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HomeMy WebLinkAbout1001 DAISY AVE; ; 83-412; PermitDECLARATIONSLENDER WORKERS COMPENSATION OWNER/BUILDERIe n1 1I I3 1 1- ||D fglgg ?|ID 3 ° o §' «0§. ""c-Tr^ - f " •? ° r * ID it 0< <o ?^ o c w £ ° </> $P - o o m-i a- „||-? f| £11 || il ||Ss | I-3_ lo=-^> ="-! Io5n 3 '|si --HI" |s|| ||p I ||c* lll°l ^8=0 ilzf IIsl SIIB? j|j l __to self insure or a certificate ol WorkersCompensation insurance or a certified copy thereof(Sec 3800 Labor Code)POLICY NOfor this reasonCONTRACTOR1 1C JO f||J||G lil|||II||f I§i|ss|||||5_I A-Ifi lilSIl I|lpi!t|ii II5lli?!!^iIII H|!!|!EI1 =| sS|5?^5 ga-||g Plsa|l|||l sslllsi^gij!s°J~g i ^f*l=S 2'I^I§lls-i's' if s-SlsZ?2"^si^l 1 s£-f l» =iS-§=I|Sg° t=i|=g = a|>|2^sll J »=-§i§=, =ffI|Si^f'S ==- = 5"«S.I aQ^IS3 °- 3 o,«5o™S ™S^3£=;3;s3 22S S * = i» 2 o-<g3^ = ^ 1 §S^g-°= t"Sgg-"slg- S^goS-S^SSS!-. I 'i i Hi s IEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SGRANTING OF THIS PERMITO O- z oozwmDcm•z.om O-n — i. Im f 1 11 o> 0 m n 1 •x irm •-<T! c3N WHETHER SPECIFIED HEREIN OR NOT 1 ALS1MLESS THE CITY OF CARLSBAD AGAINST ALL L7~ O D ~in mm IC ' C> 3 >E CAREFULLY EXAMINED THE COMPLETED APPLICAIFY UNDER PENALTY OF PERJURY THAT ALL INFOARATIONS ARE TRUE AND CORRECT AND 1 FURTHERED TO COMPLY WITH ALL CITY COUN'IY AND STATfTION AND PERMIT AND DORMATION HEREON INCLUDCERTIFY AND AGREE IF A Pi LAWS GOVERNING BUILDJO AGREE TO SAVE INDE»<«ABILITIES JUDGMENTS CCSTSAND AP/PUCA>NT S SIGNATURE * OWNER D CONTRACTORS?'>T3t>3) 0 -»*m (D ^X t ^ 2 m Z I §355^ cc m -< Iff n Every permit issued by the Bulkexpire by (imitation and becomeby such permit is not commence<if the building or work authona\ any Ywne after the V*OTK is COTmg Official under thenull and void If theJ wtthm ISOdaysfromzed by such permitnmenced lot a periodprovisionsofthfsDudding or workthe date of suchs suspended orol 1SG bavs* AN OSHA PERMiT5 0 DEEP AND DESTRUCTURES OVES REQUIRED FOR EXCAVATIONS OVEMOUTION OR CONSTRUCTION OF1 3 STORIES IN HEIGHTI m C coo -=}TOTAL FEES PAYABLEICREDIT DEPOSITTEMPOCCUPANCY (30 DAYS)om:D0ot/i LICENSE TAX 01 00 00 8162-*MPPOLl 200 AMPS330OmXTJrn33ncz -a 1 ~nm cnHi F5O 00o .0r\j Oc_n CD -XX cn ED a £0 o" 00O ID fNJ COo CJ1 CO m— iCEaorrro33 ROCK STORAGEm 5 57 OOo CDro ro 0cn to _XT>X SIORAGi- IANKSCl S"Q. OOO toro ro 0cn to *W CONST EA AMP/SWI'liKRCOLLECTORSCOo 1 -nmm STRICTOELECTRICAL PERMIHc7>cm f -<SOLAR ISSUECD 3D OCDm ~nmm • \PUBLIC FAC— 1 CO-nm OJPO oog OOCOCOCO 1TOTAL PLUMBING |o•H r— m X f-i t— -n m CO m31CO 0 Oo 0o OO\J STRONG MOTION 80 92 33 0^19^ 1 IE33OC-nO33inm cnor— JO o g T)WATER SOTTNERRELOCATION OF EA FURNACE/HEATERMOBILEHOME PARK INSPEACH VACUUM BREAKERMECH EXHAUST - HOOD-DUCTS0ro m O m 0 oo o-0 cx>rorocn EACH INSTAI, ALIER REPAIR WATER PIPEm Z-H T\ Z V) m MECHANS 0 Oo 0CD OO no EACH GASSYSItM bOR MOREMETAL FIREPLACEmi —mO 33 O 0O COroro EACH GAS SYSTEM 1 101 OUTLETSBOILER/COMPRESSOR 3 15 HPTOTAL PLUMBING 0o0 CD O 00 fV)ro EACHWATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HPm o 00 00 8806?EACH BUILDING SEWER0 m 33 OCD 0o0 ro—i SIGN PERM—i o § CDO OOroro \ mIX33rr,33 V z 00—1 r—r— C 33 Z Dc:n-H C/5 C. -D -HO 0C3 O 0o 03 C BUILDING PERM0 oo OOr\3 CD >> > 'L 0PLUMBING PERMIT ISSUE\\ \V(s I ^ o MECHANICAL PERMIT ISSUEf w X ooO -z. •z.c CDm CtNSUS TRACT-orZOCmPARKING SPACE31 CO CZ HCO o3J O NG PERMIT ISSUEDY D N DREDEVELOPMENTAREAvQ ^OTYPECONSTOnn o 0 n jjj z sD .? i i D ^ 7 D TlrTJ m NOSTORIESOnno mOc DESCRIPTION OF WORKSu/O C^CL^DESIGNER S ADDRESSDESIGNER <5 PHONbpii/iuay auiijMH sa/u/j pi/e/\ IONS0°*79 EB/52VB 6&S "1000300«?5 'gSfg B3/9SV9C q 4 4 ^0 us1 Dm•\ 5k d^ sft 3 1 1 sz»m CO z0 o r Z tt 0)c i I S '8 Im White — Inspector Green — (1) Finance (2) Data Process. Yellow — Assessor Pinkji Applicant OWNER S MAILING ADDRESS• S \ \ -< fc p 0ri^ sm5>Tl S0 1CONTRACTOR S ADDRESS 1^i T)r Z Q ft i Gold r Cv>mnoom fj] 1 hereby affirm that 1 am licensed under_ provisions of Chapter 9 (commencing withSection 7000) of Division 3 ol the Businessand Professions Code and my license is infull force and effectl.r Nn Cla«roBLOCKUlcCD06zASSESSOR PARCEL NOCONTRACTORKocJa-u€Jl D. Ki*o&^MI^^Mi >o s ^ 5N I-i. §^ j X) ° ^rt m im -OB ADDRESS AV ST RD NEAREST CROSS ST/Oo; DAHY A,)£ Ptntcrr^TrjADATE OF APPLICATION?-Z-6-S*.BUSINESS LICENSE/ >f3SOI90 &^f\ ^C*" "° T*^ 5 \ m 3 gom 3DLSBA D BUILDING DEPARTMENT APIm Carlsbad California 92008 1989 (619)4385525PLICATION & P£FH vtmODr-i—4•orriZO00TOm(/>cn9D TJ r~ O ZH O :ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS— Temporary File - SPECIAL CONDITIONS >1 CD5o3T^«S1i0-X^ * f I oCO-y-\ ( j, i -.i '' <n:*rwiC>J5>ELECTRICAL J1 • - , ' • - 'PLUMBING i'j*• - i- \t \ / •• •nzr- • • • ••••nc/iQ^rr1PTrrrrrr2C^rr CALL FOR FINAL INSPECT^}Zi_:3:\tT>'•il035-Hrn -_ - ,VENTILATING SYSTEMS |HEAT — AIR COND SYSTEMS [/ \ i it ' na!TJ5^Dm^TJZQ £I>5>r D BONDING D POOLi D ELECTRIC SERVICE D TEMPOr*J«^•n-< - 'ROUGH ELECTRICD ELECTRIC UNDERGROUND D I-n-nm33 ; *•ELECTRICALa1mTJIm5mTJDCOOETJ|mTl 0COmCO*>^r~mji 7)/> zn TUB AND SHOWER PANOTJOHa1mnHmTJ<rrtCIA L MASON~^ if 4 C<c[jc[1rC3rZ•3nD3DE0n;>0nD>H1D(TC—SEWER AND BUCO DIPUCOTIGH STRENGTHPLUMBINGTlELD WELDINGnONCRET Er:Ca5:sc:43rTlJf}-1 Tl Z 5 2Tl Jnj5DjQ30<»>rcran n INSULATION'j "t3RESTRESSE DEXTERIOR LATHO tnTRUCTURA L COVER 2000 PSIZoJJm FRAME•TL.CZa- cz z -T] 03n:2CC3CTCo3n¥jT.Cc9C1>HC»)]3)1])13cr0fC n r 5 rn FLOOR & CEILING SUB FRAMEnJ0•>3 5 >f •jn |GUNITE OR GROUTINSPECTI0 7 n 13)mm00 m TIa >! QH £3) D Hm < Z>1JJ 3r£ ]nC 0 nC 5 2 nnC C u 2 0 Tnr ci 7. OHm CO InzTlOTJOmarrrr DnT un3 0un•) > ' D1 •> ^5ri •i >FOUNDATION- _ . (fefLy^>mr—a ZCOTJmoHo 33 m O D BUILDING /\TJm0mCO•omQH a -c £ - •• - ?\t* » ^ \