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HomeMy WebLinkAbout1822 MARRON RD; 100 | MULTI-PERMIT FILE; CB981686; PermitS.y_ •.SS.. _.- _ .. . .,_ . S. ,. B U I LD I NG P E R M I T Permit No CB981686 06/02/98 12 02 ProjectNo A9802240 Page 1 of 1 ' Development No Job Address 1822 MARRON RD 4 Suite '100 Permit Type SIGN Parcel No : Lot# Valuation 3,200 . - - Construction Type NEW' OccupancyGroup ' Reference# Status ISSUED Description INSTALL 2 WALL MOUNTED SIGNS ' Applied -06/02/98 W/ELECTRIC Apr/Issue 06/02/98 Entered,By JM' . -- Appl/0wrr : 1ST'CHOICESIcNS.. 5; 7607.6-5069 610 ROCK'S ' 7 ? ESCONDIDO CA 92025 7615 06/02/98 00017 01 02 **. 'Tees Required *** Fee Collected & CrediR.ff **21 00 -;--- ------------------------ Adjustment: - tExt fee Data' Building Permit V. 61 00 .-Plan,Check'4' ... , 5,,. ,... -- ...- -. . .. :. . 40.00 20. 00 : Other T0 , . INCORPORATED .1952... •.-- - . FINAL APPROVAL INSP. ATf= tit - CLEARANCE r -. . ..,, ,•. ,, . .. .5, . . . ._ .• S - . - .5 CITY OF CARLSBAD 2075' Las Palnias Dr., Carlsbad, CA 92009 (619) 4381161' V 'S FOR OFFICE USE ONL ' -;-'-;- PLAN CHECK NO.___________ . ' EST. VAL. Plan Ck. Deposit Validated by Date 4 'I y'- a---- •, - Addres include Bldg/Suite #) - Business Name (at this address) - / ( cp / 7 IV1 S . . Legal Description Lt No. r . Subdivision Name/Number Unit No. Phase No; Total # of units 75 f' Assessors Parc .# Existing Use . Proposed Use /n- 'a' Pz) Description of Work . SQ. FT. #of Stories # of Bedrooms - - # of Bathrooms 2 CONTACT PERSON (if duffereit frm applicant) Name . - Address - City State/Zip . Telephone # Fax # .!•!.:-_ --- ---' 3 APLICANTLContractor Agent for Contractor DPn RIM 0 Agent!oLOin "4 ' (' ,5JfZeL 3d1L N 7410 7 V( ame Address . . Address - City State/Zip TelepOne ,7e2Z ? : Alw 4 Name - . Address . City . Siate/Zip Telephone 5 CONTRACTOW COMPAY4 zi.' * (Sec. 70315 Busineés and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for.such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law , [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exempti . A y violation of Section 7031.5 b any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars l$5001). /d-1' Name - Address " . City - State/Zip Telephone # State License # '. 4"3 1f License Class C Y " City Business License # / Z_o ' 6_3'S Designer Name . Address . City - - State/Zip Telephone - State License # 6 WORKERS COMPENSATION..JOT I Workers Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure fr 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss d. My worker's co pensa ion in uranc carrier and policy number are: ' . . •- . - Insurance Company .4:;i 4__ ' Policy No.4/'7'f "f J-c- Expiation Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl OR LESS) 0 CERTIFICATE OF EXEMPTION: l 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 (111 0,000) addition tope cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE/(ç'- 'k!_-_ -. . . DATE 7 OWNER BUILD'bECLARATION I hereby affirm that I am exempt from the Contractors 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 notapply 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). - C] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's, License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed - - - pursuant to the Contractor's License Law). 0 I am exempt under Section - Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO I (have / have not) signd an application for a building permit for the proposed work. . ' . I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 I address / phone number / contractors license number): .5.. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work): PROPERTY OWNER SIGNATURE - . . DATE i.COMPLETE!-,.THIS SECTION FOR NONRESIDENTIAL BUILDING PERMITS ONLY -. Is the applicant or future building' occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 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 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. - - 8CONSTRUC11ON1ENDINAGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME - - LENDER'S ADDRESS 9 APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree 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 INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height: - EXPIRATION: Every permit issued by the Building Official under the provisions of this Code'hallexpire 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 aft work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATURE / cTeiS" DATE c- - - WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION . CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 . CITY OF CARLSBAD INSPECTION REQUEST City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-22-2013 Sign Permit Permit No CB132917 Building Inspection Request Line (760),602-2725 Job Address: - 1822 MARRON RD CBAD St: 100 Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot#: 0 Applied: 11/22/2013 Valuation: $3500.00 Construction Type: NEW Entered By: RMA Reference M. Plan Approved: 11/22/2013 PC #: Issued: 11/22/2013 Project Title: SOLA SALON' CHANNEL LETTER Inspect Area: SIGN- ILLUMNATED Applicant: YESCO SIGNS' P_K I NORTH COUNTYLAZA L P - C/O,KlMCO -REALTYCORP 2401FOOThILL DR . (3333 NEW HYDE PARK RD #100 SALT LAKE CITY UT 84109 / C<WIHYDEPARK NY'111042 N 801 464-4600 / /Building Building Permit Fe! / S Plan Check $47.65 AddI Plan Check Fee/,/ . . $0.00 Electrical Fee /RenewalFee,: AddI Renewal Fee / . '"¼. %_,..# $0.00 Other Building Fee Add . TOTAL PERMIT FEES \J"j/j \ Yj 148.72 \ I / Total Fees: $148.72 Total Payments To Date: J $148.72 j-Baiance Due: $0.00 . LI INCORPORATED . 1952 \0 FINAL APO)6AL Inspector: /Af1//•__ Date: Clearance: NOTICE: Please lake NOTICE thdpproval 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/exactions It 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 foltowthat 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 tees/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. - THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EPLANNING EENGINEERING DBUILDING EJFIRE OHEAL14. EHAZMATIAPCDI Plan Check No .9f 7 10 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF . Ph: 760-602-2719 Fax: 760-602-8558 email: CARLS BAD anCk. Deposit . f'T)Jk JOBADDRESSr' .. - SUITE#/SPACE#/UffiT# AP - '- - CT/PROJECTS LOTS PHSSE# #OFUNITS #6EDROOMS # BATHRIDOMS TENANT BUSINESSNAME CONSTR. TYPE OCC. GROUP k DESCRIPTION OF OF WORK: Include Square Feet of Affected Area(s) : ItJTAtL C' i4ci ts.tw4edO CActv1a. ,p 4o— c's EXISTING USE USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES LI# NO YES IjNO YES Nofl APPLICANT NAME (Primary Contact) rr APPLICANT NAME (Secondary Contact) - - - ADDRESS -.--.- •.- -- . -. .. .-. - -- ADDRESS ,,,,..._, .- , ..- ...' .. ,, . .., . . ,-. * OL'' tkQCJ(e4(.4.- _________________ CITY . .. .. - . . STATE ZIP, .,. Ls,(s4 \fcL((f CA ' CITY - - •..- STATE .. ZIP - - PHONE. .., ... ... FAX . PHONE EMAIL . .... . .-.-. C 0 EMAIL . ................ ..--. ,. PROPERTY OWNER NAME L > CONTRACTOR BUS NAME c o çi r - ADDRESS . - . . . . i t() ( So MQL4W.tL )L ADDRESS ..-......... 7..3 , CITY J . STATE •, . ZIP Sr4 (.4 CITY STATE ZIP Q.tL0 A- PHONE .. . - PHONE 1L,o..12t1/L430 FAX . . PHONE .. FAX . EMAIL . .-. .. ,. EMAIL . •., - .- .... , .. . £ LC ' C. ARCH/DESIGNERNAME&ADDRESS . FSTATEC.# STATEUC.# . .. . CLASS - I u.JJ..J Duallina aIIM ruuuaaalu,,a uuc. fl117 SALT UI wurny wlliull Iw.4ulleb a petiiiit to UUI1SLIUUL, alter, Improve, uemoiisn or repair any suucture, prior to its Issearwe, aiso requires uge r applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter , commending with SectlJinj7000 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 perniit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 212O" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dedarations: [1111 have and will maintain a certificate of consent to self-Incurs for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [iiave 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 workers' compensation Insurance caner and policy number are: Insurance Co. L'''i. !t'" PolicyNo.tC- t ' çcj Expiration Date __1- _ This section need not be completed if the permit is for one hundred 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 Un? I, and shall subject an employer to criminal penalties and CMI fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages provided for In Section 3706 e Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE ['NT DATE iowaoo ........... .. , I hereby affirm that lam exempt from Contractor's License Law for the following mason: [] 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 properly 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 We. 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). [j] lam exempt under Section ._'Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement EYes [I]No I I (have I have not) signed an application for a building permit for the proposed work. - I have contracted with the following person (firm) to provide the proposed construction (include name address I phone! contractors' license number): I plan to provide portions of the work, but I have hired the following parson 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 . DATE eeomww 'Ü'CJDO OU®1} (®O &)Ø0o00O0DOO1OCCL O(UOO(Z)@ ?QOOD. 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? tJYes L.No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air auality management district? Dyes 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LjYes LNo 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. 00 (OøLZI COMM 13000C3V? — I hereby affirm that there is construction tending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code). Lender's Nanie F.':T T Lender'sAddress ?(M)C3QI(ZN7 OIS7O?Qi7OØ(Z) I certilythatl have read the application and state thatthe above information is coned and that the information onthe plans is accurate. i agree to comply with all City ordinances and State laws relating tobufldingconstruction. 'I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, 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 50' 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 Podeshait expire by Imitation and become null and void if the budding or work authorized by such permit is not commenced within l8o days from the date of such permit orif the building orworkauthorized by such It is suspended or abandoned at any time alter the work is commenced fora period of 180 days (Section 106.4 .4 Uniform Building Code). If "711 £APPUCANTS SIGNATURE f/h,-.,H DATE fl STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete tle following ONLY if a Certificate of Occupancy will be requested at fiflal inspection. CERTIFICATE OF OCCUPANCY (Com ,. . a l Pr oje cts .J1EJ Fax (760) 602-8560, Email buflding(ä)carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (OffIce Use Only) CONTACT NAME r ----• -----. -..- -..- - --'- --. i OCCUPANT NAME -- ----.9 ........---..,-.- .........- . I......__ ...- - ..-.....-,---.--.----..--- ADDRESS . ----...........................--.--...................-- . .---•---'. ..; BUILDING ADDRESS ...........•. ..-.- .... '•L... :..-------.. CITY ....- - - -- - I . STATE - -................. ZIP CITY STATE ZIP Carlsbad CA -: - - PHONE 1- --.---.---------- --.--- FAX-. ---.-.-. ------.1- '. -. ..t I, .. .. . EMAIL r ---------f. .---.-.----.' -. .. OCCUPANT'S BUS. UC. No. r-- - .------------- -:....... L:. - ... -..........J -..-....-.-----.-..--.--.... DELIVERY OPTIONS PICK UP: 0 CONTACT (Usted above) Fl OCCUPANT (LIsted above) rICONTRACTOR (On Pg. 1) ., . . . ASSOCIATEDCB#t MAIL TO: QCONTACT (Listed above) tA OCCUPANT (Listed above) CONTRACTOR - -. .. ._-• - -- .--.-. fl NO CHANGE IN USE/ NO CONSTRUCTION MAIL / FAX TO OTHER: ------- -• -...-- -. ------. CHANGE OF USE/ NO CONSTRUCTION - LAPPLICANTS SIGNATURE' DATE I - - - - - - - - - --- - - - - --- — - I .9 . . . . V - .. - ''• . ..4 , ,? 4 4 • 'V Iiisiiection List 'Perm' C13132917 Type SIGN SOLA SALOW CHANNEL LETTER' • SIGN ILLUMNATED Date..Inspection _Item Inspector _Act Comments 01/16/2014 38 Signs ., RI I 01/16/2014 38 Signs PY AP 01/16/2014 39 Final Electrical PY AP I A. V4'V 9 I V V V S. V 9 ,. V V. V - V V -. V V .• ,, :. .- .- . V - ' 8 .4 4 . 4 V V;• V V 4 V V V. V' ••V V - 4 . V. ,• . V.•4 - V V•VV V V - V , . •V V VTh.! - - . V - •V' V 4 .9 IV V -. ' I V V4 IV 1 . V ', - V V ' VV 4! - .. 4 V Vs V . .4 - V VV V .' , .4 VV V VV V V IV V .4.• 44 V' . V 4 V . I - V - V. - - - V , -. -V - - V V . C V - 4,4 ' V - I, - 44 - •' V - ' ' •*V I _ _* . V - . V} 4 V VS4V V ' ,• %V . V ' V...'. , V I '' V V• V - . V •._ VV I V V. V V V V• - - V V •• 'V V,V V• V -. - V V V - - V - ' ' V - , - , V - - . . , 9V V V V - - - V V , , - V V V. V V 4V V V '•' V V V - V - - V •4 . , V V. - V 4% V V , - V 44 - V - •• •' V .. V V V . V_ ,V V.4 - V V VV V 'IV. V VV ''V. •'' V ' + V \ .. - V, V . .. V..- 1 I . V .V V,• . VV . 4. V 8 V ' V V V'9 ' V - . 'V''V• - 'I'l V V .V - V• V4 • V , 4 'V V VV - V4 -. I - 8 V 'V ltV 'V V - - , . V V V ''V • - - . V . V , V.a . V V. V VV . V I, , .V,_ V ' 'V . - ' - - . . -. ,. F4V V V V '', •V ' - , V Friday -January 17 2014 . V V ,V - V : ' Page 1of1F. V V ' . V ' V,V 4. -V .c V 'V V 4 .'1_USE.BALLPOINT,PEN ONLY &PRESS.HARD.,. 1 D I hereby AffIrm ,that I am licensed under. ul- tPrPV1e10n5 of Chapter 9. (commencing with I SetIon 7000) of Division 3 of' the..Buslness I - - - and Professions Code, and my license is in Z L tuiI force and effect. - - I hereby affirm lhal Lam exempt from the' Contrac- .- lot's License Law for the following reason (Sec. 7031.5 I -'Business-and Professions Code: Any city or county whicr, re - - rtuires a permrl'lo construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires Ire ap' I - - pliCant for such_permit 10.1 ile a signed statement that he is,_ - licensed pursuant Is the r provisions of the Contractor's - License Law (Chapter 9 commencing with Section 7000 of I -_ ' Division 3 o rho Business and Professions Code) or (hat is ox- - empt In and the basis for he alleged exemption. Auy 7 ç violation of Section 7031.5 by anapphcant for -a permit sob' - lecfs the applicant 10 a civil penalty01 not murk than live hun' '1 dred dollars (S500i'" ' - 'r' - 1.1 1.-as owner of the property, or my employees with wages JVas their sole compensation, 'Will do the work, and the slruc' a lures not intended or offered in, sale (Sec. 7044, Business I and Professions Code: _.The Conlraclur's License Law does - not apply to an owner-Ol properly who b'uilils or-improves , Ihereon and who does such wOrk'himselt Or through his own'. .kmployees, prsvidedlhal such improvements are not iOtend.1II.,.4 ., w. ,_. ed_or offered for sale. lf,,hnwever,,,lhe buildingor improve'._ . Z mont is sold within one year of completion, lIre owner builder will have [he burden of proving that he did not build or im' 0 ' apr000 lot the purpose of sale(. -- "•''' .1 I I, as owner of the properly. am exclusively contracting -' with licensed-contractors to construct the project (Sec. 7044,- - Business and Professions Code: lheConlraclor's License - - ' Law does vOl'apply loan owneiTht property who builds or in- , I -. proves thereon: and who contracts for each projects wilh'a - ' ." contractors) license pursuant to -the Contractor's License Z ,Lawl......... 2' ' •0.L __________________________ I— - -, I I As a homeowner lam improving my home. and the follow - 4- f • ing condilions exist:,-g_ l. The work is being performed prior 10 saId. - '' 2,r have lived in'. my_home tor'efwelve manlhs I - prior to completron of this wOrkb.' -' 181 —3.--'l' have not claimed- this exemption 'during' lIre 0 ' last three years. ( • lot this reasonOT,r £0. I hereby affirm that I have a certific'ate dl cons'knl to ' surance or a'ce,lilied Cofayihereol iSec. 3800. Labor Code) 'CO M NY "rC c It Copy is-filed with -the Cify'-'-'- If , h'sL CF I t Ce,ti -ecl copy - s hereby iurnishad o I kov CERTIFICATE OF EXEMPTION FROM* -,(This section need 001 be completed if the permit ix is for One hundred dollars $1001 or less) - It W ( Di cerriby'lhar in lhd performance 01 the work for which - permit is issued, I shall not employ any.persnnjn any sationLawsol California. - aCNOTlCE-TO APPLICANT: If, after waking this Cerlificalé' - .,ol Exemption. you should becdwe,subjecl 10 the Workers'! I. ... -ECorTP.esar provisions of -lIfe Labor. Code. y,ou. must- I - lorth'wilh comply with such provisions or this permit shall (1 1: ç'f • : 1i4I w hereby- aflrrm that Iherers a construction fending ,'ageirc'y foLihiperfmancef fire wGrk for which this per.- uA 0I0 mil sssuerbiSec3097C ICodel ZI - WI Lender's.Name, - - - I Lender's AddresS' . - - - -.- --. - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD B.UILDINGDEPARTMENTOS... • " APPLICATION PERMIT I 2075 Las Palmas Dr.,Carlsbad 4CA'92009 1915 (6f9).'438-1-161-, . - - JOB ADD R ss - - AV, THOMAS BROS NO, DATE OF APPLICATION ,vo 4 AUhj - PERMIT NUMBER/V<) BUSINESS ICENSE S VALUATION M -- -- OT J LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR CONTRA TORS PHONE a ZON OWNER'S NAME OWNER SPH LA 51_ ' BUILDING S . FOOTAGE - CONTRACTOR'S ADDRESS STATE LICENSE NO, P_ C 5?9_/-ii -a OWNER'S MAILING ADDRESS C o 412L/76Z . - '&2o /LLI/c C)ci,iarnTI'. DESIGNER ' DESIGNER'S PHONE ,4/4)EL Lf'- DESIGNER'S ADDRESS STATE LICENSE NO. i7_/tr ci__v,vaL_f72 002007/2)i 0101 02B1dPmt71030 F/P FLREEv, ' I NO OCCGP EDU 0 ' 09Q0RES 0 -• • • -.-- -- - - .--'- - -••--------,-' '•i___•_••_______'_'_____ --I-, .. , YD NO . -- - - •_•:. , - - ,_,_ - - C'ENSLJSTRACT - PARKING SPACE RES UNITS . GRADING PERMIT ISSUED REDEVELOPMENT AREA - ' - YPE._ CONST 0CC LOAD, FIRE SPR - , - eD N 0___nONO - vDND Not Valid Unless Mac/tine Certified - QT - - - -, -- -. - - PLUMBING PERMIT. ISSUE ro - QTY. . MECHANICAL PERMIT iS - -- C — - SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP • .- - INSTALL FURN. DUCTS UPTO1O0,TU BUILDING PERMIT 001-810-00-00-8220 EkCHBUILDINGSEWER ----- - . --OVER100,000BTU _c>- - - SIGN PERMIT -. - 001.810.00008221 Z. - rEACH WATER HEA'TERANDIOR VENT : . - BOILER/COMPRESSORUP103HP _• _- p _ PLAN CHECK' - 001-810-00-00-8891 , •_•._- . _- -. - ECH GAS SVT'EM-1T ____OUTLETS' -, BOILER/COMPRESSOR3-15HP , TOTAL PLUMBING _001-810-00-00-8222 - EACH GAS SYSTEM S OR MORE - -. ---- --.- 4'- METALFIREPLACE ---' ç'--,--- -'r -ELECTRICA------001.810.00:00,8223 - C - O I am.exémirt under Sec. - - , BA P.C. -- EACH INSTAL.,ALT.ER'REPAiR WATER PIPE -., .,. VENTFANSINGLEDUCT -- - MECHANICAL __001-810-00-00-8224 -- _- .t.a EACHVACUUM.BREAKER _' ,-,'. MECHEXHAUSTH000!DUCTS - - MOBILEHOME -001-810-00-00-8225 -- WATER SOF.TNER .---• _. .,,. .--- SOLAR 001'810-0000-8226 - - - - - - EACHROOFDRAIN(INSIDE) -,I -. - - -RELOCATION OF EA FURNACE/HEATER- - --.'- DRYER VENT '-• STRONG MOTION ..-880-519-92-33 - - - J sell-insure. or a certificate of Workers' Compensalion .InI Ii ----- - - " TOTAL MECHANICAL - -.•. - - - a - - - ' - -- - ••....PUBLIC FIRE SPRINKLERS 001-810-00-00-8227 - - - "tPOLlCYNO. •O _____________________________ 'IDI(_PLUMBI N G _ '_-I_-_• - - . - FACILITIES FEE --320-810-00-00-8740 - CITY. ' ELECTRICAL PERMIT - ISSUE --__'---- _---- - QTY. BRIDGE FEE ' 360-810-00-00-8740 - MOBILE HOME SETUP. . PARK-IN-LIEU (AREA I - NEW_CONST_CA_AMP_SWI _BKR_- - - CAR FORT.' TIF_________, _____31281000008835 - - IPH -' _PH __'• , - AWNING - LACOSTATIF ' - -311-810-00-00-8835 - 0.) . .WdRKERS'COMPENSATION INSURANCE EXIST BLDG EAAMP/SWT'BKR GARAGE --- - ' - FMF'-- I1PH ____3 PH __.- . - - _-.--LICENSE TAX OpJ-81o'po'00;8162, REMODEL"ALIFR- PER CIRCUIT . -•-'. - - - -. • -- MFF - 880-519-92-57 - (0 .manner so as to become subject 10 the Workers' Compen. TEMP POLE" 200 AMPS - = ' - . - ' '- . - _...-) - - a - -- . - , _•, - - ___________--- _- -- . - - __- -- _-'--t •- -OVER 200 AMPS -- - '- .• ,. .' - '•--_- - . -_TEMP O.CCUPANCY.I30 OAYS(_ - - ____:.- _.-,•' _'.0 _' ' - . - ' - - - - - . • 0 -- - be,deerned,revoked.. . , - - - ' -----.- CREDITDEPOSIT- -------•.------ --. -. TOTALELELiRiIAL ,TOTAI1 - _JOTALFEESPAYABLEJ - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued by the Building Official under theprovlslonsoltnrs * AN OSHA PERMIT is REQUIRED FOR EXCAVATIONS OVER Code shall expire bY limitation and become null and void If the building 01 work authorized CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR CONSTRUCTION OF permit f commenced within 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if7 Ihe building or work authorized by Such permit is sUspende d or STRUCTURES OVER 3 STORIES IN HEIGHT - COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- ISSUED: TO abandoned at any time alter the work Is commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ES WHICH MAY IN ANY APPLICANT 's SIGNATURE OWNER 0 01180 days APPRO BY CONTRACTOR - . - - - - - DATE - EXPENS WAY ACCRUE AGAINST SAID CITY1N CONSEQUENCE OF THE/ GRANTING OF THIS PERMIT— ,110 ct BY PHONE 0 -- - - - - I - TYPE BUILDING ! - FOUNDATION . . . REINFORCED STEEL • MASONRY GUNITE FqATE..INSPECTOR OR GROUT SUB FRAME El FLOOR El CEILING... SHEATHING. 0 ROOF OSIjEAR. FRAME EXTERIOR LATH INSULATION. INTERIORLATk& DRYWALL PLUMBING • ,- _________ 15 SEWER AND BL/CO Ei PL/CO - - - UNDERGROUND 0 WASTE UJ 'WATER TOP OUT OWASTE 0 WATER TUB AND SHOWER PAN .. GASTEST ---••-- --- - - . . .Y . ________ D WATER HEATER EJ.-SOLARWJTER ELECTRICAL 1- - - -- - - El. ELECTRIC UNDERGROUND D!UFFER: 1 ROUGH ELECTRIC - El ELECTRIC SERVICE 0 TEMPORARY; —'.. 0 BONDING DPOOL - MECHANICAL .. .. 0 DUCT & PLEM, OREF. P!PING - HEAT —AIRCOND. SYSTEMS.. - .. vENTILATING:sysTEMS : -'!.• CALE FOR FINAL INSPECTION - WHEN ALL APPROPRIATE. . --:-- - --ITEMS ABOVE HAVE-'BEEN'A'PPROVE-D • '. FINAL '- PLUMBING . - - , • _t ELECTRICAL' MECHANICAL BUILDING - - 4Vq I /7O/d i4A/-l_(I"i SPECIALCONDITiONS -.. I_____ / / -• / .ki - ¼ FIELD INSPECTION RECORD - - REOUIRED SPECIAL -INSPECTIONS '.. . . INSPECTION - E INSPECTOR'S SIEr. S CHECKED -..-.. INSPECTORS NOtES- -. . . • j • APPROVAL-- SOILS COMPLIANCE j PRIOR TO- FOUNDATIONINP STRUCTURAL CONCRETE. OVER 2000 PSI __• ....i-....- PRESTRESSED CONCRETE . ..------.----.,.--------- .- -POST--TENSIONED- . -4---.-.. - .- - . - -. -. - - - --V.- . .-- - - --V. . - . -•--V--:- ---V CONCRETE.- FIELD WELDING - 4. - - --------- - . s- - - - - - - . HIGH STRENGTH V.BOLTS--' ._ -.---.t..- -------..-:--- .------ '.SPECIAL MON PILES CAISSONS - - - - - r --V _VjV•V-V •V _-V - t - - - -• - -.-; V • V V _ (. -- . . . tV ._ • . . -, . . . - - - S - 4V. - - - - -. •_ - *VVJ .V V -V . ,;-. . -. ,. Vv. V • V.. - - -- JI - -. - __________ V..,._4 . 'iOt (T t7 0 ç 4:- - - F _.• . . • -V - V.- .-_. . . V.- - __0A) 1T _y - - ,. k-1 I,• V- •. •'5 C-'i.-4 yrrl; tj