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Home My WebLink About2525 EL CAMINO REAL; 229; STE 229 PRE 2016; Permit00. PERMIT TOTAL FEE $ 221 ---— Application for ELECTRICAL!erm it 5- 00 Building L)epf. Ue unly CITY OFCA SBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In PERMIT FEES: Each Fee BUILDING /ó,cijvirrjitn G Item Recpt. Sw. . Lighting fixtures w/ballast for each 10 $ 1.00 St. Near Elec. Ranges, Clothes Dryers, Water-Heaters .50 OWN ER 45 ?T?. AN Elec. eaters Dishwashers, Garbage ..Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS: (7te 2 2,.9 PIOTORS: . Per each motor H P. CITY: 0 to 1 "1J..." $ .25 1 to 2 ' $ .50' TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State License ..-O./ City Business cerise 95 73 15 to 50 $ 2.50 50 to 200 $ 5.00 Group Zone By SIGNS: No. trans. Ea. $ . 1.00 Inspection Record: No lamps over 50 ea. $ .50 SERVICE: 0 to 150 AMPS For each additional 100 Amps. 1 $ $ 10.00 2.00 d Temp. Power Pole, 100 AMPS or LESS $ 3.00 For Each addI Meter, over one per service $ 3.00 ,E AJ MISC: . Approvals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit oc TOTAL: 2,. Temp. Power 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 OFCARLSBAD AND THE STATE OFCALIFORMIA OR THAT I AM THEtAOWNER OF T E ABOVE SIbIBEO RESI DENTIAL P PERMITTEE: SIGNATURE D. G. & E. FINAL: CITY OF CARLS PERMIT NO. TOTAL FEE$ BUILDING DEPART 729-1181 -Ext. 36 Application for MECHANICAL Permit For Applicant to Fill In NO. ITEM INSTALLATION AND/OR RELOCATION EACH ANT. PAID J02-T-69 i3O67* *** * * 0 f_ For the installation or relocation of each forced-air or grani- ty type furnace or burner, including ducts and vents attaihet to Such appliance, up to and including 100,000 B.t.u.'s- $ 4.00 now For the installation or relocation of each forced-air or gravi- tytype furnace or homer, including ducts and vents attached to such appliance over 100,000 B.t.u.'s 5.00 For the installation or relocation of each floor furnace, in. cludiog vent. $ 4.00 For the installation or relocation of each suspended heater, recessed wall heater or floor mounted unit heater. $ 4.00 Building Dept. Use Only For the installation, relocation or replacement of each ap- pliance vent installed and not included in an application. $ 2.00 For the repair of, alteration of, or addition to each heating appliance, refrigeration unit, comfort cooling unit, absorption unit, or evaporative cooling system, including installation of ' £,I o controls regulated by this Code. $ 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- sor to and including three horsepower, or each absorption system to and including 100,000 B.t.u.'s. . $ 4.00 STREET CAME For the installation or relocation of each boiler or compres- each absorptIA on system, over 100,000 B.t.u.'s to and incin- sor over three horsepower to and including 15 horsepower, or CONTRACTOR OWNER ding 500,000 B.t.u.'s $ 7.50 a7 For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or each absorption system over 500,000 B.I.o.s and including 1,000,000 B.t.u.'s. $10.00 ADDRESS For the installation or relocation 01 each boiler or cumpres- sor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 B.t.u.'s. $15.00 crr For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. $25.00 CITY BUSINESS LICENSE NO. For each air handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. $ 3.00 CITY BUSINESS, LICENSE NO. - For each air handling unit over 10,000 cubic feet per minute. $5.00 For each evaporative cooler oIlIer than portable type. $ 3.00 GROUP For each vent fan connected to a single duct. $2.00 For each ventilation system which is not a portion of any heating or air conditioning system authorized by a permit. $ 3.00 INSPECTION RECORD For the installation of each hood which is served by me- chanical exhaust, including the ducts for each hood. $ 3.00 For the installation or relocation of each domestic type incinerator. $ 5.00 For the installation or relocation of each commercial or industrial type incinerator. $20.00 For each appliance or piece of equipment regulated by this Code but not classed in Other appliance Categories, or for which no other fee is listed in this Code. $ 3.00 For the issuance of this permit. $3.00 60 I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL STATE AND CITY LAWS REGULATING THE MECHANICAL CODE OF THEUNIFORM BUILDING CODE. I CERTIFY THAT I AM PROPERLY REGISTERED ANDOR LICENSED AS RE- QUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED PROPERTY. JOB FINALED [__DATE SIGNED BY PERMITTEEI__________________________________________ ,50 CITY Of CAR1iBA - BUILDING DEPARTMENT OWNER Wt4 MAIL ADD E CITY TEL. NO. PLUMBER '.€.'77aAJ ADORES ... STATE CARLSBAD BUSINESS LICENSE PLO. LICENSE NO. LUMBING PERMIT - APPLICATION FEB 14-69 5 AID 870*******EL00 BUILDING ADDRESS NEAREST' CROSS ST. GROUP I ZONE Inspection Record TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 GAS SYSTEM 1 TO 15 .30 EA. ADD. @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 GRADING PLAN PERMIT $ 2 00 YESD NOD TOTAL FEE $ 4 lee 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 DESCRIBEDRESIDENTIAL PROPERTY. SIGNATURE Zfw OF PERM ITTEE 4L '4?4V7i;> 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. I hereby affirm that I am. exempt 1mm the Contrac - - - or's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re' quiros a permit to construct, alter, improve, demolish, or - repair any siruclure, prior toils issuance also requires he ap' - plicani for such permit to file a signed statement that he is licensed pursuant to the provisions 01 the Cvnlractor's License Law (Chapter 9 commencing with Section 7000 01 Division 30? the Business and Professions Code) or that in ex- empt thereirom and the basis for the allegeo exemption. Any violation 01 Section 7031.5 by an applicant for a permit sub-jects the applicant to a Civil penally of not more than live hun- dred dollars 155001. -0-I. as owner of the property, or my employees with wages as their sole compensa000, will do the work, and the struc lure 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 properly who builds 01 improves - thereon and who does such work himself or through his own I employees, provided that such improvements are not intend- ed or offered for sate. It. however, the building or improve- ment is sold within one year 01 Completion, the owner-builder t will have the burden 01 proving that he did not build or im- prove for the purpose 01 sate). . O - I, as owner 01 the properly, am exclusively contracting with liceosed contractors in construct the project Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner 01 properly who builds or im-proves thereon. and who contracts for each projects with a contractor(s) license pursuant 10 the Contractor's License - Law). . I - 0 As u homeowner I am improving my home, and the follow- ing conditions exist: - 1. The work is being performed prior 10 sale. - , 2. - I Pave, lived in my home or twelve months - I - prior to completion 01 this work. - 3. I have not claimed this exemption during the I - , - lasi three years. I 0 I am exempt under Sec. _________________ B & P.C. I for this reason - .0 I hereby affirm that I have a certificate 01 Consent . - to selI-nsure, or a- certificate 01 Workers - - Compensahon Insurance/or a certified copy thereof (Sec. 3800, Lbor Codel/ -z POLICY NO. COMPANY in 0 Copy is fit wi the city. Z - UJ - 0 Certled Co l\ hereby furnished - - 8 CERTIFICATE OF EXEMPTION FROM - -WORKERS' COMPENSATION INSURANCE - (This section need not be Completed 1 the permit 'So, uJ one hundred dollars 15100)0, less) 14 - cc 0 Icertily hal in the performance 01 the work for 0 which thispermit is Issued. I shall not employ any -. person in any manner so as to become subject to the Workers' Compensation Laws 01 California C ' NOTICE TO APPLICANT It. alter making this Corti - -- ' licate 01 Exemption, you should become subject to 0 - the Workers' Compensation provisions 01 the Labor Code, you must forthwith Comply with Such provisions or this permit shall be deemed revoked - 0 I hereby affirm hat there is a construction I - lending agency 'Or the performance 01 the work 101- whiCh this permit is issued (Sec 3097, Civil Code) * - _LAJ - Lenders Name - L Lender's Address .•,._.1. - - 4yprovisions of Chapter 9 (commencing with I hereby affirm that I am licensed under Section 7000) of Division 3 of the Business 'anPofeaaIons Code, and my license is in full force and effect. 10 1 - Lic. No -. Class - - Ui— -' USE BALLPOINT PEN ONLY &PRESS HARD -. .' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT - APPLICATION & PERMIT -. - 7c2 ,) 1200 Elm Carlsbad Califor-nia 92008-1989 (619) 438-5525 oe MFMSS AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION - BUSI ES LICENSE .. VALUATION' PERMIT NUMBER 1 /0 ZON E LOT BLOCK SUBDIVISION ASSESSORPARCEL NO. COrTRACTOR CONTRACTORS PHONE C S6sBi Co..,S Tc1A '-i-/ 7-So3 - - - OWNER'S NAME OWNERSPHONE C,. LAJC CONTRACTORS ADDRESS LICENSE NO. PLAN,I.D. # BLDG USE CODE L DUc2O I '- 1-i cDQOO - .4. OWNER'S MAILING ADDRESS 5,500 SMJT WD. LA MA DESIGNER 'QS&., LICENSE p STANDARD PLAN #Z. . BUILDING SO. FOOTAGE ... DESCRIPTIONOFWORI( I DESIGNER'S ADDR4 DESIGNER'S PHONE - - . •,. (E - 3 STORIES \ • ' --"' '' '...-'-' -. — — IL YO ND FIRE SPR CENSUS TRACT GP LAND USE SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD - [PARKING AREA -- CONST . -- - - -'..----- — - - Y 0 NO YO NO YO NO . Not Valid Unless Machine Certifiel - QTY PLUMBING PERMIT ISSUE 7 QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER" .. EACH FIXTURETRAP -, -, INSTALL FURN. DUCTS UP TO 100.000 BTU' . . BUILDING PERMIT . 01-00-00-8220 EACH BUILDING SEWER a ' . OVER 100,000 BTU - . SIGN PERMIT 01-00-00-8221. — EACH WATER HEATER AND/OR Vj" BOILER/COMPRESSOR UP 103 HP PLAN CHECK 01 0000 8806 /4 2'J4L EACH GAS SYSTEM 1 TO 4 9)(ETS - . BOILER/COMPRESSOR 3.15 HP ,' , TOTAL PLUMBING . C 01-00-00-8222 ' EACH GAS SYSTEM 5 R -• - - METAL FIREPLACE ' ELECTRICAL 01-00-00-8223 EACH INSTAL..'. AXL WATER PIPE - VENT FAN SINGLE DUCT - - ' MECHANICAL 01-00-O0-8224' EACH VAC)IJ#.BREAKER - .. - . . . MECH EXHAUST - HOOD/DUCTS • - MOBILEHOME . Th1-O0-OQ-8225 - , WATE(OFTNER : . RELOCATION OF EA FURNACE/HEATER - :- MOBILEHOME PARK INSP ROOF DRAIN (INSIDE) SOLAR - 01-00-00-8226 - TOTAL MECHANICAL - . .. - . STRONG MOTION - 8092330519' i 2, i TOTAL PLUMBING - FIRE SPRINKLERS '01-60-00-8227 - OTY. - - - . -. ELECTRICAL PERMIT - ISSUE -- __ QTY. -- - - SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-89 30 BRIDGE FEE . ______________ ____________________________________________ _______________ NEW CDNST EA AMP/SWI 18K - . COLLECTORS SCHOOL FEE - DISTRICT " ;— -,.r- ' '-. . ..' - 1 PH . .3 PH - . . STORAGE TANKS - - . . - Carlsbad -, - 80-92•210519 - - EXIST BLOC EA AMP/SWT/BKR ROCK STORAGE Encinitas 8092 22 0519 — 1 PH 3 PH - •, . _..- PUMP . .. L San Dieguilo'. . .- 80-92-23-0519 REMODEL,'ALTER PER CIRCUIT, - . - . PLAN:CHECK FEE- - San Marcos ". 80-92-24-0519 TEMP POLE 200 AMPS . . - - '. -- - I '.. '' iC • I. - - A- 0 OVER'200 AMPS - -- - I - - - - - - - . LICENSE TAX 01-00-00-8162 . - '..' — TEMPOCCUPANCYI30DAYS) -.. . . . . . MFF8O-92-57-0519 - - - - . ' CREDIT DEPOSIT . \' TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE CdMPLETED APPLICATION ND PERMIT' AND 00 HEEBY Expiration. Every permit issued by the BuiIdingOlficiaI under theprovisions7of this * AN OSHA PRMlT IS REQUIRED FR-EXCAVATNS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void, lithe building or work '5'0- DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 frthe date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building Or work authorized by such eSuitts suspended Or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time alter the or commenced for a period 01180 days STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , - I - APPROV D BY - - - APPLICANJ S S URE OWNER D C0NTRACTO. . - 0 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. - - BY PHONE 0 TYPE • DATE INSPECTOR BUILDING FOUNDATION REI:NF,bRCED.STEEL MASOI%TY f-' GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING i: ROOF El SHEAR FRAME EXTERIOR LATH INSULATION - INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO ElIPUCO UNDERGROUND EJWASTE El WATER TOP OUT-. El WASTE El WATER TUB ANDSHOWER PAN G_ D WATER HEATER EJ SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND El UFFER ROUGH ELECTRIC ELE,CIIC SERVICE El TEMPORARY O BONDING 0 POOL - MECHANICAL O DUCT & PLEM., El REF. PIPING HEAT -- AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -. -. . ITEMS ABOVE HAVE BEEN APPROVED FINAL CU BItJ.\>. ELECTRICAL MECI-A1CPL ii. GAS BUILDING SPECIALNDITIONS 7L. 57J5 FIELD INSPECTION RECORD - -REQUIRED SPECIAL INSPECTION INSPECTOR'S NOTES INSPECTION REO: IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP — STRUCTURAL CONCRETE - OVER 2000 PSI - CONCRETE -. PRESTRESSED :,,:-4'•C -.' ',., '-,.,) "-- POST TENSIONED CONCRETE FIELD WELDING - HIGH STRENGTH BOLTS SPECIAL MASONRY - - - PILES CAISSONS - USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 2E' hereby affirm thát'In licensed under °I provision of Chapter 9 (commencing with I 'Section 7000) of DivIsion 3 of the Business I - and Professions Code, and my license is In L 'full force and effect. - - eJ —t .,rf hereby 'altirm that I am eoempt.,irom the Contrac-Or's License Law for the following reason (Sec. 7031.5 , Business and Professions Code: any city or county whicr. (e-quires a permit to construct, alter, improve, demolish, or - - -. repair any structure, prior to its issuance also requires the ap- plicunt for such permit Is tire a signed statement that he is - " licensed pursuant to - the pro-visions of the contractors License law (Chapter 9 commencing with Section 7000 Of I Division 301 the Business and Protessions Cede) or that is en' - empt therefrom and the basislor the alleged exemption. Any, violation of Section 7031.5 by an applicant for u -pe(mit sub', octs the applicant to a civil penalty At not more than live hun'. - ' dred dollars ($500).-- .1,1 I, as owner of the property, or my employees with wages as their,-sole compensation, will clothe work, and the struc' - "-lure is not iote'nded or offered for sale (Sec. 7044, Business ..J • and PiAtessions Code: ,,The Contractor's License Law does ._ not apply wan owner of property who hulldsor improves thereon and who does such work himself or through his own r employees, provided that such improvements are not intund UI - ed or uttered for sole.'- It, however, the building or irnprovd Z merit is sold within one year of completion, the owner-builder will have the burden of proving that he did. not buitØ or im- O -prove for the purpose 01 sale)—' - - - - - - LI I, as owner of the property, am, exclusively contracting j - with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractors License Law does not apply roan owner 01 property who builds Or im' --I proves thereon. and who contracts for each projects with a -1) U) - contractor(s) license pursuant to the Contractor's .Liceosn O Law). I-. 11. Asa homeowner lam improving my home, and the 10110w'- I 4 ..' - _ing conditions exist:. .. . I. The work is being performed prior to sale. —. 2. I have' lived in my home ,tOr . twelve months prior to completion of this work' - - UI . . - - -3.., I .have not claimed this exemption during the . . last three years. - .0 lam exempt under Sec., - . B & P.C.. ii, to1 this reasoo'(", S - - - i; ,,: .0 thereby affirm that I have a certificate or consent to selt syre. or acettcateolWokesCornpe saro In- surance. Or a certified Copy thereof Sec. 3800. Labor Code) £-tPOLrCYNO.' COMPANY -Cop;the.city- - ......_. - 0 Certified Copy S he eby I shed Z. UJ CERTIFICATE OF-EXEMPTION FROM C) ' WORKERS COMPENSATION INSURANCE n. (fl (This section need not be completed it the'per'rnit, -' . is for one hundred dollars 101001 or lAssl" '-0L. ' UI- - ,,. C 19 0 I certify harm the pertormarrce ot Irlewurk I9ra,whrCh 'this permit is idsued. I shall not etispluy'any person In any ' manner noun to become subject to tje Workers çompen. 'sation Laws 01 California. - . NOTICE 30 APPLICANT: Ir. alter making this Certificate of Exemption. you should become subject to the Workers' 1Compensation Erevisions or the Labor Code. you must forthwith comply.'with such provisions or this permit.shalt. he deemed!evoked. — .. 0 I hereby atlirm that there is a construction lending agency Ier'Ihe performance or the work to, which this per. ci-.) mills issued (Sec. 3097. Civil Code) - ...•--,-- 5-- -.5-I WI Lenders Name Levderi'Addies ' - S S '-.5.' L ,•• . CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Paimas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 ' ' . - .- -' - - . • .-_-- - -. JOB ADDRESS AV, ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE A VALUATIO PERMIT NUMBER ZONE LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR , CONTRACTORS PHONE C OWNER'S NAME OWNER'S PHONE - , BUILDING SO. FOOTAGE -J ' ' A 7A -/' I 4 CONTRACTOR'S ADDRESS STATE LICENSE NO. OWNER'S MAILING ADDRESS - - 1'0?,ox 26' 74 L- ED(..APi.A, C_A ?Z2.4 DESIGNER DESIGNER'S PHONE 0006 09/24 0101 0B1dFmt .145-4 DES Tit OF WORK I E N Ad 1' 1 P1 /4 J DESIGNER'S ADDRESS STATE LICENSE NO. - - - - - - , F/P FLRELEV, , NO OCCGP EDU STORIES ''YO ; Pd A-Ti CA. No, - . -- CENSUS TRACT .- PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' TYPE DCC LOAD FIRE SPR - - 5' AREA - CONST - Y O N 0 . 'nD ND YO ND Not Valid Unless Machine Certified - QTY ,°LPLUMBING PERMITISSUE OTY ' MECHANICAL PERMIT ISSUE /6 " SUMMARY/ACCOUNT NUMBER - ACFITUREkTRAP. ' '- sf'n. ,. INSTALL FURN. DUCTS UP TO 100,000 BTU, ._— BUftOINGPERMIT 001-810-00-00-8220 ,4L4L — EACH BUILDING SEWER . -,J_ - -. . OVER 100,000 BTU- .- - - , SIGN PERMIT -- - —001-810-00-00-8221- S = -- EACH WATER HEATER ANDiOR VENT - ' - .. - - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810'00-00-8891 EACH GAS SYSTEM YTO'4'OUTIETS * . BOILER/COMPRESSOR 315 HP - -. - . ' ' TOTAL PLUMBING 001'810'00'00'8222 -. 'EACH GASSYST-EM'S DR MORE -- ,- - - - - METAL FIREPLACE . , . - - -, - ELECTRICAL - 001-810-00-00-8223 - -_-._-- - .•, . - - EACH INSTAL., ALTER, REPAIR WATER PIPE, ' VENT FAN SINGLE DUCT I 1L$'o MECHANICAL 001-810-00'00-8224 -i-' EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOM WATER SOFINER - : RELOCATION OF EA FURNACE/HEATER . - .- - SOLAR EACH ROOF DRAIN (INSIDE) . - DRYER VENT -, ' . STRONG MOTION 880'51992u33 TOTAL MECHANICAL - -- . ' ---- . - '2—' - 'FIRE SPRINKLERS - 101 AL PLUMBIN( PUBLIC FACILITIES FEE 3208100000 8740 ,__ _- - o * - . - BRIDGE FEE Iê4t _________ CITY. - ELECTRICAL PERMIT ISSUE-, - ', - ,5 ' 0T'' - - . ' , - MOBILE HOME SETUP * , ERVS- .. . PARK JAJNbpM1NJ inaSSING NEW CONSI Elk AMP SW1 BKR CAR PORT * TIF - 312-.810-00-00-8835 - I1PH ,,, \ e, - - 3 PH_• . . • . AWNING . - ' - . LA COSTA TIF • 311-810-00-00-8835 " - • • " - ' GARAGE - - • -FM------—--• PH "u'' \ • - - . - . - • . LICENSETAX_, _001'810'00'O0'8162 .7.2.7 REMODEL_ALTIRPERClRCUIT°-___' MFF 8805199257 - TE,MP.P01-'E~ 200 AMPS .'.-.-- -,-• -- ---5 -- -.-.•---•- . :c,.OvE-R.?oo:AMpS+--,51._$., _j_ . ' '•1 ________ __________________________ _____________ TEMP OCCUPANCY (30DAYS) ,—::; _- 't'3' _• _, . ---.-4'_--.-'-- - - CREDIT DEPOSIT- - 7 - -A4 TOIALEIELTRILAL -TOTA1 TOTAL FEES P.E :-'. - - 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 051-tA pRM:T IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by suc d within 180 days from het 5' the date of such __' 0" DEA OLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lb permit, or it the building or work authorized by Such permit is ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- . suspended or STRU1I(RES Q)fR 3 STORIES IN HEIGHT ' abandoned any time alter the work is commenced for a period of 180 days STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND COSTS APPLI SIGNATE OWNERX CONTRACTOR o APPROVED BY/ - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • BY PHONE 0 - - - . i7 çf7 -- 0. TYPE - . DATE INSPECTOR BUILDING FOUNDATION _______I FIELD INSPECTION RECORD REINFORCED, STEEL - REQUIRED SPECIAL'lNSPECTIONS _- -.....•INSPECTOR'S NOTES MASONRY _---.. - - - INSPECTION REO. IF CHECKED INSPECTOR'S APPROVAL DATE __ GUNITEORGROUT SUB FRAME E_ FLOOR LiCEIL.ING SHEATHING __0 _OF _EJ SHEAR .'Y .•I, ,PRIOR SOILS COMPLIANCE TO-'..,. - - -- •-- FOUNDATION INSP - -- - ---- - - - - FRAME ___a4-&— _ INSULATION STRUCTURALCONCIRETE . . 47 _7-_-I PRESTRESSED CONCRETE - - ---- ---' _- _- __ INTERIOR LATH & DRYWALL - POST-TENSIONED CONCRETE PLUMBING - FIELD WELDING U SEWER AND BL/CO _U_P1./CO BOLfS HIGH STRENGTH UNDERGROUND _D WASTE UJWATER SPECIAL MASONRY __- TOP OUT __0 WASTE 0WATER TUBANDSHOWERPAN __, . - -.-., - ,.-. ''• GAS TEST PILES CAISSONS- DWATERHEATERDSOLARWATER I 4.- 4--... _-.'4 --- •-4 -. 4**•_*_ -. ELECTRICAL . - 0 ELECTRIC UNDERGROUND U UFFER - :"-_- - _________- -- -.4--.- -. - ROUGHELECTRIC '. - . -'- - o_ ELECTRIC SERVICE, 0TEMPRARY_, D BONDING- __OPOOL - ____ ____ _____ . - MECHANICAL - - - . 'I .. ..•. -. o_DUCT_&PLEM, __0 REF. PIPING _' HEAT -AIRCOND_SYSTEMS -V ,- VENTILATING SYSTEMS tj CALL FOR- FINAL INSPEC1?ION WHEN ALL APPROPRIATE. ..... .ITEMS ABOVE HAVEBEENAPPROVED FINAL PLUMBING ELECTRICAL .- MECHANICAL GAS BUUDING 7 v-14 /h17 l __ - - * SPECIALCONDITIONS _ - -. Date i Jurisdiction C2_L sD - Prepared byr Bldg!Dept. VALUATION AND PLAN CHECK FEE Esgil PLAN CHECK NO. 30 - .. . BUILDING ADDRESS 'ZS-2. Cniô 2L - APPLICANT/CONTACT 34 PHONE NO.________________ BUILDING OCCUPANCY S--Z CT. Ti DESIGNER PHONE . TYPE OF CONSTRUCTION CONTRACTOR PHONE___________ .. BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE . L-u. ThILT Air Conditioning . . Commercial Residential Res. or Comm. Fire Sprinklers S @ .. S - Total Value Buildirid Permit Fee. _ ' C S • S Plan Check Fee $ (' Q . S. COMMENTS: S S soiected &Credits ---------------------------- dit .00 Tot ,cnerrts: 153.00 2:14.00 Ext fee Data ---------------- 484.00 120.00 4.00 N 10.00 Y 25.00 15.00 1 9.00 B U I L D I N G P E R H I-T Permit No: C8980674 04/07/98 07:51 Project No: A9800868 Page. 1 of 1 Development No: Job Address: 2525 EL CANINO REAL Suite: 229 Permit Type: COMMERCIAL TENANT IMPROVEMENT 5766 04/07/98 0001 01 02 Parcel No.: 156-302-09-00 Lot#: . C-PRMT 214.00 Valuation: 17,082 Occupancy Group: Reference#: Description: CTI 658 SF, INTERIOR ALTER SUNGLASS HUT Appl/Ownr : LANGDORF DAN . 10505 CORPORATE DRIVE . . PLESANT PRARIE WI 53158 *** Fees Required • ---------------------------- Fees: 367..V<. Adjustment:: o Total Fees: ----------------------/ ------- Build ingPermit. f• Strong Motion Fee -• f Enter for.PiurnbnL4th Enter "Y' for Elect ic1(s5 Remodel/Alter Per A Enter '1' for Mecharkical Is Install Furn/Ducts/Hat Pum I.. ANAL APPROVAL INSP._ DATM 'CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Construction Type: NEW Status: ISSUED Applied: 03/04/98 Apr/Issue: 04/07/98 Entered By: JM 414 857-3039 Address vôo98 MAR-02-98 MON 14:49 CITY OF CARLSBAD COMM DE FAX NO. 4380894 P.02 FOR OFFICE USE PERMIT APPLICATION OIU.Y PLAN CHECK NO._______ crr? OF CARLSBAD BUILDING DEPARTMENT ST. VAL. 2075 Las Palmas Dr., Carlsbad CA 92009 . : Plan Cit. Deposit V (760) 438-1161 . . - Validated By / 3. AONTACY Psnsoià iTem appueant 77 l .. "i - ____ .. )rI S.f. 3 3: APPLICANT 0 Criti,vter 0 Apsrtt Eou' Co.sssete, ójm.r $ (L43 Ji.. Ltsötade -'t Io'DC Lo,Dof 4k. 2.0.7 ftJea4 7 Wr s's . I0t5JLI0 1 ewpliOfle a. .PROPrVVOW4R Is 4d41is5 ' Ore', . : Ssst.,Zlo 7.1 a S CONTRACTOR COMPANY NAMI - - - - - -- - - Mac. 7031.5 Eusir,..! aId ProfessicM Coda; Any City or County w$tlçn IsCulrai S pirttWt to c0rtfliOt, alt.'. lreprpy demolish or repair any njgpj, pller fo 5 C) luence, also reouir.i ma apelIe.vn for CUSPI permit to Ille a signed .tus.wtern mat it. I. Uc.nspd Plafauul W p .!y',p m. CQr Qap UCIM. Law ICtIaBter P. aomrnandvnp with Section, 7000 of Division 3 of the Bu,Ips and Professions eed.) or th he Is ,e e djpOb%( W 4tia.i?1.. eiililuspea ssfnptlan. Any viol.dop.pf 3.0110,, 7031.5 Dpny Sppbcpnt for p sublsoss des Iatisle tos olvdp.ty4s1 qot mc,. thitflVp P n,ndqqru (S$J).. -x eQc-e -\ ori1cxs Jc. 44 15O(1 AL Name Address C btst.f ., Toleon.a State License 2 License dOss City Business Usas5 U) ').3. rj U19 -qZ)91(0 1) Ooa:pnar Nam* - AdOIUJ Cliv $iotsjzlp T.I.ption. State Lic.ne. S. WORK. I COMPENSATION ............... •;.......... '.: -. . Worker. Com .nsatio,, Dislsfat.or,r I Pmr.by Affirm under penalty or perjury onm of ties following daclifatloner. e 0 I nave and will maintain a certificate of consent to ssff-Insure for workers' comoc,witlon as providad by Sictlor, 3700 of the Labor Cod., for the of in for wlticPt this permit Is Issued. r I have and will maintain w0,ke.o compefra*tiofl, 55 required by SectIon 3700 of the Labor Cods, for the p.rto'masece of the work for whc1i utla pw,We I. issued. My worker's co ti Ti in$US5flCS ssrne' 5fl0 00110', nUmb.! Are; . _. Insurance Company 7_€x Policy N..2 ____ ',0 q ,THIS SECTION NEED HOT BE COMPLETED IF THE PERMIT lb FOR ONE HUNDRED DOLLARS 161003 oat Lick*) CERTIFICATE OF EXEMPTION: I comfy that in the performance of the work for wIdth bes pefwdt is issued. I shell net .mptoy any parson in oily man.., so as to Docem. subject 10 ff10 Workers' COP,I00rso.tier, Laws of California. . WARNING; FaUlt,. To s.osa compsnaedon I. welawfiil. and w arnpioy.r to b'*es1 .snd vfl fidsa up to Was hX024foad . thousand odsr100.O7. tod>1of_..rmi...defl. lam.ss ac i.-J-d tar bl atisn $708 :v,.p%a.e SIGNATURE ( DATE 7. OWNER.RUILOER DWARATI0N . . . . ......... .......... . ... ........ yrt .... I Psraby affirm Ip,U? I - -. p1 from ff10 Contractor'. UsO'ws Law for tns f000w,ng reason: o I. as owner of the p iT', or it,y smofovess with wages 55 thug solo compensation, will 00 The wo, Slid ital uituciws is not intended or off for sale IS c. 7044. Business and Professions Cod. The COfliV40iOV, Llama. Law does not apply to on oes of O ifvarovsa th.yen.. - eat. doss even ..,ork Pint.iiV or through his OWVI ,lfløOiw.a. Provided that jVflhIlt5 as. rsat inarionded or Of0alsed forisells. If. howoiv. the beildinb or imprervalmorit to said within one year of completion. tne Ow,w-b'.did.' wilt have this btnden of proving that It. Mg AN build or knplw,. for we sazpois of sale). 0 I, as owner of the property, aim .zciusive)y coretiecting with Hcesisd coriwsotors to cea1.tnict Than orOjoct (Lao. 3044. Business and Prelsaaion. Cod.: The Contrecto?•3 JeorIsi Law doss not amply to an owner Of pr,ty who build* or Imroyse Thorson. and canveoss for such prelsCta with cwnr.ceorls) licarwod ourau.nt 10 the Contractors License Law). I am exempt under S.cilors Busine.. and Prof .aaler,p Cede for this s.aaonr I. I personally pun to provide The major labor and mstorials tot conitnietign if irIS proposed Property lmprov.nn.t. C3 YES QNQ 1 (have / have not) signed an .ppbcation fore building p.smlt for tile prøposed work. I Ilto ceretractad with the following person (firm) to provIde tin• proposed conevuotlan linPN. nams IaO I pt mmisr / corei(sotsas. Ilgareu flumbsqt: 1 plan la provide portions of the work, but I h.e hivad the fedowl,,g Person to ..ordln.to, ov,...s and provide The alesior waft (Include name I .ddisss 1p* number / cofltfsclocu i,qena. number): S. Iwl) provide sama, of The work. out i Mve cofltrsct.d lhitsd) the following p5ro...-. to provide iRe work Wso (bado nema / address I phaila ,wal,lbuq / type of work): PROPOPITY OWNER SIGNATURE DATIE COMP1.TE THIS SECTiON FOR NO#AIDg,7ML U1LOIOPOWWft QN "!............... ' ,.....' is the ppClieo't of futura building oucuosm tpevlv.d TO utsanre a Dustlesm pun, sojtoty iia2aiso mats$.ml ,.,...J..1 form or ,lek oromweinent Ima prufllm_vi program under Sections 25505. 25533 or 25534 OP 515 Pr.slsy.'T.nvnir Hme,doem Stletano. Account Act? 0 YES 0 540 IS Inc epIicant or future building occupant required to obtain a pwmWt from the air peOutlar.control Oditvlct or air quality msnagastlpot dIstrict? 0 YES J NO is the facility to be constructed withIn 1.000 no of the outer boundary of . school alto? 0 YES C3 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 D4S1'C'T. 8 CONSTRUC1ON LD4DIP4G ACEI.4Cy ......... 'T . -...-.--. -. I rnereby affirm That there IS 0 construction lend?.g agency for The performance Of the work for width This Permit Is issued 13cc. 3097(0 Cvil Code). LENDER'S NAME . - LENDER'S ADORES5_ '9. APPUCAP4T CERTIFICATION .•• •. . ., .....,............... I certify that I have road tno application and stilts that tile aBove tflfOVTIDQn I. 5017001 and Itest the !nloim.ilpn an itt. PIaft. II ICcutsi.. I agree to comply with III City ordinances and State laws relating to building coruemaeelon. I hereby eumorIs. room t.Uv5a 0? SI. CITP Of CarlSbad a enter upon th. above manhlmeus property for Inspection purposes. I ALSO AGREE TO SAVE, INDINNIFY AND KW HARMLESS THE C3T'I! OF CARI.BAD AGAINST ALL LIALIIJTI**. JUDGMENTS. COSTS AND EXPENSED WHICH MAY IN ANY WAY ACORUL AGAINST *41* CTFY IN CONSEQUSNCS OF THE GRANTING OF 7505 PERMIT. OSHA; An OSHA permit is required O*cuvat ens 5'O d it demolition or of opucit,. oveli S siurios in It.Iglit. EXPIMATlONi Every p.,mjt issued r the 8i$ling flolal see .f Coda shall stoir. by Umitoilon and become null and void If thu building or work a..1renz0d by Such permit is rfo c0mr7'e7ccod in 38 frOnt t of th permit or If The building ár wait IUtIiOrI$d bi/SUCPI permit to auapsr'd.d or abandoned at any time after trlOjeort s ,tctjnmo d for S fad of 18 a 108.4.4 UnIform Pudding çodu. APPLICANTS SIGNATURE 4 DATE whryi: go YELL : Aoiicar,t PINK! Finance irx or' U(L.bbAU INSPECTION REQUEST PERMIT# CB980674 FOR 05/06/98 INSPECTOR AREA PY DESCRIPTION:, CTI r658 SF, INTERIOR ALTER ' S , PLANCK# CB98 0674• SUNGLASS HUT 0CC GRP TYPE: CTI CONSTR. TYPE NEW JOB ADDRESS: 2525 EL CAMINO REAL - STE: 229 LOT:, APPLICANT: LANGDORF DAN - PHONE: 414 857-3039 CONTRACTOR: PHONE: / OWNER: ., PHONE; REMARKS: Cf INSPECTOR I SPECIAL INSTRUCT:, TOTAL TIME: , --RELATED PERMITS-- PERNIT# TYPE STATUS AS980058 ASTI • ISSUED CD LVL DESCRIPTION - S ACT COMMENTS S 19 ST Final Structural S • 29 PL Final Pltüthing ___ ______________________________ 39 EL Final Electrical 49 ME Final Mechanical *****:INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS 042998 Rough Combo AP .PY T-BAR 042198 Interior Lath/Drywall NS TP COMP 4/21 042098 Interior Lath/Drywall AP TP '041798 Interior Lath/Drywall NS PY S 041598 Rough Combo AP PY S 'S 'Si '.. : - S EsGil Corporation In Partnership with government for Building Safety DATE: 3/31/98 U ICANT JURI. JURISDICTION: Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 98-674 SET: II PROJECT ADDRESS: 2525 El Camino Real Ste. 229 . PROJECT NAME: Sunglass Hut TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. See Remarks LIII 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. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck; LII The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. - LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LIII The applicant's copy of the check list has been sent to: ;! il Corporation staff did not advise the applicant that the plan check has been completed. LII Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Ped Mail Telephone Fax In Person REMARKS: The city will please verify and approve the Dis Hardship document from the Tenant for the disabled access upgrades and make part of the plans per Mike Peterson. By: Mike Puckett. Enclosures: Esg ii Corporation LI GA LI CM U EJ 0 PC 3/23/98 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax(619)560-1576 Carlsbad 98-674 3/12/98 V V VALUATION AND PLAN CHECK FEE V V V JURISDICTION: Carlsbad V V V PLAN CHECK NO.: 98-674 V V V PREPARED BY: Mike Puckett V DATE: 3/12/98 V V V BUILDING ADDRESS 2525 El Camino Real Ste 229 V V BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: VN V V rBUILDING PORTION If BUILDING AREA (ft.2) VALUATION VII V MULTIPLIER V VALUE V ($) V Tenant Improvement 657 . 26.00 V 17,082:00 Air Conditioning Fire Sprinklers V V V V VV TOTAL VALUE V V V V V 17,082.00 V V I 1991 UBC Building Permit Fee Bldg Permit Fee by ordinance $ 18900 V U 1991 UBC Plan Check Fee E Plan Check Fee by ordinance: $ 122.85 V V V Type of Review: El Complete Review Eli Structural Only V E Hourly fl Repetitive Fee Applicable LI Other V V Esgil Plan Review Fee: $ 98.28 V Comments: V V V V . Sheet-1 of I V V V macvaiie.doc 5196 - V City of Carlsbad - . 1635 Faraday Av Carlsbad, CA 92008 05-23-2003 Commercial/industrial Permit Permit No CB031206 Building Inspection Request Line (760) 602-2725 Job Addresê: 2525 EL CAMINO REAL CBAD St: 229 - '- Permit Type: TI - Sub Type: COMM . .. Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $21,030.00 Construction Type: NEW . .. Applied:- 104/25/2003 Occupancy Group: . Reference #: . Entered By' MDP Project Title: MILTARY SERVICE ORG. ' ' Plan Ap6r6'ved: . 05/23/2003 701 SF IMPROVEMENT . . Issued: 05/23/2003 Total Fees: $380.37 S.- * Building Permit / Add'l Building Permit Fee KT\ Plan Check / Add'I Plan Check Fee Plan Check Discount / / ( Strong Motion Fee Park Fee LFM Fee Bridge Fee - BTD#2Fee- BID #3 Fee Applicant: SWENSONMARK ...', 5252 BALBOA AVE - SAN DIEGO 92117 -. / 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 \ 'S. . Plan Check#: _,Owner:—._ . . ...- PLAZA CAMINO REAL C/O WESTFIELD CORP INC r- 11601WILSHIRE BLVD *Nf 9. 05/23/03 0002 01 02 LOS ANGELES CA'90025 . COP 5551 c'/')7 \• . . 19297 Meter Size Add'I Red. Water Con. Fe/,.'-'\ \ $0.00 - ,-$124.86 /7,MeterFee'- \\ ( 0) \ $0.00 / $0.00 I.'JSDCWA Fee \• j \ $0.00 . / $0.00 CFD Payoff Fee '.- $0.00 / -—_PFF-—._---_,. \ '-'- $0.00 - $0.00 , $0.00 LicenseTax J' .-. -$0.00 so:oo License Tax (CFD Fund) $0.00 $0.00¼. Traffklmpct'Fee .5, C.i' $0.00. $0.00 X Traffic 1mpact (CID Fund) '$0.00 - - $0001' ' PLUMBING TOIAL,\'.- $0.00 % .ELECTRICALJTOT, $35.00 - N $000.-LL..- t M AL¼ ECHANlCALTOTAL /$24.00 .- \ $0.00".. % M'ster Drainage F' -J / $0.00 - - \ '7\S\ .SeFee.' j / $0.00 \ $0.00 'Additional Fee / / $0.00 , \ $0.00 Additional Fees / / $0.00 - LNCOFtOTALpERMIT FEES / $380.37 1952 C / "Total PayrnéntsrTo Date: $124.86\. B -aiance Due: $255.51 N (I / / / I / -- o \ -j / . /•/ (,•) L/1 - - FINAL APPROVAL Inspector: . Date: Clearance: NOTICE: Please take NOTICE that approval or 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 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 lees/exactions of which you have previously been given a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. S -S • - S.. * -v,,-. - t .•-.. - '5- . . - • -, .' • . S - , FOR; OFFl USE ONLY 'PERMIT APPLICATION PLAN CHECK NO.__________ CITY OF CARLSBAD BUILDING DEPARTMENT.:,ET. VAL. ' 1635 Faraday Ave Carlsbad, CA 92008 Plan Ck Deposit., Validated By___ . Date- _.P Address (include Bldg/Suite #iz,2, ___J1__ (atthisadd2O ____000201 _02 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of u4its" Assessor's Parcel # :. Existing Proposed Pgof or1 cL -n'" . 40f # of Bedrooms ' ' of Bathrooms _IR' T rentjjan T ' 'JE . Name ' Address ' City State/Zip Telephone # Fax # ' PLIcAJ Tñtrctr gfl r c.nr '11 Name 5L_J,City State/Zig hone # i4.55P OPERTY 0 1 S lea T IJ46 S Name Address 4 '( '1 S.t e lap h' e# ONTRAQRCOMPANY'NAME' S .LL (Sec. 7031.5 Business and Professions Code: Any City or County which requires 'a permitto construct, alter, improve, demolish or repair any structure, prior to it 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 - no; more, than five_hundr7 doUárs [$54 70 Name '1 'Z" 1Address ? 5 7-' 1)t..' Q Cit tate/Zij.f_'Felj fl ,, #( State License # 61 License Class 17 _' ' ity Business License # / S 'Designer Name ' - ' - Address S , City' State/Zip ' Telephone J State License # ( Q_REJAOMPENSATIOL * V ' Workers' Compensation Declaration: I hereby affirm under, penalty of perjury one of the following declarations: 0- I 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 for which this permit 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 ii p it is issued. My.worker's comPeç_____inuranc , r , Policy number are: Insurance Company Policy No ObO Expiration Date____________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) " 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any. person in any manner so as to become subject to the Workers' Compensation Laws of California. S . WARNING: Failure to se cu y i.dt s' pensation coverEg,,.is"unIawfuI, and shall'subject an employer to criminal penalti and civ'jiines up to one hundred thousand dollars ($100,01 ) t' the cost of co!3WCrisation, damages as provided for in Section, 3706 of the L ' de, intereft agj,ttomey's fees. SIGNATURE S DATE JWiThBLMLDER L 'i'ION .1 hereby affirm that I am exempt from the Contractor's License Law for the f ilowing reason: ' ' S -, ' 'S ' •' S S S 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). . S 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). DI am exempt under Section - Business and Professions Code for this reason: ii. I personally plan to providethe major labOr and materials for construction of the proposed property improvement. 0 YES , ONO ;2. I (have / have not) signed an application for a building permit for the proposed work. 3.'' .1 have contracted with the following person (firm) to provide the proposed Construction (include name I address / 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 indicated (include name I address / phone number I type of work): -PROPERTYOWNER'SIGNATURE -S S ,_'S ' 'DATE I 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 0 NO Is the applicant or future building occupant required to Obtain a permit from the air pollution, control. districtor 'air quality management district? 0 YES ' 0 NO Is the fàcility'to be constructed'wiihin 1,000 feet of the outer boundary of a school site? 0 YES 0 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 hereby affirm that there is a construction lending agency for the performance of. the work for which this permit is issued (Soc. 3097(i)'Civil Code). LENDER'S NAME '•S '• LENDER'S ADDRESS ___•S '' ___' S - - - • I certify t hat' l have read the application and'state that the above infdrmation is correct and that the information on the'plans is accurate: I agree to comply with all City ordinances and State'Iaws 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 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 iss e by the bui!din fficial 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 n menced ' n180 days from the date of such permit or if the building or work authorized by such.pprmit is suspended or abandoned , at any time after the work' o tS cd for a od of 180 days (Section 106.4.4 Unifarm Building COde) APPLICANT'S SIGNATURE ,5 •• - DATE'. S '' ' S • WHITE File YELLOW: Applicant PINK: Finance MMIM ED- City of Carlsbad Bldg Inspection Request For: 06/16/2003 Permit# CB031206 Inspector Assignment TP Title: MILTARY SERVICE ORG. Description: 701 SF IMPROVEMENT Type: TI Sub Type: COMM Phone 6195200382 Job Address: 2525 ELCAMINO REAL Suite: 229 Lot 0 Location Inspector - APPLICANT SWENSON MARK Owner: CHASM ENTERTAINMENT INC <LF> PLAZA CAMINO REAL Remarks Total Time: .; Requested By: TONY Entered By ROBIN CD Description Act Comment 19 Final Structural 29 Final Plumbing . 39 Final Electrical .49 Final Mechanical 0 Associated PCRs/CVs Inspection History Date Description Act insp Comments - 06/12/2003 14 Frame/Steel/Bolting/Welding AP TP T-CEiL 06/12/2003 24-Rough/Topout WC TP 06/12/2003 . 34 Rough Electric AP TP CElL LITES . 06/12/2003 44 Rough/Ducts/Dampers . AP TP . RE-LbC DUCTS 06/06/2003 14 Frame/Steel/Bolting/Welding NR TP CElL NOT COMP 06/06/2003 34 Rough Electric NR TP 06/04/2003 17 interior Lath/Drywall AP TP - 06/02/2003 14 Frame/Steel/Bolting/Welding PA TP SEE JOB CARD. • 06/0212003 34 Rough Electric PA TP . - 0 - • - - 0 EsGil Corporation. In Partnership with Government for(Building Safety. DATE: 5/15/03 JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 03-1206. . SET: II PROJECT ADDRESS: 2525 El Camino Real Suite 229 PROJECT NAME: Military Service Organization - 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. III The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. LI The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. Elil 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 LII REMARKS: By: Doug Moody . Enclosures: Esgil Corporation .flGA LIMB L]EJ L]Pc LOG trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 03-1206 5/6/03 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 03-1206 PREPARED BY: Doug Moody DATE: 5/6/03 BUILDING ADDRESS: 2525 El Camino Real Suite 229 BUILDING OCCUPANCY: M/B? TYPE OF CONSTRUCTION: IlIN [BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 631 City Valuation 21,030 Air Conditioning Fire Sprinklers TOTAL VALUE 21,030 Jurisdiction Code Icb IBy Ordinance 1994 UBC Building Permit Fee I $192.09 I 1994 UBC Plan Check Fee I $124.861 Type of Review: j Complete Review LI Structural Only I []Repetitive F [] Other Hourly Hour* $1 07.57 Repeats LI Esgil Plan Review Fee Comments: Sheet 1 of I macvalue.doc