HomeMy WebLinkAbout2525 EL CAMINO REAL; 242; STE 242 PRE 2016; PermitMODEL NO.
d
.5
BUILD!SIIG PERMIT APPLICA
0
TION
City of CARLSBAD, CALIFORNIA 92008 2 '79 49a 2.00 BP
Applicant to complete numbE 'red spaces only. Phone 729-1181 Permit No "
JOB ADDRESS
2' 1- /f/i' O ~// 41 I ASSESSORS IPARCEL NUMBER
LEGAL 1DESCR.
LOT NO. I I
I BLK I TRACT I ILISEE ATTACHED SIIEETII
BOOK
I I
PAGE PAR. I
I OWNER MAIL ADDRESS 2 ZIP PHONE
CONTRACTOR "A
K
_________ STATE LIC. NO. LIC. No. IL ADDRESS
&' O
cE
/Yd ///4 V7Z41g /
._
2
OE LICENSE NO. ARC ITECT OR DESIGNER -MAIL ADDRESS
4v
PH
)
ENGINER MAIL AéDRESS 5 -PHONE LICENSE NO.
COMPENSATION INS. CARRIER . MAIL ADDRESS 6 - BRANCH
USE OF BUILDING
NO. BORMS . NO. BATHS__________
8 Class of work: 0 NEW LI ADDITION LTERATION LI REPAIR LI MOVE LI REMOVE
9 Describe work:
10 Change of use from 4
Change of use to S Ut
11 Valuation of work: $ '7) /LAN CHECK FEE $/7. II ,14 'MIT FEE $ 2?'7
SPECIAL CONDITIONS: ype of Ocst 'y
MICRO FILM FEE
,
anc
-
Size o 9.
(Total) Sq. Ft.
No. of
Stories
Max.
0cc. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required LIves LINo TiON ACCEPTED BY 1PLANSCHECKEDBY
DATE9
RICE BY
No. of
Dwelling Units
-
OFFSTREET PARKING SPACES
No. INo.
Covered 'Sq. Ft. IOpen
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
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANkNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT)F To VIOLATE OR CANCEL THE ,. PROVI5I1OIIS OF NY OR LOCAL LAW REGULATING
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ENGINEERING DEPT.
WATER DEPT.
- C OF CONSTRUCTION. ON7' I4tTI*IJ OR
'?/'// 1-71
F CONTRACtOR OAU'THORIZED AGENT IDAEI B'
SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) -
- WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,0
TOTAL FEES $
_SSV ...-, '.. • . IS _________________________________________________________ . .• -. S •
.' TOTAL FEES , $ - SIGNATURE OF OWNER (IF OWNER BUILDER). (DATE).
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION c.. M.O. CASH 'PERMIT VALIDATION -. CK. M.O. CASH
/3A
* .N. ... •.S.. — •S-.SA s, i .1 ... ..i 5, 4.- s-s -..
JOB ADDR LBS . 52c Et 4J) JAt. .. .
LEGAL LOT NO.6L
' TRACT I DESCR.
OWNER MAIL ADDRESS
2- oc.tS S P .-- PHONE
CONTRACTOR . $ MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. -• ?1 Jq L. k3'V.-t 't'ió 'ARCHITECT OR DESIGNER • MAIL ADDRESS PHONE LICENSE NO.
4-
ENGINEER .J. - . . MAIL ADDRESS PHONE LICENSE NO.
'-COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH -
USE OF BUILDING .
. . 7
8 Class of work: '(NEW LI ADDITION LI ALTERATION LI REPAIR V .
. . Describe work: S . . . . .
.
.•
PERMIT FEES
No. Type of5Fixtüre or Item ; 'Fee
SPECIAL CONDITIONS: . . V 5- WATER CLOSET (TOILET)
S.-.
BATHTUB j )•• V
-. . .• V LAVATORY (WASH BASIN)
JA
-
S I SHOWER V •?• ...
- V - . V • KITCHEN SINK & DISP. .5- 5•V .\. S . DISHWASHER APPLIC'J A$EPTED ev PLANS CHECKED DY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY V -
- CLOTHES WASHER 3 a -
DATE f WATER HEATER •: '
NOTICE V URINAL V.
DRINKING FOUNTAIN . .
.
. .j THIS PERMITVBECOMES NULL AND VOID IF WORK OR CONSTRUC•
TIONAUTHORIZED IS NOT COMMENCED WITHIN 120 DAYSSOR IF — F — I R Al LOOP S NK 0 DRAIN — CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
. SLOP SINK PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM.
MENCED. . .,
V GAS SYSTEMS: NO. OUTLETS__________ ,. — I HEREBY CERTIFY THA-T. I HAVE READ AND EXAMINED THIS
— WATER PIPING & TREATING EQUIP. • — —
APPLICATION AND KNOWHE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDIN CES GOYERNING THIS
WASTE INTERCEPTOR
TYPE OF WORK WILL BE COMPLIED WI WHETIER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
VAÜUMBREAKEVRS 4á*'
.
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW-REGULATING
'LAWN SPRINKLER SYSTEM
CONSTRUCTION OR. THE PERFORMANCE OF CONSTRUCTION.
I t 1' - " . • - • - I' , ., . • I
, - •. .. '.-1SEWER
'S ,- • V V S . NUMBERCLEANOUTS'''
—
CESSPOOL
- • . V
SEPTIC TANK : PIT
.
ROOF DRAINS 5I3NATURL OF CONTRACTOR OR AUTHORI
,
fr€D AGENT . (DATE)
" ' ,' ISSUANCE FEE - $
PLUMBING PERMIT-APPLICATION .
City of CARLSBAD, CALIFORNIA 92008W'1Th BP
AppIica io.complete nwi bered spaces only. , Phone 729-1181 Perm No2' 7d"
INSPECTOR
USE BALL POINT PEN AND PRESS FIRMLY
ELECTRICAL PERMIT APPLICATI0Fi1:i,
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS
LEGAL
I OESCR.
LOT NO. BLK. TRACT (ESEE ATTACHED SHEET)
OWNER MAIL ADDRESS - ZIP PHONE
2 S
CONTRACTOR
,
MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE,NO."
k j,2---- c. /
ENGINEER Y MAIL ADDRESS / PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
1
8 Class of work: El NEW El ADDITION '1/ALTERATION El REPAIR
9 Describe work:
PERMIT FEES
SWIMMING POOL WIRING,
No. Each Fee
SPECIAL CONDITIONS.
-
NO INCREASE IN SERVICE
I'
IP41 v jiq
NEW CONSTRUCTION, FOR EACH
SERVICE, SWITCH, AMPERES
FUSE ACCEPTED BY: OF MAIN
APPLICATION PLANS CHECKED BY APP1 VED FOR ISSUANCE BY OR BREAKER
DATE! NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
NOTICE j IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. , IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
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 TEMP. SERVICE UP TO AND INCLUD-
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/ li/i / TEMP. SERVICE OVER 200 AMP, ( PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT I(DATE)
/ ISSUANCE FEE 7.
TOTAL FEES
-
'-el "q 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
BLDG DEPT ( WHITE) APPLICANT (PINK) TEMP. FILE (GOLD) INSPECTOR (MANILLA HARD COPY)
I
.
,4 -Se' 71
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA $2008
Aoa/icant to comPlete numbered soaces on/v. Phone 729-1181 ,' IN .
JOB ADDRESS . . . . - . -
_•__.
66 .225 -49/,1A7 ,e4r-,- Z/Z: 0 Ti
LEGAL I DE SCR.
LOT NO.
-
.
BLK TRACT .
.
. .......MW I I# u/ ' - - (SEE ATTACHED SHEET)
..
/ 5 Qu . S.
- OWNER MAIL ADDRESS
2 /
ZIP PHONE
CONTRACTOR . MAIL ADDRESS , '
4cz
PHONE . STATE LIC. NO. CITY LIC. NO.
P'7
ARCHITECT OR DESIGNER -. . MAIL ADDRESS
4. PHONE LICENSE NO.
ENGINEER
5
. . MAIL ADDRESS. -
t (c ., . .
PIONE LICENSE NO.
..,
LENDER U - . MAIL ADDRESS
6 : ..
BRANCH
. V .
USE OF BUILDING
7
8 Class ofwork: - NEW LJADDITION LI ALTERATION LI REPAIR
*
9 Describe work:
Type of Fuel: Oil LI Nat. Gs LI . LPG. LI
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment A Fee
I / Air Cond. Units—H.P. Ea 7. 7
. Ref rigertion Units—H.P. Ea.
- Boilers—H.P. Ea. - - -
V V . Gas Fired A.C. Units—Tonnage Ea.
- .. . Forced Air Systems—B.T.U. M Ea.
APPLICATION ACCEPTED BY:
-
PLANS CHECKED BY
.
APPROVED FOIISSUANCE BY
I AI
Gravity Systems—B.T.U. M Ea.
FloorFurnaces—B.T.U. M
Wall Heater—B.T.U. M -
NOTICE . I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR -A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. •• V, .
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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/
£N ORORAU tEN
Unit Hebters-8.T.U. V V M
Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Clothes Dryers V -
Ventilation Fan oo
Range g
-
-
-
Air Handli Unit— C.F.M.
Incinerator V
- -
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
- -
'
74I7
T
ISSUANCE FEE $
TOTAL FEES $ / SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
- V WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. V M.O. V CASH PERMIT VALIDATION CK. - M.O. CASH 'l -
IIqF RAIl PAINT "Pfl flNIV L PRrcS MARfl APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
D I heeby affirm that I am licensed under
provisions of Chapter,9 (commencing w11h
Section 7000) of Dlvision"3 of,the Business
end,Professions Code, and my license is In
full force and effect.
La. .ijc. No. Class
.-."-
I hereby, affirm. that. I am exempt from the. Centrac-
*".tOr's License Law for the following reason (Sec. 7031.5
'. Business and Professions Code: Any city or county which re-
- quires a permit to construct, alter, improve, demolish, or
repair any structure, prior toils issuance also requires the ap-plicant for such permit to tile 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 30t the Business and Professions Cede) or that is ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub' - edo the applitant to a civil penalty of not more than tine hun-dred dollars ($500).
- 01, as owner of the preperty, or my employees with wages
- as their sole compensation, will do the work, and the struc-
ture is not intended or offered for sate )Sec. 7044, BuOindss
And PretOsslons Code:; The Contractor's License Law does' .. I.
5 . oot.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 Intend- -
w 'ad or offered for sale. It, however-the building or Improve- - Z moot is sold within one year of completion.-the owner-builder 3 . will have the harden of proving that he did not build or im-
prove for the purpose of sale).- - a - - "; .. ' r. - 'a C •
01, as owner of the property, urn eoclosivety contracting with licensed contractors to construct thO project )Sec. 7044,
Business and Professions Cede: The Contractor's License -
- Law does not apply to an owner of property who builds or im-
t prsnes thereon, and who.cuntructs for each projects with a CO . centractor(s) -license 'pursuant to the Contractor's license Law) -
... .
'(so As a homeowner tam Improving my home, and the follow- 4 .-'- log conditions exist:
r . 1-v The work- is being performed prior to sale.
2. I have'tived in my home for twelve months
— prior to completion -of this work.-
'., 3. • I have not - claimed this exemption during the O - last three years. ..
lam exempt under Sc1 X 1 ,8 & P.C. for this reason - - -
.. -. '•-•.' -
I hereby affirm that I have a certificate of consent..
to self.insure. or a certificate - of Workers
Compensation tnsurance, or a certified copy thereof
- (Sec. 3800: Labor CT,)..,
- . I•t . -
z POLICY NO.
2 . 'COMPANY'-"-• ': -
- 0 Copy is filed with the city. - - Z .'
- ILl .0 Certified copy, is hereby furnished. -
. • ii• l-' r'
, - CERTIFICATEOF EXEMPTIOFi'FROM
• 'WORKERS' COMPENSATION INSURANCE
- (This section need not be Completed it the permit
p is for one hundred dollars ($100) or less)
cc
'
0 I cerlify'thaf in the performance of the work for
a which this permit is issued. I shall not employ any 3 person in any manner so as to become subject to
-, the Workers Compensation Laws of California ; -. . .,s ' - . -
NOTICE TO APPLIC
-
ANT:
.
,lf,
-
after' making this Ceti
ficate of Exemption, yo.i should become subject to
, the Workers Compensation provisions of the Labor
- Code. youmust forthwith- comply with - such
provisions or this permit shalt be deemed revoked.
0-I CheeDy affirm that there is a Construction
Lu lending agency for the performance 01 the wOrk to, -
Which this permit is issued (Sec 3097, Civil Code)
I' - Lenders Name -
k
Lender's Address
- CARLSBAD BUILDING DEPARTMENT -
-. :-APPLICATION& PERMIT • ' -
-
- 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 , . - .- -. • • . - . . ..
JOB ADDRESS , AV. ST. DATE 9F APPLICATION BUSINESS LICENSE # VALUATION , PERMIT NUMBER
RD.
40QE.,,_,, OWNER'S NAME - OWNER'S PHONE CTRACTOR CONTRACTON RSPHONEC
OWNER'S MAILING ADDRESS CONT ACTOR'S ADDRESS LICENSE NO. PLAN I.D. # ' BLDG USE CODE
LOT BLOC'k SUBDIVISION ASSESSOR PAFICELNO. DESIGNER LICENSE # STANDARD PLAN # . BUILDING SO. FOOTAGE I
£7z__-/6,&) / •; ,•7 . . - DES PT ION OF WORK
DESIGNER'S ADDRESS
4O
DESIGNER'S PHONE
71q 's -
- - - . .•
---'-•.. ._- - —' flD
F/P FLR,ELEV.
-, - - .
- NO
STORIES
DCC CF EDU
- ,
-
.29QO U 7t5
0(2--Us'YO ND .L___
-
'•' . . 6. 0 FIRE SPA •_ CENSUS TRACT OP LAND USE PARKING SPACE ABS UNITS GRADING PERMIT ISSUED R EDEVELOPMENT - TYPE 0CC LOAD
AREA . . ' CONST , .. -C - , -
Y 0 N 0 YO NO YO NO Not Valid Unless Machine Certified
- - - .• - - .w•.t•. . - . -- .• .- -. .-..-'. . S - • . ., ' .. -
-QTY. PLUMBING-PERMIT - ISSUE
- . -
. 7 I —.--
QTY.
-__
MECHANICAL PERMIT -.ISSUE —
, .
SUMMARY/ACCOUNT NUMBER
—
EACH FIXTURE TRAP ,/" / . , ' INSTALL FURN. DUCTS UP TO 100,000 BTU . BUILDING PERMIT 01-00-00-8220 - - a C
EACH BUILDING SEWER ' -- - -. , - - 4 OVER 100,000 - - - -- SIGN PERM)T s. O1-O0-O0-8221
.--_---.$o EACH WATER HEATER AND/OR T . - BOILER/COMPRESSOR UP TO 3 , • '. • PLAN CHECK - 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 TLETS . . BOILER/COMPRESSOR 3.1 P - - TOTAL PLUMBING 01-00-00-8222 _________
EACH GAS SYSTEM - MORE • - • . • '- METAL FIREPLACE- - , • - '- - - ' - - ELECTRICAL ' 01-00-00-8223 - - - —
EACHINSTAL.'._ ER, REPAIR WATER PIPE , - - - - VENT FAN SI E DUCT - . . -. - • MECHANICAL _01-00-00-8224
- EACH V_UUMBREAKER MECH E AUST -HOOD/DUCTS MOBILEHOME 01_00008225
W_RSOFTNER - _. _ - RE_ATIONOFEAFURNACE/HEATER,.-- _- . - __- _- -MOB)LEHOME.PARKINSP
- EA CH-ROOF DRAIN NSIOE) ''-•,-- - SOLAR 01-00-00-8226 -
- __- TOTAL MECHANICAL
.._-_•_._. _____• ._--
STRONGMOTION 8092_330519 -s
TOTAL PLUMBING- •• .. FIRESPR)NKLERS . 01-00-00-8227.,_. •
- - . - - . - , • . -PUBL)C FACILITIES FEE 32-00-00-8923'
QTY .- - ELECTRICAL PERMIT ISSUE L 5.. QTY. - . SOLAR -ISSUE BRIDGE ''-'• FEE ' -
NEW_CONST_EAAMP/SWT/BKR v • I COLLECTORS _C SCHOOLFEE _D)STRICT
PH.' _'3PH -. STORAGE TANKS -. - Carlsbad 80-b2-21-0519
-EXIST-BLDG EA AMP/SWT/BKR ' ROCK STORAGE Encinitas '80-92-22-0519 -
1PH,---3PH ' __- . PUMP - :.- SanDieguito --80-92-23-0519
REMODEL/ALTER PER CIRCUIT , - ', PLANCHECKFEE , - -San Marcos -'80-92-24-0519
TEMPPOLE"200AMPS _
.., • . ---,
__________
OVER200AMPS ---- _- __-- ,''' .'I --- ' Z.00'
TEMP OCCUPANCY 30 DAYS)
TOTAL ELECTRIC AL _r __j -TOTAL3LAR__ TOTAL FEES PAYABLE
—
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Q Expiration. Every permit issued bytheBuilding Official under the provisions oflhis - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE .5.0.. DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCTURES OVER 3 STORIES IN HEIGHT permit, or if the buildi k ay1horizpff-N
such
is suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoneda_nytim_er,thewoplOis_mencd for aperiodof180'daya. ._
KEEP CONTRACTOR
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY "'N AP SIG RE APP PED BY
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE - -
•
7/_
BY PHONE7D /_ GRANTING OF THIS PERMIT
V V '-V - ,•r
- 1 -
-. . . t•.., V - .- _:-' .V - . V
FIELD INSPECTION RECORD
V REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES
INSPECTION NS REQ. IF INSPECTORS DATE
- V V - • V
CHECKED APPROVAL V -
-
SOILS COMPLIANCE V
PRIORTO V FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED V VTVV•• . V -
V
CONCRETE
FIELD WELDING
HIGH STRENGTH BOLTS V
SPECIAL MASONRY
V
-
-V.- V ,• - - .-' c
PILES'CAISSONS • V . V V -V . .. -
V
- V - .- - r • :. • -._.-..
a .
— • V •V - VV_ 4
V •-V_ -V
- - - "( V - •_
V - -_ •' V - V - .V —. - •- ........-V .- - -V -.
-
a-
V
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-.
__i_______iV
- -. .
V • .- V.
,-.t * - — - - V • V
V .• a • . t._V .•S •• " - ...V
L .• . • - .-;, a - V - - .
- ..,*.,.,.•.-•. _____
V
tu rrinti rvp DATE INSPECTOR
-BUILDING - - —
FOUNDATION
REINFORCED STEEL
MASONRY - -
GUNITE OR GROUT -
FLOOR & CEILING SUB FRAME
SHEATHING - - i- -
FRAME •. - _____ _______
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL - -
PLUMBING
V
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST .. -.
- ' ELECTRICAL - -
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC V
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR
- MECHANICAL- V
DUCT .& PLEM., REF.- PIPING . --i-.,---- -.
HEAT - AIR COND. - SOLAR SYSTEMS -
VENTILATING SYSTEMS - ]VV V
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL.. V
3 :'. MECHANICAL - V
GAS
BUILDING.
SPECIAL, CONDITIONS V V
CERT OF OCCUPANCY ISSUED
U
P
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 122
SAN DIEGO, CA 92123
(619)560-1468.
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VALUATION AND PLAN CHECK FEE
VT A ?.3 f' Uf' V M t
/
Date:
PreDa Bldg. Dept.
D Esgil
BUILDING ADDRESS C2'4'2( CI7J/,4JO i9
APPLICANT/CONTACT 74'2e12ZO S7 4'4PHONE NO._______________
BUILDING OCCUPANCY - DESIGNER PHONE_____________
TYPE OF CONSTRUCTION CONTRACTOR PHONE___________
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
Z'/,,i
Res. Baths (over 3) @2,200
Res.Firep1aces(°' @ 1,760
Air Conditioning
Commercial @ 2.'80
Residential 2.40
Res. or Comm.
Fire Sprinklers @ 1.50
Total Value
Adjustment for State-
Mandated Handicapped
Access Regulations
Building Permit Fee X 1.065.
Plan Check Fee $ ' x. 1.065 $
C 1)1-1 fl L N 1 5:
55 8/4/82
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-20-2002 Commercial/Industrial Permit Permit No: CB022141
Building Inspection Request Line (760) 602-2725
Job Address: 2525 EL CAMINO REAL CBAD St: 242
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Status: ISSUED
Valuation: $25,000.00 Construction Type: NEW Applied: 07/19/2002
Occupancy Group: Reference #: Entered By: MDP H : Project Title: BOOT WPRLD Plan Approved: 09/12/2002
RECONFIGURE SOFFIT & STORE FRONT Issued: 09/20/2002
Inspect Area: - Applicant: . Owner: - -:
LEHR JOHN —PLAZACAMINO REAL -6768 09/20/02 - dO WESTFIELD CORRJNC . 0002 01 02
11601WILSHIRE BLVD '.. :.
P06008792110 LOSANGELESCA90025 a944
619 665-9223
Total Fees: $419.31 J Total Payments To Date: $139.8fl / / Balance Due: $279.44 / \' if'_ •'-t'( \
-. . / -
Building Permit f \ $215.19— Meter Size "\ \.......1
AddI Building Permit Fee (' / $0.00 AddI Recl.Water Con. Fee \ $0.00
Plan Check / / $139.87 /' $'MeterFde \ \ $0.00
AddI Plan Check Fee / $0.00 SDCWA Fee \ $0.00
Plan Check Discount'
Strong Motion Fee 7Park Fee \I E'
\ "
LFM Fee $000 License Tax,/ $0.00
Bridge Fee $0.PO\ License Tax (CFD Fund)_ . $0.00
BTD #2 Fee $0.01.0T --Traffic Irnact Fee-.<.. J $0.00
BTD #3 Fee $0.00 Tâffic Impact (CFDFund) J J $0.00
Renewal Fee \ ''-$0.00 j PLUMBING TOTAL / / $0.00
AddI Renewal Fee \ \ \ $0.00 - ELECTRICAL TOTAL / / $35.00
Other Building Fee \ N $0.00 MECHANICAL TOTL / / $24.00
Water Con. Fee \ $0.00 Master Drainage Fee / / $0.00- Pot.
Meter Size / / . \Sewer Fee / / $0.00
AddI Pot. Water Con. Fee ..._.. \ $0.00 Redev Parking Fee / / $0.00
Red. Water Con. Fee ( ' ".$O.00 COPAdditionaI Fees V * $0.00
EES
TOTAL PERMI
-
$419 31
ID
FINAL APPROVAL -
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively•
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. - .
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and 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
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. -
4 -
".p -, - .- - --
.••., ' ., , FOR OFFICE USE. ONLY.
PERhIT APPLICATION PLAN CHECK
CITY OF CARLSBAD BUILDING DEPARTMENT EST.-VAL.
1635 Faraday Ave., Carlsbad, CA 92008 . ,.. Plan Ck. Deposit
Validated By ,
'Date-
............................. 41 W
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No.
,
Subdivision Name/Number , , u• o7/1P N002 6rf51 #yfunits
Assessor's Parcel # ' . . Existing Use. . . . Proposed Use . 139 47
Descri iGn,of Work . SQ. FT. #of Stories ' # of Bedrooms . # of Bathrooms
DAentfQrCact O.'.rar D.A9nt for_0-1171 ___
-
'Address. City I eiepnone if
IT
.
(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 the applicant to a civil penaltyof not more than five hundred dollars l$5001).
Name . . :., . Address ' City , ' 'State/Zip ' Telephone #
State License # (_t7'2__. License, Class E) City Business License#
Designer Name Address . '.,.'. ' . ", - City ' " State/Zip Telephone,
State License #
ORKJcSJJNJJ_- '.. - •. - . ''
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. . . . .. . . -
'I have and will maintain workers' compensation as required by Section 3700 of the Labor Code, for the performance of the work fdr which 'this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company 5'i4.'I d4t'774115/2//4 Policy No. 0(w/5'''t7/ Expiration Dat e. /c>_-/
(THIS SECTION NEED NOT BE COMPLETEDIF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR' LESS)
C] CERTIFICATE OF EXEMPTION: I certify that.in the performance of the work for which this permit is issued; I shall not employ. any 'pr'son 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 subjeci an employer to criminal penalties and civil fines up to one hundred
'thousand d a ($1 .0 0), in addition to the cost of compensation, damages' as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATUR .'.,'' DATE !f'öW _uLD'b EC LARM1
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O I, as owner of the property or my employees with wages as,their sole compensation, will Sdo the. work and the structure is not intended or offered for sale
(Sec. '7044, Business and Professions Code: The Contractor's License Law does not apply tci 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 thef burden of proving that he did hot 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
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).
El 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 proposd property improvement. 0 'YES.' DNO
I (have / have not) signed an application for a building permit for the proposed work. ,
3, I have contracted with the following person (firm) to provide the proposed construction (include name'/ address / phone number /contractors license 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 woik):
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
progam under Séátions 25505, 25533 or 25534 of the Presley-Tanner Ha'zardo'us Substance Account Act? - '0 'YES 0 NO
Is the applicant or future,building occupant required to obtain 'aperrnit 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.-
[6,.s'-' CONSTRUCT!LENDING
I hereby affirm that there isa 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 I have read the application and state that the above information is correct 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 5'0" deep and demolition or construction of structures over .,3 stories in height.
EXPIRATION: Every permit issued by 'the b'uilding 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 such permit or if th'ë buildinor.work-authorized by such permit is suspended or abandon'ed
at anytime after the wo,rk',is commenced for apee 01 o 1 days (Section 106.4.4 Uniform Building Code)..
k.APPLICANT S SIGNATURE DATE 5 -
WHITE. File YELLOW. Applicant , PINK. Finance
City of Carlsbad Bldg Inspection Request
For: 03/14/2003
Permit# CB0221'41 Inspector Assignment: RB
Title: BOOT WPRLD
Description: RECONFIGURE SOFFIT & STORE FRONT
Type: TI Sub Type: COMM
Phone:
Job Address: 2525 EL CAM INO REAL
Suite:. 242 Lot 0
Location: - Inspector:
APPLICANT LEHR JOHN
Owner: CHASM ENTERTAINMENT INC <LF> PLAZA CAMINO REAL
Remarks: 'CAN YOU FINAL-THIS PERMIT?
Total Time: Requested By: CHRISTINE
Entered By: CHRISTINE
CD Description Act Comment
'19 Final. Structural '
Associated PCRs/CVs
Inspection History
Date Description Act lrtsp Comments
11/20/2002 13 Shear Panels/HD's AP RB' ON PLYWOOD NAILING '
11/20/2002 17 Interior Lath/Drywall WC RB
11/20/2002 34 Rough Electric , AP RB •'
11/04/2002 14 Frame/Steel/Bolting/Welding ' AP RB
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 9/10/02
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 02-2141
U APR ICANT
JURIS
0 PLAN REVIEWER
U FILE
SET: II
PROJECT ADDRESS: 2525 El Camino Real. Suite 242
'PROJECT NAME: Boot World - TI
Z The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
LI 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.
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. -
LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
LII 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
LI REMARKS:
By: Doug Moody Enclosures:
Esgil Corporation
El GA El MB [1 EJ El PC 9/3/02 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City ofCarlsbád 02-2141
7/31/02
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-2141
PREPARED BY: Doug Moody DATE: 7/31/02
BUILDING ADDRESS: 2525 El Camino Real Suite 242
BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: uN
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg..
Mod.
VALUE ($)
TI 180 City Valuation 25,000
Air Conditioning
Fire Sprinklers
TOTAL VALUE 25,000
Jurisdiction Code Icb IBY Ordinance I
1994 UBC Building Permit Fee 1
1994 UBC Plan Check Fee V
Type of Review: E1 Complete Review Structural Only
[1 Other El Repetitive Fee Repeats El Hourly Hour *
Esgil Plan Review Fee
Comments:
I $215.191
I $139.871
I $120.511
Sheet 1 ofi
macvalue.doc