HomeMy WebLinkAbout2525 EL CAMINO REAL; 223; STE 223 PRE 2016; PermitCITY OF
'0
BUILDING 1AIPARTME AppIicatioir BUILDING Permit
729-I I8. - Ext. 36 Build ing Permit FeeLS9
For Applicant to Fill In 6L 4,?
APR 16-69 1116*******.00
Owners Name , )(y(_—r_--'
Mail Address J1t.1
Contractor
Contr. Address5/' Sih S•
To Const. 0 To Add 0 To Alter 0 Convert 0
To Move From
Type of Const
Frame, Masonry, etc.
To Be Used For
Kind of Foundation_______________ No. of Stories_______________
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.) Attached_______________________
Detached________________________
Legal Description
Builinq Dept. Use On
Building Add7,.44.AA 4.__)
St. Near
Set Back Bldg. Valuation
Front P.L. Main Bldg.
Side P.L. Garage
Rear P.L. Other
Group Zone Approved by
Contractor City Bus. Lic. No.
Water Meter Sewage Disposal System
Inspection Record
Lot Block
Subdivision .LL____________________________________________ Or
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes 0 No 0
Signature of Applicant
I ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRI ED RESIDENTIAL flOPERTY.
SIGNATURE /1 OF PERMITT
Utility Company Notified - Date By Final
If a check is iendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
PERMIT NO. '312 TOTAL FEE $
Application for ELECTRICAL Permit
APR E.i69 5 P
AID 14i1i.******5.5O
Buuloinq L.'epr. LJ'e vniy
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 18 1 - Ext. 36
For Applicant to Fill In
PERMIT FEES: Each Fee
BUILDING ADDRESS: %5'u,7è. c?r?31 Item 1.2 Recpt. Sw.
'Elec.
Lighting fixtures w/bal last for each 10 /5 $ 1.00
2I ,d ?A
St. Near
Elec. Ranges, Clothes Dryers, Water Heaters .50
OWNER. Space Heaters Dishwashers, Garbage
Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS
OTORS: Per each mote, H. P.
CITY .25
TELEPHONE NO. / 2 to 5 $ 1.00 ../oô
5 to 15 $ 1.50 State City Business
License /379/ License 15 to 50 $ 2.50
50 to 200 $ 5.00
Group J/ Zone By SIGNS
No. trans. Ea. $ 1.00
Inspection Record: No. lamps over 50ea. . $ .50
SERVICE: 0 to 150 AMPS
For each additional 100 Amps. $ 2.00
$ 10.00
Temp. Power Pole, 100 AMPS or LESS $ 3.00
For Each add 'I Meter, over one per service $ 3.00
ISC:
Approvals 'Date By:
SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit
TOTAL: $ el
Temp. Power
R. Wiring
Fixtures
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI-
S.D.G.&E. a
FINAL:
OF CAR.LSBADS • SEWER
BUILDING DEPARTMENT PERMIT - APPLICATION
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT No.
BLOCK TRACT
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY TEL. NO.
CONTRACTOR'S 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
OWNERS 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
OWNERS 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
BUILDING - - F-
ADDRESS .,. ' .
NEAREST CROSS ST.
Lc!JcAJ OWNER
MAIL
ADDRESS Si 1c 2 3
CITY TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 0' V. I1 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. & Assmf. No.
LINE COST:
C. C. @. / dwelling
P. S. @ / dwelling
OTHER .
.
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
St. NORTH
ENGINEERING SEWER DEPT.
Signed Signed
This Is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By
// PERMIT VALIDATION
-. .'l hereby affirm that lam licensed under provtsIona'of Chapter 9:(commencing with
'-1 Section 7000)of Division 3 of the Business and Professions Code, and my license i In I. full force and If t - [1 Uc. No ________ Class
I hereby atlirm that I am exempt from the Contrac' or's License Law for the bellowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-ir quires a permit to construct, alter, improve, demolish, or. - repair any structure, prior to its issuance also requires the up- - prcant .tor such permit to tile a signed statement that he is - licensed pursuant to. the provisions. of the. Contractors t License Law (Chapter 9 commencing with Section 7000 of - Division 301 the Business and Professions Cede( or that is ex- empt therefrom and the basis for the alleged exemption. Any violation 01 Section 7031.5 by an applicant ton a permit sub- jects the applicant 100 civil penalty 01 not more than line hun- dred dollars ($500).
cc
0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the stroc- . .lure is not intended or offered for sale (Sec. 7044, Business ..J and Professions Code: The Contractor's License Law does . not appty.to an owoer xl property who builds or improves m thereon and who does such work himself or through his own '4etnployeus, provided that such improvements are not intend- UI . ed or offered for sale. II, however,' the building or improve- Z . merit is sold within one year at completion, the Owner-builder - will have the burden of proving that he did 001 build or im- - prove for the purpose of sale). '
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 does not apply loan owner at property who builds or im-proves thereon, and who contracts for each projects with a US contractor(s) license pursuant 10 the Contractor's License Z Low). ,- .0 As a homeowner I am improving my home, and the 10110w' 4 - ing conditions exist: . . 1. The work is being pertormed prior to sale. - - 2.- I have lined in my home for twelve months prior to completion 01 this work. UI . - 3. I have not claimed this 'exemption, during the _ last three years. .
'- 0 I am exempt under Sec. - B & P.C. . ' for this reason
?hereby atlirm that Itrave a Certificate 01 Consent to ('insure: or a certificate of Workers' Compensation In-surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY tro.'.Z. ?(
O mpy is tiled w h tire city •.. • . /1
0 Certified copy is hereby furnished • . UI •- ,•, .•• . -I a
0 g CERTIFICATE OF EXEMPTION FROM 0 ' WORKERS' COMPENSATION INSURANCE • (Thin Section need not be completed it the permit h . is for one hundred dollars ($100) or less) Lid .. I cerrily that in the performance of the work for which cc this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Coorpen- x ' sation Laws 01 California.
- NOTICE TO APPLICANT: If. alter making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions 01 the Labor Code, you must
L7
'1 forthwith comply with such provisions or this permit shall • be deemed revoked.
•'•['' 0 Ihe/dby affirm that Irene i a construction lending ar agency for the performance of the work for which this per' 01 .imit is issued ISec. 3097. Civil Code) r zI. . ' I&.i( Lender's Name-
'r
- - - _JI Lender's Address Address .
f-" m'
- CARLSBAD BUILDING. DEPARTMENT ' •. . . -. ....
- -•. • - •Carlsbad, California 92008-1989 (619) 438-5525 . , -APPLICATION & PE RMI. - -
JOB ADDRESS ' AV, ST. RD. EAREST CROSS ST. DATE OF APPLICATION BUSINESS LICE VALUATION' PERMIT NUMBER
£ od.
LOT I BLOCK 0 SjJBDl VISION ASSESSOR PARCEL NO. CONTRACTOR CO TRACTORS PHONE 0 ZONE
OWN E 'S NAME ? ' / -• u OWNE A'S PHONE
OWNERS MAILING ADDRESS
CONTRACTOR_SADDRESS
d
LICENSE NO PLAN t 0 #. BUILDING SO FOOTAGE
1 L4 e-cm
(J_ DESIGNER DESIGNER'S PHONE .
DESCRIPTION OF WORK, .
, DESIGNER'S ADDRESS LICENSE NO. 7399 06/06/89 0001 01 03 - • -usE±c-- ' 150
f-- F/P F LA ELEV. . NO - DCC GP EDU ' •'• - P ozwx (T ' -
STORIES
YO NO.
,cENSUS TRACT - GPLAND USE 'PARKING SPACE RES UNITS GRADING PEfMIT ISSUED REDEVELOPMENT TYPE , 0CC LOAD FIRE SPA ' •. . , . I' • AREA CONST . • , - ' , -
0 _ND __YO ND 0ND Not Va/id Un/eeu Mac/tine Certified • —
QTY PLUMB(NG PERMIT ISSUE CITY. MECHANICAL PERMIT ISSUE I SUMMARY/ACCOUNT NUMBER —
i.'. EACH .FIXTURE TRAP ,. ' INSTALLFURN.DUCTSUPTO100,000BTU - BUILDING PERMIT 001-810-00-00-8220 ,
EACH BUILDING SEWER' . , . . _-OVER 100,000BTU - y- SIGN PERMIT . 001-810-00-00-8221 .
EACH _WATERHEATERAND/OR VENT . ' .....L.... BOILER/COMPRESSOR UPTO3HP . ' PLAN CHECK ' 001-810-00-0O'8806 -
EACH GAS SYSTEM_I _TO4 OUT LETS - -, BOIL.Eft/Cj3MPRESSOR3-15HIP _' . TOTAL PLUMBING _--001-810-00-00-8222' ''
,EACI-IGASSYSTEMSOR MORE . . ' METALFIREPLACE __- ',- ELECTRICAL' 13 V11 ADM 4 oc
- EACH INSTAi.__ ALTER, REPAIRVirATERPIPE VENT FAN SINGLE DUCT MECHANICAL _001_810_00_008224 .L
EACH -VACUUMBREAKER --- •-', -- MECHEXHAUST - HOOD/DUCTS .. -MOBILEHOME _'--.001-810-00-00-8225 - -'- ' -
WATER SOFTNER . . , RELOCATION OF EA FURNACE/HEATER 0, - MOBILEHOMEPARKINSP -. -
EACH ROOF DRAIN (INSIDE) ,. - - - ' - SOLAR,001-810-00-00-8226 .'-'--
TO I AL-PLUMBING - . . ' . - . - . _-'4~" .. FIRE SPRINKLERS 001-810-00-00-8227
----.• TOTAL MECHANICAL - ,... , -STRONGMOTION _- ___880-519-92-33 .--.---
OTY ELECTRICAL PERMIT ISSUE OTY SOLAR ISSUE PUBLIC FACILITIES FEE 332 81000 00 930
- NEW CONST CA AMP/SWTIBKR - • - COLLECTORS - . SCHOOL' FEE - DISTRICT ____________ _- 7. - . ..,. ' , • . -
I PH 3 PH STORAGE TANKS Carlsbad
- EXIST BLDG EA AMP/SWT/BKR - -e ROCK STORAGE . -. Enclnitas - -
1 PH - - 'n 3 PH - - , " . . • PUMP - - . San Oiegaibo - • -
REMODEL-,'ALTER PER CIRCUIT • .' , ' -• : PLAN CHECK FEE" ','' San Marcos' • -' ' _'•••" '
- TEMP POLE 200 AMPS - - -• Cr. •'-. - - - - • - ____________________
OVER 200 AMPS LICENSE TAX 001-810-00-00-8162
TEMP OCCUPANCY 00 DAYS) .. , MIFF 880 51992 57
" • - 2 .•. . CREDIT DEPOSIT • .' - -r
TOTAL ELECTRICAL TOTAL SOLAR I TOTAL FEES PAYABLE ell
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Expiration. Every permit issued by the Building Official under the provisions of this AN OSHA PEPJA;T IS RE-WIRED ~014 EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire bY limitation and become null and void If the building or work 50" DEEP AND DEMO1ITN OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, by h
or It the budthn permit srrocommerrcewt or wor k authorizedby such hin 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time a?ter the work is compflenced for a period 01180 days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APP DV BY •
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE OWNER 0 CONTRACTOR 0 - - , , • DATE /
EXPENSES WHICH MAY IN ANY GRANTING OF THIS PERMIT WAY ACCRUE AGAINST SAID CITY IN CONSEQUEf/CErrR 0- 72t(-[\aP1IONE 0
I
- a, I •' . .. -
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME Li FLOOR Li CEI1ING
SHEATHING Li ROOF Li SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
Li SEWER AND BL/CO Li PC/CO
UNDERGROUND Li WASTE Li WATER
TOP OUT Li WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER Li SOLAR WATER
ELECTRICAL
Li ELECTRIC UNDERGROUND Li' UFFER
ROUGH ELECTRIC I
ELECTRIC SERVICE 0 TEMPORARY
O BONDING Li POOL
MECHANICAL
DUCT & PLEM., Li REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT?ON WHEN ALL APPROPRIATE ITEMS ABOVE HAtE BEEN APPROVED
FINAL '
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL DA DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
OVER 2000 PSI
STRUCTURAL CONCRETE
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
BOLTS
HIGH STRENGTH
SPECIAL MASONRY
PILES CAISSONS
-
-S.
B. .0 I L 1 N G P E B M• I T Permit No: CB891554
10/27/89 14:04 .. Project No: A8902681
Page 1 of 1 Development No:
'Job Address:. 2525EL CAMINO REAL Str: Flb992 lo/,lol 02 Permit Type COMMERCIAL TENANT IMPROVEMENT F
C-PRHT 770-00 Parcel No: 156-302-09-00
Valuation: . 15,,631
Construction Typé:NEW
Occupancy Group: . Class Code: - Status: ISSUED
Description:. .812 SF #223VKALEIDOSCOPE ' Applied :,'10/13/89
Apr/-Issue : 10/27/89
Validated By: JPY
Fees 'Required ik - *._**_----L_F_eei Collected &' Credits .
------Fee---88100
Adjustments: •. .• /00 Po'o'tCredis: •: .00
Total Fees: 881.00 .lçPrments: ' ' 111.00
. 7 Balance-Du: 770.00 V
Fee description / ç cUitsjec <)nit Ext fee Data
Building Permit / /1 > J~. \'7 \ 171.00 .
Plan Check ..
- / '-D / \ \. 111.00 ..
Strcng Motion Fee( 2;'00 -. -
Enter Y to Autocaic License Tax > 1 547.100 Y
* BUILDING. TOTAL f .
5831.00 25
' Enter "Y"-for Plumbing Issue'e&'J> . (N I 1 ' -7".50Y, '-
Each' Plumbing Fixture or Trap1JIJ_.L> 2.400) / 2.50/ 5. 00 ,
"
Each Water .Heaterand/or Vnt 1.00 / 2.50f 1 2.50-c
* PLUMBING TOTAL' \ 15.00. . V
Enter "Y" for Electric IssueFee.I?OODOOA,,O- / . 5.00 Y
V Other - \ . 10.00REMODEL
* ELECTRICAL .TOTAL ($10 Minimum)
.
15.00 . .. V Enter 'Y' for Mechanical Iu1eiFee)... 15.00 Y • V
Each Install/Reloc ApplinceVen'p' CD) \jl...00 .4.50 4.50 Each V
* MECHANICAL TOTAL . 1>
V 120.00'
ALPPROVAL
V.. V •V
V
•
'•
V INSP. 44< DATE .9 2 ,g
•,,,
V
CLEARANCE
'V . . ,
S V V •
4. - V- S . • V2 V 5 2. V V ,2. •.2' V
* V ', - 5 V 5 5. 5 . 'V.. *
CITY OF CARLSBAD
- 2075 Las Palmas Dr, Carlsbad CA 92009 (61 9) 438-1161
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," .
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TL43M3voswt TWA13T1AI05E3MMOD teqT JimliDg
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• • . '. -• . -.4 . •' t.S.. I, •.
PERMIT APPLIcAT'IoN,
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE I
A - COMMERCIAL DREW TENANT IMPROVEMENT
B - D INDUSTRIAL DREW DTEWANT IMPROVEMENT
C - 0 RESIDENTIAL DAPARIMENT [-]CONDO DSINGLE FAMILY DWELLING DADDITION/ALTERATION
[]DUPLEX [-]DEMOLITION 'RELOCATION DMOBILE HOME 16ELECTRICAL PLUMBING
MECHANICAL DPOOL DSPA DRETAINING WALL DSOLAR
lEST VAL AS /
PLAN CE DEPOSIT -#_
1
I VALID. BY
DATE JA IL. i..._.
-
'
0622 10/13/89 0001 01 02
C-PRMT 111-00
2. PROJECT INFORMATION PLAN CHECK No. I FOR OFFICE USE ONLY
Address/4c Cdb.#,t5 (ZcL Builg or S ito. 94
Nearest Cross Streets 2(cD' / / ,2..41l.4/1 -L -
On Name/Number Unit NO. Phase No.
CHECK BELCPJ IF SUBMITTED:
[J2 Energy Calcs 02 Structural Calcs 02 Soils Report Dl Addressed Envelope
ASSESSORS PARCEL EXISTING USE - PROPOSED USE
DESCRIPTION OF WORK
BLDG. 50. FIG. 8'( L_ t2j'/6f.s H OF STORIES OfrleL
CONTACT PERSON
NAME f3 (,q',) ADDRESS ' -- ..j
CITY 44, STATE ZIP CODE DAY TELEPHONE
SIGNATURE
AP
PI ICT
E] CONTRACTOR D AGENT FOR CONTRACTOR DOWNER [GENT FOR OWNER
NAME fSg:; j.. ADDRESS
CITY bLc CL— , qr' 5 L STATEd ZIP CODE 49./O DAY TELEPHONE iqj 5'LYo
PROPERTY OWNER OWNER OLESSEE kENANT
NAME "A,,-,7 4ntr4cfr ADDRESS
CITY IkJ J1'. STATE ZIP CODE 9. 6 DAT TELEPHONE
CONTRACTOR
NAME Afe ADDRESS
CITY STATE Cl ZIP CODE - DAY TELEPHONE
STATE LIC. #,2 k2 LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE 5.-'7L-'6 -,i_ TITLE DATE /9 . 7
DESIGNER RARE ADDRESS IMF 4
CITY S;6-1 /)- STATE ZIP CODE f:;'2_f( 7 DAY TELEPHONE J' Z. I STATE LIC. H
WOIKERS' 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 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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. 7046, 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).
0 I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars ($5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES DRO
As the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES DNo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code).
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
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building
or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
IS SIGNATURE DOWNER fCON1RACTOR LJBY PHONE \ / / APPROVED BY;
DATE:
WHITE: File YELLOW: Applicant PINK/Fina
--RELATED PERMITS-- PERNIT# TYPE
CB890348 CTI
CB890367 CTI
CB890478 CTI
CB890483 CTI
CB890542 CTI
CB890593 CTI.
CB890621 CTI
CB890657 CTI
CB890659 CTI
CB890745 CTI
CB890771 CTI
CB890775 CTI
CB890804 CTI
CB890820 CTI
CB890852 PLUM
CB890944 CTI
CB890964 CTI
CB891010 CTI
CB891050 SIGN
CB891056 CTI
CB891101 ELEC
CB891108 CTI
CB891136 SIGN
CB891148 ELEC
CB891158 SIGN
CB891461 CTI
CB891540 ELEC
CD LVL DESCRIPTION
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED.
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ACT COMMENTS
14 ST Frame/Steel/Bolting/Welding
24 PL Rough/Topout
34 EL Rough Electric
44 NE Rough/Ducts/Dampers
***** INSPECTION HISTORY *****
DATE
120189
120189
120189
120189
112789
DESCRIPTION
Frame/Steel/Bolting/Welding
Rough/Topout
Rough Electric
Rough/Ducts/Dampers
Frame/Steel/Bolting/Welding
ACT INSP COMMENTS
PA MPC BATHROOM WALLS
AP MPC H20, WASTE & VENT INS.
PA MPC BATHROOM
NR MPC
PA AP WALLS ONLY NO LIDS
Enclosures:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619)560.1468
DATE: /0 -
4~R
P
=NC
I I Ii T .
JURISDICTION: /s ,&z HECKER
PLAN CHECK NO: 89 []FILE COPY,
SET: I PUPS
PROJECT ADDRESS:Z± j 4J .p-DESIGNER
PROJECT NAME: '
The plans transmitted herewith'have been corrected where
lLknecessary 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 staff.
The plans transmitted herewith, have significant deficiencies
identified on the enclosed checklist and should be corrected
and resubmitted for 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.
El The applicant's copy of the check list is enclosed' for the
jurisdiction toreturn to the applicant contact person.
LI 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.
LII Esgil staff did'advise applicant that the plan check has
been completed. " Person contacted:
Date contacted: Telephone #
0 REMARKS:
0AA Dvw 0 D
Date : Jurisdiction1L
W E
ared by:
VALUATION AND PLAN CHECK FEE
Bldg. Dept.
Esgil
PLAN CHECK NO E2 I L L-T--r. J —f-- /
BUILDING ADDRESS .2
APPLICANT/CONTACT PHONE NO._________________
BUILDING OCCUPANCY DESIGNER PHONE_____________
TYPE OF -CONSTRUCTION JJiiL ,&J CONTRACTOR PHONE__________
BUILDING,,-PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
-
Air _Conditioning
Commercial
S -
Residential
Res. or Comm.
- Fire Sprinklers. S
Total Value -
Building Permit Fee $ .Z 7 't 9 121-
Plan Check Fee $ $
COMMENTS:
88.9 2T_
SHEET ( OF /
12/87
V// City of Carlsbad
10/04/1999 Commercial/Industrial Permit Permit No: CB993126
- Building Inspection Request Line (760) 438-3101
Job Address: 2525 EL CAM INO REAL CBAD St: 223
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Status: ISSUED
Valuation: $22,736.00 Construction Type: NEW Applied: . 08/18/1999
Occupancy Group: Reference #: Entered B09 195 0001 01 02
Project Title: TLC NEXT GENEERATION Plan Approved: 10104119%9PRMT 290-86
812 SF TI WITH ELECTRIC Issued: 10/04/1999
Inspect Area:
Applicant: Owner: -
LORD FLEMING ARCHITECT LAZACAINO REAL
G/0 WESTFIEbD.,ORP INC
14601 WILSHIRE BLVD
Los AFGELECA 90025
Total Fees: $438.86 Ttal Payreni-T61 Date: $i4800' c OBaInce Due: $290.86
/ ' 7 __
\L \
--- - CZ,
Building Permit I ( $227.33,, Red. Water Con n. . $0.00
Add'I Building Permit Fee I
$0 00
'"\ ter Size .
Plan Check I $147.7 '\tddthecI:Water Con. Fee $0.00
Add'l Plan Check Fee \ 1CFI Pabf)e, $0.00
Plan Check Discount \ kf,! " $0.00
Strong Motion Fee \ $4'7.17 ' fPFF(.CFD'Fu $0.00
Park Fee \$0.00 License Tax $0.00
LFM Fee \ /\ $00 INCORtLCjEé'è Tax.(CFD'Fund) $0.00
Bridge Fee \ $0.00
BTD #2 Fee d$OQ0fl TFfficJmpact(çID Fund) $0.00
BTD #3 Fee 0y ?(if an FMZTrsportation'Fee $0.00
Renewal Fee $000/ PLLMBING'TOTAL' $0.00
Add'l Renewal Fee $0.00 ELECTRICAL' $35.00
0.00 Other Building Fee $
Pot. Water Con. Fee $0.00 Master eeRED PER.!JT Meter Size Sewe:.,A
Add'l Pot. Water Con. Fee $0.00 RedePihglXPIRED INACCORDAj'ejq U BC TOTPER Ii $438.86 '
DAiU SIGNATUR
FINAL APPROVAL
Inspector: Date: ______________ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. 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
co
•• •., ., .. FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHEq. Np
'CITY OF CARLSBADBUILDING DEPAR4TMENT ' 4I 7. • ' -
2075 Las Pai'mas Dr, Carlsbad CA 92009 Plan Ck Deposit, A A P9
(760) 438-1161 .. - '.. . ..
Validated yS(
I . Date II_I_t/_(
1 JECT INFOIN
c44i,W ' 7Z '
Address (include Bldg/Suite #) . Business Name (at this addr. 8i4/W 01 Oh 02 hM1 148 00
Legal Description • - .Lot.No... -. Subdivision Nme/ umb . '.. .UnitNo. Phase No. .. '. Total #.óf units..
Assessor's Parcel # . Existing Use Proposed U e -
4'zY. • •,f Description of Work . -.. . . ..' . . . '.. SQFT. •: . ,. •. •'#of Stories #..of'B'edrooms - '..• .'# of B hroàiit's
- .-. ' -'-'. . . •'. ••- - .
re J"
Ai4 /'N CA v'8 (1)9Si337
Name. . ,.. . . ,._.,... Address.,,. . .. L,. .. - City ,. State- Zip TePphane P
IcAN--- E *nt
'::':''" '• .
NaTne . ,..., Addres'C,' .. . ._. - , .. Cit .St'it,- -ve-
-' .,... .r'rr'P',"!iWflr.! -••• . - '. •• ' .. ., - L4-PR9PERII'.PQINER - .. .. . . - ..
JYL.7 ' ijai I'/',EEg .4. ,4
:Name Addres . City State Zip Ti-lapSe-ne
ONTQIPR., OMPNMES • . . •. • • • .e-L,J ,. .. ... - .
(Sec. 70'31'5'Bpiness and Professions Code: Any City or County whichrequires a permit to uunstruct, 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 Coifrdtor"s Licnse Lair
[Chapter .,9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that hi is exempt therefrom and the basis for the alleged
exe ption. Any violation of S ti on 7031.5 by any applicant for a permit subjects the 'ap • ant t civil penalty of not more than f* V
iv hundred dollars ($5001). 7JF \I7 \'l '
1tName • ',., . • . • Address- at • . • City. ',''% . State/Zip ., .,. TeIhe
'State Liéense # I -'I . License Class , ' :- 'I
L 4A .4 , cric'74c
Designer Name . Address .. . • •. City • State/Ziiti • ......Telephone
State License
Workers Compensation DeclVoi I hereby affirm under punuty of perjury ama of the following declarations
o I have and will maintain a certificate of self insure for wrkerscopenaticin as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued. . . ,.
Q 1-have and will maintain workers', compensation, as.required by Section 3700,of the Labor_Code,.for the performance of the work for_which thi$ permit is
issued. My worker's compensation insurance carrier and policy number are: , • • , ,
Polic 0. Expiration Date _
(THIS SECTION NEED NOT BE COMPLETED IF•THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) -. • . ........• ,.
çRTIFICATE OF EXEMPTION: I certify that in the performance of the work for which -this 'ermit-is issued,] shall not,employiny'person in-arcy rnànnerso as
-t0 beome subject to the Worker' tpeistionLawsof California. •
"-WARNING: Failure'to se ure-wo e ' compensation cove a i 'unlawful, and shall subject an employer to 'criminal penalties fld âivil' fine u toone"hundrec
thousand dollars ($ .0 0). in tion toftiost of c mpe tion, damages as provided for in Section 3706 of the Labor code, interest and,attorney's fees.
-. . ,.,-. - / ' 3 1LSNA.T4)RE ..9 ATE/ O/-./'7 7 WNER BUILbLA
I hereby affirm that-I am exam ('from the Contractor's License La for he following reason: ..,. , ., •., •,
I as own of the propek4 or my"mploye1s ,ith'vaes as r sole compensation will do the work and the structure is not intended or offered for sale"J
(Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of"property who builds or improves thereon1 and who does iv
such work himself or through his own employees, provided that such improvemehts are not intended or offered for sale. If, however, the building or improvementis
:'sold within,one year ofcompIetion, the,ownerrbuilder will have.theburden of provingthathe did not build orimprove.for the purpose of sale). -
0 I, as owner of the property, am exclusively contracting with licensed contractors to constructtheproject (Sec. 7044. Business and Professions Code: .The P
Contradtór's Li6ense Lai 'does not aply to 'in dwner'of 'p'ierty who builds 'or improve's 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 ',;' - •- - ' ' ' - -
1 I personally plan to provide the major labor and materials fror construction of the proposed property improvement 0 YES DNO
I (hive7 have nOt)'igned ànapplicätion"fOr'a building Øermit 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)
, 4. I plan to provide portioiiC of the work,' but Ihave hired the following person to coordinatesupervise and provide the major work (include narne/ 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 indicated (include name'/'a'ddress Iphne number /,type
of work): - •- '. . . , ' - . ' ' ,,. _....,• . .. - ,,,' ' ' - ' ;'' ',
,
ii '• ., P
4. PROPERTY. OWNER SIGNATURE •.. _____- _'' DAE- ' - - - - •.• .'
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or lisk managé"ment and prenti&i
program under Sections 25505, 25533 ora25534 of the Presley-Tanner Hazardous -Substance.Account Act?, 0' YES . NO - ' - .• •• ., -
Is the applicant or future building occupant rquired to oltain a permit fror, the air pollution control district or air quality management district? 0 YES NO
Is the facility to be constructed'within-1,OOO,feet of the outer boundary of a çhooIste, , -YES NO
-- IF ANY OF THE ANSWERS ARE YES; AFINAL CERTIFICATE OF OCCUPANCY MAYNOT BE ISSUEDiJNLESS,THL APPLICANT HAS MET-OR IS MEETING-THE
'tREQUiREMEN1S OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROLDISTRICTP''' .......................- - - . -
CONSTRUCTION_LENDING_AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for wh!'h this permit is issued (Sec 3097(i) CiviICode)
LENDER'S NAME "'" _' __'' _-___'"'-'''C 'LENbER'SCAbDRESS -•i.'- ___. _,,.'- _',
-JpuccERTIElcATIoNi-..
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
il City ordinances and State laws relating to building construction I hereby authorize representatives of the Citt' 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,
A
JUDGMENTS; COSTS AND EXPENSES WHICH MAY IN'ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA An OSHAi- permit is required for excvations ova 0 diep and demolition or Construction of structures over 3 stories in height
EXPIRATION: Every permit -issued by heBuiIdin - icial under,the pro '., s.öf,t ' de.shall'.ex'pire b linitation.and become null*'and .void if the building or
work authorized by such permit is not comme ..within 365 da the, d ,of s permit or, if the building or work authorized by such permit is suspended
_
erio_f_180d_S 0644Uniform_Builthig Code) C
WHITE: File YELLOW: Applicant---n PINK: Finance 'P-i- .......................- ,'.-y .-.
lAspection List
Permit#: CB993126 Type: TI COMM TLC NEXT GENEERATION
- 812 SF TI WITH ELECTRIC
- Date Inspection 'Item Inspector Act Comments
12/7/1999 89 Final Combo DM NR'
12/3/1999 14 Frame/Steel/Bolting/Weldin DM WC
12/3/1999 89 Final Combo DM NR
12/2/1999 89 Final Combo DM NR
11/17/1999 14 Frame/Steel/Bolting/Weldin DM AP
11/10/1999 17 Interior Lath/Drywall DM AP
11/9/1999 14 Frame/Steel/BoltingiWeldin -DM AP
11/9/1999 17 Interior Lath/Drywall DM NR
11/8/1999 84 Rough Combo DM NS
4
Friday, September 22, 2000 Page 1 of 1
City of Carlsbad
May 10, 2000 Permit Number: CB993 126
Issue Date: 10/4/1999
TLC NEXT GENERATION
2525 EL CAMINO REAL #223
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: TI
ADDRESS: 2525 EL CAMINO REAL #223
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 5/16/2000
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION.
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and
become null and void if the building or work authorized by such permit is not commenced within 180 days
from the date of such permit, or if the building or work authorized by. such permit is stopped at any time after
the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds
three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official
within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee 'has not
obtained a required inspection approval of work by the Building Official within each 180 day period upon the
initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall
be one-half the amount required for a new permit for such work, and provided that no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay anew permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required
by this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
PAT KELLEY
Principal Building Inspector
1636 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560
EsGil Corporation
In Partnership with government for Building Safety
DATE: 8/31/99 O APPLICANT
JURISDICTION: Carlsbad U PLAN REVIEWER
O FILE
PLAN CHECK NO.: 99-3126 SET:!
PROJECT ADDRESS: 2525 El Camino Real #223
PROJECT NAME: TLC Next Generation TI
The plans transmitted herewith have been corrected where necessary and substantially c
o
m
p
l
y
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building co
d
e
s
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 che
c
k
l
i
s
t
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 applic
a
n
t
contact person.
J The applicant's copy of the check list has been sent to:
U Esgil Corporation staff did not advise the applicant that the plan check has been completed.
F-] Esgil Corporation staff did advise the applicant that the plan check has been complete
d
.
, Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
U REMARKS: Pleas have the applicant make #w-noTe-sasin Al and A2 of
the Owner Seti se ave
accessible parking and path of travel from the parking to the tenant space.
By: Mike Puckett Enclosures:
Esgil Corporation
U GA MB n EJ PC 8/23/99 trnsmU.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92.123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 99-3126
8/31/99
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 99-3126
PREPARED BY: Mike Puckett DATE: 8/31/99
BUILDING ADDRESS: 2525 El Camino Real #223
BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: VN
BUILDING PORTION BUILDING AREA
(ft. 2)
VALUATION
MULTIPLIER
VALUE
($)
Tenant Improvement 812 28.00 22,736.00
Air Conditioning
Fire Sprinklers
TOTAL VALUE 22,736.00
D 1994 UBC Building Permit Fee I Bldg. Permit Fee by ordinance: $ 227.32
1994 UBC Plan Check Fee I Plan Check Fee by ordinance: $ 147.76
Type of Review: E Complete Review Structural Only Hourly
Repetitive Fee Applicable LI Other:
Esgil Plan Review Fee: $ 118.21
Comments:
Sheet I of I
macvalue.doc 5196
City of Carlsbad
I 1635 Faraday Av Carlsbad, CA 92008
11 ~1 6-2005 Commercial/Industrial Permit Permit No: CB052991
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAMINO REAL CBAD St: 223 .. • - .
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Status: ISSUED
Valuation: $24893.00 Construction Type: NEW: Applied: 08/18/2005
Occupancy Group: Reference #: Entered By: RMA
Project Title: . MASTERCUTS-803SFTI V - Plan Approved: . 11/16/2005
- V Issued: 11/16/2005
Inspect Area:
Plan Check#:
Applicant: •:.. Owner: JAKE WEBSTER .- . —-`PLAZACAMlNO-REAL
C/O WESTFIELD CORP INC S
VSTE H .•. ,-" 11601 ',WILSHIRE BLVD S
1327 POST AV 90501 LOS ANGELES CA4,90025
3103286300 /
Building Permit 7 $21519 Meter Size cSrJ \
.S V
Addi Building Permit Fee \ / $0.00 AddlRecl .Wter Con. Fee \ . $0.00
Plan Check • / r \S5 ,/' $139 Meter Fee' '
0 $0.00 -
AddI Plan Check Fe ef ,•'-J / $000 f'JSDCWAFee \ $0.00 .
Plan Check Discount/ / t 5. 7 $0.00 CFD Payoff Fee \ ç—_ \ $0.00
Strong Motion Fee / Y $5 23PFF(3i05540)7
'\
)
\
$0.00
~'Park Fee
LFM Fee $0.00License'Tax (3104193) \ $0.00 .
Bridge Fee $0.00 License Tax (4304193) A71 1 $0.00
BTD #2 Fee j / $0.00 -Traffic Impact Fee (31 05541) \. ) $0.00 .
BTD #3 Fee "-_.........' $0.00..-Traffic Impact Fee (4305541)J '---' $0.00 -
Renewal Fee $000 PLUMBING TOTAL L. i $55.00 V
AddI Renewal Fee \ $000 ELECTRICAL1TOTAL~ ) V / $35.00
Other Building Fee $0 00 MECHANICATOTAL / . / $24.00 - Pot. Water Con. Fee \ \ $0.00 Mar Drainage Fee' J / $0.00
Meter Size '--. 7 ~,S~_\NrFeet' - / ,.. o.00-
Addi Pot. Water Con Fee \ ($000 Redev Parking Fe& $0.00
Red. Water Con. Fee -
N $0.00 4Additional Fees /. - / $0.00
4 \ ,COPA!PERMIT FEES / $47429
Total Fees: $474.29 Total Paments'To'Date:D ,- $474.29'-Bàlance DCie: $0.00
- N V /I!r(Th •• -
'--'!
BUWDINGeLANS V
S
.
V • • V
V V ATTACHED - V • . :. . -
4 a 4 2.2.3 1kreas
Address (include Bldg/Suite #) Business Name (atthisad 8,18,05
Legal Description Lot No ubdivusion Name/Number Unit No Phase -" Total # of un,t
e.ct
Assessor's Parcel # Existing use i Proposed Use
1v%v'tôr 'T -t- "Description of. Work .... SQ FT. #of Stories -# of Bedrooms ..' -# of Bathrooms
NT PEq ö3iJjent trorn appica Wlz
e /32 74- ,q-vL ,5"ik 1/ 7rc4rne CA, Of
Name ... Address . '.. . City ' State/Zip Telephone # Fax #-
CANT F1 Coctor rContract'co
Name - . . . " Address - -' . City State/Zip Telephone #
PERWWiR'
Name Address City State/Zip Telephone #
—: -
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, .improye,demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of. Division .3 of. the Business and Professions Code] or that.he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects,the applicant to a civil penalty of not more than five hundred dollar l$5001.
M. J-0 •-Is--q,co fkJt t 7i1( - P)a/Lke I44Ai-~;L(frz-VZ6 30
Name .V Address - . City State/Zip Telepho #
State License # C Lice'nse Class City Business License #
Designer Name . . . . Address. •. . City State/Zip, Telephone
State License #.
[Er2Qk0R1KERS,PCCLMP -
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
o I-have and will maintain a certificate of consent to self-iii
.
sure for workers compensation as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
1 have, and will maintain workers' compensation, as required by Section 3700 of the Labor Code1 for the performance of the work for which thi'permit is
isued My worker's compensation insurance carrier and policy number are
Insurance Company ,aJ (cDrv'tf.c.tvu y Policy No (/JCI I 17 Expiration Date
(THIS-SECTION NEED NOT-BE COMPLETED IF-THE PERMIT IS FORE ONE HUNDRED DOLLARS I$1001 OR LESS) -
0' -CERTIFICATE Of EXEMPTION: I.certify that in the performance of the work for which this permit isissued,fl shall not employ any perii:k in any manner so as
to become subject to the Workers' Compensation. Laws of California. .
WARNING: Failure to secure workers' compensa ioncoverage is unlawful, and shall subject 8nemp14er to criminal penalties and civ fines up to one hundred
thousand dollars ($109,400) in dition tAhe of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees,
SIGNATURE 4 - DATE /1/I/ôsT
7 qLJL ff_ '
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 ownerrbuilder will have.the burden of proving that he did not build or improve for the purpOse of sale).
El I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law)
• 0 I am exempt under Section Business and Professions Code for thisreason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement; 0 YES DNO
F (have /'have not) signed an application for a building permit for the proposed Work. . .
- 3. I have ,contracte.d with the following -person (firm) to provide the. proposed construction (include name / address / phone number / contractors license number):
4 I plan to provide portiOns Of the work; but I have hired the followingpersbn to coordinate, supervise and provide the maj6r 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 indicated (include name I address / phone number / type
- of-work): •-- ............. . ... , , . . .
PROPERTY OWNER SIGNATURE. DATE
—
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-Acj? DYES . 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? 0 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 AND THE AIR POLLUTION CONTROL DISTRICT I
ONSTRU3Y1N LENDING GENcy — - - -
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 Coder
LENDER'S NAME ' ''- .. . , LENDER'S ADDRESS
JCANT_CERTIFJDONf
I certifythat I have read the application and state that the above inforhiation is correct and that the information on the plans iaccurate. I agree to complyith all, City ordinances and State laws relating to building construction I hereby authorize representatives 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 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT:
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION:. Every permit issued-by the building Official under the provision of this' Code shall expire by limitation and become null and void if -the building or work
authorized by such permit is not commenced within 180. days from the date of such permit or if the building Or work authorized by such permit is suspended or.abandoned
at any tim,e after the d of 180 days if rm Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance - . .........--
Title: MASTERCUTS-803 SF TI
Description:
Type: TI Sub Type: COMM
Job Address: 2525 EL CAMINO REAL
Suite: 223 Lot 0
Location:
APPLICANT JAKE WEBSTER
Owner: PLAZA CAMINO REAL
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural ______________
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comm
12/13/2005 84 Rough Combo AP PY T-BAR
12/01/2005 14 Frame/Steel/Bolting/Welding AP PY
12/01/2005 24 Rough/Topout AP PY
12/01/2005 34 Rough Electric AP PY
Phone: 9522158512
Inspector:
Requested By: NA
Entered By: CHRISTINE
WIN City of Carlsbad Bldg Inspection Request
For: 12/15/2005
Permit# CB052991 Inspector Assignment: PY
Es.GiI Corporation
In Partnership wit/i çovernment for (Buituing Safety
DATE: 11/1/05 0 APPLICANT
JURISDICTION: City of Carlsbad 0 PLAN REVIEWER
0 FILE
PLAN CHECK NO.: 05-2991 SET: III
PROJECT ADDRESS: 2525 El Camino Real Space 223
PROJECT NAME: Master Cuts - 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 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.
LII The applicant's copy of the check list 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
LII REMARKS:
By: Doug Moody Enclosures:
Esgil Corporation
EGA []MB [1EJ [}Pc 10/25/05 * trnsmtl.dot
9320 Chesapeake Drive, Suite 208 • SanDiego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City ok Carlsbad 05-2991
9/1/05
I VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 05-2991
PREPARED BY: Doug Moody DATE: 9/1/05
BUILDING ADDRESS: 2525 El Camino Real Space 223
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: uN
BUILDING 1
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI 803 City Valuation 24,983
Air Conditioning
Fire Sprinklers
TOTAL VALUE 24,983
Jurisdiction Code Icb . IBY Ordinance I ____
Bldg. Permit Fee by Ordinance
I $215.19J
Plan check Fee by Ordinance
$139.871
Type of Review: Complete Review Structural Only
[ _____ LI Repetitive Fee
1 Other
Repeats LI Hourly Hour *
Esgil Plan Review Fee $120.51!
Comments:
Sheet oil
macvalue.doc