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Home My WebLink About2525 EL CAMINO REAL; 114; STE 114 PRE 2016; PermitOwners Name Mail Address Contractor Contr. Address ?1 To Coast. 0 To Add 0 To Move From Type of Const. To Be Used For To Alter )"" Convert 0 Frame, Masonry, etc. Kind of Foundation_______________ No. of Stories_______________ Floor Space (Sq. Ft.) Garage Floor Space (Sq. Ft.) Attach - CITY OF CARLSBAD BUILDING DEPARTME 729-1181 -Ext. 36 AppIicafionVIiDINO Permit Building Permit Fee For Applicant to Fill In flU2 OO Building Depf.tUseOnly...T A) 1 Building Address St. Near Set Back Bldg. .Valsietion Front P.L. Main Bldg. Side R.L '. Garage . • S - Rear P.L. Other Group Zone Approved I Contractor City Bus. Lk. No. Water Meter Sewage Disposal System I Inspection Record Legal Description Lot Block _____________________________________ £ONSIRJX•IIQN LENDER INFORMATION (OVER) Subdivision ___________________________________________________ or Section Township Range No. of Existing Building Will this construfion include any plumbing installation or alter- ation? Yes 1 No D 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. Utility Company Notified - Date. By - I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Final LICENSED AS REQUIRED BY CITY OF 9.'LSBAD AND STATE OF CALIFORNIA OR THAT I AM VIE LGAL OWNER If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your OF THE ABOVE DESCRIBED RESlD27PERY. building permit will be immediately revoked. SIGNATURE OF PERMITTEE City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. CONSUION LENDER IDENTIICAION ,. CALIFORNIA STATE CODE OF CIVIL PROCEDURE SECTION 1193 (J) CI name of lender branch address of en er city /— 19 t9 signature of applicant date A c2—/ ?.27-69 5PAID cc 27***3oo PERMIT NO( ' LP TOTAL FEE $ Application for ELECTRICAL Permit Building Dept. Use Only CITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In PERMIT FEES: Each Fee ADDRESS: Item Recpt. Sw. Lighting fixtures w/bal last for each 10 $ 1.00 FBUILDING N St. Near Elec. Ranges, Clothes Dryers, Water Floaters .50 OWNER Elec. Space Heaters Dishwashers, Garbage bsposers. Auto. Washers, Sta. Cooking Units .50 MOTORS: Per each motor H. P. CITY: 0 to 1 $ .25 1 to 2 $ .50 TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State City Busi ness License License 3 ,15 to 50 $ 2.50 50 to 200 $ 5.00 roup Zone By '2 %,.. //j SIGNS trans. Ea. $ 1.00 ___ No. ri'nspection Record: No. lamps over 50 ea. $ .50 SERVICE: 0 to 150 AMPS For each additional 100 Amps. ' $ 10.00 $ 2.00 Temp. 'Power Pole, 100 AMPS or LESS $ 3.00 For Each addI Meter, over one per service $ 3.00 MISC: Approva ls Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit 00 TOTAL: Temp. Power - 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 0 PERMITTEE: P34.dJt.i..dLQ D. G. & E. FINAL: , - CITY OF CARLSBAD. 4MING BUILDING DEPARTMENT PERMIT - APPLICATION '- OWNER ci 6y- 7L *21 9 * ** * *1 ADDRESS - MAIL -/ CITY J?/S/JJ) .P TEL. NO. PLUMBER o 7 A BUILDING ADDRESS 4 / ADDRESS 4 /9 / DI?. _ NEAREST CROSS ST. ViJ 74 W))y CITY S..42, )3.4 J7 05 TEL. NO. lii- /3J/ STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. GROUP ZONE Inspection Record .Qu NO. ITEM FEE / TOILET @ $125 BATH TUB @ 1.25 J 42 ~• SHOWER @ 1.25 / WASH BASIN @ 1.25 / Z KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 / LAUNDRY TUB OR TRAY @ 1.25 2.5 AUTOMATIC WASHER @ 1.25 / WATER HEATER & VENT @ 1.50 GAS SYSTEM I TO 15 .30 EA. ADO. @ 1.50 / FLOOR DRAIN OR SINK @ 1.25 J LAWN SPRINKLER @ 2.00 / MISC. WATER PIPING @ 1.50 GARBAGE DISPOSAL @ 1.00 / VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 00 GRADING PLAN YESO NOD PERMIT $ 2 ;*_3 00 TOTAL FEE $ 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 DESCI33D RESIDENTLAL PROPERTY. SIGNATURE OF PERMITTEE APPROVALS DATE INSPECTORS 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. PERMIT NO. _____ TOTAL FEE $ 13 6-1 ' Application for ELECTRICAL Permit CITY OF CA SBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In Building Dept. Use Only PERMIT FEES Each Fee PAID BUILDING ADDRESS:' Item Recpt. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 St. Near Elec. Ranges, Clothes Dryers, Water Heaters .50 OWNER. lec. Space Heaters Dishwahers, Garbage Disposers, Auto. Washers, Sta. Cooking Units .50 ADD RE SS: .ç.1....4 / / 41 1OTORS: Per each motor CITY 0 to 1 $ .25 '7 1 to 2 $ .50 TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State City Business License c...5C/..5/ License 3 15 to 50 S 2.50 50 to 200 $ 5.00 Group Zone By SIGNS: No. trans. Ea. $ 1.00 Inspection Record: No. lamps Over 50 ea. $ .50 SERVICE: 0 to 150 AMPS For each additional 100 Amps. '4OA $ 10.00 $ 2.00 ,74— Temp. Power Pole, 100 AMPS or LESS $ 3.00 10 1 JL For Each add'I Meter, over one per service $ 3.00 (~ 5t!1—P-C MISC: Appiovals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit TOTAL: 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 OFCARLSBAD AND THE STATE OF CALIFORNIA R THAT I AM THE LEGAL OWNER OF THE tBOVE DE WJOUA SI?D RESI- DENTIAL PR Y SIGNATURE PERMITTEE:\J . S.D. G. & E. FINAL: _ BUILDING PERMIT APPLICATION 0 10 7/-4? 0 Z City of CARLSBAD, CALIFORNIA .0 5 0 cc Applicant to complete numbered spaces only. JUL -7-71 A1° JOB ADDRESS LEGAL 1DESCR. I LOT NO. - !LK I RAC T I I (DSEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE CON TRAC OR MAIL ADDRESS PHONE LICENSE NO. ITECT A DE MAIL A ZON LICENSE NO.4% ENGINEER V MAIL ADDRESS PHONE LIC NSE NO. LENDER MAIL ADDRESS 6 BRANCH USE OF BUILDING (?2 e 8 Class of work: 11 NEW U ADDITION tfER AT[ ON U REPAIR U MOVE 0 REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: Type of Const. Occupancy Group Division Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required OVes UN0 APPLICATION ACCEPTED BY: PLANS CHECKED BY., No. of Dwelling Units OFFSTREET PARKING SPACES: Covered j Uncovered 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 60 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 W WO WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 0 OT THF GRA ING OF A PERMIT DOES NOT PR ESU TO VIOLATE OR CANCEL THE PROV 0 ANY E OR LOCAL LAW REGULATING CO R T OR (f RMANCE OF CONSTRUCTION. Special Approvals - Required Received Not Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) SIGNE 6F CONTACTOR'OR AUTHORIZED AGENT (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 50 50. LOS ROBLES • PASADENA, CALIFORNIA 91(01 .0 'I INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: )e**** JI • . TRENCH • ________ .' '- -, . — REINFORCING WEATHER PROOFING FOUNDATION WALL& .. . . ,_. .•. - CONCRETE SLAB' .1 •i - FRAMING . . . . . - INT. LATHING OR DRYWALL EXT. LATHING MASONRY _______ _____________________________ • .-. _.* • . FINAL - USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. • - .. •• — - * (- ••,•- - .-' I . r• I • s •. - ). • - •• - '._ 1 •i' • ,t4 .1 • . • L . • • • . - • -•. . •; .fI.S - - .,, ,- -i-. •-. •- ••,- • - - - - •- - . - - • .•. • *- • -• ,- --•. - -. •.:i'- .. •'• •-.- .. .. ..• .- .,J" i.P MODELNO. .. BUILDI G PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB BOOR ESS Thir G 6J Qfl7ix, ASSESSORS PARCEL NUMBER LEGAL LOT NO. IOESCR. BLE I TRACT (F ATTACHED D BOOK PAGE PAR. OWNER AIL ADDRESS ZIP PHONE )llo VziritJ.iyS iio CONTRACTOR 4F MAIL ADDRESS PHONE Srnc. STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS face,r.4t BRANCH 9057 &,. 'USE OF BUILDING 7 t C i't..t NO. BDRMS NO. BATHS_________ 8 Class of work: Li NEW Li ADDITION (LTERATION Li REPAIR El MOVE El REMOVE 9 Describe work: oi{ 1io r-oyf 10 Change of use from Change of use to 11 Valuation of work: $ 7 000A.PLAN CHECK FEE $ PERMIT FEE $ SPECIAL CONDITIONS. Type of COnst. Occupancy Group MICRO FILM EE F Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Lives ElNo APPLICATION ACCEPJED BY DATE .1 / PLANS CHE .KED BY I APPROVED FOR ISSUANCE BY DATE No. of Dwelling Units - OFFSTREET PARKING SPACES Covered 'Sq. Ft. Open 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 ISSUSPENDEDOR 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 VIOLATEf OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL- LAW REGULATING CONSTR CTION OR THE' PERFMANCE F CONSTRUCTION. Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. SIGNATURE OF CONTRA'GTOROR AUTHORIZED AGE/T (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION INSPECTOR CK. M.O. TOTAL FEES $ 1 •-- ,. . I INSPECTION RECORD 7 079 DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL& WEATHER PROOFING . 0 CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL- _______ 0 0 EXT. LATHING ____________ MASONRY 0 - FINAL I / USE SPACE BEL'OW FOR NOTES, FOLLOW-UP, 'ETC. 0•0 / V 4f -T7 -a) BUILDING PERMIT Permit No: CB970586, 04/14/97 09:27 • Project No A9700761. Page 1 of .1 Development No: Job Address: 2525 EL CAMINO REAL • Suite: 114 Permit Type: COMMERCIAL TENANT IMPROVEMENT 4097 04/14/97 0001. 01 02 Parcel No: 156-302-09-00 r Lot#: • C-PRMT 105500 Valuation: 153,218 Construction Type - NEW Occupancy Group: Ref erence#: Status: ISSUED Description:' CTI 5893 SF, INTERIOR.ALTERAT- Applied: 03/14/97 IONS ' . Apr/Issue: 04/14/97 Entered By: JM Apl/Ownr : FOOT ACTION PERMITS 310 328-6300 1327 POST AVE STE H - TORRANCE, CA90501 *** Fees Required *.*, e •dllected & Credits Fees: 1,594.0 KAdjustments: . 0 it S .00 Total Fees: 1,59.0O Tota e. : 539.00 8 : 1,055.00 Fee description U s i Ext fee Data Building Permit .829..0b. Plan Checki 539.00 Strong Motion ,Fee ;••. 32.00 -di 14 Enter p- V for Plumbi g 20.00 Y Each Plumbing Fixtur or Tr 0 7,00 42.00 Each Install/Repair ater L - 7.O0 7.00 * PLUMBINGTOTAL 69.00 Enter 'Y for Elec,tri Issue e > 10,00 Y Remodel/Alter Per AMP / >ffJCORPORATED300 C'-'-..2 75.00 * ELECTRICAL TOTAL 1952 8'5.00 Enter'Y'. for Mechanical z e? - 15.00 Y Install Furn/Ducts/Heat Pu. s 0 Q0, 18.00 Each Exhaust Fan (4 650 6.50' * MECHANICAL TOTAL . 4.00 FINAJ4APPROVAL1 INS p42i- DATE 4L \ CLEJANCE___-----J • . CITY OF CARLSBAD ' * • • • - 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CK#37cc14 PERMIT APPLICATION S City of CarLsbad BuiLding Department 2075 Las Patinas Dr., CarLsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE A - Commercial U New Building N Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home ILElectrical 41 Plumbing Mechanical DPool 0 Spa 0 Retaining Wall 0 Solar DOther - INFORMATION PLAN CHECK NO. Ole /53z-7 PLANGKDEPOSI fr VALID. BY fi4_ - DATE 3336 03/14/97 0001 01 02 C-RAT 539-00 FOR OFFICE USE ONLY Address iiuiiang or suite No. 4..Pzoos- Nearest Lross Street c0 i Lod, CHECK BELOW IF SUBMIYFED: 02 Energy Calcs R2 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OFWORx,.,e, dl Tco, f t0 FT. 5ç Y __5 # OF STORIES NAME 0,-k Leo ft ADDRESS 13 17 Po NAME CITY STATE (4 ZIP CODE / DAY TELEPHONE SIC> - 2 62)c> NAMEk1Je,J'&/c/d Oe4I'7 ADDRESS //6c / e ñ1').-/z/ CITY. ZIP CODE DAY TELEPHONE ?7<P- (.AJ14 IMALIUK l 0 NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE J2 STATE UC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME3eff ADDRESS2 'tO Qc.,o '+ 1),i 8J3- ,!o CITY Zlv STAT' /y- ZIP CODE 2 7/S DAY TELEPHONE 7Z 61 STATE UC. # / 4 f WORRIS MPIr4AI1ON Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial Relations, or 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 with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 [$500]). 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 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING 11W REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CX)WI1IOL DISI1l1CF. ereuy auirm that there is a construction Fending agency tor the performance of the work for which this permit Is ISSUed (Sec 3097(1) Civil Code LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICA11ON I certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE (flY OF CAJUSBAD AGAINST All UABIIII1ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 11W GRANTING OF 11IIS 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATURE DATE: - - - - -.. A .i, ._i / i - CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970586 FOR 06/03/97 INSPECTOR AREA TP DESCRIPTION: CTI 5893 SF, INTERIOR ALTERAT- PLANCK# CB970586 IONS 0CC GRP TYPE: CTI JOB ADDRESS: 2525 EL CANINO REAL APPLICANT: FOOT ACTION PERMITS CONTRACTOR: OWNER: REMARKS: R/729-2560 SPECIAL INSTRUCT: CONSTR. TYPE NEW STE: 114 LOT: PHONE: 310 328-6300 PHONE: PHONE: INSPECTOR TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE AS970049 ASC CB970954 ELEC CB971401 SIGN STATUS - ISSUED ISSUED ISSUED LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION 05219.7 Final Combo 052197 T-24 H-Cap Consultation 051297 Frame/Steel/Bolting/Welding 051297 Rough Electric 051297 Rough/Ducts/Dampers 050697 Interior Lath/Drywall 050597 Interior Lath/Drywall 050297 Fraiue/Steel/Bolting/Welding 050297 Interior Lath/Drywall 050197 Frame/Steel/Bolting/ Welding 043097 Underground/Under Floor 043097 Rough/Topout 04 3097 Frame/Steel/Bolting/Welding 043097 Rough Electric * ACT INSP COMMENTS NR TP P1 TP AP TP T-BAR GRID AP TP CElL LITES AP TP DtJCTS,PLMN AP TP PA TP INT SOFFIT PA PK HARD LIDS PA PK WALLS PA PK SINGLE SIDE WALLS AP PK AP PK PA PK WALLS-SEE CARD PA PK WALLS-SEE CARD - 1-4 Qq 4 . B U I L DI N G P E R M I T Permit No: CB970760 04/22/9 12:29 Project No: A9700995 Page 1 of 1 Development No: Job Address: .2525 EL CAMINO REAL Suiteii Permit Type: COMMERCIAL TENANT IMPROVEMENT 4334 04/22/97 0001 01 02 Parcel No: 156-302-09-00 Lot#: CPRMT :D100 Valuation: 8,000 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: REMOVE PORTION OF EXISTING Applied: 04/04/97 SHEAR WALL Apr/Issue: 04/22/97 Entered By: JM Appl/Ownr : SCHROEDER CONSTRUCTION 619 942-5694 7957 REPRESA CIRCLE CARLSBAD,CA 92009 Fees Required --- Credits - Fees: 165.00 Adjustments: . t s. . 00 Total Fees: 165.00 Q Totaly'.e .. : 64,00 B C 101.00 Fee description U ir t, Ext fee Data Building Permit, 99.00 Plan Check 64.00 BUILDING TOTAL 165.00 FINA' WOVAL I DATEi 9L C CL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 co 0_ PERMIT APPLICATION CITY OF CARLSBADBUILDING DEPARTMENT 2075 Las P'alrnas Dr, Carlsbad CA 92009 (760) 438-1161 - - FOR OFFICE USE ONLY PLAN CHECK NO.7O7 EST. VAL. Plan Ck. Deposit'____________________ Validated.By' Date 44/g7 Address (include Bldg/Suite #) Business Nam (a his addes )"- \141 I I 1A1 Vi. V c.'t-1,,-o ... CPRMT 6440 Legal Description - - Lot No. - Subdivision Name/Number Unit No. - Phase No. Total # of units - - - , , , .I • , - iL Assessor's Parcel it Existing Use - - •, _ - Proposed Use . ....- Description of Work - - - - - SQ. FT.- #of Stories- - . - - it of Bedrooms '- - -'it of Bathrooms 1r1CUt_i". %,? TR'TUiAt- .46q ¼'L '• -. '.- -, . '1:. '' --ONTACT'PERSON4fdifferent from apphcant) '-Of Name - -. - Address -- - - - - City - - - — State/Zip - Telephone it '- Fax it Owner , JiTITJ C ne2n4.. Rep. er ca.-. '12a 14-24- Name' ' -, - - Address . . City- ' - State/Zip Telephone it OPERTYbWNER TFi 1I41 St' . 1&AJ. A CA' - Name Address . City State/Zip ,Telephone it (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re air 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'Codel 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). ee.z.5DL c r4P' dA- q2'- 4ç74' Name i ,i ' . 'Address - ' . , . ' City ' - ' ' State/Zip . ' • Telephoneit State License it License Class - ''L City Busin'es License it ________ Designer Name ' . Address . City, , State/Zip Telephone State License it- 16E.-'WORKERSCOMPENSAjTL0N. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] I have and will maintain a certificate of coisent 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 II issued. My worker's compensation insurance carrier and policy number are: - .11 Insurance Company STh''? r144O We. Policy No.'ZIzz_j.,d16, . Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0. CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this 'rermit is isued,'l shall not employ any _srsànin any, manier so as to become subject to the W ers' Compensation Laws of California. ' . , . ..-. WARNING: Failure to a r workers' compensatlo , ov ge is unlawful, and shall subject an 'employer to criminal penalties and civil fines up to one hundred thousand rs (S 0 , in addition to the co of ensa ,damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNAT RE '.. - DATE WWERBUILDERbEL'ARATION ii - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: o 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 Iuilds or improv'es teron and ho 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 le). ' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businés and Profesions 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: 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 / address / phone number / Contractors license number): I plan 'oprovide portions of the work, but have hired the following person to coordinate, supervise and provide the major Work (include name / address / 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 I type of work): PROPERTY OWNER SIGNATURE. . •. - . - . - - ' - . . DATE öMPLETE THIS'SECTION IFOR NON RESIffJj 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 NO - Is the applicant or future building occupant required to obtain a permit from their pollution control district or air quality manage1ment district? 0 YES , NO - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES - NO .'lF ANY OF THE ANSWERS ARE YES, A' FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . [8'.,CNSTRUTIONLENDINGAGENCY'..'-,. . .,!'. .. ',T', .. . . .. ...- 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 . . ., , . ' -•'. ' - .. . . -. :-"- " . • -' -''-' ______ I certify that I have read the application and state that the above informtion is correct and that the iiifornation on the plans is accurate, 'I agree to comply with all Cit ordinances and Stéte laws relating to building construction. II 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 0 deep and demolition or construction of structures over, 3 stories in height - EXPIRATION: Every permit issued by t e Building Official und he provisions of this-Code shall expire by limitation and become null and void if the building or - work authorized by such e~,snmenced within 3 a from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any ti com cad f p o of 18 s (Section 106.4.4 Uniform Building Code). -APPLICANT'S SIGNAT - " DATE '-_44_1' , WHITE: File YELLOW: Applicant PINK: Finance .. '• Listi - Permit-Type From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from 'List 2 - Structure-Types' and put its code in the apiopriate blank on the front of this application. • Residential Permits Code Description APT Apartments - new construction. CONDO - Condominiums - new construction.. CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units. CVNRN Conversion. Convert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior. modifications (i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each). DEMO Demolition permit. (Also specify type of structure from List 2). DUP Duplex- new construction. MOHO Mobile hom& renovation, repair, or addition of accessory structure not yielding a new liiihgunit. - - MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below). R.AD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential permit re-issue. . RREPAIR Residential building repair. Damage, fire, etc. - RREPLACE Residential building replacement (no additional units). - - SFA I 4 I - 4 •. Single-family, attached - new construction. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex) ' SFD Single-family,, detached - new construction: A one-family house with open area on all four sides. May have an - attached or detached garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not in a mobile home park. . Non-Residential/Accessory Permits Code Description COM Commercial structure, new construction. - fl CREISSUE .- l -... I '•-. 1 -' Commercial permit re-issue. CREPAIR Commercial building - repair. Damage, fire, etc. CREPLACE Commercial building - replacement. - - Cli Commercial tenant improvement. DEMO Demolition permit. - - - - ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel) - new construction. HOTELR Hotel renovation. INDUST Industrial structure, new construction. III Industrial tenant improvement. - MECH Mechanical permit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. ' RETAIN Retaining wall permit. - SIGN Sign construction/installation permit. - SOLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. List 2 - Structure-Type (Use with Residential Permit. Only) From the following list, determine the type of rei'dential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top ofthe page on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not in a mobile home park. - MF2-4 4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triple; quad-plex).' MF5+ Multi-family, S or more units. Same as MF2-4, except the building has a t least five attached units on the same lot. MOHO Mobilehome, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, above). - _____ - -- - cX- B U I L D I N G P 5 R M I T Permit No: CB970954 04/23/97 J.ct:37 Project No: A9701243 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 114 Permit Type: ELECTRICAL 361 04/23/97 0001 01 02 Parcel No: 156-302-09-00 Lot#: RMT 70-110 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: ADD 225 AMP 3PHS PANEL,RELOCAT Applied: 04/2.3/97 1 PAMEL,NEW LIGHTS & OUTLETS Apr/Issue: 04/23/97 Entered By: RMA Appl/Ownr : AMBER ELECTRIC 909 698-9103 41224 AVE LA CRESTA MURRIETA CA 92562 *** Fees Required *** e .ollected & Credits Fees: 70.00 Adjustments: . c -i e ts. .00 Total Fees: 70,00 Total -. >sfr: .00 B kaiz 70.00 Fee description tin t Ext fee Data Enter 'Y" for Electri .e > 10.00 Y Single Phase Per AM 50 Enter "Y" for Remode , 10, 00 y ELECTRICAL TOTAL 70. 00 INCORPORATED 177 'LI' 'WL APPROVAL INS PZJ DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT. APPLICATION •... . - PLAN CHECK.NO. 7D qç, CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL. 2075 Las Palmas Dr., CarIsbaJ CA 92009 Plan,Ck Deposit (760)438-1161 — - - -''- Validated By - - - - - Date____________it ddress (include Bldg/Suite #) -. - Business Name (at this address) Legal Description . - . Lot No. Subdivision Name/Number - - - Unit No. Phase No. Total # of units ', Assessor's Parcel # - Existing Use - - ,Proposed Use • - Description of Work - - - ' SQ. FT. •#of Stories -b(l . # of Bedrooms - - •# of athrooms - -, .. 100 k Name --- --- Address --- City . - State/Zip - Telephone #- • Fax # -or= Aq~nt for Cpn~tactcr Owner or Owner Name ------. - Address • •-- -- City - - State/Zip - Telephone# L4._PROPERTY...OWNER Name . Address . . City State/Zip Telephone # [5CONTRACTORCOMPAYJAME - '(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,tó 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 thathe is exempt therefrom,bnd the basis for the alleged - exemption. Any violation of tion 7931.5 by any applicant fo a ermit subects the applicant to a civ penalty of not more tlan five hundred dollar 1$ 001) -(\eQ -%---i - t-U re Q.rek flVrn-PM- Qr\ Name Address -.- i City . Sta e/Zip ., Telephone #to State License # ')Y 4'9' g License Class — /40 City Businesi Liceusd # Designer Name Address ,. , . City - State/Zip ' Telephone - State License #- ' r . • ' . * . .. . ,, . . ORKERSCOMPENSATN . . .* . .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of conset to self-iAsurefor 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 ór.' /d&i a-J.. Policy No. 77? 0 / ,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 issuedrl 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 thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.F SIGNATURE - - DATE — - - - - [7-7E LDE hereby 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).--- El I, as owner of thaproperty, am exclusively contracting with licensed contractors to construct the projéct (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 Contractors License Law). 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 Do ,• - 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 rame I address / phone number / contractors license .number): - 1 plan to provide portions of the work, but I have hired the following persoi:i to coordinate, supervise and provide the major worklincludename/addrss/ph6ne ,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 - - . - -. ' bAE . . ' Z. ., [COMPLETE THIS flöNORN 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 manageritent 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'TCONSTRU.CTION LENDINGAGENCY.TI 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 - . • t.* . I certify that I have read the appliàation 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 theCit, of Carlsbad to enter upon the above mentioned it 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 3stories in height. . F "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 anytime after e ork is commenced for a eri d of 180 day ( ection 106.4.4 Uniform Building Code). — 1 APPLICANT'S SIGNATURE \_L4.4 L_-' DATE - WHITE: ' WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB970954 FOR 05/01/97 INSPECTOR AREA DESCRIPTION: ADD 225 AMP 3PHS PANEL,RELOCAT PLANCK# C8970954 1 PANEL,NEW LIGHTS & OUTLETS 0CC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2525 EL CAMINO REAL STE: 114 LOT: APPLICANT: AMBER ELECTRIC PHONE: 909 698-9103 CONTRACTOR: PHONE: OWNER: 0 PHONE: REMARKS: RS/TED/909-698-9103 I IINSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB970586 CTI ISSUED CB970760 CTI ISSUED CD LVL DESCRIPTION ACT COMMENTS 31 EL Underground/Conduit-Wiring JL Ii' 34 EL Rough Electric I'lL ***** INSPECTION HISTORY ***** 0 DATE DESCRIPTION ACT INSP COMMENTS - 1 ek B U I L 0 1 N G P ER M I T Permit No: CB971401 05/36/97,11:32 .Project No:; A9701810 Page 1 of 1.- '-, Development No: Job Address: 2525 'EL CA.MINO REAL Suite:,'t14. Permit Type: SIGN Parcel No:"156-302-09-00 Lot#: 464 0530/97 0001 01 02 Valuation: 1 1,200 ' Construction TTNEW 4800 Occupancy Group: Reference#: Status:ISSUED Description: ILUMINATED CEILING MOUNTED''Applied-: 05/30/97 Apr/Issue: 05/30/97 - Entered By: JM Appl/Ownr, : AMERICAN NEOI'JICS 818 982-0316 7075 VINELAND N. HOLLYWOOD,CA 91605 *** Fees Required Fee oliected & Credits Sees: 48: Adjustments: .00 Lçdit : . 00 Total-Fees: 8.00 J Total ri 48.00 Fee description ts wn Ext fee 'Data - 29.00 Building Permit 19.00 Plan Check SIGN TOTAL 48,001, - 1952 ANJAIPPROVAL i'SR,j" DATEb4L CLEARANCE____________ • FOR OFFICE USE ONL - 7N6 PLAN CHECK NO.__________ EST.VAL. Plan Ck. Deposit Validated B 71fr Date__________________ INFORMATION" •' -- EAL" P-'- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total U of units Assessor's Parcel U Existing Use Proposed Use Description of Work SQ. FT. - #of Stories - U of Bedrooms U of Bathrooms 2$ CONTACT PEASbN lit different Sm'plIcen ', ,' ' Name Address I City State/Zip Telephone U Fax U SEA'wV i.Pi (A 7/2i Cjç?-2%'7c , Name Address Cily State/Zip Telephone U (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 1"I Q Issuance, also requires the applicant for such permit-to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects th applicant to a civil penalty of not more than five hundred dollars i$5001). 1t-,s-ip.r i,-c .t 7o'7s J -i I-• MotoccL Ca. Name Address City State/Zip State License U 52. 0/ g,i License Class (.. 1' s" City Business License U Telephone # Qf 2 —0311, Designer Name Address City State/Zip Telephone State License U Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of. the Labor Code, for the performance of the work for which this permit is issued. 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 . C. I • Policy No. ID7 rOSS7 ' Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE__________________________________________________________________ DATE _ 7 OWNER BUILDER DECLARATION h. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered forsa1e. If, however, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 l(have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person If irm) to provide the proposed construction (include name / 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 / address /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 Si! SECTION FOR NON4.1ES !PWWRUIL ING.IPERMITSONtWiT 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. 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_______________________________________________________ $ APPUCANTCERTIFICTION IN- ' - '-r — 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 Clt' 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 the work is commenced for a eriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S' SIGNATURE t 4_(.4%_O-lC_Q ctTVV1. O..' DATE 0' 'L"?. VCI I fiM. PINK: Fnn Al PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971401 FOR 067'-O27' INSPECTOR AREA DESCRIPTION: ILUMINATED CEILING MOUNTED 6/3/17 PLANCK# CB971401 0CC GRP TYPE: SIGN CONSTR. TYPE NEW JOB ADDRESS: 2525 EL CAMINO REAL STE: 114 LOT: APPLICANT: AMERICAN NEONICS PHONE: 818 982-0316/ CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: R/729-2560 INSPECTOR /1 SPECIAL INSTRUCT: TOTAL TIME: --RELATED. PERMITS-- PERMIT# TYPE STATUS i CB970586 CTI ISSUED AS970049 ASC ISSUED CB970954 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 38 EL Signs ***** INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS