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1850 MARRON RD; 100-110 MULTI-PERMIT FILE; CB120470; Permit
S City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-14-2012 Sign Permit Permit No: CB120470 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 100 V Permit Type: SIGN , * Status: ISSUED Parcel No: 1563011600 Lot #: . 0 Applied: 03/14/2012 * Valuation: $5000.00 Construction Type: NEW Entered By: LSM Reference #: V V Plan Approved: 03/14/2012 PC #: . . Issued: 03/14/2012 Project Title: ALBERTOS- INSTALL 2 ILLUMINATE - V - - Inspect Area: WALL MOUNTED SIGNS V Applicant: V Owner: VEXER ENGINEERING --P K I NORTH COUNTY PLAZA L P ,---C/O KIMCO REALTY CORP 26 VIA NOMENTANA .-- / (3333 NEW HYDE PARK RD #100 V CHULA VISTA CA 91910 ,' - JEW HYDE PARK NY 11042 V 760-554-9336 Building Permit $77.87 Add'I Building Permit Fee V \ '"\ $0.00 V Plan Check / / V \\ ,}$54.51 AddI Plan Check Fee _$0.60 Electrical Fee . - $0.00 Renewa 0.00 e Other j ing : e/ ,, i7' ?ee !\ . V Additional Fees ( .. TOTAL PERMIT FES , '\ ... '3 ) $172.38 V \ / r •VV• / / Total Fees: $172.38 Total Payments To Date: I ' $172.38 ' Balance Due: $0.00 \.' \ I .S—( / I II INCORPORATED 1952 V \v / J/,' \) / "V V FINAL APPROVAL V Inspector: •Date: 7 2 /z _ Clearance: V 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 tees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and tile 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 arehereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to wafer and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any lees/exactions of which you have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exnired • 0• r ,.. - Building Permit Application Plan Check No l-OV 7FJ 1635 Faraday Ave.,Carlsbad, CA 92008 . - Est. Value TV OF = CARLS 11 A Fax: 760-602-8558 Plan CK. Deposit I—U_i www.car(sbadca.gov - Date .311c4,1 12 SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# - - /oo-i , APN - CT/PROJECT A LOT # PHASE B B OF UNITS B BEDROOMS B BATHROOMS TENANI BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) Sjçj. 2eAcM EXISTING USE PROPOSED USE - GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE J.AIR CONDITIONING FIRE SPRINKLERS 37j) - 0fr(.1 - - YES D #_ NO YES. D NOD YES 0 NOD APPUCANT NAME (Primary Contact) . APPLICANT NAME (Secondary Contact) - ADDRESS - . 2-(o VM. 00 A47u72J4 ADDRESS S - CITY - - STATE ZIP J' sI7e CITY . STATE ZIP PHONE (760) 16 FAX _- PHONE . .'-.•. FAX tMAIL _____ . v ec qj /.c . EMAIL _- . - PROPERTY OWNER NAME ' - - CONTRACTOR BUS. NAME 'J€'YE(t _ ADDRESS --. 11,21_E Suf1,Mejvba-/ ADDRESS - CITY STATE ZIP- ', CA CITY- •- STATE ZIP 2—o Arl ' _-. PH E PHON FAX - EMAIL , ,f__• ARCM/DESIGNER NAME & ADDRESS I STAlt UC. B EMAIIJ C't ( (j_et 1 Q _)_C-na 1L STATE UC.# 955/'2 CLASS A CITY BUS. UC# - ewib uu ?Jy i..iiy or i..ounty WiICfl requires a permit to construct, alter, Improve, aemolIsrr or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ! Workers' Compensation Declaration: I hereby affinn under penalty of peijur one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canter and policy number are: Insurance Co. Policy No. .-- Expiration Date VaEn 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, Ishati not employ any person in any manner so as to become subject to the Workers' Compensation Laws of CaFifomia. 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 ofcompensatton, damages rovided f r in SectIon r7bde, Interest and attorney's fees. ..CONTRACTOR SIGNATURE 3/12.J/z_ I hereby affimr that lam exempt from Contractor's License Law for tire following reason: S 0 -. I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sate (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 ownerof property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). .5 4 5. - 0 I am exempt under Section Business and Professions Code for this reason: , . •.' - -- - 1. (personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No - 2. ((inane! have not) Signed an application for a building permit for the proposed work. (have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): (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): - (will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address phone type of work): £PROPERTY OWNER SIGNATURE GENT DATE 03 \ a / Is the applicant or future building occupant required to submit a business p1an14cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I] Yes 1No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quafiy management district? 0 Yes 'No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes "No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. NMI- ___olii _il __ thereby 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 S - £ I cerlifythatl have read the application and statethattheabove information Is correct and that the information on the plans Is accurate. I agree to comptywith all City ordinances and State laws relattngto building construction. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly ter inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAS BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over .50 deep and demolition drconstmdenof structures over 3stories in height a - BIRA11ON: Every permit issued by the Building Official under the provisions of this Cede shall expire by Imitation and become nut and void if the building or work authorized by such permit to not commenced within l8o days from the date ofsuch permit orif thep4mgorworkauthonized by suchjpermitrssusperrdedorabancbned at any firm after the work to commenced for a period of 180 days (Section 100.4.4 Unfonn Building Cede). APPLICANT'S SIGNATURE - DATE APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las PàIma Dr.,CarIsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS - AV THOMAS BROS NO. . BUSINESS LICENSE A iti,211AMI PERMIT NUMBER LOT BLOCK' - (suso VISION ASSESSOR PARCEL NO. - CONTRACTOR - . CONTRACTORS PHONE C - - ZONE_ -/ 4çT LLC,/ ,2,( 7Z1 -7381 I 0 'v OWNER'S NAME ' A , OWNER'S PHONE BUILDING SO. F AGE CONTRACTOR'S ADDRESS STATE LICENSE NO. OWNER'S MAILING ADDRESS DI DESIGNER'S PHONE U .e 1\ :o066 oii o2dt -:34:Ô IONFWR OESe Jk. (f ) j I 1L4dPS.'L DESIGNER'S ADDRESS - STATE LICENSE NO. - - - '- - - - ) C2 PG 142 , - NO STORIES 0CC EDU - - nO - - -' - - - ' - CENSUS TRACT' - 'PARKING SPACE - - RES UNITS - ' - GRADING PERMIT ISSIJEO -. ' REDEVELOPMENT ' TYPE DCC LOAD FIRE SPP - 1 - AREA' - - Not Valid Unless Machine Cufxfied. YO ND - vO ND. . YO ND' QTY 1PLUMBINGPERMITSUE EACH FIXTURE TRAP -• ' - . ' OTY MECHANICAL PERMIT ssu MMARY/ACCOUNTNMBR -EACH BUILDING SEWER • -- ' ' -:- - '-:- - INSTALL F-URN. DUCTS UP TO 100,000 BTU -' -p - - BUILDING PERMIT 001-810-00-00-8220 ' /- - • - --- OVER :100,000 BTU 1.. - - - SIGN PERMIT - u001,8l0,0O,00,8221 ,. EACH WATER HEATER AND,OR VENT - - - • , ' - ( BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 001-810-00-00-8222'- 'EACH GAS SYSTEM1T0 4OUTCETS - 'J BOILER/COMPRESSOR 3.15 HP '" - ' 'MET-AL-FIREPLACE. . : . -- - TOTAL PLUMBING - ' ELECTRICAL— ....w'"- 001-810-00-00-8223' - '-'-' ----- -EACH GAS S-YSTE'MS DR MORE—'------. - .-.-.-'-..---.. - , - - —j- -,- - - ' - ' - - • ' - - EACH-INSTAL-1 ALTER, REPAIR WATER PIPE ''. -' VENT FAN SINGLE DUCT ' MECHANICAL 001-810-00-00-8224 ° ,EACH V4CUUMBREAKER , .. - ' ,' 1 MECH EXHAUST • HOJJ • - - - - MOBILEHOME'' • - ------ - 001-810-00-00-8225 WATER SOFTNER t - ' . _T- , . --'001-810-00-00-8226 '---- --- -'--- ---' — EACH ROOF DRAIN (INSIDE) - .- ----. - - . . - - -' •. RELOCATION OF_4'çIflRNACE/IEATER'97"\-- DRYER VENT - .. ''. - STRONG MOTION -' 880-519-92-33 TOTAL ME1c:HANICAL -- inóó - - HAY ' - ' - •' FiRE'SPRINKLERS' • 001,81o:0000.8227' --TOTAL PLUG .-' -. i PLUMBING --- PUBLIC FACILITIES FEE - 320-810-00-00-8740 QTY ELECTRICAL PERMIT SUE QTY.- - .: C-1 - . MOE HOc'iksBAD 1 ' BRIDGE FEE , 360-810-00-00-8740 - - - - PARK IN LIEU (AREA - - NEW CONST EA AMP SWTBKR IPH -' - 3 P -- '.O.m - . CAR PORT , TIF LA COSTA TIF - 312 81000 00 8835 - - -. AWNING' - - ' 311-8100000-8835 ,- — MPISWTB EXIST BLDG EA A KR I ''T 1PH -. ,3PH - - '"' GARAGE': - "i'-' e?7 - - - - -' -- • •- -FM '-.- -. - ' '-' • • - -- ,a :. . kLICENSETAX • MFF . • - OOT'310'00-O0-8162 - EMODEL'ALTER'"lERCIRCUIT - -E - '"- :TEMPPOL-E 200-AMPS "' - _ A . - ' - - - ' . ' - ...,, .,. -_• - '880;519-92-57 TT - - -- OVER 200 AMPS TEMP ,oC-CuPANcv)3oDAys)_,; - ,' •--- .b •. • . -'' - .' .- " - ,-'•--•--' -.--'. -CREDIT DEPOSIT - TOTAL [LEL1RILA I TOTAL - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bythe Building Official under the provisions ollhrs - * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER become null and void If the building orwoek CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE auth DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS orized by such permit is not commenced within 180 days from permit or it the building or woek authorized by such permit is ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- 5' Q" DEEP AND DEMOLITION OR CONSTRUCTION OF the date of such suspended or STRUCTURES OVER 3 STORIES IN HEIGHT abandoned al any lime after lh ork is commenced for a period STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND (cEEP HARMLESS THE CFTYOF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS APPLICANTIGNAUR, OWNER 0 01180 days CONTRACTOR APfROVEDh/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE - OF THE 4 (/ - r GRANTING OF THIS PERMIT'- BY PHONE 0 - ( - . S • -.-' -- . -' - I , - .USE BALL POINT PEN ONLY &PRESS.HARD fJ ,;4:T I hereby affirm that I am Ilcenaed under, ()frypqvIaIona of Chapter 9 icommencing with 'Section .:7000)_of Division _3 of the Business 110- 1- and Proteealona Code, and my license is in L full force and e!fecI.._ - - - ----I - _u - - - 'I hereby _affirm that I are exempt from the Contrac_.. License Law for the following reason (Sec. 7031.5 I stress: and Professions Cede: Any city or county which Ic-guises-a permit to censtruct. alter. improve. demolish-. or -s repair any structure, prior 10 its issuance also requires the ap- I plicant br such permit to tile a signed statement that he is - - licensed pursuanl ' tu the ptnvisruns 01 the Contractor's - - License Law (Chapter 9tcemmencin6 with Section 7000 of I Division 3 of-the Business and Prutessions Code( er-that is ex- empt therefrom and the basis for the allegeo exemption. Any violation 01 Section 7031 .5,b'y an appricant'tor 9 permir sub - ects the applicant to civil penally 01 not more than tine hun' • —dred'dollars($500(. I LI. as owner of the property, or my.employees with wages i as their sole cnmpensation will do the work, and the struc' lure is not intended or offered for sale (Sec. 7044. Business I and Professions Cede: Ted Contractor's [icenseiaw,dojs ''\not apply to an ownes of property who builds,or1improves m thereon and who does such work himselt or through his own -'- employees,previded that such improvements are not intend- lot ed Or'eflered for sale. It, however, the building or improve' Z ' 'went is solitwilhin one'year of completion'the owner-builder I Will have the burden 01 proving that hedidnOt build or ire' O•prune or the purpose of satel. - - '- - , ,l I I, as owner of the property, am exclusively contracting I - ..with licensed contractors to construct the project-(Sec. 7044, -L. Business and Professions Cede: The Contractor's License -' Law does not apply loan owner of property who builds nrim' i r pruves thereon, and -%;W contracts for each projects with a U) ,cortracbor(s( license pursuant .to'lhe Contractor's License pi Z Law(. x c 2 . t -ZCiJL - , _.. (1 As a homeowner lam improving my home, and the 10110w' 4 J_ r r,' -iffor r4r 1 .aThe work is being performed-prior prior to sale:-4 • . - - - "2l havelivedin my, home Or twelve months I prior to completion 01 this wdrk" .n. lot - 3. ..t have not .claimed this evemption during -the - O last three years. . I - tJ tam exempt under Sec. ___________________ ., 85 Or tjp,,reason h'- a '-n a - , , x' U I hereby attirm that I have a certitjcate at consent to - seIl.sure. or a certificate-0 Werkers' Compensation In. it -surance, or a certified copy thnreol (Sec. 3800. Labor Code) : OLICV NO, _4 '-'L' • COMPANY -. -I - Z 0 .,,,,,.-Copy is-riled with the city ICertihedcopy is herebyIuedshed IL - - O j CERflFICATEOFEXEMPflON FROMf C) ' WORKERS' COMPENSATION INSURANCE - ,(This section need not be completed if the permit ' • is-lor o'ne hundred dollars ISrOOl or less/ I - ua --°- ----- ---'--- ..... Nit 'ç ' I cerrity that in the pertormavce 01 the work tOr which - his permit is issaed.Ishall not employ any person in any I 0 • manner so 9sto become subject lathe Workers' Compen' vT salion Laws of California, - NOTICE,TO APPLICANT: if. alter making this Cerriticare of Eoemprioi'oa shoald become subject to Compensatin prosions of the Labor,Code, you mast r torthwilh comply with such provisions as 1hi5 permit shall I he deemed revoked, I :' - r._' •, :' )A - - - ' - •r 4' - c -0 -'-..-----' ' 1 ..1 t heeby. attirm that there is a construction lending L' -,agencjtor theertorm'arkce at the Pxork tor'hich this per' O 11)-I mills issued' lSec3O97. Civil Code) - WI Lender's Name .-n-, --s- • Lender's 'Addreis_______________________________ a - ' - . ' • .Oa't - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR El CEIJNG SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BL/CO ci PRO UNDERGROUND Li WASTE DWATER TOP OUT Li WASTE DWATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WATER ELECTRICAL Li ELECTRIC UNDERGROUND Li UFFER ROUGH ELECTRIC El ELECTRIC SERVICE Li 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 HA /E BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL r1 t. GAS I BUILDING SPECIAL CONDITIONS OJc cs FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL ATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE . IN POST TENSIONED CONCRETE FIELD WELDING . HIGH STRENGTH 6OL1S . . SPECIAL MASONRY PILES CAISSONS APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ,J 'CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - - -'----: '--2075 Las Palmas Dr.;' Carlsbad; CA 92009-1915 (619) 438-1161 - -. ' -- - --'. -'--'- - ---' -------- ----'---- - -'---- "'---- JOB ADDRESS- t - -' " - . - AV, STAb. THOMAS BROS NO. - DATE OF APPLICATION BUSINESS LICENSE # VA4JATION , PERMIT NUMBER /gco9 vn'ARo,iRPIOo __r+_cOiiur'?l Z,9 - boO__' • ZONE - C foT , BLOCK J_ SUBDIVISION . ASSESSOR PARCEL NO. CONTRACTOR ' CONTRACTORS PHONES 5676 "' A'S - " OWN C NAME OWNE A'S PHONE _' -.-- CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE ñ-ssc.. _----- -- - - - - •' - - ' . -,' ' - - ' - MAILING ADDRESS .. /33 S i PS o £ccoD/ g96_96_ DESIGNER'S PHONE , . - _• -. --' - ._/"!. .DESIGNER..---------. c,R,°oRft 7 f'1I2/t ST#Zro_ivt oRr - S ,4'7''-_- IONOFWORK — - fI'- - - -' --- STATE NO.0022 ---_'--- --- •n-- -- - I // - DESIGNER'S ADDRESS kDR~T . - - 05/250101 02B1dPnt 29.0 F/P FLRELEV. NO or 4*4 STORIES %DU - FIR R4 CENSUS TRACT PARKING SPACE RES UNITS - ._-_--_,_, YO NC) GRAD1NG'PERMIT ISSUED ' REDEVELOPMENT ' AREA , .' - 'TYPE " CONST - 4 Q_&LOA,.J, y CI so ,' _nO ND _- ,, ___No,V?IidUnIeysMachinpcert/ie.__.. QT,Y. f_PLUMBINPERMlT -ISSUE; _-' - OTY. MECHANICAL PERMIT -- ISSUE , - - ,' MARY/ACCOUNT-NUMBER --- -' -- - EACH FIXTURE TRAP - " INSTALL TURN DUCTS UP TO 100.000 BTU BUIL0IN_E 00) 81000008220 / .7 -' EACH BUILDING SEWER-------b-- ' ' , - . ' . OVER 100.000 BTU. -- , SIGN 001-810-00-00-8221 'EACH WATER.'HEATER AND-/OR-VENT BOILER/COMPRESSOR UP TO 3 HP - - - ' - - ''' PLAN 2ffK' - 001810'00'008891 -. .,•, • 2._I have lived in my borne tnr'twelve., months EACH GAS SYSTEM I TO 4 OUTLETS 4 ' -, 80ILER/COMPRESSOR.315 HP ' - - TOTALWMBING 001-810-00'00'8222 EACH GAS SYSTEM 50 R MORE - : METAL FIREPLACE - - ' - - - - ELECTRICAL - - - 001-810-00-00-8223 EACH INSTAL., ALTER, REPAIR WATER PIPE. -- , • VENT FAN SINGLE DUCT-.- - - - -- - - --• . - -- '---- - MECHANICAL— —001-810-00-00'8224 - EACH VACUUM BREAKER - ' - -- -. ' ' . MECH EXHAUST . HOOD/DUCTS . .' MOBILEHOME 001-810-00-00-8225 WATER S0FTNERi - •",' - SOLAR - 001-810-00-00-8226 .'/-, - , EACH ROOF DRAIN (INSIDE) '- - - ' - ,. -. - - RELOCATION OF EAFURNACE/HEATER , ' -- - DRYER VENT. - - - --- ' .STRONG MOTION-. - 880-5.19-92-33..,/.-- - TOTAL MECHANICAL - : - " - FIRE SPRINKLERS 001-810-00-00'8227 - TOTAL PLUMBING , [ " PUBLIC FACILITIES FEE'' -320-810:00:66-8740 QT'Y. PERMIT ISSUE 0 'ELECTRICAL , . , 5'O OTY. - MOBILE 24 -- - BRIDGE FEE 360-810-00-00-8740 - , '. PARK-IN-LIEU (AREA' I DCt'td is hereby furnished NEW CONST EA AMP?SWT BKR - - -'-_-_' '• ' CAR PORT ._4-_- '.' TiF'---'312-810-00-00-8835 PH __s _,,I. __\3PH AWNING _ - LA COSTA TIF 311-810-00-00-8835 - 'EXIST BLOG'EAA'MP/SWT''BKR - _,----- -. GARAGE - __-• - - FMF , - (PH- - - --- 3 P - ---- ---- - -- - '7 -_---'----. a1).4'4/j_-_•'- ' - . -- LICENSE TAX '- '- '001-810'00-00'8162 - -REMODEL'ALTER.PERCIRCUIT ..--. .--"-:-e.r. - - ;\,_f1a9_- _- MFF ' 880-519-92-57 -'---- - -------' - TEMPPOLE200'AMPS '•.• • - .\C' _ •ft.goj, 4 AVER 200 AMPS 'r . ___- _\,_f U/5 ___' TEMP OCCUPANCY (30 DAYS) - ___________*-- -------_ ___________________________________ _'-_,,_-- ' CREDITDEPOSIT - TOTAL ELECTRICAL . 'TOTAL-—'- - -'- TOTAL FEES PAYABLE o. ,7O 'Jr - - - ---• . SC..' •C-- s , _r)-'• - --•.:;.(.•_______________1_1 (HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every prnTitiss0ebyIheBuiIdingOIIiciaI under the provisions obthis - - * AN OSHA kA11,113 IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall :e1renbYermit Imt10ntand become null and void It the building Or work 50" DEEP AND DEMOLITION OR CO,STRUCTION OF commenced within 180 days from the date of such authorizedDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT Is per mit. work bIh.6z.c1 by such pe(millis suspended of' -STRUCTURES OVER 3,STORIES IN HEIGHT or BUILDING CON ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING abandone dat any time athebui'dinfter the work is commenced for a period STRUCTiON,WHETHERSPECIF1EO- HEREIN OR NOT: I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S - 01180days. 'P VIED BY ' - - 11SF BALL POINT 'PFN ONLY&'PRFSSHARD cc — 2'im"E'ihereby affirm that I aThticinseduundee '.)I-- provisions of Chapter 9 (commenclngwith I Section 7000) of Division 3 of the Business I and Professions Code and my license is In C-, full tore'andeffeci. U -- - I .hereby'aflirm that i am exempt from the Cootrac' ii b'r's License Law for the following reason (Sec. ,7031.5 Business and Professions Code: Any city or county whiCr, re' quires a permit In Construct, utter, improve, demolish, or '---repair any structure: prior to its issuance also requires he ap-"- pficant for such permit to file a signed statement that he is 'r licensed pursuant ,to the provisions of the contracturTs L ceose Lam (Chapter 9 commencing w ilh Section 7000 of Division 3 of the Business and Professions Code) or that is ex empt ther'efiom and the basis for the aliegea eoemptino.Any- violation 01 Section 7.031 .51by an.applicanl. for a permit Sub' . jects the applicant too civil penalty 01 not more than live hun- dred dollars ($500). PC 'Li i 4.'s'v1oer of,lhe property: at my.employees with wages - as their sole compensation.- will do the work, and the struc III re is not intended on uttered for sale (Sec. 7044. Business and Professions Code: The Cent racton's License Law does , 5 not apply io,an owner of ' property who builds or,improves I thereon and'who does such work himself ot through-his ein!'. empioyees, provided that such improvements are not intend' - - W ed on offered for sale. It, however, the building or improve Z men[ us sold within one year of completion the owner builder,, will have the burden of proving that he did not build or im' prove for the purpose of sate). ii 1.' as 6;dei of the property. am exclusively contracting ,..,with ticeused contractors to construct the pno1ect (Sec. 7044,. - r Business and -Professions Code: -The Contractor's License. - -- '- Lawdoes not apply to ax owner of property who builds or im- proves -- ', - ,, thereon, and who contracts for each projects with a U) contractor(s) license puuant to the Contractor's License Z - Law). ' ' rs -' 2 - - - .. . • ,,. - . . - . - s fl As a hnmeowoer'l am improving my home, and the follow' 4 - ..s...iOg:cendih0ns exist:-.. - - - -- "-"-- - ,'- - - -cc 1. The work is being performed prior to sale. prior to Completion 01 this work. Ui . 3. I have not claimed this exemption during the O - .---.- -last three years-''--- • -' :". 0 lam exempt under Sec °' BA P -f0 I this reason VAt -Il/i thereby affirm that I have a certificate of consent to' - selfinsure. or a certificate of Wurkers'Cnmpensatien In.; - su a Ce 0r'5 celled copy thereof (Sec 3800 .,Labor Code) - PocY1No/JCI° Io (P53 -? cpV/9 (VA,v,i riq)' Copy is filed with ci IL 0 " " CERTIFICATE OF EXEMPTION FROM - -, - 0 --4'r'/d6RKERS COMPENSATION INSURANCE - U) !(This section need not be completed if the permit Ix isrlor one hundred Ui 0.- S.-; dollars IStOOt Or less) - '•, - - --I cer'fity that in the performance 01 the work for which - ttiisrmit is issued. I shall not employ any person in any 0 , manner noas to become subject to the Workers' Cumpex -; saJi0x Laws 01 California.' , ' •;_• - '..s• .' -.-NOTICE TO APPLICANT: It. alter making this Certificate 'tot Exemption you Should become subject to the Workers' "—Compensation provisions of the Labor Code you m st ,' forthwith comply with such proxisions or this permit shall - be deemednevoked. --- - here y,affirm that there is a construction lending xgency for the'erfoemance 01 the work for which this per. 01 mit is issued (Sec. 3097.- Civil ,Code) - ZI n- '*5 WI- '-Lender's'Name------ '-'--- ---'- .' 'n - '- - - — - -Il -, I Lender-s Address_______________________________ - y TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME U FLOOR LI CEILING SHEATHING LI ROOF U SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO LI PLICO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATER ELECTRICAL LI ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 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 PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL S PR I OI OR TO FOUNDATION INSP LS COMPLIANCE STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE on ' POST TENSIONED CONCRETE \. FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS 1 I -- ________ S Lfl3 9 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-08-2002 Sign Permit Permit No: CB022012 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 102 '. Permit Type: SIGN . . Status: ISSUED Parcel No: Lot #: 0 Applied: 07/08/2002 Valuation: $5,000.00 Construction Type: NEW '. Entered By: MDP Reference #: . . Plan Approved: .07/08/2002 Issued: 07/08/2002 Project Title: SAS SHOES . Inspect AMP& 07/08/02 0002 01 02 ONE WALL SIGN 100-96 Applicant: . . . '- Owner: GRAPHIC INSTALLATION SERVICES 512O COMMERCE DR BALDWIN PARK, CA 91706 -. / •1 ' / t .' 818-814-4771 . / '••..i r/2 Total Fees: $100.96/ Total Payments To Date: $0.00- Balance Due: $100.96 f ..-. Building Permit / / 61.19 \ Add'I Building Permit Fee ,.-. / j/ [\ \ \'-'J$o.00 Plan Check / --,... 7 . -. \ - $39.77 Add'I Plan Check Fee Lr / $0.00 Electrical Fee $0.00 Renewal Fee . —..) - Y$0.00, Add'I Renewal Fee n U.06) Other Building Fee Additional Fees -$0400 TOTAL PERMIT FEES c"J\ / fri1i $10096 / tNOCDRP('IFATFh . . 'N ? >EXPI D r,.':/Jj. • . -.' PERMIT HAS EXP RD '' //E WITH USBIC. . - "-- '' SECTION 106.4.4 L"- DATE _1L GFATURE ('111) . 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 "tees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. II you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and tile the protest and any other required information with the City Manager tor 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 tees/exactions DOES NOT APPLY to water and sewer connection lees and capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any lees/exactions of which you have previously been civen a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ' . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 PLAN CHECK NO. EST. VAL. - Plan Ck. Deposit . Validated By Date Address (indude Bldg/Suite #) Business Name (at this address) 1810-1884 MARRON ROAD, SPAGE P2, CARLSBAD, CA SAS SHOES Legal Description Lot No. Subdivision Name/Number Unit No. - Phase No. Total # of units Assessors Parcel if Existing Use - Proposed Use Description of Work SQ. FT. . # of Stories - if of Bedrooms if of Bathrooms INSTALL (1) SET OF 18" REMOTE CHANNEL LETTERS. 2CONTACT PERSON (If It Name - Address City . State/Zip Telephone if Fax U 3-••:';4 GRAPHIC INSTALLATION SERVICES / 5120 COMMERCE DRIVE, BALDWIN PARK, CA 91706 / (626). 814-4771 - Name Address City State/Zip Telephone if 70Ii PROPERTY CENTER TRUST, INC. / 3500 SEPULVEDA BLVD.. MANHATTAN BEACH, CA 70266 / (310) 546-4520 Name Address City State/Zip Telephone U (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 Buiness 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]). . . GRAPHIC INSTALLATION SERVICES./ 5120 COMMERCE DRIVE, BALDWIN PARK, CA 91706 /'(626) 814-4771 - Name . . Address - City . State/Zip i,., Telephone if - State License # 507028 License Class C45 City Business License if Designer Name, Address . . City ' - State/Zip Telephone if State License # .' - 7721 22 7E ,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,workrs' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for .itrich this permit is issued. i have 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 policy number are: Insurance Company STA'TE7COMP. INSURANCE FUND PoticyNo. 1047781 Expiration Date _05/03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 ", CERTIFICATE OF EXEMPTION: I certify that in the performanceof the work for which this permit is issued, I shall not employ any orson 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 subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE __- . DATE_____________________ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - 0 - I, as 6wner 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business nd 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 LiceAse Law). .4 I am exempt under Section Business and Professions Code for this reason: ....- I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO 2 1 (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 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/ /ontradors license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE - 1 ' DATE. - I - • City of Carlsbad Bldg Inspection Request V For: 01/06/2003 J VV V L Permit# CB022012 Inspectr Assignment: TP Title: SAS SHOES V - Description: ONE WALL SIGN Type: SIGN Sub Type: - . . . Phone: 7604344181 - Job Address: 1850 MARRON RD - Suite: 102 Lot 0 V - - ' Location: V V • Inspector: • V APPLICANT GRAPHIC INSTALLATION SERVICES V V V Owner — Remarks: WALL SIGN INSPECTION VVVV. V V -. V• - V V Total Time: V V V V V - Requested By: NA V Entered By: CHRISTINE V V V V V CD Description Act Comment. • V - . V V - V •V Ala V 38 Signs V V Associated PCRs/CVs V V V V V V V V Inspection History V Date Description Act lnsp Comments V V V V - 12/11/2002 38 Signs V V V NS TP V 08/22/2002 38 Signs V CO TP PLANS CARD •V V ' V 08/22/2002 39 Final Electrical V V Co TP 08/19/2002 38 Signs V NS TP . V • - - . V 08/19/2002 39 Final Electrical NS TP V V V * NR TP PLANS, CARD? V V • V 38 Signs V • V V V • V V . ( V V V \V V V •VV . V V VV V V V V V . , • V ( V - •V - , .1 V VV V •V . V V V VV *VVVVV V • • V •• V V VVj V V_ V V V V V• V V - V V • V V V V V VI. V V V V V ..dV a V• V V • V V V V City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 05-2872015 Sign Permit Permit No: CB151630 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 104 Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot #: 0 Applied: 05/28/2015 Valuation: $3500.00 Construction Type: NEW Entered By: RMA Reference #: . . S Plan Approved: 05/28/2015 PC #: . . . Issued: 05/28/2015 Project Title: JUST KNOCK- 1 WALL SIGN- ILLUM Inspect Area: Applicant: . . . Owner: WESTERN SIGN & AWNING P K I NORTH COUNTY PLAZA L P :DBA STANFORD SIGN & AWNING. C/O KIMCO REALTY CORP 261 5 PACIFIC ST . 3333 NEW HYDE PARK RD #100 SAN MARCOS CA 92078 . . NEW HYDE PARK NY 11042 '. 760 736 6070 . . Building Permit .. . $61.27 Permit Fee AddI Building Per . $0.00 Plan Check .. . . . $42.89 AddI Plan Check Fee . . $0.00 Electrical Fee . . . $33.00 Renewal Fee . . . . $0.00 AddI Renewal Fee . . . $0.00 Other Building Fee $0.00 Additional Fees . . . . $0.00 : TOTAL PERMIT FEES . . $137.16 total Fees: $137.16 . Total Payments ToDate: $137.16 Balance Due:. $0.00 : . A I. FINAL AP R AL . lnspector\ L1VLr/ Date: Z( .f)( ,411, Clearance: NOTICE: Please take NOTIE th Japprovat of your project includes the lmpos tion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. Yofj have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any.subsequent legal action to attack, review, set aside, void, or annul their imposition. • . S • You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THiFOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EIPLANNING EJENGINEERING EJBUILDING El FIRE (:D HEALTH EJHAZMATIAPcO • Building Permit Application Plan Check No; &5 13 ihio / . 1635 Faraday Ave., Carlsbad, CA 92008 C I T Y OF Est. Value an Ck. Deposit Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD '. email: 4. Date wwwxarlsbadca.'gov ç JOB ADDRESS - - Ho 1014 SUITED/SPAEU/UNTV# - - _____ __ I tAT IbThW 1EbÔ 1 TENANT SEE VBA1IfRS Tn. ri4PE71 000. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) - S &\ EXISTING USE. • PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING ARE SPRINKLERS YES[]#. NO[] YES [jJND [] YES[I] No[J AJCANT NAME (Primary Contact) _Pi _fl APPUCANT NAME (Secondary Contact) _ -ri _6z!J.f_c ADDRESS - . . 'crack__.._'. ADDRESS e)LAcY5o a Cxntra STATE ZIP CITY STATE ZIP PHONE - I •,', - VVf FAX , PHONE - .1 FAX -- .- EMAIL • - EMAIL . PROPERTY OWNER NAME V V(Y\Cr. CONTRACTOR BUS. NAME . JPtvi_& p'l_jctnvmin V ADDRESS ,, -10-t-t''1evop ADDRESS 9(1 '5.Pcc&c&. CITY - STATE , ZIP - V_V CITY Son . STATE ZIP fl1 _C* PHONE FAX ' 74:O .• .' PHONE (7)73 _( cr67 V FAX V V V -73 6 6073 EMAIL L . . -- EMAIL I -h iiv u $iin ct'i .CCKY) _. MRCIj/DESIGNER NAME & ADDRESS I- I V_V_. V H_V STATE LIC. A STATE uC.n ' , a-io - C tL(o ' CITY BUS. UCV# V _zz4( 29 (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 fChapter 9, commending with Section 7000 of Division 301 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 oenaliv of not more than five hundred dollars 350011). Worters Compensation Declaration: I hereby affirm under pen* of perjury one of the following declarations: - - [I] i have and will maIntaIn a certificate of consent to self'lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work foe which this permit is issued. have and will maIntaIn workers' perrpensatlen, as required by Section 3700 of the Labor Code. for the performance of ,wvA.fcrw4sich this permit is issued. workers' compensationiqsurarloe carrier and policy' number are: Insurance Co V Policy No. 11 *5jExpiration Date This section need not be completed if the permit is fg/one hundred dollars ($100) or less. V V []Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I chat 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 (5100,000), In addition to the cost of compensation, dam as provided for In Section 3706 of the Labor code, Interest and attorney's fees, £ CONTRACTOR SIGNATURE V V zz ,tsk-GENT CATS (i V , ' '' . . -,,. j' I hereby afluirn thai I an, exene from Contractor's License Law for the following lessors: [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 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 thereor 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 buldrng 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). -• El 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 des not apply to an owner of property who builds or improves thereon, and contracts for such projects with ndntractors) licensed pursuant to the Contractor's License Law). 4.' V , fl I am exempt under Section ____________Business and Professions Code for this reason: - I personally plan to provide them* labor and materials for construction of the proposed property u11piOyFr1enLV []Yes ENo V 2 I (Navel have not) signed an application for a building period for the proposed work. 3.1 have contracted with the following person (Finn) to provide the proposed construction (include name address! phone! contractors' license number): ' a 4.1 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 I phone I contractors' license number)..,,. 5.1 will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (isdude name! address I phone I type of work): - • V V •' - ,.PROPER'TYOWNER SIGNATURE '- DAOEN'T DATE r * - 4 / r'TT U I L D .1 NG P.E R N Perrni•iN6. CB962228 •'t • + •, * • 4 11/18/96 14 49 Project No A90.0 31 Page 1 of 1-5, Development No -. ob Address 185050 MARR+ON RD Suite J t0 Permit Type-SIGN - - Parcel No Lot# 1C49 tl/18/96 9001 01 02 Valuation '- 95O .+ Construction Typ-PRf(W 41 00 OccupancyGroup Referenc(;# Status ISSUED Description SIGN-ILLUM-CH ANNE L LETTER Applied 11/18/96 RPLACEMFNC09OUNTRYWIDE MaRT Apr/Issue 11/18/96 Entered By RMA Appl/Ownr SIMINGTON ELECTRICAL ADVERTIS 310 861-8117 11455 PARAMOUNT BL-Vb- DOWNEY CA 0241 / V - I Fees Required **\ Fees liected & Credits 00 \ a T~o fa 1 Fee 414 Ext fee Dat tBuildingPernit 251-00 * SIGN-TOTAL'.'41'.0.0 JL U'4CORPOR9TED -E - 4 192 : - / + I •' XPI RE P E A M IT : PERMtT HAS EXPIRE9 IN ACCORDANCE W%Th u B.0 SECTION 33 d) LJv1) Dri .----- -S G Alb' RE . +- •'- :+' +- •.-+y °-: + E- • - E- - • ..-++- .- +•.•- +•• - •--+--+ -• -+-+- - + - I.- -I -- - - --- -' A I * + I - + * - + -+ -+.- - + - + -- • • 1• - • • - 1 CITY OF CARLSBAD I 2075 Las Palnas Dr Carlsbad CA 92009 (619) 438 1161 is ___. ______i - *• - __.i_ ' I- S ___••_ *++ •':-' PERrr APPLICATION PLAN CHECI( NO. City of CarLsbad BuiLding Department 2075 Las PaLs Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PROJECT INFORMATION FOR OFFICE USE ONLY Address /jSO ,- ,42. Building or Suite No. .4 /J' Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIIIEU: 02 Energy Calc3 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. Fr. # OF STORIES / # OF BEDROOMS # OF BATHROOMS WNL PCI i't.RUN (ii cliflerent from applicant,) NAME (last name first)Z4,7 e'c Th.'4 ADDRESS CITY 77,, - // STAT. 6A ZIP CODE 9e2. / DAY TELEPHONE (' f NAME (last name firsI) - ;i - STATE CA ZIP CODE DAY TELEPHONJ1O) / STATE UC. #C 4'3 LICENSE CLASS 4'9'& CITY BUSINESS LIC. # (aT.A name CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORJ(ERS' CDMPENSATION Workers' CompensacionDë'claration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director 01 Industrial Reiauonsor a cert f cc orkes Cemo'ncauon insurarc" bvn 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, LabC)' -, INSURANCE COMPANY 3 If f)1 f.-'" 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: Thereby attn-rn' that L am exempt from the Contractor's Ucense Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. 'If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of, proving that he did not build or improve for the purpose of sale.). 0 1, 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). 1 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-"'?' COMPLETE TI-IIS 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 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 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES E3 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFERJULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR FOWJflON CONTROL oismicr. WN511(UCTION 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 LER.ICATION I certify that I have read the application and state that the above information is correct. f 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 UABILFI1ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THE PERMIT. 0511k 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 .orabandoned t any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). ('APPUCANVSSKNATURE . . DATE: . City of Carlsbad 1635 FaradayAy Carlsbad, 02-06-2014 Sign-Permit Permit No: CB140297 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 106 Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot #: 0 Applied: 02/06/2014 Valuation: $1500.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 02/06/2014 PC #: Issued: 02/06/2014 Project Title: MATHNASIUM- MOVE SIGN Inspect Area: ILLUMINATED Applicant: Owner: FORD SIGNS P K I NORTH COUNTY PLAZA L P C/O KIMCO REALTY CORP 1605.ORD WAY - 3,333 NEW HYDE PARK RD #100 OCEANSIDE CA 92056 . NEW HYDE PARK NY 11042 760 631 1936 Building Permit $37.75 AddI Building Permit Fee $0.00 Plan Check $26.42 AddI Plan Check Fee 0 $0.00 Electrical Fee $33.00 Renewal Fee - $0.00 Add'l Renewal Fee . $0.00 Other Building Fee S $0.00 Additional Fees - $0.00 TOTAL PERMIT FEES $97.17 Total Fees: ' , $97.17 Total Payments To Date: $97.17 Balance Due: $0.00 FINAL Inspector _tiV Clearance - NOTICE: Please take NOT CE that approval of your project includes the 1mp05 tion of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactio s.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow theprotest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. • You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOTAPPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any tees/exactions of which you have previously been niven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. -,. . . S -,. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING EJBUILD)NG. EJFIRE DHEALTH DHAZMATIAPCD I ' Building Permit Application Plan Check No. Lf 0 2c? 7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value \/ C I T Y Ph: 760-602-2719 Fax: 760-602-8558 (ARLSBAO'D . email: budingcasbadca.gov Pan c 1 JOB ADDRESS W' M /. i€/2o' '• SUITE#/$PACE#/UN1TC APfl' - I -. - - i a & CT/PROJECT B LOT # - PHASE # B OF UNITS B BEDROOMS B BATHROOMS 7 NT elUSINESS NAME . CONSTR. TYPE 0CC. GROUP DESCRIPTION OFWORK: include Square Feet of Affected Area(s) v &rifj_ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE ' i AIR CONDITIONING FIRE SPRINKLERS - YES D#. - NOE YES NO[] YES[—] N0II APPLICANT NAME (Primary Contact) - APPLICANT NAME (Secondary Contact) . ADDRESS ADDRESS CITY STATE ZIP CITY STATE -' '7 ZIP PHONE FAX . - PHONE - FAX . EMAIL - - EMAIL - - PROPERTY OWNER NAME re . , . . CONTRACTOR BUS. NAME ADD .. $. ADDRESS or. Clrl - STATE ZIP ' M. g-o P ( CITY STATE ZIP cYef4,vcf,e - PHONE: . / FAX _ PHONE -p,o--(,y-- ,'1, FAX EMAILI STATELIC.# - EMAIL : I ARCH/DESIGNER NAME & ADDRESS ___________________________ STATELfC.4 CI.ASS CIIY BUS. LIC.# —71 1 (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 applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Wou1crs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - C] 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 issud. I rfirave 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 workes' compensation insurance carrier and policy number are: Insurance Co. ' -. Policy No. IA' ' C-31) 0 £1?O qr Expirator Date 5 2-Os This section need not be completed it 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' co sation covrage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, ci g 5 TOVl d for ii,)dtion 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE _t.44L.t..... NT DATE :. I hereby affirm that lam exempt from Contractor's License Law for the following reason: • . . . - FTL 1, as owner of the properly 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. It, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden at proving that he did not build or improve for the purpose of sale). [j] 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: . ' .. I personally plan to provide the major labor and materials for construction of the proposed property improvement [—]Yes . IJNo I (have/ have not) signed an application for a building permit for the proposed work. 3. (have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I hive hired the following person to coordinate, supervise and provide the major work (include name / address! phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w&lc indicated (include name! address / phone / type of work): ..PR0PERTY OWNER SIGNATURE - [-]AGENT DATE .s. 11 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-12-2003 . Sign Permit .. Permit No: CB032536 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 106 Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 09/12/2003 Valuation: $2,000.00 Construction Type: NEW Entered By: SB Reference #: S Plan Approved: 09/12/2003 Issued: 09/12/2003 Project Title: CLASSY NAILS & SPA 1 ILLUM Inspect Area: WALL SIGN 22 SF Applicant: .- Owner: T. SIGNS 15151 MORAN ST 92683 714-890-0932 .) Building Permit / '- / .- - ' 4068 $?12/03 0002 01 02 AddI Building Permit Fee /" . . i-- so.00' COP Plan Check / / 1-'•...,. - \24.78 \ AddI Plan Check Fee/ '. •' * -N.::) / "/ (\ \--'; $0.00 Electrical Fee -J / L " " __$0.00 \ Renewal Fee / -.. / ''-.-.. ----. .- -'--_, '- i$0.00 Add'l Renewal Fee J / $0.00 Other Building Fee t ./$o 00 Additional Fees I \.. $0.00 TOTAL PERMIT FEES $6291' NJ U, jr' 7 1 1 .\ Total Fees: $62.91 Total PaymentéTo Dat '1 $0.00 -4 -.Balance Due: / $62.91 62.91 ck- \ /1 / INCOAPORATf.X ER19612 PIRT VilT. PERT !LS.flPlELL iGCORDANCE WITH U.9.C.. 1,11064 / SIGNAT f5_ \NDATEL1P1PM. 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 "tees/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 proOessing 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 tees/exactions DOES NOT APPLY to water and sewer connection lees 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 '- . .'. .• .. - ,. • -... . ..•. .. . t p FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO 3a536 . : '' EST.VAL. CITY OF CARLSBAD BUILDING DEPARTMENT .1635 Faraday Aye, Carlsbad, CA 92008 Plan,Ck. Deposit ValidatedBy '. , - . • s, . Date W MB c(/7( ' J C33 ( AM/L-2 2f- I O MfrROAf D ~ iC c2/-R LS AU eftqzc,*- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No .,.P Subdivision Name/Number Unit No Phase No Total # of units 'Assessor's Parcel # Existing Use .. • , .. - ' - -s.' . Proposed Use, ' '•'. . - ' • -.. •. :• '• . -' PI Description f Work . -- SQ. FT. #of Stories .''S # of Bedrooms . •' # of Bathrooms 7\ jc3j 2frU /W 22Ø Q: Afl Name r •.: •. Address- , - City , tut Zip' .Telephone# Fax # j. Afl C2flrD tç,toL J OwQgent f&r Ov ner - S A Name ' i-'.. .. ,' ,%-Address''- . - •, City • State/Zip . Telephone # R_TA s- - •,'-. INI................................. OVV p,M7 P#k/FIC ,, -_ c oSE f \/isi Ct2o 7C0 7Z7 /307 Name • Address' . City St4re Zp ' 'Telephone # . ar -`:N71 (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, lChapter 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 I exemptiàn.. Any 'violation of Section 7031.5 by any applicant for a permit subj cts the)pplicant to a civil pan It of not more than five hundred dollarsl$5001). + 4-9ZC'3 -7/ E-9-02 00 Address .,. City State/Zi Telephop 1 # i State License # 7 "'9 2 License Class (. t City Business License# r '&j. -Designer Name Address City State/Zip Telephone A .,, •• . 4 •• ., ,5'r -S • 4 rs,.1Siate License '# _______ )' oiso : V Vorkers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations hkers compensation as provided by Section 3700 of the Labor Code for the performance ave and will maintain a certificate of conien~t~ self-insure for' wor of the work for which this permit is issued I , ' D 'l .have andrwill maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the ssork for which this permit is issued My worker s compensation insurance carrier and policy number are S. - Insurance Company c7?fi7 )U Ii..! /) Policy No / 5 9 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1,001 OR LESS) / • ' ' • 'I., . • ..- . ' • - -'-_ . a pe . S j 0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ ny rson in any manner so as 's 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. 00 • n addition to the cost of compensation, damageé as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,SlNATURE --' ' • • •• , '- DATE' __IC.____03 •.. •- 5 - %j' flf I hereby affirm that La exempt from the Contractor's, License Law for the following reason 'EY 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 70.44,Business and Professions Coda The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for-sale, If however, the building or improvement is sold within one 'yea r of completion the owner builder will have the burden of proving that ha 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 land 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 A Business and Professions Code for this reason 'I 4 11 I I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES [)NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 r I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone nunber / contractors license number) -- - - - 4., -- Ipian to provide portions of the'work,- but I have hired the following person to coordinate, supervise and provide the mor si0rk (irfclude name'/ address /,phone - number / contractors license number):" - - . - - ' .-. . , - ' , • ' ' -' ' - - - ,. ' ' 5. I will provide some of the work, but have contracted, (hired) the following persons to provide the work indicated -(include name'/ddress / phone number,/ type ofwork) •• '1 , '1 - , - 4 'S - ,- s.- - --. ', ,.- - ' , .?fl ', - ' .1 ,r • -- - - - - - -, PROPERTY OWNER SIGNATURE " DATE tc~ 411 JjT jil Is the applicant or future building ocupant required to submit a b,'ness plan acutell haardou mdteridl reqi trdtl©n ftirm or risk rn4nemcit snd prevention program under Sections 25505 25533 or 2%534 of the Presley Tani? Hazardus Subsnc Account Act? ES fl F40 '- itt's - ?J- ,g Ar Is the applicant or future building occupantrequired to obtain-a'permit from the air pollution control district or air quality.rnanagarnent district?.' DYES • D--NO S. I - " 1' Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES 0 NO V'1S, k , -, ,. -IF.ANV OF THE ANSWERS ARE-YES, A FINAL CERTIFICATE OFOCCUPANCY MAV'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 herebyaffirm that there is a constructic ic nq q ncy for the pert nuance of the ok if i hi S rb p rrr t S 57 C I C d 1.e1 ç . - -- ' ---1 : -- - -s - -,' -- - LENDER'S-NAME''..-. ' '' --. LENDER'S ADUNESS ' ' •,- ' S . -' ' ' , S 'A' ' Brb LC1J1 Li 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 1THE CITY OF CARLSBAD. AGAINST ALL LIABILITIES, - JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDCITY 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 • -' EPIRATION: Every permit issued by the buildingOfficial under the provisiorisof this code shall expire by limitation and become null and void if the building or work , ajfthorized 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 *' )'i anytime after the work is commenced for periód.of 180 days (Section,106.4.4 Uriform Biilding Code), -. - ' - - • - - - . - - . - 'APLICANT S SIGNATURE - DATE File PINK Finance :- .•, .. ,,'.'' Z - Cit o f Car' l s b a d. January 30, 2004 Permit Number: CB032536 Issue Date: 9/12/03 PAN PACIFIC 1631-B S MELROSE DR VISTA CA 92083 RE: BUILDING PERMIT EXPIRATION ADDRESS: 1850 MARRON RD #106 PERMIT TYPE: SIGN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 3/10/04. The provisions of IJBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION; Every permit issued by the Building Official under the proyisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half 'the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work,, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay anew permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the 'control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below, indicating your intentions and return this letter to us. ' Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. ' S • If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. ' If you have any questions, please contact the Building Inspection Department at (760) 602-2700.' PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue . Carlsbad, CA 92008-7314. (760) 602-2700. FAX (60) 602-8560 s: 11F IL VPF January 30, 2004 Cit of Carlsbad Permit Number: CB032536 Issue Date: 9/12/03 T. SIGNS 15151 MORAN ST WESMINSTER CA 92683 - RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN ADDRESS: 1850 MARRON RD #106 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 3/10/04 The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code 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 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of -permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for' good and, satisfactory reasons. The Building Official' may extend the time for action by the permittee for a period not exceeding 180 'days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. 'S '• " Please check below indicating your intentions and return this letter to us Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. • • , • • If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 • • • If you have any questions please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY •' , • ' , • • • Building and Code Enforcement Manager ' • • ' 1635 Faraday Avenue, Carlsbad, CA. 92008-7314 • (760) 602-2700 • FAX (760) 602-8560' FAV- City of Carlsbad Bldg Inspection Request' DWW For: 02/27/2004 Permit# C6032536 Inspector Assignment: -' Title: CLASSY NAILS & SPA 1 ILLUM Description: WALL SIGN 22 SF ' ' Type: SIGN Sub Type: Phone: 7607589755 Job Address: 1850 MARRON RD 'Suite: 106 • Lot • 0 Location: , ' Inspector: APPLICANT T. SIGNS • Owner: Remarks: , • ' ' ' • Total Time:' Requested By: KIM LEE ' Entered By: CHRISTINE CD ' Description ' , Act Comment 38' Signs • ' ,1" 'Q Associated PCRs/CVs Inspection History • ' Date , Description Act Insp Comments [Q.,/ A \7 City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 08-04-2004 ' Sign Permit Permit No: CB043032 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 108 Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 08/04/2004 Valuation: $1,500.00 ConstrUction Type: NEW Entered By: KMT Reference #: Plan Approved: 08/04/2004 Issued: 08/04/2004 Project Title: JEFFERSON DENTAL - INSTALL 2 Inspect Area: ILLUM WALL SIGNS - • Applicant: . Owner: ALCOA SIGNAGE 858 549-1655 - 8535ARJ0N5DR92126 Building Permit / ' ç ç $29.73 Add'l Building Permit Feel / $20.00 Plan Check $19.32, Add IPIan Check Fe/ Electrical Fee $0.00 RenewalFee _--$0.00 I \ /1 Add'I Renewal Fee -'--._ / -----.--.- -.--•---.-- _-7 'Th $O.00 Other Building Fee $0.00 Additional Fees TOTAL PERMIT FEES fj' \951 'N I If' ii Total Fees: $69.05 Total Payments Tote: Da P'1, Ii $0.00 Balance Due: / $69.05 \ ' I / fNCORPORATED 1962 INC LI • 8064 08/04/04 0002 01 02 - . •----T 69-05 EXPE . PERMIT HAS TY1ED IN ACCORDANCE WITH U.BSCE SECTION 104.4.4 DATE FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO ,,CITY OF CARLSBAD BUILDING DEPARTMENT EST.VAL. 1635 Farady Ave., Carlsbad, CA 92008 Plan Ck. Deposit - Validated By )fV / Date - (4 - O .: - - 0 • TA- ddress (include Bldg/Suite #1 . - '- . Business Name (at this address) -- '-. '.0 -_ - ,• , Legal Description Lot No. Subdivision Name/Number ' Unit No. Phase No. Total # of units .' - . ,- - . .. .• , .- Assessor's Parcel # Existing Use - - . Proposed Use /);sc(,pCi,.n of Work - - SQ. FT. - . #of Stories # of Bedrooms # of Bathrooms \J-L 6t z L LL) n'Th - A-lame Address , - , - - City - State/Zip Telephone # Fax # .TA ,PPICA : Q C4-wner D:AJtfQr Owner Name ' . - - Address . -. City -. State/Zip Telephone #, 4- ., Name - - . Address - - - City State/Zip- Telephone # - 4- -I - (Sec. 7031.5 Business and Professions Code: Any City or County which requires apermit 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 vi lation 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). / - - - p - Name - - - . Address - ... - City 4- - StatelZip Telephone # - - - '1 State License # "12Aa'41_2 License Class -- City Business License # Designer Name Address City State/Zip Telephone -,- - - State License # 'Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:4- -- 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; f or the performance - of the work for which this permit is issued.4- 0 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: Inurance Company -'--'- _-_- - Policy No. - Expiratioi Date - - - - (THIS SECTION NEED NOT BE COMPLETED IF THEPERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) - . - . -•, - '- - •: 0 CERTIFICATE OF EXEMPTION: I certif he 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 Compe ati n Laws of California - ,,' WARNING: Failure to secure workers' omp aatIn coverage is unlawful; and shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), a to t c at of compensation, damages as provided form Section 3706 of the Labor code, interest and attorney's fees. DATE -PEA IN -: - 4-4 -: I hereby affirm that I am exempt from the Contractors License Lawfor the following reason. -- - - . - - -- o I, as owner. of the property or my employees with wges as their 'sole compensation, will do the - work and the structure is hot' 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 'ho does. such work himself or through his own employees, provided that such improvements are not intended or offered forsale. If, however, the building or improvement is • s61d within one year, ofcompletion the owner-builder will have the burden of proving that he did not build or improve for the purpose of'sale), - 1,-as owner of the property, am exclusively contracting with licensed contractors -to construct the project (Sac. -7044, Business and Professions Code: The - - Contractor's License Law does not apply to an owner of property who builds or imroves thereon, and contracts for such projects with contractor(s) licensed pursu t to the Contractors License Law) - I am exempt under Section - ' • - -Business and Professions Code for this reason: • - - I' I personally plan to provide the major labor and materials for construction of the proposed property improvement. YES - [-]NO ,-•-r-- -- -• • - -- . - • - - - - - - 2. 4- 1 (have / have not) signed an applicat!on 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 I phone number I contractors license number): -; a • - - •' <. - I.- ' 'p -• • • • --4-' ' • t I plan to provide portions of the work, but I have hired the following person to 'coordinate, supervise and provide the major work (include name I address / phone - number / contractors license number): - • - - • -• - , - • - I will provide some of the work, but I hai,e contracted (hired) the following persons to provide the work indicated (include name-/ address,/ phone number /,type - of work): - . - - ,,•. 4 -. - • . -- ' • - 4 - - ' - PROPERTY OWNER SIGNATURE - - - 4- -- 4-- • - - - - - - - ' - . DATE -- • - -- - • .•-,; 4-. jOI'ALEtEJ'HIS SEC110N0RWV-RESJDEFj77AL BUILDlNQtPERMIISjONC4-? - A 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 Acc'ount Act? 0 ,YES 4- 0.. N0",. 4- : Te- 4--f 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 - 4- Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO 4-' -f L , • -k, _ IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICAiE OF OCCUPANCY A( NOT BE ISSUED UNLESS THE APPLICANT HAS MET O't IS MEETING THE - • - REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - • - - - • . -: -- - -- - - ' 4-I hereby affirm that ther4-e is a constructin lending agenc for th4e perfoihian'e ofthe work for which this permit is issued,(Sec 3097(i) Civil Code).,- 4-"-' 4- 4- -. 4-•' - 4-p 4- -' - '' -, i)4-04- -o ,.ok ' 4- LENDER S NAME - LENDER'S ADDRESS __--'t 4- _ --- -t . MiA- 4- 4- I certify that I have read theappIication and statethat the above information is correct-and that the informatlonon the plans is accurate: I agree to cmpIy with II - _ - City ordinances and State laws relating to building construction. I h'eraby 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 Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 's- OSHA: - - An OSHA permit is required for excavations over 0 d ep and demolition or construction 0f structures over 3 stories in height. - - - - - -. - - - - EXPIRATION: Every permit issued by the building Offici' I und 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 ys fr 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 commenced for per d ction 106.4.4 Uniform-Building Code). _J.PPLICANT S SIGNATURE -, DATE (o-f - - WHITE File 'YELLOW Applicant PINK Finance - J , - -: December 6, 2004 Permit Number: CB043032 Issue Date: 8/4/04 ALCOA SIGNAGE 8535 ARJONS DR SAN DIEGO CA 92126 RE: BUILDING PERMIT EXPIRATION ADDRESS: 1850 MARRON RI) #108 PERMIT TYPE: SIGN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE 0ur records indicate that your building permit will expire by limitation of time on 1/31/05. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code 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 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has beencompleted and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist I USE BALL POINT PEN ONLY & PRESS HARD - 'I hereby afflrmthat am licensed under. UIProv)e1one of..,Chapter9(commenclng with 'I '-- Sectlon 7000) of Dlvlslon3 of the BysIness,._ '- '.and Professions Code, and my license is in 'L:tu1I force and effect. I hereby 'attirm that I am exempt from lhe_Contrac'.,j 101's License 'Law torthe fottowing reason (Sec 703r.5 tBusiness andPrutessions Code; Any City of county whicc re - I . . .._ quires a permit. to ConstruCt. alter-improve. demolish. or r) repair any structure, prior to its issuance also requires he up- pticanttor such permit to tite a signed statement that he is. I -ttcensed pursuant ln the piov1sionsot 111e Cuoiractr's ', license law (Chapter 9-commencing with Section 7000 01 - Division 3 o the Business and Professions Code) sr-that is en-.- I - - . empt therefrom and the basis tot the allegeu eemptioo. Any' vintatron 01 Section 7031.5 by an applicayl bra permit sub- 'ects the applicant tO_a civil penalty 01 not more than.tive hun - dred dnitars ISSOOp - - .I t. as,91147ej.otJhe pruperty. Or my employees with wages,, I as their Sole compensatIon; wilt do the work, and the struc- I - Itore is nor intended or uttered for rlale (Sec. 7044, Business afld'Protessions Code; TheContracior1s"License Law doer''' '-not apply toan Owner-nt property who builds or improves ;!trrereon and whrldoessikh work hirrlsett or. Ihroogh.his own ' -. employees: prouidedilrat,such improvements are not intend' 'or - . W tied or'ullered or-sale. It, however. the building er'improue"°t Z ''ment is sold Otithin oi e.year xl coiimpletioo,'the 0wnerbuilder 39 will have the burden 01 prOving that he did not bUild or it' 0 - .prove br-the purpose. 01 safe).. ...-.... II I, as owner of the property. am exclusively contraCtiog,_, with liceoded,contractors to construct the.pro1ect (Sec. 7044. . • 'Bu stiness an .a d Protussions Code The Contractor's License proves thereon, and who contracts for. each projects with. aT - _ontactptlsl' license _pursuantto theCOolrUhtor'sLjCthrse ::, 2 i.- . 1 1 As a homeowner l'm improving my home, and the 10110w'. 3 4 o -iug conditions exist; - i arc,, . s - f ,f 1: .1_The work is beingpertnrmed prior to sale. I-have lived in. my., tot twelve months - . c. ' . prior to Completion xl this work?_. 'w W _ 3. I have not. claimed hiS', eoempiuo doting 'the - - 0 last three years. - - 0't am exempt onder'Sec. ' - 8 & PC'TI - ,.tthis,reaso0 -''- '.'Tv', -,S' •iS_ - - thereby allirr,r that I have a certificate or consent to 5uraCe. or.a certilied coyy,thereot (Sec' 3000. Labor Codel. I a. 5 PoLiciNo 1,0.9g.?q 0 Nil 4 - r •--' Cedcoyyishewbymshed- tL.- CERTIFICATEOFEXEMPTIONFROM I (I) ---(This . section need nor be Completed it the permit fljS Or one tiundred dollars ($1001 or less) . D 'l cerrity that i the performance or the work for which iX,"u this permit is issued. I shall not employ any person in any - irnnner so as to becorre subject to the Workers' Compen. I 4 , - r sation Laws of-California. , NOTICE TO APPLICANT: It, alter making this Certificate. I - 01 Eoerntiorr you should become subject to the Workers , .Compensati'on.provisions'ot, the Laor Code, you must1. t' 4torthwith'corn'ply with such provisions or this permit shall - 4D,lheréby.athrm trraLtrreis a construction lending * ' ,,,agency to, trre perror,nance'ot the'work tor which this per. IUA - mit is iosued'lSec. 3097, Civil Code) LAJ Lender's Name -. Lender's Address' L ' — -.-.------. - - -. -. - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT - - r • A'PPLTcAtioN PERMiT ' .. - - 2075 Las Pàlmas Dr., Carlsbad, CA 92009.1915 (619) 438-1161 Joe ADDRESSj'.3'O t ,4/ AV, ST.RD:' •THOMASBROSNO - ' - DATE OF APPLICATION BUSINESS LI NSE & VALUATION w- P,ERMIT NUMBER - - -42- .ZONE..__ COT BLOCK SUBDIVISION E SOR PARCEL NO. - CONTRACTOR - - - •CONTRACTORS PHONE C •/ •OWNERSPHONE OUT BAY'Al/Vgp An 4L/7,p, ' . ' - BUILDING SO. FOOTAGE 1- • ' . - CONTRACTOR'S ADDRESS STATE LICENSE NO. ACE 97--vis DESIGNER r OWNER'S MAILING ADDRESS I'll -m --------': -'o •• DESIGNER'S PHONE -- DESCRIPTION OF WORK .a • - / DESIGNER S ADDRESS V3_7.42J.., JO /A / .ZVTil/J STATE LICENSE NO -v---- - - -' 7-W)ft/ij,4Zeb /70//,41/L07 -T.1&S -NO ocp EDU . FLRELEV STORIES -. - - - -_.- . v0rn0 ___ ' • • -' - _•.__; - - . - - - - , • -k - '' CENSUS TRACT 'PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT- TYPE - DCC LOAD FIRE SP R - - . - - -AREA ,' _ • CONST Y 0 N o y NO - - r'D ND Not Valid Unless Machine Certil,ed - CITY PLUMBING PERMIT SUE OTY MECHANICAL PERMIT ISSUE SUMMARY/.CCOUNT NUMBER Law does not apply loan owner Or property who builds or im- EACH FIXTURE TRAP - - . '' INSTALL FURN. DUCTS UP TO 100,000 BTUt - BUILDING PERMIT O0I'810-OO-00-8220 - . -• . - - EACH BUILDING SEWER - - - -• - - . ; - ' - .-. OVER 100,000 BTU - • --- - -001-810-00-00-8221 ;..• . . - • . . . - -EACH WATER HEATER ANDiOR VENT . . BOILER/COMPRESSOR UP TO 3 HP - -• -PLAN CHECK •., - 001•810-00-00-8891 EACH GAS SYSTEM 'ITO 4 OUTLETS-. .. . • BOILER/COMPRESSOR 3.15 HP: - ' • TOTAL PLUMBING - 00'810'00'00'8222 EACH-GAS SYSTEM 5-OR MORE- — - • - - -. - - -' - -• - ELECTRICAL - _..._- -001-810-00-00-8223 -__. - •,, EACH INSTAL.. ALTER, REPAIR WATER PIPE . -, -_ VENT FAN SINGLE DUCT • ' . , MECHANICAL ' - 001'810'00-00-8224 EACH VACUUM BREAKER • METAL.FIREPLACE - . - - I .......- MECH EXHAUST HOOD DUCTS MOBILEHOME 001 81000008225 WATER SOFTNER : • - . - , RELOCATION or EA FURNACE/HEATER -• - -.--' -SOLAR .-001-810-00-00-8226- - - - -- .. ..- - EACH ROOF DRAIN IINSIDEI ' -' DRYER VENT - - - • - - . - - STRONG MOTION - 880'51992-33 ) - - k'selt.tvsu,e. or a certificate Of Workers' Compensation .• ..• - . -• . - _•_ — - :'°'- MECHANICAL - - - ._ ' -- : - 'r- • ' - - -- '' - , ----,-------SIGNPERMIT- FIRE SPRINKLERS , - ' 001810-0000-822Y - -":'-- -'— -- -- t TOtAL PLUMBING I PUBLIC FACILITIES FEE 320810 00 00 8740 QTY. - • . . ;, .- . * - * a '1 ELECTRICAL PERMIT- ISSUE . • - -- OTY. u - , - - - - -- M9ILE_HOME SETUP • - - • -. - BRIDGE FEE - - • ' 360810-00-00-8740 py Ts"liled with the city L PARK-IN-LIEU (AREA . NEW CONST FA AMP'SWT BKR' - , • - • . • - CAR - - . . ' , -:_JIF. - - :-: 312-810-00-00-8835 -. • .. - I PH - - 3 PH • - -;. .- . - AWNFG, - - •t . - - - LA COSTA TIF - - -311-810-00-00-8835 _ . WORKERS' COMPENSATION'INSURANCE EXIST BLDG EA AMP/SWT BKR - - G Afi A13 E --h-" - FMF I PH - 3 PH - , .. - - - UFC ':.. LICENSE TAX • 001'810'00'00-8162 - - REMODEL ALTIR PER CIRCUIT a ('171, PAID , . 7 MFF 8805199257 TEMPPOLE 200 AMPS •: .' • i \' CITyo . OVER 200 AMPS. - •- • - ,. - .- - - . \.b • wttELjJ/jO C/4 - I- / - - - • - . - . - - - -, • ' JEPOCCUPANCY)30DAYS) -' - ' . --. - - - - __/ - - z'' -- - - -' • '-- -. - ' - -. - - 'a,. -- - ', • 'ai t . ,. - CREDIT DEPOSIT, -- -.- - -- -•-- ... - - 'he deemed revoked.-------_:q_-- TOTALELEL1RITAL 'a --TOTA1 H - - - I lt' TOTALFEES PAYABLE 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 * AN OSHA PERMtI IS REQUIRED FOR EXCAVATIONS OVER - void tithe building of work Code shall expire by limitation and become null and CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 50 DEEP AND DEMOLITION OR CONSTRUCTION OF 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by COUNTY- STATE GOVERNING BUILDING CON such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT _ISSUED; TO COMPLY.WITH ALL CITY. AND LAWS abandoned SI any time after the work is Commenced SIRUCTION. WHETHER SPECIFIED HEREIN GA NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPLICAIT, S * for a perrod'cnl 180 days. AP ED BY - DATE 0 CONTRACTOR OWNER - ' 1n1'. 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 / - - BY PHONE 0 • . GRANTING OF THIS PERMIT. r '4- TYPE I DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR El CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING 0 SEWERAND BL/CO Li PL/CO UNDERGROUND 0 WASTE DsWATER TOP OUT DWASTE D\j'VATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATER ELECTRICAL O ELECTRIC UNDERGROUND Ef UFFER ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPORARY EJ BONDING 0 POOL MECHANICAL El DUCT & PLEM., El REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN. ALL APPROPRIATE !TMQ Ar%I UA'Ic ADDD(tIfl - FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING [& i gi SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING - BOLTS HIGH STRENGTH SPECIAL MASONRY PILES CAISSONS '-J' V I \ J\ i.OV - -- - 'Th 3788 U/06/01 0002 01' 02 sJ[/ al 7yments Cance Di. / \ $19.07 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008. 11-06-2001 , . •"Sign Permit Permit No:CB011246 Building Inspection Request Line (760) 692-2725 Job Address: 1850 MARRON RD CBAD St: 110 .• Permit Type: SIGN • ' " Status: ISSUED Parcel No: , •" Lot #: - 0 Applied: 04/02/2001 Valuation: $2,000.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 04/02/2001 Issued: 04/02/2001. -. Project Title HAIRSTYLING CO SIGN W/ELECTRIC Inspect Area RCB Applicant Owner FORD SIGNS ... . -. - 1304 N. MELROSE -" 'VISTA CA 92073 760-631-11976 • Total Fees: $101.98 'I 1 - 1 Building Permit \, $38.13 Addl Building Perniit Fee ( •• '. ' ) , $0.00 Plan Check $24.78 Al Plan Chekee L\ Electrical Fee ,' ,'$O 00 Renewal Fee , , ' •.. ) $l9.O7, Add'l Renewal Fee ' ' ' $0.00 Other Building Fee' .~1$0.00 AddionalFees\ / A TOTAL PERMIT FEES 0 0 •• / 1) 19-07 FINAL APPROVAL Inspector: date: i/o) 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 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 1 .A ( - FOR OFFICE USE O Y PERMIT APPLICATION PLAN CHECK NO2*// CITY OF CARLSBAD UILDiNG'DEPARTMENT EST; VAL..'____-. , r 1635 Faraday Aye, Carlsbad, CA 92008 Plan Ck Deposit Validated Date // i 9c ME oMN . . v/c 1/0 -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 . .z7.7,rS . Description of-Work . -, SQ. FT. #of Stories . # of Bedrooms # of Bathrooms TV sew Name Address City State/Zip Telephone # Fax # Awnej ( - -p --. /?/O .Ai. 41.Ecr. •f. ,.4.-- Name Address .-.. . City State/Zip Telephone # —r CeA T.ui - -. ' 5Oui 1L',/ DQd 4 (3i)SYA Kr7 Name Address City State/Zip Telephone # [5 TC1P NAME I ni (Sea. 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 therfrom, and the basis for the alleged exemption. - Any viojtion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred gollars 1$ 500)). - g ;, . - Name Address City State/Zip Telephone # ' State License # 7/7/ .? 7 License Class — City Business License Designer Name .Address City State/Zip Telephone State License # 116 ' - ,,••---- Workers Compensation Declaration I hereby affirm .under penalty of perjury one of the following declarations EJ"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 worker s compensation insurance carrier and policy numbar are o - injrance Company -2.ij • Policy No y?2_9/8oy " ExpiZ(Date _&X -c.?—L.o-D( t (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the p'erformanceof the work, for; which this permit is issued, l• shall not employ any person in ny mnrerso a- to become Subject to the Workers Comp ensation Laws of California t 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), ii_ddition to the ost f compensation, damages as provided for. In Section 3706 of the Labor code, interest and attorney's fees. ' SIGNATURE j4 / DATE :- - I hereby affirm that I btn 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 t '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 arm 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 DNO 2 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / addrass / phone number / contractors license number) \. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone .,'numter / 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 1 address / phone number / type of work) 4) PROPERTY OWNER SIGNATURE - DATE ET 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 :., NDI 1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097() Civil Code) - -- - - - 'LENDER'S NAME LENDER'S ADDRESS -. EFçATtON J$L. I - - - lcertify,that I have read the appIicatin and state that the above informatin is correct and that the information on the plans is ac' curate. l.àgree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned - - -. - property. for inspection purposes. I ALSO-AGREE TO SAVE, . INDEMNlFY 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 OFTHE GRANTING OF-THIS PERMIT. • - - - ' 1 .•. t ' - - OSHA: An OSHA permit is required for excavations over 5'O deepand 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 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 day (Section 10644 Uniform Building Code).,;" - - , - - --------------------. - - ., • .C' - - - - .0 -•C,"5% Ar --- -, C APPLICANT'S SIGNATURE "WHITE File YELLOW Applicant PINK Finance' 5' •CS ,•,..'.-- - - . -C - -' - A - of Carlsbad Bldg Inspection Request e City For: 11/07/2001 A Permit# CB011246 Inspector Assignment: RCB Title: HAIRSTYLING CO-SIGN W/ELECTRIC - Description: - Type: SIGN Sub Type: - - Phone: 7607298001 Job Address: 1850 MARRON RD - . Suite: -110 Lot 0 - - .- - Inspector: Location: APPLICANT FORD SIGNS Owner: - Remarks: - - Total Time:, - - - - - - Requested By: TED - - - ' •.- - - i- Entered By: ROBIN CD Description - Act Comments 38 Signs Associated PCRs - - InsDection History -. Date Description- - Act Insp Comments -, - 10/10/2001 38 Signs - - CO - RC SEE NOTICE - - - - - 09/26/2001 .38 Signs - - . - CO tRC SIGNS NEED UL STICKER AND MAF NAME PLATE - - - . • -; - :- •_( . . . ._*-,; * - • - - - -• - • - -. - 2 -. *•i .•- APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - \ CA1.RLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT - -- - - — 2075' Las Palmas Dr.,,,Carlsbad, CA 92009-1915 (619) 438-1161 :- ' JOB ADDRESS , , - AV. ST. RD. THOMAS BROS NO. ' DATE OF APPLICATION BUSINESS LICENSE a VALUATION 'PERMIT NUMBER --- - --/-/- '/o3 /o -0'". T- - - CONTRACTORS PHONE ZONE _--. - ••. ' . 7ur-iu S! Qv OWNER'S NAME .. OWNERSPHONE '4L - -- • BUILDING SO. FOOTAGE' - . • - . - - V - CONTRACTOR'S ADDRESS I CONTR ACTOR'S STATE LICENSE NO. OWNEPMdL1NGADDRESS 7 tO4'Q S7 - 7 - .•,- --' --..- - ----t-- LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. , - ---CONTRACTOR - - DESIGNER 12 DESIGNER'S PHONE OESCRIPTiO0OFRK - - -- - - - 1Z7/lr DESIGNERS ADDRESS - .. - - ' STATE LICENSE NO. - - -- - -- - --'- - --- - - - I Lee _0003_-09/03_0101 O2B1dpmt1O -- EDU STIES OCCGP YO NO -- -. -' !'• CENSUS TRACT,—[-PARK ING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' -; - - TYPE 0CC LOAD FIRE SR - - • • - ' - - AREA -- - ' CONST - -- • . - - P Y 0 N 0 - Y 0 ND ' I . - 0 N - - Plop Valid Unless Machine Certified — ---''Law does not apply loan owner 01 property who builds or rn. QTY t PLUMBING PERMIT ISSUE - OT Y MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER contractor(s) licedse pursuant to the Contractor's License !i EACH FIXTURE TRAP - - - INSTALL FURN. DUCTS UP TO)00,000 Blu: . BUILDING PERMIT 001'810'00'00-8220 - EACH BUILDING SEWER • - - - - ' 'L-.' • - ' • • — -. :- --_--a S-- ' - - ' OVER ioo.000 BT'U • -• - - - -,-----' " S(GN PERMIT-- '-- - 001-B)OOO'0O-822j--' ' - "'.; -'S-S • - -' (EACH WATER HEATER AND/OR VENT ' I - • • BOILER/COMPRESSOR UP TO 3 HP' - - - PLAN CHECK - ' 001-810-00-00-8891 - EACH'GAS SYSTEM l'TO 4'O'UTLETS 1 . BOILER/COMPRESSOR 3-15 HP . ' ' TOTAL PLUMBING , 001-8)0-00-00-8222 ' - - ' EACH GAS SYSTEIIIi 5 OR MORE- -" --- -, -----0 '.-Z- - .'-. METAL FIREPLACE -- .'- - - - - - --' - - ..-'--'--' ELECTRICAL ' -- -• - •001-810'00'00-8223 • ' EACH INSTAL,,_ALTER; REPAIR WATER PIPE ' VENT FAN SINGLE DUCT ' .' MECHANICAL 00i81O0O-O0-8224 - _EACH _VACUUM BREAKER- -—-. . . MECHEXHAUST'HOODIOUCTS --': MOB(LEHOME -001'810'O0-0O-8225 .- WATER SOFTNER1 -: _.- - _.. ..r RELOCATION OF. EA'FURNACE/AEATER,_-.-,. ._. , - -- ,_:sfflf,)--'n-k --001810-O0-00-8226_ —4--' - -•-•-- —S --,-' - EArCHROOFDRAININSIDEI _-- , - DRYERVENT --.-.- • -STRONG MOTION 880-519-92-33 . 1' , '-sell.insure. or a certificate of workers'-Compensation In. __________ TOTAL MECHANICAL 'i - ' -' ----------------------- - c . ' - , -.-- _ . FTRE'SPR)NKLERS -- 01TO0b008227 -- - ' - ,- t .TOIA'L.PLUMBIN& " -- - -: , -PUBLICFACILITJESFEE,-320-810-00-00-8740, - BRIDGE FEE '360-810-00-00-8740 QTY. ELECTRICAL PERMIT ISSUE ' QTY. '-MOBILE_HOMESETUF PARK-IN-LIEU-(A REA ,- .2:cPhI tiled with the city—. .- •-'-.--.. . _______________________________________________________ NEW CONST,EA AMP'SJi BKR i''' S CAR PORT - - - - : ' '.. ,TIF. ' -. -. 312-810-00-00-8835 ..--n-.-.--- 1 PH -- 3 PH ' r,O. . A - -' AWNING. COSTA TIF - 311-810-00-00-8835 '. WORKERS', COMPENSATIdN INSURANCE'., EIS1BLOG.EAAMP/SWT'BKR .t' ,T ---GARAGE - "FMF' PH - 3 PH ' . -. - r - - , ' . , •— , LICENSE TAX' ' 001-81'0'00-00-8162 - RE'MOOE1'"AL'TER ''ER CIRCUiT "n - ' - - " . • . . - . ' . - - . . - ' - MFF - ' - , . 880-519-92-57 'TEMP POLE 200AMPS" - OVER 200 AMPS TEMP OCCUPANCY I30 DAYS) -. -.CREDIT DEPOSIT be deemed rex0k04: TI)TAIELELIRRAL - TOTAL r TOTAL FEES IHAVE CAREFULLY EXAMINED THE COMPLETED --APPLICATION AND PERMIT"AND 130 HEREBY Expiration. Every permit Issued by the Building OIIidIaI under the provisions of this - * AN OS RIM T IS REQUIRED FOR EXCAVATIONS OVER Code shall eoplle by IlrntatlOfl and become null and void It the building or work -CERTIFY-UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP ND DEMOLITION OR CONSTRUCTION OF thorized by such permit is not commenced within 180 days the date of such permit, DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ or it the buitdin or work authorized by such rr °s STRUC RES OVER 3 STORIES IN HEIGHT it ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned CI any time a lee the work is commenced for a period 01180 days,STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY - -: *LICANT'S SIGNATURE * OWNER 0 CONTRACTOR 0 APPROVEf6Y. < KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANL EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE - BY PHONE 0 GRANTING OF THIS PERMIT, - - USE BALL POINT PEN ONLY & PRESS HARD :: • -w.- " *' " ,&LL,4r fsf3.-.1 - - 2r.herebyafflrmJhat'i am licensed under - 0 !0Vi5IOn5 of Chapter 9':.,(c6mmencin6 \oith - I Z,SsctIon 7000) of, Dlvlsior'r 341 the Buodnoss - ' k.rand Proteasions Code, and my license is in I full force and effect. u =,o;•-.r- I hereby'altirm that I ass exenipt,. from the .Contrac- - br's License LawTor lhe showing reason (Sec- 7031.5 - •, ._8usines and Protessions Code: Any City or County whicr. re I - quires a permit- to construct, alter: improve, demolish. -or - . repair any.ptruCture, prior Is its issuance also requires the ap' - plicant lot such permil to tile a signed statement lhal he is I ''trensAd pursuant 'lo the provisionrnt the ContractArs License Law Chapter 9 commencing with Section 7000 at DivisiOn 3 o the Business and Professions code) or. that is-en- I empl therefrom and the basis or. the alleges exemption. Any violation of Section 7031:5 69 an.applicant lot a permii,sub- - edo the applicant 16a civilpenalty of not more thAn tiAe hAn- -'dred dollars-($500).r --- 1,1. as owner, at the property., or my employees'wilh wages. - • as their sole compensation will dnthe work, and the struc' 'tIire is not intended sr'otteredSor sale (Sec. 7044. Business 'And Professions- Code: -The Contractor's License Layi does I ."çnot apply to ap 'owner 0) property -who builds or'ithproves m .. thereon and who does such work himself or through his own - - employees,'provided tlrat'such improvements are not intend W .°-ed or uttered for sale--It, however, the build ng5or improve- Z ' mAntis sold-Within one-year ot completion, the owner-b' - -. . will have the burden ot.pruving that he-did not build or im I 0. ..-..prove for the purpose 01 sate(.— I I; as owner of the property, am exclusively contracting ,. with licensed contractors to Construct the project (Sec. 7044. I Business'and Professions Code: The Contractor's License •• proves thereon, and ,who contracts 'for each projects with as-), i- ,.. (1. As a homeowner I am improving my home,, and the tallow' 4 ' - ing conditions exist: r 141 ;,%r L'' -n •4' r work-is being performed-prior to sal'o 2 I have lived :in m_ home;lor._twelAe months prior to completion of. this work.,,.. 4 I Ui 3. -1 -have. not. Claimed this .eeemplion 'during 'the — 0 _ last three years. • 0' lam exempt'under Soc. ' - ., & P.C.'' iter this reason - -'-D - I hereby affirm that I have a certificate of consent 10 suranie.ora cert,tied copy thereof Sec. 3500. Labor Code) -I ;,PoLICy'iO COMPANY, Skf ' IZO Certified copy is hereby furnished .t CL S '• I o • . ',CERTlFrCATE'OF,,EXEMPTtON'FROM •' (fl (This Section_need not he completed it the permit is for one hundred dollars ISrOO) or less) ' certify in.the'pe;loenrance 01 the work for which this pimit is issued. I shall not employ any person irrany 0 manner so as to become Subject to the Werkers' Compen. I -nation-Laws 01 California. , ... p xNOTlCE TO APPLICANT: It, atter'making this Certificate - p of Enerhption. you should become subject to the Workers' - ,1Compensolion proxisions 01 the Labor Code, you 'must lorthwith,comply with Such provisions or this permit shall J t1- -["rD:Ih-eretf affirm lli'at'lheris a construction lending I - I._;O9 cyr Ihe periormance of the work Or which Ibis pei- 0,1. mil is issued (Sec. 3097. Civil Codel - IUl Lender's Name a' •*t ' -'•'.,' I 'LendAr's Address - "• " ' '" I — -----.--••-'-.- '__: -- . • - . - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LI FLOOR LI CEILING SHEATHING 0 ROOF Li ShEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING - LI SEWER AND BL/CO U PJCO UNDERGROUND Li WASTE D'WATER TOP OUT. DWASTE DATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER 0 SOLAR WATER ELECTRICAL - Li ELECTRIC UNDERGROUND d UFFER - ROUGH ELECTRIC Li ELECTRIC SERVICE 0 TEMPORARY Li BONDING 0 POOL MECHANICAL Li DUCT & PLEM., Li REF. PIPING - HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAyE BEEN APPROVED FINAL PLUMBING ELECTRICAL - MECHANICAL GAS BUILDING -t Ar4 /k uq SPECIAL CONDITIONS - '- FIELD INSPECTION RECORD V REQUIRED SPECIAL INSPECTIONS 'V INSPECTORS NOTES N INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE .PRIOR TO FOUNDATION INSP V - STRUCTURAL CONCRETE OVER 2000 PSI - - - PRESTRESSED V CONCRETE - - POST TENSIONED CONCRETE - - FIELD WELDING V HIGH STRENGTH - BOLTS - SPECIAL MASONRY PILES CAISSONS V V V -- _______ __________ ______ JVV• VVVV I - -V