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HomeMy WebLinkAbout1273 LAS FLORES DR; MULTI-PERMIT FILE; CB012987; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-14-2001 Sign Permit Permit No:CB012987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1273 LAS FLORES DR CBAD SIGN Lot#: 0 1561206700 $3,500.00 Construction Type: NEW HOLLANDER DENTAL-2 METAL SIGNS 1 WITH ELECTRIC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/14/2001 RMA 09/14/2001 09/14/2001 SIGNS ON TIME HOLLANDER FAMILY TRUST 03-16-90 5670 EL CAMINO REAL 92008 431-1050 247 MCCARTY DR BEVERLY HILLS CA 90212 9896 09/14/01 0002 01 CGP Total Fees: $108.26 Total Payments To Date: $0.00 Balance Due: $108.26 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Inspector: ./~ /!.~ FINAL APPROVAL Date z./-z.8/4 '2--/ .. $53.49 $0.00 $34.77 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $108.26 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. 02 108-26 ·-----------· FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (!Jl2/2if 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. 7coo Plan Ck. Deposit _____ _,,.,._ __ Address (include Bldg/Suite #) Business Name (at this address) IZ-1 '3 I .4-:s +-1-. d (L€"S D'll. H p ._ '--:A 11J ~ e 1>--;p E:"" l't L P-s s. 1u;., , Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use I S lo -I ?cf-t,,J O o (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). S \(.\J:) €'+:) ::IIMe S'C.H el. <.1\lklllJ~ 1,~l\t.. C;Aj\-\.t'B~b c.A. <'.J1-ccg Q"Q)'-/oi-1 d:>,-C Name Address City State/Zip lephone # State License , 7 8 1--c, "" .\ License Class e -':{ ,r City Business License , \ t 9 7 z_ -.3, B Designer Name Address City State/Zip Telephone State License # _________ _ •~~it~••••••i.a_.:11u1~r41;ti:11~~:t1~t1fil:r.t~~il;:;:m;1:;~!it;:~~u:~11;Y.1~~~~;,;imt!HJ tm1;1;: :;;;1i:i~r-::iE~:i;:c1;~i~t::Et:~i;,;w:-~~~~u~:1~;~::-;,,; :,1~:~,; ;1;r :::t~ti~~;1~;1: +:;-;s::,r.-i · Worker,• Compen11tion Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,B. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: lnsuranceCompany re {\....Y½, t>@-::.S., l\tS, PolicyNo.A 2-oot-9.':1-38 ExpirationDate ct-11-O"L ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: 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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dolla 100,000), In addltlo the coa~~atlon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE ~-DATE !fi¥~~~ ~QihlN½IT, I hereby affirm that m exempt from the Con ractor's License Law for the following reason: 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 offered for sale (Sec. 7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law), 0 I am exempt under Section ______ Business and Professions Coaa for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):, ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type of work),,_------------------------------------------------------ c'-';,;;. , .:,,::-;.,,' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over EXPIRATION; Every permit issued by authorized by such permit is not com at any time after the wot c APPLICANT'S SIGNAT " deep and demolition or construction of structures over 3 stories in height. er th provisions of this Code shall expire by limitation and become null and void if the building or work date of such permit or if the building or work authorized by such P, rmit is s pended or abandoned iform Building Code). DATE YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE _z.-+-/.:;_;. 47 j'-"'IJ_'"2.. __ PERMIT # C. P.:, t> ( 1. "I 'B '1 INSPECTOR I< C-13 ----- . PLAN CHECK# ____ _ JOB ADDRESS /}..,7 3 LA-S fLd~&S b I<.· DESCRIPTION S J{,A./ ------------------- CODE DESCRIPTION /ID -=S:.:..IG-.....:.,J;:__ ____ _ ACT COMMENTS E1tvl?-L ' . A / w 1t A F .. #: H: JEN' A A ti,l ANL>tR, ,A Y. • 7 LAS -·r. K • t 4 4 .1 A Ts A. A ----- A 1" ·g ' J6 03/19793 0001 01 02 C-PRMT 25-00 t l xt ~ c;.. 1 APPROVAL 11--1-~-DATE _,.41~1 ~_. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ---- PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departlllent 2075 Las Pal•• Dr., carlsbad, CA 92009 (619) 438-1161 I. P~I JYP! x:~mmerc1al □New Bu1ldmg O tenant Improvement B -D Industrial □ New Building □ Tenant Improvement ~ C -0 Residential □Apartment □Condo □ Single Family Dwelling J(Addition/A1teration 0 Duplex □ Demolition O Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJF.Cf INmRMATION FOR OFFICE USE ONLY Address 12-7 3 4 5 F JO reJ' () ,.,13if~mg or Suite No. Nearest Cross Street + /',' ntt o. CHECK BEWW IF S0BMII 1£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope EXISTING USE PROPOSED USE 3. ADDRESS CITY STATE ZIP CODE \lrn1 DAY TELEPHONE 4. ==& .. ?Jw#l,,.1,':5.,._.□xcrn1 FOR~kfs'imR ao £R □AGENJ FOR OWNER CITY C;;,,,:/fj,,_/ STATE C_,f-ZIPCODE ,Tl.-00,£ DAYTELEPHONE ';,/_?/"-2-r2£ 5. PROPER.I Y OWNRR NAME Ca..-'.'/ !-/c, 1/,.J~v- CITY ~rf S ),.,,_/' STATE ADDRESS I ;i_ 7 3 C~ ZIP CODE fUXJJ DAY TELEPHONE 6. WRIRACIOK NAME ADDRESS CITY STATE STATE UC.# ZIP CODE UCENSE CLASS DAY TELEPHONE CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOIUMtS' WMPENSX:IIUN Workers' Compensation Declaration: I hereby afhrm that I have a cent!1cate of consent to self-msure issued by the D1rectorof lndustnal Relations, or a cenificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY POUCYNO. EXPIRATION DATE Cenihcate of Exemption: I certUY that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. DATE 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 offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement 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.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement chat he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLElf:: IHIS SEcllON FUR NON-Rf::SIDf::NIIAt BUILDING PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT BE ISSUED AF11!R JULY 1, 1989 UNL1!SS Tilll APPUCANT HAS MET OR IS MEETING TIIB REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND Tilll AIR FOlLIITION OONTilOL DISTRICf. 9. WNSIRUCIIUN LENDING AGRNCY I hereby afurm that there 1s a constructmn lending agency for the performance of the work for which this permit 1s issued (Sec 3697(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS to. APPllcAN I t!Ek:liFICAfioH I cenUY that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply wllh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Airo AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 1llE CTIY OF CARISBAD AGAINST AIL UABUITIF.S, JUDGMENTS, CDSTS AND EXPENSES WlilCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN OONSEQIJENCE OF TIIE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 S[Ories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). DATE: ..$ -/ ,,,_ Y? Applicant PINK: Fmance - ' . , PERMIT# CB930258 DESCRIPTION: HOLLANDER DENTAL TYPE: SIGN CITY OF CARLSBAD INSPECTION REQUEST FOR 04/16/93 ASSOCIATES JOB ADDRESS: 1273 LAS FLORES DR APPLICANT: HOLLANDER, GARY CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PY PLANCK# CB930258 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 434-2526 REMARKS: MH/PEGGY/434-2526 SPECIAL INSTRUCT: I 4? INSPECTOR-·~✓-~~--------­/ TOTAL TIME: CD 38 LVL DESCRIPTION ACT COMMENTS EL Signs ('' -i:l_ _____________ _ ___ !',_~_~"---~-.. '-'--------~ ------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ., z 0 ;:: .. "' .. ~ u '" 0 .. i[ l "' '" 0 ~ 5 .. ii '" z ~ O I hereby affirm that I am licensed under provisions ol Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 1n lull force and effect. A / -/ L,c No<j~fl /l, C,a, ~·~ 1 hereby af';rrn thal am e,em~t :·cm ·o~ ·or's L,cense Law fur ttie 1Jllow1oq 'edSC' Aus,ness anc Praless,~'15 Code Any c,:y G' ~"ires a perm! rn corstr "ct a rer 'cr:,,·e 'f8a1r any s:, JCluce pr10-to ·IS S5Ud"Ct ,ll\C ~11cant for sue~ pe·~i ·r: '•!ea 1,~ne11 1,censec Porsu<.rt to :ne ~rov1s1or.s Ca;,, · C~a:ter 9 corimenc,ns ,,,s,on 3 cf lhe 3us oess and Profess-Jns w ,s e, er~t '"ne1"c~ cnO the ba<,s for 'he alleqec e,errJ•,or Anv ,-,J•a'."m ol Sec· 0n ~031 5 by ar ap~I tdnl for a r;ercn1t \t:h e:ts t"·e ap8Ircant to a cI1· I pena·t·1 8f no: mo-e tnan' ,e nur, drec oo la·s :S50C, os Jwne' cl lt'f properly. or ~y ers~ Ojees w'h ;,<.ge~ as their .\c,e ;O"'.~e%a1ron 1,'11' do ·ie war,. Jnd •~e strr"·c ture rs not ,ctended or 011e,ec for sa!e 1Se~ ?C44 B~s,ness a,c Professions Coce The Contractors License Law Coes 10: app·y to an owner al property w~O bur dS )' improves thereor anC who doe; such work h1""\elf a, through hrs own employees 8rovrded that SJch ,·-ip,:,vemerts are not ,mend ed or olle'ed lor sale 11, howeve: the building or improve ment ,s sold w•tn,n one year of comple1,on the owner-Dur Ider w, I have :he burden ot proving t~at he drd nor bu,IG er rm- P.i:O•·e '/J· tre pu·~o;e ol sale) as owner 011~e prcperty, am excius1vely c8ntract,ng 1~tii I,censed canrraclors to consrrucl 1ne pro1ec1 (Ser. 7044 Business and P·ofess,ons COde The Contractor's LIcensf Law does rot apply to dn owner of pcooerty who burl~s or ,rr proves thereon ano who c□nlracts for each 8'0Jee',s wit~ a cont,actor(s·, ·,cense pursuanl lo me Con1rac10, s License Law) l As a homeowner I arr> ;mprov,ng my hOme a~d !he fol ow Ing condrt,ons etrsl I The work ,s oeIng performed pr,or 10 sale 2 I have I,ved In my home 1or 1weIve months prior To completmr of Thrs work I have nor claimed lhIs e,emplron durrr.g the last 1hree years lir t'h~: r~:;r;;:;1 under Sec _____ _ B & PC I hereby affirm that I have a certrlrcate of consent to selt-1~sure. or a certdrcate of \1/orkers Compensation In :~:~;: ~~a c5g~ g~1S~ 3:+r;;2del Q COMPANY ~ T-~ T"-J.. >-~ ,c opy ,s f1:ed Wllh lhe c,ty ., --z Certri1ed COP\ IS heret,y furnished '" ~ ,. 0 u ., ir '" " "' 0 3: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th1s section need not be completed rf the permit Is for one hundred dollars ,$100) or less) _ I certify !hat ,n the performa~ce of the work for whrcr. thrs perm rt rs issued. I shall not employ any person In any rr-anner so as to become subJect to the Workers· Compe~- satIon Laws of California NOTICE TO APPLICANT II, alter making th,s Cert1f1Cate of E<emptron. you shm,ld become sub1ect to the Workers Compensatron provIsIons of the Labor Code you mus: 'L forthwith CDmpl)' w11h such provisions or this permit shall t>e deemed revoked "'I--I he·eby Jff,rm that t~ere ,s a construct•on enc11g w ,igerc·, fo, ·re perfcr01ance c' '.~e work 'or ·-.Och :~Is pe• 0 •nit rs ISSJ<,d ,Sec 3097 ': ,ii Codel z W Ler.der s N.t010 J Le~cer ~ ArJc,~ss , _lJSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOS ADDRESS AV. ST.RD. 1,1_7~ LQ.,,5 rbr-es~ NEAREST CROSS ST. LOT Oti'.EJR_A~),STA rGGR.. l'-f ~'-f3~~i LICENSEN - BLOCK r S\JSOJVISlON. ASSESSOR PARCEL NO. 0-;;0~P i'&"! f osaE; OENSE # 1,, ~A;A~IOr; ~- I r r◊NrnACTORS PHONC, I ZONt <fP»Ah_ t\ 1';: g:z',./:, PjRMIT NUMBER g ll I' 'I-...., "~'"' I / "J.. -~ J PLAN 1.0. # BUILDING SQ. FOOTAGE DESIGNER"S ADDRESS o:iii.ci'8D~r;ush ~ . l~:t:;:;;,-KJ?NER'SPHDNE IOESCR:g;QN o., WORK .p -..J ~., ~ A, ,MA _lq I" /'lJ1 • I ~~{'1--~~ .. ~-V LICENSE NO. ~/j '.~/~;(. ·c '; 0 .. G ;_; ,~, C ., -, .. ,,1 >-rl-) fYlnt --' p FLRELEV , C -...u c>NSUS 'RAU 1 Ge CANO use PARK 11\i"., SPAC~ QTY PLUMBING PERMIT· ISSUE I I RCS LJN,TS 1 I.SD 7" GRAD,NG PERMIT ISSUED ,o 'j □ l REDEVELOPMENT AREA -,CJ -...c QTY. MECHANICAL PERMIT· ISSUE so STORIES TYPE CONST .3--- OCC GP EDU OCC LOAD FIRESPR YO -...o Nor Valid Unless Machine Cerrrfred SUMMARY/ACCOUNT NUMBER BLJII_Ql'.IIG PERMIT 001-81 O-OD-00-8220 EACH FIXTURE:. TRAP -----+ EACH BU~ SEW~----' ' I EACH WA I ER HEATE:.R AND ORVENl --· --- l INSTALL FURN DUCTS UP TO 100000 BTU OVER 100 000 BTU BOILER:CUMPRESSOR UP TO 3 HP BOILER.COMPRESSOR 3 lS HP -+------SIGN PERMI~ D01-810-00-00-8221 PLAN CHECK QC-1-810-00 -00-8806 • 1-z~y-' ' EACH[.;ASSYSTEM I lU4UUTLETS I --------- EACH GAS SYSH.M SOR MORE I EACH INST Al. ALTER. REPAIR WATEfl PIPE ---+-- i :.-------11---- L----_; __ ----.ll--TOTAL PLUMBIIJG M[~A_ FIREPI A.CE ELECTRICAL -·---------- VENT FAN SINGLE □un MECHANICAL 'L--- ' ~ I EACH VACUUM BREAKER MECH FX~~Sl HOOD DUCTS MOBILEHOME JO 1-810-00-00·8222 001 · 81 0-00-00-8223 ~~ ;· 0·00-00-8-2 24 -+-1---------j1 OD 1-810-00-00-8225 I :E-Eti.CH ;-i:,o; ::R.'.>1~J I ~JS D'. I SOLAR WATER SOFTNER --RELOCATION OF EA FURNACE,HEATER MOBILEHOME PARK INSP I --,o --·-= 001·810·00·00·822? ---I-----. ' ' T ---11 TOT,i'.;,L MECHANICAL I _?!RONG MOTIOT\J 880-519-92-33 I ----TOIA[ Pi UMBINC --~ r--I FIRESPRIN<LERS . 001810-00-D0-8227 t I -I I PUBLIC FACILITIES FEE 332-810·00·00-8930 : QTY. ELECTRICAL PERMIT -ISSUE I s -QTY. SOLAR -ISSUE ~-·-----=-=------- ----U-- ' "" '°"'"' "" '"' " " '°' """' : . == i I I PH :i PH -------1 STQYAGE' -AfJKS "' ' ""!' • -D . 1 EXISI bl OG EA AMP SWT 8KR I -_ -'wc,-STGRACE . c~~~ . 1 PH 3 PH -~ P'YllP ---_ · j J ~ - SCHOOL FEE -DISTRICT Carlsbad Encinitas --~[2!~ San Marcos ------------l--- 1 _ REM0_9~~ l~R [IRCUIT _____ +----+ JI_Ar-J Ci-!['[:~ f"E:E:. I TEMP POLE ?DO AMPS ' ---~~~ .. A . 0VERIOOASPS_ . cnvon::;~: :. ~ LICENSE TAX 001-810-00-00-8152 \ -·-- 880·519-92-57 ~-M-FF >------- CREDIT DEPOSIT -- : TEMP CJCCIJPA'[Y ']II □Avs, _ _ _ ____ -'_._----' __ _ nevnoPt"tMl ,a £ <i~~avs. : 1'""' '"' lll,cA, ------f~l-1[ -;[)l,C.~; ---~---r TOTAL FEES PAYABLE I n. 2 6 I l 1 I HAVE CARffULL Y EXAMINED THE COMPLETED APPLICATION AND PERf\llT.· ,4.\,[l DO HEREBY. I Exp,rat1on. Every permit issued byttie Bu1fd,ng Otl1c,al under the prov,s1ons olth,s I CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMAT,QI..J HEREON :NCLUDl"IG THE Cot~e shall e~p1re by l,m1tat,on and become null and void If !he bu1ld1~.g or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHE'~ CERTIFY A'\/~ AGREE 1i= A PERMIT IS a~,rn~~,i~? ~Y1~uch perrn,t I.S not commenced w1thm 180days lrom !he date of S.JCh ·•* AN OSHA PERM:T IS REQUIRED FOR EXCAvATtONS OVER 5 o·· DEEP ANO DEMOLrTK>N OR CONSTRUCTK>N OF STRuCTURES OVE:A 3 STORIES IN HEIGHT ISSUED TO COMPLY WIT'-1 Al' CITY COUNTY AND STATE Ll\'''3 r;o· "RNING BUILDING CON Ip . I e bu1Jd,ng or wor~ authorried by such perm,t ,s suspen;Jed or I STRUCTION. 1,\/HETHER SPECIF~ED ,-,ERE!N OR NOT I ALSO A~{HE:~ ,"~ SA,jE iNDEMNIFY A~D abandoned at any time alter the wor~ ,s commenced ior a period of 180 Ja•i5 - 1 KEEP HARMLESS THE c1TY oF CAR( ssAo AGAINST ALL LIABIL 1T1Es. JuoGME'ITs_ cosTs AN□ APPuc ·s siGNATuRE [LA owNER n co,Tr.Ac ' cr.o"c 8k I DATE E'.PENSES WHICH MAY 1"-ANY WAY ACCfkJE AGAINST SAID CITY IN CONSEQUENCE OF THE It ---i-/ ~2,1t.,O{, GRANTING OF THIS PE9MI' .,, v ------BY PH NE I r,-..F' .'!! LL ~ ,; 0 c_ E 0 f- D 0 ('J <P "'' u ~· c_ « I X C ii 0 " " m " " « I ~ 0 m >- ,;; " m u 0 rt m ;;; 0 G m u C m C LL ,c. C m ~ ('J 0 u © c_ " C C ~ s TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR DATE INSPECTOR --------- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS p.aa= INSPECTION REO IF- CHECKED INSPECTORS ,...,, APPROVAL L,ATE I □ CEIi.JiNG I . : ' <fr & .-' (,, 73, , INSPECTOR'S NI.JTES . ."'. ;-.;· SHEATHING □ ROOF C SHEAR ~~,'~~-~ii"P' "' ,_ i •'''f FRAME 1 -o,_,r--.c1\T,ON 1r-.s-= , EXTERIOR LATH ; e-ST_R_u_c __ 1-,-,cAL c,-;; :RcTf ---1 ------.· --·· r--~'--,:--,,------------------------------1 ()\/f.R ?O'JC P".I I I ~ -~---- FIELD'_'"' _rn,-,,----+ _C_J l.' \ e·:~· 0· ========================= ~RfS":"RbSET' INSULATION INTERIOR LATH & DRYWALL PLUMBING = SEWER AND BL/CO C Pl'.ICO UNDERGROUND □ WASTE □ WATER I :_,UNC;::iF'f-' ~~~~~~~~--ll~''-E~' I ~ -11 ---.·----I ' ,a. ,;"·----r j • Bo,i, ,,,. 1 _--I ~~ TOP OUT □ WASTE D WATER ':Jf-"fCIAL lv1A~,ONRY TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR W,IXTER P ._,s c,,iss:1, · ___ J___ L- f-----+ ------t----+ -- ELECTRICAL ' □ ELECTRIC UNDERGROUND □;UFFER ---+-------t----- ROUGH ELECTRIC ----1-------+----- □ ELECTRIC SERVICE □ TEMPORARY --+----------+-----------+--------· --, I □ BONDING □ POOL , I 1 >-----------+-------+---- ' --------+--I MECHANICAL I --I-------+--- □ DUCT & PLEM., □ REF. PIPING . HEAT -AIR COND, SYSTEMS 1 i-1--------+ ----+-. ---+--- VENTILATING SYSTEMS ~- /'] CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ;J ITEMS ABOVE HA VE BEEN APPROVED. l----,,"-----,''--I------+----+------+-------+ .. ~ ..... FINAL PLUMBING ELECTRICAL MECHANICAL 1 GAS BUILDING SPECIAL CONDITIONS I \ \ _______ J____ --·-J_ ______ _L_ ___ ~ 'v • J ·----.- - l I