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HomeMy WebLinkAbout1846 MARRON RD; MULTI-PERMIT FILE; CB133090; Permitt * +4• I, - • * - * - .- 4 .•. , -• - - • --a - 4 'S 4. City of Carlsbad ',' 1635 Faraday Av Carlsbad, CA 92008 12-13-2013 -: Sign Permit. Permit No: CB133090 : Building Inspection Request Line (760) 602-2725• , Job Address: 1846 MARRON RD CBAD 'Permit Type: SIGN ' : Status: ISSUED Parcel No: 1563011600 - Lot #: . 0 Applied: 12/13/2013 Valuation: $1,000.00 Construction Type: NEW Entered By: JMA Reference #: ' . Plan Approved: 12/13/2013 PC #: Issued: 12/13/2013. Project Title: H&R BLOCK: REPLACE EXIST SIGN Inspect Area: @ FRONT//ADD NEW SIGN ON SIDE OF BLDGW/ELECTRIC . Applicant: ' ' Owner: ' MATTHEWS SIGNS INC P K I NORTH COUNTY PLAZA L P C/O KIMCO'REALTY CORP 550 W 6TH AVE - ,. . . - 3333 NEW HYDE PARK RD #100 ' ESCONDlDOCA 92025 NEW HYDEPARKNY 11042 ,858 435 0822 Building Permit , $27.10 'AddI Building Permit Fee ' . .' ' $0.00 Plan Check ' • . $18.97 -. AddI Plan Check Fee , • . $0.00 Electrical Fee - $0.00 - - - • * Renewal Fee - ' - ' . $0.00 AddI Renewal Fee. . ' , " ' $0.00 Other Building Fee ' $31.00 •- Additional Fees ' , ' $0.00 ' , - TOTAL PERMIT FEES '.. - -, - $77.07' . •. --.:' • S , •• - - • Total Fees: , $77.07 Total Payments To Date:, $0.00 Balance Due: $77.07 EXPIRED PEKNI T' • '.. •••. PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.. . . . - -- • * SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 •• - * DATE (e11%((L4SIGNATURE & Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: . . . . . .. . .,- . [:1 have and will maintain a certificate of consent to self insure for workers compensation as provided 1. by Section 3700 of the Labor Code for the performance of the work for which this permit is issued.. 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 number are Q,'(,\C',S \UC\C. ' oiicytio. '35S\A. '- - irationte(// .. -This section need not be completed if the permit is for 6ne hundred dollars ($100) or less. . •' ' . . . •• [J 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 hundied thousand dollars (&100,000), in additionito the cost of compensatlon,'damages a provided for in Section 3706 of the Labor code, interest and attorney's fees, C)NTRACTOR SIGNATURE- . . . - .. . - AGENT, DATE I hereby affirm that lam exempt from Contractor's License Law for the following mason [] ls owner of the property or my erñployes witliwages as their sole compensation, will do the work and thstructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contrator's - Licence 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 sate) 1,-is 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 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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement DYes INo 21 (have! have not) signed an applicahon for a building permit for the proposed work 3. have contracted with the following person (firm) to provide the proposed constructon (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 butl have contracted (hired) the following persons to provide the work indicated (include name address phone., type of work) I' - .. - A - - -. " --------------. - , * I -- - - - - ----------','' - - ..PROPERTY OWNER SIGNATURE DAGEPT - DATE I ... THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE IJPLANNING DENGINEERING DBUILDING JFIRE DHEALTH El HAZMAT!APCD Building Permit Application Plan Check No 1635 Faraday Ave Carlsbad CA 92008 Est Value - C t.T Y' .0 F •.• Ph: 760602-2719 Fax: 760-602-8558 . CARLSBAD . - .. email: buildingcarIsbadca.gov. Plan k. Deposit . www.carlsbadca.gov Date iII3 113, Iswpp . I JOB ADDRESS . . . SUITE/SPACE#/UNIT# APN . 4t9 \01 y 10OaCI - - - CT/PROJECT A LOT A PHASE A A OFiJNITS A BEDROOMS, ii BATHROOMS TENANT BUSINESS NAME ., CONSTR. TYPE 0C C. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)' ,. . . . . . . ., tflS\\O of L2 a\\ S 1 £ Z 3uJ th ui(( SL7v) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES J# NoE YES [:]NO YES NOE APPLICANT NAME (Primary Contact) - .' . t, , . . APPLICANTNAME (Secondary Contact)be -, . - ., , ADDRESS- ADDRESS OVJ wve CITY STATE ZIP CITY STATE ZIP (kcCj CJ I o PHONE; .• - . - FAX - ' . . : • --- , .- PHONE C)r EMAIL EMAIL ________ . . •.•- ..• PROPERlY OWNER NAMEp L7 CONTRACTOR BUS NAME ADDRESS ADDRESS CITY , .' STAT - ZIP -- . CI - ,- - . ' : STATEfl ZIP __________________ rdtO ' uo2-5 PHONE... I FAX ,- -, '.- . - : PHONE.'-..-' - '~FAX 1(90 21 OO2. S'43S 05c-2 EMAIL'EMAIL A ARCH/DESIGNER NAME & ADDRESS STATE LIC A STATE LiC # CLASS CI1Y BUS LIC A -C4:2LA )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 thee 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)). . . . . . . . . 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? J=lYes 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? LYes L. No - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - - I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address - - - I certify that l have read the application and state thatthe above information Isconectand that the Information onthe plans is accurate. I agree tocomplywlth all City ordinances and Stale laws relallngto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 051-IA M OSHA permit is requited for excavations over 5 deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building OfFdal 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 ?r if the ilding 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 1 06A Uniform Building Code). .APPLICANTS SIGNATURE DATE - STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. .. S tgCERTIFICATE OF .Zu(IJI 51ANCY (Comm ercia Proj ects On ly) Fax (760) 602-8560, Email buiIdingcarIsbadca.ciov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue Carlsbad, California 92008. #: (Office Use Only) CONTACT NAME OCCUPANT NAME . ADDRESS -. BUILDINGADDRESS — CITY STATE - ZIP CITY STATE . ZIP - Carlsbad - - CA PHONE'- - - EMAIL ................................. •-. OCCUPANTS BUS. LIC. No. DELIVERY OPTIONS . . rL PICK UP: LV. CONTACT (Listed above) OCCUPANT (Listed above) - CONTRACTOR (On P. i) .. - .. . ASSOCIATED CB# . . MAIL TO: MCONTACT (Listed above) OCCUPANT (Listed above) . . CONTRACTOR (On P. i) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TOOTHER: .- . . . . . CHANGE OF USE/ NO CONSTRUCTION ..APPLICANT'S SIGNATURE ......, . DATE i S - . . •- . . . . - City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2010 Sign Permit Permit No CB101175 Building Inspection Request Line (760) 602-2725 ç Job Address: 1846 MARRON RD CBAD St:180 - -. . Permit Type: . SIGN , -. -, . Status: ISSUED Parcel No: E/1563011600 " Lot #: 0 . Applied: 06/25/2010 Valuation: $2,000.00 Construction Type: NEW Entered By: KG . Reference #: - * Plan Approved: 06/25/2010 PC #: ' - - Issued: 06/25/2010 Project Title: . ' ' VERIZON WIRELESS-INSTALL (3) Inspect Area: . ILLUMINATED WALL SIGNS Applicant Owner __... SAN DIEGO ELECTRIC & SIGN P K I NORTH .COUNTY PLAZA L P - .• . STE 312 - . I (33 NEW HYDE PARK RD #100 871 HAROLD PL 91914 . - \NEW,HYDE PARK NYA 042 -JLjfl/ -• \. . 619:2160213 Building Permit $44.98 Add'I Plan Check Fee Ilk" Electrical Fee P.00 e-/ 'Add'I Building Permit Fe .0 Plan Check n1v1>ç; Add'I Renewal Fe Other Building Fee r$20.00 Add-itional Fees TOTAL PERMIT FEES Pj Total Fees \s94 22 Tt P M% Due / $0.00 Tw INCORPORATED 1952 RA -r/%ED, PER"T EXPIK Iwo PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. - •• - - SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE J2j SIGNATURE _AL_ FINAL APPROVAL Inspector: . Datef .... Clearance: NOTICE Please take NOTICE that approval of your project includes the Imposition of tees dedications reservations or other exactions hereatter collectively referred to as 'lees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely fotlow 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 ties a''d capacity changes, nor planning, zoning, grading 6r other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any rfees/exacfions 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 .' S - • - rax: (OV-DU-DDffl - u-ia. i%• iJIUU CARLSBAD www.carisbadcaov Date (01/O I JOB ADDRESS SUITE#/SPACE#/UNIT# APN CT/PROJECT # I LOT # PHASE # J #OFUNITS J#BEDROOMS # BATHROOMS TENANT BUSINESS NAME \i) 1 CONSTR. I 0CC. GROUP ' DESCRIPTION OF WORK: include Square Feet of Affected Area(s) EXISTING USE - PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE - AIR CONDITIONING FIRE SPRINKLERS YES 0 #__ NO 0 YES 0 NO 0 YES P NO 0 CONTACT NAME (if Different Fom Applicant) , APPLICANT NAME - - ADDRESS . - - - ADDRESS - - - \O '2.-O CITY. '- STATE ZIP . -. -: CITY -. ' STATE ZIP Er'-cp, PHONE - - FAX , PHONE FAX • ' EMAIL ,. . - EMAIL (<\ c.0 VIA ' PROPERTY OWNER NAME I . 0 (-Q AThr,¼E.0) CONTRACTOR BUS. NM ccA Q\ 2S-C' 5\(b ADDRESS - ADDRESS (? (T. CITY STATE ZIP CIII - STATE , ZIP CA-52,0 PHONE FAX PHONE L EMAIL EMAILe e ¼ ARCH/DESIGNER NAME &ADDRESS STATE STATE • CLASS I c.uc.# - Building Permit Application Plan Check IKOW - 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value3 O CITY '0 F 760-602-2717/2718/2719 - - (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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars f$50011. Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: - - O I have and will maintain a certificate of consent to self-Insure for workers compensation as provided by Section 370001 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 number are: Insurance Co. _7€ — PolicyNo.O~Ma.203 3!It Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ' S 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 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 (11,100,000), In addition to the cost of compensation, damages as provided for in Section 370601 the Labor code, Interest and attorney's fees, CONTRACTOR SIGNATURE I31(NT DATE - "" :- . '': ' thereby affirm that lam exempt from Contractor's License Law for the following mason: 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 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). ' O 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). .' O I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed properly improvemenl. I] Yes 0 No . . •. . . - I (have! have not) signed an application for a building permit for the proposed work. . -. I have contracted with the following pe co rson (firm) to provide the proposed construction (include name address! phone! ntractors' license number): , I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maj work (include name! address phone contractors' license number): I will provide some of the work, butt have contracted (hired) the following persons to provide the work indicated (include name address phone type of work): .PROPERTY OWNER SIGNATURE OAGENT DATE ___:' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fore, or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes l%Io Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CI Yes .No * / Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CI Yes '&No I . IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - " I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). - Lender's Name Lender's Address .' ........•.. ;. •:' .. I certify that I have read the application and state Mat 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. lALSO 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 excavalions over 5 deep and demolition or construction of structures over 3stories in height, . 4 EXPIRATION: Every permit issued bythe Building Official under the provisions of this Code shall expire by lirnitalion and become null and void if the building or work authorized by such permit is riot commenced within. ,l8O days from the date ofsuth permit orifthebulding authorizedby such permit suspended or abandoned at any time after the work commenced for a period oflso days (Section 106.4.4 Uniform Building Code). ..APPLICANTS SIGNATURE —'--- DATE 'a t5 01 1 1 .1 . , * 4.'. .. .'_ - - I - :.- ! p . . . I 4 .1 _$ .,.i *.. '1.4 - . I-. • .•*•• - i*'•*•-. -* . .. . - . , - - I . - C. 4 , - I - . . -. .- . 3 . . .4. c',. . , _,• 4. .4.. 4 ,•• * . - . -. .. , 4 -, . - .* .4,.. -- ' -. -- .. , - I .- ;'i 4. ,.4_. 1• "...•p -I 4 . . - - 4. . I • .. 4 - . - •* . p p 1 4. . :• .te , . -. .I ._•- ., .. 4 -I - .. .. - . . . •• , I I - 4* • 1 4f * 4 4 4 * - -- ' ,• -. ' -: • . -- * - - I . ;" , ••.*• ••, •1 I ._. - , ... • . - •', .4 f . . *• .4 - .- * -- . - - -•. , -- . -'4 . ' - -. - .;_ -- . - -' . . ./ - I c S I .• .4 4 4_I •• * - \. City of Carlsbad~- 1:141, k4 / ' .1635 Faraday Av Carlsbad, CA 92008 10-15-2004 Sign Permit Permit No CB043903 fl\ \ Building Inspection Request Line (760) 602-2725 I! .-. V - -. - .. • •. -. Job Address:- - 1846 MARRONRD CBAD Permit Type SIGN Status ISSUED Parcel No: ..' Lbt#: : 0 ..• Applied: - 10/15/2004 - Valuation:' - . $4000.00 Construction Type: NEW - Entered By: RMA - Reference # Plan Approved 10/15/2004 - - Issued 10/15/2004 Project Title H & R BLOCK 2ILLUMINATED SIGNS - Inspect Area 4 1 - 7 I - - --• - -. • --. Applicant Owner COAST SIGN INC :--- - '• -- . .:-: 1345 ALLEC ST 4 CA 92806 1 Aj Pe"rmit $53.49 Add, I Building Permit Fee $0,100 ;Plan Check $ Add'l Plan Check Fee/ so.ob Electrical Fee : $000 Add'I Renewal Fee $0.00 '\ :' • Other Building Fe6 ( '' N o Additional Fees $108.::-.,TbTAL PERMIT F ES - Total Fees $108.26 Total, FYments ace Due $108 26 t •i• ..•4 t, -L2!Lv"/: YT- I 3 10/15/04 000201 02 CGP 108 - 26 P. -• 4 ) -:.. t-1 - / 41. - - r -, = ,- - . -. 4-.- - - P •. . .'-.. -P.-. I .• !-'- ? PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT ' 1635,F'aradayAve., Carlsbad, CA 92008 a-OK UH-Wh USh UNLY • PLAN CHECK EST. VAL. _________________ Plan Ck. Deposit Validated By - Date Address (include Bldg/Suite if) : - . Business Name (at this address) . S Legal Description ., Lot No.. Subdivision -Name/Number Unit No. Phase No. Total if of units S.. . . S. Assjss9r1S Parcel . Existing Use -..- Proposed Use uO lWAYn Descr7oyrk . SQ. FT. . ifof Stories if of Bedrooms if of Bathrooms Name Address . City, . State/Zip Telephone if :Tax if Name Address . . City. State/Zip Telephone if 51 - (Sec. 7031.5 Business and Piofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair a'ny structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that No 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 . State License if (,1) .'-/'-J 0 . License Class ( _Lf.') city uuslness License Designer Name Address City State/Zip Telephone State License if K, INTIA-21 Uff Em" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent to self-Insure, for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued 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 ermit Is ,6ued My worker's rer and ollcynumberare Policy No Dat41 e q,/1 Insurance Company __4 '. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FORT ONE HUNDRED DOLLARS (81001 OR LESS) CERTIFICATE OF EXEMPTION I pertify 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 work4W __- nee o Ills Is unlawful. and shall subject an employer to criminal penalties and -cIvil fines up to one hundred ' thousand OIlers (8 .000). I dl th ompensatlon, damages as provided form Section 3706 of the Labj46de, in rest and attorneys fees. - SIGNA U -' DATE FiWoWW _u I hereby affirm that I am exempt from the Contractor's License Law for the following reason I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale " - (Sic. 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) to I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor a 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). . .. . - S S . - - : - ,. •. S 0 I am exempt under Section Business and Professions Code for this reason .1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2 I (have! have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number) 4. . - I pun 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) - 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'______________________ - is the applicant or future building occupant required to submit a business plan,, acutely hazardous materials registration form or risk management and prevention________ I'•. 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 ,.,O 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. FIN AL-CERTIFICATE OF OCCUPANCYMAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETlNGTHE -' REQUIREMENTSOF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT: - - - I hereby affirm that there-is a construction lending agency for the performance of the work for which this.permit is issued (Sec. 3097(i) Civil Code). - • - , LENDER S NAME LENDER'S ADDRESS__________________________________________________________ - I certify that I have read the application and state that the above information is correct and that the Information on the plans Is accurate I agree to comply with all City ordinances and Stite laws relating to buildingconstruction. I hereby authorize representatives of the Clt' of Carlsbad to enter upon the above mentioned property for inspection purposes; • .1 ALSO AGREE TO SAVE, INDEMNIFY AND 'KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. • JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA 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 t1e building Official under the provisions of.this Code shall expire by limitation and become null and void lithe building or work' authorized such permit Is not commenced thin 180 days from.the ' cli Ito if the building or work authorized by such permit Is, suspended or abandoned - . at any tim e after the work commence a period o da s - t .4- -Building Code). APPLICANT'S SIGNATU E _ - DATE . - - . PINK: Finance WHITE: File , YELLOW: Applicant -' •_t S • -. . q_' t City of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 12-19-002 Sign Permit Permit No: CB023823 Building Inspection Request Line (760)602-2725 Job Address: 1846 MARRON RD CBAD Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 12/19/2002 Valuation: $1,000.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 12/19/2002 Issued: 12/19/2002 Project Title: VERIZON WIRELESS ILLUMINATED Inspect Area: SIGN . Applicant: Owner: INTEGRATED SIGN ASSOCIATES. 116O PIONEER WAY .-.••-% - - / 4 . EL CAJON CA 92020 619-579-2229 ,1 A . - t / - I Building Permit -.•y • '4'. - -.. $21.33 Add 'l Building Permit Fee '\ d / $0.00' Plan Check /'• $13.86 Addl Plan Check Fee ' $000 Electrical Fee / . - $20.00 RenewalFee '--- ':- -- --'' '-"-.. _-' $0.00 Add I Renewal Fee N. - .. .A/ / $0.00 Other Building Fee $0.00 Additional Fees ) $0.00 ••:'•'- TOTAL PERMIT FEES t... $55.19 • ;,. A -. Total Fees $55.19 Total Payments To Date , $0.00 Balance Due $55.19 . T; ; - .. / :- . / '4 / çrj 3908 .12/19/02 0002 01 02 1 . it'2 , CGF 55 19 - i__i - - ------ f ) \. • / - -' - •- ---,--- - -4 . FOR OFFICE USE ONLY — ,PERMIT APPLICATION, PLAN CHECK NOOZ&Z CITY OF CARLSBAD BUILDING DEPARTMENT EST 4VAL 1635 Faraday Ave, C P1 dk~b~06S'it- arlsbad, CA 92008 Validated ' . Date Address (include Bldg/Suite #) . . . . •- '• - i..: BusinessName (at this-address)'. to . IIEIZ(Zo,.J WiR.EL$ Legal Description ' Lot No. : Subdivision amember . Unit No. Phase No. ,' Total # of unit N /Nu s 4. 4 4Assessors Farcel #. - ". _ . . Existing Use . . .. . . .:.. . _. .. Proposed Use "- ) cx Description of Work SQ FT #of Stories # of Bedrooms # of Bathrooms kiT .LL,"/__)UUt,aAT1) ~A L4 2.8 ,ONTAöT, gJdifleré ann r'•. : '' J Address City state/zip Te]phcne S Fax lfPLIANTjJ Cnctor. Cracor O iie r ..j'Jame . Addic' . . City State/Zip Telephone # 4 pbpTvr ,'— ) Name . .. Address . City ' State/Zip Telephone (Sec._7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter,.improve, demolish or4repair any structure, prior o 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 Businessand Professions Code) or that he'isexempt therefrom' and the basis for the .allege'dl . i.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 dollarsl$500)l. 'I L. es co e& ,Name I Address City State/Zip Telephone # State License # 11'b0 8'~.8 License Class ClO/c 1'45 City Business License Designer Name Address -. ,City~ . State/Zip' ' Telephone.- SttLicens&#'''" OSATJPN . - f4.Workers' Compensation Declaration: l 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 fortthe performance ,. of the work for which this permit is issued .4. l have and will maintain workers' áompens'ation, 'a required by Section 3700 of'thd Labor Code, for the performance of the iork for which this'errnit'i . - issued.'.My worker's co pensation insurance carrier and policy number are I Insurance Company 115'r,&. P1P (s t'u" Policy No ("7 , 0"?.. Expiration Date lot' /o a (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) I ' ' 'D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whi'áh this permitis issued,"l shall nOt,e1np10y any per's6n in,'n'y manner so as- . to become subject to the Workers Compensation Laws of California ' ç - WARNING:' Failure to secure workers" coqqensation coverage is unlawful,' and shall subject an employer 10 criminal penalties and civil,.fin'es up to on hundred thousand dollars ($100 000) in aqi.ion)2he cost of compensation damages as provided for in Section 3706 of the Labo1 cod interest and attorney's fees SIGNATURE _________-. __.. _' DATE I 'L/ tf o '_. QWNRBDERDEc I hereby affirm that I am exempt from the Contractor's License Law for the following reason - . Las owner of the property or my employees with wages.as their sole compensation, will do the work and the-structur6 is not intended or offered 'for sale (Sec. 7044, Business and Professions Code: The Contractor's Linse Law does not'apply to an owner of property, 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 t .t,sold within one year of completion, the owner-builder will have the burden of proving that hedid 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 lam exempt under Section ______________ Business and Professions Code for this reason 1. 'F personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO f, 2 (have / have not) Signed an application for a building permit for the proposed work 3. -(have have contracted .with the following person (firm) to provide'the proposed constructionlinclude 'name I address'/:phone number / contractors license number):!" 4. " , ' -: •-, . . ''I ",', •,', t',,4 4. -''-' " .- - - I '4.''' 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the malor work (include name / address / phone "number/contractors license'nu mber): __"'-:----'--'- ' i',.-. , " '..,.',r ' . ',, ' - - •,..' ' ' 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name I ad4'dress / phone number / type of work) PROPERTY OWNER SIGNATURE -' , - -' "'- ' ' -' ': '- •' ' 'b-" '- "o"i' DATE LY ' Is the applicant or future building occupant required to submit a business plan acutely hazardou.. materials registration form or, risk management dnct prevention - program under Sections 25505 25533 or 25534 of the Presley_Tanner,.ftazardous 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 ANYANY OF THE ANSWERSARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE'APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCTION LENDING I hereby affirm that there is a construc-tioA'Ierdi rig lqe'r C for the' t e'rformdrir'I' of the ,00rl for which this permitiC iCsued (Sec. 3097(i) Civil' Code(, - LENDER'S NAME.' ' ' - LENDER'S ADDRESS &APPUCANToCERTIflCATION I certify that -I have read the application and State that the above iitormatioii is correct and that the intorrndtion on the plans is accurate agree to comply with all City ordinances and -State laws relating' to 'building construction. - I (ireby authorize' representatives' of the Cit' bf Carlsbad to enter 4'ipen the above mentioned - -,property I for inspection purposes. I ALSO AGREE.TO SAVE, INDEMNIFY AND KEEP HARMLESS,4.THECITY OF CARLSBAD AGAINST ALL LIABILITIES, -- -' 'JUDGMENTS, COSTS AND EXPENSE W S WHICH MAY IN ANY AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF'yHE 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 thè building or work authorized by such permit is not commenced within 180 days frgVthe 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 peniod,.af 180 di (Section 10644 Uniform Building Code) ' APPLICANT S SIGNATURE ____ / CDATE V V WHITE ' File YELLOW Applicant 4' PINK Finance 4' 4' r~o City of Carlsbad Bldg inspection Request WD W:7~7 Le For: 05/09/2003 : Permit# CB023823 Inspector Assignment: RB Title: VERIZON WIRELESS ILLUMINATED V Description: SIGN Type: SIGN Sub Type: : V - -Phone: 6198437540 Job Address: 1846 MARRON RD S Suite: Lot 0 - Location: Inspector: V APPLICANT INTEGRATED SIGN ASSOCIATES Owner: V V Remarks: V Total Time: c . Requested By: LARR'1 V Eritered By: CHRISTINE V CD Description V Act Comment V 38 Signs V V V Associated PCRs/CVs .' V Inspection History Date Description . Act Insp Comments V 05/01/2003 38 Signs - co FIB SEE NOTICE VV . : ' V V • .. 'V V = V V •V . F . V V - V V V V - _ V - V - V V _-•- V V. V _ - •V •V - V + • V -V * V V V. •'V - - - VS V - V • . V V 5 -S -S . ••V V V - - V V - +V • - V - - f V • • S . V. • V V V F • V V V V .5 V •_V ¶ I - - V V V - - V . V • V' V -. •VV - - VS V V - - •0S_ • - - - •5t • V V5 V S- '- -• V -, - • -• • • • • + - - • - * + - - V •V V •,VV ' V - VICE i 02 0002 01 COP 02 49=65 Total PàvmentsTôDate: $000 \ BalanôeDue 4,- / ($17.97 $000i 1:68 $PL00' $0.00 $0.00 $0.00 $20.00 $0.00 INCORPORATED / $49.65 1952 / $49.65 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-12-2002 Sign Permit Permit No:CB020445 Building Inspection Request Line (760) 602-2725 Job Address: 1846 MARRON RD CBAD Permit Type: SIGN Parcel No: Lot #: 0 Valuation: $750.00 Construction Type: NEW Reference #: Project Title GAMESTOP ILUM WALL SIGN Applicant ST CHOICE SIGN & LIGHTING SER 610 ROCK SPRINGS RD / 3 ESCONDIDO, CA 92025 7 760-746-5069 Total Fees: $49:65 .- / / I r Building Permit j AddI Building Permit Fee ,',, Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee \ Add'l Renewal Fees Other Building Fee\ Additional Fees TOTAL PERMIT FEES\ (/ Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/12/2002 JM 02/12/2002 02/12/2002 FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions, if you protest them, you must follow the protest procedures set forth in G vernment Code Section 66020(a), and file the protest and any other required information with the City Managei for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. . • - You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any .' ) C a t IL a l FOR OFFICE USE.41 ONLY—. PER MiT APPLICATION t PLAN CHECK NO EST. VAC 2 G TEN a ay e Carlsbad,, CA 92008, Valid ted By 9 kOTJNFOMATIOW .Lf1/ Address (include Bldg/Suite #) Business Name (at thu address) b-- Legal Description Lot No ubdivision Name/Number Unit No Phase No Total # of units ,. - a - '?.-/...-"( - - '.. - -a- '. -• Asse sor s arcel # Existing Use ,,( Proposed Use £ /çT ,. .Description'bf'Work - . - -. S FT. - #of Stories a # of Bedrooms a .# of Bathrooms' "S at-' "t- a "y'an*&5"aa -.-a-" fl- ICIA . (4 . Q. Name . - -, Addresi - City State/Zip Telep')ione# Fax# 15 AT mth cractcr D'a° L Asrn for wnr .- Name U Address City State/Zip Telephone # — T 4e 'a at' a- a Y-4 3 cao- J(u j i' 1".ei4 L?it , 4. Name Addre City State/Zip Tel hone # i * 7. (Sec 763i.5 Business and Professions Code Any City or County which requires a permit to construct alter, improve _demolish or repair a 21 ny structure prior to its " issuance, -also• requires the applidant- 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 Section7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged ex e on. Any violation ofSection 7031.5 by any licant for a p rmitsubjects the applicant to a civil penalty of not more than five hund dollars l$500l) . ' S Lal 0 cfr c&J Z€f - -c'-o 4 Fz z ç4 - ama - - Address. - . - City State/Zip Tel - hone #_ - - ' Sta t LI..' cz License Class f S City Business License # -.',a -• .-. - ----s.,- .. Designer Name - t Address City State/Zip Telephone - State License # 'a $ ½ LTa1EioMSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 'a D I hav 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 aL e' 1a I hav and ill maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the wrk for which this permit is h '.-'ised My'worker s compensation insurance carrier and policy number are ' / 4 lnsunce Company 'a /fL'k. ,C.aa._aa&( " Policy No '77f.? '" t'tc 37c-t xpiratiiri"ate £7(7 /7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) $ ' .'-. . S..- -, a.. 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 - 14- to become subject to the Workers Compensation Laws of California a , . , 1 WARNING Failure cure w rs compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred a " thousand dollars I 100 addItion t e cost of compensation damages as provided for in Section 3706 of the Labo code I terest and attorney's fees DATE 2/_z./' — ç !.a L7.OWNER.BUIERDI/ARATION - .. . .. a r.1 hereby affirm th xempt from th Contractors License Law for the following reason a ' D'l 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 ale ' (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 a ' 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) 'a 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 "-a pursuant to the Contractor's License Law) L A 0 I am exempt underSection Business and Professions Code for this reason 'a aua a I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES DNO • I (have / have not) signed an application for a building permit for the proposed work '. - ........................- 'at ,- - -- - 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) a 'a S.. ,- - . a -• - '-S. 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) 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 .r of work) - 'a PROPERTY OWNER SIGNATURE I a' DATE Vuh 0905, - a COMPLETE Ta 4 a ' j the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention a' program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES 0 NO I" a - 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 'a --'s •' ',a , Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO a a a IF ANY OF THE ANSWERS ARE YES, N I '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 agency5for the performance of the work for which this prmit.is issued (See. 3097(i) Civil Code). ,- S. - - -- . - •1, a-'' €5 LENDER S NAME -- LENDER S ADDRESS 9 . a 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 "a - - - City ordinances and State laws relating to building construction. I hereby authorize representatives of tIe Cit' of Carlsbad to enter upon the above mentioned.'- a property for inspection purposes. - I ALSO AGREE TO SAVE. -INDEMNIFY AND- KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations aver 5 0 deep and demolition or construction of structures over 3 stories in height 4. EXPIRATION Every permit issued by the buildinj,,Official under the provisions of this Code shall expire by limitation and become null and void if the building or work 'a a' authorized by such permit is not commenced,afli1W 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is commenc a period of 16 days (Section 10644 Uniform Building Code) "a APPLICANT'S SIGNATUR / ' a DATE WHITE ,, File 'YELLOW Applicant PINK Finance a a - - - C.. - 'a a - j. ... - . - - . a •-- -. - - - - - city ófCarIsbad 1635 Faraday Av . Carlsbad, CA 92008 10/31/2000 \ - Sign Permit Permit No 0B003988 Building - Inspection Request Line (760) 602-2725 ' - k - Job Address M 1846 ARRON RD CBAD Permit Type SIGN Status ISSUED Parcel No Lot # • 0 Applied 10/31/2000 Valuation $2,000.00". Construction Type NEW Entered By CB Reference # .Plan Approved 10/31/2000 Issued 10/31/2000 Project Title VERIZON WIRELESS WALL SIGN Inspect Area ELECTRIC WALL SIGN -w Apphcant AST CHOICE SIGN &LIGHTlNG'SERVICE .• 1,-- - 2982.0/31/000002 01j02". 0 ROCK P "ESCONDIDO, CA :/ \ / CGF 7202 760;.746-5069 pt "Total Fees r$72 02 Total PymentsTd Date $000 A, "aIane Due \ -$72.02 '.Building Permit"- / G _\ 435 '. -.Add 'I Building Permit Fee . •. -. . -" .. $O.00 Plan Check I .' $28:31 .. Add'I Plan Check Fee -Electrical Fee Renewal Fee Add'I Renewal Fee, + tIm ) . Other Building Fee, TOTAL PERMIT FEES - $72.02 1' ' •- - 14 / 44. CORPO1ATEO .. / c L F .:. - ..' - • ..' .. F, '' - . -. - .4, •4 •_ , .-., -, . . - .44 _ . . - •• - . - , - . . . . . - - .4 4 4, , 9, -- . . 4_F •-* -" . . . ., .. . . '4 4. 5 4' - _ -• - . . •,•• --4 .4--. ' . . - - 4",- . 4 ' . _,. - - . - - . . - - .' -.. - - .......... FINAL APPROVAL Inspector Date \ - Clearance NOTICE: Please take NOTICE that approval of your project includes the "lmpàsition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. if you protest them, you must follow the protest predèdures set forth in Government Code Section 66020(a), and file the protest and any other required information with th . e.City Manager for processing in accordanc6 with Cailsbad Municipai Code Section 332030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside void or annul their imposition .4 You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.-. ---'--" - * FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO £OO 3qi CITY OF CARLSBAD LM 4 BLDING DEARTMENT EST VAL 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ok Deposit Validated By_____________________ Date___________________ 11 -%' RPJEPMILQL ....._. -. 0 Address (include Bldg/Suite #) Business Name (at this address) "Legal Description Lot No. Subdi ision Name/Number.. ' Unit No. Phase No. 'Tótal #ofunit — &( £ xine f(S . roPosedUs Description of Work'- . SQ FT., .' #of.Stories... - # of Bedrooms #bf Bathröóms - Lic no S. 0-0 Zc/ / 'Name . - Address C,ty State/Zip Tel one # 'Fax '# 3.Tp lCA yr E A n torC Cv fl g nt for Own r ) 1 / -- 'Nane .(.i. (.AddiIss 'City' td1Zp"' Telephone.' r PROPER1WER J-i.. Na~nn $ 3cv j1/d, — ' ' ' Adress' ..-- - City State/Zip T lephine # ' CTRRLCbMPANME (Sec.7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or, repir any structure,' prior toits rissuance, -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, liChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel'or, that, he. is exempt therefrom, andthe,basis for the-allégèd exe ion ny violation oLSection 7031.5 byany lica t for pernit subjects tit applicant to a c'vil enalty o n't'rnore than five Iundred dollars ($500)). - 'c.e —t'-ij's P&5 79'C--cz1 'Name Address City State/Zip Telephone # .1 , State License # _L 'c') '•'i. (' License Class (..,.- T ) City Business License # ( Zo Designer Address " City State/Zip Telephone State License # NSATI Workers' Compensation Declaration: I hereby affirm under penalty-of perjury one of the following declaiations: I have and will maintain a certificate of consent to sélf-iñure for-workefsScompensation as provided by Section 3700 of the Labor Code, for the performance ji t.of the work°forwhich this permit is issued:' •0'o •°0.- '• . o . I have and will maintain workers compensation as required by Sction 3700 of the Labor Code for the performance of the work for which this permit is issud My worker's co sat'on in,urance c rier and policy number are Insurance Company ¼--14 J_—_.,tell Policy No P f_e I 57" Expiration Date____ //"O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION ],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 Fai to cur o rs compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thous&nddollars $ 0,000 addition to the. t of compensation, damages as provided for in Section 3706 of the Labor c de. nt rest and attorney's fees SIGNATURE ___/— DATE ___/3 //72 OWNERBVEECLAATION, A I hereby affirin t xempt from the Contractor s License Law for the following reason D. 1,-as owner of the property or my employees with wages as-their sole compensation, -will, d6-the work and tPe-structure is not intended-or offeredfor sale (Sec. 7044, Business and Professions Code: The Contractor's License .Law does not apply to an owner of property wh'obuiIds or improves thereon, and who does 0 ,such work himself or through-his own employees, provided that such improvements arenotintended or offered for sale. If, however,'the building orimprovement is 0 sold within one year ofcompletion, the owner-builder will have the burden of proving that he did not build or improve for the purposeof sale). 0 . ....................... 0 •00 00• ........0 .................................. 'TO I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Buiness and Professions Code: ,.The rContractor's LicenseLaw does not apply to an owner of property who builds or improves thereoh,'and contrácts fOr such projects with. c6ntractor(s)li6ensed pursuant to the Contractor's License Law). 0 ' •' • 0 ' I am exerript ünder Section Business and Professions Code for this reason 0 • Fpersonall0I5lan to provide the major labor andinaterials for Oonstrüctioh of tliepiioosed property improvement. DYES ONO 0 -. •_ 0 - :,. P 0 2. ,j.(have I have not) signed an application for a building'permit forthe proposed work. . 3 I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I contractors license number) 0 0 .,.l plan to provide portions of. he work,but I hae.hired the following person to coordinate, supervise and'rovidethe major.wórk(include.name.I address/phone 0 0 0 •number/ contractors license number): willprovide some of the work, buti havecontracted (hired) the following persons to prOvide the wOrk'indicCted (inclUde name / address 7 phone riimber/type, .'of work): 0 - 0 --------------------------- 0 0 - - -, - 0 '- 0 -' - 0 0 - -- PROPERTY OWNERSIGNATURE 0 - DATE--___, ETHIION Mff11V 0 Is the applicant or future-building occupant required to submit abusinessple'n;'acutely hazardous materials, 'registrationformi or risk management and prevention •> 0 o program under Sections 25505, .25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES" [-],-NO 0 - - •VO,•- -' .. .,,..-. Is the applicant or future building occupant required to obtain a permit frm the air pollution control district or air quality management district? 0 YES 0 NO Is the facility t'be construted within 1,000 feet of the outer boundary of a school site? 0 ES 0 NO I i 0 IF ANY OF THE AN1.SWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR.IS MEETING,THE REQUIREMENTS OF THE OFFICE-OFEMERGENCV SERVICES 'AND THE-AIR POLLUTION CONTROL DISTRICT.- 0 ° - -- - I - ----------- 0 0 - — — - :- :0 hereby affirm that thee is a consiiuction Ird ncr aerc - for thej°rforrnn I the -. r I r-.hi°I°i th Permit i Inc d (Sec. 360(i) Civil C d: - •0 - - •i r. :. LENDER'S NAME --.' __.5__--___,0 •0 ___- LENDER S ADDRESS _- -- APP cJjfiiONLr* 0 - - • - •fle'- S 'I certify that I have read the appliôation and $tte that the above information is correct and that the .infoma°tioh on the.plens iaccurate. -!acee to comply with. all - 0 City ordinances and State laws relating to building construction ze I hereby authori representatives of the Cit%' of Carlsbad to enter upon theabove 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,requiredfor, excavations over5O"deep anddern°olitionor construction of-struàtures 0ver3 stories in height. EXPIRATION Every permit issued by tt'e building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authoriied b such érmit is not commenced within 180 days from-the date 61 such permit or if the buiIdirgor work iuthorized by such'pémit is,suspended &rabandon°'d-' at any time after the work is corn ce for nod of 180 ays (Section 10644 Uniform Building Code) ,APPLlCANTSSlGNATURE — , WHITE File YELLOW Applicant PINK Finance . 4 * - - B U I L D I N G P E R N I T Permit4 No: CB982250 07/15/.98.14:28 * Projec No A9802977 'age I of 1 Development No Job ,Address: 1846 MARRON RD Suite: Permit Type SIGN Parcel No Lot# Valuation 2,500 ConstructinType NEW Occupancy Group Reference# Status ISSUED Description (2) ILUMINATED SIGNS Applied 07/15/98 AIRTOUCH CELLULAR ' Apr/Issue: 07/15/98 Entered By JM Appl/0wnr ROBERTS SIGN AND LIGHTING 619 231-2353 9746 PROSPECT AVENUE SANTEE CA. *** 71 Fees Required Fee Collected & Credits -07/15/98 9077 .'OD01 COLI, : o 6-00 x 0 e 0 ata an Check Plc Other .2O 0 SIGN TOTAL 4 106.00 Building Permit 52. 00, 1: : Fl 1'IA~-,AF. F OVAL.. DA E INS 12 CLEARANCE t- I - 4 IA £ 4 CITY OFCARLSBAD •- 2075 Las Palmas Dr Carlsbad CA 92009-'(61.9) 438-116,1 - - •- - & a •-. - - - A - - - - S t -t '- _r ' •, -. t_ - FOR OFFICE USE ONLY PERMIT APPLICATION I I PLAN CHECK NO 5FJ 225'ô CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. KX ZdO 2075 Las Palmas Dr., Carlsbad CA 92009 Plan Ck. Deposit1 Validated By (760) 438-1161 Date 7(f')( 1.1.RROJECTINFORMATION k '..-414 '2) /5. 9 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 Descriptio o ork SQ. F . - #of Stories # of Bedrooms - # of Bathrooms Name Address . City State/Zip Telephone # Fax # Name . . Address City State/Zip Telephone # r 4 PROPeRTY ÔWNEA '?< / /C , .7,0? 'qLh /'//77 C,4-5'c?',2 4'6 .d/j7° ('lame , - Address City ' State/Zip Telephone # ., t (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 6f the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exem n. 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 I$50011. r S ,'5M?x1r 77' 7e-& C44 22 Z 7/ (6'g) /-23'3 Name . . Address . . ...City State/Zip Telephone # State4License License Class ('(' City Business License # i Designer Name Address . , City •. State/Zip Telephone State License # WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: o I have and will maintain a certificate of consent to self-insure 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 ., ( . . 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 ';z; ••• 1Cc, _i . Policy No. (_/7 ._.579 '/t// ( ' . Expiration Date •P-. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) C 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 as to become subject to the Works7Compensation Laws of California. - WARNING: Failure to secu orkers' compensation coverage Is unlawful, and shall subject an employei to criminal penalties and civil fines up to one hundred thousand dollars ($1,Q. . in addition to the Cost of compensation, damages as provided for in Section 3706 of the Labor cod,. Interest and attorney's fees. lGNATURS—" (__-:_- DATE 7 OWNER BUILDER DECLARATION " * ': .. I hereby affirm that I am exempt from the Contractor's License Law for the following reason - 0 'I, as owner of the p'roperty 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 Léw 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). V I,' as owner of the property, am exclusively contractirg with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply.to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). .,'- , . - - V • 0 I am exempt under Section . Business and Professions Code for this reason: I personally plan to provide the majcr labor and materials for construction of the proposed property improvement. 0 YES []NO I have / have not) signed an application for a building permit for the proposed work. V • . * :' - I have contracted with the following person (firm) to provide the proposed construction (include name / address / phoie number / contractors license number): V 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 (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): P , . C - - V • •J'' * PROPERTY OWNER SIGNATURE V DATE COMPLE THIS sECñOi FOWNO7ñESIöthTIA1 B'UILDTN'G PERNiITSONt,, 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 , V V - 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. - NSTRUC1 bEP!fJ , 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). V LENDER'S NAME ' - ', '1 - LENDER'S ADDRESS - - - - - - - * -V- 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 Citt' 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 commenced within 365 days from the date of such permit or if the building or work authorized by sich permit is suspended or abandoned at any time after the work is menced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT S SIGNATU ------•......._--------- DATE WHITE File YELLOW Applicant PINK Finance r - - / 2 B U I L D1 N G P AE R N I T Permit No CB911182 08/27/91 14 36 * i ProjectNo A9101490 Page, 1 of 1 Development No Job Address 1846 MABRON RD Str Fl Ste Permit Type SIGN Parcel o. it Valuation 8,127 Construction Type NEW 4161 08/27/910001 01 02 Occupancy Group Class Code , StatPHI ISSU0 00 Description PACTEL CELLULAR App'iie"d 08/16/91 -, - - Va1idSte3 By CD Appi/Ownr : CLE-AR.COMMUNICAT.I-ONS •- 471 6'033:. 425BRYAN DR -' I --:: SANMARCOS,CA. -. - ------------------- I.: Fêès:' \.•:.. Adjustments -' j 00 Total 'r its: \ Total Fees 'I360(\00 TotSa Pmp \ 00 / j alano\e \ 360 00 * ___!_____J__' --3 5 a Fee it\ Ext fee Dta rmit 108-0 : 70,00 !?!1E!: 360.00 : IV IN A FI PI?ROVAL I. - .•' : .' CLEAR NCE I - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009,(619),,438-1161,:.•- 4 -4 a - - A a PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009'(619) 438-1161 -1. PERMIT TYPE I A - 0 COMMERCIAL [-],NEW 0 TENANT IMPROVEMENT B - 0 INDUSTRIAL DREW DTENANT IMPROVEMENT C - DRESIDENTIAL DAPARTMENT DCONDO . []SINGLE FAMILY DWELLING DADDITIONIAITERATION El DUPLEX DOEMOLITION [-]RELOCATION' []MOBILE HOME []ELECTRICAL DPLUMBING DMECHANICAL ED POOL F1 SPA DRETAINING WALL OSOLAR DOTHER_______________ VAL '117 '. CX DEPOSIT I D. BY Address /y4 ,'7'-rem J. , Building or Suite No. -- Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: - - D2 Energy Calcs 02 Structural Calcs 02 Soils Report Di Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK BLDG. 50. FIG. H OF STORIES CoNjJACT PERSON NAME XQI( ESSL /77 ,'d /fO CITY /, - STATE ZIP CODE C a DAY TELEPHONE SIGNATURE APPLICANT OCONTRACTOR [-]AGENT FOR CONTRACTOR DOWNER . DAGENT FOR-OWNER NAME . ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER OWNER OLESSEE OTENANT NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CONTRACTOR NAME /yea 'c1 S ADDRESS DAY TELEPHONE('/) ./7/..- CITY 51 STATE ZIP CODE STATE LIC. H-lØ':,,4' .. LICENSE CLASS e- /() CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS . CITY . . STATE . ZIP CODE DAY TELEPHONE , STATE LIC. H WORKERS'- COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an anitted 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 /ri POLICY NO./)/(27O7EXPIRATION DATE X Xfz_ - Certificate 'bI Exemption: I certi t in the performance of the work for which his permit is issued, I shall not employ any person in any manner so as to become subject to the Worke... 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 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 Cede: 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-bui(der 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 Cede 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 suéh 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 Cede) 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). SIGNATURE - . , -, DATE COMPLETETHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant orfuture 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 NO Is the applicant or future building occupant required to obtain,a permit from the air pollution control distric . t or air quality management district? DYES DNO - Is the facility to be constri:jcted within 1,000 feet of the outer boundary of a school site? - DYES E] NO IF MY 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 DISTRICT. , CONSTRUCTION LENDING AGENCY I hereby affirm that there is aconstruction tending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code). - LENDER'S NAME LENDER'S ADDRESS APPLICANT'S SIGNATURE - - 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. Everypermit 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). -- - APPLICANT'S SIGNATURE DOWNER 0 CONTRACTOR PHONE - ' - - • flATE WHITE: File YELLOW: Applicant ,PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB911182 FOR 10/15/91 INSPECTOR AREA MP DESCRIPTION: PAC TEL CELLULAR PI ANCK# CB911182 OCCGRP TYPE: .SIGN CONSTR. TYPE NEW JOB ADDRESS: 1846 MARRON RD STR: FL: STE: APPLICANT: CLEAR COMMUNICATIONS PHONE: 471 6033 CONTRACTOR: PHONE:• OWNER: PHONE: REMARKS: MH/MARTIN/720-8410 INSPECTOR SPECIAL INSTRUCT: I _____________________ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS S S S 38 EL Signs - S ***S** S INSPECTION HISTORY ,***** DATE DESCRIPTION S ACT INSP COMMENTS S 4 r •:: •;. - - - 4 1• < -Y I LDING .PE .R 10/02/90 '08 34 - 'Project No A9001796 Page-,.,,,0f. 1 - DevelopmentNo Job' Address 484k MARROW RD S 4oSte., ' 5:perrnit Type: SIGN' c • .AP • PrcelNo S Valuation '4,O00 A ConstructionType' NEW.,~_111 ... Occupancy;'Group: 0.•." . •.Class .Code: . . . Status::ISSUED Description THE CELLARt STORE SIGN Applied 10/02/90 LUMINATED Apr/Issue 10/02/90 .• --:-.': ,-H-Y, , .'-.Val-idated B:.KZF- -' 8470 J..0102/90 0001 01.. 02 J'OWNER ' Y : CAHILL ,;BRIAN -. • -•- •.... . Lic. OWNER CONTRACTOR:..CUSTOM SIGNS •L 7 2464 - C S ,SANTA--FE AVE VISTA, CA 920)1' /\ 14 ,-, 4 ' . - 4 '- . Fees: 05.00) Adjustment - \ 00 ' ToiC3]s \ "00 - - ' '\ __j \- r ,- -•r -. - Total Fees 105- 00 Total Paymenps Balnoe Du-e: 105 .-00 !!!'---- Do 000 a 110 on : * •- .- - -. - -. S , 5;, • S....' '•._ 4 ,- S.,' . -S S - .':• •.' S '. S S .'•'.. 5- _5. 5' ''--.5-- - 5, _•1;S , - -. - r • - 5, 5 . S * • • _,d-_ • , ' S - '4 •- -. . •1 .' •-' - - S - - • 4 ¼ 4 . - 8. : . - -: , --' •. - - --- -.• . •_5,• -' ' S '5 J' - -.-' •,• S - CITY OF CARLSBAD '2075'LasPa1màs Dr., CarIsbd-CA 92009 (619) 438-1161' -. - 5, - • - - . - • .• - -. , _5S),S* ..,, - -. I -. -. , •'. ' • -t '5 - '• 4 .- 4 • - •t . - -. . ---• - -...............- . • -. _. - - S • '5 • - .• ( • _: . . - . 15' - • - . - • - '' , 5 -- - S" •• - 'S -, • • 8 - • 5- - - - '' • A, - . PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - 0 COMMERCIAL DNEW DTENANT IMPROVEMENT B - [)INDUSTRIAL DNEW DTENANT IMPROVEMENT C - DRESIDENTIAL DAPARIMENT E] CONDO DSINGLE FAMILY DWELLING DADDITION/ALTERATION []DUPLEX DDEMOLITION []RELOCATION DMOBILE HOME DELECTRICAL DPLUMBING DMECHANICAL DPOOL DSPA []RETAINING WALL DSOLAR EST. VAL PLAN CK DEPOSIT_______________________________ VALID. BY DATE PLAN CHEC Build— or Suite No. - ress t1C, MflIøI.J "e c,frei.'L' Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Hunter Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report p1 Addressed Envelope - ASSESSORS PARCEL EXISTING USE PROPOSED USE fl-t E DESCRIPTION OF WORK 66L1. L'L4-la s712 IeL L.2)62 f ' BLDG. SO. FIG. H OF STORIES CONTACT PERSON NAME I?0i41.J CA+4I—L_. ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNAIURE - APPLICANT []CONTRACTOR - 0 AGENT FOR CONTRACTOR %PWNER DAGENT FOR OWNER NAME CA J+ I IL_.. ADDRESS & 14 CITY J'1 o (hlegUtJ ( O 'STATE ZIP CODE 12.DLl DAY-TELEPHONE b2 PROPERTY OWNER OWNER OLESSEE []TENANT ADDRESS NAME 4,f1te CITY DAY TELEPHONE CONTRACTOR " NAME -- ADDRESS CITY /''2' " STA9 'IP CODE DAY TELEPHONE STATE LIC. H LICENSE CLASS CITY BUSINESS LIC. H 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 of Industrial Relations, or a certificate of Workers' Compensation Insurance by an actitted, 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 POLICY NO. EXPIRATION DATE 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 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 einplo?ees, 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: (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 (S500I). SIGNATURE DATE COMPLETE THIS SECTION FOR HON-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 ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DIES ONo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL 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 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. J'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). OWNER [-]CONTRACTOR DBT PHONE APPROVED BY: -. WHITE: File YELLOW: Applicant PINK: Finance h - 4 - - . ___••• - - CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB901585 FOR 11/27/90 INSPECTOR AREA PY DESCRIPTION: THE CELLAR STORE SIGN PLANCK# CB901585 LUNINATED 0CC GRP TYPE: SIGN . . CONSTR. TYPE NEW JOB ADDRESS: 1846 MARRON RD STR: FL: STE: APPLICANT: CAHILL, BRIAN. ' PHONE: 619-692-2032 CONTRACTOR: CUSTOM SIGNS . / fl PHONE: . OWNER: CAHILL, BRIAN PHONE: / REMARKS: MH/TOM/434-1022 INSPECTOR &41L, SPECIAL INSTRUCT: - TOTAL TIME: CD LVL DESCRIPTION , ACT COMMENTS 38 EL Signs *****,INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 112090 Signs , * NR PK NO PLANS ON SIUTE 111390 Signs NR PK LIGHTED SIGNS NOT COMPLETE- 4 -S I' * / - 7k t; S . . - - - - ' • APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS, S.SCARLSBADBUILDING"DEPARTMENT " x AAiOPERMIT - \2075.L'as Paimas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 ' .. . , ', - •..,,,- • ,, • .. •... . .108 ADDRESS S ' ' . V. ST,RD. THOMAS BROS NO DATE OF APPLICATION A ' VALUATION PER T NUMBER BUSINES LI: PHONE W 5 ' . ZONE BLOCK SUBDIVISION ASSESSOR PARCEL NO. , ' , CONTRACTOR. I , - . CONTRACTORS OWNER'S NAME OWNER'S PHONE - . ' • - - [LOT CONTRACTOR'S ADDRESS ' STATE LICENSE NO. ' BUILDING SO. FOOTAGE , &j OWN MAILING ADDRESS , - • - ' DESIGNER DESIGNER'S PHONE , S LDESC~RIP~IONWORK iMy" iJ4-7z:- DESIGNER'S ADDRESS STATE LICENSE NO. ,Q &'/(D// PIFLRELEV - NO OCCGP EDU- STORIES - . _, ,_,•,,, - YO NO - " - 0001 08/03 0101 02HdPint 64 •• -- -. -' -' -• ' - "a'-.....'- ---5, - . CENSUS TRACT PARKING SPACE RES UNITS r GRADING PERMIT ISSUED . - TYPE, -. OCC.LOAD FIRE.SP,R.., - . • f - ]REDEVELOPMENT AREA : - 'a CONST - Y O N 0 'D ND - YO ND Not Valid Unless Machine Certified - QTY PLUMBING PERMIT ISSUE 7 OTY - MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER - - - - ,,cuntractorlsf license pursuant to the Contractor's License '-° EACH,F,IXTURE,.TRAP . I. - , je INSTALL FURN. DUCTS UP TO,100,000 BTU , .. BUILDING PERMIT 001'810'00'00'8220 ' EACH BUILDING SEWER ' I ' . " I ''OVER 100,000 BTU, '.' "S" • ' SIGN PERMIT'"- 00181O-00-00'8221 C. 'EACH WATER HEATER ANOtOR VENT - , - BOILER/COMPRESSOR UP TO 3 HP, . - , , 'PLAN CHECK - , 001-810-00-00-8891' EACH GAS S'STEr1ii0"4'OUTLETS— . , ' , r" BOILER/COMPRESSOR 3-I5 HP 5 5 , - '-TOTAL PLUMBING 001'810'00'00'8222 EACH G'ASSYSTEM S OR MORE "'- i- ', - ' ' ' ,- METAL FIREPLACE '' ''-' .'- - '- '---- - --' ' _ - ELECTRICAL" - '001,810,00.00:8223 -EACH INSTAL't, ALTER, REPAIR WATER PIPE, , • , VENT FAN SINGLE DUCT MECHANICAL 00I'81000008224 .EACH ,VACUUM B9.EAKER... __- ._ . .- _•. , - ' MECH'EXHAUST H000OUCTS ' '. ' MOBILEHOME --_001'810'00'00'8225 WATER SOFINERL - S ' •, - . RELOCATION-OF EA FURNACE/HEATE-R -- '- - , ' ' -. 'SOLAR ' 001810'00'00'8226" a ' • EACH ROOF DRAIN IINSIDE) . . ' ' , . VENT ' S 880'519'92-33 - STRONG MOTION 'self.insure. or certilicaté of Wor,keTr,sCompensation In-ill TOTAL MECHANICAL ' ' ' ffDFYER ..'. - I . ' L -' ... - 'FIRE SPRINKLERS -. - 001'810'00-00'8227 - - - ; f IUIAI PLUMBING - I . ' ' . ': - PUBLIC FACILITIES.FEE' .320'8I0'0000'8740' - - - -'----- - OT'T - "F 'S"S - -. • - 'ELECTRICAL PERMIT - ISSUE - , 5 ' - 'QT'T' " -• . , MOBILE HOME SETUP-- - ' ' BRIDGE FEE ' 360-810'00'00'8740 PARK'lNLIEU(AREK htheit Z `L eby a shed NEW.CONST EA AMP,,SW1 86K ,,• : ' "- , ',' CAR PORT • 1_ TIF.,S • - 3128,1000'00'8835 - - -- - ],,PH_ -' - -3PH • '' "-' - ' is AWNING - • - ,• ' , LA COSTA TIF ' . - 311'810-00-00'885 EXIST BLDG EAAMPSWT'BKR - ; -• - . ' ' GARAGE "" ''S • '" . '.'" ' " FMF :--, 1PH r - 3PH . ''3.-rt_ . ', ' - - •, , - , LICENSE TAX - 0O1'810'00'00'8162 - -' - R,EMODEL'ALTER PER CIRCUIT • ' X i",' '.0 '' - [ -- ' - ' , - • -, MFF ' '.. 880-519'92'57 - - 4,manner so as to became subject to the Workers' Compen. TEMPPO[E'200,AMPS -'-OVER"200AMPS ' 's.O' ' ''' .' . 4 - . TEMP OCCUPANCY 130 DAYS: .: v" . , . , - . . ' ' • -- r - ' - ' • •. 1 -,CREDIT. DEPOSIT-- •- - '-'- -.T 0 TA L E LECT R ICAL L. -4 ;:TTFEESPAYLE !OT t4 -L - 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 I •* AN OSHA PEIT IS REQUIRED FOR EXCAVATIONS OVER - expireCode shall become null and void If building or work ate authorized by he 18nd CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING ,THE from of such so" DEEP AND DEMOLITION OR CONSTRUCTION OF commenced within 180 damit ys DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or lithe buildingor work authorized by such ISSUED: TO COMPLY WITH ALL CITY,- COUN1Y AND STATE LAWS GOVERNING BUILDING CON- :uup:ndedor STRUCTURES OVER 3 STORIES IN HEIGHT abandoned at any time alter the work is commenced for a period STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE * OWNER 0 01180 days. I CONTRACTOR V BY - OAT KEEP HARMLESS THE CITY OF CARLSBAD' AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH ACCRUE AGAINST SAID CITYN CONS'EOUENCE OF THE ' SMAY R'aNTANYWAY JAPR BY PHONE: D '1: ':.,, GRANTING e141_e ,..USEjALL.POINLPEN.ONLY,&1RESS HARD..S S ,heroby afllr'mthal ai licensed under. .J_. - °I) rovislons of Chapter 9' m (comenclng with I I- Section 7000) ofDlvIslon .3 of .the Business - I. ,.I.2and Professions Code, and my license is in L L - full force and effect. 4. 0 I hereby 'affirm that 1_am exempt from, the Contrac- .'ç.'tor:s,License Law or the following reason (Sec. 7031.5 I - Business and Professions Code: Any city or county whicr, Ce- - qulres a -permit to construct. atter. improve: demolish, or '?. repair any structure, prior to its issuance also requires the ap' I 4.,'plicanflor such perrrrif to file a signed statement that he is e' licensed pursuant to the, provisions of the Contractor's License Law (Chapter 9.cOmmenciitg with Section. 7000 01 —Division 301 the Business and lrefessions'Code) or that moo" - empt therefrom and the basis for-ihe.allegeo,evemption. Aoy3 violatioo.ot Section 7031.5 by an applicant for 0 permit sub' _ I ects the applicant to a civil penalty 01 not more than tine hun', died dollars l$500l " '" "S' '.5 S'_'_ 1.1. as owner of the property, or my'empIoyees with wages j - 45 heir, sole cumpe"nsalion. will do'the work, and the slruc' hire is not intended or uttered to, sàle.lSec, 7044. Business5 1' , 'and Professions Code: The Coytractor's license. Law. does I not apply loan owner 01 property who builds. o?'improves , - - thereon and who does such work himself or through his own - . ' x empleyees,'provided thaf'such improvements are not intend-'.' j.4 101 ed,or offered l,or'sale. lf,'howeuer, the building'brimpte,.,. Z went is sold within one year 01 completion. !he owner'builder will have the burden of prnving'lhal he did not build or im' I - -prove for'the purpose of sale), II I, as owner of .the. property. 'am exclusively conlracliog....j. ,, ç•. . with licensed contractors to construct the project (Sec. 7044, ".Business and Professions Code: The Contractor's License 'S ',Law does not apply to an'owner of properly who builds or im",I proves thereon, and who .contracts for each projecls,wilh a at 2 ç- NI 'As a homeowner lam improving my'heme, and the lollow'" 4' ing conditions exist: '.4'r,,,f.,,, ,, ' The work is being perlormed,prior 105am,, 2. I have lived , invrny home for twelve months I U prior to complelion of this work. 'r 3., I -have not, claimed this, exemption 'during the ' 0 - , last three yeurs - "0 I am exempt under Sec,-- - B &,P;C.1 - . - for, this reason. - .,'. "a, c_i:' liv TF Z7. O Jlliereby affirm 10011 have 'a certificate 01 cun'ser'a to I .surancn, or o'certilied copy thereof lSeC.'3800, Labor Code) POLICY NO'. • %'t Case - ~di UJ o 41e 'cERl'IFICATE OF EXEMPTION FROM 0. ' •"- ,,.WORKERS' COMPENSATION INSURANCE -. ' (I) lThis section, need not be completed if the permit tic n' is'Ièr one hundred dollars (StoOl or less)_, • LU .1 certify that in the performance or the anrk In, which ' ..thi5 permit is i5sundI shall not employ,any person in any,,I salmon Laws of California. . a 'NOTICE TO APPLICANT: It. after making this Certificate oI Exemption. rau Should become 5r36iecr to the Workers'' Compensation provisions of Ilpe Labor Code:yon most,. I' !.~forlhviilhiiornplylwith such proiisions6rihiS permr shall- ,be deemed revoked,. • ' - ' 'D-l'hereby affirm that iheeelsa construction lending Illu 0000cyf& ' Teperfiance of the work for which this per' 'mil is'issxed 154c1 3097, Civil Codel I Lender, s Address ' L - • S - • ' ' I, TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LI FLOOR LI CEIIJNG SHEATHING LI ROOF 0 SijEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL I PLUMBING LI SEWER AND BL/CO [J PL/co UNDERGROUND LI WASTE LIWATER TOP OUT 0 WASTE LI WATER TUB AND SHOWER PAN GAS TEST Cl WATER HEATER 0 SOLAR WATER ELECTRICAL_ O ELECTRIC UNDERGROUND IJ UFFER ROUGH ELECTRIC O ELECTRIC SERVICE LI TEMPRARY LI BONDING LI POOL MECHANICAL O DUCT & PLEM., 0 REF. PIPING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL I PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS / FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DA 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