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Home My WebLink About2525 EL CAMINO REAL; 250; STE 250 PRE 2016; PermitMODEL NO. BUILD1G PERMIT APPLICJION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Prm1t No JOB AODR ESS ASSESSORS 4 . PARCEL NUMBER LEGAL LOT NO, BLK TRACT Il:JSEE ATTACHED SHEET BOOK PAGE PAR. OWNER MAIL AD4RESS ZIP PHONE 2 CONTRACTOR MAIL ADDRESS PH,NE STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LiCENSE NO. 'B ENGINEER MAIL A PHONE LICENSE NO. COMPENSATION INS. CARRI R . ADDRESS BRANCH ) 6 USE OF BUILDING .4 /jo. BORMS_________ NO. BATHS_________ 8 Class of work: LHNEW EADDITION fl ALTERATION L] REPAIR El MOVE E REMOVE 9 Describe work: cy nn 111 . U, Y\~j c\IJ 10 Change of use from rifr Change of use to Ac' 11 Valuation of work: $ / — ,-: PLAN CHECK FEE $ ' PERMIT FEE $ , SPECIAL CONDITIONS. Type of .. Occupancy MICRO FILM FEE Const. Group Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load Fire ,, Zone Use Zone Fire Sprinklers Required Dyes ElNo APPLICATION ACCEPTED BY . PLANS CHECKED BY APPROVED FOR ISSUANCE BY FNo of OFFSTREET PARKING SPACES DATE 'z / '1 ,' DATE Dwelling Units NO o,ered 'Sq. Ft. Oen NOTICE Special Approvals Required Received Not Required PLANNING DEPT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT. FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) MENCED. ENGINEERING DEPT. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER DEPT. 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 CON STOCTION OR THE PERFORMANCE OF CONSTRUCTION. i/V Z( SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ' 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 TOTAL FEES $ INSPECTOR .•-• . INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK • • TRENCH REINFORCING • - • • - . FOUNDATION WALL & WEATHER PROOFING ________ • - - - CONCRETE SLAB • • • • • FRAMING • INT. LATHING OR DRYWALL ________ • - - EXT. LATHING • • MASONRY FINAL • USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. - -: . *1 . - WI ELECTRICAL PERMIT APPLICAT, T1145 7.01OCKTO N45 of lD .,(Q City of CARLSBAD, CALIFORNIA 92008 •- 5 Applicant to comølete numbered soaces on/v. Ph nn 790-11511 .106 ADDRESS 5__ J/ LEGAL 1 DESCR. LOT NO. BLK. I I TRACT j (EJSE.€ ATTACHED,SHEET) OWNER AlL ADDRESS 2 6ni 0 '/ /E ZIP PHONE CONT ACTOR MAIL ADDRESS 4 ' ñ PHONE STATE LIC. NO. CITY LIC. NO. kAf?vafrv' £/i'7 4c - 2/7 ~ 3 ,f 9 30 4'79 /51, ô5 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. COMPENSA/INS CARRIE' MAIL ADDRESS c BRANCH 6 . USE OF BUII!DING 1 8 Class ofwork: DNEW DADOITION EJALTERATION EJ REPAIR 9 Describe work: PERMIT FEES SWIMMING POOL WIRING, No. Each Fee SPECIAL CONDITIONS: NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER APPLICATIONACCEPTEOBY: (APPROVED FOR ISSUANCE BY: c ) 5LCHECKEDBY. . - NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IDATE NOTICE IN MAIN SERVICE, SWITCH, FUSE 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 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. (A TEMP. SERVICE OVER 200 AMP. PER 100 SIGNA TUr' NTRA (DATE) D; AUTHORIZED AGENT ISSUANCE FEE • • TOTAL FEES_BUILDER) SIGNATURE -OF_ OWNER _(IF _OWNER IDATE) VVFthN YKUEKLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION City, of CARLSBAD, CALIFORNIA 92008. Applicant to complete numbered spaces only. Phone 729-1181 1 PArm it NJ i JOB ADDRESS C-17$ / &9m1&i) l?c, LEGAL I LOT NO. I !BLK. I TRACT I (SEE ATTACHED SHEET) IDESC'R. I 'I OWNER MAIL ADDRESS 2 ZIP PHONE MAIL ADDRESS CONTRACTOR PHONE STATE LIC. NO. Ao& &/ctzi &'c CITY LIC. NO. rcv ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL ADDRESS . BRANCH 6 USE OF BUILDING 7 8 Class ofwork: NEW DADDITION 0 ALTERATION 0 REPAIR 9 Describe work: J PERMIT, FEES SWIMMING POOL WIRING, No. Each Fee SPECIAL CONDITIONS: NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER APPLICATION ACCEPTED BY: ,,, PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE DATE NOTICE ' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- IN MAIN SERVICE, SWITCH, FUSE OR BREAKER 5' 49, 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 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. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATUR 'ON . ACTOR OR AUTHORIZED ANT (DATE) ISSUANCE FEE FEE TOTAL FEES ( SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) ID.A]iY,1 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION ci. M.O. CASH' PERMIT VALIDATION CK. M.O. CASH INSPECTOR . •' PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Pprmt Nn JOB ADOR ESS S?ti 4 / LEGAL . oEscRLEGAL LOT NO. i I I TRACT I OWNER MAIL ADDRESS 2 / ZIP PHONE CONTRACTOR MAIL ADDRESS (j).. 7P PUOE STATE LIC. NO. CITY LIC. NO. 4. ZjPIA . 4/i 313 V' /fQ MAIL ARCHI CT OR DESI ER ADOiESS 4 PHONE / LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATION (NS. CARRIER MAIL ADDRESS 6 ç y / BRANCH USE OF BUILDING or 7 8 Class of work: 11 NEW U ADDITION E'RATION U REPAIR 9 Describe work: , PERMIT FEES No. I Type of Fixture or Item Fee SPECIAL CONDITIONS: 01.1 WATER CLOSET (TOILET) BATHTUB ______ LAVATORY (WASH BASIN) _____ SHOWER ______ KITCHEN SINK & DISP. _______ DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY ey— 21 APPROVED FOR ISSUANCE BY. LATE LAUNDRY TRAY CLOTHES WASHER WATER HEATER NOTICE 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL DRINKING FOUNTAIN FLOOR—SINK OR DRAIN - SLOP SINK GAS SYSTEMS NO. OUTLETS WATER PIPING & TREATING EQUIP. - HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR VACUUM BREAKERS - LAWN SPRINKLER SYSTEM --7 -SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS SI UREOF CONTRACTOR Oe)4II4ORIZEDAGENT O(DATE) ISSUANCE FEE $ TOTAL FEES A SIGNATURE OF OWNER _(IF _OWNER _BUILDER) (DATE) $ 07T. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH INSPECTOR I, INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DATE: RECEIVED BUILDING ADDRESS: GITTOF CARLSBAD Building Department LANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH___________________ UNITS ALLOWED UNITS PROVIDED____________________________ PARKING SPACES REQUIRED"PROVIDED-' % COVERAGE ALLOWED : PROVIDED BUILDING HEIGHT ALLOWED"- PROVIDED FRONT SETBACK:. SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED________________ INTRUSIONS LANDSCAPE & IRRIGATION ELAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: 1, ADDITIONAL COMMEM: t .OK TO ISSUE: DATP/(S/7f OK TO FINAL U DATE ENGINEERING DEPARTMENT R.O.W. IND ~ASTE ôe IMPROVEMENTS Ail+ ___________ SEWER C LOCATIONS_______________________ GRADING PERMIT . EASEMENTS DRAINAGE__________ LEGAL DESCRIPTION -R1 ADDITIONAL COMMENTS___________________________________________________________ OK TO'ISSUE:A..* DATE PWI OK TO FINAL DATE________ FIRE DEPARTMENT SPRINKLING SYSTEM 5UM7 FIRE PROTECTION EQUIP. Fé FIRE ALARMS ,J/4 EXITS FIRE HYDRANTS LOCATION - ADDITIONAL COMMENTS TO -) -7r OK TO FINAL DATE______ WATER DEP REQUIREME MODEL NO. BUILD1G PERMIT APPLICTIø N 792524 .I9700 BP L4 9/05 /79 I97.00 IL City of CARLSBAD, CALIFORNIA 92008' - Applicant to complete numbered spaces only. Phone 729-1181 Permit No. 7P92 ?9 JOB ADDRESS ASSESSOR'S PARCEL NUMBER LEGAL 1 DESCR. I LOT NO. I BLIc I I I TRACT . ISEE ATTACHED SHEET) BOOK I I PAGE PAR. M L ADORE —-' ZIP / )i Et PHONE 4aAdJQ C4.. CONTRACTOR MAIL ADORE 7ICt I P)ONE JSTATE LIC. NO. CITY LIC. NO. 1'yPy RCIIITECT OR DESIGNER - MAIL ADDRESS PHONE ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATI C MAIL ADDRESS 6 BRANCH . USE OF BUlL NO BORMS NO BATHS_________ 8 Class of work: U NEW U ADDITION TION U REPAIR U MOVE U REMOVE 9 Describe work: -t_.(_::7_44:'::::? Xi t/) CIO j714'1 10 Change of use from Change of use to )CR 11 Valuation of work: $ PLAN CHECK FEE $ //PERMIT F $ FIL2E SPECIAL CONDITIONS: Type of Const. Occupancy Group Size of Bldg. (Total) Sq. Ft ries Max. 0cc. Load ______________________________________________________________ Fire Zone Use Zone Fire Sprinklers Required UYes UNo APPL,O)CCEPTEO BY. DATE PLANS CHECKED BY APP R ISSUANCE BY DATE No. of Dwelling Units - OFFSTREET PARKING SPACES: No. N0. Covered Sq. Ft. Open 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 GIVE AUTHORITY TO VIOLA)FE OR CANCEL THE PROJASIS OF ANY OTHER STATE OR LOO'AL LAW REGULATING CONS CTION OR THE PERF0RMANC, OF CONSTRUCTION. Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. 9, SIGNATU'6frcONRAC'ÔR DR AUTHORIZED AG ENT (DATE) SIGNATURE _OF_ OWNER _Il-F_ 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 0' /Y7 TOTAL FEES REQUEST FOR INSPECTION TIME:_________ INSPECTOR____________________ PERMIT NO. DATE:_ JW71 ____________ OWNER- ADDRESS BUILDING El FOUNDATION S - El REINFORCING STEEL EJMASONRY El GROUT - GUNITE El. FLOOR AND CEILING FRAME El SHEATHING,: EJFRAME El EXTERIOR LATH Cl INSULATION El.INTERIOR LATH OR DRYWALL X FINAL PLUMBING ED UNDERGROUND PLUMBING El UNDERGROUND WATER El ROUGH PLUMBING El TOP OUT PLUMBING El SEWER AND PL/CO El TUB OR SHOWER PAN ED GAS TEST .ElWATER HEATER FINAL I ELECTRICAL El TEMPORARY SERVICE El ELECTRIC UNDERGROUND El ROUGH ELECTRIC El POOL BONDING El ELECTRIC SERVICE El CEILING HEAT Q G.F.I. El SMOKE DETECTOR I MISCELLANEOUS 1 El PLENUM AND DUCTS El COMBUSTION AIR El PATIO El SIGN El GRADING El DRIVEWAY El CONDITIONED AIR SYSTEMS El REFER PIPING FINAL READY FOR INSPECTION: 0 MONDAY TUESDAY OWEDNESDAY DTHURSDAY 0 FRIDAY .M. 0 P.M. SPECIAL INSTRUCTIONS REQUESTED BY HONE NO. PERSON TAKING REPORT MODEL, NO."_____________________ BUILDTNG PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No- JOB ADDR E ss 4j 7 g ASSESSORS PARCEL NUMBER LEGAL LOT NO. BLK TRACT (E:JSEE ATTACHED SHEET) BOOK PAGE P AR. 0Wr4'E.R. MAIL ADDRESS ZIP '4 PHONE CONTRACTOR - MAIL ADDRESS 3 I))ONE 'STATE LIC. NO. CITY LIC. NO. 7 / RCHITECT OR DESIGNER MAIL ADDRESS PHONE ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENS,LN INS. CARI SR 7 MAIL ADDRESS BRANCH 6 USE OF BUILDING NO. BORMS NO. BATHS__________ 8 Class of work: El NEW 0 ADDITION 'rcATION 0 REPAIR El MOVE El REMOVE 9 Describe work: 10 Change of use from Change of use to - - 11 Valuation of work $ (' -ERMIT PLAN CHECK FEES / 7 "I FE SPECIAL CONDITIONS. Type of J Const. V f' 4/ Occupancyf) MICRO FILM FEE y Group (Total) Size of BU S No.:Ofl Stories / Max. O:c:Load Fire Zone Use / P' Zone I. C.._.. Fire Sprinklers Required ElYes EINo APPLIçATIONCcEPTEo BY PLANS CHECKED BY APPRbVED'OR ISSUANCE BY No. of OFFSTREET PARKING SPACES 'r DATE DATE Dwelling Units - No Covered 'Sq. Ft. 1Open NOTICE Special Approvals Required Received Not Required PLANNING DEPT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT. FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) MENCED. ENGINEERING DEPT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER DEPT. 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'rO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSJRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) 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. CAS TOTAL FEES $ 0 INSPECTOR . . INSPECTION RECORD . c. DATE REMARKS . . INSPECTOR FOUNDATIONS: . . .. ,. . . SET BACK : . TRENCH . ... .• _____________ REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB ... .. .. FRAMING...........: INT. LATHING OR -DRYWALL EXT. LATHING MASONRY - . -• - 5 t - . ,,.. . . FINAL USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC. PLUMBING PERMIT APPLICATIOtIi City of CARLSBAD, CALIFORNIA 92008 171, Applicant to complete numbered spaces only. Phone 729-1181 Permit No. / JOB ADOR ESS 4I 2cO LEGAL 1.01 NO. TRACT [BL K &fLa MAI ADDRESS OWNER ZIP PHONE CON1 C A MAIL ADDRESS PHONE STATE LIC, NO CITY LIC. NO. TcCSJM NL'2O Lunv ZZ/bO ARCHITECT OR DESIGNER MAIL ADDRESS \PHONE LICENSE NO. ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPE SATION INS. C RI ER MAIL ADORE/S BRANCH 6 :SOI\- Q4J(j\v ç USE OF B 7 OINS 8 Class ofwork: bEW LI ADDITION U ALTERATION U REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APP tIIOCCEPtEDBY PLANS IAPPRQV\T ISSUNCE BY: LAUNDRY TRAY R ," . 'I }Jr 171 [ !OA1 CLOTHES WASHER WATER HEATER NOTICE URINAL P THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN 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. SLOP SINK MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GAS SYSTEMS. NO. OUTLETS 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM FLOOR—SINK OR DRAIN HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT - - PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING - SEWER NUMBER CLEAN OUTS CESSPOOL SEPTIC TANK & PIT ROOF OR Al N S SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT bATE) ISSUANCE FEE 3 BUILDER) (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER TOTAL FEES $_ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH INSPECTOR .:.MECHANICAL PERMIT -APPLICATION. - City of CARLSBAD; CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7291181 . .Permit No.2L~j_a .JOB ADDRESS S L CAj A L*2S5O L7 1 ESCM. LOT NO. BLK TRACT (IJSEEATTACHEDSHEET) OWNER . MAIL ADDRESS 'c?\ ci;p. Swii,c 401 tU ijü ZIP PHONE 91 2.0I CONTRACTOR ,.,' MAIL ADDRESS 1330 P110 E STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PIONE LICENSE NO. . LENDER MAIL ADDRESS BRANCH . USE OF BUILDING J 1 . 8- Class ofwork: DN1 ' 11 ADDITION 0 ALTERATION 12 REPAIR . . 9 Describe work - Type of Fuel: Oil U Nat. Gai U LPG. U PERMIT FEES SPECIAL CONDITIONS: - . No . Type of Equipment Fee Air Cond. Units—H.P. Ea. S... - Refrigeration Units—H.P. Ea. -. . -- ________________________________________________________________ Boilers—H.P. Ea. Gas Fired A.C. Units—Tonnage Ea. Forced Air Systems—B.T.U. MEa. APPEICAT.IOPdCCEPTE CHECKEOBY TBYLANS . ikk10 APPROVED FORISSUANCE BY: 't ' Gravity Systems—B.T.U. M Ea. - - + or Furnaces Wall Heater—BTU M - NOTICE/ . . THIS PERMIT BECOMES NULL AND VOID IF WORK ORCONSTRUC- 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATUWE'05F CONTRACTOR OR AUTHORIZED AGENT (DATE) Unit Heters—B.T.U: M - Evaporative Coolers - Clothes Dryers -. - - / Ventilation Fan . . R n Hood a ge - - Air Handling Unit— C.F.M. - - HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT . Incinerator - ISSUANCE FEE - TOTAL FEES $ - - SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) B,. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS.IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION . - CK. MO. - CASH - - ... . - ......... .- ......_ ,.. . . . - - INSPECTOR INTERDEPARTMENTAL INFORMATION SHEET . ii BUILDING IjEkARTMENT DATE: AUG 19779 BUILDING ADDRESS:. 5''$' 4 .QO CITY OF CARLSBAD ""'b .qJ._II LIuI;I PLANNING DEPARTMENT ZONE__________ LOT SIZE LOT WIDTH. UNITS ALLOWED UNITS PROVIDED PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED INTRUSIONS' LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: - . SCHOOL FEES: A DISTRICT: AMOUNT: ADDITIONAL C OM T : OK TO ISSUE:/ DATE///? OK TO FINAL __DATE_________ E NG I NEE RING DEPARTMENT L%14). w, 0-" T ô o j4_27 77Vff -( R.O.W.__________ INDUSTRIAL WASTE _______IMPROVEMENTS_______ SEWER CONNECTION DRIVEWAY LOCATIONS_________________ GRADING PERMIT EASEMENTS DRAINAGE rl "LEGAL DESCRIPTION ADDITIONAL COMN OK TO ISSUE:ittt'' DAT PWI j OK TO FINAL DATE FIRE DEPARTMENT SPRINKLING SYSTEMA1 4 70 % FIRE PROTECTION EQUIP. AS - FIRE ALARMS EXITS . I FIRE HYDRANTS LOCATION ADDITIONAL COMMENTS ..OK TO ISSU DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE___________________ 77 3a,J USE BALL-POINT PEN ONLY &'PRESS HARD' - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. r D •I hereby affirm that lam licensed under 10- UI ;provisions of Chapter 9 (commencing with ,.,,Ssction 7000) of Division 3 of the Business and Professions Code, and my license is in L fu11'force and effect. - - - I hereby affirm that I am exempt from the Contrac ,- tot's License Law for the following reason (Sec. 7031.5 " Business and Professions Code: Any city or County whicr, re- - r-guires a permit to construct, alter, improve, demolish, or 1. repair any structure, prior toils issuance also requires he ap-plicant for such permit to tile a signed statement that Ire is licensed pursuant to the provisions 01 the Contractors License. Law IChapter.9 commencing with Section 7000 01 - Division 3 at the Business and Professions Code) or that isen- . C errrpt therefrom and the badis for tire alleged exemption, Any violation of Section 7031.5 by an applicant for a permit sub', - .. jects the applicant to a Civil penalty of not more than live hun' died dollars ($500). - - III, as owner 01 the propi'rt or th employees with wages 11 as their sole compensation, wilt do the work. and the struc' tore is not intended or offered for sale (Sec. 7044, Business p and Professions Code: 'The Contractors License Law does "1 not apply In an owner 01 property who builds or improves - thereon and who does such work himself or through his Own. employees. provided that such improvements are not intend- Mi ' ad or offered tot sale.T It, however, the building or improve- Z inert is sold within one year of completion, the owner-builder ( 3it will have the burden Of proving that he did not build or im- - prove for the purpose of sale). .1,1 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 p 'Law does not apply loan owner 01 property who builds or im-' proves thereon. and who contracts for each projects with a P contractor(s) license pursuant to the Contractor's License - .Law(.. :.d . —(],Asa homeowner lam improving my home, and the.tollnw , 'p 'iog conditions exist: ' a. . a •. .1 ' . ' I -1.-- The work is being perinrmed prior to sate: I have lived in my home for ,,tAetve months prior.,io completion at this work. I have not claimed this exemption during the last three years. 0 I am exempt under Sec. ', B & P.C.- for this reason - - - -'. thereby affirm that I have a certificate of cnnsent to A , serf.irbure. or a certificte of Workers' Compensation In. - surunce. or a certified copy thereof (Sec. 3800. Labor Code) I " '-'•)\Jt ti .. t. . • p POLICY NO...... COMPANY3 is filed with the city,4K ' •' . - 0 • Certified copy is hereby furnished .. Mu CL - -, -. -- '.1 F - 'CERTIFtCATE OF EXEMPTION FROM' WORKERS' COMPENSATION INSURANCE - 9) .., 't-This section need not be completed it the permit CC is to, one hundred dollars 151001 Or (p551 UA 39 ceLnily tht the pertormunce 01 the work for which cc this permit is issued. I shall net employ any person in any 0 manner so as to become subject to the Workers' Compen. nation Laws of California. NOTICE TO APPLICANT: If, after making this Certificatet' 01 Exemption, you should become subject to the Workers' ' J Compensation provisions of'the Labnr,Code. you-must i 1 forthwith Comply with such provisions or this permit shalt ( be deemed revoked..,", - __, ..._DI hereby affirm that there is a Construction lending uj (agency In, the performance of the work for which this per. 01- .. mit is issued (Sec. 3097.CiniI Codel- Mit Lender's Name . _JI, ------"-- Lender's Address____________________________________ - '....CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT - . - 2075.Las Pàlrnas Dr., Cpsbad, CA 92009-1915 (619) 438-1161 ...... - - JOB ADDRESS AV. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE VALUATION PERMIT NUMBER - V , -' 0111 - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTR CTOR CONTRACTORS PHONE 8Z0NE''" - OWNER'S NAME 03 •4 w€s C&i.PA.kj ?14-S35-877I OWNER'SPHONE CONTRACTOR'S ADDRESS STATE LICENSE NO. -BUILDING SO. FOOTAGE 7\/(A.t.S I&I8 Ck(-cr J s7e-tj OWNER'S MAILING ADDRESS L,S(A3 -v - 3(.. .• . DESIGNER -ga4 t_o I DESIGNER'S PHONE DES Q?PT ION OF WORK I;! DESIGNER'S ADDRESS STATE LICENSE NO. 8678 08/02/89 0001 01 02 - - 17250 F/P FLRELEV. NO OCCGP EDU - - -' ----•"--. -- " .- - - - yD NO ' .---- -- --- . - CENSUS TRACT PARKING SPACE RES UNITS -GRADING PERMIT ISSUED REDEVELOPMENT , - TYPE 0CC LOAD FIRE SPR ' AREA CONST 0 0 N 0 0 NO I Yo NO Nor Valid Unless Machine Cei-tified QTY. - PLUMBING PERMIT. ISSUE ' , 0 Y, MECHANICAL PERMIT - ISSUE - SUMMARY/ACCOUNT. NUMBER. EACH FIXTURE TRAP- ' JO . INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-81O'00'00-8220 EACH BUILDING SEWER . - - ', OVER 100,000 BTU , SIGN PERMIT 001'810'00'00'8221 EACH WATER HEATER ANDiOR VENT ' . . . - BOILER/COMPRESSOR UP TO 3 HP - . PLAN CHECK -, 001-810'00-00-8891. EACH GAS SYSTEM I 104 OUTLETS ' BOILER/COMPRESSOR 3-15 HP , TOTAL PLUMBING 001'810'00-00-8222 EACH GAS SYSTEM 5 OR MORE - ' . . - METAL FIREPLACE - . . - ELECTRICAL ' 001-810-00-00-8223 EACH INSTAL. ALTER, REPAIR WATER PIPE - VENT FAN SINGLE DUCT I . MECHANICAL . 001-8100000-8224 - '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 I - , . TOTAL MECHANICAL - * - ' 7. -' FIRE SPRINKLERS 001'810-00-00'8227 .,- 101 AL PLUMBING - - ' PUBLIC FACILITIES FEE - 320-810-00-00-8740 - .,• - BRIDGE FEE 360-810-00-00-8740 CITY. ELECTRICAL PERMIT.- ISSUE— .:_ OTY. MOBILE HOME SETUP -5'0 -- - PARK-IN-LIEU (AREA • NEW CONST EA'AMP'SWI BK t - - - - . - - CAR PORT - . . -- - ' TIF - 312-810-00-00-8835 -- - - - - - I PH -- . - - - (3 PH 20/2 AWNING . - . LA COSTA TIF -311-810'00-00-8835 EXIST. BLDG EA AMP/SWT..BKR - . - . GARAGE • - . . - FMF - 1 PH - 3 PH - - ' . -' ,. LICENSEAX ) t i J . . 001810-00-00-8162 - REMODEL'ALTER PER CIRCUIT '' . • ' MFF 880'519'92-57 - TEMPPOLE200AMPS ' " ' ' - - -- . —-. ---------------. - , ' OVER 200AMPS . . - - • r , ___________________ TEMP OCCUPANCY (30 DAYS) - ----------- ' ' • '.' CREDIT DEPOSIT . - •<••''-J' - , TOTAL ELECTRICAL 4 TOTAl - - TOTAL FEES eAYA I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA 'S:'r IS REQUIRED FOR EXCAVATIONS OVER Code shall expire byh limitation void If the building or work Djó'AND DEMOLITION OR CONSTRUCTION OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is within 180 days from the date of such so" DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permii, or if the buildin or work authorized by Such permit is - STI,XTURES OVER 3 STORIEenced suspended or S IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time a ier f he rk is commenced for a period of 180 days —A PIP STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APILICANT'S SIGNATURE CONTRACTOR.PY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~. ~OWNERO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE - ' BY-PHONE 173 GRANTING OF THIS PERMIT. TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR LI CEIJNG SHEATHING LI ROOF LI SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL - - PLUMBING LI SEWER AND BL/CO LI PJCO UNDERGROUND 0 WASTE DWATER TOP OUT EJWASTE DWATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATER ELECTRICAL O ELECTRIC UNDERGROUND Di UFFER ROUGH ELECTRIC LI ELECTRIC SERVICE 0 TEMP(RARY LI BONDING 0 POOL MECHANICAL o DUCT & PLEM., LI REF. PIPING HEAT - AIR COND. SYSTEMS .-- - - VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL - - - - GAS BUILDING -k SPECIAL CONDITIONS /S'j . -S FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES - - - - INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCAETE- - FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS '-ç y ---r --RELATED PERMITS-- PERMIT# TYPE STATUS CB890367 CTI ISSUED CB890478 CTI ISSUED CB890483 CTI ISSUED CB890542 CTI ISSUED CB890560 CTI ISSUED CB890593 CTI ISSUED CB890621 CTI ISSUED CB890657 CTI ISSUED CB890659 CTI ISSUED CB890745 CTI ISSUED CB890771 CTI ISSUED CB890775 CTI ISSUED CB890804 CTI ISSUED CB890820 CTI ISSUED CB890852 PLUM ISSUED CB890944 CTI ISSUED CB890953 CTI ISSUED CB890964 CTI ISSUED CB891010 CTI ISSUED CB891050 SIGN ISSUED CB891056 CTI ISSUED CB891101 ELEC ISSUED CB891108 CTI ISSUED CB891136 SIGN ISSUED CB891148 ELEC ISSUED CB891158 SIGN ISSUED CB891353 CTI ISSUED CB891366 ELEC ISSUED CB891461 CTI ISSUED CB891540 ELEC ISSUED CB891554 CTI ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural CD 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 111689 Final Combo DN MPC CONTRACTOR NOT IN JOBSITE 102089 Final Combo NR MPC SUPERVISOR NOT IN JOBSITE ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-14458 DATE: // -/6/- JURISDICTION: / '- PLAN CHECK NO: I i' SE'i': PROJECT ADDRESS: 1101a L-z-'ito PROJECT NAME: fl APPLICANT ON K E R flFILE COPY ntjPS DESIGNER The plans transmitted herewith have been corrected where 3A necessary and substantially comply with the jurisdiction's building codes. E The plans transmitted herewithwill substantially comply with the jurisdiction's bui-lding codes when minor deficien- cies identified are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies E) identified on the enclosed check list .and should be corrected and resubmitted for a complete recheck. ED The check list transmitted herewith is for your information. The plans are being held at Esgil.Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. D The applicant's copy of the check list has been sent to: J'Esgil staff did not advise the applicant contact person that 'plan check has-been completed. U Esgil staff did advise applicant that the plan check has been completed. Person contacted: Date contacted: Telephone # REMARKS:' By :/ / (- . L,) Enclosures: ESGIL CORPORATION Date i //- /5& Jurisdiction c~ Prepared byi Bldg. Dept. VALUATION AND PLAN CHECK FEE 0 Esgil PLAN CHECK NO. I BUILDING ADDRESS APPLICANT/CONTACT PHONE NO._________________ BUILDING OCCUPANCY /7 — 2__ DESIGNER PHONE___________ TYPE OF CONSTRUCTION t\J CONTRACTOR PHONE___________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air Cond.jtioninz Commercial Residential - Res. or Comm. Fire Sprinklers Total Value .:E;--- Buildin Permit Fee * 323. Plan Check Fee $ $ Z 1 0 COMPICNTS: SHEET / OF / 12/87 CL City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0-20-2003 Miscellaneous Permit Permit No: CB0308•18.. Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 250 - - Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1563020900 - Lot #: 0 Applied: 03/20/2003 Valuation: $0.00 Entered By: SB Reference #: Plan Approved: 03/20/2003 Issued: 03/20/2003 Project Title: PACIFIC MARINE CREDIT UNION Inspect Area: MOVE ATM &FRAME IT IN 100 AMP ELEC . .. Applicant: —Owner:-----_..., C E FRY CONSTRUCTION PLAZA CAMINO REAL-,,_ C/O WESTFIELDCORP INC. . r- 116O1WILSHIREBLVD N. 286 CORPORATE WAY 91786 LOS ANGELES CA90025 909-920-5015 (A Y7 \ SI Miscelaneous Fee #1 / PERMIT FEE Miscelaneous Fee #2 / 'ELEC. FEES Additional Fees TOTAL PERMIT FEES Total Fees: $155.06 - Total D$0D0/ (\ .\ 5'$120.00 C40.00 \ ' ir \ $155.00 ance : 0796'03/20/03 0002 01 02 COP 155.00 EF: '7 . -,-------;- ,- - S i91 /1 FINAL APPROVAL 63 Inspector: r Date: ____________ Clearance: NOTICE: Please take NOTICE tKat 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. - FOR OFFICE USE ONLY PERMIT APPLICATION PL'AN CHECK NO tIrY OF CARLSBAD BUILDING DEPARTMENT EST VAL. 1635 Faraday Ave., Carlsbad, CA 92008. . Plan Ck. Deposit Validated By________________________ bate _3 t L3 Z Z' r 7 4 I~ (Z-A/j A) 0 A i— 260 ' Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number, Unit No. t Phase No. Total # of units ,sessor s Parcel # -s Existing Use Proposed Use DE iption of Work SQ. FT. #of Stories - # of Bedro s. # of Bathr ms Name ' Address' City State/Zip' , Telephone Fax # Name Address City State/Zip -- Telephone #, -.5-1 _ , -- )1t,oi WI zivt )X/L C4LEs @9'o2 51, - Name , Address , City , State/Zip Telep one # 5. (Sec.7031.5 Businessand Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to'i'ts - 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) âr that he is exempt therefrám, and the basis foi the alleged - emption. Any violation Section 7031.5 bi any applicant for a permit subje ts the applicant to a 'vil p nalty of ot more than jive jndred dollar l$500J). L)M iz7 oiiJ ' ° -1 - Name Address - City State/Zip Telephone # j State License '2._'1 - •" License Class " L' " City, Business License Designer Name - Address -' - - - City - State/Zip - Telephone - - - State License # -' Wo7k' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - - - - ave and will maintain a certificate of conent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code,-fo'r the performance oNork for which this permit is issued. ' , ,. - , ' '."• - - ' - -' - - - - ' 0 I have and will maintain workers compensation as required bySection 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 - - Polic\' No. - Expiration Date I I - (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) o CERTIFICATE OF EXEMPTION: I certify at in the performance of the work for which' this permit is issued, I shall not mpIoy any person in any manner so as to become subject to t Workers Compe ion Laws of California - - .yVARNING: '1; lure ecur - rkers' pensation coverage is unlawful, and shall subject an employer to criminal penaltIes and civil fines up to'one hundred housaid dollars (S 00 a o c at of compensation, damages as provided for In Section 3706 of the Labor code, interest and attomey's.fees. SIGNATURE - - • - .- -. -. - " , DATE 3,P10 —O --- '- OW r /1 hereby affirm that I am ax t fr the C tractor s License Law for the following reason I, as owner of the property r my employees with' wages as their sole compensation, will do the'work and the 'structure is hot intended or offered for '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. If, however, the building' Br 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 ontractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Ldw does not apply to anowner 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 nd Professions Code for thisreason: ' - 1 - ' . • - ' - 1. I pèr50na11y plan to provide the major labor and materials for construction of the proposed property improvement'D 'YES - [—]NO -- - 2. .1 (have I have not)'signed an application for a buiIdin permit for the proposed work. - . - ,, '••- - ' • - 3 I have contracted with the following person (firm) to provide the proposed construction (include name I 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):/- ______- _-___•.__• _-_______-___'-- 5. I will 'provide some of the work, but I have contracted (hired) thafoIlowing persons to provid the work indicated (include name /address / phone number / type ofwork): - ' - - - • ' ' - - - EJ Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention progran under Sections 25505, 25533 or 25534-of the Presley-Tanner HazardoüsSubstance Account Act? 0 YES . 0 NO Is the applican or future building occupant required to obtain,a permit frm the air pollution cntroI 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 OFFICEOF EMERGENCY SERVICES AND THE AIR POLLUTION, CONTROL DISTRICT. - '' - -- - -- - - - I hereb 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). • - - -' •. -,-•• - - ' -- -- - ' •. t• - - '-C LENDER'S NAME LENDER'S ADDRESS ' -•.S - • - • - - •' - • .' - I certify that I have read the application arid state that the above information is cófrect and that the in-formation on the plans is .accurate. .1 agree to comply with all - 4 -City ordinances and State lawsrelatingto -building construction.' I hereby authorize representatives of the Citt' '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, Irk JUDGMENTS, COSTS AND EXPENSES WHICH MA ANY WAY ACCRUE AGAINST-SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. -' -- - • ,- •- -- - OSHA An OSHA permit is required for excavatio 5 er 5 0 deep and demolition or construction of structures over 3 stories in height ¼ EXPIRATION: Every permit issued by the buildi g ificial under the provisions of this Code'shall expire by limitation and become null and void if the'buiIdirig or work authorized by such permit is not c9fnm,i1d withi 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 cor(p'e for - - dot 180 days (Section 106.4.4 Uniform Building Code). • - * - - APPLICANI'S SIGNATURE •_--.• _- _-".--_• - DATE -WHITE: File YELLOW: Applicant PINK: Finance - - -' -- ' -- - - - - - * \ - - - • - -- - --- - _*4 - - '- -*• I • ,- .- • .1 't. City of Carlsbad-Bldg Inspection Request For 04/21/2003 Permit# CB030818 Inspector Assignment: TP Title: PACIFIC MARINE CREDIT UNION * Descriptioh: MOVE ATM &FRAME IT IN 100 AMP ELEC Type: MISC Sub Type: OTHER Phone: 9099205015 Job Address: 2525 EL CAMINO REAL - Suite: 250 Lot 0 - Location: Inspector: APPLICANT C E FRY CONSTRUCTION Owner: CHASM ENTERTAINMENT INC <LF> PLAZA CAMINO REAL Remarks: Total Time: . Requested By: NA Entered By: KAREN CD Description - Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical . - • Associated PCRs/CVs • Inspection History Date Description. Act lnsp Comments 04/17/2003 39 Final Electrical PA PY EMR 04/04/2003 • 14 Frame/Steel/Bolting/Welding AP TP