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HomeMy WebLinkAbout2570 EL CAMINO REAL; ; 77-2169_MISC; PermitM0DEL NO; . • ,..; .. • j': . BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered soaces only: Phone 729-1181 ; si JOB A;ESS PARCEL NUMBER LEGAL LOT NO. BLK TRACT ., ' / d' IjSEE ATTACHED SHEET) BOOK PAGE PAR. OWNER MAIL ADDRESS ZIP PHONE 2 TT'h. ,SO/2CNg94 4q CONTRACTOR . MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. N W &i'4Z,,,fr f. 7'c:'I I1L2eJ !&' 441 3d/3 it ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE 4 IVI.mm-o' NO. - ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER1 MAIL ADDRESS?' BRANCH /( (/4/ USE OF BUILDING . 7J/f NO. BORMS NO. BATHS — 8 Class of work: Li NEW [/ADDITION Li ALTERATION LI REPAIR Li MOVE LI REMOVE 9 Describe work. 7)7 /yT b7;4# 10 Change of use from Change of. use to / 11 Valuation of work: $ PLAN CHECK FEE $ PERMIT FEE $ CONDITIONS:SPECIAL Type of Const. Occupancy Group MICRO FILM FEE Size of Bldg. /''o. (Total) SQ. Ft. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Lives LiNo APPLICATION ACC7TED)6V. DATE I , r PLANS CHECKED BY APPROV6FÔR,ISSUANCE BY '.' ( OATE IN 0. . . Dwelling Units OFFSTREET PARKING SPACES: No. No. Covered Sq. Ft. Open NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB. .ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. lION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS HEREIN. OR NOT, THE GRANTING OF A PERMIT DOES NOT PROVISIONSOF ANY OTHER STATE OR LOCAL LAW REGULATING Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT. PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE CONSTRUCTION. OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTfORIZEO AGENT (DATE) SIGNATURE _OF-OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION . oc. M. 0. CASH PERMIT VALIDATION CK.. M.O. CASH TOTAL FEES $ INSPECTOR .• . INSPECTION RECORD • DATE. .. - REMARKS INSPECTOR FOUNDATIONS:, SET BACK TRENCH REINFORCING FOUNDATION WALL'& WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL • - --.----.--.- ___'i; NH id ELECTRICAL PERMIT APPLICATION I.. City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. " Phone729-1181 I Permit No..L(LL_" . JOB ADOR ESS 2 5 76 1 LEGAL LOT NO. - - . BLE TRACT (EJSEE ATTACHED SHEET) OWNER ., . MAIL ADDRESS ZIP PHONE 2 47 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. STATE CITY 3 3Q'2-3 ARCHITECT OR DESIGNER MAlI. ADDRESS. PHONE LICENSE NO. 1i'i~ 77c 1e,Yit £ c.4. 7L4/ ENGINEER MAIL ADDRESS PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 57v/Z? 8 Class ofwork: 0 NEW ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: , PERMIT FEES ISSUANCE OF EACH PERMIT No. Each Fee SPECIAL CONDITIONS: NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE SWITCH FUSE OR - BREAKER APPLICAfIONACCEPTEOBY PLANSCUECKEOBY: IOri,R ISSUANCE BY: NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF' INCREASE - NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- REMODEL, ALTERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE TEMP. SERVICE UP TO AND INCLUD- PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •____) TEMP. SERVICE OVER 200 AMP. / 1' PER 100 it 4'SIGNA'TURC OF.CONTRACTOR OR AUTH.GNIZED AGENT (DATE) PERMIT FEE , M1 /1 SIGNATURE _OF_ OWNER _(IF _OW_ER_BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cx. M.O. CASH. INSPECTOR - RECEIVED INTERDEPARTMENTAL INFORMATION SHEET MAR 2 9 1977 BUILDING DEPARTMENT DATE: BUILDING ADDRESS: 7O tCAj.,ti,L CITY OF CARLSBAD k:N LOT S NE. LOT E L OH - cUN S ALLOWEi' —UNITS '.PROVIDlD ' A S REQ PRO VI DED1' \f' / COVERr\G ALLOWED P4 OVIDED ,- IUILDING H GHT AL OWED ' 1~lp 4 FRON ETB AIDE SETBI VI EAR SET ALLOWED BACI PROVIDED kN I T RU S I S LAN E & 1 rw ENVIRONME TAL PROTECTIO .1 DIONAL CO N Mlk T 'Y__________________________________ Y . OK TO ISSUE: DATE / OK ~FINALr / DAT ii.J A.' 1S EER$G DEPARTMENI \\ I' R.O.W., I1DUSTRIAL WASE IMPRO'VEMENTS______ SE. R CONNFC.ON DRVEWAY LOCATIONS, / -'- GRADING PERM I WASEMENTS F '. DRAIN GE4 LEGAL DESC T 1..0 N ADD I ON / COMMENT OK FrPu:-. DA4 FINAL*F" RE DEPARTMENT ca 4s O f 70 C4,. FIR RA E 9/3c /c FIRE ALARMS . EXITS____________________________________ FIRE HYDRANTS LOCATION . ADDITIONAL COMMENTS OK TO ISSUE:C _h4 DATE 'l _3i --7? OK TO FINAL DATE_______ WATER-DEPARTMENT .. REQUIREMENTS OF APPROPRIATE DISTRICTS MET________ DATE MODEL NO BUJLDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete/numbered spaces only. Phone 729-1181 ..PeriTI it No. 7 0 JOB ADDRESS £ C4/flR 'AL 'ASSESSORS PARCEL NUMBER LOT NO BLK TRACT 2 lEsEE ATTACHED SHEET) BOOK PAGE PAR. OWNER MAIL ADDRESS ZIP f PHONE 2 r#i 4L'// 1EV1?dh!,r (..uPJ ..J3 v bt'/z &'%fv ?401 '4 yet CONTRACTOR MAIL ADDRESS 7 6 .& 5L 'I. L' PNO1(E STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAlt. ADDRESS PHONE LICENSE NO. 4/h Al --,,10 . ..$ W,,3QAL '...+. (k. '5 ' - ENGINEER MAIL ADDRESS 5 - PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS 6 BRANCH USE OF BUILDING NO. 8DRMS NO. BATHS - 8 Class of work: (1EW Li ADDITION Li ALTERATION Li REPAIR Li MOVE Li REMOVE 9 Describe work: iP/J4- 1Jt. 10 Change of use from . . . /t.. S ... Change of use to /... "- 11 Valuation of work: $ / p7333PLAN CHECK FEE $ 1.A ' PERMIT FEE $ SPECIAL CONDITIONS: . Type of Con St. •— t) Occupancy Group 2 MICRO FILM FEE** Size of Bldg. 9 (Total) Sq. Ft. . No. of Stories / Max. 0cc. Load APPLICATION ACCEPTED BY. PLA C ECKED BY APPAOV OR ISSUANCE BY DATE ' Zone 77 Fire Fire Use zone/ (I ) Sprinklers Required Lives 1I No. of Dwelling Units 47 OFFSTREET PARKING SPACES No. No. Covered [Sq. Ft. Open NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB. ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT. At FIRE DEPT. I SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. . PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (ATE) SIGNATURE _OP_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. . TOTAL FEES $ INSPECTOR INSPECTION RECORD I7 - DATE -, REMARKS INSPECTOR FOUNDATIONS: •.. SETBACK . . . TRENCH REINFORCING . FOUNDATION WALL & • WEATHER PROOFING • CONCRETE SLAB '. FRAMING INT. LATHINGOR DRYWALL EXT. LATHING MASONRY .. . S.. . - FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 12-2-76 Foundation-Footing and steel okay E. Plude. 12-28-7.6. Roof Nail and Footing-Okay #10 foof sheathing, Okay footings B Guild, south side new soil report-. E. Plude - - v ,. 74 .- p ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008. Applicant to complete numbered spaces only.. Phone 729-1181 t * Pprmit Nn fz j. JOB ADOR (55 . LEGAL 2570 Ri C1no Real F . . . LOT NO. * . BLK - . TRACT - (cJSE ATTACHED SHEET) 1 013CR. . . . - OWNER . - MAIL ADDRESS ZIP PHONE 2 AG611ins Development Co. , .11750 Sorrento fley Rd.., San Diego, Ca.92i21 S CONTRACTOR . 'MAIL ADDRESS • PHONE LICENSE NO. STATE CITY 3 Str.izigr Electric, P. 0. Box 256, La. JoUa, 'Ca. 92138 45365$ 231671 1105.1 ARcIjI1ECT OR DESIGNER . . MAIL ADDRESS. PHONE LICENSE. NO. 4 ' .. . . . . . ENGINEER MAIL,AODRESS PHONE LICENSE NO. 5 . . . ..'. - . . .. .. COMPENSATION INS. CARRIER •, MAIL ADDRESS . . BRANCH 7: 6 Ekiployero -Coercia1 Union,. 2333 Camino Del Rio S., Snite 190, San. Diego, Ca 92i.08 USE OF BUILDING . . .. . 8 Class of work NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work:Electrtml PERMIT FEES - - . ISSUANCE OF EACH PERMIT No. Each Fee SPECIAL CONDITIONS: * 200 . - NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE SWITCH FUSE OR BREAKER . , APPLICATION ACCEPTED BY: PLANSCUECKED BY: APPROVED FOR ISSUANCE BY: 400 25 1 100 00 NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE . . . DATE NOTICE IN MAIN SERVICE, SWITCH, FUSE . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER .. . TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF S - CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- REMODEL, ALTERATION, NO CHANGE MENCED. . IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE TEMP. SERVICE UP TO AND INCLUD- PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 2001. AMP. PER 100 . lvl~ SIGNATURE OFCONTRA0R OR AUTHONIED AGENT )DATE) PERMIT FEE . 102 SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) -- WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS, IS YOUR PERMIT PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION- CK. M.O.CASH S • . .5- . -. • . - . , . * S - INSPECTOR- * • . .. . . * .. . ............ - INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. - 1-21-77 Rough Elec.-Rough Elec. A11Okay. E. Plude. 0 1-24-77 Rough Elec.-Partical conduit in walls only. E. Plude. 13 / - ELECTRICAL PERMIT APPLICATION '. City of CARLSBAD, CALIFORNIA 92008 ' Permit No _________ • Applicant to complete numbered spaces only. Phone 729-1181 .105 ADDRESS 2570 .,Camino • . LOT NO ELK TRACT . • LEGAL (SEE ATCHED SHEET) . ' OWNER - . MAIL ADDRESS ' ZIP' ,,,PNONC -'' ' . 28anta Anita Deve1pment 'Corp. .. -. ;'••,' ......' . ' CONTRACTOR MAIL ADDRESS //209 , lSCOfld,i •.,.:I LICENSE NO 3Berge1ectric C*rporatiox 560 East Valley Parimay 7441003 13212 ARCHITECT'OR DESIGNER ' . ' ' "- '...' .MA-I.L ADDRESS .' -. .,. PHONE'. ', . '. • LICENSE,NO. ' 1660 t1i1shite 6 sso , z blvd. . nii 50i , - . '.. ENGINEER. '. ,. . MAIL ADDRESS •,. ,PHONE ... LICENSE NO.-' 5 ., 'f '' -'i' • ' •••• I,,O4B' ,' .' ' MAIL ADDRESS ' '•'i "' : ' - BRANCH '' . 6 - L c L 14, USE OF BUILDING - . , . •' ,.j ' ." - . , v_' L 7 C 8' Class otwork:4 ' NEW DAbDITIOJDALTERATION ' 0 REPAIR ',-. ' . ' ' '7 'r 9 Describe work 1ectrio work f*r, Golden State Pabrie3 4. PERMI-TFEES No. Each Fee SPECIAL CONDITIQjS: -: • ' . . ' . . ISSUANCE OF EACH PERMIT' I • • . rOO I - NEW CONSTRUCTION, FOR EACH • AMPERES OF MAIN SERVICE, SWITCH, APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVE D,FOR ISSOX 1jCE BY:, FUSE OR BREAKER j2 -'7 NEW SERVICE ON EXIS TING BLDG FOR, EA. AMPERE OF INCREASE - ..-. N,Oi.CE ,.,." . - •. ' ' JNMAIN SEiWICE SWITC.H,F.USE .. . ' ' THIS PERMIT BE N COMES ULL AND VOID IF WORK OR CONSTRUC OR BREAKE . TION AUTHORIZED IS NOT COMMENCED-WITHIN 60 DAYS.':OR.IFt, ..• -t . . #.'-.. •. . •• ______ - -' CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A.