HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; 208 | 209; CB881639; Permita)
USE BALL POINT PEP ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PEJOT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619)438.116
JOB ADDRESS AV ST.RO. THOMAS BROS NO.
igt 8O(n O!i1h w)'f 5UI1 o6ib j
LOT CONTRACTOR CONTRACTORS PHONE C
co Alzo eq- i17 __
PERMIT NUMBER
BLOCK SUBDIVISiON ASSS9PARCELNO -
OWNER'S NAME
(C3O
OWNER'S PHONE
CONTRACTOR'S ADDRESS
DATE OF APPLiCA iCAI BUSINESS LICENSE S rVALUATION
STATE LICENSE NO BUILDING SO FOOTAGE
oD );iix.v4 P(J°iCE
tfa'7g?
OWNER'SMAiLINGAODRESS
9.L44 us,. wIe ,7 DESIGNER
L4'1". CCJyt 1 I(LiC-
DESIGNER'SPHONE
/ 12/30/88 0001 01 02
BldPmt 1105.01
Not Valid Unless Machine Cern/red
-
DESCRiPTION OF WORK
DESIGNER'S ADDRESS
9301 eJrl1v Vi C}G
STATE LICENSE NO
CL(OL3I4 -ra, I.ic F/P FLRELEV i NO
STORIES
OCCGP EDU
I
CENSUS TRACT PAPKiNG SPACE RES UNITS GRADING PERMIT ISSUED
0 N 0
I REDEVELOPMENT I AREA
"0 NO
I
TYPE
CONST
0CC LOAD I FIRE SPR
I
"'0
OTY. PLUMBING PERMIT- ISSUE of OTY MECHANICAL PERMIT - ISSUE -- 'c P~g&VARY/ACCOUNT NUMBER
EACH FIXTURE TRAP -
INSTALL FURN DUCTS UP TO 100,000 BTU q1WBUIrDING PERMIT 001-5Tp-pp'pp-8220
EACH BUILDING SEWER 7 OVER 100,000 BTU . SIGN PEP1T A13bV 001-810-00-00-8221
EACH WATER HEATER AND/OR VE)P( BOILER/COMPRESSOR UP TO 3 HP . I,*'CHECR f~o,fd810-00-00-8891
- EACH GAS SYSTEM iTO 4 OU]4TS . -
BOILER/COMPRESSOR 315 HP . TOTAL PLUMB 'O 0-0O-8222
EACH GAS SYSTEMS OR PfE , - METAL FIREPLACE , '
EACH INSTAL ALrERJ(PAIR WATER PIPE -
VENT FAN SINGLE DUCT . Iè'/L 001-810-00-00-8224raill
- EACH VACUUM1AKER MECH EXHAUST HOOD/DUCTS - '"'MOBILEHOME 001-810-00-00-8225
WATER S,ER RELOCATION OF CA FURNACE/HEATER SOLAR 001-810-00-00-8226
-
EACH OrDRAIN (INSIDE) -
DRYER VENT - STRONG MOTION 880-519-92-33
TOTAL MECHANICAL
.
FIRE SPRINKLERS 001-810-00-00-8227
TO) AL PLUMBING PUBLIC FACILITIES FEE 320-810-00-00-8740
—
QTY ELECTRICAL PERMIT - ISSUE 5 c1 OTY MOBILE HOME SETUP
BRIDGE FEE 360-810-00-00-8740
PARK-IN-LIEU (AREA
NEW CONST EA AMP'SWI BKJ#.- CAR PORT - 1fF 312-810-00-00-8835
1 PH ((3 i) I 00 AWNING LA COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMP/SWT "R" GARAGE - FMF
1 PH 3 PH - , LICENSE TAX 001-810-00-00-8162
REMODEL ALTER PER CIRCUIT MFF 880-519-92-57
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL
-
ç— - TOTAL 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 provisions of this
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code shall aspire by limitation and become null and void If the building or work I authorized by Such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT Is I permit, or if the building or work authorized by Such permit is suspended or ISSUED TO COMPLY WITH ALL CITY COUNIY AND STATE LAWS GOVERNING BUILDING CON- abandoned al any time after the work is commenced for a period 01180 days I
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APP,IJCANT'S SIGNATURE * ,OwNERD CONTRACTOR 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 114 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
-
BY PHONE 0 GRANTING OF THIS PERMIT is —
* AN OSHA PEa:T IS REQUIRED FOR EXCAVATIONS OVER
50" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT • 1
APPR ED BY
M/~/SAi5
EC
2 1" 0 I hereby affirm that I am licensed under
ul provisions of Chapter 9 (commencing with
I Section 7000) of Division 3 of the Business
I and Professions Code, and my license is in
L full force and effect
U- I hereby affirm that I am exempt from the Contrac-or's Lien cse Law for the following reason (Sec 7031 Business and Professions Code Any city or county which re-
quires a permit to construct, alter Improve, demolish, or
repair any structure, prior is its issuance also requires the ap-
plicant for such permit to file a stoned statement that he is
licensed pursuant to the provisions of the (,00tractor
License Law (Chapter 9 commencing with Section 7000 of
Division 301 the Business and Professions Code( or that is ex-
empt therefrom and the basis for the alleged exemption Any
violation of Section 7031 5 by an applicant for a permit Sub
lects the applicant to a Civil penalty of not more than live hun-
dred dollars ($500)
I I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-
ture is not intended or offered for sale (Sec 7044, Business
1 and Professions Code The Contractor's License Law does 5 not apply to an owner of property who builds or improves m thereon and who does such work himself or through his own
employees, provided that such improvements are not Intend- 111.1 ed or offered for sale If, however, the building or improve- Z meot is sold within one year of completion, the owner-builder
will have the burden 01 proving that he did not build or im'
prove for the purpose of sale
II I, as owner of the property, am exclusively contractiog with licensed contractors to Construct the project (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law)
I I As a homeowner lam Improving my home, and the follow-
ing conditions exist I The work is being performed prior to sale
2 I have lived in my home for twelve months prior to completion of this work
3 I have not claimed this exemption during the last three years
0 lam exempt under Sec ________________ - hAP C
for this reason
0 I hereby affirm that t have a certificate Of consent to
self insure or a certificate of Workers Compensation in-
surance or a certified copy thereof (See 3800 Labor Code)
POLICY NO 0 . 0 1 ¶
COMPANY V9 PC,
Copy is filed with the city
0 Certified copy is hereby furnished
B.
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(0 (This section need not be completed if the permit
is for one hundred dollars 151001 or less) LLI Ic 0 i certify that in the performance of the work for which
this permit is issued I shall not employ any person in any
manner so as to become subject to the Workers Compen-
sation Laws of California
NOTICE TO APPLICANT It after making this Certificate
of Exemption you should become subject to the Workers
Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked
0 I hereby affirm that there is a construction lending
agency for the performance of the work for which this per
) mit is issued (Sec 3097, Civil Code) zi liii Lenders Name -a' L Lender s Address_________________________________
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME El FLO057El CEILIN-',
SHEATHING Cl ROO --sF1AR I
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL 4'lp -
_________________ I /
PLUMBING
El SEWER AND BLICO El PL/CO
UNDERGROUND El WASTE 0 WATER
TOP OUT El WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
El WATER HEATER El SOLAR WATER
ELECTRICAL
El ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
El ELECTRIC SERVICE El TEMPORARY
El BONDING 0 POOL
MECHANICAL
0 DUCT & PLEM., El REF. PIPING
HEAT - AIR COND. SYSTEMS ________
VENTILATING SYSTEMS
/
/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
*
PRESTRESSED
CONCRETE
POST TENSIOJJED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL 1
PLUMBING
ELECTRICAL
MECHANICAL
\SPECIAL CONDITIONS
9
BUILDING
- - - . - - --- - - -- - - - - --
FINAL BUILDING INSPECTION
i.I4t5)
* - PLAN CHECK NUMBER: - - DATE: --
PROJECT NAME: OVJ4M& Fi(2 1Z-4
ADDRESS: PQ/4 tit-S AJ*( , L) TE ?OS
PROJECT NO.: UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: NUMBER OF UNITS:
CONTACT PERSON: _Cr1,214 Ti vR/C- /0uq41i-r. ea
CONTACT TELEPHONE: -. '51 q
INSPECTED DATE
BY: INSPECTED: ____________ APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ________________________ INSPECTED: ____________ APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED ______ DISAPPROVED
COMMENTS:
/
C,
Rev 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY. Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: '- -- DATE:- -----=---..
PROJECT NAME: ''C '-' 'S tI '.S U' '$' V':.? ('
ADDRESS: t'"-~d
PROJECT NO.: __________________ UNIT NUMBER: __________________ PHASE NO.:
TYPE OF UNIT: - NUMBER OF UNITS:
CONTACT PERSON:
CONTACT TELEPHONE:
------------.7 -. S
INSPECTED 7/" DATE
BY: A//I_k' INSPECTED: ____________ APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ________________________ INSPECTED: ____________ APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ______ INSPECTED: ____________ APPROVED ______ DISAPPROVED
COMMENTS:
Rev 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD. Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: - - - -
PROJECT NAME:
ADDRESS: -'
PROJECT NO.: UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: NUMBER OF UNITS:
CONTACT PERSON:
CONTACT TELEPHONE:
INSPECTED DATE
BY: INSPECTED: APPROVED ______ DISAPPROVED
INSPECTED DATE é9'
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED ______ DISAPPROVED
COMMENTS:
Rev 1/86 WHITE: Suspense BLUE: Water District GREEN Engineering CANARY: Utilities PINK: Planning GOLD. Fire
FINAL BUILDING INSPECTION Cl RECEVED F3 21 TW
PLAN CHECK NUMBER: ' DATE:
'
PROJECT NAME:
ADDRESS: £ -zf jç : .
PROJECT NO.: UNIT NUMBER:
PHASE NO.:
TYPE OF UNIT:
NUMBER OF UNITS:
CONTACT PERSON:
I
CONTACT TELEPHONE: t. -
•••_Q "---D
INSPECTE_)
BY:
INSPECTED
BY:
DATE -
INSPECTED: /2 APPROVED ______ DISAPPROVED
DATE
INSPECTED: ____________ APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ______ INSPECTED: APPROVED ______ DISAPPROVED
COMMENTS:
Rev 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY:-n- PINK: Planning 4096PIRIve
[1
U Esgil staff did advise applicant that the plan check has
been completed. Person contacted:________________________
Date contacted: Telephone #________________
REMARKS :m_O _TTT___5ox2T_iN?()
,. I - - #, - - -- - It A I -
ESGIL CORPORATION-
9320 CHESAPEAKE DR., SUITE 208 1'j'7, SAN DIEGO, CA 92123
(619) 560-1468
DATE: __ PPLICANT
R CH E JURISDICTION: C2LS3cui.D
[]FILE COPY
PLAN CHECK NO: - CO 3S SET: []UPS
PROJECT ADDRESS:I9fl ? DDESIGNER
PROJECT NAME: S 2 O
Lj The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified — are are resolved and -
checked by building department staff.
D The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
U The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
U The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
Esgil staff didnot advise the applicant contact person that
plan check has been completed.
By:'jy Enclosures: ()_i.tws
ESGIL CORPORATION
p
Date:______ JurisdictionC12L1
Prepared bys 13 Bldg. Dept.
VALUATION AND PLAN CHECK FEE Q Esgil
PLAN CHECK NO. IL.3
BUILDING ADDRESS 19,PI FA-l-cwnf2 Os_)Y'i-209 '
APPLICANT/CONTACT CHiZST1 PHONE NO. _ 4--65 571
BUILDING OCCUPANCY 'B -z -ifl') DESIGNER PHONE 11
TYPE OF CONSTRUCTION J1t4 CONTRACTOR PHONE
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
Air ConditioninE
Commercial
.
Residential
Res. or Comm.
Fire _Sprinklers
Total Value
3*00— Building Permit Fee
Plan Check Fee $ $
CO N N C N IS
SHEET OF_____
12/87
2560 ORION WAY
CARLSBAD, CA 92008
TELEPHONE
(619) 931-2121
(itp of Cartiab
FIRE DEPARTMENT
PLAN CHECK REPORT
PAGE 1 OFL
APPROVED
DISAPPROVED
PLAN. CHECK#
,.-.
PROJECT !(f' '. "/''- ADDRESS l)
ARCHITECT 'A4. k t' r'..f) . ADDRESS e., i- i' PHONE"! e; i
OWNER ' t 'i i,/ 1H 'S.•/ ' ADDRESS /7 ' .:: PHONE ///.
OCCUPANCY ' CONST. 1"/• /1- TOTAL SQ. FT.:- - -' STORIES 1/
11'SPRINKLERED TENANT IMP.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; shees
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
- 3. Provide specifications for the following:
L_. 4. Permits are required for the installation of all fire protection system(sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
- 5. The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
L.. 6. The following fire protection systems are required:
6 Automatic fire sprinklers (Design Criteria: / /' /'i f/ " a .E i
Dry Chemical, Halon, CO2 (Location: /
D Stand Pipes (Type:
0 Fire Alarm (Type/Location:
..L_. 7. Fire Extinguisher Requirements:
- - E1 One 2A rated ABC extinguisher for each ' sq. ft. or portion thereof with a travel distance to the nearest extinguisher not to exceed 75 feet of travel.
An extinguisher with a minimum rating of ________ to be located:
El Other:
Additional fire hydrant(s) shall be provided
EXITS .5'.
Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
..._10. A sign stating, This door to remain unlocked during business hours" shall be placed above the main exit and
doors' . •,,,-,' ,t,i /
__11. EXIT signs (6" x 3/4" letters) shall be placed over all required exits and directional signs located as necessary to
clearly indicate the location of exit doors.
I GENERAL
Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
Building(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 pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
Additional Requirements.
/ - .... , ' S j / •- . .
Comply with regulations on attached sheet(s).
'I
'-S Plan Examiner Data - '- S
Report mailed to architect _______ Met with _____ Attach to Plans
COMMERCIAL/INDUSTRIAL ,,
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHAGE PERMIT
CITY OF CARLSBAD
APPLICATION:
(CHECK ONE)
NEW______
REVISED__________
j , o BUILDING P.C. NO.:O ç-/'' J
APPLICATION NO.: 577
INDUSTRIAL CLASS:-3 /
DATE:
nature of City Representative
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT
GENERAL:
CPL)'- SITE
APPLICANT:- C, L' 'fl cf fg ADDRESS: JqA, I
TYPE OF BUSINESS:
APPLICANT'S ADDRESS:-336 (f)U() Vji )L(--
WASTES AND PROCESSING: (Check where applicable)
15 Domestic Waste Only Industrial Waste Industrial Waste NOT
Discharged to Sewer Discharged to Sewer
GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of
proposed waste):
GENERAL DESCRIPTION OF PROCESS (If Applicable):
WASTES TO BE DISCHARGED TO SEWER: (94( (' CCcpiIt 1c
WASTE: TREATED: QUANTITY: AVERAGE GPD
(Check One) UNTREATEI5: (Daily) MAXIMUM GPD
(Gallons Per Day)
APPLICANT OR REPRESENTATIVE OF FIRM:
(Print)
TITLE:2i2c_\i1((Y'1,u,q((-1
SIGNATURE: !' _ j/ ( DATE: /