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Home My WebLink About2451 IMPALA DR; MULTI-PERMIT FILE; CB940617; PermitJCP B U L D IN GP E R M I Ti Permit No:. CB940617 05/25>'94 .10.: 32 •, •. . , . . . . . Projedt No: A8800262 Page 1 of .1 tw :.. Development No: Job Address: 2451 IMPALA DR Suite: ' Permit Type: MECHANICAL , ' 7117 (5/25/94 0001 01 02 Parcel No: 209-041-11-00 ' Lot#: , , C-PRMT 2200 Valuation: .. 0 Construction Type:. NEW .. . Ocäupancy Group: 0 .• Reference#:4 . •.Status: ISSUED Description: INSTALL EXHAUST' FAN TACAM Applied: 05/25/94 PER PETERSON •,. .' • . 'Apr/Issue,: 05/25/94 Entered By: 'DC Appl/Ownr :1 LOMACK SERVICE CORPORATION 619 727)1.-3607- '2130 INDUSTRIAL COURT #B--- VISTA,, CA 92083.., . ., . Credits -.** -'-.Tees: 2200 Adjustments 00 Total Fees: ' , /2 2~.1001' ' Tot'aPayr'en-tj\..\ .. .00 , •J -4' 0 ( _ , • . * ' •-••. . Balan, ' ce , D:'i ••. .. 22.00 Fee description Ext fee Data Each Exhaust F a n : -~ QJ 16 t11C755-0 A. 6 .50 22 .00 1952 APPROVAL _DATEI"' t 0 '. . ICLEARANCE - CITY OF.CARLSBAD -• ' - 2075 Las Palmas Dr., Carlsbad; CA 92009 (619) 438-1161 PERMIT AI'PUCAlTON City of Carlsbad Building Department 205 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT TYPE From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PROJECT INFORMA11ON PLAN CHECK NO. // - 6 /7 M. VAL PLAN CK DEPOSIT_______________ VALID. BY FOR OFFICE USE ONLY aaress— iiuiiaing or suite NO. 2J-,-5 IMPALA v(&. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMItFED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope -rAL..L ?cf4AU$V F&°tJ yr # OF STORIES # OF BED'R,OMS # OF BATHROOMS NAME (last, name first) rr ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT D CONTRACTOR U AGEN...FOR CON'I'RACIOR DOWNER D AGENT FOR OWNER NAME (last name first) ADDRESS cITY --- STATE ZIP CODE DAY TELEPHONE --(lastname-first)_ ADDRESS 'STATE ZIP CODE DAY TELEPHONE LQJN'1't(j1tJI( NAME (last name fiist)i.O4iU.( S E&V)CI ('. ADDRESS Q..I 3Zo RJ9(JS'T1&1 AL C.T. S'T 1 CITY V t rA STATE C-A ZIP CODE DAY TELEPHONE '11—n STATE LIC.#4 57b 41 LICENSE CLASS C-jO CITY BUSINESS LIC. # DESIGNER NAME (last name best) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # worKers'Gompensation Declaration: I nerey airirm mat i nave a certiricate 01 consent to sell-insure issued uy me Director 01 rnciustnai Relations, or a certieof-Wórkers' 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 Department (Section 3800, Lob. Q. INSURANCE COMPANY t J9IJ —f POLICY NO. EXPIRATION DATE ) 11 I 5 I any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt trom the Contractors License Law for the bollowing reason: 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.). 1, 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 Low 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). 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 that 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS1IUCT. WNSTRUCI1ON LENDING AGENCY I hereby affirm that there is a construction lending agency for the pertormance 01 the work for which this permit is issued (Sec 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CEWflFICATION - I certify that I have read the application and state that the above information is correct. I agree to comply with 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 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 5'O" deep and demolition or construction of structures over 3 stories 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 suchpermicissuspended or aband ned at any me after the work is commenced for a period o 180 days (Section 303(d) Uniform Build Codel. (& (7. . DATE:k CO— 'sb- IY4 0 - S.. - CITY, OF CARLSBAD INSPECTION REQUEST PERMIT# C9940617 , FOR 06/02/94 INSPECTOR AREA DESCRIPTION:..5 INSTALL EXHAUST FAN'TACAM PLANCK# CB9406'17 PERPETERSON ' . .. 0CC: GRP . TYPE MECH CONSTR.,-TYPE NEW JOB ADDRESS 2451 IMPALA DR ST E LOT APPLICANT: 'LOMACKI,SERVICE CORPORATION PHONE 619 727-3607 CONTRACTOR: - '•, •PHONE:. S OWNER PHONE ñ REMARKS MW/DENISE/727-3607 INSPECTO SPECIAL INSTRUCT TOTAL TIME: --RELATED PERMITS-- PERNIT# TYPE STATUS CB880262 MECH EXPIRED CD LVL DESCRIPTION .5 - S S ACT 5COMMENTS 42_ 44 ME Rough/Ducts/Dampers — - -:. INSPECTION HISTORY ***** S •. S S. DATE DESCRIPTION ACT INSP COMMENTS. - --• .- . . - - •- 3 S - ...S S • - * S - S - - - S S - - - 0 • • -. - S - St5 .5 'S . - l o s - •S.SS S S IS - -"' • .. r - n • cc flJ I hereby affirm that I am licensed under -. U provieione ofChapter. 9 (commencIng with IS.ct1011 7000) of Division of the Business and'Profeeeions Code, and my license is in fUl 0 IVIlo.rcie-a'Ad effect. U -- - -- -- - - - 'I hereby, ailirm that I am exempt from the Contrac- lor's;license. Law,toçthe following reason iSec. 7031.5 - • Easiness and Protessions Code: Any city or county which re-If quires a permit to Construct, alter. improve, demolish, or repair any structure, prior to its issuance also requires ho ap plicant for such permit to tile a signed statement that he is - - licensed pursuant to the -provisions of the contractor's, License law (Chapter 9 commencing with Section '7000 of Division 301 the Business and Prolessions Code) or that is eu empl therefrom and the basis for the alleged exemption. 'Any ,uiolation,ot Section 7031.5 by an applicant for a permit sub octs'Ihe applicant to a Civil penally of not more than live hun- dred dollars ($500). .(,i.I'as uwn'e ótte properI fir—m fir-mi employees with wages Cc -as their- sole compensation, will dv the work, and the struc- - 5-- '-,lure is not intended Sr offered tot-sale (Sec. 7044. Business and Prolession Code: The CoutraclUr's license Law does ,,001 apply to 'an owner 01 properly who builds, or improves ) thereon and who does Such work himself or through his own if employees.' provided that such improvements are not intend- -'-"-- W ed or offered for sale. It,' however, the building or improve- Z ment is sold within one year OILcompletion, the owner-builder__ - " will have the burden of proving that he did not build or im- , prove for the purpose 01 sale). 11' las ,wnel the property, am encltivly contracting with licensed contractors to construct the project (Sec. 7044.'...' 'Business and Professions Code: The Contractors License - - Law does not apply to an-owner 01 property who builds or im- - ' proves thereon, and who contracts for each projects with a d jconlractorls) licerisepursuant to the Contractor's License . s I') ,As a homeowner I am'(mproving my home, and the tOtlnw'. . - - 09 Conditions exist: - . — -, -' -. - cc t. The work is being performed prior to sale. have lined in'.my.,home,bor:lwelve months - prior to completion of this work. - w ' 3. I have 001 claimed this exemption during the O - .. - . - - last three years, . - - .---- - ,- .• :T..J (t'. . - 0' lam exempt Under Sec .B & PC,, br this 'reason 'j D)e'resy affirm that I have acerliticate of Consent tor selt'iflsxre or a certificate UI Workers' Cxmpensarixn In- ,srrance:'o'r a certified copy thereof (Sec. 3000. Labor Code( ts POLICY NO. COMPANY .' , U - • ,,;, g a- - Copy is sled with the City, vsJ*'t'i — 0 rrilied copy is hereby furnished' ILIA - -0 - '- CERTIFICATE OF EXEMPTION FROM U •fl WORKERS'. COMPENSATION INSURANCE U) ' a.,, (Thisection need not be Completed il lhe.permit - CC ' t '• is.Ior one hundred dollars lorOOl or less) — Q'.i certify that in the performance 01 the work for which - CC .'tbiio permit is issued. I shall not employ any person in any * - nUer so as to become subject to the Workers' Compen,' - 'sationlawsof California. - '')• - ' r 3 .-.. NOTICE TO APPLICANT: It. alter making this Certificate— I o1 Exemption, you should become subject 10 the Wxrker5'! 'Compensation provisions of the Labor Code: yxu'musr - " torlhwibh comply with such provisions or this permit Shall It be demed ievoked. - -v. 13 'fEtA -- .\v'tJ1 y affirm that there is a construction lending Cc a"genCy IAthe perlormarrce 01 the work for which this per. - mil is issued (Sec. 3097, Civil Code(, Z . '0 '0J., lxi-Lender's Name Lender's Address - i~ 'iISE'BALLPOINT PEN 'ONiY &PRESS HARD' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - i__'•_ - - ' CARLSBAD BUILDING DEPARTMENT . . . -. APPLICATION & PERMIT - -2075 Las Palmas Dr.; Carlsbad -CA 92009-1915 (619) 438-1161 JOB ADDRESS AV. ST RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE U VALUATION PERMIT NUMBER z'j,-i ipA2ê,jj 'z-29--9B LOT BLOCK - - SUBDIVISION ASSESSOR PARCEL NO, CONTRA TOP - L CONTRACTORS PHONE N ZONE 7z7'//c 14 OWNER'S NAME - . 21"t OWNERSPHONE 9 7$7 CONTRACTORS ADORE STATE LICENSE NO OW4 BUILDING -. - . SO. FOOTAGE LNG ADDRESS DESIGNER - S2.3 a Je,#IJ/?4$ e9/i,.f"Y OESIGRS PHONE -' DESCRIPTION OF WORK ' STATE LICENSE NO. DESIGNER'S ADDRESS, / - - F/P FLRELEV. - NO OCCGP EDU - ii_' STORIES' "" 0101 02E:1dpmt' ' -. 24: YD ND - ' ' " - - ' — • - - I CENSUS TRACT .PARKING'SPACE - RIO UNITS' GRADING PERMIT ISSUED REDEVELOPMENT' ' 'TYPE' OCC'LOAO 'FIRESPP - - - - ' ' ' -' • - ' - AREA , CONST - - Y 0 N 0- ' 0 NO . . YO NO .., No( Va/id Unless Machine Certified - - QTY. PLUMBING PERMIT - ISSUE -' - - OTY. MECHANICAL PERMIT'--ISSUE - --' - -SUMMARY/ACCOUNT SUMMARY/ACCOUNT NuMBER—.'- • - - — EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO'lOO,OOO BTU BUILDING PERMIT , 001-810-00-00-8220 - 'EACH BUILDING SEWER * - -v - . OVER 100,000 BTU. . ' / , SIGN PERMIT 001-810-00-00-8221 --- 'EACH WATER HEATER ANDiOR.VENT • ' - - -' • BOILER/COMPRESSOR UP TO 3 HP -. • -. PLAN-CHECK - 001-810-00-00-8891 EACH GAS SYSTEM I 104 OUTLETS : . - BOILER/COMPRESSOR 3-15 HP ' , TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEMS OR MORE . , METAL FIREPLACE . ' ELECTRICAL ' 001-810'00-00-8223 J EACH INSTAL., ALT-ER, REPAIR WATER PIPE - , VENT FAN SINGLE DUCT - • • . - . - • MECHANIC-AL. -' - 001-810-00-00-8224 - - - EACH VACUUM BREAKER '\ -'C MECH EXHAUST HOOD/DUCTS . .' MOBILEHOME - 001-810-00-00-8225 WATER SOFTNER'I ' .. ' si '. - - RELOCATION OF EA FURNACE/HEATER '. - SOLAR Oo1-810-oo-oo-8226 .. . - EACH ROOF-DRAIN (INSIDE ( , DRYER VENT . " . - ' - ___. - _STRONG MOTION ... .,. 88051992'33.. IEEE] ' TOTAL MECHANICAL ,.e-.,. - - '- FIRE SPRINKLERS 001-810-00-00-8227 - TOTAL PLUMBING ..,t I - - _•• - PUBLIC FACILITIES FEE 320-81O-00-00-8740 OTY. PERMIT-ISSUE ELECTRICAL- OTY. - - BRIDGE FEE 360-810-00-00-8740 - PARK-IN-LIEU (AREA - . .MoBILME1ETUPIM ktW CONST .AP'Sw1'BxR . ' CARPORT" ./41. . - - '' ' ' -'TIF7 '- 312-810-00-00-8835 - I1PH r ' 3 PH ' AWNING /CV LA COSTA TIF 1 311-1810-00-00-8835 Al EXISTBLDG EA AMP/SWT/BKR - ' . - . GARAGE jc csic .iscSU . • ' .'" 'FMF'. 1' r. -..a' '_ .a - - l'PH-- - -' - - 3 PH •- ' -.. --'' - — - - . -- . - - - -LICENSE TAX- ' - -001-81000-00-8162 - - REM,ODEL'ALTER PER CIRCUIT - ' - ,. ' . , , , MIFF . 880-519-92-57 TEMPPOIE 200 AMPS ,. ... - i/-. . ' -,, OVER 200 AMPS i - TEMP OCCUPANCY (30 DAYS) • '' ' . ( ____________ _____________________________________ ___________________ -,----' I, ,', ",..(\o • . CREDIT DEPOSIT = TOTALELECRICAL 'TOTAL — - -TOAL.FEESPAE -- - -'-I- . - = 'I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permitissued by the Building Official under the provisions 'olthis ..'W'AN 0511* ''T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 511:11 expire by limitation and become null and void It the building Or work authorized by such permit is not commenced within 180 days from the date of suc 50" DE.ND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil, or.A the buibdin or work authorized by such BUILDING CON ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING abandon an me after -the work Is commenced for a period suspended or ' STRI.9fJAeS OVER 3 STORIES IN HEIGHT - '7' - WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND App 06 5A AGAINST ALL COSTS NAT - OWNER 0 01180 days. STRUCTION. CONTRACTOR APPROyDBY ' KEEP HARMLESS THE CITY OF CARLSBAD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. BY PHONE 0 -. I_.7ld 7__•_••__ 1/h -I - \r \ -' .'- -- --- - - - • TYPE -' DATE INSPECTOR -, BUILDING FOUNDATION FIELD INSPECTION RECORD 4 . REINFORCED STEEL _ ' REQUIRED SPECIAL INSECTIONS' ' - iNSPECTOS NOTES . MASONRY ______ . _________ . INSPECTION REQ. IF CHECKED INSPECTORS DATE .., APPROVAL . •. . - . - -...-- -- --- - - GUNITEOR GROUT. .. '" ' SUB FRAME El FLOOR El CEILING-T., FOUNDATION INSP SOILS COMPLIANCE SHEATHING, El ROOF El SHEAR / PRIOR TO FRAME * - - -, EXTERIOR LATH.. . -- . . -- , - - - STRUCTURAL CONCRETE OVER'2000PSI --- ..* .- .. .' - .. -. . . ... INSULATION PRESTRESSED CONCRETE A J_.--;-/-- INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE . PLUMBING ILELD1Nr - .---.---.-.--------..---, //I/< El SEWER AND BL/CO El PLICO . ._.. HIGH STRENGTH .Zen BOLTS . UNDERGROUND __El WASTE, _ElWATER .. SPECIAL MASONRY __ElATER.- TOPOUT' ElWASTE ------ - ---- '- TUB AND SHOWER PAN ' , -•-:-;: ._.__J___ G'ASTEST PILES CAISSONS I - ElWATER HEATER ElSOLARWATER ELECTRICAL - - ElELECTRICUNDERGROUND __.1ElUFFER_, ' -. -. ..: •.: .. . _- _.__-4..--.-_-- - ROUGH ELECTRIC, ____________- _______ a.•V.. - .— - ElELECTRICSERVICE __ElTEMPORARY" ElBONDING _n POOL MECHANICAL______-s-. ... _, - .. . _..An M ElDUCT&PLEM.,:1 _.El_ REF. PIPING: . ., _- HEAT- - AIRCOND.SYSTEMS ___,., - ' '- - .-'-..;' . .....---•-- ., ___---• __- VENTILATING SYSTEMS-'-_- .. - . --•\- _ ITEMS ABOVE_HAVE_BEEN APPROVED.' )Z - ' _7_ .. __________________ .- CALL FOR FINAL INSPECTIO& WHEN.A-LLAPPRf$RIAE-,.,. FINAL_________—__ - c PLUMBING " -. . . . ELECTRICAL r I.'- . . - a • '-.S MECHANICAL GAS_____________________'' BUILDING:.-._ --........ ,F SP ECIAL CONDITIONS -.. - USF BALL POINT PFN ONlY & PRFSS HARD APPLICANT TO FILL"IN INFORMATION WITHIN SHADED AREA AND 'DECLARATIONS. KO L 'Its 'I hereby affirm that 1. am licensed under ' l o rtsona of Chapter 9 (commencing with 1Siction7OOOJof Division 3ofthe.Business -, - I.and Proteaalona Code: and my license is in L-:tuii,torce,and_effect.... -' — - U :."- - - I hereby altirm that l ant exempt (rem the got -reason I id's license Law Or the toltdwtng reason (Sec. 7031.5 - -- Business and Professions Code: Any City or county whicl'r, re- .quires a_permrl to construct, alter., improve, demolish-or 'I repair any structure, prior to As issuance also requires heap- - plicant (or such permit In tile a signed statement that he is --licensed pulsuant to the provisi0nsot theCntitractnr's' I - - License Law (Chapter 9 commencing with Section 7000 of Division,3 01 the Business and Protessiuns Code) or that is eu empt thereltom and the basis (Or-the atlegeoemptinn, Any violati 'ey on 01 Section 7031 .5'by an upliçant for permit sub-. edo the applicant na Civil penalty otnol more than live hun-., -- dred dollars ($500).'-- - - - - - -! - I. as owner 01 the property, or my_employees with wages their sole compensatiort: will do the work. and the struc- I lore is not inteoddd'Or otleled'(or sate (Sec. 7044. Business _J "-'and Professions Code: The Contractot's License Law does - - not apply to an -owner of 'propè'ity who builds or improves I W thereon and,who does such vOork himselt or through his owo 2 j-1employeen.- provided that Such improvements are not inrrfry. CM ed 01 offered for sale. It, however, the building or'improve-. Z • mont is sold within one j'ear o('campletidnthe Owner-builder -311: will have the burden of proving (hat h6-did not build or im- 0 ,prove.tor the purpose of: sale).m_... ' .11— .1i 1, -as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. I - ,lBusinnss anrt-Pro(essiovs Code:' lherContrudtol's License - Law does not apply roan owner or property who builds or im- prodes thereon and who contracts for each 'projects with a IA -, contractorls) license-pursuant to the,Coutrudlor's License' Z 'law). 2 '.1 1-. UAs a homeowner I am improving my home, and the 10110w.- 4 p-log Conditions exist: ' ' 'r' :.- 0 - t 4 The work is.lreing pertormed prior to sale,. I - -"v '-'2.'1have 'lived '.in my home ',lor._twelvd months - 1) prior to completion of this work.' CM _ - .,,3_ I have not claimed this', exemption during ,the .- , last three years. - 0' lam exempt under Sec. ' ' 'B & P . - I .F ' . 'tor this 4eason'.aI, q-y - - .re '. tI ; I .-t hereby affirm that I haue'a certificate or Consent to ,yselt.insure. or a cerriticare or Workers' Compensation In.,. 5ura'fle. Ar. a.ce,titie4 copy Cheroot (Sec. 3800. Labor Code) f _ - '' 2 PA115' - '/inlq. - Copy'is filed-with the ciry,,.._a....,L._..,,.-. •-.__—_.j 4 y 0 Certified copy is hereby tarnished- - , ---- , -0. . a- - — r . ' -, ' ,CERTIFICATE OF, EXEMPTION FRQM vu.. WORKERS' COMPENSATION INSURANCE (fl ' llhi& setion,.need not be completed it the permit .11 "f is for one hundred dollars IStOOl or tess) ' •, Li t certify that iorheperlormunce 01 the work for which ,1 - rhs'P,Olr is issued.' I shall not employ any person in any s 0 , manner o CT rdbecome subject to the Workers' CompenIX 'sStion-Laws of California. ' I - NOTICE TO APPLICANT: It, alter making this Certificate °' -ol Eoemptioil. you should become Subject to the Workers' • 4C4mpensarion prouisi6os"0t1the Labor,Cdde you'Aiust ' tlorrhwith Comply with Such provisions or this permit shall be deemed revoked.' 'l' r Z"-' - - L 10 ereby 1 h Attirm rh'at there" is a Construction tending ,,gency for the performance of the work for which this per' O I".--, ml is issued (S&'3097. Civil Code) "I Lender's Address 4. - • .' • CARLSBAD 'BUILDING DEPARTMENT "'- - mAPPLICATION& PERMIT '- 4/) 2075 Las Palmas Dr.,Carlsbad CA 92009-1915 (619) 4381161 , JOB ADDRESS 1/) AV. ST.RD. THOMAS BROS NO. . DATE OF APP CATION BUSINESS LICENSE S VALUATION, - ZONE--- PERMIT NUMBER - CONTRACTOR / CONTRACTORS PHONE a OWNER'S PHONE CONTRACTOR'S ADDRESS 7 A, STATE LICENSE NO. BUILDING SO. FOOTAGE OWNER'S.MAILiNG ADDRESS 30Q,jl1, /7 -vyat) ,b :2-O4 - • DESIGNER - DESIGNERS PHONE -- 0007 -09/11 01010 t * -- - •Nor Valid Unless Machine Certified STATE LICENSE NO.. FIRE SPR oáà ctnI 'fy DESIGNER S ADD SS - - AU ( F/P FLAELEV NO DCC GP EDU ,: - -- --CENSUS TRACT --- - -PARKING SPACE • RES UNITS -' GRADING PLHMtt ISSUED -j - ND REDCVELOPMENT AREA ' D ND -' - : - TVPF CONST '- 0CC LOAD - - 'D No OTY - PLUMBING PERMIT ISSUE 7 n . OT Y MECHANICAL PERMIT ISSUE - - SUMMARY/ACCOUNT NUMBER - ic-A EACH FIXTURE TRAP - -, - ,• INSTALL FURN DUCTS LIP TO 100,000 BTU - , BUILDING PERMIT 001-810-00-00-8220 - - EACH BUILDING SEWER - - - ---- - - -j- - - - - OVER'lOO.00O BTU-' • —.-- - '--, - ---SIGN PERMIT---- . - - -001-810-00-00-8224- -EACH WATER'HEATEANDiOR VENT I , BOILER/COMPRESSOR UP 103 HP - - - PLAN CHECK - - 001-810-00-00-8891 'E'ACH GAS SYSTEMI TO 4'O'UTLETS' - " ' - - .-1 8OILERICOMPRESSOR3-15HIP - TOTAL PLUMBING O0i-810'O0-00'8222 ECH_GAS'SY-ST'EM__5-ORMOREn-..-_7 — ,. • METAL FIREPLACE _'- _- -'-- -ELECTRICAL----'001'B(0'00'00'8223 - EACH INSTAL,, ALTER. REPAIR WATER PIPE- , - VENTFANSINGLEDUCT --- _- - ' MECHANICAL 001-810-00-00-8224 '. EACH VACUUM BR'EAKER__. -- MECH EXHAUST H000!OUCJS -- '--- MOBILEHOME 001-8(0'O0-0O-8225 - - WATERSOFTNER RELOCATION OF EA FURNACE/HEATER - SOLAR __----001_8100000_8226 - - - - -- - EACH ROOF DRAIN INSIDE) ) - . - DRYERVENT --_- . STRONGMOTION _880-519-92-33 ----.-:' _- -- - TOTAL MECHANICAL.. -- - - - - -'- _- - r - -'--..-- , "nFIRESPRINKLERS-- -001:81'0-00-00-8227 - ,• - - - TUbAL PLUMBING ' - PUBLIC FACILITIES-FEE -320-810-00-00-8740 - -- ___,,,, ------ 01W. 'j,--4 - - v..r, -,,-i ' ELECTRICAL PERMIT - ISSUE - - - - -:-----'-•'- s QTY. - ' - • . MOBILE HOME SETUP _-.', CAR PORT 'r - ' - ' - . . -' - BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA - - NEW CONSTEA AMP'SWl BKR - - - - • x'l. ' ' - TIF - - - -- 3127810-00008835 -'I PH 3PH r 4. ' .AWNING - -' I !- ',,., LA COSTA TIF' 11 5 -b 'EXIST BLDG EAA'MPISWT 'BKR , -.---- -- - GARAGE - '- * - ' - -:- FMFC --- - - ' -' - ------- --- - -_ IPH - 1,-- - - 3 P - _-,,, ,-',- -• -4 ' - -: -T, - - -r - - - - (. -- LICENSE TAX • - 001-810-00-00-8162 REMODEL'AETtiR PER CIRCUI'T - C -cr -' - - -' " -. -• -' MFF ' flE r - 3 -92-57 , —'s--TEMP POLE '?OOAMPS'" - ,,,r • ,.- - -'T--'---'----"---'-- ---,--'--.-------'----,• ___________ OVER 200 AMPS4.- City of CALS13AE1 - • - TEMP OCCUPANCY (30 DAYS) ADMEPCTPRAFccING SF VSI ---- ' - - -- - -; • - . -- , CRE1ft IT . TOTAL ETECTRICAL : '..1TToT%1L TOTAL FEES PAYABLE. I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions011hrs - * AN OSHA PE1T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY,UNDER PENALTY OF PERJURY THAT ALL INFORMATIONHEREON INCLUDING THE Code shall expire by limilation and become null and void lIthe building orworkthorized by such permit is not commenced within 180 days from the date of such - 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS au permit, or lithe building or work authorized by such permll is suspended Or - sTnuc'rutts OVER 3 STORIES IN HEIGHT period of 180 daysSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time after the IS menced for a EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOLIENCE OF THE BY KEEP HARMLESS THE Crcy OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS APPL SIGNATURE CONTRACTOR APPROVED BY J- - DATE 1z__ I ~zov GRANTING OF THIS PERMIT. 2 J. .- - - -' • - - - . - - - 1' FIELD INSPECTION RECORD REQUIRED SPECIAL I NSPECTIONS - INSPECTOR S NOTES - INSPECTION- IREQ. IF INSPECTOR'S DATE _ - S CHECKED • APPROVAL - SOILS COMPLIANCE __-- PRIOR JO_ FOUNDATION INSP ,STRUCTURAL CONCRETE ...... . . - 5 5 5 OVER 2000 PSI - . . - . 5- - . - 5.. PRESTRESSED CONCRETE - --. • --.5 ----- 4 YOST.TENSIONED CONCRETE -1 - . _ - .5 . _______•,,'S-l..*___. FIELD WELDING - -. - -- -- -. __--______-. _' _----i- ___________I HIGH STRENGTH ' . . .. - 5 • - - - ._SPECIAL MASONRY - 5 .. . --------- --'----,-- __________.-.-- PILES CAISSONS --5.------ --5..-- -5- - -- - --5 -..---4 --.-----5---'S -- ---.-- ___ -- .- - ---.-4--.-.-i--- .. .. .-..-.-. -.---- 5. _-.,- _______--.-.--•---------5-' _---.•--.---- -. - •- . - . -•-- -5 -, -.--S..-.------- ---•-----•-. _- - __ - , _ .- .- -- - ---i-- i---- --5.- -'---• - - \:_ -. -______ - :-. ,___•---.-.r _ • . . ;--..•. .--. . -S ,-. ___- _-' 55...L.'•. ' '' \-1./ .. - . - - - -S .--_.-- , J____-_____________- _---'- _5 .-- TYPE ,. . S - BUILDING FqU.FibAtION- REINFORCED' STEEL MASONRY GUNITE OR GROUT: SUB FRAME D FLOOR D CEILING . •: . ________ SHEATHING :E ROOF JSIIEAR.,.' FRAME.'' '• ,- . _________ EXTERIOR LATH INSULATION INTERIOR LATH'& DRYWALL I -- PLUMBING E SEWER.AND BL/CO [JL/CO . - - UNDERGROUND D WASTE 0, WATER - :-- - TOP OUT- IJWASTE- GVATER TUB AND SHOWER PAN GAS.TES-r: D WATER HEATER DSOLARATER. ELECTRICAL.. IJ ELECTRIC UNDERGROUND I UFFER ROUGH ELECTRIC . I• ELECTRIC-SERVICE - cJ;TEMPbRARY.: E BONDING. _ .' POOL _•- 5 -•. - 5..-...- - 5-.. -MECHANICAL- E DUCT _&PLEM.,_REF..PIPNG HEAT —AIR_COND_SYSTEMS VENTILATING _SYSTEMS- GALL FOR FINAL ITEMS _ABOVE HA yE. 8EEN -A PPRO VED"_'I- 4 _r.FINAL_______. -5 . - PLUMBING-___T- ELECTRICAL_ MECHANICAL SPECIAL___CONDITIONS'.. . . 5.' - - INSPECTOR S •'-. S. t' Lt*?._ -.:..4•- - - USE BALL-PINT PEN ONLY & PRES HARD - - r hereby affirm that I am licensed under - - X'wons of Chapter 9 (commencing with I - -- Sectlon'70 0 0 ), of Division 3 of, the, Business .1 or-.a and Professions Code, and my license is in ZL L' full force and effect.,., - ' I hereby.ai!irm that j am exempt from the Contrac- tor's License Law lot me following reason Sec. 703... I Business and Profession Code: Any city or county whicr. re- quires a permit Is construct,- alter. improve,- demolish, or - t-1 f' irepair any structure, prior to its issuance also requires he ap- I - prcani lot such permit In tile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of I Division 301 the Business and Protessions Code) or that is en-- j- = em s to PI therefrom and the basit the atlegon enerpptinn. Any y, - violation of Section 7031.5 by an applicant loT a permit sub' t - - edo the applicant tä civil penalty 01 not more than tine :- — hun- dred dollars 1S500).'' "-' •"' '. - L LI. as owner 01 the property, or my employees with wages . -. '* as their sole compensation, will do the work, and the struc' _________ - . lure snot intended or offered for sale (Soc. 7044. Business ,,.,' ,and Professions Code: ..,lhe Contractor's License Law does' not apply to an owner 01 prdperty who builds, or, improves thereon and who does such work himself or through his own' 1 - employees: providedttrat such improvements are'not intend: t lao ed or uttered for sale,_ It, however.-the building or imprnv'e-._, Z men[ is sold within one year xl Completion, the owner-builder I will have the burden 01 provingthat he did not build or rn .-. prove-for the - purpose 01 sale). ---- -. '- -'-'-' I, as :qwnor 01 the property-am ocIosivety contracting I - - -. with licensed contractors to construct the project (Sec. 7044. .E Business and Professions Code: - The Contractor's License - -'Law does not apply loan owner of property who burIds dt.im' 1 - proves thereon, and who contracts. for each projects-with- a - U) , ,'cnntradtnr(s) liCense: pursuant to the Contractor's. Lic'ense Z _a14, - •,. ' '1?' --.1 I As a homeowner lam improving my home, and the 10110w' 1 4 ingc000itinns euist:'h rkl 1' IX d' •' t. The work is being performed prior In sale: _ u ' 2. I have - lived in my home ,for twelve months I U . prior Incompletion of this 'work.. 41 'r ' W .- -_ -.. 3...- I huve not claimed this 'exemption 'during 'the - last three years. . .1 amenempt onde'r Sec. " .. B & P.C.. , ç" -- jInrthisreasnn-n u' ' .'t • ..3i .'s ',-' '--.5--'-... . - '1 hereby affirm that Ihave a certificate 01 consent In 't ,)$'.sert.insxre. era certificate 01 Workers' Compensation In 't . .-sxravci or a certified copy thereof (Sec. 3000. Labor Code) - - r ç 1- Z ' COMPANY 2 i 1' --joyy is tiled with the ciry- '- .4 I 0- certified Copy is hereby Iurnrshed -f-' -- ' '--fl: • '- . - - - - O CERTIFICATE OF EXEMPTION' FROM - O .-: L . WORKERS' COMPENSATION INSURANCE lThis,section,need net be completed it the permil ic is Ion one hundred dolla,s 101001 Or less)LU - 't El.. l'certily that in the performance of the work for which ,xlltis permit is issued. I slra!I not employ any person in any I -. 0 nnanne, so as to become subject to the Workers' Compen. 5a1i0n Laws 01 California. ..- NOTICE TO APPLICANT: It. alter making this Certificate, - ol'Eriemption.'you Should become subjeor to the Workers' . : . Compensation provisions 01 the Labor. Code, you must,, t ' . forthwith Comply'wittn such provisions or this permit shall - 'be 'deymed 'revoked, 15'- . • /' ,' r '----I * i hereby *affirm that there is a construction lending cc ag- perbormavce 61 'the work lbr which this per- 0 1.0" mit is issued ISec. 3097. Civil Code) LAJ Lender's Name Lender's Address_(..,j '•'• ( _et ••— _,a_ — * - — — — — --. -. -. - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . . - . ...CARLSBAD- BUILDING DEPARTMENT •'" APPLICATION PERMIT- . 0 2075 Las Palmas-Dr., Carlsbad, CA'92009-1915 (619) 438-1161 4 . joe ADDRESS - AV. ST. RD. THOMAS BROS NO. DATE OF APPLI I N /I12ALY& : ç BUSINESS ENSE # VALUATION - . PERMIT NUMBER CONTRACTORS PHONE a L6 BLOCK SUBDIVISION ASESOR PARCEL NO. CONTRACTOR e0 ZONE — ---.. - - O NEAS NAME OWNER SPHONE CONTRACTOR'S ADDRESS L¼wr 1-uk. -At~z STATE LICENSE NO. - , BUILDING SO. FOOTAGE 7c*j. ic I OWNER'S8ArLING ADONES 27.S o 7 Q-L 4~3O VV-'l Q —ti" DESIGNER DESIGNER'S . • - -•- - PHONE - ' /,JDUk11G2- YT 'x 17.-08 18 0101 00 'dPmt . DESCFPflNFK , __________ .14 U 'l — f(J)1 19xI DESIGNER'S ADDRESS .- STATE LICENSE NO. . - -:--- -- - -: - F FLRELEV NO 0CC GP I EDU - , - STORIES 00 - - D NO -' -. - -2- - H'CENSUS'TRACT 'PARKING SPACE' RES UNITS GRADING PERMIT ISSUED REOEVELOPMENT' - R .AREA CONST - 0 TYPE' ,- ~~y nO ND ' . . -D , Not Valid Unless Machine Certified 'T"-'-'''-'"' - PERMIT- ISSUE QT'I -,•'. '' - --i -- - - , SMRYCOUNT ER -. - 9T.. . PLUMBINP 7 MECHA NICAL PERMIT ISSUE - -- — - - EACH'FIXTURE TRAP , - . ' INSTALL FURN. DUCTS UP ID 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 - -, -, EACH BUILDING SEWER , - - - " (. ..u- .L . , - OVER 100,000 BjJ"- -'---'-- .- '- SIGN PERMIT- - 001-81000-00-8221 I_ EACH WATER HEATER ANDiOR VENT .. - . BOILER/COMPRESSOR UP TO] HP,-'' • - ,, PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEFaf.ITO 4 OUTLETS -- ., 8OILERICOMPRESSOR315 j' - ' - TOTAL PLUMBING 001-810-00-00-8222 / -- -.'- -EACH GAS SYSTEM'S OR-MORE --' - ' . - - METAL FIREPLACE - - - - -- • '---_ - --- - - --'ELECTRICAL--*----'- '- '001-810-00-00-8223 -- - EACH INSTAL.ALTER, REPAIR WATER PIPE - - - VENT FAN SINGLV((JCT - . r J - , MECHANICAL 001810-00-00-8224 - -- - ±i EACHV,ACUUM.BREA,KER - - - -- - , . • MECH EXHAUST' H000!OUCTS - " , MOBILEHOME - 001-810-00-00-8225 WATER SOFTNER . • - • - - p RELOCATION OF-EA FURNACE/HEATER • • -'---•--• -SOLAR ---' _-'001-810-00-00-8226_- -'m - EACH ROOF DRAIN IINSIOEI - . - - DRYER VENT • - -'-- _ -STRONG MOTION __8_-9-9_-3 - - I --• _'I __ ' __- /_ 7 • -TOTAL MEC - ' - HANICAL - - -- ' - • - - ,,,",, _o_ - ' - -I-•-t--..'••.••• TOTAL PLUMBING ,,_ PUBLIC. FACILITIES.FEE..L320-810-OO-00-8740 - ,.-.,-• OTY. -. - - •' - -'- • • -- • -' ELECTRICAL PERMIT- ISSUE -' a £-' QTY. - , C a MOBILE HOME SETUP • - - BRIDGE FEE -360-Q0p00-87d _____________________ -- ________________________-.. .U.L_U-_a)_• -I -• PARK-IN-LIEU ,., - _-' ________,4_____— _ - -i _• _, NEWCONSTFA_AMP _SWIBKR , CAR PORT r - -. . ---"- - --FIRESRIIKLERS hF_ _083 _810_0 _- - ('PH -3PH ,,_-< _" - - '0 AWNING . LA LACOSTATIF ___1-00-8 - ' - EXIST BLDG EAAMPISWT'BKR _- - - - - -' GARAGE-. - i'PH - PH _• ''--, FMF •'' DEVELOPELPROC IC:[RV•._--- -' ,i ,---, - LICENSE TAX -001-810-00-00-8162 C. • - REMOOEL'ALTfR ,JN'iRCUIT _.'- - t- _,-- ''- _"i'_-- - - MFF _,-880-519-92-57 ----- TEMP POLE,'MPS'____'' _c-_-- _-__ •'._ -- _-•-• __- __._-•-',_.-_'_ .• •__. __--__. -__••,,_.-_•___.._' ,.•" - DV E R - PS _'---— _'-- . ' ' -• . r. - • - - --'- - TEMP OCCUPANCY130DAYSL.____- - -.._•:±---_•- ------- ..-- CREDIT DEPOSIT 11)TALELILIRIIAL _I_-. -•-,C. _________TOTAl________ TOTAL FEES PAYABL E ___ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBuildrng Official under the provrsronool this CERTIFY PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code * AN 054-IA PERMIT I ED FOR EXCAVATIONS OVER hall expire by "limitation and become null and nod If the budding or work authorized -UNDER such permit is not commenced within 180 days the date of such 50" DEEP OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lb permit, or if the building or work aut/tyzed by Such permit COUNTY AND STATE LAWS GOVERNING BUILDING CON- 5 suspended or STRUCTURES OVpt'5 STORIES IN HEIGHT -_-_-_/'- -ISSUED: TO COMPLY WITH ALL CITY. abandonedatanylime afterthewEmencedIonaperiodof'180days,_- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND _ 1_r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP1u- SIGNATU E OWNERD EXPENSES WHICH MAY __ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF /_ -GRANTING CONTRACTOR APPROVED BY - ' DA -- • - OF THIS PERMIT. BYPHONE a 'a. - I • ' - -- - , TYPE I - p-DATE BUILDING FOUNDATION REINFORCEDSTEEL MASONRY GUNITE ORGROUT SUB _FRAMETIVFLOORV..D.CEI1.ING SHEATHING. __ElROOF _EJSHEAR-.V. FRAME_ EXTERIORLATH INSULATION._ INTERIORLATH&DRYWALL PLUMBING LiSEWERANDBL/90U_PLicO UNDERGROUND _.-WASTEElWATER TOPOUT. IJWASTE'LIWATER TUBANDSHOWERPAN GASTEST ElWATERHEATERLiSOLAR WATER ELECTRICAL El__ELECTRICUNDERGROUNDDUFFER ROUGHELECTRIC o ELECTRIQSERVICE •El.TEMPRARYV. 0BONDING0 _POOL ___V MECHANICAL 0DUCT &V.PLEM., _0REF.PIPING_ HEAT-'AIRCOND.-SYSTEMS VENTILATING_SYSTEMS (;ALL-FOR FINALVINSPECT/ON WHEN ALL APPROPRIATE ITEMS-'ABOVEHAV(EBEENAPPROVED' FINAL PLUMBING ELECTRICAL-_ MECHANICAL GAS V _________t- BUILDING SPECiALCONDITIONS ., V -SV \•\ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'SNOftS REO. SPECTION __CHECKED IF PECTOR INASPASDTE L. SOiLSCOMPLIANCE PRIOR.TO. FOUNDATIONSP STRUCTURALCONCRETE OVER_2000PSI PRESTRESSED . POST.TENSIONED CONCRETE nta FIELD WELDINGVV HIGH STRENGTIVI BOL1'S, SPECIAL ASON 4 PILESCAISSON.5 VV VV . V V IMQDTfD •VS V V. V •V.' VS ... • — -