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2555 EL CAMINO REAL; ; CB132704; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-31-2013 Permit No: CB132704 Building Inspection Request Line (760) 602-2725 Job Address: 2555 EL CAMINO REAL CBAD Permit Type: PME Status: ISSUED Parcel No: 1563021000 Lot#: 0 Applied: 10/31/2013 Entered By: SKS Reference #: Plan Approved: 10/31/2013 PC #: Issued: 10/31/2013 Inspect Area: Project Title: J C PENNY - REPLACE SEISMIC WIRES ABOVE CEILING TILES TO REPLACE OLD TRACK LIGHTING WITH NEW TRACK FIXTURES - 2ND FL HAGGAR/DOCKERS AREA Applicant: Owner: CELCO CONSTRUCTION J C PENNEY PROPERTIES INC M/S 1106 1802 POTRERO AVE 6501 LEGACY DR SOUTH EL MONTE CA 91733-3023 PLANO TX 75024 626-483-8325 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $158.00 Total Payments To Date Iti $0.00 $158.00 $0.00 $0.00 $158.00 $158.00 Balance Due: $0.00 FINAL /P� f �L /� Date: �Q! Clearance: NOTICE: Please take NICE f (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 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 A + Af THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: ©PLANNING (IENGINEERING OBUILDING ❑FIRE ®HEALTH ❑HAZMAT/APCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBADemail: building@carlsbadca.gov1. www.carisbadca.gov Plan Check No. (� Est. Value Plan Ck. Deposit Date OMM0APN SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # - LOT # PHASE # # OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of AffectedArea(s) /j ��� / , 4Cr`l �, ,y0 10 !I fIw Qef old frG `l g % f EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES❑#, NO❑- JAIRCONDITIONING YES ❑NO FIRE SPRINKLERS YES[] NO[] APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME � e (Co 0b/&J 7 r Uch eig-, ADDRESS ADDRESS l % �4 �67r1tJ-v CITY STATE ZIP CITY STATE ZIP s . e:4 . C19-- 9 PHONE FAX PHONE /! 5, C � — a o EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE �rLIC..## CLASS CITY BUS. LIC�# /Y (Sec; 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or reppair 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 �Chappter 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 031.5 by any applicant for a permit subjects the applicant to a nivil nenalty of not mnra than five hundred dollars (15001). Workers' Compensation Declaration: Thereby affirm underpenalty ofpedury one ofthe following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation as provided by.Section 3700 of the Labor Code, for the performance of the work forwhich this permit is issued. ❑ I have and will maintain workers' compensation, asrequiredby Se 'on 3700 of the Labor Code, for the performance of the work for which this permit is' ued. My workers' compensation insurance carrier and policy number are: Insurance Co. f�%/� 12P Sy NGt 7 �d A101- !?3 Policy No. %6 d �a �d / Expiration Date f ry Thi 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 j"rovided for in Section 3706 of the Labor code, interest and attorney's fees. .ES CONTRACTOR SIGNATURE /I/ AGENT DATE-- 1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason: I, as owner of the.property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building of improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). ❑ I am exempt under Section - - Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑Yes [:]No 2.1(have / have not) signed an application for a building permit for the proposed work. 3;1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 / address I phone I type of work): A5PROPERTY OWNER SIGNATURE DATE ,ter .. "a+v': b.>..; �, #•` r�. , , 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 orfuture 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 .y I certifythatI have read Me application and state thatthe above infomration IscorrectandthattheInformation on the plans isaccurate. I agree to complywith all City ordinances and State laws relating to building construction. 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 forexcavations over 60' deep and demolition orconstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions ofthis Cade shall expire by limitation and become null and void Ithe 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). AtSAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. R Fax (760) 602-8560, Email building 0acarlsbadca.goV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS . BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP _ Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (on Pg.1) ASSOCIATED CEI _ 'MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: - _ CHANGE OF USE/ NO CONSTRUCTION A!iAPPLICANT'S SIGNATURE "_ DATE Inspection List Permit#: CB132704 Type: PME J C PENNY - REPLACE SEISMIC WIRES ABOVE CEILING TILES TO REPLA Date Inspection Item 01/16/2014 39 Final Electrical 01/16/2014 39 Final Electrical Inspector Act Comments RI PM PY AP Friday, January 17, 2014 Page 1 of 1 Existing damaged fixtures: HAGGARMOCKERS SCOPE OF WORK �51 HAGGAR LIGHTING PLAN SCALE: t/a• = r-o• SYMBOL TYPE REM I VOLTAGE WIMS FIXTURE UESCRpIIOtI EM6 FIAtCTMtN MIOIAim L MP TYPE m N _ REMIYtKS 014 165014 12O -_ 70 LIGHT BAR TART 4 WX F4-ACCENT SURFACE 015PMM/SG/M/WSP12 tEDWAR38/OM/B70/FU0 7M 70207 3 1 3 SPOTS 78008. 1 FLOOD 7M 1 AS NDICA M WITH r ON PLM SYM�01 : TYKNUMO REM VOLTAGEVATjS. FIXTURE DESCIR+TIai flIS.FlNlCIION MgIRtTMiG Y Uii�IYPE _ :, ::' Rf�IARIIS,. r u Ott 165014 : 120 ..70 IJCHT BAR 1AIH 4 HEADS '. F4-AIxCNt . SURFACE, LFDiVMI/9G/870/M15P12 l ED20PAIMIMM/830/FL40 :' 78006 ..': : 7U1207 : .'.3 T 3 SPOTS 7800% 1 FLOOD 7007 AS NDMiUEO- MATH 'F' ON PLAN IRV. `po::9$m_.. i � � • i • ..I {: ,_.��-- -.. � ..i..-1. __-._i.._-.._.1_....::�?:`—�•:•.•r'—ric:'_!i".e.?;e�z�,..-,::'x'""z."..... �i- I i I ! , , A 1 IDOC OOCri 4 i —114zi- 3 _ , — 5. i 1 •`lZD6 "�' 3�534 - +. in -.. , z. _ ,p i ; T i { , 1 e ' } i PD-- 1942 KEY NOTES Oi PROMOE (3 OCTAGONAL J-80xE5 MJ CE�NIG FOR (3) 14W lKf1IS. COtNLECT TO 12OV CRCIAT CONIROL O ON TIE ACCENT Low FUNCTMRt. COMM E)GCT MIOUIMMO REOUREMENIs WITH FMM MSTAUATION NISTRUCIION4. PROVIDE ADDRIONN. MOUNTING OR SlA'PORT HARDWARE AS NEEDED. RECEIVED To rep ace w1t . _ OCT 3 L 2u la 2 LIGHTING SCHEDULE AND ELECTRICAL NOTES SCALE: N/A CITY OF CARLSgAb BUILDING DIVISi N f l )JECT HISTORY DATE UPDATE TYPE 1.00-13 MASTERPLAN i•13.13 NOCHANGE F-M13 2013 0CT SHOPS