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Home My WebLink About2525 EL CAMINO REAL; 234; STE 234 PRE 2016; PermitCITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 N - O. JOB ADDRESS AV. ST. &4 7 4?Jfr' RD bDATE OF APPLICATION es. LICENSE PERMIT NUMBER 6X, I -OWNER - OWNER'S PHONE 1* .. PRIME CONTRACTOR STATE LICENSE OWNER'S MAILING ADDRESS TRACTOR'S ADDRESS 44'y' (rX,cv ,CONTRACTOR'S PHONE //'' 2/01/801373 3t00 - oco 1-1373 101 /'eo 131 • '. Not Va/id Unless Machine Certified -LdT f BLOcK . SUBDIVISION - j. ASSESSOR'S PARCEL NO, IllIllil I I l --.''1"" DESIGNER . At/ STATE LICENSE DESCRIPTION -OF WORK ,' DESIGNER'S ADDRESS ' DESIGNER'S PHONE CENSUS TRACT I GP LAND USE - zoNiNy' - RES. UNITS PARKING SPACE sf NUMBER OF STORIES BLDG SQ. FT. BLDG USE 0CC. GP I STANDARD PLAN S I PLAN I 0 5 I TYPE CONST OCC. LOAD I 6-'- - VALUATION: OVER 100,000 BTU QT. PLUMBING PERMIT - AMT. QTY. MECHANICAL PERMIT AMT. - EACtPWZURE TRA , INSTALL FURN. DUCTS UP.TO 100.000 BTU EACH BUILD'SEWER . EACH WATER HEAS8AND/OR VENT , BOILER/COMPRESSOR UPTO 3 HP - EACH GAS SYSTEM 1 TO1'9QTLETS . BOILER/COMPRESSOR 3.15 HP . EACH GAS SYSTEMS OR . BOILER/COMPRESSOR 16.30 HP EACH INSTAL, ALTER, REPAIR WATER , VENT FAN SINGLE DUCT ____________ EACH LAWN SPRINKLER SYSTEM N , - - ' MECH EXHAUST - HOOD/DUCTS . WATER SOFTNER . , - RELOCATION OF EA FURNACE/HEATER " . BUILDING PERMIT - il/2'i.0 — Issue 3'.00 — Issue . - 3.00 SIGN PERMIT TOTAL PLUMBING - -- CONTRACTOR . TOTAL MECHANICAL 7i'-rj CONTRACTOIk- PLAN CHEC(''2,gr fl"' sy - I'G2ac. _r" ALL INCLUSIVE PERMIT CITY. ELECTRICAL PERMIT AMT. ' ciTY. 'I.Q , LE HOME PERMIT AMT. . - TOTAL PLUMBING - - ELECTRICAL Veo NEW CONST EA AMP/SWT/BKR , — AWNING N. MECHANICAL - I 1 PH ,25 3 PH - PORCH 'N. ,' '- MOBILE HOME EXIST BLDG EA AMP/SWT/BKR . - , SET-UP , SOLAR -- I I I 1 PH .25 3 PH , RAMADA, CABANA REMODEL/ALTER PER CIRCUIT ,, J FENCE OVER 6' TEMP POLE 200 AMPS . . TOTAL MOBILE HOME , MICO-FILM I ' I - (6"010 OVER 200 AMPS — ______________________ — TEMP OCCUPANCY (30 DAYS) ______________________ _______ ______________________ I • I I I - - Issue _______ 2.,00_ TOTAL ELECTRICAL - - -. - TOTAL FEES PAYABLE CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED:TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS 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. - - AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ' SCHOOL FEES: 5'-O" DEEP AND DEMOLITION OR CONSTRUCTION OF - STRUCTU ES OVER OR APP~WGN TUR OWNERD AGENT, BY PHONED I - DATE LlCNED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractors License Law for the following reason (Sec. 7031 .5,Buslness and Professions Code), Any city or county which requires a permit to con• struct, alter,, improve, demolish, or repair any structure, prior to its issuance also requires the -applicant for such permit to file a signed state- ment that he i& licensed pursuant to the provi• sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is es• empt therefrom and the basis for the alleged ex. emptlon. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Di, as owner of the, properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. if, however, the building or Improve- ment is sold within one year of complelion, the owner-builder will have the burden of proving that he did not build or Improve for-the purpose of sale). DI,as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property .ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, B. & P.C. foi this reason it _________________________________ Date WO ERS' 0 A ON DECLARATION I hereby alfir hat I have a certificate of con- sent to self-insu , or a certificate of Workers' Compensation In urance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. COMPANY OCopy Is filed with the city. OCertified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WIRKERS' COMPENSATION INSURANCE X(1is section need not be completed If the per• mit i for one hundred dollars ($100) or less). I certify that In the performance of the work for whk 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. NOTICE TO APPLICANT: If, after making this Car' tiflcate 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. CONSTRUCTION LENDING AGENCY. I hereby affirm that there Is a Construction len- ding agency for the performance of the work for APPLICANT TO FILL IN -INFOR- MATION WITHIN RED LINES. 8P TL • • • - . • 0 • 0 • SITE 0 ADDRESS: - - - OWNER: 0 PERMIT NO: DV FIELD INSPECTION RECORD 0 0 INSPECTION DATE INSPECTOR INSPECTORSNOTES WOOD FLOOR 000 0 0 0 FOUNDATION. FORMS.SETBACK•TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET 0 OK TO POUR CONCRETE FRAME 0 -. ROUGH ELECTRICAL - - - ROUGH PLUMBING ROUGH HEATING/VENTILATING - FRAME OK.PLACE INSULATION 0 - • INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE EXTERIOR LATH OK. PLACE STUCCO - FIREPLACE 0 - DAMPER &STEEL • 0 - - _- PLATE TIES/HEIGHT OF CHIMNEY OTHER -. TEMP POWER (POLE) - SEWER - - GAS TEST - - - - SWIM POOL • STEEL BONDING PRE DECK ..FENCE PREPLASTER - - - SHOWN- • FRAME PAN FINAL INSP.BY SLOG DEPT OTHER DEPT'S DEPT'S REQ COMPLETED • ELEC-METER--PERM-TEMP GASMETER-PERM-TEMF - 0 ______________________________________________________________________ 0•• CERT OF OCCUPANCY ISSUED •0 - USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. t hereby affirm. that am, ) [can sod. under J., O rI.",PFO5l0fl8 of'Chapter9 (commencing with I Section 7000) of,Dlvls(on 3 of the.Buslness prand Professions Code, and my license Is in full force,and.effect. Class - L Lc ' lI.hereby affirm that I ass exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 I ,Business and Professions Code: Any city or county which re-quires a. permit to construct, after, improve., demolish, or - repair any structure, prior to its issuance also requires the up- I plicanl for such permit to file a signed statement that he is - licensed pursuant .to 'thu previsions of Ihe' Contractor's - - License Law (Chapter 9-commencing with Section 7000 of I Division 301 the Basinods 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-' I lects the applicant tea Civil penalty of not more than five lIon- fred dollars ($500), IK 0 I. as owner of the property, or my employees with wages as their sole -compensation, will do the'work,'and the struc- ture is *not intended or offered for sale (Sec. 7044. Business I and Professions Code: The Contractor's License Law does 5 'nut apply to, an owner of 'property who builds or improves - m thereon aodwho does such work himself or through his own employees, provided that such impruvements are not intend- IQ ,J ed or offered for sale.' If, howover, the building or improve- ''r -. Z • -went is sold within one year of completion, the owner-builder Will have the burden of proving that he-did out build or im- I O ,_ prove for the purpose of safe)., -. ..' ,,.,,'.,,, , ... 0 I. as owner of the property, am exclusively contracting -with licensed contractors to construct the project (Sec. 7044, ' rBusiOe55 and Professions Code: The Contractor's License - Law does not apply to an owner of property who builds or im, I - . proves 'thereon, and who contracts for each projects with a contractor(o) license pursuant to the Contractor's License Z. - ' Law). .,,.. u.rfj As a horneoweer flaw improving my home, and the follow- ing conditions exist: -. 1,• The work is being performed prior In sale, - 2.-.-. I have lived in my home for twelve months, 1 - . prior to cumpletioo'of this -work,, ' W 3. I have not claimed this exemption during,th,e_ - . last three years, -0 lamenempt under Sec. ----- -. B& P.C. - for this reason - V. - 0 I hereby affirm that I have a certificate Of Consent I to' self-osure, or a Certificate of Workers' Compensation Insurance, or 'a certfed copy thereof - Sec. 3800. Labor Code). - POLICY NO.' ' '! COMPANY 0 Copy is fled with the Crty Cr r+ I Z '. •-.r ' LU 0 'Certrfed,cop .s hereb'fu,nshed .. CERTIFICATe OF EXEMPTION FROM .. WORKERS COMPENSATION INSURANCE - I - cc (This section need not be completed 1 roe pernsl LU s for one hundred dollars l$tl Or less) cc '0 I cerify that in the performance of the work for which this permit is issued. -I shall not employ any 39 4 person in any manner so as to become subject 10 he-Workers' Corrrpensatov Laws of California , " NOTICETO APPLICANT If. afIer'rakv3 thS Certr'• - cafe of Exemption. you should become subject to I the Workers' Compensatonprovsovsof the Labor Code, :you must forthwth 'ompiy wth sich provisions -- or this permit shall Ow deemed revoked I - - ' ' - •-.-v '' '' ' L. '.1' - , I tx/ 2r'b I CC I--- '''' -• —i—' -_ - I.. O.f'ereb' 'alfrm',.that-tlrere is 'a construction . - .lending agency for the performance of then, for, ,whcrr this termr s ssued ISec 3097, C,vI Codel I Leflde'Name' - - ' I Ler'5 e.00r 55 "'-------' CARLSBADBUtLDING DEPARTMENT - APPLICATION& I PERMIT" 1200 Elm, Carlsbad, Californ' 92008.1989 (619)-b38-5525, JOB ADDRESS * , AV. ST. RD. EAREST CROSS ST. OF AP LICA DATE TION -zç-2 £r7 BUSINESS LICENSE # VA ATION PERMIT NUMBER k'j ip -39' ZONE LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR PHONE C ,CONTRACTORS I 2IS -0:9, OWNER'S NAME OWNER'S PHONE PLAN ID. # ' BLDG USE CODE 9 1? Q CONTRACTOR'S ADDRSS LICENSE NO. to, - OWNER' STANDARD PLAN # BUILDING SO. FOOTAGE DESIGNER & LICENSE It DESCRIPTIONOFWORK DESIGNER'S A RESS DESIGNER'S PHONE -- F/_P FLRELEV, NO OCCGP EDU UCQ)4 STORIES - -'vD -r' 64 751 , OP LAND USE., PARKING SPACE RES UNITS GRADING PERMIT-ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR ,,.CENSUS TRACT7."J ,AREA ' --: ' - CONST- - '. - - - 0 0 N 0 _'Y O NO _, '' 0N)J Not Valid Unless Mac/tine Certified — QTY. - PLUMBING PERMIT- ISSUE4' if QTY. - - ' MECHANICAL PERMIT -ISSUE 3_-- - . SUMMARY/ACCOUNT NUMBER • EACi1_FIXTRETRAP'' _°' _- INSTALLFURN_DUCTS_riPTO100_000BTU 4..-_..- BUILDING PERMIT 01-00-00-8220 __- EACHBUILDINGSEWER ,-. ___OVER 100,000 BTU _. ,,, - , , _SIGN FERMI 01-00-00.8221-- --- -- - EACH WATER HEATERAND/OR,bT I . - ..., BOILER/COMPRESSORUPTO3HP ., , PLANCHEC_4,/L.O1-00-00-8806 EACH GAS SYSTEM 1TO4LETS-' _"( BOILER/COMPRESSOR315HP -' TOTALPLU_DING 01-00-00-8222 - - - EACH GAS.SYSTEM59R ORE- ._ -- METALFIREPLACE - -.. ._ - _-., , -ELECTRICAL __01-00-00-8223 --•.-'--.----' - EACH INSTAL,.AE REPAIR WATER PIPE . VENT FAN SINGLE OUCT , - MECHANICAL 01-00-00-8224 ' EACH VACUJ$(REAI(ER -C -- ' 'MECH EXHAUST - HOOD/DUCTS '-- ''- -MOBILEHOME -01-OO-OQ-8225 - - . - - WATER4'TNER'_- RELOCATION OFEAFURNACE/HEATER : MOBILEHOME.PARKINSP -- __-- ,-- _.•--• __• -- - Ekr 'OOF DRAIN (NSIDE) - ' SOLAR 01-00-00-8226 TOTAL MECHANICAL - - TOTALPLUMBING - ' - " - STRONGMOTION _---'80-92-33-0519 FIRE SPRINKLERS _01-00-00-8227 PUBLIC FACILITIES FEE .32-00-00-8933 QTY. ELECTRICAL PERMIT - ISSUE .. QTY. SOLAR - ISSUE BRIDGE FEE — - - - — NEW CONSTEAA'MP/SWT!BKR . COLLECTORS ' - SCHOOLFEE -DISTRICT - I PH 3 PH - -' _. STORAGE TANKS ' ' - -. Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWTIBKR - " . - '' ROCK STORAGE - -' - - - -Encinilas -'-80-92-22-0519 -- I,PH '-.3PH ''-- --. PUMP .' - San Oieguilo 80-92-23-0519 REMOOEL.'ALTER PER CIRCUIT -.. PLAN CHECK FEE - . - ' SanMarcos 80-92-24-0519 -- -- TEMP:POLE200'AMPS-'.'?-- _.'_ ".-' , .''— ---. ---.,-. __- ______-•- --'- .- - — OVER200_AMPSC -- _-''- - '_ - ' , . LICENSETAX01-00-00-8162 • -TEMPOCCU PANIC Y(30 DAYS) ',-"' CREDIT DEPOSIT - _TOTALELECTRICAL O___'•— TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued by the Building Official under the provisions of this * AN OSHA PERMIT 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 such permit is not commenced within 180 days from the date of such 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by such permit is suspended or STRUCTURES ISSUED: COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON OVER 3 STORIES IN HEIGHT -TO abandonedat _ time after the work us commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICAN NATURE 4 O(J4ERD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE of180 days. ' -----PP VIED BY CONTRACTOR 0 .. TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF 0 SHEAR FRAME z4('k1P /7( c/d EXTERIOR LATH I INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO DIPUCO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND LJUFFER ROUGH ELECTRIC /p/(O uswf ELECTRIC SERVICE 0 TEMPORARY BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPII4G HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS AROVE HAVLc BEEN APPROVED. I It FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SF'CIAL CONDITIONS - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REO. IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIORTO 'OUNDATION INSP • OVER 2000 PSI TRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH - BOLTS SPECIAL MASONRY - PILES CAISSONS \ - r - ..'-' ,- - /- .- -- .-' - ' • I- - ,,i . -. - . B U I L D ING PERM I' T Permit No: CB970830 05/08/97.16:53 . ' Project'No A9701086 'Page. 1 of 1 . . DeveI'oment No: Job.Address: 2525 EL CANINOREAL .. . Suite: 234 ' . Permit Type: COMMERCIAL TENANT IMPROVEMENT * '4802 05/08/91 0001 .01 02 Parcel Nb: 156-3.02-09-00 Lot#:,. .. c-pii 33900 V aluation: - 13,320. -' Construc.tionType:. NEW OccuancyGrpup:' .' .' Reference#: . Status: ISSUED Desçriptidn: CTi 370SF, ELECTRICAL,KIT. •. Applied 04/10/97 * : EQUIPMENT , . Apr/Issue: 05/08/97 Entered By.: JM Appl/Ownr : ALL PHASE ELECTRIC . 29 957-5781 4203 CURLEW STREET . . . STOCKTON, .CA 95219 *** e,;Fe6s Required . Collected:& Credits Building Permit .1 ' 15300 Plai Check I ' ..-99.00 Strong Motibn F BUILDING TOTAL; .,Enter "Y" for Plum ng-115s eFey/_ 255 00 20,00 Y Each Plumbihg Fixtu e or T > j 7.00 . 42.00 Each. Intall/.Repair Water it ' 700 7.00 * .PLUMBINGTOTAL . . 69.00 Enter "Y- for Electrc Issue e > , = 0.00 I Rmôde•l/Alter Per AMP )NCORPORATED 20 .2 50.00. * ELECTRICAL TOTAL ' 1952 . 6o,oh Enter 'I' for Mechanica \ . 15.09Y Install Furri/Ducts/Heat- . 0 9,00 9.00 4 Each'ExtiastFan . U)j- 0 6.50 . 6.50 -* MECHANICAL TOTAL . -... •.. 31.90, I - - ' -: -d •- :- :.-- - : :- -- • - . - -' ._ cçi FRAL APPROVAL t1 ICLEARANCE 1 4 CITY OF CARLSBAD .. . • . - 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438-1161 - - -r. • : - • •• .. N PERMIT APPLICATION ,. -'r-•--'.-: CITY OFCARLSBADBLJILDING 'DEPARTMENT - , 2075 Las PaIrràs DI., CarIbad CA' 9'OO9 ' ' •'- (760) 438-1161 4 , i'-'- 1 JECTrINFORMTlO1I -' / Ij,_,.- i. •-. _- -c.. FOR. OFFICE USE ONLY PLAN -CHECK NO. _7O8o EST VAL 2I ' Plan Ck Deposit " 7tiY) Validate&By_________________________ Date Øfl7 Address (includeBIdg/Suite #) . .. ... ...,. . Busi.ness"Name(atthis W12 "000i' U SPA c6 2i L PLy21 - 00 Legal Description , Lot No. Subdivision ame/Number- ----'---- UnitNo. Phase No. -Total -# of units- - Assessor's Parcel # , Existing Use , Proposed Us'e' Description of Work-. '-''---'- - - SQ. FT. -#of Stories - -'-' -# of Bedrooms - -#-of Bathroorna- 1Ti-&A E r FLaOS cg:. "3645--)r Name - Address - : Cry S.tateIZ 1 p .elepone# 5. TOR'sCOPANYNAM -- (Sec 7031.5 Business and Professions Code Any City or County which requires a, permit to construct alter,,improve demolish or rep aa..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 lChapter.9, commending. with. Section 7000 of Division .3 of the Büsiness,and Professions Codel or that heis xempt threfr'om, -and tI&.bai'sfor thalleed,,., exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). L Phl& LC?1 't3 Ci -- Name Address - ' . - - City ' l45'Iqq StatelZip . /eleppe-# State License # Li L4 License Class I ' CitV'Business License # Designer otC Address-, 24(. City..'OC4" State/Zip Telephone ;- State License #1- cIS' 1 rWORKERSCQMPSATON - - - - -Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .1 have and-will maintain a.certificate ofconent to self-insure for workers' cómpens'ationas provided-by Section-3700-of the Labor Code, for the performance .of the work for which this permit is issued. - 0 - I have-and will-maintain workers' compensation, as required by Section 3700 of the Labor Code,-for the performance of the-work for whichthispermit is issued. My worker's compensation insurance carrier and policy number are: ,- • ,.- -- - ,-- ' ,. .--.. " - Insurance Company' Policy No. - - Expiration Date , (THIS SECTION 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 riot employany person in any manner so as to become subject to the Workers' Compensation Laws of California. - WARNING: - Failüre'to secure workers' conipensation coverage is unlawful, and shall subjecren employer to criminal- penalties and civil fines' up-to one hundred thousand dollars ($100,000), in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney a fees - -* - ' - '- -fl--4' , - - - 7- - * '.:.--.. . .-. , , - . - SIGNATURE - DATE - - - - I _______1LDEEci11ONV'7-"5'5 '5 — 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 compgrisation, will do the work and the structure is not intended or 'offered for sale" , (Sec. 7044, Business and-Professions Code: The Contractor's License Lai does not apply to an 'owner of property who builds or i'mproves tl ereon 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, buildingror 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 puos'e 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 thireason: - - -- - , -51, 1.I personally plan to provide the major labor and materials for construction,of the proposed 1.property improvement. ONO 2 I (have I have not) signed a, applicaTon 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 /ontra'r.'to'rs licens-riumber):' - '4' Iplan toioide p-'ortionrofthe wrk, bu"l have hired the following pers6n to codrdinte,'supervise an'd provide'the major wó'r (inclijde ne I addres'I phone number I 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,/ address /-phone number /:type,, ofwork)- PROPERTY OWNER SIGNATURE - ___________-- _____-- ____________- - __-- __, DATE. __.___.-- _- ____- - ,. ,-. •., - THISr ECTION FOR NON RESIDENTIAfrBUI PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or riskmanagemet and prevention '. --program under Sections -25505; 25533 or 25534-of the Presley-Tanner Hazardous Substance Account Act? - 0' YES '""& NO Is the applicant or future building ocupant required to obtain a permit from the air pollution control district o air quality m 'nagement district? 0 YES 0 NO ls the fa'oility to bi constructed ,vithin 1,000 feet of the outer boundary,of a school site?, 0 ,YES '0. NO- '.. -- -,. - J. IF ANY 9F THE ANSWERS AREVES,A FINAL CERTIFICATE OF OCCUPANCY MAV.NOT'BE ISSUED-UNLESS THE ApPLICANrHAS,METOR1S MEETJ1G THE - REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. l8-_CONSTRUc11ONLENDINGAGENCYT 'I hereby affirm-that there,is a construction lending agency for the performance f th work for whicli tb., permit is 'sued (Seo. 307) Cvi Codé)- - -' LENDER'S NAME ' - - - , - - -. - LENDER'S ADDRES S t9rAPPucANTLcERTwI,cATIoN - - _____ --I certify that4( h.ve read the applicaiión'and'state that the'ab'ove information u. correct and that the infóriiafioñ 6ntie plans i aEcir'atel agree to comply'with all - City ordinances and StateIaws relating to building construction. 1 herebV authaize rékrèe'entatiies of theCit, of.;Carlsbàdfto enter upon -the above mentioned , (property for - inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND - INCONSEQUENCE HARMLESS THE CITY OF CARLSBAD- AGAINST-ALL LIABILITIES, - - JUDMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST'SAID CITY CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ----- - - - - ,_f' - - ,,'t-.' - --- - . -0 •, -- - - OSHA: An OSHA permit is required for excavations over 5'O" deep'and demolition orconstructionof structures over 3 stories in height. - - - - - - - - - - -- - ' - -- i-- EXPIRATION: Every permit issued by the Building-Official-under the provisions of-this Code shall expire by'-limitation-and become null and void if, thebuilding'or -' work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedat'any time after the work'is domme,nced for a period of'180'days (Section 106:4.4 Uniform BuildingCode). - - -------------' , - -- - APPLICANTS SIGNATURE 4'IK L1b&fii.r~2..) DATE _____________________ WHITE: File YELLOW: AppHht -- PINKS FiRarie - - - - ' ------- - -- - - - - 0 City of Carlsbad Building Department DATE: 02/27/98 PLAN CHECK EXPIRATION PC# CB970830 DATE: 04/10/98 TO: ALL PHASE ELECTRIC ADDRESS: 2,525 EL CANINO. REAL #234 4203 CURLEW STREET STOCKTON, CA 95219 You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant - or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT.. I PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161 extension 4331.. RAENETTE ABBEY Building Department - - - 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 03/05/98 - DATE 06/13/97 06/13/97 06/12/97 06/06/97 06/06/97 06/06/97 06/06/97 06/06/97 06/06/97 05/2 1/97 05/2 1/97 05/16/97 05/16/97 05/16/97 05/16/97 05/16/97 05/16/97 05/16/97 05/16/97 05/15/97 05/15/97 05/14/97 05/14/97 Final Combo RI RI Final Combo TP NR Final Combo TP CO Frame/Steel/Bolting/Wel TP AP Sewer/Water Service RI RI Sewer/Water Service TP AP Rough Electric TP AP Rough/Ducts/Dampers TP AP Final Combo RI. RI Interior Lath/Drywall RI RI Interior Lath/Drywall TP AP Frame/Steel/Bolting/Wel TP AP Interior Lath/Drywall RI RI Interior Lath/Drywall TP P1 Rough/Topout TP AP Roügh/Topout TP CO Rough Electric TP AP Rough/Ducts/Dampers TP CO Rough Combo RI RI Rough Combo RI RI .Rough Combo TP . P1 Rough Combo RI RI Rough Combo TP CA INSPECTION HISTORY LISTING FOR PERMIT# CB970830 INSPECTION TYPE INSP ACT COMMENTS R/PETER/209-520-9844 CO NOT COMPLETE SEE JOB CARD T-BAR CElL KIT AREA R/PETER/209-520-9844 WASTE TIE-IN TO BLDG LINE CElL LITES KIT AREA DUCTS KIT AREA .R/PETER/209-520-9844 R/720-1843 FIRE CAULK FIR PLNT RS/NAHEEM/720-1843 ND DRAIN INSP 1ST FIR REMOVE TRAP @ VENT FOR W/H T+P WALLS . NOT PER PLAN RS/NAHEEM/720-1843 RS/PETER/209-520-9844 ? INSP TYPE RS/PETER/209-520-9844 HIT <RETtJRN>TO CONTINUE... U I L D I N G P 'E 'R M I T Permit No: CB970831 04/10/97 09:53 ' - Project No:. A9701087 Page. 1 of I Development 'No: Job Addres's'..: 2525 EL CAMINO REAL Suite: 234 Permit Type: MISCELLANEOUS 415 04/10/970001 01 02 Parcel No: 156-302-09-00 Lot#: C-PRMT 30.00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: : Status: ISSUED Description: DEMOLITION ONLY-NO NEW CONSTB- Applied: 04/10/97 UCTION - 'Apr/Issue: 04/10/97 Entered Byi JM; Appl/Ownr : ALL PHASES ELECTRIC ' 209 957-5781 4203 CURLEW STREET STOCKTON, CA 95219 *** Fees Required ** Collected & Credits Fees: 30.00 - Adjustments: • it .00 3000 oaQy: : 00 B a : 30: 00 Fee description u i Ex fee Data ---- - ------------• Miscellaneous Fee #1 > 0.00 30'.00 PERMIT FEE *,MISCELLANEOUS TOTh 30:00 INCORPORATED 1952 .• . FINAAPPROVAL INSP74" DATE4(L CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - S. • - S PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr.-, Carlsbad CA 92009 (619)438-1161 Address (include Bldg/Suite #) - FOR OFFICE USE ONLY PLAN CHECK. No. c7OS33 ( EST. VAL. Plan Ck. Deposit . Validated By Date__________________________ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total .# of units Assessor's Parcel # Existing Use Proposed Use Description of work , SQ. FT. 3'1 #of Stories # of Bedrooms - # of Bathrooms Name Address City State/Zip Telephone # fft6L) LLôt fIc ( iô-- 2aô Name Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repai r a n y s t r u c t u r e , p r i o r t o i t s issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac t o r ' s L i c e n s e L a w (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefro m , a n d t h e b a s i s f o r t h e a l l e g e d 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 hun d r e d d o l l a r s ( $ 5 0 0 1 ) . IN r - - .. if, - - - - - - - A Name Address City State/Zip - Telephone # State License # 'l"t,Cn,3 License Class F) City Business License # '2 Pit lc Pbr_ Designer Name b(t.I Address 2.4(, € f'Fi Citylfccclu State/Zip Telephone State License # 0 CJ. S)o2..,am -,I 5r) '-'S'i WORXERSC0MPEN$AT1ONa. A, , 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 C o d e , f o r t h e p e r f o r m a n c e 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 t h i s p e r m i t i s issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOU.ARSI$1001 OR LESS) CI 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 a n y m a n n e r s o a s to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure-workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines u p t o o n e h u n d r e d thousand dollars (8 100.000). in addition to the cost of compensation, damages as provided for In Section 3706 of the Labqr code, I n t e r e s t a n d a t t o r n e y ' s t a l e . SIGNATURE - DATE OWNER BUILDER DECLARATION r I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intende d o r o f f e r e d f o r s a l e (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or-improves thereon; a n d w h o d o e s such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the buildi n g o r i m p r o v e m e n t i s 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 o f s a l e ) . I, as-owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prof e s s i o n s C o d e : T h e Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contr a c t o r ( s ) l i c e n s e d pursuant to the Contractor's License Law). - - 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 ONO 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 / contractor s l i c e n s e n u m b e r ) : I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (incl u d e n a m e / a d d r e s s / p h o n e 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 n u m b e r / t y p e of work): PROPERTY OWNER SIGNATURE DATE ____ . - Is tha applicant or future buiidir.g occupant iequareJ 'to submit a business pian, acutely hazardous materials registration form or risk ma n a g e m e n t a n d p r e v e n t i o n 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 I S M E E T I N G T H E REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8 cONSTRUCTION LENDING AGENCY rt' 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 C o d e ) . LENDER'S NAME LENDER'S ADDRESS___________________________________________________________ 9 APPUCANT CERTIFICATION AT 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 a g r e e t o c o m p l y w i t h a l l City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the a b o v e m e n t i o n e d property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG A I N S T A L L L I A B I L I T I E S , JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THI S P E R M I T . OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction' of structures over 3 stories in heig h t . EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null a n d v o i d i f t h e b u i l d i n g o r work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit i s s u s p e n d e d or abandoned at any time after the work is commenced fore period of 180 days (Section 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATURE A - DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad 12/28/1999 Commercial/industrial Permit Permit No: CB994342 Building Inspection Request Line (760) 438-3101 ft. Job Address: 2525 EL CAMINO REAL CBAD St: 234 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Valuation: $93,800.00 Construction Type: NEW Occupancy Group: Reference #: Project Title: RADIO SHACK TI- 3350 SF Applicant: Owner: DURNAN, EMMIT 2525 EL CAM INO REAL CARLSBAD, CA 92008 760-729-7927 4! 'C/OW Status: ISSUED Applied: 11/19/1999 Entered By: GMF Plan Approved: 12/28/1999 1ssue7520 12 Z99901 01 02 Inspect Area: C-PRMT 729.75 INO REAL IEbDORP INC Total Fees: $1;126.53 Bal Due: $729.75 Building Permit AddI Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Red. Water Con. Fee czDi 9 I $595. I $o. $3864 WOO' .PtU MNG-TOTAL $0.00 EIICTRICAL TOTAL $0.00 MECHANICAL TOTAL Master Drainage Fee: $0.00 Sewer Fee: $0.00 . Redev Parking Fee: TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.00 $60.00 $24.00 $0.00 $0.00 $0.00 $1,126.53 F CFD Fund) e Tax' c: Fee FINAL APPROVAL Inspector>/ Date: _____________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICEZUSE.ONLY...:. U. •'' .- ., - PERMIT APPLICATION . . .. % •-tr '. ., PLAN CHECK-NO.-43#i CITY OF CARL BUIL'DING DEPARTMENT EST 1VAL1 I'2r 2075 L's PaImas Dr, CarIsbd CA 92009 Plan Ck Deposit (760) 438-1161 '. ,: -,. . , - Validated By_______________________ Date ROcJJR1IW 71 * - Address (include Bldg/Suite #) , Business Name (at,this addres). , 'f.,." -................. -AVio 44A Legal Description '- -' - Lot No. - Subdivision Name/Nuniber ' - Unit No. Phase No. Total #of units h,': • . e.Q44L_ '' ' "" Assessor's Parcel # Existing Use proposed_Use 'I Description of Work .- . .. - SQ. FT. - #of Stories ' # of Bedrooms '# of Bathrooms' Narn - •.. . .--'- Address " City Sr it Zip Telephone # Fax # APPUCJT ontra&orQ J73I 4147B57 /A,J Opw&*- _• _Oo5 ____•_?%A-Y( Name Address , - 'City St it' Zi p Telephone '! ROPERTWiR -M M tT jpj4 2'2s .Lo. -&4- 0 '1Zoo - 1 - '7 Z7' Name Adctre- . t state Zip T phor '(Sec. 7031.5 Business and Professions Code: Any, City,or County which requireè a permit to construct, alter, improve, demolish or iepair ant' structure, prior to it 4 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) orthai'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 l$50011. - 41Dy. / _77iJ, ____iiuc-3 28 '1 57h__.W-5&'97 Name . , , . ,', ' Address * - - .... City' ', '- State/Zip * - Telephone # . 'I State Licese # 3-7_706_'- - Liàense Class - '" City Busine'ss Licnse' Designer Name, Address ,- , ,. . , . -, ' City .'- ,- State/Zip--l-', Telephone I * State License # IQ PiiSATIPi4 , Workers Compensation Declaration I hereby at tim under penalty of perjury one of the following declarations - have and will maintain a certificate of conselit to self-inure for workers' compensation as provided-by-Section 3700'of'the Labor Code; for theperform'ance of the work for which this permit is issued. have and-will maintain, workers'-compensation; as required-by Section 3700 of the'Labor'Code; for the-performance of thE,ork'fór ivhi6h this- permit is issued. My worker's compensation insurance carrier and policy number are: iurnce Company LE/Lh'fL.) Policy No &1LZaO9-_~' Expiration Date_____________ '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)........................ 0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ4any person in any, manner so as,, 'becomesubject to the Workers' Compensation Laws of California. WARNING: -- Failure- to secure workers' compensation coverage is -unlawful.'and shalt r 'to subject an employe ciiminál pehaltiès arid 'civil fin's up to one ,thousand dollars 1$ 1 00,OORDA additlo cost compensation, damages, asprovided for in Section 3706 of the Làborodé, ipter est and atto'rney's fees. -. - - - IGNATURE - - , - - 'DATE - C7.0 " -' I hereby affirm that I am exempt rom the Contractor's License Law for the following reason: 0 I as owner of the property or my employees with wages s jileir sole compPnsation will do the work and the structure is not intendrf or offered for sale (Sec. 7044, Business and Professions Code: The.ContractoJ 1 ke/sq,j4w does not apply t an owner of prop rty who- builds'or -imprves thereon; and-who does such work himself or through his own employees, provided IbM' shIlT6vements are not intended or offered for sale. If, however; the building or improvement-is' soldwithin one year of completion, the owner-builder will have-th'e burden of'proving that he didnot 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 Lw does not jly 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). -. - P. ------------,.,, - ,, - ,,,,'-., ' , - '.' :, - . .,. '_ - "- -. - - , - - - - .- 0 .1 am exempt under Section Business and Professions Code for this reason: - - , , - -• . ,'-' ,.-t -. ', I'. - - - '1. I personally plan to, provide the major labor and materials for construction of the proposed-prOperty improvement. 0 -YES DNO -r •'- ' - - ''- I. - - ' - - - - - .#- - -. - • . - - - - - - .. - 2.' I (have / have not) signed'an application for a building permit for the proposed work. - , - . , - - . • - ,3. I have, contracted, with the following person (firm) to provide -the proposed-construction (include name /-address /,phone number / contractors license -numberl: 4 '.1 plan to provide portió'hs'óf the 'drk, but I have hired the following personto ordinte, supervise and provide the major,"work (include name address/phon 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 / addrèss'/ phone nümbir'7,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 contrI district or air quality managment district?,,. 0 YES ..0 NO Is the facility to be constructed within 1,000 feet ofthe-oüter boundary of a-school site?i 0 YES. 0 NO 5 -' ' - '- :'- , - .-- ''' -. .'- •: -1 - - - - , • '',.-- - -',,,--,*- IF ANY OF THE ANSWERS ARE .VES. 'A FINAL CERTIFICATE OF OCCIJPANCY MAY NOT BE ISSUED UNLESSJHE APPLICANTiHAS MET OR ISMEETINGTHE EQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. * hereby affirm that there is a construction Iending.agency for the performance of th' a'. ik for which this permit is issued (Sec. C J7i C ,al - LENDER'S NAME LENDER'S ADD[SS - "d- 'T L - -_'_'_----------------------------.------- - - -' - '-'a" arm ,rm certify that I haiTh'read the application and state that the above irformátion is correct and that the information on the plans i accurate. I to comply with all -City- ordinances- and Stte ,Iaws relating to building' construction. - I hereby authorize reréseñtativs of the-Cit?' of 'Carlsbad to--ehterpon 'the above mentioned , property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 11AB1L11'IES. 'JUDGMENTS. COSTS 'AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEUENCE 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 pro*'isionsof this,Code shall expire by limitation añdbecthiie'hull and void' if'thè büildii'g'Or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by su it ch perm is suspended or abandoned at any time after the work" me ed-for period-of 180 days (Section 106.4.4'Uniforn'i Building Code). ' - ---------------''" - - APPLICANT S'S I'G NAT'U'R'E DAi TE - --------------- - - - • - - WHITE: ile - 'YELLOW:,ApIicant PINKi Finance City of Carlsbad Bldg Inspection Request For: 2/28/2000 Permit# CB994342 Inspector Assignment: TP Title: RADIO SHACK Description: TI - 3350 SF Type: TI Sub Type: COMM Phone: 9495819875 Job Address: 2525 EL CAMINO REAL Suite: 234 Lot 0 Location: . . Inspector: APPLICANT DURNAN, EMMIT Owner: PLAZA CAMINO REAL Remarks: Total Time: . Requested By: NA Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Associated PCRs InsDection History Date Description Act lnsp Comments 2/23/2000 89 Final combo co TP CORR NOT COMP., H-CAP COUNTER 2/18/2000 89 Final Combo CO TP ND H-CAP SALES CENTER 2116/2000 14 Frame/Steel/Bolting/Welding AP TP T-BAR CElL 2/16/2000 34 Rough Electric AP TP CElL LITES 2/16/2000 44Rough/Ducts/Dampers AP TP DUCTS 2/15/2000 14 Frame/Steel/Bolting/Welding NR TP CElL 2/11/2000 14 Frame/Steel/Bolting/Welding NR TP 2/11/2000 34 Rough Electric NR TP 2/8/2000 14 Frame/Steel/Bolting/Welding AP TP . 2/8/2000 21 Underground/Under Floor AP TP 2/8/2000 24 Rough/Topout AP TP 2/8/2000 34 Rough Electric AP TP WALLS, S.F. SOFFIT