HomeMy WebLinkAbout2525 EL CAMINO REAL; 167; STE 167 PRE 2016; Permitilk-L..'ho M~
BUILD!NG PERMIT APPLIC*AT[Q,,N
City of CARLSBAD, CALIFORNIA 92008 ' 7 4/2 ___ Applicant to complete numbered spaces only. Phone 72 1101 il_ Permit No- / / F
JOB
io4 2525 eLsBCA - PARCELJR
ASSESSOR S
1OE5CR. I
I
LEGAL I I (LJSEE ATTACHED SHEEn1 I
LOT NO. BLIS TRACT I BOO#' PAGE PAR.
2
, i
PHONE OWNER MAIL ADDRESS ZIP
?RC 4*to 1 A
£15080
i CONTRACTOR MAIL ADORES PHONE NO e TV LIC. NO.
JHONE ARCHITECT OR DESIGNER / MAIL ADDRESS p4 c 9zw'/ 1/4)21-23 essi
ENGINEER MAIL AODRSS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS
-
. BRANCH
6
USE OF BUILDING
.i'PPfA)6 C7E r)/1JT.,,.<PieE NO. BORMS NO. BATHS_______
8 Class of work: U NEW L 'ADOITION El ALTERATION U REPAIR El MOVE El REMOVE
9 Describe work:
10 Change of use from
Change of use to . ,,.;t2c;• yq_.36 1
11 Valuation of work: $ 2e1 000 $ 5?
SPECIAL CONDITIONS: Typ of c
,,,
,.7'
MICRO FILM FE
Con . Group
Size of . of Max.
(Total) Sq. Ft. Stories 0CC. Load
Zone Zone - - Required ,AYes []NoACCEPTED BY PLANS CHECKED BY APPR OF R ISSUANCE BY
Fire Use Fire 5prinke
DATE 2 ?/
Special Approvals - Required Received Not Required
No. of
Dwelling Units overed
NOTICE
Sq. Ft. 10N oen
OFFSTREET PARKING SPACES:
0. Io.
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 FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
HEREIN. OR NOT, THE GRANTING OF A PERMIT DOES NOT TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
CONSTRUCTIO 0 THE PERFORMANCE OF CONSTRUCTION.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- PLANNING DEPT.
HEALTH DEPT.
MENCED. OTHER (Specify)
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 61
OR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION < M\ CASH
.SS
S
S
S S
PLUMBING PERMIT APPLICATION•
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 :' Pprmit Nn 79S.
JOB ADOR CBS -,
L 1oEGALEscR.
F LOT NO.
I
BLK
I
TRACT
OWNER . MAIL ADDRESS ZIP PHONE
'C'ONTRACTOR . MAIL ADORESS STATE LIC.
4/77 f ~,j 73/
CITY LIC. NO.
ARCITECT'OEThtSIGNER - MA'IL ADDP'ES PHON LICENSE NO.
ENGINEER MAIL ADDR:ESS
1L
PHONE LICENSE NO.
COMPENSATION (NS. CARRIER MAIL AD E1'5S W V.r BRANCH I
USE OF BUILDING
7
........S
8 Class of work: 04EW Li ADDITION El ALTERATION LI REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: —L WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
VIT I I KITCHEN SINK & DISP.
DISHWASHER — - APPLICA.T(ON ACCEPT ,BY PLANS CHECKED BY APPAÔVEOFOçI ISSANCE BY
D A T fi WATER
LAUNDRY TRAY —
CLOTHES WASHER
HEATER
NOTICE
V THIS PERMIT BECOMES NULL AND VOID IF WOROR 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
)
URINAL
DRINKING FOUNTAIN — — — — _L 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
SI.GNTUAE?dO1TRCTORSOR AWTH DWI IfO,GE WTI IOArEV
ISSUANCE FEE $
SIGNATURE OF OWNER _(IF _OWNER _BUILDER) _._(OAIEI TOTAL FEES $ _P
WHEN VKUYLKLY VALIDATED uN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH
- INSPECTOR
— ISSUANCE FEE
TOTAL FEES $1 :ZIP SIGNATURE or_OWNER__(Ir OWN ERBUILDER)(DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE).THIS IS YOUR PERMIT ••• '
PLAN CHECK VALIDATION • CK.
* . . . M.O. : CASH PERMIT-VALIDATION - cic. - MO.CA H .• . I - •• .-- *
5* 5__ 1*1 '•,, I.
.-_-5-.L :::_ •z x. 1, . -;.1:. •'_i•
JOB ADDR ESS - I
DESCA
f
LOT NO.
:' .
BILK TRACT
(ESEE ATTACHED SHEET)
-
OWNER MAIL ADDRESS' ZIP PHONE ./
2
' CONTRACTOR . . MAIL ADDRESS f ~jj ION-E 41/7/ ' STATE LIC. NO. - ITY LIC. NO. I ci 9727 ,& 7431 /7rV
ARCHITECT OR DESIGNER ... .- MAIL ADDRESS
4
PHONE LICENSE NO. '.
ENGINEER MAIL ODR S - PHONE . LICENSE NO. I .
LENDER - .~ls#AIL ADDRESS BRANCH
USE Of BUILDING.
1 Sr1e , - . .- ,.
•: r'
8.C1assofrk L1NfW LJAOOITIoN Li ALTERATION Li REPAIR '
9 Describé work:
-/
Type of Fuel: Oil -0Nat. Gas Li LPG. Li
PERMIT FEES .
SPECIAL CONDITIONS: . No. .- Type of Equipment - : Fee..
- . . Air Cond. Units—H.P. Ea. - . - ' $
Refrigeration Units—H.P. Ea. i7t ) 41
Boilers—H.P. Ea. . .
••_
Gas Fired A C Units—Tonnage Ea — — .1% .. .\ - Forced Air Systems—B.T.U. - '-.M Ea. -.
APPLICATION ACCEPTED BY PLANS CHECKED BY AP D FOR I LANCE BY:Gravity Systems—B T U M Ea -
Floor Furnaces—B.T.U. M. r
..- •-' . . '. - Wall Heater—B.T.U. M . •..
NOTICE • Unit Heaters—B.T.U. ___M
Evaporative Coolers THIS PERMIT BECOMES NULL AND-VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF -- ClothesDryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
Ventilation Fan PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
MENCED. . . . Range _00
___ Air Handling Unit— l) F.M. ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
Incinerator TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
j _ ._•,...//_. . PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
. /7•4ff,.; CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE Or/tONTRACTOR OR AUTHORIZED AGENT
- - N
r( '
-
gi7 -U9-,ata MECHANICAL PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008
Phone 7291181 . Permit ,NO. T
INSPECTOR
-: USE'BALIPOINT PEN O'NLY&"PRESSHARD
2n'D' hereby affirm that lam licensed under -
( •provisions-of Chapter 9.(commencing with.
I 't.S.ctlon 7000) of Division 3 of the Business
I and Professions Code, and my license is in
a'
I hereby1aflirm that I am exempt from the Contrac
-. or's License Law for the ,following reason (Sec. 7031.5 ,.,.
'-.. Business and Professions Code: Any city or County whicr. re'
0 t I quires a' permit to Construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires the ap-
plicant to, such permit to tile a signed statement that he is
- licensed pursuant to the provisions 01 the Contractors
Ljceose Law Chapter 9 commencing with Section .7000 01
oiuisiOn 301 the Business and Professions Code) or that is ex'
empt theretrom and the basis to, the alleged exemption. Any, (4'
., ._.. viotatiud'ot Section 7031.5 by an applicant for a.permil sub-
jects the applicant too civil penally 01 not more than live hun-
dred dollars $500).
- It I. as owner of the property. 01rn7'Jnpinyees with wages
as their sole compensation, will do the work, and the struc' - ,'turo is not intended or uttered to, sate (Sec. 7044. Business
and Professions -Code The Contractor's License Law does
not apply to an owner 01 property who builds or improves t ..a thereon and who dues such work himself or th)Ough his own.
-'employees, provided that such improvements are notintend ._
lxi ' ed or Offered for sale,, It; however, the building or improve Z men) is sold within one year.ot completionthe owner-builder -
will have the burden 01 proving that he did not build or im
prove for the purpose of sale),
() l,as 'ownert the property, ,arr excttcsivety Contracting
- ,with licensed Contractors to Construct the project (Sec. 7044.
Business and Professions Code:. The Contractor's License I
proves thereon. and who contracts foreach projects with a
Z Law).
2—- - i- 11As a homeOwner I am improving my home. and the follow- ing 4 '— -- Conditions exist:Cc -. The work is being performed prior to sale.
.1 have lived in my 'home for twelve months._
prior to Completion 01 this work. W 3. I have not claimed this exemption during the
.r a.a4''-' _,.tv
..tor this reason -
I hereby allOw that I have a certificate of consent to
surance:or a certified copy thereof ISOc. 3800.' Labor Code)
- ' POLICY NO.
.COMPANY....,, ..
- ---.-. 0 Cerlitied he copy is reby turoished
UJ
o ' CERTIFICATE OF EXEMPTION FROM -
0 (This section need notL be completed if the permit - - '.is for one hundred dollars 101001 or less) uJ 0 t certify that in the performance Of the work for which
IC this permit is issued. I shall not employ any person in any 0 manner so as to become subject to the Workers' Compen.
Sal ion Laws of California., •-, , -.
- NOTICE TO APPLICANT: If, alter making this Certificate
'of Exemption. you should becomesubjecl to the Workers' V
'Compensation provisions 01 the Labor Code, you must
vtforthwith comply with such provisions or this permit shall
,a,
xtx
h'. Of thereby affirm that there is a Construction lending
lo the ertormance of the work for which this per. uJ 01 mit is issued (Sec. 3097. Civil Code) r zI . s•I .• --u- WI-- Lender's Name
Lender's Address____________________________________
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CAR'LSBAD BUILDING DEPARTMENT APPLICATION & PERMIT PERMIT 2075Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
L 'tuli force and effect.
JOB ADDRESS : . ,. AV. ST.RD, THOMAS BROS NO.
2626EL CA11/4/0 t /7.
DAT tI PPL4A ION
/
f''q Bk) ESS LICENSE #
CON RS PHONE
2 J Z2
VALUATION
ZONE I'
. PERMIT NUMBER
-
LOT BLOCK SUBDIVISION. .. ASSESSOR PARCEL NO, CONTRACTOR
OWNER'S NAME
o:8fl;
OIN
T2 J4,f
C06R'S ADDRESS STATE LI N?NO BL SO FOOTAGE
NG
OMLi DPESS
çç itl,.AA52 /7J !DESIGNER ,
- ., . / 7
DESIGN/R PHONE
-6208 04/17/89 0001-01 -":02
'T Ft.1133
. .
. Not Valid Unless Machine ertltied...•
FIRE SPR
DESCRIPTION OF WORK . -- - .. ... -
DESIGNER'S ADORES - STATE LICENSE NO.
tr ,tr '
F/P FLRELEV,
D NO
NO
STORIES 0 GP 2. ED .
- • '
- -.
CENSUS TRACT ,
_.
PARKING PACE
-.----
, , . -
RES UNITS
.•.
GRADING PERMIT ISSUED '
' ,
N 0 . -
'REDEVELOPMENT'
yD ND, ..- .
- . 1 0CC LOAD
. ..
AREA
vOreD,
Law does not apply loan owner of property who builds or im
PLUMBING-PERMIT ISSUE .7...5O. OTY. MECHANICAL PERMIT. ISSUE '-- ' 'n SUMMARY/ACCOUNTNUMBER
Contractor(s) license pursuant In the Contractor's License CH FIXTURE TRAP " " ' , - INSTALL FURN. DUCTS UP TO 100,000 BTU' 9 - BUILDING PERMIT - 001810-0000-8220
EACH BUILDING SEWER' . - , - OVER 100,000 BTU ' - SIGN PERMIT 00810-00-00-8221
EACH WATER HEATER ANDiOR-VENT- ' - - 4__ -• BOILER/COMPRESSOR UP TO 3 HP- - PLAN CHECK --- - 001-810-00-00-8891' .
EACH GAS SYSTEM I TO 4 OUTLETS - ' BOILER/COMPRESSOR 3.15 HP , - TOTAL PLUMBING 001'810'00'00-8222 /
. . --" --' last three yours. EACH GAS SYSTEM S OR MORE , - ' , ' METAL FIREPLACE ' . - ELECTRICAL -* 001:810.00.00.8223 -
O lam-exempt under Sec. ' ,
C. • ', B& P.0 EACH INSTAL,. ALTER, REPAIR WATER PIPE • -- VENT FAN SINGLE DUCT -- - - - - SD MECHANICAL- -' -001-810-00-00-8224 - - -"-- -49
EACH VACUUM BREAKER - ' ' ' - a
, MECH EXHAUST HOOD/DUCTS MOBILEHOME 001-8100000-8225
--
-- WATER SOF1'NER 4 - -. ' - . '- j RELOCATION OF EA FURNACE/HEATER SOLAR - 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) - —, . . . DRYER VENT - - -. - . - - .- - - —STRONG MOTION.-. - - . .. - 880-519-92-33 -
- 3-
selt.irrsvre. Or 3 certificate 01 Workers' Compensation In.
. - ' -
, T OTAL MECHANICAL , FIRE SPRINXLERS 001-810-00-00-8227
- -- tOiALPLU)(8ING' -' .: / 6 '. PUBLIC FACILITIES'FEE 320-810-00-00-8740 - - -
QTY: '3 Copy is tiled with the it _. ,
ELECTRICAL'PERMIT --ISSUE 0(9 QTY. - -
' MOBILE HOME SETUP - - -- -
BRIDGE FEE 360-810-00-00-8740
PARK-IN-LIEU AREA
- NEW CON ST EA AMP SW1 BKR ' CAR PORT - T)F - ,. 31281000008835
Q 'u.,1-) . •(\:? __________________________ ________
P 40 { AWNING - - LA COSTA TiF 311-8110-00-00-8835
- -- ° ; 3-WORKERS' COMPENSATION INSURANCE EXIST BLDG EA AMP/ST.B - - - - . GARAGE . FMF
'I-PH— - -- . - - 3 PH '. -- - -. '.' , . .' - . , . - -LICENSE TAX-'—' - -00181000-008162 7 f
-
J1EMODEL'ALTER_PERCIRCUIT MFF ' 880-519-92-57
- TEMPPDLE 200 AMPS
.,'OVER 200 AMPS 1 •n- - .
5 TEMP OCCUPANCY (30 DAYS)
be deemed revoked.'
I CREDIT DEPOSIT ç'/c2.. >, -- - '
• TOTAL ELECIR)CAL '
- - -- - - -
- -
- a
' -, - _i__. - - _p . . . 1 j i.-. j7'- -r
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY C
Eoplral,onEv y per ad byte Bu Id ng0lf Clef under the pr:vlsl005 of this * AN OSHA PE T IS REQUIRED AR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION' HEREON INCLUDING THE cid.e cnbTe ome nnv
nced wi in 180
oid If
ays
:he buildingO work
rom the date of such 50' DEEP AND DEMOlITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or/I he ' i a oTwork authorized by such permits-suspended or STRUCTURES OVER 3 STORIES IN HEIGHT - -
ISSUED: TO COMPLY WITH ALL CITY, COUN1Y AND STATE LAWS GOVERNING BUILDING CON aband' n' I an - aRe/the work is commenced for a perIod of 180 dyu.-9 " -. -'
STRUCTION, WHETHER SPECIFIEDHEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - ' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABfLITIES, JUDGMENTS, COSTS AND APF - T S N T E - OWNER 0 v
CONTRACTOR 0 APPROVED .,. -, DATE1. - AP -PR 0VEDBY__- .- -
P4-- EXPENSES WHICH-MAY IN ANYWAY'ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -
GRANTING OF THIS PERMIT, BY PHONE
—
I
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MA$ON RY
GUNITE OR GROUT
SUB FRAME LI FLOOR LI CEILING
SHEATHING LI ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL 18?
PLUMBING
0 SEWER AND BL/CO LI PL/CO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT EJWASTE LI WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER LI SOLAR WATER
ELECTRICAL
0 ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORARY
0 BONDING 0 POOL
MECHANICAL
LI DUCT & PLEM., LI REF. PIPING
HEAT - AIR COND. SYSTEMS .
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF INSPECTORS DATE
- CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED CON CR E T
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS' '
SPECIAL MASONRY
PILES CAISSONS
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-14,68
DATE: -59 EAPPLICANT
JURISDICTION 0(1 /55 4, -A LjPLAN CHECKER. _____________________________
EFILE COPY
PLAN CHECK NO: a 9 2 2 SET: []UPS
flDESIGNER
PROJECT ADDRESS:- 2. 5 2.
PROJECT NAME TI
E The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
fl The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies Lj
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck
The check list transmitted herewith is for your information
-)The plans arebeing held at Esgil Corp. until corrected
plans are submitted for recheck
E The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person
The applicant's copy c$ the check list has been sent to L L p
/
Esgil staff did not advise the applicant contact person that
plan check has been completed
Esgil staff did advise applicant that th plan check has
been completed Person contacted 7c
Date contacted.'- - 6' Tlephone # 714 2.7A. / 7 2c7
D REMARKS
By 10 SU r e s
ESGIL CORPORATI9fl
0 GA 0 AA 0 VW 0 D
Jurisdiction______________
Prepar d b -. S
Bldg. Dept.
VALUATION AND PLAN CHECK FEE 0 Esgil
PLAN CHECK NO
BUILDING ADDRESS
APPLICANT/CONTACT PHONE NO.. -
BUILDING OCCUPANCY -_ ____ DESIGNER PHONE
TYPE OF CONSTRUCTION iL-i- AJ CONTRACTOR PHONE___________
U -U
vçy' City of Carlsbad
02/22/2000 Commercial/Industrial Permit Permit No: 0B994737
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAM INO REAL CBAD St: .167
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0
Valuation: $34,216.00 Construction Type: NEW
Occupancy Group: 28 Reference #:
Project Title: . FRED MEYER JEWELERS -
TI 1222 SF- REMODEL EXISTING INTERIOR
Status: ISSUED
Applied: 12/27/1999
Entered Eftip5 021YL/00 0001 01 02
Plan Approved: 011131200PRNT 42141
Issued: 02/22/2000
Inspect Area:
Applicant:
DEMONGEY KIM
2130 21ST STREET
SACRAMENTO CA 95818
916-736-2724
Owner:
PLAZA..CAINO REAL
C/O WESTFIELDORP INC
1'1601 WILSHIRE BI~V.D
LOS AFJGELE'CA 90025
tL IL
. .
Due T'btaI Payents'tDate: '$20000' &B
Building Permit .. ( $307.8'3 •.. Meter-Size
Add'I Building Per Fee I $0.00 's 'I RI. Water on. JFQee
-Plan Check . 200.0 11 rte"Fee /1 .
Add'I Plan Check Fee ' .\ $o1o@ I SDWAIF
Plan Check Discount : :- \ sodb \ Pafe '
Strong Motion Fee V '.• - \ $7'i.9J
Park Fee \$000 PFF(CFD Fund)
LFM Fee iNCoRv êeTax/(.,
Bridge Fee . -$000 hicense,,Tax (CAD Fun
BTD #2 Fee (. $0.00, - Traffic.Imact'.F\e
BTD#3 Fee I-'$ôOo'I T-fflat'(CFD Fund)
Renewal Fee - 0.00. Fee
Add'I Renewal Fee $000 - PiUMBIF..G-TOTAL
Other Building Fee $0.00 ELECTRICAL TOTAL
Pot. Water Con. Fee . $0.00 MECHANICAL TOTAL
Meter Size . Master Drainage Fee:
Add'I Pot. Water Con. Fee $0.00 . Sewer Fee:
Red. Water Con. Fee $0.00 Redev Parking Fee:
TOTAL PERMIT FEES
$421.11
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34.00
$35.00
$37.00
$0.00
.$0.00
$0.00
$621.11
Total Fees: $621.11 /
FINAL APPROVAL
Inspector Date: _____________ Clearance:
NOTICE: P11ease1e NOTICE that approval oyour 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 3.32.030. 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 processing or service fees in 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.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 -
FOR OFFICE USE 'V
PERMIT APPLICATION
CITY OF CARLSBAD BUILDIN4 DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
PLAN CHECK NO.
EST. VAL. -
Plan Ck,
Validated Byil I'
Si Name (at this
Phase No. Total S of .inits
Use
99000101 02/
"a C-PR1T S of Be
-27
Telephone S ixd
9)1p, g((0-71 -Z.72
Telephone I
bw 444-44 —
(Sec. 7031.5 Business and Professions Cods: A4y City or County which requires $ permit to construct. alter. 1mprov14, demolish or repair any structure, prior a Its Issuance, also r.quires the applicant for such pi rm1t 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 XvIslon 3 of the Business and Professions Code) or that he lsAxempt therefrom, and the baste for the of aged exemption. Any violation of Section 7031.6 by airy applicant for *.permit subjects the applicant to a of psrjfty of not more than five hundred dollars ($500)) v-rvi+.a t-),rJt,!/z'l /,1
State License I -Sl' 11can5s Class License Of cic City business
State License S
Workers' Compensation Declaration: I hereby at fit C) I have and will maintain a certificate of cons
of the work for which this permit is Issued.
ED I have and will maintain workers' compenas
issued. My worker's compensation insurance cars
Insurance Company
(THIS SECTION NEED NOT BE COMPLEThD IF TH
O CERT1$1CATE N: I certify that
to become sub t to the Works? Compunjatlon
WARNING: F ure to secure 'cor4ansa thousand dollar (*100.000), 1;' addition tq'th. to
I hereby affirm that I am e(empt from the Contrec
o I, as owner of the property or my imploysi
(Sec 7044, Business and Professions Code: The such work himself or through his own employees, sold within one year of completion, the owner-but
O 1, as owner of the property, am exclusively
Contractor'. License Law does not apply to an pursuant to the Contractor's License Law).
O I am exempt under Section -
under penalty of perjury one of the following declarations:
to aelt•lneure for workers' compensation as provided by Section 3700 of the Labor Code, for the
on, as required by Section 3700 of the Labor Code, for the performance of the work for which this per it is
and policy numbs? are:
"4o1icyNo. 1i t4 Expiration Date __5CC) - PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS)
i the performance of the work for which this permit is issued, I shell not employ any person In any manner a I as iwa of California,
on GeV rage is u&swfi'J,. and shall subject an employ., to criminal p.naltlee and civil fines up to one hun Ired of compensation, ala for in SectIon 3700 of the Labor cods Interest and .ttamay'e fees,
- DATE Z- Z,_- cc
r'a License Law for the following reason:
with wages as their sole compensation, will do the work and the structure Is not Intended or offered for ale rntractor'a License Law do.. not apply to an owner of property who builds or Improves therson, and who d •5 ovidsd that such improvements are not Intended or offered for sale. If, however, the building or lmprov.msri is it will have the burden of proving That he did not build or improve too the purpose of ash).
?ntracting with licensed contractors to construct the project (Sic. 7044. Business and Professions Cod,: 'tha nar of property who builds or Improves thereon, and contracts for such projects with contractor(s) 1105r45d
and Professions Cods for this reason:
I personally plan to provide the major labor anti materials for construction of the proposed property improvement. 0 YES ONO I (hive have not) signed an application for a 4d1d1ng permit for the proposed work.
I have contracted with )Ie following person (firm) to provide the proposed construction (Include name / address I phone number I contractors license nuts
I plan to provide portions of the work, but I hr hired the following person to coordinate, Supervise end provide
the major work (Include name I address I is number / contractors license number):
I will provide some of the work, but I have co4-acted (hired) the following persons to provide the work Indicated (Include name I address / phone number! of work):
PROPERTY OWNER SIGNATURE
DATE Sr,a,s2.raa.rsw...s,&s...aags ..................
Is the applicant or future building occupant requIrsto submit $ business plan, acutely hazardous material, registration form or risk management and preys
program under Sections 25505. 25533 or 25534 of he Preaieyl'ennar Hazardous Substance Account Act?- D- .Jf55_ NO
Is the applicant or future building occupant required ti obtain a permit from the air pollution control district or air quality msnegim.nt district? 13 YES 0
Is the facility to be constructed within 1.000 fast of Ihe outer boundary of a school site? YES C3 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERT4ICAT! OF OCCUPANCY MAY NOT RE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SRV10ES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there Is a construction lending for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS__________________________________________
I certify that I have read the application and stats tha$ the above Information Is correct and that the Information on the plans is accurate. I agree to comply with e City ordinances and State laws relating to building 4natructIon. I hereby authorize representatives of the Cftt of Carlsbad to enter upon the above mentions property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSAb AOAIPJO1 ALL uAetuTlru JUDGMENTS, COSTS AND EXPENSES WHicH MAY ANY WAY AOOI%UC AOAJNST PAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations olar 5'0 deep and demolition or construction of structures over 3 stories In height'. EXPIRATIONI Every permit Issued by the Building O$iclal under the provision, of this Code shill expire by limitation arid become null and void if the building i work authorized by such permIt is not comm ad wljpin 365 daVe from the date of such permit of It the building or work authorized by such permit Is euspendi or abandoned at any time after the work a period of 180 days (Section 106.4.4 Uniform Building Cods).
APPLICANT'S SIGNATURE . (/'' DATE I2_1"z27If 7' I WHITE: File YELLOW: Applicant PINK- Finance
City of Carlsbad Bldg Inspection Request
For:4/19/2000
Perrnit# CB994737 Inspector Assignment: TP
Title: FRED MEYER JEWELERS1
Description TI 1222 SF- REMODEL EXISTING INTERIOR
Type TI Sub Type COMM
Phone: 7604343963
Job Address: 2525 EL CAMINO REAL
Suite:: 167 Lot 0
Location Inspector
APPLICANT DEMONGEY KIM
Owner: PLAZA CAMINO REAL
Remarks
Total Time: Requested By: JOHN
Entered By CHRISTINE
CD Description Act Comments
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs
Insréctioh History
Date Description Act insp Comm
4/17/2000 89 Final Combo CO TP '2.) i279 '1'0
4/7/2000 14 Frame/Steel/Bolting/Weiding AP TP T-BAR• L / f.z'f 4/7/2000 34 Rough Electric AP TP CElL Li
4/7/2000 47 Fireplace/Chimney AP TP DUCTS,(
3/29/2000 17 interior Lath/Drywall AP TP
3/29/2000 18 Exterior Lath/Drywall WC TP
3/28/2000 14 Frame/Steel/Bolting/Welding AP TP T-BAR CEiL
3/28/2000 34 Rough Electric AP TP CEiL LIGHTS
3/28/2000 44 Rough/Ducts/Dampers CO TP DUCTS
3/27/2000 14 Frame/Steel/Bolting/Welding AP TP HARD CElL SOFFITS
3/27/2000 34 Rough Electric AP TP HARD CEiL
3/27/2000 44 Rough/Ducts/Dampers AP TP
3/22/2000 14 Frame/Steel/Bolting/Welding AP TP WALLS
3/22/2000 34 Rough Electric AP TP
3/17/2000 .21 Underground/Under Floor AP TP
3/17/2000 24RoughITopout AP TP
Cliv of Carlsbad
I!' Final Building Inspection
Dept Building Engineering Planning CMWD St Lite
Plan Check # Date 4/17/2000
Permit #: CB994737 Permit Type:, ti
Project Name: FRED MEYER JEWELERS Sub Type: COMM
TI 1222 SF-'REMODEL EXISTING INTERIOR.•
Address: 2525 EL CAMINO REAL #167 Lot: 0
Contact Person JOHN Phone 7604343963
Sewer Dist CA Water Dist CA
Inspected - Date 7
By: - Inspected: Approved: 'Disapproved -
Inspected Date
By Inspected t Approved Disapproved
Inspected Date
By Inspected Approved Disapproved
Comments
I --
EsGil Corporation
In Partnership with .Government for Building Safety
DATE: 1/12/00 C3L_ARRLLQANT
-
0 JURIS.
JURISDICTION: Carlsbad 0 PLAN REVIEWER
0 FILE. .-- -
PLAN CHECK NO.: 99-4737 SET: I
PROJECT ADDRESS: 2525E1 Camino Real Ste. #167
PROJECT NAME Fred Meyer Jewelers TI .•
El The plans transmitted herewith have been corrected where necessary and substantially comply,
with thp jurisdiction's building'codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified in Remarks below are resolved and checked by building
department staff. .'
LI The plans transmitted herewith have significant deficiencies identified'on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held' at Esgil
Corporation until corrected plans are submitted for recheck. '
, The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
j The-applicant's copy of the check list has been sent to:. '
Esgil Corporation staff did.not-'advise the applicant that the plan check has been completed.
' Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: ' ' . ' Telephone #:
Date contacted: (by: .) . Fax #: .
Mail . Telephone Fax. In Person '
REMARKS: Please make the notesas in red on sheets A-O, A-I & A2 of the Owner Set Ito the
City Set l.
By: Mike Puckett Enclosures: -
Esgil Corporation
GA 0 MB E EJ F1 PC 12/29/99 .' ' -'. '"trnsmU.dot -
Suite 9320 Chesapeake Drive, 208 • San Diego, California 92123'4 (858) 560-1468 • Fax (858) 560-1576 - -
Carlsbad 99-4737
1/12/00
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 99-4737
PREPARED BY: Mike Puckett DATE: 1/12/00
BUILDING ADDRESS: 2525 El Camino Real Ste. #167
BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: 11-N
BUILDING PORTION BUILDING AREA
(ft.2)
VALUATION
MULTIPLIER
VALUE
($)
Tenant Improvement 1,222 28.00 34,216.00
Air Conditioning
Fire Sprinklers
TOTAL VALUE 34,216:00
1994 UBC Building Permit Fee Bldg. Permit Fee by ordinance: '$ 307.75
I 1994 UBC Plan Check Fee U Plan Check Fee by ordinance: $ 2b0.09
Type of Review Complete Review Structural Only Hourly
E Repetitive Fee Applicable fl Other:
Esgil Plan Review. Fee: $ 138.52
Comments:
Sheet lofl
macvalue.doc 5196