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HomeMy WebLinkAbout2515 EL CAMINO REAL; MULTI-PERMIT FILE; CB153093; Permit.:1 City of Carlsbad 1635 Faraday AV Carlsbad, CA 92008 09-21-2015 Sign Permit Permit No: CB153093 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2515 EL CAMINO REAL CBAD SIGN ·1563020700 $6,000.00 Lot#: 0 Construction Type: 5B LUXE BUFFET: REPLACE 3 EXIST SIGNS Owner: Status: Applied: Entered By: . Plan Approved: Issued: Inspect Area: ISSUED 09/21/20-15 JMA 09/21/2015 09/21/2015 SIGN ART COMPANY 423 S. CALIFORNIA STREET WESTERN PROPERTIES THREE L LC <LF> PLAZA CAMINO C/0 WESTERN PROPERTIES THREE. 91776 626-287-2512 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 111 GREAT NECK RD #412 GREAT NECK NY 11021 $79.11 $0.00 $55.38 $0.00 $0.00 $0.00 $0.00 $0.ffO $0.00 $134.49 Total Fees: $134.49 Total Payments To Date: $134.49 Balance Due: I nl?pector: FINAL APPROVAL Date: If--tf---1$' Clearance: $0.00 NOTICE: Ple~se take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions her~fter 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 prqceclLires set forth in·Govemment Code $ec!ion 66020(a), and file the protest and any other required information with the City Manager for processing in accordance 't.ith Carlsbad Municipal Code Section 3.32.030. Failure to timely follO'N that procedure 'I.ill bar any subsequent legal action to attack, review, set aside, void, or annul their in-position. 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 't.ith this project. NOR DOES IT APPLY to any t exactions of which oo have viou been iv a N Tl irrilar to thi or a to which the statute oflimitatioris has eviousl otherv.,ise e ired. ;, THE FOUOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING . 0ENGINEERING 0BUILDING. 0FIRE {"Cityof Carlsbad EXISTING USE APPLICANT NAME ADDRESS CITY PHONE EMAIL STATE· FAX Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNIT# # BATHROOMS GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME ZIP CITY STATELIC.# Plan Check No. Est. Value Plan Ck. Deposit DHEALTH 0HAZMAT/APCD SWPPP CONSTR. 1YPE OCC. GROUP FIRE SPRINKLERS YEsONoO (Sec. 7031.5 Busine'ss 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 tnat 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 exemP.t therefrom, and the basis for the alleged·exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). · Workers' Compensation Declara~on: I hereby affirm under penalty of pe,jury one of the following declarations: Q I have and will malntai~ a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. "'-I have and will maintain workers' comp s tion,~s required by Section 00 of the Labor Code, for the performance of the wo for-which th· permit is issued. My workers' compensatil)q Insur nee ca.rrie and policy number are: Insurance Co. ___ __,;;L.l~w..~-\.=:=l.~Q~------Policy No. D Expiration Date ::r-..,... • J]!i§,section need not be completed tt the permit is for one ~undred dollars ($100) or less. LJ 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 Calttomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 37 of the Labor code, interest and attorney's fees. K5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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). I, as _owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). 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. 0Yes 0No 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 1 contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): K5 PROPERTY OWNER SIGNATURE 0AGENT DATE j 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? Yes No Is the applicant or future building occupant required to obtain a permitfrom the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000feet of the outer boundary of a school site? .Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address . , ,,; I certifylhatl have read 1he application and state lhatlhe above infonnation Is correct and that the infom\ation on !he plans is accurate. I agree to complyv.ilh all Cily ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property tr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 1HE 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 penmlt is required for excavations over 5'0' deep and demolitk>n or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Ofli:ial under the provisions of this Code shall expire by limitation and become null and void if the building ormrk authorized by such penmit is not commenced IMthin 180 days from the date of such penmlt or if the building orv.ork authorized by such penmit is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Unifonm Building Code) . ...@S' APPLICANT'S SIGNATURE · DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C E ,, T I f ! C A I [ cs [ nt,CUf'A~JCY /Commercial ProJects 0 11 I y l Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE :ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION _,g APPLICANT'S SIGNATURE DATE . .,-,_ Inspection List Permit#: CB153093 Type: SIGN Date Inspection Item ____ _ 1'1/17/2015 38 Signs 11 /17 /4015 38 Signs 11/17/2015 39 Final Electrical 11/17/2015 39 Final Electrical 10/20/2015 38 Signs Wednesday, November 18, 2015 Inspector Act RI PB AP RI PB AP PY CA -LUXE BUFFET: REPLACE 3 EXIST SIGNS Comments Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-14-2013 Permit No: CB131246 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2515 EL CAMINO REAL CBAD PME 1563020700 Lot#: WEST BUFFET -DISCONNECTED GAS LINE -RELEASE FOR SDG&E 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/14/2013 SKS 05/14/2013 05/14/2013 WEST BUFFET/LI CHEN WESTERN PROPERTIES TH~EE LL C <LF> PLAZA CAMINO C/0 WESTERN .PROPERTIES THREE 2515 EL CAMINO REAL CARLSBAD CA 92008 909-527-5559 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 111 GREAT NECK RD #412 GREATNECKNY 11021 $154.00 $0.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: FINAL Aj:PROVA3 Date: _j ·/S-· / Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit Was issued.to protest impo~ition 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 fE'les in connection with this project. NOR DOES IT APPLY to any fees/exa lions f which u have reviousl b en iven a NOTICE simil r to this or as to whi h the statute of limitations has reviousl otherwise ex ired. .. · THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERM!T ISSUANCEi O Pl.ANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD ~ «.<~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov. www.carlsbadca.gov SUITE#/SPACE#/UNIT# . Plan Check No. C- Est. Value Plan Ck. Deposit # OF UNITS .# BEDROOMS # BATHROOMS TENANT BUSINESS NAME ~\- r A ' CONSTR, lYPE ~\- OCC. GROUP · DESCRIPTION OF WO~K: · Include Square Feet of Alfected Area(s) f' . ~ ~ ~ l\~ b1.SU:f\('12-· &-'P~ EXISTING USE · PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NOD APPLICANT NAME (Primary Contact) Li APPLICANT NAME (Secondary Contact) ADDRESS CITY C C\.,Vl CITY STATE PHONE FAX .EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS- CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX E AIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC. # STATE UC.# CLASS Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the fol/awing declarations: AIR CONDITIONING YES D NOD ZIP ZIP Cl"IY BUS. UC.# FIRE SPRINKLERS YES D NOD D I have and will maintain a certlficate of consent to self.insure for workers' compensation as provided by Section 3700 of the Labor Code, fo.rthe performance of the work for which this permit is issued. D I have and will maintain workers' compens.ation, as required by Section-3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensation insurance carrier and policy number are: lnsuram;eCo.,_~---~---~----------Policy No. ______________ Expiration Date _________ _ This.section need not be completed if the permilis for one hundred dollars ($1 OQ) 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 subjectto the Workers' Compensation Laws of Calffornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall'subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 ,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. {:~;;~:·~IGNATURE· gi]l!iEllil!fllRR M'fflr."Cl"!lA-G~EN,..T=-,DA,..TE _ _..-~~-!":"I"-.----~~~,~;,..· ~ ·/ hereby affill'(1 that I am exeynpt from Contractor's Ucense Law for.the fol/owing.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 awrier of property who builds or improves thereon, and who does such work himself or through his own employees, provided thal such improvements are not intended or offered for sale .. if, however, the building_or improvement is sold within on~ 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 1,.as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property. who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant-to the Contractor's License Law). D I am exempt under Section ·Business and Professions Code for this reason: 1. I personally plan to provide the major labor ~nd materials for construction of the proposed property improvement. c:J Yes c:J No 2. I (have/ have hot) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the prtiposed construction (include name address I phone /.contractors' license number): 4. I.plan to p~ovide portions of the work, but! have hired the following person to coordinate, supervise and provide.the mai.oiwork (inplude name/ address/ phomi / contractors' license number): 5. I will provide some of the work, but I have contracted.(hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): :K5 PROPERTY OWNER SIGNATURE CJAGENT DATE ' Is the applicant or.future building occupant required to submit a business plan, acutely hazardous materials regis~tion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner-Hazardous·Substance·AccountAct? 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 district? Cl Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl No · IF ANY <;)F THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there:is a construction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i} Civi_l Code}. I certify1hatl have read 1he appllcatiori and state 1hat1he above infmmation is conectand 1hatthe Information on the plans is accurate. I agree to complywith all Ci1y ordinances and State laws relating ID building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property ilr inspection purposes. I ALSO AGREE TO SAVE, INDEMt-llFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL l;JABILITIES, JUDGMENTS, COSTS AND EXPENSESWHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C0NSEQUENCE OFTRE 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: Eve,y permit issued by the Building Official under the provisions of this Code shall expire by !imitation and become null and vbid if the building or oork authorized by such permit is not commenced v.1thin 180 days from the date of such permft or if the building oroo orized by such permit is suspended or abandoned at any time after the v.urk is commenced for a periQd qf 180 days (Section 106.4.4 Uniform Building Code) . ...@S' APPLICANT'S SIGNATURE DATE /4/ , 3 STOP: THIS SECTION NOT REQUIRED FOR.BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C!ER1!F!CATE 0 f OCCUPANCY /Comrnerc1iif Pro1ects 0 n I y l Fax (760) 602'8560, Email www.building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. \ CO#: (Office· Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP· CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL O.CCUPANT'S BUS. LIC. 1'jo. - DELIVERY OPTIONS q,PICKUP: o CONTACT (Ll~ted above)· o OCCUPANT (Listed above) ti CONTRACTOR·(On Pg. :I.) o ASSOCIATED CB# Cl MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION Cl MAIL/ FAX TO OTHER: ___ o CHANGE OF USE/ NO CONSTRUCTION .. ~ APPLICANT'S SIGNATURE DATE . t Inspection List · Permit#: CB131246 Type: PME: WEST BUFFET LINE --RELEASE FOR SDG&E _D_a_te ___ l_ns~p~e_c_ti_on_lte_m _______ ln_s_,.p_e_ct_o_r_A_c_t __ C_o_m~_m_en_t~----·-·---·---------- 05/15/2013 29 Final Plumbing PD . AP Thursday, May 16, 2013 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-10-2009 Sign Permit Permit No: CB090222 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2515 EL CAMINO REAL CBAD SIGN Lot#: 0 1563020700 $1,200.00 Construction Type: 5A WEST BUFFET ONE ILLUMINATED WALL SIGN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/10/2009 MOP 02/10/2009 02/10/2009 SIGNS 4 BIZ STED WESTERN PROPERTIES THREE L LC <LF> PLAZA CAMINO 0/0 WESTERN PROPERTIES THREE 940 W SAN MARCOS BL VD SAN MARCOS CA 92078 760 7 44-2929 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 111 GREAT NECK RD #412 GREAT NECK NY 11021 $29.14 $0.00 $18.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $48.08 Total. Fees: $48.08 Total Payments To Date: $48.08 Balance Due: lnspei:;tor: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the" mposition' 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 a~ide, 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. · -City of Carlsbad 1635,faraday Ave., Carlsbad, CA 92008 760-602)2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application EXISTING-USE CONTACT'NAME (If Different Fom Applicant) ZIP o,;).S- ARCH/DESIGNER NAME & ADDRESS . STATE LIC.# SUITE#/SPACE#/UNIT# # BATHROOMS S' .I Date PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ APPLICANT NAME ADDRESS CITY STATE PHONE FAX EMAIL PHONE EMAIL 3 CLASS C- CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS NOD YES D NOD ZIP (Sec. 7031.5 Buiiness and Professions Code: Any City or Countr, which requires a permit to construct. alte~ improve, demolish-or reP,air any structure, prior to ·its issuance, ·also requires the aP,plicant for such Rermit to file a signed statement that he is ficensed_Jlursuant to the provisions of the Contractor's License law {Chapter 9, commending with ·Section 1000 of Division 3 of the Business and Pro1essions Coae} or t~at he is exempt there from, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars-{$500}). : w·€immi€fmit·-;. · Q y : .. Workers' Compensation Oeclaraliofl: / hereby affirm under penalty of petjury one of the following declarations: ~ave and will maintain a certificate of consent to self-Insure for workers' compensation as provided by-Section 3700 of th~ Labor-Code, for the performance of the work for which this permit is issued. pr !·have and will maintain workers' o ensa n _y requir by Section 3700 of the Labor Code, for the performance of the wor for whi this permit is issue y workers' compensation insu ce carrier and policy number are: Insurance Co. _ Af S ~ Policy No. 0 S Expiration Date -,,L-.~-""'---+----- This·section need not be completed if the permit is r 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. WARNING: Failure to secure work ' nsali. e is u ul, and shall subject an employer to criminal penalties and civirfines up to one hundred thousand dollars (&100,000), in addition to the.cost of compensation, dama r In Sectlo of the bor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE ----"-.::::-~-,c..._--r:...,..._ c;;:-2 -/ cJ -CJ @i!Vthom"m@o· .I'::,.-~;,, /·hereby affirm that I am exempt from Contractor's License Law 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 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 a.n owner of property \',/ho builds.or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am ex'empt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. D Yes D No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I-have contracted with the following person (firm) to provide the proposed construction (include name address/ phon$ / contractors' license number): 4. I.plan to Rrovide portions of the work, but I have hired the following person to -coordinate, supervise and provide the i:najor work (include name I address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): £$ PROPERTY OWNER SIGNATURE . DATE ·1s the applicant or future buflding occupant required tci'submit a business plan, acutely hazardous materials registration form·or risk management and prevention program under Seciions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district orair quality management district? D Yes D 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 POLLUTION CONTROL DISTRICT. I h~reby·affirm that there is a construction lending agency for the performance of the work this permit isissuea (Sec. 3097(i) Civil Code). Lender's Name L~nder's Address . ~miR,ii/rqQa1tf-~@,{;}(f I certify that I have read the application and state that the above infonnation Is correct and tl]at the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. !·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 .A.GAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories iffheight. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such perniit.or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/10/2009 Permit# CB090222 Title: WEST BUFFET Description: ONE ILLUMINATED WALL SIGN Type:SIGN Sub Type: Job Address: 2515 EL CAMINO REAL Suite: Lot: o .Location: APPLICANT SIGNS 4 BIZ -----Inspector Assignment: J~ } . Owner: WESTERN PROPERTIES THREE L L C <LF> PLAZA CAMINO Remarks: Total Time: CD Description 38 Signs Date Description Act Comments Requested By: JEANNIE Entered By: CHRISTINE ~-----'-------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Act lnsp· Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-12-2009 Miscellaneous Permit Permit No: CB081416 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2515 EL CAMINO REAL CBAD MISC Subtype: OTHER 1563020700 Lot#: 0 . $0.00 WEST BUFFET-ADD DRAIN TO EAST SIDE OF BUILDING TO TIE IN TO THE GREASE Owner: ABANDOND 07/21/2008 RMA BLUE PLANET DRAINS & PLUMBING INC WESTERN PROPERTIES THREE L L C <LF> PLAZA CAMINO ·C/O WESTERN PROPERTIES THREE 1558 CIRCULO BRINDISI CHULA VISTA CA 91915 619 863-9593 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: . Inspector: $0.00 111 GREAT NECK RD #412 GREAT NECK NY 11021 Total Payments To Date: $0.00 Balance Due: $0.00 $0.00 $0.00 $0.00 FINAL APPROVAL Date: Clearance: -------.--- $0.00 NOTICE: Please take NOTICE that approval of your project includes the '.Imposition" of fees, dedications, reservations, or other exactions hereafter collectively . referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and .file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure Will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any t x i n f whi h h v r vi I i Tl imil r hi r hi h f limi i n h r vi I h rwi -t'ity __ ;~f. ·carlsbad 1635-Faraday Ave., Carlsbad, CA 92008 : 760~602-2717 / 2718 / 2719 · Fax: 760°602-8558 . www.carlsbadca.gov . : Bui.ldin, Permit Applicatiora B·ADDRESS.q ,C::, 1-5 .· CA R . crQ _.Ff-.L . HtNe EAL-. . SUITE#/S/'ACE#/UNIT# ~OT# PHASE# # BEDROOMS ,# BATHROOMS ADDRESS · CliY PHONE PROPERTY9WNER NAME ·, ADDRESS CliY STATE ZIP PHONE FAX EMAIL . ARCH/DESIGN~R NAME & ADDRESS STATELl9,# Plan Check No. STATE ZJP FAX lt/!fo DCC.GROUP FIRE SPRINKLERS YES D NbO !Sec:.:7031;5 Business and Professions-Code: Any· aiy or·CountY, which requim · a permit to construct. altti1 imprqve, demolish or rtP.,iir arr, itnicture1 pfior to· itsJssuanet, also requires the applicant for such J!frmit to file a signed statement diat he is . ficensed JJ.Ursuant to the provisions, of the Contractor's License law {Chapter 9, commending widr Section 000 of Dmsion 3 of· the' Business. and·Proressions Code}' or· that he is exempt therelii>m, and the basrs for the alleged exemption. Any violation of Se'ctioir 7031.5 bpny ~~icant for a. permit subjects the ap~icant to a civil penalty or not mort than five hundred' dollan {$500}). · _ · , WORl(E'RS' COMPENSATION . . Workers' Compensation.Declaration: I hereby affirm under RBnalty of perjury one of the following declarations: Cl I have and.will maintain a certificate of coil sent to self-insure for workers' compensation as provld!l(l by-Section 3700 of the Labor Code, for the perfol'!llance of.the work for which this permit Is issued. 'j(('·1 havnnd will maintain worktrs' c mp_ satlon, as required b Section 700 of the LaP.2[ Codfl, for the performance of the work for which t': _permit} issu~d. My workers' compensaljQ(l in ranee c rier and R licy number are: Insurance Co. · . . . · Al::::>, Policy No. :Z "?-9 -Dr2.. .'-/0 5 I Expiraliqn Date _ _._'1'-1-. -""-'-l-t--"-c:u-1.<-e1- This section need not be completed if the permit is.for one hundred dollars ($100) or less. · Cl Certificate of Exemptlon: I certify th~ iii 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 C lifQrnia. WARNING: Failure to secure.workers' compensation coverage is.unlawful, and shall subject in erhployerto 'criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In _ddition to.th, cost of compensation, damiges as provided for in-Section 3706 of the labor code, interest and attorney's fees. I hereby affihn that i am f!Xempt from Contrac,;,s License Law for the following reason: a I, as owner of the property or my employees.with wages as·thelr sole compensation, will do the work and the structuitl Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply fo 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). CJ I, as owner oflhe property, am exclusively contracting with licensed contractors to construcrtheproject-(Sec. 'l044,-Buslness and Professions Code: The Contractorsticense Law does not apply to an owner of property who builds or improves thereon, and contracts for such pro]Qcts with contractor(s) licensed puri;uant to-the Contractor's License Law), Cl I am exempt-under Section ____ Business and Professions Code for this reason: 1 :I personally·plan,to provide the major labor and rtiaterlals for construction of the proposed property improvement. .Cl Yes a No 2. I (have I have not) signed an· application for a building permit for the proposed work. 3. I have contracted ~ith .the,following;person (firm) to provide the proposed construction (include name l!tfdress·/ phone 1 contractors' license number): 4.·1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise·and provide· ihe major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have bontr~ted (hir~) the following perspns to provide the work indicated (include name/ address/ phone/ type of work): . Ji5 PROPERTY OWNER SIGNATURE DATE > • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMIT$ ONLY Is me applicant or future buildi_ng occupant required to submit a business plari, acutely hazardous materials registration form or risk rfla.nagement arid prevention.program under-Sections 25505, 25533 or 25·534 of th·e Presley-Tanner Hazardous Substance Account Act? Cl Yes Cl No · Is the applicant or future building occupant required to obtain a permit from the air pollution control district oralr qualify mailag_enient district? Cl Yes Cl No Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? Cl Yes Cl 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 certifythatl llave read the application and statethattheaboYe information is correct and that the information on the P.lans is accurate. I agree to comply.with all City ordinances and State laws relating to building construction. i hereby authorize representative of the Cit,' of Ca1sbad to E!llter upon the allow mentioned property for i1spection pt)rPQSeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennltis requiredforexcavatipns over5'0' deep clld .. or construction of structuresover3 stories in height . EXPIRATION: Every pennit ~ by the Building Official u the p of this Code shall expire by Imitation and become nun and void if th~ building or wOl1< authorized by such pennlt is not commenced within 18 daysm the date of su,ch ~or if the build' or • ysuch · · · suspended orabaldoned atany:time after the wOl1< is commericedfor a period of 180 gays (Section 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE 7-_:2 J-eP-btJ'Y (07/31/209BLR!eneJte_Abb~t,£l"d: Rj": §Q['Y::-Dere i/jj~t. _ _ . ~---·--·.J:§.9~_-u From: Don Wasko To: James Wood k; Mike Peterson; Paul Hartman; Date: 07/22/2008 4:41 PM Subject: Fwd: RE: Sorry---here is the attachment. All, Here is Jon's· response. We want to reject this proposal on several issues. Please let me know when the plumber wants to re- submit. Thanks, Don >» "Jon Kinley"_ <ikinley@ecisqlobal.com> 07/22/2008 4:11 PM>» Don- I would recommend that the city reject this drawing and proposal. This is not an acceptable submittal for numerous reasons. It does not accurately show existing plumbing waste/vent lines-it does not call for the removal of the illegaly installed Grease trap located outside-it does not show the official "Mat Washing" area outside nor does it give any detail on location-size-type etc .. , it does not show a plumbing detail for the vent that should be installed. for the new 2" line and i believe we also wanted them to build a spill c;ontainment dike around a new storage location preferrably under the existing cover for the Grease Barell. On last inspection this bare II was only feet away from a drain .leading directly to the storm drain. This barell should not be stored where it is, at the bare minimum the city should require the barell be moved under the awning and be stored in either a permanent or·portable secondary containment device. If the city does not want to. make the restaurant build a containment dike the next option would be to have the restaurant purchase a sec.ondary containment device for the barell. All these points should be spelled out and addressed on the Scope of Work submitted on the plans. Plans should be 24X36 standard size by a licensed CA engineer. This is also important from a legal standpoint should a problem occur in the future. The city can always maintain that the plans approved met basic standards an<:;I it was the restaurant that did not meet. the. permit requirements. Let me know if you would like me to take a look at the plans when they come in-b!Jilding can inform ~pplicant to send-me a copy and i can plan check them for you-when they are approved i will submit them back to building and the applicant can pick them up there, we will just treat it as though they were submitting ·plans for a Grease Control Device installation. Thanks Don-contact me anytime with any questions. ~ ~ From: Don Wasko [mailto:Dwask@ci.carlsbad.ca.usj Sent: Tuesday, July 22, 2008 3:47 PM · To: jkinley@ecisqlcibal.com Cc: Cari· Dale; Mike Peterson; Mark Stone; Will Foss Subject: Fwd: Sorry--here is the attachment. Jon, Here is the proposed improvements for the West Buffet. I don't know much about FOG plumbing, but I do know this looks like the plumber does NOT have all of ~heir bases covered. Let me know this stands. Thanks, Don »> Raenette Abbey 07/22/2008 3:36 PM»> Sorry---here is the attachment. 