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Home My WebLink About2747 OCEAN ST; MULTI-PERMIT FILE; CB011353; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/11/2001 Plumbing Permit Permit No:CB011353 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2747 OCEAN ST CBAD PLUM Status: ISSUED 04/10/2001 CB 04/11/2001 04/11/2001 Parcel No: 2031402400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: HAVENS RES/NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/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 Inspector: Owner: HAVENS FRED Z JR TR 2139 ARCHDALE ST RIVERSIDE CA 92506 Total Payments To Date: $0.00 0 0 0 0 1 0 0 FINAL APPROVAL 6333 04/11/01 0002 01 02 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP 27.00 $27.00 Date: 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 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 capactiy 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 reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N O C f;t.) 11 ·3s:2 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., C arls b ad, C A 92008 EST. VAL. _______ _ Plan Ck. D e posit =-------- V alidated . B y ]L ~ Date 1/JQr{)_r 1. PROJECT INFORMAifO 27~T OCE.A:N ST C arlsl5ad crs:. 92008 <Suite> Business Name (at this address) Address (include Bldg/Suite #) <L ega l Descr> <Lot> <Subdiv isio n Na m e/N o> <Unit> <Phase> <Total> Legal Description <Assessor N o> Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units <Existing U se> <Proposed Use> Assessor's Parcel # wate r h eater replacement Existing Use <SQ FT> <Stories> Proposed Use <Be droom s> <Ba throom> Description of Work SQ.FT. # of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON If different from applicant) <Na m e> <Address> ST <Zip> <P hon e> <F ax> Telephone# Fax# 8883301777 Name ____ Address City State/Zip Telephone# 4. PROPERTY OWNER havens,fred 2 747 o cean st carlsb ad ca 92008 760-729-6581 Name =c=,~=~--Address CONTRACTOR-COMPANY NAME City State/Zip Telephone# (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). A & J Foster Incorporat e d PO Box 2758 E l C ajon CA 92021 6 193904477 Name Address City State/Zip Telephone# State License # ...,6:..:3:..:0:c.1.:..:2=-0=------ <N a me> License Class c36 <Address>--------City Business License # 121 0836 <City> ST <Zio> <Pho ne> Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION 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. li2I 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 M id-C entury Ins. Policy No. A 20075 65 1 Expiration Date 05/0 1/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll,~~~1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________ DATE--'0'-4"--/0"'-3=/=2-'-00"-1-'----- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES O NO I (have / have not) signed an applicant for a building permit for the proposed work. I hay!! contracted with the following person (firm) to ~rgvide the proposed construction (include name /. ;iodr~sV phone number I contractors license number): <N ame> <Aaaress> <WorK P hon e> <State License> 4. I plan to provide portions of the ~Qrk, but I have hired the following person IP co.ordinate, supervise and provide the m_ajqr work (include name I address I P.h.one number t contractors license number):<N am e> <Aoo ress> <work Phone> <Sta te License> 5. I will PfQVide some of the work, but I have contracted (l]ir~d) the following person to provide the work indicated (include name / address / Rl\o.ne ru.wber / type of work): <Name> <Aadress> <W o rk Phone> <WorK I ype> PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? □YES □NO Is the facility to be constructed within 1.000 feet of the outer boundary of school site? D YES D 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 THE AIR POLLUTION CONTROL DISTRICT. ii. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME LEN,_:D.:E.:.:R_:'S:_:A_::D:,:D:_:R_::E:,:S:,:S:_:===--==========:--:======--- APPLICANT CERTIFICATION 1 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 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 LIABILITIES, JUDGEMENTS, 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE ....:0:....4.:..:./..::.0..::.3:..:/2:..:0:...:0:....1:...._ _____ _ City of Carlsbad Bldg Inspection Request For: 05/11/2001 Permit# CB011353 Title: HAVENS RES/NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2747 OCEAN ST Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: HAVENS FRED Z JR T~,..L ' / Remarks: /) -/:I}{) f;Uf !:, • vf? ~ Inspector Assignment: JL Phone: 7607296581 Inspector: L Total Time: _____ Requested By: FRED Entered By: ROBIN CD Description Comments 25 Water HeaterNents Associated PCRs Inspection History Date Description Act lnsp Comments "' z 0 ~ .. .. -' :.l 0 ~l ~ 8 .. :!: -' 3 ~ ... z ~ z 0 ~ z ... .. " 8 "' .. ... "' .. i ![ 0 I hereby affirm that I am ltcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my Hcense is in full force and effect. Lie No Cla,s - I hereby aflirrn that I am exempt from the Contrac- tor's License Law for the 1ollowing reason (Sec 7031.5 Business and Professions Code: Any city or county which re· quires a permit to construct, alter, improve, demolish, or repair any structure, prior to ,ts issuance also requires ttle ap-plicant for such permit to file a signed statement that he is licensed pursuant to the pr□vIsIons 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 of D1v1s1on 3 o! lhe Business and Professions CDde) or that is ex- empt lherelrom and the basis tor the allegOO exemption. Any v1olat1on of Section 7031.5 by an applicant ror a permit sub- 1ects the applicant to a civil penalty o1 not more than five hun- dred dollars ($5001 L I. as owner of the property, or my employees with wages as their sole compensation, will do the wori<:, and the struc- ture is not intended or Olfered 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 wM does such work h1msel1 or through his own employees, provided that such improvements are not intend- ed or offered for sale. If, however, the building or improve• ment IS sold within one year of complet1on, the owner-builder will have the burden o1 proving that he did not build or im- prove !or the purl){lse of sale) ~ I, as owner o1 the property, am exclusively contracting with licensed contractors to construct !he project (Sec. 7044, Business and Proless1ons Code. The Contractor's License Law does no1 apply to an owner of property who hu1lds or 1m· proves thereon_, and who contracts for each projects with a contractor(s) license pursuant to 1he Contractor's License Law) □ As a homeowner I am improving my home, and the follow- ing conditions exist 1. The work_ IS being performed prior to sale 2 I have l1vOO in my home tor twelve months prior to comp1et1on o1 th_1s work I have not claimed this exemption during the last three years CJ I am exemp1 under Sec ______ . B & P.C. for this reason ____________ _ □ I hereby aH,rm that I ha~e a cert,l1cate o1 consen1 to sell-insure. or a cert11,cate of Workers COmpensatmn Insurance, or a cen,l1ed copy thereof 1Sec 3800. Labor Code> POLICY NO COMPANY □ Copy IS toled ,,.,th 1he c11y F~E:. o't: EXEMPTION FROM WO R PENSATION INSURANCE (Th1~~n n t be completed 1! the perm,! ~or on ed dollars 1$1001 or less) 0 I certify tha1 1n 1he performance of lhe work tor wh1cn th,s penn11 15 ,ssued. I shall not employ any pe1son 1n any manner so as lo become sub1ec! to the Workers· Compensa11on Laws of Ca1,torn1a NOTICE TO APPLICANT II. al1er mak1n;i th,s Cert, ticale of Exemption. you should become sub1ec1 t') the Wor'kers Compensation pmv,s,ons of !he labor Code. you must !orthw,tn comply with such prov1sIons or this permit snail be deemed revoked 0 I hereby ;ilf,rrn th.it 1here ,s a. cons1ruc!Ion Iend1ng agency to, the performance ol lhe worl< tor wn,ch 1h,s perm,! 1s ,ssued (Sec 3097, C,v,: Code! Lenders Name ___________ _ LendefsAdd•ess __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438·552L --J08'ADOAESS ~J}4/) /JCeqi,, :sf #.'I fSb, •-:.gT-IO~A--.tCATIONI . t· k-93 OWNER'S NAME: flk._LA•-- - LI avcn s I ? '{ ;:;;;, CONTflACTOR . · Ar-±1.. "'r-/;ro,_ · ·- - "));""'"~~· OWNER'S MAILING AODAlss CONTRACTOR'S ADDRESS 7 ~I :3_117 a,-ct.. dt:tl~ . /J., 'vcr 5i'dc. q !J S"o b l.U-9 1 51'1 fe. 3/-, l'~h, LOT BLOCK ·I SUBO!V!StON 1 ASSESSOR PARCEL NO. DESIGNER I OESCRlf'T10N OF wok"a s tc,l'Jlf ,' r: I ,DES.IGNER'S ADDRESS crnsus TRACT I ce CANO usE / """NG seAcE AES UN,TS 1 GRADING "'.ERMIT ISSUED YO N □ Fie FLA ELEV. vO r-.0 TAEDEVELOPMENT AREA ,□ NO NO STORIES TYPE CONST BVS-tNl:S$ t.lCENSE # ¢'/f51 VALUATION CONTRACTORS Pft<?NE # ZONE ~3 P/RMIT NUMBER ;JC/?) LICENSE NO. PLAN 1.0. # BLOG USE CODE ~'-( fr ,:210 G/05 i!43f,5 j ~; I "'l LICENSE# STANOt','Flty~ ODL .,.Jjb or 81Jl.01f:ljlsa. F001AGi ~ Ol'l ,1 ,,1 DESIGNER'S PHONE OCC GP EDU DCC LOAD FIRE SPR vO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE yJ --;, .-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANQ.,OR VENT --------------- tEEACH GAS SYSTEM 1_!0 4 OUT_~ETS CH GAS SYSTEM 5 OR MORE ·--···--. EACH INSTA~ .. ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER 7 INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT OVER 100,000 BTU SIGN PERMIT -L ----~ -BOILER/COMPRESSOR UP TO 3 HP ---1-------4-- : -• . BOILER/COMPRESSOR 3-15 HP +-_-2-,--:--._41_ ME_T-A_-,_-F_I_R_E-=P~-A~~~-_---.--:.-=-------1-----'~-I--- PLAN CHECK TOTAL PLUMBING ELECTRICAL ·--+---·· ___ ,___ VENT FAN SINGLE DUCT MECHANICAL ---------ll-------~H-~XHAU~T H000t0UCTS t,AnRII !:HOME WATER SOFTNER l~~~AT£R·--t-~~~1 ---"'•••0"3"0 ,c~ ------+------ll---l>-R_E_L_O_CATtON OF EA FU RNACE/H EATER MOBILEHOME PARK INSP 01 ·00-00·8220 01·00-00-8221 -- 01-00·00·8806 01-00-00·8222 - 01·00-00-8223 01-00-00-8224 ------- 01-00-00·8225 --I----------, EACH ROOF DRAIN (INSIDE) L-SOLAR 01-00-00-8226 -I • TOTAL PLUMBING _----r--1o, .ai TOT,L;,L MECHANICAL FIRE SPRINKLERS STR_9_!§ MOTI.Q_t,!___ 80·92-3}-0519 ___ _.,01-00_-0_0_·8_22_7_j_ __ _ QTY. ELECTRICAL PERMIT -ISSUE ------ .5-:-II QTY I SOLAR · ISSUE I t _;;~ :~~ILITIES FEE ___ 32-00-00-8923 ----------i C------- NEW CONST EA AMP.'SWT:BKR ____ ----1-COLLECTORS STORAGE TANKS SCHOOL FEE · DISTRICT -------- lPH EXIST SLOG EA AMPiSWT,'BKR _____ ---1--- J PH I PH J PH ..... --+-·--.-------------+------jJ-------If _ 1 ROCK STORAGE ----+------___ ·_ ----l-_ I PUMP ----_-_-_-_-_-_-_-_-_-_-_+~----------_-__ _:.:. _____ JJl! . __ E~cinitas I-- Carlsbad San Dieguito 80-92-21·0519 ____ 8_□~92-22-0519 I REMOOE L 'ALTER PER CIRCUIT ~ _ _i_flL_AN CHECK FEE -------+-------l--~an Ma_,_co_s __ _ 80-92·23·0519 +--------1 80-9?-24-0519 --- TEMP POLE 200 AMPS ~ O~~~OO AMPS ·-- --------1-- 1---O;;-t:__ ---L- ·--- ----------41----------+--·---.-·--] i_TE~~c~-~~N_CY_ IJ_o __ DA YSI TOTAL ELECTRICAL -------#---+---- TOT AL SOLAR ---+ -11 I I =----1 TOTAL FEES PAYABLE (' 0, 1 HAV_e-c.P-AEFULLV eXAMtNEDTHE COMPLETED "APPLICATION ANO PERMIT" AND oo HEREBY e,xpf;ation. every'permttisel.ledbyfhctBulCdlngOff~u'ncter.theP,o\qsionsoftrns CEAi:IFY UNDER PENAL TV OF PERJURY THAT Al,L INFORMATION HEREON INCLUDING THE ~ "'::f ff'pire b)' nm.~ and become n~U ~c:fvoid. ff tfMf tluffdih0 -dr work ~t.ARAflOtiS ~-TRUE AND CORRECT ANO 1 FURTtfER'CERftFY ANO AGREE lF A PERMIT IS au tt,11 ~ :such permit lS notCOlllmenced wilhirL 180 days from the date of such f$$UEO:', TO OOMP,L." WllH ALL QTY, C®NTY AN0-ST~l£ LAWS GOVERNlNG. BUILOtNG CON-::n:/!t t= :1:ff: ~~':J':e~ iar <led Qr pTflUCTtON.,-WHETftal $PECIFfEIHlEREHi Ofl NOT. I Al.SO AGREE TO $AVE, INDEMNtFY, Alffl · . . -~~El:'~ ... ·TH·E·~~CAJILSSAO·AGAlN$TALLLIA81LITIES JUOGM'ENTS,COSTSAND APPUC T'S SIGNATURE·. ···&u' .. •A~Q CON. TAACtO ~ENSESWtiff¢HMA,'¥.~:AN,'¥·WAY,·~AUi:'A~AtNSTSAID'c'1TYi'NCONSEQOENCEOFTHE ~ ·"::' .• · ,,.; .,,,.:,;,, A , ' A ..,-•. GRANTl'l!l OPTlltSPEl!MIT ... · . . . --..S:~t:~2~· ' ·. .. . :,:< , .. :..:,•; ~ ,• · ll'C,1'HQ11€,0 . ~ _,,__ ,,,,_ ., if: : .... --1$-f()A El\CA1'ATIONS OVER . ·.>'.O" -~~ OIICOl!STAUC11011 o, ' $~~ 3 STONES IN HEIGHT APPA;VE:B@;:/, ID?--'-~3 ~ u. i'.' "' 0 a. E ID f-- ~" ~~ > c "' u a. a. "' I ~ C 0: 0 "' "' ID "' "' "' I ~ .Q '" >- "' "' ID u 0 a: "' <ii 0 ~ ID u C "' C ;;: ,:. C ID i" ('.) 0 t, ID a. "' C ~ ~ ;: INSPECTION TYPE DATE INSPECTOR BUILDING ,UNDATION .JEINFORCED 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 WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL -MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED i3 -,;i.q.3 . --FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S 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 " -~- - -'_.,: :'] ; \ . ---. at; : : -· ---... . ' . ' -. -. --- LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provI• sions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Profes• sions Code, and my license is in full force and el· feet. OWNER-BUILDER DECLARATION 81 hereby affirm that lam exempt from the Con• tractor's license Law tor the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's license law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex• emption. Any violation of Section 7031.5 by an ap• plicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). r I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve• ment is sold within one year of completion. the owner•builder will have the burden of proving that he did not build or improve for the purpose of sale). :::.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business e.nd Professions Code: The Contractor's license Law does not ap- ply to an owner of property ·•i b~ds proves thereon, and who contra s lo\ jects with a contractor(s) licens "1-su contractor's license Law) I am exempt under Sec. __ _ for this reason, ____ _ Date 0 WORKERS' COMPENSATI I hereby affirm that I have a certificate of con· sent to self-insure, or a certificate of Workers· Compensation Insurance, or a certified copy thereof {Sec. 3800, Labor Code). POLICY NO. COMPANY ____________ _ :.JCopy is filed with the city [_ Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Car· tilicate of Exemption, you should become subject iu 1h'1'\vorkers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 'tONSTAUCTION LENDING AGENCY I hereby affirm that there is a construction len· ding agency for the performance of the work for -••hlch this permit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. l~/?141-=,; 10.6£.1t11'11 I I ow,.-ER f"'),-, ~ ,.::c\ \.:\a\lcns OWNER'S MAILING ADDRESS d \ ~1 :?>9 A:r:ch · a ,. I I I I I I I I I I J I I St, ,1:_WtrS\c\L .c.::' LO. 9 LOCK SUBDIVISION I JOB ADDRESS OWNER'S PHONE AlfSESSOR'S PARCEL NO. J _l I I I I I I I I - I I AV.ST. OATE OF APPLICATION SUS. LICENSE ,o D· \~ ·····~t\~'~1I2\ UM<l0i f10. i 9'? /9'0':t0►d 5~'c.\0 ~l/Ce\a;;i I ~li~'_T;~~r, DE.SIGNER STATE LICENSE PERMIT NUMBER -- 1 """"'~o, wor h \ ± t.ud C /\fct C CE-,P r),Cf yi)e.M DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING UNITS -· _ ,7 i;i,/-;l,-i.--:~:i,-: l "'· l ""'"' seAC, I NUMBERDF"S~ 1.J•t i516l 1 ..-•-,/,.. I Not Valid Unless Machine C.rtifi«J 1 ,coo so. n. : ,coo ose I occ, " I STAeOAso ec,e, J "", o, I"" cos,; I occ. LOAO ~/ I ~--------- 1 I 0--~ PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT AMT. IO' ~ ;;;.... ~ I I Y-+\ ---.,,_ • ~ UTY. I I EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100,000 BTU . ~ ~ EACH BUILDING SEWER OVER 100,000 BTU • -? ~ 7 EACH wATER HEATER AN010R vENT I _., .Doll I BoILER1coMPREssoR uP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS I II I BOILER/COMPRESSOR 3·15 HP EACH GAS SYSTEM 5 OR MORE I II I BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER. REPAIR WATER PIPE I II I VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM I II I MECH EXHAUST -HOOD/DUCTS WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER t<:c.ut., I 3 .oo II I :t:ssu r TOTAL PLUMBING TOTAL MECHANICAL CONTRACTOR -1-.DDII CONTRACTOR "? ,Oo BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT I J I I I I I I I I I ·--. ·.' I I I I UTY. ELECTRICAL PERMIT AMT. UTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING I (..l,-010 ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET·UP SOLAR 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT FENCE OVER 6' TEMP PO LE 200 AMPS TOTAL MOBILE HOME MICO-FILM OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) T <-S v.s:-,, -0" TOTAL ELECTRICAL CONTRACTOR TOTAL FEES PAYABLE 1 I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS 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 CONSTRUCTION. WHETHER . SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS 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. "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0 .. DEEP AND DEMOLITION OR CONSTRUCTlON OF STRUCTURES OVER 3 70:;,ES I HEIGHT <:LA•~. APPLICANT"S SIGNAT.liRE•.J OWNERQ AGENT 0 CONTRACTOR□ lAPPROVED BY BY PHONED I I I I I I I I I I I I I I I I I I I I l.;,-DIO " ,{ tJ!II Y/-13 /frE • ..-p "!",.!, • ~ ~ {§ e= u ~ a. "' ~ SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK •TOILET ' UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO Fl REPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN . FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ~LEC METER-PERM-TEMP j GAS METER-PERM-TEMP i -.. I I ! CERT OF OCCUPANCY ISSUED l ' , , PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Applicant to complete numbered spaces only Permit No/ t-'-/~~ JO& AOOIII CSS -,~ J -~a --,y " / . ' LOT NO, I OLK I TOACT ' c<GAL I 1 DCSC~. OWN£" RA ///-A/'5 M AIL AODIIIESS ll p PHON( 2 .:; _ _)./,/ ')-. .J'--4,,</ '5:"/ 11-1 7 -:::; -·• -~- CONTlU ,c,.TOIII ; MAIL ADDIIICSS PHON~ .:Jc~~ STATE LIC. HO. CITY LIC, NO, 3 ' j/;( /I M ,-., CJ Fu//.,,,.,,./0 ,l... f , IL/ s ~ A~.IJ,• ,'/ A litCHfTtCT 0111 OCSICNtlll MAIL A0011t[.5S PHONC LICENSE NO, 4 (NGIN([" ~AIL ADOA £S5 PHONE LICE.NS£ NO. 5 COMPENSATION fNS. CARRIER MAIL A0O"£55 e•ANCl-4 6 \ i ... I . -. use o, IUILOINC \ 7 8 Class of work: □NEW 0 ADD ITION 0 ALTERATION 0 REPAIR 9 Describe work: (~A$" '~ /~//_- PERMIT FEES No. Type of Fixture or I tem Fee SPECIAL CONDITIONS. WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP DISHWASHER APPLICATION ACCEPTEO SY PLANS CHECKED BY APPROVED •OR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER 7 "..l 1 J? .r DATE . WATER HEATER -NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMM ENCED WITHIN 120 D AYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-SLOP SINK MENCED. GAS SYSTEMS, NO.OUTLETS L..-::.L t,l"lr, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT, WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS CESSPOOL --;,,,,, _/7 . /-/:,. 7/ <~r SEPTIC TANK .. PIT I ROOF DRAINS SIG,l'.t..,.-UfllC 0,. 'tOf.iTfllAC''T'Ofll Oft A\.ITH0,tl%EO AGENT , (0,\T£J ISSUANCE FEE $ 1 11 5ICNAT11fltf' 0 ,. OWN[fl ,,. OWNCIII aul\.DCA (OAT() TOTAL FEES $ '1 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH INSPECTOR REQUEST FOR INSPECTION TIME"-" _ _,_/..:.../_.' '---'/ D::..__ ~NSPECTOR, _____ V_l_•c..k,~---PERMIT NO _______ OATE: OWNER __ ---"-t"-"V\---'---'--, _;__~-"--"-"-""1-'-'A'-I ___ ---,---_________ _ 1-")..1-7i' ADDRESS---~~j_,__tf-'--....L.•2_,,o'-'~"""-"',:::_:____:s\=-->-_________ _ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME 0 SHEATHING D FRAME D EXTERIOR LATH D INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO ~J I r D TUBORSHOWERPAN ~Ot,~ (,• o.k ,,,-_-) S, .. , S WATER HEATER \,-. . /' D FINAL -,, 3 ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D EILING HEAT ~ . i31tmoa MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY DA.M. DP.M. □TUESDAY □WEDNESDAY DTHURSDA@3 SPECIAL I 1-;;; '-0 \4/'f!\ l}\~q, PHONE NO. ______ _ ' PE~SON TAKING REPORT_q,'r<>------