The URL can be used to link to this page

Home My WebLink About2612 EL CAMINO REAL; MULTI-PERMIT FILE; 78-5273; Permit- .....-. -.. •..-. .. ...-....'- •-•etx•.•-...'.; . . .:_ MODEL NO " 7u/79 1 9/26/78 34 CX BUILD NG PERMIT APPLIC TK** City of CARLSBAD, CALIFORNIA 92008 7 . , 7 Applicant to complete numbered spaces only. .729-1181 Permit No- JOB ADDRESS 2 ..,. /1(. f/(_ '. - ASSESSORS 1PARCEL NUMBER LEGAL I DESCR. LOT NO. f 51.11 I ii ~' :~C . T (ESEE ATTACHED SHEET ) BOOK I PAGE PAR. OWNER MAIL ADDRESS c 1'f •IAE r °1 ,,? 'siI,C 9 2 CON TRAC 105 MAIL ADDRESS PHONE V LIC. NO. 5't AT ET0r' C; ARCHITECT OR DESIGNER MAIL ADDRESS PHONE '7Z c/ ' 7 LICENSE NO. i 7 j-...' ?' 'L's' i t. 4, C ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS C.RI ER MAIL ADDRESS BRANCH 6 // /. -/, USE OF BUILDING 1 *e c'4 NO. BORMS NO. BATHS__/ 8 Class of work: NEW El ADDITION El ALTERATION El REPAIR El MOVE El REMOVE 9 Describe work: 14 4,2 7é'4. iT /.,s4ttJ4' 10 Change of use from Change of use to 11 Valuation of work: $ 19 PLAN CHECK FEE $ / PERMIT FEE $ SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load el- Zone Fire Use Zone Fire Sprinklers Required Elves EINo APPLICATION ACCEPTED BY dAT.E / PLANS CHECKED BY APPROVED FO DATE No. of Dwelling Units OFFSTREET PARKING SPACES: No. No. covered Sq. Ft. I0oen NOTICE 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 120 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. 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a Special Approvals - Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI 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 0(" TOTAL FEES $ 4 INSPECTOR INSPECTION RECORD 573 • DATE REMARKS • INSPECTOR FOUNDATIONS: SET BACK TRENCH _________ • - REINFORCING FOUNDATION WALL& WEATHER PROOFING CONCRETE SLAB FRAMING - INT. LATHING OR DRYWALL. EXT. LATHING • : MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, .ETC - V ... :. . . :L MECHANICAL, PERMIT APPLICAT1O,N City, of CARLSBAD, CALIFORNIA 92008 Xç . Applicant to complete numbered spaces only. Phone 729-1181 , , . Prni it Mn VV JOB ADDR ESS 16121-El Camino Real Bldg. •4B LOT NO. TRACTLEGAL BLK V -, - - r.(MsEE ATTACHED SHEET) - OWNER MAIL ADDRESS ZIP - PHONE 2 flàg?éa Investments 230 Newport Center -Dr, Suite-- 306 Newtort Beach 92660 CONTRACTOR I , . MAIL ADDRESS PHONE ." STATE LIC. NO, Westland Htg. & Air Cond. 3041 Roswell St Los Angeles 349594 - - ______ C T LIOR ARCHITECT OR DESIGNER MAIL ADDRESS 4 PHONE •V LICENSE NO. MAIL ADDRESS L1 P4ONE .- LICENSE NO. . -. . . V LENDER - V - / MAIL ADDRESS V - ,. V BRNCH 6 Union Bank-, 1 Union Bank &mare, Ornncip, Ca. 92669 USE OF BUILDING Commercial . - 8 Masi of work: D NEW E ADDITION fl ALTERATION 0 REPAIR V 9 Describe work: . V. . V . Type of Fuel: Oil 0 Nat. Gas 0 LPG. U - PERMIT FEES SPECIAL CONDITIONS: V - - No. I Type of Equipment Fee I 7,1 Air Cond. Units—H.P. Ea. * Refrigeration Units—H.P. Ea. . - . t Boilers—H.P. Ea. Gas Fired A.C. Units—Tonnae Ea. V 2 Forced Air Systems—B.T.U. to* oM Ea. t. APPLICATION ACCEPTED BY: V PLANS CHECKED BY - APPROVED FOR ISSUANCE .. Gravity. Systems—B.T.U. M Ea. .. Floor Furnaces—B.T.U. Wall Heaters—B.T.U. M - - - NOTICE V THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS.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. 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OFCONSTRUCTION Unit Heaters—B.T.U. M V Evaporative Coolers V Clot es Dryers .J Ventilation Fan -. . & 00 V . I . ange 00 RHood - - - .V Ai Handling Unit— C.F.M. .incinerator V•. V - - . V V SIGOAPFfE Of CONTRACTOA OR AUTHORIZED AGENT (DATE) ISSUANCE FEE $ T3 TOTAL FEES . - SIGNATURE or OWNER (IF OWNER BUILDER) - (DATE) - - WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 00 PLAN CHECK VALIDATION CK. M.O. V CASH - PERMIT VALIDATION CK. M.O. CASH INSPECTOR ) INTERDEPARTMENTAL INFORMATION SJIEET ECEIVED BUILDING DEPARTMENT DAT BUILDING ADDRESS: 2 / '4- SEP 19 1978 PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH___________________ UNITS ALLOWED UNITS PROVIDED_________________________ PARKING SPAC REQUIRED PROVIDED________________________ % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED. PROVIDED- FRONT SETBACK: SIDE SETBACK: / REAR SETBACK: ALLOWED PROVIDED_______________ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: btJLy 'ADDIT-IONAL COMMENTS: OK TO ISSU:.~) 'AT E3f%OI TO FINAL DATE_________ ENGINEERING DEPARTMENT R.O.W. IDUSTRIAL WASTE IMPROVEMENTS Ecr SEWER CONNECTION ApJ DRIVEWAY LOc.ATIONS 1ck GRADING PERMIT _EASEMENTS /Jp.i.g_ DRAINAGE 44 LEGAL DESCRIPTION' P-j 4- o4 PP 5' ADDITIONAL COMMENTS___________________________________________________________ OK TO ISSUE: DATE 9/i1/7 PWI OK TO FINAL _,tV'k DATE FIRE DEPARTMENT S&IN STEF FIRE HYDRANTS A]3DITIONAL COM? FIRE PROTECTION EQUIP..a;6aa&_oevt-.,_ EXITS____________________________________ LOCATION • .JI\ .L'J WATER " REQU) DATE- f i hereby affirm that I am licensed under o pfovlaiona of Chapter 9 (commencing with I S.ction.7000) of Division '3 of the Business and Professions Code, and my license is in .,'.fuii force and effect. Lic. No. Class o I hereby affirm that I aznesempt from the. Con. • tractors License Law for the following reason (Sec. 7031 5 Business and Professions Code: Any city or county which requires a permit to construct alter, improve, demotish,or repair any structure, prior to its issuance also requires the appiicant for such permit to tile a signed statement that he is I Con; pursuant to the provisions of the Co- tractors License Law (Chapter 9 commencing with Section 7003 of Division 3 of the Business and Pro- fessions Code) or that is exempt theretrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects - tne applicant to a Civil penalty of not more than five hundred dollars ($500), - C] I. as owner of the property, or my employees 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: lxi The Contractors License Law does not apply to an' 2 owner of property who builds or improves thereon and who does such work himself or through his own o 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). . C] I,' as owner of the properly, am exclusively contracting with licensed contractors to construct - • the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply I to an owner of property who builds or improves thereon, and who contracts for each projects with a UA contractor(s) license pursuant to the Contractor's License Law). , 0 - ' * 0 lam exempt under Sec. ____________, 8. & P.C. for this reason - DI hereby affirm that I have a certificate of consent to self-insure. Or a certificate of Workers' - Compensation Insurance, or a certified copy thereol (Sec. 3800, Labor Code). Z POLICY NO. 4 I 2 , COMPANY I— tn Copy is filed with the city. .z I IIIIII• tC] Ceilitied copy is hereby furnis u. 0 • CERTIFICATE OF EXEMPTION FROM . WORKERS', COMPENSATION INSURANCE VW (This section need not be completed if the permit is for one hundred dollars ISlOOl or less) 'C] I certify that in the performance of the work for w?lich this permit is issued. I shall not employ any person in any manner so as to become subjectto the Workers' Compensation Laws of California. NOTICE TO APPLICANT: It, after making this Certi. I icate of Exemption, you should become subject to I the Workers' Compensation provisions of the Labor 'I Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construction CC Fending agency tO, the performance 01 the wort(Io, Lu which this permit is issued (SeC. 3097, Civil Code). Lu I Lender's Name L Lender's Address I USE SAU. POINT PEN ONLY & PRESS HARD ' - APPLICANT TO FILL IN INFORMATION WITHINSHADED AREA AND DECLARATIONS. CARLSBAD.-BUILDING DEPARTMENT TI 1200 Carlsbad, California 92008 (714) 438-5525 . APPLp,J)ERMIT_ v JOB ADDRESS - AV. ST. DATE OF APPLICATION B SN'SS L C NSE # OWNER'S NAME ' . OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE C 1-IiA7WI 4- VALUATION . PERMIT NUMBER ZONE' OWNER'S MAt LING'ADDRESS i9O9 3 $__7o W14-71-1141S /, CON j 4A-1V /U L)PENSE NO, PLAN 1,0. # BLDG USE CODE LOT BLOCK SUBDIVISION SSESSOR PARCEL NO DESIGNER 9YIJ S ATE ENSE # STANDARD PLAN # BUILDING SO. FOOTAGE PT OF WORK DESIGNER'S AD=S k, FLfLEV, DESIGNER'S PHONE - ,,.,,, - . - 8 - Not Va/id Unless Machine Certified — /d7 iOTfloFJ. - 'og. ' YO NO III • NO ' STORIES . OCCGP EDU . a CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS . GRADING PERMIT ISSUED 0 N 0 REDEVELOPMENT AREA YO NO ', — TYPE CONST, , 0CC LOAD , FIRE SPR YO ND QTY. PLUMBING PERMIT - ISSUE ' QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUMBER — EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 1 0 EACH BUILDING SEWER ' . - • . ' , OVER 100,000 BTU ' ' '- SIGN PERMIT • 01-000-4221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP, • PLAN CHECK - 01:000.4806 CTO EACH GAS SYSTEM liTO 4 OUTLETS ' , BOILER/COMPRESSOR 3.15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEMS OR MORE ' • • : METAL FIREPLACE : ' • ELECTRICAL • 01-000-4223.. EACH INSTAL.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT , . MECHANICAL' • ' 01-000-4224 - EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS • ' • - MOBILEHOME - 01-000-4225 - WATER SOFTNER '. .' RELOCATION OF EA FURNACE/HEATER - MOB)LEHOME PARK )NSP EACH ROOF DRAIN (INSIDE) ' ' . -. • - . ' • , SOLAR - ' ' ' 01-000-4226 . -. - 'TOTAL MECHANICAL . -- - . - - STRONG MOTION - 65-640-0519 TOTAL PLUMBING • • FIRE SPRINKLERS .01-000-4227 - • - QTY. ELECTRICAL PERMIT - ISSUE - - • - - , QTY. ' SOLAR -ISSUE . PUBLIC FACILITIES FEE - 25-000-4933 • BRIDGE FEE - NEW.CONST EAAMP/SWT/BKR - - . COLLECTORS - . - SCHOOL FEE - DISTRICT 1 PH' . 3 PH - • . STORAGE TANKS . : Carlsbad ' - 65-623-0519 EXIST BLDG EA AMP/SWT/BKR - , - ROCK STORAGE -- - - Encinitas 65-624-0519 - 1 PH - 3 PH' - PUMP - - San Dleguito 65-625-0519 REMODEL/ALTER PER CIRCUIT . - , PLAN CHECK FEE - - - - - San Marcos ' 65-626-0519 • -. TEMP POLE - 200 AMPS - ,_'- . - , '- -- - - - - • -' - OVER 200AMPS - TEMP OCCUPANCY 130 DAYS) -- IF — TOTAL ELECTRICAL — TOTAL SOLAR TOTAL FEES PAYABLE - n. Every permit issued by the Building Officialunder the provisions ofthis - * AN 05,-IA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Shelf CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ud. expire by limitation and become null and void. If the building or work -5'0" DEEP AND DEMOLITIIDN OR CONSTRUCTION OF I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY7 nd DECLARATIONS, ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS if the buiIdt orwoathod by such pert us.,.z-d by Such permit is not commenced Within 180 days from the Zof Snded ruch STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- at any time after the work is commenced for a period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , '* App °OVED BY '-'-- - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE * OWNERD CONTRACTOR I - k - ' DATE GRANTING OF THIS PERMIT. WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 0490~, BY PHONE 0 • _LaA444,a, - •' jZ-Z--8 ( INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT LOOR & CEILING SUB FRAME I EAT.HING I 1AME XTERIOR 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 SYSTM, VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALAPPROPRIATE' ITEMS ABOVE HA VE BEEN APPROVED. JOB _SITE _FINAL PLUMBING ELECTRICAL C'% L'-c\ MECHANICAL GAS . T c BUILDING SPECIAL CONDITIONS CERTOF OCCUPANCY ISSUED 71 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES INS PECTION REQ. IF CHECKED INSPECTORS APPROVAL o ATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI - - PRESTRESSED CONCRETE -. CONCRETE POST TENSIONED FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY . . PILES!CAISSONS . . '4 I '-S 5- . * ' -z __- _____________S ._____ __•••\•!'\\j - -S.- \..-'-'_'--, ____ ____ ' :- 1_.\''- . \' ' -• 4 . __•5_ - .\1\%\C .\-<' _____ ________ _____ \. ___• ______\- __----'' "55 -, .- -55. . . S '..;.—:---.s-s - '-.:-• - 0 t hereby affirm that I have a certificate of consent. to self-insure, or a certificate of .or,Compensation Insurance, or a certified copy thereof - (Sec. 3800. Labor Code(. . POLICY NO. • fP ANY py is filedwith the city. rtified copy is herety IurniheO, - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section neednot be completed if the permit is for one hundred dollars ($100) or less( 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cery- 'licate of Exemption, you should become subject to - me Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. ..' 'V"5,, F" 0 I hereby 'affirm that there is a construction I lending agency br the performance 01 the work for whrchthS permit is issued (Sec. 3097, Civil Code). WI -Lenders Name —Il . r, L Lender's Address I hereby affirm that I am licensed under o ' ptvIalofla of Chapter 9 (commencing with Section 7000) of Division '3 of the Business and Professions Code, and my license Is in ' full force and effect. z - Lic. No. Class -0 I hereby affirm that am exempt from the. Con- tractors License Law for the following reason (Sec. ., 70315 Business and Professions Code: Any City or county which requires a permit to cOnstnac5 alter, improve demolish, or. repair any structure, prior to its issuance also requires the applicant for such permit to tile a signed statement that he is • ticensed pursuant to the provisions of the Con- - tractor's License Law (Chapter 9 commencing with • Section 7000 of Division 3 of the Business and Pro. fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects, tee applicant to a civil penalty of not more than live hundred doltars ($500). . . 0 I, as ow'ner of the property, or my employees • with wages as their sole compensation, will do the 'work, and the structure is not intended or offered to, sate (Sec. 7044, Business and Professions Code: lxi 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 o employees, provided that such improvements are not intended or of fered for sale. It, however, the .building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that re did not build or improve for the purpose of sale). '0 I. as owner "of the properly, 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 4 thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractors - UJ License Law). 0 tam exempt under Sec. _' BA P.C. for this reason ' USE BALL POINT PEN ONLY & PRESS HARD , . . APPLICANT TO,L IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.. CARLSBADWILDING 'DEPARTMENT , APATION & PERMIT ' 1200 Elm, Carlsbad, CalifornIa 92008 (714) 438-5525 , . , ' . • ' JOB ADDRESS , AV. ST. DATE OF APPLICATION BUSINES LICENSE # VALUATION - PERMIT NUMBER &. epti RD. t4Z I q4i OWNER'S NAME , k OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE C to eco 4 ZONE, 'tsw— '-'çc RvcIroN Co '7c7O 0- OWNER'S MAILING ADDRESS , CONTRACTOR'S ADDRESS I Li EN E NO. PLAN 1.0. # BLDG USE CODE 10 L4L £o I5t3 \j 3qf BL.p 44o ____________ LOT V IS ION DESCR 65 A7S1t DES IGNE Rt4 p4A • ST ATE LICENSE # STANDARD P LAN# , BUILDING SO. FOOTAGE - IPTION OF WORK DESIGNER'S ADDRESS , ' PIP ' FLR ELEV. DESIGNER'S PHONE ' - , 3/01/829449 R3Qo3.P NO ' STORIES, ccp'. EDU - II,94 /W/8 3D.3I YO NO - . "'"•— .