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Home My WebLink About2525 EL CAMINO REAL; 254; STE 254 PRE 2016; PermitMODEL NO. BUILD1G PERMIT APPLICIT16 T City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. . Phone 729-1181 . .._. - -' Permit No. JOB ADOR ESS frJ C4 ASSESSORS PARCEL NUMBER LOT N LEGAL TRACT cJSEE ATTACHED SH C CT BOOK PAGE PAR. OWNER MAIL ADDRESS S 61 2 to %25 ''t HXA&Ilk WA PHO ZIP CONTRACTOR MAIL ADDRESS frtI PHONE STATE CITY NO. NO .Vt 5Cl2?;b ARCHITECT OR DESIGNER MAIL ADDRESS PHONE 4 ç \,R (VI 3 18 %. 114 - LICENSE ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMP ENSATIOrfl INS CARRIER MAIL ADDRESS 6 _ BRANCH USE OF BUILDING -4 Wyk NO. NO.BDRMS NO. BATHS__________ 8 Class ofwork: Li ADDITION 000 0 REPAIR LI MOVE LI REMOVE 9 Describe work: . '° 10 Change of use from .i- Change of use to /s 7 11 Valuation of work: $ PLAN CI.(ECl(EE s/'i ,aN.SfERMlT FEE S SPECIAL CONDITIONS: Type of Const. \. Occupancy Group (CR0 FILM FEE ,3 , Size of Bldg. .-._ (Total) Sq. Ft. . Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Lives UNo APPLICATION ACCEPTED BY 0f ." PLANS CHECKED BY ISgL TE No. of Dwelling Units OFFSTREET PARKING SPACES: No. I No. Covered [Sq. t. I0pe 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION 0 THE PERFORMANCE OF CONSTRUCTION. AGEN TON (DATET I "',,Special Approvals — Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. S URE OF OWNER (I 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 TOTAL FEES $ __________________ REQUEST FOR INSPECTION TIME:_________ INSPECTOR___________________ PERMIT NO. 7793DATE: OWNER ADDRI BUILDI El FOUNTTUT El REINFORCING STEEL El MASONRY El GROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING El FRAME El EXTERIOR LATH c El INSULATION INTERIOR LATH OR DRYWALL FINAL I PLUMBING 1 El UNDERGROUND PLUMBING El UNDERGROUND WATER El ROUGH PLUMBING El TOP OUT PLUMBING • El SEWER AND PL/CO El TUB OR SHOWER PAN. El GAS TEST El WATER HEATER El FINAL I ' ELECTRICAL 1 - .El TEMPORARY SERVICE .El ELECTRIC UNDERGROUND El ROUGH ELECTRIC El POOL—BONDING El ELECTRIC SERVICE El CEILING HEAT El G.F.I. El SMOKE DETECTOR El FINAL 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 El FINAL READY FOR INSPECTION OMONDAY OTUESDAY DWEDNESDAY DTHURSDAY 0 FRIDAY o A.M. 0 P.M. SPECIAL INSTRUCTIONS REQUESTED BY PHONE NO PERSON TAKING REPORT________________ 15 - PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7291181 Pprmit No 7, JOB ADDRESS i 1LEGAL oEscR. LOT NO. I J BLII I TRACT OWNER MAIL ADDRESS 2 c ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. 3 / ) CITY LIC. NO. / ARCHITECT OR DESIGNER MAIL ADDRESS 4 PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATION IN C RRIER MAIL ADDRESS 6 BRANCH USE OF BUILDING 7 8 Class of work: Es)EW LI ADDITION LI ALTERATION U REPAIR 9 Describe work: I ' t) ). PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) BATHTUB - LAVATORY (WASH BASIN) - - SHOWER KITCHEN SINK & DISP. A DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY jAPPvqgD,yD/IsSI4aNCE BY: LAUNDRY T*rr - - CLOTHES WASHER - - WATER HEATER Ji ' NOTICE / THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. TION AUTHORIZED (SNOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT: ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL , DRINKING FOUNTAIN -zt FLOOR—SINK OR DRAIN SLOP SINK GAS SYSTEMS NO. OUTLETS I - WATER PIPING & TREATING EQUIP. -' - - WASTE INTERCEPTOR - VACUUM BREAKERS ? - LAWN SPRINKLER SYSTEM - - SEWER NUMBER CLANOUTS - - CESSPOOL - SEPTIC TANK & PIT ROOF OR AINS SIGNATURE OF CONTRACTOR OR AUTHORIZED AENT f IOTEI \( ISSUANCE FEE $ 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. INSPECTOR - SIGNATURE OF OWNER (IF OWNER (DATE) ..' 5.' . WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION c.. M.O. CASH PERMIT VALIDATION CP M.O. CASH & .. ..5....- '-5 . S -. . .,,•, - - INSPECTOR BUILDER) S 2? 00 op ; E'LECTRICAL .PERMI.TAPPLICAT1ON.....ioø.. City of CARLSBAD, CA FORNIA 9208 •.. ':' Applicant to complete numbered spaces only: Phone 729-1181 Permit No. JOB ADDRESS 252,1 ctuo Real .iz 'C1b MaU AL 1 5s. LOT NO. ELK. TRACT (SEE ATTACHED SHEET) . OWNER ' MAIL ADDRESS 2 TeutSenson CONTRACTOR ce Croan PerlOr ZIP PHONE Electric, IN. '. o Point, Ca. 43757 . STCN,O. CcN/ I ' - ' ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO., 4 . ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 COMP ENSAflON INS C A 12V L 'Streat Saa Frcisco, Co., Ma USE OF BUILD HG Ret stoe .. 7 .1 8 Class ofwork: C3 NEW 0 ADDITION ALTERATION 0 REPAIR . Describe Work: E1ectricd installation .'.' 5 , >I... .,• . . - ,. & . - ... .. PERMIT. FEES SWIMMING POOL WiRING,', 'No' Each Fee. r: : SPECIAL.CONDITIONS; NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER .1O(J wp t2 a' cc APPLICATION ACCEPTED BY: PLANS CHECKED BY: APP I jr NEW SERVICE ON EXISTING BLDG: FOR EA. AMPERE OF INCREASE ' DAT NOTICE ' IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. OR BREAKER : TION AUTHORIZEDdS NOT COMMENCED WITHIN 1200AYS,OR IF CONSTRUCTION OR'WORK ISSUSP.ENDED OR ABANDONED FOR A . ,,' . . . PERIOD OF 120 DAYS AT-ANY TIME AFTER WORK IS COM MENCED. •'". . ' REMOQEL ALTERATION NOCHANGE IN SEVICE, 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. . , EMP.SERVIC E OVER 200 AMP. - .' \ 6 J •/// PER 100 SIGNATUF CONTRACTOR OR AUTHORIZ T /f / • ANCE FEE LTOT~ _____L FEES -.• , .... ,,,. . . - '•- - -. . - D Ihereby affirm that) am licensed underf' o' "L. pr0v1s1onaof Chapter.9(commencing with - -I Section 7000) of 'Division 3 of the Business I Htandproveaione Code, and my license is in cc I full force and effect - lic. No. Class 3 ac C I. hereby affirm .that I am exempt from the. Contr!, for'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-after, improve, demolish,- or - repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractors 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 exemption. Any vielafion,of Section 7031,5 by-an applicant fora permit sub-,. jecto the applicant to a civil penalty of not more had tine hun-'- dred dollars ($500). - - .1] I, as. owner -nt the property, or my employees with wages . Zt.as heir sole cordponsation, will.dn the work, and the struc' ' tore is not intended or offered for sale (Sec. 7044, Business ,.. and Professions Code:, The Contractors License Law does 5 , ' not apply is anowner of property who builds or improves - thereon and who does such work himself or through his own jJ employees: prohided that such improvements are not intend-.if W ed or offered for sale. -If, however, the building or improve-, Z mont is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or ins- - prove for the purpose of sale). - - 0 I. as owner of the property, am exclusively contracting - with licensed contractors to Construct the project (Soc. 7044. Business and Professions Code: The Contractor's License .1 •Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each projects with a. -. - contractor(s) L license pursuant to the. Contractor's License - - 0 Ass homeowner I am improving my home, and the follow- ing conditions exist: -.t4 . . .. ft 1j 1 "• The work is being performed prior to sale 2. f have lived in my home i for twelve months - . prior to completion of this work. . w - -" - — 3.- I,have' not claimed this exemption, during the O last three years. 0 taneiemptdjiSéc.' - - - C.,- 'P for this reason _T - . C- '.a - •• - . $ '-r -,- '•g. ..0.1 herebyaffirrn Ihaf Inane a certificate of consent ' - to seff-insure, or a '.certificale of Workers . Compensation Insurance, or a-cei'lif red copy thereof (Sec. 3800: Labor Code). ••-h_ '•P. z POLICY NO. kcit;. COMPANY 0 Copy is filed wit the ., - A. r. - CL .. 0 Certified copy i hereby furnished -.. ... FROM CERTIFICATe OP EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - - - (This section need not be Completed if the permit - is for one hundred dollars f$lool or less) 'DI certify that in the performance of the work for . which this tha t is issued. I shalt not empioy any J)person in any manner so as to become subject to - the Workers Compensation Laws of California TOAPPLICANT If. after making this eri. 1 Z .:In of Exemption. you should become subject to ;. the Worlrers'Compensation provisions of the Labor - Code:- you -must fOrthwith comply with such I provisions or this permit shall be deemed revoked -i = ')4 0 t1herebyaffirm that -there is a Construction cc idndin9'agerky for the performance 01 the work for I which this permit is issued (Sec 3097. Civil Codei W1 Lender's Name • - - ' LendersAddress -. - -. -4- - ...,.... - 'a-. ...-.--... ..5 - ., -.,-.._. ... • ,-_*k. - I 4 USE BALL Poll P.EN;$LY.. & PRESS.•HARD, - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -CA RLSBAD'BUILDING DEPARTMENT • APPLICATION&'PERMiT - - 1200 Elm, 92008.1989_(619)_438-5525 - - :. . . . . _Carlsbad, _California JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. PL S CgsBO DATE OF APPLIC TION I ES 8 S LICENSE S VALUATION - ZONE - PERMIT NUMBER LOT BLOCK SUBDlISION ASSESSOR PARCEL NO. - - CONTRACTOR CON RACTORS PHONE 0 OWNER'S PHONE OWNER'S NAME CONTRACTOR'S ADDRESS ' 7'O /V4IQ-L 14Jo-4--- LICENSE NO. 92563' PLAN I.D.4 BLDG USE CODE OWNER'S MAILING ADDRESS DESIGNER LICENSE S /S3 STANDARD PLAN # - • BUILDING SQ. FOOTAGE . - - DESCRIPTION OF WORK - . DESIGNER'S ADDRESS DESIGNER'S PHONE . , Not Valid Unless Machine Certified --.--.---, - F/P ,FLRELEV. YO No NO STORIES ' occo ED U -• CENSUSTRACT GP LAND USE JPARKIN(~SPACE RES UNITS • GRADING PERMIT ISSUED -- TO N 0 REDEVELOPMENT AREA : vO NO FIRE SPR - TYPE CONST 0CC LOAD - - YO NO QTY - PLUMBING PERMIT ISSUE 7- QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER - -. EACH FIXTURE TRAP , • INSTALL FURN. OUCTS'UP TO 100,000 BTU ' OVER 100,000 BTU -, - BUILDING PERMIT • 01-00-00-8220 EACH BUILDING SEWER - ' • - PERMIT - - --- - - 01-00-00-8221 • - - • •• - - - tEACH WATER HEATER AND/OR VENT ' BOILER/COMPRESSOR UP TO 3 HP ' ,•- .? PLAN CHECK 01-00-00-8806 - EACH GAS SYSTEM 1 TO'4 OUTLETS • - . BOILER/COMPRESSOR 3-15 HP • TOTAL PLUMBING 01-00-00-8222 - - - EACH GAS SYSTEM 5 OR MORE '" . - - - METAL FIREPLACE . . . . -. -' ..'.ELECTRICAL... - 01-00-00'8223. .- -.•- - -- • - - - EACH INSTAL.. ALTER, REPAIR WATER PIPE - VENT FAN SINGLE DUCT I - MECHANICAL 01-00-008224 • EACH VACUUM BREAKER • ' - MECH EXHAUST - HOOD/DUCTS -' I -. ..SIGN , MOBILEHOME - ' - 01-00-00-8225 - WATER SOFTNER ' ' - - RELOCATION OFEA FURNACE/HEATER • • ._.. ... MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) - - ' . • - ' • SOLAR 01-00-00-8226 - - - • T' - TOTAL-MECHANICAL STRONG MOTION • - 80-92-33-0519 - TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT - ISSUE ' • - •. • - - . QTY. ' SOLAR - ISSUE - - • • ' - PUBLIC FACILITIES FEE 32-00-00-8933 BRIDGE FEE - NEW CONST EA AMPISWT/BKR - COLLECTORS • SCHOOL FEE - DISTRICT I PH 3 PH . STORAGE TANKS , - - Carlsbad 80-92-21-0519 - EXIST BLDG EA AMP/SWT/BKR - -' • - ROCK STORAGE- • • '' -, 'EgC)nilaS' -- - 80-9222-0519 '- --- -. - - • -- - 1 PH.4 3 PH , ' PUMP • I - San Djeguilo - 80-92-23-0519 REMODEL.'ALTER PER CIRCUIT—- ' • • PLAN CHECK FEE ' - -San Marcos 80-92'24-0519 . . • . TEMPPOLE 200-AMPS - . .• " - - '•. ,, , • . , - , _, -- • -- - -- OVER 200 AMPS • • - - . . ' - • - - LICENSE TAX 01-00-00-8162 • . - - - - TEMP OCCUPANCY 130 DAYS) 9 - - .•-'-.= .. -,,.--,r.. CREDITDEPOSIT TOTAL ELECTRICAL r' " I TOTAL SOLAR - TOTAL FEES PAYABLE - mitissuedby the Building Official underthe provisions ofthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code s 0 b mitation and become null and void. If the building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Eupiralion. J hl DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITS permii. or it ng or work authorized by such permit is susp:nd:d or . mit is not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT - ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING C4?" abandoned al afier the or is commenced for a period 0$ 180 dayu. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY A - - - APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLIC NT S SI A URE OWNER 0 CONTRACTO9 - , DATE EXPENSES WHICH MAY IN ANY GRANTING OF THIS PERMIT. WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE crvl BY PHONE - - - • - 1"to zW - . S •. . .. - - _ - ir - - . S •5•S •5 r. S —. - - -- r' — FIELD INSPECTION RECORD- .. . S -. - S • 555 -. — REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTORS DATE DA 5 -- . - - - -— CHECKED APPROVAL - - .—• . - . - 55 5 SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED S • -- S . . S CONCRETE 5 - FIELD WELDING -- HIGH STRENGTH; S - • ' — . S - — - 8OL1S SPECIAL MASONRY . .—,, - 5 PILES CAISSONS & 5-- - - ----S I • - - . - - -. * . S - I - - __ S _ _5•_ •_S 5_ — sj . :-• - . - 55 - S S5S .5 5 5 - - . — - . --S -- ________ rif r - -.& ' t.. - . S - - - - , • -. fl54 *s S - . - - • - . .• .• -. — -- - - - - - —.- S - - S ' - u• - - -. \r t r C ( C - 55 5 - S . S - S. - S •SS. - t 54 5- - TYPE. -. DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL - MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF 0 SHAR FRAME EXTERIOR LATH - INSULATION. INTERIOR LATH & DRYWALL I- - •155 1 ;_ _________. - PLUMBING SEWER AND BL/CO ... EIPLICO UNDERGROUND C) WASTE El NATER TOP OUT 'El WASTE El VIATER TUB AND SHOWER PAN GAS TEST EJ WATER HEATER .D SOLAR W4TER ELECTRICAL El ELECTRIC UNDERGROUND ElUFFER . . ROUGH ELECTRIC . . -• ELECTRIC SERVICE El TEMPCRARY DBONDING El POOL . - '— MECHANICAL DUCT & PLEM., El REF. PIPING HEAT AIR COND. SYSTEMS VENTILATING SYSTEMS. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITFM.4Z APflVP J4AVF RFFN APPROVED . FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING -, SPECIAL CONDITIONS. . . . g E I herebyoff ir'm that I im licensed under. C.) 'provisions of Chapter 9 (commencing with I—Section 7000) of Division 3 of the Business I and Professions Code, and my license is in L full force and effect. . . u—f.. T hereby affirm that I am exempt from the Contrac- tors license law fur the following reason (Sec. 7031.5 Business and Professions Code: Any city or county whicr. re-quires a permit In construct, alter. improve, demolish, or repair any structure. prior to its issuance also requires the ap plican for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractors License law (Chapter 9 commencing with Section 7000 01 Division 301 the Business and Professions Code) or that is ex-e mpt therefrom and the basis for the 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 tine hun- dred dollars ($500). UI 1, as owner 01 the property, or my employees with wages ull as their sole compensation, will 40,1 he work, and the stroc- ' tare is not intended or uttered for sate (Sec. 7044. Business .J and Prulessinns Cede: The Contractor's License Law dues not apply to an owner 01 property who builds or improves - thereon and who does such work himself or through his own ernpinyeos, provided that such improvements are not intend' I Mt ed or offered tar sate. If, however, the buildingor improve- Z ment is sold within one year of completion, the owner-builder - Will have the burden of proving that he did not build or im- - prove for the purpose 01 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 loan owner 01 property who builds or im-proves thereon,- and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). - U As a homeowner I am improving my home, and the follow' 1 ,.ing conditions exist: ' I. The work Is befog performed prior to eale. 0' 2. t have lived .in my home for twelve, months prior to completion of this work. . - 3. • I . have not claimed this exemption -during the - last three years. tam enempt.onder Sec. , B & P.C. for this reason f 18. •' ' . -S., 0 ,l hereby affirm that I have a certificate of Consent to self-insure, or a Certificate of Workers Compensation 111n. suranCe. or a Certified copy thvreof(SéC. 3000. Labor Cud COM PA NY POL' O. - 0 Copy is tiled with the city - . 0 Certified copy is hereby furnished - - Mt ...... CERTIFICATE OF EXEMPTION FROM C.) WORKERS' COMPENSATION INSURANCE U) (This section need not be completed it the permit IX is for one hundred dollars $1001 or less) uJ 0 1 cerrity, that in the performance 01 the work for which CC this permit is Issued. I shall not employ any person in any I 0 manner no as to become subject to the Workers' Compen- sation Laws of California. .,j NOTICE TO APPLICANT: If, alter making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. ,. •. --S I hereby aflirm that ttrére is a construction lending CC agency tom the performance of the work lot which this per.uJ - 01 If is issued (Sec. 3097, Civil Code( ZI-- WI Lender's Name— _J Lender's Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619)438-1161 ' JOB ADDRESS D. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER 6;~t_ - 2.5 2 FL &,ti,Jb z"S' I 7,aoo - -- — - - — - LOT BLOCK SUBDIVISION . ASSESSOR PARCEL NO. CONTRACTOR , CONT CTORS PHONE d - ZONII I & R'S NAME OWNER'S PHONE -z ( CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE - o h.WNE R'S MAILING ADDRESS d44/J qgallltNER'S 6,:p Pi3 r- - DESIG5 DESIGNER'S ADDRESS STATE LICENSE NO. If F/P FLRELEV. NO 0CC GP (I ' EDU STORIES. 5 . v0'ND F,I,RE SPR PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD, • --._} - '1 AREA -. CONST .1J /-g' -v - 0 0 N 0 Y 0 NO ' - -v NO Not Valid Unless Machine Certified QTY PLUMBING PERMIT- ISSUE QT MECHANICAL PERMIT - ISSUE __- - O2Bdf. - 46.0 EACH FIXTURE TRAP ,. - -" /0 . INSTALL FURN. DUCTS UP TO 100,000 BTU - . _. BUILDING PERMIT . 001'810'00'00'8220 42'7 EACH BUILDING SEWER - , - , -__- OVER 100,000 BTU - -, --SIGN PERMIT ' 001-810-00-00-8221' - EACH WATER HEATER ANIT/OR,VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 - EACH GAS SYSTEM I 104 OUTLETS ' ' BOILER/COMPRESSOR 3.15 HP , TOTAL PLUMBING 001-810-00-00-8222 . - EACH GAS SYSTEM 5 OR'MORE - ' METALFIREPLACE f.- - ' - ELECTRICAL - - 001-810-00-00-8223 EACH INSTAL., ALTER, REPAIR-WATER PIPE . V E N T_LA.4 SI111E,C - - MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER - ' MECA4JS- HOOOfOS1 - MOBILEHOME 001-810-00-00-8225 WATER SOFTNER ' ' ' . RELOCATION - - SOLAR - - -001-810-00-00-8226 - - - EACH ROOF DRAIN (INSIDE) , - DRYER VENT K - -STRONG MOTION 880-519-92-33 - p - - 'TOTAL MECHAN(, O , - 7 - FIRE SPRINKLERS - 001-810-00-00-8227 - - - TOTAL PLUMBING"... '' - PUBLIC, FACILITIES FEE - 320-810-0000-8740 - '- \ 7 • BRIDGE FEE 360-810-00-00-8740 QTY. ELECTRICAL PERMIT"!—ISSUE QTY. $BFL'E HOME SETUP ' - PARK-IN-LIEU (AREA - ) - -. NEW CONST EA AMP!SWTIBKR - CAR PORT - . . TIF 134-810-00-00-8835 1 PH , 3 PH "ja7O' ' AWNING - - LACOSTA TIF 133-810-00-00-8835 - EXIST BLDG EA AMP/SWT/8KR . - - . . - GARAGE - .' - - FMF - f PH - 3 PH - - . . - .., - - LICENSE TAX 001-810-00-00-8162 ,ri /( - REMODEL ALTERB PER CIRCUIT -. MFF 8805199257 '- - 'TEMP POLE 200 AMPS' '.v- - - • - ' ' - - .5.' - -- - •. • S - _____________________ -OVER 200 AMPS IEMP.00CUPANCY(30 DAYS) • . '. - -- I S - - • - - . oe - .__'__• ' - - ' v- - - • ... • CREDIT. DEPOSIT_-- '- TOTAL ELECTRICAL - 'J•c____ - -- , TOTAL - . , ' - -- TOTAL FEES PAYABLE -. ',L -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 OSHA PEIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become n, and void 11 the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5- "nienciad .k such permit is not com _ '80 days from date of such Q- DEEP AND DEMOLITION OR CONSTRUCTION OF 5tm Ihe IS permit or i authorized DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PER e buildingor work authOrl b such permit is suspended or S1'UCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandonej at any time after the work is cor3nencd for a period of 180 days. I - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - A PLf T S Si ATUR APPROV 0 BY o F 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 • ' WNER 0 CONTRAC9 ', , GRANTING OF THIS PERMIT. - -. - - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR E CEI3IING SHEATHING E ROOF II SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER ANp BLICO Li FL/CO UNDERGROUND NASTE LI WATER TOP OUT LI WS'TE 0 WATER - TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL LI ELECTRIC UNDERGROUND UI UFFER ROUGH ELECTRIC t1 ELECTRIC SERVICE 0 TEMPORARY. 0 BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPING HEAT—AIR COND. SYSTEMS / VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING I ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE r SOILS COMPLIANCE PR OR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED FIELD WELDING HIGH STRENGTH BOLTS - SPECIALA5ONRy PILES CAISSONS ____________ _____ - /• .. SSW S. ot ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619)560-1468 DATE: .{APPLICANT ~URT JURISDICTION: CLo S CHECKER :N FILE COPY PLAN CHECK NO: - EP PS PROJECT ADDRESS:l_C lit []DESIGNER PROJECT NAME:V1/11?S , H p• C i The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. U The plans transmitted herewith will substantially comply , with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. EJ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. F The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. Li 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: cL-14 By:1SlCA Enclosures:G)L ESGIL CORPORATION DAtet Jurisdiction________________ .PrepaL.cI by: Bldg. Dept. Jiw\ VALUATION AND PLAN CHECK FEE 0 Esgil PLAN CHECK NO._'31-153 -r BUILDING ADDRESS - ( C 'r' o 2- APPLICANT/CONTACT Jo PHONE NO.—(~S13~)______________ BUILDING OCCUPANCY -2- DESIGNER (i') DESIGNER PHONE____________ TYPE OF CONSTRUCTION U - CONTRACTOR PHONE___________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE __7r T Air Conditioning Commercial Residential S - Res. or Comm. -Fire Sprinklers . 0 Total Value 7 5T0 Ô Fee Adjusted To Reflect OEnergy Regulations (Fee x 1.1) 0 Handicapped Regulations (Fee x 1.065) Building Permit Fee. $_ Plan Check Fee $ 4 4- 1 5 0 $ COMMENTS: 8/4/82 310 B U I L D I N G P E R N I T Permit No: CB950598 05/12/95 14:21 Project No: A8900835 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 254 Permit Type: ELECTRICAL 1. Parcel -No: 156-302--09-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: PLUM/ELEC FOR KIOSK MRS FIELDS Applied: 05/12/95 Apr/Issue: 05/12/95 Entered By: DC 241--5656 - 900 WESTERN AVENUE GLENDALE, CA 91201 Fees Required -* Credits - Fees: 6000 &S / 00 Adjustments: Bala 10) 47.00 Ext fee Data Fee description Units i -------------------------------- Enter "Y" for Elect-r s *(I, 27.00 ) PLUMBING ELECTRICAL TOTAL 47.00 1952 18b5 05/12/95 0001 01 02 INCORPORATED A. C-PRMT 47 00 4 APPROVAL, _DATE/ NSP. LL CLEARANCE CITY OF CARLS3AD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department S 2075 Las Patnms Dr., Carlsbad, CA 92009 (619) 438-1161 From List] (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. y-S EST. VAL PLAN CK DEPOSiT______________ VALID. BY DATE FOR OFFICE USE ONLY AaarP_c uuiiaing or suite No. NearrCross 2E Street CHECK BELOW IF SUBMI 1111): 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. r # OF BATHROOMS 3. CON lACI PEHJN (ii different from applicant) NAME (last,name first) ADDRESS ô(Zk CITY I STATE ZIP CODE DAY TELEPHONE 4 APPlIcANT (X)NFHACIUR El AUEN 1 FOR CON TRACIOtt DOWNER El AGENT FOR OWNER name ADDRESS Prv'J & STATE /2.- ZIP CODE C ce:: 7 , I DAY TELEPHON E (last name CITY l-. i STATE (last name % t-tOQ LITY&JDp1... STATE STATE UC. ttUIJ1L I1t(( . ZIP CODE d) DAY TELEPHONE( C) ADDRESS ' cz I o wr -c AI1t ZIP CODE DAY TELEPHONF CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) r> PW k Z> AIJL)1{ESS çgj pj CITY Ll\)Csf STATE C-6, ZIPCODE'S J7XI DAY TELEPHO ((TE UC. # C L Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insure eiIedwith the Buildin , section Department (Section 3800, Lab. C). POLICY NO. EXPIRATION DATE INSURANCE CQMPANY so as msation Laws of California. SIGNA _r>/:z-4c_ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 1, 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). I am exempt under Section _________________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITh ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES NO Is the applicant or future building occu ant required to obtain a permit from the air pollution control district or air quality management district? DYES NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? DYES NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICF. WNSL1{UC'IlON LENDING AGENCY I hereby affirm that )here is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTII4tIION I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CAIUSBAD 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 bhe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorizO~ r y permit is ngt commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended )'oned at any/igie after the woj isommenced for a period of 180 days (Section 303(d) Uniform Bui in Cod APPuCANrs SIGNATU/ ,.,. . DA CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB950598 FOR 01/15/96 . INSPECTOR AREA TP DESCRIPTION: PLUM/ELEC FOR KIOSK MRS FIELDS PLANCK# CB950598 0CC GRP TYPE: ELEC . CONSPR. TYPE. NEW JOB ADDRESS: 2525 EL CAMINO REAL STE: K3 /1 LOT: APPLICANT: BROWN, BUNYAN MOON AND MORE PHONE: 818 241-565 6/ CONTRACTOR: . - PHONE: OWNER: . . . PHONE: RS/DAN/818-303-7973 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION . . ACT COMMENTS 19 ST Final Structural S 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 070595 Final Combo . . CO TP SEE. JOB CARD 062795 Underground/Conduit-Wiring AP TP CONDUIT :06.2795 Sewer/Water Service . PA TP WATER TEST 0.62795 Underground/Under Floor CO TP FS&IS VENTS NOT 1/4 P FTRL J F4 1 • - F 1s/oq BUILDING PERMIT Permit No: CB951693 11/17/95 14:58 Project No: A9502471 Page 1 of 1 Development No: Job Address: 2525 EL CAMINO REAL Suite: 114 Permit Type: ELECTRICAL 4730 11/17/95 0001 01. 02 Parcel No: 156-302-09-00 Lot#: C-PRMT Valuation: 0 Construction Type: VN Occupancy Group: Ref erence#: Status: ISSUED Description: RUN ELECTRIC CIRCUITS FOR Applied: 11717/95 - : REPLACEMENT FREEZER Apr/Issue: 11/17/95 Entered By: MDP Appl/Ownr : FALCON ELECTRIC 818 303-7937 800 S. PRIMROSE AVE MONROVIA, CA. 91016 *** Fees Required Fe'o1lected & Credits ------------,; 3 00 f)/7 Adjustments: 0 'Tot CJ- Csr Total Fees. , 35.00 fotal Pavment. .00 I . • . Balance Due: 35.00 Fee description • Units\\(U .it Ext fee Data Ir 1 •i.--' I •'-• . t Enter "1 for Electrc-,ssue - • 10.00 Y Remodel/Alter Per AMMP41 00 25.00 ELECTRICAL TOTAI.. 35. 00 c) INCORPORATED' TED 1952 H FpdqAVAPPROVAL INSP. F Au/— DATEJ/ CLEARANCE CITY OF CARLSBAD - 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMiT APPUCA11ON , City of Carlsbad BuiLding Department 4 - 2075 Las PàLmas Dr., Cartsbad,,CA92009;.(619) 438-1161 ; I. PERMIT1YPE . From List I (see back) give code of Permit-Type: c . For Residential Prolects Only: From List 2 (see back) give PLAN CHECK NO. qç'. f3 - -- - I EST. VAL - PLAN CK DEPOSIT * VALID. BY DATE Code 01 Structure-Type: Net Loss/Gain of Dwelling Units 2. PRWECY INFORMATION -. . .. FOR OFFICE USE ONLY , Address 73Z5 Ej Cata kko Building orSuiteNo.. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No.. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OF WORK 4 JtQ.er( 44 var Qdt'\ SQ. FT TO # OF S RI ES OF BEDROOMS # OF BATHROOMS i. WNiA(JI PERSON (ii different from applicant) NAME (last name first) ADDRESS . . CITY STATE ZIP CODE - -. DAY TELEPHONE APPLICANT UUNTRADUR DAGEN...FOR CONTRACTOR DOWNER U AGENT FOR OWNER - - NAME (last n me irst) ADDRESS . CITY ' STATE ZIP CODE * . DAY TELEPHONE - PROPERTY OWNER ' . 4 NAME (last name first) ADDRESS.. '. - - :. CITY STATE ZIP CODE DAY TELEPHONE' . .. NAME (last name first)0bk m 0 ADDRESS 200 - 'Nyy C'o'-' CITY STATE Ck ZIP CODE DAY TELEPHONE 2 _O"5 .. STATE LIC. #52).\ LICENSE CLASS Ce-' () CITY BUSINESS LIC. DESIGNER NAME (last name first) - ADDRESS - - - 29 CITY STATE' ZIP CODE -' DAY TELEPHONE STATE LIC. # WORKERS' CX)MPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industnal. Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified. by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lob. C). INSURANCE COMPANY (1 ç) POLICY NO:LL)t% 2.'h55EXPIRA11ON DATE I • to Certificate of Exemption: 1 certify that in the pertomance of the work for which this permit isissued, I shall not e plo/any person in any manner so as to become subject to the Workers' Compensation Lows of California. - SIGNATURE DATE . .. .i -. OWNER-BUILDER DECLARATION .1 - Owner-builder Declaration: I hereby affirm, that I am exempt from the Contractors License Lawlor the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). - . . * . . - 1, 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 Low 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). - .. .• . 1 am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair 'any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Low (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) - or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE - DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to subnit a business plan, acutely hazardous materialsregistration form or risk management and prevention program under Sections 25595, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? YES . - 'NO - . - . . . - - . Is the applicant or future building ocçuant required to obtain a permit from the air pollution control district or air quality management district? DYES - .:NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYEs:.' ,'NO .: .•-. . . IF ANY OF THE ANSWERS ARE YES, A PINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFtER JULY 1, 1989 UNLESS THE APPLICANT HAS Wr OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRIcr. .9 CONSTRUCT] ON LENDING AGENCY - I hereby affirm that there is a construction lendins asency for the Dertormance of the work for which this nermit is issued (Sec 3097(1) Civil Code). LENDER'S NAME' '- ' -, LENDER'S ADDRESS IJ VAD Iv. f4rrLiLt5.pl I LJtIt1L,%1t.Ji - . .. .. . - . .. -- . .. . . I certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (1)51'S AND EXPENSES WHICH MAY IN ANY WAY A(XRUE AGAINST SAID CI1Y IN CDNSEQUENCE 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 Building Official under the provisions of this Code shall expire by limitation and become null and void if the -building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after tjie worq -fl is commencd for a period of -180 days (Section 303(d) Uniform Buildi APPUCANVSSIGNATURE '.-. - DATE:MAN l1l7ft(* - . c r . •, 7.5-0, L INGP E RM I T PemitNo: CB981465' 05/21/98 15:45.. Project No A9801961 Page 4 of. .1 .. - Development' No - Job Addres: 2525 EL CAMINO REAL 1 .Suite: 254 7304 05/21/ 0001. 01 02' Permit, Type: ELECTRICAL . . .. - . - C-PRMT •- 20:00 Parcel No 156-302-09-00 Lot# Valuation: ... 0 Construction Type: NEW Occupancy Group Ref erence# Status ISSUED Desription: REPLACE CABINETS & ELECTRIC. •. . Applied: .05/15/98W - : FOR CABINETS-MRS FIELDS •-. i-•: . Apr/Issue: 05/21/98 Enteed By: RMA AppltOwnr : BILLY K JONES ' 801 572-2546 . . - 12531 S BEAR CASTLE COVE -.. . DRAPER,,,, UTAH 84020 ,. . **'* Fees Required. *** .i & Credits • -. - •• Fees: 20.9 . . -. Adjustments: .;.. . 9rdit: . .00 Total. Fees: ..•2.00LJ . Total en-ts .00 1 .... B1.&j Pde:\ 20 00 • Fee description ts'\ ryni\t Extfee Data INCORPORATED 1952 -1 • - :: -: • PPR Lii! CITY OF CARLSBAD 2075 Las Palmas Dr.,Carlsbad CA 92009 (619) 438-J 161 - -, I •.- - • . a. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO ' CITY OF CARLSBAD BUILDING'DEPARTMEN'T EST. VAL. 2075 LasPalmas Dr., Carlsbad 'CA 92009 Plan .Ck.Depósit (760) 438-1161 Validated 13N.. bate I" 1 PROJECT INFORMATION PLIZA.Cr1IflO R4L. SC& 2q54.. .frI. flEL.t5 --2zç EL CAM Iflo RxI Address (include Bldg/Suite #) - . . . . Business Name (at this address( Legal Description Lot Sulivis Nikme/ Phase Mum I JnitNo: Use'No Tital # of units Assessor's Parcel # v 7 Existing U s—e 7 Proposed REMODEL- E3IsruJ6 T.s. . ' kE' .• Description of Work . .SQ. FT. . #of. Stories ;. - # of Bedrooms ,# of Bathrooms Pi&VS72 2S'l( 2 CONTACT PERSON (if different irom appiicnj e a IUi"k. e l23I5.5EC45TLE ,Der jF FAJ(8oI....572- 'Z,37 Nme ' Address • . . . City . State Z p Telephone # Fax # . APPLICANT TD ëntrac"ior DgerTt foEtraor 0 or3j Afie1orb.vncr Name Address . - City State Z p . Telephone # 4 PROPERTY O WNER 1 ............ ' 4 Wlkl (jo)8.-44 ....... Name . , . . Addre. City '. . State/Zip . Telephone # 5 CO!TR1ACTOR COMP!NAME - (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 tothe provisions of the Contractor's 'LicensepLaw .IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he' is exempt therefrom, and the basis for the alleged . ex tetcanty; civil Name . Address. - City '0' 'i -- State/Zip Telephone # State License # ,'29 Y0,' License Class . " /6?iO (, g1 Designer Name Address City - - State/Zip Telephone - -State License #. 6 WORKERS-tCOMPENATION - - - Workers-Conensati"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 Setion 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for ihich this permit is issued. My worker's compensatio i n nsurace carrie nd policy number are: , . . .' - .. / lnsuranceCompany 4'7 ,licyNo 91f irti'Date /Z (THIS-SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 1001 OR LESS) o CERTIFICATE OF EXEMPTION: I crtify that in the performance of the' work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (ft fw~m~~y sation, damages as provided for in Section 3706 of the Labor Co e. interespnd attorney's fees. 'SNkTUR .'rrE*" /-•'' '- .. . .7. OWNERrBUILDER ECIAR I hereby affirm that I am exempt from the Contractor' 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 ard the structure is not 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 or improvement j . 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). O I, as owner of the property, am exclusively contracting with licensed contractors to* construct thle 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 co'ntr'acts for such projects with contractor(s) licensed pursuant to the Contractor's License Law(. - .•' . . . ' . .. , . - . . . .. 0 I am exempt under Section . Business and Professions Code for this reason: - ,. 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. - . 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 work): . . PROPERTY OWNER SIGNATURE ' - , - - DATE cgMpLETEL..HIS:$mON.. 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 25534of the Presley-Tanner Hazardous Substance Account Act? 0 .YES 0 NO Is the applicant or future building occupat required to obtain a permit from the air pollution control district or air quality managemeit 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. , 8 CONSTRUCTiON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). - LENDER'S NAME ' ' . . , LENDER'S ADDRESS 9 t APPUCANfCERTIFICATIO . - .,. e I certify that I have read-the application and state that the above information is correct and that the information ontIe plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. .1 hereby authorize representatives of the Citi 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 Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is_not commenced within 365 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 ork is corn enced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE fia2 __ -- _' DATE 5-L4-tB WHITE: File, - YELLOW: Applicant PINK: Finance . ' CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB981465 FOR 08/07/98 INSPECTOR AREA DH DESCRIPTION: REPLACE CABINETS ,& ELECTRIC PLANCK# CB981465 FOR CABINETS-MRS FIELDS . .0CC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2525 EL CANINO REAL STE: 254 LOT: APPLICANT: BILLY K JONES PHONE: 801 572-2546 CONTRACTOR:* . PHONE: OWNER: PHONE: REMARKS: C/RICK/ INSPECTOR SPECIAL INSTRUCT: . TOTAL TIME CD LVL DESCRIPTION ACT COMMENTS / 19 ST Final Structural 1 39 EL Final Electrical CP 4 ZARW L/Ni/ 4 6 ____ - S ___ '1I k ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 073198: Exterior Lath/Drywall AP DH 073198 Frame/Steel/Bolting/Welding AP DH Z)q'ge