HomeMy WebLinkAbout2501 STATE ST; MULTI-PERMIT FILE; CB930213; Permit,I
PERMIT APPLICATION PLAN CHECK NO. f 3-d./3
City of carlsbad Building Departlllel"lt
2075 Las Pal ..... o, •• ca,lsbed, CA 92009 (619) 438-1161
PLAN CK DEPOSIT ________ _
I
EST. VAL
VAIID. BY __________ _
I. PEkM1 I IYPE
A-DCOmmerc1al □New Bu1ldmg D lenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo D Single Family Dwelling D Addition/ Alteration
D Duplex □ Demolition
D Mechanical LI Pool
□ Relocation D Mobile Home □ Electrical □ Plumbing
D Spa LI Retaining Wall D Solar D Other _____ 1
DAT!!
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
~$8\ Nearest Cross Street
BuUdmg or Suire No. "';'if"
LEGAL DHSCRIJfl ION Lot No. Sutxl1vts1on Name/Number 0mt No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOB'S PABCEI, EXISTING USE PBOPQSEP USE
DESCRIPTION OF WORK ~ ()'3~.J~ l¼A~
1 eren rom app 1can
NAME ADDRESS
CI1Y STAT!! ZIP CODE DAY TELEPHONE
4. APPi1CAN I
NAME
□WNIRACIOR DAGEN I FOR WNIRACIUR □OWNER UAGENI FOR OWNER
CI1Y STATE
5. PROPEkl'i OWNkll
NAME ~ ~LL\~ STATE(,A
b. Z1:~cYs,o~ ~
CITY\9'$i\)~
r <£SIGNER NAME
CITY
STATE CA
STATE !Jc . .2-) \q sh
STATE
7. WORkERS CDMPENSAIION
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS
ZIP CODf;r2-.)?i:2, DAY TELEPHONE •
ADDRESS 30.;2.__ U..J6C--o¼1 f'V
ZIP CODE DAY TELEPHONE ?22--
IJCENSE CLASS C -t J) CI1Y BUSINESS !JC. #
ADDRESS
ZIP CODE DAY Tl!LEPHONE
I I 7 I
STATE !JC.#
Workers' t.Zmpensatton Declarauon: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POIJCYNO. EXPIRATION DATE
I
Ceruhcate of Exemphon: I cert.HY that m the performance of the work for whtch this penmf 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNPJl-B0llDRk DP.i!LARAIIUN
bwner-Bu1Jder Dedarauon: I hereby affirm that I am exempt from the Contracto?s License Law for the ioiiowmg reason:
□ 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 Llcense 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, however1 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 Llcense 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).
D 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's license Law (Chapter 91 commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLB'rt lHIS SECIION FOR NON.RESIOEN IIAL BOILOING PERMll's 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?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES CNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF 'TIIE ANSWERS ARE YES, A FINAL CER'TIFICATI! OF oa:IIPANCY MAY NOT BE ISSUED AFfER JULY I, 1989 IINLl'.55 'TIIE APPIICANT
HAS MIIT OR IS MEETING 'TIIE RF.QUIREMENTS OF lllE OFFICE OP EMERGENCY SERVICES AND l1IE AIR POLLUllON CON'TilOL DIS1lllCT.
9. WNSIRUCliON ll.NDING XCF.NCY
I hereby affinn that there 1s a construct10n lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097 (a) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
JO. APPiltXNI CPltlMCAllON
I cerufy that I have read the apphcauon and state that the aOOve mformauon JS correct. I agree to comply with all City ordmances 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 IWlMLllSS 'TIIE CITY OP CARLSBAD AGAINST AIL LIAll1ll'TIES, JUDGMENTS, CX>STS
AND EXPENSF.S WIIlCH MAY IN ANY WAY NDUJR AGAINST SAID CITY IN CONSF.QUENCI! OP 'TIIE GRANTING OP 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building o wo authorized by such permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pe it is uspended or abandoned at · e after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
DAT!!: _____ _
YEIJ.OW: Applicant PINK: Fmance
PERMIT# CB930213
DESCRIPTION: 400 AMPS OVERHEAD
TYPE: ELEC
JOB ADDRESS: 2501 STATE ST
APPLICANT: OCEANSIDE ELECTRIC
CONTRACTOR:
OWNER:
REMARKS: MH/JIM
SPECIAL INSTRUCT:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/17/93 INSPECTOR AREA PD
PLANCK# CB930213
OCC GRP
TO UNDERGR
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 722-6880
PHONE: L PHONE:
INSPECTO~
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
WDP02008 WOP
STATUS
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
_3_4 __ E_L _R_o_u_g_h_E_l_e_c_t_r_i_c ______ ~/-1...---------------
------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
030493 Rough Electric
ACT INSP
CO TP
COMMENTS
PROVIDE PLANS OR DETAIL
08/24/95 11:13
Page 1 of 1
B U I L D I N G
Job Address : 2501 STATE ~T
Permit Type: ELECTRICAL
Parcel No: 155-200-10-00
Valuation: O
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB950939
Project No: A9300312
Development No:
3327 08/24/95 0001 01
C-PRMT 02
60-00
Occupancy Group: Reference#: Status : ISSUED
07/14/95
07/14/95
DC
Description: REPLACE 400 AMP SERVICE 3 PHSE Applied:
Appl/Ownr : OCEANSIDE ELECTRIC
302 WISCONSIN STREET
OCEANSIDE, CA 92054
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
270.00
.00
270.00
Enter "Y" for Electric Issue Fee
Three Phase Per AMP
Other
* ELECTRICAL TOTAL
***
Apr/Issue:
619
Entered By:
722-6880
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
400
60. oo I .50
.00
210.00
60 .00
Ext fee Data
10.00 Y
200.00
60.00 SAT . INSP
270.00
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1 161
07/14/95 09:22
Page 1 of 1
B U I L D I N G
Job Address: 2501 STATE ST
Permit Type: ELECTRICAL
Parcel No: 15 5-200-10-00
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB950939
Project No: A9300312
Development No:
2717 07/14/95 0001 01
C-PRMT
02
Occupancy Group: Reference#: Status: ISSUED
07/14/95
07/14/95
DC
Description: REPLACE 400 AMP SERVICE 3 PHSE Applied:
Appl/Ownr : OCEANSIDE ELECTRIC
302 WISCONSIN STREET
OCEANSIDE, CA 92054
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
210.00
.00
210.00
Enter "Y" for Electric Issue Fee
Three Phase Per AMP
* ELECTRICAL TOTAL
Apr/Issue:
619
Entered By:
722-6880
Fees Collected & Credits
Total Credits :
Total Payments:
Balance Due:
.00
.00
210 .00
***
Units Fee/Unit Ext fee Data
.50
10.00 Y
200.00
210 .00
PERMIT APPLICATION PI.AN CHECK NO.
City of Carlsbad Building DepartlEl'lt
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 FST. VAL. ___________ _
I. PERMti IYPE
PLAN CK DEPOSIT _______ _
VAIID.BY. ___________ _
DATE
From List 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ______________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRQJECT INFORMATION
Addr~ c' f
Near~~treet
LEGAL DESCRIPTION
FOR OFFICE USE ONLY
Building or Suite No.
Lot No. Subd1V1s1on Name/Number Unit No. Phase No.
D 2 soils Report □ 1 Addressed Envelope
EXISTING USE PROPOSED USE • 5"'~ Ll_ ~F BATHROOMS
I
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCAN I O coN I RAC !OR 0 AGEN I FOR CON I RACIOR
ADDRESS
uoWNER DAGEN I FoR OWNER
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE
s. PROPER1Y oWNER
N~~first)
err! STATE
ADDRESS
~~L-DAY TELEPHONE
6. OONiitACIOR
ADDRESS ~2-.. v-l S"'C...U"-'SI~
ZIP CODE ru s•-1· DAY TELEPHONE JU-bl tfD N~Egard~first) lftllc;-12,,c_
ctr( STATE lAJ-
STATE UC. #2,; fj LICENSE CI.ASS C-/ L> CI1Y BUSINESS UC. #
ast name 1rst
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoRXERS' OOMl'ENsATION
Workers' Compensauon Declarauon: I hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert1hcate of Exemption: I certify that in the performance of the work tor which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BOUDER D£C1ARATION
□
□
D
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confracloi's License Law tor the following reason:
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 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:
(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, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE l'His SECTION FOR NON-RESIDENTIAL aOIIDING PERM! l's 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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES □ NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY Nor BE l:?SlJED AFTER JULY 1, 1989 UNLF.SS 11m APPUCANT
HAS MET OR IS MEETING nm RllQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICF.S AND 1HE AIR POILU11ON CDNTROL DISI1UCT.
9. OONS'IR0CIJON LENDING AGENCY
I hereby affirm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CTRIIFICAnON
I certify that I have read the apphcauon and state that the above information 1s 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 HARMLF.5.5 1HE CTIY OF CARISBAD AGAINST AIL IJABJLITlES, JUDGMENTS, CDSfS
AND EXPENSES WI-DCH MAY IN ANY WAY Aa::RUE AGAINST SAID CTIY IN CDNSF.QUENCE OF 1llE GRANTING OF 1lflS 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 by the
building or work authorized by such
such permit is suspended or aband e
APPLICANT"S SIGNATURE
1lding Official under the provisions of this Code shall expire by limitation and become null and void if the
it is not co n ed within 365 days from the date of such permit or if the building or work authorized by
at an fte work is ommenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE:
PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950939 FOR 08/30/95
DESCRIPTION: REPLACE 400 AMP SERVICE 3 PHSE
TYPE: ELEC
JOB ADDRESS: 2501 STATE ST
APPLICANT: OCEANSIDE ELECTRIC
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB950939
OCC GRP
CONSTR, TYPE NEW
STE: LOT:
619 722-6880
REMARKS: MW/JIM
SPECIAL INSTRUCT:
INSPECTOR __ L/,_t-"9-y-'--------17
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
WDP02008 WOP
33 EL Service Change/Upgrade
---------------------------------------------------------
STATUS
ISSUED
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
SDG&E
Michelle Kaiser
1623 West Mission Rd.
Escondido, CA 92029
City of Carlsbad · · ■=1 1 11&11,l·l•JA•Elil,IIA,li
Re: After Hours Shut Downs and Meter Resets
Dear Michelle,
Recently two businesses in Carlsbad have had to shut down their electric service to repair the
service equipment. In both cases your office correctly instructed the electrician to arrange an
after hour inspection with the jurisdiction for a clearance so the SDG&E crew could energize
the service when repairs were complete. The job locations were at 2501 State Street, Culligan
Soft Water, and Marron Road, The Olive Garden.
In both cases arrangements were made for an inspection appointment and the inspector arrived
to find that the service had been energized, sealed without inspection, and the SDG&E crew
gone. The service is then obviously "hot" and not in a condition for inspection.
Please instruct your service crews to wait for City clearance prior to energizing the service after
a shutdown as your company policy warrants and City Ordinance requires. I appreciate your
concern in this matter.
Pat Kelley
Principal Building Inspector
c: L. Sabin
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
..
II) z 0 .:: C a: C ~ u Ill a
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and ProfHslons Code, and my license Is In
full force and effect. Lie No ______ Class _____ _
I hereby affirm thal I am exempt from the Con·
~~~·~;~;:; ~w ~,~':,:~~~~~
county which tequires a permit to construct alter, improve, demohsh, or repair any structure,
pnor to its ,ssUMlee also requires the applicant tOf
5:uch penmt to Me a signed statement that he 1s
hcensed pursuant to the prov1st()fls o1 the Con· tractor·s license Law (Chapter 9 commencing with
SectK>n 7000 of 01v,s1on 3 of the Business and Pro-
fessions Code) Of that 1s exempt therefrom and the
basis f01 the alleged exempt,on Any vt0lat1on of Section 7031.5 by an applicant tor a permit subtects
tne appheat'lt to a civll penalty ot not mo,e than Hve
hundred doll.m {$500)
O I, as owne< of the p<Ol)e(ly, o, my employees .. ,th wages as the1r ~e compensation, w,11 do the
WC>ttl, and the structure 1s not intended Of offered for sale (Sec 70U, Business and Professions Code·
The Contraclor's bcense Law does not apply to an
owner of property W'ho builds or improves thereon
and who does such work him.self Of through his own
employees. provtded that such Impro..-erne;its are not 1ntende1 or offered for sale 11, however. the
building or improvement is sotd within one yea, of
completion, the owner-builder will have the burden of proving that he dtd not build or improve lor the
purpose of sale)
C I. as owner of the property, am exclusively
contracting wtth hcensed contractOfs to construct
~~::~~ac~, l~cu:~:s~!"~~::;i;
to an owner or proper1y who builds or improves
thereon, and who contracts fOf each pro1ects with a
contractor(s) hcense pursuant to the Con1r.ctor·s
license Law).
0 f am exempt unde< Sec ____ , B & PC
tor this reason I"-
0 I hereby affirm that I ha'le a cen1hca1e ot consent
to self-insure, or a cer11l1cate ot Workers·
Compensation Insurance, or a certified copy thereof
(Sec :llnl, Labo< Code)
POLICY NO. _______ _
COMPANY
□ Copy IS hied with the city
□ Cet11fted CoPy ,s hereby turn,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed it the permit
Is tor one hundred OOllars ($100) or less)
D I certify tha.t in lhe pert0<mance of the w~ tor wh1C-h this permit is issued, I shall not employ any
person 1n any manner so as 10 become sub1ec1 to
the Workers· Compensation Laws of Gallforma
NOTICE TO APPLICANT If. after makm~ ll'lls Cert• hcate of £•emption. you should become sub)ttt ,.,
the WC>f'kers· Compensation proY1SIons of the Labor
Code. you must tonhw1th comply wIlh such
pf0\'1S1ons or this perm,1 shall be deemed ,evoked
O I heteby affirm that there ,s a construction
Iend1ng agency tor !he perlormance ol the work lo,
which ltus permit IS ISSue<l (SeC 3097 C1v1I CodeJ
Lenoer s Name ___________ _
Lender 5 Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ""\ -APPLICANT,: l FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBJ,...r BUILDING DEPARTMENT At"PLICATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525
JOB ADDRESS
A~i.T· 1 g~OF( A;L:Al~NI
BUSINESS LICENSE ,t VALUATION PERMIT NUMBER
!lSO\ -S'r,.6:rR. ST. ·~1-
OWNER'S NAME
.l \ \--\-L( is;GQI
OWNER'S PHONE PRlv:;R~TW-CONTRACTORS PHONE • ZONE ?J <tj '11~1W..T -?(lC)-2...oSS-\-.
OWNER'S MAILING ADORESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG Uo/ODE
7 ... o .~o.>< l Bl~ CAR.L.~n .::... ·~ l.v ~ .~~ L/J
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER ' I STATE LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE
OESCRIPTION OF WORK
OESIGNER'S ADDRESS DESIGNER'S PHONE -
t .. ,...r...~~ A c2.-LJ ICC -F/P FLR ELEV. NO EDU c,,,1, ..... -~• ~F .. l ,__)Ari
OCC GP
0 STORIES )1I4/BIB930 vO NO i:;2.c
CENSUS TRACT GP LAND USE I PARKING SPACE l RES UNITS I GRADING ~ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRESPR 0 OIB9JO ll-1la1 l"".l"I .. AREA CONST ' .
y D ND vO NO vO NO Nor Valid Unlffs Machine ~,rifi«f
QTY. PLUMBING PERMIT· ISSUE 7 .50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT
EACH BUILDING SEWER OVER 100,DOO BTU SIGN PERMIT
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~
EACH GAS SYSTEM l TO 4 0 UT LETS BOILER/COMPRESSOR 3-15 HP TOTAL PUil1'fBING -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~LECTRICAL '-. \-,,.... -
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT ./ MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS /: MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ./' MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) /' SOLAR
TOTJ;L MECHANICAL / STRONG MOTION
TOTAL PLUMBING I /1 FIRE SPRINKLERS -
SOLA~
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE 2.00 QT . BRIDGE FEE .. /
NEW CONST EA AMP/SWT/BKR -, J">O IT _[/' -1 COLLECTOv°' / SCHOOL FEE · DISTRICT
I PH (/'J PH j j . ST~TANKS / Carlsbad
EXIST BLOG EA AMP/SWT /BKT 7 I ,v,/',.,,, 'ROCK, STO~Cif
, Encinilas .
l PH 3 PH . ~-': I~ / PUM~ ( ' I ,..-..,. San D,eguilo
REMODEL/ALTER PER CIRCUIT 7 7 PL,'\N HEc}( ~EE / \ ,. \I San Marcos
TEMP POLE 200 AMPS .A I \\J I ll
OVER 200 AMPS / " \\ ' I I I
TEMP OCCUPANCY 130 DAYS) / I / ' .
-/ ✓
TOTAL ELE~y I £.-TOTAL SOLAR TOTAL FEES PAYABLE I ~ -
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY Exp,r1t1on Every permit 1saued by the Bu1ldlng Offtc,11 under the prov,s,ons ofth,s * AN OSHA PERMIT IS AEQUIAE0 FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by fim,talton and become null and void If the butld,ng or work !>' O" DEEP ANO DEMOl.lTION OR CONSTittJCTION OF
0ECLARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authoraed by such permit 11 not commenced w,thm 180 days from the date of such STRUCT\JR£$ OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON :::c,n~ '!, t~y tr:·:x.~~t!C:~r:~!h:!~le~,~~ :'~'::~'~tr~.~ or .
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . 0 APPR 0 EDBY 1°o/¼1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND AP?; ~µIi ;Tur /4. /\ • OWNER CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE x (~ r✓, A"TTHl "_DtV II ~BY PHONE 0 L. _,i . ~ ~ GRANTING OF THIS PERMIT. 'c • ,. r . ._ -· -, .. , ---
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I'! INSPECTION TYPE DATE INSPECTOR
~ BUILDING
FOUNDATION I
J REINFORCED STEEL
MASONRY I
i
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME
SHEATHING
' FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND I
PLUMBING TOP OUT ! -TUB AND $HOWER PAN ,
GAS TEST I
ELECTRICAL I
t
TEMPORARY POWER '
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC
ELECTRIC SERVICE ' I
BONDING A
G. F. I. -SMOKE DETECTOR. I
MECHANICAL I
I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS ,
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS '
CERT OF OC~UPANCY ISSUED
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO I FOUNDATION INSP i
STRUCTURAL CONCRETE I
OVER 2000 PSI -'
PRES TRESSED
CONCRETE <
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I
PILES CAISSONS t
I
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'
1200 ELM AVENUE
CARLSBAD, CA 92008-1989
Office of the City Engineer
Ql:itp of <ICarlsbab
DATE: 0:m@? 8,/98.s-"' >
Dave Sauter
Encina Water Pollution Control Facilities
P. 0. Box 1005
Carlsbad, CA 92008
INDUSTRIAL WASTE PERMIT APPLICATION NO. 2S-.Z
TELEPHONE
(619) 438-5541
Enclosed is a copy of the application for an Industrial Waste
Discharge Permit from the subject applicant.
Your review and recommendations on this application will be
appreciated prior to the issuance of a waste disposal permit •
.-? -S-:-;-;;: e z ....... ..__-==::-----~-~
fiW: DONALD E. DONOVAN
City Engineer
Enclosure: Application No. 2~-z
C: Building Department
Jack Thomas, Dept. of Public Works
Arnie Wing, Dept. of Health Services
DED:JM:lch
--------·' ··---·---
~' ...,
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY OF CARLSBAD
Application:
(Check One)
N _____ x _____ _
Revised ·-----
B~ G ~of City Representative
;
Application No. _ _.;.2;._5._2-..;;..._
Industrial Class __ o;;_'i;._ __
,,.--
Date /(2-/ -R.::,
·--------------------------------------------------------------------------------
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT
A. GENERAL:
Applicant . ...,.=C.:..ir.....2..ao:::...,_...::::;.=.~,..._.._....--~
(owner, Lesse , etc.)
-Site _-1../
Add:i;esa ,.,JG'e?/ £, ~ £A.
Phona: ________ _ cl: -7~~rlta~''°Hdres~;7Zc\j O ,
Type of Business: &«7£2 Pe.k, ·(,..;., 4
/
I
B. INDUSTRIAL WASTES .AND PROCESSING: I I
I General description of chemical and physicail characteristics of existing
'
proposed waste t,/ Q LG C .f-C:'7 O<{ [ /) I( L0 Iv& s.6· ( =2'
or t&z:e d~ 6,·/ f,k,,)IZ} t
General description of process, (If ::ic
1
~ble) _______________ _
C. WASTES TO BE DI&.CJIAIU3ED TO SEWER:
Waste
(Check One)
Treated. ____ _
!
Quantity: Average. __ ~GPD
(Daily)
Untreated X Maximum _____ GPD
Applicant or Representative of Firm._..:4d-~"a...ak._·-.......,d_..._.tf ............ R __ L __ .4_.T/_"Y._';;"'.__ ___ _
(Print)
Date :...-1,/~I?::...-_-_.(c__~P.ai!....:~~-----
HOME OFFICE:
1910 South Yale Street
Santa Ana • Ca 92704
(714) 540-3850
BAFINUUMM
August 28, 1985
Mr. Tony Mata
Sr. Building Inspector
1200 Elm Avenue
Carlsbad, CA 92008
Dear Mr. Mata,
Call Toll Free -1-800/854-0213
6171 Interstate Circle
Cincinnati, Ohio 45242
(513) 489-0500
We have recieved notice that one of our customers, Coast Detail,
2501 State St., in Carlsbad, has been visited by your personnel
who is concerned about the properties of our product Degreaser
Concentrate, C-53.
This is to advise you that the surfactants in Degreaser Concentrate
are over 90% bio-degradable.
~f1 ,/ a)a,{., ·
Sincerely, ~
William C. Rockwel £
Chemist
BAF Industries
WCR:bn
cc: Frank Bell, BAF
Coast Detail, Carlsbad
RECEIVED
SEP ~ 1985
CITY OF CARLSBAD
Building Department
BEAUT 'r CAR
~ : cAFI BEAUT\' ~ .... on.SSIONAL : '' t·t, · l.&ll!.ll,la
Over 45 Years Experience in Automotive Chemicals THe:pR ....
Manufacturer of the Most Complete Line of Automotive Reconditioning and Appearance Materials.
V
'626* ····"'' o
Pe,m;t No. f14-/_/ Jo/_ City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbeled spaces only. Phone 7 29-1181
ELECTRICAL PERMIT APPll ATION
JO& AOOII ESS
.¼L U \ ~;-r AT(? --_. \ .
LOT HO, Im I TIIACT QsEE ATTACHl:0 SHEl:T) Ll[ ... L I 1 DllSCII.
OWN&:llt MAIL ADDlltt.SS u• PNONE
2 I I f rl It/ ,; ,,,/_ '/ // -.
CONTIIIACTOfl -MAIL ADOlltl.SS PHONlt LICCNSt. NO.
3 ' _./ ' c/2)
AflCHITECT O" OltSIGNUt MAIL ADDlllt.SS· PHON[ LICENSE. NO,
4
ltHGIHElt,-MAI L AODlll:ESS PHONE LICENSE. NO.
5
LE.NDltfl: MAIL ADDlltCSS • 811ANCH
6 \._ ,
USE 0,-&UILOING /. 'I 7 ii JM
a· Class of work: □NEW □ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: J 11 /1 . I /,.{(i (!_ ,:;,~ -,.___ ~ f"J O d.-yJ~I ,.-
--11; ;..I 0rj 1: . J / _,/ / \.. ,(j I
I PERMIT FEES
No. Each
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
1 "J"'
NEW CONSTRUCTION, FOR EACH
APl'LICATION ACCEPTED av, PLANS CHECKED BY· APPROVED FOR ISSUANCE ev, AMPERES OF MAIN SERVICE, SWITCH,
-'"), I "';1/
✓ FUSE OR BREAKER , -I ./ -' ----, I./-/'-.... ~EW SERVICE ON EXISTING BLDG.
NOTICE OR EA. AMPERE OF INCREASE ,.., IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER / u .. ~ 1 , U,,, , )/_,,
TION AUTHORIZED IS NOT COMMENCED Wt THIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
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 TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
,/ / ,, A •. GNATUIIP)TIIACi;o .. •:T:9?zr;:A (DATE) ~l' ~. ;I t1/_; t / MINIMUM PERMIT FEE
' &lllN Ill or OWNER (Ip OWNUI aulLOl.11 , V OAT&
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
0 l; f z " .. > .. 0 0 ..
" .. ..
Fee
;')' vc
/.:" ...__),
-J. "'I'
CASH
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