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HomeMy WebLinkAbout2525 EL CAMINO REAL; 137; STE 137 PRE 2016; PermitCITY ' ITY VEPART ARLSB BUILDIN ME 729-1181 -Ext. 36 For Applicant to Fill In Owner's Name 4i'fli7,O Q4id& 24 4U92 Mail Address Contractor 1 Contr. Addresd UNSTRUCTIO (QER AppIiaIii..,r uuiuirn, verm d Building Permit Fee JUL 2k-69 Building Dept. Use Only Building Address To Const. 0 To Add 0 To Alter 0 c?ni,dtt.0i .:. To Move From Type of Consi. Frame, Masonry, etc. • ToBe Used For Kind of Foundation____________ No. of Stories Contractor City Bus. Lic. No. Floor Space (Sq. Ft.) - VVter -Sewage Disposal System ___________________________ Garage Floor Space (Sq. Ft.) Attached Detached________________________ Inspection Record Legal Description Lot Block Subdivision or LI Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes 0 No fl 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 I By Utility Company Notified - Date. BUILDING. ____________ __________ I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Final LICENSED AS REQUIRED BY CITY OF CARLSBAD AND -- check is tendered for payment for the above fee and the OF THE ABOVE DESC I D RESIDENTIAL PROPERTY. check is not honored when presented for payment, your STATE j building pe rmit will be immediately revoked. City of Carlsbad Building Dept. SIGNATUR OF PERMI Permit void if work is not commenced within 60 days of issuance. Set Baik' . Bldg.Yaluafion Front P.L. Main Bldg. Side P,. ............-.- - Garagw .: Rear P.L. Other Group Zone Approved by / wCITY OF CARLSBAD PERMIT NO / *TAL FEE BUILDING DEPARTMENT . ' W 729-1181 -Ext. 36 Application for, MECHANICAL Permit For ADolicant to Fill In NO. ITEM INSTALLATION AND/OR RELOCATION EACH AMT. PAID 0131.,15,69!1t7O**** For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached tu such appliance, up to and including 100,000 B.t.u.'s $ 4.00 For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached - to Such appliance over 100,000 B.t.u.'s $ 5.00 , For the installation or relocation of each floor furnace, in- cluding vent. $ 4.00 For the installation or relocation of each Suspended heater, recessed wall heater or floor mounted unit heater. . $ 4.00 Building Dep+. 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 appliauce, refrigeration unit, comfort cooling unit, absorption unit, Or evaporative cooling System, including installation of ILZIA I?AL. .: BUILDING ADDRESS ôl jo controls regulated by this Code. $ 4.00 Fér the installation or relocation of each boiler or compres- nor to and including three horsepower, or each absorption ç'/,J J3 Athtt.I ',14OP' systemto 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 IL.IAI II'4C. CONTRA ._ãcJ.,OtJ each absorption system, over 100,000 Boo's to and inclu- CONTRACTOR ____________________________________________________________________________________ , CcIi1PLXl.i'( ding 500,000 B.t.II.'s $ 7.50 " '50 For the installation or relocation of each boiler or compres- ' sur 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 10738 "W, PLO ADDRROS Fur the installation or relocation of each boiler or compres- nor 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 BOo's. - $15.00 * CITY . LO-5 iJ0LE' C.LJ FOIIJ I& For the installation or relocation of each boiler or refrigera- System over 1,750,000 B.t.u.'s. $25.00 tion compressor over 50 horsepower, or each absorption 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 out a portion of any heating or air conditioning system authorized by a permit. $ 3.00 INSPECTION RECORD For the installation of'eacb huo'd which is served by me- $ 3.00. chanical exhaust, including the ducts for each hood. 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 3 0 I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL S AND CITY LAWS REGULATING THE MECHANICAL CODEOF THE UNIFjRMJbILDING CODE. RE- I CERTIFY THAT I AM PROPERLY REGISTEREO ANc/Olu tlr!ENSED AS RE- QUIRED BY THE CITY OF 0 NIA OR THAT I . . AM THE LEGAL OWNER OF H ABOVE RIBE P P Y DATE JOB FINALED - . . SIGNED BY PERMITTEE 50 ' ' CITY OF IC BUILDING DEPARTMENT '• . 729-1181 - Ext. 36 For Annlian+ to Fill In ERMIT NO._____ TOTAL FEE $ Application for ELECTRICAL Permit AL Ruti 5PAID******15OO PERMIT FEES Each Foe BUI9ING ADDRESS / Item Recpt. Sw. S. • Lighting fixtures w/ba!Iast'for each 10 $ 1.00. - _____________________ St. Near, Elec. Ranges, Clothes Dryers, Water Floaters • .50 In .. .., . OWNER. (Li Elec. Spéce Heaters Dishwashers, Garbage Disposers, Auto. Washers,.Sta. Cooking Units .50 . ADDRESS Per each motor • H. P. - CITY: P,MOTORS: 0 'to 1 $ .25 .1 ' to 2 $ .50 / TELEPHONE NO. 2 ' to ' 5 S 1.0 5 to • 15 ' •. $ 1.50 . State City Business ( License •. License 15 to . 50 $ 2.50 , 50 ' to .200 $ 5,00 Group •-Zone • By SIGNS ' 0 No. 'trans. Eã. . , [Inspection $ 1.00 Record: No, lamps over 50 ea. $ .50 SERVICE: 0 toQ 150 AMPS For eadh additional 100 Amps. $ 10.00 S. 2.00' ' /2.90 / 1Jc.r '1 . Temp. Power Pole, 100 AMPS or L ESS $ 3.00 For' Each addI Meter, over one per service $ 3.00 '. I MISC • ' ' * ' . Approvals Date ' By: SUPPLEMENTARY PERMIT FEE:- ,. . $ 2.00 Conduit TOTAL: ' $ ' 'Temp. Power R. Wiring . 'F ixiures - . . . • I ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ANDSTATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY'THAT.I AM PROPERLY LICENSED BY THE . CITY OF CARLSBAD ANDTHE STATE OFCALIFORNIA,OR THAT I AM THE LEGAL OWNER OF THE ABOVE'DESCRIBED RESI- DENTIAL PROPERTY. . . SIGNATURE 'PERMITTEE: (/ .S.D.'G.&E. • . ' • - , 0 • ' I .,* - .......- * -.. -.' - - •- .. . . . a. CITY OF CARLSBAD • ''. 'BUILDING DEPARTMENT - . 729-1181 --Ext. 36 For Applicant to Fiji in PERMIT FEES . . I BUILDING ,ADDRESS: f (, Item - Recpt. Sw. . * Lighting fixtures w/ballast for each 111 $ 1.00 ç . 7 - Si. Near - - . Elec. Ranges, Clothes Dryes..Water Heaters - . - .50 OWNER: ) - - . Elec. Space Heaters Dishwashers. Garbage , Dispers, Auto. Washers, Sia Cooking Units .50 . ADDRESS: MOTORS:- Per each motor H. P. CITY ('-k - / L ',.J" 0 to 1 $ .25 • 1 to'. 2 $ .50 TELEPHONE-NO. 2 to 5- $ *1.00 r ' 5 • to 15 $• L50• State • - Ciy Business License ' License' 15,, to, 50 $ 2.50 50 . - to 200 - $ 5.00 Group. ' Zone- B. SIGNS: -'_ ', ,-• . '•.' - . ,t. No trans.Ea -.', - -. S 1 00 tnspction Record: ' •- • . No. lamps.óver 50 eâ. . . .-- $ .50 SERVICE ctc') ,0 to . 150 AMPS - Forea5ch-additioital 100 'Amps. - $ 2.00' $ 10-00,' /Z-.- I .' (J'.tq. [ .}-i c'''- •i- /'th-.. TemO Power Pole 100 AMPS or LESS $ 3 00 /- ForEach'add'l.Mete'r.,'ovr one per se'rtice S 300 - '' . ' , . • MiSC Approals - Date - ' .By: . . -. - " ' . SUPPI.EMENTARY PERMIT'-FEE: ' .°- . , • - IS .2.00 Conduit TOTAL: ,$/ - -Temp. Power' R. Wiring F ixtures I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION- AND, rSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY :WITH ALL 'CITY AND STATE LAWS REGULAJING ELECTRICAL WIRING. -I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD AND THE STATE oFcLIFORNrA OR-THAT I AM THE LEGAL. OWNER OF THE ABOVE DESCRIBED RESI-' - L .DENTIAL:pROpERTY. • - - SIGNATURE QM S.D.G.&E. . . . - FINAL: -. . - •,- . . • - - - -" • - . - --'--- - 'PERMIT NO. • - - TOTAL' FEE$ * Application forELECTRICAL Permit - Each F e - BLIlIg1DepP CITY Of CARLSBAD • #LUMBIN BUILDING DEPARTMENT PERMIT - APPLICATION tic' i 1.?4'. $y/C i2LZ MAIL ADDRESS .75 CITY TEL. NO. PLUMBER fr ft. ffJ/) ADDRESS ;49/ S77rr- S77 CITY 4014...c44-- L. TEL. NO. STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. - ITEM FEE 2 TOILET © $1.25 BATH TUB © 1.25 SHOWER @ 1.25 WASH BASIN © 1.25 KITCHEN SINK © 1.25 DISHWASHER © 1.25 / LAUNDRY TUB on TRAY @ 1.25 J_ ,2§- AUTOMATIC WASHER © 1.25 21 WATER HEATER & VENT © 1.50 4 GAS SYSTEM I TO 15 .30 EA. ADD. @ 1.50 FLOOR DRAIN OR SINK © 1.25 5D LAWN SPRINKLER © 2.00 MISC. WATER PIPING © 1.50 / GARBAGE DISPOSAL © 1.00 / O VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 GRADING PLAN YESD NO PERMIT $ 2 00 TOTAL FEE $ LL 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 DESCRIQ RESIDENTIAJefROPERTY. SIGNATURE OF PERMITTEE BUILDING ADDRESS NEAREST CROSS ST. GROUP I ZONE InsDecfion Record APPROVALS I DATE I 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 - / USE BALL POINT PEN ONLY & PRESS HARD ' ' ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS thereby affirm that lam licensed under., o visions of Chapter 9 (commencing with 7 I-' 7 f,Divlsion 3 of the,Business a Ins Code and my license inn Class I affirmthat I am exempt from the Conlrac-' or's rise Law for the following reason (Sec. 7031.5 Busines and Professions Code: Any city or county which re-quires'a permit to construct, alter, improve, demolish, or "repair any structure, prior toils issuance also requires the ap- - L, 'pticanf ' o r sach permit to life a signed statement that he is w licensed .pursuaet .lo.the provisioosel the Contractors • -I License Law (Chapter 9 commencing with Section 7000 of Division 3 01 the Business and Professions Code) or that is ex',,_, ' empt therefrom and the basis for the alleged -exemption. Any violation 01 Section 7031.5 by an applicant or a permit sub - ects the applicant to a'civii penalty of not more than live hun' V. • . dred dollars )$500),'' •' x - w --- .,.:_, " 0 1. as owner 01 the -property, or my employees with wages as their sole compensation, will do the work, and the stroc- a ( lure is not intended or offered for sate (Soc. 7044. Business ..J .and Professions Code: The Contractors License Law does.- - 25 - not apply 'to 'op owner of property who builds or improves m • the, and who does such work himself or through his own - p.' ' -. employees, provided that such improvements are not intend- , W ed or offered for sole. lU however, the building or improve- - Z .. meet is sold within One year 01 completion,' the owner-builder - will have the burden 01 proving that he did not build or imr 0 prove for the purpose 01 sale). .w - 0 I, 'as nwnr 01 the preporty am exclusively contracting - ' with licensed contractors to construct the project (Sec. 7044, .,(Business and prOtessiOns Code: The Contractor's License Law does not apply to an owner 01 property.who builds ot im' - proves thereon, and ejho contracts for each projects with a v' I 'contractor(s) 'license pursuant to the Contractor's License -. a). • - . - •' -I, 0 As a homeowner I am improving my home, and Ihe Inflow' 4 ing conditions eoist:..cc _ - , 1. 'The work is being performed prior t0.sale, - -2-1 I have•lived in -my home- for twelve months - I prior to complolion 01 this work. Ui 3. t• have not 'claimed this exemption during the - . .-. ' last three years. . p , .''' .0 lam exempt under Sec. - C B & P.0 1-. a çtor this reason 7 ' _••••••••- •S•S • x 'n-n - 1" 'n'h ,. • - i $ 0 thereby abbirn'r,that I have a centrlrcate 01 consent to J selI-insure. 0r a certrticate 01' Workers''.' I.' ..i kS Compensation Insurance, or àcentibred copy thereof (Sec .3. Labor Code). -•.. - a ,..ft' ' • POLICY No. ' - COMPANY - 0 Copy is tiled with the city :' ' 2 . '.' "-D Cernrkéd copy is hereby lurnrshed/ - - - / - 3 "CERTIFICAU OF EXEMP IQN P - - 'Z' WORFERS' COMPENSATIO IN ANCE. - • ,'., iThrs sect son need not be co e 1 the yermrt . :4r LLI -s tor'o'ne hundred dollars or less)- • * .2 ' 0 I cert.Iy.that rn the perfor 'Ce 01 Ike work for 0 , whrch,tNs permit is ssued. I alt not employ any. ',y person n any manner so as become subject,to, si thE Workers' Compensaton Laws 01 California p - .-y' C tNOTICE TO,APP rrn LICANT tI.-altealn3 lrrs Ce Icate 01 Enempron. you should become sublecl 5) v, - rn tIre Workers' Compensators provisions of -the Labor • '. "Code. 'you 4must forthwith comply with such ' provsdrns or this permit shall be deemed revoked -.--•- — -'--.•'.' - •, - - r.D Iirrereby atlrrnr that there is a construction ' Cr.I - - lending agencyro7 the perlormavce ot.the work br -which this permit is issued SeC 3097, Civil Coetei - - zI' wi Lender's Name '•5 '-ii . • - ,us' r '$S,' _ - • - 'L-' ,Lender's Address ' ' 1AS ' •"' - .f - . .. • s.• - C -- ,-.- - . .-. .. , • .. - - - - ' . ' - " - CARLSBAD BUILDING DEPARTMENT . -,. v . ;APPLICATION & PERMIT / '.• - • , •'1 . 1200 Elm, Carlsbad aiifornia 92008-1989 (619) 438-5525 a' - ' 5 . ,..< - - ' . .. ' ' JOB ADDRESS , AV, 0. NEAREST CROSS ST. DATE OF APPLICATION 8USIN'g'SE # PERMIT NUMBER ). __ • .-' • • - V '00 ALUATION - LOT I BLOCK 'v SUBDIVISION ASSESSOR PARCEL NO. . CONTRACTOR C NTRACTORS PHONE C - 7) ZONE • OWNER'S NAME ' OWNER S PHONE do, 77J7 CONTRACT RSADDRESV LICENSE NO. PLAN ID # BLDG USE CODE OWNER'S MAILING ADDRESS --° / ,7 . LICE NSE e STAN DARO PLAN # BUILDING SO. FOOTAGE -- DESCRIPTION OF WORK . a' • - -v . .. . - • DESIGNER'S ADDRESS DESIGNER'S PHONE - ., • . .,. ' a OCCGP EDU FLR ELEV. STO NO RIES - • vD ND :-' "' - ' .--,.-,,,,, tO/drf s1 , 315'., ,CENSUS TRAcT GPILAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT AREA '. ' "° TYPE DCC LOAD FIRE SPA - S -' • - - • • - • CONST • ''- . - v' - - -. . , . . - .-..- . . - , -.' oD 'N 0 - • D NO ' . YO NO ' Not Va/id Unless Machine Certified • QTY ' - PLUMBING PERMIT ISSUE - ' ,_•1) - - ' • 0QTY -- - - ''' . •- MECHANICAL PERMIT ISSUE -•'' - • 3..- - ' • -'-- SUMMARY/ACCOUNT NUMBER , EACH FIXTUREJRAP' - - ' p. - • ., INSTALL FURN.OUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 . ifg, -EACH BUIiDING,SEWR". • .- -' , • OVER 100,000 BTU , - - , ' , ,. SIGN PERMIT S. - , - 01-00-00-822.1 •• - - EACH WATER HEATER AND/OR 4i . . ' BOILER/COMPRESSOR UP TO 3 HP ' ' • -PLAN CHECK 01 00-00•8806 - EACH GAS SYSTEM 140 49,1'ETS ' ' , - BOILER/COMPRESSOR 3l5 HP - - , TOTAL PLUMBING ' - 01-00-00-8222 - • ''-- - EACH GAS SYSTEM 5'ORE • C , , • - - METAOFIREPLACE - - ' • ELECTRICAL., 01rO0-00-8223 • -• EACH INSTAL.. REPAIR WATER PIPE ' - • VENT FAN SINGLE DUCT " ' - MECHANICAL -. -- 01-00-00-8224 - - 1 • — __EACH .VACU)e 'BREAKER ' ' - MECH EXHAUST HOOD/DUCTS - • -. MOBILEHOME - VQATE,AFTNEH •• • •° - . 5 . RELOCATION OF EA FURNACE/HEATER • - - - MOBILEHOME PARK INSP .-__. - - -.' - : '. - • EAyt ROOF DRAIN (INSIDE) - ._ - * - •- ' • •. ' SOLAR - • 01-00-00-8226 S - - -• ' - ' - ' • '• • • - , ' - , • . TOTAL MECHANICAL • - • a . • - . .• '. - - - ' STRONGMOTION ---. . 80-92-33-0519 - -' n'--" TOTAL PLUMBING - -.' I • - - - . FIRE SPRINKLERS - . 01-00-00-8227 OTY t ELECTRICAL PERMIT ISSUE 5 ..- QTY SOLAR ISSUE • PUBLIC FACILITIES FEE 32-00-00-89 * - • • ,. rv,•. '• • ' BRIDGE FEE NEW CONST EA AMP/SWTIBKR ' '-• • COLLECTORS • ' . • SCHOOLFEE - DISTRICT - • '.- _PH , - • '3 PH 'S , . STORAGE TANKS' - • - ' , '. .,Carlsbad ' - ' 80-92-21-0519 - S - • - "EXIST BLDG EA AMP/SWT/BKR • ' •, ' 4- , " ROCK STORAGE. • - '' ' - - - '' '- - EnCinilas--- - ' ,- - • 80-92-22-0519. -s • - ' ,b PH • '' -3PHJ - , . - PUMP • - , r • - - SanOleguilo • S i • - 80'9223'0519 REMODEL,ALTER 'PERCIRCUITL H'-' PLAN CHECI(FEE - • - - ' ' - - '" - -San Màrcos .' 80-92-24:0519' - -p. - - • .- T.EMPPOLE 200AfsP,S-'__ _____'__5 ,a• , , - • - _ - -. ,_- ' C • - - - -. -- n- - - _,, 0)ER20O'AMPS -' " ' '-' - --ç ' •, • • .- '. LICENSE TAX O1-0O-OO-8162 - . -- '- • TEMPDCCUPANCYI3O DAY SIs - ''- - v, , .' -' , -• -: - - . "C -. ' MFF8O-92-57-0519 • " ' - - '' -,-.-n '-- I a CREDIT DEPOSIT - TOTAL ELELTRICAL r TOTAL SOLAR TOTAL FEES PAYABLE 37.f.JZf ' — I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION NO PERMIT" AND DO HEñEBY Expiratioh. Every'permit issued byIheBuiIdinOIIiciaI undertheprovisions'Sbfhis * AN OSHA PRMT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire bp.'limitation and become null and void. If the building Or Work 50" such permit is not mmen 180 days from the of f Ch DEEP AND DEMOLITION OR CONSTRUCTION OFauthorized - - g.n zed by such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or i 'Ihe buildingor us hin :n .du or ' STRUCTURES * OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- aband d at any time after the work is commenc for a period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY A 4D — - - - AC SIGNAT APPROVEBY °/D L T ,T' - ' NERDON.TRACTb - - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS - ' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH, e 7'_ .' - - - * • - BY PHONE 0 r • - . GRANTING OF THIS PERMIT. • -' - . -a, ' - ' 5- o_ I -• ,.. - c r - - ' •' - '-'' - 5 -. - - - 5,57 a" - ' • - - .5 S.- - .5. _.. .. TYPE DATE INSPECTOR BUILDING ______ ________ • FOUNDATION FIELD INSPECTION RECORD REINFORCEDSTEEL REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY INSP -TION '- REQ. IF INSPECTORS DATE GUNITEORGROUT CHECKED APPROVAL 5FLOOR & CEILING SUB FRAME SOILS COMPLIANCE SHEATHING EJ ROOF _ESHEAR PRIOR TO -FRAME ' 0/24/ DATlONINSP EXTERIOR LATH /_(7_ / STRUCTURAL CONCRETE 9VER2000PSIç.-.. 5-. INSULATION I lPRESTRESSD . INTERIORLATH&DRYWALL CONCRETE 77 _______ - .- POST TENSIONED - I_. .,. CONCRETE PLUMBING - FIELD WELDING SEWER AND BUCOEIIPL/CO . HK3H STRENGTH. UNDERGROUND El WASTE ElWATER SPECIAL BOLfS MASONRY TOP OUT ElWASTE _ElWINTER - TUBANDSHOWERPAN GAS TEST PILES CAISSONS I O WATER HEATER 0 SOLAR WATER o_ ELECTRIC UNDERGROUND 0UFFER -... ELECTRICAL . ROUGH ELECTRIC El ELECTRIC SERVICE 0TEMPOFARY O BONDING ElPOOL MECHANICAL El DUCT &PLEM.,El REF. PIPIN3 HEAT - AIRCOND.SYSTEMS VENTILATINGSYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. 71FAREj ELECTRICAL MECHANICAL PLUMBING 0 "m NO WAl 00 ______________ I _______________________ LP _JIF1WAF1fAVI SPECIAL CONDITIONS ..1IIYi4V1 -_v_ i -USE -BALL POINT PEN.ONLY &PRESS HARD .1 hereby ff)rn that I am licensed under '- "provisions 'of Chapter 9 (commencing with I fSection7000) o,f'Divtsion 3 of the Business and ,Profesaona Code, and my license Is in I, full'force and effect. ,,_,,, -_. zVLrc No. ' Claus iS hereby attirm that I am exempt from the Contrac-tor's License - Law for the following- reason (Sec., 7031.5 Business and Professions Cede: Any city or county which re ' - quires a permit to construct, alter. improve, demolish, or - repairany structure, prior tails issuance also requires the ap- plicant for such permit to tile a signed statement that he is _,. .licensed pursuant • to the previsions 01 i the Contractors License Law (Chapter 9 commencing with Section 7000 of, Division 301 the Business and Prntessinns-Corie) or that is en' empltherel rum and the basis for the alleged exemption. Any violation 01 Section 70,31.5 by an applicant for a permit sub' jects the applicantto a civil penalty 01 not more thin lice hue' dred ilotlars'(SSOO)." • - ,,, ' IJ I, as owner at the property, or my employees with wages - - as their sate compeasationwitt do the worh,'ãnd the struc- - 0 ,,,ture is natintended or offered-for sale (Sec. 7044. Business,. ..and. Professions Code: .The Contractor's license Law -dues - not apply to 'an owner of property- who. builds or improves -' --. thereon and who dOos'sech work himself or through his own -- , .employhes, provided that such improvements are not intend: .w .3 ed or offered ter sate: It, however, the building or improve5 - Z meat is sold within one year of completion, the owner-builder-39 wilt have the burden of proving that he did not build or im- 0 prove for thu purpose of sate). oI., as owner of the property, am exclusivelycontracting - - with licensed contractors to construct the project (Sec. 7044. ' .Business and Pratessions Code: The Contractor's License .,proves thereon, and who contracts or each projectu.with 'a - 1. . contractor(s) ticonse pursuant to-the Contr Z actar'sLicense Law). - 1• 0 -' 0• As a homeowner tam improving my home, and the tntlaw: -- ' ', t. The work is' being po'ntormed prior to sale. • .,.......2,-,,.t have lined in my home for twelve 'months . - prior to completion 01 this work?. j' w - 3. I have not claimed this eaemplino during the O "-w'— 'last three years. for this reason a - - - . • . ,,. 0 .t'hereby atlirn I hOt I haveOcrrrtrcate Or consent, to sell-insure. 5 0r a certificate 01 Workers' / Compensatron I,surance. or a certified copy thereot,.. - ,' • ISec, 3809. Labor Code)...' -- , - / POLICY NO 4n1L' DCooy.s.hteri'wrtrr trrecit,,., 'DCerited copy "is'herOby Iurnr5hd ' - •r TOCERTtFtCATL OF EXEMPTION FROM. . WORKERS COMPENSATION INSURANCE n rrr,s section need not be completed it the perrrrrt Lu ,is throne hundred dollars t$1091 or tessi 5-. ,,- _. -n-•-' - I certrty that r'n,tfre performance of the wow for which this permit'rsrssued. t,shatl not employ any .41he Workers' Compensation Laws 01 California . - 'NOTICE TO APPLICANT It. after making tvrsCerrr- I ' lrcate 01 Exemption. you should become sublecl - .-• the Worl*ersjCompee sat ion, provisions 01 the, Labor - Code. you must ' forthwith 'acompty-' with" such provrsrons. Or this perrrrrl'%tnatl be deemed -revoked 'h • .1- ['~D;t he,'ebafIrrrn s a COnsIruCIrOn CUCj -leedrO9 agency.'or the pertorrnarrCe of the wow to,,,,, this permit issued lSec 3097. Cvrt Code).'' 1Z Lo j 'Lender'sNane "'' w' '' " • a 'I . .CPB.4i £df • '- -, r-. ._L_.Lan5 Address A . a ,,.L'-, .', • CARLSBAD BUILDING DEPARTMENT ' APPLICATION 'A PERMIT - - 1200 Elm Carlsbad California 92008-1989 (619) 438-5525 JOB ADDRESS , • AV. ST. RD. NEAREST CROSS ST. ,J7 / - DATE OF APPLICATION 8US.L!1SLIC..A(E A - LUATION - - PERMIT NUMBE U, C,ifl - C rjs Lc/ 9 d T? " - '-U2 'O -r• ZONE 7/$.vo.,v'' -' - LOT BLOCK BLOCK SUBDIVISION '.' ASSESSOR PARCEL NO. it CONTRACTOR N i? c_oilT CONTRACTORS PHONE OWNEASPHONE - . - -- CONTRC,TOR'SDDRES$ 1 LICENSE NO. -. "PLAN to:# Vie J 3' H4"° - -BLDG USE'CODE -a ) a Q, Zer ?if ,Jgr ses 7/7si S/.i3 c14itáA' S74w - . -V6'2 I2 . ---------- .. ... ' ' ' --S OWNER'S MAILING ADDRESS 7, i' 2 ä DESIGNER -° LICENSE STANDARD PLAN # - BUIL01 SO. FOOTAGE L6'S"1 4- ,r me5g _€ ' A . - ' •, 6 eesle 0)"f ' - C ,, , ,,, - ..••. -.w -'.-- ,-- - DESCRIPTION OF WORK - ' : -• - - . - -, DESIGNER'S ADDRESS, - DESIGNERS PHONE ' ,z - -: -• - --'------ 'i' - "- LL V—"--r— F/P F LR EL E j NO STORIES p ED 4 _6:' a.z2z;o W0017706 , /A) 11AJc 5r•7_fiI.E.##- v-DND CENSUSTAACT ..GPuLANO USE -PARKING SPACE RES UNITS ',. GRADING PERMIT ISSUED REDEVELOPMENT t . TYPE 5 DCC LOAD FIRE SPA - - ' ' ' •'S• AREA C NST ,fr I - _••••• - -,-- - -. YO N , - •.I YDND /fl'J' - VOND ' Nor Valid Unless MachineCertified Law does not apply loan owner 01 property who builds or im-,p QTY - to PLUMBING PERMIT ISSUE .-.---,.S)-- -" QTY. ' '- •h...- •. -'s. MECHANICAL PERMIT ISSUE - -- ,3'-a -• .......•- S - • SUMMARY/AC UNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 0 0000 8220 EACH BUILDING SEWER 4 OVER 100,000 BTU , SIGN PERMIT -- -00-00-8221__.- I 'in'cthditibnsexist: 'T' EACH WATER HEATER AND/OR VENT 1171 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-880E,:5-/ EACH GAS SYSTEM ]JO 4 OUTLETS T - BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01 OO,22 - EACH GAS SYSTEM 5 OR MORE METAL FlREPLACE,- ,i ', - ELECTRI - . t12 -8223,- ,, ,.e..- 0 I am eaempt under Sec. - - - '- -: B & P.C. '-" EACH INSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT -t MECHAN C d 'OD 008224 ir EACH VACUUM BREAKER , . 5 - , - MECH EXHAUST -HOOD/DUCTS -. . . SOFTNER -. ,-.01-OO-OQ-8225 WATER RELOCATION OF EA FURNACE/HEATER VILE M PA SP EACHROOF DRAIN (INSIDE)' -"S . ' -'i 010000 8226 -a - TOTAL MECHANICAL STRONG/vIOTION t 809233 0519 TOTA'LPLUMBING-k"'" I L/-41-- FIRESPRINKLERS -0100008227 PUBLIC FACILITIES FEE S 32 00008933 COMPANY QTY ELECTRICAL PERMIT ISSUE , r QTY SOLAR ISSUE -, a:: BRIDGE FEE NEW CONST EA AMP /SW T'BK...4p j4 - COLLECTORS SCHOOL FEE DISTRICT -b'PH STORAGE TANKS ' . o, - - ,- - Carlsbad - • - 80:g2.214519 - '• - EXIST BLDG EA AMP/SWñTr' ROCK STORAGE --Encinitas -...rw,'- -,,T _80-9222-,05119 — 1 PH 4 - 3 PH " 1 PUMP ' San 01090110 80-92-23-0519 REMODEL ALTIR PER CIRCUIT I - ' ( PLAN CHECK FEE 'e - SanMäcos ts 8092240519 * person in any'manner so as to become sustecf to ..-TEMP-.POLE5'.200.AMPS. -ç'-.. OIl - '. OVER 200 AMPS LICENSE TAX 0100008162 /Zf TEMP OCCUPANCY 130 DAYS) I - - MFF 8092570519 '- - CREDIT DEPOSIT J (1r44 TOTAL ELECTRICAL' i - rl- TOTAL SOLAR TOTAL FEES PAYABLE - - — ovislo I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO H0EBY Expiration. Every'parmit issued by the Building'Official under the 3r~ n fthis AN OSHA PERWT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE xprre by arld become OLIII and void. If (he burldrng or work uthorized by suc h perm it is not com menced w it h in 180 days from I he date I suc In 50" DEEP AND DEMOLITION OR CONSTRUCTION OF - DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildina or work authorized by such permit is suspended or STFBUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON -r abandoned at any lime aRer the work is commenced for a period 01180 days. - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND '5.' •'APpRov L * I , -- -• KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT. S SIGNATURE OWNER Q, CONTRACTOR sf' 5.?' 1- •- - WHICH MAY IN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONED G EXPENSES RANTING OF THIS PERMIT _f' <40 ' ' , "n' -Z APPLICANT TO FILL IN INFORMATION WITHIN SHADFD'AREA AND DECLARATIONS. TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING E ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO EPL/CO UNDERGROUND 0 WASTE 0)NATER TOP OUT WASTE U4ATER TUB AND SHOWER PAN. I / GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 LJFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPOFA'Y 0 BONDING 0 POOL i MECHANICAL 0 DUCT & PLEM., 0 REF. PIPIN HEAT — AIR COND. SYSTEMS 1 T VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEM..S A RO VF 14A VP RFFN APPRVFfl. FINAL PLUMBING .. (-'•. ./'. ELECTRICAL MECHANICAL . \ II GAS _ BUILDING SPECIAL CONDITIONS ¼ - • ' r - r - - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS . . . INSPECIOr IF I APPRJS DATE . INSPECTOR'S NOTES REO. _—' -- CHECKED \ \'••, /-• SOILS COMPLIANCE . PRIOR TO FOUNDATION IN5P STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED . CONCRETE FIELD WELbING HIGH STRENGTH - _/W _ O BOLTS rp 7=1 SPECIAL MA NPY 71 y__ , '' • PILES CAISSONS . _____ ________ _____ c\'.___.s:J \_____' S - S. . .,v•_ -_. , -' -S 1. r --- - . ' s. - '5 \•_. .', _.., ___. _-__.. _____. -. ___________ -. S I\_• _.5,• _-. . 1~~o B U I L D I N G P E R M I T Permit No CB95b513 05/04/95'.15:50 Project No A9500752 Page 1 of 1 Development No Job Address 2525 EL CAMINOREAL Suite:'137 Permit Type COMMERCIAL TENANT IMPROVEMENT - 1767 05/04/95 0001 01 02 Prce1No: 156-302-09-00 * Lo#: , C-PRMT 13500 Valuation: .6,500 Construction Type IIIN Occupancy Group: B-2 Reference#: , Status: ISSUED Description REMODEL-ADD WALL,EXCHANGE LITE Applied 04/18/95 STORE FRONT BULKHEAD- WICKS & STICKS Apr/Issu&: 05/04/95 Entered By: RMA- ,Appi/Ownr : SCHROEDER CONSTRUCTION--& DEV 619-9425694 .957 REPRESA CIR - CARLSBAD, CA 92009 Fees Required- - Fees: 1,94.0' • ' : - djustment: f. Tlt\ .00 ,Total Fees: 59O0 Balan e7: 135. 00 Fee description Ext fee Data ' Building Permit Plan Check Strong Motion BUILDING TOTAL 'Plum ing- Fee : Y for, Enter Remod 11; : * ELECTRICAL TOTAL \ - INCORPORATED • 20.00 Enter 'V for Mechanial Isse ee> 1952 1500 I Install Furn/Ducts/Heat PiiIsF 00 9.00 * MECHANICAL TOTAL 24.00 - Fj,NI2PPROVAL ONISRi DATE CLEARANCE /•/_.• - - 1 CITY OF CARLSBAD. . 2075 Las Palmas Dr., Carlsbad, CA92009 (619) 438-1161 ' • I * 1' • 1 F • . , 4 - - • -. - - •. • -- - I - - - • - 4 PERMIT APPLICATION City of CarLsbad Buitcling Department 2075 Las Patinas 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. CJJ 1z -53 EST.VAL PLAN CK DEC$IT 51 VALID. BY DATE 1546 04/18/95 0001 01 02 C-PRMT 59.00 PROJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. 2.z5 Nearest Cross Street 14 Wy LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITFED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE - a PROPOSED USE - DESCRIPTION OF WORKp -i7. - SQ. FT. '-' j 300 -5 40, # OF STORIES # OF BEDROOMS # OF BATHROOMS WN SAC! PERSON (it dirlerent from applicant) NAME (last.name first)5mgcavem ADDRESS 91'5 -b1'45A t-Li CITY STATE C-A. ZIP CODE DAY TELEPHONE (ri) Cfz, NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) PZ,b) /,&I( ADDRESS /11/ ,./47A t7c10,A )3.,uV 97r, l400 CITYto Jel4-, STATE e-A ZIP CODE 'J06Zj5 DAY TELEPHONE (310 4- f-4-. (X)NTRACFOR NAME (last name first) ) C.i5- O'T' ADDRESS 151 1'A CITY STATE 40kr ZIP CODE 92c'1 DAY TELEPHONE (c i1) I 4-z t STATE DC. # CLASS 1 I CITY BUSINESS DC. # Amp t,rctl Al)l)HlSS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # WORKERS' CX)MPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-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. Q. INSURANCE COMPANY ':>*_6k-(_Zr rLkQV POLICY NO. / 28/ i-'14 EXPIRATION DATE 'I Certificate 01 Exemption: I certify that in the performance or the work for which this permit is issued, I shall not employ any so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby attirm 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.). o 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 [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY 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 DISI1UCF. CONS1IIUCI1ON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 01 the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CE9I1FICATION I certily that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit not commenced wit 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aband APPLICANTS SIGNATUR\\0 p6 in for a period ___ od of 180 days (Section 303(d) Uniform BuildV7 - - - -e ' • '- - - ;}. - I -• -- .. ) - . CITY OF CARLSBAD INSPECTION REQUEST PERMIT#CB950513 FOR 07/03/9.5 --. INSPECTOR: AREA PY .DESCRIPTION: REMODEL-ADD WALL,EXCHANGE LITE ., -PLANCK#. CB950513 .STORE FRONT BULG1EAD- WICKS & STICKS - 0CC GRP B-2 TYPE CTI CONSTR. TYPE IlIN JOB ADDRESS: 2525 ';EL CAMINO REAL • -. STE: 13-7 LOT: - APPLICANT: -SCHROEDER CONSTRU.CTION& DEV - PHONE:619-942-5694 CONTRACTOR: - - PHONE: . OWNER PHONE REMARKS RS/TOM/969-7288 INSPECTOR SPECIAL INSTRUCT: '• - -•-• • "• TOTAL , TIME --RELATED PERMITS-- PERNIT# TYPE STATUS AS9,5003:O ASTI ISSUED ' .. . CD LVL, DESCRIPTION - ACT COMMENTS L 19 ST FinaStructura1 .29 PL Final Plumbing -• .. . - - 39 EL Final Electrical .. - .•. •.. - ••. .--... . 49 ME Final Mechanical ______ •_' •• -. . *****INS-pECTION4HISTORy-***** DATE DESCRIPTION ACT INSP COMMENTS 062795 Frame/Steel/Bolting/welding CA PY / 062695 Frame/SteelBolting/Welding. AP PY T-BAR- . 061595 InteriorLath/Drywall AP PY . '• .- . 061595 Frame/Steel/Bolting/Welding., AP. PY • . . •• . -. - 061295 Frame/Steel/Bolting/Welding. CO .TP-. -: REV PLANS ND- -APPROVAL 060995 :Frame/Steel/Bolting/Welding NR TP • • - - -051595 Rough Electric, . AP PY . .. 051595 Frame/Steel/Bolting/Welding PA PY I r •. p .- •p. p • - - - - - • s-.- / 4 •, . . ,- - -, • - •l - - • - - - -S City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 V 07-11-2005 .' Commercial/Industrial Permit Permit No:. CB0521 69. V Building Inspection Request Line (760) 602-2725 V V Job Address: 2525 EL CAMINO REAL CBAD St: 137 Permit Type: TI V Sub Type: COMM • V Parcel No: 1563020900 V Lot #: 0 V Status: ISSUED Valuation: $37,355.00 Construction Type: VN Applied: 06/09/2005 Occupancy Group: Reference #: . Entered By: KG V V Project Title: FIRST STEP 1205 SF FROM RETAIL Plan Approved: 07/11/2005 V c TO RETAIL , . Issued: 07/11/2005 - V Inspect Area: V Plan Check#: V - Applicant: V V - . Owner: . .. . . V_PLAZA CAMINO REAL V. I., . .--' C/OWESTFIELD CORP INC V , 11601'WILSHIRE BLVD 1689W MISSION BL 91766 LOS ANGELES CA -00025' , . .• 909-629-8500 V V V 'V. \ qd •V / _) ,_.- . . . V V V V\ // . V Building Permit / • ._./ $287.47 Meter Size,. V• -1 V•\•J V • V V - V Add'I Building Permit Fee \\ /V . $0.00,d Add'I Recl..Water Con. Fee-,.-,-\\V \ . $0.00 V Plan Check / a..." - ,-' $186.86 Meter Fee ( (y''J \ V $0.00 V V V Add'I Plan Check Fee/ ' / '$0.00 1/1 SDCWAFee . \ $0.00 Plan Check Discountl / V / $0.00 CFD Payoff Fee \ $0.00 Strong Motion Fee [ N $7.84PFF(3105540),.7 -\ \ - \ $0.00 V Park Fee / \ $0.00.V-PFç(4305540) -$0.00 V LFM Fee ' $0.00 License -Tax(3104193) •- - - - i $0.00 - Bridge Fee V VV $0.00 License Tax (4304193) '.. $0.00 BTD #2 Fee ' '---'i $0.00 Traffic 1mpa61: Fee (3105541) *- .' , $0.00 BTD #3 Fee - V $000 'Traffic Ithpact Fee (4305541) i $0.00 V• V V V Renewal Fee . ' J $0.00 ', PLUMBING TOTAL\ / $000 V = Add'I Renewal Fee \ J$0:00 ELECTRICAL TOTAL / / $35.00 Other Building Fee \ $O.0O,, ', MECHANICAL'TOTAL'/ -I ./ $24.00 V Pot. Water Con. Fee \ . \ . $0 Ma .00 ster Drainage Fee / / $0.00 V V Meter Size \ ) ,' '-' Sewer Fe__'' . . 7 . ' $0.00 V V V V Add' Pot. Water Con. Fee * \. ' $0.00 Redev Parking Fee / j $0.00 - V - Red. Water Con. Fee \ ' V - $0.00.,COiAdditional Fees /. / S9.00 \ -, /.• V V -, -S TOTAL PERMIT FEES, $541.17 $541.7 - * V ,,.S ) ••V• - (VS . V - . V V 'V V V' - / - • V • V V Total Fees: $541.17 Total PaymehtsTo Date:" f,V\$18686\ Bélance Due: V $354.31 . - V 'V •• S - •V•_..l 2279-07/11/65 0002 01 02 V V• -. • - - S •V COP 35431 V. S_ V - V4• VS -, V •V . .* V V•J, •V• FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO(62/(2 CIT'(CF bARLBAuILDlNG DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Plan Ck Deposit Valid /$ $' Yw - t&1 By 7 ATI Ell 0250 , , . Address(include Bid /Suit #) Business Name (at this address);; l. 2i -c ?t C iQ cL(t (3 .- 1cr ,t !F 186 36 At Legal Description Lot No Subdivision Name/Number - Unit No Phase No Total # of units 71 Assessor's Parcel # Existing Use Proposed Use. -e1- Sve Description of Work -"SO. FT #of St ries 'J # of Ekdrooms # of Bathrooms I lo ( //4c,%raqL - - p - - /? Name Address - C t St t Z p Telephone it / Fix it 3 PNT for Name - Address ( (4 1554M/ t3L City f g State/Zip T I p1 9 - 3jjco10 OPEWWR - 'Name A.. . •. City -. - SXate/Zii T pScn # / NfTgAi cYN (Sec 7031 5 Business and Professions Code Any City or Couritywhichr 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 IChapter 9 commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom and the basis for the alleged exemption An violation of Section 7031.5 by any applic nt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$50011 ic:.-- iØ"i-' A4Lçi6A) //: 707 7851O Name Address City State/Zip /.. Tj(epPghe ff EState License it License Class i3 City Business License Designer Name Address City :State/Zip.Telephone State License# S •'-.'•. - . - : . -. 6 WQSjCOMPENSATi0 - --.-, -: W ers Compensation Declaration I hereby affirm under penaity 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 11 1j- the work for which this permit is issued 0 I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company'-f-4' pINt fJ IA iii;i( Policy ./o6'E) oo Expiration Date o6 - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100I OR LESS) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawhill and shall subject an employer to criminal penalties and civil fines up to on hundred thousand dollars ($100 000) in addition to the ost f compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE' ' DATE 17 s U5bLARATI0N - / / - I hereby affirm that I am exempt from the Contractor's License Law for the following reason :- Cl: I as owner of the property or my employees with wages s 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 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 t1' an owier of property who builds or improves thereon and Contracts for si'ch proJect with contractor(s) licensed i pursuant to the Contractor a License Law) 0 I am exempt under Section Business and Professions Code 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 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name /,ad ress / phone number / contractors license numberl 4 1,016n to provide portions of the work but Ithave hired the following person to coordinite supervise and provide the major work (include name /,address / phone number /'contractors 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 / type of work): - .--.'. '• - ••• ...........- --- - -• - - - PROPERTY OWNER SIGNATURE . DATE [COM S~ECTIO_W~FOR -N PP. - PERMITS ONL'Ic - Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration frjo risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES ' NO -47 is the applicant or future building occupant required to obtain apermit from the air pollution control district or air quality management district? 0 YES -40 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YEStNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT [83PCONSTRUCTION LENDING AGENCY "EIJI F E I hereby affirm that there is a construction lending agency for the performance of the vork for-which this permit is is 3 (S ,c. 3097)i) Civil Cnd LENDER'SNAME •"-- - : LENDER'SADRESS- •; - - Lt. ffLIpANTCERTIFlCA j' - 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 compW with all City ordinances and State laws relating to building construction I hereby authorize tapresentatives of the Cit' of Carlsbad to enter upon the above mentioned .property for.-inspection purposes. I ALSO. AGREE TO 'SAVE, INDEMNIFY AND KEEP HARMLESS• THE CITY -OF - CARLSBAD/AGAINST, ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA'ermit is required for excavations over 5 0 deep and deiolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 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 180 day ection 10644 Uniform Building Code) 11-4 APPLICANTS SIGNATURE T DATE 47 WHITE File YELLOW Applicant PINK Finance - F City of Carlsbad Bldg Inspection Request For 08/17/2005 - Permit# CB052169 Inspector Assignment PY Title FIRST STEP 1205 SFkFROM RETAIL t_.I-,• . '.- Description TO RETAIL . - Type TI Sub Type COMM - . Phone: . . Job Address 2525 EL CAM INO REAL Suite 137 - Lot 0 Location Inspector APPLICANT F 7 B INC Owner PLAZA CAM INO REAL Remarks PM PLEASE F Total Time f f_' Requested By PETER Entered By CHRISTINE CD Description Act Comment - A II 19: . Final Structural-.- - - ' 29 Final Plumbing - . -- - . 4 39 Final Electrical 49 Final Mechanical -. 1 Associated PCRs/CVs Inspection History Date Description Act insp Comments 08/09/2005 14 Frame/Steel/Bolting/Welding AP PY 08/09/2005 24 Rough/Topout WC PY ¶ - 08/09/2005 34 Rough Electric AP PY 08/09/2005 44 Rough/Ducts/Dampers WC PY p f • - • _- • -- ... • •- I • _- • - •._ . F I -; • ••• I, -• -• -- •• ••• - ,. - •. -• - .- ..•• •• • -• :•- ••. ..-•- •F • -* -. • • F I - • -- - • - . • • • I • -•- .- -'F-' - - •• -- - • • • -