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Home My WebLink About2525 EL CAMINO REAL; 144; STE 144 PRE 2016; PermitMODEL NO. BUILD G PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Ci2 Applicant to complete numbered spaces only. Phone 729-1181 / ' JOB ADOR ESS I IE!S1ScJRS d/ aLJ(' PARCEL NUMBER LEGAL 1DESCR. I LOT NO. - . I BLK I I TRACT I IE CE ATTACHED SHEET) BOO I PAGE PAR. L OW R IL ADDRESS P z 2 OL T42r "B q MAIL ADDRESS 81TRACTOR - O — PHONE Yc'y LIC. NO JJ /93t3JL ARCHITECT OR DESIGNER . MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE No: COMPENSATION INS. CARRIER MAIL ADDRESS 6 BRANCH USE OF BUILDING t.;ct L -. NO. 8CR MS NO. BATHS__________ 8 Class of work: El NEW El ADDITION El ALTERATION El REPAIR El MOVE El REMOVE 9 Describe work 1. 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK 5/l PER FEE $________ SPECIAL CONDITIONS: Type of Occupanc G ro MICRO FILM FEE 5aO Size of Bldg. (Total) SQ. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Elves ONO AfION ACCEPTED BV. / DATE 71 t 1PLANS CHECKED BY APP V jRISSANCEBY OAT No. of Dwelling Units __ ___ - OFFSTREET PARKING SPACES No. No, Covered '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 I HAVE READ AND EXAMINED THIS AN THE SAME TO BE TRUE AND CORRECT. ALL P OVISINS(OFW AND ORDINANCES GOVERNING THIS TyPE WITH WHETHER SPECIFIED HEREIN G NTING OF A PERMIT DOES NOT PRESU E T VE PROVI DNS OF ' 0 E ITY TO VIOLATE OR CANCEL THE TE OR LOCAL LAW REGULATING ANCE OF CONSTRUCTION. 'pciI Approvals - Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. (DATEI 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. M.O. CASH TOTAL FEES S _______________ 11 4 To BOBS ICE CREAM #144 DoteDec. 12, 1979 • "AIR CONDITIONERS" 1L. Provide support for disconnect. Prdvide adequate c onductdrs &disconnect. : fiiss i-r, atch-(hou1d h #lflc) CIT OR LEASE REPLY TO d Ag, 41 T ci- : '•. I Michael Strajib. JA I A . .. GENRALCOA cToRCITrgp CARLSBA. CARLcRAD, CA. Building Department . .• • . Date Signed . . 'Red fyrm SEND PARTS 1 AND 3 WITH CARBONS INTACT. 4S 465 I j S 14- 5 141k ME.CHANICALPERMIT APPLICATION... City of CARLSBAD, CALIFORNIA 92008 . . Applicant to complete numbered spaces on/v. Phone 729-1181 ,, JOB ADOR ESS 2 2 5— . . ,l • LEGAL 1 LOT NO. OESCR. BLK TRACT (ESEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP - PHONE 2 rs 'CONTRACTOR MAIL ADDRESS , PHONE STATE LIC. NO. 2,9 i7' CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS 4 ... PHONE. ,...*: ENGINEER MAIl. ADDRESS 5 PIONE LICENSE NO. LENDER . MAIL ADDRESS 6 BRHNCH USE OF BUILDING 7 7ffoC 8 Class ofwork'. 19-N'EW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: Type of Fuel: Oil 0 Nat. Gas 0 LPG. 0 PERMIT FEES SPECIAL CONDITIONS: No.' Type of Equipment Fee Air Cod. Units—H.P. Ea. Refrigeration Units—H.P. Ea. . Boilers—H.P. Ea. Gas Fired A.C. Units—Tonnage Ea. Forced Air Systems—B.T.U. M_Ea. APPLICATION ACCEPTED BY: PLANS CHECKED BY APPPOED FORj.ISSUANCE BY. %j. Gravity Systems—B.T.U. M Ea Floor Furnaces—B.T.U. M - Wall Heater—B.T.U. M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- lION 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 PROVISIONS OF ANY OTHER STATE OR 'LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Unit Heiters—B.T.U. M Evaporative Coolers Clothes Dryers 2 Ventilation Fan Range 00 -... 7 Air HandlingUnit— C F M . . . . - Incinerator - - - 3IGHATURE0F CONTRACTOR ORAUTNORI2E 'AGy)T /' IDAEI ISSUANCE FEE $ -70 . TOTAL FEES $ 7 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. M.O. CASH INSPECTOR . W . ie I 5I113 IP PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete n'umbered spaces only., . Phone 729-1181 N" hermit No. '7 JOB ADOR E -ifrjif ' .• tEL ', 2Z' '. eA -i*J - 1or SCR. LEGAL r LOT NO . DLII TRACT OWNER - .., MAIL ADDRESS 2 1€ F iE . , ZIP ... PHONE, CONTRACTOR . ' ... '. . ' MAILADORESS - . goico*i P440 eLm 'PHONE. , STATE LIC. NO. CITY, LIC. NO. vE$ t ARCHITECT OR DESIGNER .MAIL' ADDRESS DHONE... LICENSE NO. .. 4 7I7_44(7 .'LENG'IHEERU.' 4' -- MAIG- i7L(CEN$E'NO. .- -- .- 5 .IU4H4..f'T COMPENSATION (NS. CARRIER '.' . . MAIL ADDRESS, . . .'. , . '. .' , 44 BRANCH 6Ci ,z J USE OF BUILDING ..- 8 Class of work: 'ENEW El ADDITION El ALTERATION El REPAIR 4 9' work: g AflJ oF OrO41c 5y 45 i iE -1 7 PERMIT FEES No. Type of, Fixture or Item ' . " 'Fee'.' SPECIAL CONDITIONS: . WATER CLOSET (TOILET) 7 . $ 4 ' BATHTUB . . . . , LAVATORY (WASH BASIN), SHOWER . KITCHEN SINK & DISP. DISHWASHER 4PPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY 'CLO,THESWASHER . IWATER'HEATER DATE 44 NOTICE 4,. 4 • . . . URINAL ., DRINKING FOUNTAIN .THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC , "TION AUTHORIZED 'IS'NOT COMMENCED WITHIN 120 DAYS ,ORIF er CONSTRUCTION OR WORk IS SUSPENDED OR ABANDONED FOR A F OOR'—SINK R DRAIN ,:- :. .-, L 0 4 - T $.9P SINK PER4OD OF--i20 OAvS--AT---Ar94I AFTR'WIS COM 4MENCED %I HEREBY CERTIFY THAT'[ 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. AS SYSTEMS NO OUTLTS '.....WATER PIPING &-.FR'E'ATINGEQUIP. "WASTE INTERCEPTOR . ....." " . . " -VACUUM BREAKERS - .1 - - 'W'PRINKLER SYSTEM <(tft..... .•' '7' • SEWER'-. '. 4UMBERCLEANOUTS .-' - ROOF DRAIN: 'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE $ . TOTAL FEES $1 . 46 SIGNATURE'OF_ OWNER _(IF _OWNER _BUILDER) bATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN'.CHECK VALIDATION , CK. ' . M.O. ICASH • PERMIT VALIDATION. . cx... ' M. 0. CASH 4. INSPECTOR S 9/1 1/79067 GOD BP PLUMBING PERMIT APPLICATION (itvnf(ARIcRAfl IIrnPJIIA Q1VQ - Applicant to complete numbered spaces only. Phone 729-1181 Permit Nn 2Y (/3j JOB ADOR ESS o LEGAL 1OESCR. LOT NO. I BLA J I I TRACT I I OWN 2 B MAIL ADDRESS ZIP PHONE (k O(Q sA0Q :r:(bc ecrM 25T c1 ??k) CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. 3 oq 2J-L2co CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS 4 PHONE • LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS 6 BRANCH USE OF BUILDING 7 8 Class ofwork: DW LJADDITION 11 ALTERATION DREPAIR 9 Describe work: (D I\' PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) - SHOWER TT KITCHEN SINK & DISP. DISHWASHER APP Ic1NACCEPTED BY jPLANS CHECKED BY APPROV , SUANCE B L ATE LAUNDRY TRAY CLOTHES WASHER WATER HEATER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. TION AUTHORIZED (SNOT 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL DRINKING FOUNTAIN ..i, FLOOR—SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO. OUTLETS - WATER PIPING & TREATING EQUIP. - WASTE INTERCEPTOR - VACUUM BREAKERS LAWN SPRINKLER SYSTEM - - - SEWER NUMBER CLEANOUTS - - CESSPOOL SEPTIC TANK & PIT ROOF DRAINS SIGNtI'bF CONTRACTOR OR AUTHORIZED AGENT (ATE) t S•,.'