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HomeMy WebLinkAbout2525 EL CAMINO REAL; 210; STE 210 PRE 2016; PermitCITY OF CARLSBAD BUILDItG DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In Owners Name saim 'S Mail Address Plaza Camino Real Contractor Millie & Severson Confr.Address P.O. Box 1269, Long Bea To Const. 0 To Add 0 To Alter 0 Convert 0 To Move From Type of Const. Frame and Masonry Frame Masonry, etc. To Be Used For Dept. Store Kind of Foundation_______________ No. of Stories Floor Space (Sq. Ft.) 3,552 Garage Floor Space (Sq. Ft.) Attached Detached__________________________ Legal Description Lot Block AppikafioN WBUILDING Permil Building Permit Fee Building Address Suite 210, St. Near El Camino Real Set Back Bldg. Valuation Front P.L. Main Bldg. Side P.L. Garage Rear P.1. Other Group Zone Approved by Contractor City Bus. 1k. No. Water Meter Sewage Disposal System Inspection Record DEC 26-68 2i98*******.00 Buildinq Dept. Use Only Subdivision or Section Township Range No. of Existing Building Will this construction include any plumbing installation or alter- ation? Yes 0 No D Signature of Applicant 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 BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DE ESrI4'ROPERTY. SIGNATURE OF PERMITTEE Utility Company Notified - Date By Final If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. WY Of CAR13BAD BUILDING DEPARTMENT OWNER S alms MAIL ADDRESS Plaz-a Camino Real Center CITY Carlsbad TEL. NO. PLUMBER Proffitt & Durnell Plbg. ,I: ADDRESS 12630 So. Hawthorne Blvd. CITY Hawthorne 2TL3NO. 772-276 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO NO. ITEM FEE 1 TOILET © $1:25 1 25 BATH TUB © 1.25 SHOWER © 1.25 1 WASH BASIN @ 1.25 1 25 KITCHEN SINK @ 1.25 DISHWASHER © 1.25 LAUNDRY TUB OR TRAY © 1.25 AUTOMATIC WASHER @ 1.25 1 WATER HEATER & VENT © 1.50 1 50 GAS SYSTEM I TO 15 .30 EA. ADD. @ 1.50 FLOOR DRAIN DR SINK © 1.25 LAWN SPRINKLER © 2.00 1 MISC. WATER PIPING © 1.50 1 50 GARBAGE DISPOSAL © 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 © 2.00 5 50 GRADING PLAN YES 0 NO 0 PERMIT $ 2 00 TOTAL FEE $ 7 50 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 DENTIAL OF THE ABOVE D SIGNATURE PROPERTY. OF PERMITTEE - •UIMBINO PERMIT - APPLICATION MV-25-68 5AIO23 *** * *I BUILDING - -ADDRESS JO NEAREST CROSS ST. El Camino Real & Vista Wa GROUP I ZONE Inspection Record APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS _VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL ( VALIDATION his 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 (ALSBAb • SEWER. BUILDING DEPARTMENT PERMIT - APPLICATION FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BUILDING A - - ADDRESS 02./O BLOCK TRACT NEAREST CROSS ST. (E USE OF BUILDINGS OWNER iC L - CONTRACTOR MAIL. ADDRESS ADDRESS CITY , 4 TEL. NO. CITY TEL. NO. CONNECTION DATA Lateral Charge Computation CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 30' H., 0' V. I 4" = _____ 6" Add. Horiz. @ 4" = _____ 6" Add. Vert. @ 4" = ____ 6" I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN HAVE TO CONNECT THE ABOVE DESCRIBED BUILD. ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF OWNER OR OWNER'S AGENT ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED ESIDENTIAL PROP- ERTY. .. -<R ..-. SIGNATURE OF PERMITTEE This is a Sewer Permit When Properly Filled Out, Signed and Validated ,S4 Issued By PERMIT VALIDATION NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER w vu ' SEPTIC TANK, SEEPAGE PIT OR ITS @ $5.00 OVERFLOW SEEPAGE PIT, ORAINFIELO EXTN., CESSPOOL, ORYWELL, MANHOLE @ $5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.50 ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00 OWNER'S AUTHORIZATION PERMIT $ 2r_00 TOTAL FEE Total Construction Cost 10% Service Charge Total Lateral Charge Let. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. No. LINE COST: C. C. @ ' / dwelling P. S. @ / dwelling OTHER TOTAL " Grand Total, Lateral, etc. FOR SEWER LOCATION V) St. NORTH ENGINEERING SEWER DEPT. Signed I Signed CITY OF CARLSBAD BUILDING DEPARTMENT OWNER MAIL ADDRESS(y, EL(tt rL_ CIT'rjj) TEL. NO. PLUMBER-%-. Ft - -crc_—ç TEL. NO STATE CARLSBAD BUSTNES LICENSE NO. LICENSE NO. th' ITEN 1 - 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. 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 1 TO 5 @ 2.00 GRADING PLAN YES NO' Li L..J PERMIT $ 2 00 TOTAL FEE $ -.F l C~ 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 JH bFGAL OWNER OF THE ABOVE DESCIIBED Re4.DENS!AWPRdPERTY. SIGNATURE OF PERMITTEE WMB-I'Iffi PERMIT - APPLICATION JM-6-69 5' cc BUILDING ADDR ESS .'..d?2.<_L:_ C2 /o NEAREST' CROSS ST, GROUP I ZONE Inspection Record APPROVALS I DATE I INSPECTORS SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED El - 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 CA SBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 For Applicant to Fill In PERMIT NO. __L/.S TOTAL FEES Application for 16.00 Building Dept. Use Only C ADDRESS p 1.... Item Recpt. Sw.UILDI PERMIT FEES EachUe Lighting fixtures w/ballast for each 10 $ 1. St. Near j4x~~ --2/0 Elec. Ranges, Clothes Dryers, Water Heaters .50 lec. Space Heaters Dishwashers, Garbage Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRSS I MOTORS: Per each motor H. P. CITY U 1 0 to 1 $ .25 cv 1 to 2 $ .50 TELEPHONE NO. 2 to 5 $ 1.00 5 to 15 $ 1.50 State C' City License 'Q •)— Business L icense 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 ea. $ .50 SERVICE U to 150 AMPS 0 For each additional 100 Amps. $ 10.00 $ 2.00 I.60 IA - mp. Power Pole, 100 AMPS or LESS $ 3.00 Each add I Meter, over one per_service $ 3.00 jFor C: Approvals Date By: SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit - ov TOTAL: $ lb Temp. Power A. 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 ANOTHE STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI DENTIAL PROPERTY. SIGNATURE OF PERMITTEE S.D.G.&E. FINAL _ ,4'g'7 11-7J CITY OF CAR D BUILDING DEPA ENT 729-1181 -Ext. 36 PERMIT NO. TOTAL FEE Applucat. n for ;4CHANICAL Permit For Applicant to Fill In NO. ITEM INSTALLATION AND/OR RELOCATION EACH I AMT. DEC 30-68 For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached to such appliance, up to and including 100,000 B.t.u.'s $ 4.00 - For the installation or relocation of each forced-air or gravi- ty type furnace or burner, including ducts and vents attached to Such appliance over 100,000 B.t.u.'s $ 5.00 For the installation or relocation of each floor furnace, in- cluding vent. $ 4.00 For the installation or relocation of each Suspended heater, recessed wall heater or floor mounted unit heater. 4.00 Building Dept. Use Only For the installation, relocation or replacement of each ap- pliance vent installed and not included in an application. $ 2.00 For the repair of, alteration of, or addition to each heating appliance, refrigeration unit, comfort cooling unit, absorption unit, or evaporative cooling system, including installation of / controls regulated by this Code. $ 4.00 BUILDING ADDRESS For the installation or relocation of each boiler or compres- sor to and including three horsepower, or each absorption system to and including 100,000 B.t.u.'s. 4.00 STREET NAME For the installation or relocation of each boiler or compres- sor over three horsepower to and including 15 horsepower, or each absorption system, over 100,000 B.t.u.'s to and inclu- '.._ôT17 CONTRACTOR Southland Htg. & A/C Inc. aza Camino Real, A Limited OWNER Prt.9I shi p ding 500,000 B.t.u.'s $7.50 / For the installation or relocation of each boiler or compres- sor over 15 horsepower to and including 30 horsepower, or each absorption system over 500,000 B.t.u.'s and including 1,000,000 B.t.u. 'S. $10.00 ADDRESS 2800 Temple Avenue - For the installation or relocation of each boiler or compres- sor over 30 horsepowertn and including 50 horsepower, or for each absorption system over 1,000,000 B.t.u.'s to and in- cluding 1,750,000 B.t.u.'s. $15.00 Lang Beach For the installation or relocation of each boiler or refrigera- tion compressor over 50 horsepower, or each absorption system over 1,750,000 B.t.u.'s. $25.00 CITY BUSINESS LICENSE NO. Y7 L For each air handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. $ 3.00 - CITY BUSINESS LICENSE NO. For each air handling unit over 10,000 cubic feet per minute. $5.00 For each evaporative cooler 051cr than portable type. $ 3.00 GROUP For each vent fan connected to a single duct. $2.00 1 For each ventilation system which is not a portion of any heating or air conditioning system authorized by a permit. $ 3.00 INSPECTIONRECORD For the installation of each hood which is Served by me- chanical exhaust, including the ducts for each hood. $ 3.00 For the installation or relocation of each domestic type incinerator. $ 5.00 For the installation or relocation of each commercial or industrial type incinerator. $20.00 For each appliance or piece of equipment regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this Code. $ 3.00 Fortheissuanceofthispermit. 