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Home My WebLink About2525 EL CAMINO REAL; 155; STE 155 PRE 2016; PermitLICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under pràvi- sions of Chapter 9 (commencing with Section 7000) of Dlvlslon.3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. '- OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code). Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any ,structure, prior to its issuance also requires the. - applicant for such permit to file a signed state- ment that he is, licensed pursuant-lo the provi- sions of the Contractor's License Law (Chapter 9 commencing withSectlon 7000 of Division'3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a - civil penalty of not more than five hundred dollars Di, as owner of the property, or my employees withwages as their sole compensation, will do - fhe'work, and the structure is not Intended or of- fêed for sate (Sect 7044, Business and Profes- sions' 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 lemployees, provided that such improvements are not intended or of- fered for sate, if, however, the building or Improve- - - ment 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 r sale). - Dl, as owner of the property, am exclusiveiy'con- trading with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property .ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, 13.4 P.C. for this reason - - •/ - Date _____________ Owner - WORKERS' COMPENSATION DECLARATION' - I hereby affirm that I have a certificate of con- an I to self-insure, or. a certificate of Workers' Compensation Insurance, or - a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. I A14 A jA - ..'COMPANY lik It 4V - OCopy is filed with the cit - OCertified copy is hereby urnished. - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION lNSURANCE':' - (This section need not be completed if the per- mit is.for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit Is issued, I shall,no)employ any person In any'manner so as to become subject to the lorkers' Compensation Laws of California. NOTIeE TO APPLICANT: If, after making this Car*. - titicate of Exemption, you should become subject .. - to the Workers' Compensation provisions of the Labofbode, you must forthwith comply with such provisions or this permit shall be deemed revoked. C9NSTUCTION LENDING AGENCY I hereby affirm that there is a construction len- ,,ding agency for the performance of the work for - . . . - . .- • CITY,. OF CARLSBADBUILDiNG DEPARTMENT . . -' .H'APP.1ICATION&PERMIT L . USE BALLPOINT PEN ONLY 1200 ELM AVENUE . . (714)438-5525 -. JOB ADDRESS - . - . ' ' AV. ST.' DATE OF APPLICATION BUS. LICENSE PERM1T'NUMBER . . .. ii r,i _ i_ iI U1_fl_ /,S37_RD 2. PRIME CONTRACTOR ' .- " 'STATE LICENSE OWNER'S OWNER - OWNER'JPHONE MAILING ADDRESS ' - •, ' . __UI 'coNTRACToR's ADDRESS! . ' CONTRACTOR'S - S4I 9O Po2c4"7 , QQQj 64.B 1 1./Q.L7' .1:, aao -. 4 :-''- . LOT..BLOCK _SuBDIvIsIoN.; - ASSESSOR'SPARCELNO.DESIGNER _ , ____''-- STATE LICENSE) -DESCRIPTION OF WORK " - - ]T4".)'('_C)0(4.1-e-iA DES iG N ER S ADDRESS DESIGNER'S PHONE CENSUS-TRACT. - -. . GP LAND u -. . ZONING - •'- -q5 RES.-UNITS - - , PARKING SPACE -. NUMBER OF STORIES . Not Valid Unls Machine Certified BLDG SQ. FT. - . - BLDG USE J 0CC.- GP STANDARD 'PLAN - .. PLAN i 0 • TYPE CONST DCC. L • ' -' ;p QTY. :' PLUMBING -PERMIT,, . QTY: -"MECHANICAL:PERMIT: - AMT. I r EACH FIXTURE _TRAP INSTALL FURN_ DUCTS UP TO1O0,WTU . __-OVE _,.It000BTU - EACH BUILDING SEWER' _L.,__-' .• _. _, EACH WATER HEATER AND/ORkff . _' .- BOILER/COMPRESSOR yp4b 3HP ' _' -Ir._._, -• - - /7I /2'"' - /f" - .,. . - , - . .8OILER/COMPRES(3-15 HIP __- _i\_ EACH GAS SYSTEM 1_TO, 1;9LETS'__-- ---..- -- _. 'EACHGAS SYST.e(RMORE . BOILER/COMp(SSOR16-30 HP, EACHINSTJELTER. REPAIR WATER PIPE ,"--. , VENT 4.\ 'EA$4WNSPRINKLERS%'ST'EM-' _- -•.