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HomeMy WebLinkAbout201 OAK AVE; A | MULTI-PERMIT FILE; CB151358; Permit03-03-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB151358 Building Inspection Request Line (760) 602-2725 Job Address: 201 OAK AV CBAD Permit Type: PME Status: ISSUED Parcel No: 2032500600 Lot #: 0 Applied: 05/05/2015 Entered By: LSM Reference #: Plan Approved: 03/03/2016 PC #: Issued: 03/03/2016 Inspect Area: Project Title: 7-11--INSTALL THREE (3) NEW ELECT RECEPTICALS INSIDE EXISTING STORE FOR RELOCATED/ADDED EQUIPMENT IN SALES AREA Applicant: Owner: POWERHOUSE RETAIL SERVICES LLC M A D F I L L C STE A 812 S CROWLEY RD CROWLEY TX 76036 ENCINITAS CA 92024 817-297-8575 ' 162 S RANCHO SANTA FE RD #B85 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 'TOTAL PERMIT FEES $0.00 $160.00' $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 3 - Y "/ 4 Clearance. NOTICE Please take NOTICE that approval of you project includes the "Imposition' d fees, dedcaticns, reservations, or other exactions hereafter odledively referred to as 'Yeesiexaotiors." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest therm you must fdlow the protest procedures set forth in Government Code Section D3C20(a), and file the protest and any other requited infor etion with the City Manager for processing in accordance with Carlsbad M nidpal Code Section 3.32030. Failure to timely fdlcw that prooecAue will bar any subsequent legal action to attads review, set aside, void, or annul their imposition. • You are hereby FURTHER NOTIFIED that you right to protest the specified fees/eye:bors 110FS NOT APPLY to water and seiner connection fees and capacity changes, nor planting, wring, grazing or other similar application processing or service fees in connection with this project. NCR DOES IT APPLY to any fees/exactions of which you have previously been riven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: III PLANNING • ENGINEERING IN BUILDING • FIRE • HEALTH 0HAZMATIAPCD 4, Jr. Carlsbad of •Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 ' email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (LE 1 S 13S' Est. Value Plan Ck. Deposit Date 31095/j 04.28.2015 JOB ADDRESS - 201 Oak Street, Carlsbad, CA 92008 SUITE#/SPACE#/UNR# _ „ APN - • - - CT/PROJECT # 6 LOT # PHASE # # OF UNITS # BEDROOMS 0 # BATHROOMS 2 TENANT BUSINESS NAME 7-Eleven #13601 CONSTR. TYPE Elec OCC. GROUP M DESCRIPTION OF WORK: Include Square Feet of Affected Areas) Installation of three (3) new electrical' receptacles inside existing 7-Eleven store. , R. • { EXISTING USE �. ••. , Convenience store PROPOSED USE No change GARAGE (SF) 0 PATIOS (SF) 0 DECKS (SF) 0 FIREPLACE YESFI. NO❑✓ AIR CONDITIONING YES FIRE SPRINKLERS YES ✓ NO I NO❑ APPLJCANT NAME Primary Contact Powerhouse Retail Services .,, PROPERTY OWNER NAME 7-Eleven,Inc. ADDRESS •.. 812 South Crowley Road, Suite A ADDRESS - ., 1722 Routh Street CITY , .. STATE ZIP _ :.. Crowley._ .,TX 76036 CITY , . STATE ZIP ,. Dallas ' TX r : 75201 ; : .. PHONE -; . +. ' . 81 7.297.8575 FAX PHONE 770.433.0169 .• 888.316.0919 EMAIL' _ { info@uspermit.net EMAIL info@uspermit.net DESIGN PROFESSIONAL . N/A . .. CONTRACTOR BUS. NAME - Powerhouse Retail Services, LLC / ADDRESS ., , ,.Crowley ADDRESS . - 812 South Road, Suite A • CITY..:. STATE . ._ ... ZIP g CITY .... STATE . . ZIP Crowley . TX 76036 .. PHONE , _ • _ FAX , PHONE 817.297.8575 FAX • EMAIL -if ..,. .. - ,. • - = EMAIL info@uspermit net _ `� STATE LIC. # STATE LIC.# 974217 CLASS c B. C10 ` CITY BUS. _ LIC% (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 7031.5 by any applicant for a permit subjects the applicant to a . civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' ✓ Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1 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., ; 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 workers' compensation insurance carrier and policy ' number are: Insurance Co. Higginbotham • . • Policy No. WC582984846- ' Expiration Date • 21112016 . This section need not be completed if the pern0 is for one hundred Certificate of Exemption: I certify that in the performance Califomia. WARNING: Failure to secure workers' compensation addition to the cost of compensation, damages as provided .ES CONTRACTOR SIGNATURE dollars of the work coverage for in Section NA ($100) or less. • 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 Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), In 3706 of the Labor code, interest and attomey's fees. ' n El AGENT DATE Q' f.2 9.7e,) 15 • 1 k r.. r r . ON - 1 hereby affirm that I am exempt from Contractor's License Law for the following reason: 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). . j 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). 1 am exempt under Section . , '' Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed properly improvement • Yes 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name II (include / address No • , ' license number):. name / address / phone / contractors' license number): / phone / type of work): ' .PROPERTY OWNER SIGNATUREAddle-41,42A-45:147 II AGENT DATE ,D 4,s,b•Lot5 Go MP [113014 443O13 pa C T 1 0 N FOR N O N oOO©Bl7OOVOG11a OQ)Oa O©O P©©©O O 013S2 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? rjYes No Is the applicant or future building occupant required to obtain a pemrit from the air pollution control district or air Quality management district? • t ves []No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? L ;Yes V 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. OQO©VOU C T 1 O O LEND otag WO©OQ© 1 • I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). a Lender's Name - N/A • ._ ._ .— , �. . Lenders Address • N/A • • C3912aOQwlav 01307 PDQ0QOC30 I certifythatl have read the application and state that the above Information Is conectand that the information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br 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 permits 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 the Cade shall expire by limitation and become null and void if the building or work authorized by such permit's not commenced within 180 days from the date of such permit or if the budding oorr'wwcrkAauthorized by such perms is suspended or abandoned at any time after the work is commenced bra period of 180 days (Section 106.4.4 Uniform Building Code). .ES APPLICANT'S SIGNATURE _ .6�"" V - _ W _ _ DATE �. _..._ ; STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Comm.ercial Projects Only) Fax (760) 602-8560, Email building@Carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. • _ •' CO#: (Office Use Only) CONTACT NAME r w^ ^µ • .._ _ _ _. _... _. _ _- _ _ _, OCCUPANT NAME - .. .. _.. _. ADDRESS r...._ w. _.__ ... _ H «. _ .R. _.,.- -. ,- r « _ , 1 ..... y w BUILDING ADDRESS ..... - - a _.w• .. - CITY r- +STATE • I ZIP CITY STATE ZIP Carlsbad CA i ' PHONE ,.. _. , ., t r FAX- ._ -. EMAIL = .. OCCUPANTS BUS. LIC. No. . w. ., _ „., .— .. - DEUVERY OPTIONS ,3 PICK UP: Ir: CONTACT (Listed above) 0OCCUPANT (Listed above) it 1CONTRACTOR (On Pg. 1) MAIL TO: "!CONTACT (Listed above) (OCCUPANT (Listed above) - _ .Ct CONTRACTOR (On Pg. 1) - �-� MAIL/FAX TO OTHER: - . ___ -. .-- ..- ..._ `' I ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION • 0 CHANGE OF USE / NO CONSTRUCTION I r ,ES APPLICANT'S SIGNATURE `Y ~ ', DATE - Inspection List Permit#: CB151358 Type: PME; 7-11--INSTALL THREE (3) NEW ELECT RECEPTICALS INSIDE EXISTING S Date Inspection Item Inspector Act Comments 03/04/2016 34 Rough Electric ,RI AM PLEASE 03/04/2016 34 Rough Electric PB AP 03/04/2016 39 Final Electrical PB AP Monday, March 07, 2016 Page 1 of 1 10-25-2011 City of Carlsbad , 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit - Permit No: CB112287 Building Inspection Request Line (760) 602-2725 Job Address: 201 OAK AV CBAD Permit Type: PME ' Parcel No: 2032500600 Reference #: PC #: Project Title: 7-11: CHANGE LIGHTING FROM FORESCENT TO LED ' Applicant: SYLVANIA 12740 LAKELAND DR. SANTA FE SPRINGS CA 90670 510-491-1920 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees Lot #: 0 Status: ISSUED Applied: 10/25/2011 Entered By: JMA Plan Approved: 10/25/2011 Issued: 10/25/2011 Inspect Area: Owner: r-, —� ( M'ADFIL`LC,/� ' . 162 S_RANCHO SANTA FE RD #B85 ENCINITAS CA 92024;' TOTAL PERMIT FEES A $000 $150.00 $0.00' V$0.00 -$5;00 Total Fees: $150.00 Total Payments To Date: Inspector: i./ `+ $1.5000 Balance, Due: - * '. .! INCORPORATED 1952 FINAL f� Date: [ ' r ' f Clearance* i $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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 fees 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 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. CIT-Y OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. CO Est. Value CARLSBAD Fax: Plan Gk. Deposit www c60-602 a558 Date to j. —/ r (' SWPP JOB ADDRESS 20/ 0/IL ii-� SUITE#/SPACE#/UNIT# APN - - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: Include Square Feet ofAffe ted Area(s pmc«rv//J/J - Tito re 5 - t-- / )2YC • AiTM !-1 1 i5 . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES 0 # NO 0 AIR CONDITIONING YES 0 NO 0 FIRE SPRINKLERS YES 0 NO 0 APPLICANT NAME (Prim ry Contact) • Ng-44,J�9o. t��c(�ry a APPLICANT NAME (Secondary Contact) - - • ADDRESS 6,9 0 ,firer Pr 7 L"0-g"�' ADDRESS •' Cl/ y"��7 S T!E ZIP /�4 r/!//�ocv 7r t�l�� CITY STATE ZIP . PHONE.' FAX PHONE FAX AIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME irdn ADDRESS ADDRESS yr n_// / r` CITY ;i- . - • STATE • . , ZIP ., ZIP . CITY STATE 0/4- 14.6. PHONE FAX PV, ( F AX . (C0)99/- /9 �' I EMAIL EMAIL• (� ci.iiipc ARCH/DESIGNER NAME & ADDRESS STATE LIC. # • STATE LIC.# �3/ 2�LP cDs C CITY BUS. LIC.# f , , l it - applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter § 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 000©®(1/0° C 0 M GQ0041VOCO Workers' Compensation Declaration:) 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. ❑ I have and will maintain workers, ' compensation, re ulred by Section 3700 f the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy , number are: Insurance Co. N�tToi /h�/Y/2 w .f' • - Policy No. WA-7 `2�'/Q ^ 2f'77'•7-r3 Expiration Date ) o/ /// This section need not be completed if the permit' one hundred dollars ($100) or Less. 0 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. 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 (8100,000), in ' addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. �—,o CONTRACTOR SIGNATURE �o XGENT DATE /O/i --// 0E9oQ 0013 ' 00 r Qa40i 1400® 1 hereby affirm that I am exempt from Contractor's License Law for the following reason: - 4 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 c 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). n 0 *I am exempt under Section Business and Professions Code for this reason: - . - - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (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 /.phone )contractors' license number): 4. 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 / contractors' license number): , 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ) • - - '4 .AKFROPERTY OWNER SIGNATURE , DAGENT DATE '• CEO hill, L E iIWOi Oci ood Lhti ~. ooD ENT'1 A ' '.._, 1 OW> � ' �MIyi' 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? 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. c o NOTKEREIG17000 6131730000 GlO ©57 V I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097, (i) Civil Code). Lender's Name Lender's Address dry el2Eri7000GLIT 1 O N 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. '' OSHA: Art OSHA penhit 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 tmitatbn and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE , •" DATE • (3)) Unscheduled CITYOF Building Inspection CARLSBAD Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: / 4 7,2-- PERMIT #: ffda-e7. • JOB ADDRESS: c 2 (. 0 DESCRIPTION:. CODE CONTACT: PHONE #: DESCRIPTION: ACT COMMENTS Bldg Inspection Form Page 1 of 1 Rev. 06/09 City of Carlsbad 12-01-2010 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: Applicant: PR CONSTRUCTION 1995 BATAVIA ORANGE, CA 92865 714-637-7848 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB102294 Building Inspection Request Line (760) 602-2725 201 OAK AV CBAD PLUM 2032500600 Lot #: 0 Construction Type: NEW 7-11 UPGRADE 2 COMP SINK IN BACK ROOM TO A 3 COMP SINK AND REPLACE WATER Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or'Vent Gas Piping System Vacuum Breaker 1 to Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: rrs:\ 0 0 .. $0.00 0 L $o.00 0 Status: ISSUED Applied: 12/01/2010 Entered By: LSM Plan Approved: 12/01/2010 Issued: 12/01/2010 Inspect Area: Owner:-- SOUTHLAND CORP THE C/O TAX DEPT #13601 ( ID' OBOX, 7,11 j J LAS TX r 7 221) 4/ $20.00 $7:.00 $0:00 V $7.00` $0.00 -$0!00 C$,0.0 0 $0.00 $0.00 $0.00 $34.00 INCORPORATED $34.00 Total Payments To Date: 2 $34.00 Balance Due: O ‘,1/ $0.00 Inspector: FINAL APPROVAL Date: /2 - r. w 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 "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 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 fees/exactions of which you have previously been (riven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. '•^ CITY OF - Building Permit Application , 1635 Faraday Ave., Carlsbad, CA 92008 . 760-602-2717 / 2718 / 2719 • Plan Check No.aft, 0 3 Est. Value CARLSBAD •76 www Plan CK. DepOSIt . . carrllsbad a gov Date (ad t (1 C7 SWPP JOB ADDRESS �,`` A ,/ w DA-/ 4VE SUITE#/SPACE#/UNIT# APN`2oI CT/PROJECT # LOT # PHASE # riaL613fri) UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME 7 —EL✓el-1 CONSTR. 'TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s ` - 0PC 0 /M q 3i/4 le— A-tio !W Arre52-.. i 44-- J rcr-t t 00 i ct. Le r•-p 10 3 cO r" Q 6 t t171t 1 u .Ie-• 29&.'r 1 r ' EXISTING USE — 1 4 ✓J/E .IC-f C PROPOSED USE - GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES 0 # NO 0 AIR CONDITIONING YES 0 NO 0 FIRE SPRINKLERS • YES 0 NO 0 CONTACT NAME (If Different Fom Applicant) • APPLICANT NAME �/ / r5444-c - , J -10 S .. 70 Aie (Id N.C?wd ADDRESS • ADDRESSQ p.. / ! / r /€q7iiv/,7 3 T CITY,. ., STATE ZIP • CITY STATE ZIP • o/e- E . a#4 9 z86.5"-- • PHONE - ' FAX PHONE •7/ V 637 71 fir FAX —7/ 51 4.37 338s. EMAIL EMAIL �1 /p AC / R�plOd 6) c0/.0-12JGT/aAI „ tJ e-% PROPERTY OWNER NAME 1— Et el/E/ ,. CONTRACTOR BUS. NAME PR Co.-1STRac,r/OA • ADDRESS 20/ ' oA A -✓tom. ADDRESS • f99r 4474-✓iA 'sr ., • CITY STATE ZIP CA744.4 6.470 11 C'4- 92008' CITY STATE ZIP 612-4T1.9 f �► } • I: vZ gtos— PHONE a . ' FAX • . PHONE r 7P/ b37 7avIf FAX 7/f 637 338 - EMAIL , - { EMAIL - . r //Z�/4s7Auc-Ti0"1 .•1eT.... .' _ . ARCH/DESIGNER NAME & ADDRESS ♦ - • STATE LIC. # STATE UC.# 7 S � 33 CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County wh ch requires a permit to const uct, 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 Contractors 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). W'ORME'R.S'••=COMPENSATION' � � ✓' Workers' Compensation Declaration:) hereby affirm under penalty of perjury one of the following declarations: - . • 0 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. • 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 workers' compensation insuran carter a policy ' number are: Insurance Co. J i612.9 �'f /MS . CZ,, Policy No. /3 8 //b 3 3a 2 • Expiration Date co/7O / /ZO/ This section need not be completed if the permit is for one hundred dollars ($100) or less. . - • • ❑ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued,) shall not employ any person in any manner so as to become subject to the Workers'. Compensation 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 (8100,000), In addition to the cost of compensation, dama s as provided for in Section 3706 of the Labor code, Interest and attorney's fees. / CONTRACTOR SIGNATURE 6fPAVENT DATE ,Z////0 OWNE.`R-BUILDER- DIE CLARATION'..` ; 1 hereby affirm that 1 am exempt from Contractor's 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). • 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).- • • 0 1 am exempt under Section Business and Professions Code for this reason: -, - . 1.1 personalty plan to provide the major labor and materials for construction of the proposed property improvement 0 Yes 0 No - • , 2. I (have l have not) signed an application for a building permit for the proposed work. 1 - - 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): •i 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): - 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address 1 phone / type of work): . PROPERTY OWNER SIGNATURE :•' OAGENT DATE • C,O'eM'PLgTrE.THIS ".SECTION' tFO^R N'O,N;RESI,DEN:TIAL'BUlL"DING;PERMATS '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? ' O Yes Flo Is the applicant or future building occupant required to obtain a permit frothe air pollution control district or air quality management district? O Yes ,No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes �'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. 1. CO'N:STRU''CTION. LEND'ING..AGEICCY`.£ �r�. 4,. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ,APP=LlCANT,CER,TIFI,CA'TION I certify that I have read the application and state that the above information is correct and that the information on the plans is arxarrate.I agree to comply with all City ordinances and State taws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for erspection 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 issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buld'urg or work authorized by such pemttt is not commenced wait 180 days from the date of such permit or if the buidhg or work authorized by such permit's suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Build'mg Code). 3 n APPLICANTS SIGNATURE ys:� DATE / ` I / • -.4....+ - • • • • • • • ' ~Y • Act „ Comments City of Carlsbad Bldg. Inspection Request For: 12/28/2010 Permit# CB102294 Title: 7-11 UPGRADE 2 COMP SINK IN Description: BACK ROOM TO A 3 COMP SINK AND REPLACE WATER HEATER IN SAME LOCATION Type: PLUM Sub Type: Job Address: 201 OAK AV Suite: Lot: 0 Location: APPLICANT PR CONSTRUCTION Owner: SOUTHLAND CORP THE Remarks: Total Time: CD Description 24 RoughITop Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Inspector Assignment: Phone: 6199544634 Inspector Requested By: NA Entered By: CHRISTINE Kenneth Barton From: Sent: To: Cc: Subject: Attachments: Mr. Wasko • Wayne Watkins Wednesday, November 10, 2010 8:17 AM 'dwasko CAD carlsbadca.gov' .Kenneth Barton 7- Eleven # 13601 201 Oak -Ave. Carlsbad 13360-A1.1 20101022-A1-1.pdf Per our conversation: • ' I have attached a floor plan showing the scope of work for minor equipment changes at this Existing 7-Eleven store in Carlsbad which is a part of 21 stores we are retrofitting in the San Diego area. As you will see that we are only exchanging equipment and upgrading sinks and water heater as required by Health Department. Per our conversation you do not have final determination concerning grease traps. A grease trap will not required at this time based upon the information below also the final decision is determined in the trade permit submittal. For all other locations we have been exempted from grease trap requirements which include FEWD, Padre Dam Municipal Water District, National City Building and Safety, City of El Cajon, Spring Valley Water District and City of Chula Vista. As your are aware 7-Eleven stores do not 'prepare nor cook any food at their locations, all items are precooked / pre packaged and warmed then presented in warm food displays for customer. Employees are directed"to spray equipment with solution and wipe with paper towel then to ber disposed in trash. . Employees are directed not to dispose of any grease items into the sinks. It is our interpretation of the building code thatthis scope of work as show on our plan does not require a plan submittal only trades permit forthe sinks and water heater work. There is no structural work or alterations to walls as we are revising minor plumbing, upgrading equipment, relocating gondola furniture and upgrading finishes. gY We have obtained a San Diego County Health permit without a grease trap we will instruct the • IEC contractor to obtain the necessary trades permits from City of Carlsbad Building office and Cjty (AC' complete scope of work request final inspection for applicable trades permits and then BUILDlt schedule final Health Department approval. . Should you have any questions or comments do not hesitate to contact me, Thanks for your assistance in this matter, Wayne Watkins fiedlergroup 2322 W. Third Street Los Angeles, CA 90057-1906 909-472-1954 Fax 213-381-1517 wayne.watkins@fiedlergroua.com 1 OWN,. 130 !0 !1 98 SYN 3a55 1MLL .V1831 01 8013Y81803. �0 nlp8 01 3NI15g3— anon-0 MOH 315Q7M3s Ti6M w 1-3M 335 MIN N1111 033Y1d321 38 01 311103/135 TlYM 76 1-3M 335 M3X XUM O33Y►pa 38 01 01 rnM 365503 / 0 O8Yn3 NSYIdS .18%9 831Y3N 831YM M3N I -NM l�l L' \ rreld re sump HSY1dp rn 1803* )1N15 0NM r• Ni I II WOpy IN 330188 \I 1 01 8 Z1 A9V9 7 *11111111 M3N NUM 01 )IXs �1113n1Wd11�03 MVO Nd miarcene uos .' le I II II II 11 I � Ip ALIN HAM I 03w1 �01 3wa3�103 533 Air7".."4= ��,•,� — 335 033Y1d39 38 01Ya 83VM 335 ALIN NUM 33 � � 1 I �I Y100aa00ll 53 \II ow 380,1321 Ld7�Y3 semil'ilal 11101Y1 M81 803 NYb 0350do8d 335 '0NY19 331103 3811500 3M71138 Ir irmin4 Ia& 1 1 I ®i Il�lllflllll ,/ �3YN13lC)5 rnM N1 I-3M 335 M3N HUM 033YId38 38 01 08I83803 rnM d81 ONUS113--\ SZ 91 1111 Uji sal 'im 04111 I.i LI 43aNI 333Y813X3s 1 335 /4311 HUM TILL 3N1151/3 TN 33Y1d38 Vary lroJ3t1 14100 M 1,„,ti„, III WI 11Y130 ONttp MONS 801 1-15Y 133NS NO r 71N130 335 0 `NYId 0350.108d 33S 143N HUM 33Y1838 01 S311 800U 3M1.50(3� 01 1111503 —A13N NUM 033Y1d3a3A011311L 38 01 318111103 rnM d8d 3NU500� II `� Q II/II N;'-0 31)103N33� 3111833 Nun 33y1d387 4G DEPT. l 06-16-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB101098 Building Inspection Request Line (760) 602-2725 Job Address: 201 OAK AV CBAD Permit Type: ELEC Status: ISSUED Parcel No: 2032500600 Lot #: 0 Applied: 06/16/2010 Entered By: RMA Reference #: Plan Approved: 06/16/2010 PC #: Issued: 06/16/2010 Project Title: 7-ELEVEN-ADDELECT OUTLET FOR Inspect Area: A DVD DISPENSING MACHINE -ON THE EXTERIOR WALL -TO Applicant: ALLCITY ELECTRIC P 0 BOX 638 FOX LAKE 60020 8475463106 — Owner: SOUTHLAND CORP THE = iC/O. TAX DEPT#13601 POBOX`711 %f__ DALL.AS TX 7'771� J l ; i -_� Electric Issue Fee / l Single Phase per AMP /� `\ / 0 Three Phase per AMP / ,/ / 0 Three Phase 480 Per,AMP i 0 Remodel/Alteration per AMP---,/ / �0 Remodel Fee 1 `L�� Temporary Service Fee ,..\J Test Meter Fee i i`- Other Electrical Fees �,; Additional Fees, \----- TOTAL PERMIT FEES , ? \� �\AJ $0.$0�0000 __$0.00 >�$0.00` > / $10.00 +, '\ _ -$0.00 i \ ix, 1, r--$0.00 \_$0.00 i1 i 1 / $20.00 Total Fees: $20.00 Total,Payments To Date $20.00 Balance Due: $0.00 Inspector: FINAL APPROVAL 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 "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 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 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. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 CITY 0 F • • 760-602-2717 / 2718 / 2719 Plan Check No. Est. Value /07o7i, I bad �55� rrp,r �n. �V�U„L i CARLSBADJOB w cart www.carlsbadca.gov Date /\ //6 /', /APN_- p,d-- ADDRESS �� % n/rSUITE#/SPACE#/UNIT# J/,Y ` 7CT/PROJECT /LOT # # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME 7 ���� s_ CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /� ,•� ,.�/a %,-/ 'c d/4cci 7 sr-- ad' G PI a Cc- tea , , fQ A e 9 - pLL I G✓-��I v.v `'I✓!i`-CAJ (fi/"`"'l. _ , ' T G USE POP SE G A SF) PATIOS (SF) DECKS (SF) FIREPLACE YES 0 #_ NO 0 AIR CONDITIONING YES 0 NO 0 FIRE SPRINKLERS YES 0 NO 0 CONTACT NAME (II DI erent Fom Applicant /9//.E £/.siV APPLICANT NAME 9// (/ f'/ S 7? ADDRESS 6.3r ADDRESS CITY L/, STATE ZIPSxy Cx CITY STATE ZIP • PHONE.py7 y r 3/06 FAX - PHONEk`� S��5/ FAX . EMAIL - , EMAIL PROPER OtN EJ3 NAME ��v��� , I� ` ced� JCONTRACTOR / 1V�ADDRESS: BUS. NAME ./J// j� -C / 2. Gc `�' /`6-3 ADDRESS ' CITY STATE ZIP CITY STAT ZIP C,..)r_ # -d/ PHONE FAX PHONEs, •: g.,)��/�- l !` FAX i EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS - STATE UC. # STATE (®sx s,"7a CIBUS. LIC.t3,� (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to const uct, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 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. ❑ 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 workers compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date Y.� is s ction need not be completed if the permit is for one hundred dollars ($100) 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 to become subject to the Workers' Compensation Laws of all rnia. WARNING: Failure to secure workers' compensation cover e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided fo ' on 3706 of the Labor code, interest and attorney's fees. . CONTRACTOR SIGNATURE ❑AGENT DATE e - �C -/ 0 OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from 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 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors Ucense 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 Ucense Law). 0 lam exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fine) to provide the proposed construction (include name address 1 phone / contractors' license number): . 4.1 plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): d . PROPERTY OWNER SIGNATURE • ❑AGENT DATE - ChOM'P'Ic,ET.E h "SECIT.•ION"FOR NON"-REaS!I�DEN•TIAL'BIUI'LDING ONL�% ti'i`, Is the applicant or future building occupant required to submit a business plan, ajstely hazardous materials registration form or risk management and prevention program er Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? 0 Yes o - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quali anagement district? 0 Yes , Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes M4To . 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. �} CONSTRUCTION LEiNOiN'G� 1R ',a�*ads; _. r I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name , Lender's Address CrE•R T I;F11'C A T.1 O,, �- r , ,�'� "�• „k ,� - r• _ � �ON . I certify that l have read the application and state that the above information is correct and that the information on the plans Is accurate. t agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD , AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height , EXPIRATION: Every permit issued by the Building Official under th provisions of (his Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or 1 the building or or by such permits suspended or abandoned at any time after the work is commenced fora period of 180 days (Sedan 106.4.4 Uniform Building Code). 2] APPLICANTS SIGNATURE �j DATE '— /‘ / a • • . , 4 (°4 CITY OF Sv CARLSBAD . Community b& Economic Development November 8, 2010 ALL CITY ELECTRIC BOX 638 FOX LAKE IL 60020 /0/ Permit Number: CB101098 Issue Date: 06/16/2010 www.carlsbadca.gov RE: BUILDING PERMIT EXPIRATION ADDRESS: 201 OAK AV PERMIT TYPE: ELECTRIC PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE • Our records indicate'that your building.permit will expire by limitation of time on 12/13/2010. The provisions of UBC,. Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Everypermit 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 180 days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not. obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before. such ;work , can be recommenced,°a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided .that no changes. have been made or will be madein thetorigiiial;plans and specificatioris-for such.work,'and .provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. • Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permitwhen the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725.. If" ou h y ave anyqustions, please'contact the Building Inspection Department at ('760) 602-2700 `, • Christine Wauschek::. s>G�� Office Specialist Fill ���� reeZ" a/c/6- /1� i/fi5;#9z -i �:v 5����d a�� o� , 0°IA/Ls Building Division/��/'v /"" 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560. Inspection List Permit#: CB101098 Type: ELEC 7-ELEVEN-ADDELECT OUTLET FOR A DVD DISPENSING MACHINE -ON THE EX Date Inspection Item Inspector Act Comments 12/07/2010 39 Final Electrical RB CO THIS PERMIT IS ABANDONED. IT IS A 06/18/2010 39 Final Electrical DUPLICATE PERMIT TAKEN OUT. THE ORIGINAL, CB100607, INSPECTED AND FINAL ON APRIL 15, 2010 RB CO SEE NOTICE Tuesday, December 07, 2010 Page 1 of 1 04-07-2010 - Job Address: Permit Type: Parcel No: Reference #: 'PC #: Project Title: Applicant: • ALLCITY ELECTRIC P OBOX 638 FOX LAKE 60020 8475463106 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 . , 'Electrical Permit Permit No: CB100607 Building Inspection.Request Line, (760) 602-2725 , •- 201 OAK AV CBAD ELEC 2032500600 Lot #: 0 7-11 STORE -ADD 20 AMP DEDICATE Electric Issue Fee 'Single Phase per AMP Three Phase per AMP Three Phase 480 Per,AMP Remodel/Alteration per AMP Remodel Fee Ir`'�— Temporary Service Fee • Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Total Fees: \20.00 '0 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SOUTHLAND CORP THE C/O TAX_DEPTr#13601 (PBOi 1/ n D ALLAS T 5221J •/ 4-1- v\Nk'\ To_I PaymZTo Date:$2 rnrr•nAor+QA,Tcn 0A0 Balance Due:. ISSUED • 04/07/2010 LSM 04/07/2010 04/07/2010 $10.00 $0.op $0 00 rr$0.00 $10.00� $0.00 C $0.00 $0.00 $0.00 $20.00 $0.00 • Inspector: FINAL APPR VAL Date: y/ 4 i0 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 "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 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 fees/exactions of which you have previously been (liven a NOTICE similar to this, or as to which the statute of limitations has previousy otherwise expired. < IS,,Building Permit Application ` 1635 Faraday Ave., Carlsbad, CA 92008 CITY OF 760-602-2717 / 2718 / 2719 Plan Check No. VD 10 a (007 Est. Value, ' WWw.ca roan arm. vCNwrs CAR LSBAD sbadca.aov . Date `1- (7 / (O JOB ADDRESS[/J"�/� iCY- K �V� SUITE#/SPACE# UN APN CT/PROJECT # -D( LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMSNANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WO K: Include Square Feet of AffectedArea(s) ao �cc(r1c4 d draft & 4/ P4' e / t� Rohf - ,yide a" ,Bu,)(1/;,, - Cl rC , /f I i ►v► °, l'rta� 11 i Do �m P Fir4 ,7u !( ail' . . • . di coIi o htcl'' .-i ' ' a(4ell h's C o� 13LAr'id(✓ 1Y EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES ❑ #_ NO ❑ AIR CONDITIONING ., ,iYES 0 NO ❑ FIRE SPRINKLERS YES 0 NO ❑ CONTACT NAME (If Different Fom Applicant) - APPLICANT NAM......rr (gal �S�e�yS ADDRESS l ADDRESS �/✓ ! K '(/ ifih%An lye ?/3� 5CITY - STATE ZIP STAT E ZIP Cl/yo 'i e 6 9/30)5- . PHONE - FAX PHON w --3 f - /5 $/P) 37? - ao EMAIL EMAIL PROPERTY OWNER NAME / J / 14 CONTRACTOR BUS. N E/) c / /oCt '� ADDRESS (D �3A `�'�Z46,- CITY - t STATE ZIP . ,. CITri STAT 71-6K 4gte L 6Co.?o PHONE ..- _- FAX _- PHONE <3V7Sys(3(OG EMAIL FAX '2y7(g535/67 EMAIL - - r ARCH/DESIGNER NAME & ADDRESS . STATE UC. # STATE LICE,# ' t(5) C12 }D CI i Ba 3 0 3,3 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to const uct, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). fr W O'R K E;R S'' co M P E N ...: I ON < •; `j* �r �Y. td• �Ft S.AT 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. 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 workers' compensation insurance ceder and policy number are: Insurance Co. Policy No. Expiration Date section need not be completed if the permit is for one hundred dollars ($100) 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 to become subject to the Workers' Compensation Laws of aliforma. 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 (8100,000), in addition to the cost of compensation, damages as rovided for in Section 3706 of the Labor code, interest and attorney's fees. ( CONTRACTOR SIGNATURE gQ89,ENT DATE V.. ) —v / O Wi N,E,R - BUILDER r • 'x may, g: ' eta .. f� 3 - ; • I hereby affirm that l am exempt from 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 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 M.• 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 properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). , e 0 I am exempt under Section - Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. . O Yes ' O No • 2. I (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 / phone / contractors' license number): • 4. 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 / contractors' license number): ' 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): , ..PROPERTY OWNER SIGNATURE .. OAGENT - DATE • f , City of Carlsbad Bldg Inspection Request For: 04/15/2010 Permit# CB100607 Title: 7-11 STORE -ADD 20 AMP DEDICATE Description: Type: ELEC Sub Type: Job Address: 201 OAK AV Suite: Lot: 0 Location: APPLICANT ALLCITY ELECTRIC Owner: SOUTHLAND CORP THE Remarks: Total Time: CD Description 34 Rough Electric Act Comments Inspector Assignment: Phone: 818531 15 Inspector: Requested By: JASON Entered By: CHRISTINE AID Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date - Description Act Insp Comments •B U I'L D I N G P E 06/30/.93 1025'` Page 1 of 1 Job Addfe s s : 201 OAK AV, Permit Type: ELECTRICAL. Parcel No: 203-250-06-00 Valuation:, 0 Construction Type: NEW N Occupancy Group:' Description:. ADD PARKING LOT "LIGHTING ^.- ys •Appl/Ownr : GRANITE CONSTRUCTION P 0 BOX-21641 EL 'CAJON.,.:CA.,9202 * * * Fees: Adjustments: 'Total Fees: Fee description Enter . "Y" for Elec Enter "Y'. for Remo *`ELECTRICAL TOTAL .4 R M I T ;Permit. - 4 project ,Development 2945 06/30/93^0001 of 02 . Lot#: - . ' C-P'R1T 20.^00 Reference# : • No: CB930642, •,, No: A9300932 No: Crr.oz) •S`tatus :^�"ISSUED Applied:^- 06/30./93 Apr/Issue: 06/30/93 ;Entered By:..DC • 619 445-1156 CITY OF CARLSBAD . 2075 Las Palmas 'Dr., Carlsbad, CA 92009. (619) 438-1161 , .00 20.'00 , EXt fee Data 10.00 Y 10.00 Y ,20.00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - O Commercial L JNew Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration ❑ Duplex 0 Demolition 0 Relocation 0 Mobile Home .B'tlectrical 0 Plumbing ❑ Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2. PROTECT INFORMATION Nearest Cross Street LEGAL DESZ10P I ICSfv Address 6 ( (4,i( I/( Building or Suite No. C-C.)L Lot No. Subdivision Name/Number CHECK BELOW IF SUSNIil I'ED: PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT VALID. BY DATE FOR OFFICE USE ONLY Unit No. Phase No. ❑ 2 Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL LU 2. S C CI C. CA-) EXISTING_1LSE7 / / S¢o' FROPO. FD USF 'S,tit/'7c' DESCRIPTION OF WORK 2.. f v / h 5 SQ. FT. # OF STORIES eren routapp an NAMEif. C! p/po ace aL / / e /%7L �� ADDRESS CITY �� 1 0 9'J STATE C a ZIP CODE / 'L( DAY TELEPHONE 17064-1:. /Cr6 4. APPLICANT a "O TRACTOR O AGENT FOR CON I RACIOR U OWNER U AGENT FOR OWNER NAME G, ,rl /Q'E C -e> S rADDRESS /So ce CITY 4vI G / C) N STATE �! IQ. ZIP CODE ea---( DAY TELEPHONErA-/C-, 5. NAME PROPERTY jC,r L✓ -)0 Cn er /` .T ADDRESS `_ 6 / `( CITY L NG S STATE ZIP CODE P/9 4'T DAY TELEPHONE C C 6 7// 6. ODNTAMEEACIIDRN14/4 /J /1-.e c=.61j6ADDRESS /&O ` , Q.' /V (Le l CITY 2/G4-/D A STATE C/ T' ZIP CODE DAY TELEPHONE 4/4 / STATE LIC. # LICENSE CLASS 4'91 cec CITY BUSINESS LIC. # DESIGNER NAME ADDRESS CITY 4" /))t STATE 7. WORKERS' COMPENSATION ZIP CODE DAY TELEPHONE STATE LIC. # WorkersCompensation Declaration: I hereby attirm that I have a certificate ot consent to sell -insure issued by the Director ot Industnal 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 ', Te /7/4 / I) POLICY NO.t(Qp1 / 4 S 5iEXPIRATION DATE /7 F 3 Certificate ot Exemption: I certify that in the ormance of the work (or which this permit is issued, I shall not employ any person in any manner so as su t to the WorkA Co nsation laws,Of Califo7 . SIGN 8. OWNER BUIIDER DECLARATION 36 97 Owner -Builder Declaration: I hereby attirm that I am exempt from the Contractor's License Law tor 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). ❑ 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 255 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ YES III NO Is the applicant or❑futurre building occupant required to obtain a permit from the air pollution control district or air quality management district? S Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES Et'RO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TILE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. GUNS TRUCTION LENDING AGENCY I hereby atlirm that there is a construction lending agency tor the pertormance of the work for which this permit is issued (Sec 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION 1 certify that I have read the application and state that the above intormation is correct. I agree to comply with ail City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST ALL LUABIIITIFS, 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLIRE Applicant PINK: Finance DATE: C_2(-)/5 - t I ' • APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ••: El I hereby affirm that Lam licensed undercr I, ;0- :provlslons of,Chapter 9 (commencing with Section 7000) of Dlvision.3 of.the Business and*Professions Code, and my license is in et full force and effect. s- r . _. zI LIc No 0 Class ` U.r'... . . • - T 10 hereby allirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 ' Business and Professions Code: Any city or county which re- quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- ss. . plicanl .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 is ex- empt therefrom andthebasis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penally of not more than live hun- dred dollars (S500).4. - • •, ,may - �, e CC 0 ' J O r Lu W z 0 gl KI II .1 O I, as owner of the property. or my employees with wages ' • as their sole compensation, will do the work, and the struc- y. lure is not intended or offered for sale (Sec: 7044, Business 1 -and Prolessions Code: The Contractor's License Law does j Snot apply to an owner ofproperly who builds or improves 'thereon and who does such work himsell or through his own ,1 employees, provided that such improvements are not intend- j `ed or offered for sale. II, however, the building or improve - is sold within one year of completion. the owner -builder - I � will have the burden of proving that he did not build or im- I prove for the purpose of sale). • I O I, as owner of the properly, am exclusively contracting j with licensed contractors to construct the project (Sec. 7044, :Business and Professions Code: The Contractor's License 1 Law does not apply to an owner of properly who builds or im- I proves thereon,and who contracts for each projects with a •coniractor(s) license pursuant to. the Contractor's License. h. . law). ... , . 1 • o -0 As a homeowner lam improving my home, and the follow- I ving conditions exist: • -- ;.1 •K 1.The work is being performed prior to sale: ' 2.'I have lived-in _my. home.. for twelve months 71 prior to completion of this work: 3. I have not claimed • this exemption' during, the - _ last three years. - •„ • • I 0 ram exempt under Sec. B 8 P.C. ^'.4 for this reason ,r • -• . •❑ • I hereby affirm That 1 nave a certificate of consent to self -insure. or a certificate of Workers' Compensation In- surance. or a certified ed copy thereof (Sec. 3800. Labor Code) ....,POLICY NO: ! 1'\•• 1 •i' 1 'COMPANY L ' ~ ....0 Copy is filed with the— f/1 z Er Certified copy is hereby furnished rr ' • • o. f r.. . -• a 0 r. 1-- .4, CERTIFICATE OF EXEMPTION FROM C Si) WORKERS' COMPENSATION INSURANCE _ (This section need not be completed if the permit • W is for one hundred dollars (S100) or less) .y le ❑ 1 certify That in the• performance of the work for which 0 this permit is issued. I shall not employ any person in any I • 3 r manner so as to become subject to the Workers' Compel, - I sation Laws of California. NOTICE TO APPLICANT: 11, after making this Certificate 1 a.i • • o1 Exemption. you should become subject to the Workers' ry( I Compensation provisions of the Labor Code. you must +forthwith comply with such provisions or this permit shall„ I be deemed revoked. y. J }►*, �r.. -•❑ I hereby affirm that there is a ionstruction lending i Fy { CI . agency for the performance of the work for which this per. j 111 W CIniit is issued W (Sec. 3097. Civil Code) • I z y. •' Lender's Name - 5 J fr' ifCf .. Lender's Address l • I �� —.—CARLSBAD BUILDING DEPARTMENT,. , .. - , • _ -• .: - Carlsbad, California 92008 1989 (619) 438.5525 APPLICATION;-& PER ._ , ' IT, JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. aot � .... . .. . OATE OF.APPLICATION co -►a-% BUSINESS LICENSE ! VALUATION' • • - • __ PERMIT NUMBER - LOT I BLOCK 1 I SUBDIVISION -I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE o ` ' ZONE •• <� - t� •• OWNER'S NAME OWNER'S PHONE Co •' •- . - 0 IK 1 I I CDaee. #k \'3100 k 5 — kc�t k t-71�y1 CONTRACTOR'S ADDRESS - . .0 t (� LICENSE NO. �i j PLAN I.D. #t • - --,. BUILDING SO. FOOTAGE' ' OWNER'S MAILING ADDR S I. . \NCt � \)(�Er . N� Relk' V.:eeta HS Ce 5Y _. _ ,. . . f��/� DESIGNER J DESIGNER'S PHONE DESCRIPTION OFrWOORK \ yQ`+,��- • R� • ` - -'_o- fAme �! 11�V�•\ \-' , DESIGNER'S ADDRESS LICENSE NO. • r V •. -•• 6/ 12/86 884 `I.6'. ` r ' •` "� ' ' ' F/P FLR ELEV. " !CYO NO . NO STORIES' , OCC GP" , • . - i EDU - .. - ' .. •. s• _• ?CESUS TRACT -•N., , GP LAND SE • U ,. PARK SPACE N ,. RES UNITS GRADING PERMIT ISSUED y .. Y ❑ t N 0 • - REDEVELOPMENT AREA v ❑ N ❑ _ TYPE CONST OCC LOAD. - _ FIRE SPR v ❑ NO: = t • r •' - rs - _ r .' .. -f, Not Valid Unless Machine Certified ' r QTY. • `-.PLUMBING PERMIT- ISSUE , • Jam:. - QTY.. /} MECHANICAL PERMIT • ISSUE ' I ,3 - `_ a SUMMARY/ACCOUNT NUMBER 1. • , , EACH'FIXTURE TRAP - , INSTALL FURN. DUCTS UP TO 100000'BTU - - - BUILDING PERMIT 001-810.00-00-8220 • EACH BUILDING SEWER - I OVER 100,000 BTU ' _ ' SIGN PERMIT - • 001-810-00-00-8221_. • , EACH WATER HEATER ANO/OR VENT . , •• •• '' BOILER/COMPRESSOR UP TO 3 HP • I PLAN CHECK 001-810-00-00-8806 •. • .: EACH GAS SYSTEM.I.TO 4 OUTLETS . BOILER/COMPRESSOR 3-15 HP " • - TOTAL PLUMBING" 001=810-00-00-8222 ., -:• •1,•= ' ..,., ,EACH GAS SYSTEM 5,OR MORE _ ., • METAL FIREPLACE ELECTRICAL 001.810 00 00 8223 /S �+ -, EACH INSTAL'. ALTER, REPAIR WATER PIPE - VENT FAN SINGLE DUCT S , • MECHANICAL 001.810.00-00-8224 c . ' •.+ EACH VACUUM BREAKER • • - •• -MECH EXHAUST - HOOD/DUCTS - - , - MOBILEHOME 001-810-00-00-8225 -' WATER.SOFTNER.*- ' _ • - J . - „- ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK.INSP ° - -EACH ROOF DRAIN (INSIDE) ` • A., { - - • r • • - • - t SOLAR - 001-810-00-00-8226 ' -= ) T0T! L MECHANICAL r •. • - `. i STRONG•MOTION - • 880-519-92-33 •- FIRE SPRINKLERS 001 810 00 00 8227 TOTAL PLUMBING - • QTY. _ t ELECTRICAL PERMIT - ISSUE s - . • QTY. • i . SOLAR _ ISSUE t •• r PUBLIC FACILITIES FEE .332-810-00-00-8930 ,NEW CONST EA AMP/SWT!BKR , . ' • • t r COLLECTORS r r SCHOOL FEE - DISTRICT . • • ' • `' 1 PH - .. 3 PH - ! v STORAGE TANKS Carlsbad - - • EXIST BLDG EA AMP/SWT/BKR _ - ROCK STORAGE .. Encinitas ..._ .. '. ^ • - �'• 1 PH . 3 PH PUMP, San Dieguito REMODEL/ALTER = PER CIRCUIT - - • PLAN CHECK FEE'- .. - - San Marcos 1- • - TEMP POLE 200 AMPS . L 1 - _• OVER 200 AMPS - • - LICENSE TAX 001-810-00-00-8162 • f' TEMP OCCUPANCY (30 DAYS) • • . • - • . MFF_ 880-519-92-57 e. pl J`I A . /0 CREDIT DEPOSIT a.• • TOTAL ELECTRICAL il� • • TOTAL SOLAR TOTAL FEES PAYABLE " �� , 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS. ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become.nufl and void.. If thebuilding or work authorized by such permit Is not commenced within 180 days from the date of such permit, or i1 the building or work authorized by such permit. is suspended or abandoned at any time after the work is commenced for a period of 180 days. * AN OSHA PERMIT S REQUIRED FOR EXCAVATIONS OVER - 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE )F [+.�j KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND OWNER 0 CONTRACTOR EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCEOF THE • _ GRANTING OF THIS PERMIT, 4_ 1� BY PHONE 0 APPROVED DATE ///���'''111///((( // - - /C — /7 _ O / N �t U O ,r CrA 0 t CV d) U 10 ass c� :I. c, a) 0 ). d) . u) � a 3 • TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT J SUB FRAME • FLOOR ❑ CEIL9NG '• .. SHEATHING ❑• ROOF ❑ SHEAR FRAME EXTERIOR LATH ! INSULATION �. INTERIOR LATH & DRYWALL ' PLUMBING ■ SEWER AND BL/CO • Mir/CO UNDERGROUND 0 WASTE 0 WATER • TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN I GAS TEST ! ❑:WATER HEATER ❑ SOLAR W,l\TER i i ELECTRICAL i ❑ ELECTRIC UNDERGROUND ❑i UFFER ROUGH ELECTRIC ! '- 0 ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 POOL ' MECHANICAL i 0 DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS I VENTILATING SYSTEMS . . ,/ CALL FOR FINAL INSPECTVON WHEN ALL APPROPRIATE ITEMS ABOVE HA V' E BEEN APPRO.VED. FINAL i PLUMBING I . •- 6 • i_ ELECTRICAL' MECHANICAL GAS I BUILDING SPECIAL CONDITIONS , 1• ..•.'� 1 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 TENSIONED CONCRETE .. FIELD WELDING , HIGH STRENGTH BOLTS - , SPECIAL MASONRY PILES CAISSONS 1 ••f •^•t 9l. - .`, - , 2 . , •,'‘ • Citp of Qartgbab REQUEST FOR INSPECTION RECORD 6o�f INSPECTOR PERMIT NO. OWNER ADDRESS ii S'p ja .2-De ® - 60 2-e l' 70,10'e--/ ifra REQUESTED BY PHONE NO. A too— k` .2----i 3 2-b • PERSON TAKING REPORT 60S BU.ILDING ❑ FOUNDATION 0 FOOTING 0 ❑ REINFORCING STEEL ❑ MASONRY O GROUT - GUNITE ❑ FLOOR AND CEILING SUB FRAME ❑ SHEATHING 0 ROOF ❑SHEAR ❑ FRAME ❑ EXTERIOR LATH ❑ INSULATION ❑ INTERIOR LATH OR DRYWALL ❑ FINAL •TIM DATc- ELECTRICAL ❑ TEMPORARY SERVICE ❑ UFFER GROUND ❑ ELECTRIC UNDERGROUND ❑ ROUGH ELECTRIC ❑. POOL BONDING ❑ ELECTRIC SERVICE ❑ FINAL C l Joj D A' 5(Ib114 C LLANEOU G COKI•AONED MR G(%I 4 (./' � ❑ SOLAR HEAT ❑ PATIO PLUMBING ❑ UNDERGROUND PLUMBIN ❑ SEWER AND PL/CO o TOP OUT PLUMBING ❑ TUB OR SHOWER PAN ❑' GAS TEST ❑ WATER HEATER ❑ SOLAR WATER , O FINAL ❑ POOL 0 SPA ❑ SIGN ❑ GRADING ❑ `DRIVEWAY ❑ FINAL • SPECIAL INSTRUCTIONS Ready For Inspection: ❑ Monday 0 A.M. 0 P.M. Ti asday 0 Wednesday 0 Thursday 0 Friday ' 2075 CAS PALMAS DRIVE _ CARLSBAD, CA 92009.4859 TELEPHONE' (619) 438.1161 Citp of Carle ab DEVELOPMENT PROCESSING SERVICES DIVISION Date: 4-13-87 PC# 604 Date: 6-12-86 Last. Inspection: none To: 7-11 Corp #13601 201 Oak Ave PLEASE CALL FOR A FINAL INSPECTION Carlsbad, CA 92008 IF WORK DONE BUILDING PERMIT EXPIRATION Our records indicate that your building permit will expire . by limitation of time on 4►-22-87 19_ ,The provisions of UBC, ' Section. 303(d). state: "(d) 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 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Before such work can be recommenced, a new permit shall be first obtained so to do, and the fee therefor, shall. be one-half the amount required for, a new permit for such work, provided no changes have been made or will be made in the original plans and specifications for such work; and provided further that such suspension or abandonment has not exceeded one (1) year. Any permittee holding an unexpired permit may apply for an extension of the time within which he may commence work under that permit when he is unable. to commence work within the time required by, this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a 'period not exceeding 180 days upon written request by '"` -the permittee showing that circumstances ' beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. In order to renew action on a permit after expiration, the permittee shall pay a new full permit fee." Please check be,Iow indicating your intentions and return this letter to us. Project abandoned. New permit will be obtained prior to commencing work. Maximum 180-day time extension requested. NOTE: Separate letter for an extension request and reason for such must accompany this form. If you have questions, please contact this department at 438-1161. MARTIN ORENY Building Official . 11/86 J r APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. f t- 1 • c 0 i I hereby affirm that I.am licensed under a•- .provlalona of Chapter (commencing with i • I— • " Section 7000) of Division 3 of the Business I •and Professions Code, and my license is in .1 full force and effect. , - - - ) Z i v :IA No - Class - 0__ • • . . 1 ' I hereby affirm• that I am exempt )r'Om the• Contrac- , I •e-•;tor's License Law for the following reason (Sec.-7031.5 • Yrf Business and Professions Code: Any city or county which re- i quires a permit to construct. alter, improve. demolish, or -i ., repair any structure. prior to its issuance also requires the ap• - • • plicant for such permit to Ole a signed statement that he is I licensed pursuant to the provisions • of . the• Contractor's • I License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Prolessions Code) or that is ex- 4.i empt therefrom and the basis for the alleged exemption. Any r' I violation of Section 7031.5 by an applicant. for a permit sub- jects the applicant to a civil penally of not more than live hun-. •• " 1 _,,,,dreg dollars ($500). .. - . '.Y 1 f] I. as owner of the properly. or my employees with wages 1 as their sole compensation, will do the work, and the strut- 1 ~- ' • not intended or ollered for sale (Sec. 7044. Business ' and Professions Code:. •The Contractor's License Law does I. not appty toan owner of property who builds or.improves j thereon and who does such work himself or through his -own $ I employees; provided that such improvements are not intend- , • IVIed or ollered tor. sale. II,.however. the building or improve- '1 Z . ment is sold within one year pl completion, the owner -builder i I O ';prove for the r ; will have the burden of proving that he did not build or'im- ' purpose o) sale). - ,�,,� - j I:,. • 0 I. as owner, of the property, am exclusively contracting • i 1 _ with licensed contractors to construct the project )Sec. 7044. j' 0„^" .r Business and Professions Code: The Contractor's License i 'Law does not apply to an owner of properly who builds or im- rprovesthereon, and who contracts for each projects with a j .