HomeMy WebLinkAbout2630 LUCIERNAGA ST; ; 80-321; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Sect.Ion
7000) of Division 3 of the Business and Profes-
sions Code, and my license is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con•
tractor's License Law for the following reason
(Sec. 7031.5,Buslness and Professions Code), Any
city or county which requires a permit to con·
struct, alter, Improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he Is licensed pursuanl lo the provi-
sions of lhe 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 not more than five hundred dollars
(S500).
D I, as owner of the property, or my employees
with wages as their sole compensation, will do
lhe work, and the structure Is not lnlended 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 improve for the purpose of
sale).
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•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
WORKERS' COMP
I hereby affirm th
sent to sell-Insure,
Compensatl
thereof (Sec.
Owner
IECLARATION
~ertificate of con-
ate of Workers'
I "8rtlfled copy
POLICY NO.-'V'-_"-_-+I ________ _
COMPANY >;.; I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars (S100) or less).
I certify that In the performance of the work for
which this permit is Issued, I shall not employ an~
perso1t In any manner so as to become sublect to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer•
tlficate of Exemption, you should become subject
to the Workers' Compensation provisions of the
latl.,T Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I ~reby affirm that there Is a construction len·
ding agency for the performance of the work for
which this oermit ht 1~~11Ari lSAr. 1097 Civil Codet
t-yi ~()7° 1) CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
SE ALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
PLAN IO # TYPE CONST
'Pl.EX ?2 3~/ #V-N
PLUMBING PERMIT MECHANICAL PERMIT
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT I
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODO/DUCTS .,,:.
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
TOTAL PLUMBING
CONTRACTOR ?'3 -CONTRACTOR
TOTAL MECHANICAL
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT
NEW CONST EA AMP/SWT /BKR J/j C) AWNING
1 PH .25 3 PH PORCH
EXIST BLDG EA AMP/SWT/BKR SET-UP
1 PH .25 3 PH RAMADA, CABANA
REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
TEMP PD LE 200 AMPS TOTAL MOBILE HOME
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
AMT.
AMT.
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
PERMIT NUMBER
t3o-3.:i.J
0 I
Not V1Nd Unless M1chin1 C.rtifi.J
OCC. LOAD
41-
t:J .-bu ~
f-< ;,1-'qJt
--VALUATION: 111,040
,.
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO ·FI LM
ISSUE
TOTAL ELECTRICAL
CONTRACTOR
2-._Q s,-1 cr=~------+--=:::J, TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
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
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
~~S: ~~
OWNERQ CONTRACTOR□
AGENT D BY PHONED
! ~ ~
5 j::
~ a. VI ~
SITE <E;o--3~\ ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK •TOILET
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
EXTERIOR LATH OK • PLACE STUCCO
FIREPLACE
DAMPER, &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER-(POLE)
' SEWER i
GAS TEST
SWIM POOL• STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
.. • PAN i)
FINAL INSP BY BLDG DEPT ,r_.19.,Jt fr.I/
OTHER DEPT'S REQ COMPLETED -
j ELEC METER-PERM-TEMP I GAS METER-PERM-TEMP
I f---
i . --..
j... L CERT OF OCCUPANCY ISSUED
...
BUILDING
0 FOUNDATION
L-::J REINFORCING STEEL
[_7 MASONRY
C GROUT-GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
Cl FRAME
0 EXTERIOR LATH
□ INSULATION
0 l~ATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
~CTOR
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
~
D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
.
SPECIAL INSTRUCTIONS------~~£_ .... ~~--------{JY\'-,.__j......_\_'Yl-..ccg.Q-'..,__ ______ _
REQUESTED BY __ 0-=---\+-0-=--_________ PHONE NO. y :3{-d-~
PERSON TAKING REPORT--~o/-----
REOWEST FOR l~~<?TION
INSPEC~OR • ~~ PERMIT NO. ftJ -3 vj
Tl ME:--,,--,----,-----
DATE, o/r?
OWNER ________________________________ _
ADDREss d<loc:JJ>I rt:, 3 c,, -L. · ~· ---
I~ ----------------
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED Al R SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □THURSDAY 0 FRIDAY ~:M.
DP.M.
SPECIAL INSTRUCTIONS __ 7..,,,...(l_a""'·~;........,~'?"-""..:.'-7'"/"--------------------
REQUESTED BY ~ PHONE No::-_f';_?c......,,~ ... ..;h_-/,----'t_s-__
PERSON TAKING REPORT __ ,..,,.LUb...::::...oc.,,a,::::.._ __ _
CORRECTION NOTICE
INSPECTOR
CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE· 438-5525
TIME: ______ _
DATE: _cf:.~--('_-_J':_c) __
wl ,. r
BUILDING
D FOUNDATION
D REINFORCING STEEL
□ MASONRY
D GROUT -GUNITE
O FLOOR AND CEILING FRAME
D SHEATHING
□ FRAME
O EXTERIOR LATH
o INSULATION
□ INTERIOR LATH OR DRYWALL
PLUMBING
□ UNDERGROUND PLUMBING
o UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
o GAS TEST
□ WATER HEATER
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
o ELECTRIC SERVICE
□ UPPER GROUND
□ G.F.I.
o SMOKE DETECTOR
MISCELLANEOUS
□ PLENUM AND DUCTS
D COMBUSTION AIR
D CONDITIONED AIR SYSTEMS
o SOLAR
D GRADING
D POOL
o PATIO
□ SIGN
□ OTHER
Note: Final Inspection Required
@ CL.e4,t)(}V1' &1eeL2s ?'Tl L1G Stt.r A/11.R Ila.Kw
($) C)LIT:5,4p,t; LL.I.Id .Llk ,Su,M/2., /;.; 4/d)i,t.N A&eA
/'J'lvfr ,ae st:NAP~ .Al'?wMLJ BA£-<:, & mAK.L.
A?o~ /P~P,:;
@ IM(?,4f)j6£ STR1t" L0µeL, #i'lL E ae /EA{/
pa
.REO.UE§J_ fl<?!! INSPECTION TIME: ______ _
INSPECTOR-~---------PERMIT No:iJ-5Z l DATE: 0(21(,&
OWNER ~wHT
ADDRESS 202ee 1 w2b Lu:::A~
BUILDING
D FOUNDATION
0 REINFORCING STEEL
Ll MASONRY
Ci GROUT -GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
Cl FRAME
j}Q. EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY D THURSDAY P(FRIDAY
~A.M.
OP.M.
SPECIAL INSTRUCTIONS __________________________ _
PHONE NOi:8' 2 jqE,
PERSON TAKING REPORT _______ _
REQUEST FOR~PECTION TIME_· -----
INSPECTOR ______ __._ ___ PERMIT NO _______ DATE:--=t,_,.1/4 .... ~ .... c5~4~-----
OWNER ___ ----a.l,\)e,...::;....a~S::a-L.__.C........,;Qi~--------------------
ADDRESS __ .fl_~_t,_~--=.?,f;,-----"7/ ______ L-=I/-Cl............aa(;;J--=7<A>h...........a~--<i""""d::...._ ________ _
BUILDING
D FOUNDATION
CJ REINFORCING STEEL
[_-:J MASONRY
C GROUT· GUNITE
0 FLOOR AND CEILING FRAME
[.--::J SHEATHING
LI FRAME
c;,(EXTERIOR LATH
D INSULATION
~ INTERIOR LATH OR DRYWALL
b FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.I.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: i,MONDAY □TUESDAY □WEDNESDAY □THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED ev _________________ PHONE NO·---.ir---t-----
PERSON TAKING REPORT--1:--=--~----
__ , ..... .....--.. ------w-, .. -~-.... _..,..., __ ..., __ , ...... ·.-~· ,_ .• -··---·•--·-··---------REQUEST FOR INSPECTION TIME-· _____ _
INSPECT0R _____ :ef=-_.D ... ~---PERMIT N0 _______ DATE: t/NJ.ko
OWNER __ ____.p.,8....,'""':fSl"""=~--+-'r_....,,a _____________________ _
ADDREss~.:l....aat,....,.,21, __ 0f'_~ ____ tt ____ l_llC___._'./f!!ilW ______ t\~~-,A..---------_., _____________ __
BUILDING
D FOUNDATION
Cl REINFORCING STEEL
CJ MASONRY
C GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
LI FRAME
~EXTERIOR LATH
CJ INSULATION
'ijll INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
,:(A.M.
6-P.M.
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
ELECTRIC SERVICE
CEILING HEAT
G.F.1.
SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D TUESDAY □WEDNESDAY □THURSDAY )(FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY ________________ _. HONE NO.____,a-.-,,..-+-----
PERS0N TAKING REPORT----,~t;;.,,-...~==::::---
REQUEST FOR INSPECTION TIME: __ </1,,'-';_._Sf __ _ /"'\\ ·:o <3?-..1 /;,-//-3' 1NsPEcToR ______ ..,,C,,0l""-"''""'<::C----PERMIT No.__._1l_.___ ___ _. ___ .. DATE; -----1o0f~v'---_
OWNER ____ Y{~-':)-=-t.._C-0~------------------
ADDRESS __ -=-d--~_~_t)_-_1-_~_d-_F __ ~_'--l.__;;;;;C_c....,.•I_~-'---'--"..______,,;::_~~-------
BUILDING
D FOUNDATION
[] REINFORCING STEEL
D MASONRY
C GROUT-GUNITE
□ FLOOR AND CEILING FRAME
l-=i SHEATHING
C] FRAME
INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUBORSH0WERPAN
0 GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION~Y
(~
□TUESDAY
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
OG.F.I.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY~ □ FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY_CQ~-2~~~(-~--h~t ________ PH0NE NO. y~ r,...;;__,q?
PERSON TAKING REPORT ____ _..c{---
---Hh-----~·----w---------------------------·-• ···•----
REQUEST FOR INSPECTION TIME_· _____ _
;NSPECTOR • £ .£> • PERMIT No.---.i/1 __ rJ--_3_2,._I __ OATE: ____.t':;o...-~"-----n ...... 'i_
OWNER ___ q..,.0"-'LJ=--... E....,,,...A __ ll._._l t_J:J_-_I __________________ _ .
ADDRESs _ __.2.Z=='.).,=/,_-_ll ......... 2:=::;,..rJ.-.--,~t.. .... v~c=e.='/l=,t/..L./,.:;._-14....;._ __________ _
BUILDING
0 FOUNDATION
[_=1 REINFORCING STEEL
[_"] MASONRY
C GROUT -GUNITE
D FLOOR AND CEILING FRAME
[=:l SHEATHING
~FRAME
D EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.I.
□ SMOKE DETECTOR
FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: ~ONDAY □TUESDAY □WEDNESDAY □THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY __ £ ....... 'l/.....,'L. .... : -~r;"-,P~ __________ PHONE NO. __ ~----------
PERSON TAKING REPORT __ 'Jy'-"------
. -. ~---,~-,,,,, .... ..,. __ ..,_._.....,,.va;.-,.,....,-..,.~,--,__,,.,_,._ _________ _
~EOUEST FOR
BUILDING
□ FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE ~
HEATHING ~
□ FLOOR AND CEILING F ?
FRAME ---r •
EXTERIOR LATH "
0 INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER \i l ROUGH PLUMBING '\;\,..
TOP OUT PLUMBING ()"
SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
DA.M.
~
TIME·~------C -_l DATE: ______ _
ELECTRICAL
D TEMPORARY SERVICE
\,iELECTRIC UNDERGROUND
t\ 1--ROUGH ELECTRIC
\I POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
OG.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
D DRIVEWAY
D CONDITIONED Al R SYSTEMS
D REFER PIPING
D FINAL
_□ FRIDAY
V,JL--~~, ..... -~ --e....
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO.
PERSON TAKING REPORT _______ _ ----·~---------------------------
... -~ -~ --~ ...... ~..,,,., ., ........ ,. ~, ""'~-, ,,,➔ • '""··--or~._,,.,..., ________ ---
REQUEST FOR ~SPECTION TIME: ___ _
rNsPECToR • --c;__A PERMIT No._%_o_--_3_L_J~_DATE: t'-3-cfcJ
OWNER~
ADDREss_c7'-~....:::~;..._~ :; __ 66_ v__._ r_L_,_~---+~.,r:=..:.=----=:;:;_~--==---==-.;;....=.::(<._~~-'--""-""----
BUILDING
D FOUNDATION
0 REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER ANO PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
OG.F.I.
D SMOKE DETECTOR
D AL
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED Al R SYSTEMS
D REFER PIPING
D FINAL
D MONDA v(;; ~~ \o WEDNESDAY D THURSDAY D FRIDAY
DA.M. '---4 , READY FOR INSPECTION:
□ p .M. 71 ~)---
SPECIAL INSTRUCTIONS ___________ ------»------------------
REQUESTED BY_~-=--=---_ ... __________ PHONE NO. ½lf -2-./fJ-~ I ~P. PERSON TAKING REPORT---~~-----
REQUEST FOR
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
0 FLOOR ANO CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND Pl/CO
D TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
. -~ ..... ..,,,........, ...... ______ . __ ' .,,,, --..-·
TIME-· _____ _
s--/? DA TE: ____ __._L __
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY ~A~ □WEDNESDAY D THURSDAY D FR I DAY
D A.M. ~
DP.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY_~--~--~ ________ PHONE NO. :2,L-7 ~ ts s3
PERSON TAKING REPORT _______ _ ----·•--·-··--------------------------
-~Eaµes~ FO.R ~E_sTION TIME: ____ (/_~--
DATE: --!>_., --0 INSPECTOR .</~ PERMIT NO,
OWNER U(' J ~
ADDRESS ~ 07:A~~"-;rv -----------------, BUILDING
UNDATI0N
D GROUT-GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
ISCE LLANEOUS
NUM AND DUCTS
MBUSTION AIR
D PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY
DA.M.
'/J..P,M.
REQUESTED BY ____ L __ g: __ ~-----,,..,,..-------PHONE NO, _______ _
PERSON TAKING REPORT _______ _
--····-··· .. __ ., . .,------···---------------------
INSPECTION
__.,_..........,._ _______ PERMIT NO. :30--3~l
TIME·-------
DATE-te~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL (>~I ========== \..~ :::-_======== .-----PLUMBING ~ ..----,,--MISCELLANEOUS
J)J. UNDERGROUND PLUMBING LENUM AND DUCTS
D UNDERGROUND WATER D COMBUSTION AIR
0 ROUGH PLUMBING O PATIO
0 TOP OUT PLUMBING D SIGN
□ SEWER AND PL/CO □ GRADING
0 TUB OR SHOWER PAN D DRIVEWAY
D GAS TEST D CONDITIONED AIR SYSTEMS
D WATER HEATER O REFER PIPING
D FINAL D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY )'WEDNESDAY □THURSDAY D FRIDAY
)(A.M.
0P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY~~A:--+~~.uc:...i--,;..L._---------PHONE NO, _______ _
PERSON TAKING REPORT _______ _
,.
ENGINEERING, INC.
476 W. Vermont Ave., Suite 102
Escondido, California 92025
714-7 43-1214/ 727-1818
Job #10.34-80
March 27, 1980
Mr. Ed Ebright
6507 Ave del Paraiso
Carlsbad, CA 92008
SUBJECT, Moisture Test fer Lot 162, La Costa Meadows #1
This letter has been written at your request to verify that
the moisture content of the soil on the above referenced
property is from one to three percent (1% -3%) over the
optimum moisture content as required by Benton Engineering
soil report.
The field sample was taken and tested March 18, 1980 and
the results are as follows•
Optimum Moisture Content---------------15.0%
Field Moisture Content-----------------17,7%
If you have any questions, please contact this office.
RALP M. VINJE
RCE 25115
RMV/et
--~·-~~-·•-,...._ ......... ---•J--•~·-•·•------~·--
ESGIL CORPORATIOH
9320 CHESAPEAKE DRIVE, SUITE 122
SAN DIEGO, CALIFO~~IA 92123
IEC2071
RESIDENTIAL ENERGY LAW STATEMENT OF PLAN CONFORMANCE PLAN CHECK NO. ~--?2-{
Effective July 1, 1978 every proposed residential building must be designed to comply with
the State Residential Energy Conservation Law before a~uilding permit can be issued.
Section A or B of this form myst be completed for each residential building permit applied
for.
A. STANDARD DESIGN STATEMENT
the plans being submitted e proposed residential building at
....qi'-""~...l..f"""-'ll.4--~,,_.Jr,;,~!,llr.l,..:a...-(site) for ....... .....,;~.....,----~---(owner) and the design
1. Total window and skylight gla:ing does not exceed 20\ of the gross floor area.
2. Ceilings, walls, and floors comply with the prescribed amounts of insulation.
3. Electric resistance space heating does not exceed 10% of the anrual heat. load.
4. · No electric service wate heating proposed.
~~-No fossile eled w l heaters. ~~ 'dz""o~~,a.=;.+,&,;,\,---CJli~ am~ &-$'2f.;O-ko Date ~ Licensed. as , State of CA License No.
B. ALTERNATIVE DESIGN STATEMENT
Date
I have reviewed the plans and the required supporting calculations and data being
submitted for the proposed residential building at _______ (site) for
(owner), and the design submitted substantially conforms b_y_th __ e_a~l-te_r_n_a_t_i_v_e_d_e_s_i_gn_m_e_t_h_od_ to the State Energy Conservation Standards mandated
in CAC Title 24, Sections T20-1401 through T20-1414.
Check all items submitted to document compliance by the alternative design method.
It.ems I through 4 are required for alternative designs affecting the building envelope.
r,:::--------7 10 Form l -r Project Date Summary lr7 I • iLJ Form 2 -l Hourly and Annual Building Heat Loss Rate
1 I ID Form 3 -1 Heat Transfer Coefficient, Proposed Construction Assembly I I Q~~~~ _ _-J Alternative Design Swmnary O Forms -Life Cycle Cost Ana-lysis for HVAC Systems {Electric Resistance Heating)
O Form 6 -Life Cycle Cost Analysis for Service Water Heating
O -Statement for Swi:nming Pool Water Heating System O Specify Addi~ional Supporting Data Submitted ________________ _
Signature Licensed a.s State of CA License No.
INTERDEPARTMENTAL INFORMATION SHEET
LDING DEPARTMENT
ADDRESS: 96dt r:f-J.__b ;i_J> I
JILDING RE~IVED
1, 2-. ·C ~,I . #:. I APR2 1980
PLANNING DEPARTMENT
•ZONE ___ t_-_h _____ LOT SIZE ll,~50
'
CITV OFa CAMBAD Bulldlnl Department
LOT WIDTH 'B 6 /'
---------
UNITS ALLOWED _____ "l--______ UNITS PROVIDED ___ J-_________ _
PARKING SPACES REQUIRED 5 PROVIDED __ ~L/ _______ _
% COVERAGE ALLOWED ---------,=---,-----PROVIDED _________ _
3 e /7, _ BUILDING HEIGHT ALLOWED J PROVIDED --.l..-~f~-------
FRONT SETBACK: /
ALLOWED 'J-fl
PROVIDED 'J...~ /
SIDE SETBACK:
~7
REAR SETBACK: z~:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
~ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: 1. 5c/ru,/[us -I~~ r 5t:r~ /'?t,yCc,s '$c,'c,e,/ /J/slrJ~
7, w; I/ N t( If, C~,v ~ ~ .,-,,/f ff f) '-/N I~ ~ Se# f,{~ "fJVifs ~S' c:;,uvlfl'o.s
OK TO ISSUE: ~-fkh-DATE '//f/f() OK TO FINA1---"-"'----+---+-----DATE f -dcf -J'0
--ENGINEERING DEPARTMENT
R.O.W. INDEUS1RIAL WASTE IMPROVEMENTS
SEWER CONNECTION(jLh"-+4-"""'=::;__--DRIVEWAY LO CATION S ___________ _
GRADJNG PERMIT --~11--___ EASEMENTS _________ DRAINAGE ____ _
LEGiL DESCRIPTION ----------------------------
ADD IT ION AL COMMENTS ------------------~--=---
OK TO ISSUE: JJt{,L DATE 1/-7· bt')
FIRE DEPARTMENT
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _____ ~~*
FI RE A LA RMS EXIT S. _____ _,=----,...........~--A-ll.--lK-l'L\-1--IHrl-l-l.._..
FIRE HYDRANTS LOCATION~--~~Hr--l-l!k-Q-u-1"1!....L....-=--=---=ri....-fl:-rl-1---11--li--
., OK TO ISSUE': _____ DATE ______ _
I
WATER DEPARTMENT
-REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
,. ~ ' . ,J\,,lit
LEUCAD.fA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name Robert Hansen
Mailing Address 17152 St. Andrews Ln
Huntington Beach, Ca 92649
Service Address: ~ &; ;;i.-t"-?-t*Luc i ernaga St --------
Tract Description: ~ La Costa Meadows 1
Assessor's Parcel No. 215-290-16 ---------------
Phone No. 846-2466
SEWER PcRMlT ISSUED UPON
REC!:1?T O;-BU!LD'.NG PERMIT.
&!,HD::--:.:; F'.:~L!ff ti.UST Bi:
APPLIED FOR 3Y \0 -\-RD ..
Type of Building duplex No. Units 2 Connection Fee$ 1,200.00
Lateral Size: 411 --6-11--8-11 ~-Sa_d_d_le Easement Connection pre-pd ( 4oo.Oo)
Extra Footage: __ @$ · Extra Depth: ___ @$___ ECX:) .. CO
Amount Rec'd~.CO
Ck. No/Cash · ~ Date Q~...C
Rec 1d By J$>s0 .
Lateral Fee
Prorated Sewer
Service Fee
Total $\-QCQ.(X)
The application must be signed by the owner (or his authorized representative) of
the prope~ty to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant 1s building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the point in the street (or eas~ment) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
ANO APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There will be no
additional fee or refund if service actually conmences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated.
·,
\\Ql.\ _
Account No.
I ';'_t••·• ,•
,<-<';_,:; ·-..;.;,
<:~ .4 -~ ~ <~ -~ << ....
, ,,
; I .... ~ ... · _,.,,,...,.·.-
'· ( ...... _. ~~
r~1 .. r-··
i,.,)" C , ',.~-·' I
~; < This Ce.rtificate issued pursuant to the requirements of Section 306
..,< of the Uniform Building Code certifies that at the time of issuance ~r.!,~
<:': this st~ucture complies with applicable ordinances of the City
j regulating building construction use.
<£s «
d
<?;; ~
~ ~
~ /4 ~ '~ ~ « ~ ~
U:.e Classification __ D_u~p_l_e_x_· ______________ Bldg. Permit No. 8 0 -3 21
Group ______ Type Cons1ruction ______ Fire Zone _______ Use Zone_c.R...:__-_2 ___ _
Occupant Load _____________________________________ _
Owner of Buildin,~......;E;;_;b:;..r;:...:i~g,._,hc.:...=;t _________ . Address 6 5 0 7 Av,e Del Para j s 0
Building Address ·. '.26 2 s· & 30 '. ~-U~i e:('.naga Locality Carlsbad, Ca 9 2 00 8
r . • By a::& a~_z:_
___________________ Oote_.....;A::..::.;:;;u;.cgL:uCC.:s:C-t;:;.._..:;:2..::;9_.;IL.......;1;;:;.,;a..9..a;S~O'--_____ _
NOTE: .lft•T.ation~11 change:s;, 0ddltlons of chan·ges of oe,r;uponcy nullHi.es thi1-cert\fka.t1J.
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