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Home My WebLink About2525 EL CAMINO REAL; 141; STE 141 PRE 2016; Permitly l USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS Is! IAN .,,,.: ,.• o, .,. . ,...t. ,.,,. 0 I•hereby affirm that I am licensed under ' proviaionsvof Chapter 9 (commencing with Sectlon'7000)ofDlvislon'361 the,Buslness l' and Professions Code, and my license is in .2 I full force and effect. ,, z L Lic., No. - Class 'tO . 4.. , 0,— .,._ , I hereby affirm thai I am exempt from the Contrac- tor's License Law for the following reason-(Sec. 7031.5 - - . C' Business'and Protessions Code: Any city or county which re- - 'quires a permit to construct, alter, improve, deniolish, or A.- repair any structure, prior to its issuance also requires he ap- plicant for such pOrmit to Iile.a signed statement that he is . ' licensed pursuant rio the provisions Si - the Contractors ..0 License Law (Chapter 9 commencing with Section 7000 01 Division 3 of the Business and Professions Code) or that is en- empi Ihereirom and the basis for the alleged exemption: Any F - violation of Section 7031.5 by an applicant for a permit sub- * . .. jects the applicant to a civil, penalty of not more than live hun- .., . dred itollars ($5Qg) -. .. v. '0 I. as owner 01 the properly, or my employees with wages as their solo c(Impensation, will do the workand the struc-' o •' lure is not intended or uttered IorrsalelSec, 7044, Business and Professions Code: The Contractor's License Law does 5 • not apply to an owner 01 property who builds or improves m thereon and who dnessuch work himself or through his own - employees, pmnrlided that such improvements are not intend- ui ed.or offered for sale: III, however, the building or improvu- Z - - ment is sold within one your 01 completion, the owner-builder will have the burden.ol proving that he did not build or im- prove br the parpose of sale).,, •, ,,_,,•, I, as owner 01 the prnperIy,arr exclusively contracting . with licensed contractors to construct the project (Soc. 7044 'Business and. Professions Code: The contractor's License - Law does not apply loan owner 01 property who builds or im- proves thereon, and who contracts ,for each projects with a 1conirxctor(s) license pursuant to the Contractors License Z -Law). 9 0 As a homeowner I am improving my home, and the 10110w- - 4 • '.ing,conditions exist: ' - '- 1. The work is being me pertord prior to sale. -. ,, 2.. l have lived • in my- home for twelve months. - - - prior incompletion 01 this work.',._ ' - W ' 3. i-have not claimed this' eoemption during 'the 0 last three years.' .1 am exempt under Sec. - - - B& P.C. mr this reason .. . .4 • n' — D hereby abbrem that I have -a cerr.trcare 01 consevl -"to-self-insure:' or a'cerrlcale 01 Workers' -: Compensarron insurance, or a certified copy the.eof , Sec. 3O. Labor Code), POLICY NO? 4 1 z - D Copyrsidedwrlr'Ihecry' , .sz "'' 0 Certified copy is hereby iu'rnhsh '. .s_,*• •,/ •,,•.. -•'*'-. 0 CERTIFICATE OF EXEMPTIO FROM ---WORKERS' COMPENSATION INSURANCE -. (This section need not be completed 1 the permit r -cc ,•• "' is for one hundred dollars 15r091 or less) LU lcgc -.. - '• .-1,•''..-. - ' cerrtth-at n the performance of the work or 0 "_ 0 y which In IS permrl is Issued. l.shall vol employ any - q. person rr any manner so as 10 become subject 10 - the Workers' Compensarror, Laws 01 Caliorn,a I . NOTICE TO APPLICANT it. abler. rrr-akv3 this Cent 'tic-ale 01 Exemption. you should become subject to - he Woflrers'Compensatrov provisions 01 the labor Code. 'yov musr borlrrw,Ih 'comply' with' such 5, ' .' " provisions or hp permit 'shall be deemed revoked '5'_ - . - .'.-' •- 'v.-' -. 4-, l'lere6:llrm'4,lt'ql -Ihere is a construction lending agency lor.Ifre.perbormance of the work 10, '. whch.lhs permt s issued (Sec 3097. Civil Code) - ' '. l 0 b'.' •' 4 wi x' Tender's Name ',4' •.r'--' -- I Lender's Address' '.- '-;--r—'----'- ---L 4 CARLSBAD BUILDING DEPARTMENT "APPLICATION & PERMIT ••, . ' '1200,Elm, Carlsba, .'forn,ja 92008.1989 (619) 438-5525 . , . •., JOB ADDRESS, . ST.RD. NEA ROSS ST. DATE OF APPLICATION BUSI E S E NSE ni . ' . . x , , ' • 5 "- VALUATION ' PERMIT NUMBER . 7 -/ . - - 27 BD LOT BLOCK -, SUIVISION v CONTRACTOR / ___ CON RACTORS PHONE O4" ::/ . - - 4A vs NE . - ,, - • '.v OWNER'S NAME OWNER'S PHONE /i,/ ~14'1t9 . v7q_4L, • , PLAN I.D.# BLDG USE CODE CONTRACTOR'S ADDRESS LICENSE NO. 6WF4ER-SIMAILING 4: ADDRESS /1 DESIGNER Ed LICENSE U STANDARD PLAN # . BUILDING SO. FOOTAGE ' . - . . "'•, DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE F/P F LR E LEV NO G I EDU vD N STORIES - a FIRE SPR CENSuS'TRACT PP LAND.USE PARKING SPACE RES UNITS 'GRADING PERMIT ISSUED REDEVELOPMENT 5TYPE 0CC LOAD. - - , ' - - , — ,' . • ' ' n 0 N 0 AREA 0 ND - - CONST. ' - - • ••"-'- vD ND , -- • .'. '' Certified jc3( dTY, ' , - • , - , -"PLUMBING PERMIT ISSUE ' . • QTY. .. '' - - - MECHANICAL PERMIT - ISSUE , -- 'OVER 100,000 BTU - , • ,-, , -, ' • UUUI!4(. ILJ I'.JI - jf ' SUMMARY/ACCbU rLJ4BER - 3 L , • EACH FIXTURE TRAP - . - - JO. INSTALL FURN. DUCTS UP TO 100,000 BTU - 4- - BUILDING PERMIT • . 01-00-00-8220 — EACH BUILDING SEWER ', • . , ,,SIGN PERMIT _. - 01-00-00-8221 .- - - - .2'- EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO'3 HP . L_... PLAN CHECK - : . - ,01'00-00-8806 ,7.t -EACH GAS SYSTEM 1 104 OUTLETS. 8OILER/COMPRESSOR 315 HP ' ' -. , , - - TOTAL PLUMBING - -. - 01-00-00-8222 . EACH GAS SYSTEMS OR MORE METAL FIREPLACE - ELECTRICAL 01--00-00-8223 s • EACH lNsTAL,:ALTER. REPAIR WATER PIPE - , .' VENT FAN SINGLE DUCT ' , ,' , ' ' .• -- - --' '. - MECHANICAL 01'00-00-8224 .r EACH VACUUM BREAKER , - - _, MECH EXHAUST - HOOD/DUCTS ' ' ' - MOBILEHOME - 01-00-004225 WATER SOFTNER " - k RELOCATION OF EA FURNACE/HEATER -EACH ROOF DRAIN (INSIDE) - • . . . - ' . ' . ' ' SOLAR' - ' - 01-00-00-8226 - - TOTAL MECHANICAL,,,., - , • = i - , - STRONG MOTION ' 80-92'33-0519 - TOTAL PLUMBING , • 7 - I- - 4 FIRE SPRINKLERS - - 01-00-00-8227 - • .. QT'I - ELECfICAL PERMIT SSUE -, - .- . -.. QTY. " - 'SOLAR-ISSUE , PUBLIC FACILITIES FEE .32-00-00-8933 ' . - .v, . .- , -- BRIDGE FEE NEW CONST EA AMP/SWT/Bt(00 • — COLLECTORS 'SCHOOL FEE - DISTRICT -I PH -r, * - ' , - . , - STORAGE TANKS Carlsbad - - 80-92-21-0519 E'iS B.O4E&AMP/SWT,/BKR. - v. • ' - . ROCK STORAGE -'v - - -- - . - ' ' Encinitas •- ' - . - 80-92-22-0519 1 PH ''" - 3 PH PUMP - - t. - San Diegejio 80-92-23-0519 ' REMODEL ,ALTER PER CIRCUIT ,,, ' PLAN CHECK FEE San Marcos 8092240519 TEMP POLE -20O AMPS - - . . ' -. * _____ - " ' ,':,,-- , -. - .- - • '-'--4-' '-O•' - ' 2" -- •. -. - "' .'- - - ,OVER'200 AMPS', .' r , • , ,-' ' '' '- \ LICESETAXO1-00-00-81à2 TEMP OCCUPANCY (30 DAYS) - - - ' * , - " ' " f ' - M F F 80-92570519 CREDIT DEPOSIT -) - TOTAL ELECTRICAL Or . TOTAL SOLAR TOTAL FEES PAYABLE - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION tND PERMIT" AND DO HEEBY Expiration. EverypermiI issued by the Buildin'OIficiaI under the provisionsfthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - Cod CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE e sh:II-esplre by limitation and become null If building or Work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF thorized by such permit is not commence wit K'1 dAys from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil or it the buiodoo or work auffiorized/y such STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandpn'at fy Iimp'ler the worV4at47enced for a period 01180 days, _____________________________________________________ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALLy LIABILITIES, JUDGMENTS, COSTS AND APP j SIGN T RE - r• 'i'ppo - - - - OwNERD CON/I'RACT.OR. ; •,w ' , - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEDUENCE OF THE GRANTING OF THIS PERMIT. . [DBY - ' '-. - -.. - • ' - - BY PHONE 0 - -, ,- •' ' -. -•' I ' , - '- 5-. - •x"0P -• -- -'-•- '-'I 2- _,•' ' -, • 4 - - --..-'-- - -. . - • ' ._tl TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING El ROOF El SHAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO EIPL/CO - UNDERGROUND WASTE 0 V/ATER TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST El WATER HEATER El SOLAR WArER ELECTRICAL El ELECTRIC UNDERGROUND 0 UJFFE ROUGH ELECTRIC El ELECTRIC SERVICE El TEMPORARY- El BONDING El POOL MECHANICAL El DUCT & PLEM., 0 REF. PIPING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEM.c AROVF HAVE REEN APPROVED. FINAL il PLUMBING ELECTRICAL 1/ •' MECHANICAL GAS . BUILDING SPECIAL CONDITIONS \\ ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECJION REO. IF INSPECTORS DATE . CHECKED APPROVAL SOILS COMPLIANCE - ( -- PRIORTO FOUNDATION INSP L... -- ?7z'7 (7çk'., STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE - POST TENSIONED CONCRETE FIELD WE(DiNG HIGH STRENGTH BOLTS SPECIAL MSQNR PILES CAISSONS - S -___.'_•_.•;. - /5 5. . ........ PLAN CHECK UMBE - ADDRESS sc q - DATE red' PLANNING_ TYPE OF STRUCTUR SCHOOL FEES: SAN DIEGUITO ENCINITAS_____________________ CARLSBAD SAN MARCOS _CITY F CAR % COVERAGE \\ V REQUIRED SETBAC$j BUILDING HEIGHT FRONT___________________ FENCES/WALLS ___ V - SIDE V V VV \\\\j -f--- TWO ,CAR GARAGE . REAR_________________________ I V V. - w . V V u_I V V •• V V V V • V Vj\ V REDEVELOPMENT APPROVAL: REQUIRED: ___•' V V V V.. V Lu Lw V, VV S V V • V V U LANDSCAPE PLAN COMMENTS: V _ ___ V _ VV •V __• _V ENVIRONMENTAL REQUIRED____ - V ADDITIONML COMMENTS: __-VV _ VV • V •• VV ___________ ____ OK TO ISSUE__DATE: TO __FINAL_____DATE V V • V -- V •V ENGINEERING . V .LEGAVDESCRIPTION VERIFIED? A.P.N. CHECKED?). PFF - PARKINLIU R.O.W:.79r V IMPROVEMENTS: Y-t-,"-' • V • - V V V V V ED.U: SEWER LATERAL: V V DRIVEWAY: V • •V • GRADING PERMIT Lw DRAINAGE EASEMENTS ADDITIONAL COMMENTS V V VE V F. C) L A I V V V V • S V IJ_i V L____ V - V V - OK TO ISSUE DATE * EN. INEERING INSPEC9kVREQUI RED :__. V • V • V PUBLIC WORKS INSPECTOR FINAL OK / DATE:- V * IFTHIS-ITEM IS NOT CHECKED, BUIDVING DEPARTMENT WILL MAKE ALL INSPECTIONS V V V •, V V - V • V V • V . V •• V (DRIVEWAYS; CURB CUT, DRAINAGE, ETC.) V V •• V V • • V ;tJ - V V - VVV V - - - V V -. V . • V Liaslng ArOa 279,350 Mall Area Upper Level 40,479 Broadway I Th. Noman oes 15 it CORN Glenda Bullock's; 2 Savinas - 2021 South Entmnc as I Plaza UPPER LEVEL • • • • - .- - ' ' ,• : ' - - . • . .•• . USE BALL POINT PEN ONLY & PRESS HARD '.-; •' • i - APPLICANT-TO FILL IN INFORMATION WITHIN SHADED AREAAND DECLARATIONS.. ..: 0 I,hersby affirm that Lam)Icenséd under ; I provisions ot,Chapter9r(commenclng with. , .1,. section 7000) of DIvision 3 of the Business, 'and Professions Code, and my license is in full force and effect: z . LIc. No. _________________ Class 0 41, k ..n 'a I hereby, atlom hl I am exempt rem the Centrac tsr's License Law for the -following reason (Sec. .7031,5 Business and Professions Code: Any city or county which re- quires a permit to construct, alter, imprvve, demelish, or repair any structure, prior to its issuance also requires the ap- plicant tsr such permit to tile a signed statement that he is liceosed pursuant .10 the,, provisions ,nl.the. Contractors • a. License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Cede) or that is ox - ' empt therefrom and the basis for the allegea exemption.- Any. violation of Section 7031,5 by an applicant for a permit sub' jcts the applicant to a civil.penalty of not more than tine hun' dredollars($500(., 0 I, as owner of the property, or my employees with wagescc I -. as their sole compensation, will do the work, and the slruc' a lure is net intended or.ottered for Sale (Sec! 7044. Business , and Professions Code: The Contractor's License Law does - not apply to an owner of property who.bnitds at improves m -. thereon and who does such work himself or through his own 'employees, provided that such improvements are not inlend", I' 101 ' ad or uttered f o r sale. It, hewener, the building or improve' Z • .4 moot is sold within one year of completion, the owner-builder will have the burden 01 proving that he did not build or im- .-• prove for the purpose Of se). a , ' 0 I, as owner 01 the property, am exclusively contracting - with licensed contractors to construct the project (Sec: 7044,' - Business and Professions Code: The .Contracfvr's License Law does net apply loan owner of property who bulbs or im-proves thereon, and who contracts for each projects with a U) contractor(s) license pursuant to the Contractor's License ) Z ._ Law). 0. ., •—p. - ' ' 0. As a homeowner tam improving my heme, and the follow' - • 4 , ngcondtons exist: • •"s I. '.The work is being performed prior to sale, , .2.. I have lived in my. home for ..rwelue months ' prier to completion of this werk • ' , 101 . 3. I have not claimed this exemption during the • .y.. last three years. ,,, . .• . 4 - 0 lam exempt under Sec. ' . B & P.C. for this reason 4 - ,,_ _• _- —.•r - . ..' ''- . • _, -.. :.4 0- ' . thereby affirm that I have a certificate of consent to selt.in5ru. era certificate 01 Workers' Compensation to.. sarance. nra certified copy thereof (Sec. 3800. Labor Code) POLICY NO. 2 •i':, —:- -. ,zD.Copy is tiled .ith rhA City _s., 'B s. z •. L..i Certified copy is hereby tarnished ' a - ILl 3. . . .-.' * , 0 - •,?CERTIFICATE OF. EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE '0 ..!.lThi/ seCfiuv need not be completed it the permit a I ) 'is lorLu .one hundred dollars ISlOOl or least • , 0 I certify that in the performance 01 the work for which' 1' o ' this permit is issued. I shall not employ any person in any " Tanner so as to become subject to the Workers' Compen. sation Laws 01 California. . NOTICE TO TO APPLICANT-: It, alter making this Certificate 01 Evemption. yhu should become'subiect to the Workers' ' Compensation provisions 01 the' Labor Code. you must forthwith comply with such provisions or this permit shall .' -. ' be deemed revoked. - -v 3 , *. _A''.* 4•*. '• •_*. • '.1 :. - • 'L he'e6y"utIirrithat there is a construction lending agency for the pertnrmancè ot the work lo,which this per. I • 01 , mit is issued (Sec. 3097, Civil Code) . zI c - ..y- • - U) Lender's Name 1) ' Lender's Address CARLSBAD BUILDING 1DEPARTMENT.. ADDI If'ATifkIr9. DCD&II1 -'' -•--4 rlLUl I,' r-rivuu I a - - - Car)sbad California 92008-1989 (619) 4385525 ,• ,,. . .. •, -- ., . -a - . . -_ - JOB ADDRESS • AV. ST. RD. NEAREST CROSS ST. y DATE OF APPLICATION BUSINESS LICENSE ad , .VALUATION PEpMlTNUMBERT c-1r2g E7 -Ae-1 eec,1 1 // Oi,.&( ,4/., , - -•-- ' ' . ' ZoNE'. LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. C6NTRACTO CONTRACTORS PHONE - - ' &W jec/,, 9''2O2r/ -" ' •. : OWNER'S NAME OWNER'S PHONE PLAN 1.0. ad A '- • vi BUILDING SO-FOOTAGE n AMP 5 11 CONTRACTOR'S ADDRESS • LICENSE NO. '' ' c,O-ysacs- . , • DWNERS MAILING ADDRESS ''a' -' -• .': ?S2S PL.2,4 cNO )o2 ER I C ,4/o,.le C6ç/' DESIGNER'S PHONE DESCRIPT ONOF WORK a , 74/ DESIGNER'S ADDRESS LICENSE NO. OO —S • F (P F LR ELEV. NO - STORIES, lb v" A9,s'ñ,j/h. e e #o eX'J7"i Z-vEJ *ND+----- a -!, • 0CC OP EDU . C ' - - - • 'CENSUS TRACT 'OP LAND USE' PARKING ACE RE UNITS 'GRAOINGPERMITISSUED •. REDEVELOPMENT • TYPE , DCC LOAD FIRE SPR 'd. AREA •; ND , ' CONST _'. a- i'.-" - , ' - - Y(:] NO • - ,a -, -. - •. - - ,s.•. - Not Valid Unless Machine certified - 0 N 0 - QTY - - - - PLUMBING PERMIT ISSUE SID . , QTY . - . - MECHANICAL PERMIT ISSUE - •.. - ' 0' • r-- - - - . -' SUMMARY/ACCOUNT NUMBER ' - . • - - - - • -• - g - EACH FIXTURE TRAP '• - •' INSTALL FURN. DUCTS UP TO 100,000 BTU • -. . - - BUILDING PERMIT -. 001-810-00-00-8220 - - -. - .• EACH BUILDING SEWER ' - - - ' . ' • • - OVER 100,000 BTU .s. - - . SIGN PERMIT • 001:810.00008221 - , - .• -• EACH WATER HEATER AND-/OR VENT - • , - BOILER/COMPRESSOR UP 103 HP • : ' . . PLAN CHECK - - 001-810-00-00-8806 - - - . •• - EACH GAS SYSTEM) 104 OUTLETS' • - - , " - / -BOILER/COMPRESSOR 3.15 HP - - . 7 - TOTAL PLUMBING 001-810-00-008222 EACH GAS SYSTEMS OR,MORE - . - / - - METAL FIREPLACE '. - • -.' j.. ELECTRICAL • - 001-810-00-00-8223- - I. EACH INSTAL.. ALTER, REPAIR WATER PIPE -/ , VENT FAN SINGLE DUCT - ' : a MECHANICAL .. ' 001-810-00-00-8224 ' • ' ,. EACH VACUUM BREAKER . - . - - ,.- ' MECH EXHAUST -•H000/OUCTS -'- •*- MOB)LEHOME- - 001:810:00.00.8225 - - - WATER SOFTNER • ' - , '- RELOCATION OFEA FURNACE/HEATER -. '__ -MOB)LEHOME PARK INSP - - '-'. • - ' - EACH ROOF DRAIN (INSIOE) • -- . % -' -. - ' - -- SOLAR - 001-810-00-00-8226 • , . - - -.t. • - . • . TOTAL MECHANICAL - , . . - , - . • - - - - - - STRONG MOTION - • -• 880-519-92-33 - • - a tOtAL PLUMBING - - ' I, ' a.':. - FIRE SPRINKLERS -' 00181000008227 ' - UBLICFACILITIEFEE 332-810-00-00-8930 QTY ELECTRICAL PERMIT ISSUE QTY SOLAR ISSUE CONST SWT/8KR 5. - , NEW - - _3 a COLLECTORS - — - - , - a • - ) SCHOOL FEE - DISTRICT tPH 3 P , • STORAGE TANKS',- - - Carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE - / EnCInliaS vj, - • IPH2, -. -3 PH"'- -• .. - --PUMP '.'' - ' /. - SanDtegii)o ' . -• -RE MODE LJA LTC R PER CIRCUIT , ''' ' '. ' - PLAN CHECK FEE" -- _-__4' _/_- .SanMãioS '----• -•-v5-_a — TEMPPOLE200AMPS S 1 - _____________________ -- OVER 200 AMPS - _- ' -- . - --, LICENSE TAX 001-810-00-00-8162 .41 TEMP OCCUPANCY (3O'OAYS)-: -. ' "' __•1f_ .'1)F_j. __880599257 - . - - ..•B - - - .--'- CREDIT DEPOSIT .--.- - - TOTAL ELECTRICAL I TOTALOLAR 1 - TOTALtmFEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - Eapirario al , n. Every permit issued byre8uilding Official under the provisions otthis -. * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER re by limitation and become null and void. If the building or work - 50" DEEP AND DEMOLITION OR CONSTRUCTIGN OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE athorced by such is menced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or II the buildin odkthozed by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time a?tecAhe work is commenced for a period 01180 days. - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIG R * OWN - -E KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND - - - - - 'a - CONTRACTOR 0 APPROVED - VEOBY - . DATE GRANTING.OF WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE THIS PERMIT. - - BY PHONE 0 -' ---' i - ' . '- -'• - -•' • 'I - -' 4 . - - - •, —• - - - . . - . ' •' •- a.' S - - •,u. TYPE I DATE INSPECTOR BUILDING FOUNDATION. REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LI FLOOR LI CEILING SHEATHING 0 ROOF LI SH:EAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO LI P1/CO UNDERGROUND DWASTE LIPWATER TOP OUT 0 WASTE 0 VfATER TUB AND SHOWER PAN GAS TEST LI WATER HEATER LI SOLAR WATER ELECTRICAL LI ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPORARY. LI BONDING LI POOL MECHANICAL LI DUCT & PLEM., LI REF. PIPIJG HEAT - AIR COND. SYSTEMS I \.... .'. VENTILATING SYSTEMS . " . ( •. ..-. .-., CALL FOR FINAL INSPEC11ION WHEN ALL APPROPRIATE ITAiC' A LI A A FINAL PLUMBING ELECTRICAL MECHANICAL GAS r. BUILDING .. BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD . REQUIRED SPECIAL INSPECTIONS ., INSPECTORS NOTES . INS-PECT!ON REQ. IF CHECKED INSPECTORS APPROVAL DATE ... - -.• - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000-PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE . FIELD WELD MG HIGH STRENGTH. BOLTS — * SPECIAL MASONRY PILES CAISSONS . 5- - -. ,. -.-• '-- _____ .-- .•5_ -\ ..•-S .;,- \.••,• .- ,.'-. - .•.-. . I -- - -,-•\ ) .. ' -- I - '. - - , . - . _________ so '• S - . - s-I - - .. . . .' - - '- . .•. s1- , + - BUI L D I N G PE':.RM I T. •Permit No: CB900823. '07/02/90,14:22 - . • 1 Project,No: A9000928. Page 1 of 1 DevelopmentNo JobAddress 2525 EL CAMINO REAL 4 Str - Fl Ste ,Permit Type COMMERCIAL TENANT IMPROVEMENT I 24 07/02/90 .PârcelNo:156-302--09--00,. ..-..- •-. ' '- H Valuation 19,250 & \çonstruction Type VN '- * OccupancyGroup: B2 .,Class..Code: - • Status :'ISSUED.. •" Description 1000 SF TI SUITE 141 Applied 05/18/90 THE AP • '- .'•• 'Apt/Issie'.- / Validated By ,CD 1 . ,CONTRACTOR 'F.ISHER DEVELOP. INC Ljc. C N0 . t- 415-467-29f0 1485 BAYSHORE BL -------... 'SAN FRANCISCO, CA4124 *** Fees Requii-ed **/' &'. Credits Fees 1,0h oo' l4ç'i2 ---------------------------------- Adjustments / ooS) Tota]Crits\ 00 p 'V:Totai Fees:. .*..ii034 .00 Tot P,iTerits N r.*337rJO1 I d_ a 1n c'bii'e 697 00 F e descrikti,on :1 •. Units \ Ee/Uñ .... E€' fe Data ----------------- .;-ui1àin 'ermit \• 207,00, . .'•P1ahChek' . (1 •At' C1: 135.0O...,', Strong Motfon Fee /' <jJ 31.00 Enter Y' to Autocaic License Tax > L2I Ii 1 I 674 00 1 *.'BUILDING TOTAL '\ \-'...X1i11! 0 / 1019 ob Enter. "Y e' for Plumbing Issue eeX">I III / - /. . Enter "1" for Elect\ric issde Fe'J , / '' .5.00-.Y -1: ELECTRICAL -TOTAL' (.$,10 Minimum,)' o ). -- .. .. • . •' .• -. •• A. 4 . 71, 4 4 1 4 - .*•j. .1 1 . •_•I. .-- •. • •r 4.- .,:'-' c-. ,- II .- I. • * I tMSP - I CITY OF CARLSBAD4 2075 4Las Palmas Dr Carlsbad CA 92009 (619) 438-1161 r 1 • . • I -• I • • 4. ,• 3* I - I . - • . - ;. . - -. . '. .; • . . -• - I • • • ••. . • 4+, . • -: - . I _••4._ * PERMIT APPLICATION City of Carlsbad Building Department 2075, Las Palmas Dr.., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - ,'COMMERCIAL UNEW _,1ENANT IMPROVEMENT B - 0 INDUSTRIAL DNEW OTENANT IMPROVEMENT C - DAPARTMENT [—]CONDO OSINGLE FAMILY DWELLING D ADD ITION/ALTERATION [-I DUPLEX DDEMOLITION [)RELOCATION OMOBILE HOME []ELECTRICAL []PLUMBING - MECHANICAL DPOOL DSPA DRETAINING WALL OSOLAR 2 EST. M PLAN CK DEPO;IT _z f-2 VALID. BY DATE )6! 05/18/90 0001 ( C-pRMT' 337-00 i4dress .C_4rsiIt'IO kE-PrL_ BuiLqng'r Suite No. CL8,b ,cA- 9,-co /V Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. LW IF SUBMITTED CHE Energy Calc221 02 Structural Calcs 02 Soils Report %%dressed Envelope ASSESSORS PARCEL EISTING USE PROPOSED USE DESCRIPTION OF WORK - BLDG. SO. FIG. I )# OF STORIES / 'CONTACT PERSON NAME P J L34) Pj,rv*i ADDRESS / CITY 0 STATE Z CODE f'c? /..3c" DAY TELEPHONE APPLICANT 0 16NTRACTOR SIGNATURE ,ENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER ADDRESS CITY STATE CAL ZIP CODE 3 , DAY TELEPHONE cá2O - PROPERTY OWNEV OWNER DLESSEE 'NANT NAME ADDRESS OO Qjq CITY STATE (f/-_ ZIP CODE DAY TELEPHONE CONTRACTOR C' ADDRESS NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #')i7'I LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE ,-, _s _____ TITLE DATE -I8-j DESIGNER NAME ADDRESS 700 .3- CITY YYti"j) STATE (d1-ZIP CODE- 9 C/cl/U ,L DAY TELEPHONE (c/, ç-7q -~"7-, STATE LIC. H _______ 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 5—/s OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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. 7064, 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, Businessand Professions Cede: 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 riskmanagement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES Is the applicant or future building occupant requirX obtain a permit from the air pollution control district or air quality management district? DYES NO -f Is the facility to be constructed within 1,000 fee o the outer boundary of a school site? DYES E] 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 REQUIREMENTS 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 3097(i) 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. JUDGMENTS, COSTS AND EXPENSES WHICH PRAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - - Expiration. Every permit issued by th Building Official under the provisions of this Code shall expire by limitation and become null and void if thebuilding by such is not commenced within 180 days from the date of such permit or if th buildin or work authorized by such-.permit is suspended - - or work authorized permit or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform uilding ode)' •" -'--,. -? , CANTSSIGNMURE DOWNER RACOR DBYPHONE/f/Q APPROVEDEY WHITE: File - YELLOW: Appliäant PINK: Finance City of Carlsbad Building Department' DATE: 06/18/91 PERMIT NUMBER: CB900823 ISSUE DATE: 07/02/90 LAST INSPECTION: TO: PRECISE PERMITS onk P.O. BOX 80861 PLEASE CALL FOR AN INSPECTION SAN DIEGO,CA 92138 IF WORK IS COMPLETE RE: BUILDING PERMIT EXPIRATION ADDRESS: 2525 EL CANINO REAL Our records indicate.that your building permit will expire by limitation of time on 07/02/91. The provisions of UBC, Section 303(d)state: "EXPIRATION. Every permit fssued 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 one calendar year, from the date of such permit, or if the building or work authorized by such' permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the building official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob-, tamed a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such ,permit. . Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal peñdt may be obtained provided: . (A) No changes have been made or will be made in the original plans and specifications for such work. (B). That the expiration has not exceeded three years from the original .issuance date. That the same edition of the model codes is in effect as used in the initial plan check. . . That a fee equal to one-half the amount required for a new permit be paid. The renewal permit shall expire three calendar years from the date of initial permit issuance. . 2075'Las Palmas Drive ,. Carlsbad, California 92009 • (619) 438-1161 74. -. • 5' B.U.I L D I ['I G P E R MI T'5 Permit.No: CB950403 -4 .1 03/20/95-16:07 ., Project No5 :; A9500248 Page 1 of 1 . - -; Development No:, Job Address: 2525 EL CAINO REAL .Suite: 141 . V Permit Type: MISCELLANEOUS. Parcel' No: &156_5302_09_00 •' Lot#: 1131 03/20/95 0001 01 02 .' Vathation: 0 . CPRMT 30.00 Construction Type: VN - - - V OccLtpancy Group: B2 . Reference#: - .• --' Status: ISSUED Description: DEMO TO EXPAND THE LIMITED •' , Applied: 03/20/95 Apr/Issue: 03/20/95 ..Entered By: DC Appl./Ownr, : SMC V - 619 282-75454 V V ' 2920 HOPI DRIVE . - V ZF' __ Adjustments ' o /" \ 00 Total Fees: 3.00/ S. •oo ' 1. V Balance Due: 30.00 4. -------------------- - (_ ----------------- 0 -----Da t Miscellaneous!'Fee *1 > .o ' \L 1952 - - INCORPORATED 41, PPROVAL : - • VV - V - V V V •: : -: - V /CL EARAj DATE - - ' CITY OF CARLSBAD V V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - V 1 f - PERMIT APPLICATION City of Carlsbad' Buitcling Department 2075 Las Patums Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: PLAN CHECK NO.cre5- / - Vo3 EST. VAL PLAN dC DEPCSFF_______________ VALID. BY DATE For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY S72-5 EL. (Pi1V'.pjP iilding or Suite No. Nearest Cross Street 44-ii '7 LEGAL DESCRIPTION Lot No. subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITrED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report Dl Addressed Envelope RIPTI9NOFWORK C SQ. FT. # OF STORIES I # Q-DR)OMg .D.'L1'IIP.OQMS "2.. NAME (last, name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT U CONTRAGIUR U AGENT FOR CONTHACIUR DOWNER U AGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CORE DAY TELEPHONE PROPER1YOWNER fl11 ADDRESS I I fl W t.L AME(lè'firs" CITY 1- STATE C'I I ZIP CODEZ.S" DAY TELEPHONE .JJ i 4 a NAME'(IUii'ame first) 'I'' • '-' ADDRESS 2—'i -.O e CITY STATE ZIP CODE DAY TELEPHON2) 2.Z - STATE UC. # UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' COMPENSATION 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 POUCY 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 DECLARA11ON Owner-Builder Declaration: I hereby affirm that 1 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 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 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 [$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 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 0 N 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION (X)N11IOL DISTRICF. CDNSThUCIION 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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CEKI1FICAT1ON 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL IJABIU11ES 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 5,0" deep and d Expiration. Every permit issued by the Buildi9(ial un'the provisi building or work authorized by such prmjx npçoJnme tI wihj 365 such tiermic is susoended or rife wQfk4s corn or construction of structures over 3 stories in height. Code shall expire by limitation and become null and void if the th date of such permit or if the building or work authorized by period of 180 days (Section 303(d) Uniform Building Code). DATE: 0