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~ I hereby affirm that I am licensed under
iifovlslona of Chapter 9 \C0f'lmenc1ng with
Section 7000) of Division 3 of the Business
and Professions Code. and my license 1s 1n
lull for.ca and eflect ,-. ...-, J\
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cor11~IPt10" u' th,s worK
nave nlll clJ1·'ied thi, e,emr;r,c · l1J'ir'~ •he ast :hree \'~il'S
I am exer,,p\ unCe· Sec
tor 1'11s ceason
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~eby aHirm 1'1a1 I na,e a r,eri,t,cat,:, 01 c.on~enl
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nsa11or1 lnsc.rar•ce. or a .~en,t f'<1 ,,py !'1ereot
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I!§ Copy ,s hied w,tn the , ,ty
D Cer,,l,ed con ,s hereby h.;rn-~hed
CERTIFICAH OF EX~MPTION F-ROM
WORKERS COMPENSAT1Qr,, INSURANU
(Th,s sec1,on need not be completeC ,' ·~f' ;,,.,~ t
,,; tor ,1,.e '1undred dollars ,s,oo, ,,, 1e•;<,,
D I cert,ty that,~ The pertormance o' the.,,,,,, tc,,
,.r,,cn th,s perm,t ,s ,ssued I s'1al' nol '"''f'"'" dn,
persor ,n any cnannP' ~o as IC t,eco,,,p suD1e'. I r
lhe Worl<ers· Compe'1S...\1on Laws ·)1 Cal,i,)rr,a
NOTICE TO APPLICANT It atte• mak•r,J th,s Cen
hc;,,.1e ot bemp1,or ,o~ shou1d oe, om<' sut,,,., I '
lhe Workers 0:,mpensat,on P"'"'~'""s 'JI :ne Labo•
Code you must tonnw,tn °omiJI) ,..,,.., s.J· ~
prov,s,o"S ,Jr th,s perrn,i s~a11 DP dPe"-er: •p,•,kpd
0 I hpret; a•I •m r~.at •here ,5 a ""'l'u. !•,J-
er>d,n<,, agency tr;, !'1P ;,.,,;,,rrr,arr,. ,,, •r,,-"'')'' • ,, ,..,,c., t'1,s pe,.,-,,, ,, ,,,.,ea ,.'c:.e, J091 (,., ':C,<lP•
Le,,der ~ r--iame ___________ _
\ pcide' ~ Address __________ _
7f:.'73'1<> CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
NEARESTCRQ$SST. DATE OF APPLICATION BUSINESS LICENSE d VALUATION ~PERMIT NUMBER J08 ADDRESS
:l..1s/.f .L.1tC.osf-A Av£.
AV.ST.RD.
COT BCOCK suso,v,s10N ro:~~AMINC>R~l!,/;;ACTOR /~-,¥-1'6
/':l,JIJ() ZONE 1/21:>
I OWNf R'S NAMf OWNE A'S PHONE 1J'.!i¥lk'!';J.~~:t:i-,.)_M.'!Z~~~~~~~~~~'.;'.;:~~'!::.~.t-c-c---------+::-c:-:---:c:-:,=.,.-----J A fl1 ES J, {\1;/1:s 753-q211 LICENS~;..:2.,. n.-,o• BCOGUSCCODE
OWNE A"S MAI UNG ADDRESS l!s.ll~U.~1:t.~~~+-Cd~~~~,.j'.'.__~~~';y~J"...::=~=---+----------1----------<
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:)., 75"-I ~½GtJ5f !1 NE., Lh.r Is BaJ, <J,;i.oolf DWGNER UCCNSE. STANDARD SCAN. BUILDING sa FOOTAGE
:1°EftURN~eK
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DESIGNER'S PHONE
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Ct"'S,JS 1 HAC I (;PI Ar--.D USE: PAR,<;1',J'.., ':)PAC~ RES vr--.,•s GRAnli'.G PERMIT ISSUE:D REDEVELOPME",·T TYPE ace LOAD FIR!: SPFI UUL4 ~~i iZ/22iB6PRMT
AR~A CONST
YO ft O ,i ,,□ YO "-C Nor VahdUnlessMachrneCertrfled
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: QTY. PLUMBING PERMIT. ISSUE 1! QTY MECHANICAL PERMIT. ISSUE SUMMARY/ACCOUNT NUMBER
: -+~AL:H FIXTURE T>lAP _______ ---t _.L__ INSTALL FURN DUCTS :JP TO 100 000 BTU --1--_L:C...:,'!<'-_ _jj BU 1!.D1NS PERMIT _____ 0', 00-:J0-8220
I : E1\CH BUILDING Sf:WER , OVER 100 000 BTU SIG"j PERMIT 0'-:J0-:J0-8221
r .+ -------. -+ ~ BOILER COMPRESSOR UP 10 3 HP PLAN CHFCK 0"-00-:J0-8806
-·-
; i ---~LER--co·M-~R E~so R :1 11 HP.. ---______ TOTAL PLUMB1~G ______ _ _ _ ~ □"-~o-oo-s22.2
t ____ -4 t \·1~~M FIR~PLA.CL --1---ELECTRICAL ~',-()0-00-8223~1------
: EACH 1NST At r_E_~:.R~~~-~T~~-~~-~~ _____ + _ VENJ-~AN_s.1NGLE ouC-r ---MECHA~;CAL -~.:n__~ 1"' __ _Q',--o□:::io-s224 I 7_ oo I
I L_-\-.'c.':":.'.,...-.."'.'°."'".'<l>C=.:..:.c----MECH EXHAUST HOOll DUCTS MOBILEHOME _ ~ 0",-00-00-8225
I I RELOCATION OF EA ~URNACE.HEATER MOBILEHOM NSP .... r -l ---------~------+---!---------------+----. -
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[ _ :OT<L MECHANICAL -{:~~~'\ralJ • ;;~,::
r Tll 1 Al Pl IJl,181!\JC I 7~ (lt} FIRE SPRl'.IJi<LERS '\ .' ~~cD.;,>:_,.',.;>-.·_,.0°_0·_,.8""22"7--1_----------1
1 ~ ---Pusuc FACILITES F-EE .->· -: ,31.oo-0(}-8930
1 QTY. ELECTRICAL f--'t:HMI I -ISSUC. ---
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, QTY I SOLAR• ISSUE__ BRIDGE FEE---·--\-·-~;-· ~-(""--
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' C:JLLE:::TOF.S SCHOOL FEE -DISTRICT~--• ,("\ ""1 ---
ii srneL:..GL · A'-J~.:, Carlsbad
-----
_________ j I HOC< c;·c.,..i4r,~ -~-------,L Enc1n'.)a~~.
j i' , ~1_,r,/P. . . I San D1_~~1to (--
---+---~1 NJ ( -,~r.K F~L _j _ II San Ma·cos
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,.. 80·92-21-0519 -----
80-92-22-0519 ·---+--·
80-92-23-0519
80-92-24-0519
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-·. ---·------+--------ic-LICENSE TAX 01-00-00~·8~1~6~2------+---------I
MFF 80-92-57-0519
·--
CREDIT DEPOSIT
Til!Al f.lltTflll.Al --,--~----------tt·-Tl}TLI[ sr:,, ,\R i TOTAL FEES PAYABLE I 1.00 II
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" AND DO HEREBY
CERTJFY 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. COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration. Every permit issued by the Bu•ld+ng Ofl1c1al under the provIs,ons of this
Code snail expire by l1m1tation and become null and void II !he bu•!d,ng or work authom:ed by such permit ,snot commenced within 180 days from the date of such
permit, or ii the buIld1ng or work authonzed by such permit Is suspended or
abandoned at any time after the work 1s commenced_ for a pert()(I _QJ' 180 days
APPLICANT"S SIGNATU~ "!::' OWNER □ CONTRACTOiyQ
Cl) . Cq~ BY PHONE 0
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP ANO OEMOl.lTION OR CONSTRUCTION Of
STRUCTURES OVER 3 STORIES IN HEIGH} /
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL ,, ... . ( .,,.•
D ELECTRIC UNDERGROUND D LIFF.,ER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHAN1°"1-
D DUCT & PLEM., D REF. Pl.PING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST ffNSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
HOl TS
SPECIAL MASON8Y
PILES CAISSQr-,,;-:
REQ IF I INSPECTORS
CHECKED APPROVAL
~~---1~
INSPECTOR'S NOTES
DATE
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ELECTRICAL I / r✓ --/2 ~ I I I I
~!~HANICAL?j, ,o/-(J?~ '--·· I 1--------------------___ _
BUILDING
SPECIAL CONDITIONS.