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HomeMy WebLinkAbout2720 LOKER AVE W; MULTI-PERMIT FILE; CB072986; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-03-2007 Plumbing Permit Permit No: CB072986 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2720 LOKER AV WEST CBAD St: M PLUM Status: Parcel No: 2090812800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: SCUDELLARO: NEW SINK & 3 OUTLE Inspect Area: Applicant:. DESIGN/BUILD TENANT IMP. SUITE B 9770 CARROLL CENTER RD. SAN DIEGO, CA 94126 619-954-9519 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain lnstall/Repair·Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 1 0 0 0 Owner: FENTON H G COMPANY 7577MISSION VALLEY RD SAN DIEGO CA 92108 ISSUED 12/03/2007 JMA 12/03/2007 12/03/2007 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL Inspector: Date: /,---.;;2.. 'f-OJ-clearance: $47.00 NOTICE: Please take NOTICE I at approval of your pr9ject includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar applicatiofi·processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have revi I been iven NOT E similar to this or as t which the statute <if limitations has reviousl otherwise ex ired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-6'02-2711 I 2718 / 2719 Plan Check No. Cr3CJ7-:;2q 8-.k, Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date t2-. 3 / UNIT# D APN · ZcP\-oBI -:28 -(JO PHASE# II OF UNITS # BEDROOMS TENANT BUSINESS NAME CONSTR. TIPE OCC. GROUP ~\)~~ lll-t-J 'B/S DESCRIPTION OF WORK: EXISTING USE PROPOSED USE ,GARAGE (SF) PATIOS (SF) FIREPLACE YESO#_ No)( AIR CONDITIONING YES);('No D FIRE SPRINKLERS ~t:5 ~t.6 YE NOD CONTACT NAME (lf_Dffferent Fain Appl/cant) ADDRESS CITY STATE ZIP STATE ZIP a.A.-VL> PHONE FAX EMAIL ADDRESS e:Xf!-. W., re ZIP .°tZ,.,1<=1 STATE ZIP lA q<mJ,P FAX '65~-·~'} ARCH/DESIGNER NAME & ADDRESS STATE LIC. II STATELIC.11. .~4 CLASS b (Sec. 7031.5 Business and Professions Code: Any City or·count)'. which requires a permit to construct alter improve, demolilh or reP,air any structure prior to its issuance, also requires ihe applicant for such permit to file a signed statement that he is ficeqsed J!ursuant to the-prqvisions of·the Cqntrac,ior's License [.aw {Chapter ,9, commending with Section 7000 of Division 3 of-the Business· and Pro/essions Code} or tharhe is exempt therefrom, and the baSIS for the alleged exemption. Any violation of Section 7031.5 by any-apphcant for a permit sub1ects the applicant to a CIVIi penalty of not mo~ than five hundred dollars {$500}). . . · · : :_fuj@iti:m Workers' Compensation De'claration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a ce~ific~te of consent to self-insure for workers' compensation as provided by Section 3700 of the Labqr Code, for the performance of the work for whicti this permit is issued. 'f:1f I hav~ and will maintain workers' compensatioQ, as requi~ef by Section 3700 of the L bqr C ,_.for the peiforma_nce ,of the work for which this permit is issued. My workers'compensation insura~ce carrier and policy /" number are: Insurance Co, . . · vµ oµ"=f) _ Policy No. f,\:C,~t51 -?:, . . Expiration Date QI ·DI · o?--., This section need not.be ,completed if the permit is for one hundred dollars ($100) or less: · · · D Certificate of Exemption: I certify that in the performance of the work for which this-permit is issued, I shall not employ any person in any manner so as-to become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' compensation is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensat\on, damages as provid f tn·Secti 37 of the labor code, interest and attorney's fees. · · 25 CONTRACTOR SIGNATURE """'-·_.....,"" DATE ~-.;;:::::::;;:=..,,.,.,.,,...,,.=...,....,...-..,...,._,_-,--,-.,....,.--=:;.,,.,....:::;:__..,....,.,_,,..,...,.,;.,-,--....,.,,.....,...,..,.,.,.,,,.,..,,,.,...,,,.,..,.,,,,,,,,,.,.,,,.,....,,,.,.,.,...,,j , ®$~sf:rJ-,filill_U{tUJ~ '·,,,' A .,._ ':,>:· I hereby affirm that I am exempt from ·contractor's License Law for the following reason: D 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 lice~se Law does not apply to an owner of property who builds or improves thereon, and who does such work hfmself 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). O I, as owner of the properly, 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). D I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of !he proposed property improvement. D Yes D No 2. I (have/ have not) signed an application.for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license_ number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and·provide the major work (include nam_e /address/ phone/ contractors' license number): 5. I will provide some of !he work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type Of work): - 25 PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disirict? 0 Yes O No Is the facility to be constructed within 1,000'feet of the outer boundary of a school site? · 0 Yes O No IF ANY OF THE ANSWERS ARE YE!;, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE: APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name Lender's Address I certify that I have read the application and state that the above infonnation Is correct and that the information on the plans is accurate. I agree to compiywlth all City ordinances and State laws relating to building construction. lJ,ereby authortze representative 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 l:IABILITIES, JUDGMENTS, COSTS AND EXPENSES Wi-llCH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemilt is required for excavations over 5'0' deep and demolition or construction of structures wer 3 stones in height. EXPIRATION: Eveiy permit issued by the Building Official unde · · ·s Code shall expire by limitation and become null and void if the building or work authortzed by such permit is not commenced within 180 days from the date of such permit or if the building or ortzed by such,pe It is suspended (! abandoned at a_ny time after the work is commenced for a pertod of 180 days (SectiOll 106.4.4 Uniform Building Code). 25 APPLICANT'S SIGNATURE DATE City of Carlsbad Blqg Inspection Request For: 01/23/2008 Permit# CB072986 · · Title: SCUDELLARO: NEW SINK & 3 OUTLE · Description: Type: PLUM Sub Type: Job Address: 2720 LOKER AV WEST Suite: M Lot: 0 Location: APPLIGANT DESIGN/BUILD TENANT IMP. Owner: Remarks: Total Time: CD D~scri,ption 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 12/28/2007 89 Final Combo CA RB 12/12/2007 21 Underground/Under Floor AP RB. 12/12/2007 24 RoughITopout AP RB Inspector Assignment: RB --- Phone: 6199545234 Inspector: ---- Requested By: ROBERT . Entered By: CHRISTINE 12/12/2007 34 Rough Electric CA RB NO NEW OUTLETS 01SS City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-20-2005 ., Plumbing Permit Permit No: CB050197 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2720 LOKER AV WEST CBAD St: P PLUM Status: Parcel No: 2090812800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ,_ PROGRESSIVE MEDICAL-ADD SINK Inspect Area: FOR LAUNDRY A~~:..:=-:-=.. ____ ~ ·[)~SIGN/BUILD TENANT IMP. SVl"F~s__--- 9770 CARROLL CENTER RD. SAN DIEGO, CA 92126 619-954-9519 Plumbing -Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Une Water Heater and/or Vent Gas Piping system Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES 1 0 0 0 0 0 0 Owner:· FENTON H (3 COMPANY 7588 METROPOLITAN DR $AN OIEGO CA 92108 ISSUED 01/20/2005 RMA 01/20/2005 01/20/2005 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 -$0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: . $0.00. Balance Due: $27.00 FINAL APPHOVAL Date: 2----i.--OS' 0034 01/20/05 0002 01 02 CGP 27 .. QO Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must folloW·the,protest procedures set forth in Government Code Sectton 66020(c1),. and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void,· or annul their imposition. You are hereby-FURTH.ER NOTIFIED thatyour.right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have revlousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION FOR OFFICE USE Oct PLAN CHECK NO. Jjo 5 {) 117 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 1635 'Faraday Ave., Carlsbad, CA 92008 'f:-, .--,r--,--JJt~ ---------------cc-: ---c--, Plan Ck. Deposit ------+f--l--- Validated By_+----+--+-~'---- · _,_ "~·--------"'""-----·i · ~ .. M.£lf ---· -r -___ , _____ ----·---~~o ~~ ~1 v:c., Business Name (at this address) Legal Description Lot No. ~~ivision Name/Number · vr-rtC-t · Unit No. Phase No. Ott.CM.-PPt ED Proposed Use -Total # of units OE P7 c£ ork -{yJ-t3 /;,tt) S, J I\) f: 2°/!.;;,.v Ji,,\ #of Stories # of Bedrooms # of Bathrooms i:[i:('.col'i+-,;xci'=p·i::0solF1'id·fi tiiY.fo" -· ··rca i>.. ·: · --~: . -·--._. · :· -·· ''f.:·<·-.· -: : : '""--"~:··:"'~': :·_-,---;'·::·.>-,,r--"'""'i':''-':/· .:·::·/•;;,":"· -'"'' ... "':P~ ;, _ _-.-_,···:·"::.:t·_7;_;:;, ·,,u;,;.;-1 ~-"'···t;-f£A~---Ab~~'---'tq~16ncifR_fl.{)1=L-cr!L"'f:6---,c:,r-·-~~~D}t6ct·a-·q--ztiG'-"5<:£~~<fq·5<'-fs~ Name Address City State/Zip Telephone # Fax # 7-i'~.--.,•iARPI.ICAN'.t '{.;,:-, ·Ccf tractor:', :_""'1¼,. enf for.Contractdr •. ;r-1 owner ' ,·r:,:Anent for Owner . ',: ; ,: ,' "'7: ~;.' f ~_.,:z<:-:;~ ~ ..... ,::;.,,;:,·:·;/( ,:. ':', ,·4 ;:7~ .. -·)'.. ;:;J .. ,. =kcM_iii.. -·in~g-~t1-J g, 7fi ~ 6fji;tl:o .. 'cl fYifiDt~60 EA. 1~u· ~<1~s'yi:, gy ~ Name -Address . City State/Zip Telephone # t"~Ji&0=ft)~ -~-.->::~~f1;i~·i<t;£~~~~-~·:-·:··-~~Stsi~--;d;,;,-~1·;i·\~,4 4~tf/~:,20 Name Address · City S_tate/Zip Telephone # rn.·LQ,<1.NLR.A.~;mJt::.,!;:J>,M:R~~x-NiME.' , ·:, " :,. : __ · _,_ .. · ____ ._: ,-¥ :: -,_ .,_,;. .. ,~--• (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to-construct, alter, improve, demolish or repair any structwe, 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,. commending 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 an · ~plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). 65 ~ · LtlL-L '17b ~ IL I t .s/:> c'.A-:2-Zlo · S Name Address City State/Zip Telephone # State License # q., b fa 5 $ 't License Class :5 City Businf!SS License # ~------- ~ f;. Dei,igner Name-Address City State/Zip Telephone Stc!te License # __ _,_ ______ _ !~.,. WO.RJ<~ll~:QQJY.lfJ;,N.$'AllQN: :. , . ,,-__ . , --.. ~::,,~-~-_. .. _.:--,-:_~--~:--·_:'.:···;,,,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 · I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Jtl I have and will maintain workers' compensation, as required by Section 3700 of the Lab r Code, for the performance of the work for which this permit is issued. My worker's compens~ion insurance carrier and policy number are: l 7D-_ / J Insurance Company S]rn ~J\..J~ Policy No._,}_•}}=_j_5j_~_~J_~_~J-~_9_~_~},_:s:-_ Expiration Date l _j x'.'. 0'==7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT'IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / f, 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whi,ch 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. ' WARNING: Failure to secure workers' compensation covera·ge is unlawful, and shall s'ubject an employer to criminal, penalties and civil fines up to one hundred thousand dollars ($10 0 0), in addition t h cost of compensation, damages as provided for in Section 3706-of the Lab7 code7, interest and attorney's fees. SIGNATURE. __ J,.,...y.rt4.µ~~::..l.<!~~....__----~------DATE I -ft/. -6-S ii~~~w.,..15Fl:JiJlit.01:1fQtQ.~!!AI!<lN;.;. __ ·_ · .-__ .; .\ >/ ~=.~~ ~::\S:~~;,_. _:;;:-::;;..:: ... -, -.. ;;;_:--~-.. ~-::. , .'.,,~:::;::,~2~J-r ... ::~:t::·::,~-_:;:_~,YCO.-\ 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, ill do the wo'fk a·nd the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply t n 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 ' tended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-build will have the-burden of proving tha e did not build or improve for. the purpose of sale). ,0 I, as owner of the property, am exclusively cont ting with licensed contrac s to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o improves thereon, and-contracts for such projects with contractor(sl licensed pursuant to the Contractor's License.Law). 0 I am exempt under Section-----~ 1. 2. ONO 3. I have contracted, with the following person (firm) to ion (include name / address / phone number / contractors license number): ' 4. I plan to provide portions of the work, but I hav ired the following person to coo~dinate, s pervise and provide the major work (include name / address / phone number/ contractors license number):. _____ '---------~~----~-~-~---------------------- 5. I will provide some of the work, but I hav ontracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ___________________________________ ~-------~------------- DATE -----------,, ~-~Y-:-L~\.:'..'z:\',i;~,,::-, , __ 1;~~ ~-:>:-:-:.:_~ Is the applicant or future building occupant required to submit a business plan, acutely -hazardous materials registration form or risk management and prevention program-under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? [] YES 129) NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0, NO IFANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. &?J:oBS,IRUC:lltQH-:lettPJN9::A'iENCY ·,_ '~<,;:w~ ',,{ ,---__ , ,_', ,:' ->'" ~·'··""'''""'-'""''-'"" ':',,:?}/,:;;,; :1:,-, ~-~-/·, 1'1 I hereby affirm that there is a .construction lending agency for the performance of the work for-which this permit is issued (Sec. 3097 (i) Civil Code). I certify that I-have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives qf the Cjt~ 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall· expire by limitation and become null and void if the building or work authorized-by such.permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc f a period of 180 aY.S (Section 106.4.4 Uniform Building Code). J j APPLICANT'S SIGNATURE " DATE l t-'q f-D s WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg· Inspection Request For: 02/01/2005 Permit# CB050197 Title: PROGRESSIVE MEDICAL-ADD SINK Description: FOR LAUNDRY Type: PLUM Sub Type: Job Address: 2720 LOKER AV WEST Suite: p Lot 0 Location: APPLICANT DESIGN/BUILD TENANT IMP. Owner: Remarks: PM PLEASE Total Time: CD Description Act Comment Inspector Assignment: PD --- Phone; 61~~ lnspe~ Requested By: JORGE Entered By: CHRISTINE · 29 · Final Plumbing ~ I()\) . l,kf& Associated PCRs/CVs lns1;2ection Histo!Y Date Description Act lnsp Comments 01/31/2005 24 Rough/Topout NR BN 01/3112005 29 Final Plumbing NR BN 01/26/2005 21 Underground/Under Floor AP PD 01/26/2005 24 Rough/Topout AP PD -~ d,. j - I•• ~·,~ ' • ,.... ,,., -·-··, .. :-·-'. ,,· . ~ ,r·· ._~ ;·· .. , -.. , • ~ J ..... , • l '· • \,:·. .} ~'Ir . . :-.·:J;~.~_,Jr , . . · •... ,-:·-,,·:·,~~---_. ~ . :, . , :~· . - -' -~ '·~ ' -~- ,' ;; .. -~ . .,., :, -·: ,, '' ·-.-·~--,I,' ',·•;- •'r •,!•• ,_•,.J. •,¥• ,• • ' t- .,, .... ~:'. . , ... ~.,. ~-.. -... ; .. ' ···- J:f I;-' J;ti,; · '< ·v· ~1· --tt·· ·, --;. , . ., ,, . ' ' . ct ,q 01 -I I ! I i I ·' 12/23/97 08:26. Page 1 6£. 1 l B U I L D I N G Job Address: 2720 LOKER AV WEST Permit Type: PLUMBING ~arcel No: 209-081-28-00 Valuation: 0 PERMIT Suite_: N Lot#:. Perini t No': CB97 3859 Proj.ect N6·: A9704976 Developf!)~nt No: Oc.cupancy Group:· Reference#: ·· Construction r,rype: VN Status: . ISSUED : ~-pii·ed · 12/23/97. Description: AbD ELEC'fRICAL CIRCUITS AND : ADD FLOOR SINK AND GAS. LINE 760 24_97 12/~_'3 · 1_on_1A'! :ni' A'"> · ttP :s-s-ei. e-1· .!'!f' .. 2 ~ / 9 7 Entere&-PE~F: MDP 84u0Ct 630-2078 FINAL APPROVAL. -~ ;J_ · · · _ · 7 ~t~~i~ INSP .. ~ DATE -_ . ~- CLEARANCE-----..--- ( C},µ/4-~ .-t,;:: fi:.. 5 i:;J. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 ((>19) 438-1161 " PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsb~d CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK No.97-~ 8~ EST. VAL _________ _ Plan Ck. Deposit _______ _ Validated By __________ _ Date. _____________ _ Address (include Bldg/Suite #) · Business Name (at this address) Legal Description Lot No • Subdivision Name/Number Unit No. Phase No. Total # of units . Assessor's Parcel # Existing Use Proposed Use Name Address City S.tate/Zip Telephone# (Sec. 7031.5 Business ahd 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, commending with Section 7000 of Division 3 of the Business and Profess.ions Code) or th'at he is exempt therefrom, and the basis for the alleged exemptioi;1. Any violation-of S c,tion 7031.5 by any applicant for a~rmi!,ljU~e~s the applicant to a civil penalty of not more than five hundred doll? ($5_0,0J)._ ,q , d~ •. C , · C, V(~ (. (h6Y,V(f'7,'0 0 4-'60·~ b:S0~7--o Name State License ii __ · .:;.(_·2>..L..i9=-0--'-(-'2 ... <"- Address License Class __ _,.£...._ _____ _ Designer Name . Address City State License#------'----- fj~\il<).RKJ.8$£~PM~~APPtf,?;~~~7].;~~=~--:;;::~~~~~~~~~~~~~~¼}~~~~&~~ Workers' Compens11tion Declaration: I h,reby affirm under penalty of perjury one of the following declarations: D J· have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for. which this permit is issued. 0 I have ·and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. ________ ,_.___ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED-IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LEssi 0 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. · WARNING: Failure to secure workers' compenaation coverage Is unlawful, and. shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, dam!lges aa pro.vided for in Section 3706 of the Labor code, Interest and attorney's fees. Sl.GNATURE. _________________ _..;.._________ DATE ________ _ ~tgo:wtfEJmlt(iL~l!o~~n1131~sEt~?.1~~i~t~1T-;i~~t;;1~J£~:~l?~¼~IrB~~~1{1FiiUiit~8iii.iif::~~1~~1iL~~~~~f~~Lt~:t*Z~a:m I-hereby affirm that I am exempt from the Contrictor'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). ·O 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 awrier of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · D I am exempt under Section ______ Business and-Professions Code-for this-reason: 1. I personally plan to provide-the major labor and materials for construction ot_the proposed property improvement. D YES ONO 2. I (have / have not) signecl an application for a building permit for the proposed work. 3. I have contracted __ with the following person (firm) to provide th!I proposed· construction (include name /address/ phone number / contractors license number): 4. I plan to provide portions of th'e work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license nurilber): ________________ _;. ____ -'------------------------- 5. I will provide some of the work, but I have contracted (hired)-the following persons-to provide the work indicatad (include name/ address/ phone number/ type of work):. ___ ""-"---------------------------------------------------------- Is the l!PPlicant or future building occupant required to submit a busines_s · plari, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of.the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit'from the air pollution control district or air quality management district? D YES D NO Is the facility to be ·constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NO:r BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~~J!llfiltqrt~~•..R!"1Yl&:~~§rt1&1:::~-::~~f+;a::::;.!fn~h~~rr:~fr::~rg~a~t~~t~~~~~~~~~111-r~~~~#~~-~f~~filr~IJ:t*~; !·hereby affirm that the~e is a construction lending.agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LEN.DER'S NAME ___ --_;:-.:;:::::;:;::;::::;:;::;;:;;,--"--------LENDER'S ADDRESS...,...----,------'--------------- i,);~~Z/4.PJ~lQ~~D~ff~nqblf~~~~i~~~~;t";'~&!§t~~i~t~~~rsµ.~9}1!ii{~~jf7f~t~~~~-;!-J~f?~~~v~f~~3f~i~ I certify that J·have read the application and-state that the above information is correct ilnd that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authori~!I representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY A.ND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTl~G OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0• deep l!nd demolitign or c9ristructlon of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building-or work authorized by such permit is not commenced within 365 ·days from the date of such permit or·if the building or work authorized by such permit is suspended or abandoned-at any-time after the we i co·mmenc d for a peri O days (Sectio Cfriiform Building Code). t DATE ------------.,- PINK: Finance . ,, UNSCHEDULED BUILDING INSPECTION DATE /-:2. ,,....~ S INSPECTOR NF ------------- PERMIT# 9 J -3 ~ Sj PLAN CHECK# ____ _ JOB ADDRESS "1a1> L o\t.~ A!V-E: Wcsr DESCRIPTION ------------------------ TIJ.\.1E ARRIVE: TIME ---------- CODE DESCRiPTION ACT COMMENTS ---,.----t}fr ~L~ CITY OF CARLSBAD INSPECTION REQUEST PERMIT#·CB973859 FOR 01/23/98 DESCRIPTION: ADD. ELECTRICAL CIRCUITS AND . ADD FLOOR SINK AND GAS ~INE· TYPE: PLUM INSPECTOR AREA NF PLANCK# CB973859 OCC GRP JOB ADDRESS: 2720 APPLICANT: G AND D CONTRACTOR: LOKER AV WEST CONSTRUCTION CONSTR. TYPE VN LOT: STE: N PHONE:. 760 630-2078 PHONE: OWNER: PHONE: REMARKS: C/JOHNNY/630-2079 SPECIAL INSTRUCT: INSPECTOR ,,tJ p- TOTAL TIME·: -~RELATED PERMITS--PERMIT# TYPE CB973920 ELEC STATUS ISSUED ----------- CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical --------,----~-------~- ---·--'---------'-'--~---------~----,------------------------------------,----'-- DATE 011398 011398 DESCRIPTION Ro:ugh/Topo:ut Gas/Test/Repairs ***** INSPECTION HISTORY***** ACT INSP AP NF AP NF COMMENTS U.G. OK A ·f -~ .. ~ .. ,, II ··~··-~· -.,. "" . ·--------.... ' ------·---. -------------·-· ·· ' ~ ' . J...... \) . .. '\') ---· ---------------. ----------·-.. -------:--.. ·----··· ---~------···---·. ·-·i---~ ~ ·--~ ------------... -····· --... --·····---· ....... ·-· .. . ~' -C --~. ----. - .... .... ' --------....:i~. r_~ .. --=-~~~ ~-- ··-. --. .. ·---· . I .. 1"\J ., ~ . ----.. . . 3 ~-' ... Q ~ .. {~ . .... ~ -~----·--··--···· -~ ~ -------+~-~ . ·----i <;:t: ~--:1:---R ·K ,.... ~ . ~---~-----\Q:. . '' --~ ------...... _____ ,. _________ _ --------·-··-·· . - ,., .. t----~-., . • ·~ ··-···· --~ --. i $:· -· -·-··-... - 't 111 ~ ...,, r-.... 0 C ";t, ,;~ ::s., ~ ...... •t ... ..,.. -'t: ~ .-,. -- "'Kfu l{ Z'-l oo z c,. 0;.-~ ' " . ·~· 0 3d1l3 BU IL DING ·p·E RM l T Permit No: ·CB'9739'20 Proj.ect No: A970·S059 D.evelopm~rtt No: 12/30/97 13: 07 Page 1 of 1 Jo.b Address: 2720 LOKER AV WEST Suite} N Permit Type: ELEC'l'RICAL ·Par0el No: 20~-081-28-00 Lot#:, Valuation: o Occupanc¥ Group: Reference#.: Description: ADD 200 AMP SUB-PANEL 760· CITY OF CARLSBAD 2609 12/30/97 -000.1., 01 02 C~mstruction, {p~: VN 60u00 . Status: ISSUED . Applied:: 1,2/~0/97 ~pr/Issue:· .12/30/97 . , Entered By: MDP . 941.::..9737 2075 Las Palmas Dr., Carlsbad, CA 9i009 (619) 438~1l61 i I FOR OFFICE USE ONLY PERIVllT APPLICATION PLAN CHECK NO. -17 ~ ~ °J 2.V CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _______ _ Validated By __________ _ Date. ______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No.-Total # of units :li.essor's Parcel # . L . J <;o/~xistz Use VD Ll!90~ /u o-. I rrn~. · Proposed Use Description of Work SO. FT. #of Stories · # of Bedrooms # of Bathrooms ~\,,QO,NllJAlkLQlet.4QMe~ffYtf1Ml,~~,~Eft_4F':;~:~:Zt~~~~'1&J~t~!~Ii~ti:r~~~~~~~~~W:~~:~~~ (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,. commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged tion Any violati n of action 7031.5 b any applicant for a permjt}.\lbjepts the JPplicant to civil penal of '}II! more th n ive hundr~5"dollars ($50 ~~// ~ , e, /;29/ P. u~ WA ':I "'' t;r1 0 ?Go-,'/-;?737 Address -City ·State/Zip Telephone # State License # ~--~--~---License Class--------'---City Business License # / 1..-c:> L-1 7 '::> Address City State/Zip Telephone .. Designer;Name State-License # ii,,c;,1,woRJJ;RS::;;jf:::;~::;;o;::;M::;;:~;;;;;;-::;;:s:;;:~:;;:rnP;;;;.;:;;:;;;{:;:;'.:::~=:~:;::-;~:;::-__ ::_A"..;,:?;:,\'::-~-' ;;.,.:5,-::;:.-~~~·~~:,-t~i,,,."'~~~¾.tf.-11f'iii-i1?.tii~~$~;k.~'£"'~~~-·w;;k~rs; Compe~s~tion" Deciaiati'a~;. I 't;';;~by ~ffi;m unde7;enalty of perj"u';y~ne ~ following declar;tions: "' . --w, • D I have and will maintain a certificate of consent to self-insure for workers' pompensation.as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued •. tR(_ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _My worker's compensation insurance_ carrier and policy number are: i' I~ h , fi '7. / / Insurance Company ~f ~e> · . . . Policy No. {,///l/77'08/t{, ./'<:f Expiration Date I /119 7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS-FOR ONE HUNDRED-DOLLARS ($1001 OR LESS) D 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 t.o the Workers' Compensation Laws of California. WARNING:· Failure to 1ecure workers' compensation coverage ii .unlawful, and shaft subject an employer to criminal panaltiu and civil fines up to one hundred thousand dollars ($100,000), in addition to the coat of compensation; diirmiges u provided for in Section 3706 of the Labor code, lnterut and attorney's fees. SIGNATURE'--,-------------,---------,--.,...-----DATE _______ _ rt~JltWRi1:1tll.UJ't.pqZQ(Q~Tll8~~~~tt~t:.E~i~~Jh~.JY~~~~z~~~?~ID:i:f~~M~£~~~~~:fii1fi~itff~~~111:Jt~~~ I hereby affirm that I am exempt froni the-Contractor's License Law for the following reason: D I, as owner Qf tl;le 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). D I, as owner pf the property, am exclusively cpntracting with licensed contractors to. construct the project (S!IC, 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(sl licensed pursuant to the Contractor's license Lawh D I am exempt under Section -----~· Business and Professions Code for this reason: 1. I personally plan to provide the major libor and·materials for construction of the_ proposed property improvement. 0 YES ONO 2. I (have / have not) signed an applicition for a building per~it for the-proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction ,(include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number): _____________ ....;... __________ '------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):.-'------'----------------,------------,---------------------------- PROPERTY OWNER SIGNATURE________________________________ DATE ________ _ 1;.QM1t~~:t"ijjJ!.~1;'Mb&lriKlr~~,A~T~•~Z~~~1~fre~~;f!.4~~~a~~till 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? D YES /l!i NO Is ·the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES ~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school-site? D YES ~ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TliE AIR POLLUTION CONTROL DISTRICT. i1:ihf9-2-~~If'JJ .. qr!QN~~oiNg~~-~~.r~z1::7~~;'.;·:~-rffl'rfil:z~~£t1r:,~~tRf~~~1l..~~E'lE~~l»~~~~~;f~'E~~~:f:;v::,frtrif- 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). I certify that I have read the application and state that the above information is correct and· th~t the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is rer;ii.Jired for excav f s over 5'0# deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by t _ , ding O · ,al 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 no mence ithin 365 days fron\ the date of such permit or if th·e building or work authorized by such permit is suspended or abandoned at any time after th enced for a period of 180 days (Section 106.4.4 Uniform Building Code). · APPLICANT'S SIGNATURE ,. DATE /4?--"3(!'}-'7 7 t WHITE: File YELLOW: Applicant -PlNK: Finance UNSCHEDULED BUILDIN·G INSPECTION DATE 'k-1--1-1~ INSPECTOR --~tu..;;_,;.....F ____ _ PERMIT# q1> --S / {}___ PLAN CHECK# ____ _ ,..., "> ~ _ 0 , "' /\) " JOB ADDRESS ~2.~-1____,d-~/J-~~.____·_~_;;.._-----------,.-- DESCRIPTION f. I -· ------------'----------- T[1\1E ARRIVE: Tl11E ---------- CODE DESCRIPTION ACT COtvfMENTS -~~f-- Cll· z 0 j:: ,c .a: ,c ..., (.) 111· 0 it\ ... ' ._:,, t_ IC._' • . g,[ , [l, I , hereby alll'rm that I am licensed under o . provisions of Chapter 9. (commencing with : ,Section 7000). of Division 3 of the Busln"ss 1-. . and, Professions -Code, -and .my,,llcense .is In ~ : full .force ·and· effect. . <.,>:r ' I ·hereby• affirm .that. L. am e~empt . from the Contra~- tor' s"Li~(ns.i, Law tor the IQll9wing_r~asgn (Sec .. 7031.5 Business and.Professions Code: Any city or County whicti re· ijul(es a: permit to construct. alter. improve, demolish, or repair any structure, prior to its issuarice also reqUires the ap-pl1canl' for such,permit to Ille a siQlfed,statement that he is . licensed pursuant to the proV1sions of ·the .<.:ontractbr's License Caw (Chapter g· commencing With Ser.t1on 7600 of •. Division 3 of the Business and P(otess1ons Code) or that IS ex•· empt lheretrom and,the bas[~ for the allegeil exerripiio.n."A~y , vl,ol~\10~ of Sectlo_n 7q~t.5 QY an apP,licaiit for a,perm1~.su~·-, ;,. jects the applicant-to a CIVIi penalty of not more than five hun· · a:· 11,1·1-o· ..,. 3· ~- Ill ;,, 0 -, z 0 ~ z Ill A. :IE 0 (.) in a: Ill "' a: O,,. 3 . dred d_ol(ars ($q00). I I I, as owner of,the property, or mY, employees,w1th wages ,as their. sole,,compensation, will,do the~work, and·the,struc- . ture is,not intended or offered for sale (Sec. 7044,,Busmess and Professions-code· nie Contrat:tor's ticense Law does not .apply ·to aif owner bf property who· builds or improves thefeon and wh_o,does,such wcirk hims01f or through his own: 1 1 emP,loyees, provideiMhat·such,improvements-are not intend· , ed.or offered for sale 11,'however. the building'or improve· men! is SOid Within one year OI completion, the owner-builder will nave Ifie buriten of prj,ying'thal'he d_id not build or 1m-· prove for the purpose of sale) I I ·I; .as owner 'ot the property, am exc[us1'vely contracting with .licensed contractors to c,onstruct the project (Sec. 7044, BuSine::):s and Professions <;ode~ The Contractor's Ucens_e Law.does·not apply to an owner of property who builds or 1m· pr9ves theteon., -~n.d who·contracts for each projects )rllh·a . 1g~ector(s) license 'pursuan_t to the Contractor's License ·; n ·As a homeowner t atn '1mpro_v1ng' my home. and the follow·· ing corid1tions,ex1st. 1. The work is bemg.per!ormed. pr,or to safe. 2. I have lived in my home for twelve months pnoi to.completion of this work. 3. I tiave not claimed this exemption during the last three years. D I am ex~mpt under Sec. · , B & P.C. for this reason _________ ~--- 0. I hel'eby affirm that I have a certificate of consent to self-insure. or a certificate of Workers· Compensation In- , suranQe. or a cert,fied copy thereof (Sec. ~00. Labor Code) POLICY NO .• C_OMPANY :::J Copy 1s hied with ·,the city D Cectified copy Is hereby furnished GERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed. if the permit is for one,hundred dollars ($100) or less) D 'I certify 'that,m .tbe 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· Compen- sation L,8w~ of Californii!. , · NOTICE TO APPLICANT: II, after making .this.Certificate of E~e{'nptlon. you should b~come subject to the Workers· Compensation provisions of the Labor Code. you must· : fo·rtl:lwith comply.with such provisions or this permit shall be•deemed revokei:t. ' . [ D I hereby affirm that there 'is a cOnstructlon ·Ie'nd11lg ffi , agenCytor _!he p8rfo~mance~ o! t~e_ Work for ~~ic~_thlfiper-il mlt is Issued (Sec. 3097, Clyll Code) ~ ~ . Lender"s Name_-,"------------ Lender·s A~?!ess,~--------~~..,..- OSE BAff i>OINf PEN ON(y:g· PRESS"HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .. ·. , . CARLSBAD BUILD.ING DEPARTMENT . , APPLICATION & PERMIT i ·· 4075 Las P~lrras Dr., Carlsbad, CA ~2009-1915 (619) .438-1161 • · · · · · · · ·.. " · · J;;D;ES~ le,½~~ -•s:.\< Tt~AA7s. No. .• I DA~:F/;~c;~NI eus1Ness LtcENse # vAL~ATtoN _ ·PERMIT N_LiM~ER __ •• coT oc=< J. su,o"'"oN I "8SesS6< "'";' ·~-•: • , . COa,aAc.o, CONia,cTo,s>,o" • · '°"' ~q -0 l-l owNeR~SNAME •.• · I owNeR'SPHoNE ~c",\"1-\"--._l!t\.F ':lt:,;.:--1~\ U ,:--, " •·· • _.. -.. . · ' . '' •. CONTRACTOR.'S AD.DRESS STATE·llCENSE NO. BUILDING SQ. FOOTAGE \.<...~'\. . ..) ~ . .-~.:::-l ·-.~ ""-.;. . . • ,,.., . . £' 1, . . OWNER'.S MAILlNG ADDRESS • / ·7~ l I M '"~.,~ ~-~ . .=. ..,., A ~7S:::°t n " -4' \ \ fl'\. ~ ..... t. _ • .-., DESIGNER "'!"'" DESIGNERS PHONE . •. . . • •. . \ '7l J "If' H • \ '--\OY '-N ;t:::j.,:>,. . •--c.. • .. ... : DESCRIPTION OF WORK ; ' .... ---------~-~---,-------~.....!..!'~~~·.Jl!:l~l...'4-\-· __ _;-o~ES-IG-N~E-R-'S_A_D_D,...R-ES-S'-"-~----~--~"-+-=sT=A=TE,,,..,.;LIC""'E,,;.._N""'S,..a.E '-No~.~-6023 04/l0/89 0001 01. 02 ... _ 1 ~._ \ . \IVv-\~,~« ~L\-~ . -l. Pl~ . -· i:lldPmt. . 63-0(. 30 'P'i-'/5 ON LY -, f • • :~ NO FLR ELEV.. ST~~IES occ GP EDU " M ...... ~ "1"111~j!!':;.';,l~~P.'4 ~-..,,,~,A·f'.E-A ,:,:) > ;-.. , , , ,.•CtjNST , • ICENSUSTRACT IPARK1NGSPACE1 RESuN1TS· 1· GRADINGPERMITtssuEo ·IREDEVE'LOf'.¥~~:i;."""~-.::=r.~E!iJZ;;; ........ ,·o'ccLoA·D· FtREsP·R •· • . __ . . . ' . _ ~,;, J.;\;. y O ·N q ·-' · ' v.d ~O • '' , vO .NO ~at Valid Unless M.achine Ce_rtifie<J _ . 'O;TY: ·PLUMBIN~ PERMIT -ISSUE· /. Sort ~g~t /1 ;;:'.ME?I-JANICAL PE~MIT-_ l~~~~;~,r.--~ , .. ,J~f;.'{.,f.P,tfJ:: ·r,;'I', SUMMARY/ACCOUNT-NUMBER -·-· · · EACH FIXTURE TRAP, • __ •. . _t i •r: ·J; 1Ns;'rA:(L FURN. oucTs uP TO 1(_)0;'09ti'B:T.lJ'.'•;pt ~ ,i;y-~;,_._~': "".~ :" BUILDING Ptt1MIT 001-s10-uu-oo-s2-20 EACH-BUILDING SEWER '" .•. . OVER 100,000 BJU •. .,"' -;, nr·w ~ t1 SIGN PERMIT 001·810·00·00·8221 EACH WATER HEATER ANDiOR VENT ' ·Boi.LER/COMPREssoli up TO :l HP·:·· .' -:.;: : ::,::. ',; · :., : ; I-' L PLAN CHECK· 001-810-00-00-8891 EACHGASSYSTEMJT040UTLETS ·1 B.Qf_LE_R/GOMPRESSOR3-15HP , . .:...,·~...:. • ..:n.~-·· =' _,,_.,-... TOTALPLUM,BING 001·810·00°00-8222 ~~~ - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRl~AL 001-810·00·00·8223 -/i::Jr'fi ,.-- EACH INSTAL .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·8·10-00-00·8224 EACH VACUUM BREAKER . , MECH EXHAUST HOOOIOUCTS • . MOBILEHOME 001-810-00·0Q-8225 WA_TER soFTNER RELoc_s. -,,,. -,.:lftlMf:j;i:'a! ~ 6 ~ ..... -001-810-00-00-8225 EACH ROOF DRAIN (INSIDE) _. DRYER~ ;,r-li ti'''li\ ft, f~ .. )] fP W--q-G.M'OTION 880-519-92-33 I c:, '>I Me:.TT-rL_ 'JS TOT.£.L MECHANICAL I ---FIRE SPRINKLERS 001·810·00-00·8227 TOTAL PLUMBING l ~ L;<:U PERMIT HAS EX-PIRFn l~\I t\ ~<:nRnn,u.~" I~ FACl~ITJl!S FEE 320·810-00-00·8740 St:.CTtnM ~fl'l_ .ul\ _,/ BRIDGE FEE •• ., 360·810-00·00·8740 QTY. ELECTRICAL PERMIT -ISSUE < 00 QTY. ~ll~"'9~J;ETUP / J ,?"' .Jl/ffiK-IN·LIEU (AREA ) NEW CONST EA AMP'SWT BKR CARffil!Tf:' //"7/ 7() -·--·-~--/. J '.M5wi.1F 312-810-00-00·8835 1 PH 3 PH AWNING / / •• • ·-· u ·--/1JA"CUS111 lif'""= 311-810"00-00-8835 EXIST BLOG EA AMP/SWT/BKR GARAGE / /FMF 1 PH 3 PH / / LICENSE TAX 001-810·00·00·8162 REMOOEL'ALHR PER CIRCUIT • // MFF 880·519-92-57 T,EMP PO.LE_ 200 AMPS OVER ?OO AMPS - T'EMP QCCUPANCY (30 DAYS) /~,"Mt::://;!--~ ~5: · · . · · · 'CREDIT DEPos1t· ' _, TOTALELECrRICAl l . 2,_(\_":· TOTAL _ . TO'J:ALFEESPAYABLE l l.J:)3 .._. , J, HAVE CAREFULlY EXAMINED THE COMPLETED "APPLICATION AND PE;RMIT" AND DO HER!,BY -'Expir~lion. E~ery permit issued by!he Building Official undertheprov,~ions of this * AN OSHA f'ERM:T IS REQUIRED FOfl EXCAVATIONS OVER . CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shal! expire by hmtta)ion 8nd become n~II 3nd void If the building or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF , . , . • . . . auth~nzed by such ~r')ltl 1s not commenced w1th1n 180 days from the date of such .DECLARATIONS ARE TRl:Jf; ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ . permit. or 11. ,the butldong or work authorized by such permit is suspended or STRUCl\JR£S OVER 3 STORIES IN HEIGHT , ISSUED: TO COMPLY WITH ALL CITY_ COUN1Y AND STATE LAWS GOVERNING BUILDING CON-L:.ab~a::_:n::,:do::;.n:,::ed~a:::l...:a::.:,nYL.l~tm:,::e~a:!.lt~e!..;r t~he~wo~r~k~1s~c~om=m~en!!:c~ed~lo:!...r a~="""~o!!..d.;!!olc.;1~80!L!c!lda~"~----e,..-....,..,. __ "'!!!!" ______________ .., • ~~~~c:i~~L~~;~~~~~eg~~R~:::~ A°c;1~~~-A~~t~fBfJ~~~-~i~t~~~~~:~J~11~g APP.LICAN:r·s SIGNATURE ~ OWNERD CONTRACTOR B"' . APPROVED BY /)7. . . 01/JAJE ,1 . I. . . ,, ·EXPENSES WHICH MAY IN ANY, WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF~ I ,.~ ../ ~ BY PHONE O . r 1,,,v f({' , GRANTING OF THIS PERMIT. . ....J _ , , ~........-z:..._ I VJ o / ~ u:: ~-!'l 0 C. E Q) 1- 'I ·u 0 CJ c: Cl!; (.), C. C. <( I X C a: ~ 0 (I)• (/) Q) (/) (/) <( I ,= .2. Q) >- Q)• (.) C Cl! C u:: C: Q) ~ _C!l 0 u Q) C. (/) C) I. ~ .c ~ ,,-~ -;, ~ if --' ;{. 1: ? , . .;;~ -f :/ 1- .. ... ,. ~ .,. TYPE DATE BUIL,DING FOUNDATION REINFORGED STEEL MASONRY I GUNITE OR GROUT 1...-..=-~ ~ i .I,. • - SUB FRAfv1E D _FLOOR D CEl4ING -t-_;. r.,. SHEATHING D ROOF D SHJ:AR FRAME EXTERIOR LATH INSULATION ' ' INTERIOR LATH & DRYWALL . ' PLUMBING D SEWER AND BUCO D Pt/CO UNDERGROUND D WASTE D y\JAT~R , - TOP OUT D WASTE D \JVATER ~ ;.-,: '-~ '· TUB AND SHOWER PAN ' ' GAS TEST I ' I D WATER HEATER D SOLARW~TER .. I ELECTRICAL I I D ELECTRIC UNDERGROUND D[UFFER ROUGH ELECTRIC : 0 ELECTRIC SERVICE D TEM_PdRARY D BONDING D POOL I ' I I I MECHANICAL I I D DUCT & PLEM., D REF. PIPlt'JG ~ ' I HEAT -AIR COND. SYSTEMS I I I ,.. • , . VENTILATING SYSTEMS I : I INSPECTOR \ \ : \,, -. ':. ..... -- I ' _,. 1 l t -:.l-' .. . ' ' .. ,.._ --.:_"" (_ · .. -.~------... \_ _ -·-... ,;, -· FIELD INSPECTION RECORD ~ REQUIRED SPECIAL INSPECTIONS IN$P6CTION SOILS COMPLIANCE PRIOR TO . FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE REQ. IF I INSPECTOR'S CHECKED APPROVAL DATE ,-._.,,_ INSPECTOR'S NOTES --~ POST TENSIONED 1 CONCRETE 1 . :--•.{Hi~--~~i"r!!,rff(!;:·---f .. ' ·. _t~ -~--c \,~ ;It,. 4~~-}--,,J.v--- FIELD W~LDING HIGH. STRENGTH BOLT~,_-0 _ SPECIAL M~SONRY PILES CAISSONS t-t:--c-~h,,·-,ii: ~1-t.'f'i. ·I~,, ~-·':\.:PX~.:i ,:; l.!-.l. .~.j' ·, i"':'_!_i_~~ j ! __ J _!_~ -_~{ ___ ~-a_ __ ' ~-_TT~-,~ t··, ;...,-·~,I ;,,,,r.f.,; -*·-,----:. ·:,,;,,t--•:-,..;;.-.i '" ,,_ ' 1-' ~. i ~ ' -' :, ::J. ~ ,·._--,,! ~ '}_._ti~: ~~n~-!; 'c i -~_i_ ,_. f"•c 0 j"t I~ ----'-"Jg):,,·,,. ' ~~ . ~ ~ ;;;::._. ., !. . 7) I I ~~ID-a&J~~-1 ----v••rv .JU.) J~J .. I <fi--/41-L-&~Z9'_· ---~,I DATE.f,7~3/ SIGNAfURE }1 jj£,,,/ I I I II/ I r .. ' FINAL _, .. ''-,fl .,.. . . . . .-. -. CALL FOR FINAL INSPECt{ON WHEN ALL APffROPRfAFE /" 1 1 I I ITEMS ABOVE HA v-E BEEfl APPROVED. . . --, .. • f : , .'' ! ~ ~ c~ .,.· " ~-~ r: .... ,• ·:: -.t __ .,.,. • '\ ~-~ ~~_;__~--r-!4!4-+---,#=---l--~_._---1----l PLUMBING I r ~i. ! ELECTRICAL MECHANICAL . ' , . ' , • -4 • ,-"• I -.• GAS ' BUILDING ' r v' "T · ' I V idJ'-. I _,l, q J ., .: . /,If/~-:i1··~7 ,...: -· -~-~i-~ ;r· . ' .-1" ~ . I n ~PECIAL GONDITIONS ' DEVELOPMENT AL SERVICES D .Assistant City Manager (714) 438-5596 1:X ~ulldln~_ ':)ep~rtment D Englneerl~g Department D Housing & Redevelopment Department ·(714) 438-5611 D ~_lannlng Department ~itp of ~arl.sbab 2075_Las Palma~ Dr. CARLSBAD, CALIFORNIA 92008 (619) 438-1161 SUBJECT: TESTING ELECTRIC METER ON PERMANENT BASE CLEARANCE OF THE METER LOCATED AT /ok.<YIZ_ 7Z-~ IS FOR TEST I.NG PURPOSES ONLY. THIS DEPARTMENT RESERVES THE RIGHT TO REMOVE THE METER AT ANY TIME If THE REQUIREMENTS OF ALL DEPARTMENTS ARE ~OT COMPLIED WITH EITHER DURING CONSTRUCTION OR AT TH£ TIME THE PROJECT rs COMPLETED .. PL~ASE RETURN THIS STATEMENT WITH YOUR SIGNATURE TO THIS DEPARTMENT. THE METER WILL THEN BE C.LEARED THROUGH THE SAN DIEGO GAS AND ELECTRIC COMPANY. THANK YOU FOR YOVR COOPERATION. liAI 1 .I' n J-- M~ffi~~A~p '-~l\6{_~ BUILDING OFFICIAL ~ APPL I CANT : \5 Wt>~ u.... )¢\ s=-(C:)L)£S""k,1....2.1 '/J)C.. DATE: 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009-4859 SUBJECT: Citp of Carlsbab DEVELOPMENT PROCESSING SERVICES DIVISION TES'l'ING GAS METER ON PERMANENT BASE CLEARANCE OF THE METER LOCATED AT ;lJ 2.o lo\~g_. TELEPHONE (619) 438-1161 IS FOR TESTING PURPOSES ONLY. THIS DEPARTMENT ---------------------,-------- RESERVES THE RIGHT TO REMOVE THE METER AT ANY TIME IF THE REQUIREMENTS OF ALL DEPARTMENTS ARE NOT COMPLIED WITH EITHER DURING CONSTRUCTION OR AT THE TIME THE PROJECT IS COMPLETED. PLEASE RETURN THIS STATEMENT WITH YOUR SIGNATURE TO THIS DEPARTMENT. THE METER WILL THEN BE CLEARED THROUGH THE SAN DIEGO GAS AND ELECTRIC COMPANY. THMJ'K YOU FOR YOUR COOPERATION. APPL I CANT: B'<2St) §::) \& "C,';:)\ ~ DATE: ) Cl) z 0 ;:: ,c a: ,c .., irl 0 ... , "' IC . '"('~} . -. -• , • ' ·-• -e,[ ' D ' I hereby affirm that I am licensed under c.,'. '. provisions .of .Chapter 9 (commencing with 1 ,Section 7000)· of Division 3 of the Business 1-. and Professions Code,-and my license ,is In ~-_ (ul.l fo'rc;e arid effect. ~-r, · J hereby atfirin that. I am exempt from the Conirac- tor's License' Law for the following reason [Sec. '7031.5 . Bu~illesS a.nd PrOless(orlS Code·: ·A~y city or cgunty wt\iclH~-qu1res. a perrnil to construct, alter, improve, demolish, or repair-any structure, prior to its issuance also requires the ap~ pltcant for sucH ·perm1i to Ille a''s,gned statement that he 1s 11cerised _pursuant to the provisions of the Gontractor's l:icense raw (Chapter g:comni~~c!n!i wilb Sectfgn 7000 pf', '"· 0Jv1s1on·3 of the Business and.Professions Code)'or that.ls ex- a:•I, Ill 0 _,,1, 5 • ii: Ill z ~ z 0 s z Ill A. ~ 0 c., .,, a: w :.: a: 0 3t empt therefrom·and··the basis for the"allegea exemijtiOn · Any v1qlat1o'n-of Sect[on 7031.5 ~y·~n appl)ca~t lqi-a perni1f suq-jects the applicant to a civil penalty of not more than hve hun-dred~oll~~ ($500). I I I, as owner of the property, or OJY employee~ with wages asMtheir sole compensation, will do the work, ,and the struc-. lure is not intended or-olfered.for·sale-(Sec, 7044, .Business "' aiid Professions--Code· Th8 'ContraCtor' s · l:icen'se , Law· does pot apply to an owner orprojierty wfio builds :or· improves thereon.and who.does such work h1msell'or thiough fi1s own enipioyees, provided-triat,such improvements a_re,not intend, ed or offered for sale,_ If, _how~v~r, the 'building or improve-ment 1s sold within one year'oJ completion, the owner-builder WIii have:the burden oi,proving that he did not build or im-prove for .the purpose of sale). I I I, as _owner of the property, am exclusively contracting _ witfi licensed contractors to,cohstrucl the project (Sei:.]OM, ,Business a~d Professi~rs Gode .. 1~e Contractor's Uceryse law ,does,not apply to an owner ol property who builds.or-1m· -•proves thereon,.and who contracts-tor-each pro1ects w1th--a· f~~)~CIO((S) license pursuant to the Contra_ctor's ~1ce~se 11 As a homeowner I am improving my home, and tM follow-' ing cond1tionS 8xist: · --· 1. We work is being performe_d·jinor to sale. 2. I have hved in· 111Y home foi lwelve months prior to completion of this work. · 3. I have not cla,imed this exemption during the last'.three years. ~r /h~~r~~~~rnderSec -----,--,--, B & P.C . -------~----- 0 I hereby affirm that I have a certificate of consent to self-insure. or a cert1hcate of Workers· Compensation In- surance. or a certified copy thereof (Sec. ~00. Labor Code) POLICY NO. COMPANY· :=J Copy 1s filed with the city 'D Certified copy is hereby furnished CERTIFICATE OF EXEMPT10N FROM WORKERS" COMPENSATION INSURANCE (Jhis section need not be completed if the permit is for one hundred dollars ($100) or less) D 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 ~come subject to the Workers· Compen- sation Laws of California. :NOTICE TO.APPLIC:ANT: 11. afier making this Certificate of Exemption. you shot.Jld become subject to the Workers· J:ompensation provisions of the Labor Code. you must , forthwith.comply with such provisions or this permit shall be deemed r~voked . . l · [J .1 hE!reby.aiflim tha't fhere is a cOnstructicin,fendlng ffi . ~... agency-fof_th'e per!?rmance of the_work for which·this per-: o mit is issued (Sec. 3097. Civil Code) ffi Lender:s Name . , . .., ~---~~-----~- -L_end~r·s /lid!1!~ss __________ ~-- -USE Blll POINT PEN ONLY.& PRESS HARD . •· APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ·--... CARLSBAD BUILDING DEPARTMENT > .. 2075 Las Pi3,lmas Dr., Carlsbad, 9A 9?0o'9'.191?-(919)43~-1161 -APPLICATJPN ft .P.ERMIT -T.:£. ST-M 7;=n:.((: --,. JOB ADDRESS .. ·.1-o K~~ A//iliuerrA~,~Rr1r-I D;;~~:L;A,tONI "# :;~13s;L;;;E # _ VALUATION PERMIT NUMBER . ;::;: '1 ~ 0 --... ····-----. ,. .; !~ LOT BLOCK . I .SUBDI V,JSION . ' I . ASSESSOR PARCEL Ne;;,. CONTRACTOR . CONTRACTORS PHONE# .. ·zoNE ---... I'-.._ '7} ?-t.f-8;5J· ~~t)L'Y\'\\'t= ("'~~~ ;t6~--Je:D\ OWNER'S NAME !91tf40:~·~~H6E TJ.Jc.--. R~' --re) CONTR,ACTOR'S ADDRf.:SS STATE LICENSE No: BUILDING'SQ. FOOTAGE . \, J.J c:, \r\L,:) t) It¼ :ss~cir.J <-:-o~oii · Q~ .. (?WNE R'S "MAI LJ NG-ADDRESS 7~.ll \ ~: 25? 1'\',\\_ ~';:> 1~1-'0 EJ.Je:,.., zr~~ DESIGN!,R .. --D.ESIGt\fER'S P"HONE •. ..... , DESCRIPTION OF WORK --5918 04/05/89 0001 01 02 DESIGNER'S ADDRESS STATE LICENSE NO. <"'.lfsST° M f5 {64' BldPmt 30 .. oc .. . . . -.. F/P : FLA ·ELEV. ·No OCC GP EDU ·STORIES - vO NO --_J ~~NS~:-T:A_C_T ~ I_PA~K 1NqSPACE , RESUNITS I GRADING PERMIT ISSUED I REDEVE-LOPMENT TYP.E . OCC LOAD F~" AREA CONST ~., .. ---. --Y.O_.N 0 . vD NO .~ ,~"'NO. Not Valid Unless M,!chine C.ttrtified I JS.olu ~;,.- '.,QTY: PtUMBIN<;l PERMIT -ISSUE -;.Se> .QTY. MECHANICAL PERMIT -ISSUE kJ _ -\~~~MAF-IY/AQCOUN:r NUMBER, EACH FIXTURE lR);p -.. INSTALL FURN. DUCTS UP ro·100,ooo BTU_ rt ~y~ul1'l,~ l;JRMtl , ~i/{~ 1 u-uu-uu-oau . -.. , "' a -. EACH BUILD INC SEWER OVER'100,ooo BTU , \-'SIGN PERMIT~ 1'!5}')...,_~~i,-,QO,~,~-lD,,;00-00·8221 E/>iCH WATER HEAUR.AN.OjOR,VENT BOILE·R/COMPR~?SOR UP TO 3 HP PLAllf H~"' :.-.<. (;\~b 001-810-00-00-8891 _EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR H5 HP'. > '{ i'iS.lOTAL P.t,U~f~iNt"'--001-810-00-00-8222 -., ---. t\ 6'?~1Ei:'fRICAL - -.•·-. -. --~,.J - EACH GAS SYSTEM 5 0 R MO RE fl,1ETAL FIR~PLACE ........ 001-810-00-00-8223 EACH INSTA~ .. ALT.ER, REPAIR WAT-ER PIPE VENT FAN SINGLE'OUCT . u-i;, ~ MECHANICAL 001-810-00-00-8224 .. EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810-00-00·8225 WATER SOFTNER· RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00-00-8226 EACH ROOF DRAIN (INSIDE) , DRYER VENT STRONG MOTION 880-519-92-33 .. TOTt,L MECHANICAL FIRE. SPRINKLERS 001-810-00-00:8227 TO_T Al ,PL,UMBING .I PUBUC FACILITIES FEE 320-8 ro-oo-oo-87 40 BRIOG_E FEE 360-810-00-00-87 40 QTY.· ELECTRICAL PERMIT -ISSUE <.o~ QTY. MOBILE HOME SETUP PARK-IN-LIEU {AREA ) NEW CONST EA A"1P'SWT .BKR CAR PORT TIF 312-810-00-00-8835 1 PH 3 PH AWNING LA COSTA TIF 311·810-00-00·8835 EXIST BLOG·EA A'MP/SWT.'BKR GARAGE FMF 1 PH 3 PH LICENSE TAX 001-810-00-00-8162 _REMODEL 'A,L HR PER CIRCUIT MFF 880-519-92-57 TEMP POLE 700 Al~PS OVER 700 AMPS TEMP occ·uPANCY !:io DAYSI · / :::-J ~ ~ ~ J IA/I ~ CREDIT b'EPOSiT .. -, --. t TOTAL E.LE'CTRICAL -l . I _, TOT-Al,_. .:::,,-----~ -TOTAL FEES PAYABLE _, .. --.- ' Expiration. Every permit issued by.the Building Olfic,at under the prov1s1ons of this * AN OSHA PERMIT IS REOOIRED FOR EXCAVATIONS OVER ·I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMAtlON HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work 5' O" DEEP AND OEMOt.lTION 0A CONSTRUCTION OF authorized by such permit 1s not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT :AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& ~~:~1~~ i~t t~~v ~i~~1~fte~~h:~~r:~!hii~~e~6e~f~~ J'~~~~d'~t"~:g':J'a~~d or STRUCTURES QVER 3.STOAIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-...... STRUCTION. WHETHER Sl?ECIFIEP HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S ~ATURE >f-~WNERD CONTRAC~OR~ ~7J?-/ ¼ · DA¾;/dR -· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABIUTtES, JUDGMENTS. COSTS AND ·EXPENSES WHICH MAY IN ANY WA¥ ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THla BY PHbN,E:'['J-· -_ • ,'; .. _ ~ .A 1/R-l GRANTING OF THIS PERMIT. J ' "'\ r---·' ,._ . --V ,, "'/II -/ . . ' l ~' u::: >, ;;s 0 C. E Q) ~ I --0 0 (!) c Cll -~ 0: C. <( I -"' C a: 0 U) U) Q) U) U) <( I 3: .2 Q) >- Q) C;) C Cll C ii ~--,- I C Q) ~ (!) '-0 u Q) C. U) C Q) -~ ..Cl ~ . ·' ~ C I~ ":,i { ;~ l-., :. t # ~ I', ' '" TYPE ' DATE INSPECTOR BUILDING '. FOUNDATION ' .. REINFORCED STEEL : .. . . MASONRY . ' ' .. ' GUNITE OR GROUT .,. 't .-~ -.-~ ' .. SUB FRAME D FLOOR D CEILING -... -----}:. SHEATHING q ROOF D SH:EAR FRAME EXTERIOR LA TH INSULATION . INTERIOR LATH & DRYWALL ' . , PLUMBING D Sl;:WER AND BUCO D PL/CO UNDERGROUND D WASTE ·D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER D SOLAR WATER ELECTRiCAL I D ELECTRIC UNDERGROUND 0-UFFER RpUGH ELECTRIC 0 ELECTRIC SERVICE D TEMPORARY D BONDING 0 POOL MECHANICAL D bUCT & PLEM., D REF. PIPING HEAT-AIR COND. SYSTEMS . .. . VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA 'IE BEEN APPROVED. FINAL PLUMBING ; ELECTRICAL J/,.,,/t;:,~ r, " ,; - MECHANICAL I .. '_//) . , ... ·, -_. ' I ,, . ...... GAS ·. ' BUILDING SPECIAL CONDITIONS l FIELD INSPl;CTION RECORD •--. REQUIRED SPECIAL INSPECTIONS "'--..l" ~ - REO. IF INSPECTOR'S INSPECTION DATE CHECKED APP.ROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE .. FIELD WELDIN~ · . . HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ~ .. 4 • -~ - --. ' ~ , ..... -. .,,.• -. t. . . .. . ' •/ . .. .. t ~ \ :.~--....... ::\ \~ .} : f. •• f I •' . -!.. a&&iov~~ . '• INSPECTOR'S NOTES ' ..... -~-'" - • ! -!, ' .. .. -. .. ·-. > ' . \ .·. \ .. "· "i_~: _-·-:--2: .. ~- ·-. . . .. - . .. "' l ·--' ,,·.7 -.. .. ' ·-~!" • .. ,·· - . '• "' z 0 ~ cc j (.)· l&I 0 ......... ~~ t::,.__,._-:\ . . .. ' " e e.[ ' ' ril' 'i .~~,:b~·-afflr~. that I.~~ licensed und~r <.> rrf,.,1aloha of. Chapter 9 (commencing with ~. Section 7000) of Division 3 of the Business .,_· ·. 'and Professions Code, and~my -license. is. in ~ . ._. full f~rce,an~ effect. (.) • ,1 hereby .affirm that I am exempt trom the Contrac· •'tor's ~Jc:ense 'L~I'! !or the lqllov@g re~son (§e9. 7031 ~ 1~usines~ and.Professions Code: Any city or county wh1cti re-.quires a pen}11t to construct, alter, improve, demolish, or -repair any structure, prior to 11s issuance also requires !heap-plicant for such permit to file a signed statement that he is Hcensed pursuant to the ·P.f0Vis1ons of the CoiitractOr"s -License Law (Chapter 9 commencing with Ser.lion• 7000 ·o! D1viSion·3 of the BuSmeSS and Professions Code) or ttlal'is e'X-: • e;~\;~h:~~1~:rfo1 ]~;,b,;~~/~~ 1~t~\~J;,0,~~~m;t;~~i s~~~ : USE BAU POfNr PEN ONLY: & PREss··HAIU) ·, APPLICANT TO FILL IN INFORMAT!ON WITHIN S!1Al;>E,i:> AREA AND D_ECLARJ\TIONS. JOB ADDRESS . ::J7~ CARLSBAD ·BUILDING_ DEPARTMENT 2075 Las Palf!laS Dr., Carlsba9, ()A 920Q,!3~1915 (619) 438-H61 APPLICATION & PERMIT ~ • • ~ .,. 1 • -· AV. ST,·RD, }1'MAS BROS NO. ---PERMIT NUMBER t,.~ I.Jtf.f', 5t.J/,i, //I ,, . -~---------1-------t ~~.;. -. --·--I• .LOT. ye~~~~--Lsu~o1v1s_'._0N I ASSESSORt'ARCELNO. . ZONE •· 99 o;,;R'S riy, ~---I .;-r4\, OWNER'S PHONE -BUl~DING sa: ~/U$(J"' (../u,-$$ i(.f)l'ld' ""', ~ . ' /J. --. OWNER'S MAJ.UNG ADDRESS 1--'1!!:.:!~::.a!!!:-__:·(..:J/l.=iAf.=',l'.~'*=~~Ulltz-..C.!!3!:ll.i::_.,,.__µ=:.!ll!:.=...:::!..!!!~------ll------'------1.----------l ~ D.ESJGNA,/ /4 DE$1GNER'S PHONE 0976 07/29/88 0001 0.1. 02 ~ u: >, ~. ('l, ~& jecls the applicant to a cIv1I penally of not more than live hun· dred dollars ($500). I I 1:as owner of the pr_ope,:\y,or my employees with wages ffi .as·iheir sole compensation, will ao the.work, and the struc- . DESIGNER'S' ADDRESS I---'-------'-'--'-,------'-'--'-----'-'~'---------.. ----STATE[lCENSE NO . ----,.<) BldPmt 10s:op !.: 0 , t4re is not intended or offered for sale (Sec. ?044, ·Bus,ness ....t·, ~ , and Professions Code: The 'Contractor's•llicense ~aw does .5 · -· Jiot apply to an owner of property who bu1[as cir improves I! thereon and who d~Ei§ suc,h work hims~Jf or through,his•:own . cc employees, provided !hat such improvements are not intend- 1&1 ed wollered for sale. ·11. howeve(, the-bµ1tdmg or improve· Z n\ent is·sold within one year of completion: the owner-bmlder F/P F~v. v.o . N er . . 1. n.. CENSUS TRACT .PARKING SPA'CE .. RES UNITS NO ·STORIES . OCC GP OCC'LOAD" EDU FrRE SP,R :S· wm have the burden of proving thai hi did not build or ifn-0 prove for the purpose of sale). . -c· L --=--------:.=__:_______-_ --------"- GRADING PERM!l' ISSUED j ;ED;,,~~EN~ },.~'Ov · P. 0~C,• Y_O N,q }/'~ 0 ~ I:' .. ~~ •J,~~ v-D 1'10 ., • Not Vi!l~t/. l/_n/ess Machine Certified ""· ,,. "Ii z 0 s z l&I A.•· :IE (') 0 !'). cc l&I ~ cc 0 ., rJ ,l,:as ovtner of the properly, ,a_m-,x~lu~!Y~ly c~ntracling with hcensea contractors to construct.the proiect (Sec 7044, Business and Professions Code: The Contractor's License Law does not·apply to an.owner of property who:builds onin' QTY; ' PLUMBING PERMIJ · ISSUE . 7~-QTY. ......, \."> !1--1:~~~- MECHANICAL PER~'F}-IS~Uf,~A4Y /c5 ~ SUMMARY/ACCOl:JNT NUMBER .. proves thereon, and who contracts for each pro1ects with-a contractor(s) license pursuant to the· Contractor's.License Law)._ · · · : . . . _ 11 ~s a i\omeowneni'am improving my hom_e, ~nd the tollow-ing conditions exist: -1. The work is being·perl_ormed prior to sale. 2. I have lived in -my home for twelve months prior to completion of this work. 3. I have not claimed this exemption during the last three years. D I am exempt under Sec: _______ . B & P .C. for this reason · '. ~--... ,,~ __ :,_} ____ ~_ .' ~~' .. - El\~H! FfiTLJR f:._i"RAP ·EACH BUILDINliSEWf:.R -.. --..,. ~· EACH WA.TE.A HEATER ANDJPR-Vl:NJ EACH GASjYS.TEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 0 R MO RE EACH INSTAL.. ALTER, REPAIR WAHR PIPE · EACH VACUUM BREAKER WATER SOFTNER INSTALL FURN. DUCT.~ UP.TO~lQQ.Opot&....,.!Jc ,~ BUILDING PERMIT 001-810·00·00·8220 OVE R...-0~~' SIGN PERMIT. 001-810-00-00·8221 ·BOILER/COMPRESSOR UP TO :i,'l'j'~~' PLAN CHECK 00-1-810-00-00·8891 BOILER/COMPRESSOR 3-15 IJ&,~v· TOTAL PLUMBING OQ1·810-00-00-8222 METAL FIREPLACE V EL!;CTRICAL 001-810-00-00-8223 VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 MECH EXHAUST HOOOIDUOTS MOBILEHOME 001-810-00·00·8225 ··• RELOCATION OF EA FURNAC~/HEATER I II SOLAR 001-810-00-00·8226 · EI\CH ROOF DRAIN (INSIDE) I II I DRYER VENT . I .II STRONG MOTION 880-519·92·33 r-Y.1herebyaflirmthatlhaveacertil.i9ateofcons_entto I ,I I ll TOT.t;LMECHANICAL I l FIRESPRINKlERS 001-810-Q0-00·8227 ~insure. ora,cert1f1cate of Workers Compensation ln-surance.ofacWt.:P,;J';j~~:i.8.!lli?~•bo~~'7 · TOT AL PLUMBl~G I PUBLIC FACILITIES FEE 320·810-00-00·8740 POLICY NO. . , ~--~ / / ~ . I . II l j 1 BRIDGE FEE 360-810-00-00·8740 ~OMPANY(A/,.~~ (A.,,,,,,,,, . IQTY.+ ELECTRICAL ·PERMIT. ISSUE -6f:!/d-QTY. MOBILE HOME SETUP PARK-IN-~IEU (AREA ) ~ Copy 1s flied with the city D Cerlified copy ,s hereby furnished l I NEW CONST EA AMP'SWT BKR I 11 I CAR PORT ·1 1~ AWNING . ILA COSTA TIF 1 PH. 3 PH CERTIFICATE OF EXEMPTION FROM , WORKERS' COMPENSATION INSURANCE (This section need not be cp.mR.leted if the perrhlt 1s for 9ne hundred dollars ($100) or less} 0 ,I certify that in the. performance of the work for which this permit is issued, I shall not.employ any person in any _ m<!n'ner SQ as tq be~9m~ subject to the Workers' Com pen- • sat ion, Laws ,of California NOTICE TO APPLICANT: If. alter making.this Certlficale of ExEf('liption~.you s~ould become subject to the y,.,prkers· • Compensation provi~i6ns of the Labor Code. you_ mus1 forthwith comply with such provisions or this permit shall f>e·deemed'revoked: ' ' ·"EXIST 'BLDG EA AMP/SWT 'BKR 1 PH. 3 PH REMO.DEL'ALHR PER CIRCUILlJ(J T~MP PO LE 200 AMPS O.VER 200 AMPS T'EMP OCCUPANCY (30 DAYS) GARAGE I II FMF LICENSE TAX ~. /(Jc:/, MFF .....,, CR.EDIT DEPOSIT 312-810-00·00·8835 311·810-00-00-8835 001-810-00-00·8162 880-519·92-57 TOTAL ELEC:TRIC'AL .. l /OJ!~ TOTA[ TOTAL FEES PAYABLE ''/Q.S- /o~-- . . . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E~ery per_mit is~uedbythe Building Official under theprovis10nsofthls . * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY O.F PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by hmitat,on and become null ~nd vo,d If th8 building or work 5' O" OEEf> ANO DEMOLITION OR CONSTRUCTION OF authorized by such·perm1t 1s not commenced within 180 days from the date of such --1 ." l-0 f t,ereby affirm that there 1s a construction lending ffi ' ... agency.for the perfo!mance of the work f.or which !hl.s per-v-f o m1t 1s issued (Sec 3097. Civil eode) z ' ~ , ~~Lender's Name~--~·-~-~--~~---~ DECLA~ATION9 ARE TRUE ·AND-CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& permit, or ii the building· or work authorized by such permit 15 suspen·ded or STRUCT\JAES OVER 3 STORIES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY. COUNiY AND STATE ·LAWS GOVERNING BUILDING CON-L!a!!:b'.!an!.!:d~o~n!:!ed~a~t .!a!!.nullm!!!!e.!a!!!ft!!.e!..r l!!;h!!.e.:!w!!o~r~k _!!15!_.:C~o~m!!!m:!!· ·e!!!n!!!c:!!e!!!d:.!· fo2;r!..a!!..E!e!!!r:!!1o~d!..;0!2Jl..;1!_!,80~d!!!a:l'.!s~.-'7'~ .. ...,.,...,. __ .,.. __ '!!l!!"P ______ """ __ .,_ _ _,..,._,ilj STRUCTION, WH!;THER SPECIFIED HEREIN-OR NOT. I ALSO AGREE TO SAVE 1NDEMNIFY AND , 0 APPROVED BY Lender's Address __________ _,, __ . 1 ~· KEEP HARMLE:SS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND AP~PLICAN~S IGNATUR~Jf-OWNER CON1RACTOR-· . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . ~/; BY PHONE O , <r GRANTING OF THIS PERMIT. '-/Q~ ~·. ~-·< --------------'-------------------~- I "CJ o: 0 Ci cu .S!~ 0: 0. <l'. I .x: C• a: ~ .o g;. 25· rJ) <l'. I. 3: 2. ai >-- Ql 0 C cu C u::: s I C Ql ~ e,: 0 0 Ql 0. rJ) C .2 1:1 3 r;< L \ TYPE DATE INSPECTOR -.. ,,:~~ -;>l'~ ... .;, >~ ~\\'<~~~~~;, .· .:~ '-~ -~ ~r-'it:i' ;1_\ -t '\. ~ \ t_\_l___J_ ... ~~ \ BUILDING \ FOUNDATION FIELD INSPECTION RECORD REIN FOR_9j:_[) STE£:!- MASONRY GUNITE; OR GROUT ' ., •. _ •. 8_EQUIRED SPECIAL INSPECTIONS -. \ -"· -. -; l .... ~ REQ. IF INSPECTOR'S I INSPECTION CHECKED APPROVAL DATE INSPECTOR'S NOTES SUB FRAME d .FLOOR D CEl(,ING SHEATHING D ROOF [J SH~AR f:_R~ME EXTERIOR LA TH SOILS COMPLIANCE PRldR TO FOUNDATION INSP . =.-J ; I ·s-TR.UCTURAl.·G0NCRETE . OVER 2000 PS( . '·. INSULATION PRESTRESSED INTERIORL._~TH & DRYWALL CONCRETE POST. TENSIONED CONCRETE r:· .PLUM~lNG FIELD WELDING D SEWER A°ND~BUCO".l"'~'Cl PL/CO HIGH STRENGTH °tJNDERGROONb w,, o"\1JJi:st'e ... ~B-\vATER . BOLTS TOP'.OUT D WASTE D \VATER SPECIAL MASONRY ·•TUB AND SHOWER PAN GAS TEST :: PILES CAISSONS i=J WATER HEATER D SOLAR w;TER ELECTRICAL i _ ""'. ~'$:;.., !___-_2 -~~ D ELECTRIC UNDERGROUND D;:UFFER _/ ; _ · ~.;-.::11::.-. ROUGH ELECTRIC . : 'T//Arr .r-'A -~ ~~-'-? ~f:. 1------------~---------------i . , )/f /IP / ~ _ F,t • _/4ELECTRIC SERVICE D TEMPC?RARY ~7/ 117 -b,j',. . . ,:: . ·,t ~:~;·:::.:.·..::.:, D_BQNDING Q POOL .: ' / ,r, · ·. _. '¼i!<·~ ',~~:' : • ... _,.,f'·· t . ~'!i.....,~ • . .-\ ... .;,., l # l"f -I , ,r--,. "-~="A MECHANICAL ·: _,;: r: :.: · -. :::_~ ~ ;,,;. I ·,. j •• ,:--. D DUCT & PLEM., D REF. PIPl~G iP ,.,,.~ HEAT -AIR COND. SYSTEMS i j ·.,;;_/.;~ i . ·-·--... . • 1-l,;.'--------. __ ------------------~-+ VENTILATING SYSTEMS ~ ' 1 1 1 · ·. ;· , · I -'• ,· -~-·1 :• I CALL FOR FINAL INSPECTiONW#~ttALLAPl'RePRIAtE "'(~'' V·:-i-.. ~~ .... ~ . .' :.,., ·--~·-<·';; .·. \:·,. -., -· ·---··· ITEMSABOVEHAYEBEENAPPROVED.• ' ·. · • · 1-------~-------------------1 PLUMBING ELECTRICAL FINAL ~ .~ ..,,-J.,,,... .. 1.-., ~ 1.-......... _,, _ .. ,.::-, ' -. \ \ 'A I 1-t½/d ~ I ··· I I :-·-:: ~-:: r r.,,,, .. ,,,,,_ rzr~~"! ,-, ... \\-:· . ""·· ,., I I I · :y-· , I ·:. ~-::--·9_,.1--:-' "'-·--, -. -~----~~~ \·~;·::_ __ ~ -'~ -- v···~-<l\~-·-t. "'.':· MECHANICAL : ."'.;, 1 ;,(.'l ~--:.,i-\I': •. .; 1 . 1 .. :--, .... -.---,,.--~ ,,\, 1 1 1~ 1- 1 ';-.:'.\:,,~.;t. ---:'\ ~'.'-: =... . . ~ 1 ~A_S ! · ,--·. -~. · .. ".. ' ~-., 1 '·· :..~ -1 ~-.... --.~. •. '!.. ·~. -... , • -'"· • .,. BUICJ)ING I SPECIAL CONDITIONS } .. -: (_ ..: . .. Tt-5 · J) 6,.J J; ioo A {l~t!J fu1fl ,:U · ------ ~/ ~~_\.J. l~_~&~t>~D.!_fJ!.._l~~iDj:.~~~as~'B~o7~-1. ____ T __ r __ l -) ) :), II (:p.Jd,u'i < . {:JJ> ?/~ c,v,. . ,~f [10~ 3 tF 1 wr~t . (j'lp (!1JNJl>'-41J~ . /ll·, oi/tMll J..;1.,;y41 ~. ) . ·,. / I I j I I .. \ l ·I ----·---. ~---· --... -- .I ~/3 +t1~£J ~w:+~h \ .,,. -. _J C.lt:ti~~ \7 " +\.1,s E :5> ' -:i.''c. (_J/)-?Jj~ <'.:.L>. ~ 4 ~II '• f,. S, . ..,~ ~ .. \ ''.. l, \ Y:t'"-C}) 1:t,,_, I t I I ' i I I r~ 0 .... , __ :t!!f= _t:'- ~ ,.._ ~ "'---. ----·-- ~- ~PROVED BY,.fa, 9 \JUL 29 1988 cJlt of CARLIBAII r BUILDING DEPT. ~ ,~, I , ~ , ~ , , . ~ ., ~ . j .,,USE ·BAU PO.INUEN ·.ONLY &.PRESS HARD . .. · APPLICAN:r TO FILL IN INFORMATION·WltHIN SHADED AREA At:10 DECLARATIONS. --·• •', _..,,;.:, ..... ~ ----' --,-. -j-.. > • ~ .. ; --: -• • • ---: ' • -,, ~ ' '' •" ·" " _ .. . :_ ....... _ ........ ·--· .. _ · ,~,.: ·---. : ·. .._ -·-·. -.... -.cAR~seAo: emL0·1N~ l)ePARTMENt . AP-rii.1cA:t10N·&-;PifRMif ~ --~-....,,t- [·[; '~@-'fr,~ii;~;:.ii&rri.;b~;f;,itucenseifurider ... :. _ , :.>: 1 .--.. 207.5 Las Palrj,,as Dr:, Carlsbad,, QA 9200~·1915 (619),438~116t _ .... .l 1 _ ... _,.· • _; '__ • • • ..... _ .• ,:·, ... -.. _ _ ·-·~ , .. ';, J .-A~~1::r{;~ ~fhrii!f:l/~~;~;;c~~~I:;~· i ; :J~BADDR!SS Quaiitt ).\.ssuranceAv,s:-:RD~ • THOMAS BR'QS.NO.. !DATE ~F APPLICATl~NI'< :BU~INE~ l;lC~S~ # \/ALU~-Tl~N ~ ..... /ER~1:·N-~MB~R~ ~- '.~;' ,,i.nd Profeeslo~s Ccxle,,and my llc41nse Is In I, -4720 Lokei;:: Avei;rue West I Suite M' p,,.,...o 20,. B i 9/21/87.' ,. --45l687 . I ·("l,'/.' . o' __ fulltorce.and.effecL .. , -·· ..... I · · ·'.. · · · · · ·· · )J··g·:::i..o u·~'.,-;'. :·; '· ,.,:. • ~-·: I . . . . I . 'LOT :,aLO¢~. • t SUBOI VJS1,Qii .• ', ,I A~SESSOR,P,ARCEL' NO. CQNTflACTOR, ,CONT.IIACT011$.,PH0Nf.# »ZONE. ';'' ; ;· • ..;.,-' a ... : . ,I .!J~(eby aUirro thaU al)!, e~empt. from the.-,Contrac· i". L · .. , • · ·.j · . • · , , · • : :.. .•. ,!ors License law lor the·fol!Qwing.reason·(Sec. ·7031.5 . , . . · · : • . • • · ·, ·, · -·, · :; •. ··au,siness'and'Profess1ons.C,ode: Any.~jtyo(county,whict.re· I .OWNER s _NAME , ' 1· OWNf?'R'S PHON'E Electrical Contract;:i,i:ig ,Iqc' 489 ~ ~99 . . . ----... ·-': :.: . :;;·:· quires-a•pern:nt to•co~struct1-a[ter,. Jl)lprov~1 ·demohs,ti:--or ·1-·,· l . · ~ . C •. · ,.· 'd .L· t·a · , CONTRACTOR'S ADtfoess STATE LfCEtilSE: NO. . BUILDING·SO. FOOTAGE :, :,•P,•!ranv,.stru~ture,pr,or101ls1ssuanceals91equires·rneap· : Car sbau rossroa s I ·,~. ' '1437 I' d t . 1 · A' CA •, ~._'.;Ph£?ntf~r~~Chp'!!m1l·tp•!1!e,a,~ifi.n~d.~l?temenl,th~t,.h~JS, I, · ' · · ' ·.. . ··. ' Il US r1a:, , Ve·. ,' ·.' ,,. __ ,_,_.. .• ..... --... _ .. ,_. .. (]) . tft~:: L~:~t'b"h1tp11~ JhEoiWJiW~rir.:i:h t~:c1?i;.1~i~gr~~ ! E)WNER'S ,;,All.ING ADO RESS . ,. --' -I IT: •1·-·,mv,sion.a,of\he,Business(ndf?Jofessmo~C,QJ!e).or,thalis:ef~' I~ • '3·)1"56 Ca·m",·no·· o· ·e· 1·· R·i· o· No ,,11,110 ·sA'N ·DIEGO DES.t'GNER ·DESIGNER'SPH0NE ' -·•!1'~t.therefrom ?nd 1he.bas,5;tqr,th~,ajl~gea:~xemp110~. AnY'"· I , .. · . "* . .+' . · • 'It.. . "{ . . . · . · , .. . · · · " · i .. .-• -.. ·, ·-_, ·-·-'+· ,y10Jat10v,o~.S~ct10~ 793_1,,Sgy an-,apphca.n,t,for a,P,er,1111t·sub.'· •,. ' . : .. '' . ' ' .· . . ' ' ' Not Kn.own ' ., ' . ',.) ' >, ci3 ,1ects:the.apphcant1oamv11'.,Pe~.!'fty0ofnot:Tore'!'an·nyef_un· ·:J.:·· ,o~.<;JlJfTtO~Qf WVQ.R.~ ,-, l .20.0 . . , · ·. 0005 09/?1 -Oi01 Q2'r:l {D ,1.' _ ,._.._. 'dred dollars·(~500). ·,:: , • f. '.· 'Ag(;l. _aqcll;C :J;Oili;l amp Se'.l:;V;J. Ce OESIGNER'S·ADORESS .. STA-TE LIQENSE,NO: · :., -,_::, -"r'-' CJ,c.lfB,.._ ,-• . a:·' '.'.U .. l .. as.o~ner.of,lhe.prop~rly:.~r.my employees Wll~--.:ages•• j . " .. '·, .105 •. or.i &&i i~ J :as lhe1r's0Je cq,(!lp~fl~ation/Will·do the WOfk', and the,struc-i , · --, " _,, ·" ·'O. _t!!,'ei5,not1~tendeforoffer~dJ~~§a~($e'c.1Q41,Bufilnes~ .. , 'to ,i",l:>.nAni" .i:r.;ni r..c. , .. . . · ... · ---. -.. -:, .,.;, , .. a~d' Professions.Code; -The Contractor's.License Law1does f F/P · ,F C.R ELEV,.. N0· OCC•GP · EDU· 5 ,:;.~n~,a~~ly to',a{i·owJ1el.ol,pr!/p,erty·,wrio··o91lc!s'.ot improves l . ~ . STORIES · · . .., · " Q) I., I-' I ~ I • "'O: • ~. 'lh~reon~nd;whQdoesisuch·wor~.-himseU·or-through·h1s;O'fin·-··--.. ; -------· ---· --.. ... · --:-........ _ ,-·-·· · ----,:--~ • ·----~:-.' .---... ,. ' ·• ii:.· ; .tm,P.loyees, provid~d'Jha!,suchsimprovemeiits areni/hinte'nd·, I,,, ' v,O NO . · .. .,, ~· ·. _-:.~~e~f'.1~f~t\l~dJfi~f;~;;_~.a~\w;~;,p/~fii:!/~·~n~i~~;ti~:~ -1. .• . : .... --·'-:I 'CENSi;Js. TRA'.9J .1:·p~f'fRlNG Sf'A,:_E '1· RE'S UN IT~ ,,.. 9R.APl~G _PERMIT ,1$SOED ·:I R.~DEv,r(:DPM_ENT. . ·-. .'. rvr,g: 'occ L.o~·o _fl 1'1E S.PR:.:: ,. • -.. ' -• ::;~: ,,_,, • • .. .. o· (,!J 3', · will have lhe burden of prov1ng>thal he:d1drnot,bu1ld or.1m· 1. . . . . 1 , ARE-A .; · ,(:ONST ": 0 : ," -priw'e•lol•lhe·purpose,Df·sale). T --·:· --• .. •f · •· ·, -·-· •. · ~·. • , · • · __ .. • • · . '. Jo, N ·o· . · . · ivD N.d -v[) NO ·.No{ValitFUnless Machitjif:Certified _ ~··. -,.:~:151 '.ii;:n1~n~~n~ia~~;~~~:;;ifrtidffi!i!f~t~~~t~~;t-{· · :o=!"y; .. -/: :PLUM~INC3 PERMII:_l~§l}E • 7 £!,_ QT~:' MECHANICAL.PERMIT. ISSUE ; ' -~ ;:...9,J!J.-··c·" ' SUMMABY/~ccq~N; NUMB~R:,; ~:,_· ·-·i ~ . 0' z o• .= .. C ac j ~ 0 ,an·owller·ol'property.who builds orim, l . . · · -.. , . L--. , · -./",..J,,.". ~ ' · · c · . . :· _, · · 1--, • Cl,,: Wh~cgntra~'tsfor;each'P,f9i~~tswitti~;:,L •··•·,: ·EACWFIXT'URE·TRAP 'INSTA:lL·(URN.OUCTSUPTd)OOOOOB:fU. i tlUltlJINu:~~HMIT ·001-810-00·00'8220· 3;: ,.pursuant.to lhe·.Contraclo,.s License. f .. . .. · , , · · : · ,, ,, .. · .. --... ... .. ' · · . ..• · · '. . . . · . . · . . · ...,._ , '.' • : , , •.• : ... ,;: :' . i EACH,BUILQING S~WER -; lWER 100,000 B·W .... -· SIGWPERMll" •. '"001"810-00°00:822'1' l' :. >:::-:---,, .. " --· '"·I · ·1:J-As a homeowner I am improving mthome and the follow·· • ' , · ·. -· , · · · · · · · ·, · · · :ing tondll(ons exlsi: . · • ,.,v,·· . · · · •·I: ,,.. EACH.WAT-Ell' HEAT.ER ANl'lt.OR VENT BOILER/COMPRESSOR UP TO 3,HP PLAN CHECK 001-8.10-00•00·889'1' .1 · · 1'. Theworklsbeing: rformetl"riorto·sale. : ·-·· · ·· • · . :. :" , · -, ' .. ··-·· ···:·· ··";· -. · -... --·." ·:·":. •· · .·.'...... :·· 2·. T'have·lived.in··,\l,y·nome·ro(twelve:months .. Ii,-· ·.'EACH"GASSYSTEM 1 TO if OUTLETS·-801LER/COMPRESSOR3-\5 HP·, TOTALPlUMBING ·001·810-00-00,8222 ~ ~ ,, prior to completion of.this·,work. · ,,, , · · • · · ' · • . 3.-l':flave, not claimed ·thls-exemp11on •dunng· the· i.. · · ··· , ·EACH· GAS SYSTEM'S O R'MO RE METAL:·FIREPLACE El:ECT-RICAL·· ---.... • 001'810-00-00·8223.. ' : ... ,..ri,J, .. -. ·1 • last.three.years. · · · · · · · ·- 1 . ,EAGH-INSTAi. .. ALHR. REPAIRWATER·PIPE VENT F,A,N SING~E uu'cr MECHANICAL d91-i10=00-00°8224 ·---.. . ,,: _, . . ...... . EJ\CH:V.ACUUM . .B.RE.AHR ..... , MECH EXHAUST HOQOlOUCT!; ___ __.,.,_ MOBiLEjiOME 0 him.exenipt,under Sec-~,--~-',-'-, B & P.C. ; : for ttii_S reason ~ , ~ · ·• 001'8.10°00-oo-,a22~ W_AffR §O~l'~E.~.L . _,, , , L .. '.4 RELOCAT.19N OF . .EA.FURNACEJHEAJER I II S01:AR ----·001·810-00-00-8226- 312-810·00-00-8835 "'.c, ·, · · , . , ' .. , , , v '·· · i ~~TEAce ROOF oAAIN uNsmE, ~ : I . I : [ DRYER VENT . [ . I STRONG Mo,,o, a,0.519.92.33 , '.'",M lherebfallircnthaffhave.a.~ertifica1eorc:onsent.to.1 , .· TOTt.L MECHANICA't 1· , .. _,, · FIRESPRINKlERS -001-8fo-oo:oo-8227 .. · 'tlff,msure. oi a certaf1cate of'WorketsH3ompensat1on,ln-• ~ • .. . • · , -.. .~ , ·: suran,ce.ora,certif,ed°7~Ythereof(Sec.:iado/aborCode)_ ii •, · •· . TOTAL PTUMBING -. . j . . _ .. --. . . . . _ .. -. , _ . PUBUC FACILIJIE,S F.EE _ 320-810-00·00·87-40, I· .. -· .• · POLICY ,NO, • · · ' I · • · I z · · ··-.. -· j -.. : --· .. , . BRIDGE FEE 360·810·00·00-87 40 Q ~MPl)NY' . . .·. ~I , QTY. ELECTRl(?AL PERMIT -I_SS\JE ~·-. s-~ QTY. MOBILE HOME SETUP • -PARK·l·N-LIEU {A .. REA .,.. ~ eopy"1s·hled-w1th the city --........ ~ --· ------~ -~ _ C . ' . . ·, I ~ _ Q q_ertilied c'?,PY 1s.h~reby fu_rnished __ •. j _ . •. NEW CON.ST !:A AM.~'!;Wl BKR~. _ . _ ' . _ , CAR PORT.. • . • IIF _ 311-810·00·00·8835 f I 1 PH · 3 PH .. · , AWNING . LA COSTA TIF ~·-i cERT1F1cl(Te.oF'Exe.MPT19111;"iio~. 1 ei1sTBLDGE~A~;,swT'BKR .. --· GARAGE· -: FMF 0 . WORKERS'. C.OMeEl'>(SATION INSURANCE .• -I . • ... · • -I !!! , , (Th\S section need not be completed 1f the permit i j ·PH _? ~;,..., (3 PHJ • f ~A DO , . .LICENSE TAX 001·810·00-00-8162 ffi _ 1s fot one hundred dollars {S100J or less) i _ . J _ • , , • _ , __ ~ _ _ 1 _ • _ , , • ~ --• ~ . - ,ic· . ,0.1certifytt,atinthepertormanceotthework,forwhich l R~MOOE.L ALTtR PER CIRCUIT · · , · MFF 880-519-92-57 ~ . thi§..permitis[ssued,l~hall.~otempl~yanyper~oninany J TEMPPQLC' 200 AMPS ~ _ • r:i:1,nn~r so as to becqme sUl?Ject to the Workers Com pen-4 • c • ., , . sa!1on ta_ws of Cal!forn!:3. •. . .. _ . ! OVER 200 AMPS , :NOT!CE TO 'APPLICANT: lf..after maKilig this <;ertificale I , , • ' '· • 'qfExernp1lon.youshoulcf~econi'l,S~]1je9tto_lheWgrkers· 'i· ' ... · -· T8MP OCCUPANCY:l30 DAYS) . ,. • . J -"' C. a: o, en--; (/), Q) (J)i 14 <t: ' I 3: 0 ~i >- (I) 0 C <ti C, ... ,_ -U::- C Q) ~ C,: Compensation provisions of the •Labof Code.+ you must • · forthwith~omplywit~suc~provlsibns3rthlsper!,','lts~all d · _ ... .. . .. , __ .. · o» _.. • -• • ,c• • • CREDIT DEPOSl:r I -. . . 0 be deemea ,revoked. , j · , I: .. , . - -. --· • ( . . -... -TOTAL ElECT'RICAL . , oa . . TQJ:Al , . : -TOTAL FEES PAYABLE I . (1-iJ ~ ·•. ·: · -:: I . 1-0.6 . . . ._. -.. . . . ... · . ·" . . . . . · /0,5 . ., . . ·~ ,'[:" ''Q. ·: • . . :. . ·I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMiT" AND DO HEREBY Expiration·. EMry per.mi~ 1•?u,c! bytha BuildingOffic;:iaf underlllepr<?vtsions.ofthis * 11..C•flt•!J,,.&:~.~\i~Vl'T . ,. .. EA ... , --.: a:-. ": -· I her,:by,alfl,'."' that there is a construct!on le.ndmg CERTIFY UNDER PENAL TY OF PERJUR¥ THAT Al:.L INFORMATION HEREON INCLUDING THE Code shall exptre by hm,tl~ton and become n~fl and void If the building or work 5' O" DEEP.ANO OEMOLIJION,OR CONSm\JC OF I '. w . ~qency for the,performance of the work for wh,ch th,s per-DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CE;'.RTIFY AND AGREE IF A PERMIT I& •uth~rized by such permit 1s not commenced within 180 days from the date of such (\ STRUCT\JftES OVER::. 5..,,,....,5 N HEIG T Q). o <mit is issued {Se,: '3097, Civil Code) . . . · . ~mil. or if the ~lfd!ng or work authonzed by such petmlt 1s suspended O( • . .'f . '"""-I '.~....., • ;<::' z, ··-----· .::--. -.~ ... · ISSUED: TOCOMPL.YWITHALL·CITY.COUN1YANC>STATEl,AWSGOVERNINGBUILDINGCON-abandoneaatanvtorrutaftertheworl<l$commencedforaoerlodofl80davs . "Y, .• .c. w L:ender·s Name · • r · ' . Sl'RUCTTON. WHETMER SPECIFIED HEREIN OR NOT. I ALSO AGRl;:t TO SAVE INDEMN1FY AND · • ¥', / '-"" (, DA.TI , :S:, --' .. · -.~~-. -• ' -• ·---·--·,. KEEP~ARMLESSTHECITYOFCARLSBADAGAINS'.fALLLIABILtTIES.JU[)GMENT.S,COSTSAND A'PPUCANTSSIGNAT'.;E ... OWNERD CONTIIACTOR= J ~~~-. I :'-F=':-'Tl_. __ Uf.~. · Lenders Address I EXPENSES WHICH MAY IN ANY ',',IA'{;;,..ccRUE AGAINST SAID CITY IN C0NSEQl,/ENCi: OF THE -~ ; BY PHONE O 1 · p q ,~: ~ , '.~ .-! J ;f''Zr/ • • -· GRANT(NGOF·1'HIS·PERMIT. .. .--' .-' :, -• . / ·' ' ·~ ~; ,_-., .-' ·7 ----J , ..,._. " -' #~~ N,,,.!i, ~ l' ~ / -/ ,, ' . : . f' ' -' ' ~' ... ·~-\ ' . -. . .,..,.... ... } ti' -TYPE ! DATE INSPECTOR BUILDING ,, ,_ FOUNOATION .. ~ I -REINFORCED STEEL-! MASONR'( i . GUNITE; Ott G~_OUT ! I . . .. SUB FRAME Q ·FLOOR D CEILING SHEATHING D ROOF tJ SliH;AR_ FRAME ! I -EXTERIOR LATH l iNSULATION . 1 --._ .. _ ... i:,.. '· .... ~ ,.~~ -, - ' -/ INTERIOR.LATH & DRVWALL _--} ' -PLUMBING ! .. ' 0 SEWER AND BUCO [j RUCO . ' 11,JNDERGROUND D WASTE DWATER . . .. . . 1:0POUT p_WA$Tf: -_D y,/ATER . ~~~- _TUB AND SHOWER PAN ! ' ·-· ... - I .• --· . --. --' GAS TEST ! D WATER HEATER: 0 SOL.AR \/\(ATER. ·• - l . ----i ELECTRICAL ' - ! - q ELECTRIC UNDERGROUND [ii UFFER. . ROUGH ELECTRIC ! . I D ELECTRIC SERVICE 0 TEMPORARY . -~ ... D BONDlNG D POOL l I I MECHANICAL ! . ' D DUCT & PLEM:; _ . C]REF. PIP1NG H-EAT--AIR COND. SYSTEMS I I VENTILATING SYSTEMS .. ! . I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE _-_-_-. ITEMS ABOVE HAYE BEEN APPROVED. - --FINAL PLUMBIN'G ELECTRICAL MECHANICAL GAS BUILDING ·SPECIAL ·coNDITIONS ·FIELDINSPECTION RECORD . REQUIRED SP,l;CJAL INSPE:CTIQNS INSPECTION SOILS COMPLIANCE , PRIOR-T-O FOUNDATION lr~SP ST.RUCTURAL CONCRETE- OVER 2000 PSI PRESTRl::S$fJ (" ;;--, CONCRETE POST TENSIONED CONCRETE FIELD. WELDING HIGH STRENGTH ',I _BOLT~ SPECIAL MASONRY PILES CAISSONS· ,·, REQ. IF I INSPECTOR'S· .,CHECKED APPROVAL .... _. " . · <;,7-)('~D . ~ INSPECTOR'S NOTES DATE ~~ ~ .. (i~f''~~ ,-.:.1.,J~i I~~ i.~_-, <!Citp of <!arlsbab 1 REQUEST FORINSPECTION RECORD TIME: 1J ~ INSPECTOR _________ PERMIT NO. _________ DATE: A/OS--r OWNER -~ ADDRESS 4?:L-b . Sd/7/:!!. · hJ ~.)f-ll!:. REQUESTEQ BY F C'4 PHONE NO. #1--C, 710 PERSON TAKING REPORT ____ _ BUILDING .D FOUNDATION D FOOTING O SLAB D REINFORCING STEEL D MASONRY D GROUT· GUNITE D FLOOR AND CEILING SUB FRAME D SHEATHING D ROOF D SHEAR D FRAME ELECTRICAL D. TEMPORARY SERVICE D UFFER GROUND D ELECTRIC UNDERGROUND D ROUGH ELECTfllC D POOL BONDING D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL ,~LECTRIC SERVICE )\FINAL ~l"T/&WA<.. ~ ?~~)VbG~ PLU~A O llW'"' ~ ISCELLAN EOUS D UNDERGROU f= .,P, ~~ llTIONED AIR SYSTEMS D SEWER AND I (Z) f#iO-} ~ n,e J;/JE~ R HEAT J" D TOP OUT PLU1 T>'/M.I 7£)/> -i t,;(/..q)/4 t D TUBORSHQVI ~7l~ wfl;le/Cf5 ~-D SPA j2,> f';_;:1l o GAs TEST J.itS ~ v~ · I »· -l (// r,, D WATER HEATE ~ A/~ NG r D Fl NAL ~ V.Af4tl ytr1 ~r ~ JJlJ1' \ w,flf!;O.,.f/r' ~ SPECIALINSTRUCTIONS_ ©~r~~, 16/rLct f --~-@ Ceftrl1V ~ Ready Forlnspection: D Monday D A.M. D P.M. · D Tuesday D Wednesday D Friday 1 ,j. I . . . f . e [' ~;, heritby ~ti,;~ :ha;,;·.~ licensed under : o /~ns of Chapter 9 (commencing with I ;: Section 7000) of Division 3 of the Business : 1-. · and Profe11lons Code, and my license Is In f Kz. · 'iull, force arid effect. · ·: · •I-.·• •• I ~ r r hereby affirm that I am exempt from the Contrac· I • • tor's License• taw lor the following reason (Sec. 7031.5 . Business and Professions Code;. Any city or county which re· l quires, a ·permit to construct, alter, improve, demolish, or ' . r/ipai( any structure, prior to its issuance also reqmres !heap· rf ·pllcant for stich permit t6,f1le a sipned 'statement that he is · licensed pursuant lo the provisions bl the Contractor's f .. License' .Law (Cfiapler 9 commencing' ·with Section 1000,.01 1 ',Div1s1o'n 3 ol the Business·and.Professlons CodeJ.orthat is,ex: '1 empt therefrom and the,basls·for t~e allegea·exempllon. f.ny I VIOiation of Section 7Q31',5' by an applicant lor 'ao"peiimtlsub, '. jects-the applicant to a·civil penalty of not more than live hun· I dred, dollars ($500). f a: . ' [ I, t. as owner of the prop~rty, or"my,employees With wages l 111 as their sole compensat1on.'wm do the work, and the struc· I 9 .. -~u;3 ~,~1~~l~~~~d~~d:-?~~~dc~%i~~~/~s"ilc~~;!·J.~~~~:; l ·USE BALL POINT PEN ONl:Y ·& PRESS HARD APPLICANT T.O FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS. -;I CARLSBAD '8UtLl;)ING DEPARTMENT . ~075 Las Palmas Dr., ~sl}ad, CA 92009-4859 (619) 438,1161 APPUCATI_ON & PERMIT NE EsrcRosssT. 11 , . --· .11 ·l oATE oF AP.PL1·c..,T10N ?'/C,C,#f;d//t.., /:f/~ f/)OJ/2.7'/'ZCJ... .-s---8 , BUSIIIJ'ESS LICENSE# CONT RAC~ · CONTRACTORS PHONE# ow,eBSNAM< . I qWNm ~0 ,, £LE<:.-{ (A,,.JTA_'/(C7/~ /pC ,;/Jr-~ 7<}o Lo,, BLOCK SUBDIVISION 11-a.LSb;,J CA?dqs1<ol'tef~ , , ~C:..0M 1~ OWNS R'S MAILING AD'Of'lESS /, -. ' : . H<-V.6 ~7)20 W• bdKc:~. c?nn.L(;Lu4J. /f.Ai/v'E - DESCRiPT!ON OF WORK DESIGNER'S ADDRESS F/P H:R ELEV.,, NO' STORIES STATE.LICENSE NO. ·QCC GP EDU 'ZONE "'.~L_UATION ""~ BUILDING SO. FOOTAGE --.,· .. ~: LL >, ~ 0 0.. E Ql 'I- I 'O' 5. :rot apply lo an·.owqer 01, pr~per,ty ,who, ~uilds ·iir \mproves l, ~ , "'t~~Tg;e:~~ p~~~3:J!h~~c:~~0\~~)~J."rJ:e~tlh!~e~i~t~~:~~ '.·I 111 ed·or·o11ered for sale: 11, ~owev~r • .th'e builoing'or,lrnprove-,I ;Jt--.1~_-. :!-. °7~p-12-.-~-,--··~-"--·~-~-L!---~ ,g-.~-;-~-:-~----1 . vo Nb _,_, I I ~ARKING SPAOE I RES UNITS 1 GRADING PERMIT ISSUED YO N 0, I REoEv·E·LOPMENT AREA 'ol::C'LOAD FIRE SPR 0006 03/05 0101'.02BldPmt . l,5-~ 8 en z 0 ~ a: :'.5 frl 0 z ' men! iS'S0ld within ohe .. year of c_ompletion,•the owner-bmlder I 3: will.have the burden of'prilving that he did not-bu1ld-or,1m-, TYPE CONST 0 prove for lhe purpose of sale). , , vD ·NO vO _NO Not 'Valid Unless.Machine .. Certified D' r, as.owner of the -property, am exclusively contracting · l with licensed bontfactors to construct the prpject (Sec. 7044, J Business and Professions Code, The Contractor's, license \ : Lal)' does not'apply to an'bwner bl projierty,:,v~6,bu1lds or'im·' QTY. fl_LUMBING PERMIT_-l!i;\SUE 1,~-MECl:fANICAL PERMIT.-!$SUE 3-eJD SUMMAR¥'/ACCOUNT NUMBER .. :prov~s'thereo~ •• ~ng·whq·criritracts for each pro1ects wi\h-a f . EACH FIXTURE TRAP'. , ..,,,.,.,,-INSTALL .FURN DUCTS UP TO 100 000 BTU ·l7 ,· • contraclor(s)' license pursuanl to \he Contractor's License l · , ·: · • , · · · , ' · , Law).. , . '. . I EA_CH BUILDING SEWER • /~ • OVER 100,000 BT~ BUILDING PERMIT oo 1-81 o,oi;Foo-8220 SIGN PERMIT 00-1-81Q·00-00-8221 ' z O•· ~ z Ill a. ~ 0 0 U) a: ~-a:,, 0 ~ ~g-~~ .. d~f:;0:,.~:f:1•mimprovingmyhompn~thetollow· I . • EACH WATER HEATER ANO/OR VENT___.....,...-• . BOILER·/COMPRESSOR UP TO~ HP_/ 1. ·The work is being.performed prior to sale. T · r,"""' , · ,n ./ -PLAN CHECK 001-810-00-00-8821 TnTAI Pl IIMRINf.: 001·810-00-00-8222 2. 1 have lived in my home tor tweJve months l EACH GAS SYSTEM 1 TO 4 OU'L,.,,:1S • BOILER/COMPRESSOR 3-15 H~ • ·-···-· --···---·-rrior .to completion.of this work. ' -. . ... n ...,<,; ' ../ . . ,. ---~ -· 3. hav~ not claimed this exempti_on during the l EACH GAS SYSTEM 5,OJ)A'iuRE . METAL FIR~RLACE ../ • E~J:CTRICAL , _ 001·8·10·0_0-00-8223 , ....,. last three years. I · · " , , -. - ·D 1 1 'd s . B&P'C '1 • EACH INSTAl .• ALLBl:REPAIR WATER PIPE • VENT FAN S1Ng;,e1lucT , . .MECHANICAL -~01·810,00°00-8224 ·I <-t amexemp un er ec. ______ , . . . " torlhlsreason . j · ,EACHVACJ.J,t11.IBREAKER • ' MECH~)(.J;l,l(UST-HOOO/OUCTS • MOBILEH_OME _"l;;) 001-810-00-0Q-8225 I WATjiKSOFTNER . RE(JKAJION OF EA FURNACE/HEATER . • SOLAR ~ ~-B10-90-ot\2_i.~· . I $H ROOF DRAIN (INSIDE) . )!f{YER VENT • ,STRONG MOil.0~ .. ~ 88~9~3" 1 1 ~herebyaffirm.thatlh'aveacertlf!cateofconsentto I ,, ./ / TOTAL MECHANICAL I flRESPRI~' " "oOHi,:!lill!l5-.0O,'a227 self-1osure, or a certificate of,Workers Corr\pensation ln-" J"'/ , • , · ~ '}l"U , surance. or a certified copythereof(Sec.3800.LaborCode) l ,-TOT AL PLUMB I NG I . . . PUBl:IJa.~ITIES '~EY · 3?~1-~0-8740 I I :~L;;:~~ : · . ~R1DUE ~~ U-stil~-oo-B740 .,,.,.....,_ . . . l QTY. ELECTRICAL PERMIT -ISSUE ..;--,.__ QTY. MOBILE HOME SETUP PARK-IN-LIEU {AR'E:i. 11..,) ~.....-~y 1s hied with the.city l _\ "'"'\ lJ 1 ft-.1 .&. 0 ·Certif1ed·copy 1s hereby furnished I NEW CONST EA AMP /SWT 18 KR CAR· PORT • TIF ~~ .._~4-·810-00-00-8835 J 1 PH 3 PH . AWNING • LA COSTA TIF o-_t4\'-.133·810-00-00·8835 i::ERTIFICATE0OF~XE_¥PTION FROM '1 1 , . EXIST BLOG EA AMP/SWT/BKR GARAGE • FMF ... ~""/ ---WORKERS' COMPENSATION INSURANCE (This section need not,be completed If the permit I 1 PH 3 PH . • LICENSE TAX <:f" 001-810-00-00-8162 . is for one hundred dollars ($100) or less} i , _ . 0 1certlfythatintheperformanceoftheworkforwhich I REMOOEL.ALT~R PER CIRCUIT · 1 • MF'F 880-519-92-57 ~:n~=:~~t!~ ~~s:i~~seh:~'b!;~i°t~~~';,\~~~k~~;~~:~:.i:r. I TEMP PO LE 200 AMPS satlon Laws of California. . I 0\/E R 200 AMPS NOTICE'TO APPLICANT; If, after making this Cert1hi:ate I . of E~emptlo_n.,Jlou sh9~Jd be9ome ~ubject to·the-Workers· ,I , , TEMP'OCCUP.tiN CY 130 OA VS) Compensation provisions ·of the Labor· Co'de, you must forthwltti,comply wltti Such provlsloiis or this permit shell! I be d8emed· revoked. I I I TOTAL ELECTRICAL l . 7D 7 CREDIT DEPOSIT JS'~ TOTAL TOTAL FEES PAYABLE l /0~ , .. ' . :',. . ; ,, . • . I [ .D Lt,er8by affirm thaf there is a collstruction lending I ffi . agency;f9r'!he ·perform~nce of the work,for whict, this per_. f ~ mit ls•lssue~·(Se,I\LQC/\J~ ,. , · · :· I UJ Lender's Nam~ · , ' i ..., . ~ . --. . - Lender•s Address ' I , • . I " c M "AN DO HEREBY Expiration. Every permitissued by the Building Ofl1cial under the prov1sions'of this I HAVE CAREFULLY EXAMINED THE COMPLETED APPLI ATION AND PER IT D · Code shall expire by limitation and,become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE · avthorized by such·permitis nOI commenced within 180 days from thedateoisuch * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP AND OEMOllTION OR-CONSTIIUCTION OF STRUCTURtS OVEII 3 STORIES IN HEIGHT , DECLARATIONS .tiRE TRUE AND CORRECT ANO I FUR'l'HER·CERTIFY ANO AGREE IF A PERMIT IS pflrmit, or If the building or work authorized by such per")lt· 1s susper\ded or ISSUED: TO COMPLY WITH Alt CITY, COUNTY AND STATE LAWS ·GOVERNING B\JILDING CON, aband ned at an time after the work 1s commenced for a enod of 180 da s. . STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~p I N;zT·s SI ~u OWNER O CONTRACTO APPROVED BY'. . . . . • ,DATE KEEP HARMLESS THE CITY OF CARl,.SBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~,-. . exPENsE9 wH1cH MAY IN ANY WAY ACCRUE AGAINST sA1D c1TY 1N coNsEoUENcE oF THE . sy PHONE o · · ·, . ·I 3-s-~n I I I GRANTING OF THIS PERMIT. . . _ -c_ -/ ' . ·-·- :c <1l ~ 0.., ,Q. <t, I .><: C a: ~', rn rn Ql rn rn <t I :!: .Q Q) >- Ql 0 C <1l ~~ T'" I Cl Ql Ql (5 0 0 Ql'' 0: rn ~ I, ·~ ~,; .c 3: ·,. TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR SHEATHING D HOOF FRAME EXTERIOR LATH INSULATION T J_ l i D CE(LING D St:iEAR r l I I INTERIOR LATH & DRYWALL i .PLUMBING i D SEWER AND BUCO D H'UCO UNDERGROUND D WASTE d WATER DATE INSPECTOR ·1-eTOP-OUT D WASTE D WATER I I I TUB AND SHOWER PAN i GAS TEST '•D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D;1 UFFER ROUGH ELECTRIC 8 ELECTRIC SERVICE D BONDING [J PO .. t MECHANICAL ; D DUCT & PLEM:, D REF. PIRING-.. _ HEAT -AIR COND. SYSTEMS t •. , VENTILATING SYSTl=MS J- ~~ .... \-..-. I~-. ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION, INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING , • HIGH STRENGTH BOLTS SPECIAL MASONRY PJLES CAISSONS REQ. IF I INSPECTOR'S CHECKED APPROVAL ,.... ' ,, DATE . INSPECTOR'S NOTES ~~ } ~ .,.-\ .., ... '-· ~-. ~ . ':-'; ~ . ·•, ,;,o • ,, ~ 03\02 ~ro:f OSBJ(U:.IJ.f :Q•OO CALL FOR FINAL 1/IJSPEC[ION WHEN ALL ~PPROPRJAT-E~ ':·,I :·· '";', -·-·. --:· 1· r.• ' I \ 1 " ' ' I I I I ITEMS ABOVE HA1VE BEEN APPROVED. , . . I I -. -..:. . .. " .. ,··\ ., .. .:._. ·~· .... FINAL t1. --·· __ •• __ • __ •.•• ~ , . ~---, . 1----·..,_, __ __,_ _ _,___,_~---------------1 ' . ' .. ' ' ' . ' 7.e'j} --' .• . ,, PLUMBING ~.-/ ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS J J t c;w I -., I t .. . ~ I · \ .. ,. · .., -I • · · , . 1·-·1·. I I I -+ I· \ \ '. ,, ~ •, " ~ ~ I ~ • •,