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HomeMy WebLinkAbout2502 EL CAMINO REAL; MULTI-PERMIT FILE; 82-123; PermitMISC. SIGN PE'RMITS FOR 2502 EL CAMINO REAL ~- 0 ~ a: C ... 0 l&I C .,e -·-. _. IC •. LI I bereby aff);{lhh~t I ~m· llce,nsed under. o [ · _p·rovlslo11s of· 9h,pter 9 (commencing· with ti Sectiop· 70()0) -of Division-:3 of ·the Business ,c· · ang Professions Code, anil -my license is hi ~; f~II forc~~.ao .r;;.4r· z L,c. No._..-----Class c;-., · <> -----------------« ------- CARL.SB BUILDiNG .DEPARTMENT'-. -~I , .. ! . APPLICATION & ~~lR~I! ' 12()0 .Elni, C~rls~M, <;:allfornia .92008. (714). 431:l:55~5 .. . . icis ADDRESS < A·v. ST.I DATE OF APPLICATION' BUSINESS LICE~ VALUATION Z:S<n-EL GAt-{1"-10 lZeAL.. RD, ~, ~ds:z J·z/7 :'//JO ·-OWNER'S NAME OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS-PHONE# --ZONE. .. ... .. ,. '" .. .. ' ~ ~R~T-NUMBER~ 8r -" : .-· · ~--.... '.,;, ;>~~h_.1r~ . l•her~p~ affirr,; that i am exehl/t i;~-_1Jl!>'C9ri_-l" tractor's ticense Law ,for the following.r~on,(Sec.< · 7031"'i;Business and ProfeSsions Code: AOY city.'or .. ~/ county which requires-a. ~rmii to construC"t ~ •1 ~ alter, ,i,:nprove, de111olish·, or repair any, structure, , Cc»fPU7.Sfi:? LA1',.JC> -I t:1,8 .'?1A,U'FCBC> . c..o "412.,~t:$2,f!)O - ·a: ·l&I ~ ~ I·· l&I z 31:'' 0 z 0 ~ (II z l&I a... :IE 0 0 'fl a: l&I :.,: -~ 31: prior to,its',issucince also reQuireS the' api;>licant for such permit to file a signe,/ statement tha.t he·is licensed pursuant to ,.the piov,slons of the Con· tractor's License Law (Chapter 9 commencing with . Seciion 7000 of Division 3 of t~e Business and P.ro· fessions Code) or that is exempt therefrom and•the basis for th,e alleged ex_einption. Any violallon of S~!IOn 7031.S·by an apP,licant for a permit subjects tne aj,plicant to a ciVil penalty of not more than•five h~ndfed dollars ($500) .. CJ I, as owner of !he property, or my employees . w,th wages as their sole coinpensation, will do·the work, and'the.structure is not intended or offered for sale (Sec. 7044, Business iina Professions Code: The Contractor's License Law' does not apply to an owner of propehy who bu1ids or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intende1 or offered for sale. If, however, the building.or improvement is:sold within one v,ar of completion, the owner-builder will have the-burden of prov!ng that ~e did not build or improve for the purpose of sale). · D I, as owner of' the ,property, am exclusively contracting with licensed contractors to coriStruct the project (Sec 7044, Business and Professions Code: The Contrac,\or's License Law does not apply to an owner of property w,ho builds or improves thereon, and.who contracts tot each projects with a ·contractorts) license pursuant to the Contractor's-License Law). · D I am·exempt under Sec. _____ ·B. & P:C. for this reason ____________ _ i I hereby ;ffirm that I have a certili~can~nt to self-insure, or a Certificate tEfrs' Compensation Insurance, or a certified y ther"9.f (Sec. 3800, .l • .ibor <;(?de) / POLICY NO.~~ COMPA~Y Cl-Ive..& rJ Copy Is filed with·tt,e city. C:;J'.Gertif1ed copy ,s hereby furnished. CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSORANCE (This· section need not _be completed-if the perm,\ · · is·for one hundred dollars ($100) or less) • D I certify that in the performance of thework for ¥1h1ch ,this perniit is, issued, I shall not employ any person m any manner. so as .to beCOnJe subi~tt to_ the·Wo~ers: ~mp~nsation Law$ of Callfp,rni?,• NOTICE fo,APPUCANT: If. after making this eei:11-- ficate of Exemption, yo1J'should become SUbJec(to tM Workers· G9mpensahon prov1s1ons of the lcabor , , · Code, you. must forthwith comply with• such • Prbv1s1oris or this permit shclll be deemed revoked ' lI [], I: hE'!feby affirm that there 1s a construction ffi lending agenf::y lor·the performance of th_~-w6rk for. 0 . • which tti,s,p~['l'.'t ,s, 1ssu~1t()""~ 3Q97. Civil-Code) ffi -Lf?ridl?r's~Name~:..,.--,-..,· _____ _ ... ' Lender's A.ddress ---'~-~-------- . OWNJ;R'S MAIPNG ADORESS CONTRACTOR'S ADDRl;SS .. LICENSE lilO. · PLAN 1.0. # !3!,,0G USE <::OQE 2 ~otz..: . 1EL CAM I "10 l2..~L-t2.~A3 f...lA.U. . .f!s1. C N ... 2~62AO LOl' BLOCK I Sl,JBOJ\(ISION I ASSESSOR .PARCEL NQ. DESIGNER STATE LICENSE# STANDARD PLAN# BUiLDJNG·sq. FOOTAGE -·-A~ ~C:::::. 2: DESCRIPTION OF WORK ~ , ...... __ ,,_ DESIGNER'S ADDRESS -DESIGNER'S PHONE ~!_t;.~t :!la:,I _I l?.:l ,(~ ! G!,l}i (-2} Two · '=> A..,J t:>~t..Aa-4-tS t> u.JOOJ> 00011163 3/ESi/ 82 ;:t I l'/1{'.:i ' > ,. ••~·I·-- 44 t{t F/P Ft.A ELEV. NO occ GP EDU SlCtU$-c)F " : • STORIES ·' vO NO -- CENSUS TRAC,T , .I GP LANO use l PARK.ING SPACE RES UNITS 1· GRADJfl!G PERMIT ISSUED . l BEDEVl;.LdPMENT TYPE O°CC LOAD FIRE SPR ---. " AREA . CON$T YO NO vONO vO NO Not Valid Unmss lhchine-Certifi~ .. .?.lz-;o .3·00 QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT: ISSUE SUMMARY/AQCOl,JNT NUMBER .. EACH FIXTURE TRAP ' INSTALL FURN. DUCTS UP TO 100;000 BTU BUILDING P.ERMIT l 'l, ~PV EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT - EACH WATER HEATER AND/OR VENT BOIL~RlCOMPRESSQR UP TO 3 HP •. PLAN CHECK ... -~.~ -· EACH GAS SYSTEM 1 TO 4 OUTLET~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAl FIREPLACE ELECTRICAL EACH·INSTAI,, .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT --MECHAl'_jlCAL « EACH VACUUM BREAKER f,1ECH.EXHAUST -HOOD/OUCTS , MOBi~EHOME WAT!:R SOFTNER REl:OCATION OF EA FURNACE/HEATER -MOBILEHOME PARK INSP ., EACH ROOF DRAIN (INS_IDE) SOLAR ... TOT!.L MECHMICAL STRONG MOTION TOTAL PLUMBING . i: FIRE SPRINKLERS .. ELECTRICAL PERMIT -ISSUE;: '200 SOLAR -ISSUE PUBLIC FACILITIES FEE 'QTY. QTY. BRIDGE FEE NEW.CONST EA_AMP/SWT/BKR' .. COLL:ECTORS , SCHOOL HE -DISTRICT --3 °i'H 1 PH . STORAGE TANKS Carlsbad : EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3-PH l ' . PUMP San Dieguito· - 1 REMODE!-/ALTER PER CIRC(!IT-PLAN· .QHECK FEE • i San Marcos TEMPP()l,.E 200 AMPS -· --'' OVER ,iOO AMP~ , ' .. .. <" .. T-EMP·O'CCUPANtY (30 .DAYS) .. .. : ... -... ..,. ,. .. '- TOTAL ELECTRICAL -1-- ·' TOTAL SOLAR . -I '2., LlJ,&~ -· ' . ~ TOTAL FE!;:$ PAYABLE .. .. ' . .. '< .. . ' . , I HAVE CAREFULLY EXAMINED THE COMPLETl:D "'APPLICATION AND PERMIT" AND DO HEREBY ExpiratiOfl. Every permit inued by the Building Official under the provisiOflsoftllis ' * AN OSHA PERMIT IS R£QUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PEJl!ALTY OF PERJURY THAT ALL lNFORMATION HEREON INCLUQING .THE Code, shall expire by llmit11tion and become null and void. II the j:)uilding or work ,5• O" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ·AND CORRECT ANO l FURTHER CERTIFY AND AGREEJF A PERMIT IS authorized by-such permit is not commenced within 180 days-from the date ofsuch STRUCl\lRES OVER 3 STOAIES IN HEIGHT .permit, or if the ·buUdiJ or work authoriz•d by sui;h permit is suspende4fr -· ISSUED: TO COMPLY wriH ALL CITY, COUNrY ANI) STATE LAWS GOVERNING BUILDING CON• abandoned at anv time a er the work is commencect,'fot..-Mri&fof ~80-d•"~-, s'mocno,,, WH"'""' SPmAED """'" OR Not. ' ACOO AGREHO SAV .. NDEMN'"' AND :~ jG . . ~ ,. "' ' . . • II>' APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD-AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPU Ts s NAU."'M OWNER' CONTBACTOFI - · EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE~ (~ . BY PHONE 0 I GRANTING OF THIS PERMIT. . _ _ .. . ~ ,. _, . _ . · . '• -. ~ ii;: c:-ctl 0 0. E· Q) r- 1. "O 0 C!l '-"' •c: i.~-, a. 0. <( I ~ C: a: 0 •!/) ·!/) Q) rn "' <( I ;: .Q Q) >- 1/) "' Q) 0 e a. ct!. iii Cl §: Q) 0 C ct! C u: :c.. C Q) ~ C!J '-·o 0 ,Q) 0. "' C: ~ .c ~ INSP.ECJION TYPE DATE INSPECTOR ... .. BUILDING ' FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION. INTERIOR LATH -& ORYWALL ... ' PLUMBING -.. •'"-.. SEWER AND BLJCO . ~ Pt.,UMBING_ UNDE,RGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST : ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR I MECHANICAL DUCT & PLEM., REF. PIPING .-. " .• 1 r , . - HEAT -AIR COND. -SOLAR SYSTEMS --· --' -VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN. APPROVED. PLUMBIN.G ELECTRICAL MECHANICAL GAS Bl,JILDING SPECIAL CONDITIONS CERT OF. 09ilJPANCY ISSUED ·_ · f?:):o _1 ~3 .. FIELO· INSPECTION RECORD .. . - REQUIRED SPECIAL INSPEGTIONS INSPECTOR'$ NOTE$ . . , INSPECTOR'S '. -INSPECTION REQ. IF DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDA-TION INSP STRUCTURAL CONCRETE . OVER 2000 PSI - · PRESTRESSED CONCRETE POST TENSIONED tdNCRE:TE ... FIELD WELDING-.• --.. .. ' HIGH-STRENGTH ,'. BOLTS SPECIAL MASONRY PILES/CAISSONS --. •. ., . - J<---f ' l -., .. , ' ~ . . '-' ' ' l . -~·· ..... , ', _,.,. ---- ! .B U I L D I N G P E R M I T Permit N.o: GB981768 Project No: Aj802344 Development No: 06/23/98. 10:41 Pa.ge 1 of 1 · .Job Address: 2502 EL CAMJ:NO REAL Permit Type: MTSCELLANEOUS '· Parcel .No: ·Valuation:·· 15, .000 Su:i,te: Lot#: Construction Type: NEW. Occupancy Group1 Reference#: Status: PENDING Description: CARLSBAD PLAZA,ADD/MOVE PARK : t.IGHTS,CUT,TRENCH,BACKFILL,PATCH PAVMENT Appli"ed: 06/09/98 Apr/Is$ue: Entered By: BT 619-453-6566 DATE ____ SIGNATURE. --=:::::::,,=---- Fl ~-------=====::;a::.,, ' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161. · 1 I I I: FOR OFFICE USE ONLY PERMli APPLICATION PLAN CHECK NO. q? tl ~g' EST. VAL. l 5 tr00 , CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit -------,,---.-,-- Validated By ______ ~er"-i-f_ DM& &P\9~ Phase No. Total # of units :z~~tA~zo;;;;tefJZ,9m,,pp:,1,~~~;'-~~kJ;x;;;:,~v~-~~~"~1J ·:rff;:~'.:~-2-~Zl~ ~~tTi.T~':~·:,~:,:;6i:/2;.i:.;--~-S66 Name Address · · City · State/Zip Telephone# Fax# ~:zo~~~:lqt~i:~~1~1X;~~~~~<W~L~~dB~ ::~~M~jw;:R~/J}f11f:<~2f!i/-~A}j)/Ad/JfJ'·-~;:li?~Ji1)7i:~~q)~e~ep~n~~ -_ ,s; · '"-·6:0NtRA_CT!)R.,;c(>MPAf,!Y-N4Ni'E'~f.fc,;·:0?:1/ :~·:::, · -: .''.;1.o,:,,,:;,.,, ', "C,i\"h»;;;,,~,-:,;,,, ,.~----~-~-__ .. -~-,<;:\;'\,, : (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 Divisio,n 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 [$5001). 5:>IQR~uto a·,tc:rBJC. _ 10~5$: '?OMAEmo c/?Y ~tJ-1 .so . qu-zt 619,453-GSG-6 ·Name Address· City State/Zip Telephone # State License # 2 $ / ~ 7 / License Class C.. -/ 0 City Business License # / 2olo5 "$CJ £1JC-rt1J1;;g1P-e-:O sys 't:ElWS ::2.1 5:o w. ti 211-st-11,v1 .... m2A/. s-~> s n. ~ <-' A-:: OJWo 1 619'-?-CJr;-1 %£ Designer·Name Address • City State/Zip Telephone State License # -----'"'----- '6., -WORKERS'. 'c6'Mf>Ef.1$'ATION ... ~;,:. -.~:~;-.': ::, .>. (':.:, . ,~ :·.:: : .. :;,: ,: ~~'~'._'"" i}t_~:: :-~:):\~ L::~:-t:~}2::-':20;:·:,~:Z:I&~fj.~27J:;;::':,~~:~\;_t,,:;:;:;;:'.:;.-.::' Wor_rs: 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:g/°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: 0 / Insurance Company ,1ANt2~'> t>A;L{t. tUSU..8,(tt,Jc..E, Policy No. wt£Ac,4CJ~-:).'fi""OC> Expiration Date toe.Pt_ qg i (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR 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 wo kers' compensation coverage is .unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar $ ,00 ), in dition t e ost of pensation, damages as provided for in Saction 37d6 of the Lab e, interest and attorney's fees. SIGNATURE-L..21..tt.~i,...,£;;/.~~='t,~~~::::_:==:::::..--'.._--------~-DATE --"S::,--+,f-:----'-.----- ·:7·. --,owNER-B!,IILDER[DECLARA:ttPN-~-· ,, ,' , ';,:·: ., "';,,_, --·,~ cc,·.,,,,,,,,,,:,.'-:',"· s::,;-', I hereby affirm that I am exempt from the Contractor's,License Law·for the following reason: D I, as owner of the property or my el'l)ployees 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 tt\rough 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 doe_s not apply to an owner of property who builds-or improves thereon, and contracts for such projects with contractor(s) licensed pursuant-to the Contractor's License Law). 0 I am exempt under Section ______ Business-and Professions Code for this. reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 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 number / 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 n·umber / 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 number/ type of work): __________________________ '----~---------------------------- PROPERTY OWNER SIGNATURE _____________________ ........ __ DATE ________ _ ,CbMPi:EfE(Tt!I~ SECTIQN-:'FQff'NOiV:~~SiQEl:(TIAJ:,B!)l~Ql~~:P.ERMll:s'/oij,!,,Y;;;:(L!:?JJ;:t:~-'ftf.;U:·t{f;;,;?l:f'.f~:\";itt,{ti:~t~;:';::::tt::-·:;,,-:'.-,.' ·:·,s,-;..· Is the applicant or future building occup,!nt 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? D YES D NO Is the applicant or future building occupant requi'red·to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer·boundary of a school site? D YES D 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 POU,.UTION CONTROL DISTRICT. :~2-_:~~oN~T~(iCTi91f LENPi.~<f~G~t':Cr.-, T-,:,,,,,-,,, .. >?,.:::.;,; ,,,, ; ,_, __ I hereby affirm that there-is a construction lending agency for the,performance of the work for which tt,is permit is issued (Sec. 309.7(i) Civil Code). 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 Stat~ ·laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TQ SAVE, lNDEMNIFY AND KEEP HARM!,.ESS TH~ 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 exc·avations over 5'0" deep,and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued b work authorized by such permit is o or abandoned at any time after t WHITE; file YELLOW: Applicant PINK: Finance Inspection List ' Permit#: CB981768 Type: MISC .CARLSBAD PLAZA,ADD/MOVE PARK Date Inspection Item Inspector Act Comments 9/10/98 34 Rough Electric TP AP 9/10/98 39 Final Electrical TP AP 9/8/98 34 Rough Electric TP NS 9/8/98 39 Final Electrical TP NS 7/22/98 11 Ftg/Foundation/Piers TP AP 12 FTNS 7/22/98 31 Underground/Conduit-Wirin TP AP 7/21/98 11 Ftg/Foundation/Piers TP NS 7/2,1/98 31 Underground/Conduit-Wirin TP NS 7/20/98 11 Fig/Foundation/Piers TP co SEE ATTN NOTICE 7/20/98 12 Steel/Bond Beam TP co 7/17/98 31 Underground/Conduit-Wirin TP co ND CAGE DTL(SIE,DIA) 7/15798 31 Underground/Conduit-Wirin TP AP U/GCONDUIT 7/14/98 31 Undergro.t.md/Conduit-Wirin TP NR NO CONDUIT ... Monday, November 15, 1999 Page 1 of 1 , ~ 12/29/98 INSPECTION HISTORY LISTING FOR PERMIT# CB981768 DATE INSPECTION TYPE INSP ACT COMMENTS 09/10/98 Rough Electric TP AP 09/10/98 Final Electrical TP AP 09/08/98 Rough Electric TP NS 09/08/98 Rough Electric RI RI C/ROREY/619/453-6566 09/08/98 Finai Electrical TP NS 09/08/98 Final Electrical RI RI C/ROREY/619/453-6566 07/22/98 Ftg/Foundation/Piers TP AP 12 FTNS 07/22/98 Underground/Conduit-Wir TP AP 07/21/98 Ftg/Foundation/Piers TP NS 07/21/98 Underground/Conduit-Wir TP NS 07/20/98 Ftg/Foundation/Piers TP co SEE ATTN NOTICE 07/20/98 Steel/Bond Beam TP co 07/17/98 Underground/Conduit-Wir TP co ND CAGE DTL(SIE,DIA) 07/15/98 Underground/Conduit-Wir TP AP U/G CONDUIT 07/14/98 Underground/Conduit-Wir TP NR NO CONDUIT .~~~b~~~: Cc0 HIT <RETURN> TO CONTINUE ••• ~~~~~~ot_f ~\ ~e.u.:1,~';/_~·9,,')aZu_/J~ fD(q/1i ~ :; ~ -~f--t;; ff~- . ~/1,tf a.:r-F/c_. 0 t 1,{ 'Lo/ 1? TT.. · (M~ B ,½tdo w/arA /1,.,•;:,-~f ~ ·~ i5 ~1 %>-~ i tN/1 g 'KT r ~ (!,u$" )4J,ik ~ · U. ,,.~J, ~ f b,,,a o1-Re ! . 'o~ b ~) 1f-/ S:S-o 0tJ -f L:rrv I~ foL--0 ta_ APPROVALS Date (~ [ )..) [ff BuDdlng ~Planning . : UJ ( /(4fi!l Engineering · _Fire _coastal ·------Health ____ Assoc. DATES ib . I Ftiii !Pl*!! .... HAZIM'l'FOAM IND WASIEW SCHOOLFEERIRM Pt.ANCORR ENGOOCORR BUSLIC W·COMP FIRE PLANS __ 1-SSESSORPLANS -----'-·-~--(;nFO ···.· .:---·. ··: ~-•,. qc 43 51· 04/12/93 16:05 Page 1 of 1 B U I L D I N G Job Address: 2502 EL CAMINO REAL Permit Type: SIGN Parcel No: Valuation: 17,754 Construction Type: NEW P E R M I T Suite: Lot#: Permit No: CB930318 Project No: A9300487 Development No: 1862 04/12/93 0001 01 C-PRMT 02 Occupancy Group: Reference#: Status: ISSUED Description: 4 ILLUMINATED WALL SIGNS Appl/Ownr: CAL-NEON SIGNS CITY OF CARLSBAD Applied: Apr/Issue: 04/12/93 04/12/93 Entered By: PD 408-615-5000 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. City'Of· Carlsbad Building Department F.ST. VAL 111~ 2075 Las Palms Dr.,. Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ________ _ VAIID. BY ___ --"~_,...._ ___ _ 1. P~1~ A :~merc1al D New Bu1iclmg O Tenant Improvement 0/"71'J6 B -Cl Industrial .0 New Building Cl Tenant Improvement '7 DATE,.._ _______ __,_,.......""'f'~~-- . C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration 0 Duplex [J Demolition O Relocation D Mobile Home O Electrical D Plumbing D Mechanical D Pool D Spa· DRetaining Wall D Solar D Other.,.. ____ _ 2. PRaJECT INFORMATION FOR OFFICE USE ONLY STATE ZIP CODE DAY TELEPHONE STATE IJC. # Workers' Compensat1on beclarauon: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of 1ndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of e !nsu r thereof filed with the Building Inspection Department (Section 3800, Lab. C). C}V ML.£ V POIJCY NcM~21/~IRATION DATE/4?- I hereby afhrm that I am exempt from the Contracto?s License Law tor the following reason: D 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.). D 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). D 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 ~t to a ~ivil penalty of not more than five hundred dollars [$500)). SIGNATIJRE~~ DATE COMPLETE i~SlDENTlAL BUlLDING PERMI1's dNCY: 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 D 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 tl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO lF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJPANCY MAY NOI' BE ~UED AFIJill JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TiiE OFFICE OF EMERGENCY SERVIOIS AND TIIE AIR POLLUTION OONT.ROL DISIRICT. I certify that I have read the apphcat1on and state that the above information 1s correct. I agree to comply with all City ordmances and State laws relating to bt1ilding 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 TIIE CI'lY OF CARLSBAD AGAINSf AIL UABIUTIES, JUDGMENTS, CDSTS AND EXPENSF.S WIIlCH MAY IN ANY WAY AallUE AGAINsr SAID CI'lY IN OONSEQUENCE OF TIIE GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition Qr 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 authori~ed bys ch per 't is not commenced within 365 days from the date of such permit or if the building or wor uthorized by such permit is suspended or a done any time after the wo is commenced for a period of 180 days (Section 303(d) Unifo . }~_:;ode). APPIJCANTS SIGNATURE DATE: ..__ __ ..,_;(::5-='---- WHITE: File YEU.OW: Applicant PINK: Finance f ·' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-16-2008 Sign Permit Permit No: CB081381 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2502 EL CAMINO REAL CBAD SIGN Parcel No: 0000000000 $25,000.00 Lot#: 0 Valuation: Construction Type: NEW Reference #: PC#: Project Title: Applicant: ULTRASIGNS 5458 COMPLEX SUITE401 SD 92123 858-569-6716 Building Permit FUSE FITNESS: INSTALL 3 WALL. SIGNS ILLUMINATED Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: Total Fees: $387.34 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: ·1.ssued: Inspect Area: ISSUED 07/16/2008 KG 07/16/2008 07/16/2008 $234.75 $0.00 $152.59 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $387.34 $387.34 Bal~.i1ce Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposition'·of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issuea 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 projiict. NOR DOES IT APPLY to any i h · · · · · · f · · · i ·r 'C·l·t~ of Carlsbad · 1635 Faraday Ave.,,.Carlsbad,. CA 92008 760-6b2-2717 / ~718 / 2719 • Fax: 160-602-8558 · www.carlsbadca.~ov Building: Permit Appli~ation ·JOB ADDRESS · Plan Ck. Deposit · Date , $UITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# '' PHASE# #BEOROOMS #BATHROOMS CONSTR. lYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Fei,t of Affected Area(s) EXISTING USE PROPOSED USE . GARAGE (SF). PATIOS (SF) DECKS (SF:) AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NOD CONTACT-NAME (" Dl"9ren't Fom Applicant) APPLICA!'ff NAME ADDRESS ··ADDRESS crrY STATE ZIP CITY PHONE FAX · PHONE EMAIL EMAIL C:ONT"ACTOR BUS.NAME ·,ADDRESS ADDRESS. q CITY STATE. A C O IP ( '0 ·. CITY 'PHONE' FAX PHONE . EMAIL £MAIL (Sec. '703 !,5 Business anf Prq~ssions -Code: ko.y CitY, or ,CountY, which requires a permit to COl)!truct, .altei im~e, ~molish or reJ!air. any· s~re prior Jo its· is.suailce, alsq requires the applicant'lonuch permit to file a signed s(atement tl)at ~e is ficensed J!Uriuant to .the provrs10ns ·of the· Conttactors License Law {Chapter 9, commendmg with Se<non 7000-of Dmsion 3 of the Bus1neu and Proldsrons Code} or· that he 11· exempt thereli'om, and the· basis for the aDegl!d exempnon. My YJolation of Section 7031,5 by.any-applicant for a permit subjects the applicant to HiYil'penalty of not more than fi'fe hundred doN.ars {$5QO}). · WORKERS' COMPENSATION Worker1' Compensation Declaritlom / hereby affirm under penalty of perjury one of the following dec/arat/ons: Cl ! have and'wlll maintain a certificate of consent to self-insure for workers: compensation as provld~ by Section 3700 of the Labor Code, for the.performance of.the work for. which this.permit Is Issued . . l'.'.!l-1have,af\d wlll maintain workers' comp . savon, as ulr bY' Section 3700 of the Labor Code, for the pe'rformllf!~e of the work for w h·this·pe~it is issued. My.workers' compensatlon)nsurance ~rrler and policy number are: lnsuralice:Go. , O,\-e. . . Policy. No. · . .t) . . · . . Expiration Date f,-/f-Oi . This section need ndt be completed if the permit is for one hundred dollars ($100) or less. Certlfic,te of Exemption: I certify thafin !he performance of the work for which this permit Is Issued, I shall not employ any person In any mannetso as to become subject to the Workers' Compensation Laws of rnla. WARNING: Fallure'tQ secure wcirkers' compensatlon,coverage is unlawful, and shall subject an employer-to crlmln,I penalties aqd civil fines up to one hunilred thousand dollars (&100,000), In oil to.the cost of compensation, damages as lded for,fn Section 3706 of the Labor code, Interest and attorney's fees. I hereby {Jffi;m thaf I am exempt from Contractor's License Law for the following reason: Cl I, as owner of the property or my employees with.wages.as.their sole con\perisation, wjll do the w9rk-and the structure Is notintended or offered for sale (Sec. 7044, Buslne.ss and Professlo~s 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, P,rovlded that such improvements are not intended or offered for sale: If, however, the tiuilding or improvement Is sold within one year of completion, ·the owner-builder will have the burden of proylng that he did not build or im)lrove for the purpose of sale). o I, as owner of the property,.am exclusively coritractihg 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 !Or such projects with contractor(s) licensed pursuant to, the Contractor's ~icense Law). D I am exempt under Section ____ ,Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials for construction of tile proposed·property improvement. 0 Yes D:No 2. I (have /-have not) signed an application for a building ,permitfor the proposed work: 3.1 have contracted with the following person (firm) to prqvide the proposed construction (include,name address I phone /.contractors' license number): 4. I plan.to provide portions of the work, but I have hired the f9llowing person to coordinate, supervise and provide the major work {Include name·/ address I phone I 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 n!liTie /address/ phone-/ type of work): AS' PROPERTY OWNER SIGNATURE DATE ls-the appi1c1mt or future bul[dlng 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 Haz.ardous Substance Account Act?. D Yes . C:i No . Is the applicant 9r future building occupant required to obtain. a permit from the air pollution control district or air qµality management district? D Yes Cl No Is the.facility to be co.nstructed within 1,000 feet of the outer boundary of a school site? D Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE'ISSUE'o UNLESS THE APPLICANTHAS MEtOR IS MEETING·TH·E REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR i>'OLLUTION CONTROL DISTRicT. · . · . I certify that I have read the application and slate that the above Information Is correct and that the lnfonnajion on th~ plans ls.accilrate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize ~lative of lhe City of Carlsbad to enter upon,ttie above mentioned plopertyfor ilspection purpo51lS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAD AGAINST ALUIABILITIES, JU'DGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY.ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA peilnlt is required for excavations over 5'0' d~ and demolition oc construction cA slructures owr 3 !ilories i1 heig~t · · · EXPIRATION: Every pennit issued by the Building Official · • ions of !his Code shall expire by limitation and become rili! and void if lhe building or'Mlrk aulhorized by such pennit is not commenced within 180 daysfromlhe date of such pennitorif lhebuilding or ed by such permit is suspended orabaidonedatanytine aflerlhewoik is commenced for a~ '7180 days (Section 106.4.4 Unifoon Building Code) . ...@S"APPL:ICANT'SSIGNATUR.E ____ . ~ . DATE 7( fC/6'( , ' City of Carlsbad Bldg Inspection Request For: 09/18/2008 Permit# CB081381 Title: FUSE FITNESS: INSTALL 3 WALL Description: SIGNS ILLUMINATED Type: SIGN _ Sub "fype: Job Address: 2502 EL CAMINO REAL Suite: Lot: 0 Location: APPLICANT ULTRASIGNS Owner: Remarks: total Time: CD Description 38 Signs ~Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6199540171 Inspector: -~-- Requested By: JIM Entered By: CHRISTINE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-19-2010 Sign Permit Permit No: CB102204 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2502 EL CAMINO REAL CBAD SIGN Lot#: 0 Valuation: 0000000000 $5,000.00 Construction Type: NEW Reference #: PC#: Project Title: CHUZE FITNESS: REPLACE EXIST. "FUZE FITNESS" TO 3 NEW "CHUZE FITNESS" Applicant: ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 Building Permit Add'! Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner:. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/19/2010 JMA 11/19/2010 11/19/2010 $72,31 $0.00 $41.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $119.31 Total Fees: $119.31 Total Payments To' D'ate: $119'.31 Balance Due: •w._,:-< Inspector: ~ FINAL A~PROVAL Date: / &l.R /; I Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter colleclively 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 mus! 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has orev1ouslv otherwise exrnred. ' ., Building Permit Application Plan Check No. l02ZOL/ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 5,07'.)--0 760-602-2717 / 2718 / 2719 . Plan Ck. Deposit Fax 760-602-8558 www.carlsbadca.gov _Date \ l / l q / ( O jswPPP JOSXDRBS £L C.11rn, 1 ti'f> ~ SUnEf/SPACEf/UNITf rN 6'"1>~ --- CT/PROJECT# ILOT# rHASE# r OF UNllS r BEDROOMS #BATHROOMS I TENANT BUSINESS NAME rONSTR. lYPE I occ. GROUP D~RIPTION OF WORK: Include Square Feet of Affected Area(s) w,·~ R. ,e. \"'f\ p ~ -c. . ' 1\~t1".c.e-a W-1. I} .... • s ex.i"+,i\e, w~n S.)~ ~hu:z.~ 1='."+n~,, ~ --=,, ~ ll EXISTING USE . I PROPOSED USE I GARAGE -(SF) PATIOS (SF) I DECKS (SF) I FIREPLACE . YESQ. rlR CONDITIONING I FIRE SPRINK[ERS NcQ YES ONoO YEsONoO CONTACT NAME (ff Different Fom AppUcant) APPLICANT NAME 4, LJL ' ~ \. r<°'M. r-6 ADDRESS ADDRESS ~lh4'A-~ '} P-.S"' CITY STATE ZIP Cl~ STATE ZIP . ,.,,.._ 1::;:::.. l· 14 \.I> CA.. ~,~.a PHONE rAX PHONE --rAX .· g,rr Gt'i-llJ.~u . . . EMAIL EMAIL .. PROPERTY OWNER NA~ ,< h .-.-~l'h .'111.,J..C. . I\ . °''· ;J...l'\Yt: . ._ CO~O\B'!t:: J ' J::..,c......tt. ADORE!, O -?-,,..~ ADDRESS -. . U (:-" ... ,, ... ~-1-,c.. t:t. ~S" &.. l J.,"A. ~ CITY STATE ZIP CITY STATE ZIP . \J-e ~ tP.n+ !t.c"'""'--/'4-. ..&.,..~ .... vi 7!'..a G\d,-\~~ PHONE 7"1 .. ,r~ , rAX PHONE . ._. rAX 'lij"\ r.rr IF'-~ --..1 '+H EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 1-s;TATE LIC. /! STAT&UC.# icLASS /crrv(~3 OS-Z ¥ .. '1."\~ 2'R l Cij;$ (Sec. 7031.5 Business and Professions Code: Any City or Counly 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 statementtflat 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 exem12ttherefrom, and the basis for the alleged exemption. Anyviolatiori of-Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars t:i.500)). W®Cf.H.E@ID9" @@/.i'il(i)@G!l&,~ u'O®W -,~-: '!, .. . Workers' Compensation Declaration: / hereby affirm under penally of perftKy one of the following declarations:· ~ I have and will maintain a certificate of consent to self-insure forWO!kers' 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 wlll maintain worll~ compensation, as required by Se!;tion 3700 of the Looor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co . $-b...h.:. ¥iU"\ A., . . Policy No. t'"7 U a ~ f Expiration Date 5,.t • .),• 11 Osection need not be completed if the permtt is for one hundred dollars ($100) or Jess. Certificate of Exemption: I certify that in the performance of the work for which this permtt is issued, I shaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensati!)ll coverage is unlawful, and shall subject an empla,erto aiminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, {lages as provided for in 'Section 3706 of the, Labor code, fnterest·and attorney's fees. ,R$ C0NTRACT0RSIGNATURE ~ [ilAGENT DATE Jl-l~-l'D ®WG9@@e©C!JOQ,.@efro @@@Q,~ID~trO@ro .. I hereby affirm that I am exempt from Contractor's License Lair for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slruc!uf!l 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 WOik himself or through his own employees, provided that such improvemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the a.¥ller-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professkll)S Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projecls·with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor anci materials for construction of the proposed property improvement []Yes [Jlo 2. I (have I have not) signed an application for a building pennlt 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 WOik, but I have hired the following person to coordinate, supe1Vise !Jnd provide the major work (inclU9e name/ address/ phone/ contractors' license number): 5. I yilll 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): R5i>ROPERTY OWNER SIGNATURE 0AGENT DATE : C O M'P;li E T E T H IS S E C Tl O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M J TS O N L 'V -',/~~"<;,."¾;, 0 ,_v V 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 AccQ.Unt Act? ·C]·Y.es Cl No Is the applicant or future building occupant required to obtain a pennlt from the air poll(!lion control disl(ict or air quality management district? Cl Yes Cl No . Is the facility to be constnicted with.in 1,000 feet of the outer boundary of a school sill!? Cl Yes CJ 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. I ce(lifythatl have read the application andstatethatthe above Information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingtobulldlngconstructlon. I hereby authorize represenlawe of the City of Carfsbad il enter upon the above menooned property for i1Sf)eCOOO p.KpOSeS:I Al.SO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, C0STS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: An OSHA pennlt is required for excavations C'Ner 5'0' deep and demolioon or construcoon of structures C'Ner 3 sillies il hei;lhl. EXPIRATION: Every pennitissued by the Building Official undertheprovisionsofthis·Codeshall expire by linltalion and become nuH 8f19void Wthebl!idilg orv.oocaulhorized by such pemitis not commenced \\ithi1 1!l0 days li'om the date of such peqnit or if the buil!ilg or v.ooc authorized by such penntt is suspended or abandoned at any tine $ the v.ooc is commenced for a period of 180 days (Section 106.4.4 Unifonn Buildilg Code) . ...@S' APPLICANT'S SIGNATURE '>-----~ DATE l \ -J q -) l) ------~---------------------~--------- ------------------------------------------------- ___ v _____ ----------------·-----,------ -·--------- ~-1 ' .., City of Carlsbad Bldg Inspection Request For: 01/27/2011 Permit# CB102204 . Title: CHUZE FITNESS: REPLACE EXIST. Description: "FUZE FITNESS" TO 3 NEW "CHUZE FITNESS" Type:SIGN Sub Type: Job Address: 2502 EL CAMINO REAL Suite: Lot: 0 Location: APPLICANT UL TRASIGNS Owner: Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 6199540171 Inspector: /vt t Requested By: JIM Entered By: CHRISTINE 38 Signs L~------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments