HomeMy WebLinkAbout2525 EL CAMINO REAL; 240; STE 240 PRE 2016; PermitWHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
CK. M.O. CASH PERMIT VALIDATION PLAN CHECK VALIDATION
MODEL NO.
BUILD G PERMIT APPLIC It 999
1/79
10M UP
City of CARLSBAD, CALIFORNIA 92008
App//cant to complete numbered spaces only. Phone 72 9.1-1-8f--—=-.. Permit N 7Q - 1V61
JOB ADDS ESS
Z/D (!:"
1ASSESSOR'S I PARCEL NUMBER
LEGAL! 1 OESCR.
LOT NO aLl) TRACT
IEISEE ATTACHED SHEET)
BOOK PAGE PAR.
— - 7'7 4 • .7 7
MAIL ADDRESS ZIP
2 r s scyoz.
PHONE
- 7ô
CONTRACTOR MAIL ADDRESS PHONE C LIC. NO 61T LIC. N
.
ARCHITECT OR OESkN MAIL A ODR , • , ?.I s4ô2 4
ENS INEER MAIL'ADDRESS
5
PHONE LICENS C NO.
INS CARRIER MAIL ADDRESS ~OMPOEAN
i
'USE OF BUILDING
c Qi
BRANCH
17-6 7? t S- NO. BORMS NO. BATHS__________
8 Class of work: El NEW El ADDITION ALTERATION El REPAIR LI MOVE El REMOVE
9 Describe work:
10 Change of use from
Change of use to
I
11 Valuation of work: $ I FE $ •••• '"i. PLN CHECK PERMIT FEE $ __ C ________
SPECIAL CONDITIONS: Type of
Con St. Group
Occupancy MICRO FILM FEE
T-50
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
0cc. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Eyes ElNo CCEPTEOBV
DATE 1/7 f?
PLANS CHECKED BY
411
APP V Y OR ISSUANCE B
No. of
Dwelling Units
OFFSTREET PARKING SPACES
No. INo.
Covered Sq. Ft. I0pen
"- 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 120 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. G AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIOrF -lY OTHER TATE OR LOCAL LAW REGULATING COftTRUc1TJJN \)DHE RFORMANCE OF CONSTRJCTION.
VYc
Special Approvals - Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
I F C IRIZEOI IDAT I
SIGNATURE OF OWNER hr OWNER BUILDER) (DATE)
REQUEST F&PECTION
TIME:_________
______________ PERMIT NO. DATE:_____________ INSPECTO1________________ ________________
OWNER 0= 4Z v4d
ADDRESS____02 __
BUILDING V ELECTRICAL
El FOUNDATION \' /
El REINFORCING STEEL El TEMPORA1' SERVICE
El MASONRY
'
E] ELECTRIC UNDERGROUND
El GROUT - GUNITE El ROUGH ELECTRIC
El El FLOOR AND CEILING FRAMEPOOL BONDING
El SHEATHING
El CEILING HEAT El FRAME
El EXTERIOR LATH
El ELECTRIC SERVICE
El G.F.I.
N&LLAION OR
V FINAL
OR D7ALL 7i7F
__/ _________
—__----PCiJMBING 1 A A MISCELLANEdUs
ED-UNDERGROUND PLUMBING fj El PLENUM 9VDUC'4Ut \
El UNDERGROUND WATE El COMBUS1
,
3kJ AIR \ \1 \
El ROUGH PLU BING El PATIO
El TOP OUT P UMBING El SIGN
El SEWER AN PL/CO A 4 El GRADING
El TUBORSH WERPAN , /fr- El DRIVEWAY
El GAS TEST L7V El CONDITIONED AIR SYSTEMS
El WATER HEA ER El REFER PIPING
El FINAL m El FINAL
READY FOR INSPECTION: VONDAY \ITUESDAY DWEDNESDAY DTHURSDAY 0 FRIDAY
DA.M.1'/\
0 P.M.
SPECIAL INSTRUCTIONS
REQUESTED BY PHONE NO. 1-1112
PERSON TAKING REPORT________________
-
.. - .•I •-. ISSUANCEFEE.. $
SIGNATURE OF OWNER (IF OWNER BUILDER) -(DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLANCHECK'VALIDATION CK. M.O. CASH • PERMIT VALIDATION CK. '.
O ENS
v'a Carlsbad
. .. -
El Cino RaZ. Carl id PLAZA CAMIHO REAL
LEGAL
2 Y) LOT NO. BLN . TRACT
I DESCR. . . -
OWNER ZIP PHONE
2 eday)-ofta ntreiir 75243 (214) 349..1297 CONTRACTOR MAIL ADDRESS PHONE - STATE LIC. NO. CITY LIC. NO.
-*n Ire-, ?547 Satn St,e..729.2318 208302 15859 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE ... . LICENSE NO.
4
-
-
ENGINEER - MAIL ADDRESS PHONE ' LICENSE NO.
- . •
COMPENSATION (NS. CARRIER MAIL ADDRESS .. . . - BRANCH -
6 .. '•
ApFflflnsd tøvtwn 425 SiaatM Place Los Anet* CA
USE OF BUILDING . - . • -
7 -.. - in I
8 Class of work: I3JNEW U ADDITION U ALTERATION -U REPAIR
9 - Describe work:
.........
I
.. .
PERMIT FEES — S
JOB AD R
- No. Type of Fixture or Item . . Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) .
- BATHTUB - —
LAVATORY (WASH BASIN)
- SHOWER
KITCHEN SINK & DISP. -
DISHWASHER ..
APPLICATION A 0ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY ..• -
7 P
CLOTHES WASHER
DATE _L WATER HEATER .
NOTICE . .- URINAL
-
THIS PERMIT BECOMES.NULL AND VOID IF WORK OR CONSTRUC. DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF F OOR-SIN R DRAIN - CONSTRUCTION OR WORKIS SUSPENDED OR ABANDONED FOR A L K 0
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- SLOP SINK - -, MENCED. GAS SYSTEMS NO. OUTLETS HEREBY CERTIFY THAT I HAVE READ AND-EXAMINED THIS - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. • WATER PIPING & TREATING EQUIP. - - ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT ____________________________________ - — PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE . VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING - - — CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER - NUMBER CLEANOUTS
CESSPOOL
/ j .• I / SEPTIC TANK &PiT
ROOF DRAINS
- - 5IGNTURE OF CONTRACTOR OR—AUTHORIZED' AGENT •• 1bATE) f
T0TAL- FEES ...". $
S 7/3 /7 3 IOO tP I 00th 423 'V' 3
•I3•0O ii
PLUMBING PERMIT APPLICATION
CitY'óf ,CARLSBAD,CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. 7
M.O. .. CASH
4
-. - . - .. - ....... ..... ...•.I . -.•,_ ..
INSPECTOR
•
ELECTRICAL. PERMIJ....APPLICA1IeNQ. 00 City of CARLSBAD, CALIFORNIA 920d 3 --
Aoo/icant to comolete numbered soaces on/v. Phnn 72Q-11R1
JOB ADDRESS
z/ (' C94'0"•
LEGAL
IDESCR.
LOT NO.
(
IBILK. I I
I TRACT I I (ESEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE 2 0 ?7? 'cJ /?i/( /",iv(cm'
CONTRACTOR All MAIL ADDRESS
4ei6i( 4( //or/'C
PHONE STATE LIC. NO.
c31. 9/ <1410 3/00
CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
ENGINEER MAIL ADDRESS . PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADORE BRANCH
6
USE OF WNG
1
8 Class of work: 0 NEW 0 ADDITION EiKLTERATION 0 REPAIR
9 Describe work: -&
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
SPECIAL CONDITIONS:
_ 1'
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER APPLICATIONACcEPTA 1PLANSCHECXEDBY. JAPPROVED FOR ISSUANCE BY.
1DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
-
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF -
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A a PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM. REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
INCREASE
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 7
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 TEMP. SERVICE UP TO AND INCLUD-
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR/THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
S NATURE OF CONTRACTO/4R AUTHIZED AGENT (DATE)
ISSUANCE FEE
TOTAL FEES - . 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
,--.-- - - tt 77
MECHANICALPERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 /
Applicant to complete numbered spaces only. . Phone 7291181 - .. - . Pprrnit Nn. )fV)
JOB ADDRESS . ..,... -
- ,
LOT NO. -. - BLIF . TRACT ' ''71
(]SEE ATT.AgHjpsu,EEJ) 9/fl7/7' nrR7 IH - OWNER .- . MAIL ADDRESS ZIP PHONE
2
._.*B .
CON TRACTOR . '• MAIL ADDRESS - PHONE STATE LIC.
-1er' q-- /'4 3,77,f23
CITY LIC. NO:
'•
ARCHITECT OR.DESIGN'R . MAIL ADDRESS PHONE LICENSE NO. -,
ENGINEEA k MAIL ADDRESS
5 f •3._,__,. .
PHONE LICENSE NO.
16
LENDER .1 - - ".. MAIL ADDRESS
6
BRANCH -
USE OF
8 Class of work: EA<EW C3 'ADDITION El ALTERATION El REPAIR
9 Describe work
/
Type of Fuel: Oil El Nat. Gas El LPG. D
-- . PERMIT FEES .J.'
SPECIAL CONDITIONS: : No. , Type of Equipment - . 'Fee'
- Air Cond. Units—H.P. Ea. $
Refrigeration Units—H.P. Ea. -
- - Boilers—H.P. Ea.
• Gas Fired A.C. Units—Tonnage Ea. - -
- Forced Air Systems—B.T.U. M Ea.
APPLICAy190JAcCEPTEo8Y: IPLANSCHECKEDBY APPRPPRI~SSJA NIjE BY: Gravity Systems—B.T.U. M Ea.
FloorFurnaces—BTU M
Wall Heater—B.T.U. M
NOTICE - I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZEOAGENT
Unit Hebters—B.T.U. M
-
Coolers . J
Clothes Dryers, - -
Ventilation Fan . . T
- 0 Range 00 - -
f Air Handling Unit— -' /-'S.-'C) C.F.M. .• . —a
Incinerator
-
--
ISSUANCE FEE $
. . TOTAL FEES $ SIGNATURE or OWNER (IF OWNER BUILDER) (DATE),
WHEN PROPERLY VALIDATED (IN THIS SPA/HIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH • PERP /vALIDATIoN CK. • M.O. CASH
I
- INSPECTOR
- - -
'.:-C. B U I L D I N G P E R M'I T,. Permit No: B900456
S •* * 05/22/90 10;:1'4 Project No 'A9000551
Page 1 of. I '. , . . Development 'No:.
Job Address: 2525 EL CAMINO REAL . Str: Fl:. "Ste:
Permit Type: COMMERCIAL TENANT IMPROVEMENT 5631 05/22/90 0001-0.1 02
,Paxce1 No: 156-302-09-00 ' ' ..• . C-PRIIT. -'190700
Valuation: 37,692
Construction Type: NEW . .
Occupancy Group: B-2. Class Code: 11-N - - Stat'us:'ISSUED
' Description: STE #240 J. BURTON 'JEWELERS - • . Applied • : 03/20/90
Apri/Issue - • 05/22/90
Validated By: DC
4 . . . . . : OWNER ' -: CRESCENT JEWELERS ' Lic. . . 415- 336-2810
.315 11TH STREET S . . .
'OAKLAND, CA 94612 ,';::: ,,• '. Fees Required ***/ '-k**(( /iFee'?\Co11ected & Credits
,
Feè: 2,030.00 \, . . . -• ,Adjustments: . / -..00 Total Credits; \ ..O0 "
Totaf.Fes: 203000 / j, Tota'-1 Pat: \ 223.00
\' 1,807:0O
'Fee description I / Units-7\F7Unit Ext fee .Data ------------------------ 1 r-.. I - r.-' 't .,' t . -
Building Permit ' I • 337.0O
Plan Check. . . 219.00
* Strong Motion Fee c 1'Y1 IT1 . 1 6.op
-Entér'Y' toAutocalc License Tax > 1111 1 1319:00 Y
* BUILDING TOTAL 9! / 1881.00
Enter ".Y" for Plumbing Issue Feef'> / . / - 7.50Y
Each. Plumbing Fixture or Trap, ' > 3.00 2.50 '. 7.50
PLUMBING TOTAL
Enter "~`,-for Electric stru~<Fee sS /.. .•5.00 Y
Three Phase. Per AMP \ (_/// > 20010\) /.50 1,00.00
*'ELECTRICAL TOTAL ($10 MiQimu3)flf \0\ , - .. . 105.00
Enter "V for Mechanical Issue Fee) .-' , . 15.00. Y
.Install Furn/Ducts .-- > i,..00 -, 9.00 - 9.00
,Each.Install/Reloc Appliance Vent > 1.00 4.5,0 - 4.50
* MECHANICAL TOTAL , , . . . . 29.00:
-. S • $- . •5,'• .
5 . -S
4 -
S S -
---, '-:
5-
* .......*. S ..- ' .. •___I1nf -.•
----.-
1A7 7? of'1 ' 7P ./E/ • •• / *
'°t- ,J Lxs77Q TY'F daf fiz
-ICE TTR. 17 92o7?4Irs Di' Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of ,Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
£TENANT IMPROVEMENT A çiCOMMERCIAL DNEW
B - INDUSTRIAL DREW 0 TENANT IMPROVEMENT
C - DRESIDE1 El APARTMENT E] CONDO DSINGLE FAMILY DWELLING DADDITION/ALTERATION
DDUPLEX DDEMoLITIoN DRELOCATION DMOBILE HOME DELECTRICAL DPLUMBING
DMECHANICAL E] POOL DSPA []RETAINING WALL DSOLAR DOY HER ________________
-- ,-74 fI___
ESLVAL
PLAN CE DEPOSIT________________________
VALID. BY
DATE
4158 03/20/90 0001 01 02
C—PRMT 223.00
2. P 101 fl9 or suite NO.
Nearest Cross Streets zr LEGAL DESCRIPTION l.otTho. Subdivision Name/Hunter / Unit No. Phase No.
CHECK BEL IF SUBMITTED:
0 02 Energy Catcs 2 Structural Calcs 02 Soils Report Dl Addressed Envelope
ASSESSOR'S PARCEL . EXISTING USE PROPOSED USE
UESLRIPIIUN Ut wu,7 // 7W ;e /t1f /QV/7 f7-
/i"
BLDG. SO. FIG. ,/L? # OF STORIES
3. CONTACT ERS9N
SIGNATURE
ZIP CODE "Wz DAY TELEPHONE
NAME /fr Cl/h+fl ADDRESS /7A'
CITY
0000l
4. APPL GENT FOR CONTRACTOR DOWNER TF R OWN
; ADDRESS , J4Z 44f NAME
CITY c5'aii143(I? STATE440 ZIP CODE DAY TELEPHONE '9,
5. PROP RTY OWNE
NAME ,I4 OWNER
ADDRESS
EE NANT
CITY STATE~ ZIP CODE 7JP' f DAY TELEPHONE
6. CONTRACTOR
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. ft LICENSE CLASS CITY BUSINESS LIC. ft
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. ft
7. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of Consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 Cede: 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. 7064, Business and Professions Cede:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
Licensed pursuant to the Contractor's License Law).
0 I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Cede) 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 (5500)).
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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES fl 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 MET 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 LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall empire by limitation and become null and void if the building
or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE DOWNER []CONTRACTOR [-]BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERNIT# CB900456 FOR 07/31/90 INSPECTOR AREA MC
DESCRIPTION: STE #240 J. BURTON JEWELERS PLANCK# CB900456
OCCGRP
TYPE: CTI V CONSTR. TYPE NEW
JOB ADDRESS: 2525 EL CANINO REAL STR: FL: STE:
APPLICANT: WOODBURN, MARK PHONE: 415 39-8040
CONTRACTOR: PHONE:
OWNER: CRESCENT JEWELERS PHONE: 415 336-2810
REMARKS: T2/MH/DICK/698-4715 INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE STATUS
CB880324 SIGN ISSUED
CB880763 CTI ISSUED
11334 ROW ISSUED
11131 ROW ISSUED
11437 ROW ISSUED
CB890367 CTI EXPIRED
CB890478 CTI ISSUED
CB890852 PLUM EXPIRED
CB890960 CTI EXPIRED
CB891110 CTI EXPIRED V CB891234 CTI EXPIRED.
CB891355 CTI EXPIRED
V CB900056 CTI ISSUED
CB900155 SIGN V ISSUED
CB900409 CTI ISSUED V CB900521 SIGN ISSUED
CB900536 'CTI ISSUED V
V
V
V CB900775 CTI V ISSUED
CB900776 ELEC ISSUED
CB900823 CTI ISSUED
V
V
CD LVL DESCRIPTION. ACT COMMENTS
29 V PL Final Pluming __________________________
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP - COMMENTS
V
08/01/90 INSPECTION HISTORY LISTING
FOR PERMIT# CB900456
DATE INSPECTION TYPE ACT COMMENTS
07/31/90 Final Plumbing RI T/Iv1H/DICK/698-.4715
07/31/90 Final Plumbing AP TRAP PRIMER
07/26/90 Final Structural AP
07/26/90 Final Plumbing CO NDS T-PRIMER ACCESSIBLE
07/26/90 Final Electrical AP
07/26/90 Final Mechanical AP
07/26/90 Final Combo RI T3/MH/JIM/698-4715
07/09/90 Frame/Steel/Bolting/Welding CO CEILING NDS ADQTE SUPPORT
07/09/90 Rough Electric CO
07/09/90 Rough/Ducts/Dampers AP
07/09/90 Rough Combo RI T3/MH/MIKE
07/03/90 Frame/Steel/Bolting/Welding CO SEE COMMENTS
07/03/90 Rough/Topout CO SEE COMMENTS
07/03/90 Rough Electric CO SEE COMMENTS
07/03/90 Rough/Ducts/Dampers CO SEE COMMENTS
07/03/90 Rough Combo RI T2/MH/JIM
06/15/90 Interior Lath/Drywall RI T2/MH/DICK/698-4715
HIT <RETURN> TO CONTINUE...
08/01/90 INSPECTION HISTORY LISTING
FOR PERMIT# CB900456
DATE INSPECTION TYPE ACT COMMENTS
06/15/90 Interior Lath/Drywall
06/11/90 Frame/Steel/Bolting/Welding
06/08/90 Steel/Bond Beam
06/08/90 Steel/Bond Beam
05/25/90 Rough Combo
05/25/90 Rough Combo
AP
CO SEE COMMENTS 6-11-90
RI T1/NH/JIM/698-4715
PA MONOCOAT
RI Tl/MH/
PA SEE REQUEST DTD 5-25-90
HIT <RETURN> TO CONTINUE...
lie
I
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-2572001. Commercial/industrial Permit Permit No: CB012580
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAM INO REAL CBAD St: 240 . .
.'.!..Permit Type:. . Ti Sub Type: COMM
Parcel No: 1563020900.• Lot #: 0. . Status: ISSUED
Valuation: $62,400.00 Construction Type: NEW Applied: 09/18/2001
Occupancy Group: '. . . Reference #: .. Entered By: RMA
Project Title: CRESCENT JEWELERS-2080 SF TI Plan Approved:
09/25/2001 . . . . . .
Issued: 09/25/2001
st Area:
Applicant: wner:
MAGNUM CONSTRUCTION PLAZA CAMINO REAL>
,C/O WESTFIELD CORP INC,,,",.
ST.E A . / 11601 WILSHlRE BLVD,...O9r'5/t fwiv ,i •
480 PRESTON AV 94550 7 ( - Cos ANGEL LS, CA 9Ô025 \ ."
" Ji 0.
/ C \ .
Total Fees: $834.52
COF- 572-52
Total Payments To Date: $262.00 Balance'Due: $572.52
Building Permit .1. '- / \ ) V/ \
Add'I Building Permit FJ / Con. Fee
- \ $0.00
Plan Check $262.67 Meter Fee I I $0.00.
AddI Plan Check Fee $3.64 .SDCWAee ' $0.00
Plan Check Discount $0.00 ,.CFD Payoff Fee. $0.00
Strong Motion Fe c $13.10 PEF IY $0.00
Park Fee I \ c- '$0.00 I PFF (CFD Fund).'\ I I $0.00
LFM Fee \\ $0d0% LiènseTaj.'" $0.00
Bridge Fee . \ '$0.00 %Licse Tax (CFD.Fund) / $0.00.
BTD #2 Fee \ \ $P.00 '-' iTrafficIrnaôt Fee / / $0.00
BTD #3 Fee \ \ $000 Traffic Impact (CFD,Fund) / $0.00
Renewal Fee \ , $0.00 INC0FPLUMBING TOTAL / $48.00
AddI Renewal Fee \ _. $0.00 ELECTRICAL-TOTAL
' / $72.50
Other Building Fee ,- J $0.00-.....MECHANICAL TOTAL / $30.50
-Pot. Water Con. Fee .m / $0.00 . Master Drainage Fee'\) / $0.00
Meter Size . - '1 / ( / I Seer,Fee ) \\_) / $0.00
. AddI Pot. Water Con. Fee '$0.00 Redev Parking Fee . $0.00
'.' - Red. Water Con. Fee . $0.00 Additional Fees .-" $0.00
• - • . . TOTAL PERMIT-FEES .
.:
$834.52
FINAL APPROVAL
Inspector: Date:./"4 /6 / Clearance
NOTICE: PIeaséke 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
I 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.
'
A,
AUG-02-2001 THU 10:46 All CITY OF CARSLBAD FAX NO, 760 602 8558 a.-, P. 01
PERMIT APPLICATION ..
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.:PROJECTINEQRMAIION 2,c2 1 Cwo iO cjr~
Address (include OldO/Suite S) ç) Business Name Ii
FOR OFFICE USE ONLY
PLAN CHECK NO.________
EST. VAL. 'V)O
Plan Ck. Dpo&it 71711,77 _
Validated by ¼.—:/\ 7
Date
(2- re-S ce'i - T€J.-t) krs
This address)
Legal Lot lJflht No. Phase NO. Total I
. Assessor's Parcel 1 Existing use Proposed Use
Description of Work R€ivvô SQ. FT Sot Stories øo4 jJtitrooQ
.. . ............. ............ ....: 1:'t.....:: .......:.:, ........::. .•...........:.
Name Address City 11'i.t A State/Zip . Telephone t Fox —
mpjq. : DAen..focCbnuact,....QO.Wnej— Aantfcx ./. .... :.:..
.....
A ...... . :.' : pcw P-os/rcw CCVVS4. / ib Precovi c.4- L,Verw ove C /5~b q3-'-Z - Name (7 Address City State/Zip Telephone S
Name . Address City State/Zip Telephone I
. 1.. ........ .:. ;;i..': .....
(Soc. 7031.5 Rusinoas and Professions Code: Any City or County which requires a permit to construct, liter, 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 Code) or that he is exempt therefrom, and the basis fa, the alleged exemption. Any violation of Section 70 11 by any applicant,for a prmit sub] os the applicant to a civil penalty of pt more than five hundred dollars 156001). (Vt e '. 1" • .A. . b FJ L.. 'i A "t / . ..A . / I I rt, . ,-..Pt 2 -, ,.. ...-.I
Name .T Address
State Licensp S "1C)').. 1 (o License Class
,.-s,-, , , .• .-., I' S....' ' (..( r 1.-9 I S. - - L I SI - II 1 -.) 1 I CF iL' - Designer Name . Address City State/Zib Telephone
State License I C2(5O 2
6 wii COMPEWS&TJQK
WokCmponsatiàiiOiiereiion; I hereby affirm under penalty of perjury one of the following declarations:
o I have and will maintain a Cortificate of consent to self-insute far workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I hive 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 ssu.d,MY workers compensation insurance carrier crid policy number
11 > ''
(TM S SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 15100) OR 1.655)
O 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; Faxs to sectira workers' conana.don coverage Is unlawful, and ahell subject an employer to crEiinel pIntlea end cM fines up to one hwidrad thouaaed.-dosi$10O,)btf5km jtho,coat of cOmpsii.adon, damages as provided to, In Section 3706 of the Labor code interem and attorney's fees.
70 5, "_:: ... ;.'..: ............::Z'i..:':: ........'..J'--'....,,
T ...
I he effirm that I em exempt from the Contractor's License I-sw for the following reason-
El I, as owner of the property or my employees with wages as their 504n compensation, will do the work and the structurS Is not intended or offered for sal. (Sac. 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). N
O I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pntfession 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).
E3 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 thaws have not) signed an application for a building permit for the proposed work.
S. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I 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 I phone number/ contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons ;o provide the work indicated IIrtcluda name / address I phone number / type of work):
PROPERTY OWNER SIGNATURE DATE -
COMPuTE 1141$ SECTION FOR NON tN3ID(N7Z4L bUIIIPIN P K I t kv m ONLY
Is the applicant: or future building occupant requited to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26605, 25533 or 25534 of the Prealey.Tannar Hazardous Substance Accourit Act? 0 YES ca,,, NO
Is the applicant or future building occupant required to Obtain a permit from the air pollution control district or air quality management district? Q YES NO
Is the facility to be constructed within 1.000 feet of the cuter boundary of a school site? [I YES Q5, NO
IF ANY OF THE ANSWERS ARE YES, A FINAl. CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS, MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I CONSThUCTION f-ENDING AGENCY
I hereby affirm that there is construction landing agency for the performance of the work for which this permit is issued (Sec. 308704 Civil Code).
__ LENDER'S NAME __ LENDER'S ADDRESS/V/A
..5:'..........', .'.:..: ........5.-.............. .,-..;
I certify that I have raid the application and state that the above information is correct and that the information on the plans is accurate, I agree to comply with et City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cite' 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 6'0' 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 sucrt permit or if the building or work authorized by such permit is Suspended or abandoned at any time after the work is menced for - oIl days (Section 106.4.4 Uniform Building Coda). -
APPLICANT'S SIGNATURE !t),rV.e.T! DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/20/2001
Permit# CB012580
Title: CRESCENT JEWELERS-2080 SF TI
Description:
Type: TI Sub Type: COMM
Job Address: 2525 EL CAMINO REAL
Suite: 240 Lot 0
LocatiOn:
APPLICANT MAGNUM CONSTRUCTION
Owner: PLAZA CAMINO REAL
Remarks:
Inspector Assignment: TP
Phone: 8586037037
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: MIKE
Entered By: ROBIN
Act Comments
AP
Associated PCRs
Inspection History
Date Description Act lnsp Comments
11/14/2001 89 Final Combo NR TP NOT READY
10/22/2001 17 Interior Lath/Drywall AP TP
10/18/2001 14 Frame/Steel/Bolting/Welding AP 'TP HARD CElL
10/18/2001 24 Rough/Topout NR TP
10/18/2001 34 Rough Electric AP TP CElL LIGHTS HARD CElL
10/18/2001 44 Rough/Ducts/Damper AP TP RE-LOC DUCTS / REG
10/16/2001 14 Frame/Steel/BoltingM 31ding CO TP NEED REV. CElL DTLS
10/16/2001 17 Interior Lath/Drywall WC TP
10/16/2001 24 Rough/Topout WC TP
10/16/2001 34 Rough Electric WC TO
10/16/2001 44 Rough/Ducts/Damper WC TP
10/15/2001 34 Rough, Electric NR TP
10/15/2001 39 Final Electrical WC TP
10/12/2001 34 Rough Electric NR TP -
10/09/2001 14 Frame/Steel/Bolting/') 'elding CO TP SEE CARD
10/09/2001 17 Interior Lath/Drywall I I AP TP SHOW RM WALLS
City of Carlsbad Bldg Inspection Request
For: 10/18/2001
Permit# CB012580 Inspector Assignment: TP
Title: CRESCENT JEWELERS-2080 SF TI
Description:
Type: TI Sub Type: COMM
Phone: 8586037037
Job Address: 2525 EL CAMINO REAL
Suite: 240 Lot 0
Location:
, Inspector'___________
APPLICANT MAGNUM CONSTRUCTION
Owner: PLAZA CAMINO REAL
Remarks:
Total Time: S Requested By: MIKE
Entered By: CHRISTINE
CD Description ' Act Comments
14 Frame/Steel/Bolting/Welding 9' 14012O C''
24 RoughlTopout 1t4f
-
Associated PCRs
Inspection History
Date Description ' Act lnsp Comments
10/16/2001 14 Frame/Steel/Bolting/Welding CO TP NEED REV. CElL DTLS
10/16/2001 17 Interior Lath/Drywall WC TP
10/16/2001 24 Rough/Topout WC TP
10/16/2001 34 Rough Electric ' WC TP
10/16/2001 44 Rough/Ducts/Dampers WC TP
10/15/2001 34 Rough Electric NR TP
10/15/2001 39 Final Electrical WC TP '
10/12/2001 34 Rough Electric NR TP
10/09/2001 14 Frame/Steel/BoltinglWelding CO TP SEE CARD
10/09/2001 17 Interior Lath/Drywall ' AP TP SHOW RM WALLS
09/27/2001 ' 14 Frame/Steel/BoltiniWelding AP TP RESTROOM AND FURRED WALLS
09/27/2001 34 Rough Electric AP TP
9M:MANUEL S. TSIHLAS, ARCHITECT FAX NO. : 191634146 Oct. 17 2081 09:16AM P1.
Manuel S. Ts'ihlas, Arch itec
503 27" Street • Socromento, CA 95816 • 916.341.0405 • 916.341.0406fx www.archit-x,com
FAX TRANSMITTAL
TO:
- TZA4 M1U4M DATE:
PROJECT:
ATTN:
FAX NO:
- •7(pp (O2. -
PAGES: 2 C
'REMARKS:
RM '
FANC-
;r y gAVS A1J F1 FW& W At—
IM/#Jc *-
COKES TO: File
NtCARB Certified CA License #C-28021
ON:MANUELS. TSIHLAS, ARCHITECT FAX NO. : 1916341406 Oct. 17 201 09:17A11 P2
MApJUr1, c rwc •AWATSCr
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4
EsGil Corporation.
In Partnership with Government for Building Safety
DATE: 9/17/01 U ANT
JURIS'!
JURISDICTION: City of Carlsbad U PLAN REVIEWER.
0 FILE
PLAN CHECK NO.: 01-2580 SET: II
PROJECT ADDRESS: 2525 El Camino Real Suite 240
PROJECT NAME: Cresent Jewelers - TI
The .plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes. .
The plans transmitted herewith will substantiallycomply 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.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
LI The applicant's copy of the check list has been sent to:
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
LI Esgil Corporation staff did advise the applicant that the plan .check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
Z REMARKS: Applicant to provide complete E sheet$o be attached to the City held sets.
By: Doug Moody Enclosures:
Esgil Corporation
El GA El MB El EJ [I PC 9/7/01 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 01-2580
8/16/01
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 01-2580
PREPARED BY: Doug Moody DATE: 8/16/01
BUILDING ADDRESS: 2525 El Camino Real Suite 240
BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: IHN
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI 2080 City Valuation 62,400
Air Conditioning
Fire Sprinklers
TOTAL VALUE 62,400
Jurisdiction Code ICb By Ordinance
1994 UBC Building Permit Fee W
1994 UBC Plan Check Fee I $256.82 I
Type of Review: Complete Review fl Structural Only
El Other
Hour *
Repetitive Fee Hourly I
1
j Repeats
Esgil Plan Review Fee $221.26
Comments:
Sheet I of 1
macvalue.doc
Applicant:
ANGIE FELLINER
219 N. 2ND ST.
STE. 301
MINNEAPOLIS 55401
612-547-1352
Owner: ---_..
PLAZACAMINOREAL
1C/O'WESTIlELDPROPERTY TAX DEPT
\ AD CA t
P0' BOX 3094O, DEPT WFLD
CARLSB 92013/ -:
04-20-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: C131 00336
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAMINO REAL CBAD St: 240
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0
Valuation: $72,345.00 Construction Type: 2B
Occupancy Group: Reference #:
Project Title: BEST BUY MOBILE: 2067 SF TI -
Status: ISSUED
Applied: 02/25/2010
Entered By: JMA
Plan Approved: 04/20/2010
Issued: 04/20/2010
Inspect Area:
Plan Check#:
/(\
Building Permit / " / $523.08 Meter Size
AddI Building Permit Fee /
Plan Check ' / •. /
$0.00 AddI Red. Water Con. Fee
$340.00 Meter Fee
AddI Plan Check Fee / / $0.00 SDCWA Fee
Plan Check Discount / . /
Strong Motion Fee /
$0.00- '- CFD Payoff Fee-
$15.•19-PFF(3105540)
Park Fee I ,- a—s. I $0.00 .PFF(43O554O'
LFM Fee
Bridge Fee n-rn an r - DILl ft re I Ptj'V IdlilL IIIIJdLt re s,,) IUQO'+I)
BTD #3 Fee • $000 ' Traffic Irpact Fee (4305541)
Renewal Fee - $000 l PLUMBINGTOTAL %J J
Add'l Renewal Fee \ - $000 ELECTRICALT0TAL) Other Building Fee ' -
$0O01MECHANICALTOTA1' /
Pot. Water Con. Fee \ $0 00 , \Ma'ster Dinage Fee /
Meter Size , \ Sivr Fels.J / AddI Pot. Water Con. Fee
- \ $0 00 Redev Parking Fee
Red. Water Con. Fee \ - \ $0 0000PAdditiollF&es
Green Bldg Stands (5B1473) Fee \., $1 00 HMP Fee
Fire Expedited Plan Review "$o 00 V \
TOTAL PERMIT.FEES
N /?-u
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$35.00
$28.50
$0.00
$0.00
$0.00
$137.50
??
$1,107.27
Total Fees: $1,107.27 Total Pa'irnents'ToDate' 'i$110727 Balance $0.00 urj[N ILANS
-j -t ST 7kUt fit4A1%€.J)
_ATTACHED
FINAL APPROVAL -
Insoector: 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 Carisbad 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
1]
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov -
Plan Check No. Ct (00 33,é
Est. Value 72. s qy
Plan Ck. Deposit F1.4Q o O
Date IA-
JOB ADDRESS 5i QIA'l Mbe'UE 2-40 pctiMIP4() SUITE#/SPACE#/UNIT# APN
~-AU-12 "lcZS çt- C.AMI P40 241 .. . 240
CT/PROJECT A - LOT A - PHaSE # A OF UNITS A BEDROOMS A BATHROOMS TENANT BUSINESS NAME - - -
I
CONSTR. TYPE 107CC.ROUP
L -1 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-kti iiPoVt4 1'iT— 21 F - ç&,i 1ci I(J I h-iitif.1, (1JW
EXISTING USE - - - - PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) JFIREPLACE AIR CONDITIONING FIRE SPRINKLERS L- .. . --t-.-i '— — . —. - NO YES NO YES NO[]
CONTACT NAME (If Different Fern Applicant)
AN'Ir UtIJ
APPLICANT NAME
- -
ADDRESS - . - - . - -
- 14 2J r- W' Zp1
ADDRESS .
CITY - . STATE --ZIP ., . CITY -_. . - ,_. -. STATE_- . _ZIP . ..........
PHONE . . .
547' (b—
FAX
-C' 5 PHONE.
'
FAX -.- -
- I
EMAIL . . . - . . -
cx,kuuier (V\4fd4
EMAIL .
PROPERTY OWNER NAME - CONTRACTOR BUS. NAME .
ADDRESS - . - . . . - - ,,)\ &flL6 -, (UJ(). -. ADDRESS - - - - -
CC8O Dir:
CITY . STATE , - ZIP ... -
ICA
---------.
: . - .. .. qbO5. CITY
.. -..,-STATE . - ZIP . - -
qL,f-- C.v ?2 1
PHONE .. . ......... - i--i4-'i. • FAX . - . ... - _ PHONE FAX .. . -
. -7 4!5 9-4 -9 c'i'-,'/i
EMAIL . .. . . - .. EMAIL ..... l(t. . 11 ...' .' . .
ARCH/DESIGNER NAME & ADDRESS
— tA -.-PA-4..UES
STATE LIC. A
-
SJATE LIC.# . * '
' cl1l. CLASS . CITY BUS. LICe
ft/i
(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 issudncti, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
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.
have and will maintain workers' compensation, as required be Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurancthcariier and policy
number are: Insurance Co _j* ?-$4-.3 .-'dir'l . Policy No. I. 7 ( 0000 .f93 ?—J of Expiration Date 3 Ii I if
This section need not be completed if the permit is for one hundred dollars ($100) or less. DCertificate 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and Civil fines up to one hundred thousand dollars (5100,000), in
addition to the cost of compensation, damag s as p vi ad OLin Section 3706 of the Labor code, interest and attorney's fees.
A5 CONTRACTOR SIGNATURE ,AGENT . DATE '-t
I hereby affirm that lam exempt from Contractor's License Law for the following reason:
[J I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
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).
[J I, as owner of the property, am exclusively contracfin6 with Iicened 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).
[] I am exempt under Section. . . Business and Professions Code foi this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement EYes 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 ! 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 /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! type of work):
.PROPERTY OWNER SIGNATURE []AGENT DATE
Is the applicant or future building occupant required to submit a business Ian, acutely hazardous materials registrabon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtaina permit from the air pollution control district oral u lily management district? I:]Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? EYes ONo
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. V
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Namet •.
- ' . - JLendeisAddress
-
I certify thatI have read the application and statethatthe above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto buildingconstluction.
I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
051-IA: An OSHA permit is required for excavations over 5' deep and demolition drconstrijction of structures over 3stories in height. V
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall exre by limitation and become null and void tithe building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pe * of 180 (lays (Section 106.4.4 Uniform Building Code).
Building Department
Unscheduled 1635 Faraday Avenue•
C I T Y OF
• Build ing -inspection .•
Carlsbad CA 92008
CARLSD/-%D
UI ing 760-602-2700
DATh: s-D •. • •. • INSPECTOR: •
PERMIT #: \O CONTACT:
PHONE# qcd
JOB ADDRESS: SS EX ••
DESCRIPTION: • • ••
CODE • DESCRIPTION • ACT COMMENTS
Inspection List
Permit#: CB100336 Type: TI COMM BEST BUY MOBILE: 2067 SF TI
Date Inspection Item Inspector Act
05/27/2010 19 Final Structural - RI
05/27/2010 19 Final Structural MC PA
05/27/2010 29 Final Plumbing - RI
05/27/2010 29 Final Plumbing MC PA
05/27/2010 39 Final Electrical MC PA
05/27/2010 39 Final Electrical - RI
05/24/2010 14 Frame/Steel/Boiting/Weldin - RI
05/24/2010 14 Frame/Steel/Bolting/Weldin MC AP
05/24/2010 34 Rough Electric MC AP
05/24/2010 44 Rough/Ducts/Dampers MC AP
05/20/2010 17 Interior Lath/Drywall MC AP
05/20/2010 17 Interior Lath/Drywall - RI
05/19/2010 14 Frame/Steel/Bolting/Weldin - R
05/19/2010.14 Frame/Steel/Bolting/Weldin MC PA
05/19/2010 34 Rough Electric - RI
05/19/2010 34 Rough Electric MC PA
05/19/2010 44 Rough/Ducts/Dampers MC PA
05/13/2010 17 Interior Lath/Drywall MC. AP
05/11/2010 14 Frame/Steel/Bolting/Weldin MC PA
05/11/2010 34 Rough Electric MC PA
Comments
2pm please
SALES FLOOR CASH WRAP AREA OK
RESTROOM ADA COMPLIANT
SEE BACK OF JOB CARD FOR MINOR
PICK UP
AM PLEASE NO TYPE LEFT
1-BAR @ STORAGE
TBAR, DBL CK AIR GRILLES
HARD LID @ SALES FLOOR & ENTRY
SOFFITS
A M PLEASE
2-4 PM FIRE IS AT 1:30PM
HARD LID & ENTRY SOFFITS ONLY
HARD LID & ENTRY SOFFITS ONLY
WALLS ONLY
WALLS ONLY, DBL CK WALL BRACING
WALLS ONLY, DBL CK WALL BRACING
Friday, May 28, 2010 Page 1 of 1
EsGil Corporation
In PartnersIiip with Government for(Building Safety
DATE: 3/5/10 U APPLtQANT
JURI
JURISDICTION: Carlsbad U PLAN REVIEWER
U FILE
PLAN CHECK NO.: 100336 SET: I
PROJECT ADDRESS: 2525 El Camino Real, Space #240
PROJECT NAME: Best Buy Mobile Retail Store TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
andshould be corrected and resubmitted for a complete recheck.
The checklist 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.
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:
Date contacted: (by: )
Mail Telephone Fax In Person
LII REMARKS:
By: Chuck Mendenhall
EsGil Corporation
I1 GA LIEJ F-1 PC
Telephone #:
Fax #:
Enclosures:
3/1/10
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576
Carlsbad 100336
3/5/10
(DO NOT PAY- THIS IS NOT AN INVOICE)
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
0
PLAN CHECK NO.: 100336
PREPARED BY: Chuck Mendenhall DATE: 3/5/10
BUILDING ADDRESS: 2525 El Camino Real, Space #240
BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: II N
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Retail TI 2067 City Est 72,345
Air Conditioning
Fire Sprinklers
TOTAL VALUE 72,345
Jurisdiction Code cb 1By Ordinance
Bldg. Permit Fee by Ordinance V
Plan Check Fee by Ordinance V
Type of Review: LI Complete Review
0000 - LI Other
LI Structural Only
I $523.081
I . $340.00I
Repetitive Fee Hourly Repeats
EsGil Fee
____
LJKePe
LI 0 $292.921
Comments:
Sheet 1 of I
macvalue.doc +