( .j c ISSUANCE FEE $I - TOTAL FEES (DATE) Hi rs V SIGNATURE _OF_OWNER_ (IF _OWNER WHEN WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH INSPECTOR ( USE.BALLVPOINT..P(N ONLYV&PRESS HARD - -. . - V APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. V - r';D: i• hereby 'affirm tfcatl am licensed under QI'•Provliióne of Chapter 9(commencing with Section 7000) of Division 3 of the Business I- ("n and Professions Code, and my license is In kt, , L -full force and effect. 'a'' V - . V I hereby affirm that I am exempt from the Contrac- ,. 'V "tot's License Law' tor the following reason (Sec. 703-5 , Business and Professions Code: Any city or County which re- I quires' a'permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires tie up- plicant for such permit to tile a signed statement that.fre is.,.( licensed pursuant to the provisions of the Contractors License Law Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex' empl therelrom and the basis tor the allegee exemption. Any violation 01 Section 7031.5 by an applicant lor,a permit sub- ects the applicant to Civil penalty,ol not more than lye hun-','( - died dollars ($500). I I I, as owner of the property. or nip employees with wages as their sole componation,i will dOVthU work, and the strec- Jr . . lure is not intended or oflered for sale (Sec. 7044. Business -. - • and Professions Code: The Contractor's License Law does I S not apply to an owner of property who builds or improves "T thereon and who does such work himsull or through his (-Yi,vn - employees, provided that such improvements are not intend' ' I tat . . ed or uftered,tor sale. It, however, the building-6r improve- Z .ment is sold within one year of completion, the owner-builder F . will.have the burden of proving that he did not build or im- 0 ' prove for the purpose of sale). , n- lJ I, as owner of the properly, am exclusively contracting P wilh licensed contractors to Construct the project (Sec. 7044. I _'Business and Professions Code: The Contractor's license r Law.does not apply loan owner of property who builds or im-proves thereon, and who contracts for each projects with at (I) . contractor(s) license pursuant to the Contractors License - Z )\ f,4 •.. - .'• 'V' .Ui..- . I V .x rD As a homeowner lam improving my home, arid the elbow' ing Conditions exist: -, f.' ",. 'V - V . I. The work is being performed prior to sate......( V . , 2.' I have lined' in'Vmy'home. for1 twelve months Q ,, prior Incompletion of 'this work. -_ ' - uJ V 3: "I have not claimedthis exemption during he - last three years. . 0 I am exempt under Sec. - B & P.C. I for this reason - 'V •V V V." .V- - I hereby allirm that I have a certificate of consent in V " ' self-insure. or a certilicate.ef Workers Compensation In. 0uru9ce.or a certified copy thereof (Sec. 38. Labor Code)I 'VPOLI '10 . ,•'V,it',V, ' , COMPANY '-D Copy'is tiled with the-city (A iD Certified copy, he eby I shed uJ 4A 0 CERTIFICATE OF EXEMPTION FROM - 0 " WORKERS' COMPENSATION INSURANCE --"- I U) section need not be completed it the permit cc ,'V.,, ._. is for one hundred dollars ($100) or less)uJ D ,.., i ceily. that irdthe'pertormanoe of the work for which - .,..'lhis permit is issued, I shall not employ any person in any 0 , manner so as to become subject to the Workers' Compen- 39 nation Laws 01 California. NOTICE TO APPLICANT: It. after making this Certiflcate'j'! * . , of Euenpti'on. you should become subject to the Workers' .,.( Compensation provisions of the Labor CodeyoVmust ! turthwith'c u" ompty with such'provisions or this permit shall J .'.he deemed revoked. r.,,. n, , 'V ..'{'V' Ihereb'y affirm that"there is a construction tending cc us 1agency for the performance of the work for which this per. I 0' cdmit Is issued (Sec.3097. Civil Code) Lender's Name •' V( ' Lender's Address_______________________________ -. , '-' •. - -: 'VV -'- :-$i....C'ARLSBAD BUILDING'DEPARTMENT ' - ApCicAió pERMIT ' 1 2075 Las Palmas Dr.,Carlsbad CA 920094859(619)4381161 - ,. .. .. JOB ADDRESS , ' AV, ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE At VALUATION , PERMIT NUMBER 22' .L cfr1i-F4_ 044 ZONE LOT BLOCK SUBDIVISION. ASSESSOR PARCEL NO. . ' - CONTRACTOR CONTRACTORS P1-bONE. - / -' j--c',,' OWNER'S NAME OWNER'S PHONE /e,.- . ' ' . - , BUILDING SO. FOOTAGE C ONTRACTOR'S ADDRESS STATE LICENSE NO. V -j,Ut.4At4M u_GI2i V,.' , j - . ,, V . . OWN E R'S MAILING ADDRESS - ..- A- 5'' 1-1 4'g -70 Hf$t iJ* p 4 7 i ie' DESIGNER , . DESIGNER'S PHONE -U14144% DESCRIPTION OF WORK ' . A . 4,E DESIGNER'S ADDRESS ' STATE LICENSE NO. " V V • ' V V 'V•'V 'VV V - 'V '_F/P - ' FLRELEV. , , . NO - OCCGP EDU S " - -. - , STORIES - ,,,,,,,,, V — - ,_, . . -. "- —. -' 'V V• , .. , . .. - ARKING SPACE RES UNITS GRADING PERMIT ISSUED ND '[F~ REDEVELOPMENT 'AREA' 'V b TYPE 0CC LOAD. FIRE SPR YO D * - YD NO . , CONST ' YO N6 - '. Not Valid Unless Machine Certified V V-p. QTY. -. - '- —r , - • ' - 'PLUMBING PERMIT. ISSUE j"' , 'I. u,J- 7• QTY , V MECHANICAL PERMIT.- ISSUE . oo V , - V ' SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP — 'V '? INSTALL FURN DUCTS ijP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 I.Z3 iIZ EAC1-i BUI'LDING SEWER ; '\ V ( V OVER 100.O00 V" 'V 'V ., 'SIGN PERMIT - - 0cOjo(M020 0101 '02B1im+. A63. EACH WATER HEATER AND/OR 'EN.T ) V , . ' BOILER/COMPRESSOR UP TO 3 H,,7 V ,. PLAN CHECK • — • 001-810'00'00-8821 ' - EACH GAS SYSTEM 1T04 OUTLETS , V BOILER/COMPRESSOR 3-15 -' '. , TOTAL PLUMBING ' 001-810'00-00-8222 'EACH GAS SYSTEM 5OR MORE''.' r ' • ' : '''' METAL(FIREPLACE ," V - V n'V.'V.V - V *.'V ELECTRICAL" ' • 001-810'00-00-8223'V V • - 'j •• V EACH INSTAL-ALTE,R. REPAIR WATER PIPE V --. VENT fAN SING$Vfr{UCT - ' . . MECHANICAL ' . 001-810-00'00.-8224. . .• - - .-."'. EACH VACUUM BREAKER .. .' ., MECH°EXHT - HOOD/DUCTS V MOBILEHOME 001-810-00-00-8225 • V WATER SOFTNER REL2$A1'iONOFEAFURNACE/HEATER SOLAR'-- _'V -• _"001'810-00'00-8226" '' ' V • 'V' " EACHROOFDRAIN))NSIDE)- V ' , DR'(R_VENT ,''' V STRONG MOTION __'880-519-92-33 TOTAL MECHANICAL V FIRESPRINKLERS _001_810_00008227 T-DTL'VtUMBjNG -; .PUBLICFACILITIESFEE _320-810-00'00-8740 ' - ___• 'V .\'V" ' \, . 'V V. . , . ' V BRIDGE FEE 360'810-00-00-8740 - QTY. ,ELECIRICAVLPERMIT';_ISSUE " ' . . . . QTl"' MOBILE HOME SETUP. V ' PARK-INLIEU(AREA NEW CONST.EA AMP!SWT!B,. V ' ' - 'V CAR PORT -. - V - , \ _TIF, ',i34'810-00-00-8835 I ,H-, - " ' Joi' - 'V AWNING - ' V . ,• • -; - ,"V•', 'V T' 1A COSTA TIF - ,133:81Q.-00'008835 - — EXIST BLDG LA AMP/SWT BXR — GARAGE - ., ' r (IMF a 1 PH • 3 PH ' "V" LICENSE TAX 001,810-100-0.0-8 - REMOOEL.'ALTERn PER CIRCUIT MFF ' 880-519-92'57 '- - '- : ',, 41, - 'n-' , , 1, . -V'.' - OVER0IJAMPS, V •V 'V - - ' I ' ., . ., , 'V 'V• •V•V'V .... — TEMPOCUPANCYI30DAYSl, N oe * :,:VVV'V ••' ' 'V - ' ,. i" • ' 'V ' --" CREDIT DEPOSIT. V — ..........' _'V' TOTAL ELELTRILAL LOTAL FEES PAYABLE -- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT-AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this - - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER -PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code reall expire y limitation and become null and void. If the building or Work 5 0' DEEP AND DEMOLITION OR CONSTRUCTION OF I autho by such permit is not commenced within 180 days from the date of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITcIS STRUCTURE OVER 3 STORIES IN HEIGHT permil, or it the building work authorized by Such permit is usn 5 uch ded , - ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced bra period -6h180udas'rr'-, STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT S SIGNATURE * OWNER D ,V'V 'V ''" " APFRA CONTRACTOR 0. ED BY PHONE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TI4E _,_,9 BY GRANTING OF THIS PERMIT -V • * 5V ' V V. Vt' 14. TYPE DATE INSPECTOR BUILDING I FOUNDATION /1 REINFORCED STEEL MASONRY GUNITE OR GROUT - SUB FRAME LI FLOOR ,EIJNG 17 pcD SHEATHING LI ROOF LI SHEAR K'l FRAME EXTERIOR LATH ' _____ INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO LI FL/CO / UNDERGROUND IASTE WATER 3//7 TOP OUT IWASTE LI I/ATER TUB AND SHOWER PAN GAS TEST LI WATER HEATER LI SOLAR WATER ELECTRICAL 4 0 ELECTRIC UNDERGROUND EIUFFER j/ _________ ROUGH ELECTRIC ______ LI ELECTRIC SERVICE LI TEMPRARY LI BONDING LI POOL MECHANICAL Y'DUCT & PLEM., LI REF. PIPING HEAT - AIRCOND.SYSTEMS VENTILATING SYSTEMS I CALL FOR FINAL INSPECtION ITEMS ABOVE HAVE WHEN, ALL APPROPRIATE BEENAPPROVED FINAL PLUMBING ELECTRICAL /J MECHANICAL GAS BUILDING SPECIAL CONDITIONS /0 49 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI P CONCRETE RESTRESSED POST TENSIONED CONCRETE 12 FIELD WELDING BOLTS HIGH ST'REN'GH SPECIAL MASONRY PILES CAISSONS -. I 4 . . . •. . -. - ft -• 41 1 B U I L D IN G ftP E R M I T Permit No tCB910869 i. -' - 07/22/91--09 30 Pro3ectNo A9101061 Page 1 of Development No Job Address 2525 EL CAMINO REAL Str ** Fl ***I* Ste 144 PermitType COMMERCIAL 1 TENNT IMPROVEMENT 3570 07/22/91 0001 01 02 Pak eINö-..156-3.02-09-0-" '-. . ft ;'• .C-PjT 894.00. Valuation 18,655' Construction Type "VN LIPIP ftOcc.upancy 'Group: . Cass Code: -.. . Status-:- ISSUED Description .910 SF RETAIL1STORE (FIELD OF Applied 06/06/91 DREAMS BASEBALL CARD STORE) Apr/Issue 07/22/91 1. -Validate d By KZH Appl/Ownr DE FOREST CONSTRUCTION 714-943-5227 I 17498 SANTA ROSA MINE RD PERRIS, CA ,. '1 ' -- CONTRACTOR: DE FOEST"CONTRUC-DrON(( t'Tic. C NO. -• ft "4'- - OWNER' " MAY COMPANY/- . .. i9. OWNER Fees Required /** 3 *** FeCo(lf~td & Credits ------------ 7 7 Adjustin6rits a- ',G 2 Zf, Atl Kd s ..00 ot 17 " Pdaft, -Check T J) 'i!!! Enter BUI:LDING TOTAL 11 Y' for Plumbitg Ite ee 'e0 / N Enter Y i- * ELECTRICAL , 15 00 ,.Instal1Furn/Ducts 900 15 00 Y .*.,.MECHANICAL TOTAL _24.,00 ~P!N APPROVAL.- ' . ft. I ft . ::.' . • •- -. -- - ft . - ', ft ft - 'ft 'ft. . . ,. ft . -. .1 ., .• .- ft .11' . I •.. • S 'ft - . 4 . . . ., p . - S C. -- I' S - - s. - - ft S. . - - - i •.. ft . .. ft ' :4. I . ft -, ft ft.. I, -. ft . - . - . - • ½ 1 - - -. ••ft . .: . .- 1. . ft ' . C r& - ft.-. •, 'ft f,?)IC?S CITY OF CARLSBAD - - ft ' . - . . -. ft.' .......ft ..4 ft ft ft •.• ft y 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 A ft - ft PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A 0 COMMERCIAL [-]NEW [-]TENANT IMPROVEMENT B - []INDUSTRIAL [-]NEW UTENANT IMPROVEMENT C - []RESIDENTIALDAPARTMENT (-]CONDODSINGLE FAMILY DWELLING DADDITION/ALTERATION []DUPLEX DDEMOLITION DRELOCATION DMOBILE HOME )JELECTRICAL []PLUMBING OMECHANICAL DPOOL DSPA DRETAINING WALL Dso.AR DOTHER_______________ EST. VAL PLAN CX DEPOSI VALID. BY DATE 06/06/91 0001 01 02 C-PRtiT 129.00 2. PROJECT INFORMATION PLAN CHECK No. I FOR OFFICE USE ONLY Building or Suite No. Address zc.. L &,-mi,'.,io fEfL Nearest Cross Streets LEGAL DESCRIPTION Lot No. subdivision Name/Number Unit No. Phase No. CHECK BELJ IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report Di Addressed Envelope ASSESSOR'S PARCEL EXISTING USE '7'34.4..LL '9S.t_c.. PROPOSED USE DESCRIPTION OF WORK 'f —S-o $2-*hs-h,. S$1 in )1 AZ Fri i')tJ... 1 191 we.- k. — BLDG. SO. FIG. CONTACT PERSON NAME CITY SIGNATURE H OF STORIES ADDRESS L STATE in4, ZIP COD E4)17 ' DAY TELEPHONE ) g, f.'??D APPLICANT "'CONTRACTOR I AGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER OWNER 244J NAME ADDRESS SE cNAN / CITY STATE ZIP CODE DAY TELEPHONE ((11q\) P7173 -i'q t, /)t.,iI/p&_) CONTRACTOR r7q.qQ, &%i- e nj,-- led NAME rc$+ ADDRESS __ CITY STATE ZIP CODE DAY TELEPHONE # qII3 STATE LIC. #'I062__3 LICENSE CLASS .f CITY BUSINESS LIC. # SIGNATURE TITLE tato DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE Lit. # 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 ç or 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: U 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 arid 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). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?, DYES Dwo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNo 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 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 30970) Civil Code). AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANT WAY ACCKUC AL.AINSI 5R1I CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at an ci e after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S S GNAT OWNER 'CONTRACTOR -]BY PHONE HITE: File YELLOW: Applicant PINK: Finance -. ,-' .. .-. .- . • - 1. •i . . I' i—i r—i 11 ' .. . . . . •- * LJ L_J L_J 21 Industrial Waste Permit is required Applicant must 1complete Iidüstrial Waste Permit Application' Form cind, ". subiuit',.for City approval prior 'to issuance, of a Building Permits Permits must be issued prior to occupancy Industrial Waster Permit accepted - Date: '' • i By: ' " . •. . •• , 4. . , .•. - - " : .. - I, , ' •'•••,I ' •' - . .•. • . - •, Fees Required , . ..• , ' . - ' • 4 .- , ' '' N/f . 27 Park-in-Lieu Fee Quadrant Fee per Unit Total Fees 1 - 23 Traffic Impact Fee I -. .' . Fee- Per -Unit: -. • Total Fee:__________ EJsJ/A 24 Bridge and Thoroughfare Fee • - 'Fee..Per Unit: ___' .• , Total Fee,: D tJ// ¶ 25 Pub1ic Facilities Fee required ,, Oi'J/i 26 Fci1ities Nahalg'ement Fee Zone Fee D'J/' 27 Sewer Fes Permit-No.'- _EDU's_______ Benefit Are Fee El ftJ/, 28 Sewer Lateral Required S .. • ' •'. • . :''. - . 4 Fee c o 29 REMARKS:I - p - '• , -'''I' 4' •• - 1. -:. I $ I '' '1 , 'I' • . -' . -. . • I . • -• 1 . . I • 4. - I' , • • - • • - - ,. - I •, - • ENGINEERING AUTHORIZATION TO ISSUE PERMIT ' • 'I • • , - ,,• I •-. • -. I' •'• + I- - :'•' • • BY as2J4Ef)ELL "DATE O ,J7jpj C) - , • • - • , -. ' • I - - - - 4- •• 4 '-I • •-.- .• - . -• - 'I " • - •-• -I •" I' •,, -I- S * ,•I • •' • ':- •- •, -' * -• • --'4 , • •• 1* - S •' _•4 • Si - (-• • • ' - -I - • 'I S - •'. • '*4- ' -• * ' , --S P \DOCS\MISFORMS\FRM001O DH I I RE 02/27/91 _- •.f ''4 I - -'- 4* '4 S • • 'L. • •' - - - •• • - - • 5_. • • - -- • I - • .___ • .1 • • • - • • • & - M Permit No: CB940281 Project No: A9400401 Page 1 of 1 Development No ,Job Address:; 2525."EL CAMINO REAL , . Suite: 144 Permit Type :4.COMMERCIAL;TENANT IMPROVEMENT Parcel No: 156-302-09-00 . - . Valuation 38,745 " 6607 04/10/9 'OOi O 02 Construction Type:,. VN: ,. h C-PRMT 503.QQ Occupancy Group B2 .-Reference# , ' Status ISSUED Description: 1107,.,. SF, AUNTIE ANNES . " , Applied: 03/16/94 Apr/Issue 04/18/94 Entered By: DC Appl/Ownr. :GSI CONSTRUCTION . 310 943-17008. . 15068 ,ROSECRANTZ AVENUE..#-'1-39---....... LA MIRADA, CA. 90638- •' - . ,*** Fees Required 'F.ees',Collected & Credits 1. Fees: , . 695 '00 N? Adjustments: ... . / .00 TotaGredits:\ .00 '. - '•.- Total Fees: 695t00 Total Payments: 1' , 192.00 - V alanceD( .\ 503.00 Fee description Ext fee Dat'a ---------------- j. Strong. Motion Fee ',. J 1/N"f • "4 Building Permit, A-,n 343.00 8.00 .* ,BUILDING TOTAL - t.. ••'.- -.1 I SUJi I'. -- 1. • 574.00 Enter"Y" for Plumbiri'g Isue\Fee / 20.00 Y Each Plumbing Fixture\r Tra 35.00 p> Each Building Sewer-~- IJ TED i,4i / Each Water 15 .00 Heater and/or Vent > . 1 700 - • .7.00 * PLUMBING TOTAL 7 , '1 77.'00 Enter Yfor•Electric .Issue F'ee.>) .' ,./-. •- 10.00 Y . for. Remodel! 10.00 y Enter *ELECTRICALTOTAL4L _,<"20.,00 Enter 'Y' for Mechanical Issue ' - .• 15.00 Y Install Furn/Ducts/Heat)'umps ,. •> ,,•, •9.00.. , ,,9.00 * MECHANICAL TOTAL. . ,._..;•.,. - - •., - 0 24.00 ' -.•: IINSR L ATE s ROVAL T J& CLEARANCE --- - . CITY OFCARLSBAD. 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CJ't3b PERMiT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: PLAN CHECK NO. EST. VAL PLAN CK DEPOSiT /9 VALID. BY ) DATE 31(a/9 4 6163 03/16/94 0001 01 02 C-PRMT 192.00 Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY fl BuiIding Add \\. S Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIrIED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. Fr. # OF STORIES 4 OF BEDROOMS # OF BATHROOMS A. LAJN 1115.1 1r.15I.JN Iji uiuereni irom applicanE) NAME (last,name first) \OjTy ADDRESS \OQ OCOS \L) CITY STATE ZIPCODECb2 DAY TELEPHONE 310 t'-P1OO, APPUGANT R DAGE FOR CONIRAGIUR DOWNER U AGENT FOR OWNE1 NAME (last name first) c rDRESS tQ 'vCV\ & - CITY ç' ()èç)L. STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE WNTRACIUR NAME (last name first)C )flSkflhkQ±lOT\ ADDRESS \Ot QO VJ\ CITY STATE QSN ZIP CODE CkC) "Q DAY TELEPHONE . STATE DC. # LICENSE CLASS ).\ CITY BUSINESS DC. # (Z-O (10r. DESIGNER NAME (last name tirst) ADDRESS STATE ZIP CODE DAY TELEPHONE STATE DC. # 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 tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY C€ QOYTI , POLICY NO.\\CMCi$fEXPIRA11ON DATE -. . Certificate of Exemption: I certify that in the performance of the work (or which this permit is issued, I shall not employ any person in any 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 Irom the Contractors License Law (or the following reason: o I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). - 0 . 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 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 E3 NO 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 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. WNSTRUCI1ON LENDING AGENCY I hereby affirm that there 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 APPUCAN I (;WIIFIEAIIUN 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA 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 b 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 sus tided or aban at any .i e , after the work is cimenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCAN-rS SIGNATURE cT . ., DATE: PINK: Finance SW 4 CITY OF CARLSBAD INSPECTIONjREQUEST •.. PERMIT# CB940281 FOR 05/31/94 - • INSPECTOR AREA TP DESCRIPTION: 1107 SF AUNTIE ANNES 5 PLANCK# CB940281 .00CGRPB2 TYPE: CTI • •- S S • -. C TR. TYPE.VN -JOB ADDRESS: 2525 EL CAMINO REAL - STE:.. 14 LOT: . APPLICANT: GSI CONSTRUCTION S PHONE: 310 943-7 8 CONTRACTOR:. S PHONE: • S S OWNER: PHONE: .5 REMARKS: MW/DOUG/434-32 12 . . INSPECTOR SPECIAL INSTRUCT: AN PLEASE FOR PAT KELLEY EXITED O.Urf OF CHINA GAT a=: . TOTAL TIME --RELATED PERMITS-- PERNIT# TYPE. STATUS S S S S S •AS940030 ASTI - ISSUED. 7, . S.. CB940585 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST .Final: Structural ,.40 5 • •• 0 29 • PL Final -Plumbing S S • . S -. - • S 39 J• Final Electrical . : : • . S - 49 S ME Final Mechanical S - S • • S S INSPECTION HISTORY ***** •. . 5 5 DATE . DESCRIPTION • - . ACT INSP COMMENTS • S •• 052094. Frame/Steel/Bolting/Welding CO PK . •; - . S - • . S 052094. Rough Electric S. • .. CO PK S . • 052094 Rough/Ducts/Dampers -, CO PK NOT PER PLAN • - S S 050994 Interior 'Lath/Drywall-.. • AP TP 050694 Ihteriôr Lath/Drywall - NR PK • - STILL INCOMPLETE 9AM .. S. 050594 Interior Lath/Drywall... •.. . NR TP S •• S • 5 050494;Frame/Steel/Bolting/W.elding AP TP, WALLS,CUST.AREA SOFFITS. 050494 Rough Electric . S • AP TP WALLS,SOFFIT AREA LITES • -• 050294 Roügh/Topout AP' TP .• 'WASTE & CU 042594 Underground/Under Floor . P1 'P. - APR PND. AS BUILT CHANAL . S S • • • S •l• • • 5 5 5 5 - . -S. 55