HomeMy WebLinkAbout2525 EL CAMINO REAL; 9021; STE 9021 PRE 2016; PermitI S .5
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-14-2001 Commercial/industrial Permit Permit No CB013535
Building Inspection Request Line (760) 602-2725
'Job Address: 2525 EL CAMINO REAL CBAD St: 9021 5
Permit Type: Ti Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Status: ISSUED
Valuation: $30,000.00 Construction Type: NEW. . Applied: 11/13/2001
Occupancy Group: Reference #: Entered By: CB
',,;.,Project Title: VERIZON WIRELESS- SALE KIOSK Plan Approved:
'12/14/2001
Issued 12/14/2001
- - - - Inspect Area
~Ao• ;.;plicant: -.• .....- Owner: -... .
HENDRICH CONSTRUCTION CO PLAZA CAMINO REAL
'OWLAND HEIGHTS CA ..-, C/O WESTFIELD CORP INC665O 12/14/01 0002 01 02
/ ( 11601 WILSHIRE BLVD COP 274-29
91748 . / ' \ ' LOS ANGELES CA 90025
. 909-594-4442
..••-
Total Fees: $432.23 -- \. Total Payments To Date: $157.94 BalanceDue: $274.29
/ , .•
' L , '
Building Permit / 1 Meter. Size. ,.;' \ '2 "
AddI Building Permit Fee - N$0.00-- Add I Red Water Con Fee ,/' $0.00
Plan Check , $157.94 Meter Fee \ ..----- $0.00
Add'l Plan Check Fee, I ,) $0.00 SDCWA Fee ,-) ii C) I $0.00
Plan Check Discount •' 9.00", 4'\ - CFD Payoff Fee ../" 3 1 $0.00
Strong Motion Fee . $6 30 PFF / \.. 7 $0 00
Park Fee <..' $0 00 PFF (CFD F)\1und ' / .$0.00
. LFM Fee ., $0 00— - License Tax, 1/ / / $000
.. Bridge Fee License Tax (CFDFund) ' $000
BTD #2 Fee moo ' iTraffic Impact Fee / f $0.00
BTD #3 Fee . \ \. $0.00 Traffic Impact (CFD Fund) / $0.00
'i. Renewal Fee • -. \$0.00 ,NOPLUB • / $0.00
AddI Renewal Fee \ ((. $0.00 ELErRl:.iO1Af&i OF
Other Building Fee $000 ti
Pot. Water Con. Fee
• \ ' $0.00
ACCORDA.NC .00 Meter Size
AddI Pot. Water Con. Fee N -$0.00. ,: ' ai44ee ,.' $0.00' •
Red. Water Con. Fee . $0.00 AdditioraJ Fèjjs1 .-' 4 $0.00
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FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO
EST
.
VAL.
CITYOF CARLSBAD BUILDING. DEPARTMENT. • .• . .
1635 Faraday Ave,.Carlsbad, 'CA
Plan Plan Ck.Deposit' 'L
Validated By _
Date
Ii YROJECT INFORMATION .4
L CIA' k)d L. •. A c 0
'Aidress (include Bldg/Suite #1 . Business Name (at this address) . ..
--
Legal Description
.,
Lot No. Subdivision Name/Number . Uri4N5 1/jNo002 al 8111,# units
. 4
Assessor's Parcel # ' ' Existing.Use Proposed Use '
S.
.
Description of Work f,,- e- ' S. FT. .' #of Stories. #of Bedrooms
•
# of Bathrooms
.4 4
2 ¼CONTACT PERSON (if differen'f 'from applicant)
.... '€o . CA 9-
Name
•
Name Address .,. I City State/Zip / Telephone # Fax #
3 APPLICANT Contractr C Agent for Contator D Owner U Agent for O.wnar 't1_ 1''S"1"1 2..._
16 3401 S
Name . 'Address '', ' . •. ., - City , .. -State/Zip . ,Jelephone # . .
4 PROPERTY OWNER
ø\-Le. '--L . 0-4 3\0
Name Address City State/Zip Telephone #
5-- C6NTRA .dcQ,M.N,NME . .... ...... ............
(Sec 7031.5 Business and Professions Code tr Any City or County which requires a per to consuct alter, improve demolish or repair any, structure prior to its
-issuance,f also require5 the aplicant 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 Codel or that he is exempt therefrom, andthe basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the.applican a civil penalty of not more than five hundred dollars [$5001).
U€&c tq A1 0.4. 917T'
Name . . . ' Address : - City . State/Zip Telephone # .
State License # 3'5P Ol& . Licehse Class . •. City Business License # --''-I Z. 11 2._i(-('(
---fl .-A.
Designer Name - Address, . ' , ,City State/Zip . Telephone
State License #
I öiik OMPENSATIOR
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
0 I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
0 I have and will maintain workers' compensation, as required by Section 3700 of ,the Labor Code, for the performance of the work for which this permit is
issued My Worker's compensation insurance carrier and policy number are
lnsur'anáe Compny ' ' . , S
: Policy No. . .' •'. '- Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 1001 OR LESS) - - . . . .
CERTIFICATE OF EXEMPTIO certify that n he performance ofthe.work for which this permit is issued, Ishall not employ any person in any manner so as
to b come subject to the Workers' pensation aws of Clifornia. . . .
WARNING: Failure to secure w rk rs conpensa on coverage is' ful.and shall subject an employer.to criminal penalties and civil fines up to one hundred -
thousand- a 0,000 ' 0? om ens on. es as provided for in Section 3706 of the Labor code, interest and attorney's fees. •
SIGNATURE _.•-
7rO1NER BUlL ECLARATION
I heieby affirm that I am exempt from the Contractor's License Law -lellowing reason:
0 I, as owner of the property or my employees with wagesas their sole compensation, will do the work and the structure is not intended r, offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law doas'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)
0 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 toan owner of property who builds or improves thereon, andcontracts 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
r - -. - ' "' -. • - - S
1 I personally plan to provide the major labor and materials for Construction of the proposed property improvement (j YES ONO
2 I (have I have not) signed an application for a building permit for the proposed wor -k S S ' .
3. I have contracted with the following person (firm) to provide the proposed Construction (include name / address / phone number / Contractors license number):
S '' . -'S '•'I . ' -- • • 4 - .--
4.' 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 I phone -
number / contractors license number): - __.- _-.-
•-
-- __- _
5. ' I will provide some of the work, but I have contracted (hired) the following personsto provide the work indicatd (include name / address / phdne number / type
of work):
PROPERTY OWNER SIGNATURE " _______________4 DATE
- I. QIt1P EJJ1.IS.SEi.IPNJF.O-RQ IPE4-TI.4L-. .!!P! F.ERM .[q&LY ... • ... -- ' n,..
Is the applicant or future building occupant required to submit a business plan acutely hazardous materuals registration form or risk management and prevention
program under Sections 25505:25533 or 25534 of the Presley-Tanner HazardoUs Substance Accouit Act?' 0 YES 0 NO
1the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO '
Is the facility to be constructed within 1;000 feet of the outer boundary of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A-FINAL CERTIFICATE OF OCCUPANCY MAY. NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
- REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
18 CONSTRLftTIONILENDINGAGENCY
I hereby affirm that there is a construction lending agencyfor the prfcrmance of the won.- tor .,bi 1 this permit is ,ijsd Sec 30147)i).0 Code).-,
LENDER'S NAME • __--.. _- LENDER S.ADDRESS
9 PLICANT CERIIFICATION - . - . -'- I certify that I have read thá application and state that the above information is correct and that the information on the plans is accurate.
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agree to comply with-all -
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit' ofCarlsbad to"fnte upon -th'e 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 bull i Official und - he provisions of this CodeIall expire by, limitation and become-null and void if the building ,, or work,
authorized by such permit is not commence i - ays 6 t e date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time alter the wor is co for a - d 1180 da (S ction 1 .4Uniforri Building Code)." - - - -' - - -- - :-
A. APPLICANT'S SIGNATURE DATE
WHITE File OW Appli nt PINK Finance- '
Cit of Carlsbad
May 16, 2002
Permit Number: CB013535
Issue Date: 12/14/01
HENDRICH CONSTRUCTION CO
19504 GALE VIEW PL
ROWLAND HEIGHTS CA 91748
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: TI
ADDRESS: 2525 EL CAMINO REAL #9021
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 6/12/02.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 180 days
from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the
building or work authorized by such permit is stopped at any time after the work is commenced for a period of
180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance
date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection
approval of work authorized by the permit by the Building Official within .180 days of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection
approval of work by the Building Official within each 180 day period upon the initial commencement of work
authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall
be one-half the amount required for a new permit for such work, and provided that no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required
by this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return. this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any 'questions, please contact the Building Inspection Department at (760) 602-2700.
PAT KELLEY
Principal Building Inspector
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560
Building Counter • (760) 602-2719 • FAX (760) 602-8558
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 12/11/01 U APPLICANT
U JURIS.
JURISDICTION City of Carlsbad U PLAN REVIEWER
U FILE
PLAN CHECK NO.: 01-3535 . SET: II
PROJECT ADDRESS 2525 El Camino Real Space 9021
PROJECT NAME Verizon Wireless Kiosk El Camino Real Mall -TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's, building codes.
LII The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
El The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check, list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person. :
LIII The applicant's copy of the check list has been sent to
Esgil Corporation staff did not advise the applicant that the plan check has been completed
Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Telephone #
Date contacted (by ) Fax #
Mail Telephone Fax in Person
Z REMARKS Applicant to hand carry the plans directly to the City of Carlsbad this does not
assure a permit will be issued the City may have other corrections
By: Doug Moody Enclosures: ,
Esgil Corporation
LI GA LI MB [1 EJ fl PC 12/4/01 trnsmtl dot
9320 Chesapeake Drive Suite 208 • San Diego California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 01-3535
11/26/01 .
VALUATION AND PLAN CHECK FEE
JURISDICTION City of Carlsbad PLAN CHECK NO 01-3535
PREPARED BY Doug Moody DATE 11/26/01
BUILDING ADDRESS 2525 El Camino Real Space 9021
BUILDING OCCUPANCY M TYPE OF CONSTRUCTION N/A
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier.
Reg.
Mod.
VALUE
TI 150 City Valuation 30,000
Air Conditioning
Fire Sprinklers
TOTAL VALUE . . 30,000
Jurisdiction Code cb ByOrdinance - I_$242.991 1994 UBC Building Permit Fee _ * ______________________
City of Carlsbad
10/01/1999' ' Commercial/Industrial Permit Permit No: CB993436
Building Inspection Request Line (760) 438-3101
Job Address: 2525 EL CAMINO REAL CBAD St: 9021
Permit Type: TI Sub Type: COMM
Parcel No: 1563020900 Lot #: 0 Statu: ISSUED
Valuation: $10,000.00 Construction Type: NEW Applied: 09/16/1999
Occupancy Group: Reference #: Entered By: JM
Project Title: KIOSK- TSR WIRELESS Plan Approved: 10/01/1999
Issued: 10/01/1999
Inspect Area:
Applicant: Owner:
ELITE GROUP . P.4ZACAMINO REAL
.
CORP INC
Zi
5651 DOLLY AVENUE L4 1W.i'1MLjBJvo
44
BUENA PARK CA9O62I 70~
/ LOA6 CG119O25
714-736-0518 '' I
Total Fees $229.51 TofU?aynents 1'pa : Balance Due $155.68
- c:.- •: .
Building Permit $113 58 - Red Water Con F,6.0,111 $0.00
Add'I Building Permit Fee,!$0 00 JIeter Size
Plan Check $73 g3 Aid Red War ColF.e1' $0.00
Add'I Plan Check Fee '$000.i., CF PayQf1Fee '- $0.00
Plan Check Discount
$0.00
Strong Motion Fee , ., $2 lO Pj1F(QFD Ftind) $0.00
Park Fee '.. $0.d ilceWe Tax $0.00
LFM Fee j0,0 1JcenseTax(GF#Pur $000
Bridge Fee $OO Traffic Lmpadt Fe,e $0.00
BTD #2 Fee ' ' $QO fftfI.ipabt (c3ID1Fund) $0.06
BTD #3 Fee Trplotee $0.00
Renewal Fee .'$P5Q øBJr.At . $0.00
Add'l Renewal Fee LTOTAL 1 $20.00
Other Building Fee $20.00 - E11NICAL TOTAL $0.00
Pot. Water Con. Fee $0.00 Master Drainage Fee: I, . $0.00
Meter Size Sewer Fee: ' $0.00
Add'I Pot. Water Con. Fee $0.00 Redev Parking Fee: $0.00
TOTAL PERMIT FEES $229.51
FINAL APPROVAL -
Inspector Date _____________ Clearance
NOTICE: Please take NOTICE that approval of your project includes the Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as feesIexactions.' You have 90 days from the date this permit was Issued to protest imposition of these fees/exactions. It you protest them, you must
follow the protest procedures set forth In Government Code Section 66020(a), and file the protest and an
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processing in accordance will, Carlsbad Municipal Code Section 3.32,030. Failure to timely follow that procedure will bar any subsequent lega
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ction to attack,
review, set aside, void, or annul their Imposition. S
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to
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changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438.1161
Ii
: FOR OFFICE USE ONLY 49
PLAN CHECK ' PERMIT APPLICATION
°L I
42O75Lasatm DCarsbad CK92009 Plan Ck De it' —'i U
(760)'438 -
— Validatd
— Date
-
F1 iPROJECT.INFORMA1lON 4
. .;
Address (include Bldg/Suite it) Business Name (at thisaddress) ft -.'5k .'
Legal Description - -..---.- Lot No.VV_ --'Subdivision -Name/Number,,... ....... Phae'No ..Tdtal #'oLüni1Cs5
i - t
Assessor's Parcel # .• Exist UseV .. -. . Proposed Usei 5,
IC4-o I Description.of.,Work. -.. _.,- ..S #ofV Stories..'S '..; 1of Bedroóms;', . ',7,#-of Bathroorns
it
'757PM TP_ERSON@_f_KX -n9/16 (' 01 02 V V 5 •V •VV V 5V - 73VV3
V ,Name........... . - .... Address.. - State Zip . Teft-phcns- S p
r TPPilCA jctor ieont V
D4: 7(4 -p
Name -4.. .. .. . Address'._. .... . -' .Z V..,Cit .. V State Zip ., - T phce S
14PRPERS
S •V V 5 —.
-
Name Addie City Stat Zip T e ph ane S
[5 Av - - - -S
-(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construàt, alter, mprove,demôlish or reàir.Vãiiy ructureii
1.
or to it
issuance also requires the applicant for such permit to file signed statement that he is licensed pursuant to the provisions1 ofthe Contractors License Law
iChapter 9 commending with Section 70004.of Division 3 of the Business and Professions Codel 5or,hat he is exempt therefrom and the basis for the dileged
-' em tio . Any vi lation of Section 7031 V b any pplicant for a p rmi 5 bjec the app V to a civil nal of n more than five hun red ollars $5001); V
V V b At\P 4JE t i'_ I ( 2
Name Address i ' t 1 1 City i State/Zip I Telephone it
EState ins#.t . ' ! - Line;Clàs&i ' ' -iCity Business License it._ V
V .cLFrV4P&V V5VLLc( vEV j
V DesignerNam . V
V V
Ad5r,es
, -•Cityr
. , State/Zip ,'Telephone
,StateLicense#____ ),5 •'' 1'1 ',' "V.). ,rJt..LCS,a-',. VVJSV4.tVjS) ,V 5 Vj V
fV
,,Workers' Compensation Declaration; I hereby affirm und pnIty of perjury ono of th following decStationst
S S - 45 ,- V • - V D. I have andwill maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
~
~,o! the work for which this permit is issued. - V VV V V 5 . -S . 5
iD...,.,l.have.and wilLmaintain..workers-,compensation, as.required by-Section 3700,of.the,Labor,Code, for VtheVperformanceSof the ,work for which this permit is..
issued My workers c n ation nsura ce carrier and policy number are t- ...
1tlurance 'Policy No'J5i ExpirationDate40(__cxD
'j(VTHlSVSECTION NEED NOT- BE COMPLETED ItV,THE PERMIT.1SFOR..ONE HUNDRED. l$1001.OR LESS) j.- -
f,• VI -
- V
CERTIFICATE OF EXEMPTION (certify that in the performance of the work for which this 'iermit istissued lishall notiemploy any',person in any manner so as
to'becomubjet to the Wrk Com'ensatidFi Laws of Calif'rnia ". S S V , ' V , V: ,y V5 - . - 5 .*4 VV• t
WARNING:'.'-Failur -to sec 'worFt -compensatio cove age, is unlawful, end shalI subject.an.employCr ..tó crimiflal, penaItiesand: civiltfinesupto;oiie
,,thousand 00) in ad i o the c t o corn ensation damages as provided for in Section 3706 of the L4or cqde interest and attorney s fees I
SIGNATURE 5 - -'-
-VVV , •, SV••V.54. S,VSV
-DATE V-V •V'
V':
1 LAfl"
hereby affirm th t I am exempt from the Contractor's License Law for the following reason io A
I 0 I ' owner the or riy empIee'iih w'js as their soleo'pesatioi ',ill do the work and the strutre is not intendd 01 dffered for iale"iI
)Sec 7044 Business and Professions Code The Contractor s License Law does nót1pply 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 improvemetis '
- sold.withinVoneV-year of complètion,,the ownefrbuilder, will have the.burden,of proving that he did not build,or improve fori the purse bf s'i'e),.
D. I, as owner of theproperty, am exclusively 'Contracting with licensed contractors to construct .the';prójectr(Sec.7O44, Business and ProfeasinsCode:Thei,
C'ontract'o'r'sLiènê Laf'dé not a'-l'-tóri'oe/reT 'of pRópitity wh& builds orViprovesthefeon,ahSdcontractsVforSsuch projectS'with'contrabtor(s) licensed".
pursuant to the Contractor's License Law). - , • - - . - .'. ,S S., V-'VV.V V
- 'r' -- - -- -.-- - - -4 S• VV V-V V-V' -. 5_S5V V VSSV — .....................5',.. 0 I am exempt under Section - Business and Professions Codefor this reason:.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYES: DVrO . ,- - I - 2 I (have'! have not) signed arfapplication'-f or 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)
- -
-s
l(an to provideportions of'thework, but) haveThired the followingperson to coordinate, supervise and-provide the majorwork(inlude name 1 address'! phone -
number / contractors license number):
(will provide some of the work, but l have-contracted (hired) thefollowing persons to provide the work indicated (include name address /phone nurnberj type
of work):,.
PROPERTY OWNER SIGNATURE
is the applicat or futur tiilding cupt equired to utmit a business plan acuteIt'-ha'adous materials registrduc4n lcnrii ci ic.k rn.iIa,ecieIat ead peaaention
'program under,Sections..25505,-25533 or.25534of the Presley0Tanner HazardousSubstance Account Act?- -0.. YES.,. 0 NO
Is the applicant or future building oci'nrequiredto1Tbtain aprrnitfr,o, thelair pollU idncôritroldistrictó airqijality-ma''ement district?' 0 ,'YES 0 'NO
Is the facility1to be constructed within 1 000 f1eet of the outer boundary of a school site?1 0 tYES D NO 1 4
11F ANY OF THEtANSWERS ARE 'ES iA FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEDUNLESS THE APPLICANT HAS MET OR IS MEETING THE
- - 1REQUIREMENTSOFTHE OFFICE*OFVEMERGENCY SERVICES"ANbTHE AIRVPOLLUTION CONTROLDISTRICT:
- '?fJ !
I herebyaffirmthat,there is a- construction. lend içigagency4cr the performance of the wrkfor-.hi h this permit i - issued Sec 17 Civil Cci'- -
LEJb'-ER'S NAr1E ••__iSSJi ______'4,___- LEJDR'SADDRESS ''
-_t .•-_-___5-_--___-S_--ION S-V_V_S5
, aa..Iai-
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representativesof the Cit' of Carlsbad to enter upon the above mentioned
- property for V inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP. HARMLESS THE CITY- OF CARLS,BAD.1AGJNST ALL LIABILITIES,
JUDGMENTS,'COSTS AND EXPENSES-WHICH MAYAN-ANY WAY ACCRUEAGAINSTSAID CITY IN--CONSEQUENCE OF THE GRANTINGOF THIS PERM1T-'*'
1 's 1,-s V .&'..'t'I,.-,--i ' OSHA:-An OSHA permit is required1for ècavations over 5t0" deep an'd'démolition or constructio&óf trUôtures'over 3 'stories in-heihCi 7' i-C. . S S
V - - - •V_V-V Vt V a . , 4 _ - - r EXFIRATION: ...Every. permit--isued -b?.the Building Offiéial,undèri'the provisionaof'thisCodehaII expire bylifnitátionand:becorhe'null"and voidifthebuilding orj
work authorized by such permi not co enced wit 365 days rom he da of such permit or if the building or work authorized b such permit is suspended j - 1'. -.- - - - - _ - ay ,' S ' 4- , 1 - V 'I _ VVVS VVV tVS..' i - VIV4I Si ,.or abandoned at-any -- - r Viscomrnenc d.f a peed o 18 -days Section-106.4.4iJniform Building.Code). * - i.t . ..,,.
SIGNTURE
— ITE File YELLOW Applicant PINK Finance
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City of Carlsbad Inspection Request
For:' or 10/6/99
Permit#'CB993436 Inspector Assignment: TP
* ) Title: KIOSK- TSR WIRELESS S
Description S
Type :T1 Sub Type: COMM
Phone: 6192518662
Job Address: 2525 EL CAM INO REAL
Suite: 9021 Lot 0
Location: Inspector:
APPLICANT ELITE GROUP *
Owner: PLAZA CAMINO REAL S
Remarks: ? TYPE OF INSPECTION NOT SURE OF S
Total Time: : Requested By: ERIC
S Entered By: CHRISTINE
CD Description S Act Comments
34 Rough Electric. S -
4,0
Inspection History
Date Description Act lnsp comments -,
10/4/99 31 underground/Conduit-winng CO TP SEE JOB CARD
10/4/99 34 Rough Electric
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CO TP
- -
S S I S S
I_S S
S S S
S S
5 1'-
J A