1 · ...... : ... -~---·-·· ..... , .. , ...... ,~.:... ........ , .. ·., ... , ----~ (Q? /22/20,q~u~ae,ne!t~. 6P~~Y.: \JYel?!J~uff~t. ·- From: To: CC: Date: Subject: Hi Will, Paul Hartman Will Foss Don Wasko; James Wood Jr. 07/10/2008 3:26. PM West Buffet =· Thanks for taking the time to work on the problem at West Buffet today. I spoke with Don and Jon (ECIS) this afternoon and I think we're all on the same page. Jamie will contact Ben (West owner)this afternoon ~o bring him up to speed. All have agreed to meet and review the plans over the counter when they come in, so can you make sure that counter staff notifies Jamie when the plans are submitted? He will be the contact for our department while I am out. Thank you, Paul PageJfl CB081416 2515 EL CAMIN~ REAL WES'r BUFFET-ADD DRAIN TO EAST SIDE :oi= BUILDING TO TIE IN TO THE GREASE ,,,.1--rrn,-..r-r"'"IT,-..r-,, / 7/41/orf -~~ /[J 1o_,-:5/HttlL /14. __/o/-{})lJJI/ 01f ~ 1 U/)A{Y/ AM-~ . 7{'2-0/68 (<... If (vle-~?,Q._ <-{ wt~c1t( ( ~l, ... ~ t) -\v G-. Lt ~c!> l C) f_ c.LS ~ ~ tt ( <), ---· fo<:-· 14rfr61>2ez t P&m s @; g .. 2 l \ ti O 'ii -A-b ~)\),Co/. Wo 14<.. 001,}E Llf'-)0-"-V' rvYl IT 03oe 2 I $1,/ bJri/zv ((}J1 ~ P-MJ, . ~ ll&DNI . 511-==--~ ~~ ------FR.VMFCM . . _____ HEM.ntDIPt . -----INIM1'tMIQUM. ------OTHIIUIIWl!IUllnt MOM ____ ..., ___ ICNDCIL.a. CPDPONII ___ ..., ___ Pl.11'1111WCJMltElll'la,_. ET ... _______ 8P!C, ... . PI.MCOM -------ENG CORR ...COM --...---+---COM -~ I I 2/tr 7 ° '7 . s b?kpf:f •. City of Carlsbad 1635 Faraday Av Carlsbad, CA ~2008 10-12-2006 Sign Permit Permit No: CB062962 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2515 EL CAMINO REAL CBAD SIGN Status: Lot#: 0 Applied: Valuation: 1563020700 $1,500.00 Construction Type: NEW Entered By: Reference #: Project Title: WEST BUFFET: NEW SIGN Applicant: SIGN ART COMPANY 423 S. CALIFORNIA STREET 91776 626-287-2512 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 Plan Approved: Issued: Inspect Area: Owner: EL TORO ASSOCIATES WESTERN PROPERTIES THREE LLC 111 GREAT NECK RD #412 GRl=AT NECK NY 11021 ISSUED 10/12/2006 JMA 10/12/2006 10/12/2006 $29.73 $6.oo $19.32 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $49.05 Total Fees: $49.05 Total-Payments To Date: $49.05 Balance Due: Inspector: Clearance: $0.00 NOTICE, Please take NOTICE that approval of your project includes the 'Imposition'. of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a}, and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad·Municipal Code Section 3.32.030. Failure to timely-follow'lhat 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 witMhis project. NOR DOES IT APPLY to any t es/ xacti n of which h v r vi I n iv n N Tl E imil rt hi r whi h h f limit ti n has reviousl otherwise ex ired. ( ~ . ,, f>ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT .. 1635 Faraday Ave.,· Carlsbad, CA 92008 Lega·1 Description Lot No. Subdivision Name/Nu'mber Assessw's Parcel # Name -Address City FOR OFFICE. USE ONLY PLAN CHECK NO. C(6{)~ ~q bz_ EST. VAL. rj' q .-- Plan Ck. Dep<;>sit 'Gf • 0 '5 Validated By l j ~~ Date . 10 _L~l_ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms · # of Bathrooms S.tate/Zip Telephon~ # ~:l~r!l,;T.fm:Q,TQ'BY,~Qq-Ml~~~N~M_E~'-~-::S~~':~,,1~:J.~~~~,,,i~~~7:;j~7~-;-_J;;:~;:,-;:;;.:::~~:\~J!T:~~;L~~;~~;~JtK-:~1i:::~;;:11:·:~e1,1~_-~~!~t~;;t~~;~ (Sec. 7031.5 Business and Professions Code: Any City or County which requir11s a permit to constr1Jct, 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 pljrsuant to the provisions of the Contractor's License L~w [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 fi7 exemption. Any violation of Section 7031.5 by any applicant for permi subjects the applic11nt to a ci ii penalt f not more than fiv~ hu dred dollars ($500)). -:-:------~L.4--~~~+.,.....&.<:~-':--;-;--1--==~~:.....:...=-..:....==--..L..!.,'"~c...L..,<-L..:'*'=":-=-~-.,::;..~~;;:=;~"-:;:':;::~'::-!;'"""/...__"+t'_'.7'-~/ 2.-Name State License# ~~7~:_.t~-+7 ........... C/-0_3~-License Class C :::(p:L _ City Business License # -------~ Designer Name State License # Address City State/Zip Telephone ~;J~.Qll.ltf:fi~:;:;~lj:;;;q:;;9::;:y~:;;;J!;,..f.;:;8;;;);;;:A[;:;:;;;F:;;iL;:;N;;:~:;:::;;:, """:;, =~::;<;:.._.,-~--:~~,.L,L;J:I~~:::hJ~;~y:r::~~2~~:;:~~~~~:E~5T(-;JCY::::'2~6:[§1J'}2i:~ftl7:~-~!r::~1--~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~-I have and will ml[lintain worke;s' compensation, as required by Se~tion 3700 of the Labor <;:ode, for the performance of the work for which this permit is issued. My worker's compens ··o insurance carrier and poli Y number are: . ? !' ~f ! ,Q Insurance Company Tic. . Policy No. ( ] l:> :2_ Q_ ~ 1;;2 Expiration Date 2 -I--lJ 1 r (THIS SECTION NEl;D NOT BE COMPLETED IF THE PERMIT.IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) T .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. · WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an.employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addit n to th ost o c mpensation damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ' -------DATE I D ~ I /-'{) '6 ' t1~1liLQWJiAAf il:IJijPj.fJ;'pijij~f!A,:JQNJY;~~;--:~~·;·~/.ii~:If.:f ":~/..~:±-r_·:~1z}·ill;:~1t:i~Fi;~~;;·~,;~)i ·:~ i~·13,;;},,:~t;~\~;~:a::~'3/f t;~J;i~~t~~f:2:;~~~~~;·t~t ~:t~z1~k?if{\\ ii>-}ttft~~~\~'.~~~t-;~\;):1?.t~ 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 employees with wages as their sole compensation, wiil 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 ~pply 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 bui)d 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 Contract_or's License Law). D I am exempt under Section -~----Busines's 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 number/ contractors license number):·-------------------------------'--'-----......,;'--------------- 5. I will provide some of the work, but .I have contracted (hired) the following pe~sons to provide the work indicated (include name / address / phone number / type of work):. ___ ~-----------------------------------'---------------.--- PROPERTY OWNER SIGNATURE~--------,-----------,-----------,---DAT!; _________ _ t®mgr?.!:iltTu11rm101iiiiR!'ii:Qtiii~iiltiimf!iu1~.oiij~'.£~t\tJii1rs@1i~'f1tsi:±~'i:2!~:;;;1~it;n~&i1ti~--i:.zb§::i:!}~t~,'ii:~?f0-i~::;tt:?~tr:t;[lqa.1110Xf:0 . 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 s·ections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a-permit fr.om the air pollution control district or air quality managemeht district?· D YES D NO Is the facility to b1;1 constructed within 1,000 feet of the outer boundary of a school site 7 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 POLLUTION CONTROL DISTRICT. @r~zg~r.F1~~T19Nft2tfi~rrrg/~~EN:ffY::1TIJI:;?;\J:_;:t:::·rs:~:i:.)~::iii:?z::~~z::;:t1~r: ~:~}.::.i1~,:.~t.~~~:~~:::0f~--;J\":J?!fr}~¢:2:r~;:.~-:~::&~~·:J:~r;!~~;t;i;~*/~-~:~~r~;1tft\it,JSJ ?;?~·: I herepy af{irm that there is a construction lending agency for the performance of the work for which this permit .is issued ·(Sec. 3097(i) Civil Code). I ?ertify that I have read the application and state-thatthe 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 foi inspec~ion 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 q0NSEQUENCE'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 iss1Jed by the building Official under-the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized 'by such permit is suspended or abandoned at any time after the work is commenced for a peri of 180 d s (Sect' 106.4.4 Uniform Building Code). DATE _"'""'{ ~{)_.-.~f__._[_,-.._'l;)_· _b..___-'-- PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/31/2006 Permit# CB062962 Title: WEST BUFFET: NEW SIGN Description: Type: SIGN Sub Type: Job Address: 2515 EL CAMINO REAL Suite: Lot 0 Location: APPLICANT SIGN ART COMPANY Owner: EL TORO ASSOCIATES Remarks P M. PLEASE 1, Total Time: CD Description 38 Signs Inspector Assignment: Phone: 7607293888 Inspector: Requested By: NA Entered By: CHRISTINE ~ f lt\trtt....- ~comment -$f-~------- Comments/Notices/Hold Associated PORs/CVs Original PC# Inspection History Date Description Act Insp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB041370 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2515 EL CAMINO REAL CBAD SIGN Status: PENDING 04/26/2004 KMT Parcel No: Valuation: Reference #: 1563020700 $6,000.00 Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: GRAND BUFFET-INSTALL 2 ILLUM SIGNS 30" X 27' Inspect Area: Applicant: SIGN ART COMPANY 423 S. CALIFORNIA STREET 91776 626-287-2512 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 Total Fees: $133.67 Inspector: Owner: EL TORO ASSOCIATES WESTERN PROPERTIES THREE LLC 111 GREAT NECK RD #412 GREAT NECK NY 11021 Total Payments To Date: $0.dO $68.89 $0.00 $44.78 $0,00 $0.00 $0.00 $0.00 $20.00 $0.00 $133.67 Balance Due: $133.67 0714 04/26/llf. V't 0002 01 02 f=INAL APPROVAL Date: 1-,~-pY' Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any-other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annultheir imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to wc1ter and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have r vi usl en iv n N TICE ·1milar t thi whi h h statute of limitati ns has r viousl otherwise ex ired. 133=67 ·FOR OFFICE USE ONLY PLAN CHECK No.Cf;OY/3 70. PJ:RMIT APPLlCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 . ..f:J,I,.. C)V EST. VAL. U) I OD(), ' Plc;1n Ck. Deposit ___ -T-.....,,,_,..--"""" Valida}! By VJftt= Date ~a{o I ost ' ' Address (include Bldg/Suite~ Business ·Name (at this address) :2.kt£: l;iL ~l·N2' I<~ ~D 13v~"FZ5T Legal Description ·· LotN~ S~bdivision Name/Number ~~ UnitNo. h:se No. Total# of units Assessor's ·Parcel # Existing Use Propose~ Use Naine Address City State/Zip Telephone# . . . n i\~&~8JA01Tliit-$~.Q~i!ANlfiWtt~~:~~~~iZS~-i~~~~i:::t~::~~=~~~~~Q~0.?i:!l::i~~'.&~~~¼~1~ii~t,i~ (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, a.lter, improve, demolish Qr repair any structure, prior to its issuance, also tequires the applicant for such permit to file a signed statement that 'he is licensed pursuant to the provisions cif the .Contractor's License Law [Chapter 9, c9mmending with Section 7000 of Division 3 of the Business and Professions Code) or that he is. exempt therefrom, ~nd the )?asis for the alleged exemption. Any violation of Section 7031,6 by any applicant for.a permit sub{ects the.applicant to a civil penalty of 11ot more than five hundreld-dollars [$600]). S,/-r-N 4tq: C!cJ 4>3 -~ C1..r,art:n& #; ..9w (iHnk,,f ~ C¥4 tr7Z6. t ~) 2-ff2~?;;ft2- Name · Address . t City State/Zip Telephone # 7 State' Licens11·# / r. 7 Cf~ 5 Ljcense Clas~ C -1(:,S-' City Business Licen~e # a.pf ti{) d -~ Designer Name Address City State/Zip Telephone State License # ~--'-----'---"--~ @:lilWI>lt~l:.1!$le.:O:M~ffi~~~k1:t~1~~:fs~'-, ,~ ~:7e:n~~S~~~~~:--'kS':~~:;~~~S;~~~~~~~l~~~ffi7Si'lll~5\~~f&E Workers' Compensation ·Declaration: I hereby affirm under penalty of perjury one of the following declarations: .0 I have and will maintain a certificate of c9nsent to self-insure fQr workers' compensation as provided ·by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. · ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company . 9--f-o-. 'f-~ Fb-::J. . . Policy No. / / C> :; b Y:..£ Expiration Date ~ "J -o Cf: , (THIS.SECTION Nl:ED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRl;D DQLLARS [$100) OR LESS) D CERTIFI.CATE OF E;XEMPTION: I certify that in the performance of the work for. which this permit is issued, I shall not e{Tiploy any person in any manner.so as to,beco,me subject to the Workers' Compensation Laws of California. · WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dol.lilrl! ($100,000), in addi1ion to the cost of compensation, damages.as provided for in Section-3706 of the Labor code, interest and attorn!ly's fees. SIGNATURE _ DATE-------,,-----,-- ™'Q~ijj([!llIP.(cllfA.W§l?~~1~~~~~2±f2~~ill~~½ri:~~~4~~~i~~~~~1{:~;~\~7,~1~~:i}~~~:~~~~1£:~&~~~~~d~ I hereby affirm that I am exempt from the Contractor's-License Law for the following reason: ·o I, as owner of th~ property -or my employees with wages as. their sol13 compensation, wili do the Work and the structLJre is not intended or offered for sale ($ec. 