Loading...
HomeMy WebLinkAbout2530 EL CAMINO REAL; MULTI-PERMIT FILE; CB162545; Permit06-29-2016 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB162545 Building Inspection Request Line (760) 602-2725 2530 EL CAMINO REAL CBAD SIGN 1670305000 Lot #: 0 $2,000.00 Construction Type: NEW SDCCU: INSTALL ONE ILLUM SURROUND FOR ATM (NEW ATM PER CB161557) Applicant: SIGNTECH ELECTRIC ADV. 4444 FEDERAL AVE SAN DIEGO CA 92402 619 527-6100 BuildingPermit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical" Fee Renewal Fee Add1 Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 06/29/2016 Entered By: SLE Plan -Approved: 06/20/2016 Issued: 06/29/2016 Inspect Area: Owner: VONS COMPANIES INC <LF> A A E PACIFIC PARK ASSCS C/O HUGHES INVESTMENTS -MANAGER P O BOX 8700 NEWPORT BEACH CA 92658 $43.76 $0.00 $30.63 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $109.39 Total Fees: $109.39 Total Payments To Date: $109.39 Balance Due: $0.00 `. / FINAL APPROVAL Inspector: Date: p�%$'��� Clearance: NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these feestexactions. 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 aocordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely foilow 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E3PLANNING E3ENGINEERING ❑BUILDING ❑FIRE ❑HEALTH E:1HAZMATIAPCD Building Permit Application -� c]�j 0 f 1635 Faraday Ave., Carlsbad, CA 92008 Carl�MJ 760-602-2719 Fax:760-602-8558 sbad email: building@carlsbadca.govPh: www.carisbadca.gov Plan Check No. C' 541 1 LP 2.1J4D=N Est. Value21 c) — Phan Ck. Deposit Date SWPPP JOB ADDRESS �% ?� ��y��,. y [/��`C C.i�C..7© �� W J1-IYv 0 a � � SUITE#/SPACE#/UNIT# APN - - - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet �o�fAffectedArea(s) �� r%�� Z� AIM A , GYM(ScWL% N(>-w A -TM PIR c-jbI u 155 EXISTING USE PROPOSED USE GARAGE (SF), PATIOS (SF) DECKS (SF) FIREPLACE YES❑# NO❑ AIR CONDITIONING YES [:]NO IFIRESPRINKLERS YES❑ NOD PrimaryNConiacY ___V � L- PROPERTY OWNER `C� ` /1,J,&STM,� ,,_� t li! Y �,��% ADDRESS ��y �L=7) -gA &VD ADDRESS 03 co YZAit_ PWA CITY STATE ZIP ` CITY f4c���/J �� -STATE ZIP cti CA PHONE, ^ i l � 7/ -7 FAX PHONE q � -7S_�` �3S) FAX Z j EMAIL ��� v � O � i � � ��\ • C � � 1� EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS " 1 q I r i &�C_n - ` /J L`D `� {� vV CITY STATE ZIP e'�CJ�STATE CITY //� �� ZIP `r—� �5 V b m !D 6-Al -%Z1, V " PHONE FAX PHONE FAX EMAIL EMAIL - STATE LIC. # STATE LIC.# 1 V / 9 o CLASSCITY B 1 .7C.# y 7-9 (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 {Chappter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil nanalty of not more than five hundred dollars f$5001l. Workers' Compensation Declaration: I hereby affirm under penalty of peduryone ofthe following declarations: ❑ 1 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 b Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. %� l_;3 "651 Policy No. 14SASDI 2,114C) Expiration Date y 'f t7 This section need not be completed if the permit is for one hundred dollars ($100) 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, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for ction 3706 o e labor code, interest and attomey's fees. )K CONTRACTOR SIGNATURE � _ � ��7 NAGENT DATE Z '� 1 hereby affirm that I am exempt from Contractor's License Law for the following reason: El I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder Wit have the burden of proving that he did not build or improve for the purpose of sale). I, as owner.of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ❑Yes [:]No 2.1(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/ contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the fallowing persons to provide the work indicated (include name / address / phone / type of work): )KPROPERTY OWNER SIGNATURE AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ Yes ❑ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ❑ Yes ❑ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ Yes ❑ No IF ANY OF THE ANSWERS ARE'YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address �i I cerdfythatl have read the application and state thatthe above information iscorrectand that the information on the plans is accurate.I agreeto complywith all City ordinances and State laws relating to building construction. I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over69 deep and demolition orconstruction ofstructures over3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code sh I expire by limitation and become null and void if the building orvurk authorized by such permit is not commenced within 180 days -from the,date ofsuch permitor ifthe building orvurk author' such permit is s nded or abandoned at any time after the vurk is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). At�APPUCANVS SIGNATURE DATE 4,'' STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERT&FICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email building(a-callsbadca.go or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: ❑ CONTACT (Listed above) ❑ OCCUPANT (Listed above) ❑ CONTRACTOR (on Pg. i) ❑ ASSOCIATED CB# MAIL TO: ❑ CONTACT (Listed above) ❑ OCCUPANT (Listed above) ❑ CONTRACTOR (On Pg. 1) ❑ NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: ❑ CHANGE OF USE / NO CONSTRUCTION AtiAPPUCANT'S SIGNATURE DATE Inspection List Permit#: C9162545 Type: SIGN SDCCU: INSTALL ONE ILLUM SURROUND FOR ATM (NEW ATM PER CB Date_ Inspection Item Inspector Act Comments 08/18/2016 38 Signs - RI PM PLEASE 08/18/2016 38 Signs PB AP 08/18/2016 39 Final- Electrical - RI PM PLEASE 08/18/2016 39 Final Electrical PB AP Friday, August 19, 2016 Page 1 of 1 s Gity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-16-2014 Sign Permit Permit No: CB140099 Building Inspection Request Line (760) 602-2725 Job Address•: 2530 EL CAMINO REAL CBAD Permit Type: SIGN Status: ISSUED Parcel No: 1670805000 Lot #: 0 Applied: 01/16/2014 Valuation: $5,000.00 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 01/16/2014 PC #: Issued: 01/16/2014 Project Title: SD COUNT CREDIT UNION- INSTALL Inspect Area: ONE ILLUM WALL SIGN AND ONE ILLUM ATM SURROUND Applicant: Owner: SIGNTECH ELECTRIC ADV. VONS COMPANIES INC <LF> A A E PACIFIC PARK ASSCS C/O HUGHES INVESTMENTS -MANAGER 4444 FEDERAL AVE P 0 BOX 8700 SAN DIEGO CA 92402 NEWPORT BEACH CA_ 92658 619 527-6100 Building Permit $77.87 Add'I Building Permit Fee $0.00 Plan Check $54.51 Add'I Plan Check Fee $0.00 Electrical •Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $33.00 Additional Fees $0.00 TOTAL PERMIT FEES $165.38 Total Fees: $165.38 Total Payments To Date: $165.38 Balance Due: $0.00 FINAL APR112 AL I IncnPctnr Date: a " y Clearance: NOTICE: Please take NOTICE thd(approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, not planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any d THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ❑PLANNING nENGINEERING ®BUILDING [3FIRE ®HEALTH ❑HAZMATIAPCD .$Z CITY OF ARLSDAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carisbadca.gov www.carlsbadca.gov Plan Check No.MtLf O O 9 9 Est. Value t ,!SU uz uv Plan Ck. Deposit Date l 11W114 lswm lOB ADDRESS 2 ��tl VIL- CAM In/� i�LeA� SUITE#/SPACE#/UNIT# APN -� �� i(o"? -o30 CT/PROJECT # LOT # PHASE # # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME SAN D-Jr_C 6 CoviJtY cAcblT umd,) CON51R. TYPE 1OCC.GROUP DESCRIPTION OF WORK: Include Square FeetofAffectedNea(s) /A1%)T L( ONl:. ILLU /tJATtT.� WAt - c KVC ) A/V® o ^lC) LLU M 1A/A j� AIYI S uArZ-© V ^/L9 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES❑#, NOE:] AIR CONDITIONING YES[:]NOMI FIRE SPRINKLERS YES❑ NO❑ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS VIP �'V •J LiCJI v 1/�1��"�Y� ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE' FAX PHONE 7— EMAIL ^1 (S, UM ' C� `✓\" v EMAIL PROPERTY OWNER NAME i� G;1ic. Nv't� rnt'� CONTRACTOR BUS. NAME `S� %N z��c-i:j en.rzn2t 44 c.. Acs-,i(�2.r�s,.✓C; ADDRESS `+1 ADDRESS ggq_I F�f`1- �`s4 V6� CITY l�NQt*�� Q1 STATE ZIP e/9 iz�c� C� CITY STATE ZIP ��nd ����-� (:A 9z� dZ PHONE SC) FAX PHONE I FAX EMAIL EMAIL ARCH/DESIGNER NAME &ADDRESS STATE LIC. # STATE LIC.# W CLASS q CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any -structure, prior to its issuance, aiso requires Tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil Denaltv of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I herebyaffirm under penally of perjury one of the following declarations: ❑ 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 issued7andpolicy NMI LAJ 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 workers' compensation insurance ca number are: Insurance Co. 1145 - Cc If 76. W k o) Policy No. wSA 0z 33 U o Expiration Date l This section need not be completed N the permit is for one hundred dollars ($100) 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da ages as provided Mn Section 37 of the Labor code, Interest and attorney's fees. )K CONTRACTOR SIGNATURE AGENT DATE a s s • I hereby affirm that I am exempt from Contractors License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). EJI am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. []Yes QNo 2.1(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 / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): AE PROPERTY OWNER SIGNATURE []AGENT DATE p • • R ! ffi f Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? Yes , No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I I Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. e ♦ s ' I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address I certifythatI have read the application and state thatthe above irrfomiation Iscorectandthatthe inl0natlon on the plans isaccurate. I agreeto oomplywith all Cityordinances and State laws relating to building construction. I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA -.An OSHA permit is required for excavations ove ,60' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by -limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or Mork authorN "per7inl ended or abandoned at any time after the work is commenced for a periodof 180 days (Section 106.4.4 Uniform Building Code). A!SAPPLICANT'S SIGNATURE " - = DATE s� i' •;p" STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Projects Fax (760) 602-8560, Email buildinC�C .Carlsbadca.gOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FFAX - - EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK-UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# - MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg.1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: - CHANGE OF USE / NO CONSTRUCTION AtiAPPLICANT'S SIGNATURE - DATE l Inspection List Permit#: CB140099 Type: SIGN SD COUNT CREDIT UNION- INSTALL ONE ILLUM WALL SIGN AND ONE ILLUM Date Inspection Item 02/1.3/2014 38 Signs 02/13/2014 38 Signs 02/13/2014 39 Final Electrical Inspector Act Comments RI PM PLS Py AP Py AP Friday, February 14, 2014 Page 1 of 1 00 B U I LD I N G PERMIT 06/11/93 10:04 Page I of 1 Job Address: 2530 EL CAMINO REAL Suite: Permit Type: SIGN Parcel No: Lot#, Valuation: 2,000 Construction Type: NEW Occupancy Group: Reference#: Description: SAN DIEGO COUNTY CREDIT UNION Appl/Ownr : SIGNTECH, INC. 6618 FEDERAL BLVD LEMON GROVE, CA Permit No: CB930567 Project No: A9300835 Devf-mlopment No: -1 1 27011 (16,111d 93 0001 01 02 C-P-11"FIT 7 4,f - 00 Status: ISSUED Applied; 06/1-1/93 Apr/Issue: 06/li/93 Entered By: DC 619 286-7446 xx Fees Required i�-cted & Credits A ---------------------- -------_Fees Adjustments: 04 Total Fees: ;"�APAM Balan Fee description / --Z_) ------------------ 7 Building Permit Plan Check SIGN TOTAL �u INCORPORAT ED 11J Lre CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 74.00 Ext fee Data ---------------- 45.00 29,00 711.00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERWV-4_YPK ��rma A - U CommercialNew Building U Tenant Improvement B - ❑ Industrial ❑ New Building ❑ Tenant Improvement C - ❑ Residential ❑ Apartment ❑ Condo ❑ Single Family Dwelling ❑ Addition/Alteration ❑ Duplex ❑ Demolition ❑ Relocation ❑ Mobile Home ❑ Electrical ❑ Plumbing ❑ Mechanical ❑ Pool ❑ Spa ❑ Retaining Wall ❑ Solar ❑ Other PLAN CHECK NO. 9� EST. VAL 1i PLAN CK DEPOSIT VALID. BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 55;o 61 Building or Suite o. GG Ci^�iY11�(� ' �.� Nearest Cross Street LEGALSZ itTPi` t o. subdivision Name/Number Unit No. Phase No. ❑ 2 Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK 1 ntfib 1(a 2r) tA SQ. FT. I # OF STORIES Lit differentfrom applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME + y(� ADDRESS CITY G STATE ZIP CODE Ll j4141E�� ` DAY TELEPHONE Jto NAME v j LV1 J��'[,� C de �,� WRESS CITY '^ STATE ZIP CODE DAY TELEPHONE NAME 5 �OJ+ j� J/ty/I/' ADDRESS \ CITY /� STATE ZIP CODE C `(,^ �J DAY TELEPHONE (talc,) [a!Mf►1_ C-1 VY�j STATE LIC. #4�AQ LICENSE CLASS CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' CompensationDeclaration: I hereby affirm that I have a certificate of consent to se -insure issued y the Director ot 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 12) te, -f J m � POLICY NO. A-lQ" ✓1 �1 �EXPIRRATION DATE 411 l01 -- so as to a subject to the Workers' Compensation Laws of California. 1NATURrAVIX)lkll-7 DATE (0// / 10A Owner-BuilderDeclaration: I hereby affirm that I am exempt from the Contractor's license Law for the following reason: ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). ❑ I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINV, 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? ❑ YES ❑ NO Is the applicant or future building occu NO required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES ❑ NO 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 OR IS MEETING THE REQUIREN ENIS OF TILE OFFICE OF EMERGENCY SERVICES AND THE AIR POI7 U1ION ODNTROL DISTRICT. ereby affirm that there is a construction lending agency fort a performance of the Work for which this permit is issued cCivil Cod? LENDER'S NAME LENDER'S ADDRESS certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances an Late aws 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 CTTY OF CARISBAD AGAINST ALL LIABUXIMS, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by suc it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). SS IGNATURE DATE: CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930567 FOR 07/08/93 DESCRIPTION: SAN DIEGO COUNTY CREDIT UNION TYPE: SIGN JOB ADDRESS: 2530 EL CAMINO REAL APPLICANT: SIGNTECH, INC: CONTRACTOR: OWNER: REMARKS: MH , SPECIAL INSTRUCT: TOTAL TIME: CD , LVL DESCRIPTION INSPECTOR AREA TP PLANCK# CB930567 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE.: 619 286-7446 PHONE-: PHONE: INSPECTOR 4t:!!E 1 ACT COMMENTS 38 EL Signs .� ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS t USE BALL POINT- PEN ONLY'&PRESS HARD APPLICANT TO:FILL IN INFORMATION -WITHIN SHADED AREA'AND DECLARATIONS. �: ":h reby' affirm that .1-am licensed' under 0 provislons of Chapter 9 (commencing with 1,­ Section 7000) of -Division 3 of the Business I -and and, Professions Code; my license is in. i Z ' full fore d effect. • I tic N r Class 0 V. r A 'hereby affirm that I am exempt from the Contrac- r tor's,.Llcense Law for the following -,reason (Sec. 703, Business,and• Professions Code: Any city or county which re- ' 4uues a permit to consiruet, alter, improve, .demolish, or repair any structure, prior'to its issuance also requires the ap- plidant for such permit to file a signed statement that he Is I' . licdnsea',pursuant to the provisions of- the Contractor's .I • t Liceose.law (Chapter 9 dommencing,wdh Section 7000 of ' Division 3 of the Business and.Professions Code) or that is ex- I •• empt therefrom and'the'bas for the alleged exemption -Any - i' N 1, Z W 0 U violatidmof Section 7031;5 by an`applicanf for a permfpsub• jects the applicant to a civilpenalty:of-notAore than hye hurt % Bred dollarr($500). r I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the sbuc- filre' is not intended or offered for sale (Sec 7044, Business and Professions Code; The Contractor's License Law does not apply to -,an owner.of-,propertyy who builds or Improves i thereon and who does such work.himseff or. through his own I employees, provided that such iimprovemems,are not Intend- ed or offered for sale. �•If, however, the building or Improve- • ) mant Is' sold within,6ne year of co'mpletion,.the owner -builder, I will have the burden.of proving that he did not build or im- prove for the purpose otsale). ❑ 1„ as owner of the properly, am exclusively contracting I with.licensed contractors to construchthe project (Sec. 7044-, I Business and Professions Code! The Contractor's License I Law does notapply to an owner of property who builds or im- proves thereon, and who contracts for each projects with a I Lawjactor(s) license pursuant to the Contractor's License '❑ As a homeowner I am improving my home, and the•follow- ing:condihons exist: I 1. The work is being performed prior to sale- I 2. 1 'have lived In my home for twelve months prior to completion of this work, f 3- 1 have not claimed this exemption during the I last three years. I ❑ 1 am exempt under Sec. , B.& P,C. I for this reason 0 j hereby.affirm that I have a certificate of consent to self -insure. or a certificate of Workers' Compensation In- surance, ore �ce1rtified copy thereof (Sec. 3800. Labor Code) .` POLIOY, NOd7 t 3 2 - COMPANY:1:7A OU� •�(Ql.� P� Copy is filed with the city ❑ Certified copy is hereby furnished - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars,($100) or less) ❑ 1 certify that•in the performance of the work for which this permit is Issued, Lshad not employ any person in any manner so alto become subject to the Workers' c6mpen. sa{ion Laws of California. NOTICE TO APPLICANT: If, after makiug'this Certificate of Exemption, you should become subject -to the Workers' Compensation provisions of^the Labor Code, you must' forthwith comply with such provisions or this permit shall be ,deemed revoked. I hereby affirm that there Is"a construction lending agency(or the, performance of the work for which this,per- W 0 . mi yis issued (Sec. 3097, evil Code) Z W ' Lerider's Name RJ Lenders Address GARL$BA.a BU'IL:®ING-®EPARTMEN'T - * Carlsbad, California 92008-1989 (619) 43B-5525 APPLICATI®N & PERMIT JOB ADORESS' - a: "' AV. ST. RD. N EASIEST CROSS•ST- - '3a CA N � a R��� :; •GATE OF APPLICATION t BUSINESS LICENSE' # - -V ALUATIOtJ' '' Sao ZONE - PE'RMIT NUMBER $�' LOT BLOCK' SUBDIV(SION ASSESSOR•PARCEL NO, ipt}CjjONTRACTOR CQNTRlACTORRS PHONE�aa0 '0�1j'�-t0�• OWel �.N E^R'S NAME ' OWNER'S PHONi£�"'! >r't, ! OWNER'S MAILING ADDRESS _ - a /► _}.y- j y ��4- 11w5V lDESCWIIPmTION CONTRACTOR'S ADDRESS •' (,,,%, ,aox S l V � LICENSE NO, - PLAN 1.6,4' ' BUILDING SO. FOOTAGE - - DESIGNER DESIGNER'S PHONE • ' _ - - t t� »• - - • Not Valid Unless Machine Certified :. OF WORK - DESIGNER'S •ADDRESS LICENSE NO. Y❑ N❑F/P FLR ELEV. NO STORIES OCCGP EDU tt j� A� - 6 j FL� � GA;A-ID CENSUS TRACT GP,I,AND USE' PARKING SPACE RES UNITS GRADI NG PERMIT ISSUED - Y❑ N ❑ REDEVELOPMENT' AREA • Y❑' NO TYPE CONST OCC LOAD -'FIRE SPR Y❑ N❑ QTY.. PLUMBING PERMIT - JSSUE- QTY. Y.' MECH'ANI C�AL'PERMIT -ISSUE r---. SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILOING'PERMIT 001-810-00-00,8220 _ EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 90.1 810 00' 00 8221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 , EACH GAS SYSTEM I TO40UTLETS BOILE111COMPRESSOR'3.15 HP TOTAL PLUMBING-001.810-00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 00.1-810-00-00-8223 EACH INSTAL,,, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 00.1-810-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOODIDUCTS MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACEMEATER MOBILEHOME PARK•INSP EACH ROOF DRAIN (INSIDE)- SOLAR 001-810-00-00-8226 TOTAL MECHANICAL STRONG MOTION 880-519-92-33 TOTAL PLUMBING • FIRE SPRINKLERS 001-810-00-00-8227 QTY. ELECTRI-CAL PERMIT - ISSUE ,. QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 332-810-00=00-8930 NEW CONST EA AMP/SWTrBKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BL'DG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San,Dieguito REMODEL/ALTER PER CIRCUIT PLAN CHECK'FEE San Marcos TEMP POLE 200 AMPS OVER200AMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY (30 DAYS) MFF 880-519-92-57 , CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE ( I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND. PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis tt AN OSHA PERMIT IS REWIRED 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 budding or work A 0" DEEP AND DEMOLITIONTREQUIRED OF D CONSTRUCTION S 180 days from the date of such TRUCTURES OVER 3 STORIES IN HEIGHT. I , aothorized•by such permit is not work D SUED, TIONS.ARE TRUE AND CORRECT AND i FURTHER CERTIFY AND AGREE IF A PERMIT 18 permit, or 'if the building or work authorized by such permit is suspended .or authorized ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING. CON- abandoned at an time after the work is commenced fora eriod of'180 da s. STRUCTION, WHETHER SPECIFIED HEREIN OR' NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPU NLSITUR't^ •APPFfODBY..KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND• OWNER❑ CONTRACTOf;4? EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE �\AZ �GRANTING OF THIS PERMIT, y ,� �. - BY PHONE 0 fffJJJ a - TYPE i I DATE 1. INSPECTOR BUILDING FOUNDATION ! REINFORCED STEEL MASONRY I GUNITE OR GROUT i SUB FRAME ❑ FLOOR ❑ CEIt ING SHEATHING 0 ROOF ❑ SHEAR FRAME I EXTERIOR' LATH INSULATION ! INTERIOR LATH & DRYWALL PLUMBING 0 SEWER AND BL/CO. ❑ -PQCO UNDERGROUND ❑ WASTE ❑, ATER :. TOP OUT ❑ WASTE ❑ JATER " TUB AND SHOWER PAN I GAS TEST ❑ WATER HEATER ❑ SOLAR MASTER I ! ELECTRICAL , ❑ ELECTRIC UNDERGROUND ❑I UFFER ROUGH ELECTRIC I ❑ ELECTRIC SERVICE ❑ TEMPORARY ❑ BONDING ❑ POOL I ❑ DUCT & PLEM., ❑ REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS t CALL FOR FINAL INSP8CT16N WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL ' x PLUMBING I ELECTRICAL l MECHANICAL ! GAS BUILDING ! SPECIAL CONDITIONS ! I I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ.IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY 'PILES CAISSONS y +" IISF-RAII POINT PFN ONIV k PRFSS 14ARn APPI I(TAPJTTn.Fn I IM IIUFnRMATIntU'WITL.IIKI CLJAn=n'A•QOA Atkin f1C/+1 AOATI NMe Q hereby affirm that I -am licensed under p f ona •ofChapter 9 (commencing with on 7000)' of Division 3 of the Business <, and?rofesslons Code, and my license is In F full force and -effect. Zp '•Ltc,No Class U 1 hereby affirm that I am exempt from the Contrac- ,for's License. Law -for the doliowing reason (Sec. 7031.5 .Pusiriess.and Profession's Code: Any city or county which re- quires a permit to construct, alter, improve, demolish, or repair any structure, prior toils issuance also requires ttte.ap- '-phcant for such' permit to file a signed, statement that he is bcensed,ipursuanl,to the provisions.of the Contractdr's License Law (Chapter 9•commencing with Section 7000-of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any violation of Section 7031,5'by an applicanffor a permit sub- )ects the applicant,to a civil penalty of not more than five hun- dred dollars ($500). ,� ' ❑ I, as owner of the property,�or my employees with wages W- as their, sale compensation, wdl.do,the work, and the strut- p ture is goHntended or offered for sale'(Sec. 7044, Business 'J; and Professions Code: The Contractor's License Law does j- .not apply to an owner -of property who builds or -improves 42 thuiaon and who -does such work himself, or through his own , Z . - employees, plovided that such, improvements are not- intend- W ed or offered for sale. If, however, the buildiag;or improve- ment is sold within one year of completion the0wner-builder .3 will have the burden of proving tliaGhe did not build, or im- prove for the purpose of sale). ❑ I, as owner of the, property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bushiess,and Professions Code: The -Contractor's Lfcedse Law does not apply to an owner of- property who builds or im- ptoves'thereon, and who contracts for each projects with a conttactor(s),license pursuant'to the Contractor's Licdnse Law). ❑ As a homeowner I am improving my home, and the follow- ing conditions exist: .1, The work is being performed prior to sale. 21 1 have lived in my home for twelve months prior to completion•0, this Work, 3. I have not claimed this exemption during the last three years. ❑ I am exempt under Sec. , B & P.C. for this reason ❑ 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation In. surance, or a certified copy thereof (Sec 3800, Abor Code) POLICY NO, z p, COMPANY ' ,,,❑rrr ropy is filed with the city, ���Z Certified copy is hereby furnished Lu - p V' CERTIFICATE OF EXEMPTION FR N WORKERS' COMPENSATION INSURNICE Q (This section need not be completed if lhe.permit W is for one hundred dollars ($100) or less) , ]C; -❑ 0 I certify that in'the performance of the work for which p this permit is issued, I shall note to an P employ Y Person in any 3 manner so as to Become subject tothe.Woikers' Compen- sation Laws of California. NOTICE TO APPLICANT: If, after making this Certificate ' of Exemption. you should become subject to the Workers' Compensation proVisions of the Labor Code, you must - - forthwith comply with such provisions,or this permit shall. be deemed -revoked. - I hereby affirm that Cher is a construction lending W _ agency forth perfoY a e f. a work,for which this per. = mit is issued (Sec. 3 7 C it ode) ul Lender's - Name - - Lender°srAddress ^ CARLSBAD BUILDING bEPARi'MENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICAT N PEt`iMiT _ JOB ADDRESS AV, S"t. RD. NEAREST CROSS ST. DATE OF APPL IC`CATION BUS ICE VALUATION ` ZONE' PERMIT NUMBER-' LOT BLOCK SUBDIVISION. - ASSESSOR PARCEL N0, CONTRACTOR ? CONTRACTORS PHONE ' ,OWNER'S NAME.OWNE �1 4_ C9'tE.�'t�t-�� � ca.t2 t v� R'S PHONE t SU .. G fG f /'�^ C //�i � /` pyj�f,�,�� T/�/j __ 1:: .GB, Obi sAf ICoj? �,.,f' LICENSE NO. g-)7,5"(� PLAN I.D. # - _ BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS DESIGNER - DESIGNER'S PHONE - ^' — Not Valid Unless Machine Certified DESCRIPTION OF WORK ,M1 �,y1 g `Cc�i �„ `� DES GN' R'S ADDRESS - � LICENSE NO. � Vt- 01A eY U-4 h ( ezo V- - - F/P FLR ELEV. YO NO NO - STORIES OCC GP EDtI CENSUS TRACT GP LAND USE PARKING SPACE RES,UNITS GRADING PERMIT ISSUED Y O N O. REDEVELOPMENT AREA Y❑ NO TV PE CON_ST OCC LOAD FrRE SPA YO NO• -QTY. PLUMBING PERMIT - ISSUE �v QTY. MECHANICAL PERMIT - ISSUE _ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING,PERMIT 001-810-00-00-8220\ EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221 EACH -WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 EACH GAS SYSTEM 1 TO'4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-'00-00-'8222 EACH. GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 EACH INSTAL , ALTER, REPAIR WATER'PIP'E VENT FAN SINGLE DUCT MECHANICAL 001-810.00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 001-810-00-00-8226 TOTAL MECHANICAL STRONG MOTION 880-519-92-33 TOTAL PLUMBING FIRE SPRINKLERS 001-810-00-00-8227 QTY. ELECTRICAL PERMIT - ISSUE �,,.• QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930 NEW CONST EA AMP/SWT!BKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH ' PUMP San Dieguito RE,MODEL!ALTER PER CIRCUIT PLAN CHECK FEE San Marcos I TEMP POLE 200 AMPS 1, OVER 200 AMPS - LICENSE TAX 001-810-00-00-8162 ( TEMP OCCUPANCY (30 DAYS) MFF 880-519-92-57 i I CREDIT DEPOSIT I TOTAL ELECTRICAL I i TOTAL SOLAR TOTAL FEES PAYABLE sue.. I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building,Officiaf under the provisions ofthis F AN OSHA PERMIT IS RE-ati1RED FOR EXCAVATIONS OVER CERTIFY UNiJER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work 1, authorized b such y 5' 0" DEEP AND DEMOLITION OR CCMISTRUCTgN OF days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF.A PERMIT IS Y permit is not work authorized such ( permit, or it the building or work authorized c such permit is suspended or I ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandon at an tim after the work is commenced for a period of 180 days. STRUCTION,'WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND g SIGN RE APPROVED BY I• -KEEP -HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER Q •CONTRACTOR❑ DATE/ ( EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF BY PHON THE I GRANTING OF THIS PERMIT, r M TYPE ' DATE INSPECTOR BUILDING # FOUNDATION . REINFORCED STEEL ' MASONRY I GUNITE OR GROUT i SUB FRAME 0 FLOOR ❑ CEi !FNG SHEATHING ❑ ROOF L SHEAR FRAME I EXTERIOR LATH S. INSULATION INTERIOR LATH & DRYWALL I PLUMBING I '❑ SEWER AND BL/CO ❑ P(/CO UNDERGROUND ❑ WASTE ❑ WATER TOP OUT ❑ WASTE ❑ ViATER TUB AND SHOWER PAN GAS TEST ❑ WATER HEATER ❑ SOLAR WATER ELECTRICAL ❑ ELECTRIC UNDERGROUND ❑i UFFER ROUGH ELECTRIC ❑ ELECTRIC SERVICE ❑ TEMP RARY ❑ BONDING ❑ POOL I MECHANICAL ' ❑ DUCT & PLEM., ❑ REF. PIPING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS ! CALL FOR FINAL INSPEC77ON WHEN ALL APPROPRIATE ITEMS ABOVE HALE BEEN APPROVED. FINAL I PLUMBING j ELECTRICAL I MECHANICAL I BUILDING ; VJ SPECIAL CONDITIONS ! _ '11�_ i FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ.IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS l . . ¢C. I [] I,hereby,affirm that I,Am licensed under - - provlsl'ons of Chapter 9 (commencing with• I Sectlon`7UQ17) of Division 3.of the Business I C: and Profeaslona Code, and my license is in . I Q fulhfoi��99 pprro�dd ��ff��pjj, ( p Lic, Nb_M Class Gi 6 i ZO o - 1 hereby affirm that ( am exempt from the Contra,-I , tor''-s License Law for the following reason• (Sec. 7031:5 ' J ' Business and Professions Code: Any city or county which re- quires, a permit to construct alter, improve, demolish, or repairany structure, prior to Its Issuance also requires the'ap- I 4 plicant'for such, permihto I 1p a signed statement that he is Versed pursuant to the - provisions, of the Contractors - J Llcense Law (Chapter 9•commencing•with Section 7006 of Division 3 of the Business ind'Professfons.Code) or that is ex- I empt therefrom and the basis -for the alleged exemption. Any 1 • violation of Section 7031.5 by airapplicant for a pefmlt+sub- •jects the applicantto a 60,penalty.of"not more than five huh- ( fired dollars ($5d0):„ ' --- . . 4 „ W_ • 'Q I, as owner'otthe property, or my employees With wages I yJI as-Iheir sole compensation, will dd-the•work,-and the struc- p' . Iure is not -intended orofiered for sale'(Sec. 7044, Business 1 .�-. and Professions Code: The Contr'autWs-License Law does - j I• not apply to an owner, of property who builds or improves - O thereon and who does such work himself or through his own, 1 pp euip(oyees,.,provided that stichamprovements,are not intend- • Lu ; h . ' ed.or offered forsale.Iif, however, the -building or improve- " Z ment is sold within one•yearof completion, the owner -builder 1 3 will have the burden ol, proving that he•did riot build or im- prove for the ptirpose of sale).,_ I ❑ 1, as owner 0-the properly, am exclusively contracting - - with licensed contractors to construct the'prolect (Sec. 7044, 'I , "Business and Professions Code: The Contractor's License, Law does'dotapply to an.owner of property who builds.orim- I rA proves'thefeon, and Who contracts for each projects with a I Z contractor(s) license pursuant to the Contractor's License ' -Law). „ I ❑ As a homeowner I am improving my home ,and the fallow- I ¢ Q ing conditions exist:. i 1. The work is being pedormed,prior to sale. I - -2. 1 have lived in my home for twelve- months - 1 tJ prior to completion of this work. WG 3. •I have not claimed this exemption during the J last three years. ❑ I am exempt under Sec. , B & P.C. for this reason 1 t ❑ 1 hereby affirm that I have a ceridic of nsent 1 f0-'Self-InSufe, pf a Celt iflCat orkef5' + Compensation insurance, or a cent i opy thereof I (Sec. 3800, Labor Codej 1 POLICY NO / 1 o t= COMPANY {1e W�V-14V I�J 1 ZL7 copy is filed with the city - I I W IL ❑ Certified copy is hereby furnished 1 O U CERTIFICATE OF EXEMPTION FROM W WORKERS' COMPENSATION INSURANCE I 'W (This section need not be completed it the permit is for one hundred dollars (S100) or less) Y ¢ I I] !certify that in, the performance of the work for O which this permit is issued, L shall not employ any I 3 person in any manner so as to become subject to 1 the Workers' Compensation Laws of California 1 NOTICE TO APPLICANT It, after making this Ceni I ficate of ExerAption, you.should become subject to the Workers' Compensation provistonsbflhe labor I ,Code.'you must forthwith 'comply with such _ provisions or this permit shall be deemed revoked I w ❑•I hereby affirm 'that 'there is a construction a ¢ W lending agency for She performance of the work for- • i0 which,this permit is issued (Sec 3097. Civil Godel. Z W J Lender's Maine - -I - -Lender's Address - ! USE BALL -POINT•PEN ONLYA PRESS HARD APPLICANT TO FILL IN INFORMATIONVITHIN SHADED'AREA AND DECLARATIONS _ CARLSBAD BUILDING DEPARTMENT --APPLICATION & PERMIT 120P Elm, Carlsbad, California 92008-1989 (619) 438.5525 , J O{B/�rAD DFi(/E�jSg .•- -? - �;�%{r,�y�. A V. ST,yeRp- NEAREST CRO'SS ST. DATE OF APPLICATION . 'BUSt NSE # VALUATION ' PERMIT NUMBER LOT BLOCK - LSUi3,Ot-Vl§tON - ASSESSOR'`PARCELNO. CONTRACTORtS..P-`H%ONE# ZONE �✓(l�CjOtTRA*C�T'�O}R •+�� OWNER'S NAME -... r F.t[V'f—ti 11G..1..:- OWNER'$ PHONE / CONTRACTOR'S ADDRESS •• I3iC'G Smart f Nb • LICENSE NO. PLAN I.D. 4f BL'DG USE CODE OWNER'S MAILING ADDRESS �.} `kb� G, . ESIGNER /9� �T�� /V J 12 �. j- QXW 4ZD . 3 a � `O�� s ��{ M�j(j VI LICENSE # STANDARD PLAN # BUILDING-SQ. FOOTAGE Zri i 14. i.�r !! (/���//� �V(J- DESiCR�I.PTION•OF�WORK �- li ft 2f �(1 ` llh ""• opSIGNE.R'S -., [j� U/GG,I.:. Ci-�`�, F �• N 1.— AD RESS ,DEStGNER'S PHONE. WALL- 'sI -. 85 ' F/P FLR ELEV. NO OCC GP 'EDU _2/2u/ STORIES Y❑ NO - - .- - CENSUS TRACT ' GP LAND USE PARKIiNiG SPACE RES UNITS GRADING PERMIT ISSUEb REDEVELOPMENT TYPE OCC LOAD ,FIRE SPR - . AREA CONTT - - - - Y.❑. N ❑ Y❑ N❑ Y❑ N❑ Not Valid Unless Machine,Certified QTY. PLUMBING PERMIT - ISSUE 7� rV QTY. MECHANICAL PERMIT -'ISSUE XUv SUMMARY/ACCOUNT NUMBER• EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN.P.ERMIT -04-00-00-8221 EACH'WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS -SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTALPLUMBING 01-00-00-82?2 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL _ 01-00-00-8223 EACH INSTAL.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00.8224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME , 01-00-OQ-8225 WATER SOFTNER RELOCATION OF EA FURNACEIHEATER MOBILEHOME PARK INSP EACH ROOF DRAIN '(INSIDE) SOLAR 0 00 00 2 TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 TOTALPLUMB4NG FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE PUBLICTACILITIES FEE 32-00-00-8930 BRIDGE FEE ,S^�ao NEW CONTT EA AMP/SWT 8KR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST -SLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 i PH 3 PR PUMP San Dieguito 80-92-23-0519 REMODEL,ALTER -PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200 AMPS _ OVER 200, AMPS LICENSE TAX 01.00.00.8162 TEMP OCCUPANCY (30 DAYS). MFF 80-92-57-0519, CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued by4heBudding'Otficiai under the provisionsofthis AN OSHA PERMIT IS REWIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shah expire by limitation and become null and void. If the building or work 5' 0" DEEP AND DEMOLITION OR authorized by such permit is not commenced within 180 da s from the date of such CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS y STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- permit, or if the building or work authorized by such permit is suspended or " STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND abandoned at an time after the work is cow enced fora euod of 180 da s_. A CANT'S SIGNATURE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS; COSTS AND �t OWNER ❑ (pryTfZACTOR APPROVED BY D EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, BY PHONE ❑ /E, �G/ i TYPE DATE INSPECTOR BUILDING FOUNDATION 1 REINFORCED STEEL MASONRY GUNITE.O_ R GROUT FLOOR & CEILING SUB FRAME SHEATHING ❑ ROOF_ ❑ SH AR FRAME I EXTERIOR LATH ' INSULATION r INTERIOR LATH & DRYWALL - I PLUMBING ' SEWER AND BLICO ,❑IPUCO i UNDERGROUND ❑ W! ,kSTE ❑ ATER TOP OUT ❑ WASTE- 0 WATER TUB AND SHOWER PAN GAS TEST t ❑ WATER HEATER ❑ SOLAR WA ER r ELECTRICAL ❑ ELECTRIC UNDERGROUND ❑ WFFER ROUGH ELECTRIC ' ❑ ELECTRIC SERVICE ❑ TEMPORARY ❑ BONDING ❑ POOL MECHANICAL ' ❑ DUCT & PLEM., ❑ REF. PIPING HEAT - AIR CO ND. SYSTEMS VENTILATING SYSTEMS I L CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL ' PLUMBING I ELECTRICAL I MECHANICAL r GAS ' BUILDING L SPECIAL CONDITIONS FIELD INSPECTION RECORD .REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ.IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL, CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I k v