HomeMy WebLinkAbout2800 ROOSEVELT ST; C; CB911600; PermitB U I L D I N G P E R M I T
12/26/91 14:~8
Page 1 of 1
Job Address: 2800 ROOSEVELT ST Str: Al(
Permit Type: COMMERCIAL TENANT IMPROVEMENT
Parcel No :
Valuation: 15,225
Construction Ty~e: VN
Occupancy Group: 82
Description : 725 SF
: NO DRY
Cla""'S Code:
STEC/ LADY DI
CLEANING ON SITE/ PICK-UP ONLY
Permit
Project
Development
Fl: **** Ste:
No: CR0 11l~rJ
No· A'JH 1
~o =c /<-s:2'17
St3.tus:
57 41 12/2.atlfL 000:l! :Oh 1 02 J J
Apr/ sC"tE'RMT 1 L / t7831-'00
Validated oy: SBE
Appl/Ownr : O'BRIEN , KATHLEEN BENTLEY 619 4.!6-0745
238 VIA MORENA ----
ENCINITAS, CA
CONTRACTOR
OWNER
A I( '/le Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter "Y" to Autocalc
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee
Each Plumbing Fixture or Trap
Each Building Sewer
Each Water Heater and/or Vent
Gas Piping System
* PLUMBING TOTAL
Enter "Y" for Electric Issue Fee
Enter "Y" for Remodel
* ELECTRICAL TOTAL
>
>
> >
>
)
>
Enter 'Y' for Mechanical Issue Fee>
Install Furn/Ducts >
A MECHANICAL TOTAL
5 2.50
1 6.50
1 2 .50
1 2.50
1 9.00
6 1 9 434-948b
714 727 0 40 1
Credits
.00
111.00
783 .00
Ext fee Dat:1
171.00
111.00
3.00
277 .00 Y
256.0U
818 .00
7.50 Y
12 .50
6.50
2.50
2,50
32.00
10,00 Y
10.00 Y
20.00
15 .00 Y
9.00
24.00
CITY OF CARLseuAu:ior------------..J
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
········--·-------
PERMIT APPUCATION
City of carlsbad Building Departaent ~
t;/::1
PLAN CHECK NO_ q /-I 00D
2075 Las Pal-Dr., C&rlsbad, CA 92009 (619) 438-1161
i. PkkMII hPR
A -U Commercial U New Bu1ldmg ~ enant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential D Apanment □ Condo □ Single Family Dwelling □ Addition/ AJteration
□ Duplex □ Demolition
□ Mechanical □ Pool
□ Relocation □ Mobile Home □ Electrical D Plumbing
D Spa D Retaining Wall D Solar □ Other
2. PRClll!CT INFORMATION
~ f'}a>'°,...:t;J\f~ ~ BuudmgC, Suile No.
Nearest Cross Street
LEGAL DEsCRJPllON Lot No. Su&hVIsmn Name/Number
l!Sr. VAL / 5":' :? ;;? ~ -=~~~--
DATE : -=-----
(!/c :)f5:7
5402 11/25/91 0001 01
C-PRMT
FOR OFFICE USE ONLY
1.,0? ~~?Jr:;, #I" H,Pf" \7Z,v ~?IP£?: L-,.,64-.. 1(7.b
CHECK BEWW IF SOBMl 1 I ill:
Unit No.
~
Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report
ASSESSOR'S PARCEi. Zo.'.2:--I e,z, -0-"\
DESCRIPTION OF WORK
□ I Addressed Envelope
EXISTING USE ,i:?PP1?¢? PROPOSED USE <?El
SQ. Ff. 7Z6 # OF STORIES c;?"-J~
3. WN IACI PERSON (II duierent from apphcanl)
NAME Vl?--11-1 /.,..E?f:.:-N t:2t-gkf'( ADDRESS
CITY ??~TE ZIP CODE DAY ~PHONE
Workers' t.Zmpensatmn Declaration: I hereby alhrm chat I have a certificate of consent to self-msure issued by the Director of lndustnal
Relations, or a cenificate of Workers• Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLlCY NO. EXPIRATION DATE
02
111.00
Cerahcafe of Exemphon: I certify that m the performance of the work for which this pernut IS issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-B0fiDER DFmRAIION
bwner-Budder Oeclarat1on: I hereby affirm that I am exempt from the t.Znrracto?s Lcense Law for the followmg 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 Ccxle: 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.).
