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2525 EL CAMINO REAL; 117; STE 117 PRE 2016; Permit
Owner's Nam £I Mail Address Contractor Contr. Address t3_j L To Consf. 0 To Add 0 To Move From Type of Const. To Alter j.' Convert 0 Buildi C2 Building Addres 7c (45 _i iJI TI St., Near -, CITY OF CARLSBAD BUILDING bEMRTME 729-1181 -Ext. 36 For Aoolicanf to Fill In 6L7- Applicalioit*0UILDIN6 Permit Building Permit F Frame, Masonry, etc. To Be Used For Kind of Foundation ____________ No. of Storiel . . Contractor Cit Bus. Lic. Nd. 9_7 çL' Floor Space (Sq. Ft.) WdterMefer;i 'o :SOW ae.Diosa1 System Attached __________________ Garage Floor Space (Sq. Ft.) Detached Inspection Record Legal Description Lot Block _____________________________________ £ONSTRUCTLO jjjfl 11EORMATION (OVER) - Subdivision ________________________________________________ or Section Township Range No. of Existing Building Will this con Pfn include any plumbing installation or alter- ation? Yes No D Signature of Applicant 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 Final LICENSED AS REQUIRED BY CITY 01 CA SBAD AND STATE OF CALIFORNIA OR THAT I A HE GAL OWNER If a check is iendered for payment for the above fee and the OF THE ABOVE SCRIBED RESIDE IAL P PERTY. I CERTIFY THAT I AM PROPERLY ED AND/OR t7 check is not honored when presented for payment, your building permit will be immediately revoked. SIGNATURE City of Carlsbad Building Dept. OF PERMITTEE Permit void if work is not commenced within 60 days of issuance. Set Back Front P.L. •.. :. g. Side P.L. - . - Garage Rear P.L. 'Ôther - - Zone Ap / • ÔES : PAL 40~- LENDER IDENTIFTZ tdis TRU - CALIFORNIA STATE CODE OF CIVIL PRO CED :. SECTION 3 (3) branch name of lender city - address le der of applicant at signatllr - - - - ' CITY OF CARLSB BUILDING DEPART 729-1181 -Ext. 36 For Applicant to Fill In PERMITNO. 6'? 6 TOTAL FEE Application for MECHANICAL Permit ____ .MM27-69 'cc NO. ITEM INSTALLATION AND/OR RELOCATION EACH ANT. 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 no and including 100,000 B.t.u.'s $ 4.00 For the installation or relocation of each forced-air or gravi- tytype furnace or burner, including ducts and vents attached - to such appliance over 100,000 B.t.u.'s $ 5.00 For the installation or relocation of each floor furnace, in- cluding vent. . $ 4.00 For the installation or relocation of each suspended heater, recessed wall heater or floor mounted unit heater. 54.00 Building Dept. Use Only For the installation, reloèati'on 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. 5 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- sor to and including three horsepower, or each absorption system to and including 100,000 B.t.u.'s. $ 4.00 STREET NAME For the installation or relocation of each boiler or, compres- sor over three horsepower to and including 15 horsepower, or each absorption system, over 100,000 B.t.u.'s to and inclo- CONTRACTOR ding 500,000 B.t.u.'s $ 7.50 For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or OWNER each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u.'s. $10.00 ADDRESS / /7 For the installation Or relocation of each boiler or compres- uor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 Btu's. $15.00 CITY For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.I.o.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. $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 THEUNIFORM BUILDING CODE. I CERTIFY THAT I AM PROPERLY REGISTERED ANO'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 FINALED SIGNED BY PERMITTEE__________________________________________ h2. CITY OF C,SBAD PERMIT Wø'. L f W TOTAL FEE $ 1 BUILDING DEPARTMENT 729-1181 -Ext. 36 Application for ELECTRICAL Permit -. PAIn For Applicant to Fill In Build PERMIT FEES I Item Recpt. Sw. UILDING Lighting fixtures w/baIIat for each 10 $ Eacgee' Near /7 Elec. Ranes, Clothes Dryers, Water Heaters . 1 OWNER alec. Space Heaters Dishwashers. Garbage isposers, Auto. Washers, Sta. Cooking Units 1 . .50 ADORE t7 OTORS. Per H. P. _each_motor CITY . 0 to i ._ $ .25 1 to 2 $ .50 ( . TELEPHONE NO. 2 to 5 $ 1.00 Licen se.5Of S/License ?73 50 to 200 $ 5.00 Group Zone - By - SIGNS........ No. trans. Ea. $ . 1.00 Inspection Record: . . . No. lamps over 50 ea. $ .50 SERVICE For each additional O0 Amps k' 1L 1V\k(t E Temp. Power Pole, 100 AMPS or LESS $ 3.00 For Each add I Meter, over on e per service $ 3.00 '- ISC . .. ___________ _ Approvals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit -, TOTAL: I - . Temp. Power A. Wiring Fixtures - 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 ANDTHE STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCJkIBED RESI- SIGRE S.D.G.&E. . . FINAL: . .00 CITY OF CARLSBAD0 BUILDING DEPARTMENT *#a,IWJ PERMIT - APPLICAT1di OWNER MAIL ADDRESS 5 CITY C_JIrz/ PLUMBER ADDRESS CITY STATE LICENSE NO. _____ , NO. B 7 G __ ADDR L NEAREST CROSS ST. j NO. GROUP CARLSBAD BUSINESS LICENSE NO. .1*112169 !°CC 23O9* ***.* ** .00 Inspection Record NO. ITEM FEE / TOILET @ $1.25 " BATH TUB @ 1.25 SHOWER @ 1.25 / WASH BASIN @ 1.25 KITCHEN SINK @ 1.215 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 GAS SYSTEM 1 TO IS .30 EA. ADD @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 / MISC. WATER PIPING © 1.50 GARBAGE DISPOSAL © 1.00 L/ ( VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 © 2.00 .L.. &O GRADING PLAN YES C] NOD PERMIT $ 2 00 TOTAL FEE $ C9 0 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 CALIFOR IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D SC [BED RESIDENTIAL PROPERTY. SIGNATURE OF PERM ITTE 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. -- ' I - -. ' a-' -- • a a-0 USE BALL POINT.PEN ONLY & PRESS HARD - '- - ,.l hereby affirm that Lam licensed under ) , -provisions of Chapter '9 (commencing with Section 1000) of OIrlslón 3 of the Business - and Proteaslons Code, and my license is in-<, 'I ' full force and effect, _____________ _____________ Class - .7 k I hereby 'aftlrm that I am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 - Business and Professions Code: Any city or county which re-T I - quires apermit to construct, alter, improve, demolish, or 'n repair any structure, piior to its issuance also requires the ap- plicant for such permit to fife a signed statement that he is I ,.. licensed pursuant to the provisions of the Contractor's - - License Law (Chapter 9 commencing withSection 7000 of -x Division 3 of the Business and Professions Cede) or that is eu I 'empf therefrom and the basis for the alleged exemption, Any - violation of Section 7031,5 by an applicant for a permit sub' ', - jects the applicant to a civil penalty of not more than live hun' I ,vdred dollars ($500). Je 0 I, as owner of the property, or my emptoyes with wages - I as their sele'compensation, will do the work, and the struc- - , o ' ture s-not intended or uttered for sale (5ec7044. Business' ,i and Pretensions Code: The Contractor's License Law does not apply to an owner, of property who builds or improves I - rn • thereon and who does such work himself or through his own empfoyees, proQided that such improvements are net intend' -. UJ ed or ettered for sale. IlIhoweser. the building or improve' ' 1- - Z mont is sold within one year of completion, -the owner-builder - , will have the burden of p/oving that he did not build or im- ' 0 ' prove for the purpose of sale). - -D I. as owner of the property, am exclusively contracting with licensed contractorsto construct the project (Sec. 7044, II Basiness and Professions Code: The Contractor's License I - - Law duds nof'apply to an owner of property whn'bailds or im,. '9 - proves'thereon. and who contracts tar, each projects with a . 'I U) contractor(s) license pvrdoanl to the Contractor's license , 2 . ,• , . ' ;C. ' 0 Asa homeowner tarn improving my home, and the fellow' - 4 Jng conditions exist: - ,,, t,_-The work is being perlormed prior to sale.l - - , . 2, I ,bane lived in my home lox twelve months - v. (3 prior to completion of this work. . 3, I have not claimed this eoemption during the , ' last three years. ' ' . ' ''' - -n • -"-- ..)t - toi"this reason * ' - - , , •'••-. -. . - .I ' . . ' ., - a p -thereby affirm that I have a ceCk,icaJh Of Consent to I' '- " self-insure. era certificate of Worke mpensatfon In. - ' sarance. or certified copy thereof Se 00. Labor Code) . - POLICY NO. , ' , 2 COMPANY • _;- r _-• - U) - -.5,, Z 0 Car titied copy is hereby furnished ,. A. • CERTIFICATE OF EXEMPTION FROM (This 'section need not be completed if the permit I is for one hundred dollars 151001 or less) 0) rrity that in,fhe performance of the work for which i , o '--this permit is issued. I shall not employ any person in any jianner so as to become subject lathe Workers' Corepen. safiOrr laws of California. -. • - - •NOTiGE TO APPLICANT: If. alter makiog,fhis Certificate :C,Pefl5atOn provisions of the Labor Code, you must be deemed revokedr - •-- -I- ,, - * [" (Dl hereby"ètfirr that theréis'a construction tendingcc I - , agency forth; performance of the work.torwhich this per. LLI 4 • - mit is issued ISec, 3097. Civil Coetef. • - a wi Lender's Name -i ' I.,-.' . •1 - - Lender'sAddress_ ' / ''aa• • '.at. '- . .... I " ' ' V CARLSBAD BUILDING'DEPARTMENT ' ,' ' •''V.-' • ,'e - , - -. - -APPLIcATIoN. & PERMIT' . . -••- .' .. - - Carlsbad, California 92008-1989 - . - (619) 438-5525 . ', • - I . ,., . . - - - ,lO8 ADDRESS j" ' AV. ST. RD - NEAREST CROSS ST. DATE OFAPPLICATfON 8USfN S CENSE # ;' 'VALUATION ' ' PERMIT NUMBER 117 pt ZONE. ---- LOT BLOCK ' • 'SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR .. CONT ACTORS PHONE PHONE OWNER'S NAME CONTRACTOR'S ADDRESS - LICENSE NO.. -PLAN I.D. 4t -' - , BUILDING SO. FOOTAGE j1NER'S May co, 7g17/ 249 iJ(,c4 470671 . . OWNERSMAILINC ADDRESS ' . . c/. -. - c.AtN p1 DESIGNER - - - ' - a- DESIGNER'S PHONE - - r I - '' .' 2/5 /86293 DESCRIPTION OF WORK - • - TNF?I.'T o716 S7a DESIGNER'S ADDRESS - ' LICENSE NO. -- QOU2944 - F/P LR ELEV. STO NO- RIES OCCGP EDt) %,- a, - ,_ .- - . . , • CENSUS TRACT,, CF LAND USE PARKING SPACE 'RES UNITS "GRADING PERMIT,ISSUED - REDEVELOPMENT - • TYPE -.. 0CC LOAD FIRE SPR 4 AREA CONST n 0 N Cl'vO ND YO No Not Valid Unless Machine Certilied - - OTY. - , ,, PLUMBING PERr.I IT* - ISSU'E ,.,,. <, ,J ' - QTY. : • . -. 'MECHANICAL PERMIT- ISSUE ' - - . I , ,'.. - •. - . ' SUMMARY/ACCOUNT NUMBER f EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU 4, BUILDING PERMIT • 001 -810-00-00-8220 //ti EACH BUILDING SEWER .. 'OVER 100,000 BTU .4 SIGN PERMIT . 001-810-00-00-8221 EACH WATER HEATER AND/OR (.W( BOILER/COMPRESSOR UP TO 3 HP t PLAN CHECK t 001-810-00-00-8806 7/. • EACH GAS SYSTEM I 104 O),?(ETS ,. i'. BOILER/COMPRESSOR 315 HP., ' TOTAL PLUMBING 001 81000008222 ' ' - EACH GAS SYSTEM S 01 RE - METAL FIREPLACE • ELECTRICAL ' 001-810-00-00-8223 tam exempt under Sec. _____________________ -B & PC. ________________________________ EACH INSTAL.. AI,j,"REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL , 061-810-00-00-8224 e EACH VACU,J.)41 8REAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME - ,001-810-00-00-8225 - WATE,,4'6' FTNER I k • RELOCATION OF EA FURNACE/HEATER . -• MOBILEHOME PARK INSP - ' ERO0F DRAIN (INSIDE) SOLAR ' 001-810-00-00-8226 - - TOTAL MECHANICAL -- - • STRONG MOTION - 880519'9233 - T' • TOTAL PLUMBING FIRE SPRINLERS 001-810-00-00'8'22'7 OTY - ,, ' ELECTRICAL PERMIT ISSUE • " ' OTY -•. ' SOLAR ISSUE :'. PUBLICFACiLITIESFEE -'332-810-00-00-8930--• - - Copy is fit with the city NEW CONST EA AMP/SW1/BKR 1oo4— — COLLECTORS - SCHOOL FEE DISTRICT - ,1 PH - '. 3PH " •, -- " -- ' STORAGE TANKS ' ' .' - , - Carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE - Eoctotlas - WORKERS' COMPENSATION INSURANCE 1 PH 3 PH PUMP 4' San Dlegullo REMODEL ALTtRL PER CIRCUIT PLAN CHECK FEE • San Marcos ' -' It - - TEMP POLE 200 AMPS OVER 200 AMPS . .1 - ' .. -. - -',t •-• • - - : • • - LICENSE TAX , - - -' 001:810-00-00-8162 of Eaernptiov. you should become subject to the Workers'-, TEMP OCCUPANCY OCCUPANCY (3ODA YS) o.. . -, • - , - - - ,. - - MIFF , ' , 8807519-92-57 - ,forthwith comply with such provisions or this permit shall CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR "T '-' TOTAL FEES PAYABLE 44L7 ;y I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Expiration. Every permit Issued by the Building Official under the provisions ofthis - * AN OSHA PEtT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. it the building or work 5* 0" DEEP AND DEMOLITION OR CONSTRUCT)ON OF authorized 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 permit, or if the building or work authorized by such permits suspended or STRUCTURES OVER 3 STORIES IN HEIGHT - ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time alter the work is commenced for a period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE * OWNER 0 CONTRACTOR I54 ' -- - • KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND OF THE , - 1.. EXPENSES WHICH MAY IN ANY WAY'ACCRUE AGAINST.SAID CITY IN CONSEQUENCE ,' - a- ., GRANTING OF THIS PERMIT, , - - ' '- - - BY PHONE - ' '0 %' ' . I ' t_• . , 4' ' ' . ' ' . •" 'V '" APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEIthNG SHEATHING Li ROOF Li SHEAR FRAME I EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO Li P1/CO UNDERGROUND Li WASTE LiWATER TOP OUT Li WASTE 0 WATER TUB AND SHOWER PAN I - GAS TEST Li WATER HEATER Li SOLAR WATER ELECTRICAL Li ELECTRIC UNDERGROUND Lii UFFER ROUGH ELECTRIC I Li ELECTRIC SERVICE Li TEMP()RARY Li BONDING Li POOL MECHANICAL 1 Li DUCT & PLEM., Li REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTON WHEN ALL APPROPRIATE - ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS V - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSP TION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP \•''! 0 OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE * 'FIELD WEbNG HIGH STRENGTH BOLTS SPECIAL MASONRY ______________ _______ ___________ ______ ' -- 0 • PILES CAISSONS 0' * - - USE BALL POINT PEN ONLY & PRESS HARD , . .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ::t- 10 I herèb7affirn that 'I m Iicflsed under 1 . provisionsof .Chapter9,(commencing with I . Section '7000) of Division '3 of—the.; Business. and Professions Code, and my.ilcense is in - I. hereby affirm, that I am. exempt-from the.Contrac' , It for's license law for the following reason (Sec. 7031.5 Business and Professions Code: Any City or county which re' .quires la'permit to construct, alter.' improve, demolish, or - . . re pa any .structure, prior to its issuance olso requires the ap—p for such permit to file asigned statement that he is - licensed porouants to the provisions of the, Contractor's License Law (Chapter 9 commencing with Section 7000 of " Division 301 the Business and Professions Code) or that is en' empt therefrom and the basis for the alleged exemption. AnyJ violation of Section 7031.5 by an applicant for a permit sub- - '- iects the applicant to a civil'penalty of not more thanlive hunt dred dollars ($500). - rm"--- 4,. r •- 0, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc' . tureisnot intended or offered for sate (Sec. 7044, Business :" and Protessions Code: The Contractor's License Law does,.,, 5 not apply to an owner. of property who builds or improves -.1 d,w thereon unho does such work himself or through his own " employees, provided that such Improvements are not intend- 'tat '-edor offered for sale.lf,however; the building or improve- Z ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im-prove for the purpose of sale). " : i . - .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. im- . 'proves t hereon,-and who contracts for each projects with a (A - contrucfor(s('hcevse pursuant to the Contractor's License I Z '-'.-Law).. •__. • . - 1,'I " . - , '5 r 1 '0 As a homeowner I am improving my home, and the follow- - ing conditions exist: - cc 1. 'The work is being performed prior to sale. _' •• ._ 2. 1 have lived 'In my home for 'twelve months - ," prior to completion of this work tat ,' .3." .1 have not claimed this exemption during the - 0 - - last three years, - 0 tam exempt under Sec. - , B & P.C. for this reason 'fl -C . '.• -' -0 thereby affirm that I have a certificate of consent ' to sell-insure'or 'a 'certificate of Workers' mpensation tnsuranceor a certified copy thereof 2' Copy is tited Z , •. . '., • ' 0 Certdied Copy is hereby Iurnished. CERTIFICATE OF EXEMPTION FROM 0 ,..a,b)WORKERS' COMPENSATION INSURANCE -' (This section need not be completed it the permit Lu 5I is for one hundred dollars ($100) or less) - I certify that in the- performance of the wow tar-' 0. -'whiCh this permit is issued. I shall not employ any person n any, it so as to become subject to .,the Workers' Compensation Laws of California, '5 - '' '. . " . •.'t.r' -'v,:' - -.' NOTICE TO APPLICANT: It, after making this Ce,1- - ficate of Enemplion, yosi should become subject to the Workers' Compensation provisions of the Labor - '. Code,, you must forthwith comply with such --- - .1PrOmsions or this permit shatl,be deemed revoked. C:. •S - - 5. .• f'-,- -.'. C. , I' 0 I her affirm that there is a construction -) I. —lending agency tO, the performance 01 the woflLOr -' Which this permit is issued (Sec .,3097. Civil Codel ZI - wl Lenders Name ... ,ea :' L Lenders Address CARLSBAD BUILDING DEPARTMENT T "! " 'APPLICATION & IT -. •- -. . • 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 , 'a - • •' - ' ' . .. a , - .. ' , . toE ADDRESS -. '' ' .. AV, ST. DATE OF APPLICATIONI BUSIN LI ENSE # , ,.VALUATION . . PERMIT NUMBER 511 spc. - _ _____uc e2 OWNER'S,NAME". . -'• - OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE II ZONE 1 0,41 OWNER'S MAILING.A.DDRE.Sfl •• ' CONTRACTOR'S ADDRESS LICENSE NO. - PLAN I.D. # - BLDG USE CODEr t.. - - - :--- ---'----' sp/A1 LOT BLOCK ' SU'BD,IVlSION ASSESSOR PARCEL NO. LOCK DESIGNER LICENSE # STANDARD PLAN # . SO. FOOTAGE -. ,C . , ' , , - - . . . , ,,' '-;- 1 . ' ae, DESIGNER'S ADDRESS DESIGNER'S PHONE (Cts4 2'4A4 F2OAI , - -- 3/3/6O? - F/P, - FLR.ELEV, • . NO STORIES OCCGP, -' EDU . _______________________________________ vO NO 3/I 3/3 ?9OO FIRE SPR CENSUS TRACT - -OP LAND USE PARKING SPACE RES UNITS' ' GRADING PERMIT tSSUED REDEVELOPMENT TYPE 0CC LOAD AREA CONST , - _ C ' '• • - O 'ND'' - ,YD 'NO , '' , f ' '-. vO O NotVa/idUn/essMachineCertified, ' "-. - • QTY ' PLUMBING PERMIT ISSUE QTY 'MECHANRAL PERMfl T ISSUE SUMMARY/ACCOUNT N,,MBER EACH FIXTURE TRAP •' ' - '' ' ' • INSTALL FURN. DUCTS UP TO 100,000 BTU, - .. -BUILDING PERMIT ,- •' . 01-00-00-8220 EACH BUILDING SEWER ,:'- ' . - • '' - , - " -' OVER (00,000 BTU-'' -' -- SIGN PERMIT .- - - 01-00-00-8221 EACH WATER HEATER AND/OR VENT - , '' ' . BOILER/COMPRESSOR UP TO 3 HP I,. . - __. PLAN CHECK , •, 01-00-00-8806' - . •_.7 ,Ito 1 EACH GAS SYSTEM 1 TO '4 OUTLETS 't BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE - s- -'' METAL FIREPLACE - - - ELECTRICAL "-' 01-00-00-8223 * EACH INSTAL., ALTER, REPAIR WATER PIPE -. - VENT FAN SINGLE DUCT • t - , • -. - r MECHANICAL - • 01-00-00-8224- ' . - . • ' EACH VACUUM BREAKER _- — MECH EXHAUST — HOOD/DUCTS - MOBILEHOME 6-00-,'00-82i5" -' - WATER SOFTNER - • - . - -• - . ,,.-,. RELOCATION OF,EA FURNACE/HEATER .. - -- • -s-- - - MOBILEHOME-PARK INSP- - • - . -4,'.,' -. ' , EACHROOFORAIN(INSIDE), 'C., -.•'--'., '-... SOLAR •01-00-00-8226 '-- -- , '- TOTAL MECHANICAL' , '--'i • 41 , STRONG MOTION ___80-92-33-0519 - TOTAL PLUMBING -;Y'____ - FIRE SPRINKLERS_- ____01_00008227 _- QTY - _-t - .• •.. , - ' - - ELECTRICAL PERMIT :.ISSUE. 'I QTY. - • - - , -! SOLAR JSSUE._.'''- • PUBLIC FACILITIES FEE* 32-00-00-8923 --•- $ 'BRIDGE FEE __-''4-''• *' _t.' ' - NEW_CONSTEAAMP/SWT/BKR _- I COLLECTORS ___- ___* SCHOOL_FEE __DISTRICT.__w '-, 0 1 PH_ 3PH __,__es"_ ,' STORAGETANKS __ Carlsbad 809221_0519 t -EXIST BLDG EA_AMP/SWT/BKR __'",,--- : _'•',- ROCKSTORAGE _'- 4' ' ' Encinitas 80-92-22-0519.' ' _- _PH- _-:': -':-'. Pump, S.' _• San San0eguito _- _- 80-92-23-0519- REMOOEL/ALTER PER CIRCUIT s.t' - - -*. - PLAN CHECK FEE .4 ' ---- tan Marcos -'80-92-24-0519 - •' -• TEMPPOLEP200AMPS --''v"'' ' --.-'--'-'-. _-'---' - -- "4 -OVER-200 AMPS` ---• __- __._-r----. j-TEMP_OCCUPANCY_(30DAYS) — " _.. — ___________ -- _________—__________________________ ____________ ,-':.ç•';7'-'' 1' 'P TOTAL ELECTRICAL ' 'TOTAL SOLAñ' L TOTAL FEES PAYABLE . "k /5 •__ * I - ..4 ' - ,,__- __. ''.s• _--- ___-__m _Cr ___.' ___- - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION'AND PERMIT" AND DO HE'EBY Expiiation. Every permit issued bytheBuilding Official underthe provisions ofthiS * AN OSHA ppii ISREQUIREOFOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HE INCLUDING THEcode shall limitation and become null and void. If the building or work ' -5'0" DEEP AND DEMOLITION OR CONSTRUCTiON OF authorized 5' 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 permit, or if the building or work authorized by such prrs -:usndeor STRUCTURES OVER 3 STORIES IN HEIGHT COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- ISSUED: TO abandoned at any time alterthe work is commenced for a period of180d -- STRUCTION WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , - - '-' APPROV BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITiES, JUDGMENTS, COSTS AND APLICANTS SIGNAT)R OWNERD CONTRACTOR . WHICH MAY IN ANY WAY ACCRUEAGAINSTSAIDCITYtNCONSEOUENCEOFTHE BY PHONE 0 GRANTING OF THISPERMIT. EXPENSES 4- I INSPECTION TYPE DATE INSPECTOR / VV •V• - •V' ••••• '• -- BUILDING FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS IN APPROVAL SPECTOFS - - -______T- 1 ELECTRICAL ELECTRIC SERVICE G. F. I. - SMOKE DETECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIJTE ITEMS ABOVE HAVE BEEN APPROV b ft PLUMBING ELECTRICAL MECHANICAL DATE INSPECTORS NOTES MASONRY ___________ INSPECTION CHECKED - GUNITE OR GROUT SOILS COMPLIANCE PRIOR TO FOUNDATION INSP FLOOR & CEILING SUB FRAME - - - - SHEATHING STRUCTURAL CONCRETE OVER 2000 PSI FRAME EXTERIOR LATH INSULATION PRESTRESSED CONCRETE - INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING SEWER AND BL/CO. •. HIGH STRENGTH BOLTS - BING UNERhOUND : PLUM O SPECIAL MASONRY . PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST - PILES'CAISSONS ELECTRIC UNDERGROUND TEMPORARY POWER ROUGH ELECTRIC - BONDING MECHANICAL DUCT & PLEM., REF. PIPING HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS -• V _________________________________ _______ JOB SITE FINAL V_ V•/ GAS V V V ________ BUILDING V SPECIAL CONDITIONS V - _______________ CERT OF OCCUPANCY ISSUED ______ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIOtIS. -I hereby affirm,that'.1, am licensed under_-! provisions of Chapter 9 (commencing with I - - l SelonjOOO). of -Division .3, of the Business and Professions Code, and my license is in ....L._fuIi force and.effect. - - 4 I hereby, atlirm t - hat I am. exempt Irom, the Contrac' r- .tor-'s License Law for the following reason (Sec. 7031.5 I TBusiness and Professions Code: Any city or county which re' - - - quires a permit to construct; alter,' improve; demolish. or - b r repair any structure, prior to its issuance also requires he ap- I - -lplicatt for such permit to file a signed slalemen! that he is icensed pursuant tolhe, provisions 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or-that ,is,e1 It x'_—..- empt therefrom and the basis for the á!legeO exemption. Any. violation of Section 7031 .5.by an applicant tor a permit sub'. 1 jocts the âpplicanl.lo a civil penalty of not more than live.hun'J dred dollars $500).- •''- - - ., If I, as owner of the property, or my employees with wages asther sole compensalioo. will dothe work, and the struc"%. a lre-is'nnl intended or offered for sale (Sec. 7044. Business, I - and Professions Code The Contractor's License law does 5 L out apply, to an owner 01 property who builds or improves thereon and who does such work himself or through his own - -. employees, provided that such improvements are not :intend.'C I U s ed or ottered for sale, .l!.,however.' the building or improve" mont is-sold within one year of completion. the owner-builder will have the burdenot- proving that he did not build or im-0 ..-. prove for the purpose of sale);- - ----' - ' - - I. as owner of the property, arn.evcfusivety contracting , with licensed contractors to construct the project (Sec. 7044. , ) W'l Business and Professions Code:.. The Contractor's License I - Law does not apply to an owner 01 property who builds or rn- .. preves'therenn. and who contracts lot each projects with a- Z - cent raclOr(s) . license. pursoanl to the. Contractor's license'. . 1-. .........t 'L As a homeowner tam improving my home, and the 10110w' I 4 '-ittg conditionseaist:rr.4' "i, ,r,,i f,cc -I i 1 'The work is being pertormed prior to sale.—"2,'l 'have lided in my homy for. twelve "months - I' prior to compfet ion Of this work,g U - - - 3-1 have -not claimed this 'exemption during- the-.- a last three years. I - , o:tam exempt under Sec. - -- _ BA P.C. " ,jlorthis feason - I 4,1 _. .41 ' #') - thereby affirm that I have a certiticate 01 consent to Ot- ( Svtt'ixSurv, or a certiticte -ot Workers' Compensation'tnc i1 vu,ance, or a certified copy thereof (Sec. 3800, Labor Codel-. fl;c POLICY 1,161t •-: •2 . COMPANY - - - - - - - ' —'—.Copy Copy is tiled with the city '. •o.-'I I rrills r is by - - - U IL I' TCERTIFICATE 0FEXEMPTl0N FROM '0 M0RKERS' C0MENSATt0N INSURANCE.... a ,.(O -. tiNs section need not be completed it the permit cc -I '. - ' "is tot one hundred dollars lSrDOl or bust I J.01 certify that in the performance of the work for which this permit isissuéd. I shalt not employ any person in any, 3t .0 : manner'so'as to become subject-to the.WOrkers'.Co,npen.' JCsuton Law sotC&tona\.,\) k ., - IL' NOTICE .10 APPLICANT: lt,'atter making this erliticatef'; .001 Exemption, you should beceme-subjeci to the Workers' Compensation provisions of the Labor Code, you must ( forthwith comply with such provisions or this permit shall - be deemed revoked. - ' ç !.Lt Ui LnUflI I -- - '.r - -'' r r I Li i - ,h,..t.heret,y affirm,lhat there is a construction lending agducjtoi the pertoretanceof'fheeouir'torUI ivl)i'éhjhiéi'' tt0 #mit is ,u 3097, Civil Code) —z U Lender's Name 1!FP.#1 dd d'sAddreT' - -. iAbt '_ CARLSBAD"BUtLDINGDEPARTMENT - - I -. APPuCAtiöNEAi11 02075 'Palmas I\ La's Dr., Carl ad, CA 92009-1915 (619) 438-1161 .tOB'ADORESS . - . - '' - 'u., AV, ST. THOMAS BROS NO. DATE P APP ICATION BUSIN LICENSE U ' VALUATION PERMIT NUMBER -ftgqfr9- --v — LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO CON ACTOR CO NT CTORS PHONE Z NE A \ - OWNER'S AME 009 OWNER'S PHONE ONTRA 'SA 31 OWN ER IGA0 S V STAEUCENSENO BUILDING SO. FOOTAGE -. JES.Ir.~R ] L_ 4MVJ L #Lrl _ , 9&). DESIGNER'S PHONE DESCRIPTION OF WORK 9928 09/19/ag 000l ol 02 NER'S-AODRESS.. DESI . •_ - - C-PRMT ----- STATE LICENSE NO.............' - --------. - 7'c •' ' OCSC 81 yp FLRELEV NO OCCGP EDU STORIES YO mD OCC LOAD FIRE SPA --l-CENSUSTRA RE&LNITS IGRADING PERMIT ISSUED REDEVELOPMENT' TYPE U - - - AREA - CONST - "- - . : . ' Y O ,t 0 ' YO NO - YO NO Not Valid Unless Machine Certified -, - -.t - -------------------- . -- OTY PLUMBING PERMITniS"SUE QTY MECHANICAL PERMIT ISSUE [oO SUMMARY/ACCOUNT NUMBER - - - " EACH F(XTURECTRAPr )-'..\\ k .- INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 81000008220 • EACH BUILDING SEWER ' -----f - - - OVER 100.000 BT'U— -- --.----- -'--SIGN PERMIT----- --001-810-00-00-8221'- - ,.. EACH WATER HEATER ANpj,Q'(IENT BOILER/COMPRESSOR UP TO 3 HP t PLAN CHECK 001-810-00-00-8891 TW- EACH GAS SYSTEM']'J1'OUTLETS - . I BOILER/COMPRESSOR 3-I5 HP . TOTAL PLUMBING 001-810-00-00-8222 EACH'GAS SYSTj.M<OR MORE--- L_ - . • - !— METAt FIREPLACE. - - -4- - . ' -- - -- - — ---- - ----ELECTRICAL - - - — 001-810-00-00-8223 --- -'- - -''-' - - ._J EACH INST ,.ALTER, REPAIR WATER PIPE ' I VENT,FAN SINGLE DUCT I - . MECHANICAL 001-810-00-00-8224 EACH CUUM BREAKER I O MECH EXHAUST HOOD ![)U i MOBILEHOME 001-810-00-00-8225 ,WATE.R_kOF.TN,.ER, .- ' -- - -. - RELOCATION OF EA.FURNACEIHE.ATER 1 -- .-..-.--- - --SOLAR------ ----- -001-810-00-00-8226 - - - - — - - L2 EACHROOF DRAINa(INSIDE) ' DRYER VENT 1 STRONG MOTION 880-519-92-33 - , - - - - - TOTIL-MECHANICAL - - --' - - --' I ' — - - ' - - - - FIRESPRINXLERS - - 0'1T-0O-O0-8227 - - - - - - -TOTAL PLUMBING ' I - ' - -. PUBLIC FACILITIES FEE _320:81O0O-00'8740 - - - QTY. PERMIT ELECTRICAL -'ISSUE - ' 0 QTY. , . BRIDGE FEE 360-810-00-00-8740 - - - - MOBILE HOME SETUP - -, ' . -- - PARK--IN-LIEU (AREA NEW CONST EA AMP SW1 BK " CAR PORT I TIE - - - 312-810-00-00-8835 - -- - - - I PH i - 3 P , AWNING ' I . LA COSTA T(F 311-810-00-00-8835 - EXIST BLDG EAAMPIS TBKR ' ------'-- 1' FMF '- of - 1 PH 3 P r' , ' - t . . LICENSE TAX, -' 001-810-00-00-8162 - REMOOEtALrTR PER CIRCUIT ' T-4 ..- I -'I - I . MFF 880-519-92-57 -TEMP POLE".2O0 AMPS- :I 1--'--- --'" . - -. - - -- n '-OVER 200 AMPS GARAGE -----. TEMP_OCCUPANCYI30 DAYS) ,_4 "-- - ---. - --CREDIT DEPOSIT--.- , -'--- •- - - -- ' —. TOTAL ELECTRICAL 12h, E CI C)i.TOTAL L TOTAL FEES PAYABLE - .-. -t HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - ExPLratiOfl. Every perrfltt issuedbyfheBurldU1gOIfrcialunderiheprovistoosof,thts building or work Coautde Shelfexpire by firnitatrOn and become null and void If tIne - CERTIFY-UNDER PENALTY OF PERJURY THAT ALL INFORMATION, HEREON INCLUDING THE rized by such permit is not commenced - - *..AN - 1 REQuIRED FOR EXCAVATIONS OVER-I 50" DEEP DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A -PERMIT IS permit, or ill? buitding ut by such permit -- ISSUED: - TO COMPLYWtTH'ALL CITY; COUNTY AND STATE LAWS GOVERNING BUILDING -CON-' anceàbra period ol rized uspended or is 'tBO STRUC S OVER 3 STORIES IN HEIGHT ' abandonedat any time aRer_Ihewórkjs Comm days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - - -- ' -KEEP HARMLESS THE'CtTY OF CARLSBAD AGAINST ALL LIAB(LtTlES, JUDGMENTS. COSTS AND . ' - — '' - ' -- APPL E ( 0 CONTRACTOR 0 AGAINST SAID CITY IN CdNSOUENCE OF THE - re._.__ - - -. APPRO 0 BY A----- - BY PHONE -GRANTING OF THIS PERMIT:— I TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY - GUN ITE OR GROUT 4' --.- - - SHEATHING -0 ROOF U SHEAR- FRAME EXTERIOR LATH. INSULATION INTERIOR LATH & DRYWALL 1 . PLUMBING t UNDERGROUND DWASTE DWPFER - TOP OUT D WASTE 0 WATER -. - TUB AND SHOWER PAN GAS TEST U WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC U ELECTRIC SERVICE 0 TEMPORARY U BONDING U POOL MECHANICAL U DUCT & PLEM., U REF. PIPING' -J rJ.-----1 - HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ITEMS ABOVE HAVE BEENAPPROVED AU4PPRQç'RIATE--- '.' FINAL PLUMBING ELECTRICAL MECHANICAL BUILDING /3// /L/1/-L SPECIAL CONDITIONS • \N r- FIELD INSPECTION RECORD L REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION-REQ. - - - IF INSPECTORS DATE I f .. ' \ - - - - CHECKED.. APPROVAL. - -...- • \-'\/ SOILS COMPLIANCE - - . - - - - - - -PRIOR TO- - - - FOUNDATIONINSP .STRUCTURALCONCRETE .- - - OVER 2000 PSI PRESTRESSED . ,CONCRETE -- OST-TENSION,D.. - CORETE '\ .-•--- -..------ -_- . . - --- - ------ - _, ___t __•_-___ FIELDWELDING -- -• -----• --- -- .___._:2 HIGH STRENGTH.fl - ---------------- .BOL1S___.-- SPECIAL MASONRY -- I ---- . ___________ -.- r •.• - --- ----- . - - '--.-+---- -- -- -, - --.- '- - -----------:----:--------- __ -PILESCAISSONS- 'sr -L / I - - -. - - -- - - - . . - - . ... - . 4 .1 - - : - . ---H • - . - - City of Carlsbad 04/21/2000 Coñiinerciài/lndustrial Permit Permit No: CB001014 Building Inspection Requst Line (760)602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 117 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $54,264.00 Construction Type: NEW . ' Applied: 03/21/2000 Occupancy Group: Reference #: Entered 'By: GMF ., Project Title: RETAIL STORE REMODEL 1,938 SF Ilan Approved: , 04/20/2000 Issued: 04/21/2000 Inspect Area: Applicant: Owner, PLAZA CAMINO REAL PLAZA CAMINO,.REAL C/O WESTFIELD CORP INC C/.OWESTFIELD CORP INC 11601 WILSHIRE BLVD . (1601,'YIL!SIflREBLVt\ ... LOS ANGELES CA 90025 S1ANGELE'CA790025\ 5196 04/21;00 0001 01 02 \ C-PRNT 569.22 Total Fees: $793.88 Tótl Pyments Vo"Dtef"$224.6' '" BaIace Due: $569.22 Building Permit $424.2\3s"~ Meter &2!~ Addl Building Per' $0.10 F 0.00 mit Fee d1 Recl-Water.Co e, $275171'5' etbr Fee Add'I Plan Check Fee Plan Check Discount \ $0 oo)" .. CD Payoff Fee/ - $0.00-Z, Strong Motion Fee ..'. $11 (40 "•. ) , e . $0.00 Park Fee . f $060 IIOAFpFFr(CFD Fund) ~N " $0.00 Bridge Fee . BTD #2 Fee $0O/ 1TrafficIm at Fee / •.. - ,.$0.00. BTD #3 Fee $0:00 i,1T.raffijmpact (CFD Fund) $0.00 Renewal Fee $0.00 LFMZ Transportation Fee $0.00 Add'I Renewal Fee $0.0'—PLUMBING TOTAL $34.00 Other Building Fee . $0.00 ELECTRICAL TOTAL $20.00 Pot. Water Con. Fee ' 1. $0.00 MECHANICAL TOTAL ,$28.50 Meter Size . Master Drainage Fee: $0.00 Add'l Pot. Water Con. Fee $0.00 Sewer Fee: $0.00 Red. Water Con. Fee $0.00 Redev Parking Fee: "7 . $000 TOTAL PERMIT FEES $793:88 2. .A. . FINAL APPROVAL Inspect o 7 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 totimely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Ui I Y Ut- UAHLSAU 2075 Las Palmas Dr., Carlsbad, CA 92009 (760)438-1161-. y PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO._ EST, VAL. Plan k. Deposit . . Validated B.'- Date.3 Parcel 1j, Buelness Name (it 11 fIflc :fl:I j 225 1r) CI"(lI. Existing 02 -66 F VVUF -: ie( oe €jemcet. '52-23 It.ç. Name Of Address t( pYwl cv v- I, City c 5tstWZlp Talepho5Q O2 PER'NMB rM i 112W 2AI ba Li tthiarcL Name Address -. City StetolZip Telephone S (Sec. 70315 5uainaua and PretesalonsCodsi Any City or County Which requires a permit to construct, alter, Improve, demolish or repair any auotwe. prior to Its issuance, also requires tite applicant for such permit to file a slgMd Statement that he Is licensed pursuant to the provisions of the Contractor's kicense Law (Chapter 9, commending with Section 7000 of Division $ of the Business and Professions Cod.) or that he Is exempt therefrom and the heals for the alleged xsmptlo • Any violation of Section 7031.5 by any applicant fore permit subjects the applicant civil penalty o not more than five unyed dollars 196001). ctJ ST(24ir7 l (7/9,.*4 tOS4 i''e ' /ii< Yzcz qbq4435 Name oteI.ItiP TeispnOl State Ucentoi 6'! 9B 13 License Class City business License Designer Name Address WiNsdo C1 City 5M fp State/Zip Ca, Telephone 42-qz05 State License S ('2.2IC, .,••. .. • .... Workers' Compensation D.clsrsiion: I hereby affirm under penalty of penury one of The following declarations: O I have and will maintain a certificate of consent to 4e11f'4nsure for Workers' compensation as provided by Section 3700 of thi Labor Coda, for the performance of the work for which this permit is Issued. • • • $ have and will maintain workers' compensation, at required by Section $700 of the 140cr Cods, for the performance of the work for which This permit Is ruuad, My worker's compensation insurance carrier arid policy number ore; Insurance Comperni i'-bfJ Ti Policy Expiration Date 01to AD _ (THl$ SECTION NEED NOT OR COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1111111001 OR Lf$$ O CERTIFICATE OF EXIMPTION: 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' oompanaalloncavarigs Is wdawfial, and shaM auejaat an employer to criminal penalties and clvii fins. up to ens hundred thousand dollars ($100,000), In addition to the cast of compensation, damigss as provided fat In action 3708 of IN Labor cods. littarest and attorney's fees. SIGNATURE DATE I hsi.by affirm that I am exempt ffom:tha Contractor's License Law for the following reason: o i as owner of the property or my employees, with wages as their 'sols compensation, :wlii do the work and the structure Is not Intended or offered for sale (Sea, 7044, business and Professions Cods: The Coriteactar's License Low do.. not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employsee, provided that such Improvements are not Intended or offend for asia, If, Piowsver, The building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that be did not build or improve for the purpose of sale). I, as owner of the property, em exclusively contracting with kcenud contractor, to construct the project (Sec. 7044. Business and Profaaions Code: The Contrcwr'a l.lc.nia Law doss 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). Cl I em exempt under Section . Business and Professions Code for this reason: L I personally plan to provide the major labor and materials for canitructiøn of the proposed property improvement. YES ONO a. I (have / have not) signed an eppliOstlon for a building permit for the peopoeed work. • I have contracted with the following p.rsonIfirm) to provide the proposed construction (Include name I address I phone number / contractors license number): I plan to provide portions of the work, but I hays hired the following person to coordinate supervise and provide thils major work (include name I address I phone number / contractors license number): I will provide some of the work, but i nave contracted (hired) the following parsons to provide the work Indicated (Include name / address I phone number I type Of work):_._. PROPERTY OWNER SIGNATURE DATE wOMM Is the applicant or future building occupant required to submit a business plan, acutely hazardous mutsnisle sgiutrstion form or risk management and prevention program under Sections 25500. 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? C] YES C) NO Is the applicant or future budding occupant required to obtain a permit from the air pollution control district or air quality management district? C] YES C] NO Is the facility to be Constructsd within 1,000 feet of the outer boundary, of a school Site? C] YES C] NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTiFICATE OF OCCUPANCY MAY NOT U ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sea. 2007111 Civil Coda). LENDER'S NAME -• • LENDER'S ADDRESS_____________________________________________________ I certify that $ have reed the application and state that the above Information Is correct and that the information on theplens is accurate. I agree 10 comply With all City ordinances and State laws relating to building construction, I hereby authorize rapreasntativos of the Ott of Carlsbad to enter upon the above mentioned Property for Inspection purpouls. I ALSO AGREE TO SAVE, INDEMNIFY AND kEEPNARMLES$ ThR CITY OP CARLSEAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA; An OSPIA permit Is required for excavations over 610 deep and demolition or construction of structures over S stories in height. EXPIRATION: Every permit Issued by in. building Olficiaj 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 180 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 SOda e (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE • • • •••• DATE 3 -17 -) WHITE: Ill. YELLOW: Applicant PINK; Plnunoe Inspection Request City of Carlsbad Bldg For: 5/24/2000 Pérmit#CBOOIOI4 . Inspector Assignment: TP Title: RETAIL STORE REMODEL 1,938 SF Description: Type: TI Sub Type: COMM Phone: .3103874272 Job Address: . 2525 EL CAMINO REAL ' S Suite: 1.17 Lot 0 Location: ' Inspector: APPLICANT PLAZA CAM INO.REAL '. Owner: PLAZA CAMINO REAL Remarks: Total Time* ' , S . Requested By: BOB KOEHLER S . Entered By: 'ROBIN CD Description Act Comments 19 Final Structural ' . ' , •. . 29 Final Plumbing. 39 Final' Electrical 49 Final Mechanical Associated PCRs Inspection History Date Description Act Insp Comments 5/5/2000 17 Interior Lath/Drywall , AP TP 5/3/2000 14 Frame/Steel/Bolting/Welding AP TP STR FRONT 5/3/2000 34 RoUgh Electric , , AP TP STR FRONT LIGHTS 5/2/2000 14 Frame/Steel/BoltinglWelding AP TP WALLS, CElL @ RESTRM 5/2/2000 14 Frame/Steel/Bolting/Welding CO TP S.F. SOFFIT • ' S 5/2/2000 24 Rough/Topout ' AP TP 5/2/2000 34 Rough Electric AP TP WALLS, CElL © RESTRM . 4/27/2000 21 Underground/Under Floor AP TP 4/27/2000 ' 24 Rough/Topout AP TP City of Carlsbad 04/17/2000 Miscellaneous Permit Permit No CBOO 1457 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 117 Permit Type: MISC. . Subtype: OTHER Status: ISSUED Parcel No: . 1563020900 Lot #: 0 Applied: 04/17/2000 Valuation: . '$0.00 . .' Entered By: MDP Reference #: - . Plan Approved: 04/17/2000 Issued: 04/17/2000 Project Title: HOT TOPIC . Inspect Area: REMOVE NON-BEARING PARTIONS & DEMO Applicant: . - Owner-_.._ DE FOREST CONSTRUCTION, INC. PLAZA CAM INO-.REAL G/öWESTFIELD CORP INC 4554 04/17/00 0001 01 02 17498 SANTA ROSA ROAD ' 11p1frILSHiRE. BLV\ . C—PRIff ".30-00 PERRIS, CA 92370 . LoSNaElthS"CA.90025\ 714-943-5227 , 0 Total Fees: $30.00 Total Payments To Date. $0.00 Balance Due: $30.00 Miscelaneous Fee #1 ERMIT 30.00 Miscelaneous Fee #2 koo :TOTAL PERMIT FEES INCORPORATED 1952 FINAL APFROVAL 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 lees/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, rview, set aside, void, or annul their impositidn. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 4 4 I FOR OFFICE USE ONLY PERMIT APPLICATION ., PLAN CHECK NO " CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL. 1635 Faraday Aye, Carlsbad, 92 CA 008 " Plan Ck Validated By.________________________ ' -' -- Date - Address (include Bldg/Suite if) . '• Business Name (at this address) t2?L. 41 Li.- 4erTefp1C.1 " Legal Description Lot No Subdivision Name/Number Unit No Phase No Total if of units Assessor's Parcel if Existing Use Proposed Use Description of Work - ,, . 4, SQ. FT. . .ifof-Stories if of Bedrooms if of Bathrooms )evt&9 -i- J - 444U') G &7'S S '— -uSt f, -5 '5,-( - 54LL CONTACPPERSON (Wtferent,irom applicant) 'r Name - Address City State/Zip Telephone # Fax if 3iC tctor D0r foiwr ?ce ' c7D ca' ç7 Name • ,. ., .. Address City - - State/Zip - Telephone-if rmr4 PROPERTOWNER Name. . --. .,Address _ - . City;. -- . State/Zip. Telephcnu# i 67 )JJIL (Sec 7031 5 Business and Professions Code Any City or County which requires a permit tc 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 islicensed pursuant to the'provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Bu"siness and Professions Code] or that he'is exempt therefrom; and the basis for the alleged - exemption. Any violation of Section-7031.5 by ny applicant for a-permit subjects the applkantto a civil penalty of not morethanfive hundred dollars ($5001). 'cJ3rai MIAJea e.er's °i5zVD ot 45 <-M Name - Address : City , State/Zip ' Telephone if - State License if 51 e "2_'3 License Class City Business License if Designer Name - . Address . City State/Zip - Telephone :- State License Rif r Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations -1 have and will maintain a certificate of consent to self-insure for workers' compensationas provided by Se'ction 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 nurber are Insurance Company Aot-)'e-v' .7'-L1E Policy No /tJ(AJ 4C4.3 2L)b1 Expiration Date L ,/l-:J/c, / -(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - - -D - CERTIFICATE OF EXEMPTION:' I certify that in the performance of the wdrk fr which this permit is issued, I shall hot employ any person in any manner so as to become subject to the Worker' Compensation Laws of California. WARNING:1 Failure to secure workers' compensation coverage is unlawful, and sIall subject-an emplàyer to criminal penalties and civil fines up to one hundred thousand dollars 1$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 SIGNATURE -. -- , - - - . ' . . - ". - - -. - DATE --' NRIÔERcTIPJ I hereby affirm that I am exempt from the Contractor's License Law for thifollowing 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 riot 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 exlusively contracting with licensed contractors to construct the project (Sec.'7044, Business and ProfessiOns Code: 'The Contractor's License Law, does not .applyto 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 Coda for this reason - - 1. - -I personally plan to provide the major labor-and materials for construction of the proposed property improvement. 0 YES 'ONO - - - 2. ((have / have not) signed an application for a building-permit for the proposed vork.-- - 3 I have cntracted with the following person (firm) to provide the proposed construction (inc!ude name /address / 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):_-__,- - I vill-rovide 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 -' -. - i • . -OATE Nil , Is 'the applicant or future building- occupant required to submita business plan, acutely fazardous-rnaterials registration form or risk management and prevention -. program -under Sections 25505, 25533 or 25534 of the PresleyTanñer HazardoUs Substance AcountAct? 0- YES - -D NO - - - i-_i ,-- - - ---- - - Is the applicant or future building occupant required to obtain a permit from the air p1ollution 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. SERVICE S,AND.THEAIR POLLUTION CONTROL DISTRICT. 2: — '- I hereby affirm that there is a construétion lending m agency for the perforance,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 in is correct and that the information on the plans is accurate I agree to comply with all City, ordinances and State liws relating -to building construction. I hereby- authorize representatives of the Citi of Carlsbad to enter -upon the above mentioned - - -. property for inspection- puiposes. - I ALSO AGREE 'TO SAVE, -INDEMNIFY -AN D*, KEEP HARMLESS THE . CITY OF CARLSBAD AGAINST- ALL LIABILITIES; - JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANYWAY 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 - - - C - enced within 180'days from thedate of such permit or if the building or work authorized by such permit is suspended or abandoned. at any time after the work is en for ,a period of 180 days (Section 106.4.4 Uniform Building Code) -' APPLICANT'S SIGNATURE ' DATE WHITE: File YELLOW: Applicant- PINK: Finance. - - - - - .-- 4. 11