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Home My WebLink About2598 JEFFERSON ST; ; CB950118; Permit5 1 CityofCarlsbad . . 1635 Faraday Av Carlsbad, CA 92008 . 03/28/O01' Plumbing Permit Permit No CBOI 1186 Building Inspection Request Line (760) 602-2725 S. '•_ Job Address: 2598 JEFFERSON STCBAD; I Permit Type: PLUM t Status: ISSUED Parcel No: . 1552514100 . Lot #: 0 Applied: 03/28/2001 .. Constructibn Type: NEW •Entered By: RMA Reference #: . . Plan Approved: 03/28/2001 S Issued: 03/28/2001 Project Title: FEYK RES-REPLACE SEWER LINE Inspect Area: FROM CURB TO HOUSE Applicant: Owner AAAAAAAAAAAAA DRAINS FOR LESS . . FEYK DAVID E&KATHLEENA 300 CARLSBAD VILLAGE DR - P 0 BOX 176 / 0 CARLSBAD CA 92008 CARLSBAD CA 92018 526203/28/O1 0002 01 01 . . CGP 500, Total Fees: $35'öo Total ,Pyments'Tó Date: $0.00 T\. BIanc Due': $35.00 S \\y'\. . S.. Plumbing issue Fee f -------_ -S \ $20.00 Fixture or Trap / - 0 -. I $0.00 . Vacuum Breaker, 0 Other Plumbing Fees $0.00 Building Sewer I. 1 $15.O0 Install/Repair Water Line 0 . I woo Water Heater and/or Vent 0 ( yGas Piping System' 0, $000 0 .00P Master Drainage Fee .' S INCORPORATE $0.00, S Sewer Fee All RE i I vD ERMIT1952 TOTAL PERMIT FEES S .• S. S • S • - S 1 S .•• • • -- 5 •_S - - - S SI FOR OFFICE USE. ONLY PERMIT APPLICATION PLAN CHECK NO-.' CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL 1635 Faraday Ave., Carlsbad, CA 92008.. Plan Ck Deposit Validated By___________________________ Date_________________________ -so ç - c. Addrei (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No, Phase No. Total # of units - . r ... Assessor's Parcel # Existing Use A /Proposed Use - _Ke(t /rfws ?S' 0-f 4W Descriptioif W&ikJ SQ FT #of Stories # of Bedrooms # of Bathrooms WE 00 ~MWCJT~1 -17XIVJ La Name * - -.- Address - -.:' •, City .. State/Zip Telephone # Fax # Name Address City I State/Zip Telephone # i !910t-Ell AN . Name S - -Address '. - City - State/Zip Telephone # (Sec. 7031.5 Business a'nd Professions Códe:1Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure,. prior tâ its Issuance, also requires the applic'ant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section -70O0óf DIvision 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exempjion. Any violation of Section 7031.5 10: any ap licant for a êrmit subects the ppticant to a civil-penalty of not more than five hundred dollars ($5001). - -. - 1 ci,i, Far' - O :&t'-IL1cJ U,' 1 4 -4r ear/D-.-( 9ZOO O -YJ% Name Address City State/Zip Telephone # State License # )'LZ°t License Class C' fb City Business License # Designer Name Address, city •' - State/Zip Telephone • State License # Ev. 101 Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent td-self-insure for workers' compensationas provided by Setion 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is ssued My worker's compensation insurance carrier and policy number are Insurance Company Fi(o J,flWtt94(r 'fi rOktS Policy No fiJ1°) L31) Expiration Date OJ&'JoI - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING: Failure to secure workers' compensation coverage Is u'nIafuI,and shall subject an enpIoyer to criminal penalties end civil fines up to one hundred - - - - thousand dollars ($1 0,000 ddV n tojhe cost of compensation, damages as provided fOr In Section 3706 of the Labor coq( Interest and attorney's fees. - - 'DATE -- IEBE I hereby affirm that I am exempt from the Contactor's-Licanse Lawfor the following reason: - •. -. - I, as owner of the property or my-employees with wages as their sole compensation, will do the work and the structure is not intended or offred for sale (Sec 7044 Business and Professions Code The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If, however, the building or improvement is - - - sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). - • I as owner of the property am exclusively contracting with licensed contractors to construt the project (Sec 7044 Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or, improves thereon and Contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) 1. 