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Home My WebLink About2910 JEFFERSON ST; MULTI-PERMIT FILE; CB012485; PermitI - City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/24/2001 Electrical Permit Permit No CB012485 Building Inspection Request Line (760) 602:2725 Job Address 2910 JEFFERSON ST CBAD St TP Permit Type: ELEC Status: ISSUED Parcel No: p 2033541300 Lot #: 0. Applied: 07/24/2001 - ".. Entered By: MDP Reference #: - Plan Approved: 07/24/2001 Issued: 07/24/2001 - Project Title: CITY STORM DRAIN PROJECT, -" InspectArea: TEMP POWER POLE Applicant: . Owner: TEMP POWER SYSTEMS BESAW JAMES A&LANA D (( /A\ 750 N. CITRACADO PKWY. P 0-BOX 3928 . 'iESCONDlDOCA 92025 bANA POINLCA 92629 \ 760 439-1999 Li \ Total Fees: $20.00 Total Payments To Date: "$0.00 \.Balah6eDue-\$20.00 . / _____ \ .\ Electric Issue Fee1 ZJ \ /' ($10.00 .1 Single Phase perAMF) - 0 rso:oo -: Three Phase per AMPS L. 0 $0.00) I Three Phase 480 Per AMP 0 "$0.00 Rérnodel/Alteratidn per AMP '0. / . $0.00 J Remodel Fee . . . . $0.00.,/ . Temporary Service Fee '- , $10.00 f Test Meter Fee $0.00 / ' Other Electrical Fees . ., . $0.00 I Additional Fees $0.00 INCORPORATED / TOTAL PERMIT FEES 1952 $20.00 ID I FINALAPPOyAL ,• Inspector Date Clearance NOTICE: Please take NOTIC/that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collecively 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 S •1 . S You are hereby FURTHER NOTIFIED that your right to protest the specif fees/exactions DOES NOT APPLY to water and sewer connection fees and àapactiy -. 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 you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired .4 5 •.: 5 ., .5 • i , -, 115 .5 ,_S 1 . PERMIT APPLICATION . CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ...• ...... FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By______________ Date Address (include Bldg/Suite #) - Business Name (at this address) - -. Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use DicIork ,4 #of Stones $ 2 CONTACT PERSON (If differtfromappflcant) # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # 'APPLICANT Contractor gent f or Contractor 0 Owner 0 Agent for Owner S i-tO I11C 4S8 . S'wr FE AVW )LO VLOA WoB4 "7 LO . 44'3' ,qe P Name Address City State/Zip Telephone # 4. .PROPERTY,OWNER •. . . - • . . - Name . Address City State/Zip Telephone # 6 ONT R.,, RACTOCOMPANYNAME (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, 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 ex ption. Any,uplation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$500fl. p ç. TA97X Fe kv V,ft Q.Icaa Name Address City State/Zip Telephone # State License # h183Lt33 License Class (0 City Business License # Designer Name Address City State/Zip Telephone State License#. . . 6 ,WORItERS CQMPENS'ATION 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. ,j. 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 worker's compensation insurance carrier and policy number are: Insurance Company OT, :?u NO Policy No. Expiration Date LO 010i (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 subje the Workers' Compensation Laws of California. WARNING: Fe ura o ecure rkers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolls ($1 , n ddltlon to the cost of compensation, damages as provided for In Section 3706 of he L or code, interest and attorney's fees. SIGNATURE DATE,,jU,.I lf OJ 7 L0iN1RBU1LD EC RATION ' I hereby affirm that I exempt from the Contractor's License Law for the following reason: 0 I, as owner of tl, roperty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sac. 7044, Business a 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). 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): 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 number / contractors license number): 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 I type of work): PROPERTY OWNER SIGNATURE DATE COMILETE THISSECT1ON 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? 0 YES 0 NO 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school Site? 0 YES 0 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. cONsTRUCTIONdIEN A. 18DING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME . LENDER'S ADDRESS___________________________________________________________ 9 APPLLCANT CERTIFICAT(ON P I certify that 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 representatives of the Cit, 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 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 su 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 suchpermit is of Co enced 'thin 180 days from the date of such permit or if the building or work authorized b suc permit is suspended or abandoned at any time after the work is omm f eriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. EC Q1UiLOL? 01 [ ,4#9tI hereby affirm that I 5T iic nsed under U provisions of. Chapter 9. (commencing with S.ctIon 7000) of Division 3 of the Business and Professions Code, and-my.IIcense is in "(tuii force and effect. - °T)"( I hereby 'affirm hat I am exempt from the Contrac- .tars. License Law for tIre following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- quires a permit to consrruct, alter. improve, demolish, or repair any structure, prior to its issuance also requires heap----- plicant for such permit to fife a signed statement that he is licensed pursuant ,to _the provisions Of the, Conrractor;s License Law (Chapter- 9 commencing with Section .7000 of Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by an applicant -for a permit sub' jects the applicant to a civil penally of not more than live hun- dred dollars ($500). ,: ,l's'owv'er 01 the property. orrny"enployees with wages as their note compensation,, will do the work, and the struc- ture is not intended or offered for sale.(Sec: 7044, Business and Professions Code: ,TheCon,tractor's License Law does, 5 -not apply to an owner of property who builds or impr0005 ' 4thereon and who, does such work himsélt or threugh,his own'., employees, provided'that such improvements are not intend- - - — - ed or offered for sate. if, however, the building or improve- - Z ,__,,,menf is sold-within one year of completieo, the owner-builder ,,,._,,,, will have the burden of proving that he did not build or im- prove for the purpose of sale). 1 I. a' ownerot the property.rarneitusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License - n t Law does.not apply to an owner of property who builds or im-- proves thereon, and who contracts for each projects with a ' .?r contractor(s) license pursuant to the Contractor's License - Law)..; '1 4sah'oreor'r)eria1'irnpr6ving rny'home' and the follow' - - --.-.ing conditions exist:'-. t. The work is being pertoirned. rio'r to sale. I have, lived 'in my Come' for twelve months prior to Completion of this-work. I have not claimed this exemption during the -,. lust three years. , D lam exempt under Sec. , ' B & P.C.' for thisTeason ji ,*,DJjkereby affirm that I have a certificate of consent to s'ell.insure. or a 'cerTificate or Workers' Compensation In. , x surance. or a certified copy thereof(Sec. 3000. Labor Code) "POLICY NO.'.., _COMPANY..! . -- Copy is tiled with the city \, • c' .4 .-..,-' D Certified copy is hereby furnished uj IL A " - -- CERTIFICATE OF EXEMPTION FROM C.) WORKERS' COMPENSATION INSURANCE US . . IThis section need not be completed if the permit. islor one hundred dollars ($rGO) or less) w r. 0 I certify that in'the performance or the work Or which cc A this permit is issued. I shall not employ any person in any 0 , ' manner so as to become subject to the Workers' Compen. California. • —;-NOTICE TO APPLICANT:' If, after making this Certificate, of Euernption,'yOa Should become subject to the Workers', Comp&rsation provisions-of theLabo, Code, you 'must, '_, forthwith comply with such provisions or this permit Shall, 'be'demed revoked"'-" '-'. \'J t - - , ,t her; affirm Iht there is 'conStructiofl lending cc I ''aenc for the performance of work for whiCh this per- ci mit is issued (Sec. 3097., Civil'Coelel# zI WI Lender's Name L under's Address ' 'CARLSBAD BUILDING DEPARTMENT '. .. - APPLICATION 1 DCDftIT " B )',Nd%k 2O75LasPaIrnasDrU Carisbad,CA92OO9-1915(619)438-1161 -+ JOB ADDRESS , . ' AV. ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE U VALUATION PERMIT NUMBER H 9/O freisJ 57 0 0 - - Q 3 —R a $O'O LOT BLOCK . J SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR CONTRACTORS PHONE N - .67" ZONE ' OWNER'S NAME - OWNER'S PHONE • BUILDING SO. FOOTAGE - o ' cicj 't3- 7 CONTRACTOR'S ADDRESS STATE LICENSE NO. OWNER'S MAILING ADDRESS 4 q DESIGNER , DESIGNER'S PHONE DESCRI ON OFtO( 443 !& c. ei& DESIGNER'S ADDRESS - 0009103/09 0101- 02EIdPrnt"- -26;0 STATE LICENSE NO. s-i' ? ,ii: 'iThr 2°f Q (?/r ('-$-v' " -77 7 , • - -. F/P FLRELEV, NO OCCGP EDU -- ' . ' •'' STORIES' - vDO,' - ' - - " 0 - ,. ,• CENSUS TRACT - PARKING SPACE' RES UNITS 0GRADING PERMIT ISSUED REDEVELOPMENT' - TYPE - - " 0CC LOAD 'FIRE SPA AREA ' CONST YO ,N,D -' YO NO - - -- - '- -- vD.,ND. No,Va/,dUn/ecsMach,neCertthed, OTY. : 'PLUMBING'PERMIT ISSUE- — .95' CITY. MECHANICAL PERMIT-:-ISSUE '$,Yj SUMMARY/ACCOuNTNuMBER 'EACH FIXTURE TRAP - S ' . INSTALL FURN. DUCTS UPTO,100.000 BTU' .. BUILDING PERMIT , oof'8J0'00.0O-8220 ______________ EACH 'BUILOING SEWER - -' - - • . ' OVER100,000 BTU' , . , SIGN PERMIT 001810-00-00'8221 EACH WATER HEATER AND/OR VENT ' '"''' ----' ' BOILER/COMPRESSOR-UP TO 3 HP". '- - - ' - '- -. -PLAN CHECK-- 001-810-00-00-8891' -EACH GAS SYSTEM 1,104 OUTLETS "° - BOILER/COMPRESSOR 3.15 HP : - TOTAL PLUMBING 001:810'00'00'8222 -. EACH GAS SYSTEM 5 OR MORE ' - , METAL FIREPLACE , , ELECTRICAL - ' 001-81000-00-8223 - EACH INSTAL.. ALTER, REPAIR WATER PIPE, - , .'''- VENT FAN SINGLE DUCT . -- . . ' ' - MECHANICAL - ' - ' 001-810-00-00-8224 - EACH VACUUM BREAKER - . ' - - MECH EXHAUST HOOD/DUCTS ' . MOBILEHOME. 001-810-00-00-8225 - 'WATERSdFTNER' - ' . RELOCATION OF EA FURNACE/HEATER ' - ' SOLAR - 001-810-00-00-8226 -' EACH ROOF DRAIN (INSIDE) ' ' ' ,. .. DRYERYEN,T , - '• - - .STRONG MOTION ,. - a. - 880'519'9233 TOTAL MECHANICAL , ' " - , - '' ' FIRE SPRINKLERS • 00) -810-00-00-8227 TO I AL PLUMBING r I - . PUBLIC FACILITIES FEE 32o:ai000.oO:874a - - - QTY. - ' - ELECTRICAL' PERMIT ISSUE QT'o MOBILE HOME . • - BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA ) NEW CON STEA AMP 'SW TI3KR CAR PORT , . 'I" '' 'TIF -- ' - '-312-810-00-00-8835' '1 PH' - " 3 PH ' ' , '. j' , , AWNING - - - -!'.j, ' '\ - LA COSTA TIF 311-81000'00'8835 "EXIST- BLDG EA AMP/SWT,'BKR I ., ' '- ' GARAGE ' 1 . NAR b88 FMF 3 PH ' ' . - - — ' - ' •. o'- ''' - ' - LICENSE TAX -'' -: 001-810-00-00-8162- -REMODEL-ALTER, PER CIRCUIT. , ., '-' '" - ' CI1YOFCArS4 . MFF 880'519-92-57 TEMP POLE 200 AMPS ' - ,, A. ' • MLMUG1I - - OVER 200 AMPS / '. -, - '' .49/ ' - - -- - ---• - - --- - - - - - . --- - - -r TEMP OCCUPANCY (30 DAYS) ' ' " ',, , '.•, CREDIT DEPOSIT, - - TOTAL ELELRILAI'" I- - .,TOTA( --- JOTAL FEES PAYABLE - —' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions oithis * AN OSHA P&Tt IS REQUIRED FOR EXCAVATIONS OVER Code shall CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE XPIIO by limitation and become null and void If the building or work SO" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITS permit, or i15'the buiiding or work authorized by such permit is GOVERNING BUILDING CON- suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS abandoned at any time after the work is Commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND N) KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT,IGTURE OWNER EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE of 180 days. APP VIED BY DATE CONTRACTOR 0 . - - BY PHONE GRANTING OF THIS PERMIT TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR LI CEILING SHEATHING LI ROOF LI sH:EAR FRAME * EXTERIOR LATH INSULATION - - INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO LI PL/CO UNDERGROUND El WASTE LI NATER TOP OUT LIWASTE* LI WATER - TUB AND SHOWER PAN GAS TEST - LI WATER HEATER EJ SOLAR WATER ELECTRICAL LI ELECTRIC UNDERGROUND EJUFFER ROUGH ELECTRIC O ELECTRIC SERVICE LI TEMPORARY D BONDING D POOL MECHANICAL o DUCT & PLEM., LI REF. PIPING HEAT — AIRCOND.SYSTEMS -. VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN:LL -APPdOPRIA.TE ? ' ITEMS ARtDVE HAVE BEEN APPROVED FINAL . i. . Ij.. , ./ . PLUMBING - - ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS t '. t sre ow FIELD INSPECTION RECORD . REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES . INSPECTION ) REO. IF CHECKED INSPECTORS DATEAPPROVAL . SOILS COMPLIANCE. PRIOR TO FOUNDATION INSP - .. STRUCTURAL CONCRETE - f.L OVER2000 PSI CONCRETE PRESTRESSED POST TENSIONED CONCRETE -. •. -________ .47 . -. S --S . . . - FIELD WELNG( BOLTS HIGH STRENGTH SPECIAL MASONRY PILES CAISSONS - -. __:. .. .5-, - -. -----.. -S - -S. .. . -- ••1 S . --S. •:. 5 - .. '*5 ... y. v: : - '-• , 0.I hereby affirm that i.am licensed under o'--- provisions, of Chapter .9 (commencing'wIth '1'C 7000) 'of Divtsion'3 of the Business and .Professions Code, and my license is in fulI force and effect. - - I hereby aiturm that I am exempt from the Cootrac- '. tot's License Law mr the following reason (Sec. 7031.5 0Business and Professions Code: Any city or county which re quires a permit to construct, atter, improve, demolish. or "repair any structure, prior to its issuance also requires the ap- plicant for such permit to file a signed statement that he is - ...,tic005ed pursuant to the provisions .01 the Contractors , License Law (Chapter 9 commencing with Section 7000 of . Division 301100 Business and Professions Cede( or that is ex- empt thie'refrom and the bass for the alleged exemption. Any - , ' ' violation of Section 7031.5 by an applicant tot a permit sub? lects the applicant to a civil penatty 01 not more than live iron'. -a dm11 dollars ($500(. )7_— F3 I, as owner of the property, or my employees with wages it cc as their sole compensation, will do the work: and the siruc- • tore is not intended or offered for sate (Sec.' 7044, Business • - and Piufessiuvu Code: The Contractor's License Law does. S not apply to an owner of property who builds or improves m thereon and who does such work himself or through his own . BE employees, provided that such improvements are not intend' W odor offered for sate. It, however, the building or improve' f, .Z moot is sold within one year of completion, the owner-builder • I will have the burden at proving'lhat he did not build or im' ' prone for the purpose xi sate(. , • j.1 tJ t, as owner of the property, am exclusively contracting w. 'with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License - 'Law does not apply to an owner xl property who builds or, im' proves t eo hern, and who contracts tot each projects with a I" (I) . cootrd'ctor(s( license pursuant to tho Contractor's Licenser L- ,Z ".,law(...r.- • - 0 As a homeowner I am improving my home, and the follow- in g conditions exist: . . • ., 1. The work is being pertormed prior to sate. .2. I have lined in my home tsr wolve months prior to compietuso of thus work. u, W - •" A . 3. I have not claimed this' eoem ion during the tast three years.' f ' 0 tam exempt under Sec. ' , BE P.C. $ or this reason , '' : • '. ; - '-I-hereby affirm that I have a Certit text consent to rseht.insure. or a certificate 01W hers C mponsation in. surarice. or a certified copy thereof ec 38 Labor Code) U . '' POCY NO. : * 4., , COMPANY • ,, - S . C] Copy is filed with the Cry - Ci uCertilied cy is Iru reby turnih'ed w •'•-e'---.' '- '--- - a. - ,' 0 , - . CERTIFICATE OF EXEMPTION FROM - 0 0 'WORKERS' COMPENSATION INSURANCE , - ,' -v ,(This section need not be completed lithe permit • •_ .his for one hundred dollars ($100( or less) uu le C] I certify that in the performance of the work for which itr'o ' this permit is issued, I shalt not employ any pers6n in any manner.so as to become subject 10 the WorkerS' Compen. sation Laws 01 California. ir ' NOTICE TO APPLICANT: tl:atter making this Certificate, 4 01 Euemprion, you shupid become subject to the Workers' Compensation provisions 01 the Labor Code, you must. I ' tOrthwith comply with such provisions or this permir shalt' - be deemed revoked. Y. ' * C] I herehy album that. there is a construction tending', LU agency for the performance 01 the work for which this per. 0 i L mit is Issued (Sec. 3097, Civit'Code( , Z WI Lender's Name _. Ilk ___________________________________ r 1 -- • , -Lender's Address_ - - •.'-- • i. *,C"n - *— ' iCARISBAD APPLICATION &MITpcO - -a ,\ Carlsbad,Cahm tota 92008-1989 (9) 438-5525 JOB ADDRESS • • , AV, ST. RD. NEAREST CROSS ST. DATE OF APPLICATION .L)SIN - NSE It VALUATION *' " Pr ERMIT NUMBER -' ' 9IO TThc1eISOr '41d LOT BLOCK 1 SUBDIVISION - ASSESSOR PARCEL NO. CONTRACTOR . . rF CONT RcT'HONE ,,. :- - ZONE1 •. '/. • H 5L. o313S± )3 1',3Ikf,W OWNER'S NAME ' t\ l - °OWNER'SPC-IONE L'.-4 1-J'fl LALIP cJ1OSs,) c '• PLAN I.D.BUILDING SO FO0TAGE CONTRACTOR'S ADDRESS 53 (9 -B( , ,LICENSE NO, OWNERS MAILING ADDRESS I.jd /cYO Luhr&k4' DESIGNER DESIGNER'S HONE VJhIth-eJ DESCRIPTION WORK :33 -8iZ- OESIGNER'SADDRESS LICENSENO. 6/2I'/9'3 i OIL.-PS -1 lot Copp-v..oaô kM1 '&.~7E J2-7—O .i ,l iTIP144710ts 4 Or-$ - • ,.-.. - , ,-•-•.*' --- -. F/P -s FLRELEV, - -.-NO-- 'OCCGP1'u ED U- STORIES MF31'J I U..- VM s4'7O I tit II) S pii(.- LTTt5 ' - - vD NO ,FlRE SPR CENSUS TRACT OP LAND USE PARK NO SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT I' , TYPE - 0CC LOAD Y O N.0 AREA - YO NO CONST YONO Not Valid Unless Machine Certified QTY PLUMBING PERMIT ISSUE " QTY MECHANICAL PERMIT ISSUES SUMMARY/ACCOUNT NUMBER Pr - a , ' . - - ' • ..,j/ a - EACH FIXTURE TRAP, ' .,, ' ,INSTALL FURN, DUCTS UP TO 100,000 BTU.' ' BUILDING PERMIT 001-810-00-00-8220 - EACH BUILDING SEWER , • .. . ' • -. . OVER 100,000 BTU - , - , -- SIGN PERMIT 001-810-00-00-8221 , a EACH WATER-HEATER AND/OR VENT - . ' - BOILER/COMPRESSOR UP TO 3 HP - •. " - * PLAN CHECK • ' - 001-810-00-00-8806 - EACH GAS SYSTEM (.10 4. OUTLETS - - ' - BOILER/COMPRESSOR 3-15 HP . - • 's - - TOTAL PLUMBING '- - 001-810-00-00'8222 - - • --4- - - • - - EACH • GAS SYSTEM 5OR MORE , . METAL F1REPLACE1L . . , ,, ,-. ELECTRICAL-' •- - 001-810-00-00-8223 EACH INSTAL,. ALTER, REPAIR WATER PIPE • -. '-. ., '. VENT FAN SINGLE DUCT • .'r ' ' - -,MECHANICAL . , , 001-810-00-00'8224 C * )- EACH VACUUM BREAKER - • . ' . -- 'MECH EXHAUST.- H000/DUCTS *. - • , . .- MOBILEHOME - • - 001-810-00'00-8225 - •— . -• WATER SOFTNER . ' . . • - - . '. RELOCATION OF,EA FURNACE/HEATER - ... •• ' MOBILEHOME PARK (NSP - • • ' - ' . - EACH ROOF DRAIN (INSIDE') - . . -. • . - - - . - '.' - - ' -' • - - SOLAR - a 001-810-00-00-8226 - - -• - • •tOTAMECHANICAL . . --, •. - - . - ' - .. .. -- ' ' STRONG MOTION ?88O-519-92-33 TOTAL PLUMBING - • Ii. .. • FIRE SPRINKLERS - 001-810-00-008227 . - . . - - PUBLIC FACILITIES FEE .',M-810-60-00-8615' - OTY - ELECTRICAL PERMIT ISSUE QTY SOLAR ISSUE t -' " . '' - '. '.• .,. nw- .'-. .. - NEW CONST EA AMP/Sw1/BKR '' - ' a COLLECTORS - ' - ' - - SCHOOL FEE - DISTRICT 1 PH - '3 PH ' - - - r( STORAGE TANKS - ' --- - u - - Carlsbad " - . . , - - -• — EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas. - I PH '"' ' - - 3 PH' • - . PUMP ' - ' - ' San Diegui(o - • - , . r - - -* — REMOOEL ALTLR PER CIRCUIT PLAN CHECK FEE - Saco Marcos + TEMP POLE 200 AMPS ., -• , • - ' . •, -• - : - ' a •" * : - OVER 200 AMPS' - - -• - • - . - . ' , - • . - , LICENSE TAX : 001-810-00-00-8162 ,,, • • ' •' •,T. •. • TEMP DCCUPANCY00 DAYS) . , . . '-. - - - - ' - ' 1 • , . . MFF - 880'519-92-57 - ,: - - •-:' : . ,, a -. - CREDIT DEPOSIT TOTAL ELECT RICAL , '. i.TOTAL -- •; ToTA FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued bythe BUrldung Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER n Code shall uil and void If the building Or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE expire CERTIFY he tc d within 180 ' ys from the date ' DECLARATIONS ARE TRUE AND CORRECT AND FURTHER CERTIFY AND AGREE IF A PERMIT IS ch permit, or uI1'the buiidin'"or workauthorized by such permit is suspended STRUCTURES OVER 3 STORIES IN HEIGHT BUILDING CON- ISSUED: TO COMPLY WITH ALL CtTY, COUNTY AND STATE LAWS GOVERNING ab doned at any time aer the work is cQMmenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT: I ALSO AGREE TO SAVE INDEMNIFY AND days 14 U E * r7, - OWNER 0 CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS P - ANTS S/NAT RPY KEEP HARMLESS THE 01180 - ED CONTRACTO APP B -' - Off 1n. WAY EXPENSES WHICH MAY IN ANY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING -. BY PHONE o 1 f/lb OF THIS PERMIT - il - a.' e - - - . (/'1fiuJ' . •' - : -'t F 'BAR POINT PEN ONLY & PRESS HARD * . ..- , •' . -. . •• I--. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CALL FOR, FINAL !NSPECT'ION WHEN ALCAPPROPRIATE ; - 'ITEMS ABOVE.HAE BEEN 'ApPROyED,-.".,r. :-• FINAL PLUMBING ELECTRICAL . -. ! . .• _MECHANICAL GAS ;BUILDING..:.-. +- '-t••••- ' '' : SPECIAL-CONDITIONS'•'- ' --&.. •_1• '.'.' , .' TYPE . - DATE4 INSPECTOR' BUILDING . FOUNDATION . -• " REINFORCED STEEL . MASONRY • - GUNITE OR GROUT SUBFRAMEE-FLOOR 4.0 CEILLING SHEATHING-.'ETh ROOF .0SI4EAR FRAMED EXTERIOR LATH • ______ ________ INSULATION - . .,. - • INTERIOR LATH & DRYWALL ' PLUMBING.' •:-. . ' _______ Li SEWER AND BL/CO -Li P(JCO - UNDERGROUND EJWASTE D'WATER - TOP OUT Li WASTE Li WATER TUB AND SHOWER PAN -• GAS TEST ! J WATER HEATERr D SOLAR WATER :' S 4 • - - S 4 ELECTRICAL . '- ELECTRIC 'UN DERGROUND D:UFFER ROUGH ELECTRIC' 5 '. Li ELECTRIC SERVICE 0 TEMPORARY -• '•-- . 0 BONDING 0 POOL ______ _______ , MECHANICAL DUCT & PLEM., 0 REF. PIPI'JG:' -. - HEAT - AIR COND.'SYSTEMS 'Vj VENTILATING SYSTEMS . - . .. .4.. ....Am.' u.. -- 4.... _. ...,.. - - -r-.,-. ;Sj i-:- .--• '4' ,, . ' FIELD INSPECTION RECORD • . REQUIRED SPECIAL INSPECTIONS INSPECTION IF "INSPECTOR'S APPROVALDATE . * INSPECTOR'S NOTES REO" CHECKED -, SOILS COMPLIANCE - . '. . ,. - -. • :-' - •• 4.4- 4 PRIORTO . S FOUNDATION INSP ' I STRUCTURAL CONCRETE OVER 2000 PSI - - - . . : . 5' . ;PRESTRESSED .--• '-- . . . - 4 . S 4. CONCRETE • '•O 1 - . . - . - POST TENSIONED • - . - CONCRETE __________________ FIELD WELDING _______ . . - - -.4-- - . . - S. •. - . -. -• ,:. •.' . . HIGH STRENGTH 6OL14S " - . •. . S . SPECIAL MASONRY 5 5 v PILES CAISSONS . 4 ,5 54 - ..- 4545 S0 •• - -:.. - - . Al l .- ______________ ________________ ______ _____ .4. •. •- :- 5-.- * - . - -• 4-. . . S •'•• '' -. 5--- - - •__•;_ ----5 5. . -4 4 - 44 I. ' %. .$•• .. . - S • . . 4 • . -. 4. * • t' . . - I - '4..1\1V'j.5 . .. -. -, . ••.- . -• :T•'15 - ' -' - :'.:, .: . -' •- ) - -- . . ..45 • -- .. - - - - 54,4 - : -. 54 . 4. .. ,- • - - '•'5_ . -_ - •_• 4 ,44 - - .•• -. -5- ._- , . S -. -' . - S.-, •4 ''' . 5- - • • - . - , . - ,........... - . A t 5- - USE BALL POINT PEN ONLY & PRESS HARD affirm that lam llce'nsed under "provlslons of Chaptera9 (commencing with I Section 7000) of Division 3of the Businesor'..,1 • ,and Professions Code, and my license isin 'Hull force and effect. - 'L uLuc.No ______________ 'Class , I-. •_. 0' ,. 4, ! -. (hereby attitm that I am exempt from the Contrac • - .ter's License Law teethe following, reason (Sec. 7031.5 rf Business and Professions Code: Any city or county which re, c- . quires a permit to construct, after, improve, demolish, or - . repaitany structure, prior to its issuance also requires the ap plicant for. such permit to tile a signed statement that he is , _ ticensed. pursuant to. the provisions of the Contractor's 0 License Law (Chapter 9 commencing with Section 7000 01 - oivision 3 of the Business and Professions Cede) or that is en- - .•T . empt therefrom and the basis ter the alleged exemption." Any violation at Section 7031.5 by'an applicant fora permit sub- jects the applicant to a civil penalty of not more than five hun- ,,dred dollars ($500) , ._ ._ -••e•. 0 I, as owner of the property,er my employees with wages - ;as their sole compensation. will do the work, and the struC' a I tare is not intended or offered for sale (Sec. 7044, Business . ._a and Professions Code: .The Contractor's License Law does , 5 - n01 apply to an owner of property who builds or improves , thereon and who dues such work himselt or through his own a.emptxyees provided that such improvements are net intend' L - - .ed or altered for safe. ll, however, the building or improve' Z. - , ment is sold within one year 01 completion, the owner-builder will have the burden of proving that he did not build or im' , 0 pone tor the pyrpose olsale)._-,_'_ 0 I, as owner 01 the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, - - Business and Professions Code: The Contractor 's License Law does net apply to an owner of property who builds or im-proves thereon, ,and who contracts for each projects with a U) conlractnr(s( license pursuant to the Contractor's License Z ..Law(. .. - • ... 2 •'' '- nT". - p. 4".,D As a homeowner lam improving my home, and the 0110w' 4 ' ing conditions exist: ' - P 5. The work is being performed prior to sale. - .. ......42. .1, have lived in my, home, for twelve months I U . - prior to completion 01 this work., ' U, , . ' 3. I have not, claimed this . exemption during the 0 - •- last three'years. ptnr.this reason . -_ ' • . . - 0 thereby affirm that I have a cersticate or consent to - sell-insure. or a certificate 01 Work s' Compensation In. ., surance. or a certified copy Ihgreot xc. 380eM_abor Cadet I' ,POLlCvr4O.'.'4.) \ COF1PANY Coiy is filed with thelty\ U) • .- .•• . 0 Certified 'copy is hereby tunished . . Lu •0 ...... - It . 0 .. CERTIFICATE OF EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE (This section, not be completed it the permil -, , ° is for one hundred dollars $1001 or less) - 0 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' Com,en- satiox Laws 01 California: NOTICE TO APPLICANT: It, alter making this Certificate4 . of Exemption, you should become'subiect to the Workers'. r Compensation provisions 01 the Labor Code. /oumust - forthwith comply with such provisions or this permit shall ', I 4 be deemed revoked' u.re. .. 4. '0 •' $ r 0 I hereby affirm that there is a Construction lending for the per!orrrrarrce Or the work for which this per.LU 05 'mit is issued (Sec. 3097, Civil Code) •' - Lu)z • Lender's Name - •' ''''l lu Lender' s Address' --. 0 • , VIP .• CARLSBAD BUILDING DEPARTMENT .- ,,,• . , ." '- 1' APPLICATION &'PERMIT'' ' .-Carisbad,California 92008.1989 (619) 438.5525 ., r . 4 - ' ' . . 'v-" ,,.' '... ".•' .•'.. .•.: JOB ADDRESS . AV. ST.RO, NEAREST CROSS ST. / ' ATE OF APPLICATION 0 . .B1j5I LICENSE 4 ""'VALUATION-,.' PERMIT NUMBER' D 5-Zo-4 I P:Lc - LOT BLOCK . '. - SUBOIVISIGNu -',a ASSESSOR PARCEL NO. OdTRATOR ZONE irot C NTRACTORS PHONE '*r "A' ' '.0 I€eS' .•:' ..- -' u ..... OWNER'S -.p , " eq-' OWNER'S PHONE CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # - .'- . BUILDING SO. FOOTAGE.ue '-i , ' Jo . • , ••, . '' - 0 A'bO4ESS - ' • OWNER'S MAILING A All; 0 DESIGNER - DESIGNERS PHONE DESCRIPTION OF WORK f, - - 'OQ4...'-' LICENSE NO. DESIGNER'S ADDRESS - /92: EDU --F/P - FLAELEV, ' NO STORIES OCCGP ' .' YO NO -- , ,r CENSUS TRACT - GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT , TYPE • 0CC LOAD, FIRE SPR I aD ND AREA CONST vi O 09 , fit? jaO S sce j dC NVO QTY PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE - .4 SUMMARY/ACCOUNT NUMBER Alt 7 , i EACH FIXTURE TRAP •' '-.p.. ' ' ,' ', INS1'ALL7FURN. DUCTS UP TO 100,0,00 BTU ' - -' '•BUILDJY - -001-810-00-004220- EACH BUILDING SEWER - ' - - . •• '.• - OVER 100,000 BTU ..tA P11M(T 01-810-00-00-8221 -. ... EACH WATER HEATERANO/OR VENT . - - •- BOILER/COMPRESSOR UP TO 3 HP- -' - ___- - - PLAN CF9R%..45P' _O 0-00-00-8806 EACH GAS SYSTEM I TO OUTLETS .. • - -. . ' - ' BOILER/COMPRESSOR 3.15 HP'. a- - yi -81 10-oo-o0-8222 EACH GAS SYSTEM 5 OR MORE , " METAL FIREPLACE B 1~01411A 001-810-00-00-822 '.- 0 .1 am exempt under Sec. ' -, , B & P.C. EACH INSTAL.. ALTER, REPAIR WATER PIPE - .' - .. VENT FAN SINGLE DUCT • -. ' ' - MECHANICAL' - 001-810-00-00-8224 '5 EACH VACUUM BREAKER - v MECH EXHAUST - H000/OUCTS - -' , MOBILEHOME - 0' 001-81000-00-8225 . -- - - WATER SOFTNER r- - •. ' ' -- . RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP • ' ' -' . • - EACH ROOF DRAIN (INSIDE) ' 4 ' SOLAR 001-610-00-00 8226 r - •. I • - • - - - ... TOTAL MECHANICAL . ' - • • ' '. . - - -STRONG MOTION 880'519'92733 •• -. • "- * - TO1AL PLUMBING. - • I ' * -- FIRE SPRINKLERS' " 001810-00-00-8227 - 001]16C FACILITIES FEE 33281000008930 - QTY ELECTRICAL PERMIT ISSUE — QTY SOLAR ISSUE NEW CDNST EA AMP/SW1/BKR .01~ - _•. • ' ' COLLECTORS • ,w. - , ' SCHOOL FEE -DISTRiCT ' ' ' - • • - IPH , •3PH'- ''' . STORAGE 'TANKS •, '" •. - - . '' 'CcIsbd EXIST BLOG EA AMP/SWT/BKR .'' • • ' ROCK STORAGE - - 'u.- - • - • - . ' . Encinitas •., • - ' -r ].PH -' ' '3 PH .. 'PUMP ' - 1 ','.-, San Dieguilo -•'. - -.'- REMODEL.'ALTER _,PER CIRCUIT .'--'_'. .' PLAN CHECK FEE -,'''':'u_-_" _. _-'.•' __,•e'--_- _-.r'e -" —San Marcos t' - 0' TEMP POLE '200 AMPS. u_-• _'0 't -.0. - • • -,a _-. -'-' 'u '' ' '-•- _-- ,• OVER 200 AMPS 0 __• .. '- __- _., - _-:--• LICENSE TAX - 001-810-00-00-8162 •,• - -"' TEMP OCCUPANCY (30 DAYS) -.- _-' • '_, -_-,." ••MFF --...880-519-92-57. /fl7/ _- _., ' __0 - __, '.. -CREDIT DEPOSIT' _''.-. ,_,,_- TbTALELECTRICAL - ,•'-:'TOTAL SOLAR r , u, TOTAL FEES PAYABLE ' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Everypermit issued by the Building Official under the provisions olthis * 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 null and void. If the building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or iI'the buitdinq or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT STATE GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND LAWS abandoned at any time afterthe work is commenced for a period 01180days. STRUCTION, WHETHER SPECIFIED'HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE - 0 APPROVED BY _•/-" _DATE OWNER CONTRACTOR KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - WHICH,MAY IN -ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE ' . 'EXPENSES - . .. •. BY PHONE 0 APPLICANT TO.FILL IN INFORMATION WITHIN SHADEDr A'REA AND DECLARATIONS. ' - .4' 0 - , - • 0 • - - • • - - - 0,' , • . - • 0 • ' a .. 0 - , . - , -• • - ' - ' ! - •4 • • 4 4 SSS f - - . ' 4,TYPE I 'DATE INSPECTOR - ' - - - i .BUILDING .4 FOUNDATION FIELD INSPECTION RECORD - 4 REINFORCED STEEL' REQUIRED SPECIAL INSPECTIONS - INSPECTOR S NOTES MASONRY -- GUNITE OR GROUT INSPECTION ' IF CHECKED DATEREO. I SUB FRAME El FLOOR El CEILING - 1 SOILS COMPLIANCE , SHEATHING El ROOF 0 SI-lEAR PRIOR TO--' - - FRAME FOUNDATION INSP I EXTERIOR LATH STRUCTURAL CONCRETE - 7 OVER 2000-PSI • .INSULATION PRESTRESSED -.5- 5 5 . -. . S • . CONCRETE -INTERIOR LATH & DRYWALL POST TENSIONED - CONCRETE PLUMBING 1* FIELD WELDING 4 - ¼0 SEWER AND BL/CO El P(LICO HIGH STRENGTH UNDERGROUND El WASTE El WATER BOLTS'- - ' - .. • TOP OUT El WASTE El VIATER SPECIAL MASONRY ' TUB AND SHOWER PAN4 GAS TEST - I PILES CAISSONS / -0—WATER-HEATER El SOLAR WTER ELECTRICAL El ELECTRIC UNDERGROUND [JIUFFER -J- ROUGH ELECTRIC • i 0 ELECTRIC SERVICE El TEMPORARY 0 BONDING ' 0 POOL qrnl MECHANICAL t t 44 El DUCT & PLEM, El REF PIPI:NG - I .' - # HEAT —4 AIR CON DSYSTEMS t t' VENTILATING SYSTEMS p - - - - - -5 16 • - . . . 54 . 9 S S ' . • - - - S - - I • 'INSPECTION CALL FOR FINAL WHEN.ALLAPPR6P8EE -- 1ITEMS ABOVE HAt.VE BEEN APPROVED, Vol FINAL PLUMBING G -': I !TT.T _-.-- .. -. -.JK -- SS• .5,.' .:- 5,. ."..- 'V . . 4 :-- ......5- ...4 . - ,,-.. \. S •• . • .• _______ . .. . -S SPECIAL'CONDITIONS ._-...,-•--'- - ' -W. N c - . ELECTRIcAL PERMIT AF City of CARLSBAD, CALIFORNIA 92008 i Ano/icant tocomo/ete numbered snaces on/v.: Phone 7291181 . Prmit No.7 2.iVT5.12 JOB ADDR ESS - CAL iP '• LEGAL 1 otscs. LOT NO. BLIT • TRACT ' I - (cJSEE ATTACKED SHEET) OWNER . - MAIL ADDRESS ZIP PHONE 2' '3O S1iESi 7 5C q- CONTRACTOR - . - MAIL ADDRESS PHONE LICENSE NO. STATE CITY &(t-- ARCHITECT OR DESIGNER - MAIL ADDRESS PHONE LICENSE. NO. 4 . .. '1JA ,• . ENGINEER . MAIL ADDRESS - PHONE LICENSE NO. . . COMPENSATION INS. CARRIER MAIL ADDRESS - - BRANCH 6 USE OF BUILDING 7 . . 8CIass of work: 0 NEW 0 ADDITION LTERATION Q REPAIR S Describe work ' k pIL- -4j2'bs -S - ( PERMIT FEES '. - - ISSUANCE OF EACH PERMIT No. Each Fee SPECIAL CONDITIONS: . - NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, 'FUSE OR- BREAKER - . APPLICATION ACCEPTED SV°.. PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: - DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- REMODEL, ALTERATION; NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE -COMPLIED WITH WHETHER SPECIFIED HEREIN,OR—NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE TEMP. SERVICE UP TO AND INCLUD• PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING .- 'ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. / -: -77 PER 100 . STSATURC OFCONTRACTOR OR AUTHORIZED AGENT (DATE) - - * PERMIT FEE .- . - SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED. (IN THIS SPACE) THIS IS YOUR PERMIT.. ,.. PLAN CHECK VALIDATION cx M.O. . CASH PERMIT- VALIDATION . M.O. •.. . CASH N - .-' -. - ,. .. • • . . ' - . 1.7 .. •T . '- C -. .5 5- -; ..- - . • . -: . INSPECTOR? ."C. .,.. ,I. V t. • t I - - 5; - 4 - INSPECTION REPORTS DATE ITEM REMARKS- INSPECTOR - - ;•' - 5._, - . S I- A.. F USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 4-1-77 All okay to clear for change over and up grade td 220v T Mata * - - -- '-5- A '--- -- - 4 '\. - c:. 4 A- S A') A.-. - -- - -- - - - S - - 5-- - A - --A - - - - - .-- _•_*-•___S._ A._ q -A - 5-f - ____•5 APPLICATION FOR B DI G PERMIT 256 CITY OF CARLSBAD — BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 - Ext. 36 Owner Name ................... Mailing Address ...... (Please Print) (Lost) (First) (Middle) Number ffj(eet 9$' ,4'hone Contractor ........................................................Mailing Address ......................................... (Please Print) Number Street City Phone To Construct 0 To Add D To Alter 0 To Repair 0 To Convert 0 To Move From .. "7, Address Type of .... Kind of Foundation.C4—No. of Stories .... !. ....... lo Be Used for .,Ar (Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) / '() Consf Valuation $ /.,.5 . /7 / I attached ,D• Floor Space of Garage (sq. feet) .... .............detached Const. Valuation $........................ LEGAL DESCRIPTION .......................... Lot Block Subdivision or .........................................................................................................................Section....................................Township............................Range............................ Located at ....b....0..T. ........ Street, Near ... Assigned ouse Wumber LAND AREA .....................................NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....................................................(INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES.. NO ................. I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be SIGNATURE OF immediately revoked. PERMITTEE Front Yard Set Back ........................................................... It SideYard Set Back ........................7........................................ Rear Yard Set Back ............... .- Distance Between Bldg......../... .................................... Off Street Parking Spaces .......................................................... ................. Sewage Disposal System Zone - Residential (/') .............................(I'.......................... Zone - Commercial Variance Eng. Check By .................. O-ui o4-& ddce#c4j Oi h / Driveway Permit Required Yes ( ) No (14' Fee .......P\.Ac................. Grading Permit Required Yes I ) No (Vj ................ )tku..e.......................... Sewer Disposal Plant Capital Conf. Fee .............................. 1!C?.flf......................... Sewer Pumping Station capital Cont. Fee ............ SewerMain Line Cost ................................................................?.QMG.......................... Sewer Lateral Connection Charge ................................... Wafer Main Pipe Line Fee ........... Water House Service Charge ............................. ............. ...'- ter Charge T.. 5 Water Stocked Lands Charge PlansApproved by ....................................................................................................Plan Check Fee ............................................................................................... Approved by f Building Permit Fee ................ Date ........1 Total Charges ./.................................... - tii