The URL can be used to link to this page

Home My WebLink About1844 MARRON RD; MULTI-PERMIT FILE; CBC2017-0018; Permit• - - , , City of Carlsbad . 1635 Farday Av Carlsbad, CA 92008 Print Date: 02/02/2017 ' - Commercial Permit - Permit No: CBC2017-0018 - www.carlsbadca.gov - - Job Address: - 1844 Marron Rd, 170 Permit Type: BLDG-Commercial Work Class: ' Sign - Status: Closed - Finaled Parcel No: 1563011600 Lot #: - Applied: d1/10/2017 Valuation: $1,150.00 Reference U: - DEV2017-0008 Issued: 01/10/2017 Occupancy GroJp: - Construction Type: - Finaled: U Dwelling Units: - Bathrooms: k Inspector Bedrooms: . - Orig. Plan Check #: - Plan Check U: . . Project Title: MATTRESS FIRM Description MATTRESS FIRM INSTALL ILLUMIN SIGNS//FRONT SIGN 38.36 SF & BACK SIGN 30.30 SF .-, . . - - -. £ e. Applicant: . - Owner: AKC SERVICES INC PKI NORTH COUNTY PLAZA LP 18650 Collier Ave, Suite B 1621S Melrose Dr Kimco Realty Corp, B LAKE ELSINORE, CA 92530-2706 VISTA, CA 92081 - - BUILDING PERMIT FEE VALUATION 500-2k , $57.49 BUILDING PLAN CHECK FEE (BLDG) - . •. - $40.24 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL . %- $12.00 5B1473 BUILDING STANDARDS FEE - - - - . - $1.00 STRONG MOTION-COMMERCIAL - - $0.50 'Total Fees: $111.23 Total Payments To Date: $111.23 - Balance Due: $0.60 - Please tak NOTICE that approval of your project inclUdes the "Imposition" of fees, ddications, reservations, or other exactions hereafter • - collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these ' • fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with-Carlsbad Municipal Code Section - - . 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection . fees and 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 limitation has previously otherwise expired. - - -- • - .• S . . ', ', •- - - , , •-. S •t .1 . • • • . • t - - -. - '- -. . • ' ' '-• • . I-HE FOLLOWING API'ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING ' DENGINEERING DBUILDING DFIRE [--]HEALTH DHAZMAT/A] Building Permit Application- Plan Check No. X_201-'7_ yDI c Est. Value City of. 1635 Faraday Ave., Carlsbad, CA 92008 -Ph: 760-602-2719 Fax: 760-602-8558 I - Carlsbad. email: building@carlsbadca.gov - Plan Ck. Deposit, - Date i itO i i 7 Iswppp I www.carisbadca.gov JOB ADDRESS . - - . SUITE#/SPACE#,'UNIT# APN i- 1844 Marron Rd ' , - , . ' '. - CT/PROJECT# LOT# ., , , PHASE# #OFUNITS #BEDROOMS #BATHROOMS , TENANT BUSINESS NAME . .. CONSTR.TYPE OCC.GROUP Mattress Firm DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) , . .• ' . Install two sets of Illuminated channel letters and logo one at 29 h x 190 1/2"w, one at 25 3/4"h x 169,1/2"w 3OO 33(o I, i 50'- '• . __________________________ - EXISTING USE - ', ' PROPOSED USE GARAGE (SF) ' PATIOS (SF) DECKS (SF) FIREPLACE - AIR CONDITIONING FIRE SPRINKLERS - . YESD. NOIJ YES IJNO J YES[:]N0IJ APPLICANT NAME- . - ' - - ......- AKC Services Inc PROPERTY OWNER NAME - PK I North County Plaza LP. - -. ADDRESS. - • - ADDRESS . . . ,• . - 1621 B South Melrose Dr 18650 Collier Ave Suite B CITY - - - • • STATE - " ZIP CITY ' - - . STATE ZIP Lake Elsinore CA 92530 Vista ' CA 92081 PHONE ' S - - 951-471-8419 ' FAX '- PHONE • 760-727-1002 FAX - , 760-727-1430 EMAIL - .., . - - - EMAIL info@akcservices•net DESIGN PROFESSIONAL - . . CONTRACTOR BUS. NAME ' - 1 ' , .•• '-'' .• ' Ainor Signs . - - - •' ADDRESS -'- - . . " .. ADDRESS ' - 5443 Stationers Way '' •' - . •-. - CITY •.; . • • " STATE ' ". - -. ZIP CITY STATE- - ZIP - - . -,' . ' '-. Sacramento CA r 95842 PHONE" • • FAX •'- . , - PHONE • FAX . -- - -. 916-348-437 * - EMAIL 1 - ,'• . EMAIL - . . ,, . - . . 'I' ., - -- •. STATE LIC. # STATE LIC.# , CLASS CITY B S. LIC.4 fl -- • 913842 ' -- C45 - - L. (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 an Is() 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, commendingwlth 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)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: EI 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 issued. My workers' compensation insurance carrier and policy rumbe rare: lnsuranceCo.Benchmark Ins Co PolicyNo. CST5000GOO . Expiration _09/01/2017 is section need not be completed if the permit is for one hundred dollars ($100) or less. . .•, - Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is 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 compensa' as provided for in Section 3706 of the Labor code, Interest and attorney's fees. CONTRACTOR . 'AGENT DATE øQOQOWOQ O Q®(ZJ I hereby affirm that lam exempt from Contractor's License Law for the following reason: [J 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 r offered for sale (Sec. 7044, Business and Professions Code: The Contractor's $ - License Law does not apply loan 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). [J I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does ot apply loan owner of ,. properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] 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. EYes 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 / 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! contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work): .. ..: ENT DATE .: ~,- PROPERTY OWNER SIGNATURE "\.(_- -. - - r ' - , , •- - a -- -, . a - •- wao ooøw oøb oø o- awoaouwa otiac000 i'000uio 0MV 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? EYes L.No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or uality management district? [DYes DNo :. ls the facility tobe constructed within 1000 feet of the outer boundary ofa school site? aira Yes LNo . . •. • ., IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . -. (3Ø(Z1OOWGO®C OOOOO @UO I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). . -. Lender's Name . - - Lender's Address 1DGC COOOG0Q®C) - I certify that i have read the application and statethatthe above information Is correctand thatthe information on the plans is accurate I agree to complywith all Cityrordinanoes and State laws relating th buitdlngcenslniction - I hery authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.) ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE crrY-OF 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 M OSHA permit is required for excavations over 50 deep and demolition or construction of structures over 3 stories in height. . • EXPIRATION: Every pernidissued by Oflisialunderthe provisbnsof this Codesttallexpire by lirnitationand bocomenull and vctd if thebufidingorworic authorized bysude permit Is notcommencedwithin' 180 days from the dateofsüth he budding o edorabandoned at any time afterthe work is commencod bra period of 1 days (Section 106.4.4 Uniform Budding Code). SlGNATURE i DATE 17- (E - Q'STOP-. - STOP THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. . . . Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection j. rPie' .i . Fax (760) 602-8560 Email bulldlng(ä)carlsbadca QOV or Mail the completed form to City of Carlsbad Building Division 1635 Faraday Avenue Carlsbad California 92008 - -. ,' _-4_. . - .•. • c CO# (Office Use Only) - 4, - - -. - . - -. - -- - •. ..-• - . CONTACT NAME . - •. - - -. - - . •- -. • - - . . - - .. - OCCUPANT NAME .-•.--, - ....4 -. I_I • - •\ •( -' , 1 1* 7 ADDRESS- .._ ?............ . -- BUILDINGADDRESS -- --' —-' 4:-• -' --- --.- - k• -. . - I, - - - . 4 4 a-I -. -- ' -4 ,,•.'q CITY -, .- . .ItSTATE. • . —: ZIP CITY - ., - - . STATE - . •• . -ZIP - Carlsbad 1 CA PHONE- - . -. - - '• FAX . . - . .. - - - .. •-- I-5V•- - - - -• .- . ' ' - - •. 4,- . .-. I ti- -1' - - - - - . •a. - - -. - . I . * .4 . ¶ - -. - EMAIL ' ., •.. .•,. OCCUPANT'SBUS.LIC.No. -, n- -.. •-r tfi 1 ,fr - •.. DELIVERY OPTiONS - . - • ., 44 - - - •I -. - - - . . * • •. '- . 'PICK UP CONTACT (Listed above) a OCCUPANT (Listed above) CONTRACTOR (On pg 1) .4 - -• , I - - - • - - - • - 1 . - - - - . 4 4' - - .3 - - -- - - - ,.MAILTO CONTACT (Llstedabove) r OCCUPANT (Listed above) ASSOCIATED CB# -' -' - --- .. f CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NOCONSTRUCTION r t MAIL /FAX TO OTHER: .$. u- 4 CHANGE OF USE/ NO CONSTRUCTION - _- ________-___-•______-. 4 APPLIT SSIGNATUR._ _ DATE DATE n \ ? r - -• 4_a t I - • .' -. - I. , - 4--- . , '- -. -, _; -4 - -- -- -- - 4_I' -. - ... 4 - --4 .- I .._ 4•4 - V - -- - ._ - r - . -• - - ;r_... - - ' ' - - ------ -- - * - - - • ' - -. - - I- - -v ., j, • - ' . P -, '.4 4' -4. a ,- - vo - e - -. 4-- * -. - - - • 4. - • ' .' -•- - - - - I ' .- -. - - --4-- ' - -- 1 -- .- 4. -- .54 5 - - P - -- .-. - 4 - - . -, - - - ,- .1-. - - -- - 4. -. . - • __ -'._'"• --. -.- - - - -- , - • -- --------------------- - ' Permit Type: BLDG-CornrTercial Application Date:, 01/10/2017 Owner: ,PKI NORTH COUNTY PLAZA LP .4 • t, '•', '. . - '- I p - Work Class:' Sign Issue Date: - * , 01/10/2017 Subdivisi6n: ' t '*• .. - - .• . Status:" ' Closed - Finaled - - : 'Expiration Date: 08/01/2017 -'Addrss: 1844 Marron Rd, 170 Carlsbad, CA 92008-1180 - - IVR Number: 1361' - ' . Scheduled Ac Actual Date Start Date Inspection Type Inspection No.. Inspection Status Primary Inspector Reinspection Complete -. - a> ... -S . ' - r'• - 02/02/2017 02/02/2017 BLDG-38 Signs , '012205-2017 - Passed , .". Paul York - - * . , - Complete - .-' - a :- •- . . . - - - 4 P Checklist Item '. COMMENTS Passed .4 BLDG Building Deficiency Yes BLDG Final 012206 2017 Passed Paul York 'It Complete 71 Inspection .4 Checklist Item COMMENTS Passed -. BLDG Building Deficiency f Yes All " BLDG Plumbing Final c Yes - ( BLDG Mechanical Final 1 Yes BLDG Structural Final I Yes t BLDG Electncal Final + Yes ... -... ..-. .45 •. ' . - 4 ' ,. ." -'S. - 4- 1 4 4 ¶ 4 4 -4 - -' -. -: ..•; .. •- S , . - . - -' , /- j. S. ' , - ,. S.' . .' P . S . . '-' -- , 4 j4 •, 44.4*4 1,. 1 S. , -. 4,.. 5 5 . - •0 •S . 4 4 p. . - . _ ._', 4 .4 a' , .4 S - :"- '-. '4 4- * . . rS . S 4* , S. P -- S •. j_ __,•,.S.4•. - 0 ••. - S *. -. - - .- I 4 - 5,--- -. ._t, '. .-.. a, •.. r' •,, ' S.- •.S. 8 * p i '' l '1 - S. * *•4 .''• 1 -,,. •-,.-..- - -.'-. - - ' -P'_ ,. February O2,2017 - 0 - - . ' . - - - - . 5 -'S. - ,. ' ,- • Page 15of 1- - - .1 - *5 ', -. - '-'. - . - .8 • - •• 44 •,. - _ 5.- - - -.' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 5-16-2002 Sign Permit Permit No: CB021490 Building Inspection Request Line (760).602-2725 Job Address: 1844 MARRON RD CBAD St: 170 .Permit Type: SIGN Status: ISSUED ;;:.-ParceI No: Lot #: 0 Applied: 05/16/2002 Valuation: $5,000.00 Construction Type: NEW Entered By: AMA Reference #: Plan Approved: 05/16/2002 Issued: 05/16/2002 Project Title: SLEEP TRAIN-ILLUM SIGN OVER Inspect Area: ENTRY ;Applicant: Owner: 7271 05/16/02 000. 01 02 .;,.::'.PRO AD SIGN CO COP 12096 :5TEC 4325DONGUEZ RD 95677 316 630-1066 Total Fees: $120.96 / / Total Payments To Date: $0.00J / / Balance Due: $120.96 Building Permit 19 Add 'I Building Permit F ee / \ Plan Check \O 00 Add'I Plan Check Fe Cg '4 .00 Electrical Fee Renewal Fee'L140.00 AddI Renewal Fee / S .00 Other Building Fee Additional Fees TOTAL PERMIT FEES $120.96 INCORPORATED 1952 ".- APPLICATION jj CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 ' FOR OFFICE USE O)Y - PLAN CHECK NOI Ly EST. VAL. Plan Ck. Deposit Validated By ø..#_-. Date I1IPROJECT INFORMATION .. . '. -. ' - . '. 'I S/eP 7475cJ iW 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 # Exising Use Proposed Use / CLh4(Il47tt9 J/ ,jjZ Li,tTRy' i Description of Work SQ. F'. /of Stones # of Bedrooms , # of Bathrooms 17=CONTACT (if different from applicant)_- Name Address/ 'I)v /ujOe2.. '' e; fcZ 77 ' '.. ', :•'; City State/Zip Telephone# , Fax# '. 2nt o Name • Address . city State/Zip Telephone # . 4. PROPERTY. owNER:.. 7 •- -.'. '•-• . •Lt..,. . 1 !'/tr Th-f- 3czk O/Je,/4 C4 f2 / 3fb-5- 4420 Name Address City - State/Zip Telephone 15?1CONTRACTOCOMPANY. NAME ' ,, , •'•• • ' '. - ' I • (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 plicant for a permit subjects the applicant to a civil penalty of not more than five hu dred ol rs [$5001). . •/'- < %flo-i .cjii oisf 'Yr sr2- 9a øiA'// Name Address City State/Zip ale hbne # "State License # License Class C- c' City Business License # & /t.c.. g 't, - Designer Name Address City State/Zip . . Telephone # • State License U , . . - - , L6 WORKERSCOMPENSATION 71 Workers' Compensation Declaration: I hereby affirm under penalty of pequry one of the following declarations: 9.. 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 wJ11ch this permit is issued. ave and will maintain worker's 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 Ii be Expiration Date .1 Insurance Company V1101-tR p011y0/L 5b2I'S( __________ - ' (THIS SECTION NEED NOT BE COMPLETED IF THE PER IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) - ' 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to ' . become subject to the Workers' Compensation Laws of California. , WARNING: Failure to scure workers' compensation covers nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($I00,00 nattian to e of compensatlo , ama pro d for In Section 3706 of the Labor Code, interest and attorney'. - '•• '- - 7.OWNE ER CLARATION . I hereby a at 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 d 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 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). . . . Q I am exempt under Section Business and Professions Code for this reason: 41.. - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO - - 2." - I (have/have not) signed an application for a building pemlit for the proposed work.' • - , . ,• •. - , 3' I have contracted with the following person (firm) to provide the proposed construction (include name I address! phone number / 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 number / /ontractors license number): 5. I will provide some of the work,' but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work): PROPERTY OWNER SIGNATURE . - ' DATE • - •-. - . ,., . . S - 'r • •' - • '' r - . •'' , , i._.• ', '" WHITE File YELLOW Applicant PINK Finance . ,&: -- 1, , - . I .,,' ._' . rt - .4 • - , •• 4.4 -. 4 - - -- , . - •• - .4 City of Carlsbad Bldg Inspection Request For: 06/05/2002 Permit# CB021490 Inspector Assignment: TP Title: SLEEP TRAIN-ILLUM SIGN OVER Description: ENTRY 4 ** - I Type: SIGN Sub Type: . * Phone: 9166301065 Job Address: 1844 MARRON RD -: Suite: .170 '. Lot 0 - : Location: Inspector: - 'APPLICANT PRO AD SIGN CO- Owner: Remarks Total Time: Requested By: AJ Entered By: ROBIN CD Description ; Act Comments ** 38 Signs r øflt-'1O1' 6 - - - - - Associated PCRs InsDection History Date Description Act insp Comments 05/23/2002 38 Signs NS TP - 05/23/2002 38 Signs - NR TP, NOT COMPLETE - 1 - .- F-- -*-- -- - - - :- • - -- t :. -y - F * ••f'I 1`7 :.. .. . .. - . •, .5 - - .5. , .5 -, • S. 4 t City ofCarlsbad I 10/22/1999 . . . Sign Permit T. Permit N6:0B993960 Building Inspectidn Request Line (760)438-3101 - - Job Address: 1844 MARRON RD CBAD -- Permit Type: . SIGN - . Status: ISSUED --'Parcel No: - -'. • Lot #: 0 Applied: 10/22/1999 Valuation: ' $3,000.00 Construction Type: NEW . Entered By: RMA Reference # * Plan Approved 10/22/1999 Issued 10/22/1999 4 Project Title FUNCOLAND ILLUMINATED SIGN Inspect Area Applicant: Owner-. STARLIGHT SIGN.,,' VAN NUYS CA 91406 5•5 1 . . -5 . 8189886140 76 10/22/99 0001 01 02 .S\ C-PRMT 86-34 Total Fees $86 34 Thtl Pyments To'EV' $0 00 " BaIace Due $86.34 c-.-- / uilding Permit j. Add'I Building Permit Fee F~an Check, : -::)E.Add'i Plan Check Fee E : : 'Add'I Renewal Fee Other Building F:: Electrical Fee RenewalFee~ $0.00 INCORPORATED .TOTAL PERMIT FEES . . . . . $86.34 •. -. - t -1' .... "15- . -.5 5. - .5 • - '5 . . 5 -. -. . - . - . Ir.- . - :.'i' .4 • .,• .. .- . - ..5.••' --.5 •. -5.- . 1 . - .5 5 5 .1 - •.•-. •- . - . . . -5 .. . -,' 5. 5 . . -5- 5•• .••5_•_5 . S - .5 5. .5 - . - -5' - -. -1'-• 1 ! - 1) - -. - .: . •. CITY OF CARLSBAD 5 • -• • 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 - r • :- - - , . -.. 5- - - . • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY ~~o PLAN CHECK NO. EST. VAL. 1XX2 Ut" Plan Ck. Deposit Validated By ..1 d&ess1indude"Bldg/Suiti#) Busine's Name (a'f tPis address) Legal Description Lot No/% - Stdivision Name/Number (Jnit,,4'lo-1— PIhase No. Total # of units' Description olWoil 14 - $Q FT._ ' #of Stouies # of Bedrooms # of Bathrooms CONTACT PERSON (If different from applicant) . . . - . Name Address City State/Zip Telephone P Fax P . PPIICANT , 0 Contractor 21A ant Contg ct for d 0 Ow ér 0 g for. A? . Dwner t'iiyv 2V4'nin4. /6 A,T17I A-7 ,vj (9 'i2I/( h-9-S4rc '4. City State/Zip qc2 5:;CONTRAcTOR;COMPANY;NAME' Name Address ::'' ephone P (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, corn ending w' h Se tio,p 7000 of Division 3 of the Business and Professions Code] or t t he is exempt therefrom, and the basis for the alleged exe iS 5 Name ' - ' Aidrss ' - 'S'' License Class (_5 - J Ciy - j ' S(at/Zij Teljth6ne P State License City Business License P Designer Name Address City State/Zip Telephone State License P '6, WORKERS' ..COMPENSATION 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. XI. on insur I have and will maint 'n orkers' compensati , as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Insurance WA OM F, 91 policy number are: Policy Expiration Date ______ (THIS SECTION NEED NOT BE COMPLETED IF 'E PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 R 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 secur workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand of compensation, damages as provided for in Section 3706 of 7e Labor2nte7td attorney's fees. SIGNATURE DATE 7. OWNEB ILDER DECLA ON 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, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 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 I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated linclude name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FORNON-RESIOENflAL'BUILDING pERMITSoNLy....:..... . , .......- ,. . Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO' Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. A. ,:CONSTRUCTIONLENDINGAGENCY 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 APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the 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 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 commence 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 APPuc:NT,sSIGNATURE ,1')1O'714) Building Code) q, s6 pr BU I L D I NG P ER M I T Permit No: CB941367.. 10/31/94 15:13 Project No: A9402014'. Page 1 of 1 : Development No: Job Address: 1844 MARRON RD Suite: .' I Permit Type: SIGN. Parcel No: . Lo t#: 9363 10/31/94 0001 01 02 Vluation: 5;700 - C-PRIIT 134.00. Construction Type NEW Occupancy Group: Reference#:. Status: ISSUED. Description: .INSTALLATION OF 3 SIGNS - - Applied: 10/31/94 Apr/Issue: 10/31/94. •. - . Entered By: ,DC Appl/Ownr : STANFORD SIGNS . 619 423-6200 2556 FAIVRE STREET ,' • .. 1 CHULA VISTA, CA.91191i - Fees Required -- + Fees: 13406..Y . • • • Adjustments Tot 00 Total -Fees: 13 0 :.-:7 . .00 . / U ~~ Ni-t, 134.00 ' It ---- description. t Building.Permi t 81. 00 Plan Check 53.00 SIGN TOTAL 134.00 INCORPORATEb 1952 I FINAL APPROVAL DATE - IrLEARANCE__- S - - CITY OF CARLSBSD - • • 2075 Las Palmas Dr., CarIsbd, CA 2 JT-619J38-1161 r + . ,•J - . +• ,, 5- •--. • S. CITY cu.Ia / tM STATE NAME Li AG CITY 0L1 (J'sfti. STATE PRoPIt NAME b5i '/uq}1e itb v.uIW NAME CITY ATE (!3ikr STV PERAWT City of Carlsbad BuiLding Department 2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161 I 1. PERMIT TYPE A >,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 O Mechanical 0 Pool 0 Spa 0 Retaining Wall Molar 0 Other__________ 2. PLAN CHECK NO. Esr.vAL 74L 00 PLAN CK DEPOSIT_______________ VALID. BY DATE FOR OFFICE USE ONLY Cross Street an 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK y\5-taJJatcO t\ 0 3 SQ. FT. # OF STORIES f ADDRESS 6TC FaiV1E ZIP CODE 9/9/1 DAY TELEPHONE ADDRESS f-,avre 3+re1 ZIP CODE qi' /DAY TELEPHONE ) ? - 6,;20( /O?O ZIP CODE 9OW DAY TELEPHONE C'w 75l 953/ ADDRESS ?55 f 'vre__3-freet ZIP CODE 9/9// DAY TELEPHON( )473 X) LICENSE CLASS ± !J65-CITY BUSINESS LIC. # /.L)U1{t F CITY STATE ZIP CODE TELEPHONE STATE UC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of 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). -- - SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that ram exempt from the Contractor's License Law for the following reason: 1, 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, 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 Setions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO 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 AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF 11W OFFICE OF EMERGENCY SERVICES AND THE AIR POLUTITON (X)NI1IOL DISTRICT. 9. WNSThUCHON LENDING AGENCY LENDER'S NAME LENDER'S ADDRESS Icertity that 1 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 LIABUII1ES, J1JDGMENTh CDSTS 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'O" 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 Building Code). APPLICANT'S SIGNATURE,..) 4j, C DATE: /O C) A .LA—.-' I'0PS1'i' a CITY OF CAR-LS*BA-D INSPICT PERNIT# CB941367 FOR 15/94 } INSPECTOR AREA DESCRIPTION: INSTALLATION OF 3 SIGNS( PLANCK# CB941367 OCCGRP TYPE: SIGN CONSTR. TYPE NEW JOB ADDRESS: 1844 MARRON RD - STE: LOT: APPLICANT: STANFORD SIGNS PHONE: 619 423-6200 CONTRACTOR: - PHONE: . OWNER: PHONE: . REMARKS: RS/PER CODE ENFORCEMENT . INSPECTOR 66 SPECIAL INSTRUCT: SIGNS ALREADY INSTALLED/PERMIT ISSUED/C 'S D CODE ENFORCEMENT CASE TOTAL TIME --RELATED PERMITS-- PERNIT# TYPE. STATUS CB890394 SIGN EXPIRED CB930221 SIGN EXPIRED . CD LVL DESCRIPTION - ACT COMMENTS 38 EL Signs ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS - (6/f) cl- 2 c e, B U I L D I N .G P 'E. R M I T Permit No: CB9 30221 03/04/93 10:32 Projet N6: A9300322 Page 1 ofi Developneht No: JobAddress: 1844 MARROW RD Suite: Permit Type: SIGN 1391 03/04/93 000101 :02 Parcel No,: Lot#: - -•. :T1T. 8900 4r - if Valuation: 2,500 Construction EType NEW OccupancyGroup: Refererice# - ..• Status:ISSIJED Description(: PAC TEL SIGN, • Appliéd 03/04/93 ' Apr/]suè:03/.04/93 Entered By CD AppltOwnr :HUGHES NORTH CTY ASSOC 714.759 9531 * -2.1 CORPORATE PLAZA 250-, ... NEWPORT'BEACH.CA 60 . CONTRACTOR SIGNIECH ELE ADVE SI 4 C 0 286 7446 * 6618 FEDERA BL *** 'Fees Required Credits LEMON GROV , CA i 4 Adjustments 00 Tot -Fe E Plan ;;j, I I INCORPoRATLD 1952 : : - FIN . DATE ANCE - - CITY OF CARLSBADAl - t - .--- - - 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1.161 -. . 4 I - - . .- ••. •• - 2 - . - .• _ i 4 ' . - - • • • * - . - - PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - U COMMERCIAL DREW pTENANT IMPROVEMENT B - 0 INDUSTRIAL UNEW DTENANT IMPROVEMENT C - ORESIDENTIAL []APARTMENT DCONDO DSINGLE FAMILY DWELLING DADDITION/ALTERATION ODUPLEX DDEMOLITION DRELOCATION []MOBILE HOME DELECTRICAL [—]PLUMBING DMECHANICAL DPOOL OSPA DRETAINING WALL DSOLAR JOTHER EST. VALID. BY DATE IT N Address 1844 MARRON ROAD - Huilaing or suite NO. 174 Nearest Cross Streets EL CAMINO REAL LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. PARCEL 1 OF PARCF.T. MAP19979 CHECK BELW IF SUBMITTED: [J2 Energy Calcs 02 Structural Catcs 02 Soils Report Ell Addressed Envelope - ASSESSOR'S PA 156-301-16 EXISTING USE . PROPOSED,USE flFStRIPTIO)J F WORK . _1 BLDG. SQIFFI~ H OF STORIES CONTACT PERSON NAME SANE AS APPLICANT ADDRESS CITY . STATE ZIP CODE DAY TELEPHONE SIGNATURE APPLICANT DCONTRACTOR 0 AGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER NAME SIGNTECH. ELECTRICAL ADVERTISING ADDRESS 6618 FEDERAL BLVD. CITY LEMON GROVE STATE CA ZIP CODE 91945 DAY TELEPHONE 619-286-7446 PROPERTY OWNER OWNER DLESSEE DTENAWT NAME HUGHES NORTH CNTY ASSOC. ' ADDRESS 2 CORPORATE PLAZA #250 CITY NEWPORT BEACH STATE CA ZIP CODE 97660-7979 DAY TELEPHONE 714-759-9531 CONTRACTOR NAME SANE AS APPLICANT ADDRESS CITY . STATE ZIP CODE DAY TELEPHONE STATE LIC. N LICENSE CLASS - CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME . ADDRESS CITY STATE ZIP CODE ' DAY TELEPHONE STATE LIC. # - WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director ofIndustrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY STATE FUND POLICY NO. 1302210-92 EXPIRATION DATE 4-1-93 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm, that I am exempt from the Contractors License Law for the following reason: - 0 I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, 'Business and Professions Code:- The Contractor's License Law does 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 sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cede: 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: (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 thii Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. 'Any violatin 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). 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 DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES Dwo 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 HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 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). LENDER'S NAME - , ' - LENDER'S ADDRESS -- I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code). DCONTRACTOR DRY PHONE WHITE: File YELLOW: Applicant PINK: Finance !ICity !P1PP1 DATE:. 03/16/94 - PERMIT NUMBER: CB930261 ISSUE DATE: 03/23/93 LAST INSPECTION: . TO: HUGHES NORTH COUNTY ASSOCIATES . . . 1822 MARRON RD - .. PLEASE CALL FOR AN INSPECTION CARLSBAD CA 92008 IF WORK IS COMPLETE RE BUILDING PERMIT EXPIRATION ADDRESS 1822 MARRON RD Our records indicate that your building permit will expire by limitation of time on 03/23/94.. . The provisions of UBC, Section 303(d) state: "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 one calendar year from the date of such-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 six consecutive calendar months 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 buildii official within one year of the. date of permit issuance. Work shall be presumed-to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained l. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided (A) No changes have been made or will be made in the original plans and specifications for such work. . . . (B). That the -expiration-has not .exceeded three years from the original issuance date. That the same edition of the model codes is in effect as used in the initial plan check. - - That a fee equal to one-half the amount required for a new permit 1 be paid The ,renewal permit shall expire three calendar years from the date of initial permit issuance I . 2075 Las Palmas Drive • Carlsbad California 92009 • (619)438-1161 I herby affirm that I am' licensed GRder U 'itprovisions of Chapter 9 (commencing with ISition 7000)of 'DIvIsion 3 of the Business lim "' and Professions Code, and my license is in LtuIi.force end-effect,' - - - hereby, affirm that I am exempt from the Contrac-L. br's License Law to, the following reason (Sec. 7031.5 - - - Business and Professions 'Code:-Any city or county whict', re '-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires lire ap- - liirhtlor such permit to tile a' signed statement that he is licensed pursuant to the provisions at the contractors ....LicenseLaw.lChapter 9 commencing with Section .7000 of Division 301 the Business and ProlessionsCedel or that ieo- empt therefrom and the basis tor the allegro ea'emption.. Any violation el -Section 7031!5 by an applicant for perrriif sub- jects the applicant to a civil penalty 01 not morethan live-hun- dred dollars $500). II I, as owner of the properly, or my employees with wages - 'as their solé'cmpensatibr.' will 'do the wOrk, and the struc' o lure is not ntonded or uttered for sale (Sec 7044 Business sand Protessions Code: IThe Contractors LicenseCw does ..n01 apply in an owner of, property who builds or'improves " thereon and,who does such work himself or through his own einptoyees,provided that such iynprnvqybents are not intend:, ILl 'edur otlered for sale,,lI rowever,tke buildingor improve' Z merit is sold within one year 01 completion, the ownej-builder will have the burden el-proving that-he did not -build ur-im- 0 prove for the purpose 01 sale). owner 01 the property, am' exclusively contracting with-licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License - - Ladoxs not apply loan owner 01 property who builds nr'iin- - proves thereon, and Whoconlracls'tor,each.projects with a centraclorlsl license pursuant to the Contractor's License Lawl,- -'- n-Il As a homeowner lam improving my home, and the 10110w' ing conditions exist: - ' • ' -- The work is being pertormodpri -or to sale. - 2. I have Iived in my, home Or, twelve months .-..prior to complelieo of this work. 3, I have nor claimed this exemption during tire last three years., AD- Iamen'ernptInSeL''-' - B&P.C. or this-reason.-- (''-2 J 'eCE °, iZI x '.0 l hereby affirm that I have-a cerritiate of coxsent't: 'sell.insureor a.cerlificate,ot Workers' Compensation In r f/ 'surance, orace riliedcoPy thereOtlSeC38,LabOrCode --POLICY NO,-- - .-.- - - - Z vvc ercr' ,1 Copy is filed with the city' 0l93' Certitied 'cop/is kbreby turn ished - 0 CERTIFICATE'OF EXEMPTION FROM - (3 WORKERS COMPENSATION INSURANCE U). ,l This-seclion'need not be completed it the permit i5 br one hundred dollars 151001' or' lessl h -' Icerrify that in the performance of the work for wind t his ,perrnit is issue'd.t shall not employ any person in an tirianner so as to become subject to the Workers' Comper -sation Laws 01 California. -'- - - t1tht.'h . 14j-57r,-.., -' iNOTICE TO-'APPLICANT: IC utter m'aliing this Certilicat, "ot E empt on yo o should become soblect to the W her 7 t.Compensatiov. provisions ot,tl.e labor'Code you yrus ,Iorthwith comply wilh-sach'proviSiOns or this permit shal Cvi be deemed revoked.Q9 terrain 14 -- '1 :P:!•heP affirrn -that'there'is -a -construction cc ágevcy thr'th'e,pertorrrrance 01 the work for which this pe a-I--roil is issued (Sec 3097., Civil Code) near's Name L Lender's Address ' - " USE BALL POINT PEN ONLY '& PRESS HARD- ' ,. ' ALIAN 1 10 FILL IN IN0HMAI ION WI I MIN MRUtU MNM MNU UtLMMR I IUN. /71-1 CARLSBAD BUILDING DEPARTMENT' APPLICATION & PERMIT - ..,_.2O75__LasPàlmasDr. -Carlsbad, CA-92009-1915_(619)438-1-161-.__- _-.---'.--'--'- ---'-- - --- - - - - ' '-- - 'in___------'' _ —s - JOB ADDRESS -1" - - AV, ST.RO, THOMAS BROS NO, DATE OF APPLICATION BUSINESS LICENSE it VALUATION - ER t 40" * _______ BLOCK SUBDIVISION ZONE ZI -ASSESSOR PARCEL NO. _______ LOT TRACTOR CONTRACT -*0 OWNEA'SNAME OWNERSPHONE R 95 LJ ECONTRA S ADDRESS '.1 STATE LICENSE NO - - - BUILDING SO. FOOTAGE Y' _I L_/C -'-' _- OWNER'S MAILING ADDRESS •J - I DESIGNER - - -' DESIGNER'S PHONE - DESCRIPTION OF WORK ' (C.—i i-'--4( _/1.4 ft.41eL _74 - , ------- - ,,, 5599 03/22/89 .0001 01 02 , _Of CL DESIGNER'S ADDRESS - STATE LICENSE NO. 1dF'mt' 900 . -_F/P FLR;LEV, ' OCCG - - - -'- -- -'"-"- -n,----- ------- ---- nONO, - _-_NO ' - -, - - 0 S TRACT PARKING SPACE -RES-UNITS- ' - GRADING PERMIT ISSUED REDEVELOPMENT -- t -STORIES TYPE— - 0CC LOAD FIRE SPR'' [ , SENSi ' AREA CONST - _,..,'vD'vD _--,_ ,-. _vDaO ,,Not Valid, Unless Machine Cetif/d - ,I L-PLUMBING.PERMIT • - - - ' - Ion, -! - QTY - - ISSUE - , •' QT'I. -. ',MEHANICAL,PERMIT -,ISSUE I - . '. SUMMARY/ACCOUNT NUMBER -------"-- '- - , - / -' - - FURN. DUCTS UPTOIO0,0O0BTU __- INSTALL BUILDING PERMIT 001-810-00-00-8220 - _TRAP ----"i - pEACHFiX-lURE - -- EACH BUILDING SEWER. -, _--4 ' OVER 100,000 BTU -, SIGN PERMIT 001-810-00-00-8221 - EACH WATER HEATER ANO/ORVENT _- __'- .- BOILER/C6MPRESSORUPTO1HP -,- ___- - .-_---_--- -PLAN CHECK -----001-810-00-00-8891 - EACH GAS SYSTEM I EQ 4 OUTLETS - -' ,, BOILER/COMPRESSOR 3-15 HP' --• -.,TOTAL PLUMBING -,001-810-00-00-8222 - EACH GAS SYSTEMS OR MORE - METAL FIREPLACE f i " ELECTRICAL 001-810-00-00-8223 i EACH INSTAL__ALTER_REPAIR WATER PiPE I VENT FAN SINGLE DUCT 'v 'MECHANICAL - ________001_81000008224 -- - " in - EACHVACUUMBREAKER c - MECHEXHAUST _HOOD_DUCTS MOBILEHOME_001_810_00008225 WATERSOFTNER4' _-m -'- _ - t" '[O0l-810-O0-00-8226 - - - in - - - - EACH ROOF DRAIN ItNSIDEI _____' -. I REtOCATIONOrEA'FURNAC'E/HEATER''- ____-- DRYER VENT _,'' - -, - STRONG MOTION. __-, _-880'519'92'33_- TOTAL MECHANICAL FIRESPRINKLERS 001-810-00-00-8227 - -_ ' - ' --' - ''' - -- -' TOIALPLUMBING ''-"o' ' PUBL(C'FACILITIESFEE'"-320a10-00-00-8740 - - •'-- a1. QTY. - - • - -. ' MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 71— - - I. _ISSUE :ELEcTRILPERMIT -- PARK_IN_LIEU(AREA_ - - -- --- NEW CONST LA AMP SW1 BK A" '" - -- CAR PORT i - - - - - - - TIE - -- ' 31281000008835 --n- - - '-F - - ("PH -'.-4 _'-3-PH--' ---'',- AWNING ___-I - LA COSTA TIE - 311-81000-00-8835 - - E-iS1 BLDG -EAAMP/SWLWKR--------' ',- ,-:. ' ;' GARAGE __,--, ' - FMF. - PH _,,3PH _,, __,i,,,._,._. ---, __•...'--- -. --,- LICENSE-TAX -----'------00-i-810-00-00-8162'------------------- - ----- - REMODEL ALTLR PER CIRCUIT 'v or 5 I MFF 8805199257 0 - TEMP POLE 200 AMPS -' OVER 200 AMPS I 'I ,."' FEMPOCCUPANCt? (30 DAYS)' - • ,--- ; - -- I - , - I , - CREDIT DEPOSIT - 1—TO1A1 ELECTRICAL I I- " I A1 - L --'-T6T . - TOTAL FEES PAY9LE-(l7 --- : 1, I HAVE CAREFULLY EXAMINED THE COMPLETED '-APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit Issued by the Building Official under the provisions of this - * 05*-IA PE is REQUIRED FOR hxcAvATp4s'OVER Code 1:o limitation and If the building or work CERTIFY PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEE,41O DEMOLITION OR CONSTRUCTION or /j 'UNDER authorized y such permit is not commenced within 180 days from the date of such _'j-. DECLARATIONS ARE TRUE AND CORRECT, AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, of if the buIfd' or work authorized by such pernilf Is suspended or S1'RUC1)dS OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at an tnrihr a the work is commenced *01 Od 01180 days. 7 - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEI(..ING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING 0 SEWER AND BL/CO 0 PJCO UNDERGROUND 0 WASTE DWATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPRARY O BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS GALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE-ITEMS ABOVE HAVE BEEN APPROVED FINAL I_.e" PLUMBING IoS7 ELECTRICAL T: / MECHANICAL GAS BUILDING SPECIAL CONDITIONS / FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES REQ. IF INSPECTORS DATE INSPECTION CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY I PILES CAISSONS I I I I - USE BALL POINT PEN ONLY& PRESS HARD - - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS • - r" [L4.hreby affIrm that I am licensed under I ta provietone of Chapter 9,commencing 'with I Seàtion .7000f of Division 3 of the. Business I. Professions Code, and my license is in. . Aull force and effect. •-..'. -.- - — ,. '1 . C) - .... .l hereby affirm. that I am exempt. from the., Cuntrac' a tor's . License Law- for the following reason (Sec. 7031.5 'I I 'Business and Professions Cede: Any City or County which re- J quires a permit to construct,-alter improve, demolish, or "repair any structure, prior to its issuance also requires the ap- . I plicant tur,5sch.yermit to file .a signed statement that he is . licensed,r pursuant to the provisions of the contractor's License Law (Chapter 9 commencing with Section 7000 Of I Division 3 of the Business and Professions Code) ur'fhatis'éx - empt therefrom and the basis-for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub I jects the applicant fox civil penalty afoot more than tine hun- I dred dollars l$500)'...... a'- -. !. . . -v - I I I, as owner of the property, or my employees with-wages IN Mill .' •. -' as their sole compensationwiIl do the work. and the struC' lure is. out intended-or offered for sale (Sec. 7044. Business ,and Professions Code: _the Contractor's license Law does - . . 'not apply to an Ow& net property whubuilds. or. improves .40 " thereon and who does such work himself or through his own - f'enipioyeos, provided thiii such improvements are not.iotend- ' let ,...ed or ntferedtar sale. If, however-the bUilding or irUproe-..... Z mantis sold within eneyear of comptelion, the swuer-bui1der 39 will have the burden of pruviAg-that he did not build or a- .0 '' 'prove for the purpose'of sale).- ' . Of. as.owner of the properly-am exclusively contracting - jr rwith licensed contractors to construct the project (Sec. 7044, _ Business'aUd Professions Code: The CoUtractor's License law, does not applyto an owner at property who builds or im 'proves thereon: and who contracts tor,each projects with a U) . - contractor(s) license, pursuant tx-f he Contractor's License e)Z Law) . -fJ,Asahomeowner lam improving my home,'and the follow- '4 • ' ing conditions exist: jS fv - ' 1 The work sbeing.petormed.rior to sale. - ,. 2. f have lived, my home 'fur_twelve xmonths - _• •" - prior to completion'uf this works U If - itt - —-i- 3.-I '-haveoo1 'claimed 'this exemption 'dUring thu last three years., - 0, i am exempt under, Sec. .9 & P.C. .' torlhisrUasenbx ' .........-'-•w$-'- "• •.. -: - , I hereby affirm that t have, a certificate of consent to .self.insvm. or a certificate of WorKers Compensation In. 'I w% surance. or a certified copy thereof (Sec. 3800. labor Cedet: 5' "l''' • • e' 5i C' - - POLICY NO.. - * 2 -'-.'. 07DCopy'is tiled with the ciiY iv...I... '-•0 Ce,tified copy is kerebVturflishedZ,,. CIL 0 ?'}( CERTIFICATE OF EXEMPTJON FROMr I a •, o. .,Z,. WORKERS'. COMpENSATION.INSURANCE.4 U) lThiU section 'need not be completed if the permit - ,_r. IS. for one hundred dollars 101001 Or Iessl2.,. Y.. h (td'ePtity that in rheprtormauce of the work for which 'CC ...'i'tii.perrnTt is issue'd'lstralt net employ .any person,in any I •• 0 manner so as to become subject to the Workers'Compen-al Isatioo Laws of California. 14NOTtCE TOAPPLtCANT:)lfier,paklug this Certificate'I `Eomption. /dj shoutdbeco'me subjecU to the Workers'. I .?sCompeI sation provisions 01 the Labor Code. you 1nesII.v I tltorttiwith compty with such provisiorrsor this permit shatf..1- - - ,be'BethAed revokUd.'."". ,. '. • Jo .•pb r' - lhhreby'alfirm that there is a construction tending i agevcl& the'ielo'in'aoce of the work for which this per.UA Ole-" Mills issued -(Sec. 3097. Civil Code) - .' -' - zl" 4 - ' - - ,' v "0' t - Ui L ender's Name - •- 5. Lenders Aiidre L_ -- - I r- °' " ' ""'•""""" , - •..' 5 CARLSBADBUpLDING,.DEpARTMENT .,S. ' "- 'AüAri F'EMIT T-T 2075 Las PaIms DrarIsbad CA 92009-4859 (619)-'438 1161 - - JOB ADDRESSt' \ . ,', - ''r . AV. sT:Ioo: NEAREST CROSS ST. - -$3 ro OH VA lE OF APPLICATION - BUSINESS LICENSE ii VALUA 0 - - PERMIT NUMBER fllARkJI ZONE ?'T>Z LOT BLOCK SUBDIVISION - 1ASSESSOR PARCEL NO. .CONTRACT.OR . . . - Ro '? J f' ,4c 4. (\J CONTRACTORS Pe a.. ( 71 OWNER'S NAME OWNER'S PHONE CONTRACTOR'S ADDRESS - "STA- LICENSE1ö. - - - -" ', .'. BUILDING SO. FOOTAGE 5 - j•+ 1'bAJ$ . -37 PRoPLL'Ccf 7~:1!~ -4S 7Q'33? OWNER'S MAILING ADDRESS - - 1o.ki-4r: 4- '•A2-4 DESIGNER'S PHONE .. - - .,-. O1t140 . CA- 10 - -- -•" . DESCRIP'TIONOF WORK , , ir, . - DESIGNER'S'AODREIS - - • - ' ' STATE LICENSE:NO. _________ )( ' - • ---n - '- -- '--_ '- - . S.-'- •.e-..--- -i ',-- - -, -. F/P _•FLRELFV,-1 NO 'OCCGP EDU 'I - - _or •0 ,5.,O. . ....- . . - ' 's STORIES •- - - • D NOr -----'J'- , . - ', - " PARKING SPACE' RES UNITS - GRADING PERMIT ISSUED REDEVELOPMENT - TVPE,_.,. -• OCCOAD FIRE SPR.,. 'i' 'S." ' r - ' . -.,,,% •nD 'ND: AREA .'" , -j NO - CONST • , - • VD.ND ' ' - Nor Va/id Un/ens Mac/tine Certified SUMMARY/ACCOUNT ~LPMBING -PERMIT.-- ISSUE.- 'CITY" MECHANICAL PERMIT - ISSUE NUMBER'. EACH F.(XTUREJ.RAP - t',,. .- ' .,' -.' ''- '} INSTALL FURN. DUCTS UP TO 100,000 BTU - ' , - -. BUILDING PERMIT- . $I ioi. Ap01 - •'- :i. I EACH BUILDING SEWER A t. -- - '5 " ' - OVER 100,000 BTU a,, ' SIGN PERMIT - 001 81000 00 8221' 0 LEACH WATER HEATER -ANO/ORVENT : - - .:-. ,-'.- 'j BOILER/COMPRESSOR UP TO. 3'HP . - ' - ,• PLAN CHECK • - - ..O9l:0'0Q08_2.l: "EACH GAS SYSTEM ITO'4 OUTLETS . .' • '-" BOILER/COMPRESSOR 3.15 HP ' "- , ' - TOTAL PLUMBING ' ." - 001-810'00'00'8222 EACH GAS:SYSTEM 5ffOR MORE'" '' .--- '- - " ,A-- METAL FIREPLACE- - - -' - . -• -- -, :' - - "' ELECTRICAL' '.001:810.00.00.8223'- ,"_'_, -'_S..,.-• '5''"' - EACH INSTALALTER REPAIR IIIATER PIPE VENT FAN SINGLE DUCT - MECHANICAL - 001-8 1 1 0 00 00 8224 EACH VACUUM BREAKER - MECH EXHAUST HOOD/DUCTS yè ILEHOME 001 8)000008225 WATER SOFTNER . , ,j, 1 , — -' RELOCATION OF EA FURNACE/HE'WER a''1 ç - - ""001 80 0000 8226' ' EACH ROOF DRAIN I;NSiOEI S. DRYER VENT \v. Y' ç551') STRONG MOTION 880 519-92-33 TOTi-L MECHANICAL -' I O ç c) "' J.i4 FIRESPRINKLlRS ' 001 81000 008227 ,0 - 0TOTACPLUMBiNG PUBLIC FACILITIES FEE - 32081000008740 -. - OTY S.v. ELECTRICAL PERMIT ISSUE a ,. QTY ..•.-•. i .-"-° MOBILE HOME SETUP 'BRIDGE-FEE 360-810-00-06-8740' -. - ' PARK IN LIEIT(AREA j'7 "' ,.NEW CONST EA AMP SWI/BKR,,a,.._, CAR PORT_" ,n.. - - TIF , 13481000 008835 ) PH °'° v AWNING ' "- LA COSTA TIF a 133-810-00-00-8835 EXIST BLDG EA AMP/SWT BKR GARAGE " " O•' S. FMF — I PH 3 PH LICENSE TAX 001-810-00-00-8162 REMODEL ALTERS PER CIRCUIT ° v 1 I '2' - ' ' MFF 8805199257 TEMP POLE 200 AMPS ' '"' ..., - ,, ." - . .,. C s' ,4.•. - — .- - '-'5. 5., ..- -* OVER 200 AMPS i-- - - - -r f1 S. ., IEMPOCCUPANCY(30 DAYS I -' I - CREDIT DEPOSIT TITTALELECTRII -i'TQTAL -'n'' -- TOT A'L FEES PAYABLE" I HAVE CAREFULLY EXAMINED THE COMPLETED '.*APPLICATION AND PERMIT .,AND DO HEREBY Expiration. Every permit Issued by the Building Ott Clef under the,prov 5IOfl5 of this — * AN OSHA PE T IS REQUIRED FOR EXCAVATIONS OVER - become nsII and void. If hi Idhr or work - 5' 0' DEEP AND DEMOLITION OR CONSTRUCTION OF within 180 days from the date of Such CERTIFY' UNDER PENALTY--OF1 PERJURY THAT' ALL INtTORMATlON' HEREON INCLUDING THE Code shall expire by limitation and authorized b such permit s not commenced DECLARATIONS ARE TRUEAND CORRECT AND I FURTHER CERTIFY AND AGREE tEA PERMIT IS permit, or if the building or work authorized by such permit Is Suspended OC - STRUCTURES OVER 3 STORIES IN HEIGHT - TO COMPLY WITH ALLCITY,COUNfv AND LAWS GOVERNING BUILDING CON- - SSUEO: ,STATE abandoned at any lime affer the work Is commenced for a period 01180 days. STRUCTtON. WHETHER-SPECIFIEDHEREIN OR NOT.' I ALSO AGREE-TO SAVE INDEMNIFY'AND - . - , APPROVED BY ' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP LICANT S SIGNATURE - OWNERD CONTRA . -. . •- ' -- DATE ENCE OF THE 9 EXPENSES WHICH MAY IN. ANY wAy ACCRUE AGAINST SAID CITY IN CONSEQU ,GRANTING OF THIS PERMIT. HONE 1 ' ' -.. ' .' - •" '.-''; v.' " -,: •,•; '.'WLaf. ',' 1-J-._ - - - - TYPE DATE INSPECTOR BUILDING FOUNDATION I REINFORCED STEEL MASONRY GUNITE OR GROUT I SUB FRAME LI FLOOR LI CEILING SHEATHING 0 ROOF LI SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO LI 4L/CO UNDERGROUND LI WASTE L WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST LI WATER HEATER LI SOLAR WATER ELECTRICAL LI ELECTRIC UNDERGROUND LI UFFER ROUGH ELECTRIC LI ELECTRIC SERVICE 0 TEMPORARY LI BONDING LI POOL MECHANICAL LI DUCT & PLEM., LI REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL I GAS BUILDING SPECIAL CON ITIONS I 7- ;s_ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION - REQ. IF CHECKED INSPECTOR'S APPROVAL DA I SOILS SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS w-c TOT tI'fr-