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HomeMy WebLinkAbout2525 EL CAMINO REAL; 115; STE 115 PRE 2016; PermitCITY OF.CARLSBAD r BUI1WNG DEPARTME 729-1181- Eici. 36 7..' ForApplicanf to Fill In AppIicafioiIdUJILDiNG Permit Building. Permit Fee Owners Name /' Mail Adds .<--$- Building De,f Ue Only 'i- -86ildind Address re Contractor ________________________ Contr Address St Near' ] ToConst. 0 Io Add 0 To Alte,Convert 0 To Move From Type of Const. Frame,- Masonry, etc. - - To Be Used For " Kind of 'F6undation ' ' No. of ,Stories Contractor City Buf_ Floor Space (Sq. Ft.) -' Water Meter ' Sewage Disposa ll System Garage Floor Space (Sq. Ft.) Attache - Detached________________________ - - inspection Record Legal Description - - - Lot - - . Block .CONSTRUCTION LENDER INFORMATION (OVER) Subdivision . or Section- - - . Township - - Range . - No. of Existing Building Will this consiçpttn include any plumbin4 installation or alter- afion? Yes Zr No El --- Signature of Applicant AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING , BUILDING. . ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - - - Utility Company Notified Dote_- By - - I CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR , Final LICENSED AS REQUIRED BY CITY CARLSBAD AND -. STATE OF CALIFORNIA OR THAT I 84JE LEGAL OWNER OF THE ABOVE ?ESCRIBED RESINT'RQPERTY. SIGNATURE _____ • OF - - - If a check is tendered for a nent for the above f and, the - check is not honored, whn-presented for payment, your building permit will be y City of Carlsbad Building Dept. - - Permit void if work is-not commenced within 60 days . of issuance. Set -Back - --.5-- ------- 'Main Bldg Side P.L.. - Goe;r •, Rear P.L. ._ - - Other ' * Group Zone' - - - Approved by . .. CQNSTUCTION LEND E R I D E N T I F I C A T I O N OF CIVIL PROCEDU R E SECTION (J) name of lender branch 4111 ad.dref lende r city 2--l9 signature of app l i c a n t date CITY Of CARLSBAD. BUILDING DEPARTMENT OWNER .- Vtf/Lc MAIL ADDRESS CITY TEL. NO. PLUMBER ADDRESS 67 CITY TEL. NO. STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM FEE / TOILET @ $1.25 5 BATH TUB @1 1.25 SHOWER @ 1.25 / WASH BASIN @ 1.25 / z 5— / KITCHEN SINK @ 1.28 ( 'S DISHWASHER @ 1.25 LAUNDRY TUB oe TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 / WATER HEATER & VENT @ 1.50 1 5-0 GAS SYSTEM I TO 15 .30 EA. ADO. @ 1.50 / FLOOR DRAIN OR SINK @ 1.25 25 LAWN SPRINKLER @ 2.00 / MISC. WATER PIPING @ 1.50 / 3 GARBAGE DISPOSAL @ 1.00 / / VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00 GRADING PLAN YES[] NO PERMIT $ 2 00 TOTAL FEE $ 14 00 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 AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORN.LA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DER1BED RESIDENTJAL PROPERTY. SIGNATURE OF PERM ITT 40"I'M PERMIT - APPLICATiO £ MA... 6?-7-5 .F21-69 sPAw23o8****'; BUILDING ADDRESS 2 NEAREST CROSS ST. GROUP 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 .00 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. x CITY OFCARU PERMIT NO. 9 '/ TOTAL FEES rC) 'BUILDING DEPART I 729-1181 -Ext. 36. Application for MECHANICAL Permit For Applicant to Fill In bATn NO. ITEM INSTALLATION AND/OR RELOCATION EACH AMT. ii2169 ?3072**** * * 10. For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached to 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- ty type 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 flour 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 el P each absorption system, over 100,000 B.t.u.'s to and inclu- ding 500,000 B.t.u.'s $ 7.50 '7. ,:5O CONTRACT OR OWNER For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or ADDRESS each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u.'s. $10.00 For the installation or relocation of each boiler or compres- snr over 30 hnrsepowertn and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,150,000 B.t.u.'s. $15.00 CITY For the installation or relocation of each holler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. $25.00 CITY BUSINESS LICENSE NO. For each air handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. $ 3.00 CITY BUSINESS LICENSE NO. For each air handling unit over 10,000 cubic feet per minute. $ 5.00 For each evaporative cooler Other than portable type. $ 3.00 GROUP For each vent fan connected to a single duct. $ 2.00 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- chanical 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. 