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Home My WebLink About1025 CARLSBAD VILLAGE DR; ; CB900648; Permit04/25/90 16 29 Page 1 of 1 Job Address: 1025 ELM AV Permit Type SIGN Parcel No: 203-320-30-00 Valuation. 850 Construction Type- NEW Occupancy Group. Description: THE COVE WALL SIGN U I L D I N G P E R M I T Str Permit No. CB900648 Project No A9000765 Development No Fl. Ste: 5040 04/25/90 OOOi 01 02 C-PRMT 38-00 Class Code.Status ISSUED Applied • 04/25/90 Apr/Issue : Validated By DC OWNER * **HANSEN, KIM Lie *** Fees^Collected & Credits 619 434-2683 * * Fees • Adjustments. Total Fees Fee description Building Permit / Plan check * BUILDING TOTAL ' 38-00 / .00 38 00 ' Totai,Credits. Total /Payment's Af Balance lDue' VXJn it s>v -' Fee"/Un 11 *X !).»./ 00 00 38 00 Ext fee Data 23 . 00 15 00 38 00 \ INSP, CLEARANCE CRY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 920O9 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Or , Carlsbad, CA 92009 (eia) 438-ii6i 1. PERMIT TYPE •~~AQ COMMERCIAL Q NEW QTENftNT IMPROVEMENT B Q INDUSTRIAL [^NEW - "QTENANT IMPROVEMENT C - QRESIDENTIAL D APARTMENT P CONDO _ QSINGLE FAMILY DUELLING Q ADDITION/ALTERAT ION QDUPLEX QDEHOLJTIDN QRELOCATIOM O^OBILE HOME DELECTRICAL QPLUMBING ?PROJECT INFORMATION PLAN CHECK No rff) /£i f/£SYU 'Pft FOR OFFICE IIRF ONI Y EST VAL PLAN CK DEPOSIT_ VALID. BT DATE ftddress Nearest Cross Streets V* ~l"f"C*J V LEGAL DESCRIPTION Subdivision Name/Number Phase No CHECK BELOW IF SUBMITTED: ^JZ Energy Calcs Structural Calcs Soi Is Report [J 1 Addressed Envelope^ ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION1 OF WORK BLDG SO FTG # OF STORIES 3. CONTACT PERSON SIGNATURE 4 5. 6. APPLICANT QCONTRACTOR NAME fff^W H^A)S€AJ CUT C c^oJ^bouf PROPERTY OWNER CONTRACTOR NAME cm D AGENT STATE ( OUNER STATE STATE FOR CONTRACTOR JJQOUNER ADDRESS ^£f ZIP CODE ^^-OO(f ADDRESS /* /I & *? /~i/*t &"O/rzip COOE / t^c/(-'o ADDRESS 2!P CODE Q AGENT FOR OWNER OAT TELEPHONE K? / / ~ J^/- ZJ& 6--3 D LESSEE DAY TELEPHONE DAT TELEPHONE QTENANT STATE LIC #LICENSE CLASS CITY BUSINESS LIC # SIGNATURE DESIGNER NAME CITY 7 WORKERS'COMPENSATION TITLE ADDRESS STATE ZIP COOE DATE DAY TELEPHONE STATE LIC » 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' Conpensation Insurance by an admitted insurer, or an enact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department {Section 3500, Lab C) 1NSURAMCE 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 employ any person in any manner so as to become subject to the Workers' Coitpensation Laws of California SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's Licence Law for the following reason Q] 1 as owner of the property or my eirployees with wages as their sole compensation, uill do the work and the structure is not intended or offered for sale {Sec 7044 Business ard Professions Code The Contractor's License Lau 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 wilt have the burden of proving that he did not build or improve for the purpose of sale ) [7] 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 arid 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 °, comnencing 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]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RE_SJDEHT ;jAL_ BUI LD1NG PERMITS ONLY !s the appl leant or future bui I ding occupant requi red to submit a business plan acutely haiaruous materials registration form or risk management and prevention program under Sections 25505, 25553 or 25534 of the Presley-Tanner Hazardous Substance Account Act' Is the appl leant or future building occupant required to obtain a permit from the air pol lut ion control district or air qual ) ty management district' DYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' DYES QNO IF Mil OF THE ANSUERS ARE YES, A FIMAL CERTIFICATE OF OCCUPANCY HAY MOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGEHCT SERVICES AHD THE AIR j-OLLUT IOM CONTROL DISTRICT __ CONSTRUCTION LENDING AGENCY _ __^_ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this porrai t is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE 1 certify that I have read the application and state that the above information is correct 1 agree to comply uith all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above tnentioned property (or inspection purposes I ALSO AGREE JO SAVE INDEMNIFY AHD KEEP HARMLESS THE Cm OF CARLSBAD AGAINSI ALL LIABILITIES, JUDGMENTS, COS7S AMD EXPENSES WHICH HAY IW ANY HAY 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 null and void if the building or work authorized by such permit is not commenced within ISO 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 Buildiria Code) if k ._ APPLICANT'S SIGNATURE Q CONTRACTOR APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance PERMITtf CB900648 CITY OF CARLSBAD INSPECTION REQUEST FOR 07/13/90 DESCRIPTION: THE COVE WALL SIGN TYPE: SIGN JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 1025 HANSEN, REMARKS: T3/MH/DON SPECIAL INSTRUCT: ELM AV KIM HANSEN, KIM PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCKtf CB900648 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 434-2683 619 INSPECTO TOTAL TIME: CD LVL DESCRIPTION 17 18 ACT COMMENTS ST Interior Lath/Drywall ST Exterior Lath/Drywall DATE DESCRIPTION 050390 Signs ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP PD , ' Environmental Health Services ' 5201 Ruffin Rd., Suite C-0564 San Diego, CA 92123 , (619) 565-5173 PLAN CORRECTION SHEET OFFICE USE ONLY Intake Date Act. *(CT City/County Code Route Code Field PC Staff Plan Check #E> GENERAL-CONTRACTOR P'/U CONTACT PHONE PHONE START DATE (MoAYr) PLANS:/'APPROVED/DISAPPROVED PLAN CHECKER /T f^ J^ ' Ip.rcfe ,0ne) ~^ ~" '(Signature) DATE t RE CHECK FEE REQUIRED: $ ~~ ft Est. Time RECHECK APPOINTMENT DATE DHS:EHS-886 (5/88) County of San Diego Department of Health Services