#- '4 /• . PERIOD OF 120' bAYS'T AN'f'TIMEAFTER"WORK IS COM R-EMODEL;'ALTERATION NO-CHANGE . - '' ' ' MENCED r IN SERVICE FOR EA AMPERE bF INCREASE I I 1HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. '-- : , '•• ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS . • . ' . Y TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE -AUTHORITY TO VIOLATE OR CANCEL THE . TEMP. SERVICE UP TO AND INCLUD- . PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION J OR THE PERFORMANCE OF CONSTRUCTION. ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 OR ORAUTHORIZED AGENT - MINIMUM PERMIT FEE ,'-. -• .. SIGNATURE OF OWNER (IF OWNER BUILDER) - ' (DATE) - - WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS -YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -- •:Wd ' I • • . - •'*' 'S •' •. - ' - t• \ '''-,: :: :'1 -.................... .'---.-.--'-.•'- ... •. - .' •, , INSPECTOR L. MECHANICAL PERMIT IPPLICATIbNL City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7291.1.8.1. .. Permit NO. JOB ADDRESS 27o LEGSAL LOT NO.. ELK 1 DECR. TRACT ... - -. ATTACHED SHEET) OWNER MAIL ADDRESS - ZIP PHONE 25p$ mg Pwc 3 (44%44o .. CONTRACTOR MAIL ADDRESS k4u , 4 PHONE STATE LIC. NO. ..CJT- Y LIC. NO. 3.9?// ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. L ENGINEER MAIL ADDRESS 5 4.5 PIONE LICENSE NO. - LENDER MAIL ADDRESS 6. BRANCH USE OF BUILDING 7 - 8 Class of work: El NEW D ADDITION D ALTERATION D REPAIR 9 Describe work: Type ofFueI:.? .Oil D Nat. Gas Ii LPG. LI PERMIT FEES -. SPECIAL CONDITIONS: . No. : Type of Equipment Fee Air Cond..Units—H.P. Ea. Refrigeration Units—H.P. Ea. Boilers—H.P. Ea. Gas Fired A.C.-Units—Tonnage Ea. 4- Forced Air Systems—B.T.U. M Ea. ,.S".00 .() On APPLICATION ACCEPTED BY PLANS CHECKED By APPROVED FOR ISSUANCE BY. Gravity Systems—B.T.U. M Ea, Floor Furnaces—B.T.U. M Wall Heater—B.T.U. M NOTICE . . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCE DWITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. . .1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. -ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR. NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATEOR.CANCEL THE CONSTRUCTION OR THE. PERFORMANCE OF CONSTRUCTION. - UnitHe,tersB.T.U. M Evaporative Coolers Clothes Dryers T Ventilation Fan 2.O T4T JO - 0 ange U 00 . . - . Air Handling Unit— C.F.M. - . Incinerator- - - PROVISIONS OF ANY OTHER STATE OR LOCAL4LAW REGULATING - - -. . . . ., . . 3IGI4AT1111E OF CONTRACTOR(OR AUTHORIZED AGENT (DATE) . -• c--.. ISSUANCE FEE $ 3 00 - . TOTAL FEES $ 7 at) 5IGNATURE OF OWNER (IF OWNER BUILDER) 1OATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION . CK. M.O. CASH PERMIT VALIDATION c. M.O. CASH INSPErTOR' '' :E.,4 ;''. ;':'4.,*'' - __"•P r F. Jv - I PLUMBING'PERMITAITLI CATION ' :-T .•: City Of CARLSBAD, CALIFORNIA' ' Applicant to omplete numbered spaces only Permit OT JOB ADDRESS . ,. 4•4 - ' . LOT NO BLE TRACT .. 4. MAIL ADDRESS . . ZIP PHONE 2 C'OCTOR . ADDRESS PHONE " LICENSENO ST E CITY A? 71a 7 ARCHITECT OR1ESIGNER MAIL ADDRESS " PHONE LICEN - ENGINEER . . MAIL ADDRESS - - PHONE LICEN 0. 5 4 COMPENSATION fNS. CARRIER : r MAIL ADDRESS V RAN USE OF BUILDING 7 4.',: 8 Clssofwork NEW El ADDITION El ALTERATION D REPAIR '3 Describe work • :.'. :. PERMIT FEES Type of Fixture orItem . 'Fee • SPECIAL CONDITIONS: . ' . 4 WATER CLOSET (TOILET) - BATHTUB LAVATORY(WASHBASIN) .. "4 .;.. SHOWER - .- ' S ' '' " . '• KITCHEN SINK.& DISP. DISHWASHER APPLICATION ACCEPTE2BY/ ) PLANS CHECKED BY: . APPROVED FOR ISSUAN9 BY. /,.'./.f LAUNDRY TRAY CLOTHES WASHER . / A '.. - DATE . -' WATER4HEATER . - . •• .'. - NOTICE ' .. 1- URINAL' DRINKING FOUNTAIN THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION 'AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF . 0 DRAIN FLOOR--SINK R R IN' - CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SLOP SINK .PERIOD OF 120 DAYS AT-ANY TIME <AFTER WORK IS COM- . MENCED. , '"-, ., . ' - 4' GAS SYSTEMS: NO.' OUTLETS . .90 I HEREBY CERTIFY THAT I. HAVE READ AND EXAMINED THIS WATER PIPING & TREATING EQUIP. APPLICATION AND KNOW THE SAME TO BE. TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR - - TYPE' OF WORK WILL BE COMPLIED WITH WHETHER 'SPECIFIED PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING VACUUM BREAKERS PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL. THE LAWN SPRINKLER SYSTEM CONSTRUCTION OR THE -PERFORMANCE OF CONSTRUCTION. - . 4. 4 •' '• ' . / 'SEWER CESSPOOL' SEPTIC TANK: PIT - ROOF DRAINS SIGNATURE OF CONTRACTOR OR AUTHO/IZED AGENT OAT PERMIT, . ' • - I -- .TOTAL FEE $ -SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEl • WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YQUR PERMIT PLAN CHECK VALIDATION cK.'• M.O.' CASH. 'PERMIT;VALIDATJoN:. c. . M.O.' CASH '-.. -, 4.., ' 4. - _,"•*".. . INSPECTOR - S S INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR 1'• USE SPACE BELOW FOR NOTES, FOLLOW-LP, ETC. 12-10-76 Water and Sewer- Okay E. Plude. 1-26-77Gas Test and Rough Plumb.-Two gas systems Okay Water and sewer Okay E. Plude. 4-18-77 Golden state fabric Underground Plbg. O.K. E. Plude I - - - 5 4' •,-V 4 - - . - * BVU I L D,'I 'N G P.E R MI T . ...PermltVNo: CB920760 08/04/92 13 36 .. Projet No A9201797 Page 1 of 1 Development No Job Address: 2570 EL. CAMINO REAL Permit Type MISCELLANEOUS I 8768 08/04/92 0001 01 02 l Parcel No: • & 'Lot#: 4 CPR1TTr19800 Valuation 8,500 Construction Type NEW Occupancy Group B2 Reference# ., Status ISSUED Description CREAfE ATM-ROOM,Applied NORTHEAST SAVINGS f. Apr/Issue 08/04/92 r Validated By CD Appl/Ownr WAKEN ASSOCIATES 818 574 7430 \ c 150 NO SANTA ANITA 645 ARCADIA; CA 92166' -• V S • •V 5 4 4 V1 4 CONTRACTQR DIVERSICON V VS V• C 0. V :619 1226 3156- V . - S --'V * I • ' -S - POBX 60674 J7* SAN DIEGO CA- ( V ; - V - - - - - - - Fee descript'ion Q,9 ( Ext fed Dat : !E B. 1952 Id op '• -- V4S _____________ J'4 - 1cIEARANCE .- 1. - CITY OF CARLSBAD " 2075 Ls Palmas Dr Car1sbad CA 92009 (619) 438-1 1 161 Vt S. 5- ' - 'SV V 5- V V - . • _ft V V • • ,•4V_ .4 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 : ) 1. PERMIT TYPE A - Li Commercial Li New Building Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other - PLAN CHECK NO.q-?,- - 7 4lo EST. VAL PLAN CK DEPOSIT_______________ VALID. BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY flUUI CO - 071U1113 UL OUItC IMU. Nearest Cross Street fl')Q1'r ,7 Rd CHECK BELOW IF SUBMItTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope DESCRIPTION OF WORK 'o r pefro-is/ SQ. FT. # OF STORIES - J. WN 1AC1 PERSON (ii different from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME 5 7?'Mfle b'2C'm '6:14tI CITY Gi 2' STATECIXT PROPE1r1Y OWNER V NAME I1h4HV CITY -Z&1 '1 STATE ADDRESS od ZIP CODE .1(2 / DAY TELEPHONE (q) ADDRESS ;'4/7% an//7'. ZIP CODE 710t57& DAY TELEPHONE -(714-j) 13 44 qz ADDRESS STATE CA (4 ZIP CODE 9Z16 DAY TELEPHONE 226- 3/56 (iq) 46b 6LICENSE CLASS 5 CITY BUSINESS LIC. # 7 NAME CITY $" P(::c'9: STATE 11C CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS WMPENSATION Workers' Compensation Declaration: I hereby affirm that I 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 of theger thereof filed with the Building Inspection Department fSection 3800, Lab. C). INSURANCE COMPANY (0 &'9/ POLICY NOJ//9 1/04JJf(JN DATE so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE S. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUJTION CONTROL DIS'IlUC]r. ereby affirm that there is a construction lending agency for the performance of the woili for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CER41FICA11ON I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTh CX)STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended eabaned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATUR) DATE: f5/l3'/94 . INSPECTION HISTORY., LISTING.. . FOR PERMIT# CB920760 DATE INSPECTION TYPE INSP. ACT COMMENTS 08/31/92 Final Combo . RI . RI ' MM/TJ/226-3156 V. . V• 08/31/92 Final Contho TP AP 08/28/92 Final Combo TP CO NEED PLANS & -INS P. CARD 08/27/92 Final Combo . . . :: RI RI . MH/TJ . S. . :.. 08/07/92 ..Ftg/Foundatiôn/Piers RI' RI. MH/TJ/226-3156 08/07/92 . Ftg/Foundation/Piers TP .,. WC . V V .08/07/92'. V .Frame/Steel/Bolting/Wei. TP AP.- Interior Lath/Drywall .08/07/92.. TP AP 08/07/92 . Rough Electric .. TP .AP WALLS; . S. HIT <RETURN> TO CONTINUE ECEnJED 4U 3 1992 FINAL BUILDING INSPECTION DEPT BUILDING ENGINEERING F I R ,PLANNING U/M WATER PiANCHECK#:. CB920760 DATE: 08/27/92 PERNiT#:" CB920760 'PERMIT TYPE: .MISC PROJECT NAME:. CREATE ATM ROOM NORTHEAST SAVINGS ;1 , ) ADDRESS $ CONTACT PERSON/PHONE# MH/TJ SEWER DIST: 'WATER DIST: ., • - • - • INSPECTED 'DATE - • BY: INSPECTED: 9/ 'APPROVED DISAPPROVED INSPECTED . DATE * • BY: - •.' -. •. INSPECTED: APPROVER DISAPPROVED -' • - •• INSPECTED DATE BY: INSPECTED..-. - APPROVED DISAPPROVED COMMENTS:• - '- ' • '' • • .-..-'- • *• -. • • - • • ) 'a - - • -• ••••- - I- - : • • - •- - a --i:- - - - 4. -. -• • - I- • • • •- *4 • - - - • -.- -' • • ';_. ::-.' •. '• - •-- • •- -' 41 -- $ / .-'a • - - • a - - .' •'- —.-• -, • • -- a • -'•- ' - - ' -i - -• •. 4. •; - - i - a -. • -'. - • - - -,. - - - - -' • - - --- - -- - a'. • -- -. a- -- - -,-:• - :- - -- 4. • - - a ' -- - . . / - • CITY OF CARLSBAD INSPECTION'.-REQUEST '.. . . .. PERMIT# C-B920760 - FOR O8/31/92 .. INSPECTOR-AREA TP DESCRIPTION: CREATE ATMROOM . - ' : PLANCK#CB920760 . 'NORTHEAST-SAVINGS1 . - OCC-'GRP B2 .TYPE: MISC. . .. . CONSTR. TYPE NEW JOB .ADDRESS: * . 2570 . EL CAMINO REAL' ": :STR: FL: . STE: APPLICANT: WAKEN'ASSOCIATES ., PHONE: 818 -574 7 CONTRACTOR: DIVERSICON. .• . PHONE: 619 226"15 OWNER PHONE REMARKS: 'MH/TJ/226-3156 • . INSPECTOR,'- -. -SPECIAL INSTRUCT PERMIT AND BLUEPRINTS ON FLOOR TOTAL TIME: RELATED; PERMITS-_7 PERMIT# TYPE STATUS CB920356 SIGN ISSUED . .• . S CD LVL DESCRIPTION . ACT COMMENTS 19 ST Final Strübt-ural 29 . PL Final Plumbing . .. _...-- 39 EL Finar 'Electrical 4__5 _.-. _•- _ . 49- .ME Final 5 Mechanical ____•.--- - 5- ***** INSPECTION HISTORY .*****,- ,.DATE DATE DESCRIPTION ACT INSP COMMENTS 080792 Frame/Steel/Bolting/Welding AP' TP 080792 Interior Lath/Drywall' . AP TP, 080792 Rough Electric . - AP TP - WALLS . I y - - - S •.-- -'• . .• -'- S * .5 • - 5 4 - - . S 55• - 1 - - - . - - - . '- 4 I - 5 , 5 _ _ _5 5*• S - .-.-'- *