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HomeMy WebLinkAbout2525 EL CAMINO REAL; 9027; CB992361; Permit' .... City of Carlsbad 10/18/1999 Commercial/Industrial Permit Permit No: CB992361 Building Inspection Request Line (760) 438-3101 Job Address: 2525 EL CAMINO REAL CBAD St: 9027 Permit Type: Tl Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: Valuation: $0.00 Construction Type: NEW Applied: Occupancy Group: Project Title: KIOSK -SPRINT PCS Applicant: SCHROEDER CONSTRUCTION 2691 STATE STREET CARLSBAD CA 92008 760-434-4396 Reference #: Entered By: Plan Approved : Issued: Inspect Area: Owner: PLAZA CAMINO REAL C/0 WESTFIELD CORP INC 11601 WILSHIRE BLVD LOS ANGELES CA 90025 ISSUED 06/24/1999 JM 07/13/1999 10/18/1999 Total Fees: $85.20 Total Payments To Date: $85.20 Balance Due: $0.00 Building Permit $0.00 Meter Size Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee $0.00 Plan Check $0.00 Meter Fee $0.00 Add'I Plan Check Fee $0.00 SDCWAFee $0.00 Plan Check Discount $0.00 > CFO Payoff Fee $0.00 Strong Motion Fee $0.00 ~ PFF $0.00 Park Fee $0.00 PFF (CFO Fund} $0.00 LFM Fee $0.00 ~c License Tax $0.00 Bridge Fee $0.00 License Tax (CFO Fund} $0.00 BTD #2 Fee $0.00 Traffic Impact Fee $0.00 BTD #3 Fee $0.00 Traffic Impact (CFO Fund) $0.00 Renewal Fee $0.00 LFMZ Transportation Fee $0.00 Add'I Renewal Fee $0.00 PLUMBING TOT AL $0.00 Other Building Fee $85.20 ELECTRICAL TOT AL $0.00 Pot. Water Con. Fee $0.00 MECHANICAL TOTAL $0.00 Meter Size Master Drainage Fee: $0.00 Add'I Pot. Water Con . Fee $0.00 Sewer Fee: $0.00 Reel. Water Con. Fee $0.00 Redev Parking Fee: $0.00 TOTAL PERMIT FEES $85.20 FINAL APPROVAL Inspector: !(rs Date: //-0: -77 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 oiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE 0~ 3 / I PLAN CHECK NO. ll ~ (o _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. -1-1-~~D=---~-,,---- Validated By_....,.,,.~1<,....;...___,,. ... '--...,.......+-..,.... .... Date ________ ___..:~~::....-J..+,--'~/ 1. PROJECT INFORMATION L -!:l;.'90ZT Business Na Legal Description Subdivision Name/Number Total # of units Assessor's Parcel # Existing Use Des<f~ti~:~~~~ • I SQ. FT. Of-"-' -7~<-.. -HO bl-~C... Tte l ~ #of Stories 2. CONTACT PERSON (If different from applicant} Proposed Use # of Bedrooms # of Bathrooms 1223 06/24/99 0001 01 C-PRHT 02 85-20 ::!C'M SC-l~e::rl'L Name Address City 0 Agent for Owner State/Zip Telephone# Fax# 3. APPLICANT ~ontractor 0 Agent for Contractor O Owner ~~ z~ s~ sr. AC' Name Address City 4. PROPERTY OWNER tole9r~<~ U>!Lr' . City Address Name State/Zip Telephone # 6. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any aqplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dolla ($5 01}. ~ Co<-tSWeft:.. aJ. 'l ,-;evr;tbl"M~ 'l.'1 S'Pfft' , ~ ~ ~.C/'2<Ju8 0 cf-J4·4-]1l;, Address City State/Zip Tele hone # City Business License # drl-4~..._.L..J4'~ "5,~. C",A. Designer Name City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ""::) I Insurance Company S'"[A1}1( l::VtJ >? ) IA..$ • Policy No. { L 81 Z.Z-l -q =l Expiration Date "7 1 • 0 0 (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 rkers' Compensation L s of California. is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred sation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE /Or( 8' 7 °1 SIGNATU~=='(7_.J..c:::::'.!,,::e::=::,::____:':::::~!:Z'.'.2:.::::::Le:~=::~:e:::::==::,,.....--------=-- 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}. 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 such projects with contractor(s} licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I 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 I address I phone number I 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 I address I phone number I contractors license number):------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ ~ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES m._ 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 B NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES 18.. 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. 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 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 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. ns of this Code shall expire by limitation and become null and void if the building or e of such permit or if the building or work authorized by such permit is suspended s (Secti 6.4.4 Uniform Building Code). b· 24-· c:iq DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 11 /5/99 Permit# CB992361 Title: KIOSK -SPRINT PCS Description: Type:TI Job Address: Suite: Location: Sub Type: COMM 2525 EL CAMINO REAL 9027 Lot 0 APPLICANT SCHROEDER CONSTRUCTION Owner: PLAZA CAMINO REAL Remarks: SPRINT KIOSK Total Time: Inspector Assignment: RB --- Phone: 7605051816 Inspector: O [3 ____.__r--- Requested By: EVAN Entered By: BARBARA CD Description it!mmenIB 19 Final Structural 29 Final Plumbing w_e, 39 Final Electrical _fl£ 49 Final Mechanical /.y(C,, Inspection History Date Description Act lnsp Comments 11/2/99 19 Final Structural co RB 11/2/99 39 Final Electrical co RB GROUND METAL BOXES 10/29/99 19 Final Structural NR RB ND FIRE DEPT APPRVL 1ST PLANNINC/ENGINEERINC APPROVALS PERMIT NUMBER CB q q ')-3b / DATE~J/y;_/?y_ ADDRESS __ :J.-_s_;--;_9 _S_CC_7 _-.,_c_. ,;_; _______ _ -RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) ENCi NEER -------- DOCS/Mlsforms/Plannina Em:iin!!l'rintt Jt.nnrn=•• PLAZA CAMINO REA~ --~~--~--____-) CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDINC DATE -~_0_.__~_1lf_' __ DATE -------