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Home My WebLink About1910 SWALLOW LN | 1912 SWALLOW LN | 1914 SWALLOW LN | 1916 SWALLOW LN | 1918 SWALLOW LN; BLDG 1 | BLDG 1 | BLDG 1 | BLDG 1 | BLDG 1; 80-956-1; Permit. . CITY OF CARLSBAO-BUILOING DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proles· slons Code. and my license Is In full force and el· feet. iit~ si~~OINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. I AV. ST. RD ?o:iF~F~'lol~33NSE OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con· traclor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con• slruct, aller, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state· ment that he Is licensed pursuant to the pro,~~ h I ~I I ~ ~ ~~ 1 slons of the Contractor's License Law (Chapter DESCRIPTION OF wo K ~~ ,.......-....., commencingwithSectlon7000ofDlvlsion3 P J:??U!lUl.f UlJtf/;:?, ,_.,r.:,i--,._ ,/~ ~•n•• •nnn••• ~.-.. -n .. _,,_.,_ the Business and Professions Code) or that Is ex-0 I . -' -, empt therefrom and lhe basis for lhe alleged ex-~ emplion. Any violation of Section 7031.5 by an ap, --------· ----- pllcanl for a permil subjects the applicant to a r~rus TRACT --I GP LAND USE I ~ civil penalty of not more lhan five hundred dollars ..r<. I • -· •I T _. - ($500). D I, as owner of the property, or my employees with wages as lheir sole compensation, will do the work, and the structure Is not lnlended or of• fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for lhe purpose of sale). BLDG USE PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL, ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER OCC. GP AMT. QTY. TYPE CONST OCC. LOAD MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP AMT~~ BOILER/COMPRESSOR 3-15 HP RWI FB'COIIJIAiiliiiOA lii 38+1P VENT FAN SINGLE DUCT ~ I I .i? MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER PERMIT NUMBER 6/03/8 12759 Not V•lid Unlffl Machin, CKtifi«J _, .I hA -~~-I E201.l4 BP • LU I-< 0 ~ > :JI, as owner of the property, am exclusively con· tractlng with licensed contractors to construct the project (Sec. 704-4, Business and Professions Code: The Contractor's License Law does not ap, ply to an owner of property \•ho builds or Im• proves thereon, and who contracts for such pro• jects with a contractor(s) license pursuant to the conlractor's License Law). I am exempt under Sec _____ B. & P.C. CONTRACTOR i?I TOTAL PLUMBING "],-1J · ,-II CONTRACTOR TOTAL MECHANICAL a ~II SIGN PERMIT~ ~rg~ :7~~ PLAN CHECK J£l') I for this reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con· sent to self-Insure, o• a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy Is filed with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per• mil Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not em__ploy any person In any manner so as to become subject to lhe Workers' Compensation laws of California. NOTICE TO APPLICANT: If, after making this Cer• llficate el Exemption, you should become subject to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such p,ovlslons or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len• ding agency for the performance of the work for whJch thl• na,""'lt le 1 •••• -.. ,,.. __ ,.. __ -• ·• -· · QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT NEW CONST EA AMP/SWT/BKR ·o . .-AWNING 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS} TOTAL ELECTRICAL CONTRACTOR PORCH SET-UP RAMADA, CABANA FENCE OVER 6' -TOTAL MOBILE HOME 0 - I HAVE CAREFULLY EXAMINED THE COMPLET ED "APPLICATION AND PERMIT, ANO 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILIT IES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CIT Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT. II OR EXCAVATIONS OV CTION OF ~ TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR t' TOTAL FEES PAYABLE ._r~ 6'F FEt1q16~ ~ ~ ' ,.. SITE . -y-\•_ .. ✓\. •",_•..,.-l .80-4.~-l ADDRESS: . . OWNER: -'-,l Pf::R,MIT NO: ' .. -.. ,'.:...-. " . ....,.-_-..,1,.1• \I -· .. \ \ FIELD lNSPECTION RECORD . - INSPECTION DATE INSPECTOR ·~ . INSPECTOR'S NOTES WOOD FLOOR ,. •. -' . FOUNDATION • FORMS• SET BACK • TOILET I --.. UNDER FLOOR PLUMBING . -'-~~·1" -... ~J+.. .... -~:1~: .,, ..,,_~ 1'."• "' -. --. UNDER FLOOR HEATING ._ t ~· • . . .. •!"-;_~~~~-\: ._:-. 1 . I ~ I'-.\..(, J '''."I /r' . -~ OK TO INSTALL SUB FLOOR ! ...,.: .... -,· . .. --........ ·~ ' ·•. ~ -~ ,. .. -. •. : .r--..,.._ ,. > ~.I r--<\·'"'--;.. "I ~ .;,!;; \.~l .-, i)J~ f }' ·, ~~ , ;,\ .... . \" \ J: ,~. ~l' \ . ~ ....... ·-4 ' .. - SLAB FLOOR _..__ .... -,,_1 ~ .. . ' ~1 ... J -~· , .... ,· UNDER SLAB PLUMBING -.. --FOOTING• FORMS• SETBACK • TOILET ' ' •-· "· r )\. \ OK TO POUR CONCRETE -\ -. . . . FRAME . . .. ROUGH ELECTRICAL -~· ROUGH PLUMBING .. --.,_ ' ROUGH HEATING/VENTILATING -~ ~~ ("'· '·, FRAME OK• PLACE INSULATION r '-~ -. .......... \ INSULATION OK • PLACE WALLBOARD •. ~ . p ..• ...... -......... . -. ' WALLBOARD OK • PLACE TAPE I . (_'~-.. \-' ~ \ EXTERIOR LATH OK• PLACE STUCCO . ' ... ·--., ~. ~ ~ FIREPLAC~ -· ·.,} ', " \ l > ' -. ... ~~ • . . . - DAMPER &"ST.EEi;! ., .!.I I • _, .\ ·,1 ! ._ \ . --PLATE TIES/HEIGHT OF C HIMN8Y •-\ "-4 OTHER . TEMP POWER-(POLE) •·---. )1.: .~ '-~ ,··1 \ \ SEWER GAS TEST -. . - SWIM POOL • STEEL BONDING ~ • PRE DECK __,__ ' • FENCE PREPLASTER -. SHOWN • FRAME . • PAN .... . , r~ - FINAL INSP BY BLDG DEPT OTHi:=:R DEPT'~ REQ COMPLETED . -, ELEC METER-PERM-TEMP ' qASMETER-P~RM-TEMP ;(.,' -... · \ .. ~ . . I ·' , .. I~ t /, ~ • I \ "'\'\' -~ \_ CERT OF OCCUPANCY ISSUED " '. .. ~ ' . '), -. --, . . \. ...,... - City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business will be conducted 1910 -1928 Swallow Lane Bldg. # 1 Name of Occupant various Address of Home Office of Occupant if different from above Owner of Building Mola Development Corporation Address Type of Business 10 unit condo Describe exact use of all portions of each building and lot living quarters Previous use of Building new VALIDATION Building 8 0 -9 5 6 -1 Permit No. Business Phone Home Ottice Phone Phone ey are true and correct, and that I make this statement under penalty of perjury. Use Zone Planning Department Engineering Department Building Department White -Building Dept. Carlsbad, State of California Signature of Building Official FOR DEPARTMENTAL USE ONLY Type of Construction Disapproved By Disapproved By Disapproved By Disapproved By By Yellow -Applicant Pink -Finance Gold -Fire Dept. REQUEST FOR INSPECTION TIME·---- INSPECTOR MEIZ PERMIT NO. _______ DATE,-:S -/·-f 1.,,,/ OWNER _ _..c/11,1,?J __ •~L/YL-.~~--~~-~~~---------------/'f~'!!.t!f)~ I .oJL ADDRESS-----=--e....::::c...;/4'--"-i---Lc==-___:::::....:..=:... __ _,_~-'-'-==--------------- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 1 0 EXTERIO AT~ -\j) 0 INSU ION , 0 IN RIOR LAT R YWALL FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN D GAS TEST ~ ~ER HEATER ~ FINAL READY FOR INSPECTION:~AY ~ DP.M. ,,. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND OU H ELECTRIC L BONDING q; LECTRIC SERVICE 2:j CEILING HEAT 0 G.F.1. TECTOR AL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS ~ R7"ER PIPING tg,/FINAL □WEDNESDAY □THURSDAY D FRIDAY C//rC/G ;J~T>lcff P SPECIAL INSTRUCTIONS __________ .---li3--"-~-~-U--'-/_/(;_·_'rf_!,vC{}_" ic-~--------- REQUESTED BY __ ....,-de; _ _,_f,W'-'---=-------------PHONE NO. _______ _ PERSON TAKI NG R EPORT_....,cu:-tf)_c..=.._-=......:==---- :3 '".;2.-:) REQUEST FO~J INSPECTION :7 0 ~ :Ji"~ INSPECTOR ~ QA ~ PERMIT NO. o~ j__ DATE: / ~ -/t-(-6{ owNER ___ M_o_~_, _________________ _ E: ADDRESs __ /_q_o_f~S_w--'----M~~-0-~~-,_-~ _______ _ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING ~NDERG~MBINU NDERGROUND WATER 0 ROUGH PLUMBING ~ 0 TOP OUT PLUMBING o' 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN J 4G. 0 GAS TEST ~v 0 WATER HEATER □ FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING □ FINAL READY FOR INSPECTION: D MONDAY ~UESDAY □WEDNESDAY D THURSDAY D FRIDAY ~ SPECIAL I NSTRUCTI0NS ______________ __.,.Q::'\i....:...,_--1(.t\h.....,utc--=-.,.__ _____ _ t%t -q IQ (S;q REQUESTED BY __ ..._~___._...,,\):.......1.\4,,,,..a,1.,..._....__=-----------PHONE NO. ~.,...... PERSON TAKING REPORT _ _,~-------- ;J~dN ON --s,s Ufa q48 f:)0~';:s ~ ~/j~ F« ~CY -pc;,cl e,e '6006& REQUEST FOR INSPECTION TIME· ---c--,----r---- INSPECTOR __________ PERMIT NO #1s:t DATE: ~?II I I OWNER ______ ----j}----H---~---~----------------- ADDRESS--"-/--'--'Yt----'--~~11~,.=d.,_,A~cc...----"---~----------- BUILDING· 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING FRAME SHEATHING FRAME_ ~ W EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING □ SEWER AND PL/CO □ TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONOA Y D TUESDAY DA.M. DP.M. ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE F .I. · DETECTOR □ FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO D SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □WEDNESDAY »HURSDAY o FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY--,.//1-,_;...~~~------------PHONE NO. /j':3 ,f-7£.s? PERSON TAKING REPORT_...,J/,i,i,.._,~-----jr1:11:::. REQUEST FOR INSPECTION TIME_· ______ _ INSPECTOR~--~/1~~@-~------PERMIT NO, _______ DATE: ?~n--f! -OWNER ___ ~m-<J--'~l-,6.__,__ _____________ ---c=-____ -----.,, ____ _ ADDRESS _____ '?e,(.l,'-'--'--z\:_t,,.l.-()""W"--''-"-----4ft.-A~~'G_, --0!---1-'fi~Lp:,~--+!-)-+----- BUILDING □ FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING FRAME ~~~::HING [,-> {)f-• t:J~XTERIOR LATH tt □ INSULATION 0 INTERIOR LATH OR DRY ALL D FINAL PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING □ SEWER AND PL/CO □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER □ FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING 1 .5/2-1J. ELECTRIC SERVICE '"( _.,'tp CEILING HEAT □ G.F.1. 0 SMOKE DETECTOR □ FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR 0 PATIO D SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING □ FINAL READY FOR INSPECTION: □ MONDAY □ TUESDAY □ WEDNESDAYG THU~ □ FRIDAY ~) ~ SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY __________________ PHONE NO. _______ _ PERSON TAKING REPORT _______ _ REQUEST FOR INSPECTION TIME-·---- INSPECTOR ./VI e/2, PERMIT NO _______ DATE,_~,/,~~_;,Wc._,__ __ OWNER ____ •----'--~-~~/~------------------- ADDRESS-_~/-'---Y._3_~--'-'-'~=-~~--~~~'-'-"'~-------- BUILDING ELECTRICAL 0 FOUNDATION □ TEMPORARY SERVICE □ REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE □ ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC Cl FLOOR AND CEILING FRAME O POOL BONDING D SHEATHING t /I.,/" ~ELECTRIC SERVICE );;;(FRAME ,R~ l J Q,,C~NG HEAT /o EXTE;(o;;' LAT✓ L 01__,, 1 µ1 ,_,L) Mt:'JG.F.1. D INSULATION ~ r /. /:3-----f,;iO SMOKE DETECTOR □ INTERIOR LATH OR DRYWALt;) t -. b FINAL □ FINAL PLUMBING □ UNDERGROUND PLUMBING 0 UNDERGROUND WATER □ ROUGH PLUMBING □ TOP OUT PLUMBING D SEWER AND PL/CO □ TUB0RSH0WERPAN MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR 0 PATIO □ SIGN D GRADING D DRIVEWAY □ GAS TEST □ CONDITIONED AIR SYSTEMS □ WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY DA.M. DP.M. □TUESDAY □ REFER PIPING D FINAL DWEDNESDAY~HURSDAY D FRIDAY SPECIAL INSTRUCTIONS ___________________________ _ REQUEST TIME'---·-~---- DATE, 0 >'b--/ ' I ADDREss_,{__,q_,_\_\ _,6""'--WQ--"=.,_,t t=o-=w""---__,_c.A"'---'--AJ--'--=E..~--------- □ FOUNDAT □ REINFORCING STEEL □ MASONRY □ GROUT -GUN I TE 0 FLOOR AND CEILING FRAME □ SHEATHING 0 FRAME ~XTERIOR LATH /2l' ;NSULATION . 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING 0 UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING □ SEWER AND PL/CO 0 TUB OR SHOWER PAN □ GAS TEST 0 WATER HEATER □ FINAL ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. □ SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO D SIGN □ GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS D REFER PIPING □ FINAL READY FOR INSPECTION: D MONDAY D TUESDAY ~EDNESDAY □ THURSDAY D FRIDAY ,)j4M. DP.M. SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY_~:,j~O-=--S{?"'--+f?=--6_._ _______ _.PHONE NO. </38-965/ PERSON TAKING REPORT-,~"'I''-¾-"~--- REQUEST FOR INSPECTION TIME:_'°3..,___,'.'-c';i~)--- INSPECTOR ____ ----4-_'-"1''----\---,.,,__ PERMIT NO _______ DATE: _1_,_;)_~7-•~if-- BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUN I TE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING 0 UNDERGROUND WATER D ROUGH PLUM Bl NG ;;:\ J, _ , _,, , @::mp OUT PLUMBING] -V.,..., ' 0 SEWER AND PL/CO 7_ ~ ,f/ □ TUBORSHOWERPAN □ GAS TEST D WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO □ SIGN D GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL READY FOR INSPECTION: □ MONDAY ':ruESDA;~EDNESDAY □THURSDAY D FRIDAY ~------- SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY __ __,\\,o.._..,,,f\?-r .... , __________ PHONE NO. 4:~ ?~t/£r5? -~-PERSON TAKING REPORT__.(-:~lf'------ REQUES:f FOR INSPECTION TIME::---b,lg'-----:-=:;;;,l-_D __ INSPECTORJlOLq; i '> _, ,PERMIT NO, ______ DATE: b -:J_t/-i'I ~ (j,J /j OWNER 'Af&fCJ---- ADDRESS ___ _,_k]-+-"--o-"--?-=Sc......,,h/2--'-'-"a.,--"f"""~;'---'0'-l,v---------- BUILDING D MASONRY D GROUT -GUNITE D FLOOR AND CEILING D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: ~-y (~ 0P.M. □TUESDAY ELECTRICAL 0 TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT □ G.F.1. D SMOKE DETECTOR □ FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □WEDNESDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY I bQ '\ t° I t '2UPHONE No. Y 3 7-qr,s1 PERSON TlK\NG REP0RT_ ..... qr"'· ------ REQUEST BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING 0 FRAME 0 EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL k D FINAL ~-l~ PLUMBING /.lJ UJ)IDERGROUND PLUMBING '--'r3°uNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO □ TUB OR SHOWER PAN 0 GAS TEST □ WATER HEATER D FINAL READY FOR INSPECTION:~Y (~ □TUESDAY ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT □ G.F.1. □ SMOKE DETECTOR □ FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ C USTION AIR □ SIGN D GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING □ FINAL □WEDNESDAY OTHURSDA~ SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY_"""(c.Q-=c, .... L ...... wo<-4,,.-_ ...... +....!.O::'\--L..>_,.....:''------PHONE NO. Cf 6? Y2/1( PERSON TAKING REPORT_----<,..cf'.1,------ REQUEST F9't INSPECTION . -TIME: INSPECTOR---""~'--'-'\---~----PERMIT NO. 6 Q -qJ t -/ DATE: OWNER _____ ~-/-LL~<P-k-<-=~--"~'------------------------ ADDRESS _ ___,_l__,q!-C)-'----"'g--=s"-Y--.f-'---"-.._,{f....,1_........_P.=.(Q_VV------'---\_-.._,,_ ________ _ BUILDING FOUNDATION REINFORCING STEEL D MASONRY D GROUT· GUN I TE □ FLOOR AND CEILING FRAME □ SHEATHING □ FRAME ~ □ EXTERIOR LATH □ INSULATION I j □ INTERIOR LATH OR DRYWALL ~ D FINAL (I .______,;::;:__~------'(o \ ' ,~ I PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING D TOP OUT PLUMBING □ SEWER AND PL/CO D TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER D FINAL '1"' " ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC D POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO □ SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL ·-----._ READY FOR INSPECTION: D MONDAY $TUESDAY D WEDNESDAY ~) L__ ~ D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY __ (\,.__,,.~.J,l,.LJ/2"-"/V\4-________ PHONE NO. Y:i Z·· q~:r, \j' PERSON TAKING REPORT---.l.4-L---- REOUES'f FOR INSPECTION TIME_· _____ _ INSPECTOR t'D PERMIT NO OWNER_iJ\11-l-'D.,_l-A>CL.J __ t>___,,~c....V~,----------------- ADDRESs__._I~tt~c O-C--___,,5~W ....... f\t-~i-o~w~_l-~N~·-~B~LD=G~,_?-_____ _ BUILDING □ FOUNDATION D REINFORCING STEEL □ MASONRY D GROUT -GUNITE □ FLOOR AND CEILING FRAME D SHEATHING □ FRAME D EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING _)q UNDERGROUND PLUMBING ~UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING ~SEWER AND PL/CO lo ~TUB oR sHowER PAN □ GAS TEST □ WATER HEATER D FINAL ELECTRICAL □ TEMPORARY SERVICE D ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO □ SIGN D GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: ~MONDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY DA.M. DP.M. SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY fLVW\. BING PHONE NO. S0lo--4:4 l l (<:>-~ PERSON TAKING REPORT C;ilNNY LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's license Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's license law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the ba.sls for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's license law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpcse of sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7~4, Business and Professions Code: The Contractor's license law does not ap- ply to an owner of property ·•ho bullds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's license law). I am exempt under Sec _____ 8. & P.C. for this reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per· mil Is for one hundred dollars (S 100) or less). t certify that In the per1ormance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation laws of California. NOTICE TO APPLICANT: If, after making this Cer- "liflcate of Exemption, you should become subject to the Workers' Compensation provisions of the labor Oode, you must forthwith comply with such ij]'Ovlslons or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT BLOG SQ. FT. BLDG USE QTY.I PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT /BKR 1 PH .25 3 PH EXISTBLOG EAAMP/SWT/BKR 1 PH .25 J PH REMOOEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (JO DAYS) TOTAL ELECTRICAL CONTRACTOR 1200 ELM AVENUE (714) 438-5525 RES. UNITS occ. GP I ST AN OARD PLAN II AMT. ,!J l) AMT. O<> QTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HODO/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AG REE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. lALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT. AMT. APPLICANT TO FILL IN INFOR - ~~~~WlJHIN RED LINES. BUS. LICEN'SE I PERMIT NUMBER ,5//3 Aj5'"£,r./~Pil' "7 59 IE t Not V•lid Unlm Macllina c.rtifild OCC. LOAD TOTAL PLUMBING ELECTRICAL MECHANICAL OWNER□ CONTRACTOR□ AGENT D av PHONED I ?tl• • ... ~ ~ ~ ;:: ~ 0.. Vl ~ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and el• feet. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con· struct, alter, improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provl• sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex• emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 70«, Business and Profes• slons Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). :JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property <•ho builds or Im• proves thereon. and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec _____ B. & P.C. for this reason ..,_~ Date WORKERS' COMPENSA' I hereby affirm that I hav_e· sent to self-Insure, or a c Compensation Insurance, thereof (Sec. 3800, Labo, - POLICY NO '.J ~ COMPANY □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars (SHlO) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tlflcate of Exemption, you should become subject to the Workers· Compensation provisions of the • Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len• ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Clvll Code). CITY OF CARLSBAD-BUILDING DEPA RTMENT APPLICAT ION & PERMIT 1200 ELM AVENUE (714) 438-5525 AV. ST. RO RES. UNITS BLOG SQ. FT. BLOG USE occ. GP I STANDARD PLAN It PL TYPE CONST QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 DR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL CONTRACTOR c:;o AMT. d,).__ CJ~ INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HODD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY W ITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT. AMT. APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. PERM IT NUM8ER 759 Not Valid Unless Machin• Cartifiad DCC. LOAD ~ TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME OWNERQ CONTRACTOR□ ,._ _____________________________ .....J._,L __ ___,~---------------~AGENT D BY PHONE D • ~ ~ ~ j::: ~ a.. V) ~ / I II) z 0 ~ a:: ~ u .., 0 '> c ' [}.J l)ereby ffllrm that I am licensed under o pnwlalona 01Chapter 9 (commencing with 1-[ S.Ctigll 7000) OI Division 3 of the Business ~ and f>rofeaslons Code, and my license Is In ~ ~I ~orce and effect. Class _____ _ 0 u C .., 0 ... :s I .., z ~ z 0 ~ II) z .., A. :I 0 u II) a: .., ><: a:: 0 l t[ I lle<eby ott,nn that I om exempt from lhe Con-~tnusi.: ~~'~:~~~~ county whteh requires a pennit to construct alte,, nnp,o,,e, demohSh. or repa,r any structure. poor to ,ts ,ssuance also requues the apphcant tor such permit to hie a signed statement that he 1s l,censed pursuant to the p(OVISIOf"IS of the Con-tractor's LieenM Law (Chapter 9 commeoc,ng wolh Seettor1 1000 ol Otvosoon 3 ol the Business and Pro-fess,ons Code) or that ,s exempt u,e.-efrom and the bas1$ lor lhe alleged uemploon. Any •-loon of Sectoon 7031.5 by on opphcont for a pem,11 sub!ecis tne 11pphc,inI to a c,v11 penalty ot not more than h\19 hund<ed dolla,s ($500! 0 I, as owne< ol the p<opef1y. or my emp4oyees ••th wages as their sote compensation, will do the WOtk, and the structure ,snot intended or offered tor safe (Sec ro-.c. Bus,ness and Professoons Code The Contractor's Locense Law does not apply to an owner of property who builds 0t improves thereon Mid whO does such WOik himself or through his own employees. prov,ded thal such ,mprovemeats a,e not ,nteode1 or olfered for sele. If. howevet. the bu11d1ng Of 1mp,oYeme(lt IS $Old Wllhtn one yU/ of completlOO, the owner-builder will haw: the burden of prov,ng that he dod not buold or ,mprove lor the -olsale) C I, as owne, of the property. am exclus1vety contrac.tme with lteef'\Sed contractors to construct ~~~ac~· L~:~:s~ anddoes~~::i: to an OWnet' of property who bu1kls or tmproves ~=i::, ~c:=!~ ~:~,:~~~:::.: LocenseLaw) . 0 I am exempt undef See _____ , B & PC fo, this reason □ I hereby athrm that I ha"e a cert1t1cate of consent to sell-insure. or a certificate of Workers· Compensahon Insurance, 0t a cert11ted copy thereof (Sec 3800, Laoo< Code) POLICY NO COMPANY 0 Copy IS hted with the City 0 Cerhhed copy ,s hereby furnished CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t lhe permit ,s tor one hundred dOllars 1$100! 0< lessl 0 I cert,ly •~• ,n lhe Pfflonnont• of lhe WOf1< 10< whteh this pem-111 IS issued. I ~I not employ any person in il'IY manner so as to become sub1ect 10 lhe WOl1'ers· OJmpensation Laws ot Cahforma NOTICE TO APPllCANT If, af1e, malun~ lh•S Cert, hcate of Exempt.on, you should become sut>tect ,., Ille WOf'k.ef's CompenQ.IIOn P,OVISIOflS Of the Labor Code. you must forthwith comply with such provt.St0ns or 1h1s penn1t shat! be deemed ,evoaeo D I hefeby athrm that there 1s a consiruct,on lenotng ageocy to, the p,erlo,mance of the WOO: IOf wh,ch this pemut ,s issued (Sec 3097, C1v1I Code) Lendo< s Name ___________ _ Lenoer·s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD --------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~1/ ARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 v~:~~ -~LI• -·, I L LA.Jr AV.ST I0ATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER RD. 1P-'7~ e OWNER'S NAME Co~ OWNER"S PHONE PRIME CONTRACTOR CONTRACTORS PHONE• ZONE Vo._._ .:hE.~ l o l E~·s1 ~AILlr:;:, ~ ~ur-'K.~r-- CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # ) BLDG use CODE LOT BLOC"-w .. I SUBDIVISION' I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE tr STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTIOf,j OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE 6/ _,J /E 127:;:, I I ~. t;_ ~ ----------------~ . F/P FLR ELEV. NO OCC GP EDU 00012759 5/03/ 8 I ~-h-,l"er!5 STORIES vO NO -- CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlt!ss lhchine C.rtifild QTY. PLUMBING PERMIT · ISSUE ' QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER ~© EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 1 /} tv'1 A, v e-11-V ,-- EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMtn1t-D ..,. , ~ ~t),6-L., EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHEC~\ /"u -,,. i,. EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING/, ' EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL l ;;;z.c-p.,,. ___ • -~ ---MECHANICAL'-' ./' EACH INSTAI, .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME WATER SOFTNER --. RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR ~ TOTi;L MECHANICAL STRONG MOTION - TOTAL PLUMBING I FIRE SPRINKLERS PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Enc1mtas 1 PH 3 PH PUMP San D1eguito REMODEL/ALTER PEA CIRCUIT PLAN CHECK FEE San Marcos - TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ---· --~ TOTAL ELECTRICAL ,-TOTAL SOLAR TOTAL FEES PAYABLE I ~-11-Y ,,,,- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY EapiratlOft. E--, pe,11111.._ by the 8uoldl119 Othaal under the p,ov,...,,,aof thoa * AN OSHA PElllotfT IS IIEOUIMD FOA EXCAVATIONS 011£11 CERTIFY UNDER PENALTY OF PERJURY THAT AU INFORMATION HEREON INCLUDING THE Code ahall exl)lte by llllllletion and become null and vo,d II the bu1ld1ng or work 5' O'" DEEP ANO DElilOUTlON OR CONSTRUCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonnd by IUCh .,.,,,.11 ia not com,,-,ced w11h1n 180 days from the date of auch STAUCT\JAES OVEFI 3 STORIES IN HEIGHT perm,t. or 11 Ille bu:::.o' work autllorozed by auch perm1I ia auapended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON aban-at .,v lime Ille work os commenced for a -od of 180 ...... STRUCTION, WHETHER SPECIRED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APf>LICANT'S SIGNATUFIE • OWNER□ CONTRACTOR 0 APPR, VE0 BY ;AWtt, 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 l A • . J • GRANTING OF THIS PERMIT .,.., ,_... ~ ir >-cu 0 a. E {:!. I 'O 0 (.!) 'E -~ ,l ei ' D. <( I _:,e. C a: 0 <I) <I) Q) <I) <I) <( I 3: .Q (D >- r/) <I) Q) 0 0 ct <O iii 0 ~ Q) 0 C <O C ir C Q) Q) C, 0 0 Q) a. <I) £ ~ "E 3: [ -- CITY OF CARLSBAD REQUEST FOfl REFUND Amount of Refund $ l l 2 · 50 __ Fee Pdid For· Bu i ldi ng Permi t .'/80 -9_56_R __ _ D<1tc Fne Paid: _,)Ju1..e _ 3_.,__J ~8J __ Fee P.:iid By: _t1 oJ a_ O.e v el Q_Q_m_e o_ t_ _C_o r__Q • Fc1ct:> Supporting Re~1uest: ~ujJ di ng _ __P ~~r..!!U t #80-9~6 R _\'ff it ten_ t_Q CJ en era te a refun d of $1 12.~0 . / Overpayment of Building perm it . Fimince lnvestiy,ition: Rec: -------------------- I I Approve [ I Di::;,1µ;:irovc Dept. I-, ,J Siunc1t urc Date ------------=-.-==---~--=---=----------·---------=-.=;:.=---.=-:-.:;: --::..~.-=---------- City Mawi!Jer·~ Action: I I /\pprOVd f .I Oisnpprove ---------------------. -----City M,1migr:r Si~Jr 1nture D,1ic -·-=---. ~-.:-.... -----:-~ -:. --. -. --= . __:. --== --==-.:;;._ --- • O.T O.T 172.23-+ 1 7:2 = 2:::+ i 72. 2 :~:+ 1 72. 2:::+ 1 ~)2. 2::~-i- 172. 2::.:+ 1 ~::' 2 11 2 -~3 -f.. .1?2.2:~t+ J. 7 ;2 r 2:~~+ 1·72 . 2::::+ 22cI1 r 4'::i+ 2 2 Cl j : t 1 ) + 221) 1. 4 '3+ 22c11 . 4'3+ 22ri 1 4,::i..i..· -■ • -• I O.G 4 '3E,;: + 4 131:,. + .:.1. '3t , =i + 4'31:1 II+ 4'3E, ~ ·+- 4 9 6.+ •3 7-~,:,2. + 13.?E,2. + ':-'7E,2 t: + '37Ea2 ~ + C' .-, ~ .., 1-1 T ._, ._:, ,. ,. .-. 5:3 77CI . 1; ,, .