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HomeMy WebLinkAbout2525 EL CAMINO REAL; 102; STE 102 PRE 2016; PermitSet Back 'j' '' •' Bldg. Valuation,_ Front P.L. Main Bldg. Side. P.L;, Garage Rear P.L. Other Gtup -:. Zone Approved by Contractor City_Bun.. Lic. No. Water Meter Sewage Disposal Sys+em Inspection Record 1 7 F CITY OF CARLSBA ' .. .C.ONSJRLICTION LENDER INFORMATION LOVER) UROINGDEPARTME Appliatioior BUILDING Permit 729-1181 - Ext. 36 For Applicant to Fill In Building Perm Fee Owners Name Friel Bernheim Division of Bankcrat ers, Inc. Mail Address 1204 So, 12th St., Philadelphia, Building Del Contractor Millie and Severson, Inorpnrntd Build Address Contr. Addres679 Redondo Avenue Lnq Beach tA Near I To Consf. 0 To Add $ To Alter 0 Convert To Move From Type of Const. L2.4-,'u2. Frame, Masonry, etc. To Be Used For Tobba Tobaccoland - - Kind of Foundation_______________ No. of Stories______________ Floor Space (Sq. Ft.) /OO si Garage Floor Space (Sq. Ft.) Attached_________________________ ________ Detached__________________________ Camino Real Plaza Center Legal Description Lot bIOCIS Subdivision Carlsbad, Calif ..._ . or, Section Township . - Range ............. No. of Existing Building Will this coNifrjwtfion include any plumbing —installation oi'altet: ation? Yes No fl ACKNOWLEDGE THAT I AVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY 'CITY CARLSBAD AND STATE OF CALIFORNIA . THAT I TH LEGAL OWNER OF THE ABOVE DESC1 RESID TIAL OPERTY SIGNATURE 0-ilty" OF PERMITTEE _____________________________ Utility Company Notified - Date. By Final It a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. Perm-it void if work is not commenced within 60 days of issuance. Use On iO; 1uO - e - at- • jL -- 00S e Qö-aS WA - .jj ..•: - ii 3Lr-1 •o R.T - • • - - •- -. ;_ .• '-. , ONSTRUCTIÔN LENDER IDENTIFICATION L.) '. CALIFORNIA STATE CODE OF CIVIL PROCEDURE -- •---- .- - name of lender address of lender C signature of aPplicant CONSTRUCTION LENDER IDENTIFICATION - flr: hr' CALIFORNIA STATE CODE OF CIVIL PROCEDURE SECTION 1193 (J) - - - name of lender branch UI JLUI C1 Gy -' date - - -.•• - - Miij,- Iz - lid s - - - htCOfQ'ZF?3QN - - - ,- • ..- I •--.:•. CITY Of (ARLSBAD • • SEWER BUILDING DEPARTMENT PERMIT - APPLICATION FOR APPLICANT TO FILL IN I LEGAL DESCRIPTION LOT NO. .. BUILDING ADDRESS - 1 BLOCK TRACT NEAREST CROSS ST. - USE OF BUILDINGS OWNER "7///,',, J4 CONTRACTOR-TD . MAIL ADDRESS - ADDRESS ' 'i? i7"I, CITY TEL. NO. CITY TEL. NO. CONNECTION DATA CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation LICENSE NO. LICENSE NO. NO, DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER © $3.00 SEPTIC TANK SEEPAGE PIT OR PITS © $5.00 OVERFLOW SEEPAGE PIT, ORAINFIELD EXTN.. CESSPOOL, ORYWELL. MANHOLE © $5.00 .-PRIVATE HOUSE SEWER CONNECTING TO DISPOSAL SYSTEM © $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.50 ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00 OWNER'S AUTHORIZATION PERMIT $ 2 00 TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF OWNER OR OWNERS AGENT ADDRESS I HEREBY ACKNOWLEDGE THAT -I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE OF PERMITTEE 30' H., 10' V. @ 4" = ______ 6" Add. Horiz. @ 4" =______ 6" Add. Vert. @ 4" = _____ 6" Total Construction Cost 10% Service Charge Total Lateral Charge Lat. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. No. LINE COST: C. C. @_/ / dwelling P. S. @ / dwelling OTHER TOTAL Grand Total, Lateral, etc. FOR SEWER LOCATION St. NORTH ENGINEERING SEWER DEPT. Signed Signed /Z/ This is a Sewer Permit When Properly Filled Out, Signed and Validated 'Issued By PERMIT VALIDATION CITY OF CAR1S8AD%4 /Z,2-- LUMBIN6 BUILDING DEPARTMENT PERMIT - APPLICATION OWNER '7 6ni AUG -8-69 k3691*******6.00 MAIL ADDRESS NEAREST/ ADDRESS X, CROSS S CITY TEL. NO. BUILDING ADDRESS PLUMBER T. CITY GROUP STATE CARLSBAD BUSINESS Inspection LICENSE NO. LICENSE NO. NO. - ITEM FEE / TOILET @ $1.25 BATH TUB @ 1.25 -- SHOWER @ 1.25 / F WASH BASIN © 1.25 KITCHEN SINK @ 1.25 DISHWASHER © 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER @ 1.25 / WATER HEATER & VENT - © 1.50 j GAS SYSTEM I TO 15 .30 EA. ADD. © 1.50 FLOOR DRAIN OR SINK © 1.25 LAWN SPRINKLER © 2.00 MISC. WATER PIPING © 1.50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 © 2.00 GRADING PLAN YES E] NO E PERMfT $ 2 00 TOTAL FEE $ IiZIi 00 F -- I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE APPROVALS DATE INSPECTOR'S SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. CITY OFCARLSBAI ILLJMBING BUILDING DEPARTMENT 17 PERMIT - APPLICATION OWNER MAIL CITY TEL. NO. PLUM BE i/' 27C2fj1 ADDRES CITY TEL. STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM FEE TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 GAS SYSTEM I TO 15 .30 LA. ADO. @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 GRADING PLAN YES 0 NO PERMIT $ 2 00 TOTAL FEE $ 4 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE4 BUILDING ADDRESS 4 L- i /O NEAREST CROSS ST. - GROUP ZONE Inspection Record APPROVALS DATE INSPECTOR'S SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL Im VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. 'rtiaTh ul i USE BALL POINT PEN ONLY &,PRESS HARD I hereby affIrm that I am licensed under /X visions of Chapter tg, (commencing with ctlon'7000) of Division 3 of the Business d Professions Code. and my license is in fl force and affect. LTNo Class I hereby, allirm that t am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 I Business and Professions Cede: Any city or county which re-quires a permit to construct, alter, improve, demolish. or - repair any structure, pOor to its issuance also requires the ap- I plicant for such permit to tile a signed statement that he is - licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 01 Division 301 the Business and Professions Code) or that is en' 'empt therefrom and the basis for the alleged exemption: Any I violation 01 Section 7031.5 by an applicant fora permit sub' - edo the applicant to a civil penalty 01 not more than live hun'. dred dollars ($500).,,. cc I, as owner 01 the property, or my employees with wages I as their sole compensation. will do the work, and the struc' a tore is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does I 5 , jnot apply to on owner 01 property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend' I A . UA ',ed or offered for safe. II, however, the building or improve Z meot is sold within one year 01 completion, the owner-builder will have the burden 01 proving that he did not build or im- '0 prove for the purpose of sale). I, as owner of the property, am exclusively contracting * - 'with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does'not,appiy loan owner 01 property who builds or im- proves thereon, and who Contracts for each projects with a • I contractor(s) license pursuant, to the Contractor's 'License - Z .Law). - -' - - - ,-• I 0 •,, . 4IP •,, - ______________________________ As a homeowner tam improving my home, and the 10110w' '4 ing conditions exist;,, , ' ,,. - ,, The work is being porfnrmed prior to sale,, I have lived in my home. for twelve months 4, prior to completion 01 this work. * W , 3 I have not claimed- this exemption during the 0 ' ' last three years. for this reason a C •. '' , . 'b' I 1 0 I heby affirm that I have atcer1rtcate 01 consent to seIt-nsure, or a certificate ot''Workers', , • . , Compensation Insurance, or a cerlified copy thereof • ___________________________________________________ ' - - Sec. 3800. Labor COaeL OUCO , A COMPANY 0 Copy is frIed wIth the coy Z 0 Certified copy is hereby furnished , -'-- ., , I 0 , CERTIFICATE OF EXEMPTION FROM ;ERS' COMPENSATION INSURANCE .(1km sectror, need not be completed if the pe,rrnrf l.lu I ' ' 0 ne hundred dollars (Sr on less) he - - Ix I 'cerr,ly that' ,,r the perlormance of the work for 0 -.which thrS permit Is issued. I shall not employ any . person in any manner so as to become subiect 10 I the Workers Compensation Laws of California - 'T •'_• , NOTICE TO APPLICANT It, alter rnrak1x3 this Cern Ircate of Exemption, you Should become subject 0 the Workers' Compensation provisions of the Labor L Code,' you must lorrhwith'comply' with such i provisions or this permit shall be deemed revoked - F" DI' hereby affirm hat ,there is a C0rl5I,uCfl0n I - lending agency or the performance 01 the wOrk 10, which this permit is issued ,(Sec 3097, Civil Codel I I ' Lender's Name -fl ' Lender:s Address ' I APPI I(ANT TO Fill I IM IPJFflRMATI(Th1 WITI.1IIJ I.1AflPfl ARFA ANn flFtI AIIII ATIrlifiliflZ - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 • . -- '-' ' 'JOB ADDRESS AV, ST. RD. NEAREST CROSS ST. bATE OF APPLICATION BUSINESS LICENSE # ' %J'ALUATION "vn PERMIT NUMBER zs<fJ p LOT 8LOCk'J,SU•eOIviSON ASSESSOR PARCEL NO. CONTRACTOR . r3N7~SPHONE OWNER'S ___ NAME "OWNER'SPHONE CONTRACTOR'S ADDRESS ' A~,Z /roY/Mc. LICENSE NO, PLAN I,0.# - - BLDG USE CODE O ER' AILI C ADDRESS 30")051- . 5k,, LICENSE STANDARD PLAN OP UILDING SO. FOOTAGE ,Oi-r JGNER O CRIPTION OF WOR K . o. # •i MiP/I. DESIGN R'S ADDRESS ' ,. •, ' •.. '' . - pc. y DESIGNER'S PHONE Y FLREV, NO OCCGP EDU '. •- STORIES , '(3 ND". '. • CENSUS TRACT GP,LANO USE aRKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT r ' TYPE 0CC LOAD, FIRE SPR ,,j' - - , AREA • . CONST - a. . - ' . -. • - ' • .- 0 0 N 0 - yo NO . 0 ND ' Not Valid Unless Machine Certified - QTY uPLUMBING PERMIT ";'ISSUE _L- QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER , EACH FIXTURE TRAP, - .• INSTALL FURN. DUCTS UP,TO 100,000 BTU - - , ''. BUILDING PERMIT - ' 01-00-00-8220 L fL7 .,J - EACH BUILDING SEWER '' ' . . OVER 1.00,000 BTU - , ' , -- - SIGN PERMIT . ' - 01-00-00-8221 -- EACH WATER HEATER AND/DR VENT: . - ' 'a BOILER/COMPRESSOR UP TO 3 HP '' - , PLAN CHECK 01-00-00-8806 , EACH GAS SYSTEM TO 4 OUTLETS ' ' ', ' BOILER/COMPRESSOR 315 HP TOTAL PLUMBING - " - •01'00'00'8222 EACH GAS SYSTEM 5 OR MORE - ' , - - ._ METAL FIREPLACE ' . ' ' ' ELECTRICAL - . .01-00-00-8223 .-. • 11 lam exempt under Sec. , B & P.C. - - EACH INSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS' - -- .MOBILEHOME. 01-00-00-8225 -- WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAININSIDE) . a' - - - - -' SOLAR •- , 01-00-00-8226 - . • - - - . . TOTAL MECHANICAL TOTAL PLUMBING STRONG MOTION ' :"a 80-92-33-0519' FIRE SPRINKLERS 01-00-00-8227 OTY. - ELECTRICAL PERMIT - ISSUE - ' , - QTY. SOLAR- ISSUE ' - PUBLIC FACILITIES FEE - 320000:89 - - - ' - . - BRIDGE FEE -- - NEW CONST EA AMP/SW1 'BK R - . . COLLECTORS •, ' - SCHOOL FEE - DISTRICT - -- - IT ' ' 3 PH , ' ,. STORAGE TANKS -- - . - Carlsbad ' ' 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 8092220519 - - f:pf. /" - - - , - }' '', ' . PUMP ' ' ' San Djegujlo - 80-92-23-0519 - 'REMOL:ALTER PERL.IT \f' " PLAN'CHECK FEE ' - - ' * - '• San Ma' 0S ' 80-92-24=0519 - Ii - -'' • TEM POLE .200 Pt.) ' •" - AA - - - ' ,• - -,-- - ' - .-.. - ' ' -. • -' . O\E 200 AMP ' ' ' r - LICENSE TAX 01-00-00-8162 - - TEMP CCUP CY 13 ' p . I - - . MIFF 80-92-57-0519 - - - -- —s • • ,_- ' - - ,. • - ' - , . CREDIT DEPOSIT • ' • • - - Tn;TA LW' TRIcAL ' ' -' - ' ' — t' - , TOTAL SOLAR. ', -' - ' ' , TOTAL FEES PAYABLE , • /J•4J I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PER%NT IS REQUIRED FOR EXCAVATIONS OVER Cod e0rized expire limitation-andit by become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR CONSTRUCTION OF her auth is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or n STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time after the work is commenced for a perici 1180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP ICA ' L NT S S ATURE HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER CONTRACTOR - I"l APP OV~BYKEEP WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ) GRANTING OF THIS PERMIT. EXPENSES '. BPHONED • - • -. -'. - ' - -- :. - •. -- TYPE DATE INSPECTOR BUILDING I FOUNDATION REINFORCEDSTEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF 0 SHBAR FRAME OIL - EXTERIOR LATH INSULATION INTERIOR'LATH'& DRYWALL: J .B4 - PLUMBING I SEWER SEWERAND BL/CO EIPUCO UNDERGROUND D WASTE 0 WATER TOP OUT' :0 WASTE'. D1W,TER - TUB ANDSHOWER PAN GAS TEST - WATER HEATER 0 SOLAR WATER ELECTRICAL El ELECTRIC.UNDERGROUND 0 OFFER ROUGH ELECTRIC I 0,ELECTRIC SERVICE 0 TEMPOFARY -' - - 0 BONDING 0 POOL MECHANICAL DUCT &PLEM, 0 REF. PIPIF'.G. HEAT-AIR COND. SYSTEMS-' VENTILATING SYSTEMS - \ç - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE.. ITCRAC A Of.LI IJ All DCCMS.A DDDEI.%IEfl .t. e-. FINAL PLUMBING - _•. •'. !'. ELECTRICAL.- I MECHANICAL - GAS BUILDING '---. -" SPECIAL CONDITIONS '•.. 1 5' N * '..— S 'S*4•' 5555'. - \._•_ V :-----' -' -__\ - — - - - - •\_• -S • - . .-'.-- .:,. - ------------ --•• FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS 4 _-'. t• - INSPECTOR S NOTES INSPECTION REO. IF INSPECTORS DATE - CHECKED - SOILS COMPLIANCE . FOUNDATION PRIOR TO INSP STRUCTURAL CONCRETE ,OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED - - — - - - CONCRETE FIELD WELDING HIGH STRENG-TH ',,'t '• - ,- 5 - - - - - BOLTS. - -SPECIAL MASONRY V .,•_ - _.* - S - - S - _,• -- - * PILES CAISSONS -ILI - _ - -1 — . S5. • S•Sy,•.• 5445' V, . __________- 5'• -, .. . •, ' -. V _ -_5I 'S - '5 i-.: '. ., --• - .-' - - -___- .—• -S. . . - - -— 5, - - -- -- - - -, - - L • • - - ------,----• . - '- S 5S•5 - '5- s. 4_5 • S 'V.5 5 '• - •S •,, S • • - " üsr".ai [ PrnNT PFN Aldi Y & PRFSS I1ARfl APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - gfl. 0 I hereby affirm that I am licensed under ui-- provisions of Chapter-9 (commencing with '1 S.CIO 7000) of Division 3 of the Business - end Professions Code, and my license is in L full forceind effect. U -. . hereby atlirm that I am exempt from the Conlrac- or's License Law for the ,following reason. (Sec. 7031.5 .. Business and Professions Code: Any city or county which re- quires 'a- permit to Construct, alter, improve, demolish, or repair any structure.- prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is - licensed pursuant to the provisions of the. Contractors. License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is ea-, empl therefrom and the basis for the alleged exemption. Any violation 01 Section 7031,5 by an applicant for a permit sub' jects the applicant lox Civil penalty of not more than line hun- dred dollars 155001. - .1:1.1. as owner 01 the property. ermy employees with wages ull as their sole compensation, will do the work, and the struc' - tare is not intended or offered for sate (Sec, 7044, Business and Profession Code: The Contractor's License Law does e' not apply to an owner 01 property who builds or improves , thereon and who does such work himself or through his own - employees, provided that such improvements are not intend - UI ed or offered for sale.' It, however, the building or improve Z , meol is sold within one year. 01 completion, the owner-builder -39 will have the burden 01 proving that he did not build Or im' prove for the purpose 01 sale). I I, as owner 01 the property, am exclusively contracting with licensed contractors to Construct the project (Sec. 7044. Business and Professions Code: rThe Contractor's License - - Law does not apply loan owner 01 property who builds or im- - proves thereon, and who contracts 101 each projects with a (I) ' - contractor(s) license pursuant to the Contractor's License Z Law). o !-).Asa homeowner tam improving my home, and the follow- ing conditions exist:....- . - 1. The work is being performed prior 10-sale. 2._I have lived -in my home' br twelve months prior to completion 01 this work. 3. !have out claimed this exemption during the O ".Iast three years. -'--"- - .-' - -. .*-s•_ • . - C lam eoempl under Sec. B & P.c..: '1 for this reason . 0- '1 hereby affirm that I have a certificate 01 consent to - sell-insure. or certificate 01 Workers* Compensation In- surance, or a certitied copy thereof (Sec. 3800. Labor Code) POLICY NO. , - n..*COMPANY- Copy is tiled with the city - 0 Certified copy is hereby burnished ' CERTIFICATE OF EXEMPTION PROM -' C) , , WORKERS COMPENSATION INSURANCE CO , —This section need not be completed it the permit -, cc Ej is for one hundred dollars 101001 or less) uA - I certify that in the performance 01 the work for which this permit is issued. I shall not employ any person in any 0 manner so as to become subject to the Workers Compen-, -nation Laws 01 California. 1" 1" ,._, NOTICE TO APPLICANT: It. utter making this Certificate of Euemption, you should become subject to the Workers'' - Compensation provisions 01 the Labor Code, you 'most ..'. - ( forthwith comply with such provisions or this permit shall be deemed revoked. - ' [' 0,1 hereby affirm that there is a construction lending agency for the performance of the work for which this per.uJ . mit is issued (Sec. 3097. Civil Code) zl UI I Lender's Name-'----'-- -II L _Lender's Address_______________________________ CARLSBAD BUILDING DEPARTMENT - APPUCA" PERMIT ' -_• _S ___.*• - - -. - - - - - - /- 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 . . JOB ADDRESS . Ay, ST,RD, THOMAS BROS NO. ' DATE OF 4PPLICATION BU S LICENSE A 6ELNo&L -1O2 • VALUATION 37OLT PERMIT NUMBER - LOT BLOCK ISUBDIVISION ' ASSESSOR PARCEL NO. CONTRACTOR I CONTRA TORS PHONE ZONE - , ' c-t.c 931-'G '7 C OWN E A'S NAME • . , OWNE AS PHONE CONTRACTOR'S ADDRESS - WN STATE LICENSE NO. BUILDING SO. FOOTAGE - Cr S5'4o1 - ' .ZOO OWNER'SMAILINGAODRESS : DESIGNER DESIGNERS PHONE Z. 5Z E1-C*UbvO ~t_ !OZ OF SCRIPT Id9 OF WORK - - - - 0001'01 6456 5/89 - - DESIGNER'S ADDRESS STATE LICENSE NO. _ BldPmt 2150 ZzS 1'LJ2-# /4 _________ - F/P FLRELEV. NO ED - STORIES C YO NO FIRE SPA -- CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD AREA - N - YO N ' -- . .vD N - Nor Valid Unless Machine Certified.. OTY. PLUMBING PERMIT- ISSUE: -7.-So OTY MECHANICAL PERMIT - ISSUE - - SUMMARY/ACCOUNT NUMBER EACH FIXTURE.TRA - , INSTALL TURN. DUCTS UP TO.100,000 BTU1 - - BUILDING PERMIT 001'810-00-00-8220 - EACH BUILDING SEWER '. - .- - I , OvER100,000 BT>..-' SIGN PERMIT 001'810'00'00-8221 .))4 WATER.HEATER ANDiOR'VEN)...'' - BOILER/COMPRESSOR UP TO 3 HP -'---- - '-PLAN CHECK- - 0011810-00-00-8891 EACH GAS SYSTEM iTO 4 Olj.'tlS . BOILER/COMPRESSOR 3-15 Hfr ' TOTAL PLUMBING 0011-810-00'00-8222 - EACH GAS SYSTEM 5 U1,160 RE - . - METAL FIREPLACE ,-' , ' ELECTRICAL 001-810-00-00-8223 -' EACH INSTAL., J.J4, REPAIR-WATER PIPE - - VENT FAN SlNJ.UCT - - - . - MECHANICAL - 001'810-00'00-8224 -- - . - - EACH V3dt'M BREAKER . ' . - MECH E$'t'ST HOOD/DUCTS ' MOBILEHOME 001-810-00-00-8225 SOFINER - . - RE)2(ATION OF EA FURNACE/HEATER - - SOLAR 001-810-00-00-8226 ACH'ROOF DRAIN (INSIDE) - '- , ,' 'RYER VENT , - . - - - STRONG MOTION. -. 880'519-92-33 7' TOTAL MECHANICAL - - - - - FIRE SPRINKLERS 001-810-00'00-8227 TOIAL PLUMBING " , - . ' PUBLIC FACILITIESFEE - 320-810-00-00-8740 - - - BRIDGE FEE 360-810-00-00-8740 OTY. - -ELECTRICAL PERMIT - ISSUE 00 OTY. MOBILE HOME SETUP ' . PARK-IN-LIEU (AREA NEW CONST LA AMPSWT BKR I - CAR PORT ' - - TIF - 312-810-00-00-8835 - I PH '3 PH ' , AWNING , - - LA COSTA TIF 311-810-00-00-8835 EXIST BLDG EA'AMP/SWT.BKR ' , ' GARAGE - '' - FMF - I PH - - - 3 PH - . ' - - - - . . LICENSE TAX - 001'810-00'00-8162 t 3 p REMOOEL'ALTbR - PER CIRCUIT • - - .• - . MFF 880-519-92-57 - TEMPPULE 200 AMPS OVER 200 AMPS - u - , . - ---------- - - - -- - . - r' TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT <L.,R5 7 TOTAL ELECTRICAL - ....TOTAI, -- - - Ci ' JOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT' AND DO HEREBY Expirallon. EverypermItrssiiedbytheBuiIdingOtfrcIaIundertirepnovIsronsoIIflIs and become null and void lithe building or work - - * AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER Code shall ex pirrmit e CERTlFYUNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by suc commenced within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if 'hebuilding or work authorized by such permit is usner GOVERNING BUILDING CO . STRUCTURES OVER 3 STORIES IN HEIGHT for a period 01180 days. ISSUED: iTO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS abandoned at any time after the work b commenced STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY A APPLICA ION RE OWNER 0 CONTRACTOR PPROVEO BY DAT KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN EXPENSES WHICH MAY IN ANY WAY-ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH - - *.__•' - - BY PHONE GAS TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR E CEILING SHEATHING 0 ROOF 11 SHEAR FRAME V EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING E SEWER AND BL/CO E PL/CO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC i1f 0 ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FIN AL INSPECTION WHEN, A4A,RGPR!A 1 7 11Mi RbUVb I1RVt bttIV RrPrIUVtU FINAL PLUMBING ELECTRICAL MECHANICAL GAS p .vi BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - 0 INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE E SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI ' PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WEtDiNG HIGH STRENGTH 0 BOLTS SPECIAL MASONRY PILES CAISSONS 4 7 2193 06/07/95 0001 01 02 C-PRMT 30.00 3O.O0 .4. - B U I L •D I N G P E R M I T Permit No: C6950745 06/07/95 11:57 Project No: ' .A9501075 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 102 Permit Type. ELECTRICAL Parcel No: 156-302-09-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: . Referénce#: Status: ISSUED Description: ADD 4 NEW 20 AMP CIRCUITS,DEMO . Applied: 06/07/95 MISC OUTLETS & .LIGHTS-CARLSON TRAVEL Apr/Issue: 06/07/95 Entered By: RMA Appl/Ownr : CSI GENERAL CONTRACTORS . 619 _471li 9388 145 VALECITOS DE ORO #F SANMARCOS, CSA 2 91 •' Fees: Adjustments: / (00 TO it\ .00. . Total Fees: I 0 T&1 .00 -. Bala nePie:.4\ 30.00 ' Fee description ---U"nA tsar 77 \9/Uni Ext fee ---t Remodel/Alter Per M 80 .25 20.00 u. * t . FNALAPPROVAL Nsp. A- 4 E I~CLEARAN E CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 * PEIITAPPLICVflON -. ity of CarLsbad BuiLding Department 2075 Las PaLnms Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. 9S0 EST. VAL PLANCK DEP91T VALID. BY It'.A- .... - - From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address SL_CAM,tjo digor suite No. Nearest Cross Street 6PVJ1J CHECK BELOW IF SUBMIYUED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope DESCRIPTION OF WORK '' r1,W Ct&i1I-Ijdemo misc, SQ. STORIES # OF BEDROOMS # OF BATHROOMS J. WN lAUI PLHSO NAME (last name first) ADDRESS CITY / STATE ZIP CODE DAY TELEPHONE APPLICANT 'ONTRAcIUR p AGENT FOR CONTRACTOR DOWNER U AGENT FOR OWNER NAME (last nam€ fil't) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) A" ADDRESS CI1YCf&)c(LCt STATC. ZIP CODE T40 DAY TELEPHONE b. WNTHA(JIUR NAME (last name first) QSI t%J4L ADDRESS (VUh-CS PJi*j CIrif) (\/lçQ STATE CODE (I.X,C( DAY TELEPHONE 4--71 -13W' STATE UC. # I7f)I CENSE CLASS CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration: I hereby affirm that I have a certiticate of consent to sell-insure issued by the Director of IndustnaI Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed ith the Building Inspection Dep ent tion 3800 Lab. C). INSURANCE COMPANYc+4, 1AA/r POLICY NO. —&71A ON DATE Certificate of Exemption: 1 certity that in the pertormance or the work for wnicn tills permit is issuea, i snail not empioy any person so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that 1 am exempt from the Contractors 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.). o 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). 0 I am exempt under'Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AF1tR JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENT'S OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDN'flOL DISTRICT. WNSThUCI1UN LENDING AGENCY relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 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 issue..y the B ding fficial under the provisions of this Code shall expire by limitation and become null and void if the nc ithin 365 days from the date of such permit or if the building or work authorized by building or work authorized , Pet atia )clJnT is co nced [bra riod...of 180 days (Section 303(d) Uniform Building Code). such permit is suspended o bando ed after the rk APPLICANT'S SIGNATUIk ,'PDATE: City of Carlsbad 03/28/2000 Commercial/Industrial Permit Permit No: CB000685 Building Inpection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 102 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 1, 0 Status: ISSUED Valuation: $40,768.00 Construction Type: NEW Applied: 02/29/2000 Occupancy Group: Reference #: : Entered By: GMF Project Title: FRIEDMAN MARKETING Plan Approved: 03/28/2000 Issued: Inspect Area: Applicant: Owner: PLAZA CAMINO REAL ILAZA,.CAMINO REAL C/O WESTFIELD CORP INC C/OWESTEhDORP INC 11601 WILSHIRE BLVD 1'1O1 WILSHIRE BbVD ". LOS ANGELES CA 90025 LOSANELECA 90025 2676 Total Fees: $692.85 / tãl Pay'm"en_tAT-6-Date:` V$224.66**-~C-,,.-6~bai'a'n( 03/28/2000 Due: 468-19 $345. Buildirrg Permit Add'I Building Permit Fee n ( $0. Plan Check $224 Add'I Plan Check Fee \ '$0 Plan Check Discount Strong Motion Fee - 8567\. Park Fee LFM Fee $0.00 '° Bridge Fee t$ 4, BTD#2 Fee o'öo BTD #3 Fee sb 69 Renewal Fee $0.00 AddI Renewal Fee $00.0 Other Building Fee $0.00 Pot. Water Con. Fee $0.00 Meter Size Add'I Pot. Water Con. Fee $0.00 Red. Water Con. Fee $0.00 r-'Size 'I RI. WatoIn rFele , - r Fee 1F WA Fee (CFD Fund) W'eTax .6 Fund) iTräff'I'nacP(CFD F'und) i-' EI'Z\Jranspojjati/on Fee PLUMBING-TOTAL —ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee: Sewer Fee: Redev Parking Fee: TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00- $0.00 $0.00 $0.00 $0.00 $0.00 $55.00 $35.00 $24.00 $0.00 $0.00 $0.00 $692.85 FINAL APPROVAL Inspector: Date: ____________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information Nith the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fApc/pyprtinnc of whirth vni i hvô nrpviniiclv hn oivpn n F'Jflhl('.F cimilr to thic or nq to whkh thp qfnfi AP of Iimittionq hc nrvioI iqlv othprwicp pynirni CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION . ' PLAN CHECK NO.C-co'o&5 CITY b CARLSBAD BUILDING DEPARTMENT EST. VAL Lt 1635 Faraday Ave.,'CaIsbad, CA 92008 , Plan Ck. Deposit • Validated By___,' Date co PROJECTINFc$RMATI0N ' Tz33 &Ajo 1'cz Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total #of units Name Address . - City '- State/Zip Telephone # .jPROPERTh'QWNER r'-' •--- '-'- •.. .-- p ,.--' - ................................p r tLcIiQ yjp * r' (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 Sto 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 apy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 5cJIRO EO rMx77i2!I q( 5r4-,1z 57 A -'a/f1- 47/( Name Address City / State/Zip Telephoni# 'State License # ... License Class City Business License # LfiDir e-i AcJ1,yZ67 'z iAj'q A%IiC. 4060-7 , (!SAI,,k £\ief.c, 64 72/f 7 8/?2t5S75 Designer Name ' Address ' City State/Zip Telephone - State License # UO Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure 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' 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 [$1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousaid dollars ($100,000), in additioni to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . - DATE ___ - ' I hereb\, affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or, my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) -licnised pursuant to the Contractor's'License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property. improvement. 0 YES ONO - 1 (have / 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 / address I phone number I contractors license number): 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 I phone number I contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name Taddress /.phone number / type of work): PROPERTY OWNER SIGNATURE DATE 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 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 ,jzf NO Is the facility to be constructed &thin 1,000 feet ,of the outer boundary of a school site? 0 YES JZf NO ,IF ANY OF THE ANSWERS ARE YES, AFINAL CERTIFICATEOF, 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. 18CONSTRUCTION LENDING AGENO -r —'- I hereby affirm that there is a construction lending agency for the performance of the work for which this peirnit is issued (Sec. 3097(i) Civil Code). - LENDERS NAME - - LENDER'S ADDRESS APPLICANTCERFICATION - - I certify that I have read the application and state that the above information is correct arid 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 Cit%' 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'O" deep and demolition or construction of structures over 3stories in height. . - EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null Sand 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 anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) - - - - APPLICANT'S SIGNATURE _ - DATE-____________________________ /1 - WHITE: File_ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg In pection Request s For: 5/23/2000 Permit# CB000685 Inspector Assignment: RB Title: FRIEDMAN MARKETING Description: Type: TI Sub Type: COMM Job Address: 2525 EL CAMINO REAL Suite: 102 Lot 0 Location: APPLICANT PLAZA CAMINO REAL Owner: PLAZA CAMINO REAL Remarks: Phone: 7604344396 Inspector: iL Total Time: Requested By: TOM Entered By: ROBIN CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs Inspection History Date Description Act Insp Comments I 4/27/2000 89 Final Combo CA RB CA BY TOM 4/26/2000 89 Final Combo CA RB 4/25/2600 89 Final Combo CO RB OK TO TEMP. OCCUPY 4/12/2000 14 Frame/Steel/Bolting/Welding AP TP T-BAR CElL 4/12/2000 24 Rough/Topout WC -TP 4/12/2000 34 Rough Electric AP TP CElL LITES 4/12/2000 44 Rough/Ducts/Dampers AP TP DUCTS 4/11/2000 84 Rough Combo CA TP 4/10/2000 84 Rough Combo CA CW CXL BY TOM 4/10/2000 84 Rough Combo CA DA PER TOM 4/5/2000 14 Frame/Steel/Bolting/Welding AP RB 4/5/2000 17 Interior Lath/Drywall PA RB WALLS ONLY -SEE NOTICE 4/5/2000 34 Rough Electric AP RB WALLS ONLY 3/31/2000 14 Frame/Steel/Bolting/Welding PA RB SEE ATTACHED NOTICE 3/31/2000 21 Underground/Under Floor AP RB 3/31/2000 / 24 Rough/Topout AP RB