1 $3.00 d —2 I ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL STATE AND CITY LAWS REGULATING THE MECHANICAL CODE OF THEUNIFORM BUILDING CODE. I CERTIFY THAT I AM PROPERLY REGISTERED ANO'OR LICENSED AS RE- QUIRED BY THE CITY OF CA SBAO AND STATE OF CALIFORNIA 0 HAT I DATE JOB FINALED OVE rrESCRIBED PROP AM THE LEGAL OWNER OF B___ç_____ SIGNED BY PERMITTEE _______________ UI eçA BUILDING PERMIT APPLICATION r 3 city of CARLSBAD, CALIFORNIA 92008 Permit No 7 4:Applicànt to complete nUmbered spaces only. . PhOLfle 729-1181 ...L; . - . . JOB ADDRESS . - %F2 "/7 'V (/1 -,. ..,...- o L ,/e 1LEGAL DESCR. LOT NO. . BLK TRACT . (LJSE( ATTACHED SHEET) f 0 0 OWNER f 1Z4AII. ADDRESS - P1 2 . ZIP PHONE - 114 ,U,, R1 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 5--: ARCHITECT OR DESIGNER - . MAIL ADDRESS I PHOI/ LICENSE NO. ENGINEER - MAIL ADDRESS PHONE LICENSE NO. 5— - - . - LENDER MAIL ADDRESS . BRANCH 6 .- - USE OF BUILDING — -. MOVE 9 REMOVE 8 Class of work: DNEW 0 ADDITION A TERATION El REPAIR LI 9 Describe work: 10 Change of use from . . . . Change of use to . . 11 Valuation ofwork: $ 4-i PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: A Type of Const. - - Occupancy Group Division - - . Size of Bldg. (Total) Sq. Ft._,,. No. of . Stories Max. 0cc. Load - -. . Fire Zone Use Zone Fire Sprinklers Required Lives DNo APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: No. of'. OFFSTREET PARKING Dwelling Units Covered IUncovered ' NOTICE Special Approvals Required Received Not Required ZONING SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB. ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED - - - - HEREIN OR NOT, THE GRANTING0F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE - - PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SA1GNATUREOF CONTRACTOR OR AUTHORIZED AGENT - (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT - 7PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.. M.O. CASH A - - - - INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING V CONCRETE SLAB FRAMING NT. LATHING OR DRYWALL 6/13/73 Nailing on boa O.K. well done T. Mata EXT._LATHING MASONRY : USE SPACE BELOW FOR 7 TES, FOLLOW-UP, ETC. - / ' 4 5. B U I L D I N G P E R N I T Permit No CB891885 02/13/90 14 06 Project No, A8903377 Page 1 of 1' -, - - .4Devel'opment No,: Job Address: 2525 EL CAMINO REAL ' Str: Fl: Ste: Permit Type COMMERCIAL TENANT IMPROVEMENT ' io 02/13/90 0001 01 Parcel No: 156-302-09-00 -, . - - - .. —'C'Mr , ' .5 - I ('.1 I I ..,jO.,j * tj 'Valuation: - 52,360 .. - . - -; Construction Type NEW e— dO- Occupancy Group: B-2 ' - C1ss Code: Status: APPROVED Description: 2630' -TI SUITE 210 - . Applied : 12708/89 - : PETITE SOPHISTICATE ... Apr/Issue : 02/13/90 Validated By: 'JPY CONTRACTOR,: CAPTIOL CONSTRUCTION ' - '. - Lic. C 28O674 -; 714-259-8577 1395'-WARNER AV, - . TUSTIN, CA 92680 *** Fees Required *** -? ** A Fees Collected .& Credits - S. ,. & /fll . . / / - -_- t \tl-s . . - Fees: 2 ,705. ooy . Adjustments: - . .00 Total'.-Credi: .' .00 Total Fees: 2,705.00 7 Totl\Pe'ts:\ 322.00 / . 2;383.00 :Fee description / / . Units \ Fee/Unit - Ext fee Data .....-"7 *t t7' . ZD - Building Permit I 'S27 i c' 428-.6o Plan Check I . \¼".4±3/ ?dY . .278.00 Strong. Motion Fee - ' 8.00- I.QI II F 6 1 S Enter .Y to AutocalcLicenseiTax > r# S't I I 1833.00 Y * BUILDING TOTAL \ ' 1,j UIIJI 'L7 2547.00 Enter "Y" for Plumbing Issue" Fee, \\[ t9' ./ /. ' 7.50 Y TEach PlumbingFixture or TrapJ >j 3.00 2.5O. . 7.50 .Each-Building Sewer \ iZ\ \. IC>OOOOA'IO1 .00 r-. 6.50 6.50 " Each Wate - Heater and/or'Vnt 1"O O\ 2<50 . ' ' 250 *,PLUMBING TOTAL - - \ / ,t . . .2480 0 - Enter "Y" fo Electric Issue ee9[Y) ç'6)\\.J' ' - 5.00 Y Three Phase Per AMP 'N UU5 200.00 .50 100.00 * ELECTRICAL TOTAL ($10 Miniinum). . . - - 105.00 Enter 'Y' for Mechanical Issue F'e> 15 00 Y Install Furn/Ducts '. > 1.00 9.00 '. - 9:00 - 's. Each Install/Réloc Appliance Vent > .. 1'00 4.50 " - 4.50 * MECHANICAL TOTAL -29 00 5- - . . C. . . '. . - - •':'' - 5- NAUPPROVç DATE >V /I ~ AN EA AN E A. CITY OF CARLSBAD * , - 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 * ._-..-5.. 5, 5 - -•. . . - , - - 5_S., *5- • - PERMIT APPLICATION ' City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - F1 COMMERCIAL DHEW DTENANT IMPROVEMENT B - []INDUSTRIAL DIIEW DTENANT IMPROVEMENT C - DRESIDENIAL DAPARTMENT DCOSOO DSINGLE FAMILY DWELLING DADDITIoN,ALTERATION DDUPLEX DDEMOLITION EJRELOCATION OMOBILE HOME DELECTRICAL D PLUMB ING [-]MECHANICAL E:D'oo [I SPA DRETAINING WALL OSOLAR DOTHER_______________ I - e• EST. .5Z1 2X PLAN CK DEPOSIT_________________________ VALID. BY DATE 1897 12/08/89 0001 01 02 C-PRMT 322.00 7 Address - BuiLding or Suite NO. Nearest Cross Streets 2525 El Camino Real # 210 LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BEL(M IF S*JBMITTED: 02 Energy Cal cs 02 Structural Calcs 02 Soils Report Dl Addressed Envelope ASSESSORS PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK T.I. 2630 sf BLDG. SO. FTC. A OF STORIES CONTACT PERSON NAME ,4ee411L'DDRESS 1395 Warner Av CITY STATE CA ZIP CODE 92680 DAY TELEPHONE '1/" SIGNATURE APPLICANT ,CONTRACTOR NAME9I& g,,jl) 0 AGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER ADDRESS /'O ,X ")-.7G 'O// IO4i'Vtit CI TY2,V4/f,2.. I'I2.' /4! STATEK ZIP CODE ,C/-'2..- DAY TELEPHONE 'Or)--... 1/j'1 PROPERTY OWER OWNER OLESSEE OTENANT NAME MAY co ADDRESS CITY STATE ZIP CI3E . DAY TELEPHONE CONT CTOR ,ve,2rn - 'J NAME ADDRESS 13 5 Warner Av CITY STATE CA ZIP CODE 92680 DAY TELEPHONE CITY BUSINESS LIC. A LIC. _____________ LICENSE CLASS TITLE DATE - CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. WORKERS' COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not es-ploy any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's license Law for the following reason: F1 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 Cede: 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cede: 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 Cede 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 Cede) 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 ($5003). SIGNATURE DATE COMPLETE THIS SECTION FOR HON-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 DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES - DNO Is the faciLity to be constructed within 1,000 feet of the outer boundary of a school site? DYES DNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET ON IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code). 0. LENDER'S NAME LENDER'S ADDRESS - APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is 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 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 issued by the Building Official under the provisions of this Code shall expire by limitation and become nul,l and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). AP9S - 0 OWNER,CONTRACTOR [:]BY PHONE 'PROVED BT - WHITE: File YELLOW: Applicant PINK: Finance --RLATED PERMITS-- PERMIT# TYPE STATUS CB890852 PLUM ISSUED CB890960 CTI EXPIRED CB890964 CTI ISSUED CB891010 CTI ISSUED CB891050 SIGN ISSUED CB891056 CTI ISSUED CB891101 ELEC ISSUED CB891108 CTI ISSUED CB891110 CTI EXPIRED CB891136 SIGN ISSUED CB891148 ELEC ISSUED CB891158 SIGN ISSUED CB891234 CTI EXPIRED CB891355 CTI EXPIRED CB900056 CTI ISSUED CB900155 SIGN ISSUED CB900328 CTI ISSUED CB900521 SIGN ISSUED CB900544 SIGN ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 70 ,e,4,#i1) 29 PL Final Plumbing ,ic1eA. PolL- j,s XVWN 39 EL Final Electrical .J_ App]p1ø76 ' (,..dJ 49 ME Final Mechanical -J_ JjjfrJC. 7X/( &2/ I1/fX- 4F A-4-'-- ***** INSPECTION HISTORY ***** DATE DESCRIPTION 040390 Final Combo 032890 Rough Combo 032890 Frame/Steel/Bolting/Welding 032790 Rough Combo 032090 Rough/Ducts/Dampers 031590 Rough/Topout 031290 Interior Lath/Drywall 031290 Frame/Steel/Bolting/Welding 022790 Rough Electric 022790 Frame/Steel/Bolting/Welding ACT INSP COMMENTS NR WM PA MPC SALES AREA CEILING PA MPC STOREFRONT FRNG CO MPC SEE COMMENTS 3-27-90 PA MPC AP MPC PA MPC INSIDE CORR WALL PA MPC CORRIDOR WALLS PA MPC WALLS, SALES AREA PA MPC WALLS, SALES AREA ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92i23 (619) 56G1468 DATE: JURISDICTION: PLAN CHECK NO: 8- SET: ...2Z1 PROJECT ADDRESS: 6 PROJECT NAME: ISDICTION FILE COPY UPS DESIGNER The plans transmitted herewith have been corrected where necessary and substantially comply with the, jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies fl identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. U The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected ( plans are submitted for recheck. F-1 The applicant's copy of the check list is enclosed for the jurisdiction to return-to the applicantcontact person. The applicant's copy of the check list has been sent to: fi Esgil staff didnot advise the applicant contact person that plan check has been completed. Esgil staff did advise .:applicant that the plan check has been completed.- Person contacted:L'J4L _ Date contacted: Telephone. #______________ El REMARKS: By: _LqLA/AA.1/ Enclosures: ESGIL CORPORATION LI AA LI VW ' DM Jurisdiction , za - _. Bldg. Dept. VALUATION AND PLAN CHECK FEE 0 Esgil Date l9i37 Prepared by PLAN CHECK NO. _8 - /595 ,i2 BUILDING ADDRESS - 252-. APPLICANT/CONTACT PHONE NO._________________ BUILDING OCCUPANCY 2_. DESIGNER PHONE______________ TYPE OF CONSTRUCTION, . IL! CONTRACTOR PHONE__________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Z7Q L. • ____ ____ L__• •____ Air Conditioninz Commercial Residential Res. or Comm. Fire Sprinklers • _! Total Value • • 3C,0 Building'Permit Fee $ '/' ••__ Plan Check Fee • c' 7 • COMMENTS: • ' S S SHEET' ( OFf 12/87 BUI LDING PERMIT Permit No:'CB900767 05/10/90 10:38 Project No: A9000508 Page 1of 1 Development No: Job Address: 2525 EL CAMINO REAL Str: Fl: Ste: Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 156-302-09-00 Valuation: 0 Construction Type: NEW Occupancy Group: - Class Code: Status: ISSUED Description: STE 210/ "SEE CB900409 FOR FEES Applied 05/10/90 FURTHER INFORMATION Apr/Issue : 05/02/90 Validated By: DC CONTRACTOR : PAR CONSTRUCTION Lic. C NO 619 727-1515 1930 WATSON WAY - VISTA, CA 92083 OWNER : MAY COMPANY ...- ( ,' Lic. N \ SUITES 122,/210,,222' 29,6--- 2 *** Fees Required ** Fee Coll & Credits, / '.. ,'., \ Fees / 00 Adjustments: / .00 - I Jv Tbtal Credit's: .00 I - Total Fees: ' .Total,P.aymenfsç, \ .00 I '•-..--7 '4Bil'arice\Due .00 /\ I / " - ('• I • \ __;' I '-• /' N 4C(ODOfO ,1 *ANE PPROVAL INSP.DATE CLEA - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Lic. C NO - 619 727-1515 ted & Credits W. .00 302.00 2,864.00 'Uhit Ext fee Data :. ------------ 464.00 302.00- 9.00 2135.00 Y 2910.00 N V 5.00Y .50 200.00 205.00 15.00 Y 9.00 36.00 51.00 BUILDI.NG PERMIT 05/02/90 15:24 Page 1 of 1 Job Address: 2525 EL CAMINO REAL Str: Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 156-302-09-00 Valuation: 61,000 Construction Type: NEW Occupancy Group: B2 Class Code: Description: DEMO PARTITIONS MOVE PA)IELS# 1/ RELOCATE DUCTS, STES 122,210•222,226 Permit No: C8900409 Project No: A9000508 Development No: El: Ste: 185 O5fO2/9çy 0)0i 02 C--PR-ill -.• - Status: ISSUED Applied : 03/12/90 Apr/Issue : 05/02/90 Validated By: CD CONTRACTOR : PAR 4 CONSTRUCTION 1930 WATSON WAY VISTA, CA 92083 OWNER : MAY COMPANY SUITES 122,•210r222 Fees Required t- i --------------------- Fees: 31660,' Adjustments: Total Fees: .3166'00 ;••'t Fee description ------------------ Building Permit Plan Check Strong Motion Fee Enter 'Y' to AutocalLiénse' * BUILDING TOTAL Enter Y for PlumbingIssue:F Enter 'Y' for ElectriIsiF Three Phase Per AMP * ELECTRICAL TOTAL ($10 Miriimu' Enter 'Y' for Mechanical I Install Furn/Ducts * MECHANICAL TOTAL crri OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 7 - .7t'O UNSCHEDULED INSPECTION DATE 7 /1 )/,iO INSPECTOR PERMIT #/ ô 2 P$NCK I# . JOB ADDRESS 4r.-yjuIb TIME ARRIVE: TIME LEAVE:___________ CD LVL DESCRIPTION ACT. COMMENTS IT, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-23-2006 Miscellaneous Permit Permit No: CB061814 ' Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 210 Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1563020900 Lot #: 0 Applied: 06/23/2006 Valuation: $0.00 . Entered By: JMA Reference #: Plan Approved: 06/23/2006 Issued: 06/23/2006 Project Title: DEMO RELATING TO CB061218 Inspect Area: Applicant: Owner: - S & S ENTERPRISES ' PLAZA CAMINO REAL - C/O WESTFIELD CORP INC 11601 WILSHIRE BLVD LOS ANGELES CA 90025 / .. . . i• . '., Miscelaneous Fee #1 PERMIT FEE - . èo.00 Miscelaneous Fee #2 / ., .. $0.00 Additional Fees Z $0.00 \. .. \ - TOTAL PERMIT FEES ,. ' . J ' ", -' $60.00 / - \ 7 . •,. ;. Total Fees: • $60.00 Total Payments To Date: , $60.00 _ Balance Due:-- : $0.00 .. . - :.\ I 11 1 1'•' ---/ .'-_.•---•, ,•,- •, • ' ,_._.•.*iJ,, I 1 4 1- \ ./ - ', • ,,•-_ --., ( / _•4'd /1 /• / . i: / -.1 fJ /. FINAL APPR VAL Inspector Date: Clearance: NOTICE. Please take NdTIC4Aat approval of your project includes the Imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. - You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity • changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any • -. fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO Qô,117/ CITY OF CARLSBAD BUILDING DEPARTMENT. EST. VAL. Plan Ck. Deposit . 1635 Faraday Ave Carlsbad, CA92008 Validated By j rv4 1 5 Date 1(6 - ,?S5 L-L c-,- c 57r0ct a? (0 Address (include Bldg/Suite #) Business Name (at this address) /. -, Legal Description . Lot No. Subdivision Name/Number, Unit No. Phase No. Total # of units Assessors Parcel #. .• , Existing Use ' - Proposed Use - Description of Work • -. SQ. FT.. #of Stories # of Bedrooms # of Bathrooms - ' 9 p1O £7 . 1 2 Name Sd.S' - Address. -3 (J 0- _3/0 Cityy,.,i ptj State/Zip ?2i TelephOne # Fax # A [ICA Cotr4tr ntorntaOj Agefr for Or Name Address . .- City State/Zip Telephone # W. 4 TINER - - Name i Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires 's 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 o f t h e C o n t r a c t o r ' s L i c e n s e L a w , [Chapter 9, commending with Section 7000 of Division 3 of the-Business and Professions Code] or that he is exempt therefrom, and the b a s i s f o r t h e a l l e g e d exemption. Any violation of Section 7031.5 by any applicant for apermitsubjects the applicant to a civil penalty of not more than fi v e h u n d r e d d o l l a r s ( $ 5 0 0 1 ) . 5'a-j &iteas 11.3 w G 3/Z S'4. c4- Name . Address City . State/Zip - Telephone # State License #._(p? ?'7 0 License Class City Business License # - Designer Name Address ;. City State/Zip Telephone r State License # ________________________ . ' •. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain acertificateof Consent to self-insure for workers' compensation as provided by Section 3700 of-the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required. by Section 3700 of the Labor Code, for the performance of the work for whic h t h i s p e r m i t i s issued. My worker's compensation insurnce carrier and policy number are: - Insurance Company . 5'7( /Cj,'fl Policy-No. f 2 73 ' 00-f Expiration Date e71- 0 .L. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work-for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. - S • - - - WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil f i n i s u p t o o n e h u n d r e d thousand dollars,4$)OO.000), in adcio o cost of compensation, damages as provided for in Section 3706 of the Labor ccde, interest and attorney's fees. SIGNATURE., Z}SSd - .40 DATE -3--o4; - TEJAT41LS 55-S. hereby affirm that I am exempt frOm the Contractor's License Law for the following reason: 0- I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intende d o r o f f e r e d f o r s a l e (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bui l d s o r i m p r o v e s t h e r e o n , a n d w h o d o e s such work himself or through his own employees, provided that such improvemnts are not intended or offered for sale.' If, however; the b u i l d i n g o r i m p r o v e m e n t i s sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpo s e o f s a l e ) . I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business a n d P r o f e s s i o n s C o d e : - T h e - Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects w i t h c o n t r a c t o r ( s ) l i c e n s e d pursuant to the Contractor's License Law). 0 - I am exempt under Section Business and Professions Code for this reason: - - • -- . S I personally plan io provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO - - l(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, supervis and provide the najor work (incl u d e n a m e I 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 / addr e s s I phone number / type-of work): PROPERTY OWNER SIGNATURE .--- _-' DATE M 1W - - -- -. - - - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk inanage m e n t a n d p r e v e n t i o n program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO - - - Isthe 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 - • - ,, -. - S IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS M E T O R I S M E E T I N G T H E • -. - REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. • - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30976) Civil Code). • • - -. LENDER'S NAME •-- __• . -LENDER'S ADDRESS pp - __•- _••• - - I certify that I have read the application and state that the above information is correct and that the information on the plans i s a c c u r a t e . I a g r e e t o c o m p l y w i t h a l l - City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citi of Carlsbad to enterup o n t h e a b o v e m e n t i o n e d - 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 GRANT I N G O F T H I S P E R M I T . - -. 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 sh'all expire by limitation and become null and void if the buildi n g o r w o r k - authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is s u s p e n d e d or abandoned - at any time after the work is commeobr a period of/0 ays ection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE - _,4.i _J _- _- DATE 5 1-._-?3'O C -- ' - -- - - - ,WHITE: File YELLOW: Applicant ' PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/02/2006 Permit# CB061814 Inspector Assignment: PY Title: DEMO RELATING TO CB061218 Description: Type: MISC Sub Type: OTHER Phone: Job Address: 2525 EL CAMINO REAL Suite: 210 Lot 0 Location: Inspector: OWNER PLAZA CAMINO REAL Owner: PLAZA CAMINO REAL Remarks: 1 THINK YOU CAN SIGN OFF THIS PERMIT Total Time: Requested By: CHRISTINE Entered By: CHRISTINE .CD Description Act Comment 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs Original PC# InspeOtion History Date Description Act Insp Comments .., ' °UUA I VI!lII I \ \\ \ _r. -.--. a -c j •. ®ø®® ®®®@® 0 \•_./ 1111 iJJ I1L c PROJECT TMA 'ACL~JNST ALL ODDS' t~ ACWNST ALL ODDS I Qityo.fCarIsbad 1635 Faraday Av Carlsbad, CA 92008 - 07-21-2006 Commercial/Industrial Permit Permit No: CB061218 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 210 Permit Type: TI Sub Type: COMM Parcel No: 1563020900 Lot #: 0 Status: ISSUED Valuation: $244,230.00 Construction Type: Vi Applied: 05/04/2006 Occupancy Group: Reference #: Entered By: RMA Project Title: AGAINST ALL ODDS-6978 SF TI Plan Approved: 07/21/2006 COMBINE STIES 210&212 Issued: 07/21/2006 Inspect Area: Plan Check#: - Applicant: - , Owner: . .. ARTHUR SONG - PLAZA CAMINO REAL STE 585 ..- C/O WESTFIELD CORP INC 1543 W OLYMPIC BLVD . 7 11601 WILSHIRE BLVD . LOS ANGELES CA 90015 . - LOS ANGELES CA 90025 / • 2133875746 . ,, -'.. '•..,_. - ,_) \ Building Permit / . $993.16 Meter Size .< Add'I Building Permit Fee " / MOO--," Add'l RecL'Water Con. Fee .-'.... .J $0.00 Plan Check $64555Meter Feb " (,. ,- \ $000 Add] Plan Check Fee / $0.00 ' SDCWA Fee \ "- $0.00 Plan Check Discount1 . $0.00... CFD Payoff Fee - --. '- . ) \ $0.00 Strong Motion Fee $51.29 PFF (3105540). ..-,. \ $0.00 Park Fee : $0.00 OFF (4305540) " ' $0.00 LFM Fee .. $0.00 License Tax (3104193) fl\ . $0.00 Bridge Fee , ,. $0.00 License Tax (4304193) j f $0.00 BTD #2 Fee 'i' - $0.00, Traffic Impact Fee (3105541) -.. ,/ $0.00 BTD #3 Fee .. •$0.00 -1?affic Impact Fee (4305541) $0.00 Renewal Fee J $0.00 PLUMBING TOTAL-\' - / I $41.00 AddI Renewal Fee $0.00 ELECTRICAL TOTAL J / $110.00 Other Building Fee \ $0.00 .' MECHANICAL TOTAL.' / . I $24.00 Pot. Water Con. Fee '- . $000' Master Drainage Fe'é / I $0.00 Meter Size . 2 Sewer Fee - / $0.00 Add'l Pot. Water Con. Fee ., $0.00 Redev Parking Fee ,/ / $0.00 Red. Water Con. Fee ' $0.00 C.tAdditionalFees , / $0.00 HMP Fee . ' f ?? TOTAL PERMIT FEES\\ 'J / $1865.00 \' ,7 / Total Fees: $1,865.00 Total Payments To Date: $1,865.00 Balance Due: $0.00 - UJLD[NG PLANS /TSJORAGE jta-rwO ATT , FINAL AP,PRQVAL Inspector: / 2,Z_ Date: /j./it Clearance: NOTICE: Please take N0TlCE4at approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your rlght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No14?A . O( $ CITY O CARLSBAD BUILDING DEPARTMENT EST. VAL.. 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck Depositl - - Validated By ___ Date 11 E9TINFORMATlON 1i 2 - .L VO ,-Pkc-E Address (include Bldg/Suite #) Business Name (at this addressl Legal Description -- Lot No. Subdivision Nam/Number Unit No. - PhaeNo. Total #-ofunits -• -. ---&1m Assessor's Parcel # Existing Use I Pro Use pose ' I. W24--' -5 AA1Ns7LLOS '.. 2- -, Descripti n of Work SQ. FT. 'is - #o?toies #,6f B m -# of'athrooms jck Name Address City State/Zip Telephone # F x # -.----- '- - - --'.---- .-------='-----'r irr r.rnr — Offl PPUCANT ontractQrAgentfoontractor -ljj Or D Ag f er ,, Name - - Address . -- City- State/Zip Telephone # - - - t PROPERVES -- - - " - - lAt P/PiJ /,o //1,f) Name Address - , - - ' City - - State/Zip : -Ta*ephor # CNTCTRCbMPANYNAME (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 isexempt therefrom, and basis for the alleged e ti n. 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). CARJ T'. *>c tA A OA5O\ - :)b) Name - . Address - - City - State/Zip - Telephone # State License # q00 (" - •License Class - - City Business Lkense # '4 fv Designer Name - - - Address .• City - - State/Zip Telephone State License #---- - - Pip To - - ' WRKESS COME&TI0N Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - 0 I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. •- - - - -. '' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pörformance of the work for which this permit -is - issued. My worker's compensation insurance carrier and policy number are: — Insurance Company 5T41 F(iWP - Policy No '-•OS Expiration Date _/c •( - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) o CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued I- shall not employ any person in any manner so as to become Subject to the Workers' Compensation Laws of California. WARNING: Failure to se cur workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred - - thousand dollars ($100,0 ,in additio o the c t of compensation, damages as provided-for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE '?((q10___ -../ - — I hereby affirm that I am exempt from the Contractor's License Law for the following reason: • 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or, offered for sale - (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ownerof 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). - -- - o 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). -- - S - . 5 5 • -. 0 I am exempt under Section Business and Professions Code for this reason: , . • S S - S - 1. I personally plan to provide the major labor and materials for Construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. 3.1 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 folloing person to coordinate, supervise and provide the majèr work (inClude name / address! phone - number / contractors license number): -S 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number! type X of work): ~NLY PROPERTY OWNE ISS R SIGNATURE - - - - DATE - - - S MPL ' - 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 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 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.' - - 8CONS1MTI4NLENDINGAGENCY $3 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 - S LENDER'S ADDRESS AP RjIFICATRN F4 T]- IL I- I certify.that I have read the application and statethat 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. l. hereby' authorize representatives of the Cit' 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'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the Orovisions of this Code shall expii~e by limitation and become null and void if the building or work, - - authorized by such permit is not commenced withi 0 days fronAe date of such permit or if the building or work authorized by such permit is suspended or-abandoned at anytime after the work is commenZforeriod 1Qday APPLICANT'S SIGNATURE - S - - - - DATE. - - -- - - S - - - WHITE: File YELLOW: Applicant PINK: Finance - ---- S • - - - -- S S - - CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment City of Carlsbad Bldg Inspection Request For: 08/11/2006 Permit# CB061218 Title: AGAINST ALL ODDS-6978 SF TI Description: COMBINE STES 210 & 212 Type: TI Sub Type: COMM Job Address: 2525 EL CAMINO REAL Suite: 210 Lot 0 Location: APPLICANT ARTHUR SONG Owner: PLAZA CAMINO REAL Remarks: Total Time Inspector Assignment: PY Phone: 3104134598 Inspector: Requested By: NA Entered By: CHRISTINE. Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description • Act lnsp comments 08/09/2006 89 Final Combo. NR PY 08/08/2006 14 Frame/Steel/Bolting/Welding AP PY OK TO STOCK STORE 08/01/2006 17 Interior Lath/Drywall AP PY 07/27/2006 84 RoughCombo AP PY 07/24/2006 14 Frame/Steel/Bolting/Welding PA PY 07/24/2006 24 Rough/Topout AP PY 07/24/2006 34 Rough Electric NR PY • 07/24/2006 44 Rough/Ducts/Dampers NR PY EsGil Corporation In tPartners/lip with government for Building Safety DATE: July 13, 2006 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 06-1218 SET: III PROJECT ADDRESS: 2525 El Camino Real Suite 210 PROJECT NAME: "Against All Odds" Store - TI U CANT JURIS. U EVIEWER 0 FILE The plans transmitted herewith have been corrected where necessary and substantially comply with.the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. F-1 The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. jill The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. fi Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person LI REMARKS: By: Bryan Zuppiger Enclosures: Esgil Corporation LI GA LI MB LI EJ LI Pc 07/11/06 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 06-1218 5/16/06 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 06-1218 PREPARED BY: Doug Moody DATE: 5/16/06 BUILDING ADDRESS: 2525 El Camino Real Suite 210 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: ITN BUILDING • PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 6989 34.37 240,212 Air Conditioning Fire Sprinklers TOTAL VALUE 240,212 Jurisdiction Code ICb IBY Ordinance I _________ Bldg. Permit Fee by Ordinance I s980.841 Plan Check Fee by Ordinance ri I $637.551 Type of Review: Complete Review Structural Only LI Repetitive Fee LI Other I Er Repeats Hourly Hour * Esgil Plan Review Fee I $549.27 Comments: Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER C$ DATE ADDRESS Z'2 .41 __O • RESIDENTIAL 7 TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR REAL (<$10,000.00) CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER___________________ DATE ENGINE DATE