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Home My WebLink About1422 SWEETBRIAR CIR | 1424 SWEETBRIAR CIR; ; 81-388-4; Permit,I L \\ I• 1-r & 'Z.. .:;L -13 'c-/,-... _., (I) z 0 j:: C IIC C _. (,J "' 0 C I[ 0 (,J IIC Ill a _. 5 • ic Ill z ~ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with 1 Section 7000) of Dlvlslon 3 of the Business and Professions Code, and my license Is In full force and effect Lie No _______ Class ---'---'--r- I hereby affirm lhat I am exempt from the Con· ~~~·e~!~:~s: ~: ~f~1~1~c!l,'~•~; county which requires a pennit to construct alter. improve, ~,sh, or repair any structure. pnor to ,ts issuance also requires 1ne. applicant fOI' such pemut to file a Signed statement that he ,s hcensed pursuant to the provisions or the Con· tractor's License Law (Cn-,ter 9 commencing with SectK>n 70(X) of 01v1sfoo 3 of the Business and Pro- fess~s Code)°' that 1s exempt therefrom and the basis '°' the alleoed exemptlOO Any v1olat1on of Sechon 7031 5 by on applicant to, a permit subfeets tne apphcant to I c1v11 penalty of not more than five hundred dollars ($500) 0 I, as owner ot the property, or my emp1<>yees -.1th wages as their sole compensation. will do the work, and the structure 1s not mtended or offered fOf sa'e (Sec. 1a..., Business and Professions Code. The Contrac1or·s LJCense Law does not apply to an owner or property who builds or improves thereon and who does such wOfk himself or through his own employees. provided that such improvements are not 1ntende1 or offered tor sale If, however, the butldmg or ,mp,ovement 1s sokS within one year or completion, the owner-builder will nave the buroen of p,0-.,I09 that he dtd not build or improve tor the purpose of ... 1e), C I, as owner ot lhe prOC)erty, am exclusively cont~tmQ with hcensed contr~to,s to conslrucl the proJect (Sec 7044, Business and Professions Code· The Contractor's License Law does not apply to an owner of property who builds Of improves thereon, and who contracts fOf each proJects with a contracto,(s) license pursuanl to the Contr.ctor·s L.cense Law). D lamexemptunderSec _____ .8 &PC tor this reason --~--------- J , hereby att,rm that I ha·-te a certificate of consenl '/:', self-insure, or a cert1f1cate of Workers' Compensation Insurance, Of a certified copy !hereof I I I I I z ':_;;::;_;_:;;~, i,, I g COMPAi"5iz77!1, L:._;_t:! •I ~ A Copy ,shied w,tn the city~ I ~ O Cerhhed copy ,s hereby lurmstled I :Iii 0 CERTIFICATl OF EXEMPTION FROM I U WORKERS' COMPENSATION INSURANCE I ~ (This section need not be completed 1t the permit I w 1s 101 one hundred CSOllars (S1001 or less) ~ O t certify that in lhe performance of the work tor I O which this permit ,s issued, I shall not employ any 3 person in any manner so as to t>ecome subIect to I the Workers· Compensation Laws of California NOTICE TO APPLICANT It. atler makm;J ltus Cen1 ftcate ot Exemption, you should bec:ome subIec1 1? the Workers· Compensation prov,s,ons ol the ubof Code. you must tor1hw1th comply w,th such provisions o, 1A,s perm,I ..shall be deemed re~ed 1[ 0 I nereby affirm lhal there 1s a cons11uct,on lending agency tor Ine per1o,manc.e ot !he wOOI, tor which this permII 1s issued (Sec 3097. C1v1I Code) Lenoer s Name ___________ _ Lender·sAOdress __________ _ USE BALL POINT PEN 01''-'r..l PRESS HARD A_ CARLSBAD BUILDING DEPARTMENT Elm, Carlsbad, California 92008 (714) 438-5525 /~ ~ ✓-=--r ...S-A<:.~ vO NO CENSUS TRACT GP LANO USE RES UNITS GRADING f".ERMIT ISSUED v O N 0 REDEVELOPMENT AREA QTY. QT'(. .. PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTA~ .. ALTER, REPAIR WATER PIPE ~ vO 7.5 0 QTY. MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS i.JP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE -+-------i---4-VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS EACH VACUUM BREAKER -------+------i---+---RElOCAT10 N OF EA FURNACE/HEATER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTJ.L MECHANICAL TOTAL PLUMBING ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP/SWT ,BKR 1 PH 3 PH D<IS,T BLOG EA AMP/SWT /BK R 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 OAYSI TOTAL ELECTRICAL TOTAL SOLAR APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A~"' ";:CLARATIONS. APPLICATION & PERMIT BUSINESS LICENSE # PERMIT NUMBER CONTRACTORS PHONE • '-!-& 13-~t- LICENSE NO. ,-:~gg' BLOG USE CODE STATE LICENSE k STANDARD PLAN# I 0/29 /81 ~ o.,~ ) FIRE SPR NO 3 .00 BUILDING PERMIT SIGN PERMIT PLAN CHECK I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued by the Budding Olllc111 under the prov1s1onsofth1s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm.'tetton and become null and void 11 the bu1ld.ng or work * AN 06HA PERMIT IS REQUIRED FOi! EXCAVATIONS OVER 5' O" DEEP AHO OEMOl.rTION OR CONSTIIUCTION Of STFIUCl\JAES OYER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulnortzed by such permit is not commenced w1th1n 180 days from the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~~::.,,:, 1~t t:~ f,•ldi~ or work aulhonzed by such permit 10 suapended or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . me a er the ork IS commenced for 8 nod of 180 " ~ _ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APP ANTS SIGNATURE APP~VEO BY - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ~ u:: >, <ii 0 0. E Q) I- I 'O 0 <!J c II! -~ a. 0. <{ I :,:. C a: 0 rn rn Ql rn rn <{ I 3: .2 4i >- rti rn Q) u 0 a: <U <ii 0 ~ Q) u C II! C u:: !:- C Q) ~ <!J 0 0 Ql 0. rn C ~ .c ~ INSPECTION TYPE BUILDING FOUNDATION REINFORCED STEEL UASGr>l ~ Y GlJ_NITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING A G. F. I. -SMOKE DETECTOR. MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS DATE INSPECTOR ., CALL FOR FINAL INSPECTION WiHE,Y ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. PLUMBIN.G ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUP.O."lC.::..Y--'-'ISc..;;S~U-=E.::.D ___ ----,-_ _.__ ___ _.___---r __ _ I . . ., FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI , PRESTAESSED CONCRETE I POST TENSIONED CONCRETE . FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY I PILES CAISSONS . ~ -. ' < ..... -· ; ~--. --.. ---,.. ' --- •' ... , ...... _ .. ... ,. \,.) -. . (,_ .,. ~ ~--~ , -. ' ,__ . ( ~ . ' -. . . J • --- • . .. . . . . INSPECTOR'S NOTES , ~ -... • - ., ·. I ' '-l 1 1 \ -I 1. -I -f ¥ \ I ,. ' < '-. '\. ~ -\ ·, } ·"' ' ~II., I 1,r" r-- ~ ' . . ' 1. ' I \:r p r- f ~ -· . ~---. . \ , -,.; I ; I • .. (' ·-~ \ , •-.."· - ~ -.. 1,-,, ' " "=-"'I -.;-~~ , ' '-~--·' C::-: '.t ';f ,. . . --... "~ ·,. ~ _! -..... . " -•:!'-----. . ' ... -~ . .,, .. ...... _ ~ -, ---' -' ,.• "' . ~ 1 ' ' ..... ' ~ ·• , -. ' ., .... 0 C/1 z 0 ;::: C CIC C _, :.l 0 IC I[ CJ CIC w 0 _, 5 :l "' z ~ z 0 ;::: ~ z w IL :I 0 0 C/1 a: w "' CIC 0 ~ tl 0 I hereby a111rm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No ______ Class I Mret>y atltrm tha-l I am exempt from the eon. ~~a;'~;;~,:::~~,~':.~~~~~~ county which requires a permit to construct alter. improve, demohsh. Of repair any structure. pnOI' to ,ts issuance also r~uires the applicant tor such penn,t to file a signed statement that he 1s lteensed purs~t to the prov,s,ons of the Con· tracto,'s License Law (Chapter 9 commenc,ng with Section 7000 of 01v1sK>n 3 of the Business and Pro- fessions Code) or that 1s exempt therefrom and the basis fo, the alleged e,;emphon Any v1olat1on of Sectt0n 7031.5 by an apphQflt tor a permit subfeets tne apphcant to a c,v,I penalty of not more than hve hundred dollars ($500) 0 I, as owner of the pr()perty. Of my employees Vlilh wages as their sole compensattoo. will do tne '#Ofic, and the structure ,snot intended or offered for sale (Sec. 7()4.(, Business and Professions Code The Contractor's License Law ooes not appty to an owner of property who builds or improves thereon and who does such w()(1it himself or thrOUQh tus own employees, p~1ded thiit such ,mproveme;its are not inteode1 Of offered tor sale If, however, the building or ,mp,ovement 1s sold within one year of completion. the owner-builder will have the burden ot provtnQ that he did not build 0< improve for the purpose ot ... 1e~ □ I, as owner of the property, am e•clusively contrachni w1tn licensed contr~tors to construct the proJec.t (Sec 1°"'-'. Business and Professions Code: The Contractor's License Law does not apply to an owner of property w-ho bwlds or improves ~~~.~~ ~~nc~~~!~~~ ~~h~'~\~~::-: License Law). 0 lame•emptunderSec _____ ,B &PC 10< ttus reason 0 I hereby affirm tha1 I ha~ a ce<11f1cate of consent to self•insure, or a cer11f1cate of Worxers· Compensation Insurance, Of a ce111fted copy thereol (Sec 3800. Labor Code) POLICY NO __________ _ COMPANY O Copy ,s hied w1tn the city 0 Cett1f1ed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be comple.ted 11 the permit 1s tor one hundred dollars (S100) Of less) 0 I ce<11fy that ,n the performance of the w()O( tor wh1ct1 ttlis permit 1s ,ssued, I shall nol employ any person ,n any manner so as 10 beeome sub1ect to !he Wor11.ers· Compensatt0n Laws of Galltorn,a NOTICE TO APPLICANT If. afler makin'J ttus Ce<11 ftcate ot Exemp11on. you shOuld become subJect t? the Workers' Compen~t,on provisions ot the LabOr Code. you must fOf'lhwtth comply with such p,ov1s1ons or this permit stlall be deemed revoked O I hereby affirm 1t1at there 1s a construction lending aoency for the perfOfmance of !he wont tor wtHctl u,,s permit ,s issued {Sec 3097, C11J1I Cocte) Lender s Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN O !..\ & PRESS HARD ,.------. nrr~•'-"-'"' ,_,, .... ,,,.,,.,_,., •. '""'.,_,,. ........... ._ .... __________ ·• . CARLSBAD BUILDING DEPARTMENT ,JI , APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB AODRESS &l.;l...,f':L A~i_T rATE o#;mONI BUSINESS LICENSE # VALUA TION PERMIT NUMBER lt./J:l;;z-/~f-~6~-rC~1,,o~ OWNER'S NAME I '-L3 ;::;s~LN~ ~;;~"~ 71, 5 ~-,J CONTRACTORS PHONE• ZONE ?!-3!!1'-ff. ~,DA--rH-Jk~ 1 oe lt4'1s. 51 oAJ Lt 1;zr; ~;es~~ g ~.s~ CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLDG USE CODE LOT I BLOCK suB01v1s16N I ASSESSOR PARCEL NO DESIGNER STATE LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER"S PHONE ,...__ ___ ---Rv/4-?llJ~S-----F/P F LR ELEV. NO CCC GP EDU 11 /lJo/8!23_1 9 STORIES b9,DJ vO NO -- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.EAMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPA A RE A CONST YO N D vO NO v□ NO Not Valid Unwss Machine ~rtifif!d QTY. PLUMBING PERMIT · ISSUE ;.f!-QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER h, EACH FIXTURE TRAP ~-~~ INSTALL FURN. DUCTS UPTO 100.000 BTU BUlLDING PERMIT ./ EACH BUILDING SEWER /:,.f..::,,. OVER 100.000 BTU SIGN PERMIT -PLAN CHECK V EACH WATER HEATER AND/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP - v EACH GAS SYSTEM 1 TO 4 OUTLETS s~'-BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING '1/9-;_- EACH GAS SYSTEM 5 OR MO RE METAL FIREPLACE ELECTRICAL - EACH INSTAl .. 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 ORAIN (INSIOEJ SOLAR .,. . --TOTAL MECHANICAL STRONG MOTION - TOTA L PLUMBING I 1/'I ~--FIRE SPRINKLERS PUBLIC FACILITlES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIOGE FEE NEW CONST EA AMP/SWT/BK R COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San 01egu1to REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I //91~ I HAVE CAREFULLY EXAMlNED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E•p,rat,on Every permit issued by the Building Ofhc1al under the prov1S1on1 of this * AN OSHA PERMIT IS AE0UIRED FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••p,re by lim1tahon end become null and void If the building or work 5· O" DEEP ANO OEM0UTION OR CONSTI!UCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authof!Zed by such perm1t 11 not commenced w,thin 180 days from the date of such STIIUCTUAES OYER ~STONES IN HEIGHT permu. or 11 the build1::fl or worl< authorlled by such permit II suapended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandOned at anv time • ter the work II commenced tor a oe11od or 180 :.. .... STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE .if. OWNER□ CONTRACTOR 0 APPROVED BY ;(Ill (0½ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND . EXPENSES WHICH MAY )N ANY WAY ACCRUE AGAINST SA)D CITY IN CONSEQUENCE OF THE .. GRANTING OF THIS PERMIT. .... . ~BY PHO~J 0 . I ~ u:: >. ;;; 0 0. E Cl> f- l 'O 0 C, C "' -~ 0. 0. c:( I -"' C ii: 0 rt) rt) Cl> rt) rt) <( I ~ !?. ~ en rt) Cl) (.) 0 a: "' iii 0 §: Cl) (.) C "' C u:: C Cl) ~ C, 0 0 Cl) 0. rt) C ~ .c ~ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION I REINFORCED STEEL I MASONRY ' GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING I FRAME I EXTERIOR LATH lNSULATION I INTERIOR LATH & DRYWALL i PLUMBING SEWER AND BL/CO ' PLUMBING UNDERGROUND i PLUMBING TOP OUT I I TUB AND $HOWER PAN ! GAS TEST I ELECTRICAL I r TEMPORARY POWER I ELECTRIC UNDERGROUND I ROUGH ELECTRIC I I ELECTRIC SERVICE I I BONDING A I G. F. I. -SMOKE DETECTOR. I I MECHANICAL I DUCT & PLEM., REF. PIPING I HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS •, CERT OF OCCUP~,...--:y.;_...:..IS;:..;S=-:U:..::E=D _____ --'-___ _._----r: ~. .,,._ .. 4 ._-.. '6'i -38 i -<-f p -- FIELD INSPECTION RECORD - -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE ,. FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY I PILES CAISSONS . . . -- ' ) .2 ' ' • __J .) . - I \ ' . . " L .., ~ ... -' r---- { . 0 .. Cl) z 0 ;::: C a; C .., u .., 0 ,,. C I[ u a; ... 0 .., 5 I ... z ~ 0 z 0 ~ Cl) z ... 0.. 2 0 u Cl) i,; ... "' a: 0 ~ If O I IMlreby a,,,, m that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. UC No -------ci.ss I het9Cy aft,rm that I am exempt from the Con ~~o;·~~::: ~w ~f~r:,:1~~,~~ county which requires a permn to construct alte<, improve, demohsh, or repair any structure. pno, 10 its 1sSONtee also requires the apphcanl tor such Plffl'UI 10 hie a StQned statement lhlt he IS lteensed pursuant 10 the proY1saons of the Con tractor's License Law (Chapter 9 commencing w1lh Sectt0n 7000 ot 01v1sio,, 3 of the Business and Pro fessK>ns Code) or that 1s ex&mpt therefrom and the basis for the al~ exempttOn Any vtOlataon of S.Ctt0n 7031 5 by on Ol)l)locant 10< • permit sut>tects tne apphc.ant to a. c,vil penalty of not more lhan hve hundred dollar$ jS500) D I, as owner ot the p,Ol)erty, o, my employees ,.,,h wages as their SOie compensat,on, will do the wont. and the structure 1s not ,ntenc:1@d or ottered tor we (Sec 7044, &s,ness Mid Protessaons Code The Contractor·s license Law does not appty to an owner ot property who builds or improves thereon and who does such wont himself or through his own employees, provtded that such ,mproveme;its are not 1ntende1 or offered fOf sale ft, howevttf. the bu1khno or ,mp,ovement ,s sok1 w11h,n one yeM of comptellOf"l, the O#ner bu1kter will have the burden of P,OVlnQ thal he did not build or ,mprove tor the purpose ot salel C I, as owner ot lhe property am exclusively contrachnsa with hcensed contractors to construct the p,o,ect (Sec JOU. Business and ProfessK>Os Code The Contractor s Lteense Law does not laPl)ly to an owner of property who builds or improves ~:!":::tc!t~ 7.~nc:'~~!~: ~~~h~,~~~~~:.: UCense Law) 0 I am exempt un0ef S.C • B & P C tor th,s reason O I hereby atftrm that I f\ave a cert,flcate of consenl- to selr•msure, or a cert1f1cate of Workers· Compensation Insurance, or a cen,hed copy thereot (Sec 3800. ubOf Codel .CO~NY _ ,,~ Copy 1s hied w11n the c1ty ( t<J 0 Cen,tteei copy 1s hereby turn,snec:, CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sectt0n need not be completed ,t the permit ,s tor one hunched ~•ars (S 100) or tess) D I cert,ty that ,n the pert~ ot the wont lo, which this pem,1t IS ISSue<l. I Shall not employ any person ,n any ~ner so as 10 beeome sub1ect to the Workers· Compens.,tion Laws ol C~1forn1a NOTICE TO APPLICANT II. alte, !Nlun~ '"" Cen, t,c.ate of Exemption you sl'loutd beeome subfect t? lhe WOtke,s' Compensation provisions of the Labor Code, you must for1hw1th comply with such p,ov1s,ons Of this perm,t shall be oeemed re\/Oke<l O I hereby attum lha1 !here 1s a conslfuc11on lendmc;i agency tor the perfo,mance or !he work tor which this permit ,s issued !Sec 3097 C1v11 Code} Lenc>er s Name ___________ _ Lenders Aadress __________ _ USE BALL POINT PEN ('"!.Y & PRESS HARD ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA y·-. DECLARATIONS ' -CARLSBAD BUILDING DEPARTMENT \.__) APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB AODRESS A~·;_T., D~ ;;7;1NI BUSINESS LICENSE " VALUATION PERMIT NUMBER I J./ .2.!) -I J-~11-cS.u, u;r .,&(!.; ~ <::::?.,,~ , -- OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR / / CONTRACTORS PHONE• ZONE t/--3ff£ ~.,J, . .,. · ~ -;-:: ~~/t>~ ~c:. <-iC>I\I ;1/...37-336 ~ di£M~ O? o.lL&;ESS~ n z;;~;z:~ ~'2 e LICENSE NO. PLAN I.D. # BLOG USE CODE LOT I ~LOCK I SUBO· v•S•ON I ASSESSOR PARCEL NO DESIGNER STATE LICENSE ,r STANOARO PLAN# BUILDING SQ. FOOTAGE ' OESCRIPTION OF WORK OESIGNER'S ADORESS DESIGNER'S PHONE -_l_l/_l.2/Blt~I . .. ,.JS /='/.,_ /.!:-C"-,,e.,a ~.<-, 0-----. -. F/P FLR ELEV. NO OCC GP EDU STORIES vO NO -- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING F!ERMIT ISSUED I REOE VELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unwss Abchin, wrtifi«J QTY. PLUMBING PERMIT . ISSUE '7L~ QTY. MECHANICAL PERMIT · ISSUE 3. {){') SUMMARVACCOUNTNUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT --· ~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ' r \ EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING ~ A_ .. ~ L ,.,,,, I Jr/ f--.:> ~ / EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL . , ~~1~ ---EACH INSTAL 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 TOTAL MECHANICAL STRONG MOTION --·-r ~ TOTAL PLUMBING FIRE SPRINKLERS :).(T\ PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE BRIDGE FEE / NEW CONST EA AMP/SWT ,SK R /Q-t) .t::::7)~ COLLECTORS SCHOOL FEE -DISTRICT ( 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas I PH 3 PH PUMP San D1egwto REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI -----·- TOTAL ELECTRICAL 7--~~~ TOTAL SOLAR TOTAL FEES PAYABLE I L/7 tC!!---- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rahon E .. ry permtt -by lhe Bu tiding Off,c,al under the prov,110,,1 ofth11 * AN 0&HA P£1WIT IS IIE0UIRED FOR EXCAVATIONS 0VEfl CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall axp,re by hm1tat1on and become null and vo,d II the bu1ld1ng or work 5· O" DEEP ANO DEMOUTION Ofl CONSTffUCTIOH Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by 1uch permit 11 not commenced w1th1n 180 days from the date of such STRUCTUAES OV£A l STORIES IN HEIGNT per";~! build,~ or ~UIIIOfozad !';!"~uch permit ,a ._dad or ISSUED. TO COMPLY WITH ALL CITY, COUNT':' ANO STATE LAWS GOVERNING BUILDING CON aban any t,ma a a, 11 com man for a oenod of t 1111 ,tav• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO A~SICllNATURE ~•• ~ ~ ~D~-~-O~ACTOR □ APPROVED BY •· lYAt-DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO 1 ri✓r1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, --.----., ..---.. GRANTING OF THIS PERMIT. , 1 ~./ ,n ~d--tf..-R.. / IIY PHONe'□ ~ u:: ~· al 0 a. E Q) I- I 'O 0 (!) c al .2 a. a. <( I "" C a: 0 rtl rtl Q) rtl rtl <( I ;: .Q ai >- .,; rtl Cl) 0 0 0:: al iii 0 ~ Q) 0 C al C u:: !::. C Q) Q) a 0 0 Q) a. rtl C ~ .s:: 3: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION I REINFORCED STEEL I - MAS9NR::.,C GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME 1'241R'5 c..J\- EXTERIOR LATH lNSULATION .... INTERIOR LATH & DRYWALL I PLUMBING : --- SEWER AND BL/CO I ' PLUMBING UNDERGROUND PLUMBING TOP OUT ~,?!;~ t-J} TUB AND ~HOWER PAN I ~l GAS TEST ELECTRICAL . TEMPORARY POWER i ' ELECTRIC UNDERGROUND l ROUGH ELECTRIC I ~.14.~ (1..w I ELECTRIC SERVICE l •t I BONDING ~ I G. F. I. -SMOKE DETECTOR . ' I MECHANICAL I DUCT & PLEM., REF. PIPING ~ , ·zA . Pi -i., ~.J.t HEAT -AIR COND. -SOLAR SYSTEMS fl VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS .. CERT OF OCCUP?~'"Y ISSUED 1 1 ,, ... - . ' . -4 8l--.3s.~--lf <E= FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE I OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS - SPECIAL MASONRY PILES CAISSONS -. -I - -- I ' -'' .. ~ ,- - - -. . ' . --,-- - - -!'", l.,i ,,..---.., 0 VI z 0 ~ C CIC C ... u w 0 0 I hereby affirm that I am licensed under ~ [ provlal~a of Chapter 9 (commencing with >-Sec:Uon 7000) of Division 3 of the Business ~ w "and Professions Code, and my license Is In ~ full force and effect. z lie No _______ Class _____ _ 0 u CIC w 0 ... 3 ~ w z 3 0 z 0 ~ C VI z w IL 2 0 u VI a: w "' CIC 0 3 ![ I hereby affirm that I am exempt lrom the Contrac- tor"s License Law lor the lollowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re· quires a permit to construct, alter, improve, demohsh, or repair any structure, prk>r to its issuance also requires the ap- plicant for such permit to file a signed statement that he Is licensed pursuant to the provisions ot the Contractor's License Law (Chapter 9 commencing wltb section 7000 or Division 3 ol the Business and Prolessions Code) or that is ex· empt thorelrom and the basis lor the alleged exemption. Any violation ot Section 7031.5 by an applicant for a permit sub- ,ects the appltcant to a civil penalty ot not more than five hun-dred dollars (S500). D I, as owner ol the property, or rrry employees wllh wages as their sc:H compensation, wiH do the work, and the struc- lure is not intended or offered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does ::r:gg!~0 :~ :rs!t~rii;:, ~i:~~~~r:= employees, provided that such Improvements are not intend• ed or offered for sale. It, however. the building or imprr,ve. ment Is sold within ooe year of completion, the owner·builder will have the burden of p,oving that he did not build or im- prove for the purpose of sale). D I, as owner of the property, am excfuslvetv contracting wllh licensed contr,ctors to construct the projec! (Sec. 7044, Business aoo Professions Code: The Contrac1or·s license Law does not appty to an owner of property who builds or im--proves thereon, al'ld who contracts for each projects with a contractor(s) license pursuant to the COntractor's License Law). D As a homeowner I am Improving rrry home, and the follow· ing conditions exist: t. The work is being pe~ormed prior to sale. 2. I have lived In my llome for twelve months 3. rr~: :;1Pc~:t t1~: :'~pUon during the last three years, D I am exempt under sec. ______ , B & P.C. for this reason ____________ _ □ I hereby afhrm that I have a cert,t1cate of consent to self-insure, or a cer11ticate of Workers' Compensahon Insurance, or a certified copy thereof (Sec 3800. LabO< Code). COMPANY ' □ Copy IS hied with CERTIFICA~F EXEMPTION FROM WORKERS" C PENSATION INSURANCE (This section need' 01 be completed 1f the permit 1s 101 one hund dollars ($100) or less) 0 I certify that in the performance of the wort( tor wh,cn this permit 1s ,ssued. I shall not employ any person in any manner so as to beeome sub1ect to the Workers· Compensation Laws of Cahtorn,a NOTICE TO APPLICANT If, after ma.kin~ trus Cert, hcate ol Exemption. yOY shOuld beeome sub1ect 10 the Wonters· Compensation prov,s1ons ol lhe Labor Code, you must forthwith COO"lply with such prov1s1ons or this permit shall be <:Seemed revoked 0 I hereby affirm 11"1.at there 1s a cons1ruct1on tend•n~ agency IOf the perlo,mance ot 1ne w0f11 IOf which th,s permit 1s issued 1sec XFJ7. C11J1I Code) Lender"s Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSB~ BUILDING DEPARTMENT -APPLICATION & PERMIT 1200 Elm, Carlsb d-, California 92008-1989 (619) 438-5525 JOB AOORESS /if -2 ~ S'~--/ , · __ ~ d ·_ /,, A~;T·i;;;~:;7;;:0N1 BUSINESS LICENSE # VALUATION PERMIT NUMBER /</2 YJ f}/-388 ~ff\. OWNER'S NAMY - ~O~~z;E CONTRACTOR 7 / CONTRACTORS PHONE • ZONE ~.o~~~o~/VJ.S.s.M ~~01t-P?~ ~-~:fl/-n OWNER'S MAILING AOORESS ~:;;~~~;E~B£ /4/Z LICENSE NO. PLAN 1.0. # BLOG USE CODE /~ ~p. /r-..--i: /4~ LOT I BLOCK l SUBOIVISION ~~R~~~O.,.,~ :2~;~ !VvAf.&z, LICENSE# STANOARO PLAN# BUILDING SQ. FOOTAGE n~::;~; WORK I '7i!l"H' ~~ el~-.,,. DESIGNER'S ADDRESS Sr ~~R'S PHONE --~ tv,,.o t. /11J-.,J,' a Pr Lj2-Pr~ / t ___ ~,S// 't,{/o~.O ::.<~ ?lltPt Ii:./, \,.I • .· ..,.._ • F/P FLA ELEV. NO C>CC GP EDU Li· •• I I STORIES .: ~ _ft I ·· 1 , .. vO NO --[,[,' I' ~~ • I CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST '- YO ND v□ NO vO NO Nor V~lid Unless Machine Certifi«J ·1~ """ QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE 3~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ~ INSTALL FURN. DUCTS UP TO 100,000 BTU v ·~ BUILDING PERMIT 01 ·00·00·8220 EACH BUILDING SEWER □VER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 - EACH WATER HEATER ANO/OR V ENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 /,...:2 .!---- EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 //,£::::- EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEH0ME 01 ·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEHDME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01 -no.nn.A22~ TOTta MECHANICAL /Ir'! STRONG MOTION 80·92·33·0519 TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 .:2~ I,, PUBLIC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHDDL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519 1 PH 3 PH PUMP San Dieguito 80·92· 23·0519 REMODEL/ALTER PER CIRCUIT .r(J 1-PLAN CHECK f'.EE San Marcos 8□·92·24·0519 ~ TEMP POLE 200 AMPS /t)..-:- OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) - TOTAL ELECTRICAL I /;;_ -~~ TOTAL SOLAR TOTAL FEES PAYABLE :<3~ a. I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY E•plration Every permit tUUed by the Bu1ldlng Official under the provis,ons of-* AN OSHA PEINIT IS REQUIAEO F0A EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmltatlon and become null and void II the butlding or -S' O" DEEP ANO OEM0UTION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS 1uthor1Zed by such permit 1s not commenced within 180 days from the date ol -'t STAUCl\lRES OYER 3 STORIES IN HEIGHT permit, or If the bu~dl~ or work authorlZed by such permit 1• suspended or ISSUED: TO COMPLY WITH AU CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv bme a er the work IS commenced for a ""'rod ol 180 - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICLUURE ~~ OWNE~ CONTRAC*-"' APPROVED BY ~v~ 1 DN~✓ 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 RO ~ ~ j BY PHONE 0 GRANTING OF THIS PERMIT , ~ I INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION I r,i,m.ez. (1-if ll REINFORCED STEEL . - MASONRY . GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL • I l I PLUMBING -- SEWER AND BL/CO .. PLUMBING UNDERGROUND PLUMBING TOP OUT I TUB AND $HOWER PAN GAS TEST ' ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC . ELECTRIC SERVICE BONDING -I . , ] kr\: G. F. I. -SMOKE DETECTOR . MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS . VENTILATING SYSTEMS \, CALL FOR FINAL INSPECTION WHEN ALL APPROPfllA TE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BULLDING SPECIAL t;ONDITIONS CERT OF OCCUPANCY ISSUED " ' ~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH r BOLTS SPECIAL MASONRY PILES CAISSONS •; ' ~ l.t"! ' ' ..... - ,. ' . \. ,J, ' ... -•, '-c ' " ' ',., -·~'"·--:.~-" .. ,, ., I'"'.° .; ,, -.... .... '• . -. '. -,-;,-. ~ \\ ~-~ ,, ~},,A; ' = -, .... , ,, r~. i=-~' -~ ,, {' .... -' "' ., :, 1 --. I -' . I -. . . -8 I -'t>~ . .., 4 ..-/Y\_ \ .• .. .. / .. '" i. . r . INSPECTOR'S NOTES :s .;,,,, • ·--.o:::... - DATE -;. \ . ..._,. ' ,, ,, •. J ~ " .. '"' ~. .. . ~ . I I ' . •' r R ' -,, \----I ,,_ " ........ ' -· .. .. . \..~-, , -·--:: . ., . I ~ ~. I ~ (".' . .;_ .. , .. -. ~ ' . • , I "· . -C --" -' .. .. \ ,,. y--· \. : -; ~ ... ... ~ .,. <-· ,. . . . \ •.l ~ ..... ~~. .:.. ' - ~ ,., -. ' --" ... -,,. . .,. ', . • .. ·-... _ .. I ., \. \': "!(_\ "-~~ ~ ;=\-, -•\: I.,, .. ' }-:· ; ' \,. -2' ~ ·-~ ... -.\ . -: ' I. " ' r., ... -. ' . i ·' .,