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HomeMy WebLinkAbout2725 STATE ST; MULTI-PERMIT FILE; CB994361; Permit.. , , o~'-f ~1 11/23/1999 City of Carlsbad Miscellaneous Permit Permit No:CB994361 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2725 STATE ST CBAD MISC 2030540300 $2,496.00 Subtype: REROOF Lot#: 0 Project Title: REROOF-2400 SF-METAL UL 166 Applicant: AGI-MEGA PO BOX538 OCEANSIDE CA 92049 760-439-4676 Total Fees: Miscelaneous Fee #1 Miscelaneous Fee #2 inspecto~ FINAL APPROVAL Date: {L-2 :B . 6497 11/23/99 0001 01 02 Status: ISSUED C-PRMT B? .OO Applied: 11/23/1999 Entered By: JM Plan Approved: 11/23/1999 Issued: 11/23/1999 Inspect Area: $87.00 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 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 .. _ PERMIT -APPLICATION 'FOR OFFICE USE ONfn {/.? ! PLAN CHECK NO. Q T )~/_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL _________ _ Plan Ck. Oeposit-:t::,_-u---------,-- Validated By \JIA'\_. 7L 72 [ Date · f/4YI~ ~ 1. , ,t-P.ROJECT'INF.ORMA'nor.:. ·:-.· '.-. ,_-_ .. ·, ·_=-·.i ::-~'- --:.,_ ~---i1,~ $rAr~ .sr Address (include Bldg/Suite #) Business Name (at this address) /II /14- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total iotunits Assessor's Parcel # °A.E. R.oo r- Avco /ll!PA111. Existing Use '2foo I , Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# :j; --'. : A.PPLicANT ·. : tB'tont_ractQr,:· -,:.IJ-:Ageiit~t9i-:{c_i;~C!ot1'_-]'.::r~W:n~f:]TIJ~~:tor-?6wner::_ ,. '" . ·" 1/61 -MF6,4 ~(j, (Jg1-$J'i:.., OC<ritW~ t?<f' Name Address City State/Zip Telephone# '4, · ... PROPERTY'OWNER :: · /)(J() ft hltf fl. 71 .,./ Name Address City State/Zip Telephone# 1i: :-,:CONTRACTOR;·;,COMPANV'NAME.-}','.:<:,</:c,,._;:-i:c''.'"·,~~: (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, !!lso 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 an_y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ~~(..,~: _ PD, oy S ts o ,.."°"'.s r CA-C,,U:> ';/-fd:,-t -<..; Name Address City State/Zip State License # ~~ T e '3 <°;) License Class __ 13,... _______ _ Designer Name Address City State/Zip State License # , :-· ·t • • -;-'h·...;'--,.._ __ _ -6 •. -WORKERS' COMPENSATION . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 se·ction -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: · . tnsurance Company :ffAtlE "Put,1 ') Policy No. fi./_1-9/e(I) <j Expiration Date 7' · / -fOC:O . (THIS SECTION.NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l,$1001 OR LESS) D 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 ae ure-ers' compen1ation coveraga i1 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 0 in ad ion to the coat cit compensation, damages.as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . DATE t 1/15('k( -7. OWNER·lllflWl:IUH::C.LAlhllo!I.ON . . . · ----.. I hereby·affirm that I am exempt from the Contractor's License Law for the following reason: D 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 !!PPIY 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). • D 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). 0 I 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3·, I have contracted with the following person (firmi to provide the proposed construction (include name / address / phone number / contractors license number): 4. I 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. I 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 ________ _ 'COMPLETETHIS:SECTION•FOR'-NON-RESIDEN11AL'BUILDINB·:P.ERM1TS·.ONLY; : , , -a·. Is the applicant or future building occupant required to submit a business -plan, acutely hazardous materials registration for'!)--'lr risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TannerHazardous·Substance Account Act7 0 YES iB" NO Is the applicant or future building occupant required to obtain a permit -from the air pollution control district or air quality management district? 0 YES ~O Is the facility-to be constructed within 1,000 feet of the outer boundary of a school site? D YES IE(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. ;s. :_ .-:¢ONS1'.RUCTION LENDING-~GENCr-:.>:::. f._--:: .. , . ·. ·-::r ,',,,,:: , .... ' > • ' ., ... I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _A/=-=O'-'-~a....:,E'----------- :9;-.. ,,-APPi:.ICANl':CERTIFICATiOiiJ'·;:.~·-: :·:.'~'.-'-,J,:~,:~· . , .... <-: 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 Citt 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 Build' 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 n need hin 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad lnspec~ion Request For: 12/2/1999 Permit# CB994361 Title: REROOF~ 2400 SF-METAL UL 166 Description: Type:MISC Sub Type: REROOF Job Address: 2725 STATE ST Suite: Lot 0 Location~ APPLICANT AGI-MEGA Owner: MARTIN DORIN K&BILLIE REVOCABLE Remarks: Total Time: CD Description Act Comments 15 Roof /Reroof .A-P Inspector Assignment: ~ Phone: 7604394676 Inspector: -~ ' Requested By: PAUL Entered By: BARBARA 19 Final Structural !Le_ ________ _ --'--~--!------- Associated PCRs Inspection History Date Description Act lnsp Comments r .to . " City Of Carlsbad SUP.PLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: '2.-:f,ZS'" s.rA1E S»T 2. TYPE OF BUILDING: RESIDENTIAL. ____ COMMERCIAL_...---_---=- 3. ROOF SLOPE: RISE j inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 3 5. TYPE OF EXISTING ROOF COVERING.n1U4'-SHEATHING Norvc *6. NEW ROOF MATERIAL.m'i!rNL--CLASS q>' WEIGHT PER SQUARE 7. NUMBER OF SQUARES ____ 'Z_C:( __ __ 8. TRADE NAME !F/11u/h -~R,r; ·. MANUFACTURER (}t'EIRoy b?<ffltL. 9. ROOF SYSTEM LISTING UL N~/~. llJF. ICBO No. ____ ---=- 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO All roof coverings ate 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 new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature~ Date 11 /, 'f/97 Contractor_~ __ Owner _______ Contractor Name ACot-h1~6A- *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. From: To: Date: SuJ)ject: Craig Ruiz Mike Peterson ·, ·. 11 /23/99 9:42AM Oragmaster I spoke with Paul Kynell from AGI about re-doing the roof for Dragmasters -2725 State Street. He explained that the work was to replace the existing ·roof with "like for like." That is OK with me, no redevelopment permit is needed, it i$ OK to issue him a building permit. CC: Lori Rosenstein /f.v/ ' , BU I-L DING P E :R M. I T · Permit No: CB980701. 03/06/98 09:3-2 ·page 1 of 1 ,Job. Addre.ss: 2725 STATE S'l' Permit Type: SIGN .Parcel No: 203-054-:-03-00 Valuation: 1,625 Occupancy Group: DesGription: INSTALL WOOD : DRAGMASTER Suite~ Lot#: :Reference#: SIGN-FRONT WA,I_,L,... 760 CITY OF CARl.:SBAD Project No: A9800911 Development No: Conmf'Wtoi9eb ?iKMed1 N1!. s-'t ~R1 IS.:, UJ:,:.~. {)O Applied: 03/06/98 Apr/Issue: 03/06/98 Entered By: RMA 434-3193 2075 Las Palnias Dr., Carlsbad, CA .92009 (619) 438-1161 FOR OFFICE USE ONLY PERNP-.J1 APP,llCA TION .... .' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palm~s Dr., Carlsbad CA ·92009 (760) 438-1161 PLAN CHECK NO. q<;r{J ]0( EST. VAL. /t &~ - Plan Ck. Deposit---....,,,,,------ Validated By 1 , T :/lfi:::. Date 3 / (& {¢f 1. PROjECT INFORMATION 2 2-::?:L 5'7¢ 1? Address (include Bldg/Suite II Legal Description Lot No. Subdivis)on Name/Numbtir Unit No. Phase No. Total II of units Proposed Use lo Stories I of Bedrooms II of Bathrooms Address City Stita/Zip Telephone II Fax II ·o;.?gY~1on;~-~-6~~-CJ'.Ag92l;~¾t:ef"·---~-:-9; ~~f: · · · Nanie · Addre.ss City State/Zip Telephone# ·4. · '·PROPERTY'OWNER Name Address· City Stite/Zip Telephone# ·S. "·t:ONTRACTOR ~ COMPANY NAMe·· .. -.... ·~·.--.--· -·:c,----·c,.·_-·-7--·':'.":'~, ~~"':'7~":"..':.: "'. S"!'"'.:·::-:==~"'."'""::-:-:~-7'"""'>c;·:'?'' :.':;~--,-~---: . (Sec. 7031.5 Businass and Professions Code: Any City or Cou11tv 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, comm~nding with Section 7000 of DivJsion 3 i>f the Business and· Professions Code) or that he is exempt therefrom, and the basis for the allegad exemption. Anv·violation of'Section 7031.5 by any appticent for I·permit subjects the applicant to I civil penalty of not more then five hundred dollars (95001). Name Address City State/Zip Telephone I State .License I _____________ _ License Cl11s _'----------City Busineu License, _______ _ Designer Name Address City State/Zip Telephone State Lic'ense II --------,..,...----- 6. · 'WORKERS~COMPENSATION , -. : .. _ .. ' ··. ;-.~, :· .. ·,,~~:?""'· ~ ·~.:·.,··:~ \,-r ·. . . , Workers' Compensation Declaration: I hereby affirm.under penalty of perjury-one of the following decl1rItions: O l,have and will maintain a certificate of consant to-self-Insure for workers' compensation lis provided by Section 3700 of the Labor Code, for the performance of the work·for which this permit is issued. · · 0 I have and will maintain workers' compensation, IS required by S!lction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insuran~e caf!ier end 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) 0 CERTIFICATE OF EXEMPTION: I certify that in the.performance of the work for which this permit is Issue<!, I shell not employ any person in eny manner 10 IS to become subject to the Workers' Compensetion Laws of C11ifomia. WARNING: F1llure to secure w!)fllers' compensation COYllflDII Is unlewful, and ahlll subject an employer to crtminll penaltles end cfvll fines up to one hundred · thousand doilars ($100.0001, In eddltlon to the cost of compensation, damage•• provided for In Section 3706 of the Labor code, lnt-t and attorney's fNI . . {::;~;,;r~--1-t~-~-tD-IER_•_:_e_E,?-eLA.,..m-~-t-f~-o-:-~-he-..,..-,.-c-tor-,~--"".c:;.t,1.."-La.::..·~w--.. t_,_ __ l _,w_i __ ."-::iar"'_ -on-.-.. -.. --.-~-:_--"~;S;iW.<:W" ,,, ' , D i, IS owner of the property or my employees with wages as their sole co nsetion, will do the c::k end the ure Is not Intended or offered for Hie (S,ec. 7044, Businen ind Professions Code: The Contractor's Ucense Law don not apply to en owner of property who Ids or Improves thereon, and who does such work himself or through l'lis own .employees, provided t~uuch improvliments ire notJntended or offered for ute. If, however, the bullding· or Improvement ii s9ld 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 IIle). 0 i, as owner of. the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, 8U1iness end Profe11ions 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 -contrectorlsl licensed . pursuant to the Contr1ctor's-LicenIe Law). 0 · I am exempt under Section ______ BU1inn1 and Profe11ions Code for this reason: 1 . -" personally plan to provide the major labor and mete.rials for -construction of the proposed property im,provement. 0 YES ONO 2. I (have /·nave-not) signed In application for a building permit for the proposed-work .. 3. I have ci:>ntractec! with the following person (firm)· to provide the proposed construction (Include name / eddress / phone number/ contractors license number): 4. l_plan to provide.portions of the work, but I heve hired the following person to-coordinate, superviae end provide the major work (include name/ address/ phone number/ contractors license number): ______________ · -------------'----,--------------------- 5. I will provide some of the work, but I have contracted (hired) the followmsrpersons to provide the work Indicated (include name/ eddresI / phone number/ type of work):_·....;; _____________ ....,. _______________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE __ __, _____ _ . 1COMPt,ETE THIS ·s_ECtiON FOR Ii~~ iUli.biNG 'PEriMiti· ota;f.':'!~r"':f[f '.:~ ~~-~;-i«,::>~'i'"f'~~~f".,":"~~?;":".!'~'7?-':z:-·t•:;• ·· '. ·c ·•• .-· 'T .. ,'~:-,·· :•-s ·: ··:;·~ Is the _applicant o_r future building occupent required to submit a business ·plan, acuteiv hazardous materials regiltratlor! form or rilk rnanegement ind prevention program·under·Sections 25505, 25533 or 25534 of the Prlisley-Tenner Hazerdoils Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain I permit from the air pollution control dilt~ct or air quality management district? O YES O NO Is ttie facility to be.constructed within 1,000 fnt of the.outer boundary of a school site? <O YES O NO IF ANY OF THE ANSWERS.ARE YES, A FINAL CERTIFICATE OF oc·cuPANCY 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. fa,-~ CONSTRUCTION L£NDiNG AGEHCY "W'::·.'~··•·=?7,'""~·-"'-:'';''."';~:-:r::]}?';;~~:":',~"!!'l'-""''-'·:::.-._!''~''"'°"":~;:·~=···:-:---:',-·,.,,~ ... ,..r,· ,, ,,_.' I heretiy ·affirm that there is a construction lending agency for the performance of the-work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME· _______ ......, ...... ____ __, LENDER'S ADDRESS ______________________ _ 19'. . APPLICANT CERTiFICA TioN' :'T,:" •,;·:·=· . ';"' .:~';':;':_:-::·-:-·, -:··"""::--,---:--:s';":;""1.,.,,..,:?:::'.' .... "''""''.··='''~~=,:::,;•::;·,,.' r-·:':"",'7.'.:~~:';~~1-~·:·-:::r;: i'F."''.;'.~l:i'''": · '.,., ........ ' I certify that I have read the 1pplicItion end state that the above Information is-correct and that the Information on the plans is accurate. I agree to comply with 111 City ordinances and State laws relating to building constructiiin, I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property f_or in_sp!9ction purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD· AGAINST -ALL LIABILITIES. JUQGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An. OSRA permit is required for excavations over 5•9• deep ind dilmolitio11 or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by tl;le Building Official under the provisions of this Code shill .expire by limitation end 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 or abandoned at any time after th,.~rf is C9"'J1')ric!d for ~riod _of 1 BO days (Section 1;oe.4.4 Uniform Building Code). · APPLICANT'S $1GNATURE /,lj 1.U/ a,--·".-. DATE 3 '@.,,,90 WHITE: File YELLOW: Applicant . PINK: Finance r CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980701 FOR 03/27/98 DESCRIPTION: INSTALL WOOD SIGN-FRONT WALL- DRAGMASTER TYPE: SIGN STE: INSPECTOR AREA PLANCK# CB980701 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2725 STATE ST APPLICANT: WADE, WAYNE CONTRACTOR: PHONE: 760 434-3193 PHONE: OWNER: REMARKS: C/DRAGMASTER/434-3193 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 38 EL Signs ------------------------ ----------------------------. ------,--------,------ PHONE: INSPECTOR ___ SB_, __ ~_S-__ · ------ ACT COMMENTS J?-___ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT J:NSP COMMENTS B U I L D I N G 10/11/95 11:04 P E R M I T Permit No: CB951440 Project No: A9502104 Development No: Page 1 of 1 Job Address: 2725 STATE ST Permit Type: MISCELLANEOUS Parcel No: 203-054-03-00 Valuation: 0 Suite: Lot#: Occupancy Group: Reference#: Description: INSTALL NEW ROOF STRUCTURE Appl/Ownr: NELSON, JIM 3425 ANN DRIVE CITY OF CARLSBAD 619 4078 10/il/95 0001 01 C-PRMT Construction Type: Status: Applied: Apr/Issue: Entered By: 729-3352 2075 Las Paln:J.as Dr., Carlsbad, CA 92009 (619) 438-1161 VN ISSUED 10/11/95 10/11/95 MDP PERMIT APPUCATION PLAN CHECK NO. f ~,.. City of carlsbad Building Department . 2075 Las Palms Dr., carlsbad, CA 92009 (619) 4315-1161 EST. VAL"----------- t: PERMl't TYPE PLAN CIC DEPOSIT _______ _ VAUD.BY __________ _ DATE From Llst 1 (see back) give code of Permit-Type: ... · __________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure~Type: ,-------------------------- Net Loss/Gain of Dwelling Units _________________ _ 2: PRClJECf INFORMATION FOR OFFICE USE ONLY Address 7?9 Neares~oss Street Bu1idmg or Suite No. mt o. CHECK BEWW IF SOBMlt iEO: CJ 2 Energy C'.alcs C 2 Structural C'.alcs C 2 Soils Report CJ 1 Addressed Envelope ASSESSOR'S PARCEL _ F,XISJJNG USE PROPOSED USE DESCRIPTION OF WORK . SQ.IT. #OFSTORI~ # OF BEDROOMS # OF BATIIROOMS 3. WN LACI PERSON (u different from apphcanQ NAME (last name first) · ADD~SS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUl~lfl C cON IRACIOR 'LI ACEN !FOR CON I RACIOR · CJ OWNER OACEN I FOR OWNER NAME (last name first) ADD~S CITY STATE ZIP CODE DAY TELEPHONE 5. PROP:mt'IY oWNIM. X., 'fz Ir->.J 1/Y J /' ,+,A/, 6 /,1/1 'Ii D N(\.:I ~ 2 ,f;,Z t::; ~/.I j\,i d512.... CM<..(:.; Ii h-1..) .. NAME (last name first) n JrMOt, ( I I{ f/-?V~v c;;.1 vvt{['f<..( 'ADDRESS .7 &?{<( _ CITY Cf\Q..l.}'.;._qJ-\D STATE CA,. ZIP COPE q)..cPd~ DAY TELEPHONE 72£1 -~~ ,f;-2.- 6. WN'l'it\CIOk NAME (last name first) ADDRESS CITY STATE STATE UC.# ZIP CODE LICENSE CLASS DAY TELEPflONE CITY BUSINESS UC. # DESIGNER NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE STATE UC.# 1. WoltkmtS' WMPENSAfioR . Workers' Compensation Dedarat1on: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the Director of Industnal 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 Certificate of Exemption: I ceruly ihat m the performance of the work tor which ih1s permit IS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of C'.alifomia. SIGNATURE DATE A. oWRIM.-BOfiDEll .OF.C!WtA:fioN Owner-Builder Declaration: I hereby affmn ffiaf I am exempt from ffie ConfradoPs license Law for ffie followmg reason: D 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 Pr;ofessions Code: The Contractor's Llcense 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.). Cl 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 Llcense 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). . C] 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 Llcense 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 :coMPLEi'E·nUs s£CnoN 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? C YES Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES CJ NO ls the facility to be consµ-ucted within 1,000 feet of the outer boundary of a school site? C YES CJ NO . IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIF'ICATE OF·ocx::tJPANCY MAY NCYf BE ISSUED AFTER JULY 1, 1989 ~ nm APPUCANT ~ MET OR IS MEKl'ING nm ·REQUIREMENTS OF ntE OFFICE OF EMERGENCY SERVICES-AND nm AIR POLLUTION OONTROL DISllUCT. 9. 00Ns1k0ClioN i..ENDINC AGENCY · I hereby alhrm that there IS a construction lending agency for ihe performance of the work for which thlS permit IS ISSUed (Sec 3097(1) C1V1I Code). LENDER'S NAME LENDER'S ADD~S. 10. APPUCAN I C:£kl1FICXl10N I cerufy that I have ·read the apphcauon and state that the above mformat1on 15 correct 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of C'.arlsbad ~o enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP~ nm CITY OF CARI.SBAD AGAINsr AIL IJABJllTlF.S, JUDGMENTS, CDSfS AND EXPENSE.5 WIIlOI MAY IN ANY WAY Aa:RUE AGAINSf SAID CITY IN CDNSF.QUENCE OF nm GRAN11NG OF nus PERMIT. QSHA: 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 su permit is not com.menced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban o ed at any time er the ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE DATE: Applicant PINK: Finance 0 tllf1SBl9YYQ-IMSPSIZ'I91 OATS / ,L -;L ?'5 -tMIPICTOA __ ~...._ ____ , ____ _ rlMl:T ·t </ S/·~y[} PUHCJC t -----J"OI ADcus, ec zq>s ~- &~g, -~ V---J/?3 TIKI ADIVl: _______ TIXI t.lAVI: ____ _ OUc:2IPrtCII ----J?::2~~ k . . ------------- .. - ·pllliJft · t/.11/19 City of Carlsbad M;Jiiit#iih·l•14·i¥hh,t4,il OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been a·pplied 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. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) "f,Pz? I (have/have not) -----t-(::t--· .... "'-~l\)~!c--....._,--signed an application for a building permit for the p.r.oposed work. 1. have contracted with the following person (firm) to provide the proposed construction: Name _____________________________ _ Address ----------------------City ___________ _ Phone -----'------Contractors License No. ____________ _ 4. I plan to provide portions of the work, but I t:iave hired the following person to coordinate, supervise, and provide the major wo.rk: Name ------------------,------------ Address _______________ City ____________ _ Phone _________ Contractors License No. ____________ _ 5. 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 ~;~~:~v Own•=~= (}_~ 1fr Date: . ~). _ _ !Yt?lh"rhf/<j\ll?~fJ-N ~ Mllf\P-N/'-1 i 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 ~ -. ;i "· 05/15/95 13:04 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB950603 Project No: A9500891 Development No: Job Address: 2725 STATE ST Permit Type: MISCELLANEOUS Parcel No: 203-054-03-00 Valuation: 0 Construction Type: NEW Suite: Lot#: Occupancy Group: Reference#: Status: Description: OVERHEAD TO UNDERGROUND CONVER Applied: : 2725(2), 2739, 2763, 2789-5 BUILDINGS Apr/Issue: Entered By: 619-722-1258 f I FAPPROVAL . j~NSP.f DATE ih/f.s I CLEAR NCE ------1 CiTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ISSUED 05/15/95 05/15/95 RMA PERMIT APPUCATION PLAN CHECK NO. tf SO 6{) 3 City of Carlsbad Building Department 2075 Las Palaas Dr •• carlsbad, CA 92009 (619) ,438-1161 i. PERMIT 'l'YPE From list 1 (see back) give code of Permit-Type: _ _.E-=...;;L;;../::..;;;-_L_ . ....------ For Residential Projects Only: From List 2 (see back) give ~ode of Structure-Type:----------------------- Net Loss/Gain of Dwelling Units __________________ _ 2.. PROJECI' INFORMATION FOR OFFICE USE ONLY /.~4~~273'1~ 2763,;/ 27/'f S~m;;;.~mteNo. \.,2.,[JNear~t Cr~ Street LEGAL DESCRIPTION Lot No. subd1V1s1on Name/Number Omt No. Phase No. cHEtR B£IDW 1F SOBMII I'EO: Cl 2 Energy Cales C 2 Structural Cales . a:2 Soils Report Cl 1 Addres.sed Envelope ASSESSOR'S PARCEL ~STING USE PROPOSED USE DESCRIPTION OF WORK NetJ ti N def'~J.i_ 'S 1)6e_ /.i,( ectlt .l C CbN VcJ/<S' f O I{ S. SQ. Ff. , . # OF STORIES # OF BEDROOMS # OF BATIIROOMS :{. WN IACI PERSON (11 dmerenf from appucanf) NAME (last.name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANf ,t¢oN'IMCluR dAGEN'l'POR CON'l'Mt'IOR DOWNER DAGEN! POR OWNER 1 ,NAM,f:(lastn~mefiq;t) .e· • ADDRESS ,,_·7 So. Ci.ev. el/+•· I s,. v'A-NDGP-. Ll'-IOeA,J ~1ec,;na1,.,c., VV' ..,C\. cirr ~J.Jsik sTATE en zIPcoDE qzo!>-'t DAYTELEPHONE (61qJ 7ZZ·-l2SJ> s. PAoPER'IY oWNM NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. CDNTRACIUR NAME (last name first) VAN D~ L,~ ~tec..nitv ADDRESS /:l)f,)7 So-CLeveL.q'-J.c/.. s;-. CI1YCte/.J-N.Yltle STATE CA ZIP CODE qzoSV DAYTELEPHONE (6{q).,-z.:z.-tz.S8 STATE uc. # d 3ttS03ufENSE cLASs C.!O CI1Y BUSINESS UC. # q ast name 1rst CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. Wo1t.RERS' CDMPENSA1IDN Workers' Compensation Declarauon: I hereby affirm that I have a cernhcate of consent to self-msure issued by the Director of Industnal 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 POUCYNO. 8. oWNM-DOMM DEGLARATION · Owner-BUIider Declaration: I hereby afhrm that I am exempt from the ConfractoPs license Law for the foilowmg reason: Cl 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 Professjons Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does suc;h 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.). Cl 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 Llcense 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 Llcense Law). [J 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 J..'E!nalty of not more than five hundred dollars [$500)). SIGNATURE DATE coMPLEi'E fills SECTION FOR NON-RESIDENTIAL BUILDING PERMtts 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 Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES Cl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school ·site? DYES Cl NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDIPANCY MAY NOf BE~ AFI'ERJULY 1, 1989 UNLF.sS THE APPUCANT ~ MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION OON1ROL DISTIUCT. 9. OONSIRUC'fioN LENDING AGENC;Y . . . I hereby afhrm that there 1s a construction lend mg agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERliFICJrnON 1 certify that I have read the application and state.that the above mformatlon 1s correct. I agree to comply with i,ill City ordmances 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 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARI:SBAD AGAINST All UABILITIES, JUDGMENTS, OOSTS AND EXPENSES WlllCH MAY IN ANY WAY ACXllUE AGAINST SAID criY IN OONSEQUENCE OF TIIE GRANTING OF 1H1S 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 isst1ed 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 co1Timenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned a a y time'!!"~ thenk is c me ed for a period of 180 days (Section 303(d) Uniform Building Code}. APPUCANTS SIGNATURE · , J: ~ ~ DATE: S-/S-,-~ J- WHITE: File YELL ,.._ CITY OF CARLSBAD ,,_. INSPECTION REQUEST PERMIT# CB950603 FOR 06/06/95 DESCRIPTION: OVERHEAD TO UNDERGROUND CONVER 2725 (2), 2739, 2763., 2789 NO FEE 5 BLDGS TYPE: MISC STE: INSPECTOR AREA PY PLANCK# CB950603 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2725 STATE ST APPLICANT: VANDERLINDEN ELECTRIC CONTRACTOR: PHONE: 619-722-1258 'PHONE: OWNER: REMARKS: MW/ED/722-1258 SPECIAL INSTRUCT: PHONE: INSPECTOR --i~tf-.-11------- TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE WDP02132 WOP STATUS ISSUED CD LVL. DESCRIPTION ACT COMMENTS 39 EL Final Electrical ~----__ -_ -_ -_-_ -__ -_ -_ -_-_ -_ -_ -_ -_ -_ -_ -_ -__ -_ -__ -__ -_ -_ --_ ~_ ..... _ -_ -_-_· :, = ----,------------- ----------------------- ***** INSPECTION HISTORY***** DATE 0518·95 051795 DESCRIPTION Underground/Conduit-Wiring Rough Electric ACT INSP PA PD AP PY COMMENTS March 14, 1995 To: Mike Peterson From: Principal Building Inspector Transit Center Undergrounding The electrical contractor for· the undergrounding of the electrical services in the alley adjacent to the transit center will be coming in to get overhead to underground permits. for about four of the businesses affected. Please issue these as no fee permits. Thanks. PAT KELLEY Principal Building Inspector c: Debbie Fountain Cl) z 0 ~ a: C _, ~ Q ~-[ u .. : ·t-z 8 a: Ill Q ::!-:::,,- I IU Z· 3 0 z -~1-,c· Cl) z IU a.. ::E-8 !{I a:-IU ~ c/l~~t APPLICANT TO FILL IN INFORMATION WITHIN.SHAPED AREA AND DECLARATIONS. I . . I USE BALL POINT PEN OrtLY & PRESS HARD ~ I hereby affirm that·I am licensed under ~visions of Chapter 9 (commencing with ·Section 7000) of Division ·3 of the Business and Professions Code, and my license Is In fuli fofiO and effe, !' .3 / : I CARLSB.AD BUILDING DEPARTMENT I ..______ 1200 Elm, Carls~ad, California 92008 (714) 438-5525 APPLICATION & PERMIT j f lie. Noc:if i'-13 Class ~k-=~~6,~_ f l- 1 hereby affirm 'that I am exempt from the:Con-l tracior's License Law for the following reason. (Sec. f 7031 ~ Business and Professions. Code:,Any city or l county which requires a permit to construct ~~~; i6"lrl1~:~:ic'!:0~::~; r~u\~i[h:°~p1l~~\ur;, · 1 such permit to file a signed statement that he is l licensed ~ursuarit to .the provisions of the Con-[ tractor's Lic·ense Law (Chapiei 9.commencing· with Section 7000 of Division 3 of the·Bu~_ine~s and .Pr!)-f 1:-~it?i,, ~~~~~t l~=~~':J~~-tht~1;"~~af;t/)?, l Section·,7031.5 by an applicant-for a permit•sutljects · l . tne applicant to a civil penalty of-not more than five hundred dollars ($500). . l 0 I, as owner _of the property, or my empl0Y'!"S j .,ith wages as their sole compensation, will do the· I ::·~-t~'."~:.U;~~~~?~'eB~~s°t;g~~r~': l Th!! Contra<;tor's License Lav,; does not apply to an I owner of property who builds or improves thereon and who does such worl< himself or through his own I employees. provided that suqh improve~nts are . l not intende1· or offered for sale. II, however, the building or improvement ·is sold within one year of [ completion, the owner-builder will have the burden of proving that pe did not build or improve for the. I purpose.of sale,. _ I a I, as owner of the property, am exclusively I f~t~"::;l~t ~-iti~~u~~~:~t~~~ t~ri~~;'~',;! I Code: The Contractor's License Law does not apply I to an owner of property who butlds or improves thereon; and who.contracts for each projects with a l ccintractOl(s) license pursuant to the Contractor's { License Law). I D I am exempt under Sec. . , B. & P.C. f for this reason~------------I C] I heieby affirm that I have a cert,ficate of consent Jo s~lf-insure, or a certificate, of WOrkE!rs' Compensatjon Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ___________ _ COMPANY 0 Copy is filed with th~ city. 0 Certified copy is hereby furnished. CERTIF.ICATE: OF EXEMPTION FROM -, WORKERS' COMPENSATION. INSURANCE . (Tliis section need not be completed if the.~rmit is for one hundred dolla(s (SlOO)·or tessf V~-ceitify th~t'in the performance of-th~ worl< for A,ch t.hispermit IS issu~d. I-shall not erriploy any ~rson_ m any manner so as to become subJect to thE! Worker$' Compe~sati~n Laws of, Galif6rnia I [ f I l l [ [ r I I l I l l I l [ l JOB AOORESS . · . . . '212.s--' .5·&t.rr:::.·. · <7 A\/. ST.I DATE OF A0 PPL.ICA.hbN . RD.: :1-11 .. 1-2 BUSINESS LICENSE#, VALUATION · PERMIT NUMBER ~4-t~ . . '.~~-- OWNER-;SNAME ~ ~.,,c-1'J1.6!r:.~,. e6:. OWNER'S PHON'E . I ; _3 §_ ~j-f_.i1__ PRIME CONTRACTOR t}/,._v~.lf J_ fl~ C. CONTRACTORSPI-IQNE# : 'ZONE s 7_:s 7;i-~_,,dtf h/ OWNER'S MAILING ADDRESS .,e; 11-. "1-L. :3j;~~;;;;:;H~ ~LO~.el$~4 ~,e;°i? oL; PLAN 1.0. # BLDG USE CODE LOT I BLOCK . I SUBblVISION 7. ASSESSORPARCELNO. DESIGNER rESCRIPTION OF WORK~ a . L .. 1o . _'1-e'(4C(!:,4 SJ,,._/~ . DESIGNER'S ADDRESS; .. £ /I DPl"I _/?;,t:.,r ~ / 7"' o_____if_~r ___ .,f}'r_ ,./,<' CENSUS TRACT rG·P-LAND USE 1PARKING SPACE I RES UNITS r QTY.I . PLUMBING PERMIT· ISSUE ,4: EACH FIXTUflE TRAP .... EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT I I ~ACH GAS SYSTEM 1 TO 4 OUTLETS hH') EACH GAS SYSTEM 5 OR MORE Iii" EACH INSTAI, .• ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING I QTY.I ELECTRICAL PERMIT -ISSUE NEW.CONST EA,AMP/SWT /BKR ,•, II 1 PH 3 PH F/P FLR ELEV. vO NO GRADING J::ERMIT ISSUED 10 N 0 1'REDEVELOPMENT AREA vO_NO QTY. MECHANICAL PERMIT -IS$UE ~N_$_TALL FU.!I_N. DUCTS U_l'TD_ 100,000 BTU OVER 100,000 BTU BQILER/COMPRESSOR UPTO 3 H~ BOILER/CJ)MPRESSOR.3-15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ·TQT/iL MECHANICAL QTY. SOLAR • ISSUE 1, COLLECTORS STORAGE TANKS '> NO 'STORIES TYPE ·CONST ST·A:fE LICENSE# , STANDARD PLAN # BUILDING sQ,'FQOTAGE OESIGNE R'S' Pl-!ON'E OCCGP !OsOO a.cc LOAD EDU I. .1/Hl~Bi§§~q FIRE SPR' · vO NO I riot Valid ll ~s Mac'l_ine C6rtified SUMMARY/ACCOUNT NU~BE-; -. \ BUILDING PERMIT 01-000-4220 ·1 \ SIGN-PERMIT 01 ·000-4221 PLAN CHECK 01-000-4806 TOTAL PLUMBING 01-009·4222 I ELECTRICAL 01-000-4223 MECHANICAL 01-000·4224 MOBILEHOME 01 :000-4225 MOBILEHOME PARK INSP SOLAR 01-000-4226 STRONG MOTIO~ 65-640-0519 FIRE SPRINKLERS 01,000-4227 PUBLIC FACILITIES FEE 25-000-4933. BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad 65-623-0519 L1J1,cJV, Enclni~s-65-624-0519 San Dleguito 65-625-05f9 EXIST B.LDG EA AMP/SWT/BKR --·-·------:;;;;z: I g : .. ··-:_·_..,.. == ==~ :::,: I _ I i PH J t'H REMODEL/ALTER PER CIRCUIT San Mar~os 65-626-0519 TEMP'PO LE 200 AMl!S 7. OVE-R 200 AMPS 7 TE.MP O~C_UP~N_CY (30 DAYSI v -;-::;-;-,;t SOLAR 'NOTICE TO APPLICANT: 11."afier making this Certi· ficiite of E~emption, y9u _should become subject _to theWorl<ers' Compensatmn provisions of the tabor I Code, you. must .-,fort_tiv.cith comply with sugh provismns or th,s permit shall be deemed revoked. l 1, 1-UTA' --· --· .. · · j , W L -,uLnn I· II TOTAL FEES PAYABLE .I J .,._ _<'}') D I herel:)_y affirm that there is a construction lending agency for the per1orrriance of the0work for which this permit' 1s"'1ssued (Sec. 3097, C1v1I-Code). -··---1. ' . ! I HAVE CAREFULLY EXAM THE OOl\1PLETED "APPLICATION ANO·PERMlr" AND DO HEREBY Expi"601'1. Every per_ml~ I~ bythe8uHdingOffici*l underthepr~vi~ooao(.thi& * AN OSHA PERMIT IS REQUNO fOl\'ElCCAVATIONS OVER J CERTIFY UNDER ·PEN Y OF: RJURY rHAT ALL INFORMATION HEREON INCLUDING THE CQde thall expl,.. by hm,itation and beoome 01!11 811d v,old, If 1he building or work ·S' O" DEEP AND oa.t0l.iTlc)N OR CONSTRUCllON Of' \ DECLARATIONS ARE----"""D' CORRECT "ND I FURTHER CERTIFY ANO AGREE IF A PERulT IS aulh~ by •uch permit ls not commenced wilhln 180 days fr~m the date of such ·,s.,._-;,,__, ""'ER 3·ST,__.,., IN HEIGHT -· . -" . ..,. permit. or if -the bUildll'III or .work authorized by st«:h pem11t is S1,1Spended or '....., !.....,."' v• "'"- I .!!! u: ~ ;~ 0 C. E {!!. I -c 0 c:, 'E al Q ~ I .:.:: C, a: 0 rn rn Q) rn rn .c,:: I :ii: .Q a3 >- II) rn Q) 0 e a. al -al 0- §: Q) 0 C al C u: :c.. I C Q) ~ c:, 0 -0 Q) C. rn ..!: Q) -:c: ~[' ,z w. . _, ! l~UE'D: TO COMPLY Wt=rli ALL CITY, ·COUNTY AND STATE LAWS GOVERNING BUILDING CON-1...:abal:,::"ldol:::::,::led:!.!!at!.,:an::.iz~tl!!!me~after~~the~!!w2ortc~is~co~m~men~~ced~f,2ot!.2a!.1!!· !!irlod!!!!!.,2of!..1!.Z!-.li!llt!h...• .....,,..,,..------.--'!"'"---------------~ STROCTION, WHErHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO'SAVE INDEMNIFY ANO · , , , . -'rd · ---------·--! KEEP HARMLEss· THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl,IDGMEN~. COSTS AND APPt.37 s SIGNATURE~ 01/YNERD CONTI'IACTOR ~ l ~~~~~~~ ~~~~~ M~~:T~~y WAY ACCRUE AGAINST .SAID CITY tN CONSEQUENCE OF THE ,.-<JI~~ ---~~ , · BY PHONE o ~-----· ---------.. -··-·····'·'· -.. ~ . .. • • _'("..'____c ,Lender's.Name_· ___________ _ tender's ~ddress ___________ _ -~~,~ .,, ,, ~ &com ~;:: . I / .. 11~-. , , ________ _ ' . j I · JNSPECTION TYPE . DATE INSPECTOR , ' !,, ' BUILDING r· < .. ' FOUNDATION l FIELD INSPECTION RECOR.D I REINFORCED STEEL I -RE;:OUIRED SPECIAL INSPECTIONS .' MASONRY I r GUNITE OR GROUT i ' FLOOR & CEIUNG SUB FRAME I .~ SH EA l'l·H NG _ 1 ' 1·,_ [ FRAME ll'JSPEC.TOR'S l~SPECTION { REQ. IF 9HECKED APPROVAL ' i ' SOILS COMPLJ'ANCE ' PRIOR TO t' FOUNDATION INSP : •. STRUCTURAL CONCRETE/ .. _ OVER 2000 P_SI . 1 , EXTERIOR LATH,lNSULATION . I _ l -· PRESTRESSE.D ' CONCRETE I INTERIOR LATH & DRYWAI-L I 1 POST TENSIONED ' CONCRETE PLUMBING · I ' I FIELD WELDING SEWER AND BL/CO l HIGH STRENGTH PU,JMBING l,INDERGROUND · I I BOLTS '1 \ PLUMBING iOP OUT I ' SPECIAL MASONRY .'..j I TUB AND ~HOWER PAN. ! GAS-TEST · I I PILES1CAISSONS ELECTRICAL l • . . TEMPORARY POWER l ,. ELECTRIC UNDERGROUND l \, I --\ _, -- ROUGH ELECTRIC .I ! ELECTRIC SERVICE i BONDING A i I -\-_: l G. F. I. -_SMOKE DETECTOR1 ; .1 J MECHANICAL I . t DUCT & PLEM., REF. PIPING l I HEAT -AIR COND. -SOLAR SYST~MS, \ -' . •, . , < i ' VENTILATING SYSTEMS i -• 9 • ... -..:. -· ·-·-,-., CALL FOR FINAL INSPECTION ·JvHEN ALL APPROPdlAT~ _.· _,... . ·, .. . . .. ' ' -- ITEMS ABOVE HA VEi BEEN-_APPROVED. JOB SITE FINAL t -· ,1 . , . ~ PLUMBIN'G ! .. ! -. ' . . -.. EL_ECTRICAL ,. -+ ,-\ ~ ' ~--'.._ -I ~... '"' . .. MECHANICAL I ' ---• . :·:, \ -. ., ., v \ ' . 1~ ] GAS . --l .. -\ --- BUILDING i ·-,,. .. \ . SPECIAL CONDITIONS ; ., CERT Of OCCUPANCY ISSUED -f DATE , -. ~ ..... . ' -. • - ... •,';"--' INSPECTOR'S NOTES : -''' .. ~ .. ~ X' ~ ~, -. ' ; . --. ' . ,I ' ,, . -~ . , 8'~'"'573 ,; . r ~ ... ! - ·, ' -- \ F ', ,--~ POOR QUALITY ORIGINAL S ·,, ' .. , Applican{to complete numbered, spaces only. JOB ADOA'ESS -J:-t't c r,--f.:~ LEGAL ' I LOT .. NO,, _1 OE•SCR. . :3 .ARCHITECT OR 'OE.SIG~'ER ·4 ENGINEER COMPEf'!SA.TIO.N 'INS, CARRI.ER . 6 -~ .:~;,;1: :. -·:~;~ o's auh;.i>rN~, " ,7 . . .. ;;j~\, ;~~.~:: .. ~ .. .,I '' ~ . ·8. 1:1 Cl~ss.·oi War.~:· · : [J NEW·.· -!J 'ADDITION -.. ':-: ·-. ·sPECJAL doNJ;>:rj'Jpl,11$: ·: ·. ! MAIL ~DD RESS MAIL ·ADDRESS MAIL Aooa ES:5 MAIL A.ODRESS PHONE PHONE PHONE NO. BDRMS Permit No. ASSESSOR'S PARCEL NUMBER BOOK ! PAG. EI. PAR .. <DSEE ATTACHED SHEET) PHONE STATE L IC. NO, CITY LIC. NO. LICENSE NO. LICENSE NO. BRANCH } NO. BATHS 0 REPAIR O MOVE .0 REMOVE '. -' ~.PLAN· CHECK FEE$ \, 9 ,..,_~-J. \ -·1:'·.-5'· OD~ fl-::) ''.i' • ~· ~ .• ->ii:. PE~MIT FEE $ \ .. , -:. li,ype of .... ·-ts ,.;.'.._,' c._\ ,~-r r -7 Cfonst. , t"' I, ' 1/. Occu~1ncy Group 1 , : ... \ ___ :'\-;,:-. ~--,-~-----,,-;-,-,-,,-,------~-~\---~---1 Sii~e of Bldg. No. of ... ,•Ma~--- .. -:.:. t-~-~\,,,: -',---"--,-~· ___,_,...,.. .. ,...··'"'· ~· ---~· ----,,---------;---------+-(_T~O~t-ta_l_) _s_q_. _F_t. ___ --lf-S_t_o_r_,e_s_,..,~,-=-7":--~---~------1-0-cc_._L_o_a_d ___ -__ _ ·~::-:-:~:'.":-:-·'~~-"!',,-::,:~:~· -~:, '!"..~:. :-:,-·-..,.~~~=="".:"-~---1"'.':=·::,EI_A~~-~-'-'.-~__,.....,......, Fire\ Use·-· ~;,,-.r"""') Fire Sprinklers • -AP,PL,rCA,TION,A(iC.EP1ED.'BY:. PLAN_S CHECKED s·y ·. . ~-P:R ·•• ~OR iSStl~NCE BY Zone _ i,onEf. ''\.,,.;, -. ........... Required DYes ¥~'. '-.:_ ' ··-·:)\.=:·_. ·, ,, . ;,...._ /j~ No.of __ .• ••·.-• OFFSTREETPARKINGSPACES: DA·TE ,-,:·,. .r '-E' l.,i'J',,..--,,, . _Dwe11i'n?,!Jnits ~gvered Sq. Ft. I ~~en "': ~ ._ a , . ,N,QTIC·E . ', .. ·. Special Approvals Required Received Not Reguired SEP.ARATE PERMITS~ARE REQUIRED 'FOR ELECTHl:G-.A:t;,...PLUM:lf PLANNING DEPT. ING.HEATING, VENTILATING OR AIRCONDIT,]ON!NG. . .. ~-. t--------+------+-,,------.---~-- THIS PERMIT BECOMES-NULL AND vo·i_o IF WoRK;OFf°CONsTR~c~ t-'-J:i_E_A_L_T_H_D_E_P_T-,-._+-------+-··--,-------+--------1 Tl~, AUTHORIZED IS -NOif COMMENG!=D W!T.H IN 120 PA YS,OR IF ,__F_I R_E~D~E_P_T_. ---+--------+-------+------.,....... CONSTRUCTION· OR WORk IS SUSPENDE:O'0R ABANDONED FOR A SOIL REPORT PERIOD OF -1-20 DAYS AT 'AN\1..--·'l'IME. AFTER WORK IS. COM-· t---------+---------1~~-------1-----:--,-----1 MENGE D. _._ . ., , .. : . 1--0_T_H_E_R_(_S_p_ec_i_fy_J_+-----~-+--------+--------1 I HEREBY CE'R:'r)FY. 'f.H.AT. I, H'AV.E .. READ AND .E~AMINED. THIS_ , ENGINEERING DEPT . :rtLh'il2i:JJ1~~,%-~Nl:.<?A~J~t5A&1REDT~lN~Fs0ldQ~~~1~l~R'f.~~-,,t":w-A-,-:f.-ER-.,--.,ci~~'--p~~:.~---"-"~--·+· --~~'--,---+~~--~"'----'--,1---------t .....,TYPE OF WORK WILL BE COMPLIED WITR_ WHETHER SPECIFIED l-'--·--·----+----'----+--------+--------1 HEREIN. OR NOT, THE GRANTING, OF A PERMIT DOES NOT PRESUME TO 'GIVE AUTHORITY TO VIOLATE OR CANCEL THE t----,,.._,--,---~---+---,---~-+----------1--------; PROVISIONS OF,ANY OTHER STATE dR LOCAL LAW REGULATING-.... f CONST,5-l:ICTION O~,' TH_E __ ,lERFO.RMANCE ·OF CO_~J;,8.V..C·'FI_ON: _ ...... r'-'"l\Or-·--::,-----+------~+--------+--------1 t -, ·J''J.I ,;;,? · ru -,z 1 :f!· µ:..t __,,_F---'--~+------+----+-----'--~ .,v:.....~·-A.~,,.')-,.::: r'Y,,.,.,~":/...tf.-'¥7;/(_ . 'l J#r . : --·--'----~+-------+------'~----------1 -51:c;,~ATURE OF CONTR"°ACTOR OR AUTHORIZED' AGENT • ' (D,TE) ', : ,/4 '., ',#j,~f /) -i --· .A /4 ~ ~A ..FA .. ·-.,;I.A,4. ~~,.::f~ ...-~ {.71/V ·---:-···- , SIG.N'ATURE OF OWNER IF OWNER BUILDE"J (DATE) WHEN PROPERL.Y-VALIDATEP (IN'T;HIS·SP.ACEI THIS_ IS YOUR PERMIT PLAN CHECK VALIDATION CK. ,---~:b. CASK PERMIT VALIDATION CK. M.O. CASH . '1f'f 7~· TOTAL FEES $~:c.?'(._. ~ 1µ,_··~'"'---'------ -· .'., INSPECTOR --INSPECTION RECORD ··-PATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH ' REINFORCING FOUNDATION WALL & WEATHER PROOFING ,, CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY ; . ' ' FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-24-76 Very well done. He has fire stopped at two intervals he will n-ail on 5/8 dry wall tomorrow, Saturday. I will drop by and see it. T. Mata. ,,- .L-2r--2£ I' r. ~ur(Dll'IG DEPARTMENT INTERDEPARTM~ENTAL INFORMAp(.TIDN SHEET R ~~E~_,_· v_e:_o __ "), ' · --, r SEP 2 2 1976 __, BUI LOI NG ADDHESS: _ __..'2~_--Z-,......_J,,-.~J~-~--=-~--='-'Ill.....::::;____• --------_--,-- CITY OE CARLSBAD Building Department 'PLANNING DEPARTMENT LOT SIZE ___________ _,_OT WlbTH _________ ZONE _____ _.___ UNITS PROVIDED ____ _ . SPACES PROVIDED ____ REQ. __ _ % OF COVERAG_E __ _ _ ____ ALLOWED ____ _ FRONT SETBACK ___ _ _ ____ INTRUSIONS ___ _ ENVIRONMENTAL PROTECTION REO'TS. _________ LANDSCAPE PLAN __ -___ _ ADDITIONAL COMMENTS, _____________________________ _ ISSUE PERMl~#OCCUPANCY_· ____ DATE ___ _ ' ENGINEERING DEPARTMENT R.O.W. _ __,_ _____ _._ _____ ~INDUSTRIAL WASTE ____________ _ IMPROVEMENTS..,.. ___________ SEWER CONNECTION ____ ___,. _______ _ DRIVEWAY LOCATIONS __ -'-----'-------------'----GRADING PERMIT _____ _ EASEMENTS----------..>-+--1--+i'-------_._.RAI NAGE ________ _ LEGAL DESCRIPTION _____ __,.-&.'-__,_-+--_,_ ____ --,-'-____________ -::· __ ADDITIONAL COMMENTS ___________________________ _ . ·, .,-.: 1ssuE PERMIT_-----#7 _____ ....._ __ • __ DATE z:. zsEP~GoccuPANCY ______ DATE_· ___ _ FIRE DEPARTMENT .,. ,, SPRINKLING SYSTEM _____________________________ ..,.._ ______ FIRE PROTECTION EOUIPMENT ___________ FIRE ALARMS--------- EXITS .... --------------------------------------· ,_-.-_-. · __ FIRE HYDRANTS ___________ _ , LOCATION ______ ------------. _ ADDITIONAL COMMENTS ___________ ...._ ______________________ __ . .;,- !• ------------------------------------__;. __ -t.' ., ···, . ~f ISSUE PERMIT _______ DATE ______ OCCUPANCY _ ___._ ____ DATE_____ . ,1 ~ /:/; ~· ." I }~ -'-----------------------------------------i-,l-·-i. ( WATER DEPARTMENT C M W D ________ CARLSBAD ____ OLIVENHAIN ____ SAN MARCOS ___ _ ADDITIONAL COMMENTS.;_· --------------------------....- ISSUE PERMIT _______ DAT..._ _____ OCCUPANCY ______ DATE ____ ___ ,. . .. ·.:,r•1' SENT TO PLANNING SENT TO ENG. DEPT. __________ -.\~i;1{lf,-. ,;fi."'1 RETURNED TO BLDG. RETURNED TO BLDG.-DEPT. ___ _ , .. . -· . 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 '. . €itp of etarl~bab Mr. Tom Crandall, Executive Director San Diego Coast Regional Commissi~n 6154 Mission Gorge Road, Suite 220 San Diego, California 92120 Subject: Approval-in-Concept TELEPHONE: (714) 729-1181 RECE_SVED SEP 22 1976 CITY OF CARLSBAD Building Department (~,. Dear Tom: 4m, "J . The applicant JI/a ~!L ft(e~~-t.·\ . ~ ;t(AmJ , has requested a 1 etfi'rrom£fie Pl ann, ng Department to the San Di ego Coast Regional Commission stating the City's 11 approval-in-concept11 for the project known as l=;t/el!!-~-/,/pT(,r,/6 7o ?5()/U":)JIV~ FdcE S , ~ z 72,r-~r1<t're sr:. 1 The s i t e i s }fl cat e d on the te&E:S f side of S 1)(~ 5nGCE]': between Ip E-i!!!t!lt__ . .. and ___ 4,..._4:,"E:~&L..<t""'.'2,#C.{.'A-'14:-,...-------- Th e site is zoned _...)C'--==-:;...--L.Jf1-{-_,.;..----'------------- The following must be shown on the plans submitted for building permit plan check: The project at this time is ministerial in nature, and, if all City codes and conditions are met at time of plan check, a permit will be issued. Enclosed are applicable staff reports,. resolutions, environmental impact statements, etc. for any discretionary actions that were.~aken by the City regarding this project. This letter will be accompanied by a set of dated and initialed plans evaluated by this department at the time of approval-in-concept review. If you have any questiohs,· call the unde~signed at (714) 729-1181 extensiM1 25. Sincerely, ATTACHMENTS: .. "' 1.' ' ' .... ~ • • -~ y'· . ' \\9-- --· .. ·. . If . tl J, .. i . .. -.. · ; ' . , .. ' " " : 1Ft:EC":" E:lV:lt-.· . s. ~, +-.i:·-·.-.tf·r -; . , .· .. \ > ir r ,z2 1srfr . ,· ·. . ' ..... ~ ~ , "_ .CITY-.CJP :CARLS-BA , . .. _. ~~I : · · .. _·. ··. ·B.uil€Hng D.epartm~nt '". :.··. ·. ~" .. '.·." . . :; ·,· .. ' . -. . . ' -:~ '-: ·. ' : ' ' ' ' . -~ ~-' . , ', ~ .-. ' '·' ~ -, ' ,, : :,~ ' -., ;:- ' ... : ·, . •,' '.'C .·., _," • • • ,t • ~,' ·~ . ,- r,;1 ' •, s 1' 'II' ' ', '. ; ~J '.,.. r I •. . ·_ ~-; < '.·· ~--• ' -~ ' •. -- ',• ~ . ' .. ,,: .... . " . ..;.___ ,, ! -,. ' -~'· -~""::;_.: , : "' · .. · :ti:\ -··:··: ·-., :· .. ·. ,.· . .;:t.. ·. . . ,' ., .. '. ~ : ,· .. ~ . :,,' '." . ·-•; - . _('· -·~ -. . . '.. . .· ,,~ ' ~. . : : ~ ... : ~' . ' . ' -• > _. -' ~- .: ·•• l '' . : . <Al C',l Q_ w (/) ;, ' ' ! . in ; 1 :j. ' j l j f ' l ) ._;_f, 1· , I I, ~. , ____ ;, ••, A ·, '\_ .,, ·.;· ," / . ·~ ' : ·- • _\. ,.>\ ... , -~· t\.. -~ ._:~- -~ ... +..·. ~ ...... "' : .~, --~-.---.. _,~ ' . :-;r;,~ .~·: .\J ·~- ', ::_ ·, ., ' (_· .. _,' .. · ... ~, ') .· .. , .•; •··. '.,. -•• i-' ~-'• "-,"•r r .... .--'; .. . . ... -, '• -. ,' .. ~ : .. - . .. ·,,.· •' /'-.... ,.· . ; .-.... .... . .',. -. ~-~ _:. ,, ·.:-:·. .... ·.~-' .:-... .. , '"' ' >!>· ,, ~ •, 'r~" ' ; • ... ~ .-' ·' •,•, ~ , .. ·,·' ,· ;;• · . .'• . -~·-' ' . ,.,:.,: · . STAT~ Of CALIFORNIA-CAllFORNIA COASTAL ZON.E CPNSERVATIQN,~O~MISSION · ,RONALD REAGAN, Governor ~. ~ . . -~ . -S:AJ•fOtEGO· COAST REGIONAL COMMISSION·. \ .. ·'6154 MISSION GORGE· ROAD, SUi'TE 220 . :SAN OIEGO,CALIFORNIA 92.120-TEL. (114/·280-6992 .bate· Applicant: SEP 2:2 1976 CITY OF' .CARLSBAD · Building .Department Septe~ber .22, .. 19·76 NE?l:;io;n, ·. Nelson and Martin· 2725 St~te Street · . Carlsbad, CA. : 92008'... .· MALCOM A. LOVE Chairman ·ROBERT C. FRAZEE Vice Chairman JEFFERY O. FRAUTSCHV Representative to the California Coastal Zone Conservation Commission THOMASA.CRANDALL Executive Director Project and Address: ·2725~27 State Stre.et, Carlsbad Exterior remodel of two· e20-·sting commercial· structures. ·?roject·judged to be of nature not increasing intensity of use~·· ·. : · · : · . · . L \ · This is .to certify ·that the subject project has ·been reviewed by the. ' ' staff of the Sari Diego C,oast Regional Commission •. You ~ay proc~ed. to obtain the appropriate local permit for it. ·. Very truly yours; · Thomas A. Crandall · Executive Director [This letter was isS1.1ed based ort infor'mati'on provided by .the recipient of the letter. If at a.later da~e this infor~ation is found to be erroneous, this-letter will become invalid, and any development . occurring must cease until a Coastal Commission .permit is obtained.].· --·-, ~ ..:-:· ··:.__ . .p-;. ·-' ! -? •.,. .... -,""