HomeMy WebLinkAbout2685 JEFFERSON ST; MULTI-PERMIT FILE; CB910591; Permit,- 4
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BUILDING.PERMIT'. -.-Permit,-No:-.CB910591
04/08/91 14-'1`6 Project No A9100701
Page 1 .of 1 Development No
JobAddress 26851 JEFFERSON ST ,1 Str Fl Ste '
Permit Type -MISCELLANEOUS.'- 1770 04/08/91 0001 01 02 Parcel No: 155--17.0-20-00 .; -; •. - Valuation 0 '2Qf) Construction Type NEW b I
4 Occupancy Group Class Code Status ISSUED
Description ADD 60AMP ELEC &GAS 4SYSTEW Applied 04/08/91
4 it :-k, -' - •- .
Apr/Issue:, 0408,/91..-.
Validated By KZH
Appl/Ownr SOOHOO, GEORGE ,619-729-0181
3905 CAMINITO TERVISO t
I CARLSBAD, CA- -.92008 ' ,- • L
OWNER SOOHOO, GEORGE 'c OWNER '
----------- -,3C ------
- Fees: /33.0O ,\ . -
Adjuñts: i-ç.po " - -- .00 - Total-Fees:- ' I c3300 7 • .1,, TlPawaerttIs: \ .. - ;00 -'-' i - '- ' - v I1,_Ij -
ipt Balante-vue r 33 00
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2075 Las Palmas Dr Carlsbad CA 92009,019) 438-1161 -, —
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PERMIT APPLICATION . - . . .
City of Carlsbad Building Department . .
2075 Las .Palmas Dr., Carl sbad, CA 92009 (619) 438-1161 •.
EST:
PLAN CX DEPOSIT_____________________________
VALID. BY -
1. PERMIT TYPE .1 . .
DATE
A - DCOMMERCIA . . gNEW OTENANT IMPROVEMENT
B - 0 INDUSTRIAL DNEw DTENANT IMPROVEMENT
C - fgRES16ENTIAL DAPARTMEN1 coNoo ,
INGLE FAMILY DWELLING DADDITION/ALTERATION
-DUPLEX DDEMOLITION RELOCA1ION DMOBILE HOME []ELECTRICAL, DPLUMBING . .. . - .
DMECHANICAL' DPOOL DSPA DRETAINING WALL DSOLAR Q OTH,R
2. PROJECT INFORMATION ' PLAN CHECK No. (?6. FOR OFFICE USE ONLY
Address 2 -,,c' j.rjso'J idor e No 11 1-1/q2r
.
Nearest Cross Streets '0 OW . . .
LEGAL DESCRIPTION . Lot No. Subdivision Name/Number , Unit No. Phase No.
CHECK BELGJ IF SUBMITTED: - *
02 Energy Calcs [J2 Structural Calcs 02 Soils Report l Addressed Envelope
.ASSESSOR'S PARCEL ' . . . EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
P4&iz, r /YZ
BLDG. SQ. PIG. /E6 . # OF STORIES /
3. CONTACT PERSON
NAME ,'ôoNcJ :- ADDRESS 29f' NOE . .
CITY 40
- •)' STATE ZIP CODE '192-0o' DAY TELEPHONE C6/0
SIGNATURE 2'
4. APPLICANT OCONTRACTOR 0 AGENT FOR CONTRACTOR 'WWER ' DAGENT FOR OWNER .
NAME 64>1LG"E ..$'60/4ri2 ADDRESS
CITY STATE £L.4' ZIP CODE 92c a s" DAY TELEPHONE
5. PROPERTY OWNER OWNER OLESSEE []TENANT
NAME 4,Z( T1*0 ADDRESS ZS"7 JP.E
CITY 6rtc5&41, STATE ZIP CODE 9crr DAY TELEPHONE
6. CONTRACTOR-
NAME . ADDRESS . . .
CITY -. STATE ZIP CODE ', DAY TELEPHONE
STATE LIC. H . LICENSE CLASS . . CITY BUSINESS LIC. H
SIGNATURE - . TITLE .' DATE
DESIGNER NAME
-.
, . ADDRESS ,.
CITY . STATE ZIP CODE DAY TELEPHONE STATE LIC.
7. WORKERS' COMPENSATION . .
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-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
insurerthereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY • POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to-the Workers' Compensation Laws of California.
DATE ._:5,-- -
8. OWN R-BiiDER. DECLARATION . . .
Owner-Builder Declaration: I, hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as owner of the property or my employees with wages as their sole compensation, will dothe work and the structure is not intended or offered for sale
(Sc. 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-bui(der will have the burden of proving that he did not build or improve for the purpose
of sale.).
as owner of the property,' amexclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cede:
I; 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 a'id 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, statementthat 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 trl alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
SIGNATURE /( fOC4_ . -, - DATE
- - 'COMPLETE THIS SECTION FOR NON-RESIDENT L BUILDING PERMITS ONLY: -
Is the applicant or future building occupant required to submit a business plarE, 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 WO
Is the applicant or future building occupant requireb to obtain a permit from the air pollution control district or air quality management district?
- DYES HO
Is the facility to be constructed within 1,000 feet of the outerboundary of a school site?
DYES '.I&O
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 CONTROL DISTRICT. - - -
9. CONSTRUCTION LENDING AGENCY
I hereby affirmthat there is a construction lending agency for the performance of the work for which this permit is ,issued (Sec 30970) Civil Code).
LENDER'S NAME - ' LENDER'S ADDRESS ' ,-
10. APPLICANT'S SIGNATURE 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 CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY INcONSEQUENCE OF THE GRANTING OF THIS PERMIT. -
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 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 commenced for a eriod of 180 days (Section 303(d) Uniform Building Code).
CANT'S SIGNA14YE J - 'OWNER DCONTRACTOR D.BY PHONE'
-'
L'' -"WHITE: File YELLOW:-Applicant PINK: Finance - -
C8 /269/
Cityof Carlsbad -
2075 Las PalmasDrlve, Carlsbad, CalIfornia 92009
1 4
kINSPECTION RECORD DO NOT REMOVE
£41APPROVEDPLANSMUST BE KEPT ON THE JOB
. • CALL)ORBUILDINGiNSPECTION AT (619) 438-3101
NOINEERING ALVIFOAL INSPECTION ATI(619) 438-389
B -A cI2 o A'
Id Y
WILDING fZ . .., .
1ECTRICAL1(
#1ECHANtCAL y .
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APPROVED TO COVER I
DATE INSPECTOR NOTES• .;
:OUNDATION'r.
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ASONRY P
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SULATlON ft ..
NTERIORtATH &DRYWALL . ... .
lNAL Ar *.
$EWERAND'BL/CO.DPL/CO4
JNDERGROUNbDWASTEDWATER
IUB AND
IAS-TESTQW~ 30 S7'O. L-4v'-- *
1WATERHEATERDSOLAR WATER
INAL *4s f
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ELECTRICAL . .
J.ELECTRICUNDEBGROUND,O:UFER-,
/ ' ,fl /if
£/ab.. 7/)yL_-' .
J ELECTRIC SERVlCEDTEMPORARY,
3 BONDINGD}POOL4
iNAL '
MMEcHANlcAI ..; : .iy'
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AIR
IENTILATING
:iNAL
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A I
:INALil,-Slgil,,Whon-,ApprppriateAApt*V,~V..f 'N""
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IRE DEP,T 4931 212V $4 /
'LAN NING
ENGINEERING$DEPT438âé34I _______ V . - ';4 :
3LDGINSPECTORS,438.3550(79!m.4pm)
UTILN
fr SEE BACK FOR SPECIAL NUIb
ZONE DATE
PERMIT ,NO. CONTRACTOR .
a-.
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Øectlon 5416 Health and Safety Code, State of California
:T8I15IIbe notless than one water closet for each 20 employees or fractional part thereof work-
jngat a construction Jobslte..
-
-
b)The watercloset shall consist of a patented chemical type toilet or pit privy, provided, however, that
least four feet deep with a well constructed shelter, the openings of
whlchhalçbe flyproofed and with respect to which adequate sanitary and safe flooring shall be pro"'
health officer, other types of toilet facilities or modifications of .*r ctthosespecified, may;beallowed.' x.
(c)Forthe purposeof this section the termconstruction site shall mean the location on which actual. I - - . Construction of a building Is inprogress .,
11-0 -hall constitute a misdemeanor. . -• .
)
-ADDITIONAL NOTES
iirfire tp4 .
47 N
7 74 NR,7;-/I 7), ,, 7212, (-r-j-
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CITY OF CARLSBAD.
INSPECTION REQUEST
PERNIT# CB910591 FOR 05/09/91 . INSPECTOR AREA PY
DESCRIPTION: ADD 60AMP ELEC &.-GAS SYSTEM, ,' PLNCK# CB910591
APPROVED BY TONY MATA . 0CC GRP
TYPE: MISC ' CONSTR. TYPE NEW
JOB ADDRESS:. 2685 JEFFERSON ST STR: FL: STE:
APPLICANT: SOOHOO, GEORGE PHONE: 619-729-0181
CONTRACTOR: PHONE:
OWNER: SOOHOO, GEORGE 'PHONE:
REMARKS: MH/GEORGE/729-0181 INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:-
CD LVL DESCRIPTION ACT COMMENTS '
23 PL Gas/Test/Repairs
**** INSPECTION HISTORY .. .
DATE DESCRIPTION ACT INSP . COMMENTS .
.050391 Rough Electric . CA. MP 'SEE COMMENTS 5/3/91
7J-
B' U I L D I N'd PERMIT Permit No CB930459
05/17/93 12 06 Project No A9300675
Page 1 of 1 ' Development No -
Job Address: 2685 JEFFERSON.ST
Permit Type ELECTRICAL 2344 05'17/3 0001 0i 4 02
Parcel No 155-170-20-00 ' Lot# C-PRMT oo oô
-Valuation:,0 :
Construction Type NEW
Occupanc.yGroup Reference# - Status: ISSUED .
Description: 200ANPS OH. TO-UNDERGROUND Applied: -05/17/.93
Apr/Issue 05/17/93
Entered By; Dc
'Appl/Onr : DUNNWRIGHT'ELECTRIC '619 579-2586 -
976 MERRITT DRIVE #12 i
EL.CAJON, CA 92020
.** Fees Required e to cted & Credits
Fe6s: 070
Adjuthents: .00 Toa rts: 00
Total Fees
/ Bala' 60.
.00
00
, Fee description Units i Ext fëe - Data
- ------------------------. ----- --- - Enter
*ELCTRICALTOTAL
INCORP0RATED
1952
INS
ELEARANCE5/P 3
CITY OF CARLSBAD'
2075 Las Palmas Dr Carlsbad CA 92009 (619) 438-1161
-•
-
-- '-
. . :• ' . - •:
- -..- ..- ,- - - - .- --- - . -.- * - -. _*•_
. 0 -
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 : EST. VAL
PLAN CIt DEPOSIT_______________
VAlID. BY
1. PERMIT TYPE DATE
A - LI Commercial U New Building LI Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________
FOR OFFICE USE ONLY
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW IF SUBMIITED:
02 Energy Calcs .02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope
/ L 'a- CM O Lc "(
SQ. Ff. # OF STORIES
WNIACI PERSON (it different from applicant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
APPLICANT Li CONIHACIOR Li AGENI FOR CONFRADOR DOWNER . Li AGENT FOR OWNER
NAME ADDRESS
STATE . ZIP CODE DAY TELEPHONE
ADDRESS
STATE 0$' ZIP CODE DAY TELEPHONE
A.IN I ItltL 11)11 NM_J/)f JI4 ADDRESS9 " c',,i'ffrtOç. 402
CITY ffC STATE O4 ZIP CODE'T900 DAY TELEPHONE
STATE DC. # LICENSE CLASS CITY BUSINESS DC. #
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE DC. #
WOI{I(ERS WMPENSA11ON
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial
Relations, ora 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 POLICY NO. EXPIRATION DATE
Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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).
o 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 0 N
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 0 N
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT
HAS MEf OR IS MEETING THE REQUUIEMENTh OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISfl(ICr.
ereny affirm that mere is a construction lending agency for the performance of the work lot which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that 1 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 UABI1J[TIES1 JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
0511k 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
uc-h-permiris-stispend or abandoned at any time after the wrk is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE loor y1 / I / DATE:
'DO
0 0
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --- -
- --0 - hereby affirm-that I.-am licensed-under
o pro.visin8F6fChapter, 9',;(commenclng with
I ..- Section 7000) of, Division -3 of the• Business - QI jandProfe8eions Code, and my license is in I
-I--fuii force and effect— I Lic. No. __________________ Class
, - I hereby, affirm lhai I am exempt from rthe Conirac f ,
- tor 's License Law for the following reason 4)Sec 7031 5 I
Business and Professions Code Any city or couotV which re
- - quires a permit to construct, alter, improve;- demolish, or -'
- repair.any structure, prior to its issuance also requires !heap- vi phcvnt for such permit to tile a signed statement 'that he is'(I-'
—'licensed'pursuant tOthe provisions 01 the License Law (Chapter 9 commencing with Section 7000 01
- ....,._ Division 301 the Business and Professions Code) or that is en- empi therefrom and the basis tor-the alleged exemption: 'Any
violation of Section 7031.5 by an applicant to, a permit sub ' jects the applicant to a-civil penalty of not more than five hun' .,.. fl * - dred dooars'($SOO).- - *-- -
,D tao owner of the property, or.my employees with-wages - as thes;sole compensation, will do the work, and the struc---- tureis not intended or offered for- sale(Sec. 7044. Business and Professions Code The Conlractor s License law does A 't not apply to an oPener at property who builds si improves
rn thereoo and who does such work-himsed or through his own u-..--
-: \ employees, provided that such imprnvP.myntsare not intend- W ed or uttered for sale It buwever the building or improve Z '-' meot is sold within one .year'I completion, the ewner-boildOr
will have the burdenot proving that he did not .baild or im- I
- ..-prove-for the purpose of sale).
- , 0 I. as owner of the property, am exclusively, contracting .1
- with licensed contractors to construct the project (Sec. 7044,
L ' - , Business and Professions Code: The Covtractor's License - i-'- - -- Law-does'oot apply to an owner of property who builds or im-' 1
ti proves thereon and who contracts for each prolects with a'
contractor(s) license pursuant tu the Contractor s License
..•. .- '
0. As a homeowner t0m improving my home, and the 10110w--
s :t'° conditions exist: ,vrnx.* - -. -' iS- The wurk-isbeing performed- prior to sale. -, -
' 2.11"1' have lived in my home lot twelve months - prior to comptetiov vlthis work.-p ' - ' lxi .,,, ,_..... have not.. clainied -this,exOmption during 'the 0 . , last three years.
0 lam exempt Under Sec. - B & P.C. jh for this reason C I '-f4 I
QI hereby aft rm that I ha e a cerl f cate ot consent I
to. seit-insure -Or a certificate of Workersa
k .Conspensation Insurance or a certified copy thereof . -.
- (Sec. 3800 Labor Codel:- - -- - -
, 0x..r.....- $
I"COMPANY affd.. 0 Copy isf ied4 in'The c ty/
- -., __.z _.- . .-. C '• 0Ill.-Certified copy is hereby furnished
. .-,-- --- --n---' .- •-'-- ¶
- -- -"-' -WORKERS' COMPENSATION 1NSURANCE-
-' u1'("hissecfon need not be completed it the permit I
, ''rsior onehundred dollars ($100) or less)
.r ,D 'uE'riily °tfaI in the pertormance of the work to, I 0 - - which this permit is issued.' I shall not employ any-
- person in any manner so as to become subject Id
the Worfxers, ompensation Laws of California
i1 t.4.J'' I - .- r P e NTICE TO APPLICANT-' if. afte 0 r-ma-king this Certit
ficate Of Exemption. you should become suub)ect to the Workers Copensation provisior(s Of the Labor
' p Code, you must forthwith comply -with.. such -
,
m
thiPer7it shalt be deemed revoked 'I
*
IX
'1Z 0 I -t,e,eb ;affirm , trial there is a construction
141.1
I lending agency for the performance 01 the wOn' to,
- 4 OI'MI hictr.thiS.permit is issued ISec 3097. Civil Code)
I - - - - -- - r--5--#'-- . •4.. I
ui
-ii ..i-,. 41W.• -
-Lender's Address--- L,, • '-•-' - I ----
-- - --. CARLSBAD BUILDING DEPARTMENT.— ' APPLICATION &FEAMiY - 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 -- - - -- , -
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER -
- -
. - -- ---*-
ZONE -------------
..
LOT BLOCK ,S OtV)
-
O ASSESSOR PARCEL NO. CONTRACTOR - CONTRACTORS PHONE C - -
OWNER'S PHONE OWN OWNER At, ME
LICENSE NO. PLAN 1.0. It BLDG USE CObE 7
- OWNER'S MAILING DRESS
DESIGNER LICENSE Is STANDARD PLAN #
- .
BUILDING SO. FOOTAGE-:
- DESCRIPTION OF WORK - -
- -
- - DESIGNER'S ADDRESS DESIGNER'S PHONE - -- - -. -- -- - - -- "- -- ---- -- -
riPe -- FLRELE NO OCCGP EDU .
'1 'D D' s---
STORIES
.
- v - :- - '' . ' - • - - -
CENSUS TRACT GP LAND USE * PARKING SPACE 1 RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE -- 0CC LOAD FIRE SPR
0 yD N01
CONST
00/n/Gh1aM 7Vhed "Ile 2SO sO N 0 rD ND t
PERMIT iSSU1E dry MECHANICAL SUMMARY/ACCOUNT OTY jPLUMBING
,
7. PERMIT ISSUE NUMBER -
j*e EACH FIX TURETRAP INSTALL FURN DUCTS UP TO 100 000 BTU - BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER - '- -.- --.' ----OVER -100,000 BTU -'.SIGN-PERMIT- - - - - 01 00008221- - ---'--'--'-'---- -
EACH WATER HEATER AND/OR VENT x R/ BOILECOMPRESSOR UP TO 3 HP t PLAN CHECK 01-00-00-8806
"EACH GAS SYSTEM I 104 OUTLETS -' BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-00-00-8222
'--- EACH GAS SYSTEMS OR MORE '- 4-.... - - - METAL FIREPLACE - -t - - '- -.- - ?ELECTRICAL -- - - -'-01 -00-60-8223,!----- -
'EACHINSTAI.. ALTER, REPAIR WATER PIPE - - ' . - - VENT FAN SINGLE DUCT - , - - - 4MECHANICAL 01-00-00-8224 -
(EACH VACUUM BREAKER - ., MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 00 OQ 8225
WATER SOFTNER -- - - RELOCATION OF EAF URNACE/HETER - MOBILEHOME PARK-INSP-- ----- ---- - - - --c -
EACH ROOF DRAIN (INSIDE) I SOLAR 01-00-00-8226
- - - '-TOTAL MECHANICALi- r
TOTAL PLUMBING'-
- - STRONG MOTION 809233 ôig -- --
- - FIRE SPRINKLERS, 01 00 00 8227 - - -.'- -
OTY
'
ELECTRICAL PERMIT ISSUE j QTY SOLAR ISSUE- 3200008933
-BRIDGE
PUBLICFACILITIESFEE
FEE
NEW CONST EA AMP/SWTBKR 4 COLLECTORS I SCHOOL FEE DISTRICT
- A l PH 1 3 PH ii STORAGE TANKS Carlsbad 80-92-21-0519
-
EXIST BLDG EA AMP/SWT/BKR -- '-1-'- ROCK STORAGE "' ' ' ' ' - Eocini(as - - • -81i-92-22-0519*
1 PH 3 PH ! - I PUMP San Duegulto 8092-23-0519
REMODEL ALTIR PER CIRCUIT' ' PLAN CHECK FEE 1 4 San Marcos I 8092240519
'-TEMP POLE 2O0AMPS - - - . Lii • -
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t - . 4-- - -
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Ji jTEMP OCCUPANCY 130 DAYS) I
- ' - -- - - - -
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- - -- -• - .CREDIT DEPOSIT. , --------- ---
TOTAL ELECTRICAL - TOTAL'SOLpR TOTAL FEES PAYABLE
- - - -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bylhe Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void.If the building or work 5,0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit on i7th buildinq or wo
commenced
rk authorized by such permit is suspended Or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO.COM PLY WITH ALL COUNT AND STATE LAWS GOVERNING BUILDING CON- -CITY abandoned at any time af)er the work is commenced for a period of 180 deco. -_- -- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - - - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT'S SIGNA ,UE * OWNER CONTRACTOR r5 APPROVED BY',DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 4,j6ó' BY PHONE 0 - GRANTING OF THIS PERMIT
- TYPE I _- DATE INSPECTORS
- BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME..-
SHEATHING' 0 ROOF 0 SHEARS.
