HomeMy WebLinkAbout1768 Forest Ave; ; 85-553; Permit"' z
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~hereby affirm. tha.t I am !lcensed under
slons of Chapter 9 1commenc1ng with
on 70001 of D1v1s:_.;,n 3 :A the Bus,riess
and Profess1o"S Code, anj rr,y !1cense s . ..,
lull lorce and effect
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D I hereby aJ•,,m thal, h<1,e a c,c>'11t,·:a1e 0: :or,sert 1? 5elf ,nsure o, a ce,1,1,,_a:e "f w,,d,ers
Cornpensa1,o-~ lr>surance O' a ,:E>n•!-ed ··JC, 'hereot
,Sec 38(() Labo< C()(Je·,
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0 Cen,fr<'cl cop, ,s >,ereby 1urr,,sheO
CEPTl~ICATt: OF EXt:M ION •RCM
WORKERS COMPENSAT lN 1NSlJ<-1ANr [
1T'11s s.ec1 on nE"eO nut be c "1~1eted ,+ ·ne ,.,
,s ,,,, one r.undred d a,5 -.s100, .·,r ess
0 , cert1ly t~"! ,n thi>' r1ormance ,;,t thf· "'"'~ •, ,..n,ch th,s pe,m. ,1 ,s ,s ued I shal 00 .. I PCT';11,,, ar,
persur ,n any marne ,,, a~ le t,..r,-,,,,,,'
:r.e \11/orl<.er<, Cu-·.ie ,,.,:,on L..l."'5 ! ,,JI'
... OTICI: '0 APPL if ANT " dlle' '"dk '·;J t•1 s ·:,,,.
+,c<11e ol t,em~: ¢~ ,·Ju srould :,,>c)r"T1e suD,ec•'
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CA~LSBAD BUILDING DEPARTMENT
120i., t:lm. Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
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,oe;;;Ress
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/ NEAREST CROSS ST sustNcSS UCENSE • _.;:;,;7t,,, I
1 BLOCK I CONfRACTORS "'"ONE# ZONE i SS3 I
'~"' ° C, SAMC -I OWNCR'$eHONC I ' 1.?t/-JIW "'LAN•i),;, ISLDG~'S[CODE
PERMIT "-JUMBER LL
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STA'.~Ano ?;__Al\,,: BUILDING SQ FOCTAGE:
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I (!',':,, ,TP;,,:, j ,,P,A'•~c-:,E ! FARK ". ,,,•t,;E I RESur.. ~s I C,RAC11'.,G"i:RM,T1ssur~ I "EDEvELCJ""1E"-T TYPE OCCLOAD FIRESPFI
I : AREA CONST
! i • 0 ~ 0 · ~ ·,C > LJ r..D 1 Nnt Valid Unless Machine Cerr1t1ed
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: QTY. PLUMBING PERMIT. ISSUE .-"Jf!!-, QTY MECHANICAL PERMIT ISSUE ::f ·-SUMMARY/ACCOUNT NUMBER : -----+~;. (,H FI:,:; UiH: TRAP ___ T r _____ tll _ INSTAl l FURN O uc--:-s iJP TO 100 000 BTU BUII_DIM::; PER~1_J_ --·-.. 01 00 00 522G i _ .a...i.cJ
I E,',i'.H BUI LUING Sf'l,'FR OVER 100 000 BTU SIGN ~ER\1!T 01-00-00-82?1
1'-____ ~i_,,,:~~~~~-~R_HtA~El-lA~;1D8vE1,T . -~ -----1 __ :so1L(Rcu_MPRE~SORUPT03HP _______ -----. --PLANCHFCK ----__ ci1-:Jo-_o_o __ B~_-_ ---~O.Jr
E .. FACHr;As.·sy.s1EM1:u~u,-Ti_FTS • t!:lOILERCOMPRESSOR:ll~HP ___ _ TOTAL_PLUMB1r1G___ J1oooosL22~
I f:'~CH G1\S SYS TU,'·~ \jf-l ',1()1--ll:. ' 1 ',1~-A1 -Rt"~LAC[ ELECTRICAL O' 00 00 822j
--!EACH1~S-rAl-~u!i1 l-l_E'.A1R,';A1ERP1PE ~~:--11 +vENT__!-AN_S-1NGLEDUCT -----__ ~ MECHA"JCAL _ OiQ_O_oos2?J __ i
---i~~.£._H~~~~-~~E.~~E~. ___ ,, __ ·-MECH EXHA~ST HOOll DUCTS _ MOBILEHOME __ O 00 OQ___§_'.:~ -1
1--l ',\'_AT t. R SU F T~E ~--_ _ -r-RELOCATION OF E~ ~ ~ACE HEAT~ ~1_EHOME PARK lr~SP ~ -.:;r·-i ~;·,· f ':,w.c '. . _ ~ ___ _ ____ _J__ SOLAR o· ·00-00-8226 [ __
TOTt;t MECHANICAL I STRONG MU:ION 80 92 33 0519
--
l[JJ:11Pli_l\H1:~( -----,
le-' -t + l 11
FIRE SPRIN/\LERS 01-00-00-~8_2_27_t-------------,
_ _P_IJ_!lLI_C FACl~~l~~E!___ 32-00-00-8930 ----
~--ELE,CTRICAL PERMIT. ISS~~ -· £...:=----l~T~ . .-SOLAR ISSUE I I BR_IDGE FEE
NlV,CO",TEAAMPS','.t bKR :. J..""''.'.TRc, ·1 SCHOOlFEE·DISTRICT
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l PH · PH 1::>l_,h"'.,F ,'. J Carlsbad 80-92-21-0519
, '--·--'--,-'-:-~s; HLDG EA AMP S\','l fJK~ PH 1-~ I::.·:::;~ s l:,~:,r---------. -Encn:tas .B0-J_2-22~051g·~t
11 I · --' _ San D1egu1to ____ _ __ 80-92-23-05,9
I ____ + H'Eli'OD·f·L· Al Tt. R p~.,;· C·~UJIT ---·-·.--t t"_,\', :"~'---~----------Sarirv1arCDS 80:92·2.4_-0?'9
1 I TE'·,1PPOLF /110 ,\\1P\ ~ -cl------
l ---0\ ER !(J'.J AMPS ------~------+ __ L!__CE~S~T_A_~~8162 --------------·-
l t ',1P (JllUPC..Nl.Y 311 rJAYS1 -+----~-MF_F80·92·57_:__0519
" ----1 -----~--/ _ ___ CREDIT DEPOSIT
I 11,"i f · l' '"'I',:,. ' -· t
1 . . "'· TOTAL FEES PAYABLE
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I HAVE CAREFUL.LY ,'"1.A',IINf.[) THE COVPLETEO APPLICATIO~, AN[) Pt-_:s,,•iT ;>rsD DO HEPE:. 8• i "E~p1rat1on Everyperm1t•ssuedbythe8utldtngOft1c1alunde,theprov1s,onsoftt>. ,s
CFPT1FY UNDER PENAL TY t]"' PER._iURY THAT ALL INFOl-lM/l T ,Dl·J •of:LiC:C~ :"JCL.UDlrJG :~•E '-'ode shall exp,re by l•rn,1at,on and become null and vo,d II the build"'9 or wn,~
* AN OSHA PE.RM:T IS REQUIRED FOR EXCAVATK>NS OVER
5· O" DEEP A.NO DEMOLITION OR CONSTRUCTION OF
STRUCTURES O'o'ER 3 STORIES !N HEIGHT
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" DE:CLI.\RATIONS ARE. rpuE Ar,J[) CORRE.CT AND I FURTHER CER-c v t,rJ'.-: ..'.\C]RE-F c: p. P';:hf,'I~ c, a~;~~~,z~7 ~t t~uch perm·t 1s riot commenced w11h,n 180days from the oa1e c>f sue~
ISSUED TO COHPLY WIT>-< AL' C'~Y CO''l\;JY A."iD STA'"E LP.·'·S f'J •<=P•j,'" BlJ,LD NG co~· I P · e ta,1ld1nri or wor~ authom:ed by such permit 1s suspended or
ST<=iUCTION. \/,'H~'HER SPEC•F~EU t-<EHEI~ OR Nor I.Also A~Rc~'r·,J SA'.'~'-'INDf:M.,NIFY AN~, i abandoned at any t,me a ter the work is commenced for a period of 180 da s ' "">
KEEP HARMLESS THE CITY OF CARLSF!A;) /'I.GAINST ALL LiAB:LIT<ES. J'JDGME"JTS. cos~s A:s!;) APPLICANT'S IGNATURE ¥, OWNE'Rn CONTRACTORl',!" ~ J' >
,
EXPENSES WHICH MAY IN A~Y WAY ACCRUE AGAINST SAID Cl--:-Y IN CONSEQUENCE OF THE r ,:a.--; 8'J
GRANTING OF THIS PEFIMIT BY PHONE L] !
V
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO O'PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE , WATER
TUB AND SHOWER PAN
GAS TEST
C::: WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
[l ELECTRIC SERVICE D TEMPORARY
CJ BONDING , POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
• ,s~ss3 I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I • ~ FIELD INSPECTION RECORD
INSPECTION DATE REO~F INSPECTORS
CHECKED APPROVAL -+---~--~--~-~--~
SOILS COlv'Pl_,ANCE
PRIOR TO
FOUNC·A-:-10~ 1r--.SP
STRUCTURAi_ CO".CRETE
0\/ER 2000 PSI
PRESTRESSEC
CONCRETE
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~?S-:-TEr-.'."-.1'.)r-..E" ~~~CRETE .. i
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