HomeMy WebLinkAbout1969 PALOMAR OAKS WAY; MULIT-PERMIT FILE; CB002433; PermitCity of Carlsbad.
06/29/2000 Miscellaneous Permit Permit No:0B002433
Building Inspection Request Line (760) 602-2725
Job Address: 1969 PALOMAR OAKS WY CBAD
Permit Type: . MISC Subtype: OTHER Status: ISSUED
Parcel No: 2130922000 - Lot #: 0 Applied: 06/29/2000
Valuation: $0.00 Entered By: JM
Reference #: - . Plan Approved: 06/29/2000
Issued: 06/29/2000
Project Title: SCHUMACHER S Inspect Area:
REPLACE 4,000 AMP MAIN PANEL #.
Applicant:.
ELECTRICAL CONTRACTING INC . AIR PRODUCT-S&CHEMICALS INC
c4OJ jSCHUMA'HER CO 0• i. OP -371 N ENGEL ST 69'AM49AKWAY ó ó, 00 0001 01 02
ESCONDIDO, CA 92025. CARLrSBAD&A92009 \ vPRMT 6000
619-714-1603
\
Total Fees: ' $60.00 / Thti Payments, Iob'atgrc" $o.00\. Balance Due: $60.00
Miscelaneous Fee #1- SPECIAL INS- F $60.00
Miscelaneous Fee
TOTAL PERMIT FEES 60.00
INCORPORATED
:
fl FINAL APP FOVAL
Inspector: Date: 1 Clearance:
NOTICE: Please take NOTICE that approval of your project includes the imposition' of fees, dedications, reervations, or other exactions hereafter collectively
referred 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 information 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 attack,
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 capacfly
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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
-
.
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 4384161
I
• I
-
.PERMIT APPLICATION'
-FOR,-OFFICE USE
£1
ON Y
PLAN CHECK NO 3 2'33
PA CITY OF CARLSBAD4 BUILDING DERTMENT
- EST VAL r
1635 Faraday AveCarIsbad, CA 92008 Plan Ck Deposit
A 'Validated By__-JY--
Date ___________________________
- - .-i - - - - - -
Address (mci Bldg/Suite #1 Business Name (at this addres )
tA- a-.UPc.( ôO9
Legal Description Lot No. Subdivision Name/Number, 11 - Unit No.'' Plasé No./','Total #of units
- - --. - ' . .-- . -•4
Assessor s Parcel # Existing Use Proposed Use / /: .
Description of Work . , , SQFT ., -.' ltof Stbries of Bedrooms - àf Bathrooms
O I& ( M J W ~PE 2 M -, - T1
-? Name - Address, City - State Zip Teph no o Fax i~
501F 'U'&MMS ir,nt r nr'tr7 7 r -- -
1 A_i 1 1 1 '%-..'' '"..._... .-'' %. _-- 4.' I \"-'4--) k _ f ,A.f_-' i \{t4kJ I I
me _) Adires" C t State Z p T Iephc Fle
-
Name. -.- --..-. . Address- City State Zip Titlophrine 41
PN3LOPffiYME - _.
.(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish-orreairaystructure,priortorits.
issuance, also requires-theapplicant for such permit to file a- signed staternent'that he is licensed pursuant- to- the- provisions of the Contractor'sLicense Law
[Chapter 9 commending with Section 7000 of Division 3-of the Business and Professions Code) or that he is exempt? therefrom and the basis 'for the alleged
exqmption. Any vjla~t*n of Section y any applicant for oy
Name
State Liense .
Jdd:::s
Licens'e Class C_i City
Business
Designer Narri Address City
State License #
'6 ESJ IMPENS JON .. j
:.Work&sCompensation Declaration: .1 hereby affirm under rena1ty of peryjn, or e of the following'declaratrons
0 I have and will maintain a certificate of consent to st/f insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
of the workfor.which thispermit'is issued '' -- - - - - --- . - ..----------------
I have and.will maintain workers' compensation, asrequird by Section 3700 of the.Labor Code, or the performance of the work for which this' erTn it is
ssued My worker s compensation insurance carrier and policy number are
lnsurance.Company &cjOeS - .. Policy QL 0. • Expiration Date:
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
- CERTIFICATE OF EXEMPTION: 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
0-become subject to the Workers'Compensation Laws of California. . - . •'. - 2' :c' _ -- - ---------- - - - .- -
WARNING Failure to secure workers' compensai coverage is unlawfuli and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dqI 0Q inan
,
ost of cOfliPensatlon damages as provided for in Sectior3106 of tharr coT interest and attorneys fees
SIGNATURE
- - I I hereby affirm that I arh exempt from the Contractor s License Law for the following reason
0 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 ale
'(Sec. 7044,-Business and Professions Coda: ,The Contractor's License Law does not, apply to an owner of property who builds or. improve the feon,'and who'does
such work himselff -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)
0 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code ,,The
Contractor a 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)..- - - -
I am exempt under Section Business and Professidi Code for this reason ' I
1 I personally plan to provide the major labor and materials for construction of the propose
.
d property improvement 0 YES ONo
2 ,'.l (have / have not) signed an application for a building permit for the proposed work .,. -.
3. - I have contracted with the following person (firm) to provide the proposed construction (include name / address / phonenumbe(i contra' ctors; license rurnber):
- ---,---'.'----.--,- --- - ,- F •-' '-",---------------- -.'--- -- -,
4 I plan to provide portions of the work but I have hired the following parson to coordinate supervise and provide th' major work (include name Iaddres / phone
number / contractors license number)
5. -I-will provide-some.of the work but I have contracted (hiréd(-the followinq persons to provide'thework'indicated (include name /adciräss I phone ñintier/type
'of work): -' -- - - - - - - - - - - . F_ ¶•F-.44..- ' 'f
-- -----------_ ------ , i-v--- - PROPERTY OWNER SIGNATURE - - DATE-
71A B MIA
- - -
- - -- ------------4. _ - - , F -- Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or r k managem v ri pro vontion
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES,: [j NO.
- Is the applicant or future btilding occupant required to obtain a permit from-the air,pollution control district' or, air quality management district? 0 YES '0 NO' 4 - - - - - -, - - - - '_• - ,. O' ,Is thé facilityt be ànstructed ,vithii 1,000 feetf the outer bourdar' of a h601 site? 0 YES D'No
- -' '6C - - - - - F- ----------, - , - - F - -- - -- - -,1 v IF ANY OF THE ANSWERS ARE yEs;.A FINAL CERTIFICATE OF ,CUPANCYMAY NOT BE-!SSUEP UNLESS APPLICANT HAS MET OR IS MEETING THE..
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT -
- - 'ES. CNSiTR___NLENDING/AENCY -- - heieb'affirm that there iacdnstruction lcndinq i-ncy for the performance of the e.drkfo- .h hfhTs perrCìTt rod S e c' 30971 C I Code)- - -- -
- "LENDER'S NAME- _______________- __- __-- _- - LENDER'S-ADPFSS ___--
- t/APptc_!c.i!FicATloN. -- - •---'--- ------ — - . - - ------------------
- --
Icertify that I have read the application and state that the above information is correct and that the information on the plans is accurate 1fagree4r0 comply, with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the Cit' of Carlsbad to enter upon the above mentioned
property1 for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND',KEEP HARMLESS THE CITY' OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS COSTS AND EXPENSES WHICH ,MA ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height I * * ,
-EXPIRATION: Every pérniit issued by- he building Official undertheprovislons-of this Code shall expire by limitationarid bec6menulI1andvidifthe building or work
authorized by such permit is not commnced ithmn 180 d ys from the date of such permit or if the building or work authorized bysh permit is suspended or abandoneii at any time after the work is commenc a perio of 0 days (Section 1064 4 Uniform Building Code)
APPLICANT!S SIGNATURE - - I DATE
I
- WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
12/21/1999 Miscellaneous Permit Permit No:0B994705 ;
Building Inspection Request Line (760) 438-3101
Job Address: 1969 PALOMAR OAKS WY CBAD
Permit Type: MISC Subtype: OTHER '. Status: ISSUED
Parcel No: 2130922000 Lot #: 0 . AppF: .3212111999.
Valuation: $0.00 Entered By. f)&"w 0001 01 02
Reference #: Plan Approved: 12/21/19" 95-00
Issued: 12/21/1999
Project Title: CONVERT BATHROOM .. Inspect Area:
Applicant: .
AIR PRODUCTS&CHEMICALS INC . AIR PRODUCTS&CHEMICALS INC
C/O J C SCHUMACHER CO 'Ci.ö)J.CPSCHUM4AOHERCO
1969 PALOMAR OAKS WAY 69 PLMOAKWAY
CARLSBAD CA 92009 0
Total Fees: $95.00 Thtl Pyments To'Dtt'j'4' $0.00 Balace Due: $95.00
Miscelaneous Fee #1 $95.00
Miscelaneous Fee #2 0.00
TOTAL PERMIT FEES $95. 00
INCORPORATED
1952 .
FINAL APPROVAL
Inspector: Date:
-
Clearance: ..
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "lees/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 information 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 attack,
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 capacfiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
...L .....L....._. .... .:,.. ...I.. ,......,...... kIflTICC ..:.,.:I... 4.. *k,...,.. 4.. ,.,k:...k 4k... ..4.,4. .4,. .4 I;....;,.,;,..,.. k.... ,..I,. ..frh,....,k.,. fr,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
OR OFFICE USE ON
PLAN CHECK NO.__________
EST. VAL.
Plan Ck. Deposit
Validated By_________________________
Date
F
Address (include Bldg/Suite #) 1 Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Parcel # Existing Use Proposed Use
of Work SQ. FT. #of Stbries # of Bedrooms # of Bathrooms
CONTACT PERSON (If different from.applicsnt) •.... -................................. . . . .'.. ...
Name Adci,oss ' .ty St.'t.'Z:p Tetchnne S FRX
APPLiCANT 0 Contractor 0 Agent for Contractor 0 Owner. Agent for Owner -
Name Address City State/Zip Telephone #
A. PRPPERTY OWNR V4 . I I ( / '
Name Address 1city State/Zip Telephone #
S CONTRACTOR COMPANY NAME "-X77. -
(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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exeption. Any violation of SetJon 7031.pby anypplicant for a,Qermit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001).
Name Address City State/Zip Telephone #
State License # Class City Business .License #
Designer Name Address ' - S City J State/Zip Telephone
State License #
6 WORKERS COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date__________________
IT'1.!S SECT!CN !.!FE't NOT E5 CC.LET T'IE 'iLAtS iiOGIO LESSY
CERTIFICATE OF EXEMPTION: 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' Compenation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in, eddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE
7' OWNER-BUILDER DECLARATION ......................-. . -. .- -. - ............:. ....
I hereby affirm that I am exempt from the Contractor's License Law for the following 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).
I, 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 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).
0 I am exempt under Section Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES XNO
I (have /-ieve'not) signed an application for a building permit for the proposed work.
3. kPan contracted with/stie followifig persoi (firm) to prov4e the proposed construction (include name / address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following(berson to 400rdinate, supervise and provide the major work (include name / address I phone number I contractors license number
I will provide some of the wor . but I have c n r d hired) the following persons to provide the work indicated (incIue nam9 / address / phone number / type of work): / I
PROPERTY OWNER SIGNATUREALZJQ. ._ DATE
. COMPLETE.THIS SECTION FOR !J7LauhlNGP S.ONLY. .,.... ...: . ..•.;. ... .. :.:. :-. .........
Is the applicant or future building occupant required to submit a b mess 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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the Outer boundary of a school site? 0 YES 0 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.
8 CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
U
LENDER'S NAME - . - LENDER'S ADDRESS
9 —APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Crt' 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 5'0 deep and demolition or Construction of structures over 3 stories in height.
EXPIRATION: Every permit sued the Building Official under the provisions of t ( de shall expire by limitation and become null and void if the building or work authorized by such per it is no commence within 365 days from the date ft c permit or if the building or work authorized by such permit is suspended or abandoned at any time after is comm ce for p 70 180 days (S ( 106.4.4 Uniform Building Code).
APPLiCANT'S SIGNATURE
-
DATE
City of Carlsbad Bldg inspection Request
LU For: 2/1/2000
Perrnit# CB994705 Inspector Assignment: RB
Title: CONVERT BATHROOM .
Description:' . • •. .
Type: MISC Sub Type: OTHER .
Phone: 7609312080
Job Address: 1969 PALOMAR OAKS WY
Suite: Lot 0
Location: I
.
Inspector:
APPLICANT AIR PRODUCTS&CHEMICALS INC
Owner: AIR PRODUCTS&CHEMICALS INC
Remarks: FINAL ON BTH ROOM.
Total Time: . . Requested B': BILL •
Entered By: ROBIN
CD Description Act Comments
19 Final Structural A ,P
P . 29 Final Plumbing " . •
39 Final Electrical . • . . •
49 Final Mechanical . .•
• 4
.
•
. • • Associated PCRs •
• • Inspection History 5 •
Date Description Act Insp Comments .
1/24/2000 19 Final'Structural • CO RB NEED FIRE APPROVAL 1ST • • • • •
- 12/29/1999 14 Frame/Steel/Bolting/Welding • CA DA . DONE - • V
12/28/1999 14 Frame/Steel/Bolting/Welding AP RB •
S • S . •-5 -
r' *
Cityot Carlsbad 0
I Final Building Inspection
Dept: Building Engineering Planning CMWD St LiteFir
Plan Check* Date: 2/1/2000 -
Permit #: CB994705 Permit Type: MISC
Project Name: CONVERT BATHROOM Sub Type: OTHER
Address: 1969 PALOMAR OAKS WY Lot: 0 :0
Contact Person: BILL Phone. 7609312080 •
Sewer Dist: CA Water Dist: CA 0
0
Inspected • Date
By: e Inspected: •
•
Approved: Disapproved:
Inspected
'
Date
By: • Inspected: - Approved: Disapproved:
Inspected
1/5 hD Inspected: Approved Disapproved
Comments: -
0•
• 0 00.
FROM.: BpuNc0-cONSTRuTION FAX NO. : 5627779433 Nov. 29 1999 1.17FM P2
0000
November29 1999
Schumacher
1969 Palomar Oaks Way
Carlsbad CA 92009
Attention Mr. William Mills
Reference Plans Marked 99059
Proposal Number SCH99253
We propose to furnish all labor, material and equipment necessary to demo walls, plumbing fixture
s
a
n
d
c
e
i
l
i
n
g
per plans
TIME FRAME
- 3 days lead time
- 5 days substantial completion
INCLUSIONS
1. Demo
a Drywall, studs per plans (walls and ceilings)
b T-bar ceiling per plans
C. Plumbing fixtures, accessories (to be turned over to Schumacher tor storage)
d YCT flooring
.Electrical at demolition (to be taken back tonarest i-box).
Double doors and frame (to be re-used per plans).
2 Drywall, metal studs per plans, finish for paint
3 Re-install double doors and frame
4. Patch-back at demo scars. . .
5 Cap off plumbing lines above ceiling
6. Dumpster and dump fees.
7 Supervision.,
8. Clean up and protection. .
9 Trucking, stocking
10 Painting
11 HVAC gnus and ductwork at demolition
'1 3202 Florence 6,venue, Sarila Fe spring,,; California 90670
502-777-9933 • Fax 562-777-9433 • e-mail.- BrownLolnLmsn corn
Lic. j 769921 Aund
ROM : BaJNco-CoNsTRUTIoN FAX NO. : 562779433 Nov. 29 1999 1:18PM P3
or
OP
Mr. William Mills
November 29, 1999
Proposal Number SCH99253
Page Two
CLARIFICATIONS AND EXCLUSIONS: .
We exclude plan permits,. fees, testing, inspections, survey, bonds and engineering.
We exclude underground obstructions, rock, utilities and hazardous or contaminated material. WeaLso
exclude overexcavation, recompaction or replacement of unsatisfactory subgrade soils.
Construction water, power, and sanitary facilities available on site for Brownco Construction, Inc.'s use
at no cost.
We exclude haul off of plumbing fixtures. .
We exclude moving of office furniture or accessories.
We exclude HVAC re-calibration (if required). .
We exclude new electrical.
BID PRICE: S7,568.00 . .
Alt. 1: . Raise (2) Each Fire Sprinklers In Bathrooms... ................ $ 350.00
Alt. #2: New Epoxy Floor At Bathroom VCT Flooring Demo
To Match Corridor Finish (For Uniform Floor Finish).... $2,000.00
All workto be completed in a substantial and workmanlike manner according to standard practices. All
extras, additions and change orders will be charged at the rate of cost of construction plus 15% overhead and
10% profit. Cost of construction is defined as actual Cost of work performed plus any additional supervision, if
required, project manager any other related expenses resulting from the additions or change orders.
13202 Florence Avenue, Santa Fe Springs, California 90670
562-777-9933 • Fax 562-777-9433 • e-mail: BrowncolnC?msn.com
Lk. 2 79)21A and H
)j/\\
B'U.I L D 1 N G PE•R.M I T. Permit No: CB960230
02/08/9611:15 . . . Project No A9600341
Page 1 of 1 ..- . . Development No:
Job A3dress: 1969iPALOMAR OAKS WY . Suite: .
Permit Type: SIGN
Parcel No: .213-O92-20--00 Lot#:
Valuation: 4,0.00 . tohstruction Type: NEWS
Occupancy Group: Reference#: . Status: ISSUED
Desriptiod: 70 SF SIGN-BLOCK WALL WITH Applied.: 02/08/96
GRANITE INLAY LETTERS-SCHUMACHER BLDG Apr/Issue: 02/08/96
S .
. Entered By. :.RMA
Appl/Ownr : HOFFMAN'S CLASSIC CONSTRUCTION 619-942-2032
1020-A SECOND ST 5946 021108196.Qfei P
ENCINITAS, CA 9 2 Of4 r-PFJT 13 OC
Fees Required *** & Credits
Fees: .136.00 I -S . . Adjustments /00 i Total reij3 00
Total F-ees: . 13.6...00 2
nc
.00
/ B 'b 136 00
ts
e ---------------- , nit Ext fee. Data
77, - 1 '- -. S •S
Building Permit 63 00
Plan,,Check, 41.00
Enter Y for II
RPORATED INCO
1952
INA
S N TOTAL' 136.00 IG
APPROVAk1 /
5
.
, . . 'S
INSP. /u?i4_ DATE/% :
5', . .
S
•- CLEAFAN'E
_
. . ---.,. S.
CITY OF CARLSBAD S
2075 Las Palmas Dr.,'Carlsbad, CA 92009 (619) 438-1161
- • . 5S
. .
S • ,, -.5 5 3 .5 -4, 4 -
PERMr1' APPUCATION
City of CarLsbad Building Department
2075 Las Patmes Dr., CarLsbad, CA 92009 (619) 438-1161
PLAN CHECK NO. 23O
From List 1 (see back) give code of Permit-Type:
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/pain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address /'69//Q'79 ,'6ft - 014t,c Building or Suite No.
Nearest Cross Street 6ad c
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW IF SUBMIITED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED US
DESCRIPTION OF WORK tSX3f &cini)-e 7S to(_Lp '.uc1( 44 t?15 vrbztricQ
Fr-((J' (ft'1(J # OF STORIES # OF BEDROOMS # OF BATHROOMS
NAME (last name first) ' - - - ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (last name first) 2) ,,4DbRESS /Qt'oA c!v7cJ2 5l. cf',v)(S Oct 0,1&O,4'
CITY STATE ZIP CODE DAY TELEPHONE Ci if 2-zo3,? PROPERTY OWNER
NAME (last name first) ADDRESS 5AW. C( j L4 'vt€ 2,
CITY STATE ZIP CODE DAY TELEPHONE
CONTRACTOR
NAME (last name first) 4647I/2?1.2/23 e/49J 5/ADDRESS /OX) ,4-, 5'0/X1
CITY STATE ZIP CODE DAY TELEPHONE C4 'a-- 'O 3 L
STATE DC. # £I7Y7 LiCENSE CLASS .5 ' CITY BUSINESS LIC. # Z2&1ffl1-;/J/) DESIGNER NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE JAILIC. #
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified V
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q.
/ INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: 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 Worke mpensation Laws of California.
8.OWN 2 Z/2/? ER
Owner-Builder LI&lara[,jpn: I hereby affirm that I am exempt from the Contractors License Law for the following reason:
0 1, 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.).
o I, 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 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).
C3 1 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 ONO
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 CX)N1110L DIS11UCF.
CtJNSTRUc11UN LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPUCAN IT CER11FICAI1(JN
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. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIIJ11ES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY AIXRUE AGAINST SAID CI1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5'0" 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
such permit is suspended or abandoned a ny time after the wo k is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANVS SIGNATU - ' DATE: c7
CITY OF CARLSBAD
INSPECTION REQUEST •
pERNiT#:.cB6o.2,3o FOR 04/09/96 .. INSCTOR AREA: 'PY
DESCRIPTION: 70 SF SIGN-BLOCK WALL WITH • PLANCK# CB960230
GRANITE INLAY LETTERS-SCHUMACHER BLDG 0CC GRP
TYPE: SIGN • .,,CONSTR.. TYPE NEW
JOB ADDRESS:: 1969 PALOMAR OAKS WY * STE:. LOT
APPLICANT: HOFFMAN'S-CLASSIC CONSTRUCTION PHONE: 619-942-2Q32
CONTRACTOR: . . PHONE: . •
OWNER: PHONE
REMARKS. BJN/BOBBY INSPECTOR tO SPECIAL INSTRUCT. 8:.00 A.M. INSPECTION :-V
I— •. - -
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE STATUS
CB880540 ELEC EXPIRED
*
. SE900045 SWOW ISSUED
WDP02006 WDP ISSUED
. CB920870 MECH EXPIRED.
• : • •A5930060 -ASC . ISSUEb.
. FA93 0023. FALARM • ISSUED
SE94 0021 SWOW • ISSUED . *
US940026 TU ISSUED
CD,-- -.LVL DESCRIPTION ACT COMMENTS
38 EL Signs
39 EL Final Electrical
• . • ,- ,-. . . . •( . . . . . ..
..• •*, • ..
***** INSPECTION HISTORY
DEScRIION ACT INSP COMMENTS
0
DATE
30596 PY
030596 ••Ftg/Foündation/ Pier s .• AP.. PYv,.•• • .•
022.096 'F.tg/Foundation/Piers APPY.. •. .
4 • . ., ••.
-- . r • .
. jf
.
. . • - -,
- - .r, ' * • - •
* .
1
• •
t * • • . . n - • (••
r • • •
-
- 1 . • '1 .* .
- . • . - -
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
YCARLSBAD BUILDING DEPARTMENT ' APPLICATION & PERMIT
_- _____-,
:'. 92009-1915(619)438-1.161'--_-4.----3 _'-'---'
.108 ADDRESS .' " '.1 -- "s. " - AV. ST. RD. THOMAS BROS NO, DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
--a9`7_>m'rn(Ornc~es _c.zo9_3/,3/y_J
'ZONE
LOT BLOCK SUBDIVISION ASIESSOR PARCEL NO, " ' " - CONTRACTOR ' CONTRACTORS PHONE 0
OWNER'S NAME . . ' OWNER'S PHONE BuIIbINGSO FOOTAGE
_.S'//O4f1C/1I'-_(2 _--,53f -ozo
CONTRACTOR'S ADDRESS STATE LICENSE NO.
OWNER'S,MAILING ADDRESS
,. - - ._ •.,, - DESIGNER
S/fmx
DESIGNER'S PHONE .
DESCRIP ION OF'WORK
DESIGNER'S ADDRESS STATE LICENSE NO.
- rn rLrI ELEV. - NO 0CC OP EDU 5351 03/13/89 0001 01 02 -
-
' ND'_
''''"' STORIES'- '-BldPrnt 27.0 YO
"" ••'' - -' "'' - '- - --' -
------ CENSU!T RACT PARKiNG SPACE- -'RES UNITS ' - 'GRADING PERMIT ISSUED' 'REDEVELOPMENT'-' ' - TYPE 0CC LOAD FIRE SPR'
-- —S-'--'------•-' -.----- I - AREA . , ' CONST
nO N 0 --, -0 -YO ,vD No Not. Valid, Unless Machine Certified _,
OTY. "--PLUMBING-PERMIT- ISSUE I - 75Q . QTY. MECHANICAL PERMIT- ISSUE -_
- SUMMARY/ACCOUNT--NUMBER -- ------ - -
contractor(s( 'license pursuant to the Contractor's License EACH_FIXTURETRAP - ____I ' INSTALL FURN. DUCTS UPTO1100,000BTU' ,
BUILDING PERMIT 001-810'00'00'8220
.EACH BUILDING SEWER - , . ,) ,,-OVER 100,000BTU , SIGN PERMIT 001-810-00-00-8221
ag conditions exist _,, EACH WATER HEATERANDiORVENT,,__-' ---.- -- BOILER/COMPRESSOR UP_103HP _.- - __- --. ---PLAN-CHECK - - - 001-810'00-00'8891---
EACH GAS SYSTEM (104OUTLETS - BOILER/COMPRESSOR 3-15HP'. , TOTAL PLUMBING ,OOi'810'00'OO'8222 -
EACH GAS SYSTEM5OR MOB E _- -'',' METAL FIREPLACE ' ELECTRICAL ' 001-810-00-00-8223
's.. EACH INSTAL,, ALTER, REPAIR WATER PIPE - _. ., ,. VENT FAN_SINGLE DUCT ,. __•,_,,4 , -. - --MECHANICAL '-'-----001-810-00-00-8224 .'-
C' ve2 SEACHVAUUMBREAKER __ri _- ""--- f MECHEXHAUSIHOOD/DUCTS - ' MOBILEHOME 0O1'810'0O'00'8225
WATER SOFTNER vk -•.",''—S - - RELOCATION OFEAFURNACE/HEATE'R '- - SOLAR 001-810-00-00-8226 - - '
------
EACH ROOF DRAIN (INS) DE)v5.- _'f . DRYER _VENT ---,--- _i 1 -- ,.-.- .STRONGMOTION ..- ___-.880-519-92-33 I.
elt.ivsi/re. or a Certificate or Workers Compensation In. TOTAL MECHANICAL -
, = - FIRE SPRINKLERS 001'810'00'00'8227
101 AL PLUMBING PUBLIC'FACILITIES'FEE"-32O81O'00-O0'8740
OTY- -.-- ELECTRICAL-PERMIT___ISSUE QTY - -
MOBILE HOME SETUP -
BRIDGE FEE 3607810'00-00-8740
PARK_IN_LIEU(AREA -
4NEW'CONSTEAAMP'SW1"BKR _(--'---'- -----. ' - - - '-i--- CAR PORT— '-'-'-'r --. "" -' "TIF___-"-'--'-'----'312-810-00-0O-8835
IP--------'/''3'PH c ,"fT' I AWNING LA COSTA TIF 311'810-00-00-8835 --'
U •es-vr-s,WORKERS' COMPENSATION INSURANCE EXIST BLDG EA AMP/SWTi/BKR - ,, r' ' - GARAGE 3 . FMF
-3 PH_ _-''/. n'.'s,...'---.-- ---••.-•-- _,'-'-'-.''('--n .' -LICENSE TAX " -'001'310'00-00-8162
REMDDEL'ALTIRJ PER CIRCUIT :;-..,..... I , _- . MFF - 880-519-92-57 -
, mannr so as to become subject to the Workers' Compen. -
TEMPPOLE200AMPS
.,4 OVER200AMPS __-',' . ' -• '-__ .-•_.,_-,-',--.•_,-,---_- .,•._.-_ -- °'NOTICETOAPPLICANT If, after m"aking this Certificate
"TEMP'1/CCUPANC '(30 DAYS) - -.•- y' -
--'- -' ' CREDIT DEPOSIT - -
-- TOTAL_EIELIRILAL" __
rill "
' I ' "i TOIAI 4
- TOTALFEES _PL._—}__--
IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void If the building or work 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 *
~-EP NG THE 5" CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDI authorized such permit is not commenced within 180 days from the date of suc h
• OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or i1111he buildina or work authorized by such permit s suspended or
STATE LAWS GOVERNING BUILDING CON ISSUED: TO COMPLY WITH ALL C(TY, COUN1Y AND abandonedatanytimeafierthewOrkiscommencedforaperiodof 180 days. S1'RUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , PPROVE APPLICANTS SIGNUR * OWNER 0 CONTRACTOR 0 . , - . • -- - ' -
- KEEP HARMLESS THE CITY OF,CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY AGAINST SAID CITY INCONSEQUENCEOFTHE
- GRANTINGOF THIS
PERMIT_WAYACCRUE
L
BY PHONE 0 -
-.-----.--------- us( BALLPOINT' PEN'ONL'r&-PRESS'HARD --1 -
ee7ni at eediThder
LI " prOvieona of Chapter 9 (commencing wlths'
IIS.ction 7000) of Division 3 of the Business
H±fld .!rcteealone çode, and my license is in,,( Z L full force and effect. If 01
E •c-I hereby attirm that I am exempt from the Contrac'
tars License Law for the following reason (Sec. 7031.5
Businessand Protessions Code: Any city or county wflicr. re-
f )qures a,permit to construct, alter, improve, demolish, or
r,epair any structure, , prior lo its issuance also requires the ap',.,.
'plicant for such'perrnit to file signed statement that he is , licensed pursuant to hA provisions of the Lontractor's I
--License Law'(Chapter 9. commencing with Section 7000 of
Division 301 the Business and Prolessint/sCode) or that is eu r
empt therefrom and the basis for the allegea exemption. Any I
violation of-Section 7031.5'6y an applicant for. a permit sub-
ects the applicant to-a civil punaltyot not more than five buy" dted dollars ($500).
" as ol of the property, or my employees with wages
'asiheir Sole compensatiàn. will do [he work. and the struc-
''"tiire is not intended or offered for.sAle (Sec.. 7044. Business
.J ',ond Pr0fcion Codc: Thc 'Contractnr'n License Low dons
5 - not-apply .10 an owner of property who builds or' improves t thereon and Aiho does Aijch\vork himself Ar through his ow
7emp10yee5,provided that, such improvements are not inteTd-A.".0
W , 'ed or ollered for sale.g If, however,it he building or improve' Z meet is sold within one year of completion,'lhe owner-builder 39 will have the burden of proving that he did not build or im'
prove for the purpose 01 sale).
j3l 4!. as owner, of the properly, am eoclusiveiy contracting
with licensed contractors to construct the prolect (Sec. 7044.
Basjness and ProfessioCs Code: The Contractor's License'
Law does 'not apply to art owner of property who build snr im-
proves thereon, and who contracts for each projects with a
Law).'
75, homeowner ians uinpro'ving my home. and,thelollow'
The work is being, performed prior to sale:
I have lived in 'my home: fur.4 twelve, months
- '.s''ss'prior to completion of this work:".- --.- I have not claimed this exemption dating the last three years.
.-.-for this reason
ee
hreby atfirm that I have' a cArrificate of consent to
( 4iance. ora certified Copy trrereot (Se c.,3800. Labor Code
POLICY NO'-
'I
2 -
0 Copy is tiled with 4he city,. j
""-D'-C&tineej'co'p is'hr'eb?furni5heft
Lu -
,..,CERTIFICATE:OFExEMP'rlON FROM ,.
en f- (This-section need not be completed if the permit
- s'fAr i/rr'i/ hundred dolli/rs 101001 or 1e551
If,rs 'D't errily that in. the performance of the work for which
this permit is issued. I shall not employ any person in any
safion Laws of California.
of Evemption, you should become subiect to the Workers' Q r Cori/pensutioNprovisiOns oftth'e Labor Code, you must
- forthwith comply with such provisions or this permit shall ri
dedeemeA revoked.,
-
1"-- 0 'I hereby affirm that there is'a consrrucrion'fevding
gon fEttre'peformance of the work for which this per.Will P
"'-' mills issued'lSeC,'3e97.Civil Code) '
uj Lender's Name -I -
Lender's Address
'-
.::' :•;:.'-'.•• •.
--
FIELD INSPECTION RECORD . .. . . '
REOUIREDPECIAL- INSPECTIONS ' - -. --
. INSPECTOR' NOTES
INSPECTION REO. IF INSPECTOR'S -DATE CHECKED APPROVAC
. *
PRIOR TO'
- .
SOILS COMPLIANCE
--r---- - -------- ---- . ' - - -
- -
FOUNOATIONINSPI
STRUCTURAL CONCRETE
OVER 2000 PSI - -. - - .-... -. .. * - -. - . -. - - - -.. - -. . - . . -. .•.
PRESTRESSED.-..
CONCRETE
POST TENSIONED CONCRETE-
'F I EILD WE L DING
--- , . • . . . . r - .._ . . * - . - 4 .
HIGH STRENG'rH;
SPE Cil ALMASó 4
-
-
- -
..!
• ' • - 2.• . • . * -- : -
- '-- - - -4
PILES CAISSONS - -- - _-- - -i-- --- ---- - - -- - - -. - .- - - - - _- - ........... ---•- - t
r ------,- '----' ': -.----•- .-.--.-----
- -• - - - '-
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22T 2\T\6 000T & 05
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.'.- .-'-._' -** . . ....,-*
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Lr. -
- ,r •JI*
TYPE '. DATE.' jINSPECTORv
- BUILDING '
FOUNDATION
REINFORCED STEEL'
MASONRY
GUNITEORGROUT - ----- - -- -.
SUB FRAME] FLOOR Li CEILING
SHEATHING 0 ROOF Li SEAR
FRAME '
EXTERIOR LATH '
INSULATION
INTERIOR LATH & DRYWALL - -.-
C PLUMBING 4 - LiSEWERANDBLICO - Li PL/COI
UNDERGROUND— .El WASTE LiIWATER 1'
TOP OUT Li WASTE Li WATER - - - - •. -
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER Li SOLAR WTER -
ELECTRICAL
O ELECTRIC UNDERGROUND Ov UFFER
ROUGH ELECTRIC . -'
Li ELECTRIC' Li TEMP(RARY
Li BONDING: E1POOL .. . -
- 4. --'-
MECHANICAL_•._.
O DUCT & PLEM;; Li REF PIPING
HEAT - AIR COND..SYSTEMS -. - *
VENTILATING SYSTEMS
.*f
CALL FOR FINAL INSPECTION
--ITEMS -ABOVE HA VE
WHEN
BEENAPPROVED
ALL APPROPRIATE...
FINAL,.,:
PLUMBING
ELECTRICAL
MECHANICAL:
- '44 .,-,*- .• .-.. - - - -"' _•
BUILDING - : •' - - - ______ ________
SPECIAL CONDITIONS