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Home My WebLink About2850 PIO PICO DR; G | K | L; 81-73; PermitLICENSED 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 OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con- tractor's License Law for 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 ol 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 al\eged ex- emption. Any violation of Section 7031.5 by an ap- plicant tor a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). i:-::· 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 end Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. __ . ___ , B. & P.C. for this reaso ____ _ Date Owner --· __ _ WORKERS' COMPENSATION DEC I hereby affirm that I have a certifi sent to self-insure, or a certificate Compensation Insurance, or a cert ·e thereof (Sec. 3800, Labor Code). POLICY NO.. ~-COMPANY----' . CCopy is filed with the city l r::::: Certified copy is hereby furn is . CERTIFICATE OF EXEMPTION FR WORKERS' COMPENSATION INSURA E (This section need not be completed ii t per- mit is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit 1s 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 Ger· tilicate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I, .R?,o, ,fi t,o , 'P, I ,G,,._, JOB AOORESS AV, ST lOATE OF APPLICATION ,~.t 1, 1,T, r.; .I' " ' I I I I ' ' ' I I )-ty -,j I '?"j); 11~~.A./'n 1 h,_..-, OWNER'S PHONE P? ;0:TR\A~TOr ~ ~ </~-") .... :2..r-... OWNEf<'S MAILING ADDRESS CONTRACTOR'S ADDRESS -A. ·~Sc:) :;; 0 +1 . 6 '°' BLOCK ·1 SUB0IYIS10N I ASSESSOR'S PARCEL NO. DESIGNER ' ' I ' ' ' ' ' . . APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. eus. LICENSE PERMIT NUMBER ~"2~/1/ ~/-7}V ST ATE LICENSE t.2...72.-2.,3 1/i~c~tio' STATE LICENSE 211r11e::--,fJ.' . . ! • DESCRIPTION or -p~ _J • I Jc;,... u "t---A-1 I <:::. DESIGNER'S ADDRESS DESIGNER'S PHONE 0 ~-' 1 si, I ,,., ' . , : ! . "~-. CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE ! NUMBER Of STORIES Not Valid Unlflss Machine C.rtifilld BLOG SQ. FT. BLOG USE OCC, GP l STANDARD PLAN# I ""f1~ )J TYPE CONST · 1 OCC. LOAD I ~ QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU _--5.,.. c EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP ~~ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ~ EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN Slt)GLE DUCT "J/i,t'~~ /~' --EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ii n,.:--r--., , , . ~ ./ -r . ,!' , , ' . :,-,' . () 0 SIGN PERMIT I ,· I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I 1/ •. -r CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING I I ELECTRICAL I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I 1 PH .15 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I lPH .15 3 PH RAMAOA, CABANA A / /} ./!'YJ --L. ., . --I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' rr-I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FIL"M I I I OVER 200 AMPS I I I I TEMP OCCUPANCY {30 DAYS) I I I I ./A.J,/,,~ ,?<-0 C, I I I I TOTAL ELECT RI CAL TOTAL FEES PAYABLE I I I I</. ..,--I- CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "A.N SHA~r7;ReQ~~RE~~~t~~~-f-;~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5 -C f'I_DE A D MOLi or ONSTR JON OF l i. FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. ST UCT A O R 3STbRI I HEIGHT / COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -~~ -.oQI) ~<......,., --~, ~' I SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEl'JSESWHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GP.ANTING OF THIS PERMIT. APPLICANT"S SIGNATURE• OWNERO CONTRACTORO IAPP l'VEO SY JN~ (1 AGENT D BY PHONE 0 A I ·1 I ,·, OWNER: PERMIT NQ, FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS• SET SACK• 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 FIREPLACE DAMPER &_STEEL PLATE TIES/HEIGHT OF CHIMNEY ' OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK I . FENCE PREPLASTER SHOWN • FRAME I • PAN [ FINAL INSP BY BLDG DEPT ' I OTHER DEPT'S REQ COMPLETED ,/ I /1 ' -i ELEC METER-PERM-TEMP '/,iUJ 'Jfl·-,1 ! GP.,S METER-PERM-TEMP ! /" I . -- ~-OF OCCUPANC; ,ss_uED 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 lull force and ef- fect. OWNER-BUILDER DECLARATION ::::11 hereby affirm that I am 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 tile applicant lor 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 tor tile 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 five hundred dollars ($500). L'I, as owner of the property, or my employees with wages as their sole compensation, w1II 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 sucli improvements are not intended or of- fered for sale. If, however, tlie building or improve- ment is sold within one year of completion, !lie owner-builder will nave tlie burden of proving tllat lie did not build or improve for tlie purpose of sale). I, as owner of the property. am exclusively con- tracting witli licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to !lie contractor's License Law) I am exempt under Sec. ___ , B. & P.C. for this reason_________ __ Date _____ Owner __ l"::Copy is filed with the city. ~Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued,\ 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 Cer- tificate of EKemption. you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY -'"·-... _, '"-·~ ;., " .--nn<:tn,r.tion len- CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 Q.R,~~a, ,'P,1,0, ~{,G,,., JOB ADDRESS AV. ST .lOATE OF APPLICATION I R,, ,,, me: t:.. I I I I I ' 1',0 ,;-rf-ll OWNER OWNER'S PHONE '?l°:'1"~ ... -f //9.' 1/,...,,. . .:...., / -", /, / z,z,t:., 7 ' ' OWNER<"' M~\L\NG ADDRESS . cot,.~~·s ADDRESS -. - co, BLOCK I SU80IVIS10N ; ASSESSOR'S PARCEL NO. DESIGNER ' ' ' ' ' ' ' ' ' ' DESCR\Prf"~O) Of ' { • <:, A Ifs 'iltc,-DESIGNER'S ADORESS ' CENSUS TRACT GP LAND USE ZONING UNITS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. SUS, LICENSE PERMIT NUMBER ':2.3 ~d/ p;,,.136-ST ATE LICENSE 1 ~277.z3 !~~'75 STATE LICENSE OESlGNER'S PHONE ?11910; .Sr..: .. \ . . ~ -'. I '"· ! PARKING SPACE ! NUMBER Of STORIES Not Valid Unless Machine CMtified BLDG SQ. FT. BLDG USE OCC. GP ! ST AND ARD PLAN tt IPLANIDtt ! TYPE ;;_NST I occ. LOAD I 9.1-73 OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. ~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU A,,., e" EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP /i-;h;z7oo . .--EACH GAS SYSTEM 5 OR MORE .BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ~~~ ''1 .. ---,. / / . WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I rz.iu,. -r , , -, .. , . =-, ·" (7 , .. ~ . -, .(/g SIGN PERMIT I I I ' . I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I /.,_rz_, It} CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EAAMP/SWT/BKR SET-UP ~OLAR I I I I 1 PH .25 3 PH RAMADA, CABANA A }?7 11/j ~ > I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' /7' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME Ml CO-FILM I I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DA VS) I I I I .;' _,. A .J .,, ,,2..,,:) 0 I I I I TOTAL ELECTR1 CAL TOTAL FEES PAYABLE I ri,.:1., '"' CONTRACTOR I I ,,,--. , A' ,/ ~ Ife~ . I I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT. ANO DO 'A ]'tfJ;'' "'°!;;. OR SXCAVAoOONS ovrn • ---• HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I s O o, NO SMOU 10 0 co~,~rnoN °/2._ FURTHERCERTlFY AND AGREE IF A PERMIT IS lSSUED:TO COMPLY WITH ALL CITY, S flUCT. ESO ER 35 Of is N HEI T COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER 1/o ..L, g'0. 'J. / J"J. L=O SPECIFIED HEREIN OR NOT. I, ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM--,,,.;;,,, r LESS THE CITY OF CARLSBAD AGAINST ALL LtABI LITI ES, JUDGMENTS, COSTS AND , I l EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM!T. APPLI ANT"S SIGNATURE" OWN ERO CONTRACTO~IAPP U'..VED BY '1°7t; L#. • "' • . AGENT D BY PHONE ( , SITE i--AQr.jRESS: 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 FIREPLACE DAMPE8 &.STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME . PAN FINAL INSP SY BLDG DEPT I ~ OTHER D_EPT'S REQ COMPLETED I ./1 ./ 1-.~LEC METER-PERM-TEMP 'I 1 A ,1 rrr' II GAS METER-PERM-TEMP I '/ I I V ·- i ' L I I ' L CERT OF OCCUPANCY 15~-c-~ - LICENSED CONTRACTOR'S DECLARATION I hereby affirm that t am licensed under provi· sions of Chapter 9 (commencing with Seclion 7000) of Division 3 of the Business and Protes· sions Code, and my license is in lull force and el· feet. OWNER-BUILDER DECLARATION ~I hereby affirm that 1 am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con· slruct, alter, improve, demolish, or repair any structure, prior to its issuance a!so 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 tor a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). C'I. as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of· fared tor 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 and Professions Code: The Contractor"s License Law does not ap· ply to an owner of property ·•ho builds or im· proves thereon. and who contracts for such pro· jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec. _____ , B. & P.C. for this reason_____ ______ __ Date .------Owner ______ _ WORKERS" COMPENSATION DECLARATIO I hereby affirm that I have a certili sent to self-insure. or a certificate Compensation Insurance. or a ce thereof (Sec. 3800. Labor Code). POLICY NO._. _______ ------1>-+c, COMPANY ---------I rJCopy 1s tiled with the city c Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FRO ~ WORKERS" COMPEMSATION INSURA (This section need not be completed if the per· mit is for one hundred dollars ($100) or less). I certify that in the pertormance 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 Ger· tilicate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must lorthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len· ding agency for the performance of the work for which this oermit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 12.'5,?ri, .? 1 ,""' JOB ADORESS I/(, I AV.ST. !DATE OF APPLICATION I~ / ,(.,,._, S,,, ,~ <'.: ' ' ' ' ' ' • I '0 .J---r?-S! DWI('[) f •JI"" (U A-._'\ q JCO, OWNER'S PHONE P~ C;N;~A;:. _._p 4 3</--2. 2,(r, 7 OWNER'S MAILING ADDRESS ~ CONTRACTOR'S ADDRESS c-. bA .fo ".;) o?.-.. C' .,~ i' • Co, BLOCK l SUBDIVISION ' ASSESSOR'S PARCEL ,o_ DESIGNER ' ' ' ' ' ' ' ' ' ' DESCR~F .J (-/ 101...l t ... f" DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING PARKING SPACE APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 12,3),()J i,-n-~ STATE LICENSE 32-7, i.. ~ !~i~;z~ ST A.TIii LICENSE'" C/i'7/B!5~-~ DESIGNER'S PHONE • i i: .. :; I RES. UNITS I NUMBER OF STORIES Not Valid Unless M8chins Cartified BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN Ii I"" ,o;i-73 l "" CONST I occ. LOAD I UTY. PLUMBING PERMIT AMT_ UTY_ MECHANICAL PERMIT AMT_ ~~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP ~ -C EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ~~ EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ?' EACH INSTAL., ALTER, REPAIR WATER Pl PE VENT FAN SINGLE DUCT ri,~~~ /c)_ () cl ' EACH LAWN SPRINKLER SYSTEM -MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I 1/1~- A'~ ' ;? _,,,,::, / ' :!l' -"" S1GN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I ''---CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT_ AMT. TOTAL PLUMBING I I I UTY_ UTY_ MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .15 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR . I I I I 1 PH .25 3 PH RAMADA, CABANA . J.n ,,w., I.o'O-) I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ,,r I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-F1LM I I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I I I I A" ..... .A ,,. l..J2._.__-c2...oo I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1/1</_,<" CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETEO "APPLICATION AND PERMIT, AND DO ·A~," ';/c~'° ,os SXCAVAnONS ovrn HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORR"ECT AND I , D DE ,. DE O , N:~rrCTION ~A r FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, 'r;?i E.:~11 I ;E ::~·/:·, c..d COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM -,,I,./ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE • OF THE GRANTING OF THIS PERMIT APi LICANT"S SIGNATURE" OWNER0 CONTRACTORO IAP~~E~ !:IY . fvA,,) . • AGENT D BY PHONE 0 I SITE AC'ORESS: 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 FIREPLACE DAMPER & STEEL PLATE TIEs/HEJGHT OF CHIMNEY OTHER TEMP POWER (POLE) I SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK i • FENCE PREP LASTER SHOWN • FRAME I . PAN J FINAL INSP SY BLDG DEPT ./ j OTHER DEPT'S REQ COMPLETED ".1 '.Ji lfl .A 1,.,,,..../ ; ELEC METER-PERM-TEMP ' II 1v j · GAS METER-PERM-TEMP f--- L I -.. (______ L I CERT OF OCCUPANCY ISSUED