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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 -10"a 97#k %Plftwr cMJ1a, CA øI(o 41W,pL. oqoc Pafl. , 6. 41AeH4NI4a9Q V.P.C. t-pig, tO clam!;:- 1THJtI a, ji.ui4w - * •• Xl * J s t - - •>---••-- wç - - p . ç nJL-JLL -ll . . . Af 4 zwa S N 414 - - - - :- • • : • - * c. • •. -. 'V - - • • - * • •• ¼ZT J * . • •.•t L- _: I • . - - • L . ,<* ',J. • - - p .- . - ••• - 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 +