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HomeMy WebLinkAbout1991 PALOMAR AIRPORT RD; EXPIRED | MULTI-PERMIT FILE; CB031035; PermitCity of Carlsbad '. 1635 FaradayAv Carlsbad, CA 92008 04-24-2003 Commercial/Industrial Permit Permit No: CB031035 Building Inspection Request Line (760)602-2725 Job Address: 1991 PALOMAR AIRPORT RD CBAD Permit Type: TI Sub Type: COMM Parcel No: 2130921700 Lot #: 0 Status: ISSUED Valuation: $5,000.00 Construction Type: NEW Applied: 04/10/2003 Occupancy Group: . Reference #: Entered By: CB Project Title: ARCO AM PM- ADA UPGRADE , Plan Approved: 04/24/2003 Issued: 04/24/2003 Inspect Area Plan Check#: Applicant: A MORALES . Owner: . B P WEST COAST PROD UCTS4O4/24/03 0002 01 02 2322 W 3RD STREET C/O P&T TAX DEPT ', • COP 62-24 LOS ANGELES CA P0 BOX 512485 .- 90057 - 7' LOS ANGELES CA'90051 213-381-7891 1/ .1 Building Permit $61.19.. Meter Size Add'I Building Permit Fee "$0.0011 ,. Add'I Recl. Water Con Fee/ $0.00 Plan Check . \ /$39.77 ,,,"MeterFee..' \ -"- . $0.00 Add'I Plan Check Fee 1 . $000 SDCWA Fee $0.00 Plan Check Discount $0 00 CFD Payoff Fee $0 00 Strong Motion Fee -..$1.05 — PFF. - -?) ) $0.00 Park Fee i' $0.00.... PFF (CFD Fünd)' ?/ ., . - $0.00 LFM Fee $0.00 License Tax \ " — $0.00 Bridge Fee f / $0,100 License Tax (CFD Fund) () — $0.K BTD #2 Fee $0.00-s Traffi ImpaótFee - t/,. : ( $0.00 BTD #3 Fee '— $0 00"\ ..Traffic Impact (CFD Fund)) -'-- $0.00 Renewal Fee - $0.004 A PLUMBING TOTAL ' $0.00 Add'I Renewal Fee , ' $O0O - ELECTRICAL TOTAL' c-'; $0.00 Other Building Fee . $0.00-. MECHANICAL TOTAL / $0.00 Pot Water Con Fee \ \ $0.00.,\ ,S' Master Drainage Fee," $0.00 Meter Size \ Sewer Fee —. / $0.00 Add'I Pot. Water Con. Fee ', $0.00 Redev Parking Fee / / $0.00 Red. Water Con. Fee . $0.00 Additional Fees , $0.00 Ii900 TOTAL PERMIT FEES —.--. $102.01 ) / Total Fees $102.01 Total Payments To Date Balance Du" / PERMIT HAS E cORDANCEWITHUIC SECTION 106.4.4 - I DATE SIGNATURECJ .-. . OVo Q'- FINAL APPROVAL . Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition' of tees, dedications, reservations, 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 tees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fpps/eyr.tinns nf whuth vnii hqvp nrvintisIv hen nivn n NflTI(P simiir to this or nq to whirth thp qt;;tiitp of Iimittions his nrpviotislv oIhprwip pxnired - - -•! • ., -. I -! * . • ttc. • ' , .- - - 1S? - ..* - .-'.. - . "r 'e* .c' - -'-.r *4 '., S'-.- "" • __S5' FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N0CJ203162'5' : CITY OF CARLSBAD BUILDING "DEPARTMENT, . . EST.VAL. __72(1377 . .,_, 1635 Faraday Ave.,,Carlsbad, CA 92008 '7 Plan Ck Deposit i I I • .: Validated Date. I OO PRO€RMAT1ON S ' Address (include Bldg/Suite #) Business Name (at this a,ddrSYY '.7/10/03 0002 01 02 ., Legal Description Lot No. Subdivision Name/Number Unit No. . Phase Nc64otal # of Units9 Assessor's Parcel # 1 " Existing Use-. Proposed Use . . Description of Work SOFT., .. #of Stories - # of'Bdrooms . # of Bathrooms I' CO ' . .. / '.23ZJ2 , L ' - . / ,Name . . Address . . . 'City . State/Zip . Telephone -# Fax # Ci 5' Cuctcr 0 ner E ej$er — - - Name - ' Address ' City , State/Zip Telephone # 1ThWNER I) r Name lAddreis City State/Z __Telepho'# 5 C0NTRACTO OJANAME - (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 exemption. Any violation of Section 70315 by ahy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ci- 0 °S 11 Q, ç\, . •L Ccoé CAkCO. 4-bcr '. Name' . , - . Address , ' ,.. . City . , State/Zip , Telephone # . I State License # '1 I(.o_4A . ' License Class (.\'_ . City Business License # l-_I_444 çc _'A;C 9)_——°l I \ 'Designer Name ' .. Address . , City •' State/Zip . Telephone State License # C______3 / \ orkers' Compensation Declaration: 1-hereby affirm under penalty of perjury one of the following declarations: . S .0 . I have and will maintain a certificate of consent to self-insure for'workers' compensation as provided by Section 3700 of the Laboi Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section'3700 of the Labor Code, for the performance of the work for which is perm1t is - issued.' My worker's compensation insurance carrie d policy number are: . . . 92t ~L insurance Company. _____7~T7—_. , Policy. No. __'.fc ZZ I '78 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT I FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 01 0 CERTIFICATE OF , MPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any per on in any manner so as to become subje o,the W kers' Compensation Laws of California.1 WARNING: ail re to secur workers' compensation coverage i lawful, and shall subject an employer to criminal pqnalties and civil' fines up to, one hundred thousand 'oilers ($100.00 , in add itig to the cost of compens tion damages as provided for in Section 3706 of the Labfr cod' interest and attorney's fees. IGNAT__E _____-. DATE ( 5' NE IV E 7 l'hereby affirm that (am exempt from the Contractor's 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 (Sac; 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). 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's. License Law does not apply, to, an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) liceiised pursuant to the Contractor's License Law). ' . 0 I am exempt under Section Business and Professions Code for this 'reason: S I personally plan to provide the major labor and materials for construction of the proposed pr6perty improvement. 0 YES ONO . I (have / have not) signed an application for a building permit for he proposed work. 13 I have contracted with the following person (firm) to provide 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 person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number(: -- 5. 'will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type - of work): PROPERTY OWNER SIGNATURE DATE '.. __' _. '• . " ERMlffi ls,.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? 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 66 constructed within 1,000 feet of th Outer boundary of 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 POLLUTIONCONfROL DISTRICT.. t8cONsNRucTloN_LENDING"AGENCY l' hereby-affirm herebyaffirm that there is a construction lending agency for the performance of the work for which'thispermii is issued (Sec. 3Ô97(i) Civil Code). 5, - LENDER'S. NAME LENDER'S ADDRESS —: " — — - 7 I certify that I have read the application and state that the above information correct and that the information an the plans is accurate. ,1 agree to 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 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 IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - OSHA: An OSHA-permit,is'required for avations er 5'O" deep and demolition or construction of ,structures over 3 stories in height. EXPIRATION:' Every permit issue the build' Official under th 'rovisions of this-Code shall expire by limitation and become null and void if the building or work authorized by such permit is no ommence hin 180 d m e date of such per r i . building or work authorized by suh permit /suspe ded or abandoned PPLCTSSlGNATU d(S tion 10644 uil g Code) DATE WHITE File YELLOW Applicant PINK Finance - S BUILDING PERMIT Permit No: CB971058,. 05/01/97 17:16 Project No: A9701359 Page .1 ,of 1 Development No: Job Address: 1.991 PALOIVIAR AIRPORT RD Suite Permit Type:. COMMERCIAL TENANT IMPROVEMENT - 46-102 05/01/97 0001 01 02 Parcel No: 213-092-17-00 . ,.Lot#: C-PRMT 50.00 Valuation: '0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: REMOVE & INSTALL NEW DISABLED Applied: 04/30/97 : RAMP-RCO STATION-DOCUMENTATION INSPECT Apr/Issue:' 05/01/97 Entered By: RMA Appl/Ownr : ARCO PRODUCTS 714 670-5300 4 CENTER POINTE. DR STE 300 LA PALOMA CA 90623-5066 ** Fees Required *** Collected & Credits Adjustments: 0. .00 ----- ------ ------- Ext ------ Total Fees: 00 50.00 Fee description J t in t fee Data 1NSP FEE 50.00 k BUILDING TOTAL '52 IT t w WITH U.B.CU DATE._5///9 * SIGNATURE____________ . VAL 'FINAL APPRO INSP4DATE . CITY OF CARLSBAD 2075 Las Pálmas Dr.; Carlsbad, CA 92009 (619) 438-1161 t - - - -t-- - - - - I PERMiT APPUCATION PLAN CHECK NO.q7lo City of CarLsbad Building Department I I 2075 Las PaLnms Dr., CarLsbad, CA 92009 (619) 438-1161 EST.VAL___________ __________________________________________ 'PLAN CK DEPOSFF_______________ IVA11D. PERMIT TYPE I From List 1 (see back) give code of Permit-e: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give - Code of Structure-Type: Net Loss/Gain of Dwelling Units PROJECT INFORMATION FOR OFFICE USE ONLY Address 9Cj k-' (OM c r Airpr4. Build)ng or Suite No. Nearest Cross Street (Ci Wls'nr ().'IICA CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL 2 I 5- 0 C ?--(-I EXISTING USE PROPOSED USE DESCRIPTION OF WORK (S f ft Lk) (CQ P. SQ. FT. 2 9 5 . . # OF STORIES # OF BEDROOMS # OF BATHROOMS (1JNIAL1 Pt.IJN (it different from applicant) NAME(lastnamefirst) CCqjOS ADDRESS jO u). ç t (oi.LS CITY "1 OQ,1Ie Vi .i-e STATE (4- ZIP CODE C 7, é7 7 3 DAY TELEPHONE NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) 4eCC) P/ 0 C-- Co. ADDRESS 1 Ci4er y. -t'. 70d CITY C Pö II'l 0¼ STATE ZIP CoDEqc'6z3-5 DAY TELEPHONE i , -. 6 70 530 0 CX)NTRACFOR NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # ur.l.,Ne.K iN/'.jvtt i.iasi name rirst) - (4 'f L " 'U"11,33 (to W fl cwts i; CITY s 1 (tP41e(1 W STATE ZIP CODE 7 DAY TELEPHONE 7 / (7 3t STATE UC. # IZ WORKERS' CX)MPENSA1TON Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of industrial Relations, or a certificate of Workers' 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, Lab. C). 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 Workers' Compensation Laws of California. SIGNATURE DATE §OWNER-BUUDER,DELARATIOI( - Owner- ISuilderjL)eclaraqppj) I hereby affirm that I am exempt from the Contractors License Law for the following reason: O 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). 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 ML. , 4WwC,L-)MFL,El 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 0 N 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 DISTRICT. 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). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTVICATION 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 10 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 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 jiitjsuspencled or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). H PLANNING/ENGINEERING APPROVALS 17 PERMIT.NUMBER CB qjtoV - DATE ADDRESS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$10,000.00) VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER 41elf1v I 4)i4( 2472 PLANNER DATE EN G I N E77fl') DATE 7 C\WP51\FILESBLDG.FRM Rev 11/15/90 - c,L(-. 'LO ':7 • -. B.iIL D.IN'G P E R.M.I T. -. •PermitNoCB972032 08/07/97 12i26 Y Project No: A9702579 Page 1 of I Development No .71 Job Address: 1991 PALOMAR AIRPORT RD Suite:. - Permit Type: COMMERCIAL -TENANTIMPROVEMENT, 786209/07/97 0001 01;02. Parcel No 213-092-17-00 L Lot# '- Valuation 5,000 Construction Type NEW Occupancy Group Reference# Status ISSUED Desription: INSTALL (2) NEWPAYPOINT . . Applied: 07/23/97 TERMINALS Apr/Issue 08/07/97 14 Entdred By:. JM Appl/Ownr BATRES V_%'562'595-199.5 1401 WILLOW LONG BEACH, CA 9 Fees Required Fee-so11ected&Credits*** Fees:' . 1200 (2-) Adjustmen'ts:'... '.. / .qq.— Tota.1/redits: - .•. .po . .Total Fees: 120.00.J Totai(yayrnents:. . 47.00 OU Balace Due' 73A0 4 -- 7 BbiLDING"TOTAL '120 . 00 !•' :: -, 1.00 INCuFPOHA1Er) 1952 A* I . • . - '4' :. :/1 .•-. r . / ,-. .- . . . - pt1, - " Ei1i .. . . n/1 L u L '-. Eb 4.4 DA - : LIANC - L 4 - CITY OF CARLSBAD I 2075 Las Palmas Dr.,Carlsbad, CA 92009 (619).438-'l 161 • - I I -. ' I . .. .- . -. . - • - •! •, - . • - • . •,• ...,. . S. • I 0 - -- -. PERMIT, APPLICATION APPLICATION ;4 CITY OF CARLSBAD, BUILDING DEPARTMENT ' 4 2075 Las Palmas Dr. Carlsbad CA 92009 -sir- (760)438-1161 . IPROCT.INFORMATION. FOR OFFICE USE ONLY -, • PLAN CHECK NO.'r Z()3. '4 Plan Ck. Deposit; 4/ 7.1X> - iàIitd Date'By- 7/z'/q1_ - - -7325 07/23;'97 UI -- AddUiss Bunes_'----T_.--. Legal Description -' Lot No. Subdivision Name/Number . - Unit No. Phase No.' Total # of units- ,'.,L - ,. ' ...1 .' '• ... .; , i , Assessor's Parcel # .. Existing Use - - - - PIO5d Use - • ._4_ ' - ,-' - 5cr tion of Work ,, -- ,, ,- , -- - - - - SQ. FT. - - -#of Stories ------- # of Bedrooms - - -# ( Bathrooms- -' iL Zr VtL-LL L-L._') ft I. I L-c— I Lj LI I_L- -1k) LUUW,L-U€'4. _ (-T __(£.- -p L.)_1 '1 J Name - - - — --- -------------Address - • . - '- -City - - --State/Zip .' -Telephone # -----Fax # _LJ Name - - ----------Address ----------------City - - - - State/Zip ---- - - Telephone # - 9 LerpT. - - L4 fC3 '7Ni?G 530 Name 11 Address - , - .' City - .. , ,State/Zip, - - - . Telephone # IL57'~-'CONTRACTOR—COMPANY N)- - - - - - . - - -(Sec. 7031.5 Business and Professions Code: Any Cityor County.which requires a permit to construct, alter, improve, demolish or repairany striture, 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 withSection 7000 of-Division 3 of theBusiness -and.Professions Code] or that h is exempt therefrom, and the basis for-the alleged-- , exempti . Any viojtion of Section 7031.5 by any ap licant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars 1S5001). Q-/ - -S510 - -C 96( 35d -Name 4'.' ' - ., - - - L-.' . 'Address'I City - - - -State/Zip - .. Telephone # - 4 State License # 3_5 Li'cense Class /)ç _)4_k - City Buiness License # - Designer Name ,-., - - , • , Address • -- • - , - City r - State/Zip Telephone State License #-' - I - I.,' - •• •- - - - . ' - ' 1' . - 4 ____ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - C3 have and will maintain a certificate of coent to self-insure for workers' oipeation as provided by Section 3700 of the Labor Code, for the performance- - of the work for which this permit is issued. . , . :.1- E] - -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: - - - - ' -. r,. - • ,. - Insurance Company O\a? _lPe - LE Policy _ I _0(-3 Expiration Date //-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS- [$1001 OR LESS) - - - -- - •- -' -- o CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employtany persn in any manner so as to become subject to the Workers' Compensation Laws of California. - . - .. • i - -• - • 4 . -, I •,_ WARNING: Failure to se"eo kers' compe a n overage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100, dition to th o I mpensation, damages as provided for in Section 3706 of the bor ce, ièjt and attorney's fees.i SIGNATURE _'.J?—_DATE _7_(-_--.--- WR_BUILDER_DECLAR i9b I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - -- - - - - - -- ---- . - - - - -- 10 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 impróvds 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). - '----- '-' - - 0. I, as owner of the property, am exclusively contracting with licensed contractors to construct the proje'ct (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 contractorlsl licensed pursuant to the Contractors License Law). - - - - -----------------* - - - , _ , ..------- -0 I am exempt under Section Business and Professions Code for this reason: - -i -- •.- ,. . - - - I - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYES [:]NO I (have [have not) signed an application for a building mit f&ihe proposed work.- - ' -- ,.3. -1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors licens'e number): - - (plan to provide portions of the work, but I have hired theTollowing person to coor'dinte, supervise and provide the major work (include name / address /phone number contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /,typo' of work): -- --- -'--i ---.------------------------ - -- _. - - •. - - __ . - -. -------------,:" OWNER SIGNATURE - -- . - - - .- - - .-' DATE --- - -. - - - -- - — PERMITS ONLY I'TT"1 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form,or risk management 1and prevention I program under Sections 25505; 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? --0 YES 11 0 NO ;,Is the applicant or future building occupant required to obtain a permit from the air pollution4cont6 disirict opr a-iro quality, management district? 0 YES 0 NO 4 Is the facility to be constructed within 1,000 feet of the outer boundary of asch001 site?V 0 YES 0 NO ' •i - ', •i .' IF. ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT. BEISSUED UNLESS THE APPLICANT HAS M4ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. -----=- hereby affirm that there is a constructi6n lending agency for-the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code): LENDER'S NAME - ''' -- ' 4 ".LENDER'S ADDRESS - - . - - - -'-.'- I certify that I have read the application and'tate that the above information is correct and that the information on the plans is accurae I age to comply with all I City ordinances and State laws relating to-building construction - I hereby authorizerépresentatives of the Cite' of Carlsbad tóenter upon the'above mentioned ,property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST'ALL LIABILITIES, I JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY'ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Vol-- '4 --ii- •'--' :.- --''u1 ''' . I,' OSHA An OSHA permit is required fexavations over 5'0" deep and demolition or construction of structures. over 3 stories, in height of EXPIRATION: Every permit i ad b the uilding Official under the ov Uri; of this Code shall expire by limitation and-become null and void if the building or - work authorized by such per it is ' corn enc t1 within 365'days ro the date of such ermit or if the building or work authorized by such permit is suspended or abandoned at any time a er the r 'is om n - a rio 8 ay ec io 0.4:4 Uniform Building Code).-- APPLICANT'S SIGNATURE DATE WHITE. File YELLOW. Applicant PINK. Finance CITY OF CARLSBAD INSPECTION REQUEST -. PERMIT# CB972032 FOR 08/11/97 (/'INSPECTOR AREA DESCRIPTION: INSTALL (2) NEW PAYPOINT PLANCK# CB972032 TERMINALS 0CC GRP TYPE: CTI CONSTR. TYPE NEW JOB ADDRESS: 1991 PALOMAR AIRPORT RD STE: LOT: APPLICANT: BATRES PHONE: 562 595-1995 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/JOHN/909/623-2502 PM PLEASE INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS 5E920049 SWCI ISSUED CB940356 ELEC EXPIRED CB971058 CTI ISSUED CD LVL DESCRIPTION ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS (J:6c'4i City of Carlsbad 97247 Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report:Monday, August 11 1997 Reviewed by:- Conta'ct Name Priscilla Batres Address 1401 E Willow City, State Longbeach CA rBlqg7Depf7No. CB97-2032 Planning No. . Job Name Arco/Paypoint Job Address 1991 Palomar Airport . Ste. or Bldg. No. Approved - The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply With instructions in this report can, result in suspension of permit to construct or install improvements. D Disapproved - Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for 'review. - For Fire Department Use Only Review 1st '- 2nd - 3rd Other Agency ID' CFD Job#97247 File# , . 2560 Orion Way • Carlsbad, California 92008 (619) 931-2121 4 DATE: 8/5/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2032 EsGiI Corporation ProfessionaffP[an !Review Engineers D APPLICANT D JURIS. LI PLAN REVIEWER LI FILE SET:I PROJECT ADDRESS: 1991 Palomar Airport Rd PROJECT NAME: Island Machine LI •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 deficiencies identified below are resolied and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: . Date contacted: (by: ) Fax #: Mail Telephone Fax In Person .. • REMARKS:-Note on the plans that the proposed cash machine must comply with Title 24 for disabled access S By 'Chuck Mendenhall Enclosures 'Esgil Corporation D GA 11 4CM D EJ El PC 7/28/97 tmsmti dot 9320 Chesapeake Drive, Suite 208 • San Diego Califorma 92123 • (619) 560-1468 • Fax 619) 5604576 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2032 PREPARED BY: CM, DATE: 8/5/97 BUILDING ADDRESS: 1991 Palomar Airport Rd BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: uN BUILDING PORTION BUILDING AREA ft VALUATION MULTIPLIER MULTIPLIER VALUE ($) island machine N/A estimate 5000 Air Conditioning Fire Sprinklers TOTAL VALUE 5000 1991 UBC Building Permit Fee LI Bldg. Permit Fee by ordinance: $ 72.00 1991 UBC Plan Check Fee LI Plan Check Fee by ordinance: $ 46.80 Type of Review: • Complete Review LI Structural Only LI Hourly LI Repetitive Fee Applicable LI Other: Esgil Plan Review Fee: $'37.44 Comments: I .. Sheet .1 of I macvalue.doc 5196 ' PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 97' .29 3 2- DATE ADDRESS 4itPo RESIDENTIAL ANIJMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$10,000.00) VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER C/5/6e) 7 PLANNER DATE ENGINEER/ ?22,777222-a DATE 1/7 C:\WP51\FILES\BLDG.FRM Rev 11/15/90 JACOBS ENGINEERING GROUP INC V ® DATE - 4— 97 SUBJECT_ARCC SHEET NO. 1 OF I BYVMMTHELCHKD. QS PA'1 QUICK SECURITY POST JOB NO, 02M 1-7 i - 02 POST E FOUOATIODE3 WI. OF U*.. iT = 5004* (ESTIMATEO) SEIS. V 4x Ox 275 x 500 3 = MTSS 83.3 %(8)(2/3) = R77.8'4* C.ONC MAT- QUICK UWT = Cp- Cl is lw A P FOR E'PSC wisio SPEED = too MPH, AO EsPoSU.E 0 as = ito. 54 r -3 242.2%Ilo - 2.33 ksl FL, Q.C.30.3((51>)233icSl K. WMAT Sx 4x1,5xQ.15 =.j. l 7- W = 0.5 +1,2 = L1 K (-JISL1D 5@IZ'T8 EA.W /4xSQ. E- L. E ',i A T 1 '0 FDW . 1/1 = cSI' ' SOIL EEARuJG 1.1 . 3.91x (.0 4x8 - 4x8 MAY. SE> = o.24.+ 0.18 = 0. 4Z KSF ( 3 REIF. 0.0018 (Z 18 = 0.39' USE S 0 12 TOP - OTT. EA. WAY JACOBS ENGINEERING GROUP INC. o DATE 4 - 7 - 7 CALCULATION SHEET NO 1 OF 1 BY \/ M T H a L CHKD SUBJECT AR Co PA( C U CK SE C U RI T Y Pa ST JOB NO. a a M it - 0 T58x PA( QUICK UI'.fll (E)coc. SLAB () ISD NOT SHOW. B ___ QUICK UT 1W P \__.Z_ 3"0IAUARDP05T 3DIAUAW1OCT TYP 141" Ts83—fl iT CoSTRUTtO, JOINT I 1L CoNC E)coL AS?AU PA%\IIWCx Typ Li ' SEE NOTES 8Y 1\UG 07 997 * 07H OF UNIT 6 OUT TO P_L A_ (E).CONC. 5UA S_E _CT10N _—B (FOR INFO. N01 OUT OF GUARD POSTS. 10 otc1 0 P Y2 = ' d'SHOWN, SECT A A) beept WofLDIING P QUICK UflT[ T58'8xc ) 3R SCJ-' 40 GUAR1 POST * Exp !L42 J HOLE FILLEDW/Z000I)ICONC TAI _L fFILLo4/ r or /EPDXY 1/)0 T*YP NOTES ITyp 1. CON C. COMP STRENGTH , = 4000 P5t 28 D5 FOR CONSTRUCTION / 710 (1)CoiC Z M114. CEMENT CONTENT IN CONC. SHALL E'E 5/2 sazs/c 'D TOMATCR(E) S. DESIGN BASED 6w f' 2500 PSI, NO SPECIAL INSPECTION REQD MIN SOIL BEARiKIG VALUES USED PER TABLE 18 IA OF UBC 9 4 Lp REINF STEEL SlAh LL BE AIB GADE O i T58x & SHALL C0NF0M To ASOO GDE d AI LT ____ ____ : 3PIpaSL coFoR TO ON of Carlsbad COMMERCIAL TENANT IMPROV Permit No:, CB961235 Job Address: 1991 PALOMAR AIRPORT RD Status: EXPIRED Permit Type: CTI Applied: 07/22/1997 Parcel No: 2130921700 Lot U: Approved: Reference No: Issued: PC #: Inspect Area: Project Title: FAST FOOD SET UP-ARCO-AM/PM LITTLE CEASAR/A&W ROOTBEER COUNTERS (7 Applicant: . Owner: TAIT & ASSOCIATES ATLANTIC RICHFIELD CO 3665 RUFFIN RD #230 SAN DIEGO CA 619-278-1161 00136104228 Other $172.00 O136104885Plan Check ]$000I ( Fees: r $344.00 Additional Iees: $0.00-1 Total Fees: $344.00 1 Balance: j $0.00 PERMIT APPLICATION City of'Cartsbad Buitcling Department 2075 Las PaLmes Dr, Carlsbad, CA 92009 (619) 438-1161 I. PERMIT TYPE From List I (see back) give code of Permit-Type: C.-rl. --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: 1' V !c PLAN CHECK NO. / 35 8406 07/05/96 0001 0.14. 02 Net Loss/Gain of Dwelling Units NJ/A I C-PRMT 172-00 2. PRO= INFORMATION FOR OFFICE USE ONLY Address I KAL-0 MAK NKfWOOT Building or Suite No. c Nearest Cross Street CA i- VI CA LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit fro- No. — CHECK BELOW IF SUBMiITED: 02 Energy Calcs D 2 Structural Calcs 02 Soils Report 0 1 Addressed Envelope DESCRIPTION OF WORK f44) SQ. Fr.1D gi # OF STORIES # OF BEDROOMS 014, # OF BATHROOMS WA- . iijim Lit..., rrnyulv 1.11 U ruin appiicantj NAME (lastname first) PIL ADDRESS STE ZZO CITYDtO STATE CA ZIP CODE Qa3 DAY TELEPHONE APPLICANT U UUNTHAUIOR ENT FOR CON RACIUR DOWNER U AGENT FOR OWNER NAME (last name first) j'ç ADDRESS 3(C,C t ZO CITY iSO STATE CJ- ZIP CODE 92..I.Z3 DAY TELEPHONE PROPERTY OWNER NAME (last name first) A-c TS C. ADDRESS d Totr t). CITY LA 2A-I466k STATE GAc ZIP CODE 61069-f3 DAY TELEPHONE '71 q, 7O zc CDNTRACIDR ADDRESS NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) ---- [ clA5 ADDRESS 3(04c 'Fp) i, . CITY STATE CA,- ZIP CODE 2.tQ3 DAY TELEPHONE1,((a-&((,1 STATE UC. # WORKERS' C.OMPENSATON '-- Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director 01 Industrial Relations, or a certificate of Workers' 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, Lab. C). INSURANCE COMPANY POUCYNO. EXPIRATIONDATE Lertiricate of Exemption: I certify that in the performance of the work for which this permit is issued,-Ishall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby attirm that I am exempt from the Contractors License Law [or 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 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 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 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 [$500]). 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 0 N 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 NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS11UCf. 9. CUNSThUCflON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 01 the work [or which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certily that I have read the application and state that the above information is correct. 1 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY A(XRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF liftS 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 y permit is n commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or bandon d at any e ft the woç is commenced for a period of 180 days (Section 303(d) Uniform Buildin1Code). APP1ICAN1"S SIGNATURE ,..-. (I DATE: t-'' 0 'UI-, Citv of Carlsba DATE: 06/02/97 PLAN CHECK EXPIRATION PC# CB961235 DATE: 07/05/97. TO: TAIT & ASSOCIATES . ADDRESS: 1991 PALOMAR AIRPORT RD 3665 RUFFIN RD #230 SAN DIEGO CA 92123 S You have applied to have your plans checked on the date shown above, and you have not obtained, your building permit. The provisions of Section 304(d) of the Uniform Building Code state: . . . "Section 304(d) Expiration of Plan'Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161 extension 4331. RAENETTE ABBEY Building Department 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576. (619) 438-1161 • FAX (619) 438-0894 of Carlsbad 4 June 11, 1997 Phillip Schanberger Project Manger Tait and Associates, Inc. 3665 Ruffin Rd San Diego CA 92123 Re: Extension of Building Permit Application CB 96-1235 Dear Phillip, The application for the above noted building permit at Arco Facility No. 5792 has been extended to July 31, 1997 as a courtesy at your request. After that time, a new plan check fee will have to be paid to reinstate the application. There will be another one year term for that application beginning on the date the new plan check fee is paid. Presuming the scope of work is approximately the same on your resubmittal, the new plan check fee will be approximately $172. When the City adopted the 1994 Uniform Building Code, the City adopted modified language in Section 304(d) as noted in the plan check expiration letter sent to you on June 2, 1997. The regular UBC plan check term is six months with an allowance for an additional six month extension. The City eliminated the extension process by simply making the entire plan check term one year. There are no provisions in the Code for extensions on the term of plan check. Please pass this information along to your client, and thank you for you patience in awaiting this response. * Patrick Kelley Principal Building Inspector c: Plan Chick File 2075 Las Palmas Dr. -Carlsbad, CA 92009-1576• (619) 438-1161 FAX (619) 4380894 - / qqj m/M( 4i27#f r A C1 0d7 -t /vrA 11/b1I mt- 5(L1 - 4,? Date APPrr Date - buualng - Planning ng - - I-. - -.' / / .4•J77 EngIneering...... Fire - ering ck (&-o4 / HZ MAT FORM WSIE APP 84OOL FEE FORM PLAN CORR BGRG OORR BUSUC W COUP FIRE PLANS ASSESSOR PLANS (v 114 619 f C