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Home My WebLink About1814 MARRON RD; MULTI-PERMIT FILE; CB130898; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-2013 Sign Permit Permit No: CB130898 Building Inspection Request Line (760) 602-2725 Job Address: 1814 MARRON RD CBAD Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot #: 0 . Applied: 04/05/2013 Valuation: $8000.00 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 04/05/2013 PC #: Issued: 04/05/2013 Project Title: BESTA- WAN REST- INSTALL TWO Inspect Area: ILLUMINATED WALL SIGNS Applicant: WESTERN SIGN & AWNING DBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARCOS CA 92078 760 736 6070 I NORTH COUNTY.PLAZA L P (C/OKlMCQ REALTYCORP 3333 N P EW HYDE ARK RD #100 ' NEWHYDE / PARK 11042 ' / / \ z \ Building Permit / \ / $10727 Addl Building Permit Fee / $0.00 Plan Check / / $75.09 Add'l Plan Check Fee $0.00 Electrical Fee V7$0 * 00 RenewalFee $0.00 Add'l Renewal Fee $0-.00 Additional TOTAL PERMIT FEES $182.36 Total Fees: 182.36 Total Payments ToDate: J 2.3O $18 Balance Due $0.00 \ I( 1 INCORPORATED 1952 FINAL yPOv Inspector: Date: 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 dale 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 10 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 I THIFOLLOWlNG1'OVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EJPLANNING DENGINEERING EJBUILOING DARE DHEALTH DHAZMAT/APCD LE t 'O 19 9 Plan Check No Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est Value C IT Y OF Ph: 760-602-2719 Fax: 760-602-8558 CAR LSBAD email: building@earlsbadca.gov Plan Ck. Deposit www.carlsbadca.ov Date 'Ii I ST JOB ADDRESS . Oat SUITE#/SPACE#/UNIT# APN i30t ; CT/PROJECT B - PHASE B -. B OF UNITS B BEDROOMS B BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP rT# J fSeu DESCRIPTION OF WORK: include Square Feet of Affected Area(s) - fi4TuJR t I 1!i-f4ii1&/f LT7?s r - " - EXISTING USE USE • GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS - [PROPOSED YES 0 #_ NO 0 YES 0 NO 0 YES 0 NOD APPLICANT NAME (Primary Contact) ..- _Jjii4— 4A7' APPLICANT NAME (Secondary Contact) ADDRESS P1-caii ADDRESS - C 4 . - - . *., CITY STATE • ZIP 14 4\)cç CITY STATE ZIP PHONE EMAIL ? FAX ____________7F-AXPHONE Ml- ) (4 k --14 iGJL~v7 -' EMAIL PROPERTY OWNER NAME/- 0 CONTRACTOR BUS. NAM c4r1) )Q9*4j k --: ADDRESS ADDRESS / 5. CITY - . STATE ZIP 'ijc1rc °r CI S AT ZIP tY) r t FAX 76oqy_oq/ . H . PHONE EMAIL ... .IRCH/DESIGNERNAME&ADDRE % STATELIC.# A E o CSS CITY III* U B (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, impre, 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 to a civil Penalty of not more than five hundred dollars l$50011. 00010=01" (3 009-0000VOISIM Workers' Compensation Declaration: I hereby afthm under penalty of peuiy one of the following declarations: • - 1J 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. I have and will maintain w 'compensa on, r quired by Section 3700 of the abor Code, for the performance of the work for which this permit is i ed. My workers' compensation in rance 9&rier and policy number are: Insurance C.IDJI ' ( Iq re i r?O--. Policy NO.7 .j/J E 'J) Expiration Date _44 I / This section need not be completed if the permit is for one dundred 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 ujrlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (5100000), In addition to the cost of compensation, da as as p' vided for in Section 37 (oft I r code, interest and attorney's fees. * CONTRACTOR SIGNATU . , AGENT DATE - ØO )Qt]aL)QO D 1DOF ' -. (hereby affirm that lam exempt from 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 Pork 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 urn exempt under Section ______________Business and Professions Code for this reason: t personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No - 2. ((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 / contractors' license number): 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 /contractors' license number): I 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): • - ,.PROPERTY OWNER SIGNATURE • . • - .. • AGENT DATE - ..4. s_I. I..' 4). - •,',. . - . - I - . .,-- ..-'4-..t1T ._--4 .-_ 4. ,.# '• '1 - . - -. •1 '• . - I 4 .. - . I '4 . .. - - I -'•:4 - - I)- . - - I .. - _ dthg • - 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? ID Yes ID No . -. - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ID Yes • ID No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? .' - ID Yes ID 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). Lenders Name• - . Lender's Address . 1 I certify that l have read the application and state thattheabove information Is correct: and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws retatingto 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 M OSHA permit is required for excavations over 59 deep and demolition or construction of structures over 3 stories in height. - I EXPIRATION: Every permit issued by the Butdingfttoal 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~cr if the ing or authorized by such pe sus ed or at anytime after the work is commenced for a nod of 18 days ( .4 (Section 1C.4 Uniform Jilding Code). gAPPLICANT'S SóNATUR ..,Z /:f 1 DATE I- .• I I , • , -. 4. .. - . - 1,, - ,,' ' - -r '- -- .,;_ - , - .,. ,•. .- . . : . . - - . - 1 •4', - -- .L .. , . . . - ' - - - - 41 t . - . 4. .'•, . . , - . , - .-- '•• - - '. -. •'8 - - - -. ' - 8 1 4- -4- -'.8 ,.• - •?,-- - -. '--'4.. .• -' -. - '- . '- I 4 - - . •.• -. ,- , - •, -. I., -*1 • - I - , 'I ,1- . - . , .-,, . -' -. , - 1- •• . ' ' I' . . . t - -- - : • .! - 4 . - -- - I - - ••8 - - 4 • , - - I - - - -_.. - . , • -. -, - - - •. . .-- , - 41! 6 .1 4•• 1 -. -. -- -. 8 - - .6 . Il - - -I -.- , . - -- . - V - .- -- -I . ...- . .-.• • I- r- I .4 • ç r • I - - 1 (4 - '5 ok Is •fl4..* •. . -. - . • - - - t - . . '. I- • - - . -I '• - . 4 -. • -, • ., . -- I - . . ' I 4 - . I . - . . I - 2 - - . .• . / 4 -. 4_,•_ S - Inspection List Permit#: CB130898 Type: SIGN BESTA- WAN REST- INSTALL TWO - ILLUMINATED WALL SIGNS Date Inspection Item InspectorAct - Comments 08/08/2013 19 Final Structural - RI 08/08/2013 38 Signs PD AP S - City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Sign Permit Permit No: CB082038 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: Applicant: MR NEON INC 1814 MARRON RD CBAD SIGN 0000000000 Lot #: 0 $2,300.00 Construction Type: NEW FENWAY'S BAR & GRILL-SIGN ILLUMINATED Owner: Status: ISSUED Applied: 11/06/2008 Entered By: RMA Plan Approved: 11/06/2008 Issued: 11/06/2008 Inspect Area: 3106 MAIN ST 92113 619 223-3373 Building Permit . $54.11 Add'I Building Permit Fee $0.00 Plan Check $35.17 Add'I Plan Check Fee $0.00 Electrical Fee $20.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee ' $0.00 Additional Fees $0.00 TOTAL PERMIT FEES S $109.28 Total Fees: $109.28 Total Payments To Date: $109.28 Balance Due: $0.00 FINAL APPROVAL Inspector:('V"' Date: ____________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of tees, 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 tees/exactions. It you protest them, you must 10110w the protest procedures set forth in Government Code Section 66020(a), and tile 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, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any lees/exactions of which you have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ;...--,City of Carlsbad ' 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 . Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date L (oV JOBADDRESS\J C, A 0 .4 (-. SUITE#/SPACE#/UNIT# 7 APN CT/PROJECT a LOT 0 PHASE # 0 OF UNITS 0 BEDROOMS 0 BATHROOMS T NANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DSCRIPTION OF WORK: Include Square Feet of Affected Area(s) o6 A '"0,( le- ,' C6'LJ40v/44 !STING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE . YES 0 # NOD AIR CONDITIONING YES 0 NOD FIRE SPRINKLERS YES 0 NOD CONTACT NAME (if Different Fom Applicant) - APPLICANT NAME ADDRESS , ADDRESS CITY STATE . .. ZIP CITY STATE ZIP PHONE FAX . PHONE FAX EMAIL ' 1 EMAIL PROPERTY OWNER NAME - CONTRACTOR BUS. NAME ,'t? c-o.) j.,dc ADDRESS •, ADDRESS â4w4t 1,) ,J4 CITY * STATE ZIP CITY STAlE ZIP '12(t7 PHONE FAX PHONE FAX EMAIL - EMAIL - ARCH/DESIGNER NAME & ADDRESS STATE LIC. 0 STATE LIC.# CLASS CITY BUS. LIC.# 2,','n'Sec 1031.5 Business and Professions Code: Any City or County, which requires a permit en construct, after improve, demolish or , reir any stiUcsurn prior to its issuance, also requires the applicant for such permit to file a signed statement that e is hconsed.pursoant to the provisions of the Contractor's license law {Chapter 9, commending with Section 1000 of Division 3 of the Business and Pro(essiono Code) or that he 5 exempt therefrom, and the basso for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations.- 173 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. I have and will maintain nseoy4cers' compensation, as r uired by Section 3700 of the Labor Code, for the perfoiag6 of the work for which this permit is issued. My workers' compèpsalion insurance carrier and policy number are: Insurance Coj.. 7.4 . --d- J J I Policy No. ?-a.?- Y—s' -' 1- Expiration o,L j(,(o ' 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' addition to the cost of compensation amages as provided for In Section 3706 of the Labor code Interest and attorney's fees. CONTRA DAè)L ' ... :. thereby affirm that lam exempt from 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. It, 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). O I, as owner of the property, am exclusively contracting with license contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of - properly 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: I personally plan to provide the major labor and materials for construction of the proposed properly improvement. 0 Yes 0 No t (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 / 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 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 type of work) I ,.,,,•, .PROPERTY OWNER SIGNATURE -.' ...'- - • ' 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? 0 Yes 0 No . • . •' - •. - , •.• , ' Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? ,._ 0 Yes 0 No - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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 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 certify that I have read the application and state thatthe above information Is correct and thatthe Information on the plans is accurate. I agree to comptywith all City otthnances and State laws relatlngto building construction. I hereby authorize representative of the City of Caristiad 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 69 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 (the building or work authorized by such permit is not commenced within 180 days from the date of such pe ri orit ebuilding or work authorized bysuch5gfi n fo it is suspended or abandoned at any time after the work is commera posed of 180 days (Section 106.4.4 Uniform Building Code). * AfPUCAN+S - - - DATE City of Carlsbad Bldg inspection Request For: 05/07/2009 Permit# CB082038 Inspector Assignment: Title: FENWAYS BAR & GRILL-SIGN Description: ILLUMINATED Type: SIGN Sub Type: Phone: Job Address: 1814 MARRON RD Suite: Lot: 0 Location: Inspect : APPLICANT MR NEON INC Owner: • Remarks:--NO response to expiration letter. Total Time Requested By CHRISTINE Entered By: CHRISTINE CD Description Act Comments • -. 38 Signs I $1J 5( (O q-ctcc.c -C-- - Comments/Notices/Holds • - • • Associated PCRs/CVs Original PC# • • Inspection History Date Description Act insp comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-24-2006 Sign Permit Permit No:CB062428, Building Inspection Request Line (760) 602-2725 Job Address: 1814 MARRON RD CBAD Permit Type: SIGN . Status: ISSUED Parcel No: 0000000000 Lot #: P ' Applied: 08/24/2006 Valuation: $2000.00 Construction Type: NEW Entered By: JMA Reference #: Plan Approved: 08/24/2006 Issued: 08/24/2006 Project Title: FINNEGAN: NEW SIGN . Inspect Area: Applicant Owner FORD SIGNS STEE 1304 N. MELROSE . '. VISTA CA 92073 N 760-631-1976 N Building Permit $3813 Add 'I Building Permit Fee N , $0.00 Plan Check / $24.78, Add 'I Plan Check Fee,$0.0011, Electrical Fee $000 Renewal Fee / ' $0.00 AddlRenewal Fee 7 / $000 Other Building Fee moo Additional Fees N -$000 / TOTAL PERMIT FEES / $62.91 Total Fees ''$62.91 Total Payments To Date $62.91 Balance Due $0.00 / / EXPIREDPERM IT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 1O6.44 AS AMEN BY C.M.C.18.04.030 DATE SIGNATURE_QAL...L. FINAL APPROVAL Inspector: Date: 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 fees/exations. 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. S You are hereby FURTHER NOTIFIED that your right to protest the specified tees/exactions DOES NOT APPLY to water and sewer connection tees and capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project, NOR DOES IT, APPLY to any Owen fees/exactions of which you have oreviouslv been a NOTICF cimilar to thic or ac to whirh the ctatiiie of Iimiiationc ha rp c nvioiiciv ntherwicp eynirprl ( FOR OFFICE USE ONLY PERMIT APPLICATION ' PLAN CHECK NOSO_2a_ OF CARLBA:BUILDING DEPARTMENT .CITY EST. VAL. Plan Ck Deposit 1635 Faraday Aye, Carlsbad, CA 92008 - _d .5 ., Validated'By I ' Date __6 (- ( O 6 S - f')nec1-ov)-Yc kA JO Address (include Bldg/Suit #) S jBusiness Name (at this address) 5ig flcrrO') 020 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units -, Assessor's Parcel # Existing Use Proposed Use Description of z k : SQ. FT. #of Stories # of Bedrooms # of Bathrooms ' •. Name - - Address' City State/Zip Telephone # Fax # as rCjr ATorOwnL 'J JW S. tiflOZd /)O A). OWW60DSe SL,lf L . S ' Name Address City State/Zip Telephone # - ----- -KIM 1IPROPERTYWNER ' Est iLft. ,... Name S Address .. City State/Zip Telephone # - * (Sec. 7031.5 Business and Professions Code: Any City-or Câunty 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 C o n t r a c t o r ' s L i c e n s e L a w (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefr o m , a n d t h e b a s i s f o r t h e a l l e g e d exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fj,ve hundre d d o l l a r s ( $ 5 0 0 ) ) . .1 t5cc) -' Name - - Ad ress City State/Zip •Telephone # -. - State License #. '7/7/.3 7 ' License Class ___ City Business License # - Designer Name • - Address: - •' City State/Zip Telephone State Licensó # ATIO Ift .•-. ' • S • S Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: •. - S 0 I have and will maintain a certificate of Consent to self insure for workers compensation as provided by Section 3,700 of the Labor Code for the performance of t)e work for which this permit is issued 4 I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work fo r w h i c h t h i s p e r m i t i s issued My worker's compensa ( ti insurance carrier and policy number, are - ( Insurance Company /C "f,.4") J2',')ç Policy No 0 I ke t) t 12') Q Expiration Date 5 q -ô ' V (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) •.- - S 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 overage is unlawful and shall subject an employer to crlmlnel penalties and civil fines u p t o o n e h u n d r e d • thousand dollars ($100,000), In addition to co t o ompensation dsmageS as provided for In Section 3706 of the Labor code,' interest and attorney's fees. SIGNATURE flz73..i J IA.A1t. DATE 0-60 LL71i TX2? I hereby affirm that .1 am exempt from the Contractor s License Law for the following reason 0..1, as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not in t e n d e d o r o f f e r e d f o r s a l e (Sec 7044 Business and Professions Code The Contractor a License Law does not apply to an owner of property who builds or improves t h e r e o n a n d w h o d o e s such work himself or through his own employees provided that such improvements are not intended or offered for sale If, however, th e.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 pur p o s e o f s a l e ) 0 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Prof e s s i o n s C o d e : ,The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with c o n t r a c t o r ( s ) l i c e n s e d pursuant to the Contractor s License Law) 0 I am exempt unde'r 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 5, 2 I (have I have not) signed an application for a building permit for the proposed work 4 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number) 4. •4_5 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (in c l u d e n a m e / a d d r e s s / p h o n e number / contractors license number) i. 5 I will provide some of the work but I hve contracted (hired) the following persons to provide the work indicated (include name / ad d r e s s / p h o n e n u m b e r / t y p e "- of work): • ' • 5 5 5 • -' • 5 5 •5, •S •S • '" - ' •: :- . • PROPERTY OWNER SIGNATURE DATE iIff[y - Is the applicant or future building occupant required to submit a business plan acutely hazardous mstrials reistration fo r m risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 NO I' 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 0 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES 0 NO I -• '-5. • •• •55 '. -''--4 -•- --•• --.5. - - • ..,.•. .'• -' F 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 ' $ _ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Ci v i l C o d e ) '-' •5 '• . - • S--S . - ;. • '•: LENDER'S NAME,' LENDER'S ADDRESS__________________________________________________________ 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 agre e t o c o m p l y w i t h a l l - -: • . -City ordinances and State laws relating to building construction: I hereby authorize representatives-of the CO of Carlsbad-to e n t e r u p o n t h e a b o v e m e n t i o n e d "-property for inspection purposes. I ALSO AGREE TO -SAVE. 'INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL S B A D A G A I N S T A L L L I A B I L I T I E S , - - - 'JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTI N G O F T H I S P E R M I T . - OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in h e i g h t -: ' EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and v o i d i f t h e b u i l d i n g o r w o r k - authorized by such permit is not commenced within 180 days from the date of such permit or if the building or 'work aulhOrized by s u c h p e r m i t i s s u s p e n d e d o r a b a n d o n e d at any time after the work is commenced for a prio of days/(%pction 10644 Uniform Building Code) APPLICANT S SIGNATURE ""'tA. _{i2.44'_s DATE O WHITE File YELLOW Applicant PINK Finance Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: JOHN MILKS 1814 MARRON RD CBAD SIGN Lot #: 0 $2,000.00 Construction Type: NEW SAMBA BRAZILIAN STEAKHOUSE 3 SIGNS-CHANNEL LETTER W/ELECTRIC Owner: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2003- Sign Permit Permit No: CB031435 Building Inspection Request Line (760) 602-2725 Status: ISSUED Applied: 05/16/2003 Entered By: RMA Plan Approved: 05/16/2003 Issued: 05/16/2003 Inspect Area: 5298 05/16/03 0002 01 02 COI= 82.91 303 GREEN VIEW RD 92026, N 760 803-2047 / 1 Building Permit $38.13, Add 'I Building Permit Fee / . $0.00 Plan Check '$24.78 AddI Plan Check Fee -. $0.00 Electrical Fee $0.00 Renewal Fee '$0.00 Add 'I Renewal Fee $0.00 Other Building Fee $20.00 Additional Fees ' $000 / TOTAL PERMIT FEES $8291 I.. Total Fees: $82.91 Total Payments To Date: : : $0.00 Balance Due: $82.91 ? - . f - / < - / / I K FXP!ED PER1VhT PERM- ryripi) IN ACCORDANCE WITH u.ac. SEC 1J n;M.4 PERMIT APPLICATION II CITY OF 'QARLSAD BUILDING DEPARTMENT' 1 635 Erá, A Carlsbad, CA2O08 RP ::,LL,IO' ;Legal Description Assessor's Parcel # - Description of Work FOR OFFICE USE ONLY PLAN CHECK NO.c EST. VAL Plan Ck. Deposit____________________ Validàtëd By Date _c//(, •, * Business Name (at this addres- - LotNo. Subdivision Name/Number Unit No. Phase No. , .'' ..•'. - t Existing Use Proposed Use I I SQ. FT '\.'#of Sto4ès .-'' # of Bedroogis I I , c- '\ . ,1,-,.i•. , T ' ,' / Total # of units 'of Bathrooms Address Q3 City State/Zip (,4..- Telephone # Fax # ,- gen or 1O7 Z(, CJ/1A.Jtt_'."-" tL.( SáYw1i10 (4 c '7L,, •'I* Name - ' - ' Address City- State/Zip '' Tliplibne # " '' I I' Name . Address , ', , City ' State/Zip , Telephone # &cIP Q P1NA1 f(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair'any structure, P!ior 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 1Chapter. 9,, commending with, Section_ 7000 of Division 3 of the Business and Professions Codél or ,ththe,is exempt therefrom, and the basis for the alleged exem tion. Any violation of Section 7031.5 by any applicant for a permit subjects the aRplicant to a civil pan It of not more than five hundred dollars [$5001). -760 - co-— 2b, Name ' ., ' • ,. Address " . i ' s City . , State/Zil cT14 Telephone* State License #'1'3 ?5' License Class C(0 fptf'?, 4.L(C.'. City Business License ,Designer Name , Address City . , State/Zip Telephone State License # EN TI, - ,,Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decla,rations: '0 I have and will maintain a certificate of consent ts-insurefor'w,rkers' compensation as provided by Section 3700 of the Labor Code, for the performance ,of the work for which this permit is issued. 0 (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 worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date__________________ "(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT-IS FOR ONE HUNDRED DOLLARS [$1001 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: -Fail secur workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housand dollars ( 0 0 0) In d (tb t e Cost of compensation, damages as provided for In Section 3706 of the L4pr qDde, Interest and attorney's fees. SIGNATURE" _- - - "J*.45j I heieby affirm that I am,164empt 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' dompensation, will do the work and the structure is not intended or offered f&' sal (Sec. 7044, Business and Professions Code: The Contraci,r'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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, -Business and. Professions Code: The Coñtràctor's License Law' does not apply t6 an owner of property who builds or improves theon, and contracts for such projects with contrtor(s) licensed to, the Contractor's License Law). 0 I am exempt under Section Business and, Professions Code for this reason: ('personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO ((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. (plan to provide pôrtions'of the'woik, bUt (have hired the following person to coordinate, supervise and provide the major work (include name /address /phone 1 '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 ' ____•.• E ' ra 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 '0 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 0 NO Is the facility to be constructed within 1,000 feet, of the outer boundary of .a school site? 0 YES 0, NO - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OFIOCCUPANCY 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. , 1CONSTRUb14 1CY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(9 Civil Code). LENDER'S'NAME .''/•."v LENDER'S ADDRESS_' ' 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 to comply..with all 'City ordinances and State liws relating to building construction. '-I hereby ,authorize representatives of the'Cit, 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 exdavations 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 prOvisione' of this C6de1 shall expire by limitation and bèco?ne null and void if the building or work authorized by such permit is not • menced within 18Qdays,from the.date of such permit or if the building or work authorized by such-permit is suspended or abandoned Y',APPLICANT'S (anytime after the work is corn c d I a pe o of a (Section 106.4.4 Uniform Building Code) SIGNATU'RE • __' _ __'. .-DATE WHITE: File YELLOW: Applicant ' PINK: Finance $91.99 $0.00 $59.79 $000 $0.00 $0.00 $0.00 $20.00 $0.00 $171.78 - Xr:D PERMIT PER711 HAS i 'i)IN ACCORDANCE WITH IJ.3.C. SIONATURE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2002 Sign Permit Permit No:CB020458. Building Inspection Request Line (760) 602-2725 Job Address: 1814 MARRON RD CBAD Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 02/13/2002 Valuation: $9,000.00 Construction Type: NEW Entered By: JM Reference #: Plan Approved: 02/13/2002 Issued: 02/13/2002 Project Title: THE LAGOON GRILL & SPORTS BAR Inspect Area:• (3) WALL MOUNT ILUM SIGNS Applicant Owner ;3lG SIGN 316N WESTERN AVENUE LOS ANGELES CA 0862 02/13/02 0002 01 02 23-957-9744 7 COP 17178 Total Fees $171.78 Total Payments To Date P $0.00 Balance Due $171.78 Building Permit AddI Building Permit Fee Plan Check Addi Plan Check Fee Electrical Fee Renewal Fee AddI Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES FINAL APPROVAL Inspector: Date: ______________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposifion" 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. :i4 I • 1 ' FOR OFFICE USE ONLY PERMIT APPLICATION. PLAN CHEC 0 (i6'd,?D4' 5 c'ITY OF CARLSBAD BUILDING DEPARTMENT .' EST. VAL. . . 1635 Faraday* Ave, Carlsbad, CA 92008,Validated /11 Date Address (include Bldg/Suite #) . ,' Business Name (ad7f)z72, LegalDescription Lot No Subdivision Name/Nufftdr, Unit No ' ,ase No Total # of units 4 - . - ' . . . •, . --. Assessor's Parcel .# Existing Use Proposed Use 4 Description of Work . SQ. FT. / )'.' #of Stories. . # of Bedrooms .. . # of Bathrooms Form 7 I . ... . .. . . t. . Name - Address . . . City . State/Zip TIephone# Fax # or 13 Agent f9 0 Own 0 Ajpwn Name Address City State/Zip Telephone #,., , a 4 ROPED',OiNNERt t.'. Name Address City State/Zip Telephone # . . VT _- A' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a'permit to construt, 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 9,1commending 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 pqrmit subjects the applicant too civil penalty of not more the 1 e h njred d liars ($5001). & Al ccS"v' cA Y( 7?7/z1@23) t4" State License # /¼39'O Add License ress Class 6i Lf 3 CitYCity Business License #,)O t "Designer Name Address City State/Zip Telephone State License # WORKERScPMPE!ISAITQN irr ; -, 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 0 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 worker's compensation insuran e arrier and policy number are 151 y4Ce lnsuance Company f/J A/f) L5I2Q1C C pqfl,5it5(O7 / Policy No / 2 5' 37 2ZZ Expiration Date_______________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMiT IS FOR ONE HUNDRED DOLLARS ($1001 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- tosecure wprkers"compenàtIon coverage is unlawful, and shall subject an employer to crimInal, penalties and civil fines up to one hundred thousand dollars ($100 0) irv'addltlon 1ost of compensation damages as provided for In Section 3706 of the Labor co e Interest and attorneys fees ' t. SIGNATURE'' . (/ . ,.. . — Z .- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: . . ,,. : 0 1,-as owner of the property or my employees with w'ages s their sole Compensation, will do the work and the structure is not'intended or offered for sale . . (Sect 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, hoiver, 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- . 0 1l, as owner of the property, am exclusively contracting' with licensed contract6r's to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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) -1 1 ,.'.' , , ''p '•' ' 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.'D YES ONO . , 2. l(have / have not) signed an application for a building permit for the proposed work., . . •. . ' . I have contracted with the 'foi(o.iin9 person (firm) to provide the proposed 'construction (include name / address / phorci number / contractors license number): 4 I plan to proiide portions of the work but] 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 orne of the work,, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phore number / type •, - of work): . ' ' ".'• ' . . , . . .' . . . • • PROPERTY OWNER SIGNATURE . . , ' ' ' DATE' ' T 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 0. 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 . 0 NO. Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO t 4 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. [CT oNLENii'cY ED iR - I hereby affirm that there is a construction lending agency for-the petformance of the work for which this permit is issued.(Sec. 3097(i) Civil Code). LENDER'S NAME '. '' - - . LENDER'S ADDRESS . . . ..BF i' .,• , tw. l.certify that I have-read the application and state that the aboveinformation'is correct and that the information on the plans is accurate. ,t agree to comply--with all • , - City ordinances and State laws relating to building construction. I hereby 'authorize, representatives of the Citi 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. S ' - , • -' OSHA An OSHA permit is required for excavations over de 5 0 ep and demolition or construction of structures over 3 stories in height , EXPIRATION: Every per,it'issued by the building Official u'nder'the provisions of this Code shall'expire by limitation and become nul) arid void if the building or work authorized by such permit isrot commened within 180 days from the date of such permit or if the building orwoçk authorized ,by such permit is suspended or abandoned > at any time after the work is co ncecffor a p io 180 days (Section 10644 Uniform Building Code) APPICANTSSIGNATUREV1CV J(J,/UeVCA DATE dZ- 1T4 O 2- WHITE File- YELLOW Applicant PINK Finance .s . - '. APPI IANT TA ru i IN INFARMATION WIThIN WAflFfl ARFA ANn flFI ARATIANS' CARLSBAD BUILDING DEPARTMENT APPLICATION, I. PERMIT /. j, .2075 Las,Palmas Dr., Carlsbad, CA 92009-4859(619)438-1161. '. . . - [19!"1'. . .. . ..-'-•-'- JOB ADDRESS , AV. ST. RD. NEAREST CROSS ST, DATE OF APPLICATION BUSINESS LICENSE 8 / VALUATION —. PERMIT NUMBER LOK .7 BWi1ON SESSOR PARCEL NO. ' ' CONTRACTOR - .&113 CONTRACTORS PR NE ' ZONE I S NAME ( ; ' J0 /c /J6,77c, '4/J/ OWNER'S PHONE 1 ,-.,;• '—, CONTRACTOR'S ADDRESS . ' BUILDING SO. FOOTAGE IN-59-9~3.) STATE LICENSE NO, AOORB3S 'se 3/ SMAILIJ /J/;1.4/ - (" . -. 213 DESIGNER, DESIGNER'S PHONE . TI OF4NORK LS STATE LtENSENO. 06/17 0101 02B1dPfl)t' -'1430 OESIONER'S ADDRESS 131 ULi A 9QTiL It ±EcO11 T FLRE NO STORIES 0Q\EcCJC J1. 0CC OP EDU ) CEnTEr ;o'No FIRE SPR PARKING SPACE RES UNITS GRADING PERMIT ISSUED -REDEVELOPMENT - TYPE 0CC LOAD ' AREA CONST - - - ' - Y O N 0 - . _Y O NO .;.,, y NO - Not Valid Unless Mac/nine Certified OTY PLUMBING PERMIT ISSUE -. .5o , OTY. , MECHANICAL PERMIT - ISSUE DO ,5 - SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP - -- - - - . INSTALL TURN. DUCTS UP TO 100,000 BTU - , BUILDING PERMIT - 001-810'00-00-8220 - 7 EACH BUILDING SEWER .., - - ' : . ' OVERI00,000 BTU - , SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER AND/OR VENT; . - . BOILER/COMPRESSOR UP TO 3 HP - - - PLAN CHECK 001-810-00-00-8821 EACH GAS SYSTEM f -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 PIPE - . - 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 ' . ' ' - , - SOLAR -- 001-810-00-00-8226 EACH ROOF DRAIN (INSIDE),. . i DRYERVENT --••--- ' STRONG MOTION. _880-5.19-92-33 -•-'-._-_ -.,. - - - --'-- TOT,L MECHANICAL • , - — '. - - - - FIRE SPRINKLERS -001-810-00-00-8227 TOTAL PLUMBING — - , PUBLIC FACILITIES FEE- 320-810-0O-00-'8740 - -'-. QTY. - . ELECTRICAL.PERMIT- ISSUE ---' 00 - QTY. - MOBILE HOME SETUP BRIDGE FEE -360-810-00-00-8740 PARK-IN-LIEU (AREA - - — -_-,_• -L ,- _____________ NEW CONST EA AMP/SWT/UKR •-- . ..' CAR PORT'- - - . - ' TIF •--134-810-0000-8835 - - 1PH_-------- _---'3PH-, .. • AWNING . LA COSTA TIF ,-133'810'00-00'8835 U - WORKERS' COMPENSATION INSURANCE - , - EXISTBLDGEAAMP/SWTJBKR , GARAGE - ' , ' -' - FMF IPH __-3 PH _- . . • - . - — . •.. -' - LICENSETAX '-'001'810'00'00'8162 — REMOOEL.'ALTlI( PER CIRCUIT - . . .. , . MFF '880-519-92-57 - TEMPPOLE200 AMPS • OVER200AMPS _•'.I,'' ' , ,.- , - -_-_- - -_. TEMP OCCUPANCY (30 DAYS) • _. ' -. - ' . - CREDIT DEPOSIT TOTAL ELECTRICAL - TOTAL — - TOTAL FEES _PAYABLE HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued by the Building Official under the proelsions of Ih * AN OSHA P:T IS REQUIRED FOR EXCAVATP4S OVER CEPTIFY'UNDER Code shall expire by limitation and b0 nod IIthe buildingored PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE such permit is not 2nnt authorized within 180days from the fwo.r such so" DEEP AND DEMOLITION OR CONSTRUCTION o DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY.AND AGREE IF A PERMIT IS permit or I' 'he building Or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandonedatanytimeaftertheworkiscommencedforaperiodof180days STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , APPROVED BY - DATE • APPLICANT S.S,LQNATURE ', / OWNER 0 CONTRACTORp - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND , \ • j• - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I. " •y GRANTING OF THIS PERMIT. ' \, - /; .y. - - j I C' BY PHONE 'C -- -•--• ---s USE- BALL POINT PEN ONLY & PRESS HARD 2 ' I hereby affirm that I am licensed under I ' p visions of Chapter 9 (commencing with I •,,. tlon 7000) of Division 3 of the Business' i ,-I 5'-sn Professions Code, and my license is in L';tuii or and effect: I herAbyaffirm that I am exempt from the'Contrac' 1 or 's Liconse,Luw for the following reason iSec: 7031.5 .... Business and Professions Code: Any city or county which re- - , quires a permit In Construct, alter, improve, demolish, or . repair any structure, prior to its issuance also requires the up' pIicant'tor such permit to tile a signed statement that he is licensed pursuant to the provisions .01 the contractors I - License Law (Chapter.9 commencing with Section 7000 of Division 301 the Business and Professions Code)-nr that is ex. . empl therefrom and the basis for the allegeri exemption.. Any i violation of Section 7031.5 by an applicant for a permit sob' jects the applicant to a Civil penally of not more than live hun- dred dollars ($500). r. 1 I I, as owner of the property, or my employees with wages as their Sole compensation; will do the work. and the struc - lure is not intended or offered for sale (Sec.'7044. Business and Professions Code: The Contractor's License Law does 001 apply to an owner 01 properly 'who builds or improves. thereon and who does such work himself or through his own .1 - employees, provided that such improvements are not intend' - Sal ed or offered for sale; It; however, the building or improve' Z ment is sold within one year of completion, the nwoer'builder I will have the burden of proving that he did not build or im- - 0 prove for the purpose of sale). 0 I, as owner of the ropert'am exclusively contracting' _ with licensed contractors In construct the project (Sec. 7044, Business and Professions Code' The Contractor's License - .i ,_ Law does not apply loan owner of property who builds or im"T proves thereon, and who contracts for each prujerits with a C . n conlractur)s) license pursuant to the Contractor's license I ; law(.' 0 Ann homeowner I am improving my home, and the follow' I 4 ing conditions exist:' ' ' ... 1.- The work is being performed prior to sale. - 2. i have lived in my home 'fur twelve months I C) . prior In completion 01 this work..... IdI 3. I have not claimed this exemption daring the 0 fast three years. - - 0 lam exempt under Soc. " , B & P.C. for this reason C - (insure. rereby affirm that t have a cortilicaleol consent to I nra certificate 01 Workers' Compensation In- )eI . or a certified copy thereof (Sec.3800. Labor Code) POLICY NO. ' COrIPANY- :.T- . - Copy is filed with the city,. 4' • D Certified copy is hereby furnished ' '.- .':. ,... a'-- -'1 0 t.CERTtFICATE OF EXEMPTION FROM ( f. IThis section need not be completed if the permit - is fOr one hundred dollars lSrDef or less) ' uJ ' ,-,; '.•, - I certify, that in fhe performance of the work for which CC I this permit is issued. I shall not employ any person in any I -C , manner soas to become subject to the Workers' Compen. - - safion Laws of California.. 'NOTtCE TO APPLICANT:.lr. after making this Certificate of Enemption, you should become subject to the Workers' I I IL Compen sufionprovisions Of the Labor Code, you must forthwith comply with such provisiuns or this permit Shall C bedeemedrovoked, - - -'y "" •' r' ' ' .r' D'i heeby affirm that there is a construction lending CC , agency for the performance of the work for which this per. ol '_,.rnit is.issued (Sec. 3097, Civil Code) WI Lender's Name r. 'l•• -Jl--- -------' L Lender's Address - TYPE - DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LI FLOOR i:i CEILING SHEATHING 0 ROOF 0 S11EAR FRAME EXTERIOR LATH I INSULATION INTERIOR LATH & DRYWALL PLUMBING 0 SEWER AND BL/CO 0 IL/CO UNDERGROUND 0 WASTE 0 WATER TOPOUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST D WATER HEATER O SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 POOL MECHANICAL DUCT &PLEM., 0 REF. PIING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN'LLAPPROPRIATE.. ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPEcIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DA 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 - - \ \'. S.-- • \ • • . "- ...' i., '•..• 'I 2n'' eroby affirm that am licensed under I. rovielone,ol.Chapter,9,(commencing with I .S.ctlon 7000) of DivIsion 3 of the Business I - ±and Professions Code, and.my license is in L 'full force and effect. hereby-affirm that I am exempt from the Contrac- br's License Law for the following ceases (Sec. 7031.5 Business and Professions Code:' Any city or county which re - quires a permit to construct, alter, improve, demolish, or _ repair any Structure, prior toils issuance alsn.reguireshe up-. pticant for such permit to tile a signed statement that he is licensed pursuant to the,e -provisions of the Contractor's License Law lChapter9'cnmmencing with Section 7000 01 d Division 301 the Business and Pretessiens'Code( or that is'ev-' £ empl therefrom and the basis for the alleges exemption. Any . violatienof Section 7031.5 by an applicant Iota permit sub' jects the applicant to civil penalty 01 not more thab live hun' died dollars (5500), I,, as owner 01 the prnp&rt,t or rr'y employees with wages a7 their sole 6ompensation.,will do the,wotk, and the struc- - lure is not intended at offered Inc sale (Sec.. , 7044. Business and Professions Code:'.The Contractor's License Law ""'6 5 not apply to an, owner 01 property who builds or improves c,'lhereon and who does such work himself or through his own ,_.employees. provided that such improvements are not intend' - MJ ed or offered for sate, ll however, the building or, improve Z ment is sold within one year 01 completion,' the owner-builder 31:• will have the burden 01 proving that he did'not build or im- prove for the purpose 01 saId, &I J* t.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, - LLaw does not apply loan owner of property who builds.hr im- r. - - proves thereon. and who contracts for each projects with a fI contractotisl license pursuant to the Contractor's License C .,.I Law): •s'.--- - , (71 As a homeowner I OnT im61ng my, tomi,and thetollow- p Ing conditions exIst The work is being performed prior to sale. I have lived- in myhome. for twelve months - - -' prior to completion at this work, - * I have not claimed this exemption during the last three years. . . 1. r'tJ 18 I,,y lorthis-reason album that I have -a certiticule of consent to seltinsure, era certificate of Workers' Compensation In. - surance eV Ye 1s Copy is tiled with' the ' Ma -1 f.. - . CERTIFICATE OF, EXEMPTION FROM U - WORKERS' COMPENSATION INSURANCE (A (This Section need not be completed it the permit is , to, one,, - hundred dollars i$100i or less) Mad. ,t._., Nd 0.1 certify that in the performance of the work to, which - - this permit is issued. I shall not employ any person in any 'manner so as to become subject to the Workers' Cowpox' lation Laws of California. -, .• NOTICE TO APPLICANT: It, alter making this Certificate -.01 Exemption. you should become subject to the Workers'.. Compensatithr provisions 01 the Labor Code. you must forthwith comply with such provisions Or this permit shall - U bedeeOred revoked. • I.L. - - [" 0 I hereby alt m that there is 0 construction lending k 090uu7 ur rue taxi dm01100 Or top WoOl rot whiCh this per. - mit is issued'lSec; 3097 Ciil Codel Ldhdéi's Name L Lender's Address_________________________________ Ii, z 0 of 4 -J U Ma a USE BALL POINT'PFNON(Y & PRFSS HARD ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT :- & PERMIT - 4-- 2075-Las Palmas Dr.'; Carlsbad, CA 920091915 (619) 438.1161 -. -- .APPLICATION . -•- JOB ADDRESS, AV. ST. THOMAS BROS NO: DATE OF APPLICATION BUSINESS LICENSE fl PERMlT NUMBER.,........ 4 - .VLUAT,ION, LOT BLOCK SUBDIVISION LTSESSOR PARCEL NO. ' CONTRACTOR - - CONTAACTORS PHONE 0 ZONE I -T O C./,tI$_- - - - - . - - OWN NAME ç-' OWNEA'S PHONE ,c._ o7o CONTRACTORS cENSE NO - - BUILDING SO FOOTAGE ER ADSS /3 4 , - DESIGNER - ' - ESC TIONOF ORI( ' 6631 05/02/89 -000101 02 DESIGNER'S ADDRESS STATE LICENSE NO. PUNA 164.0( (i 3 LR ELEV NO f77-- - 0CCGP EDU - - "' - ' STORtES---- 'YDNO, FIRE SPP CENSUS TRACT PARKING SPACE - RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TVPE"' 0CC LOAD ---'1 • I AREA CONST ___Not,Va/id Unless Machine Certified ,._,., • -, - - , -vO. x 0.. o. NO . -_YD.-ND--- QTY. PLUMBING PERMITISSUE i... QTY. - -MECHANICAL PERMIT- ISSUE F- .,15-_-._ SUMMARY/ACCOUNT-NUMBER - - -- -' 'EACH FIXTURE TRAP-. - - ' 1 . - INSTALL F,URN. DUCTS UP TO 100,000 BTU, -BUILDING PERMIT - 001-810-00-00-8220 - EACHBUILDING SEWER -' ,• - ' * OVER 100,000 BTU' = , SIGN PERMIT 001-810-00-00-8221 EACH WATERHEATEH.AND/OB VENT' .. -'- -' -J BOILER/COMPRESSOR UP-TO 3 HP'" ' _____________. —PLAN -CHECK--j'OO1-81O-0OOO-8891 - ' EACH GAS SYSTEM ITO 4 OUTLETS - . BOILER/COMPRESSOR 3.15 HP - , TOTAL PLUMBING / 001-810-00-00-8222 - EACH GAS SYSTEMS OR MORE ' - . METAL FIREPLACE , - ' ELECTRICAL / 001-810-00-00-8223 - i' EACH INSTAL., ALTER, REPAIR WATER PIPE..,: , .-- VENT FAN SINGLE DUCT - - i—. —MECHANICAL---/--001-81000008224 -, EACH VACUUM BREAKER - - -• ' . '" MECH EXHAUST HOOD/DUCTS, ' ' MOBILEHOME I 001-810-00-00-8225 WATER SOFTNER - - - - - RELOCATION OF EAFURNACE/HEATER - SOLAR ' 001-810-00-00-8226 EACH ROOF ORAIN'lINSlDEl'-- - - -' , _ . DRYER VENT - , _. - )-_- . ---- —STRONG MOTION - -' 880-519-92-33 / - - --- - - TOTAL MECHANICAL - ' ' - , ' - - FIRE SPRINKLERS 001-810-00-00-8227 1 TOIAL PLUMBING - - - PUBIIC FACIDIESFEE52O8i'öö'Oã'8740 — BRIDGE FEE, 360-810:00-00-8740 QTY. - -r ELECTRICAL-PERMIT - ISSUE -- ' - 00 CITY. MOBILE HOME SETUP PARK-IN-LIEU (AREA NEW CONS1EAMP'SWi'3KR - . • 'CAR-PORT ' ' - ' -- 1')F"'' - - I PH ' - - , ' - ' 3 PH ' , ' , I ,. _ - AWNING ' LA COSTA TIF 311-810-00-00-8835 E XIST BLDG EA AMP/SWTJBKR - - 4 I' ' - GARAGE - ' , FMF - IPH .3 PH ' c'- - -- ' - -' 'LICENSETAX ' 001-810-00-00-8162' REMOOEL'AI,TER PER CIRCUIT, , • '; ..: - .'- • MFF - 880-519-92-57 312-810-00-00-8835-- TEMP POLE 200 AMPS OVER 200 AMPS , - ' • , , ' - -_. ' - -- TEMP OCCUPANCY (30 DAYS) - - * ' ,• ' , .. ' _, -----••,. CREDIT DEPOSIT T'OTALELECTRAL '- • - TOTAL FEES PAYABLE - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPI ICATION AIj EFIMIT" AND nfl HFRFRY Fx5Irati?n.rBFy DflfflSiI iltqilarl hwlhafl..ilvh.Uf'SIIo.IU,,urIPul 'b.•wo..uul,Iui3 * AN O.kA AM1T IS REQUIRED FOR EXCAVATIONS OVER U and become null and void h building work ori -rbr - UISUEII P CI'JUL itt Ut' PIHJUH V I HA I ALL INFORMATION EPEON INCLUDING THE commenced within 180 days from hiIIpermt is noI DECLARATIONS ARE TRUE AND CORRECT AND IFURTHER CERTIFY AND AGREE IF A PERMIT IS H hi -uiidi ?uil the If - - suspendeo1k 0" DEEP AND DEUOLITN o çravcr Of itiUHS UvR 3 STOW IN HEIçP4T - Q . vuk aUIrIUIILBU uy oUCfl us cOIlED' TO COMPLY V.1111 ALL OIT., OuiUi4I I MuIU .51Pt LilACS LaUVEHNlNl.. BUILDING CON- AhflnnnPti at inp I—Ofl th, t-!urll Ii e6i'.,.n,u.u.,i lvi laxIlIJU Ill 151,1 WIPE. - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEIIJNG SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO Li Lico UNDERGROUND DWASTE DWATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER Li SOLAR WATER ELECTRICAL O ELECTRIC UNDERGROUND 131 UFFER ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPORARY O BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECrION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPE N INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE E SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE PILES CAISSONS POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY