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Home My WebLink About1768 FOREST AVE; ; 81-428; Permit.. z 0 !ii " .. .... :rl Q " i[ 0 " .. Q .... 3 !!' " .. z ~ z 0 ~ .z ![ D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull fore.\. a a;nd eff.ect. JC)_ L,c Ne fef 8fJ Class IJ I hereby affirm that I am exempt from the Con ~tlB~~~:;;: ~; :~,~~~,1i~1i~e'.8t~~~,i~, counly wh,ch requ,res a penmt to construct o11t11r. ,mprove, demol,sh, or repair any structure proor to its ,ssuance also requores the apphcan1 lor such permit to hie a s,gned statement lhat he ,s licensed pursuant to tne prov1s1ons of the Con tra,c!or's License Law /Chapter 9 commenc,ng with Sect,on 70CJO of o,v,s•o" 3 ot the Business and Pro less,ons Godel or that ,s exempt therefrom and the has,s for the a116Qed exempt,on Any v1olat,on of Section 7031 5 by an appl,can! for a perm,, sub1ects tne apphcant to a c1v1I penalty o! not rnore than five hundred dollars {$5(()) D I, as owner ot the property, or my employees -.,th wages as the,r sole compensation. will do the wor1<, and the structure ,snot intended or otlered for sale (Sec 7044. Business and Protess,oM Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such won<. h,msel! or throug~ hos own employees. provided tna1 such ,mproveme~ts are not mtende1 or ol!ered To, sale If. however the bu,ld1ng or ,mprovemen! ,s sold w1th1n one year ol complet,on. the owner-builder will have the burden o! proving that he dad not build or ,mprove for the purpose of sale) D I. as owner of the property am e~c1us1ve1y contracting with licensed contractors to construct the pro1ect (Sec 704,,I, Business and Protess,ons Code The contractor's L,cense La"' does not apply to an owner ot property who builds or improves thereon, and who contracts for each pro1ects with a contractOl'1SI license pursuant !o me Controctor~ License Law) 0 larnexemptunderSec for m,s reason B & PC D I hereby af!mn that I ha,e acer11t,cate ol consent 10 sell-insure, or a cert1!,ca1e of Workers Compensat10n lnsurarice, or a cert,f,ed copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY 0 Copy ,s filed woth the c,ty D Cer11f1ed copy ,s hereby furnished CERTIFICATE:. OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Th,s sect,ori need not be completed JI the perm,1 ,s !or one hundrl!'d dollars (S100) or less) I certify that ,n the performance ot the worl< for ,ch this perm,t ,s ,ssued. I shalt not employ any person m ariy manner so as to become subJect 1<.J 'the Wor1<ers· Compensat,on Laws ot Calilorn,a NOTICE TO APPLICANT If. after mak1n;i th,s Cel1, hcate of Exemption. you should become sub1ec1 l'J the Worl<ers· Compensar,on provos,ons ol the Labor Code. you mus! torthw1th comply with such prov,s,ons or th,s permit shall be deemed revokeo 0 I hereby afl,rm !hat there ,~ a consrruct10" 1end1ng agency tor lhe per1orrnance ul lhe worl<. !or which th,s perm,1 ,s ,ssued 1Sec 3097 c,,,1 Codfc'1 Lende•sNarne ___________ _ Lenders Address ----------- USE BALL POINT PEN ONLY & PRESS HARO APPLICANT T" FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBA-BUILDING DEPARTMENT At-r•LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS BUSINESS LICENSE# PERMIT NUMBER 1763' ro-4esr ·~tTfio:·~:w 3/.-i./vt j;J?t z..~q.r-3: A-v--I:.. CONTRACTd"AS PHONE# 1>6ts-r3 ZONE ~NER'S NAME fu I) y ,1-;V ~ ~I(. J73y:7;,-; PRIME CONTRACTOR µ, M,lf~JPll/' ( OiN7"b~'pc/R;f p .Pr ;N'i,)cboRMOUf ,M ;CJ/['() 7/fl "'( 1°JJ'.:°it;-,. I 'lA'ffl:Y:) '6 BLDG USE CODE OESIGNER STATE LICENSE# STANOARO PLAN# BUILDING SQ. FOOTAGE 1--J.d.'.L,C:..L~.!.'.'-.!.-,"~--"'~:.L.':'._.!:'.:~:..!::L.L __ -=:..::..:::__.S=-:_F'_~ ornGN e R'S ADOR ess oes,GNE R'S eHONE "'7-f( y;' -- CENSUS TRAnJ Ge CANO uSE J 'ARK,NG s>ACF I RES uN,TS I QTY. PLUMBING PERMIT -ISSUE -- GRADING ~ERMIT ISSUEcl tO ND F: p FLR ELEV. vO NO I REDEVELOPMENT AREA ,D "JO QTY. MECHANICAL PERMIT· ISSUE NO STORIES TYPE CONST 5-Do ace GP OCC LOAD EDU FIRE SPR YO NO Not Valid Unless Machine Certified SUMMARY/ACCOUNT NUMBER J S" ()_ EACH FIXTURE TRAP 5 _'"2,-• ..JO BUILDING PERMIT 0..(/-i-/ o/,11«1 SIGN PERMIT _ _ td. / D · oucTs uP rn_,00.000 B~~ PLAN CHECK M--,'--1-----INSTALL FURN ---OVER 100.000~-- -PLUMBING -I t ___ ----TOTAL -MPR ESSO R UP _T_D_J_flP__ - ---ELECTRICAL --- BO ILE_R_ CO SOR J IS HP MECHANICAL .. t--COMPRES ' --B O IL E R_ -• -. MMD) BBillll~EHL HO:"M"E=;;:;;-- --1 ""''""'"' ' "" "°'""'"' ''" "" LETS ---~= -~ FAN SINGL -""" rn rn '' - -. - -""'--;.;;;;,, """ --""" tEAA.<cc .. H_.,G~A_sc--s TEM 5 o~_~_ORE -· t ·· -"" ""-"\ "'""""""""" """·""" -VACUUM _ - -__ TOT/; I -l _ --7-1, /....{ ~ 1--EACH BUILDING SEWER I---EACH WATER HEATER ANO:'OR VENT -f----- -,-M EACH GAS SY_S _______ flEPAIR WATER PIPE - ----RELOCAT_I_~_ -SPRINKLERS ~ ' """ -- -"" -I--E~CH INSTA -, .,,-,.,, __ -C "'"'"'"' ""'' '"'''" m -' '""--"''" - - -- -""""" -~ATE:01~ DRAIN 1,~~E1 --= --SUE -SCH-OOL FEE DISTRICT E_ACH --·-SOLAR -IS Ca,lsbad ------QTY - . -TOTAL PLUMBING ~ /')A --RS ---->..;:;",J . --~~~~·-IT ISSUE p>(' , .L.'J.L. -COLLECTO ---San D1egu1to --- i. _ __:_.:::_-CC::-A~M ;_;,, """ ----SSC, """" ~ ------- ! NEW CONST EA J PH_ --~--- -'""--e.PLTIC-Lc ?;r;;-:-lr I I I PH --AMP SW_T__B_K_R___ -I ,, -'"'"'""' :.A"-- -' "'"''"'>"----. _ _,J ~ ---V-- ---- QTY. ---- --- J'" Enc1n1tas --~-- I PH t REMDD~·A~T_E_R -~~~IT C--------- TEMPPOLE 200AMPS f---f--= ------ OVER 200 AMPS ~ I TEMP OCCUPANCY 130 DAYS) ---;- I TOTAL ELE.CTRICAL l --__:_ ___ --41_ ---+-- l-----. ___,_ __ _, ----- --I ~---1----1 ------------- TOTAL. SOLAR --------1------ ~ I ' (, I (" I TOTAL FEES PAYABLE I HAVE""CARE;FULLY EXAMINED THE COMPLETED "APPLICATION ~O PERMIT'' ANO DO HEREBY Expiration Eyery Pfl'.mi.t l~u~ bytheB1,1ildingOflicia! under the provisionsofthts * AN OSHA PERMIT 1$ REQUIRED FOR EXCAVATIONS OYEFI CeATIFV UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ~e shall expire by llm_1tat1on and become n!.!11 and void. If the bu1td1ng or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aut onzed by such ~rmit is not commence.d within lBOdays lrOrf! the dateol such STRUCT\JMS OYER 3 STOAJES IN HEIGHT pe1""m1t. or 1f the bullchng or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH ALL C!fY, COUNTv ANO STATE LAWS GOVERNING BUILDING CON-L~•Ebon~do!2!!n!od!!.!"Ll'~~· l!!!:~ft~e~,Jlhet!!_W!!£0<~k~'!'~,o~m'!!!,m~en~c~e~dLlf~o~,~·R!!'~;od5!!!_2ofL1ti80!!J.!d~•OC•L-,,r~~~_,,,..,,------------,..,-,---,,--~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND pp C D APPROIBY d KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO A AN I ATURE Jf. OWNER CONTRACTOR T EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE ~,Jj O GRANTING OF THIS PERMIT. '1 __ ,.,,,,_Y(_ BY PHONE ~ ~ ii ~ § 0 0. E ~ f- l D 0 CJ C 0 ~, C, Cc .,_ ~ C il: 0 "' "' w "' "' .,: I ~ 2 w >- .,; "' ~ u 0 a: m ;; 0 ~ w u C m C ii C ~ w i5 0 u w Q "' C 2' LC :;; INSPECTION TYPE DATE INSPECTOR BUILDING - FOUNDATION lfll/119'.\ 91--• REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING -- SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT --- TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING 1\ G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. ,· JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED 21-</a-ff FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -·-------- SOILS COMPLIANCE PRIOR TO --------- F-OUNDATION INSP -STRUCTURALCONCRfTE ·-·---·---- OVER 2000 PSI PRESTRESSED CONCRETE --------~ --r----POST TENSIONED CONCRETE ---FIELD WELDING HIGH STRENGTH 1----------·---------_" ______________ - I BOLTS -------t---------------------------- SPECIAL MASONRY . f-----·---------·----- PILES CAISSONS --·-----· j ·------------------;; I I --·------ ___ ...__ __ i --------·--------------- -·------------ -------- -------- ------------ -_ ------------- --------------------·- SHEET ~.ECEIVED BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT ZONE~-----'~'---_._! _____ LOT SIZE~ ________ LOT WIDTH~-------- UNITS ALLOWED UNITS PROVIDED ~--------,------------------+0--+p,,,,,,<~~-P RO VI DED_ol-+-+""lL:~-- _____________ PROVI DED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED ~----i~-- PROVIDED __ ~C~1~f:.; __ _ PROVIDED ---------- SIDE SETBACK: REAR SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: .....J.....:f\)~(~A-1--_____________ _ ENVIRONMENTAL PROTECTION REQ= J~£.+.=-LIVL.:..i:r:_.if ______________ ~ ADDITIONAL COMMENTS: OK TO ISSUErATE /tJ~/~1 OK TO FINAL ______ DATE ___ _ ENGINEERING DEPARTMENT R.O.W. INDUSTRIAL WASTE ------~------IMPROVEMENTS~------- SEWER CONNECTION GRADING PERMIT ~ 3 ~:::~:::-----~-_-____ DRAINAGE~-~~- LEGAL DESCRIPTION____s.~~~~~---~~~~~~-~.c..a>""'1...~__,.;z;_~-----7Z-~/ ____________ _ ADDITIONAL COfMENTS __________________________ _ ' FIRE DEPARTMENT SPRI!iKLING SYSTEM ___________ FIRE PROTECTION EQUIP·-------- FI RE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ___ ~____,~-ATE