HomeMy WebLinkAbout1145 CARLSBAD VILLAGE DR; ; CB910934; PermitBUILDING
06/18/91 12-23
Page 1 of 1
Job Address: 1145 ELM AV
Permit Type SIGN
Parcel No: 156-180-26-00
Valuation 3,000
Construction Type: MEW
Occupancy Group• Class
Description SHELL OIL COMPANY
Appl/Ownr DONCO
1201 EAST KATELLA AVENUE
ORANGE, CA 92667
PERMIT
;tr
Permit No. CB910934
Project No- A9101150
Development Wo:
Fl Ste
Fees Required A A *
Code Status ISSUED
Applied: 06/18/91
Apr/Issue: 06/18/91
Validated By. DC
714 771-5730
Fees Collected & Credits
Fees- 81 00
Adjustments• . 00
Total Fees- 89.00
Fee description
Total Creditor
Total Payments l
Balance Due:
Units Fee/Unit
.00
.00
89 00
Ext fee Data
Building Permit
Plan Check
* BUILDING TOTAL
54. 00
35 . 00
89. 00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 920O9 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PERMIT TYPE
A - U Commercial U New building DTenant Improvement
B -O Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D hlectncal D Plumbing
D Mechanical D Pool D Sp<i D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.
feST VAL
PLAN CK DEPOSIT,
VALID BY
DATE
FOR OFFICE USE ONLY
Add re
'Nearest Cross Street
Uuiloing or buile No
j
*-' ' Q f~^• ' T' Jf " •Lot No Subdivision Name/Number Unit Phase NoLEGAL
CHECK BELOW IF SUBMli IhU
D2 Energy Calcs D 2 Structural Giles D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USfc
DESCF
SQ FT
OF WORK
*f-# OF STORIES
NAME
JT PERSON IH unlerent trom applicant.)
ADDRESS
CITY AIE ZIP CODE DAY TELEPHONE
4 APPLICANNAME
CITY O
TJCON JKACIOR AGENT rOR CON IKACI OR
ADDRESS
UOWNER _ LTAGLNT FOR OWNLH
STATE ZIP CODEpuoi'EinYowNi'jr DAY TELEPHONE
CITY STATE
ADDRESS i | | IV
C/l" ZIP CODE <^ T-^OjMY TELEPHONE 3 2,0 -
NAME ^X- 5OA/>
SI ATE
STATE LIC
ADDRESS P'O .
ZIP CODE
LICENSE CIASS
AULWhSS
DAY TELEPI 1ONE I ~~> r~ >
CI1Y BUSINESS LJC #
NAMH
CITY
7 WOKKim" COMPtNJ>A I ION
SI ATE ZIP CODE DAY TELEPHONE STATE LIC #
Workers' Compensation Declaration I hereby allirm thai I have a certilicate of consent to seTF insure issued by the Director bTTndusirial
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 POUCYNO EXPIRATION DATE /
Certiiicaie or Exemption 1 certify thai in the pcrlormdnce or the work tor 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
SIGNATURE DATEUH.IAHAIION
Owner-Bunder Declaration I hereby alfirm that 1 am exempt from the Contractor's ucense Law lor the following 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 License Law does not apply to an owner of property who builds
or improve? thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale )
D 1, 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^) licensed pursuant to the Contractor's License Law)
D 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 [$500])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING1 PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CLRTIFICATh OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIF APPLICANT
HAS MET OR IS MEETING HIE REQUIREMENTS OF THF omCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
-SCERCr
I hereby allirm that there is a construction lending agency tor the performance ot the work lor which this permit is issued (Sec 30971.0 Civil Code)
LENDER'S NAME
APPLICANT OiRTlFlCA'HON
LENDER'S ADDRESS
Tu~ ^__n^____ r__^_I ceriily that I have read the applicationi and state that the above inlormation is correct I agree to comply with all City ordinances and State laws
relating to building construction 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I AI.SO AGREE TO SAVE INDEMNHY AND KEEP HARMLESS THE CITY OF CARI.SHAD AGAINST ALL UABIUTIES, JUDGMOJTS, COSTS
AND LXPKNSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TIIF, GRANTING OF THIS PERMIT
OSIIA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 authonzed 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)
, APBHCANTS SIGNATURE — DATE / S ^U ™ ^ I
" VV" ^ " " * >TE. File YELLOW: Applicant PINK: Finance
City of Carlsbad PIANNING APPLICATION
2075 Las Palmas Dnve ^ BY ^
Carlsbad, CA 92009 SIGN prc $^~
(619) 438-1161 . , SIGN PROGRAM FEES1&0
RECEIPT NO
PLANNING DEPARTMENT*
REVIEW FOR SIGN PERMITS
All plans submitted for sign permits/sign programs shall consist of a minimum of a site plan and
sign elevations containing the following information,
1 North arrow and scale
2 Location of existing buildings or structures, parking areas, and vehicular access
points to the property
3 Location of all existing and proposed signs for the property
4 Distance to the property line(s) for all proposed freestanding signs.
5. Provide an elevation for all proposed signs which specifies the following
A. Dimensions and area for all existing and proposed signs
B. Materials the sign(s) will be constructed of.
C Proposed sign copy
APPLICANT MUST SUBMIT THREE (3) SETS OF SIGN/SITE PLANS, A COMPLETED APPLICATION
FORM; AND THE APPLICATION FEE,
The application itmst be submitted prior to 4:00 p.m. Average processing Time- 2 weeks
NAME OF PROJECT. SH^L-L # £oM- ~
ADDRESS OF PROJECT. JJH; 5"
ASSESSOR PARCEL NUMBER: / Sib"" . , ^> , S O
RELATED PLANNING CASE NUMBER(S):
SIGN TYPE (a) Commercial Jb) Industrial^ (c) Residential
(d) Real Estate c^fe) FreewayJ^ ^ (0 Marquee
(g) Community idenaty (h) Service Stn Pnces (i) Campaign
SIGN PROGRAM AND/OR
SPECIFIC PLAN CRITERIA Yes L>\ No SPECIFIC PLAN NUMBER
VILLAGE REDEVELOPMENT AREA Yes No Xl **REQUIRES VR APPROVAL
SIGN ORDINANCE. Yes /7^ No
COASTAL ZONE: Yes No X /COASTAL PERMIT Yes ""TTo"
FRM00010 11/90 Page 1 of 2
EXISTING SIGNS Number Size (in square feet)
(a) Pole
(b) Monument
(c) Wall
PERMITS ISSUED FOR EXISTING SIGNS Yes No Date
TOTAL BUILDING STREET FRONTAGE
TOTAL SIGNAGE ALLOWANCE
EXISTING SIGNAGE (SQ FT)
REMAINING SIGN ALLOWANCE AT PRESENT
PROPOSED SIGNAGE (SQ FT)
REMAINING SIGN ALLOWANCE AFTER PROPOSED SIGN
ft
sq ft
sq ft
sq ft
sq ft
sq ft
OWNER APPLICANT
NAME (PRINT OR TYPE)NAME (PRINT OR TYPE)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE
SIGNATURE DATE SIGNA DATE
PLANNER CHECK LIST:
1 Field check by planner.
2 Within maximum length, area.
3 Style consistent with Sign Program and/or Specific Plan criteria, if applicable
4 Location: In nght-of-way
In visibility triangle at corner
On roof
5 Pole and monument signs to be checked by Bob Johnson, Traffic Engineer, for visibility issues
6 When approved route copy to Data Entry
APPROVED Planner Date-
FRMOC010 11/90 Page 2 of 2