HomeMy WebLinkAbout2525 EL CAMINO REAL; 143; STE 143 PRE 2016; PermitMODEL NO.
BUILDtG PERMIT APPLICATION
City of CARLSBAD,
Phone
CALIFORNIA 7/12/799473 02"400 EIR prJ fl
729-1181 peíIoT__________ - Applicant to complete numbered spaces only
9
JOB AOOR ESS 'ASSESSOR'S
PARCEL NUMBER
LEGAL 1 DESCA.
LOT NO,
I I BUT I I I
I TRACT I (SEE ATTACHED SHE
MA L ADORES S P Z PHONE
2 ,/7 ,tc,9tZ2a V' i779 4 r 13Y
CONTRACTOR MAIL ADDRESS PHONE STATE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS
7;9i/ 7%d,e $72 'V 4~2,Q
PHONE
c3lc/il4
LICENSE NO.
4.
ENGINEER MAIL ADDRESS
5 -
PHONE' LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
6&gvf
BRANCH
USE OF BUILDING 4
c',41E9 5T'Z1 /'E NO. BORMS - NO. BATHS_________
8 CIassof work: LI NEW >dADDITION LI ALTERATION LI REPAIR LI MOVE LI REMOVE
9 Describe work: i/fG O F Xfdi. J v7 ?OsZ
e/
10 Change of use from . E (
Change of use to
11 Valuation of work: $ PLAN CHECK FEE $
OL
SPECIAL CONDITIONS: . Type of,..,-.
Con st . 4 ,-./
OCCUParICy
Group
MICRO FILM FEE
-
Size of Bldg.
(Total) Sq. Ft.
No. of .
Stories
Max.
0cc. Load
Fire .
Zone
Use
Zone R ire Ll ,pifd. ve/ LINO 'ONACCEPTEOBY, AP LIJA
.OAjE
PLANS CHECKED BY EF VISSUANCEBY
N o.of
"Dwelling Units
OFFSTREET PARKING
No. No .
I(Covered
I
'Sq. Ft. Open
( NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. -
I HEREBY CERTIFY THAT .1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN. OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNATURE OF CO A FOR FDA FE I
0 HER (IF OWNER BU (DATE) ILD T'7
WHfr"PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $/ ?2_
REQUEST FOR INSPECTION TIME:_________
INSPECTOR______________________ PERMIT NO. • ' DATE: _
/
OWNER 1 -
ADDRESS g '
BUILDING BUILDING
'El FOUNDATION
El REINFORCING STEEL
EJMASONRY
ElGROUT - GUNITE
El FLOOR AND CEILING FRAME
El SHEATHING
El FRAME
El EXTERIOR LATH-
El INSULATION
El INTERIOR LATH OR DRYWALL
FINAL
PLUMBING -
El UNDERGROUND, PLUMBING
El UNDERGROUND WATER
El ROUGH .PLUMBING
- El TOP OUT PLUMBING
- El SEWER AND PL/CO
El TUB OR SHOWER PAN
El GAS TEST
El WATER HEATER
El FINAL
I ELECTRICAL . - 1
El TEMPORARY SERVICE
El ELECTRIC UNDERGROUND
El ROUGH ELECTRIC
El POOL BONDING
El ELECTRIC SERVICE
El CEILING HEAT
El G.F.I.
El SMOKE DETECTOR
El- FINAL .
sl
MISCELLANEOUS • -
El PLENUM AND DUCTS
El COMBUSTION AIR -
-ED PATIO • -•
El SIGN -
Cl GRADING
El DRIVEWAY
El CONDITIONED AIR SYSTEMS
El REFER PIPING
El FINAL
READY FOR INSPECTION: 0 MONDAY 0 TUESDAY DWEDNESDAY, 0 THURSDAY 0 FRIDAY
- DA.M. • .•
0 P.M.
SPECIAL INSTRUCTIONS -
REQUESTED BY PHONE NO
- -
PERSON TAKING REPORT_________________
>
o PLUMBING PERMIT APPLICATION
City. of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit .2. 7 JOB ADDRESS
*
LEGAL I DESCR.
r LOT NO. I BLE _7 I . I
ACT I
MAIL ADDRESS ,. ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE 1' STATE LIC. NO. "CITY LIC. NO.
3 el I
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONE LICENSE NO.
ENGINEER . MAIL ADDRESS
5
. PHONE LICENSE NO.
.
COMPENSATION (NS. CARRIER MAIL ADDRESS BRANCH
/cS 6 S Y.
USE OF BUILDING
7
8 Class of work: LI NEW LI ADDITION 0 ALTERATION LI REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: liZ WATER CLOSET (TOILET) -
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
,#7 I DISHWASHER
- - APP O1 ev PLANS CHECKED BY JAPPROVED FOR ISSUANCE BY.
OT E
LAUNDRY TRAY
CCEPTED
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC.
TION. AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-
-
URINAL
- DRINKING FOUNTAIN
.....
FLOOR—SINK OR DRAIN
jI SLOP SINK
GAS SYSTEMS: NO. OUTLETS__________ - -
-
WATER PIPING & TREATING EQUIP.
- -
WASTE INTERCEPTOR
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
VACUUM BREAKERS
- -
LAWN SPRINKLER SYSTEM
. SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT.
ROOF DRAINS
IIGNATUREOF CONTRACTR..OR'AUTHORIZEO AGENT (DATE)
ISSUANCE FEE $
. TOTAL FEES $ - -
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
. . . WHEN.PROPERLY VALIDATED (IN THIS SPACE)-THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH . PERMIT VALIDATION CK.
. •
.•,- ' , .............................
INSPECTOR
M.O. • CASH
,-
O116I19F1 .5a lP
- ELECTRICAL PERMIT
City of CARLSBAD, CAUFORNIA 92008
'Applicant to complete numbered spaces only. Phone -7 29-1181. Permit No.
gi -c
LEGA
JOB ADDRESS
/.
WHEN PROPERLY. ,VALIDATED'(IN'rHiS SPACE) THIS-IS:YôUR'PERMIt'.' - .:- " ,-''-.'-• -
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M.O.CASH
S ' •. , • -
4
.1 '' , ' • . - . . - . . S - • S '•, • S - '4 , •_
-I
INSPECTOR S ,
-
1
LOT NO. 3
- ..
BLK. -''' TRACT
.,
. (C)SEE ATTACHED SHEET)
OWNER. MAIL ADDRESS ZIP PHONE
2
.
CONTRA C.1' ., .. MAIL ADDRESS QAD STATE L-IC. NO. CITY LIC NO. .fIk eidmo
ARCHITECT OR DESI NER MAIL ADDRESS PHONE LICENSE NO
4
ENGINEER - MAIL," ADDRESS PHONE LICENSE NO.
5 .-.. .. . .
COMPENSATION INS. CARRIED MAIL ADDRESS - BRANCH
USE OF OF BUILDING S
1
8.- Class otwork: %NEW '0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: . .
- :-, PERMIT.FEES
,
SWIMMING POOL WIRING, -'
No. Each Fee -: •,
SPECIAL CONDITIONS:'.,
NO INCREASE IN SERVICE ..
NEW . CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE SWITCH APPLICATION ACCEPTED BY: PLANS CHECKED BY:, CE BY: AP FOpU7 FUSE OR BREAKER
I/ /7 DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE J NOTICE . f IN MAIN SERVICE 4 J , SWITC-S
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER 411) '.TION AUTHORIZED IS NOT COMMENCED WI-THIN 120 DAYS,OR IF .
'5 CONSTRUCTION OR WORK-IS SUSPENDED OR ABANDONED FOR A ' . .•
'PERIOD OF 120 DAY AT ANY TIME AFTER 'WORK IS COM- REMODEL, ALTERATION, NO CHANGE
'MENCED. 1 IN: SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I' HAVE READ. AND EXAMINED THIS INCREASE 'APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER-SPECIFIED
'HEREIN OR NOT, THE GRANTING OF A PERMIT DOES. NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ' TEMP. SERVICE UP TO-AND ,INCLUD-
.
PROVISIONS OF ANY OTHER STATE'OR LOCAL LAW REGULATING ING 200 AMP. 's CONSTRUCTION OR.THE, PERFORMANCE-OF CONSTRUCTION. "e,
• TEMP. 'SERVICE OVER 200 AMP.*
. . -..,• . I PER 109
,
SIGNATUREOF CONTRACTOR OR AUTHORIZED AGENT (DATE)
- . . ISSUANCE FEE
..TOTAL.F.EES .. ' .'','',. , . ', ' . .,........,.' . SIGNATURE OF OWNER (IF OWNER BUILDER) . . (DATE) . "
51N5A'flJflt 0 s iijn n fliJflWflI tii fliflENT (DATE)
ISSUANCE FEE
TOTAL FEES $
-_::- . SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT _•__
• PLAN CHECK VALIDATION cic. M.O. CASH PERMIT VALIDATION CK:. - M.O. CASH .
14•
4* +.
1414 'I - -t - - - . I - -- • ? - - I - -- * ,I • . ., . . . - -. • . • i -
----Ii .*.i.I*T*. $'4t - _*..-*_.-. - - .. -- _ , -. -. ..— • • .................... ., - .. •, I. #. t... * 1..i.l4I4.1
JOB ADOR £55 - sq
2525 p[j (xn1flo Real Space #1i3, irtsfàd, Ca. 908;
LEGAL DE SCI 1.
LOT NO BLA TRACT .- J 1 1
- - .-..(SEE ATTACHED SHEET) - .
-
-
. -.
.
-
- . •. : -. - •'..
- - '-' - . • .•
OWNER MAIL ADDRESS ZIP . - PHONE ;.
2 17 Central Jt., Riverside 11f. 92506 iW) I
,
CONTRACTOR - MAIL ADDRESS PHONE f. 3 ,StATE LIC. NO. CITY LIC. NO.
3-th Sheet Metal Wor 404-14th Stet San Die,. Cali 91 15'1209'
ARCHITECT OR DESIGNER . 1 'I MAIL ADDRESS PHONE - LICENSE NO.
4 y10r ¶1y1or StaTe De si 822 N. Dod orth,Qvina, C1J.i912
ENGINEER . . MAIL ADDRESS . PHONE . ,..' 14 LICENSE NO. .
', 5
LENDER - . . MAIL ADDRESS BRANCH ,'-
6 -
.. . . .1
USE OF BUILDING t. . .
........saleè .:. . . •'.
-.. ..
8 Classofwork DEW DAODITION ALTERATION
. . . .
REPAIR - .,. II
'
'
ki 9 Describe work Itau split system beat and bathroan ehast fn. pimp
-t
Type of Fuel Oil fl Nat Gs D LPG D
PERMIT FEES: . -. • -{
SPECIAL CONDITIONS: No. Type of Equipment " ); . ,Fèe-
Air Cond. Units—H.P.Ea. .,. . •.
:txr
- 1 Refrigeration Units—H.P. Ea. Z
B6iIersH.P. Ea. •' .
- Gas Fired A.C. Units—Tonnage Ea..
Forced Air Systems—B.T.U. M
APPLICA7NJACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems—B T U M Ea 4.
Floor Furnaces—B.T.U. M ...- ,. -J) Wall Heater—B.T.U. M
NOTICE - UnitHeters—B.T.U. .- . M S. .
Evapbrative Coolers 1 . . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
I TIONAU-THORlZEDIS NOT COMMENCED WITHIN 1200AYS.ORIF -.
V CONSTRUrION OR WORK IS SUSPENDED OR ABANDONED. FOR A Clothes Dryers
PERIOD' OF 120 DAYS AT ANY TIME AFTER WORK ISCOM- 1 Ventilation Fan . -. .. ••-. . 00 4MENCE-D./ •. . . - Hood . Range - . - - - — iHEREBV. CERTIFY THAT I HAVE READ AND EXAMINED THIS
Air Handling Unit— C.F.M.- . -• — —
IIAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. OF LAWS AND ORDINANCES GOVERNING THIS T LL*PROVISIONS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
- -• . . PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
. : .. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
E --
. " 1
SZ1, .E f
j/t1977 MECHANICAL PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008
Applicant tocfflete numbered spaces only. Phoné7 29-1181 - r?o
?I43
INSPECTOR
NVIRONMENTAL PROTECTION REQ:
- ccLi r•
ADDITIONAL COMMENTS:
INTERDEPARTMENTAL INFORMATION SHEET -
BULDING DEPARTMENT DATE:
BUILDING ADDRESS: P0s R E
PLANNING DEPARTMENT
ZONE LOT SIZE
UNITS ALLOWED__________________
PARKING SPACES REQUIRED
, %. COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
1 TI E fl TI fl TI TI TI A
urr' OF CARLSBAD
Depame ml-
LOT WIDTH_________________
UNITS PROVIDED -
PROVIDED______________________
- PROVIDED
-
PROVIDED
SIDE SETBACK: REAR SETBACK:
ALLOWED,
PROVIDED________________
INTRUSIONS
LANDSCAPE .& IRRIGATION PLAN COMMENTS:
OK TO ISSUE: Y DATE _oic TO FINAL DATE "
ENGINEERING DEPARTMENT 3 42
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS_______________
SEWER CONNECTION DRIVEWAY LOCATIONS__________________________
GRADING PERMIT " EASEMENTS
- DRAINAGE___________
TFaAT. fl1SRTPTTflN
-A
FIREDEPARTMENT )pep
S-PRI'NKLING ,CZ) FIRE PROTECTION EQUIP .,jy
FIRE ALARMS EXITS__________________________________
FIRE. HYDRANTS. _LOCATION ..
ADDITIONAL COMMENT S - 1) - /
OK.TO D AT' E i/-79_'9K_oFINALQ
,\
_DATE
WATERDEPARTMENT
EQUIREMENTS OF APPROPRIATE DISTRICTS MET ___DATE___________________
77/5
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT - 'r ' '''-APPLICATION& PERMIT - - CBS 2075 Palmas Dr., Carlsbad, 92009-1915 (619) 438-1161 - -- . - --
.108 ADDRESS x, - - - AV. ST.RD. MAS BROS NO DATE OF APPLICATiON BUSINESS4!I(NSE V LUATiON PERMIT NUMBER
Ij frL / —31 —
J
LOT
J
BLOCK J'SUBDrVISION 8 ASSESSOR PARCEL NO. - CONTRACTOR - CONTRACTORS ONE ZONE,,_,
OWNER'S NAME N " )f.f ,5,,\ & 7 OWNER'S PHONE
- BUILDING SO. FOOTAGE - CONTRACTOR'S ADDRESS STATE LICENSE NO.
0 S' -
o . - -- '- '-------" - -'
- OWN E,R 'S MAILING ADDRESS -
- DESIGNER I DESIGNER'S PHONE
DES I PT ION F WO R K-
1'- DESIGNER S ADDRESS,,. - - ,. STATE LICENSE NO -
___-_ - 8616 07/31/89 0001 01 02
- -
B1dP1flt --' - 95100 /p NO p j EDU
- , STORIES
-- .- - S _________________________________ - '-,-5---- YDNO
- SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - TYPE 0CC LOAD FIRE SPR - --t------1-CENSUS TRACT -[PARKING
' '$' ---'-- AREA ' '----- CONST'
, N)J '1 ' YO N 0 yD Not Valid Unless Machine Certified
PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
- EACH FIXTURE TRAP . INSTALL FURN. DUCTS LJPiTO 100.000 B3J , BUILDING PERMIT 001'810-00'00-8220
EACH BUILDING SEWER " . -- •- - - , - - - - OVER 10O,D(ëTU -- - --- ------- ---SIGN PERMIT - -, - - ---001-810'00-00'822'1-
'-EACH WATER HEATER AND}W VENT BOILER/COMPRESSOR UP T94P PLAN CHECK 001-810-00-00-8891
'EACH GAS SYSTEM'l'T.,(OUTUE'TS I - BoILER/CoMPRESSoR.4cHP ; , TOTAL PLUMBING 00'810'00-00-8222
- '-EACH GAS SY-STE OR MORE'—g -. - .4-. METAl.FlREP-LAC '-----. . - I' - ', - ELECTRICAL - .--- -00-1'810'00'00-8223'- -' -- -
EACH INSTAL,4tTER, REPAIR-WATER PIPE - -. VENT FAN ,, OLE DUCT - . MECHANICAL 001-810'00-00-8224
EACH V UM BREAKER - MECH XHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
- WAffR SOFTNER , ' -- ,, , RELOCATION OF LA FURNACE/HEATER t - .-_- - --SOLAR - - - .-001'8.10'00-00'8226 ---- - --
EACH ROOF DRAIN (INSIDE) - ' DRYER VENT I .,. STRONG MOTION - 880-519-92'33 '
TOTAL MECHANICAL
-
'
-
- ' ' -
-
- FIRE SPRINKLERS---- ---'001.810:0006.8227
- -' TOT AL PLUMBIN& I PUBLIC FACILITIES FEE - 320 810 00 00 8740_ - ----
--
QTY.
----- -. - r - -'- -• ' , °°J -
ELECTRICAL PERMIT. -4 ISSUE
- °" OTY.
-
MOBILE HOME SETUP
BRIDGE FEE 360'810'00'00'8740
"I '-T''' '..'-"PARK-IN-LIEU(AREA'
NEW CONST LA AMP SW1 BKR I CAR PORT I TIF 312-810-00-00-8835 - --
I PH 43P1t' frO&.i.4l ' Ir5O AWNING - . ' . LA COSTA TIF 311'810'00'00-8835
EXIST BLDG EAAMP/SWT'1T'F'" '"-'". -" GARAGE''"-FMF'
.1 PH 3 P , OH - - . . LICENSE TAX ' 001-810-00-00-8162 -- -
'REMOOEL'ACT'R''PER' C1RCtiIT"1 ' t -b • MFF 880-519-92-57
TEMPPO'LE200AMPS""'" .-•-""''.',,-- .-- ---.-.-- _-----'------- --'---- ---.---.----------------•------- - ..--- -.
..—.-.-OVER-200AMPS .,,e-' "tb
TEMP OCCUPANCY (30 DAYS),,
- I .- ----, -. - - . - ---• .. - - -
TflTALELLLTRILAt TOTAL:
-
TOTAL FEE BLE ..,::i'i - -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Eopiratron Every permit IssuecabyfheBuildingOff cr81 underthepronls provisions * PERM T IS REQUIRED FOR EXCAVATIONS OVER -
CERTIFY UNDER PENALTY OF, PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ire limitation and become null and void. tithe building or work
authorized by such permit is not commenced within 180 days from the date of such W5-~'*EEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 5 permit. or if the buildina or by such p:rrnrt IS ISSUED: TO COMPLY WITHCITY. COUN1Y AND STATE LAWS Gos/ERNING BUILDING CON suspended or TURES OVER 3 STORIES IN HEIGHT
-ALL abandoned at any limealien Ihe work is commenced foraperiod
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND LICANT,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS S SIGNATURE OWNER 0 ' - ' APP CONTRACTOR 0 VED;
of 180 da
V
EXPENSES WHICH MAY IN:ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
GRANTING OF.THIS PERMIT --
OF E - BY PHONE 0
- - USE BALL POINT PEN ONLY & PRESS HARD
Jr
- F:- 0
..0-I'liereby affirm that i am licensed under,,,,,,
yC) Ne Provisions of Chapter 9 (commencing with I?r Section 7000) of Division 3 of the Business,,,,,, i.
and Professions Code, and my license is In
—0 L,,fuii force and effect.
k9 hereby, that J, am exempt from the Contrac-
- or's License Law tor,the following reason (Sec. 7031.5 I ',,Businessànd Protessions Code: Any city or county whicl'. re- - quires a permil.to construct- alter. improve,- demolish. or-- 1
it repair any structure, prior foils issuance also requires he ap-
(plicant for such permit to rle a signed statement that he is
ticénsAd pursuant 'to, the Provisions of the Contractor's
License Law (Chapter 9 commencing with Section 7000 01 i Division 3 olIhe Business and Pruiessions Code) or that is ex-
empt therefrom and the,basis for the OtiOgeo enemytionaAny.
violation et Section 7031.5 by an applicant lot a permit sub-
jects the.apprcaot to a cinil:penatty.nl notmere than tine hun-
- dred dollars ($500).
I. as nwfler,vI the property. or my employees with wages -
A, las theitsote Cotnp005ation.: will do the work, and the struc-
" lure is not intended nrOlfered Or sale (Sec. 7044. Business I
and Ptotessions Code The Conlractor s License Law does J not apply: loan owner. Lprnperty whOboilds orimproves
- .__.. lherenn and who does such.wnrk.himsell or through-his own 1. 2 " employees. provided that such improvements are not intend, see e or oller'edrtor sale: It, however, thebuilding or imprnve-,,..,,,
Z
d
meitl isOold within 000yearot cnmplelion.theowner-buitdOr I
will have the burdenOl prnning.thatihe did not build or im-
ptone-tor-the purpose of salej.'----'--- .---
--
- l 1 I, as owner of the property, am exclusively contrvctivg With licensed contractors to construct the project (Sec. 7044, - Basines's and Profession s_Cnde: ,The -Conlracter's License
- Law does not apply to an owner 01 property who builds or im
I thereon and who contracts br each projects with 'a
contractor(s) license pursuant to the,Cnntracter's license
NC(
"' Lawk •'.,,, I 2EIC'()il'-a rIc, i- - '1 As a homeowner I am improving my home, and the totlow-'- -I 4— - -'ing conditions eoisl:4 ,- n_2111..'e ,fl I, " ,. b, The work is being- pertormAd prior to sate. -
'2.-i have 'lived in, ',hOn)elhr,:twOlve months1
C) prior to completion 01 this work. -
W ,u. I. have- not, ctaimOdlhis exemption - during - Ihe. 0 last three years.
01 am'exempt'under Sec'' -. 'B& PC: -i ¶ (VtorIhio'reason-Tr' -- .-x p-. tS-%
-' '-Lt V 'tiD-kCE8 o
- - -Q'- I hereby alum, that I have a certificate of consent to --
sell insure.o a cart tcateot porkers' Compensato ln
- - - - .'sara'nOe. or a certitied copy thereot (Sec. 3800. Labor Code) -
E
COMPANY -
" ... Copy is tiled with the city. - ..
- -
0Certified cop.uy is hereby furnished i see 0 -
840 'tJ r')' - CERTIFICATE OF EXEMPTION. FROM
C) 'WORKERS'COMPENSATtON- INSURANCE _,,__ (I) This section need not be completed it the permit i , one hundred dollars 151001 or less)
EJ - I certify that in the perlormance oi the work for which
thspemt is issued. lshall notemploy any peso rxany
'1manner so an to become subject to the Workers' Compen.
(.sAtion Laws of California, -
'. NOTICE-TO APPLICANT:j,t.-after making this CertiIicate\' C, •" ' Of Exemption. you shorrtd'become 'subject to the Workers'
Corripensátion prd'nisio'ns 01 the Labor Code, you must I
forthwith Comply with such provisions or this permit shall
- be deemed revoked. tha-, '- -' - - •. .,._.-,*. -.
' -• -
4{j tD II Ire eby aft Inn t thee s a construction lending
- - Ix agency tom the .performance 01 the wont, for which this per.
ot t4 mit isissaed-(Sec. 3097. Civil Code) -
—i seJ( Lender's Name
I .J , ,• - "
L
°4er's
-
-- - ----
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
QUNITE OR GROUT
SHEATHING 0 ROOF 0 SHEAR - - -
FRAME
EXTERIOR LATH...-
INSULATION -
INTERIOR LATH & DRYWALL
PLUMBING
UNDERGROUND 0 WASTE 0 WTER -
TOP OUT 0 WASTE 0 WATER- - -
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WATER
ELECTRICAL -- -. . --- -.
0 ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORiRY
O BONDING 0 POOL
MECHANICAL
0 DUCT & PLEM., 0 REF. PIPING
HEAT AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTIOII WHEN ALLIAPPROPRIATF
ITEMS ABOVE HAVE SEEN APPROVED
FINAL
PLUMBING
_______ ____
ELECTRICAL
MECHANICAL all
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD - - - - . - •
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPEtTION REQ.IF INSPECTORS DATE +
CHECKED .APPROVAL- --
SOILS COMPLIANCE - - - - - - -- - - - - -
PRIOR TO -- - -- - -
- FOUNDATION INSP - - . - !- - - - - - -- - -- -- - -
STRUCTURAL CONCRETE
I . OVER 2000 PSI
PRESTRESSED -• .
-CONCRETE - - - - - - -- - - -. - - --
-.POST.TENSIc3NED - - - - . - - — - -------- — ----- ------- -- - -
.CONRETE v'\> . ._*- - ------ - I -
FIELD WELDING ._. -.-..--------d- -- - .
HIGH STRENGTHI(J
BOLtS
SPECIAL MASONRY 4.- - - -- - --
- --. ------1------ --..- ------------- -1--- •'---
PILES CAISSONS - - - - - - -- - -- - - - - - - -
--. .- ---- . - - .-.-- —
______
- - -. - — — — ---- - - _-- -----.- - -
--U-.-- -
- .- . -. -_----4• ---.---- - - -- --.-- - - -.— - - - '.'..
- I
- - -- - ;• . —
--
-
• ..•. - -: - _•_ r I I
- • -,. - -- .- ,, - -.5, - -5 . - ,.-5 . .- - - •• . - - - - - - -
.
S
77.
ZT4 ______________
. .•-, -
7. 4 - -- -. -
- -- - ----
•• . Cl jS. • -4 f!.. ..
•
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-10-2O02 Electrical Permit Permit No CB021746
V v,Building Inspection Request Line (760) 602-2725
' Job Address 2525 EL CAMINO REAL CBAD St 143
.ermit Type:, - ELEC Status:. ISSUED '
..jJ'Parcei No: 1563020900 Lot #: 0 AppIiéd: 06/10/2002
Entered By JM
Reference # Plan Approved 06/10/2002
. - ... . . Issued: 06/10/2002
'Project Title:... PLAZA CAMINO REAL THE EDGE . Inspect Area I INTERIOR WALL MOUNTED SIGN
."fie 4 r ..AppIicant.
•, ..
- - •'
' %YESCO - PLAZA CAMINO REAL, "
'.C/O WESTEIELDCORP INC . . .- .. .
_i443 SOCUCAMONGAAVENUE . , ,11601WILSHIRE BLVD N8991 06/10/02 0002 01 - 02 '..
.ONTARlOCA'91761 '.. ..' LOS ANGELES CA90025 . ' . COP ' 20.00
.. 909-923 7668
;TotaI Fees: , $20.00J. Total Iayments To Date: ' $0.00 ( C jBalance Due: , $20.00 '
Electric Issue Fee / \ <$i0 00 \ Single Phase per AMP, 0 $0 00
Three Phase per AMP '- . 0 . " . $0.00 . .
Three Fhase 8O, Per AMP ' . .....I ....-. \$o.00 . .
per AMP oo
Remodel Fee'
Temporary Service Fee $0 00 -
0.0
Other Electrical Fees
0.00 Additional Fees'
'TOTAL PERMIT FEES
0
.
44
p.
4 -• .
-
r
FOR OFFICE USE ONLY-
PERMIT, APPL'ICATIdN PLAN CHECK NC
CITOF CARLSBAD BUILDING DEPARTMENT EST VAL Y
1635 Faraday Aye, Carlsbad, CA 92008 Plan Ck /
' Validated ByJ f-7/
Date_______________________________ Ii
RQJT —NF -- .. 1 I
-'ddress(includeBldg/Suite # - : Business Name (at this address). "
/ 4re.& uA-k, Cir1aA C-sr C1797 ylaol
Legal Description Lot No.'' Subdivision Namé/F.Iumber . ' nit No. Phase No. Total #of unh(s
Assessbr's Parcel # .-, ExistingUse - . '. Prbposed Use --
9 4
Description -of Work ', so: FT7 ' #f Stories '. # of Bedrooms - # of Bsthrooms
31
dIQ 1 V41t ' r -
/
.# Name 1 Address City lState/ZIp TeIehone # Fax #
CAT c6r 'A M-MMU30 77 IS J
f, 1
Name '4 , '-, Address - •- City :ate/zip . 4., Telephone
4' PRT'1 dWN • -
Name Address City State/Zip Telephone
PMCi 1Y :
(Sec 7031 5 Business and Pr1ofessions Coce Any City 6r County which requires a permit to construct alter improve demolish or repair any structure prior to its
issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged
èxmption. Anyviolationof Section 7031.5 by any'applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001)6 - '4 no Ii13 $,o k,a- OM-zc C 'Th) O92-
ame Address '4J City State/Zip Telephone # -CC '( _.U( State License #7 , ) License Class %_. -) City Business License
Designer Name '. ..', . ' Address ., -, ' '. City State/Zip `-Telephone
State License #
r L T
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations '4' 4
I have and will maintain a certificate of conent to self insure for workers4compensation as provided by Section 3700 of the Lab Code for the performance
of the work for which this permit is issued
"1547I 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 compensation insurance carrier and policy number are
lns'rance Cozipany ACT&LA&) P Policy No ?1 OOO24 a2_ Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)..
'4 a'
CERTIFICATE OF EXEMPTION I certifythat 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 sijbject to the Workers Compensation Laws of California
'••. .. '4 (.,• - '6'' WARNING .FaiI re to s re workers compensation coverage is unlawful and shall subject an employer to criminal penalties and "civil fines up to one hundred
thousand dollar 100 0 ), In addition tothe cost of compensation, damages as provided for In"Sectiori 3706 of the Labor code, interest and attorney's fee''-'- s.
- ,,
SIGNATURE _.-.• _"4 ___" __7 __.-. ___'.4_'" _• ___'4 , DATE. •:- . • '4. . •
LEAt _ "4
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
'4 a' . • 6,'' 0 I as owner of the property or my employees with wages as th'4eir 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 1 .the owner builder will have the burden of proving that he did not build or improve for the purpose of sale)'.-
El
I as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec:5044 Business and Professions Coda The
Contractor a, 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) 'a 64•,, '44- 6, ' - 9 I em exempt under Section Business and Professions Code for this reason ,
1 I personally plan to provide the major labor and materials for co'istruction of the proposed1'property improvement 0 YES ONO ' .)
2 - I (have / have not) signed an application for a building permit for the proposed work -'
6,, I,
3. l have contracted with the followingpërson.(firm),toprovide•the proposed construction, (include name/ address / phone number /'contractors-Iicense numbei):
I
4 '4 1 plan to1provide portions of the work bit I hveiuired the following-parst to coordinate supervise and provide the major work linclude name / a'ddress"/ phone
number/ contractors license number)
5 I will provide some of tle work but I havecontracted (hired) the follo4ing persons to provide the work indicated (include name:/ a'4idress / phone number / type
of work):
,q4' ' .' :-':'-, '4''I*,,, : '7'. ,' 6 - •- •'•
" PROPERTY OWNER SIGNATURE '4 DATE
'4 6 - • .-•- - - - 46_ ' '4 . _4-• • • • • - --. 6•
Is the applicant or future building occupant required to submit '4a business plan acutely hazardous materials registration form or risk management and prevention ' '•4.,,•_,,•_4. '4- '4 • • ........•,. , '4 - 6'' :, program under-Sections 25505,25533 or 25534 of-the Presley-Tanner Hazardous Substance Account Act? -D YES •. NO-,,-- - ' -• - , -'
Is the ap'liant or future building occupant required to ob"tain permit from the air pollution control district or air quality management district? 0_YES 0 NO
6 Is the facility to' cOnstructed within 1,0O0feet of-the outer boundary of a school site? 0 '.YES 0 NO"/'4-'4 •-
,, 1''44 IF ANY OF THE-ANSWERS ARE YES,,A FINAL CERTIFICATE OFO CCU PANCYMAY NOT BE ISSUED UNLESSTHE APPLI CANT JHAS'MET OR IS MEETiNGTHE ,-. -
. REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.'
EL UEMN'. TO Ogml Mal
'4
I hereby affirm that there is a construction lending agency for the .performance the work for which this permit is issued (Sec 3097(i) Civil Code) - 6 - •_ . . -, -. -
-• - ,*' --• ' 7 '4''. ' -. ' - 6 - ' - . -
LENDERS NAME ',,,LENDER'S ADDRESS
"
- 'Ptl
1'4 ., •, - , -. P ' V ', . .,. ' , ''4 , ." I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction.1:h ereby authorize representatives of the Cit%' of Carlsbad to enter upon the above mentioned
' 464 property for '4'4inspection - purposes..'. I ALSO,AGREE TO SAVE; 'INDEMNIFY. AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST 'ALL 6 LIABILITIES,'
'4 ,'• "4 JUDGMENTS,, COSTS AND EXPENSES WHICH MAY IN ANY,WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTlNG,OFTHIFERMITh-' '6 •
'4 '4 -'a'.' . '4 1 '4 OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height ' '4
, ,,,' ,,•• '' , 6 ' , -- ,,,• - '4, - " - 44,
r ' EXPIRATION Every permit issued by the uiIdi1g 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 om nc d withi 180 days from the date of such permit or if the building or work authorized by such permit is suspended or.-abandon- ed
at any time after the work is corn ed f rape od of 180 days (Section 10644 Uniform Building Code) 4-'-
;.__ - '4 , .6 - ,• , - 6 ,
-' APPLICANT'S SIGNATURE -' _-' _- _--4-__1____'4-4 -' _______''4'4'4,,,, __l'' DATE
-- '4• '4 ' - •'4'6 ', -• 6,4•6 ,•'4, 4- '6'' 1 6''' j - ',
WHITE: File File YELLOW Applicant PINK Finance '4
'_6 ••- - ,- I , .,-r- - 6 •' '4 ' -.- "4 - 4 6'
- V
City of Carlsbad
- 1635 Faraday Av Carlsbad, CA 92008
03-12010-- Mechanical Permit Permit No CB100440
Building Inspection Request Line (760) 602-2725
Job Address: 2525 ELVCAMINO REAL CBAD St: 143
Permit Type: MECH . Status: PENDING
Parcel No: 1563020900 •, Lot #: 0 . '' Applied: 03/12/2010
Valuation: $9,000.00 Entered By - -LSM
Reference #: ' '' Plan Approved
PC #: . V Issued
Project Title:; VICTORIA'S SECRET- REPLACE V
V -. ,Inspect Area:
ROOF MNT UNIT LIKE FOR LIKE •' - -
- V
Applicant: . Owner: -- .
LENNOX NATIONAL ACCOUNT SERVICES —. PLAZA CAMINO REAL -.1" STE E C/O WESTFIELD PROPERTY TAX DEPT
1588 S. ANAHEIM BLVD ..' ..- P0 BOX 130940, DEPT WFLD'
ANAHEIM 92805 V . ,VV CARLSBADCA 92013 V
925478 1749
Mechanical Issue Fee , ;., - V V —
'i.\) $15.00 -
lnstall/Furn/Ducts/Heat R6mps Fee ,•V
.
<)\$9V00 V Fireplace Installation Feb 0 L' V ç (\ J $000,
Exhaust Fan Fee -. 0 / / " \ \."J $0.00\ V
Installation/Relocation Vent Fee / 0 - . \ z --- $0 00
V - - _V •V. - V - V - V Hood Fee V - 0 2 $0.00
V \5V V-VV
~~-$0.00 Boiler/Compressor to 15HP Fee V o c. '- -.
Other . '-$6500 V
Additional Fees I 1-r .J7\ -$0.00
TOTAL PERMIT FEES V$90
/
V
Total Fees. $89.00 Total Payments To Dote", ate '\-- $89.00 -Balance Due: / $0.00 V , •VV 'VV• - J 'V J •VV-V 5'
/ '-,l.,
SL
V V
L ' • ., 5/ V
V
-V
Vi
• V
. FINAL APPROVAL -V
V
inspector: Date: ____________ Clearance: .
NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32030. Failure to timelyfollow that procedure will bar any subsequent legal action to attack,
review, set aside void or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity . V .
changes, nor pinning, zoning, grading or other similar application processing or service fees. iii connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired
<47 ..
CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No.2 (0 o'-NO
Est. Value -
Fax 760-602-8558
Date Cal tO I CARLSB31AID . www.carlsbadca.gov
JOB ADDRESS .,
2525 El Camino Real
SLIrrE#/SPACE#/UNIT# 44z c43
APN
- - - '- -
CT/PROJECT A LOT A
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -
PHASE It AOl' UNITS # BEDROOMS A BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
Exact replacement of roof top unit like for like
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D. NO[_ YES N0 YES[—]NOE
CONTACT NAME (If Different Fom Applicant) - - APPUCANT NAME
ADDRESS ADDRESS
Lennox National Accout Services Same
CITY . STATE ZIP
.1588 S. Anaheim Blvd. # E - CA 92805
CITY STATE ZIP -
. --
PHONE , , FAX PHONE ,., 1. 925-478-1749- JFAX
EMAIL • — - - - EMAIL ... -
mayra.gerardo(lennoxnas.com
PROPERTY OWNER NAME -- Victoria Secret CONTRACTOR BUS. NAME
. ' Lennox National Account Services
ADDRESS ADDRESS
2525 El Camino Real . '1588 S. Anaheim Blvd. #E
CITY STATE ZIP CITY . STATE ZIP Carlsbad CA Anaheim CA 92805
PHONE 'FAX—. - _. , PHONE. . . FAX .
925-382409.4 7(O .- 925478-1749
EMAIL 74C) — (_(p i, scott.wilson(Iennoxnas.com
EMAIL - . .. .,
mayra.gerãrdo(lennóxnas.com 1.
ARCH/DESIGNER NAME & ADDRESS , STATE UC. A STATE UC.# CLASS CITY BUS UC.# I " 902748 I C-20 C_OALLL
UJ ou, dflu riuIesIuii5 .,uUe: iiiiy iity or l.,uunty wnicn requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also rflqiilres th applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chanter 9, commending with Section 7000 of Division 3 o 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).
JL_1
Workers' Compensation Declaration: I hereby affirm under penally of pe4uiy one of tire folio wing dedaralions:
[],have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1711 have and will maintain workers' compensation, as required by Sexton 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co . _.- 'LocktonCornpanlox, ac-u.Dartis . . Policy No. 'WLRC45701050lCAl ' - Expiration Date
This section need not be completed lithe permit is throne hundred dollars 1
37of
[J Certificate of Exemption: I certify that in the perform of the wor
s :'j
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' corn sation cov w ject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages d for in Sec th erest and attorney's fees. -
CONTRACTOR SIGNATURE
,
/ - []AGENT DATE
-
I hereby affirm that I am exempt from Contractor's License Law for the following reason: -
El 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 Contraclor'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).
[JI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
[] I am exempt under Section _____________Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. [—]Yes ONO
I (have I have not) signed an application for a building pemift for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone / contractors' license number):
I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name address/phone! type of work):
,.PROPER1Y OWNER SIGNATURE - - []AGENT DATE
e-Q1A7" L
-
- -I
.• ••- ' ..;. .' r I.. - 1 q r , 4.
-
''
- , •,_.J -
4 :
t , ,z •.
Mw "UNIMMM-1111i 00M M- NO MR-10.
Is the applicant or future building occupant required to submit a business.R Ian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the -. Presley-TanC& Hazardobs Substance Account Act? [J Yes No • .' "-.i,, Is the applicant or future building occupant required to obtain a permit from the air pollution central district or air ality management district?, Dyes E] No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? [--]Yes [D No • -
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.
111.4 KON
I hereby affirm that there is construction lending agency for the performance of the work this perñiit is issued (Sec. 3097 (i) Civil Code).
-Lender's 1.41 I 1 .A A,l.4 4- '..'.4-- 4. - ':5 - 44 '4 i•'1- '..",, Name en s - -'.• "-'.•.--.- ytr
.
'
I certily, that I have mad the application and statethatithe above information is ooffectand thatihe information on the pt . ansisaocurdtp-lagmtoo
.
Drn
I
plyiovithallCityardin
.
anon and State Lws relgrig to bu
I
ildin
.
gconstruction.,
I hereby authorize refeesentalive of the City of Caricbal to enter upon the above mentioned property for insperion poqxsee. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD '.
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA. An OSHA permit isrequirerlhr soverdeepand itonorconbnofsfridures over 3 stories niheigirt., - -• - . . , -. .
E)QIRATION:Everypemiitissuedbythe Ofildutundirthep 'onsofthrsCodO mebylhotabon and boonmenull arstveidil the butdiogork authorized bysuthpomiiis not curnmendwithin
180 days from the date ofsuch if ding orrkautho' by such pormius or abandoned at any firm after the work is commenced bra period of 180 days (Section 1004.4 Uniform Building Cnde).
AAPPLICANT'SSIGNATURE DATE '.'•3-i2-iD
-.:
- ; - .
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.•. . . .• . Building Department
Unscheduled S 16.35.Faraday Avenue.
CARLSBAD Building inspection carIs76"02700 - a: