HomeMy WebLinkAbout2475 TORREJON PL | 2473 TORREJON PL; ; 79-149A | 79-149; PermitLICENSED 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
O t 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 lts Issuance also requires the
applicant for such permit to tile a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty ot not more than five hundred dollars
($500).
DI, as owner of the property. or my employees
with wages as their sole compensation, will do
the work, and the structure is not Intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not Intended or of-
fered for sale. If, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
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 1•ho builds or Im-
proves thereon, and who contracts for such pra.
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ , B. & P.C. tor this reaso,,._ ___________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, or a certificate of Workers'
Compensation Insurance, or a certifie~ copy
thereof (Sec. 3800, Labor Code).
~~~x:1------------.--
□Copy is filed with the city.
D Certified copy is hereby furnishe,
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANci
(This section need not be completed It the
mlt Is for one hundred dollars ($1CXl) or less).
I certify that in the performance of the work for
which this permit is issued, I shall not employ any
person In any manner so as to become subject to
• the Workers' Compensation Laws of California.
NOTlbl! TO APPLICANT: If, after making this Cer-
1I•· ,. of Exemption, you should become subject
'workers' Compensation provisions of the
ode, you must forthwith comply with such
,s or this permit shall be deemed revoked.
• CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction fen-
C ITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
NO. ow~~ I ~A(-'£ ·-~f'JfBll,A.OODDRWES~S ---=----_)')1 _ ;i._ A/.dL ec , ,,,. , ovY , , ,//7,t r, f-, , V
ow~::;3p ADD~~
OWNER'S PHONE
ti'-/tJfi>
I I
S'e. ~~ A!. ,,~~.n:>
PERM IT NUMBER
AV;.f• 0~ F -,~r-•t 79-/4/f /}_ I J__
PRIME CONTRACTOR I STATE LICENSE,-
~~§~$
CONTRACTOR'S ADDRESS ONTRACTOR'S
J?1>fp IZ~C?5.s~~ >-l ASSESSOR'S P,:.vo. j,/
llv &-,, .on2
.l 7 '?$"' r??a ~ A:!oe.-~
DESIGNER
~E,=,-c;,
ST ATE LICENSE
11/RIPTION OF W#
I LJuD .A" -I 1 .l. UA/17: DESIGNER'S ADDRESS DESIGNER'S PHONE
,
CENSUS TRACT GP LAND USE STORIES ZONING~).-I RES. UNITS ~~;~NUM~F
Not V•lid Un/Gs Machin• Cartifi«J
BLDG SQ. FT.
/~'v
BLOG USE
LL./..-
;e: 3 j ST AN OARD PLAN II 179~/Y~' ,T~:V;t/ ~ rec.~ j
;,.J,e, S"o/, w/9-4 QTY. PLUMBING PERMIT
...La_l EACH FIXTURE TRAP
1 I EACH BUILDING SEWER
_LI EACH WATER HEATER AND/OR VENT
/ I EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 DR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
_L EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
7.A.A/~
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
/I NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLDG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
~.A.-,,_,/.1,..JI
.,.TOTAL ELECTRICAL
CONTRACTOR
_lµ.
3 PH
3 PH
AMT. QTY.
;q.l/'U II L
_s-:-1/"'D
J,....Jl-'6
l,~
t' ~-uz
........
(dt'P1J
MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TD 100,000 BTU
OVER lD0,000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3-15 HP
BO I LE R/COMPR ESSO R 16-30 HP
VENT FAN Sl~!GLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
~
TOTAL MECHANICAL 3'/~ CONTRACTOR
AMT. ...,., QTY. MOBILE HOME PERMIT
.3_1.->.,...;-AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
~~
3.!l !!!-1 -----11---
AMT. Jr'"tv1 :r4
~-d$
~
~-dJl... r'~ 6't'1Yz~~
BUILDING PERMIT
~ SIGN PERMIT
13 ,}'f PLAN CHECK
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR _,.,:z. __ I'"""\ , .,
~_) a MICO-FI LM
1 TOTAL FEES PAYABLE
:27~~/..L,,~ l
~
.,
l
l
.l
l
l
.l
l
l
l
. IK:Is::sr:o · • 1 I-I
I I I
I I I
1.?lJ'}.ff
131~..sJt>
I /f3(!'ff'-
I I I
J
J
·l
j _• J
1f1hS
L....:.......l
• ..l.....l l
• ..l.....l ;J
_J J .1
l___,__J L_:___l
I ..2&fi b-'>_[ _g_ ,
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO 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. I.ALSO 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
•AN OSHA PERMIT IS REQUIRED FO R EXCAVA -' ~ --~ -£,_--'
5'-0 .. DEEP ANO DEMOLITION OR CONSTRUCT '-,!!:,,,-?~~:.,--,._,,. __ ...,. p-.v..J / _:2~() 2·::;2""' ,,¢ ~tstJP /o/'P/
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE• OWNERQ CO ]MPRO~ DATE ,~
! ~ ~ >
~ j:::
~ 0. V)
~
SITE . ' 19-1'-l.9 A-ADDRESS: ",-t OWNER: • .. , PERMIT "!0: , ' .
' FIELD INSPECTION RECORD ~
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING
... ' .. ·~ ' ' ~ ·.• ( .
' . > . . -· --~ -
UNDER FLOOR HEATING -' ·' OK TO INSTALL SUB FLOOR -
' SLAB FLOOR -\· ( ..
UNDER SLAB PLUMBING . •, -'-' ~ ,
FOOTING• FORMS• SETBACK • TOILET -'· • ,-.
OK TO POUR CONCRETE -. ..... . .. \' -~o .,.
FRAME --
ROUGH ELECTRICAL '
ROUGH PLUMBING .
I ' ROUGH HEATING/VENTILATING .
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLB0ARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO ' .
I!_. -' • ' ... ' .
FIREPLACE ' -• .. ... ,. -
DAMPER &STEEL .
PLATE TIES/HEIGHT OF CHIMNEY
' OTHER ' TEMP PC°WER (POLE)
SEWER
GAS TEST . -
SWIM POOL • STEEL BONDING •. ,.. .... ,t. -~ ·' '
• • PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN /J
~?/,Cl/ ff ~-
FINAL INSP BY BLDG DEPT
OT HER DEPT'S REQ COMPLETED '
ELEC METER-PERM-TEMP ,
GAS METER-PERM-TEMP .... ..
,,
(_
CERT OF OCCUPANCY ISSUED --.
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 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 penally 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. 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. II, however, the building or Improve-
ment Is sofd 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•
tractlng with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property \•ho builds or im•
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec ____ ~ B. & P.C. for this reason. ____________ _
Date Owner
WORKERS' COMPENSATION DECL
I hereby affirm that I have a certlfictte
sent to self-Insure, o• a certificate o ~ij~s•
Compensation Insurance, or a cert ied /f;opy
~~~X~~--3800, Labor Codebl ~ .~
□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 II the per-
mit 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 employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of Callfomla.
NOTICl:'tcr APPLICANT: II, after making this Cer-
tlflcP'11 of Exemption, you should become subject
Norkers' Compensation provisions of the
ode, you must forthwith comply with such
tn~ or_rhls permit shall be deemed revoked.
CONS'rRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
tinn -•n111nru f.-.r tlo. .... <"nrf.,......,..,,,.,.,,.. ,.., tha u,,...,1, f..,..,
CITY OF CARLSBAD-BUILDING DEP ARTM E NT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
l;J/lr'7 ~ I ~ Ae1,e ~ ?BI diR;µ I I f?/i~1--C ~ I
~VR~T-
1
D~n~TION
BUS. L ICENSE PERMIT NUMBER
I I /?'?77 • j
OWNE»J !)~ ~ ~ OWNER'S PHONE PRIME CONTRACTOR , , :_!ATE L ICENSE J IM"79-/¥1 :fco e, ~..';vt'I '.:)d'/~ ~~/3
OWNE-,;pR'S~ ~,ULINGPDRESS V ~ CONTRACTOR'S ADDRESS CONTRACTOR'S '-,?, J-~ .A 3 . -~NE ~ :.,~ ~ ~ ~ r ---• r r --~ ',? ?:S /?/,..v.L~ $"~ ~}?-?~ j r1;1-1 BLOCK ISUBDIVISI0N
0
..c -:ii ).,j ,;>:;/Sl;R'+ p';2.,r,(JI ~ vy, I DESIGNER STATE LICENSE
~
L-C!_
'1 . <";., I DESC IP TI0N OF WORK
l y lh1 ~/,:, :x ' / v /tJ 1 ~ DESIGNER'S ADDRESS DESIGNER'S PHONE 1~3•~ 9/09/tJO t /J9/d,..431J
~E~j/.t.~,
I I
CENSUS TRACT GP LAND USE ZONING ~ I RES. UNITS PARKl!r.NG SPACE~ ,,;;z,__I NUMBER OF STORIES
4 -..,_. kg,;: -s:i..s-.,,,:2_ Not Valid Unless Machin, C#rtifild
BLDG SQ. FT. BLOG USE , ilj j STANDARD PLAN II I PLAN ID II .J I
TYv~~
I occ. LOAD I /3J>Y /V/V// 17~-/¥ u,.+II QTY. PLUMB ING PERMIT AMT. QTY. M~CHANICA(PERMIT AMT. ~,.,.,; rJ., ~I,,.., J ep.
Vb EACH FIXTURE TRAP ~ v .. j INSTALL FURN. DUCTS UP TD 100,000 BTU Q, .IT"
L EACH BUILDING SEWER r: cJ'O OVER 100,000 BTU .
I EACH WATER HEATER AND/DR VENT .,__frU BOILER/COMPRESSOR UP TO 3 HP
1 EACH GAS SYSTEM 1 TO 4 OUTLETS "),,-.v · BOILER/COMPRESSO R 3-15 HP
EACH GAS SYSTEM 5 OR MORE ..
BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE L VENT FAN Sl~lGLE DUCT ~v
%,~A~
~
I EACH LAWN SPRINKLER SYSTEM ¥.V.., L MECH EXHAUST HOOD/DUCTS ~ r.r-Gd ?7S--:----
WATER SOFTNER " RELOCATION OF EA FURNACE/HEATER , BUILtfiNG PERMIT ,
l .AS~~10 -.A • A .A A I ~ C .:::f,;-, /LA~ J ,. cf•(TU SIGN PERMIT r p.-J/ ... 71 I I I l ,
TOTAL PLUMBING ~ TOTAL MECHANICAL Js t:--PLAN CHECK , J./s !?"" ...Ji m'I I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I -TOTAL PLUMBING I_~ 11-/ -IJ"'P. QTY. ELECTRICAL PERMIT AM_l.·rL. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL ILL1·..2.~o / NEW CONST EA AMP/SWT/BKR /yS'" ~.II-~ AWNING MECHANICAL 1113.~ 1 PH .25 3 PH PORCH / MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP / SOLAR ---I , I I . I 1 PH .25 3 PH RAMADA, CABANA ./ .Ar;. • . .n?~ -I I !Ll.~o . ,
REMODEL/ALTER PER CIRCUIT -FENCE OVER 6° / ~ I I I' . I
/ TEMP POLE 200 AMPS 5.-. TOTAL MOBILE H0'6l" MIC!r-FI LM I I I . J OVER 200 AMPS / I , I I ; I TEMP OCCUPANCY (30 DAYS) / I . I I • I ff-.... ~ / I . I I I
TOTAL ELECTRICAL t.f-Y,~ ~
TOTAL FEES PAYABLE
I ,;»,/ (I ?£-CONTRACTOR ...... I -.,-I/ ~ -----~ ; ,h_ ,~)~~-; I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 ·AN OSHA PERMIT IS REQUIRED FOR EXCA --·v:.. ~-I l
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5"-0" DEEP ANO DEMOLITION OR CONSTRU ~ ~ ~ ~
FURTH EA CERTIFY ANO AGREE IF A PERMIT IS ISSUEO; TO COMPLY WITH ALL CITY,
~;zTORIE NHEIGHT ~£~:~-,:; /t/// COUNTY AND STATE LAWS GOVERNING BUILOING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INOEMNIFY 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. APPLICANT'S SIGNATURE" OWl)!ERO HACTORll'.J ~PROVED BY -DATE
b.f'!.S::~T n --it-... ~ •. !,., I I
! ~ >
5 j:::
}rl
0.. V, ~
SITE I . 1q--ttf:4 ADDRESS: OWNER: I PERMIT NO: .. ,·. FIELD INSPECTION RECORD .. -. ' ~-
INSPECTOR INSPECTOR'S NOTES ' INSPECTION DATE·
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET ' .
i• -. . ,
UNDER FLOOR PLUMBING ·-• L ., r;. ~ -r-...;., .,,.
-_ -• :c
UNDER FLOOR ·HEATING -· .-,( ,.,! •. -" OK TO INSTALL SUB FLOOR
. '
SLAB FLOOR ., .,. ~ .. ~-.
UNDER SLAB PLUMBING .. ' _l_ • -.
FOOTING• FORMS • SETBACK• TOILET ' . ' -" -:-, . . ..-· ..
OK TO POUR CONCRETE -. . • . -... . ;,_
FRAME
ROUGH ELECTRICAL . ' l ·,
ROUGH PLUMBING
.. •-,
ROUGH HEATING/VENTILATING ' FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE -.
EXTERIOR LATH OK • PLACE STUCCO ; ·-..
FIREPLACE .. r " ' ... . .......
DAMPER &STEEL -.
PLATE Tl Es/HEIGHT OF CHIMNEY
' -
OTHER "·M~~I, ..
TEMP POWER (POLE) ' •·, .,
SEWER
GAS TEST . . .
SWIM POOL • STEEL BONDING ~~ ~
I
• PRE DECK ·,
• FENCE PREPLASTER '
SHOWN . FRAME ' A
• PAN II
FINAL INSP BY BLDG DEPT /4 'l?J. , 7.T
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS MET ER-PERM-TEMP ,\'-~~ . ,
.. -
CERT OF OCCUPANCY ISSUED
ncUUEST FOR INSPECTION TIME:-----,,1."'---':..,__//,___
'""'""" h , .r '\'~" ,o :J,f /{t{ om, {-'.).1,-ifj
OWNER ____ ~"-'-l::..../q__J_--'-~=:c....;:.i__,----'1'-q_,_-_l~'-I-Tc/.:.__A_· _' -----
ADDRESS--.(,t.-L-1'--"'3"'------=;)-L{'.._1-'-=-) _ __,_!'-....C...._-1---' .. ~~------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
D_)NT~ LATH OR DRYWALL
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
0 GAS TEST
ATER
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SM"'_......,,,,.,,c
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
~G.
D FRIDAY
PHONE N~ q -~ 7 Y(f
PERSON TAKING REPORT _ __,,¥P...---
REQUEST
BUILDING
D FOUNDATION
0 REINFORCING STEEL
D MASONRY
0 GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME -----....
@:v<TERIOR LATH __.>
D INSULATION
~TERIOR LATH OR DR~
~FINAL
PLUMBING
D 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
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
OG.F.L
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □TUESDAY □WEDNESDAY □THURSDAY □FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __ Q~.._v'.'(\,-'-',____.S&f-='--'----Sl\'---'--..,_\___,'.'l\."'-'-0,__ ______ PHONE NO. _______ _
PERSON TAKING REPORT_-,qf-------
REQUEST FOR INSPECTION TIME-· ______ _
INSPECTOR~ ___ -=7£,_·.,_.,._~Jv'\,~•~-----PERMIT NO. _______ DATE: ::Jlfff!,//• l ·f'P
OWNER _________________________________ _
.
ADDRESS __ ~..2~+_7~3~+-~7_5_-~7<~"'--~-tf.._~_1,_.J•_..J ________________ _
BUILDING
0 FOUNDATION
::J REINFORCING STEEL
L-J MASONRY
C. GROUT· GUN I TE
U FLOOR AND CEILING FRAME
~-:::,, SHEATHING
;t, FRAME
Cl EXTERIOR LATH
.. INSULATION
0 INTERIOR LATH
D FINAL
OR DRYWALL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~ONDAY
DA.M.
~.M.
□TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
~ ~~~c;:l~L~;;:1:GROUND /
D POOL BONDING V
0 ELECTRIC SERVICE •
0 CEILING HEAT @t:// 57jQ/,€.J
0 G. F. I. ,,.,fc t!-.>.f #£~ rl;{
0 SMOKE DETECTOR 7
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO.
0 SIGN
0 GRADING
0 DRIVEWAY
if
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ___ ~.,_,....,.1/'.c......5°t"-'~"""-"==,e__ ________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
REQUEST ,.
INSPECTOR----+-='""--+--,,--,,--PERMIT NO.
OWNER __ __:_,__.:-,-,,,-:,a~.._....e:::..L,-~--::7--~.-<-----------------
ADDRESS_-b<-/.--L--"=----'<----'----'1--'.~=------'-''--'--=c..+·-'-(I\_;___ _______ _
BUILDING.
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
D GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
HEATHING
i;8l--FRAME
TERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
~ ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTIO~: D AV
;>QA.
0P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
)E_ ROUGH ELECTRIC
0 POOL BONDING ,,/t,_,
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
~LENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D TUESDAY,/~~DNESDAY J THURSDAY D FRIDAY
/ '--------I
SPECIAL INSTRUCTIONS ___________________________ _
PERSON TAKING REPORT----½j~---
REQUEST FOR INSPECTION TIME-· ______ _
INSPECTO~--=-·,_z~~ ... i-f.,.__ _____ PERMIT NO. _______ DATE: ID-/.4 • fr)
OWNER _________________________________ _
ADDRESs--r:-2f~~7~3~+~7-.5~---_,/~0~.ll~/l-~➔j~/J~N _____________ _ ~-----------------, BUILDING
□ FOUNDATION
:_:J REINFORCING STEEL
L~~ MASONRY
C, GROUT· GUNITE
[J FLOOR AND CEILING FRAME
~:J SHEATHING
~ FRAME
D EXTERIOR LATH
CJ INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
□ UNDERGROUND WATER
.J)Z[. ROUGH PLUMBING
D TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
□ FINAL
READY FOR INSPECTION: D MONDAY
DA.M.
DP,M.
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
J;i!f. ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
□ FINAL
MISCELLANEOUS
)i::!' PLENUM AND DUCTS
D COMBUSTION AIR
□ PATIO
D SIGN
0 GRADING
□ DRIVEWAY
D CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
□TUESDAY □WEDNESDAY □THURSDAY f,RIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ ,PHONE NO. _ _,,,,..../J.,,_ ___ _
PERSON TAKING REPORT __ ¥_._ _____ _
REQUEST FOR IN PECTION
+-~+-~ait..11:!::_;0:J. PERMIT NO. 21-I t/f
TIME:,_/~)~: 2~()~---
DATE: _1~0_· :2_/~-~i~o_
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT -GUN I TE
D FLOOR AND CEILING FRAME
~ FRAME lt:x.et-\ot..--t,'tJLY
□ SHEATHING • \
□ EXTERIOf LATH----
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
□ UNDERGROUND WATER
0 OUGH PLU BING -::----.._
Os co
□ TUB OR SHOWER PAN
□ GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: ~DAY
~ · DP,M.
D TUESDA
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
□ CEILING HEAT
0 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
D FINAL
)'lWEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY Q LL< , ~ <'.. Cc~-\-~\~~~r~. 1)1 b33o ~~ ~ ~, 4)'\~ ~RSON TAKING REPORT--,t,"'1~,'1,(----
REQUEST FOR INSPECTION TIMEc_· -----9 L ? ::,, ii ·,7 /ol •
INSPECTOB -"·· ·J · PERMIT NO,-'--_•~<_._·· c../_,_. __ DATE: //!,, J,?J
··•'"'
OWNER-------------------,-,----~------------ADDRESS_.:c._,_:?_,L✓~-'--'..;_/.:::;')~'-/_--''-"'-_,,?.'--'Y'-'-.. _·_;.,_' ~'-,--· ____ -,_,, __ • -· -· __ ,_.• ___________ _
/
((;"BLJILDING'J)
D FOUNDATION
□ REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
□ FLOOR AND CEILING FRAME
~HEATH ING
0 FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
□ CEILING HEAT
□ G.F.1.
□ SMOKE DETECTOR
□ FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
D COMBUSTION AIR
□ PATIO
D SIGN
□ GRADING
□ DRIVEWAY
D CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
~--"
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY DTHURSDA\/O FR_IDAY
D A.M. '. R;'_\'-1-..:.. _ _.,,,.,.,
OP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ______ \ ____________ PHONE NO._~".,..··_· ____ :c..;/_ ', .
PERSON TAKING REPOR,;~l~•~-------
BUILDING
0 FOUNDATION
i :J REINFORCING STEEL
L-; MASONRY
C GROUT· GUNITE
U FLOOR AND CEILING FRAME
~-:] SHEATHING
LI FRAME
C: EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D 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
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~~
~ DP.M.
□TUESDAY
DATE:
ELECTRICAL
_,,-, ~
~EMPORARY SERVICE___.,,•
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 LECTRIC SERVICE
CEILING HEAT
~ i~iA~ETECTOR
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY □FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY_\<......,..._()~'_.]_~=~~:V~f)~\ _'.'f\~=Q~ ____ PHONE NO. . '-
PERSON TAKING REPORT_.,q. _____ _
REQUEST FOR INSPECTION TIME·-------
INSPECTOf! __ ....---~l~/~fYY~· ~-----PERMIT NO _______ DATE: 't • .2s--ro
OWNER _________________________________ _ -ADDRESs_...,,c:2=-c..-f-__,_7...,,J'----"-J-~7<-S:<----1-~--"t)'-",f'-'"Jt.,.,f-"'j,_,P,...,-)-'----------------
BUILDING
0 FOUNDATION
.:J REINFORCING STEEL
f_'.] MASON RY
C, GROUT· GUN I TE
U FLOOR AND CEILING FRAME
~~ SHEATHING
L' FRAME
Ci EXTERIOR LATH
C7 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
□ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D 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
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
□ FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY ~HURSDAY D FRIDAY
DA.M.
oP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ PHONE NO·--,~---+<'------
PERSON TAKING REPORT __ ?'J;,f_--¥\1------
REQUEST FOR INSPECTION TIME_· ______ _
INSPECTOfl-· --'-"'-l.--+-1---___,, 72-I 47 DATE, 9-e4-!1'0
OWNER __ ___.s,.ec:'.......L!>:..!..!'.!,,~~--_£___!,_!<',,,=J.......,.-----------------
BUILDING
~ FOUNDATION
~ REINFORCING STEEL
[..j MASONRY
C GROUT-GUNITE
0 FLOOR AND CEILING FRAME
L-=i SHEATHING
L1 FRAME
0 EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
D 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
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~:✓ ~
□TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D 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
D COMBUSTION AIR
D PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __ _._e_2 _ _.cA-/l'.:'::<-C'--------------PHONE NO. ~
PERSON TAKING REPOR ✓~up....,_~~~~---
REQUEST ·FOR INSPECTION TIME-·-------
INSPECTO~ c' d PERMIT NO. _______ DATE: q-C 8-trO
OWNER ___ =------------= ..... _......--------------
ADDRESS-~2,c:_J.....!7_J=...._-~'-...:::::~-----==/-"...!:c...=~~::..=....:~-------
BUILDING
D FOUNDATION
::J REINFORCING STEEL
r__:-; MASONRY
C GROUT· GUN I TE
0 FLOOR AND CEILING FRAME
l":] SHEATHING
C:1 FRAME
0 EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
~
NDE GROUND PLUMBING
U ERGROUND WATER
UGH PLUMBING
B'TOP OUT PLUMBING
~ SEWER AND PL/CO
D TUB OR SHOWER PAN
□ GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION:
DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
□ POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
□TUESDAY □WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY-:,y~
PERSON TAKING REPORT..z
PHONE NO. ~
INTERDEPARTMENTAL INFORMATION SHEET
" BUILDING
1
{ BUJ,LDING
DEPARTMENT
ADDRESS:
PLANNING DEPARTMENT~
DATE:RECEIV J~D
JUN 41979
{ !Jepartm . t
~-~ ZONE ~ LOT SIZE LOT WIDTH •. -----------------------------
UNITS ALLOWED __ ~✓ ________ UNITS PROVIDED ___ ~---------
PARKING SPACES REQUIRED U. PROVIDED ,I
% COVERAGE ALLOWED _________ :i_t.f~O ___ PROVIDED~3~~----------
BUILDING HEIGHT ALLOWED ls PROVIDED -~-I.---"'---------
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
9'_ LANDSCAPE & IRRIGATION PLAN
t-,.
ADDITIONAL COMMENTS
SIDE SETBACK : REAR SETBACK:
1-i 15 .t.f
COMMENTS:
,V#-IMPROVEMENTS /£Xl51')N G
IVEWAY LOCATIONS .J:t>k
ASE MEN TS A/,{., ___ D_R_A_I_N_A_G_E_~--::::::;;;;;::;:;;;=,::::;~;:-J{
L <> r: ril 'i oZ
----------------------------
FIRE DEPARTMENT -·------
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIR.: ALARMS EXITS __ =:.....::..:c------------
FIRE HYDRANTS LOCATION ___ ----'-""':--'~------------
-'" ADDITIONAL COMMENTS ..
9K T~ ISSUE: ~ DATE /.,-~7? OK TO FINAL ______ DATE ____ _
J
wATER DEPARTMENT
REQUIRE~VNTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
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3 CITY OF CARLSBAD f ~ Vj~fW~ ~ ~ This Certificate issued pursuant to the requirements of Section 306 _..,."'._. ~
~ of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~
j regulating bu ilding construction use. ;, ~ Duplex 79-149 & 79-149?k
"-;/:: Use Clossif~olion Bldg. Permit No·--.....-......----~ ~ R~ VN 3 R-2 ~ ~ Group _____ Type Construction _____ fire Zone _____ Use Zone_____ ~
~ Occupant Load • ~ ~
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fB 'Id' M; .. J. Hall . 2438 Sacada ,Circle s;,... ~ wner o u, 1ng •.. Ad'dress ___ ..,.-...;,,',--.......,. ..... • --,.--e:-::,--:--:----r
,< BuildingAddress'···.2·473 ~ 24:5, Torr:j _onlocolity __ G!9sba~, CA •• 92~p8 1 ~
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7-1-77
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name Michael Hall Phone No. 436-1040
Mailing Address 2438 Sacada Cir
Carlsbad, Calif 92008
Service Address: 2473-75 Torrejon Pl ______ _
Tract Descri ption: lot 242 La Co sta South 2
Assessor's Parcel No . 216-240-24 .-==--=....:.-=-.-=-: ________ _
SEWER PERMIT ISSUED UPON
RECEIPT OF BUILDING PERMIT.
BU:LDING PERMIT MUST BE
APPuEo FOR av~ ;;2 It t9ro
Type of Building duplex No . Units 2 Connection Fee $1,200 .00
Lateral Size : 411 --6-11--8-.. --Sa_d_d-le Easement Connection pre-pd (4oo.00)
Extra Footage: __ @ $ __ _ Extra Depth : __ @ $ __ far-
Lateral Fee
Prorated Sewer
Service Fee
Amount Rec'd
Ck. No/Cash
Date
Rec'd By Total $ \~
-The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted .
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer -system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the point in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED .
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year . There will be no
additional fee or refund if service actually conmences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
_in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated.
~ q73l/-C/7~
Account No.
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008 Building Department
q[:itp of <lCarl~bab
RESIDEl'ffIAL ENEffiY DESIGN CERTIFICATION ,.
Permit No.
TELEPHONE:
(7141 729-118·1
--------
Issue Date. ------.---
CERTIFICATE GF .W.'1eLIN.JCE WITI1 ~ERGY CotlSERV8IION DESI.GU HEQUIREMENTS
ffiNTAINED IN ARTICLE 1, PART 6, TillE 24, CALIFORNIA AIT-1. CODE
. I, ~~i A.,r;;;;,11:sdt..J : ., hereby certify that I .am fami-liar
with the state energy_ conservation standard~ mandated in
CAC Title 24, Section T20-1401 through T20~1406, and that the . .
· plans and other documents submitted in su~port of the application
for a building permit at ;2~73(::;v7_s-.·h ~...,-o~ /J..
Address ·
, 101 L, ·_·· •
. ..... _A-ss_e_s-so_r..,..' s---P-ar_c_e.,,..1...,.N_o_. ---1½/C/ Dated
of regulations.
:Signature 1..4-~t:q1~-P-Jl..J...-..lo'--4~~~~~~~-------;·£
T.i t 1 e"--r~~.,..c.---~-"':""':;_,,c__..c.~-c---=---'-""'~~~t.=,t-<-=;;;..L....-.-..~~·-·
.State License or Certificate No. E -z3::::::>?$-·)2 2 ·
Date /t?J-,3·-29 . .
Submit to trye Building Department with pennit application .
. , I'
Form 78-101