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HomeMy WebLinkAbout1850 MARRON RD; 114 | MULTI-PERMIT FILE; CB133051; Permit: * City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-2013 . Sign Permit Permit No: CB133051 Building Inspection Request Line (760) 602-2725 Job Address: 185OMARRON.RDCBADSt: 114 Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot #: 0 Applied: 12/11/2013 Valuation: $4,500.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 12/11/2013 PC #: Issued: 12/11/2013 Project Title: PEARL NAILS & SPA- 2 SIGNS Inspect Area: -. ILLUMINATED CHANNEL LETTERS- i'INFRONT & 1 ON Applióant: - : Owner: SOUTHWESTERN SIGN INC , P K I NORTH COUNTY PLAZA L P C/O KIMCO REALTY CORP STE C . -. 3333 NEW HYDE PARK RD #100 . 4354 TWAIN AV 92120 ., NEW HYDE PARK NY 11042 6119,321-7362 Building Permit . . .. . . . $77.87 Add'l Building Permit Fee - * $0.00 Plan Check . - . $54.51 AddI Plan Check Fee , $0.00 Electrical Fee . $33.00 Renewal Fee .. $0.00 Add'I Renewal Fee . . . $0.00 - Other Building Fee . . . $0.00 Additional Fees . $0.00 . TOTAL PERMIT FEES •. . .. . $165.38 - Total Fees: $165.38 Total Payments To Date: $165.38 Balance Due: $0.00 FINAL APPROVAL - Inspector: Date: / 2 ' V Clearance: NOTICE: Please take NOTICE that appovat of your project includes the Imposition' of fees, dedications, reservationsor other exactions hereafter collectively referred to as *fees/exactions.* You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must Jollow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. . You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given p NOTICE similar to this. gras to which the sfatute'of limitations has previously otherwise expired. - I I — ., - • *,• ,- S. THE FOLLOWING APPROVAJS REQUIRED PRIOR TO PERMIT ISSUANCE EJPLANNING DENGINEERING EJBU)LDING EJFIRE DHEALTH DHAZMAT!APCD I Building Permit Application Plan Check No Q / 375 1635 Faraday Ave Carlsbad CA 92008 C IT Y • 0 F Est Value 1/ $yg Plan Ck. Depoit ,s . - Ph: 760-602-27.19 Fax: 760-602-8558 CARLSBAD email: buildingcarlsbadCa.gov Date ) f 3 IswPPP 1 .carIsbadca.gov 0M -* JOBpg~:o SUITE#/77E9N4 CT/PROJECT A LOT U PHASE U U OF UNITS - U BEDROOMS U BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE 0CC GROUP I -- - - DESCRIPTION OF WORK: Include Square Feet of ected Area(s) A O EXISTING USE - - - - I PROPOSED USE - ' GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESEJ#. NO[:] AIR CONDITIONING YESEINO FIRE SPRINKLERS YESEJNOEJ : APPLICANT NAME (Primary Contact)4 APPLICANT NAME (Secondary Contact) -. - - - ._.- ADDRESS - / - ADDRESS - . C ' STAT ZIP - CITY STATE ZIP - ' .' - . . . - • - E , )g,x 'i 7 7. PHONE , FAX .. - EIL 1 - _____________ EMAIL -. PROPERTY OWNER NAME CONTRACTOR . AD27S ,e C . STATE ZIP - .(-:. .J • ?ZO Y?. Fow— - STATE - ZIP * . Y-fqt'-'w7 o- 7Z7/Vo FAX '7 7c b e ; EMAIL, Jf/ C/4 -Cm" ______________ AR CH/DESIGNER NAME & ADDRESS STATELIC.# TATELIC. - •. , lcs AITYBUS.LIC.0 O7tto - fec. w.j1. business ano FrOTessions toae: Any uity or County whIch requires a applicant for such permit to file a signed statement that he is licensed pursuant U Business and Professions Code) or that he is exempt therefrom, and the basis for civil penalty of not more than five hundred dollars ($500)). 