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2525 EL CAMINO REAL; 231; STE 231 PRE 2016; Permit
CITY OF CARLSBA BLILD!1G DEPARTME - .7291181 Ext. 3) /7/— q• /9 ; 'ONSTRUCTiON LENDER INFORMATION .(OVERJ AppIkäfioVI[DtNG Permit Building Permit Fee IV IF ii .M130-69 5 'CC 3,1.81*******2 Owners Name '' j, ___________________________ Buildig Dept. Use Only Mail Address - Contractor Building Address ' 5/ C t Address St. Near on r. ma To Const. 0 To Add .0 To AlfeP 0 Convert 0 To Move From -- Type of Consf. S - . Frame, - Masonry.' etc. To Be Used For Set Back - — ' Bldg. Valuation Front P.L. Main Bldg. Side P.L. ':... Garage Rear P.L. Other Group Zone ' Approved by Kind of Foundation_-' No. of Stories Contractor City Bus. Lic. o. Floor Space (Sq. Ft.) , Water Meter Sewage Disposal System . ' Garage Floor Space (Sq. Ft.) Attached Detached________________________ inspection Record Legal Description Lot Block Subivi:ion . -•FiJ1•" il.J ,ij,j ........ Se No. 1 Township No. of Existing Building Will thif sci7 include any plumbiri4stlletion or'lfer- ation? Yes D' No 0 Signature 1.of Appl ant . ._- S . ..- I ACKNOWLEDGE THAT I HAVE READ THIS ALI.CATION-- AND STATE TtIAT_E,.ASO.VE IS-CORECTA'iW 4GREEirO COMPLY'WITHThLL CITY AN STAT L E.AWS U REGLATIP 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 DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE Utility Company Notified — Date By Final If a chick is tendered 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. - rermit void it work is not commenced within bU days ot Issuance. SIP L CITY OFIARLSBAD PERMIT NO. TOTAL FEE $ BUILDING DEPARTMENT 729-I 181 - Ext. 36 Application for ELECTRICAL Permit For Applicant fo RH In Buigl ii59*******5.00 PER FEES Each Fee BUILDING c?.3/ Item Recpt. Sw. Lighting fixture'2bal Iast)for each 10 $ 1.00 St. Near Elec. Ranges, Clothes Dryers, Water Heaters .50 OWNER: Space Heaters Dishwashers Garbage )Disposers. Auto. Washers, Sta. Cooking Units .50 ADDRESS MOTORS: Per H. P. _each _motor CITY 0 to 1 $ .25 1 to 2 $ .50 TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State City Business License License 15 to 50 $ 2.50 50 to 200 $ 5.00 Group Zone By SIGNS: No. trans. Ea. (1 $ 1.00 A Ad Inspection Record: No. lamps over 50 ea. $ .50 SERVICE: . 0 to 150 AMPS For each additional 100 Amps. $ 10.00 $ 2.00 Temp. Power Pole, 100 AMPS or LESS $ 3.00 tZc;, O 72 For Each addI Meter, over one per service $ 3.00 - j 4ISC: Approvals Date By: _______ SUPPLEMENTARY PERMIT FEE: S 2.00 )Conduit TOTAL: Temp. Power Wiring F ixtures I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITYQ,CARLSBADANDTHE STATE OF CALIFORNIA OR THAT I THE ABOVE DESCRIBED RESI- DEN~IA SIGNRE P E E E D. G. & E. FINAL: CITY OF tAR120%. mTmw BUILDING DEPARTMENT 77 OWNER Barricini Candy Store MAIL iss Plaza Camino Real 4,0UMBING PERMIT - APPLICATION - FEB 11-69 ° 698*******8.75 CITY Carlsbad TEL. NO. PLUMBER Proffitt & Durnell Plbg., ADDRESS 12630 S. Hawthorne Blvd. CITY Hawthorne TEL. NO. 675-5393 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 165581 8733 NO. ITEM FEE 1 TOILET @ $1.25 1 25 BATH TUB @ 1.25 SHOWER © 1.25 1 WASH BASIN © 1.25 1 25 1 KITCHEN SINK © 1.25 J. 25 DISHWASHER © 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER @ 1.25 1 WATER HEATER & VENT © 1.50 1 50 GAS SYSTEM I TO 15 .30 EA. ADO. © 1.50 FLOOR DRAIN OR SINK © 1.25 LAWN SPRINKLER © 2.00 1 MISC. WATER PIPING © 1.50 _J_ 5jJ GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 © 2.00 GRADING PLAN YES E] NOD PERMIT $ 2 00 TOTAL FEE $ 8 75 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 SCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERM] BUILDING IR ESS NEAREST CROSS ST. GROUP I ZONE Inspecflon Record APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL F 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. -. •1 'citr r CAR LSBAb WLDNG DEPARTMENT o SEWER PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BLOCK TRACT USE OF BUILDINGS CONTRACTOR ADDRESS CITY TEL. NO. CONTRACTOR'S STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. BUILDING ' ADDRESS If NEAREST CROSS ST. OWNER /. f. I' MAIL ADDRESS CITY TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4" = . 6" Add. Horiz. @ 4" = ______ 6" Add. Vert. @ 4" = ______ 6" Total Construction Cost 10% Service charge Total Lateral Charge Lot. NO __________ ' Logged in Plot: LINE COST DATA Na DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.00 OVERFLOW SEEPAGE PIT, ORAINFIELD EXTN., CESSPOOL, DRYWELL. MANHOLE @ $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER V @ $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00 OWNER'S PERMIT $ 2 0 P~_ AUTHORIZATION TOTAL FEE A. D. & Assmt. No. LINE COST: C. C. @_/ / dwelling P. S. @ / dwelling I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN - CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. TOTAL SIGNED THIS - DAY OF .... rand Total, Lateral, etc. OWNER OR OWNER'S AGENT FOR SEWER LOCATION 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.ASREOUIRED BY THE CITY OF CARLS- St. BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ENGINEERING Signed . . Signed OFPERMITTEE This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By . PERMIT VALIDATION ER DEPT. NORTH BUILDING PERMIT APPLICATION Permit No 73 City of CARLSBAD, CALIFORNIA 92008 I - , ..ApIicant jo 'cmpIete numbered soaces oniv. Phone 729-1181 -- JOB ADDR ESS ;. - V -. 2f o L 1D. t.0 LOT NO. V, - BLK TRACT V . )EJSEE ATTACHED SHEET)0 . - 0 TI OWHERV - .1 " MAIL ADDRESS - ZIP PHONE . .hL/2 ;4 CONTRACTOR - MAIL' ADDRESS - Fl PHONE d tICENSE NO. V ARCHITECT OR DESIGNER MAIL ADDRESS V ,PHONE LICENSE 1)0 . V ENGINEER MAIL ADDRESS PHONE LICENSE NO. N LENDER MAIL ADDRESS BRANCH 6 USE OF BUILDING ... .4' . 7 V /V */// 8 Class of work: El NEW El ADDITION" El ALTERATION D REPAIR 0 MOVE El REMOVE . . 9 Describe work: V V V I V V V V 10 Change of use from Change of use to 11 Valuation of work: $ . V PLAN CHECK FEE / PERMIT FEE V SPECIAL CONDITIONS: Type of Const. Occupancy V Group . Division V V V Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc, Load - V Fire . Zone ' Use V• V , Zone Fire Sprinklers — Required Elves ONO APPLICATION ACCEPTED PLANS CHECK ED BY: APPROVED FOR ISSUANCE BY FST No. of OF ET PARKING SPACES: Dwelling Units Covered U NOTICE Special Approvals Required Received, Not Required ZONING SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB. ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT V FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A V PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED.'V SOIL REPORT V OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS, TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PROVISIONS OF ANY OTHER'STTE OR LOCAL LAW REGULATING CONSTRUCTION ORrHE PERFORMANCE OFCONSTRUCTION. PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE tsrGN'ATURE-OFCONTRA-rOROR AUTVHORIZEDVAGENTV ___.(DATE)- V 'It SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE), WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 'PLAN CHECK VALIDATION CK. M.O.. CASH'V PERMIT VALIDATION CK. M.O. CASH - V V INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL& WEATHER PROOFING CONCRETE SLAB FRAMING -. INT LATHING OR DRYWALL - LATHING EXT. ________ • : MASONRY • FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP; ETC. • :I hareby'aflirm that i am licensed under '?bvisions of Chapter .4 (commencing with Section 7000) of Division '3 ol the Business and Professions Code, and my I cense is In IL -. I hereby affirm that I am ex;mpt from the, Con - tractors License Law for the following reason Co -n. 70315 Business and Professions Code: Any city or .,.'county which requires a permit to construct alter, improve, demolish, or repair.any structure, prior to its issuance also requires the.applicant for - such permit to file a signed statement that he is - - licensed pursuant to the provisions of the Con- tractor's License Law (Chapter 9 commencing with . Section 7000 of Division 3 of the Business and Pro. fessions Code) or that is exempt therefrom and the basis for the atteged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects - me applicant to a Civil penalty of not more than five Lu hundred'dollars i$5001. - ,' " rt r 'S i'. C] t, aS owner of the property, or my employees.3 = 5 - with wages as their sate compensation, wilt-do the £ work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: w The Contractor's License Law does not apply to an Z owner of property who builds or improves thereon and who does such work himself or through his own m m - eptoyees. 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). C] I; as' o2ner of the property, am exclusively Z contracting with licened contractors to Construct - 2 . .t . the project (Sec. 704.4, Business and Professions - Code: The Contractor's License Law does not apply to an owner of. property who builds or improves thereon; and who contracts for each projects with a contractor(s) license pursuant to the Contractor's C) - License Law): Lld - C] tam exempt under Sec. for this reason - ........ C] I hereby affirm that I have a certificate of consent to self-insure, or - a certificate of Workers'' Compensation Insurance, or a certified copy thereof , ,. (Sec. 3800, Labor Code). z "POLICY NO. COMPANY is filed with the cit. . 7 iGopy Cerlifi;d copy is hereby turnished, ' 0 v ..' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - ' - (This section need not be completed it the permit f is for one hundred dollars ($100) or less) hC "' 0 I certify that in the performance Of the work to. "0 .wh,ch this permit is issued, t shall not employ any - person in any manner so as to become subject to - - the Workers' Compensation Laws of California, -i -•.''"-.,,' NOTICE TO APPLICANT: If, after rriahin3 Ihis'Cert,' ticate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply 'with such provisions or this permit shall be deemed revoked. 'I- r -'0 I hteby affirm that there is a Construction Ir I lending agency for he performance of the work to, which this permil is issued (Sec. 3097, Civil Codel.. Lender's Name L Lender's Address 11SF RALt PAINT PFN flNIY & PRFSS KARA APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ... APPLICATION &'PERMIT -- CARLSBAD BUILDING DEPARTMENT ' ' 1200 Elm, Carlsbad,.Callfomla,92008 (714)438-5525 ............ 'i. .. - -. . ' .. . . - ,• . JOB ADDRESS . AV. ST. DATE OF APPLICATION BUSINESS LICENSE # 7LrZt Afr1e#io / RD. (Ot93 I 13700 Ca VALUATION PERMtT NUMBER O NER'S NAME OWNERS PHONE E C NT CTOR CONTRACTORS PHONE C ZONE OWNER'S MAILING ADDRESS CONTRACJS' ADDR S / I2Mi% 3Se LiCENSE NO. PLAN tO. # ' B S CO /O33 -uSi SCS1. q /E. •'..ky LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER • STATE LICENSE # STANDARD PLAN BUILDING SO. FOOTAGE UL G ZP F C 9 L i DESCRIPTION OF WORK fr1PIvyJE11I,JT..3 DESIGNER'S ADDRESS DESIGNER'S PHONE , -'00W3967 EDU '6/2/SI39 fJO I E-A?~t i J7t FLRELEV. . Y TORIES NO OCC GP V06 P01-1 -511A14: J P'/uJD11-. L4)4.L.L$ O NO - FIRE SPA TRACT ,JQNSUS GP LAND USE PARKNG,SPA E RES UNITS. - GRADtNG PERMIT ISSUED REDEVELOPMENT . . • TYPE 0CC LOAD. AREA • . - CONST - - ___________ Y O N 0 - - YO 'ND ' ' yD NO Not Valid'Un/ess Machine Certified - -.. - - -. • ' ' ' QTY PLUMBING PERMIT ISSUE 7 QTY 'ISS'UE MECHANICAL PERMIT ,3 - SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU . • BUILDING PERMIT EACH BUILDING SEWER - • - - 't" - . OVER 100,000 BTU - . - SIGN PERMIT EACH WATER HEATER AND/OR VENT - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK , ,EACH GAS SYSTEM 1 104 OUTLETS BOILER/COMPRESSOR 3.15 HP ,. ' ' , ' . TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE '- ' - - METAL FIREPLACE v, ' , '' • : • ELECTRICAL - ' . - ' - ' •••7 EACH INSTAL. ALTER, REPAIR WATER PIPE - . VENT FAN SINGLE DUCT' ' 1 • . , MECHANICAL EACH VACUUM BREAKER , , • , - ', , MECH EXHAUST - H000/DUCTS I - - MOBILEHOME - WATER SOFTNER , - - - ' '- - . * RELOCATION OF EA'FURNACE/HEATER' - - . MOBILEHOME PARK INSP ' - ..- • ' - - EACH ROOF DRAIN (INSIDE) . ' - ' . - SOLAR - - -' - - -• ' - TOTAL MECHANICAL - -. STRONG MOTION t TOTAL PLUMBING' FIRE SPRINKLERS PUBLIC FACILITIES FEE QT'L ELECTRICAL PERMIT - ISSUE - ' -'.. CITY. , SOLAR ISSUE - • , - .-- BRIDGE FEE - - - . - .• . - NEW.CONST EAAMP/SWTIBKR - - - . COLLECTORS - - - SCHOOL FEE - DISTRICT - - - -, - - 1 PH - - 3 PH' "h , ' STORAGE TANKS • , - - , Carlsbad EXIST BLDG EA AMP/SWT/BKR ' , • ' ' ROCK STORAGE - . - Encinitas • ' ' -' 1-PH. .. ,. 3 P- - - - PUMP,. , . - • •, - ., SanDjegujto.,. t REMODEL/ALTER PER CIRCUIT ' J' ,- PLAN CHECK FEE San Marcos TEMPPOLE 200AMPS OVER 200AMPS - TEMP OCCUPANCY (30DAYS) ' •. - - , . ' . - ' -'-- - TOTAL ELECTRICAL TOTAL SOLAR , - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBuilcting Official underthe provisions ofthis, * AN OSHA PERMIT IS REQUIRED FOR 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 DEMOLITION OR CONSTRUCTION OF ys from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A. PERMIT permit. r if the building or work authorized by such Zed by Such permit is not commenced within 180 8prrIs suspended STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING C N a_ando_edatany_ time after the work is commenced for a period of180.days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY A KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN . .+NTSgAr * _OWEA 0 -CONTRAcTOR APPROVED Y - - -• - - cEJ. 7z WHICH MAY IN ANY WAYACCRUEAGAINSTSAIDCITYINCONSEQUENCEOFTHE d GRANTING OF THISPERMIT_ EXPENSES - _BYPHONE -I — FA , INRPF(TIflN TVPF DATE INSPECTOR BUILDING FOUNDATION VJ!NFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING. SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING . HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. B SITE F PLUMBING ELECTRICAL MECHANICAL GAS: - BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED / 5 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES - REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE . SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRE-TE - OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING . . HIGH STRENGTH BOLTS SPECIAL MASONRY PILES/CAISSONS . . S - '- 551.55, - - T - -- - - - City. of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0613-2012 •. Building,Permit . PermitNo:CB890960 Building Inspection Request Line '(760) 602-2725 Job Address: 2525 EL CAMINO REAL CEAD St: 231 .Permit Type: CTI Sub Type: Parcel No: 1563020900 Lot #: Status: EXPIRED Valuation: $0.00 Const Type: NEW Applied: 06/30/1989 OccGroup: B2 Reference #: Entered By: DC ' Appr/Issued: 01/30/1990, Project Title: 1165 SF SUITE #231 SF COFFEE Inspect Area: Applicant: Owner: GOLDSMID, KERI PLAZA CANINO REAL 4010 MORENA BLVD #214 SAN DIEGO, CA 92117 619 4893-3564 Total Fees: ($6.00) Payments To Date: $0.00 Balance Due: ($6.00) S Description Fee Cnvrtd Adjustmnts/Credts -152.00 Other 146.00 - FINAL APPROVAL Inspector: Date: ______________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposifion" 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 Govemmenf 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. S 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. X 77 B U I L D I N G P E R M I T Permit, No: C8970132.. 03,.'07J97 11:04 Projet No: A9700174 5Page 1 of 1 Development No: I Job Address: 2525 EL CAMIt%JO REAL Suite: 231 - Permit Type: COMMERCIAL TENANT IMPROVEMENT 03/07/97 0001 01 02 Parcel No: 156-3O2--09---0O '.. Lot#: - . . . Valuation: 27,456 Construction Type: NEW Occupancy Group:. Reference#: Status: ISSUED Description: CTI.-ELECTRICAL,.1 BATKRM,HVAC Applied: 01717/97 INTERIOR LIGHTING -Apr/Issue: 03/07/97 Entered By: JM Appl/Ownr : SHAMES CONSTRUCTION . 510 606-3000 .5826 BRISA STREET SUITE E . LIVERMORE, CA 94550 . . ***• Fees Required *** rilected & Credits . Fees:' 569.0 . . Adjustments: •/(0 ' tr1t5iit .00 Tota1Fees': 5600 Q Tot a e s?\ 195.00 374.00 Fee .description / U s ..4J. i' Ext fee Data - -----------------------f-- - 'Building Permit 272-.00 Plan Check f -. - 177.00 Strong Motion Fee - 6.00 BUILDING TOTAL 455,00 Enter Y" for Plumb ng e Fe. e4 I 20.00 Y Each Plumbing Fixtur\e or T . [\\/ 7.00 21.00 Each Install/Repair ater L n II ,.UiJ/ 7.00 / 7.00 ,Each Water Heater an or Ven . 7.00 / 7.00 * PLUMBING TOTAL - / 55.00 Enter "Y for Electric\Iss,a' >INCORPORATED ('- / 10.-00Y -Remodel/Alter Per AMP \ 1952 25.00 * EIECTRICAL-TOTAL 35.00 '.Y' for Mechanica E;u 15 '.,00 Y Install Furri/Ducts/Heat Pump 1 9.00 * MECHANICAL TOTAL •, . 24.00 CITY OF CARLSBAD - 2075 Las Palmas Dr.,Carlsbad, CA 92009 (619) 438-1161 1 City of CarIthd guilding Drtnt 1075 Las Pitass Or.', CarLsbJ, CA 92009 (619) 4381161 y L PRM1T TWE - - From List I (see back) give code of Persnir.T','ie: For Residential Projects Only,. From List (see back) gre Code o(Struetuie-Type: PLbJ4 OMCK N0.4?7w3L 321 ZOO I PLAN cDr !951 DA1 .7 1977 0111.7/97 0001 01 02 C—PRMT 195.00 Net Loss/Gain of Dwelling Units . PRWECT DRMAT0N FOR OFFICE USE ONLY Building Nc4r'c Cross Street .Z,2EnergyCalcs C Structural Cal 2SoilsRaport DlAddressad Envelope DESCRIPTION OF WORK po-j oc- cs\i/4k 1 M, tJa" SQ. rr. \ OO # OF STORIES. j Of awRo(s 0 # OF BATHROOMS m I. NAME flut name V:,. L ADDRESS --r 14 CITY 4fr STATE Z1P. CODE 11 4 1a1 >TELEPHONE cA49h44 (3C -U(p '4 4. APPUCJfr'. jo UUWNbN UANTFui OWMkIt - NAME (fast name first) :-• AtDRESS CITY STATE VP CODE DAY TELEPHONE 5_PROPERlY OWNER - V V 5 . NAME (last name tirA) '.J3 . i ttp eJA&g3 .'wnnss 155 fl. Wo.-L'lCtr. crr CXXI sr..TirjL zp CODE(i) DAY TEt.EPJ.IONE 3) - 7 (oO V NAME (last name rirst) rjes ADDRESS 5&).. .6.. Li VQY.cr-c. STATE ZIP CODEq+S 5D DAY ThPHONLJJoO(,- =c> / 5 STA m TZP 1NSE aASS i3 NESS .UC.T1M2471 J j'yA V" \f?r'U I ¼_[ '' 11w '""'' V CITY I &Jj...tLS STATE ZIP CODE1)$ DAY TELEPHONOA 3317 sTA It tic. 7. WURXESS WMYENiATION V Wôrkcrs cotnponsatlen L)eclarauon: 1 hi5Ettinu that! have a cerilTcate ci corsanz to self-insure issued by the Director 01 Industrial. - Relations, or a certificate of Workers' Compensation Insurance 'j an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the Lnsurer thereof tiled wizh the Building Inspection Department (Section 3800, Lab. Q. - •e -, - -t ,V , , I. / pOuC.i mariner so as to beco ubJecjhe Workers' ws of CIornia. SIGNATURE DATE -7 I, as owner of the property or my enpoyees with wages as their sole cornpcnaoition, will do the work and the scuccure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owns of property who builds or improvo thcrcon, and who docs such work himself or through his own rmpinyrsti, p.-micip.d that such improvernentc are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the ownes-.builder will have the burden of proving that he did not build or improve for the pi.pose of cafe). V I,os owner of the properly, ens cxcluivcly contracting With liccnsed contractorS to construct the project (Sec. 7*44, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and conrracrn for Such projects with contractor(s) licensed pursuant to the Contractor's License Law). - 0 I am exempt under Section Business and Pro4'csaiona Code for this reason: - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, deimolich, nr rvpir any structure, prior to its issuance, also requires the applicant for such permit to file a sivted statement that he is licensed pursuant to the provisions of the Contrac?s I4cense Cnadr 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemV;l, and ji(çØasisjbr the alleged exemption. Any violation of Seceon 7O35 by any applicant (or a permit subjects the appHca pejdjs5f (toore than ii 4iundred dollars ($5001). SICNATURE / 7/? wn,raT. IC. Inif,0990 Urgw,. r'..,fl Jq,.,r,nr.oI..,cn I JIM.. OV4I4JIrlI.J I-c.awu Jo n4,5: ,.- ,, Is the epplican)4s's'ture building occupant required tosubrnit a business plan, acutely hoce4'ous materials registration turin or risk menac,mi:It and Prevention r3rn under Sections 25905, 25533 or 35534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management. disthet? V 0YE5 ONO V V is the facility to be constructed within 1,000 feet of the outer boundary of a school size? QYES 13 NO - - IF ANY Of TICE ANSWERS ARE YRS. A FINAL CJtTW1CATE OF CXIIIPANCV MAY NOT BE I5UTh AFTER HAS MET OR IS MEETING THE REQUIREMENTS OF t.CI OFFICE OF EMERGENCY SERVICES AND 11M AIR IOU.UI1ON (X)NTROL DISTRICt'. ar1Nt1rrTnTFNrIsrMwNcY I hereby amim that ineije is a construvuon lcnasng sgcncy LENDER'S NAME t4 It - LENDER'S ADDRESS relating to building construction. thereby authorize representatives of the City of Carlsbad to inter upon thc above mentioned property for inspection purposes. I ALSO AGREE 'It) SAVE INDD4NIFY AND MP RARMLS& THE OTV OF CARLWJ) AGAINST ALL. UAB1LIT JULMEN1 (DlS AND EXPENSES WHIDI MAY IN ANY WAY AUE AGAINST SAID MY IN CON EQUDICE OF THE GRANTING OF TIUS PEIthOT. agi&- An OSHA permit is required for excawtioni over 5'O' deep and demolition or construction of structures over 3 sturics in height. - 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 355 days from the date of such permit or if the building or work authorizei by such perm.t is suspended or abandoned at any time after thc work is commenced for a period of l& days (Section 30(d) Uniform 2ui14i .. Cud ) CL - /7/DATE: j cjf 'fr WHITE: He bw: Applicalt 1'LNIC Finance 1, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970132 FOR 05/15/97 INSPECTOR AREA TP DESCRIPTION: CTI-ELECTRICAL,1 BATHRM,HVAC PLANCK# CB970132 INTERIOR LIGHTING 0CC GRP TYPE: CTI CONSTR. TYPE NEW JOB ADDRESS: 2525 EL CANINO REAL STE: 231 LOT: APPLICANT: SHAMES CONSTRUCTION PHONE: 510 606-3000 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/DENNIS/730-3252 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS AS920082 ASTI ISSUED AS970028 ASTI ISSUED CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ACT COMMENTS AP &eV ,2'f lzool- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 051297 Frame/Steel/Bolting/Welding AP TP T-BAR GRID STOR,OFFICE :051297 Rough Electric AP TP CElL LITES STOR,OFFICE 051297 Rough/Ducts/Dampers AP. TP DUCTS STORE,OFFICE 050697 Interior Lath/Drywall AP TP 050197 Frame/Steel/Bolting/Welding AP TP . 050197 Rough Electric AP TP WALL & CElL LITES. 050197 Rough/Ducts/Dampers AP TP 042597 Rough/Topout AP TP EsGil Corporation Professionaf!Plan Review Engineers DATE: 2/28/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-132 SET: II U APPLICANT RIS LAN REVIEWER U FILE PROJECT ADDRESS: 2525 El Camino Real, #231 PROJECT NAME: The Whitehall Co. Jewelers TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. El The plans transmitted herewith will substantially comply with the jurisdiction's ******* codes when minor deficiencies identified below are resolved and checked by building department staff. LI The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. El The applicant's copy of the checklist is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. 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 REMARKS: By: Chuck Mendenhall Enclosures: Esgil Corporation EJ GA E CM E EJ D Pc 2/24/97 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 Carlsbad 97-132 1/29/97 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-132 PREPARED BY: CM DATE: 1/29/97 BUILDING ADDRESS: 2525 El Camino Real, #231 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE ($) TI 1056 26 27456 Air Conditioning Fire Sprinklers TOTAL VALUE 27,456 1991 UBCBuilding Permit Fee LI Bldg. Permit Fee by ordinance: $ 271.50 1991 UBC Plan Check Fee LI Plan Check Fee by ordinance: $ 176.48 Type of Review: • Complete Review LI Structural Only LI Hourly LI Repetitive Fee Applicable LI Other: Esgil Plan Review Fee: $ 141.18 Comments: Fire Services Review: LI Complete Review LI Suppression System LI Fire Alarm El Other: Esgil Fire Services Review Fee: $ Comments: Sheet I of 1 macvalue.doc 5196 I Lz# B V I L 0.1 N G P B R MIT PCR.No: PC.R97009 04/14/97.12:35 Project No: A9700174 Page'. 1 of 1 '' :. Development No: Job Address,: 2525 EL CAMINO REAL Suitê: 231 Permit Type: PLAN CHECK REVISION ,. 4107 04/14/97 0001 01 02 Parcel No: 156-302-09-00'.Lot#: * C-PRHT Valuation:. 0 Construction Type: NEW Occüpaicy Group: . Reference#: Status: ISSUED Description: REVISE STORE FRONT DETAILS Applied: 04/01/97 PERMITCB 97-132 Apr./Issue: 04/14797 Entered By: JM Appl/Ownr : SANDY OR CAROLYN SHAMES 510 606-3000 - 5826 BRISA STREET SUITE E . LIVERMORE, CA 9450 *** Fees Required > ..cQllected & Credits ------- -- Adjustments: .,30 it .00 Total Fees: . '87700 Q Tota1P e-e \ .00 B . •87.00 Fee description ./ U S i .i Ext fee Data --- -______ Plan Check Revision 00 87 .0 0 INCORPORATED 1952 I - ' CITY OF CARL SBAD 2075 Las Palmas Dr:, Carlsbad, CA 92009 (619) 438-1161 •. EsGiI Corporation Professiona[P(an Review Engineers DATE: 4/8/97 U AEFLICANT J UR IS. JURISDICTION: Carlsbad PLAN REVIEWER U FILE PLAN CHECK NO.: 97-09 (97-1,32) SET: I PROJECT ADDRESS: Plaza Camino Real PROJECT NAME: The Whithall Jewelry Co. Structural Storefront The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. El The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by buildi hg' 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. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El 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: 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 [II REMARKS: FCR fl•O By: Chuck Mendenhall Enclosures: Esgil Corporation U GA LI CM fl EJ D PC 4/3/97 trnsmtL dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-09 PREPARED BY: CM •DATE: 4/8/97 BUILDING ADDRESS: Plaza Camino Real BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: BUILDING PORTION BUILDING AREA (ft.2) VALUATION MULTIPLIER ESGIL FEE ($) Structural Rev varies Hrly 87.15 X 3/4 65.36 Air Conditioning Fire Sprinklers ESGIL FEE 65.36 199 UBC Building Permit Fee El Bldg. Permit Fee by ordinance: $ El 199 UBC Plan Check Fee LII Plan Check Fee by-ordinance: $ Type of Review: Complete Review U Structural Only a Hourly El Repetitive Fee Applicable Other: Esgil Plan Review Fee: $ 65.36 Comments: Sheet I of I macvalue.doc 5196 B U I L D I N G P E R M I T Permit No: CB973389 11/24/97 09:02 Project No: A9704370 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 231 Permit Type: COMMERCIAL TENANT IMPROVEMENT 1727 11/24/97 0001 01 02 Parcel No: 156-302-09-00 Lot#: CPRMT 389..00 Valuation: 31,200 Construction Type: VN Occupancy Group: Reference#: Status: ISSUED Description: 1200 SF TENANT IMPROVEMENT Applied: 11/05/97 "THE GAME KEEPER" Apr/Issue: 11/24/97 Entered By: MDP Appl/Ownr : ARNETT, CURT 619 270-4792 4060 MORENO BLVD. #K SAN DIOEGO, CA. 92117 Fees Required -* ***FeesCollected&Cred---- Fees: 583.00 , ( •/\ / N. Adjustments: / . oo,: ' \_).t -.ota1.cred1ts: .00 Total Fees: 583.00 i)\..) TotaljPavments: 194.00 / a lincDu: 389.00 Fee description / Units"-•F -eé/Unit Ext fee Data I -- .A t\1 '. " - Building Permit / •. / \ '--' \ 298.00 Plan Check • \ 194:00 Strong Motion Fee * BUILDING TOTAL ....H) N 4:Z-} 7 41 499.00 Enter "Y" for Plumbing Issue FéAel'\> .fj) i' -' I N Enter "Y" for Eleètric Iss'.Fe3 I / 10.00 Y Remodel/Alter Per \AMP \N \1Z\>1J I 200/, .25 50.00 * ELECTRICAL TOTAL\ \ /P' / / 60.00 Enter '1' for Mechanical Issue 1Fee> / / 15.00 1 Install Furn/Ducts/HeatPumps L I.J.>JRPOATEL /i 9.00 9.00 * MECHANICAL TOTAL \ _\ç.-' 24.00 •j fr:) fl) \ I F; ppp f TEgL:11 IjEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 OR OFFICE USE ONLY PLAN CHECK.NO.CT) EST. VAL.V _ I Plan Ck. Deposit Validated By1' . '- Date VVV tI1c/i I 0-1,t1*fl Of (foa) PERMIT APPLICATION ' I . • 'tv, !. 'CITY OF CARLSBAD, BUILDING DEPARTMENT 07 •. 25 Las' Palmas Dr, Carlsbad CA 92009 -••• (760) 438-1161 :100-i ,ry IIIC1i0RATIflRI Wrk uuress iIflCIUUe 0 yiuute fri Dubillubb lvdif iuidi L(uI auuiei ' (rr - /LLv FL tç' Legal Description - - ' Lot No. '-'Subdivision Name/Number - - Unit No. ' Phase No.. Total # of units - Assessor's Parcel # Existing U - Proposed Use. Description of Work — '- - SQ. FT. - -- #of Stories • - -• .-. .• .. . # of Bedrooms -- # of Bathrooms -. ___ f'flPJTA('T D0fltd If .4 44 nt 4 n. .,nni ,.,.ntl '.. . I Name. Address - - - - '- City . - State/Zip - Telephone # rjc'vs- LO(gO fri o.'l- r-' P )- 8'- ti ,o . C4,...9 )!'7 . '' I z. Name - -- . Address - -. -. City - - State/Zip - - Telephone # ROPERTY'OJER Name Address , City - State/Zip ,, Telephone # Ti (Sec. 7031.5 Business and Professions Code: Any City or, County which requires a permit to construct, alter, improve, demolish or repair nj 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 4 ..,ate License # f1 O (PS 'License Class ' '' City Business Lic'ei?e# eikemption. Any violation of Section 7031.5 by any applicant for a permit subjec$sthe applicant to a ci 91 penalty of not more than five hundred dollars ($5001). Name . • ' . ' - Address . City . State/Zip Telephone # L. irr j1o,-• - '-j-'ot, koc&- ft 1— - 'c.:-q,,i -. 'CA gor -i'(cc -zsv Designer Name , ' . " Address .-. , City . . State/Zip -' - Telephone , State License #' - - V Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ''V.. ' I' I. L 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 work for which this permit is issued, 1 , have and will maintain workeis' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ssued. My worker's compensation insurance carrier and policy number are: , " j, I _. . ' • .- - 1Insurance Company i'1cT1T f1J1.J1, - Policy No.I Sac . Expiration Date .(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) o CERTIFICATE OF, EXEMPTION: l certify that in the performance of the work for which this permit is issued' I shall not emploj aiy person inny rn'anne so as1 to become subject to the Workers' Compensation Laws of California, LV -j'- '_•t I 1WARNING: Failure to secure workers' compens io coverage is unlawful; and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll a $100.0 0), in addition to th f compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE -- - -. DATE '7 - WWBUILDER VECLARATIONIII I hereby affirm that I am exempt from the Contractor's License Law for the following reason: V V f . 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 Coda: The Contractor's Licens 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 purposa'of sale). as owner of the property, am exclusively contracting with licensed contractors to construct the roject )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 contraàtor(s) Iicens'd pursuant to the Contractor's License Law). '0 I am exempt under Section Business and Professions Code for this reason: .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES []NO I (have / have not) signed an application for a building permit for the proposed work. - - I have contracted with the following person (firm) to provide the proposed construction (include name / address / phorie'n"umbe'r contractors license number):,• I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number / contractors license number): , .........,_ I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work): PROPERTY.OWNER SIGNATURE. -.- _- _V ___----_., _LV -':•V,_ ,- PERMITS ONLY_T TIIV _— Is the applicant or future building occupant required to submit a business plan, acutely hazardot'js materials registration form or risk management and prevention &) program under Sections 2550525533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?' -'0'- YES ',- NO -'-- Is the applicant or future building occupant required to obtain a permit from the air pollution control district or, air quality management district? 0 YES NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES' NO -' ' - •- - ', I - - V 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. - 1CONSTRUCTIONLENDING'AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). - LENDER'S-NA'ME' t.....i)f LENDER'SADDRESS' ' '• ' ' - •_'Sl , • • L9!APPLiQI&RTlFICAT1ON_'--__:-''_'_--7 - VS - V V -. , , - - V, 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 - City ordinances and State law&relating to buildingconstruction. 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 issue by the Building Official under the provisions of this Code shall expire by limitatiân and become null and void if the building or - ',work authorized by such permit i ot commenced within 65 days from the'date of, such permit or if the building or work authorized by such pernit is suspended 'or abandoned at any time after t a ork is c mme ad for a eriod o days (Section 106.4.4 Uniform Building Code).- APPLICANT'S SIGNATURE DATE - - ' ITE: File YELLOW: Applicant PINK: Finance __ .L7ØL1 2.. 'tSF- Fax# - CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB973389. FOR 12/16/97 DESCRIPTION: 1200 SF TENANT IMPROVEMENT "THE GAME KEEPER" TYPE: CTI JOB ADDRESS: 2525 APPLICANT: ARNETT, CONTRACTOR: OWNER: REMARKS: C/TIM/529-9654 PAGER- SPECIAL INSTRUCT: EL CANINO REAL CURT PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB973389 0CC GRP CONSTR. TYPE VN STE: 231 LOT: 619 270-4792 PHONE: INSPECTOR TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERNIT# TYPE AS920082 ASTI AS970028 ASTI AS970192 ASTI CB973713 SIGN STATUS ISSUED ISSUED ISSUED ISSUED ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical HISTORY ***** ***** INSPECTION DATE DESCRIPTION ACT INSP COMMENTS 121097 Frame/Steel/Bolting/Welding AP TP. T-BAR GRID 12 1097 Rough Electric AP TP CElL. LITES 121097 Rough/Ducts/Dampers AP TP DUCTS/PLMNS 120397 Interior Lath/Drywall AP TP 120297 Rough Electric AP TP CONDUIT @ PNL, WALLS 120297 Frame/Steel/Bolting/Welding PA TP ND F.P. REV. @ ADDED WALL(STO 120297 Frame/Steel/Bolting/Welding AP, TP STORE FRONT 120297 Interior Lath/Drywall AP TP FULL HT. DMZ WALLS (2) '. 28' k. _ r —r- J / l 36" ar mTr' /\ / = / Store Room .,('• n-H __ 12-10" 7'-10" 2'4 9 Cash wrap counter to have mm. 36' long counter @+28-34"AFF 4' '1 23-0' Existing dernising walls to rmain;--~- VED DEC'04 1991 City of CARLSP BULDINGT)EPT. Mall tile to point of --------------------------------------- - - I E ye Al ba se Fc sh Co UP V, doors to have lever type hardware per Section 2-3304, EsGil Corporation Professiona[P(an Review Engineers DATE: 11/21/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-3389 SET: II DAPPL4CANT (0 JUR) DP1ANREVI EWER 0 FILE PROJECT ADDRESS: 2525 El Camino Real S. #231k PROJECT NAME: The Game Keeper 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. El 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. JJ 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. Esgil:Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Curt Arnett Telephone #: In person recheck Date contacted: (by: ) S Fax #: Mail Telephone Fax In Person REMARKS: Mr. Curt Arnett will carry 3 perforated plan Set II O.K. per telephone conversation with John. He was instruq~6c request. vings to the City of Carlsbad. to deliver them today as per city By: Mike Puckett Enclosures: Esgil Corporation El GA DCMDEJ E) PC. log trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 (619) 560-1468 • Fax (619) 560-1576 Carlsbad 97-3389 11/18/97 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-3389 PREPARED BY: Mike Puckett DATE: 11/18/97 BUILDING ADDRESS: 2525 El Camino Real,S.#231A BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: IlIN BUILDING PORTION BUILDING AREA (ft. 2) VALUATION MULTIPLIER VALUE ($) Tenant Improvement 1200 26.00 31,200.00 Air Conditioning Fire Sprinklers TOTAL VALUE 31,20000 '1991 UBC Building Permit Fee D Bldg; Permit Fee by ordinance: $' 297.50 1991 UBC Plan Check Fee Plan Check Fee by ordinance: $ 193.38 Type of Review: 0 Complete Review 0 Structural Only 0 Hourly. O Repetitive Fee Applicable' 0 Other: Esgil Plan Rdviéw Fee: ' $ 154.70 Comments: Sheeti of I - macvalue.doc 5196 I 04-27-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB051515 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 231 Permit Type: ELEC Parcel No: 1563020900 Lot #: 0 Reference #: Project Title: FAST-FIX ADD 100 AMP ELECTRIC \ METER (1"ppIicant: PACIFIC COAST ELECTRIC INC. 11 -7-..- / 7978 LOS PINOS CR CARLSBAD, CA 92009 619-942-3500 Status: ISSUED Applied: 04/27/2005 Entered By: KG Plan Approved:' 04/27/2005 Issued: 04/27/2005 Inspect Area: Owner: PLAZA CAMINO REAL C/O WESTFIELD CORP INC 11601 WILSHIRE BLVD ' LOS ANGELES CA 90025 / / - I f / Electric Issue Fee Single Phase AMP / '--.. $10.00 $0.00 zN per Three Phase per AMP' '. .' 100 /, \ (1-.' C $50.00 Three Phase 480 Per AMP 7 o I -. \ \"-f $0.00 Remodel/Alteration per AMP, .... 0 ' ' ---. $0.00 - Remodel Fee Temporary Service Fee - -.- .- $0 00 \ ) 00 ,Z$o ..' . .. - Test Meter Fee ' --' $0.00 Other Electrical Fees •'. Additional Fees - . // $0.00 $0.00 4 -- TOTAL PERMIT FEES $6000 Total Fees: $60.00 Total Payments To Date: L $0.00 Balance Due: / $60.00 / .•,1952 I '7017 04/ / 28/05 0002 01 02 COP t FINAL APPf30VA inspectôg Date: S 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 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 I 60-00 PERMIT APPLICATION .. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 5,€ 2/ 77f6 Address (include Bldg/Suite #) Business Name (at this FOR OFFICE USE ONLY PLAN CHECK NOeo5757 EST. VAL Plan Ck. Deposit Validated By_________________________ Date . Legal Description . Lot No. Subdivision Name/Number . Unit No. Phase No. Total # of units Assessor's Parcel # , Existing Use Proposed Use op 1c 7's#( /pO a. Description of Work ' SQ. FT. I #of Stories # of Bedrooms # of Bathrooms 2 CO1TACT PERSON (if diffefent frorn ppllcrnj t Name Address City State/Zip Telephone # Fax # 3.7APPlICANT D;Owner,",,.DAdefor:rOwnèr Name . Address . City State/Zip Telephone # Name Ad ess City Siate/Zip Telephone # 5 " QO1TRA6TOR COMPANY NAMENOT (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, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged e tion. Any violatj9 of Section 70 1 5 by any applicant for a ermit subjects the applicant to a cvii penalty of not more than five hundred dollars ($5001). /4C,I7E (,90 C7A/ 3 ,VC,,Y/rn?'5, C 9?t/' 7X t) Name - Address City Stale/Zip State License # ."i65`67 License Class C. "/tO City Business License # 12 1 Designer Name Address City State/Zip Telephone State License # IT~5KERS SAT ON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company . Policy No. Expiration Date__________________ (THIS$ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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. WARNING: Failure to secure workers' compen tion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doIlars1)IOO.00 ), n addition to th St of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7 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 thestructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO I (have/ have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number(: - I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone number / type of work): PROPERTY OWNER SIGNATURE 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 Act? 0 YES 0 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 0 NO Is the facility to be constructed within 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. L8CQNSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME,-- LENDER'S ADDRESS_______________________________________________________ 9 APPUCAIiT CERTIFICATION 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 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 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 comr eM, ced for aIeriod of 180 (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /? 14/f7)i1An1I) flATF ? 7" ID < WHITE: File YELLOW: Applicant PINK: Finance