HomeMy WebLinkAbout2525 EL CAMINO REAL; 9009; STE 9009 PRE 2016; Permit- -
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 -
12-15-2010 Commercial/Industrial Permit Permit No: C13101899.
Building Inspection Request Line (760) 602-2725
Job Address: - 2525 EL CAMINO REAL CBADSt: 9009 -
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 . Status: ISSUED
C Valuation: $0.00 Construction Type: NEW Applied: 10/13/2010
Occupancy Group: Reference #: Entered By: JMA
-' Project Title: MY WIRELESS: 86" FT.NEW KIOSK Plan Approved: 12/15/2010
REPLACE EXISTING V Issued: 12/15/2010 • . -.
Inspect Area: -. V
Plan Check#: -
,ApIicant:- '• Owner:.---_. -• - -
DOUG CHANG V • .. ILAZA CAMINO REAL
18625 E. GALE AVE. ,'C/OWESTFIELD PROPERTY TAX DEPT . -•
CITY OF INDUSTRY . . I 1POBOX'13090rDEI?T.WFLD - -
CA 91748 . . \CLSBAD, CA ..92013 • • .
858 -335-9152
Building Permit 7- . $0.00 Meter Size N .\- -. • AddI Building Permit Fee 7 $0.00 .; Addl RecL Water Con. Fee t - $0.00
Plan Check / . ,./ $0.00 Meter Fee V '. $0.00
AddI Plan Check Feef / $0.00 SDCWA Fee \. $0.00
Plan Check Discount / -$0.00 :- CFD Payoff Fee \.; ' . $0.00
Strong Motion Fee / f $1:00. PFF (310554 0) . \.• •.. \ $0.00 •
Park Fee 1 :1 $0.00"PF.(4305540) * $0.00 :
LFM Fee $0.00 License Tax (3104193) $0.00 •
Bridge Fee V J ' $0.00 'License Tax'A (4304193) $0.00
'BID #2 Fee r- : V •• •
$0.00¼ Traffic Impact Fee (3105541) f .. - f $0.00 V V
V BTD #3 Fee V . $0.00 \ Traffic Impact Fee (4305541) . . . $0.00 V
Renewal Fee V
- . $0.00 ' PLUMBING CTOTAL V • $0.00 V V AddI Renewal Fee $0.00 ELECTRICAL TOTAL) V
V
.7 V V $0.00
Other Building Fee • . $65.00 MECHANICAIj1OTAL - .'. ../ $0.00
,- Pot. Water Con. Fees '.. .: $0.00 Ma'ster Drainage Fe ë - • . $0.00.
Meter Size ' Seer / $0 00
-AddI Pot. Water Con. Fee V V' $0.00 lRedev Parking Fee
-'-.-- / . $0.00
Red. Water Con. Fee \ • - . $0;00 Additional Fees / . $0.00 .
Green Bldg Stands (5B1473) Fee $1.00 HMP Fee - -/ ??
Fire Expedited Plan Review V••
•V $0.00
L-PERMI- FEES $67.00 V...
,.Total Fees: $67.00 Total PymentTà Dtè: V V
\$67.00 Balance Due: - $0.00 V V
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CITY OF -
CARLSBAD
- Plan Check No (7
•
1635 Faraday Ave. C;sba CA 92006
760-602-2717/2718/2719
Fax 760-602-8r,58' j
V www.carisbadca.yov
Est Value
V
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)lar, uk. ueposin
1 !Date i6Ilio.
JOB ADDRESS T — ----F -_---1 SWTE/SPAcE/UNrT V •V V •
2525 El Camino Real #100, Carlsbad, CA K-9009 l 156 - 30 - 2 - 27
CT/PROJECT # I WI # PHASE A I#OFUNITS I # BEDROOMS I # BATHROOMS ITENANT BUSINESS NAME ICONSTRV TYPE V 0CC. GROUP
B-Per Electronics, Inc.'
DESCRIPTION OF WORK Include Square Feet of Affected Area(s) V •• V V -.
- •V — -
-I. ._. - - .•-'- -
Construction of retail kiosk inside Westfield Plaza Camino Real shopping mall New woodwork to replace
existing retail kiosk structure No changes existing electrical components No plumbing infrastructure at kiosk
X!S11NGLtSE , IPROPOSEE) USE . IGARAGE (SF) IPATIOS(SF)
Rtail kiosk1 I I mall Retail mall kiosk
IDECKS(S.9 IFIREPLACE lAIR CONDF1ONING I FIRE SPRINKLERS I
- IJ ,NcI YESJN0EJ YESflNO
Doug Chang I TNA
V Doug Chang-, V
ADDRESS -. rn,. - - - -- . - 'ADDRESS
18621 EGaleAvenue
, .. •:..V. _._
18621 E Gale Avenue
JCY._. STATE, ZIP •V * . JCIIYV• - ,. STATE . ..
City of Industry CA 91748 11 Cutyof Industry CA 91748 IPHONE - ,
858-335-9152
IFAX
626-912-3228
IPHONE.V..',V..,,,
858-335-9152 626-912-3228 I 1 EMAIL . , - -.-.- -
dchang@mywirelessadvantaqe corn
1EMAIL V V•• — - -. -
dchang@mywurelessadvantage corn
PROPERTY OWNER NAME - -. - - VVV. - - V V V VVNrRACrnJ1JSNA1E
Westfield America, Inc. ----.-I. .-. -
ADDRESS V• ••••
________ 11601 Wilshire Blvd #11
RESS
Jcrri •_V•VVV_• - - -. STATE '.. ZIP, ..V V VJCITY STATE..ZIP
I LosAncieles CA 900251 1
PHONE • — _ .,VV. FAX - - -. ,- •JPHONE
L_310-478-4456
_ . -. ./.I FAX ---------- -
EMAiLr - -.VtJEMAlL VV
plazacamunoreal@westfield corn
ARCWOESIGNERNAME&ADDRESS - V V ..f1STAIUCV#._V. ... - IcLASS.4 1CITY Bus. UCV#
V
,ev. luj.Lo business unu l',uessiunsuaje: wny uly or tAulltyWllrerl cequilesa perllilt LOCUIISUUCY. cUrer, ullplove, uelllullsll or repa;r any suuCLure, IJCluI LU its issuance, also requires Ole applicant for such permit to Pta a signed statement that he si '-" rd i-_a thr n ni4 rn r rh.' rrnrm tar' Lc'-'ta- Law (Chatcr commanding with See on 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 7O3t5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 15500)).
.worlrers' Compensation Decto rat lon: !Psretiyefih,m U pmjury one of the krffnrhg deciaratlont: V -
I have and wfil maintain a certificate of consent to seff-insure for wdirkers! compensation as provided by Sscfion 370 the Labor Code, for the ertbnnanovof the work r which this permit isissued.
I U I have and will maintain workers' comzrensatlon. as required by Section 3700 of the Labor Code, for the performance of the work for which this permil is issued. My workers' compensation Insurance carrier acrd.oticy
number are In Co — - - Policy NOV - Expiration Date L______________
]fl) section need not be completed it the pennit Is for one hundred dollars ($100) or less. • • ' - • V V Certificate of Exemption: I certify that in the performance of the work for which this permit in issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
I California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an empIorerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3705 of the Labor code, interest and attorney's fees, • .. •
')(.L CONTRACTOR SIGNATURE - . JAGENT '- DATE
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V fl I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure in not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's
Liminse Law does not apply loan owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thai such improvements are not intended or offered ICE
sale. It, however, the building or Improvement is sold within one year 01 completion, the owner-builder will have the burden 01 proving that he did riot build or improve For the purpose of sale). /
II I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pnrfexsbirs Code: bu Contractors 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,
0 I am exempt under Section -_Business and Professions Code for this reason:
Wlan,,b
de the r labor and materials for construction of the proposed property improvement DYes
d a ration for a building permit for the proposed work. • -
he person (firm) to provide the proposed construction (Include name address F phone! contractors' license number): -
V
work, b I have hired the ItiIlowtng person to coordinate, supeMse and provide the major work (Include name! address! phone !onnirectors' Yesesri number):
rig butt havo contracted Qtired) the following persons to provide the work indicated cnrdudc name ddrCs! phone! typo of work):
PRO ~Oa GNATh -CH U CH GE - DATE
-P&R &L&-TRoJIC5)/WC
- 7-
- 1
Is the applicant or titure buil&6 ooupant required to submit business ton, adety hazardous materials registration bern or rick management and prevention program larder Sections 25505, 25533 or 25534 of the -
Prostoy..Tanner Hazardous Substance Account Act?4. [j Yes 4 No .,
Is the applicant or future building ooujpant required to obtain a permit 1mm the air pollution control district uallty management district? - D'tirs No, ..
isthetytobeconstnrutedwithinl0O0fnetnfthoiderbundaryn1aschrxdslle? ' Dyes ,No' - -
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF &
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performnce of the work this permit is issued (Sic. 3097 (i) Civil Code). -.
Lodcz',. Mor4 er! cT Le"desAd
maim 114 11
"fyhet' cstrme 4tOf$S'*ebw'4' 'ie... mate h5gtrr .wn it'anssandtate!,s.' I0P g"me"t'"
l authorize eqertllfleCityofCarW,rej erupt the nwrstoredeyh rpuq,se I ALSO A HEIOSAV tNUIMNlI-YAM) KIEPHA)MLESSI}IECIIY OICAHLSHAD.
AGAINST ALL LIABlLrI1ES, JUDGMENTS, GUIS EWE 5 WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF tHE (3RANI1NG OF tHIS PERMI r.
OSkMOrTitisreqrdrmlfor over5iY and dernbhon or cons~ at structures over 3 stories in hVit.
EXPIRATION: Every p raft issued by the Ofildal 'Of Uodeshall enebyllndtallon and become nullarsi void ft the bu1dbrgorwodi authorized by such permit is not commenced within
180days from die terild bnitis lcf abandoned any timaftorthe wakSnsmrdtixaperbdOf180 days Sedbn1064AUrdiraTnBLo1dingCodo).
APPLtCANT'S SilC.uAUzxE
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DATE c I '-
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City of Carlsbad
-
• Final Boilding Inspection
Dept: Building Ehgineering Planning CMWD St Lite Fire
Plan Check #: Date: 01/07/2011
Permit #: C13101899' Permit Type: TI
Project Name: MY WIRELESS: 86" FT.NEW KIOSK Sub Type: COMM
REPLACE EXISTING
Address: 2525 EL CAMINO REAL #9009 - Lat.
/
Contact Person: DOUG Phone: 8583359152
-
Sewer Dist: CA ..Water Dist: CA /
Inspected Date
By: (?,&,VZT\c / Inspected: I \ '' 1Ji Approved: V Disapproved:
Inspected Date *
By: Inspected: Approved: Disapproved:
Inspected Date
By:___________________________ Inspected: Approved: Disapproved:
Comments:
*
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I -
1- -
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CityofCarlsbad Bldg Inspection Request
For: 01/18/2011
Permit# CB101899 Inspector Assignment:
Title: MY WIRELESS: 86" FT.NEW KIOSK.
Description: REPLACE EXISTING
Type: TI Sub Type: COMM
Phone: 8583359152
Job Address: 2525 EL CAM INO REAL 0
Suite: 9009 Lot: 0
Location: Inspector:
OWNER PLAZA CAMINO REAL
Owner: PLAZA CAM INO REAL
Remarks: EARLY AM BEFORE 9 PLEASE
Total Time: Requested By: DOUG
Entered By: JANEAN
CD Description Act Comments
19 Final Structural
29 Final Plumbing
39 Final Electrical 0
0
49 Final Mechanical 0
0
0
0 0
• 0 Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC# • 0
Inspection History
Date Description •
•
Act lnsp Comments •
01/07/2011 89 Final Combo CA PD •
0
( 0 0
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-29-2012 Commercial/Industrial Permit Permit No CB993181 4
Building Inspection Request Line (760) 602-2725
Job Address: 2525 ELCAMINO REAL CBADSt 9009
Permity Type: Ti Sub Type: COMM . Status: ABANDOND
Parcel No: 1563020900 Lot #: 0 Applied: 08/23/1999 •
Valuation: $10,000.00 construction Type: NEW Entered By; JM .
Occupancy Group: Reference # . Plan Approved:
Issued: .
Inspect Area
* , Plan Check #:
Project Title: - PLAZA CAM INO REAL .
INSTALL KIOSK-MOBIL SYSTEMS
Applicant Owner
THE ELITE GROUP PLAZA CAMINO REAL
C/O WEST FIELD CORP INC
5651 DOLLY AVENUE, - 11601 WILSHIRE BLVD
BUENA VISTA CA 90621 LOS ANGELES CA 90025
714'736-0518
Building Permit $113.58 Meter Size
AddI Building Permit Fee $0.00 Add'IRecl. Water Con. Fee $0.00
Plan Check $73.83 Meter Fee $0.00
AddI Building Permit Fee : : $0.00 SDCWA Fee • - $0.00 •
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee - $2.10 OFF (3105540) $0.00 •
Park Fee $0.00. PFF (4305540) $0.00
LFM Fee $0.00 License Tax (3104193) ..$0.00
Bridge Fee ••, $0.00 License Tax (4304193) . . , $0.00
BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 .
BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $000
Renewal Fee $0.00- PLUMBING TOTAL $0.00
AddI Renewal Fee $0.00 ELECTRICAL TOTAL . $0.00
Other Building Fee $0.00 MECHANICAL TOTAL $0 00
Pot Water Con Fee $0.00 Master Drainage Fee $0.00
Meter Size Sewer, Fee ' $0.00
Add 'I Pot Water Con Fee $0.00 Redev Parking Fee $0.00"
Recl. Water Con Fee $0.00 Additional Fees $0.00
Green Bldg Stands (5B1473) Fee ?? HMP Fee ??
Fire Expedidted Plan Review 22 Green Bldg Standards Plan Chk 2?
TOTAL PERMIT FEES - $189.51
Total Fees $189.51 Total Payments To Date $73.83 Balance Due $115.68'
-' - - •
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FORQFFICEUSE
1PERMIT APPLICATION PLAN CHECK-NO.
MCI ,t_
ClTYOFCARLSBAQBUILDING-DEPARTMENT I t -' . PlanrCk Dep sit __. 2075 Las Palmas Dr., Carlsbad CA 92009k
Validate dBy..*
DMe
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'-A -- - -
V- MROJECT1N
Aft"a2ff—~—, —z EA
4~_7_,~IL
ddress (i dude Bldg/ uite #1 - Business Name (at t is addressY t 4 j 4
Legal Description r Lot No i-' - Subdivision-Name/Numb
I er -.--- - Unit No - . Phase No Total # of units : -
Assessor's Parcel # Existing Use Proposed Use - -
1 V1(
7V4 -PRMT 73 83
".. DscriØ'tion of W ork - .- -' St lY . - - WStone "t # of Bedroms .. ',. . of Bathrooms' - ill r ' • " 4_ r f ,ç - .r'- "
from applicant) 73
-Name- ' -- - -'- --- Addres----.. ..-.- - - City - Stt ZpC TIepon
L 3 Zfor .n órDb er 0 Agent for 0 n r
EJ1L
- -.- ---Addie,...-
-.- - •-.-...
- City -. Sttelip
'4PR PERTYO
2A AoL (4S,,c7
'Name , Address City Ste zi p hphone P
6 cQNiioRojYW
(Sec 7031 5 Business and Professions Codo Any City or County which requires a permit to construct alter improve iwnot,h or repair any tructure priorlo L
issuance he also requires t applicant for such permit to file a signed statement that he is licensed pursuant to the prvisions of thContractor s License Lv
t1lChapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] -or that he is exemp therefrom and the4basisfor the alleged
- exemption. Any vio ation of Section 7031.5 by any applicant for a permit subjects the applicant -a cvil penalty of no ore- ye hundred dollars l$50011.
g JLoL) i rk, L - -
Namet; irAddrtess,", 'rt ,s c City State/Zup t4Telephone
tState Licere # O ( 'r )
' Licnse Class : " I City Business License #
tt Lcx T?o' oc
Designer Name.. - - dress - j. -. - . City -.,. - State! ip-
,
Tel eone
State License #2
4 t6WORKERCOMPENSATIQ!i
- Workers' Compensation Declaration: I hereby affirm odo: porl:y of oior oco of th following decl:tons: 4 - - - t '. '-s- •i- ,- - , -4 ._4 _i_'., - - - 0 I have and will maintain a certificate of consent to self insure for workers ,comperisation as provided byection, 3700 of the Labor Code for the performance I
4 of for which this permit is issued . r
i --1 have and will maintain- workersmcompensation; as-required-by Section 3700, f the Labor- Code,.forL.theperformance of the ,work for whichthipermit is. - -
issued. My work ensation insurance carrier and policy numbe90 a
N Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 1001 OR LESS)
0 CERTIFICATE OF EXEMPTION certify that ri 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. • • • F ' - - -
'
• ' - '" - - -' - - - , ''' • .-t-r-• ----------- - "-i-,''. P. -* - l--. 'WARNING: Fai!ura4to -secure workers'--compensati nc vera is-unIawful,and -shall subjectan employer tà crimiháI-peaItiesndciviI fine, up to-OnehUndred;
thousand do ,000), in addi n - thä Co f C pe sation damages as provided for in Section 3706 of the La r ode, n re t and attorney's'fees.
SlGNATURE JLV,__-
-
' DATE
j.--OWNiA1UILDDEpARATjON Ihereby affirm that I am exempt from the Contractor's License Law for the following reeon - - -
-- , - --- sr,4 f 0 I as owner "i'the property or my employees With wages a" their 'sole- 'ompensation will d the wok and the'strijcture is not intended or1offed for sale
(Sec 7044 Business and Professions Code 4The Contractors License Ladoes not apply,to an ccwner of pro1. erty who builds or imp'oves thereon and who does
such work himself or through lis own employees, provided that such improvements are not intended or offered for sale. If, however, the building
sold within one-year of complétion,-thé-ownerbuilder will have the burden-of proving that hedid.'r,ot.buildor, improve for, ,thepürpose.f sale): _-
0 1, as owner of the property, am exclusivelycontracting with licensed contractors to constructthè project (Secf'.7,044. Business and Professions- Code: .-Tl'e
, Contractor's License Law does not apply '' 6vn& of O'ert7'r?4h0.builds o' contracts for subhprojects with' contractor(s) licensedC-
pursuant to the Contractor s License Law) - --
4i I. "fr-
0 I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property, improvement 0 YES []NO
* -- 4 - 4 rI
- - 2. l(have I have not) signed an application fbr' building irrnit fOi"throposed'work - - 1- • -'-* --------. - - - - - --
I have contracted with the following person (firm) to provide the proposed construction (include name-/ address I phone ntmber / conractors license number)
-----------------.-. - 4 I plan to provide portions of the work but I have hired the following persoto coordinate' supervise and provide the major work (include name I address I phone
i number! contractors licensenumbe'r):• . -. . - - . - - . - - - -
-'-4- - - * - . ---------------------------- -.-.--- - - - . --------- -. ------------ .- - -4- --4-. ' ,. *- -- '-4 - - 4-
5. - 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) a- ." --*--- *s- -' - -..*. -_ ,,.a- ..,a, * ,.
PROPERTY OWNER SIGNATURE_ DATE
-
Is the applicant or future building occupant required to submit a businss plan acutely hazardus 'rials registration form r risk ma gissenf'd prevention11
program under-Sections 25505, 25533'or 25534 of the Presley-Tanner-HazardoUsSubstance.Account Act? -D..-YES .D--NO'
P Is the applicant or future building'oc4-cupnt requiredtO obtain a pJrrit fm theai lluon66n&l ditritorairility mangen'ent district? 0 YES - 0 NO - - - • -
a--4'.
-
- -------------'•'' ••'- - - - - - •** ' - - -4-- **•,•_.• l -
Is the facility to be constructed within 1 000 feet of1the outer boundary of ,a school site? D.-YES NO 17 ..
- IF ANY OF THE ANSWERSLARE YES; A FINALCERTIFICATE OE OCCJPANCY MAY NOT BE ISSUED UNLESS THEPPLICANTHAS MET OR IS MEETING4.THE,
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLWTION CONTROL DISTRICT '
ONS~TRUJ - - ---4- -
l-herêby-affirrn1 that thereis a construction)ending agency forthe performance-ofithe work for .shicd id Permit is is u d (Sec3O97(i).CiviI Code):!
LENDER S NAME " LENDER S ADDRESS
- - --
- .4 - - - . ,, _ - - • - - - I -- -- I certify that I have read 4-theapplication and state that the above information is correct and ,that the information onjthe plans is accurate I agree to comply with all
i City ordiiances and Stte laws relating to building construction I hereby authorize representatives of. the Cit' of Carlsbad to enter upon the above mentioned'
property for inspection purposes.' I - ALSO, AGREE TO SAVE, INDEMNIFY AND 'KEEP HARMLESS- THE CITY OF-CARLSBAD AGAINST. ALL LIABILITIES,1
- ' JUDGMENTSCOSTS 'AND EXPENSES WHICH MAY INANYWAY-ACCRUE AGAINST SAIDCITY'IN CONSEQUENCE OF -THE' GRANTING-OF-THIS, PERMIT-f- - -
- - --' - '----- -
OSHA An OSHA permit is required for4excavations over 5 0 deep and demolition or construction of structures over. 3 stories in height' i 1 .a
- - - - - --- • -4 - - - - -- r. - -- 4 44- "f - - .- .4-' --- -------- 4
- - !- EXPIRATION: - Every -permitissued -by, the-Building -OfficiaIunder -the prOvisions ófthis CoOe.shall.expifé .bylimitatioñ.ard b'eome null. and void if-the buildingor.
work authorizedby such permjj3nt tnmenced within 365 days from the date f such permit or if '.the-building or work authorized by such permit is suspended)-
or abandonedat'any tirneaflTli ork is commenced f èriod of 80 ays-(S tion I 064.4 Unifrm.BuiIding Code)..-
APPLICANT'SSIGNATURE b. • 4t '-s' DATE - 1-
TE:-Fue YELLOW;-AppliEá-A -
- t. • .
..,- ., - .-.- . .:
- . - S- -
City of Carlsbad
S 4' •I1
•- .' • S - '-S -S •5_
- • S - ,, -S S -A -
06/12/2000
'S -S
A
THE ELITE GROUP; n -'
5651 DOLLY AVENUE
BUE
-
A:NAT90621
' Application Date:.8/23/1999
Plan Check# CB993181
Address 2525 EL CAMINO REAL #9009
Expiration Date",8/22/2000
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You applied to have your plans checked on the date noted above To date, tile related
building permit has not been obtained The original plan review application will expire as
no building permit has been issued
Pfans submitted and not retrieved from the building department prior to the plan check
expiration date noted above will be destroyed., - ;• , •. .
C, -
S S ,• ••S I
The provisions of sections 304 (d) of the Uniform Building Code state
"Section 304 9d) Expiration of Plan Review
Applications for which no per?nit is issued within one year following the date
1 of application shall expire by limitation, and plans and other data submitted
for review may thereafter , be returned to the applicant or destroyed by the
Building Official -
In order to 'renew action on an application after expiration, the applicant shall
resubmit plans and pay anew plan review fee"
: • -
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In order to provide better service, please indicate your handling choice for the plans
originally submitted and return this letter to the Building Department
I - . .
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Project Abandoned. -J. will pick up plans within 10 days
: 'S •5••_ S - S.
Project Abandoned -Plans may be destroyed
If you have"any questions, please contact the Building Department at (760)'602-2718.
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Building Department I
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1635 Faraday Avenue • Carlsbad, CA 92008-7314. (760) 602-2700 • FAX (760) 602-8560
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B U IL DIN'G. P ERM I T Peimit No: CB951137
09/29/95L3:38-,' Projèct.No:.A9501649
Page 1 of. I Development No.::
Job Addrés:2525 EL CAMINO REAL Suite: 9009-
Permit Tyke' COMMERCIAL TENANT IMPROVEMENT '3920 09129/95 00010 02
Parcel No: 156-302-09-00 •L•t#: CPRMT . 26.00
Valuation: , 500 • : Construction Type: VN
Occupancy Group:.Ref erence# Status ISSUED
Decription:INSTALLKIOSK IN MALL, NO ELEC 0 Applied: 08/17/95:.
CONSISTS OF DISPLAY CASES .. • . Apr/Issue: 09/27/95
. EnteredBy:MDP
Appl/Ownr, : HOWETH, JOE • • ,. 619.591O565
225N RANCHO "SANTA FE ROAD
SAN MARCOS CA 92069
*** Fees Required *** **,>r\FeesCQlected & Credits ----------------------------------------0____
Fees- 26-0 Nt
Total Fees: • 2'6.0O,. .00
N 26:00:
Fee description - • Units\/Un.t Ext fee Data
-
------ ------- ----- :cT ----- ---- -------- - Building Permit 15.00
01 Plan Check - 10.0
Strong Motion Fee
BUILDING TOTAL 26._001
INCORPORATED
1952
70
I
F F12 APPROVAL
INSP, -DATE
-I.:.
- •, •.•S,
• CLEARANCE..
CITY OF CARLSBAD.. •
' 2075 La Palmas Dr., Carlsbad_ CA 92009 (619) 438-1161 •
PERMIT APPLICATION
City of-Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From List 1 (see back) give code of Permit-Type: ______
---------------------------------------
For Residential Proiects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION -7 C? C F ii (
PLAN CHECK NO.
EST. VAL
PLAN CX DEPOSiT______________
VALID. BY
DATE
FOR OFFICE USE ONLY
p.uoress f/(_ A%q C4 j, p oulluing or auite INO. ?Oc?
Nearest Cross Street (ft /j 79 114/'l/iVO P4/ /I,e/cnL) (I Q0ôo'
CHECK BELOW IF SUBMI1TED:
02 Energy Calcs 02 Structural Calcs 02 Soils Report Dl Addressed Envelope
- A Pf1P' DASICPT rvlcTmla lirp DPrDricPn iicc
DESCRIPTION OF WORK Pi'1FiQL°,C4/(P 6/qs 04515 4 to f
OF BATHROOMS
AS5 ' '/tp 1,../iMocil
SQ. FT. f' A&I,V sPe%4 S4) 71 17 , 4/ # OF BE ROOMS t9-#
ADDRESS NAME (last.name flrst)ff j I f
CITY 0) MAM05 STATE A ZIP CODE
L] APPUCANI. CL)NTRACIUR U ACT FOR CONIRACI R LIOWNER
9' DAY TELEPHONE ((,) 9(
WNkR
NAME (last name first) ADDRESS
Li AGENT FOR
CITY STATE ZIP CODE DAY TELEPHONE
PROPERTY OWNER
NAME (last name first)
41
/ ,4 / (t' ADDRESS 52 ± & CAii,' , iet
CITY NCIS bA () STATE 0,4 ZIP CODE i ' DAY TELEPHONE (/?J 7O29 - Z9.2 7
CX)NTRACFOR
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC. # LiCENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
WORKERS' (DMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
S. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractor's Ucense Law br 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.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
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 [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES .0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION (DN11OL DISTRICT.
WNSThUCHON LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
#ppuup.rr CEKIIHCAIION
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
0511k 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 Offic er the pro ons of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is om cod withi
vi
days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at time ter the wor s ommenced for a period of 180 days (Section 303(d) Uniform Buildin
APPLICANTS SIGNATURE - 77 DATE:
o/4
• • -.
•' .
4
.5 CITY OF-cARLSBAD.', •• •.
S INSPECTION REQUEST .2.
iPERNIT# CB951137 '• FOR-10/05/95' . . INSPECTOR AREA
DESCRiPTION; INSTALL KIOSK IN MALL,NO ELEC PLANCK# 'C13951137'
CONSISTSOFDISPLAY'CASES '-CC'GR':
TYPE:: CTI - '• '. 'CONSTR. TYPE' VN
JOB ADDRESS: '525 ELCAMINO REAL STE: 9009' LOT: '
APPLICANT HOWETH, JOE PHONE 619 591-056
CONTRACTOR: PHONE
OWNER: ' ' ' 'PHONE: ,•4 4
REMARKS MW/JOSEPH/591-0565 INSPECTOR
SPECIAL. INSTRUCT: • '' -: • - ' - S S
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