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Home My WebLink About2508 EL CAMINO REAL; C2 | MULTI-PERMIT FILE; CB090412; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-12-2009 Mechanical Permit Permit No: CB090412 Job Address; Permit Type; Parcel No; Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2508 EL CAMINO REAL CBAD St: C2 MECH 1670305000 Lot#: 0 $0.0b JENNY CRAIG-REPLACE A/C UNIT LIKE FOR LIKE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area; ISSUED 03/12/2009 LSM 03/12/2009 03/12/2009 RESSAC VONS COMPANIES INC <LF> KELLY RICHARD CTR ET AL C/O HUGHES INVESTMENTS-MANAGER 207 E LOS FELIZ RD GLENDALE CA 91205 818240 7710 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Firepiace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee . Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 O· 0 0 PO BOX 8700 NEWPORT BEACH CA 92658 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: __ -#-;z__J) _______ . -Clearance: -,------- $0.00 NOTICE: Please take NOTICE that approval of your projectincludes 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 s~bsequent legal action to attack, review, ·set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your rtght 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 whi h ou h v r vi u I n iv n N TICE imilar his or s o which th s lute of limitations has reviousl otherwise ex ired. V '< City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-27r17 / 2718 / 2719 Fax,76f\'\;;0is8558 www.carlsbadca.gov Building Permit Application_ JOB ADDRESS . Plan Check No. (}3(!:)'t.,OL{ I Est. Value . Plan Ck. Deposit Date 5 ( .;t.( 09 SUITE#/SPACE#/UNIT# APN er-)._· CT/PROJECT# LOT'# PHASE# # OF,UNITS # BEDROOMS # BATHROOMS · TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) · r F" oo.;-3 7<JAI <'4-~,#,_e;;-r L,:ke_ r EXISTING-USE PROPOSED USE GARAGE (SF) . PATIOS (SF) DECKS {SF) F.IREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOP YES D NOD YES D NO 0 CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE ,FAX PRONE ·FAX . EMAIL' · EMAIL .PROPERTY ADDRESS CITY ZIP CITY ZIP tcJ.oS- PHONE PHONE Boo ~7 EMAi~ :EMAIL ,..,-., °; / I r""" "' rt; , ARCH/DESIGNER NAME & ADDRESS STATE UC.#· :;) J-6 .) Jr-3 CLASS CITY BUS. UC.# A-1'.P t.,,'f (Sec. 7031.5 Business and Professions Code: Any City or Count)'. which requires a ·permit ficensed J)ursuant to the provisions of the Contractor's License law {Chapter 9, ove, demolish or reP.air any structure, prior to. its issuance, also requires the aP.plicant for such ~ermit· to,file a signed statement that he is · · the Business and' Pro,essions Code} ·or that he is exempt there from, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for-a permit sibjects the applicant to a civil 50,0}). Workers' Compensa)ion Declaration: I hereby.affirm under penalty of perjury one of the following declarations: ·o I h.ave 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. fl(, have a·nd will maintain workers' compensation, as required by Section 3700 61 the Labor Code, for the performance of the·work for which this permit is issued. My workers'.compensation insurance carrier and policy numlierare: insu.ranceCo. "'t.E.l €.r(!;t( ,f}lllfC,-;Q ,.~,,.,,_, L)&:C. O ? Policy No. -'' ¢ ~(zl g C, a Cf ? Q O -Expiration Date DI /o ~/;Q This section need no~be completed if the permitis tor one hundred dollars ($100) or less. · 0\ 0 "-4.-tt\• \ ~ O ~c; {.,-- 0 Certificate of Exemption: i certify that in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as to become subject to the Workers:-compensation laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shail'subject an employer to.criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of-compensation,.damages as provided for in Section 3 of the Labor code, interest and attorney's fees. 2S CONTRACTORSIGNATUire;>( ~$ t?.~ ' DATE I hereby affirm that I am exempt from Contractor's-License Law for the foilowing reason: O I, as owner of the property or my employees-with wage~ as t_heir 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 ·lic~nse Law does not .apply .to an own·er oJ 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 t~e property,.am /lXClusiveiy 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 improv(ls thereon, an(! contr_acts for such projects.with·contractor(s) licensed pursuant to the Contractor's license ·Law). · O i am exempt under Sectiqn ____ ,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 O No 2. I (have/ hil.ve not) signed an application-for,a buildi~g permit for the propbsed 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 thefollowing 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! have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE · {;\.Df':1¢,{-2.i".t ~dtrn1 :· .. .: 'V"--~",!J',~v;}.J :iu?!,~~v:,w,!;:.,X;,,,?,<',, ,,, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form orrisk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O 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 O No Is the facjlity-)o be construct~d within 1,000 feet·of the outer boundary of a school site? 0 Yes O No . · IF ANY OF THE ANSWEl'lS ARE·YES, A FfNAL CERTIFICATE OF OCCUPANCY MAY NOT BE fSSUED UNLESS THE Al!PLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY $ERV19ES ,;ND THE AIR POLLUTION CONTROL DISTRICT. . . •' I hereby affirm that there is a construction lending.agency !or the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address , < ,, ~ < ' t >,.' ,, , J~, '.' ', , , , '.J I certify that r have read the application and state thatthe above information is correct and that the information_on the pf ans is accurate. I agree to comply with all City ordinances and State raws relating to building construction. I hereby authorize r~presentative 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 QITY 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: {:very 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 pel!11it is suspended or abandoned al any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE hY' ;tf~ DATE 6 J ,-. /.) -0 C/ )?- ~city of Carlsbad Bldg Inspection Request For: 03/31/2009 Permit# CB090412 Title: JENNY CRAIG-REPLACE A/C UNIT Description: LIKE FOR LIKE Type:MECH Sub Type: Job Address: 2508 EL CAMINO REAL Inspector Assignment: Phone: 8184828153 Suite: C2 Lot: O ,? Location: Inspector: ___ )...__~, i;> OWNER VONS COMPANIES INC <LF> KELLY RICHARD C TR ET AL ~ ·owner: Remarks: am please Total Time: CD Description Act Comments Requested By: TIM Entered By: KA THY 44 Rough/Ducts/Dampers 1 /> ---------------~------!i!J_ ____________ ~--- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad -. 1635 Faraday Av Carlsbad, CA 92008 07-08-2008 Sign Permit Permit No: CB081292 Building Inspection Request Line (760) 602-2725 Job Address: 2508 EL CAMINO REAL CBAD St: C1 Permit Type: Parcel No: SIGN 0000000000 Lot#: 0 Valuation: $2,500.00 Construction Type: NEW Reference #: PC#: Project Title: Applicant: SIGNS ON TIME WING STOP-CHANNEL EL TTER SIGN NO NEW ELECTRIC- 5670 EL CAMINO REAL CARLSBAD CA 92008 760 431-1050 Building Permit 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: $82.42 Total Payments To Date: Inspector: ~ Status: Applied: Entered By: Plan Ajjproved: issued: lnspeqtArea: ISSUED 07/08/2008 RMA 07/08/2008 07/08/2008 $49.95 $0.00 $32.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $82.42 $82.42 Bal~nce Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' offees, 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. Cit~: of Carlsbad ··Plan Check No. 1635'-Farada/Ave., Carlsbad, CA 92008 76:0-602-2717 / 2718 / 2719 _ . Est. Valu~ ;I...J'd 0 Fax:· 760-602-8558 · _ -www.~arlsbadca.gov _ \ . Bf.lilding Permit AJ>plicationr· Date SUITE#/SPACE#/UNIT# CT/P.ROJECT # . LOT# -PHASE# # OF UNITS # BEDROOMS #BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTIQN:OF W.ORK:. •Include Square Feet of Affected Area(s) ' - ·-· l~~,o~ e,~ C:..~~~L EXISTING !,)SE -PROPOSED USE GARAGE (SF). PATIOS'(SF) DEC!(S (SF) FIREPlACE CONTACT NAr,1E (If Different Fom Appl/cent) ADDRESS ,CITY-. STATE ZIP PHONE FAX .EMAIL ' AR~H/DES-IGNER NAME & ADDRESS STATELIC.# -CITY BUS. UC.# \<Z"l.~ /Sec: -7031:5 Businesi and Professions Code: Any City or County which requires a pennit·to constlllq, alte~ impme, demolish or rtP,air any st111cttire,__prior to its issuance, abo requires the applicant !or such permit-to file a signed statement that he is ·ncensed.P.uisuant to the-provisions of the Contractor's License Law {Chapter 9, commendin1-with Se<tion 1000 of Dmsion 3 of the Business and Promsions Code} or that he is exempt thertli'om, and-the bam lor'the alleged exemption. Any violation of Section 7031,S by any applicant for a permit subjects the applicant to a civ~ penalty of not more than five hvnc!red dolars {$500}). _ ---- WORKERS' COMPENSATION Workers' Comp~nsatlon Dec la ration: / hereby affirm under penalty of perjury one of the following cfeclarations: c:J. · I have and wl)I maintain a certificate of consent to self-Insure for workers' compensation ~ provided by Section 3700 of the tabor Code, for the performance ot-th·e work for which this.permit is Issued . . -~ have and will maintain work~ ::mtlo_n, as required by Sectlon'3700 oflhe Labor Code, for th~ performanC!!-Of the worJslor which lhi~ermit is issued. My worke~' compensation;urancez;:er and policy ' number are:.lnsurance Co. E:~ E:£--S l~"E::LL-~C...L, ' Polley No. :B ~ .... q_ 4 :z,e Expiration Date 9 \ 7 oB • , , -, I This s,ection need not be completed if the permilis for one hundred dollars ($100) or less. Cl -Certificate of Exemption: I certify that in the performance of the work for which this permit is issu99, 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 penaHles and clvli fines up to one hundred thousand dollars (&100,000), In addition to !ha' cost of ~ompensatlon, dama s ~!flwidllJ,fei~S.lieR-3l,l,ofthe Labor code, Interest and·attomey's fees.· - A! CONTRACTORSIGNATU~:'.:-~~_.,.~··t'·;G~~..;:i;:-:-?/7"---....;.---""- I hereby affirm that-, am exempt from.Contractor's Ucer,se Law for the following reason: . Cl I, as owner of the property or my employees-with wages as their sole compensation, will do the work and the struqtu're is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Oc1,nse Law does not apply to an owner of.property who b_ullds 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 6f completion, the owner-b.uilder will have the burden of proving.that he did not build or improve for the purpose ·ot sale). Cl f, as owner of the property, •am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B~siness _and Professions Code:The Contractor's License·Law does not apply to an owner of property who builds or lmproviis th!lreon; and contracts tot such projects with contractor(s) licensed purs_uant to the Contractor's license Law). O. I am exempt under Section . Business and Profe~sions Code for this reason: 1.-1 personally plan to provide the major labor and materials for construction-of ll)e proposed_property improvement., Cl Yes Cl No 2. I (have / have not) ~igned ·an ~PP,lication for a building permit for the proposed work. 3. I have contracted wiih-lh~ following person· (firm) to provide the proposed qpnsfruction (include name address/ phone I contractors' Hcense 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, bull have contracted (hired) the following persons lo provide the work Indicated (include name/ address /phone/ type of work): A!~ROPERTY OWN.ER SK.NATURE DATE ,. '" "' :f;; ";;, • :'""-_;::::..' = ?"°:P'"'"'* If,,,,, ,)'0\W t ,(; O':M P t:E T E T ff I S S E C T I O N F O R N O N • R E S I D E N TI A L B U f L D I NG PE RM I TS O .I'll L Y , ~ 1 ' ~ Is the applicant or future building occupant required to su~mil a llusiness-plan, acutely h~ardous materials registration ·form or risk management and 11revention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri Cl Yes Cl No -Is;the applicant or future building occupant required to obtain a·permit from the air pollution control district or air quality.management districrl CJ Yes Cl No Is the facility ,to.be constn,u:ted-wilhin, 1,000 feet of the o_uter boundary of-a school site? ,C:J Yes C:J No _ _ . IF ANY OF THE ANSWERS ARE YES, AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS ·MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EM~RGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . i ceitlfytl)atl have read the application and state that the above lnforination is correct and 1hatthe 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 A~SO AGREE TO SAVE, INDEMNIFYAND KEEP HARMLE$S THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES VVHICH MAY IN ANYWAYACCRUE AGAINST SAi!? CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requ_red for excavations CNer 5'0' deep aild delnolition or construction of structures over.3 stories in height EXPIRATION: Every pennjt issued by the Building Official under the -· · of this shali expi'e by limitation and become nun and void if the bui~ ing or work authoiized by such permit is not commenced within 180daysfromthedateofsucli • · · or · .: ed -, ~ ltissuspended~a!>arldonedat'anytimeaftertheworkiscommencedforaperiodof180days{Section106.4.4UniformBuildingCode). _.g APPLICANT'<Nlll~WAI~ DATE I City of Carls_bad Bl~g Inspection Request For: 09/02/2008 Permit# CB081292 Title: WING STOP-CHANNEL EL TTER SIGN Description: NO NEW ELECTRIC Type: SIGN Sub Type: Job Address: 2508 EL CAMINO REAL Suite: C1 Lot 0 Locatiqn: APPLICANT SIGNS ON TIME Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 8582315935 Inspector: -..1ef ~~ Requested By: JENNIFER Entered By: JANEAN 38 Signs _ldf_ __ ----'---'------- 39 Final Electrical j__-'------'---,------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection .History Date Description Act lnsp Comments \} City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-10-2005 S{gn Permit Permit No: CB052920 Building Inspection Request Line (760) 602-2725 Job Address: 2508 EL CAMINO REAL CBAD St: C1 Permit Type: SIGN Status: Parcel No: 0000000000 Lot #: o Valuation: ~~ Construction Type: NEW Reference #: ... '\. . .. . . ) Project Title: JIMMY'S RED HOTS-fl SIGNS, 1 HANG OVER DO AWAY, 1 ILLUMIN ON FRONT BEAM Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: Owner: JIM MCCABE CARLSBAD PLAZA, LLC 3821 STANFORD DR 92056 Building Permit 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 Fl:;ES •' ISSUED 08/10/2005 LSM 08/10/2005 08/10/2005 $45.79 $0.00 $29.76 $0.00- $0.00 $0.00 $0.00 $0.00 $0.00 $75.55 Total Fees: $75.55 Total Payments To·o~te, · $0.00 . Balance Due: ., t, $75.55 4389 08/10/05 0002 01 02 Inspector. FINAL ?PROV AL Date: -/-CJ(;, CGF;: 75~55 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 f x i n f whi h r vi · · · · · r i h' f limi i r vi I h i x ir . PERMIT APPLICATION CITY OF CARLSBAD 6UILDING DEPARiMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Sub<livision Name/Number Assessor's Parcel II Existing Use. Address FOR OFFICE USE ONLY PLAN CHECK NO. C8 C2 '.:> #qa-o -~~di,.;;)50 EST. VAL.---~=;.,;..:;__.=;.._~--- Plan Ck. Deposit +n==1 Validated By_.,.._.;;;;~--,,--=---,---- · oate ~110 Jos-. J unit No. -Phase No. Total # of units Proposed Use ~-~~i-~~~~j~~~0~~~&t~\~~~ifS;\~~,'-. Nam . Address City State/Zip Telephone# i•flt>rt,i'i,;-.,.;.E,i:i,,..U,i:,"'wlii;.-..:,,r1,'. ~-~f~~~,;;-il':"/ii'-'¼:{1•-ltJi:,,,l?·,·,,;:,, ••J't!(~l:::!;1,, •l!;"'-~~t~,,. . ._, :,ii.-i.,,f 1•1iit•:, ·-,--,y,,11j},17.,.;\.'/it:i:'.:-'r,;r~f"'i~;~:",.@\;f i;:~fi7-}.~'f'i\~ ·.,:,;i i: ,,,,. __ , .-, .. -;.!:-,-. :~<-,~,{"tn-U:~1/,~!!AP&!J~Sf o-;",\~~~'"'''~1:f .. ,,,,,,,,si~:,i~:f"}J a~~,~~:;ici\~-,-',.,.,\t· tbt~,_)~ "c/4 ~-,,i~6't6 ., ame Address · City S,tate/Zip Telephone# diJA1.Nttillit~\rQMljN1l•,i~~~~WwJPi'C;i:f~~~.~:J~~}~{1i!;1~~-S;~jl~~i~lT~i:i~l1%t}~~J~:~;11f~ttit,tJJJtt~~d~f¾~ti~J.~~\~i~:f&I:r:~·i~:t~t~f!J~i~~~~~~~$?6;3 / (Sec. 7031.5 Business and Professions Code: Any City c;,r County ·which requires a permit to construct; alter, improve, demolish or repair any structure,_ priQr to its issuance, also req4ires ,the applicant for such permit to file a signed statement that he is licensed--pursuant to the provisions of the Contractor's License Law (Chap~er 9, commending -with Section 7000 of Division 3 of the Business and Professions Code! lir 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 ($50011. Name Address City State/Zip Telephone# State License II _________ _ License Class---"'-------City Business License # -------- Designer Name Address City State/Zip Telephone State License II _________ _ '-ltWtW ~~ti~t*~~1l~f~l~~~i~~~!~lf~i~~f}~f.k1~l~1~~t~:~tt\~~~iii;tl'\t~~~tt~i!il~~y~ ~.:f ;~~:1~1¥1;t:;f~i~~i:.ii\:~,:~;i-~:f\~::f?;:·· ;/";.,. :~,.._,:.;~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit "is issued. 0 I have and will !flaintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier end policy number are: Insurance Company ___ ..,...._________________ Policy No·--~---------Expiration Date. _______ _ (THIS SECTION NEED NOT B_E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED D.OLI.ARS-($1001 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' Compenaatil;>n Laws of California. WARNING: flll!ur• to secure workers' compenHtlon coverage la unlawful, and shall iM4>.fect an employer to criminal penalties and civil fines up to one hundred thouaend dollars ($100,0001, In addition to t_he coat of compenutlon, damages u provided fodn Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE. _______________________ ---____ ;..... ______ -'---DATE _________ _ fn'l'itlil\'!'fftlii'iJiia~•ifli.r'Ni~A'ili'l.~.,eil,,/K'i\tl,t;~~,11~';A~ill,\,\l!rtJ,:!-&i~i.lli!J,ll!.;11li~,:w-.i.t,~•IX•l)litif'M;~i1l)l-;;1i~1}i&r';11);;~fii,:t~A ... ;,,~:;,~1~~,.i!;:l,[c;,~l',j,li'1i•\l~ (;;;<:~;if P,;ir~;;;~uii;!.,i,/;:,~;: C: .:::i~ ~ }; '.; ;~,-.:·: .. _ ~; ~.,:· ·--.. : : ; '1t1M~'11'&!~1!11~.!1lil'iMliMli:m.lDM!!lllililililllliiliill~liJ!!iUl.~~!ir:rmL~~F.~l"~~:1~Jli!,.,,~~~i:l~>CtJ;'i·e.;~i'iCtf.~ri:-?:'£=.:'~r!-1 ~. ~. ,. ,>! ...-r::. ,~ _ ~. ,-~.~1 :rule•.~ n:..1, ... r: _ -i .-.-1~·-· , .t~"tt,,.~:.; .'!:. f "·-: =.~l. ~ ., , ·~ ~; , ,., • ,. , • • , I hereby affirm that I am exempt from the Contractor's License Law for the following,reason: 0 I, as owner of the property or my employees with wages IS their .sole compensation; will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Prof1111iona Code: The Contractor's License-Law does not apply to an owner of prop~rty who builds or improves thereon, and who does such work him,elf or.through hi• own employees, provided that such improvements are not lnten_ded 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, IS owner of th• 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 buildi or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · · (j I am exempt under Section _______ Business and Professions Code for this reason: 1. I personally plan to provide the major libor and material• for construction of the proposed prQparty improvement. 0 YES ONO 2. I (have / have natl signed an application_ for a building permit for the proposed-work. 3. I have contracted_with the following person (firml to prlivide the proposed construction (include name / address / phone number / contractors license number)_: . . I plan to provide portions ~f the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. _____ --'-------------------------------------------- I wlil provide-some of the work, but I have contracted (hired) the following persons to pr~vide -the ~ork indicated !include name / address / phone number / type f work):.---'-----'------'---+---'----r:-,---;,---~:z...------------------'-----__;----'------------- PROPERTY OWNER SIGNATURE~=::!.f-~~=~~._._'-_::_:i'-i!_":_-~~------------,,---DATE ;fc-/0-0 r ru~.itltt.ffg'JbflBJirr • _._ ····· ·~:-,-:-····· ·:···" :t!ilmliifliiRiilfliis&W;w.;tri.~1s.1~11.1.1tiiw:tJ~11:tti\&~~:1r~~fdtJ'i'Si:~~1;r&t1i:t(t1;;·;~.;;;1i; ~.;} ,;·;::.~t,t: ls the applicant or f.uture build ccupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program-u_nd,r Sections 25505,. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0. YES O NO Is tlie applicant or future building occupant requirec:I to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. l@~t!l~iitiill:~ilit/i~i~GiNitfl~~itli'~!;\J;J1.l~t1i.\i1:;Jhy;,~:\t.14'.i'.!~1i'.i~if,\\1ii1,fi.r:}:::i;,:51;t;~~f.t/J,j~;.r J,~!t":·:~i'-\-~t.t:i,. ,-iti::::1~;:.tfr:~2:::.-,/: ::·: .-.:.-, :ii ... · ;'-/:, :-· -: :-,-·. I hereby affirm that there is.a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ________ __,_______ LENDER'S.ADDRESS_--'----------------------- 1'4'6Ml!lk'.~'rA'flni~1~EDWinNA-~1i..i~~w,~®~mti!t,~!=---,,::c.ii:r.at.11i1,1:1:.~tlil'.1~~ I "y{tP0tii,."'-I• '-i1-:-n:;;.iji>?-'1 'n; !Vik11)~:~;~t1ti:, •,1,'jf, :~~-~-\?.'<~ hti:,;.,~.~:,_.,1 --j'1h<:.,r,~ .,.~~L.i.'d l<"!c'' I ;;i,:' "U ! #.'::.'ill .! ''(' ' ~~'") .»_·v,,l "'·\<l•~'t." ,1 ~, ... ~, !. ,,:.',. -~·QI".~,,: ,J. / r -~. ' .... J : ' •• ' , l~ . :lllQll~lffMN1u,,me,u~,~\~~~a%llBf~U:~n:\~!4;!t1*~»1!!~11t:~!l!L-¥~~u~i~,w:i;i!l~i~Jut;#il1~wi1t~1lTIW:W~n1r~~t!r-i~1~t~ti~wi!.\':M-¾J¾iMilf~f.iliP,i:¼'t1;:1~·o/J~J.:i1ll¾~ilq-.-.enTuff.!~,·-:~G{uI:~.,jtt1)t,J,-;;:iJi. ti'Jt-: I certify that I _have,read the application ahd 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~ I\IWS relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned propart'( for inspection purposes. I )U.SO 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 arid demolition or constructior:i of structures ov!ir-3 stories in height. EXPl~ATION: Every pe!F!11t issued by the bul(di~g 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 1s not commenced wIlhIn 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned N, at any time after the work is commen d for a.period of~ ( on 106.4,4 Uniform Building Code). l'--... APPLICANT'S SIGNATURE 7 :::z~~~~O,.a..2~~~;::_ ____ ....,..________ DATE [:--(0-0 S- PINK: Finance l:nspection List Permit#: CB052920 Type: SIGN JIMMY'S RED HOTS-2 SIGNS, 1 HANG OVER DOORWAY, 1 ILLUMIN ON · --~~~------ln~~ection Item __________ l_ns__,_p_e_ct_o_r Act ----------------------Comments 08/0f/200.6 19 Final Structural PD Fl FINAL PER PETE 11/21/2005 23 Gas/Test/Repairs PD AP Tuesday,August01,2006 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2003 Plumbing Permit Permit No: CB030445 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2508 EL CAMINO REAL CBAD St: C2 PLUM Status: ISSUED 02/13/2003 SB 02/13/2003 02/13/2003 Parcel No: Lot#: 0 Construction Type: NEW Reference #: Project Title: JENNY CRAIG TEST GAS LINE Applicant: SUNSHINE LANDSCAPE 4008 GARFIELD ST 92008 805-5726 Plumbing Issue Fee Fixture or Trcip Building Sewer Roof Drain Install/Repair Water-Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing FeE1s Master Drainage Fe.e Sewer Fee Additional Fees I TOTAL PERMIT FEES -' ' Total Fees: $27.00 0 0 0 0 0 1 0 , Owner: Total Payments To Date: ..Q~ '(\:~1 •• $0.00 Applied: Entered By: Plan Approved: Issued: Inspect Area: 8115 02/13/03 0002 01 02 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: CGF" 27.00 $27.00 FOR OFFICE USE ONLY PERMIT, APPLICATION PLAN CHECK No.-<2\'so'3>~ 4 4S- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit=-=-------- Validated By_":-6---"-... e,;B"'=,__ ____ _ Date 1, -/ 3 --03 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No·. Total # of units Ass~ssor' s Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ~;:~-,: ,APRtlOANT -::.,:IJ-~onl:ratitof'.' ;Ei,A3Jerit tor ,:C6iltractor '\ -rCJ:Owner;'.lJ AfiehHpr Owner • ,,-J, ';} ~,:;> • -:. ;,:, ~: ;,, ,:,;:o ,,:::~:-97t:;:;r~;77t~::T;11 Designer Name Address City State/Zip Telephone ~h;::~;~~:~;;:!~~J:~f;~~~:~·==·~Z, ~e~j~r~on~-~f ~·~~~~ll;wi~-g:::;~p~-::,G~J~""~ZVi-"Y·~-:: ~/ \\< 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t is permit is , issued. My worker's c~n..5aJion insurance_ CJ_!rier ;m}. po ·cy numb are: • ,,a ,~_;) ~J1\') J Insurance Company C:::. 'Y, :eo T NA ~~ Policy Nq.:fCJ~~~ Expiration Date_4,-,,_ _ _,__-"=- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D 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. du thousand llar 00 ~,.;~~-~ '.tiU/)~pt[}i'EP i_ .~]:IPft .. <-~.:.: .'.7'.' ., a :...~'-,;..,;_: .:.,:,_s---,,;,.c,, ;,.,; -.:,: ---~ I hereby 1rm that I am e mpt from the Contra s 'License Law for the following reason: D I, as owner of the property or my employs s 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for ~uch projects with contractor(sl 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 majQr 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 number/ 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 ________ _ tcwWEf~ijjfs:-sec:tiol(i'o1:f,vo',v.iRirs,iimt,AL'B01tb1N~ ,J>ERMif~~oNi·-y:·"'. ,·. ':·"~,~~:;·:"'.":::_,,,:,: ~;-, ·;r;<~:,;::7':;;-:"':'Z,::·:ry,r,:::;77;~' :2" :,:;,,:, . ~· . ,··:;;:·"':sl 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·Accourit Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air p~llution 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? 0 YES O 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.=,,,ru;,.Nil!tO_C!IQ~,~~QJf{~ .M~f'.CJ; ::..;. I hereby affirm that there is a construction lending.agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'::,_S ,;_;N~A:,;:M:E.:;;;;;;;:;;;;;;;;;;;;::;;::;;:;;:::;;:::,;::=::=:;::::==:::::-::=:::::::::=;_..::L::EN:.:,:D=.:=, ER'S ADDRES::_:S==:::;::::::;:::::::=::=::;::::;:==;:;:;:;::;::::;::::;;::;::::::;::::;;::::::;::;:;::::;;::-;-=::;::-::::::;;::::;::::;;::=:;::;:::;::: ~~-.::"AeeI;JQ.AN.1:,G,!:JlTlf(~Qlt"'::,,;,,~,:,:'. ·.:.: .::-; ; -::·,: ,;, "'" v:..;,;;.;;;;,"''"':2:-:_ ~ } •.. ~:,.L:-, o :;;;.,,,,~j,~L:, ,:,' :.~-:::.:::;,3:-,;I:::::, ::w -:::Z~;J':r::,,'.,,-;;'~J:::;,:C',:',:f~-J::.:,~,::::::::il I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND Kl;l;P _HARMl.,ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAib 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 perniit issued by· the building Official under the provisions of this Code shall expire by limitation and become null arid void if the building or work authorized'by such permit is not menced wit in 180 days from the e of such permit or if the building or work authorized by such permit is suspended or abandoned r/, at any time after the work · c or a eriod ;. (S lion 106.4.4 Unif m Bui · g Code). 2/4 L APPLICANT'S SIGNATv"'--..~!1=J~..1-~~~L.o(,,C...f.,,4,t.-:_L_'+,~~~~~------DATE _?; /~'1 .,,r-PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/20/2003 Permit# CB030445 Title: JENNY CRAIG TEST GAS LINE Descriptio_n: Type: PLUM Sub Type: Job Address: 2508 EL CAMINO REAL Suite: C2 Lot 0 Location: APPLICANT SUNSHINE LANDSCAPE Owner: " Remarks: Total Time: CD Description 23 Gasrrest/Repairs Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/14/2003 23 Gas/Test/Repairs CO PS NO ACCESS Inspector Assignment: PS Phone: 7608055726 \::>- Inspector.-, c_3 Requested By: JOHN Entere·d By: CHRISTINE I ... ,,): Carlsbad Plaza, LLC FEBRUARY 11, 2003 c/o Waken & Co., 150 N. SANTA ANITA AVE., SUITE 645 ARCADIA, CALIFORNIA 91006 • 'a' 626/574-7430 FAX 626/574-5872 CITY OF CARLSBAD BUILDING DEPT. ATTN RAENETTE ABBEY 2075 LAS PALMAS DR CARLSBAD, CA 92009 Re: 2508-C2 El Camino Real Carlsbad, CA 92008 THIS IS WILL SERVE AS A WRITTEN CONSENT FOR THE BUILDING DEPARTMENT OF THE CITY OF CARLSBAD TO DO BUILDING INSPECTION AND RELATED TESTS NECESSARY PRELIMINARY TO A GAS METER INSTALLATION AT 2508,-C2 EL CAMINO REAL, CARLSBAD, CA 92008 -JENNY CRAIG CENTER THIS ALSO AUTHORIZES JOHN WINGATE TO ACT AS AGENTS FOR THE UNDERSIGNED IN CONNECTION WITH THE GAS METER INSTALLATION ON THE ABOVE ADDRESS. VERY TRULY YOURS, CARLSBAD PLAZA, LLC By: JGJ:rcp CEG. JANEK VICE PRESIDENT WAKEN & CO., AGENTS City of Carlsbad ;, 12-1,3-2002 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB0237 48 Building Inspection Request Line {760) 602-2725 Job Address: 2508 EL CAMINO REAL CBAD St: C1 Permit Type: · SIGN Parcel No: Valuation: $3,900.00 Reference #: Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 12/13/2002 RMA 12713/2002 12/13/2002 Project Title: TRIGIAS GIFTS-ILLUM SIGN-ENTRY Inspect Area: Applicant: FORD SIGNS STEE 1304 N. MELROSE VISTA CA 92073 760-631-1976 . Total Fees: Building Permit $108.26 Add'I Bl!ilding 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 _ Inspector: ------ Owner: Total Payments To Date: $0.00 3441 12/13/02 0002 01 02 Balance Due: $53.49 $0.00 $34.77 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $108.26 CGs=• 108 = 26 $108.26 PERMIT HAS EXPIRED IN ACCORDANCE WITH u.s.e. SECTION 106.4.4 DATE CJ\_ \~~ CQ_SIGNATURE _tlw: r ' 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 Cqde 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. F.ailure 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 specifie·d fees/exactions DOES NOT Af'PLY 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 f i I whi h h v r i I i I 'mil r hi hi h I lim' i n h r vi I FOR OFFICE USE O~Y PLAN CHECK NO. LIJJ.2...17 Y/' EST. VAL. c.>7foo PERMIT APPLICATION ... ci::rv OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit t Validated By . f :±: ·Date I~ /Ula· Legal Description Lot No. Subdivision Name/Number Unit·N.o. Total # of units Assessor's Parcel # 'i- Existing Use · Proposed Use # of Bedrooms # of ,Bathrooms Telephone# Fax# (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 Qf the Business and ·Professions Code] or that he is exempt therefrom, and the basis tor the alleged / exemption. Any violation of Section 7031. by any a~plicant tor a ermit ubjects the applica t to~ civil penalty of not more than five hundred dollars [$500)) • . fvrd-. l s b D-. , . . / . 7fRO -.. Name· . · Address fl I .l:.r:'. City State/Zip Telephone# / State License # 3:Ftlo f License Class vvi,'::7 City Busines!i ,License # [ 0 { lf.$ 2,}f I ;~~~~~~t~~~i~~,;:h:'<o!'C~~}j 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 tor workers' compensation as.provid.ed by Section 3700 of the Labor Code, tor the performance ?the work tor which this permit is issued. · ,Q I have and will maintain worker's' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which tdhis permit is issued, My worker'.s co ensation ·nsurance c rrier and policy number are: _ ~q _ -::i9 / A {q _ r f . _ Q"--Oq l-\ 'L Insurance Company · . # _ Pohcy·No. -~ .U lf'.'. 0. D::r ExpIratIon Date 0 . _J, _ V J (THIS SECTION NEED NOT BE COMPLE IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that.in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as o become subject to the Workers' Compensation Laws of Califoniia. 1 WARNING: Failure to secure workers' compensation coverage is unlawful, end shall subject an employer tp criminal penalties an_d civil fines up -to one hundred f ~;E;~;,;;•::~r~:01 .. ::~:~: ,::~:i:~.,~::i~:::::: .::.~:~:::~:~::\:::a:~e,:;:•~r,::::.::.:~~:.:::~:::~,:;~:;: -~~-~~~: ~·:,: .e,~~~~:~~:~::,~:::~~:::~, ~:::~~-~.~ · kt{;;1.~(tWt,t~;P .... QUtl,8.v::. .. E1t:M-~t~:~~-.. ~'Ll~~w.:-;;:f)r;..~\~NJ~1~ ;,.t;t..._~J...'..i·s.,.,.~~kd,.,.:tt~.:i:~:j:~;~~~~,r~~~ .. ~-..£.:2.-j.&:fttM"];£i.'..~t~-.1·;:.'~ .. ½:!·::;-r.)'L::J~t.~~i:-~-~-ff.:jf:::J.il11ir~.;.i"·J,.-;.;~~.»1$'.d::'\: · I-hereby affirm that I am exempt from the Contractor's License-Law tor 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 strui;:ture is not intended or offered tor 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 ow~ 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 tor the purpose of sale), .0 I, as owner of the property, am exclusively contracting with lice_nsed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's ticense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law), · 0 I am exempt under Section----'---Business and Professions Code tor this reason: 1., I personally pla~ to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an applicatiol') tor a building permit tor the proposed work. 3. I have· contracted .. with the following person (firm) to provide th!! proposed construction (include name / address / phone number / contractors license number): . . 4. I plan to provide portions of -the work, but ·1 have hired the following person to coordina;e, supervise and provide the major work (include nam!) / address / phone number/ 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 _____ c-----,----,---'--,----------DATE ___ ,--____ _ icol\Jlil1&-raFi•si'sE"cfiorifi=oa,:iioiv.ijjE'sioiNi7AfiiufuofN~"eaiiij:rsiQNfytf17;i-J~1;,;~e;'\:f01t'lt,ffi;,.r.;::1:0 :;1-·,:, ~-~3i:~~~i~l0i"+01i~".i~l:t'tr.:fsi· ~",':.-i;~%1~,l'~tf,r,: ..,., ....... J.1!.!.s.. .. ~ ..... ~,ii;i,,M, "'"'''"'"'~.:..,..._,,..,,;.;.;; ..... _, ~,-~''I':'"'"" .,,...,.,.,.,...,,.,.:t,1°'™"''""""'""~' ~~-, ..... y .,,_,~.J,\W~ ..... .,i:~ ,,., , .... ..,~..,._ ....... ~..-..... ~~ ... ,,.,.,,,,_,...,....;;,..~ ..,.,.,,.....,..,,..;.\':""~---i>.~'"'-«<-,, -__..~,,~...,...i:i,..:;,,::_..,-,.,.,.,.,__.,..~ =~""'4>~ ...,.,.,. ........ ~..w: ·Is the applicant or future building occupant required to submit a business plan, acutely _hazardous materi11ls registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner°H11zardoiJs Substance Account Act? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the-outer boundary of a school site 7 tJ YES O 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 DI.STRiCT. I-hereby affirm that there is a construction lendjng agency for the performance ofthe work for which this permit is issued (Sec, 3097(i) Civil Code). LENDER'S NA_-M_E;::.:::.::,----~--'-----'---LENDER'S ADDRESS __ _,_ _____________________ _ ~~~J1egJJA.N~~-F1l•ftq~rtQm~~~~~Ek~J~~hz;;~-1G::.~!~~?~1f2{~~~:~~~3mfi~x~~--~~~~~~~~~if~f~r:~~j~~~;,~f::~~~vs~~LK~lft~~S! I certify that I have read -the application and state that the, above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives -of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY: AND KEEP HARMLESS THE CITY OF CAR_LSBAD AGAINST ALL LIABILITIES, JUDGM~NTS, COSTS AND EXPEN$ES WHICH MAY-IN ANY WAY AC9RUE ~GAINST SAID CITY IN CONSEQUENCE OF THE GRANTtNG OF THIS PERMIT. OSHA: An OSHA permit is required tor excavations_ over 5'0" deep and demolition or constructioi:, 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 180 days from the da\e of. such permit or if the building or work authorized by such permit is suspended or abandoned at any'time after the work is comm ed .for .a period of 180 days (Section 106-4-4 Uniform Building Code). <) } ,,, n ~PPLICANT'S SIGNATURE --f-.;4.-l;L--I.~,.__-,::::__ ____ __,_ ______ --'-'----;~ -DATE k:t (vt02--- WHITE: Fife YELLOW: Applic'ant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/02/2003 Permit# CB023748 Title: TRICIAS GIFTS-ILLUM SIGN-ENTRY Description: Type:SIGN Sub Type: Job Address: 2508 EL CAMINO REAL Suite: C1 Lot 0 Location: APPLICANT FORp SIGNS Owner: Remarks: Total Time: Act Comment Inspector Assignment: Phone: 7606311936 lnsp.ector: j)._-r;;:, -~ Requested By: STACEY Entered By: ROBIN CD Description 38 Signs Cl)_ J_ff:£~L~ 39 Final Electrical -1-------'--------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments City of Carlsbad i:J!OGiili~i•J§.•IUiiht§UI April 28, 2003 FORD SIGNS 1310-A N. MELROSE DR VISTA CA 92073 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN Permit Number: CB023748 Issue Date: 12/13/02 ADDRESS: 2508 EL CAMINO REAL #Cl PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building pennit will expire by limitation of time on 06/11/03. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 pennit is· not commenced within 180 days from the date of such permit (unless issued prior to 7 /1/99 which is· one year from date of pennit), 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 pennit 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 made in the ·original plans and specifications 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 comnience under that permit when the pennittee 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. ' Pleas_e 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 you have any questions, please contact the Building Inspection Depart~ent at (760) 602-2700. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue• Carlsbad, GA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ Building Counter • (760) 602-2719 •· FAX (760) 602-8558 i / /\ii· .f:09:1)6 Vf: ... z . 0·4/14/98·. 1.6': 09 , Page .. :1. of 1 B U I L D I N G . Job Address: 2S08 EL CAMINO REAL Permit;. Type: SIGN Parcel No: Va.lw:ition: · 2,200 P E R M I T Suite: Lot#: Permit No: CB981055 Proj,ect No i A.980140 3 Development No: . C:J- 6012 04/.1.4/98 0001 Ol 02 • · C-PRMT · 106-00 Const:i;:-ucti.·on Type: NEW Occupancy Group: Reference#: Status: ISSUED Applied: 04/14/98 Apr/Issue: 04/1·4/98 Entered By: .JM 562-495-3808 Description: ILUMINATED WALL SIGN f 1 IN3P .. -.~--DATE_ CLEARANCE _____ _ .....,_.___.,. 4 > = a. e,s,, , CITY OF CARLSBAD . 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • I I 1 ,. ~ , . .. PERMIT APPLICATION FOR OFFICE USE ON!:)' · PLAN CHECK NO. 41,tg/{) 55 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 L~s Palmas Dr., Carlsbad CA 92009 (760) 438-1161 · EST. VAL. 21.LJO 1n L Plan Ck. Deposit ~ Zu&Ol) Validated By J~/ H / "''1 Date ~/ 'i{ 'ttD Address (include Bldg/Suite#) Business Name (at this-address) Legal Description Lot No. Subdivision Name/Number ·unit No. Phase No. Total # of units Assessor's Parcel # Existing_ Use Proposed Use # of Bathrooms Name Address City State/Zip Telephone# . 'i~; ,~:J~~_qpg_iifYc;owr:,i~R', ,_.,_._,-_.. · Name Address City S.tate/Zip Telephone# fsj,_=:,-co.r{J'RA'cfofli·coMfANi"NAM~" ·,r.; ~v·:;:\:.':.- 1sec. 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)). · SuPa11:>1 et c~tA tCA:4 Jl.r,vc1'TtS1AJS , 170D 4>, 11-NA:HEIM Sr. 1 L.,.u. 8,otcd '"''J (ijj)'l'JS'-3848 Name Address ' City StateiZip T~~ne # State License#. 't Zl f'te . License Class . C ~ y s: C:ity Business Lic~nse # to.-.e6Zw ' Designer Name Address City State/Zip· Telephone 0 I have and will maintain a ~ertificate 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. ~ have and will maintain workers' compensation, as required by s·ection 3700 of the Labor ·Code, for th·e performance of the work for which this permit is issued. My worker's compensation i11surance carrier and policy number are: lnsuranceCompany SuJJCA.IQJL ¼riaAJ{lt-L IJ.Js, PolicyNo. 4)0,N '"·'J(9•A ExpirationDate 't-1-'to/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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' Compensatlon aws of California. tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines \IP to one hundred ost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE f{-/'{-'7f'_; : ,; '•,.:-' ,-<~:· ,-,' ,' :;-,: •: ·.,~ ,'-:,·~:~ •.:'~ '> :,·,~",: •};·:~:~>>:L~:;t ~~:-:~-f~~{:;:•,}~<~,i;f•,n;~/~\?::::'.'7;\'.'?J:.~'~~~\:\:~:,,:~\=;.-:-:•:~ -0 !, as owner of the property or my employees with wages as their soie 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 completi'on, 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 thii; reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foilowing person (firm) to provide the proposed construction (include name / address / phone number / contractors license m;mber): 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 ·number/ contractors license number):. ________ -'-----------------'------------------------ 5. I will provide some of the work, but ! have contracted (ttired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _______________________ .,..,,.... ________________________________ _ PROPERTY OWNER SIGNATURE __ ---'----------------~---'--DATE ________ _ '¢Ql'viift:~1;,fi:j1_s-.s1;¢i1i:>N}F.QR,:l!Ql'!•RE$ib//li,Ai;;;~i.Jij;'QfN<fPlRMi:($::,of~Y;.:~.:t?:-:S";,'itft}di.(lf;~:-:;;2-;Z;·\T.?k.ti:t["t;::'f;/?tt~'.7.'.·.:?{.': · .... --.:1:,:-:'-"'f:t.l:<:--'':,· Is the applicant or future building occupant required to submit a business pJan, 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 O NO Is the applicant or future buildin!;J occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the· facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. r~'.:~'.:.'¢'1~~ti!1,1¢Tio.fi t~~QiN§W'&~ijc_v-: :·" ·,· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). , '.l .~--: .,,. ·,,"?n< I certify that I have read the ~pplication and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives ,of the Citt of Carlsbad to enter upon the above mentioned property for insp~ction 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 Buildi g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work autjlorized by such permit is not commenc d withi 365 day om the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after. ork is omm nc~ f 180 days (Section 106.4.4 Uniform Building Code). 1-/Y--28 YELLOW: Applicant PINK: Finance 04/06/95 14:54 Page 1 of i B U I L D I N G ,Job Address: 2508 EL CAMINO REAL Permit Type: SIGN Parcel No: Valuation: 500 PERMIT Permit No: CB950474 Suite: C Lot#: Project No: A9500691 Development No: Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED 04/06/95 04/06/95 DC Description: PACIFIC PET 619 Applied: Apr/Issue: Entered By: 689-0713 1390 04/06/95 0001 01 02 C-PRMT 25a00 .. , . PERMIT APPUCATION PLAN CHECK NO • City of Carlsbad Building-Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL ___________ _ 1. PERMIT TYPE PLAN CK DEPOSIT _______ _ VAIID.BY. ___________ _ From list 1 (see back) give code of Permit-Type: ___ $;_r_· __ <,-_/\J _____ _ DATE. __________________ _ ...................................................... ~----------·-·-------------.. ------- For Residential Projects Only: From list 2 (see back) give ~ode of Structure-Type: ____________________ _ Net Losi;/Gain of Dwelling Units------------------------ 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address ;;J_Se, § EL. C,,fr,1/\/0 Re,i1_mldmg or Suite No. 1 IC ,, Nearest Cross Street LEGAL DESCRIPTION Lot No. subd1v1S1on Name/Number 0mtNo. Phase No. CHECK BEWW IF sUDMil iEb: CJ 2 Energy Gales D 2 ·structural Gales D 2 Soils Report [J 1 Addressed Envelope ASSESSOR'S PARCEL l bl-o3o -.so EXISTING USE J!"°PQSED USE DESCRIPTION OF WORK :{: c..<.q M//V~ # OF BATIIROOMS I NAME (last.name first) vrs. NAME (last name first) />~IC c11Y C#<:.s B ~ . sTATE ADDRESS ;2__seg ZIP CODE DAY TELEPHONE s. PROPER'IY oWNER L" A~ i1 .A::;,r.... NAME (last name first) ~CS f;;> rr .,,_,, /J G,f ::i/f ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. CDN'IBACTOR H .L /V NAME (last name firstJ ' '17 ?;~, $"/9-..,vS ADDRESS S/ 2. c-.J. -1 ~/ ~<?:> ~ ,,N/ A ~ /e>S CI1Y ZIP CODE C/2.o'.i ~ DAY TELEPHONE 6 &>? .:. t:) 7 /:g C 9': S" CI1Y BUSINESS LIC. # ~,t'" C ~ I 2. <A.,• ~.,-/0/2.d/A c11Y Vcsrn ZIP CODE 92.~ :S DAY TELEPHONE 68f.-o7/.!,STATE LIC. # T ,#-/"OS S--?/2/&, 1. Wo1lRIDts' OOMPENSA'liON Workers' Compensation beclarat1on: I hereby afhrm that I have a certihcate of consent to self-msure issued by ·the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by art admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab; C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE · Certihcate of Exemption: i certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner .[J 0 [J so as to become sub· t to the Workers' Compensation Laws of Galifornia. · DATE uwner-.tmuaer vec1aration: ~ hereby afhrm that I am exempt from the ConfracfoPs license Law for the followmg 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 wp.o 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-puilder 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 an~ 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]). SIGNATIJRE DATE coMPl;tff'E THIS SECTION FOR NON-RESIDEN'i1At B01LDING PERMITS ONLY: ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES CJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES CJ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFI~TE OF cxx::upANCY MAY NOT BE~ AFTER JULY 1, 1989 ~ TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTIClN OONTROL DISTIUCT. 9. OONSIROC110N 1.J!NDING AGENCT I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (sec 3097(1) GlVII code). LENDER'S NAME tENDER'S ADDRESS 10. APPUCAN1 CEkltFICAliON l certify that I have re~d the apphcat1on and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE JNDEMNIFY AND KEEP~ TIIE Cl'IY OF CARLSBAD AGAINSf ALL IJABILITIES, JUDGMENTS, OOSIS AND EXPENSES WIIlCH MAY IN ANY WAY Acx::RUE AGAINSf SAID CI1Y IN OONSEQUENCE OF TIIE GRANTING OF TIIlS 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 abandon~~ yany time after the work is commenced for a period of 180 days (Section 303(d) Uniform Builf?~; APPLICANTS SIGNATURE e~ ~ DATE:~. WI-IlTE: File YELLOW: Applicant PINK: Finance ·. . List 1 .. Pennit-Typ~ "'-. .. \ From the following list, detennine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the blank at the top of the page on the front of this application. Residential pennits (01tly) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types" and put its code in the appropriate blank on the front of this application. . Residential P~rmits Code Description APT Auartments -new construction. CONDO Condominiums -new construction. CVNNR Conversion. Convert all or a portion of a non-residentiul building to residential use, creating one or more new residential units. CVNRN Conversion. Convert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the number of·dwelling units in a residential. $trtl.Ctur~ througn intenor modifications (i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each): DEMO Demolition permit. (Also specify type of structure from List 2). DUP Duplex -new construction, MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit. MOHON Mobile home, pre-fabricated house, or trailer installed (plw:nbed, wired) in a mobile home park (see distinction from single-family residence, below). · · · · · · · '· ''. ~ RAD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential permit re-issue. · ..... . . . ·, ' -,-,, -.. RREPAIR Residential building repair. Damage, fire, etc. RREPLACE. : Residential building replacement (no additional units). - SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating svstem (e.~.: townhouse, row house, half-plex) · \ SFD Single-family, detached • new construction: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not in .a mobile home park. · · · · · · ' -· ·. \ Non-ResidentiaV Accessory Permits -\ Code --Description ~ - Commercial structure, new construction. , .. COM -- CREISSUE Commercial permit re-issue. CREPAIR Commercial building • repair. Damage, fire, etc. CREPLACE Commercial building -re.placement. CTI Commercial tenant improvement. DEMO Demolition permit. ELEC Electrical permit, for electrical work only. '. HOTEL Hotel or motel (including Managed Livin~ Unit hotel) -new construction. HOTELR. Hotel renovation. INJ;>UST Industrial structure, new construction. !TI Industrial tenant improvement. MECH Mecl).anical permit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. $OLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. List 2 -Structure-Type (Use with Residential Permit Only) From the following list, detennine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not in a mobile home park. MF2-4 Multi-family, 2 to 4 1:l!lits. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electric:al service (e.g.: duplex, triplex, quad-plex). MFS+ Multi-family, 5 or more units. Same as MF2-4, except the building has at least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, above). · · c-' •l - I .1. USE ,BALL P91.NT PU ONLY & PRESS .HA8Q I ( CARLSBAD BUILDING DEPARTMENT 1 W75 Lai;;· Palmas Dr., Carls_l;>ad, CA 9;2009-1915 ((;>19) 438-1161 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS . APPLICATION & PERMIT PERMIT NUMBER . e [ .Q. J, her~by. affirm i~at I am licensed .under ,-c, provisions of Chapter 9 (commencing with _: · =-. . Sectio11 7000) of Division 3 of the Business -. ._ and Professions Code, and my license Is in :~ . _ full-force.and effect. : . JOB ADDRESS \ Ay. ST.Rei, -,DATE 'qF APPLICATION BUSINE f\,..-------I VALUATION 1 · ..z s-· O ~ -C I?( Ca J'l< t 11 D K e.a l (Cf~ 1;. 6 rJ o. ), -~ o -.. -- '8,1-J o 0 / q 1 -" ' ' ~-------------+-----------! . _ j LOT BLOCK SUBDJVISION ASSESSOR.PARCEL NO. CONTRACTOR_ . CONTRACTORS PHONE# ZONE _I hereby aflirm. !hat I am.exempt from, the Conlrac-f. L 15 /7· / cs-lor's. License Law for the following reason (Sec 7031.5 , • . () 1'f /> . (s::;, 'Y O 7 · --BiismessandProlessionsCode: Anycityorcountywhic~re· f OWNERS NAME OWNER'S PHONE -'I;)-, _quir~s-~·perm1l·lo-co~struct. alter.·improve;d~molish; or f ·i, J L O ,,.·,,, ,t I _, w· /) j ·t CONTRACTOR'S ADD ESS . ' l . STATE LICENSE NO. : .repsir any Slructure, prior to ,ts issuance also requires the ap-w·· ..... "' . ' ...__ v-a __. ' <..-Yl f n t.+f . I Q . _)lhcant forsu,h permit to Ille.~ ~ig_n~d Sl?tement_that he,is I '. . ' ~/ '/Mb/'$ p 'S f-1-/~fl ()C<ZC(J,($td, t!) I'> ~ r t~~:~:~ Lg~s('b"~1P.i~ ~h~o~~~~~?~ j\hl~~c8g;wigr~~ I OWNER'S MAILING ADDRESS .,__._... _____ <... ___ •_--' ___ t ______ --'-t--.,---· -,--- ·01vis1on 3 of.the Business•and-Piofessions_Code} or that·1s'eX"· ,I emP,t therelrom and lhe.~asis for th~ alleg~)nixemption Any . 1 v1olat1on ol Section 7031,5 by an.applicant !or a p·erm,t sub· ·jecls the applicant to a civil penalli,:of not i'nore t~an.flve h(m-I dred'dollars·($500).-• • --·-· I Slt·4 e DESIGNER DE;:S!GNt:R'S PHONE SfATE UCENSE NO. loeSE'PTION OF WORK -~ ,._ .-r~---:-r ti: r ~:e ·f zd.. < e . e KrS u },( 7 I.../~ c · DESIGNER'S ADDRESS· ll¼Lts _dfi]_,.. -U: ... J I I,, as.owner of.the property, or my employees with wages . I 111 ,as'th_e)r qole compe~s.a)ion, w11i,d9;the work, and the struc-I ·c ture ,s·not mtendecl o~olfered !or sale (Sec. 7044, Business F/P FLR ELEV. OCC GP EDU BUILDfNG SQ. FOOTAGE t L1 02 -.... ' and Professions Ciide: The 'contricfor'sUcense Law does I ,-, ,.5 · l not apply fo an owner of property wh_o·.buil!ls· or improves I -•· thereon and w~o does such work.h1msell or-lhrough his own · .....__ NO STORIES 8400 07/20/89 (}00:i,'01. f.lldPmt .. 33 . .,00 (I) z 0 ~ u: ,c ..J (.) Ill 0 ii: 1. employees. proyided that such improvements are not intend, -. i1 v D ND ---~ -:::i;~ri~l~~l~d~ft~1~a~ne•~ea~o3i~~j,/:.;0~~1~~n~wo;eir?i~J:: I, ,. ... 'CENSUS TRACT p;o>;RKING SPACE RES UNITS GRADING PERMIT ISSUED Rl;DEVELOPMENT TYPE CCC LOAD FIRE SPA 3 will have the burden of proving.that h'e did not build or im· I ARE A • CONST -· 0 provefor·thepurposeofsale). -.... I --~-----"--------'--------1.-----.....1. vO ND vO NO' vO NO. ·Not Valid Unlesr Machine Certified z,- 0 i Ill CL :IE o•· (.) ~--w -~ ·u: o•· -~ ''<; ~, I . . I I I, as owner of .the propeny. am exclusively contracting. with licensed contractors to construct the project (Sec. 7044, Business and Professmns Code. The Contractor's License Law does not apply fo an oWnerol property who builds oi ini· I QTY. PLUMBING PERMIT · ISSUE ~±'l:O QTY. MECHANICAL PERMIT -ISSUE 1500 SUMMARY/ACCOUNT Nl:JMBER -:.proves thereon, an~ who-contracts for ,each projects y,ith a E~\l!/actor(s) license pursuant to the Contractor's License . -11 As a homeowner I am improving my home, and·the lollow· ing conditions exist. • · · , ~ 1. The work is being· performed prlor to sale. 2. I have -lived in· my Imme !or twelve months prior to completion of this work. 3 I have not claimed this exemption during the-last three years. D I am exempt under Sec.-----~-, B & p;c. for this reason ________ ....,.. ___ _ · I I I I I ·, I I I I I I I 0 I her'eby aftirm·that I have a certificate of cpnsent to' I self-insure. or a certificate of Wprkers· Compensation In· , I surance. or a certified copy thereof {Sec, 3800. Labor Code) f POL;tGYNO. I EACH FIXTURE TRAP EACH BUILDING SEWER c-·-,-----• . "'T EACHWATEHHEATER ANQ1DR VE_NT EACH GAS'SYSTEM 1 TO 4 ounns EACH·GAS SYSTEM 5 OR 'MORE EACH-INS:fAL., ALT&R, REPAIR WATER PIPE EACH VACUUM BREA.KER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOT AL A[UMBING z+.i,NSTALL FURN. DUCTS UP TO 100,00U liHJ OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15_ HP METAL FIREPlACE VENT FAN SINGLE DUCT MECH EXHAUST HDOO!DUCTS .RELOCATION OF EA FURNACE/HEATER DRYER VENT I fofl;TMtCHANICAL ~l -::JI COMPANY I I I I ,__l'V'. (cg:,o II QTY. I 1 QTY. ELECTRICAL PERMIT -[SSUE ~.-·• ..... ., , , ... ,~ ... ~• ...... ~.,,.. •--. 0 ,Copy 1s hied ~ith the city_-j _ ~ ---- 0 Certifiedcopy1sherebyfurnished I [ 7 NEWCONSTEAAMP'SWl_llKR -· _l -~---_JL _ICAR PORT 73UlLDING PERMIT SIGN PERMIT PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME SOl::AR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE ----IING I I IL l__i_fl:I 3PH ·r -If rAwr I , ...,.,---., ---------· . lf'ADAGE FMF UUHlo-OlJ=uO=a220 001'-8·10-00-00-8221 001·810·00·00-8891 001-810·00·00-8222 001-810·00-00-8223 001-810-00-00-8224 I 001-810-00-00·8225 001-810-00-00-8226 880-519·92·33 001-810-00·00-8227 320-810-00·00-87 40 360-810-00-00·87 40 ) 312-810-00-00-8835 311-810-00·00-8835 001-R 1n-00-00-8162 can,~,~~~'"~"'°" I rnST BlOG EA AMP /SWT :SK R • · · · ~ t " ~\ l WORKE!JS' CO,MPENS,!,TION INSURANCE f. , ,mn • (This·s~ctlon need not be completed If the permit f 1 PH 3 PH , ' 4 . LICENSE TAX __ . _. __ ~s for on_e hundred dollars {$100)~or less) . _ ·I , , _ • " , _ . _ · _0 1F~rtif¥t~atiptheperformanceottheworkfor;-Vhich I REMODEL ALTtR PEA CIRCUIT . .. . ... 'f~ . _I MFF . ---- 880-519-92-57 -:~~~:~:~t~:~~s:i~~~h=~1bj;~tt~~~c:;~~k~~~~~:;;:P~n:. ( TEMP PO LE {00 AMPS 1 • • . . ' , sation Lawsof·Caflfornia, I OVER-200-AMPS ------ NOJICE·TO APPLICANT; If. after n)aking this Certificate" f of Exem~t1cin, you should become subject to ihe Workers" j ' TE MP O CC.UPAN CY_J30 DAYS) ~~ _.;.- forthwithcomplywithsuchprovlsionsorthlspermitshall I _. __ ; --.,_ ·._ , -· . • _ GREDITDEPOSIT ... . . __ ·I , be deemed-revoked. f -1 , • • ~---~·-·=·~-· .... ~oo. ~ ... ~ ... . . . I I I l . • I . TOTAL ELECTRICAL l · . TOTAL l ~ --~. ____ __ . . __ . __ _ .. . _ . , · _ _ _ . _ _ _ TOTAL FEE~ PAYABLE _____ ,,,;:;:? -~--• ,. ·. ",' • -:,-.,-• • , · . . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPL!CA11ON AND PERMIT. ANO DOH REB Code shall expire by hm1ta1ion and become null and void If the building or work , E y I Exp,rat,on. Every permit issued bytheBuUdingO!fic1al under the prov1s1onsolth1s .ffi "a~ency/or!he:performance_oftheworklorwlilchthlsper-I DECLARATIONS ARE TRUE AND CORRECT AND I PUR:J'HER CERTIIW AND AGREE lF A PERMIT f& permit, or 1f the b~ifdinn or work a'!thonzed by such permit 1s suspended or [ ·. D• I hereby affirm that there ,s a construction lendmg ! CEiRTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON lNOLUDING THE authorized by such permit is not-commenced within f80 days from the date-of such * AN OSHA PEAll!tl IS REQUIRED FOR EXCAVATIONS ovtR !S' O" DEEP ANO OEMOLITION·OR CONSTROCTION Of .a , .,.., -·• "" ~,. ,,,, ~.., -. . I ,ssu,o ro COM"'-v w,rn m c,TY. COUNTY ANO STATHAWS oov"'"'"" '"'"''"" CON· ,..,.,,., • ~ um, "" ,. • .,. • ""~""' •• • """ " '"' " • ~--I . , ffi L;~;,;,..~ N;;,;-e -.:-• · -·. · -• -. I STRUCTJON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND~, C'NO'S,,ON ,e ¥ OWNeaO CONffiACoo• "~ ~ ~TE ~ _ ..J .. •. _ -I--KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS ANO · · • · r · --J. 11 -"Lender's Address----,---------1 EXPENSES Wf>itCH MAY (N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ?{ ~,:;-.....-,,__,-BY PHONE O · . I/~ -· · -•--·-· .. .--~ --i GRANTING OF THIS PERMIT. '- I STAUCTUR£S OVER 3'STORIES IN HEIGHT 2 u::: c'.:' o:l 0 C. E •Q) I- I -0 0 (!} C tll -~ ,C. C. <( I .>t:. C a:: 0 rn rn Q) rn rn <( I ~ .Q ai >- Q) 0 C «I C u::: C Q) Q) 25 0 0 Q) C. rn C Q) .c 3 TYPE I DATE INSPECTOR BUILDING l FOUNDATION I I REINFORCED STEEL I MASONRY I GUNITE OR GROUT l I I $HEATHING D ROOF c:J SHEAR FRAM~ I 1 EXTERIOR LATH I INSULATION. I INTERIOR LATH & DRYWAL.L I I, I PLUMBING ' I " I UNDERGROUND D WASTE D WATER TOP OUT .. OWASTI:; D WAtER TUB AND SHOWER PAN I I GAS TEST I D WATER HEATER D SOLAR WATl:R l l ELECTRICAL l D ELECTRIC UNDERGROUND D UfFER ROUGH ELECTRIC l ' D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL , ' ' MECHANICAL I D DUCT & PLEM., o· REF. PIPINq HEAT -AIR COND. SYSTEMS . I I . VENTILATING SYSTEMS I ' \ . ' ' I I . ' CALL FOR FINAL INSPECTION .WH"E;N ALL APPROPRIATE -----.. ------ FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS J l I I ' I ' I I . I [ I r I,.. I I ---- - I , .. ' I,, -. I ' .-· •\ . - ' FIELD INSPECTION RECORD .. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ..... INSPECTION REQ. IF iNSPECTOR'$ DATE ~ · •• _ CHECKED APPROVAL _. SOILS COMPLIANCE PRIOR TO FOUNDATION INSP • ..,._ ST.RUC:TURAL CONCRETE \·-·, / OVER 2000 PSI ·-. ; ,. , - PRESTRESSED {' i \ CONCRETE -1--'-.:c:__..:.· .i.'-,'L---------------------~--------1 POST TENSIONED 1 (."~-. __ CONCRETE . i .. . . , I FIELD WELDING-··r - . 1-------__;------~--------------------i HIGH STRENG:'.f'H ~ ' BOLTS • ·1-a----=--_._. -------------------:-------------7 SPECIAL MASONRY . . ~ 1-----------------------------------'""'"1 PILES CAISSONS --~ -----., . . ·' !-----+~~-----------------------------, ----. .. '· ,: _1 -l---------~------------------------------1 _1_, • ~ f ·----... - ~ : ( ~ t----------+-----t------;-,---1~-:-r-·-·-...,...,.; , \ ·- ..._ I ~<j ~l ,, r _, -iJ. ' I ' .--- •• \ '°' -I I ' \ ' : 1-----------1-----1------~-t-----; · t 1 \ -. . , . r ! • ' # :_.. --....... ~ .i City of Carlsbad -=-d • • h • • h• i •14 •ih I I I ,t4 Iii Date: March 6, 1990 To: W. Leonard W. Ching 2508-C El Camino Real Carlsbad, CA 92008 RE: BUILDING PERMIT EXPIRATION Permit Number: 89-1061 Issue _a,te: 7-20-_89 -r'l~~ l Las~lnspection: 8-~~89. ~· ~I PLEASE CALL FOR AN INSPECTION fF WORK IS COMPLETE Replace Existing HVAC Units JOB ADDRESS: 2508-C El Camino Real Our records indicate that your building permit Will expire by limitation of time on 2-4-90 (expired) The provisions of UBC, Section 303(d) state: "EXPIRATION. Every permit issued by · the Building Official under the provisions of this code shall expire by limitation and be- c,::ome 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 the original plans and specifications for such work; and provided further that such suspen- sion 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 Offic,::ial 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 below 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: A separate letter for an extension request and reason for such must accompany this form. If you have any questions, please contact this department at 438-3550. 2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 438-1161 -• 4/fJ!#li:Jt.,:Jf'.7 OtH.H4221 1.tlH~l "J.tJ ·::',(i · :~.nrf:,_ijp',7' s;n~-. rt PLUMBING PERMITAPPLICATION · . . . · ·j,t.· · Applicant'..to complete numbered sp::!! a:~Y~AR'i,~::~,7~~~~~~~NIA 92008 Permit No 7/1//.$j : ... '•. •.I_ Joe AODR E-S,S :!>~C:ti~ t\ ( A.~\.\,,,,¢ \<~\ .. <'-,,~\~ I,+ c· .. . LOT NO. I aG~ I T"f,CT LEGAL I t OESC". OWNER .J·~~ ;;;, ;ft MAJ L AOOPlESS ZIP PHONE 2 ,. /1 CONTRAC'TOR MAIL ADDRESS V't~AP:I,.. PHONE STATE LIC. NO; CITY LIC. NO. 3 S,J,,u.i-\-en..'s ~·\v}.,,. l\~ . \?Ob _{v"-i.sc-\ t)«il. -i2..b-fb~ .at.Jo3o9 ARCHITECT OR DESIGNER .J MAIL ADDRESS PHON~ LICENSE NO, 4 ENGINEER MAJL ADDRESS PHONE > ~ICENSE NO. 5 COMPENSATION (NS. CARRIER .J "JI , MAIL AQOptESS .. BRANCH s / 0'1A~Vi -.. A£t . .,,,. R.o. (\l,~V J¥6 \A,),A, ,ltns_( '"'"'\"""',_.,...-~r,t; r., USE OF BUI LOIN G J .J ~-,j J 7 ... . . 8 Class of work: DNEW D ADDITION D ALTERATION )(REPAIR / J, ~ (('_).>tr' 0. '-- 9 Describe work: l(pk'l\,At~ <.·-~r+'\.~ o"t-4AS. ~,k-1,Q w1\-l k~ lr. J~1 \ \1·J JJ ,Ji .. A~v " '> ~\.. \h ~<Lt 'x \h PERMIT FEES No. Type of Fixture or item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) ,$ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. ,,,.~· DISHWASHER APPLICATION ACCEPTED 8Y PLANS CHECKED BY APPFIOli'ED'FDR ISSUAN~f BY. LAUNDRY TRAY ~ A~T r'Jj ")f1 1 CLOTHES WASHER /::. • ;} /9.JI i a _,,.,,1 .€,,( ....... WATER HEATER ' .,.. ·.,. -, _ _., DAT'E •• > /' URINAL NOTICE -THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN , TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ·PERIOD OF 120 .0AYS AT ANY TIME AFTER WORK IS COM-, SLOP SINK MENCED. / GASSYSTEMS:NO.OUTLETS ~· .. ,t-;,) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . . APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PRO.VISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITl'i WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM . SEWER NUMBER CLEANOUTS CESSPOOL o\J; ~ t\'Z~~,,.,..,,.,. ___ SEPTIC TANK & PIT .1../-"i-7·"'1 ROOF DRAINS SIG/l'rE or-c-i:m.TRA"tTOlt OR AlJ'fHORl~£0 f,GENT ' (DATE) ,:,., .. .. ISSUANt;:E FEE $ :~ .a a . SIGNATURE. OF' OWNER (IF OWNER-BUILDER) (Of,TE) TOTAL FE:ES . $ ~ j,j.,..u : -WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH 'PERMIT VALIDATION CK. __ .. _;/!: M.O. CASH INSPECTOR'. -- INSPECTION REPORTS .. DATE ITEM REMARKS ·-J-NSPECTOR ' ' •. .. . · . ,.,,. ' ,· .. I •' ,,;..---. ':.: USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. .. l, ·---,;;,....,;::;-tr:::-,--'Z\,', ~ ..... ,,-~"";--,,--....-i•---~-~ .• ---.,(-.- ·' \•1;;_~,-;:-.,.,_ •.,_ e, PLUMBl:NG PE-RMIT· APPLICATION : City of 'CARLSBAD; CALIFORNIA 92008 ·-,,,. -" ~-, Applicant to compl~te nurhlier~d spaces :only,: Pho·ne · 729-11'81 Perm it No -- JO& ADOR ESS L.r"l. 2-sor-1 LEGAL 1 DESCII. .I LOT NO. CDNJ!i;"CS.R A. . . MAIL ADOREs'f PHONE STATE LIC. NO. 3 i-¥..'\f' J OiUM~t~ Cn~ ~'e~ Mt~~.,. u.a t6l-t<; le:J ARCHITECT OR DESIGNE'R 4 ENGINEER MAIL ADDRESS 5 COMPENSATION (NS. CARRIER MAIL ADD"ESS 6 t~rr\ -1.. 1,_rLJL USE OF BUILDING 7 8 C:li!SS of work: ~ 0 AO_OITION 0 ALTERATION 9. Oesi;ribe work: SPECIAL CONDITIONS.: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY. DATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION· AUTHORIZED ·IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT· I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW-THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRAN'TING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ~~~ns~S~ilg~ A~~ 0-l~f Rpi1';:1'k~~kgfA6i=u~i~t-?~&tli~~ l}~'~ . ' . . - ~. -\~- SIGNATURE OF" CONTRACTOJll OR AUTHORIZED AGENT (DATE) SIGNATURE OF" OWNER (IF OWNER 9UILOER) (DATE) PHONE LICENSE NO. BRANCH D REP-AIR PERMIT FEES N.o. Type of Fixture or Item f,;h WATER CLOSET (TOILET) BATHTUB ./:_,. LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK ,-~ GASSYSTEMS:NO.OUTLETS • WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM I SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SP.4:CE) Tl-!IS IS VOi.JR PERMIT· PLAN CHECK VALIDATION CK. M.o. c;~sH PERMIT VALIDATION cK. M.O. INSPECTOR CITY LJC. NO. Fee q {J{'} $ CASH -- " INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.