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Home My WebLink About2408 SACADA CIR; ; 81-15; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and et• feet. OWNER-BUILDER DECLARATION □ I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure. prior to its issuance also requires the applicant for such permit to Ille a signed state- ment that he Is licensed pursuant to the provi• slons of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex· emption. Any violation of Section 7031.5 by an ap• plicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars ($500). WI, as owner of the property, or my employees f'ith wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) . ...._--c..=~J ~ :J , as owner of the property, am exclusively con- tracting with licensed contractors to construct the.project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ,.ho builds or Im• proves thereon, and who contracts for such pro• jects with a contractor(s) license pursuant to the coo.tractor's License Law). I am exempt under Sec _____ B. & P.C. tor this reaso ,_ ___________ _ Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of con- sent to self-Insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code,. POLICY NO. ___________ _ COMPANY ___________ _ D Copy is flied with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit ls Issued, I shall not employ any per$on In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the • Lab!ir Code, Y.OU must forthwith comply with such provisions o"'11s permit shall be deemed revoked. , CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction len- ding agency for the performance of the work for -i,,h this nermll Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 AVRf,L ID~TE OF ~JIO_N CONTRACTOR cl--UJ.,_e~ $'"' // d' "'l'~ 0 WNER'S MAIL ING ADDRESS ADDRESS t2-Lf D 8 5' ,r..c ~d ~ SUBDIVISION DESIGNER I k ,,,......, ..,-·· r I DESIGNER'S ADDRESS CENSUS TRACT RES. UN ITS PARKING SPACE BLOG SQ# STANDARD PLAN II PLAN ID 11 ,,_ s-/ T YPE CONST QTY.I PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE STATE LICENSE CONTRACTOR'S PHONE STATE LICENSE 0CC. LOAD PERMIT NUM8ER fl-I~ U04/Bl!i261 060f~i~) 2/0"IBI Not Valid Unless Machin, C.rrifi«I ~~ QTY. ELECTRICAL PERMIT AMT. NEW CONST EA AMP/SWT /BKR TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AMT. AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME •AN OSHA PERMIT IS REQUIRED FOR EXCAVAT IONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES'OVER 3 STORIES IN HEIGHT ~tZ.,:; MECHANICAL MOBILE HOME SOLAR TOTAL FEES PAYABLE ~-rfto/ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM, LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE DF THE GRANTING OF THIS PERMIT. OWNER AGENT D CONTRACTOR□ BY PHONED 31,-5 fi . ._s ! < 0 ~ > Bl' !L' SITE -....,_ ~. PERMIT NO: ~l--1::> ADDRESS: .. OWNER: •. . . -~ \ --FIELD INSPECTION RECORD --'• INSPECTION DATE INSPECTOR INSPECTOR'S NOTES •. WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET . -. . . UNDER FLOOR PLUMBING ; . \ UNDER FLOOR HEATING -~ , . Y'\ .. OK TO INSTALL SUB FLOOR .. ' . ; ' -~ . \ !"'· i \ . SLAB FLOOR \ . UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET \ .j • 1 . , . -\... -~~ ~ ,. ' .... -OK TO POUR CONCRETE . I ,, ~ ' , .. , .. -,:_,, . FRAME .. ROUGH ELECTRICAL .. .. ( ""dll"I ·~-' ROUGH PLUMBING . :Ii /r ' ROUGH HEATING/VENTILATING ~-•L-•-· FRAME OK• PLACE INSULATION ---·-·~~'..:-. ~~ INSULATION OK• PLACE WALLBOARD .. . .. .-/>'"" : WALLBOARD OK. PLACE T APE . .. ,.~,-~ .. -...-.. , . EXTERIOR LATH OK • •. PLACE STUCCO-~v .. ·~~ •. _./:/! . • 4 FIREeLACE ~i;?}~' ·,. ,.,_: .. ,~,,ft~ -,~.-- DAMPER &STEEL , ' . ,· ,.~ :,:._, PLATE TIES/HEIGHT OF CHIMNEY ' ... < J - TEMP POWER (POLE) SEWER ~ GAS TEST .., ... SWIM POOL • STEEL BONDING ··~ ~ "' --~-.. ......._ ;/ • PRE DECK I,~" ,·~ '·-. ' -. ..._. • FENCE PREPLASTER .n-r ~ .. SHOWN • FRAME -~ ~ ~~~ --• PAN ~,_ r ""'--J "•"\>-'"-~....,.~ 7/ ....... ~~: FINAL INSP BY BLDG DEPT 1 . #-"' ·-. ~:;~ OTHER DEPT'S REQ COMPLETED . ' I Jtf':. ,---.. ELEC METER-PERM-TEMP ~i[/ .;#.;-, -· C GAS METER-PERM-TEMP I Ii J .... l I - I CERT o,:occuPANCv ossuec I I I s . . -'-· ·, j_ • _,. .-.• . •-. ~ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con· struct, alter, improve, demolish. or repair any structure, prior to its Issuance also requires the applicant for such permit to tile a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 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 of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sate). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not ap- ply to an owner of property '"ho builds or im- proves thereon, and who contracts for such pro- jecfll with a contractor(s) license pursuant to the contracto~s License Law). I am exempt under Sec. _____ B. & P.C. for this reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. V CERTIFICATE OF EXEMPTION FROM /\_WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this pe;mlt Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callfomla. NOTICE TO APPLICANT: If, after making this Cer- • tificata of Exemption, you should become subject to ti'le Workt,es' Compensation provisions of the Labor Coda, you must forthwith comply with such provlslo1s ~• rmlt shall be d~ed- Jt'r~JUCTION LENDIN AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for whlr.h thl• narmit I, 1•011-1 I~ 1097. Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I HO. -::;2. ~ a 8 c;.) ~~ r!J;!Jl'Z_ I I I I I I I I I I I I I I I I I I I I I I I I I I I I iYR~T. IDA1X,;g710N OWNER tj~":7;,7? PRIME CONTRACTOR I I e //;'_S -.,.c;:sJ~~ ;?i, ,a E 11 I A .. ~E"Y!ER owNE:iMA;;~D°j/ss S,z.tt~~ CONTRACTOR'S ADDRESS - {!,;,1,:;/-A p -// __ -LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER s ~ I I I I I I I I I I I D~ION OF WORK /~7 ft1,. -. / , ,, DESIG --.... ~n.___...~1., ... -'" I J.;r:J'i/_ / § ·~ tr..L ., CENSUS TRACT GP LAND USE II ZONING Ref. UNITS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUM&ER l2.?39~ t1-1s-4 STATE LICENSE ~ ;3rr, ?$ CONTRACTOR'S PIJ¥' r,. J°'d I {( STATE LICENSE 2/251Bl57SS DESIGNER'S PHONE ----.... -;. . -19 .0( I I PARKING SPACE I NUMBER OF STORIES Not V•lid Unklss M4chin, Clrtifild BLDG SQ. FT, BLDG USE occ. GP I STAND.\RD PLA.N II I PLAN ID II I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT . QTY. MECHANICAL PERMIT AMT. • { ,, EACH FIXTURE TRAP , V. -INSTALL FURN. DUCTS UP TO 100,000 BTU -EACH BUILDING SEWER OVER 100,000 BTU I EACH WATER HEATER ANO/OR VENT -"1.-..-BOILER/COMPRESSOR UP TO 3 HP • I EACH GAS SYSTEM 1 TO 4 OUTLETS -,_ _,.. BOILER /COMPRESSOR 3-15 HP I I EACH GAS SYSTEM 5 0 R MORE _; BOILER/COMPRESSOR 16-30 HP ! EACH INSTAL., ALTER, REPAIR WATER PIPE!:.~-'· I.L. VENT FAN SINGLE OUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS :ll::ilu::iti cm : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I ( ; c:c:11,:, ~ (\ ( ; C,('11"' 7; (\ (\ SIGN PERMIT I . I I I i TOTAL PLUMBING TOTAL MECHANICAL I Ill. -PLAN CHECK I I I I ' I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ! ~ I TOTAL PLUMBING 1/1'1. ~ QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I 1 • I 1 PH .25 3 PH -----PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR _,,.,,-SET-UP SOLAR I . I I I 1 PH .25 ( 3 PH RAMADA, CABANA strong motion I . I I I REMODEL/Al TER PER CIRCUIT --. r.._\.---., FENCE OVER 6' I . I I I TEMP POLE 200 AMPS ~ TOTAL MOBILE HOME MICO·FI LM I , I I I OVER 200 AMPS _,,.,,,,.-~ I , I I ; I TEMP OCCUPANCY (30 DAYSI / ~ I I I I i C::C:llP. _,,,-I' /.~ I I I I TOTAL ELECTRICAL <.... ---TOTAL FEES PAYABLE I -I_ CONTRACTOR I -I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER chool Fees If~ tr. HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT ,1~t4 COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~~ ~~ SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS 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. ~iCANT'S SIGNATURE" OWNER□ CONTRACTOR□ IA ~ED BY i' ·~~ AGENT D SYPHONED ~ f/' ~;I, 8 SITE ' ADDRESS: OWNER: PERMIT NO: ; ~ FIELD INSPECTION RECORD -. INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET - UNDER FLOOR PLUMBING }-_ ! ... .,· -- UNDER FLOOR HEATING ', ,, - OK TO INSTALL SUB FLOOR .. -,.~ .. - SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL -- ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE ,._ 1: EXTERIOR LATH OK • PLACE STUCCO FIREPLACE .. DAMPER &STEEL - PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER . GAS TEST . SWIM POOL • STEEL BONDING --- • PRE DECK ~--. • FENCE PREPLASTER SHOWN • FRAME , . ' • PAN .... ~ FINAL INSP BY BLDG DEPT OTHER_.DEPT'S REQ COMPLETED . ELEC METER-PERM-TEMP .. GAS METER-PERM-TEMP _., .. • .. ... "-':-, CERT OF_OCCUPANCY ISSUED ~ 1"" ~ . I. .,,._ F LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con• tractor's License Law for the following reason ISec. 7031.5 ,Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to 1ts Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law IChapter 9 commencing with Section 7000 of Division 3 ol the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale 1sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). :JI, as owner of the property, am exclusively con- trlft:ting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap• ply to an owner of property \•ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec _____ B. & P.C. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DEC I hereby affirm that I have a certlfl sent to self-Insure, o~ a certificate Compensation Insurance, or a ~e thereof (Sec. 3800, Labor Code). POLICY NO. ~l \ ' J COMPANY □Copy is filed with the city. O Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this pe,mlt Is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer· • tificate of Exemption, you should become subject to the Worke!_s' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for ...... , .......... , ...... A .. -u 1 ... 1.,..,.--4 ,c ...... "U'\07 r1 .. u ,-..,..,..A\ CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (7 14) 438-5525 NO. , JOB ADDRESS tRr 1°¥ li?1r:/ 2 //10,A I I ~A-F~Pl/f', ~(1-~ {.f7, I I I I I I I I OWNER OWNER'S PHONE P~ceR ~,c MIJ.<:. £ l L 1 :S---Ft 's"Hc'/e OWNER'S MAIL ING ADDRESS CONTRACTOR'S ADDRESS 2 <.,I 0 8 SA-CA-Pl~ Cl'/t.-c.. 4£" AS3'_)/?6~5'r..~ .. LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. OESIG NER I I I I I I I I I I I DESCRIPTION Of WORK R,/,b/"77n/\.,) t? L::. <YA /J 4-/t,->E C-DESIGNER'S ADDRESS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER zz.sq2- /71 STATE LICENSE z~cr12... CONTRACTOR'S -.. I ;u?E-411 :..- ST iTE LICENSE DESIGNER'S PHONE (/00 · /I-A'! /J f ) ro C. "1-t!J /fl'V 4 u/09/819 ·71 c~sus TRACT GP LANO rE I RES. UNITS I PARKING SPACE I HUMBER OF STORIES 27,0i ZONING J ~<'i41 l4./ I. n 27, riff· V,.Ai , I! s,t.taclim, c.rt,fiaJ ~ BLOG SO, FT, BLOG USE occ. GP I STANDARD PLAN II 1 PLAN ID 11 I TYPE CONST I occ. LOAD l -' ~ w, QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ~/4 J~./AlE;9'7Z./ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER ,._ RELOCATION OF EA FURNACE/HEATER BUILDIIKl PERMIT / I I I I .l l -.,..,.,,a .-'\ ,<J 0 . (. .J.('1 ,._.., .J I D --~ .Ou SIGN PERMIT I . I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT.~ AMT. TOTAL PLUMBING I I I~ QTY. QTY. MOBILE HOME PERMIT ELECTRICAL L:2~~ . ~ / NEW CONST EA AMP/SWT/BKR ...25 ... ~, . Of~ v~ AWNING MECHANICAL -, 1' .'1 1 PH .25 3 PH PORCH MOBILE HOME I I • I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I I . I 1 PH .25 3 PH RAMADA, CABANA -I A . I I I . I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ~ AA ,/o/y'J ~-f ril!t'f _,/ /'h,/ _) I . I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME I MIC,tf/FILM I I . I I . I OVE 0 R 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYSl I . I I I ( )_,. .,..... I l 0 ...::1 .0 0 I . I I I TOTAL ELECTRICAL :i,'.!-TOTAL FEES PAYABLE I . ~r,~ CONTRACTOR ~ I I "AN OSHA PERMIT IS REQUIRED FOR EXCAVATION~ ~ JI J ~ -I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO I) - HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I \~"o oeMoc,no• oa ~"srnomo" o, FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, ST T ::ER 3Sz:~N~;,t/~ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM• I IJA t/k;IPI LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE e:T7r '"I' -, OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATd'°RE' (/ OWNERQ CONTRACTO~ rPPROVED BY Jl,,l'I''' #/DATE AGENT D BY PHONED 1- 11=! n.: ~I ; • w < 0 ~ ~ i== l:6 0.. V) ~ SITE ',_~, "--:-., .. ~ ... : .. ,..:, .. \~---.. :) ·.'F>ERMfT· NG:.,·:, ADDRESS: ,_ ' ... , OWNER: .. . ' ·~ \ ~ ., . ' FIE:LD 11',lSPECTION RECORD .. -. -.. " " '---. 'IN-SPECTOR ~ .. -> "::t . . · . ' INSPECTOR'S.NOTES --· ' ·\ ·. -·· ~ \ INSPECTION DATE . -~ WOOD FLOOR . ' ~ ·-. .. ,:-., ... ... •. ; •. . ' -; ... -\ •. ... ·-./ . . "-. -. -.... ,., .... .• , FOUNDATION• FORMS• SET BACK • TOILET • UNDER FLOOR PLUMBING . -. UNDER FLOOR HEATING ~ .. -"-..~•:,,-:).__,:• .. OK TO INSTALL SUB FLOOR '\ ~ ,...,·\, ........ -... ~ '--~t,,, .... \ ... ,. ·,:~ ~.v ~~:, ~-..:,. 1...:1· \" . ..... .,, \'~ --'\, . 0 .. .;.·' . .,, \ \ ,,\.,'\ ' SLAB FLOOR \ ,-~ UNDER SLAB PLUMBING FOOTING• FORMS • SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL •· ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION . INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE . .... EXTERIOR LATH OK . PLACE STUC°CO :., ;,· ' FIREPLACE .. _ __,,._'. l c.• l"t"=-. ... ....> ~.,,__ ~ -> ,,(. t;'-a._,·. DAMPER & STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER ' . •.. " . ' TEMP POWER (POLE) ,. .. SEWER GAS TEST SWIM POOL • STEEL BONDING ~: • . - • PRE DECK '\. ... "t- • FENCE PREPLASTER ' .. SHOWN • FRAME • PAN • t. I .-.. ') C FINAL INSP BY BLDG DEPT .j ·'· __ .• _ .... ' OTHER DEPT'S REQ COMPLETED .. ,· ""' ELEC METER-PERM-TEMP ·•· .. GAS METER-PERM-TEMP \ •• >). r I ! ·., " ' \ \. ' I ~"--, ~-..,.' ... ·, . •· ... . ,'\.,,, ,·, \·· ,~._,,. Cec:n OF OCCUPANCY ISSUED ' . .,. ""'.;.' ,_ ..... '\.. ............ -.. . • INTERDEPARTMENTAL INFORMATION SHEET !JlECEIVED BUILDiNG DEPARTMENT DATE: --------- BUILDING ADDRESS: JAN 15 1981 CITY OF CARLSBAD Bulldlng Department PLANNING DEPARTMENT ZOlE ___ (\_~_J..; _____ LOT SIZE _________ LOT WIDTH ________ _ U} XS ALLOWED UNITS PROVIDED -----------=--------------- P .-iING SPACES REQUIRED (l\JA_ PROVIDED ~ M % VERAGE ALLOWED ---=====:UJ:::r;;;::========PROVIDED--__ -_-_--~u::=f&============= B JING HEIGHT ALLOWED __________ PROVIDED fT SETBACK: SIDE SETBACK: REAR SETBACK: >WED ,VlDED I) fl TR lS I O_N_S_-r~-t1~--==--- LANDS-APE & IRRIGATION PLAN COMMENTS: ~IA ~tv-+-'-l --'------------J•-----------r-/ __________________ ___.:. ______ _ ENVIR~MENTAL PROTECTION REQ: ~~-=----~-"---'~P-f---------------- ENGINEERNG DEPARTMENT R.o.w. _____ INDUST~IAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONfECTION ELJt.J :s DRIVEWAY LOCATIONS ___________ _ GRADING P!RMIT LEGAL DESCUPTION DRAINAGE -------------- ---~~-__,_..,,____,,__ __________________ _ ADDITIONAL COMMENTS ----------------------~ r a.. ---- FIRE DEPARTMENT SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. -------- FIRE ALARMS EXITS ---------------- FIRE HYDRANTS LOCATION ---------------------------- ADD IT ION AL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _