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Home My WebLink About1830 MARRON RD; MULTI-PERMIT FILE; CB911631; Permit- - - - - ' - - -• - - ,- I •- 16 .-.:-> • B U I L D I N G P E'911. M I T. Permit No: CB911631 12/05/91 11 49 • Project No A9102073 Page 1 of 1 Development No Job Address 1830 MARRON,RD Str **-Fl **** Ste 120 Permit ,Type SIGN - ' 5497 12/05/91 0001 01 02 Parcel No 'p - 4. ' CPRMT 54-00 Valuation:*1,400 /•_y•) / /J/ -. Construction Type: NEW Occupancy Group Class Code Status ISSUED Description:- SILK PLANTS IMPORT. 1 - .-• .• 'Applied: 12/05t1 - •' - -° - -- - . Apr/Issue;. 12/0591. * , Validated By DC Appl/Ownr : SIGN TOPPERS', INC.' - 7-14 458.-1000 • -22552 MUIRLANDSBLVD EL TORO, CA 92630- *** Fees Required & Credits ---------------------- Fees V54'.00 \ Adjustments / t'-OO Tolr3t's \ 00 Total Fees / 500 / T L \ 00 n Ba1an?\ \ 54.00 Fee descriptio / \Fi Ext fee Data 33 Ob INCORPORATED 1952 1 - SP. Jt4' . CLIARA10E CITY, OF CARLSBAD 2075 Las Pairnas Dr Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION. . .. PLAN CHECK NO. . 7/ City ofCarLsbadBuildi Departmt 2075 Las Patinas Dr.,Carlsbad, CA 92009 (619) 438-1161 EST. VAL . PLAN CK DEPOSiT_______________ • VALID. BY______________________ 1. PERIff 1YPE DATE___________________________ 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 . 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home U Electrical 0 Plumbing . . 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ 2 PRQJECfPRMA11ON .• . . - - FOR OFFICE USE ONLY. N~arest Cross Street 7 LEGAL DESCRIFflON' • Lot No. Subdivision Name/Number ' / . nit No. . Phase No. . CHECK BELOW IF SUBMI lIED '02 Energy Calcs 02 Structural Calcs 02 Soils Report . DI Addressed Envelope . ASSSSQR' PARCEL EXISTING USE . PROPOSED USE - ~ DE wrTbN OF WORK - ..JAJrC ZV7& . FT. # OF STORIES ! UO w PNIAUI PERiN kit Uilterent Irom applicant) . NAME ADDRESS . .. CITY •. STATE ZIP CODE. - DAY TELEPHONE . APPUANT UCONTRACIUR U AGENT FOR CONITHAC'IUR U OWNER U AGENT FOR OWNER NAME . . ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPEKIY OWNER - NAM- ADDRESS, CITY ' STATE ZIP CODE DAY TELEPHONE 6. NAME 1!5;0 NTRAO 77 /J . ADDRESS 2? >r2d// 7cJi CITY ZIP CODE DAY TELEPHONE ') i —/'' ' STATE UC. LICENSE CLASS CITY BUSINESS UC. # // . DESIGNER NAME ADDRESS - . . . . . CITY. ' STATE ZIP CODE ' DAY TELEPHONE STATE 11C. # . TY WORKERS' WMPENSA liON - . . . . Workers' Compensation Declaration: I hereby atlirm that I have a certificate 01 consent to sell-insure issued by the Director 01 Industrial Relations, ora certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified ". by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY 7777 /X/12 . . POLICY NO/A/ 9/ EXPIRATION DATE 1 A:)- Certiricare 01 Exemption: I certiFy that in the perlormance ot the work [or which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. . . -. SIGNATURE '.. DATE . . . .• . -. - .' . OWNER-BUILDER DECLARATION . .- Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law [or the following reason: .1, as owner of the property or my employees with wages as their sole comensation, 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 -11 -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, iind 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 require. 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 li~zardous materials registration form or risk management a'nd prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account'Act? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES C3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 'DYES 0 N '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 DISI1lICr. WNSThUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency [or the performance 01 the work [or which this permit is issued (9=97T Civil Code).. - LENDER'S NAME ' LENDER'S ADDRESS APPLICANT CERTIFICATION . . - : - 1 certily that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction.. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL 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 rquired for excavations over 5'O" deep and demolitidn 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 such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by. . - that any time aft such it is suspende a- ne er the work is commenced for a period of 180 days (Section 303(d) Uniform B ildin Code)... tsu AP SIGN DATE: Wi-il :' File - YELLOW: Applicant PINK: Finance H ..•. -•.. . .•.•. ••.• .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS: — '. -•.- --' - i--. - CARLSBAD .BUILDINGLDEPART.MENT '' APPLICATION 47 PERMIT 2075 Las Palmas D'CIsbad, C'A92009859 (619) 438-1161 '\,. , .•, .. • 108 ADORE S\ 'f0, tr'9,y, ki h 'f\ AWST.ROT NEARESTCROSSST. ' h'.- ' DATE OF APPLICATION BUSINESS LICENSE # VA ATION ' PERMIT NUMBER /1o\ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO.CON1RACTOR TR ORS PHONE e. ZONE OWR'SJ4AME ORACTOR'S ADDRESS STATE LICENSE NO. . BUILDING SO. FOOTAGE aP. OWNSMOUNGAOORESS NER DES IG NE RS PHONE DESCRIPTION OF WORK • • . 9.- DESIGNER'S ADDRESS STATE LICENSE NO. - , • ' '"" - ', • FIP FLR ELEV NO DCC GP EDU J STORIES - 0008 07/30 0101 02B1dPmt - 490 YO NE) - • PARKINGrSPACE RES UNITS - ' GRADING PERMIT ISSUED REDEVELOPMENT , - TYPE 0CC LOAD ,FIRE SPR - ' S. - ' " ' • AREA • -' , CONST , • -' . • - O eD :' - - . • - .- - ' YD NO Not ValldUn/sMachineCertif/ed OTY PLUMBING PERMIT ISSUE 7 2 QTY MECHANICAL PER ISSUE 4 J SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP. - -• ,' -. - . INSTALL FURN. DUCTS UPfWO,000A%- - BUILDING PERMIT 001-810-00-00-8220 — - EACH BUILDING SEWER • -' . . - . 0 100,0 1U - - -, - SIGN PERMIT ' ." 001-810-00-00-8221 -. .. g EACH WATER HEATER AND/OR VENT . ., BOILER/COMPRESSO10 3HP - -- -PLAN CHECK 001-810-00-00-8821 - - EACH GAS SYSTEM I T04 OUTLETS - • . " BOiLER/COMPRES0.15 HP j' - TOTAL PLUMB)NG • 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE' • ' ''h ' - . ' -_ METAL FIREPLACEcJ s' ' - $ -• - • '' - - ELECTRICAL ' ' 001810'00'00-'8223 -' - - ,-'B & P.C. EACH INSTAL.. ALTER, REPAIR WATER PIPE - .',,, VENT FAN SINGLE DUCT - • '' ' - - . - MECHAN)CAL ' 001-810-00-00-8224 4,. -' '.• ' -- EACH.VACUUM BREAKER. •' , •• • . . . 'MECH EXHAUST"- HOOD/DUCT 4vt, MOB)LEHOME ' 001-810-00-00'8225. • ' • • - -° WATER SOFTNER • . ' - - ' • . - - RELOCATION OF EA FURNAE R -'' - - - . -'SOLAR -' '-- - 001-810-00-00-8226- EACH ROOF DRAIN (INSIDE) DRYER VENT - -• " .' . - 'STRONG MOTION • 880-519-92-33 : TOTAL MECHANICAL' - - •-- - - - ' , - - ,.. FIRE SPRI'N<LERS • ' 001-810-00-00-8227 • - - " - ' . . ' TOTAL PLUMBING - - I . PUBLIC FACILITIES FEE - 320-810-00-00-8740 • .•--•_ •• • -. QTY. ELECTRICAL PERMIT ISSUE 00 "'" OTY. - " ' - MOBILE HOME SETUP ' - BRIDGE FEE - 360-810-00-008740 PARK-IN-LIEU (AREA - .-'. - NE 1. W CQNST EA AMP/SWT!BKR ' s. ' - • , CAR PORT - , • - - • - - ,r ,T)F ,s ', , 134810-00-00-8835 - • - 3 PH " - , AWNING -. - - ' . LA COSTA TiE 133-810-00-00-8835 - 'EXIST BLDG EA AMP/SWT/BKR • -. • - '' '' ' . ; GARAGE - - ' • - -, • , - . --" FMF ' . - • ' " ' • - . - - - PH - ., 3 PH - ' ' ' ' ' . - . - I -. - LICENSE TAX 001-810-00-00-8162 - - ' -- - — REMOOEL.'ALTER PER CIRCUIT • " '; " : ' -; ' - a ', - MFF 880-519-92-57 -• . • — TEMP POLE ' 200AMPS - -- ' ' '' . - , '- . - - n' - '- '- - - - ,,- - ' - -- - - • - • - - •-- - • -" - ''' - OVER-200 AMPS-11- - .-'.• • - - - - - ' ' - . - . • - - - TEMP OCCUPANCY (30 DAYS).- • , - - - . - ' • . -• • . - .' - - . - - . . • -" - . ..•' ,CREDIT-DEPOSIT—-. TOTAL ELECTRICAL - TOTM TOTAL FEES PAYABLE T. I HAVE CAREFULLY EXAMINED THE COMPLETED "AP'PLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBuiIding Official under the provisions ofthis * AN OSHA p'4T IS REQUIRED FOR EXCAVATIONS OVER Code shall OOff by limitation and become null and void. If fIre building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized bysuch permit is notcommenced within 180 days from 50" DEEP 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 :usner STRUCTU$tS 0 ER 3 STORIES IN HEIGHT GOVERNING BUILDING CON- 'commenced ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS abandoned at any time slier the work is 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, C 113TS AND APIPLIQAi1?>,6IG KIVE OWNER 0 EXPENSES WHICH MAY IN ANY WAYACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 01180 days. =PPROVED B -IT CONTRACTOR BY PHONE GRANTING OF TH IS PERMIT. -- •:' - , •': • . .- - USEBALL POINLP,[N ONLY.& PRESS HARD .1 hereby affirm that I am licensed under , Ulprovialona of ChaT61ter'i9'(è6mr(enclng with I.. ..vSectIon 7000) of,DivIsio'n3 of the Business - .'; and Proteèalons Code, and my license is in L-"fuII force and effect. -• i hereby affirm that i am exempt from the Contrac- tors License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- I. ,quires a permit to construct, alter, improve. demolish, or , , repair any structure, prior to its issuance also requires the op- - .. pticant tor such permit to tile a signed statement that he is. - licensed pursuant to the ,provisions 'of the Contractors t.Iceose law Chapter 9 commencing with Section 7000 of Division 301 the Business and Protessioos Code) or that is'ee- ' I' empt therefrom and the basis for the alleged exemption. boy I' vioiation ut Section 703t .5 by an applicant lot a permit sub' '- jects t)ro apphcant to a clod penalty of not more than hue hun'' I - dreddotiars (SSOD). . - '' - - i_ I - i. as owner of the property, or my employees with wages rb • as their sole compensation, will do-the work, and the struc- a lure is not intended or offered ,for sale (Sec. 7044. Business — and Professions Code: q The Contractor's License Law does I , 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 intend- , (U ed or offered for sate.', it. however, the building or improve-"-) - Z mont is sold within one year of completion.' the.owner-buiider will have the burden of proving that he did net build or im- 0 "prove foi the purpose of sale). o ' i. as owner of the property; am exclusively contracting -- wiih hcensed contractors to construct the project (Sec. 7044. I , Business and Professions Code:..-The Contractor's License - Law does not apply to an,owner or property who builds or - proves.thereon. and who'cnotrocts or each projects with im a (fl, .'contractor(s) license pursuant in the Contractor's License Z ..4Law).-.' .0As k homeowner I am improving my home, and the t0llOw 4 - ing conditions exist: ,.":_ 1'e'.'_ g5,';' I 1. - The work is being performed prior to sate. '- '2. i have hoed in my home for twelve - months .' 0,) - priorto cernptetion of this work.,-' - (U 'v 3.' have' not ciaimed this • exemption during the C - ast t ihree years. - '0 i am exempt under Sec. —",,'B ,for this reason *- - ' , • hereby ailirm that I have a certificate Of consent to 5. sell.insure. or certificate or Workers' Compensation In. - surance. or a certified copy thereof (Sec. 3800: Labor Code) ç POLICY NO COMPANY ••sg' I. - - 0• Copy is tiled with the kity'--:, ( 4 q. 0 •Corrjfleef copy is hereby turnished , 0 • ,. CERTIFICATE OF, EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE (I) • uj, (rvin section need not be completed lithe permit " '. is,tor one hundred dollars iS100i or less) . '0 ficertity that in the performance of the work for which this permit in issued. I shall not employ any person in any 0 manner soon to become subject to the Workers' Cowpox. I nation Laws or Calitornla. NOTICE -TO'APPLICANT: if. after making- this Certificate 1 - of Exemption. you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revokedr'f -..•;' s -.'-: ' '••'.• %•f hereby 'affirm that here Is construction lendi Ej ng I , ,.agency for the performance of the work for which this per. C " rnit '10 issued )Sec. 3097. Civil Code) ) -. , WI', Lender's Name . a 'I Lender's Address__' •ç I TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB .FRAME LI FLOOR LI CEI1JNG SHEATHING DROOF El SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER-AND BL/CO LI 1k/CO UNDERGROUND EJWASTE E4WATER TOP OUT D WASTE LI WATER TUB AND SHOWER PAN GAS TEST -' '. LI WATER HEATER LI SOLAR WATER' ELECTRICAL LI ELECTRIC UNDERGROUND, ED UFFER, ROUGH ELECTRIC S LI ELECTRIC SERVICE LI TEMPORARY - LI BONDING'EJ,POOL MECHANICAL LI DUCT- &PLE., LIREF. PIING ' S HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS . l FINAL. PLUMBING ELECTRICAL MECHANICAL T GAS BUILDING r/z/a liii SPECIAL CONDITIONS /_I (_J CALL FOR FINAL INSPECfION WHEN ,.ALL APPROPRIATE ITEM.S ARt1VF HA VP REEN APPR(DVFD -.5- - •SS I , , I FIELD INSPECTION RECORD 4 5 S - REQUIRED SPECIAL.INSPECTIONS . INSPECTORS NOTES ' REO. IF INSPECTORS DATE - INSPECTION CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP S STRUCTURAL CONCRETE OVER 2000 PSI S PRESTRESSED CONCRETE POST TENSIONED - CONCRETE FIELD WELDING - S S HIGH STREtJGTH--- BOLTS, __ SPECIAL MASONRY S S PILES CAISSONS (1 5 4 -, :-. • 5 - -- - S -5- S •, '.5 5 ..' - ,,.- '- . 5,• - ' __'% S -- S ••," - • ' 0008 Q40 i'b VJV -- S - - .S •• _________ S .- S - - - - - -.,--. S .'• .• - . - . - -•-.-,, S S ___________________ _______ ___________ s ' • '\Z, "- • ,., • S' -' 5 ' S - S - - 555 • - aA jL'.• 7 S , • - S •. ':. - - - .5 . . - S __55 ?_J5,• •, • 4 5• - • - • - -'5 ' SSb. ' - - - - p - 04 . CitypfCarlsbad ' 1635 Faraday,Av, Carlsbad, CA 92008 08-122015 Sign Permit Permit No: 0B152602 - Building Inspection Request Line (760) 602-2725 Job Addreès: 1830 MARRON RD CBAD St: 124 - Permit Type: • SIGN 0 Status: ISSUED Parcel No: 1563011600 Lot #: Applied: 000 08/12/201:5 Valuation: : • $3,700.00 Construction Type: NEW ..Entered By: SLE : 0: Reference #: Plan Approved: 08/12/2015 0 PC #: : Issued: 08/12/2015 Project Title: . SEES CANDY: 0 ILLUMINATED, WALL Inspect Area: 0 ' SIGN , 0 • 0 Applicant: 0 Oiner: SUPERIOR ELECTRICAL ADVERTISING INC - P K I NORTH COUNTY PLAZA L P 0 • C/O KIMCO REALTY CORP -1700 W ANAHEIM ST * 0 , 3333 NEW HYDE PARK RD,#100 0 0 LONG BEACH CA 90813 ., - 0 NEW HYDE PARK NY 11042 714-995-9356 : Building Permit 0 0 • $61.27 0 0• Add'I Building Permit Fee 0 $0.00 Plan Check 0 0o 0 0 $42.89 Add'I Plan Check Fee ,0 0 - • 0 $0.00 •0 Electrical Fee 0 $0.00 0 RenewalFee •. — $0.00 Add'I Renewal Fee 0 0 0 $0.00 0 Other Building Fee 0 0 0 $0.00: O Additional Fees $0.00 0 0 0 TOTAL PERMIT FEES . 0 0 $104.16 Total Fees: -$104.16 Total Payments'ToDate: $104.16 Balance Due: $0.00 psetforth FINAL APPiRO V/AL lnspector: Date:. i9/(. Clearance: NOTICE: Please take N roval of your project includes the imposiIon' of fees, dedications, eservations, or other exactions hereafter collectively refeired to as fees/exact e 90 days from the date this permit was issiked to protest imposition of these fees/exactions. If you protest them, you must follow the protest roced Government Code Section 66020(a), and file the protest and any other required information with the City Manager for 0 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. - 0 • 0 . You are hereby FURTHER NOTIFIED that your right to protOst 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. • - 0 a. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE EJPLANNING DENGINEERING DBJILDING DFIRE DHEALTH DHAZMAT!APCD Ink • Building P iterm Application Plan Check Est Value cIIrty of 1635 Faraday Ave Carlsbad CA 92008 Ph: 760-602-27.19 Fag: 760-602-8558 emaIl bUIldIng@carlsbadca ar s a '... Plan Ck Deposit gov ,.carisbadca.gov ..,. Date _- 1 Iswp JOB ADD' - .. '; RESS SUITE#/SPACE#/UNIT# ' APN - - - CT/PROJECT B - ' - LOT .# ., ,,,- :' PHASE A A OF UNITS A BEDROOMS A BATHROOMS ''C TENANT BUSINESS NAME -:'. •''' 0 . , •''' "C'.' ' CONSTR. TYPE ' , 0CC. GROUP' ' . DESCRIPTION OF WORK: --include-Square-Feet of Affected Area(s) EXISTING USE , ROPOSED USE 5. GARAGE (SF) PATIOS (SF) DECKS (SF),. FIRPLACE.: CONDITIONING FIRE SPRINKLERS YE S# NUE J AIR YES DNO J YES E] APPLICANT NAME, ' ' ,. ." ' C PROPERTY OWNER . . •- ' ' Primary Contact ADDRESS 7) y CITY. -j ', ' •,-. 'h'" STATE '" ' 'ZIP ,,' ' . ' 1700 CITY . ' . ' ' STATE ' '' ZIP PHONE ' ' . 1FAX ' . / '''-' - I I PHONE ' ' ' ,. , ' FAX EMAIL - ' DESIGN'PROFSSIONAL " . ' ' - ' ' - CONTRACTOR BUS.NAME1 5 ADDRESS , ' . . C.-. ' ADDRESS.. CITY , ' STATE '' ',., ZIP ' ', " '' CITY ' '' ' '' STATE ' ' ZIP - .,. I ZIP 73 ia.e4 (14- ?0Q'f3 PHONE ' ': ' . FAX' ".' ' '-, " PHONE / ''CC - - (FAX -) 1-c-i817 EMAIL EMAIL C STATE LIC. A , 'C' , STATELIC.# ,,- C ' •, CLASS , ' CITY, BUS. LIC.# C (Sec. 7031.5 Business and Professions Code: AnyCity or County which requires a permit to construct, alter, iiCnprove, demolish or repair any structure, prior, to its issuane, also requires the applicant (or such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Ch'apter 9, commending with Section 7000 of Division 3 of the Business Professions Code) that he is basis for Any for and or exempt therefrom, and the the alleged exemption. violation ofSection,7031.5 byany applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).. 0,Ihave Workers Compensation Declaration I hereby affirm under penalty ofperjury one of the wi follong declartioni a 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 co pensation as required by Section 3700 of the Labor Code for the perfo of th work for which this oeyt su My workers compensa o insurance camer and policy IttlD number are Insurance Co C4tib&O2.t4._ Policy No1#- 11 ' Expiration Date 5 This section need not be completed if the permit is for one hundred dollars ($100) or less 'i 0 Certificate of Exemption I certify that in the performance of the work for which this permil 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to he costof compensation, damages a rovided for in Section 3706 of the Labor code; interest srrd attorney's fee's. - C • '- - ' ' : . - -[aNTRACTORSIGNArURE'' '. 'C' / ,AGENT ' - DATE I hereby affirm that lam exempt from 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, howeveri 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) FJ 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 DYes ENo 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! contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name ! address! phone ! contractors license number) 5 (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) C 'PROPERTY OWNER SIGNATURE AGENT DATE .5, - I fl(( O)UM C)O iCFt7 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? _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? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ' Yes , No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - - - - - I hereby affirm that there is a construction lending agency for the perfo:mancuof the work this permit is issued (Sec 3097 (i) Civil Code). - Lender's Name Lender's Address • '•': - : + I cer*thatl have mad thiapplication and st#B Mthe above information is oonectand thatthe irrIbirmaton on the plans is accurate. I agree to oornplywiIh all Ci1yordinancesiand Sta~ Lim relating to builidingoonstruction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND E)PENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. 051-1k An 051-IA permit is required for excavations over 5 deep and demolition or construction of structures over 3 stories in height , EXPIRATION: Eve.ry permit issued by the Building Mal under the provisions of this Code shall expire by limitation and become null and void tithe building or work authorized by such permit is not commenced within 180 days from the date of such permit orif the building or work authorized by such peimit is suspended orabandoribd at any time after the work iscommenced for a periodof 180 days (Section 106.4.4 Uniform Building Code) 4 , ' ' DATE' 1'/J'/ç '• •. + -- - - - STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection I • z Fax (*j602-8560, Email buiIdinp)crIsbadCa cov or Mail the completed form to City. of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. - - - (Office Use Only) . [CO#: CONTACT NAME -. .. .-. •.•-' .. . OCCUPANT NAME , - . .. - + . •. BUILDING ADDRESS ADDRESS '-- - . + . • . - CITY - -. STATE ., ZIP - CITY STATE - ZIP - Carlsbad- CA PHONE . -, . FAX EMAIL- - - - •-- - - - - OCCUPANT'S BUS. LtC. No. .- -- -- - -' - - DELIVERY OPTIONS ' . , . .' ' ', . ,'• •. . - .'PICKUP: CONTACT (Listed above)-'OCCUPANT (Listed above) . CONTRACTOR (On P. 1) - ' - - ASSOCIATED CB#_- - • - -. - MAIL TO: ' CONTACT (Listed above) - OCCUPANT (Listed above) - - CONTRACTOR (On P. , - - NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: •- - - - • - : : - - -- -. •-• - -, .•- - - CHANGE OF USE / NO CONSTRUCTION - -. 'APPLICANT'S SIGNATURE DATE . • • - - - - - + 10980 BOATMAN AV 90680 714 761-8200 .. /' •, , .:' $0.00 -' INCORPORATED 1952 so.00\ \•i s000 \"A999 /:. .\. Building Permit / AddI Building Permit Fee Plan Check /. AddI Plan Check Fee /.. Electrical Fee / Renewal Fee Add'l Renewal Fee - Other Building Fee - Additional Fees TOTAL PERMIT FEES . . 1 ••\ Total Fees: $214 . 39 Total P : City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-07-2009 Sign Permit Permit No: CB091674 Building Inspection Request Line(760) 602-2725 Job Address: 1830 MARRON RD.CBAD St: 124 Permit Type: SIGN Status: ISSUED Parcel No: 0000000000 Lot #: 0 Applied: 10/07/2009 Valuation: $10,000.00 Construction Type: NEW Entered By: RMA Referenôe #: Plan Approved: 10/07/2009 PC #: S Issued: 10/07/2009 Project.Title: FIRST CITIZENS BANK- WALL SIGN Inspect Area: ILLUMINATED-CHANNEL LETTERS Applicant: SIGNS & SERVICES CO -, FINAL APPROVAL /(zA ,'— Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/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 follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to-water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any 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. I, Building Permit Application Plan Check No. J? / 7f 1635 Faraday Ave Carlsbad CA 92008 Est Value C IT V OF .. . 760-602-2717/2718/2719 Fax: 760-6028558 V..-.. : Plan Ck. Deposit,,.. CARLSBAD wwwcar)sbadcagov Date 9 JOB ADDRESS - k J 0• . . . 0 . SUITE#/SPEJNI qT - •- APN.......- . . 0 i'3O nar'-vt CT/PROJECT a . . LOT # - . PHASE ,#,. A OF UNITS A BEDROOMS A BATHRO MS ANT BUSiNESSNAME . . . . OONSTR. TYPE Oc GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) . . ......... - . 0 .. (t)4 o1 1Dm1r-c/ C'hflYt bfrrc "S1 (11ZQr?3 pv-" EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES 0 #_ NOD YES Cl,. NOD YES 0 NOD 0 .... 0 0.000 000 •.. 0 '0 CONTACT NAME. (If Different Fom Applicant) 0 APPLICANT NAME. .p. - . 0 .- . :• 0 ADDRESS , ADDRES L.1 CITY STATE ZIP CITY STATE ZIP CA- O(om 7114) : HONE FAX PHONE / F EMAI 0• PROPERTYOWNER NAME NAME . CONTRACTORBUS. K\oeat4-rA . :...,: •. .. . .........JrcCtrH. .1,-.. ADDRESS . . . . 0 0 (J .. . . ADDRESS. .. __________________ CITY STATE ZIP CITY STATE ZIP \/$Ii CA- g&i çfli1)1 01- cTo(08b PHONE PHO I47P ]F EMAIL EMAIL- Y1cIa.O C?s f ARCH/DESIGNER NAME &ADDRESS STATELIC A STATELIC# E..) ICLASSC CITY BUS UC# (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 pursuantto 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)). - .............. - . 0 Workers Compensallon Declaration (hereby affirm under penalty of perjury one of the following dec!ara 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 com,ensatio as req i by Seon 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensahon insu nce #amer and policy numberare InsuranceCo fl(.A.-_ PolicyNo (SCC)(j ) tp'tDO f' ExpiratronDate r( This section need not be completed if the permit is for one hundred dollars ($100) or less 0 Certificate of Exemption I certify that in the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&190,000), in addition to the cost of compensation damages as provided for in Section 370601 the Labor code interest and attorneys If CONTRACTOR SIGNATURE., DATE / I here by affirm that lam exempt from actors License Law for the following reason o 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 Contractors 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 complehon the owner builder will have the burden of proving that he did not build or improve for the purpose of sate) 0 I as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044,11 usiness and Professions Code The Contractor's License Law does not apply to an owner of properly who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License 1.aw) 0 I am exempt under Sechon Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed properly improvement 0 Yes 0 No ' 2 I (have! have not) signed an application fore building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name! address! phone! contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide Ihe work indicated (include name! address! phone type of work) 0 -. - . ,....,r 0 --..: -: '. (,.'. - 'PR0PE0Y OWNER SIGNATURE DATE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-11-005 -Sign Permit Perm 93 it No CB0521 . - T, ,Building InspectionRequestLine(760) 602-2725 I Job Address 1830 MARRON RD CBAD St 124 ( Permit Type SIGN '' '. - ' Status ISSUED S Parcel No - 0000000000 Lot #: 'Applied 08/11/2005 Valuation: . $8,000.00 Construction Type: NEW. Entered By: -RMA . Reference # \ \ Plan Approved 08/11/2005 $' Issued 08/11/2005 Project Title TEMECULA BANK -2 SIGNS ILLUMINA - Inspect Area I r-. 1 AT FRONT & REAR-CHANNEL LETTERS - 1 Applicant - Owner ROUSE SIGN & GRAPHICS '' •:. - :. 333 OLIVE AV VISTA CA 92083 'N\ Build:M6 Permit Add'I Building Permit Fee $6.,00 Plan Check - $54.79 Add'I Plan Check Fee $0.00 Electrical Fee _$210.00 Ren - . . al Fee Jf::( 'Additional Fees- $0.00 TOTAUPERMIT ES 59.08 \\ '%LILL VID Total Fees $159 08 TotaI aym Due / $159 08 4509 08/.U/05 0002 01 02108 - 4 - -.- -I- .- .. I •_ - -.. -, -1 , . ., -I - - 4 I 4 1 , ••. I - -, I -- - -: -. . ,- '- • • • -- •• - • -; - - •4t - - - -. • - r : -:,.. - -. ._I I - • • -. -a I.,. •-•• • • - -- ••$__• Name State License # c 9 9' 7 License Class 2- e.' City State/Zip. City Business License # __ Designer Name Address . City State/Zip Telephone State License # . .. . Wors' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 7I 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 Issued. My worker's compensation Insurance carrier and policy number are: Insurance Company _'-)i'1h . Policy No.0 .02 0 , 2.. Expiration Date S ft 10 C. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1003 OR LESS) o 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 become subject to the Workers',26Jnpensation Laws of California. WARNING: Failure to thousand dollar SIGNATURE coverage Is unlawful, and shall subject an employer to criminal penaties and civil fines up to one hundred compensation, damages as provided for In Section 3708 of the LaborhodeAnterest and attorney's fees. DATE PERMIT APPLICATION 6ITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE OY PLAN CHECK NO.Lf' EST. VAL. Plan Ck. Deposit Validated ' Ic30 M AITROV, R9 4 h4 TtM'tEcutk i_uv 3kt4- 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 5( k - L r77-LA fLZJ i Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms -pp. .0001)RUNQ Name Address . City State/Zip Telephone # Fax # for Qner .. - ROl.15t ~&¼J 5 33 UFST)'c. 7&c) -6 -o70 Name Address City State/Zip Telephone # ! A-rJ flw t+ i VC( (t1,31 13 $IMEL1WSV Ck 7c. 7.7—ioOL / Name . Address . . City State/Zip Telephone # / 4'r t't NZ / (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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). 1-cXSE Is çj 33 . CA . 7. -cro ( 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 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, em 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 ONO I (have / 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 / phone number / contractors license number): I plan to provide portions of the work, but) have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 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 1COMTLTHISETION PRkQ S!O 4LLBUJIPINPERMJJS ONL iW 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 AREVES, 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. WINIALCOJ i1lUTONLE IN AGENPY fr I 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). LENDERS NAME LENDER'S ADDRESS___________________________________________________________ I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate: I agree to comply with 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' jeep and demolition or Construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the buildin fficial,ptdd'r the isio of this Code shall expire by limitation and become null and void if the building or work any time after the work is Uniform Uniform Building Code). DATE authorized by such permit is not co d )li.4'0 d permit or if the building or work authorized by such peit Is ,spended or abandoned at PLICANT'S SIGNATURE WHITE: File . YELLOW: Applicant PINK: Finance . USE BALL POINT.PEN ONLY & PRESS HARD '5 .... ihiriby affirm that lam licensed under' - -. -v rIIP6Vl.II'5 of Chapter 9 (commencing, with. - Section 7000) of Division 3 of the Business ' P-I 'andrProteeeions Code; and my license is in I 4 -full force and effect'-'- - fs.e4,- '' " , -, ,- -. I hereby affirm that I am exempt trnmrlhe Contrac - r-,tor's License Law for the following reason (Sec. ,7031'.S Business and Professinns,Code: Any city or county which re-_ , quires a or to construct, alter, improve, demolish, or - repair any structure, prior to its issuance also requires the ap- p licant tnr snch permit to tile a signed statement that he is, .$ — licensed pursuant to the , provisions• of the Contractor's License Law (Chapter 9 Commencing with Section 7000 ,01, Division 301 the Business anh Professions Cede) or that is eo'v - empt therefrom and the basis Inc the alleged exemption. Any violation of Sodtien 7031.5 by an applicant for a permit sub' ' - jects he applicant to a civil 'penalty of not more than five hun' dred dollars ($500). 11,1, as owner of -the property: or my employees with wages'I '• '.' .,5klas their sole compensation, will do the e3srk, and the struc- ture is not intended or offered lor sale (Sec. 7044. Business .J tr and Professions Code: t,The Contractor's License,Law does i ' not apply to an owner 01 property who builds or impreves thereon and who does such work himself or through his own ' employees, provided that such improvements are not intend- 3 W -. ed or offered for sale, • If, however, the building or improve-sa( Z ment is sold within one year of completion, the owner-,builder will have the burden of proving that he Ldid not build or im' 0 prove for the purpose of sale). - - 0 I, 'as owner of the property_am exclusively contracting. t, with licensed contractors In construct the project (Sec. 7044. - , . Business';and Professions Code: The Contractor's License Law does not apply loan owner 01 property who builds or en'. ,, . proves thereen, and who contracts for each projects with a - a 4Law)., - 1, ' e,v- .S IL p •' tJ Asa'hnmeo'wner lam improving my home. and"t Ire fotlow' - ing conditions exist: - 4r.,.%?•C ' I ' ..,. 1. The work:is being performed prinr to sale. .-- 2. I have lived in my home for twelve months prior to completion of this work, ' - UJ 3. I have not. claimed lhis'eoemptinn 'daring the 0.. , last three years. "for this reason have a certificate of consent to1.,. surS'nce. or 'a'cerlified Co'py thereof (Sec3800. Labo'i Code), I POLICYNO. "--- - I . cQMPANY,c/)CcLt d, - "apyisfiledwith'rfre'cirF'1y4 D. Certified .copy,is hereby furnished: _' - .5 uJp* '-p - - IL : CERTIFICATE OF EXEMPTION PROMO. v U -' -WORKERS' COMPENSATION INSURANCE'-'.)' 'en 4'.'(This section heed not he completed if the permit cc is for ,ori'e.hundred dollars ($100) or less( • ,, -. . . .0 I certify, that Si the performance of the work for which :cc this permit is issued,'I shalt not employ any person in any - sd'tion Laws,of California. ' .4 NOTICE TO APPLICANT: lf.'after"hki'rrg this Certificate".)' of Exemption. you should become subject to the Workers' - Compensation, provisions of the Labor •Code.' you must - forthwith cumply with such Provisions hr'this permit shall' 'I '. be deemed revoked, a * " . '1- • , .v -.i. '_a.a-a .,-I. •0 i• -' '-.._-'-'- "—.........','•-"_'_ 4" - - thereby affIrm that tfrere is a construction lending -. UJ agency for the performance of the work for which this per- 0 I,,, Ant is i5sued'(Sc. 3097, Civil Code) r'Z Lénder'iName ' I __•'_._..• 1* __• •.. . •._ ' S L Lender's Address , " •• I - -.CARLSBAD BUI.LDINGDEPARTMENT PERMIT' & . v \ 2075 Las Palmas Dr.,CarIsbadCM92009 4859 (619) 438 1161 AIPLIUAIIUN - - \ - _ • JOB ADDRESSI 1,, \J (-. -,A,V. ST. MD. ' 'NEAREST CROSS ST. "• - ',3. OATF .)F APPLICATION BUSINESS LICENSE # s. ' VALUATION PERMIT NUMBER' Jg3 ___MAIO _O ____r'i ______so 1,o T r7 _ ________ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE . -'- 7° -4' -ZONE-- - -V.m-v' ' ' d'-v'- I . ii- ", ' ' a' -, '-f-'' OWNER'S NAME . OWNER'S PHONE . • • ' ' BUILDING SO. FOOTAGE CONTRACTOR'S ADDRESS 0/o)/? STATE LICENSE NO. OWNER'S MAILING ADDRESS DESIGNER DESIGNER'S PHONE DESCRIPTION OF wORK /,Jrrcc //.-e-rP_i.Y /A1-' _PA-i-' ____'?-SL - DESIGNER'S ADDRESS - STATE LICENSE NO. - - .. -- 4•a'•' C.'' - .0034 07/02.0101 02B1dPmt.- --,22.5 'F/P FLR ELEV. NO 0CC GP EDU - STORIES ,- - -,0- N(- FIRE SPR - PARKING SPACE RES UNITS , - GRADING PERMIT ISSUED REDEVELOPMENT_ - -' - - TYPE ', 0CC LOAD - .'. ' ' a ' - ' - -. . , . - • - - ' ' vO,N 0.-- AREA - ' - v _-s'DND ' ' CONST . -- _•vDND - •, ' Not Valid Unless Machine Certified - -- -. - -• ' ' ' PLUMBING PERMIT - ISSUE - .••_7_ . - -..' 'QT Y . . - MECHANICAL PERMIT - ISSUE 00 SUMMARY/ACCOUNT NUMBER, - 'Contractor(s) license pursuant to the Contractor's License EACHFIXTURETRAP - _-4 . '' 'INSTALLFURN.OUCTSUPTO1009BTU - BUILDING PERMIT - , 001'810-00'00-8220 - EACH BUILDING SEWER .., . ' - --?-'OVERBTU'- " , SIGN PERMIT , - 001-810-00-00-8221 EACH WATER HEATER AND/OR VENT , __- - ' 8OILER/COMPRESSOR UPTO !LAN CHECK --001-810-00-00-8821 • EACH GAS SYSTEM, ITO4OUTLETS .• BOILER/COMPRESSOR 3-15 I"3 __,' -TOTAL PLUMBING OO1-810'OO'OO'8222 '-- - • E4'CH'4S_SYSTEM_50RMORE -.- .' ' . METALFIREPLACE ___'4 .''.••' ELECTRICAL __'001-810-00-00-8223 -.'.. 0 lam exempt under Sec. .8 & P.C. EACHINSTAL.,CALTER, REPAIRWATER PIPES- .*, ,- VENT FAN SINGLEDU).,4.MECHANICAL' OO1'810'0O'OO8224 -: - EACHVACUUMBREAKER -S _•-'• MECHEXHAUST __0_DUCT - , _• -MOBILEHOME -•OOT-810-O0'OO-8225 - WATER SOFTNER _-- _- ' _' '-- 'RELOCATION OF__ -': -SOLAR_-'-—--OO1-8O-Oo00-8226 - iv ' _EACHROOFDRAIN _(INSIDE)- _-, '1 --: DRYERVENT -'-'0 _" -•"' 'STRONGMOTION -880'519'92'33 nra certificate.ol Workers' Compensatino In- TOTALMECHANICAL ._' ,_-'•-..C)_PUBLIC FIRESPRIN<LERS _001_81000008227 - TOTALPLUMBING . _- '- . FACILITIES FEE- __--320-810-00-00-8740 --•-'---n--- _- TV. J :ELECTRICAL PERMIT - ISSUE ' - - QT'Y - :__MOBILEHOMESE __• ' • • BRIDGE FEE -.360-810-00-00-8740 0' - PARK-IN-LIEU(AREA -- NEW.CONSTEAAMPISWT!BKR.._-.— _-, - _ CARPORT . __---- ••---.- -TIF.• _- _- _134-810-00-00-8835 .- PH _--.,•,3PH _''.' -'.- AWNING _-, _• _-' . LA COSTA T(F ' - - 133-810-00-00-8835 - EXIST BLDG EA AMP/SWT/BKR ,.. '• GARAGE - - 5— FMF - -, 'l PH - - 3 P' '' .;v'- ,' -LICENSE TAX 00i-81O00O-8162 ••. - REMODEL,'ALTER PER CIRCUIT - - -,-,-'' ' -- _•i - • MFF _•880'5199257 - • - 0 manner sons to become subject to the Workers' Compen. TEMPPOLE200AMPS _;;,'_'• '.'' i- __--'",,' ' ' '_ •'','_"'' ___________ 'OVER2O0AMPS _'•--- . - -' r -•, _-- , I -_-'-'_- -_-_._' _"I .' .-•.-• rEMP OCCUPANCY I300AYS( * C _;, __- _u, ,,,-', .,-,:,- ___,'-u '- , .'-r { —.'CREDIT ' _ -_-C ,.----. DEPOSIT TOTAL ELECTRICAL / - tj-l-v TOTAL TOTAL FEESPAYABLE 00 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions otthis * AN OSHA P&ti IS REQUIRED FOR EXCAVATKNS OVER Code 9j expire by limitation and become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorize b such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or i7 tyre building or work authorized by such permit ISSUED: TO COMPLY WITH ALL abandoneda? any time after the work is commenced for a period s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- 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 EXPENSES WHICH MAY IN ANY , PP ANT S SIGNflURE OWNER 0 GRANTING OF THIS PERMIT. WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH 01180 days . APPROVED BY ' - CONTRACTOR I_I - - DATE - -v, -• BY PHONE 0 ' •'' ' :' ,-' - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS '5 v " -- - •i; •- -- -- - . •,5 .,v,, • - — '-, S 'c' - 4 p •-'- - •- - ' 5- • - • - .- - - 'I •-•--- -" - TYPE -. - DATE 'INSPECTOR BUILDING FOUNDATION REINFORCED STEEL' '-. .- -• MASONRY - GUNITEOR GROUT SUB' FRAME EFFLOOR EING U C SHEATHING' . U ROOF. U SHEAR FRAME EXTERIOR-LATH I INSULATION-c- INTERIOR LATH & DRYWALL PLUMBING 'U SEWER ANDBL/CO E L/CO -- -' • UNDERGROUND'U WASTE .E4WATER - TOP OUT- ,. DWASTE, .EJWATER'. - TUB AND SHOWER PAN, . H - GAS TEST - . . '. UWATERHEATER E]SOLARWATER -ELECTRICAL. El ELECTRIC UNDERGROUND UFFER 4 ROUGH ELECTRIC U ELECTRIC SERVICE A., TEMPRARY DBONbING U POOL MECHANICAL DUCT & PLEM., 'J REF; 'FIRING HEAT'- AIRcOND: SYSTEMS - , VENTILATING SYSTEMS i CALL'EORFINALINSPECtIONWHEN ALL APPROPRIATE -'I-TEMS ABOVE HAJEBE-ENAPPROVED . FINAL-. . .- •, I -, - - - PLUMBING ELECTRICAL MECHANICAL.-,. GAS \c/ cv- BUILDING '- 1 //)qj/ 7j,4/, SPECIAL CONDITIONS: 9. - - ,-_, ' . I * •''' S"4, .- V-7 -S~- ,FIELD'INSPECTION RECORD .REQUIRED-SPECIAL INSPECTIONS ' .-• - . INSPECTORS NOTES - - •••-T' REQ. IF INSPECTOR'S - :-- C 0N- I S CHECKED APPROVAL DATE SOILS COMPLIANCE - - -. PRIOR TO -- . - ,FOUNDATION INSP - .. . - 1 • . . *. - 4 STRUCTURAL CONCRETE . • • .. - - - OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE -FIELD WLDING HIGH STRENGCEr:---- BOLTS SPECIAL MASONRY - - - __________________ ___________________________ _;_ - c. - -. - •2_ PILES CAISSONS - -s - _-- .. - -1 . . . S •_ * - -•,-,. ;-- 4 - \( .- -- - . . - . . . r - . .-. • . 14 - - - -.-- O. UJ S ' * . — -- - - - . - - - - ,: . - : • •-. .. .•_ . - - _________________ • ¼ ---- -. _- -, - - tM/C'>r