HomeMy WebLinkAbout2525 EL CAMINO REAL; 9030; CB003120; Permit09/25/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB003120
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAMINO REAL CBAD St: 9030
Permit Type: Tl Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Status: ISSUED
08/23/2000
RMA
Valuation: $0.00 Construction Type: NEW Applied:
Occupancy Group: Reference #: Entered By:
Project Title:
09/25/2000
ALLSTATE CELLULAR-KIOSK WITH Plan Approved:
OVERHEAD LIGHT BAR
Applicant:
PLAZA CAMINO REAL
C/0 WESTFIELD CORP INC
11601 WILSHIRE BLVD
LOS ANGELES CA 90025
Issued: 09/25/2000
Inspect Area:
Owner:
PLAZA CAMINO REAL
C/0 WESTFIELD CORP INC
11601 WILSHIRE BLVD ,r-
LOS ANGELES CA 90025 w ' 4 091-.J/00 0001 01 02 C-PRMT 21-00
Total Fees: $21.00 Total Payments To Date: $0.00 Balance Due: $21 .00
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Inspector:
$0.00
$0.00
$0.00
$0.00
$0.00
$1 .00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Meter Size
Add'I Reel. Water Con. Fee $0.00
Meter Fee $0.00
SDCWA Fee $0.00
CFO Payoff Fee $0.00
PFF $0.00
PFF (CFO Fund} $0.00
License Tax $0.00
License Tax (CFO Fund} $0.00
Traffic Impact Fee $0.00
Traffic Impact (CFO Fund) $0.00
LFMZ Transportation Fee $0.00
~~~i~~" PERMf~:~~ MECf:i~ "t.oo r-Master Dra~oarJ flCCORDANCll" wm1 iPr,l~
t Sewer Fee:• 4 ~ $f)~b'· . . ... Redev ParK1ng Fee: $0.00
~ ~OT L PERMIT FE§itNATURE C t~J) $21.00
FINAL APPROVAL
Date: ------Clearance:------
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No .{Je.l{) ?/c?,{)
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL. __________ _
Plan Ck. Deposit ______ ..,...::;,..__
Validated By ___ _,,....-.,..____,~..,,.."r--
Date _____ ~r't--r-""::9~~-r~.---
Address (include Bldg/Suite #)
Total I of units
#of Stories
Name Fax#
3. APPLICANT O Contractor
Address City _51 State/Zip Telephone#
4.
Name Address City State/Zip Telephone#
5. CONTRACTOR • COMPANY NAME
(Sec. 7031.6 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001).
Name Address City State/Zip Telephone#
State License I----------License Class ----------City Business License # --------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 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 Policy No. Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED 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
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage la unlawful, end shaD subject an employer to criminal penaltlH and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages H provided for In Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE ==--===:;::;:;=;::===~--~-~~
7. OWNER•BUILDER DECLARATION
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 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 exclusrvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
~tractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ------Business and Professions Code for this reason:
1.
2.
3.
I ~ally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES )qNO
I~/ have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
4. I plan to provide portions of the work, but I av hired vise and provide the major work (include name I address I phone
number I contractors license number):_--='~""'~'4.<P........_--lc~A,ll-1,.II.A..,...<.\--s..L.IL:.-i......,~~=...t.------------------------
6. I will provide some of the work,
of work): __________ ....,.. __ ....,.. _ __,,---f',r-r-1'\:7'------:,----,-..,..~------------,,.....+----1-------------
PROPERTY OWNER SIGNATURE __ ..:::,._-+~+a...-..£.(,,d--J~~.,.c-.:_,lf-_.:.4-=!.....lo<:..ie::!....::::...= __
COMPLETE THIS SECTION FOR NON-RESJD 'N
Is the applicant or future building occupan requ ed
program under Sections 25605, 25633 or 26534
subm iness plan, acutely hazardous materials registration form or risk management and prevention
e 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ---------------LENDER'S ADDRESS -----------------------------9. APPLICANT CERTIFICATION
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 Gitt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by lhe 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 nol co ced within 180 days fro 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 com enced r a pe~od of 180 d Sec · 106.4.4 Uniform Building Code). o./i J I~'
APPLICANT'S SIGNATURE DATE V _t.<J _UV
I I YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB003120
Date Inspection Item
02/27/2002 19 Final Structural
02/27/2002 19 Final Structural
10/18/2000 19 Final Structural
Type: Tl
10/13/2000 14 Frame/Steel/Bolting/Weldin
10/13/2000 14 Frame/Steel/Bolting/Weldin
10/04/2000 89 Final Combo
09/29/2000 14 Frame/Steel/Bolting/Weldin
Friday, March 01, 2002
COMM
Inspector Act
TP co
TP CA
TP NS
TP co
TP NS
TP co
TP NR
ALLSTATE CELLULAR-KIOSK WITH
OVERHEAD LIGHT BAR
Comments ·····-·------
KIOSK REMOVED -EXPIRE PERMIT
KIOSK HAS BEEN REMOVED -EXPIRE
PERMIT
NO PLN PREV. DAY 10/17
NO PLN
ELEC NOT PER PLN
NEED FIRE APPROVAL, PLN
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