150 Workers Compensation Declaration (hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self Insure for workers 'compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit IS Issued I have and wfll 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 canier and policy, number are Insurance Co Policy No ' Expiration Date his ion need not be completed d the permit is for one hundred dollars ($100) or tess Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of - California., WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. • - CONTRACTOR - • 0 AGENT • DATE / hereby affirm that lam exempt from Contractor's License Law for the following reason [] I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's - License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsetf or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) [J I as owner of the 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 v -1.) personally plan to provide the major labor and materials for construction of the proposed property improvement. ]Yes ENo r - - 2. I (have! have not) signed an application for a building permit for the proposed work. - - * * - - - - . - ' - 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors license number) 4 i plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name! address! phone /contractors' license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name! address phone! type of work) , PROPERTY OWNER SIGNATURE , '4 . DAGENT DATE - I- - - J - - •--- :; - permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the o the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2010 Sign Permit Permit No: CB101467 Building Inspection Request Line (760) 602-2725 Job Address: 1850 MARRON RD CBAD St: 114 Permit Type: SIGN Status: ISSUED Parcel No: 1563011600 Lot #: 0 Applied: 08/09/2010 Valuation: $2,500.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 08/09/2010 PC #: Issued: 08/09/2010 Project Title: INCHES A WEIGH-2 WALL MOUNTED . Inspect Area: ILLUMINATED CHANNEL LETTER SIGNS Applicant: Owner:—_._ CUSTOM MEDIA MFG. P K I NORTH COUNTY PLAZA L P (3333 NEWH'YDFPARKRD #100 136 NEPTUNE PL 92026 \NEW/HYDE PARK'NY''1104 LJ/ 2 -' J J 739-8753 ( / . . Building Permit / / , . < $54.11 Add'l Building Permit Fee / \ c3\) $000 Plan Check / / . $35.1'7 Add'l Plan Check Feel $0.00 Electrical Fee 7$20.00 RenewalFee Add'l Renewal Fee / "°°° Other Building Fee( Additional Fees ss 00.6, o © / A .00 TOTAL PERMIT FEES \j),frj "\ $109.28 \ \c \ I c )"' / I Total Fees: $109.28 Total Payments'TqDate: $109.28,.frBalance Due: / $0.00 \ II I INCORPORATED 1952 v 0 FINAL APPRQVAL Inspector: Date: 9/O/i6 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in 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 wafer 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 CITY OF -Building /7Z 7 Permit Application Plan Check No / 1635 Faraday Ave., Carlsbad, CA 92008 Est V I 760-602-2717/271R/2719 Fax: 760-602-8558 ' CARLSBAD Plan Ck. D posit www.carIsbadca.ov 4_. Date SWPP qka - I JOB ADD ESS /5O /77c-.rr'-- Or, SUITE#/SPACE#/UNIT# /V !V APN ,ç , -3c'[-/( —00 CT/PROJECT # LOT # PHASE # a OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. T77ROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 't I - EXISTING USE . PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES 0 #_ NOD YES 0 NOD YES 0 NOD CONTT NAME If Different Fern Applicant) LS'i(zooj CA I . , APPLICANT NAME -' . ADDRESS 3d ADDRESS C113.- STATE ZIP .. CITY STATE, ZIP PHONE 9?-7 8qr3 FA PHONE FAX EMAIL - EMAIL . . PROPERTY OWNER NAME .- + . CONTRACTOR BUS. NAME S ADDRESS 4X41 Cl S , ADDRESS I) - STATE P J 'Qu?( CITY - STATE , P 6cA7L .zi PNE FAX - - - PHONE - FAX ?- EMAIL - . . EMAIL ?jtt) Cox . ARCH/DESIGNER NAME & ADDRESS -. - STATE UC. # STATE UC.# 69/C( ClASS . - CITY BUS. LIC.# -. . (Sec. 7031. Business and Professions Code:.Any City.or County which,requires.a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). v :'--Jj - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: , V I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for which this permit is Issued. 0 I have and will maintain workers' comensatIon,.as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workes' compensation insurance canter and policj number are In(frtiicceCo 'PoIIyNo pd$tion need not be completed if the permit is for one hundred dollars ($100) or less. . . . . NCertificate 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 -. aIi rnia. WARNING: Failure to secure workers' compention coverage is unla Ui, 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, da ages aØrovid) foin'Se ion 3706 of e Labor code, interest and attorney's fees. . . . '..g CONTRACTOR SIGNATURE /,'( 41.. ' IJAGENT DATE I hereby affirm that lam exempt from Contractor's License Law for the following reason: - O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 704.4; Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale, if, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0' . I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of -. property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 ' ,1 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 - I (have! have not) signed an application for a building permit for the proposed work. . . . . . I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 4 I plan to provide portions of the work but i have hired the following person to coordinate supervise and provide the major work (Include name! address phone! contractors license number) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address phone type of work): . . ..PROPERTY OWNER SIGNATURE OAGENT DATE - .4 • City of Carlsbad Bldg Inspection Request S Lu For: 09/17/2010 • Permit# CB101467 Inspector Assignment: Title: INCHES A WEIGH-2 WALL MOUNTED Description: ILLUMINATED CHANNEL LETTER SIGNS Type:SIGN Sub Type: Phone: 619977 53 Jth Address: 1850 MARRON RD Suite: 114 .Lot: 0 Location: : Inspector: APPLICANT CUSTOM MEDIA MFG. Owner Remarks: STE. 114 Total Time: Requested By: BILL Entered By: LT S. CD Description Act Comments S • 1911. Final Structural Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History S Date Description Act Insp Comments S . - S S. - - - - City of Carlsbad - -.• • 1635 Faraday Av, Carlsbad, CA 92008 -• , 0823-?001 - Sign Permit Permit No CB012767 Building Inspection Request Line (760) 602-2725 r Job Address 1850 MARRON RD CBAD PermitType: SIGN . - . -' •-. . Status: ISSUED Parcel No: '. Lot #:' 0 Applied: 08/23/2001 Valuation: $3,500.00 . Construction Type: NEW Entered By:. CB Reference # Plan Approved 08/23/2001 Issued: 08/23/2001 Project Title VOLT /4 ELEC CHANNEL LETTERS inspect Area Applicant:8301 08/23/01 0002 01 02 WESTERN SIGN SYSTEMS ;CGP 108.26 1020 LINDA VISTA DR -- SAN MARCOS CA 92069 Total Fees $10826 Total PaymentTo Date \$0tO0 Balanc&Due $10826 i \ Biiiiding Permit / $53.49 Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee kenewalFee 'Add'l Renewal FE dther Building Fee Mditional Fees IH!,,i): : ; TOTAL PERMIT FEES tNCORPORATED $10826 \ 7 1952 ,. r c4 EXPIRED PER IVIFI". HAS EXPIRED IN ACCORDANCE WITH U B C. ;1o&4.4 - c I - .. .-- ,- •_4' ; , .. S - ç SIGNATURE : I 5- .- t I — FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NQkI'27á27 EST VAL./ CITY OF CARLOAD BUlLOlNGDEPARTMENI • 1 635 Faraday Ave., Carlsbad, CA. 92008 • . , Plan Ck. Deposit •. Validated By _CJ2 Date _/—;' /") I 7-7 i AM QATIO7N4 Address (include Bldg/Suite Busines Name (at this address) Legal Description. • . . . ' çLot Ni Subdivisidn Name/Number.., Unit No. Phase No. Total # of units 1 ' Assessor's Parcel # 7iVExisting Use:",;v.;j-J Proposed Use 3 .* .-cir Description of Work'',7' ' #ofStories " ,# of Bedrooms # of Bathrooms ZN 5 7I -LI. IL 6 'iJJiZ s4 ii) 15 I R JIt c ' , ..—, Name Address r City State/Zip Telephone # Fax # iU 5/MiS thVi1A 19;L40 16 Name Address City State/Zip Tehone1 o 1474, g22 Name Address City •, State/Zip Telephone # -52 (Sec. 7031.5 Business andProfssionCode: Any City or County,whichré'quires permit to-constuct, 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 Businessand Professions Co dal or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). W1Rrtj . ~I 'A .A. ,4 16*-736 O 7C Name Address ' 7 City ' State/Zip 9'24 Telephone # State License # / 1Licene Class - . . City Business License # . -:14::' t-.:;' ,'. 1.'4;, 4 ............'. ,'.. ,c,.& Designer Name '' "-' ' . 'f "Add ; City - State/Zip Telephone 'I' • I State License # S. ______ .' — . . • - Workers Compensation Declaration I hereby affirmiunderlpenalty of perjury one of the louowing declarations 0 I have and will maintain a certificate of consent to self insure for workers coipensation 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 compesation as requil 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 7476 /1}I1JD - . . :PollcyNo.4Q7g 1 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMiTIS FOR ONE-HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION I certify that in theperformance of the work for which this permit is issued I shall not employ any parson in any manner so as to become subject to the Workers Compensation Laws of California - WARNING: Failure to secure workers' compensation. coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as 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 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 Col The Contractor s1License Law does not apply to anowner of property who builds or improves thereon and who does such work himself or through his own employees provided that7such 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 hedid not build or improve for the purpose of sale). 0 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors License Law does not 1apply to an owner of property who builds OiiprOves theron" and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Low) I am exempt under Section Professions f& thIiaâ '•- '.4- 1. I personally plan to provide themajor Iabor.añdmaterials*for. constructioh of the; pr.oposed-property improvement. 0 YES ONO 2 I (have / have not) signed an application for a building permit for the proposed work ' I 1 \- 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) ,,.,-r•* ' • ': . 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 / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): - - .... -, ,. . .1;'.'.; - '4 ." ' • j' - PROPERTY OWNER SIGNAT .. URE - ' _s4,L*.-, DATE. MR 71S fL' RVEN ml! Ek N111 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 2,5534 of the Presley.Tanner Hazardous Substance Account At? 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 boundar of a school site? 0 YES 0 NO - ...'_ '.'. - .. ......- - - IF ANY OF THE ANSWERS ARE YES,-A FINAL CERTIFICATE OFOCCUPANCY MAY NOTBEISSUED UNLESS THE-APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFFICE -OE'EMERGENCYSERViCES'AND'THE AIR POLLUTION CÔNTROLDISTRIÔT. - NOW 131410.121 ~,lyl_ 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) - - ••'--•'--'-' -- --: •-'-' •'-.-:--- ----------''c- LENDER S NAME ICA APP I certify that I have read the appticion and state thath' boe information is &rect and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned property for inspection purposes. - I ALSO AGREE :TOAVE, INDEMNIFY -"AND :kEEp-- HARMLESS,THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ,IN'ANV WAYACCRUE AGAINS,TSAIDCITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50 deep and demolition o'c&structiàr of tructuies over 3 stories in height. EXPIRATION: Every permit issued by the building Official underthe provisions of this Codesháll expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section -10644 Uniform Building Code) APPLICANT'S SIGNATURE DATE — , "• - WHITE: file YELLOW: Applicant' - PINK: Finance -, .•-'..'-.::' _-'.4. * . - B U I L U I N G I r F I) I T F erruit Ho Lf.,982? 08/21/98 08 ro LC t No RI96cY58 F aqe 1 6t 1 Deuelopriierit. No JoL' IiiJdre 180 MIkRON RD Suite 4114 I Feriint 1 vp-2 SI(1N }c1Iccl No Lot* Uc.i1uc.tior, 4 000 r CoriLrurt ion lvpe 1\1 IN flcruperIcv G r o u Fetei erlce# Statu - I%SUFD c ijit ion 2 60 SF I1L!LJMIN RTE D WALL SIGN5 - pp 1 ic ii 08/21/98 V V •V : . - .. fV V Apr/Issue 08/71/98 Eli i d Lv b Fp1;1/0wr ULHIThF0N SIGN 0 619 5 o9-6/I6 0001 01 02 - 4 54 B C 0 MI- L E X Si 4 O1 0321 08/2/98 CHRMT 152-00 StN DILGO C 92l2 *VC Fee-.."kequired *V3 F-e'.. di lected & Cre.-Iit'-' Fe: 1'5 2 AiA Rd ii-truerit j'00 -i t 00 ioLal I ee il? 00 Jota1r.if t 00 FE INCORPORATED 052 IT' DN ORDANCE WITH USA - • V ': ' . V V -: •VIVV V V:V 5ECT10N1064 -DA - mw~SIGNATU moo b 2 It -. V V .h. .• V V - V V V V V V - - V V - -V-V•_ _________ - V V FINALAr - OVAL V Vfl - V• V V V - V - V V V I CLEARANCE - 4 V •V V V V -, V V - P -V V •IV -- I Vr : V V V - V V V - V V V V V V _V •VVV - VV • Vi VV V V V• V •V - - V V V V VV: V V V V ¶•Vt - - •. ';V V •V •V V - V - V •V ft -. . V CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-116l .' I - - - V - - •• . 4. 7 S,1 • - •. - '_ FOR OFFICE USE ONL PERI APPLICATION ' -' PLAN CHECK NO.__________ CITY OF CARLSBAD.BUILDING DEPARTMENT. EST-VAL. 2075 Las Palrrias Dr., Carlsbad CA 92009 Plan Ck. Deposit '(760) 438-1161 . . Validated By- pate 1 i. PROJECT INFORMATION -, .- ' . H' •-' - . -' Address (include Bldg/Suite #) Businqss NameJat his address) - ia ou-ejcj. 4 \\A' •'- pote &L4 'It C.e Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units - : Assessor's Parcel # -- - Existing Use - : Proposed Use D criOtion of Work I . - - SQ. FT. #of Stories . - # of Bedrooms # of Bathrooms r) ttLL LJ'.41f I-t' th ( c4-sc c39 - ( L7- C ?cIL3 Name ,. Address , City State/Zip Telephone # Fax # . o:c ffc jD D'ALtor :.. Eiwe Ck 7' ci.o 1"ti. o . , . - - .-. •. -.. ,- , Name - - . Address -: City State/Zip Telephone # , ., RE . g:yg c. ' -. - -..• . - .- ,. -. t - Name Address ' City State/Zip Telephone # am ? -y (Sec. 7031.5 Business and Professions Code: Any City or County which requires .a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for-such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that heisexempt therefrom, and the basis for. the alleged exe tion. Any violation of Section 7031.5 by any applicant for a permit ubjects the applicant to a civil penalty of not mor than five hundred dollars ($500)).' .Ur4isxOr4 45 pL4tL4c- .- Name . if -. Address U ( City State/Zip - Telephone # State License # 544t - - License Class _.-4' - City Business License # ) -• - Designer Name , Address - City State/Zip Telephone State Liense # ,. . . • •" 6WORKERS OWSA OTEM'- 7171 : - '--'-- —ii Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: -. •• ' - 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of thg Labor Code, for the performance of the work for which this permit is issued - lha'e and will maintain workers' compensation, as required by Section 3700of the Labor Code, for the perfo'rmance of the work for,'which this permitis issued My worker's compensation insurance carrier and policy number are / Insurance Company jj ' . ' Policy No.- Expiration 'Date (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 performance of the work for which this permit is issued, I shall not employ any person in any manner so as. - - - to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred. , thousand doll re n (8 100,000). a4dition to the cost f compensation, damages as provided for In Section 3706 of the Labor coda. Interest and attorney's fees." SIGNATURE . .-. ' DATE ''z..Lç'_.. -':' ;' •, 7OWNER DER DECA nON ' ' ' .j-•' I hereby affir tha am exerhpt from the Contractor's License Law for the following reason: -I, as o net of he 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, B in s and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thOon and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale: If, however, the building or improvement is '. ... sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) - - 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Co'Oe: The 'i Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason - - -'I 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DN0. . - - •. - I - 2.. I (have / have not) signed an application for a building permit for the proposd work.-- 3.' I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number /'contractors license nimber): - - 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 / contractors license number):•- - - - - - ' - 5. I will provide some of the work, but I have contracted (hired) the following prsons to provide the work indicated (include name/ address / phone number / type of work): PROPERTY OWNER SIGNATURE -.-' _-. DATE - - - COMPLETEHIS SECTION FOR NON.RES!DEN77AL UIWING PERMITONL4 L Is the 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. l8CONSTRUC1LNGiN( " '- ' 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 Aiü ERTIFlcAui 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 rep'esentatives of the Cite' of Carlsbad to enter,updn the above mentioned' property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST'ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.- OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or Construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and became nul(and void if the building or ' work authorized by such permit is not commenced within 365 days from the date of such permit Or if the building or work 'authorized by such permit is suspended or abandoned at any time after the work is c mmenced for a period of 180 days (Section 106.4.4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance 4. " USE BALLPOINT PEN ONLY 8PRESSHARD APPLICANT-TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. __5•• .ARSBADBuILDING'DEpARTMENT': - .. k'. - -' 2075"Lás Pàlmãs-.Dr,, Carlsbad, CA 9200'9-1915.(619) 4381161 ' .108 ADDRESS- , 5- •,' h - AV. ST. RD.- THOMAS BROS NO, %Sbf'fPcRiOr'J - 'Po At!t4'_eIf9kJ) LOT BLOCK SUBDIVISION ASSESSOR PARCEL"NO.,,', '. ,kCO~NTRA C ~NTRACTOR I, OWNER'S NAME I ' . 'S PHONE ______ CONTRACTOR'S ADD L jfl1,J, I OWNER'S MAILING ADDRESS .) I ((_4J f's! DESIGNER Alk DESCRIPTION OFWORK I • ' ' DESIGNER'S ADORES P WPcU—r -9& I LA A F/P PLO 'APPLICATION &PERMIT • ,r, DATE OF APPLICATI BUSINESS LICENSE 01 -' VALUAT 4° PERMIT NUMBER j • COAT'PHONEe "ZONE J STATE LICENSE NO. ' •, - BUILDING SO. FOOTAGE - __-- __•- ,- -- DESIGNER'S PHONE - -- - ' - STATE LICENSE NO. - ' ' ' - • • - - - - .j - cv. - 71 - '• NO cTrsomc OCCGP - EDO -' ' CENSUS TRACT . PARKN SPACE 'REd UNITS -' GRDING PERMIT ISSUED' - 'REDEVELOPMENT - ' - -TYPE - 0CC LOAD' FIRE SPP -. - . ,. . __, ,, '; -• - - -r •- - ' - , - ' -- AREA , CONST I . • - i -': _-- _1__- - • oD _N 0 __-,yDND' _, - . - :• _r'D 'ND Not Valid Unless Machine Certified • - PLUMBING PERMIT ISSUE _- OTY • MECHANICAL PERMIT ISSUE M OTY 0 /5 - ' - . SUMMARY1003Ur1 O2E1dPmt,. - 9O I - ' ,EACHFIXTURE,TRAP,._.,,S __-• __- - ' INSTALL F-URN. DUCTS UPTO100,00,0 BTU - BUILDING PERMIT - 0O1'810-0O-OO-8220 • — EACH BUILDING SEWER - 4 5 . '. -' - " -• ' - - OVER'lOO,OOO BTUT. -T '" " - , ' ' SIGN PERMIT ---------001'810"0000'82'21 • . ' •, 'LEE 'EATCH WATER HEATER ANO7OR VENT __' .. BOILER/COMPRESSOR UP,TO3_HP -• _ -, _____, PLAN CHECK 0017810 --_ _C: EACH"GASSYSTEMITO4OUTLETS ' -. BOILER/COMPRESSOR 3.15 HP, •• -',TOTAL PLUMBING ''001-810-00-00-8222 EACH G'AS'SYSTEM 50R MORE-- ' .------:--. ''- METAL FIREPLACE '__'-' __1' ,, '-ELECTRICAL' _____001810L00.00.8223 -. 'EACH INST'AL"ALTER',REPAIR_ WATER PIPE .' VENTFANSINGLEDUCT MECHANICAL 001810,'00;00'8224 '- ECHVACUUMBREAKER--- ••, _- MECH'EXHAUSTHOOD/DUCTS '• ,• MOBILEHOME -001-810-00-00-8225 - . WATERSOFTNER _-. _-- -'-,-,'-' .- 'RELOCATION OFEA'FURNACE/HEATER' - --.- -''-r-' _' -SOLAR':'-001-810-00-00-8226 EACH ROOF DRAIN _Il,,NSIOEI *' . • ' - DRYER VENT _'•- - STRONG MOTION _'880-519'92-33 - - - 5 .-F-:. ' .; . . ' . __. - ' • TOTAL MECHANICAL ' " - 'FIRE SPRINKLERS 001-810'OO-0O-8227 - _ j,1C _ -_[_ -' :, -' .L5I TOTAL PLUMBING - '- - ' .----- - -•-- -. ,_._,PUBLIC.FACILITIESnFEE_,_'-'320-810-00-00-8740'- -- ' '- --'----"- - - . "'' - -- 0 -. . BRIDGE FEE' -. 360-810-00-00-8740 - > • -- QTY. -- - ELECTRICAL PERMIT - ISSUE -- - ELECTRICAL PERMIT • - - -: QTY. - - MOBILE HOME SETUP -' -. - 5 i-.- ' • . ' . - ' ' " - ''_- _. : -•• - PARK-IN-LIEU -(AREA - • . , .. NEWCONSTEAAMP.SW1-BKR _- - '- - ' ' • . CARPORT_..,•-'.;. _--_.•r ._. _TIF ... _- ___••312-8100000r8835 - ' - ,.. - - - - - , - 0: '—(-I IPH - _• _,' __,-- _3 PH •: .- ,. AWNING I -, _-" ' LA COSTA TIF - 311-810-00-00-8835- EXIST BLDG EAAMPISINT BKR -, - GARAGE - * - - - - FMF •ILL IPH ' 3 P '_n- '•.LICENSETAX__,0Oi'81O000O:8162. , - ' RETOOEL'ALTR PER CIRCUIT V 1,l Irt.'0 _:. _- 'j -•_,-'•' • MFF ,•_ 880-519-92-57 -- • TEMP POLE 200 AMPS " "' -- . ' - 5 . ' 4-' - ' -----------• * -' -- - ' ' ' •r ', • - - :- ''' ---.-"' _,' OVER 200 AMPS - v,', - _•• . - - - - .•. - TEMP OCCUPANC'(30DAYS).. I. - __•__--..5--'__'.m "—v''' . . '"A, I -CREDITDEPOSIT -- ----1---'- TOIAIEIELTRILAL - P NC(" - TOTAl E.SPA ,ABLE____-1-________-""7 -TOTAL I _ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - Expiration. Every permit issued bytheBulldingOlficlalunder IheprovIsIonsollhrs Code Shall 80SII8 by limitation and become null and void lithe building Or work * AN OSHA PERMST IS REQUIRED FOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not commenced within 180 days the date of such SO" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND ,I FURTHER CERTIFY AND AGREE IF A PERMIT IS COMPLY WITH ALL CITY, COUNTY 'AND STATE LAWS GOVERNING BUILDING CON permit or if the building kthdb such permit is suspended STRUCTURES OVER 3 STORIES IN HEIGHT - , ' ISSUED: TO aa_onedatanytime a_IerIheworkiscommencedforaperIod01180days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND P LCAN T, I hereby affirm that i-ann licensed under - prov(a(one of Chapter 9(m comancing with .Sóctlon7000) of. Dlvlslon-3 off the Business• VI,and Professions Code, and my license is in - - L.-full force and'ettect.-'- - -'- - - - o I hereby atlirm that 'I am exempt from the Contrac- - r '.tOr'S License Law for the following reason (Sec. 7031.5 Businessand Professions Code: Any city or county whicr. re quires a permrl to construct. alter. improve. demolish, "or I repair aoystructure, prior to its issuance also requires he ap plicaot for such permit to tile a signed statement Ihat.he is,.. Ircensed pursuant to the yprovisions of me contractor's License Law (Chapter 9'Ommeocing with Section 7000 of - -'Division 3 of the Business arid Proles'sio'ns.Code( or that is ee, empf therefrom and the basis for the alleged exemption, Anys' violation of Section 7031.5 by an applicant 101 a permit sub' , ects the-applicant to a Civil penalty of not more than live lrun'_ " dred dollars 105001. 'I •l 1: as owner et'tho properly: ormy enpfoyees with wages'r. oofe compensation, wilOdatho,werk, and the struc- ". _fure is not intended or offered for sale lSec..704458u5i0e55,_ - ,.J - and Professions Code'. The.Centraclor's License Law does _. 'Tool apply to an owner xl preperty who builds1or"improves -' thereon and who does such,work himself or through'his own L employees.' provided that such improvements' are rot intend-` eel ted or offered for sale. (I, however, the building or improve- Z ment is sold within one y'ear'ol completion, lhe'own'er:builder 3 will have the burden of 'proving that 'he did not build or im,- 0 rprove for the -purpose 01 silo). - - -. .t.l .1; as owner of the property, am exclusively contracting - j3with licensed contractors to construct the project (Sec. 7044. - Bmi'siness'and, Professions Cnde:' The Contractor's License Law does not apply loan owner 01 property who builds or.im- - .prnves thereon, and who contracts for each prnlects.with a ,) In •....cont racfor(s) -license -persuaIII to the 'Contractor's License ' ji As a homekwner lam impreving'rA'y h oari'd Ihe,fellb'vJ' 4 " L.ing Conditions exisr:! l4[ e- 7't-W ttlIr t..,,jho work is being performed. prior to sale. - 2. I have lived 'in . my "h0rne4,Ior" twelve monlhs IL)_ prior to completion ol'lhis work,'- eel ,, ,' "3, I 'have 'cot Claim/d 'this eeem'btion during the5 - 0 . last three years. - 0 lam eoempt und Sec.' ''"'-B & PC,Mrj l.lorthisaeasen' It - .'_ ,. •.. . x_, ?-.: \' -" 0Th hereby affirm that I have ' certificate Ot consent to. . ,~elf-insure.or a certificate of Werhers"Compevsation In. - surance. era certitie p e t ISec 38 abet Cod/I' YPOLYe 4O 2J C7 - Copy s tied with the c my suJ .0 C:iiriea copy is hereby_ ereby tarnished LU CL 'aTCERTIFtCATE OF EXEMPTION -FROM' O - -' -WORKERS' COMPENSATION INSURANCE -' In '(This section need not be completed it the permit - ',., fl is' for one hundred dollars .($100) or less) - - .0,1 -cerlity that in rhe"perlormance 01 the worli for which -. this permit is issued. I shall not employ any person in any ' 0 - manner seas 10 become subject to the Workers' Compert' 3 satiàS Laws or California. - f,NOTICE.TO APPLICANT: It. after making this Certibicate5' of Euemptin you should b'ecome'subject to the Workers'. ,Compevsation provihions of! the Laber,Code.' you must, ' d1tort hwith comply wittr'sucbr'prouisions Cr this permit shalt: he deemed revoked.' - ,-'-. •. - I 'D hereby abrirm that th'ere is a construction lending cc .'agency for the perbormance or the work to, which this per. ' a nii iq_55ued lSec,'3097, civil Code) ._ ,_ Lu Lender's Name . Lender's Address - TYPE DATE INSPECTOR BUILDING FOUNDATION - REINFORCED STEEL MASONRY - GUNITE OR GROUT - - - SUB FRAME E FLOOR E CEILING SHEATHING D ROOF 0 SHEAR - FRAME - - EXTERIOR LATH -- -, - INSULATION INTERIOR LATH & DRYWALL - - PLUMBING E SEWER AND BL/CO EJ PL/CO UNDERGROUND 0 WASTE UJ'WATER - - TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST - D WATER HEATER D SOLAR WATER - - - - ELECTRICAL o ELECTRIC UNDERGROUND d UFFER ROUGH ELECTRIC 0 ELECTRIC SERVICE 0 TEMPORARY 0 BONDING EJPOOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPING HEAT - AIRCOND.SYSTEMS VENTILATING SYSTEMS PLUMBING ELECTRICAL - MECHANICAL GAS BUILDING SPECIAL CONDITIONS CALL FOR FINAL INSPEG1ION WHEN ALL APPROPRIATE ITEMS ABOVE HA 'E BEEN APPROVED' FINAL i I FIELD INSPECTION RECORD - . REQUIRED SPECIAL INSPECTIONS . - INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE . SOILS COMPLIANCE PRIOR TO F.OUNDATION INSP - - - STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE - - POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH' BOL-15 -. SPECIAL-MASONRY - - PILES CAISSONS - ..........'--- • - . -