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HomeMy WebLinkAbout2525 EL CAMINO REAL; 108; STE 108 PRE 2016; Permitft - III, as owner of the property. or,my employees with wages as their sole compensation, will do the work, and the slruc' lure is not intended or offered for sale (Sec. 7044, Business aod.Professions Code: The.Cnntractor's License Law does -' not apply to an owner 01 property who builds or improves thereon and who does such work himselt or through his own -. employees, provided that such improvements are not intend- —..ed or ollered.lorsale,. It--however-the building or improve- meet is sold within ooe.year 01 completidn: the ovAner'builder will have the burden of proving that'he did not build or im- prove for the purpose olsale). ' II I, as owner of the property, am exclusively contracting 'I with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The,Contractor's License Law does not apply 10.00 owner of property who builds or im-, . proves thereon. and who contracts for each projdcls with a Z(I) . ' - contractor(s) 'license pursuant to the Contractor's License ' 'n-Law). - - , I'] As a homepwner'l am imp-roving my home'and the follow- 49 ,I09 Conditions exist: .. -- The work is being pertormed prior to sale... -, I have lived in, my home. for twelve months prior to:comptetioo of this work.' 3." I have 'not claimed this exemptiod during the" 10 last three years. 0 lamexemptundea Sec. -' - ., B & P.C.. $tOr-lhis reason ••1_ ;-'-'. - I hereby attirm that 'l have a certificate of consent to self,insure. or a certiticate 01 Workers' Compensation In. . - "sSran,ce. or a certified copy thereof lSec.,3800:Labor Code). , r Al POLICY NO. : t COMPANY ' Dopy is tiIed'withthe'city uff - . - ._ .D Certitiedcopy'is herby,turnishnd : Li"T" CERTIFICATE - OF EXEMPTION FROM O ' - WO RKERS' ORKERS"COMPENSATION INSURANCE. . . Vuff ''-(This'dection need not be completed it the permit is to, One hundred dollars ISlOOl or less( - rCertity that in the performance 01 the work to, which 'cc this permit is issued. I shall not employ any person in any 0 manner so as to become subject to the Workers' Cornpen. - salior, Laws of California. - - NOTICE TO APPLICANT: If, alter making thisCertilicate 01 Evemptioo, you should become subject to the Workers' ' Compensation provisions 01 the Labor Code, you must - forthwith comply with such provisions or Ihis' permit shall' be deerrred revoked.' - - [ itrereoç'affirm that there is a c000truclion lending agency fort . he performance 01 the work to, which this per. uJ 01 , mil is'issued (Soc. 3097, Civil Code) - •- WI Lender's Name L Lender's Address - '0 >- 0 a) CL-on C APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 4 - . • '4C4RLSBAD BUILDING DEPARTMENT . -. APPLI N &PERMI CA ri 0 2075 Las Palmas, Dr., Carlsbad, CA 92009.1915 (619) 438-1161 • , JOB ADDRESS , AV. ST. AD, THOMAS BROS NO. - DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER z Sa 3 Z -*t4r /&4L S' —' f -? I 1 - - LI-" -. / 7 LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR C NTRACTORS PHONE N ZONE 0 i - OWNER'S NAME . ', -. I OWNER'S PHE STTE LICENSE NO. f'i_ ' ' BUILDING SO. FOOTAGE P__'VYI CONTRACTOR'S ADDRESS SS_I6ipii,__ OWNER'S MAILING ADDRESS 1733's5-€fr'4444%. _P..c.71/010 DESIGNER ' , DESIGNERS PHONE - OESCRIPTI.ONOF WORK 740 _7 -DESIGNEIR'S ADDRESS STATE LICENSENO 8176.07/11/89 0001 01 02 - I C-n 8 I? / (I .— BldPmt 299-n0 F/P FLR ELEV. NO CF I EDU - STORIES mONO _.___,' -.-'•' .'. - ...- -. .' - . ' - - ' - TRACT PARKING SPACE RES UNITS TYPE CC LOAD FIRESPA --CENSUS GRADING PERMIT ISSUED LREDE VELOPMENT REA ' - CONST - - , n 0 N 0 — m 0 ND - YO No Not Valid Unless Machine Certified — - O OTY. - -- - - OTY. t PLUMBING PERMIT ISSUE MECHANICAL PERMIT - ISSUE cC SUMMARY/ACCOUNT NUMBER 'EACHFIXTURE-TR'AP'\ __'-:,.'_ ,)? . INSTALLFURN. DUCTS UPTO100,000BTU, .f BUILDING PERMIT '-f_001-810-00-00-8220 - 'EACH BUILDING SEWER ,," -'i' ' --,'.OVER 100,000BTU - . , -SIGN PERMIT. - / - 001-810'00-00-8221 'EACH WATER HEATER AND/OR,y,kff" ' - BOILER/COMPRESSOR UPTO3HIP - PLAN CHECK 001-810-00-00-8891 .i47.r_ ç9t :EACHGAS SYSTEM IT1'4,,-'LETS ' BOILER/COMPRESSOR3.15HP ,- TOTAL PLUMBING 001'8)O-0O-00-8222 ,EACH _GAS SYSTEMQ('4ORE _- -,, - METALFIREPLACE __ - _- _,- . ELECTRICAL _001-810-00-00-8223, INSTAL.,a,6R, REPAIR WATER PIPE —!EACH . VENT FAN SINGLE DUCT ' MECHANICAL 001-810-00-00-8224 LEACHVA-eIUMBREAKER -- - MECHEXHAUST - HOOD/DUCTS .-. MOBILEHOME 001'810-00'0O-8225 - WIRSOFTNER .-'- ' RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226, "EACH ROOF DRAIN (INSIDE) , DRYER VENT . STRONG MOTION 880-5)9-92-33 * _•''- --' - - TOTAL MECHANICAL' - - - ' I , - '''-FIRE SPRINKLERS - - 001-810-00-00-8227 -' TOTAL PLUMBING - - - ' ' — . , ' . - ., -' PUBLICFACILITIESFEE320-810-00-00-8740 ELECTRICAL PERMIT ISSUE-' OTY. ' • - MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU(AREA - , - NEW CONS]'EAAMP.'SWT I3KR,/'Pt" CAR PORT - ' - TIF 3)2-810-00-00-8835 IPH - _/Tjj) , AWNING , LA COSTA TIF 311-810-00-00-8835 - - EXIST BLDG EAAMP/SWT,BKR -•-. - - - 'GARAGE _-'.--'- -.. .FMF I PH 3 PH . ' '• , LICENSE TAX 001'810'00'00'8162 REMODEL'ALTER PER CIRCUIT : '-•' -e . MIFF -- - ' -. 880-519-92'57 TEMP POLE 2O0AMPSr\.'•v--n'-n _5----- OVER 200AMPS - TEMP OCCUPANCY (30 DAYS) - , - . ' . — '- " - - --'-5 '-' -. - - ' -. -. - a _--- --'' CREDIT DEPOSIT TOTALELECTRICAL _ - --. -,,.''TOTAL TOTAL FEES Pf ABLLE2 ??_--4-- — 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 shall expire by limitation and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code * AN OSHA ReMIT IS REQUIRED FOR EXCAVATIONS OVER authorized by such permit is not commenced within 180 daysthe date of such 50" D AND DEMOIJTN OR CONSTRUCTN OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- "s such rr it suspended r ST TUReES OVER 3 STORIES IN HEIGHT -for a period ot tB0days. abandOned_al any time after the work is commenced STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND — - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUflES, JUDGMENTS COSTS APPL 'S SIATURE 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE OWER FTRACTO /ED BY / BY PHONE o APPR0C -D8' GRANTING OF THIS PERMIT '"-------- -_/_'/ ....,_._,SJ.USE.BALL POIN.LPEN ONLY &.PRESS'HARD 2r- 0 1 hereby affirm theft am licensed under provialone of Chapter 9 (commencing with - Section 7000) of . Division 3 of the Business - I. and Professions Code, and my license is in -'L-'full force and effect. ---' . - '-- '•.. t ...I-hereby affirm--that I am exempt from the Contrac-' or's License Law for the following reason (Sec. 7031.5 - Business and Professions Code: Any ' ny city or county whicti re - quires 'a permit to construct, alter, improve, demolish, or IV repair any structure, prior to its issuance also requires he ap- plicant - or Such permit to tile a signed statement that he is -- licensed pursuant to the provisions 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 01 Divistiod 301 the Business and Protessioss Code) or that is ex- t empt therefrom and the bAsis for the'allegee exemption. Any violations? Section 7031.5 by an applicant, [of a permit'sub'I,' lects Ihe applicant to a civilpenalty 01001 more than live hun- dred dollars ($500). - - .. INSPECTOR TYPE I DATE - 4qQg(f(/ BUILDING FOUNDATION - FIELD INSPECTION RECORD - REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS : - INSPECTORS NOTES . . MASONRY '-' - INSPECTION REQ. IF CHECKED APPROVAL INSPECTORS DATE GUNITE OR GROUT . SUB FRAME El FLOOR D CEILING UNDATION INSP SOILS COMPLIANCE SHEATHING .0 ROOF 0 SHEAR PRIOR TO FRAME I S TURAL CONCRETE OVER 200 -- - EXTERIOR LATH . INSULATION I. . . PRESTRESSED CONCRETE ... . p. . ..- . - .. . - INTERIOR LATH & DRYWALL I . -- . - . - - _. - - . CONCRETE-V- POST TENSIONED . . PLUMBING I 0' SEWER AND BL/CO 0 PL/CY :t UNDERGROUND 0 WASTE 0 W4TER TOP OUT 0-WASTE 0WA1TER'' . . .FIELDWELDI.G 11 - - -• -. . . - - . . - - . - HIGH STRENGTHI BOLTS .. ... -. SPECIAL MASONRY- . TUB AND SHOWER PAN GAS TEST - . - - - - PILESCAISSONS O WATER HEATER O SOLAR WATER 0 ELECTRIC UNDERGROUND El UFFER - I ELECTRICAL ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPOR4RY DBONDING OPOOL 1. VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ITEMS - ABOVEHAVEBEEN.APPRQ..VED -' .L Kj -. -..' - . - MECHANICAL 0 DUCT & PLEM., 0 REF. PIPING HEAT -,AIR COND. SYSTEMS -- \ ALL APPROPRIATE - --.'-. .- :.;• - -'r-- : -'- - ... . . . 4 -- -- I.,. I FINAL PLUMBING c74 , ELECTRICAL - MECHANICAL GAS -. . -c. BUILDING SPECIAL CONDITIONS BUILDING PERMIa Permit No: CB9824'11 11/17>98 1052 : Project No: A9803187 Page 1 of ,. 1 - Development No:, Job Address: 2525 EL CAMINO REAL-. Suite,:: 108 'Permit Type: COMMERCIAL TENANT IMPROVEMENT 3492 11/17/98 0001 01- 02 Parcel No: 156-302--09-00 . . . .Lot#:. •• * C-PRHT, 177900 Valuation: .. 304,278, - . , . Constructibn Type: IFR .Occupancy Group: . .• 'Reference#:' • Status:. ISSUED Description: 7802 SF TI-BURGER KING/POPEYES Applied: 07/30/98 PLUMB,ELEC,MECH '• ' Apr/Issue:' 11/17/98 Entered 'By: RMA Appl/Ownr : MENEMSHA CONTRACTORS . ., 310 343-3430-- 525 SO' DOUGLAS AV STE 230 ,' . • ' EL SEGUNDO 'CA' 90245 • ' - t Fees Required Collected & Credits . 'Fees: -, 2,647.00 Adjustments: red s: ..,00 Total-Fees: 2. 47.cO Tot a 8684o-1 t r . le 1, 779.0 0 , Fee description 2 it /1 , - 1t ----xt fee Data Buildi - n4 Permit 1339.00 • ' Plan Check / ••.--" 870.0.0 * Strong Notion Fee 1? fl I .'' Al 64..00 'Enter Y' for Plu bII4sue.F41 20.00 Y Each Plumbing Fix ure or \T 7.0 ,. 154.0.0. Each Building Sew \. > ' 15.0 15.00 Each Inst'all/Repai Water > 7.0 7.00 Eah' Water •Heater a d/or V t > 1 7. 0 '.., 7.00 Gas Piping System INOORPORATED 7 00 7.00 Enter "Ye' for Electri u > 1952 10.00 Y.' Single Phase Per AMP .25 100.00 .1 5.00 Y Install Furn/ii Ddts/Heat PuOt© ' ' . Each Exhaust, Fan > -' 6.50 13.'60' Each, Boiler/CoMpressor to 15 HP . 1 16.50 , '160 . ' . ' • . . ' .• • .. S . 4,-. , - , • ' I-- (S. -_ - •': -- , S , . 4 4 n[APPRoc/AL , // D IN~R ATE CLEARANCE -- I CITY OF CARLSBAD .. • • - 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 5 1 • •I S • . . ' . • Ce PERMIT APPLICATION - - o CITY OF. CARLSBAD, BUILDING DEPARTMENT 2075 Las -Palmas Dr., Carlsbad CA 92009 (760)438-1161 - FOR OFFICE USE ONLY /1 PLAN CHECK NO. ñ f If1J — EST. VA - L. - - -' Plan Ck. Deposit'- ' Validated By -r - Date_____________________ rr i -•• --" Address (include Bldg/Suite #) --I Business Name (at this add ss) ••- 9550 07//9R 1 - 0001-'Ol 02 ,Legal Description ---------Lot No. Subdivision Name/Number ' - - Unit No Phase No 1 ,jotal # of uni . - - - rp,ijl 68.00 r. - . .i.. . - - . - • - • Assessor's Parcel # Existing Use Proposed Use - — - - D iption of Work - SQ. FT. #of S cries # of Bedrooms .•i' * # of Bathrooms - . .. 1LO1L;O ___ ill` dlffeirenti*oiiij~p- ant ,, CV qQ Name - - - . Address-. - - - - 3 C Ora - orContract2DrflA not - -- '. Cny State/Zip--- cr Telephone #t - Fax #---- - 71 7 • - Name - . - --- - Address ....- - -City - • State/Zip Telephone # r ..W(,fl1 ,,44fl1 l&Vp e4L _ C- ,) !. C- J I LIT IA) r LO LI LV I.-' "U) r Jr" -L.-} Name Address City - -..tate/Z2q Telephone # L5TCONTRACTORCOMPANY NAME L JIJT ,(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolishor repair any structure, pri6r 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.thê.basis for the alleged ,exemption. Any violation of Section 7031.5 by any applicant for a permit subects the applicant to a civil penalty of not more than five hundred dollars lS5001). -tjw'.S4i - _b--_Q-m_&S'2 -o. __4c23,)CL Uk)OO,CA_qo1- Name -. ' - Address - • • -. • • City State/Zig / Telephone . - 'Se License #'- LiceneCIa 5 '' L.3V 3 36 _---.c •ca_p.SIE'i : _75 Designer Name 4 _ '. Address ,- • ,City , State/Zip qn State License # (og _ 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-inure forworker compensation as provided by Section 3700 of the Labor Code, for the performance of th ork for which this permit is issued. , I , 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 - -F-o'..'t' t')D" A)>cY No. _ xpration Date (:7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) • . -. • . - - C] CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whiáh'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 015ecure 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 additin-t th cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney 's fees. ,OIGNATURE )/&._C__iu~A__-_LVTE//__/ 4-' 17 WERBthLDEW—DE tTroN 'I hereby affirm that I am exempt from the Corlfractor's License Law for the following reason: E] 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 o impiove tereon, 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 Prófessins 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. DYES - ONO '2. I (have / have not) signed an appliàtion 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, licensenumber): 4. Iplan to pro1ide portionsof the work, but I have hired tlie following person to coordinate, supervis'iri'd prOvide the majoir work (include narei addr'ss/phbne,' number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /type of work):-- PROPERTY OWNER SIGNATURE- __.-.-. - DATE -i—ERMITS—~ONLY - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foryor risk management 'and prevention program under Sections 25505; 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 1J' 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 Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? 0 YES' i_ - ' • . - 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. - F8'CONSTRUCTION_LENDlNGAGENcy 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 19APPLIANLCER1IfICATION - - I certify that I have read the application and state that the above information is correct and that the iifOrmation 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 Carlsbadto enter upbn 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. - , ' ,. - , . ' ,-, I- 1, - U - OSHA: An OSHA permit is required for excavations over 5'O" 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 i limiiat and become null and void if the building or work authorized by such permit is noommenced within 365 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 rk is comm e perio of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE ile YELLOW Applicant PINK Finance 7 S E W E R P E R H I T . 11/17/98 11:00 - . - Perm.it -No:,SE980244 ,1 4 Page 1 of 1 * Bldcj PlanCk#: Job Addies: 2525. EL CAMINO REAL , Suite: 108 . Pemit Tye: SEWER - RESTAURANTS Parcel -No: 156-302-09-00 . S * . S . . S - S ' •' *, Description 7802 SF TI-BURGER KING/POPEYES 92 11'17'9i1 IUED) PLUMB,ELEC,MECH Ap11 i1/t Apr/Issue: 11/17/98 Permitee: MENEMSHA CONTRACTORS 310 33-3430 Expired:. 525 SO DOUGLAS AV. STE.230 . Prepared By: JJ EL SEGUNDO CA 90245 S . .. S.... . 5- . **.*. Fees Required *** ** Collected & Crdits : . Feds: .' 297. o 5 S ,Adjustment: . .0 ./red s: .00 .Total Fees: 97.0 Tot a1lvirit : : .00 )ue - 297.00 FedescHption S it 0 it Ext fee Data Base EDUs for'All e_ 2.67 Food, Deli, D er CREDIT.ED sAo 12: !tII 1L cE NA : * = S. SEWER TOTAL INCORP ATED 297.00. 1952 FINAL APPRO DATE :4 r.:. S • • •L/JCE . S ••-....:__.••,•_____, : J ' - .. -. 44 CITY OF CARLSBAD • . • . 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 - S S • . . ... :- . .• .1 .5 .5 • S • 5. • . . .. - . . - - . - * 4 . .. . .. 4 . - .,. S 5 :. -. •;'_ 5i D City of Carlsbad Inspection Request For: 3/18/99 (k_ - NA Permit# CB982411 Inspector Assignment: DH Title: 7802 SF TI-BURGER KING/POPEYES Description: PLUMB,ELEC,MECH Type: CTI Sub Type: Phone: 7604345939 El Job Address: 2525 EL CAMINO REAL Suite: 108 Lot Location: APPLICANT: MENEMSHA CONTRACTORS Owner: PLAZA CAMINO REAL Remarks: Total Time: Inspector: 791) Requested By: KEVIN Entered By: BARBARA 1 CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical1 49 Final Mechanical Inspection History Date Description Act Insp Comments 3/12/99 23 Gas/Test/Repairs NR DH 3/12/99 29 Final Plumbing NR DH 3/10/99 84 Rough Combo NR DH 3/12/99 84 Rough Combo NR DH 3/8/99 14 Frame/Steel/Bolting/Welding AP DH GREASE HOOD 3/8/99 17 Interior Lath/Drywall AP DH 3/4/99 22 Sewer/Water Service NR DH 3/5/99 22 Sewer/Water Service PA DH GREASE TRAP OK TO SEAL EXCEPT AT HOOD 2/16/99 14 Frame/Steel/Bolting/Welding PA DH FRONT HALF OF BLDG 2/16/99 21 Underground/Under Floor AP DH 2/10/99 17 Interior Lath/Drywall AP DH 2/3/99 17 Interior Lath/Drywall AP DH 2/2/99 17 Interior Lath/Drywall CA DH 2/2/99 18 Exterior Lath/Drywall CA DH 1/29/99 14 Frame/Steel/Bolting/Welding AP DH 1/29/99 34 Rough Electric • AP DH 1/28/99 14 Frame/Steel/BOlting/Welding CA DH 12/24/98 17 Interior Lath/Drywall PA DH KITCHEN/BATHROOMS & COUNTER Carlsbad BUILDING PLANCHECK CHECKLIST DATE: PLANCHECK NO.: .CB BUILDING ADDEss: 5 El. PROJECT DESCRIPTION: ASSESSOR'S PARCEL NUMBER: EST. VALUE: ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. lilA Right-of-Way permit is required prior to construction of the following improvements: DENIAL Please seek th9 attached report of deficiencies marked with Make necessary corrections to plans or specificatiàns for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. Date: ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT: Date: //// iIWd L Dedication Application LI Dedication Checklist LI Improvement Application LI Improvement Checklist LI Future Improvement Agreement LI Grading Permit Application LI Grading Submittal Checklist LI Right-of-Way Permit Application F] Right-of-Way Permit Submittal Checklist and Information Sheet LI Sewer Fee Information Sheet ENGINEERING DEPT. CONTACT PERSON Name: JOANNE JUCHNIEWICZ City of Carlsbad Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Phone: (619) 438-116 1, ext. 4510 CFD INFORMATION Parcel Map No: - Lots: Recordation: Carlsbad .Tract: A-4 CA 92009-576 (760) 438-1161 • FAX (760) i269 BUILDING PLANCHECK CHECKLIST SITE PLAN ITJ 2NDJ 3RDI C3 Q • 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines B. Existing & Proposed Structures E. Easements C. Existing Street Improvements Right-of-Way Width & Adjacent Streets Driveway widths Li Li 2. Show on site plan: A. Drainage Patterns Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. ADD THE FOLLOWING NOTE: "Finish grade will provide .a minimum positive drainage of 2% to swale 5' away from building." Existing & Proposed Slopes and Topography Include on title sheet: A. . Site address -Assessor's Parcel Number C. Legal Description For commercial/industrial buildings and tenant improvement projects,' include: total, building square footage with the square footage for each different use, peiej ing sewer permits showing square footage of differentu—ses (manufacturing, Tres' warehouse, office, etc.) previously approved -t '$ EXISTING PERMIT NUMBER . DESCRIPTION O -ss -t a— . o4- DISCRETIONARY APPROVAL COMPLIANCE - . p 5) e0y Li Li 4a. Project does not comply with the following.Eng ëring C d i t i o n srfprova1I r Project No. • . Li Li Li 4b. All-conditions are in compliance. Date: H:\WORD\DOCS\CHKLST\Building Plancfleck CkIs( 8P0001 Form JJ.oc • 2 1 ev. 2/26/96 1 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS .JSTI 2NDI 3RDJ 5. Dedication for all Street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building Site is required for all new buildings and for remodels with a value at or exceeding $. , pursuant to Carlsbad Municipal Code Section 18.40.030. Dedication required as follows: Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/2's x 11" plat map and submit with a title report. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. Attached please find an application form and submittal checklist for the dedication process. Submit the completed application form with the required checklist items and fees to the Engineering Department in person. Applications will not be accept by mail or fax. Dedication completed by: Date: IMPROVEMENT REQUIREMENTS U L3 6a. All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value of the construction exceeds $, pursuant to Carlsbad Municipal Code Section 18.40.040. Public improvements required as follows: Attached please find an application form and submittal checklist for the public improvement requirements. A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process. The completed application form and the requirements on the checklist must be submitted in person. Applications by mail or fax are not accepted. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit. Improvement Plans signed by: Date: 6b. Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $__________________ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit. Future public improvements required as follows: H:\WORO'DOCS\CHKLSTBuiking Plancheck Cklst BP000I Form JJ.doc 3 Rev. 12/26/96 BUILDING PLANCHECK CHECKLIST 1 St./ 2ndl 3rd/ 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: Q C3 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. •0 7a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). Li LI . 7b. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached. NOTE: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit. Grading Inspector sign off by: Date: LI LI LI 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) LI LI LI 7d.No Grading Permit required.. LI LI LI 7e. If grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS LI 8. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are not limited to: street improvements, tree trimming, driveway construction, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: BUILDING PLANCHECK CHECKLIST H:WORDDOCS\CHKLST8ui1din9 Plancheck Cklst SP0001 Form JJ.doc 4 Rev. 12/26196 1s11 2 ndV Z .3"O A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 10. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 El Camino Real, Carlsbad, CA 92008. District personnel can provide forms and assistance, and will check to see if your business enterprise is on the EWA Exempt List. You may telephone (760) 438-2722, extension 153, for assistance. . -. Industrial Waste permit accepted by: Date: 11.NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit. The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first. >K'_ U--Required fees are attached L • No fees required X "T 7AdditionaI Comments: 1a c4c. ' S'uc -CL frOASsLr - o H:WORD\DQCS\CHKLST\BuiIdin9 Plancheck Cklst BP0001 Form JJdoc 1 5 • Rev. 12/26/98 =-o297 ENGINEERING. DEPARTMENT FEE CALCULATION WORKSHEET o -,,,Estimate based on unconfirmed information from applicant. 0" Calculation based on building plancheck plan submittal. Address: , 5 El (ç 2e Bldg. Permit No. -L3 c V{// Prepared by: Date: /C /i,/€8 Checked by: Date: EDUCALCULATIONS: List types and square footages for 11 uses. ' ( c-s) Types of Uses'—. Sq. Ft./Units: EDU's: Types of Use: Sq. Ft./Units: EDUs: ADTCALCULATIONS: List types and square footages for all uses. Types of Use: j\' _(j\._-<. ./Units:. ADT's: ~ADT~'s: Types of Use: ______________ FEES REGUIRED: . . . WITHIN CFD: DYES (no bridge & thoroughfare fee.inDistrict41, reducedTraffic Impact Fee) 0 NO AV IC PARK-IN-LIEU FEE . PARK AREA-&#:'' _----..- . FEE/UNIT: . - X N0 UNITS:= $____________ TRAFFIC IMPACT FEE ADT's/UNITS: X - -FEE/ADT: BRIDGE AND THOROUGHFARE FEE (01ST. #1 * D!ST. #2 DIST. #3 ADTs/UNITS: . X FEE/ADT: . =$ FACILITIES MANAGEMENT FEE ZONE:_________ UNlT/SQ.FT.: X FEE/SQ.FT./UNIT:________ 0/" "5. SEWER FEE . PERMIT No. 8EÔ O9'/ EDUs:.._I X FEE/EDU:_______ OkNEFIT AREA: DRAINAGE BASIN:_______ EDUs: X FEE/EDU:________ SEWER LATERAL ($2,500) DRAINAGE FEES PLDA_________ ACRES: HIGH /LOW X FEE/AC: =$___________ TOTAL OF ABOVE FEES*: ,$ *NOTE: This calculation sheet is NOT a complete list of all fees which may be due. Dedications and Improvements may also be required with Building Permits. P:DOCSMISFORMSWEE CALCULATiON WORKSHEET . REV 7/13/98 .'\ _tu.7caec3 _-1 I -- U-~ h-f) 4 I ' 2'sith .: City of Carlsbad 03/05/1999 Building Permit Permit No:PCR98259 Building Inspection Request Line (760) 438-3101 Job Address: 2525 EL CAM INO REAL CBAD St: 108 Permit Type: PCR Sub Type: Parcel No: 1563020900 Lot #: . Status: ISSUED Valuation: $0.00 Construction Type: NEW Applied: 12/17/1998 Occupancy Group: Reference Entered g3P5 03.jf/99 0001 01 02 Appr/tssued: 0310511RMT 43600 Project Title: REVISIONS-ELEC,PLUMBING,EGRESS Inspect Area: POPEY-BURGER KING Applicant:-. NORBYELLEN 7371 VIAR AVENUE 92120 619 583-8018 Total Fees: $436.00/1rl ______Ji______ Plan Check Revision Fee 436.00 1952 INCORPORATED 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 with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failue 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously Otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 Owner: PLAZA CAMINO REAL z 1 Z(~4'6 (; Due: $436.00 CItuL3373 B U L D1 N• G P ER M IT Permit No: CB983182. 09/21/8 16 30 Project No A9804145 Pe 1 of 1 Development No: - Job Address: 2525 EL CAMINO REAL . ,Suite: 108 1 Permi,t Type: MISCELLANEOUS . .. . Parcel No:-156-302-09-00 Lot#: - - . it Valuation: 0 Contruction Type: NEW Occupancy Group:. Reference#: . Status: ISSUED Description: DEMO ONLY-NO NEW CONSTRUCTION Applied: 09/21/98-i POPEYES-PLAZA CAMINO REAL . . Apr/Issue: 09/21/98. -. . .. j Entered By: JM - Appl/Ownr MENEMSHA 1 DEVELOPMENT - -. 230 . . 131609/21/98001 02 EL SEGUNDO-CA 92045 . *** Fees Required *•** *.*Fees Godcted & CreditsCPT 3000 ----------------------- ---------------3009/'(g/\/) Adjustments: .00 f - '( 6. 'its,: .00 Total-Fees: 30#?00 .tQ,P-' Total P-Ein(ent: - .00 -. Barane'çDde..:\ 30.00 j Fee description / N.-Fe,tJnit Ext fee Data Miscellaneous Fee #i/. I.P . 30.00PERMIT FEE * MISCELLANEOUS-TOTAL. Z . . . 3O.00 INCORP TED 1952 ANAL APPROVAL NSP DATE. _?4 CLEARANCE - CITY OF CARLSBAD -. . . 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . PERMITARPIJCATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE °5çL PLAN CHECK NO.___________ EST. VAL. Plan Ck. Deposit Validated PROJECT INFORMATIO i zçzcLT4 Address (include Bldg/Suite #) ,1 1110 1j3 Business Name (at this '.9 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use .1 ^101 - 'V Pro , - Description of SO. FT. nes S of Bedrooms S of Bathrooms tdNtACfPERSOiiUt different fn,m ppllnt) - --------""----------------------- -- - Name Address City State/Zip Telephone S Fax S 3 APPLICANT 0 Contractor 0 Agent for Contractor 0 Owner 9 Agent for Owner Name . Address - City State/Zip Telephone S 4; .PROPERTY:OWNER . . . . Name Address City State/Zip Telephone S 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 axe m tion. Any viola on of Se tion 7031.5 by any applicant for a permit subjects th ap licent to a civil penalty of not more than five hundred dollars ($5001): tíL G ,• (':: 0 6- Name Address City State/Zip %'i ) - - State License S 2,c.( ?'% ) 0 License Class City Business License# _______________ Designer Name Address City State/Zip State License S WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have andwill maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insure ce arrier and y number are: Insurance Company .. (3'-'.7 t1.,, Policy No.(e',J ,J'? 2 ") 2 1 Expiration Date ' I ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 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 parson In any manner so as to become Subject to the Workers' Compensation Laws of California. WARNING: Failure t94 ure worker3.'66mpen atlon coverage I. unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1.$400 00..in adl11on to th o.$.of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATU4 .,,.., ...- ............... DATE' .,... .,.,.,,.... .... 7 OWN ILDER DECLARATIO I hereby of that I am exempt from a 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). C3 I, as owner of the property, em 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 Lew). C3 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 I (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 I address / 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 I address I phone number / 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 / address / phone number / 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 18 CONSTRUCTION LENDING AGE$JCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) 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 Cifl' 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 the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after ~thZrk is corn cad ore period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE,,(,'t%_ f2Z__.._. DATE WHITE: File YELLOW: Applicant . PINK: Finance