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Home My WebLink About264 CARLSBAD VILLAGE DR; ; CB950907; PermitBUILDING PERMIT 10/13/95 13 11 To1T Address -%64 CARLSBAD VILLAGE DR Suite: Permtt Ty^e COMMERCIAL TENANT IMPROVEMENT Parcel No: 203-232-16-00 Valuation 27,000 Permit No: CB950907 Project No A9501290 Development No '41<V> 10/13/95 000:1 01 &2 C-F'RHT 338-00 Construction Type- VN Status ISSUED 6 1 9 — 7 2 9—9344 DR CARLSBAD, CA 92008 .-"* Fees Required *** Fees 'Collected & Credits * ** Fees • Adjustments: Total Fees • f rtTot'al'^redi^ts To Fee description ; Building Permit Plan Check Strong Motion Fee; * BUILDING TOTAL ^, Enter "Y" for PI' Each Install/Rep * PLUMBING TOTAL Enter "Y" for Electric Issue, Enter "Y" for Remodel .00 172.00 318 00 Ext fee Data 265.00 172 00 6 00 443.00 20.00 Y 7 00 27 00 10 00 Y 10.00 Y 20 , 00 N SECTION 106.4.4 DATE SlGNATURE FINAVAPPROVAL NSR 2\ DATE _/CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I. PERMIT TYPE From Last 1 (see back) give code of Permit-Type For Residential Projects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL I f-t.OOPLAN CKDEEOSrf_ VALID BY #/r , DATE ~7 IL I Q (—'—"'•-" •-• • ' '/;';'.' ,'•'"'. «,"-A.-^•"••;•", C-PRMT 172-00 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No >£ LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No 'CHECK BELOW IF D 2 Energy Calcs D 2 Structural Gales P 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCE STATE </V Z1PCODE 4 APPIJCANT LJCONTRACTOR DAGENI r-OR CON1KACTOR J5OWNER DAGbNl *OK OWNbK NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name CITY ' STATE ZIP CODE DAY TELEPHONE 7 2- ^ — 6 UUN1KACTOR NAME (last name first) CITY 7?* STATE STATE LIC # f#l>/H* ' "ZIP CODE LICENSE CLASS ADDRESS DAY TFLEPHONE CITY BUSINESS LIC # DESIGNER NAME (last name IirsiJ C—.e . - ^- (Trt f~,(\Jr CITY STATE ZIP CODE ADDRESS DAY TELEPHONE LIC WORKCRS1 CDMPrNSATION Workers Compensalion Declaration I hereby amrm that I have a certificate of consent toselNinsure issued by the Director ot 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 the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certilicate of Exemption I certify that in the performance of the work lor 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 SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner-builder Declaration Thereby dtlirm that 1 am exempt rrom the Contractors License Law tor the following reason I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor 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 apphcfffit to a civil penalrwof notjpore than five hundred dollars [$500]) SIGNATURE DATE COMPLETTTNIS SECTION F6R^yON-RECENT]AL BUILDING PERMITS ONLY ' Is the applicant'or future buildinj^bccupafu required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention (program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES "D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWFJIS ARE YES, A FINAL CERTIFICAl^ OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNI£SS THE APPLICANT HAS MET OR IS MEETING THE REQUTREMUfTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9 CONSTRUCTION IJJTOING AGENCY ^ ^ - I hereby affirm that thereTis a construction lending agency tor the performance ol the work tor which this permit is issued^ (t>ec 3097U) Civil Code) LENDER'S NAME LENDER'S ADDRESS I certily that I have read the application and state that the above inlormation 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 INDEMNITY AND KELP HARMLESS THE CITY OF CARLSBAD AGAINST All. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PFJIMTT OSIIA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones m 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 permius not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedjK^any time after the wor> is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE dV^T*!^ ^, _ -""?"'^ ^e^^ DATE & YEfcLOW: Applicant PINK: Finance DEPT: BUILDING FINAL BUILDING INSPECTION / ENGINEERING «Bi&REffi PLANNING U/M PLAN CHECK#: CB950907 PERMIT#: CB950907 PROJECT NAME: REMODEL KIT,MOVE WALLS,BEAMS, WINDOWS,ADD PATIO AREA,560 SF-HENRY'S ADDRESS: 264 CARLSBAD VILLAGE DR CONTACT PERSON/PHONE*: BJN/729-9244 SEWER DIST: CA WATER DIST: CA WATER DATE: 04/10/96 PERMIT TYPE: CTI INSPECTED BY: ^ INSPECTED BY:' INSPECTED BY: DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS: 02/21/97 INSPECTION HISTORY LISTING FOR PERMITS CB950907 DATE INSPECTION TYPE i 06/13/96 Final Combo 06/12/96 Final Combo 06/12/96 Final Combo 04/12/96 Final Combo 04/12/96 Final Combo 04/10/96 Final Combo 04/10/96 Final Combo 02/22/96 Rough/Ducts/Dampers 02/22/96 Rough/Ducts/Dampers 02/14/96 Frame/Steel/Bolting/Wel 02/14/96 Frame/Steel/Bolting/Wel 02/14/96 Frame/Steel/Bolting/Wel 02/14/96 Gas/Test/Repairs 02/14/96 Rough Electric 02/07/96 Rough/Topout 02/07/96 Rough/Topout 02/07/96 Rough Electric 02/07/96 Rough Electric INSP ACT COMMENTS TP CO T-24 ISSUES (DISSCUSSION) RI RI MW/TORY/720-3737 TP CO T-24 ISSUES RI RI BJN/TORREY/720-3737 TP CO T-24 ISSUES REMAIN RI RI BJN/729-9244 TP CO SEE INSP NOTES/JOB CARD RI RI MW/DANIEL PD CO SHAFT BUILT,DRY WALLED TAPED RI RI MW/729-9244 TP AP 2 WALLS @ KIT RELOCATE TP AP HEADERS OVER EXIST WIND OPNG TP AP RELOC. PART OF GAS LINE TP AP ELEC @ RELOC WALLS RI RI MW/DOMINICK/729-9244 PD CO RI RI MW/DOMINICK/729-9244 PD CO HIT <RETURN> TO CONTINUE... 07/22/96 INSPECTION HISTORY LISTING FOR PERMIT# CB950907 DATE INSPECTION TYPE 06/13/96 Final Combo 06/12/96 Final Combo 06/12/96 Final Combo 04/12/96 Final Combo 04/12/96 Final Combo 04/10/96 Final Combo 04/10/96 Final Combo 02/22/96 Rough/Ducts/Dampers 02/22/96 Rough/Ducts/Dampers 02/14/96 Frame/Steel/Bolting/Wei 02/14/96 Frame/Steel/Bolting/Wei 02/14/96 Frame/Steel/Bolting/Wel 02/14/96 Gas/Test/Repairs 02/14/96 Rough Electric 02/07/96 Rough/Topout 02/07/96 Rough/Topout 02/07/96 Rough Electric 02/07/96 Rough Electric INSP ACT COMMENTS TP CO T-24 ISSUES' (DISSCUSSION) RI RI MW/TORY/720-3737 TP CO T-24 ISSUES RI RI BJN/TORREY/720-3737 TP CO T-24 ISSUES REMAIN RI RI BJN/729-9244 TP CO SEE INSP NOTES/JOB CARD RI RI MW/DANIEL PD CO SHAFT BUILT,DRY WALLED TAPED RI RI MW/729-9244 TP AP 2 WALLS @ KIT RELOCATE TP AP HEADERS OVER EXIST WIND OPNG TP AP RELOC. PART OF GAS LINE TP AP ELEC @ RELOC WALLS RI RI MW/DOMINICK/729-9244 PD CO RI RI MW/DOMINICK/729-9244 PD CO HIT <RETURN> TO CONTINUE... CITY OF CARLSBAD INSPECTION REQUEST PERMIT^ CB950907 FOR DESCRIPTION: REMODEL KIT,MOVE WALLS,BEAMS? WINDOWS,ADD PATIO AREA,560 SF-HENRY'S TYPE: CTI JOB ADDRESS: - 264 CARLSBAD VILLAGE DR APPLICANT: GIOVANNI, DANIEL PHONE: PHONE: PHONE: CONTRACTOR; OWNER: REMARKS: MW/TORY/720-3737 SPECIAL INSTRUCT: CALL PLEASE INSPECTOR AREA PD PLANCK# CB950907 OCC GRP A-3 CONSTR. TYPE VN STE: ,, LOT: 619-729-934 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE STATUS FS960001 FIXSYS ISSUED CD LVL DESCRIPTION 19 29 39 49 ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical tis&wrJ I ***** INSPECTION HISTORY ***** DATE DESCRIPTION 041296 Final Combo 041096 Final Combo 022296 Rough/Ducts/Dampers 021496^ Frame/Steel/Bolting/Welding 021496 Frame/Steel/Bolting/Welding 021496 Gas/Test/Repairs 021496 Rough Electric 020796 Rough/Topout 020796 Rough Electric ACT CO CO CO AP AP AP AP CO CO INSP TP TP PD TP TP TP TP PD PD COMMENTS T-24 ISSUES REMAIN SEE INSP NOTES/JOB CARD SHAFT BUILT,DRY WALLED TAPED 2 WALLS @ KIT RELOCATE HEADERS OVER EXIST WIND OPNG RELOC. PART OF GAS LINE ELEC 6 RELOC WALLS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950907 FOR 02/14/96 DESCRIPTION: REMODEL KIT,MOVE WALLS,BEAMS, WINDOWS,ADD PATIO AREA,560 SF-HENRY'S TYPE: CTI JOB ADDRESS: 264 CARLSBAD VILLAGE DR APPLICANT: GIOVANNI, DANIEL PHONE: PHONE: PHONE: CONTRACTOR: OWNER: REMARKS: MW/729-9244 SPECIAL INSTRUCT: HENRY'S STE: 619-729-934 INSPECTOR AREA PD PLANCK# CB950907 OCC GRP A-3 CONSTfe. TYPE VN LOT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 14 ST Frame/Steel/Bolting/WeldingjiLzi 5V ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 020796 Rough/Topout 020796 Rough Electric ACT INSP CO PD CO PD COMMENTS C S>0lt ( U / ^J .- *» CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950907 FOR 02/07/96 INSPECTOR AREA DESCRIPTION: REMODEL KIT,MOVE WALLS,BEAMS, PLANCK# CB950907 WINDOWS,ADD PATIO AREA,560 SF-HENRY'S OCC GRP A-3 TYPE: CTI -CONSTR. TYPE VN JOB ADDRESS: 264 CARLSBAD VILLAGE DR STE: LOT: APPLICANT: GIOVANNI, DANIEL PHONE: 619-729-9344 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/DOMINICK/729-9244 SPECIAL INSTRUCT: INSPECTO TOTAL TIME: CD LVL DESCRIPTION 24 34 PL Rough/Topout EL Rough Electric ACT COMMENTS DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS NOTICECITY OF CARLSBAD " ™ ^^ " ~ ^^ ^^ 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE C3^ / / vy T!ME \/.D t-LOCATION. PERMIT NO ) PQ A jllA-l^, er-TC*. po ^ 7H FOMNSPECTION CALL 438-3101 RE-INSPECTION FEE DUE-?YES FOR/FURTHER INFORMATION, CONTACT.PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER EsGil Corporation n 3{eview "Engineers DATE February 13, 1996 CkAEHLICANT ^UJR^ Q FIRE JURISDICTION Carlsbad a PLAN REVIEWER Q FILE PLAN CHECK NO 95-907 Rev No. 1 SET I PROJECT ADDRESS' 264 Carlsbad Village Drive PROJECT NAME Remodel for Henry's Restaurant The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the attached list 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted- ^^^ Date contacted (by"-^~* ) Telephone # REMARKS By Abe Doliente Enclosures Esgil Corporation GA G CM G GP D PC 2/12/96 tmsmtidot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619)560-1468 * Fax (619) 560-1576 Carlsbad 95-907 Rev No. 1 February 13, 1996 THE FOLLOWING CORRECTIONS SHOULD BE RESOLVED WITH THE CITY BUILDING OFFICIAL: 1 Plans must be signed by the California licensed architect or engineer Please include the California license number, seal or stamp, date of license expiration and the date the plans are signed Business and Professions Code 2 The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically disabled This will have to be field verified 3 Sheet 7 of the revised plans shows all roof framing/beams and posts to remain undisturbed at remodeled kitchen This will have to be field verified Carlsbad 95-907 Rev No. 1 February 13, 1996 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 95-907 Rev No. 1 PREPARED BY Abe Doliente DATE February 13, 1996 BUILDING ADDRESS 264 Carlsbad Village Drive BUILDING OCCUPANCY A-3 TYPE OF CONSTRUCTION V-N BUILDING PORTION REVISION TO THE Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (sq ft) APPROVED SET OF VALUATION MULTIPLIER PLANS VALUE ($) UBC Building Permit Fee UBC Plan Check Fee Hourly, 1 hour @ 87 15 X 1 25 Comments ESGIL FEE = 0 80 X 108 94 = $ 87 15 $ $ 10894 Sheet 1 of 1 valuefee dot EsGil Corporation 3>rofesswnaCyCan Review 'Engineers DATE October 6, 1995 JURISDICTION Carlsbad PLAN CHECK NO 95-907 SET II PROJECT ADDRESS 264 Carlsbad Village Drive PROJECT NAME Remodel of Henry's Restaurant a APPLICANT ^JURJg> a FIRE Q~pLAN REVIEWER FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the attached sheet 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to • Esgil Corporation staff did not advise the applicant that the plan check has been completed | | Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Date contacted (by ) Telephone # REMARKS By Abe Doliente Esgil Corporation 1 GA n CM r Enclosures PC 9/28/95 9320 Chesapeake Drive, Suite 208 4 San Diego, Cahforma'92123 * (619)560-1468 + Fax (619) 560-1576 THE FOLLbwUQGJOUTSTANDING CORRECTIONS SHOULD BF RESOLVED WITH THE CITY space and new and/or existing facilities serving the remodeled area must be ;sible to and functional for the physically disabled See the attached correction sheet 24, Part 2 width of the required level area on the side into which doors swing shall extend 24 inches past the strike edge for exterior doors and 18 inches past the strike edge for interior doors Also, it must extend 12 inches past the strike edge on the push side if door has latch and closer Provide evidence of Health Department approval for restaurants 9320 Chesapeake Dove, Suite 208 + San Diego, California 92123 4 (619)560-1468 + Fax (619) 560-1576 ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE July 20, 1995 JURISDICTION Carlsbad TTPLAREVIEWER a FILE PLAN CHECK NO 95-907 SET I PROJECT ADDRESS 264 Carlsbad Village Drive PROJECT NAME Remodel of Henry's Restaurant 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 deficiencies identified below 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 I The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck | | The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person B The applicant's copy of the check list has been sent to Daniel Giovanni 264 Carlsbad Village Drive, Carlsbad, CA 92008 I Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Date contacted (by ) Telephone # REMARKS By Abe Doliente Enclosures Esgil Corporation CM PC 7/10/95 trnsmtldot Carlsbad 95-907 July 20, 1995 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO 95-907 OCCUPANCY A-3 TYPE OF CONSTRUCTION V-N ALLOWABLE FLOOR AREA Existing SPRINKLERS? ? REMARKS DATE PLANS RECEIVED BY JURISDICTION DATE INITIAL PLAN REVIEW COMPLETED July 20, 1995 JURISDICTION Carlsbad ACTUAL AREA STORIES 1 HEIGHT OCCUPANT LOAD ? DATE PLANS RECEIVED BY ESGIL CORPORATION 7/10/95 PLAN REVIEWER Abe Doliente FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Code sections cited are based on the 1991 UBC The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 303 (c), 1991 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO 40, TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1991 UBC)tiforw dot Carlsbad 95-907 July 20, 1995 1 Please make all corrections on the original tracings and submit two new sets of prints, to Esgil Corporation, 9320 Chesapeake Drive, Suite #208, San Diego, CA 92123, (619) 560-1468 or to the jurisdiction's building department 2 Plans and calculations shall be signed by the California state licensed engineer or architect where there are structural changes to existing buildings or structural additions Please include the California license number, seal, date of license expiration and date plans are signed Business and Professions Code. 3 UBC Section 304 requires the Building Official to determine the total value of all construction work proposed under this permit The value shall include all finish work, painting, roofing, electrical, plumbing, heating, air conditioning, elevator, fire extinguishing systems and any other permanent equipment Please provide a signed copy of the designer's or contractor's construction cost estimate of all work proposed 4 On the first sheet of the plans indicate Type of construction of the existing building, present and proposed occupancy classifications of the remodel area and the occupant load of the remodel areas and the floor where the tenant improvement is located 5 Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and 1991 UBC, UMC and UPC and 1990 NEC 6 The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically disabled See the attached correction sheet Title 24, Part 2 7 The width of the required level area on the side into which doors swing shall extend 24 inches past the strike edge for exterior doors and 18 inches past the strike edge for interior doors Also, it must extend 12 inches past the strike edge on the push side if door has latch and closer 8 Specify lever-type hardware for passage doors on floors accessible to the disabled Section 2-3304, Title 24 9 Provide an exit analysis plan (may be 8 1/2" x 11" or any convenient size) 10 Exits should have a minimum separation of one-half the maximum overall diagonal dimension of the building or area served Section 3303(c) 11 The maximum number of required exits and their required separation must be maintained until egress is provided from the structure Section 3303(a) Carlsbad 95-907 July 20, 1995 12 Exit signs are required whenever two exits are required Show all required exit sign locations Section 3314 (a) 13 Show that exits are lighted with at least one foot candle at floor level Section 3313(a) 14 Show the locations of existing exits from the building and show the path of travel from the remodel area to the existing exits 15 Note on the plans "All exits are to be openable from inside without the use of a key or special knowledge" In lieu of the above, in a Group B occupancy, you may note "Provide a sign on or near the exit doors reading THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS" This signage is only allowed at the mam exit Section 3304(c) 16 Regardless of occupant load, a floor or landing not more than 1/2 inch below the threshold is required on each side of an exit door used for disabled access (may be 1" maximum where not used for disabled access) Section 3304(i) 17 Provide panic hardware in Group A occupancies Chapter 33 18 Provide evidence of Health Department approval (for restaurants or for tenants using X-ray equipment) • ENERGY 19 For remodels in an existing conditioned space, show that the remodeled space will not use more energy than the existing space or show the remodeled space will conform to latest energy design standards • MISCELLANEOUS 20 Provide the ICBO approval number for the skylight 21 To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i e , plan sheet, note or detail number, calculation page, etc 22 Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located in the plans • Have changes been made to the plans not resulting from this correction list? Please indicate Yes Q No a Carlsbad 95-907 July 20, 1995 23 The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, telephone number of 619/560-1468, to perform the plan review for your project If you have any questions regarding these plan review items, please contact Abe Doliente at Esgil Corporation Thank you DISABLED ACCESS REQUIREMENTS FOR REMODELS' (alterations, structural repairs, additions, tenant improvements and occupancy changes) A GENERAL Full access compliance is required for remodels, including ( 1 The specific area being remodeled, (i e , the "new" work) 2 Existing elements in the path of travel to the remodeled area (a)Parkmg, (b)Walks, (c)Hazards, (d)Curb Ramps, (e) Ramps, (f)Elevators, (g) Stairs 3 Entrance to the remodeled area (a)Entrance doors, (b)Exit doors 4 Existing sanitary facilities serving the remodeled area 5 Existing drinking fountains and telephones serving the remodeled area B REMODELS VALUED LESS THAN S80.7102 When remodels are valued at less than $80,710, the total access compliance may be limited to the specific area being remodeled (i e , "new" work), provided'the following conditions are satisfied 1 The cost to upgrade the existing elements (described in A 2, A 3, A 4 and A 5 above) exceeds 20% of the cost of the proposed project, and 2 The enforcing agency determines that "an unreasonable hardship" exists (see the attached Form HA-1, to be completed by the applicant), and 3 The plans must still show upgrades to the existing elements, but only to the point where the cost to do so will equal 20% of the cost of the proposed project In choosing which elements to upgrade, the following priority list should be used (a) Entrance to the building (b) Route of travel (c) Restrooms (d) Public telephones (e) Drinking fountains (f) Other elements, such as parking, alarms, signage, etc Carlsbad 95-907 July 20, 1995 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 95-907 PREPARED BY Abe Doliente DATE July 20, 1995 BUILDING ADDRESS 264 Carlsbad Village Drive BUILDING OCCUPANCY A-3 TYPE OF CONSTRUCTION V-N BUILDING PORTION Restaurant Remodel Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (sq ft) VALUATION MULTIPLIER per city VALUE ($) 27,000 27,000 Building Permit Fee Plan Check Fee Comments ESGIL FEE = 0 80 X 172 25 = $ 13780 $ 265 00 $ 17200 Sheet 1 of 1 valuefee dot PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) DATE s / TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE OTHER COMPLETE OFFICE BUILDING PLANNER DATE ENGINEER DATE C:\WP51 \FILES\BLDG.FRM Rev 11 /15/90 *Plan Check No. PLANNING CHECKLIST ~ ^7 Address \M r- Planner DAVID RICK Phone 438-1161 ext. U O- V, o (Name) APN: 2.05- 1*1- 10 Type of Project and Use Zone V K _ Facilities Management Zone CFD (i Legend U U U S S i (it property in, complete SPECIAL-TAX CALCULATION WORKSHEET provided by Building Department.) Item Complete Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified D D Environmental Review Required: YES DATE OF COMPLETION: _____^^ NO TYPE Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES ^/ NO TYPE DATE: ___ NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _ California Coastal Commission Permit Required: YES \s NO DATE OF APPROVAL: . San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA- 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D D Inclusionary Housing Fee required. YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Site Plan: D 1- DD nnn Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, nght-of-way width, dimensioned setbacks and existing topographical lines. Provide legal description of property, and assessor's parcel number Zoning: Setbacks: nan nan nan £$}d T Aj^lL^j Front: Int. Side: Street Side: Rear: 2. Lot coverage: 3. Height: 4. Parking: / Additional Comments A K&W^fl ftT^iX)^^ NAwtT*^ ^>o/\^ f IJT~ 3&5 O,t>$t> , jA^N -lV-€L P^f ^ V fe> /A •^ p/*t a v-^, ~ft><^ j fisfh j i a "f- \jt&i \ Required Required Required Required Required Required Spaces Required Guest Spaces Required Ipi»i?*'t -f-6">M ^~ M'-'J'^ b<2_ o ]> •IU4. i'Kpr<iN/<l*i(^'V> i?\K- e*\i( "\ b^_ -proteff^Jl cv$ ^ j^i 1 wSi e ^ 'J/ic/'35'€>f ^ie £>)&»'} Shown Shown- Shown Shown Shown Shown Shown Shown t*W -fcr wr 4JA.W -kf ^0 Htlfl \or ^f cW^^'^iX^'t" pfrAi '€/" cArf'^ vt'*i''i r/ioiti OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE V PLNOCFRM City of Carlsbad Housing & Redevelopment Department September 8, 1995 DANIELVDI GIOVANNI 264 CARLSBAD VILLAGE DRIVE CARLSBAD, CA. 92008 RE: RP 95-04/CDP 95-04 - HENRY'S RESTAURANT PATIO Dear Mr Giovanni Thank you for contacting my office regarding your applications for redevelopment and coastal development permits for a proposed patio extension at the Henry's Restaurant in the Village of Carlsbad Based on our telephone conversation, it is my understanding that you do not wish to pursue expansion of your outdoor patio area at this time and will be submitting a request to withdraw the applications as submitted for review on August 4, 1995 As we discussed, you still, however, intend to renovate the kitchen area, install new windows at the restaurant and build a concrete wall around the existing outdoor patio to replace the existing wooden fence Please mail or personally deliver a letter to my office at 2965 Roosevelt Street, Suite B, Carlsbad, Ca 92008 which indicates your desire to withdraw your applications for redevelopment and coastal development permits and to receive a refund of fees paid to date for submission of those applications Separately, please submit plans to the Building Department at 2075 Las Palmas Drive in Carlsbad to process building permits for the proposed kitchen renovations, new windows and outdoor patio wall These renovations are acceptable to the Carlsbad Redevelopment Agency, no additional redevelopment permits are required However, you must obtain the appropriate building permits before proceeding with the renovation/improvements to the existing building and patio area Thank you for your attention to these matters If you have any additional questions or comments, please contact my office at (619) 434-2935. v\^ Sincerely, DEBBIE FOUNTAIN c Anne Hysong, Planning Mike Shirey, Engmeenn David Rick, Planning Mike Peterson, Building 2965 Roosevelt St , Ste B -Carlsbad, CA 92008-2389 - (619) 434-2810/2811 • FAX (619) 72O-2037 City of Carlsbad 95142 Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report: Monday, August 14.1995 Reviewed by ( K Contact Name Daniel Giovanni Address 264 Carlsbad Village Dr City, State Carlsbad CA 92008 Bldg. Dept. No. 95-907 Planning No. Job Name Henry's Restaurant Job Address 264 Carlsbad Village Ste or Bldg. No 13 Approved - The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Disapproved - Please see the attached report of deficiencies Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1st 2nd 3rd Other Agency ID CFD Job* 95142 Rle# 2560 Orion Way * Carlsbad, California 92008 • (619) 931-2121 City of Carlsbad 95142 Fire Department • Bureau of Prevention General Comments: Date of Report. Wednesday. July 12.1995 'Contact Name Daniel Giovanni Address ' 264 Carlsbad Village Dr City, State Carlsbad CA 92008 Bldg. Dept. No. 95-907 , Planning No Job Name Henry's Restaurant Job Address 264 Carlsbad Village Ste. or Bldg No. Disapproved by C Balch submit three sets of corrected plans to the building department for routing to the appropriate departments 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 T Requirements Category: Building Plan Check 95142 Deficiency Item Pending 27 Occupant Load Signs Any room having an occupant load of 50 or more where fixed seats are not installed, and which is used for classroom, assembly or similar purpose, shall have the capacity of the room posted in a conspicuous place Deficiency'Jlenr Pending 32 Additional Requirements or Comments_ 1 Provide a seating plan for review Deficiency Item- Pending 33 Plan Revisions Please submit 3 sets of .corrected plans directly to the Building Department for routing to the appropriate departments Page 2 07/12/95 J > *) gO^^t?- &*F _-..-., ,., ^<rr_. .„"~•H|^^ Consumer Food Protection Plan Check and Construction Unit PLAN 'CORRECTION SHEET OFFICE USE ONLY Intake Date Act. Code^/X^/ CT7J& City/County Jpode Route Field PC Staff Plan Check #E EST. NAME( * SITE EST. TYPE //As CITY C^x OWNER/BUILDE MAILING ADDRESS CITY ZIP GENERAL CONTRACTOR P/U CONTACT PHONE START DATE ^ PHONE _*_ Mo/Yr PLANS: ( APPROVED*; .rcle One) 'RECHECK FEE REQUIRED: $. PLAN CHECKER Est. Time DATE (Signature) / RECHECK APPOINTMENT DATE :NV. HEALTH OFFICE (S.D.) 1255 Imperial Ave.-3rd Fir. 'an Drego, CA 92186 'S19) 338-2222 DiS:EHS-886 (8/91) \ EAST CO. ENV. HEALTH OFFICE 151 Van Houten Ave. Ste. B El Cajon, CA 92020-4429 (619) 441-6666 SAN MARCOS OFFICE 338 Via Vera Cruz San^Marcos, CA 92069 (619) 471-0730 GARY R STEPHANY DANIEL J AVERA DIRECTOR ASSISTANT DIRECTORDEPARTMENT OF ENVIRONMENTAL HEALTH PO BOX85261. SAN DIEGO,CA 921865261 (619) 338-2222 FAX (619) 338-2377 COMMUNITY FOOD & HOUSING DIVISION 338 VIA VERA CRUZ, ROOM 201 SAN MARCOS, CA 92069-2647 (619) 471-0730 TO: Building Inspection Official Attached is a copy or copies of an application concerning the construction or structural alterations at a health regulated business located in your jurisdiction. We are forwarding this information to you since building inspection permits may be required for this work. If you desire additional information, please call our Plan Check Office at 471-0730 or 338-2222. Sincerely, David Ming, Environmental Health Specialist IV Community Food & Housing Division DM/nlb Attachment "Prevention Comes First" Consumer Food Protection Plan Check and Construction Unit Paid $400.00 Check #756 PLAN CORRECTION SHEET OFFICE USE ONLY Intake Date Act. Code 7 /7 /QA City/County Code ROUte Code CT iRO.nn o? Field PC Staff Plan Check #E EST. NAME SITE ADDRESS 264 H OWNER/BUILDER _ Pan DiGlovanni MAILING ADDRESS SAA GENERAL CONTRACTOR P/U CONTACT Dan DiGlovanni EST. TYPE CITY Cflrlahad ZIP92SOE=2SI5 CITY ZIP PHONE PHONE START DATE Mo/Yr DATEPLANS: -A'PPR0V-EE/DISAPPROVED PLAN CHECKER __ ^ (Circl-e-One-)—^ fl' /I" (Signature)' -» Est • \f * RECHECK FEE REQUIRED: $ /10° Time RECHECK APPOINTMENT DATE ENV. HEALTH OFFICE (S.D.) 1255 Imperial Ave.-3rd Fir. San Diego, CA 92186 (619) 338-2222 EAST CO. ENV. HEALTH OFFICE 151 Van Houten Ave. Ste. B El Cajon, CA 92020-4429 (619) 441-6666 SAN MARCOS OFFICE 338 Via Vera Cruz San Marcos, CA 92069 (619)"471-0730 DHS-.EHS-886 (8/91) Hazardous Materials SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Management Division e«tiTT IP in BIIII Mailing AddrVss ^ y szuj, Site Address Contact Person Telephone City State Zip ' City State Zip Plen File* Plan File* I FIRE DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION OCCUPANCY CLASSIFICATION indicate by circling the item, whether your business wi/i use, process, or store any of the following hazardous materials If any or the items are Circled, applicant must contact the Fire Protection Agency with jurisdiction pnor to plan submmal 1 Explosive or Blasting Agents 4 2 Compressed Gases 5 3 Flammable or Combustible Uquids 6 Flammable Solids Organic Peroxides Oxidizer* 7 Pyrophonc* 10 Cryogenics 8 Unstable Reactive* 1 1 Highly Toxic or TOXIC Materials 9 Water Reactive* 1 2 Radioactive* 1 3 Corrosives 14 Other Health Hazards PART i BOUNTY OF SAN DIEGO HEALTH DEPARTMENT HAZARDOUS MATERIALS MANAGEMENT DIVISION CONTINGENCY PLAN REVIEW if the answer to any of the questions i* yes, applicant must contact the County of San Diego Hazardous Materials Management Division, 1 255 Imperial Avenue, 3rd Floor, San Diego, CA 92186-5261 Telephone (619) 338-2222 pnor to the issuance of a building permit FEES MAY BE REQUIRED Yes No 2 d 3 CU 4 cn ^3 . Is your business listed on in* ravers* tide ot this Tonru "^ Will your business dispose of Hazardous Substances or Medical Waste in any amount? 2~v Will your business store or handle Hazardous Substances m quantities equal to or greater than 55 gallon*. 500 pound*, 200 cubic feet or carcinogens/reproductive toxin* in any quantity? ^g. Will your business use an existing or install an underground storage tank? §3 Will your business store or handle Acutely Hazardous Materials? OFFICE USE ONLY | | RMPP Exempt Data Initials f~| RMPP Required Date Initials I""] RMPP Completed Date Initials PART III SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT if the answer to any of the question* i* yes, applicant must contact the Air Pollution Control Oistnct, 9150 Chesapeake Drive, San Diego, CA 92123 Telephone (619) 694-3307 pnor to the issuance of a building permit YES NO 1 I I C^J\Will the intended occupant install or use any of the equipment listed on tha biting of Air Pollution Control District Permit Categories, on the reverse side of this form? 2 I—I £3 (ANSWER ONLY IF QUESTION 1 IS YES ) Will the *ub|*ct facility be located within 1,000 feet of tha outer boundary of e school 1K through 1 2) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education and the current California Private School Directory, compiled in accordance with provision* of Education Code Section 33190? Briefly Name of Owner or Authonzed Agent* Signature of Owner or Autjiojizad Agent: I declare Binder penalty of perjury that to th« best of my knowledge and belief the responses made harem are true and correct Data. Do not wnte belo^wxthis line ^\^ ' — £/^ tV " *£FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY Data EXEMPT FROM PERMIT REQUIREMENT* COUNTY-HMMO APCD APmOVED FOR BUILDING PERMIT SUT NOT OCCUPANCY COUNTY-HMMD APCO APPROVED FOR OCCUPANCY COUNTY-HMMD APCD Health Service* DHS HM-9171 (6/92) County of San Dtef o Department of Health Service* 07/27/95 16 52 7J619 431 1601 CMWD •+-»-» LAS PALM 001/002 " ^ Post-It" brand fax transmrttal memo 7671 f of pages »I/^/^T/ g/ez#jt *"** /£&%&£. /** ~?\f~\ / S* ^~f £tJ'j(-^jff^fetS O— -^ ' ^li Dapt Phone* /^T~-a Fax* ,y/C? fyr^/i&sl// Fax ft<*7^# t/d SY BUSINESS NAME -//^/V 1^^ -^L/1 SITE ADDRESS ^ V ^A&^S/^A f^ CONTACT PERSON (at business) PHONE NUMBER ~7^-7- ?-*• <^f "^^ — _^^.,^____^ „._„,, __^ — . .. — Type of Business (check all that apply) D Agricultural D Govemme D Assembly D Laboratory L Automotive - Laundry Q Chemical Handling D Manufactu D Electronics Medical E&Food D Metal Wori D Office DESCRIBE WASTE OTHER THAN DOMESTIC (Cher DESCRIBE BUSINESS ACTIVITY: &CS ^ , W*k. " * ' '= ^'^ - .Wl5 FiO>> ' -^ f -.- • -I,-- t. , -. '• •" SE No - f ' "•••' 5 : APPLNO. ,' >r ^ , . (ND. CtAS^S^^<^^ f &f£J~A&jsr~ pA* nt Q Photo Lab D Retail D Service Station ring D Warehouse D Other < meals. Particulates. etc.l G-Faajf* f*»b7£^K GENERAL DESCRIPTION OF ONSlTE WASTEWATER PROCESSING- (chemical & physical character istlcs)_ Is business presently In operation at site?J0 YES D NO Has Wastewater Discharge Permit been applied for through the Encina Water Authority? D YES D NO Applicant's Name fattf&£ is tifffitftsAfrsff r Title OMsrt£fe Phone 75?*— ^-2-A^ _ Please Print " Aqencv- Siqnature: ^V— rp^^S^^x ^/^^/^ Sf^&fure of Cfty Rep^a^erffejfre / LT NOT EXEMPT <^7*/r J&&d&& Hate forwarded to Enema Date Date y/// 9r_ ( f '*^^i2^-<?g^ •tv. z/io/yz City of Carlsbad v ^^^m^^MP^^BHWH^H^HM^^HMHMHBuilding Department APPLICATION FOR UNREASONABLE HARDSHIP EXCEPTION TO STATE OF CALIFORNIA DIABLED ACCESS REQUIREMENTS ( EXISTING BUILDINGS , CHAPTER 31, DIVISION III, Sec 3U2A (a) exc 1 ) When existing buildings arc remodeled and, when the valuation of the modifications is less than approximately 80,000 dollars, the California State Building Code allows relief from some accessibility requirements when the cost of compliance with those regulations is disproportionate Dtsporpomonate cost is defined as when the cost of all compliance requirements except mandatory measures exceeds 20% of the cost of the project. Where the cost of alterations necessary to fully comply is disproportionate, access shall be provided to the extent that it can without incurring disproportionate costs In other words, accessible elements must be provided or upgraded to a maximum cost of 20% of the project valuation. Priority for providing access should be given in the following order- A Ad accessible entrance, B An accessible route to the altered area, C. At least one accessible restroom for each sex, D Accessible telephones, E Accessible drinking fountains, and F When possible, additional accessible elements such as parking storage and alarms. NOTE SEE CHAPTER 31, DIVISION III, CALIFORNIA BUILDING CODE FOR MANDATORY REQUIREMENTS AND THE COMPLETE TEXT OF THE REGULATIONS FOR ACCESS COMPLIANCE IN EXISTING BUILDINGS DOCUMENTATION OF UNREASONABLE HARDSHIP: PLEASE PRINT Project Address: Proposed Use: Owner: \li\UmiV Plan Check #:S& Telephone: k> \c(\ Appiicant:Telephone: Signature: Please print Name 2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 * (619) 438-1161 • FAX (619) 438-0894 WORKSHEET FOR DISPQRPORTIONATE COSTS i PROJECT VALUATION 2 VALUATION OF OTHER AREAS WITH SAME PATH OF TRAVEL (Total valuation dating back to January 26, 1992) 3 TOTAL OF LINE I & 2 IF LINE 3 EXCEEDS THRESHOLD AMOUNTf $79,500 ), FULL COMPLIANCE IS REQUIRED IF LINE THREE IS LESS THAN THRESHOLD AMOUNT, COMPLETE WORKSHEET. 4 ESTIMATED COST OF UPGRADING ENTIRE PATH OF TRAVEL 5 PROPORTIONATE COMPLIANCE COST (Divide line 4 by line 3) 6 ENTER TWENTY PERCENT OF PROJECT VALUATION 7 MINIMUM COMPLIANCE COST OBLIGATION (Lesser of lines 5&6) INDICATE BELOW HOW COST OF COMPLIANCE OBLIGATION WILL BE SPENT ITEM ESTIMATED COST ^ 00 ("Z-) ^ r ICO OO 450 / \V ^ ( U- )2.OO Do -2-C70 oj SIGNATURE OF APPROVING AUTHORITY TITLE: PLEASE ATTACH THIS DOCUMENT TO THE APPROVED PLANS FOR THE USE OF THE BUILDING INSPECTOR AND THE CONTRACTOR. THANK YOU -r^-v*. City of Carlsbad —"—^f ^^P*^^^^^MMB^BMBJ^BMf*^^^M^BJ^B^^^^^aj»i^^lMCommunity Development FAX TRANS MITJLAL SPEOAL INSTRUCTIONS: NUMBER OF PAGES BEING TRANSMITTED: w - ( TIME SENT. Cf lO() /° Al (INCLUDING FAX TRANSMTTTAL) /f-7* /" ' 1 \A£JjLn~£ COMPANY- £~^ ^ / ^DEPT: fiu*LQlh& PHONE #: t*AA n6! , - ^ • "" f •™™ r'o f -•-- •* - /^-. _ - "•- PHONE #: (619) 438-1161 ext. ^JC?^ ShQ^) ^ L FAX #: (619 438-0894 -7 - •=4- £ ^ fh y.u0^ / /^^^./^l^U^, -^-/^W^a ^v< City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner An 'owner-builder' building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)u I (have/have not) proposed work. signed an application for a building permit for the I have contracted with the following person (firm) to provide the proposed construction Name ~T ft D Address Phone City Contractors License No I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and providexthe major work Name - Address Phone City Contractors License No I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated* Name Address Phone Type of Work Signed Property Owner Date z/ 2O75 Las Palmas Drive •Carlsbad, California 92OO9-1576 •(619) 438-1 161 ^