HomeMy WebLinkAbout2550 EL CAMINO REAL; MULTI-PERMIT FILE; CB080784; PermitCity of Carlsbad
d 1636 Faraday AV Carlsbad, CA 92008
04-29-2008
Sign Permit
Permit No: CB080784
Building Inspection Request Line (760) 602-2725
Job Address:
2550 EL CAMINO REAL CBAD
Permit Type:
SIGN
Status:
ISSUED
Parcel No:
0000000000 Lot #: 0
Applied:
04/29/2008
Valuation:
$12,000.00 Construction Type: NEW
Entered By:
JMA
Reference #:
Plan Approved:
04/29/2008
PC #:
Issued:
04/29/2008
Project Title:
BANK OF AMERICA: 3 BOX SIGNS W
Inspect Area:
ELEC & 3 OVERHANG SIGNS
Applicant:
Owner:
COAST SIGN INC
1345 ALLEC ST
ANAHEIM, CA 92806
714-520-9144
Building Permit $125.55
Add'I Building Permit Fee $0.00
Plan Check $81.61
Add'I Plan Check Fee $0.00
Electrical Fee $0.00
Renewal Fee $0.00
Add'I Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees _ $0.00
TOTAL PERMIT FEES $207.16
Total Fees: $207.16 Total Payments To Date: $207.16 Balance Due: $0.00
" FIN L
Inspector: Date:` U Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" bf fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions! You have 90 days fromthedate 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 capacity
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
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
• Plan Check No. �Q k 07e q
Est. Value 12 d'
Plan Ck. Deposit -
Date 4( 2 ( _
'JOB ADDRESS
Z1 CC%miv3o-
n -
SUITE#/SPACE#/UNIT#
APN - -
0,95950
,CT/PROJECT # LOT #
PHASE #
# OF UNITS
# BEDROOMS
# BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet ofAffected
Areas)
awl. W i -e[erA-rf`W _ '3. c>Vtr liar A non ill ttivh� h G-{rd
YES ❑ #_ NO=❑ I YES ❑ NO ❑ 1 YES ❑ NO ❑ 1
CONTACT NAME (If Dlfferent Fom Applicdnt)-
PROPERTVOWNER NAME CONTRACTOR BUS. NAME ,CoaSi`TI Tom— ka+Z
ADDRESS ADDRESS'A b or �alr
CITY STATE ZIP .CITY STATE ZIP
oceov►Sidt- GA gZ.C54
PHON6 FAX PHONE �U FAX
-Z 6U , 2 31 . `xi-_75
EMAIL EMAIL
�}eu•GIt1, 1'a-t z Cv�Lsk st �n . Co►v►
ARCH/DESIGNER NAME-& ADDRESS STATE LIC. # STATE LIC.# - ' CLASS CITY BUS. LIC.#
�5�t23� t 22�cu S
[Sec. 7031:5 Business and Professions -Code: -Airy City or County which requirts a permh to construct Alter improve demollsh,or repair airy structure ,prior to its issuance, also• requires die Tplianf for suchpermitto file a signed statement that he is
flicensedyursuant to the pravisions-of the•ContractWs License law {Chapter 9, commending with Becton 1000 of Dmsion 3 of the Business and- Pro resslons•Code) or that hers exempt thereffrrom, and the basls'for the alleged exemption. Any violation of
Section r031:5 by any applicant for a permit subjects the applicant to a dv0 penalty of not more than fwe hundred dollars {$500)).
WORKERS'• •
Workers' Compensation Declaration: I hereby affirm under penalty of pedwy one of the, following declarations:
❑ i.h8ve and will maintain -a certificate of consentto 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, fo'r the performance of the work for which this permit is issued. My workers' compensation i surance carrier and policy
number are: Insurance Co. ! At-4* V-A1% 1 TMWf0.r►C C- Fj 61VL i!'S Policy No; kPplw( 0C� �K �h� i Expiration Date 1011.108
This section need not be co"mpleted if the permit is -for one hundred -dollars ($100).orless,
❑ Certificate of Exemptfon:'I certify that iri"the performance of -the work for which this permit is issued, I shall not employ any person in any manner so at 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-penaBies and.civil fines up to one hundred thousand dollars (&100,000), in
'addition to the cost of compensation, dam es as provided for in Section 3706 of the Labor code, Interest and attomey's fees. .
CONTRACTOR SIGNATURE DATE H Irze Lo 0
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 am exempt from. Contractor's Lkense•Law for the following reason:
0 I,.as owner of the property or my employees with wages as their sole compensation, will do the work 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 oompiefion, the owner -buckler will have the burden of proving that he did not'build or improve for the purpose of sale).,
O I, as owner of -the property; am exclusively contracting with licensed contractors to construct 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 Caw).
O 1-am exempt under Section Business and Professions Code for this reason:
1.1 personally -plan to provide the major labor and materials for construction of the proposed property improvement. 13 Yes C3. No
2.1(have / havemot) signed an application for a building permit for the proposed work.
3. I'have contracted with the following person (fine) to provide the proposed construction (include name address / phone / 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 I. address / phone / 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 faddress / phone /,type of work):
PROPERTY OWNER SIGNATURE DATE
COMPLfETE THIS SEC TIONFOR • DENTIAL B UILDING•
Is the applicant o� 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? O Yes O No
Is the applicant orfuture building occupant required to obtain a permit from the air pollution control district or airquallty management district? O Yes O No
Is the facility, to be constructed within 1,000 feet of the outer boundary of a"school site? ❑ Yes 13 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.
CONS TRUCTION LEN DING AGENCY
I hereby affirm that there is a construction lending. agericy'for the performance of the work'this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lender's Address
CERTIFICATIONAPPLICANT
foertifyfhat I have read the appikation and statethatthe above information Is correct and thatthe information on the plans is accurate:) agree to compiywith all City ordinances and State laws relatingto building construction.
I hereby authorize'representative of the City of•CarlsMbad 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 requled'for excavations over 5'0' deep and demolition or c ornsbuction ofstructures over 3 stories in height
EXPIRATION: Every permit issued by.the Building 6fficialli nder tte provisions of -this Code shah expire by Imitation and become null and void if -the building or work authorized by such permit is not commenced within
LWAPPLICANTIS
from the date ofsuch'permit or If the bu' '' tx�ed by such permit is ded or abandoned at any time after.the work is commenced for a period of 180.days (Section 106A.4 Uniform Building Code).
SIGNATURE• DATE 2 LS
City of Carlsbad Bldg Inspection Request
For: 01 /2-6/2009
Permit# CB080784 Inspector Assignment:
Title: BANK OF AMERICA: 3 BOX SIGNS W
Description: ELEC & 3 OVERHANG SIGNS
Type: SIGN Sub Type:
Phone: 5622156020
Job Address: 2550 EL CAMINO REAL
Suite: Lot: 0
Inspector:
Location:
APPLICANT COAST SIGN INC
Owner:
Remarks-c=ease
Total Time: Requested By: KEVIN
Entered By: CHRISTINE
CD Description Act Comments
38 Signs
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
0
v L q'-'&g 3
02/25/2000
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
City of Carlsbad
Sign Permit Permit No:CB000648
Building Inspection Request Line (760) 602-2725
2550 EL CAMINO REAL CBAD
SIGN
Lot #: 0
$1,750.00 Construction Type: NEW
BANK OF AMERICA
SIGN TECH
4444FEDERAL BLVD
SAN DIEGO CA 92101
619-527-6100
-- - - X
Total Fees: $65.65 Total- aymi
Status:
ISSUED
Applied:
02/25/2000
Entered By:
JM
Plan Approved:
02/25/2000
Issued:
02/25/2000
Inspect Area:
0987 02/,7;/00 0001 01 02
f,;-PRMT
To�Dafe, ° $0.00 Balance Due:
Building Permit I \~ y J $L.79
Add'I Building Permit Fee 1 �0.00
Plan Check $25.86
Add'I Plan Check Fee $0.00
Electrical Fee / $0.00
Renewal Fee $0.00
Add'I Renewal Fee .1 INCORPORATED°,`� $0.00
Other Building Fee $0.00
- € $65.65
TOTAL PERMIT FEES
e, co
Inspector:
FINAL APPROVAL
Date:
Clearance:
$65.65
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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
fees/exactions of which you have previously been given a NOTICE similar to this 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
65-65
It
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1636 Faraday Ave., Carlsbad, CA 92008
of CAR)
,D
c'9tIFOR��P
Address (include Bldg/Suite #) Business Name (at
FOR OFFICE USE ONLY
PLAN CHECK NO. G✓ �Y�
EST. VAL.
Plan Ck.'D_ eposit
Validated By_
Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # 'Existing Use may/ --� Pro sad Use
SQ. FT. - #of Stories
Address
# of
City State/Zip Telephone #
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er, a`" A
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Name
Address
City
State/Zip Telephone #
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Name Address City State/Zip Telephone #
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(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
- - - - - ____ - . .. - - - --- - ---"- `- - -:.:, — - —_-_ _ e:..,. r.....a.,.a a,.u.,.,. reannn
State License #
License Class C�_4'6
City Business License #
Designer Name Address City State/Zip Telephone
State License #
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6:. ;�WOR `ERS CO R NSATI,ON ._.;:fi:�: ,... h� ���,:�:,;'. , .a'�,��,:.w....,. w - = � ��Mr:v<= •.aa�;���;�:,,...��.:<'-. :< - •."a
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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: A�
Insurance Company ;�;, f/y/y Policy No. �`/�� ` �Expiration Date
(THIS SECTION NEED NOT BE COMPLETEDIFTHE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] 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
.. s.•� "°' :�•z. >;_,; :,.s;.^ ,.,,.s�,:•4�-'wFGrx. `Y�- >,:ti;- `' "�::,.•s:v>`•'zs'r"'a< ;:-.'r`i5',';
x7� '-OWNERsBUiL-'D.ER`DECL•i4RF.�T,,]ON; ` = = .:< ' ' _'
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
a-o,`.:,g.y. �.,,ra.k=w :-�.»-w,.»vM»-.-=.•., .d,.S^�)t� �.,","�;'�:y �a:�e���^��+euq�iS o'•,'�.;.�•..�s„};*�••c`�•w �xa�',3nz�;» .. •.m `r,�.,n�5 '�i::..., A, .,.�;,�': _.
tCOMP ott'HISM'SEC Ip <FORNOIII ES% ��'BUILDI�I.,,G;pow,eaowio a
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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.
�'^=.`-,i., -. ••.�•..»-a.M-..^•�- ,r >�`;.;.„,.... m,w .,"�>",•-�;�r•s:�:rK-%;7;"ro-,�'e�<.^-»'C;'ta'�"^'T.•LL>",a"��a�'.�-, y�r��^•�a<m. ;ms�"�aM.r{;. ,.,r ��a^..-,�`• r; :'-�,<,,.•
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t$;�,>t,,,,,` �I�S�A�JG:�TQ'�1�'111D.�IyG,AGES.t+��i•._,..�,:^..�.'..,..<...�._.u.M,;,;.�.�:��.:.L':_ ,.�.�:,:1.� r,:..-,:..a,_���:>f:..__.A:r�.-.�aa.�.<^.>:....._ ^..._ . _.
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
...",..._....... -°;; "" <,-;r•« _ ,. , .., : v35 psi n: r •-,,
CERTIF)C .
,._t.�..�t�.. �:...,:...,..m�'�,<.`�:,-�,..aa.,,,.:aw�.av^.L.su;aka.,:..s�:,.._sts�--a..�,.".:�w�:A:;.>ti>r'.�k;',a�:a,� '.�a:�'<'�:,.;;.<.�5«:.:'�..'uaa�;�:>�r'�ns •w„�,''' .s:;..�,�„i�•s;:;,:�^'�;�:,
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 ithin 180 da fr the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced fo riod of (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
W ITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
#; For F,/98/gnnn
Permit# CB000648
Title: BANK OF AMERICA
Description:
Type: SIGN I Sub Type:
Job Address: 2550 EL CAMINO REAL
Suite: Lot 0
Location:
APPLICANT SIGN TECH
Owner: ,
Remarks: FINAL SIGN
Total Time:
-CD Description
38 Signs
Associated PCRs
Inspector Assignment:
,,i5
Phone: 6195276100
Inspector:
Requested By: BUD
Entered By: CHRISTINE
Act Comments
l -
Inspection History
Date Description Act Insp Comments
a
B U I L D I N G P E R, M I T Permit No: CB960602
04/04/96 15r56 Project No-. A96--00837
' pago 1 of 1 Development 'No :
Job Arldress: 2550 EL CAMINO DEAL Suite:
Permit Type: SIGN
Parcel No Lot#:
Valuation: 2,000 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: LIGHTED SIGN ON'CANOPY W/TZNTD Applied: 04/01/96
TEMPERED GLASS -SUNSCREEN -TELLER MACHINES, Apr/Issue: 04/04/96
Entered BY: RMA
Appl/Owns : ACME-WIL•EY 909-989-4900
9139 FERON BLVD
RNCHO CUCAMONGA CA 91730 -
Fees Required*x*Fees
Collected & Credits
Fees. 117?µ �'
Adjustments : fi00 t- 4 To1' it ea* .00
Total Fees w 11r 'fits.: - Total- i � : 29.00
8800
Fee' description V , 1 zk�ts e xit Eft .fee Data
_ _ - -- _ - ------_------�
—$uilda.rig— Permit
-------� =—_____.�..—..-�.....—., ~! _��-� _ �� — "45.00
Plan Check ' ` ���, 29.00
OtherEnter "Y" for Renc;wa - f ' . t?R 23.00
- 20 . 00 ELEC- PERMI
--
* SIGN 'TOTAL
'— INCORPORATED
3..c`
605 04-/04/96 000€ 01
IA VAL
--DATE
L
IANCE
P
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009,-(619) 4381161
PERMIT APPLICATION �-
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From List 1 (see back) give code of Permit -Type: & rein Al I in i nq gnrr LTM
---------------------------------------------------------
For Residential Protects Only: From List 2 (see back) give
Code of Structure -Type:
Net Loss/Gain of Dwelling Units I
2. PROJECT INFORMATION
PLAN CHECK NO. �6����
EST. VAL
PLAN CK D L9d
VALID. BY
DATE
FOR OFFIC N ONLY " 0
_Address nunding or suite No.
Nearest Cross Stret AK►n(Ci P1— / A2L.5bi41D CA %J /1<P,-f A-*hA f" 12 1 PA'
❑ 2 Energy Calcs W2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
DESCRIPTIO OF WORK A ,./%%J -f ��' (�� r - (�` ; % f�iTiq LI 6 hT:E Q J/tj/ -ro/',
SQ. FT. /j # OF (/ STORIES / L /�C�i # bF B�S�' # OF BATHROOMS
(it airreremrom applicant)f_ r, ,
NAME (last"name first) ,r"'
�ta.lf� Ae,,A a1F.WDRESS l.¢�_7 Q ! ` PP-1 ri aA--- {� l
CITY (` �n ; J 1 ! �-'t� tic, STATE �- ZIP cmil 1701-1 DAY TELEPHONE L-)1I 9 Jb 4 #:'' o " I-4
NAME (last name first)
ADDRESS
CITY STAT_Et� ZIP CODE DAY TELEPHONE
5. PROPERTY OWNER
NAME (last name first)' P''MtC G., ADDRESS
CITY STATE ZIP CODE DAY- TELEPHONE _1
NAME (last name first) �GCYI�—� DRESS
CITY Q,t��b CU��,,,STATE C4- ZIP CODE g I"Z DAY TELEPHONE 9 - iF9 C3C3
c` STATE LLIIC..``#q io OLa3 LICENSE CLASS CL}5 CITY BUSINESS LIC. #
DESIUNER NAME (last name first
CITY 50xlxG'. STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers: Compensation Declaration: I hereby af f irm that I have a certificate of consent to se -insure issued by the -Director of - 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. C).
INSURANCE COMPANY -I POLICY NOW ra3 3'716EXPIRATION DATE 3-1 —4'
a i ercate o Exemption: certify at in the performance o e workor which is permit is issued, 1 shall not employ any person in any manner
so as to bec subject to he Workers' Compensation laws of California.
SIGNATU
Owner- ui e ierety attirm that I am exempt trom the Contractor's license -law lot the tollowing 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 pplicant to a civil nalty of not more than five hundred dollars [$500]).
SIGNATURE SCE/L� 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, 2SS33 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 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 Dismcr9.- L1014SYRUGIRM LENDING, AGENCY
hereby affirm. that there is a construction lending agency tor the performance or the work or which is permit is issue(SecCivil e .
LENDER'S NAME' LENDER'S ADDRESS
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 I(EEP 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 SV 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 b 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 o a ndoned at any time 4ter the work is commenced for a period of 180 days (Section 303(d) Uniform -Building Code).
APPLICANTS SIGMA DATE ;1�=z C}1
Co
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 6-3 C 0 oZ- DATE 4--- 4--
ADDRESS �,5� �7 �^ C-6 m r 0 IQ e a.
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(< $101000.00)
OTH
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER DATE
ENGINEER ATE 7 - 7
CAWP51 \FILES\BLDG.FRM Rev 11 /15/90
N
Z
O.
Q
Q
J
U
'W
O
i
1
( USE BALL POINT PEN' ONLY & PRESS HARD
s E] I hereby aff-Irrp-that I am licensed under I
O _ + provisions of Chapter 9 (commencing with I
`Section 7000) of Division 3 of- the Business
a and Professions Code, and my -license is in
full
forc n 'effect.- /.r!
Z Llc.'No, Class
U t
411 hereby affirm that I am exempt ,from the Contrac-
tor`s •Cfcense Law for the following reason (Sec. 7031.5• I'
BusinesslandProfessions Code: A6y'edyorcountywhich re-
gu)res a permit to construct, alter, improve, demolish, or
repauany structure, prior to its issuance also requires the ap-
plieant for such permit to file a signed statement that he is
licensed .pursuant to- the provisions of -,the Contractor's I
'License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that, is ex.
�enpt theieftom grid the basis for,the alleged•exemption. Any •I
violation of -Section 7031.5 by an applicant for a permitsub- 1
jedts the applidant to d civil penalty of not more than five hun,
dred dollars ($500),-
❑ I, asowner of.the property, or niy employees with wages I
UA1 • c aS their sole compensation, will do the work, and the struc-
,p .,torwis-notintended or•offered forsale'(Sec. 7044,'Business I
�. • • and Professions -Code: The Contractor's -License-Law does - I
not apply'to an owner of property who-builds.or improves 1
b thereon and Wtfodoes such Work himself or through his own
Kiemployees; provided,that,such Improvements are not intend -
IS
W , ,Air r offered,for.sife. If,�however, the building or impiove-
Z ment,Is sold -within one year of completion, the owner=builder 4
3 will have the burden of proving that'he'did not build or Im- 'I provo for the purpose•of sale). -
❑ I, as owner of the property, am exclusively contracting J
with,licensed,6ontraciors-to construct the project (Sec. 7044,
`-Busr)ess and,Professions Code: The Contractor's License
LaW does not apply to an owner of -property who builds or-im-
- proves'thereon, agd•who�contracts,foneach projects_ with a
cohtractor(s)-license pursuant to the- Contractor's License
Law): - - • I
❑. As a homeowper I am improving my, home, and.lh i follow- 1
ing cooditions exist} 1,
1. The work is -being performed prior to sale,
2, 4 have lived in my home- for'' Awelve months • +
prior to completion -of this work. I 3. I have, not claimed this eXemp6n duying the -
Iastthree years. I
0 bam exempt under Sec,,-, B & P.C; I'
for this -reason - 1
LN hereby affirm that I have a certificate of consent I
to self -Insure, or a certificate of Workers' I
Compensation Insurance, or a certified copy thereof
(Sec. 3800, Labor Code) - )
•Z POLICY NO��•
O COMPANI`''�=, a t/Y 1
a❑ Z, dopy is filed with the city IFROM
Certified copy is hereby lurnishetl2CERTIFICATE OF EXEMPTION I
U - WORKERS' COMPENSATION INSURANCE
N (This section need not be Completed it the permit I
W is for one hundred dollars ($100) or less)
Y -
(] I certify that in the performance of the work for
O which this permit is issued. I shall not employ any
3 person in any manner so as to become subject to 1
the Workers' Compensation taws of California
NOTICE TO APPLICANT It, after making this Certi I
ficate•of Exemption, you should become subtecl t�
the Workers' Compensation provisions of the tabor 1
Code, you must forthwith comply with such I
provisions or this permii shall be deemed revoked
)
W I hereby affirm that there is a construction I
W lending agency for the performance of the work for
which this permit is issued (Sec 3097. Civil Code) 1
w Lender's -Name 1
J I
Lender's Address t
. -- _. _. -. _ . . � ..�� ...,.... ................. ........• v..r.vev .•...er�.r�r•v veva.e+ene• r wt��.
CARLSBAD BUILDING- DEPARTMENT APPLICATION,'& PERMIT
1200 Elri1, Carlsbad, California 92008-1989 (619)-438-5525
-
' JOB ADDRESS _ AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION
BUSINES L NSE #
VALUATION
L PERMIT NUMBER
LOT BLOCK SUB,DI VISION ASSESSOR PARCEL NO. CONTRACTOR
CIOONT ACTORSSPPHONES
ZONE
OWN R`S NAME OWNER'S PHONE
+ - CONTRACTOR'S ADDRESS
L E E jJQ�
PLANA.D. 4
BLDG USE CODE
OWNE'R'S MAILING ADD S G✓"•-O'er•
.19
/S Y DESIGNER
LICENSE #/
STANDARD PLAN # -
,BUILDING SO. FOOTAGE
-DES'$S RR.IPTION�OF WORK - q
Llti�) DESIGNER' ADDRESS DESIGNER'S, PHONE
-•F/P FLR ELEV.: -- NO
•OCC GP EDU
Opt`f JQU ���P ` '�� �•°i�P��
STORIES
- - YOr NO'
CENSUS TRACT_
GP.LAND USE
_PARK'ING SPACE
RES UNITS
GRADING PERMIT'ISSUED
REDEVELOPMENT
TYPE-
OCC LOAD
FIRE SPR
AREA
-
-CONST
`-
- - -
' • -
Y ❑ N O
, I SD N O
-
-
y O No
Not Valid Unless Machine Certified
I
PLUMBING,PERMIT - ISSUE
QTY,
MECHANICAL PERMIT - ISSUE
SUMMARY/ACCOUNT NUMBER
EACH, FIXTURE TRAP
INSTALL FURN. DUCTS UP TO .100',g00 BTU
BUILDING PERMIT
01 00 00 8220
EACH BUILDING SEWER
OVER 100,000'BTU'
SIGN PERMIT
01.00 00 8221
-�
EACH WATER HEATER'AND/OR VENT
BOILER/COMPRESSOR UP T0.3 HP
PLAN CHECK
01 00 00 8806
EACH GAS SYSTEM 1 T-0-4 OUTLETS
BOILEFIXOMPRESSOR 3.15 HP
TOTALPLUMBING -
01 00 00 8222
EACH;GAS,SYSTEM 5 OR, MORE
METAL FIREPLACE _
ELECTRICAL
01-00-00-8223
EACH INSTAL.. ALTER„REPAIR WATER PIPE
VENT FAN SINGLE DUCT
MECHANICAL
01 00 00 8224
EACH VACUUM BREAKER
MECH EXHAUST - HOOD/OUCTS
MOBILEHOME
01 00 00 8225
WATER SOFTNER
RELOCATION OF EA FURNACEMEATER
MOB(LEHOME-PARK INSP
EACH ROOF DRAIN (INSIDE)
SOLAR
p - - 00-8226
TO TxL MECHANICAL
STRONG MOTION
80-92-33-0519
TOTAL PLUMBING
FIRE SPRINKLERS
01-00-00-8227
QTY.
ELECTRICAL PERMIT - ISSUE
��
QTY.
SOLAR - ISSUE
PUBLIC FACILITIES FEE
32-00-00-893D
•BRIDGE FEE
'
NEW CONST EA AMP/SWTiBKR
COLLECTORS
SCHOOL FEE DISTRICT
1 PH 3 PH
STORAGE TANKS
Carlsbad
80-.92-21-0519
EXIST BLDG EA AMP/SWT/BKR
ROCK STORAGE
Encinitas
80-92-22-0519
'1 PH 3 PH
PUMP
San Dieguito
80-92-23-0519
REMODEUALTER PER CIRCUIT
PLAN CHECK FEE
San Marco$
80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
LICENSE TAX 01-00.00-8162
TEMP OCCUPANCY (30 DAYS)
MIFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL
TOTAL SOLAR
TOTAL FEES PAYABLE.��
I HAVE OAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official underthe provisions of this AN OSHA PERMIT IS REQUIRED FOR EXCAVATfONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work 5' D" DEEP AND D£MOlR10N OR CONSTRUCTION OF
DECLARATIONS authorized by such permit is not commenced within 180 days from the date AND
ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• permit, a if the twde aft or work authorized by such permit
abandoned at an time after the work is fora
of such STRUCTEP
is suspended or 3 STORIES IN HEIGHT
commenced nod
STRUCTtON, WHETHER SPECIFIED HEREIN OR,NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
of 180 days.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENT$, COSTS AND AP NT'S SIGNATURE OWNER 0
CONTRACTOR APPF, fto,ey r_ DA
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
�j `���
GRANTING OF THIS PERMIT,
BY PHO I�•
�.
`� Ji
TYPE
DATE
INSPECTOR
BUILDING i
FOUNDATION i
REINFORCED STEEL_ '
MASONRY i
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME t
SHEATHING ❑ ROOF ❑ SHEAR
FRAME i
EXTERIOR LATH i
INSULATION y,
INTERIOR LATH & DRYWALL: i
1 i
PLUMBING
SEWER AND BUCO ❑IPUCQ i
UNDERGROUND ❑ WASTE ❑ V ATER
TOP OUT ❑ WASTE ❑ WATER
TUB AND SHOWER PAN 1
GAS TEST i
❑ WATER HEATER ❑ SOLAR WAFER
i
ELECTRICAL
❑ ELECTRIC UNDERGROUND ❑ WFFER
ROUGH ELECTRIC f
❑ ELECTRIC SERVICE ❑ TEMPORARY
❑ BONDING ❑ POOL i
MECHANICAL i
❑ DUCT & PLEM., ❑ REF. PIPINrG
HEAT - AIR COND. SYSTEMS i
VENTILATING SYSTEMS s
f
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV& BEEN APPROVED.
FINAL f
PLUMBING i
ELECTRICAL i
MECHANICAL
GAS t
1
BUILDING
SPECIAL CONDITIONS
i
FIELD INSPECTION RECORD
REQUIRED SPECIAL
INSPECTIONS
INSPECTOR'S NOTES
INSPECTION
REO. IF
CHECKED
INSPECTOR'S
APPROVAL
DATE.-
µM
SOILS COMPLIANCE
PRIOR TO
FOUNDATION WSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS