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HomeMy WebLinkAbout2525 EL CAMINO REAL; 219; STE 219 PRE 2016; PermitCITY Of CARLSBAD 0 6e. BUILDINtS DEPARTMENT Z 2I 7 SUMBING PERMIT - APPLICATION I OWNER Neiman's Jewelers I MAIL ADDRESS Plaza Camino Real Center cn-v Carlsbad TEL. NO. PLUMBER Proffitt & Durnell Plbg. ,I ADDRESS 12630 So. Hawthorne Blvd. CITY Hawthorne TEL. NO.772-2768 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 165581 8733 BUILDING C DDRESS NEAREST - CROSS ST. El Camino Real & Vista Way GROUP I ZONE Inspection Record .I tG69 ** lu.00 NO. ITEM FEE 1 TOILET @ $1.25 1 25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 1 25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 1 WATER HEATER & VENT @ 1.50 1 50 GAS SYSTEM 1 TO IS .30 EA. ADD. @ 1.50 1 FLOOR DRAIN OR SINK @ 1.25 1 25 LAWN SPRINKLER @ 2.00 1 MISC. WATER PIPING @ 1.50 1 50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES _I TO 5 @ 2.00 - 1 drinking fountain 1 25 GRADING PLAN YES-0 NOD PERMIT S 2 00 TOTAL FEE $1 10 00 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE QE.CRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMI APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. CITY OF cawlaO . AMIN, BUILDING DEPARTMENT / & ô PERMIT - APPLICATION OWNER 1%HEML\NJ LEVSJLE23 MA IL ADDRESS MY CO, 40PPlN CENT CITY CQL'3SAD TEL. NO. PLUMBER CODCCD PIQE PQOT ADDRESS IC)G , QCiDWL' CITY DN TEL. NO.Z51 S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 9Qt4 NO. ITEM FEE TOILET @ $1.25 BATH TUB @ 1.25 -- SHOWER © 1.25 WASH BASIN © 1.25 KITCHEN SINK 0 1.25 DISHWASHER 0 1.25 LAUNDRY TUB OR TRAY 0 1.25 AUTOMATIC WASHER 0 1.25 WATER HEATER & VENT 0 1.50 GAS SYSTEM I TO 15 .30 EA. ADD. 0 1.50 FLOOR DRAIN OR SINK 0 1.25 LAWN SPRINKLER 0 2.00 MISC. WATER PIPING © 1.50 GARBAGE DISPOSAL 0 1.00 - VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 0 2.00 GRADING PLAN YES C] NO PERMIT $ 2 00 TOTAL FEE $ 4 OC I.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENIT&AL PROERTY SIGNATURE OF PERMITTEE BUILDING ADDRESS g ,4€eLs NEAREST CROSS ST. GROUP ZONE Inspecflàn Record APPROVALS DATE INSPECTORS SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL 400 VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. WY OF CAR.LBAD • BUILDING DEPARTMENT FOR APPLICANT TO FILL IN LEGAL. DESCRIPTION LOT NO. BLOCK TRACT USE OF BUILDINGS CONTRACTOR ADDRESS CITY TEL. NO. CONTRACTORS STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR ITS © $5.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.. CESSPOOL, DRYWELL, MANHOLE © $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM © $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER © $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM © $2.00 OWNER'S PERMIT $ 2 00 AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF OWNER OR OWNER'S AGENT ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. - SIGNATURE OF PERMITTEE SEWER PERMIT - APPLICATION 4paj7-(q '5bOo BUILDING - - ADDRESS NEAREST CROSS ST. OWNER MAIL , ADDRESS t . CITY -- 7 TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4" = ______ 6" Add. Horiz. @ 4" = ______ 6" Add. Vert. @ 4" =_____ 6" Total Construction Cost 0% Service Charge Total Lateral Charge Lot. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. No. LINE COST: C. C. @ / / dwelling P. S. © / dwelling OTHER TOTAL Grand Total, Lateral, etc. FOR SEWER LOCATION St. NORTH ENGINEERING SEWER DEPT. Signed I ISigned 27 This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION -• : ..:e -&s? BUILDIN(. ftRMIT APPjJCATION Permit ________ City of CARLSBAD, CALIFORNIA 92008 Applicant tO comeiumbered spaces only. Phone 729-1181 JOB ADDRESS - . 0 o L 1LEGAL OESCR. LOT NO. BLK TRACT - --.-__ . DSEE ATTACHED SHEET) . 0 0 in OWNER , MAIL ADDRESS 2 ZIP PHONE CONTRACTOR MAIL ADDRESS 3 PHONE LICENSE NO ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. LENDER 'MAIL ADDRESS 6 i BRANCH USE OF BUILDING 7 8 Class ofwork: DNEW 11 ADDITION [<LTERATION El REPAIR El MOVE El REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ ev PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: Type of Const. Occupancy Group Division Size of Bldg. (Total) sq. Ft. - No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Elves ONO APPLICATION ACCEPT D.BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: 2 / No. of Dwelling Units OFFSTREET PARKING SPACES: Covered i Uncovered 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 60 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 HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY Jro VIOLATE OR CANCEL THE PROVISIONS. OF ANY OrHERSTArE OR LOCAL LAW REGULATING CONSTRUCTION OR , 5HE'PE.R,PORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED SIGNATURE OF CONTRACTOR.OR AUTHORIZED AGENT (DATE) SIGNATURE _OF_ OWNER _(OF _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 . S - INSPECTION RECORD DATE 0 REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING 0 FOUNDATION WALL& WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING 0 MASONRY FINAL USE SPACE BLOW FOR NOTES, FOLLOW-UP, ETC. fl (I hereby affirm that I am licensed under I - pr to of Chapter 9 (commencing with -Sctio 7000) of Division 3 of the Business and Professions Code, and my license is in u full force and affect. U- a -- - .1 hereby affirm that I am exempt from the Contrac- tors License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any City 01 county whicr, re-quires a permit to construct, after, improve, demolish, or repair any structure. prior to its issuance also requires the ap-plicant for such permit to tile a signed statement that he is licensee pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Protessions Code) or that is en- - empl therefrom and Ihebasis for the alleged exemption. Any - violation of Section 7031.5 by as applicant for a permit sub- jects the applicant to a Civil penalty Of not more than live hun- dred dollars ($500). - II I. as owner of the fnperty. army employees with wages as their sole compensation, will do the work, and the struc- fare is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's license Law does 5 not apply In an owner of property who builds or improves 10 thereon and who does such work himself or through his own employees, provided that such improvements are not intend- - W ed or offered for safe. It, however, the building or improve-Z - - mont is sold within one year of completion: the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale). I I. as owner ofthe 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 loan owner of properly who builds or im-proves thereon. and who contracts for each projects with a bJ contractor(s) license pursuant to the Contractor's license - 0 'Asattomenwner iar ithprving m homeand the follow' in9 conditions exist: - The work is being performed prior to sale. I have lived in my home for twelve months prior In completion-of this work. I have not claimed this exemption during the fast three years. , - D lam exempt under Sec. h" .B& P.C. - for this reason - C- 0 teeby affirm that I have a certificate of consent to self-insure. or a certificate of Workers' Compensation In- 'surance. era certified copy thereof (Sec. 3800. Labor Code) POLICY NO. COMPANY .. - ripy is filed with the dry 0 Cerrified copy is hereby furnished Ulf - - CL Ii S - CERTIFICATE OF EXEMPTION FROM C) - - ,WORKERS' COMPENSATION INSURANCE In -. IThis sedfion need not be completed if the permit Ix is for one hundred dollars StOOl or less) Lu 0 I certify that in the performance of the work for which his permit is issued. I shall not employ any person in any. 0 manner so as to become subject to he Workers' Cnwpen-_ sation Laws of California. -. - r NOTICE TO APPLICANT: If. afro, making this Certificate et Exemption. you should become subiect lathe Workers' I Compensation provisions of the Labor Code, you must ' forthwith comply with such provisions or this permit shall be deemed revOked.' ' J' 0 I hereby affirm that 'there isa construction lending ,_,, agency for the pertormanceof the work for which this per. O mil is issued Sec. 3097. Civil Code) ZI • WI - Lender's Name - - ' - - —II Lender's Address U, Z 0 I- 4 4 -J 0.) 0 IE'BAII DAITDEMflIV'RDDCC uaofl' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. :.-.cARLsBAD BUILDING DEPARTMENT APPLICATION & PERMIT a -. - - 2075 Las Palmas, Du, Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV. ST. RD. THOMAS BROS NO. DAT ) OF APPLICATION BUSINESS LICENSE # VALUATION ZONE ' PERMIT NUMBER - LOT I BLOCK - J SUBDIVISION -' ASSESSOR OWNER'S NAME ' PARCEL NO. z43 I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS DESIGNER S ).e.v24-((' DESIGNER'S PHONE 2098 09/27/88 0001 01 02 - BldPrnt 2494 -00 . Not Valid Unless Machine Certified - DESCRIPTION OF WORK DESIGNER'S ADDRESS IO%lo7-ov1 L 4 STATE LICENSE NO. F/P •FLR ELEV. - ' - YO NO I NO I STORIES I EDU - - CENSUS TRACT ' - PARKING SPACE - REX UNITS I GRADING PERMIT ISSUED Y N 0 I REDEVELOPMENT AREA J avD.rvD - - TYPE I CONST - 0CC LOAD - -. - FIRE 5pp YO NO QTY. - PLUMBING PERMIT - ISSUE. QT?. MECHANICAL PERMIT - ISSUE - SUMMARY/ACCOUNT NUMBER - EACH FiX.'TURE5TRAP •' 7 5 INSTALL TURN. DUCTS UP TO 100,000 BTU - BUILDING PERMIT O0(-8(O-OO-OO-8220 -. EACH BUILDING SEWER ' 1II,~ - OR)4,000 BTU , SIGN PERMIT 001-810'00-00-8221 .EACH WATER HEATER ANDIOR VENT - , BOlLER/COMPRES%4"3 HP - - - PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEM 1 T04 OUTLETS - . - 8OILER/COMPRES -15 HP , TOTAL PLUMBING OOi-810'OO-OO-8222 EACH GAS SYSTEMS OR MORE , METAL FIRE PL~ ELECTRICAL 001-810-00-00-8223 -f EACH INSTAL.. ALTER, REPAIR WATER PIPE . VENT FAGLE DUCT '- ' ' - -.- MECHANICAL— 001-810-00-00-8224' EACH VACUUM BREAKER - r($ç EXHAUS1 HOOD/DUCTS - MOBILEHOME 001-810-00-00-8225 WATER SOFTNER •• . . 2E uLATION OF EA FURNACE/ . SOLAR 001-810-00-00-8226 0/ EACH ROOF DRAIN (INSIDE) . - 1 ER VENT 0 ..t STRONG MOTION 880-519-92-33. . - TOTAL MECHANICA - FIRE SPRINKLERS 001-810-00-00-8227 - • TO IA L PLUMBING 1 PUBLIC FACILITIES'FEE - 320-810-00-00-8740 -. QTY. - - -ELECTRICAL-PERMIT ISSUE '. On'. - MOBIL E _______________ BRIDGE FEE 360-810-00-00-8740 - PARK-IN-LIEU _(AREA NEW CONSTEAAMP'SWI I3K% -- CARPORT ______________ - TIF - '312-810-00-00-8835 ' - 1 PH - - /. TT - . LA COSTA TIE 311-810-00-00-8835 - - EXIST BLDG EA'AMP/SWT.-.KR • . GARAGE FMF 1 PH 0 3 PH • -' - ' - ' ' - - - LICENSE TAX 3 , 01-810-00-00-8162 - / • REMODE'ALTR PER CIRCUIT JA ' -. - • MFF 880-519-92-57 TEMP POLE'n200 AMPS - • r - , ' ' - - OVER 200 AMPS - - . - .• - - - -• TEMP OCCUPANCY (30 DAYS) '• ' • • - ____________________________ _________ -i-. •. ' • - - CREDIT DEPOSIT • . -- - TOTAL ELECTRICAL TOTAL, - - - TOTAL FEES PAYABL J_7 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 I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code shall expire by limitation and become null and void If the building or work I authorized by such permit is not commenced within 180 days from the date of such I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permit, or ifthe building or work authorized by such permit is suspended or I ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work ced_for_a_period_of_180_days STRUCT(ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLCAN/? KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OWNERD CONTRACTOR • I GRANTING OF THIS PERMIT. *.A HA PE IS REQUIRED FOR EXCAVATIONS OVER -o DEEJcD DEMOLITION OR CONSTRUCTION OF STR?URES OVER 3 STORIES IN HEIGHT BY PHONE APP TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR El CEILING SHEATHING 0 ROOF El SHEAR FRAME fr3i•1 ______ EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND 'BUCO El PL/CO UNDERGROUND El WASTE 0 WATER TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST El WATER HEATER El SOLAR WATER ELECTRICAL El ELECTRIC UNDERGROUND El'UFFER ROUGH ELECTRIC \fo rt(t El ELECTRIC SERVICE El TEMPORARY El BONDING El POOL MECHANICAL El DUCT & PLEM., El 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 ' 'N 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 PRESTRESSED CONCRETE POST TENSIONED - CONCRETE - FIELD WELDING (/. HIGH STRENGTH BOLTS 141 SPECIAL MASONRY PILES CAISSONS - - _____________________ .- .- p. f -; N / ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619)560-1468 DATE: - / 9 - ge6 [.]PLIANT / JUR. CTION JURISDICTION: CHECKER JFILE COPY PLAN CHECK NO: SET: 3K ours 7)1 ODESIGNER PROJECT ADDRESS:) '.. I I / PROJECT NAME:/if r-iThe plans transmitted herewith have been corrected where , necessary and substantially comply with the jurisdiction's building codes. . 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 taff. E] The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmittedf or a complete recheck. - U The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. fl The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil staff did not advise the applicant contact person that plan check has been completed. U Esgil staff did advise applicant that the plan check has been completed. Person contacted:_____________________ Date contacted: Telephone # REMARKS: - By: K• Enclosures: L CORPORATION Date *_e — jurisdiction - Prepared byi . o Bldg. Dept. VALUATION AND PLAN CHECK FEE. o Esgil PLAN CHECK NO 80 BUILDING ADDRESS APPLICANT/CONTACT PHONE NO._________________ BUILDING OCCUPANCY DESIGNER PHONE_____________ TYPE OF CONSTRUCTION CONTRACTOR PHONE___________ BUILDING PORTION • BUILDING AREA S VALUATION MULTIPLIER. VALUE • ____ _____ Air ConditioninE Commercial Residential - Res. or Comm.. Fire Sprinklers S Total Value I 54 e 00 0 Bui1dn Permit Fee . Plan Check Fee S * $ 7 5 CO tl tIC N SHEET _____ OF 12/87 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND. DECLARATIONS.. . 'CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ': ' 205 Las Palmas Dr:-,- Carlsbad, CA 92009-1915 (619) 438-1161' - ' - • - ** . . . . - . . - - - - I JOB ADDRESS- . . ' AV, ST. RD. $B.NO. DATE OF APPLICATIONI BUSINESS LICENSE St VALUATION PERMIT NUMBER JaXaf ". Real—p.21Danie1s) 10-25-88 J Mailed ZONE LOT J SUBDIVISION r ASSESSOR PARCEL Nil CONTRACTOR CONTRACTORS PHONE # BLOCK ,.- Advanced Htg & A/C Co Inc 213-873-653 . -. . OWNER'S NAME ' I OWNER'S PHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE Poss.11 'Cnst. 'Co 1 818-785-1151 13424 Saticoy t. ' _______ 136105 OWNER'S MAILING ADDRESS OTRE R HQLLy'Je0P DES JNER'S PHONE *....- . 8101-9 Orion Ave. Van Nuys DESCRIPTION OF WORK ior DESIGNER'S ADDRESS STATE LICENSE NO. Alteration of ductwork runout & registers - 2754 10/27/88 0001 01 02 ' --BldPmt - - --24.0 F/P FLR ELEV. I NO 0CC GP EDU I STORIES ' ' I ____________________ YO NO I I 1 FIRE 5pp TRACT PARKING SPACE REX UNITS GRADING PERMIT ISSUEO VELOPMENT CONSTCENSUS ' TYPE - 0CC LOAD - ..-- - 0 N 0 0 NO I '- - YO NO Not Valid Unless Machine Cerrilied - - QTY. PLUMBING PERMIT- ISSUE r 7•• CITY. MECHANICAL PERMIT.- ISSUE ../$., SUMMARY/ACCOUNT-NUMBER EACH FIXTURE TRAP" ' . J INSTALL FURN. DUCTS UP TO 100,000 BTU - - BUILDING PERMIT 001'810'00'00-8220 'EACH BUILDING SEWER ' . — OVER 100,000 BID - SIGN PERMIT 001'810-00'00-8221 — ..EACH WATER HEATER AND/OR VENT -- , I ' BOILER/COMPRESSOR UP 103 HPi ' - - - PLAN CHECK ' - 001-810-00-00-8891 EACH GAS SYSTEM 1104 OUTLETS . — 8OILER/COMPRESSOR 315 H - TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE . METAL FIREICE ELECTRICAL 001'810-O0'OO-8223 - EACH INSTAL'., ALTER, REPAIR WATER PIPE' . — VENT FA49919GLE DUCT im I MECHANICAL 001-810-00'00-8224 EACH VACUUM BREAKER . - MECH EXHT I'6OO1D1S - MOBILEHOME 001-810'00'00-8225 WATER SOFTNER: . ' ,. - REL0CATIF EA .RNAgIHTER - ' , SOLAR 001-810-00'00-8226 EACH ROOF DRAIN (INSIDE) . . DRYER VENT ,. t-r .. • - - . STRONG MOTION .. . 880-5f992-33 -. T0T'f-M.CHAN+EAL -- . — to z; I i FIRE SPRINKLERS 001-810-00-00-8227 TO (AL PLUMBING ' PUBLIC FACILITIES FEE -. 320-810-00-0-8740 BRIDGE FEE 360-810-00-00-8740 QTY. -ELECTRICAL PERMIT - ISSUE - - - QTY. - MLE H?YME TJD . PARK-IN-LIEU (AREA I NEWCONSTEAAMP'SWl BKR - - ' . ' CAR - -. - PORT r - . TIF - . 31281000008835 I PH - ' - 3 PH ' - - , AWNING . LA COSTA hF 311-810-00-00-8835 'EXIST BLDG EA AMP/SWT.'BKR .. GARAGE . . . FMF 1 PH 3 PH ' - 'v , ' - , - , LICENSE TAX , - 001-810-00'00-8162 RE.MODEL'ALTllbT PER CIRCUIT . - . ' • - . MFF . 880-519-92-57 TEMPPOLE 200 AMPS , . . • ' : - ' . OVER 200 AMPS b . '- ' - - .•. - - •,_. , - TEMP OCCUPANCY (30 DAYS) . --- -- a . -• . • - .• . CREDIT DEPOSIT TOTAL ELECTRICAL ' I - • ..TOTAL, I , -.TOTAL FEES PAYABLE -- $24 00 - -- - 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 PEtT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I Code shall expire by limitation and become null and void It the building or work I authorized by such permit is not commenced within 180 days from 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 if the building or work aubhorized by such permit is suspended or • STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- I abandoned at any time after the work is commenced for a period 01180 days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE OWNER D CONTRACTOF11W APPRO D B DATE 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 Qx—BY PHONE 0 r' GRANTING OF THIS PERMIT. US BAL[ POINT PEN ONLY PRESS HARD : 2r'. I hereby affirm that lam licensed under U provisions of Chapter 9 (commencing with I'Section 7000) of Division 3 of the Business I— I and Professions Code, and my license is in L full force and effect. U — - I hereby affirm that I am exempt from the Contrac - tors License Law for the toltuwing reason (Sec. 7031.5. Business and Professions Code: Any city or county which re quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is - licensed pursuant N the provisions Of the, contractor's - License Law (Chapter 9 commencing with Section .7000 01 - Division 301 the Business and Professions Code( or that is ex--J , empt therefrom and the basis for the alleged exemption. Any .violation of Section, 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty at not more than live hun- dred dollars 155001. II I. as owner at the property, or my employees with wages VIA as their solo compensation, will do the work, and the struc' lure is not intended or uttered for sale (Sec. 7044, Business and Professions Cede: The Contractor's License Law does not apply to an owner 01 property who builds or improves th • 'ereon and who does such work himself or through his own employees. provided that such improvements are not intend' U ed or offered for sale., I!, however, the building or improve- Z mont is sold within one year of àuniplelion. the owner-builder will have the burden of proving that he did not build or im• prove for the purpose 01 sale). I I I, as owner 01 the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law dues not apply loan owner of property who builds or im- - proven thereon. and who contracts for each projects with a . 'contractor(s) license pursuant to the Contractor's License Law). _ I'] . As homeowner j am improving my hom' and the 10110w' ing conditions exist: The work is being performed prior to sale. I have lined in my home br- twelve months ' prior to completion of this work. 3. I have not claimed this exemption during the last three years. , 0 I'ameoe'mpluiderSec. -" C "t. ,B&P.C.'1 for this reason'- 1 hereby affirm that I have a certificate of Consent 10' - self-insure. or a certificate 01 Workers' Compensation to' surance. or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO, , COMPANY Copy is tiled with the City 0 Cerritied Copy IS hereby furnished UI - CERTIFICATE OF EXEMPTION FROM 0 I 'WORKERS' COMPENSATION INSURANCE (This section need not be Completed it the permit p is or one hundred dollars ISrOOl or less) 0-i certify that in the performance 01 the work for which Cr this permit is issued. I shall not employ any person in any • manner so as to become subject In the Workers' Compen' sation Laws 01 California. • NOTICE TO APPLICANT: It. abler making this Certificate of Exemption. you should become subject to the Workers*. -s Compensation provisions of the Labor Code, you must forthwith comply with Such provisions or this permit shall be deemed revoked. 'I 1" 0 I her'eby ajIirs that there is a construction tending agency for the performance of the work for which this per. 01 roil is issued (Sec. 3097. Civil Code) Zi '•i 7. l.a I. - Lender's Name . '.. L Lender's Address , TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR El CEILING SHEATHING El ROOF El SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO El PL/CO UNDERGROUND El WASTE El WATER TOP OUT El WASTE El WATER TUB AND SHOWER PAN GAS TEST El WATER HEATER El SOLAR WATER ELECTRICAL El ELECTRIC UNDERGROUND ElUFFER ROUGH ELECTRIC El ELECTRIC SERVICE El TEMPORARY El BONDING El POOL MECHANICAL El DUCT & PLEM., El REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL 1 PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING - - - HIGH STRENGTH BOLTS - SPECIAL MASONRY PILES CAISSONS PLAZA CAMI on CZWESTFI INC FAM To'DaYe'J' $264.36 LF. 24N-61 .($406.71 Meter Size $0.00 Add I Red. Water C( 4I3iL \ etr Fe'e' K Fee ,t) \slw&fr' \ $0007 UDPayoffFee ¼ $100 PF /2 'oöo NCORrrFD Fund)T \ jense'r ". $0(öb License.T(CFDrF N ) $0(00J/f Traffi Impa Fee , '000,/ (J (CFD Fund) $000.nspation LFMZj Fee $0.00 $0.00 $0.00 ----pLOMBING TOTAL ELECTRIc ME K "-!P4 Master Drainage $0.00 SeweleT HAS EXPj $0.00 TOTAL P ES Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.Q. VZ&C0;'?- ~i City of Carlsbad 02/29/2000 Comrñercial/IndustriaI Permit Permit No: CB000437 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 219 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $50,456.00 Construction Type: NEW Applied: 02/08/2000 Occupancy Group: Reference #: Entered By: GMF Project Title: ALTER EXISTING SIGNAGE HEADER . Plan Approved: 02/29/2000 1802 SF Issued: 02/29/2000 Inspect Area: Applicant: PLAZA CAM INO REAL C/O WESTFIELD CORP INC• 11601 WILSHIRE BLVD LOS ANGELES CA 90025 Total Fees: $725.67 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Red. Water Con. Fee 02/29/00 0001 01 02 C-PHT 46131 Due: $461.31 FINAL APPROVAL Inspecto 7 Date: 7A3/# Clearance: 7/. NOTICE: PleaSe take NOTICE that approval of your project includes the"Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. 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 aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 U 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO C649- CITY OF CARLSBAD BUILDING-DEPARTMENT EST VAL 1635, Faraday AVe.,Carlsbad,'CA 92008 -c'- DeposIt,_ 'Iidàted'y - Date, 2.1'x\LOô RMAT 9338 0.0O'AA OOO.. 01 o: rLAz.A JO L- ' 1S U .-26436 Address (include Bldg/Suite #) Business Name (at this address( - 53 EL CANb 'C 14 --' ;- Legal Description Lot No. Subdivision Name/Number, . -. -_ Unit No: - 'Phas'eNo'. , Total # of units Assessor's Parcel # Existing Use Proposed Use LTeOt'J t4t -iO'L - I -i -4TrU&7 Description of Work .J 0EtJ -1' i7'f2SQ. FT. '#of Stories - # of Bedrooms - # of Bathrooms . - - Name - Addrea Cit' State/Zip •' Telephone if Fax # - t-i ' - ar'y'c t' -' — L3 APPUCT Contractor Agent for Contractor DQwrier 0AgenDJordOner - fr1i"i-r' i1. 142.t 4R-ri I oiJT13C- CZ Name Address City sfat"ZiP3, Telephone PROPiWWER Name - Address City State Zip Telephone S OF, cz iTOR:cMiNyNAME - (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 Contractors License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefiom, 'and the basisfor, the alleged exemption. Anyviolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of npt than five hurld'red dollars [$5001):' '17o'i4,L_L cv'ifl%-' Co IfrX-'i ! 1Z16,J &J u niore 1Name , - - - Address - -- -' City - - - - State/Zip , - Telephone # State License # 13-' 3 3iP 91 4P License Class 13 I - -. City Business License # . rZTtj —4. 3/ctLIi (4l fr14/tTh,., jq -k,,JT 8EceJ 'b4 5-Z-52 -/Wi Designer Name - Address , - City - - State/Zip Telephone - State License # C - -1 1, - - , - . .. - - Workers' Compensation Declaration: 1, hereby affirm under penalty of prjury one of the following declarations: - - - - o I have and will maintain a certificate of consent to self-insure for .v'orkers'-cOmpeisatiOnás provided by Section 3700 of the Labor Code, for the performance - âf the work for which this pe'rmit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance .of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: - Insurance 'Company - Policy No. _LJJC J"-i - Expiration Date 6t JO 00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE, HUNDRED DOLLARS [$1001 OR LESS) C] CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued,l shall not employ any persondn any manner so as - to become subject to the Workers' Compensation Laws of California. ' ' - . •1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred - thousand dollars ($100.0 in ad' n to th St of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. - SIGNATURE - - e - - ' - - - DATE Z( F0 - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - -, - - 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 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 Busiress and Professions Code for this reaso'i: 1. I personally plan to provide the major labor and materialsfor construction of the proposed property improvement. 0 YES ONO - 2. -I (have / have not) signed an application for a building 'permit for theproposed work. 13. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number) 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 / contractors license number): -5. I will provide some of the work, but I have contracted (hired) the following persons'to provide the-work indiceted (include name I address / phone number / type of work): - PROPERTY OWNER SIGNATURE DATE' - -•J - 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? 0 YES, NO Is the applicant or future building occupant required to obtain a permitfrofri the air pollution control district or air quality management district? 0 YES Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES - IF ANY OF THE ANSWERS ARE YES, AFINAL 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. I hereby affirm that there is a construction cvltnq nigerry 40r the performance of the work for bich this permit is issued 15cc 3097(i) Civil Code) - LENDER'S NAME - _ LENDER'S ADDRESS ------ . - _- __- - ' - " - - -r — 'I certify trat I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all - City ordinances and State laws relating to building construction. I hereby authorize representatives of the. Cits of Carlsbad 'to enter, upon the: above mentioned - : property fo iispection 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 CITY IN CONSEQUENCEOF THE GRANTING .OF.THIS PERMIT.. - - OSHA: AnOSHA permit, is requiredfor 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 by shall expire limitation and become null and void if the building or work authorized by such permit is not commenced wit - 80 ys from the date of such pernit or if the building or work authorized by such pemit is suspended or abandoned - .. APPLICANT'S SIGNATURE ___ DATEr ' - - • - - . , - HITE: File - YELL : Applicant PINK':, Finance--------------------- - -- -- - City of Carlsbad Bldg Inspection Request For: 7/25/2000 Perrnit# CB000437 Inspector Assignment: TP Title: ALTER EXISTING SIGNAGE HEADER Description: 1802 SF Type: TI Sub Type: COMM Job Address: 2525 EL CAMINO REAL Suite: 219 Lot 0 Location: APPLICANT PLAZA CAMINO REAL Owner: PLAZA CAMINO REAL Remarks: AM PLEASE Phone: 8189298082 Inspector: ,/ .5j~Z Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: JOHN Entered By: ROBIN Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 7/13/2000 14 Frame/Steel/Bolting/Welding AP TP 1-BAR GRID ( INSUL REQ) 7/13/2000 24 Rough/Topout WC TP 7/13/2000 34 Rough Electric AP TP ADDED CElL LIGHTS 7/13/2000 44 Rough/Ducts/Dampers WC TP 7/11/2000 84 Rough Combo NR RB ND FIRE DEPT APPR 1ST ON 1-BAR INSP 7/6/2000 14 Frame/Steel/Bolting/Welding AP TP SIR FRNT AREA DATE: 2/22/00 JURISDICTION: Carlsbad PLAN CHECK NO.: 00-437 EsGil Corporation In Partners/lip with government for Wui(ding Safety rT RI 0 PLAN REVIEWER 0 FILE SET:I PROJECT ADDRESS: 2525 El Camino Real-#219 PROJECT NAME: Daniel's Jeweler's TI The plans transmitted herewith have been corrected where necessary and substantially comply with the 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. 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 applicaht's copy of the checklist is enclosed for the jurisdiction to forward to the applicant contact person. 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 notes as in red on sheets I & 2 of the Owner Set Ito the City Set I plans. By: Mike Puckett Enclosures: Esgil Corporation J GA fl MB El EJ Pc 2/10/00 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 •-Fax (858) 560-1576 Carlsbad 00-437 2/22/00 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 00-437 PREPARED BY: Mike Puckett DATE: 2/22/00 BUILDING ADDRESS: 2525 El Camino Real #219 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: 11-N BUILDING PORTION BUILDING AREA (ft.2) VALUATION MULTIPLIER VALUE ($) Tenant Improvement 1,802 28.00 50,456.00 Air Conditioning Fire Sprinklers TOTAL VALUE 50,456.00 1994 UBC Building Permit Fee • Bldg. Permit Fee by ordinance: $ 406.70 LII 1994 UBC Plan Check Fee U Plan Check Fee by ordinance: $264.36 Type of Review: Ej Complete Review Structural Only LI Hourly LII Repetitive Fee Applicable [] Other: Esgil Plan Review-Fee: $ 211.48 Comments: Sheet I of I macvalue.doc 5196 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-23-2005 Commercial/industrial Permit Permit No: CB052391 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 219 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: Valuation: $76,880.00 Construction Type: NEW Applied: Occupancy Group: Reference #: Entered By: Project Title: DANIELS JEWELERS 2480 SF TI Plan Approved: RETAIL TO RETAIL Issued: Inspect Area: Plan Check#: I / pplicant: Owner: f POSSELL CONSTRUCTION COMPANY INC. ' PLAZA CAMINO REAL C/O WESTFIELD CORP INC 11601; WILSHIRE BLVD 7059 VALJEAN AVE 91406 ..-- LOSANGELESCA90025 818-785-1151 1. / 7, -"\ ' ".- .•. '-• /, 1 , •• I. ISSUED 06/28/2005 SB 08/23/2005 08/23/2005 Building Permit $458.01 Meter Size •. AddI Building Permit Fee / $0.00 , AddI Red. Water Con. Fee,.- \ $0.00 Plan Check / /_. . / $297.71• - 'N '( Meter Fee ' \ $0.00 AddI Plan Check Fee,1 : / $0.00 " '\ SDCWA Fee \' $0.00 Plan Check Discount,: - $0.00 CFD Payoff Fee , $0.00 Strong Motion Fee ' $16.14 PFF (3105540) \ \ $000 Park Fee '. " $0.00 - PFF.(4305540) ',/ $0.00 LFM Fee 1..' $0.00 Lkeñsê Tax (3104193) , \ $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic lmpIct Fee (3105541) '."- -' $0.00 BTD #3 Fee t$0.00/ 'Traffic Irpact Fee (4305541) ( $0.00 Renewal Fee / $0.00 1 PLUMBING TOTAL\ ' $41.00 Add'l Renewal Fee $0.00 , ELECTRICAL TOTAL / / / $60.00 Other Building Fee . $0.00 ', MECHANICAL TOTAL. $24.00 Pot. Water Con. Fee " $0.60 Master Drainage e' I $0.00 Meter Size -'• I' SewerFee . /. / Redev Parking Fee / $0.00 AddI Pot. Water Con. Fee \ $0.00 $0.00 Red. Water Con. Fee ,. $0.00 Additional Fees ,' ,,/ $0.00 TOTAL PERMIT FEES " / $896.86 '• \\ ' / Total Fees: $896.86 Total Pame'nts To Date:" /--N. $297.71" BálanceDue: $599.15 ' :,•N f / BU1J6NGPLANS 5191. 08/23/05 0002 01 02 CGP ATTACHED - 59945 FINAL ARP Inspector: Date: \ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Caflsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE U$E ONLY-. 97 \J p UCATION.1'j.R; !J; .PLAN CHECK CITY OF CARLSBAD BUILDING .. EST L._____________ 1635 -Faraday Aye, Carlsbad, CA 92008 Plan Ck Deposit - Validated y - .................. . , . ...H• . .:Date I / . . 1486 O6/78, Address (include Bldg/Suite #) . Business Name (at this address) ".4.'W. Q'. S 4 jj 'j (i '- Z. j p.J .Ew64gX., Legal Description Lot No. Subdivision Name/Number Unit No. Phase N'." Total # of üriWsf'?i. Assessor's Parcel # , Existing Use Proposed Use Description of Work . SQ. FT.' . . #of Stories . # of Bedrooms # of Bathrooms 2L4ij ..7L ... . _. . . Q0 NJT AC1PERSOJ tdjfterent from applicant) Name - Address City - State/Zip Telephone # Fax # '-r— . . . - 3 APP L Qonttr gent for Cotcar Ooer A.nr lc 0 or fOL'TS' 70S"Ik',44 -JEjW 406- V&V N OY5 •.. cft Xf Name . Address . . . City - State/Zip Telephone'# LROPERTq OWNER Wg1t ° //IeW. LIi2- LA . , 3/E Name Address . cuw . State/Zip Telephone # cQNIRÔAJN_AMW (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, imprdve, demolish or repair any .structur,,prior tits- issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged mption. 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). )OS 'yTn' Au 111q,j #vc' 'v ,,r- 's'-iis- / Name . . . Address . City . State/Zip Telephone # State License # '. License Clas City Business License it o U645 "7 .4 14 . Zb Z . 4 12e . 45 Designer Name , . Address . . , City , . State/Zip . Telephone State License .# 2 g3__ . . .. PJQLSA Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] .1 have and will maintain a certificate of consent to self-insure for workers' compensation'as provided by Section 3700 of the Labor Code, for the-performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this'permit is, issued. My worker's compensation insurance carrier and policy number are: . Insurance Company ,45T'iE f=uU V-,0 Policy No. //01 6S7 ZÔ 9' Expiration Date " ) oç- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) C] 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 ny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation, coverage is unlawful, and shall Subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . . . . . - DATE OWMER1I1ThE —RD ECLARATh'N I hereby affirm that I am exempt from the Contractor's License Law for the following reason: El, I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or, offered for sale (Sec. 7044, Business and Professions Code: The Contractor'sLicense Law does not apply to an owner of property'who builds or improves thereon, and w14o 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). -, C3 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 prEperty whobuilds 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: I personally plan to provide the major labor and materials for construction of the pràposed property improvement. 0 YES, DNO I (have / have not) signed an ápplicàtion fOr a building permit for th6 proposed 'work. . . . . I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number./ contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (incluIe name / address / phone number / contractors license number): . . . . . . 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 . _-__.- -UL IT 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? ' 0 ,YES " NO ' Is the applicant or future. building occupant required to obtain 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? , 'YES. NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS-THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN THE AIR POLLUTION CONTROL DISTRICT. C0NSTRUTiON.LENDINGAGENCY — - - I hereby affirm that there is a construction Iendiiig agency for the performance of the.workfor which this permit is issued (Sec.3097)i) Civil'Code)., LENDER'S NAME . . LENDER'S ADDRESS ,__.,.... 'PPLIANTERTI9çMION I certify that I have read the application and state.thatthe above information is correct andthàt the infOrmation on the plans is accurate. I agree to comply with all City. ordinances. and State laws relating to building construction; I hereby authorizerepresentatives -of the Cit,'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 CITY INCONSEQUENCE 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 6ridw ty provisions of ffisCode.shaII expire by limitation and become null and void if the building or work authorized by such permit is not commenced within daysYorahe date of such permit or if the building or work authorized by .such permit is suspended or:abandoned at any time afte the work is commencpdjar a od 18 - ectiOn 106.4.4'Uniform 'Building Code). . APPLICANT'S SIGNATURE DATE (' C WHITE: File' YELLOW:Iicant ''PINK: Finance " ' , ''' - - City of Carlsbad Bldg •Inspection Request . For: 10/07/2005 Permit# CB052391 Inspector Assignment: PC Title: DANIELS JEWELERS 2480 SF TI Description: RETAIL TO RETAIL Type: Ti Sub Type: COMM •.. 0 Phone: 8189298082 Job Address: 2525 EL CAM!NO REAL Suite: 219 Lot 0 Location: •. Inspector: APPLICANT POSSELL CONSTRUCTION COMPANY INC. Owner: PLAZA CAMINO REAL Remarks: Total Time: Requested By: JOHN Entered By: CHRISTINE CD Description' Act Comment off f-6 : 19 Final Structural 29 Final Plumbing 39 Final Electrióal ] 71 49 Final Mechanical Associated PCRs/CVs . Inspection History Date Description Act lnsp Comments . 0 09/21/2005 14 Frame/Steel/Bolting/Welding AP PC. . ABOVE CLG FIRE DEPT APPRVL REQD. BEFORE INSTALLING CLG PANELS 09/21/2005 34 Rough Electric AP PC . 0 09/21/2005 44 Rough/Ducts/Dampers AP PC 09/19/2005 44 Rough/Ducts/Dampers AP PC • . . . • • 09/13/2005 • 14 Frame/Steel/Bolting/Welding AP PC WALLS 0 09/13/2005 34 Rough Electric AP PC • . . . . 09/08/2005 14 Frame/Steel/Bolting/Welding PA PC OK TO ONESIDE • •: 09/08/2005 21 Underground/Under Floor • AP PC 0 • . 09/08/2005 31 Underground/Conduit-Wiring . NA PC • 0 1H EsGil Corporation In (Partnership with Government for Bui(tfing Safety DATE: 8/16/05 U ICANT U JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 05-2391 SET: III PROJECT ADDRESS: 2525 El Camino Real Suite 219 PROJECT NAME: Daniels Jewelers - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. LI The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. Lii 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. LII The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI 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. LI 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 LIII REMARKS: By: Doug Moody Enclosures: Esgil Corporation. LI GA El MB LI EJ 0 PC 8/8/05 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 05-2391 7/11/05 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 05-2391 PREPARED BY: Doug Moody DATE: 7/11/05 BUILDING ADDRESS: 2525 El Camino Real Suite 219 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: uN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 2480 City Valuation 76,880 Air Conditioning Fire Sprinklers TOTAL VALUE 76,880 Jurisdiction Code Icb 113y Ordinance I $449.01I 1994 UBC Building Permit Fee 1994 UBC Plan Check Fee I $291.861 Type of Review: Complete Review Structural Only Repetitive Fee Other Repeats Hourly I Hour* Esgil Plan Review Fee $251.45 Comments: Sheet I of I macvaluedoc