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HomeMy WebLinkAbout2525 EL CAMINO REAL; 119; STE 119 PRE 2016; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 ForApplicant to Fill In Owners Name Arnold 's Mail Address Plaza Camino Real Application fBUl'LDlN6 Permit Building Permit Fee 685 °22O3* * ** * Building Depf, Use Only Building Address Suite 119 Contractor Millie & Svr.rn [St. Near El Camino Real Confr.Address P.O. Box 1269, Long Be ac Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.L. Other Group Zone Approved by To Consf. 0 To Add 0 To Alter 0 Convert 0 To Move From Type of Const. flame and Masonrg Frame, Masonry, etc. To Be Used For Dept. Store Kind of Foundation_______________ No. of Stories_______________ Floor Space (Sq. Ft.) 1 759 Garage Floor Space (Sq. Ft.) Attached_______________________ Detached__________________________ Legal Description Lot Block Subdivision or Contractor City Bus. Lic. No. Wafer Meter Sewage Disposal System Inspection Record Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes 0 No 0 Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DE ED RE SIGNATURE 11 OFPERMITTEE _-,--- Utility Company Notified - Date By Final If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. CONSTRUCT!LENDER INFORMATION OVER) BWLDINGDEPARTM O AppI;ati1or. BVILDINó Permit 729-1181 - Ext. 36 Building 'Peimf Fee ,4t.Lt 57 For Applicant f6 Fill FEB —4-69 165*******4 so cc F~ 'Own. fld Owner's Name 2_ 1 ddres ng Bu Depf.Use Only .'. Contractor Building Address._'t_.1._'( Contr. Address 1S St.' t Near _______________________________________________ To Consf 0 To Add 0 ' To Alter 0 Convert 0 To Move From Type of Const. Frame, Masonry, etc. To Be.Used For Kind of Foundation____________ No of Stories Contractor City Bus Lic No / (74 81— Space (Sq Ft ) Water Meter' Sewage Disposal System Attached Garage Floor Space (Sq Ft Detached - - .. - s- . - J.Ar n liispectionRecord - k Legal Description Lot -rtjBlockc _______ --s Subdivision -________________________________________________ r - - __________________________ -k-- •' Section -. -Towsi'ilp. Range .. - .--.4. • ,. S•-t • - 5- - No. of of Existing Building .Will this construction includ any plumbing instaliation or alter hon Yes 0 ' No - 4 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- -Final - By I CERTIFY THAT I Age1RLY REGISTERED -D/OR. _, _-, __•-.. _- LICENSED AS REOJ#R...B1T CITY OF CARLS AND STATE OF CALIFO ORTHAT I AM THE LE OWNER . IF a check is tendered for paymentfor the above fee and the OF THE AP. RIBED RESI - ERTY. • - check is ,not honced when p?esenfed- for spayment, your SIGNATURE diately 'revoked. OFPERMITT -- buddgpermit will be City fCarlsbad Building Dept Permit void If work is not commenced within 60 days of issuance 1- Set Back ,.-. S t1 / .• . ' o,• Bldg. Valuation./ Front p:L. V Ma ii Bldg Side P.L. Garage Rear P.L. .' Other - Group Zone, Approved oriudrIdN LENDER IDNTIYITION CA CALIFORNIA STATE CODE OF CIVIL PROCEDURE SECTION 1193 (J) name of lender - branch address of lender city 19 signature of applicant date CITY OF CAR D BUILDING DEPA NT 729-1181 -Ext. 36 PERMIT NO. TOTAL Application for MECHANICAL FEE $ Permit For Applicant to Fill In pTn NO. ITEM INSTALLATION AND/OR RELOCATION EACH AMT. DEC 30-68 -2390****** 16. 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 furnace or burner, including ductsand 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 treater, recessed wall heater or floor mounted unit heater. $ 4.00 Building Dept. Use Only For the installation, relocation or replacement of each ap- pliance vent installed and not included in an application. $ 2.00 For the repair of, alteration of, or addition to each heating appliance, refrigeration unit, comfort cooling unit, absorption unit, or evaporative cooling system, including installation of controls regulated by this Code. $ 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- nor 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- - nor over three horsepower to and including 15 horsepower, or each absorption system, over 100,000 8.t.o.'s to and inclu- CONTRACTOR Southl arid IItq . & A/C Inc . _________________________ Plaza Camino Real, A Limited OWNER P artnership ding 500,000 In's B $ 7.50 '7 For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or . ' - each absorption system over 500,000 B.t.u.'s and including 4 1,000,000 B.t.u.'s. $10.00 ADDRESS 2800 Temple Avenue For the installation or relocation of each boiler or compreS- Sor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 B.t.u.'s. - $15.00 CITY - Long Beach -. For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. $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 ntl,er than portable type. $ 3.00 - - For each vent fan connected to a single duct. $ 2.00 GROUP For each ventilation system which is not a portion of any heating or air conditioning system authorized by a permit. ...!..±. .3— 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 -_- IL5- 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 AND'OR LICENSED AS RE- H I QUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIF 2 AM THE LEGAL OWNER OF ABOVE OESCRIBEDPROPEI1e. DATE JOB FINALED SIGNED BY PERMITTEEI CITY OF CARlSBAD . . AMUJNBIN6 BUILDING DEPARTMENT / Q PERMIT - APPLICATION OWNER 10L47 . $669 ° 183******* MAIL ADDRESS *i\ TEL. NO. - PLUMBEIy h BUILDING ADDRESS /79 ADDRESS p NEARES CROSS ST. TEL. NO31 9 75 GROUP I ZONE STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. - Inspection Record ftAI 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 1 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 1 TO 5 © 2.00 GRADING PLAN / YES 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 B" SIT. F CARLSBAD AND STATE OF CALIFORNIA O I-IE\LEGAL OWNER OF THE ABOVE DE/IBE L-IJRt SNATURE OF PERMITTE J. APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED I AL 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. - - 1 - - C1Y OF cARESBADà SEWER .' . ULDNG DEPARTMENT . PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. - BLOCK - TRACT USE OF BUILDINGS CONTRACTOR ADDRESS CITY TEL. NO. CONTRACTORS STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS © $5.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., CESSPOOL, DRYWELL. MANHOLE © $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM © $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER © $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM © $2.00 OWNERS PERMIT $2 00 AUTHORIZATION TOTAL FEE I- HAVE AT THIS DATE A CONTRACT WITH THEHEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. SIGNED THIS. DAY OF OWNER OR OWNERS AGENT :ADDRESS I HEREBY ACKNOWLEDGE THAT .1 HAVE READ THIS APPLICATION AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATELAWS REGULATING PLUMBING AND SEWERS. -HEREBY -CERTIF'? THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD ANDSTATE OF CALIFORNIA OR THAT *1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY.. SIGNATURE OF PERMITTEE is BUILDING ( ADDRESS . NEAREST CROSS ST. OWNER • MAIL r • b'-' ADDRESS •• CITY TEL. NO. - •- CONNECTION DATA . Lateral Charge Computation . 30' H., 0' V. @ 4" = _____ 6" Add. Horiz. @ 4" =6" = . Add. Vert. @ 4" =______ 6" Total Construction Cost - 10% Service Charge Total Lateral Charge Let. No.: Logged in Plat: .: - . •. . LINE COST DATA - .. A. D. & Assmt. No.-- LINE COST: -. C. C. @ - / dwelling ..-'-'• P. S. @ - / dwelling - . . .• OTHER . . .: ,.-- • TOTAL - -• . - Grand Total, Lateral, etc. - • FOR SEWER LOCATION --'4 .• .• St. • . NORTH • ENGINEERING - SEWER -DEPT ' Signed : Signed - ... -c--- USE'BALLPOINt' P(N'ONLY & PRESS'HARD. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS..5, bcIvç CQ1t)J C4. - 2F'itlD hireby affirm that am licensed under, 'I provi,iona.ot Chapter9 (commencirrg,wlth ' 1$'Section 7000) of Division 3 of the Business and- Professions Code, and my license is in - (±{fuil force end effect. U -"--•-•--------'-- - -'.-- - I;hereby • atliim that I am exempt from the Contrac' tar's License Law for the following reason ,Sec. 7031.5, Business and ProlessiensCode: 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 up'-.... phicant to, such permit to tile a' signed statement that he is licensed pursuant to the 'provisions of the contractor's — License Law IChapter 9 commencing with -Section -7000 of; Division 3 of the Business and Protessions Code) or that is ex-empt thArefrom and the basis to, the alleged exemption, 'Any ), violation of Section 703t.5 byan applicant for a permit sub",, jects the applicant to civil penally 01 not more than live hun- dred dollars $5001. .1 q- I-I I, as on;; 01 the pr0per1', orrny employees with wages .,as their sole compensation, will do the work, and the struc' , 'tore is not intended or altered for sale (Sec. 7044. Business and Prolessions Code: • The Contractor's License Law dues not apply' to an owner 01 property who buildd or improdes J' thereop and who ,dnes such work himself or through his own v .-..-.employees. provided that such improvements-are not intend' -. - W ed or altered for sale.j. II,1 however, the building or improve' Z , meet is sold within one year at completion, the owner'boilder,,,,,,,, will have the burden 01 proving that he did not build or im' prove Or the purpose 01 sale). I hi,' as Owner .01 the property, am exclusively contracting viith licensed contraclorsto construct the project .(Sec. 7044. Business and Professions Code: 'The Contractor's License,, Law dues not apply loan owner at property who builds or im " ' I - proves thereon, and who contracts for each projects with a -'f 44 L 'r contractor(s) license pursuant to the Contractor's License Z ' Law). o i tremeorn'er 6;r~ving my home. the follow. . 4 x 'ing conditions exist:.cc - The work is being performed prior'to sate. I have lived in my home for twelve months prior to completion 01 this work. lot 3. I have not claimed this exemption during the lust three years. - — -. - 0 2 - -',n - r,, .r' •,, lam exempt under Sec. - -' . B & P.C. r' for this reason' .i JIheeby affirm thth lhavu certificate of consent to selt.irrsure. or a certificate at Workers' Compexsariox In. I suru'nce.ua certified Copy thereof ISec. 3800. Labor Codel,, - POLICY NO.'-, — •' " '-' . COMPANY ,J. ..... Copy is tiled With the Cily' (I) .D Ce;tilied is 7e'yni's'' - '-'CERTIFICATE OF' EXEMPTION FROM - -' 0 f ,WORKERS' COMPENSATION INSURANCE U) . lTkissectiov need not be completed-if the permit is for one hundred dollars ($roo) or less) LIU ' .0.1 crtit1 that in the performance 01 the work to, which CC this permil is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compen. sation-Laws at California. (- '',-. - 'NOTICE - TO APPLICANT: It. utter making this,CertihiCale_ 01 Exemption, you should become subject to the Workers's - Compensation provisions 01 the Labor Code you roust - -. borthwith comply,w,,ith such provisions or this permit 511011 t! - f.M I Dt her'ely affirm that there'is'a corstruc'tiun Ienäing I)' aeny for roe performance of the work or which this per' - I' - mit is issued (Sec. 3097, Civil Code) . zI •-'' WI. Lender's Name Lender's Address_______________________________ vL'----'----------'---.'-'--- -'-'---"P T'CARLSBAD BUILDING DEPARTMENT . APPLICATION & PERMIT - f"v- -- ---- i---' 2075 Las Palrhas Dr:', Cans d, CA 92009-1915 (619) 438-1161' -' '-'---' - ,''---'-'•' " 108 ADDRESS AV, ST .R . THOMAS BROS NO. . DATE OF AP ICATI N BUSINE LICENSE U VALUATION - PERMIT NUMBER I4 1/41 +C LOT BLOCK SUBDIVISION -, ASSESSOR PARC L N . ' f - CONTRACTOR CONT7SCTORS PHONE N ZONE K oi &?or-C.#'7_ WN E L'S NAME \V \_-. OWNER'S PHONE PHONE 1L, Bu 's0000 I - CONTRACTORS ADDRESS 1a -NO.' z.C. Vr.9e/ - DESIGNER, '. - . e_,9,.) DESIGNER'S PHONE xc_ (-rDESCRIPTION 0843 07/25/88 0001 0 02 OF WORK - ' " - )ldFmt '1673.0C DESIGNER'S ADDRESS STATELICENSENO. , 0CC GP EDO_* p FLR ELEV. NO - STORIES ___' - nO ND - CENSUS TRACT SPACE -RES UNITS' GRADING PERMIT ISSUED -. 'FIRE SPR' '- REDEVELOPMENT " '. ' TYPE - 0CC LOAD' [PARKING ' , AREA _' nOoD yD,rvD yJ NO. —Nor Va/,dUn/essMachine Certified -- QTY. ?PLUMBING PERMIT, -ISSUE - - ..r'75 QTY.: '.'- . MECHANICAL PERMIT - ISSUE - . -. SUMMARY/ACCOUNT. NUMBER . . -. EACH FIXTURE TRAP'- ___T ,rd? '~~.000 BTU d'' BUILDINGPERMIT ,.001-810-00-00-8220 __________________ BUILDING SEWER __-n-. p57) JI — OVER100,000 BTU . SIGN PERMIT 001810'0000'8221 EACH WATER HEATER_AND/OR_VENT _• _-. ' ' -' 8OILER/COMPRESSOr4j'kI3 HP- - - -.- --PLAN CHECK --001-820-00-00-8891 _'-'-- - EACH GAS SYSTEM. 1104OUTLETS 801LE(Rh/tOAPfE03,5liP,.- -- TOTAL PLUMBING -001-810-0000'8222 EACH GAS SYSTEMS OR MORE ' . METAL FIREPLACE- SOAD '. _. ELECTRICAL •001-810'00-00-8223 - /05 -- EACH INSTAL.. ALTER, REPAIR WATER PIPE..--,- - . T7 NMTN dkiEM R r_ E 'JS_'-._--MECHANICAL.---..001-810-00-00-8224 — ..... EACH VACUUM _BREAKER '- f -_- MOBILEHOME 001-810-O0'OO-8225 WATERSOFTNER '' — RELOCATIONOFEAFURNACEIHEATER -. '- -_SOLAR` --001-810'00-O0-8226 . EACH_ROOFDRAINIINSIDEI —-- - _. DRYERVENT __•'- STRONG MOTION, _____, _88O51992:33,_ TOTAL MECHANICAL - ' - — - TOtAL PLUMBING -.'' ' . ' FIRE SPRINKLERS 001-810'00-OO-8227 _- . 'PUBLiCFACILITIES'FEE _320-81'000-00-8740 - - - - - - ' BRIDGE FEE 360-810-00-00-8740 QTY. - ELECTRICAL- PERMIT - ISsUE'. QTY.,MOBILE HOME SETUP — PARK-IN-LIEU (AREA 'NEW COSfEA' AMP' SI?1 SIR CAR PORT ' - -I - -TIF _'--'312-810-00-00-8835' — I _PH 'p _'L -'/W — AWNING -.' , LA COSTA TIF 311-810-0ô00-8835 EXIST BLDG EA AMP/SWTB I ' ' ' 'u GARAGE • FMF , iPH.. - , 3 PH u - - -- } '•''''-.-.-. __._ - - LICENSE TAX , c 0'00810'00008162 REMODEL __LTERPERCIRCUIT - _:•- .. _-' . •'' , MFF - 880-519-92-57 - — TEMPPOLE200 AMPS -...- _.-. --'.- _...'• - :. . p OVER 200AMPS ___xit,s' '. • __''' _-'.._,.,.. -- TEMP OCCUPANCY 130DAYS) '. ___*--.- CREDIT DEPOSIT < O 1OTALELEL1RAL ' _ ( - '-TOT1 TOTAL-FEESPAYAB I HAVE CAREFULLY -EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND bo HEREBY Expiration. Every permit issued by the BuildfngOfficial underthe provisronsof this - '* AN "'A :T IS REQUIRED FOR EXCAVATIONS OVER CERTIFYUNDER PENALTY OF PERJURY THAT ALL INFORMATION' HEREON INCLUDING THE Code expire by limitation and become null and void It the building o work by Such permit is not commenced within such STdateof 50" D AND DEMOLITK3N OR CONSTRUCTKN OF authDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildino or work authorized by Ouch pe rized rmit :usner R(S OVER 3 STORIES IN HEIGHT ...... ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandonedatanytimea(terthe work iscOmmenced _foraperiod-of180'days. _., ''4. STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - — APPLICANT'S SIGNATURE * OWNER CONTRACTOR 0 APPROV BY - - - ..-. - E, - - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL'LIABILITIES. JUDGMENTS- COSTS AND EXPENSESWHICH MAY IN ANY ___ WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCEOF ___.BVPHO__ _$'- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ. IF INSPECTORS CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS e, ocO 4. INSPECTORS NOTES TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEILING SHEATHING Li ROOF Li SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO Li PL/CO UNDERGROUND Li WASTE Li WATER TOP OUT Li WASTE Li WATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC Li ELECTRIC SERVICE Li TEMPORARY Li BONDING Li POOL MECHANICAL Li DUCT & PLEM., Li REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION 'WHFN.ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL .'. •_______ _________ PLUMBING ELECTRICAL MECHANICAL ?/1 4)/i tA4 V /1 BUILDING SPECIAL CONDITIONS - \ S .-- V - -. I - L * . All P1 L V4, 4. , City f Caisb'ad , IN 1635 Faraday Av Carlsbad, CA 92008 .. '05-15-2003 . .. VS Commérciai/IAdustriai'Pérmit . Pemit No: "CB030838 , Building Inspection Request Line (760) 602-2725 \ Job Address 2525 EL CAMINO REAL CBAD St 119 PermitType:. Ti Sub Type-- *COMM., Parcel No: 1563020900 , Lot #: - 0 r Status: - ISSUED - Valuation: : $53,670.00 Constructicn Type: NEW Applied: 03/21/2003 . . . Occupancy Group: - Reference #: - Entered By:. CB Project Title: HARRIS JEW ELRY/1 512 SF SALES, 'S Plan Approved: P.05/15/2003 277 SF STOCK ROOM Issued 05/15/2003 x. 4. Inspect Area Plan Chéck#: 'Aplicant:- ' ' EDWIN WATANABE •' -. , , PLAZA CAMINO REAL,. . / . V 802 LAKE POINT CIRCLE •' - C/O WESTFIELD CORP INC 517 35/15, 03 000k. 01 0. STONEBRIDGE RANCH 1{601 WILS IRE BLVD COF'507-511 MCKINNEYTX 75070-5157 LOS ANGELES CA'90025 972-529-6927, ç \ \\ Building Permit •$369.46 Meter ZSrSf \ .. . ?' Add'l Building Permit Fee/.' ee . ,$0.007 AddI Red. Water Con. Fez) , \ $0.00.• Plan Check / j$240 15 "-'7,.Meter Fe' \ ,O \ $000 Add'l Plan Check Fee ' / $0.00 rJSpcWA'ee' , \ . \ $0.00 ' V Plan Check Discount .' / $0.00 CFD Piyôff Fee \ . "h. \ $0.00 S Strong Motion Fee / LFM 77~ Park Fee 00 Fund) Fe 1 0.00 cehseTax $0.00 ;. Bridge Fee )`00 License Tax (CFD Fund) 'jfl\ .. $0.00 V ( BTD#2 Fee 1 - $oob Traffi'lmpact"Fee /.1J $000 BTD #3 Fee $0,,0O ,,Traffic lmpct (CFD Fund $0 00 V Renewal Fee VS , $0.00 L1UMBING TOTAL V' V. $0.00' ' V Add'I Renewal Fee V 000 ELECTRICAL TOT) . S I . ' $35.00 Other Building Fee' . $000 MECHANlCALTOTAL! / .. /$24.00. 'V Pot. Water Con.. Fee - V $0.00 Mate Drainage F I ', I $0.00 . Meter Size .- Sei Fee)" / 1 $0 00 Add'! Pot. Water Con. Fee . V $0.00 . eVParkingFee: J V V' / $0.00 V VV •VV Red. Water Con. Fee \ • V $0.00 Additional Fees / VV / $0.00 1NCOtOTARMIT FEES .. '' .' $679.88 1952 'Total Fees:,.-.. . $679.88 Total Payliénts,To Date: • $17237 'aIaceDue V $507.51V V ' - , • V V ,. N u/i I1[ID V'/ V • 4 1 t V ' S . )S V,•.VSVd , S., V , S15V 5, - I • ,.' - FOR OFFICE USE ONLY PLAN CHECK NO 1O 2r CQT /AI Jk 1A - PERMIT APPLICATION . to 1/ Plan Ck Deposit I 7 2—.3A CITY OF CARLSBAD BUILDING DEPARTMENT j J iF Validated By__________________ 1635 Faraday Ave. Carlsbad CA 92008 Date 3zJ O3 4 S 4 5__• •5_. zz eL :,EL - zP Address (include Bid Suite #) ' ', Business Name (at this address) 4L,J2,h MII L_ u1 - ')f AQA I,1I/rz -iAn') Al A) Legal Description Lot No Subdivision Name/Number Unit No V "IIeI 6f'units ' -' .5 . COP 17237 " Assessor's Parcel # Existing Use .' I Proposed Use 0 7i.)L (c1i) Description of Work . , -,. SQ. FT. # of Stories . # of Bedrooms . . # of Bathrooms ji'J7p,o c MIMOW-0`11 ME, z4g. We Name - Address f . City. '. Stale/Zip - . Telephone/f . Fax /f -- • 4, - , Name '.i . ., Address. - . City . 'State/Zip '. . , Telephone/f • . . -. IA)E IIELV p- iI. WIciPE WD LPAt-4Q> i77 6 . :- ! - - /Name . Address - City . State/Zip Telephone# , . . . :. J (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 pursuat to the provisions of the Contractor's License Law [Chapter 9, commending with ,- Section 7000 of Division 3 of the Business and Professions Codej or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by • I . .anyapplicantforaperrnitsubjectstheap ñ to ci l enaltyof not re anfivéhundreddolla ($5001). . - . ' . . S 5" ' :1.. *i• . 4(A- 4 1U/b4 . CA- C7 Name -.. Address City State/Zip Telephone # StaieLicense#' - 7C2 ' UcensCIass t3 iL - - ' City Business License # \ Wtir~ 4'.G_~ . LkE 1XjijD UQ. 'f°K't Ij fj - S Designer Name • . Address . , , - City - - - State/Zip Telephone # ' State License # f ' - S • S. . - . - ._ '• , - - ' f Workers Compensation Declaration I hereby affirm under penalty of pequry one of the following declarations O / 0 I have and will maintain a certificate'of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work - - for which this permit is issued 0• I have and will maintain worker's compensation, as required.by Section.3700 'of the labor Code, for the 'erformance of the work for whichthis'permit is issued. My .- surance Company 'icyNo__3f'1"1 Expiration Date HIS SECTION NEED NOT BE COMPLETJED IF/THE PERMIT IS FO NE HUNDRED DOLLARS ($100) OR LESS) CERTIFICATE OF EX lION {cert/y that in tht4mance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject t t e Wrke ' ompensati\naws ot.alifctnk/, WARNING Faulu o a ur r a compsation cover unlawful and shall subject an employer to criminal penalties and civil fines up to pne h ndred thousand oltars($100 000) d ii t t t provided for in Section 3706 of the Cabor Code inte St ATE fees b I hereby affirm that I am exempt from the Contractor's License Law for the following reason • - 54 -, * I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor's License Law doss not apply to an owner of property who builds or improves thereon and who doss 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) C) I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec,,7044!Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor's '- License Law) - 0 I am exempt under Section -.-. Business and Professions Code for this reason: • . S , 4 -- 5_ •0 ' • -' I personally plan to provide the major labor and materials for construction of the proposed,property improvement: 0 YES 0 NO - - - . ,I (have/have not) signed an application for a building pemit for the proposed work. • have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number/ contractors license number): 4 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 I /ontractors license number) r 5. I will provideome'of the work, but I have contracted (hired) the following persons to pr0#ide the work indiàáted (include name / address / phone number /.type of work): ,, - - - S - ' - . -- 0 ' 0, S • , •S PROPERTY OWNER SIGNATURE S ,- _--'t . _0 ,DATE - - •: - WHITE File YELLOW Applicant PINK Finance-.t .. I S -• OO - t•• ' 4, - -- - -' '4 - 4. • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-23-2003 Miscellaneous Permit Permit No: CB031173 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 119 Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1563020900 Lot #: 0 Applied: 04/23/2003 Valuation: • $2,500.00 Entered By: SB Reference #: , . Plan Approved: 04/23/2003 ' .. Issued: 04/23/2003 Project Title: HARRIS JEWERLYDEMO NON BEAR . Insect Area: PARTIONS Applicant: •' ELAN GENERAL CONTRACTING INC. PLAZA CAMINO REAL C/O WESTHELD CORP 1 SUITE # B 11601 WILSHIRE BLVD 4644 HAWLEY BLVD 92116 / Los ANGELES CA19002 6192844174 7 ç) 9tf-;L\ A ' / Miscelaneous Fee #1 PERMIT FEE Additional Fees #2/ TOTAL PERMIT FEES / I r / ............... / Total Fees $60.rOr Total Payments To Date $0 00/ 04/23/03 0002 ol 02 COP • 60..00 $60.00 $60.Q N \< (0.00 \ _$6O. O0 I - Balance Due: H AL PPROVAL? INSP44t DATE______ CLEARANCE I-' I - FOR OFFICE USE ONLY 2i{MIT APPLICATION PLAN CHECKNO/)/(73 EST. VAL~- CITY OF CARLSBAD BUILDING DEPARTMENT 11635 Faraday Ave Carlsbad, CA 92008t Plan Ck Deposit , Validated By 4.) ---1 c. /i2i s - TW2U-'-j -' .', Address (include Bldg/Suite #) Business Name (at this address) j Legal Description I , Lot No Subdivision Name/Number ' Unit No...Phase No Total # of units - -: - '.' • Assessor's Parcel # Existing Use . , Proposed Use iL C ' . V:* :' ''• 4 - 4 '5.; - ! ,, - 4 Description of Work SQ. FT #of Stories # of Bedrooms f of Bathrooms 0i 7 Ni rRdiffeMen _cLj f/ 4 Name I Address - 4 City State/Zip Telephone # tFax # ( Na Address City State/Zip '. Telephone # Name Address 'V City State/Zip Telephone # (Sec 7031 5 Business and Professions Codei, Any City or County which requires a permit to constru& 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 IChapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5. bny applicant for a permit sub' jts the applicant-to a civil penalty of ot'pore than five-hundred dollars l$5001).- i-' O. ' ' 1 Name , .77-s-739' -: Address t .City State/Zip 'relephone# State License # 77, '30 License Class City Business License # -S - ' • -. ,, ., C C •"-' '4 . 4,.- .', :-. j-,. Designer Name ' Address . City State/Zip Telephone 4 State License ,# ,-,C CCf4'4!'4V4'4V274 '4VV - 'VC'4VDC14CC4V ' JESBSJPENAtI0N 'L4 .P47L '4'Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the, following declarations: , -'.. . , • 4 . 4 V. o 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 4 4' . 'S 4 .' I •- ' . ' ' . . . . ' - . . 7', ,• 4 ' I have and-will maintain?workers' compensationas required by Section 3700 of the Labor Code, for the performance of the work for which this permit is . ssued My worker s compensation insurance carrier and policy number are I' kisurance Company S'ThTI. k,C...S /Piiicy No /? TY)'7 0L. -'Expiration Date____________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HuNDRED DOLLARS [$1001 OR LESS) 4 -- . . . ,' C '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 .. '5.- WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred housand dol $10 , 00), in addition to the cost of compensation, damages as provided for In Si.cti n 3706 of the Labor code, interest and attorney's fees. . NATURE " iOWj!tBLfl DERLARATION " ,' - I hereby affirm that I am exempt from the Contractor a License Law for the following reason I . I 0 I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for,sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or impr&e5 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, omletion the owner-builder will have the burden of proving that he did not build or improve for the purpo'e of sale). - -- 1 - Cj 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 cotracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) 8 " 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor arid materials for construction of the proposed roperty improvement 0 YES NO, 2 Ilhve / have not) signed anppIication for a building permit for the proposed work " 4- V - - 3.s l.havecoritracted with the following person:(firm) to provide the proposed. construction (include nar,e / address /pone number /,contractors licènsenurber): C - 'I plan to provide portions of the work, but I have hired, the following person to coordinate supevise and provide the major work (include name / address I phone number! contractors licenae number):- _-'' __.-_____________-_- - - 5. -, I will provide some 'of the vork, but l.hae,contcted (hired) the following persons to provide th work indicated (include name/ address/ phone ,number! type V - . '-of .work):- V 4/C PROPERTY OWNER SIGNATURE V DATE C '4 - ' 4' I Is the applicant or future buildin occupant required to submit a business plan acutely hazardous materials registration 1or'n or risk management and prevetntion program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 NO 4 Is the applicant or future building occupant required to obtain a permit from the sir pollution control district r air quality management disiict? D YES 0 NO - - - - - -,, . - - 4 - Is the facility-to be constructed within 1,000 feet of-the-outer boundary of-a school site?" 0 YES 0 -NO - , - - - *5_ - '4 --- -. IF ANYVOF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HS MET OR IS MEETING THE . REQUIREMENTS OF THE OFFICE OF, EMERGENCY SERVICES AND, THE AIR POLLUTION CONTROL DISTRICT.. WSTRUtTl T -' 'i -R - - 1 hereby affirm-thstthere is 4a consttIction lending agency for the perfo'rmance of the work-for which this permitisisued (Sec. 3097(i) Civil Code). - LENDER'S NAME - '4 LENDER'S ADDRESS s1NtCERiIiCATIPN I certify that I have read the application and state that the above information is correct 4and that the information or(the pla4.ns is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the Cit, of Carlsbad to enter upon the above mentioned property for inspetioñ purposes I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP- HARMLESS THE CITY OF CARLSBAD:'AGAINSTALL LIABILITIES. - JUDGMENTSt COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSTSAID CITY IN CONS EQUENCEOF THE GRANTING"OF THIS . V 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 isstd by the building Official under the provisions of 4this Code shall expire by limitatio and become-null-and void if the building or work authorized by such permit is nt if4mmenced 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 co enced for a period of180 days (Section 10644 Uniform Building Code) '' '4 IV /APLlCANT*S'SiNATURE .'- _'4 .? _____-. _.TE ' 5, '5•S WHITE: Filei YELLOW: Applicant' PINK: Finance '-