Loading...
HomeMy WebLinkAbout2774 LOKER AVE W; MULTI-PERMIT FILE; CB090030; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-07-2009 Plumbing Permit Permit No: CB090030 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (7~0) 602-2725 2774 LOKER AV WEST CBAD PLUM .:,.···, 2091001000 Lot#: 0 Construction Type:· NEW .. ;. SYNTRON BIO RESEARCH-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/07/2009 RMA CALIFORNIA DELTA MECHANICAL KINGS BAY INTERNATIONAL INVESTMENTS SUITE#'2,7 12440 OAK KNOLL RD 92064 866-898-0008 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 2774 LOKER AVE W CARLS~_f.ii c;,A J\'2,010 $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 Total Payments To Date: $27.00 Balance Due: .. 1.: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees,. dedic;ations, resE;lrvations, 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 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 277 4 Loker ave West CT/PROJECT 11 LOT# PHASE# 11 OF UNITS II BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. Est. Value Date SUITE/1/SPACEI//UNIT# I/BATHROOMS replace existing like for alike water heater OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsO NoO YEsONoO YESONoO CONTACT NAME (/fD/fferentFomAppl/cant) C l'f , D It M h , I , a I orma e a ec amca , me. APPLICANT NAME ~alina pavlova ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE FAX PHONE FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california@,deltamechanical.com galiapavlovabg@,yahoo.com PROPERTY OWNER NAME Syntron Bio Research Inc. CONTRACTOR BUS. NAME California Delta Mechanical. inc. ADDRESS ADDRESS Same as site 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE FAX PHONE FAX 760-930-2200 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC.11 STATELIC.11 CLASS 811114 c36 (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 require 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 [$500)). 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. [Z] 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 workers' compensauon Insurance carrier and policy number are: Insurance Co Policy No. 1697623 Expiration Date 08/31131 This section need not be completed if the permitis for one hundred dollars ($100) or less. [Z] 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 dollars (&100,000), in addition to the cost of compensation, damages as provided for in S ell n 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing 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 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 D 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 the proposed property improvement. OYes ONo 2. I (have I 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 name/ address/ phone/ 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/ type of work): ~ PROPERTY OWNER SIGNATURE DATE . ::i06~i{{itr.$ '.{?i:;?(l~l'.