HomeMy WebLinkAbout2677 STATE ST; MULTI-PERMIT FILE; 69-854; PermitCITY o .-cARLSBI-"'
BUILDING DEPART
729-1181 -Ext. 36
... -
.CONSTRUCTION LENDER INFORMATION (OVER)
Applicati r BUILDING Permit 72~
licant to Fill In b _g-,!;"-f
Moil Add res£ -----------,,,....-·-::-.!J' ~:!f----i:-,,---,-~---=-f
~·••!
Contractor
Conlr. Address ------==----.....,.---::-:---
To Const~dd D To Alter O c:nvert D --· -_s•_:t_'li_a_~k---1-~--.,_-+ __ Bl..c.d..,_g_. _V_a_lu:..:a..c.f:..:10"--~,__9tLJ~-':.:::....-'
To Move From ----------~..,...,..,.,---':.::..='"--"'.,_
Type of Const. -V..,._.,,=,__.LN...L--------------
Fra~me • .M11sol!rf, et_c~··
,4 , ,-r;;,. •> !' c h
To Be Used Fo~ •
Kind of Foundotio,(!~o. of Stories_-J./'-----
Floor Spoce ( Sq. Ft.) --------J/'--7....L...__,,_7_5"":...._ __
Garage Floor Space (Sq. Ft.)
A tlached=:":::::~==::....-
Detached!_-=-==~==~===:--
Legal Description _________________ _
Block Lot
Subdivision ___________________ or
Section Townsnip Range
No. of Existing Building(;2._~4--nd~
Will this cons~~nclude any plumbing installation or alter•
ation? Yes~ No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
Front P.L. Main Bid
Side P.L. Garage
Rear P.L.
Contractor City Bus. Lie. No.
Sysiem
Utility Company Notified -Dato, _____ _ Bv------
Final
If a check is rendered for p<>ymant for the above fee o nd the
check is not honcr,,d v,hen prosented for payment, your
building permit will be imrr.ediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
' ...
-;
'
C~L1FORi{1~ ~T'TE CODE OF CIVIL PROCEDURJ!
s~cTION 1~93 {J)
-----------nn.ne or l:.:~1der
----·-~--------add,ess of lender
'
s1gnature of applicant
'
b ranch
city
19
,date
-~
\·
., ·,
,.._
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
PERMIT NO. ~,r.-91/ 1 TOTAL FEE s /;l.~
Application for ELECTRICAL Permit
For Applicant to Fill In Bui-~9 ~l ...... *H**12. 00
PERMIT FEES, Each Fee
Item R ecpt. Sw. BUILDING ADDRESS,
"J ,/'A 7 / <,../rd~
Lighting fixtures w ballast for each 10 $ 1.00 ,-~
L St Near .R.-:> ,£>,.. 's .. J ....
El ec. Rannes. CI othe s Dryers. Water Hua t ers .50
Elec. Space Heaters Dishwashers. Garbage
OWNER,
..:)1sposers. Auto. Washers. Sta. Cooking Units .50 ADDRESS,
MOTORS: Per eoch motor H.P.
0 to 1 $ .25 CITY,
1 to 2 $ .50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State City Bus1nessC(~ t) b 15 to 50 $ 2.50 License II.?,/~// License "(.
50 to 200 $ 5.00 .
SIGNS, Group Zone By
No. trans. E a. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE, 0 to 150 AMPS $ 10.00 "~ A.A~~ r-!;DA~, r For each additional 100 Amps. $ 2.00
Temp. Power Pole, 100 AMPS or LESS $ 3.00 C}~ I ~ ...... -c-(
For Each add'I Meter. over one per service $ 3.00
()A_,< La.el MISC·
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: s 2.00 Conduit
,. Ternp. Power
TOTAL: sJ:J,D? R. W1r1no . F ixturos
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FINAL,
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING, I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD ANDTHE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL ~E ABOVE DESCRIBED RESI ..
DENTIAL PROPERTY,
SIGNATUR~-~~ A
PERMITTEE, ,,, _..,.., I , ( "/
CITY OF CARLSBAD
BUILDING DEPARTMEI'\.
729-1 181 -Ext. 36
For A licant to Fill In
Owner's Nome C.. p L I ~
Moil Addrw ~~M..J
~~,C/")_(JO<f
Controctor -------------------
To Const. 0 To Alter 0 Convert 0
To Move From ~
Type of Const.~~
" Frame, Mosonry, etc.
fo Be Used For. 5::~ .
Kind of Foundot1on -No. of Stor,e~-----,,-.....,,...a
Floor Space (Sq. Ft.) :!2 0 / J :} ~ 3 '? 1:
Goroge Floor Spoce (Sq. Ft.)
Attoched ________ _
Detached ________ _
Lego/ Descriptio11---.....,.. _______________ _ ~ Block or
Su bd ivisi on ~ :------:::::_
~ ~-t~ v f3_ ~t:$kp
Section Townsliip Ronge
No. of Existing Building ______________ _
Will this construction in~~ny plumbing instollotion or alter•
olion? Yes O No)(,:r
Signat ure of Applicant
I ACKNOWLEDGE THA T I H AVE READ THIS APPLICATION
AND STATE THAT T HE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL C ITY AND STATE LAWS REGULATING
B U ILDING.
I CERTIF Y THA T !Amt--PRDPERLY REGISTERED AND/OR
LICENSED A S REQ IRED B C ITY OF C ARLSBAD AND STATE OF C A LIFOR I I A M THE L EGAL OWNER
OF THE ABOVE DES IDENTIAL PROPERTY.
SIGNATURE
O F PERMITT
/1 01,.--./ os-o
CO I B 'Id' 1tI 27~C}. !p~?!\30*******6.00 UI in<rDepf. "Use"'""'
St. Near
Set Bock Bldg. Valuation
Front P.L. Moin Bid
Side P.L. Garage
Reor P.L.
Group
Woter Meter Sewage Disposol Sysfom
Inspection Record
Utility Company Notified -Dato _______ By ____ _
Fino/
If a check is rendered for payment for the above fee ond the
check is not honcr,,d when prosented for poyment, your
buildir-9 permit wi/1 be imrr,odiotely revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
I ,
TYPE OF PERMIT
SIGN 0
ELECTRICAL
v
APPLICATION FOR SIGN PERMIT
·(;>'·::-·_. ~=
~ ~-~.;: ,..,..':': 1.., --Cri•·.:: .... 176****" "*S.00
FOR SIGN □
C ITY OF CARLSBAD B UI L D ING DEPARTMENT
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 729-1 18 1
FEE:
-~ _j__,
PERMIT No. -7.::h
-S-
owner·s Name wAW J1!@ l>11k-Mai ling Addres~ .;?v<./(L 1--CUf;A./fDH IA:; ~ova.e;, /::>/~
(PLEASE PRINT) (LAST) (FIRST) (MIDDLE) . . ·---------r ,----
Contractor __________________ Mai I ing Address ---------------------~
(PLEASE PRINTI NUMBER STREET CITY PHONE
State Contractor's License No. Classification City License No. I
Person or Firm ~
in control of Property ______________ Mai I ing Address --,-----,,,.....----====-------,,-,=-----...,,.,-===---"i~ NUMBER STREET CITY PHONE
LEGAL DESCRIPTION -------------------,--------------------1 LOT BLOCK SUBDIVISION
JoB LocAT1ON d-b _·1__·1 s:=2 m re= -~el..6(-u-q_) 1 r:n 1; ~
(CITY OR TOWN) Near -------7•fiF_~·-[:.·:°R·9-.L~-ITT'e'iise'q..L~ITT;,'[ri'm5iwum ______ J ----·-· .;J?. .. I
...
Condit. Use Permit or Signature
ZONE _____ VARIANCE NUMBER _________ of Permittee\C>k ,x....,y.....,.V(IJ. '!<, ~/\ ✓(;,I VJ(lks I
LOCATION:
FRONT: ____ feet from center I ine of street to sign SIDE: ____ feet from center line of side street to sign
.: 0 0 ... m
.,2 0 t/ ,!J!::; Arna of ,;gn Z4 sq,a,~ / h. ~ /,-, /~
B,;id;ng Pe,m;t Fee $ S-~ Plann;ng Dept. Approved b!._;;ryp!/~ Date '!d..!JJ.]_J
Plan Check Fee $ ____________ Plans approved by ______________ Date ____ _
Valuation of Sign $
ELECTRICAL PERMIT
Each Sign $5.00
THIS SPACE FOR LOCATION SKETCH. SHOW NORTH ARROW
First 2 Trans. $3.00 each.
add'/ @.50each.
1 to 10 l ampho/ders
11 to 25 .50
1.00
2.00
3.00
~ /O~rJ M~Jll"I_... ~-
4u~r&cfy /1
26 to 50
51 to 100
101 to 200
--.! ~ l PA-1 AJf
1
_i.
DIMENSIONS Material: Panel ------Show advertising copy below.
Height _____ Length _______ Uprights
Number and size of posts ________ Bracing ________ _
Number and size of braces _______ If neon, show colors ___ _
Depth in ground ___________ Reflector material? ____ _
Distance between panel and ground ____ Illumination? ______ _
Reference to plan on file ' Copy on both sides? ___ _
CALL FOR ALL INSPECTIONS INCLUDING FINAL.
INSPECTION REUUIRED ON FOOTING EXCAVATIONS BEFORE SIGN IS ERECTED. APPROVED PLANS SHALL BE KEPT ON JOB.
' ·-.. ..
INTERDEPARTMENTA L I NFORMATION SHEET
-.· . DATE:
A •
-----------------
BUILDING DEPARTMENT
·owner's Name ---'-------------Permit No. -------------
Address ____________ _._ ___ _ Lot No. ______________ _
Contractor ----------------Legal De scription ________ _
Address -----------------
Approval to Iss ue Permit _______ _ Certifica t e of Occu~ancy _____ _
PLANN I NG DEPARTr11ENT
~'ID~ ..
~~~~.
Parki ng Spac es Provided 5;:0~~Required ___ ~_-__________ _
. ~T b'Pc\C.. f'OR_ ~<U=.,
Setba c k s<ST' · Wt..W))l ~ £? .L Zone .. .;.._ ________________ _
REMAR~S: ~~&~~~Vcrs ~~~~WJ
Date_~~-~ ~-----{[f_J __ , __ _
Approval f or Oc c u8an
.. ENGINEERING DEPARTNENT
• . .
Easements lo r 5./ At.@ i&M.eb<JpJ~ f~'o,
Improveme nts ____ ~e:~.~,kuc~5c.....:..r~/=A/~G~------
?
Driveway Locations-'------------Connection £.)(1,srrµc,
Industrial Waste ~/.1?/T /4:?1~'.o
~EMARKS ;./ ~0 J&>_r-/s-suti--/i,C,,,uf'; ~Jllr.!--5 ..
IN -n11,'J)J1q OE 5 ~ /4!1t:J~ IA.It:,.
Date · .~/4)1 Date · // h '2-1~.;.__,,J.____ ______ _
:
Approvc:i l to I ssue Permit <;;?~ __ Approva l for Occupa nc/ ... J <f}__, __
-/5.fUe:o s G/~Jec-,:~ .67vh<7<45~ . .L~-~~-{it,wr e~L~~-=:=---=--=--·::-,·
I h c1ve r ead the a1:ove jnformalion and agr ee to c omp ly with t he requi~cmcn 1~.s
set for th .
S i gna t u re ________________ _ Date ____________ _
-------···------
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Department
2075 las PallllOS Dr •• carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _
PLAN CK DEPOSIT, _______ _
VALID.BY, __________ _
i. PERMli hPE
A -D Commercial
B -□ Industrial
C -□ Residential
□Duplex
U New Building Li Tenant Improvement
□ New Building D Tenant Improvement
□ Apartment □ Condo D Single Family Dwelling D Addition/ Alteration
□ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
D Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
DATE
2. PROJECT INl-"ORMATION FOR OFFICE USE ONLY
/\(I~ 1 ~ 17 5T"t-1'e ST,
~arest c~ Street
BuUdmg or Suite No.
LEGAL DESCRIJS'I IUN Loe No. Suix11VJs1on Name/Number 0mt No. Phase No.
CHECK BEWW If S0BMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEL EXISTING lJSE PROPOSED USE
DESCRIPTION OF WORK CON Vt?A.t; I<:>;-/ ~;;:: SO 6-t-c.. # OF STORIES I I o-,::i
NAME ADDRESS
CITY OWNJRACIOR DAGENi FOHWNIRACIDR □OWNER UAGENI FOR OWNER
STATE ZIP CODE DAY TELEPHONE
4. APPIJCAN I
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
5. PROPEkl Y OWNER
NAME 81'1a,g,,,t,,.. f!,p,t.U!!,f<VV / ADDRESS / 753 51,1_.vSe, IOR'
-c='cm;fflk}~.?"" STATE o4 ZIP CODE q20.f'~ DAYTELEPHONE 75',?-0/~/
NAME -S.f'\.W, €t.ec"TltlC.. ADDRESS
CITY VIS 'v"I STATE o+ ZIP CODE
STATE IJC. # 5"2.f'-ISucENSE CLASS
DAY TELEPHONE
c. ·ID CITY BUSINESS IJC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. WOitkERS5 WMPP.NSAliON
Workers' Compensation Declarat1on: I hereby alhrm that I have a ceru1lcate of consent to selt-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of the work ior which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNmt-BOllliRk DFi!LAkAilUN
Owner-Bmlder Declarat1on: I hereby alfmn that I am exempt from the Contracto?s Llcense Law for the foilowmg reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense 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
COMPLEIE IHiS SEGIION FOR NON-RESIDENIIALB0IIDING PERMll'sONLY:
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 OP THE ANSWERS ARE YFS, A FINAi.CERTIFiCATE OP oa:uPANCY MAY NITT BE ISSUED AFTER.JULY 1, 1989 UNUlSS THE APPUCANT
HAS Mfil OR IS MEIITING nm REQIJlREMENTS OP nm OPPICE OF EMERGENCY SERVICES AND THE AIR POillJTION OONTIIOL msnucr.
9. WNSIR0CIION LENDING ACF.NCI
I hereby afhrm that there 1s a construction lendmg agency for the perlormance of the work ior which this penn1t 1s issued (Sec 3097(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPilCAN i rmnFk!A:hON
I certifY that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS THE crrY OF CARISBAD AGAINST AU. UABIUllES, JUDGMENTS, CDSTS
AND EXPENSES WIDCII MAY IN ANY WAY A(DUJE AGAINST SAID crrY IN OONSEQUENCE OF nm GRANTING OF TIDS Pl!RMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
DATE: / 2.-{.f""-'f -2_
WHITE: File YELLOW: Applicant PINK: Fmance
B U I L D I N G P E R M I T
03/01/94 12:10
Permit No: CB940215
Project No: A9400308
Development No: 1 Page 1 of 1
Job Address: 2677 STATE ST Suite:
Permit Type : MISCELLANEOUS
Parcel No: 203-054-25-00 Lot#:
Valuation: 1,500
Construction Type: NEW
Occupancy Group: Reference#: Status:
Description: ADD NON-BEAR PARTITION WALL Applied:
: AT GARAGE DOOR BY OFFICE PER PETERSON Apr/Issue:
Appl/Ownr : NPR CONSTRUCTION
4048 VIA RIO
OCEANSIDE, CA 92054
Entered By:
619 721-6621
ISSUED
03/01/94
03/01/94
DC
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
***
60 .00 .oo
60 .00
*** Fees Collected & Credits ***
To t al Cr edit s:
Total Payments:
Balance Due:
Units Fee/Unit
INS P. ~~
.00
.00
60 .00
Ext fee Data
60.00 WALL
60.00
CLEA A CE __ __._--,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION l!A.
'fa
PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161
I. PRkM.il liPE
A -0 Commerc1al U New Butldmg LI t'enant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment D Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition
D Mechanical □ Pool
2. PRCllF.C'f INFORMATION
~t·'-~h 5.tw~ si.
Nearest Cross Street
D Relocation D Mobile Home □ Electrical □ Plumbing
D Spa □ Retaining Wall D Solar □ Other
Butldmg or Suite No.
llGAL DEsCRIPI ION Lot No. Su&l1vts1on Name/Number
CHECK BEWW IF S0BMII 1£D:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
FOR OFFICE USE ONLY
Omt No. Phase No.
ASSESSOR'S PARCEi, EXISTING USE PROPPSEP USE
DESCRIPTION OF WORK
SQ. IT. I~~~~-~ fl 11 # OF STORIES 3. WNIACf~tFerefftrom apphcanl)
NAME ADDRESS
CI1Y
4. APPllCAN ~ IR!ON I RAC I OR
NAME lu. ~ , C...., ,-, ~""\' ,
CllY O C. I-Cl~;~"'-
CI1Y
STATE ZIP CODE DAY TELEPHONE
DAGEN! FORWNIRACIOR UUVVN.t.K UAGENI FOR OWNER
STATEc_
STATE
ADDRESS '-\C,'--\'t) V,u-(.l,C)
ZIP CODE
ADDRESS
ZIP CODE
DAYTELEPHONE /
DAY TELEPHONE
ADDRESS '-\.a'-\.°'& Vju.. 'Q;.;;:, NAME ~ ~ "'-, ~--;:/;;,
CI1Y()<:._,._),~.._ STATE~ ZIP CODE '1~0 SI DAY TELEPHONE / J / -b (,, cf /
CI1Y BUSINESS I.IC. #
CI1Y~ ZIP CODEq STATE I.IC.#
Workers' Compensation Declarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Ulrector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY S-\ ~ POLICY NO. ~5J 13 (o \ ~ q I..(
n: ceru t at mt e pe ormance o t e wor or w
to the Workers' Compensation Laws of California.
DATE
bwner-Butlder Declaration: I hereby affirm that I am exempt from the Conrracto?s license Law for the iollowmg 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 Llcense Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNI\TIJRE DATI!
WMPLE IE IRIS SECI ION FOR NON-RESIDEN I IAL BUILDING PERMI l's 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 Seccions 25505, 25533 or 2S534 of the Presley-Tanner Hazardous Substance Account Act?
□YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATI! OF OOCIJPJ\NCY MAY NOT BE IS.WED J\ITER JULY 1, 1989 UN1JlSS TIIE APPLICANT
HAS MIIT OR IS MEETING TIIE REQIJIIIEMENT5 OF TIIE OFFICE OP EMERGENCY SERVICES AND TIIE AIR POUIJ110N CX>NTil.OL D1S1111Cf.
9. WNSIROCIIUN ll.NDING AGENCY
I hereby aihrm that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civzl Code).
LENDER'S NAME LENDER'S ADDRESS
IO. Al'PIJCAN I t!EkllFICAIION
I certify that I have read the apphcatlon and state that the above mformatmn 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. 1 J\ISO AGREE TO SAVE INDEMNIFY AND KEEP 1IARMIJ!SS TIIE Cl'1Y OF CARISBAD AGAINST All. LIABIU11ES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY 1N ANY WAY MX:RUE AGAINST SAID Cl'1Y 1N CX>NSF.QUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: 3-1' q '-) '
WHITE: File YEIJ.OW: App 1cant PINK: Fmance
fiECEIVEO MAR 1 5 t9S~
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING PLANNING U/M WATER
PLAN CHECK#: CB940215
PERMIT#: CB940215
PROJECT NAME: ADD NON-BEAR PARTITION WALL
AT GARAGE DOOR BY OFFICE PER PETERSON
ADDRESS: i"'fsr-71 STATE ST
CONTACT PERSON/PHONE#: MH/NICK/721-6621
SEWER DIST: CA WATER DIST: CA
---------------------------
DATE: 03/15/94
PERMIT TYPE: MISC
DATE Lil? la, INSPECTED: ~cf APPROVED -1(_ DISAPPROVED
INSPECTED
BY:
INSPECTED
BY:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED
APPROVED DISAPPROVED
---------=--=---==-===-=--===================================================
COMMENTS:
,-CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB940215 FOR 03/15/94
DESCRIPTION: ADD NON-BEAR PARTITION WALL
AT GARAGE DOOR BY OFFICE PER PETERSON
TYPE: MISC
JOB ADDRESS: 2677 STATE ST
APPLICANT: NPR CONSTRUCTION
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB940215
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 721-6621
REMARKS: MH/NICK/721-6621
SPECIAL INSTRUCT: INSPECTOR-,-!,',--../---------
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
030494 Frame/Steel/Bolting/Welding
ACT INSP
AP PY
COMMENTS
OK TO SCRATCH
08/18/98 12=44
Paqe l of l
B U I L D I N G P E R M I T
Suite:
Permit No= CB981362
Proiect No: A98018 18
Development No=
Job Address: 2677 STATE ST
Permit Tupe: COMMERCIAL TENANT
Parcel No: 203-054-25-00
Valuation= 10.000
Occupancy Group=
IMPROVEMENT
Lot#=
Constr uction Tupe:
Reference#= Statu-::,:
NEW
ISSUl:.D
05/07/98
08/18/98
Jlvl
Description: REPLACE SPRAY BOOTH
: JOHNSONS AUTO BODY
Appl/Ownr : AIR MANAGEMENT SYSTEMS
9369 QUAIL CANYON RO AD
EL CAJON CA 92021
Fee=· Required
Fee:-,=
Ad iu5trnent-::,:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter "Y" for
Enter "Y" for
Enter "Y" for
Enter 1 Y 1 fo r
Each Exhau=,t Fan
***
Applied:
Apr/Is-::,ue:
Entered Bv =
619 390-7803
0215 08/18/98 0001 01
C-PRHT
Fees Collected & Credits
.00
7(,1.. 00
158.00
02
158-00
***
Ext fee Data --~-------~-------~-----------------
11".~. 00
74.00
2.00
N
10.00 y
10.00 y
15.00 y
6 .50 6.50
.-----.
CLEARANCE====~----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I PERMIT APPLICATION
FOR OFFICE USE O~
PLAN CHECK NO. ()~2,
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. -t9001...2
Plan Ck. Dep ~ 7'{, Cf)
Validated By ~ ~
Date ~~
1. PROJECT INFORMATION
Address (include Bldg/Suite #) zJ,, ] , S +o..-le :5 -t , 6.. " ls h•~./ Business Name (at this address)
Jc,kA :)(:) I'( s J+:,Ac Bod, I
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
Description of Work
Existing Use
A.vlc ko"J .. 1 5 ito 12
SQ. FT. • #of Stories
2. CONTACT PERSON (if different from applicant)
Proposed Use'-11 4 do ¥}tbd''J
# of Bedrooms . # of Bathrooms
6851 05/07/98 0001 01
C-PRMT -02
74-00
Name Address City State/Zip Telephone# Fax#
3. APPLICANT O Contractor
.Jdl,,,,""' W~,..,
Name
4. PROPERTY OWNER
~gent for Contractor O Owner
ei¾,5 a .... o..~I c1,,.. /col
Address
0 Agent for Owner
Gl<,c.ia-:1
City 1
J.,~.,. fOrt 15 /(.Jk, &J':{ t Po..-: . •.➔ 2677 5-/de 5+
Name Address City
6. CONTRACTOR -COMPANY NAME
Sta~Ub{ Telephone#
lid.
State/Zip Telephone#
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant o a civil penalty of not more than five hundred dollar 1$5001). .. 't.
,', Y'1,.,o1. ~,,.,,,,e.,, 5', .., 73'-a2...,~~ \ C.. "' /? ~IC, 'et CA "r2o tl'T.. ~9tJ-7'8()j
City State/Zip T~hone #
State License # S '-/ 7 ZY O License Class t$ -I City Business License # /2cJ(;, b L fl°
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
ef 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
<sii)ed. My worker's compensation in~nc1 carrier and policy number are:
Insurance Company (.°' .J.."-e,{e..,.,i,..:+y Policy No. J.130'/'Z,7'63 F Expiration Date 7~1~ 98
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000). in di· to th ~ost1of compensation. damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE. _____ -F--::.....,,"""--#-.....:....-l,IV __ ~,...._____________ DATE o-7 -9 ~
7. OWNER-BUILDER DE ~~-~----;~--;::;::.._~-~r----:~~-..,,
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /address/ phone number / type
of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ----------------------------
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree t o comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the wor menced for a period of 1 80 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE lJ DATE 6-7-7 8
YELLOW: Applicant PINK: Finance
PERMIT# CB981362
DESCRIPTION: REPLACE SPRAY
JOHNSONS AUTO
TYPE: CTI
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/03/98
BOOTH
BODY
JOB ADDRESS: 2677 STATE ST
APPLICANT: AIR MANAGEMENT SYSTEMS
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA DH
PLANCK# CB981362
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 390-7803
REMARKS: C/JOHN/619/390-7803 EX 13
SPECIAL INSTRUCT:
INSPECTOR __ fJ.,,,_~ift _______ _
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
FS980058 FIXSYS
STATUS
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------------------------
------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
100598 Rough/Ducts/Dampers AP DH
100598 Rough Electric AP DH
092298 Rough/Ducts/Dampers co DH
092298 Rough Electric co DH SEE NOTES ON CARD
081898 Ftg/Foundation/Piers AP MP
FINA~ING INSPECTION
DEPT: BUILDING ENGINEERING/\./ PLANNING CMWD
PLAN CHECK#: CB981362
PERMIT#: CB981362
PROJECT NAME: REPLACE SPRAY BOOTH
JOHNSONS AUTO BODY
ADDRESS: 2677 STATE ST
CONTACT PERSON/PHONE#: C/JOHN/619/390-7803 EX 13
SEWER DIST: CA WATER DIST: CA
ST LITE
DATE: 11/03/98
PERMIT TYPE: CTI
·' · -I) 1998
------------------------------------------------------------------------------
INSPECTE~ ~,44,,,
DATE ui1.LCJ. x BY: · INSPECTED: APPROVED ~ DISAPPROVED
l 1
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
-==----==--------------------------------------------------------------------
COMMENTS: