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1824 MARRON RD; MULTI-PERMIT FILE; CB042053; Permit
:1 City of Carlsbad . 0504 1635 Faraday Ay Carlsbad, CA 92008 Permit No CB042053 , Building Inspection Request Line (760) 602-2725 Job Address: 1824 MARRON RD CBAD . Permit Type: SIGN . ' . Status: ISSUED Parcel No: - - Lot #: 0 - Applied: 05/26/2004 Valuation: $2,000.00 Construction Type: NEW ' Entered By: RMA Reference #: •, Plan Approved: 05/26/2004 Issued: 05/26/2004 Project Title: TUESDAY MbRNING-2 WALL SIGNS Inspect Area: ILLUMINATED &1 FACE PLATE ON EXIST MONUMENT Applicant: Owner: • - FORD SIGNS 1304 N. MELROSE VISTA CA 92073 '. .-. 760-631-1976 Building Permit 138.13 so ,Add'I Building Permit Fee Ile dQ 'Plan Check C$24~078 Add'I Plan Check Fee 00 RenewalFee p 'Add'I Renewal Fee $0:00 Other. Building ~ee $0.00 Additional Fees tow -00 -TOTAL PERMIT F $62~91 FEES Total' Fees:- 62.9 To\al tVt,Dae I $OL neDu: .. . / $62.91 Ui y ,wu vJ/.ófO4/O0O2 01 02 Cjp 65 2 91 \ </F E PEPMT HAS EXPIRED IN ACCORDANCE WITH U.3.C. :.• SIGN TUW- I - IINiM APPRC\/M - . •; . . ' - * FOR OFFICE USE ONLY PERMIT APPLICATION*PLAN CHECK NO. TY'OF CARLSBAD BUILDING DEPARTMENT EST VAL CI 1635 Faraday Aye, Carlsbad, CA 92008 •' Plan Ck Deposit / () 4 Validated By___________________________ Date 57' :r....n. ....= .,ni . t . . - '1...* , ._ - •- - re (inclu e Bid Suite #) , - - Business Name (at t •s address) . /1ec9-4 fi-i—xri viI1 Legal Description Lot No Subdivision Name/Number Unit No Phase No tel I of units S Assessor's Parcel I - Existing. Use . - -. • Proposed Use . . . i 1767 Address . City . :StateiZIP Telephone I -. \Narne__ Address N1 $y7y4)ycity_(J(cp,State/Zi(,qL42OTelephone ' QRtOB MPA WM . - -Vk / IS c. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, deriolish or repair any structure, prior to is isuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contactor's ,License Law Idtapter 9, 'commending with S'ction 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged axe ion.' Any violation of Section 7031.5 by any applicant for a perrpit subjects the applcant t,o civil penalty of not morthan five hundred dollirs l$5001). • Thv71 L '-1 I) -.. )-71 Name. - Address City State/Zip Telephone I State License I 17'_1 _ License Class L-Jb City Business License I 2 Designer Name t- - . - Address City .: State/Zip TeIephone-, State License# ' . - . . . -, t. * /,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 Lbor Coe, fr the performance of the work for which this permit is issued. LJ21 have and will maintain workers' compensation, as required by Seti' 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 4'\S- _1—fT 44,cS ! Policy No 4/2q J_ Expiration Date (THIS SECTION NEED NOT BE COMPLE - 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 er,ploy any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING:' I" to' secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal pen'altle and civil fines up to,o,'ehuñdred thousand dollars,01DOCL.000). In addition to the coat of compensation, damages as provided for In Section 3706 of the L__r code, 7and attornoya fees. IGNATURE Ile • / I hereby affirm that I am exempt 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 compensation, will do the work and the structure isnot intended or offered for sale - I - - - (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, hocvever, 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, em exclusively contracting with licensed contractors to construct the Oroject (Sea, 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 c'ontracior(s) licensed pursuant to the Contractor's License Law) i 0 - I am exempt under Section • • Business and Prof essións Code for this reason: '- - * - ' - • - - -. - - • .' -5- ''--.- -' • - *. ' -1 - 1. I personally plan to provide the major labor and ,materials for Construction of the proposed property improvement. 0 YES • ONO 2 I (have / have not) signed an application for a building permit for the proposed work - L 3.1-- I have contracted with the follNln9 persor (firm) to pro'vldehe proposed Construction (include name I address / phone number / contractors license'nümber) • • . -. 5- - -. • S '• ' ,-_ 1. 4, I plan to provide portions of the work, but I have hired 'the following person to coordinate, supervise and provide the major work (includ'.name / 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'/ address I hone number / type of work): • • - .• • * - • • ;• • -' - - PROPERTYOWNERSIGNATURE'-"---_'-- DATE * _-..'-••. • ' .' - -' RIG BOW FQB 1 EIDENT1A'L BUIDINqPERMITS-ONLY — 4 Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management end prevention -program under SectIo, 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account ActP 0 YES 0 NO ' • ' ' - ' - S - -- - - • • ,-. S *4 - •• - - 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'nstructed within 1,000 feet of the outer bouidary of a schoolite? 0 YES - 0 NO .- • - - - 5' - - S • • • 4• - ;•- 5- - 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 - nNT - I hereby affirm that there is a constructioi ledin agency for the performance of the work for which this permit is issud (Sec. 3097(i)"Civjl Code); - - • - I - - '- • ., ,- - -. - - * LENDER'S NAME " - • LENDER'S ADDRESS •-- _- -• _-•••&- _- _- _•• ___---r * pLLcNtFJcAIQN 4J - I; -iJsi ,.c thit I h.arie re'ad the application and state that the above information is correct and that the information on the plans is acurate. I aree to comply with all City ordinances and - State laws relating to building construction. I hereby authorize representatives of the Cite' of Carlsbad to enter upon the above mentioned property .forinspection purposes. I.ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS'THE CITY OF CARLSBAD AGAINST ALL UABILITIES.' ' 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 excavation 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 shall expire by limitation andbecomenull and 'void If-the building 'orwork - , 4authorized by such permit Is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is corimenced f a eilod of 1 0 days (Section 106.4,4 L1nlforn Building Code). - • S - - - - - PLICANT S SIGNATURE c:z4t __• ___--' DATE * _ I WHITE: Fil6 - YELLOW: Applicant PINK: Finance - - • ,•- - I , '' , - - -. - iiilrlinn 'flri.artñint Permit Number: CB042053 Issue Date: 5/26/04 FORD SIGNS .. 1304'N MELROSE VISTA CA 92073 S ) S RE BUILDING PERMIT EXPIRATION ADDRESS 1824 MARRON RD ". '. PERMIT TYPE: SIGN PLEASE CALL FOR AN INSPECTION IF WORK IS', . COMPLETE - Our records indicate that your building permit will expire by limitation of time on 11/22/04. The provisions of UBC, Section 1.06.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Every permit issued by the Building Cffci 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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is-commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit B'eforsuc-hwork-can-be recommenced, a new permit. shal.l.-beobtained.to do-.s'o,-.and-thefee,therefore, shall be one-half the amount required for .a new permit for such work, and provided that no changes-have been made or will be made in the original plans and specifications for such work and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall .payanewpermitfee. - Any person holding an unexpired permit may apply for 'an extension of the time within which work may commence under th periodt permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the, permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. . S Project abandoned. Anew permit will be obtained prior to commencing work. - No fee extension requested for 180 days. (attach a lettçr of explanation) . Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. 5 5 Christine Wauschek Office Specialist 1.635 Faraday Avenue • Carlsbad, CA 92008-7314 .(760) 602-2700 • FAX (760) 602-8560 * - 4 I r. -- 4 -#.... -. •VV'c__ ' - .. VV V - , Vj - - . - '-' ' BUILDING PERMIT Permit No: CB920560 06/09/92 f4:56... V V V V Project No: A9201422 Page 1 of I . Development No - Job-Address: 1824 MARRON RD V Suite': V V Permit Type: SIGN . 8005 06/09/92 000101 02 Parcel No: . - V •Lot#: •,C-PRMT. 2500 Va luation: . r-0 •- - V V 4 Construction Type: NEW Occupancy Group B2 Reference# Status ISSUED Description ADDING NAME TO MONUMENT SIGN Applied 06/09/92 STORE SIGNS -2 WALL SIGNS V Apr/Issue.,06/0/92. •V. • . . - V . Validated By: MDP-Jj V Appl/Ownr : PACIFIC SIGNCONST, .. •619 47.4-8566 V • V 2131 HARRISON AVE $ NATIONAL CITY CA 91-&5O CONTRACTOR PACIFIC SIGN C 1 47724 619 474-8566 V 2131 HARRI,VN V JEZ\i ' /7 - V • -. V . NATIONAL ç9ITY GAJ10 V( V • V OWNER ,.:-. HUGHES. V I7VE TMEJ( V ' - 714 •759-9531 Fees Required' ---- Adjustment: /0 re * Total Fees: ( © 01?ni Ext fee Data Buildi ngPermit 1/: JJ1 . 153.0 V " Plan Check V V .. 99.00 * SIGN TOTAL V • - .0 • . - . 252.00 V V • .- -- . •• - • INCORPORATED 1952 4. p AFTROVAL - -. CLEARANCE : V V •- CITY -OF CARLSBAD 4. V • V V - V V V -. - . . V • 2075 Las Palmas Dr., Carlsbad, CA 92009 (619)4381161 V V .-- _____i__ 4 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 : I. srrvii A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 'l Other PLAN CHECK NO. 2- s't 0 IEll. VAL /Cf,O0Cui I 'PLAN CK DEPOSIT_____________ I VALID. BY 11[)P I Q%/cL 2. PROJECT INFORMATION I FOR OFFICE USE ONLY Address Buildin or Suite No. - Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BEWW IF SUBMIITED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope Accpcerin'c DAPrPT /./_ — 7,n-7-7-77— rwcrnrr irc, DESCRIPTION OF WORK (-4L)O )J3 SQ. FT. # OF STORIES J. UJNIAL.1 PERSON (it ditterent from applicant) LI NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME /4>c,/2c :i'7f7 (ç ADDRESS CITY /77'IW C/fJ STATE C/ ZIP CODE 9/96D DAY TELEPHONE 3/7/ C9SIt< rn.Jrr.nI i ._,vv F_It NAME -,Z7i e -4,i --m' ADDRESS CITY STATEC/'9 ZIP CODE DAY TELEPHONE 7-6-7 953 (DNTRACIDR NAM E fc7Cf!"IC S/9/7 619S/ ADDRESS ,7/S / CITY ,177/W 0/7)? STATE ZIP CODE 9/93-0 DAY TELEPHONE Ce C (/ç STATE DC. # LICENSE CLASS C— I (5 CITY BUSINESS LIC. # 7 DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # WORKERS' WMVENSMION Workers' Compensation Declaration: I hereby atlirm that I have a certiticate of consent to sell-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Departmeit (Section 3800, Lab. Q. INSURANCE COMPANY C/C/'O /- POLICY NO. PU/C' 'IPIRATION DATE ////2 Z 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 becope subject to the Workers' Compensation Laws of California. SIGNATURE1O - OWNER-BIJ FA DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct,, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt, therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the, air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF ThE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS'IllICr. ereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(u) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION I certify that I have read the application and state (hat the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE' TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AM 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 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 shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform 9uilding Code). APPLICANTS SIGNAI ,XE DATE: . -0w. -;• 4 - 0 40 • •0 - CITY OF CARLSBAD INSPECTION REQUEST J PERNIT# CB920560 FOR 01/07/93 1 .,INS PECTOR AREA, MP ,DESCRIPTION: ADDING.'NANE TO MONUMENT SIGN . PLANCK#CB920560 cv STORE .SIGNS-.-— 2 WALL SIGNS - 0CC GRP B2. TYPE SIGN CONSTR.-TYPE NEW JOB ADDRESS: 01824 MARRON-RD - STR: FL( 0 STE: APPLICANT: PAC-IFI-C SIGN CQNST. PHONE: -619 4748566 CONTRACTOR PACIFIC SIGN CONST PHONE 619 474-8566 OWNER ' HUGHES INVESTMENT PHONE 714 759-9531 REMARKS MH/STJSAN/474-8566 INSPECTOR SPECIAL INSTRUCT iIIDS1LUS - TOTAL TIME - I •0 4 CD LVL DESCRIPTION ACT COMMENTS 40 38 EL Signs 0_ - -. 0 • - 0 1 0 - 4 -INSPECTION HIS-TORY DATE DESCRIPTION ACT INSP COMMENTS 0 . I - . - • 00 •1 0 I - 4 0 0, - •' 0. • •0 0 4 1 -. - 0 0 - - •o 0 - . - -. .• I •0 00.• 0 ,0 0 0 • 0 •0• - 0 0 0 0:. - 000 . - 4 0 - -. 0 - 0 . - 0 :', - • 0 0 • 0• - 0 1. 0 0 - - 0 •• 10 0 - . - 0 00 0 0 00 o• - 0 - . . 0 0 0 0 • -- 0 -, / 0 - • . •- - - . - -. _ 0 -. 0 0 0 - • • 0 • • 0 -- 000- •• 0 - — 4 •• - - • •. 4 • -- - - - - 0 • -- - - 0 _ • - _l - - 0 - - - -- •0 I 000 0 0 - -. 0 • 0 - - 2 1 0 - • - ;- ,0 - • - -. 0 - : 0 0 0 0 40 00 . 0 - - 0 • • 0 • -• '04 1 0 —. 0 L - 0 USE BALLPOINT PEN ONLY & PRESS:HARD, APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.' - 'g yVEy 2 hreby at? Irm that I am licensed under - UI,rWprovls!one of Chapter 9 (commencing with Section '7OOO) of Division 3 of the Business - and Profeaiions Code, and my license is An LtuIi.torcv.and et.feçt._ 1'' •or - - I trereby Per attirm itrat am exempt from the Centrac-_, - VV I&: 1r5 License Law for the following reason (Sec 7031.0. - V e.Buslness anti Prolessions Code: Any city or,county which re V I quires,a permd.to construct-. alter.V.improve. -demolish.- or • repair any.structure. prior toils issuance also requires tile aPV plicant for Such permit to file a signed statement that he is I liensed'purtiu'ant 10 the 'provisions" of 'thti _eVonlraclors License Law (Chapter 9-commencing with Section .7000 01 Division 301 the Basinetis and Professions Cede) or that is ea- I - empt therefrom and the basis Or tIre alleged exemption. Airy I 1.n violation of Section 70315 by an applicant for permit 555 V, V lects I he applicant to aciail penalty 01 not more dan tine han-, V I ¶1, - - ..- tired dollars ($5001.' U. I. as owner 01 the property. or_my empinyeeswith.wages .1 as their sole compensation. willda the work, and the strucV I o X,"rare is not intendodor offered for salO (See. 7044. Business 'and Professions Code:'The Contractors LicenseS Law does , \oot apply to_an: owner nt property who builds or improves I S --thereon and _who does such work. himselt or through his own employoes,pronided thaI such improvements are not intend- ,;d tea or ollered br-sale, .lt.however. 100 building or improve. I' Z '"menl is sold withIn one year 01 complorion. Iho.Owner:builder will have the burden .01 proving that lie did not build or im- 0 prone br the -purpose of sale(, - 11 IV as owner of the properly, am exclusively contracting' - with licensed contractors to construct the project-(Sec. 7044. I ..tsusrness andVProlossions Cede: She Contractors License 'Law does not apply loan owner 01 property why builds or imV proves thereon. and-who conrrals for each projects with a' V Tcnntractor(s( license pursuant to the. Contractors Cicene' . -- 2 } )taWiw. 13. As a homeowner lam improving my home. and the 10110w'- 4 V ing.condifions eaisl:x'-, ,rr'x lr,.:f-','' , Vt I ,.J. The work'is being perlormed prior to sale. 2/ - I have"liv'ed in my home tnr':VIS'ielne months prior to completion ot this w0r1r0 ' I U n ,..__..3, I have nol*,clairredr.lhis eaempliOe V during, Ihe- V ' - lust three years. V V 0' lam exempt under Stic.'___________________ B & P.0 f, , for 'this reason q ,, V __ , J If " - ' ,J.• 4,- ,J P V V I —0 I h.ereby altirro that I have a certificate 01 consent l0V - selt'ins'ure, or a cerliiicele'nb.Workers Compensation In- V' dv,ar1ce o,'a cerlilied Copy thereOt ISeC- 3800, Labor Codel I :POLlcsHO..t •33 pled 'wilh rho ily , -.- 71 UJI o g'-lcERTIFICATE:oF EXEMPTION'FAOM U ''' WpRKERS' COMPENSATION INSUAVANCE. V U) , IThis section need not be completed it the permit i -., if A is for one hundred dollars (0100) or less) . LIJ lic- y 'tJ certily thur in the.pertormance at 100 work for which 1this permit is issued. I shall not employ any person in any , - V V O - 'manner as to become subject to the Workers' CompenV I V '2 sation Laws of Calibornia, I - 'NOTICE TO APPLICANT: It. abler-making this Certificate I "i t Eoerirpti&n 'you Should became tiubiect to the WorkerS V Ti ' *Ce'mpéri'sthion pro/risions of Ide. LaborCode. you must,', C, ttorthwilh'c'omply'with sucir'pionisiens Or.this permit shall • 'be 'deemed rev0ked." - •V __ — _ _ t&detn. -' -- 27 c- EL lldbi'ebyalti 'm that, there is a construction lending CC I V ;agency for the pertormance of the work for-Which this per-'I V - lal mil lb issued (Sec* 3097. Civil Code) , , I .aJ Lenders Addresb_' ' • - -I— L_ CARLSBAD BUILDING-DEPARTMENT- APPLICATION & PERMIT - 2075 Las Palrtnas Dr., Carlsbad, CA 92009-1915 (619)438-1161 . . . , . .106 ADDRESS ' AV. ST RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS L ENSE A VALUATION - PERMIT NUMBER V. m0 . - , , ZONE -. LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. , ' CONTRACTOR _ .. CONTRACTORS PHONE Z/3 OWNERS NAME - OWNE R'S PHONE 3 172!5-34-L-7 V CONTRACTORS ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS 1-i".A, '0008- 10/28 010: 02B1dPmt 74;5 - DESIGNER DESIGNER'S PHONE kt 41 V w,4 ,-t' r 0 (, b-( < P DESCRIPTION OF WORK - V pjt - • DESIGNER'S ADDRESS - - STATE LICENSE NO. ' - '"' .n.... -- - V •: . ' F/P FLRELEV, , NO . V OCCGP EDU - - - _- - V • - STORIES • . - YDNO - _---- -._ - -_ -• _' - '.... -C" CENSUS TRACT PARKINb SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - - TYPE 0CC LOAD FIRE SPR • - r'°- V - j---.'3-'---AREA* - CÔFST -- -_--- -- ""if. '•" " _'__"V_i .' - - oD' N 0 - . 7yD NO ' . ' ' yD 'ND Not Valid Un/essMachine Certified CITY. PLUMBING PERMIT ISSUE QTY MECHANICAL PERMIT ISSUE . SUMMARY/ACCOUNT NUMBER - -_ - 'e EACH FIXTURE TRAP -- ,, - - • INSTALL F'URNT DUCTS UP TO100000 BTU' - BUILDING PERMIT 001-810-00-00-8220- EACH BUILDING SEWER OVER 10,000 BTU! F - - - -- - ' —SIGN PERMIT- -, -001-810-00-00-8221= V. - EACH WATER HEATER ANOiOR VENT - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 cut? EACH GAS SYSTEM 110 4OUTLETS . - BOILER/COMPRESSOR 315 HP. . -TOTAL PLUMBING - 001-810-00-00'8222 - EACH GAS SYSTEM 5-OR MORE---- - - , , ,,, . . METAL FIREPLACE ' _ _- .. ',,,. _ . - . - . ELECTRICAL ' 001-810-00-00-8223 . -- _•' V EACH INSTAL.. ALTERIREPAIR WATER PIPE' - - VENT FAN SINGLE DUCT • ' ' - •- MECHANICAL - 001-810-00-00-8224 -- "-'. EACH VACUUM BREAKER . ' - -• - .- ME,CH EXHAUST HOOD/DUCTS V• - MOBILEHOME 001-810-00-00-8225 V WATER SOFTNER - - . ' . ,. RELOCATION OF;EAFURNCEJHEATER, SOLAR. ., •. • 00-1-810-00-00-8226-- F - EACH ROOF DRAIN (INSIDE) V . - - '. L DRYER VENT - - V - - - STRONG MOTION. - 88D-519-92-3_ ' - 5 TOTAL-MECHANICAL - - - - ___,,_•_•_____ FIRESPRINLER I;AooI -' - - P01 AL PLUMBING - -' I PUBLIC FAçjj,ITIES FEE... --.-00-87-40 - • • .• -- - -s. ELECTRICAL PERMIT ISSLJE.' _____________ - QT,Y. - . 21",,'. MOBILE,HOMESE,1,',, BRIDGE FEE 368-0Q-0 - PARK.IN.LIEU (AREA JUT1 .. T1 1 -'c 4, ' NEW CONST EA,,MPSWJBKR - - 1 - CAR PORT /,V' . - -- - TIF dMIN _-' IPH - -3 PH,, -. I.,,' , AWNING ' -. V - .LACOSTArIF.W.1 - EXIST BLDG EA AMPISWTjBKR - : '-: '' GARAGE - (" Ci: 10;1 :981' - -, \' r' VFMFv .DEVELOPMENLPROCESSItG ERV5.VV. .1 PH - . .. - 3 P - V - IJ4'. - - '-/ LICENSE TAX 001-81'0-00-00-8162 .RMO'LALTE' PER CIRCUIT' . -;, ,_ V .. ' . V - ./ MIFF - -. 880-519-92-57 T'EMP-POLE-200AMPS -!_iV_-.' ''' - -. -. - 7./ -OVE.R 200-AMPS-4— TEMP OCCUPANCY 130 DAYSI V .•,. VCREDIT DEPOSIT.., ..;Y. , - _V* TITTALELILIRILAL - '- V..TOTAI TOTAL FEES PAYABLE - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Expiration. EverypermrtissuedbylheBurldingOtlicralundertheprovrsronsoitlris * AN ostu P:T IS REQUIRED FOR EXCAVATIONS OVER Code shall expire by limitation and become hull and void lithe building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 180 days from the date of such 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND'AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is STATE GOVERNING BUILDING CON suspended r STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND LAWS abandoned SI any time after 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 APPLICANTS SIGNATURE 7 OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF - 01 180 days - A RO ED BY " " - CONTRACTOB., - . , DATE GRANTING OF THIS PERMIT.. BY PHONE 0 d5 -I - .(;ALL FOR FINAL INSPEGl!ION-WHEN ALL.APPROPRIATE -. . ITFMSARnVFHAVFRFFNAPPRnVFn .O. -FINAL,-., .. . - PLUMBING ELECTRICAL MECHANICAL. GAS ,......... .- '•-¼ - .' _____ _______ BUILDING SPECIAL CONDITIONS S.- TYPE - DATE INSPL.. BUILDING - - - FOUNDATION- REINFORCED STEEL - - - . MASONRY GUNITE OR GROUT SUB FRAMEEFLOOR, 0, CEILING SHEASHEATHING.'LI ROOF;,I4IE SAR.... - .-- :' - -- FRAME. EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL -• PLUMBING 0 SEWER-AND BL/CO [J PL/CO- UNDERGROUND LI WASTE Di WATER TOP OUT :D WASTE LI VATER — - —. TUBANDSHOWERPAN GAS TEST ) DWATERHEATER LI SOLAR VATER' ELECTRICAL LI ELECTRIC UNDERGROUND UFFER :- .. -..- . ROUGH ELECTRIC El ELECTRIC.SERVICE El TEMPORARY S — LI BONDING LI POOL '. . . MECHANICAL LI DUCT& pLEM.; LI REF. PIPING- HEAT- AIR COND.. SYSTEMS VENTILATING SYSTEMS — - •5. :rTr.4Q .. 5• 5.. - - - - -- 5- FIELD INSPECTION-RECORD :--- ---S -. . REQUIRED SPECIAL INSPECTIONS - . - INSPECTOR'S NOTES - INSPECTION' ,REQ. IF INSPECTORS .. - CHECKED kPPROVAL5.?AiE. ... . .. - . _. SOILS COMPLIANCE 5-._'_5 -. ' -5-_ - A .PRIORTO.--.-- FOUNDATION INSP • - - S -. ----- -- S'•• 5__*•_. ,..STRUCTURALCONCRETE.4S.. .-•._... ------:,.-r- .. .. OVER 2000 PSI PRESTRESSED - -----.. J --.- - . CONCRETE POST-TENSIONED CONCRETE FIELD WELDING ;1. - -- - - fr- - - - - - -- HIGH STRENGTH '• .! ', ' :-' - ..1 BOLTS. ..: .. . .._.._. ...SPECIAL MASONRY 1 -PILES CAISSONS -_:- - - - ----•— ':---- .............- S - •- "1; —I - 1. =-• ----- __4 . S . -. - ...- S 4 . . _________ ___ _____ ___ i 5- "' *..-;• -. .., - - . —. -- .. ... - •. - . ._._ -. -- . . .. - - - . '-_-.....- . -.. . _ - ...... - ...'_:..----- .. - .. .e • . .s'f.!. . . .- -. .-- --••...' . S.. • - S - - -- . S - - S _4 .5 5 - .3' - -.• S - S - . .• . -. -. - .' - - - 5-,'. . 5 5. . ,.- . -S -. -: .Z '' . ' -- S• - I'S.\•' 3*Nk V __________ ____ - ..___ S • c- . . .. - 'Zi• ___________ . . S. - -. - ' : "- ' . -. - - I .•#..: 'j '... .- -i -. ,t4- - - 1"', -,V ,*.# - - I - -;- - 2r - . DYlhr.oby.a.fflrm. that I am licensed udr__1,, 1.UIupro,vlalone otChapter.9,(comencing with I Setlon 7000) of DivIsion" 3 of the Business_' - - -r and Professions Code, and my license is in L'full force and effect. U 7, 'hereby -attirm tttal I am exempt from the Contrac- 'ror's, License Law for the following reason (Sec. 7031.S -&Buiness and Professions Code: Any city or county whicr. re ... quires a permit to construct,. alter: improve, demolish, or I prepair any strocture, prior foils issuance also requires the ag plicanl for such permit to tile a signed statement that he is - kcensed pursuant to the provisions .01 ItrO Contractor's - License Law (Chapter 9.comrneocing with Section 7000 o i * Division 301.1h0 Business and Professions Code) or that is eu empt therefrom and the basis for the alleged exemption: Any of Section 7031,5 by an applicant for a permit subt I . jcts the applicant to a civil penalty of not more,thao live hun r •dred dollars ($500).— - l,J,as owner p11110 properly., or my erny)nyeos with wages ILIA - 1 as their sole' compensation, will do the work, and the struc' lure is not intended or oIl ered Iorsale (Sec. 7044, Business I and Professions Code: -The Contractors License Law does not apply to' an owner of properly who builds Or improves. thereon and who does uch work .himsell or through his own V,.• 'employees. provided that such improvements are 001 intend' - W'ed or offered for sale.- tI, however, the building or improve" - Z ' 'me , IIt is sold within 000.yearot completion, fhe.owneFbuitdor I 39 will have the burden 01 proving' that he 'did'rrOt build or im' 0 . - prune for the purpose of sale).. . .. •.. --- I - • I I I. as owner of the property, am exclusively contracting I with licensed 'contractors to construct I Ire project (Sec. 7044, -ts Business and -Professions' Code: The Contractor's License - Law does not-apply to an owner 01 property who builds or im' ' a' proves thereont and wlto,cOntracts for each projeçts'with -contractor( S) license pursuant 101110 Covlractor's License I Z ,_ ' Law).. - II As a homeowner I am improving my home, and the follow' - L mg. conditions. eoist:i.,u _..- -.r,...psx 'o'xi.. , - - L • I. The work is being perlormed prior-b sale'- - - m2."Ihanelived inrnyhornetorrtw'eIve monthshf' prior to completion of lhiswo)k: e W .. . 3, I • havenot claih,ed this; 'exemption durIng-tho..-x.- — last three years. - 0-lam exempt under Sec. — V- " ' -: B & P.C. . or'is,ea0on'..t).,?t -1-'.iT ---h' - 0. I hereby atlirm that I have a Certiticare 01 consent to. sell-insure. or a certificate 01 Workers'. Compensation In.) 'ssrrdvce. r. ac rtilied copy thereof (Sec 3800. Labor Code) U - - ''POCYN/L'Lt .x,.'*kopy is liled.with. the, city •.__•...•_.-•...,, ,__u. - -0 Certitied copy lxi • - '- - •-- — - 0 . I .CERTIFICATE OF EXEMPTION FROM. - U coRKERs--coM PEN sATroNlNsuRANcE - U) .?k.(This section need not be completed lithe permit ' ,o.x V ,is fOr.'Oe hundred dollars StOOl or less) I lxi. -- - - WV'. -. V-' -. '• . D.i certity that in the performance 01100 work for which I Cc "-'-Ibis permit is issued: I shall not employ any person in any I o '-iKannerso asbo becoWe subject to tlre'WorkeTh Compen. Ysatioñ Laws of California., CE T& APPLICANT: if. after-making this Certificate Eoemprionyou shodld become subject to the Workers'Corripensatlbn I-. .proii'sion's,'bI,the Labor Code. you mustl "4 I..lorIhvi.th comply with suchprovisions or this permit shall,14' -bedeethed renokedr V-- - 1'xLL er ' epflj , - - ---'V----.. -. -,.--• --,—*— .. .-- I- , . - --•. i hereby Affirm ,that there is'a construction lending LU aee cyto toe polo manceotthnwo ktO wh ch lbs per oI,j mitisissued (Sect 3097. Civil Cede) ZI ___ • - 0 - '-' - wi Lenders Name Adclrdss"''-"""_- V_V-•V•i• - £1*r5)' , 11cc RAIl PAlT PFId'ONIY & PRFSc I4ARfl - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ::nbARLSBAD.BUIVLDiNG D'EPARTMENT cA'rERMir — •-' a 2075 Las) Palmas Dr. CarIsbadCA 92009-1915 (619)438 1161 - - - - AV. ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS ICENSE U PERMIT NUMBER . VALUATION ....' .ZONE'_ ._. ., . - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE 0 OWNER'S NAME ' OWNERS PHONE 16 - CONTRACTOR'S ADDRESS STATE LICENSE NO. . • . BUILDING SO. FOOTAGE - [77c— /)00 I-iaufl (4-i wi . - OWNER'S MAILING ADDRESS DESIGNER ( ' DESIGNERS PHONE _________________ - V 11v't 7ç3. Cr-CA) 't ti * - 0001. 10/20 0101o2jdp rrit - • * - V 51 • DESCRIPTION OF WORK £iorOv c,9i.'. - . . • - - _... - *4- * • ,--V-V..V.*'.-- EDU - DESIGNERS ADDRESS STATE LICENSE NO. - F/P - FLR ELEV. • NO 'STORIES 0CC GP . - - 0r=0 ' - V-•V- - — - - V V • V • "- CENSUSTRACT- PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPa • -.x,• -. •- -: AREA * -• .' -: CONST ' __ - _m *.'r*SV. - '' 5 ' 0 0 N 0 'r 0 NO vO No. - Not Va/id Unless Machine Certified OTY t. PLUMBING PERMIT ISSUE 7..- OTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER .M EACH FIXTURE TRAP -- INSTALL FURN. DUCTS UP TO 100,000 BTU - - • - BUILDING PERMIT 001-810-00-00-8220 EACH BUILDING SEWER , - Lr.-'-r - - v- - • 0VER100,000 BTU - - - -_ -- -- -- , - - EACH WATER HEATER ANDiOR.VENT ' V - • -, - -• BOILER/COMPRESSOR UP TO 3 HP - : PLAN CHECK 001-810-00-00-8891 _ 9 -EACH GAS SYSTEM-] 104 OUTLETS-: . ' 80ILER/COMPRESSOR 3-15 HP - - - . ' - - -TOTAL PLUMBING 001'810-00-00-8222 EACH GAS SYSTEMS OR M0RE.-w-.-_ - ' :, -' - • - METAL FIREPLACE' • - .- - - -- -V - - -SIGN PERMIT- -----"-- 001'810-00'00-8221 --------- -,--.-ELECTRICAL--.- •.- -"'001-810-00-00-8223 ''--•-------'-- - ---'— --ru- EACH INSTAL, ALT'ER.REPAiR.WATER PIPE' • -, - .' - - VENT FAN SINGLE DUCT - - * - , - , • • MECHANICAL' -Y - - 001-810-00-00-8224 - EACH VACUUM BREAKER • . -• - - -• , - MECH EXHAUST HOOD/DUCTS - '- - _- * MOBILEHOME 001'810-00-00-8225 -• - - WATER SOFTNER - - ' . .. RELOCATION OF EA FURNACE/HE ATER,.. -. -. -n--- .- -SOLAR-- ._----_-- - -. - 001-810-00-00-8226 - . --- --- - - - -- - EACH ROOF DRAIN )1NS10E1' - - • - DRYER VENT . - V • - .V- - STRONG MOTION 880-519-92-33 - ' • TT. - - - - 'F, - - • . -- . • . - -- — TOTA L MECHANICAL- - -. ' -: : - - -- - - - i- . - • ' - , - V TOIAL PLUMBING - --'- I -- - -- '.- - PUBLIC FACILITIES OTY — • .-,_ , . •r -' -- -'r - .4 -- £ ELECTRICAL PERMIT ISSUE - - 'T" QTY - • MOBILE HOME SETUP - - - BRIDGE FEE 36081000008740 - - •**• - - PARK_IN_LIEU_(AREA'V-V-)-_____- NEWCONSTEAAMP__SW1_BKP --_____i- V C I CARPORT ___- __". \TIF ______312_810_00_00_8835 -_ ,1PH ---3PH ___uc.' '_ ,- ic AWNING __'.'/4;'• "Zr''- COSTA 3LACOSTA.TIF 311-810-00-00-8835 - -. •. EXIST BLDG EA AMP/SWT BKR GARAGE- - - 0V-. )pT'-_1'} FIRE SPRINKLERS - - "001-810-00'00-S22--- 'FMF 1'PH,- _"3PH -'•- -r.-''ris__- .-'.IP?•- LLICENSE TAX --001-810-00-00-8162 -'-- REMODEL ALTIR PER CIRCUIT - 4 r 11 TitrSU = fMFF 8805199257 - 'F.E-MPPOLE-200'AMPS ''' __._"- _.-."- -'- ._:•.•----\.._-,C ,Otti_-' _••_ _-__ -....---_-_.-•'-- - -, OVER200AMPS'--. ___._,_rL__ _—-•'.- T. --, _b \J _--- ______________________ ___________ FEMPOCCUPANCY)30 DAYS) --a • .'.- - • . --'---•,•---- -------- - ---•- -xn---,.-'A- ,- CREDIT DEPOSIT, TOTAL ELECTRICAL' __ •V _ •-_-' ___F __-q 01 TAt TOTALFEES PAYABLE _lw_a 73.__ifO I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Exprration.EverypermitlssuedbybheBulldingOfliclalunderlhepronrslonsolthrs , * AN OSHA PERMT IS REQUIRED FOR EXCAVATIONS OVER Code ha CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 11 0authorized by hbYe limitation rmit is l become null and void lIthe building or work commenced virithin 180 days from the date of SUC h 5' 0' DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil, on if the building or work authorized by such permit is suspendedr STRUCTURES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON ISSUED: TO COMPLY•WITH.ALL CITY. COUNTY AND STATE LAWS abandoned _81 any time after the work _is commenced for a period ob180days , STRUCT)ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND X APPROVE B b - / APPLICANT'S SIGNATURE * OWNER 0 CONTRACTORJ4 DATE KEEP.HARMLESS THE.CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND • . jej - - EXPENSES WHICH MAY IN ANY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTH( _.-_BY PHONE D GRANTING OFTHISPERMIT.WAY çi. _ _- - • - . - • I - - I - •V•' - - .... . ..., .-' - . - ,- TYPE DATE INSPECTOR V BUILDING LV - -. - , :-' . ;' ..j "V • FIELD INSPECTION RECORD - FOUNDATION I - REINFORCED STEEL r REQUIRED SPECIAL INSPECTIONS :- '. INSPECTORS NOT-ES-- -• V -. -. MASONRY V ! V V INSPECTION REO. IF* CHECKED INSPECTOR'S DATE r GUNITE OR GROUT SUBFRAME El,FLOORV El CEILING. SOILS COMPLIANCE SHEATHING 0 ROOF El SHEAR PRIOR TO 'FOUNDATION INSP -. - - - V - - - - - V V Ir V FRAME . .. I . . . I EXTERIOR LATH STRUCTURAL CONCRETE L. - - - - - - 1.L - - - - --- - - .- - -V 4t OVER 2000 PSI INSULATION. ':: -. f _ LV_V_V._ CONCRETE PRESTRESSED'- INTERIOR LATH &DRYWALL POSTTENSIONED — - CONCRETE PLUMBING FIELD WELDING El SEWER AND BL/CO Li PLiCQ - HIGH STRENGTH • - BLTS_____ ,- -. ---- ,.-- - - UNDERGROUND OWASTE El:WATER- .SPECIAL MASONRY -..-- - - - - - - TOP OUT El WASTE El WATER - - TUB AND SHOWER PAN GAS TEST PILES CAISSONS El WATER HEATER El SOLAR WPITERV - - . -' - - -V. -' ELECTRICAL - - I L. - - - - V - El ELECTRIC.UNDERGROUND ElIUFFER - -' V V VV -. ROUGH ELECTRIC V V • + - V , -' - V El ELECTRIC SERVICE El TEMPCRARYt El'BONDING,V"OVPOOL -I . rV__. V,'r ,V - V - - -. . - - .. - . - - •V VV V _ - V# - - V . _V_V . -V_V VV . - V. . V_WV V_V. ._ - . . . - V.' - - - flVaV.._ - . - V. - - V V - _____ . _____ - •-VV - V V •VV. V V - MECHANICAL I V • . V _G El DUCT & PLEM, El REF PIPIN V V HEAT----AIRCOND.SYSTEMS VENTILATING SYSTEMS - - -V. - '-V I --V - -•' *Vrs.a f CALL FOR FINAL INSPECflON; WHEN ALL APPAOPRIATE -V - , ITEMS ABOVE HA4E BEENAPPROVED1 --FINAL,- PLUMBING; - . -- ELECTRICAL V. _______ _________ V MECHANICAL V ( . .. 3-. • . .'. -. - V V V - 91, - - r - - GAS : V BUILDINQ- SPECIALCONONS . V - -. :- ;. •. ' . t•- V . - y • • USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -0 I hereby afllrrn,lhati am licensed under. ."o1rprovlelone 01 Cháptêt9(coinmencing with l - .l, S.ctloI7OOO):ofTDivislo6,3. Of. the Business l. 0 1-'IdandProteeelons Code, and my license is in I ,tulijorce and effect. .,.,,.. ... ,1_ hereby, ailirm that I am,,enempt tram,. the Contrac- - - - tots License Law or the following reason ,(Sec. 7031.5 I ...tBusiness and Professions Code: Any city or county which re-quires a 'permrl' to construct.- atterr improve, demOlish ot'. b w,repair any structure, prior to its issuance also requires he ag I - . . pkcant tar such permit tu tile a. signed, statement that he is licensed pursuant to 'thee provisions ot the contractor's License Law (Chapter 9 commencing with Section peso o I Division 301 the Business-and Professions Code) or that is en- empl theretrom and the basis !ot the allegee'evemp!ion. .Any '.. violation of Section 703t .5 yan applicant for 'a permit sub- ects the applicant iSa ciiiit-penitt'y ól not more than tine h'TiA"- I 'dred dollars' iS500i -, •'•7_ LI. as. owner at the property, army employees with-wages ,2'sAas their sole compensation, will-do the work. and the struc' - a 'ture is not intended or altered t6 sale iSec, 7045 Business I ,,and Prolessions'Codê: 1he Contractors License Law does I 3 r., not apply to 'an owner 01 property who builds or, improves - thereon and who does such work himself or through his own" - - - ' •'o employees, provided lhat'such improvements are not intend I It UI 'ed or, otlered lot, hale,It.,h,owener, the building ur,jmprovu-,,. Z ' ' mont is sold within one year at completion. the owner-builder will have the burden ol'proving that-he did not build or im- I 0 -.' prove lot the purpose at sale). - •' _ L I I. as owner at the property: am exclusively contracting T m. with licensed contractors to construct the project (Sec. 7044. I tSBtjsiness and rProtossions Code: The Contractors License Law does not apply to an owner at property who build s Or im-, I f 'proves thereon, and who contracts for each projects Withr a ,... contraclor(s)_ license pursuant to,the Contractor's .License - Z . Lawi,, . - , - -- 2' .4ti;r( ; -.e, n-ii. As a'hnmeowner tam impraning'my home:and the follow,. I conditions'eoist:be 't' The'work is being performed prioLto sale',,,,,,, 2. I have • lived in ''my.. homeator twelve months prior to completin'n'nt this Work ,,.'" w . 43,-.-I have 'not. claimed 'this exemption, during, the O - last three pears, - .'' ,'.Olam'eimpt under Sec" -. 'for th s reason rm,.( tt,W I I hereby affirm that t have a cArtiticate of consent to .1 - j'selt'insmrre. or a certificate 01 Workers' Compensation In. - —'surance. or .a certified copy thereof Sec. 3800, Labor Code) - 'ly C9MANYe. - .'.Copy'is tiled With the City - A" DCIn erritiodcopy is hereby turnished': - 9 ' ;'CERTIFICATE O"EXEtPTlON FROM - I .-m ,WORKERS' COMPENSATION INSUR4NCE r "o (This section need not be completed it the permit - , - . 1(9 to, one hundred dollars 101001 or less) -- UI -19 1 ' I cerrily'that'in th& pertorrnance 01 the Work for which ' ,., this ermit is issued. I shall not employ any person in any I manner so as to become subject to the Workers Compen. saribn Laws ol Calitarnia. - - •, - NOTICE;TO APPLICANT: It. atter'inaking this Certilicate1 at Euemprion. vau should become Subject to the Workers' '- 'Cornpensati0n' provisions at the Labor Code, you most I' ',- - m'lorthwith comply'with such provisions 0r this permit shalt 'he deemed revoked," , , '' '• - - '- • -- - '-'r ''' - '' I' - - 'IV •' . ' ' — .',4 ....... h1 O ,. 5I -t ,"Ce - .jh 0 I hereby altir. m thathe'ie is a construction lending I , . I '_agencfor-the pe'rlà anc tth'ortr torwhiCh this per- I '° al mills issued iSec,13097. Civil Co'dei u' H'Wt'5 T -' L.' ' - • . CARLSBADBU,ILDINGDEPARTMEN-. 1 APPLICATION & PERMIT' 2075 Las Palmas Dr.,CarIbad CA 92009 1915 (619) 438 1161 I ,•••_•,, _________________ __________________ JOB ADDRESS ,' . , r ,AV, ST. RD. THOMABROS NO. ' ' ' " • DATE OF PPjT;0N BUSINE CENSE A /0 1 VALUATI N PERMIT NUMBER (b LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO, CONTRACTOR CONTRACTORS PHONE a °) ZONE - -. - - a • ' - 578- WrS - ..-,----.------ ' -. --- - -- fI - - OWNER'S NAME • OWNER'S PHOI( - BUILDING SO. FOOTAGE CONTRACTOR'S DS: STATE LICENSE NO. - ' eR'S ADDRESS OWN MAILING DESIGNER p •,.o',, DESIGNER'S PHONE - - - -ç 4 ) \() 3%C - . - - . DESCRIPTION OF WORK - '_ r- . 9Stijr&R'S ADDRESS 'STATE LICENSE NO. 1 ' - ' 'a'' • '•' ct • F/P FLRELEV - - a. - , NO OCCGP EDU STORIES'' 0002 07710 Ol0r01dPmt 1095 • '•" - o CENSUS TRACT- 'PAKrNGSPACE RES UNITS GAD'eS 'PERM lT ISSUED - REDEVELOPMENT ' TYPE - - OCCfLO.AD. FIRE SPR - I- '' AREA ' • - CONST YO N 0 oD NO vD ND Not Valid Unless Machine Certified - QTY PLUMBING PERMIT SUE 7 QTY MECHANICAL PERMIT ISSUE I SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , ' ' - 1 INSTALL FURN, DUCTS UP TO 100.000 BTU , BUILDING PERMIT '001'810-00'00'8220 ' BUILDING SEWER - ' •'-"-'r, ' - ' - - OVER1100,000 BTU - " ', " SIGN PERMIT ''"f '' = '.'001:810'00'00'8221' "- -" !0' ,EA'CH WATER HEATER AND/OR VENT " - -, . i' BOILER/COMPRESSOR UP 103 HP " - ' - PLAN CHECK - - 001'810700'00'8891''7— 'EACH"GAS SYTEM'itO4 OUTLET'S' - -I,. , ' 9 BOILER/COMPRESSOR 3-15 HP, - - , - , ',TOTAL PLUMBING 001'810'00'00'8222 ' - ---" EACH GAS SYSTEM 5'013 MORE '' - - .- , -• ,,- • METAL FIREPLACE - ' - - 'r -ELECTRICAL-- ' ' - 001-81000'00-8223' _2, •. - EACH INSTAL,. ALTER, REPAIR WATER PIPE- '., VENT FAN SINGLE DUCT I' ' MECHANICAL - • - 001'810'00'00'8224 .EACH'VACUUM BREAKER_-._, • ' ,,., MECH EXHAUST - HOOODUC,TS - 1 , - , ' -MOBILEHOME - - 001,810:00.00.8225 - WATER SOFTNER . . ' - . - , , .,.:. RELOCATIONOF.EA FURNACE/HEATER 1 ' - --SOLAR-:- • '- - ' -" - - -'-001-810-00-00-8226 - ' - EAH'ROOF DRAIN liNSiOEi - - , DRYER VENT- - • ' • - ' ' • _____________ STRONG MOTION 880-519-92-33 - - - ,' - - • -'•- -: - '-TOTAL MECHANICAL - ' - - ' ' , • '. ,-... - ' • .'_... '. 'FIRE SPRINKLERS' ' 001-810-00-00-8227 'TOIAL PLUMBINU" " . - - ' ,•.,. PUBLIC FACILITIES ,FEE -..'320'810'00-00-8740 - •.a -- - '-- ELECTRICAL PERMIT - ISSUE ---—--- '0 C" Q1Y. , •MOBILE HOME SETUP - 360-810-00-00-8740 OTY. BRIDGE FEE ' PARK-IN-LIEU (AREA - -- N,EWCONSTEAAM'SW,L8KR CARPORT,_.TiF 312-8000-00-8835_. - -- - I PH - , -i,3 P - , , •, AWNING - - ' , - • ' - ' - LA COSTA TIF 311-810-00-00-8835 ExiS1 BLDG EAAMPISWTBKR GARAGE'' - - ' "FMF'.''" • I PH - - 3 PH f' r''v . ,' 1 - a' .. - • - ' - - , ' ' -LICENSE TAX - 001-810-00-00-8162 ' - ' -. REMODEL ALTER PER CIRCUiT MFF 8805199257 - TEMP PO LE' 2O0'AMPS ' _.'--..- -.. ,i._-',,,_,_.,_.,--.;---,---..'--•--_---'.-'----_-a --'----.O-VER'2O0-AMPS'.'---- - ti'a " _,• ,•,r - ' ' C v " I.' . . . • - . ., , , .: • - rEMP.,oCCUPANCv000Avsi..;,:,.."•-, I C '-'-'- I ,"' , . • .0... - CREDIT DEPOSIT--- F TOIALELELIRIIAI FTOTAI TOTAL FEES PAY,ABv5.E - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Eopiration. Every permit issued by the Building official under the provisions Of this * AN OSHA P:1 IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON 0Pita by limitation and become null and void lithe building Or w ork INCLUDING' THE - - DEEP AND DEMOLITION OR CONSTRUCTION OF harmit is t within from the clateof s uc DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil. or if the building or work authorized by such pe menced rmit a user i COMPLY COUNTY AND STATE LAWS GOVERNING BUILDING CON- _time 'ISSUED: TO WiTH'ALL-ClTY, abandoned 81 any afterIhe work is commenced - STRUCTURES OVER 3 STORIES IN HEIGHT - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S • for a period of1BOdays _I APPROVED DATE KEEP HARMLESS THE CITY OFCARILSBAD AGAINST ALL LIABILITIES. JUDGMENTS. WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSECUENCE BY ' ' • . EXPENSES COSTS A 0 OF T BY PHON \ / - - .. . . ...'• - - .. 4 . - .F- . - / .. . • . • -. - '.' . .. . . . - - - - - -• r '- - - '. ) -. .Jw .TYPE DATE. . •• INSPECTOR -' -'. / . . . BUILDING _______ __________ - i /-. -•;'--s- I -. - __ FOUNDATION - FIELD INSPECTION RECORD - - - -' REINFORCED STEEL I .,RQUIRP SPECIAL.INSPECTIONS .. . ________________________________________ -. INSPECTORS NO.TE•S -.- .•. - . - . -. MASONRY . --- - 'JSPECTION -REO IF INSPECTOR'S GUNITE OR GROUT 3 1 -CHECKED DATE.4- _APPROVAL- SUBFRAME D.FLOO.RD CEIJNG... " S . OILS PRIOR TO - - -- - - - -. SHEATHING' El ROOF El-SHEAR J. _. ••- --.--.----. .. _-.----- : FOUNDATQNINSP' FRAME . E"TERbORI - --- --..--.-- " ' .2- STRUCTURAL CONCRETE .-..- -- ---.-.'---- * . OVER 2000 PSI-.. INSULATION - I PRESTRESSED - -----.---.--- -•--- •----- 1 - . I . . POST TENSIONED I- CONCRETE _-_:i_. - - - - ------ -- -- - .l . •----. -..- - .___j INTERIOR LATH & DRYWALL PLUMBING - ..FIELD WELDING - - 4- - - - - - - - - L SEWER AND BL/CO U_PJCO_* HIGH STRENGTH BOLTS -J - - . . . .• - _- UNDERGROUNDElWASTEEJWATER- SPECIAL MASONRY - — - TOP-OUT ___0__WASTE_0WATER * TUB AND SHOWER PAN GASTEST- - ------.--- - ..PILESCAISSON.S 0WATER _HEATER _0 _SOLAR WATERJ.. ..--- _____..__._ :- __ -- ELECTRICAL.. _ * - :... ' r OELECTRICUNDERGROUND_ElUFFER -- . ____--------- - ROUGHELECTRIC 0 _ELECTRIC SERVICE____DTEMPRARY .__ -- _______- - ---- -_- -_-i-1 _______T __ BONDING' ,D .-.-D.POOL___ -'.-' ... ...',.:. __ ,-- 1 MECHANICAL 0 DUCT &_PLEM,-0REF__PIPING_____ ' - - HEAT, -'AIR'COND. SYSTEMS, ______O'TO _O7Q1 ___JJ_TO2Ô VENTILATING SYSTEMS CALL FOR FINAL INSPECIlON WHEN ALL APPROPRIATE ITEMS ABOVE HA/EBEENAPPROVED FINAL __ - __- -- PLUMBING__________________ ELECTRICAL____________- MECHANICAL __ .....,. __/_•_- cj-...... _____ ...___• . _ -.\....-\----.-.•*-' _ BUILDING _-- SPECIAL_CONDITIONS . - ---.-- . -- - - * . - :::-t; -- . - t; •.....- - -. ._ $__.. -, • -.•,,• .- ,. 1?32 . - .. _•, ,.- •1' fl • -" I - ..B UI.L:D I N PER MIT.-. Permit No:'.CB98105.8 04198 09: 14.. -. Project No.:A9801410 Page 1 of 1 Development No Job Address .1824 MARRONRD Suite 112 Permit Tve4 SIGN ' 6032 04/15/98 0001 01 02 Parcel No Lot# 4 C-PRMT t-00 Valuation , 2,000 ) -.Cohstruction Type NEW " Occupancy 4 Group Reference# Status ISSUED . 'Description:SIGN.W/ELECT;-PERFORMANCE BIKE . .Applied: 04/15/98- . ••• .•.• * -- Apr/Isue: 04/15'/.98'. - Entered By RMA .Appl/Ownr SUPERIOR ELECTRIC, 800 995-9099 700W ANAHEIM • LNG BEACH CA 90813 **- Fes ReqLdred *** TFe_21Lectd & Credits - Fees - 73 ( Adjustments .. /O0 't c r€/dit 00 To Total Fees 7 00 ' ta1La m s •.00 nl tFee,description s Ea0vnExt fee Data Building Pbrmit '.44.0 SI.d 73.00 1952 * • : - --• -- r -. - ., ---------- - rNI\L APPRQVAL : DATEL4L GLEARANCE_ - " 2Lf ,1 • - • - ,. . - • .. 4 - 1 4 . . .- - .- -- _4 . . . . t_, -. - •f• * 1 * * _*- '-• t•_,• 4*. •.. - • .- • -- - . * .- ,. *. -. • . - '-S - . CITY .OF CARLSBAD . -' ••.•-- - 2075 Las PalmasDr., Carlsbad, CA 92009 (6-19) 438-1161 '.- - • - • - -- 4 - -- 1 -- -- -• - ,__* - - Z - • '--- - ,- __4- - . - . - _- t - • •. • ( 4 • •'-• - S ft •- - .. - • ) FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ______ CITY OF CARLSBAD BUILDING DEPARTMENT •. - 2075 Las Palmas Dr., Carlsbad CA 92009 Plan Ck. Deposit (760) 438-1161 ., Validated By _ Date_____________ 1 PROJECT INFORMATION Address (include Bldg/Suite #) .. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number. Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Descripion of Work , SQ. FT. - #of Stories - # of Bedrooms # of Bathrooms kLL- 3ç 1t \ - 'ONTACT PERSON it; differitfoii applicant)' "" ) '.- - (.iVIZ.T73 61 Name ,/' Address - . ' City -State/Zip Telephone # Fax # -•-D-..-_-?--.'--r -C --'fl'r ---'---- - E -'''...... r$..'flp-:- - 3 APPLICANT DContractcr gent for contraorO Name Address City . State/Zip Telephone # PR .. Name . Address City i State/Zip Telephone # 5 CONTRACTOR COMPANYNAME1 - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, 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 ($5001). Seoc lc - A 6-3U -' )2ce c -- -L-1 cAi3 2cc' Name Address . ',. " - City ' . I State/Zip Telephone # State License # 151 <V1 License Class (J•4 - City Business License # Designer Name - . Address . - City State/Zip Telephone State License 6 .WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C3 I have and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section3700 of the Labor Code, for the performance' hof th work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, f0r the performance of the work for which this permit.is iss . My worker's compensation 1insurance carrier and policy number are: . ,/. . Insurance Company ' Policy No L.UDA,) '-, , ') Expiration Date d/ ,/, 9 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTI N: 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 fork ' Compe a on Laws of California.,- WARNING: Failure to secure orkers' mpe sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred' thousand dollars ($100,000), additio to th cost of compensation, damages as provided for in Section 3706 of the Laboi code, nterest and attorney's fees. • I SIGNATURE - , - . DATE . ''•'C•' w - I hereby affirm that I am e emp trpm the Contractor's License Law for the following reason: • 0 I, as owner of the property or my employees with wages as their sole conpensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is.' -, sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) 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 Licene 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:.- .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO , 2. I (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) I plan to provide portions of the- work, but-I have hired the following person to coordinate, supervise and provide the majo'r work (include name / address / phone number / contractors license number).. lwill provide some of the work, but I have contracted (hired) the following pers'ons to provide the work indicated (include name / address I phone number / type of work): ! . . • - PROPERTY OWNER SIGNATURE . . . DATE COMPCETE THIS SECTION FOR NON RESIDENTIAZ BU1LDING9'ERMITONLY , ,. . ............. . . . . . V 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 te 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 •j REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. rã''CONSTRUcñIONLi,IDIPiG A'GENCY ' -NNE 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) Civil Code). •' LENDER'S NAME . LENDER'S ADDRESS 9 A g4g it kft6iT NE W IMF 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 c6mplywith all - City ordinances and State laws 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 excavations over 5'.0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by thl Building. Official under the provisions of this Code shall expire by limitation and become null and void if the building or : work authorized by such permit is not menced vpthkn 365 days from the date of such permit or if the building or work authored by such permit is suspended - -, or abandoned at any time after the w is Comme/ced jor a period of 180 days (Section 106.4.4 Uniform Building Code). / I • - ' - ' . - APPLICANT'S SIGNATURE _''- DATE - ___-, WHITE:- File YELLOW: Applicant PINK: Finance - - -.• -' - PERMIT APPLICATION Building Permit Add'I Building Permit Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee AddI RenewaI Fee .., Other Building Fee. Additional Fees TOTAL PERMIT FEE: Total Fees: $146.37 " T 10-24-2003 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 •. . Sign Permit Permit No CB032927 Building Inspection Request Line (760)602-2725 . 1824 MARRON RD CBAD SIGN ., ,.. - Status: ISSUED Lot #: 0 Applied: 10/24/2003 $6,100.00 Construction Jype: NEW .; Entered By: SB Plan Approved: 10/24/2003 Issued: 10/24/2003 NAVY FEDERAL CREDIT UNION Inspect Area: - Appli6nt: --Owner: . . ,,...-Owner: CLEAR SIGN AND DESIGN 235 ENGEL ST ESCONDDO CA 92029 760 737-7414. c75N\ (\ \ -' $76.59 . V1 46.37 -NIJ ri I(,-\y1I--' Dayments.To Date: / $0.00, '-3Baiance Due: /$146.37 1952 ID 7290 10/24/03 0002 01' CGP 0214637 . 'FINAL APPROVAL . I Inspector: -' Date: ______________ . Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reser'iatións, 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 themyou must follow the potest 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 tvith 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 ater 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 fees/exactions of which you have previously been iiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PLAN CHECK NO.'3 EST. VAL. o 0 Plan Ck. Deposit Validated BY - Date ckuL7v\ Ci-t this address) Unit No. Pha units PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 j;•PRpJEcT INFORMATID : T :i - ' tQ,C-3 rn?( I Ad race tinclude ldg/Suite #1 57\ccQLço-c rc M1 coirt Legal Description Lot No Assessor's Parcel # (_seA- c *rn-IW Wilok Description of Work ((\((J,,t( v Rof Stories I of usthrooms S4 N) Subdivision N 2 buI 1'h Lr'8tt'(pc c 'thni('J /O ' 73 ..q tarne ' Address CI1'y State/Zip TelephoneS S CONTRACTOR COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law IChapter 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 permit subjects the applicant toe civil penalty of not more than five hundred dollars 105001). - - .,.' - --. . . - ,. A . .. C' . . A , . .. '.a-- I -., \\ '-i",, State License "-i 'ej,,,, ddress -' City State/Zip Telephone I _______________ License Class —t0 City Business License I Designer Name Address City State/Zip Telephone State License S 18 -r.RKEflS' COMP ENSA1ION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of- the work for which this permit Is 'iss'ed. My worker's compensation insurance carrier and policy number are: Insurance Company A3Y14_y\lt çCJLO'fV\. PolIcy No. Q t) Expiration Expiration Date t)1I/U_4— (THIS SECTION NEED NOT BE COMPLETED IF'THE PERMIT lSrPbR ONE HUNDRED DOLLARS 111011001 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 unlawful, and shall subject an employer to criminal penalties and clvfl fin., up to on@ hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, Interest and attorney. fees. SIGNATURE DATE 7 OWNER BuitbEn DECLAhATION r I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 iSec. 7044, Business and Professions Coda: 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). 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 isis). I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cods: 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 Low). I em exempt under Section Business and Professions Code for this reason: I personally pia'n to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNa 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 corrstruction (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 I contractors license number): S. 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 COMPLTE THIS SECTION FOR l'JON4ESWEN?7AL BUILDIN PERMIT 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 sir 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. 8 CONSTRUCTIO1 LENDING AGENCY I i I hereby affirm that there Is e construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ W.-11 APPLICANT CERTIFICATION 1' r 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 CItV 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 LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 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 if the building or work authorized by such permit Is not commenced within 365 days from the ate of such permit or If the building or work authorized by such permit Is suspended - or abandoned at any time after the wo Is omm nc. for a p I o I do/ (Section 106.4.4 Un arm Building Code). APPLICANT'S SIGNATURE "__: _____________: DATE (o/2-j1O WHITE IF e YELLOW Applicant PINK Finance H City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 11-1-2014 Sign Permit Permit No: CB143216 Building Inspection Request Line (760) 602-2725 • Job Address: 1824 MARRON RD CBAD St: 112 . S • Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 . Lot #: 0 Applied: 11/19/2014 Valuation:: $6,500.00 Construction Type: 5B . Entered By: JMA Reference#: . Plan Approved: . 11/19/2014 PC #: ' Issued: - 11/19/2014 Project Title: NAVE FEDERAL: NEW. SIGN .. Inspect Area: Applicant: . . . . - Owner: . . CLEAR SIGN AND DESIGN P K I NORTH COUNTY PLAZA L P C/O KIMCO REALTY CORP 170NAVAJO ST . 3333 NEW HYDE PARK RD #100 SAN MARCOS CA 92078 . .NEW HYDE PARK NY 11042. 760-736-811.1 . . . . . . .. ... . . Building Permit . . . . . .. $87.73 AddI Building Permit Fee . $0.00 Plan Check •. . . . . S $61.41 ,Add'l Plan Check Fee , . . $0.00 Electrical Fee . •• . . $0.00 Renewal Fee •. • .5 . . $0.00 'AddI Renewal Fee . •; $0.00 • . Other Building Fee . . . $0.00 Additional Fees . . •. . . . $0.00 .TOTAL PERMIT FEES . . . . .. . . ' $149.14 . 0 • Total Fees: $149.14 Total Payments To Date: s149:14• Balance Due: •. $0.00 FINAL APPROV ' Inspector:J-4—ae . Date: _____________ . Clearance: • . NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter ollectively 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. • S , S S • . 0 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 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. ' • ITHE APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:. DPLANNING DENGINEERING DBUILDING DFiRE .DHEALTH . DH2MATIAPCD I Building Permit Application Plan Check No M (Li. 1635 Faraday Ave Carlsbad CA 92008 CITY OF- 'C Est Value SOO Ph: 760-602-2719 Fax: 760-602-8'558 CARLSBAD •.• maiI: buiIdIngcarlthadca.gov Plan Ck. Deposit V Date :J / (I 'I lswppp- I .. - . S www.carisbadca.gov ., JOB ADDRESS V V V V . - V 4'84'Marron Rd , Carlsbad CA SUITE#/SPACE#/UNIT# 112 APN S -• 156 301 160 - 0 CT/PROJECT# :. LOT # PKASE# #OFUN1rS #BEDROOMS #BATHR0OIiS V TENANTBUSINESSNAME V coNSTRV1YPE OcC.GROUP Navy Federal Credit Union DESCRIPTION OFWORK::Include Square Feet of AffectedArea(s) - . S , V V - - V - V :• V ,• - V'V ,. V• -. V• Replace(f) existing illuminated signs reading (LOGO) Navy Federal Credit Union, with (1) new signs reading (LOGO) Navy V V ' V • V SV V Federal V V V V - V V, V V • V V r 4 J EXISTING USE .: ., V V: PROPOSED USE. V •• IGARAGE (SF); PATIOS SF),- DECKS (SF), FIREPLACE V V AIR ONDITIONING: 1. YES El FIRESPRINKLERS V Credit Union Credit Union YES# NOD YESDNOD APPLICANT NAME (Primary Contact) • V - ' . V VV 'V •S •. .. Steve Weddell APPLICANT NAME (Secondary Contact) V •V V, 'V V ADDRESS . . - . V... V - V V V . V - 170 Navajo St ADDRESS , •..-•:..:••- V V V V CITY V V V •V V ' STATE... ' • . V Zip .. . • San Marcos CA 92078 V cirr' . . , . . - . STATE . , V .'ZIP PHONE ' . . -760.736-8111 '-.. FAX . _...760-736-8121. PHONE . FAX EMAIL EMAIL lynnclearsig MOM •.. ___VV _V 7ADDRESS.. PROPERTY OWNER NAME V V V V V V AME -PKI_NorthCountyPlaza,LP Clear Sian&_Desicin_Inc ADDRESS , . . V - V . 1621_BS_MelroseDr 170Navajo_S CITY - . . STATE V ZIP Vista _____________ ______92121 -CA: . . STATE V ZIP- SanMarcos_____________CA _______92078 PHONE V V FAX . - . . - PHONE 60 204 'V _' _- _760-727-1430 ____V 7.607368111__V _V.. _7607368121. EMAIL. . . . . .5. . . . •. ... V _V _ •leverhartkimcorèalty.cóm .. _..* EMAIL --.. .., . .......................... V : __-,- _lynnclearsiáns.com ______-: V .•' ARCH/DESIGNER NAME&ADDRESS STATE LICe . 'V STATE LIC.# , : . -- -. .. . CLASS V S CflY8IJS.UC.# V V ,.745954 .*.' _..C10-__..'.•. 1205287- ., (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the ' V V V - 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 ($500)). V W 16 5!D Workers Compensation Declaration thereby affirm under penalty of peqwy one of the following declarations I have and will maintain a certificate of consent to self unsure 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 workers' compensation, areauired by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy: -number are: Insurance Co. - _. _InsuranceCompanyof theWest Policy No: W5A502660000. . - Expiration Date . _..611115 -Thi secbon.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 . Califomia 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, damalesps provided for in SectloiyVftof the Labor code, Interest and attorney's fees. V V CONTRACTOR SIGNATURE . DATE .i/—/--/i/'. V •: V V V V • I' W V V V. V V I hereby affirm that lam exempt from Contractor's License Law for the following reason . []] I, as owner of the properly or my employeeswith wages as their sole compensation, will do the work and the structure is not intended orofferéd.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 . sale If, however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does- not apply to an owner of. property who builds or. improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). . - - - . . . 'V • - •• [J I am exempt under Section Business and Professions Code for this reason r 1 I personally plan to provide the major labor and malenals for construction of the proposed property improvement DYes INo 2 I (have I have not) signed an application for a building permit for the proposed work 31 have contracted with the following person (firm) to provide the proposed construction (include name address phone! contractors license number) 4. 1 plan to provide. portio . ns of the work, b . ut I h . ave hired the following per~)n to co~rdinat* supervise and provide the major work (in . clude name I address phone conhwtors' licen . s . e.number): 5 I will provide some of the work bull have contracted (hired) the following persons to provide the work indicated (Include name! address phone! type of work) PROPERTY OWNER SIGNATURE DAGENTt DATE V.. - • V.- • - Vj'' - V ' V.. .V. V V •• V,V - V V .VV .••. •.. .- . V ...:-- V • V5 4 . V - V' 'S V - V ' ' .• S , • . .. 'Vx .. . .,. - . V . I .•••' ":. .•.. •,' :, - , •'•. £O['A(U- iII1PEJ fl1CJøU C)a rr - rjjrjrij Is the applicant or future building occupant required to submit a business plan acutely hazardous matena?s registration form or ask management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?.' Yes / No . ,.- ' .' •' - ....,- Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district?..4L.,,,Yes lJNo Is the facility to be constructed within 1,600 feet of the outer boundary of a school site? - Yes j1 No IF. ANY OF THEANSWERS 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 Ihereby affirm that there is a cbnstnjctiàn lending agency for the performance of the work this permit is issued (Sec. 3097 (i) CMI Code). ' : •. . Lender's Name Lender's Address - - ... ceitifythati have read theapptutronandstatethattheabove infonnation is comect and that the m nnation on the plans is accurate. I agrseto comply wrth all City ordinancesand State laws relating tobuitdingconslnithon 1 hereby authorize represnthfrve of the City ofCadsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALL'UABIUTIES, JUDGMENTS, COSTS AND ?PENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. '- ... OSHA.An OSHA permit requited for excavations overt' deep and dermItiior or construction of structures over 3 stories in height' EXPIRATION: Every permit issued by the Building under the provbns of thisCode shall exp byJritation and become nulland nod tithe building or work authorized by such permit is not commenced rkithin l8odaysfrom thedata of such pernntorrf the build' rwo uthonzed by surmdgu oandoned at time after works commenced fora perrod of 180days (Section 10644 Uniform Building Code) APPLICANT S SIGNATURE ,.( DATE fof 25/? .': ,. Fax (760) 6O28566 EmaIl buiIdingcarIsbadca.gov or Mail the completed form to Citybf Carlsbad, BuiIdiri Division Faraday Avenue, Carlsbad, California 92008. •,: CO# (Office Use Only) cONTACTNAME — , OCCUPANT NAME .1 .. - ADDRESS, •' - - - , ... . -.-•.... . BUILDING ADDRESS , ''!'' •' . • . .' ' . .•--.-. CITY:-. --'-------- .-STATE .-- '- 'ZlP CITY - .. ' STATE...' - . ....ZIP : .....' . - . .• - . . Carlsbad • ' . . . CA' PHONEr - ' . FAX . - -' ... ........ EMAIL,-..a-..—' -- -..,-..-- . .00CUPANT'S BUS. LIC. No. ,'"----'. --•.-- •. DELIVERY OPTiONS . - '- . •. . . • . . . . .. • . '..- . PICK UP C3 CONTACT (Usted above) r OCCUPANT (Usted above) CCONTRACTOR (On P. 1) ASSOCIATED C B# ml-" MAIL-TO: CONTACT (Usted above) OCCUPANT. (Usted above) .' .'..'• . . .,- '. . ' . . U' . , ' ' " .' CONTRACTOR(OnPg.1) - . - TNO CHANGE IN USE/ NOCONSTRUCTION MAIL/ FAX TOOTHER- CHANGE OF USE/ NO CONSTRUCTION ' ".' . .'.... .