0 - I am exempt under Section- _- • . Business and Professions Cdde for this reason: - • • • - _; - • -.- - A - . - ., • - - - -• - .•' _. - 1 I personally, plan to provide the ma)or labor and materials for construction of the proposed property improvement 0 YES ONO 2 ((have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4. -I plan to provide portions of the work, but I have hired the following Person to coordinate, supervise and provide the major work (include name / address / phon number / contractors liceiise number): __ - - - - . '- - - • • - -- •.S•• - - - 5. Iwill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /-phone number / type of work) - - PROPERTY OWNER SIGNATURE. -• -' -:- - - - ' • .:, - DATE • - • • - ,- - Is the applicant or future building occupalitrequired to èubmit a business plan, acutely hazardous materials- registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO • - • - - - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET. OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. • • --. - • Mil I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. -'3097(i) Civil Code). - - - - LENDER'S NAME - - - . • -- -- LENDER'SADDRESS . - - I certify that I have read the application and State that the above information is correct and that t1e information on the plans is accurate. - Vagreei to comply with all - : City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citi of Carlsbad to enter upon the above mentioned. property for inspection purposes. - I ALSO AGREE, TO - SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD -AGAINST ALL LIABILITIES,", JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY. IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - - - - - OSHA An OSHA permit is required for excavations over 5'0* deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the building Official under, the provisions of this Code stiili 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 of such permit or If the building or work authorized by such permit is suspended or abandoned at anytime after the workis commenced for a period 1 180 da s (Section 106.4.4 Uniform Building Code). - • - . - -S - APPLI NATUR DATE-2 q,Q oj - - - -- . - • - WHITE: File,," - YELLOW: Applicant PINK: Finance ' - . • - - -- - : - - - - - 54 City of Carlsbad Bldg Inspection Request For 03/30/2001 Permit# CB011186 Inspector Assignment Title: FEYK RES-REPLACE SEWER LINE Description FROM CURB TO HOUSE Type PLUM Sub Type Phone: 7604344646 Job Address: 2598 JEFFERSON ST Suite Lot 0 Location , Inspector PtJ2,,. APPLICANT A AAAAAAAAAAAA DRAINS FOR LESS Owner FEYK DAVID E&KATHLEEN A Remarks: Total Time:, Requested By TERRY Entered By CHRISTINE CD Description Act Comments 22 Sewer/Water Service Associated PCRs Inspection History Date Description Act insp Comments 4 1. -. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92068 PlUmbing Permit Permit No:0B004784 Building Inspection Request Line (760) 602-2725 / 12/18/2000 Total Fees: $27.66 Iubing Issue Fee' Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent " Gas" Piping System 'Vacuum Breaker 0the1 Plumbing Fees Master Drainage Fee \ ' Sewer Fee TOTAL PERMIT FEES Status: ISSUED, Applied: 12/18/2000 Entered By: JM Plan Approved: 12/18/2000 Issued: 12/18/2000 Inspect Area. -- O"wnér: .L/iO/jv 0002 oi. 02 CGF 27 00 TotalPymentsTDate: • $'00 \ E INGORPORATED 1952 o. Job Address: 8216 JEFFERSON ST CBAD Permit Type: PLUM Parcel. No: • Lot #: 0 ConstrUction Type: NEW Reference #: ,'Project Title: APARTMENTS-GAS LINE REPAIR Applicant: DRAINS FOR LESS 1258 OAK AVENUE CARLSBAD CA 92008 760-434-4646 eDue \ $27.00 $20.00 -. $0:00 000 U$o`ob) $0.00. $7.00 $0.00 $0.00 $0.00 )$0.00 .7 FINAL APPROVAL "Inspector: Date: _____________ Clearanëe: iOO NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest impositioh of these fees/exactions. If you protest them, you must follow the protest.procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE N PERMIT APPLICATION . PLAN CHECK N CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit A / Validated By Date A-i~~PRWVET-I~F.OAMAT ON - - I I' Ct5 t) QTp Cf Zoo B Address (include Bldg/Suite #( . - Business Name (at this address) Legal Description Lot No. Subdivision Name/Number - Unit No. • Phase No. Total# of units Assessors Parcel # . Existing Use - Proposed Use ,iZ &A C, - Dascription of Work I SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (If dIfferent from applIcant) Telephone # Fax # Name Address . City . State/Zip APPLICANT 0 C6nüar 0 Agt Co O.w DAenvfor.:Ownar : Name , - ' Address - City State/Zip Telephone # - • -i-:....: Name . Address City S.tate/Zip Telephone # 5 ,. CONTRACTOR COMPANY NAME -_ lSec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Dr.& c Lsc. '-50 OAK uE °Ito'e, X7o- Name Address City State/Zip Telephone # State License # '7'? + Z.. License Class ,._' 3, T1cJvY'*'Bfvl City Business License # I Z.p'2S Designer Name Address City State/Zip , Telephone State License # '7 ? 4. C? 6 WORKERS COMPENSATION Workers Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - - C] I have an'd will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the LaborCode, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: -. Insurance Company "RED L#v.tf 'f\fl.i? Policy No.FCA)?'?2' T7 Expiration Date to, - ' Zo (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS) , ; 0 CERTIFICATE OF EXEM4'TION: I crtify th in the performnce of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Wfrers' Cornpensatipi L,Qs of California. - - - WARNING: Failure to sect workers' corn a ion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar $ 94j%d St of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATUR £1 V - DATE i i, / ô'o NER.BUILDERDECLARATION if .J -------------- . •-f.... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the Structure is not intended or offered for sale - (Sec. 7044,. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does - such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 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 improvtherèon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 1 '.- I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO ((have / have not) signed an application for a building permit for the proposed work. - - I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license nuhiber): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name /'address / phone - number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR FION-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accoint Act? 0 YES 0 NO . Is the' applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO ) Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO . . IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY i- LtP, .- NKXA I hereby affirm that there is a consruction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME . LENDER'S ADDRESS 9 IAPPLICANT CERTIFICATION J3,Ir -, I certify that I have read the application and state that the above information is correct and that the information on tt~e plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY4 deepand E AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is require 4fa ver 5'O mytion or construction of structures over 3 stories in height. - EXPIRATION: Every permit issued icial un of this Code shall expire by limitation and become null and void if thebuilding Or work authorized by such permit is not co days fr such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comme 180 d 06.4.4 Uniform Building Code). -2- , 0 APPLICANT'S SIGNATURE _. DATE - '' - WHITE: File YELLOW: Applicant PINK: Finance -- - • k / J '• 4 r- .- ' B U I LiD I N G P E R M LT Permit No CB961249 07/08/96 12 04 L ProjectNo A9601763 Page 1rof 1 Development No -Job'Ac3dress 2598 4JEFFERSON ST Suite4 8417 0/08/96 ,.0001 01 02 Permit Type -PLUMBING , ' C-FT 54-00 Parcel'No 155-25141-00 Lot# Valuation 0 . Construction Type NEW - - •.. . -j. . •- - Occupancy Group . .Ref erence# Status ISSUED Description RE-PIPE GAS-UNDER SLAB TO OVER Applied 07/08/96 ENLARGE 100 AMP PANEL ,MOVE SHOWERDBAIN - Apr/Issue 07/08/96 Entered By RMA Appl/Ownr FEYK,., DAVID 619434-7977 : .259-JEFFERSON ST Z,'. . - .. •• .. - 4 - 4 ",. L ,•• Credit **)k ---------------- -------------Fee - •Adjustments. -f \.O0 TQä t\ - ;..00 Total Fees t 7 vjs \ 00 Balan ue 54 00 ---------------- Fee -Gas, Piping Sy em 7.00 2 00 ELECT" Other.. 2 PLUMBING TOTAL 54:00 INCORPORATED ' ••.4-•, .., . 1952..- : . I FJNAt APPROVAL - - . - . •- 2 I '4 . ________ - . . •- . - CLAR r 'Y.VhL :' - •-:.i • !ULLIt(PtICE .- - * ... : . CITY OF CARLSBAD .-.• 438 1161 2075 Las Palinas Dr.,Carlsbad CA 92009 (619) - ..- -<- ' - - • • - - ••---.••---- • • --.• g • ?-':. --.•ep -.'•'•• - , ,. - - 4 , 4'-'. - - - •, 1•"- - - • -• .'- '4 ' -•• PERMrr APPUCATION '-— PLAN cFIEcKNO. City of Cartsbod Guitcling Depertnt 2075 Las Patiiiiiiitiii Dr., Carlsbad, CA 92009 (619) 438-1161 VAL I Q( DSrT From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PRQWCr INFORMATION FOR OFFICE USE ONLY Address 5-qj' Building or Suite No. Nearest Cross Street LEGAL DESCRWI1ON Lot No. Subdivision Name/Number. Unit No. Phase No. CHECK BELOW IF SUBMUTED: D 2 Energy Calcs 01 Structural Cabs 02 Soils Report 01 Addressed Envelope ACCrC BIC nAD,'r, - V7CTIMt! IICI DDnoncrn iIC' DESCRIPTION OF WORK 6VIXXIT 4'-/W ,'//' J'/t//C( &7C ,, 479c1 97f fJ/c / %XV 7i/, 4 SQ. FT.' # OF STORIES # OF BEDROOMS. # OF BATHROOMS s. LLJ4iALi Yt.Z$..JN Iji uiiierent irom appucantj NAME (last ADDRESS 9s 1?)( r CITY ?C STATE ZIP CODE Q22C DAY TELEPHONE NAME (last name first) /Jj4Of- MiJ ADDRESS 2Qs1 CITY 4J STATE /12 ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) ,7ç.4 £"9e//O,Mv, ADDRESS CITY (f'djI STATE 6t ZIP CODE DAY TELEPHONE -- ,narrn Arrnfl - NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name First) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afFirm that I have a certiFicate ol consent to sel[.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. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE CertiFicate of Exemption: I certify that in the performance oF the work [or which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE - DATE OWN ER-BUILDER DECLARA1TON Uwner.liuilder Declaration: I hereby aFFirm that I am exempt From We Contractors Ucense Law For the Following reason: 0 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code:' The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 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 the Contractor's license Law). P I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES C3 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES , (JNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES C3 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTifICATE OF OCCUPANCY MAY-NOT BE ISSUfl) AFtER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR P0U2J11ON CONTROL DISTRICT. (IJNSTRUCI1UN LENDING AGENCY LENDER'S NAME , , LENDER'S ADDRESS APPUCANI CER111ICA11UN -T certiFy that I have read the application and state that the above inlormauon is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL UABILfflES, JUDGMENtS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF ThIS PERMfl. OSHA An OSHA permit is required for excavations over 5'O' deep anddemobition or construction of structures over 3 stories in height. Expiration. Every permit issued by the uilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work rized by s pe it is not commenced within 365 days from the date of such permit or if the building or work authorized by such permitS spen ed do rj at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Coda. I AP PU SS ' DATE: _______ WHITE: File, YELLOW: Applicant PINK Finance - - * USE PEN ONLY &, PRESS HARD ' D;lheebyatfir!n 'that ,i am licensed underl o.'.provialona otr16hapter.-91(commencing with of Division 3 ófthe Buoi'ness"'r 4'I• and ,T.-Section rofessions Code, and my license sin I ,fuiI'forcöandeffèct. Lic. No, ________________ Class• O...•.v I u --e - hereby altirm that i am exempt, trom the .Cnntrac mr's License Law tsr the following reason (Sec. 7031.5 ' Business and Professions Code: Any city or County which re- - quires a permit to construct, alter:'improve, demolish 'or - repairany structure, prior to its issuance also requires he up- ,. plicant Or such permiLto,tile a signed statement that he is_ licensed pursuant to the :pruvisiuns 01 the Contractor's License Law (Chapter 9 Commencing with Section 7000 of i , ' —Division 3 of the Business and Professions Code) or. that is ex ' ernpt therefrom and the basis tot the alleged exemption. Any, - * C violation of Section 7031.5 by an applicant for a permit sub- i I, jects the applicant to a Civil penalty 01 not more ban tivsi hun-' sired dóllrs($500),' '.7 -' '-'_' r -. 0 las owner of-the property, or my employees with wages _S._ as heir sole 'cordpensation, willdo the work, and the stroc- site is not intended or otlered loi sale (Sec. 7044, Business, ,,,. and Prnl_essions Code: The Contractor's License Law does nnnt apply Is an owner at property'-who builds or. it(tptoves - -thereon and who doessuCh work himself or through his own' 1_')employees. provided that such improvements are not intend-' It - W ,, ed,or offered .for sale. ,lt. however, the building or improve- ' Z went is sold within one year,ol completion,- the owner-builder I a -311: will have the burden of proving that he did not build or im- 'prove' for the purpose of sate(. - - , •-r .0 I, as owner of the. ptoperty "am exclusively Contending - I -- k. with licensed contractors to Construct thepreject (Sec. 7044. - 'Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im- - proves thereon,' and. who cuntracts for each prsjectswith a 5e - ,.. contractor(s) license pursuant to the-Contractor's LicenseZ Law) I ° -" 0 As a homeowner lam improving my home, and theJollOw. 4 ' ing conditions exist: T dw, -- .-'. • , h.e) 1 .'_1 The y1oykisbeing performed prior to sate..,, * - 2. I have lived-tin my • home for twelve months - I ' - prior to completion of this work.- S - - -3.,.- I have 'not diaimed - this 'eaemption'during the ' - last three years. - , '. 0 gl ameen tunderSec.* -'4'B&.P.C.. - ' * for this reason"bt 'c ' - .*'-'a 'i,), 3.- 1-" ..'.