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HomeMy WebLinkAbout2555 EL CAMINO REAL; ; 83-456_MISC; PermitI. Q - Lhereby affirm - that I am -licensed under •(• O pioyisions;of• Chapter'9, (commencing with Section•7000)-of-Division-3-of-the Business- . t, and Professions Code, and my Ilcense Is in• I- --'full-for and; e b • - - � -•F '-Z Llc. Na. Class 1 O v,' fI'hereb)<'affirrri •that I -am exempt from the Contrac- .:v.-forts,•License Law far the following, reason -(Sec. 7031.5 ' - •Busindss.agd professions Code: 'Any city or county which re- quo'es,a permit to construct, alter, improve, demolisfiror j repair any structure, prior to Its Issuance also requires the ap- pllcant for such permit to file a signed, statement that hells ) - licensed pursuant to. the "provisions 'bf the Contractor's '-I License Law, (Chapter,g�commencing 'with Section 7000•of, ._,Divlslon,3 of the.Business and Professions Code) or -that is ex- , empDtherefrom anddlie+basis forthe alle0ed•exemptwe. Any •, violation of,Section 7031.5 by anappllcant tar a permit sub- jects the applicanUo a,divil pefiallftf not merefhan'Iive film-. - dred'dollars ($500).^ ••- - - - - �17 1„as owner, of 0e•propeny,-br, my employees with wages .;; y • •p _ uas;their sole compensation mill do the work, and the struc- ••'lure is nbt)ntended onoffered'fonsafe (Sec, 7044, Business and Professions Code;"fhe.Contractor'CLicedse Law does j - tnot'•apply,'to`an•,owpei of Iiropedy who builds or Improves 0 thereon and1who-does-suchmork,himseft.or-tfirough his own -¢ = U1 ` µ, ;employee's, provided tpat such improvementsare pot intend-. :-� • dd-oi•offered-for sale. If, however, the'•bulidmg or Improve- • -"fd"dnris r 2- sold Witfiin•oheyea?of completion, fhe owner-bu'tld'er will have the buh1eA.6f; proving4haipe did•dot build or im- O - - prove lor•the purpose -of sale).. - -- _ ❑ I, as owner of the property, am exclusively contracting - .with Iicensed•eontractors to construct the project (Sec. 7044, 'Bumness;and.'Professions•Code; The Contractor's License Law does not apply to amownerof property who'builds or Im' _ ; -_ Proves: thereon, apd•who can'wn'rects for each,projecfs with, a license pufsoant to the Con¢actor'.s License O, • , �awractor(s) F O As a'homeowner I am improving myhbme, and,the follow- ing ciadlion. exist!, '• -- a t. Thework•isbeingperformed'prior-to sale. 'jn 'my-months U 2'. I have lived home-46r twelve prior to completion of thfs,work. G 3..•_I-have.not,claimed this. exemption during the last three years, - ❑ 'I,am'exempt-under Sec. „B-& P.C, ' for this reason , 00 hereby affirm that I have a ceadicate of consent to of Workers' to self -Insure, oV�or" - Compensation InsuIfted copy thereof (Sec. 3000, Labor C POLICYJNO O COMPANY ' Z ❑ Copy Is fll� t6 I/h}ye ` W a ❑ Cend opy Is hMeby'furnished - O U CERTIF 6 OF.EXEMPTION FROM rn - WORKER •OMPENSATION INSURANCE - his section eed not•be com pleted rnpleted if the permit, .pj is for one hundred dollars ($100) or less) X• " 1= li 1-certdy 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 the Workers' Compensation Laws of California NOTICE TO APPLICANT 'It. -after making this Cent _ - ticate of Exemption, you should'become subject to the Workers',Compensatlon ptovlsfons of the -Labor % 4 Code, you must forthwith _comply _with, such provlslons or this -permit shall be deemed revoked ` - 'Q I Thereby afffrmAhat •there Is a construction cc --- lending-agency-forfhe performance of the•work-lor W WhlctlI'th(s permit Is Issued (Sec 3097, Civil -Code) Lender's Name •L'ender's Address - USE BALL POINT PEN, ONLY &:PRESS HARD, APPLICANT TO FILL IWINFORMATION WITHIN SHADED AREA' AND•DECLARATIONS CARLSBAD-BUILDING• DEPARTMENT - - APPLICATION & 'P WT, 1200•,Elm, Carlsbad, California 92008-)989 (619) 438.5525 JOB'ADDRESS AV.57-Rp, NEAREST CROSS ST. DATE OF APPLICATION LIGATION 4USINESS LICENSE # VALUATION PERMIT.NUMBER Ems` ». . /V(-1�jJ/.�• „rr� - 'LOT BLOCK SUBOI VISION ` ASSESSOR PARCEL NO. CONTRACTOR CONTRACTQRS PHONE k (✓_ �� T NE ��- ' OWNER'S NAME •'• 'R� OWNE A'S PHONE fF ✓��/�� V � >� CONTRACTOR'S ADDRESS 7 LICENSE NO. - PLAN I.O. # - BLDG USE CODE `" OWNER'S MAtr„ING ADDRESS - - - - -7G ' DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE DESG"PTIONOF�Rid- -• - - - _ .-_. .. ..,... ..._.. SIGNER'S A©DRESS - - AW-0.4 .. - . DESjGNER'StHONE -. - _ �. - •- _-.-_. _..._., _. _._ . -.- . • 0/0 F LR ELEV. ' NO OCC GP EDU' % Yo No STORIES DOD �f/j�V-�_- -{�. .,�I �•S}���i'e� t5� 4� �;T•.�*;,�fG2 ' CENSUS -TRACT - -AND•• SE PARKING SPACE, RES UNIT GRADING'PERMIT ISSUED ..REDEVELOPM ENTj TYPE •OCC LOAD FIRE SPR AREA,, CONST z Y 0 N 'p v❑ NO vp; Np Not'VaJid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE u QTY. MECHANICAL PERMIT -ISSUE �e Q'(i SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP INSTALL FURN_ DUCTS UP TO 100,000 BTU • �,..— BUILDING PERMIT 01-00-00-8220 EAC.H B'U`IEDA SEWER ... OVER 100,;000.BTU - .- - SIGN PERMIT 0140-00-8221 'EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK Ot 00 00 8806 --'EACH GAS SYSTEM'1'TO 4 O'UTLETS' 86ILER/COMPRESSOR 3.15.HP TOTAL PLUMBING 0.1-00-00-8222 EACH•GAS SYSTEM 5 0R 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 EXHAUS-T - HOOD/DUCTS MOBILEHOME 01-00-0018225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP'. EACH ROOF DRAIN: (INSIDE) SOLAR 1- 0 -00-8226 TOTAL MECHANICAL, STRONGWOTION' 80-92-33-0519 ��► TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICALPERMIT -ISSUE .� QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 -BRIDGE FEE Y �Q� NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE DISTRICT A PH t 3 PH - STORAGE TANKS Carlsbad 80-92-21-0519 D(*,' MP/SWT/BKR ROCK STORAGE -Encinitas' 80-92-22-0519 - I PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODE'LIALTER P.ER'CIRCUIT ' PLAN CHECK FEE San Marcos 80-92-24-0519 TEMQ-PO.LE- 200 AMPS OW 200 AMPS LICENSE TAX 01-00-00-8162 160 TEMP OCCUPANCY (30 DAYS) �~ " CREDIT DEPOSIT , TOTAL ELECTRICAL., _ • . . -_ TOTAL' SOLAR ._ _ ., _ _. _ .: TOTAL FEES PAYABLE ..._ . -_ . -. - r _. .-._ i'"! I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 150 HEREBY Expiration. EvarypermitrssuedbytheBuild(ngOfficial under theprovfsionsofthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER T IS REQUIRED D S CERTIFY -UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDfNG THE Code shalt expire by limitation and become null and void-, if the building or work A DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such pefmit is not commenced d within days from the 0" DEEP ENO fTJ6N CONSTRUCTION Of such such spend STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- permit, or if the building, of work authorized by such permit is suspended or abandoned at anytime otter thework is STRUCTION, WHETHER SPECIFIED HEREIN OR NOT_ I ALSO AGREE TO SAVE INDEMNIFY AND comment r a erlod of 480days KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP ANT' StG!FAT�U7OWNER-Q EXPENSES MAY IN 00 GRANTING OF HIIS PERMITNY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE " , CONTRpWTOR APPR BY PHONE. ED BY TYPE j, DATE• INSPECTOR BUILDING ' FOUNDATION t REINFORCED STEEL_ I MASONRY GUNITE OR GROUT- t FLOOR,& CEILING SUB FRAME �. SHEATHING' 0 ROOF ❑ SH R FRAME EXTERIOR LATH INSULATION I INTERIOR LATH & DRYWALL "�• _ a FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ.IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE - PRESTAESSED CONCRETE POST TENSIONED CONCRETE R'S NOTES x . PLUMBING I-ILLu wtLOINU SEWER AND BL/CO ❑{PLICO HIGH STRENGTH UNDERGROUND ❑ WASTE ❑ VyATER aoLTs SPECIAL MASONRY TOP OUT D WASTE Q W TER TUB AND SHOWER PAN GAS TEST 1 PILES CAISSONS ❑ WATER HEATER ❑ SOLAR WA ER ELECTRICAL ❑ ELECTRIC UNDERGROUND ❑ QFFER,` ROUGH ELECTRIC ► ❑ •ELECTRIC SERVICE ❑ TEMPO ARY ❑ BONDING ❑ POOL MECHANICAL ❑ DUCT & PLEM., El REF. PIPIN � < HEAT — AIR COND. SYSTEMS ► ` ' it = y �,: Rai VENTILATING SYSTEMS'' ' - CALL FOR FINAL INSPECT/ N WHEN ALL APPROPRIATE ITEMS ABOVE HAVES BEEN APPROVED. - FINAL PLUMBING I -6A ELECTRICAL MECHANICAL _ GAS - - r - BUILDING 1 SPECIAL CONDITIONS t �-4; ADDI.Ir A'IJT TA CII 1 IrJ IAICAOaa•A TIAr.I \�rlTLtl�l i%Lm Ar%=r% AM A A- IN- iwnwrr��rc� I hereby affirm that I am licensed under, provisions•'of Chapter 9 (commencing with V Section 7000) of Division.-3 of the•Business t t and Professions Code, and my license is in F ' full.for@e effe t: OLic. No Class' rl+hereby aifirmp'ihat )'am exempt from the Con• I ractor, s t,icensd,Law for the following, reason.(Sec. A 7031 5 Business and Professions Code: Any city or ,county which .requires at permit to cppstruct„ alter, improve, demolish, or repair any structure, prior to-its.issuarice also or the applicant for such permit to file-1 signed statement -that he:is ncensed pursuant' Ap the provisions- of the, Con. 'tractbr$,L'Icense Law;(Chapter9'commencing with Section 7000 of Division 3 of the,Busfness and Pro. - fessioris Codeyoilhal-is exempttherefrom.and the basis .for the alleged "exemption, Any violation •of Section 7031:ppli 5 by an acant for a permit subjects ' •¢ Fne applicantto•a civil penally of -not more than five W hundred dollars (t5oo). ,, .J [3' I, as, owner'of the propety,,or, my •employees wuh-wages as;their sole compensation, will -do the O work; and the structure is not mtendedor offered'for p� sale (Sec. 70M, Business, antl• Professiohs Code: ul; The Contractor's License` Law does not apply loan Z-, owner of property who builds.or improves thereon 3 and who does such work himself or through his own O employees, provided -that such improvements are not intended'•or offered for sale. If, •however, the building or -improvement is sold•withrm one year of conipletion, the owner -builder will have the burden of proving that he did not build or improve for the ' - purpose -of salef., fA ❑ i, as owner of the property, am exclusively Z contracting with licensed contractors to construct' �- the project (Sec. 70", Business and Professions Code: The Contractor_s'License Law does not apply to an owner of properly who• builds or improves t • thereon, and who contracts for each projects with a Ucontractor(s) license -pursuant to the Contractor's - W License. Law); a � 'I am exempt under Sec. � _, B. F P.C. for this reason I hereby affirm that I have a certificate of consent o self -insure, or a certificate of Workers' pensaiion Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLIGY NO. /!l/J5?J' COMPANY i _ _ f ^r py is filed with the city., ❑ Certified copy Is nerebyfurnished. - CERTIFICCOT F EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (rhis section -need not be completed•if the permit is for one hundred dollars (f100) or less) ❑ 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 ofs California -NOTICE TO APPLICANT: 11, after -making this Ceni- ficate•of Exemption, you should become subject to the Workers' Compensation provisions_of the Labor Code, you in forthwith comply, with such pmvrsions or this permit shall be deemed revoked S. G ' z W J -hereby affirm that there is a construction lending agency for the performance olahe work -for wbrch this permit is issued'(Sec 3097, CiwbCode) - Lender's Name - Lender's Address - - USE.BALL POINT PEN,ONLY.&•_PRESS HARD - - CARLSBAD BUILDING-�DEPARTM,ENT -_ __. . - - -; -- -- -------_.:_. --- - - ----- - j 1200 Onr, Carlsbad, California 921 8 (7i4) 438.5525 APPLICATION &PERMIT JQS'.ADOREt4S - AVR.OS'T. DATE OF APPLICATION BUSINESS LICEN E # ' '. E"l t✓t't%i! �l� %� �?l.. / ' 0,,9 OWNER'S NAME �j�• - z.OWJN_EyR'�Sr.PpH�ONE PRIME*Cj�ONT�pR/ACTOR �ry � • CON>TRAC)TO_RS'�P1CN�rl A � ito ZOO VALUATION s D CEO PERMIT NUMBER "Q J � O ZONE -• - - OWNER'S MAILING •�tDORESS CONTRACTOR'SADDRESS LICENSE NO, `NO,, PLAN I.D. # BLDG USE CODE LOT BLOCK SU OIVISION T ASSESSOR PARCEL NO, /57v �-3v2 --Z DESIGNER, STATE LICENSE # ST,ANDARD'-PLAN # BUILDING.SQ.,FOOTAGE ' - QESCRJPTION OF OfiK1-4 1117 DESIGN ER'S S DESIGNER'S PHONE (•-•'y1,�ry{/((��•_'1�71,11,>y^,y.��1-t,p,yd M•hlfi.l!! t-}�rr d �ptT s(1_�u / s-4 1��3L,35 Not Valid Unless Machine Certified J ' F'%P, FLR.ELEV. Y❑ NO NO STORIES . OCC GP EDU CENSUS TRACT GP LAND USE' ,PARKING SPACE RES UNITS GRADINCiTERMIT ISSUED, Y'❑ N ❑ ' REDEVE•LOPMENT AREA Y.❑ N❑ _ _ TYPE , CONST - OCC LOAD ,FIRE SP.R Y❑• NO CITY. PLUMBING PERMIT - ISSUEp CITY. 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 70 EACH WATER HEATER,AND/OR VENT BOILER/COMPRESSOR UP TO'3 HP PLAN CHECK cs0 - ' EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION -OF EA FURNACEMEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR TOTAL MECHANICAL STRONG MOTION TOTAL PLUMBING FIRE SPRINKLERS CITY. ELECTRICAL PERMIT - ISSUE G QTY.. SOLAR ISSUE PUBLIC FACILITIES FEE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS. _ SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLDG EA AMP(SWT/BKR ROCK STORAGE Encinitas 1 PH - 3 PH PUMP San Dieguito REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP PO LE 20D AMPS OVER ZOO AMPS TEMP OCCUPANCY (30 DAYS) . TOTAL ELECTRICAL —TOTAL. SOLAR TOTAL FEES PAYABLE 0 3 3, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheSuiiding Official under the provisionsofthis 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 DECLARATIONS ARE TRUE AND CORRECT AND i FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 16q days from the date of such ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- 'permit, •or if the bui)dtng or work authorized by such permit is suspended or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. i ALSO AGREE TO SAVE INDEMNIFY AND abandoned et an time after the ork is commenced for aF riod` . tDq days. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APP NT'S NATUR OWNER ❑ CONTRALTO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE i • BY PHONY GRANTING OF THIS PERMlL e NON ❑ f * AN OSHA PERMIT IS REOutRED FOR EXCAVATIONS OVER S' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 LITION OR HEIGHT,., I. PROVED Y T DATE �- el INSPFCTInN TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASON R Y 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. 1. SMOKE DETECTOR° MECHANICAL DUCT & .PLEM., REF. PIPING HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING � ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCOUPANCY ISSUED 4 yL FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ, IF CHECKED INSPECTOR'S APPROVAL DATE 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 t { 11SE BALLPOINT PION ONLY 8 PRESS 11ARn APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I I, hereby affirm that I am licensed under rovlalone of Chapter, 9 (commencing with _. Section 7000) of Division 3 of the Business, Z --- and Professions, bod'ei and, my license is in U- - "and alld effect. I hereby affirm that I am exempt from the Contrac- _ lol's„License Lew for the, following, reason- (Sec 7031,5 x Business and Professions Code: Anyclty or county which re- quires.a permit to construct, alter, improve, demolish, or - -- repair any.structure, prior to its issuance also requires !he ap- plicant 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 an0rofessioris Code) of that is ek- empt theiefrom'and the basis for the alleged exenlgfioo- Any , ,violation of Section 703).5 by in applicantJor a,permn sub- jects the applicant to a civil penalty at not more than five hun- dred dollars ($500). ' I J I; as owner°of the,property, or my -employees wdh,wages LU as their sole compensation, will doahe•work, anddhe-struc- p , ture.is.not intended or offered1for sale (Sec, 7044, Business :if and Professions Code: -The Colitractor'sUcense Law does j mot apply to a2 owner. of property who -builds or imbroves e, • -thereon and•who,does,such work himself or Qliough pis•owb ° cc -employees, provided that,such•improvements•are not intend- W ed or 0lfered for sale;-If,'however, the'building or improve- Z ment is sold within one year of completion, the owner -builder 3 will have the burden of proving that he did not build orim- O prove for the purpose of sale). _ I f I; as'.owner of'the, property, am'exclusively contracting with licensed conlractors.to construct the project (Sec..7044, - Business and Professions Code: The Contractor's License Law ddes•not apply to an owner of property who builds or im-- proves thereon, and -who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law) - f7 As a homeowner 1 am improving my home, and -the follow- ing conditions exist: - 1. The work is being performed prior to, sale. 2. I have lived in my home for twelve months prior to completion of this work. 3 I have not claimed this exemption during the - last three years. - - O 1-am exempt under Sec. B 8 P.0 for this reason - ❑ 1 hereby affirm that I'have a certificate of consent to self -insure, or a certificate of Workers' Compensation In. surance, ora certified c9py lherQof,LSe 3800. Labor Code) POLICY NO. DIS t�•/r7/TLCCJ•�� COMPANY C/�'NR• IQ ❑ Copy is filed with the city H Certified copy is hereby furnished 2 i . O CERTIFICATE -OF EXEMPTION FROM U WORKERS' COMPENSATION INSURANCE rA (This section -need not be completed if the permit Q is for one hundred dollars ($100) or less) W Y ❑ 1 certify that in the performance of the work for which - CC this permit is issued, I shall not employ any person in any 3 " manner so as to become subject to the Workers_Compen,- sation Laws ohCabfornia. » NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become subject to the Workers' Compensation'provisions of the -Labor Code, you must' v'r• forthwith comply -with such•provisions orthis permit shall lie deemed revoked. ' -,❑ 1 hereby affirm that there.is-a-construction lending ' ` tL agency Ulffoithe performance of the work forwhich this per. C mrt is issued (Sec 3097,•Civd Co e), Z W .Lender'szNarre• - , J Lender's Address -, CARLSBAD BUILDING ;DEPARTMENT APPLICATION &PERMIT '-2075 Las Palmas Dr., Carlsbad, -CA 92009=1915 (619)-438-1161 - - - - .JOB -ADDRESS - - - AV. ST. RD, THOMAS BROS NO. DATE OF APPLICATION BUSINESS ICENSE #F VALUATION PERMIT NUMBER - LOT BLOCK SUBDI VISION x'A$SESSOR PAA EL NO. CONTRACTOR CONTRACTORS PHONE # OWNER'S NAME• • ' ._ '�••"'!I `F"'��i �F'I• OWNER'S PHONE r/L �•'r""I`""� ADDRESS STATE LI�CEENSS�EE NO. BUILDING SO: FOOTAGE (CJOONN,TRACTOR'S JJ�q t L� �Y(5Y d7! f•a a 4"60 :OWNER'S MAILING ADDRESS `�'/ !dam ` ve-11 r ��10f 1.•e - DESIGNER C�. �/, (��! DESIGNE„R'S PHONE .»q, " _ _�{ ,�s DESC IP 1ON OF WOLR.-K�!!•(1"'• _ {� j 1.{ {� ,_.{ �{ - V{ lt'Y {'Tf L3 0101 021E'.F.Vcs}i"{t 1064e0i•' DESIGNER'S ADDRESS STATE LICENSE NO. F/P FLR ELEV. NO OCC GP EDU STORIES Y❑ NO CENE!US'TFVT PARKING SPACE UNITS GRADING PERMIT ISSUED-REDEVE-LOPMENT -' TYPE OCC LOAD FIRE SPR - - - -� I_r9ES -• - AREA CONST y ❑ N ❑ • Y ❑ N ❑ Y ❑ NO, Not Valid Unless Machine Certified _ -QTY. PL'UMB]NG'PERMIT �0 QTY: MECHANICAL PERMIT ISSUE 1,500 0O SU-MMARY/ACCOUNT NUMBER -'ISSUE - EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100 U I 1 1 0-00-82 0 O EACH BUILDING SEWER OV 0 TU SIGN PERMIT 001 810 00 00 8221 .EACH WATER HEATER-ANDi VENT BOILER/COMPRESS U 0 P PLAN•CHECK 001-810-00-00-8891 .3g EACH GAS SYSTEM I TO UTLETS BOILER/COMP SS 5 HP TOTAL PLUMBING 001.810-00-00.8222 EACH GAS SYSTEM 5 MORE METAL FIRE A ELECTRICAL 001.810.00-00-8223 % EACH INSTAL.. A R, REPAIR WATER PIPE VENT FAN SINGLED �, MECHANICAL 001-810.00-00-8224 EACH VACU BREAKER MECH EXHAUST - H OOfDUC MOBILEHOME 001-810-00-00-8225 WATER XFTNFR RELOCATION OF EA FURE/ SOLAR 001-810-00-00-R226 EACH OOF DRAIN (INSIDE) DRYER VENT E �, STRONG.MOTION 880-519-92.33 TOTAL MECH V% �134 FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING PUBLIC FACILITIES FEE 320-810-00-00.8740 QTY.' ELECTRICAL PERMIT - ISSUE S QTY. +� MOBILE H SETUP * ` BRIDGE FEE 360-810-00-00-8740 A PARK -IN -LIEU (AREA ) NEW CONST EA AMP'SWT BKR CAR PORT innfig TIF 312-810=00-00-8835 1 PH 3 PH AWNING Q LA COSTA T_IF 311_-810-00-00-8835 EXIST BLDG EA AMP/SWT,'BKR GARAGE M rAIU FMF 1 PH, 3 PH - — ft CITY OFCARLSBAD LICENSE TAX 001-810-00-00-8162 pQ REMODEL'ALTER PER CIRCUIT, " MIFF 880-519-92-57 T;E,MP PO LE 200 AMPS ��t stogy OVER 200 AMPS f e3s� TEMP OCCUPANCY (30 DAYSI CREDIT DEPOSIT TOTAL ELECTRICAL s� - TOTAL' TOTAL FEES PAYABLE /0 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued.bythe Budding Official under theprovisionsofthfs * AN OSHA PERMST'IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become null and void If the budding or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATIOIV HEREON INCLUDING THE authorized authorized by such permit is not commericed within 180 days from the date of such 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE A1VD CORRECT AND I FURTHER CERTTFY AND AGREE IF A PERMIT -IS or if the building or work authorized by such permit ISSUED- TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT abandoned at any time after the work is commenced fora period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESSTHE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS A'ND A P T' SIGNATURE )f OWNER ❑ WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY tN CONSEQUENCE OF THEBV � of 180 da s ,CONTAACTOR QVED,EXPENSES APPR VED _BY DATE /43 PHONE C0 _ %~ GRANTING OF THIS PERMIT. I � hl N, a) U ca cn c UL C a) a) rko O U• N a N G Q) L TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT , SUB FRAME ❑ FLOOR 0 CEILING SHEATHING O ROOF ❑ SHEAR FRAME EXTERIOR LATH INSULATION' INTERIOR LATH & DRYWALL PLUMBING ❑ SEWER AND BL/CO ❑ PIJCO UNDERGROUND ❑ WASTE ❑„WATER TOP OUT ❑ WASTE ❑ WATER TUB AND SHOWER PAN GAS TEST ❑ WATER HEATER ❑ SOLAR WATER ELECTRICAL ❑ ELECTRIC UNDERGROUND ©"UFFER ROUGH ELECTRIC ❑ ELECTRIC SERVICE ❑ TEMPORARY ❑ BONDING ❑ POOL MECHANICAL n DUCT. ,& PLEM., ❑ REF. PIPING x - HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS- -4 li CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE. ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS " BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES , INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE ` SOIL'S COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL -CONCRETE OVER 2000 PS'I t PRESTRESSED CONCRETE 1� POST TENSIONED CONCRETE v,! Yi FJ d I FIELD WELDING � }-IIGH STRENGTH BOLTSi: SPECIAL MASONRY PILES CAISSON'S �E - V t f f DEVELOPMENT'PROCESSING SERVICES DIVISION •��� 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009-4859 - (619) 438-1161 MISCELLANEOUS FEE" RECEIPT ' Applicant Please Print And Fill In Shaded Area Only JOB ADDRESS �" �(� �(� PLAN ID NO. ASSESSOR'S PARCEL NO. OWNER_1�Y�.R�-"i VALIDATION AREA OWNER'S MAILING ADDRESS Z�S� C.-� CweM[rd CITY C�� ZIP TEL. CONTRACTOR M ESTMATED VALUATION PLAN CHECK FEE 001'-810.0 IF THE APPLICANT TAKES NO ACV05N WITHIN 180 DAYS PLAN CHECK FEES' WILL -BE FORFEITED. CONTRACTOR'S �j�! MAILING i (� C l 4 ADDRESS `-(, pl b � I CITY {t ZI TEL.`Qg�q STATE BUSINESS LICENSE NO:4-3V LICENSE NO. SUBDIVISION LOT(S) LEGAL DESCRIPTION CHECK -IF SUBMITTED: ❑ 2 ENERGY CALCS •❑ 2 1987 ENERGY CALCS FOR NON RESIDENTIAL BLDGS DESCRIPTION- OF WORK��tM ❑ . 2 STRUCTURAL CALCS ❑ 2 SOILS REPORTS El 2 SELF'ADDRESSED ENVELOPES DATE GIVEN/ DATE SENT TO APPLICANT CONTACT PERSON LA COSTA LETTER ADDRESS �'° SCHOOL FEE FORM' CITY 4 AM TEL. o P & E CORRECTIONS LIST CERTIFICATE OF OCCUPANCY APPL)OA '��'I'(��"� - -DATE ` White - File Yellow - Applicant - Pink -Finance Gold - Assessor ,�z � - 1 t I - ", -N e'w 7, FINAL BUILDING INSPECTION RECEIVED 1 1988 PLAN CHECK NUMBER: DATE: r-: PROJECT NAME: ADDRESS: 2SSS721 Camino Rent PROJECT NO.:, UNIT NUMBER: PHASE NO.: T1 TYPE OF UNIT: COrnot NUM-BER-OF UNITS: CONTACT PERSON: Twn r3romm -CONTACT TELEPHONE: 1Adrf, m=11 n, is tArr ;Vo INSPECTE! BY: DATE INSPECTED; APPROVED '61SAPPROVEO�J�"l :'INSPECTED BY: DATE INSPECTED: APPROVED DISAPPROVED DATE BY: INSPECTED. APPROVED DISAPPROVED�, COMMENTS ot V N Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560.1468 DATE: MAN/ JURISDICTION: PLAN CHECK NO: 60 _ q4o /--EV SET: XZ PROJECT ADDRESS: PROJECT NAME: ; G.. �eHt'1Ei� 7•• ICANT PLAN CHECKER FILE COPY UPS DESIGNER The plans transmitted herewith have been corrected where ❑ 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 list 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: nons rxcrnaal iv 46e tx r rrAue.sf bran By: Enclosures: ESGIL CORPORATION s-/3 . 2560 ORION WAY CARLSBAD, CA 92008 TELEPHONE (619) 931-2121 Citp of Carlobab FIRE DEPARTMENT PLAN CHECK REPORT r,r PAGE 1 OF "APPROVED f DISAPPROVED J�• PLAN CHECK# PROJECT _. 1l?2/—) 2Z . ADDRESS - ("A L,, ARCHITECT 4-16 24J - ADDRESS PHONE OWNER OCCUPANCY 2— CONST. `111$PRINKLERED q,�TENANT IMP., _ ADDRESS PHONE TOTAL SQ. FT. STORIES 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 system-(s Lrrinklers, stand pipes, dry chemical, halon, COz, alarms, hydrants). Plan must be approved by the fire department pnor 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, CO2 (Location: ) ❑ Stand Pipes (Type: I„ . ) ❑ 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 hoursfz shall be placed above the main exit and doors 11. EXIT signs (6" x 3/a" letters) shall be placed over all required exits 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, 1-2 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 sheeett((s•-)^. / / Plan Exam er _ .,' `- Date f ) .` 1-/ Reportmailed to architect Met with Attach to Plans r 2560 ORION WAY CARLSBAD, CA 92008 TELEPHONE (619) 931-21-21 Ci,tp of Cartobab FIRE DEPARTMENT PLAN CHECK REPORT PAGE 1 OF I APPROVED DISAPPROVED PLAN CHECK# PROJECT t" I%�l �/ ADDRESS 2 2 EC- ICAV- I`J0 iCEA L ARCHITECT OWNER OCCUPANCY.- 1 2-- CONST, ^SPRINKLERED "O�TENANT IMP. — ADDRESS PHONE ADDRESS PHONE TOTAL SO. FT. - STORIES 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(sprin' k ers &rand pipes, dry chemical, halos, ,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: _ ' B,Automatic fire sprinklers (Design Criteria: `r�7 �*11 /3 ug e A6E- 4 VCE77, Q—) ) ❑ Dry Chemical; Halon, COi (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. 0 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/a" letters) shall be placed over all required exists and -directional signs located as necessary to clearly indicate the location of exit doors. 1. 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. 14. 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. Additional Requirements. "RJE��,:�4-� ; r PZ A n./S / U 56 D /07 A L 6 7< - 15. Comply with regulations on attached sheet(s). Plan Examiner —j/}tc% �.. Report mailed to architect Met with Date Attach to Plans APPLICANT TOFILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS, If — ..,..— —_ —. ,. —C.USE.BALL POINT P.EN,ORLY.B_P„RESS.HARD� - I- --- E3-1-hereby affirm -that 6•am•licentied-under--- -j- o- roprovlslons. •of Chiipter, 9 (commencing with --t_ ---Sect)"on 7000)•o6•Dlvlelon 3-of-the-•Business------1, S,`�'f- „ and. Professions Code, and my license is in i Z. -full force-and,effect:- 0.17 I-hereby--affirm^that-I-am•-exempt-from-the-Contrac- --- (• 1^? .S �.,to s; License Law for the following reason (Sec. 7031.5 w_-_ " Busines's and Professions Code: Any city or county which re, f f;,qw{es`aa,permit fo construct, affef,Tm"prove, demblish; or--- 7 .? `-I' };; - !e`paagystructure, pnor to ds issuance also requires the ap- ,,,,...__phcant.teusuch.permltto.ide.alignedstatement4hat.he�is..•»-.I bcensed pursuant to ihe°•.proyjsions of the Contractor's ( License Law (Chapter-9�bommencing with Section 7000-of '""' """Div)s'iob'3'ol'ttie 8usines3 apd.P,roies-stons'Eodej.oi IMIrlsen-`", ,f' empt iherelroin and the, basis for thesallegea eicemphdn: Any','S violation of Sectionv7031.5.by an,app(icanf• ire permit sub- , '-i ets;the applicant io�aimyil'penal`ty of not more than f}yg�hunyq,^�'I - - - ;I-h9-aFpwoer,Qf,thq-property;„ormyempioyeeswith-wages-•-- -r 5'r t(as tfie' Sale com ensation,;yilhdd'thdwork. and the struc- __p ._,.,._ture,is.not.mtendetl.or_offered Iersale.(Sec,-7044„Business.-. I t and.,Protessions,Cotle:) The;Contlactor;s Licegse,Law does, i— not apply of•propdrtyrwhabuTtds of'impro_ `--"'(he(eort,antl-who:does;Such`wdrK'hiriiseli of tfiFdugh,fii's own, i'.etnpioyiees; prbviAe J t(at such impiovemerjts¢are noi_iniend' ', ed-orolfereddor. sale. ^If,-however-;the.bmfding`oMmjir6vLL-M- 4 = ment is sold withihiline,year of completion, the owner -builder 3 � „will have the burden oYprdving thathedid not buildy, or im•-,� 'a '"'prdve'fo� (fie:purpose di -safe: _ "( -_ -1-1 -i;-as, owner-ot the -property.- am -exclusively -contracting - I -:with 06ditsedcontractors to 6onstructit(tk0foject (Sec. 7044, I 7-Businees a'6d-Protesstons Code; The Cc tractors, License,- • : l , Law does,notappiyto an owner of properiywho°builds or im- `proves, thereon,-and:wifacomradts for each projects a(th a- U) - — - -•contractor(s)•license -pursuant -to•the-Contractor's-License-- - -I Z 0' - F - : "O' As a fioineowne(I am improVidgiiiy'home, and.the foilb%- ,,'ing;cgnBdl'ons'exist�",t •` • " - •j ; -.: + � - '-,.`I t.-:..._,,.__.. ,.,_I_The,work-isberng�pertormed:prior-to.sale...._,__._.__•I 1 2. 1 have, lived-ut-my 'home�for-twelve months 0 prior to,Winplehon of,this•Work. W -­­3. "'1"baVe" oof-claimed-'this exernptiob"8uring`the'--'I t0 y last three .years. ' ._ q TamexerpptuoderSec,~ for this•feason- ' y 1-; .-O, I hereby affirm that,l-have a certificate of co'risent to • •• - `selriAsure. or a certificaie.of Workers* Compensation ln• - ` - '@farce: or a certified coPy thereof (Sec. 3e00: LaborCode)- POLICY NO: •• • -- . w.` -"❑ •Copy -is fil6a',wilb;lhe filly. N 0.-CeFbhed.copy_"1g,hereby,.furrlj3hed_ (1'.O t, ••mo:i CERTJEIC%gTE'OF`Et,EIARTI&iiFROM -''-C.1-•-----• -WORKERS'•COMPENSATION-INSURANCE-- (this section need not be completed if the permit -•'� ....:........is-ioi,one.hundred.dollars.($1.00)_or less).. i� W - , 1•certily 1f4 In•(he performance of the work for which permit•is issued; I shall-not,employ.any,person.in,any �• , manner so as to become subject to the Workers' Compen. �.. sation_Layvs oJ_Callfo{nia _�_,,,-„_• •____ _ ,NOTICE T6"APPLtC4NT:;lf. aft(irti`naking this Certificate:' . • -of-Exemtio ption,you-suld.becomesublecttothe Workers_ ;Corp'pe`nsatYo`n proyis(or(s ofsthe Labor Code, you;itiusf 1, ; "JorjTlwith„co_"mplywdfsUch,pr6v(51tins or this permit-sfiali• - + 1 bode"rift d revoked, m_thaFthere is a construction lending_ w ¢' t +' ¢tageney loathe performance of the work for which this per. w �:•C °"$ ij It is_'OSsueil„(Sec 9097„9rvil Code),,,,_�,�-•.- WLender's Name a Lender's Address -- - -, CARLSBAD -BUILDING-DEPARTM-ENT ` -'- t ----- APPLICATION &PERMIT ,2075 LasXPalmas-Dr., Carlsbad,, CA 92009-1915 (619) 438-1161 ! I Jq8 ADDRESS, AV, ST.RD. THOMAS.BROS NO. - PAT660F P//Ltd TION � BUSINESS LICENSE # VALUATION PERMIT NUMBER LOT [BLOCK SUBDIVISION ASSESSOR PARCEL,NO. . ... .. :. ......_. , _... _, .-_....,._...,CONTRACTOR_ _••,i ...,. - _ .,,... „CONTRACTORS PHONE,N - , OWNER'S NAME - Wk) *! t__ Q-�j` _y�y __ �O 1� - _ .. OWNS R'S,PHONE ���, CONTRACTOR'S ADDRESS' /~[ STATE LICENSE NO, - - " BUILDING SQ'FOOTAGE" ` _... .......... ._ ____.... ...,..._.._... ,.... OWNER'S ORE55 ,»... .,........._........r...._..,,,.._..._..._.,._..._...».._._.. ._._..._._.._..._.».,.. y� !.%t7V �i L' .G./FM'i✓ F.JC"�':."G.� -C„/-�.I�„Zt7rJaR`_�_-. ».�r/•J`i- DESIGNER.. .. .. >.. .....-.. .. w. ,._. .... .....,. _..» DESIGNER'S PHONE _._....-...,-,..- .............,..___._.,,_.�. ._,..,�, _ -- PE S RiPTf0N OF thiOl3 K,. - , , ,-_ _• - ,-- S�I4 �(��s __... ,. DEaIGNEFVS ADDRESS--. _. _... - ..._ _ . _.STATE. LICENSENOw., __ /r +f3.'r r� / F/P FLR ELEV. NO OCC�GP EDU ^� "••� ,.-� -" �� -�+• i STORIES _ ( .w� _ - ' CEaSUS-TRACT•"`-` `"i':4'RK ING SPACE UNITS - GRADING PERMIT ISSUED REDEVELOPMENT; TYPE OCC LOAD `FIRE SPR IRES ,__ _ __ :_._ .__ _ -- -ARE•li••_-__ ._...,.__� _».....,..._.,.._....,.....,,.,..^,.,._....._...,.,....,w,...-,--.»..,..._............._._.._.Y...,-.....,.,..,.,... ,------- Y 0 N,. ❑ Y❑ NO i Y p N Q Not Valid Unless Machine Certified QTY. + PLUMBING PERMIT - ISSUErjO QTY. MECHANICAL PERMIT -ISSUE- �a .__ SUMMARY/ACCOUNT NUMBER _ Y --- FIXTURE -TRAP --s } INSTALL FURN DUCTS UP TO 100,000 BTU, I 1 ' ,EACH EACH BUILDING SEWER -, - - - - -- -- {- - - - •- - OVER-400;000-BTU--,• . ---n-- ,»-SIGN•PERMaT - _00] St0.00:00$22.1-._ - 7 ',EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEMITO4OUTLETS BOILER/COMPRESSOR3.15"HP ? TOTAL PLUMBING ~001810-00-00-8222 - - - �- _.E"ACH'GAS SYST.EM-5'0-R`MO-RE--"; - - - - -- - - � --- - METAL--FIRERL,ACE--------- '--- ----- - ; �-_.__...__ - __. _ __ _,,.,.^._,. ELEGT.RICAL.___.„._-___.,.00.I:.B,tO:A0-.00..8223.„_._�.�_...,,..,,,..-._..,.•.,__._,.._.,..-„....,.,._, - - EACH•INSTAL.-AL•TER,-REPAIR-WATER PIPE VENT FAN SINGLE DUCT i MECHANICAL 001 810 00 00 8224 ------ - ,EACH VACUUM_.BREAKER_ _ � __. _.. MECH EXHAUST - HOODfOUCTS _ _.,_..-_.. ____ ___ _.,__..... _.-._.__._.._- _. __. _, ._ _ __ _---. ------- MOBILEHOME 001-810-00-00-8225 _�...... _.,,�.. :WATER SOFTNER _ __ - .._. _RE LOCATION QF EA i EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880 519 92 33 f + --- -TOTAL--MEGHANIOALr - - - -- -- ---•• w-- - ----FIRE-SPRINKLERS------'-----001-8.10-00.00-8227 - - M -- f, _•. ; _TOT`AL PSLOMBING PUBLIC FACILITIES FEE 320-810-00.00-8740 ( QTY. PERMIT ISSUE, :. �.c MOBILE_ HOME SETUP t ;•� BRIDGE FEE 360-810-00-00-8740 .,__PARK IN LIEU -(AREA -•)•-- -- -- . ----•- -..--- •___ µELECTRICAL - _ -' _QTY. - __ _____-_ _ •, ,__, _. __ . •.MEW-CO.NS,T EA.AM-P,'SWT_BKR, CAR PORT 77 TIF 312-810-00-00-8835 , .-.-.- i PH 3 PH .1. ___._.- - ._ r AWNING LA COSTA TIF 311-810-00'00-8835 ' EXIST BLDG EA AMP/SWT;BKfl_•GARAGE_____ - -_ ._.y. .-, _.._._ i _-- _"--•-_ _.-__ __ FMF- _.___ _.___ __ ____ _ _ __ _�_ .�.- 1 '. 1 PH 3 PH ! LICENSE TAX 001 810 00 00 8162 ( EMODEL'ALTER PER CIRCUIT - � i - -- -'- __._ __.._.,__ MFF 880-519-92-37 i:..�... I- - OVER-200;AMPS- TEMP..000.UPAPC.Y_l30_DA.YSI: _ ( i_a -_ _ ___- _ _____ ___._• _ _ __„ ___ .__ _._-„_._ _,. :- - a 1 • ~ ( TOTAk ELECTRICAL ( _ s -- -- --- - `+s 1. i'. - •°=' aL T> Ai� TOTAL FEES PAYABLE I 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AN ,DO HEREBY _ ' 'Expiration- Every permit issued-bylheBuilding OfficialunGertheprovision'softhis' `' tik AN OSHA PERMIT IS REpU1REp FOR EXCAVATION R _Code-Codelimitation-and becomeuil andwoid tfthe-building or•work• - CERTIFY UNDER PENALTY OF PERJURY ALL INFORMATION HEREON INCLUDING THE •n -THAT F- I authorized by such permit is not commenced within 180 days from the date of such 5'0'" DEEP AND DEfdOLITtON OR CONSTRUCTION OOF _ ^ t i DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AN5 AGREE TPA PERMIT IS permit. or if the buliding 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 at any- time after the work.ls.commenced-for a- rlodol 480-da s. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. i ALSO AGREE TO SAVE INDEMNIFY AND APPL SIGNATU �/ f KEEP -HARMLESS THE CITY -OF CARLSBAD•AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER Q, f EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAiD CiTY 1N CONSEQDENCE'OF-THE"' GRANTINO OF -THIS PERMIT: - -- • AP O ED BY CONTRACTOR Q e DAV;�-4 BYPHONE � J I O U :c C I TYPE r. DATE INSPECTOR = RIM nikn FOUNDATION REINFORCED STEEL I' MASONRY r GUNITE OR GROUT SUB FRAME, ❑ FLOOR 0 CEILING SHEATHING- ❑ ROOF -❑ SHEAR - FRAME 1 EXTERIOR LATH ! INSULATION I• INTERIOR LATH & DRYWALL 1> PLUMBING i ❑ SEWER AND BUCO ❑ PL/C UNDERGROUND ❑ WASTE ❑ WATER TOP OUT ❑ WASTE ❑ WAER TUB AND SHOWER PAN I GAS TEST- 0 WATER HEATER ❑ SOLAR WATIrR ELECTRICAL I ❑ ELECTRIC UNDERGROUND ❑ U FER ROUGH ELECTRIC I ❑ ELECTRIC SERVICE ❑ TEMPORARY ❑ BONDING ❑ POOL r 1 MECHANICAL [ ❑ DUCT & .PLEM., ❑ REF. PIPING HEAT - AIR COND. SYSTEMS I VENTILATING SYSTEMS 1 I l ti � r • CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITFMS AROVF HAVE 13EEN-APPA0VED_''l" "'_ _ - FINAL 1 PLUMBING _ ELECTRICAL I MECHANICAL GAS BUILDING I SPECIAL CONDITIONS I 4 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES 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. 1 HIGH STRENGTH ' ,_ _; BOLTS SPECIAL MASONRY PILES CAISSONS y j r k, A 04/03/9--0 095 6 P_Prellml03ec B U I L -D I N G P E P M I T _t 9091 1998124.31_6 , 'Page - I of I Devela"prnCnt,.N.o: Job Address: 2555 EL. CAMINO REAL Str:, 'Fl: Ste:, Permit Type:' COMMERCIAL TENANT IMPROVEMENT Parcel No: 15-6-302-10-00 Valuation: 14,500 Construction Type: NEW Occupancy Group: Glass Code: IS.SUED, Description: PURR DEMISING-WALLS/POCKET DR ,Applied : 09/26/89 Apr/Issue : 09/2t6/8-9 Validated By: CD_ CONTRACTOR': TOTAL DEVELOPMENT Lic. C,NO1_". .619 565-7111 6605 CONVOY COURT SAN DIEGO, CA,.9Z111 Fees Required F'OeA Col'lected &-Credits - - - - - - - - - - "Fees: 777. O'd ' Adiustments: .00, Tota1,-"Qr�edme-filits. -.00 Total Fees: 717.00 1 % '1� �', T Payls '77.7. 0-0 Balan-d`e�_,Due: .00 Data t _-Ext f ee Fee description- Uni s-1, Fv " -ee/ Unit ----------- T Building Permit 161'00 Plan Check Nl 105--00 2,.00' Strong .Motion Fee' 5-08.,0-0 Y tn'ter''Y' to Autodalc Licon 771 .-777 GO. Ail" - *-BUILDING TOTAL, CRY OF'CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009- (619) 438-11 .161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr. , Carlsbad, CA 92009; (619) 438-1I6I 1 •PERMIT TYPE A. [ COMMERCIAL NEW RITENANT IMPROVEMENT 8 ❑ INDUSTRIAL ❑ NEW ❑ TENANT IMPROVEMENT C ❑ RESIDENTIAL ❑ APARTMENT ❑ CONDO ❑ SINGLE FAMILY DWELLING ❑ ADDITION/ALTERATION ❑ DUPLEX --[:]DEMOLITION []RELOCATION []MOBILE HOME - ❑ ELECTRICAL []PLUMBING [:]MECHANICAL ❑ POOL ❑ SPA []RETAINING, WALL ❑ SOLAR ❑ OTHER _ EST. VA4 • - / i - .. PLAN CK DEPOSIT �~ VALID. BY 0 DATE 0126 09126/89 00ij,I' of 02 777, 00 Address 2555 El Camino Real Building Or suite No. parkway Plaza Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. -Phase No. CHECK BELOW-IF'SUBMITTED: ❑ ❑ 2 Energy Calcs 2 Structural Cates ❑ 2 Soils Report ❑ 1 Addressed -'Envelope ASSESSOR'S'PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Furr. out demising walls and construct pocket for pocket door, BLDG. SO', +TG. # OF STORIES- 2 3.-'CONTACT PERSON NAME _Ron Petrie - ADDRESS 6605 Convoy "Court CITY' Sa iego STATE CA ZIP CODE 92111 DAY TELEPHONE 6 1 9/5.65-7 1 1 1 SIGNATURE 4. -APPLICANT' ® CONTRACTOR ❑ AGENT FOR CONTRACTOR []OWNER ❑ AGENT FOR OWNER NAME Total Development West Inc. /� ADDRESS 6605 Convoy Court 9 -CITY San Diego STATE CA ZIP CODE 92111 DAY TELEPHONE 6 1'9-/ 56 5— /7 1 11 5. PROPERTY OWNER OWNER ❑LESSEE ❑TENANT - NAME jSCP nine�jv ADDRESS 2555 El Camino Real CITY liar s UaLL STATE CA ZIP CODE 92008 DAY TELEPHONE 6'1 917 29-799 1 _ - - 6. CONTRACTOR NAME Total Development West Inc. ADDRESS 6605 Convoy Court - CITY San Diego STATE CA ZIP CODE 92111 DAY TELEPHONE 619/((5i65-771111 STATE LIC. # 555596 LICENSE CLASS B CITY BUSINESS LIC. # i`J-P�'��✓-� SIGNATURE�Q- TITLE President DATE September, 26, 1989 DESIGNER NA - - ADDRESS CITY None STATE ZIP CODE DAY TELEPHONE STATE_LIC, # '7. WORKERS' COMPENSATION . Workers' Compensation Declaration: I hereby affirm that [have a certificate of consent to self insure issued by the Director'of Industrial -Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director ofthe insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Cigna POLICY NO. C3'2489862 _ EXPIRATION DATE 021 26 /90, ' 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 become sub' to the Workers' Compensation Laws of California. SIGNATURE DATEV a 8. -OWN -.BUILDER DECLARATION Owner -Builder Declaration: I here/aham that am exempt from the Contractor's Law for the fot-lowing reason: ❑ I as owner of the property or my ewith ages as their sole compensation, wilt do the work and the structure is not .intended or offered for sale (Sec. 7044, Business and Professio' Th Contractor's License Law does not apply to an owner of property who builds or, improves thereon„ and.who does such work himself or throughloyees, provided that such improvements are not intendedor offered for sale. If,,"however,'the building orimprovement-is sold within one c letion, 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 ely contracting with licensed contractors to construct the 'project (Sec. 7044, Business and -professions CodeThe Contractor's License Law does ly to an owner of property who builds or improves thereon, and contracts forsuch projects with contractors) licensed pursuant to the Contractonse Law). ❑ I am"exempt under SecnBusiness and Professions Code for this reason: (Sec..7031.5 Business and Profe ions Code: Any City or County which requires a permit to construct„atter„ improve, demolish,, or repair any structure, prior to its issuance, also r quires the applicant for such permit to file a signed statement that he is licensed- pursuant to the prov-isions.of the Contractor's License Law ( pter 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 atteg exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a-civi`t penalty of not more than five hundred dollar's [E5001). SIGNATURE DATE September-26., 1989 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration 'form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? [:]YES ® NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quat.Tty management district? ❑YES ®NO Is, the facility to be constructed within 1,000 feet of the outer boundary of a school site? - ❑ YES 0 !0 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.JNEETING 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 (-ending agency for the performance of the work for which this permit is issued (Sec 3097(i). Civil Code). LENDER'S NAME N/A LENDER'S ADDRESS LO — APPLICANT'S SIGNATURE ]-certify that I have read the application and state that theaboveinformation 'is correct. I -agree 'to comply with all City ordinances-and•Sfate 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 LIABIL•1•TIES, JUDGMENTS, COSTS AND EXPENSES .WHICH MAY -IN ANT WAY ACCRUE AGAINST SAIb- CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT_ Expiration. Every permit issued by the Building Official under the provisions of this Code shat.l expire by timitation.and become nu(t 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 or work authorized by such.permit is suspended oJaba ned at any 'e after the work'is commenced for a period of 180 days (•Section 303(d) Uniform Building Code)APS II AURE% ❑ OWNER ®CONTRACTOR Q BY"PHONE/ DATE: WHITE OW: Applicant .PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST � PERMIT# CB891433 FOR 05/07/90 INSPECTOR AREA PD DESCRIPTION: FURR DEMISING WALLS/POCKET DR PLANCK# CB891433 TYPE: CTI JOB ADDRESS: 2555 EL CAMINO REAL APPLICANT: TOTAL DEVELOPMENT WEST CONTRACTOR: TOTAL DEVELOPMENT OWNER: REMARKS: TEL/MH SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 565-7111 PHONE: 619 56 - 1 PHONE: INSPECTOR ACT C07 r NTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 101989 Frame/Steel/Bolting/Welding AP PD 101289 Frame/Steel/Bolting/Welding AP PD LOWER WALL