HomeMy WebLinkAbout2639 LUCIERNAGA ST; ; 80-154; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commenctng with Section
70001 of Division 3 of the Business and Profes-
sions Code, and my license is in full lorce and ef-
fect.
OWN ER-BUILDER DECLARATION
Cc I hereby affirm 1hat I am exempt from the Con-
t ,actor's License Law for 1he follow,ng reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
strnct1 alter, improve. demoUsh, or repair any
structure, prior to Hs issuance also requires the
applicant Im such pe,mit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contrac1or's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
emp1 therefrom and the basis for the alleged e,-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
LI, 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 ot-
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 o,
impmves thereon arid 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).
= I, as owner of the property, am exclusively con-
tracting with (icensed 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. ll. P.C.
tor this reason ______ _
Date Owner
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($1001 or less).
I certify that in !he performance of the work for
which this permit is issued, I shall not employ any
person in any mann--er so as to become subject to
the Workers· Compensation Laws of California.
NOTICE TO APPLICANT: If, after making 1his Cer-
tifi~te ol Exemption, you should become subject
to the Wo,kers' Compensation provisions of the
Labor Gode, you must forthwith comply with such
provis!o,1s O..; this permit s~all be deemed revoked.
~STRUCTION LENDING AGENCY
I r. 1 afiirm that there is a construction len-
d,np ;flGy f!!,< the performance of the work for
wt-i1 i• s pe, mIt is issued {Sec. 3097, Civil Code).
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
CENSUS TRACT GP LAND USE
5LOG SQ. FT. BLDG USE
Zo
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER. REPAIR WATER PtPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
CONTRACTOR
QTY.
NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIS_T BLDG EA AMP/SWT/BKR
1 PH .25
REMODEL/AL TEA PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS /
TEMP OCCUPANCY (30 DAY
CONTRACTOR
3 PH
3 PH
/
/
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
DESIGNER'S ADDRESS
RES, UNITS PARKING SPACE
GP ST AN OARD PLAN# PLAN 1 D #
AMT. QTY.
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
Df'.:SIGNER'S PHONE
NUMBER OF STORIES
Not Valid Unhm M11chin1 Cartifisd
OCC. LOAD
AMT.
BUILDING PERMIT
.(f Cl SIGN PERMIT
PLAN CHECK
ALL INCLUSIVE PERMIT
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
M ICO-F I LM
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION AND PERMIT,AND 00
HEREBY CERTIFY-THAT .. ALI, INFORMATION HEREON IS TRUE AND CORRECT ANO I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECiFIEO HEREIN OR NOT. I.ALSO AGREE T6"SAVE INDEMNIFY AND KEEP HARM
LESS THE CITY OF CARL $BAD AGAINST ALL UASIUTIES. JUDGMENIS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS O
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
~ ~
P7"'J_, a1;;_,,4
OF THE GRANTING OF THIS PERMIT. OWNER□
AGENT 0
CONTRACTO-APPROVED BY
BY PHONE 0
SITE ~c-f ~7+ ADDRESS: ... "' . '•. OWNER:. PERMIT. NO:· --. -~ -~· < --FIELD INSPECTION RECORD
' .. •. ... ,,.. ...,1" . ...... -. .·
INSPECTION DATE INSPECTOR •. . INSPECTOR'S NOTES . .. . . ' . -+' . C ' ' \
WOOD FLOOR -' -· . ---FOUNDATION• FORMS• SET BACK • TOILET ·, ' UNDER FLOOR PLUMBING ·-..,_ •. . . .._,,. •·· .._ .I, •• .
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 8: STEEL
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLEl
SEWER
GAS TEST
SWIM POOL• STEEL BONDI NG
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME 7 I r "'\.
• PAN I I -)
I FINAL !NSP BY BLDG DEPT Ff,d/0 ~
I OTHER 'DEPT'S REQ COMPLETED "l ' 'f .. " jELECMETER-PERM-TEMP
!GAS METER-PERM-TEMP -
! t
I
i [_
LcERT oF occuPA~CY 1ssuEo
~
LICENSED CONTRACTOR'S 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-BUILDER DECLARATION
O I 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 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 appllcant to a
civil penalty of not more than five hundred dollars
($500).
□ 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 of-
fered tor 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. II, 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).
CJI, 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 t•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 .. ____ 8. & P.C. for this reason __________ _
Date _____ Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I ha a certificate of con-
sent to self-Insure, o< a c rtilicate of Workers'
Compensation Insurance, it cert fi copy
thereof (Sec. 3800, Labor
~~~1~.;'----l;f-'---,,cl:---\'IM-''---
□Copy Is filed with the city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ii the per-
mit is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
w~lch 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: II, after making this Cer·
t1pca~ of."Exemptlon, you should become subject
I\> t,,l'Workers' Compensation provisions of the
Lsbor Code, you must forthwith comply with such
provision~ or this permit shall be deemed revoked.
• Ill
.; CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work tor
hlr.h thht n111rmit let lcac:.11At1 tSAr. '\OQ7 ~lvll r:nrto\
CITY OF CARLSBAD-BUILDING DEPA RTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO, JOB ADDRESS AV, ST. l°f<TE OF APPLICATION
12 fi3;7 I &, 216 4 9 IL µqiEjr.ljlaA ai
RD
I I I I I I I I I I I I I I I I 1 8 1 4 7 g
OWNER OWNER'S PHONE
PRs;;;;;/C;O~ l, ~Q-+-A M. Emken 7S 1 RlqR
OWNER'S MAILING ADDRESS ':23~°6~ Uv.:JJJ6'i ?Q')t:: r -,,~~~,,.,, C'~
~ ~t: t/LOCK-'· C!!.s~~w.s Q I ASSESSOR'S PARCEL NO. DESIGNER
(~ --~ 'f) DESCRIPTION OF WORK
n,,nl ,::,v l\T,::,w rr,nc:d·r,,,-,+-; r,n DESIGNER'S ADDRESS1a..M~
~
CENSUS TRACT GP LANO USE ZONING
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
120'-{</:l.._
STATE LICENSE V ftJ,,.IS-f l=fn~sl~
CONTRACTOR'S . ~ <0 ~-4;;.~. ~ STATE LICENSE
DESIGNER'S PHONE
•
"R-1
I RES. UNITS
?
I Pf<RKING sPACE sf
#1 1nnn
I NUMBER OF ;TORIES
Not V1/id Unless M1chin, Clrtifilld
BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II r~o-~7~ TYPE CONST * I occ. LOAD I ".! 7 ')(\ T"\,•-1 ,...,,.., n_'l V-N ·~ *w/~HR se-P. ~Lt_ QTY. PLUMBING PERMIT AMT. QTY. M E CHANICAL PERMIT AMT.
?? EACH FIXTURE TRAP (,l ? .. n n Lld. nn ') INSTALL FURN. DUCTS UP TO 100,000 BTU Q•{"\{"\
? EACH BUILDING SEWER -r,i c:: n n 1(\.(\(\ L1. r,f-horc, @~ nAVERlOO,OOOBTU 1')•(\(\
? EACH WATER HEATER AND/DR VENT@? nn .1. n n BOILER/COMPRESSOR UP TO 3 HP
? EACH GAS SYSTEM 1 TO 4 OUTLETS r,i ? (\ (\ ,1. {"\{"\ BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE Q VENT FAN Sl~!GLE DUCT @ ? nn 1(:.. •(\(\ VALUATION: I 5"(,. :2. 79 -EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . 1$17~1.<(";:)
Tc,c,,,.,. ') . {"\ {"\ T--,..,_ 3 .-00 SIGN PERMIT -I ' I I I
TOTAL PLUMBING TOTAL MECHANICAL 39 .00 PLAN cHEcK1 L.?. -du,hcl I I 17.911.:1! 6 5 .00 CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT , I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I/ &4!.i -QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I IL.0~
> c; n NEW CONST EA AMP/SWT/BKR (,l ') c; n?. c;n AWNING MECHANICAL I 1~1-~
1 PH .25 3 PH PORCH MOBILE HOME
..,,
I I I
EXIST BLOG EA AMP/SWT/BKR SET-UP A SOLAR I ' I I I
1 PH .25 3 PH RAMADA, CABANA ,'GT ) I . I I I
REMODEL/Al TER PER CIRCUIT FENCE OVER 6' -oY I I I I
1 TEMP POLE 200 AMPS c::. {"\ {"\ TOTAL MOBILE HOME iv MICO·FI LM I ' I I I
OVER 200 AMPS I . I I ; I
TEMP OCCUPANCY (30 DAYS) C'~-------~~--I I ✓O 1Y~ ~
IssnP ?-nn " .. -~~la I .. I .
TOTAL ELECTRICAL 6 9 5 0 TOTAL FEES PAYABLE I ' I I I . I CONTRACTOR ' I .
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0'" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
MARCOS : ~ 2 , 3 6 6 • 0 0 COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER rL~~ £.Ahn SAN SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ ,,,Q LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND /} ~ \ EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICAN~SIGNAT( rE • o~~ CONTRACTOR□ IAPP~D B~ L, __ :2·1-1~ ~
AGENT D BY PHONE □o/" -.., --
p
SITE $0--l:5'lf ! 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 L_ATH OK• PLACE.STUCCO
FIREPLACE
DAMPER & STEEL -·
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER [POLE)
SEWER
GAS TEST
SWIM POOL• STEEL BONDING
• PRE DECK
• FENCE PREPLASTER /""\
SHOWN • FRAME A, I )
•. PAN II I I/
FINAL INSP B)""BLDG DEPT HIAIPJ 7X-
j OTHER DEPT'S REQ COMPLETED rtf '' ELEC METER-PERM-TEMP I
! GAS METER-PERM-TEMP
I i ' .
I Cj::RT OF OCCUPANCY ISSUED -
REQUEST FOR INSPECTION TIME:-"'-2__,_·'/_o __
1NsPEcToR _____ V .... ,,.,,c.~----PERMIT No __ j,_o_-_li_<:5_!/ __ DATE: _ .... h.._--'-h-=b;;.__ __
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
D EXTERIOR LATH
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
□MONDAY □TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
AL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ~~Jk ,. ~ PHONE NO. 43~-4;>.~2_
\J PERSON TAKING REP0RT-rr~------
REOlJEST FOR
INSPECTOR __ §:' ___ . _____ _
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
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
~ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
~ 1~ 0 ROUGH ELECTRIC
t' POOL BONDING
ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
~.-r--a....1INAL
LLANEOUS
AND DUCTS
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
~ FINAL
READY FOR INSPECTION: D MONDAY ¥,uESDAY D WEDNESDAY D THURSDAY D FRIDAY
D A.M.
D P.M.
SPECIAL INSTRUCTl?Ns· __________________________ _
REQUESTED BY __________________ PHONE N0._-7"'~~~---
PERSON TAKING REPORT..!===:::::=::::.....~....,,....---
--------~
PECTION TIME: _ ____, ____ _ .. -,
INSPECTOR • ~--~=~---PERMIT NO. fe-/ s-y DATE: ____.~'-'-f'....,,."'__..1/~--
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
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
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY ~k;;;URSDAY D FRIDAY
D A.M. I
0 P.M.
SPEC IAL INSTRUCTIONS-----,.,~Ad/'--___J'""'-----'-------------------
l(::1 .r-Y.v ~ ·c::
PHONE NO.~
PERSON TAKING REPORT ,~
C.ORRECTION NOTICE
INSPECTOR
CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525 TIME: --~--,1./''----
DATE: ~eA,__9_1=--~-'-
BU ILDING
□ FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
□ EXTERIOR LATH
□ INSULATION
D INTERIOR LATH OR DRYWALL
PLUMBING
□ UNDERGROUND PLUMB ING
□ UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
EL ECTR ICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BOND ING
□ ELECTRIC SERVICE
D UPPER GROUND
D G.F.I.
□ SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
□ PATIO
O SIGN
'1THER
Note: Final Inspection Required
@PA1Utt A L,L tlOt-e'S @:F/,WIAJAf,L
~ PFli \OO Af:4 -ee e~ oe:o f-fn)e>f?t t11S TD e---b::Ll..., e>Ti', l &e.
@ DA \JLK-fx\..\...-w~ Ql-DSET5 .
~ A:)R \lerft eJf6 3?t>~ t;)'lrfl&/iil ---I..IP )f2fo 5teK MV6r p Jeb Ju
~6 S>t5pi,~
7r,
I
BUILDING
D FOUNDATION
D REINFORCING STEEL
0 MASONRY
D GROUT · GUNITE
D FLOOR AND CEILING FRAME
0 INSULATIO
D INTERIOR LATH
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 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
MISCELLANEOUS
D PLENUM AND [?UCTS
0 COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: ~~ □WEDNESDAY
D P.M.
□THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY _____ _,_~_.;;..;:0"--~~----j;;..__,.,,-______ PHONE NO._?_S_}_-_.>_'-f_J_I _
PERSON TAKING REPORT_...:¥~-----
. REQUEST FOR INSPECTION
INSPECTOR----~-------PERMIT NO. _______ DATE: <
OWNER ___ ~-=--............... ~=-----st_Q~O-~---~-----------
ADDRESS.....J,L.;.-'-~ ___;:~:,__1_-.;:__J___;&___;~:;_____q:.__L_\J.______;:;Cc.....:..\.....::..'v\.____::__"""l""'_...::....,a..,,~-------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
D INSULATION
tp-INTERIOR LATH
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~
(~.·
~-
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND /
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□TUESDAY □WEDNESDAY □THURSDAY □FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
~EQ~;~:t~ :.~Y-,---~~-='v-h:'---.;;__w_ill._,...._ ______ PHONE No1 s-::r ~'-Ii 0
~ v~ ~-C), ~ PERSON TAKING REPORT---<r<------
. REQUEST
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
D MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
~ FRAME
r±J. EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
D A.M.
O P,M.
TIME: ______ _
Ko -/J-.¼ATE: ,_;>-~-J'/
'
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
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY-----,,...,-~----------------PHONE NO. VcP-Yd<dl...L.....:
PERSON TAKING REPORT _______ _
REQUEST FOR INSPECTION
INSPE~Toa __ ~~~--?L"""'"'-'------PERMIT NO.
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
~RAME
/o)XTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
TIME: ______ _
,f'p-/S/f oATE ~
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTIO . TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
TIME; __ ____, ___ _ RE.OU EST
'"'-. ,,
INSPECTOR
FOR INSPECTION
-~ PERMIT NO_p-;Ff DATE: _..,..z{;_" ..... #/ ______ _
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEI LING FRAME
0 SHEATHING c:::-,;-
WFRAME ~ /□'ExTERIOR LATH Qi_
0 INSULATION
0 INTERIOR LATH OR
D FINAL
uc-n-.a."'"'-''d'l'VU PLUMBING
0 UNDERGROUND WATER
~OUGH PLUMBING
/'l'.'.3'-,-op OUT PLUM Bl NG
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
~OUGH ELECTRIC
~OOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
FINAL
0 COMBUSTION Al R
D PATIO j I +,,,,,IV<".'-"A □SIGN /~ t
0 GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY
D A.M.
D P.M.
SPECIAL INSTRUCTIONS,~! ~ ~ ~ /4 d~
7 ~~0 ~<#--w-4/~~~
REQUESTED ~ ~ ~f ~ PHONE NO. L/J/>-L?-'';_--
~, ~--PERSON TAKING REPORT 7~===~
... CQR R ECTION NOTICE .. ~ , . CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT TIME: ______ _
INSPECTOR
BUILDING
D FOU NDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
o EXTERIOR LATH
D INSULATION
D INTER IOR LATH OR DRYWALL
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
ELECTRICAL
o TEM PORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
□ UPPER GROUND
D G.F.1.
D SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER
PHONE -438-5525
Note: Final Inspection Required DATE: _-2_~'-/'-=.3'---=-C".,;...I __ 7
(jj />Bl. S7v.o S V/'_,POAT /:an,_ g 'J v. ,V:,DSSD /2if:
8~ A/~ t:3/~L.4-
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d) PA..-,4;P7 S?'O/ .... <!//,.,.,.....,.A/W A7 C..E,t't..-/A,G. ?,l;i(.,,(5
t...,, D /)1,(c.f . '-G, D a;t e,_
a> I)~ STvP:SVf'/B/4i {?lit...-,61' ~
~ <1) A1jf~ ~ ~,~ Jui>/'
~kh,-9~ ·
TIME: ______ _
0INSPECTOR •
REQUEST f~ INSPECTION
~ PERMIT NO, _____ DATE: I-/:r-£/
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
.9 SHEATHING
/::'FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
'$5. ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
O A.M.
D P.M .
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND 1,& ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
• D G.F.I.
0 SMOKE DETECTOR
FINAL
MISCELLANEOUS
PLENUM AND DUCTS
COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO. __ -+i ___ ,..JJ_.-'--~ __ _
PERSON TAKING REPORT __ ;..._&_._P ___ _
CO~RRECTION NOTICE
l.:.. . en· -
INSPECTOR
-1 _ CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525
Note: Final Inspection Required
Tl ME: ---+-~t-----------~
DATE: ---'-+I P-=-=~~!R-=-1 ~~
BUILDING LUCI~
D FOUNDATION tl 1
o REINFORCING STEEL v:!) {f) ~ 1/1?... /AJ.A~S ~'0/{Pe1{)@.
~ ~:~~~~~UNITE ,n we ~ Or f7/.6P~-
□ FLOOR AND CEILING FRA'C5 ~._D ~ P-u'fjF-. 0
OD SFHREAAMTEH I NG ! ,· l'R'ii---'-':.::....=c..=l=------___:__:L.1..!!!.!~-=--..!........:.=..=..L.._!,__ _____ ~----~
l9 /'7 tr o, e, . p;rQ/JJf/.eio fp?JZ ~
D EXTE R 10 R LA TH ---,"h;;;;;;-r.-~...,...-=------,""'t--,,. -. ~--=:.._r-w-::...----------,-~
D I NSU LAT I ON JU ~ -~=-=-::...=-.LL.=.=:....!ii!!!..__~=-----""~C.:::Z.~:....:=:~----~
D INTERIOR LATH OR DAY~LL
PLUMBING ~ ~
□ UNDERGROUND PLUMBING _{
o UNDERGROUND WATER J .j □ ROUGHT PLUMBING ~ ;-.... £,,t,> OJ DB 1/i!-.
D TOP OUT PLUMBING ~ t}l<AJ-#--,Y /hn>A-4 (£. MTf/ #£. □ SEWER AND PL/CO ~ ~ □ TUB OR SHOWER PAN ~ J-{j,?) ()eC,t;. ~ /rJ12/k-T ,Plf¥Z -....;. □ GASTEST ~ □ WATER HEATER ~ \( fl/¾10. foefffD}LiT o,<;._ ®
ELECTRICAL u._( 6"GJ f/#..)).)/)Jtp Jtfrf!,l>VJ\:L-·
□ TEMPORARY SERVICE r9-·
D ELECTRIC UNDERGROU~ u) FA u //E:A!t ?>FESiet tffl)~
□ ROUGH ELECTR IC ~ □ POOL BONDING ~ ~ or POT Ht1tze rm..,
□ ELECTRIC SERVICE ~ 60 0 ~ tl6)!.T7C'A---L. ,
□ UPPER GROUND
□ G.F.I.
□ SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
0 CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
0 OTHER
(J:) aiJA,eutre FJfiff(#)e ejf!Ad,VJiV
J)~TGTO{J.
(:J) f P.O 01 oe ,KOV rno #Jf'tb ~~
f'o'2,, £:&)ll+ ~ WM vJA--Ck:5
REQU.EST FOR INSPECTION TIME-· ______ _
INSPECTOR----..~--~--"'-I.---<"'."'------PERMIT NO. _______ DATE:_~_~_-_.d--=--_._Q""-----
OWNER------------------------~--------
ADDRESS ____ -;#>~ _ __..,ef,.__,C=-3~2c:............ut-=~::....,,7,c......2_--4,,~=-'--'.c::..L,~,c:;...::~~'----"~~~~~""F--,--
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
D 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
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY □ TUESDAY
D A.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CE I LING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
,,.
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D FRIDAY
SPECIAL INSTRUCTIONS __ □_P_.M_. ---------'"~~""'~a..::;.;;...__--=-----.Ci,--L..--7"",t'+-~-....L.....___ __ _
REQUESTED BY __________________ PHONE NO·-+--+-.i--"'-----
PERSON TAKING REPORT__., _ ___;;._ ____ _
REQUEST FOR INSPECTION TIME: ______ _
INSP~CTO~---~~~~------PERMIT NO. _______ DATE: //-l~ro . .
BUILDING
FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWAL
D FINAL
PLUMBING
C8: UNDERGROUND PLUMBING
0 UNDERGROUND WATER /tl_l ROUGH PLUMBING
0 TOP OUT PLUMBING
)8(' SE~ER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
D P.M.
ELECTRICAL
-;,......--r-P.f:B. ~ TEMf>0RARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
□· .F.1.
· SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
0 DRIVEWAY
~
I /~.,o
I· :p.;
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
EDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCT! ONS __________ _,,L,__~/4a.-,::;;..,""'~-=41~~"'""'"-y-rl-O<t;n,~T:,,,_.=-::?k--::z;,,,.,,,:=-....,w---
/tZ,~ _.,,~
REQUESTED BY __________________ PHONE NO. -4-£2
PERSON TAKING REPORT ('-27'
8N FORM 116
BIA FORM 1480
INSULATION. CERTIFICATION
This is to certify that, in conformance with the current energy regulations {California Adminis•
trative Code, Title 25, State of California*) and approved plans, insulation has been installed in
the building located at:
Carlsbad San Diego
City
2637/39 sir.c Hao. (If ANiieMaj
Luciernaga
DESCRIPTION OF INSTALLATION
ROOff
r...-1te.
Type of -Material _________ Manufacturer ________ Thicknes-s~--R Value"* ___ _
[Ct T !'Id• N11Mi.
EXTERIOR. WAW
Type of Material f'i berglass Manufacturer~ __ __.J.._-,.,_M.__ ___ _....Ihickness,;..J..a½ __ R Value"• _JJ__
(Or T-. NIIMI
aILINGS
IA.TIS: • Type of Material f' 1 ber gl as S
2602
Manufacturer __ _,J..__-... M..__ ___ Thiclme,s 6½
(Or True 11.-1 Sq. Ft Coverllff ___ _
llLOWN: Type of Materia,_ _________ Manufacturer ________ .rhicknH_, ___ No. Bacs.....,---
<Or Tf9ft 111-.)
Wt/Ba.,_g ___ Sq. Ft Cover@Ci ____ R Value••-
noORS Type of Material _________ Manufacturer ________ Thicknes ____ R Value .. __
(Or TtW ,.-,
SI.Al ON GUDE Type of Materi __________ Manufacturer ________ Thickries .... s._ __ R Value .. __
(Or TfNa N-) Width of lnsulation Inches
FOUNDAnON WAW (If required) Type of Materia,_ _________ Manufacturer ________ Thicknes, ____ R Value .. __
(Or TIM• NallNI
REMARKS (lf desired)-
General Contractor (Builder) ______________ License Number __________ _
By _______________ Titl..____________ Oat.._ _______ _
sub-Contractor (Insulation Applicator),_S.......;an ____ M_ar=-c_o....=s----I __ n=s,._ul.,_;a......,.t...,i..,o ... n_ License Number 3--§ G 81 2
B(lyNU!,fffaN/~ ($1ala "SAME .. lf -11 ,..,_, c.inctar)
~ nv, Pre si dent . Date March 17,1981
(•C•Hf-i• ,1,41,.,;.,111,911"• c.-., !n.,., lnoul<lt!N $...,_,,1, ffcl_,
· 'C..•ll.,.ce, u ... •-••-J• ef Ille ino..,llatl.., ef i•wl-".,., • _..
...ifyin• lllet Ille i•ovl•tl.., 1\eo -IHtellM In -'-will, Ille
, ..... , .. -., Ill.-..... ""-.-.11 ... ·------"' , ... io ... ,,.11 ...... 11 .. ,., ..... ,-,, "'· ... 11 ..... TIii• 1 .... ,1111 ... _ .......
canl 111•11 1M _.,. et e ,.,.1•1-• 1...,11.,. wlllll11 lfte d••lll"l,"l
( .. I v.1 ... it ""' ......... ef ltte NthNlftm fl • --~ .,, ltlflldl ..
•--• 141 11M ,.,.,..,. ef lleet. n.. ,..,,,_ •-4• (II w _.,,,,.,. in■o,l<Oti-• 1ilell "'"' iMIINle • .., .,.,_ fw Nfl-lff Nd ... ,)
1Xa1,r ft.-Sec. IH7, ef th9 l!Mltll •• Se,_.,, C:.. ef ltte Shit•
., C.lf-i••
""-_..fl_ w -cy .,, 11•11• .-tlflcatlN tllet ■ -ly <N•
·-..... ,. --. --· ....... ~-w ...,_ -1~.1 dwetll.,. h ~ ... , ... ,. •ll•II l,e iu..... lly •-• a,,,,11dl111 de_,_I ........ 1M ,,...ct,,,. ., 1Nlt ..... 11.. .... 1111111••· ..... , ia1ul•II•
•--• •1to1til1b,.. purt••t 14111111 d>aoew."
Form 116 -:l BUILDING NFNS, INC., 3055 Overtllld AYe., Los Angeles, Cilif. 90034-(213) 870.9871
Form 1486-" BUILDING INDUSTRY ASSOCIATION Of CALIFORNIA, INC., 1571 Befflly BIYd., Los Angila, Calif. 90026-l213l 625-5771
INTERDEPARTMENTAL INFORMATION SHEET
B U'I Li HNG
i ) , 1 ii il .!....,
.. -f V
BUILDING AUG 141979
CITY OF CA.RLSBAD
Building Department
PLANNING DEPARTMENT
ZONE ~/y LOT SIZE LOT WIDTH ------'I~------------------------
'uNI TS ALLOWED ___ ~------it-+-__ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED :1_. PROVIDED +
% COVERAGE ALLOWED ------"?:~·,___~<-----PROVIDED---~--------
BUILDING HEIGHT ALLOWED .;!2-PROVIDED
FRONT SETBACK: REAR SETBACK:
ALLOWED ~
PROVIDED ____ ~L./'~--,,/'--
INTRUSIONS
p
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
~OK TO ,,
-ENGINEERING DEPARTMENT /o2.S-., y 0 o
f ~
R. o. w. .,,.-z:-INDUSTRIAL wAsTE 1 1 , IMPRovEMENTs ur sr, (1/l,. -_..-t> 1...£"-rr '--,::-I 1¥\
1. SEWER CONNECTION ""/Yt?z'(cc..uJ DRIVEWAY LOCATIONS_--=----------
~ };) ,,;:: t'1'>~ '-4 ,.1<, l/ ,,--GRADING PERMIT ~::t, r-s-t / EASEMENTS NOt,ff Hf'• J N DRAINAGE _Q.._/(._..___ __ _
·LEGAL DESCRIPTION_~b='~t~e---'--=-=--=--==-------------------
ADDITIONAL COMMENTS ____________________________ _
FIRE DEPARTMENT
;.:: ~RIUKLING SYSTEM FIRE PROTECTION EQUIP. -------------------
F 'i RE ALARMS EXITS _______________ _
FIRE HYDRANTS __________ LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ ..
.. , . "'
PHILIP HltNKING a1tNTON
r11■a101lNT • CIYU. llNCIIN■l:11
M.. Judy Emken
2836 Caccatua
Carlabad, California 92008
BENTON ENGINEERING, INC.
APPLIED ■OIL MECHANIC■ -f'OUNDATION■
91140 RUfl'P'IN ROAD
SAN DIEGO, CALlf'ORNIA 82123
October 17, 1979
Subfec;,t1 ~ Proiect No. 79-~ y lnapectlon of Lo 263 a Costa MeQdows Unit No. 2
Q J V ✓ And Lot 232, L(I osta Meadows Unit No. 1, ~ ,('\_.? Carl,~d, Callfornla
1\: l5eor M,, Emken 1
T■Ll:PHON. (71<1} l■■.t■a•
In accordance with the request of the Building Inspection Department of the City of Carlsbad,
we have mode Qn lnapectlon of the soil conditions existing on the aubfect Iota,
An Inspection waa made by a representQtlve of our organization on October 16, 1979, and
It la concluded that the soil conditions are essentially the same as presented In our report,
on the 111'Qdl"11 of these subdlvlalons dated September 1, 1971 far Lot 263 and dated
October i2, 1971 far Lot 232, ·
The 10!11 In the upper three feet below finished grades were classified as Type C, and
therefore no special dealgn and precautionary measures for expanalve 1011 <D ndltlona, a,
preaented In the above dated reports, are needed,
i~ there are any further questions concerning the soil conditions on these Iota, pleQM
gontact in.
R.1pectfully aubmltted,
BENTON ENGINEERING, INC.
By~~~<-_; s. A. Shu, civil~
RCE No. 19913
Dl1trlbutlon: (3) Addressee
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GOOD & ROBERTS INC.
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CC11t$l)•d. Ca. 92008 '
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1200 EVA AVENUE
fARLSBAD, CALIFORNIA 92008
_ November 13; 1980
Citp of <lCarlsbab
· _San Diego Gas & Electric Company
P. o. Box . 27
.0.ceanside, C~lifornia 92054
.
Attentio11: Subdivision Coordinator /Mr. Jerry Sprint
Gentlemen:
TELEPHONE:
(714)1i"M"tSJ Lf;i,l--.s ~ ~
SUBJECT: . :: . Dup 1 ex (ABC Condom.1l}i U.1.'!l<l) ___ __. __________ _
2637 and 2639.Luciernaga. St.
Lot #263,. La Costa Me~dows#2 (Add.i>"ess)
Carlsbad~ California (92008)
Owner: M. Emken/D. Seisser
In accordance with Sections 301, 505 and !1301
or 1401) of the Uniform Building Code, this agency has.
determined that there are buildings in subject ----two
projec~t and will issue separate building permits to cover
these group R3 ---· (Rl or R3)occupancies.
•
. ---··--··--·------------..
' .
1200 ELM AVE-NUE
-CARLSBAD, CALIFORNIA 92008 TELEPHONE:
1714) 729-1181
Building Department
C!itp of <tarlsbab
RESIDENTIAL ENERGY DESifillf.f:RTIEJQ\TIOtL
Permit No.. Zl ·· :? / 5
Issue Date. --------
CERTIFICATE .OE illRIN.KE WI.JH a!ERGY COUSEHVAIIOM DESIGN REQUIREMENTS
COi'ITAINED IN ARTia.E 1, PART 6, TIRE 24, CJ\LIFORNIA AI:M. CODE
I , J1s-R<Sem , hereby certify that I am familiar
with the state energy:conservation standard~ mandated in
CAC Title 24, Sect1on T20-140l through 120~1406~ and that the
plans and other documents submitted in support of the ~p~lication
for a building permit at,2_,l)Z.f2_C)o/ J,,,.c,<'rpa~h · kc;/2 la
. Address
"'-,--2--'-'C.ls_· -<2~<f2..-.·-----__._¥_7 _____ . __ ,
Assessors Parcel No. Dated
comp l y w i th a 11 _._....._ requirements of these regulations.
Signature
State License or Certificate No. 97JS:S-/ __ ___,;_._ ______________ _
Date ll/4L?f I .
Submit to the Building Department with permit application.
Form 78-101
•
~---w-=•-------•---