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 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).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IHIS Sf:CIION FOR NON-RHSIDEN IIAt BUIIDING PERMll's 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?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY Nar BI! isgJJID AFrnRJULY 1, 1989 UNLESS TilE APPLlCANT
HAS MlIT OR IS MEETING TilE REQIJIREMENTS OP nm OFFICE OF EMERGENCY SERVICES AND TilE AIR POlLITllON CDNTROL DISllUCT.
9. WNSIRUCIION !ENDING AGENCY
I hereby afhrm that there is a construction lend mg agency for the performance of the work for which chis permit 1s issued (Sec 309? llJ CiVII Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APPLICXN I cititiiFICAliuN
I certify that I have read the apphcatton and state chat the above mformauon 1s correct. I agree to comply with ail 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TilE CTlY OF CARISBAD AGAINST ALL LIAlllllTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY MilUJE AGAINST SAID CTlY IN OONSEQUENCE OF TilE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit iMued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: I I ,ZZ,-"] I
PINK: Finance
•
PERMIT# CB911600
DESCRIPTION: 725 SF
NO DRY
TYPE: CTI
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/28/92
STE C/ LADY DI
CLEANING ON SITE/ PICK-UP ONLY
INSPECTOR AREA MP
PLANCK# CB911600
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2800 ROOSEVELT ST
APPLICANT: O'BRIEN, KATHLEEN BENTLEY
CONTRACTOR: WALLTECH INTERIOR SYSTEMS
STR:** FL:**** STE: C
PHONE: 619 436-0745
OWNER: YELLAND PROPERTIES
REMARKS: MH/KEN/434-9486
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
PHONE: 619 434-9~
PHONE: 714 7f A~ ?-I
INSPECTOR-+~---~-'--------
ACT COMMENTS
--------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
012392
012392
011792
011792
011592
011492
011092
011092
011092
011092
010992
123091
DESCRIPTION
Water Heater/Vents
Final Combo
Gas/Test/Repairs
Water Heater/Vents
Rough Combo
Gas/Test/Repairs
Frame/Steel/Bolting/Welding
Gas/Test/Repairs
Rough Electric
Interior Lath/Drywall
Rough Combo
Underground/Under Floor
ACT INSP
NR MP
NR MP
AP MP
NR MP
PA MP
CO MP
PA MP
NR MP
CO MP
PA MP
CO MP
AP MP
COMMENTS
SEE CORR NOTE
WALLS
XEE INSP NOTES
DEPT: BUILDING
FIN~~G INSPECTION
ENGINEERINcr~PLANNING U/M
PLAN CHECK#: CB911600
PERMIT#: CB911600
PROJECT NAME: 725 SF STEC/ LADY DI
NO DRY CLEANING ON SITE/ PICK-UP ONLY
ADDRESS: 2800 ROOSEVELT ST SUITE# C
CONTACT PERSON/PHONE#: MH/KEN/434-9486
SEWER DIST: WATER DIST:
RECEJVED JAN 2 8 1992
WATER
DATE: 01/28/92
PERMIT TYPE: CTI
==-============-=============================================================
INSPECTED I DATE S ✓!f-1i X BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE 1Z--tfv / BY: INSPECTED: APPROVED DISAPPROVED
INSPECTE DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ;{)!) I I AJ
I ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 56().1468
DATE: (2{z ( '3 j ~~PP~JCANT
URisgrcT~~ JURISDICTION: C \:b'.2.LS -e:.13:Q jPLA t1EC
PLAN CHECK NO: ') \ -1 (po Q SET: :J: QFILE COPY
QUPS
''DESIGNER
PROJECT ADDRESS: Z-Boc, {2o6SE'\/<=:LT "=IT:•
__ ,
,, ,,
PROJECT NAME: _____ ~S=uw1~::ra~-.._----'C=--------
D
D
0
□
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 deficien-
cies identified _____________ 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
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
O The applicant's copy of the check list has been sent to:
~ Esgil staff did not advise the applicant contact person that
plan check has been completed.
O Esgil staff did advise applicant that the plan check has
~ been completed. Person contacted: -------------
Date contacted: ---------Telephone# ---------□ REMARKS: ______________________ _
Enclosures: ~l-f'rv\) .S -----------
Dates tzlz.1~ 1
VALUATION AND PLAN CHECK FEE
□ Bldg, Dept,
D Esgil
PLAN CHECK NO, ':3 l-j Co O CJ
'D I\ C" BUILDING ADDRESS Z.&;.p \<--OOS<g"'\/EL:t 'f-:,7'., '
1~ I APPLICANT/CONTACT f,,t3TH L\;l='")J O' E@.1 GNPHONE NO, :'J:31c, o '74-5
BUILDING OCCUPANCY 'Js-2. C-r,1,) DESIGNER PHONE __ LI ___ _
TYPE OF CONSTRUCTION 1)-N CONTRACTOR PHONE. ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
I\'~/,: 't"", I ....., :z. '5 (; P~ -Z\100 '::; \SzzS-
Air Conditionin~
Commercial @
Residential ra
Res. or Comm.
Fire S'Orinklers @
Total Value 1s;z2s-
Building Perm it fee $, __ \,.:__1-\..;__;,\_,_0_0 ___________ -"--------
Plan Check r ee,_$:!,_ ___ \ _\ _,\_,_\:..,:::,;::::_::._ __________ __,$,__ _____ _
CO H HEN T 5:..: ----------------------------
SHEET OF __ _
12/87
,.
!~
32.
cJ .tl
1 2 3
S N R
T D D
C C C
H H H
E E E
~66
BUILDING PLANCHECK
ENGINEERING CHECKLIST
DATE: ) Z. • I O • "\ l
PLANCHECK NO. 4 ,_ /(eDD
~ITEM COMPLETE
ITEM INCOMPLETE
NEEDS YOUR ACTION
__ ITEM SELECTED
PROJECT ID: __ 2_0_3_--'/~B"'-=Z.~·~Q'-4::...__ ___ _
LEGAL REQUIREMENTS
site Plan
1.
~□□ 2.
Provide a fully dimensioned site plan drawn to scale.
Show: north arrow, property lines, easements, existing and
proposed structures, streets, existing street improvements,
right-of-way width and dimension setbacks.
Show on site plan: Finish floor elevations, pad
to
and
and
~□□ 3.
elevations, elevations of finish grade adjacent
building, existing topographical lines, existing
proposed slopes, driveway with percent (%) grade
drainage patterns.
Provide legal description and Assessors Parcel Number.
~□□ Discretionary Approval compliance
4. No Discretionary approvals were required.
□□□ 5. Project complies with all Engineering Conditions of Approval for Project No. ________ _
□□□ 6. Project does not comply with the following Engineering Conditions of Approval for Project .No. _________ _
Conditions complied with by: ________ Date: ___ _
Field Review
□□ 7.
□□ 8.
□□□
□□□
Field review completed. No issues raised.
Field review completed. The following issues or
discrepancies with the site plan were found:
A.
B.
site lacks adequate publ~c improvements
Existing drainage improvements not shown or in
conflict with site plan.
□□□ c. site is served by overhead power lines.
P:\DOCS\M!SFORMS\FRM0010.DH REV. 02/27 /91
□□□ D. Grading is required to access site, create pad or
provide for ultimate street improvement.
□□□ E. site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
000 F. Other: _______________________ _
do □
□□□
Dedication Requirements
9.
10.
No dedication required.
Dedication required. Please have a registered Civil
Engineer or Land surveyor prepare the appropriate legal
description together with an 8~" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: _______________ _
Dedication completed, Date __________ _ By: __ _
~ Improvement Requirements
DD 11. No public improvements required. SPECIAL NOTE: Damaged or
defective improvements found adjacent to building site must
be repaired to the satisfaction of the City inspector prior
to occupancy,
Public improvements required. This project requires
construction of public improvements pursuant to Section
18.40 of the city Code. Please have a registered Civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plans must be approved,
appropriate securities posted and fees paid prior to
issuance of permit. The required improvements are: ___ _
Improvement plans signed, Date: ________ ~by: ___ _
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27 /91
□□□ 13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the City Code. Please submit a letter requesting
deferral of the required improvements together with a
recent title report on the property and the appropriate
processing fee so we may prepare the necessary Future
Improvement Agreement. The Future Improvement Agreement
must be signed, notarized and approved by the City prior to
issuance of a Building Permit.
Future Improvement Agreement completed, Date: _____ _ By: _________ _
DD D 13a. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill, import, export).
rr6 □ 0 14. No grading required as determined by the information
provided on the site plan.
DD D 15. Grading Permit required. A separate grading plan prepared
by a registered Civil Engineer must be submitted for
separate plan check and approval through the Engineering
Department. NOTE: The Grading Permit must be issued and
grading substantially complete and found acceptable to the
City Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: ______ by: ____ _
Miscellaneous Permits
~DD 16. Right-of-Way Permit not required.
□□□
~□□
□□□
~□□
17.
18.
19.
20.
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: ______________________ _
Sewer Permit is not required.
Sewer Permit is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees sebtion.
Industrial Waste Permit is not required.
P:\OOCS\MISFORMS\FRM0010.0H REV. 02/27 /91
□□□
N/A
21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Industrial Waster Permit accepted -
Date: __________ By: _______________ _
Fees Required
27. Park-in-Lieu Fee Quadrant: _____ Fee per Unit: ______ _
Total Fees: __ _
23. Traffic Impact Fee
Fee Per Unit: __________ Total Fee: ____ _
24. Bridge and Thorough fare Fee
Fee Per Unit: __________ Total Fee: ____ _
25. Public Facilities Fee required.
26. Facilities Management Fee Zone: _____ .Fee: ___ _
27. Sewer Fees Permit No. _______ .EDU' s ___ _
Benefit Area: ________ _ Fee: ________ _
28. Sewer Lateral Required: ______________ _
Fee: ________ _
0 29. REMARKS: ____________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY: --==Q_='-=W~~=><-.::.>----'DATE: I L · IO. 9 I
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27 /91
u u u ~ ~ ~ m m m
0, Q Q
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q ¥ ¥ ¥ <.... .c .c .c GI...'-' u u
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0. 0.
~□
PLANNING CHECKLlST
RooJP"e )f s+ Plan Check No. / /, j(;co Address
Planner Da.;:J, IZ.~cl<..
(Name)
Phone 438-1161 ext. -=i4-c.....z.S..:::2cs,.,P __ _
APN: __ 'Z..=...;;0~3aa..,_--'-")g"--'2=----C)_'f.,__ _____________ _
~~~~~~--T~-~~----------
zone V 8 Facilities Management Zone __ __,_ __ _
Legend
Item Complete
□ Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES
DATE OF COMPLETION:
NO~E __ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ________________________ _
Discretionary Action Required: YES NO~E __ _
APPROVAL/RESO. NO. __ _ DATE: _____ _
PROJECT 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 _ 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 ________________________ _
rnSo
~··□
~□
i;YD D
Landscape Plan Required: YES _ NO .....:::::.·
See attached submittal requirements for landscape plans
Site Plan:
Zoning:
1.
2.
3.
4.
1.
2.
3.
4.
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required Shown
Guest Spaces Required Shown
0 D D Additional Comments _______________________ _
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER r);)r~r DATE / j, 2 f 'J/
PLNCK.FRM
2560 ORION WAY
CARLSBAD, CA 92008
<tCitp of ((arl.sbab PAGE 1 OF _
FIRE DEPARTMENT
TELEPHONE
(619) 931-2121 APPROVED ,, ,,
,
DISAPPROVED
PLAN CHECK REPORT PLAN CHECK#
1/ I ·(
PROJECT ,'.¥VI< f;;... ADDRESS d80{' +<er::_. I 1P I+ .t;f: (7 ~
ARCHITECT f)/1 1,d,,,,y.J () 'Of IF 6 ) ADDRESS & (;~'~--fa .._ CA: PHONE 43/r• -() 7«/S-
OWNER ,..,,. , %:1,-+c,.,.,k,"' n. KL I il( L.TD ADDRESS . --r", 11 & v:.,. PHONB'7N ) 1.1..1 -c £,, 1
OCCUPANCY b J CONST. V ~) TOTAL SQ. FT. '7:J~ STORIES
D SPRINKU!RED l:J.,--TENANT IMP. ____________________________ _
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
__ 1. Provide one copy of: floor plan(s); site plan; sheets ____________________ _
__ 2. Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
__ 3. Provide specifications for the following: ________________________ _
__ 4. Permits are raqulred for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation .
.. __ 5. The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
__ 6. The following fire protection systems are required:
D Automatic fire sprinklers (Design Criteria: _______________________ _
D Dry Chemical, Halon, CO2 (Location: ________________________ _
\ . D Stand Pipes (Type: -------------------------------
□ Fire Alarm (Type/Location: ____________________________ _
, V 7. Fire Extinguisher Requirements:
[!} One 2A rated ABC extinguisher for each lt,a,? 0
extinguisher not to exceed 75 feet of travel.
, sq. ft. or portion thereof with a travel distance to the nearest
D An extinguisher with a minimum rating of ____ to be located:
D Other: ___________________________________ _
__ 8. Additional fire hydrant(s) shall be provided _______________________ _
EXITS
__ 9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
__ 10. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and
doors ------------------------------------
__ 11. EXIT signs (6" x ¾" letters) shall be placed over all required exilts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
__ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81 .
__ 14. Additional Requirements. ------------------------------
__ 15. Comply with regulations on attached sheet(s).
Plan Examiner _,_(-'1'----'-' ./---",(J"--1-"'[,.....ri-...;.:. _____________ _ f '] 11 I~ I Date--..,......-,--"-------
Report mailed to architect ___ Met with ___________ , ___ _ __ Attach to Plans
fl ll I L D I N r;
U1/l4/92 :i:24
p,:t<JP 1 C f 1
Job Address: 2800 ROOSEVELT S1
Penn1t Typf=: PLAN lHECK REVISI()N
Petre-el N•l:
ValL,c1t 1 1 >t1:
Const1.uctiot1 Type: NEw
Ulc-upancy Group:
ll
Description: MOVE WATER HEATER
O'BRIEN, KATHLEEN BENTLEY
f ERM 1 1 P(R No: .CP-9 J1)J
P1 , ~iec t N : A 9. .! ,c
r evelnprne11t N<,:
.... ti:;') Fl: •~i; ~tP: ('
::itdtus: AP ROVED
A1.~pl1<? l: .ICJt\1
Apr.IT .:sue : 01 1 /'➔•
Validated By: -;m
bl9 431 -0745 Appl/Owm:
238 VIA MORENA ----
ENCINITAS, CA
Fe,~s Requi1. eel
F•:>es:
AdJustments:
Total Fees:
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.OU
• 110
.00
PERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las PalEs Dr., carlsbad, CA 92009 (619) 438-1161
I. PERMII hPE
A -U Commercial U New Buildmg },6enant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C . □ Residential □ Apartment □ Condo □ Single Family Dwelling
~ V
□ Addition/ A1teration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRCllECT INFORMATION
Address '2~ p--a.:t:,-e>vBL,:f" F~. BuHdmg c)u1te No.
Nearest Cross Street
LEGAL DEsCRIPI ION Lot No. Subd1V1s1on Name/Number
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
j)e. ,e
PLAN CHECK NO. 9 ;;'-t0/J. -=z
EST.VAL ~ =~-DATE I-p '7;)
FOR OFFICE USE ONLY
Omt No. Phase No.
~wAnol'---1 er w~
SQ. Ff. # OF STORIES ~f, Ct-Ji-''(*
3. WN IACI PPliSl.JN (II dlllerent from apphcant)
NAME VIP'11~ ~~ ADDRESS
4. f.mruu.1 □wNt~toR 56~1 mRJ3;.7fil?liioR □owNE~~~?~ZmowNER
NAME 1t7Ml-h,i?,t?N WNfL-i?Y t?'~e:f,Q!j>RESS 2:>-,e, VIA µ,:c-~
CITY b'/'-Jl-1/'-.//~ STATE C-;A ZIP CODE q7t7~ DAYTELEPHONE cVlq--'f~-C,1,4€:J
Workers' CompensatJon Oeclarat1on: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal
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
Cert1llcate of Exempllon: I cert.UY that m the performance of the work for which ibis penmf IS ISSued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNm-B0llDRk DPl!LAkAIIUN
Owner-Builder DeclaratJon: I hereby afhrm that I am exempt from the COntracto?s License Law for the followmg reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is noc incended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply co an owner of property who builds
or improves chereon, and who does such work himself or chrough his own employees, provided thac such improvements are noc incended
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 concracting 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 chereon, and contracts for such projects
with contraccor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section _______ Business and Professions Code for chis reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alcer, improve, demolish, or repair
any struccure, prior to its issuance, also requires the applicant for such pennit 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATIJRE DATE
COMPLEIE IRIS SECIION FOR NON-RESIDENIIAt BOILOING PERMII's 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?
Li YES Li NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF '11Il!ANSWERS ARR YES, A FINALCERTIFICATEOFCXx:IJPANCYMAYNUf Bl! ISSUED AYfERJULYl, 1989 UNIJlSS '11Il!APPUCANT
HAS MET OR JS Ml!ETING 'I1Il! REQllIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 'I1Il! AIR POII.U11ON WNTIIOL DISTIIICT.
9. WNSIROCIJUN L£NDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this pernut 1s issued (Sec 309?(1) CiVU Code).
LENDER'S NAME LENDER'S ADDRESS
lb. APJiUCAN I dilliMCAIION
I cenify that I have read the apphcatlon and state that the above miormat1on 1s correct. I agree to comply with all 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 AIID AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 'I1Il! CI1Y OF CARISBAD AGAINST AIL IJAlllllTll!S, JUDGMENTS, CXJ!ITS
AND EXPENSES WlilCH MAY IN ANY WAY N:x:RUE AGAINST SAID CI1Y IN WNSEQUENCE OF 'I1Il! GRANTING OF TIDS PI!RMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 36S days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE DATE: I~& "i 2/
//µ'l/t.&;;/1t1-L4 Jll-Uo/ () .i2:J; u.,c.j
M'HITE: File YEIJ.OW: Applicant PINK: Finance
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 56(),1468
3
JURISDICTION: CY'b'.]-1 S\3f\:G)
PLAN CHECK NO: 2) \-1 (a 00 SET: :C -~-J'
PROJECT ADDRESS : 2, f3oo \2c:o ~ <c\) b""""\... T '$ '{,
(. ll ,, ( ,-,._ I L " ~ PROJECT NAME:,.)uul;' C '-..1.c..:.7..oc..,+::re Wfffi;..-Z.. CTc.~2..)
□
□
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 deficien-
cies identified -,----,----,--c--~~~--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.
11, The check list transmitted herewith is for your information.
L The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
□
0
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
@ Esgil staff did not advise the applicant contact person that
plan check has been completed.
D Esgil staff did advise applicant that the plan check has
been completed. Person contacted: -------------
Date contacted: _________ Telephone # _________ (
@REMARKS:--,,----------------------------
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Enclosures: 0<2-,c.. . e .Qe:.J ,
□GA OcM 1/9
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