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HomeMy WebLinkAbout2595 JEFFERSON ST; ; 72-1687; PermitSI RE 0/ 0 R'GR"AU THOR I ZED AGENT /TE I ---i SIGNATURE 0 OWNER'11F'bWNER BUILDERI " - IDATEI - - WHEN PROPERLY VALIDATED (IN THIS SPAbE)THIS IS YOUR PERMIT j PLAN CHECK VALIDATION .. ci. MO. CASH .'• PERMIT VALIDATION CK. - •' '. - CASH . '' oC- ' - - : -. ,:. APPLICANT • '. - '• ' - - , - . -, Form 100.1 ,9-69 REORDER FROM: . _' I,, - •_ .. - .--- -,--• - INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO. LOS ROBLES S PASADENA, CALIFORNIA 91101'.- - --s. JOB ADDRESS LEGAL 1oEsCR I LOT NO. - - - / BLK IV 74 TRACT - AScsôR - - - - - IfJSEE ATTACHED SHEETI -PCh T—/762R' OWNER MAIL ADDRESS 24tL, — - ZIP , ohg'e,'f? PHONE - - C1tJ,g CONTRACTOR .- MAIL ADDRESS 3 -. PB PHONE ' .' LICENSE,,60. ( ARCHITECT OR DESIGNER MArL ADDRESS - ' PlONE -. LICENSE NO. 4.. ' ENGINEER .. - ' MAIL ADDRESS ' PHONE'. - . - LICENSE NO. - • LENDER -- . . MAIL ADDRESS 6 USE '. ' - BRAN - 0 BU.' €7? J%e&4 /zLJ 8 Class of work: EM'W El ADDITION El ALTERATION El REPAIR El MOVE El REMOVE' 9 Describe work LrkI44 4 (2 C t (- 10 Change of use from . Change of use to 11 Valuation ofwork:$: PLAN CHECK FEE - 4i50 SPECIAL CONDITIONS: Type of . Const. Occupancy Groiip -14 - 4 - - .'.- yson -. - - - - . Size of 8Idg.. / (Total) Sq.Ft. No. of Stories - -Max , .- - - '0CC. Load - - - . . - - - Fire - Zone Use Zone . - 2 3 Fire Sprinklers' -: Required ElVes - Nc APPLICATION CC'PTE BY: - - PLANS CHEC BY: 'T APPROVED HIS ANCE BY: . No. f - - OFFSTREET PARKING SPACES: • - -. NI - • ' Dwelling Units - Covered,- ' " Uncovered - . - NOTICE- Special Approvals Required Received', - Not Required ZONING .SEPARATE -SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING. HEATING, VENTILATING OR AIR CONDITIONING. - THIS PERMIT.BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT-COMMENCED WITHIN'60 DAYS, OR IF HEALTH DEPT FIRE DEPT. SOIL REPORT . CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- - MENCED. - . - ' OTHER (SpecIfy) APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED. HEREIN OR NOT, THE GRANTING OF -A PERMIT DOES NOT Of . PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR VISIONS OF ANY THER STAIE,OR LOCAL LAW REGULATING, C TRUCTION 0 HE PERFORMANCE OF CONSTRUCTION. - - I ' - -r 'UILDING PERMIT APPLICATION 1407 - - ( City of CARLSBAD,. CALIFORNIA /P n, complete num ered spaces only..iO5O 4. V Ci ty of Carlsbad , :. May 29, 1996 4 _ •t • • --V -t - .1 •.. :-- 5 - 5 -. -- Lance McGoldricl-; CPM . V •. • V •.• - Senior Real Estate Manager - The Walters Managethent Company .. S V Suite A-250 2251 San Diego Av San Diego CA 92110 - S • •• S - V VS Re Requested Change Of Address For 2595/2601 Jefferson Street, Carlsbad V CA 92008 Dear Mr. McGoldrick In, response to your letter dated 5/21/96, requesting a change of address and unit numbers for the Jefferson Street Townhouses , Pat Kellêy.and I visited the: apartment site on 5/28/96 I Your proposal to address the entire project as 2601 Jefferson Street and to , change the unit numbers, per your eiclosed site plan, was approved In order to better facilitate emergency responses, we have changed the unit numbers for the building that includes the Office, site plan enclosed In addition, you will need to install a directory sign outside the Office, at the : • entrane to the complex, that clearly identifies the buildings and unit-'nurñbers. V V Each building must have identification on the exterior corner that is adjacent. to the parking area The lettering needs to be visible upon entry', 'a minimum of six inch lettering, contrasting color, readirg "BLDG 1, BLDG 2" etc V 5 V - • - • -- VS - V V - VS S. - S - -• V V 4 V V V. - • • V -t • •V 4V•V• V5 - V V 2075 Las Palmas Drive • Carlsbad California 92009 • (619) 438-1161 + C;1 7r!1~11711;1 .., - .. . ..• o***fl5} ;PLUMBING PERMITAPPLICATION Permit No City of CARLSBAD, CALIFORNIA * Y App/ica,t to compl9fjnumbered spaces Qçiiy/f JOB ADDRESS ___-y ' " :-, ar1ba cA •- - ', . . ' LEGAL 1 DE SC LOT NO ' BLK TRACT - (SEE ATTACHED SHEET) 0 st . , Ii OWNER ' . - ,' MAIL ADDRESS ZIP ' PHONE - 2 challenge 84it4t2, Inc. P.O.VO4.278, 'Sai inis key, Cu 92068 773231 N' CONTRACTOR)'' - . ' MAIL ADDRESS 3C ThitbLUg oany P.O a mis San_ .'B278 PHONE, - LICENSE NO. ey Ca '92e60 272271 . ARCHITECT OR DESIGNER ., - MAIL ADDRESS - , PHONE -- LICENSE NO. Gebô &' Msoctato State kvet, .Lc .' .268 cttrisb*d, CA 2200$, 728991' " ENGINEER , MAIL ADDRESS " PHONE - LICENSE NO. - - 5 •.L.. : - .. -,-- ' LENDER . . ,. . MAIL ADDRESS . BRANCH - -, USE OF BUILDING 8 Class of work -. NEW.'. 8 ADDITION' 0 ALTERATION 0 REPAIR .. , 9 Describe work - -. •. - , . PERMIT FEES •- ,.' - No. Type of Fixture or Item - - Fee SPECIAL CONDITIONS: - .. WATER CLOSET (TOILET) N ' BATHTUB LAVATORY (WASH BASIN) - ' - - - - SHOWER - - KITCHEN SINK & DISP. J 9 DISHWASHER - ', . 11 Th_) APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY - - • J CLOTHES WASHER WATER HEATER NOTICE URINAL DRINKING FOUNTAIN - THIS PERMIT BECOMES NULL W 'AND VOID IF ORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF - 'CONSTRUCTION FLOOR OR WORK IS SUSPENDED OR ABANDONED FOR A —SINK OR DRAIN & SLOP SINK . -. -PERIOD OF '120 DAYS. AT ANY TIME AFTER WORK IS COM- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I GAS SYSTEMS: NO. OUTLETS ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. - HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED ' PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ' VACUUM BREAKERS ' - LAWN SPRINKLER SYSTEM, - CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. - J SEWER - •. -- , -CESSPOOL. - - - SEPTIC TANK & PITJ, - A . 4' 1 .- - SIGNATURE OF CONTRACTOROR AUTHORIZED GENT (D'TEI Zan - PERMIT $. - - O - TOTAL FEE $ SIGNATURE*'OP'OWIER(IF OWNER PULDER)' - ' (OAtE) WHEN PROPERLY VALIDATED (IN THIS SPACE)-THIS-IS YOUR PERMIT L - - ILAN CHECK VALIDATION CK. - M.O. CASH - PERMIT VALIDATION CK. M.O. - INSPECTOR - I CASH 1:_ - - 9 #, p . Tie rm OPEN PARKING ai I r - 1111111 - "I'll ii'l il H 11 II - HIM 1E! b i a TRACT MAIL ADDRESS 15 MAIL ADDRESS )LJ or A MAIL ADDRESS MAIL ADDRESS MAIL ADDRESS ZIP 44L PHONE E PHONE c;O) •. ELECTRICAL PERMIT APPLICATION CD Permit No 73 City of CARLSBAD, CALIFORNIA 92008' - ,Appllcantto complete numbered spaces only. Phone 729-1181 - . .. 'J' ) - - F JOB ADDR ESS . . \TN, uf gq •rsi ST .. 0 ADDITION 0 ALTERATION. .0 REPAIR LOT NO. LEGAL 1 DES CR. OWNER 2,Ui t CON TRAC TOR ARCHITECT OR DESIGNER 4 - ENGINEER 5 LENDER 6 USE OF BUILDING 8 Class ofwork: 9 Describe work: ISPECIAL CONDITIONS: ([:]SEE ATTACHED SHEET) LICENSE NO. C-1ó Z0661 6 . - LICENSE NO. - LICENSE NO. ______t • . . BRANCH I PERMIT FEES No. Each Fee ISSUANCE OF EACH PERMIT NEW CONSTRUCTION, FOR EACH - . . AMPERES OF MAIN SERVICE, SWITCH: FUSE OR BREAKER APPLICATION ACCEBY: PLANS CHECKED BY: APPROVED RISSEB NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE. NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK ORCONSTRUC. OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME,- AFTER WORK IS COM- MENCED. REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA: AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS INCREASE TEMP. SERVICE UP TO AND INC LUD- ING 200 AMP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. ,1 CTOR OR AUTHORIZED A EN T (DATE) PER 100 ' PERMIT- MINIMUM FEE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT - * PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -4 ...-__-*. - .--- ..- - _..- ............*.................__.: , .. . ._ ... -- __ .. ......... INSPECTOR -o B D IN -a PLUMBING PERMIT APPLICATION PerniitNo.7 /c 2 c City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. - - / JOB ADDRESS LEGAL 1 DESCR. LOT NO. ii td' 1/ LK TRACT cJSEE ATTACHED SHEET) o 0 OWNER 7 ADDRESS ZIP PHONE xlza: r2 CONTRACTOR MAIL ADDRESS PHONE lW LICENSE NO. 3YM(#ldT J 2 i L;17 j9J 53 7 ¼Jl k A RCHITE7VOR DESIGNER MX'IL ADDRESS 4 O4E CENSE NO ENGINEER MAIL ADDRESS 5 - PHONE - LICENSE NO. - -. LENDER MAIL ADDRESS 6 . . BRANCH USE OF BUILDING 1 8 Class of work: V-ew 11 ADDITION D'ALTERATION 0 REPAIR - - - 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: - WATER CLOSET (TOILET) $ - BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY: J7 PLANS CHECKED ey: APPROVED FOR ISSUANCE BY: - LAUNDRY TRAY - - CLOTHES WASHER WATER HEATER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL - - DRINKING FOUNTAIN - - FLOOR—SINK OR DRAIN - - - - - SLOP SINK - - GAS SYSTEMS: NO. OUTLETS ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. - - - WASTE INTERCEPTOR ______________________________________ - - VACUUM BREAKERS _ LAWN SPRINKLER SYSTEM SEWER CESSPOOL - SEPTIC TANK & PIT - - SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PERMIT $ TOTAL FEE $ SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ,'7 ' £..__QC; PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR - t_- - - - , •V ' - - ELECTRICAL PERMIT APPLICATION MA Permit No -, '/(fl/ City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7291181 V ' - b .JOB ADDRESS V i rt .. ?5I5. FPE?SoA/ LEGAL LOT NO. BILK TRACT V (EJSEE ATTACHED SHEET) I DESCR. V OWNER MAIL ADDRESS SIP PHONE 2 - -' I I Rffl t fY'c P () r( ,$I1? c'I\A.i? ,),c ?!f 0 t, CONTRACTOR V - MAIL ADDRESS V - PHONE LICENSE tCE' EL? T&)t.. t ii-J 4A It= r/9/r, (si, ARCHITECT OR DESIGNER MAIL ADDRESS-' PHONE - LICENSE NO.' 4 : V ENGINEER - MAIL ADDRESS PHONE - LICENSE NO. 5 V V LENDER - MAIL ADDRESS V V - ' BRANCH V 6 V V USE OF BUILDING' 7. 8 Class ofwork:. QrN€ DADDITION 0 ALTERATION 0 REPAIR V 9 Describe work: V PERMIT FEES ISSUANCE OF EACH PERMIT No. Each SPECIAL'CONDITIONS:, V NEW CONSTRUCTION, FOR EACH V V AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER APPLICATION ACCEP:r,ED BY: J PLANS CHECKED BY: : APPROVED FO ISS U / CE BY: LJ.11V I . NEW SERVICE ON EXISTING BLDG. 'V FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF - CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. , REMODEL, ALTERATION, NO CHANGE IN. SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE, READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS INCREASE - TEMP. SERVICE UP TO AND INCLUD- ING' 200 AMP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / TEMP. SERVICE OVER 200 AMP. V J . /7 - - V / V PER 100 Al , -_________________ SIGN'A'FUREOF CONVTRACTOR OR'AOTHORIZED AGENT (DATE) - V V V MINIMUM PERMIT V FEE SIGNATURE OP OWNER (IF OWNER BUILDER) - (DATE) - - - V -J66 V • WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR -PERMIT V • - - PLAN CHECK VALIDATION,. CK. M.O. CASH PERMIT VALiDATION' CK. M.O. CASH - - V * :- _ . - ... V • INSPECTOR - - -- : - 4 - :'-- / - Z-0 io - .-. _'7f• - - 86 - - : I - , AIy o. r L - 7 - t ------------ 44 _q_3 2T' CITY OF (ARLSBD UILDING'bEPARTMENT : FOR APPLICANT fO FILL IN' LEGAL -.:.pE$cipTJ.ocI.,. LOT NO: BLOCK 5 'TL U SE OF .BUILDINGS. -CNTRACTOR ADDRESS . - -QIT' ,,. •, TEL O. - CONTRACTORS STATE CARLSBAD BUSINESS' LICENSE -NO.-- LICENSE NO. NO... DESCRIPTIONQF WORK FEE . HOUSE SEWER CONNECTING TO -: PUBLIC SEWER •., @ $3.00 SEPTIC TANK. SEEPAGE PIT OR PflS, @ • OVERFLOW SEEPAGE 'PIT, ORAINFIELO EX-TN,, CESSPOOL. DRYWELL\MANHOLE . @f$5.00 - HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM /@ $1.50. CONNECTADDITIONALBLDGfOR WOAI.TO HOUSE SEWER .1 @ $ 1-SO ALTER, REPAIR OR ABANDON HOUSE -,...- SEWER OR DISPOSAL SYSTEM@' $2.00 OWNER'S -' ' PERMIT ' $ 2 00 AUTHORIZATION,.. UTHORIZATION '" TOTAL FEE I' HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE -DESCRIBED BUILD. ;ING TO THE PUBLIC SEWER. SIGNED THIS -'""-' - DAY OF ---- '.'OWNER OR . OWNERS AGENT ',ADEsS. I 'HEREBY- ACKNOWLEDGE -THAT I HAVE READ THIS -APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY- ORDINANCES AND "STATE LAWS REGULATING-PLUMBING AND SEWERS. - I HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR- LICENSED'AS REQUIRED. BY THE.CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I -AM THE LEGAL - OWNER OF THE ABOVE DESCRIBEDRSIDENTiAL PROP- SIGNATURE. - ' 'OF PERMITTEE' — t_t . 4. '-'- ' • SEWER PERMIT. APPLICATION BUILDING ADDRESS NEAREST CROSS ST. OWNER c LtEJ6. t. MAIL . ADDRESS CITY - TEL. NO. CONNECTION DATA - - - - Lateral Charge Computation 30' H., 0' V. @ 4" = _____ 6" = _____ ,, J7• - - ' Add. Horiz. @ 4" = _____ 6" Add. Vert. © 4" = ______ 6" Total Construction Cost 10% Service Charge -- - Total Lateral Charge -_--' I- , Let. No,: Logged in Plat: LINE COST DATA A. D. & Assmt. No. -': - -' - LINE COST: - C C dwelling Pt S. - /dwelling._-_'. OTHER - . . . . TOTAL -. - Grand Total, Lateral, ef. '4' Mt - - - - FOR .SEWER LOCATION . - --.- 47 - - ' ' - • - • -..- - . , - . - - - - - - -• . - St. . .. • - . NORTH : - -ENlNEERlNG -' : - , • SEWER DEPT. - - Signed' - Signed ' • 11 _ 'S - • . ' '. - - This is a Sewer Permit When Properly Filled Out Signed and Validated JI ' -- -, - .: . - - • - - . .- .. - .' Issued By :..:PlT.vlDAToN 4 k:th e . .. . L '• ••.., - - . -- - - -- __•_•__4• , -, 4 ,- -e PERMIT TO CONNECT TO -. \_•• APPLICATION FOR CITY SEWER SYSTEM CITY OF CARLSBAD jO SE BUILDING DEPT. ENGINEERING D'EPARTMENT'4 It..-.:.,729-1181.-EXT 35 FOR APPLICANT TO-FiLLIN - - ISSUED BY -- : DATE ISSUED BUILDING ADQRE fr'soij VALIDATION S, OWNER -MAILING - - -- -- • .- ' •;'- ADDRESS 4; LATERAL CHARGE COMPUTATION', CONTRACTOR 41 STANDARD 4 (Max H 30 V 101 OVER 30 H " _______FT - - - - - ' - I ' - OVER 1'o,-v.'_______ 'FT. 4 • t'-t V CONTRACTOR'S 'ADDRESS - -'-- - -. • STANDARD 6 (Max H 30 V 10) OVER 30 H ______©_______ FT NEW- BUILDING N V EXISTING BUILDING - r OVER 10 V ______©_______ FT TOTAL CONSTRUCTION COST LEGAL bESCRIPTfONr. t E I SERVICE CHARG (REPAVING ETC.) t - '. 4_ * - . -•. 1- . TOTALLATERALCHARGE ..• . -• -.-- : C .. " '4' ••'' - ___-- _• ________. _-.•- REMARKS LINE__COST_DATA ASSESSMENT DIST NO. FRONTAGE COST PER FT _______TOTAL_______ OTHER C - LATERALLOCATION ' S . CONNECTIONFEE p;i f- - Y I - NO UNITS_ COST PER UNIT _______ TOTAL PUMP_ STATION _FEES -4 •,'-. --•- - .- - • • -_ " NO UNITS COST PER UNIT_TOTAL - .. :- • . '- ., 4 - - --- • i ( ' I - ST - 52 - TOTAL CHARGES, (LATERAL ETC) 'TI 1 i1/ LATERAL NO _____________ INSTALLATION DATE - - -- - - - S V.- • - t st-_C' -_ ti-- a U.' I— . - CITY OF CARLSBAD—BUILDING DEPARTMENT W - APPLICATION & PERMIT - USE BALLPOINT PEN ONLY , 1200 ELM AVENUE - (714) 438-5525 :, - - JOB ADDRESS AV. ST. RD el k 5'1u 1h.1 I DATE OF APPLICATION Bus. LICENSE / PERMIT NUMBER 70 1 OWN , , -. . ' . : - OWNER'S PHONE PR ME CONTRACTOR - ) J fir STATE LICENSE AILING ADDRESS CONTRACTOR1S ADDRESS CONTRACTORS 70 ok - ' Not Valid Unless Machine Certified - NUMBER OF STORIES tESCRIPTIC~N SUBDIVISION .. ASSESSOR S PARCEL NO I I I I I I I STATE LICENSE DESIGNER OF OR DESIGNER'S ADDRESS DESIGNERS PHONE CENSUS TRACT -. GP LAND USE - ZONING ' . . 'RES. UNITS 'PARKING SPACE ,. g f'I BLDG SQ. FT. BLDG USE. 0CC. GP STANDARD PLAN S PLAN t D S , TYPE CONST ' ôCC LOAD' - - - - - . - - - . VALUATION - - •.•. . . . - 1 ' , - AMT. BOILER/COMPRESSOR 315 HP lilY, PLUMBING PERMIT" - AMT. QTY, -- - MECHANICAL'PERMIT.' -. EACH FIXTURE TRAP •'" - INSTALL FURN DUCTS UP TO 100,000 BTU - EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT . '. . - BOILER/COMPRESSOR UPTO3HP • -EACH GAS SYSTEM 1 TO4OUTLETS EACH GAS SYSTEM 5 OR MORE - BOILER/COMPRESSOR 16-30 HP - .' EACH INSTAL.,ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT -EACH-LAWN SPRINKLER SYSTEM - ,, - ' . - MECH EXHAUST-- HOOD/DUCTS . - . •- - - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER' . . BUILDING PERMIT • '... I ISSUE , -. 3•.00 'ISSUE . 3. pp - SIGN PERMIT - TOTAL PLUMBING CONTRACTOR , . - - . - . - TOTAL MECHANICAL CONTRACTOR .. . '- - - PLAN CHECK ALL INCLUSIVE PERMIT, . - I I • I lilY ELECTRICAL PERMIT AMT CITY. MOBILE HOME PERMIT AMT TOTALPLUMBING NEW CONST EA AMP/SWT/BKR - . - AWNING - . -- - - - MECHANICAL - 1 PH 25 3 PH PORCH ' MOBILE HOME I I I EXIST.BLDG EA AMP/SWT/BK R , , •. .... - SET-UP, 1. - - -• - - ' - SOLAR 1 PH 25 3 PH RAMADA CABANA - strong motion I I I REMODEL/ALTER PER CIRCUIT- . - FENCE OVER 6' -' TEMPPOLE 200 AMPS ' . . .,TOTAL MOBILE HOME -. - - - - - - MICD-FILM OVER 200AMPS TEMP OCCUPANCY (30 DAYS) ' . - . - -.. .. . , I '- I I • I - ISSUE -20O,........ IS'uE.. --' • ____ .: -" '- - TOTAL ELECTRICAL . , . CONTRACTOR - - • - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I - FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEOTO COMPLY WITH ALL CITY, SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. LESS THE CITY OF CAR LSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. . - - - - COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ' 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER , SCHOOL FEES - - - 5'-0" DEEP AND DEMOLITION OR.CONSTRUCTION OF STRT,RES OVER 3 ST RIES IN HEIGHT A - - - ' 1 - - - APPLICANT'S SIGNATURE- ' - '- OWNER01 CDNTRACTO - - - AGENT 0 BY PHONE 0 JA7ED BY '' DAYE / LICENSED CONTRACTORS DECLARATION I hereby affirm that I am'Iicensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code and my license is in full force and at- '-fact. OWNER-BUILDER DECLARATION - Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5Business and Professions Code), Any city or county which requires a permit to con- -. struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 cnmencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section .7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - Di, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business-and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided lhat such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the - owner-builder will have the burden of proving that he did not build or Improve for the purpose of - sale). Di, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doe not ap- ply to an owner of propert '. 0 ild or im- proves thereon, and who con ch pro- jects with a contractor(s) licens Ito the - contractor's License Law). I am exempt under Sec. . & P.C. for this reason Date - Owner_____________ . . I.. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificateof con- - sent 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 the city. OCertified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for, which this permit is issued, I shall not employ any persn in any manner so as to become subject to the Wkers' Compensation Laws of California. NO' ICE TO APPLICANT: if, after making this Car. tlficafv of Exemption, you should become subject to thel Workers' Compensation provisions of the Laii'Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). APPLICANT TO FILL IN INFOR- , MATION WI-THIN-RED LINES. SITE ADDRESS:'OWNER PERMIT NO , FIELD INSPECTION RECORD - INSPECTION DATE ifNSPECTOR.. -. INSPECTOR S NOTES . - .. ... woob FLOOR FOUNDATION • FORMS SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING .:, .. .: : -. . . . -- . - : . • 0 - - - - -, -- -' - - OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING. FORMS- SETBACK -TOILET . • - , 0 0 - • . 0 OK.TO POUR CONCRETE , FRAME ROUGH ELECTRICAL . 0 .. . .- . •-. . •00 00. ROUGH PLUMBING ROUGH HEATING/VENTILATING _______ ____________ 0 . FRAME OK.PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE' . . - . - -. - :' .. . . . -. -.- •.-. EXTERIOR LATH. OK • PLACE STUCCO . 0 - - . . 0 - . - :.,.. - . ' . 0 • FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER ......... •• 0 -. .-.- . - • . . . . 0 . - . 0 • . . .• 0 TEMP POWER (POLE) . SEWER , . - . . . .. . 0 .. . .. . ...... . ' - '- - GASJEST . - . 0 SWIM POOL .. STEEL BONDING . . . ______ . . - . • . . . - . . - . .. 0 . - PRE DECK -. - - - -• FENCE PREPLASTER. 0•• -. .. - SHOWN -. FRAME -. 0 .PAN 0 0 . 0 . . • . ... -.•. 0 - : FINAL INSPBY BLDG DEPT 3,4 ci - . . . . - . 0 - . 0 0 . . . . OTHER DEPT'S REQ COMPLETED . . - / 7' • ELECMET-ER--PERM-TEMP 0 -. 0 .......... 00 . 00• 0 - 0 00•. _.:. - - . - . . GAS METER-PERM--TEMP -. • . . 0• . . 0 CERTO'F- OCCUPANCYISSUED ...• • 0 __________ 0 - 00 0 040i -. . -.• .(' - .1 . •..•'..,: .• •. .i 0 _ ... ,_r•.. 0•0•• ..........°°0•°0 0 •. 000 _ 0 - .00 .. • .. .. -•- "°° •._. -. - $• ; •0 ..4"4 .c - 0 ,•o 0. .Zf',&r' . . . . 0 /0 •1 40 00 14