- FIRE SPR CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS . GRADING PERMIT ISSUED REDEVELOPMENT TYPE . 0CC LOAD AREA CONST Y 0 N 0 Y O NO ' YO NO . - Not Valid Un/as Machine Certified - QTY PLUMBING PERMIT ISSUE 7,50 QTY ' MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP. 50 Odk j'p - INSTALL FURN, DUCTS UP TO 100,000 BTU ., BUILDING PERMIT 61'000'4220' ''EACHB1iILO(NGSEWER -- . - - OVER 100,000 BTU SIGN PERMIT 01-000-4221 EACH WATER HEATER'AND/OR VENT , . BOILER/COMPRESSOR UP TO 3 HP . PLAN CHECK ' - 01-000-4806 EACH GAS SYSTEM 1 TO,4, OUTLETS . BOILER/COMPRESSOR 315 HP , - TOTAL PLUMBING . 01-000-4222 . 7 EACH GAS SYSTEM 50R MORE * ' " - . , - 'METALFIREPLACE : ELECTRICAL- * , . 01-000-4223 EACH INSTAL.. ALTER, REPAIR WATER PIPE . * VENT FAN SINGLE DUCT . -' • ' MECHANICAL . . 01-000-4224 v EACH.VACUUM BREAKER . . MECH EXHAUST - HOOD/DUCTS ' MOBiLEHOME 01-000-4225 WATER SOFTNER . . - ., RELOCATION OF EA FURNACE/HEATER -- MOBILEHOME PARK INSP - '• - - EACH ROOF DRAIN (INSIDE) . . - - SOLAR , 01-000-4226 MECHANICAL ' - , STRONG MOTION 65-640-0519 5..TOTAL PLUMBING '-O jlDO FIRE SPRINKLERS 010004227 , - -' ' , PUBLIC FACILITIES FEE ' 25-000-4933 - QTY.' ELECTRICAL PERMIT- ISSUE vO QTY. . - SOLAR - ISSUE * ' BRIDGE FEE . - NEW.CONST EA,AMPISWT/BKR.. - , , COLLECTORS - . — SCHOOL FEE - DISTRICT - - 1 PH . 3 PH STORAGE TANKS • . - Carlsbad - 65-623-0519 EXIST BLDG EA AMP/SWT/BKR , - . ROCK STORAGE , - - Encinitas ' 65-624'0519, ' - I PH - • 3 PH ' . PUMP * . . - . • . , San Dieguito • -- 65-625-0519 , * 'REMODEL/ALTER'PER CIRCUIT . Do PLAN CHECK FEE ' • * San Marcos , . - 65-626-0519 TEMP POLE 200 AMPS - - •. . * ' - * , - - - . 'p,, , - • OVER 200 AMPS - - -. ' - . - • - . - . - TEMP OCCUPANCY (30 DAYS) — TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER shall expire by limitation and become null and void. If the building Or Workauthorized by such permit is not commenced within 180days from the date of such -5'0" DEEP AND DEMOUTION OR CONSTRUCTION OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE L . DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS Pe rnr if the building or work authorized by such permit is :under STRUCTURES OVER 3 STORIES INHEIGHT - ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time after the work is commenced for-a period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, t ALSO AGREE TO SAVE INDEMNIFY AND ICANT'S SIGNATURE * 0 I . DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER CONTRACTO - "OVE9 GRANTING OF THIS PERMIT. WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE , THE ' BY PHONE 0 i-5-- .. INSPECTION TYPE I :DATE INSPECTOR -.. - BUILDING FIELD INSPECTION RECORD - - FOUNDATION - REINFORCED STEEL REOUIED SPECIAL INSPECTIONS INSPECTORS NC MASONRY - s ___________ . iNSPECTIO REO.IF CHECKED APPROVAL DATE GUNITE OR GROUT _______ - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - FLOR & CEILING SUB FRAME SHEATHING STRUCTURAL CONCRETE.j, OVER 2000 PSI • - ---- FRAME !_i 3-sç.c-- I EXTERIOR LATH 'INSULATION PRESTRESSED CONCRETE -•-- - INTERIOR LATH & DRYWALL . - CONCRETE POST TENSIONED PLUMBING! f -- FIELD WELDING - SEWER AND B L/CO _- ( HIGH STRENGTH BOLTS PLUMBING UNDERGROUND 0 PLUMBING TOP OUT SPECIAL MASONRY TUB AND SHOWERPAN GAS TEST f PILES/CAISSONS ELECTRICAL TEMPORARYPOWER - - - ELECTRICUNDERGROUND ROUGH ELE CTRIC ELECTRICSERVICE BONDING -. G.F.I. __SMOKEDETECTOR MECHANICAL. DUCT& _PLEM., REF. PIPING '- ..HEAT - AIR COND. - SOLAR SYSTEMS -•-•,• VENTILATING SYSTEMS I •-. __0 Ik1L 1 0 - - -f-- -- ' CALL FOR FINAL INSPECTION WHEN ALL APRRORRihTE - - •A' - - ITEMS ABOVE HAVE,BEEN_PPRO'VED. - -' ri'C JOBSITEFINAL f 117_jIt. PLUMBING ELECTRICAL _ _ ••_••_0 0- /t-.aLb11 Lvuc_ '•':-•. _____ - bW7J ,. '0 4j MECHANICAL 11 Alw GAS BUILDING - ( f '• - - SPECIAL CONDITIONS CERT OF OCC,NCY ISSUED 0, 0 - OZ rç.. Js — "- .- )t. t3 : 0 ) OK TO FINAL DATE E F_ -4 INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT low BUILDING ADDRESS: 1/ 7 — FEB 2g 1982 CITY or ARLAD PLANNING DEPARTMENT Building 'Department ZONE LOT SIZE LOT WIDTH 1TITSALLOWED UNITS PROVIDED______ X-PARKING SPACES REQUIRED PROVIDED____ % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: RE ALLOWED PROVIDED_______________ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS OK TO ISSUE: 1/'l(A-' DATE TO FINAL DATE ENGINEERING DEPARTMENT R.O.W. INDUSTRIAL WASTE IMPROVEMENTS_____ SEWER CONNECTION DRIVEWAY LOCATIONS_______________ GRADING PERMIT EASEMENTS DRAINAGE LEGAL DESCRIPTION ADDITIONAL COMMENTS I. OK TO ISSU,E_:\ MIA J DATE I '' FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS I -_OK TO FINAL DATE FIRE PROTECTION EQUIP. EXITS___________________ LOCATION OK TO ISSUE: DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET '- CARLSBAD FIRE DEPARTMENT PAGE 1OF- . ' 1275 ELM AVENUE, CARLSBAD, CA 92008 (714) 438-5521' PLAN CHECK REPORT XAPPROVED DISAPPROVED PLAN CHECK II '/ OTHER REF 1/ PROJECT C _I/oFf ADDRESS ac i_ ARCHITECT ADDRESS _______________ PHONE OWNER ' ' ADDRESS ' PHONE, OCCUPANCY JZ CONST. .]Z TOTAL SQ. FT. Z3 STORIES' / .0 SPRINKLERED. XTENANT IMP. , APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: I II_IMI_ lit_I_11111_1+H4f_I_1-1- H_-11-4_Iii_I_I_1-111+1111_t±1±I-+ '1'. Provide one copy of the floor plan (s), site plan, and sheets Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniforn ,Fire Code and Building(s) not approved for high piled combustible stock'. Storage.in closely packed piles shall not exceed 15' feet in height, 12 feet on pallets or in,racks and 6 feet for tires, plastics and some flammable liquids. If high stock piling is to be done, comply with Uniform Fire Code, Article 81 Medical gas system(s) shall comply with N.F.P.A. Standard' 56F. ...... Fire extinguishers' shall be provided based-upon the following criteria: ,)(a) 1-2A rated ABC. extinguisher for each 300sq. ft. 'or portion thereof cb) maximum travel' distance to an extingyisherof 75feet , ,_c) other: Q 5fde, k ',4 Fire' sprinkler system(s") per N.F.P.A. Standard _shall be provided to protect 'Dry chemical extinguishing system(s) shall be installed per N.F.P.A. Standard 96 to protect cooking equipment and exhaust system. ' Plans of system(s) shall be.approvedby the' Fire Department prior toinstallationof system(s). Show on site plan locations of all nearby proposed or existing hydrants within 200 feet. 10. Hydrant(s) shall be provided and located' 12. )(13. Show location(s) on site plan. Fire Flow:gpm for hour's from hydrants. Access for fire apparatus is not 'adequate. Provide shall be of hour construction with openings protected with hour assemblies. ' Compl,y with regulations on attached sheet(s).,... - E xaminer Date Report mailed to architect ____Met with''','. >k''Attach to Plans CARLSBAD FIRE DEPARTMENT PAGE 2 OF t_ PLAN CHECK REPORT PROJECT PLAN CHECK Drapes and other decorative materials shall be flame retardant. Certification thereof shall be provided. Exits, exit lights, fire alarm stations, hose cabinets and extinguisher locations shall not be concealed by decorative material.. Interior finish shaliconform with Title California Administrative Code regulations. Fireplaces and other-appliances employing open flames shall have metallic guards. Loose chairs exceeding 299 shall be bonded together in groups of 3 or more. .. 18 Storage and janitor closets shall be of one-hour construction with all openings protected with 3/k hour self closing and latching assemblies 19 An approved fire alarm or two-way communication system shall be provided per Title 24, California Administrative Code 20. Anoccupant capacity sign, with-minimum one inch letters and numbers, shall be : posted near main exit ( square feet per person) )(izi. Exit doors shall be openable from the inside without the use of a key orany '1 special knowledge or effort... . • S . •. A "THIS DOOR MUST REMAIN UNLOCKED WHENEVER THE PUBLIC IS PRESENT" sign, with.- mini-mum one inch letters, shall be provided adjacent to main exit door_______ "EXIT" signs shall be in block letters -minimum 6 inches high. Luminance on face of sign shall be 50 lux, - 21+. "EXIT" signs shall be electrically illuminated and energized from separate 0 circuits. Show on electrical plan(s). • • 25. One of the above circuits shall be part of the emergency lighting system. , T" sign shall be posted over -exit door )(26. An "EX /%'j_I,ii-ca.i_cc • • S • a...-%LQ. and directional signs located • S Show locations on floor plan(s). Approved panic hardware shall be provided on exit doors Show on door schedule.. Corridor • shall be of one-hour construction with door open- ings pro-tected with 20 minute self closing and latching assemblies 29 An additional exit door shall be provided in . S S •.per Uniform Building Code, Chapter 33. 30. ~ Z-Z tA 7- . • / Date 0 'C) (n lxi 0 E3,1 hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified Copy thereof (Sec. 39), Labor Code(. POLICY NO. Zo'3'i -1 'Si CONY 'Copy is filed with the city. Certified copy is hereb furnshe. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less) .0 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 01 California. NOTICE TO APPLICANT: It, after making this Certi- ficate of Exemption, 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 '•- - 0 I hereby affirm that there Z the ion ) lending agency for the pertorma to, whiCh this per Tt is issued (Se e). UJI Lender's Name ' L Lender's Address USE BALL POINT PEN ONLY & PRESS HARD .- - .APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I'iby affirm that I am licensed under 'o provisions of Chapter 9 (commencIng with I. Section 7000) of Division '3 of the Business and Professions Code, and my license is In I full force and effect. L Lic.No.____ Class t4 -.1 I hereby affirm that I am exempt from the Cn tractor's License Law for the following reao'n(Sec:, 70315 Business and Professions Code: Any city 'or ' 'county which requires a permit to -construct -/r' alter, improve, demolish, or repair any structure,""l prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Con-tractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro- fessions Code( or that is exempt therefrom and the basis for the alleged exemption. Any violation of. Section 7031.5 by an applicant for a permit subjects -. rite applicant to a civil penalty of not more than five 1hundred dollars ($500). - Q I, as owner of the property, or my employees 5 with wages as their sole compensation, will do the ' work, and the structure is not intended or offered for - sale (Sec. 7044, Business and. Professiohs Code: .W The Contractor's License Law does not apply to an I Z 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 (le did not build or improve for the purpose of sale). - 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 who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). ' tam exempt un'der Sec. - , B. & P.C. for this reason , CARLSBA&JILDING DEPARTMENT. . APOATION & PERMIT, • 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS . AV, ST.[DATE OF APPLICATION BUSINESS LICENSE # no' 2-uAo ' VALUATION -PERMIT NUMBER ZIZ EL g.EPL. OWNER'S NAME OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE If ZONE OWNER'S MAILING ADDRESS . , CONTRACTOR'S ADORE S LICENSE NO. PLAN I.D. # , BLDG USE CODE L.A LOT I BLOCK J SUBDIVISION ASSESSOR PARCEL NO, DESIGNER DESCRIPTION OF WORK STATE LICENSE # STANDARD PLAN # BUILDING SO, FOOTAGE DESIGNER'S ADDRESS DESIGNER'S PHONE - - LW a 82 EDU 'F/P FLRELEV,.. ' NO. OCCGP' "FmIk" -.--" • STORIES vO NO - * CENSUS TRACT GP LAND USE PARKING SPACE' RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT AREA . . - TYPE - 0CC LOAD FIRE SPR - . ' , . ' .' ' . CONST - - V 0 N 0 V 0 NO - ',' .' • YO NO Not Valid Unless Machine Certified - QTY. PLUMBING PERMIT - ISSUE ' QTY. MECHANICAL PERMIT- SUE -. . ' - -. SUMMARY/ACCOUNT NUMBER -EACH FIXTURE TRAP - , ' . , INSTALL FURN, DUCTS UP TO 100,000 BTU - , • - BUILDING PERMIT - - - - 01-000-4220 EACH BUILDING SEWER - -- - ' - - OVER 100,000 BTU - SIGN PERMIT • - 01-000-4221 sn EACH WATER HEATER AND/OR VENT ' ' BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK - 01-000-4806 - EACH GAS SYSTEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3.15 HP , - - •. - TOTAL PLUMBING, - ' - 01-000-4222 -. EACH GAS SYSTEMS OR MORE ' -- METAL-FIREPLACE . - . - ELECTRICAL -'01-000-4223 , - 00 EACH lNSTAI,, ALTER, REPAIR WATER PIPE ..• VENT FAN SINGLE DUCT '. .- MECHANICAL 01-000-4224 EACH VACUUM BREAKER- ''- ,, MECHEXHAUST -HOOD/DUCTS - MOBILEHOME ..'01-000-4225 - WATER SOFTNER --, RELOCATION OFEAFURNACE/HEATER MOBILEHOME PARK iNSP - EACH ROOF DRAIN (INSIDE)-_.' '.'-. __- ' . , SOLAR - '' .01-000-4226 . TOTAL MECHANICAL ' - , - •' - STRONG MOTION 65-640-0519 --_- • • _. TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227 - _- - A - -. • - ' • - PUBLICFACILITIESFEE _25-000-4933 QTY, ELECTRICAL PERMIT - ISSUE -j.0 0) CITY. SOLAR -ISSUE BRIDGEFEE _-,- •• -' -- NEW.CONSTEAAMP/SWT/BKR -, . COLLECTORS - _' '-- SCHOOL FEE -DISTRICT 1PH -3PH - STORAGE TANKS - ' • Carlsbad -656230519 - EXIST BLDG EA AMPISWT/BKR ROCK STORAGE Encinitas 65-624-0519 - 1 PH _•3 PH _,". - . PUMP ___-- _- - • San Dieguito -'-_65-625-0519 - - ' REMODEL/ALTERPERCIRCUIT 5_00 PLANCHECKFEE Sin Marcos 656260519 TEMPPOLE200'AMPS __.• . ___.•,. -.. _'- .- --,'. -- -t -__•• OVER 200 AMPS ,.-, - --'--.- - . ' ' - ' . . ' - -. TEMP OCCUPANCY I3ODAYS) . . . .' - ' ' .---,. - —TOTALELECTRICAL _- ------------ - -.j_ - OV - TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - - Expiration, Every permit issued by the Building Official under the provisions o/this Goode * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE limitation and become null and void. If the building or work ze by Such Perm it is not commenced within 180 days from date of such .5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS rt'rJi bildrno or work authorized by such :uner STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abidon_atan(i _alter the work is commenced for a period of180days. AP S T RE OWNER LI CONTRACTOR' 'APPROVED BY ' ' E ' DATE STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND _I__•'_, __& KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST AND WAY ACCRUE AGAINST SAID, CITY INCONSEQUENCE OF THE • BY PHONE 0 GRANTING OF THIS PERMIT. t,aIv1a1,AJc_x - x " q ft . • •.\j V. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTION ' - INSPECTOR'S NOTES - ' INSPECTION REQ. IF CHECKED APPROVAL DATE INSPECTOR'S \ $ PRIOR TO FOUNDATION INSP SOILS COMPLIANCE STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING - HIGH STRENGTH BOLTS - SPECIAL MASONRY * PILES CAISSONS jf - ( 0 -____ ___ .. )-(d-'r Km INSPFCTiflN TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME I SHEATHING FRAME ! EXTERIOR LATH INSULATION INTERIOR LATH& DRYWALL PLUMBING: SEWERAND 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 L ' VENTILATING SYSTEMS I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB _SITE _FINAL _' PLUMBING ELECTRICAL MECHANICAL GAS BUILDING- ! r f-)7. 11.4 SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED