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Home My WebLink About2570 EL CAMINO REAL; MULTI-PERMIT FILE; CB920356; Permit- - - - - -. '/ • ,• • I - -. * •' • • ,• B U.I- L P IN G Q-E R-M I -' -Permit No: CB920356 04/09/92!10 43 Project No A9200978 Page 1 of. 1 - - -. •- Development No:. Job Addrés: .2570ELCAMINO REAL ''Str: Fl:. Ste: Permit-Ty'p'e'-::SIGN 7158 04/09/92 0001,01 402 Parcel No CPRMT 193 00 Valuati46n 10,000 Construction Type:NEW • -.•. ' '-.(4. /0'_' I - Occupancy Group Class Code - Status ISSUED Description 3 ILL SIGNS/1 SANDBLASTED - Applied 04/09/92 SIGN 4 TOTAL . .,Apr/Issue,:04/09/92 - Validated By MDP Appl/Ownr PACIFIC SIGN CONST' 619 47478566 2131 HARRISON AVE,. .' -NATIONALCITY.CA. 50 '- Fe Required Fe 3.0- Adjust4ments:. -I f\.00 Tol reit:\.:00%1- Total Fee's:oo I \ Balane\ 191.'0 Q 117,00 Plan Check --76~ 00 SIGN XQTAL --193.00 Bu ilding,Permit NCORPORATED 19,52 DATE - •. I - • : •. :'• • '--- --: , - 4 • - .•- • -I - - •t * - - _i_. • -• - - Up i - 4 A4 •$ AT- MA A . - * - - • - -' - r * - - - CITY OF CARLSBAD I I r 2075 1as Palmas Dr Car1sbd CA 92009 (619) 438 1161, - - " ;--:!- • I - PERMIT APPLICATION - City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I; 1. PERMIT TYPE A - Xi COMMERCIAL ONE _ W DTENANT IMPROVEMENT B - INDUSTRIAL DNEW - DTENANT IMPROVEMENT - C - DRESIE'- DAPARTMENT DCOWDO OSINGLE FAMILY DWELLING DADDITION/ALTERATION DDUPLEX DEMOLITIOIii []RELOCATION DMOBILE HOME EELECTRICAI []PLUMBING - DNECHANICAL DPOOL DSPA DRETAINING WALL DSOLAR 0 OTHER H EST. VA 4OO 1 PLAN CK DEPOSIT VALID. BYOP DATE Address 2570 El Camino Real Building or Suite No. B Nearest crossStreets Highway 78 SubdivisiQn i Narge/NIaier Unit No. Phase No. L*jPTf P1vt'8 being a dvision Of Parcels 1&2 PM487 and. portion of lots 4&5 Sect. 32 CHECK BELOJ IF SUBMITTED: Township 2 South Range 4 West [J2 Energy calcs [J2 Structural Calcs []2 Soils Report Di Addressed Envelope ASSESSOR'S PARCEL 1 67-030-49 EXISTING USE , PROPOSED USE DESCRIPTION OF WORK Install (3) sets of illuminated signs. Intall (1) one sandblasted sign. . BLDG. SO. FIG. # OF STORIES 3. CONTACT PERSON , NAME Susan Custeau ADDRESS 2131 Harrison Ave. CITY National City STATE CA ZIP CODE 91 950 DAY TELEPHONE 474-8566 SIGNATURE. 4. APPLICANT 0 CONTRACTOR AGENT FOR CONTRACTOR DOWNER 0 AGENT FOR OWNER NAME Ausan Custéau . ADDRESS CITY National City STATE CA ZIPCODE 91950 DAY TELEPHONE 474-8566 5. PROPERTY OWNER NAME Northeast Savings CITY Carlsbad ADDRESS 2131 Harrison Ave - - ZIP CODE 91950 DAY TELEPHONE 474-8566 LICENSE CLASS C45&C-i 0 CITY BUSINESS Lit. # 867700 SIGNATURE /7//Jfy'fL' TITLE Agent ' DATE 4/7/92 DESIGNER UAME' ADDRESS CITY - N/A STATE ZIP CODE DAY TELEPHONE STATE LIC. H WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, - or a certificate of Workers Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof- filed with the Building Inspection Department (Section 3800. Lab. C). INSURANCE COMPANY Golden Eagle POLICY NO. PWC1 10094 EXPIRATION DATE 10/1/92 - 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 t become subject to the Workers' Compensation Laws of California. SIGNATURJ<1kZ1L,/&tU4TE 4/7/92 OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's license Law for the following reason: - 0 I as owner of the property or my employees with wages as their sole compensation, 'iLL do the work and the structure is not intended or offered for sale (Sec. 7044, Busire55 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.). - 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) Licensed pursuant to 4he Contractor's License Law). - I am exempt under Section Busiess and Professions Code for this reason: , (Sec. 7031.5 Business and Professions Code: Any City or County which requires apermit 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 t0a civil penalty of not more than five hundred dollars ($5001). , SIGNATURE .. DATE COMPLETE THIS 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 25,534 of the Presley-Tanner Hazardous Substance Account Act' - - - DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? -,DYES NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES NO .' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQWANCY KAY NOT BE ISSUED AFTER JULY I, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE, AIR POLLUTION CONTROl. DISTRICT. CONSTRUCTION LENDING AGENCY - - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code): LENDER'S NAME ' LENDERS ADDRESS - APPLICANT'S SIGNATURE 'I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby author'ize 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 NAY IN ANY WAY ACCRUE AGAINST SAID - CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. - Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date-ofsuch permit or if the building or work authoriz'ed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). - - APPLICANT'1IGNATURE ) 7,7 DOWNER CONTRACTOR DBT PHONE - PROVB i-/ WHITE: File YELLOW: Applicant PINK: i-unance OWNER STATE CA ZIP CODE 92008 LESSEE UTENANT DAY TELEPHONE 729-4955 6. CONTRACTOR NAME Pacific Sign Construction CITY National City STATE CA /7 STATE LIC. p447724 7/ i1 -,------. _2L, Q.4tri USE 'BALL POINT PEN ON[Y & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT I ' APPLICATION & PERMIT - — — - 2075 Las Palmas Dr Carlsbad CA 92009 1915 (619) 438-1161 JOB ADDRESS - - AV. ST. RD. THOMAS BROS NO. DATE O F APPLICATION BUSINESS LICENSE A VALUATION , PERMIT NUBER , I M M : - - -H LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR CONTRACTORS PHONE ZONE' _le.Sity Sped-tr 'OWNER'S NAME _ •--"r\_.'-". OWNERS PHONE CONTRACTORS ADDRESS STATE LICENSE NO BUILDING SO FOOTAGE _Ai-oc ' 5\. '- . fl Ss i14'4( OWNERMANG ADDRESS . . 4l - DESIGNER. . - DESIGNER'S PHONE .- 7O -. a L _..-&k DESCRIPTION OF WORK --- . . , 6622 05/02/89, 0001 DESIGNERS ADDRESS , STATE LICENSE NO. ,- - , - BldPmt 42.0( , F/P ' FLR ELEV. NO - 0CC OP STORIES- YO NO - ' - ---- FIRE SPR - - CENSUS TRACT PARKING SPACE -. RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT '\ - TYPE_- - 0CC LOAD' - -- - .. - AREA . - CONST - , - ' ._,-_- ,.. Y N 0.. v0 ND - . . - Y ND Not Valid Un/ers Machine- Certified ,,,, QTY. - - 4' - PLUMBING'PERMITlSSUE; ' 7"7' OTY. , . MECHANICALPERMIT - ISSLJE ' IIL,)L' ' ' , ,. . . .. .: .,. --.SUMMARY./ACCOUNTNUMBER-- -----.- - 'EACHFI*TURETRAP - r , INSTALL FURN, DUCTS UPTO100,000BTU -'BUILDINGPERMIT______-o0l'8)0'00'00'8220 - • EACH BUILDING SEWER . , OVER,100.000BTU , SIGN PERMIT. 001-810-00-00-8221 -EACH WATER HEATER AND/OR.VENT.. _--- '• - - BOILER/COMPRESSOR UP103HP - . •-- - - -PLAN CHECK- -" ' - -001-810-00-00-8891-'-_-_- EACH GAS SYSTEM 1104 OUTLETS ,J , 80ILER/COMPRESSOR3-15HP ,- TOTALPLUMBING 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 - '------''- - - EACHVACUUMBREAKER -- ', - MECH EXHAUST HOOD/DUCTS , - MOBILEHOME 001-810-00-00-8225 - WATER SOFTNER''--' -', - RELOCATION OF EA FURNACE/HEATER SOLAR -'- _001-810-00-00-8226 -' - EACH ROOF DRAIN l)NSIDEI '-. , DRYERVENT _.-.._. .'.._.- ,..STRONGMOTION....,,..' __-_-.880'519-.92-33 TOTAL MECHANICAL ' - ''''"' - - I - i" - - ' " ' - FIRESPRINKLERS 001-810-00-00-8227 - -. TO (AL PLUMBING ' . ' - 'PUBLIC FACILITIES FEE-:'320-810-00-00-8740' - I ' . ' • 1. - - BRIDGE FEE 360-810-00-00-8740 '--- CITY. - -ELECTRICAL--PERMIT'- - -ELECTRICAL--PERMIT-- ISSUE '5co OTY. - MOBILE HOME SETUP - - PARK-IN-LIEU (AREA 1 - NEW CONST EA"MP SW) BKR - CARPORT , " TIF___"'-"'-'-3128100000_8835" - - i•PH -' __'3PH '', :., AWNING,':-.-,-• -'' LA COSTA TIF ' 311-810-00-00-8835 - -- - EXIST BLDG E'A MP/SWTBKR -. ' GARAGE - --I - - FMF I-PH.--- _;. _-3-PH •-'-- '-- -- '- '' -'•- __________"' LICENSE TAX .w1.'00.1.810.00.00.8162 - - ' - -- - REMODEL'ALTR'PERCIRCUIT _'.-•- -: - - , . , . 'MFF - '880-519-92-57 - TEMP POLE .200'AMPS ' • .: . - • - - • ' , - - • OVER 200 AMPS • ' - - , ' ,. , .'-. - ••-- .-.-----,--. -' . - - -. -- . .-- TEMP OCCUPANCY 130 DAYS) ' 0- ., • . ' - ___________________ CREDIT DEPOSIT - , - ' , • - TOTAL ELECTRICAL'- — IOTA) - L TOTAL FEES PAYABLE'- - -A I HAVE CAREFULLY EXAMINED THE COMPLETED '-'APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bjtIheBuIding Official under tre provisions olthls * AN 051-IA PER:1 IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 511511 expire by limitation and become null and void If the bulldog or work authorized by such permit is not commenced within 180 days from the date of such 50" DEEP AND DEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, on iIthe buildin or work authorized by such permit 'TO GOVERNING BUILDING CON- s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT 01180 days. ISSUED: COMPLY WITH ALL CITY. COUNTY AND STATE LAWS abandoned al any time aer the work is commenced for a period -STRUCTION, WHETHER SPECIFIED-HEREIN DR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE * OWNERD WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE CONTRACTO APPROV BY • -- - -- , - DATE. - - - RANTING PERMIT G APENSES OF THIS BY PHONE 0 -1 :cv [,`, hb affirm that am licensed under u provielone ot.Chapter 9,(commencing with 'S.ctlon 7000) of Division 3 of the Business and Profeaaiona Code, and my license is In - full force and effect. -- I herebyattirm that I am exempt 1mm the Contrac- tors License Law to, the following reason (Sec. 7031.5 - Business and Professions Code: Any city or county which re- I A quires' a peymit to Construct, alter, improve, demolish, or -. repair any structure, prior-to its issuance also requires !he ap- plicant to, such permit to tile a signed statement that he is - hcensed pursuant to the provisions ,Ot the Contractor's - License Law (Chapter 9,'commencing with Section 7000 ui Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any violation 01 Section 7031 .5 by an applicant for a permit sub' jcts the applicant to a civil penalty 01 not more than tine hun- dred dollars ($500(. - 1,1 'I, as owner 01 the property, or my, employees with wages uu as their sole compensation, will do the work and the struc- r lure is not intended or uttered or sale (Sec) 7044 Business -' and Professions Code: Tire Contractor's License Law does vol apply to an owner ol property who builds or, improves, - thereon and who does such work himsoll or through his own —employees, provided-that such improvements are not intend" - - W ed or uttered Or sale; It, however, the building or impruue' Z went is sold within one year 01 completion,' the owner-builder - will have the burden 01 pruning that he did not build or im' prove for the purpose 01 sale), I t l.'as owner ót the property. arn'enclnsively contracting - with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License c Law does not apply to an owner of properly who builds or im' - proves thereon,- and who contracts or each projects with a coritiator(s( license pursuant to the Contractor's License Z Law). - - - - a ---------..- 'i F) As homeowner tam improving my home. andthe 10110w- 4 . ing Conditions exist:cc -- . The work is, being performed prior to 'sale, I have lived in my home 'mr twelve months - - "prior to completion 01' this work'" ' - ' W 3. I have not claimed this exemption during the O - . last three years, - •J -0- lam exempt under Sec. -' - '- , B & P,C, - or Ibis reason "' 'I ,"--- '. --. - - .i .0 tl hereby affirm that l have acertificate 01 consent to sell-insure, or a certiticate 01 Workers''Compensation to- fl '4 swance, Ore cerlitied copy thereot Sec 3809. Labor Code) - POLICY FO; ),l~I • -. COMPANY- : - Copy is tiled wiltr the city L. eritiliejcopy is hTrelt~ uis - - — - --- CeRTIFICATe OF EXEMPTION FROM— - -- O , *-WORKERS' COMPENSATION INSURANCE (I) __. (This section need not be completed it the permit - IX 'is to, one -hundred dollars l$1001 Or Ie55t Iii ,, .0 I certify that in the-performance 01 the work lx, which,. - d-' this permit in issued. I shall not employ any person in any rinavver so as to become subject to the Workers' Curnpen- e salion Laws-otCatiturnia. , -. NOTICE TO 'APPLICANT: It, alter making this Certificate 01 Euemption, you should become subject to the Workers' ,Co7mpevsarion provisions 01 the'Labur,Code. you mast,''' h forthwith comply with such provisions or this permit Shall be dmrr eeeet revoked -, - Ihereby attirm that' there is a construction lending cc agency to the performance of the work to, which this per' O i mit is issued (Sec. 3097. Civil Cod e) . zl l&J I .....-Lender's Name Lt, L Lender's Address TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR E CEILING SHEATHING 0 ROOF U SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING U SEWER 'AN DBLICO UPLICO UNDERGROUND DWASTE UJWATER TOP OUT 0 WASTE U WATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE U TEMPORARY 0 BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., Cl REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL I I 1/ PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES - INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE . FIELD WELDING - HIGH STRENGTH 80L1*S SPECIAL MASONRY PILES CAISSONS 116~r V vvf EA y •- APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - — -n'---" '' —• CARLSBADBUILDING DEPARTMENT - I ,- APPUCATION&PERMIT _j. ( 2O75kLas.PaIri,s Dr., Carlsbad,, CA-92009-1915 (619) 438-1161 t. .. .-.-..---- - —v:__•_•7 -- - JOB ADDRESS -4 AV, ST. RD. THOMAS BROS NO, DATE OF APPLICATION # V LUATION PERMIT NUMBER 7' &L 4 .L- i 3g_4 7~SE _ ZONE -' LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. -. CONTRACTOR CONTRACTORS PHONE 0 - C OWNERS NAME OWNERS PHONE a. BWLDINGSO.FOOTAGE , ia.' •5 .2 CONTRACTORSADORESS - STATE LICENSE N - OWNER'S MAILING ADDRESS . ' - DESIGNER . '& ' L- :4vb-51 ..0 DESIGNERS PHONE DESCRIPTION OF WORK 4 '' 523403,'08/89-000101 "02------- ' In s pj ,/5 a\ DESIGNER'S ADDRESS STATE LICENSE NO, BldPmt 105.0 - F/P 1FLR ELEV. ' - NO 0CC GP EDU -STORIES,.. - • . ' - -. ,, - YO NO: — - - •. . .. CENSUS TRACT PARKING SPACE - RES UNITS, GRADING PERMIT ISSUED REDEVELOPMENT T,. - .. ,TYPE 0CC LOAD- FIRE SPR.-- I AREA CONST 0 e Y 0 NO • YO NO Nor Valid Unless Machine Certified OTY.. PLUMBING PERMIT.- ISSUE - 7.373 OTY. - MECHANICAL PERMIT- ISSUE CC SUMMARY/ACCOUNT.NUMBER -EACH FIXTURE TRAP -.---.- - r - , INSTALL F.URN. DUCTS UP TO 100,000 BTU I , BUILDING PERMIT - 001-810-00-00'8220 - EACH BUILDING SEWER - ' - OVER 100,000 BTU SIGN PERMIT 001-810100-00-8221 LL EACH WATER HEATER AND/OR VENT ' - , BOILER/COMPRESSO.R,,.UPJO 3 HP - 4 , - PLAN CHECK , - 81O00:008891 01 , .. EACH GAS SYSTEM (104 OUTLETS BOILER/COMPRESSOR 315 HP - - , ' TOTAL PLUMBING 0011'810'00-00-8222 - - last three years. E''AVSiMc01406'RE' ' "'' - ' - ' METAL FIREPLACE - - - '\ - ,, -- ' 'ELECTRICAL -- -' '001810:00.008223 - EACH INSTAL''ALTER, REPAIR WATER PIPE - ' , - VENT FAN SINGLE DUCT - ' . MECHANICAL - , - 00,1810'00'00.'8224 , -----------'------ - -- EACH VACUUM BREAKER - - 't , - a, a, '. MECH EXHAUST - HOOD/DUCTS MOBILEHOME 001'810'00'00'8225 — -WATER SOFTNER.'------------, •' - .' .' -- -- "'-' RELOCATION OF EA FURNACE'/HEATER--- h' '" ' - SOLAR -- 001'810-00-00'8226 EACH ROOF DRAIN (INSIDE) - - ' - - , DRYER VENT ' - STRONG MOTION - 880'519'92'33 self-insure. or a cerlilicate'of Workers' Compensation In.. TOTAL MECHANICAL FIRE SPRINKLERS 001-810'00'00-8227 TOTAL PLUMBING --PUBLIC FACILITIES FEE— 32081000008740w -- ' -- - - ,POLICY NO. OTY. PERMIT - ISSUE. OTY. - - -MOBILE HOME SETUP- BRIDGE FEE - - 360-810-00-00-8740 - PARK-IN-LIEU (AREA 4.ELECT.R!CAL 5'- - NEW CONST-EA AMP'SW-l--BK'R--. ' - - CAR PORT - , - - - - - - ' ' ---------- -TIF 312-810-00-00-8835 . -- ..1-PH - -- - -.3 PH , -, -' '- " ,., - AWNING - , .LA COSTA TIF - 311-810-00-00-8835 - EX.(SLB.LOG,EIk AMPISWT/BKF1_. •I - ---------_4. GARAGE --'a-is 10, one-hundred-dollars ISfOOl or less) I PH 3 PH LICENSE.,TAX - 001:810'00;00'8162, -- ---'---- ' --- REMODEL -ALTER; PER CIRCUIT MFF - 880-519-92-57 - 0- 4rnanner so as to become Subject to the Workers' Compen- TEMPPOLE 200AMPS - " ,. -, -----•--- - •__.-----------------•. OVER200AMPS" -'-- --- TEMP OCCUPANCY 130-DAYSI- - -- 'CREDIT DEPOSIT" TOTAL Ei,ELTRILAL I/ 17 . Z. TAI _ t_ -. •_-e.r: - TOTAL FEES, PAYABLE - - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Leery permit issued by the Building Official under the provisions of this - - * A A PE :T 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 authoizedbsctrerrn'tsnlco menced within 180days DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND"AGREE IF A PERMIT IS 0" DEEP 0 DEMOLITION OR CONSTRUCTION OF the Of Such TRUC ES OVER 3 STORIES IN HEIGHT su spended , - permit, or if ttte buildin authorized by such permit ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time aer the work is commenced for a period 01180 days, - - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND • KEEP HARMLESS.THE CITY'OF'CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICNT S SIGNATURE * OWNER 0 WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE APPR V CONTRACTOR 0 , 0 -- - -. -- 7~1 GRANTING OF THIS PERMIT. BY PHONE 0 - -USE BALL4OINTPEN ONLY & PRESS HARD—, - - 2'riD' hereby affirm that I am licensed under oI?'provi&ons of Chapter 9 (commencing with :I S.ction 7000) of' Division 3 'of' the Business I ,rand Professions Code, and my license is in P Z L'fuii force andeftOct.'- - (p ('hereby affirm that 1 am exempt from' the' Contlac- 1 For's License Law for the tollowing reason (Sec. 703t.5 ,1 Businessand Professions Code: Any city or county whicl'. re. .-a quires a permit to construct, alter, improve, demolish, or repair.any structure, prior to its issuance also requires he ap - plicant for Such permit-to tilea signed statement lhal7he is licensed pursuant to the pruvi'sions of the Contractor's - License Law )Chapterj commencing, with Section 7000 of Division 301 tho Business and Professions Code) or, that is en',. 'p empt therefrom and the basis for the allegeo exemption. Any violation of Section 703t .S.y an applicant for-a permilsub- ,..,jects the applicant lea civil penalty of not more than live hun' - (. dIed dollars ($500). 0 I'l as owner 01 the properly. or my employees With wages fas their sole compensation,f will do the work, and the struc- ture is not intended ,or-offered for sale (Sec. 7044, Business .. and Professions Code:' The-Contractors License Law does p -not apply In an owner of propertyWho'uilds or improves . thOreoo and who does,such work himself or through his own p? ,. employees, provided that such improvements are not intend- ..5 Ui '- Odor offered for sale. If,, however, -fIre building or improve- Z ment is sold within one year of completion, thfowner'builder 39 ,_._wiIf havetho butden of proving that he did not build.or im- o prove for the purpose Of sale). 5 - II I,' as owoer,ol the properfyam exclusively contracting - C with licensed contractors to construct the poject (Sec. 7044, . - -, Business and. Prufessions.Code?_._The Contractor's License- . - r ç Law does not apply to an,owner of property who builds or irn- r proves thereon, 'and who -contracts-for each projects'with a - - U) - 'contractor(s)' license 'pursuant to the 'Cont(actor's License . .k(!) I ii 'Aia'hureo'neram iIroving rny,hume, and the follow 4 . s,ingdndition's exist: 's'5.4 - --*- f —The work is being performed prior, to sale,------ 2. I have lived, in 'my home. for twelve months - - prior to completion of this'wvrk. ......,._ Ui - 3. I have not claimed this exemption during —,he- 0 .0-lam exempt under-Sec.'' -.B & - 'for this reason -1 h;r rrn that lhave.a certificate of consent to 's'ianceor a certified 'copy thereof (Sec. 3800. Labor Code) I( Cony is-ti lea with the city ..ç I / p ,Ceetiliea copy is hereby furnished -, Ui (P ' , WORKERS' COMPENSATION INSURANCE - - ( llhjs ,êfdtinnee not be completed it the permit uh ( c 'itht in the performance of the work for which cc - rhispermit is issued. I shall not employ any person in any - -, ,satiox Laws of California,, - - •: 3rNOTlCE JO.APPLICANT: It. after rrrak1n9 this Cerfilicate. - - ut-Exemption, you should become subject to the Workers' .rCompensat ion provisions of the LabPrrCode. you mast 'I lorttrwith comply with such provisions or this permit shall .Jv_ - bedeernedrevoked - .._.Dj'hereby affirm that there is -a Construction lending. I cc agency for the pe'rformaoce of the work for which this per- 0),. . mit'is issued (Sec. 3007.-Civil Code)-- ZI WI Lender's Name - - a---- ---- -- -. — -. - - L Lender's Address -- -- --I-- TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR Li CEIb.ING SHEATHING Li ROOF LI SI.IEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO Li PL/CO UNDERGRbUFIb '0 WASTE DWATER TOP OUT 0 WASTE Cl V/ATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WTER ELECTRICAL Li ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC I Li ELECTRIC SERVICE D TEMPdRARY Li BONDING Li POOL MECHANICAL Li DUCT & PLEM., 0 REF. PIPIG HEAT - AIR COND. SYSTEMS ' VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN -APPROVED. FINAL ljyI PLUMBING I ELECTRICAL MECHANICAL "1 GAS I , BUILDING SPECIAL CONDITIONS c!i2' 04--1 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL T DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS Ix ri 17 ° USE BALL POINT-PEN ONLY &'PRESS HARD • '- .- - -' - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. D o I herebafllm' .thã1iIéñ;ed under 0'ørvisions orChapteir9a(co'mmncing with Divlsion"3oftheBusinesa,- - I r and. Professions Code, and my license Is in 6 - .e4.4 '('S - . I whereby affirm that I, am ,exempt -from the.Confracj"; - tor's license claw for the following reason (Sec. 7031 Business and Professions Code: Any city or county which re .quires arpermil to construct, alter, improve, demolish, or I repair any structure,- prior to its issuance also requires the ap- ,pticdnt for such,ermitto'Iilè'a signed statement that he is,s'" .licensed pursuant to sIte 1provisions"ot the Contractor's License Law (Chapter 9 commenclnq with Section 7000. sf4 Division 3 of the Business and Professions Code( or that is ex- empt therefrom and the basis, for(ho alleged exemption. "Any violation of Section 7031'.5 by an applicant tor a permit sub- -, jects the applicant to a civil penalty of out more than Dye hun-vt - dred dollars ($500). -0 ,l-as owner oft he property-or-my employees with wages 7 ' 'do their sole compensation, will do the work, and the struc- - tore is nnt'intendesl or offered for sale (Sec. '7044,'Busihess " - and Protesibns Code: TIle Contractor's License. Caw does S . .001 apply-lo an owner of property who builds or impruves.. thereon and who does such work himself or through his own employee: provided that'suCh improvements are not Intend- - ton sale.- It, however, the building 'or Improve- - ' Z ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im-o - -i prone for the purpose of sale). ?37 .--- r "J -1; as ownuruf the property, -ard exclusively contracting 'rwith licensed contractors to Construct the'project (Sec: 7044, Buslnessand Professions Code: The Contractor's License Law, do.es,,nut applyJo an owner of property who,builds or imcjj a _ 1proves thereon, aodawho contracts for each projects with a U) • 7'' centracton(s(allcense pursuant to the Contractor's License Z ,Law(. •.-; 5-.- - - 2 --. '"•- P 0 As a homeowner.l am improving my home, and the follow, ,.._ * lng.cooditi005 eoist:.._..- CC -' -. • 1. The'work is being performed prion.fo sale... I huVe lived in my "home for twelve .months prior to-completion of this work. 415. • lot , ', l.-huve ootctaimed this exemption during the loot three years. '• , ' ,., -- 0 I am exempt under S. • .c C. - . B & P.C. a , for this reason - a .5 Cr-Ii4:"4 n - 0- I hereby affirm that I h ac i e of consent.. 1 - to ..seIf.insure. or a - iii a .of • Workers' *5 Compensation lnurance er't eid copy thereoI - — '(Sec. 3800, Labor Code(.- LICYNOL(, OM NY 'D Copy is filed with -the Z ;l*.jNJ***. - - W ' Certified copy is hereby firnished.-" - —a..- - 3 'CERT(FICATEOFE3(EMPTION FROM — - .,L'WORKERS' COMFENSATION INSURANCE .._,(This section need'not be completed if the permit - e..- is for one hundred dollars ($100) or less) 0 I.cerlify that in the performance of the work for.,t. - ' 0 p. which this pert-nil is issued, shall not employ any ' person in any manner so as to become subject to the Workers' Compensat ion Laws of California.-- - '\ - ;' . 'SC ' - (0"•-'., j NOTICE TO APPLICANT:lf, after making this Certi, T. - licate of Eeemptityh, 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. j a 01 hereby..'affimr, the i there is Construction - * I lending agency for the performance 01 the work for W1 which this permt is issued lSe. 3097-Civil Codel"".L c4f4o WI -c-- Lender's Name - I . ' ?Il r-;01) L Lender s Addres's' - "CARLSBAD BUILDING"DEPARTMENT' ' -APPuAfloiN&PERMfl (5 ._F_S , — '-"- -'5"--- —1200 Elm Carlsbad California 92008 1989 (619) 438 5525 I I JOB ADDRESS -. - - AV, ST. DATE OF APPLICATION j0BLISINESS LICENSE # - VALUATION - 0.. PERMIT NUMBER R :<.- ---, ZONE . - ,- . OWNER'S NAME - ' OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE If - •-i;:•1 - Si C, jfl,cf qç ô, ç OWNER'S MAI'LING ADDRESS CONTRACTOR'S ADDRESS * LICENSE NO. PLAN I.O.# , ' BLDG USE CODE - - --;-F - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. ' DESIGNER I) LICENSE STANDARD PLAN # STANDARD BUILDING SO. FOOTAGE '' RIP I 0/I OF WO R'51 ',7'ILL /A L L. /P DESIGNER'S ADDRESS, DESIGNER'S PHONE .-t- - — — - — - - - . •, :.:4 _:' F/P - FLRELEV, - NO STORIES .00CGP EDU G -L" /—L_— rc'acr- CENSUS TRACT OP LAND RES UNITS. GRADING PERMIT ISSUED • REDEVELOPMENT " ' - ' TYPE FIRE SPR 'AREA 0CC LOAD CONST /,-I' 7EPARKING,SPAtE nD,iD ,YOND - 83 - - - YDND. ..- 'Not Valid Ud/effUachine'Certified - QTY 53' -v_'----'..- PLUMBINGPERMIT ISSUE 0Th' ... . MECHANICAL PERMIT ISSUE - . SUMMARY/ACCOUNT NUMBER - 7 - — 5' EACH FIX'TU'RE TRAP 'I, ' INSTALL FURN DUCTS UP TO 106,000' BTU BUILDING PERMIT -. - 01-00-00-8220 -EACH BUILDING SEWER - -- ----- -— - - - 11i------- - - "a'- - -4 OVER-100,000,BTU' • -: *. - - - -c---_-- y. - SIGN-PERMIT .------ _--01'0O'00'822T-- EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP s - PLAN CHECK c- 01 00008806 .( EACH GAS SYSTEM 1.104 OUTLETS - - .-.1 BOILER/COMPRESSOR-3-15 HP - - , - - ' - ,. -- ,TOTAL PLUMBING ' 0 - - - 01-00-00-8222 - . • ',,' - - EACH GAS SYSTEM 5 O.R MORE - - -' - ' .METAL FIREPL-ACE*a 4 - * - -' ' -_ ELECTRICAL - -. ' .-. 01-00-00-8223' -. -- -(- • EAcHINSTALALTER, REPAIRWATER PIPE - '" .- - - ' VENT FAN.SINGLE DUCT - -' - . - , MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER "S.EXHAUST - HOOD/DUCTS — 0 a MOBILEHOME 01-00-00-8225- ' WATER SOF-TNER * •. - . -- 0.'S• - RELOCATION OF EAFURNACE/HEATER',, - . .. •,.. .,.MOBILEH0ME PARK INSP -'.- •.-a. ,,. ,- .' - - EACH ROOF DRAIN (INSIDE) * - - -- . - - - '' : - • - C - - - SOLAR - - -' 01-00-00-8226 - - - -------- TOTAL MECHANICAL - ._ "S' STRONG MOTION 8092330519 a 5. TOTAL PLUMBING -' — ' - FIRE SPRINKLERS,—01 00008227 QTY' ECECTR)CAL PERMIT ISSUE QTY SOLAR ISSUE - -- PUBLIC FACILmESFEE 3200008923 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS C SCHOOL FEE DISTRICT 'It '•'" '1 PH * ' 3 PH STORAGE TANKS , Carlsbad 8092 21 0519 — -EXIST BLOC EA AMP/SWT/BKR POCK STORAGE ' ' ' Encinitas " ,780'9'2-2220519 m -. — - 1 PH a 3 PH , I PUMP San Dlegulto . - 80-92-23-0519 117 REMODEL/ALTER PER CIRCUIT 5 £L PLAN CHECK FEE 5, San MarCos 80-92-24-0519 -- T'TEMPP'OLE''2004MPS ''..:-+':. .•'-v'-5_.. 't _4____' 1 ' 5 -''-m-v ' ----' ----,- ,-..-- - - or' - "1 't'OVER200 AMPS ---"-' '''?.J's 'C._,..,.e r -' - - -.? '•.'.'i •0 . 'a' - - S TEMP OCCUPANCY (30 DAYS) I TOTAL ELECTRICAL TOTAL SOLA9- TOTAL FEES PAYABLE - HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY) 0 Expiration. EverypermitissuedbytheBuildingOfliciatundertheprovisionsolhis * AN HA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work .5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the dateof such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permit, or if the builcbno or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS I cloned at any time afer the work is commenced for a period of 180 days. - - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND/ AP ICANT' " t 'APPROVED BY ' - - DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN S SIGNtT1JRE * () OWNER CONTRACTOR EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH - BY PHONE 0 GRANTING OF THIS PERMIT. I - .'.0"h' - . -•-' , S . - ''-5 - -' - I .,..r - , , . 'S • , - - - - INSPECTION TYPE I DATE INSPECTOR BUILDING FOUNDATION- REINFORCED STEEL MASONRY •. - GUNITE OR GROUT- FLOOR & CEILING SUB FRAME I SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL I - PLUMBING SEWER ANDBL/CO PLUMBING UNDERGROUND PLUMBING TOP OUrS TUB AND SHOWER PAN GAS TEST ELECTRICAL 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 CALL FOR FINAL INSPECTION WHEN ALL-APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE -'FINAL PLUMBING . . . ELECTRICAL • .. 7 MECHANICAL ______ GAS BUILDING ; • ________ ___________ SPECIALCONDITIONS. CERTOF OCCUPANCY ISSUED -• .4-;- -. -,*-•- - - - •:.> - . FIELD INSPECTION RECORD O.REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -. - INSPECTION 5REO. IF INSPECTOR'S DATE .. :L .,4 - . . . CHECKED 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 -- -. -, - '--I •• . - . _- _________ ____ -•.• -c, - _______ - .. .-- -. - ,- .-t . -' .- .4* - - . '- - ..•. * , 4-. F __________________ _______ __________ _______ 4 •- - -______ --_____ -C - -C • - --.. - t • - -. . - • __-. • ' --- - t) - - - -- __'.' ) i. . ; - -. . .-T -- C . .1 ,• . .- • ..' • - • USE BALL-POINT PEN ONLY & PRESS HARD APPLICANT FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS 4 I hereby áflhtnt'thati am licensed under o. " "provislorra .of, Chaptèr9 (comm'enclngwith Section 7000) of Division 3 of. the: Business. and,ProfessIons Code, and my I(ceise is In L full I - - herebyaflirm that I amxempt from the Con- I ttractor's License Law for the foltowing reason. (Sec. -. 7O31,5 Business arid Protessions Code: Any city or (ftcounty which requires a permit to construct alter, improve, demolish, or repair,any structure, prior toils issuance also requires the applicant for - Such permit .10 tile a signed statement that he is - licensed pursuant to the Provisions, of the ,Con- , tractors License Law (Chapter 9 commencing with. - Section 71530 of Division 3 of the Business and Pro- ' lessions Code) or that is exempt therefrom and the basis for the alleged exemption, Any violation of I - 'Section 7031.5 by an applicant for a permit subjects , tne applicant to civil penalty 01 not more than live CC hundred dollars ($500)LLI .' ' Dl, as ownerZ'f;the propert)'orm' eilployees 4I, 5 with wages as their sole compensation, will do the-. work, and the structure is not intended or offered for sale (Sec. 704.4, Business and' Professions Code: I lx) ' The Contractor's License Law does not apply to an - Z owner of property, who, builds or improves thereon and who does such work himself or through his own .1 - . "'O employees, provided that such 'improvements are - not intended or,otfered br sale.'ll. however, the building or improvement is sold within one year 01 ,. complet ion, the Owner-builder will have the burden Of proving that he did not build or improve for the purpose 01 sale). -'..'-". •'r 0 I, as owner 01 the property, am exclusively. Z . contracting with licensed contractors to construct 2 . the project (Sec. .7044, Business and Professions I. ' ' ' 'Code: The Contractor's License Law does not apply loan 'owner ol'properly who builds or improves' 1 ' thereon, and who contracts for each projects wilh a contractor)s) license pursuant to the Contractor's ' e,I,icenseLawL.. lam exempt under Sec.._.,... ...,. B. & PC: for this reason '• , 5. -, --.-,_. -..••._••_•,S.. .,- f F' frv' "3'Ø. •'' , .," , . . I - ,hereby affirm that I have a certificate 01 co'nsénl rt to. sell-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Labor Code). f z . :POLICY NO. "-COMPANY ul, opy is filed with the city., '. • ' 'I .1 '0 Certified copy is hereby furnished._ CL - ''"v'" ''u-4 0 y ,CERTIFICATE OF EXEMPTION FROM 'WORKERS' COMPENSATION INSURANCE - - (This section need not be completed it the permit. -, is for one hundred dollars ($100( or less) 0-I certify that in the performance 01 the work for 0 " which'tfris permit is issued. I shall not employ any v . person in any manner so as to become subject 10 , ' 'the Workers' CompensaliOn Laws of California.- 1% ''& ' ' t'' . NOTICE TO APPLICANT: If, alter making this Cerli- .h ficate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor ,4Code.' you musl- 'forthwith comply "with Such - J provisions or this permit shall be deemed revoked. , I )Fv.rDtne,euy affirm that there •saconstruction lending agency IOi,Ihe perlormance 01 the work IO I ..wriich Ihis permil is issued (SeC 3097, Civil Code(. • . . 1... . 'wI Lender's Name , ;'.•',. -, -., - L - lender's Address . CARLSBAUILDING DEPARTMENT, , AWUCATtON& PEAii ' . y . ,• - 5 c"' '' - '• - * 1200 Elm, Carlsbad, California 92008 (714)438-5525 • . t - . ' ' . - , ' ' - •, • - • • - , •• •. :, .. ' - JOG ADDRESS . AV, ST. DATE OF APPLICATION BUSINESS LICENSE # RD. 1 . '- VALU N" - PERMIT NUMBER zoNE,)' . OWNER'S NAME' . OWNER'S PHONE PRIME CONTRACTOR ' ,• CONTRACTORS PI-IONEII u"4-..7• . el 7Z ü T//N 741S-o($' '-.•" • '' 1 . 1 OWNER'S MAILING ADDRESS ,...2 CONTRACTOR'S ADDRESS LICENSE NO. - PLAN I.D. # • ' 'BLDG USE CODE TL Cr hrr c'. q ~710o !95 ". •A.:, LOT BLOCK - SUBDIVISION ASSESSOR PARCEL NO., - - DESIGNER ' • , STATE LICENSE # . STANDARD PLAN # u4' , '' . • BUILDING SQ. FOOTAGE t ESCRIPTION OF WORK . ' . (z- ,q7 . s/ . , - , DESIGNER'S ADDRESS..- - - • - DESIGNER'S PHONE Q_,S74CT &O96 /c' -10/231-8 i b, .4 F/P FLRELEV NO OCCGP EDU - 1'e' •3'.t 5wc'Lr A1t - . YO NO ' •' . STORIES' ':- . ' ,"'''-••', - , - • - •, ,,.• • • •' j CENSUS TRACT, GP LAND USE • PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ', 'TYPE 0CC LOAD FIR SPR E - "AREA ' CONST - '' .- v0 ND - vD'D * ry , '-"-. 'vD NO. '' Not Va/idUn/ess,Machine.certified , SUMMARY/ACCOUNT NUMBERu QTY PLUMBING PERMIT SUE OTY MECHANICAL PERMIT ISSUE EACH FIXTURE TRAP . ' INSTALL FURN. DUCTS UP TO 100,000 BTU -7 - ' BUILDING PERMIT • - - - a ,EACH BUILDING SEWER- ' '' - ' -- ' . .' - . '' OVER 100,000 BTU ''.. ' - - SIGN PERMIT -' • . - - -: • :'EACH WATER HEATER AND/OR VENT,'.i .. • - BOILER/COMPRESSOR UP TO 3 HP - ' : • PLAN CHECK'_• • " - '' • • • / EACH GAS SYSTEM 1 104 OUTLETS . '' • ' . BOILER/COMPRESSOR 3-15 HP, ,-.. ,-'-' -' ' TOTAL PLUMBING • - - . - - ' EACH GAS SYSTEM 5 OR MORE METAL" FIREPLACE' ' "-'"' - . - ,. .'•'- ,-. ELECTRICAL.- .. J. ' - . -• EACH INSTAL.. ALTER, REPAIR WATER PIPE ' ' . ' ,,.- VENT FAN SINGLE DUCT , -, • : ' '. ''' • - MECHANICAL ' • ' . ' . '' EACH VACUUM BREAKER '' . ,, ' " ME CH EXHAUST - HOOD/DUCTS, • i-i; ' -. MOBILEHOME t WATER SOFTNER -- ' ... . - - : - - . . • .RELOCATION OF EA FURNACE/HEATER . -,,.. MOBILEHOME PARK INSP. • • . . . • . • - EACHROOF DRAIN (INSIDE)' -, - : - - •. • v F ' • - .-,' SOLAR '- . - - - ''•- •- "1 TOTAL MECHANICAL . . - " ' STRONG MOTION ',-" * TOTAL PLUMBING - I - FIRE SPRINKLERS - r - 4' -. • -' ' • . . . -. ' . • 'PUBLIC FACILITIES FEE QTY. - . ELECTRICAL* PERM IT- ISSUE '. QTY. , . SOLAR -ISSUE, BRIDGE FEE -• ::'' -'- - - - NEW CDNST EA AMP/SWT/BKR - ' - COLLECTORS 1 SCHOOL FEE DISTRICT '1 ii '----u 3PH" ' STORAGE TANKS ' ,' • Carlsbad ' •, - ., '' - ' - - - EXIST BL'OG'EA"AMP/SWT/BKR "' • :'.. ' -.' ROCK STORAGE''' r -' - . ' -'- ' . . __Encmtas ' . - - ' - -'.--• - -: - 3PH,'i , 'f - ' ,r' PUMP - ., - . . '• -. SanDieguilo - - - REMODEL/ALTER PER CIRCUIT .' , PLAN CHECK FEE San Marcos TEMPPOLE ibbAMPS,,"' '-"P- '.--4-' .a, ' , ' '_, - ' .'' - .. -• - . .,. .' -.,. -, OVER 200AMPS''-. • /''-'''k '', '' ,.'' '• "''.• . ',. 'r. • . ' .. , - TEMP OCCUPANCY (30 DAYS)4 - - __________________ --,:•',',', --I"-. •-'Q''._ .;.,.',,.,,.''-.'-.'.' ' ..•-'S TOTAL ELECTRICAL v. / TOTAL SOLAR TOTAL FEES PAYABLE 4' i 7 _/"rv/ / •','— __'u.'_,_____' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION 'AND PERMIT" AND DO HEREBY Expiration. Every permit issued byfhe Building Official underlhe provisions oIhis . *AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall 5?e,tbont is tand become null and void. If the budding or work authorized by uch -' 0" DEEP AND DEMOUTN OR CONSTRUCTION OF commenced within 180 days from the date of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildina or work authorized by such permit is susp ended STRUG,URES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON ISSUED: TO COMPLY WITH ALL CITY, COUNT AND STATE LAWS abandonedatanylimealter bheworkis commenced for a period 01180days. APPROV STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND LITIES, JUDGMENTS, COSTS AND CANTS G E / 4 WNER 0 CONTRACTOR . ',' TE - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABI ED EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH( two BY PHONE 0 GRANTINGOF THiS PERMIT_ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ. IF INSPECTORS CHECKED APPROVAL DATE 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 1' INSPECTORS NOTES - INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME. SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO '- PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC - - ELECTRIC SERVICE BONDING G. F. I. - SMOKE DETECTOR. MECHANICAL DUCT & PLEM., REF. PIPING HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION LA)HEN ALL APPROPRIATE ITEMS ABOVE HAVE REEN APPROVED. JOB _SITE _FINAL PLUMBING ELECTRICAL MECHANICAL / GAS BUILDING SPECIAL CONDITIONS CERT OFOCCUPANCY ISSUED I If t-. - . - '1.