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HomeMy WebLinkAbout2724 LA GOLONDRINA ST; ; 82-248; Permit"' z 0 s .. -' ~ 0 Ir 'zl 0 " a: "' 0 -' 5 ~ "' z ~ z 0 .: ~ z "' .. ,. 8 "' a: w " a: ~ ![ =:, I hereL ,,,n that I am licensed under pr~lslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ano Professions Code, and my llcense is in full force and effect. lll No -------Class I hereby c1tf,rm th.it I am exempt from the Con f~11'(8uL~~:;;: ~dw ~~,~~.~~~~~~,\~ county wh,ch requores a permit to construct aner. 1mpro11e, oemo11sh, o, repa,r ariy structure, pr,or lo ,ts issuance also requires the applicant tor sucti permi1 to file a signed statement thal he ,s licensed Pursu.a.nl to the prov1s>ons of the Con-tractor's L,cense Law (Chapter 9 commencing with section 7000 of o,v,s,on 3 o! the Business and Pm· tess,ons Code) or that ,s exempt 1herefrom and the b,as,s tor the a.lleged exemption Any v1olat1on o! 5echon 7031 5 by a.n apphca.nt for a perm,t subjects tne appl1ca,nt to a, covol pena,lly of not more tha.n !,ve hundred do!la.rs ($500) 0 !, as owner ot the property, or my employees 11o,th wages as their sole compensat•on, will do the work, and the structure 1s not intended or o!!ered for sale (Sec 7044, Business a.nd Proless101'ls Code The Contractor's License Law does not apply to a,n owner of property who builds or improves thereon and wl'lo aoes such work himself or through his own employees. provided 11\at such 1mproveme;its are not 1ntende'l or ottered tor sale !f, however the building or improvement 1s sold w1tt11n one year of completion. the owner-builder will Mve the burden ot p,rov1ng tMI he did not bu,ld o, improve !or the purpose of sale) m(i', as owner ot the property, am e•clus,vely contracting w,th llcensed contractors to construct the prOJect (Sec 7o«. Business and P•oless1ons Code The Contractor's license Law does not a,pply to a,n owner ot property who bu11ds or ,mproves thereon. aod who contracts for each pro1ects with a contractorts) license pursllan1 10 the Contr..ctor's License Law) 0 lamexemptunderSec tor th,s reason _,B&PC O I he•eby a,fftrm that 11.1.-e a cert1!1cateol consent to self.insure. or a cert,l1ca.te ot Workers Compensation Insurance. or a cert,hed copy \hereof (S-ec 3800 LabOr Code) POLICY NO COMPANY D Copy 1s f11ed with !he c,ty D eer1,!1ed copy is hereby furn,shecl CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSUAA'NCE (Th,s section need not be completed of the perm,t ?'or one hundred dollars 1s1001 or less) ~ cer1ify that ,n the performance ol the work for wr11ch th,s perm,1 1s ,ssuecl. I st1al1 not employ any person m any manner so as to become sub1ec1 to the Workers Compens.at,on Laws ot Cal,forr,,a NOTICE TO APPLICANT I!, atter mak,nJ th,s Cen, f1cate of E,empt1on. you should oecome subiect 10 ~h~~o~~~s-~~1pe;05,;1~'.Z~tirocv~~~7: o::~he 1:J~ ~::~~h•Sw~Sh~ 0 I hereby affirm lha1 there 15 a cons1ruct10f' 'end•ng agency •or th,:, performance ot the worl< to, which this perm,1 ,s ,ssued (Se~ 3097 ClVII Cocle1 Lenders Name ___________ _ Lenders ~ddress __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------------------------~---------------------... CARLSBAD :ILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 API-. ,;ATION & PERMIT CENSUS TRACT GP LAND USE PARKING SPACE EACH VACUUM BREAKER ------ WATER SOFTNER ~ ACH ROOF DRAIN (INS\DE) -----.------- ------------ TOTAL PLUMBING QTY. 3 PH 3 PH ·c..J I REMODEL/ALTER TEMP POLE OVER 200 AMPS f----1----------------- HMP OCCUPANCY no DAYS) TflTAL ELECTRICAL BUSINESS LICENSE # VALUATION PERMIT NUMBER ."$'P 6 8~-Z18 RES UNITS ,,,..,...,. .. .__-~ F/P F LR ELEV vO NO NO STORIES CONTRACTORS PHONE # UCENSENO, STATE LICENSE # DESIGNER'S PHONE OCC GP EDU PLAN I.O. # STANDARD PLAN# !IC:/ 0,1 I ;:tig:~~ i .·:- //·:. GRADING f'.ERMIT ISSUED REDEVELOPMENT AREA TYPE CONST ace LOAD I FIRE SPA QTY. YO N 0 vO NO vO NO Not Valid Unlt!ss Machine Certified MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-000-4220 OVER 100,000 ~!u .,.1-----J~SIGN PERMIT __ -_---=-_-_ 010000-,221- . __J_ PLAN CHECK 01-000-4806 ----TOTAL PLUMBING 01-000-4222 METAL FIREPLACE ----- VENT FAN SINGLE DUCT MECH EXHAUST HOODiOUCTS RELOCATION OF EA FURNACE/HEATE TOTI..L MECHANICAL ELECTRICAL MECHANICAL MOBILEHOME MUtllLt.HOME PARK INSP 01-000-4223 ---+-- 01-000-4224 01-000-4225 SOLAR ____ -01·000-4226 ·sTRdNGM0TION ----65-640-0519 --iU-+-j SOLAR· ISSUE FIRE SPRINKLERS ____ 01-000-422L__ +--- --~------------,~----,r_;;PUBLIC FAC~T.!§_FEE ____ 25-000-4931.___ -------1 _ __. BRIOGE FEE _ +-~--------------1------irscHoOLFEE-OlsTRICT , ----------- Carlsbad --+----------65-623-0519 65-624-0519 - ------4 --_ _ __ · PUMP ' -San Dieguito -65-625-0519 ROCK STORAGE '-,. ____ I t Encinitas _7..a, 0 oJ__ l'LM,_CHEC:K FEE :s:, ---+-------San Marcos-~------65-626-0519 -~~ !£iE«e~- ---------+------ill----- O_() TOTA\ SOLAR TOTAL FEES PAYABLE 1.: :~o I HA~~;-~~T~~PLETED "APPUCATION AND PERMIT" AND 00 HEREB'b , ~-Ev,t"YpennltiJ9Uild~theBuildingOffictatundertMj,roytaiOltsot1this CERTU:\' t)NOER PENALTY Of ~y THAT ALL INFORMATION HEREON INCLU01NG T~ _aljall~by:fimitiiion:Jriclbecomen~.ndvoid..Jlthebuiktntg,orwork OECt.ARATIQNS 1'(tE TAU£ AHO~ ANO I FURTHER CERTIFY ANO AGREE IF A PERMJT ~ ~by $lsch pien'rltt Is not commenced wtthin 180da)'s from the dlte of such ISSUlID: TQCOMPLY WITff /d..L ~-¢0!.JNTY ANO STATE LAWS GOVERNlNG BUILDING COi+ l\bl,tdo.:, 1!._ the bulkfi ortbeWOR authorlZed by tw:h penn1t m.,Auep11'd6d or * AN OSHA PEAMIT IS AEaU1AEO.fi)ffEJl0AVATIONS()V£A -s· O" OE£P MID OEIAOl.mON OR~ OP SmuctufltS OVER 3 S10AtES IN HEfGffT ~. WHET;HER ~FlEIY~ OR NOT I ALSO AGREE TO SAVE INOEMNlFY A.HO II a l/JSE/i'~fti-Rf.~IIAJ)A()AINSTAl.LUABILITll!S,JUDGMlSNTS,COSTSl<Nl)c; , "S-~ ~• A EXPSM$~ 11A .,,. ~ ~ J\GA,INST SA~Q CffY lN OONSEQU,ENQE oF, nti;+a ...., ~ ' t • ~~ ' ~-:~--¼"' .,~""~ ,·•,-..,cc,,;; " BYfflONEO , DATE "1·28·& ~ u: >-:. 0 0. E ID f- I "O 0 (!) c ~ .£ a. 0. <{ I ~ C ii 0 ,,, ,,, ID ,,, ,,, <{ I ,: .9. " >- <O "' ID u 0 a: ~ <ii D ~ ID u C ~ C u:: C ID ID i5 0 u ID 0. ,,, C ~ re ,:: ~- INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL H--1/.91-'f MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULAJION "1•;J.f-,f;L /f I ?(7,.(/JJ ' INTERIOR LATH & DRYWALL r'J PLUMBING I ---- SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT --· TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC - ELECTRIC SERVICE BONDING ' G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS, VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL -r:_UMBING E:.ECTRICAL ' ,. MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT 81LOCCl'0 ANCY ISSUED ~ FIELD INSPECTION RECORD ,, 6";;)... -.),<./.&, , I REQUIRED SPECIAL INSPECTIONS I INSPECTOR'S NOTES I RED IF INSPECTOR s I 1 INSPECTION CHECKED APPROVAL DATE >---_______ ----------------------·-- ' ' SOILS COf\.F-'. ':1NCE PRIOR TO FOUNDATIOr-. INSP STRUCTURAL CONCRETE OVER 2000 PS1 PRESTRESSEO CONCRETE POST TENStONEO CONCRETE >'1f1 f) WELDING r-s~: ~s'TRENGTH I I --+---- ::,PECIAL MASONFlY ----+-------,f------+-------< -------- -·-------- -- -------------i __ J 1----------·-----------·-- I---------------------I --, ---~~·--] I PILES CAISSON'.--'. +-----i--7 f-----~=:~--~~.----=---_ ·=-- ---------r-·-- 1 ------+---r---. ·-------------.------- 1 +---+--1-7 ~----------------------·-- ; ---t====-=---=-----=----=----~-----"~---==-=~ I 1. ----t-----r---_ -=:==----, t---~ --------. --------1 --------+----+--7 ---~~ i I I t=======================-~------~ : . . . . . ~======------~--~ .•• -~~,'i ----~- i =•.~· • -=-=3 --------------- "' z 0 ~ IC ::l u w Q \1 tf IC .. Q ~ 3 ! .. z ~ z 0 ~ "' z w .. ,. 0 u "' ic .. " IC -'O 3' ![ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT "' r1 I t1ereti'J._ft\rm that l am licensed under pto"lslons of Chapter 9 (commencing with S,eet\on 700()) of Olvlslon 3 ol ttle Business and Professions Code, and my license \s in tun force and effect. d<.Z2.tl- CENSE # Sr, VALUATION I PERMIT NUMBER If L,c No _ _ Class ... ,pt from the Con olc>,(}"b 0:ffRic olSa.J OWNER'S PHONE L.Vl'"U ... I ~ ~ ,n.,c 1J>,i. -..2-~cP 11 1 MretlY att,rn;.J~of:S,:~~~er8t~~~,\~r tractor"s Ul--frfequ,res a perm,t to conslnict _JA?~Tmprove, demol1sh, or repa,r any struclure, prior to •t~ issuance also requires the apphcan1 for such perm,1 to 1,1e a signed statement that he ,s lfcensed pursua111 to the prov1s1ons ol !he Con trac1or's License Law (Chapter 9 commencing with Section 7CO} ot o,,,s,on 3 of the Business and Pro tess,ons CC>Ge) or Iha\ ,s exempt !herefrom and the bas,s !or the alleged exemption Any v10lat1on o1 Sechon 7031 5 by an ~pl1cant !or a permit S;JbJects tne applicant to a c1vII penalty of not more than five hundred dollars ($5CX)) OWNE 'S MAILING ADDRESS iq)J:r BLOCK SUBOlV!SION f LOT I ASSESSOR PARCEL NO. ~~~.V§ f FLumBil.Y:: WAST& i oes,GNERSADDRESS i·ucENSENo. 1-··-___ . .. I I Pb7Jai:Jils ~d7~Nlt7 I """"" · --------- I BLOG USE CODE I PLAN I.D. # I BUILDING SO. FOOTAGE I :::, I ANUAHU t'LAN ff D I. as owner of the property, or my employees 11o•1h wages as the,r sole compensat•:in. will do the won<., and the structure 1s not intended or o!tered !or sale (Sec 7(14.(, Busmess and Proless,ons Code The Contractor's L•cense Lilw does not apply to an owner of property who builds or improves thereon and who does such won<. himself or through his own employees. provided tl'lat sucn ,mprovemee'lts are not 1ntende1 or offered for sale If, however the bu1ld1ng or improvement Is sold within one year of complet,on, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) D I, oos owner o1 the property am exclus,vely contractmg w1!h licensed contractors to construct ~r~:1J,~~ac~~-L~i:~~=s~!ng:;0:~f!~~~ to oon owner at property who bu<ids or improves thereon. and who cont,ac1s for each pmIects with a contractofjs) license pursuant to the Contractor's License Law\ 0 I am exempt under Sec tor th<S reason B & PC DESIGNER'S PHONE ---------------------------1 F/P FLAELEv\ I NO locCGP ( EDU r CENSUS TRAC. L ce CAND use I eARK<NG seACE RES UN>TS J GRADING f'.EAMIT ISSUED y D ND vO NO J REDEVELOPMENT AREA YO NO STORIES TVPE CONST OCC LOAD FIRE SPA vO NO O~!L/$2i('d ]I , . I ' OUu I ~2:--· ';•/ Not Valid Unless Machine Certified QTY. PLUMBING PERMIT· ISSUE ~-S], QTY. MECHANICAL PERMIT· ISSUE ?oo SUMMARY/ACCOUNT NUMBER EACH FIX~E TRA~_ _ ---I /'U .,.--INSTAl'."N.lJRN. DUCTS iJP TO 100.000 BTU _ • BUILOIN_G PERMIT ~ I EAC_H_B_U_IL_D_IN_G s~~~ -------i -~ -·--------------· -~--ov~_R_lOO_,o_ooBTU • SIGN PERMIT_ --- EACf:!_WATE~~E_ATER~~?~R Yi NT___ __ J __ ___ __ _ ~l~COM~~~~?__!!_ T0_3~------• PLAN CHECK CH GAS~~-!~~ !.TO 4_Q_~TL~~ ____ ---+ -~(J BOILER/COMPRESSOR 3-15 • TOTAL PLUMBING ~ ~-~S SYST~~ 5 ~-R ~?RE__ _ __ j ___ :_ ____ M~2:_A~~EPLACi__ __ ............... ELECTRICAL r-- __Q_1·000·4220_ --t---·--- _...Q1·000·4221_ l---·-- __ O_H00-48.06£_ . ---, -. ·---01-000·422? ---4~ -- -0_1·000-42~ ------ f----4-I_E_A_CHINS~~~~REPAIRWAT~~p-~--+• ________ ~ENT FAN SINGLE DUCT ........._ MECHANICAL _______ 01·000-4224_-r----- -0A~ VAC~~--~-~A-~~~---------t-------~~£~ E~AUST HOQQlQUCTS f',,,..,__ M081LEHOME ---__ 0!·000·4225 -L--- I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ............ M08ILEHOME PARK INSP -...i.......:...---------------t--------. ---------·--- ----- -/--------EACH ROOF DRAIN !INSIDE) SOLAR 01-000-4226 f;? lsh~;e,~y_si:~'.m ~~at~ h~•:rt~f;~~i":'Ca~r0~i~:~;1 i -------·---·---------·---. --~· TOT J..L MECHANICAL I STRONG MOTION ----65·640-0519 -------- ~~11on~~s~:'e~e. or acert1hed copy thereol _·_-__ --T □IALPLuMB1NG--~~ r ------,-----~~-_:::... . -~IRESPRINKLERS . = =· 01·000·4227= ----- POL~c, O t/.et'-':7--~ ,?.. ' "V' ---PUBLIC FACILITIES FEE 25 000 4933 -A f -T QTY.· ELECT_RICAL PERMIT· _ISSUE ) QTY. SOLAR· ISSUE ~---~----~· ---~_---co ANY "' I ___x~oo 0RI□GE FEE COpy ,shied w1th the c,ty NEW oNSTEA AMPS~'i/T --;;·KR -------r-----COLLECTORS • SCHOOL FEE =---6isTRICT -------------- 0 Certified copy Is hereby turn,shecl CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the perm11 Is !or one hundred OOllars 1$1001 o, IessI O I certify tha1 ,n the periormo,nce at the wor'r<. for which th,s perm,t ,s issued, I shall not employ any person ,n any manner so as 1o become subJecl 10 !he Wor'r<.ers· Compensation Laws of Cal,fom1a NOTICE TO APPLICANT If. af1er makm;i 1hIS Cert, f1cate at E•empt,on. you should become subIect 10 the Workers Compensation prosIsIons of 1he Labo, Code you must forthwith comply w1lh such prov1s,ons or lh,s perm,t shall be (teemed ,e,Oked 0 I hereby a!1,,r,, that !here Is a c.:onslrucl•on Iend1ng agency 'o' ,~e pPrlorrnance ot the worl< lor wh•ch 1hI~ pe,m,I ,, iss~ed 15-ec '1)97 C,-1I Code, Lenders Na",~------------ Lender s Ad,l,es, __________ _ ---. ·----1-------------------·---t-----------i '-·-+--'-'" "'~----.l_PH _ --·-f--__ . _ ~ STORAGE TANKS Carlsbad ___ --_ ~5-623-0~ -------- EXIST BLOG -""-"---cccc ___ _ _ ROCK STORAGE • Encirntas _________ 65_-6_24_·05_19_ ------j lPH ----3 PH PUMP San 01egu1to 65·625-0519 - §_REMODELALH:R_PERc -u~ ------~------~ANCHECKFEE San~rcos----~ 65-626·0519 TEMP POLE 200 AMPS • ov~R~o_g_A~s------~ ---~-r----~~-------~~~~ -----1-----____ --------1----- TEMP OCCUPANCY IJO DAYS) ~--. ----,----~---------------------------- . -+ ---~---1 __ .L ____ ~~~ l ----- Al ' --+--------·-- TOTAL SOLAR TOTAL FEES PAYABLE -t----11 I l~D~~ 1 HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT .. AND DO HEREBY ic1al underthElprov1s1onsofth1s * AN OSHA PERMIT IS REQUIRED F0A EXCAVATIONS OYER 5· O" DEEP ANO DtMOLITJON OR CONSTRUCTION OF STRUClURES OVER 3 STORfES IN HEKiHT CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-• ~ STRUCTJON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All L!AB!LtTIES. JUDGMENTS, COSTS AND APPROVED BY ~D~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE :,,"" /(';7;/ ft, ---- GRANTING OF THIS PERMIT --------~:::::::z BY PHONE □ v / " ~ ' ~ ro 0 a. E "' f--- I "O 0 CJ -..... C, ro . 2'-.,;. ~ ci. • a. "' I ~ C 0: 0 "' "' "' "' "' "' I 3 £ "' >- '" "' "' u 0 a: "' <ii 0 ~ m u C ro C u: C m m 0 0 Q "' a. "' C 2: i" s: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME .),HEATH ING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO ' PLUMBING UNDERGROUND PLUMBING TOP OUT -TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL E1..t:L1a1G MECHANICAL GAS ' BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED -,Y;). -~I.fl/ ~t:, . . FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE --POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I : --~- ·- ·----- ------- ------- .. z 0 ~ "' j <.> "' 0 ~l : !. 0 <.> "' "' 0 ~ 5 .. iie "' z ~ z 0 ~ z "' Q. ,. '-I • ,. I O I hereby affirm that I am licensed under l provisions of Chapter 9 (commencing w. ith Section 7000) of Division 3 of the Business and Professions Code, and my license 1s in _ lull force and effect Lir No c1~,, I hereby affirm mat I am "xempt from the Con ~,tt~uL~;n8e"sr a~dw ~~~!~~~,~~~o~•8tr,~~1\~r county wh,ch requ,res a permit to cons!ruct alter, 1r'lprove, demolish. or repa11 any s!ructure, pnor to ,ts issuance also requores the applicant for such permit to file a, signed statement that he ,s Ileen~ pursuan1 to the prov,s,ons of the Con trac1or's License Law {Chapter 9 commencing with Secr,on 7000 of D1v1s1on 3 of the Business and Pro fe,smns Code) or that ,s exempt !herefrom and the t,as,s for lhe alleged exemp1,on Any v1olat1on ot Section 7031 5 by an applicant for a perm,t sub1ects me applicant to a c1v1I penalty of not more than live hundred dollars ($500) 0 I, as owner of the proper1y. o, my emplo•1ees v .. th wages as thelf sole compensat•on, w,11 do the work. and the structure 1s not mtended or ,--,f!ered lor sale (Sec 7044. Busmess and Protess1oris Code The Contractor·s License Law does not apply to an owner of proper1y who builds or ,mp,oves thereon and who does such work himself or through h,s own employees, provided that such 1mproveme,,ts are not intende-::l or offered !or sale If, however. the bu1ld1ng or improvement ,s s.old w1th1n one year ol complet,on, the owner-bu,lder will have the burden ot proving that he did not build or improve for the purpose ot sale) D I, as owner of me propeny am exclusively contracting with 1,cense<1 contractors to construct the proJect (Sec 704.4. Business and Protess,ons Code The Contrac1or·s License Law does not apply to an owner of propeny who builds or improves thereon. and who contracts for each pro1ects w,tn a contractor1s) license Pursuam to the Cunlroctor's ucense Law) D lamexemp1 under Sec for this reason . B & PC 0 I hereby athrm thal I h.a•e ace,i,1,cate of consen1 to selt-,nsure or a certi11cate of WorKers I Compensation Insurance. or a cert1t,ed copy thereof (sec 380:l. Labo, Cocte1 POLICY NO COMPANY O Copy 1s hied w,tn the c,1y O een,toed copy ,s hereby turn,shed 0 CERTIFICATE. OF EXEMPTION FROM U WORKERS COMPENSATION INSURANCE <I' [This section need not be completed if the perm,t ::i ~ tor one hundred dollars ($100) or lessl ~ 1 cert,ty tha! ,n the per1ormance of the worl< lor O h this permit ,s ,ssued. I shall not employ any 3 person ,n a,ny manner so as to become sub1ect tu il the Workers· Compensation Laws ot Cal1lorn1a NOTICE TO APPLICANT If. alter mak1n1 lh1S Cert, hcate of Exemption you snould become sub1ect t'l !he Workers Compensation prov,s,ons of the Labor Code you musl !orthw1th comply w,th such ~~ ,ecm,, '""' ""OeemeO oe,ooeo 0 I hereby afl<rm that 1nere ,s a construc1,o" 1end1ng a1,ency !or me perlorrn.ance ol lhe wun< 'or which m,s pe,m,1 ,s ·ssued 1Sec 1097 c,.-,1 C:ode· Lender 5 Name ___________ _ Lenders AOClress __________ _ POIM1 pfH DNLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ~E BALl -CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT ~-ADDRESS AV. ST.I DATE OF APPLICATION RO. BUSI~ VALUATION PERMIT NUMBER a,,1;,i.4 L... t?,_, ... ..__,.to.l.A OWNER'S NAME E~,, ...... ~ .l. I ·r OWNER'S PHONE 4?.l'> -4, ~'),,. PRIME CONTRACTOR ~, .. ,.:o );4::, p; h•'-' e \ ~ CONTRACTORS PHONE # i,_...,,.,_ 41o ,'1l ZONE -WS" OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use CODE ~;,,-4-L~ r.. ... , ;.J~ ... , .... lJ> ,C)_. ~"--~ ~ I 3-;,. _fl :IA. c:, LOT I BLOCK l SUBDIVISION J ASSESSOR PARCEL NO. DESIGNER STATE LICENSE # STANOARO PLAN# BUILDING SO. FOOTAGE OESIGNER"S PHONE t.J~!i.l!:~:[:.__-=~====Sa:::::-:---------------------1 DESIGNER'S ADDRESS ____ , ___ -----------. -----------~--. ---1-----,,,,,,,---,,-,-R·E,-,~E·v-.-----r---~N~O~-+-o·c·c~G~,-"'T-~E~D~U::---'I CENSUS ,RAC, I Ge CANO uSE I eARKONG SCACE I RES UNO TS I QTY. PLUMBING PERMIT -ISSUE I 7~ GRADING ~ERMIT ISSUED YON D v□ "-'D I REDEVELOPMENT AREA \□ NO QTY. MECHANICAL PERMIT. ISSUE STORIES TYPE CONST Ll(Jt> OCC LOAD FIRE SPR YO NO iit VJi~ ~~thine Certified uu,1tt';)Lrl-.l jfl~J-.;-, SUMMARY/ACCOUNT NUMBER . ! 1/ .. EACH FIXTURE TRAP ·--__j. _'___ --·rNSTALLFURN.DUCTSiJPT0100,000BTlJ BUl!:Q!_NGPER_MJI__ _ _ill-000-4220 __ _ __ ------------------+------------------------~--~ --------------------EACH BU!LOING SEWER : OVER 100,000 BTU . SIGN PERMIT 01-000 4221 !-= [3 J:i:_i::J~:;{~s.~J~ ~~};L.ns-. '.---J:,~~-"~:;:SS0~-,1 ~-----~-------m;~~;LR~~A 8t8. ---~:::: ::::--I+~ i EACH WATER HEATER ANO OR VENT i BOILER1COMPRESSOR UP TO 3 HP • PLAN CHECK 01-000 4806 ------ b-~ EACH. !N_STA~ ALTER_.~Al~!_~TER ~~ __ ( -JVE~N~G~~U~'.-__ . __ .!!!_E~HANI~ __ _Ql__Q00-4224 -~-~A~H~ACUUM BREAKER +---__ MEiH EXH~US~□oo:o~~ ---· __ · ---~BILEHOME __ -----01-000-~~ ----- , -~_w_A_TER__5_0f_T_NE_R_ _ -r=-=! _ R_E__L_D_CATI_D_ND~_F_Ul1NA~EATER_ ____"'lBILE_HDMEPARKIN~--____ _ ~ EACH RQOF [}RA1tJ i''IJS!OE1 -~==~= SOLAR 01-000-4226 _!_~;;l~~~ __ [ --~ ~-I ---__ T::MECHANICAL I :::::-:::-.-. --_::= -_ -=--- ELECTRICAL PERMIT ISSUE 2,<JO QTY. SOLAR· ISSUE BRIDGEFEE ------------~~ i ~ ~ PUBLIC FACILITIES FEE 25·000-4933 NEw C □NS~~AM__'.'.__SWl__!!._KR--= =---__ --~--_· __ couECT-oRS ____ -------------=--. ----ScHOOLFEE·:□1srn1cT --------- G PH :; PH II STORAGE' TANKS ----~-- +------- EXIST BLOG EA AMP,-SWT BKR ---------+---It---------+-----Carlsbad 65-623-0519 65-624-0519 ---- ---·--- I PH J PH _,.:3___r --~EM □DEL__!_~ HR_ Pf ~CIR~if __ _ ~ ~~ z_~_q_~~~s __ _ -+OVER 200 AMPS r---TEM·P-□cclJPANcY·,.-3(1 □AYs1 - ~ _l___ TOTAL ELECTRICAL ---+--~CK STORAGE PUMP _:_-t_/,j .... d.,,,_ t-----PLAN CHFCK FEE --+----------tt--- ---·------it ------r-- --------lt-- IZ~- Encinitas --·-----· -,-----_________ --J ____ :___Jl-_San Dieguito __ __ 65-625-0519 --+ __ San Marcos 65-626-0519 ---t------lf ------t---------- t------·-+ ----+------------t-------____ , ----+-----if----+--· ---· TOT Al SOLAR -------11 I I /1~ I TOTAL FEES PAYABLE 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every per_mi_l is~ued by the Building OfltCtal ~nclertheprov1sionsofthis * AN OSHA PERMIT IS~ FOR EXCAVATIONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall e.:p1re by hm1tat1on and become null and void. If the building or work .5• 0" DEEP ANO OEMOI..IT10N-OR CONSTRUCTION OF authonzed by such permit Is not commenced w1thIn 180 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit, or if the building or work authorized by auch permit is suspended or STRUCTUA!S OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• L>':"::'c"S"°::"',""!'!,c'':-'c",;~time""'Ja!!1t!!oC'Sth:e'-'wSoC''C.'!;'C'SOOm!!!!m~,ne.,eoed!!£.~loa,J•!.J!~'C;odS!!!.S'cfl180!!!LgdamL,:;;4"'.:'::~~::,0::"'::~---:~---=~.,--,.-"!'~~~-"'!'---, STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If, D APPROVED BY M . D¾TE~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABJUTIES. JUDGMENTS, COSTS AND ~ 4 • "' OWNER (7, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE C"'\. f\ ~ Q BY p ONE O . f I'/ ff,, ./ GRANT!NG OF THIS PERMIT M. .~\~,' • -,0, H , j _ -I V .3' u. c "' 0 a. E w f- l 'C a "' C "' -~ a. a. <1'. I "' C ,"!; ~· 0 w w w w w <1'. I ~ .Q " >- <n w w " 0 a: "' 1ii Cl ~ w " C "' C u:: C w 1' "' 0 u w a. w C ~ £ ;:; INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT ' TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ' ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS ' CALL FOR FINAL INSPECTION 1WHEN ALL APPROPRIATE ITEMS ABOVE HA Vii BEEN APPROVED. JOB SITE FINAL I PLUMBING '-. : A ELECTRICAL ' I I MECHANICAL "-r,-f, GAS I " .lot*• I "I,. BUILDING t. .- SPECIAL CONDITIONS f ' CERT OF OC~~PANCY ISSUED i . . .S,:>--J'{~-t-. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION iNSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS ·---- SPECIAL MASONRY --~---- PILES CAISSONS - -- ---- --------- --~ ------ --- . -- - eritp of <ttarl.«bab REQUEST FOR INSPECTION RECORD INSPECTOR _ ____Ll.n'.1L-1e'.!::JC!J~~-PERMIT NO, TIME:_~-~~ ________ DATE z, IQ· 53 OWNER __ _.;~~~t'.,,l_~~-~--c-c---=,-,-~-------------- ADDRESS REQUESTED BY BUILDING D FOUNDATION D REINFORCING STEEL 0 MASONRY Cl GROUT · GUNITE lJ FLOOR AND CEILING SUB FRAME D SHEATHING D ROOF D SHEAR D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL FINAL PLUMBING [] UNDERGROUND PLUMBING D SEWER AND PL/CO 0 TOP OUT PLUMBING lJ TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WA TEA f,FINAL PHONE NO. PERSON TAKING REPORT ELECTRICAL D TEMPORARY SERVICE Cl UFFER GROUND IJ ELECTRIC UNDERGROUND Cl ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE ;(FINAL MISCELLANEOUS [J CONDITIONED AIR SYSTEMS [J SOLAR HEAT Cl PATIO lJ POOL Cl SPA CJ SIGN 0 GRADING 0 DRIVEWAY X FINAL SPECIAL INSTRUCTIONS ___________________________ _ Ready For lnspection:"t.Jl Monday 'tA A.M. D P.M, / ' O Tuesday O Wednesday 0 Thursday D Friday Qtitp of Qtarlsbab REQUEST FOR INSPECTION RECORD TIME: ____ _ INSPECTO~I-$. PERMIT NO. __________ DATE: ____ _ OWNER __ ~~--~------~=------------------ AOORESS _q+'.wfL..,,0.,_______,/,;i..;&"'--"-,c-'""i,1-''l~),-,.clY=-ieC::...,L__~--="--'---• ---~----------'- REQUESTED BY 'UC\( 1 t\Sif>; ' 1 PHONE NO. O{ £1,j -Wz.;3 • \ PERSON ;;.;:ING REPORT ____ _ BUILDING 0 FOUNDATION 0 REINFORCING STEEL D MASONRY □ GROUT · GUNITE □ FLOOR ANO CEILING SUB FRAME □ SHEATHING □ ROOF □ SHEAR 0 FRAME [l EXTERIOR LATH □ INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING NOERGROUNO PLUMBING 1 SEWER ANO PUCO 0 TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST 0 WATER HEATER 0 SOLAR WATER D FINAL ELECTRICAL □ TEMPORARY SERVICE □ UFFER GROUND □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D FINAL MISCELLANEOUS □ CONDITIONED AIR SYSTEMS D SOLAR HEAT □ PATIO □ POOL D SPA □ SIGN SPECIAL INSTRUCTIONS __________________________ _ Ready For Inspection: □ Monday D A.M. '¥,_P.M. ~------------------ D Tuesday □ Wednesday X Thursday □ r etitp of etarl~bab REQUEST FOR INSPECTION RECORD TIME: ----,9,...-_-z_y~7 __________ DATE: ,- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE 0 FLOOR AND CEILING SUB FRAME 0 SHEATHING O ROOF O SHEAR 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH ORD O FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 SEWER AND PL/CO 0 TOP OUT PLUMBING 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER 0 SOLAR WATER O FINAL PERSON TAKING REPORT ELECTRICAL 0 TEMPORARY SERVICE 0 UFFER GROUND 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE O FINAL MISCELLANEOUS Cl CONDITIONED AIR SYSTEMS 0 SOLAR HEAT [J PATIO [J POOL O SPA Cl SIGN 0 GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS ___________________________ _ Al{_•JY For Inspection: D Monday Dfe:.M. D P.M. ---- D Tuesday D Wednesday D Thursday D Friday ~it.P of ~arlsbab REQUEST 'FOR INSPECTION RECORD INSPECTOR __________ PERMIT NO. OWN ER --=?'--#,-----,f---, ADDRESS ~7.2-f e't(/ d~ REQUESTED BY ~ Q4tt-rv PHONE NO. lf-3J"-~7</ v• l.._ BUILD1Nl3) □ FOUNDATION D REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE D FLOOR AND CEILING SUB FRAME D SHEATHING D ROOF D SHEAR D FRAME ~TERIOR LATH ~~ULA Tl ON □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 SEWER AND PL/CO D TOP OUT PLUMBING □ TUB OR SHOWER PAN D GAS TEST 0 WATER HEATER D SOLAR WATER D FINAL PERSON TAKING REPORT /if11-: ELECTRICAL D TEMPORARY SERVICE D UFFER GROUND 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE D FINAL 9-24-82- MISCELLANEOUS □ CONDITIONED AIR SYSTEMS 0 SOLAR HEAT 0 PATIO □ POOL □ SPA 0 SIGN 0 GRADING D DRIVEWAY D FINAL f SPECIAL INSTRUCTIONS~~,,__~=~~---------------------- Ready Ft rspection: D Monday D A.M. ,.__P.M. D Tuesday D Wednesday lltitp of etarlsbab REQUEST FOR INSPECTION RECORD J ),_. _ )-,-t/1' TIME: ----,,.;0,;,,,,'(~'-,,9-J-~V'~ INSPECTOR __________ PERMIT NO. __________ DATE: ~~ OWNER -1/ ~ ADDRESS 0(7o(¥ ~~ REQUESTED BY ~.' ,r/,_,4J,,,...,,__,, PHONE NO. f': 's",,f':-9;2 9 V/'L% BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE 0 FLOOR AND CEILING SUB FRAME ~HEATHING O ROOF O SHEAR ~RAME ,~--.~ 0 EXTERIOR LATH '--_.,._,-- 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING AND PL/CO T PLUMBING 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER 0 SOLAR WATER D FINAL PERSON TAKING REPORT ~ ELECTRICAL 0 TEMPORARY SERVICE CJ UFFER GROUND 0 ELECTRIC UNDERGROUND ~ ROUGH ELECTRIC '~POOL BONDING 0 ELECTRIC SERVICE o FINAL MISCELLANEOUS HEAT 0 PATIO 0 POOL O SPA 0 SIGN 0 GRADING 0 DRIVEWAY D FINAL SPECIAL INSTRUCTIONS ____ /h,t..t_"JJ,c._,~,..dtt't:&.od6iuZ::.~L!(___-__ ,ki!..!:.=.L.,---------- Ready For Inspection: D Monday D A.M. D P.M. D Tuesday ---··--·-----·--- D Wednesday Thursday D Friday 'll:itp of 'll:arl~bab REQUEST FOR INSPECTION RECORD TIME: -;?3f-/4 , __________ DATE: ;;y;:✓ ADDRESS ,J?iJ;z£ ~ • REOUESTEDB~' ?~; PHONENO. .:,/5?--Y71~ PERSON TAKING REPORT,,,_~..,,,.~--- □ MASONRY 0 GROUT -GUNITE D FLOOR AND CEILING SUB FRAME □ SHEATHING □ ROOF □ SHEAR 0 FRAME D EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING □ SEWER AND PL/CO D TOP OUT PLUMBING Cl TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER □ SOLAR WATER D FINAL te~y For Inspection: D Mond J"f+.A.M. □ P.M. ELECTRICAL □ TEMPORARY SERVICE 0 UFFER GROUND 0 ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D FINAL B-1/-BZ MISCELLANEOUS [l CONDITIONED AIR SYSTEMS □ SOLAR HEAT □ PATIO □ POOL O SPA □ SIGN □ GRADING Cl DRIVEWAY D FINAL f D Friday I f City of Carlsbad 1200 ELM, CARLSBAD, CA 92008 • TEL. (714) 438-5525 r Job Address '2.724 LP... l::.Ol. e>,.1 c::ie I l-J ~ 'ST Owner ~~\C. ""· OLS'Ot--..l Mailing Address 2 7 Z 4 u:i,.. 6 O\_ o "-1 OQ.\ M b.. '$ T - City CA.fl.l..Se..b..D I Zip Tel. <;,'loo~ 4 3e-4'7~2 Contractor OW \..l E. R.. / ~\.l \ L't>E..\c?. Address ..... ~ ...... f! A.5 bt:_.._:,ve;_ City I Zip Tel. State Uc. City s. Classif. Lie. No. COMPLETE FOR PLAN CHECK ONLY LEGAL DESCRIPTION c:P-1~-S-'f /-I~ ASSESSORS PARCEL NO 090,0-2,s S4 \-\7... DESCRIPTION OF WORK Z..oot-..1\ .o..oo,-r,o~ ?'·~ ) ti, ~ , I I :C#. c• "'.?,~ L<Mv ~ C t7 PLAN 10 NO. ? -2 -:2, 3/f DESIGNER ADDRESS I 5\2. \-H.INSAKER. S-T. O'Sll~f'. PHONE 439-53,'7(.,. CONTACT PERSON f')t,.vt=. S,o'-K~ 't' SlgnatureofAppllcant ~--(;J aDoate 7/,2.,/gz r, \.. MISCELLANEOU~tc:' ,/ RECEIPT MISCELLANEOUS FEE RECEIPT □ • PLAN CHECK FEE 01-000-4806 D VALUATION ::S9 337 fC!- ,• □ DEMOLITION □ HOUSE MOVING D PARKS AND RECREATION FEE D PUBLIC FACILITIES FEE D SCHOOL FEE -DISTRICT D Carlsbad \ □ Encinitas □ San Diego D San Marcos . n n n n n n n □ □ □ □ "I /s'f-1• I ' I (;i D - $ / r'~t( t.,;., I~ TOTAL FEE I •WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEE ARE FORFEITED TO THE CITY. COMMENTS: I I : I ' ~t White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor , Qtitp of Qtarlsbab {j) 1/JJ.tVP/ZCI ;/ JCUSDICTION,_______ DATF.Iirf i PMJECT ADDRESS• :;??'J, '( )..4 6oL..1 A/ ~I A/,1 TO' l(,P#?L. I <, a H r sr. P~N CORRECTION SHEET I •"7 f-,r,, plans r~cci•,c-d by ~ '.1U• ,,tan• received by plan checker·1te ½.3 Oatc ,n,tial plan check COfflplotod~ {y:Ji'"'( 0/~ ff'\R[\-,C"P01 PLO.St RtAD rl•a check is l1~ited to technical requirement■ c~nta1ned in the Uniform Building Code, UniforM. Plumb1n9 Code, Uniform Mechanical Code, National Electrical Code and atate laws regulating energy conserv•tion, noise attenuation and access for the hM,di.capped. The plan check i ■ based on requlat1ona enforced by the Building Inspection O~partment. You may have other correction■ based on laws and ordinances enforced by the Pl1nn1nq Department, Engineering D-.partment or other departments. T~e items circled below need clarification, rodlr1cation or change. All circled 1tem• have tc be satisfied before the plan• will be in confor~ance w,1.th the cited code ■ and regulation•. Per S•e-lOl eel, 1919 Uniforai Buildln9 Code, the approval of the plane doe ■ not per~it the violation of any atate, county or city law. A. f Please 1114ke al 1 correction•~• Hu ••• 1fod tuau,11 •1,d eu•111it twD ,.., •u o1 ,itints, an1 H)' Hi4ll'lel t1hA eau thtt =•1' btu• bsoA s:ahu:nad. ,e •tat, ti•1 tl:I• juriadlctio,.,, 4-(,i To facilitate rechccklng, please identify, neKt to each circled item, the sheet of the plans upon which each correction on this sheet has been made and return this check sheet with the revised plans. D APPLICANT COPY Cj::J SITY (l;!P l > 0 PLAN CHECKER COPY 11 ,,,ti> -:q::-::= ;.;;;;-;;:ho t7 ------ (_~ J nflf'-+-LE_.a.c(e%1/::Ye a-_A' Akrr° ,n<,,l..-,1'7-n::::,,?, mv5.f- IJl?c/~ /2-/9 In 5-f19t--'•;,.§ ;; ,ti d, ,, --??.t Ce,.o-7_.s ---a< _qr)o/o C°rdffL .:e~-r@ -14-'c/ cc) {'(-) -,. -,L. • ' .1Z. a? 1 d # 4'/ / {,() It-l.=:.,. _ ~ ~? :n/ ,_, C,u / H-, ~,,.,. ' 3. ~ 5'.,,' ~=VQ" , -,,, £ d/i?ol,/IDP V rI,Q/-o//. , (5J (5t#?Zll-t-1' i,;)htJ /,5. ,0£v,_ ~ /2e~ ,47..0 5, 6/6' rob. a(c,,n_s /, e. :vo(.,V r7 <J,1 , @u,,_.r?f,ia £es,,.,,,,,,,. />n ~ ~, .L le<A,,<J-. A -· I ✓ l.of/, ~ C:,-,-r_q ;2 • • c,_;/1,, , r a,-:, d: f-/14-/:.,,,~ ) - ((, / GuMTZPta:li I .f',:J.;:, I c-d-deck lul/,-l,, 1Vt1r 779(,:~ :::k> I;,./ ,I,, r- n-r .,.-0',;,, B>u_,p de/rz?1 / 111J ,, ,t,,, V -, . ( ,~ •'"> \ , • C!!:m 1J1YJZ:;1L-Su~t-~-) ---·----------·--···-------· ~---- Jurisdiction {]/fl2.J,.St3/JO □ Bldg, Dept, VALUATION AND PLAN CHECK FEE PLAN CHECK NO, 8 ,Z-,Z.t./-/3 BUILDING ADDRESS (!)1~ y 4t &,,)l :)) l,D'2.!rJ(I s-r-, APPLICANT/CONTACT 7}8J/€ S'Tc!c. kt; Y PHONE NO. ~3'J S37t, BUILDING OCCUPANCY ;t?-3 DESIGNER PHONE 'f --'------ TYPE OF CONSTRUCTION tJ..r,J (f+.IW) CONTRACTOR PHONE ----- BUILDING PORTION BUILDING AREA VALUATION VALUE MULTIPLIER j_/(,lll}O .. ~37 ~7~ 3? .:33o/ I • ])eol-~ c9/fo •t ·• 7 ·7_; -:::.-/ C. ,ZC) • Air Conditionine Commercial Residential Fire Snrinklers Total Value 7'tl9S/ Building Fermi t Fee __ 2_4-'-__ 2_, _Si_O _____ _ Plan Check Fee / 5 7, &, 3 --------------- COII.MENTS, ________________________ _ ) • ' • f "")t.ECEIVED INTERDEPARTMENTAL INFORMMION SHEET . .IUL 1 2 1982 BUILDING DEPARTMENT BUILDING ADDRESS:_2 /42.tf /4,~~ Sr: DATE: CIT'r',.....,O.,..F....,CMAl-i:lRf+--L§~8:i-l'Atf'lD Building Dep.:-rtment A.P.N: J?1:S---S-1fl-/t:10 C.T: _____________ _ £.Ji1s.1s..i;* t t ** *Z* t ,j, t ** ~·* * t ** *i· * * ½t :kt* t * * * ;'i; tt t tt t t t-J: ***** **** t t tt t ** ***·~ t:Ji:k.ii. PLANN I N~fil,PARTMENT zoNE= xv . scHooL FEES= SAN DIEGUITo _____ sAN MARcos __ _ ENCINITAS ____ CARLSBAD _____ _ UNITS REQ'D: __________ PROVIDED: ___________ _ % COVERAGE ALLOWED: . PROVIDED: ----------- PARKING SPACES REQ'D: PROVIDED: ----------- BU IL DING HEIGHT REQ'D: PROVIDED: ________ _ FRONT SETBACK ALLOWED: A PROVIDED: ~ INTRUSIONS: _____ _ SIDE SETBACK REAR SETBACK ~ \1:z RE-DEVELOPMENT APPROVAL REQ' D: f\l \\ LANDSCAPE & IRRIGATION PLAN CO-MM_E_N.,_T_S_::~:~::...:ts;i+_-_-_~~~-=---------- ENVIRONMENTAL PROTECT I ON REQ: _f_,,,'f-+--«.,.~tJ,.._'--'\-'-i'~------------- ADDITIONAL COMMENTS: ______________________ _ ' . OK TO ISSUE:~ DATE:~~ OK TO FINAL: , DATE: ___ _ PUBLIC FACILITIES FEE: __________ SEWER CONNECTION: ___ _ DRIVEWAY LOCATION(S) =-----------~-----__ GRADING PERMIT: ________________________ _ EASEMENTS: _________ DRAINAGE: _____________ _ LEGAL DESCRIPTION: _______________________ _ ADDITIONAL COMMENTS: ______________________ _ •CHECK IF EN~Wc:"' INSPVf REQ'D. DN FINAL, OK TO ISSUE: DATE:.._... t' ~WI: ____ OK TO FINAL: ____ _ DATE: ____ · J V * * * * t * * * ·'s * t ?-* * * * m t * -~ * t * * f..f.Ji:k:k.:Ji:J;.Ji.£-k:kliD t * * * t t t *X-~Lm£Ui.:h * * t £ * 'X- * IF TIITS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE FINAL INSPECTION.