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HomeMy WebLinkAbout2525 EL CAMINO REAL; 232; STE 232 PRE 2016; Permit. . BUILDING PERMIT APPLICATION KAY 1 Applicant Z City' of CARLSBAD, CALIFORNIA 19-71 r1Ots3** *1 OO e flu bered spaces only. JOB ADDRESS LEGAL ::~~,,A, — p DESCR 1 . LOT NO. BLK TRACT ([:]SEE ATTACHED SHEET) 2 OWNER M ADDRESS ZIP PHONE ;_?a Xe4 It ARC TE T DESIGNER MAIL ADDRESS _~MAI PHONE LICENSE NO. 5-6 ENGINEER ADDRESS PHONE LICENSE NO. LENDER MAIL ADDRESS 6 BRANCH USE OF BUILDING 1 8 Class of work: LI NEW 0 ADDITION LETERATION 0 REPAIR 0 MOVE LI REMOVE 9 Describe work: 10 Change of use from . Change of use to — 11 Valuation of work: $ fl I PLAN CHECK FEE PERMIT FE 0 SPECIAL CONDITIONS: Type of ConSt. Occupancy Group Division - Size of Bldg. (Total) SQ. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinki rs Required Yes LINo APPLICATION ACCEPTED BY: PLANS CEE. BY: APPROVED FOR SUANCE BY: OFFSTR PARKING Uncovered eng Units - Covered NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV PONS OF ANY 0TH RS TATE OR LOCAL LAW REGULATING E OFCONSTRUCTION. 52 , M& Special Approvals - Required Received Not Required ZONING HEALTH DEPT FIRE DEPT. SOIL REPORT OTHER (Specify) SIGNATURE OF CONTRACTOR AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS * 50 SO. LOS ROBLES 0 PASADENA. CALIFORNIA 91101 • INSPECTION RECORD rV-''T YP$ DATE REMARKS INSPECTOR FOUNDATIONS: SETBACK TRENCH REINFORCING FOUNDATION _WEATHERPROOFING FOUNDATION WALL& CONCRETE SLAB FRAMING -INT. LATHING OR DRYWALL EXT. LATHING V MASONRY FINAL USE-SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. S. • ----1 -4 - - - - .1'• ' - VVf15VVV . • - -- V• V V -. - .•- •,ç 4; V - V - 'V VJ•••• •V S•5-'•..1 V a • •4 4 • •I -. I F' I 10 PLUMBING PERMIT APPLICATION 21 City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. - JOB ADDRESS 2 cr /e2 'T yrrI lU'l LEGAL 1DESCR.I I LOT NO. I I BLK I I I I I TRACT G sEE ATTACHED SHEET) I 2 ER AlL ADDRESS ZIP PHONE CONTRACTOR MAIL ADDRESS R Ii IN e%>t: PHONE LICENSE NO. 23c&4/ . - 4 ARCHITECT OR DESIG2/ MAIL ADDRESS PHONE LIC SE NO ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. LENDER MAIL ADDRESS 6 BRANCH USE OF BUILDING 7 8 Class of work: D NEW 0 ADDITION E 'ATION 0 REPAIR ' 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) £2. BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED F R ISSUANCE BY: LAUNDRY TRAY CLOTHES WASHER WATER HEATER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / URINAL DRINKING FOUNTAIN FLOOR—SINK OR DRAIN I' SLOP SINK GAS SYSTEMS: -NO. OUTLETS WATER PIPING & TREATING EQUIP. - - - - WASTE INTERCEPTOR VACUUM BREAKERS j 4 LAWN SPRINKLER SYSTEM SEWER 00 CESSPOOL SEPTIC TANK & PIT SIGNATURE OF CONTRACTOR OR AU1•1tD AGEN)/ 7.9'E) - PERMIT $ ç- TOTAL FEE $ SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.2 9.69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 5050. LOS ROBLES 0 PASADENA, CALIFORNIA 91101 AN CITY OF CAPLSBAo SEWER BUILDING DEPARTMENT PERMIT - APPLICATION' — i7- 71 FOR APPLICANT TO FILL IN106/ LEGAL DESCRIPTION LOVNO ADDRESS BUI LDG /tf7fJL'f Foi BLOCK d)4TRA?'(/JO fái (CROSS NS' ST P2 1L ___BUILDINGS USE OF ee 1I/##/)/. OWNER MAIL CONTRACTOR - ADDRESS ADDRESS CITY TEL. NO. ,.CITY TEL. NO. CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS OVERFLOW SEEPAGE FF1', ORAINFIELD EXTN., CESSPOOL, DRYWELL. MANHOLE @ $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER © $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER. OR DISPOSAL SYSTEM © $2.00 OWNER'S AUTHORIZATION PERMIT '$: 2. 00 TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN 'CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. SIGNED 'THIS DAY OF OWNER OR - OWNER'S AGENT ADDR ESS / 'I HEREBY ACKNOWLEDGE THAT .1 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 HER CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS 'REQUIRED BY THE'CIT.YOFCARLS- BAD AND STATE OF CALIFORNIA OR THAT 'AM .THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE OF PERMITTEE 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 , I Total Lateral Charge : Let. No.: Logged in Plot: LINE COST DATA A. D. & Assmf. No. — LINE COST: — .. C. dwelling P. S. @ / dwelling OTHER — 4.S• T ((. OTAL Grand Total, Lateral, etc. 7 FOR SEWER LOCATION If) If;; St. 'NORTH ENGINEERING ,,, I SF 'DEPT. Signed . J1 /(II j Signed - ',This 'is a Sewer Permit When Properly Filled Out, Signed and Validated 4 '. Issued By. PERMIT VALIDATION USE BAIL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --5- - -. 4 '. .- •1 DI hereby affirm that I am licensed under • OW provisions of'Chapter 9 (commencing with Section 7000) of Division 3 of the Business • end Professions Code, and my license is in' I full force and effect. ,- Lic. No _________________ -Class - o 0 —- . I' hereby affirm that I am exempt from the Contrac Or's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clip or County which re- quires a permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to life a Signed statement that he is - - licensed pursuant to the -provisions 01 the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is eo' - - empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub- jects the applicant to a Civil penally 01 not more than tine hun' dred dollars ($500). 0 1,-as owner of the properly, or my employees wilh wages - as their sole compensation, will do the Work, and the Strac' - lure is not intended or offered for sale (Soc. 7044, Business _a —.s-and.Protessions Code: The Contractor's License Law does - - - not apply to an owner 01 property who builds or improves thereon and who does such work himself or through his own - employees, provided that such improvements are not intond- UJ ed or offered for sale. It,, however.- the building or improve- Z menl is sold within one year 01 completion, the Owner-builder will have the burden of proving that he did not build or im' - o - prone for the purpose 01 sate).Ar 0 I, as owner 01 the properly, am exclusively contracting - with licensed contractors to construct the projoct (Sec. 7044. Business and Prutessions Code: The Contractor's License • .. Law does not apply loan owner of property who builds or im- proves thereon, and who contracts for each projects with a - CA contractor(s) license pursuant to the Contractor's License - Z - Law). - 2 - 0 Ass homeowner lam improving my home, and the 10110w' 4 -ing conditions exist: - cc 1 - The work is being performed prior to sale. 2. -1 have lived in my home Or twelve months prior 0 completion of this work, ILl - 3. I have not claimed this eoemplion 'daring the o last three years; -- - - tJ lam exempt under Sec. - .0 & P.C. for this reason - fl thereby affirm that I have a Certificate of consent to , selt.insure, or a certificate of Workers' Compensation In. - . surance, or ace itied copy tO eel Sec. 3800. Labor Code) cj - - 2 . COMPANY fi COp is fit d with the city - - Zo Certili npyis here furnished , LLj - ,-- o CE IFICATE EXE lION FROM - WORK RS'CO FE ION INSURANCE - (This, sectie be feted if the permit UA is for one hu dred tars Oaf or 105sf, le D, I certify that in I e perform e 01 work for which o this permit is issue I shaft n employ any person in any - • rrraeoe, so as to be so - Ct to the Workers' Compen. C. tomi Laws NOTICE TO APPLI T: It. alter making this Certificate - 01 Exemption, you should become subject to the Workers'' - Compensation provisions 01 the Labor Code, you most t forthwith comply with such provisions or this permit shalt - , - be deemed revoked. - rha/• . f" fi I here6i affirm that there is construction lending - ' - ugexcy for the performance of the work for which this per. OH 'mit is issued (Sec. 3097, Civil Code) Z ) - -' - Cal —II Lender's Name) " - --- -' - 4- Lender's Address - - - ' CARLSBAD BUILDING DEPARTMENT APPLICATION .9. PERMIT Car)sbad, California 92008-1989 (619) 438-5525 ' AAAvd& Fly?&-4jt~EST CROSS ST. DATEOFAPPATION 5Sth 2 VALUATION ' PERT NUMBER Le ZONE LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE (I —t; OW ER'SNAME OWNERSPHONE _U..2p lq4/2--42$ ' . S B ILDINGS9FOOTAGE 00 CONTRACTOR'S ADDRESS L LICENSE NO. fj~ PLAN I.D. _ V4 cor " OWNER,,aNGADDRES _4z.zc)2 ç7A_ ti VC, ,p24___p, DESIGNER DESIGNER'S PHONE _ DES IPT ON OF WORK DESIGNER'S'ADDRESS , LICENSE NO. Poo F/P FLRELEV NO occi' p EDU 1-6452% I'GG - - .. 2J¼.-L...a/Jlç2i'T7 0 YET_ND STORIES CENSUS TRACT OP LAND USE PARKING SPACE ' RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD FIRE SPR -a AREA ' a CONST - 0 tt 0 _-D ND YO ND - - Not Valid Un/ecu Machine Certified OTY. . PLUMBING PERMIT- ISSUE '- QTY. MECHANICAL PERMIT- ISSUE 3 S , ' SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . ,5- ' INSTALLFURN.DUCTSUPTO100,000BTU -,' - BUILDING PERMIT - ,001'810-00-00-8220 -' - EACH BUILDING SEWER ' ' ' ' - OVER 100,000 BTU 7 - SIGN PERMIT 001-810-00-00-8221 - EACH WATER HEATER AND/OR VENT - ' BOILER/COMPRESSOR UP TO 3 HP ' . PLAN CHECK , - 001-810-00-00-8806 EACH GAS SYSTEM -I 104 OUTLETS • 55 S , - BOILER/COMPRESSOR 3.15 HP - - ' ' - - , TOTAL PLUMBING 001-810-00-00-8222- EACH GAS SYSTEMS OR MORE - , - METAL FIREPLACE - , . - ' - ELECTRICAL .001-810-00-00-8223 - EACH INSTAL., ALTER, REPAIR WATER PIPE , ' VENT FAN SINGLE DUCT , . - - MECHANICAL • 001-810-00-00-8224 EACH VACUUM BREAKER • ' , MECH EXHAUST - HOOD/DUCTS ' - - . - MOBILEHOME - 001-810-00-00-8225 WATER SOFTNEF1 , - . . - RELOCATION OF EA FURNACE/HEATER . - MOBILEHOME PARK INSP EACH ROOFrORAIN (INSIDE) ' ' -. , .LAR " 001-810-00-00-8226 TOTAL MECHANICAL - - - - - - ' - MOTION - 880-519-92-33 TOTAL PLUMBING I .- . -- FI ,7JKLERS .aOol-810'00'008227 OTY. - ELECTRICAL - 5— OTY. ' SOLAR - ISSUE c ." PUBLIC IFEE '332-810-00-00-8930 PERMIT ISSUE - - -' - - NEW CONST EA AMP/SWTIBKR ' - - It - ' COLLECTORS " - O SCH0 E - DISTU. - - - - — I PH -' -- - - - 3 PH' - ' - -. '- STORAGE TANKS' carISb EXIST BLDG EA AMP/SWT/BK R - - '•- ROCK STORAGE + - ilas - • , . - - . I PH - - v ' 3 PH - .- PUMP - • - . - iio '. . REMOOELALTER PER CIRCUIT • - ' PLAN CHECK FEE ' . ,• , • - - - .. . ' - - TEMPPOLE 200 AMPS — OVER 200 AMPS ' i - , -- ' -, - ' LICENSE TAX - 001-810-00-00-8162, - • TEMP OCCUPANCY (30 DAYS) ' ' . - , - MFF , 880-519-92-57 - - ' . - - .; ' CREDIT DEPOSIT - • - TOTAL ELECTRICAL - . / - _________________________________ -- TOTAL SOLAR TOTAL FEES PAYABLE , IrIl HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by he Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER C de 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 thorized by such permit is not cor imenced within 180 days from the date of such 5'0" DEEP AND DEMOL(TION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS Jrmi1 or it the buildin or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- bandoned at any time a? /bhe wo k is commenced for a period of 180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - , PPLICANT S St T OWNER 5—i -' PROVCI BY " -, CONTRACTOR %5L. - D ¶ , - .. - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND / EXPENSES WHICH MAY IN ANY GRANTING OF THIS PERMIT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH 16 BY PHONE C3 • ' - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUN ITE OR GROUT SUB FRAME El FLOOR Li CEILNG SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH .& DRYWALL PLUMBING Li SEWER AND BL/CO Li P(/CO UNDERGROUND i Li WASTE 0 WATER TOP OUT 0 WASTE Li WATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WATER ELECTRICAL Li ELECTRIC UNDERGROUND Eli UFFER ROUGH ELECTRIC Li ELECTRIC SERVICE Li TEMPORARY Li BONDING Li POOL MECHANICAL Li DUCT & PLEM., Li REF. PIPING HEAT - AIR COND. SYSTEMS - VENTILATING SYSTEMS CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED - FINAL PLUMBING L.. ELECTRICAL 1 ,MECHANICAL. GAS OF SPECI AL CONDITIONS FIELD INSPECTION RECORD / REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE . ..... -. SOILS COMPLIANCE PRIOR TO FOUNDATION INSP S .. OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE . POST TENSIONED CONCRETE . -. . . . . FIELD WELDING -: HIGH STRENGTH BOLTS .. S . . SPECIAL MASONRY . . . PILES CAISSONS S5 5 '555 S I - . - BUILDING PERMIT 04/22/91 16:44 Page 1 of 1 Job Address: 2525 EL CAMINO REAL Str: ** Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 156-302-09-00 Valuation: 5,500 Construction Type: VN Occupancy Group: B2 Class Code: Description: REMODLE GEN. NUTRITION CEILING & FACADE Appl/Ownr : NATIONAL TI Permit No: CB910633 Project No: .910.3761 Development No: Fl: **** Ste: 232 20110e/22/910001 31 02 Status: ISSUED Applied: 04/19/91 Apr/Issue: 04/22/91 Validated By: KZH 702-597-1003 4535 W. SAHARA 105-516 LAS VEGAS, NV 89102 CONTRACTOR : NATIONAL TI ( [ 1 icç NO *** Fees Required * 'T & ------ /34 3 .00,-- t 1/ Adjustments: / \\.00 / // .oa1\6 çiis: Total Fees: / 34O0/ tal Pyn'ej/s: Ba 1 an'c e Due: Fee description \FJni't --------------------- Building Permit (TT TT fl Plan Check Strong Motion Fee . 1 Enter 'Y ' u to Atocaic License Tax ) /7 * BUILDING TOTAL \ y Enter "1" for Plurnb\ing Issue Foei Enter 'Y' for Electiic Isie\Fe 0 Enter "Y" for Remodel, \ // > * ELECTRICAL TOTAL ($0 ffl.ni.murn) \ 7 / Credits .00 328.00 15.00 Ext fee Data 81.00 53.00 1.00 193.00 1 328.00 N 5.00 Y 10.00 Y 15.00 IL APPROVAL sp/1j P, DATE LV ('I F4RL X77 /7* CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619)4384161 4 PFJ4MII AFPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT TYPE I -J(oMMERCIAt DREW )QENANT IMPROVEMENT 8 - 0 INDUSTRIAL DREW 0 TENANT IMPROVEMENT C - DRESIDENTIAL []APARTMENT []CONDO []SINGLE FAMILY DWELLING DADDITION/ALTERAT ION DouptEx []DEMOLITION []RELOCATION DMOBIIE HONE []ELECTRICAL []PLUMBING []MECHANICAL OPooI []SPA []RETAINING WALL []SOLAR DOTH PJ , q EST. VAL 6 - I I PLAN EK DEPOSIT I I VALID. BY I j DATE -V--7 1969 04/19/91nool,02 320 BuildlriWor Suite No. sY'reET# "Carnino Real Space * 232, Carlsbad, CA 92008 Nearest Cross LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SERNIIIT(D: 02 Energy. Calcs 02 Structural Cates 2 Soils Report fli Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE REMODEL STORE (f cz- BLDG. SO. FTC. I OF STORIES 3 / CONrAeV P Rid H 1 NAME ADDRESS SAME AS CONTRACTOR (SEE qpw) CITY DAY TELEPHONE SIGNATURE 4. APPLICANT []CONTRACTOR - DAGENT FOR CONTRACTOR []OWNER DAGENT FOR OWNER NAME ADDRESS CITY STATE rPRoPER1'rowNER, OWNER NAME GENERAL NUTR1'TION CORP. CITY PITTSBURGH, PA STATE 0NTRACT0R1 RAMI ','// Vg4 e4' NATIONAL T.I. C, CITY LAS VEGAS, NEVADA STATE 1TE I IC. H_______ CITY S,IA.i.! ZIP CODE DAY TELEPHONE []LESSEE []TENANT ADDRESS 921 PENN AVE. ZIP CODE DAY TELEPHONE ADDRESS 4535 W. SAHARA 105-516 / ZIP CODE 89102 DAY TELEPHONE 702-547-1003 LICENSE CLASS x.ç,ITY BUSINESS IC. I TITLE DATE 2...- - ADDRESS ZIP. CODE DAY TELEPH STATE LIC. H 7. WORKERS' COMPENSATION I I I I 1 . Workers' Compensation Declaration: I hereby affrm tha I have a certifi)1 10 6. C of 4sent to se(flne T'çied byithe Director I ustriat Relations, or a certificate of Workers' Compensation Insur rice b an acAnitted Insr orJa4 exact copy or dupllcat\ the eof certi fled by the Director of the insurer thereof filed with the Build ing Inspect n 0 rtment (Section Lfb.t,,C). ) INSURANCE COMPANY POLICY NO. EXPIRATJN DATE Certificate of Exemption: I certify that -intheAfformance of the wory f r w4ch t\iyermit is issu1 I shalt not employ any person in any manner so es..t.n...become subject to the Workers' Coirpensat Laws of Callfor a. / Si 2..-- 8.OWNER-8UILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I amexempt from the Contractor's License Law for the following reason: C] I as owner of the property or my employees with wages s their sole compensation, will do the work and the Structure is not intended or offered for sale (Sec. 7064, 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7046, 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). o I am exempt under Section Business and Professions Code for this reason: (Sec . 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires she applicant for such permit to file & signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES [:]No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES []NO Is the facility to be constructed within 1,000 feet of the outer boundary of •a school site DYES [:]No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS HEY OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROl. DISTRICT. - 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 30970) Civil Code). LENDER'S NAME N/A LENDER'S ADDRESS National T.I. is self-Lended 10. APPLICANT'S SIGNATURE I rertify that I have read the application and State that the above information is correct. I ngrcv to comply with &il City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND SEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JIEONENTS, COSTS AND EXPENSES WHICH MAT IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit Issued by the Building Official under the provisions of this Code shall expire by limitation and become null And void if the building or work authorized by such permit is not ccxanenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or sbaLx1ooad-aL..Q!y tim. TTeriEe8rkle..coitincnced for a period of 180 days (Section 303(d) Uniform Building Code). APPI I S"m"_'..__ 'LoW,4f.R CONTRACTOR BY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED INSPECTION DATE /2 2 /7 J INSPECTOR_______________________ PERMIT #_______________ PLANCK #______________ JOB ADDRESS TIME ARRIVE: TIME LEAVE:_ CD LVL DESCRIPTION ACT COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910633 FOR 05/16/91 INSPECTOR AREA MC DESCRIPTION: REMODEL GEN. NUTRITION CEILING PLANCK# CB910633 & FACADE 0CC GRP 'T1V'. TmD M 7TC' ¶T?sT •• •.• • '- -I. . •.'.J;I .L £. .. Zr F, V III JOB ADDRESS: 2525 EL CANINO REAL STR:** FL:**** STE: 232 APPLICANT: NATIONAL TI PHONE: 702-597-1003 CONTRACTOR: NATIONAL TI PHONE: OWNER: PHONE: REMARKS: MH/AM PLEASE INSPECTOR SPECIAL INSTRUCT: INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB910554 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural cc /c ,q, 29 PL Final Plumbing J /4472P 'PMYCS7. 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE COMMENTS DESCRIPTION ACT 043091 Frame/Steel/Bolting/Welding AP 043091 Rough Electric AP ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (61 b) 560-1468 - 1'NT LAN /bc33 SET:-7_ FILE COPY UPS PROJECT ADDRESS: - -,/ DESIGNER PROJECT NAME: The plans transmitted herewith have been corrected where VSJ necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will ,substantially comply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. • D. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. U The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. J The applicant's copy of the check list is enclosed for the jurisdiction to return to. the applicant contact person. The applicant's copy of the check list has been -sent to: j] Esgil staff didnot advise the applicant contact person that plan check has been completed. [1 Esgil staff did advise applicant that the plan check has - been completed. Person contacted: Date contacted:' . Telephone #________________ U REMARKS: • fl GA L AA EI RN .0DM DATE: - JURISDICTION: PLAN CHECK NO: Datei - Pr,paed by Bldg. Dept. VALUATION AND PLAN CHECK FEE 0 Esgi]. PLAN CHECK NO. ) - 33 BUILDING ADDRESS /-7 APPLICANT/CONTACT PHONE NO._________________ BUILDING OCCUPANCY 2 2- DESIGNER PHONE_____________ TYPE OF CONSTRUCTION h41 J .)L.. CONTRACTOR PHONE___________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air' Conditionin Commercial Residential Res. or Comm. Fire Sprinklers . . -- Total Value z,/ Building Permit Fee S Plan Check Fee $ . $ COMMENTS: SHEET / OF / 12/87 C,K#,-s t2 BU I L.D I N G PERMIT Permit No: CB941512 01/24/95 11:26 Project No: A9402215 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 2320415 01,24/95 0001 01 02 Permit Type: COMMERCIAL TENANT IMPROVEMENT ' C-PRMT 524..00 Parcel No: 156-302-0V9-00 Lot#: Valuation: 45,422 Construction Type: VN Occupancy Group: B-2 Refererice#: - Status: ISSUED Description: 1747 SF ,-TENANT IMPROVEMENT Applied: 11/18/94 Apr/Issue: 01/24/95 Entered By: MDP - Appl/Ownr : SILVERMAN, NORMA 714 998-6752 791 CIRCULO MIRO ANAHEIMç CA. 92807 *** Fees Required ***(/4\Fes Coi'lected & Credits Fees: 77.°"°O Adjustments: / . Ta .00 V Total Fees: / 777.00 ,Töial Ryrnents:\ 253.00 I Balanc D1iIe: 524.00 Fee description Da& Building Permit 389.00 Plan Check 253.00 Strong Motion.Fee 10.00 BUILDING TOTAL 652.00 Enter 11y1 for Plumbing Issue Fe —>tJI - 20.00 1 Each Plumbing Fixt~,, Each InstaII/RePair\WaterL\2 V/ 1 • Each Water Heater and/or/ IN$ORPORATED 1 C'-.'7i60 -7.00 1952 - * PLUMBING TOTAL' . 4 V 41.00 Enter "1" for Electric ss-e Fee >. V 10.00 1 Remodel/Alter Per AMP .25 50.00 60.00 ELECTRI~AL TOTAL Enter '1' for Mechanical Issue "e > -. 15.00 1 Install Furn/Ducts/Heat Pumps > 1 9.00 9.00 * MECHANICAL TOTAL - 24.00 V V y't NAjJ,PROVAL V NSP.-&VATE -" !CLEARANCE - CITY OF CARLSBAD V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO.(- FSr.VAL PLAN CK DEPOSfF t-S'S VALID. BY fb1j5)1' DATE From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Lass/Gain of Dwelling Units 2. PROJECT INFORMATION 9646 1.1/18/94 000.1. 01 02 C-PRMT FOR OFFICE USE ONLY 253 00 Address building pr suite No. Ic' ('-'1isof&At tarest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMI TIED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OF WORK 1 SQ. FT. / # OF STORIES I/ OF BEDROOMS # OF BATHROOMS (JJN 1ASJI 1'FJtON (ii dlitterent [rom applicant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY E4f FOR OWNER NE APPLICANT U CONWCTOR U AGENT FOR CONTRACTOR DOWNER NAME (last name first) 31L b* ADDRESS 71/ Q"O 11) iô CITY IhAJ/,n STATE (4-. ZIP CODE P'c)7 DAY TELEPHONE * 99Ii,7sT-z NAME 9st name first) /, ADDRESS CITY i" AZ,.4 C4 STATE ZIP CODE DAY TELEPHONE CDNTRACLDR NAME (last name first) (f ADDRESS 3 1 7/6 . CITY STATE ZIP CODE ';ic; 77 DAY TELEPHONj7/(4J -/ -9 7 0O STATE DC. #2 '/_3 s LICENSE CLASS - CITY BUSINESS DC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # WORKERS' CX)MPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason: o 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE) AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WN5I1{UCI1ON 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(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTIFICATION I certity that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by tv Building Official under the pr visions of this Code shall expire by limitation and become null and void if the building or work authorized by sucermit is not commenced wit 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban4&d at any time after the is ommenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE I/I DATE: 0 08/14/95 INSPECTION HISTORY LISTING FOR PERNIT# CB941512 DATE INSPECTION TYPE INSP ACT COMMENTS 03/10/95 Final Combo RI RI 03/10/95 Final Combo PK AP 03/08/95 Final Combo RI RI 03/08/95 Final Combo TP CO 03/06/95 Final Combo RI RI 03/06/95 Final Combo TP CO 03/03/95 Final Combo RI RI 03/03/95 Final Combo TP NR 03/01/95 Frame/Steel/Bolting/Wel' RI RI 03/01/95 Frame/Steel/Bolting/Wel TP AP 03/01/95 Interior Lath/Drywall TP AP 03/01/95 Rough Electric RI RI 03/01/95 Rough Electric TP AP 02/22/95 Frame/Steel/Bolting/Wel RI RI 02/22/95 Frame/Steel/Bolting/Wel TP AP 02/22/95 Interior Lath/Drywall TP AP 02/22/95 Rough/Topout RI RI 02/22/95 Rough/Topout TP AP 02/22/95 Rough Electric RI RI 02/22/95 Rough Electric TP AP 02/22/95 Rough/Ducts/Dampers TP CO 02/17/95 Frame/Steel/Bolting/Wel RI RI 02/17/95 Frame/Steel/Bolting/Wel TP AP 02/17/95 Rough Electric RI RI 02/17/95 Rough Electric TP AP 02/10/95 Frame/Steel/Bolting/Wel RI RI 02/10/95 Frame/Steel/Bolting/Wel PK PA 02/10/95 Rough/Topout RI RI 02/10/95 Rough/Topout PK CO 02/10/95 Rough Electric RI RI 02/10/95 Rough Electric PK PA 02/07/95 Frame/Steel/Boltiñg/We1 RI RI 02/07/95 Frame/Steel/Bolting/Wel TP P1 MW/JIM/434-8696 MW 1 HR DOOR ASMB @ 1 HR CORR MW SEE JOB CARD MW/434-1205 MW/434-1205 WALLS HIGH WALLS @ CORRIDOR MW/434-1205 WALLS MW RESTROOM ENT. SOFFIT-CORR. MW REMOVE T & P TRAP @ VENT MW WALL RESTROOM ND FAN EXH. DUCT RS/434-1205 STORE FRONT ONLY RS/434-1205 STORE FRONT ONLY BJN/ CORRIDOR ONLY BJN/ NOT PER PLAN BJN/ CORRIDOR ONLY MW CONFERENCE HIT <RETURN> TO CONTINUE... ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE: January 20, 1995 JURISDICTIO JURISDICTION: Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 94-1512 SET: III PROJECT ADDRESS: 2525 El Camino Real, Suite 232 PROJECT NAME: T. I. for General Nutrition Centers The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: REMARKS: By: Abe Doliente Esgil Corporation E] GA F1 CM PC ) Telephone #: Enclosures: 1/12/95 trnsmtl.dot Carlsbad 94-1512 11/23/94 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 94-1512 PREPARED BY Abe Doliente DATE 11/23/94 BUILDING ADDRESS: 2525 El Camino Real, Suite 232 'BUILDING OCCUPANCY: B-2 Suite 232 ' TYPE OF CONSTRUCTION; V-N BUILDING PORTION •BUILDING AREA VALUATION VALUE (sq. ft.) . MULTIPLIER ($) Tenant Improvement 1747 SF 26.00 45,422 Air Conditioning Fire Sprinklers • TOTAL VALUE ' 45,422 Building Permit Fee: $ 388.50 Plan Check Fee: ' ' ' $ 252,53 Comments: • Sheet lof 1 valuefee.dot