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Home My WebLink About1145 CARLSBAD VILLAGE DR; ; CB962127; PermitBUILDING PERMIT 11/05/96 12.07 Page 1 of 1 Job Address- 1145 CARLSBAD VILLAGE DR Permit Type: SIGN Parcel No- 156-180-26 00 L Valuation: 15 , 000 Occupancy Group: Referenced: Description: 15 SIGNS-fl4 ILLUMINATED)SHELL STATION Appl/Ownr . SHELL OIL CO 3550 CAMINO DEL RIO N , STE101 SAN DIEGO CA 92108 \ A Fees Required A A * 267 Permit No. CB962127 Project No: A9601780 Development No. Suite• 0781 11/05/96 0001 01 02 C-PRtfT 267-00 Construction Type- NEW Status: ISSUED AppJied: 11/05/96 Apr/Issue: 11/05/96 Entered By. RMA 619-521-5841 Fees . Adjustments: Total Fees• Fee description Building Permit Plan Check * SIGN TOTAL 00 00 267.00 Ext fee Data C'ellected & Credits 3a"l-ance ' Due.: , ts Te'a/Urn 162 00 105.00 267 00 ANCE WITH UB DATE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 3075 Las PaIwas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT ITFE ~ From List 1 (see back) give code of Permit-Type For Residential Protects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. PLAN CK DEPOSIT VALID BY DATE // I •2. PROJECT INFORMATION FOR OFFICE USE ONLY Address \\4-5 Nearest Cross Street LEGAL DESCRIPTION t No Subdivision Name/Number Unit No Phase NoMA*CHECK BECHECK BELOW IF SUBMIT FED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL 1 PROPOSED DESCRIPTION OF WORK ^IG-fJ-^p 1 i 2-/ SQ FT • —-' "# OF BATHROOMS CUNTAUT vtKAJN (,\i dilierent trom applicant) NAME Oast name first) CITY STATE. ADDRESS ZIP CODE DAY TELEPHONE APPLICANT OC.ONIKACTOR LTAGfcNI rOR CONTRACTOR OOWNER UTAGtNT FOR OWNER SUITS £-10 M I 0 STATE ZIP CODE DAY TELEPHONE V t^j ) NAME (last name first) ADDRESSMKi&a^^uo^usnsjLp^rnou.xxic ,, , STATE ^^ ZlPCODE£f^£3& DAY TELEPHON^? /^ ) STATE LIC #45g-4-S'3LICENSE CLASS & CITY BUSINESS UC # 2-CAP, uhbiGNLH NAML [last name tirstj ADDRESS CITY 7 WoRKERi" STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers Compensation Ueclaranon 1 nereoy affirm that 1 nave a certilicate of consent to sen-insure issued by the Director o( 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 NO DATE ""] / f Certificate of Exemption I cerury that in the performance ot the work tor which this permit is issued, I shall not employ any person in any^nanner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner builder Declaration l nereoy aitirm that I am exempt from the contractors License Law tor tne following reason I, as owner of the property or my employees with wages as their sole compensauon, 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 [$500]) SIGNATURE DATE COMPLh I b I HIS bLC I ION FOK NQN-HfcSlDENTIAL BUILDING 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? Er YES a NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? B^YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sue? D YES B 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT uNsmmjnoN LEADING AGENCY ^y I hereby attirm thatTthere is a construction lending agency tor tne pertormance of the work tor wnicrt this permit is issued (.bee 309/rli) Civil CodeJ LENDER'S NAME LENDER'S ADDRESS TO APPLICANT UEKTIFILAT1UN I certify that I have read the application and state that the above information is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABUJTIES, 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 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 authorized by such permit is suspended or abandoned at any time after the woffc is commenced for a period of ISO days (Section 303(d) Uniform Building DATE 1^ WHITE. File~^YELLOW: Applicant PINK: Finance 06/11/98 INSPECTION HISTORY LISTING FOR PERMIT* CB962127 DATE INSPECTION TYPE INSP ACT COMMENTS 02/06/97 Ftg/Foundation/Piers RI RI MW/714-771-5730 02/06/97 Ftg/Foundation/Piers TP AP MONMNT SIGN FTNS(2) 11/26/96 Ftg/Foundation/Piers RI RI MW/JEFF/PG 414-2965 11/26/96 Ftg/Foundation/Piers TP AP 2 PIERS/CURB FTN @ C.W, HIT <RETURN> TO CONTINUE.., CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB962127 FOR 02/06/97 DESCRIPTION: 15 SIGNS-(14 ILLUMINATED)SHELL STATION TYPE: SIGN JOB ADDRESS: 1145 CARLSBAD VILLAGE DR APPLICANT: SHELL OIL CO PHONE: CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/714-771-5730 SPECIAL INSTRUCT: INSPECTOR AREA TP PLANCKtf CB962127 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-521-5841, INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB961262 CTI RW960192 ROW CD LVL DESCRIPTION 11 ST Ftg/Foundation/Piers STATUS ISSUED ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 112696 Ftg/Foundation/Piers ACT INSP COMMENTS AP TP 2 PIERS/CURB FTN @ C.W. City ot Carlsbad 2075 Las Palmas Drive Carlsbad, CA 92009 (619)438-1161 si^N 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. tle.^Itc^^m^^M(nitE&3 j3n&jb^;^£Ja; Average processing Time: 2 weeks NAME OF PROJECT: Shell Oil Products Company ADDRESS OF PROJECT 1145 Carlsbad Village Drive ASSESSOR PARCEL NUMBER 156-180-15,26,28 & 30 RELATED PLANNING CASE NUMBER(S). C.U.P. 94-01 (A) SIGN TYPE (a) Commercial (b) Industrial (c) Residential (d) Real Estate (e) Freeway (f) Marquee (g) Community identity (h) Service Stn, Prices (i) Campaign SIGN PROGRAM AND/OR - See existing sign program 94-24 SPECIFIC PLAN CRITERIA Yes No __ SPECIFIC PLAN NUMBER VILLAGE REDEVELOPMENT AREA Yes No X **REQUIRES VR APPROVAL SIGN ORDINANCE Yes _X_ No COASTAL ZONE Yes No X /COASTAL PERMIT Yes No JL FRM00010 2/96 Page I of 2 EXISTING SIGNS'.Xfflfi (i) Pole (b) Monmnra (c) Will PERMITS ISSUED FOR EXISTING SIGNS:No Da» TOTAL BUILDING STMST FRfiWtAOB TOTJU, S1GKAOZ ACXOWANCl - P«r EXZSTZNO 3SON AC* CSQ. FTO REMAINING SON ALKjQWAHCK AT PIUSKNT • PROPOSSn 9IGNACK CVQ. FT.) RE»«AINING SK3N ALLOWANd AFTSJL mOPOCCD WON OWNVR NAMK 0>WNT OH TYPW 8h«ll Oil FarotSuot* Covpaay KAMKCMUNT * A*th MAtUNC ADOJtXS*3550 CUlno D*l Jlio »., <£•. 101 MAIUNO 3 OTY AND STATE Z9 dan Dl«9o« CA CKTYANDCTAn XV 0«4^r-f2£!CMOI i cornrv THM* r AM *nn uo«uciwN«» AHOTXAT ALLTHCAK^VDCfOnMMIOM lOKTOTTKATI SIGNATUIUt OAIB PLANNER CHECK LIST* chack by planter* Within iiuxl&iu ccuuumtc wizh Slffa Piugiaa^ «ad/«r SpscifW Plan <i<>••«, Location: In ri«hr-«/-w*y In viability tzimngU *c Onxtxrf Pole mrtd » Wh*n APPROVED: FRMOOOIO to b«Tnffic copy to D*ca Entry (6 City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION f hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by section 3700 f the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: INSURANCE COMPANY POLICY NO. ezjo , EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 •• C. workers compensation laws of California. Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr - Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 A001I1K CERTIFICATE OF INSURANCE .. z*™ia To'/™ PROPUCER Rubin Insurance Agency Inc. 6363 Greenwich Dr. Ste. 120 San Diego CA 32122 Stuart Rubin fiig-457-5720 INSURED \v PACIFIC COMMERCIAL CONSTRUCTION, INC. 22S2 Rutherford Road, Ste 103 Carlsbad CA 92008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A MASSACHUSETTS BAY INS. CO. COMPANY B GOLDEN EAGLE INSURANCE CO COMPANY C HARTFORD INSURANCE COMPANY COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR A C A 3 TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ] CLAIMS MADE |jc] OCCUR X OWNER S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AU'OS GARAGE LIABILITY ANV AUTO EXCESS LIABILITY X J UMBRELLA FORM ^| OTHER THAN UMBRELLA FORM WORKERS COMPENSATION EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE UNO INCL X EXCL OTHER POLICY NUMBER LDZ5019662 72UUCKE3270 UHZ5019463 NWC381406-00 POLICY EFFECTIVE DATE IMM/DD/Yf ) 07/01/96 07/01/96 07/01/96 07/01/96 POLICY EXPIRATION DATE IMM/DD/YY) 07/01/97 07/01/97 07/01/97 07/01/97 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire] MED EXP [Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY {Per accident) PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE RETAINED STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE »$2,000,000 * $2,000,000 • $1,000,000 t $1,000,000 s $50,000 * $5,000 * $1,000,000 t * ( i * * * $1,000,000 ($1,000,000 « $10,000 t $1,000,000 ($1,000,000 1 $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS VEHICLES/SPECIAL ITEMS THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY OF THE NAMED INSD. PER THE ATTACHED ENDORSEMENT *A 10 DAY NOTICE OF CANCELLATION APPLIES TO NONPAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CARLSB2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL MAIL CITY OF CARLSBAD 30 DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE CALRLSBAD CA 92009 ACORD 25-S (3/93) SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE f\ t 1 \ /~\ Stuart Rubin /J^Aj^i JLSJ "*~~" ^ ®AqORD CORPORATION 1993