The URL can be used to link to this page

Home My WebLink About2904 MANAGUA PL; EXPIRED | MULTI-PERMIT FILE; CB973315; Permit.• •-.. FOR OFFICIE,US,E -ON BLY PERMIT APPLICATION.. ,. PLAN CHECK NO i33(5 CITY OF ARLSBADBUILDING DEPARTMENT EST t' Plan Ckl. Deposit 3 - 2075 Las Palmas Dr., Carlsbad CA 92009 -•- • . .. •-• "(760)'-438*1161 Validated By:__frV- .._. . Date__________________ .. Address (i plud Bldg/S Business Name (at this address) 960L, 10/31/97 . .poi Legal description— Lot No.- -. Subdivision Name/Number -- - Unit No - Phase No ?tfffa( ii o'Jnitc'Ø0 :'.' ' ..i'(t L ' t . ........... Assessor's Parcel-#- • - -. .. - ,, Existing Use - - - . - - - Proposed Use - -f - Description of Work - - -' . - -. so. FT. •-- #of.Stories . . •.- . --# of Bedrooms # of Bathrooms-- / •_4 - .-.,,I., , - ,. .. -1 ••___ RI I 64, i Name — -. -- . .... Address - - ,_- - - . - City . - - State/Zip-- ____Telephone__#,--._-Fax #• {TAIEPMA!iTD Contract—or Jgent_fContractL.Jfler Name - Address - -. -- . --- - --City . . State/Zip - Telephone# • -- - - ._. -- - 'Ir' •: '-'f Ti.,:: -- - Nanf 1 Address . . _,.City ', • -i ,State/Zip ,- Telephone1# 4 ;., (Sec. 7031.5 Business and Professions Code: .Any,City or County which requires a permit to construct, alter, improve, demoIish'rep'airny structure.prior to it ' 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 ProfessionsCode] or that he is.exernpt therefrom, and the'bàsis forthe.allged - 'exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars [$5001)., * - - - • -• - - - -.- -. - ---- . *--. - - . . - -.- • . - - . - . .. - — - -. - -S.- -- . - *.. - - . - . - *, -'' -- • -.'- 1, Name ..-.' ..... .'. Address • ' - -[' 1'J c'.City- J, 0, '. State/Zip- F. i Telephone# I -State Lic,se'# '-'• License Class - - - CitiBL'sinss Licerse #' - r 4** ,• • (.1', .__.•.—•---•.*.---f-- _------5-..--•i;.:*4 __.•.__--'' Designer Name Address ,. -• ,. .. .)t ,,City •. .. State/Zip ' Telephone State License # ' . ,, , - *, .. . -I. • , - . .. , • .- i- - . . ,, '- - ONr [I 'Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. v. r 1 . .1., • D - I have and will maintain, workers' compensation, as required by Section 3700 of the Labor-Code,-for the performance of the work for whichthis permitis 41 [issued. My worker's compensation insurance carrier and policy number are: .,'.' '. - -. -i.., . •, ;,, .. . . .Insurance Company Policy No. Expiration Date _- __- . '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) -- - - ' - - • -., - •.--- -- CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is isued I shall not erploy any person in any maner'oas 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 Section 37.06 of the Labor code, interest and attorney's fees., A 1SIGNATURE - . - - - DATE - __- --. : . 7OWNER_BUILDER_DECLARATION -•___i—_T _'T_TLE:J I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ' 'IF • - ,-- r' ;,- ' -,. - .1 5 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 Licnse Caw' does not appl to an dner,of property who builds or.improves thre'on, and who does,..4 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 I Isold 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).4- '0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business nd Profesións Co1del-The 'Contractor's Licnse Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed - LI :pursuant to the Contractor's License Law)...,.,_., - - - - _ .---------------------.. - -Y Lf L-- ' 1 l.'i" j - IL - . 0 I am exempt under Section Business and Professions Code for this reason:. 1. Ipersonally plan to provide the major labor and materials fr construction of the proposed property improvement. 0 YES DN0. .c, .'j -: -1 (have / have-not) signed an application for a building permit for the proposed work. - - r, . -.1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number i-contractors license number): -. - . •..... -- -- - .., s ' , : ...- I pli to providortionsof th'orkbt'l have hird th fllwiig rer's-on—to co&rdini, siierviind pridtIftij& work (include?ia'me /-address / - number/ 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 number / type of work): - - - - - . - . ... ,, -- - - . • - _ - . - - - .. - :- -. — , *, ,-_ . - PROPERTY-OWNER SIGNATURE _------..-----..--•. _'.DATE'_L..._:.-':•.._ -__________________________________________________ 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 o 25534 of the Presley-Tanner Hazardous Substance Account Act? - -D YES" DNO-- ' r -• - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO )ls the facility to De'constructed within 1,000 feet of the outer boundary of a school site?, iD YES ''O - NO, -IF ANY OF THE ANSWERS ARE YESA FINAL CERTIFICATE OF-OCCUPANCY MAY NOT-BE ISSUED UNLESS THE APPLICANT HAS MET'OR IS MEETING THE .'l REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT T - I hereby affirm that there isa construction lending agency for the-performance ofthe work for which this permit is issued (Sec. 3097(i) Civil Code). * ' - - I - -. - j d .ii -.. - - - - ,_4 I "' -'• •- 4_,,. I- '- -- ' -'0-' - - LENDER'S NAME LENDER'S ADDRESS --- 1, certify tiiIt I have -rd the arlii'ation and'state-that ther aboe information iscorrect And that the ihformation On the Ian; iC'acciirate. - i agree to 'compl with all City ordinances and State laws relating tO buildingconstruction. 'I hereby' authorize representative's ofth&Cit of Carlsbad to enter'upon the above mentioned rproperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF 'CARLSBAD AGAINSTIALL LIABILITIES, IJUDGMENTS. COSTS AND EXPENSES WHICH MAYINANY WAY 'ACCRUE 'AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.- '•- * - 4 - fi'i - -- ' i--, - -,,- . - .,,, •- 7 '4, -- - p. - - • - r_ _ - -. , ' 4OSHA: An OSHA permit is required for excavations over 5'O" deep and de ion or construction of structures over 3 stories in height. p - issued - - .. .. . - • I' - * ."'V't LII .751 'EXPIRATION: -Every permit issued by th ing al unde t pr isions of this' de shall expire by limitation and become null and void if the building or work authorized by such h c 26ceQdqithin da m the date o permit or, if.the building, or work authorized by s ch p mit is suspended or abandoned at any time t peri of day 6/16.4:4- Uniform Building Code). 01 PLICANT'S SIGNATUR 7— 1, DATE WHlTEFile -YELLOW __cant'P1NK:Fianc_ B U 1 L D I N G P E R M I T Permit No: CB931123 10/15/93 16:15 -. .. Project No: A93101578 Page 1 of 1 l , Development N Job Address 29O MANAGUA PL . Suite: Permit Type PATIO/DECK 430 10/15/93 0001 01 2 Parcel No:. 215-494-09-O0 , . Lot#: -10500 Valuation 3,83 Construction Type NEW 1 Occüàncy.Group: Referenqe#: -. Status: ISSUED Descition 324SFDECK PER SPECS-' - - Applied: 10/15/93 * Apr/Issue: 10/15/93 Entered By DC Appl/Ownr SHEA, C B - 619 -'-1758 i719 FIRE MOUNTAIN DRIVE . •1 . . ;ocEANsIDE, CA' 92054 - ____•_•%.__ '. , Fees Required----- ** *Fe ced&Cred-------- Fees 5 0 0 \ Adjustments:. To . its . .00.H- Total Fees: . l oo . 1*ala e: ,:. ------------------------ \ip ion nit Ext ----- 63,.00 Plan. Ch~eqk 41.00 Stro6g, Motion- Fee. -~.BUILD 105.00 INCORPORATED * - 1952 . * FINAL APPROVAL -- NS DATE DATE..I. CLEARANCE CITY CITY OF CARLSBAD 2075 LasPaImas Dr., Carlsbad, CA 92009 (619) 438-1161 S. • ., -- . - -- I.S • 4 - -. . - PERMIT APPLICATION * , City of Carlsbad Building Department 2075 Las Palmas Dr..,cartsbad, CA 92009 (619) 438-1161 , 1. Piitrr ryPi A - Li Commercial LI New Building Li Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demlition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 13 Mechanical lJPool : 0 Spa 13 Retaining wall DSolar DOther_________ 2. PROJECT INFORMATION I .. PLAN CHECK NO. 3. ESTVAL________ - PLAN CKDEPOSIT VALID. BY .- DATE .: S 8 1 FOR OFFICE USE ONLY . Nearest Cross Street .LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. - Phase No. CHECK BELOW IF SUBMiITED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S-PARCEL -' - • EXISTING USE -- ' PROPOSED USE SQ. FT. 32'4 ' C OF #jtR~I~ESA * -3. WNIAIJI PFS.HJN (ii Oilier Fit from applicant) - NAME ADDRESS • . - - . S CITY •" - STATE - ZIP CODE DAY TELEPHONE S. .• - 4. APPLICANT LJCONTRACYOR Ci AGENT FOR CONThACIUR UOWNER Li AGENT FOR OWNER - NAME . ADDRESS STATE ZIP CODE DAY TELEPHONE 1 5.PROPERITOWNE 'NAME f44ç ADDRESS 23oq . - CITY 7D STATE ZIP CODE DAY TELEPHONE ' Zel 9999 6.'WNTRAIDR .j14 . .. . - NAMEJ3 ADDRESS Jill FIV24ã M77v.. .J—'/~! . - CITY --STATE (A ZIP CODE DAY TELEPHONE G 7 /'7K STATE LIC. #3ç1, LICENSE CLASS &r?& CITY BUSINESS LIC. # - - DESIGNER NAME . . ADDRESS CITY. • STATE ZIP -- DAYTELEPHONE . .-' STATE LIC.# sWPRXERS! WMPlNsMlON -y - Workers' Compensation Declaration: I hereby affirm that I have a certiticate oF consent to sell-insure issued by the Director 01 Industrial Relations, ora 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 ,-7--7 -1-1,61—ICY NO EXPIRATION DATE Certificate 01 Emjj3f fpëLi j4fiarh er(smnce 01 the work tor which this permit is issued, I shall not employ any person in any manner so as to beco 0 sation Laws of California. - SIGNATU 8 OWNER 3 OwnIilder fleclaration: I hereby atlirm that I am exempt from the Contractor's License Law br the lollowing reason: 0 • I, as owner of the property or my employees with wages as their sole compensation, will do the work and thd structure is not intended & 'offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds S or =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.). S * 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 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: - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to constrict, 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]). - 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? . DYES 0 N I - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? - 0YES ONO • 4 7 • Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO - 'I IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CX)N'IltOL DISTEICF. 9. WNSThUCHON LENDING AGENCY . I hereby albirm that there is a construction lending agency [or the perbormance 01 the work tor which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME ' LENDER'S ADDRESS 10. APPLICANT CERTIFICATION - - - I certily that I have read the application and state that the above inbormation is correct. 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 LIABIII11ES8 JUDGME41'S5 CX)STS' • AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - OSHA. An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over ,3 stones in height Expiration Every permit issued by the in ffi und e rovision this shjLxpire by limitation and become null and void if the building or work authorized by suc it 01 e in 365 ays fro e of such permit or if the building or work authorized by such permit is suspended or aba a me t is c men period of 180 days (Section 303(d) Uniform Buildiñ Code). PUATh"SISIGNATURE. - - • • DATE: - I - TE OW Applicant PINK. Finance :. H . . - USE BALUPOINTPEN ONLY & PRESS HARD—' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -71 -••-------- --CARLSBADBthLDiNGDEPARTMENf i l ADoiIrATuIJLDDarr K.- 1 hereby affirm that am licensed under 2075.Las Palmas Dr.,Carlsbad, CA 92009-1915(619)438-1161 .... -.--.--.---.. AV. BUSINESS LICENSE # VALUATION PERMIT NUMBER C.) ,.provIsione of Chapter 9 (commencing with V~pectlon Business M11 'and Professions Code, and'my license Is in- JOB ADDRESS ST. THOMAS BROS NO. DATE OF APPLICATION 7es? aoa' __ _________ —: 'full C, , force and effect. - .j LOT BLOCK SUBDIVISION ASSESSOR.PARCEL NO. CONTRACTOR CONTRACTORS PHONE -----717'... ZONE isn following OWNER S NAME L. O('k 73 !' '71 32c-.t2fp7/ . OWNERS PHONE CONTRACTORS ADDRESS STATE LICENSE NO. scPi'oqE0 11 pair any structure. prior to its issuance also requires! for to file that he is' phcanl such permit a signed statement licensed pursuant to the provisions 01 the Contractors . i__I Vf'v//14/.e . I License Law (Chapter 9 comrrrencing wilh Section 7000 01. .h. OWNER'S RS MAILING ADDRESS . .. * 10 essions Code) or*that is ex: I therefrom and the basiilor the alleged exemption. Any~ vempl p SIGNER DESIGNER'S PHONE oItonol Section 7Q3t5byanapphCant for a permit sub Y t..) DESCRIPTION I PT ION OF WORK K ,\._.o ,7 - ...jecls the applicant lea civil penalty 01 not more than live hen - I.-. dred dollars (9500). DESIGNERS ADDRESS STATE LICENSE NO. . I ;:.--Vas /1'7/?/C their sdie.cOmpensation. will do the v~rk, and the 0 — lure is not intended or-ollered for sale-(Sec. 7044. Business 15E_€___'°" F/P IFLRELEVt NO N') '-F 0CC GP EDU such w himself or through his own emp fE'andwho d . ded that such improvements are W - t oes edotoIIered or sale!, 11. however: the huitdingorumprove - -- .3L-AJA-(t_ : .. STORIES ork CD .. ...- ..- .- . --.--- is sold within one year of completion,, the owner-builder NG, SPACE J RES UNITS. GRADING PERMIT ISSUED J REOEVELOPMENTJ - . TYPE -. 0CC LOAD. .witlhaveIheburdeeotprovingIhathodidnnI.buiIdorim-. for the 01 sate). prove purpose CENSUS TRACT~PARKment -. ....... -.. I \ AREA CONST YO NO FIRE-SPR ----.--.- . Not Valid Unless Machine Cern feed . 7-1 .--rvfN1Ttfl nor ..—rc-- - ,- II I.'as owner.ol the properly. am.exclosivetyconlracling \\'t_% .) . Of 6esflessandPotesonsCodeTheCont Iti'licensed contractors to construct the )acto ect 1Sec. 7044, rsLicense QTY I PLUMBING PERMIT ISSUE OTY MECHANICAL PER'MIT' ISSUE . /5 PV' SUMMARY/ACCOUNLNUMBER - -, Law does not apply loan owner 01 property who builds or irnyi-'. thereon. c: s -' EACH FIXTURE TRAP —t Z STALL FURN IJUCTS UP TO 100 000 BTU BUILDING PERMIT 001 810 00008220 EACH BUILDING SEWER I-11VII V Ubo oGpuft SIGN PERMIT 001-8)000008221 Z - t.PAsang dprne0w!1earnrrrPtovn9myhont and the follow. itions exist:,.EACH WATER HEATER ANOIOR VENT . _B.0I4LEJCOMRESSP JPTO P _ PLAN CHECK. . 001-810-00-00-8891 . .-2. 1 have lived in my home for It1:~The work is being performed prior to emonths - EACH GAS SYSTEM I TO 4 OUTLETS )t( I P v jjJIL(ERfOMPRESSOR-3 IfpjP flhtI1 ............. TOTAL PLUMBING 00t 81000008222 u UJI . _ 3. 1 have not claimed this exemption durin the' EACH dAS SYSTEM S OR E' - last three years. d U 1REPLP' - - ELECTRICAL - 001-810-0O-00-8223 " - 0 ... 'EACH INSTAL.. ALTER, REPAIR WATER PIPE . VENT FANSINGLE DUCT - -. . . MECHANICAL 001-810-00-00-8224 -- 'Dlam exempt anderSec 'B&PCvsl-. EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS .' MOBILEHOME 001-810-00-00-8225 __IOr this reason -. -:-•- - . '.. . WTER SOFTNER - . - . . . . . RELOCATION OF EA FURNACE/HEATER SOLAR ' -001-810-0O-008226 - EACH ROOF DRAIN (INSIDE) . - I . DRYER VENT . . .' . STRONG MOTION 880-519-92-33 - • Workers Compensation In- - TOTAL MECHANICAL - . . FIRE SPRINKLERS 001-810-00-00-8227 y' .D.. hereby allirm that I have -a certificate (0 sell-insure. or a certificate 01 r ance o a celled copy the eel (Sec 3800 LaborCode) '!741 -----.-.- -i-- - TOTAL PLUMBING PUBLIC FACILITIES FEE --i--- 320-810-00-00-8740 - - - z - - - . - QTY - .. . POLICY:No. ELECTRICAL, PERMIT,-:., - - OT E..F BG - 360-810-00-00-8740 -- RX1N (AREA --'Copy is filed with the city D.certiiect copy is hereby lurnished-- --.----- ---- NEW CONST EA AMPSW1 BKR- - , . - .. CAR PORT - ... .- .- - -. -- - .iu-----------312-810-00-00-8835 - -. ....... - I PH- - .. 3 PH. . - - - .. AWNI M*i gsTAjIF 311-810-00-00-8835 UJI ------'------ ;.; 4 .- 4. . .EXIST.BLOG.EA AMP/SWT,'BKR . • GARAEUfl 2Q3 ffl . >— FMF - - - ---.1. 0 WORK ERS CON PENSATI0N.4NSLJRANCE I!) 1,)(This section need not be completed if the permit - P. I PH 3 PH r- CC,- -.,--, -is Or one hundred dollars ($tOO) or less)- -' / - - / LICENSE TAX 001-810-00-00-8162 . <,1D I crly thcin the perlormavceolthe work lerwhiClr _ALThAPERCIRCUIT REMODEL _ - DA -///i/9_9_ /1&44V MIFF 880-519-92-57 CC -'-this permit is issued. I shall not employ any person in any - 0 manner so as to become subject to theWorkers Compen- I sali0fl Laws 01 California. - -.. . TEMP P01 F 200 AMPS I . - . . L.-'-y_.. -------------------. - • I - - . - - - -- - - -. - - - I NOTICE TOA PPLICANT: It. alter moking this Cerrilicate ________. OVER . - . . -.• - . - of Exemption. you should become subject to the Workers'1 - - TEMP OCCUPANCY (30 DAYS) - - - - - v- - - -- • . - .' - lortlrw lb comply With such provisions or thispe ml shall ' i"l.:Compensution provisions ol,the Labor,Code. you rrruslF _.. -. ,4 .-- - . --.-i ---- CREDIT DEPOSIT (' ç- be'deemed levoked4 o(rn I I - - - TIITAL ELELTRILAL - • -. - -- - Ar TOTAL, TOTAL FEESPAYABLE '4 çaH0... . -- ' that there is u:onstruchon lending * I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions olthis - - * AN 061-IA PERM:T Is REQUIRED FOR EXCAVATIONS OVER by limitation 80 If the bulIdng or work ncylor the performance of the work for which this per. ~jl CUC mit is ssid (Sec 3097. Civil Code) -. CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50 DEEP AND DEMOLITION OR CO4STRUCT1ON OF authorized by such e DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building Or-work authorized by such permit is commenced within 180 days from suspended of such STRUCTURES OVER 3 STORIES IN HEIGHT Z i-,. ____ - - ISSUED: TO COMPLY WITH ALL ClTY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time alter the work is commenced for a period 01180dave. Lender's Name_°_' Lender's Address- KEEPHARMLESSTI.IECITYOFCARLSBAOAGAINSTALLLIABIU1ES.JUDGMENTSCOSTS APPLICANTSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDE NIFT ANU 'S SIGNATURE * - OWNER 0 EXPENSES WHICH MAY IN ANY WAYACCRUE- AGAINST SAID CITY IN CONSEQUENCE OF THE CONTRACTOR 0 AP B ------ - -DATE - 0 BY PHONE 'GRANTING OFTHISPEPM(T. - FOUNDATION REINFORCED STEEL MASONRY GUN ITE OR GROUT SUB FRAMEE FLOOR ECEIJNG- SHEATHING - E ROOF 'ESHEAR FRAME. EXTERIOR LATH INSULATION. •., . . .------- — INTERIOR LATH & DRYWALL .. . — .... .. — - 7. PLUMBING C SEWER AND BLICO E PJCO UNDERGROUND EJ,WASTE EJWATER -. .. TOP OUT...,,:D WASTE : DWATER - TUB AND SHOWER PAN GAS TEST - - - — — — - — E WATER HEATER D SOLAR WATER ELECTRICAL E ELECTRIC UNDERGROUND DUFFER' I - ROUGH ELECTRIC. E ELECTRIC SERVICE 0 TEMPRARY'- 0 BONDING DPOOL t . . I •_._.- -.-- . - : . MECHANICAL ... • 0 DUCT & PLEM, 0 REF PIPPNG HEAT —AIRCOND.SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPEC1/ON.WHEN ALL APPROPRIATE 1TFM A RO VF HA VF.RFFN A PPR() VFI) '- - - FINAL .• fl- PLUMBING ' -' ELECTRICAL MECHANICAL . •. . . ., GAS-..- •'-.. ,. :..: ;_ I , BUILDING SPECIAL CONDITIONS * TYPE BUILDING. I - •_ . - - *•... .. . . .- - - I ,•' .**. . 4 DATE INSPECTOR I ( . -. . --- , — ... ; \ \i I :- 4- ., - . t. - fl- -- •1. •. •. -t — 'V FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS - - -' - - INSPECTOR'S NOTES l INSPECTION REO.IF .CHECKED INSPECTORS . . .., APPROVAL- - ---- .--- SO ..DATE...._- -. ,------..'-----.--.-—.-. '.-t ILS COMPLIANCE • 'I PRIOR TO FOUNDATION INSP -STRUCTURAL'CONCRETE OVER, 2000 PSI PRESTRESSED . * . . 2E - . 308 . IIOX . -- . - - - .• . _ . - ... . - . CONCRETE . . - POSTTENSIONED 1 6ESWIL Walum.I DV14CE ' 3C FIELD WELDIN W G HIGH STRENGTH Polk or Aw 'SPECIAL'MASONRY - . . - . —. . — -. - - - — -- , 4 - • - - - -* fL — - --- — — -- — PILES CAISSON J_ - . , fl_p' 1 . - 'J.jAEb-iE:AMI ~-•L ::—: I cT EiJACccbANC $E!003J4) /( ...SURE , c I. - or .•.J -I - . 2_ _lL I • - -, - - -. — - -- . _;. ç ': • -.. . .- . q' w: ro o vo yc i1 't . ! vr' •-- .4_ic.