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Home My WebLink About2651 STATE ST; MULTI-PERMIT FILE; 74-80; PermitBUILD G PERMIT APPLl~ION ~ , I '<,,,.. City of CARLSBAD, CALIFORNIA 92008 Permit No. ' - Applicant to complete numbered spaces only. Phone 7 29-1181 10 JOB A00fl ESS 0 '-~ 0 2651 State Street z a, I'\ .. LOT NO, I 8LK I T"AC T l) 0 LEGAL I 20~05A4:u SHEET) 0 1 DESC". ASSESSOll' S 1'10. l) I'\ OWNEIIII MAIL A00flE!55 21 P PHONE VI VI 2 BARCO co . 550 Laguna Ca.rlallad, Cal. 92008 , CONTIIIACTO .. MAIL ADDRESS PHON [ LICENSE NO. ~ 3 BUD OStl!tA, 1Gl6 Laurel St. Oceanaide, cal. 757-StOG -~ ARCHITECT OR OtSIC.NEfl MAIL ADDRESS PHONE LICENSE NO. 0 4 tNCIN££,-MAIL AOCRESS PHONE L I CENSE NO. -......... 5 LCNOCR MAIL A00 .. £5S 8 .. ANCH 1.-._ 6 ' ' USE o, BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE II REMOVE 9 Describe work: (CLERICAL ERROR. PB.BMIT NOT ISStlED AT TIMB OP DEH:>LITIOB) DlmlL.ISU STlltJCTURE -APRIL 20th. 1972 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE -o-I PERMIT FEE -.o- SPECIAL CONDITIONS: Type of Occupancy Const. Group Division Size of Bldg. No. of Max. (Total) SQ. Ft. Stories 0cc. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED BY: PLANS CHECKEO BY APPROVED FOR ISSUANCE BY Zone Zone Required DYes □No No. of OFFSTREET PARKING SPACES: ' ;....._ r Dwelling Units Covered I Uncovered NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITH(N 60 DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE. or CONTflU,CTOfl OPI AUTHOPIIZl:D AGENT !DATE) .. , tA -- /, ,,, SIGNATUIU or OWNER (I, OWN£• Mll .-rR) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR :z 0 0 L ~ 0 .. ~P;~o 1175**' z -'[; _,., City of CARLSBAD, CALIFORNIA APft 28-11 ~., 3~ ioOO App/4n-;;0~1/?ete numbered spaces only. "' .. !tr .. JOBADO Rii5"""o/ )~Q (J ~ ;('-~ ~~J?~ 0 ~, LO~O. ,~; S~ -~ ,cJP ~ .,,k /4?/~A7:.:;;_ 5H:rl -~ 1 ~~;~~-r,r:-.J l . J74 f'q µ;/ of I OWNER ., - 57i7J Lnak?1C/ M{J;.JJ, r1at1:la2 ZIP ,/ PHONl -......:.. 2f A-fi<!O ~-:2..3S? '!1~-~ ~ /~CY CONTIIIIACTOA I/ MAIL ADDRESS PHONE LICENS\: NO,} -~ 3 /"lJu, ""'trcY- ARCHITECT OA DESIGNER MAIL ADDRESS PHONE LICENSE. NO, ~ 4 ---- UIGINEER MAIL ADDRESS PHONE LICENSE NO, 5 ~ BUILDING PERMIT APPLICATION 1 L l NO[R MAIL ADOflESS BflANCH 6 /IJo,yu use 0,. BUILDING . ih l cf c, 7 {').f:l.C I ~ t6" 8 Class of work: ~ __, ~DITION 0 ALTERATION 0 REPAIR □MOVE ~MOVE 9 Describe work: £ I ~.J._;'lA a b /Jq <:.. +/1 ),,.> J/"-,;,,,,"t/('rl iv rlp_,,~d ·hft ,, J ✓ / 10 Change of use from 'I • ;- Change of use to 11 Valuation of work: $ <;?-z:;:11 /, // ~ .-I PERMIT FEE ~ /, lll!l.. PLAN CHECK"" SPECIAL CONDITIONS: , Type of ·£, Occupancy 2.... Const. ~ -/ r -Group .;z Division Size of Bld~~k 80 No. of ,,2 Max. (Total) Sq. F. Stories 0 cc. Load - Fire 2 use e,-M Fire Sprinklers ~ i-- APPLICATION ACCEPTED BY. PLANS CHECKED BY APPAOV=-'.:_ ~y Zone z one Required □Yes ~/fy-1 o. of OFFSTREET PARKING SPACES: / ":;/\I Dwelling Units ~ Covered 6 I Uncovered 17 NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL T H DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED W ITHIN 60 DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAV E READ AND EXAMINED THIS APPLICAT ION AND KNOW THE SAME T O BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WO RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O R CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ~1-1 ?PlaY s1r.NyuRE or CONTRACTOilll OR AUTHOftlZED AGE.NT (DATE) S IC.NAT RE 0,. OWNER 1, OWNER BUILDER) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.1 9-69 R £0"10ER ,-IIIOM : IN T ERNAT ION A L CON FER E NCE OF B UILDIN G OFFICIA LS e t50 50. LOS ROBLES e PASADENA, CALl,.ORNIA Q110 1 INTERDEPARTMENTAL INFORMATION SHEET /' _ / _,,, / DATE :--r:::;::,,'--r:y~ -:2tp-++-~1I-· " =B,.;;;U-=I::.;;;Lc-D....;I=N;.;..G;:;__.;:;;.D-'-E.;;;.P.;;..A;.:_R.;.::T::.;;;M.;;.;;E:c:.;:NT;.;.=.. ~ -. Ownc.'s Nat-4-~---L-~-----Permit No. AddressJ5S/ ~~ ---------------- Lot No. ------------------ ntractor -----------------Legal Description ------------ Approval to I ssu e Permit ---------Ce rtificate of Occupa ncy -------- PLANNING DEPARTMENT P a.r k i n_<J Spaces Provided ,17 Required / I/- setbacks ~ Zone ~ Remarks:_o o o-e__ Date 7 \ Date ~ Z.0 -3 ~ '/ Approval to I ssue Permit Approval for Occupancy ~ < ENGINEERING DEPARTMENT /:::).,, / /}_ ··-~ / Right of w ay_....,t, .... '-ft'~-v_s-r_~c:;;_a_-___ !7?,.......,.-L:>...,,?o~-f.-h_.n..._ .... aSd. ........ _ Ind ustrial Waste ).//7. -,.cec=---=---,ir-"2-.a--'--,o--p--9-,-_- Sewer Connection -<"'3~"1r. h <> o / r r., .1 ;; 1// 1,1 -, Wa t er Connection ffe ~if&>/.et&;;J Drain age '7>~,4-,;v rtJ S' 77Urcr 7?I ,eq ,LJ,,bf/b.J tJ Improve ments ___ ~ey~"'""""i -x~v~·N......,., ______ _ Driveway Locations_~'lfi----~!-'~.-t .......... ,-~_n-\~_,5~~-- Easements /lf .4 --------------------\ <,.7~' Remarks : _ _:-~e...-~~~~@~M~O,.,~P~~~ffe,32::<=~~~~•='5~,~►-~'Z'a~JZ~7~h"J~.;LLA~~:4,,~~~sc~:6~2r:=~L2~..v.;~U~~.=/4a~z~€~-:2A-i::::.T~=----- ~5 /()(24,o., 5::z:: 4 A-c::--K )t:J / /4,,(' ftff,4;J-_s;:.#tzz: t..J1;:;G"",,_;,N ? Date ___ ~7j.__,.J~~/._·"--'-7/ ___ 7 ..,,_1 Date 8 -/4-0-7 I Approval for Occupancy __ ~ _ _;..,,;. _____ _ FIRE DEPARTMENT .2-2A ~,,u? elln,._,,-, /,.o;-JJv ,_re Protection Equi pment Pll~, lv~n:-12. .i9.S S-'F'ire Alarm ---------------- Exits -------------------Permit Required ------------- Spe cial Haza rds --------------Fire Hyd r ant --------------- Date ~ -/'3 -7 / Date --------------------------------------- Approva l to Iss u e Permit .A-½J~c~ Approva l for Occupa ncy ________ _ CITY OF CARUBAD BUILDING DEPARTMENT FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BLOCK TRACT USE OF BUILDINGS CONTRACTOR ADDRESS CITY TEL. NO. CONTRACTOR'S STATE LICENSE NO. C ARLSBAD BUSINESS LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER 0 $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS 0 $15.00 OVERl'LOW SEEPAGE PIT, DRAINl'IELD EXTN., CESSPOOL. DRYWELL, MANHOLE • S!l.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 $1.150 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER O $1.!IO ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00 • • OWNER'S I PERMIT s 2 AUTHORIZATION TOTAL P'IEE 00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER, SIGNED THIS -----DAY OF ----------OWNER OR OWNER'S AGENT----------------- ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE RE.AD THIS APPL ICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITH ALL C ITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A ND/OR LICENSED AS REQUIRED BY THE CITY OF CARL&. BAD AND STATE OF CALI FORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ERTY. SIGNATURE OF PERMITTEE ----------------- SEWER PERMIT • APPLICATION BUILDING ADDRESS NEAREST CROSS ST. OWNER MAIL ADDRESS CITY Lateral Charge 30' H., 10' V. Add. Horiz. Add. Vert. TEL. NO. CONNECTION DATA Computation @ 4" = ___ 6" @ 4" = ___ 6" ---- @ 4" = ___ 6" ---- Total Construction Cost 10% Service Charge Toto( Lateral Chorge ____ _ Lot. No.: Logged in Plot: LINE COST DATA A. D. & Assmt. No. _________ ....;____;___;.:..;.__ __ _ LINE COST: ________________ _ C. C. @ __ / dwelling -~-------'----- P. S. @ __ / dwelling ---------____ _ OTHER __________________ _ TOTAL Grand Toto(, Loteral, etc. FOR SEWER LOCATION ~-----------------1~ St. ENGINEERING SEWER DEPT. NORTH Signed ________ _ Signed ________ _ This i1 e Sewer Permit When Properly Filled Out, Signed end Validated l11ued By ---------·---------- PERMIT VALIDATION VI z 0 ~ C a:: C ..J 0 w 0 IC I[ 0 0 ffi 0 :::!1 , :::, ~ w z ~ 0 .. z 0 ~ VI z w a. ~ 0 (.) VI iz: w "' a:: 0 ~ i[ ~eby affirm that I am licensed under pro.talons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod •. m~II se 1s in full for,;,/ t _ -:.?/ Lie N;,' ~jU,~l:il.,.,_1"".,1•ss I herebf aft1rm Iha! I am exempt lrom tl'le COnlfiilc; tor's License Law lor tne !Oltowing reason [Sec; 7031.~ Business ana ProtessiOos Code Any c1fy or coun1v wtuen re quires a penml 10 construe!. alter ... "11prC"1!. demobsh. ar let)alr any slrtteture. price 10 ,ts issuance also requires ?fle ap· pt1can1 toe such permit tG ,~ a St!lne<f statemefl1 :na! 'he is ttceftsed -pursuant 10 tne prtr,,~!Ql'lS-ct ~ t.:ontract>r s Lteense Law (Ctiap1er 9 COIIWfrtCil'lg ·1,1!1'1 Sec!JOn 7000 OI o,v,s,on 3 ot.1~e Business a,a ProfeS!.IQfls C~elot lf'lal Is ex empl lherelrom ar'ld !he ba~s fpt roe ateoeo ex~. ~ny v1olal!Ort of Sect,on 7031.5 by a,, appltcant tor a perm,, SlJb· 1ects the apphcant 10 a civil petldtty of not "'ore lhal'!: live hun-. died dollars \$5001 I, as owner of lhe property, Ot my emplO'tees with wag~ as 1he1r SOie compensation, w1D do the work. and lhe s1ruc-1u,e Is not mlended or otlered tor sa1e (Set. 70U _ Bus mess and Prntes!irons Code The Contrac1or·s bcense Law does nol ,1pply 10 .an owner ot prOl)Orty who 0011<1s or, improve, lhereoo and who does such WOOi; h,mselt or through his own employees, provided tna:1 such improvements are 001 intelld· ed or offered for sale. If. h:Owever, lhe building or 1mprove-men1 1s sold W1thrn one year of compfehon. ll1e owner·btJOdei w,11 have Ille burden ol prow,g 11\al l>t did no! build or im-prove for 1ne purpose of sale! ~th1 ·11t:n:S"~~n~a~~~r1~~Str~~t ~l~~~r ,~'-rid~~~ Business and Profess,ons COde The Contractor's License Law does nol apply 10 an owner of property whO builds or un-proves !hereon. and who contracts tor each projects with a ~factor(s) hcense pursuant to the Contractor·s license □ As a homeowner I am ,mprovang my home. and lne lollow· mg cond1hons exist 1 The work IS being perlormed pnor lo sale 2. I have lmd ,n my home for twelve monllls 3. r':.!° ~~:1:: t 1 ~i 1i ::~Piton during lhe last three years g :nfs'',~:\'I under Sec ______ . B & pc ------------- ~eby affirm that 1 ha.-e a cert1hcate or consen1 ~• ~';I,• insure. or a cert1t1caIe of Workers ~~t~~~e.a<ace;~";;' ~LICYNOA'4//~~: ~:,~if :0/?~ D Certified copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechon neeo not be completed 11 lhe perm,1 Is to, one hundred dollars {$100) or less) O I cert1ty that 1n the pert()(mance ot the woB-ro, wh1Ch lh1S pem'III IS issued. I shall no1 employ any person In any manner so as 10 beeomP sub1ecI 10 the Wor1':ers Compensation Laws of Cahlorn,a NOTICE TO APPLICANT It. aller makmJ ltus Gen, hca1e of Exemphoo. you snould t>ecome sub1ec1 t? the Won<.ers Compensation provIsIons 01 tl'le L.abOr cooe yO\.I must torthw.llh comply wtlh S\.ICh prov,s10ns or o·us perm11 shall oe deemed revokeo 0 I nerebY alf,,m that thefe Is a con'!thJ<:tion 1end1ng ctgency fCH the per1o,mance ot the wOfll lo, wtuch thIS pe!mIt ,~ ,ssue<l 1Sec-3097 C1Y,l Code, Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT i 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 PERMIT NUMBER ,, ., " •ORFSS A s-RO. NEARFS" CR"SSS'i VALUATION ~ ~ -~~ ~,, .. m,o ------'--L..-~--=--~ '---==----+-------i'I ~ i O 1 s ~ \r1 ~ IE ~ ,_, ~ _ C'' f BLDG USE CODE ~~6AV-/~.&>Lb ~ ' az__ ~~ STANDARD PLAN # BUILDING SQ FOOTAGE .__ --~Je 61<"--'-'"""-OESIGNER"S ADDRESS DESI_GNER'S PHQNE F/P F LR ELEV NO STORIES OCC GP EDU 0884 07/26/88 0001 01 02 vO NO -BldPmt 10-00 CENSUS TRACT I GP LAND USE. I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED YO ND I REOEVELOPMENT AREA YO r,,O TYPE CONST OCC LOAD FIRE SPR vO NO Not Valid Unless Machine C~rtdied QTY. PLUMBING PERMIT -ISSUE 7,!;:--!QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00·00·8220 /0 EACH BUILDING SEWER OVER 100,000 STU SIGN PERMIT 01 ·00-00·8221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS ~ I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 EACH GAS SYSTEM 5 OR MORE i ~ -0 '\t V ! METAL FIREPLACE I 1 ELECTRICAL 01·00·00·8223 EACH INSTAl . ALTER. REPAIR WATER PIPE ~-_ VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 EACH VACUUM BREAKER G}:p Q. MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·00-8225 WATER SOFTNER I _ ,, C), l \'::1p0 I RELOCATION OF EA FURNACE/HEATER I H MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) ~J t U [ .:.Ill,~ _,,. I I SOLAR 01-00-00-ll??~ I I I G~~--,c, s~\'1!!)f.i;L MECHANICAL I srnoNG MoT,oN TOTAL PLUMBING I --~ o\ -... :('\~\l.. FIRE SPRINKLERS 80-92-33-0519 01-00-00·8227 IQTY. ELECTRICAL PERMIT. ISSU~~"~'P?~ ~ ~ QTY, I SOLAR . ISSUE I PUBLIC FACILITIES FEE BRIDGE FEE 32·00-00·8933 NEW CONST EA AMP SWT BKR I PH 3 PH EXIST BLDG EA AMP/SWT 'BKR 1 PH 3 PH REMODEL Al HR PER CIRCUIT TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ElEClRICAL 1 COLLECTORS SCHOOL FEE · DISTRICT STORAGE TANKS Carlsbad 80·92-21-0519 ROCK STORAGE Encinitas 80·92-22·0519 PUMP _S_an Dieguito 8(}•92-23·0519 PLAN CHECK FEE San Marcos 80·92·24·0519 LICENSE TAX 01-00-00-81 62 CREDIT DEPOSIT -TOTAL SOLAR TOTAL FEES PAYABLE 1 /_O E11piration Every permit issued by tt')e8u,ld1r,gOf11c1al under.the prov14>,on, ot this Code .shall e11;p.,<1 by l1mitahon end-~ome null and v-o,() 1J the bu,ld,"9 or wo,k authorized by such permit ,snot commenced witn,n 180 days trorn the da1el)f sue hi pe,n-.It, or 1f lhe butld,ng: o« work aythorized by such perrrut 1s suspended or * AN OSHA PERM:T IS REQUIRED FOR E.XCAVATIOll!S OVER s· 0 ' DEEP ANO DEMOUTION 0A CONSTRUCTION c~ STRUCnJR£S OVER 3 STORIES IN HEIG>H ~ • I I HAVE CAREFULLY EXAM•'IEO THE COMPLETED APPLICAT.ON ANO PfRMIY. ANO 00 HEl'!EBY C~RT f:V IJ.NQ~R PEN.AL.TV OF PERa'J.RY TH>.T ALL INFORMATION HEREON INCLUDING THE OECLARAT ON'> ARF TRµE ANO CORRECT AND I FUR1HEJICERT!FY AND .IIC,AE!'.. •~ A n:l'IMIT S ISSl,::i) 10 COMPLY VliTlj_f,l.L ("!TY,.COUNlY AND STAIE LAWS GOVfRNING Bl..11.DINC. .C.ON- ,TRL::::TtON. WHETt<f:~ ':.PE(..,~IEO HEREIN OR NCH I ALSO AGREE TO SAVL 'lOEMNIFY ANO :Hr HARMLESS THE C'JY QF CARLSBAD AGAINST ALL LIAB.LITIES. JUDGMENTS. GOSTS ANO EXPfNSES WI-IICH MAY IN ANY l'IAY ACCRUE AGAINST SAID CITY IN CONSE'OUENCE OF THF GRANTING OF THIS PERM11 ~> ~wo,: •~ ~Pn.,. after lhe work .. commeoc&d tor a peuod-of 180 da ~ffe~~1_A:; i~4-'n ~ LL >, oi 0 11 E ~ '1 'O 0 (!) C "' u 11 11 4: I _:,< C a: 0 "' "' (1) "' rt) 4: I ::: _Q ni >- ,,; "' (1) u 0 0: "' iii Cl ~ (1) u C "' C u:: ~ I C (1) ~ (!) 0 c3 (1) 11 "' C ~ .r::. s: TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING D ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BUCO D IPUCO 1 UNDERGROUND D WASTE D WATER r oP OUT D WASTE D WATER TUB AND SHOWER PAN rAS TEST 0 WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC , D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL " MECHANICAL D DUCT & PLEM., D REF. PIPING HEA,T -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTl(JN WHEN ALL APPROPRIATE ___ ITEMS ABOVE HAVEi BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I . ·. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ IF INSPECTORS CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPEC.IAL MASONRY -' 7trJ Pl~ES CAISSONS ,. -J_• cl ff~ I, . l.. : ----n ' ,, ' . . .., ~ -. ~ . ' . . • .. -, I < l . ..,. ,-., ~ -7 C> • lk - - ,. . CJb gW9 Slf ·---~ ~--\ . \ ' .. INSPECTOR'S NOTES DATE .. ~ . ' \ -· l'.'"'O'·•"'r ."l .. ,_:-_::-: •::.:.\:i~ .h3 <,jJT ,r •J) ;. -. ~ .. ., . ... \ t., -• ' •__. • ~ . '"' .. .,,_ -: ... ,, -J1, " --:;,. ,... ' . ' • . .-' . ,.. r ~-. ' -,Jo,~ ' -' ' ' ' \. . cl_~,.,.., . ..,. ),,. ... -:-t .. \ . ' --. ~ . r--~ d JI~ - -',. ....... -., ...... -.... _ L L D I N G F t K M I T Pe r,,· t N : CE oO<tt. 0 0 0 : 49 Pro ect No: K O ,· 1i:1e 1 at 1 Deve'opmerrt l'in l ht Addre ?i::,1 T!)TE ST Suite: er.nit Tvpe: ELE:TRICAl re 1 No= 203 -O~Lt-21-00 lot • u( l<')tlon: 0 7736 05/29/96 0001 01 02 C on -:. t r u t 1 on Ty ,!;-P-RMt 80. 00 Ot~urancv Group: Reference#= )f cr1i,t1on: R PLACE' FEEDS TO t1E1ER Statu":,c ISSUFD Api:l1p,i: 0 9 91' Apr/I.-_<:,ue: 0~/2 1 Ii l t\V MJF fl ,pl/ wnr : E,IGLEY EL.E.CTRit 619 7L8 ,oo 11 9 S. MISSION ROAD 1-\1 LE:sRC ~', CA. 920ll-l Fees Req, ired Fee-.: Al 1u ,trnent~,.: , ta FeE":,: dt~ ,er,~ ,on t-1ter 'Y' tor Electr tnter ''r" tor Rernod· Other * E .. E.C1RICAL TOTAL .0 . 0 80.00 Ext fFE" D 10 00 'r 10 00 'r l( " * 60 00 SAT. [ I 80 00 r AL INSP. ____ DATE ___ , CLEA h CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161 • Pl!RMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building D-rtllel'1t 2075 Las Pal-Dr., carlsbod, CA 92009 (619) 438·1161 HST.VAL.-=-===:---------- I. PEAMII hPE PIAN CK DEPOSIT _______ _ VALID. BY __________ _ DATE From List l (see back) give code of Permic-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 BuUdmg or Suite No. Nearest Cross Street UIDAL DESCRIYI ION Lot No. Subd1v1S1on Name/Number Omt No. Phase No. CHECR BEWW IF S0BMll 1£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi, DESCRIPTION OF WORK e. e.p (c..,._ ._ EXISTING USE PROP9SED USE SQ. FT. # OF STORIES # OF BEDROOMS # OF BA111ROOMS 3. WN IACI PFJlSON (11 dlllerenf from apphcanl) NAME (last_name first) ADDRESS CI1Y 4. APPIJCANI :utcJNtRXCIUR STATE ZIP CODE DAY TELEPHONE DOWNER □AtENI FOR OWNER NAME (last name first) UXGENI FORWNIHACIOR ADDRESS Cl1Y ZIP CODE DAY TELEPHONE S. PROPEkii OWNRk NAME (last name first) ADDRESS :? SS7 f 779 /"£. £ r: Cl1Y 04-/ll) /jlJf} STATE ZIP CODE DAY TELEPHONE g_ :£'.:Pt!/~mefirst) f3!6U!'-{ /z_(.,~C-T/i(C .CK, ADDRESS //(<j J. ,1?1/J_fn,-, ;U). c11Y Pl9u!Jrw<-•~ sTATEC/1 z1PcoDE 7_;i:,z.g DAYTELEPHONE ?c.FJ-'l.fOo STATE !JC. #S'f~YJ b' LlCENSE CLASS C-( iJ Cl1Y BUSINESS !JC. # DESIGNER NAME (last name hrst) ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WukkERS' WMPENSAI ION Workers' Compensauon Declarat1on: I hereby afhrm that l have a cert1hcate of consent to self-insure 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 Depanment (Section 3800, Lab. C). □ □ □ Owner-BuUder Declaration: I hereby atunn that I am exempt from the Contractors License law for the ioiiowmg 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 or 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 chis reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennic co tile 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.S by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRI! DAT!! OOMPLE'IE IHIS SEC I ION FOR NON-RESIDEN IIAL BUIIDING PERMll'S ONLY: Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 obcain 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 oucer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYf BE ~ AFTER JULY 1, I 989 UN1J'.SS TIii! APP1JCANT HAS MET OR IS MEJmNG nm REQUIREMENTS OF TIii! OFFICE OF EMERGENCY SERVICES AND TIii! AIR PO!llJTION CONlllOL DISl'RICT. 9. WNSIRDCIION LENDING XGF.NCY I hereby alhnn mat mere IS a construcuon lending agency for me perfonnance of the work for which this penmt 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS JO. XPPiJCXN i CFJliiFICXiiON I cerufy that I have read the apphcauon and state that the above mfonnauon 1s correct. I agree to comply wuh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cicy of c.arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE ID SAVE INDEMNIFY AND KEEP HARMlJ'.SS nm Cl1Y OF CARJSIIAD AGAINST AU. IJABILITIES, JIJIJGMENIB, <XlSl'S AND EXPENSES wmrn MAY IN ANY WAY ALDUIE AGAINST SAID Cl1Y IN CONSF.QUENCE OF nm GRANTING OF nus PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of scructures over 3 stories in height. ExP.iracion. Every pennit issued by the Buil in Fe· under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such · t menced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abando , · after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code? APPLICANTS SIGNATURE . DATE, j"-? f -9 WI-IlTE: File YEU.OW: App 1cant PINK: Ftnance , -. •. DATE /. / J-.• 7 3 INSPECTOR --------- PE RM IT # f 3 -3 3 / PLANCK # JOB ADDRESs_o<._~__,;;..T _,;/ __ -_~___;_..;;;.._ _ _;;;,_ l~_,r.....;,'(E_e ______ _ TIME ARRIVE: ____ TIME LEAVE: ____ _ CD LVL DESCRIPTION J{ PERMITS 6/15/89 j2tJ1;/I e'l,e-C-- --=-- ·--'-' ACT COMMENTS ,!!f {Ji/ 11 tl7 City of Carlsbad 05-28-2002 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB021531 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ?arcel No: Valuation: Occupancy Group: Project Title: Applicant: BALANCE BUILDERS STEB 2551 STATE ST CBAD Tl Sub Type: Lot#: 2030542100 $2,000.00 Construction Type: Reference #: DEMO PORTION OF BUILDING COMM 0 VN REBUILD NEW WALL TO ENCLOSE BUILDING Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: RP R HOLDINGS LTD PARTNERSHIP 2531 STATE ST #E CARLSBAD CA 92008 ISSUED 05/21/2002 JM 05/28/2002 05/28/2002 2579 STATE ST CARLSBAD CA 92008 Total Fees: $63.91 Total Payments To Date: $24.78 8014 05/28/02 Balance Due: 0002 01 cw:· $ .13 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector· $38.13 $0.00 $24.78 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES FINA~APPR.OVAL Date: -zr,,, ,,-Oz_, Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $63.91 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any I I hi Tl imll Ii hrwi 02 39-13 ui,°'t(.) ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.C/3(22/53 / Validated By _ _,.,_..,.___~+.::-+-.:-T"- Date _________ -4......1o<.41,jµ,._,,,,::::::.._ Business Name (at this address) Assessor's Parcel # Existing Use SQ. FT. Name Address 3. APPLICANT }i( Contractor O Agent for Contractor O Owner Name Address 4. PROPERTY OWNER Name Address 5. CONTRACTOR • COMPANY NAME #of Stories City 0 Agent for Owner City City ~at,· OS/,.,P~ N.11,.0,, OTotal # of units LJ./V, W .:.. 1 02 Proposed Use CGP 24 -78 # of Bedrooms # of Bathrooms State/Zip Telephone# State/Zip Telephone# (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, 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 tion. Any violation Section 7031.5 by any a plicant fo a ermit subj cts,Jha.applicant to a ivil penalty of not more than five hundred dollars [$5001). • ~ .. • C. 19 9.: ?'4·~,. / Name State License# ~-Y License Class _4...,,__ ______ _ City State/Zip !~ne # City Business License # 6~ ~ Designer Name Address City State/Zip Telephone State License # _________ _ 8. 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensatio insurance carrier and policy nu ber are: ~ C Insurance Company fl ~ M Policy No~'tt_#.SZtt 1 Expiration Date L_-Af:-G 2-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FO ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 100,000), n tlon to t~.,_....,f compensation, dama s s provide for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE...t:~~~~:...J.~~~~~~~~-~~L~~~~~~~--DATE .s-: A 1--0 r 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 (firm) 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION 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 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/24/2002 Permit# CB021531 Title: DEMO PORTION OF BUILDING Description: REBUILD NEW WALL TO ENCLOSE BUILDING Type:TI Job Address: Suite: Location: Sub Type: COMM 2551 STATE ST Lot 0 APPLICANT BALANCE BUILDERS Owner: R P R HOLDINGS LTD PARTNERSHIP Remarks: AM PLEASE Total Time: Act Comments Inspector Assignment: PD --- '~J!l Inspect : Requested By: BILL Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing .frl r , J rn----: ,.,., C, 39 Final Electrical 49 Final Mechanical f __ _ Associated PCRs lnsi;iection HistoQ! Date Description Act lnsp Comments 06/17/2002 17 Interior Lath/Drywall AP RC PREVIOUSLY 06/17/2002 18 Exterior Lath/Drywall AP RC 06/11/2002 14 Frame/Steel/Bolting/Welding AP PD 06/11/2002 63 Walls WC PD 06/05/2002 63 Walls WC PD