FRAME
EXTERIOR LATH
INSULATION •-"-- .,:
INTERIOR LATH & DRYWALL. .- ..
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ci. PLUMBING. -
SEWER-AND BL/CO cJIPLJCO L. a (
UNDERGROUND 0 WASTE 0 WATER
TOPOUT-' ;LJ WASTE •.D WATER
TUB AND'SHOWER PAN
GAS TEST
DWATERHEATER U.SOLARYVAER.
ELECTRICAL - - -5
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Cl ELECTRIC.,-UNDERGROUND .0 LiFFERt .. .. ••
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORARY
O BONDING -0 POOL'S.
.7-MECHANICAL'
D:.DUCT &'PLEM:, .. E REFPIPIN -a •.. - - a.--
HEAT -AIRCOND.SYSTEMS
VENTILAT.-ING5SYSTEM8
CALL. FOR FINAL INSPECTION WHEN ALL:APPROPRIATE
- ITFM ARflVF I4A VF' RFFN APPROVFI) -
FINAL • -
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MECHANICAL.........
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STRUCTURAL CONCRETE
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PRESTRESSED
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455•
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -'Ext. 36
For Applicant to Fill In
Owner's Name
:::
Contr. Address
To Const. 0 To Add 0 To Alter ert 0
lo Move From -
Type of Const. .,
Frame, Masonry, etc.
To Be Used For 'A2c-t_4S-its-1-¼___--
Kind of Foundation? of Stories.
Floor Space (Sq. Ft.) d4 4z/
Atteched___________________ Garage Floor Space (Sq. Ft.)
Detached________________________
Legal Description
Lot Block
Subdivision - or
Section Township Range
No. of Existing Building
Will this construction include y plumbing installation or alter-
ation? Yes 0 No
Signature of Applicant
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRID NTIA9 PRpPERTY.
OF
SIGNATURE ___________________
Application for BUIlDING Permil
7542 Building Permit Fee
JUL 21-64
Building Dept. Use Only
BuildingAddress _i_I
St. Near
_Q 2----
SetBack. Bldg.Valuation
FrontP.L. MainBldg.
SideP.L. Garage
Rear .P.L. Other
Group Zpp APPj&
Contractor City Bus. Lic. No. ____________________________________
Water Meter Sewage Dispàsal System
Inspection Record
Utility Company Notified - Date By
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT 8318
729-1181 -Ext. 36
For Applicant to Fill In
Owners Name 42,0F C '4
Moil Address .2 r(15
Contractor - 'T ,V' •
Contr. Addressi.- I1A"
*
' 9z;;/
To Const. To Add 0 To Alter 0 Convert 0
Move From
Type of ConstA.
Frame Masonry, etc.
To Be Used For
Kind of Foundation t___—No. of Stories
Floor Space (Sq. Ft.)
e Floor Space (Sq. Ft.) Attached___________________
Detached_________________
Legal Description
Lot Block
Application for BUILDING Permit
Building Permit Fee
02430*******6.00
Building Dept. Use On
Building Address _Y_
St. Near
SetBack Bldg.Valuation
FrontP.L. .,• MainBldg.
SideP.L. Garage
Rear P.1. Other
Group Zone Approved by
Contractor City Bus. Lic. No.
Water Meter Sewage Disposal Sys*em
Inspection Record
Subdivision or
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes 0 No
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.A
SIGNATURE I_( I/I-1'1_ OF PERM ITTEE
Utility Company Notified - Date By
Final
If a check is tendered for payment for the above fee and the
check • is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.