•' to contractor(s) license pursuant to the Contractor's License r' Z • a -. Law). r - O• • • :., 1 `y 1- • ❑ As a homeowner I am improving my home, and the follow- • Q • 'ing conditions exist: - .. . - • 1 • Q • •+ •1. - The work is being performed prior to sale. ~' 1 2. I . have lived • in my • home for twelve months •- . U prior to completion of this work. x W r • • 3. I' have not claimed this exemption during ,the .,.• j . C . - last three years. - ❑ I am exempt under Sec. B 8 P.C. j •, *4 for this reason • e . - • r.-)_ • ;r f a • - ❑ I hereby affirm that I have a certificate of consent to • • I sell -insure. or a certificate of Workers' Compensation In- surance. or a certified copy thereof (Sec.-3800. Labor Code) • POLICY NO.', a COMPANY • ± - - - 4, a I .-+ ❑, Copy -is tiled with the city K •❑ 'Certified copy is hereby lurnishe.e'l'' • • CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S100) or less) ' • ❑ 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: If. after making this Certificate • of Exemption. you should become subject to the Workers' . Compensation provisions of the Labor Code. you must 1 forthwith comply with such provisions or this permit shall I ti be deemed revoked. • i. _ ❑ I hereby affirm that there is a construction lending -.W agency for the performance of the work for which this per- 0 'mit is issued (Sec: 3097. Civil Code) Z Name .- - Lender's Name - -• - - :r + � Lender's Address • • '_ - ' ' T 'CARLSBAD BUILDING DEPARTMENT - APPLICATION- &PERMIT - •—= - • < •• - - Carlsbad, California-92008.1989 (619) 438-5525 c ' • • - . - • tx. Y - _ - •. - _ _ , - - JOB'ADDRESS, - -- r \s .. . . AV. ST.RD. , NEAREST CROSS ST. >••, I DATE F APP !CATION J �/ A / BUSINESS LICENSE st ?VALUATION • , •v r -^ PERMIT NUM ./ LOT BLOCK BDI VISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE a ZONE - k. _ - Y - ` IS I OWNER'S NAME °OWNER'S PHONE ` Cf4gL g> C n• 1 J I/&4,� Z/533 CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # ti ... - - BUILDING SO. FOOTAGE.. • • OWNER'S'MAILING ADDRESS 5f\f t,/ ` DESIGNER DESIGNER'S PHONE - TM. r- •S -"j- 2 • ..• ; 6706/8.6_ .456 -_ _ -' I 0 ,. +_� - _ Lie,. 0001 W�6 ' 6/06/ p�.. r �e Not Valid Unless Machine Certified_ DESCRIPTION OF WORK - - %1 DESIGNER'S ADDRESS LICENSE NO. S�1� � 1 `r �1�i��v/ FLR'ELEV. - a NO 'EDU - �1L �� F/P'- • Y❑ N❑ STORIES OCC GP / "+ / •w CENSUS TRACT-. . r . .... GP LAND USE •, r._ _ •••.`-_ PARKING SPACE �_ • . .- _ RES UNITS c • GRADING PERMIT ISSUED ,r Y 0 N 0 +\ REDEVELOPMENT AREA Y❑ N❑ _ - •TYPE CONST OCC LOAD 'a _ -1 ,FIRE SPR vO N❑ QTY. • PLUMBING PERMIT�ISSUE . ia�i QTY. MECHANICAL PERMIT - ISSUE �j w'i v SUMMARY/ACCOUNT NUMBER , r `'' EACH FIXTURE TRAP , - — - INSTALL FURN. DUCTS UP TO 100,000 BTU• . • BUILDING PERMIT 001-810-00-00-8220 - - EACH BUILDING SEWER - OVER 100,000 BTU ' SIGN PERMIT - 001-810-00-00-8221 r , r EACH WATER HEATER•ANO/OR VENT , BOILER/COMPRESSOR UP TO 3 HP 4 • PLAN CHECK • 001-810 00 00 8806 EACH GAS SYSTEM I TO 4 OUTLETS, •• - £ : BOILER/COMPRESSOR 3-15 HP - ' - - • - ' - .-- TOTAL PLUMBING •x•-, 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE •_ , a , • • METAL FIREPLACE .c• ` ELECTRICAL • 001-810 00 00 8223 EACH INSTAL...ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL . 001 810 00 00 8224 , EACH VACUUM BREAKER • • , •, . . MECH EXHAUST - HOOD/DUCTS - .. • - MOBILEHOME - 001-810-00-00-8225- „ ' •• • - WATER SOFTNER \• : _ > ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP <` 7 EACH ROOF DRAIN riNSmF( iei10 5' A/.. SOLAR • 001-810 00 00 8226 • f /.a p F jo pk_ /3�.9/4e, oz, ' �.- TOTAL MECHANICAL : - .� _. . STRONG MOTION ' •1- 880-519-92-33 ^ _ _ y FIRE SPRINKLERS 001-810 00 00 8227 TOTAL PLUMBING /� QTY. •{ r, ELECTRICAL PERMIT - ISSUE ! c*"..... QTY_ ' " . SOLAR - ISSUE " • ' • PUBLIC FACILITIES FEE. -, 332-810-00-00-8930 -' ,NEW CONST EA AMP/SWT;BKR • • • ' ' COLLECTORS - - - FEE - DISTRICT• • . `SCHODL*, I PH 3 PH •STORAGE TANKS , Carlsbad ,r ;, Y' : r•. .. , '''• at:'- ___'7' EXIST SLOG EA AMP/SWT/BKR ROCK STORAGE CLEARED EnClndas i 1 " 1 PH. • 3 PH PUMP t •''�:: -• ; `San Dieguito• t Y.r t '`-,..,\ •ems a '� REMODELALTER PER CIRCUIT - ' 1 PLAN CHECK FEE �' Q� .'_ ' .rc SanM2os•,,1 <:: '•.. + • •< TEMP POLE.200 AMPS _ `a t,' 1A1 -JUN 1 6 19U�J• a't. OVER 200 AMPS ' ' • • LICENSE TAX 001-810-00-00-8162 . ' . TEMP OCCUPANCY (30 DAYS) • . • e? City "of .GAVILSEAD . . MFF-'- 880-519-92-57 - • . • a DEVELOPMENT PROCESSING SERVS. . 'CREDIT DEPOSIT . , - -. r. TOTAL ELECTRICAL- e • TOTAL'SOLAR ' TOTAL FEES PAYABLE • /A 3„% I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY ,CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS '. ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE. LAWS GOVERNING BUILDING CON- Expiration. Ever rmrt issued b th y Pe y eBuildingOfficialunderthe provisions of this * AN OSHA PERM:T Code shall expire by limitation and become null and void. If the building or work 5' 0 DEEP AND authorized by such permit is not commenced within 180 days from the date of such permit, or it the building or work authorized by such permit is suspended or STRUCTURES abandoned at any lime after the work is commenced for a eriod of 180 days. S REQUIRED FOR EXCAVATIONS OVER DEMOLITION OR CONSTRUCTION OF OVER 3 TORIES IN HEIGHT - r! r. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND S SIGNATU APPROVED BY APP ANT' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER CONTRACTOR ❑ .' BY PHONE ❑ WHICH MAY IN ANY WAY.ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE f.' OF;THIS PERMIT. I�GRANTING i •••Y - • RAT,EXPENSES 1&KW- 0) 1.4 O N 0 0• r -ta- • 0 ..- . 01 a 0 t71).1 • >- c 0) 0) 0 a) -. a • c . , I• \+ 1 • TYPE DATE INSPECTOR BUILDING ' FOUNDATION ;: , REINFORCED STEEL MASONRY GUNITE OR GROUT SUB'FRAME ■ FLOOR • CEILING SHEATHING ❑ .ROOF ❑ S4AR FRAME' EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL I PLUMBING ' • SEWER AND BL/CO ❑ PL/CO UNDERGROUND ❑ WASTE ❑ WATER TOP OUT • ❑ WASTE ❑ VIIATER r L', , , ,', TUB AND SHOWER PAN '. -•--- .- GAS TEST ❑ WATER HEATER 0 SOLAR WATER i ELECTRICAL - ; • 0 ELECTRIC UNDERGROUND ❑! UFFER ROUGH ELECTRIC • CI ELECTRIC SERVICE 0 TEMPORARY . 0 BONDING 0 POOL 1 MECHANICAL i 0 DUCT & PLEM., 0 REF. PIPI:NG , _ • - HEAT - AIR COND. SYSTEMS i .^ -, VENTILATING SYSTEMS . i ` ! ' 1 I ' CALL FOR FINAL INSPECT ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED.' FINAL PLUMBING I , . ELECTRICAL . ! ` MECHANICAL GAS I - , `,: BUILDING i 6-43 SPECIAL CONDITIONS 1. • FIELD.INSPECTION RECORD = ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO, IF CHECKED INSPECTOR'S APPROVAL--��,, DATE _ SOILS COMPLIANCE PRIOR TO FOUNDATION INSP g�o 4y�p � • ° ""'` r 'C'r '�%`• alr{;yt i:i d9D: 01 STRUCTURAL CONCRETE OVER 2000 PSI ;' ‘ N fir!'; i `-'-',3-SIG ,'4i�D hog/J 0.0A/iK. A.'y fie ?.W/-:Q PRESTRESSED CONCRETE �`• "S -''ram '• '... `r4)CCa% GOW a-,J4 I* POST TENSIONED CONCRETE +" .. + °f `L. �1i ** - /� ieed /?�OO.- 1 ✓-L FIELD WELDING C _/L• G� I �i` HIGH STRENGTH BOLTS - f� ' SPECIAL MASONRY s PILES CAISSONS r • • • . ... .., • •