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HomeMy WebLinkAbout2525 EL CAMINO REAL; 109; STE 109 PRE 2016; PermitCITY OF CARLSBAD 40 BUILDING DEPARTMENT Application foIBLJILDtNG Permit 729-1181 -Ext. 36 Building Permit Fee For Applicant to Fill In DEC 26-68 çPAID 2O6*******.00 Owner's Name Mediterranean Imports Mail Address Contractor Millie F S p ye r c on Cont r. Address p p D ox 1 2 69, Lu rig Bea C To Const. 0 To Add D To Alter 0 Convert 0 To Move From Type ofConst. Frame and Masonry Frame, Masonry, etc. To Be Used For Ipt. Store Kind of Foundation_______________ No. of Stories Floor Space (Sq. Ft.) 3 ,257 Garage Floor Space (Sq. Ft.) Attached_________________________ Detached__________________________ Legal Description Building Dept. Use Building Address S u i t e 109- St. Near El Cami n o Real Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.L. Other Group Zone Approved by Contractor City Bus. Lic. No. Water Meter Sewage Disposal System Inspection Record Lot Block Subdivision or Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes 0 No 0 Signature of Applicant I ACKNOWLEDGE THAT I HAVE 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 OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DES RI ED RESID NTIAL PROPERTY. SIGNATURE OFPERMITTEE Utility Company Notified - Date By Final If 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. Permit void if work is not commenced within 60 days of issuance. PERMIT NO. _________ TOTAL FEE $ CITY OF CAtSBAD c' 2 BUILDING DEPARTMENT 729-1181 - Ext. 36 Application for ELECTRICAL Permit For Applicant to Fill In . PERMIT FEES: Each Fee BUILDING ii Skr&rt9 Item Recpt. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 S. OS )" 1,/.- 1, St. Near / Elec. Ranges, Clothes Dryers, Water Heaters . .50 to ADDRfS lec. Space Heaters Dishwashers, Garbage Auto. Washers, Sta. Cooking Units .50 S d- 1-L4 I MOTORS: Per each motor H.P. isposers, - CITY ,,,, o C-.-. 1 0 to 1 $ .25 2.3 1 to 2 $ .50 Ltca TELEPHONE NO. — C 2 to 5 $ 1.00. . 5 . to 15 $ 1.50 --F City Business License License 15 to 50 $ 2.50 50 to 200 . $ 5.00 Group - Zone By SIGNS: No: trans. Ea. $ 1.00 Inspection Record: No. lamps over 50 ea. $ .50 T VICE: 0 to 150 AMPS 0 For each additional 100 Amps. $ 10.00 $ 2.00 UbQ Temp. Power Pole, 100 AMPS or LESS $ 3.00 For Each add 'I Meter, over one per service $ 3.00 ISC: Approvals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 TOTAL: Conduit Temp. Power R. Wiring F ixtures I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI DENTIAL PROPERTY. SIGNATURE OF PERMITTEE: _______________________________________________ S.D. G. & E. FINAL: _ 1TY % CARLSBAD• BUILDING DEPARTMENT OWNER Mediterranean Imports MAIL ADDRESSPlaza Camino Real Center CITY Carlsbad TEL. NO. PLLIMBERPrOffitt & Durnell P±bg. ,Inc AD0RESS12630 So. Hawthorne Blvd. CITY Hawthorne T. 772-276k STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. ITEM FEE 1 TOILET @ $1.25 1 25 BATH TUB @ 1.25 SHOWER @ 1.25 1 WASH BASIN @ 1.25 1 25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 1 WATER HEATER & VENT @ 1.50 1 50 GAS SYSTEM I TO 15 .30 EA. ADD. © 1.50 1 FLOOR DRAIN OR SINK © 1.25 1 25 LAWN SPRINKLER © 2.00 1 MISC. WATER PIPING © iso 1 50 GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 © 2.00 6 75 GRADING PLAN YES r-1 NO E PERMIT $ 2 00 TOTAL FEE $ 8 75 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 DCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE dkUlIGIN6 PERMIT - APPLICATION 25-68 5 A102323***t ***tL iS BUILDING ADDRESS NEAREST / CROSS ST. P.1 GROUP I ZONE Inspection Record APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL Wa / VALIDATION hil 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 OF CAR D BUILDING DEPAR ENT 729-1181 - Ext. 36 PERMIT NO. p TOTAL FEE $ Application for MECHANICAL Permit For Applicant to Fill In - NO. ITEM INSTALLATION AND/OR RELOCATION EACH ANT. uq ,u-00 cc cJ Vj For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached tu such appliance, up to and including 100,000 B.t.u.'s $ 4.00 For the installation or relocation of each forced-air or gravi- ttype furnace or burner, including ducts and vents attached to such appliance over 100,000 B.t.u.'s 5.00 For the installation or relocation of each floor furnace, in- cluding vent. 4.00 For the installation or relocation of each suspended heater, recessed wall heater or floor mounted unit heater. $ 4.00 Building Dept. Use Only For the installation, relocation or replacement of each ap- pliance vent installed and not included in an application. $ 2.00 For the repair of, alteration of, or addition to each heating appliance, refrigeration unit, comfort cooling unit, absorption unit, or evaporative cooling system, including installation of controls regulated by this Code. $ 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- sor to and including three horsepower, or each absorption system to and including 100,000 B.t.u.'s. $ 4.00 STREET NAME For the installation or relocation of each boiler or compres- sor over three horsepower to and including 15 horsepower, or each absorption system, over 100,000 8.t.o.'s to and inclu- CONTRACTOR Southi arid, Htg . Sd\,/C ____________________________________________________________________________________ Plaza Camino Real, A Limited ding 500,000 B.t.s.'s $ 7.50 - For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or OWNER Partnership each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u.'s. $10.00 ADDRESS 2800 Temple Avenue For the installation or relocation of each boiler or compres- sor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 Buy's. F$25.00 CITY Long Beach For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. CITY BUSINESS LICENSE NO. Z7 For each air handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. $ 3.00 f2 3 CITY BUSINESS LICENSE NO. For each air handling unit over 10,000 cubic feet per minute. For each evaporative cooler otl,er than portable type. $ 3.00 GROUP JL For each vent fan connected to a single duct. 52.00 For each ventilation system which is not a portion of any heating or air conditioning system authorized by a permit. $ 3.00 INSPECTION RECORD For the installation of each hood which is served by me- chanicat exhaust, including the ducts for each hood. $ 3.00 For the installation or relocation of each domestic type incinerator. $ 5.00 For the installation or relocation of each commercial or industrial type incinerator. $20.00 For each appliance or piece of equipment regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this Code. $ 3.00 For the issuance of this permit. $3.00 E3 J's-$, I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL STATE AND CITY LAWS REGULATING THE MECHANICAL CODE OF THE UNIFORM BUILDING CODE. I CERTIFY THAT I AM PROPERLY REGISTERED AND'OR LICENSED AS RE- QUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR T T I 9t AM THE LEGAL OWNER OF T0IVS SCRIBED PRDPE , Y. SIGNED BY PERMITTEE___________________________________ DATE JOB FINALED 5.5o CITY OF CARLSBAD BUILDING' DEPARTMENT OWNER MAIL AD DR %U1161116 PERMIT - APPLICATION JAN —6-69 55CAC10 185*******4.00 TEL. NO. ADDRESS -. TEL. NOI-,(49 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. I €L. I A -Al ,ri—.-... (7 NO. r.r ITEM I % FE TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 -....KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB on TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 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 I TO 5 @ 2.00 GRADING PLAN YES NO , PERMIT $ 2 00 TOTAL FEE $144 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 C'LSBAD AND STATE OF CALIFORNIA OR THZ I AM/ LEGAL OWNER OF THE ABOVE DESIBED SI1ENJ1AUPRPERTY. SIGNATURE OF PERMITTEE BUILDING ,Z4.4-;t;:_. / 0 ADDRESS NEAREST./ nspecfkn APPROVALS DATE INSPECTORS SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED I VALIDATION This PhmthnT ein,if When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. .5 CITY OF (ARLSBAS • SEWER BUILDING DEPARTMENT PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BUILDING ADDRESS BLOCK TRACT NEAREST - .' .... f CROSS ST. USE OF BUILDINGS OWNER•I'/ CONTRACTOR MAIL ADDRESS I - ,t ADDRESS CITY — ''/ ..(. TEL. NO. CONNECTION DATA Lateral Charge Computation CITY TEL. NO. CONTRACTORS STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 30 H., 0' V. @ 4" = ______ 6" Add. Horiz. @ 4" = ______ 6" Add. Vert. @ 4" = 6" _____ Total Construction Cost 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 This is a Sewer Permit When Properly Filled Out, Signed and Validated 3 8 'Issued By PERMIT VALIDATION NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 ScPTIC JAN K, SEEPAGE PIT OR OVERFLOW SEEPAGE PIT, ORAINFIELO EXTN., CESSPOOL, ORYWELL, MANHOLE @ $5.00 HOUSE SEWER CONNECTING TO PRIVATE 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 10% Service Charge Total Lateral Charge Let. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. No. LINE COST: C. C. @ / / dwelling P. S. @ / dwelling - OTHER TOTAL 1!510— Grand Total, Lateral, etc. FOR SEWER LOCATION St. NORTH ENGINEERING SEWER DEPT. Signed Signed MODEL NO. 9' 1 IILDl1G PERMIT APPLICTIONI79E54a City of CARLSBAD, CALIFORNIA 92008 Aop/icant to complete numbered soaces on/v. Phone 729-1181 Permit n 7 JOB ADDR ESS ASSESSOR'S PARCEL NUMBER LEGAL 1 DESCR. LOT NO. I BLA TRACT ([DS EE ATTACHED SHEET ZIP PHONE - BOOK PAGE PAR. =ar / -/ IL ADDRESS 2 ('STC. CONTRACTOR /4 iea, MA L AD)fr)/97,4 34 IV i VZ//N/eL6/1 /7/7 __& NO (L f1e94 ONE ( _ tY77fr a ARCHITECT OR DESIGNER CENSE NO. 4 v,9 / 17174, f J4 e- 2 27 ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS 6 BRANCH US E"O F BU 4 NO. BORMS__________ - NO. BATHS__________ 8 Class of work: U NEW U ADDITION 9ALTERATION U REPAIR U MOVE U REMOVE 9 Describe work: f P7a,z4:75e0,V7 /-,t-/ñ' 4'7,v CtIz , f 'Zs 4Coyf7c4L Ld7—J f 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK ___ PERMIT FEE $ SPECIAL CONDITIONS: CONDITIONS: Type of Const. _Cy Group MICRO FILM FEE Size of Bldg. (Total) SQ. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Lives UNO APPLIC T/ ION BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ...- 2f._tP) DATE Dwelling No. of Units OFFSTREET PARKING SPACES: No. lNo. Covered Sq. Ft. I0pen NOTICE / SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON rRUCTION OR 'Pt-fE PE'VORMANCE OF CONSTRUCTION. Special Approvals - Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. "-77 Vf'U1Rit'6Fd6N1RKCTORORAUTHORIZEOAGENT (DATE) SIGNATURE_OF_ OWNER _(IF _OWNER _BUILDER) bATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMI CK M.O.CASH c7kL ___ JU. MODEL NO. BUILD G . PERMIT APPLIC TIO. City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces 0,7/v. Phone 7291181 Permit No 7 7 / ,3 2._. JOB AODR ESS ASSESSOR'S SORS PARCEL NUMBER I LOT NO. I D LEGAL SCR. BLIc TRACT (SEE ATTACHED SHEET) BOOK PAGE PAR. AlL ADDRESS ZIP PHONE 2 CONTRACTOR 4MAIL 4 .." '/ STATE LC. NO.0 LIC. NO.1, 3 A * ,/ ,'4/ /717 ARCHITECT OR DESIGNER T~W PHONE,/,t , •LICENSE NO. C 2 7 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH . . USE OF BUlL NO. BORMS NO. BATHS_________ 8 Class of work: U NEW U ADDITION IALTERATION El REPAIR U MOVE U REMOVE 9 Describe work: .' •.. ,-, F S'CH I t'f//"'i, . 4 ' I" 11 10 Change of use from no" g ) /E Change of use to OCR , . work: 11 Valuation of $ PLAN CHECK FEE'S ,.?.)?._,,,rPERMIT ITypeof FEE $ SPECIAL CONDITIONS: ConSt. "pacy Group MICRO FILM FEE Size of Bldg. (Total) Sq. Ft. . No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Elves UNo BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY *PLICACCEPTED )b of S ET G SPACE No DATE l DweUing Units = or ed Sq. Ft. iopi6n NOTICE Special Approvals Required Received Not Required PLANNING DEPT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB, ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT. FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER DEPT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITI WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONStRUCTION OR TkE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT *1. PLAN CHECK VALIDATION c. M.O. CASH PERMIT, ALIDATION CK. M.O. CASH te)741 TOTAL FEES $________ \.._. - . INSPECTOR / INSPECTION RECORD V V DATE .. REMARKS ' INSPECTOR FOUNDATIONS: V SETBACK._T.- TRENCH V'' •V V V _____ '. V REINFORCING FOUNDATION WALL& WEATHER PROOFING V V V CONCRETE_SLAB FRAMING INT. LATHING OR DRYWALL EXT LATHING - - MASONRY ' V VV • V - V FINAL _____ ••V are _________ USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. V Dru flIV P DDr'UADA APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. — 2 E'1 0 I hereby affirm that I am licensed under I provl&ons of Chapter.9 (commencing with Section 7000) of Division 3 of the Business it and Professions Code, and my license is in full force and effect. 0 - - .1 hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason )Sec. .7031.5 Business and Professions Code: Any city or county which re quires a permit 10 construct, alter, improve, demolish, or ... repair any structure, prior foils issuance also requires Me ap' plicanl for such permit to file a signed statement that be is licensed pursuant to the provisions 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 01 Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the allegro exemption. . Any . violation of Section ,7031.5 by an applicant for a permit sub' - - edo the applicant to Civil penalty 01 not more than line hun- dred dollars 195001. CC ( I I, s owner of the pieriy, urmy employees Min wages - as Iheir sole compensation, will do Ihe work. and the slruc' lure is not intended or offered or sale ISec 7044: Business and Professions Code: s-The Contractor's License Law does St not apply to an owner of property who builds or improves thereon and who does such work trimsell or through his Own "-i employees. provided ]hat such improvements are nor intend- 151 ed or offered for sale. It, however, the building or improve' Z menl is sold within one year at completion: the owner-builder will have the burden of proving bat he did not build or im- prove for the purpose of sale). I, I I. as ovner at the property, am enclusivly contracting .—with licensed contractors 10 Construct the project (Sec. 7044. -'-Business and Professions Code: .The Contractor's License ' Law does not apply to an owner 01 properly who builds or - rn- - proves thereon.- and who contracts for each projects with a lit , :proves license pursuant to the Contractor's License Z Law). -- - ' - 1') Asa homeowner I am improving my home. and the follow.: 4 .ing conditions exist: 1. The work is being performed prior to Sale. 49 2. I .have lived in my home for Iwelvo months prior 10 completion 01 this work. Ui , 3. I have net claimed this exemption during the O - - (aol three years. . • -.• ' . -' U lam exempt under Sec. "'. B & P.C. for this reason : •' •': Irlereby affirm that I traveacerfiticafe 01 consent to ' sell .insure. or a certilicafn 01 Workers' Compensation In. sorarrce. or a certified CopyfhereOl (Sec. 3800. Labor Code) - POLICY NO: COMPANY_ . •' ,- • - Copy is hInd with the City 5 0 Certified copy is hereby -furnished C - CERTIFICATE OF EXEMPTION FROM - () . r WORKERS' COMPENSATION INSURANCE (I) ', . (This seclion need not be completed if the permit - sror one hundred dollars ($100) or less) uJ "0 .1 cerriry feral in the performance 01100 work for which CC this permit is issued. I shall nor employ any person in any 0 . manner so as 10 become subject to the Workers' Compnn. safion Laws or California. - •. - I , .' ,•.-..-. .-.----- - NOTICE TO APPLICANT: It. after making this Certificate of Exemption. you should become subject to the Workers' Compensation provisions 01 the Labor Code, you -mImI forthwith comply with such provisions or this permit shall ' * be deemed revoked." * 0 I hereby affirm that there is ir c''nstruclion lending agency for the performanCe 01 the work for which Ibis por. -- - O) - mil is issued (Sec. 3097, Civil Code) ZI - liii . • Lender's Name -•'! Lender's Address \ CARLSBAD BUILDING AEPARTMENT APPLICATION & PERMIT '. -.r\ -'2075 Lis Pjjmas'Dr., Carlsbad, CA 09-1915 (619) 438-1161 -'- — '- ..... ---- JOB ADDRESS 7' _'-AV,.,RD,THO_BROSNO. ---- ____ _DATE OFAPPLICATION BUSINESS LICENSE i VALUATION 7o;oi PERMIT NUMBER : -51 LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CO TA TOR ' CONTRACTORS PHONE F?_5'v1CS_JZc .0/-- OWNESA NAME _A OWNERSPHONE zi _.vvo' - - - I CONTRACT 'S ADDRESS ' STATE LICENSE NO. BUILDING SO. FOOTAGE s& OWNER'INGADORE -. -. . - - q7PFyo. DESIGNERS PHONE DES//ION0 WORK DESIGNERS Aoo:ESS EN~E NO. . 9874 62 STATE LIC NO CPRMT._.:513.O( STORIES ' -.-., YO NO - -. CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - ' TYPE - 0CC LOAD FIRE SPA'_ — AREA . CONST Y O N 0 YO ND YO NO Not Valid Unless Machine Certified - OTY. a '-PLUMBI °G.PERMIT-- ISSUE,-- .T7. 5o . OTY. MECHANICAL PERMIT- ISSUE /_ - SUMMARY/ACCOUNT NUMBER - - - V Ps S ,JY_,'A 'or.-,__________ ___________________ 'EACHFIXTURE TRAP '''-'-- . INSTALL FURN. DUCTS UPTO100,000 BTU , BUILDING PERMIT 00)'810-00'00-8220 /_/ EACH BUILDING SEWER ' . ' - OVER 100,000 BTU . SIGN PERMIT 001-810-00'00'8221 EACH WATER.HEATERAND/ORVENT __- , - BOILER/COMPRESSOR UPTO 3 HIP -,_.— -..---- PLAN CHECK - 001-810-00-00-8891- EACH-GAS SYSTEM I TO 4 0 BOILER/COMPRESSOR3.15 HP —" , TOTAL PLUMBING 001-810'00'00-8222 - EACH GAS SYSTEM SOIl , — METALFIREPLACE _. ' ELECTRICAL 001-810-00-00-8223 1 EACH INSTAL.,ALT.IPAiR WATER PIPE, -- , — VENTFAN rfqT"E OUCT - - . MECHANICAL 001-810-00-00-8224 - - — EACHVACU,MEAKER _. , — MECH EXHAUST HOOD/DUCTS , MOBILEHOME 001-810-00'0O'8225 - WATERS 'TNER . RELOCATION OF EA FURNACE/HEATER -- SOLAR 001-810-00-00-8226 EACH _R00F.DRA.IN_IINSlDEI'- _, . ' , DRYERVENT _. ' STRONG MOTION -880'519-92'33 .10 - - - TOTAL MECHANICAL • '- . - - — - - , '' FIRE SPRINKLERS 001-810'00'0O-8227 I_- ' . 101AL PLUMBING 'PUBLIC FACILITIESFEE _320-810-00-00-8740 BRIDGE FEE 360-810-00-00-8740 OTY: - ' ELECTRICAL PERMIT'- ISSUE 5 00 OTY. MOBILE HOME SETUP - PARK-IN-LIEU (AREA I NEW CONSI EA AMP'SWi BKR ' — CARPORT , __" ' -, -TIF -312-810-00-00-8835 - - - — 1PH - - 3 PH -. AWNING ' , LA COSTA TIF - 311-810-00-00-8835 — EXIST BLDG EA AMP/SWT,BKR — GARAGE . FMF - 1'PH -- _3 PH ___- ' - - , - . , - LICENSE TAX ' 001-810-00-00-8162 -- '-- ,REMODEL ALIfRPE.R,C-iRCUIT'T_ 'C' _"3\ -S MIFF 880-519-92-57 . — TE,MP.0LE\200'A,rolPSi't 4 OVER ?Ii0 AMPS f,--. TEMP4CCUPANCY(30DAYS) . . CREDIT DEPOSIT ( -- --'-,.TOTAL-E1ELTRiLAL__r c j-_ • • ., - TOTAl . . TOTAL FEES PAYA,E1)_..S/" _/c (HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued byIheBuiIding Official under the provisions ofthis * AN OSHA PERM"-°EOUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE shall O011/ by limitation and become null and void It the building or work '(M0U1ION date of such ,WD OR CONSTRUCTION OF SO" DEEP Ahe authorized by such permit is not commenced within 180 days fromDECLARATIONS ARE TRUE AND CORRECT AND) FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such :r: :usp:nded or, STRUCTU OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON _ abandoned SI an ' 01 tOO d _e aftertheworkiscommencedforaperrod ayo. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA T, ATURE OWNER CONTRACTOR APPROVE V E •., - . KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND X - • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE BY PHONE 1'] -' GRANTINGOFTHISPERMIT. I. •1 INSPECTOR TYPE DATE BUILDING FOUNDATION FIELD INSPECTION RECORD REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES MASONRY p - INSPECTION REQ IF CHECKED INSPECTORS APPROVAL DATE GUNITE OR GROUT - L,S. SUB FRAME El FLOOR CEILIN9/ 'T PRIOR TO SOILS COMPLIANCE SHEATHING El ROOF SAR FRAME EXTERIOR LATH /R 00 PSI 7FTRESI'RESSED/i INSULATION INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING El SEWER AND BL/CO El PL/CO BOLTS HIGH. STRENGTH UNDERGROUND D WASTE El WATER SPECIAL MASONRY TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST PILES CAISSONS O WATER HEATER El SOLAR WATER ELECTRICAL O ELECTRIC UNDERGROUND EJ.UFFER ROUGH ELECTRIC El ELECTRIC SERVICE El TEMPORARY El BONDING 0 POOL ft-i 75x El DUCT & PLEM., El REF. PIPING MECHANICAL HEAT - AIRCOND.SYSTEMS VENTILATING SYSTEMS .. ( ________ -. 0 0 - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL - 0 MECHANICAL 0 ___________ 0 , 0 . 'I - BUILDING A41Z1 _________ SPECIAL CONDITIONS 0• jz\c City of Carlsbad 0612812t00 ' Commercial/Industrial Permit Permit No: CB001 504 Building Inspection Request Line (760) 602-2725 - I. Job Address: 2525 EL CAMINO REAL CBAD St: 109 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $92,736.00 Construction Type: NEW Applied: 04/19/2000 Occupancy Group: Reference #: Entered By: GMF Project Title: PLAZA CAM INO REAL-SAM GOODY, Plan Approved: 06/28/2000 Issued: 06/28/2000 Inspect Area: Applicant: O.wner:.... PLAZA CAM INO REAL PLAZA CAMlN®AL C/O WESTFIELD CORP INC C/OWES-TFlELD CORP INC 11601 WILSHIRE BLVD ç2 11,601 EIBLVD i.4 06/28/00 0001 01 0 LOS ANGELES CA 90025 LoS-ANGELe/7O\ C-PRMT 710.14 Y \ . Total Fees: $1,094.08 f TotalPaiments Balarce Due: $710.14 Building Permit AddiBding Permit Fee ( ( $ ).0 --l-A d'r 9 , --WA, ) $000 Plan Check $3839 'Preter Fee.eT\ $0.00 Add'I Plan Check Fee !S. Plan Check Discount oo __'ED.P.Eryoff-Pee $0.00 SI 00 e C1 I Strong Motion Fee $&9.4'1' ,/ .1 $0.00 Park Fee . \ $000 INCORpffF(cFDFund)(. / $0.00 1952 Bridge Fee \\b.O nsTax1 . BTD #2 Fee $d.601 Traffic Fee $0.00 BTD #3 Fee . $0'0J LP Lm'af (CD'Fund) $0.00 - Renewal Fee $000 LFMZ Trjjspoftation Fee $0.00 Add'I Renewal Fee $0.00 PL TOTAL $41.00 Other Building Fee . $0.00 ELECTRICAL TOTAL $35.00 Pot. Water Con. Fee . $0.00 MECHANICAL TOTAL $24.00 Meter Size Master Drainage Fee: $0.00 Add'I Pot. Water Con. Fee . $0.00 Sewer Fee: $0.00 Red. Water Con. Fee $0.00 Redev Parking Fee: $0.00 TOTAL PERMIT FEES $1,094.08 FINAL APPROVAL Inspector: Date: /b//'/fr" Clearance: NOTICE: Please take NOTICE that approval of your project includes the lmposition' 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 you have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.CBUC' 1O9 CITY, OFCARLSBAD BUILDING DEPARTMENT EST. VAL -3( .'.. 2075 Las Palmas Dr, Carlsbad CA 92009 Plan Ck Deposit (760) 438-1161 "•. Validated'By i, Pate .1(t o .. 0 1. PR0)ECTINFORMA'TION Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No Subdivision Name/Number / l5ij4 04/2JRY N001 olotal #y units PRMT '33-94 Assessor's Parcel # .E~dsting Use , roposed Use '.. " 31QØ Description of .Work ' -. - so: FT. - -, #of Stories "- # of Be4rooms # of Bathroom L2 a-M Name . Address ' City State/Zip" Telephuie ' Fax #" APPIc.NT di E Aq(2—nt t3;q 'tr El O.'rr ,ent for Owner NameA1,.4/ 'Sdlre' 723 / City 7h C 4TPRq,ERI!,9WNE (e,,s.14-,pJpJ .. ML-1 Th L Name ' Addr' //6() / Cr)m, City ' A State Zip TI'p ore C T' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish,dr repair 'any structLre, 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 t,icense'Law IChapter, 9, commending with Section 7000 of. Division 3 of the Business andProfessions Cddej or that he is exempt therefrom, and the, basis for the alleged . /4 //W // /744 •'7vag, -# Name " ' .. Address ' City,"' tate/Zip " Te,yhone State License # License Class City Business License # 3 i Designer Name, . Address . . '. ,' City: ',.. State/Zip. . Telephone State Licens # ' -• . •' - ' . . , ' ' '• ,.0 ' ,L6RQOiNnQN Workers' Compensation Declaration: I hereby affirm under, penalty of perjury, one of the following declarations: .0 I have and will maintain a certificate ofconsent toself-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 1. issued My worker s corn ensation insur nce carrier and pscy number are Insurance Cmpan I4 iv L t Policy 'No'. 2971Iot Expiration ciate (THIS SECTION NEED'NOT BE COMPLETED IF THE PERMIT IS FOR"ONE HUNDRED DOLLARS ($1001 OR LESS) 0 C] CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this erniit is isued, I shall notrnlo'any person in any manner so a to 'become'subject to the Workers' Compensation Laws of California. WARNING: Failure to-secworkers' compensationcoverage is unlawful; end shall subject an employer'tb criminal penalties and ciiI fines up to one hundred ' ,thousand doll rs ($100 00t,n addition to the St of c ensation, damages as provided for in Section 3706 of the Labor code, intrést and attorney's fees. SIGNATURE .0 Z DATE 0 0 • tE' LAflOW' hereby affirm that I m exempt from the Contractors License Law for the following reason: , ...0 ' ', ''• ' 0 I, as owner o 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 .r)dt apply to an owner of property. who builds or'imprves 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 i'mprovement is' sold within one year of completion, 'the owner-builder 'will-have the burden of proving that he did-not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct th,e project' (Sec. 7044, 'Busine's's 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: - '' .0 , -, ' - •' 0 0 - '1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES. ODNO I (have'/have not) signed an application fr a'builing permit for the proposed work. I have contracted with-the following person (firm) to provide the proposed construction (include name / address'/ phone number '/ contractors license number): '4 I plan to provide portions of'-the work, but I have hired the following ersor'to coordinate, supervise and provide the major (include name cl name /address /phone 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 I' address I phone number I type 0 'of work): PROPERTY OWNER SIGNATURE . _---. ___--' _.- _. _. ___' DATE'ptRMIT - Js the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for 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 occupent Itequired to obtaira permit' from the air pollütidr 'contrbl diCtict or air quality management district?• 0 YES <0 Is the facility, to be *constructed within 1,000 feet of the outerbOundary of 'a schoOl site? 0 YES" NO - , . - 0*.0. •.. ' - 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'ÔF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 CONJUTION_LENDING_ ' '" I hereby affirm that there is ,a constructiohJending agency for the performance'of the work for which this permit is'issued (Sec. 309711v ii C 00)," - - - - ' . • 0 - .0 . 0' 4 LENDER'S NAME LENDER'S ADDRESS IRTFI I certify that I have read the application and state that the above iMormation is corriit and that-the iiiformetion on the plans is accurate,' I agree to comply with all City ordinances and. State laws 'relating'to- building oconstruction. I hereby authorize re'prèsentatives of the Cit, f-Carlsb'a'd 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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over '3 stories in height EXPIRATION: Every permit issued 'by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the-building or work authorized by such permit is not commenced within 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 th is co men d f period of 180 days )Section'106.4.4 Uniform Building'Coda)' • " ' " ' APPLICANT'S SIGNATU'R _0 _•, _- __, '0' - -, - .'- .'• --'-, - ' • ' - - WHITE: File YELLOW:'Applicant ' - PlNK: Finance - • • 0 - City of Carlsbad Bldg Inspection Request Lu For: 10/13/2000 Permit# CB001504 Inspector Assignment: TP Title: PLAZA CAMINO REAL-SAM GOODY Description: Type: TI Sub Type: COMM Phone: 3105058935 Job Address: 2525 'EL CAMINO REAL Suite: 109 , Lot ' 0 Location: ' Inspector: APPLICANT PLAZA CAMINO REAL' 'Owner: PLAZA CAMINO REAL Remarks: Total Time: ' ' ,Requested By: MARK Entered By: CHRISTINE CD Description Act Comments 19 Final Structural ' 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs Inspection History Date Description Act lnsp Comments 9/8/2000 89 Final Combo CO TP SEE CARD 8/23/2000 24 Rough/Topout AP TP @ RESTROOM 8/2212000 24 Rough/Topout ' AP SR EXTEND LAV. ARM ' 8/10/2000 14 Frame/Steel/Bolting/Welding AP TP ROLL CAGE SUPP. CLMN BASES 8/10/2000 19 Final Structural WC TP ' 8/10/2000 39 Final Electrical WC TP '8/9/2000 14 Frame/Steel/Bolting/Welding AP TP REST RM WALL PER REV. 8/9/2600 17 Interior Lath/Drywall AP TP RECV. RM. WALL 8/1/2000 ' 14 Frame/Steel/Bolting/Welding. , AP, TP STIR FRNT POP OUT'S, RECV. RM WALL