--' J'e./. . I . , 10 l hereby at lirm.Ihat I have a cerfrf,cale 01 consent 10' sell-rnsure. - or, a acertificafe - of Workers ,, Compensatron tnsuraj Ce. or a certified copy rhereot I lSec. 3800. Labor Codel. h,.T.4lJ, Z -POLICY NO., 0 '-"-' :..C9MfVNY, ",/ ~,,.._',. 0 Go 4tIleCiIY Z .' -*-'-., '-- -v LU D,iitied copy is hereby Iurn,shed CERTIFICATE OF EXEMPTION FROM _WORKERS' COMPENSATION INSURANCE ,(this.sectron need not be completed it the perms s to, one hundred dollars 101001 or 10551 &,' 'f.r ' -. I CC I certify that ,n the performance 01 the *0,1, br- -i 0 which 'this perrt'nI is issued. I shalt not employ any , ,person in any manner so as to become subledt to . the Workers' Compensatron-L,awsot California - - NOTICETO APPLICANT Hatter making th,S Cerr- I .. :7,,t icate of Exempteon. you should become subject I' he WorkersCompensaIroñ provisions 01 the Labor -- ,- Code.' you must Ior1hwrbh '-comply *41*' SuCh' "I - ,prorsr0fls.or IrIs permrf shall bedeemed revoked - e4,, 'n"'tji 0 I 'hereby,,attrrm'that there is a construction I• ,,leoeJIn9agenyj0r the )e'rlbiTnsinEol the work 10, wvdl this perm,t ts issued (Sec 3097, C-1 Code) I - ''Lenders Name L'en'dAd esE'" :- -1.- APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .. '1 t 'APLICATION&PERMIT ' -'- - - 1200 Elm, Carisbad, California 92008-1989 (619) 4385525 JOB ADDRESS AV, ST. RD, NEAREST CROSS ST. DATE OF APPLICATION BUSINES LI E SE a' VALUATION PERMIT NUMBER s - , __ LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE N / ZONE - ' - ./v1/ Lcneto 211 uiI T' OWNE R'S NAME I f'* OWNER'S PHONE CONTRACTOR'S ADDRESS I 17 1t4 - 3rD LICENSE NO. PLAN ID BLDG USE CODE O?RSMIULG ADDRESS1 - DESIGNER LICENSE H STANDARD PLAN # BUILDING SO. FOOTAGE - - -- - --',- --- -- -.- - . - DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE 00V1,7766 3 F/P FLRELEV. J NO OCCGP EDU - - STORIES - yD ND - -5- .- -5. .... -- . --.5- .-5... .. .* '--5-- ,-* 5-- *5 __•**4* - CENSUS'TRACT GPLAND USE" PARKING SPACE, .- .-- RES UNITS .1 - GRADING PERMIT ISSUED ' REDEVELOPMENT - i--" TYPE 0CC LOAD FIRE SPR - . ,- T - ..-' AREA 1-- - • CONST - D N 0 - - vO NO - . - " .YD ND Not Valid Unless Machine Certified'.' - QTY PLUMBING PERMIT ISSUE ._7,_ QTY MECHANICAL PERMIT ISSUE 3 SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP 1 / INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER - • , ' - .- -. -. - ,-• . ' ---- .-" OVER 100,000-BTU -.-. - • ...-SIGN PERMIT4 . -. -01-00-00V211 - .- ' -.- ' -• .z:; tEACH WATER HEATER AND/OR VENT. - . - -, BOILER/COMPRESSOR UP TO 3 HP - , PLAN CHECK' ' • - - 01-00-00-8806 'EAcWGAS"SYSTEMiTO4'O'UTCETS5- 8OILERICOMPRESSOR 3.15-HP , - • ' TOTAL PLUMBING - 01-00-00-8222 5EACH GAS SYSTEMS OR MORE---'-: - -_ .•-.- - ' ,. METAL FIREPLACE - - . •' . - - ,-... - ELECTRICAL. ' -• _'.- 01-00-00-8223 ---' EACH-INSTAL.. ALTER, REPAIR WATER PIPE . -' • i VENT FAN SINGLE DUCT • ' • - MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER ' . ,. - MECH EXHAUST - HOOD/DUCTS , " MOBILEHOME 01'00'6Q-8225 ' WATER SOFTNER(1—' RELOCATION OF EA FURNACE/HEATER 0-. ._.- MOBILEHOME PARK iNSP "r EACH ROOF DRAIN (INSIDE),. - - - - - - . . , . - • - . SOLAR • - - - 01-00-00-8226 TOTAL MECHANICAL STRONG MOTION - .80-92-33-0519' -: -- -' -- - ' TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY ELECTRICAL PERMIT -'ISSUE j_.l QTY. - -.- H.. ,.•-_,,_',-BRIDGE PUBLIC FACILITIES FEE 32-00-00-8933 -- BRIDGEFEE - -- ...NEW CONST EA AMPISWTIBKR/0-1 cti,-1:' ' COLLECTORS SCHOOL FEE DISTRICT 1PH • - , '3-PH : * " ._ - - • STORAGE TANKS Carlsbad - - 80-92-21-0519. '.• - - * - EXIST BLDG EA AMP/SWT/BKR -'-" - ' - -'' ROCK -STORAGE' - ', - - ' -- "' ' -'- Encinitas - " -. - - 80-92-22-0519 - •.- :- 1'PH . 3 PH - - - - - C PUMP -- . - - - - . San Dieguilo 80-92-23-0519 - REMODEL:ALTER PER CIRCUIT' -- "" ' - -* PLAN CHECK FEE - I - - - San Marcos . 80-92-24-0519 - - - - TEMP POLE'200 AMPS - . - " - - ''- '"'-.-•• - ' ' .1 - - . ,,_.•,.,.,,__, - ,.. .... ,__ _.. - . - , , - .•. * * - OVER-200 AMPS LICENSE TAX 01-00-00-8162 ,TEMPOCCUPANCYJ300AYSI - * - .-'• ' - , : ,' CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every ire pef issued the Building Official under the provisions otfhis * AN OSHA PERMIT IS REWIRED FOR EXCAVATIONS OVER - hall become the building CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code null and void or work so' DEEP AND DEMOLITION OR CONSTRUCTION OF ucx ,Itatlon nd authorized c enced wi in 180 days from the date of such omm DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE P A PERMIT 5 permit, or i 'Ih bu14na wo,k authorized by such permit is TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON- suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: abandoned a)/any tjee a)) ilce w5pe'8 A commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICAN"S SIdNATU ' 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND r' OWNER 01180 days. I"t APPROVED BY "1 DATE CONTRACTOR s*1 r- .• -.". v.'9 • EXPENSES WHICH, MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT BY PHONE 0 - - : •VV I ..tV..V; IVV. •4 .4Y , V V - FIELD INSPECTION RECORD \ \ REQUIRED SPECIAL INSPECTIONS V.4 . .. V.- . VV. INSPECTORSVNOTES REQ. IF DATE INSPECTOR'S V ,INSPECTION CHECKED APPROVAL V - , VVV V SOILS COMPLIANCE VVV,V V.V V ,.PRIOR TO •, V - V __V__V V_Vt_ - - •. . - - - - .. - V VFOUNDATION IS V V -. VL .'s •VVV V STRUCTURAL CONCRETE. OVER 2000 PSI . . V - V V . VV•V4 V PRESTRESSED * V VVV . VV4V V VV V V CONCRETE -POST TENSIONED V V V .. - V VVV V •- •V V V - - - I CONCRETE V V :V V V ' 4-4r4" V - . V S,,:1V .VVVVJ V FIVE1DWELDING VVVV ,V_1 V.VVV.VV. VVV_-V__VV_-VV-V_VV V V V •44V V• V r' HIGHSTRENGTH V4 V 4 V.j BOLTS SPECIAL MASONRY- V_V V-V-VV -V VV# ..VVVV V _VV VV_ V-VV V _V V - V V V 4 V I V V V4V i4VJf* tç..5j'- . V PILES.CAISSON.SV V4V414,4,, V •V(VVVV V -I 44V44 I - C' tEVVV 4,4 Vt. I .A- 4 4 qik '..LE1I V*Vfl. . Vf44 ;kV4r,CrL4 . V V... - V V V _ - V V - - - - - -. .. VVV_V V V - VVVVV - -. ------VV -V*V_VV V V _VV-V V - VVVVV_-V •V-V*V_VVV _V .4•* - . • j .4 V VV . V - 4 ,. ........4VZV - .1 VV V V V..,V_,4VV-VVVVVVViVVVVVVVVV -V.- ,I''44Y V - • -V.---- - . V . . V .4.4V4 V qLC OIL -V*V 4V 4-V V**VV V._V.4-V 94 V V V .. . . ..- : .. . V .4 ,,V.' V I •V' VV'''V 4 Vi • V V V V V VVV . 4V V 'V V - '• V V• VV V V t *V.4 V . V. V. V - V V V V V V - .> - V VV VV - VVV _V VV . •VVV ._V VV r ...V V 4 V ,4j4( 44 V 4, •V'. 1*7 3' flj .yj'c' .- - V -- V -' - . • V.4 V.) 4 V V V 4*V V V V 4 • '4. V V - 4--'.-' :- VVV.V •'VV V - V .41I ,.r VV_ V • ' !' •VVV_• 7-. .- . - -. -- - •t_VV •.. - - - a. PE . . •- . DATE' 4INSPECTOR - - BUILDING - FOUNDATION REINFORCED STEEL V MASONRY V GUNITE OR GROUT . V.FLOOR&CEILING SUB FRAME i SHEATHING E ROOF El SHAR ., .. - ________ ERAME - •V EXTERIOR LATH INSULATION INTERIOVRV.LATHV& DRYWALL ' •- V V - : .- . - -. - V.: V V.s-V.4..pLUMBING Vk SEWERANDBUCO DIPLJCO - V UNDERGIOUND 0 WASTE El-WATER V V _ TOPOUT.-D WASTE V V.V;VvñV\ATER V -, V V V TUB AND SHOWER PAN - VV GAS-TEST- 0 WATERHEATER--..0.SOLARWATER .. 4- V V V V V V V •;1-4- •. - V 'V ELECTRICAL El ELECTRIC UNDERGROUND VVVV EJUFFER ROUGH ELECTRIC - Cl ELECTRIC SERVICE El'TEMPdRARY ' . 0 BONDING 0 POOL - V4 VVV V '4'-MECHANICAL':' El DUCT &PVLEM.,V' 0REF.VPIPING HEAT. AIRCOND SYSTEMS V V V V NENTI LATING SYSTEMS V V V 'V CALL,FOP VFINA L!NSPECTON WHENVALL VAPPROPRIA TE - V ITPM. AVRflWP 144 VFRFFN APPRQVD V V V FINAL PLUMBING •' VV % JAI V51'rJ ELECTRICAL- MECHANICAL GAS; ,, V BUILDING 9PECIAL4VCONDITIONSV