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HomeMy WebLinkAbout2525 EL CAMINO REAL; 120; STE 120 PRE 2016; PermitCf ?CZF CARLSBAD BUILr DEPARTMENT Application foSUILDINO Permit 7294111 I -Ext. 36 Building Permit Fee For ADDlicanf to Fill In PAID Owner's Name House of Fabrics DEC 26-68 Ee-2199*******2.00 Mail Address Plaza Camino Real Building Dept. Use Only - Contractor Millie & Severson Building Address Suite 120 I Contr.Address P.O. Box 1269, Long B St. Near El Camino Real I To Const. 0 To Add 0 To Alter 0 Convert 0 To Move From Type of Consf. Dept. Store Frame, Masonry, etc. To Be Used For Kind of Foundation_______________ No. of Stories_______________ Contractor City Bus. Lic. No. Floor Space (Sq. Ft.) 3 ,743 Water Meter Sewage Disposal System Attached_______________________ Garage Floor Space (Sq. Ft.) Detached________________________ Inspection Record Legal Description Lot Block Subdivision________________________________________________ or Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes 0 No D Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. Utility Company Notified - Date By - I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Final LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM TLEGAL OWNER) If a check s tendered for payment for the above fee and the OF THE ABOVE check is not honored when presented for payment, your SIGNATURE building permit will be immediately revoked. OF PERMITTEE City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.L. Other Group Zone , Approved by (1-TY OF CARILSBAft WI$NG DEPARTMENT OWNER House of Fabrics MAIL ADDRESS Plaza Camino Real Center CITY Carlsbad TEL. NO. PLuMBERProffitt & Durnell Plbg.Inc ADDRESS12630 So. Hawthorne Blvd. CITY Hawthorne TE)N. 772-276 STATE CARLSBAD BUSINESS LICENSE NO. 165581 LICENSE NO. ITEM FEE 2 TOILET @ 81.25 2 50 BATH TUB @ 1.25 - SHOWER @ 1.25 2 WASH BASIN @ 1.25 2 50 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER © 1.25 1 WATER HEATER & VENT @ 1.50 1 50 GAS SYSTEM 1 TO 15 .30 EA. ADD. @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER © 2.00 1 MISC. WATER PIPING @ 1.50 1 50 GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 © 2.00 8 00 GRADING PLAN YESD NO PERMIT $ 2 00 TOTAL FEE $ 10.00 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 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D..S.CRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMI LUMBIN6 PERMIT - APPLICATION WOV 25-68 BUILDING /;2o ADDRESS NEAREST CROSS ST. El Camino Real & Vista Way 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 his is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. CITY OF CAR D BUILDING DEPAR ENT 729-1181 - Ext. 36 PERMIT NO. TOTAL FEE ______ ef Application for MECHANICAL Permit For Applicant to Fill In NO. ITEM INSTALLATION AND/OR RELOCATION EACH ANT. DEC-:30-68 2385* *** 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- 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. $ 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- I sor over three horsepower to and including 15 horsepower, or sor absorption System, over 100,000 B.t.u.'s to and inclu- ding 500,000 B.t.u.'s ' $ 7.50 CONTRACTOR So Uthi and Iitg . & A.'C Plaza C amino Real. , 2½ Limited, For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or OWNER Partnersh ip each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u.'s. '$10.00 - ADDRESS 2800 Temple Avenue For the installation or relocation of each boiler or compres- so, 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 absnrption system over 1,750,000 B.t.u.'s. $25.00 - CITY BUSINESS LICENSE NO. 1,7 - .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. - For each evaporative cooler other than portable type. $ 3.00 GROUP - For each vent fan connected to a single duct. $2.00 LI 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 .- '-7— 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 CAR AD AND STATE OF CALIFORNIA R T I AM THE LEGAL OWNER, OF OVESCRIBEO PROPER DATE JOB FINALED . - SIGNED BY PERMITTEE: cl ITY OF CASBAD BUILDING DEPARTMENT 729-1181 - Ext. 36 I Sit fljJ,JUS.UItI I SI I III III PERMIT usn Fee BUILDINGADDRESS: Item Recpt.Sw. Lighting fixtures w/ballast for each 10 - $1.00 4Od AA1 (• St. Near'.-aiZé/c2_-O Elec.Ranes, Clothes Dryers,.Water_ Heaters - .. 50 5b OWNER;_. I1ec. Space Heaters Dishwashers, Garbage Disposers, Auto. Washers, Sta. Cooking Units .50 ADDR_s'4 OTORS: Per H.P. _each _motor CITY _'IJ'J...M-__.•- 0to 1 $.25 "rj to 2 $.50 --- TELEPHONE NO. 2 to _5 $1.00 5to 15 $ 1.50 - State rm ' City Business).... License___7Q ')__.._. License O__17O 15' to 50 $ 2.50 50 to 200 . $ 5.00 Group •Zone ,By SIGNS: ' . No. trans. Ea. ' ' . '. , ," ' $ 1.00 ' Inspectin.Record: No. lamps over 50 ea. ' $ ' .50- SERVICE: 0 to 150 AMPS For each additional 100 Amps. $'2.00 ' $. 10.00 . Temp. Power Pole,.100 AMP SorLESS _'. $ 3.00 ,. For Each addI Meter, over one per _'service $ 3.00 ISC 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 ANOTHE STATE OF CALIFORNIA OR'THAT- I AM THE LEGAL OWNER OF' THE ABOVE DESCRIBED RESI DENTIAL PROPERTY. SIGNATURE OF - - PERMITTEE: S.D.G.&E. _. . . -. FINAL ' . /(.., . • -' I / ' - - j - . - - •_I) PERMIT NO. -_'"_.' TOTAL FEE $ o(O- - - 'Application for ELECTRICAL Permit - - - - .B ildi S 3.00 - (flY OF CAR.LBA• • SEWER BUILDIN G 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 ITS @ $5.00 OVERFLOW SEEPAGE PIT, ORAINFIELD 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 OWNER'S PERMIT $ 2 00 AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE 'HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF - OWNER OR OWNER , S AGENT - -. ADDRESS - 'I HEREBY ACKNOWLEDGE THAT ) HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND ST-ATE LAWS REGULATING PLUMBING AND SEWERS. .1 HEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED -BY THE CITY OF CARLS- BAD AND,STATE OF CALIFORNIA OR THAT .1AM-THE LEGAL 'OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- " - '—I GNATURE OF PERMITTEE BUILDING ' '- - ADDRESS '0_444-40_ -, NEAR EST CROSS ST. OWN ER MAIL U4. ; J ADDRESS CITY 1d 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. @ - I dwelling OTHER - TOTAL Zr - Grand Total, Lateral, etc. , FOR SEWER LOCATION St. :NORTH ENGINEERING SEWER DEPT. Signed - . - , Signed :This :is a .Sewer Permit When Properly Filled Out, 'Signed and Validated - ,.. 'Issued By PERMIT '-VALIDATION 1. - •. .... f_C cc -"-C-- 2r_ D1hroby-affirm that 1am licensed under UI provIeloneot - Clapter 9 (commencing, with, "Ssctlo'n 7000) of Division 3 of tfle Business t I 7 and -Professions -Code, and my IIôense-is.in. Z ull force and effect. . Ø -•. *a . .,.J,. ri hereby aIf)m that I am • exempt IromIhe Contra or 's License Law for, the tollowingreasonj(Sec. 7031.5 rBusiness and Professions Code: Any city or opunty whicr. re- quires a-permit reconstruct, alter. improe demolish. or repair any structure, prior to its issuance also fequirys,he ap- - pljcaot tnt such permit.tu tilea signed statement ttpLbe is ticeosed pursuant to the provisions'oIstheL'onrra)tor's License Law (Chapter 9 cummencingwilh Section 7000 ut"" Division 301 the Business and Professions Code) or that is ex- ,, - empt therefrom ,and the basis tot-the allegeo exemption.Any-. violation 01 Section 7031 .5by an-applicant for. a permit sub'*'- I judo the applicant lox civil penalty 01 not more than live hun- dred dollars ($500). '2 c," • I ' •- •. - - '- 'C- _,•- a- - -( .._. • - - - .--,- fl I. as owner 01 the property, or my employees with wagesC- . . as their oole.compensation, will du the work.,aott the struc- lure is not intended or-ottered tW sale (Sec. 7044, Business _J and Protossioov Code The Contractor's License Law dues eot apply to anownet,ot property who builds At'imprudes thereon and who does such work himself or through his own employees, provided that such improvements are notintend- - U ed or. uttered for sale lt however, the building or'improve-Z - _,ment is sold within one year of completion, the owner-builder will have the burden 01 proving thathe did out build ur im- .• prove for the purpose otsale) • S., .. 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- pyones thereon, and who contracts for each projects with a contractor(s) -license pursuant to the Contractor's License' Law).; ' . . 'A. - 0 Asa homeowner lam (mpriing my home, and the tollsi- 4 ing conditions exist: - The work is being performed prior to.sule. 7 2. • -i have lined In my home for twelve - months C..) -• ' C- prior Incompletion of this work_n .,. . _. U 3. I have not' claimed this exemption during the -- 0 , - -- - last three years. - - . -. , .... - - - 0 lam exempt under Sec. . B & P.C. Or this reason . - , •' - .1w.. L.a ..r. '•,., 7. 0 irierty affirrKthat Ihuve a certificate of consent to 'sell-insure. or a certificate of Workers' Compensation In- sure. or a certified copy thereof (Sec. 3800. Labor Code) . - POLICY NO. • - ' . - COMP IN ' BCopyis tited wilt, the city_'' . C- .D'etiee'py is hereby turoishe IL ,"fr O -' CERTIFICATE OF,EXEMPTION FROM. - O -a ' - IWORKERS COMPENSATION INSURANCE :(Ths section need not be completed lIthe permit IX, for one hundred dollars (5100) or less) .le - 'I certlfy.that in the performance 01 the work for which ,( this permit is issued, I shall not employ aoy person in any 0 ,' 'manner so as to become subject to the WorkersCompeo- ,sation Laws of California. -. NOTICE TO APPLICANT: If, after making this ,Certilicate a . Cornpen 'df Exemption, you should become subject to the Workers'. - tionprovisious 01 tfre Labor Code, you must- - comply with Ouch provisions or this permit shalliforthwith be deemed revoked. '.1 _. , i'' • C- - \4_.0 ,. - - , 'Cl i-reiy affirm llnailkeje is construction' lending agency for the erformadce of the work for which this per-" 01 . mit is issued lSec,'3097, Civi(Code) j. Z( . ,- -s-i N I . •- UI - Lender's Name ---- - - L_-!nide~'! AdreOs , " - . •.-'A.' - --:'----------- w- ........ USE BALL POINT PEN ONLY & PRESS HARD -n APPLICANT TO FILL IN INFORMATIO}WITHIN SHADED AREA AND DECLARATIONS * DEPARTMENT - - - .• -APPLICATION &,IM QJTi> 21 VALUATI - PERMIT NUMBER JOB ADDRESS V. ST.RD, AIEAREST CROSS ST. DATE OF APPLIC TION BUSINESS LICENSE ZV o /c' - - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR cONTTORS PHONE - ZONE -.. -a . 'S- - ---_ --.'- - V •- OWERNAME -' OWNER'S PHON -,. CONTRACTOR'S ADDRESS STATE LICENSE NO. - - . - - -- - BUILDING SO. FOOTAGE . c (4f 2-Z.- t V- OWNER'S MAI LI Nd ADDRESS - -TC-o L-q ? ' ,' - - - - '' -. fr 9/ 713 DESIGNER 7GNERS PHONE DESCRIPTION OF W Fl K -. - - a • j 4CR' t7ô (l—, A -• _ -C- C , •'. - DESIGNER'S ADDRESS • __________________ STATE LICENSE NO.- 3 1~106 C, L0-r" -0 C... F/P FLRELEV NO EDU STORIES. S. fOt,' • " ----uuuk--IUI .u/.y/brI-<rn -15451., vO ND ...--.-'. ....—.i — .,-.-..a. 4 - - - - - - - P PARKING SACE ' C, NES UNITS - - - GRADINGPERMIT ISSUED REDEVELOPMENT - AREA - - r-- ' __- TYPE • 0CC LOAD- - FIRE SP--.- R ,• - - • aD 0 O ND -' -- -Y O ND CONST Not Valid Unless Machine Certif,ed - QTY PLUMBING PERMIT ISSUE QTY MECHANICAL PERMIT ISSUE - - SUMMARY/ACCOUNT NUMBER -- - '-- - INSTALL FURN. DUCTS UP TO 100,000 BTU - - '• BUILDING PERMIT - - OO1:810'00-00'8220 I - EACH BUI,t3ING"SEWER _, ' -. Iu\ - ' '4 OVER 100 000 BTU I SIGN PEWIT '° RM -001-810-00-00-8221-- EACH WpTER HEATER ANOI ENT BOILER/COMPRESSOR UP TO 3 HP - , .. PLAN CHECK - . ._,O01 81000008806 'li fe ".rE EACH GAS SYSEM)t T OUTLETS " - - BOILER/COMPRESSOR 3-I5 HP C- ,- , - TOTAL PLUMBING 001-810-00-00-8222 - - - - EACH GAS SYSTE OR MORE - -. - - METAL FIREPLACE - - - - 'ELECTRICAL" - .7 001-810-00-00-8223 - - EACH INST ALTER, REPAIR WTE'RPIPE - - VENT FAN SINGLE DUCT I. ., a- .,- - - ,MECHANICAL - 001-810-00-00-8224 - - • • EAC ACUUM BREAKER' -: ,•- - MECH EXHAUST H000/OUCTS - , , - MOBILEHOME - . 001-810-00-00-8225 TER SOFTNER. - . - - , ' , -- • RELOCATION OF EA FURNACE/HEATER - ' C- ' - SOIAR - ' - 001810-00-00-8226. - - EACH ROOF DRAIN (INSIDE). -. • - T.. DRYER VENT - • - , -- - - ,, - ' - .STRONGMOTION - 880-519-92-33 TOTAL MECHANICAL ' ---,-__ - . - - FIRE SPRINKLERS -001-810-00-00-8227 71, TOTAL PLUMBING _- ' ' -PUBLICFAC)LITIES_FEE __320-810-00-00-8740 OTY ELECTRICAL PERMIT ISSUE QTY MOBILE HOME SETUP - _•*M'nV1 ', 6RU3GEFEE_ PARK - L NEW _CONST_EAAMP/SWT__BKR__- CARPORT____- ' - - —TIF .5f%f1_001_81000008835 H - _-.--3PH __-- - -'- __- ' AWNING_- _---'* _- ,. LICENSE TAX90O1'810'00'OO'8162 -- EXIST BLDG EA AMP/SWT/BKR GARAGE MFF ''880 519-92-57 - --j- 3PH -.REMOOEL,ALTERL PER CIRCUIT '7_- -a '-•- _-•'..'- ••'"-, --:. _*---.-.•' a•- ___________-- * C , - -- _. ___1 -M8SJç TEMP POLEt(200AMPS"t, ___*A. -' - --C--- -• _k'i, __.. _- ____- - OVER 2O0aAMFiS', TOCCUPANCY_130DAYSIC-C __________e EM * -• - A- - 4 C- CREDIT DEP IT---- I,. 4 TOTAL ELECTRICAL TOTAL 4 ' TOT BLE/ HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY - - Expiration. Every permit issued by the Building Official under the provisions olthis * AN OSHA PERMT IS REQUIRED FOR EXCAVATIONS OVER 0 limitation tl ll and O. If the budding Or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE -Code j by hbYe - -C- 5'0" DEEP AND DEMOLITION OR CO1STRUCTI0N OF rmit is not commenced within ays torn e a eo such , DECLARATIONARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ermi if th bId authorized b permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abq$redSIany time aIs, thewoUtiscomrnen%edjora period at180days. - - C- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND NTS, COSTS AND CONTRACT 7FPPFRTVED B,Y 0^ D KEEP HARMLESS THE CITY OF CARLSBAD AG41NST ALL LIABILITIES, JUDGME NT'S SIGNATUR~Ef, ER CI THE _WAYACCRUEAGAINSTSAIDCITYINCONSEQUENCEOF PHONE 0 GRANTING OF THIS PERMIT. 1_' I - - TYPE DATE INSPECTOR BUILDING 816 (9 FOUNDATION . FIELD INSPECTION RECORD REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY REO - IF INSPECTOR'S - GUNITE OR GROUT - INSPEOTION CHECKED DATE \- . • --.• : SUB FRAME El FLOOR El CEIIJING SOILS COMPLIANCE PRIOR TO - — VV SHEATHING El ROOF 0 SHAR FRAME EXTERIOR LATH - I'Db i I 1DATION INSP .- ?1.1.3I$ URAL J)ETE 'INSULATION I 1 ' PRESTRESS_ CONCRETE - — INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE - PLUMBING El SEWER AND BL/CO El PLJCO - FIELD WELDING HIGH STRENGTH BOLTS UNDERGROUND El WASTE El WATER SPECIAL MASONRY --- TOP OUT El WASTE El WATER TUB AND SHOWER PAN I . GAS TEST I PILES CAISSONS - . El WATER HEATER El SOLAR WATER -ELECTRICAL El ELECTRIC UNDERGROUND E UFFER '- tt1(I ROUGH ELECTRIC. Cl-ELECTRIC SERVICE El TEMPRARY El BONDING' DPOOL fbJII/I' "5. -. . - . S •S- .- I . El DUCT & PLEM; 0 REF. PIPING MECHANICAL HEAT — AIR COND SYSTEMS (O///flV 7t4C/ ct cuL VENTILATING SYSTEMS CALL FOR FINAL INSPECION WHEN ITEMS ABOVE HAVE BEEN.APPROVED ALL APPROPRIATE -. -•. • .'.'-, ••-- ,'. -.-..•. FINAL '- PLUMBING.-. ELECTRICAL ill MECHANICAL --- MTS BUILDING SPECIAL CONDITIONS. _- - - - •• &s _•__5-'__" : i f___• ) 5-' - S I . - - 5- \ •_\ S.'. -. * - - S.' • -S '-i: * I S S 5. .5 •''•"-j 5- (-v' - -- ..5_'' _-..'' ' S.,-- -- 5-S •I-. * '_ç,• .V'-'-J"L '...'''-'-:T' c')1 B U IL' D I N G P E R I T P'erni N: CB950003 01/03/95 10:24 .. . . Project No: A9500004 Page 1 of .1 Development No:, Job Address: 2525 EL CAMINO REAL . Suite: 120 • Permit Type: MISCELLANEOUS ,. . • - Parcel No: 156-302-09-00 . Lot#: Valuation: 'o 0152 01/03/95.0.001 01 02, Construction' Type: NEW - . CPRMT 30.00 Occupancy Grodp: Reference#: . .Status: ISSUED. Descriptionf REMOVE NON-BEARING WALLS . Applied: 01/03/95 AND EXISTING FIXTURES FOP.FUTURE TI * Apr/Issue: 01/03/95 Enteed By: MDP Appl/Ownr : VELASQUEZ,, CARLOS . , 619 752092 -' 3132 PURER ROAD f ESCONDIDO, CA. . *** Fees Required & Credits Fee Adjustment:-,.-/ . . Tct-a.l Cte'it\ .U0 Total Fees: 30.00./ .00 30.00 __Ext fee . Data !! -de scription !! -1ts\9Ufli\t - Miscellaneous Fee 0 30 00 PERMI'xT INCORPORATED ., 'V • . . . . T . . "- •• - .4 .. • - •,' - -. ..- .- ..• . ,•. .• ... ' ... ' CITY OF CARLSBAD ' 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438-1161 i .. PERMiT APPLI4A110N City of CarLsbad BuiLding Department 2075 Las PaLmas Dr., CarLsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: PLAN CHECK NO. JS_06 3 EST. VAL PLAN CK DEPOSiT_______________ VALID. BY DATE For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROM= INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. z.5 2 EL •$pi4e- / 20 Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. - CHECK BELOW IF SUBMI Ti ED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL DUSTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS J. WN lAUI PJRSUN (it different from applicant) NAME (lastname first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT U CONTRACTOR U AGENT FOR CONTRACTOR DOWNER U AGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE . k'I(UI-'LKiY UWNUt NAME (last name first) 7Mk ADDRESS 25 25 (L c4-,n ij 0 CITY C4-iLk L,-i> STATE (4L. ZIP CODE '72 00 i DAY TELEPHONE 72 ? - 77 27 CONTRACTOR NAME (last name first) VEI QO?- / ADDRESS 3 1 32- u p- 1).... 1~4 CITY j1)i 20 STATE CA-L.. ZIP CODE 012-0 2 c DAY TELEPHONE 74' S' STATE UC. 732.ICENSE CLASS 1 CITY BUSINESS UC. # P i z'? 1) 1 CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of 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. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUlU)ER DECLARA11ON (Jwner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered 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 1, 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). o I am exempt under Section _________________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 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 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WNSTRUCfl1ON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CER7IIFICAI1UN I certify that I have read the application and state that the above information is correct. 1 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y 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 Offjal under the ovisionsf this Code shall expire by limitation and become null and void if the building or work authorized by such permit is n mmend wjMin 365 ~'s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at an afte#The id'rk is co,ienced forA period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE - i'j /' /' / / DATE: • *1 - BU I L D 1 N G P E RM I T Permit No: CB95O187 03/02/9510:43 • ProjectNo: A9500249 Page 1-0f, 1 • -. Development No: Job Address: 2525 EL.CAMINOREAL Suite: 120 • Permit .Typé: COMMERCIALTENM'&T IMPROVEMENT .Parcel No:-156-302-09-00.'- .. Lo t#. 0887.0/02/95 0001.01 02 Valuation:'- 34450 • C-PRHT 368.00 'Construction Type-: VN * Occupancy Group: B?, Reference#: Status: ISSUED Description:3450 SF SOPHISTICATED LADY . , Applied: 02/02/95' : • .• S Apr/Issue: 03/02/95 ' - ' Eñtered By: bc Appl/Ownr : CARLOS.CONSTFWCTION . • 619 745-72092 3132 PURER ROAD 4 ESCONDIDO, CA 920-5 *** Fee: Required ** F'ected & Credits ------------------------;1-4-T ----------------------- Adjustments Q T.l Ce ts 00 ; Total Fees; . 206.00 • -Bala ce:4\ 368,00 Fee de's'cription i tsw pnt Ext fee Data Plan Check .00 Strong Motion Fee * : 206 317.00 . ! * BUILDING TOTAL I<NJ fl / (fJJ 530_00 Enter 1' for PlumLing Issue'e' 4j4/ rfr'/ N Enter 'Y' for Eleciiric 4ssbie Fee I' 10.00 Y - :- '—.---- • / '--V . - - -;Enter4 'Y' for.Remode1V - > 10.00 1 INCORPORATED 20. ELEftRICAL TOTAL '1952 oo Install .Furn/Ducts/Hea PTh 1s • 1 - 9:00 9.00 *'MECHANICAL TOTAL' 4 ':. •1' 00 F APPROVAL .: :,., •. :. • • :- DATE ".: CITY OF CARLSBAD - • . -2075 Las Palmas Dr., Carlsbad, CA 92009 (619J 438-1161 5- -, a. • • * -. - -. -* •. * - 41, -' - - • .. - t1j PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST. VAL 9a PLAN CK DEPOSIT c ra VALID. BY DATE 0558 02/02/95 0001 01 02 FOR OFFIccNLY jaaress uuiiaing or suite NO. /Q4L- Nearest Cross Street 'a .LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIYfED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'SPARCEL EXISTING USE PROPOSED USE DESCIILPTIQN—OF—WORK Sops 's7 e,i: SQ. FT. q 50 OF STORIES -# OF BEDROOMS 1* # OF BATHROOMS A. UJN SAC! PLH(JN (it different from applicant) NAME (lastname first) ADDRESS CITY CC?l-p ( V STATE Ci-L ZIP CODE DAY TELEPHONE 4. APP11CAI4T DCONIRAC1UR DAGF.Ni FOR CONIRACIUR DOWNER DAGENT FOR OWNER NAME (last name first) ADDRESS STATE ZIP CODE DAY TELEPHONE 5 PROPERTYJ)WNER.,, NAME(last name first) '""Z1ESS f / SC .ii o'.'e sr CITY Sf, ,s' e..s 'STATE /Vlc ZIP CODE C.3/ b / DAY TELEPHONE 72. 17 - 7? 2-'7 WNTEACTDR .) 'z NAME(lfiiiiifirst) CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS' CX)MPENSATION '-- Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of 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, Lob. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exempptionj,. I cattily at in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to becoi3pbje(to e '6rkers' compensation Laws of California. SIGNATURE ' jLcAP( o I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who 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 1, 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 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 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 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DLSTRICF. WNSTHUCI1UN LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPUCANI CEffI1FIC11ON 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 A(X)ILJE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 und F r~k i6ns of jhis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commep6 ~i~n S daysom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time a(jefThe mme~el f9rpiod of 180 days (Section 303(d) Uniform Building Code). -APP11CANVSS1GNAT1JRF - -----... V ., /,__ / I DATE: PINK Finance 0 .... .•• ' CITY OF CARLSBAD. -. - INSPECTION REQUEST PERMIT# CB950187 FOR 04/06/95 INSPECTOR AREA TP DESCRIPTION: 3450: SF mSOPIdSTICATED LADY' .PLANCK# 'CB950187 - , 0CC GRP B2 TYPE: CTI . CONS T'RV TYPE VN JOB ADDRESS 7..25.2'5-':.EL CAMINO REAL STE 120 / LOT: APPLICANT-'.'-. ARL0SCONSTRUCTION . L PHONE: 619 745-2092/' / CONTRACTOR: . ' - - PHONE: OWNER PHONE REMARKS MW/CHUCK/434-5959 ' INSPECTOR SPECIAL INSTRUCT: M. PLEASE TOTAL TIME.: CD LVL DESCRIPTION ACT COMMENTS 19, ST Final Strctura1 29 PL Final Plumbing ' - . •..' 39 EL Final -Electrical . . . .49 ME Final Mechanical ***** INSPECTION HISTORY - . .- DATE: DESCRIPTION. .. .. • . ACT INSP COMMENTS 040495 Final Combo CO TP 033 Co 195 Final- mbo NR TP NOT COMPLETE & FIRE SIGN 032795. Rough Electric . . AP TP ADDED CEILING LITE'S 032795 Rough Electric AP TP ADDED CEILING LITES Q31495 Interior Lath/Drywall . AP TP - .• - •. . 031395 Interior Lath/Drywall NS PY 030995 •Yrarne/Steei/Bolting/Weiding AP, .TP - :ND BRACING @:HIGH WALL 030995 Rough Electric AP TP WALLS . * -. • . TA ( . . r .•- * ... .. t. •- * - . • . - '1 • - I.. .• - - 1 City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008. 02-09-2004 - Commercial/Industrial Permit Permit No: 0B033604 Building Inspection Requst Line (760) 602-2725 Job Address: . . 2525 EL CAMINO REAL CBAD St: 120 . . Permit Type: Ti Sub Type: COMM Parcel No: '. 1563020900 Lot #: .0 Status: ISSUED "Valuation: $135000.00 Construction Type: NEW Applied: 12/23/2003 .5 ,.Occupancy Group: '\ V -Reference #: ,' EnteredBy: KMT. Project Title: AEROPOSTALE- TI 4500 SF . . Plan Approved: 02/09/2004 - TENANT ALTERATION TO RETAIL SPACE. Issued:' 02/09/2004 * fr1sPectArep ')2, 09 '04 0G2 r,j : Plan Check .:-Applicant: Owner: -- CG F" 072.21. - EDWARD CUEVAS 'PLAZA CAMINO REAL - :. ,.• - - . .. C/a WESTFIELD CORP INC -. . - •. - -- V 1160WlLSHIRE BLVD . . . . .' 1327 POST AV 90501 V - V LOS ANGELES CA 90025 V - 412-243-3430 - Building Permit .- / . \654.36 Meter Size AddI Building Permit Fe e>' $0.00 7 AddI Red. Water con. Fee V $0.00 V V - Plan Check ' / V V • d$42533 •Meter Fee' \ o V $0.00 AddI Plan Check Fee / r/ $0.00 4 SDCWA Fee .. V : $0.00 .Plan Check Discount . / $0.00 CFD Payff Fee VV -$0.00 Strong Motion Fee V V / $28.35 . PFF' - V - $0.00 V V V Park Fee V . / $0.00 PEF_(CFDFin1) V . ,. $0.00 V . LEM Fee V c•-:::.::D / V $0.00.LiEii 1Tax .. $0.00 V Bridge Fee . . $0.00 Lice Tax (CFD Fund) . $0.00 V BTD#2 Fee V . $0.00 jrafficlrñpactFee V ; $0.00 ' BTD #3 Fee . . -- $000 .. Traffic lmpat(CFD Fund) J V $0.00 Renewal Fee - $0.00' 'LUMBING TOTAL V I V t$76.00 . AddI Renewal Fee V V .\ $0.00 ELECTRICAL'TOTAL V V J$60.00 V V V VV • Other Building Fee -- $0.00 MECHANlCALTOTAL / V $53 50 . Pot. Water Con. Fee . - $0.00 Mste DrainageFee1 . / - . / . $0.00 Meter Size Sew ei Fee_... / V $0.00 . V AddI Pot. Water Con. Fee .. \ $0.00 Redv Parking Fee / . if $0.00 • - . - Red. Water Con. Fee . $0.00 Additidhl Fees / . $0.00 V V V \-. INCOpTQ.TAL-PERMIT FEES'$1 . . jotal Fees: - $1,297.54 \TotliPaymentiTo Date T$425.33rBàlànc&Due $872.21 .- V / I I I) __ • V 7 FINAL APPROVAL Inspector 1T2L3 Date ' V 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 tallow the protest procedues 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 332030. 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 oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired. - 5V V j 4 / 5 4 5 I' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 033o1 EST. VAL. I35 OOo, 00 Plan Ck. Deposit #YQff 33 Validated By Date Wrc.D S psu'46-ro,*JJJ 1..A2A CAMsM ?e4 : 1525 a C4u.o 4L Si 2D Aigwopq Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number . Unit No. Phase No. Total #f units or's Parcel # Existing fi4v AL AT1O? / . 42 Description of Work SQ. FT. # of Stories # of 136drooms # of Bathrooms 33 Lit.'PA 18ir tP-4t H(4 "r, 1"5t4 I'A JSZIT 2V"3YI'4) +'/z37/ /59vi Name Address gØ . 5vj State/Zip Telephone# Fax# L3APFLICANTZD Contractó 0tAfTC on tractor _ 0fOwner. .tAt * :ñt0t (1APitI(i) i[7* Ave. ça 9Yi (& (3OC) Name Address City - . State/Zip Telephone # Co.p. Ij(abi WilLsmiag, &Jo LAii.t CA oc>zc 3io.57S.5$' Name - Address izo City ,State/Zip Telephone# (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, commending With Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). . TA SO.. .. .,. .o .- 4-c.a ,-' &a. .,-' .A Name - Address City State/Zip Te State License # 7 I 5'Oi, License Class .s5 City Business License # Co&rLgup MOQ.h.1-4 j,D/O U091,A Dj,ir -13( 752i5' 2P1. 3LoZ. 3 /8 Designer Name Address City State/Zip Telephone # State License # 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. I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Jt)O K tS.d Policy No.- .3 '1 -f Expiration Date__/ /d (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) -- CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as td become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand doltara($100,000), In addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees. DATE_I __L__ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will d 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 theproject (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. I am exempt under Section Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO - I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address 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 / /ontractors license number): - - * 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOWAIiát, PINK: Finance - , - - - V - - - 9 - V V - - . • - V V PERMIT APPLICATION V - jV1 *• 4 . .. CITY OF, CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave.,Carlsbad CA 92008 Page 2 of 2 - V V •. V 4 V LETETHIS ,SE CT1ONFORNONRESIDENTIALTBUILDING PERMITS ONLY4Jç''fl' - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under V Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 'Substance Account Act? ,0 YES .0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO •' 'V • - V . - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES - DV NO V V V •V • V V V * V 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 •V V . REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CTN LEAGENCY 7r 3 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). ,. V V - V V - V V V LENDERS NAME . V LENDERS ADDRESS - 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 • V V 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 V purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND - EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. • V V V 4 V. .4V V V ' •V V •V _. • OSHA An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height V VV EXPIRATION: Evry 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 V V 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 1 V V - niformVBuilding Code). APPLICANT'S SIGNATUF Fe- * DATE /431O3 WHITE File YELLOW Applicant PINK Finance t - 'Inspection" List Permit#: CB033604 Type: TI '. COMM AEROPOSTALE- TI 4500 SF TENANT ALTERATION TO RETAIL SPACE Date Inspection Item 'Inspector Act Comments 04/07/2004 14 Frame/Steel/BoltingiWeldin RB AP T-BAR '- 04/07/2004 14 Frame/Steel/BOlting/Weldin - RI :CEILING FOR HALLROOM, SHELVING INSP 04/07/2004 19 Final Structural ' RB. ' AP OK TO FINALIZE .04/07/2004 19' Final Structural' - RI CEILING FOR HALLROOM, SHELVING INSP. 04/05/2004 14 Frame/Steel/BoltinglWeldin TP CO RACKS BOLTING TO FLR ' 04/05/2004 14 Frame/Steel/aolting/Weldin - " RI HALLWAY AND SHELVING. ' 04/01/2004 19 Final Structural RB PA OKTOTOCKONLY SEE NOTICE ' 04/01/2004 29 Final Plumbing RB AP 04/0112004 39 Final Electrical RB AP - 04/01/2004 49 Final Mechanical RB AP. 04/01/200489. Final Combo - - RI CARRIED'OVER FROM WEDNES. 03/31/2004 89 Final Combo . '- RI 03/30/2004 89 Final Combo ' - ' RI 03/30/2004 89 Final Combo . - RI 03/30/2004,89 Final Combo ' RB '.CA ' BY NATHAN © 12:30 03/29/2004 29 Final Plumbing RB CA PER'NATHAN 03/29/2004 29 Final Plumbing .- RI'. 03/29/2004 49 Final Mechanical - RI 03/26/2004 14 Frame/Steel/Bolting/Weldin TP ' ' . AP RESTRM PER CORR. . . 03/26/2004 17 Interior Lath/Drywall - 'RI REINSPECTION? REQUESTED ' 03/26/2004 17 Interior Lath/Drywall -. TP . WC 03/25/2004 14 Frame/Steel/Bolting/Weldin RB CO ' ON RSTRM REVISIONS - SEE NOTICE A1TCH. 03/25/2004 17 Interior Lath/Drywall . RB WC 03/25/2004 17 Interior Lath/Drywall ' -' ' RI BATHROOM COVER UP 03/22/2004. 17. 'Interior Lath/Drywall , RB PA ' OK ONAP PLNS ONLY.7 IN FOR PLAN - 0 CHANGES ' 0 03/18/2004 14 Frame/Steel/Bolting/Weldin RB AP ON HARD LID (T-BAR DIW. SYSTEM) 03/18/2004 17, Interior Lath/Drywall , . RB PA 0 ' 1/2 OF D.W. ON LID '0 03/16/2004 14 Frame/Steei/Boltin,g/Weldin RB WALLS & HARD LID © RESTR,M - 03/16/2004 24 Rough/Topout , RB . - AP 03/16/20b434 Rough Electric ' RB , AP WALLS 0 03/16/2004 84 Rough Combo • , RB PA . . T-BAR - SEE NOTICE ATTACHED 0 03/01/2004 14 Frame/Steel/Boiting/Weldin RB .' PA ' . '© FURRED WALLS ONLY OK - • 0 0 03/0112004 34 Rough Electric RB PA SEE -NOTICE ATTACHED •0 O 02/26/2004 11 Ftg/Foundation/Piers PD . AP - SLAB 02/25/2004,21 .Underground/Under Floor RB AP , 0 , •• . 0 ' 02/25/2004 31 Underground/Conduit-Wirin' RB , AP O Thursday, April 08 2004 - , , ' 0 - ' •. - Page 1 of 1 ' MR-26-2O,84 08:25R FROM:J. D Builders Inc. 661-833-2643 TO:17607290497 P:1'1. ifl6/264 11 54 33696B7 THORb. ON BAWEP I-'A ifs1 Cnnwftinq Ejinw flIORSON BAKER & Associates, Inc 3030 wtt StIeQtbQro Road (330) (c9i688 RichMeld, Ohio 44286 (330) 6e.6675fr - . MEMORANDUM bate: 3/2B/04 P(Cf NO 200&0876 . To:'Ljnda ToWn Prqet AerupO9t2i - Pt.a CarnmD Real Lami Grubb oIf Garrsbd CA 100 tztSwissva1eAve Sflt,.V11a Oveffli9?it liPS P1Ubur9h, PA 152111 (Fax; 412-371.166) . .Wive ry E-mail From: Jeff Morri'a . . . Mat) Fax 1 —L Iw RE: Web stiff&w at NO= jdst begring .. Per Nathan Clan*es the platform joist Installed were TM ,p 16' on cnFer (160 fiane) iweua of the ir x18 ga@ 16, an center indlc3tcd on drawng5, Si due to rnatenaj availability.- VV1th,th heavier idst, the web stiffener indicator in sekton'l 96d 1A on .. . . . . SI is not requir, ER 10 GI -- JUN 3 0 2Q05 Oigbibtztion Nathan Gonrc3 (ic3qi2Q19) C'd, ii.crurnL. 4echon,o1, E1etncQl O City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-31-2004 Plan Check Revision Permit No: PCR04053 Building Inspection Request Lihe (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 120 Permit Type: PCR Status: ISSUED Parcel No: 1563020900 Lot #: 0 Applied:. 03/18/2004 Valuation: $0.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 03/31/2004 Issued: 03/31/2004 Project Title: AEROPOSTALE-REVISE ELECTRIC Inspect Area: PANEL TO 400 AMP & FIRE CORRIDOR Applicant: J.D. BUILDERS PLAZA CAMINO REAL * .- C/O WESTFIELD CORP INC /11601 WILSHIRE BLVD 'N.8740 03/31/04 000 01 02 P.O. BOX 2458 92624 V LOS ANGELES CA 90025 - 949-240-1340 (' / u) N\ LUF '120-00 Plan Check Additional ::50n # /\ Total Fees: $120001 Total Payments To Date:' $0.00 BalanceDue: \ $120.00 / / --------------- \ c- T \ \\ t UL \T?7 ' fNCORPOR 1952 , ,- City of Carlsbad - 1635 FaradayAv Carlsbad, CA 92008 - 03-25-2004 Plan Check Revision Permit No PCR04027 Building 7lnspectIon Request Line (760) 602-2725 .'Job Address: 2525 EL CAMINO REAL CBAD St: 120 Permit Type: . PCR i Status: ISSUED Parcel No: 1563020900 . Lot #: 0 . Applied: 02/10/2004 Valuation $0.00 Construction Type NEW - Entered By SB . Reference #: CBO3360 . '- .. Plan Approved: 03/25/2004 •-' -'4. Issued: 03/25/2004 .- - ,Project Title: AEROPOSTALE DEFFERED SUBMITTAL i .Inspect Area: - - FOR ROOF EQUIP AND SHELVING :S ' 5 • * '4 4 '• Applicant Owner -' J D BUILDERS —'70LA2A CAMINO REAL C/O WESTFIELD CORR.INC 11601 WILSHIRE BLVD 8320"03/25/04 0002 01 02 " P.O. BOX 2458 92624 'LOS ANGELESCk90025 'r •1 949240-1340 / / V? 12 0.00 Plan Check Revision Fee / $12000 Additional Fees, / ç •- :-' \ /1I \<3i \ Total Fees: -- .,. $120.00 TotaIPayments To Date: V M' $0.00 BalanceDue: \ $120.00 ,..1 f,.-... f• -. .' --'4 r (NCORPORATED 611 'FINAL APPROVAL Inspector: ' Date: ______________ 'Clearance: -\ . NOTICE: Please take NOTICE that approval of your project includes the "lmpositio'n"of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issue'd 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 adcordance 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.- ;. '• . , -- A' - . -'• ,. . 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 .4. (4 - •. --.4 , 1''_• -- .4 -- fr_a - 4 • A a___ •' ,-•,• '4,, 9. .4 tatute of limitations has previously otherwise expired. - :4 •. -. 9- .4 4 4 4 .. • 4.