§@&tl\1@~ i:i@ro ~@m~'@@fsO~(s{;'J'i?O&~ ill©Ol,1$f1W$.' {}'®l':~-Oml:i)i"i\{:?:: C: : . '~." ,, ', Is the applicant or future building occupant required to submit a businessa, 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 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aoality management district? 0Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes 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. ~ ~:~n~iSvmw~':?(i~~-,ci.~~1t£ttk6¢ :~~~ro~y'. ', ,, ::_',,, ,,,._, ' ,:'/',,,, , .. ,,,, ,, .. , . ,-'. :-~ : ,x' ',i, ,' • '• ' , ' ,'., ',, 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 -.-~~r,·~zs,0't~~ i~{iivri@Q($'<0~0®W · ,, ,,' -_.,-.:· ' -~-: ~--: '' ' ~-, ".,f .... --~": ,'-' " .,, '" I certify th at 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, 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 w1th1n 180 days from the dale of such permit or~ 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). Ji) APPLICANT'S SIGNATURE r/# DATE ~ {tf" fr 9 I/' / City of Carlsbad Bldg Inspection Request For: 01/14/2009 Permit# CB090030 Title: SYNTRON BIO RESEARCH-REPLACE Description: WATER HEATER Type:PLUM Sub Type: Job Address: 2774 LOKER AV WEST Suite: Lot: O Inspector Assignment _g__8 Phone: 8582043241 Location: Inspector: -----.l... OWNER KINGS BAY INTERNATIONAL INVESTMENTS Owner: KINGS BAY INTERNATIONAL INVESTMENTS Remark6LY Total Time: Requested By: TRAN Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents i}iZ_ ______ _ Comments/Notices/Holds I. Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 02/21/96 09:15 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB960269 Project No: A9501017 Development No: WEST Suite: Lot#: Job Address: 2774 LOKER AV Permit Type: ELECTRICAL Parcel No: 209-100-10-00 Valuation: 0 Occupancy Group: B-2 Reference#: Description: ADD TRANSFORMER & 90 AMP PANEL Construction Type: Status: Applied: : TO EXIST JOB PER TIM PHILLIPS-SYNTRON Apr/Issue: Entered By: 619-549-8455 NEW ISSUED 02/21/96 02/21/96 RMA Appl/Ownr: DESIGN BUILD TENNANT IMPROVEME 9770 CARROL CANYON RD, STE B SAN DIEGO, CA 92126 ___ . ___ _ -------* * * Fees Required *** *** , ,: .. · Fe·es Col'J::ected & Credi ts ----------------------------,.,,,.,.,:; ~ 1)4' /'·., '""-..._ OOC=.l Ct .. C-P:":NT Fees: 65/o,i) ··---~\\) \~·;::_,~· .. \ 1 /' '/,; ""-... 1\\ -,,, ,,, " Adjustments: _. 00 ,., Total 'Credi1ts.: '. . o o Total Fees: 6,5. 00 Total<,-~airtren.\~,·:-, \ . 00 *** / 1 < \_~--, ~-~~l~ncE\ D~ri,f.;_; \ 65. oo Fee description I r: '· / t \JJb.'its P.ee.ZlJnit \ Ext fee Data ---------------------i---1 ~.,·:/ ~-~~ '-.--;;__----. --.----·:·-.,.,-7~\ ~~--~ ~~;----~ -~',--------------- Enter "Y" for Electr~·c is:sJ:;te / Fe)\.:'>··,~:-;;~ _•:??""~:/ \ .~>~-~ \ 1 o. o o Y Three Phase Per AMP, ·, ; -,, ;,, .-90/ '] ,·50 1 45.00 • · ,(;¾: ( ., '\.. -y ,h , r , ~ \ Enter "Y" for Remodel · .>. ·-., '>~---1 /,:, /_::;: '. : "'· j; 10. 00 Y * ELECTRICAL TOTAL \ , Y'·. /ty/}A '\.\, '(/ i f,-~~v'._:-: \ ... .J 65. 00 ', ·, \ ·-,' / /' yJ,,-..', ? : ,,' -\ l ,: ' , , '1',/ J-.... '' ); \: ,/,,,,, f ! I ' -~' 't, i i _: l.., ,/ ~-1 I \ ~ -.. *> ,: 't"' ~ ,j l~ ...., ,; 6 1 ', ... ,, >-,;:-/,i '· ',.?, , -, , ~-\.'. .. o J% 1·---· I / I i"Y '\ , ,' I \ \/} ..., / ~,,,.,, l~JCORPORATCO \ \ \ ! 1t:5Z " ' k ,. __ " /< .. ~-- Fl b\L APPROVAL 1iNSP.. DATE~- \GlEARANCE-----( CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~ Q!9S710 PERMIT APPLICATION PI.AN CHECK NO. City of Carlsbad Building Departa!nt 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRClJECf INFORMATION FOR OFFICE USE ONLY CHECK BEIDW IF s0BMl'l'lEO: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK /Jl)/> EXISTING USE PROPOSED USE SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS a. WN IACI PERSON (if different from appucanO NAME (last name first) ADDRESS CI'IY ST~ ZIP CODE DAY TELEPHONE APPUCANI m'CONl'RACIOR ~ EN'l'FORCON'IRACloR DOWNER DAGEN'! FOR OWNER NAME (last namfiirst) )</y(5~ {<.,-,(V{)(3-(.L ADDRESS 99$ C~ c~CN ,~ CI'IY 5J1;'l) STATE ZIP CODE C?,~ DAY TELEPHONE o1/CJ .-g'$('')'.. • It I/ j"" NAME (last name first) S'f/J~AJ ADDRESS )-7'?lf '-'-'h'/9/l l'H/13' b)'}3"S'r cI'IY c llf2.-lS sTATE c. zIP coDE 1100 DAY TELEPHONE '.3o -2-1-00 irff!Gfv /Ju/r,I) ~t¼,1-11,-'.i:'mP~~ADDRESS t-o. &-I ;3t>60 CITY Sll-P Orr:?60 STATE Cir ZIP CODE q '2-fZ 3 DAY TELEPHONE 5'-/9 ..-g'f/~ STATE LIC. # lf666S'f LICENSE CIASS CI'IY BUSINESS LIC. # ast name 1rst CI'IY . STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WoltRERs' mMPENSA11oN Workers' Compensation Oeclarat1on: I hereby affirm that I have a cernhcate of consent to self-msure issued by the Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I ceruly that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation laws of California. SIGNATURE DATE 8. oWNER-BOlIDER DECI..ARNfioN Owner-Builder Declaration: I hereby afhrm that I am exempt from the ContractoPs License Law for the followmg 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 Llcense 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 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 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: (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, commencing 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 ($500]). SlGNATIJRE DATE COMPLETE tH!s sEc11oN FOR NaN-RESIDENTIAL BO!LDING 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCCUPANCY MAY Nill BE ISSUED AITER JULY 1, 1989 UNLESS 1llE APPUCANT HAS MET OR IS MEETING 1llE REQUIREMENTS OF 1llE OFFICE OF EMERGENCY SERVICES AND 1llE Am. POU.UTION CDNTilOL DISTIUCT. 9. wNsl'R0CnON r.rummc AGENCY I hereby afhrm that there IS a construction lendmg agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1) C1V1l Code). LENDER'S NAME LENDER'S ADDRESS lo. APP11CAN1 CEltllFICA:IIDN I cerufy that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 1llE CITY OF CARLSBAD AGAINSf AIL UABIUTIF.S, JUDGMENTS, CDSTS ;;;; AND EXPENSF.S WIIlCH MAY IN ANY WAY Aa:RUE AGAINSf SAID CITY IN CDNSEQUENCE OF 1llE GRANTING OF TIIlS PERMIT. OSHA; An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. FEB-19-1996 11:35 iN. o'~ r;:::-;;.:::----g U\. .... ·-:, ,l' ·, 1 l 1, 'I I , -' I ' ~ 1' •J '•' ·1' ! \ ~· t' 1.: P.02 --., "' : ·;.. ~-' .. •.: . ' ' .. . : ·:: .. , ... ···.,!·,-. :"•, .. · l'1 (S) Cl.. ~ ,..; ,..; l.!) ~ ,..; I ()') ,..; ffi LL EXISTING REVISED "OLTAGE 277 /480 PJ-\ASE 3 WIRE 4 PANEl__,=L-~4 ______ _ lOCAT tON WAREHOUSE -----FEEDER (4) 3/o cu A.I.C. 14K MOUNTING MAINb_ML_o ____ _ SURFACE .. BUSSING_2_25_A ___ _ FEED ____:rap - LOCATION • WA,!AGE A. LTG RI;( ~,s Bl<R ~IR ' OR SKR MIS Rte laG ~ WAT~GE A. lOCATlON -.,A .,e 111C i v,A .,B 'l'c TRANSFORMER 24000 90} ·1 A 2 20 24 2850 2ND FLOOR LIGHTS 75 KVA 24000 /i :, I -4 23 2100 1ST & 2ND LIGHTS ~ 24000 / 3-5 C 8 _ 28 2400 1ST FLOOR LIGHTS HPB 2700 2-0 7 A B 27.00 / 9 B 10 . ---. _ . _ . --. .. _ ,~ 2700 / 3 11 C 12 DCI • 2200 2f.}) 13 A 14 __ _ ___ _ 2200 / 15 B 18 -· _ ~I 2200 J3 17 C 18 TRANSFORMER li0,560 , 60) 19 A 20 -' to56o I 21 a 22 ~ I 10560 '3 23 C 24 '!5 A 26 27 B 28 __ _ 29 C 3D 31 A 32 . 33 II. 34 ' 35 C 36 1-------1----1----1----1--1--1--1--1--+--1--1---1--:--l---1---1---t1------- 37 A 38 · 39 a. 40 · I , 41 c · 42 I SUBTOTAL 39460 39460 39460 2850 2100 2400 TOTAL t A 42310 t B 41560 t C_4;.;;.l.;;..;86;..::.o _____ _ TOTAL LOAD 125730 WATTS AT 277 I 480 \f ,30,4W.= 152 A .. HIGH PHASE 42310 WATTS AT 2n v.#1,)~2w.= 153 A A i a.. ~ 'M 'M I.O CJ) CJ) 'M I CJ) 'M ~ NEW v (S) VOllAGE 120/208 A. I. C. PANEL P-5 MOUNTING MAIN~ 9QAMPS a.: r~Ase 3 10K tocA11O~ 2ND FLOOR SURFACE euss1NG 12s ·<i WIRE 4 ffEOER l :t/2'1 EMT WITH 4 #2 · · ·· -· · FEED TOP _.___b --. -· -·-······· I- I lOCATIOH I .A jA•;:GEL ·~~JlG~4'·st~flRl•Jaa \Bl<R~rc~·~ ~•tAT:-:EI • C lOCATLON MAIN _·11" l2 SPACE :, I a 14 ~ ~ \ \ \ I \ \ \~ 5 \ C \ B I ~ LL\ \ I I )Li FC. ~0JL~~~-_ __.A.92O__ _ __ -·· .. ... _ . .. . _ ~J( 1 ·. A _ B . 6~ -, · 1 5640 --··· ·· · · LHS 300 4920 z I 9 , B 110' / 5640 '11 4920 /3 1 t1 I C 112 I/ 3 5640· '11 SPACE .# 13 I A l\4 . . .· • SPACE _ _ .. 15 I B l18 17 I C 118 191 A 120 .. 21 l a l22 -JI 23 I C 124 -"11 1s r A ,2e 271 B 128 291 C 130 311 A 132 33 I 8 I 34 t-1 --1-1-111-¼--+---+---E---I------ ,a~ I c 136\ ·-1-1-t~ , . • • =======+===t-----l•--7•=1'=±• =tl ~~a~T~~,..q~a~a~=l I I I 391 a. 140 41] C ·142 SUBTOTAL 4920 TOTAL t A 10560 t B 10560 49a,o 4920 - TOTAL tOAD 31680 WATTS AT 120 / 208 '--HIGH PHASE 10560 WATlS Al _120 - 5640 5640 5640 t C 10560 ~;~t:!::: .. --~:~ ~----~-: ~ Ill z 0 ~ a: "' .., (.) Ill 0 ![ ~ z 8 a::'I• Ill 0 .., 3 ~ Ill z 3 0 ,., ~r . ., ._'f z 0 j:: ~ z Ill A. :IE 0 (.) Ill a: Ill :.: a: 0 3:: if O I hereby affirm that I am licensed under -provisions of Chapter 9, ,(commencing with Sec:llon 7000) of Division 3 of the Business and Professions Code, and my license Is In lull force and effect ' I hereby affirm that I am exempt from the Contrac-tor's License Law for the tollow,ng reason (Sec '7031 5 Business and Professions Code: Any city or county wh1cli re· quires a ·permit to construct, alter, improve, demolish, or repair any structure, prior to its·1ssuance also requ1res,?he ap-plicant !or such permit to file a signed statement that he 1s hcensed pursuant to !he proy1si~ns ~f the Contractor"s License Law (Chapter 9 commencing with Section 7000 of 01v1s10rl 3 of the Business 3nd Professions Code) or that 1s ex-empt therefrom and the basis for the alleged exemption, Any vIolalion of Section 7031,5 by an applicant for a.permit sub· Iecls the applicant lo a civil penalty of not more than five hun· dred dollars ($50q). I I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc-ture 1s not intended or offered for safe {Sec. 7044, Business and Professmns 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 1mprpvements are not mtend· ed or offered for sale If, however, 'th8 bu1lding or improve· ment 1s sold w1th1n on~ year of completion, the owner-builder w,11 have the burden of proving that he did not build or im-prove for the purpose of sale). I I I, as owner of the property, am exclus1v~ly contracting with licensed contractors to.construct the,project (Sec. 7044, Business and Professions Code· The Contractor's license Law does nol apply to an owner-of property who builds or im-proves· thereon, and who contracts for each projects with a E~~r~ctor(s) license pursuant to the Contractor's License 11 As a hOmeowner I am improving my home, aod the follow• mg cond11tons exist: · 1. The work is being performed prior to sale. 2. I have lived In my home for twelve months pnor to completion ot 1h15 work, 3, I have not claimed 1h15 exemptmn during the last three years, D I am exempt underSec. -------, B & P.C for this reason ____________ _ 0 I hereby affirm that I have a-certificate of consent to self-insure. Or a certificate of Workers· Compensation In- surance, or a,certified copy thereof (Sec. 3800, Labor Code) POLICY NO. COMPANY ::J Copy is filed with the city D Certified copy 1s he;~by furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit i~ for one hundred dollars ($100) or less) 0 I certify that m 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· Compen· sation Laws of California. NOTICE TO·APPLICANT: If. after makmg.th1s-Certlf1cate of Exemption. you should become subject to the Workers· Compe11sation provisions of th~ La.bor Col;te, you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there 1s a construction lending agency for the performance of the work for which this per- mit is issued (Sec. 3097. C1v1I Code) Lender"s Name _____________ _ Lender's Address_ ___________ _ ---... . ..... ;2. J7 '-f ~~Ju~/J~e--ARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT _ / 75 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 .. JOB ADDRESS -• ,..,.R't'.7ji:j THOMAS BROS Nf-I D:;7~;p7~?N BUSINESS LICENSE # VALUATION PERMIT NUMBER ""' .,.,. ,e~ _,,,,_~~, c....-Tnft . .., V..i .,.,-" · ~ ").P( ~7 ~o9fo1 V' ( V' .,., , -,'.;._ ·.-, ~ -~ ~ -, V • 1,,o_.. '::lo V LO'Lt BLOCK lf~iDtVISION,4', 1 ASSESSOR PARCEL N~g 1 4 CONTRACTOR .. CONTRACTORS PHONE# ZONE (U, i. L.,.# 7 -';J.I ~;i-a ...... o· -l \;:\.._ ~A 4' (~,'{.i\<'"~--lbr( j ~,11. 71t.iJt70 ~?S"~ 7' OWNER'S NAME \ ,~,. . b, OWNER'S PHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE ~~~ ·• =: (\ /-~i e 1/'t}7~ -IO{/.o: 'f 51'/ 8, ~ t)C/J iMd ~ Ji ~').._ t:J&& /J... OWNER'S MAILING ADDREst.J .:Q • - . ' ' DESIGNER r't'rJ ch e! v.--~ { q q.Ftr> .. .,. DESIGNER'S PHONE ' ./. \--~~ 7) ··-r17....0GCz& DESCRIPTION OF WORK , ../-..{) ~-R-:; ~ "<.u. (I_ la 1~,-<x,..'.)/. Du}/.. ..,.. , /1)11 .IL.,,~ l"-"»-,,. -,o-n kV Ji/JU) , _fr oes,~/:_~sh ~ Pafi,,~ a v STATE LICENSE NO. f J//)c~~D.,a+-~(nt0:1 d ~~~4--e_\ IF'X '<'.. l I ,. F/P FLRELEV. NO OCC GP EDU 0876 07/26/88 0001 01 02 '-. _,,I 'STORIES vO NO __ , BldPnrt. 15.0(1 I CENSUS TRACT I PARKING SPACE RESUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST YO ND vO NO YO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT· ISSUE 7~ QTY. MECHANICAL PERMIT-ISSUE I S-.sJJ;;_ SUMMARY-/ACCOUNT NUMBER- EACH FIXTURE TRAP _INSTALL FURN. OU~TS UP TO 100.0_00 BTU IJUILUIN\:i PERMIT UU1 ·81 U·00-00-8220 EACH BUI LO ING SEWER OVE A 100,000 BTU SIGN PERMIT 001-810-00-00·82 21 EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP ~~ J PLAN CHEGK 001-810-00-00-8891 EACH GAS SYSTEM 1 TO 4 OtJTLETS BOILER/COMPRESSOR 3-15 HP 1'.\<-..Y TOTAL PLUMBING 001·810·00-00-8222 .\ EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~"( . ~~· ELECTRICAL 001-810·00-00-8223 /.~ {,I .... EACH INSTAL.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT v....-~ (\ -\Ui-0 MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS -\(""\;)V• • ..,,, •~ILEJ:iDME 001-810·00-00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER '"' -&.ffl I_., '..SJ..L~\'i." .,. 001-810·00-00-8226 EACH ROOF DRAIN (INSIDE) ' DRYER VENT .. .t \,;ll_--:,1 "'.)\'STRONG MOTION 880·5.19·92-33 TOTt.L MECHANICAL e~~~ i\\' '"" ... FIRE SPRINKLERS 001-810-00-00·8227 TOT AL PLUMBING I ,c\O,~ . PUBLIC FACILITIES FEE 320-810-00-00·87 40 Fr'f!D , -BRIDGE FEE 360-810-00-00-87 40 QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA ) NEW CONST EA AMP'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 AMP/SWT'BKR GARAGE FMF 1 PH 3 PH LICENSE TAX 001-810-00-00·8162 REMOOEL'ALTl:R PER CIR.CUIT MFF 880-519-92-57 TEMP PO LE 200 AMPS OVER 200 AMPS ,, I TEMP OCCUPANCY (30 DAYS) ~ /{j .. CREDIT DEPOSIT TOTAL ELECTRICAL I </ TOTAL -TOTAL FEES PAYABLE I /~6-V / . , Expiration. Every permit issued by the Butlding Off1c1al under the prov1s1ons of this I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become nu11 and void If ,the building or work ~-O" DEEP ANO DEMOLITION OR CONSTRUCTION Otc DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& authonzed by such permit ,snot commenced within 180 days from the date of·such / STRUCTURES OVER 3 STORtES,IN HEIGHT permit, or if the buifdinff or work authorized by such permit ,s suspended or ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a ter the work 1s commenced for a oenod of 180 davs, STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S~ OWNERD GONTRACTOR!li:1 A~~ l_r-'U,1;~ KEEP HARMLESS THE CITY OF CARLSBAD /'>iGAINST ALL LIABILITIES, JUDGM'ENTS, ·COSTS AND EXPENSES WHICH MAY IN ANY WA-Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE SQ 1fU~/"'\ BY PHONE fJ GRANTING OF THIS PERMIT. 2 u::: >, ~ 0 C. E Q) I- I :2 0 CJ c ell t) C. C. <t: I 1. C a: ~ 0 (J) (J) Q) (J) (J) <t: I ;a: .2 Q) >- Q) t) C ell C u::: ::::. C Q) ~ CJ s t) Q) C. (J) C Q) .c ~ 'n<_,;<' -•;:•,,~, ,~-..·-'•-..;~~~'" ,,. " ,, ... ,,,,, ' ,. i '. • -,r ...... ~._.::~~~.:)f . _ . -... -·' • ' ' ' •, 1.,_,--,. ~,!,,~\:. '.' ' . .., ... .:,.=";-:-,. ,,, .. ·~ ;'.' -~ , --•. '-. ~·, '! ·--t~-·.'?\,/ ,·1,,,,·~::::.-r··,, r>··~ , , , -~·." .. / _.: :,-. :, : :!'. ', s ,, ~ ,,, ; :,.;,,,:,,:<:;,,·, ,' .. '-'. >-~ ~" .... -' . '' -:: TYPE ,,. ·;/.,~--' ---.*,. : . \ "' J• DAT~ . _·_1N_sf:iE~t9R·. ... ~· ,· :: . · · ,; 'BliiLi:>ING :....':=t ··,_::__,_,_~-"' __ ___!_I:_ __ -____ • ---_fQi:iN"PAl'fON/ ... ·-·-. ! _ )~J:l~:t~f~P¥0·STEE( - 'f · MASONRY. _ · -'J ., - l _,_i__ .. , 1 _, "'. I, --'- ,"~ r., ': ·G);JNit~~OR,:GBOQ~j.:r-_ ,.-:-.:~~---~ rr~: -l-·--:···: -~--r·. I L ,, --,,.... ,. ..... ·--· . . ... _.,____ -., ., -. --r·-"· -. $1,.1B FRANtE'.p fLQQ.R · ·iq: 9~!µ,IN,q ... , . . . r .I t · · .. SHEATHiNG :·: ·.o ·Ro6F .d' sHi:AR i' · .. ·~RAM~_:·-~ ... ·; __ :· ···: .... '._._ .. :··~T ;·:·-·;"·I: ·:: :··--·i.···.· 'f. . . EXTERIOR-LA TH ' -•• _._, > -.-,' -,, " {;: ~?~ lf:,J§lJ!-A"fJb_N '. ·1NTERIOR .LATH ·&.DRYWALL -' --~· ·-·- ... i=.li;Lb 1~$PE9'~16N '!'~~CORD ,:._,, ' \ ~EciiiJ.1R~o\P~c1A~ iN~-P~c:tfa_N~~: '-: ·, ~, .......,_. __ . lt-JS,Pi;,C'f!ON , -'\>. _·1~ ·---.so:iLs· c.0MPL1ANGE ~ . P810R-TO : .. F'Ot;JNPATION 1N$P STRUCT·UFiAL CONCRETE . ·OVsR '2_9_oo·P$1· . ·,, P,RE$'f-RESSED . CONCRETE •• ~!..____'_!...'.,..;~~·-..,_ - POST TENSIONED -~~i%K';1:1j: iNl:lfctS?cf'. "ft· (i: =~--. , , _.. . . .,, , .,. _ -1-C_ONCR.Ef( .. ~ :, ... :~· ., QATE f-. PLOMSING · ; -.. . .. , ·,flE)cD WELDLNG . , •• , •• -----• -1 ..,,_. • .,.~. '-.. ,·1-,--~·,,_-'_c-'-··7h-,',-'r=,,-~·~-J-'+· ~c-"-=-.,-+.~"'-;--~~-,--~ L, L ,.-.~ ') ~·~ (Y!,:(s}5t51'tr;=~ ·7 • •, ,,--, -.. -'~· _;_.:,:__>:_ . ' ,'. ~-. --.;_~' --:-,. ,,,.. .. ' IN$Pjtfbs;s' N_Q_IEs· ·,:. '. .. _f;~ -.. -· -:. . ·~ ,_,,, ''.' :~-·, -.;..,,.~) _· ~----'-~ -. ¥ I. --:1 1 <!' -:,; , . .,_ ~-~~ j ~ }' r-•' ' ., 5: ·,\. ~ E:J. SEWER AND :suco . : CJ.· PIUCO . --::_HIGR STcRENGT.H .. , ·:.. --., .ti: ... .-< t~t~i~~()u;wfs;A;+~ it~~~F-J. , ·_ ·--: f c::r::, M:s~NR¥ \· • • ••• t' . .. . -: :.; ;;i!'.zr~c.r: ~~ -=:~~--.---,--,..,,-,-.,'. .;. :: .... ~---·., '.I·'{ :ru· BAND SHOW. ER PAN · · -· ·' ·· · ·• · · .,.,. · ... · · · ·-, .. · -,,-. · ·· · .. ..,. · .. "' .. • ·· , .. · · ~· ·.w1·.~11~· ·. -It;(!'-"'·· -~ .. ---· ----· ...... ·., ... ,--1 :,: ~ f: K.~ ,, k .,,, :; r~ ,, ,; ~ T;• f~ ... <• Ii, ,. ·-·,,:. ', ,rr,.,_. ,'~ •• ,o~' -, • ,.,•, ~ ' ., • • • • ' '• ',,:i: ,'~ -'• \~1 _-J.,,•,-..,_ ' ~~-;i!