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HomeMy WebLinkAbout2525 EL CAMINO REAL; 125; STE 125 PRE 2016; PermitCITY OF CARLSBAD BUILDING DEPARTMEI AppIkafiorr BUILDItW-Permit 729-1181 - Ext. 36 Building Permit For Applicant to Fill In 6 PAID Owners Name I APR 9-7O Buildinq DeDf. Use Onl Mail Address _____________________________________________ Contractor Building Address _4A .7S St. Near Contr. Address To Const. 0 To Add 0 To Alter verf 0 To Move From Type of Const. ,'V.XS OA'' te FramdtAasonry, etc. To Be Used For Kind of Foundation _C OA No. of Stories Floor Space (Sq. Ft.) Garage Floor Space (Sq. Ft.) Attached_______________________ Detached__________________________ Legal Description Lot Block Subdivision or Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.L. _______________ Other Group Zone Appr Contractor City Bus. Lic. No. 1 71 Water Meter I Sewage Disposal System Ins pect io n Record7 Section Township Range No. of Existing Building Will this const c include any plumbing installation or alter- ation? Yes No D' Signature of Applicant ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. Utility Company Notified - Date By - I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Final - LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER If a check is tendered for payment for the above fee and the OF THE ABOVE D RESIDENTIAL PR.OPERTY.check is not honored when presented for payment, your building permit will be immediately revoked. SIGNAT City of Carlsbad Building Dept. OF PE Permit void if work is not commenced within 60 days of issuance. CITY OF. CARLSBAD PLUMBING BUILDING DEPARTMENT PERMIT - APPLICATION OWNER MAIL ADDRESS '" CITY TEL. NO. PLUM BERe - ADDRESS4 -ç C ITY /4 TEL NO. STATE CARLSBAD'BUSINESS LICENSE NO. LICENSE NO. NO. ITEM FEE TOILET © $1.25 BATH TUB © 1.25 SHOWER © I.2 15 WASH BASIN © 1.25 KITCHEN SINK © 1.25 r DISHWASHER © 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER © 1.25 WATER HEATER & VENT © 1.50 GAS SYSTEM I TO 15 .30 EA. ADD. © 1.50 FLOOR DRAIN OR SINK © 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING © 1.50 GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 © 2.00 GRADING PLAN YES 0 NO 0 PERMIT $ 2 00 TOTAL FEE $ 4 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE BUILDING ADDRESS NEAREST CROSS ST. GROUP ZONE Inspecflon Record - APPROVALS DATE INSPECTORS SIGNATURE UNDER FLOOR WORK ROUGH_PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. CITY OF CARL AD BUILDING DEPARTMENT 729-1181 - Ext. 36 - For AD&icantfo Fill In PERMIT NO TOTAL FEE $ IS Application for ELECTRICAL Permit A?R 17-70 5--989***PAID ***i5.00 Bu Ina Deot. Ue un v PERMIT FEES: . Each Fee BUILDING ADDRESS: Item Recpt. Sw. Lighting fixtures w/ballast for each 10 $ 1.00 St. Near . . Elec. Ranges, Clothes Dryers, Water Heaters .50 OWNER / k Elec. Space Heaters Dishwashers, Garbage Disposers, Auto. WashBrs,,Sta. Cooking Units . .50 ADDRESS: 'MOTORS: Per each ,00tor H. P. CITY: TV 1 yy, f 0 to $ .25 1 to (i.,) $ .50 . • TELEPHONE NO. 2 to 5 $ 1.00 ' 5 to 15 $ 1.50 State City Business License /p'/ License 16,f'9 15 to 50 $ 2.50 - 50 to, 200 $ 5.00 Group Zone By SIGNS: No. trans. Ea. $ 1.00 . . . Inspection Record: No. lamps over 50 e $ 50 SERVICE: b toO0 150 AMPS For each addit—ionaT 100 Amps. $ 10.00 $ 2.00 Tem Power Pole, 100 AMPS or LESS $ 3.00 1007 SO. CLEVELANDp. 22054 For Each add 'I Meter, over one per service $ 3.00 MISC: Approvals ' Date . By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit TOTAL: Temp. Power - R. Wiring F ixtures -. . I ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD ANDTHE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH ABOVE DESCRIBED RESI- DENTIAL PROPERTY. SI GNATURE . S.D.G.&E. .- . . FINAL: . 1 BUILDING ADDRESS NEAREST CROSS ST. - GROUP ZONE inspection Record F R PERMITAI&V8******* - - IT OF.CARLSB • #UNBIN6 BUILDING DEPARTMENT ESS CITY TEL. NO. P L U MBERC5c 777/Y ADDRESS/ 5_ C I TY TEL. NO. STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. /1 NO. ITEM FEE TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 GAS SYSTEM I TO 15 .30 EA. ADO. @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.50 GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00 GRADING PLAN YES[] NO PERMIT $ 2 00 TOTAL FEE $ 460 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENT PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. USE BAIL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ihereby'affirm that I im lIcensèd'under w I. provisions, of ' Chapter-9 (commencing with .'. I Sectlon'7000) of Division, 3,of.the Business,: and Professions Code,-and my license is in - I full force and effect.,." - Z f,, Y I.C. No. Class -. ' ci .z,. • , a I hereby .aftirm that I am exempt from the Contrac- tor's License Law for the following reason lSec. 7031 .S ' .7 .Business and Professions Cede: Any city or county which re- quires a permit to construct, alter, improve, demolish, or - repair any structure, prior to its issuance also requires the ap' pticant for such permit to tile a signed statement that he is .. licensed pursuant to the provisions 01 the Contractors License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Cede) or that is eo- exemption '""empl thorelrom and the,basis for the alleged .,Aoy ç I - . violation of Section 7031.5 by an applicant for a permit sub'' ects the applicant lea civil penalty 01 not more than live hun-dred. - 0 I, as owner 01 the property, or my employees with wages as their sole compensation, will do the work, and the struc' tore is not intended or uttered for sale Soc. 7044. Business' and Professions Code:, The Contractor's license Law does 5 ', . not apply to an owner of property who builds or improves - thereon and who does such work himself or through his own - intenemployees, provided that such improvements are not d—,W ''od or ofte'red 101 sale. H. however, the building or impr6ve', Z moot is sold within one year of completion, the owner-builder ' I will have the burden 01 pruning that he did not build or im' - 0 , prove for the purpose of sale). - 0 I, as owner of the property: am exclusively contracting ". - with licensed contractors to construct the project (Sec. 7044, '. I 'Business and Professions Code: The Contractor's License - - Law does not apply loan owner 01 property who builds or im- proves thereon, and who contracts for each projects with a . U) contractor(s) license pursuant to the Contractor's License 0- Z . Law). • . ' 0 As a homeowner I am improving my home, and the follow' ' ing conditions exist: - I. - -'I -- y, 1 . The work is being performed prior 10 sale. -2,. .1 have fixed in ,my home for twelve - months • prior to completion of this work. 3. I have not' claimed this eoempfion,during the C '" last three years. . . - -. n 0 lam exempt under Sec. ' ' . B & PC. for this reason n • •'______________________ -- - 0 I hèrèb al tr;rn that I havea cert,tcare of consent to sell.,nsure, or a certificate 'of Workers Compensation Insurance', or a certified copy thereof L (SeC. 3809.' Labor Code). \ - Z ' POLICY. NO. - COMPANY - en 0 Copy is filed wth the city ujil '0 Cerltied'cotsy is hereby IurnshedIL a..- ---- •- - 0 • r'CERTIFICAT), dF EXEMPTION FROM - .'. WORKERS COMPENSATION INSURANCE en (Ths secton-need not be completed 1 the permit "LLI s-br one hundreø dollars l0t) or Iess . - - 0,1 certify that alOe performance 01 the work to p '.0 • ,'whCh t his, permit is mooed, I shall not employ any. person in any manner so as to become subject to the—Workers' Compensation Laws of California 'r- NOTICE -TO APPLICANT, II, alter making this Cert....I - hcale of Exemption. you should become subject I',- the Workers Compensation provisions of the Labor Code, you must, IortI'rwrtk Comply with such pronsons or this perrnvt shall be deemed revoked .-T,,a'-. ;:. • .. '*.• /''' . . .• • - -,, m .1," •-' LI • 0 10ereby afkr. that rthere s a construction , lending agency for the performance of the work for )-,,whrco ho permit is issued ISec 3097. Civil Codel • I a .. Lender s Nme .1(' . ....o: •-r •' . .j,Lenders Address . .., .. CARLSBAD BUILDING IiEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ' .. . . - ,• .108 ADDRESS, . AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # , VALUATION PERMIT NUMBER ZONE / • 1/ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. COFTRACTOR ' CONTRACTORS PHONE C . 72 -vc USIL - -, I! •' OWNER'S NAME OWNE R'S PHONE, CONTRACTOR'S ADDRESS LICENSE NO, PLANI.D. v" - 86G 'USE CODE /q27,/ 21 W 1 0 ILcLTol,,__'-''- r41 4U,05 , OWNER'S MAILING ADDRESS - 47 "2 .44L'vn&Qi90 (f Pd & p q.21 - DESIGNER' , LICENSE a STANDARD PLAN # -: ,BUILDINI.FOOT.*GE WORK '('-'i--Jo)'?) TM fø,f a DESIGNER'S ADDRESS , DESIGNER'S PHONE :'7f•3I/e8qb3;•011 TO 2i 6 rESCRIPTIQ^OF 12 e F/P FLRELEV NO - OCCGP : ,"• —i- EDU STORIES '• 'e 001I - 'Y-YO NO ''- - - .,CENSUS TRACT, . OP LAND USE' - PARKIN PACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR 4 -. . • - 1 , .• - CONST AREA. • -, .' • - yD N 0. . ntD NO .. 'YO ~No - Not Valid Unless Machine Certified, QTY , PLUMBING PERMIT ISSUE,. 5:2:... QTY n MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP, - ..' INSTALL FURN. DUCTS UP TO 100,000 BTU • ,L. . BUILDING PERMIT . 01-00-00-8220 T3 EACH BUILDING SEWER - • . • • - . - OVER 100,000-BTU . ._• SIGN PERMIT - • . - - 01-00-00-8221-- - - . . - 01- 4. EACH WATER HEATER AND/OR VENT - , - - / BOILER/COMPRESSORUPTO3HP ,PLAN CHECK ,. _01-00-00-8806 -,_5/ -EACHGASSYSTEMI-TO4_OUTLETS'- '- .•. ___.• BOILER/COMPRESSOR ._ '. • TOTAL __01-00-00-8222 - -/..,j -: .EACH GAS SYSTEM 50R MORE, ' . - . ' . METAL FIREPLACE - * .. ,- '. - . ., . . ELECTRICAL .a01-00-00-8223 -. EACH INSTAL. ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT , MECHANI J. 01-00-00-8224 /1 ., EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS - - , - - MOBILEHOM - 01-00-00-8225 - - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER , MOBILEHOME PAPONU ' - - EACH ROOF, DRAIN )INSIDE) - - •• ' -' - a . ' ' • ' ' SOLAR • • ' •' 01-00-00-8226 - - • 'l - ..TOTAL MECHANICAL ' . ____'-•',.- _____' •t // - STRONG MOTION __"- _80-92-33'05i9 --DT,PLUM8lN&-'. __._- _- -'FIRESPRIN'KLERS ---01-00-00-8227 ' _, _• , - QTY 'I.'...' V'L' i ELECTRICAL PERMIT ISSUE' $_. • OTY - . . - SOLAR ISSUE - ' PUBLICFACILITIES FEE 32-00-00-8930 • ' ..'BRIDGE FEE- -•-*....' - . -•' ,.,•- ..,E NEW CDNSTEAAMP/SwT/ut<p _- .. t COLLECTORS'- __.-... . .SCHOOLFEE -DISTRICT • 1PH • __.7 P01) -.. STORAGE TANKS, . _. Carlsbad -..-.80-92-21-0519 --'.- EXIST BLDG EA AMP/SWT/87Tr . ". - '. • •' • ' ' ROCK STORAGE ,'--°e--Encinitas 80-92-i2-05f9 1 PH 3 PH PUMP SanDIegullo ____809223_0519, _' a - REMODEL ALTIR PER CIRCUIT PLANCHECKFEE _.,'__- '-\f a _San Mar co ' s TEMPPOLE'200AMPS -•_- •s- , - . '•n -- ----•-----*'•*-,.•'.'.-,:--k4-\r-'-t' _ OVER200AMPS' __,,".' ..:,,-• - - \''.' -LICENSE.TAX01-00-00-8162 _' '• TEMP OCCUPANCY )30 DAYS) -* -.. 't'. - "•* 'n MFF8O-92-57-0519' ' ,.• .a*.n._ __,.•,• CREDIT DEPOSIT TOTAL: ELELTfllCAL TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAhrUILLY EXA'MINED THE COMPLETED AND PE*RMIT" AND Do' HEREBY Expiration ~Every permit issued bytheBuilding Official under the provisions'oftWis AN OSHA PERM:T IS REOUIRED FOR EXCAVATIONS OVER CERTIFY UNDER' PENALTY OF, PERJURY ,THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authori;ed by such permit is not commenced within 180 days from the datof such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if the buildin or work authorized by Such permit is uo:neor STRUCTURES OVER 3 STORIES IN HEIGHT , ISSUED: TO COMPLY, WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON -abandoned at any time aer the work is commenced for a period 01180 davo. . STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , • . -' APPRO D BY I!J( KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL' LIABILITIES, JUDGMENTS, COSTS AND APPLICANTlGNATURE ' - OWNER 0 CONTTRACJOR EXPENSES WHICH MAY IN ANY WAY, ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONED GRANTING OF THIS PERMIT. . - - ,. • . - • . ., • --' - • - • • . . I -• - a - ' a, :n - ' • ' 'a., 4.. ' • • , ' - .7 TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUN ITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF U SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING I SEWER AND BL/CO DIP L/CO UNDERGROUND jWASTE 0 WATER 7s 4'-i7 TOP OUT 0 WASTE W4TER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND 0 IJFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPOM.ARY 0 BONDING 0 POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPINIG HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED - FINAL I PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS . INSPECTORS NOTES '• . -- INSPCi-I.ON REQ. IF INSPECTORS :- - CHECKED APPROVAL DATE L SOILS COMPLIANCE '. PRIORTO FOUNDATION I NSP c , / .-:-.. ,- STRUCTURAL CONCRETE - 2000 PSI PRESTRESSED OVER CONCRETE POST TENSIONED CONCRETE :FiELD WELIN. HIGH STRENGTH BOLTS - - SPECIAL MASONPY- '. - - . -• -- . PILES CAISSONS . . . .... -. - y 5- '.5-.. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSAD BUILDING DEPARTMENT ' - APPLICATION & PERMIT i 2075 LasPaImas DrCarIsbad, C2OO9-1915 (619) 438-1161 - - -- -------------- - - .- -- JOB ADDRESS -' - - -' hç)' - AV\ST.RD.'i. f'-T 0 AS BROS NO. ' - 0 TE F APP ICATION BUSINESS NSE a - VALUATION PERMIT NUMBER -2rr LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO I ' ONTRACTOR CONTRACTORS PHONE C Cf I 39 ZONE OWNERS NAME 01 OWNES PHONE BUILDING SO. FOOTAGE -- - - ........-. CONTRACTORS ADDRESS STATE LICENSE NO. Lk+ 78iD -w - R'S MAI LI NG ADDRESS - - - - DESIGNER DESIGNER'S PHONE - ' DESCRIPTION OF WORK' ' - if - -- - -. - ' - - -' DESIGN ER(1ADDIESS . - STATE LICENSE-NO. ' , -7930-,06/29/89-0001'01 02 PIdPmt 72400 - - - - NO OCCGP EDU - - ' yD ND—L:L FIRE SPP CENSUS TRACT 'PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE , 0CC LOAD -- - - ' 'P ' AREA - - - - -- CONST -- - TO N 0 D NO YO ND Not Valid Un/em Machine Certified QTY., PLUMBING FERMIT - ISSIE 'LO --'--1----------4 ' T MECHANICAL PERMIT ISSUE OD - -- - - - SUMMARY/ACCOUNT - Law does not apply loan owner at property who builds or m - - - - - contractor(s) license parsuant,.to, the Contractor's license EACH FIXTURETRAP - - - - ' ' ' INSTALL FURN, DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220 ZHO eJaw(.EJ. EACH BUILDING SEWER -•--- - - - - - -- OVER 100,000 BTU---r— - '"---- '—SIGN PERMIT - - - - OO181O-0OOO8221' f-Eing conditions exist f('1Ly L1 EACH WATER HEATER AND,OR VEPJ_- - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891__, ' ' 'EAC'H GS'SYSi'EM'rri3 4OUJ.1S I - . BOILER/COMPRESSOR 3-IS' HP I . - TOTAL PLUMBING 001-810-00-00-8222 - 'EA'CH GAS SYSTEM ORME1 -- -'-' -• - ' - -'.- - -p -- METAL FIREPLACE - - -'- —t ' -' i---"- - '-- ' - - ELECTRICAL-- - -'- 001-81000-008223 - - -.-EACH INSTAL,-ALTR'EPAiR WATER PIPE ' ,. ' - - VENT FAN SINGLE DUCT - MECHANICAL 001-810-00-00-8224 -EACH.VACUUMIREAKE,R.,. ___ -- -:, MECH EXHAUST HOOD/DUCTS - MOBILEHOME - 001-810-00-00-8225 WATER,.8'(TNER - ' - , - .. 4._ RELOCATION OF EA FURNACE/HEATER -.-- -- --- - ----- k— - SOLAR--- - - -- '' 001-810-00-00-8226 -- - '- - - EACW0OF DRAIN (INSIDE) , DRYER VENT . f - STRONG MOTION 880-519-92-33 '- or a 'ce,tificate,oI Workers' Compensation'rr',L - , c------ - - - -- '" '-TOTAL MECHANICAL'' ' .- J --'- I .2A-/T-_#- " n'- - '' ' FiRLSPRIkLERS 001-810-00-00-8227 - - i )E.ZPOLtCY NO. - t.) iii. .J.- I 'TOIAlLOMBIF[,-------I_-- _I - PUBLIC,FACILITIES,EEE320810-00-0O-874O --------------.----- GO BRIDGE FEE 360-810-00-00-8740 'PARK-IN-LIEU(AAEA --'-----'------------ OTY. -------- - ELECTRICALPERMIT -ISSUE. - QTY. -' MOBILEHOME,SETUP - -. . - - - 0 Certified copy 'isherebyfuthished $ _______________ NEW__CONSTEA_AMP,SW1__BKR • CAR PORT L. - TIE_. 312_81000008835 - 1,H_ - -------------/~13 - AWNING - , LA COSTA TIF - 311-810-00-00-8835 ._WORKEAS:. COMPENSATION INSURANCE. . . EXISTB LOG EAAMP/SWTBKR - ' GARAGE FMF - :1PH _3PHI LICENSE TAX OO1:810-OO'OO-8162 ,, ,REMODEL'ALTiiR PER CIRCUIT 'IJ 5 _i '.---.- r . -- - -------------------- ---------- ' MFF 880-519-92-57 TEMP POLE 20 ___MPS -.-a---- ..--"...-I j—" -- -- -' -- ---------'.-- — -'----- --m.-'-- --' - '- - -' --OVER 200 AMPS ----- TEMP OCCUPANCY.(30 DAYS) I ---CREDIT DEPOSIT ---' 'T be deemed Enókeet,"' TOTAL [LELTRRAL _ )T0 _ t,J TOTAL FEES PAYAI 7 HAVE I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit ssuedby the Building Oft cialunderlheprovisionaolthis * AN 014 5 T IS REQUIRED FOR EXCAVATIONS OVER UNDER PENALTY OF -PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code b expire by Iirnitatmon and become null and void If the building or work " 50" P AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such permit, DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS or if fEe buildino or by ISSUED: TO COMPLY WITH ALL CITY. COUN1'Y AND STATE LAWS GOVERNING BUILDING CON such permit suspended or ST TURES OVER 3 STORIES IN HEIGHT -._-_-_-_-_-_-- abandonedatanylImesliertheworkis commenced for a,period01180days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS APPLIC T'S SIGNATURE * ' 0WNEAD CONTRACTOR APPROI - - DE /1 - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE - GRANTING OF-THIS PERMIT,-- - 2L ' BY PHONE I ' - USE BALL POINT-PEN ONLY &.PRESS HARD .-2-r-- 0 .1 hereby affirm that C am licensed under )I'.)Provi&ons of Chapter 9 (commencing with, - -Section .7000) of,, DivIsion 3 of the Business I' and Professions Code, and my license is in i full. force and effect.. 11tI4r'\,!' .hereby. affirm thai l. am exempt from the . Cuntrac' Fr1r . or's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- quires a permit to construct,'alter,improne;-demalish, 'or" b f' 'repair any structure, prior to its issuance also requires the ap' - r-a plicant for such permit to-file a,sipned statement that he,is._, licensed 'pursuant lô' the .provisions of the Contractor's License law (Chapter9 commencing with Section 7000 at 'Division 301 the Business and Professions Code) orthat is ex- empt therefrom and the basis for the alleged enerrrption Any r_ violation-of Section7031.5byàn applicantl or, a permitsub: ects the applicãhttoa civil penalty oI- not -more'tfian tide hun ii drè'd dollars - tI,, tan owner 01 the property, army employees .with wages ----i - Jatheir'sele,cnmpensation! will'do the work, and the struc' o tare snot intended or offered for sale (Sec 7044 Business and Prntessinns Code: .The Contractor's License Law dons I not apply, to an owner ol.prnerty' who builds orimproves dlll thereon and who does such work-trimsett or through-his own -. ()(employees,-provided-that such improvements are' nót.intend'4 "-'I ILl e or altered for sale II however the building or improve Z mont is sold within one-year olcompletion: the owner-builder will have the burden'nl praniiigthatrhe did not baud or im' i '—'0 -- prone for the-purpose of sale). I C. I, as owner 01 the property, am exclusively contracting - 1 .3),with licensed contractors to construct,he project (Sec. 7044, 'Business' 'and Professions- Code: The 'Contractor's License rprovesthereon,--and-who'cnntracts for each projects,,with a'$,)11' F] As a'homeowner lam improving myhome, and the follow" 4 f '- -: 1'The work is heing'performud prior tosale 2. I have-'lived. ix ,my home or twelve months prior ta'cempletien.ol Ibis work! -----3.- I '-have not, claimed Ibis-' enemption 'during - the --I O last three years. "O,lame'ern/FunderSec. br, this reason Vi 141U Irie eby all m that isa e acertificate of consent to surance, era certified copy thereof (Sec. 3800, Labor Code) I - - r •'r A • -' COMPANY I .'—Q -Copy -isliied'with the City LU IL 02 FI cEATlFIcATEOF,ExEMpTloNFR'oM I tf/°" r /(This500tion need not be completed if the permit - •' 'is for one hundred dollars $100) or less) - - .------ -----I- - F" E 1 cEi'tily that in the performance of the work for which lul - -- this"peirnit is sailed, I shalf,erot employ any person in any 0 manner so as to become subject to the Worhers' Compen. I sat'ion Laws of California. - - NOTICE TO APPLICANT: If: àftèr,Eiahiog this'ertificate$ 'U 01 E empt o you should become subtect to the Wo he 5 - Compensation provisions of the Labor Code, you mast forthwith comply with such provisions or this permit shall i 3.1 mfj 15 -nv 71 Il'If.reigyr Ifilr4m4that there ac.j is construction lending i agency 10 the performance of rhoi 10 wh ch th 0 pe - LCUJ 0A 0)5 minis issued ISec. 3097, Civil Code) - WI Lender's Name -II ___ - TYPE .. DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT - - SHEATHING - El ROOF EJSHEPR FRAME .. - EXTERIOR LATH - INSULATION INTERIOR LATH & DRYWALL." PLUMBING UNDERGROUND 0 WASTE 0 WATER TOP OUT DWASTE DWATER" - TUB AND SHOWER PAN GAS TEST El WATER HEATER 0 SOLAR WATER - ELECTRICAL .- - El ELECTRIC UNDERGROUND El UIFER -. ROUGH ELECTRIC 0 ELECTRIC SERVICE El TEMPORARY - El BONDING El POOL - MECHANICAL El DUCT & PLEM., El REF. PIPIN HEAT — AIRCOND. SYSTEMS . .... -z VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPR1ATF UJ:JIc ELECTRICAL MECHANICAL W, AMA MUILDING lrmr — SPECIAL Is]I']Ii!s11F - (t Ice - - FIELD INSPECTION RECORD . .'.'. .. REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ( N INSPECTION REQ. IF INSPECTOR'S DATE_ .CHECKED SOILS COMPLIANCE APPROVAL.... ' PRIOR TO - --- - -- - - FOUNDATION INSP ---4---------..-- .STRUCTURAL CONCRETE OVER 2000 PSI .PRESTRESSED CONCRETE POS.T.ENSIONED. - - CO'J'CRETE FIELD WELDING- 'HIGH STRENGTH, - -'I - .4- 1 --------- ---------- - - BOLTS-. - SPECIAL MASONRY - - --: ..'.:...: ---.- _____$_• -- - - ------- - - - ------ - _* --- - ________________- ______ __________ ______ ---PILESCAISSON-s - - . .. - - \•••S*_.., I - -: ---•---•i • - ** - •11- ..P . -. - -. -.- -- -.."-- - J, -- - :- - tT-- t -- . - T -•-1 _ - - rr I) ' CITY OF CARLSBAD .3 INSPECTION REQUEST PERMIT# CB890804 FOR 06/12/90 INSPECTOR AREA PK DESCRIPTION: STE #125 DEAN'S PHOTO 630 SF PLANCK# CB890804 STOREFRONT. REMODEL 0CC GRP. TYPE CTI CONSTR TYPE NEW JOB ADDRESS 2525 EL CANINO REAL STR FL STE APPLICANT RUSH, STEVE PHONE 619 697-8139 CONTRACTOR RUSH, STEVE PHONE 619-697-8139 OWNER DEANS PHOTO 1 PHONE REMARKS T2/MH/STEVE/697-8139 INSPECTOR SPECIAL INSTRUCT TOTAL TIME CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical .49. ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 060490 Final Combo CO MPC NDS FIRE'S OK 031490 Interior Lath/Drywall AP WDM 030590 Frame/Steel/Bolting/Welding AP PK SOFFIT SUPPORT AND FRAMING 030590 Rough Electric AP PK 012690 Ftg/Foundation/Piers AP PK e. :- • c_I P BU *-,- WA ILDING PERMIT PermiNo CB970446 04/O,7/97 12 33 Project No A9700606 Page I of 1 . Development No JobAddress 2525 EL CAMINO REAL Suite 125 Permit Type COMMERCIAL TENANT IMPROVEMENT ')4/07/970001 01 02 Parcej.k*No 156-302 -09-00 Lot# CPR1T &0Q Valua4tlon 18,200 'Construction Type NEW 0cc4ancy GDbup eference# - Status ISSUED Description CTI 850 SF Applied 03/04/97 "DEANS PHOTO" .Apr/Issue 04/07/97 Entered By JM V., Appl/Ownr, STEVE RUTH 619 726-2854 :.J652.SAN LUIS REYAVE . .. . . . - . . . VISTA, CA, 92084 - FeesRquired 0,0 Adjustments 152 B a 1ççd \ 265 00 - -------------ede"scription i Extfe Data Bü¼iclding PermIt V ,, V •' 198O0. Plan' Check :zb _____ 129 00 J. C '*. 4/' A A A ron IlT,t rloLlo Fee',". .5 * BUILDING TOTAL (.) I C) 331 00 Z Enter, 'Y' for Plumbi g u Fee-,41 20 00 Y Ech Insta1'i/Repair ater L n 7 00 7 00 :, -. PLUMBING TOTAL . . 'V. 27.. 00 ,., , V •-. Entèr Y for Electii Issue e 10 00-Y • Remode1/A1er., Per 'AMP 011.1 .25 25 00 ,* ELEOTRICAL' TOTAL - . .INCORPORATED ' 35:. 00 -Ere Y'' fOr Mchaiica Ije 1952 . ,.J. 5,:q Install Furn/Ducts/Heat uT p&//?> 9 0 9_00-',,L,. * MECHANICAL TOTAL 24 ,00, - V V - -• ,:''_ '•' . P V t I , c " n-,• •' - .. .4 . . FU\JAL APP ROv4A,L 04, INSP. __ * 4CLEA RANGE $VVV? •;.*:::, V _V..VV2V_VV_.__ _V V V •V {.. ,, ' : :V; V;V:c .: ;V :';H: • :i CITY OF CARLSBAD , 2075 Las Palmas Dr ,Car1sbad,CA 92009 (619) 438 1161 V VV • -' ••V •V_ V4SV •V - V •V •,•VV.•V.: V 4 Sn 54 4 '- Sn QK11L)%9 -- PERMIT APPLICATION '- •••4 CITY OFCARLSBAD BUILDING DEPARTMENT'- :2675 CA' 92009 ,,X760)438-"1161 - FOR OFFICE USEONLY. PLANCHECKVNO. 4. E9T.vALZ2i/6Z) Plan Ck. Deposit" f5ZOt. - i < ..-,V_t, .•4 • 1 Validated 'By___tJ7'---'- Date 77 H 25Z5Ei - tAddress (include Bldg/Suite #) - -- - - - _ Business Name (at this address) 7/o4,t97 02T - 00 - -- - -'•''- '' ' ,Legal Description - - '''' -- Lot No Subdivision Name/Number Unit No. Phase NOV `Total # of un& t Assessor's Parcel # Existing Use - - Proposed Use - - 1 •. V -- - —. - V.. •. . ' Description of Work .Vl_V -- - -• -- - SQ. FT. - - 'flOf Stories # of Bedrooms --- - # of Bathrooms-'- - .!', :",. i(,'J:'hl.' . *.,,T, 4 ..'''1k ,"'- 1 , ._'V. ..-r') ' I.- coNTACT t app ( ¶ Name - - - - - - Address '.-- - -S- -,_ -- --City - - - - State/Zip • -Telephone #,- - -Fax #--Ili tor fCr V PucANT __W2-' _S...L-i5 Ptv._.CA____lubll DU I Name- ---- - Address ---' . -' City— ' State/zip—' Telephone # - - - - 272z7 . Name Address . • .City . - - State/Zip - , 1Telephone # .- V I5CONTRACTORCOMPANVNAME'.•-- r •.: (Sec. 7031.5 Business and Professions Code: Any City. or County, which requires a permit to construct, alter, improve, demolish or,ieAirny structure, prior to its t, issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the VContractors License Law [Chapter 9, commending with Section .7000 of Division 3 of-the Business and Professions Codel 10r that' heis exemptthefrom, and tle basis for th'.11eged axe i n. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more thanfive hundred dollars l$5001):t - - :- - V Name r - . ". .. Address City L. " '!State/Zip—'U. • Tel h # - - ,A' , , - V V - -• • V 11 • State License- # -Tt)(._ñ'S_l,._ _' * License Class * - - V usiesicense# V V Designer Name.,,, - Address, - - V City -t -, .• V '. .State/Zip V Tel 4-State License #. ____________________'3 •,,' * t_,, 4.oj 'vk t1.VLl, Vt'tDJs- LI-I . . Workers' CompensatiñVDlaration: I hereby affirm under penalty of perjury one of the following declarations: - il.. 'I'" ' --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. -. 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 -j issued. My worker's compensation insurance carrier and policy number are: -- ',_"- _i• -4 - Insurance Company S4-t.f(_J_-d Policy No,77_ç _4_ •V - Expiration Date '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is iss.jed'I shall not employ, 'any ersTirin any manner so .to become subject to the Workers' Compensation Laws of California. - V - - ._. r, . . . .- .- ._. ,c..' - •' WARNING: -Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to c ' riminal penalties and civil fines up to one hundred - thousand dollars ($ 00.000). in a dition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.,' DATE 471 - . ...*-.------ I hereby affirm that I am exempt from the Contractors License Law for the following reason - - r '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 sale1 (Sec. 7044, Business and Professions Code: The Contracior'i License La does not apply to n dwner.of property who builds 'orimprove ,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 Cod:i.The ,,Contractor's License Law do not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law)._.. - ,, ,. • V - — -. 4?! ': . -- - - - V 0 I am exempt under Section Business and Professions Code for this reason: V V • , I - - V I personally plan to provide the major labor and materials for construction of the proposed roperty improvement. 0 ONO I (have / have not) signed an application for a building permit for the proposed work. 1 .\. . 3 ---1 have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / Contractors license .number): V _•4_ - - V. - '-VVV • - •*t' 'l plan tproiidej&tion'f the w"ork,'but I ha hire"d the followirg persotoordir, spèise and pro'idth mjwork' (include nar addriss' / phone number ,/,contractors license number): ' - - ? •- i . ' 'fir' ' I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phorie number / type of work): - ' '- V ., .. - - . - ,. V - - - - _ - - --------------------V - PROPERTY, OWNER SIGNATURE- DATE--- '.ONL ..... 5ECTION1 f7YAL BUILDING PERMITS 115 the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managementand prevention t-program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act?--E] -YES :.o NO • --'-k- - - -- . - - V -. '' 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 0 NO Is the facility to be cohstructed within 1,000 feet of,the outer boundáry of a school site? .0 YES - 0 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. V ___ 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 '' - ' '' LENDER'S ADDRESS' _ . .. certify that I have'rad the1aplication and state that'th'above informa'tion is correct and that the info'mtioñ dn tle plarisaccurate. I ag?eé to7compiy'iith all * Cityordiñances and Statellaws relating'to'building construction. I hereby"authorizè representatives of the.Citi 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.- . - ,• , , - * - V. V , ' r'. .. . - -V - , V '• . , . OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures ove 3'stories in height ,V. - V - ' - i V,I '•V - _ * 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 V., 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 wo k is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).--, APPLICANT'S SIGNATURE * _ DATE *f3 4_c1 7 - -V•_5_----------- '' WHITE: File YELLOW:Applirct PINK:'Finne CITY OF CARLSBAD - .INSPECTION REQUEST PERMIT# CB970446 . FOR O57/47% INSPECTOR AREA .TP DESCRIPTION: .CTI 850 SF . "DEANS PHOTO" - • ' PLANCK# CB970446 5/ 3/cY CCC GRP TYPE: CTI. .CONSTR. STYPE NEW JOB ADDRESS - 2525 EL CANINO REAL STE 125 LOT APPLICANT: STEVE RUTH. * * PHONE.: -619 726-2854 .'. CONTRACTOR: •; . PHONE: •• 5 .- .- ,OWNER: - . ,PHONE: . •..••. ' REMARKS: C/FRANK/434-1.075 INSPECTOR, • SPECIAL INSTRUCT: . . • TOTAL TIME r • :' CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29. PL Final Plumbing L_' .._•.._._,. ____:- _. 39 EL Final Electrical 49 . ME Final Mechaniôa1. _L_ • _._._. _._._. INSPECTION HISTORY DESCRIPT.iON . DATE - .•• ACTINSP. COMMENTS , •. 5 062797 Interior Lath/Drywall AP Pk .0.61897 Underground/Under Floor AP TP . . . -• -. • 061897 Frame/Steel/Bolting/Welding AP' TP . REST & STORE FRNT. :- 061897 Rough/Topout . .. .* AP :T. • ... .061897 Rough Electric AP TP : WALL/CElL • • - - . .5 * S • • c-S .. a • ••' . S . . :-- :. •. S -• . _5, •. 5_ * ,• ... .• S • . _.- S ..,. '•• ._.S•.. S - J :. - S • - * - . S - S S - • . • ,••• 's. 5 1 4 .5. • , . -• .: • •• . : • . • -. City of Carlsbad - 1635 Faraday Av Carlsbad CA 92008 02-19-2002 I Commercial/Industrial Permit Permit No CB020195 . Building Inspection Request Line (760) 602-2725 JobAddre'ss: 2525 EL CAMINO REAL CBAD St: 125 . ., '.'Permit Type: TI Sub Type: COMM . ,.,Parcel No: 1563020900 Lot #: 0 Status: ISSUED ,Valuation: $25,050.00 Construction Type: NEW Applied: 01/16/2002 : Occupancy Group: . Reference #: Entered By: JM Project Title: PLAZA CAMINO REAL - RITZ CAMER . , Plan Approved: 02/19/2002. . . INTERIOR REMODEL - TI 835 SF Issued:, 02/19/2002 Inspect Area: J'Applicant: Owner: HERSHMAN ARCHITECTS ) _PLAZA CAMINO REAL C/O WESTFIELD CORP INC 1180 v,iio' - 23625 COMMERCE PARK ROAD,.. 11601WlLSHIRE BLVD"-. v' IF/O. OOO. vi O. CLEVELAND OH 44122 LOS ANGELES CA 90025 N COP 325-50 216-464-4144 ./ . -. Total Fees: $469.50 / Total Payments To Date: '' $144.00 r BalanceDue: $325.50 v". B Permuilding Fee../ , $0.00 Plan Check ...) / $143.49 fIMeter \ 0 \ $0.00 :;Add'l Plan Check Fee / $0.00 SDCWA Fee \ \ $0.00 Plan Check Discount / $0.00 CED,Fayoff Fee . $0.00 Strong Motion Fee / 'Paik Fee $O OO PFF D Fund) LFM Fee ' ( $0.00 License Tax - $0.00 Bridge Fee - I $0 0O -License Tax,(CFD Fund)'J $0.00 BTD #2 Fee . $0OO %. ,Jraffic lrnpct Fee I $0.QO ' BTD #3 Fee, 0""61, ltj Tffic Impact (CFD Fund) J $0.00 .0 - Renewal Fee $0.00 % PLUMBING T AC" J $41.00 AddI Renewal Fee $0.00 ELECT RICALTOTAL / . ' f $35.00 OtherBuilding Fee , \ $0.00 MECHANICAl~-TOTAL. * / / $24.00 Pot. Water Con. Fee $0.00 Màter Drainage Fee" / 1 $0.00 ' Meter Size \ / /- Sevr Fee- $0.00 Add'l Pot. Water Con. Fee \ $0.00 Redêv Parking Fee ,/. - / $0.00 Red. Water Con. Fee \ . N$0.00 1NCOfAdditi6al Fees .7 / - $0.00 - -. \ © TOTAL PERMFrFEE D / $46950 \lIiQflrc\3 / •.'. _-' .? Inspector Date: '//t2Z- -'arance NOTICE: Please take NOTICE that approval of your project includes the Imposition' of fees, dedications, reservations, or other exactions hereafter coIlecti'ieIy 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 toattàck, review, set aside, void, or annul their imposition. . - :'t'OU are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any . fees/exactions of which you have previously been given a NOTICE similar to this, oras to which the statute of limitations has previously otherwise expired. .• S - - . . * * ._ • 'S : FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO/ 2- CITY OF GARLSAD BUILDING DEPARTMENT ET /AL 75 6 1635 Faraday Aye, Carlsbad, CA 92008 Plan Ck De SI ' 141 Validated BJ Date '.: J ,RROJE &tiON __ t crnniô_EEftL_TM?..Jr PA- /7-' Rlrz-_c/ME1LPv ___________.• __- _. _.. • ', ___. Address (include Bldg/Suite #) . . Business Name (at this address) . - •-.A ,-. 'A Legal Description Lot No. . . bdivision Narn&Number. . Unit'No. Phas No.. j.otal # bf units - Assessor's Parcel # Existing Use 000201 O' 'r JT 1/JiZfi) 35 . . / fflp bo Description of Work :- . SQ. FT. ' '#oStorie '- . #of Beddoms # of Batoó'ns'- .•.-•'.--..' ..........-', ",.,. ..''.-- ''--.'-•'•-.',-..-- -, •,-'- ,'. -•.• -•''' .-. •'. , ,•..,'. Name .- - .- Address . - C,ry State Zip Telephone # Fix P PPIICAN'T 0ContFác oFCon Ont for 6er FSkiJ' kcirs- _' CLY7AJ'J _Ofrt_ Name Address . . - City . ' SttZip tTelephone RROPEFITYO.WNER : -j-i&rn WILfiZE SLVP. i4, A - i3IO Name Address City ' State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcj, alter, improve, demolish or. repir;anystructuré,tpriortó 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 Licènsé Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom and the basis forthe all 'èxerti '.:Any viol tior'of .tion 7031.5 by any applicant for a rmi'' Cibjeàt the' pplicánt to a civil penalty 61", f rit mire han five hundred doilarsl$5001)." 3G 7OOD Name Address ity A 1,- State/Zip elep on 'State License # _______________________ License Class _______ 4 City Business License #(flIt.LP47( 'Desiner Name Address - - City . - State/Zip Telephone 43 ;State Lipense# TON_ - — - - 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 foiworkers'compensation'as provided by Section 3700 of the Labor Code for the performance of the work for which thisT 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 nsa On inscwce carrier and policy number are: . .. --. . . Insurance Company ____ 4.41t Policy No /(7/ -Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) o CERTIFICATE OF EXEMPTION: Icertify -that in the performance of the work for which,this permit is,issued, l,shall not employ any person many 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-'on'e' hundred thousand dollars ($1 • ,in addition to the at of co ensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. - SIGNATURE _' DATE 7 r - - 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 siructure is fbi intended'or ofteredfor 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 süch work himself orthrouh his own emplóyees provided that such imprO*èments 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 toconstruct the project,(Sec.7O44,-Businessand,.Professins Code:-' The Contractors- License-Law does not-apply to an owner of property who bUilds or improves thereon; and contracts for such projects with contractor() licensed 9 pursuant to the Contractor s License Law) 0 I am exempt under Section Business and Professions Code for this rson * . - - '- .. - ---'7- 1' - ,,• . 1"., . • ..- -- 1 I personally plan to provide the majr labor and mterials for construtior of the proposed property improvement 0 YES DNO ' 2. --I (have-/ have not) signed an application-for a buildirrig pernit'f or the propOsed work'.', - -- , '•, - - -. • .0:. • -. - - - - .,: - - 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 / phone9 - - number / cofltractors license number): _•--.- ___-• __'... ___--, ____---•1. ___- ___- _- ___- _I _' - 5 I will provide some of the wOFk but I have contracted (hired) the foUowin persons to provide the work indicated (include name / address / phone umber / type of work): • - • - • ' . - - - - -- - - -- ' . 'A - ' - - - - PR0PERTYOWNERSIGNATURE - - •-- - -. - - • - - . DATE • ,. • ' . • A, - , ' -- •. . - ' zr" Is-the applicant-or future building occupant required to submit-a business plan, acutely, hazardous materials registration form- or risk managementand'preêntion ,lprogram under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 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 0 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES 0 NO ' . ' IF ANY OF THE ANSWERS AREYES, A FINAL CERTIFICATE OF4OCCUPANCY MAY NOTBE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINGTHE , - - "REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANb THE AIR POLLUTION CONTROL DISTRICT: -- - - '- .' - - ''- - -• CONSTRJ,!N_LENDINGTAY " j 3 ' ' -, I I hereby affirm that thee is a coniruction lending agerAcy for the performance of the work for which this permit I j d S 30971 Civil Cod 3) - 'LENDER'S NAME. .-. -, - - - -- - - -. -' •' • --LENDERS-ADDRESS --t - '. • - - • - PPiccEcoN.. - 'J 1i[ T'- I- '- - II 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 t 'comply with all City ordinances and State laws relating to building construction l hereby authorize representatives of the Cit, of Carlsbad to enter upon the above mentioned property for inspection $urposes 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-INICONSEQUENCE OF;THE GRANTING OF THIS PERMIT. - - - - - - - '.'OSHA:-.An, OSHA prmit is required for excavations 'over 5'O.fdeep and dernolition•or construction of,structures over 3toriesmn height. EXPIRATION Every permit issued by the building Official unçr 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 j6m 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 comm ced for a perio I 189f4'ays (Section 10644 Uniform BiiIdipg Code).',,P APPLICANT S SIGNATURE 4 4444J,2.'L.__. -'- DATE - - - - - -- -------- -,. , WHITE:.File 'YELLOW: Applicant PINK: Finance - -- --- -------- 3 .-, . .- -- City of Carlsbad Bldg Inspection Request For 04/01/2002 Permit# CB020195 Inspector Assignment TP Title: PLAZA CAMINO REAL - RITZ CAMER Description: INTERIOR REMODEL - TI 835 SF- Type: TI Sub Type: COMM ' . . •. Phone: 7605057450 Job Address: 2525 EL .CAMINO REAL . Suite: 125 Lot 0 . Location Inspector APPLICANT HERSHMAN ARCHITECTS . . Owner:. PLAZA CAMINO REAL . •'" : . Remarks: Total Time: . . .• Requested B... RON HULL Entered By: CHRISTINE : CD Description Act Comments 19 Final Structural . .. 0 . 29 : Final Plumbing 39 . Final Electrical 49 Final Mechanical AssociatedPCRs . . . 'InsDectionHistory . . . . ... '• . . Date Description Act insp Comments 03/26/2002 ' 89 Final Combo ' , CO TP SEE JOB CARD/CALL SLIP • 03/21/2002 89 Final Combo CO TP SEE JOC CARD & CALL SLIP . S 03/20/2002' . 89.inal Combo CO TP 03/14/2002 . 14 Frame/Steel/Bolting/Welding' AP , TP -T-BAR CElL 03/14/2002 34 Rough Elecfric AP TP CElL LITES 03/14/2002 44 Rough/Ducts/Dampers AP TP DUCT RELOC ,, . . ••. 03/13/2002 14 Frame/Steel/BoltinglWélding NS CW RESET FOR THURS. ' 03/11/2002 ' 17 InteriorLath/Drywall • AP' TP RESTRMS 03/11/2002 21 Underground/Under Floor AP TP • , , . . . . ' 03/11/2002 24 Rough/Topout AP TP. , . • . 03/07/2002 14 Frame/Steel/Bolting/Welding AP TP PREST RM AREA •. . . . 03/07/2002 , 17 Interior Lath/Drywall AP TP •, STR FRNT SOFFIT AND FURRED WALLS ' 03/05/20.02. - 14 Frame/Steel/BoItinPvVelding •AP TP STR FRNT. SOFFIT & FURRED WALL 03/05/2002 21 Underground/Under Floor.. CO TP NOT PER PLAN '' • . . . 0 M/0512002 ' 22 Sewer/Water Service WC TP , .' . 0 • , , 0 03/05/2002 ,0 34 Rough Electric , AP TP STR FRNT. SOFFIT & FURRED WALL ' '