HomeMy WebLinkAbout2550 EL CAMINO REAL; MULTI-PERMIT FILE; CB001563; Permit04/25/2000
City of Carlsbad
Miscellaneous Permit Permit No:CB001563
Building Inspection Request Line (760) 602-2725
Job Address: 2550 EL CAMINO REAL CBAD
Permit Type: MISC Subtype: OTHER
Parcel No: Lot #: 0
Valuation: $3,000.00
Reference #:
Project Title: BANK OF AMERICA
REPLACE AWNING & SUNSCREEN W/ELEC
Applicant:
MSI
1233 E ROUND STREET
STOCKTON CA 95203
209-9.11-2921
Total Fees: $122.00
Status:
ISSUED
Applied:
04/25/2000
Entered By:
JM
Plan Approved:
04/25/2000
Issued:
04/25/2000
Inspect Area:
Total Payments To'164fej-�� $0.00
5491 04/25/00 0001 01 02
C—PRMT
Miscelaneous Fee #1 PERMIT , $1
Miscelaneous Fee #2 ELE,CC
TOTAL PERMIT FEES s 'l $1
INCORPORATED
Inspector:
FINAL
Date: q r 2 n Clearance:
Due: $122.00
2
e
NOTICE: Please take NNTIC that approval of your project includes the "Imposition" of febs, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
foeclmvaetinnc of whet, vni i hava nrevinusiv heen aiven a NOTICE similar tathis, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
122d00
PERMIT APPLICATION
CITY -OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
•
51.;�..��„lE„�fy,T�,INFt�„iiM%�T101�11..-s..`.»,.,'.:_:.:.�:.>oM
FOR OFFICE USE ONLY 2
PLAN CHECK NO. 0 '' 5' J
EST. VAL. ;dw
Plan Ck. Dep
Validated By,
Address (include Bldg/Suite #) - Business Name (at this address)
,2sn rL Cn,►) %� 12c �� AA hJle aG Arm "I i 0)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. I otal # or units
Assessor's Parcel # Existing Use Proposed
De rrption of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
I eP�� e-Q. /anti) -f S,,y Sc2e�N-
»ev.wp, .eu`E. Sr,rotiv^+. _.I.:.,,,w �,y'."`f"6;.ex..��w�!..'3a..T.x;M S�i��M:'i i�"i. �r�,�'c �.�^. SX s �°,iR.i"+Y,.<-�*.it-�ti�i:,l;�+q::..y�q[.^�','aiys. �`C•�ji.°�s°a.FYA.�erl�S't-.�,6_�`,�?"UrKa�f,Ap; w�,u+,,,.�o+....» ^.. .res N.c4-'..%.°.ia
F ".. fent:from3a )scan' KYr z
z2::�'�.'�.�.���Tu;PERSO��.(lt:dt..�.@r-....,..µ ....P„P ... M.l...-�:::�:�:,�.�`�::..�...,..>,�,��'�.:..r,»+.��,.w,`:n..:,�,�,:ze::::�,a,H?�,��..A;.�,::a,,:::;n:
Name Address City State/Zip Telephone # Fax #
Name Address City State/Zip Telephone #
o�lY�4'. ?;c,'+.v[
vx'-s�,"••" ,fr•�'-1k ,�y �*i"_ - Si 'r%'2�'� Fc°� ;. 3';AS Yy P"`sx '.1;1 ::'
kq.'���€.PROPL"`•RTY.�„OVYNER'•;j�:ii::�aM�':.::(�::�;!�S�I.,�i!�:x.�x.:,.za.,:,5ts�»:�.:,a::9»..a.:'`w�:sx:,'�:�;�•�:«="�r�::•.....r.;:.aah,:.,,..�.�,..�.�.�4,;:t».a__.x�x,.. .,,�...��:.>,---•
Name Address City State/Zip Telephone #
z^'csnm�.��T"�"�"""'"""""".."."�»«.�,...,..--.. :a :: ";+'a�'.w.;s• w^c'-�3�?�. ^<.�.., rt.�""'"'•'.±'rr ,x*k�a '.�—yav^.�,;;•. e„•""^':,�'.s^;=•�„.�crcY;�'•4'i.°�::G �a;\;�;.�,'.wne'ygr"^,�`�-,:gM'=i,; .; ."�'•'tp'T��i''.^.
5' CON'ERACTOR-+GOM�ANY-NAME„�' .;.�;:s:.,':.�;.;:.-.,"si;;:•:�.--�»?Saaa�c.:"�....:,�,.'-�'�'�,,°�.r;a:''"- amk=�:;�: 2.��_�,�.�.::;H�:,=ao.';a,D,�:Na...
(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 violation of Section 1631.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred Sollars [$5001).
{M< / I /,233 F &k,-,(-D ST C/J .201,
Name',6 _/ Address City State/Zip Tole one #
State License #'_ /J 10 License Class �6 City Business License #
Designer Name Address City State/Zip Telephone
State License # _
-^M;,m,��-„'mz-;�.-sy.�t..»..,.,x•�_.,+r• � - '^att;;. �"�, r,a->.:., r: ;'*s;_^ .' r a.� : ,c,.�,
,M; ��.�,.,.�.;:M>.:..�..���..,:�:=i;xa.,.:.�.:,eM.:,d�.,.�...�...,anwr,»,a:.�lw..a.,„..�;,r.._.; �•: ;.;,•.,...�,:::'a.r..... ..
Workers' Compensation -Declaration: I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 a 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
s d. My worker's compensation insurance carrier and policy number are:
/6 1 r'/G
Insurance Company ��L• � C2—� Policy No. (�/, S 4Expiration Date OG
(THIS SECTION NEED -NOT BE COMPLETED IF THE -PERMIT IS FOR ONE'HUNDRED DOLLARS-[$100] 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 mariner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to lecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (S10 1000), in dd ion to the cost of compensation, damages as -provided for in Section 3706 of the Ilorrcco le, interest and attorney's fees.
SIGNATURE DATE `
E...RATON...,,;�';:.•:';=..'>r,:';:.:>:,-a..,, :j:,i: �,c: _,. ,.,..__.,^......... ._,.. r...,..,x<._°a-'tax:�',:�'.:M,`,Ai;�.,5�.'•;_,'�.r.i�;-:n'",:,.:A_+......�_<..,x... .x. .
_ ._. ,.
I hereby affirm that I lempt 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).
❑ 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).
❑ '1 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
r n�-. ...,-`-,,"..,;u,_>.,,,.,, _...,-. ,. «..,..,u�. ..,.y..»_ .«„x.,,,.. �.:M..�-.;.;rr.�~`v ...ay •rod?.3abA��`:yNF��•;�p�,Et-:C3,:-�w.fx ^?Ss tq�Ssiii�ve.<Y� :i'c �4' .S�a.,.'ti °'•".;>
�S:k'.»...•;,�«fir' a»:.�iSt;�•`-�';s;w•''";::.;s,�....h.,:nv.F`,va:a�;»'A,x''.».-.. «awv.,'xa..i',�\3',�.� .�.,.,31..
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..
^°r"�.--;.;�:,~.,,aqn���;^em,�,;-`,r�.;':.��.�-.SAP-!r-�>';"""=z ;�"x'i"=''�:'.S?n.: ':.a:;*�^,,,1.^,;,P..��..-.. ;`+:r=•''�."�� ':a�r�r,•.,. A:,�:,::. ';,;>='; �,.':- ar"rM1
8��." CY •.�;.-a �.a • _ ,,;s,, r,;;, ,,.e,�n� %^x'•�+- _u».._.. •,-.-.:,.r t � *"4='",_ - +-r„°t•,...;..... .,-.'�...:.I,` .a:'*'a_',',:�':;r<.
,a�,�QP�S�'�t1Gr.�ON'I:ENp1111�,�iAGFm.>:.`,..,n.,'a,�.:�;,�3:';,�z:.z:;..a:;�»f;�>..s.,�;,,...,Ma�:i�':,-��.-,,....x�.� t.,_, �x"x�;"x��`�;.i,.;xR._�,�:3b_•a.-s.�-3r-�s�,�-�...:,;,,
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
„ANT.„'G`ERT1Fl TiON� ,.... 's, v: �,,,, ....:;:�' ` •iM�`'i"�ti 3"^�;
�l'�j0 � �;ai:scw �;�:;.�e..s �,.��. •:..�:�I.�� > Y.�'-�.:ms;a.:.x:fi�r.r:.�.,�z'a..�M�.:a;.;,....>^.:a�''
1 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 bu' ding 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- ithin 180 days from the date of such permit or if the building or work authorized by suc perryt is suspended or abandoned
at any time after the work is commenced f period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE �A
WHITE: File YELLOW: Applicant PINK: Finance
. City of Carlsbad Bldg Inspection Request
-•a . I For:.9/12/2000
Permit# CB001563
Title: BANK OF AMERICA
Description: REPLACE AWNING & SUNSCREEN W/ELEC
Type:'MISC Sub Type: OTHER
Job Address:
Suite:
Location:
APPLICANT MS
Owner:
Remarks:
Total Time:
N is
19
38
Date
2550 EL CAMINO REAL
Lot 0
Inspector Assignment: _.
Phone:
Inspector:
r-�>q - jo,
ej� vov'-�
Description Act Comments
Final Structural
Signs
Associated P.CRs
Inspection History
Description Act Insp Comments
Requested By: ERWIN JONES
Entered By: CHRISTINE
STRUCTURAL TECHNOLOGY CONSULTANTS INCORPORATED
Project: BANK OF AMERICA
Project No.: 524 - 73 Designer: WTN
Location: 2550 E1 Camino Real
Carlsbad, CA
Wind Zone 70 MPH Exp. B
P= 12.6x 1.4x.62= 10.9 PSF
Uplift = 10.9 x 2 = 22 PSF
System Wt.
Y2"spar•W=.5x3.5x.61/2x170=91#
1/8" skin x 2 = .25 x 170/12 =3.5 PSF
Z .125 x 170/12 x 5/12 =.75 PLF
WD=22.25x.75+22.25x4.5x3.5+91
12 12
=121 # 121 = 15 PSF)
4.5 x 22.25
12
W= (15p+11W)x22.2bx4_52=488"
12 2
MT=(15ox'.8-2x11)22.25x4_52=18811
12 2
Sr=488x12=0.4
15000
Sf = .5 x 7.52 = 4.7 > 0.4
6
Connection
C = T = 488 x 12 = 1171 #
5
Attach to Concrete Wall
Y2" bolts
A=0.2
Ff=4k>1.17
For L spanning 24"
M=1.17x24=7.02"k
4
SrZ = 7.02 = 0.33
21.6
L2Y2x2%x% Cont.
Page: 1 of (o
Date: 04-13-00
65-1 Arroyo Drive • San Diego, California 92103-6401
(619) 296-2096 • (800) 681-8106 • FAX (619) 296-2196 i e-mail: strtech®stcsd.com
Structural. Technology Consultants Inc.
651 Arroyo Drive, Suite 100, San Diego, CA 92103
(619)�296-2096 0 (800) 681--8106 0 FAX (619) 296-219.6
PROJECT: �/J s r D-� IAI SHEET 2 OF
PROJ. NO.: �Z �. _ 73 DESIGNER: DATE:
I
24
C �� z
F'P.
2?xzL,x:-
r�
,
I
0
STRUCTURAL. TECHNOLOGY CONSULTANTS INC.
b51 ;ARROYO DRIVE, SAN DIEGO, CA 92103
(III 296-209b FAX(&IS) 2'3b-2196
PROJECT: MSI 5ofA AWNING SHEET 3 OI=
PROJ. NO.: 524-, 73 DESIGNER: HTN DATE: 04-13-00
4'-63/8" MAX
15' MAX. A150VE GRADE
EXISTING C cvWr. E'CE
WALL �
ko1�
ToP�Bof
L ou*-tA
)" ALUM IE
BOLTS
CONT L
j it +
1 ' �Q � CGa 2z
1 I� C rn
mn
r Structural Technology Consultants Inc.
651 .Arroyo Drive, Suite 100, San Diego, CA 921-03
(619) 296-2096 0 (800) 681-8106 4 .FAX (619) 296-2196
PROJECT: M5 Z (� f 19 19'WD 11V'!�7 SHEET 4 OF (p
PROJ. NO.: �.� 4 — DESIGNER: DATE: f3/4:90
r 111
f =
L
Zed Guc G�r a�i
d�zo by
Structural Technology Consultants Inc. . .
651 Arroyo Drive, Suite 100, San Diego, -CA 92103
(619) 296-2096 • (800) 681-8106 a FAX (619) 296-2196
PROJECT: I/S Z /� D� W/✓/1l Gj SHEET S OF (p
PROJ. NO.: S ,¢ — 73 DESIGNER: DATE:
Chu% Lfl-cuu. C�to� r
&v,,I d
�. 1.. L I J
4 ................ _...._..... �,.
3 X 3
4 ,j,
i2 �z
> 6 13 1,
6tkz. TV 124-6"tg C�-Vr nt/ .
S=
57ZX/,3zT _ .S
•If7S-J
S
, z-
r - Structural Technology Consultants Inc.
651 Arroyo Drive, .Suite 100, San Diego, CA 92103
(619) 296-2096 9 (800) 681-81-06 • FAX (619) 296-2196
PROJECT: 1W Sr �5 rI AV9 /IV5"/ SHEET G OF
PROJ. NO.: — �13 DESIGNER: DATE:
Cn«k v�f, /POsf
/Dj � /57-�t2_
B U I
L D I N G P E R M I T Permit'No:
CB960429
03/14/9,6 10:47-
Pr03ect_No,:
A9600617
Page I of I
De'vel6pment No.
Jo)a Addr-ess: 2'5-50
EL CAMINO REAL Suite,.
Permit Type: MISCELLANEOUS
6307 03,114/% 3()01 0.1 02
Parcel No;
Lot#:
Valuation:
4,223
Construction Typ�g- DJEW
ED
Occupancy Group:
Reference#: Status:
SS
Description: 4100,SF
RE. -ROOF',
BUILT UP Applied:
03/14/9,6
Apr/Isstio:
03/14/96
Entered 8y:,RMA
Annl/Ownr PAUL'S ROOFING
6714-772-74-85
1011 E'LACY AV
ANAHEIM 'CA, 92805
'Fees Required Fees Co
-----------
Fees: 119,
Adjustment_s: /60 TotAiAd
Total Fees: 11 90 Total ay
4�
Bf�ane
Fee description t
------------------ �
Miscellaneous Fee #ij
MISCELLANEOUS TOTAL
INCORPORATED
1952
ated & Credits
7 — — — — — — — — — — — — —
t_s
00
.00
N
I 19. 0,0
its
Ext fee' Data
119.DO PERMIT PEE
119.00
4
_- ^vv -
CITY OF CARLSBAD
2075 1.m Palmas Dr.; Carlsbad, CA 92009 (619) 439-1161
PERMtT APPLICATION w-- P
city of cartsbed Buildina D"rtaent �•a�
2075 Las Papas Dr., Carlsbad, CA 92009 (619) 438-1161
From List I (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 I
2. PROJECT INFORMATION
bk>O v ,
Nearest Cross Street
02 Energy Calcs ❑ 2 Structural Calcs . ❑ 2 Soils Report 01 Addressed Envelope
PLAN CHECK NO. q[O Zt Zq
FOR OFFICE USE ONLY
DESCRIPTIo QF,WORK ,c+Movti i~xrsf��+
v 1 t-T f DW 5
6,0.0 X.i'%4,lf
tZg, t �1te�t, �'„rs-1a11 Lf DIY (8,(,l_�• `'��IK
I
r.
Q. F'I'.
# OF STORIES
# OF BEDROOMS # OF BATHROOMS
it different from
applicant)
NAME (last name first)
ADDRESS
CITY
STATE
ZIP CODE
DAY TELEPHONE
NAME (last name first) AA,-1
ST&C-
ADDRESS l061
0 Za _y A%< -
/
CITY A"ke",
"STATE GA
ZIP CODE *.1_&0 _
DAY TELEPHONE 1(4) %%,X 7q �S
NAME (last name first) �a" k
°`� A M cr rGa
ADDRESS M-5-0 15�1,
CITY c"'IsAas
ii STATE ZIP CODE DAY TELEPHONE
NAME (last name first) tvt.l b )�t��iivtJ ADDRESS
CITY STATE e'-A ZIP CODE 7740S' DAYTELEPHONE
STATE LIC. # L48 10?p LICENSE, CLASS 6-31 161 CITY BUSINESS LIC. #
DESIGNER NAME (last nametirst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
OMPENSKIION
Workers' ompensation aration: I hereby affirm that I have a ceru irate or consent to se -insure issued by the I►rector of Industria
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 (Seca n 3800, Lab. C). y
µ r
INSURANCE COMPANY 4tc /�u K� POLICY NO. o�S - %G EXPIRATION DATE
erti icate or Exemption: I certily that in the perloMiance of the work or which this permit is issued, I sliall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
Owner -builder aration: I here y attirm that I am exempt rom , e Contractors license Lawor 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 Contracto'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 [S500]).
SIGNATURE DATE'
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 )3 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 Pr NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
❑ YES WNO
IF ANY OF THE ANSWERS ARE YES, FINAL CERTIFICATE OF occUPANCY MAY NOT BE ISSUED AFTER JULY 1,1999 UNLESS THE APPLICANT
HAS MET OR IS h E:rING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
LENDER'S NAME
LENDER'S ADDI
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 CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY AC MUE AGAINST SAID CTI`Y.IN CONSEQUENCE OF THE GRANTING OF THIS PERIET.
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 abando�ed�t any timVft a work is commenced for a period of 180 days (Section 303(d) Uniform Buildin Code).
APPLICANT'S SIGNATURE // s � /% DATE: �
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1.. JOB ADDRESS `oZ��d 5L P,-,-
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL_
3. ROOF SLOPE: RISE ;/o�` inches in 12 i-nches
4. TYPE OF EXISTI-NG ROOF COVERING &9,jq_ SHEATHING Olvwpn /a?�G,�
5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3
*6. NEW ROOF MATERIAL - !fi uoO CLASS A- WEIGHT PER SQUARE .2 LiQ /)s
7. NUMBER'OF SQUARES
8. TRADE NAME YaNc_ MANUFACTURER
9. ROOF SYSTEM APPROVAL UL No. Other -
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES_ NO
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A_Z Cl-ass B
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN
DATE
Contractor - Owner Contractor Name
*6 -Rolled Roofing, Tile, Shake, Shingle,, Asphalt/Comp Fiberglass,,Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB96"0429 FOR 03./19/96
DESCRIPTION: 4100 SF RE -ROOF, BUILT UP
TYPE: MISC
JOB ADDRESS: 2550 EL CAMINO REAL
APPLICANT: PAUL'S ROOFING
CONTRACTOR:
OWNER:
REMARKS:, MW
SPECIAL INSTRUCT: PM PLEASE
TOTAL TIME:
INSPECTOR AREA
PLANCK# CB960429
OCC GRP
CONSTR.-TYPE NEW
STE: LOT:
PHONE: 6714-772-748
PHONE:
PHONE:
INSPECTOR
--RELATED PERMITS-- PERMIT_#
TYPE
STATUS
CB8-90743
�ELEC
EXPIRED
CB890810
MECH
EXPIRED
CB94.0786
MISC
EXPIRED
CD LVL DESCRIPTION ACT COMMENTS
15 ST Roof/Reroof �` _ �P6G/<<sL-y �1-GD �G�i� Af AICe-✓0
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
B U I L D I N G PERMIT
07/21/94 10:52
Page I of I
Job Address:. 2550 EL CAMINO REAL
-Permit Type. MISCELLANEOUS
Parcel .No :
Valuation: 20,000
Construction Type: NEW
Occupancy Group:
Description: INSTALL ATM KIOSK
Appl/Ownr : TOMAC CONSTRUCTION
10012 COMMERCE
TUJUNGA CA 90631
Suite:
Lot#:
�A -
Reference —
Mw
Fees Required
---------------
Fees: 391.00
Adjustments: -\0 0✓ T o t, E-1Y'
--� \ IN 1�1
Total Fees: /3 91-LQ'O, i4l Pay
Balanc
Pee description
-------------
Mi f scellaneous Fee # .410 0
Miscellaneous Fee 0 00
Miscellaneous Fee 2
A
,Miscellaneous Fee % 2 4� MISCELLANEOUS TOTAL
U
Permit No: CB940786
Project No: A9401102
Development No:
7860 07/221/94 0001 01 02
C-PRKT 251.00
Status: ISSUED
Applied: 06/29/94
Apr/Issue: 07/21/94
Entered By: DC
951'1995
le',tea
,tea & Credits
---------------------
t
■
V7S
CITY OF-CABLSBW
2075 Las Palmas Dr., Carlsb*N�r92009
.00
140.00
251.00
Ext fee Data
---------------
140.00 PLANCHECK
207.00 BLDPERMIT
20.00 ELECTRIC
24.00 MECHANICAL
391.00
PERMPP APpixATLON :
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 I
2. PROJECT INFORMATION
PLAN CHECK NO.
C*'o'
EST. VAL
PLAN CK DEPOSIT U, ad
VALID. BY
DATE C L 4_ LI
7590 46/2V/94 0001 01 Qa
C--F'RMT 140n40
FOR OFFICE USE ONLY
Address builaing
2 aE C5
Nearest Cross Street
TION of No. -1
Lt*GAL751=s`Zfff1�TR5N--L=t�`o�u subdivision Name/Number Unit No. Phase No.
CHECK 13ELOW IF SUBMIT FED:
❑ 2 Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE.
DESCRIPTION OF WORK
SQ. Fr. _-3o (1j81lL # OF BATHROOMS
Q. t U1J1H1.1 jrrAU3 11 kit auaica CUL gypu. a��
NAME (last.name first) jq N j O�,(N1DDRESS—
CITY STATE ZIP CODE_ DAY TELEPHONE
NAME (last name first) I it.[ at l[ `.�?!�:,ADDRESS 1Sa,=, t1 t T
CITY L.&!- � i� STATE C-�i, ZIP CODE ®�� DAY TELEPHONE1G�
S.- PROPERTY OWNER
NAME (last name first) 'L-_, ADDRESS
CITY STATE C-a1&- ZIP CODE 9 L lC� DAY TELEPHONE O ( � -- `7 7 @x�!:)
a. CONTRACTOR
NAME (last name first) j[./Il�� ADDRESS ( <rC*A i��
CITY `'-r-S cJ C STATE G''..t:._. ZIP CODE DAY TELEPHONE(?J t?) 1 !F> I -- (J-JA,�-
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
DESIGNER NAME (last name l first)AllllRr S5 ��-� -
� �1�1 LS I �a� �• ' (J�6•=7
CITY l,J�,= t I STATE n- ZIP CODE �(E7P� ' DAY TELEPHONE �3,1l�, A LIC, #
W workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self -insure issued by the irector o n ustna
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. E)(PIRATION' DATE
Certificate of Exemption: I ceru at in the performance of the work or which is permit is issued, Ishall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
Owner -Builder Declaration: I hereby affirm that I am exempt from the Contractors JUicense 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 Iaw).
❑ 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 2SS34 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 AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR Is MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT9. CONSIRUGHON LENDING AGENCY
hereby atfirm that there is a construction lending agency for the performance of the work or w is is permit is issue c iCivil Code).
LENDER'S NAME LENDER'S ADDRESS
certify at I have read the application ana 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 CARISBAD 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 ondoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code..
A nnT Tel A XMIC! CM-Ni A'Vft DATE: /�
0
CITY OF.CARLSBAD
INSPECTION REQUEST
PERMIT# CB940786 FOR 07/29/94 INSPECTOR AREA
DESCRIPTION: INSTALL ATM KIOSK
TYPE: MISC
JOB ADDRESS: 2550 EL CAMINO REAL
APPLICANT: TOMAC CONSTRUCTION
CONTRACTOR:
OWNER:
REMARKS: MW/
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE
CB890743' ELEC
CB890810 MECH
CD LVL DESCRIPTION
11 ST Ftg/Foundation/Piers
34 EL Rough Electric
PLANCK# CB940786
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 818 951-1995
PHONE:
PHONE:
INSPECTO
STATUS
EXPIRED
EXPIRED
ACT COMMENTS
14T :a—" p d I -r a..) �_�d
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
ESGIL CORPOR.A►TION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560.1468
DATE: % 7
JURISDICTION:�5 �7a
PLAN CHECK NO: _ 76 6 SET:
I
PROJECT ADDRESS: ;Z-- •-'5�-� Lrl c "'o �e
PROJECT NAME: A `7- AA
❑ APPLICANT
JURISDICTION
PLAN CHECKER
❑FILE COPY
❑UPS
❑ DESIGNER
n The plans transmitted herewith have been corrected where
t necessary and substantially comply with the•jurisdiction's
building codes.
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. -
❑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 Corp. until corrected
plans are submitted for recheck.
❑The applicant's copy of the check list is enclosed for the
jurisdiction to return to -the applicant contact person.
❑-The applicant's copy of the check lift 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:
By: Oe Enclosures:
ESGIL rjPORATION
❑ GA ❑ CM O PC
4
Date •
Jurisdiction: o
1-
O Bldg. Dept.
D Esgil
VALUATION AND PLAN CHECK.FEE
PLAN CHECK NO. q q— ZB. 6 , 1t
BUILDING ADDRESS
APPLICANT/CONTACT PHONE NO.
BUILDING OCCUPANCY. DESIGNER PHONE
TYPE OF CONSTRUCTION CONTRACTOR PHONE
BUILDING PORTION
BUILDING AREA
VALUATION
MULTIPLIER
VALUE
Air Conditioning
Commercial
@
Residential
@
Res. or Comm.
Fire Sprinklers
@
Total Value
�v �o
Building Permit Fee $ '`I 5--t '1 r �8 $
Plan Check Fee $ $
COMMENTS:
c:\general\valuatn.sht / C-> 7' 6tic SHEET I O F t 3/ 9 4
PLANNING CHECKLIST
Plan Check No. 94- 796 Address Z SS O C10,•� i�rc� ;7�
Planner VAN .LYNCH Phone 438-1161 ext. 4325
(Name)
APN:
Type of .Project and Use 6l9kwgOzzm,4-- 7 Pl?-N&O lG�v r
Zone Facilities Management Zone
CFD (' ut) # 1 -
cl(It property in, complete SPECIAL TAX CALCULATION
4
m
O
WORKSHEET provided by Building Department.)
>I
(
I
Le d
t
t
'
Y
Y
"
0 Item- Complete
u
Y
t
tJ
u
Y
L
L.i
U
Y
L
Ci
❑
Item Incomplete - Needs your action
1, 2, 3 Number` in circle indicates plancheck number where deficiency was
identified
❑
Environmental Review Required: YES N04� TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
ELtCl Discretionary Action Required: YES NO A TYPE
APPROVAL✓RESO. NO. DATE:
PROJECT NO..
OTHER' RELATED CASES:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
1
California Coastal Commission Permit Required: YES . NO
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
Inclusionary Housing Fee required: YES NO,k,__
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Site Plan:
3"[�❑
. Zoning:
1. Provide a fully dimensioned site- plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks •and existing topographical lines.
1.
2.
3.
W C'R1'""5_ 4.
Provide legal description of property, and assessor's parcel number.
Setbacks:
Front: Required
Int. Side: Required
Street Side: Required
Rear: Required
Lot coverage: Required
.Height: Required
Parking: Spaces Required
Guest Spaces Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Additional Comments�y �„/
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER �„� DATE 47---7"%Y
PLNCK.FRM
B U I L D I N G PERMIT
0.5/21/ 91 .09:38
Page I of I
Job Address: 2550 EL CAMINO REAL
,Permit Type: MISCELLANEOUS
P'arcel- No:
' Valuation: 4'_000
Construction -Type: NEW
odcu-pancy.Group : ' BZ Class Code :
Description: -INSTALL ATM WINDOW B OFA
. -1 1 i NO PC FEE PAID
Str -
Perinit -NO--:,, CB910752
Project No.-',A9100902
Development'No ;
Fi: Ste
0542:11/91-000l 01
02-- -
U0.00
M'Lio
Status;-
ISSUED
Applied-
.05/08/91
-05/21/91
Validated -By:
CD
-Appl/OWnr JANIS ROBINSON 2-13 690-76.38
1530 NO WALNUT ST
LA HABRA, CA 90631
CONTRACTOR KEITH WOERLE CONSTft NO
9-23 3714
1050 ROSEMAN S 10
SAN DIEGO,,,'CA 9 21tO 6"-
Fees Required e ct`�d'&
-C redits
---
----------- ------- -------
-----------
Fe&s-
I
Adjustment's .OQV Total dr4dLts
.100
Total Fees: fn'. ao
.00
'Fee
120.-00
description wits "'pF6e/Unit
E�xt fee Data
---------- -- -----
Miscellaneous Fee
63-.00'B PERM
,:#I
Miscellaneous Fee # 2 4. ITO Y
42.00 PC PEE
Risc-ellaneous,Fee #3 �L'5 016��
1,5.0-0 ELECTRIC
MISCELLANEOUS TOTAL
120.-OQ
I
OVA L
INSP. DATE
CLEAR.ANCE
CffY'OF CARLSBAD,
2075 Las Palmas Dr., Carlsbad 'CA. 92009 (619)1438-1-161
PERMIT APPLICATION
City of Carlsbad Building Department
2075- Las Palmas Dr., Carl sbad, CA 92009 (6I9) 438-II6I
j. PERMIT TYPE
A - 'COMMERCIAL LJNEW TENANT IMPROVEMENT
B - ❑INDUSTRIAL ❑ NEW ❑:TENANT IMPROVEMENT
C ❑ RESIDENTIAL ❑ APARTMENT ❑ CONDO -❑ SINGLE FAMILY -DWELLING ❑ ADDITION/ALTERATION
DUPLEX ❑ DEMOLITJON []RELOCATION ❑ MOBILE HOME ❑ ELECTRICAL ❑ PLUMBING
❑ MECHANICAL • ❑ POOL ❑ SPA ❑ RETAINING WALL []SOLAR tTHER__�F -
or
Sion
EST. VAL
PLAN CK DEPOSIT
VALID. BY
DATE
.CHECK BELOW IF SUBMITTED:
El
Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE-
rlrstl—�'�L)C3�"�1 d �►-�' "[7P,Al� :F t DP.tVer-UP
BLDG. SO. FTG. # OF STORIES
I. 'CONTACT PERSON -A
NAME ♦J+��t� l �a�f�lt ADDRESS VJA1 L NL rF ---:,7r
CITY LAB STATE4:S061- ZIP CODE CI���� DAY TELEPHONE
CirwOTIIRF
4. - AP.PLIACANL - / ❑CONTRACTOR,�{
NAME
CITY L-Pc 'j-Yif t:7
5. "PROPERTYOWNER
NAME � Y "-_ 45F
❑ AGENT FOR CONTRACTOR []OWNER AGENT FOR OWNER
ADDRESS 1 E77 _a;�b hi -
STATEC�c ZIP CODE ` jf�G� DAY TELEPHONE I aj1
OWNER , a5K MIIZ.gLTj -❑LESSEE ❑TENANT
1 7 - ADDRESS Z� tr,�� Ztj1s( jt`�LL� 7 �j -7
CITY p %S•L7 F-+`�� L A °�°4� ZIP CODE —s I I D =_J DAY TELEPHONE ! rIDZ
6. CONTRACTORpS ala(i�
NAME ADDRESS
grli
CITY y { L �C r^j� STATE ZIP CODE F `Z � �6 r.'� DAY TELEPHONE
STATE LIC. LICENSE CLASS CITY BUSINESS LIC: # ./
SIGNATURE
CITY
TITLE
STA
TELEPHONE
ATE LIC. #z,-lfi74;5
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self- insure'issued by the Director of Industrial Retations,-
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. C).
INSURANCE COMPANY POLICY NO. - EXPIRATION DATE
rwrfnrman— of the work forwhichthis Dermit is issued, I sh'aLL not 'employ any person in any
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE
O.. V171\LI\—Y V1 !'r,. vry ..... 7�.. - - -
Owner-BU1Lder Declaration: I hereby of -firm that d am exempt from the Contractor's License Lau 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:
(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 tb•a civil penalty of not
more than five hundred dollars LS500)).
DATE
-SIGNATURE _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acute Iy-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 FIND
I_s the faciL'ity 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 AFTER JULY 1, 1989'UNLESS THE APPLICANT ,HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9'. 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 30970) Civil.Code).
LENDER'S NAME
LENDER'S ADDRESS
I:, APPLICANT'S SIGNATURE
I certify that I nave read the application and state that the above information is correct: I agree to comply with all City ordinances and -State taws 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. -
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 or if the building•br work authorized bysuch.permit is suspended,
or abandoned at any time after the wor is commenced for a period of 180 days (Section 303(d) Uniform Buitding Code);
APPLICANT'S SIGNAT �E/ 10 OWNER CONTRACTOR ❑ BY PHONE APPROVED,9Y:
WHITE: File YELLOW
PINK: Finance
=u Y CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT$# CB910752 FOR 07/15/91 INSPECTOR AREA MP
DESCRIPTION: INSTALL ATM WINDOW B OFA PLANCK# CB910752
NO PC FEE PAID OCC GRP B2
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 2550 EL CAMINO REAL STR: FL: STE:
APPLICANT: JANIS ROBINSON PHONE: 213 6907638
CONTRACTOR: KEITH WOERLE CONSTR PHONE: 223 3714
OWNER: PHONE:
REMARKS: MH/223-3714 INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE STATUS
CB890743 ELEC EXPIRED
CB890810 MECH EXPIRED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
39 EL Final Electrical
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
052991 Frame/Steel/Bolting/Welding AP MP OK TO PROCEED
052,991 Rough Electric AP MP
f � W
f
2560' ORION WAY
CARLSBAD, CA 92008
TELEPHONE
(619) 931-2121
of Cariobab
FIRE .DEPARTMENT
PLAN CHECK REPORT
PAGE 1 OF %
APPROVED ..
DISAPPROVED
PLAN CHECK#
PROJECT - +/ }/s� n i' !q JL14k ft',A ADDRESS � Sri %i F.1 C K717'? t'll) Rb-1 C_.
ARCHITECT '',)4 ADDRESS LP4 'f de_Ar 4 PHONE 4,
OWNER, ADDRESS PHONE
OCCUPANCY - CONST. TOTAL SQ. FT. STORIES
ED SPRINKLERED ❑ TENANT IMP.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
1. Provide one copy of: floor plan(s); site plan; sheets
2. Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
3. Provide specifications for the following:
4. Permits are required for the installation of All fire protection systems (sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
5. The business owner shall, complete a building information letter -and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
6. The following fire protection systems are required:
❑ Automatic fire sprinklers,(Design Criteria: )
❑ Dry Chemical,, Halon,-0O2 (Location: )
❑ Stand Pipes.(Type: )
❑ Fire Alarm (Type/Location: )
7. - Fire Extinguisher Requirements:
❑ .One 2A rated ABC extinguisher for each sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel.
❑ An extinguisher with a minimum rating of to be located:
❑ Other:
8. Additional fire hydrant(s) shall be provided
EXITS
9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
10. A sign` stating, " This door to remain. unlocked during business hours" shall be. placed above'the main exit, and
doors
11. `EXIT signs (6" x 3/4" ,letters) shall be placed over all required exilts .and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with'Uniform Fire Code.
13. Building(s) not approved for high piled combustible stock. Storage in.closely packed 'piles shall not exceed 15 feet
in height, 12 feet on pallets or'in racks and 6 feet for tires, plastics and some,flammable liquids. If high stock pil-
Ing is to,be done, comply with Uniform Fire Code, Article 81.
14. Additional 'Requirements.
- 15:,,, Comply with regulations on attached sheet(s).
{♦ ' r'
Plan Examiner f f'"t Dated
Report mailed to architect Met with Attach to Plans
ran P""" USE BALL POINT P,EN'ONLY &'P.RESS;HA'RD APPLICANT'T FILL IN:INFORMATION WITHIN $H'ADED'AREA AND DECLARATIONS.;•
0. -Thereby afflien loaf -I aim ll'censed_unde'r
p.:• provlsions.of',bhapter'•9 (cornmencing with .
Sec1116n-7000) pf' Division '3=of the. Business•
?'rand.;Professiohs Code, and my license is In
f u l i-force -an deffect.
Z Lic; No. Class _
U.-
• ,+ bhereby affmn thatI am exempLirom.the,Con-
lridtors.License.Law.for_the followlna-reastin,(Sec.
703j 5'Busmess and professions Code. Any cityor
county, -which, iequiies .a- permit to 4Gtn{ct
caller, improve; demolish, or repairany structure,'
¢
W
Z
„O
O
F
J
W
O -
.,
such' permit- to'file• �a signed" statement that -he -is'
licensed pursuant to the provisions of the, Con•
tractor's License -Law (Chaple(9'commencing'ioith
Section,7000 of-Diyisign;3 ofTthe.Business apd Pro•
fessioris.Code) or that is exempt therelroin;and;the
basis for the alleged exemption. Any,, violation of
Section,7031.5 by an•applicant-for a•pehnit,subjects
lhe^applicant'to a civil penaltyof not more.than five
-hundred dollars $500j:
❑ I, as "owner 'of the property, or my `employees _'
with wages as their -sole compensation, will do the,
work, and the structure is ngtintendedoroffered for
sale (Sec. 7044, Business and Professiohs-Code:
Th'e`Contraetor'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 improvemedts are
'not intended or,olfered_for sale.'if, however, the
building^or.improvement: is sold within one yearof-
completion, the ownerbililder will have the burden
of proving that he did not build or improve for the
purpose of salej. - - - - -
as owner of the property, am exclusively
contracting with licensed confraotors to construct
the •pi0
1
eo1
_1 , 7044, Business and Professions
Code: The Contractor's License Law does not apply
to an owt}er of'properly,who builds or improves
thereon, and who contracts for each projects with a
contractors) license pursuant to the Contractor's
• Ycense Law),
❑ lam exemptunderSec._ , B: S,P.C.
for this reason
El I hereby affirm that I have'a'certificate of consent -
to selfdrjsure„ ofi a' certificate of Workers'
Compensation insurance, or a certified copy thereof
(Sec, 3900, Labor Code).
Z POLICY NO,
COMPANY
F _
Z,Copy is tiled w)th the city.
W Certified copy isohereby furnished. -
a
3E
O CERTIFICATE OF, EXEMPTION FROM
L) WORKERS' COMPENSATION IN—
A-Y)
¢
fThis•sechon need not be completed if the permit
W
is for one hundred dollars (f100) or less)
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¢
'❑ I certdy lhahin the performance ohthe work for
O
which this permit is issued. I shall not employ any
3
person in any manner so as to become subject to
the Workers' Compensation Laws of California
'
NOTICE TO APPLICAfl,T: If, after making this -Certi-
ficate of -Exemption, you should become subject to
i
the Workers' Compensation provisions of the Labor
' Code, you• must forthwith comply with such
provisions orfhis permit shall be deemed revoked,
t
❑ 1 hereby affirm that there is a construction
- ¢
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lending agency dor the'perfofmance of -the work for .
O
which this permit is issued (Sec 3097, Civd,Code)
NLender's
Name - -
Lender's Address
01ARLS6A'•0%UIL0IN`G' DEPARTMENT' .A ICATION &-PERMIT
-7 1200,Elm; Cal Isbad,:C'alifornia 92008 (714)•436 525- r,
JOB ApDRS§ AV, ST. DATE OF APpL1ATiQN BUSINESS LICENSE #
RD.
. �1
OWNER'S. NANtE• : '-. � - .- OWNER'S PHONE 'P�E CONTRACTOR - f GONTRAC'Y'OR$ PHONE #
- _ > — �
V�rCUA N�� -`
PERMIT NUMBER,
,
,ZONE
OWNER'S MAILING ADDRESS -
`?. a
CONTRACTOR'S ADDRESS
� r l- dr7c�c 7�-
LICENSE NO.-PLANI.D.
•l 3 71 r 5�
#
BLDG USE CODE
OT�
BLOCK
St480tvisi6N _
ASSESSOR PARCEL NO.
DESIGNER
=STATE LICENSE #
STANDARD•PLAN #
BUILDINGSQ. FOOTAGE
'
a
DESCRIPTION'OF WORKge
DES11GGINERR''Sy ADDRESS 'c/.'.^:�,,
DESIGNER'S PHONE
f/}
/ �+ +�, y- - �0
.try p9 r^t t' 2 f tf y6 / rt / 8 1 57 410
6�bI F:Ie�4J't7 G!! L!l A' U
- -
Not Valid Unless Machine Certified .
F/P- FLR ELEV..
. Y❑• NO �-
NO STORIES _
-OCC GP' •
EDU
CENSUS TRACT
GP LAND USE
PARKING SPACE
_ - -
RES UNITS
GRADING -PERMIT ISSUED
V ❑ N ❑
REDEVELOPMENT
AREA
Y❑, •NO
,TYPE
CONS_ T
OCC LOAD
FIRE SPR
Y❑ N❑
QTY.
PLUMBING PERMIT - ISSUE
QTY.
MECHANICAL PERMIT -'ISSUE
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
INSTALL FURN. DUCTS UP TO 100,000 BTU
BUILDING PERMIT-,
EACH BUILDING SEWER.
OVER 100,000 BTU
SIGN PERMIT
-
EAGHWATERMEATER-AND"/OR VENT
BOILER/COMPRESSOR UPTO3 HP
PLAN CHECK 1
EACH GAS -SYSTEM 1 TO 4 OUTLETS
SOILEFi/COMPRESSOR 3.15
TOTALPLUMBING
EACH GAS SYSTEM 5 OR MORE
METAL FIREPLACE
'ELECTRICAL `
EACH INSTAL., ALTER, REPAIR W R PIPE
VENT FAN S1JJXfDUCT
MECHANICAL
EACH VACUUM'B'REAKER
MECH AUST -HOOD/DUCTS
MOBILEHOME
WATER SOFTNER
RELOCATION OF EA FURNACE/HEATER
M061LEHOME PARK INSP
EACH ROOF DRAIN (INSIDE)
SOLAR
TOTAL MECHANICAL
STRONG MOTION
TOTAL -PLUMBING
FIRE SPRINKLERS
QTY.
ELECTRICAL PERMIT - •ISSUE
QTY.
SOLAR - ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
NEWCONST EA AMP/SWT•%BKR• _
COLLECTORS
SCHOOL FEE - DISTRICT
1 PH 3 PH
STORAGE TANKS
Carlsbad
EXIST BLDG'EA A•MP%SWT/BKR
ROCK STORAGE
Encinitas
1 PH 3 PH -
PUMP
San Dieguito
REMODEL/ALTER PER CIRCUIT'
PLAN CHECK FEE
San Marcos
TEMP POLE 200 AMPS
OVER,20Q A -MPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL '
i
TOTAL SOLAR
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. -Every permit issued bythe Building Official under the provisions ofthis tk AN OSHA PERMIT is,REQUMiED FOR EXCA ATMs OVER
Coda shall expire by limitation and became nult and void. If the building or work
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5' 0" DEEP AND OEMOLJTKNt OR CONSTRUCTION OF
authorized by such permit is not commenced within 180 days from the data of such
DECLARATIONS ARE TRUE AND -CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if 4the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned stiny time after the work is ccinmenced fora period of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AG E TO SAVE INDEMNIFY AND P ICANT'S IGNATURE APPRO D BY T `
KEEP HARMLESS THE CI OF CARLSBAD A LL LiA I JU TS, C TS AND OWNERO CONTRACTOR
RA I W • HSMA N ANY WAY A E AG ST SA QU F THE BY PHONE
I /
�, 0
J
1 r o a-37t
4
INSPECTION TYPE DATE_ INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE. OR GROUT
-
FLOOR & CEILING. SUB FRAME
SHEATHING"
FRAME
EXTERIOR LATH INSULATION
INTERIOR "LATH & DRYWALL
PLUMBING
_
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND'
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
-G. F. I. - SMOKE DETECTORI
MECHANICAL
PLEM., REF. PIPING
HEAT - AIR COND. - SOLAR SYSTEMS
VENTILATING SYSTEMS -
CALL FOR FINAL' INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. -
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
PERT OF OCCUPA - SSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ.IF INSPECTOR'S DATE
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
_CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES'CAISSONS
INSPECTOR'S NO
i