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Home My WebLink About2411 LA PLUMA LN; ; VARIOUS; PermitMODEL NO. 5i BUILDTNG PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numt)ered spaces only. Phone 729-1181 Permit No.. JOS ADDR ESS ^*fN Lo P/k^^r»ri3 liQr/4£ CQ/ L^S^^/ ASSESSOR'S PARCEL NUMBER B<S6k ,LESAL IDESCR. (I ISEE ATTACHED SHEETI PAGE OWNER MAIL ADDRESS "'' / t PHONE 2 Hcir^& f. Btt^tk'ner^ /^*i/f /tM P/*^m€:i ca//sfo^^ ^Mot-^S ¥3€,-7/^ CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADORESS LICENSE NO. .(AIL AODRESS LICENSE NO. COMPENSATION INS. CARRIER 4AIL AODRESS USE OF BUILDINC NO. BDRMS. NO. BATHS. 8 Classofwork: DNEW ^ADDITION • ALTERATION • REPAIR • MOVE • REMOVE 9 Describe work: K f^d' Cc^rtcch .f>/c*l> / ^:^OKJ fdj/C^r 10 Change of use from 9"/ i£7 Change of use to 11 Valuation of work: $ Af^ '^>-^) ^' — PLAN CHECK FEE « " .i-PERKfllT FEE $ ..i^ —~' SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Type of Const. Occupancy Group MICRO FILM FEE Size of BIdg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Size of BIdg. (Total) Sq. Ft. No. of Stories Max. Occ. Load -Fire Zone Use Zone Fire Sprinklers Required DYes DNO APPLICATION ACCEPTED BY-^ .A PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE Fire Zone Use Zone Fire Sprinklers Required DYes DNO APPLICATION ACCEPTED BY-^ .A PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE No. of Dwelling Units OFFSTREET No. Covered PARKINQ SPACES: |No. Sq. Ft. (Open NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLANNING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. HEALTH DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FIRE DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SOIL REPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OTHER (Specify) NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ENGINEERING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. WATER DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OP CONTRACTOR OR^ AU THOR 1ZEO AGENT (DATEI SIGNATURE OF OWMER IIF OtTNER aulLDCR) (DATE) SIGNATURE OP CONTRACTOR OR^ AU THOR 1ZEO AGENT (DATEI SIGNATURE OF OWMER IIF OtTNER aulLDCR) (DATE) SIGNATURE OP CONTRACTOR OR^ AU THOR 1ZEO AGENT (DATEI SIGNATURE OF OWMER IIF OtTNER aulLDCR) (DATE) WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH "AA TOTAL FEES $. •o'A INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC. R-97-77 Footings for pation: QJK, Lloyd, in z o (-< IT < .J u Ul a u •* oc I-z or Q a £ z o < z Ul a S o u in O .1^)^ hereby afflrcn 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 full force and affect. i hereby aHirtn that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031 5 Business and Professions Code: Any city or counlv which re-quires a permil to construct, alter, improve^emoiish, or repair any structure, pnor to its issuance also /quires Ihe ap-plicant for such permit to file a siqned sta/ment that he is Iicensed pursuant to the provisions ol/the Contractor s License Law (Chapter 9 commencing i^h Section 7000 of Division 3 of the Business and ProfessiUft Codel or that is ex-empt therefrom and the basis for the affegeo exemption Any violation of Section 703t ,5 by an ayplicani for a permit sub-jects the applicant to a civi! penalt/)f not more Ihan live hun-dred dollars ($5001 II I, as owner of the prope^, or my employees with wages as their sole compensationAvill do the work, and Ihe struc-ture IS not intended or otyfed for sale (Sec 7044, Business and Professions Code: /he Contractor's License Law does not apply to an owne/of property who builds or improves thereon and who doe/such work himself or through his own employees, providedrthat such improvements are not intend-ed or offered for yfe. If, however, the building or improve-ment IS sold witti)ft one year of comptetion, the owner-builder will have the b^den of proving that he did not build or im-prove tor the odrpose ol sale) 11 I, as o«mer ot the properfy, am exclusively contracting with licenasd contractors to construct the proiect (Sec 7044, Busines^and Professions Code: The Contractor's License Law dooS not apply to an owner of property who builds or im-proveythereon, and who contracts for each projects with a corit^ctor(s) license pursuant to the Contractor's License As a homeowner t am improving my hom/ and the follow-^ conditions exist: / 1. The work is being performed p/or to sale I have lived in my home prior to completion of this wo^l I have not claimed this last three years • I am exempt under Sec. for this reason twelve months iption during the £3^f%J hereby affirm that I have a MtrTfftcate of consent to self-insure, or a certificafe of Workers' Compensation In- surance, or a certified copy Ihereol (3ftc 3800, Labor Code) POLICYNO. ?^^ 'lc:>-h^^8^& COMPANY ^LA}^ Copy is filed wilh the city Certifiea copy is hereby furnished CERTIFICATE OF EXEMPTION «10M WORKERS" COMPENSATION ip^RANCE (This section need not be cornali^ed if the permit is for one hundred dolUre ($100) or less) n I certify that in the pej^rffmance of the work for which this permit is issued, Isflall not employ any person in any manner so as to beptfme subject to the Workers' Compen- sation Laws o^S^lifornia. NOTICE T^^PPLICANT; It. after making this Certificate of Exerj»l5tion, you should become subject to the Workers' CofpfJensation provisions of the Labor Code, you must nhwith comply with such provisions or this permit shall •^be deemed revoked. CJ I hereby affirm that there is a c agency for the performance c mit is issued (Sec. 3097, Lender's Name, ^.inl PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHtN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbaid, CA 92009-4859 (619) 438-1161 APPLICATION & JOB ADDRESS Ij^^ BLOCK ^ : j SUBOIVISTON A V. ST. RD, NEAREST CROSS ST. OWNER'S NAME 1 SUBtJtVfSION _ ASSES«JR PARCEL 1*10. IWN6B'S MAILING AODR««B OWNER S PHONE DESCR I PT^N, OF WORK' -tjCiiIiilil^i I i^^ij^iiBl^^i^ 4 COIvi^TpACTOFJ..^. OATE OE APPLICATION 'Cbf>(trt»CTOR'S ADDRESS 756 \iL LrOAlau.- DESIGNER S ADDRESS F/P F LR ELEV. PARKING SPACE RES UNiTS GRADING PERMIT ISSUED Y • N • REDEVELOPMENT AREA NO STORIES TYPE CONST BUSINESS LICENS \)!l/^H CONTRACTOflS PHONE » STATE UCENSE NO. DESIGNEH'S PHONE STATE LICENSE NO. VALUATION fONE PERMIT NUMBER BUILDING SQ FOOTAGE uuoD uui. XI/u iVH&rKn i FIRE SPR YQ ND Not Valirl Unless Machine Certified H?(VE CAftE'FUltY-pAMINED THE COMPLETED 'rAPPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY GP BERJUHY JrtAT ALL INFORMATION HEREON INCLUDlNfi THE DECLARATIONS ARfe TRUE ANO CORRECT AND I FURTHER CERTIFV AND AGREE IF A PERMIT 15 ISSUED: TO COMPLY WITH ALL CITY. COUNIY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION, WfiETigi SPECIFIEO HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE'CITY OF CAFILSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSSS WHICH HAY-IN ANY WAY ACCFiUE AGAINST SAID CITY IN CONSEQUENCE OF THE eRANTfNS,0FWllS=P6iM-IT, ''.^ --if-'------- ' = .--^ -,H?--:^-r\' QTY. PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT - ISSUE 5^ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN, DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 EACH BUILOING SEWER 1 OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER AND.'OR VENT | ^ -^""l BOILER/COMPRESSOR UP TO 3 HP / PLAN CHECK 001-810-00-00-8821 -JA EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP / TOTAL PLUMBING 001-810-00-00-8222 ys- / s EACH GAS SYSTEM b OR MORE METAL FIREPLACE / ELECTRICAL 001-810-00-00-8223 ys- / s -U EACH INSTAl. , ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT f MECHANICAL 001-810-00-00-8224 / EACH VACUUM BREAKER MECH EXHAUST HOOD'DUCTS MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 EACH ROOF DRAIN IINSinEl DRYER VENT STRONG MOTION 880-519-92-33 TOTAL MECHANICAL | FIRE SPRINKLERS 001-810-00-00-8227 Z. X. _c ._ _ TOTAL PLUMBING /<> ^ TOTAL MECHANICAL | PUBLIC FACILITIES FEE 320-810-00-00-8740 QTY. ELECTRICAL PERMIT - ISSUE QTY. MOBILE H(^ME^ETUP BRIDGE FEE 360-810-00-00-8740 QTY. ELECTRICAL PERMIT - ISSUE QTY. MOBILE H(^ME^ETUP PARK-IN-LIEU (AREA ) NE'vV CONST EA AMP SWT BKR /o CAR PORT Af* '• J- -'^ TIF 134-810-00-00-8835 1 PH 'i PH AWNING . ' LA COSTA TIF 133-810-00-00-8835 EXIST BLDG EA AMP'SWT BKR GARAGE FMF 1 PH 3 PH A't ',. LICENSE TAX 001-810-00-00-8162 .--, REMODEL ALTER PER CIRCUIT MFF 880-519-92-57 TEMPPOLE 200AMPS OVER 200 AMPS V TEMP OCCUPANCY (30 DAYSl CREDIT DEPOSIT TOTAL ELECTRICAL i Z''^' TOTAL TOTAL FEES PAYABLE f Expiration. Every permit issued by the Building Ofliciai under t^e provisions ol thit Code shall expire by limitalion and tiecome null and void It the buttding"orworii mitimiiM by such: parmit is not commenced within 180 days (rom the<J*teo(8uch permit, or il the building or work authorized by such permit is suspended oi atiandoned at any time after the wort( is commenced tor a period of 180 days APPLICANTS SlGNATUftt » OWNERD CONTRACTOBjBt APPROVED BY MIMAS' , * AN OSMA PEHMIT IS REQUIREO FO« EXCAVATIONS OVER «• 0" OEEP ANO OEMOLniON OH CONSTRUCTION Of STRUCTURES OVER 3 STORIES IN HEIGHT I t m o CL .E cu TYPE ' DATE INSPECTOR BUILDING ^\ i FOUNDATION ^"1^^ REINFORCED STEEL j ^ MASONRY 1 GUNITE OR GROUT ! SUB FRAME • FLOOR • CEILING SHEATHING • ROOF • SWEAR FRAME ! EXTERIOR LATH } INSULATION ! INTERIOR LATH & DRYWALL { 1 PLUMBING i • SEWER AND BL/CO • F*L/CO UNDERGROUND • WASTE q WATER TOPPUT • WASTE • WATER /' TUB AND SHOWER PAN j P GAS TEST } • WATER HEATER • SOLAR WATER ) 1 ELECTRICAL | / • ELECTRIC UNDERGROUND 01 UFFER ROUGH ELECTRIC J ir^ r • ELECTRIC SERVICE • TEMPjDRARY /\ • BONDING • POOL i 1 • # • MECHANICAL • DUCT & PLEM., • REF. PIpjlNG HEAT - AIR COND. SYSTEMS \ VENTILATING SYSTEMS • - - - 1 1 CALL FOR FINAL INSPEC ION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL 1 PLUMBING 1 ELECTRICAL I MECHANICAL j GAS 1 v /K BUILDING I SPECIAL CONDITIONS I FIELD INSPECTION RECORD ^ . ^ • • " REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS - ,_, • ^ —• * -»«'^^«- ift^K- — •'" m ' ^ 1200 ELM AVENUE CARLSBAD. CALIFORNIA 92008 TELEPHONE: (714) 729-1181 Citp of €avl&hat3 This docuinent will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T20-1406{c), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil-fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at "SLMll Lcs^ P/L4tv\.fl^ /^it« (site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters will be met: 1. Outdoor pools shall be equipped with.a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown v;ithout adjusting thermostat and start-up without relighting pilot light. 3. 36" minimum length of plumbing provided between filter and heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6.., Directional water inlets in pool for good mixing. Print Owners Name: Owners Signature: ' (lArOl ^ '^fMSto Date: ICfelrjd Print Contractors Name; HAlbSlQNi PDQU^, ; Contractors Signature: Address: nril^y^ 'Date PLAN CHECK NO ADDRESS DATE PLANNING ZONE; TYPE OF PROJECT AND USE: .32 > SCHOOL DISTRICT; SAN DIEGUITO SETBACKS: FRONT DISCRETIONARY ACTIONS: ENCINITAS CARLSBAD SAN MARCOS SIDE REAR REDEVELOPMENT PERMIT REQUIRED;_ LANDSCAPE PLAN COMMENTS: ENVIRONMENTAL REQUIRED: ADDITIONAL COMMENTS; (U +-> ro Q OK TO ISSUE: DATE! pnnnnnftnrrnnnnnnftnnnrn n n n lyi fj^n n ENGINEERING LEGAL REQUIREMENTS OJ LEGAL DESCRIPTION VERIFIED? <A^2/^ EASEMENTS: ^?l4Hi2, -^hlSUjyX APN CHECKED? EDU'S; J\J 1^ RIGHT-OF-WAY DRAINAGE: /O, IMPROVEMENTS FIELD CHECK DATE & INITIALS: PERMITS REQUIRED GRADING: DRIVEWAY GRADING COMPLETION CERTIFIED: INDUSTRIAL WASTE: FEES REQUIRED +-* ro O PARK-IN-LIEU QUADRANT; pJll^r—^ I^EE PER UNIT: P.F.F.; ^//^ TRAFFIC IMPACT FEE PER UNIT; /^/^ TOTAL FEE:_ TOTAL FEE: FACILITIES MGMT. FEE: yt.. SEWER FEE (CONNECTION): BRIDGE & THOROUGHFARE FEE: SEWER LATERAL: _ u .2 s:. u "E c — ro (/) Q. es mg ogr lete Pr mp mp +-» 3 r-o ro CQ U Q ADDITIONAL COMMENTS: OK TO ISSUE DPD2:DPD6:10/06/86 UAIL: -r r 05-14-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB131199 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2411 LAPLUIVIA LN CBAD PIVIE 2550910400 Lot#: KRYSKO: CHANGE OUT FAU & AIC W/ ELECTRIC//SAIV1E LOCAL Status: Applied; Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/14/2013 JIVIA 05/14/2013 05/14/2013 Applicant: WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Owner: KRYSKO FAIVIILY TRUST A 09-04-96 2411 LA PLUMA LN CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $154.00 $0.00 TOTAL PERMIT FEES $154.00 Total Fees: $154.00 Total Payments To Date: $0.00 Balance Due: $154.00 Inspector: INALAPPROVAL Date: S'-^^ ^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 infonnation 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 attacl<, 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 capacity 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THEBOlLOWiNG APPROVALS REQUIRED PRIORTO PERMITISSUANCE: • PLANNING • ENGINEERING I BUILDING IFIRE • HEALTH •HAZMAT/APCD ^ CITY O F CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov Plan Check No.(0O> ( 3 • ( I ^ ^ Est. Value Plan Ck. Deposit Date > SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES • NO D APPLICANT NAME (Primary Contact) APPUCANT NAME (Secontfary Contact) ADDRESS ^ I ( ADDRESS aoNE Q [FAX CITY STATE PldONE U PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS . , STATE. ZIP FAX HONE Q [FAX PHONE PHONE EMAIL EMAIL ARCH/DESIGNER NAMES ADDRESS CITY BUS. UC.# (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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Cnapter 9, commendingwlth Section 7000 of Division 3 ofthe 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 ($500)). PENSATIOI Workers' Compsnsation Declaration: / hereby affinn under penalty ofpeijuiy one ofthe foiiowing declarations: n I have and will maintain a certificate of consent to self-insure for wodsers' compensation as provided by Section 3700 of the Labor Code, forthe perfonnance of the worl( for which this pemiit is issued. ^rTiane and will maintain worite^s'^ompensation, (s required l5;^tioii37(^p of the Labor Code, for the perfomi¥iic%pWii^wQfl^fB[#(tiiph(4IUi*eniiit i] number are: Insurance Co.. er»W:ampensatii . Policy No. sued. My workers' compensgtiqainstira™ Expiration Date irheund policy This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ Certificate of Exemption: I certify that in the perfomiance of the wori( for which this permit is issued, I shall not employ any pereon in any manner so as to become subject to the Workers' Compensation Laws of California. WARNiNG: Failure to secure workers' coiAhensation coverage is uniawful, and shall subject an employerto criminal penaities and civll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, daj/^ms as providjed for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SiGNATURE "^^sA J , gAi\^^ OAGENT DATE O ~ / herBby affirm that i am exempt from Contractor's Ucense Law for ihe foliowing reason: D I, as owner of the properfy or my employees with wages as their sole compensation, wili do the wort 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). • I, as owner of the property, am exclusively contracting w»ith iKensed contractors to construct the praject (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 License Law). a I am exempt under Section _ Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and matenals for construction of the proposed property improvement. 13 Yes D No 2. i (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the praposed constraction (include name address / phone / co ntractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^STPROPERTY OWNER SIGNATURE •AGENT DATE PERMITS 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 • No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes • 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 this permit is issued (Sec 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the appikation and state thatthe above Intbrmation is correct and thatthe infbimation on the plans is accurate. I agree to complywith all Clly ordinances and State Isms relating to building construction. I hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAfRMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Ofiicial under the provisbns ofthis Code shall expire by limitation and beoome null and void if the building or vrork authorized by such pennit is not commenced within 180 days from the date of such pemiit or if ttifftJiiikiing or work authorized by such pennit is suspended or abandoned at any time after the vvork is commenced fbr a period of 180 days (Section 106.4.4 Unifomn Building Code). >eirAPPLICANT'S SIGNATURE fNl » . „ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buildinq(S)carlsbadca.qov or Mail the completed fonn to Citv of Carlsbad, Building Division 1635 FaradayAvenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS a PICK UP: • CONTACT (Listed above) o OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAILTO: o CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACXTOR (On Pg. 1) • MAIL / FAX TO OTHER: „ „„ • ASSOCIATED CB#_ • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB131199 Type: PME KRYSKO: CHANGE OUT FAU & A/C W/ ELECTRIC//SAME LOCAL Date Inspection Item Inspector Act Comments 05/30/2013 43 AirCond/Furnace Set PB AP 05/30/2013 49 Final Mechanical PB AP 05/29/2013 43 AirCond/Furnace Set - Rl 10-12 pm pis 05/29/2013 49 Final Mectianical - Rl 10-12 pm pis Thursday, May 30, 2013 Page 1 of 1