HomeMy WebLinkAbout2795 Ocean St; A,B,C; 81-229; Permit~~~J...-
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. '':ENSED CONTRACTOR'S DECLARATION ~ ',oby alllrm 1h41 I am llconsod undor provl• USE
'-'
BALL POINT PEN ONL 'r
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
..._,,, APPLICANT 10 FILL IN INrOR -
MATION WITHIN RED LINES.
t of Chapter 9 (commonclng wllh Socllon
. , JOO ADDRESS AV, ST, !DATE Of APPLICATION l!IU!i. LICENSE 7t >f Division 3 of lho Business ond Prolos-~---N-0____________ r I
sl,, -~ ~do. end my llconso IS In full forco 1nd ol-• 1/
feet. , ---r2?t:ST &.,~ru/21 Srhriee-ti 1 1 1 1 1 1 1 1 , 1 1 , I 1 • r ;1./-?j;?.J/c.;,3 1
owloi A-BUILDER DECLARATION owNEA owNEA's PHONE II ·-···--· ---
AD
D I hereby al m lhal I am exempl from lhe Con-
Haclor's Licon · Law for lhe following reason
(Soc. 7031.5.Busl ss and Professions Code), Any
clly or counly wh requires a permll lo con•
slrucl, aller, lmprov domollsh, or repair any
alructuro. prior to lls I ,once also requires the
applicant for such perml o Ille a signed stato-
menl lhal he Is llcensod p suanl lo tho provl•
sions of lhe Conlractor's Lico o Law (Chaptor 9
commonclng wllh Soctlon 7 f Division 3 of
the Business and Prolosslons Co or lhal Is ex•
ZONING AES. UNITS
i:i/01/81 /.••I"\ '-'~ I
----
empt therefrom and thO basis for lh alleged ex-
emption. Any violation of Section 7031; by an ap•
pllcant for a permll subjects the appllcanl lo a
civil penally of nol moro than five hundrod dollars Not Vi/id Unless Machin, Cartifi«J
($500).
,t lho proporty, or my employoes
with wagos as eir sole compensation, will do
tho work, and the tructure Is not lntendod or of-
fered tor sale (Soc. 044, Buslnoss and Profes•
slons Code: The Con ctor's License Law does
not apply lo an owner property who builds or
Improves thereon and o does such work
hlmsolf or through his own mployees, provided
that such Improvements are · ot intended or of•
lerod for sale. II, however, the b lding or Improve•
mont Is sold wllhln one year of ompletion, tho
ownor-bulldor will have tho burden 1 proving that
hO did not hulld or lrnf,rnvo lor th pwpo,~ of
,ale).
:11, as owner ol e property, am excluslvoly con-
tracting with lice ed contractors to construct
the project (Sec. 70 Business 2.nd Professions
Code: The Contractor's cense Law does not ap-
ply lo an owner of prop ty •.•ho builds or Im•
proves thereon. and who co racls tor such pro•
jeclS wllh a conlractor(s) Ileen pursuant 1/l .ttoe
contractor"s License Law). I am oxompl under Soc. ___ _...,
for this reason _________ ~,._...-1,-
'Date Owner
&LOG SQ, fT, BLDG USE
QTY.I PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
• NEW CONST EA AMP/SWT/BKR
I hereby affirm that I have a ce f ale of .~ 1 PH .25 3 PH
sent to self-Insure, or a certlflcat of Work ' EXIST BLDG EA AMP/SWT/BKR Compensallon Insurance, or a certified co
OCC, GP I STANDARD PLAN# PLAN ID # OCC, LOAD
AMT. QTY. MECHANICAL PERMIT AMT.
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
·---II-! BOILER/COMPRESSOR 3-15 HP I I
BOILER/COMPRESSOR 16-30 HP
VENT FAN Sl~!GLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCAT}ON OF EA FURNACE/HEATER
~
TOTAL MECHANICAL PLAN CHECK
CONTRACTOR ALL INCLUSIVE PERMIT
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBI LE HOME
I ... • ' '. • l
WORKERS" COMPENSATION D~A~ATIO~'{
thereof (Sec. 3800, Labor Co~ 1 PH .25 ~~~X~v~~o -,xe -&_fe:i+ REMODEL/ALTER PER CIRCUIT I' FENCE OVER 6' -IDa
){copylsfllodwt'.~oi1y. c~ S TEMPPOLE 200AMPS ~ft~•·----··-····-
~ortlflod copy Is horeby furnished. •
CEATIFICA
WORKERS' CO PENSATION INSURANCE
(This socllon need ot be completed If the per•
mil is for one hundred llars ($100) or less).
I certify that In the per rmance of the work for
which this permit Is Issued, shall nol employ any
person In any manner so as t bocomo subjocl to
tho Workers' Compensation L s of California.
NOTICE TO APPLICANT: II, afte
tlficate of Exomplion, you should come subject
lo lhe Workers' Compensallon pr lsions of lhe
labor Code, you must forthwllh com ly with such
provisions or this permit shall be dee revoked.
I hereby affirm lhat there Is a construction len·
ding agency for the performance of the work for
which this permit is Issued fSec. 3097, Civil Code).
e}.-/,a:/
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO 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 TD SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OV[
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
OF THE GRANTING OF THIS PERMIT. ,APPR~~y , DATE
.._ ______________________________ ..il.. __________________ _:.A:_:G:_:E:_::N~T__:0=-_ _..::D'._'.Y.:_?_:H'._:0::_:fl:.:_~_qJ,7~-f q>-~/ • _ ~ ~/
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slon, of Chap~9 (commencing with Section
700t'. .... Division of the Business and Protes•
slo l•de. and m license Is In full force and ef• " le; -7S. -
OWNER-BUILDE ECLARATION
□I hereby affirm that I am xempt from the Con•
tractor's License Law for t followlno reason
(Sec. 7031.5.Buslness and Pro slons Code), Any
city or county which requires permit lo con•
struct, aller, Improve, demolish, or repair any
structure, prior to Its Issuance als requires Iha
applicant tor such permit to file a s ned stat&-
ment that he Is licensed pursuant to e provl•
aions ol the Contractor's License Law (C ter 9
commencing with Section 7000 of Division of
the Business and Professions Code) or that Is •·
f!mpl therefrom and the basis for the alleged e
emption. Any violation of Section 7031.5 by an ap•
pilcanl for a permit subjects the applicant to a
clvll penally of not more than five hundred dollars
($50Ql.
□ I, as ner of the properly, or my employees
with wage as their sole compensation, will do
the work, an the structure Is not Intended or of•
fered for sale ec. 7044, Business and Proles-
slons Code: The ntractor's License Law does
not apply to an ow of property who builds or
Improves thereon an who does such work
himself or through his o employees, provided
that such Improvements ar ol Intended or of•
tered for sale. If, however, the b ding or Improve•
menl Is sold within one year of mplellon, the
owner-builder will have the burden o roving that
he did not build or improve tor the pose of
sale).
Dale Owner
WORKERS' COMPENSATION DECLARATION
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,t;)~~-~ COMPANYl:i,l\l ~/4 :~•!:.:;
-t<'c,,py Is flied with the city. (;!_, 0 ~rtlfied copy Is hereby furnished. "' r
CERT CATE OF EXEMPTION FROM
WORKERS
(This section ed not be completed it lhe per·
mil Is for one hun ed dollars (S HJ!)) or less).
l certify that In th erlormance of the work for
which this permit Is Is ed, I shall not employ any
person In any manner s s to become subject to
the Workers· Compensall Laws of Calitomla.
NOTICE TO APPLICANT: It, er making this Car•
tlllcate of Exemption. you sho become subject
to the Workers· Compensation p visions of the
Labor Code, you must lorthwith co ly with such
provisions or this permit shall be deem revoked.
I hereby affirm that th
ding agency tor the perfon'hance of the work tor
which this permit Is Issued i~3097, Clvil Code).
JOB ADDRESS___ AV, ST. DATE OF APPLI ON BUS. LICENSE
RD I
OWNER'S PHONE GQQ..1"'9 .. y
PERMIT NUMBER
~~9!3
5 /0 l/81 l1' '.) : I ~
I ; " i
DESCRIPTION OF WORK~ \ j _J \ '-.
~n\rY.~ vtOQ.; _±:io.~," o DESIGNER'S ADDRESS DESIGN~ONE ~ ' ~
CENSUS TRACT GP LAND USE ZONING l RES. UNITS PARKING SPACE # 1 NUMBER OF STORIES
ti~-Not v,tid Un/err Machine ~rtifi«J
BLOG SO. FT, BLDG USE occ. GP I STANDARD PLAN II I PLAN ID II ~ I TYPE CONST I acc. LOAD 1
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS v~~ o2./S 60
WATER SOFTNER RELOCATION OF EA FURNACE/HEAT.YI"" I II BUI LDING PERMIT • 1 , . 1 1 I
~ A c3 t) t) ~ 7 I 'J (-r.; 11 SIGN PERMIT I 1 , 1 1 I
TOTAL PLUMBING ~
CONTRACTOR
TOTAL/ II PLAN CHECK I I I I
CONTRACTOR ALL INCLUSIVE PERMIT I I I
QTY. ELECTRICAL PERMIT II I ~ I -II TOTAL PLUMBING I I I /) AMT. QTY. ~E HOME PERMIT AMT. ELECTRICAL I I
I
i
NEW coNSTEA AMP/SWT/BKR 1 l 11 :::-P-AwN,NG ~ 1 ,r --MECHANICAL 1 , ,
1 PH .25 fl 3 PH A/ . :::JP" I rf/riEV' I II MOBILE HOME I I I . I
p I SOLAR ' · l I I I ~I~ l---+-1-PH-.-25-------::i4------,,4!--,...,c_--,111\--Ht-~>F----:-::--:-:-::-------1----71--,d;{;f.,,&7~ ~:.(;;;bJ I I I · I
REMODEL/ALTER PER CIRCJ¢ µ7rr . . I II rv I I .. FENCE OVER 6' I II Q li "" rxit'.H-e-> )')\ ,c•r: ~ I I I a ICC
TEMP POLE 200 AMPS
OVER200AMPS (Y I .. ~ p > II 2FLBr-,.c1_ z;rx lni ~,.-~11.ll,,J.;J. II I I • I I I
A~ I o/ l II' ti TOTALMOBILEHOME 1 11 ~M1co-FiL'M°... ·1 1. 1 1 ,
TEMPOCCUPANCY (3o#s1 , I\ J 7"/1 II / r? / /:.;:; ;;_.; : 2.7: ''II'"''-<' r· c? 2&31 I I • I I • I
/A A/~~/.
T~CTRICAL
CONTRAC
( v I I I cJ-.oo II I " ~ .. 7 ' Ji " I II I 1 • 1 1 • I
1 V
I ~
TOTAL FEES PAYABLE
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE~z~_,..,e_r
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT l
~ ..,._..___ n ~~ I I . 1&_015~
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I HAV E CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I
FURTHER CERTIFY A NO AGREE IF A PERMIT 15 ISSUED; TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MA Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
._.J-..0~ ~ ~ Q~c , (' ~ V. I '-6 0 /) 1/-r::;_/ 1?" I
APPLICAN°T'S SIGNATURE' "'C OWNERd
AGENT 0
CONTRACTORc!I IAPPROv9Y ~.~ .
BY PHONE O /~~ 7
DA rE J;,
l z:)V•<JJ
-
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 ef-
fect.
'A-BUILDER DECLARATION 0 1 hereby 111,m that I am exempt from the Con-
tractor's Li se Law for the following reason
(Sec. 7031.5,B iness and Professions Code), Any
city or county lch requires a permit to con-
struct, alter, imp ve1 demolish, or repair any
structure, prior to I issuance also requires the
applicant for such pe It to file a signed state-
ment that he is llcens pursuant to the provi-
sions of the Contractor's ·cense Law (Chapter 9
commencing with Section of Division 3 of
the Business and Professions ode) or that is ex-
empt therefrom and the basis the alleged ex-
emption. Any violation of Section 31.5 by an ap-
plicant for a permit subjects the pllcant to a
civil penalty of not more than five hundred dollars
($500).
□ I, as owner the property, or my employees
with wages as t r sole compensation, will do
the work, and the s cture is not intended or of-
fered for sale (Sec. 4, Business and Profes-
sions Code: The Contr tor's License Law does
not apply to an owner o roperty who builds or
improves thereon and w does such work
himself or through his own ployees, provided
that such i~ovements are n Intended or of•
fared for sale. if, however, the bui ing or improve-
ment is sold within one year of c pletion, the
owner-builder will have the burden o roving that
he did nc-;. build or improve for th~ purpose of
sale).
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, o, a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. , Labor Code).
POLICY NO'l"1-~1Jttt1-~t\\~~~•◄1.--_i'-""'-... ,:--~;;;-/:1/i" COMPANY
-lefCopy is filed w h the cit .
dcertified copy is hereby furnished.
CER CATE OF EXEMPTION FROM
WORKERS OMPENSATION INSURANCE
(This section n d not be completed if the per-
mit is for one hund dollars ($1CJO) or less).
I certify that In the p ormance of the work for
which this permit is lssu I shall not employ any
person in any manner so as become subject to
the Workers' Compensation L s of California.
NOTICE TO APPLICANT: If, after king this Cer-
tificate of Exemption, you should e subject
to the Workers' Compensation provisl s of the
Labor Code, you must forthwith comply w such
provisions or this permit shall be deemed re ed.
here Is a construction len•
C ITY O F C ARL SBAD-BUILDING DEPARTME N T
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS tRr 1oz; ~F;,::ri I.:::> 17~.~ 1'1r,-,""1n1 (.'1-J.-i ~~ ,01 --1-r I I I I I I I I I I f I
OWNER . OWNER'S PHONE ~~hw~s+ f~~~ Toh,,.. ->-.,,,/ J/0 ,-.::; -I-WI"° n -/. r>, -"~~....... ,,..,... •
:;N~'S7-':;1A1'..:s:..,. I > • .f+ .~+. (li;-/c-l-J/7~ ,.-, ... ~RtP
0~GlAJS-l( ~ ~ ,1~--~~-J'?j~~ // ~
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
~-=? // __ :::;
STATE LICENSE -d~9C ::)/79i-(,
CONTAACTOR S
.Jq."~-: c;/ 9-(:. 5/0 l /8 J 48j l~:1 BLOCK I SUBDIVISION I ASStSSOR'-~2.?EL NO, -~ OESIGN(R -~ , STATE LICENSE 000 I '4°89°~ 0/O I/ 9 I 4 ~1/11 ~I -:!11f:i1-11'l. ii I J ,, ----; ••
J:::CRlrlON Of WOR'P-r ll.oo...+~ "~ -'~ ,.. .... ll"'\ DESIGNER" S ADDRESS ----DESIGNER'S PHONE
J <::) ' CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PARKlk~ACE -rr I NUMBER OF STORIES
"1/. ~. Not V,lid Unless fbchin, Cartifi«J
BLOG SQ. FT. BLOG USE OCC, GP 1 STANDARD PLAN# I PLAN ID II v i TYPE CONST I occ. LOAD I
UTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
-EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT a~/ Ar::~}! ~µ t)7) EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOC~TION OF EA FURNACE/HEATER BUILDING PERMIT I . I
./. -. . ~k /.A.A ,, I ';{A-A SIGN PERMIT I . I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . I
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I
1 PH ,25 3 PH PORCH . MOBILE HOME I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR . I . I
1 PH .25 3 PH RAMADA, CABANA A M,,81,,.A .b1.. ~ ./, -J I . I ·--REMODEL/ALTER PER CIRCUIT FENCE OVER 6' O.t• ~~,._,.., __ ... _d,, I . I ....., TEMP POLE 200 AMPS TOTAL MOBILE HOME IMICO·FIL}i '-.,
! I .
OVER 200 AMPS I/ ~.I' X.t!J?/~ Y r~/IAfn+ ,,C,iiO,/?.l)J I . I
TEMP OCCUPANCY (30 DAYS) / L..9'_.A .,..,_ LJ..L ) . ., ,'';l /Y) I I .
A ---oL,.o 0 ; I' -,,,
I I .
IQ.!
31.i~=
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0 BQ.
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! < 0 ~
~ ~ :rl ~ V)
~
TOTAL ELECTRICAL -TOTAL FEES PAYABLE I Pli,.~ CONTRACTOR .. \.)_ ,,.. .1 ... ,.,..,r 0 ~,.,.., , I I .
JL1•-A ,P_ --_J
I HAVE CAREFULLY EXAMINED T HE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~--(/
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER )r~ .AO JI L,,.o /) SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-_QQ: 0 ... t./~l-l?I LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MA 'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE' ' OWNER□ CONTRACTOR□ 17~ DATE
AGENT D( BY PHONE O ~ , .,_, 1_/)• , r
-
SITE
ADDRESS: • '· \' OWNER: • PERMIT NO:
-. ~ . FIELD_IN?PECTION RECORD -' _.._
1-------------------~---~~-----~ INSPECTION DATE '. .• INSPECT OR · INSPECTOR'S NOTES _.
WOOD FLOOR .. , ,
FOUNDATION • FORMS • SET BACK • TOILET i---------•--,------·-·_· _-_. ----------'~------------------------+
_ , 'I. ·• ,1 \· • . ..., I UNDER FLOOR PLUMBING _ ' , ~ .,..-1,.i .. ~ ~-_t _-: , • ~ , '•-~ ,· •
UNDER FLOOR HEATING / · / ! <~:.-~ -;;. I ... .' , -")' '
OK TO IN ST ALL SUB FLOOR • · l .-~ -_, -t I • I ,. '
-.
SLAB FLOOR
UNDER SLAB PLUMBING 1---------•------------------------------------------1
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• Pl.aACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
.
FIREPLACE -
DAMPER &STEEL
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POL E)
SEWER
GAS TEST
SWIM POOL• STEEL BONOINO
• PRE DECK
• FENCE PREPLASTER ,
SHOWN • FRAME \\.\~, • \ ." . •,, •l ~ ,' · .,/' 5~ • .._. '•._ '-2 1-----------------.,----------------------------------1 • PAN ' ~ ~,. .--••,/ ~ 1-~ ;_ ' ' .. FINAL INSP BY BLOG DEPT
OTHER DEPT'S REQ COMPLETE D t-----------...,.,..----------·----------------------------1
ELEC METER-PERM-TEMP • --"'~ ·;,' • ;,; • ,•·-,-•,-✓
GAS METER-PERM-TEMP
C ERT OF OCCUPANCY ISSUED ' -,' "' • • j ~.x o-----------'----------------------------------------------------------------------------'
•
..
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7 J. ~ 3 ~ NlcQ-"-" ~ ... JL . f'\ -o-·---~ . I ~ Q_ ~ ~ )C: . °r ;;2. I I J
PLAN 10 . DATE ---------
JOB ADDRESS .,,:2 7 J S' ~ x:;t./. PLAN CHECKER
·\lo ( 2)
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CITY OF CAR LSBAD BUILDING DEPARTMENT
(714) 438-5525
SO LA R PLAN CHECK SHEET
1976 UNI FORM SOLAR ENERGf CODE
CORRE CTIONS CH ECK ED BELOW ARE TO BE MADE ON PLA NS
identical sets of plans drawn to scal e with the foll owing information are required.
-~-
Number and area of Solar Co llectors. ~~ E PO m (<of{)~-~.)
iveight of Co 11 ectors . ~ -J .. ;) .52.1...,...o .. /~.fl • f ~)
Testing Lab. a ppr oval for Co ll ectors and other. equ·i r;~ent. ~ ~ ·
---1-·11/Jmo#.s,_;2.17 7 · ~~ (~n t <8'w)
Show detai l of s upport of Collectors and method of attaching Co llectors to
sup;.1orts (for example of typica l assembly, see reverse side). ~-)3Q_, • --
lo r ot .. .,c. .. ''"( • ., vt' ..... , '4
Method of Freeze Protecti on. ~-~ l-'-0 IJ '!-v.."-.,.. • ..., ... ;i • •
' )<. ) Nev, el ectri c inst al l ec! for So lar System Yes~¾~
f ) Wat er Heater install ed Yes(9 rv/A
(-y.) Storage Tank installed
--PuMf> "~f.3 1-1 .P.
~-~~
1-( m So v o
DATE
JOB ADDRESS PLAN CHECKER
'
CITY OF CARLSBAD BUILDING DEPARTMENT
(714) 438-5525
SOLAR PLAN CHECK SHEET
1976 UNIFORM SOLAR ENERGf CODE
CO RRE CTIONS CHECKED BELOW ARE TO BE MADE ON PLANS
1rn (2) identical sets of plans drawn to scale with the following information are required.
heck
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Number and area of Solar Collectors. 1./ B G,.-C., L/1 XI D 1 ~
\ve ight of Collectors. IO I ~ ./-U>ct -;, u O n ! 2 r .rt J o-i
. fl-V0~ . I 4 ·-r'· ;J.0 l'°1'"t"\. r
Testing I.ab. a ppr ova 1 for Co 11 ectors and other. equi pent. -1-A P mo -C 0-\ SEA L
Cl-\-~ C ~' )__. A
Show detail of support of Collectors and method of attaching Collectors to
supports (for examp le of typical assembly, see reverse side). ~~
y ) · Method of Freeze Protection. ~ ~
X ) Ne\'1 e l ectric installed for Solar System
' f.) Water Heater installed
Storag e Tank installed Yes/0 N/A
-PuM f' 11,11.P. ~
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PLAN 1 ~~ \ ~ . C:, ;).. ( ;;i_ ~ 0 AT t
JOB ADDRESS cJ 7 / £ g-!?401 _,d. PLAN CHECKER
'
CITY OF CARLSBAD BUILDING DEPARTMENT
(714) 438-5525
SOLAR PLAN. CHECK SHEET
1976 UNIFORM SOLAR ENERGf CODE
CO RREC TION S CHECKED BELOW ARE TO BE MADE ON PLANS
\10 (2) i dentical sets of plans dr awn t o scale wi t h the following information are requi r ed .
heck w.tl e .
X ) Number and area of Solar Collectors. / D~ (3 (;..C., L/ 1 X.16 /.: l/()t)7 ,~
. (~
i~eight of Collectors. / 0 I~./~-; 1/{) Ac,. al .. = ~. 5.# l✓i~ D ..J ~-~~•· ) ~\ /7 tr"l'
·XY Testing Lab. approval for Collectors a·nd other. equi~-~e nt . l:Ar°rno -Co...l S£A~
. . ~ 1~-A.
Show detai l of ·support of Co ll ectors and method of attaching Coll ectors to
supports (for ex ampl e of typical assembly, s ee reverse side). ~
x r Methnd of Freeze Protection . ~~
f ) Nev, electric instal lee f or Sol ar System
' f ) Water Heater instal l ed Yes@~-~~-~
(x)
Stora ge Tank in s ta 11. cd (ij;No· .. ~ ~ 6' 0 O q.a_Q Q fZV\,") 1 ~ # S -00-t . · 0 --~·---
-\f u Mr -~ ~ '/,;;;__ ~. P.
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