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2525 EL CAMINO REAL; 241; STE 241 PRE 2016; Permit
CITY OF CARLSBAD 13UILDING DEPARTMEW 729-1181 -Ext. 36 AppIkaIioii3VILD1N6 Permit Building Permit Fee For Applicant to Fill In £ISIRUCtION LENDER INFORMATION (OVER). J a.. t' ma an a c!..A.!0_._.,_._. Owner's Name k2 Mail Address a Contractor LLtlL Contr. Address L74. To Consf. 0 To Add 0 To Alter 0 Convert 0 To Move From Type of Const. Frame, Masonry, etc. To Be Used F2)1 ' 4'<C ______________ No. of Stories______________ Kind of Foundation_______________ Floor Space (Sq. Ft.) Garage Floor Space (Sq. Ft.) Attach Def ache Legal Description Lot Block Subdivision or V Section 'Twnii '- Range No. of Existing Building Will this construction include any -plumbing installation or alter- ation? Yes D No D Signature of Applicant ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND-STATE LAWS REGULATINQ I BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIB RESIDENIAL PROPERTY. _ SIGNATURE OF PERMITTEE I Buildinq Dept. Use On! Building Address St. Near Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.L. Other Group Zone Approved by Contractor City Bus. Lic. No. Water Meter Sewage Disposal System Inspection Record - UffflttCompany Notified - Date- By Final If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. nced within 60 days of issuance. 50 CITY OFC BAD BUILDING DE MENT 729-1181 -Ext. 36 PERMIT NO. TOTAL FEE $ /5Z) Application for MECHANICAL Permit For Applicant to Fill In NO. ITEM INSTALLATION AND/OR RELOCATION EACH ANT. B1'169 PALO c 664* *** * * 1 5. For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached to such appliance, up to and including 100,000 B.t.u.'s $ 4.00 For the installation or relocation of each forced-air or gravi- tytype furnace or burner, iocluding ducts and vents attached - to such appliance over 100,000 B.t.u.'s $ 5.00 For the installation or relocation of each floor furnace, in- cluding vent. $ 4.00 For the installation or relocation of each suspended heater, recessed wall heater or floor mounted unit heater. $ 4.00 Building Dept. Use Only For the installation, relocation or replacement of each ap- pliance vent installed and not included in an application. 0 2.00 For the repair of, alteration of, or addition to each heating appliance, refrigeration unit, comfort cooling unit, absorption unit, or evaporative cooling system, including installation of contents regulated by this Code. $ 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- sor to and including three horsepower, or each absorption system to and including 100,000 B.t.u.'s. $ 4.00 STREET NA For the installation or relocation of each boiler or compres- sor over three horsepower to and including 15 horsepower, or each absorption system, over 100,000 B.t.u.'s to and mclx- CONTRACTOR ding 500,000 B.t.u.'s $ 7.50 7 For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or OWNER ,JA each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u.'s. $10.00 ADDRESS For the installation or relocation of each boiler or compres- sor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 B.t.u.'s. $15.00 CITY For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. $25.00 CITY BUSINESS LICENSE NO. For each air handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. $ 3.00 0 CITY BUSINESS LICENSE NO. - For each air handling unit over 10,000 cubic feet per minute. $ 5.00 For each evaporative cooler offer than portable type. $ 3.00 GROUP For each vent fan connected to a single duct. $2.00 , For each ventilation system which is not a portion of any heating or air conditioning system authorized by a permit. $3.00 INSPECTION REC9( WD For the installation of each hood which is served by me- chanical exhaust, including the ducts for each hood. $ 3.00 For the installation or relocation of each domestic type incinerator. $ 5.00 For the installation or relocation of each commercial or industrial type incinerator. $20.00 For each appliance or piece of equipment regulated by this Code but not classed in other appliance categories, or for winch no Other fee is listed in this Code. $ 3.00 For the issuance of this permit. $3.00 - I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL STATE AND CITY LAWS REGULATING THE MECHANICAL CODE OF THEUNIFORM BUILDING CODE. I CERTIFY THAT I AM PROPERLY REGISTERED ANO'OR LICENSED AS RE- OUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OFT' ABOVE DESCRIBE PRO" e' SIGNED BY PERMITTEE: 3!t44.2? ,/r' DATE JOB FINALED - CITY % CARLSBAD. BUILDING DEPARTMENT OWNER Regal Shoes MAIL ADDRESS Plaza Camino Real CITY: Carlsbad TEL. NO. PLuMBERProffitt & Durnell plbg.,In ADDRESS 12630 So. Hawthorne Wavd. CITY Hawthorne TEL. NO.7722768 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 165581 8733 NO. ITEM FEE 1 TOILET @ $1.25 1 25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN © 1.25 1 25 KITCHEN SINK © 1.25 DISHWASHER © 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER © 1.25 WATER HEATER & VENT © 1.50 1 50 GAS SYSTEM 1 TO 15 .30 EA. ADD. © 1.50 1 FLOOR DRAIN OR SINK © 1.25 1 25 LAWN SPRINKLER © 2.00 1 MISC. WATER PIPING © 1.50 1 ..5.0_ GARBAGE DISPOSAL © 1.00 / VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 © 2.00 GRADING PLAN / YESD NO Pr PERMIT $ 2 00 TOTAL FEE $ /@1 75 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D&$CRIBED ItESIDENTIAL PROPERTY. SIGNATURE OF PERMITTE OUIVIBIN6 PERMIT - APPLICATION /Z 7S ½137 JAN30-69 BUILDING 2- ç/ - - ADDRESS L,>, , NEAREST----' CROSS ST. El Camino Real & Vista Way GROUP I ZONE Inspection Record APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL Jr . VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of data of issuance. BUILDING ADDRESS 4 çq NEAREST ',. . CROSS ST. '. 'C... ( ie OWNER -dIA.4 9ts —A MAIL ADDRESS CITY , TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 0' V. @ 4" = _____ 6" = - Add. Horiz, @ 4" = _____ 6" Add. Vert. @ 4" = ______ 6" CITY -OF CARLSBA4 WLD1G DEPARTMENT : SEWER PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BLOCK TRACT USE OF BUILDINGS CONTRACTOR ADDRESS CITY TEL. NO. CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS © $5.00 OVERFLOW SEEPAGE P11', DRAINFIELD EXTN., CESSPOOL, DRYWELL. MANHOLE © $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM © $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.50 4 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM © $2.00 I OWNERS PERMIT $ 2 00 AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. SIGN ED THIS DAYIOF * f1L OWNERS AGENT ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE OF PERMITTEE Total Construction Cost 10% Service Charge I, TofaI Lateral Charge , •1,, Lot. No.: - / Logged in Plot: r - / 1 . • - . 4LINE COSTDATA A. D. '& AssmtNo, ' -' - LINE'CdST:- - _- /-dwelling P. S.'@- / dwelling OTHER .'/ ..) 2 TOTAL GnTt Lateral'etc. FOR SEWER LOCATION St. NORTH ENGINEERING SEWER DEPT. Signed I Signed 5-5 , This is a Sewer Permit When Properly Filled Out, Sigrfed and Validated Issued By PERMIT VALIDATION CITY OF RLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In PERMIT NO. TOTAL FEE $ Application for ELECTRICAL Permit AID Buil 15******195O PERMIT FEES: Each Fee BUILDING ADDRESS: ..( . Item Recpt. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 c90 St. Near Elec. Ranges, Clothes Dryers, Water Heaters .50 OWNER •4- Iec. Space Heaters Dishwashers, Garbage Disposers. Auto. Washers, Sta. Cooking Units .50 / 2 ADDRESS MOTORS: Per H. P. _each _motor civ 5 5V T to 2 TELEPHONE NO. 0 /00 5 to 15 $ 1.50 State City Business License License Q (cii 5 15 to 50 $ 2.50 50 to 200 $ 5.00 Group Zone By SIGNS: . No. trans. Ea. . $ 1.00 Inspection Record: No. lamps over 50 ea. $ .50 SERVICE: 0 to 150 AMPS - For each additional 100 Amps. ' $ 2.00 $ 10.00 Temp. Power Pole,100 AMP SorLESS $ 3.00 ForEachadd_IMeter,overoneperservice $ 3.00 ,L7-1*_/qoqa Isc SUP PLEMENTARY PERMIT FEE: Approvals Date By: $2.00 Conduit 4496e TOTAL: : Temp. Power R. Wiring Fixtures I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI DENTIAL PROPERTY. SIGNATURE OF PERMITTEE: S.D.G.&E. FINAL CITY OF CARLSBAD—BUILDING DEPARTMENT I I APPLICATION & PERMIT APPLICANT TO FILL IN INFOR - - I LICENSED CONTRACTORS DECLARATION 7 IherebyaffirmthatIamIicensedunderprovi- USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 MATION WITHIN RED LINES. slons of Chapter 9commencing with Section - 7000) of Divislo 37oP the Business and Profes- Slone Cc4(a forceand ef- N - ' ,. ,- ,- JOB ADDRESS AV. ST. RD OF APPLICATION BUS. LICENSE - PERMIT NUMBER fect.ç1ii1i ir& 1z9c71 I I . 7'P5/t,v OWNER-BUILDER DECLARATION License Law for the f,,iI.',.,inn reason Dl hereby affirm that I am exempt from the Con- OWNER - OWNER'S PHONE YR OR PR7N - STATE LICENSE ' 1(I (65 7 /5/cO 5i.'.' TI (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- - empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). OWNER'S MAIL IN ADDRESS I N124',è' 6/W I CONTIACTOR'S ADDRES'g (&)' Co . - - - - - - Not Valid Unless Machine Certified - - LOT BLOCK . - 5UDlVISION ASSESSOR'S PARCEL NO. I I I I I I DESIGNER - DESCRIPTION OF WORK - 7L.Y,i p DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING - RES. UNITS ,. PARKING SPACE sf. NUMBER OF STORIES BLDG SQ. FT. I BLDG USE 0CC. GP I STANDARD PLAN S I P LAN ID S I TYPE CONST LOAD D as owner of the property, or my employees l, I JOCC. with wages as their sole compensation, will do - I .c the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does QTY. PLUMBING PERMIT - AMT, QTY, M+ANICA'L PERMIT AMT. not apply to an owner of property who builds or improves thereon and who does such work ' EACH FIXTURE TRAP - . - - INSTALLF N. DUCTS UP TO 100,000 BTU himself or through his own employees, provided that such improvements are not intended or of- - EACH BUILDING SE R - - . - 100:000 BTU fered for sale, If however, the building or improve- - EACH WATER HEATNO/OR VENT BOILER/COMPRESSOVER BUPTO 3 HP i ment is sold within one year of completion, the - _____________________ . . a - owner-builder will have the burden of proving that EACH GAS SYSTEM 1 TO .. BOILER/COMPRESSOR 15 H P . . LU he did not build or improve for the purpose of sale). ' EACH GAS SYSTEM 5 OR MOR . BOILER/COMPRESSOR 1 3 HP EACH INSTAL,, ALTER, REPAIR WA PIPE ' - VENT FAN SINGLE LW ,. -. Dl, as owner of the property, am exclusively con- - _______________________________________________ _______________ - - tracting with licensed contractors to'construct EACH LAWN SPRINKLER SYSTEM , - MECH EXHAUST - HOOO/0 LION > the project (Sec. 7044, Business and Professions - _______________________________________ - 1 .' 1' Code: The Contractor's License Law does not ap- WATER SOFTNER RELOCATION OF EA FURNACEIHETER - . BUILDING PERMIT I ' ply to an owner of property .ho builds or im- - ISSUE 3.00 liii isssu - 3.00 SIGN PERMIT -"7 —/'—' ' 4 0 • I - I - proves thereon, and who contracts for such pro- - U jects with a contractor(s) license pursuant to the - TOTAL PLUMBING -. . - TOTAL MECHANICAL - I am exe 0. PLAN CHECIc,?'p 0 I ' I LU contractor's License Law). mpt under Sec. , B.'& P.C. CONTRACTOR , CONTRACTOR - ' ' ALL INCLU(VE PERMIT , i - I 'I (I, fo1 this reason_________________________________ . TOTAL PLUMBING Date _________ Owner _________OTY. - , ELECTRICAL PERMIT AMT. QTY. MOBiLE HOME PERMIT ANT. - ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING - - - MECHANICAL 1WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- - 1 PH .25 3 PH . - - - PORCH . MOBILE HOME I I I sent to self-irisur, or a certificate of Workers' EXIST BLDG EA AMP/SWT/BKR - SET-UP - . ' SOLAR Compensation Insurance, or a certified copy . -- thereof (Sec. 3800, Labor Code). 1 PH ,25 ' 3 PH RAMADA, CABANA POLICY NO. _________________________ REMODEL/ALTER PER CIRCUIT FENCE OVER 6' COMPANY _________________________ opy is filed with the city. TEMP POLE 200 AMPS - . - TOTAL MOBILE HOME . . ' MICO-FILM. LM Certified copy Is hereby furnished. OVER 200 AMPS CERTIFICATE OF EXEMPTION FROM ' TEMP OCCUPANCY (30DAYS) WORKERS' COMPENSATION INSURANCE ISSUE 2.. 00 S'PPDNG 11T7I'ION (This section need not be completed If the per- - _________________________________________________________________________________ mit is for one hundred dollars ($100) or less). TOTAL ELECTRICAL vZl TOTAL FEES PAYABLE I certify that in the performance of the work for i,'? which this perinil is Issued, I shall not employ any - CONTRACTOR person in any manner so as to become subject to - the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this-Cer- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO *AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - - tificate of Exemption, you should become subject HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF to tile Workers' Compensation provisions of the FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT Labor C&ie, you must forthwith comply with such COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SCHOOL FEE: provisions or this permit shall bedeemed revoked., SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ,/7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE tONTRUCTION LENDING AGENCY - OF THE GRANTING OF THIS PERMIT.. A ' UREI / OWNERD CONTRACTORX APP rOVED BY DATE I hereby affirm that there is a construction len- AGENT 0 - BY PHONE a;~ c21UCb1\) /i 7... Lt:. ding agency for the performance of the work for __________________________________________________________________________________ which this permit is issued (Sec. 3097, Civil Code). . - - .. f:.., USE BALL POINT PEN ONLY& PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. cc - Cl.1 hereby affirm that I am licensed under -UI ' provisions of Chapter 9 (commencing with - I .. section 7000) of Division 3 of the Business and Professions Code, and my license is in L full force and effect. I C.) - •P•' ' I I hereby affirm .that I am exempt from the. Contrac- I Or's. License Law for the following reason (Sec. 703t .5 Business and Professions Code: Any city or county whiclt re' I qoires a permit to construct, alter.- improve, demolish,' or 1 repair any structure, prior to its issuance also requires he ap' plicant for such permit to lIe a signed statement that he is - licensed pursuant, to the provisions 01 the Contractor's 9 License Law (Chapter, commencing with Section 7000 01 - Division 301 the Business and Professions Code) or that is ex- empt thoretrom and the basis for the alleged exemption. Any .',• I violation of Section 7031.5 by an applicant for a permit sOb' . jects the applicant to a civil penalty 01 not more than live han' I dred dollars i$500i. - I I I, as owner of the property, or my employees with wages I as their sole compensation, will do the work, and the struC' I - lure is not intended or offered torsale (Sec. 7044, Business and Professions Code: . The Contractor's License Law does 5L not apply to an ,owner of property who builds or improves I . thereon and who does such work hirnseli or through his own employees, provided that such improvements arenot intend-, ,/ ,ed or uttered for sale. it, however. the building or improve'_ Z mont is sold within one year of completion. the owner-builder - will have the burden 01 proving that he did not build or im- 0 '----'prove for the purpose 01 sale).-- - - Li I. as owner of the property, am exclusively contracting D with licensed contractors to construct the project (Sec. 7044, I * - Business and Professions Cnde:''The Contractor's Liceose .' Law does not apply loan owner 01 property who builds or im- proves thereon, and who contracts lot each projects with a contractnrisi ,license pursuant to the Contractor's. License - 2-Oft i- - -- -. I') As a-homeowner I am improving my home, and the follow' F E conditions edisl:, _ •. ' - sJ1'ht '/ - - V The work is being performed prior to sale., .u, ., 2. - I have'lived in my home, or twelve months prior to completion of this work. w .._ - .... 3.- I. have -not, claimed. this, exemption during • the 1' 0 last three years. 0 tam exempt under Sec. . B & P.C. 1 for this reason -1 I 0- , ,- jr - r-.. C -5 - . "t4 ri)ia1tt2 - 'EJ thereby affirm that I have acertilicare or consent to C sell-insure. or a certiticateot Workers Compensation In. - -. svrance. or-a certified copy thereOt (Sec. 3800. Labor Code) I , POLICY NO. COMPANY - —s Copy is tiled with the city CD Certified co?y' ish;ta~rey.lul~~,She~, Ulf O ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE. .(This section need not be completed if the permit I - ' - ' ''islor one hundred dollarS 101001 or less) LU I D' I certify that in the performance 01 the work for which I this permit is issued. I shall not employ any person in any 0 - manner so as to become subject to the Workers' Compen. I sation Laws of California. - - - NOTICE TO APPLICANT: If. alter making this CeriticateI. - ' or Euemptien, you should become subject to the W'nrkers, Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shalt be deemed revoked.' - - -I - -t* '' •• '- - '•-"- - . - - I 'E! t .,..D- he r' - -'-" r" I L.1 t reby affirm that there is a Construction lending IX agency for the performance of the work forwhicfr this per. i Lu - oj M mit is issued (Sec. 3097, Civil Code)_ - Lender's Name - I - Lender's Addmess— CARLSBAD 'BUILDING DEPARTMENT C - APPLICATION & PERMIT — 2075 Las Palmas Or., Carlsbad/TA 92009-1915 (619) 438-1161 JOB ADDRESS . / ) AV. ST. RD. f){-IOMAS BROS NO. DATE OF APPLICATION BUSINESS LIC SE VALUATION PERMIT NUMBER LOT BLOCK SUBDI VISION ASSESSOR PARCEL NO. , CONTRACTOR CONTRACTORS PHONE # ZONE 7b? OWNER'S NAME - OWNER'SPHONE CONTRACTORS ADDRESS STATE LICENSE NO. - — BUILDING SO FOOTAGE OWN 5 MA A DDR ESS ILING 103 R e,%gs', DESIGNER'S PHONE I "1/v ai.O/28aQAJI~ F-7 co DES C RIP TI ON OF WORK -y "I I I. .F2T . OESIGNERS.AODR(SS - 1 STATE LICENSE NO. -- O 7955 0/29/89 0001 01 02 ' f1dPmt - 272100 F/P FLRELEv: NO 0CC OP EDU I STORIES D NO CENSUS TRACT 'PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' TYPE 0CC LOAD FIRE SPR AREA ' ' I ' - CONST - — "l - - -' ' * - 1 ______________ YO N 0 — V 0 ND YO ND Not Valid Un/eec Machine Certified - - OTY. t -- -' PLUMBING . PERM 'MECHANICAL PERMIT - ISSUE ço SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . \"- - PfdT\LL FURN DUCTS tiP TO 100 000 BTU BUILDING PERMIT 001-810-00-00-8220 - EACH BUILDING SEWER , . ' - OVER 100,000 BTU- ----- - - --SIGN PERMIT -- --- - 001'810-00'00'8221' EACH WAT'ER HEATER AND/DR VENT, - BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK - - 001-810-00-00-8891 EACH'GASSYSTEM'ITO4 OUTLETS . ' ' BOILER/COMPRESSOR 3.15 HP - , TOTAL PLUMBING 001-810-00-00-8222 -- EACH GAS SYSTEMS OR MORE '. F-- - -' - -METAL FIREPLACE - - .' -- - - - - . - - ELECTRICAL - - ' 001-810-00-00-8223' - EACH INSTAL., ALTER, REPAIR WATER PIPE , - VENT FAN SINGLE DUCT - MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER , - . ' MECH EXHAUST HOOD/DUCTS - MOBILEHOME 001-810-00-00-8225 - WATER SOFTNER RELOCATION OF-EA FURNACE/HEATER . ---- - - SOLAR ---- --- 001-810-00-00-8226 -- - -- - '- - EACH ROOF DRAIN (INSIDE) - . DRYER VENT • - STRONG MOTION 880-519-92-33 '1 I- - - TOTAL MECHANICAL - ' ' - - - - - - - 00'- -, FIRE SPRINKLERS - 001-810-00-00-8227 - - - - * -TOTAL PLUMBING - I - - -iJ,-' - PUBLIC FACILITIES FEE 320-810-00-00-8740 ------- - - BRIDGE FEE 360-810-00-00-8740 QT'o ELECTRICAL PERMIT - ISSUE. - QTY. MOBILE HOME SETUP - - PARK-IN-LIEU (AREA .NEW.CONST.EA AMP.'SWT.B ,..,, - . - CAR PORT • - .. . ii -- - - -- 312-810-00-00-8835 - IPH f' 3 P - . AWNING , LA COSTA hF 311-810-00-00-8835 EXIST BLDG EAAMP/SW1 - .- - - - - GARAGE ' - , ' FMF • ' - - 1PH F 3 P - . ' t LICENSE TAX -001-810-00-00-8162 - - REMODEL'ALTER PER CIRCUIT - •, ,. ' . - MFF 880-519-92-57 "TEMP POLE200 AMPS— -- .- - . - OVER 200 AMPS -' ,..TEMP OCCUPANCY (30 DAYS) - '-------- 4 . ' ' - . - - - —CREDIT DEPOSIT - ------ -- -) TOTAL ELECTRICAL /o. u. ' TOTAi - - =- . - ~-- w=~- I TOTAL FEES PAYABLE ~ --- - - . - 7 ' • 1 2-7-z.,./.-- -- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN 06*-IA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall limitation and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE frehbY 50" is not commenced within 180 days from the date 1 such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoriz permit47t sus it DEEP AND DEMOLITION OR CONSTRUCTION OF TRUCTURES OVER 3 STORIESN I*EIGHT building or work authorized by ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON ab o dat any time aBer the work is commenced for a period pended of 180 days. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND CONfRACTd.14— APPRO ED BY D E STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND — ANTI SIG *J (OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. V t BY PHONE JF03: X I TYPE I . DATE INSPECTOR - _BUILDING FOUNDATION REINFORCED STEEL MASONRY GUN ITE OR GROUT SHEATHING. 0 ROOF 0 SHEAR FRAME - - - EXTERIOR LATH - - - INSULATION INTERIOR LATH & DRYWALL -- PLUMBING I I t' I. UNDERGROUND 0 WASTE 0 WATER - - - - TOPOUT 0, WASTE 0 WAfER - TUB AND SHOWER PAN GAS TEST DWATERHEATER D.SOLARWATER.. - - ELECTRICAL - - O ELECTRIC UNDERGROUND 0 UFER\. - -, ROUGH ELECTRIC I IELECTRIC SERVICE 0 TEMPORARY O1S77 Ic M - O BONDING 0 POOL c- MECHANICAL 0 DUCT & PLEM., 0 REF. PIPIN HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ARQVE HAVE RFEN:'APPRO'VED\\..? FINAL PLUMBING ELECTRICAL MECHANICAL BUILDING / 1 SPECIAL CONDITIONS - - . -z - - - - --- - ' q 67/ . . . . FIELD INSPECTION RECORD .. . 1 •. - - P - REQUIRED SPECIAL. INSPECTIONs INSPECTORS NOTES INSPECTION RE Q. IF INSPECTOR'S - DATE 4 - - . CHECKED APPROVAL SOILSCOMPIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE - •• • _...1. •. - - .._• ... OVER 2000 PSI . • . - . PRESTRESSED I - •: • 1 . - • - - __SS. CONCRETE --PQST-TENSIONED -• - . -1••-.- - -_.•.,--- -. - . -----.---• - 1 'COhJd'RETE FIELD.WELDING .. .-.- . • . - • .- - - - .. . . - - •• - -. .HIGH STRENGTH-..!.- .t'V '--'-.- .•- ------ -..,---._.--------_---•- - .13OL14S.'... . '• . -. . c... ..__ SPECIALMASONRy •- - ________ -.- ___ .--- -- ____ -- - II-- -- - __ PILES CAISSONS .. ,.-1.•.----.-----_--. - -,. .- ... -- ------------:>--- -.---- -- .. _•\___ Z7, - 4 . , ... .. . - -. _•5..•-'I_,_•._ _________ ______________ - ..-.S. 4, '• ': '-':-- &\ - - S . X - _•. _•?''\) __ % ..- S '. l I _ \-i-' -v----- . _•. ________ 4.--' 4_,..--_._., ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619)560-1468 DATE: - C)69 JURISDICTION: PLAN CHECK NO: - 77/ SET: 22T PROJECT. ADDRESS.: . PROJECT NAME. \ eJ DAPPLICANT (L ITIN PLAN CHECKER []FILE COPY []UPS []DESIGNER 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 buildingcodes when minor deficien- cies identified are resolved and checked by building department staff. The.Fl.plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [II The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. E)The•applicant's copy of the check list is enclosed for the jurisdiction to. return to. the applicant contact person. 0 The applicant's copy of the check list has been; sent to: [ Esgil staff did not advise the applicant contact person that plan •check has been completed. Esgil staff did advise applicant that the plan check has been completed. Person contacted: Date contacted: Telephone # []REMARKS:______ By : closures: GA:. E AA LI VW C3 DM Date i889 Jurisdiction 0-9-4 ______________ Prepared by* VALUATION AND PLAN CHECK FEE Bldg. Dept. Esgil. PLAN CHECK NO.9 - 7/ BUILDING ADDRESS I C1, APPLICANT/CONTACT PHONE NO. BUILDING OCCUPANCY DESIGNER PHONE______________ TYPE OF CONSTRUCTION EU.. &) CONTRACTOR PHONE____________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air , Conditioninz Commercial Residential Res. or Comm. Fire Sprinklers . Total Value . 7T B u11d in cj Perm it r e e $ / &905-0 ± %', 5- .'O IX $ ' 'T9- Plan C heck F e e $ . $ C 0 M M C N 1 5: / UC.E..L / jr , 12/87 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08/09/2000 Commercial/Industrial Permit Permit No: 0B001022 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 241 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $89,040.00 Construction Type: NEW Applied: 03/21/2000 Occupancy Group: Reference #: Entered By: RMA Project Title: . WET SEAL-3180 SF TI Plan Approved: 04/25/2000 Issued: 08/09/2000 Inspect Area: * Applicant: ,Owner: MARYANN PERRY -' PLAZA CAMINO' REAL STE H -' C/O WESTF.IELD CORPINC 1327 POST AV 11601W1LSH1REBLVD TORRANCE CA 90501 LOS ANGELES CA90025 /00 0001 01 02', 310 328-6300 . . ,/n, C-PRMT 70923 Total Fees: $1,084.62 Total Pymei'its:To Date: $37539 iIance Dud: $709.23 I. /' \ •' Building Permit / (i"-Z / '$57.7.53 \ 'Add'l Building Permit Fee' / '$0.0O -Add'l R6IWater Con. Fee $0.00 Plan Check ( ( $375.39 7"2 Mtr F I o.00 Add'I Plan Check Fee $0.001 SDCWA'Fee p.00 Plan Check DStrong Motion iscount Q9 $000 CFD'Payoff"Fee $0.00 ( . Park Fee \ '$0.00 A PFF:(CFD Fund )t"\ / $0.00 LFM Fee \ $o.00L Lidense Tax \ f Q / /$0.00 Bridge Fee \ Licens'e Tax (CFD.Fund)J / $0.00 BTD #2 Fee \ \ $0.00? 'Traffic ImpatFee" / / $0.00 BTD #3 Fee S . \ $0.00 Traffic Impact (CFD Fund) / $0.00 Renewal Fee \$0.00 INC" .LMZJran5Poati0n Fee / $0.00 • AddI Renewal Fee \ $0.90 PLUMBING TOTAL It>/ $27.00 Other Building Fee \ ''$0.00-,ElECTRlCALTOTAL / $35.00 Pot. Water Con. Fee \ / 11 $0.00 MECHANICAL-TOTAL / $51.00 Meter Size // fl (aster.Dráinage Fj / $0.00 AddI Pot. Water Con. Fee $0.00 / / ç —M Sewer Fee:' (,, \ ,/ . $0.00 •, Red. Water Con. Fee . $0.00' Lf Redev Iarkiñg Fee: $0.00 TOTALPERMIT EEES $1,084.62 FINAL APPROVAL Inspector Date: __________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for, processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. - You ae hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. A01 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO Cji o-o !o- CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL.,5f(, o 1635Farada•Av.CrIsbad, CA 92008 IanCk.D,e'oit -• . Vaiidat4d~v fl . Date _C re r ,.' r ss (include B g/Suite () Business Name (at this, address) p '&6t i91 3/1 /00 0002 0 (\(gal Descri ion _ LotNo.SubdivisionName/Number _____-UnitNo. __PhaseNe'.GF:JotaI#ofun(39 Assessor s Parcel # Existing Use Proposed Use ./ Description of Work . of Stories -' # ofBedrooms #àfBathrodm - 2cQ.!]ACjRSoNftfth entappJicant) — - ___ _ cxrj \3Y1_S+i tj 1vrt ('/36J4?3 i Name Address City State/Zip T phone # Fax # - --- - -.-' 3. :APPLICANT fl ControrAgenttforcontractcr r. agent fp 'Name t'!4J.:( (i Address it - State/Zip Telephone # '.PROPERO.WNER J30 4-q- p Lo't WMS/-ftra iul 4+-çw L i :'WV z Name - .Address -- - .' City State/Zip Telephone r'#, (Sec 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement -that he is-licensed pursuant to the -provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or, that he is exempt therefrom, and the basis for the alleged - .exemptio An violaton o Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dolla'rs l$5001). —& - 1\)&tZ YiT Hc1 Ho - ?-MOt frl A,J pj'~ -Z53 Name - Address - City - - . State/Zip Telephone # - State Lièense #'License Class - - City Business License # - - I O o 14i )-EA'i) l ft2LkL,- wJc 51-. 1-0th 5 - 'Mo (p3 - 32- (3N) *.4 j - Designer Name' - Address . - City State/Zip Telephone'- State, Licene# Workers' Compensation Declaration: I hereby affirm under-penalty of perjury one of the following declarations: - C1 I have and will maintain a certificate of consent to self-insure foçworkers' compensation s providd by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as requireciby Section-3700 of the Labor Code; for the performance of the work for which this permit is - issued. My worker's compensation insurance darner and policy number are.- ,-Insurance Company.......... -- - Policy No. . . . Expiration Date • -. - 1(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) . . CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Comensation Laws of California... WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject en employer to criminaIpenalties and civil fines up to one huñdrd' thdusand dollars ($100,0 I a n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE -. . . . . - - DATE---------------------- I OthLDERDECLARATIONU -I hereby affirm that I am exempt from the Contractor's Licene Law- for the followirg reason: 0 I, as owner of the property or my employees withwages as their sole compensation, will do thework and the structure is not' intended or offered-far sale (Sec. 7044. Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon,' and who does such work himself or through his own 'employees, provided that such improvements are not'intended or offered-for sale. lf, however, the-building or improvement is -. so j 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the-project (Sec. 7044, Business and Professions Code: ,The i01Mactor's License Law does not app1yt0 an owner of property who ,builds or, improves thereon, and contracts for such' 'projects with 'contractor(s)' licensed- ursuant to'the Contractor's License Law). 0 I am exempt under Section "....' Business and Professions Code for this reason:' 1. I personally plan to provide the major labor and materials for construction 'of the proposed property improvement. C]-YES DNo ' - --2. 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 I address I phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide'th major work 'linclude harne / address I phone number I 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 /a . ddre!;C 1phô'ne number / type of work): PROPERTY OWNER SIGNATURE ____________________________________________ ' .DATE ' Is the applicant or future building occupant required to iubmit a business plan; acutely hazardous materials -registrationform or risk management and prevention -program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES - 0 NO - A Is the appliant or future building occupant-required to obtain a permit from the air pollution control district or air, quality management district? 0 YES 0 NO Is the facility to beconstriicted within 1,000 feej 0f the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT B'E ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE - REQUIREMENTS.OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I8CONSTRUCflNDJAGENCY — - 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 — _ I certify that ,l have read the application and ,state that the above information is correct and that the informationon the plans is accurate. I agree to comply with all City ordinances Land State laws relating to building construction I hereby authorize representatives of the Cit' of Carlsbad to enter upon the above mentioned property, for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND' KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. -OSHA; An OSHA permit is required for excavations over 5'q" 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 Cod6, shall expire, bylimitation,and become null and void if the building or work authorized by suáh' pérmit is not commenèd within 180 days from thedate of such permit or if thebuilding orwork authorized by such permit is suspended or abandoned at anytime after-the work-is commencedfor a peripid of 180 days (Seétion 106.4.4 Uniform Building Code). APPLICANT 's SIGNATURE LQPtzJ A )_Jh2h'?)IgQ2 DATE WHITE: File YELLOW: Applicant PINK: inance City of Carlsbad Bldg Inspection Request For: 10/19/2000 Permit#. CB001022 Title: WET SEAL-3180 SF TI Description: Type: TI Sub Type: COMM Job Address: 2525 EL CAMINO REAL Suite: 241 Lot 0 Location: APPLICANT MARYANN PERRY Owner: PLAZA CAMINO REAL Remarks: Total Time: Inspector Assignment: TP Phone: 8582324396 Inspector: Requested By: ED DAY Entered By: CHRISTING CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Associated PCRs PCROO137 ISSUED Inspection History Date Description Act lnsp Comments 101.17/2000 44 Rough/Ducts/Dampers WC TP 10/17/2000 89 Final Combo CO TP 9/28/2000 17 Interior Lath/Drywall AP TP WALLS & 1 HR CORR. 9/27/2000 14 Frame/Steel/Bolting/Welding AP TP STORE FRNT. SOFFIT 9/27/2000 14 Frame/Steel/Bolting/Welding AP TP SUPP. CElL 9/27/2000 17 Interior Lath/Drywall AP TP DRESS RMS 9/27/2000 34 Rough Electric . AP TP CElL & S.F. SOFFIT 9/26/2000 14 Frame/Steel/Bolting/Welding CO TP 9/26/2000 34 Rough Electric CO TP 9/14/2000 14 Frame/Steel/Bolting/Welding AP TP EXT. S.F:WALLS, STOCK & DRESS RM 9/14/2000 34 Rough Electric AP TP 9/13/2000 14 Frame/Steel/Bolting/Welding NR TP NEED APR. REV.'/DTL. 9/13/2000 34 Rough Electric NR TP 9/11/2000 14 Frame/Steel/Bolting/Welding CO TP 9/11/2000 34 Rough Electric CO TP EsGil Corporation' In, Partnership with government for Building Safety DATE: 4/21/00 JURISDICTION: Carlsbad PLAN CHECK NO.: 00-1022 SET: II El A ICANT JURIS. ZREVIEWER o FILE PROJECT ADDRESS: 2525 El Camino Real Ste. 241 PROJECT NAME: Wet Seal 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. LII The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. j 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: S Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person LI REMARKS: By: Mike Puckett ' Enclosures: Esgil Corporation GA D MB E EJ fl PC 4/17/00 trnsmtl.dot 9320'Chesapeake Drive, Suite 208 •. San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 00-1022 4/3/00 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 00-1022 PREPARED BY: Mike Puckett DATE: 4/3/00 BUILDING ADDRESS: 2525 El Camino Real Ste.241 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: 11-N BUILDING PORTION BUILDING AREA (ft 2) VALUATION MULTIPLIER VALUE ($) Tenant Improvement 3,180 28.00 89,040.00 Air Conditioning Fire Sprinklers TOTAL VALUE 89,040.00 1994 UBC Building Permit Fee U Bldg. Permit Fee by ordinance: $ 577.33 1994 UBC Plan Check Fee U Plan Check Fee by Ordinance: $ 375.26 Type of Review: Complete Review Structural Only Hourly LI Repetitive Fee Applicable Other: Esgil Plan Review Fee: $ 300.21 Comments: Sheet I of I macvalue.doc 5196 5500 . INCORPORATED 1952 >/c Plan Check Revision- Fee------ .,, City-of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/25/2000 Plan Check Revision Permit No:PCROO137 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PCR Status: ISSUED Parcel No: 1563020900 Lot #: 0 Applied: 09/12/2000 Valuation: $0.00 Construction Type: NEW Entered By: JM CR Plan Approved: 09/21/2000 Issued: 09/25/2000 Project Title: PLAZA CAM REAL-WET SEAL Inspect Area: CHANGE LIGHT PLAN & STORE FRONT FRAME Applicant: Owner: , DAY ED PLAZAS CAMINO REAL 9o50 O iO C'i. 31 ' C/OWESTFIELD COP INC 55'00 5002 KILKEE STREET 11601.WILSHIRE1BLVD SAN DIEGO CA 92117 - LOSPGEhES 6A0á25 - 619-200-2075 Total Fees: $55.00 Total PaymentsiTo Date: $0:00 '\ Balance Due: \ $55, 00 FINAL APPROVAL Inspector: Date: . Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exacons of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION ;' PLAN CHECK NO 3 7 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Farada' Ave., Carlsbad, CA 92008 •. L~vj, Plan Ck. Deposit,, , .1 Validated By : Date ••'L , PRJN,ERMAJI,QN......,f. C7-SL5 L C4ii'Jo .jL' Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number • Unit No. Phase No. Total # of units ( Assessor's Parcel # - . Existing Us ,"j Jropose Use / NATJ&E Li -t 0; 'L*'J / 174/eL1 "Vail .Description of Work - SQ. FT. L/ #of Stories # of 8'edrooms .#jBathrooms CIE .'' ,, r ..: '•° ' DnD ik 22.117 (iM z,o-L7oc Name . . Address City State/Zip Telephone # Fax # oV Name Address . City . State/Zip Telephone # Name . - . Address . City State/Zip. - Telephone # =N.CCF PA - - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to 'file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9,' commending with Section 7000 of Division 3 of the Business and Professions 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 thd applicant to a civil penalty of not more than five hundred dollars l$5001). Name - Address City ' ' State/Zip Telephone # State License # , License Class City Business License # . • Designer Name Address , City State/Zip Telephone State License # ECffA 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 workes' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this'permit is issued. My worker's compensation insurance carrier and policy number are: - - Insurance Company ' ' Policy No. - . Expiration Date' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS, ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the, performance of the 'work for which this permit is issued. I shall not 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 sh'a!I subject an employer to criminal penalties, and civil fines up to one hundred thousand dollars ($100,000). in addition to the ,cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE - - OWFiFRi?iitDERbECL4AATION ,, "' I hereby affirm that I am exempt from the Contractors License Law for the following reason: 0' I, as owner of the property or my employees with wages as their sole compensation, will do the work' and the structure is not intended or offered for sale (Sec. 7044, Business and Prof essiori's Co'de: 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 improvenent 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). I,"as owner of the property; am exclusively contracting with licensed contractors td'construct the project (Sec. 7044, Business arid Professions' Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). o I am exempt, under Section - Business and Professions Code for this reason: , I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO . I (have / have not) signed an application for a building permit for the proposed work. . , • . • - .1 have contracted with the following person (firn) to provide the proposed construction (include name / address / phone number,/ contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate,, supervise and provide the major work (include name / address / phone number / contractors license number): .' ' . . , ' • ' I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ' ' . ' . I . '• - PROPERTY OWNER SIGNATURE .. DATE _ ',.. ... Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention 'program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0: YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY' MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL' DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ' LENDER'S ADDRESS JCRTIFICAT * I certify that I have read the application and state that the above information is corrct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.' I hereby authorize representatives of the Cit' of Carlsbad to enter upon the above mentioned property for inspection purposes. "I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50" 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 comme3pd 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 commen..y' pe - d f 186days '(Section 106.4.4 Uniform Building Code). at any time after the work is commen&P peg6d - ,APPLICANT'S SIGNATURE -' __' - DATE - ' ' WHITE: File YELLOW: Applicant PINK: Finance - ' • ' . - ell I I ETiGiFCorporation In Partnership with Government for Building Safety DATE: 9/25/00 0 NT JURIS. JURISDICTION: City of Carlsbad . U PLAN REVIEWER 0 FILE PLAN CHECK NO.: 00-1022. PCR-137-2 SET: I PROJECT ADDRESS: 2525 El Camino Real Suite 241 PROJECT NAME: Retail. TI -Wetseal , 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. J 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. fl The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: . ) Fax #: Mail Telephone Fax in Person 1 REMARKS the Applicant to carry plans directly t City of Carlsbad and add revised sheet 100, EI01 and E102 to the city sets y: Doug Moody . Enclosures: Esgil Corporation 0 GA 0 MB Q EJ 0 PC LOG trnsmti.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576