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HomeMy WebLinkAbout2540 EL CAMINO REAL; E | MULTI-PERMIT FILE; CB971869; PermitZ U I L D 1 N C P E R M I T 07/09/17 13:4i Page -1 of —1 Job Addrelsi 2540 EL CAMAYO REAL Spite: Permit Type: MISCELLAUZOUS Parcel No:' Valuation. IJ Occupancy Group: References: Description: DEMO NON -BEARING WALLS AETURN V TO SHELL STATE PET717 ?7-1160 Permit'QYCB971869 Project WoTA9712312_' Development Noi 6790 10.7/09/97 0601 1,11 Construction Type; status: Applied: Apr/lwue: .Entered By: 02 VN N" - oxo ISSUED, 07/01/97 07?09/07 MDP Appl/Ownr :,BOGART CONSTYUCTION 71d 453-1400 MAUCHLY IRVILATE ,-CA. Collected A Credits A** Fees Required A A 1 ----------- �-7 ------- Fee;5 11 0 14 0; Ada juitm?ntz: .00 Total Fees: ilk ) �, 4 1 T A10 W Ext fee Data Aly Fee dewription --- ----------------- ------- -------------- 30.00 PERMIT Aswellanepus Fee KISCELLANEOUS Tn,.--. a On Q 20) INCORPORATED V CITY 2075 Las Ifthmas Dr., Carlsbad, CA 92009 (619) 438-101 21 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 - (760) 43&11-61 FOR OFFICE USE ONLY . 1�C� • PLAN CHECK NO. _ EST. VAL. Plan Ck. Deposit a . Validated By Date- 1 PRaJECT,INFORMATION, -." : "'• ; ; ` .. _ ruffl . 54E� C—(— C,AiMG ,Address (include Bldg/Suite #) Business Name let Legal Description Lot -No. -Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ,fl :IL- _ v1 C-4"� of Work SQ. k4 to Yd #ot 5tones # of Bedrooms # of Bathrooms F. iL.-r .. L;Urd IAti r:,q,i-,-ti Name Address City State/Zip Telephone # Fax # z ,"ApPIIC;4N1'; „`❑ Garitraptar>aentmrtnao! ru •..nr�=w ,•.. . , z�m ._ _,": . _.errs.►,�, Ir— na `on?: ~ f�.7IL 4-S'3 (cte�o Name Address City State/Zip Telep _one # -,z ��•y'":i-±R.;�?s"";,.c_a:'s-c?,?rrm_>:':•z=.�a'.a'_••-:.;.,;;srs,a^-'£3T";ic;s:�'>,-`'- %�s"f�"CS-'n'i 5... ,_CONTiiACTQR "COMPANI N%1ME..:� (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct; alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed -pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions" Code) or that he is exempt therefrom, and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant for a -permit subjects the applicant to a civil penalty of not more the/p five hu red dollars [5600)). r'7 fi i+ ./1.i'�• :'— /Y��v�C*i"f!� Yrt'Y+�rt1 � i'7 1�1��"�_y It2 \ )t�1G l � 1 �� 400 Name Address City State/Zip elephon State'License # License -Class r; City Business License # Designer Name raacross , - - - - State License # - Workers' Compensation Declaration: I hereby affirm under penalty ^of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ��CS- vnyiiCs� Policy No. -C� �4 C7C7 Expiration Date lC7 t (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OWLESS) ❑ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 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 ($100,000),•In addition to the cost -of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE A.rin�a'xi`.,ti':.':,':i'»;?�,I_'°:'.�ij'k;.t-'•Ft=;+,».is4�„'ii£v'N.��YRti'.'4"s'» '�i'".:1:•�i%x' �':b:.'...;''y'__=•_-"n _-7: OWNER--BUILDEiZ:DECLARATION^z'��';�`z�(.�.�'`:. �• •,•a?>..=�'=x.� : .>•.x-',__ -:-;"_ •' __ . - � •._..:... 1 hereby affirm that-1 am exempt from the Contractor's License Law for 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 ISec. 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). ❑ 1 am exempt under Section Business and Professions Code for this.reasonr 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ YES' ❑NO 2. 1 (have / have not) signed an application for a building•permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4., 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. 1 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 a�..iM�a':'"w�$�i'","�,�"_"`�_y;,''g'�µ�„"�'. 3'' ,?��°,�'xla'�nF�'•,y",siR�'=;fir-"•F•r-. }0OIM0LE7ETI.IiS SECTi0N'F0R:7VDlli%GiLI'MN'-�Tg;Q1a,�;� : __. s- :: E,Y x= = :. =. •? _=' '�' •"^ +'"!,_ " ':• . : N. ; `- 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? ❑ YES ❑ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or -air quality management district? ❑ YES ❑ NO Is -the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑' YES ❑ 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. t_ r_� { �j �_,�i �^"�:,'°;�n>%i°3^s;i_:wF'Fa':';*;,�a„�'r»�;takaer�-nr:-,:Ia.:ae:_•; a"Y':a;'';vae+,*.-.��;n3a- i,,f•�;�'; ��na+!a•�..•*.?. x-L�:::»���°.""�7�; T'+;. v :''S'�`:R �&*�';:_" 1$"„��.•t'rV�ST�VCTIt%�.p�1�Q�GC1\ri.Ix�+:=•__s?' �•.^.>-,,•:5��:,a�A+• __x:ir=a'snar �;.E"s . ,. '�iM:%r-.-. a-. :,i''.: `.[„�,:- .-. .-...t.: _. -^ ::o:'�e..��.� 4. _ 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 (- 4 _ - - - Wit= t1, y+�qr'-' ,,' x:ss �x iRTaiv w a ;:ri .€- ar _:,..^a y -t .» s .,+.r:.•, s; « . .. ".a . : ,9.-.APPLICANT;_CERTIFiCATlON,._:.._.=:-:.:�•, ,.:,, .,....-,-, :. -_.-,_ .• _-.;.-,.=::.-�- __ .., _=,.y:::..,..A-.;. ".:.• .,. I certify that I •have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cittr-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 demoljtion or construction of structures -over 3 stories in height. EXPIRATION: Every permit issued by t Bu)i ' g Official under the provision of this Code shell expire by limitation and become null and void if the building or work authorized by such permit is no m ced within days fr t ate of ch permit or if the building or work authorized by such permit is suspended or abandoned at anytime after th rk i ommenced f a perio 1 ays on 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 1AJu1Tc• Fit. vF1_1 OW- Anoficant PINK: Finance City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2017 Building Permit Permit No : CB971160 Building Inspection Request Line (760) 602-2725 Job Address: 2540 EL CAMINO REAL CBAD St: E Permit Type: CTI Sub Type: Parcel No: Lot #: Status: WITHDRAW Valuation: $0.00 Const Type: NEW Applied: 05/09/1997 OccGroup: Reference #: Entered By: JM Appr/Issued: Project Title: CTI 1440 SF Inspect Area: Applicant: Owner-: EAST COAST BAGEL 1821 WILSHIRE BLVD. SUITE 55 SANTA MONICA, CA 90403 310 449-4460 Total Fees: $277.00 Payments To Date: $277.00 Balance Due: $ 0-. 0,0 Description Fee ------------------------=-------------------------=------------- --------------- Other 277.00 L �' FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT' EST. VAL. Plan Ck. Deposit 2075 Las Palmas Dr., Carlsbad CA 92009 - 67f'- (760) 438-1161 0 • Validated By, ✓1, Date" lop. e, c- -C Address (include Bldg/Suite #► Busine Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Exist* g Us //a'V yy Propose+d Use ))) "111 � 1 ' N1tL4� � De nptionj of WoJrkk% SQ.F/T�/"' #of St nes # of Bedrooms # ot-Bathrooms Name Address City State/Zip Telephone # Fax # Name AdOess/ .' City State/Zip Name Address ' City State/Zip Telephone # f? R (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any vi 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). Name V "`" L%' Address City State/Zip Telephone # State License # License Class City Business License # Designer Name Address City State/Zip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ❑ 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. 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE AM I hereby affirm that I am exempt from the Contractor's License Law for 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ YES [_-]NO 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. 1 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 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration4foo or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ YES 1yj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district /or air quality ma"`n"'agement district? ❑ YES � NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES QLI 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 performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS �y r .iN _Sim" 7 .,....,,� ,,,, ,a'e_ .,,aS. - �„ j� 3 3 I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the 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. 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 wor com e d for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 7- WHITE: File YELLOW: Applicant PINK: Finance r s v O941FOR��P If Carlsbad DATE: 04/01/98 PLAN CHECK EXPIRATION PC# CB971160 DATE: 05/09/98 TO: EAST COAST BAGEL ADDRESS: 2540 EL CAMINO REAL #E 1821 WILSHIRE BLVD. SUITE 550 SANTA MONICA, CA 90403 You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. rrti. - F +-bta Un i farm 'R,-1-ld-i n Cod state: "Section 304(d) Expiration of Plan Review Appli,.cations for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or d-eastroyed by the Building Official. In order to renew action on an application after'ekpiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. yt7Q-"11aIV C1 -Y t3LLd 1C?t"L�°y- r7 c ct� �:CiYli ai._ �li: iui�3y -- - Department at (619) 438-1161 extension 4331. RAENETTE ABBEY Building Department 0 2075 Las Palmas Drive • Carlsbad,, California 92009-1576 • (619) 438-1161 I r APPROVALS ©ate q eBullding TPIannlng Engineering Fire Coastal Health Assoc. //�� l Humgrmm ND VP MV SCHOo1,FMM Mt mm oorm ENOW CORK MUD wooMw FM PUM ASSESSOR KM COFO 11