1 $ 3.00 1 3,00 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 THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED PROPERTY. DATE JOB FINALEO SIGNED BY PERMITTEE__________________________________________ 50 CITY OF CAtSBAD BUILDING DEPARTMENT 729-1181 - Ext. 36 For Applicant to Fill In PERMIT __________ TOTAL FEE $ 43 Application for ELECTRICAL Permit PAID BUil !U362******23.00 PERMIT FEES: Each Fee BUILDING ADDRESS/(64A Item Recpt. Sw. Lighting fixtures w/ballast for each 10 (6"9 $ 1.00 10 61 St. Near lec. Ranges, Clothes Dryers, Water Heaters .50 lec. Space Heaters Dishwashers. Garbage Auto. Washers. Sta. Cooking Units t OwNER:'k'.4-L s isposers, .50 ADDRESS: OTORS: Per each motor H.P CITY: 0 to 1 '_ _(4 $ .25 1 to 2 $ .50 TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State I City Busin 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 SERVICE: 0 to /601 50 AMPS For each additional 100 Amps. $ 10.00 $ 2.00 'J e. ( ______ Temp. Power Pole, 100 AMPS or LESS $ 3.0 0011, 0 __ iQti.'EE_ For Each add 'I Meter, over one per service $ 3.00 4 MlSC: Approvals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit TOTAL: a3 Temp. Power R. Wiring Fixtures 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 IA OR THAT CITY OF CARLSBAD AND THE STATE OFCALIFO6 RI13ED RESt- I AM THE L GA OWNER OF THE ABOVE DENTIAL P EE SIGNATURE\J PERMITTEE: _______________________________________________ S.D. G. & E. FINAL: — 2 •ç -. : r -56 BUILDING PERMIT APPLIcAI]ON , City of CARLSBAD, CALIFORNIA 92008 -Permit No' , - - Aoolicant to comøletinumberedsoaces Phone 729-1181 , --4 JOB ADDRESS $-5L*7 •!5o, Ile- o Z 1 LEGAL DESCR. LOT NO. BLK TRACT S ([:]SEE ATTACHED SHEET) -. 0 o XI OWNER - MAIL ADDRESS ZIP 2 -.- ,' •fJ1t-t PHONE In CONTRACTOR: MAIL ADDRESS 3 - j t ANNE i..! . -'LICENSE NO. 72 . -- ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 LENDER MAIL ADDRESS - - - BRANCH -. 6 USE OF BUILDING - 8 Class of work: U-NEW 0 ADDITION - ALTERATION U REPAIR 13 MOVE 0 REMOVE 9 Describe work: . 10 Change of use from Change of use to 11 Valuation of work: $ - ,Q 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 DYes LINo APPLICATION ACCEPTED BY:. 0 PLANSCHECKEDBV: APPROVED FOR ISSUANCE BY: f L . OFFSTREET PARKING SPACES: . - fd Dwelling Units Covered Uncovered NOTICE / Special Approvals Required Received Not Required ZONING SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- INC. 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 60 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 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. j )If2I9 •JL ________ _______ _______ _______ SIG ATUREOFCONTRACYOR OR AUTHORIZEDAGENT 7DTE)F 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 •, •••• INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SETBACK •. _______ • TRENCH REINFORCING • FOUNDATIONWALL& WEATHER PROOFING CONCRETE SLAB • • FRAMING • INT. LATHING OR DRYWALL • EXT. LATHING • MASONRY - • • FINAL - • _______________ USE SPACE BELOW-FOR NOTES, FOLLOW-UP, ETC. 01 hereby affirm that I am licensed under - °I provisions of Chepter.9.(commencing with... I 'Section 7000) of Division 3 of the Business I- I and Professions Code,- and my license is In L full torëe and effect. 0 -'- - - i hereby 'atlirm that I am exempt from the Cootrac tot's License Law tar the following reason (Sec._7031.5 - -. Business and Professions Code: Any city or county which re quires a permit to construct, alter, improve, demolish, or - repair any structure, prior to its issuance also requires the ap-, plicant for such permit 10 life a signed statement that he is licensed pursuant to the provisions of the Contractors - - License Law (Chapter 9 commencing with Section 7000 at Division 30? the Business and Prolessions Coda) or that is en" 1,4 - empl IhereIrom and the basis for the alleged exemption. Any - violation 01 Section 7031.5 by an applicant for a permit sub'.) lects he applicant to a civil penalty 01 not more Ihan live hun' dred dollars ($500). I I I, as 0r0et Of the property. or'ny enptoyees with wages - as their sole compensalion: will do the work, and the stroc' tune is not intended on offered for sale (Sec. 7044, Business .J and Prolessions Code: 'The Contractor's License Law does not apply to an owner at properly who builds on improves thereon and who does such work himsdll on through his own ,.x employees, provided that such improvements are not intend' - W ed or offered for sale. II, however, the building or improve- Z mart is sold wilhin one year of completion: the owner-builder - will have the burden 01 proving that he did not build or im' prove br the purpose 01 sale). II I. 'as' owner Of the property.'am exclusively contracting with licensed contractors 10 construct thoproject (Sec. 7044, Business and Professions Code: . The Contractor's License - Law does nor apply roan owner of properly who builds or im- proves lhereon.- and who contracts for each projects with a ,-a - contractor(s) license pursuanl to the Contractor's License Law). - - - I') As a homeowner lam improving my home 'and the follow- ing conditions exist:.........