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HomeMy WebLinkAbout2555 EL CAMINO REAL; MULTI-PERMIT FILE; CB101410; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-29-2010 Miscellaneous Permit Permit No: CB101410 Building Inspection Request Line (760) 602-2725 Job Address: 2555 EL CAMINO REAL CBAD Permit Type: MISC Subtype: REROOF Parcel No: 1563021000 Lot #: 0 Valuation: $94,500.00 Reference #: PC#: Project Title: JC PENNY: 70,000 SF TPO WHITE SINGLE PLY 60MIL Applicant: EMMONS ROOF SERVICES INC 17901 ARENTH AV CITY OF INDUSTRY CA 91748 626 820-0909 Status: ISSUED Applied: 07/29/2010 Entered By: JMA Plan Approved: 07/29/2010 Issued: 07/29/2010 Inspect Area: Owner: NEW MARJORAM ASSOCIATES C/O JCPENNY CO INC #566-0 P 0 BOX 10001 DALLAS TX 7530.1 Miscelaneous Fee #1 PERMIT FEE $1,050.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES ,$1,050.00 Total Fees: $1,050.00 Total Payments To Date: $1,050.00 Balance Due: $0.00 FINAL APPROVAL Inspector: �OLDate: I l f ��/0 Clearance: NOTICE: Please take NOTICE that app�11'overnment al of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You hav0 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 fioith in 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 Plan Check No. Building Permit Application_ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value v CITY OF 760-602-2717 / 2718 / 2719 CARL$11AD Fax: 760-602-8558 rian %oK. UePUSIX www.carlsbadca.gov Date ? Z9 % o SWPP JOB ADDRESS - SUITE#/SPACE#/UNIT# APN 5 CT/PROJECT# LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS =ESS NAME _ - G P CONSTR..TYPE OCC. GROUP DESCRIPTION OF WORK::? Include Square Feet of Affected Area(s) - AS � �ir.�►i✓� �v '-rev r7�£ n� s r tli 1a7s 7 0� EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING IFIRESPRINKLERS YES ❑ #_ NO ❑ YES ❑ NO ❑ YES 0 NO ❑ CONTACT NAME (if Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS 1-1 a GL,�'wCJ CITY STATE ZIP CITY SATE ZIP PHONE FAX PHONE FAX .&q EMAIL EMAIL _QQ PROPERTY OWNER NAME CONTRACTOR BUS. NAME P 'ADDRESS ADDRESS CITY _l STATE ZIP CITY STATE ZIP 0, PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # ATE CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed Ste Rement that he is licensed pursuant to the provisions of the Contractor's License Law Rafter 9, commending with Section 7000 of Division 3 of the Busiress and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031:5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars'1$500)). Workers' Compensation Declaration: Lhereby affirm under penalty of perjury one of the following declarations: ©- ave and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 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 workers' compensation insurance carder and policy number are: insurance'Co. `-" — " "" "'Policy No: "— - "— - - -Expiration Date 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 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 A5 CONTRACTOR SIGNATURE MKGENT DATE 7 10 I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). 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 Law). O 1 am exempt under:Sedon 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. O Yes ❑ No 2.1(have / have not) signed an application fora building permit for the proposed work. 3.1 have contracted with the following person (firmyto 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 / 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 I address I phone / type of work): OPROPERTY OWNER SIGNATURE Art ' C.. 049NT DATE ? —'d .- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form orrisk 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code), Lender's Name Lender's Address I certilythatI have read the application and statethatthe above information is"wmectand thatthe information on the plans Is accurate. i agree tocompywith all City ordinances and State laws relatingto bulldingconstrucdon. I hereby authorize representative 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 AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAYACCRUE 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 eonstntcuon 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 became null and void If the building or w rk authorized by such permit is not oanmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106A.4 Uniform Building Cade). ,IKAPPLICANT'S SIGNATURE DATE 7— REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: o?.S"S S_ 404/ C 4,,o 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL /V 3. ROOF SLOPE: RISES INCHES IN 1.2 INCHES 4. NUMBER OF.EXISTING ROOF COVERING (CIRCLE ONE) (5? 2 3 5. TYPE OF EXISTING ROOF COVERING 1;,Pa SHEATHINGS(" aF e c S *6. NEW ROOF MATERIAL CLASS_ A WEIGHT PER SQ. " 7. -NUMBER OF SQUARES 70'0 8. TRADE NAME -MANUFACTURER 14s 4s 9. ROOF SYSTEM LISTING: UL NO. ,�,PiO_3>21. I.C.C.E.S. Report # ASTM 10.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF?-'' NO All, roof -coverings are required to -be- CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1". Tear Off/Pre-Inspection prior to install now roof covering 2. Final ;Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature/� Date y �' Contractor Owner Contractor Name *6. Rolled "Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 09/01 /2010 Permit# CB101410 Title: JC PENNY: 70,900 SF TPO WHITE Description: SINGLE PLY 60MIL Type: MISC Sub Type: REROOF Job Address: 2565 EL CAMINO REAL Suite: Lot: 0 Location: OWNER NEW MARJORAM ASSOCIATES Owner: NEW MARJORAM ASSOCIATES Remarks: Total Time: .CD Description Act omments 19 Final Structural Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC#. Inspector Assignment: PY Phone: 9512322251 Inspector: Requested By: BOB Entered By: CHRISTINE Inspection History Date Description Act Insp- Comments 08/02/2010 15 Ropf/Reroof PA PY EXISTING ROOF , CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carisbadca.gov I am applying ?Building City of Carlsbad for the following type(s) of construction permit: .Permit ❑ Right -of -Way Permit timy project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the 'following permit types: Electrical Patio/Deck Fire Additional Fire Alarm - ooftng Fixed Systems Spa -Factory R Mechanical Sprinkler Mobile Home Water -Discharge Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria ❑ My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 - Low Threat Assessment Criteria ❑ My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria ❑ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including -any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project -meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal -to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated -during -the rainy season or will extend into the rainy season (Oct.1 through April 30). Tier 3 _Significant Threat Assessment Criteria ❑ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or ❑ . My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or -more acres.including any associated construction staging, equipment storage, refueling and maintenance areas: or, ❑ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non -storm water discharge(s). 1 certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though -this project does not require preparation of a construction SWP,P, I must still adhere to, and at all times during construction activities for the permit types) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the stone Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address: Assessor Parcel No. b.5,5 '.CS .'Aa2l Owner/owner's Authorized Agent Name: Title Owner/Owner's Authorized Agent signature: Date: City/Co�rrence: Y•dES 0 NO � rQ /� Date: � �Q %���ProjectID: /, �Y/ Of/7 _ �/ B-24 Page 1 of 1 Rev.03/09 E ' , City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-03-2010 Miscellaneous Permit Permit No: CB100339 Building Inspection Request Line (760) 602-2725 Job Address: 2555 EL CAMINO REAL CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1563021000 Lot #: 0 Applied: 02/25/2010 Valuation: $0.00 Entered By: MDP Reference #: Plan Approved: 03/03/2010 PC#: Issued: 03/03/2010 Inspect Area: Project Title: J C PENNY -DEMO PERMIT FOR CB10-216 Applicant: Owner: HARRIS DAN NEW MARJORAM ASSOCIATES C/O JCPENNY CO INC #566-0 17992 MITCHELL SOUTH P O BOX 10001 IRVINE CA 92614 DALLAS TX 75301 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $65.00 $0.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 FINAL AP RO AL Inspector: Date: !� Clearance: NOTICE: Please take NOTICE t at 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 feeslexactions, 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 feeslexactions 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 feeslexactions ofwhich You have reviouslv been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise ex ired. 'Plan -Check No. X;� Building Permit Application 4 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value \V CITY OF 760-602'-2717 / 2718 / 2719 11011�., rU CARLSBAD raw: rorlsbad oaao www.carlsbadca.>7ov - • •- •- —--r--•- i .Dot@ 'Z, �,,� CO T. JOB ADDRErS�S SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT #' PHASE # # OF UNITS # BEDROOMS # BATHROOMS - ' TENANT BUSINESS -NAME CONSTR. TYPE OCC..GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0 EXISTING USE 3 PROPOSED USE A GARAGE (SF) PA IOS (SF) DECKS, (SF) 11 FIREPLACE YES ❑ #_ NO ❑ AIR CONDITIONING YES ❑ NO ❑ FIRE SPRINKLERS YES ❑ NO O CONTACT NA E (NDifferent Fo Applicant) APPLICANT NAME ADDRESS ADDRESS CITY I STATE ZIP�� r `CO STATE CITYI ` ' G� 1 / f PI q ' 1L �` f FAX PHONE qYJ gs - z FAX .EMAIL 'EMAIL PROPE TY nOWNER NAME V CONTRAC L gut 10 DDRESti J LC�>�1� D6Lt ADDRESS Zf G�- CITY STATE ZIP CITY STATE Q� PHON . I `7Sf� FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 1, STATE UC. # STATELIC.# q' 7-75 f -7 CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aver, improve, oemousn or re au an sirucwre, nor-io Rs issuance, aiso requues We applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Latin fC apter commen ing 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500}). e 1B R Workers' Compensation Declaration: i hereby affirm under penalty of perjury one of the following declarations: ❑ [have and will maintain a certificate of consent to seffAnsure 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 works •compensation, as r2quired by Section 3700.of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation -insurance carder and policy number are: Insurance Co. l� � �/ u-r r�tA L> Policy No. -WA 7 G D L848255 ` D ) Expiration Date 10/011 / 6 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 manner so as to become subject to the Workers' Compensation Law's 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, damageshf provided tpr in Section;706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE ��- ���M ©AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 orImprovement 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). 13 I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not applyto 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). 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. O Yes 0 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 (fine) to provide ther proposed construction (include name address I phone I 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 (Ind ude name/ 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 [address /-phone-1 type of work): PROPERTY OWNER SIGNATURE "'AGENT 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 or25534 of the Presley -Tanner Hazardous Substance Account Act? O Yes O No Is the applicant'orfuture building dccuparit required to obtain a permit from the air pollution control district or air quality managemenfdistdct? O Yes O No Is the facility, to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE --YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSTHE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR.POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued.(Sec. 3097 (1) Civil Code). Lender's Name, Lender's Address I certifythatl have ieadtheapplication and statethatthe above information isoorrectand thatthe information on the plans is accurate, I agreetocomMywilh all City,ord[mancesand State laws relatihgto buildiugconstruction. I hereby authorize represenlative of the City of Carlsbad lo enter upon the above menti *d property for inspection purposes.) ALSO -AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY -ACCRUE -AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'V deep and demolition or oonspuction of structures over, 3 stories in height EXPIRATION: Every permit issued by the Building Oftial under the provisions of this Code §kall expire by -limitation and become null and void 'rf the building or workaulhoraed by such permit is not cornmenced.wfthin 180 days from the date of such parrot or rf the buid' work authorized spended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4A Uniform Building Code). A!APPLICANT'S SIGNATURE DATE '4- L City of Carlsbad Bldg Inspection Request For: 09/09/2010 Permit# CB100339 Title: J C PENNY -DEMO PERMIT Description: FOR C1310=216 Type: MISC Sub Type: OTHER Job Address: 2555 EL CAMINO REAL Suite: Lot: 0 Location: OWNER NEW MARJORAM ASSOCIATES Owner: NEW MARJORAM ASSOCIATES Remarks: Can you final? Total Time: CD Description 19 Final Structural Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Inspector Assignment: PY Phone: Inspector: Requested By: CHRISTINE Entered By: CHRISTINE City of Carlsbad a 1635 Faraday Av Carlsbad, CA 92008 1O-07-2009 Miscellaneous Permit Permit No: CB091677 Building Inspection Request Line (760) 602-2725 Job Address: 2555 EL CAMINO REAL CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 1563021000 Lot #: 0 Applied: 10/07/2009 Valuation: $14,175.00 Entered By: RMA Reference #: Plan Approved: 10/07/2009 PC#: Issued: 10/07/2009 Inspect Area: Project Title: JC PENNYS TIRE STORE-10,500 SF TPO MEMBRANE OVER DENS DECK Applicant: EMMONS ROOF SERVICES INC 17901 ARENTH AV CITY OF INDUSTRY CA 91748 626 820-0909 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees Owner: NEW MARJORAM ASSOCIATES C/O JCPENNY CO INC #5664 P 0 .BOX 10001 -DALLAS'TX' 75301 $274:00 $0.00 $0.00 TOTAL PERMIT FEES $274.00 Total Fees: $27-4.00 Total Payments To Date: - $274.00 Balance Due: $0.00 r FINAL APP Date: 0- 4�/, �2-4 ld Clearance: NOTICE: Please take NOkICE/out approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively actions referred to as "fees/ex° 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 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 4K, CITY OF Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 raw: r orlsbad ooao www.carisbadca.>7ov CARLSBAD, ••••• _••• _••r••• •• Date 47 JOB ADDR SS - fl? 55�5 LZ7- SUITE#/SPACE#/UNIT# APN CT/PROJECT # LOT # PHASE # # OF UNITS J#BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAHectedArea(s) Nro" ZO-5062�P.,91/��-�� �1 �'.ris Die ' 'EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES ❑ #_ NO ❑ AIR•CONDITIONING IFIRESPRINKLERS YES ❑ NO ❑ YES ❑ NO ❑ CONTA�-CT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP -PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDR€SF� CITY STATE ZIP Cl STATE � „STATE �ZI �� N -% t/l�lS PHONE FAX PHONE 64-7- 0` 0� g FAX 2- 2r - 9 EMAIL • E/MlpILL /( Gn! nL0 � � ea!/�P v�il� � � N1 ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE C.#_ r� CLASS CITY.PUS. DC.# (Sec. 7031.5 Business and Professions Code: Any City or County which reauires a Dermit to construct. alter. improve, demolish or repair any structure. Driorto its issu c also requires e applicant for such permit to file a signad statement that he is licensed pursuant to the provisions of the Contractor's License Law {chapter 9, commemmng with becapn rouu oruiwsion jot 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)). e ._}'+., 2. red Rua'° F c °`lC; • a� ,i , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 01111alle 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. -❑ 1 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 workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ Certificate of Exemption:) 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' Compensafion.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, dams eslisvided for in Section 3706 of the Labor code, interest and attorney's fees. A CONTRACTOR SIGNATURE DATE 12* 1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason: O 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). .O 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). O 1 am exempt under Section Business and Professions Codefor this reason: 1.1 personally plan to provide the major labor and -materials for construction of the proposed property improvement. O Yes IJ 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 / contractors' license number): 4.1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (Intl ude name / 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 / address / phone / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managementandprevention program under Sections 25505, 25533 or 25534 of the Presley=Tanner Hazardous Substance Account Act? O-Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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. AMWP''> 4 , � � ~•� ;,;.F t. •,� i. � Y%". $ , . � Cam• ��"�,.;.z zro' I hereby affirm that there is a construction lending agency for the performance of the work this -permit is issued (Sec. 3097 (i)-Civil Code). Lender's Name Lender's Address ��. _�� 70 >� g"g � � .; °� ;WAS fib k • :s � : e•�r�• : � .�,:7777, N ,;, , ` I cerb"at I have read the application and state thatthe above information is comectand thatthe Information on the plans is accurate. I agree to complywdh all City ordinances and State laws relatingto buildingconstruction. I hereby authorize representative 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 60' 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). At�APPLICANT'S SIGNATURE DATE 4. - 0- REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: W 655 ZC 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE / INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) & 2 3 5. TYPE OF EXISTING ROOF COVERING a"I,� SHEATHINGA;iL mac% 6. NEW ROOF MATERIAL .CLASS A WEIGHT PER SQ. 7. NUMBER OF SQUARES /O 8. TRADE NAME 7?0` 2 MANUFACTURER n!._P S7f�/X-JS 9. ROOF SYSTEM LISTING: UL NO. l0 3a / I.C.C.E.S. Report # ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off P're-Inspection prior to install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature Date Date /O - Contractor X Owner Contractor Nam�lo�✓S *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, . Cher a-1 0 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 04/01 /2010 Permit# CB091677 Title: JC PENNYS TIRE STORE-10,500 SF Description: TPO MEMBRANE OVER DENS DECK Type: MISC Sub Type: REROOF Job Address: 2555 EL CAMINO REAL Suite: Lot: 0 Location: OWNER NEW MARJORAM ASSOCIATES Owner: NEW MARJORAM ASSOCIATES Remarks: card is lost Total Time: CD Description 19 Final Structural Act Comments Comments/Notices/Holds Associated PCBs/CVs Original PC# Inspector Assignment: PY Phone: 9097213054 Inspector: Requested By: BOBBY EMMONS Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 10/09/2009 15 Roof/Reroof CA PD 10/68/2009 15 Roof/Reroof PA PY OK TO COVER ,F City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-26-2012 Commercial/Industrial Permit Permit No: CB013899 Building Inspection Request Line (760) 602-2725 Job Address: 2555 EL CAMINO REAL CBAD Permity Type: TI Sub Type: COMM .Parcel No: 1563021'000 Lot #: 0 Valuation: $5;000.00 Construction Type: NEW Occupancy Group: Reference # Project Title: PLAZA CAMINO REAL JC PENNY REPLACE STEEL PLATFORM Applicant: WICKLUND STEVE 13210 FLORENCE SANTA FE SPRINGS CA 90670 562-777=0983 Status: ABANDOND Applied: 12/20/2001 Entered By: JM Plan Approved: 01 /1712002 Issued: - Inspect Area Plan Check #: Owner: NEW MARJORAM ASSOCIATES C/O,JCPENNY CO INC #566-0 P 0 BOX 10001 DALLAS TX 75301 Building Permit $61.19 Meter Size Add'I Building Permit Fee $0.00 Add'h Red. Water Con. Fee $0.00 Plan Check $39.77 Meter Fee $0.00 Add'I Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.05 PFF (3105540) $0.00 Park Fee $0.00 PF.F (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193). $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0:00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'I Renewal Fee $0.00- ELECTRICAL TOTAL $0.00 Other Building Fee $0.00 MECHANICAL TOTAL $0.00 Pot. Water Con. Fee $0.00 Master'Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add1 Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee ?? HMP Fee ?? Fire Expedidted Plan Review ?? Green .Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $102.01 Total Fees: $102.01, Total Payments To Date: $39.77 Balance Due: $62.24 FINAL APPROVAL Date: Clearance: NOTICE: Please take'NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "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 othersequired information with the City Manage °^• processing in accordance -with Carlsbad Municipal Code Section 3.32:030. Failure to timely follow that -procedure will bar any subsequent legal action•to a 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 c changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to am PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday -Ave., Carlsbad, CA 92008 ]9N— FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. I Validated Address (include Bldg/Suite #) Business Name (at this addr 'T�4 42/20/01 0002 01 02 Legal Description Lot No. Subdivision Name/Number Unit No. Phase NCGPTotal # of unit.W,9 77 Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms k Sn6EL &7 Am e— Pe -K ? Name !S7—t5VG- W!CX,ILJA.7,L> Address Z/Z> 1612_0A�1VC4jARL, City SAk 1,4 State/Zip Telephone # Fax # -7 ,7 77 Name Address CitytZip Telephone # Name Address City Stat6/Zip Telephone # . .... .... .. (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of hot more than five hundred dollars [$5001). Name Address City State/Zip Telephone # State License # License Class City Business License # Designer,Name Address City State/Zip Telephone State License # Ed Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: F] I have -and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. [] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 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 OIL f1b �A ­kQRA I heieby affirm that I am exempt from the Contractor's License Law for the following reason: El 1, 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). 0 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). 0 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. E] YES El 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 Ed0LKJPLj,r1jftK1— F( T4,`b?&Y 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 Hazardoijs Substance Account Act? -0 YES [I 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 C3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [] YES El NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (See. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 7' ,.1LllCANT:qEft'EtF 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 permitisnot commenced within 180 days fro k( the date of #ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after -the work is conMjW9SLfaLa-pnd of 164 dais' (Section 1C#.,4.4 Uniform Building Code). I 'J5 APPLICANT'S'SIGNATURE -.11914A�a IJJ DATE WHITE: File YELLOW: Applicant PINK: Finance 09/30/2002 STEVE WICKLUND 13210 FLORENCE SANTA FE SPRINGS CA 90670 Re: Application Date: Plan Check #: Address: Expiration Date: Permit Type: Description: 12/20/2001 CB013899 2555 El Camino Real 12/20/2002 TI Plaza Camino Real JC Penney Replace Steel Platform You applied to have your plans checked on the date noted above. To date, the related building permit has -not. been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the Building Department priorto the plan check expiration date noted above will be destroyed. The provisions of section 204 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and, plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. Project Abandoned - I will pick up plans within 10 days Project Abandoned - Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department C 3- 7 o S e ems- a� aAo k6,116 e� n CB013899 2555 EL CAMINO REAL CBAD PLAZA CAMINO REAL JC PENNY REPLACE STEEL PLATFORM TI COMM Lot#. WICKLUND STEVE BUILDING PLANNING ENGINEERING m FIRE APPR/FORM HEALTH DEPT HAZ MAT / AIR OVAL OTHER SEWER DISTR TO FROM BLDG GRADING LErfeR APPLICANT APPLICANT PLAN CORR ENG CORR 'SCHOOL FORM — —. CFD FORM P E & M WORKSHEET BLDG FEES COMPLETE