BTU— .................................................. .............. Air Handling Unit 10,000 CFM br' Less ...................................................... over 10,000CF•b1................................................................................ .......... Vent Fan to a Single Duct........................................................................ ............ Hood W/Vent'Fan, Jennaire, etc............................................................................ Other Ventilation System Not Part, of Heating or AC System .................................. Gas Piping Outlets................................................................................................ Refrigeration 1 H.P = I Ton _ 12,000 BTU's.......................................................... ........... Miscellaneous Install or Replace Appliance Vent Not, Included in Appliance Permit Above ....................................................... .............. ..:........................... Repair, Alter, or Add to Heating Applaince, Refregeration Unit, Comfort Cooling Unit, Absorption Unit, or Evaporative Cooling Sustem, Including Installation of Controls........................................................... Evaporative Cooler - Non -Portable Type........................................................... Other Applaince. or Equipment Regulated by this Code, but Not otherwise Classified ..................... :...................................................... ............. ELECTRICAL New Service Size in -AMPS .................. .......................... :........................ ......... .... Increase in Service Size ,in AMPS ...................................... I........................ ............: New Size a Old Size i Add or Revise Circuits (No Service Change) .......................... I .......... ......... ............. Temporary Construction Power...................................................9............. ............. b�2-Z�o nt Ai�-ram. ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 122 SAN DIEGO, CA 92123 (714) 560-1468 T ,J&.7 / ? / � X2 a ss s ez c�„tio l� cvv I tw, i yk Date Jurisdiction�� Pre a ed bys p Bldg. Dept. VALUATION AND PLAN CHECK FEE�- �2-�' PLAN CHECK N0. BUILDING ADDRESS zs'� S &2 APPLICANT/CONTACT NUNIN-9 �;/ e5D021G PHONE NO. %Z 9 BUILDING OCCUPANCY ,Q " Z DESIGNER PHONE & TYPE OF CONSTRUCTION v— CONTRACTOR PHONE BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air Conditionin Commercial Residential Fire Stirinklers Total Value Building Permit Fee % � Plan Check Fee �5—, `;z �✓ C0101ENTS: __ 1i INTERDEPARTMENTAL INFORMATION SHEET �.VED BUILDING DEPARTMENT BUILDING ADDRESS�5"- ,.� C! �� 1 1982 A.P.N: - - C.T: PLANNING DF.PARIMENT ZONE: ,-° SCHOOL FEES: SAN DIEGUITO ENCINITAS CARLSBAD _ -UNITS REQ'D: PROVIDED: % COVERAGE -ALLOWED: PROVIDED: PARKING SPACES REQ'D: PROVIDED: BUILDING HEIGHT REQ'D: PROVIDED: FRONT SETBACK ALLOWED: PROVIDED: INTRUSIONS: SIDE SETBACK RE -DEVELOPMENT APPROVAL REQ'D: LANDSCAPE $ IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: ENGINEERING DEPARMT R.O.W: IMPROVEMENTS: SAN MARCOS - _ REAR SETBACK , __ „ram,. � - T%nmr.. . PUBLIC FACILITIES FEE:' SEWER CONNECTION: DRIVEWAY LOCATION(S): - GRADING PERMIT: EASEMENTS: DRAINAGE: LEGAL DESCRIPTION: ADDITIONAL COMMENTS: ENGINEERING*CHECK IF • • ON OK TO ISSUE: .�DATO_)�'_b• TO FINAL: - DATE: * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE FINAL INSPECTION.