HomeMy WebLinkAbout1775 DOVE LN; MULTI-PERMIT FILE; CB980505; PermitB U I L D I N G P E R M I T Permit No: CB980505
Project No: A9800650
Development No:
04/01/98 15:22 1 ~,
Page 1 of 1 li7S ~J·e.-, '--1'-'
Job Address: 6925~tL CAMINO REAL Suite:
Permit Type: RETAIN.a.JG WALL
Parcel No: 215-050-70-O Lot#:
Valuation: 0
Occupancy Group: Reference#:
Description: CRIB WALL 11309 SF,
: CITY OF CARLSBAD LIBRARY
619
Fees:
Adjustments:
Total Fees:
Construction Type:
Status:
Applied:
Apr/Issue:
Entered By:
697-8401
NEW
ISSUED
02/17/98
04/01/98
JM
.00
.00
.00
l lNSP . .l,,,V-l,,,'-\--DATE 4o/, .:if-'Ii
CLEARANCE _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Lc;l.s Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Legal Description ;A.ft. C.E:, Lot No. Subdivision Name/Number
~I£,. 05"0--10 -2..oFP.M. •€PK "-.\or--lE..
Assessor's Parcel # Existing Use c,, W~L. Gtl t:.; iO«"
FOR OFFICE USE~
PLAN CHECK NO. jQJ:j
EST.VAL. It:. _?;7
Plan Ck. Deposit--=--------
Validated By J '==
Date z/2?µ:11_
Name Address City State/Zip Telephone # Fax #
~--, ~P~Ll_QAN:r:i -~~'\-1!'.ltt~t:tor "lJ:f>.g~ntJot.G~ntra-c!_9r_ ::oJi>&~.er,__ ::LJAg,E!r\.tff!tf}Y,,:Ql~r. ,: .. i, ;;.,,:::·~~ e;, ;, .:: ,·, ',,:, ,' :-::;;·:_":_, ·-:-:_\_', ::. ;,~ .
·:(A.':(kQft.. J3Akk ·7777 f>,L...JAIZADO gp1FSQ/ LA-Ml=-.SA CA fl/f,617·-B4o(
Name Address City State/Zip Telephone #
'4>errr~eNa~A-IZL~fiAti' -,~f;,·m~5~--v,~;-::b'k.~CA;Wf>~;;~:·q~p'-·t1q~3't~ut l
Name Address City I S.tate/Zip Telephone# •
£?,: ®!-ttbA.~IQJl,'..,•,99.IVl,~~,l',IY)\tAIVII!,,_ ' ', ',,' '' ; ~,.', , ,,,,,,,, '•' ,·,,' ,::-, -:, ·, ",. < ',.'"•', ,; < • ,.,_,rn ,
(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
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 [$500)).
:)A'"'C' Lotz.. GAC.L. 7777 AL\/ptzAOD 'f?P~SDI LA-Mes,o CA-qr'l4/ 6,Ct-b'i7--B4of
Name Address City State/Zip Telephone #
State License# 5qt3;:2.. 17 License Class 6,t\,,t\>b City Business License# /2t:,l,,-Z,, 7 I:,
fe:rA1"',A't WAJ-L.-S eo. Ne.itetH ,,,,.:,; (/JZAefo A-"'1. fp.,v MA~s cA-q-2.06f 760---11,,,_, zsoo
Designer Name _ , r" Address City State/Zip Telephone
State License # A,,.. /o 15 G/7.,;,
f~;-·:W.Q.BK§.BS,':'~P.Mf'!;_l\l.$~.II.QN..:.::.,, • .1.--~~---: :_ ... ,,_"._::""'·--~¼ .. ·,' __ . "·-':, .: , .' •• : :_. ___ .,-,::¼:.: .:.''
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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 Labo(fruie, for th~~o~.ance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy ~umber atLI pJJ II~ • w_ ·117,., o~:;;,~s-A ~ q q
Insurance Company~ k i I Ai"t ~E 11\~ 1J iai-,. l'J<=,6-P,. Policy No. fHf/f1tJr,lfJv.5 ] I Expiration Date_PI __ l_-_ ___,I_J,___
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPT! N: 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 subj ct to the Workers Compensation Laws of California.
WARNING: Fail to ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
· 'on to th of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
DATE "2--, 1 -'.:1-B
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(sl 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 (inq_lude name / address / phone number / type
of work): ,
,...., v ,>,• /' ' :~u, •, ' ~ ' v ' '~, >?
, ' ,,, ,._;:. -~ -
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or fisk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? D YES )!( NO
Is_ the fl!lcility !O _b~ c_~n:i!!~cted within 1,000 feet of the outer boundary of a school site? 0 YES ~ 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.
t~;,_.,,&Q..N.~:tl!YJ?ItQffCl;NP.l~9,M1®Y : _ . :,·· ... :."''.: .. ·_ .. · _ .. : ...... __ ,. . ·"7::--:--'""' -.......
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 C\:d Of=-CArl.Lb\?AD --------,-----7b.M1?,-i~.;=~~PRL.ICAl\lL:ql,:!3:JlflQAJ:lQ~ .:·· :~:-:.--::«,· '"· .... .,,. =::=;-;:::::':'=:::::::::,:=~':==:::::::==.::;::::;:::::;::;:::::;-::::;:-::-:-;:--;;:;:;;;;::;:;:;;;;:=:;;::::;:'.
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 Buildi 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 · hin 3~ from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after t d for e · of 180 days (Section 106.4.4 Uniform Building Code).
DATE --'-?_-=-,_\_]._-_ .. _q~e:'--=")'--_
PINK: Finance
EsGil Corporation
Professional Pfan ~vie.'UJ 'Enginee.rs
DATE: 2/18/98
JURISDICTION: Carlsbad
PLAN CHECK NO.: 98-505
PROJECT ADDRESS: 6925 El Camino Real
PROJECT NAME: Crib Wall for City Library
SET:I
0 APPLICANT
0 JURIS.
0 PLAN REVIEWER
.D FILE
• The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sa"nt to:
D Esgil Corporation staff did not. advise the applicant that the plan check has been completed.
• Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Alex Begg
Date contacted: 2/18/98 (by: CM)
Mail Telephone Fax In Person
D REMARKS:
By: Chuck Mendenhall
Esgil Corporation
0 GA O CM O EJ O PC 2/17/98
Telephone #: in person
Fax#:
Enclosures:
tmsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: CM
PLAN CHECK NO.: 98-505
DATE: 2/18/98
BUILDING ADDRESS: 6925 El Camino Real
BUILDING OCCUPANCY: U TYPE OF CONSTRUCTION: II N
I BUILDING PORTION BUILDING AREA VALUATION VALUE
(ft. 2) MULTIPLIER ($)
crib wall approx 11182 city estimate 166,675
-Air Conditioning
Fire Sprinklers
TOTAL VALUE 166,675
• 1991 UBC Building Permit Fee D Bldg. Permit Fee by ordinance: $ 87 4.00
• 1991 UBC Plan Check Fee D Plan Check Fee by ordinance: $ 568.10
Type of Review: D Complete Review • Structural Only D Hourly
D Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 454.48
Comments:
Sheet 1 of 1
macvalue.doc 5196
City of Carlsbad
· · M#hi·iht44ihi•i •24•iHihit¥hii
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECKNUMBER: CB qf{)SOS
BUILDING ADDRESS: ~ ~dA.C~
I
PROJECT DESCRIPTION: _R_e_t_ai_ni_n..._g_W_a_ll _____ _
ASSESSOR'S PARCEL NUMBER:
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans, information
and/or specifications provided in your submittal;
therefore, any changes to these items after this date,
including field modifications, must be reviewed by this
office to insure continued conformance with applicable
codes. Please review carefully all comments attached,
as failure to comply with instructions in this report can
DENIAL
Please see the ached report of deficiencies
marked with Make necessary corrections to
plans or , ecifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
result in suspension of permit to build. ~/J _ /}· /
'11-?72~ Date:3/f /?£? /d{j/)7}~--Z::Oate: //8Lf J}
()-j:: ~ ~ c~ B~ ___ Date:
ATTACHMENTS
D Right-of-Way Permit Application
By: Date: --------
ENGINEERING DEPT. CONTACT PERSON
NAME: MICHELE MASTERSON
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE: (619) 438-1161, ext. 4315
G:\llBRARYIENG\VIORO\DOCS\CHKLsnRelalnlng W.I Buiking P1ancheck Cldisl Form MM.doc Rev. 8/22/g6
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
a a
Q a
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
B. Existing & Proposed Structures
(dimensioned from street)
C. Property Lines
2. Show on site plan:
A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
3. Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Easements
E. Retaining Wall
(location and height)
D. Grading Quantities Cut___ Fill___ Import/Export __ _
(Grading Permit and Haul Route Permit may be required)
4. Project does not comply with the following Engineering Conditions of
approval for Project No. ________________ _
5. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way
and/or private work adjacent tot he public Right-of-Way.
A separate Right-of-Way issued by the Engineerjng Department is required
for the following: __ · _________________ _
Please complete attached Right-of-Way application form and return to the
Engineering Department together with the requirements on the attached
Right-of-Way checklist, at the time of resubmittal.
Page 1
G:lllBRARYIENG\WORDIDOCS\CHKLsnRotalring Wal 11\iking Plancheck Cldlst Form r.t.1.doc Rev.8122196
D
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
-=.::;a:;....;..~'--...,__..'----=--Address ~
P I an n er --w1-1-1--i<o~.:,__-=------Phone (619) 438-1161, extension -"--"---'--f---
APN: _ __,,_""+"l-fl"'µ.-,u-=-+---+--H-------------r-J'--------
~==:l!.-----Net Project Density:-..L~-4,---D=U.!.-=./A-=-C=-
Zoning: -General Plan: -Facilities Managemen -
CFO (in/out) # __.. Date of participation: Remaining net dev acres: ------Circle One
(For non-residential development: Type of land used created by
this permit: ____________________ )
Legend: ~ Item Complete (ED Item Incomplete -Needs your action
Environmental Review Required: YES NO TYPE ----
DATE OF COMPLETION: ______ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: 1 YES NO TYPE . --------
APPRO V AL/RESO y('J fu----,:---=----..--D A TE
PROJECT NO. -(A!,:_ q6-L6
OTHER RELATED CASES: . -----------------------
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval_: -----------------------.....:.
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES NO
CA Coastal Commission Authority? YES NO
If California Coastal Commission Authority: Contact them at -3111 Camino Del Rio North, Suite
200, San Diego CA 92108-1725; (619) 521-8036
Determine status (Coastal Permit Required or Exempt):
\ ·coastal Permit Determination Form 'already completed? YES NO
If NO, complete Coastal Permit Determination Form now.
Coas~al Permit Determination Log #:
~ollow-Up Actions:
1) Stamp Building Plans as "Exempt" or "-Coastal Permit Required" (at minimum
Floor Plans).
2) Complete Coastal Permit Determination Log as needed.
·o
,· ;A\,( D t~1
·:;_~····.·.·.••o l ' ' , ' . . ( ~
f • ' • •
/,
'··-~-0
0
· lnclusionaryHousing··F~e·reguired: YE$ · ·. ·· .. ·N'C)
(Effectiv~, date ofrln9lusicihc!ry·Hoi.Jsirig0rdihance -IV!ay 21-, 1993J
" '' .,
D.c1t~ ~ntry. Cdr'.)',pleted-7' YES·_._. N{L--'.:.2.:_ .. ·. ·. ·.
(Enter C.~ #; l,JAQT; Ni;X:T1:2; <;onstrui)t ,housing YIN; ·~nier F.ee Arnqunt (Se~ fee, schedule for, arnour:it),; Return)
.:: ;:,;_, ,;,i'
~'.~~y~?i:~1=:;;tin!i;~~tre~~:,h e:r;:i:~
street .in,pr'oven:ierhs, right..:of-way wicithr oih1ef1!>ional setbacks c1nd existin~f
• topographi:cal limes.
. · 2'. ,Pr:ovide .. .regal de!;icdption of pi-op$rty and assessorr·s parcel number.
Zoning:
. 1 . .Seto·a.c~s.:
Front:
Interior Side:
:Required . Shown
Requfred .------'Shown --~---,---
Street Si'de:
Rei;ir:
·Required .. S~own ----,-----'-,'--
.. Req1Jiteo . $_hewn --'--------
2 .. Ac·~essory structure setbc1·cks:
Fr:Q'r:it: . Required . Shown
lnt~rior ;Side: · :Required.-.... -. --,,_~-.-.-:Sh.own------,---,....
Street Side: ·Requirea:1 \ · .. < ·, .. . Shown ---~--,-,--,--·Rear: ·Req·uilec;t-Shown ----~--' Str:ugtLfr~ sep.aratiori: 'Required 'Shown ----,---,----
a., Lot ¢qverage: Required. .,...---,--,,.,.,..----,---'---Shown
0.. 4 .. Hei~ht, • : · · 'ReqHired -----'----.Shown -----,,'----,--
· Spaces Required --,-...,....,...,---,.....,-.,...---,-Shown ------,-,-----;--
Shown ---,,---"'---=-,,-
I I
.!
B U I L D
05/13/98 11: 22 ,,.-po~e, uJ
Paqe 1 of ~ ft7~
,Job Address: ~~~ EL CAMINO REAL
Permit Type: PLAN CHECK REVISION
Parcel No: 215-050-70-00
Valuation: O
Occupancy Group:
I N G P E R M I T
Suite:
Lot#:
PCR No: PCR98074
Project No: A980065U
Development No:
Construction Type: NEW
Reference#: CB980505 Status: ISSUED
Description: REVISIONS TO CRIB
: AT MECH AREA,CITY
WALL 11300SF Applied: 05/12/98
OF CARLSBAD LIBRARY Apr/Issue: 05/13/98
Appl/Ownr : TAYLOR BALL
7777 ALVARADO ROAD #501
LA MESA CA 91941
J. __
Entered By: RMA
619 697-8401
FINAl APPROVAl
DATE INSP._____ """""""'-----
CLEARANCE ________ .....,._
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
qgo§oS
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
PLAN CHECK NO. pcrz qtm l(.
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By_.,......---:,---,---,,...--f'\..-'¥---
Date __ __::..J.-4-4:.=~.{-l,~----
1. PROJECT INFORMATION -. . ·_-. ,, .. , . .· .. .< ..
b'"l -Z5" J;fe u;,,.,-.1,no /4AL. &+RJ.6f!AD1 CA CJzooS C.A/Z.f.,S.J:,41) c,r--c
Address (include Bldg/Suite #) 1 Business Name (at this address)
C,Atu..S'-'4/7 Clti Lt ~fl-AIL--/ /Z.S.7A-INl/'Jfr J,./,A,L.L N/4.
Legal Description Jt, Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Uz:-~z,? --7o '-PAJ?.c~ :i « p.M. 1601-4 Lte,1Z,A,e.'Y'
Assessor's Parcel# Existing~ /.1 JO()$ . ./: Proposed Use ~
/lG-wtvlN" k,/41-,l. C/;NS'1ZUJ?,noA/ ~ I 'JJ('4-x/4 N ~
Name
4. · p~6PERTY OWNER .
C.1 T::-( OF (AV,.$&\D
Name
'5. · CONTRACTOR"-COMPANY'·NAIVIE
Address City State/Zip Telephone#
Address VI LL.A.<;,£. ~-
~ , , , I •, • ' ~ ' : -• :~ --, • • ,-: •: \'
dr2~~r{:·~-.k-:·'.qz_;;~-6t9 ~43B ~ 1161
City State/Zip Telephone # ~,, . ' ~ . ' .·,--,.-.
(Sec., 7031.5 Business and Professions Cod~: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuanc:e, 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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the ap licant to a civil penalty of not more than five hundred dollars ($5001).
-LO LL-77 £ At . ::#j;'£, C.A 41 ~q,6er
Name Address State/Zip Telephone #
State License# ,J;-1,e2.,77 License Class E,,AJ'A,b City Business License# (Zt?h~ 7f:,
'R,::.n.,1,-.,/Nq ~U...S ~ -~ J 531 G/@MD A':{E .,, ~N MAtz'C4S ?:-4 q zo6Gf 760-47/-Z5o67
Designer Name Address City State/Zip Telephone
State License# G f,:S:675 P
'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 ;Pe work for which this permit is issued.
18f,. 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 compensation insurance carrier and policy number are:
Insurance Company .A,Ll., I 1;;]2 _) h& ~ . Policy No. bt7110 I '.i '3 bb S Expiration Date 4 -I -C, 9
(THIS SECTION NEED NOT .BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
D
7.
·on c erage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
compensation, damages as-provided for in Section 3706 of the Labor code, interest and attorney's fees.
DATE_~2:--~/Z._-_9-c~,...__-
• •• , ', hq ~,, ~,· ~ •
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 _____ -'-----------------
'COMPLl;TE THIS SECTION.FOR NON-RES/0,ENTIA_L BUIL!;)ING·:pf:f1MIT$-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? 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 OFl'ICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
-:S• .. :,q6NSTRIJCTIO_N LEl'Ji:>1.f'ilG AG~NqY_ .: '-. . :: .; '.·-·.·.··~·· ·, :,. "; :"":; :: /~ , -~'::. :. __ ,,·_ · :::: " : :~::.;
:9. APPLICANT CERTIFiC:Atior{. · ..... ::
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.
EXPIRATION: Every permit iss
work authorized by such permit
or abandoned at any time after
APPLICANT'S
over 5'0" deep and demolition or construction of structures over 3 stories in height.
fficial under the provisions of this Code shall expire by limitation and become null and void if the building or
· rom the date of such permit or if the building or work authorized by such permit is suspended
f 180 days (Section 106.4.4 Uniform Building Code).
DATE _5_· -.....!./~$_....:..-___:;°l8~--
plicant PINK: Finance
EsGil Corporation
1n. Partn.ersliip Witli (]ovemmen.t for 'Buiftfin.g Safetg
DATE: 5/ 12/98
JURISDICTION: Carlsbad
PLAN CHECK NO.: 98-505 (PCR98-74)
PROJECT ADDRESS: 6925 El Camino Real
SET: I
0 APPLICANT
D JURIS.
0 PLAN REVIEWER
0 FILE
:··:~ PROJECT NAME: Crib Wall Revision
. ,J
• The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person .
D The applicant's copy of the check list has been sent to:
D Esgil Corporation staff did not advise the applicant that the plan check has been completed.
• Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Alex Begg
Date contacted: 5/12/98 (by: CM)
Mail Telephone Fax In Person
D REMARKS:
By: Chuck Mendenhall
Esgil Corporation
D GA D CM D EJ D PC walk in
Telephone #: in person
Fax#:
Enclosures:
trnsmtLdot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
•'; .
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: CM
PLAN CHECK NO.: 98-505 ( PCR98-74)
DATE: 5/12/98
BUILDING ADDRESS: 6925 El Camino Real
BUILDING OCCUPANCY: U-1 TYPE OF CONSTRUCTION: II N
BUILDING PORTION BUILDING AREA VALUATION ESGIL
(ft. 2) MULTIPLIER ($)
Wall revision NA Hrly 87.15 X 3/4HR 65.36
Air Conditioning
Fire Sprinklers
ESGIL FEE 65.36
D 199 UBC Building Permit Fee D Bldg. Permit Fee by ordinance: $
D 199 UBC Plan Check Fee D Plan Check Fee by ordinance: $ ·
Type of Review: D Complete Review • Structural Only • Hourly
D Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 65.36
Comments:
Sheet 1 of 1
macvalue.doc 5196
PLANNINC/EN.GINEERING "APPROVALS
PERMIT NUMBER CB R,rg 96 r-lf DATE ~~ !(qs .
(
ADDRESS· 01ZC ec12. -~ i;Jl'M! rd Ml . \J .
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
·)
ENOINE&W?r m~
DDCS/MlsformS/Plannlng Engineering Approvals
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
B U I L D I N G P E R M I T Permit No: CB980061
Project No: A9800101
Development No: ~!;~9/:8 oi2: :1 \'116 po~e,, GJ
Job Address:~ CAMINO REAL
Permit Type: ELECTRICAL
Parcel No: 215-050-70-00
Suite:
Lot#:
Valuation: 0
Occupancy Group: Reference#:
Description: TEMPORARY POWER POLE-CITY
: LIBRARY
Construction Type:
Status:
Applied:
Apr/Issue:
Entered By:
697-8401
NEW
ISSUED
01/09/98
01/09/98
RMA
Appl/Owhr: TAYLOR BALL OF CALIFORNIA
7777 ALVARADO RD
LA MESA CA 9194.1
*** Fees Required *** **-*--
619
2838 01/09/98 0001 01
__ Fees Collected & Cre&i:-ffiMT
02
----------------------------, ,. --~ ----------~-~-' ----------------------------
Fees:
Adjustments:
Total Fees:
20.00
, • 00,
·20. 00 · ·
.-·· Tot~l Cre'dJ ts: . 0 0
· "l""otal/Paymeri:ts: . 00
, .I / ' B'alc\nc;:e,\Due: 20. oo
Fee description /.,-Unit's·, ,E,ee/lJnit Ext fee Data
-----------------------.. , ·, --,,, ----··;;:,, ,'' , -~·. >, --',,, ~--:.?~--\ -------------------
Enter "Y" for Electric Issue Fee ):'. ·, \,,~'-10. oo Y
Enter "Y" for Tempo:r:~ry Ser'vJ.c(9. •. :·>-·.:: .-·' \ '·\ -10. 00 Y
"' '<!',?, -.-.,, ' "' ••
/1 , ,, I j I :
, •, ,( ,_
,,
~ ' I j ' I "-, ~
{ ._(~ ;' _; ; ; :
l . j'; \. / · .. ,-
/
ROVJ\L
INSP., ~~ DATE4-3/9.L
CLEARANCE_.,......... ____ _
CITY OF' CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
(
"\
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE 0/mJ
'PLAN CHECK NO. ~ (1) QC
EST. VAL _________ _
Address (include Bldg/2,\!i:e ~ --~~ /l Businesst,,me (at this ·address) {p 92,5' &:'c-c-rlh?/N O lfi:=lfl-. l,, ;f-~.89.L) , &:_~ o/2«$
LegJ} Description ~ Lot No. 1subdivision Name/Number 7 Unit No.
. JP.J?.£C$l-2 oP FM£tf,l,,t /Hll/) A/0, /b044:
Phase No • Total # of units
Existing Use Proposed Use
Name
14.[..'ilieCj·r}o,w~:>';,;~~~:/J;;;f'i.i:·J!~\:"~~-::~~:~:-;;1:t.;:;;1.~-L"JJ.l';".~,~;;i&":.;:--§f:~1·;",.:;J~'(i;?,;:1:;-x\'i~;1~;~K~,~'*1.t1~\'.1'::,~~';\t,K:2:~1::}~~-'d;:"::~~i~~::.;:;:r-.;:.;.:;,;1;.:~,.:.
Name Address City . State/Zip Telephone#
. tl1tliifQl(iM~TQ~~(;o,;fp4Ni:'!JjAlft'll}.ff.I?~~tThfTi1t~~t~~~~~i::JiZ1~t\~;t:J\~']it'i~~~f:i~i~t~~!l:}[@_~§~~Jrft1~ttr!/~:f~?~--;\~1~:~:~~~~;~~1&~~J!~70:
(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
~pti.on. Any violation of Section 7 31.5 by any applicant for a permit subjects the applicant to a civil penalty not molJ)than five hundred dollars ($5001).
-W'...4-=~~,t..=-----==~L--.1.J!:!::L'4-==J,l=IA-:,___,!7__:7-.!7"-'?~""""2"--"'MA=.:::..~l-""--*'...:::~..::;,'t)~/ --""-'-"-,....'.,.'~~+-=vf_;,,_,9'--'-/-'--t)L..!/ _ __..,_,-!.</__,-~1 ..... 7---"-...,,,,. }
/ / · City Stat /Zip Telephone # A /AB C.. City Business License# /1PPLl!F1> k/2_
Name Address
State License # License Class
Designer Name Address City State/Zip Telephone
State License# _________ _
li~iWQf.f~J;)fS;1c.:QMREtJ~7\ffQtt~~~~i~~Ji;~fa1i~h~~~k-:]li~l@rift~~~~~~~~i~~:1s!~~Jf~~~J~~~~~~1:y;~.~~~1~1~4~!~fi~~il;;i
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D · 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 wo.rk 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 com ensation if')sur~ce carrier and policy n mber are: ! !
Insurance Company Ii,.. ~~ Policy No. <::; L? 17 tJ f 6 ~ 617 Expiration Date t/ !.J {_?/ /3 . i
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certif.y that in tae . erformance 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 Law of California.
WARNING: Failure to s:~'ure workers' compensatipn ~r,ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000),'l~ ad · tot ·· f CO'}'ti_ensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE ,__ / -.!:..-!:,-DATE /"" 9-tf/ 5
~7. >t~~1."fOWNER~BU1LDE"·\-o ~ · l.ARAt~b .,_ ·:· -, ~.. )"!!f,Ji~~'.J!:--~~~:i.-:,;~::'t·~ :::J~~~1;~:: .. 1· :~~ ':,~t;::~t;;18t1~'1t~~';..'.!:h;;.>'.-~,:;cr~::.~.~v,~.:r; l~~fi!~;,~:~~. ~\~~&.0,~~~~~~3J!~~~ .. v"-r1~:~rr)~n:;.l1.i>~·r~ .. ~,,,._~~ ~~~:::~,~
'1i""h:;;bv attir,; itiat i :· exam.pt tr'o
1
· th;~~i··~t~;~~~r~~, i.i~~~·~~\:~~ ;~~·;;;-;'''t~ii~~-i~~,;~1;~;;=··'· '-·"'·"·'··, ... ,.,. ~ .,,,, . ..., . .:,r,,,",.. ''"'"''·"''·' ,,~,~--' ,,,, ... ,, ,w,, :-,. ··""""·'""4<.fJ.°iA:h~
D I, as owner of e property oXi' y employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Busine s and Professio s ode: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and. who does
such work himself r through !1;~J n em .ees, provided that such improvements are not intended or offered for sale. If, however, the building o_r improvement is
sold within one yea of compl~., 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 {he-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 ~ersonally 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 pwson (firm) to provide the proposed construction (includ~ 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 _________ _
~<r.Mi?~~t!f$J~ggJ1_iiNJ:~q)j:Nc;oc.1)fefs,eEiltt~@1.ti;i~o1~J~'.litJilt§~<i1i~*'~,;.~~~~~~!;iifu'!r"~iJ:'£tl~~t~~;r:r::1~~-&~;r;if~n~~~f~~'::i.~J[~-;
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
pr~gram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 10" NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES li3"" NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 a( 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.
I hereby affirm that there is a co~struction lending agency for the performance of the work for which this permit is issued (Sec. 3097 (i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS. _______________________ _
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 ACCRU GAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
e olition or construction of structures over 3 stories in height.
date of such permit or if the building or work authorized by such permit is suspended
days (Section 106.4.4 Uniform Building Code).
DATE _ _._l_-_-'J_-_f~:g"""-----
PINK: Finance
11/01/94 15:40
Page 1 of 1
B U I L D I N G
1 Job Address: 6925 EL CAMINO REAL
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB941372
Project No: A9402024
Development No:
938111/01/94 0001 01
C-PRMT
02
20.00
Occupancy Group: Reference#: Status: ISSUED
11/01/94
11/01/94
MDP
Description: TEMP. POWER FOR TREE LOT
Appl/Ownr: ART SMITH ELEC.
2354 OXFORD AVE
CARDIFF, CA. 92100
619
Applied:
Apr/Issue:
Entered By:
944-4484
FINAL APPROVAL
INSP. __ DATE __ ,
f CLEARANCE ~
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
"'7 ---__J
PERMIT APPUCATION PLAN CHECK NO. f Lf-\ 577,_.,;
~ City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL ______ ~-=-~------
1. PERMIT 1YP£ PIAN CK DEPOSIT _______ _
VAIID.BY ___________ _
DATE'---------------From List 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
~ode of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRClJECf INFORMATION FOR OFFICE USE ONLY
· Address ld1 z5 €/ ~ I) _"~1~ding or fj)/1t: Np. I • • ~,Jo ~/ CAt2.lS PY..'(t.l, Nearest Cross Street
LEGAL DESCRIPTION Lot No. subd1V1sion Name/Number UmtNo. Phase No.
CHECK BEWW IF s0BM11'1'£b:
D 2 Energy Cales D 2 Structural Cales
# OF BEDROOMS # OF BATHROOMS
!:{. WN IACI PERSON (1f different from apphcanfJ
NAME (last.name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPllCAN'I U CUNTMCTUK D AGEN'I' F'OR CON IRAC'IOR
ADDRESS
DOWNER D AGENT F'OR OWNER
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE
s. PROPER1Y oWNER
NAME (last name first) CJ.~ oJ; ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
6. CONTRACTOR A-~. ~~d..·tf-
"~~~~1/ro/
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE
STATE UC. # 37'2.,~,I 7 LICENSE CLASS c:. /0 CI1Y BUSINESS LIC. #
ast name 1rst
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WoR.KERS' OOMPENSA.11oN
Workers' Compensation Declaranon: I hereby afhrm that I 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 Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWN£R-BOilDER DECLARA'11oN
uwner-tluuoer JJec1arat1on: I hereby afhrm that I am exempt from the Contractor's Llcense 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 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
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).
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]).
SIGNATIJRE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFfER.JULY 1, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION OON1ROL DISfRICT.
9. wNS'IROCIIDN LENDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) ClVli Code).
LENDER'S NAME LENDER'S ADDRESS
io . .APPllCAN'I CERTMCA:IiON
1 certify that 1 have read the application and state that the above mformanon 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I A1SO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARLSBAD AGAINST All UABILITIES, JUDGMENTS, COSTS
AND EXPENSES WlilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OF TIIE 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any(Jffie ~the" ~enced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE ~ ~r-DATE: ___ _
WHITE: File YELLOW: Applicant PINK: Finance
\
\
" -
e :_1 1 L t) T r,! i::;
PD"e,; LtJ
11,:,lU,5,t l•:.,n: u
c·,.,n :c. t .c uc t -'_,:,n Ty1.:,e: lll£~·J
7:i E R I-J T ~i
'.:, lJ 1 t I:' :
F'i::rp·:~ t l\', j ~ :-·: ·. -,. • · ,
'~1L t I J t,:·( .. ~ i\~'-' ! ;\':J _ _;: i j_ 6 (~i i·J
[)=-'''-:-li-,f,:\Y.,:.trt·::--
1)ccup2irtcy G.coup: r:e r <?rf.::-nce#: ::,tat1.1.s: :r·~·'.:· :.~::-1
[1(::-sr::-rir:,tion: TE11IPOF:ARY PO'/JER FOR )~:·'IAS IT''::E'SS .~"f.·t=·L_ '=' -; : ,_: . .:: '=
: i\JC> FEE F1ERf'!I T ~ll,.<C , ~ ::.~..:: t J t? : l '.' I'~·: ,' '}
Enh=cr,?,·'i r.:-.,: ~,-
Appl!Ownr : ASCOT ELECTRIC
·.' t,
2382 CA~INO VIDA ROBLE
Cfa.RL::',BAD, CA ~i ·: Ou ~l
j ,. k
"-...., ~ '-~c:;€; 1>,.~_·l,ccct1:"·r.1 ~, Credj ts
----------------------------/ /' .:~-\ ~ \. ---~, ':" ~,..-,/ ~.
Fa::\es: ~n;J'.,,_
,:,,Jju:.:,tm,1nt:::::
Tot,s..l Fe•~s:
\ \
•rtt ltiJ
,., ... I f'-~ ,', ' ('•,.-':'lt ,.._ ~ ,4,.. ··•,IF .-·"· a .. ,. _'"" ,_ t .,., •••••
7c:_~".::--:~ 1 ,. R.: .. '~..,tiH=trft .. -.: :
Ei.::il.:Hl(.:-';;/ I;(,,?:
I
APPROVAL
M-H,.,.,_DATE I ).!
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
. r: :":
• (It;
,\ .·
PERMIT APPIJCATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL _____________ _
PLAN CK DEPOSIT _______ _
VAIJD.BY ___________ _
1. PfillMIT nPE DATE,__ ___________ _
A -W Commercial LI New Bmldmg LI Tenant Improvement
B -LI Industrial D New Building O Tenant Improvement
C -D Residential LI Apartment O Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical O Plumbing
D Mechanical O Pool O Spa O Retaining Wall O Solar D Other ____ _
2. PROJECf INFORMATION
Address Bmldmg or Suite No.
FOR OFFICE USE ONLY
6925 El Camino Real
Nearest Cross Street Dove Lane Future site of Carlsbad Library
LEGAL DESCRIPTION Lot No. subd1vmon Name/Number Umt No. Phase No. Assessor's Parcel Number 215-050-70
CHECK B£WW IP SOBMl'l'rn0:
•D 2 Energy Cales D 2 Structural Cales CJ 2 Soils Report Cl 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK Temporary electrical service for seasonal Christmas tree sales lot
SQ. Fr. # OF STORIES
3. WN IACI PER.SON (If different from apphcan0
NAME Brigette Lennert ADDRESS Commercial Tree, 3627 Waco St.,
Cl1Y San Diego STATE CA ZIPCODE 92117 DAYTELEPHONE 753-4723
4. APPUCANT CJCONIRACIOR DAGEN'!' FOR CONIRACIOR LIOWNEK :k]AGENI FOR OWNER
NAME Chuck Walden ADDRESS 405 Oak Avenue
CI1Y Carlsbad STATE CA ZIP CODE92008 DAYTELEPHONE434-2992 s. PlloPER1'Y OWNER
NAME City of Carlsbad ADDRESS1200 Carlsbad Village Drive
CI1Y Carlsbad STATE CA ZIPCODE92008 DAYTELEPHONE 434-2992 (Chuck Walden)
6. cbN'fRACluk
NAME Ascot Electric ADDRESS 2382 Camino Vida Roble
CI1Y Carlsbad STATE CA
STATE LIC. # 263163
ZIP CODE 92009 DAY TELEPHONE 438-4663
LICENSE CIASS ~ B CI1Y BUSINESS LIC. # 8200
DESIGNER NAME ADDRESS
ZIP CODE CI1Y n/a STATE DAY TELEPHONE STATE LIC. #
1. WORKERS' ooMP.ENSA.TION
Workers' Compensation Declaration: I hereby afhrm that I have a cemhcate 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
Cert1hcate of Exemption: I certify that m the performance of the work for which this permit 1s 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-BOllDER DECl.ARATION
D
D
Owner-Builder Declarat1on: I hereby affirm 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 not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). ·
SIGNATIJRE DATE
COMPLETE tHls SECTION FOR NON-RESIDENTIAL BU!IDING 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?
0 YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES Cl NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF TIIE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF ocx:IJPANCY MAY Nor BE ISSUED AFfER JULY 1, 1989 UNLF.S.S TIIE APPIJCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POU.UTION CONTROL DISTRICT.
9. CONSIRUCIION IENOING AGENCY
I hereby athrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) ClVII Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLlcAN1' CER11FICA110N
I certify that I have read the apphcauon and state that the above mformauon 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 AI.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CI1Y OF CARISBAD AGAINSf AIL LIABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACDlUE AGAINSf SAID CI1Y IN OONSEQUENCE OF TI-IE GRANTING OF TIIlS 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 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: /o./4.i /4 3 ~ ..
WI-IlTE: File YEIJ..OW: Applicant PINK: Finance
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