--,''--- '--- 'ME$,W'XHAUST - HOOD/DUCTS I_• ATERSOFTNER ._'' . - R'hOCATIONOFEAFURNACE/HEATEI ._\ ,BUILDING . 6i737 7 S1GWtRMIT TOTAL PLUMBING - TOTAL MECHANICAL • -- -. PLAN CHECK .CONTRACTOR,'..- ,-.' CONTRACTOR ..'" - ALLINCLUSIVEPERMIT - -ELECTRICAL PERM IT -—AMT. ' QTY, -,'1OBILE_HOME •, ,7' 'AMT.,-,. 'TOTAL PLUMBING' ELECTRICAL-'--• NEW CONSTEAAMP/SVT/BKR ..-'"..,' . - AWNING •."'• :.' - 'MECHANICAL - ' , . - IPH,.25 __•,..-"3 PH . - 'PORCH ,/". ... MOBILE HOME EXIST_BLDG_EAAMP9T1BKR ..••' _- . ' SET-UP..- _- _•_ '- ...- SO'LAR.,•-.' 1PH25-, ___-3PH ''.. - RAMADA,CAB, ,I REMOOEjkERPERCIRCUIT _' .. . FENCEOVfr(6' TEM).PLE.-2OOAMPS.__- __-- - . .TOTA'OBILEHOME ,.-._. _- -'MICO-FI.LM '''-._ R20OAMPS''- - ,•/'.-'.•_. •• '' __•'. ___________ STEMPOCCUPANCY(300AYS)''' -. -TOTAL-ELECTRICAL ' -. - .. . '.. '--.-.-'.,-- '•, TOTAL FEES PAYABLE • . '.•'•, ,'- . CONTRACTOR - , .. ,'.. - ' ' '-•• - -' I HAVE CAREFULLY EXAMINED T HL- COMPLETE D"APPLICATION AND PERMIT, AND DO -'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I - 5-0" DEEP AND DEM9LI3N 0R,pONSTRUCTION OF FURTHER CERTIFY AND'AGREE IF A PERMIT IS ISSUED;TO.COMPLY WITH ALL CITY, 'STRL.JCTURES OVER 3 S-f.RIES L1 EIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER // /( -/ - - - ' . ' - -- •- - -t . -. SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. LESS THE CITY OF CARLS13AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - ' '.J//J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CI TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. -. ' ' FAFLICANTS SIGNATURE' - . . . _ ________-____ _ 'OWNERo - CONTRACTORO APPROVED BY. - DATE - - - ' '' • .' - __ BY ' PHONE D, _-' __ APPLICANT TO FILL-IN INFOR- .MATION WITHIN RED ,LINES. . ':•• SITE ADDRESS: 'OWNER: .. - PERMIT NO: 567 .\ FIELD INSPECTION RECORD INSPECTION ' DATE. INSPECTOR INSPECTOR'S NOTES WOOD FLOOR S. • - -, 5. . FOUNDATION' FORMS . SET BACK .TOILET .._ - UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING - - - - - FOOTING • FORMS. SETBACK • TOILET OK TO POUR CONCRETE ..'. - FRAME 'ROUGH ELECTRICAL ROUGH PLUMBING - ROUGH HEATING/VENTILATING FRAME OK.PLACE INSULATION -INSULATION OK • PLACE WALLBOARD WALLBOARD OK.' PLACE TAPE EXTERIOR LATH OK. PLACE STUCCO . - - '. . - FIREPLACE DAMPER &STEEL - - - PLATE TIES/HEIGHT OF CHIMNEY - OTHER . ___________ • * TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING PRE DECK - . . FENCE PREPLASTER . SHOWN • FRAME e PAN FINAL INSPBYBLDGDEPT WIMP OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP - • S - • • -• • • - CERT OF OCCUPANCY, ISSUED• - . . - . '-;'•. . INTERDEPARTMENTAL INFORMATION SHEET BUILDLNG DEPARTMENT B U I L DING •A D D RE S 5: L,2JV -i-- RECEIVED - - - - - - PLANNING. DEPARTMENT 10NE_- LOT SIZE LOT WIDTH NITS ALLOWED__________ UNIT.S PROVIDED PARKING SPACES REQUIRED PROVIDED COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: - SIDE SETBACK: REAR SETBACK: ALLOWED - -. - - - - PROVIDED - - - INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMM OK TO ISS- UE: DATE OK TO FINAL DATE ENGINEERING DEPARTMENT o R.O.W. - INDUSTRIAWASTE IMPROVEMENTS -- SEWER CONNECTION DR [,AY LOCATIONS___________________________ GRADING PERMIT - EASEMENTS DRAINAGE___________ LEGAL DESCRIPTION ADDITIONAL C1EITS - - - OK TO ISSUEWAJ DATE )O)/1fi PWI _OK TO FINAL DATE FIREDEPARTMENT S SPRINKLING SYSTEN J FIRE FIRE ALARMS S - 5 EXITS FIRE HYDRANTS HYDRANTS - LOCATION _- DI TI ON AL COMMENTS -/ - - K TO ISSUE: - DATE OK TO FINAL DATE ' WATER DEPARTMENT S - REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE -.""• :.-:-,- 4_USE.BALL. POINT. PEN. ONLY.& PRESS HARD. ''' ,,•, ,.,. S •'l.- ,r. • ..., I hereby affirm that I am licensed under-I. W uI' provisioi of'Chapter 9 (commencing with I Section 7000) of Division -3 of the Business * and Professions Code, and my license isin Z L full force and Oct.eff •- .'•... .-.. 7 .. •-... -. I hereby affirm that I am exempt from 'the Contrac - I r torn License Law for the following reason (Sec. 7031.5 Business and.Proiessions Code: Any city or county which re' quires a permit to construct, alter. improve, demolish, or r, repair any structure, prior toils issuance also requires !heap-- - pricant for such permit to.tiie a signed statement that he is licensed pursuant to the provisions 01 the Contractor's I License Law (Chapter 9 commencing with Section 7000 of I Division 3 of the Business and Professions Curie) or that is e'u' empi theretrom and the basis for the alieged'enemption. Any . I 4 violation 01 Section 7031.5 by an applicant for a permit-sub , jects thu applicant to a ciyitpenalty 01 not'more than tine hUnt . dred dollars ($5001, cc II I.- as Owner at the property, or my employees with wages' 15 as their sole compensation, will do the work, and the struc' lure is not intended or offered for sale (Sec. 7044. Business .1 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 intend-. W ... ed or uttered for sale. .If, however, the building or improve- - - • 2 ment is sold within one year ol'compldtioo, the Ownrrkuilder I will have the burden of proving that he did not build or im' I " provu br' the purpose at sale(. - - IJ I, as owner of the property, am excl usively contracting - with licensed contractors to construct the project (Sec. 7044. - ..Business and Professions Code: _The Contractor's License proves,thereoo, and who contracts for each projects with at.. .. 5-Law).. 0 Asa homeowner I am improving my home and the tullow' •. 4 , ing conditions exist: • '- .-n r' "Sr a' ' - ,, -. •t. The work is being performed prior to sale,.. I - C.) prior to completion of this wnrk,'--- - w ' - 3,'t have n01 'claimed this' eoemprion during• the I - 0 - last three years,- tam exempt under Sec. for this reason. - •' ' : _' •, D.t ier'eby affirm thatt have a Certiticate or consent to j L' seIt.insur, or a certificate of Workers' Compensation In. sdrance: or'a'cer d copy thereof (See. 3800, Labor Code) POLICY NO. 7I; COMPANY.c.7( .çCopy is tiled with the dity1'*j Certified .copy is hereby burnished W . CCERFICATE OFEXEMPTtONFROM- ' I IT ,section section 'need not be completed it the permit ' I - . ..: iLLA s for One hundred dollars 151001 or less) — I if y. that in the pertorrnance or the work or which j Q 'I certib this permit is issued. I shalt not employ any person in any sation Laws Or Catitorrria, '_...,ot Eu'e'rrption,'you should become uubiect to the Workers' I ICompensation provisions of the Labor Code. you must 'borthwith comply with such provisions or this permit shalt he deemed revoked,. CC - -.---.••' •,.-' ••-'• .. 'r - • I hereby affirm that there is a construction tending agency for the peitormance or the work for which this per. - - 'rrrit is issued (Sec, 3097, Civil Code( ' .••- '' -' I I - Lender's Name I . • .- - n. •c.,. .. , . , I - L Lender's Address 4 •' " I' - - - -CARLSBAD BUILDING DEPARTMENT 'APPLICATION& PERMIT B,u 2075 Las Palmas Dr. Carlsbad, CA 92009-4859 (619) 438-1161 - ' • • , s , 5,.,' - - '-' " ' ' . - ' - ' — ........—. . - n.. .... .. . .., :. . . . - - -' -. ._ •. _ DAT OF APPLIC TION BUSINESS LICENSE S -.' VALUATION PERMIT NUMBER .108 ADDRESS, \K '4 AV, ST. RD~NEARESTROSS ST. . 4ci7 — ZONE '., ___,•, 1 :. LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR ._'_. CONTRACTORS PHONE )8-? OWNER'S NAME / ' - -OWNER'S f PHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. ' • BUILDING SO. FOOTAGE ,#.S 4/öfr'' . •; . OWNER'S MAILING ADDRESS ' atL16- ' ' ' ' -- - II ' i •-i '' / . DESIGNER - DESIGNERS PHONE . '. ( _-'—ø ' . , r, 4'.d ,ç)_iai'af,__,1O ' :--------:-- '-' ::--•--.:-: ., • . . - DESCPTION OF WORK. - // . ' . - , • . STATE LICENSE NO. DESIGNER'S ADDRESS - If 0, FIP FLR ELEV. GP.EDU , .. LAJO_2&J ___STORIES '.. -- Pr—t .1Y vDD __- __•NO - - '0006.06/iS 0101. 02B1dPmt - - 448.8 CONST -' ' - : • PARKING SPACE tOES UNITS GRADING PERMIT ISSUED . • REDEVELOPMENT - - TYPE 0CC LOAD FIRE SPA ' ' AREA ' . 0 , DND_ _DND . - vO ND Not Valid UnI80cMachine Cerf,hed Law does not apply loan Owner at property who builds or im-- OTY PLUMBINGPERMIT ISSUE ?- eE QTY -'MECHANICAL PERMIT ISSUE 3_00 SUMMARY/ACCOUNT NUMBER.. - - cont(actor(s) license pursuant to the Contractor's License EACHFIXTURE_TRAP _____7 s INSTALL FURN_ DUCTS UPTO100_000BTU BUILDING PERMIT 001 810 00008220 EACH__BUILDINGSEWER _' OVER SIGN SIGN PERMIT - 001 810-00-00:8221 '.- EACH WATERHAT'ER'AND/OR,V-('NT _'- .•, BOILER/COMPRESSORUPTO1 __, .' - LAN CHECK , .,• 00181000008821 - -- 'L 2. I have lived Un my' home. tor 'twelve months 'EACH GAS SYSTEM I TO 4frLETS . - BOILER/COMPRESSOR HP " - - • TOTAL PLUMBING' • 001-810-00-00-8222 'EACH GAS SYSTEM 5XMO . . , ' - METAL FIREPLACE , , , ;- - - - ' -- ' ELECTRICAL . . 001-810-00-00-8223 - - -'' ,B&P.C./ r EACH REPAIR WATER PIPE _INSTALR VENT FAN GLE DUCT MECHANICAL 001-810-00-00-8224 EACH VAC.J BREAKER .- •-..- ' -, MEC HAUST • H000(OUCTS '' - , - MOB(LEHOME - • 001-810-00-00-8225 - ,WATE "TNER. t - . •, . - ' . ,_' -. - . • RELOCATION OF EA FURNACE/HEATER - - • ''' SOLAR' ' - 001a81000008226 , -. • - 'EACH ROOF DRAIN (INSIDE( ' - : ' : • DRYER VENT - -. ' -STRONG MOTION -' • 880-519-92-33 • ''' -'.\ ,,•. - '2: - , TOTAL ME I HANICAL - • * . ' , . • . - -' • . ... - FIRE SPRINKLERS ' - 001-810-00-00-8227 .iTOt'I PLUMBING I - . . . PUBLIC FACILITIES FEE- - 320-810-00-00-8740 -• '- - - s-- * - QTY. ELECTRICAL PERMIT -ISSUE •' a5. - ... •• ' - • '- - ' MOB[ EHOME SETUP .QTY..-. - . " - - - BRIDGE FEE .,' -360-810-00-00-8740 - -PAR-ILIU (AREA ) - • -- - . - ,• NEW CONST EA AMP!SWT!BKR •_ . '• - , - CAR PORT • -• . - ;• , - _, hf - _.. 1134-810-00-00-8835 1 PH\ *. . 3 PH .. AWNING LA COSTA TIF ONV. 13 81 a WORKERS' COMPENSATION INSURANCE'. - EXT ThG E'A'AIvIP/SWT B1" GARAGE 'FMF - ,• .- - 1 PH - a 3 PH' - ..C. - , , -. . ' - • . : - - LICENSE TAX, 001-810-00;0O-8162 - -.- REMPDEL.ALTER cWT/ - , - ' • . - . - • ': .MfF.' act' ff8lR-57 . . 0 manner so as to become subject to the Workers' Cumpen. — TEMP-PDLEr,200AMPS,5 -_._ ' __.-n'uu___'5 '., NOTtCE.TO.APPLtCANT: It, arterrakir'g this Certllicat C!ty_of_CARL8A IEMPOCCUPANCY (300AYS( CREDIPY?MENT PROCESSINC_S RVS _ TOTALELELTRILAL____ - " I TOTAL. - TOTAL FEES PAYABLE ____ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Evpireion Every permit issued bythe Building Official underlhe provisions Otthis - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATKINS OVER Code shall expire by limitation and become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT. ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 5'0- DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or work authorized by such permit is COMPLY CITY, COUNTY STATE GOVERNING BUILDING CON suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO WITH ALL AND LAWS abandoned atanytimealter the work is commenced for a period 01180days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIrT ANU APPLICANT'S SIGNATURE 0 CONTRACTORA AP~PRO ED ~By I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (-IoSTS'A Nn 0 R EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. BYPHONE - ,.. . '4 . S -. ,, ' .- • • _/ . ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS; - -x ,- • -I - . . I. - '- ' . . • a y - ' ' • '• - '- • , •• •, I / - - TYPE -. DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LiFLOOR .D CEILING SHEATHING EJROOF -DSI1EAR FRAME 4A1--- EXTERIOR LATH . INSULATION INTERIOR LATH & DRYWALL - PLUMBING L SEWERAND;BL/CO LI RL/CO V UNDERGROUND D WASTE DWATER TOP-OUT LI WASTE LI 4lVATEJ,3 TUB AND SHOWER PAN GAS TEST TEST• EJ WATER HEATER D SOLAR \AATER ELECTRICAL LI ELECTRIC UNDERGROUND L UFFER ROUGH ELECTRIC ELECTRIC LI ELECTRIC SERVICE LI TEMPbRA' LI BONDING' LI POOL',- -' MECHANICAL,_- LI. DUCT & PLEM.; El REF. PIP NG '-f HEAT — AIRCONDSYSTEMS I. VENTILATING SYSTEMS Vi \ S CALL"FOR FINAL INSPECTIONWHEN ALL APPROPRIATE. -. • ITEMS ARfl.VF HAVE REENAPPROVEfl. FINAL •_• '-.5- 5 . _____ PLUMBING - V V ;t\•iV -'s- . ELECTRICAL .-_ - - . - MECHANICAL GAS- V - .• - cs-___5/V-. I BUILDING SPEIAL CONDITIONS I k .•--- . VVVV - FIELD INSPECTION RECORD I • REQUIRED SPECIAL INSPECTIONS .• INSPECTORS NOTES INSPECTION REQ. IF INSPECTORS DATE "• \ CHECKED APPROVAL -, - - —.-'--'—. - 0EAEfOIW1 bOC Th4 2i - / SOILS COMPLIANCE PRIOR TO - STRUCTURALCONCRETE COVER 20O PSI, IPRESTRESSED S CONCRETE - CT7VT7r - POST TENSIONED '' ' CONCRETE FIELD FIELD WELDING HIGH STRENGTH' - - BOLfS SPECIAL MASONRY PILES CAISSONS S.. • 5-. _.5_ - .-S_ - • -.5 - I — I51JIJ' 'I)4J4 Vjlj 'iCt S .--- ..$). •-•--'----. k'- r4f- ___________ - S S - -S .5 I'... \f 14 • - . _________________ _______ . ______ C' V \'\ ...V — fi I •-'- -V 5- V...- - ----'5-- • - .., - ...- - .. .- --- - -5 5 55t S5 • - •• - - V • •. -, . - S4V•V SVS V SrSVV - - SS.'VI5i • Z ---. - it B U I L D I N G P E R M I I Permit No CB960048 01/10/96 ,11:35 Project No A9600092 Page 1 of 1 ' Development No: Job Address: 2525 EL CAMINO REAL Suite: 155 Permit Type ELECTRICAL 54 O1'1,' oo Parcel No: 156-302-09-00 - Lot#: tv' —Valuation--0 Construction Type:, VN. Occupancy Group:- Reference#: Status: ISSUED .Description: ELECTRIC FOR REPLACEMENT SIGN Applied: 01/10/96 Apr/Issue:01/10/96 Entered By: MDP Appl/Ownr : SIGNTECH 619 527-6100 - 1 44444'FEDERAL BLVD. SAN DIEGO CA. 92102 - Fees Required Féolected & Credits -------- ----20O •fl,\ T --------------- Fees:• Adjustments: ,.' i..T0 al Erethts: .00 Total Fees: 2 . 0 0"..—' Total ry1m&t s .00 . - Bat'd'?e 20 00 Fee description ,fç-----------1ts\\/Un--Ex- fee ---ata " - - - - - Enter "Y" for Re 4.~1114 10.00 y *-ELECTRICAL'TOTA 20. 00 N. INCORPORATED 1952 FINAL P INSP ATE JCL - CITY OF CARLSBAD • ,, • 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438-1161 I •, -., -.• I, •• . I - • • -- • -, I PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL PLAN CX DEPOSIT_______________________________ VALID. BY DATE - 0 1 PIMIT TYPE I A NtOMMERCIAL pNEW DTENANT IMPROVEMENT B - 0 INDUSTRIAL DREW []TENANT IMPROVEMENT C- El APARTMENT DCONDO ESINGLE FAMILY DWELLING DADDITION/ALTERATION ODUPLEX DDEMOLITION DRELOCATION []MOBILE HOME 0ELECTRI5A(" DPLUMBING [:]MECHANICALLJPOOL DSPA [:]RETAINING WALL DSOLAR W'6THER%. PROJECT INFORMATION PLAN CHECK No. :1 . FOR OFFICE USE ONLY Address qj Building or Suite No.,, -- Nearest Cross Streets- 4)/714/ LEGAL DESCRIPTION Lot No. Subdivision Name/Number(, Unit No. - Phase No. CHECK BEL(RI IF SIJBMITTED: - 02 Energy Calcs 02 Structural Calcs 02 Soils Report pi Addressed Envelope ASSESSORS PARCEL EXISTING USE PROPOSED USE DESCRUO WORK , BLDG. 50. FIG. ' A OF STORIES CONTACT PERSON NAME ADDRESS - CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE '4. APPLICANT DCONTRACTOI ULA(EWT FOR CONTRACTOR DOWNER D AGENT /OR OWNR - NAME(C4,y/4/ .4,t/i5J v'7c/t' fZ V7z7zs/xq, '44 CITY 1i.57A)24,W ZlPCODE/Z DAY TELEPHONE('/)ó/ PROPERTY OWNER HER D LESSEE NAME ('4 /4,Js ADDRESS 44 CITY STATE ZIP CODE DAY TELEPHONE CONTRACTOR NAME A/?6&é/ 7?2e,/_ - L16,774 -/1.ADDRESS /We/ of,q~ 5Li/, CITY STATE ZIP CODE . DAY TELEPHONE (f"/ 'J IB - LIC. A LICENSE WAS - CITY BUSINESS LIC. A I2-3_2 _______invilfilig,wilki isSPW CITY "- / ) STATE - ZIP CODE U k.J DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION - - Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 38O5. Lab. C). INSURANCE COMPANY POLICY NO. "'1/,JtZ/EXPIRATION 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 manner so as to beconesdTct to the Workers' Compensation Laws of California. SIGNATURE /7,&j4t44_ DATE OWNER -BUI,thEiUDECLARATION - Owner-Builder Dec/artion: I hereby affirm that I am exempt from the Contractor's License Law tor me oiiowing reason: 0 I as owner of cl)foperty 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, Bus..pess 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.). E] I, as owner of the property, am exclusiveli? contracting with licensed contractors to construct -the project (Sec. 7044, Business and Professions Cede: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) Licensed pursuant to the Contractor's License Law). - E] I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Bus prior to its is Contractor's Lic and the basis fo more than five SIGNATURE and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Law hapter 9, coimienci wit ect on 7000 of Division 3 of the Business and Professions Code) or that'he is exempt therefrom, all g exeiition. Any iol tion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not f ci II DATE I II /\I - COMPLETE THIS SECTION FOR NOW-RESIDENTIAL, BlJIL'OING/ITS ONLY: Is the applicant or future building occupant reqi.ind to u it a business plan, acutely hazardous materials registration form or risk management and prevention - program under Sections 25505, 25533 or 25534 of the Pre e Tanner Hazardous Substance Account Act? DYES Is the applicant or future building occupant required 1obtain a permit from the air pollution control district or air quality management district? DYES NJ Is the facility to be constructed within 1,000 feet of/the outer boundary of a school site? .DYE.S 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 MAY IN ANY WAY ACCRUE AGAINST SAID CIT/IN CONSEQUENCE OF THE CHANTING OF THIS PERMIT. - Ex-irati0n. Every permit issued by te.1Building Official under the1ovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such plmit is/o cocnnenced within.180 days from the date of such permit or if the building or work authorized by such permit is suspended - or band"edAaa time afe the/wor is conmienced for a pen of 180 days (Section 303(d) Uniform BuildingCode). AP'LCANT[s')S ; f,f OWNER NTRACTOR pBY PHONE ,i PbhE'B WHITE: File YELLOW: Applicant IiNtS t-inance 1 CITY OF CARLSBAD .•• "'c , : .• INSPECTION .REQU.ST PERNIT# CB960048 * . FOR 02/20/96 . INSPECTOR AREA DESCRIPTION: ELECTRIC FOR REPLACEMENT SIGN. 'PLANCK# CB960048 OCCGRP ., -TYPE: ELEC. ,. ' ', . ., . CONSTR. TYPE VN JOB ADDRESS: 2525 EL CANINO REAL . STE: 155 'LOT: APPLIcANT:. SIGNTECH . PHONE: 619 527-6100 CONTRACTOR: . PHONE: '.• 'OWNER: . . PHONE: 'REMARKS MW 'INSPECTOR SPECIAL INSTRUCT: . S . , S /', S • . ', TOTAL TIME. * . , * CD' LVL DESCRIPTION , S . . • - 'ACT CO!'ll1ENTS * " .• 'S 39 EL Final Electrical A 4, ***** INSPECTION HISTORY DATE 'DESCRIPTION S • ACT INS? CONTS' - ' , S • -- : •. .5 ' .5 ' S . S ,•• S '5. 55 ' , S • ' S ,, - - ' S , -' S ' I '* ' :-- S , • ' S - ••4•, I S , S , 5' . :'- S .5 5'4 j 54 55 , , * ' 5 '• - ''S S ' • 5' 55 ' * • *S4 , -- V ,, - a • - City of Carlsbad 1635 Faraday Av Car1bad, CA 92008 - .. -05-04-2012 .. Building Permit Permit No:SCB982011 Building Inspection Request Line (760),i502-2725 Jo} Addreâs: . 2525 EL CAMINO REAL CBAD St: 155 • .',•. . Permit Type: CTI Sub Type: - Parcel No:' 1563020900 Lot #-: 4 Status: FINAL Valuation: $0.00 Const Type: NEW- - Applied: 06/25/1998 OccGroup: . - Reference #: Entered By: RMA - •, - App±/Issued: Project Title: REMOVE NON-BEARING WALL-NO * - Inspct Area: DH . ELECTRIC-EXPRESSIONS -. -, -_ Applicant: - Owner: i., : : • ARKIUS - PLAZA CANINO, REAL •- - , 2940 MALAGA CR STE, B' •, ' DIAMOND BAR CA 91765 .. -: 714-883-8969 -, - . ,...• , ', •,- , - Total Fees: •• $25.00 Payments. To Date: $25.00 ''Balance Due: . •• $000 Description Fee.. Other " 2500 + . FINAL APPROVA rcthe Inspector Date Clearance NOTICE: Please take NOTICE that approval of your project includes the imposition' of fees, dedications, reservations, or other exactions hereafter colleàtively 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 CodeL Section 66020(a), and file the protest and any other required information with the City Manager fo ' processing in accordance with Carlsbad Municipal Code Section 3.32030. Failure to timely follow 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 capactiy changes, nor'planning, zoning-grading or other similar application processirg or service fees in c6nnection 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. '• - S • '-4 . • • . - S -'.5 5• .,- S * F • 1 .4 •j . 45 5. 4- S S 5 - S S 5••• 1 4 - s . S - B U I L D I N G P45 E R M I T Permit No CB982011 07/28/9810 33 Pro)ect No A9802655'4 Page 1 of 1 p Development No Job Address 2525 EL CAMINO REAL l Suite 155 Permit Type COMNERCIAL TENANT IMPROVEMENT Parcel No-:'156-302-09-00 Lot# - Valuation * 0 Construction Type ..NEW Occupancy Group: .--, Reference#:. - - -Status: -ISSJJED.- Description: REMOVE NON-BEARING'-WALL-NO , - Applied:-.06/25/98 . ELECTRIC-EXPRESSIONS Apr/Issue Entered By RMA .Appl/Ownr :,ARKIUS .5.5 . 714 883-8969 -. • 2940 ,.MALAGA CR STE B - - DIAMOND BAR 'CA 91765 *** Fees Required Fees Collected & Credits Fees: .25.00 - Adjustments: ::00 . Total Credits:' . '- -. .00 Total Fees 25 00 Total Payments 25.06:', Balance Due 00 Fee description Units Fee/Unit,'Ext fee Data Other, > 25 00 25 00 PERMIT" -.5--. . - , .•' -. -• - S - S - 4 •5_._ -5. - 44 IS 5- 4. S. , .. ' S 'S ,A - , '• • ' 4 .4 . • ,. 't - ' --- • .5 , • ., S 4 A '-- 5 .-.- 4.5 , •S - 5., 5 -5, 4. 54', _ '5, - $ 1 S ,.• - , - -4 S . IS ' 55 t , -4 mom- 'I. ,. , . ...• . .•t.'..•. •.. •' ;•.•s ..; ,-.. '. -- C ', ' . " ..', FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO c1 f2171 CITY OF CARLSBAD BUILDING DEPARTMENT EST7. VAC .2075 LasPalmas Dr., Carlsbad CA'92009 Plan Ck Deposit (760)`438 1161 A. Date, rn 1 ROJECflP1FÔRMATIÔN Address (include Bldg/Suite #) ' Business Name (at this address) S f_ •.t. '' - ' 4 1* 15 , Legal Description . . - Lot No. Subdivision Narile/Nurpber Unit No. Phase No. Total # of Units (fl). Assessor 'is Pafcel # Existing Use.Proposed Use Description of Work -' ' '' 'Q. FT. #of Stories , : . # of Bedrooms .'# of Bathrooms 2 NTACT PäÔ1I (If tip c CO -me '.' : •- Address a City . FState/ZiP7 Telephorce# , Fax IcA fz :jactr t / Name Address -' City State/Zip Telephone # Eft Name Address ,' City -, Stale/Zip .Telephone# . ,.•. .•. (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 Con'tractor's' License Law [Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any plicant'for a permit subjects the ap licant to a civil, penalty of not more than five hundred dollars l$500 ) ' 7•''r Nme Add city..State/Zip / Telephone # . State License # Z( /3'J )". ,. License Class - L-) City Business License #'- 1/C ,- Desger Name'', . '."ddress city . ' ''.-State/Zip ' 'lelephoneT' State License # iJiiiCER COMPATION . 'i," Workers Compensation Declaration hereby affirm under penalty of perjury one of the following declarations C .0 I have and will maintain a certific'ate of cánsent to self-insure for'workers' compensation'as pr' id by Sectidn 3700 of the Labor Code, for the performanica of the work for which this permit is issued r have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whh this permit is issued My Worker's compensation insurance carrier and policy number are Insurance Company rr.J7 7 ' 2t'.~C//? 'S Policy No /c76' Expiration Date —/ (THIS SECTION NEED NOT BE COMPLETED iF•.THE PERMIT IS FOR, ONE HUNDRED DOLLARS ($1001 OR"LESS) - " . t -• ,. .• ' -. 0 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 1 1,to become subject to the Workers Compensation Laws of California I WARNING Failtj're to secure workers compensatIon veraga Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000111.in jdjlltion tot" of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.. 4 SIGNATURE ,"Z2ej'S._,,,7_'S DATE -_..2-J____ - OWN ERtJ1iDER;OECLARAT1ON , ,,, .. ,,,s .. '/ FF1 •-•, :; I hereby .9 m that I am exempt from the Contractor's License Law for the following reason I 0 I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sate (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 k 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 Côntractoi's License 'Law does not apply to anS.owher of property who builds or improves thereon, and contracts for such projects with c&rtractor(s) licensed pursuant to the Contractor a License Law) C • 0 I am exempt under Section Business and Professions Code for this reason 4 * It • 1 I personally plan to provide .the major labor and material'for construction of the proposed property improvement .`O ;YES ONO I - 2 I (have / have not) signed an application for a building prmit for the proposed work 3....- I- have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):. . - C: , - I 4 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 number -I contractors license iumber) -. _-________________•F,',,' __-___. __.__________ 1' .'. 5 I will provide some of the work but -I have contracted (hired) ,the following persons to provide the work indicated (include name / address / phone number / type of work)': PROPERTY OWNER SIGNATURE-' _______-.' DATE -- _. . - QPMPLETE..HI SECTION'FORI(OMRESIQ74LBULLD..NGPESQNY. Is the aplicant or future building occupant required to submit a business plan acutely hzardous materials registration form cr risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES NO - .- ................................... ' '. . . .4, Is the applicant or future building occupant required to obt ain ,a permit from the air pollution control district or air quality management district? 0 YES NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 16 NO ' F. 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 " S. IS S. S.0 I hereby affirm that there is a construction lending agency for the performance of the iork for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME -- __-. _. - LENDER'S ADDRESS' 77 IS I certify that I have read the application and Late that the above information is correct and that the information on the plans is accurate."I agree to comply with all - City and State laws relating to 6ui1ding construction. Ihereby -authorize representatives 'of the CitV of Carlsbad to'enter upon the above mentioned.- .property for inspection 'purposes.t 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 IN CONSEQUENCE OF THE GRANTING OF,THIS PERMIT" OSHA An OSHA permit is required for excavatins over 5 0 deep and demolition or construction of structures over 3 stories in height - - - - s' . - , .k, ' . . F. .4, ..'& ,, 5 .' EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the of ' such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corfc c for a p nod ofdays (Section 106 4 4 Uniform Building Code) - APPLICANT'S SIGNATURE - '' DATE 6 - - '. • ' - -r WHITE: File YELLOW: Applicant PINK: Finance ' - - ,-, -, - '' , ' . - -' . . , - 'F ' • P ., , •- , . '' -, , - - ' ,. . ' '• - ' - - ' - - ' - - - 'S c.. ''r.'j. , - , • ' ' ', ' , .. ' , - - . .- - ' ' . , ' - '. " - . " , S. - .- .4 4*.. • •" 4 - .4 . - 4', . '' - . 4. . , ,. -. .4 .., , S . '4 • 4- ... • .4 ,. "-''4 ., . CITY OF CARLSBAD 4.,' ., INSPECTION REQUEST- PERNIT# CB982011 FOR 07/24/98 INSPECTOR AREA DESCRIPTION REMOVE NON-BEARING WALL-NO PLANCK# CB982011 '.ELECTRIC-EXPRESSIONS 0CC GRP TYPE: .CTI •'4 • : , ' , '.' . CANINO •, REAL'.' -' . 'CONSTR. TYPE NEW . STE: 155 '. LOT: JOB ADDRESS: 2525 EL APPLICANT ARKIUS ' PHONE 714 88378969 CONTRACTOR4 PHONE OWNER PHONE 'SAY WHATTYPE 'OF INSPECTION .WAS.N DED- REMARKS C/ ' '.. INSPECTOR * SPECIAL INSTRUCT:''DID NOT 4.' . '4 4,,, - 4 ' - '' ' TOTAL TIME • . 4 . •l ' -' --. .4- . 4 4 '4 .4' . -. - ' 'CD LVL. DESCRIPTION '.. ,: ..ACT :,COMMENTS 19 ST Final Structural - 29 -PL Final Plumbing 39 EL Final'4 Electrical 49 ME Final Mechanical - . .-' - , , • 4 • , '., - ***** INSPECTION HISTORY ' , * .... • '- ,, 4 ***** 4 4 . 4 • -. - •• - • - - : .. • • 4 DATE . DESCRIPTION -- ..' -- ACT- INSP ' ...• ' ', - '4 COMMENTS • 4' • • ' 4- 4 • '4' .' '. 4 • 4 4 . - 'C . , ' 4 '' - ' 4 4.4 4 T '4AT 1,