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 s'uch work himself or through his own employees, provided that S\ICh improvements are not int~nded or offered for sa!e, If, however, the building or improvement is sold·within.one year of completion, the own~r-builder will have the burden of proving that he did not build or improve for the purpose.of sale). ·o I; as owner of the property, .am exclusively contracting with licensed contractors to construct" the project (Sec. 7044, Business and Profes.sions Code: The Contractor's License Law does no.t apply to an owner of property who builds or improves the,reon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). D I am-exempt under _Section ______ Business and Professions Code for th1s reason: 1. f personally plan to.provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO. 2. I (h11ve /'have not).sign.ed ·an.application for a building permit for the proposed work. 3; I have c;ontractild_with the following person (firm)-to provide the proposed construction (include name/ address /phone nLJmber_/ 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 numb11r): ___________________________ ..:... ______ .,_ ___ ....,.. _________ _ 6. I will provide some of the work, but I have contracted (hired) the following persgns to provide the work indicated (include name / address / phone number / type of work):. ________ --'-~--------"----------'---~~------'----------------~=-------- PROPERTY OWNER SIGNATlJRE __ -,-----~--~-------,---.,..--DATE _________ _ tcofiiff!ET£1'Ti!is¥Jtt~.MQl?.Ui1B~~1t~&i111*:ift..~..ili~i.~'Ell'::~l'..~~~'fil:i~~t~'!:~M~!~::1 Is the applicant or future. building occupant required to submit Ii business plan, acutely hazardous materials registratior:i form or risk management and prevention program unc!er·Sections 26606, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? D YES 0. NO Is the applicant or future building occupant required to obtain a ,permit from ·the air pollution cont;rol district o.r air qualify management district? D YES D NO . Is· the facility to be 'cbpstructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE Y~S, 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. fQ~~¥,~QE,tRtl)11QJf1~1~U~~C1~~:ti_.~0~~~:}1~~t&~;;~~ill;f~£~~~~l4t~~~3;fF~1:~tlf!.~k~Wb~~,~~f1:f~liiR~~-:rf!.:~] I hereby affirm that there is a construction lending agericy for the performance of. the work for which this p_ermit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ;;;;;;;;;i·-:;:;;::;;;:;;;;;-;;;::;;::;:;::;::;:;;-::::;;;;:::::=;;;:::;::;;;:::;;;;;::;;::::;;.,.,~LE::;_N:;;D:,:;;E:,:R',:S,.;_A:,D:;,D~R;:ES;:,;S~~;::;::;;;;::;::;;:;;;::;:;;;;;:;:;::-:;;;-!;;;:;;::;;;:;::;:::::;;:::-:;::;:::;;::;;-;:;;;;;;;:;:;;:;;;;;;;;;;:::;;;;;:;-;;:;::;;::;:::;;::::;;::;;:::;;;;:;;:;;;::;;:; [9~'AJ!e~!OAN11cgj:,!111.f[~llQN.C!:;..s,<::s;;,,~;JT~:;¥~¼-~i~Y<h~i;;.,;;tc~¾'.!,~~-;.-Y.!?:~,lf';f.K'; J-·;·J;,11Vi',~b.~~'%ff,¥:,:r;';;:;.1'.Mfki"'1$'T~~~~';z}~ff& "'< "\ _,n...,,,,'W< , , "'.'~ ... ~,ft,.,, ;n~,} • /' \<¼,\ .,,,,\ > , ....... 'I< ., , I,,, WW'",W,f"'" ,, N ,.,,.,,., --~--1>,.• ,,,,,..,,.,. <~v,;,,._y~N,,,, <,,_;;-~ n I certify that I have read the application and state that tt,e above information. is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLES~ THE CITY OF. CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEN$ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE PF THE GRANTING.OF THIS PERMIT. QSHA: An· OSHA permit is req1:1irQd ·for excavations qver 6'0« 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 180days fr<;,m the date of-such permit-or if t_he building or work authorized by such permit"is suspended or abandoned· at any time-after the·work is commen · d for a eriod o 180 days {$action 106.4.4 Uniform BLJilding_Code). DATE __ \.C--'-. _,....._.)..._b~--0...,'fr---- WHITE: Fili! YEtLOW: Applicant PINK: Finance (rJ--/;2_ City of Carlsbad Bldg Inspection Request For: 06/11/2004 Permit# CB041370 Title: GRAND BUFFET-INSTALL 2 ILLUM pescription: SIGNS 30" _X 27' Type: SIGN Sub Type: Job Address: 2515 EL CAMINO REAL Suite: Lot Location: APPLICANT SIGN ART COMPANY Owner: EL TORO ASSOCIATES Remarks: Total Time: CD Description 38 Signs 39 Final Electrical 0 zecomment -+-. Inspector Assignment: _b,... P . . Phone: 6262872512 ln$pector: /2---fo ---,- Requested By: EDDIE Entered By: CHRISTINE . --------------~---~-------c-'------------ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ~' ' (. I ~-\ . ,' J. -~ 0 ~ CZ: ~ ,() w C .0 I hereby 11ff!rm. )h~j, I am llcens'!d under pr9v[slons • of Chapter" 9. (commencing with Section 7000) of. Dlvl~lon 3. of .the Business arid Professions Code, and my license Is in ·fu1110,c11.JJ'f'd.ellfl(:TJ C u: ,.---L,c. No Y/ '-1. ,::)().f Class -i~ I hereby affirm, that I am exe~pt from the Contrac- .tor's License Law for the following· reason (Sec. 7031.5 Business and .professions Code· Any,cily or-county which re: Quires a peflTIU fo coristruct, alter, Improv_e~ demolish, or • rep~ir any Strucfufe, prior to jts.issuaoce also (equIres !he ~P- ·phcanHor.:such permit ·to fjle-a·signed'statement that he Is .licensed pursuant to -the provisions of the Contractor's -License Law (Chapt~r 9 ~ommencing· with Section 7000 .of . D1v1slon 3 of the,BusIness and Professmns Code) or that is ex-·empt'thelefrom' and the basis for. the aflegeo exen]Piicin. Any .violation of Section 7031,5 by-an applicant fora permit s~b-jects the applica~t"to'a ~iv1I perialty·of.n6t'niore. than live hun- dred ao11ars'(~500). . · • . •• O .I, as owner of the property; or my.employees with wages ffi -as·their sole, compensatmn, '(Jill do the work; and the struc- 9 -~~; ~~~~!~~~ag~d':: 01{~ni~tr~~r~i~et,c:~1: • t.~I~6:~ 3 · not apply to can owner of property who ,bul!ds or improves .Ill • • .thereon,antl whd:does such work'himself<o~llirough his own ii: ' employees, provided that such improvements are not intend· ·.w . ed ·or-offered fpr 'sale. If, however, tJie building or improve-Z· . ment is sold within one year of completmn, the owner-builder 3 . will haye-the bur\Jen· of,iifov[ng that he did ·not build crim-p prove-for the purpose of sale). • • • · z 0 ·j:: ~ z w a. :IE 0 0 Ill iic ·~·· CZ: 0 3:, D I, as owner of the property, .am-exclusively contracting ·with licensed cbntj"actorSoto construct the proiect (Sec. 7044, ,·susinci# a!ld fr0fe~smns Code: lhe-ContraCtor's License Law does not apply to an owner,of property who builds or.Im-'proves thereon, and who contracts,for each projects wlfh a cbntractor(s) license pursuant to the yontractor's License Law). . -·, ·• · D As a·homeownerf am improving my home, and the follow-ing.conditions exist: • 1, ·The ,v/ork is bemg performed prior to sale. .. 2.. I have lived in my home for twelve months prior to completion or th1S work. 3. 'I have liot c'laiined this exeniplion during the last three years. . . D I am exempt.under Sec.~~-~-~-, B & P.C. . foHhi~ reason -c-:----------,--,----,~ D I hereby a'fiirm ttii3t I ha>1e·a cert1f•cc!te of cons~nt to self~msure: or a certificate of Workers· Compensation lnSuran·ce. or a·cerl1f1ed copy thereof (Sec. 3800. 4bor CodeJ. • POLICY NO COMPANY ~PY ,s i,1e,i with ·the ~,ty - D ,Cert,fled copy IS hereby furmshed CERTIFICATE OF EXEMPTION FR wo'RKEAS' COMPENSATION INSUR'>.N (This section need not be completed if\ti 1s tor one_ hundred dollars ($100) or d I certify that in the performance of th wi,Ich this P,erm1t 1s ,ssued. f shall ~ot, e!pToy any per~on m any manner so as to become bJeCt to the Work:rs' Compensation Laws of Gahf _rn,a 'NOTICE TP APPLICANT '1(. after rnakm~ this Cert, • ficate of ExemptJon.-you should,become subIect tQ, the Workers' Compensat1on.prov1s1ons ol the Labor Code, y6u most forthw1ltJ comply With ·si.Jch ... pro~1s1ons, gr this permit 'shall De deemed revoked -.'[. o~ ! hereby afhrrTl that -there IS a COnSlructron ffi1 ' lenQ1Dg agency tor the ·per:1QrrJlance of lhe work for 0 , which th1s.perm1t 1s issued (Sec 3097, G1v1I Code) ffi , ,,. Lender's Nam,~'- 1 ...J _ 1. _. Le.nder·s,Address ____ _,;_-~---,-- ...... · , USE B~LL .~OINT PE~: O:NLY_ ~-PRESS ".,ARD APPLICANT TO FILL IN INFORMATION WITHll'fSHADED AREA AND DECLARATIONS. 1 I , . . ., . CARLSBAD BUILDING DEPARTMENT '1200 Elm, Carlsbad, Californic\ 92008-1989_1619) 43~·!i525 l l I I ) ·1 ~ 1 . //J ?~LICATION & PERMIT_ Jo~5is:-. _-.. -~Y--~;:zit ~ __ . _ _1-qAYrt~ONI BVSINES~# ASSESSOR PARCEL NO.. CQ~~RS PHONE# OWNER'S PHONE $3-YI ½ I LICENSE Nd. LOT VALUATION ,..5, ff?ri) ZON!( PERMiT NUMBER qt '·PL.-A"N'r:o. # BLDG ·use CODE 1 \ Lj-/;/JSJ ·f LICENSE# STAN DARO PLA~ # BUILDING SQ. FOOTAGE l ~ J i ! l I . I I .l ~hh'L--'::f:.~~~-25:.__,L..!.....,.,,,?....:_ __ R,t.LJ~:::f;.!{_~::::~~~~~~-~-l DESIGNER'S AODRESS c_ENsu·s; TRACT 1-GP•LANO usE I· PARl<1NG SPACE. RES UNITS I GRADING PERMIT ISSUED y [] N [] .... F/P /:"LR.ELEV· .. ·:,-CJ NO I REOEV~LOPMENT AITTA vO_NO NO STORIES TYP~- CONST DESIJ:;NER'S PHONE DCC GP EDU occ LOAD I FIRE SPR vO NO Not Valid Un/ess:Machi'ne Certified i ! 1 OW. -PLUMBING PERMIT -ISSL,JE /~ , QTY. MECHANICAL PERMIT -ISSUE 3_..-SUMMARY/ACC0.1iil1fj~~U,t*W.~B~ 1 k , , -6],~ GEi . . . . . UGU'f41H"' :'rhm pr;; r: '"> Gri ! . EACH FIXTURE T.RAP 7 . . IN~TALL FURN. DUCTS UP TO 109,000 BTU • BUILDING PERMIT 01·'00'00'8220-J -·.' .... -""I' . ~ I EACH BUILDING SEWER . • .OVER 100,000 BTU • SIGN PERMIT . ~ , 01,00-00-8221 r i ~ACH '(l'AT·~R HEAYER AND/DR VENT • BOl~ER/COMPRESSOR LIP TO 3 HP • PLAN CHECK 01-00-00·8806 TOTAL PLUMBING I E·ACHGASSYSTE-M1T040UT-LETS . BOILER/COMP"RESSOR3-15HP • 11 • •• ____ ., ____ _ 01-00-00-8222 ELECTRICAL ,I· EACH GAS SYSTEM 5 OR MO.RE • METAL FIREPLACE • : ----, __ . . 01-00,00-8223 I D I EACH INSTAl .. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT u ... , __ ,.,.,,,_,._ MFr.HANlr.AI 01-00-00-8224 MORIIFHOMF 01 ·00-00-8225 ! EACH VACUUM BREAKER • MECH EXHAUST -H900/DUCTS • :: ... ___ ·-. _ I ~ATER SOFTNE.R • RELOCATION OF EA FURNAEE/HEATER _ :: ...... -MOBILEHOME PARK INSP ! EACH ROOF DRAIN (INSIDE) I I :: vv~n" - • TOTAL MECHANICAL , : nTnm,n unT>nU Cnl I\D 01-00-Q0-8226 I .• • .:, I nUl'4ll IVIU I IUl'l 80-92-33-0519 FIRF SPRIN:<I FRS 01-00-00-8227 : . T-OTALPLUMBING, ., I . I.,,, __ .,,,, ... __ ,,_ I QTY." ELECTRICAL PERMIT -ISSUE .Y QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00·89ll RRJnr,E FEE I :: I ---·-. SCHOOL FFF. • DISTRICT 1 NEW CONST EA AMP/SWT 1BKR COLLECTORS . !---=-' ,,-. -. -- 1 1· PH 3 PH . • STORAGE TANKS , Carlsbad 80-92-21-0519 Encinitas 80·92-22-0519 San niArn1ito 80·92-23-0519 : EXIST BLDG EA AMP/SWT/BKR 'ROCK STORAGE ., __ ,, __ l 1 PH 3 PH _ • PUMP :: ___ -~---- ! REMODEL/ALTER PER CIRCUIT · . 'PLAN CHECK FEE " ___ ,,,,_, __ _ !=;.;rn M::irr.n~ 80-92-24·0519 I , j TEMP PO LE 200 AMPS . . . . , 1 OVER 200 AMPS . . LICENSE TAX 01-00-0Q-8162 i' · TEMP OCCUPANCY (30 DAYS) . , • · MFF 80-92,57,0519 • • ! CREorr: DEPOSIT : I TOTAL ELECTRICAL. TOTAL SOLAR E'" I' .s ! T.OTAL FEES PAYABLE 'CJ. j ;;;0:..--- l I HAVE CAREFULLY EX-AMIN ED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Every permit issued bytheBuilding'Official undertheprpvislonsofthis I. CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. lf the building or work l DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND -AGREE IF A PERMIT IS · a\f!h(!rlzed by such P!!r'!'il is not commence_d Within 180 days frol'f) the date of such * AN·OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION-OF . ST~l\JRES OVER 3 STORIES 1N HEIGHT ': l ~ u: ~ ~ 0 a. E iP- 1 "O 0 (.'J ~', m u a a:. <( I .!<: .c· a: ·,:~ if Q) Cl) Cl) <( j 3; .2 ai >- en C/l. Q) u 0 0:: m 1ii 0 8 Q) u C m C u::: ~ ...... C Q) Q) & 0 Q, Q) a. Cl) C 2 . ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING ·CON-~e~mit. 0.'..J 1~ the bUlldmr. or work 8~thonzed by such P8(!"I1 15 suspende or l STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND b ndon , I an ltme a ter the work is comm~~ced.for a .e'.1od of 180 da s. ·~ , I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND LICAN:ts SIGNAT~lf-' ' : ~ OWNER CJ APPROVED BY ?1---r EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH · · )' · ! GRANTING OF THIS PERMIT, -/t. . I· ~--·. . • V ,,,..__ ~-':> 1~3 , ) \ t I \ TYPE BUILDING_ FOUNDATION REINFORGED STEEL MASONRY qUNJTE OR GROUT FLOOR & CEll:-ING_SUB FRAME \' r l t i j 'l i I , i - SHEATHING q ROOF OSH~R FRAME i EXTERIOR LATH i INSULATION I INTERIOR LATH & DRYWALL. J 1 ,PLUMBING l SEWER AND BUCO, DIP UCO i UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W.TER TUB AND SHOWER PAN I GAS TEST i D WATER HEATER D SOLAR WAtER J ELECTRICAL i . D ELECTRIC UNDERGROUND D ltlFFER ROUGH ELECTRIC i D ELECTRIC SERVICE D TEMPOijARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPINµ HEAT-AIR COND. SYSTEMS l . VENTILATING _SYSTEMS I 1 < DATE INSPECTOR i CALL FOR FINAL INSPECTION WHEN ALL APPROP. t\ ; , l )~ PLUMBING \\',i 11 ELECTRICAL / ,MECHANICAL ~AS BUILDING ECIALI ITEMS ABOVE HAVq BEEN APPROVED. FINAL ___ i -' • I '11.,,.;,,. •-.~V -· '8 s;;-ooqf4 ' FIELD INSPECTION RECORD ·-' -- REQUIRED SPECIAL IN$PECTIONS INSP~CTOR'S NOTES INSPECT JON REQ,lF INSPECTOR'S DATE CHECKED APPROVAL -SOILS COMPLIANCE PRIOR TO FOUNDATION INSP ' · S'f.RUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED , . CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I I I I i '" ---... ( . _.,