~1t~.t.~:,• .. ;f,--Jji, • ': •" ••• -, ' ' 'r ,J t;1~:~ ft~:~~~:=~~Wh~~-· •. : _>> :;/~ ·· ___ · ..•..• ;,ies ~'t~ . 1 . ,':' : , • -~·· ; •• -: ,>. __ •.•..• ~);J;.~r~~ ~-. -cc, ... ', ·~ . -~:--.. -~::..~--,: ' : /4 [l'ELECTRICtJNDERGROUND; O:•UFFER : · .. · .... : .. ..-: · ,· · · ... ----· -· · _: · -· ·O · .. ,.1 ( -" i,._·,,.-.... :· Rcitl_g~ E~EbT~J_p·. . . . "··, . ·1: . :>·-< .. .c·> .. ~. . ... : . ·--~~ .. ·-· C • • • •• .. ' --• ).: ~·-~ . -~ ... --,--~·-·--__ , __ :.,,.,.,_, .... ,'_,_'.~-. .', .. ; • " ... ,.' -~-· '~ -• , .. -., , .. *~-._.,i,,._• ,.-;,• --'· ,. ••• ,, .. ,,, ,,,, '·>'1--~···', ~....1,,,-·-D ELECTRIC $E~Y!CE' .~TJ;MPQRARY _ .· .,--~.; . . . ··,:_.~... . . . . -... d:.BQt-ir;)iNG. ' ... d PQOL::'\",' < -; . . ,. . . ~ '., s.:.."' _,_. \ i ,· ~ .. \ )"\ . ,_ \-t;;.:_-< .. -;<. ~' -·i--· ,, --- ,.Jit'•, ~'._-,b_ ... ~·1 .·. ME .. :ANI I -: .. "\ ;· ... . .. C.1:1 . CAL. -~-, :·% __ ~_:__,_"'.'_ ,_,,,._ ",,-_":,:-·.-· ,· 1· ';:(: ... ~·true::( :§(_'f-l~~:;,:· .'.: o· F.tEF.:' •. J>t PJ~~-( --~ -••.• , ' -. ' ,·-c f . ·.-, r '. \ •. t> .>;-r--=· 'r -"'~~.:; ·..: ':--""'1 -I i . ·:-. .. ,.,,,_ ... . --.--1.1{-\' ): •-;i·:·::,.-" .,,_;;;,,., !I li:IEAT -,,AIR COND .. SY~TEMS .. ·,. " .. 1:\,--_ ,:-, , /·, . .,,,,,.,.-;, ,;-: i -· ..,, ,; .:.i:.-. , ... r-: ! ... •·, '. \}_ .1.. ... . ,\'f· ~~-"'' (\._ l:; · : ,", ... ,· . -, .. I :.~-. :_ -_ -, ~:\ r ' *_.,. i·-F·.,: ·. ·\ ~'· -\ ~· ... ", _,~~~1\' ~:."s\~,,_r,~zX" ... ~"lt-- VENTILAJIN(3 S~STEMS · :. '. ·\. ·~. . \ ;,·;.~: ',}' :--.\..,.. ·-.\ ~,:. :,;.-,.h~( ~,;,\ ·• 1'. ~1 1,, ',.{":. ~ _ .. 'f'?': .... -~,: ,.::. "' :'; ... : ~ .:· .. :-... " :u," -~ . ,_: ,r -: , ::"; ... .\ !., .. "'( ~ , ... ,_ -. -1· ,'-\'&'' \ -~· ~$ ''l',,J'%-..... f ,,~#'a.,,_,.,.;j ·_-\J'l'J\:-'-li,"' l l. \' \ '\.\-_, ·,\\-~•~,,~ -t -' , -, ~ , . -' < ' " -, s.. • .-• ,_ 1,.) t .. : V \1 """'lr J .,,_J..,.1 ,_ · ~. . ,. · C .. A: ·L·L·,:··F·o ... ".R.·F .. ,:.N.·A ... L.-1N:.s .. P ... Ec·-r··1.·o.-NWH'E.NiLLA:PPROPRiATE :, ...... t .... >t·l·..,._<:.. '·:' _·._.._, ·:.:·.\ ... :;,_,.,. ·\ ,,....,;_.., r·. _ ... ____ .. · ' r '1 .. -,1 ~-., -• ., .•• , -, '"'k ~·~·! ---~·..:-r'l:11....~'1"'~18.~ -'• - _ -.: .. l'f.EMSABbVE HA V:EB EN· APAROVED, ·.. .. . . . . ~~, ; :,i ··""1 -(;..., I ~,t,, r.· :, (~:--.J ;(' '+fG~,Q :_;,.,. \'· ,n, .:;,, . - , . -flN~( . .. .. • ":-'_ . ,} ::, c ; ::,\;·t :~;)~ j ~ . !/.'i . ::;~,, ~ ,, '.-i \'. , . r : r/\,;:~;r:~'.: ,:, I , .. !'' \ ''\' _,"' '-~•">t I • ' ) ' , > -!r\. "--1,-.... 5-, ,' A •J ,...1:· -;-~d(_~,\ .-t\~ _... <,. •'f ~!tAN'~ · -J' ~c: . . .. :,-.. ' 'C ": '.' ?t-, :~; ::; \\ :, •,v;t J P~V~ ij !'t:+J G~ . 'E_LE_CTRiQAL :_·,. /'t'~ ·, 'B!JIL,DINµ" ' • ,.· ' ! .- _SPECIAL _¢oNt>.itiONS . ., ' : ~, . I l ,L< -' ; .-, -.:: .. ~ ~'-·'•:.,;-r.", -_1_~;:,. ~ ' ~ '', I .I ·· ·-'.: -· I · .. _. · ·:: .: -I · -·: --,I :,,•· -;; . ~ ·. ~; ~ , . . , ., '-.,......i-,_ \