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Home My WebLink About2626 EL CAMINO REAL; MULTI-PERMIT FILE; CB031997; Permit4 V tV - - City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 07-t8-23 CTO Mechanical Permit Permit No CB031997 Building Inspection Request Line (760) 602-2725 Job Address: - . 2626 EL CAMINO REAL CBAD V V Permit Type: MECH V Status: ISSUED Parcel No: V Lot #: 0 Applied: 07/18/2003 Valuation: V $0.00 V Entered By: SB V V V Reference #: V Plan Approved: 07/18/2003 V - Issued: 07/18/2003 V Project Title V WASHINGTON MUTUAL REPLACE Inspect Area: V V HVAC UNIT LIKE FOR LIKE Owner MESA ENERGY SYSTEMS 9940 07/18/03 0002 01 02. V ' V 5VANDERB1L192618 . t2400 949 460 0460 V. V. "-'C ( ('\ \ • -: Mechanical Issue Fee / • • '' $15.00 .- . Install/Furn/Ducts/Heat Pumps Fee $9.00.' • V V 'V Fireplace Installation Fe \V Exhaust Fan Fee, 0 \ to.g \ ' •" ' Installation/Relocation Vent Fee 0 $0.00 - • V • Hood Fee V / / .. .o _-__ V -__-____--, _-j' .\ Sso.00 \ - : -. • - V Boiler/Compressorto 15HP Fee / • \ Vgg Oth . . Additional Fees F m,00 PERMIT ( cs% \cd r" ) c:) :1 l(Vs_•p1l)ç.1/ V 'Total Fees: $24.00. Total Payments To, Date:' F I $0.00 5Baiance Due: I -$24.00 V V • •V V VVV • : - V -• • FOR OFFICE USE ONLY PERMIT APPLICATION ' PLAN CHECK NOc(117 CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL 1635 Faraday Aye, CarIsbd, CA 92008 Plan CkDeposit Validated . . . ". ., . .• :, Date .7]../ i-( C.rvAP . Address (in c7lude'Bldg/SiJim #) - . usiness Name (at thistaddress) - ': . : / •, •, .'iI ''.'' ''I t''i ".•' ' Legal Description Lot No Subdivision Name/N(jmber Unit No Phase No Total # of units ",Assessor Pa l.#' . . ., .... .'. Existing Use .. . ............,.., Proposed Use. t1 cL.:c V.Q. VPc1 o k Description of Work ''' . . '" SQ: F A ............#of Stories . .' ". ' # of Bedrooms ' " # of Bahr6oms"''.' 2 COAERN 4V ---1 c- t't- iuo -o L'u çj jiç Name I . . '. ddes' n s', . '' City . State/Zip . 'Telephoe# ' 'Fax #:. - .-. -. APCANTr .onrcto AguntfrrContractcr E fl tr Crr 41-.L J/1At44t, Name ddress ', City, State/Zip I Tel'e'phone' ' - Address ' '... . .,. City . . ,. , ' •S.tate,Zip Tephon çTRAçQRcOMPANY NAME (Sec. 7031.5 Business-and Professions Code: Any City or County which requires a'perrhit•.to construct, alter, improve;-'demolish or epairany-structur, prior.toits 1i$$n5 also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9"comrRending with Section 7000 of Division' 3 of the Business and Professions Code) or-that heis exempt therefrom, and the 'basis 'for the. alleged ..exemption. Any violation of Section 7031.5 by any appjicant for a.permit sub t theapplic nt to a civil penalty-of not ore-,than five hundred d lIars l$500l). &t2-UCt' çf&-- k TTh1 Name Address City.State/Zip Telephone # State License # 'L \ ? License Class 1,. 'jA) C, ItO City Business License ,# Designer Name Address t I I City State/Zip Telephone [State License (AWORKEcMPNABL.. . ... , 'V\ Workers Compensation Declaration: I hereby affirm underpenalty ot.perjuryone,of the followingdeclarations: . . I have and will maintain a certifidater of consent to self insure for workers compensation as provided by Section 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 ecti'oñ 3700of the LabOr Code, 'for the perfohiiänc'e of the work for vhich' thi permit i' a . I issued. cQensationnce carrier and policy number are Policy No Expiration Date_________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 0 LE S) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is isued I shall not employ any person in any nanner1so as to become subject to the Workers Compensation Laws of California I t / WARNING Failure to secure workers compensati n'coverage is unlawful nd shall Subject en employer to criminal penalties and civil fines up to one hundred thousand dona00 000) in addition co of co pa ation dam)ges as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE 4i'i. I DATE J W$ 6UILb iLA'A'111ON I hereby affirm that I am exempt from the Contractor's License Law for the following reason -, 0 as owner of the property or my employees with wages as their sole compensation will ido the work and the structure is not intended or offered for sale Busiess rid Profssions.Code:',Th'e'Contrator's License Law'dpes rOt 'apply to ab ownerof 'poperty, who builds or improves thereón,.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 arid 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) I 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 2 I (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 (inclutde nane I address / phone number / contractors' license number),. . . ... --' ., . ' ' -, .- . . ,. ........ . '. . . " ' - ''' '•. .: - . :- . 5. I will provide some of the work, but I have contracted (hired) the following -persons,to providethework indicated (include name / address /Lphne'number / type' of work) " I I I PROPERTY OWNER SIGNATURE:"''. DATE 1 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 Section 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtair a perr,It from the air pollution control district r air quality management district? 0 YES 0 NO Is thefacility to be cnstructed within 1,; 000 feet of the outer boundary of a school site? [],,"YES D NO I' I ,IF ANY OF THE 'ANSWERS ARE YES, 'A FINAL CERTIFICATE, 6F OCCUPANCY. MAY NOT BE ISSUED-UNLESS THE APPLICANT HAS MET OR IS MEETINGTHE- '- - 'REQUIREMENTS OF THE OFFICE OF-EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.:.- i8CONSTRUTIONLENDING AGENCY !,hereby affirrri'thatthereisa construction lend ny aqn y for the oerfO'rm'arice of thework f0i1 which this permit is issued Sec 971i1 CiviDC nly). '1 Ii I LENDER'S NAME ' . " '- .. ' LENDER S ADDRESS - ' . -, 1. - • ,,- '0 I9APPLICjçERTIFlCATION - - - - I'....'7"" '. , - ... . - ,T"5 I certify that I have read the applicatioii and state that the above informatlorl is correct and that tIt information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the Cit, of Carlsbad to _enter upon the above mentioned '.property for inspection purpoá es. .I ALSO. AGREE TO SAVE,,.INPEMNIFY.,AND KEEP HARMLESS 'THE, CITY OF., CARLSBAD AGAINSt 'ALL LIABILITIES, - JUDGMENTS. COSTS.AND EXPENSES WHICH MAY IN ANY- WAY ACCRUE AGAINS'INSAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. I I I OSHA An OSHA permit is required for excavationsover 5 0 deep and demohtion or construction of structures over 3 stories in height I XPIRATION Every permit issued by the building Official under the provisions of this Code shall exire 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 any time after the work is commenc r a"j,eriod of 180 days (Sectio 0644 Unif rm Buildiig Code) APPLICANTS SIGNATURE I - DATE ITE File YELLOW Applicant PINK Finance C . ::k •S '3 1: , , BUIL.DING PERMIT. PermitNo CB960436 03/15/96 09 27 . ' Project No A9600624 Page 1 of 1 Development No Job Address: 2626 ELCAMINO REAL. Si1ite -. :' ... Permit Type MECHANICAL ' 6522 03/1.5 -96 0001 Parcel No • Lot#:C-FRMT :— ';'' Valuation 0 Construction Type tiN Dccupancy Group Reference# Status ISSUED Description: REPLACE 'TWO HVAC UNITS. Applied:O3/15/96 - Apr/Issue 03/15/96 .En tered By: MDP . Appl/Ownr. BARR ENG 310 9114_t1722 12612 CLANTE STREET • • SANTAFE SPRINGS, CA 90620 r ,*** .F.ées Required *c* Fees Clted &Credits N------------------- Adjustments /oo Totaç1t\ 00 00 Total 33 00 Ext fee Data Fee 'description , ts ME~H'ANICAL :TOTAL 7N -33.0 1952 ID ft V. 16. 2 vf •: - CITY OF CARLSBAD 2075 Las Palinas-Dr., Carlsbad,-"CA 92009 (619) 438-1161 - :• - • . - • - 2' 4. - • - • . 7- 2'. .4 • V -. V • . 7 . 4 - ., -. - - V •, 44 • -.1 • . 5, • -. 4- ' V - 4. '4-' .° ' - 4' 7- - .- .. . . . • • , -. . -. •• .• '. , •. - - 4 - - k4 '' . -• _. S. - •2 4 •- S 2t 4 "7 ,2 ,•,. PERMIT AI'PUCATION Cily of CarLsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. VAL I CK DEPOSIT_______________ D. BY From List I (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 PROJECT INFORMATION - FOR OFFICE USE ONLY Address — Building or Suite No Z c ,-< //3t'7-tt Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK c... C..'( iJ,ILC~s 121 SQ. Fr. # OF STORIES # OF BEDROOMS # OF BATHROOMS UJN IAUI PFJ(tJN (it different from applicant) NAME (lastname first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) f34R(L 51Y6 ADDRESS jjI -CC..-#<,i CITY 5,py) / ' TATE CA ZIP CODE I'06 -2 ° DAY TELEPHONE (3/d) . iqtijrrjti I I.JVVF4ILK NAME (last name first) bDRESS I"7'' - CITY -//-%.-t STATE C) ZIP CODE DAY TELEPHONE — 6 0 o — ol LAJ14 I ItP.L. I UK NAME (last name first) 13't,'i ADDRESS C —6i t C_(.-cM/ St CITY $q,. ,rL SPAIre,STATE C— ZIP CODE C6 7-10 DAY TELEPHONE — ?cvc.{ —/7 2.. t STATE UC. # LICENSE CLASS C—z.0 C CITY BUSINESS LIC. # 12..()2 og DESIGNER NAME (last name first) - ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' (DMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-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 inswer thereof filed with the Building Inspection Department (Section 3800, Lob. C). INSURANCE COMPANY L,-f11' 4 POUCY DATE 1/ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person so as to become subject to the Workers' Compensation Lows of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirmthat 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 Low does not apply toan 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 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). - 0 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). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES [-'NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES G0NO - IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUDMMM OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION WNTROL DISTRICT. ereDy affirm that mere 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'S ADDRESS 10. APPuCANr CEWI1FICAIION I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby 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 UABIUTIFS, JUDGMENTS, CX)STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF 11-115 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 shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANT'S SIGNATURE 271 - - DATE: 94 I CITY OF CARLSBAD 4 '_ INSPECTION REQUEST PER -LT# -C.B96943.6 --• FOR 04/08/96 . INSPECTOR AREA TP DESCRIPTION REPLACE TWO HVACJJNITS I PLANCK# CB960436 OCCGRP .TYPE-,:'-MECIi ,- '. . CONSTR. TYPE' VN JOB ADDRESS 2626 EL CAMINO REAL STE. LOT: APPLICANT BARR ENG. PHONE 310 944-172 2,/ CONTRACTOR: PHONE. OWNER PHONE: REMARKS: RS/MLKE/310-944-1722x3-0-22- INSPECTOR SPECIAL INSTRUCT PERMIT 'SHOW S FINAL IN COMPUTER TOTAL ..TIME: CD LVL DESCRIPTION ACT COMMENTS 4 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 032996 Final Mechanical AP TP ---- S . S * . . 4 - j 4 7, 4 6 •-1 S ' - a 6 6 •, .._ • . .. . - . . i '. S -S S . •4 . - ASS - -. 4 -. - . - - -4 1. 4 •.. -_A - - I • - , . - - .. -. , I 4- - . -- - -. '; •'-•. -. - •- --:. 4 4 .i ,, . • : B U .1 L D I N G P E B M I T Permit' No: CB950578 05/09/95 10:05 Project No: A9500849 Page 1 of 1 Development No: Job Address:-2626 EL CAMINO REAL Suite: C Permit Type: MECHANICAL Parcel No: ,Lot#: Valuation: 0 V .1808 05/09/95 0001' 01 02 C onstructionType: NEW. C-PRMT Occupancy Group: Reference#: Status: ISSUEb Description: CHANGE-OUT A/C UN:[T-ROOF V Applied: 05/09/95 7. IT . • n ma jar V • - . - a.,' .1 - - - - .— - pr, .L s u e . .., ,.. , V V Vt -. . .. EnteiedBv:RMA .App1/Ownr .:,BARRENGINEERING •VV ..3-10-9 44'_f172 . . V -, 12612 ..CLARK.ST V - . SANT1LFESPRING.J A 067O V FesRequired.ç34*(jQçepsCo 'kcted &.Credits VV ••à•• _j Vj_V•. •. V - - , .- . .V,*-• -V - - - % V 24 .O 0 O 1'.• Adjustments : T ol iJtc • .\ 00 1 t • V Total Fees: 2'4\00 ./ .T 1 a :.\ .00 V Bala n e:\ V 24.00 Fee description Units' ri Ext fee Data MECHANICAL TOTAL 24.00 41 1 INCORPORATED / 1952 V V V V .. V•VV PP OV CLEARANCE CITY OF CARLSBAD V V - V 2075 Las Palmas Dr:, Carlsbad, CA 92009 (619) 438-1161 V V V V • • • VV V PERMiT APPUCATION Aw City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: 1 V.Lc..k. PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT_______________ VALID. BY DATE For Residential Projects Only: From List 2 (see back) give Code of.Structure-Type: Net Loss/Gain of Dwelling Units 32OO PROJECT INFORMATION FOR OFFICE USE ONLY Building or Suite No. Address ifl SIN in 65 aM Nearest Cross Street C. LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMI1TED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK J4 V A c Ck—.E. ocf- - z %/ tt—'— ,4/.r.... tt.c,—' f' c,c' l.i&ei. SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS UJN SAUL PERSON (it different from applicant) NAME (lastname first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) J9to4Xe. _ UDW4,d .ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) 54 4 /'/ C'& '-ADDRESS .2 o / _> i cJ. CITY t45 .Li4 X STATE ZIP CODE ZOO8 DAY TELEPHONE 7 Z. 7 Lf 0. WN IHALIUK NAME (last name first) (3a.rc ADDRESS STATE ZIP CODE 7) DAY TELEPHONE 1f 17 a2/)O to) CITY r/ STATE UC. #?o/C LICENSE CLASS c a Z> CITY BUSINESS UC. # _______ CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS' CX)MPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director 01 Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY k. (,. POLICY NO. EXPIRATION DATE &cI- Certiticate of Exemption: I certify that in the performance 01 the work [or which this permit is issued, I shall not employ any person in any manner so as to become subject o the Workers' ompnsation Laws of California. Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law br the bollowing reason: 0 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 improves thereon, 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: (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). SIGNATURE , DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13 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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION (DN11OL DISTRICT. WNSTRUUI1ON LENDING AGENCY I hereby attirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CER.ICAI1ON I certity that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby 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 UABILII1ES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID (flY IN CONSEQUENCE OF THE GRANTING OF 11115 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 shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abanjed at anyorn scmenced for a period of 180 days (Section 03(d) Uniform Building Code). APPLICANT'S SIGNATURE __- DATE: 0 r 1 - CITY 0F'CARLSBAD INSpECTION: REQUEST PERMIT# CB950578 FOR 05/11/95 INSPECTOR AREA DESCRIPTION CHANGE-OUT A/C UNIT-ROOF PLANCK# C8950578 2 1/2 TON -, - 0CC GRP TYPE: 'MECK - CONSTR. TYPE NEW JOB- ADDRESS: 2626 'EL CANINO REAL - - -STE-:. C LOT: APPLICANT: BARR ENGINEERING ,PHONE: 310.-944-172' / CONTRACTOR: '. PHONE: OWNER: -, r PHONE: I . i. ' / I - •' - REMARKS: MW/BARR/31-0-9.44-1722 - INSPECTOR - SPECIAL INSTRUCT. TOTAL TIME: --RELATED: PERMITS-. PERMIT# TYPE STATUS'•' - 00930012 COFO ISSUED -CD- LVL DESCRIPTION •'•. ACT COMMENTS - • 49 ME Final Mechanical - ***** INSPECTION HISTORY ***** DATE DESCRIPTION -' ACT INSP COMMENTS S • I -S. • 5- - - S / . ,. S -- - r $ S - •• 'S - S / .- - 4 $ ' - - ' - - -• . S - - S • S • \_ -, I . CITY OF CARLSBAD-BUILDING DEPARTMENT , v APPLICATION&PERMIT USE BALL POINT-PEN ONLY ' - 1200 ELM AVENUE (714),438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. V LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed 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 ef- fect. -: OWNER.BU1LDERDECLARATION - Di hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031 .5,Business and Professions Code), Any city or county which requires a permit to con- struct,. alter, improve, demolish, ,or repair any structure, prior to Its issuancealso'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 commencing 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 riot more than five hundred dollars ($500). Dl, as owner of the property or my employees with wages as their sole compensation, vill dri 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 that 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 Improvetor the purpose of sale). DI, as owner of the properly, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property .ho builds or im- proves•thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, ,B. & P,C - for this reason- Date ______________ Owner WORKERS' COMPENSATION DECLARATION' I hereby affirm that I have a certificate of con- .senl to self-Insure, or, a certificate of Workers' Compensation Insurance, or a certified' copy thereof (Sec. 3800, Labor Code). POLICY NO. - COMPANY DCopy:is filed with the city. DCertitied 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. - - NOTICE TO APPLICANT: if, after making-this Cer- tificate 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. 'vs .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). JOB ADDRESS I, ' AV. ST. R JDATE OF APPLICATION BUS.,LICENSE ... 'PERMIT NUMBER , II II JVYt I 1/117 STATE LICENSE OWNER . , OWNER'S PHONE / PRIME CONTRACTOR' - ' •' ,, ' c OWNER'S MAILING ADDRESS ' S7• CONTRACTOR'S PHONE ______________________________________ I3D (4 .-. . •-. . ' .. .-.. . - '4/i /806ES ' -. LOT BLOCK ' , SUBDIVISION .. . ASSES ,OR'S.PARCEL NO...,STATE LICENSE I L IIiI'I V ' -. , .',- -..- -•,- '- :-'.- DESCRIPTION -J OF, WORK DESIGNER'S PHONE W€55 CENSUS TRACT GP LAND USE ZONING RES UNITS - PARK IN& SPACE sf NUMBER OF STORIES Not Valid Unls Machine Cemtied BLDG SQ. FT. BLDG USE 0CC. GP STANDARD PLAN N PLAN ID ft -. TYPE CONST. ''', OCC. LOAD - - .- -- ,. ..• . ' , - -'-. ---. - ' .. . - --,,. - - '. .• ' , - _., ,'-.'..--. -' .'. - AMT QTY.' ' MECHANICAL PERMIT ' "AMT..- - - ciTY - - PLUMBING PERMIT"- ' - . ________________ • -. . , • '- : - - "k,.. ,_'- " _. . :_' --. - 7 ' ' .'.' - INSTALL FURNDUCTS'UI TO 100.000 BTU . . ' '• - , , .. , -, * OVER 100 000 BTU - " ' -, - BOILER/COMPRESSOR UP TO 3 HP, .. . " • ' . - - '.. •- ' . - BOILER/COMPRESSOR 3.15 HP . . BOILER/COMPRESSOR 16.30 HP • '.' • '7 VENT-FAN SINGLE'OUCT . . . . -. •' - ' •''• '• -• • •• - . -' -'- . -MECH EXHAUST -'HOOD/DUCTS - - . VALUATION: EACH FIXTURE TRAP ' . - EACH BUILDING SEWER .EACH WATER HEATER AND/OR VENT .,." EACH GAS SYSTEM ITO 4.OUTLETS - - '. EACH GAS SYSTEM 5 OR MORE ' EACH INSTAL,-, ALTER, REPAIR WATER PIPE - EACH LAWN SPRINKLER SYSTEM - - WATER SOFTNER - ,' . -- - . . - RELOCATION.OF EA FURNACE/HEATE.R . - BUILDING PERMIT. , 'I I ': - 'Issue '-' --'- -.fl( T-j,je . .. SIGN PERMIT TOTAL. PLUMBING - '. - - --- :- TOTAL MECHANICAL. - - ' e - - - . PLAN CHECK - - CONTRACTOR .' ' - , . .: '• ' CONTRACTOR '' . ALL INCLUSIVE PERMIT - - • - - . , TOTAL PLUMBING --'S , • " I I '. I QTY. . ELECTRICAL PERMIT , AMT. . QTY, . MOBILE HOME PERMIT • AMT.. RICAL --- ' - NEWCONSTEAAMP/SWT/BKA . . " . ' AWNING . r- . - MECHANICAL - • I 1 PH 15 ,- ' ., 3 P - • - PORCH, . . '''MOBILE HOME .•' .. - . EXIST BLDG EA AMP/SWT/BKR ' • .-. :' . SET-UP - , ' . '. , SOLAR 1 PH' •25 . •, - 3 PH . RAMADA; CABANA .REMODEL/ALTER, .PER CIRCUIT ' ' ' . : FENCE OVER 6' - TEMPPOLE 206 AMPS - - .. .. . TOTAL MOBILE HOME . . . - - . . MICO-FILM ' . ' I •' I OVER 200 AMPS, . , .. ' . -. ' , - -- . - '.. • " 'I - -I 'I I - TEMP OCCUPANCY (30 DAYS): - ''• ' -- -' s'rRuN G. .MoT.LoN: . -- '---. , I -i -.- -. ..Issue ' - 2'.0( -. ' ' ' ' - ' , • : ' i ' ti -• I -' .TOTAL ELECTRICAL ' - ' , ' - TOTAL: FEES PAYABLE ' -,' •,-, - - HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 AN OSHA PERMIT IS-REQUIRED FOR EXCAVATIONS OVER - -. HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5.0' DEEP AND DEMOLITION OR CONSTRUCTION OF " ,,, c' - School- ees - FURTHER CERTIFY AND'AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT • - - - - COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER . - ' • - - .• . - . - . - .- - . - - --" SPECIFIED HEREIN OR NOT. -I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- - LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND - - - '. - - I - 4111 EXPENSES WHICH MAY IN ANY WAY ACCRUE-AGAINST SAID CITY IN CONSEQUENCE ,o:::RcoNTRC:-0vEoBY -- -OF THE GRANTING OF THIS PERMIT. - • FA• - ,....V : V V: SITE ADDRESS OWNER PETTh NO FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR SNOTES WOOD FLOOR FOUNDATION. FORMS . SET BACK .TOILET .. . . V VVV V• -.V UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING . FORMS . SETBACK .TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE. - V EXTERIOR LATH OK • PLACE STUCCO FIREPLACE .. V. V DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER V V V V V TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING V .. PRE DECK •V - - FENCE PREPLASTER . V SHOWN • FRAME .PAN FINAL INSP BY BLDG DEPT V - OTHER DEPT'S REQ COMPLETED ELECMETER-PERM--TEMP GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED