HomeMy WebLinkAbout2558 NAVARRA DR; BLDG 3; 81-430; Permit"' z 0 ~ IC
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O I her-,' affirm that I am licensed under
proYlslons of Chapter 9 (commencing with
Section 7000) of Division ·3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Lie No. ______ Class _____ _
I hereby affirm that I am uompt from the Con· ~~-~~;::: ~; ~~.~~:'~c!Ye~i~
county which requires a permit to construct
alter, improve, demotish, or repair any structure,
pno, 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 LJcense Law (Chapter 9 commencing with
Section 7000 of Otv1soon 3 of the Business and Pro-
fnsions Code) or that is uempt the<efrorn and the
basis fOf the ajleged exemptK>n. Any vk>&attOn of
Sectron 7031.5 by an applicant for a permit subjects
tne applicant to a civil penalty of not more than five hundred doll~ ($500).
0 I, as owner of the prC>perty, or my employees
.. 1th wages as their sote compensation, will do the w~. and the structure 1s not intended Of offered for sate (Sec. JOU, Business and Professions Code:
The Contractor's License Law does not appty to an owner of property wno builds or ,mprcwes thereon
and whO does such work himself or through his own empk)yees, provided that such 1mprovemeilts are
not intende1 or ottered for sale. If, howeYef, the
building or improvement 1s sold within one Y(JM of
compSet,on, the owner-bllilder will have the burden of proving that he dtd not build or imprOYe for the
purpose of sale/.
O I, as owner ot the property, am exclusively
contractin9 with hcensed contr~tors to construct
the prOJeCI (Sec 70U. Business and Professions Code: The Contractor"s License Law does not apply to an owner of property who builds or improves ~':::;,~ ~~n~~:c~~: ~~r~~~~~::.:
License law).
D lamexemptundefSec _____ ,8.&P.C.
forth1s reason ___________ _
D I hereby affirm that I ha'le a cert1t1cate of consent
to self-insure. or a certificate of Workers·
Compensation Insurance. or a certified copy thereof
(Sec. 3800. Labor Code).
0 Cert1hed c ~ opy IS hereby f 1:¥ l"" urn1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE (This section need not be completed 1t the permit
1s tor one hundred dollars ($100) Of less)
D I certify that 1n the performance of lhe wonc: tor
which this pemut 1s issued. I shall not employ any
person 1n any manner so as to become sub1ect to
the Workers' Compensatton Laws of Cahtorma
NOTICE TO APPLICANT If. after makrn~ this Cert•·
hcate ol Exemption, you shOUld become subject t'l
the Wonters' Compensa1'1on prov1s1ons of the Labor Code. you must for1hw1th comply with such
prov1s1ons or 1h15 perm11 shall be deemed revoked
O I hereby affirm tnat tnere 1s a consuuct1on
lending agency lor the perto,mance ot the work for
wtuch this permit 1s issued (Sec 3097. C,v1I Code)
Lenller's Name ___________ _
lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD r'i APPLICANT TOA,LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
1 CARLSBAt JUILDING DEPARTMENT APt ,JCATION & PERMIT
/I 1200 Elm, Carlsbad, California 92008 (71<4) 438-5525 Q)
PERMIT NUMBER 1~ JOSAODR .. ~ .,_..~I n Af AtJ.,fl.llA,. "':.J.T-1 DATE ;j :::,7;T:
Olfl!NER'S lolAME
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G--~u--s-l OWllEll'S PHONE
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PRIME CONTRACTOfll t
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0-Ell'S MAILING ADDRESS
f' · <J .Q,.-.1( t.l ti 1-.-. ,A" • s-.+"' fc. h4Ci, CONTRACTOR'S ADDRESS
S-c. I SU801Vl<llnM -rSSESSORPARCEL NO. OEStGNEA
A 1\6-
/t:..Ji..\. '-.. ~ F ■ FIP FLA ELEV
PC'l"'-U ~-1 -~-=-tu" . vO NO
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
/2,,,0j
7
GRADING ~ERMIT ISSUED
YO ND l REDEVELOPMENT
AREA
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UCENSENO.
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A ,A STATE LICENSE It
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~i&:~~T . J OCCfOAD I FIRE SPA
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PLAN I.D. # BLDG use CODE
STANDARO PLAN # BUILDING SQ. FOOTAGE
/{)s-1,/:,
.1/27/~r:!7~~~ 22850.Ei(
Not Valid Unlffs Machin~ ~rtifil!d
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
···---.. -.............. ----..... ......... ....... ......... .......... -···· -···------·--· ---·---EACH FIXTURE TRAP I I I INSTALL FURN. OUC1:, UI' 1 u 1uu,uuu 111 u BUILDING PERMIT 01 ·000·4220
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UP TO 3 HP
SIGN PERMIT rt 01-000-4221 •
PlAN CHECK I Id£ O V' rd., 01-000-4806 --EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBiNd' 01-000-4222
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTAl .. ALTER, REPAIR WATER PIPE I I I VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 I I EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
MOBILEHOME 01-000-4225
MOBILEHOME PARK INSP
EACH ROOF ORA)N (INSIDE)
TOTJ;L MECHANICAL
SOLAR 01-000-4226
STR NG MOTION 65-640-0519
TOTAL PLUMBING l FIRE SPRINKLERS 01 ·000-4227
IQTY. ELECTRICAL PERMIT -ISSUE QTY. I SOLAR· ISSUE
PUBLIC FACILITIES FEE 25-000-4933 ----BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
ROCK STORAHE . I
PUMP
PLAN CHECK EE , -,.
Encinitas 65·624·0519
San Dieguito 65-625-0519 ,....._
San Marcos 65·626-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
a~~-" 7 rz;;r 1
\ ---7 \
TOTAL ELECTRICAL l ~ TOTAL FEES PAYABLE l -i--i,,,&Jo I Ja
Expl,allon, Ewrypanllil .... .,,llle8ullcllng0tficlalunder .. provltionaoflhl1 I HAY£ CAJIEFULLY EXAMINED THE COMPLETED NAPPlJCATION AND PERMIT" ANO DO HEREBY Code lttlll expn by llllli1ltllon and.,._,. null -YOld. If Ille building or worll
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEAEON INCLUDING THE aulhofiadbyaucllpennltianat-lCl■dwllllln 110dllpfrom ... Clfleohuch
* AN OSHA PEAMIT IS flEQUlflED Fqlll EXCAYA ll0NS 0Y£R s· O" DEEP AND DEll0UTl0N OR CONST1'UCTION OF
STRUCTURES OV£fl 3 STORIES IN HEIGHT
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.! DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS penn11. « If Iha 11u11C11na « w«tt au111or111M by auc11 pennll la ~fl!'-or
ISSUED: TO c::oMPLY WITH All CITY, COONTY AND STATE LAWS GOVERNING BUILDING CON-l_!!alllndol!!!!!!!!!!!l■ll!!!.:al!!,!!!LJlime!!!!!!.!.!'J allar!!!:.! .. !!!.:-"!!!l!!IIJ!!?!!!!!!!!!!!!!!!.!lor!!!!.Ja!J!!l!1!9!U!:J1.l!l.lilnJ·l.· -::;::~~~~~---------~~-;---:---,
Sl'RUCTIOH. •.WHETHER SPECIFIED HEREIN OR NOT~ I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT"FfXQNA~ • OWNER□ CONTAACTOfl APP~OV BY ~ATE ~
~ 3:
KEEP HARM .. THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS,, COSTS AND ~ / / '7 (J1' ===,. .. ~~WAYACCAUEAGAINST~DCITYIN~OFTHE 1_. -.~~ BVPHONE O ~ ()'\.--
"T
INSPECTION TYPE ' . DATE INSPECTOR
BUILDING " FOUNDATION (
REINFORCED STEEL \
MASONRY I j
I GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING ' I
FRAME I I
EXTERIOR LATH lNSULATION i
INTERIOR LATH & DRYWALL I
PLUMBING I II --. SEWER AND BL/CO ,,
'
PLUMBING UNDERGROUND I
PLUMBING TOP OUT l
I
TUB AND ~HOWER PAN I
GAS TEST ' ELECTRICAL I
I
TEMPORARY POWER I I
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC I
I
ELECTRIC SERVICE I
I
BONDING A I
G. F. I. -SMOKE DETECTOR I I
MECHANICAL ,,
I -
DUCT & PLEM., REF. PIPING \' ... r·' . (' l--,'
HEAT -AIR COND. -SOLAR SYSTEMS ,..c.,..:., LI ... , -
VENT! LATI NG SYSTEMS ... ' r •\ ~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN. APPROVED.
JOB SITE FINAL r . I
PLUMBING I
ELECTRICAL
MECHANICAL .
.
GAS I r, r J V\H I
BUILDING I \
SPECIAL CONDITIONS 1' ' I
,,CERT OF ocr ·~ANCY ISSUED '
....
~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S
• CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES . .
DATE
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O I hentby afflm, that I an\ llcenHd under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No ______ Class
I hereby affirm that I am exempt from the Con· ~:<f~~!~::: ~ ~t=:~~~i~ county which requires a pennit to construct
altef, improve. demohsh, or repair any structure. pnor to ils issuance also requires the applicant for
such pemut to hie a s,gned sta1ement that he ,s
licensed pursuant to the pr0111stons of the Coo-tractOf's License Law (Chapte< 9 commencing with
Sectk>n 7000 of Otv1st0n 3 of the Business and Pro-
fessK>ns Code) or that is exempt therefrom and the bas•s tor the alleged exempt.on. Any vk>lation of
SectK>fl 7031.5 by an apphcant for a pem,it subjects
tne apphcant to a c1-v11 penalty of not more than five hundred dollars ($5()()).
0 I, as owne< of the property, or my employees
wi.1th wages as their sole compensation, will do the
WOftt, and the structure is not intended°' ofl&fed for
sale (Sec. 7040, Bus,oess an<l Professiolls Code:
The Contractor's License Law does not apply to an
owne< of property who builds or 1mprOW!S thereon
and who does such WOf'k himself or throuoh his own
empk>yees. pfOYided tl\at such 1mproweme;its are not lnteode1 or offered for sale II. howeYet, the
bu1ld1ng or improvement Is soki wIth1n one yea, of
completion, the owner-bu1tder w1tt have the burden
of p,ov,ng that he did nol build or imp,O¥e for the
purpose of salef
C I, as owner of the property, am exclusively
contracting with hcensed contractors to construct
the ptOjeCI (Sec. 704-4, Business and ProfesSK>flS Code: The Contractor's Ucense Law does not apply
to an owner of p,QPerty who builds or Impn)Y'es ~~~i~ 7-~~nc;'~~!~ ~~~~r~~~;::.:
license Law).
□ lamexemptunde<Sec _____ ,B &PC
tor this reason ___________ _
□ I hereby affirm that I ha'le a cert1f1c.ite ol consent
to sell-insure. or a certificate of Wonters'
Compensation Insurance, or a certified copy thefeof
(Sec. 3800. Lobo< Code!.
POLICYNO __
COMPANY
□ Copy IS hied with the city
D Cert,hed copy ,s hereby furnished
CEATIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the perrmt
,s fOf one hundred dollars {Sl OO) or less)
D I cer11ty that in the performance of the wOf1t tor
which this permit Is issued, I shall not employ any
person In any manner so as to become sub1ec-t to
the Wo11c.ers' Compensation Laws of Gahforn1a
NOTICE TO APPLICANT 11. after rna1<1n1 this Cert1-
f1cate of Exemption, you shoukS become subject ,,,
the Wortters· Compen541t1on provISK)flS ot the L.abcH
Code. you must forthwith comply with such
provIst0ns or this permit shall be deemed revoked
0 I he,eby affirm that the,e 1s a construction
lending agency fOf the perfomlance of the w()(1s. 10f which this permit ,s ,ssued (Sec 3097. C1v1I Code)
Lenders Name ___________ _
Lender's AOdress __________ _
'
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfornla 92008 (71<4) <438-5525 APPLICATION & PERMIT
JOB ADDRESS
A~;_T.IOi;iF ~piSNI BUSINESS LICENSE # VALUATION PERMIT NUMBE~ ,..::; ~ ~ -;~ U .4-t/ ,,e/_ a
OWNER"$ .. AME
'-of~""
OWNER'S PHONE PRIME CONTkOA-F ~ CONTRACTORS PHONE I ZONE 1J -t/-2xJ M Le... b'IC'~) !) 1 \. \ o..,.;-.
OWNER'S MAILING ADDRESS ~ CO .. TAACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CO0E
( ,Q . Q l.-\4 ~ /1....s.~-.9 w (. 1 JZu...l.. ).1u.f f, !:~.: L • I
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNEA . . STATE LICENSE ,t STAND~~--M~i f"ILDING SQ. F~81Q
~ /N OF WOAIC
DESIGNEA'S ADDRESS DESIGNER'S PHONE
~~#_3 L, Uu ,-rs /) J
-F/P FLA ELEV. NO ~e&.-EDU
JL~\ l\ r-1A.e. ~e,__
STORIES
vO NO ...:1
CENSUS TRACT GP LANO USE PARKING SPACE I AES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unlt!ss Mlchine ~rtifi,d
QTY. PLUMBING PERMIT -ISSUE .,St) QTY. MECHANICAL PERMIT · ISSUE -; -SUMMARY/ACCOUNT NUMBER . -# -,.-,, EACH FIXTURE TRAP /-;J ,. y IA INSTALL FURN. DUCTS UP TO 100,000 BTU ~-BUILDING PERMIT 01-000-4220 -r.n;. EACH BUILDING SEWER , ;;r. t -·-OVER 100,000 BTU SIGN PERMIT 01 ·000-4221 --l /!. EACH WATER HEATER ANO/OR VENT . ..-BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 --,~ EACH GAS SYSTEM 1 TO 4 OUTLETS 'L . ./ t BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222 -V..1:·1:,. Jl
EACH GAS SYSTEM 5 OR MORE #'f if METAL FIREPLACE IV-ELECTRICAL 01 ·000-4223 JO-,_ -
EACH INSTAl-. ALTER, REPAIR WATER PIPE "J.A-; rtlENT FAN SINGLE DUCT OJj_.-,,,-MECHANICAL 01 ·000·4224 9q -q:., .,..,_ ,. MOBILEH0ME 01 ·000-4225
. .
EACH VACUUM BREAKER ME CH EXHAUST -HOO0/0UCTS
WATER SOFTNER
, RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOLAR 01 ·000-4226
~ . TOTJ:;L MECHANICAL 11. / STRONG MOTION 65·640-0519
TOTAL PLUMBING I -v .. { L .• lr FIRE SPRINKLERS 01 ·000-4227
QTY. -i,,,-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25·000·4933
ELECTRICAL PERMIT -ISS~E .. BRIDGE FEE
7 NEW CON~T EA AMP/SWT /BKR '1--ml-. 1/Jn,. -COLLECTORS SCHOOL FEE • DISTRICT , J.in Jo R-3 PH , ' , -STORAGE TANKS 1 PH -Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624·0519
l PH 3 PH PUMP San Oieguito 65·625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) -
TOTAL ELECTRICAL I /1)7.,-, ---TOTAL SOLAR TOTAL FEES PAYABLE I tK-7. U) ,
Expiration. Eve,y permtt -by the Buildi"9 Offic,al under the provos,ons o( 1h11 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT 1$ REQUIRED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall e•p1re by limrtetiort and become null and v01d If lhe building or work 5' O" DUP AND D£M0UTlON 011 CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoriZed by such ~ii ia not commenced within 180 days lrom the date of such Sr,,JC1\lfl£S OVER 3 STOMS IN HEIGHT permit. or ,f the build,~ woril aulho,ized by such permit IS suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv t,me the wort, IS commenced for a ""n"" of 180 Aau•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND
APPUCA~ATU?V' OWNER (Yo" CONTRACTOR 0 APPROV BY ,'1' /t-v KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ....._ ),11 A • • • GRANTING OF THIS PERMIT. A
I
INSPECTION TYPE I DATE INSPECTOR
BUILDING ~
\.
-. .. ' 1 -'r g 1..-'-f ?:>u --P/1\6 ..... ... V
FOUNDATION I I
FIELD INSPECTION RECORD
REINFORCED STEEL i REQUIRED SPEC IAL INSPECTIONS INSPECTOR'S NOTES . I
MASONRY I
., :.'J REO IF INSPECTORS DATE INSPECTION CHECKED APPROVAL .
GUNITE OR GROUT I
' SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING
' STRUCTURAL CONCRETE
FRAME : OVER 2000 PSI
EXTERIOR LATH lNSULATION I . PRESTRESSED
CONCRETE • INTERIOR LATH & DRYWALL ' I ' PLUMBING I I
I -I SEWER AND BL/CO I
PLUMBING UNDERGROUND l
PLUMBING TOP OUT I I
POST TENSIONED . . CONCRETE .
FIELD ~ELOlNG • I ~ HIGH STRENGTH ~ BOLTS , ~\. \ ,, SPECIAL MASONRY '~: ' -
TUB AND $HOWER PAN !
' GAS TEST I
ELECTRICAL I I
TEMPORARY POWER I
' I -ELECTRIC UNDERGROUND
ROUGH ELECTRIC I I
PILES CAISSONS • \ ..... .,.
\ --. ~
~i. --....,, ~r_\ "CC • .. -
-' -... . '' --~ -· ~1 -.◄, ,#-::!
~;."p \! l ~;' ' l . ".' ---·-'-\~
ELECTRIC SERVICE I f
BONDING A l
G. F. I. -SMOKE DETECTOR I
I
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'\'•-r"-; ~-<"<~ .., -' .• . ' . " -.. ... ..
MECHANICAL I I ---
DUCT & PLEM., REF. PIPING ~ . I~ ( -. -' ,,
HEAT -AIR COND. -SOLAR SYSTEMS ----. ...
•• I \_•:. 1.'"".:i... • -\""'~ ' "' ----.. .... -. --, ,-,~:. . -
VENTILATING SYSTEMS 'l ... 1t .._} -II 'J • I '.)'
CA LL FOR -FINAL INSPECTION WHEN ALL APPROPRIA TE
t,. ·i: it, •. ., ,,,
, _. .. ,~·•"'-.. -.
PLUMBING
ELECTRICAL -· C
MECHANICAL • '' \ -~-,~ ► .,
GAS
BUILDING
(\ I "· ::. -' -' . V . ..... -,__
' ' SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSlJED .:
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CII z 0 ;::: <C CIC ~ u Ill C
• .!.] I hereby affirm that I am licensed under
C provisions of Chapter 9 (commencing with glr Section 7000) of Division 3 of the Business ~ and Professions Code, and my license Is In ~ full force and effect. z Lie No _______ Class _____ _
0 • u
I hereby affirm thait I am ewempt from the Con·
USE BALL PQINT~RESS HARD A~PLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~ CARLSBAD BUILDING DEPARTMENT ~ ,200 Elm, c.,,.,,,, c,i11om1, 92008 ""' '38-5525
JOB ADO E ~
APPLICATION & PERMIT
rA COSTA GREENS _ J!l #~,,./1' el(_ A e ('~,fl,;~;T.
1
0ATEOFAPPLICATIONI
-2..5..52 Navarr a Drive . Car lsb ad. CA . '-:-{✓tr,-3/23/82
BUSINESS LICENSE #
1 72
VALUATION
Z~S}t!)
PERMIT NUMBER
g/-~30
PRIME CONTRACTOR CONTRACTORS PHONE•
283-3966
ZONE Fot3-2v
~:o;•~~~~~~s: ~ Jr~f~r:.:l~~~~I~
county which requires a permit to construct aUe<. 1mp,ove. demolish. or repair ariy structure.
prior lo its issuance also requires the applicant for such permit to hie a signed statement that he 1s
ltcensed' purs1.ant to lhe provist00s of the Con·
tractor's L,cense Law (Chapter 9 commencing with
Sectton 7CO'.) of 01v1s1on 3 of the Business and Pro-
fessions Code) or tnat 1s ex.empt therefrom and the
basi\ for the alleged exemptt0n. Any v1olahon of Section 7031 5 by an applicant for a permit subjects
[
(,.CoWNER'S MAILING ADDRESS _ I Box 2148, Ran c ho
OWNE R'~ME -l OWNER'S PHONE
KAP Developme nt Corp. 756-2934
Sant a Fe, CA . 9206 7
Brad s h a w Engi neering Cor~
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE COOE
44 55 Twain Av e, San Diegc Cl6-38 3330
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z 0 ;::: ~ z Ill Q. :a: 0 u
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1[
tne applteant to a c1Y1I penalty ot not more than hve
hundred dollars ($500)
O t, as owner ot the propeny, or my employees .. ,th wages as their sofe compensation. will dO the
wotk, and the structure 1s not ,nt&nded or offered for
saJe (Sec JOU. Business and Professions Code
The Contractor's License Law does not apply to an l owner of property who builds or improves thereon -
and who does such wort( himself or through his own
employees, proYkted that such 1mproveme;,ts ¥e
not 1ntende1 Of offered for sale If, however, the I building or improvement ,s sold within one yur of
compk!t1on, the owner-builder will have the burden of P,0'-'1ng that he did not build or ,mpro"'e for the
purpose of sale). (
□ I, a.s owner of the property, am exclus1"'ely
contractmQ with licensed contr~tors to construct the p,01ect {Sec. 70,U, Business and Professions
Code The Contractor's License Law does not apply to an owner of property who t>u1lds or improves
thereon, and who contracts for each pro1ee1s with a
contractor(s} license pursuant to the ContractOf's
License Law).
0 I am exempt under sec _ ----· B & P.C
tor ltHs reason ___________ _
~eby affirm that I have a cert1tica.te of consent
to se.1t-1nsure, or a cer11f1cate of Workers'
Compensation Insurance, or a certified capy thereof
(Sec 3800. Lat>or COde)
POLICY NO. _______ _
COMPANY
~y IS ftled with lhe city '-~
□ Cen,hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit ,.s tor one hundred dollars (S 100) or less)
0 I certify that in the performance ot the wOtk to, 1
which this perm,1 1s issued. I shall not employ any
person 1n any manner so as to become sub1ect 10
the Workers' Compensation Laws of Ca1ttorn1a
NOTICE TO APPLICANT If. after makm~ lh1s Cen1
ltcate or Exemption, you should t>ecome sub1ect t? the Workers· Compensation pro'-'1s,ons of the Labar
Code, you must forthwith comply with such
prov1s,ons or this permit shall be deemed re'-'Oked
0 I hereby afhrm that there 1s a construct,on
lend•"Q agency tor the performance of me wor-. tor
which this perm,1 1s issued (Sec 3097 Cr..,,1 Code}
Lenders Name ___________ _
Lender's A<)dress __________ _
LOT l BLOCK l SUBDIVISION l ASSESSOR PARCEL NO. DESIGNER STATE LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK J oel Warner I Fire s prinkler protection ~ 0Es1GNER·s ADDRESS
4455 Twain Ave, San Dieac
DESIGNER'S PHONE
283-3966
F/P FLR ELEV. OCC GP EDU
CENSUS TRACT I LANO USE I PARKING SPACE I RES UNITS l GRADING f'.ERMIT ISSUED
YO N 0
vO NO
lREOEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
DCC LOAD FIRE SPR
3/25/8210~3
OOUI I OLIS 3/~5/ I•
~II"
vO NO YO NO Not Valid Unlffs Machine ~rtifi«J
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP \ I \ INSTALL FURN. DUCTS UP TO 100.000 BTU I I BUILDlNGPERMIT
EACH BUILDING SEWER I OVER 100.000 BTU SIGN PERMIT
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK / Z Z.. ~
EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3·15 HP I _.; I TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE I I ELECTRICAL
I Ii EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
I I EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS I I MDBILEHDME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBlLEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) I H I I I SOLAR
TOTt;L MECHANICAL STRONG MOTlON ---~---
TOTAL PLUMBING FIRE SPRINKLERS ;fg.~t)_
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE QTY. I SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguito
REMODEL/Al TER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I "3tl.os-
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT" AND DO HERESY Expiration Every permit issued bytheBuild1r,gOflic11lundertheprov1s1onsofth1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and ~ome null and void If the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhcmzed by such permit is not commenced within 180 days from the date ofsuct,
* AN OSHA PERMIT IS AECIUIAED FOA EXCAVATIONS OVER
5' 0 .. DEEP ANO DEMOl.lTION OR CONSTmlCTION OF
STRUCTVRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY CO'JNlY AND STATE LAWS GOVERNING BUILDING CON· ~rm,t. or if the butldi::Jl or work aulhonzed by such permit 11 suspended or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO c...:•~an:.:.do~n;.;;ed-"::'1:-t-=•c:cn<...::.to;.;.m;.::e'-'a=e.:..r .::lh:::,e'"w::;o~r~k.!:,s~=.!m=en:.::c::ed=f~o.:..r ::.a=!!"od=.!!Of!..!J180=dtl!I:L..--... """"""""---------------------"""'I
KEEP HARMLESS THE CITY OF CARLSB ... O AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND 0._f__APPLICANT'S~TURE • OWNER O CONTRACTORje
APPROVED BY OATE
EXPENSES WHICH MAY IN ANY WAY Al:CRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. C., ~ BY PHONE 0 /~~13-if-. 'J/
/
2 LL
>, ~ 0 a. E {!:
I
'O
0 (!)
c <IS -~ a. a. <t r
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ai >-
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INSPECTION TYPE --DATE INSPECTOR
BUILDING
FOUNDATION )
' REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL ' ' . PLUMBING I I
SEWER AND BL/CO I '
PLUMBING UNDERGROUND I
PLUMBING TOP OUT I
I
TUB AND $HOWER PAN '
GAS TEST
ELECTRICAL '
TEMPORARY POWER I ' ELECTRIC UNDERGROUND I
ROUGH ELECTRIC
ELECTRIC SERVICE l
f
BONDING ~ . I
G. F. I. -SMOKE DETECTOR.
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTE't,1S
VENTILATING SYSTEMS
I CALL 1-:JR FINAL INSPECTION lk'(HEN ALL APPROPRIATE
ITEMS ABOVE HAVE ,BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BIJILDING
SPECAAL CONDITIONS ' r
CER\Q!....OCCUPANCYISSUED I l
l I
~--c_ /
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF IN SPECTOR'S DATE C HECKED APPROVAL
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
--/} ......,
<-...,.___ ~,. •• ,,IY~A -~ 4fv V /4// (_ -~ .,,-.,,1.,,,-.,,,, -vw---/ r:> / y .___.., I' , -·
.
,
' .
torrey pines consulting
P.O. Box 38
CardiH-By-The-Seo
California. 92007
(714) 436-3555 • (714) 453-6663
R r:----. ... 'VED I -'..,. ...:,. •
Ff Bl 7 i982
r 1-ry OF r.4RI ~Rlln
Building Department
REPORT OF MORTAR TESTS
Project:
Address :
Owner:
Contractor:
Architect:
Engineer:
La Costa Greens
Nava rra Drive, Carlsbad
KAP Development Corporation
R .L .R . Construction Company
Allen Dueber, AIA
Robe rt Fefferman
Job No . : 10079
Report No . : 2
Date : 2-10 -8 2
Location In Structure: 1st & 2nd block course detail E/S8 .
Sand Supplier:
Ticket No. :
Mix No. or Pr oportions:
Type of Cement
Admixture:
Slump:
Specimens Made By:
Date Made:
Date Received@ Lab :
Identification Mark:
Date Tested :
Age@ Testing :
Nominal Size:
Area:
Crushing Load :
Coast Sa nd
N/A
1: 3: l:i
Portland Type I & II Riverside
Type "S"
N/A
Torrey Pine s Consulting
2--82
2-2-82
6959 6960
Compressive Strength, psi :
2-08-82
7 days
2x4
3.14
12 ,700
4,045
1,800 Specified Strength@ 28 days :
6960A
Remarks: c: (2 ) KAP Development •
Corporation
Respectfully submitted ,
TORREY PINES CONSULTING
(1 ) Cit y of Carlsbad
• Dennis:::;:i'. Zimmerman, P.E .
RCE 26676
'
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business will be conducted
Name of Occupant
2558 Navarra Drive p Unit Condo
L ( ,L.. G' l .......
Address of Home Office of
Occupantifdifferentfromabove P.O. Box 667, French Camp, Ca. 95231
VALIDATION
REC EIVED
APR 3 U 1984
CONSTl<UCTION l>EPT.
Building 81-430 Permit No.
Business Phone j'fL lu
Home Office
Phone 209 943-3813
Owner of Buildin,. American Savings & Loan Address Same AssAbove PhOne Same ----=--_____ ..:...:..::..::.:.::.:.:: _______________ -'---------
Type of Business
I
Describe exact use of all portions of each building and lot
Previous use of Building
Type of flammable or explosive liquids to be used, if any
I certify that I have read the statements contained in this application: that they are true and correct, and that I make this statement under penalty of perjury.
Dated this
Signature of
Applicant
Use Zone
Planning
Department
Engineering
Department
Fire
Prevention
Health Department
Building
Department
, 19 'a in the City of Carlsbad, State of California
L .... L. Signature of
Building Official
FOR DEPARTMENTAL USE ONLY
Occupancy Group Type of Construction
I Approved Disapproved
Disapproved
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.