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Home My WebLink About2720 Jefferson Ave; ; 81-243; PermitCl) z 0 j:: C CE: C ..J frl Q IC ![ 0 u D I h•••by affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No Class I hereby affirm tti.t t am exempt from the Con· ~~~·~~~~::: ~ ~f~~.:1~~'~.'~ county which requires a permit to construct alter. 1mproi;e, demohsh. or repair any structure, pnor to ,ts issuance also requires the applicant for such penmt to hie a signed statement that he ,s hcensed pursuant to the provisions ot the Con· tract0t's License Law (Ch.-pter 9 commencing with Sectt<>n 7000 of 01v1s1on 3 of the Business and Pro· fe,s1ons Code) or that ,s exempt therefrom and the basis tor the aneoec:, eJCempuon Any v1olatton of Sectton 7031 5 by an applicant tor a permit sub1ects 1ne apphc.nt to a c1111I penalty of not more than hve CE: "' 0 ..J :5 ~ dollars ($50()) owner ot the property. or my employees ages as their sofe compensation, w,11 do the w<>ftc:. and the structure ,s not intended or offered for s.ie (Sec 7044, Business and Professions Code I "' z ~ 0 z 0 ~ Cl) z "' II. :IE 0 u Cl) er w ..: CE: 0 3 1[ The Contractor's License Law does not apply to an owner of property who bt.ulds or improves thereon and who does such wOfk h1mseff or through h,s own employees. provided that such improvements are not intende1 or ortered for sale II. however. the building or improvement 1s sold within one year of complettOn, the owner builder will haYe the burden ot p,ov1ng thllt he: dtd not build or improve tor the purpose of sale) [] I. as owner ot the property, am exclusively contrachni with licensed contractors to construct the pro)8Ct (Sec 70,4,4, Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves ~':~,;~ ~~~c~n~:!~ ~ff~'~\~;;:.; License law} 0 I am exempt under Sec f()( this reason . B & PC 1i('i' hereby affirm that I ha"e a cert1t1cate of consent 10 self-insure. or a cer11t1cate of Workers· Compensation Insurance. or a cert1f1ed copy thereof tsec 3800. Labor Code) POLICY NO COMPANY 0 Copy IS ftled With the City 0 Cer1'11ed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This sectton need not be completed 11 the permit 1s tor one hundred dollars (S100) or less) 0 I certify that 1n the performance of the work tor which 1h,s permit 1s issued. I shall not empl0y any person m any manner so as to become sub1ec1 10 the Workers· Compensation Laws of Gahtorn1a NOTICE TO APPLICANT It. after mak1n~ tn1s Cen, hcate ot Exemption. you should t>ecome subJect 1'> the Workers' Compensation prov1s1ons ol 1he Labor Code_ you must forthwith comply with such prov1s1ons or this permit shall be deemed revoked 0 I hereby affirm lhal there 1s a construction lending agency for the pe<1ormance of the work for wn,ch lh1s perm11 ,s issued (Sec 3097 C1v11 Code) Lenders Name ____________ _ Lender's Address ------------ USE BALL PDl,ri PE8'()NLY & PRESS HARD APPLICAN" ')FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ·-~~~~~~~~~~~~~~~~~~~~~~~ V\ trV"Y CARLSBhJ BUILDING DEPARTMENT APPLICATION & PERMIT ~ 1200 Elm, Carlsbad, California 92008 {714) 438-5525 JOB AOORESS ::>., :lo Je Fr'el<S.a ~ A~i.T ID~:;:,1:~;1 BUSINESS l.lCENSE # r.s: r,.,;Ar:t~,. + e~ vJ /.)(:: l:/l o.ER',3;~ a c~l, t-C SJ k~v b cJ 7;~R'iiH°i~ CONTRACTORS PHONE • OWNER'S MAI LING ADDRESS -. lj.ONTRACTOR"S '\DD RESS j C U:,-Q-0 C:--_ I IN\ .~ 27 ";).o ~ FF='e~.!01.u-~t<LSJ"3~_.io C'~ CA-~<. <:, A '1 r./) r'I.+-\- L.ICENSE NO. LOT foiESi:"iti;:;:;:c;;;c)F\~~------;--;-L.,,J;,:.~.c::Q.-=-~~_L-="J--,L __ _J ~N lAtJ~Y J ~ o:i~q r----f~~J..!LJJ.~l..1..-4---_.L:::t::'.Q~~~:..._--_jC.Q._.E_:.._ ____ _JI OESIGNE R'S ADDA ESS OESIGNE R'S PHONE vsc /ts D FP/C e ~~, ~r, U 7~·tA71- L- CENSUS TRACT l GP LANO USE 1 PARKING SPACE RES UNITS il F/P FLA ELEV. GRADING f'.ERMIT ISSUED YO N 0 vO NO I REOEVELOPMENT AREA vO NO NO I occ GP I EDU STORIES TYPE I occ LOAD I FIRE SPR CONST vO NO VAL.UATION PERMIT NUMBER 1.Joo g J,_ yt/,~. zor-f-6Z p1):~f 3 BLOG USE CODE STANDARD PLAN# BUILDING SO. FOOTAGE I 7/14/815106 287~QC: I onri 15'io6° '1ii ti10 1 '1!37;0 Not Valid Unwss Machine Certifittd QTY. "7 1"~ QTY.I MECHANICAL PERMIT -ISSUE I 3.---r SUMMARY/ACCOUNT NUMBER I -r::. PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP 1 , I I J ,NsTALL FURN. oucTs uP TO 100.000 BTu I I q.. _ 1 BUILDING PERMIT r LC/. ~- EACHBUILOIN~SEWER --~ I OVER lOO]O_O_B_T_u __ ~-----~S_I_GN_PE_R_M_rr ____________ ~---~~~~~ -, EACH WATE~R HEATER ANO /OR VENT TO 3 HP PLAN CHECK -,,..-=-------------l-----=---1---------------I-----L.::l=----==--i EACH GAS SYSTEM 1 TO 4 OUTLETS 7" TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE C. ELECTRICAL ~ EACH INSTAl. ALTER. REPAIR WATER PIPE MECHANICAL 7 - EACH VACUUM BREAKER MOBILEHOME WATER SOFTNER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR ECHANICAL STRONG MOTION 1-· --TOTAL PLUMBING /' FIRE SPRINKLERS ·-- PUBLIC FACILITIES FEE ,-. QTY. SOLAR . ISSUE BRIDGE FEE ---- -l--\-.f-1!-,l-+---"---+-----------------+------11--SCHOOL FEE -DISTRICT Carlsbad l-lf-f-4---~---------------11--------11---~ ------------~-1------------l ROCK STORAGE Encinitas PUMP San 01egu1to t I PLAN CHECK FEE San Marcos _ . TEMPPOLE OVER 200 ~~DAYSI ~ ----1----+----- --~~-.-..---7 TOTAL ELECTRICAL l i-TOTAL SOLAR TOTAL FEES PAYABLE 1 ;;'17 '!.: ~E CAREFULLY EXAMINED THE COMPLETED "APPL.ICATION AND.PERMIT" AND DO HEREBY Expir•lion. Everypermttl.....«lbylhe8uitdtngOmc,alundertheprov19ion1ofth11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ohalt expire by hm1lat1on end become null end void If the building or work DECLARATIONS ARl:TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,zed by such perm,111 nol commenced wilhin 180 days from the date of such 7 * AN OSHA PERMIT IS AEOlJIAED FOR EXCAVATIONS OVER s· o·· DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCT\JAES OVER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WITH AL.L CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· permiL or tf Iha bulid•::x or work •uthoru:ed by such perm,1 11 suspended or STRU~ION,WHETHERSPEQFlEDH~R8NORNOT IALSOAGREETOSAVEINDEMNIFYAND ~-~~~~~~~~·~l~a~n~t~,~~~a~~~tt,e~~w~or~k~ll~co~m~m~en~ced~~~~r~a~~r~,~~~~~t~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND (tiF' \'CANT'S SIGNAT~ Jf-A u!:_JWN DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . ~ • GRANTING OF THIS PERMIT ~<--..e,1-1:l. u ~ ~~~~~~~~-air-h ' 7 INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING I ,J FRAME )(/ 11 ti Yf') EXTERIOR LATH lNSULATION J J, v, INTERIOR LATH & DRYWALL >r1 I 'I 17~ PLUMBING ---, I SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPO RARY POWER ELECTRIC UNDERGROUND I l ROUGH ELECTRIC 9t"ft1 17. ryv ELECTRIC SERVICE V/, , BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL I MECHANICAL 111 ,1/ • GAS 1 , 1~ YfY BUILDING I I • SPECIAL CONDITIONS CERT OF Q°CUPANCY ISSUED FIELD INSPECTION RECORD REQU IRED SPECIAL INSPECTIO NS INSPECTION REQ IF INSPECTOR'S CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRE'fE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED -~--·-- CONCREtE I FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ,. <. . - """ • . - g I ,. :;., '--f -z., •. . ' INSPECTOR'S NOTES . DATE I , > ·""._-,---- ' ~ ~ - --- "'- -. .. ~. .. ' ' , \ < ' .,,, ' --""· ·~ - - •,=' -. . \ .. . .. ... . .. . -•. •· '. I --. ....., \ -·, . .. ' J .. -i' ...._, l .. . -\ \ ' \ ' . ~~ . ---. ' )1, r VALIDATION City o, Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business w,11 be conducted 2720 Jef ferson Building 81 -2 4 3 Permit No. Name of Occupant Address of Home Office of Occupant ,t different from above 0 :t--+o 13 ,t-N t:) e A E /IL Owner of Bu1ld1ng C./1t-f1e11u:;: Sc_h l¢h r.,,C>C-Y' Type of Business "" OF-,c..c Describe exact use of all portions of each building and lot en Previous use of Building Type of flammable or explosive liquids to be used, if any Address Home Office Phone ?. , 10 ..J~ Pre If.so,-...; C. -<tR LS .d P: &Q Phone 7 ;,a, 1/"3 l I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury. Dated this Signature of Applicant Use Zone Planning Department Engineering Department Fire Prevention Health Department Building Department White -Building Dept. Signature of Building Off1c1al FOR DEPARTMENTAL USE ONLY Type of Construction Disapproved By Disapproved By Disapproved By Disapproved By Disapproved By Yellow -Applicant Pink - Finance Gold -Fire Dept. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT Ih\1ECEIVED BUILDING ADDRESS: JUN 18 1981 CITY OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE tt-e-q LOT SIZE LOT WIDTH ------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PROVIDED PARKING SPACES REQUIRED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED __________ PROVIDED FRONT SETBACK: ALLOWED F'ROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK: ENVIRONMENTAL PROTECTION REQ: ~~~~____,~-Vo!~~~~~-~\ _O_K_T_O_I_S_S_U=E~: .:__:_____;1--~=D:._A::::....T_E---I.L'~~~O~K-T._O---=-FI_:_N.e...!A-=--L :====:::-=--=-~~~-=-D_J.A__.,T,_E~~~~___.:_--'---_--=--~,:..,e~ J ENGINEERING DEPARTMENT~ R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------- SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS _________ DRAINAGE ~~~ LEGAL DESCRIPTION ---~~~ ADDITIONAL LLl=<:,.TED \J OK TO ISSUE: FIRE DEPARTMENT SPRit;KLING SYSTEM FIRE PROTECTION EQUIP·-------- F I RE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: JATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _