HomeMy WebLinkAbout1414 SWEETBRIAR CIR | 1416 SWEETBRIAR CIR; ; 81-388-2; Permit_ j_ -#/7'-·-;,
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O I hereby !, that I am licensed under
provision, of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No _____ Cl•ss
I he1eby att,rm lhal I am uempt from Ille Con-~~~·~~~~::: ~ ~,~.~~~~-:~.(~
county wh1Ch requires a perm11 to construct
alter. 1mprove1 demohsh. or repair any structure, pnor to ,ts 1s.sUW1Ce also requu-es the appheant tor
such pemut to hie a sJgned statement that he ,s
lteensed pursuant to lhe prov1s1ons of the Con· tractot's l.cense Law (C~ter 9 commencing with
5echon 7CXXl or O.v1st011 3 of the Bu.s,nes.s and Pro-
tess,ons Code) or that ,s exempt therefrom and the
basts for lhe a.Heged exemplton Any vt0latton of
Secl,on 7031 S by an appl!Qnl lo, a pe,m,t sut>tecls tne apphcant 10 a c1w11 penalty of not more than five
hundred dotlilB ($500)
,,,,(., as ownef or the property, o, my empk>yees ~ WIQeS as their sote compensat,on. will do the WOtk. and the structure ,snot tntended or offered for
sale (Sec 7044, Business and Professions Code
The Contractor's ltcense uw does nol apply to an
owner of p<Opeif'ty who bu1tds or 1mproYes 1hereon
and who does such wOfX himself or through his own
employees, pr0¥Ided that such Improveme;,ts we
not 1ntende1 Of oUered fOf ~~ It, howevet' the
building Of improvement Is sold w1thtn one year of
comptehon, the owner-OUIlder wilt have the burden
of p,ow,ng that he dtd not bu1k1 Of ,mp,ove fOf the
purpose ol salel
0 I, as owne< of tne prO()ec1y. am exclus1vefy
contracting with ltcensed contract0<s to construct the P,Otect (Sec 704,,1 Business and ProfesslOl"ls
Code The CoolraciOf s Lieense uw does nol opply to an owner of prOQerty whO builds or improves 1
~~~-c!t~ 7i~C:~!~~ ~~~~~:~;:.: License uw)
0 I am exempt under Sec
fOf ttus reason _
,B & PC
tail, hereby affirm that I ha-,e a cert1hcate of consent I ro self-insure, Of a cert1f1cate ot Wortters I ~~•~~sC;!,':t· or a cer11t•ed copy thereot I POLICYN0 ~-~-~7✓ -;~:
COMPAN~'7?!:-/;.,/e,r,/ /' / e
\□/Copy IS hied with lhe c,ty ·#-
~rt1hed copy Is hereby turn1sC
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permit
is tor one hundred dollars ($1001 or less)
0 I certify that ,n tM performance ol the wot'k to,
which lhts pemut Is ,ssued, I shall not emp10y any
person in any manner so as to beeome sub,ect 10
Ihe Workers C,ompensauon Llws of CaI1tom1a
NOTICE TO APPLICANT If. alter makm~ tnIs Cert,
fteale of ExemplK>n. you should become SUbJecl I?
lhe Wo111,ers· Compen~hon provIstons of lhe L.at>or Code you musl f0t1hw1th compiy wtlh such
prO'i'ISt<>ns or u·us permit shall be deemed r~ed
O I hefeby alt.rm U\al !here ,s a construc:ttoo
lend•rwJ agency tor the perlormance ot the wOO\ to,
wl''IICh lhtS pe{mll IS ,ssued tSec )(YJ7 C1v1I Code)
Lenoe, s Name ___________ _
Lenoer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ---. ----.. -.. -·---J CARLSBAD BUILDING DEPARTMENT l_J) V ,~ APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (71-4) -438-5525
JOB ADDRESS_ f J. tf-, ~ AV. ST.I OAT~;; A~ATIONI BUSINESS LICENSE #
c{;;UsTtl~
PERMIT NUMBER
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OWNER'S MAILING•AOORESS -CONTRACTOR'S ADDRESS LICENSE NO pi,~ii BLDG USE CODE
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LOT I BLOCK I sifeo1 vIsI0N I A~ESSOR PARCEL N6. DESIGNER STATE LICENSE# STANDARD PLAN#
BU~:l/ftAGE ·-/d:Z -("';'/Jr --~ Luis £ M -'/1/r--r::.. OESCRIPTION OF WORK
.J'JL,; P..l ,SX. CCN~"'7Je,-.)<P-_--r-.c,N,1-=== ,;..·).,)L:..-✓../-../N~ DESIGNER'S AOORESS/h.s -15=.,v'. ,J~~-s PHONE IU/C:)/dll::, JO z),; ~0-,-;<' / . .::,
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STO/'ES --
CENSUS TRACT I GP LANO use
'PALME RY-I
GRADING ~ERMIT ISSUED I REDEVELOPMENT ff1'1 OCC LOAD FIRE SPR
AREA
YO ND vO ~ ~ NO Not Valid Unlffs ~chine <Artifi«i
' I
QTY. PLUMBING PERMIT-ISSUE fi-6'1) QTY. MECHANICAL PERMIT -ISSUE ~-()('\ SUMMARY/ACCOUNT NUMBER I I .,
/1.J,.. EACH FIXTURE TRAP -?_(. -J .,,,-1-fNSTALL FURN. DUCTS UP TO 100,000 BTU <,( . -BUILDING PERMIT '-I-I V ,-
1 EACH BUILDING SEWER ,_ ... f, ) OVER 100,000 BTU ...... SIGN PERMIT .
-J,, -r. --4/(,,.~ "1>1, r-'£ACHWATER HEATER AND10R VENT . BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK .., .,. ~ACH GAS SYSTEM 1 TO 4 OUTLETS J • -BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING .... I
..,.
EACH GAS SYSTEM 5 OR MORE '-I METAL FIREPLACE ELECTRICAL ---
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 . /
TOTI.L MECHANICAL STRONG MOTION ~, ~n -------··--i--II TOTAL PLUMBING FIRE SPRINKLERS
:::J.nri PUBLIC FACILITIES FEE
QTY/, ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE ·y NEW CONST EA AMP SWT BKR /,(}/} '-rn -COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH -STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encmllas
1 PH 3 PH PUMP San D1eguI10
REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS ------TEMP OCCUPANCY (30 DAYS) ---------------
--7----
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I To17~,~ •,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Exp,rahon Every permtt ouued by the Bu1ldtng Ott,c,al under theprov11Ion1 ofth11 * AN OSHA PERMIT If",~ FOR EXCAVATIONS 0VEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••p,re by hm,tat,on and become null and vo,d II the bu1ld,ng or work ~· o·· DEEP AHO OEMOUTION OR CONSTAUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such perm,1 II not commenced w11h1n 180 days from lhe date of such STAUCTUAES OVER 3 STONES IN HEIGHT "' · permit. or 1f the build•~ or work authoraed by such perm,t ,. 1u1pen<MK1 or ~ ISSUED: TO COMPLY WITH ALL CITY, COUNT c· AND STATE LAWS GOVERNING BUILDING CON· abandoned at any t,me a _,. the work ,1 commenced for ■-.-~ of ilio ~-•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY 1~ IP\ ~
APP:JS~
0~7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINSl ALL LIABILITIES, JUDGMENTS. COSTS AND A PLICANT'S ~RE • (. OWNER. CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF I .L·~ :,(. ~ ':-;-t~.£,k 4. ,~ .) BY PHONE 0 J • A.l 7/1! GRANTINGOFTHISPERMIT "_ ./, .. ,-: • c 1', ,,f: '. _ ~.,, .f _ ...
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' INSPECTION TYPE I DATE INSPECTOR -
BUILDING i ~ I ..., 38'~ · ::>..
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL I REQUIRED SPECIAL INSPECTI ONS INSPECTOR'S NOTES
MASONRY I INSPECTION REQ IF INSPECTOR S DATE I
CHECKED APPROVAL ' ' ' GUNITE OR GROUT I SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO
I FOUNDATION INSP
SHEATHING I
! /' STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION I ~'t--?•I (2 I,,~ ~
PRES TRESSED
h::ONCRETE
~. ,11 ~ --,L INTERIOR LATH & DRYWALL I ~---,·1 POST TENSIONED
: CONCRETE
PLUMBING ,· FIELD WELDING
SEWER AND BL/CO I HIGH STRENGTH
PLUMBING UNDERGROUND I BOLTS .
PLUMBING TOP OUT I SPECIAL MASONRY
I ....
I TUB AND $HOWER PAN .
GAS TEST I PILES CAISSONS
ELECTRICAL
TEMPORARY POWER ' I /
ELECTRIC UNDERGROUND I -·
ROUGH ELECTRIC I ' . '
l ELECTRIC SERVICE --
I ..... -. ·--...... .• -.... ""' ~ ~
A BONDING J ' '· ',, --
G. F. I. -SMOKE DETECTOR . I . ' .. ,~ .
MECHANICAL
.
DUCT & PLEM., REF. PIPING ., -
HEAT -AIR COND. -SOLAR SYSTEMS
L ~
-
VENTILATING SYSTEMS ., r _,
-
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE .
-' . -. -· ITEMS ABOVE HA VE BEEN APPROVED . [/_
JOB SITE FINAL ......, . .s:7'·~ '
PLUMBING .-ri ~__=>-, • ' ELECTRICAL -< .\.~ " -e ,,XlA,,' -.
MECHANICAL _M /~ _C,ZJY -.
' ' . . -.
GAS -~ ~~~ 1
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~
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BUILDING ..... V -. ,. \
SPECIAL CONDITIONS
CERT OF OCCUP 'Y ISSUED I r ,, ., 1 I • \, ... ) .. D . .
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0 I hereby alttrm that I am licensed under P,O'il1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslona Code, and my license Is In
full forca and effect.
lie No _______ Om ------
I l'le<eby 1tt1rm th.at I am e1tempt from the Con ~~r~~:~n,s: ~ Jrc:,~.~~'~,~
county whtc-h requires a pem,11 to construct
alter, improve, demohsh. or repa,r any structure.
pno, to ,ts issuance also requ, res the applicant for
such pemut to hie a stgned statement that he ,s hcensed pursuant to lhe Pf0"1tst0ns of the Con
tracto,·s License Uw (Chapter 9 commencing with Secttan 70IX) ot Otv1sK>11 3 of the Business ano Pro-
lHSI005 Cooe) o, that 11 exempt lherelrom and the
basis for the alleged exemphon Any vt0latt0n of
SectlOO 7031 5 by an applicant tor a pemut subjects
1ne applteant 10 1 c,v,I penalty of not more than five
hund<ed doll°" ($500)
0 I, as owne< ol the property, o, my employees
w.,th wages as their sole compensation, will do the
WOftl:;, and the structure 1s not tntended o, offered for sale (Sec 70,4,4, Business and Professions Code
The Contractor's L,cense L.rtri, doe's not appty to an
owner of property who builds CM' ,mproYes thereon and who does such wont himself or thrOUQh his own
employees. provtded that sucl"I ,mp,oyeme;,1s •• not intende1 o, ottereo for sale If, however the
bu1td1ng or improvement 1s sotd w11h1n ooe ye.ar of
complehon, lhe owner-builder w,11 have the burden ot proving that rte cho not build o, improve for the
pu<POM of sate)
C I, as owner of the pre>peny, am exclusively
contract1f"i with hcensed contractors to construct
~~~~ac~,L~:~:t~~~~f=:
to ..n owner of Pfoperty who builds or ,mpfoYe:s
thereon. and who contracts lor each pro,ects with a
con1ract0t'(sl license pursuant to tne Contractof's
ueenseLaw)
□ I am exempt un<le< sec ___ , B & PC
for th•s reason _
□ I hereby affirm that I haYe a cen,t,cate of consent
to self.insure, or a cert1f1cate or Wortters·
Compensation Insurance. or a cel'11!1ed CoPY thereof
(Sec 38CJ). Labo, Code)
µv
0 Certified copy 1s hereby furnished
CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Jh1s sec.hon need nol be compleled 1f the perm,t ,s tor one hundred dollars ('S 100) or 1ess1
0 I cert,ty that ,n the performance ot lhe wOB lor
which this pem,1t 1s issued. I shall not emp10y any person 1n ilf'ly manner so a.s to become sub1ect to
the WM.ers· Compensation Laws ot Cahlom1a
NOTICE TO APPLICANT II after maklnJ this Cert,
he.ate of Exemption. you shOvld beeome sub1ec1 t?
the W()ft(ers· Compensation Pf0\'1st0ns of lhe l.abOr
Code. you must forthwith comply w1th such
provisions Of this permit shall be c>eemed revoked
0 I hereby affirm lhat lhere ,s a cons1ruc1ton
1enomo agency tor 11'\e per1ormance ol the wQf1il. lor
which this permit IS ISSuecJ (Sec 3097 C1v1I CoOe:)
Lenoer s Name ___________ _
Lender s AOOteU -----------
----··--. -···· ..... , g , n .. v..., ''""" ,......... CARLSBAD BUILDING DEPARTMENT ·\..._J/ APPLICATION & PERMIT ... 1200 Elm, Carlsbad, California 92008 (714) 438-5525 ~
J08#DDRESS ,
A~;_T, I ;;j~feCiTIONI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
/1./'/'f-/~/~ ~~~/I~ ~~ec;...~ fl/.!&-Y f
~;~;E/,v;.,7:-~ / bR M~ION
OWNER"S PHONE PRIME CONTRACTOR / I CONTRACTORS PHONE • ZONE
~:JY-3 'ts'-o _S";.-...., /,,·--~/al: /"f~SltJA/ Po~~AO;~K I
&e£s'3.qb
CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1,0, # BLOG USE CODE
LOT I BLOCK I SUB't>I VISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE" STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
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v□ NO --STOA~/\
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRAOING ~ERMIT ISSUEO I REDEVELOPMENT TYPE:/ OCC LOAD FIRE SPR AREA I 1 CONST
YO ND vD NO ) vO NO Not Valid Unlm Machin~ Certifi«I
QTY. PLUMBING PERMIT · ISSUE /~_ QTY. MECHANlf' L PERM~~~E l,{ I\ ~f SUMMARY/ACCOUNT NUMBER
/If' EACH FIXTURE TRAP -e.,{ ~ INSTALL FURN. OUt l S iJP TQ IOOlOO BTU I t{ \\\ l BUILDING PERMIT
/ EACH BUILDING SEWER ~~,5_:; .... ' \IP 100,Cl\JO BT\ Y i \\' SIGN PERMIT -y EACH WATER HEATER ANO/OR VENT -~ ... BO I LE R/COMPRESSO ,4'T03H~ l Al "' PLAN CHECK A '' I y EACH GAS SYSTEM 1 TO 4 OUTLETS ,'). ':..-.-801 LER/COMPRESSO ll-15 HP / l/ \.( TOTAL PLUMBING ~1/
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE I I Jr n ELECTRICAL -------·---
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ,I .. .J\t-1 MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS/ ,, MOBILEHOME -RELOCATION OF EA FURNACE~TER WATER SOFTNER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
-JY() __ TOT,t;L MECHANICAL STRONG MOTION -----·--r--~~7 :" TOTAL PLUMBING FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encmilas
1 PH 3 PH PUMP San o,egu,to
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS -
OVER 200 AMPS -
TEMP OCCUPANCY 130 DAYSI ----
TOTAL ELECTRICAL--1-. TOTAL SOLAR TOTAL FEES PAYABLE I S7J_fC!!!--
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"' AND 00 HEREBY EJtp,ratoon Every perm,, ouued by the Butldtng Ott,c,al under the provtS1on1 of th,s * AN OSHA PEMIIT t$ 11EOU1RE0 FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sh•II exp.re by hm1tat1on and become null and vo,d If the building or •ork s· O" DEEP ANO OEMOI.ITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authortZed by such perm,t II not commenced w1th1n 180 days from the date of such STAUCT\ffS OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNT'(,ANO STATE LAWS GOVERNING BUILDING CON, :r~;;;,.:::c, '~t 'Z~y '::'r:::·~:~i:c:~.:':!':~~ted~~~ :-~i;:::.,,~,•r;r:.~ 0
'
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE • OWNER□ CONTRACTOR 0 APPROVED BY 1D¾m 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 BY PHONE 0 ~ GRANTING OF THIS PERMIT ,.
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INSPECTION TYPE ; DATE INSPECTOR 'bl-~ .,,p I
BUILDING -
I FIELD INSPECTION RECORD
~ "-.
✓ic;,
FOUNDATION REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL i
INSPECTION REQ IF INSPECTOR'S DATE MASONRY f CHECKED APPROVAL -I I GUNITE OR GROUT t SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO
FOUNDATION INSP
SHEATHING l STRUCTURAL CONCRETE
FRAME I OVER 2000 PSI I
l PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE I
INTERIOR LATH & DRYWALL I POST TENSIONED
CONCRETE
PLUMBING I / FIELD WELDING --I k:;'· )'7-'n-.,.t7'6 SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS -I
PLUMBING TOP OUT ' SPECIAL MASONRY
I
TUB AND ~HOWER PAN I
I
GAS TEST ! PILES CAISSONS
ELECTRICAL I -
TEMPORARY POWER
ELECTRIC UNDERGROUND "( '··-
ROUGH ELECTRIC
ELECTRIC SERVICE t
J
BONDING A ., -
G. F. I. -SMOKE DETECTOR. JI
MECHANICAL I
,,
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS ,
VENTILATING SYSTEMS C \ ➔ ... ~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. .-v/
JOB SITE FINAL 1/~ --
"
PLUMBING I f7 -~ i()
ELECTRICAL /2t1 Y. G '<\h l'_.......)y\-•,
¥Y J/~ L,,V ' MECHANICAL ,,, . .
GAS ~ ,, //.\.; ~ r"\.V
BUILDING ~ _,,....,..j. -. ,,
SPECIAL CONDITIONS y L)
CERT OF OCCUP~";Y ISSUED -,.
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0 I hereby a .. ,,m that I am licensed under
p,o¥Islons of Chapte, 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Loe No _______ Class
I hereby att,rm t~t I am exempt from the Con· ~:~·~::; ~ ~,:::~~ rw:~.\~ county which requires a permit to construct
alte,, 1mp,cwe, demolish. or repa,r any structure,
P<H>t 10 ,ts issuance also requires the applicant tor such penmt to hie I s,gned statement that he 1s
hcensed pursuant to the P,OY1s1<>ns of the Con-tractors uc.nse Law (Chapter 9 commencing with
Section 7000 ot 01v1s1on 3 ot the Business and Pro-fess.ons Code> or that ,s exempt therefrom and the
b,u1~ tor the alleged exemphon. Any vtC>tattOn of
Sectoon 7031 5 by an applicant 10< a pennil sut>tects
tne aophcant to I c,v.1 penalty of not more than hve hundred dollar., ($500)
0 I, as owne< of the p<c,perty, 0< my employees
••th waoes as their SOie compensat,on, will do the wo,tt, and the structure 1s not ,n•tendecf or offered tor sale (Sec 70U, Busu,.ss and Protess,ons Code
The Contractor's Ltcense Law does not apply to an
Ownef ot property who builds or ,mp,oves thereon and who does such work himself 0t tf'lrOUQh his own
employees, provfded that such ,mproYements •e
not tntende1 °' ottered for sale If. however. the
building or improvement ,s sold w1th1n one year of
comptehon, the 0Wnef-bu1lder will nave lhe burden
of p,OY,ng that he dtd not build or improve to, the
purpose of sale)
C I. as OWnef of the property, am e,cclus,vely contracting with licensed contraclors to construct
the P«>t«I (Sec ~. Business and ProfessK>ns
Code The Con1ractor s Lteense Ulw does not apply to Mt owner of property who builds Of improves
~':'~i~ ~:,c:~~!~~~ ~~~h~~~~~;:.:
L.c;ense Ulw)
□ I am exempt under Sec ,B & PC
for 1r,,s reason _
D I hereby affirm that I ha-19 a cen1flcate of consent
to sell-insure. or , cert1f1cate of Wort<ers·
Compensation insurance. or a cen,t,ed capy thereof
(Sec 3800, LabO< CO<le)
COMPA
y IS hied with lhe c,ly /}Ii\ -
□ Cert1f1e<:1 copy IS hereby furnished r ,..--
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,1 the permit
1s tor one hundred <k>llars (S 1()0) o, ~ss)
0 I cer11ty that 1n lhe per1o,mance of the work tor
whtCh this pemul ,s issued. I shall not employ any
S)efs.on 1n any manner so as to become sub1ect to
the Wor1ile,s· Compensation Laws of Cahforn1a
NOTICE TO APPLfCANT If, alter makan1 ttus Cer11
hcate ol E•emphon. you shOuld become sub1ec1 I?
lhe Wo,1(e,s· Compens.ahon prov1SIOl1$ ot the Labor
Cooe. you must IOr1hw1th comply with such
provisions o, this permit snall be deemed revoked
0 I hereby alfirm that there 1s a construction 1end1ng aoeocy fQf tne pe,1ormance ot the w0f1il lo,
wrucn this permit 1s 1ssue<J (Sec 3097 C1v11 Code)
Lenc:Jer s Name ___________ _
Lenders AOOrtss __________ _
USE BALL POINT PEN r-.q & PRESS HARD APPLICANT TU l"ILL IN tl'I r-vnm ... , ,v .. ••,,, .... -· -~ CARLSBAD BUILDING DEPARTMENT t ~ -y! APPLICATION & PERMIT -1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525 ·O
JOB ADDRESS
@.e~ A~-i.TrA;:1,;;;il
BUSINESS LICENSE It VALUATION PERMIT NUMBER
/~/¥-/¥/(. ~<.J6~rn3 .RiA ;2..
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PRIME CONTRACTOR , , CONTRACTORS PHONE • ZONE
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OW~oL.'~:ESS /~a CONTRACTOR'S ADDRESS ~ LICENSE NO. PLAN I.O. # BLOG USE CODE
/:, ~'.j,.. hJbR/Slf.-~6
LOT I BLOCK I sueo: v•StON' I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE It STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE --
C ,(_ ,,_::. ~ 7' ,;::_ / C!-/) L -F/P F LR ELEV. NO OCC GP EDU ·' 1/1218_12811 .u7
STORIES I I/ 12/VD2B1 I .1:7., vO NO --.. -.
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR 11 1 121s 1 ~a I t '7,0~t
AREA CONST
YO ND vO NO vO NO Not Valid Unless Machin• ~,tifi«J
QTY. PLUMBING PERMIT -ISSUE 7.L~ QTY. MECHANICAL PERMIT -ISSUE :2>.()n SUMMARY/ACCOUNT NUMBER
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 AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK I J -\
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBINr. -_ 1 ./ /~/ ..... ~~/
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAi' , I , S-::2 ,------
EACH INSTAl-, ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME --WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ~-EACH ROOF ORAIN (INSIDE) SOLAR
TOTI.L MECHANICAL STRONG MOTION ,-.. ------T-TOTAL PLUMBING FIRE SPRINKLERS
2 . (){) PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
/ NEWCONSTEAAMP'SWT BKR /b'()/1. ,:;-:i g::::-COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Enc1mlas
1 PH 3 PH PUMP -San DIeguIto
REMOOE L/AL TE R PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY 130 OAYS) -------~~
l -
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I ~?~v-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY Exp,r1t1on Every perm,1 issued by the Butldtng Ofhc11I und9f the prov,s,ons o( this * AN OSHA PEMIIT 1$ AEOU1AED FOfl EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by lim1tat1on and become null and void If lhe building or work 5· o·· DEEP ANO OEMOUTlON 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by auch permt1 ,, not commenced within 180 days from the date of such STRUCT\JAES OYER 3 STOAtES IN HEIGHT permit. or of t~ l, butld•:;x or ~uthonzed by auch pe_,:';',:!a" suspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned •• _. t,me a a, w II c,,..,.;..;ced for a of 180 ...... ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLI-,.-· -;,;:_,J::YRE ~-&.. ~ • .bw!'~ ~"CONTRACTOR 0 APPROVED BY$, DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~,/P EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \ ~½'! o-t-Z",;. ~ : ,_ ' BY PHONE 0 GRANTING OF THIS PERMIT. --
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION t
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND !
PLUMBING TOP OUT i
I
TUB AND $HOWER PAN I .
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE '
BONDING A
G. F. I. -SMOKE DETECTOR .
MECHANICAL l
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
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 OCCUPr''":Y ISSUED I I I'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR S
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
PILES CAISSONS
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INSPECTOR"S NOTES
DATE
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O I hereby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license ls In
lull force and effect. Lie No ______ Class _____ _
I hereby affirm that I am ••empt from the Con· ~~<>;;·e;!r:;:: ~; ~,~~:~~~~i~
county which requires a permit to construct
alter, improve, demohsh. or repair any structure,
p,iot to ,ts issuance also requires ttle applicant for such permit to tile a signed statement that he 1s
lteensed pursuant to the provisions of the Con· tractor's License Law (Chapter 9 commencing with
Section 7Cn:) ot Oiv1st()fl 3 of the Business and Pro-
tes.sions Code) or that is exempt therefrom and the basis tor the alleged e.:emptlOn Any vt0la1ton of
Section 7031.5 by an apphcanl lor a permil subjecls
tne applicant 10 a civil penalty of not more than five
hundred dollars ($500).
C I, as owner of the propeny, or my employees
,.1th wages as their sole compensation, will do the
wor'k, and the structure ,snot intended or offered tor sale (Sec. 7044, Business and Professions Code.
The Contractor's License Uw does not apply to an owner of property who bl.olds or improves thereon
and whO does such~ himself or through his own
empk>yees, prOYided that such ,mproveme:its are
not intende1 or offered for sale. If, however, the
building or improvement 1s sold within one year of completion, the owner-builder will have the burden
of proving th.at he dtd not build or improve tor the purpose ol sale).
□ I, as owner ot the property, am exclusively
contractinQ with licensed contr~tors to construct
the prOJ8Cl (Sec. 7a.A, Business and Professt0ns Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon. ano who contracts for each pro1ects with a
contractor(S) hcense pursuant to the Contractor's
License Law).
0 I am exempt under Sec _____ , B. & P.C.
tor this reason ___________ _
D I hereby affirm that I ha~ a certificate ot consent
to self-insure. or a cer11t1cate of Workers·
Compensation lns~rl_llCe. , or a certified copy !hereof
(Sec 3800, '-4bor C4(¥)
D CertIhed copy ,s hereby lurn1shed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section neea no! be completed 11 the permI1 ,s for one hundred doUars ($100) or less)
D I certify that in the performance ol the worlc tor
which this permit ,s issued. I shaJI not employ any
person in any manner so as to become sub1ect 10
the WOO(ers· Compensation Laws of Cahlornia
NOTICE TO APPLICANT If, after mak.in1 ttus Cert•·
ticate ot Eiemphon. you should beeome subJect t-, the Workers· Compensation provisions of the Labor
Code. you must forthwith comply with such
prov1s1ons or lhts permit shall be deemed revoked
D I hereby affirm lflal there Is a construc11on
tending agency f01 ll'le performance ol the wo~ lor
which th,s permit 1s issued tSec 3097. C,v,1 Code)
Lenders Name ___________ _
Lender's A.ddress __________ _
I
USE BALL POINT PEN ONLY & PRESS HARD " APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, Callfomla 92008 {71-4) -438-5525
}ft~ESS ~1~ -1 ~t~~ ,/fl-l,1~ II''% AV. ST.I DATE OF APPLICATION' a~ENSE# VALUATION PERMIT NUMBER
RO.
'/lfH '11/IJ /'l-3dll) OWZAM~~ Q ~~A~_:. L OWNEIVISPHONE PRIME CONTRACTOR CONTRACTORS PHONE I ZONE
/0,.A,--JI j
i't)WNE R'S MAI Lt NG AOORE°SS CONTRACTOR'S ADDRESS UCENSENO. PLAN 1.0. # BLOG USE CODE
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANOARO PLAN# BUILDING SQ. FOOTAGE
OESCRIPTION OF WORK ~ ~ DESIGNER'S ADDRESS DESIGNER'S PHONE
ffh: /~ I:~ c H-l'i ~ _;5.J-,,.t7~ --8/18/B21ili2 33~0(.1
F/P F LR ELEV. NO OCC GP EDU coo 1 ·1§ 1 a "e71 a1 ee 3~,0( ,,. , (J STORIES I •••·---I _•
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE 1 RES UNITS l GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO vO NO Nor VJ/id Unless Machine terrified
QTY. 7 ... <": ';j)TY. MECHANICAL PERMIT· ISSUE ✓ .., ~ ., SUMMARY/ACCOUNT NUMBER PLUMBING PERMIT · ISSUE ~~,-u
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000·4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000-4221 -
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP Pl.AN CHECK 01-000·4806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING 01 ·000·4222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE I I rJAI,.,,, hJJ--ELECTRICAL 01-000-4223 .AA
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT' ,. -,fJ~ MECHANICAL 01 ·000·4224 ··5'_~;.--
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTf'r;vrJ/ • MOBILEHOME 01 ·000·4225
WA TEA SOFTNER REl/)t:ATION OF..EA FURNAl;j:'IHEATER~ L_ MOBILEHOME PARK INSP
EACH ROOF ORAIN (INSIDE) J ill.:/#"~~ ~,,_6. -")II SOLAR 01 ·000·4226 .. I
/'-'""" TOTJ;L ME\lffANICALp' 33 .l)'f) STRONG MOTION 65-640-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-000·4227
QTY. SOLAR· ISSUE
PUBLIC FACILITIES FEE 25-000-4933
QTY. ELECTRICAL PERMIT · ISSUE ,:;, (/0 BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS carlsbad 65-623·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
-
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 3.S~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY E,cpratiOn. Ew,y pe,mll_...llJllleBulelingOfficlal_.._=ottllil * AN 0IIHA PEAMff 1$ AEOUIREO FOR EXCAVATIONS OVEII
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code 9flall expire by llfflllalloll llld--null -void. If• or_. ·5' 0-DEEP AND DEM0UTION OR CONST1'UCTION OF authotiZecl by such permit ia Ml --cad wllllln 1IO ..... ._ of-'! DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe,mit. or if Ille bu::::.1.,°' .-II ..-orlad by ia or STIIUCTINS OVER 3 S10AIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON• llbandolied al~ lime .__.II tor~""'•-...._ . -
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND
APPL~T~ • _c;P /1' CONTftACTOR□ APPROVED BY m~ 1°1/Jtlt'y· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -.___... .-~ ~ BYPHOHE 0 GRANTING OF THIS PERMIT. -. .,,,,,-, , ,, I • I
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INSPECTION TYPE DATE INSPECTOR
BUILDING I
I FOUNDATION I
REINFORCED STEEL I
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING r -I SEWER AND BL/CO I
PLUMBING UNDERGROUND I
PLUMBING TOP OUT I I
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ~ !
G. F. I. -SMOKE DETECTOR • MECHANICAL I
I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS l,,, f ,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL I
PLUMBING I
ELECTRICAL j -~ ' MECHANICAL I ,,
GAS I \ . ~ ..... -' BUILDING , . ' "' ~ I ' .. I
SPECIAL CONDITIONS \ '·
CERT OF OCCUPANCY ISSUED
r \
"/ I \ f A ' "' "·
FIEL D INSPECTION RECORD _., \
REQUIRED SPEC IAL INSPECTIONS INSPECTOR"S N OTES
= INSPECTION REO 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 =' ., . '-'-• .
\. ··--!! '""" tt· "' -... .. ' ·,-\\. f ~l '
PILES CAISSONS .
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):( ~~~A-~~AMAA\AAA,M./~&/JJA/;w~J~~AA/~MM~ X -~, ~ . -· < 1 <.C1•rttft r utr nf O)rr1r µuury /'\·,tr\. f
~ p ~ CITY OF CARLSB AD ~ 1 p 4 This Certificate issued pursuant to the requirements of Section 306 --;:__,J/J,,r t
~ of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City P
j regulating building construction use. t ~ » j UseClossificotion Duplex Bldg.PermitNo. 81-388-2 ~ ~ Group _____ Type Construation _____ Fire Zone ______ Use Zone______ ~
~ Occupant Lood _--=---:----=----,--.----------------------P ~ OwnerofBuildin~ ~:uqan Interior .Missio~ctd,essP. 0 . Bo~ 1398, Carlsbad P ~ <il4-i4 · &--1416 SweetbriaI C 1 b d CA 92008 ~ ~ Building Address •• , I • -; £il'!cle ocolity ar s a,_,' .;,, ( ~
~ • I • • ,. • sJ ~£ ~~ ~
~ _________________ Dote 8 -18-82 ~
1 NOTE: Alterations, changes, additions or changes of occupancy nullifies this certificote. e-~ ~, ~ (Post in cons picuous ploce) p
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