-.. 1. The work is being performed prior 'to sale. - 2. I have ,lived in my home for twelve. months prior to completion 01 this work. 3. I have not claimed this exemption daring the - - last three years. .. --- •—: - I £1 I am exempt under Sec.t '. B'S P.C. .1 7, for this reason - I hereby affirm that I have arIificate or consent to ., A selb.!nsure. or a certificate or Workers' Compensation In. .' srr,ancA. or a certified copy thereof (Sec. 3800. Labor Code) POUCYNO. COMP.ANY,.., Li Copy is filed with the City' 0 Cerrilieet copy is hereby furnished At Lu - 'I"1Tk. C7 - CERTIFICATE OF EXEMPTION FROM' C) C r'WORKERS' COMPENSATION INSURANCE (19 (This 'section need not be completed II the permit is for one hundred dollars ISbOOl or less) ua i..,' ,. , - D .i certify that in 'the performance 01 the work for which CC .4 . his permit is issued. I shall not employ any person in any -. manner so as to become subject to the Workers' Compex. -sation Laws ot-Calilornia., - - - NOTICE TO APPLICANT: If. alter making this Certificate 4. Yol Exemption, you should becAme subject to the Workers' - ' 'Compensation provisions of the Labor Code. yoo must - 11 forthwith comply witir Such provisions or this permit shall be deemed revokad.- 0 1 hereby affirm-that there is a construction lending agerrcjlor rhei,rIormance 01 the work to, which Ihis p5r.,_ 01 mit is issued (Sec. 3097r Civil Codel zi WI— ,Lender's Name'.'- L Lender's Address_______________________________ U, Z 0 I- 4 4 -J C, w 0 USE BALL POINT PEN 'ON'LY III-PRESS HARO - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - t\..:2075.,La's' Pal mas Dr:, Carlsbad,-CA 9200 -1915 (619) 438-1161 - - ' ' - - -,,------,. JOB ADDRESS - - ' , r AV, ST., THOMAS S NO. DATE F APPLICATION SI SSCENSE # VALUATION PERMIT NUMBER i ZONE CK SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR CONTRACTORS PHONE ' /7 a3 A - -'a-i(-) - - AME OWN E A'S PHONE CTRWS Afr p STATE ,LICENS UH.DING SO FOOTAGE AILl cp- Ll DESIGNER'S PHONE .... . DESIGNER.- '?i 0023 06/02 0101 02B1dPmt 844.0< NOF KNI WOR K DESIGNER'S ADDRESS STATE LICENSE NO. F/P FLA ELEV. NO 510R1ES - 0CCOP EDU I vOnaD . - - ( CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - - TYPE - 0CC LOAD FIRE SPA AREA CONST - - - Y O N 0 Y o NO . YO N . - Not Valid Un/805 Machine Certified OTY. 'PLUMBING PERMIT'- ISSUE '- - OTY. MECHANICAL PERMIT - ISSUE - -- - SUMMARY/ACCOUNT NUMBER ' - - EACHFIXTURE TRAP-., •," - . INSTALL FURN. DUCTS UP TO 100,000 BTU - BUILDING PERMIT , O0l-810-OO-0O-8220 /g"-3' EACH BUILDING SEwER\ _..u".r OVER 100,000 BTU , SIGN PERMIT 001-810-00'00-8221 EACH.WATER.HEATER AND,ENT - ' • . . BOILER/COMPRESSOR UP 103 HP . PLAN CHECK . 001-810-00-00-8891' - - - EACH GAS SYSTEM I TO}'UTLETS -- BOILER/COMPRESSOR 3.15 HP , • , TOTAL PLUMBING ' 001 -810-00-00-8222 • - - C — EACH GAS SYSTEM>4R MORE - . METAL FIREPLACE ' ' ELECTRICAL 00i'810-00-00-8223 EACH INSTAL.,,IER. REPAIR WATER PIPE . - VENT FAN SINGLE DUCT -' ' -MECHANICAL 001'810-00'008224 - EACH VAçs'M BREAKER '- ' ' , MECH EXHAUSI - HOOD/DUCTS . ' MOBILEHOME 001-810-00-00-8225 WAT 'OFTNER ' ' . . RELOCATION OF EA FURNACE/HEATER - , SOLAR 001-810-00-00-8226 EIROOFDRAIN (INSIDE) ' . , DRYER VENT - - ' - . - - -STRONG MOTION TOTAL MECHANICAL - FIRE SPRINKLERS 001-810-00-00-8227 TOT ALPLUMBING : . 'PUBLIC FAC)LIT 0 TO- - - - CITY. ' . . . ' ELECTRICAL PERMIT 'ISSUE - ' • OTY, _.. MOBIL ES BRIDGE FEE - PARK-IN-LIEU (AREA ' I NEW CONST EAAMP:SW1 BKR' , ' — CAR PORT /4' ' - - - hF - " — I PH 3 PH 4 AWNING /t? n • LA COSTA hF 311m810-00-00-8835 - E'XIST'BLDGEA AMP/SWT,'BKR ' - GARAGE - siuN 1988 - - FMF City Of CARLSB1 T - i',PH- -. , - 3 P •' -- -- . .'- ' : -, -- - y/-- -- ' - REMODEL'ALTE,R. PER CIRCUIT - * - , •. , ' . - - OF C4RLS MFF 880-519-92-57 TEMP POLE 200 AMPS ' .••..-' \ ' - ° OVER 200 AMPS , - ' ..4/ - ....----.- -- - - ----- - , . . — TE'MP OCCUPANC'Y'I:30 DAYS) CREDIT DEPOSIT - TOTAL[LELTRILAL' TOTAl — TOTAL FEES PAYABLE - A' . [,HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND bo HEREBY Expiration. Every permit issued bythe Building 011icial under the lYrovisions olthrs * N OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER Code auth0 expire by limitation and become null and void It the building or work CERTIFY' UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE S'O" DEEP AND DEMOLITION OR CONSTRUCTION OF - - rized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE"TRUE'AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT -IS - STRUCTURES OVER 3 STORIES IN HEIGHT - - - permit, or if the building or work authorized by such permit is ISSUED: TO COMPLY WITH ALL CITY. COUN1 V AND STATE LAWS GOVERNING BUILDING CON- abj.ndoned at any time