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Home My WebLink About2801 ROOSEVELT ST; MULTI-PERMIT FILE; CB042842; Permitv~ \\, . ~ UCAf-t7:¥Y City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-22-2004 Sign Permit Permit No: CB042842 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2801 ROOSEVELT ST CBAD SIGN Lot#: 0 2031810700 $300.00 Construction Type: NEW 30 FOR LIFE WALL SIGN 10 SF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/22/2004 SB 07/22/2004 07/22/2004 DEWHURST FAMILY TRUST 03-13-90 DEWHURST FAMILY TRUST 03-13-90 3425 SEACREST DR CARLSBAD CA 92008 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Total Fees: $21.33 3425 SEACREST DR CARLSBAD CA 92008 Total Payments To Date: $0.00 $12.93 $0.00 $8.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21.33 Balance Due: $21.33 7179 07122/0'1• 0002 0.1 CGf> Inspector: Clearance: NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collect1vely 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 mforrnat1on with the City Man ayer for processing in accordance with Carlsbad Mun1c1pal Code Section 3.32.030. Failure to 1irnely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their irnpos1t1on You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any le s/ex i n I which ou have r vi I een iven OTI imil r o this or a to wh1 h h t lute f limit li ns has rev1ousl otherwi x ired 02 FOR OFFICE USE ONLY PERMIT APPLICATION CITY ot=· CARL'..SBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN cHEcK Node;--tz.8'-fZ- ~ ,-EST. VAL. _________ _ Legal Description Assessor's Parcel I Business Name (at this address) Lot No. Subdivision Name/Number Existing Use #of Stories Unit No. Phase No. Proposed Use , of Bedrooms ---- Total # of units # of Bathrooms Name Address City State/Zip Telephone # Fax # ~M ~.fil'~t~fAta~Eli:¢11mfi qiqtJI.H ~ltP:ii•n'fPE~9ii.tii.litot!iill.O 1.Q.w11ic;:2"ilEF.&•rit;fqr'O\\'.n•r ; <:1 •·: · -~, ,-, .-·-.. . ••. ••. .. . ,. ~ Name ~. -~ Address Name Address City State/Zip Telephone I ~~ON.tRAOIC:l.R!tQ!>Me.At,IX!iNAM~il!~'tY~°1'iti,li'ffl~;i-<,:·!!,iffl';;,~~...:M.llrt.'.".;;1-,~;"L';:~-~--· r'"~~-~"''·, <.;t~'"' •:; ':'f, -~-, •; -~.iti!''.:',:•~'o/,'-"" .-,,:,,,f, •. ;:c1/~:~· (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 Coda) or that ha 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)). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License II _______ _ Designer Name Address City State License I _________ _ [t.l ' Q]I.KJ:8S~QM~ftS~ TJOl'tii,ii,,/, .;.;...,.;,£,:::. •. '..oki\l.;:;Jr..ck ... ,,,,,.:::...;: .'.:. ,• •-~-~~-/., .. ~' .-• ·t· :. !" • J:\. :;,, • ·!t Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone D 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. O 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______________________ Policy No .. _____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 mennar so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallur o I ure w • I• unlawful, end lhal •ubJ•ct en employer to criminal penalties end clvll finH up to one hundred 10 Htlon, damagH • ovlded for In Section 3706 of the Labor code, Interest end attorney', feH. DATE _________ _ O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law doas 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(&) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): · 5. racted (hired! the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIG E DATE -:7 ..___cl.~ -C) ~QMi!ruttt!'lll>:.stcTI.QNiFQ.R;NQf(' ~DEN,t,A,f/. !39Jm11tQ!~,8M!lt:QNl:l'ii~UUMl~~ttiii'is'~!."t;.:a:...!~!&ii:,t~a'.::'i:t bfj:t'~•,,;-1.:~.-:::, al ·' .}!., fi:.: i,:, 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?· D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES O NO Is tha facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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. W.\!;9JiUf!.!J!<:I!QNl.'-!.~Rlttg_SM_~C.:.Y..Y<r;:;f,:~f•:~·t:\;'~1;l~'r: .U.'ilf.'a.!i&!:Q,;:;l~.::f~,J::,.,;,:r,'.:L".J.:.::,, .. ....:.:.:~ .. :,~ •.. :,.:-~~-1.. ·~ --~·--·· •. , ~-· •. I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. __________________________ _ ti\.\iii't..f:Ae,i,.JC'M:rlq11a'a~lo'~l\l~~,!i.-•t:,1M ... it-•\~~.,;.!;.:.s. .... ~~~~&;g..1:'-~~d'.,f.~3 .. ,:,:,'.-m;,i,.Sl" .;;_.:.;.:,: ,.; •• · ~~-•..:.c\')rf, , -~:,. .:_ti,;.; , ''· ~ --,,~. , -~··, 6._,,, .... 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 Citt 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 Issued b the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not c me ed within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned J al any time after the work is com e d for a perio 180 da Section 106.4.4 Unit rm uilding Code). -~ _ ~ -J. z.L APPLICANT'S SIGNA---~-=~~~-_-_-:..-=...::::':::'.::~::-:....,;~::;.~~~::::::~~::::::==5§;:~~:::'.:~~:::.... DATE \ ~ T YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/30/2004 Permit# CB042842 Title: 30 FOR LIFE WALL SIGN 10 SF Description: Type: SIGN Sub Type: Job Address: 2801 ROOSEVELT ST Suite: Lot 0 Location: APPLICANT DEWHURST FAMIL V TRUST 03-13-90 Owner: DEWHURST FAMIL V TRUST 03-13-90 Remarks: Total Time: Inspector Assignment: Phone: 7608056238 Inspector: ---- Requested By: BOB Entered By: CHRISTINE CD 38 39 Description Signs Act Comment µ f¥-___,_~ _rfY'-_Jup____,__· -- Final Electrical -. c,J c....,,_ ___ I __________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments B U I L D I N G P E R M I T 05/04/90 10:05 Permit No: CB900738 Project No: A9000850 Development No: Page 1 of 1 Job Address: 2801 ROOSEVELT ST Str: Fl: Ste: Permit Type: SIGN Parcel No: 203-181-07-00 Valuation: 500 Construction Type: NEW ~2~~ OS/ ' ~ l3lf2.-- Occupancy Group: Class Code: status : ISSUED Description: SIGN FOR PACKINGING STORE OWNER : DEWHURST, DONALD *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check * BUILDING TOTAL 25.00 .00 25.00 *** Applied 05/04/90 Apr/Issue Validated By: DC Lie . 619 729-4990 Fees Collected & Credits *** Total Credits : Total Payments: Balance Due: Units Fee/Unit ,00 ,00 25.00 Ext fee Data 15.00 10.00 25.00 · CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ .. City of Carlsbad Building Department • EST. YAL 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _____ -c,--=-=---- 1. A PERMIT TYPE 0 COMMERCIAL 0 INDUSTRIAL □RESIDENTIAL □APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL Lot No. TENANT IMPROVEMENT VALID. BY ___ -::;,....« ____ :::... ______ _ DATE----,,,<.,/'------------,- 0 TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING □RELOCATION □SPA □RETAINING 'IIALL , .. :r $'7"""' Subd1v1sion Name/NlM!Der Um t Mo. Phase "10, CHECK BELO., If SUBMITTED: Q2 Energy Cales q2 Structural Cales 02 Soils Report ASSESSOR IS PARCEL D 1 Addressed Envelope EKISTING USE PROPOSED USE /"" "' uJ AL. L BLDG. SQ, FTG. 3. CONTACT PERSON NAME C! TY SIGNATURE 4. APPLICANT 0 CONTRACTOR NAME CI TY ft OF STORIES STATE ADDRESS ZIP COOE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE DAY TELEPHONE O0\,jNER D AGENT FOR Ow'NER DAY TELEPHONE 5. ROPERTY OWNER OWNER 0 LESSEE ""' 'Dd> "-' D s.u.,-t-+v ie.,;. -r- c1 n STATE ADDRESS ZIP CODE DAY TELEPHONE 6. CONTRACTOR 7. 8. NAME Cl TY STATE STATE LJC. #, ____ _ ADDRESS ZIP CODE LICENSE CLASS _____ _ DAY TELEPHONE CITY BUSINESS LIC, # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' Compensation Declaration: hereby affirm that have a cert1f1cate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of 'workers• Coq:,ensation Insurance by an actnitted insurer, or an exact copy or duplicate thereof certified by the Director of the ; nsurer thereof f i led with the Bui ld i ng Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EKPIRATION DATE certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the l,lorkers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon., and who does such work himself or through his own employees, provided that such irrprovements 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 blJrden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, c011111encing 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 CQl,\PLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future blJilding occupant required to submit a blJsiness 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? □YES □NO !s the applicant or future blJilding occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO !s the facility to be construc;ted within 1,000 feet of the outer boundary of a school site? □YES D•o IF ANY Of TKE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY NAY NOT 8E ISSUED AFTER JULY 1, 1989 lllLESS THE APPLICANT HAS M:T OR JS MEETING THE REQUJREM:NTS OF THE OFFICE OF ENERGEWCY SERVICES All) THE AIR POLLUTION CCIHROl. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the WOrk for which this permit is issued (Sec 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information 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 DF CARLSBAD AGAINST ALL LIABILITIES, Jll>GNENTS, COSTS ANO EXPENSES WHICH MY IN ANY l,IAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PER.NIT. E1<.p1ration. Every permit issuecl by the Building Official under the provisions of this Code shall e1<.pire by limitation and become null and void if the building or i.ork authorized by such permit is not conmenced i.ithin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code). 0 O'wNER □ CONTRACTOR □BY PHONE APPROVED BY; _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB900738 DESCRIPTION: SIGN FOR TYPE: SIGN CITY OF CARLSBAD INSPECTION REQUEST FOR 05/15/90 PACKINGING STORE < INSPECTOR AREA PD PLANCK# CB900738 OCC GRP CONSTR. TYPE NEW 11 JOB ADDRESS: 2801 'APPLICANT: DEWHURST, ROOSEVELT ST DONALD STR: FL: STE: PHONE: 619 729-4990 \ CONTRACTOR: OWNER: DEWHURST, DONALD REMARKS: Tl/MH SPECIAL INSTRUCT: TOTAL TIME: CD 38 LVL DESCRIPTION EL Signs ------------------------------------ PHONE: ~ PHONE: 619 2 9 0 ~ INSPECTO • ---- ACT COMMENTS lf. ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 050790 signs ACT INSP CO PD COMMENTS NO PLANS u, z 0 ;:: 4( ac 4( ... 0 Ill a a: I[ 0 0 ac Ill 0 ... 5 • ii Ill z ~ z 0 ;:: 4( Ill z Ill 0.. :E 0 0 u, a: Ill "' ac 0 3 ![ O I hereby affirm that I am llcens&d under provlalona of Chapter 9 (commencing wilh Section 7000) of Division 3 of lhe Business and Professions Code, and my license is in full force and effect. lie No ____ _ Class I hereby alhrm that t am exempt from the Contrac· tor's LJcense law !or the tollowmg reason (Sec 7031.5 Business and Professions COde Any city Of county wt11ch re- quires a permit to construct. alter. improve, dem<Hish. or repair any structure. pflDf 10 tis issuance also requires !heap• phcant for such permit 10 file a s1Qned statement lha1 he 1s licensed pursuant to the pJov1st0ns of lhe coniractor"s License Law (Chapter 9 commencing with Sechon 7000 ol Otv1s1on 3 of lhe Business and ProfesSfOns COde) or that ,sex- empt therefrom and !he basis !or lhe allegea exempl!On Any vlOlat10n o1 Seclion 7031.5 by an apphcanI lor a perm,1 sub ,ec1s the apphcant 10 a crvil penatty of not more lhan rive hun· dre<J dollars ($500) rJ I. as owner 01 the property, or my employees w11h wages as their sole compensation. W1.11 do the work, and lhe st rue· lure 1s nol intended or ollered !Of sale (Sec. 7044, Busmess and ProlesSKKls COde The Conuac1or·s license Law does :~:t1n~0 :;o =:rs:~t:!et61;:, :,~~~~~~;:;~ employees, provided that such 1mprovemenls are not intend· ed or ollered tor sale If. however, the building or ,mprove-ment is sold within one year of complettOA. the owner-builder wtll have the burden ol provmg !hat he did not build or im-prove for the purpose of sale) □ I. as owner of the properly, am exclusively contracting with licensed contraclors to construe! !he protect (Sec 7044, Business and Proless1ons Code:-The Contractor's license law does not apply to an owner of property who bu1kis or im-proves thereon. and who conlracls tor each pr01ecls with a contractor(s) license pursuant to the ContractOf's License Law) D As a homeowner I am 1mprovtng my home. and the follow· ing cond1hons ex,st 1. The work ,s bemg performed prtOf 10 sale 2. 1 have hved in my home for twelve months 3 rr~v~ ~6tp~:1-:gf 11~1~ :;~phon durmg lhe !ast inree years D I am eKempl under Sec ______ . 8 & P C f0< this reason ------------- D I hereby atlirm tha.t I have c1 cert1f1cate of consent to self•1nsure. or a cerllhcate of Workers' Compensation In• surance. or a certtf1ed copy thereof (Sec. l800. LabOr Code) POLICY NO. COMPANY □ Copy IS filed Wtth lhe city 0 Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on need not be completed if the permit ,s for one hundred dollars tS100) or less) 0 I certify that in the performance of lhe work for which th,s permit ,s issued. I shall not employ any person in any manner so as lo become subJect to the Workers· Compen- sation Laws ol California. NOTICE TO APPLICANT: If. after making this Certificate ol Exemp!lon. yoo should become sub1ect to ltie Workers· Compensation provisions of the Labof Code. you must fOr1hw1th comply with such prov1s,ons or !his pemut shall be deemed revoked. 0 I hereby affirm that lhere is a construchon lending agency for the performance of the won!; for which this per• mit is issued {Sec. 3097, Civil Code) Lenders Na.me ____________ _ ~nder's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICA NT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB;;l_gsl) l /2: o-J-<J.~.-<A~ NEA~O~SST. I°~ ~F:§:.L•1iONI BUSINESS LICENSE :, LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR /(Jtt}~. CONTRACTORS PHONE • VALUATION _,LffJt> ZONE ~ PERMIT NUMBER ~- /v'(b 0 7~ IJ. a~ 1-'/a~WN;~$E CONTRACTOR·s ADDRESS LICENSE NO PLAN I.D. # BUILDING SO. FOOTAGE OWN§JfC)LltA~ .st. DESIGNER DESCRIPTION OF WOR~ ~ ~ (5 ' -~ ) J I orno"'"' . r•· -ADDRESS -..... ~/f. f /P FLA ELEV. CENSUS TRACT l GP LANO USE 1 PARK ING SPACE RES UNITS l QTY. PLUMBING PERMIT · ISSUE -J~ - GRADING PERMIT ISSUED y D ND vO NO I REDEVELOPMENT AREA vO NO QTY. MECHANICAL PERMIT · ISSUE ~ STORIES TYPE CONST ~-- DESIGNER'S PHONE LICENSE NO. e1os1e, 1~n 0001 ·1. ~ '.l"i: J!7□~i' Se ace GP EDU OCC LOAD FIRE SPA vO NO Nor Valid Unl~s Machine Certrfied SUMMARY/ACCOUNT NUMBER __,,,, EACH FIXTURE TRAP 7 I I 1NSTALL FURN . oucTs uP ro 100.000 BTU I I BUILDING PERMIT 001-810-00-00-8220 /0.,__ EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221 EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 /.,.~ 1"1;ae 1·7;0~ EACH GAS SYSTEM 1 T04 OUTLETS BOILER /COMPRESSOR 3 IS HP TOTAL PLUMBING 001·810·00·00·8222 ----+---------, QTY. EACH GAS SYSTEMS OR MORE I METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 EACH INSTA~. ALTER. REPAIR WATER PIPE -+ ! VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001·810·00·00·8225 WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE I I II I I u SOLAR TOI AL PLUMBING l --- ELECTRICAL PERMIT · ISSUE ,<-QTY. NEW CONST EA AMP SWl BK R 1 PH 3 PH EXIST BLDG EA AMP SWl SKR 1 PH 3 PH REMODEL ALHR PER CIRCUI T TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTJ;L MECHANICAL SOLAR · ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE t-STRONG MOTION FIRE SPRINi<LERS PUBLIC FACILITIES FEE SCHOOL FEE · DISTRICT Carlsbad Encinitas San D1e__g_uito San Marcos LICENSE TAX MFF CREDIT DEPOSIT 001·810·00·00·8226 880·519·92·33 001 ·810·00·00·8227 332·810·00·00·8930 001·810·00·00·8162 880·519·92·57 101AL ELECTRICAL T TOTAL SOLAR TOTAL FEES PAYABLE l . ~ l, /1 ~ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT .. At;D 00 HEREBY Exp,rat1on Every permit issued bylheBu1ld1ng Oll1c1al underthe prov1s,ons of lh,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m1ta1ton and become null and void II lhe bu1ldrng or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit ,snot commenced wllh1n 180days from he date ,>f such * AN OSHA PEIWIT IS REQUIRED FOR EXCAVATIONS OVER 5· 0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCllJRES OVER 3 STORIES IN HEIGHT ISSUED TO COM PL y WITH ALL CITY COUNl y AND STATE LAWS GOVERNING BUILDING CON perm11. or if the bu1ld1n~ or work aulhor,zed by such rmll s suspended or STRUCTION. WHETHER SPECIF•ED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '--:"::b:an:":d:::o':n&d:::::"":-t '::"":::-.:.:h":m'::e::'a":"e:'-r"'th=•,c_,::w"'o::;rk::..:.:••:.:c::,o<:m:.,:m=•:.,:nc::,ede.,:_~lo,:.r+s'~!...o,-.1~18a,0:.:d:<,8!}'.J!Sc_--:~~~~~~ .... -----,---------------~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND APPLICANTS SIGNATURE Jf OWNE CONTRACTOR O APPROVED BY DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY i°N CONSEOUE.NCE OF THE ~/), 1 · C\ Q -. GRANTING OF THIS PERMIT / /-f'V~ ft:;,, ~-J • BY PH~NE 0 .. ~-3--tf't '-- ~ u: >. ;;:; 0 C. E Q) I- I 'O 0 (!) .SF' ~L C. C. <( I ~ C a:: 0 "' "' Q) "' "' <( I 3: 0 Q) >- rJi "' Q) (.) 0 a: Cll iii 0 ~ Q) (.) C Cll C u: s C Q) ~ (!) 0 u Q) C. "' C 2: .c s: TYPE I DATE INSPECTOR I --~ t BUILDING I .... - FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL SUB FRAME D FLOOR D CEl~ING SOILS COMPLIANCE SHEATHING □ ROOF □ SHEAR PRIOR TO FRAME I FOUNDATION INSP . EXTERIOR LA TH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRESTRESSED INTERIOR LATH & DRYWALL I I CONCRETE POST TENSIONED CONCRETE PLUMBING I FIELD WELDING D SEWER AND BUCO D PWCO UNDERGROUND □ WASTE □ WATER HIGH STRENGTH BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN I I GAS TEST I PILES CAISSONS □ WATER HEATER □ SOLAR WATER I I -- ELECTRICAL I □ ELECTRIC UNDERGROUND □•UFFER . ROUGH ELECTRIC I I - □ ELECTRIC SERVICE □ TEMPQRARY ~ □ BONDING □ POOL I I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I . I . _.,..., -r ,._ ,,...-.,. L'~ 1\•n CALL FOR FINAL INSPEC,~ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. ..... 1 LI r. I.L LI.µ,.,,,._, ' l\:o L. s,r.3,geuu , FINAL I . PLUMBING I I ... ,.. . I ' ELECTRICAL I \~ \~\ I MECHANICAL I r!. ~ • GAS I ~~ ("',.. [ \ ' BUILDING I -~~ I \ SPECIAL CONDITIONS I \"...\ ~ ... I