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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencin{l with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No __ C1as1 __ _
I hereby affirm that I am exempt from the Con ~~t~~~~i;:: ~; ~~f~~'!i~lic~J/~~,it~r
county which requlfes a perm,t to construe,
alter, ,mpm~e, oemohsh, or repair any structure prior to rts issuance a1so requires the appl,cant !or
such perm,t to hie a s,gned statement that he ,s
1,censecl pursua,nt to the pro~,s,ons of the Con
tr<l(:tor's L,cense Law !Chapter 9 commenc,ng with
Sect,on 7000 of Oms,on 3 of the Sus,ness and Pro
fess,ons Code) or that ,s exempt therelrom and the
bas,~ tor the alleged e,empt,on Any ~,olat,on ol
Section 7031 5 by an appifcant for a permit sub1ects
tne applicant to a c1v11 penalty ot no1 mo,e !han Jive
hundred dollars ($5001
D I. as owner o! the property, or my employees w,th wages as their sole compensat•on. w,11 do the
work. and the structure ,s no! intended or offered for
We (Sec 7044. Business and Profess,oris Code
Tl'le Contractor's License Law does nol apply to an
owner of property who builds 01 improves thereon
aod who does such work himself or through his own
employees. provided mat such ,mproveme;its are
root 1ntende-l or ollered for sale 11, however. the
building or 1mprovemen1 ,s sold w,thm one )"ear ot
complet,on. the owroe, builder will have the burden o! prov,rog Iha! he did not build or ,mprove lor the
purpose of sale)
□ I, as owner of the property am exclusively
contract,n9 with licensed contractors to construct
the proJect (Sec 7044 Business and Pm!ess1ons Code The Contractors License Law does root apply
to an owner of property who builds or improves
thereon, arod who contracts for each pmiects with a contracto,ts) hcense pursuarll to the Controctor's
License Law)
D I am exempt under Sec
tor 1h1s reason
. B & PC
D l hereby a11,rm that I ha•e a cert1t1cate of consen1
to self-insure. or a cert1t1c;i1e of Workers
Compensatmn Insurance. or a cert<t,ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy 1s !1led with the city
0 Cert,f1ed copy ,s hereby !urrnshed
CEATIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section roeed not be completed ,f the permit ,s 101 one hundred dollars IS100l or less)
O I cert1ty tha1 1n the performance of the won< to,
which this permit ,s ,ssued. I shall no1 employ any
·person in any manner so as to t>ecome sub1ec1 to
!he Workers· Compensat,on Laws of Cal>!o,n1a
NOTICE TO APPLICANT 11. after rnakm-;i th,s Cert,
t1cate of Exemption. you should t>ecome sub1ect 10
1he Workers· Compensation provisions ol the Labor
Code, you must !or1hw,th comply with such
prov,s,ons or th,s perm,\ shall t,e deemed <evoked
0 I heret,y al'"m that there ,s a coristruct,on
1end1ng aoenc~ tor lhe perlormance ol !he worlo lo,
which lh•s pern-,,1 ,s ,ssued 1Sec )09? Civ•I Code,
Lenders N.ime ___________ _
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
L]_ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
J08 ~fORESS V ,,_ooe> . --opsi:::-~•)
1200 Elm, Carlsbad, California 92008 (714) 438-5525
··--// --;;l:)Cf'/ /JJ,? D /so,,.J ( / -~l.., .:.'..A"\
). I) I/ b·v1~WNERSr7 Ji~ .'r'TA5Yt _
A~gT IL t)_TJELO-~~=-~
PR~NTR7!;; 7 7
0?1s0'"~: I ~15'-~J;J! C)Jil]>c/
SUBDIVISION :yssESSOR PARCEL NO.
CONTRACTOR'S ADDRESS
LOt I BLOCK DESIGNER
BUSINESS LICENSE# PERMIT NUMBER 7</-$D0 1
CONTRACTORS PHONE# ZONE Z I-377$
LICENSE NO. "li"_:37~ BLDG USE CODE
STATE LICENSE# STXNDARD PLAN# BUILDING sa. FOOTAGE
... ESIGNER'S ADDRESS ._ I-::. : I -DESIGNER'S PHONE
F,'P FLR ELEV
YO NO
NO
STO,IES
r'?
~ l..f/EDU
1-l-"2..-1 I , b
CENSUS TRACT GP L¥Nb USE PARKING SPAC!:: RES UN<TS l GRADING J:EAMIT ISSUED
YON □
REDEVELOPMENT
AREA frJ otc LOAD I FIRE SPA
)□ ,,o YO N'6 j Not Valid Unless Machine Certified
T I
QTY. PLUMBING PERMIT: \J$uE : ?5c)l1 QTY MECHANICAL PERMIT· ISSUE ?,.no SUMMARY/ACCOUNT NUMBER
EACH F.IXTURE TRAP /~.· _ ±] ___ -:'>f}. INSTA-L_L_. FU~~U_C'.S UP TO ~00.000 BTU +----~---, BUILDING PERMIT
EACH BUILDING SEW~.:!: ----'J/-t ~,.."11-..J... ----OVER 100,000 BTU SIGN PERMIT
EACH WATER HE!_!ER_~-~. R V~E.NT ·. __ __··_ 1__ . BOILER/COMP.RESS.OR UP TO 3 HP _ ___ ..,-PLAN CHECK
EACH GAS SYSTEM l TO 4 0 ~ UTS _ _ BOIL~~~~ ESSO R 3-15 HP
~ACH__9AS~YS!_EM_5 ~R MOR~\.___ _ META~_FiREPLACE ----. _
EACH INSTAL., ALTER. REPAIR WAH PIPE ENT FAN SINGLE D_U_"'(~T---__
EACH vAcuuM BREAKER "' · -----Hooo>ouCTs-
b~TERSOFTNER-=--1,-;.\c+,.-lr,<~ -+----'--lf-RELO_C_~TION 0~ EA FURNACE/H_E_A_T_E_R ___ + _._-_-_-_-__ .,_
, EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
~ ELECTRICAL
MECHANICAL
---
MOBILEHOME
MOBILEHOME PARK INSP -,f-SOLAR I ---TOTkL MECHANICAL STRONG MOTION t rnrAf PLUMBING \j---~31-.,..,-FIRESPRINKLERS
PUBLIC FACILITIES FEE
-., -· 3..\ IL ().D.
Z-?-~70
+----
·---
~·
f----
.?.--.J I 7,---j_
---
ELECTRICAL PERMIT ISS~E [}. C> SOLAR -ISSUE
---------
QTY.
I I
~EW CONST EA AMP S~WT sl<R -/--_ __ COLLECTORS ___ ----· -----__ -_-_----11----. -1-SCHOOL FEE -DISTRICT
.C---l.-l_P_H__ ____ ~-P _J()~ ~--STO~~TANKS ____ I . ~ _ Carlsbad
BRIDGE FEE
---
---
-------+----------j EXIST BLOG EA AMP,SWT B _____ ----+--ROCK STORAGE . _ Encinitas
PUMP San D1eg,_c_'1_0 ____ _ 1 PH 3 PH ----+--
REMODEL ALTER PER CIRCUIT ____ -·-/------I~ SanMarcos --
l---+-------
---
r-~TE MPl'IJL_E 200 ~MPS _ _ .
~--□-~~_A __ 200 ~M~S _ ___ _ __
TEMP OCCUPANCY 130 DAYS)
--1~ _ tPLA~£K FEE
...L '(.' --
~~ 51~l , ----
I -.--+------1[--··-· -----+----
--~' -TOTAL ELECTRICAL l. / -~I) V I --TOTAL SOLAR TOTAL FEES PAYABLE f -:_rq J, q I
! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURlHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Expiratton. Every permit issued by the Building Official under the provtsionsofthis
Code shall expire by limitation and become null and void 11 the budding or work authonzed by such permit is not commenced within 180 days lrom the date of such :~it. or i~t t ~~di:ff or :ork auth~~ le s ~ :''';:;!/:/:ded or
AP CA URE NERO CONTRACTOR 0
BY PHONE 0 __ _,,,..,
' * ,\N OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OYEFI
S' O" DEEP ANO DEMOLITION OR CONSTRUCTION Of
STRUCruAtS OVER 3 STORIES IN HEIGHT
APPR~ -10'3/1/g;
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PERMITS
ISSUED FOR
2791 MADISON ST
HAVE BEEN SCANNED
UNDER
2800 ROOSEVELT ST
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0 I , __ ,eby a that I am licensed under
provisions of (.;napter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No __ _ _ Class
I hereby att1rm that I am exempt from the Con ~~°s'~~~~i;:: ~dw ~t~~,1i~1;Q;ltt,~;~i~~r
county which requ,res a perm,1 to construc1
alter. 1mpro~e. demohsh, or repair any s!ructure.
pnor io its issuance also requtres the applicant for
such perm,t to hie a signed statement that he rs
licensed pursuant to the pro~1s1ons of the Coo-
tractor"s License Law (Chapter 9 commencing w1lh
Section 7l'.XlO ol D1v,s1on 3 o! the Business and Pfo-
tess,ons Code) or Iha! ,s exempt therefrom and the
b;is,s tor the alleged exempt.on Any "1olation of
S&ct<on 7031 5 by an appl 1ca!"t for a permit sub1ects me applicant to a civil penalty o! not more than live
hundred dollars ($500)
.:'..i. as owner ot the property, or my employees r,-;;;-wages as their sole compensat,on. will c:lo the
woM\, and the stn..icture 1s not intended or oflered for
sale (Sec 70-4-4, Busmess and Protess,ons Code
The Contractor's license Law does not apply to an
owner at property who builds or improves thereon
and who does such woMI himself or through his own employees, provn:led that such 1mpro...eme,1ts are
not mtendtn or altered for sale If, however, the buildmg or improvement 1s sold w1th1n one year of
completion. the owner-builder will have the burden
of provmg that he did not build or improve tor the
purpose at sale)
D I. as owner of the property, am e•clus,vely
contracting with licensed contractors to construe!
the pro/eel (Sec 70-4-4. Business and Professions
Code The Contractors License Law does not apply to an owner of property who bu<lds or improves
thereon. and who contracts !or each proJec!s w1!h a
co.itractor(sl license pursuant to the Contr;;ctor·s License Law)
D I am exempt under Sec
!or thts reason
,B &PC
□ I hereby a!t1rm !hat I have a cert1f1cate ot consent
to self-insure. or a cert1f1cate of Workers'
Compensation insurance. or a certified copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy 1s filed w,th !he c•tv
0 Cert1f1ed copy 1s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 the permit
,s for one hundred dollars ($100) 01 less)
0 I certify that 1n the per1ormance at the woM\ for
wh,ch this pemi1t 1s issued. I shall no1 employ any
person 1n any manner so as to become sub1ect lo
the Worllers· Compensation Laws of Ca1,!orn1a
NOTICE TO APPLICANT If, alter mak1n;i this Cert,
ficate of Exemption. you should become sub1ect t'J
the Wor1<.ers· Compensat,on prov1s,ons or the Labor
Code you must forthw,th comply w1!h such
prov1s1ons or th,s perm,t shall be deemed revoloed
0 I hereby affirm lhat there 1s a cons1ruc1,on
1end,ng agency Jar !he pertormance of the wor1<. tor
which tn1s perm,t ,s ,ssued (Sec 3097. civ,I Code!
Lenders Name ___________ _
Lender's Address __________ _
ust BALL POINT PEN ONLV,__,&:_;P:.,Rc:;ES""S-"H"'AR::,:Dc._ _________________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA Al""' '.)ECLARATIONS,
lLICATION & PERMIT CARLSB. BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ApQAESS ,
'2-7 9 l E " M#i~ ✓,A~fiT·
• ·,, +
BUSINESS LICENSE # f3'o;,;; PERMIT NUMBER
OWN\R'S ii~~, 2-~ tt<!C -, ~~,~ PfltME co11T,ACTO,A
~,e.
CONTRACTOR$ PHONE # ZONE 81-11-7~$..
zff ';"j"~&fe-~r: CONTRACTO'fJ'S ~°'?RESS LICENSE NO. PLAN I.D. # BLDG USE CODE
LOT SLOCI( sueOf\l'ISJON ·Ass~JlPAficEL ,ko~ OES1GNEA✓ STATE LfC£NSE # STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF W0flK
CENSUS TRACT GP LANO USE PARK!NGSPACE RES UNITS
PLUMBING PERMIT -ISSUE
OES10NEA'S ADDRESS
F/P FLR ELEV.
vO NO
GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA
YO ND vD NO
QTY, MECHANICAL PERMIT -ISSUE
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
OCC GP EDU
ace LOAO I FIRE SPA
vO NO
VD5 l8~ 1 ::i:n
O~J:_; ! I tl,9.'3 ,_.·;:~:'· /:
il,/'1' /W" , , o• 7 ._,,:_, prs:• /YJ~
{.'lLl(_: i J ~93 CI
Not Valid Unless lbchine Certified
3. 00 I SUMMARY/ACCOUNT NUMBER
:.,J
I 7 _j..EACH FIXTURE TRAP {,,). ~ INSTALL FURN. DUCTS iJP TO 100 .. 000 BTU I I BUlh□ING PERMIT --___ _____fil_:900-4220
EACH BUILDING SEWER ------·-__ ---·--· --_ OV~R 100.000 BTU l _ SIGNPERf,-ll_T_____ 01-000-4221
1_...... J EACH W~TER HEATER ANO/OR VE_~---_J __ BOl~_ER/C~MPR~SS0~_~!.2_0 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS -------------
EACH GAS SYSTEM 5 OR MORE
--------------
EACH INSTAI. .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY, ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT/BKR
I PH 3 PH
EXIST BLDG EA AMP!SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT ----------
TEMP POLE 200AMPS 1---+---------
OVER 200 AMPS
tHAVE_CAflEFULLY~MlNEO,THECotd
CERTfFY UNDER PENALTY OF PEfUU
DECLARATIONS ARE TAUE AffD ccaa,tl
ISSUED; TO COMPLY wtTH.'.~~·-fTY'"k,
STRUCTfQN,. Wt-fETii!R ie~IFIS>' i
Klill•!'M'="' ··~ t>ft; W')''OF GAR'. ~~tl\K!:'ll!t iii<¥ WAY' Gf!AlmNi3 OF ~w, ·
PLAN CHECK 01-000-4806 ----
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ---+--+-
MET AL FIREPLACE ELECTRICAL 01-000-4223
----------
VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
MnBILEHOME MECH EXHAUST -HOOD/DUCTS mv 01 ·000-4225 ------------------
RELOCATJON OF EA FURNACE/HEATER MUB!LEHOME PARK INSP
SOLAR _____ 01-000-4226
' I I I t-TOT.4.L MECHANICAL I / STRONG MOTION ---s"5="640-0519
________ _,
~°7'-----~-------a-~---~-....,1-"'""REc_aSPRINKLE~S ____ _Q!_-J)00-4227
PUBLIC FACILITIES FEE ___ 25-000-4933,_-+--
I ,/ I I BRIDGE FEE ------+ COLLECTORS 77 SCHOOL FEE . 6,srn,ci_ =-= =---
65-623-0519 ---
65-624-0519 I bcarlsbad
I"'"" o;,r" ': / ~En.cinitas. --[ t:7 . . S!n Dieg~1t_o __ ---
San Marcos
~--65-625-0519
65-626-0519 ----~-~----<
----
TOTAL FEES PAYABLE
Exp;r:iwort,, , ', , , . ~'bythe~()fflciafuridertmi~ofthis
.Codeahjdr~-..,.-_ ...__..,.void.lttllei>ui_<><_ wor1' ~ by.9UCb , . 1' ~ W'ithln 180 dayafrCNn t1$,daJe Of such
pe,toit._ ot_ if ,lM buildmct or~ •uih0fiiAM1 by IIUCf\ l)ermtt, Is,"~ or abandQM!d at ~dtt thp.work ts. cpt4ff)enCld for a D8ftod of t1
~Pt;ICllNF~1'1111£, 'I 0 ' , '0 :~ C:f ~TRACTOR 0
,,_ ,,·, 4~ , ,, ' " ,·,. ✓' 't
P,y/"'-4Lf'' ''Jft'.''AiONEO ';t\., <1¢¥0/4',, , ' , , -r.,,
* AN OSHA PEAMlT IS RE0U1AED FOR EXCAYATtONej; O\fEFI
-5' 0 .. OUP-ANO ~ 0A CONSTRUCllOH Of"
STRLIC\1JRh OVER 3 STOAtES IN HEIGHT
APPA
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D I he ,1fflrm that I am licensed under
provision,. ,1 Chapter 9 (commencing with
S.Ctlon 7000) of D!Vlsion 3 of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No __ _ __ Clas,
I hereby alllrm that I am exempt from the Con· tractor's license Law for the following reason (Sec
7031 '") Business and Professions Code Any ctty or
county which requires a permit lo construc1
illler. improve, demolish, or repaor any structure,
prior to its issuance also requ,res the applicant for
such permit to !tie a signed statement that he 1s
1,censed pursuant to the prov,s1ons of the Con-
tractor·s License Law (Ch;;ipter 9 commencing with
Section 7000 of o,~1s,on 3 of the Business and Pro-
fessions Code) or rhat 1s exempt therefrom and the
bas•s tor the alleged exemption. Any v1olat1on of
Section 7031.5 by an ~pl1cant tor a permit sub1ects
tne .ppl1cant to a c1v11 penalty of not more than live
hundrad dollars ($500)
O I. as owner of the property. or my employees w,th wages as the1r sole compensa!1on, will do the
worll. and the structure 1s no! ,ntended or ottered tor
sale (Sec 7044, Busmess and Professions Code The Contractor·s License Law does nol apply to an
owner o! property who builds or improves thereon and who does such work h,msell or through his own
employees. provided Iha! such 1mproveme;its are
no1 1ntende1 or offered for sale It, however. the
building or improvement 1s sold w1th,n one year of
complet•on, the owner-bu,lder will have the burden
of PfOv1ng that he did not build or ,mprove tor the
purpose of sale)
O I. as owner of 1he prope'1y, am exclus,vety
contracting wrth licensed contractors to construct
the pro1ect (Sec 7044, Business and Professions
Code· The Contractor's License Law does not apply to an owner ol property who bu,lds or ,mproves
thereon, and who contracts tor each pro1ects with a contracto11sl license pursuant to the Controct01·s
License Law)
□ I am exempt under Sec
for th,s reason
__ .8 & PC
D I hereby aft1rm that I ha"e a cert1l1cate of consent
to sell-insure, or a ce111t1ca1e ol Workers
Compensation Insurance. or a cert,foed copy thereot
{Sec 3800. Labor Code)
POUCY NO
COMPANY
□ Copy fS liled With the city
D Cert1hed copy 1s hereby turn1shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no! be completed ,1 the permit
,s for one hundred dollars (S100) or 1ess1
D r cert,ty that ,n the perlormance of the worlo: tor which this perm,t 1s issued. I shall not employ any
person m any manner so as to become sub1ect to
the-Workers· Compensation Laws of Cal1torn1a
NOTICE TO APPLICANT II, after makm;i this Cer11
hcate ot Exemption, you should become sub1ect !?
the Workers Compensation prov1s1ons of the Labor
Code. you must lorthw11h comply w11h such
prov1S1"ns or t1'11S perm11 shall be deemed revoked
D I hereby at!rrm ma1 there •s a const,uct,on
,ending agency 10, the perl01mance o11he work lor
wh,ch th,s pe,m,t 1s issued (Sec 3097. Ci.,I Code)
Len~er s Name ___________ _
Lenders Add•ess __________ _
___ -····. -···• , •• ••••a,.,., •••u APPLICANT TO . LL IN INFORMATION WITHIN SHADED AREiAND DECLARATIONS.
PLUMBING PERMIT -ISSUE
UILDING DEPARTMENT
YO ND
vO NO
REDEVELOPMENT
AREA
vO NO
MECHANICAL PERMIT -ISSUE
AP, _jCATION & PERMIT
NO
STORIES
TYPE
CONST
BUSINESS LICENSE # -
CONTRACTORS PHONE #
LICENSE NO.
STATE LICENSE#
OESIGNE R'S PHONE
OCC GP EDU
OCC LOAD [ FIRE SPA
VALUATION
ZONE
PLAN 1.0. #
STANDARD PLAN #
/t_· I /:J, l
0 i · I /;:, L:'.J ; /
PERMIT NUMBER
i1-?>73
BLOG USE CODE
BUILDING SQ. FOOTAGE
vO NO Nor Valid Unless Mlchine Certified
SUMMARY/ACCOUNT NUMBER
I / 7j EACH FIXTURE TRAP . I ~-..L~ j'NSTALL. FURN. OUCT.S UP.TO 100.000 BTU I I BUILDING PERMIT ____ Qlc000-4220
-ACHBUILOINGSEWER J~---=::::J_ L DVER100,000BTU
-EACHWATERH_EATERA_ND/□RvENT--_r_-___ ---·------------+----
SIGN PER~ _____ _Q1-000-4221_
-EACH_G_A~Y_ST_E_~_!__T_0_4 _OU_TL!_T~ __ -+---__ . _
EACH GAS SYSTEM 5 OR MORE ----------
EACH INSTA~--ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING C
BOILER/COMPRESSOR UPT~ 3 HP ____ • PLAN CHECK __ 01-000-4806
J..!OILEA/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 I ,l .J 1 *"
METAL FIREPLACE ELECTRICAL 01-000-4223
--·----. --------------
~ ~ VENT FAN SINGLE DUCT • MECHANICAL 01-000-4224 [ I
MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-000-4225 ----
RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
SOLAR ----~ 01-000-4226
TOT/.;L MECHANICAL STRONG MOTION ---65-640-0519
--~-----------J..--,.---..;,.--f--c':clA:CE~SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000-493.J_ QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT /BKR
QTY. SOLAR -ISSUE
--II-I COLLECTORS BRID~_FEE
STORAGE TANKS I I SCHOOL ITT-DISTRICT---
I PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMPPOLE 200AMPS
J I OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL
----ROCK STORAGE
Carlsbad
Encinitas
65-623-0519
65-624-0519
--
==~----+---====i~an Marcos PUMP ----------__je-----'-----li__. ~an ?iegui~------65-625-0519
65-626-0519 PLAN CHECK FEE ------
TOTAL SOLAR
-----------1----------1
TOTAL FEES PAYABLE
eVPHONE o
* AN OStlA PfAMIT IS AEQIJIAEO FOftDCAVAJl9HI OftR -0' O" Offp-0EMQUmN OR CONSTRUCJlOII.,. ~OVER•-"' -
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REQUEST INSPECTION
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 ~RIOR LATH OR DRYWALL
~ FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
□ GAS TEST
0 WATER HEATER
D FINAL
/
TIME'-· _____ _
ELECTRICAL
0 ~ORARY SERVICE
c:fELECTRIC UNDERGROUND
0 ROU ELECTRIC
L BONDING
0 CEILING HEAT
.DG.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: ONDAY D TUESDAY □WEDNESDAY D THURSDAY o FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
PHONE NO. ~
PERSON TAKING REPORTZhJ
~· -./J,V/~·-. .
&(,{_ ?o ~~-/Jr/~
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ESGIL CORPORATION
9820 CHEl!ilAPEAKE DR., l!ill'ITE 122
l!ilAN DIEGO, CA 9212:l
(T14) 560-146!il
~/-373 .:zzz-
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Prepared by, Dept.
'-....; ~ VALU1\TION ,\ND PL•\N CH:::sr: Cl Esgil
PLAN CHECK NO.
BUILDING ADDRESS __
APPLICANT/CONTACT ______ _
BUILDING OCCUPANCY
TYPE OF CONSTRUCT1ON
BUILDING PORTION BUILDING ARE.\
1/L?.JJ,~/OY}
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7 C/ l/~?''f,
Pr!Oil E NC. --------
D :':SIGNER PHONE ------
CONTRAC~OR ?IIONE -----
·VALUATION VALUE
MULTTPLIE"
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Residential
Fire Sorinklers
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EuilJin,' Pcnnit
Plan Check Fee
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-z:r-6-VALUATION 1\~iD PL•\N c:~:-~sr: r.'►--1.---
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BUILDING ADDRESS
APPLICANT/CONTACT
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'7
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7
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EUILDING OCCUPANCY A,2-1 e 13 D ;::s I G N F:R PHONE 711/-~'7,Y9S-6-
TYPE Of CONSTRUCTION v-,N ---CONTRACTOR ?HONE/
/
EUILDING PORTION BUILDING AR&\ ·VALUATION /ALUE
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Residenrlal
Fire ~nklers
rl Value
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ESGIL CORPOI~ATION
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•. •
NUMBER.: 80-6
CITY OF CARLSBAD
POLICIES AND P~OCEDURES
--------=------·.-.-----.---.-~~-
SUBJECT: ROOF MOUNTED EQUIPMENT
EFFECTIVE: 05-07-81 SECTION: BUILDING DEPARTMENT
SUPERS.EDES: 80-6 (09-10-80)
PURPOSE:
INTENT:
POLICY:
PROV IDE INSTALLATION ·sTANDARDS FOR ALL ROOF MOUNTED EQUIPMENT AND
PENETRATIONS ON COMMERCIAL AND INDUSTRIAL BUILDINGS.
A. Maintain roof integrity.
B. Prevent hazardous condition to firemen who must fight
fire on the roof. ,
C. Provide an installation that is aesthetically sensitive to the
1.
2.
3.
building and the adjoining properties. ·
All roof mounted equipment shall be on a platform which shall be
an integral part of the roof--flashed and waterproofed.
All equipment shall be specifically designed and approved for
exterior use and shall be approved by the city of Carlsbad Building
department.
All equipment shall be screened from view and the design shall meet
the approval of the Planning department.
The screen shall have as few roof connections as possible and
be structurally adequate.
4. All electrical, plumbing, mechanical duct work and related piping
shall be inside the building and not on the roof. All connections
related to equipment shall be made in the same roof opening on the
platform or meet the approval of the city of Carlsbad Building de-
partment.
5. Sewer vents shall ·be brought to one main vent below the roof and
have one penetration where restrooms or other plumbing fixtures are
back to back or in the general proximity.
Air exhaust fans and other equipment shall be within the building
and use the same roof opening where restrooms and other equipment
are back to back or in general proximity.
6. Existing buildings and equipment, remodel or replacement, shall meet
the above regulations whenever possible or shall have the approval
of the city of Carlsbad Building department.
7. Where new equipment is installed, unused or abandoned equipment,
including all roof mounted piping, electrical, mechanical, duct,
and other related appurtenances shall be removed from roof and
unused openings properly sealed to maintain roof integrity.
:iJ.ftJ Initiated-By: . Martin Orcnvak Approved By: City M~naqcr
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INTERDEPARTMENTAL INFORMATION SHE~f iA-'l/~
• BUI~DING DEPARTMENT
' BUILDING AD~RESS:
~):?/ /JJ7QJ'b~T:;ECEIVED
;)J/-po ~. 0CT13]981
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
__________ PROVIDED ___________ _ PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
____________ PROVIDED __________ _
___________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED _______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: ____ OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT , •
·R.O.W. INDUSTRIAL WASTE _______ IMPROVEMENTS
SEWER -C-0-NN_E_C_T_I_O_N_ J,t1)U ,o.tig r1 DRIVEWAY LOCATIONS -------
"GRADING PERMIT J\i__,,•,r EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS--------------------..,---~--~-----
FIRE DEPARTMENT
SPRI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE:~/)/oATE /ohd!i/ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _________ DATE ________ _
'g/ .. 313
KAPP ROVED.
PAGE 1 OF __ '2--_
( CARLSBAD FIP.E DEPARTMENT (
1275 ELM AVENUE, CARLSBAD, .CA 92008
(714) 438-5521
DISAPPROVED
PLAN CHECK REPORT
PLAN CHECK # 5/-3 7 3
OTHER REF # -----
PROJECT Ja-i--zE/?CiS.F ADDRESS 2.. s-oo Roo.S<-•'e/Z:-
ARCHITECT DES 16:.IV ./-ADDRESS ________ PHONE 7Z7-8?5F
OWNER ____ .,--________ ADDRESS
OCCUPANcvB../2711-3 CONST_j/_W TOTALSQ.FT. 17317
-f'HONE
O SPRINKLER~ )l('TENANT IMP. Btp/j_: 7'',/~.!.i/I A-.3 / ~5// .pf-.6'·l.
I/' STORIES _,_/ __
/3( Pz "'z. /u, 5L5 ,I, 8 2.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE
FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING
CORRECTIONS:
-H I I I I I I+++ I I I I I I t+++++++++-H I I I I I I I I I I I I I I I I I I I I I I I XI. Provide one copy of the floor plan(s}, site plan, and sheets -E~-~<-----
2.
3.
4.
_2(5.
Storage, dispensing or use of any flarrmable or combustible liquids, flammable
1 iquids, flammable gases and hazardous chemicals shall comply with Uniform
Fi re Code and -----------------------------8 u i l ding ( s} not approved for high piled combustible stock. Storage in closely
packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks
and 6 feet for tires, plastics and some flammable liquids. If high stock piling
is to be done, comply with Uniform Fire Code, Article 81.
Medical gas system(s} shall comply with N.F.P.A. Standard 56F.
Fire extinguishers shall be provided based upon the following criteria:
_X_a} J-2A rated ABC extinguisher for each 3'1/W sq. ft. or portion thereof
rb} maximum travel distance to an extinguisher of 7S feet __ c} other: ____________________________ _
6. Fire sprinkler system(s} per N.f.P.A. Standard ___________ shall be
provided to protect ., --------------------------
7. Dry chemical extinguishing system(s} shall be installed per N.F.P.A. Standard
96 to protect cooking equipment and exhaust system.
8. Plans of -------------------------------
system I ,-shall be approved by the Fire Department prior to installation of
system 1.
9. Show on site plan locations of all nearby proposed or existing hydrants within
200 feet.
10. Hydrant(s} shall be provided and located -----------------
Show location(s} on site plan. Fire Flow: gpm for hours from -----~ ---hydrants.
11. Access for fire apparatus is not adequate. Provide ------------
12. shall be of hour construction -,-....,...---------,-.,.-----------with openings protected with __ _;hour assemblies .
.i_13. Comply wiJ:!\....'::~gulations on.3ttached sheet(s}.
;L~iner
Report ma i 1 ed to a chi tect Met with -----------
10-/9-?/
Date
~-Attach to Plans
PAGE 2 OF
CARLSBAD FIRE DEPARTMENT
PLAN CHECK REPORT
PROJECT
_j._14.
16.
__ 17.
_18.
__ 19.
20.
21.
" --
22.
__ 23.
24.
_·-_25 .
.)6.6.
_c-./_,_'-'l'l'-"Z::..."?.=..6'.=~::::C..:..".::..:$6'~--------·PLAN CHECK It f/-37 3
Drapes and other decorative materials shall be flame retardant. Certification
thereof shall be provided. Exits, exit lights, fire alarm stations, hose
cabinets and extinguisher locations shall not be concealed by decorative
material.
Interior finish shall conform with TitleZ</ California Administrative Code
regulations.· C }~ . .ZZZ-7~-~ z. s-
Fireplaces and other appliances employing open flames.shall have metallic guards.
Loose chairs exceeding 299 shall be bonded together In groups of 3 or more.
Storage and janitor closets shall be of one-hour construction with all openings
protected with 3/4 hour self closing and latching assemblies.
An approved fire alarm or two-way communication system shall be provided per
Title 24, California Administrative Code.
An occupant capacity sign, with minimum one inch letters and numbers, shall be
posted near main exit ( _______ s_quare feet per person).
Exit doors shall be openable from the inside without the use of a key or any
special knowledge or effort.
A "THIS DOOR MUST REMAIN UNLOCKED WHENEVER THE PUBLIC IS PRESENT" sign, with
minimum one inch letters, shall be provided adjacent to main exit door __ _
"EXIT" signs shall be In block letters minimum 6 inches high. Luminance on
face of sign shall be 50 lux.
"EXIT" signs shall be electrically iJJuminated and energized from separate
circuits. Show on electrical plan(s).
One of the above circuits shall be part of the emergency lighting system.
An "EXIT" sign sha 11 be posted over exit door
and directional signs located /N CrJ-<!1:?Jp,p,,e tv/Hl!'R,•w p,1/,(,JT/,e,4 ro ' f=J(J r @ ,tE$T ,t?(V,0 cF c,1£1<'1,:J(J~ Show locations on floor plan(s).
_27. Approved panic hardware shall be provided on exit doors
Show on door schedule.
28. Corridor ____ ~-----'shall be of one-hour construction with door open-
ings protected with 20 minute self closing and latching assemblies.
__ 29. An additional exit door shall be provided in
________________ __r er Uniform Building Code, Chapter 33.
__ 30.
. ~£4,:/ ~ //.
~xaminer
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l .
ROt 'IONA •
/o.J.) v<IIIVO'y 1.,0Ull
San D1ei,o, Caltforn,a 92111
Phontt 292-0660
,---------' N_s_P_E:_c_r _o_R_s_w-rE_E_K_L_Y_R_E_P_o_R_r ___ 2_9_4_o ___ N_o_. -----J ;~ ~:~_?uKN ~-~-~-~~tY. .. ?~.? .... !.??.?, 19 .....
WHI< •• Hl:.<.)Ul,l·H Ll APf-'HllVAL 8~
l HE. SPELIAL INSl-'t( fOH OF
j Hf"I NFOHc 1co ,o N CRl:.TL
I l PRL-~TRL~~EO CON CRl:.TE
l REIN FOR( ED MASONRY
I ~TAUC l. ~1 lll AS,,tM tllY
I l REINFORC E O GYPSUM
l GLUf. -LAM . F,I\BRIC ATION
I I OTHER
-------'----------------~-------------r-------------1
-
-----------1-0~11 1 DING ~LHMll NUMBE•.ff
I Pill:. UHII/ING
PLAN t-l L E' NUM~E:.k
Grand and Roosevelt, Carl s bad I
t-;;o"'w°'N.,-;--t-:,H:-::0-cR:-::P-:R::-0-:-J-L_C_r _N_A_M I -ARCH! IC.C T
Mayfair Renovation Bi ssel Associates
CONS TH. MAl'L. (Iv,,,:, ~HADSEt, e.,e,.11 o,:s1,;N STR£NGTH I SOURCE O.R MHiR. ENGIN( EH
Structural Frederi c Engineering
DESC R IBE MAT'L• (M I A DL ~IGN, ~E-B4R C.HA.0 [ A M,-t.. ... , W[LO•ROD, LTC.J GLNLRAL C ONTRACTOR
E-7018 and E-7024 El ectrodes
CON TR. DOING HEPOFllEO WORK
LAB. Rl:..CCIVING • TESTING CONSTR. MAT'L, $4 1\,H->L.E:.S
Profess ional Registered Ins pect., Inc.
INSP'N.
DATE
LOCATIONS OF WO RK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCl.UOES tNf-ORMATION A BOUT -AMOUNTS OF MATERIAL PLACED OR WORK PERF"ORMEO: N UM8EA. TYPE,• IOENT, N O "S.
OF TEST 5AMPLE$ T AKEN, STRUCT. CONNECTIONS (WELDS MA DI:., H,T, E>Ol 15 TOHQUEDI C HECKED; ETC,
1-28 Inspected welding of full penet ration welds on two s hear
..J'JJ-'2. 2 £/lSI Z§
CERTIFICATION OF COMPLIANCE
I hereby certify that I hava inspected all of the above raported work.
Unless otherwise noted, I have found Chis work to comply with the
approved plans, specifications, and applicable sections of the govern-
ing building laws. ----DA r EOrf.-'~•10 H r
SD-72
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