after the work is commenced for a period suspended or 01 180 days. ________ STRUCTION,WHETHER SPECIFIED HEREIN-OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND i' , PPLI NT S SIGNATURE WNER 0 CONTRACTOR 0 APPROVED BY DATE - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY ltd CONSEQUENCE OF THE ONE 0 Ld_4A4J,-1 GRANTING OF THIS PERMIT /.A.A4 TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR c,j,21 CEILING - SHEATHING El ROOF El SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO El PL/CO UNDERGROUND El WASTE El WATER TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST El WATER HEATER El SOLAR WATER ELECTRICAL El ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC -- El ELECTRIC SERVICE 0 TEMPORARY El BONDING 0 POOL MECHANICAL El DUCT & PLEM., El REF. PIPING HEAT — AIRCOND.SYSTEMS VENTILATING SYSTEMS - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL .•_-. ________ GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD EEQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO. IF CHECKED INSPECTORS DA j APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE -' '. of FIELD WELDING HIGH. STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ..- .' BUILDING PERMIT PermitNo CB911123 09/05/91 12:01, Project No A9101401 Page 1 of- Job Address 2525 EL CAMINO REAL Str ** Fl **** Ste 115 Permit Type COMMERCIAL TENANT IMPROVEMENT 4282 09/05/91 0001 01 02 Parcel No 156-302-09-00 C-PRMT 612.00 Valuation: 19,866 Construction Type: VN Occupancy Group 82 Class Code Status ISSUED Desciption: 946 SF HOT TOPIC -. I Applied: 08/05/91, Apr/Isue: 09/05/91 Validated By: DC Appl/Ownr : DAVID SAND. COMPANY . 619 268-8223 1711 UNIVERSITY AVENUE . ..• SAN DIEGO, CA 92103 Fees Required --- . - Fees: 747.00 ( .\' •;' 'Adjustments: / .00' Total eji3ts:\ 'k .O0-.. Total Fees 747k.00 \ 13'5"00 Balan e\é' 612 00 Tee description.- U a Strong Motion Fee' 4 -.00 BUILDING.TOTAL,. 708.00 Enter "Y". for Electric IssueVied > Enter 'Y' for Temporazy Sfvi~'e 09%)ç /. - 10.. 00 Y , _*.ELECTRICAL TOTAL ($10 Minimum). 15.00 ' Enter 'Y.' for Mechanica'i 4"e' see> . - .15.00 Y.,. - InstaliFurn/Ducts, 0 1 9 100. ' 9.00 *MECHANICAL TOTAL ' . * . • .24.00 - .. . \• * • .1. - .• . . -... - . . -. - ' - . .• FINA A7 INSP42 46i2M i/th4 CITY OF CARLSBAD 4 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION S City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 S 1. PERMIT 1YPE A - L!ommercial LI New Building enant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ PLAN CHECK NO. f/- //ow.;~ VALID. BY sm C-PRMT 135.00 2. PRQJFEI' INFORMATION I FOR OFFICE USE ONLY Address I3uildi&9r Suite No. P 7J Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIFIED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL - EXISTING USE pnnpncin I 111 DESCRIPTION OF WORK # OF STORIES ADDRESS 4CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT LI CONTRADUR LI AGENT FOR CONTHA(JIOR LI OWNER IGENT FOR OWNER NAME &jL 5N4(J ADDRESS 4i4' fcir j/. &4117 NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS - CITY BUSINESS UC. # " PdiUiW I I (iri.j #, 41.. CITY J STATIñ ZIP CODE DAY TELEPHONE 2. Ifil (2(JSTATE LJC. #& 7 L t /4 7. WoiR1' WMPE1iA11ON Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director 01 Industrial Relations, or 'a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate 01 Exemption: 1 certify that in the perlormance 01 the work Tor 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 S. OWNER-BLJILDER DECLARATION Owner-Builder Declaration: I hereby atfirm that ram 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). 0 1 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING TILE REQUIREMENTS OF TILE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WNSThUCI1ON LENDING AGENCY I hereby aUirm that there is a construction lending agency for the perlormance 01 the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTIFICATION I certify that I 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 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 TIllS PERMIT. 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 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). 'c)tI9)IGNAT1JRE DATE: 49--T-- PINK CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911123 FOR 10/02/91 INSPECTOR AREA MC DESCRIPTION: 946 SF HOT TOPIC PLANCK# CB911123 OCCGRP TYPE: CTI CONSTR. TYPE VN JOB ADDRESS: 2525 EL CANINO REAL STR:** FL:**** STE: 115 APPLICANT: DAVID AND COMPANY PHONE: 619 268-8223- CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MH/SIMON/434-9548 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB911188 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 093091 Final Combo CO MPC SEE INSP COMMENTS 092491 Rough/Ducts/Dampers CO MPC ND TO RECHK BATHRM EXH 092491 Rough/Ducts/Dampers PA MPC SUPPLY/RET & FRSH AIR DUCTS 091391 Interior Lath/Drywall AP MPC 091391 Interior Lath/Drywall CO .MPC ND EXIST DIM -WALL FULLY PATCH 091091 Frame/Steel/Bolting/Welding PA MPC WALLS & STOREFRONT 091091 Rough Electric PA MPC WALLS & STOREFRONT 091091 Rough Electric CO MPC ALL FLEX NDS GRND WIRE VVV 2 - City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-11-2002 Commercial/industrial. Permit Permit No C13021188 V Building Inspection Request Line (760)602-2725 -Job Address: 2525 EL CAMINO REAL CBAD St: 115 'Permit Type: TI Sub Type: COMM * . . Parcel No: V 1563020900 Lot #: 0 V Status: ISSUED . Valuation: $209,700.00 Construction Type: NEW, V Applied: 04/17/2002 Occupancy Group: Reference #: Entered By: JM V Project Title: PLAZA CAMINO REAL - EXPRESS V V Plan Approved: 06/10/2002 V V TI - 6,990 SF - RETAIL Issue d V 06/11/2002 V V Inspect ArJ?33 06/ii./02 0002 01 02 V ..Applicant: V Owner: V 108286• HOFFMAN CATHY *-PLAZACAMlNOREAL, V ..- C/O WESTFIELD CORR.INC 26601 VERBENA V 11601WiLSHlRE BLVD MISSION VIEJO CA 92691 LOS ANGELES CA 90025 .949-582-3735 V Total Fees:. $1,657.88 J Total Payments To Date: ,: $575.00J / / Balance Due: $1,082.88 V / \ iJ (•( I....\ \ . V Building Permit / $887~Weter Size.'N.\) AddIBuilding Permit Fee / $0.00 dd'I ReclNater Con. Fee \ $0.00 Plan Check V / '/ $575.48. ter le $0.00 . V Addi Plan Check Fee/ V / $0.00 SDCWA Fee \ V $0.00 V V V VF PlanCheckDiscöunt / .$0.00CFDPayoff Fee V -$0.00 Strong Motion Fee -.-.. / $4404 PFF.- V V •V $0.00 V V VV Park Fee. V V f $0.00 PEF (CFD Fund) $0.00 - V LFM Fee t $0.00 Liense-Tax,/ $0.00 V V Bridge Fee - I $0.00\ Licene Tax (CFD Fund) - $0.00 - BTD #2 Fee . $0.O0 -Traffic Impact Fee-.<... V $0.00 BTD #3 Fee V - so'boi Trffic Inpact (CFD Fund) - $0.00 V Renewal Fee - \ -...$O.0O % PLUMBING TOTAL / $69.00 V Addi Renewal Fee \ '\ $0.00 ELECTRICAL TOTAL / V V $60.00 V - Other Building Fee \ \ "$0.00 MECHANICAL TOTAL / - $24.00 Pot. Water Con. Fee \ \ $0.00. V Master, Drainage Fee / . I $0.00 Meter Size - \ \ / / 1Sewer Fee / V / $0.00 V Addi Pot. Water Con. Fee - \ $0.00 Rdev Parking Fee / - I $0.00 • V V •V - Red. Water Con. Fee "-$0.00 INC0Additional Fees /' V $0.00 TOTAL PERMIT'FEES $1,657.88 V . - V - . ••- -• • • - V .. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO('/1'2J/$? CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL..________ 1635 Faraday Ave., Carlsbad, CA92008 PlanCk. Depot S Validated By __ Date 1 3j (i5' V OreS S Address (include B 9/Suite #1 BusineIs Name (at this address) - - Legal DeSUM15tion Lot No. Subdivision Name/Number Unit No. PhaseNo. Total # of units Assessor's Parcel # Exisng Use 01 02 CGP 575-00 'Description of Work SQ. FT. .#of, Stories' #f Bedrooms # of 7hrd s plicant) T1 '1O/ V/j4 i$Srni) Name Address - City at up elephone # . Fax # 5 ARPCAT OWact E ' 7 Name .. Address City Telephone # [4 PRoPERTWJãJ1E . . --••• ,Name) Address City JQi' S.tate/Ziy,, Telephone # 62 J ]OjJgACTQR COMPAN'NAME 4E 45 T.... ,. . (Sec. 7031.5 Business and Professions Code: A'FytiT or County which requires a permit'to construct, alter, improve, demolish or repair any structure, piior 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. tion. An violation of Section 7031.5 by any apliant for a permit subjectC the applicant tO a civil penalty of ngmore than five hundred dollars [$5001). / 3'b 4J/) . (&. 904~ .Yt2 -Q Name . Address City ' State/Zip Telephone State License # , /ç// 9 License Class City Business License # Designer Name ' Address . - City State/Zip Telephone State License # - " • • 4 j WQRKERjLQQMENSATIO1L .. I . . IF Workers' Compensation Declaration:. I hereby affirm under penalty of perjury one of the following declarations: . I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the'work for which this permit is issued. . . . . -. Ja I have and will maintain workers' compensation, as required by Secion 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 Compan5 (/ /M,cj-,i (1. , -(Policy NO.6O77c&9/- JExpiration bate///,/ z (THIS SECTION NED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUYdDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I.shall not employ any person in any manner,so as to become subject to the Workers' ,Compensation Laws of California.' WARNING: Failure to cure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties 'and' civil fines up to one' hundred thousand dollar • $1 0 ,i addition the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. iSlGNATUR,/ ' • ' • ' DA BUIt ' AkATION 'TI' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: C3 I, as owner- of the property or my employees with wages as their sole compensation, will do the vork and the structure is not intended or offeredfor sale ,.(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees; provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one, year of completion, the owner-builder will have the burden of proving that he did not build or improve, for the purpose of sale). . 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, 'Business and Professions Code: The - 'Contractor's License Law does not apply to an owner of property who builds or improves thereon! and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). S • S - C] lam exempt under Section • Business and Professions Code for this reason: • , S - 1. I persOnally plan to provide the major labor and materials for construction of the, proposedproperty improvement. DYES ONO ' '" • .2. I (have / have not) signed an àpplicàtion for a buildingpérmit for the proposed work. . . • ..' . • I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / 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): S • • • I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / addrésC/ phone number I type., of work): • S - ' • ' '" • • ' PROPERTY OWNER SIGNATURE ' DATE . -:'-- Is the applicant' or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention • program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act? D 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) b06 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. mWal - - •!.-,!.!! " - - - - - ii, •,-ii' -S. - 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 , ' • . ' [9PLICJ A1ON T,IE - - 'I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all .City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned ,property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF, CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, ,COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition' or construction of-structures over 3 stories in height. 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 comrhp9ced within 180 days from, a of such permit or if the building or work authorized by such permit is suspended or abandoned APPLICANTS SIGNATURE 'at any tim6 afterthe work is comm~e o 86.4.4UniforrnBuildingCode). DATE ,r__ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For: 10/08/2002 LJ Permit# CB021188 Inspector Assignment: TP Title: PLAZA CAMINO REAL - EXPRESS Description: TI - 6,990 SF - RETAIL Type: TI Sub Type: COMM Phone: 3105058919 Job Address: 2525 EL CAMINO REAL Suite: 115 Lot 0 Location: Inspector: , APPLICANT HOFFMAN CATHY Owner: CHASM ENTERTAINMENT INC <LF> PLAZA CAMINO REAL Remarks: Total Time: Requested By: RANDY Entered By: CHRISTINE CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs PCR02167 PENDING lnsDection History Date Description Act lnsp Comments 09/26/2002 44 Rough/Ducts/Dampers AP TP RTU (2) 09/25/2002 44 Rough/Ducts/Dampers NR TP 09/24/2002 29 Final Plumbing WC TP 09/24/2002 34 Rough Electric AP TP MAIN DISCO, PNL, SUB PNL, MTR SECT. 08/30/2002 17 Interior Lath/Drywall AP TP REST RMS 08/29/2002 17 Interior Lath/Drywall AP TP 08/27/2002 14 Frame/Steel/Bolting/Welding AP TP SUPL. HARD CElL SALES 08/27/2002 34 Rough Electric • AP TP CElL LITES SALES 08/27/2002 44 Rough/Ducts/Dampers AP TP DUCTS, PLMNS SALES 08/23/2002 14 Frame/Steel/Bolting/Welding CO TP T-CElL NOTICE ATTACH 08/23/2002 34 Rough Electric CO TP 08/23/2002 44 Rough/Ducts/Dampers CO TP 08/22/2002 14 Frame/Steel/Bolting/Welding AP TP STR FRNT 08/22/2002 21 underground/Under Floor AP TP 08/22/2002 24 Rough/Topout AP TP 08/22/2002 34 Rough Electric AP TP • City of Carlsbad Bldg Inspection Request ta For: 10/08/2002 Permit# CB021188 Inspector Assignment: TP 08/21/2002 14 Frame/Steel/Bolting/Welding CA TP 08/21/2002 15 Roof/Reroof CO TP 08/21/2002 34 Rough Electric CA TP 08/20/2002 14 Frame/Steel/Bolting/Welding AP TP RESTRM & NON SALES WALLS 08/20/2002 21 Underground/Under Floor CO TP 08/20/2002 24 Rough/Topout CO TP 08/20/2002 34 Rough Electric AP TP RESTRM& NON SALES WALLS 08/13/2002 14 Frame/Steel/BoltinglWelding AP TP WALLS N/INCL NON SALES RESTRMS 08/13/2002 34Rough Electric AP TP 08/09/2002 14 Frame/Steel/Bolting/Welding CO TP City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2002 Plan Check Revision Permit No: PCR02167 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 115 Permit Type: PCR Status: PENDING Parcel No: 1563020900 Lot #: 0 . Applied: 06/11/2002 Valuation: $0.00 Construction Type: NEW Entered By: JM Reference #: CBO2i188 PlanApproved: Issued: Project Title: PLAZA CAMINO REAL - EXPRESS Inspect Area: REVISION - CALCS FOR ROLLING GRILLE Applicant: Owner: HOFFMAN CATHY PLAZA CAMINO REAL C/O WESTFIELD CORP INC 26601 VERBENA . 11601 WILSHIRE BLVD MISSION VIEJO CA 92691 LOS ANGELES CA 90025 949-582-3735 Total Fees: $120.00 Total Payments To Date: , $0.00 Balance Due: $120.00 Plan Check Revision Fee $120.00 Additional Fees $0.00 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. 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 capacity 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. 'i FOR OFFICE USE ONLY PERMIT APPLICATION. , PLAN CHECK NO72/ 7 CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL. 1635 Faraday Ave., Carlsbad, CA 92008. , Plan Ck.Deposit. •.', Validated By i o -o - Date_________________ 1PR AO. Lk , .J 17 . . LJ fo1sk)o /&L: //5' Address (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 , , 'S Proposed Use Descri tion of Work . SQ. FT., #of Stories' - # of Bedrooms - # of Bathrooms Fcf2 6 1,: 4 (I L %-' 'J -WW • 3i?Z 3 4T7ppi?1') 2il,z2/ /If,i/' g7J$5/eV/.[o-. -_%7_,9J S Name - - Address , City State/Zip elQ1oi1e,> Fax # MEE trc O14ie acQ Dj 39 3 V , Name .. Address - City . "State/Zip - Telephone # . 4 b0dir . -- 4- Name . ' Address .. . . ,City ' 'State/Zip , Telephone # ESP 0 AM04 MO - -i-r 1. -,(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 forsuch 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 f6r a permit subjects the applicant to a civil penalty-of not more than five hundred dollars 1$50011. 'S '' ' S , 4 -+. --, S..., , -• -, ' 'V ' - Name, .' , . . Address, . '.s . "City , State/Zip Telephone State License # . - License Class' . .. City Business License # .- Designer Name ' - Address .. ' , - . City State/Zip . Telephone State License # ' .. - 4 , .. ' •, . . S 4. - S ' WOE COMPENSAW 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 asprovided'by Section 3700 of,the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' èompensation, as req ' uired by Section 3700 of the Labor Code, for the performance of the work for which .this permit is -'issued My workers compensation insurance carrier and policy number are Insurance Company • __.. _-' _.- "Polic' No. __'. _... _ " .Expirtion Date. ' (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 which this permit is issued, I shall not employ any persth 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 aubjecten 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 cde, interest and attorney's tees. - SIGNATURE- '. .. - - . ' '3, ' -, ,DATE 7 pWNJEAA I hereby affirm that I am exempt from the Contractor's License Law for the following reason 4-' - 0- 1,, as owner of the property or my employees with wagesas their sole compeisation, will do the work and the structureis not intended or offered for sale - (Sec.7044 Business and Professions Code: The Contractor's License Law dues 'not aj,ply to an owner of property who builds or improves thereon, and who does -. such work himself or through his own employees; provided that such improvements are not intended or offered for sale. -If, however, the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contrct'or's License Law does not apply to an owner of property who builds or improves -thereon, and' contracts for 5uct projects with contractor(s) licensed - - pursuant to the Contractor's LicenCe Law). - - , . -- -. - S - - - -, ... - - 0. I am exempt under Section , Business and Professions Code for this reason:.,. - ,., - . - • - -'V r1 I personally plan to provide th.e major labor -and materials for construction of the proposed property improvement. 0 YES DNO - - 2., I (have / have not) signed an application for a building permit .f or the proposed Work.. -- i,,i - - . *5 -,''. . -. ' -.,'V - • . - 3.- I have contracted with the-following person (firm) to provide the proposed construction (include name/address / phone.number./ contractors license number): 'I plan to provide porionsof the work, but I have hired the following ,person to coordinate, supevise and provide the major'work (include name! address / phones - number /.-contractors license number): - - - - • ' •' V . 5 ' . 'V -- - 5. I will provide son of the wok,'V 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 -- 01 TSöWCq Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk4 management and prevention program under. Sections 25505, 25533 or 25534of the Presley-Tanner Hazardous Substance Account At? 0. YES - 0 NO _5_'_' - S. - - -- . 5 .4 - . - - • - 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 AAE 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. WCE - 'I hereby affirm that there is a construction" lending agency for th'performanèe of the work for which this permit is issued (Sec. 3097(i) Civil Cide). LENDERS NAME 8, _ V LENDER'S ADDRESS S I certify that I have read the application .ard state that the above infomation is correct 'and that the information on the plans is accurate. I agree to comply with all . -. City ordinances and State laws relatir to building construction I hereby authorize representatives of the Cit' of Carlsbad to enter upon the above mentioned :,property for inspection, purposes., I ALSOr AGREE 'TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL. LIABILITIES, - JUDGMENTS,-COSTS AND EXPENSES WHICH MAY IN ANY WAYACCRUE AGAINST SAID CITY,IN CONSEQUENCE OF THE GRANTING OF -THIS PERMIT. - ÔSHA: An OSHA permit is required for excavations over 5'0" deep and deniolition 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 - - - authdrized by such permit is not commenced within 180 days from the date of such permit or lithe buildingor work authorized by such permit is suspended or abandoned at any time after the work is comm - ced for a eriod 1 S' (Section 106.4.4 Uniform Building Code). - PPLICANT S SIGNATURE (i!z_4!!!7 DATE / - - .V WHITE. File YELLOW. Applicant PINK. Finance - - p 4 . - - S •' . _.-' - . S • - ' '4,' - -:- (5, sj. • -. CITY OF.CA•BAD BUILDING DEPARTMENT 729l 181 - Ext. 36 For AnIcant to Fill In PERMIT NO. TOTAL FEE Application for ELECTRICAL Permit sPAID RuilaiP Ufll65******?.00 PERMIT FEES Each Fée - BUILDING ADDRESS: Item Recpt. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 St. Near Elec. Ranges, Clothes Dryers, Water Heaters .50 .5Z3 Elec. Space Heaters Dishwashers, Garbage isposers. Auto. Washers, Sta. Cooking Units . .50 ADDRESS: 'S.— A.7 MOTORS: Per each reeler H. P. . CITY: , 0 to 1 $ .25 1 to 2 $ .50 ,p . TELEPHONE NO. 2 to 5 $ 1.00 5 . to 15 $ 1.50 . State City Business License License 15 to 50 . . $ 2.50 50 to . 200 $ 5.00 Group Zone . - By SIGNS: _. . . . No. trans. E a. $ 1.00 . . -. Inspection Record: No. lamps over 50 ea. $ .50 . SERVICE 0 to 150 AMPS For each additional 100 Amps. $ 10.00 $ 2.00 /2 ,_. S. . Temp. Power Pole, 100 AMPS or LESS $ 3.00 OWNER •t::k, ., - .:c 1 ..-'Y ei- L • For Each addI Meter, over one-per service 5. 3.00 - to o CJ / ci MISC: Approvals ' Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit TOTAL: .Temp. Power R. wiring . Fixtures 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 RESt- DENTIAL PROPERTY. SIGNATURE OF PER MITT E E .,__ . S.D.G.&E. FINAL: ' CITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For AnbIicn+ +o Pill In PERMIT NO49D TOTAL 'FEE $4 Application for ELECTRICAL Permit sPAID ***4OO PERMIT FEES: Each Fee BUILDING Item Recpt. .. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 St. Near Elec. Ranges, Clothes Dryers, Water Heaters .50 OWNER 12 4 Elec. Space Heaters Dishwashers, Garbage isposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS MOTORS: Per each motor 'H. P. CITY . . - 0 -. to. 1 $ .25 1 to 2 $ .50 TELEPHONE N0 - 2 to 5 - $ 1.00 5 to 15 $ 1.50 State ' . City Business License License 15 to 50 $ 2.50 50 to 200 $ 5.00 Group Z one By SIGN :.L.. ... , r No. trans. Ea. - , $ 1.00 o .. Inspection.Record: - No. lamps over 50 ea. $ .50 SERVICE 0 to 150 AMPS For each additional 100 Amps i $ 1000 ç Temp. Power Pole, 100 AMPS or LESS $ 3.00 For Each add'I Meter, over one per service ISC: Approvals Date By: SUPPLEMENTARY PERMIT FEE: ' $ 2.00 Conduit TOTAL: 1 Temp. Power. R. Wiring •' - Fixtures - 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 STA)5E OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF E ABOVE DESCRIBED RESI- DENTIAL PERMI S.D.G.&E.: '.. FINAL: ' " . CITY OF CAR'LSBAD• •NBING BUILDING DEPARTMENT I PERMIT - APPLICATION OWNER SIVOCK, I U fi- #. fMe_-V npA— MAIL ADDRESS CITY TEL. NO. PLUMBER 7{/2 4L ADDRESS 249/ s'Z7t_- CITY £4-41 TEL. NO.7f/4l STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. ITEM FEE / TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.25 / WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 / LAUNDRY TUB on TRAY @ 1.25 j AUTOMATIC WASHER @ 1.25 / WATER HEATER & VENT @ 1.50 GAS SYSTEM I TO 15 .30 EA. ADD. @ ISO FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING © 1.50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 © 2.00 GRADING PLAN YESD NO PERMIT $ 2 00 TOTAL FEE $ 9 1.9s 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 T LEGAL OWNER OF THE ABOVE DESCRI RESIDENT ROPERTY. SIGNATURE OF PERMITTEE 72 4t/ N. P.95 BUILDING ADDRESS NEAREST CROSS ST. 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 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. r?,p '7 OWN ER' MAIL C4/74 AD ESS CITY TEL. NO. PLUM BERec ADDRESS/ .S. CITY TEL. NO/73 STATE LICENSE NO. , , 4;, CARLSBAD BUSINESS LICENSE NO. i.UO BUILDING 3N ESS NEAR ES1 nspecf ion CITY OF 'CAR LSIA BUILDING DEPARTMENT OWMIN6 PERMIT - APPLICATION NO. ITEM FEE TOILET @ $1.25 BATH TUB @ 1.25 - SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT © 1.50 GAS SYSTEM I TO 15 .30 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 0 PERMIT $ 2 00 TOTAL FEE $ 4 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF 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.