HomeMy WebLinkAbout2525 EL CAMINO REAL; 138; STE 138 PRE 2016; Permit1 USE BALL POINT PER ONLY & PRESS HARD APPLICANT TO FILL N INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-------------- - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT— - -- ------' ---- -
2075 Las Palmas Dr Carlsbol
.... -'1 0 I hereby affirm that I am licensed under
- ;U -.proviaiôna of Chapter 9 (commencIng w11h JOB ADDRESS - AV. ST. THOMAS BROS NO. ' DATE OF APPLICATION N BUSINESS SE'# ' VALUATION " -- — PERMIT NUMBER —
I-- and! Professions Code,-and mi iicinse is in I--Section 7000) of -Division 3 of the Business
' Fj I'2I g_4-L, W IS ___ ________ 4-1
LOT BLOCK
- J SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR - CONTRACTORS PHONE # ZONE --
.11 hereby affirm - that I am exempt from the Contrac- - — . - - /
., .
torsUcense Law tor the tWlowvrg reason (Sec 70315
Business,and Professions Code:
Any city or county whicr, re- : OWNER'S NAME OWNER'S PHONE P'(
,._quires apermil to construct-alter, improve.- demolish. or - CONTRACTORS ADDRESS - STATE LICENSE NO. . - - ... BUILDING SQ.FOOTAGE
P34 repair any Structure, prior to its issuance also requires he op
plicanl,lor such permit to file a
. - - -
--licensed -pursuant" e rvs ,resd tottatc eIs
OWNER'S MAILING ADDRESSLicense Law (Chapterg commencing with Section 7000 of
f~C '/7 CAC/'7 cl -S5s 7
Division 301 ho Business and Professions Code) or that sex DESIGNER DESIGNER'S PHONE >.
empt theretrom and the basis for the alleged exemption.-.'Any -' _1
Station of Sect on 703t 5 by an applicant for a permit sub I L3 /5>s' - 7'aa #"- - -.-.'--- - —
ec(stbeappiIcatoacIvIlpeoaltyotnotmorethantnvetron'L, DESCRIPTION OF WORK.7___
'. DESIGNER'S ADDRESS STATE LICENSE NO. 707S..05/19/89 i - 02 i E
IJ 1. ,,.ne! of lhe.properly. or my employees with
as their sole compensation will do he work and he Uruc J J) C-'-)
,z/4/ i - m —
tore is not Intended or offered or sale (Sec. 7044. Business v•••_.••,••,•••- I . ____________________________________________________________________ and Professions Code The Contractors License Law does" I F/P -' F LR ELEV. NO - -. C GP - EDU— --- -•- — -- - -- — --- - -- — -'
not apply to' an owner' ot property who. büilds.or improves . STORIES
i _the n and' he does such work himself or through his own
emp?:e i h such improvements Wend I
,'0— c_tO77frU& 0 —vO vD _L .-,..- _- ---
rnefltlssndwflhneneyearo!cnrnpte on IreownerbuiIder"1 ''j v- jAor.~Iferecl~pr,sale~, If, ~rhvever. the building or-improve CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR
wIlt have the burden of proving-that lIe dId not build or m I .. .. ... A RE A , - CONST -
...-•O ..prove-prove -sale(.. ..,... .. .', 00 14 0 1 YO NO YO ND Nor Valid Un/ifs Machine Certified
- II I. as owner 01 the property, am exclusively contracting I - - - J (._ ,_ . - J.
c CBoonessandPofesownscodeTheContactu1rsLcense
Sec. 7044. I QTY PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER — -
---Law does not apply to an owner 01 property who builds or im-- - I - - - - - •'l I - ____________________ ..L_......_ - . . , . , -, ..-
proves thereon,L ' EACH FIXTURE TRAP - • INSTALL FURN. DUCTS JP'TOlOO,OOO BTU - - "a-- --- BUILDING PE 10-00-00-8220-
conliactor(s) licen-se pursuant to the Contrai6for's Li( Z' 0law) EACH_BUILDINGSEWER ,f 1 I OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
___ .,_..CIAsa.ttorneewrrerlam improving rnyhorne4, r: -=ing conditions exist:r,
.:rrd the follow- ..j
.7 'E'ACHWATERHE'ATERANDiORVENT - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK - 001-810-00-00-8891
0~-Afv The,work is being'"performed prior to sale. f_-
have lived-in my,.-home-for-twelvef mol EACH GAS SYSTEM _ITO_4_OUTLETS t" B OILER/COMPRESSOR 315HP - — _—,--- ---TOTAL- PLUMBING _-.-___00i_81000_00_8222
o - prior to-completion ot -this -worlr.' I - - - - - 3,.,,t.trave'ñot,clairndthis ioemptieo during ,the
- __ --
EACHGASSYSTEMSOR.MORE,. .- I METALFIREPLACE - _.-. -- _-, ELECTRICAL ..001-810-00-00-8223
X0 last three years.
- Vu
-_- B&PC EACH INSTAL__ALTER_ REPAIR ATER PIPE VENT FAN SINGLE DUCT Lf_-_Jp MECHANICAL 001-810-00-00.8224
0 lamenemptunderSec
A.7
for fhIsreason I EACHVACUUMBREAKER __1 - i. - MECHEXHAUST _HOOD/DUCTS - _1-. - -- -MOBILEHOME _------001_81000008225 -
(I)
-- ------- *------ - - - --, *-•----,,-,- - - - . - 'I - ._-. ___________ — _________________________________ ___________ 0)
J- I WATERSOFTNER RELOCATION OF EA FURNACE/HEATER - SOLAR _001_81000008226
_ 1r 0 ia 4 oa 8
" EACHROOFDRAINIINSIDE) _-'"( DRYER1VENT ____I STRONGFOTION -880_519_92_33 ---- -
- --EJ-I hereby attirm that I have a Certificate Or consent r0 -' .. - - — . -----'---- --.— •, --. -. - TOTAL MECHANICAL . - FIRE SPRINKLERS - ' 001-810-00-00-8227 -
L u ,selt 5 0 o ace II care 01 Woke s Compe Sal not nJ - - - — - - ___________________________________________________ __________________________ -
--
iur5nce. or a certified copy the eol (Sec.3800. Labor Codel ,.-.., _TO!AL_PLUMB I NI _--- _I [c____r 4,4,/aa' I $ PUBLICFACILITIESFEE _320_810_00_00_8740
Z MPANY- - - h -'-BRIDGE_FEE — _-'----'--360_810_00_00_8740 - — - -
OTY ELECTRICAL PERMIT ISSUE*,OTY MOBILE HOME SETUP ' PARK_IN_LIEU(AREA .'d8~y is filed
py
0 Celled co shb'1 sh NEW CONST EA AMP SW1 13K R i. i ,j 6 — CAR PORT - TIF _312_810_0000_8835
UJI IPH __PH1_ 57 AWNING' _r_— -- - --LACOSTATIF--------31181000008835 - - —
0 WORKERSCOMPENSATIONINSURANCE - : —
EXIST BLDG EA AMP/SWT BKR GARAGE _ FMF IL
U) (This section need 01 be completed it the permit ' PH - ' - - 3 PH - -' '- ( LICENSE TAX 001-810-00-00-8162
Vcc t' VS_I 'id for one hundred dollars (StOO) or less)7. . - -
'v ceottlrewoktO wtrCh - REMODEL _ALTIR _PER_CIRCUITI _—____' ' ' L- — -- I - - - MFF----- - - — 8805199257 - _-- -- _ -
cc th 5 pe m t S ssued I Shall not employ any person inany I - .,.mannei astobecomesübjectrotheWorkers'Coiopen-'I -TEMPPO LE. -'200-AM?S.-.---
sation Laws otCaIIfernia.
- - .1 - 'd'vER2oo"AMPS. _
- 1NDTICE TO APPLICANT II alte mak g this Ce ft cole 4- -'ol Exemption. you should be6ome s b1ecttetheWorkers' TEMP OCCUPANCY 130 DAYS)
'Compersati6kp,civisions of the Labor Code you must c'I 110 tOw thcomplyw with CO 0 So 50 Ihis pew I snait4 i I '' CREDIT DEPOSIT ('
-' - bedeemedrevoked:''--- ----------------- --- ,. -- - -- - ----- - . ________________ —
- —
t
-
TOTAL ELECTRICAL t I / IOTA) TOTAL FEESPAYABLE _
-ending I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION-AND PERMIT'AND DO HEREBY- Expiration. Every permit issued bythe Building Official under the provisions ofth s - * AN OSHA PSRM;T IS REQUIRED FOR EXCAVATIONS OVER
v-r~ifii.isiu6d (Sec. 3097. Civil C de) permit, or if the building or work authorized by such permit is suspended or
-
agency !dr.the performance of th
o
CERTIFY UNDER-PENALTY. OF PERJURY. THAT ALL INFORMATION HEREON INCLUDING THE,. ode shall expire-by limitation and become null and void. If the building or work 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF
ework forwhich thispe—i authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCTURES OVER 3 STORIES IN HEIGHT
z I ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned_at any time after the work is commenced for e period 01180_days
STRUCTIONL WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
__________
-t KEEPNARMLESSTHECYOFCARLSBADAGASTALLLIABIUES.JUDGMENTS.COSTS AND AO s OWNERD CONTRACTOR 0 APPROD BY _____' ________________--
- TYPE DATE INSPECTOR
BUILDING
FOUNDATION -
REINFORCED STEEL
MASONRY -
GUN ITE OR GROUT
SUB FRAME Li FLOOR Li CEILIN(
SHEATHING Li ROOF ' Li SHEAR.
FRAME i11
EXTERIOR LATH - -
INSULATION - -
INTERIOR LATH & DRYWALL
PLUMBING
Li SEWER AND BLJCO Li PL/C)
UNDERGROUND Li WASTE Li WATER Y7 f.i.'-'i -
TOP, OUT Li WASTE LiWATIER - - - - -
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER. Li SOLAR WATdR --•
ELECTRICAL -. --- - --
Li ELECTRIC UNDERGROUND Li UFFER - - _- - • U -
ROUGH ELECTRIC L3 -Y 4jLt,
Li ELECTRIC SERVICE Li TEMPORAR
Li BONDING Li POOL
MECHANICAL
Li DUCT & PLEM., Li REF. PIPING;
HEAT - AIR COND. SYSTEMS .- :b'
VENTILATING SYSTEMS . 4t-4( AAA. c---- N
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE-
-ITEMS ABOVE HAVE BEEN APPROVED
-FINAL - -
PLUMBING
ELECTRICAL - - -i -
-MECHANICAL 1 I
GAS ••- - .. :. _____ _______
BUILDING
SPECIAL CONDITIONS \'
S
cA \-
FIELD INSPECTION RECORD -
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES -
INSPEOTIO!'J REQ. IF INSPECTORS DATE VA CHECKED APPROVAL
- -- - - SOILS COMPLIANCE -. - - - - - - - _.\_ _'- -•
PRIOR TO / 4 FOUNDATION INSP - -- - -. - ------ -.
STRUCTURAL CONCRETE ; - - - - OVER2000 PSI --- - - - - - -
-PRESTRESSED - ---• - - •-- - - --- - -- I - - -
CONCRETE
POST TENSIONED
OQNRETE-S'-S -. -•- -- -- -
- --------- - -- ---.---- - ------
FIELD WELDING - - - - -
HIGH STRENGTHS BOLTS -. 4
SPECIAL MASON - - - - - - - - -
- t
--
.-
LESCAISSONS_
- T
- ---I-- --- -
--
-•-------- ---
---- 1 -----------.•--- -- -.-
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. j'ij' - .4 4.•. -... -44-M 4J.-C 4.ltiL. tU
FINAL BUILDING INSPECTION RECEIVED JUN 1 9 199
June 16, I989 PLAN CHECK NUMBER:, DATE
AMNGO
, PROJECT NAME:
2525 EL CAMNO REAL STE. 138 ADDRESS:
.
PROJECT' NO.: UNIT NUMBER: PHASE NO.:
CQ4M'L Tj• TYPE OF UNIT: NUMBER OF UNITS:
°N TOTAL DEVELOPMENT .. CONTACT PERSON: S
79-OO78 CONTACT TELEPHONE: .'
BUILDING, WATER, ENGI NEERING AND FIRE .
INSPECTED ,/ 4" DATE '— DISAPPROVED AK. BY: INSPECTED: t-? APPROVED '
INSPECTED( jJ DATE
INSPECT APPROVED DISAPPROVED
INSPECTED ' , 'DATE.
BY: 'INSPECTED: APPROVED ______ DISAPPROVED
I COMMENTS:1tI
J'g '
- -
* • '
.5- .5 •5.4
.
- "p '-5
,
5-.
4 Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engine*ering CANARY: Utilities PINK: Planning GOLD: Fire
• • ' ' •
:--
0
4,
- - -- , -
•
B,U1 LDI.N G P ER MI T Permit'No: CB900797
05>118/90 12 04 " Project No A9000903
Page 1 of '1 \ Development No
Job Address' 2525''EL CAMINO REAL Str Fl Ste
Permit Type COMMERCIAL TENANT IMPROVEMENT 5569 05/18/90 0001 0J.-02
ParcelNo: 156-302---09-00 , S • --.. C-F'RM'E -' -:.195.po,
Va1uation 3,000
Construction Type NEW
Occupancy Group Cris Code:', Status ISSUED
Description REM FACADA #138 IVORY COAST . Applied 05/15/90
-S...
'.. . -Alr/Issue' : 05/18-,90'
Validated By DC
- - --
OWNER MILLIGAN, GREG Lic 619 630-0455
*** Fees Required *** & Credits
-------------Fee si
- Adjustments:- '
'. /oo c TotaiICtedits: .0,0- 5 - S -i -. , 5, .5 * -. .5'Total,Fées:...' 195.00,J TotalJPayménts:. .00
BalcSD te \ 195.0
Fee description ,/"Ip1 Urtit'\'4eUnit Ext fee Data
-------------
BUILDINGY-TOTAI;', 195
!:
ilr.COC too a'SD
'S
,. S - - S 5 5 - S.
-1 J 4
:
'
NS
11 VA
: -
LM
'° ,S .S7v/Q.4 c.s qoi%)T Vy AL-C-
. '.St V/4 CI?5 & ,t.)6'
S
S/
20fLas Palinas r.;CaIad CA 9 61&I? ,
RECEIVED MAY 16
PERMIT APPLICATION
City of Carlsbad Building Department
2015 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A - 0 COMMERCIAL pNEW DTENANT IMPROVEMENT
B - [:]INDUSTRIAL DNEW ' DTENANT IMPROVEMENT
C - DRESIDENTIAL DAPARTMENT DcoNDO DSINGLE FAMILY DWELLING DADDITIOM/ALTERATION
DDUPLEX DDEMOLITION DRELOCATION DMOBILE HOME DELECTRICAL DPLUMBING
DMECHANICAL IPOOL DSPA DRETAINING WALL DSOLAR DOTHER
,_,,, --
EST. VAL
PLAN CK DEPOSIT
VALID. BY
DATE
R.RJECT INFORMATION PLAN CHECK No. 7L) / 7 Y FOR OFFICE USE ONLY
ress / Building or Suite
Nearest Cr05 treets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BEL(BI IF SUBMITTED:
02 Energy Calcs 02 Structural Calcs 'E12 Soils Report pi Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE . PROPOSED USE
DESCRIPTION WORK
BL4TG # OF STORIES -.
'CONTACT PERSON '
NAME - ADDRESS •
CITY - STATE ZIP CODE DAY TELEPHONE
SIGNATURE
APPLICANT OCONTRACTOR DAGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER
NAME - ADDRESS
CIT.- STATE ZIP CODE DAY TELEPHONE
5. -PROPERTY OWNER. OWNER
NAME < ADDRESS
DLESSEE DIENANT
CITY STATE ZIP CODE , DAY TELEPHONE
6. CONTRACTOR
NAME , ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. H LICENSE CLASS - CITY BUSINESS LIC. #
SIGNATURE ' TITLE DATE
DESIGNER NAME
.
' ADDRESS '
CITY STATE ZIP CODE DAY TELEPHONE , , STATE LIC.
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. Q.
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-BUILDER DECLARATION
Owner-Builder Declaration: I 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 Cede: 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law). -
U I am exempt under Section Business and Professions Cede for this reason:
(Sec. 7031.5 Business and Professions Cede: Any City or County which requires a permit toconstruct, 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 Cede) 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 egistration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES DNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school.site? -
- DYES C] NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS. THE APPLICANT HAS MET OR IS MEETING THE REJIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION 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'S SIGNATURE
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, JLBOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Cede shall expire by limitation and become 'nutt 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 days (Section 303(d) Uniform Building Code).
LICAN
GNAT6"
DOWNER DCONTRACTOR DBY PHONE - ADCIT..cI
__________________
WHITE: File YELLOW: Applicant PINK: Finance . -
$,4ve
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB900797 FOR 06/25/90 INSPECTOR AREA MC
DESCRIPTION: REM FACADA #138 IVORY COAST PLANCK# CB900797
OCC.GRP
TYPE: CTI CONSTR. TYPE NEW
JOB ADDRESS: 2525 EL CAMINO REAL STR: •FL: STE:
APPLICANT: IVORY COAST PHONE:
CONTRACTOR: PHONE:
OWNER: MILLIGAN, GREG PHONE: 619 630-0455
REMARKS: T3/CMW/ INSPECTOR
SPECIAL INSTRUCT: INSTRUCT: /
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final StruCtural J7-ojfL-7'
39 EL Final Electrical thY
7 9d
/4&7Z/4-L_cr Ai cá11IcL,
7b 4 ***** INSPECTION HISTORY
DATE DESCRIPTION ACT INSP COMMENTS
061290 Frame/Steel/Bolting/Welding AP MPC STOREFRONT
061290 Rough Electric PA MPC LIGHT FIXTURES -
I
p. ..' S.,. •', -.. -
.- • •
Permit No B"U'I LD'I N G .P E R.MI.T. : CB920426
06/05/92 15 25 7 Project No A9201149
Page -1" of.,` 1 ..z Development No
Job Address 2525 EL CAMINO REAL .- Suite '438
.Permit. 'Type: COMMERCIAL TENANT IMPROVEMENT, . - p.s"- 7962 06/05/92t50001.01 102
.• • 8 ,Parcel No:' 156-302-09100 , - -Lot#: -C--PRHTV .-- 1121"00
' ., . - - I ' t Valuation: •'- , 23,688 . .4 V. - (Dj,--,-. .,,,•
Cons tructionType VN ) ()
Occupancy Group B2 - Reference# Status ISSUED
Description SANRIO SURPRISE 1128 SF RETAIL - Applied 04/30/92
: , • Apr/Issue: •06/05/92, f
- Validated By MDP
: Appl/Ownr ;:' STONE,.BRUCE 619 5441'251 •. :' •-
614 5TH AVE SUITE E
'-SAN DIEGO;' CA 9210
Fees Required ee?bCo ctled &.Credits
--------------------------------- i,2;A4o0¼ • -. : - H
Adjustment:
Total Fees: J20 / y 158
'!V\\Balan \' ', 121 00
Fee description.-7 t s_F![1i' ---x f IDatcj
Building,Permit 0. 243.,00
Plan Check 158.:00
398-.0
.12 J0 *..BUItbING.T0TAL1 35.00
Enter 'Y" for Electri I e ICORPORATED 10 00 Y '
Enter, "Y e' fr Remodel 4 10 00 4Y
* ELECTRICAL TOTAL ''• CX\. '. '. 20.00.
Enter 'Y 'for Mechanical 15 00 Y4
Install Furn/Duct: * , ' 1 9 f 00 9.00
* MECHANICAL TOTAL ) 24.0V' .
5'. '' ' .1. •' .- -, S
'5 ,_' ,.. - •
5; '5 '.. 8 -V --: :- '•-,. .:.'..
5 ."-. .-. . " 5._' ,' V • '- • .5_ .,. '.._ V.
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S .• .Vs, 4
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INS
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E RA CE - -
I CITY OF CARLSBAD V
2075 Las Palmas Dr., Carlsbad, CA 92009 (619),4384-461- . S
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PERMIT APPLICATION
City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMrrIYPE
A - D Commercial U New Building Tenant Improvement
B - 0 Industrial 0 New Building T11~enant Improvement
C - 0 Residential El Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
El Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________
t.iJ(i I ii:.) .b(•)
PLAN CHECK NO. — L( 2g
EsrvX231
PLAN cK DEPOS
VALID. BYI"41D
7467 04/30/92 0001 01 02
C-PRIIT 158.00
FOR OFFICE USE ONLY
nuu,caa OUIIUJII5 Ut .UJLC PlO.
Nearesrot___ $/iC 41il 1/3 9dt)O3
CHECK BELOW IF SUBMIITED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
AME ADDRESS /Y 5'fr'7 ,9iJç
CITY SAl.), STATE M ZIP CODE ' (.0 1 DAY TELEPHONE J IS
CITY .$flfr' €C STATE M ZIP CODE DAY TELEPHONE
b.
NAME g,AfiO SL4p(ase ADDRESS S 7 Ot j -J/3y
CITY (!f+P-Is brto STATE 01) ZIP CODE DAY TELEPHONE
6.
;Qije
J
_*sv ADDRESS
CITY D) C) STATE 04 ZIP CODE 3! C) / DAY TELEPHONE 5/4'- 1 SI
STATE LIC. # 5T.5S4 LICENSE CLASS 19 CITY BUSINESS UC. # DESIGNER NAME 3'4e / ffl6JI4J1 ADDRESS ;7/o to,i'øm
CITY DA-i/i'rs STATE 7X' ZIP CODE 75c 5 DAY TELEPHONE /L/ 36 36g2ATE LIC. #CA- WORXEHS' WMPENSA11ON
Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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. C).
INSURANCE COMPANY 2hS d & CA ti(C Ij POLICY NO. 9'_) ii 2. EXPIRATION DATE 2....— (S'—
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Qwner-Builder Declaration: I 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.).
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).
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 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 N(YF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MFF OR IS MEETING TIlE REQUIREMENIS OF ThE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUTI1ON CX)NTROL DISI1IICr.
ereDy affirm mat mere is a construction lending agency [or the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES JUDGMENTS, (DSTS
AND EXPENSES WHICH MAY IN ANY WAY ACXRUE AGAINST SAID CITY IN CONSEQUENCE OF TILE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such perof i5,.not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended 0j,.alT do a ny time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUANT . DATE:2.. -...-
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tflJSCNEDULZD INSPECTION
-
DATE 7 5- .,INSPECTOR
PERMIT $ _____9,_7- - PLANCK
JOB ADDRESS ) 6-
7)L 7 ))
TIME ARRIVE T 11W LEAVE
9 4
'C -. 1 --LVL-- DESCRIPrION ACT: • CO!'Q(ENTS - :
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CITY OF CARLSBAD
'INSPECTION REQUEST
PERNIT# CB920426 , FOR 07/10/92 '. INSPECTOR AREA MC
.DESCRIPTION:' SANRIO SURPRISE.1128 SF RETAIL - PLANCK# CB92042.6
4 OCCGRPB2
TYPE:' ,CTI CONSTR. TYPE NEW
JOB ADDRESS: .. •2525 •' ELCANINO'REAL .' •.- STR:** FL:****,STE: '138
APPLICANT: STONE, BRUCE ,' . PHONE: 619 544-1251 " •.'
CONTRACTOR:' :. •'. ' 'PHONE:
PHONE:
REMARKS Mu' INSPECTOR AA
SPECIAL INSTRUCT: - .7
41 :
TOTAL TIME:
-- 0 - -
--RELATED PERMITS-- PERMIT# TYPE STATUS
A5920.041 ASTI ISSUED . :
'' , • CB920646 ELEC . ISSUED
, :•-
CD *LVL DESCRIPTION ACT COMMENTS
19 4 ST Final Structural co
29 PL Final Plumbing 4 ?/ 39 T-.'EL, Final Electrical
49, ME Final Mechanical
.. ', f .--••
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* *****' INSPECTION' HISTORY '*****
- '. •
DATE DESCRIPTION ACT INSP COMMENTS
-070192 Frame/Steel/Bolting/Welding AP MPC CEILING GRID, SYSTEM
070192 Rough Electric ,' AP MPC LIGHT FIXTURES,
070192 Rough/Duct/Dampers- Co MPC A/C REGISTERS NOT INSTALLED
062992 Rough Combo, - CA_ MPC
062592 Interior Lath/Drywall . , AP -MPC
02392 Frame/Steel/Bolting/Welding AP' MPC' STOREFRONT & WALLS
062392.Rough/,Topput -: • NR MPC-
06.2392, Rough Electric , PA., MPç - - IN WALLS - -'
062392. Rough/Ducts/Dampers '. NR MPC - ,•'.
062392 - Frame/Steel/Bolting/Welding CO MPC - SEE INSP NOTES ,.
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- B U I L D I N G. P E B M I T .. Permit No.: CB920646
07/07/92 12 38 Project No A9201597
Pige 1 of 1 Deviopmen No:,
Job Address: 2525 EL CAMINO REAL Suite: 138
Permit Type ELECTRICAL 8355 07/07/92 0001 01 02
ParcelNo: 15630209-60 Lot#: C-PRMT 2000
Valuation: 0'
Construction Type NEW
Occupancy Group: '-- Reference#: V Status ISSUED
Descr'ption SANRIO SURPRISES 4 Applied 07/07/92
Apr/Issue 07/07/92
-. - Validated By:-DC
Appl/Ownr. : BRITE LVIGHT.NEON. d •. . 8187634798 - -
5536 SATSUMA AVENUE - -
NORTH HOLLYWOOD, C 9 -- -
Fees Required
ci~8
Cred1ts- **
-------Fee-- 0 .0 ------/Q)
Adjustments: 5/ 00 5: .00
TotalFees: •- 0 Tl- )1r4i : .00
/ Balan e\): 20.00 --- -----------
--
.
1_' T sF .'Extfeè Data
Ente.i~l 'Y" for Elec ru ue Fe-, 0 10.00 Y'.
*ELECTRICAL TOTAL 0
*
INCORPORATED
1952 •
- - -
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INS: '':;'•,"
- CLEARA CE T V
V
' V V - 'S •• •5' ••., -
' - _
V - .4 •. S V V •' I
CITY OF CARLSBAD
2075 Las Palmas Dr Car1bad CA 92009 (619)'438-1161
V V "V •, - . . •I- -
--
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
r
A - U Commercial U New Building LI Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 tien/Alteration
Duplex 0 Demolition 0 Relocation 0 Mobile Home @-EI&ical 0 Plumbing
Mechanical 0 Pool 0 Spa 0 Retaining Wall' 0 Solar 0 Other__________
2. PROJECT INFORMATION
PLAN CHECK NO. q, -: 1- ('0 ~ ~
VAL
F Q( DEPOSiT_______________
D. BY
FOR OFFICE USE ONLY
' 'f)c Nearest Cross Street 4-MLil
CHECK BEWW IF SUBMIFIED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION , WORK S
SQ. F. ORIp"f 1 -/''
CON IAUI PERSON (it different from applicant) NAME ADDRESS
CITY, STATE ZIP CODE DAY TELEPHONE
APPLICANT U CON'I'HACTOR U AGENI' FOR CON RAUIUR Li OWNER U AGENT FOR OWNER
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
PROPERlY OWNER
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
CX)NTRAC'IDR
NAME
,
2,rflfv DREs b A -T
STATE ZIP CODE DAY TELEPHONE( 9';
UC. #,/i/7 f1 LICENSE CLASS C'•/€' (S CITY BUSINESS UC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
WORKEHS WMPENSA11ON
Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: 1 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-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements, are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
0 I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Busines 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 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 O(XUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT
HAS MEF OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLLTIION CONTROL DISI1i1CF.
WNSThUCHON LENDENG 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
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL IJABILFI1ES JUDGMENTS COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIM PERMIT.
OSHA: An OSHA permit is required for excavations over 5,0 deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: