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1854 MARRON RD; 100-104 MULTI-PERMIT FILE; CB880134; Permit
IlE PAIl Pflhtdl PEN flNiV t Putt MADfl 'APPLICANT TO FILLIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .- .----.---r'-' - - - • .1 hereby affirm that am licensed under.l- oIproviO.ne of Chaptsr59(commencing with S.ctlon 7000) of DivIsion 3 of the-Business 'I-lccand Professions Code, and my iicense.is in L:tUti force and effect, - - - I hereby attirm that t . am -exempt--trem-.tfle - Contrac- - I - r - tot_s License-Law for the following reason (Sec. 7031.5 - 'Businessãnd Professions Code: Any city or county which re- 'quires apP.rona to construcl:atter"irnprove;denbolist,, or - . repairae'y-structure. prior to its issuance atso requires he op - phool tor,soc)r perrnutto lite a signed, statement that he is trcensed ursuant to the -provisions Of the contractors . License Lapw (Chapter 9 commerfing with Section 7000 of - °-Divisunn301-tlre Business and ProlessionsCoae) or that is eI " empt therefrom and the basis br- the allegea exemption. Any violation 01 Section 70315 by an applicant loi a permit sub' jectsihe applicant to a ciAl penalty ot not more than live hun- - ''dreddoUars'(SSOO), - - --..-.t -t 4. as owner 01 the property, or my employeesvith wages - ....' tas ttr'eir,sel'e compensatiory will do the'nOrk, and the struc- I toTe is oot'intended or ntteredin).sate (Sec. 7044. Business -4 and Professions, Code:, nlhe.ContractOrs License Law does. toot apply to aS owrier'ot property who builds or-impr'oves I --thereon and who-does such work himsetl 'or through his own 2.;.thereon provided that such improvements are not intend' 'i - ed or.oltered to( sate.-II, however, the building or iiisprove- - Z .- went is sold within one year_of completion. the owner-builder - will have Ihe burden of-oroving that he did not build or im- 0 " prove for the purpose olsate). as owner 01 the property. -am enctusivetycontracting - Uwith licensed contractors to construct the project (Sec. 7044, I Bus!ness'and'Professions Code-- The CoAtractor's License - Law does not apply to an owner Of property who builds or m- rE - prnves)heréon and-wire contracts for each prnjects'with a5j U) ..-cOntractOr)s( license pursuant to the ContractoPs License Z . Law), .- ..-,. - 2'- - - i-i - As a homeowner I am'improning my home,'and the f011ow' 4 • - - t.iyg'corLditinno exist:: - __ •_,,',._ t,T_je work is being perlormed prior In saIe,..,..._ .1 - - - 2. I have lived in my- home for twelve' monlhs Prior to completion-el this wvrkk. I,, - - --- --3.71 -hanenot- ctaimedthis exemption 'darioihe' O - last three years, - .- , Otam exempt under Sec. - -__' ' B & P.C,a ? l ', Olnr this reasonT"a 17. V -- - . . - ,, Dlriereby affirm that I h-ue artilicale 01 consent ,1 jsett'insure. or a certificate 01 Workers', Compensation-in-, It surance, or certified copy thereof (Sec. 38. Labor Code) O.'.a 4(,-' 0 -1- \-Th., ,' n b. 'I POLICY NO.1 fF1 I, n COMPANY 0 ,CsraC - - - Copy1s'htedwith the Cily, - CertitieQ,copyiryrrerby turnisheci' •' * W - - .----'----,-.-- •0 ,J -_CERTlFtCTE'OEXEMPTiON FROM ERS'-COM PEN SATION INSURANCE-- - - - - fl jIThis Secllorr need not be completed it the permit - is joy one hundred dollars 151001 or, less) UA , ,D .1 certify than0 the'perturmance 01 the work for which i - - - -. this permit is issued. I shall not empteyany person in any - 0 ,,manner so as 10 become subject to the Workers' Compen- sation Laws 9! California.. L0 TI CE TO APPLICANT: 'If. aItrnaIiing this Certilicate ).J I - ót Eoemtitkrr Pu should become subject to the.Workers' I - Compensation provisions 01 the Labor Code, you rnusr - to,thwitl,c0mp10 with such provis)onsoirhisperrflil shall , . - ti e- revoked. ,,., ,. %;ffYç., ,- 0-'. - -t 'b"' hereby aftirm that there is a construction lending ' • .. Thgency for the pertrnance 01 the work br which this per. 1 - mit-is issued (Sec,'3097, Civil Code) ZI -w - - WI Lender's Name Z..0 - - c,,, Lender's Address - - ------5- '.--- -4--CARLSBADBUILDING DEPARTMENT: :' -• APPLICATION & PERM -IT - 25 La Pàlmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 07 :. ,-.._ — - , • , - a -- __._ JOB ADDRESS ' AV, ST. RD. THOMAS BROS NO DATE OF APPLICATION BUSINESS LICENSE # 'VALUATION - PERMIT NUMBER 1854TMARRON RD., STE. 100 - ' - ' ' 12888 - -- - - -- ' - -ZONE LOT BLOCK SUBOtVtSrON ASSESSOR PARCEL NO. - • - -- CONTRACTOR - , - - CONTRACTORS PHONE d 16 —M1-1S RES—COMM GEN. CONTRACTOR L1 OWNER'S 943-7480 - - V 0 NAME. -. . OWNERS PHONE... - - - -.----- - -- - - • . BUILDING 50. FOOTAGE BRRRRR... YOGURT I NC. 434-3 157 CONTRACTOR'S ADDRESS STATE LICENSE NO. OWNER'S MAILING ADDRESS - - - r - , - 7251 ESFERA ST. CARLSBAD 216988 DESIGNER - r - - DESIGNER'S PHONE -P,.O". BoX'; 1575 CARLSBAb,, CA. 92008 - - - , - DbSePAroF)NAE 'FoR A. YOGURT SHOP. I,N A - -- 'LICENSENO, STATE " - DESIGNER'S ADDRESS -' -- - - - . - - - - - ' - ' -RETAIL BUILDING. F/P FLRELEV NO OCC GP. - EDU ' 0 - --•.-,, _STORIES-. - ......... - ' - YO NO -CONST' O05 01/28 G2B1dPtt - 252 0101 CENSUS TRACT -- PRKING SPACE - RES UNITS - GRADING PERMIT ISSUED - ELOPAENT • - DCC LOAD FIRE SPR -' REA J. nO ND - nO ND',, - - - -YO NO NôrValid Unless Machine Certi/ied -- QTY PLUMBING PERMIT ISSUE 7 QT MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER - - - ,Iv EACH E1TURE TRAP - : .._: - '- INSTALL F'URN, DUCTS UP TO 100,000 BTU r - BUILDING PERMIT • a - 00 1-810-00-,00-822o EACH BUILDING SEWER ' - - - --- ,- , - - - - ' OVER 100,000 BTU -• -' - '-SIGNPERMI'U TT "001-8100O-00-822---- " -' -EACH WATER HEATER ANDiOR.VENT -. - - - - BOILER/COMPRESSOR.UP TO 3 HP ' - - -~LAN CHECK 00181000-00-8891 EACH GASSYSTEM- f 104-OUTLETS- ' - ' -1. BOILER/COMPRESSOR 3-15 HP - , - -TOTAL PLUMBING - 001-810-00'0O-8222 EA'CH GAS SYSTEM 50R MO'RE' —, -- ' ' -' METALFIREPLACE, ELECTRICAL - - 001810:0000:8223 -EACH iNSTALAL-TER,'REPAIR WATER PIPE - • - - VENT FAN SINGLE DUCT - - ,' • ' - MECHANICAL • 001-8 -00-60 -_- E ACH-VACUUM BREAKER -.--- , •,'. ,, - MECH EXHAUST - H000IOUCTS • - MOBILEHOME - 001-810-00-00-8225 - WATER SOFTNERt -- - • - - *" RECOCAT(ON'OF EA.FURNACE/HEA-TER '-s ''' ' - —SOLAR --''" • v"' -001.810000.00:8226 - EACH ROOF DRAIN (INSIDE) - - ' _; DRYER' 880-519-92-33 A&W STRONG MOTION' - ' - -- - - - - - - - - ' - - - • /"j A -\ - ,- FM - FIRE SPRINKLERS - 001-810-0000-8227' - - 101 AL PLUMBINL - - - PUBLIC FACILITIES FEE -320-810-00-00-8740 - - )TY '• ELc[J '-PERMIT -1SsuE' .. -,. - .':' T • - • - - -" - • ' - BRIDGE-FEE 360-810-00-00-8740 * - - I tft'H0ME\YP :- PARK-IN-LIEU (AREA .NEW CONSJEAAMP'SWLBKR.._.. ., _-.._-_tnl -.1 ---.- - _.TIF __ -u_ -312-810-00-00:8835 - _.•--- _-- -- i,____.• PH -- __-';: ___-__-3 , P4 U. -'0,3j_' _tilh - LA COSTA TIF -,311-8-10-00-00-8835 - - - .• EXIST BLDG EA AMP/SWT BKR 1 - -- ' 3:7 ARAGP VARI CA :'~ F&F IPH _3PH''-, •'r ',.I,'' __4 --'LICNSTA?(PO1:8l0:O:008l62 'PER CIRCUIT - -•.- -MFF -• - - 880-519-92-57 TEMP POLE200AMPS -'.'r -- — REMODEL'ALTR OVER'200'A'MPS'.".I , _ ''•''' ' - via - ,-'- ' - - - .- •• • - • " --TEMPOCCUP-ANCY__130OAYS) - ---- --- -'':-_--f-'----x 0 ---- CREDIT DEPOSIT -..-- -• -.TOTAL ELECTRICAL --l-; ' - ____JQTA(' ___ - -• • TOTAL FEES PAYABLE ;--1------_—g -,z- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued bythe Building official under the provisions olthis - * AN 0511* PE:T IS REQUIRED FOR EXCAVATIONS OVER -CERTIFY UNDER PENALTY-OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work 50" authorized b such permit is riot commenced within 180 days from the date of such DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ifh/the building or workathorized by such permit is suspended or STRUCTURES CITY. COUNTY STATE GOVERNING BUILDING CON- OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY'WITH ALL AND LAWS abandoned at any time after-the work is commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APP I ANT' I r-, L C S SIGNATURE OWNER KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - APPR - CONTRACTOR - . 01180 days. D BY '-• • - '-•, -I-- - - EXPENSES WHICH- MAY IN ANY~WAY,ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT: BY PHONE TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEILING SHEATHING Li ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING Li SEWER AND BLICO Li Pk/CO UNDERGROUND 0 WASTE OtWATER - TOP OUT DWASTE DATER TUB AND SHOWER PAN GAS TEST Li WATER HEATER Li SOLAR WATER - - -- ELECTRICAL - - Li ELECTRIC UNDERGROUND E UFFER ROUGH ELECTRIC Li ELECTRIC SERVICE 0 TEMPØRARY 0 BONDING Li POOL MECHANICAL Li DUCT & PLEM., Li REF. PIPNG HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS GALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING - . 7/ SPECIAL CONDI IONS FIELD INSPECTION RECORD REQUIRED SPECIAL .INSPECT IONS - INSPECTOR'S NOTES V - INSPECTION REQ. IF CHECKED. INSPECTORS APPROVAL DATE V - - SOILS COMPLIANCE - PRIOR TO FOUNDATION INSP - - - .. V . OVER 2000 PSI X. STRUCTURAL CONCRETE PRESTRESSED - CONCRETE - - POST TENSIONED :' CONCRETE V FIELD WELDING ____________ ____•, .V V V - HIGH STRENGTH BOL1S VV V _V V V SPECIAL MASONRY V V V PILES CAISSONS V . - - -- -. V APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. V - CARLSBADBUiLDING..DEPARTMENT V - • r APPLICATION & PERMIT -' ' Las Palmas Dr CarIsbâdCA92OO9-4859 (619) 438 1161 _2O5 -. -. - - - - JOB ADDRESS "u 'J \k .4'AV. ST.RD - NEAAESCROSS ST. k DATE OF APPLICATION \ f1s4' PAAHezotj BUSf ESS LICENSE # ' -VALUATION . - PERMIT NUMBER LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR 015NTRACTORS PHONE B ZON OWNERS NAME AZ-7z't_- /.J'A. f 4/)//, - - V OWNER'S PHONE STATE LICENSE NO. ) • CONTRACTOR'S ADDRESS " . . ' BUILDING SO. FOOT/GE ,ttJ Cjç- /3( OWNER'S MAILING ADDRESS . . - ,'• Eçq 444j/-a8J (/V ( DESIGNER - 9.O?- DESIGNERVSPHONEV . "'".r - V. DESCRIPTION OF WORK. -. O,& Sr ff /L.Vi4iI,-4t9 ' CjJ4d"i"bt DESIGNER'S ADDRESS _________________ STATE LICENSE NO, ':. - VV•VV - • - , . -- - C 'P/P FLRELEV, - I' ' - NO V • OCCGP - EDU - -. STORIES "-. -v-- V ' , V - V • '' ' : - VON VO- •VV'* - -,--:- ' PARKING SPACE RES UNITS - GRADING PERMIT ISSUED RED E OPMENT p".. ' TYPE-OCCLOAD' FIRE SPR VV - • V V .J. -, ARF,A • CONST - ' 0 N 0 4rrJ vO ND vO ND Not Valid Unless Machine Certified QTY PLUMBING PERMIT ISSUE QTY Cb MECHANICARM SS( 3 SUMMAROtL O2fldPmt 45 - Law does not apply loan owner of property who builds or im. EACH FIXTURE-TRAP - -' - - . - - INSTALL FURN. DU'1 TO M.000 ' BUILDING PERMIT - , 001-810-00-00-8220 - t • EACH BUILDING SEWER, - ' - • , I - -• - - - . - /OyER'1_90.00 V'Ur' - •' SIGN PERMIT- '• - 001'810'00-00-8221 * ,,V.:VV EACH WATER HEATER AND/OR VENT B0(LER/COMPRE UP T1-IP • V V V -• VVPLAN CHECK _, '* - - 001-810'00.00'8821 • EACH GAS SYSTEM 1 104 OUTLETS -v BOILER/COMPR9R 315.." .flyl - - TOTAL PLUMBING' . 001-810'00'00-8222 .• _•-,' V. _, EACH GAS SYSTEM 50R MORE . • - _- METAL FIREPLACE '' ' V ' ELECTRICAL - - ' 001-810-00-00-8223 EACH INSTAL., ALTER, REPAIR WATER PIPE' , - VENT FAN SINGLE DUCT .: -,.. -K\ ,. MECHANICAL - . 001-810-00-00-8224 -' EACH VACUUM BREAKER ' •- i', 'MECH EXHAUST - H000/DU ,. - MOBILEHOME - 001-810-00-00-8225 WATER S0FTNER .-.•- • • ' '-- ' V RELOCATION OF'EA FURNA 'FER -_' -' - SOLAR ' 001.810.00-00-8226. EACH ROOF DRAIN (INSIDE) -' - -* - - - . ' DRYER VENT, Ito 'STRONG MOTION - 880'519;92'33 ' • - ' - k -a suIt-insure. or a certiticate 01 Workers' Compensation In. a TOTAL MECHANICAL s 4"')9*) ( FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING . . -.--• - V . • -* • -- -- - - •- C4 •"1v' '-' ,''. ' PUBLIC FACILITIES FEE 320-810-0O-00-8740 QTY. I , - - -t - '. OTY - • . MOBILE HOME SE P-1 BRIDGE FEE• 360-810'00-00-8740 - PARK V - 'D Cp'is tiled with the city . 1 . ELECTRICAL PERMIT - ISSUE ' - - - - • -IN-LIEU (AREA ) , NEW CONST'EA AMP/SWT'BKR. - • . - - . - .--. CAR PORT -T.--. ."- ''' J( -'-- - '.- V ' "134-8-10-00-00-8835 -.1 PH - - . . 3 P ' V • ' AWNING ' '' ' .' " .." - LA COSTA TIF - - 133-810-00-00-8835 L'.'J CERTIFICATE OFEXEMPTION FROM 0 WORKERS' COMPENSATION INSURANCE' L' EXIST BLDG EA AMP/SWT/BKR - . - , •. •' GARAGE - ('S a ' FMF is for one hundred dollars ($too) or ,less) — ('PH - . -3 PH -• , , ' •• - - - -- - - '.*'V .V LICENSETAX • . - 001-810-00-00-8162- REMOOEL.'ALTER PER CIRCUIT - .. -, • - ' . MFF - - - - 880-519-92-57 - . r manner so as to become subject to the Workers' Compen- TEMPPOLE- 200AMPS " • * *• V ' - V• V V - V •j , V - ' , ' .• - • - - . - OVER 200 AMPS ", - - _- _•-.--- __, _.' ' ___-'-, -------- __' -- __V. - TEMPOCCUPANCY(30DAYS) _-__•- - . - V I',- - 'i . - '- , _-_'' - ''CREDIT DEPOSIT TOTAL ELECTRICAL IOTA) f TOTAL FEES 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 PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall expire become null and void. If the building Or work CERTIFY -UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OFauthorized by suc - commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT (S permit, or if the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandonedatany time after the work IS commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT OWNER 0 0(180days. .-' APPROVED BY - -' . CONTRACTOR IIVV • •, - • - Dfyc - -- .- • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE /1 1/' BY PHONE 0 --••- - '' - GRANTING OF THIS PERMIT. f..7____- ___-- -i/tV__-- _- •''',._ ... USE-BALL-POINT PEN ONLY -& PRESS HARD-- • r- D thereby sf1 irm.t,hat I am'lIceflsed under C.) "provislons ofVterl,'\(commencing with ' Ij'Section 7000)0f o141aionl3 the'Business I— and Professions Code, and my license is in L full force and effect '. I- hereby 'affirm that I am exempt from the Contrac-tor's License law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which te- 1 - quires -a permit to construct, alter, improve, demolish, or 3 repair any structure, prior to its issuance also requires he ap- plicant for such permit to tile a signed statement that- he is . licensed pursuant to the provisions of the Contractors p License Law (chapter. 9 commencing with Section 7000 of. - Division 301 the Business and Professions Code) or that is en-; S C: empl therefrom and the basis for the alleged exemption., Any )' violation of Section 7031.5 by an applicant for a permit Sub- - E - -. dred dollars ($500). r-_, jects the applicant to a civil penalty of not more than tive.hos- I I, t,as owner of the property, or my employees with wages - as their sole compensation. Will do the work, and the stroc- I lure is not intended or offered for sate (Sec.- 7044. Business J and Professions Code: The Contractor's License Law-do- 5 - -not apply to an owner of property 'who builds or improves. - • • thereon and Who does such work himself or through his own i ) employees, provided that such improvements are not intend- • ILl - ed or offered for sale.-If. however,' he building or improve- - Z moot is sold within one year of completion, the Owner-builder wilt have the burden of proving that he did not, build or im-. - • 0 prove for the purpose Of sale). ' 0 Vt,- asVt owner of the property: am exclusively contracting i' with licensed contractors to construct the project (Sec. 7044, ( ' . Business and Professions Code: The Contractor's License( - - ., proves thereon. and who contracts for each projects with a I contractor(s) license pursuant' In the Contractor's License IJ Asa homeowner tam' improving my hme, and the tnllvw-, ' 4 - . ing conditions exist:cc 1'B'-'. ''' • • —1. The work is being performed prior to sale?' 2. I have lived in, m/ 'home for 'twelve months - o . prior to cempletioo of this wOrk,T.—_ .. ._, . W 3. I have not claimnd this exemption during the I 0 , last three years. - • •- 0 loot exempt ,under Sec. - - • BE P.C.'.( . for this reason '' - . 0 hereby ;flirrn that Ihave a CertOiCate of consent to ( surance. or a Certified copy thereof ISeC. 3800. Labor Codel POLICY NO COMPANY 0 .Certified copy is hereby furnished - ._.... p - 911. (I) - (This section need not be completed if the permit I ILl, . - ,' D't certify, that in the performance of the work for which 'this permit is issued. I shaft not employ any person in any L0 - sation Laws of California,. ,NOTICE TO APPLICANT: If, after naking this CertifIcatI - of Exemption. you should become subject to the Workers' V Compensation ptovisionsof tfi Labor: Code, you must ". - , ,_ forthwith comply with such provisions or this permit.shalt I deemed revoked, •. 9- d - ¼C•C' * k3 , , I •' 0 hereby affirm that there is a Construction lending j'agency for the performance of the work for which this per- I 0I ,mit is' issued (Sec. 3097. Civil Code) ZI WI Lender's Name - 'a '... ••. L 'Lender's Address_________________________________ . .. ,, -a... --'- ,. -m--a'- -- - _ V. - .1 •, - . I TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME ü FLOOR 0 CEIJNG SHEATHING 0 ROOF U SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING U SEWER AND BL/CO U0,L/CO UNDERGROUND 0 WASTE 01 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST 0 WATER'H EATER 0 SOLAR WATER ELECTRICAL 0 ELECTRIC UNDERGROUND Dl UFFER ROUGH ELECTRIC i:i ELECTRIC SERVICE 0 TEMPRARY O BONDING 0 POOL MECHANICAL O DUCT & PLEM., 0 REF. PIliNG HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA1VE BEEN APPROVED FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING //77 SPECIAL CON ITIONS Pi~oos7 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECT 10N REQ. IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING .. HIGH STRENGTH BOLTS SPECIAL MASONRY F,. PILES CAISSONS bø , -- - S. "\.. ...--., - 70 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-24-2012 Sign Permit Permit No: CB121902 Building Inspection Request Line (760)'602-2725 Job Address: 1854 MARRON RD.CBAD St: 102 Permit Type: SIGN . Status: ISSUED Parcel No: 1563011600 Lot #:,. 0 Applied: 09/24/2012 Valuation: $1500.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 09/24/2012 PC #: Issued 09/24/2012 Project Title: DOMINOS-NEW CHANNEL LETTER Inspect Area: LETTER SIGN W/ ELECTRIC Applicant: D & D SIGN SERVICE STEA 1282 LAMBERT RD BREA CA 97821 562 690 5622 P K I NORTH COUNTY PLAZA L P ,—C/O KIMCO REALTYCORP (r3333 NEW HYPE PARK RD #100 E WHY DE PARK NYi11042 Building Permit / . V. )\$37.75. AddI Building Permit Fee / \ $0.00 Plan Check / / $26'42 AddI Plan Check Fee . RenewalFee Electrical Fee $31 - 00, AddI Renewal Fee/ TT1_*7 0 000\ Other Building Fee Additional Fees N /j \$ TOTAL PERMIT FEES $95.17 . I \ M~6i Total Fees: $95.17 Total PaymeDate 1/ 1)Balance Due: / $0.00• INCORPORATED / .... \ ~4f All_ .FINAL APPROVAL Inspector: Date: ________443 __ Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposifionot te1es, 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 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 tees/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 tees/exactions of which you have orevLously been aiven a NOTICE similar to this or as to which the statute at limitations has oreviouslv otherwise exnired :' •'-.' ..Z.. - .11,47 I THi FOLLOWlNG APPROVALS REQUIRED PRIOR TOPERMiTISSUANCE: DPLAIriWING. [:I ENGINEERING DBuILDiNG D FIR E DHEALm DHAzMAT/Apco I T Building Permit. Application. Plan Check NO.: // U 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value - C I T V 0 F Ph: 760-602-2719 Fax: 760-602-8558 (API RAfl email:buidflng@carlsbadca.gov - PlanCk. Depoit - ..UtU www.carlsbadca.gov I .1- Date jr' q ,SWPP JOB DRESS. : cThQQO ,tJ SUITE#/SPACE#/UNIY# t t2.. APN - CT/PROJECT # LOT B PHASE R - B OF UNITS B BEDROOMS U BATHROOMS TENANT BUSINESS NAME .. f CONSTR. TYPE OCC, GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) - 1L) - o ca4 %Z Cv<L -! Vt.k7LL4 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS -' .- • . YES 0 #_ NOD . YES 0 NO 0 YES 0 NO 0 APP ANT NAME (Primary Contact) - 4I_) ' - S - S APPLICANT NAME (Secondary Contact) '• 5'._ ADDRESS -I8Z 'ti-) LfJ2-. . . (1 ADDRESS .- , , Crr(-1.. J-A •. STATE ZIP . cA qz 'z \ CI1'r' STATE ZIP .. A ••. . PHONE . , FAX '. 542 -- ?. PHONE -.. -• ,. FAX EMAIL . . - - - .• . • EMAIL .. -. .. - PROPERTY OWNER NAME ur''r'1. • PkzrL . - . . - CO TRACTO BUS. NAME - Si S,(i ADDRESS -. . . r2o ADDRESS CITY ' . STATE ZIP qz -CA (- CI T,AT - ZIP r3Q .,14 1 r 11 . P ONE tt7ç,._ 7717.— . . . 1O, 72'—?LQ. PHONE 5 FAX 5c2 o—Y Z EMAIL . . 5- •. ___________________ EM IL , (O ( -cP ( &. ARCH/DESIGNER NAME & ADDRESS - . - ec. ,u,i.o ousiness anu rrofesslons Loan: /4fl L15 or ounq applicant for such permit to file a signed statement that he is lic Business and Professions Code) or that he is exempt therefrom, civil Density of not more than five hundred dollars ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:ON . . ... 0 I have and will maintain a certificate of consent .toself-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. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of thework toj._w ic s permit is issued. My workers' compensation insurance carrier and policy. " 'inumber are: lnsuranceCo. T4V N ! . - PolicyN. \("43'1 __.. Expiration Date l()____ This section 'need not be completed it the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of - California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shalt subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d es a provided for In Section 3706 of the Labor code, interest and attorney's fees. , ' . • 2 CONTRACTOR SIGNATURE . . . . . []AGENT DATE 9'-2q----5 - ..1_ 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 waés 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 Contrator'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 5a1e1f, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O 'I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of . property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). . . - O I am exempt under Section ._Business and Professions Code for this reason: I 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement 0 Yes 0 No .' 2. I (have! have not) signed an application for a building 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): •• - S - I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone !contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone / type of work): . . ft .5 5- •(l• . . .. .. ••, . • ,, S. ,.PROPERTY OWNER SIGNATURE . .' • - ,. . . . AGENT DATE I . . - . - .5 ,. . , S • 0' - CLA CITY -- - STATE LIC. U STATE C.# - BUS. LIC.# which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the ensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a 'S • 5, '#7 ue: .5• . -'4- 5 4, 4 , 5••• . S 8312'05/03/01 0002 01'; 02 : CGIP 755I Total Pmek&Date: c$ô'oo " \INCORPORATED 1952 on $0.00 $0.00 $0.00 $0.00 $75.55 i —i 51 I .• - .5 - - ,• • fr I ' City of Carlsbad S , -. S •- 1635 Faraday Av Carlsbad, CA 92008 - S 05/03/2001 Sign Permit Permit No CB011626 Building Inspection Request Line (760) 602-2725 S ,. S :'. •- .-.. , ..•• S iL 4'' -L. S - 7 '• S . '7 Job Address 1854 MARRON RD CBAD St 102 Permit Type SIGN Status ISSUED PareI No: Lot#: 01 Applied: 05/03/2001. , Valuation $2,500.00. Construction Type NEW Entered By RMA 1Reference#:. . -. .' '•• ' PlanAproved:' 05/03/2001 .t Issued 05/03/2001 Project Title BAHIA TAN-SIGN NO ELECTRIC Inspect Area '.'Applicànt: " S - CITY SIGNS .'STE113 9245 DOWDY DR SAN DIEGO CA 92126 858 57-4600 . Total Fees: ..$75.ê5 Building Permit / ---. Add'l Building.Permit Fee Plan Check, ~U) Add'I'Plan Check Fee 'S Electrical Fee Renewal Fee. Addl Renewal Fee Other., Building Fee ,Additional Fees If TOTAL- PERMIT FEES 4, 45 ' ;- S. -. .1. '-'. . • , . FINALAPP ZOAL Inspector Date ___________ Clearance NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must fo!low 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 Casbad 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 he"rby FURTHER NOTIFIED that your right to protest the specified fees/xactions DOES NOT APPLY to water,and sawer connectioA fees and capacby-' 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 xpired.' - .5 I (.•. S ,5' '.5 . • , • • . •'' S - •' .5 5 . - .: •' J. .7 . , -- '5 . .. . ' • , •.-: , , .5-. 'i' - City of Carlsbad Bldg Inspection Request LU For: 05/16/2001 Permit# CBOI 1626 Inspector Assignment: Title: BAHIA TAN-SIGN-NO ELECTRIC Description Type: SIGN Sub Type: Phone: Job Address: 1854 MARRON RD Suite: 102 Lot 0 Location Inspector APPLICANT CITY SIGNS. Owner Remarks 4 Total Time Requested By SIDNEY Entered By ROBIN CD Description t Comments 38 Signs -frV 39 Final Electrical Associated PCRs Inspection History Date Description • Act lnsp Comments • •• 1 - -- .S S • -• -- :- - S 1 • V 4 i I FOR OFFICE USE 1ON Y . PRMIT.APPUcA11ON ' LANCHECK NO l/24 . -.- EST. VAL •QJbQ. CITYOF CARLSBAD BUILDING DEPARTMENT.''. •--. .: 1635 Faraday Ave.; Carlsbad CA 92008 Plan Ck Deposit . . . . . . - .. . Wel Validated By. __•,'_ Date ...5'/ ?/_2 7 . i 1E11NFRMATION — * Address (include Bldg/Suite #). . -- Business Name (at this address) . ., . - - e - . ...........- ,. . 7... . A '. Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units ''sessor'sParceI# . Existing Use ,' . 'Proposed Use As .. - • '. ' ., '- S ., %. 6 9 Description of Work . . . . . ., -SQ. FT. #of Stories . of. Bedrooms # of BatProorns ;-, , 2 CQN ' Name - 7 . dress . City State/Zip Telephone 0 Fax # gent ftrcontraE Qflor avi n Q r -- - e _t'5—_'?4!&_L,'-(_-97-r__)CJ) ...Name . '' . ' Address . . - . City State/Zip Telephone # 4..PROJERT'!1OWNER __73EO ce 'W Name Address . ... City . State/Zip Telephone # . . 6 6FffAORr cYN (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 4 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 - -1Chapter'9, commending with Sectiàn 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 morthan five hu,dred dollars l$5 01). ')S b0é'/(,. c Name Address - City State/Zip Telephone # Stat License # License . Class _S City Business License 3e'b/U&r_/24._/ * Designer Name,'., Addres City State/Zip Telephone 7. State Licnse # I " rt £_RQ0ATII r Workers Compensation Declaration: I hereby affirm under-penalty of perjury one of the following declarations: - f 7- . •- - '. . - 5— 0 I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Lode for the performance of the work for which this permit is issued 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 4 issued My workers compensation insurance carrier and policy number are i " Insurance Company ____. _.- _- __. Policy No.,...________.-' Expiration Date _. (THIS SECTION NEED NOT BE)COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl 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 peson in any manner so as to become subject to the Workers Compensation Laws of California 4'- - WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil Jines, up to one hundred thousand dollars (S OQO), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor c de, interest and attorney's fees. SIGNATURE DATE / J 7 OVNERBUILDERDECLARATI0N I hereby affirm that I am exempt from the Contractor's License Law for the following reason . - -. . . . . . - . . - . ............. C] 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 lSec 7044 Business and Professions Code The Contractors 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 employe 1. es, provided that such improvements are not intended or offered for sale. If , hoever. 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 s Lice of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor License Law does not apply to an owner of property who builds or imprpves thereon and contracts for such projects with contractor(s) licensed ), pursuant to the Contracto(s License Law) I 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 ONO 7- -4-- 4 ,- 7 •• - -.,, •. 7... -._t........... 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 I address / phone number /,contractors license number) 4 I plan to provide portions of the work but I have _hired the following person to coordinate supervise and provide the major work (include name / address / phone numbers contractors license number) 5 I will provide some of the work but I have contracted (hired) the following pers rkons to provide the wo indicated (include name / address / phone number, / type of work): PROPERTY OWNER SIGNATURE DATE TOkisIi LY 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 permit from ia the air pollution control district or air quality magement district? 0 YES 0 NO -7 -. . - Is the facility to be constructed within 17000 feet of the,outer boundary of aschool site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF-OccupANcy MAY NOTBE ISSUED UNLESS THE APPLICANT' HAS MET OR IS MEETING THE - - - REQUIREMENTS OF THE OFFICE OF EMERGENCY. SERVICES. AND THE-AIR POLLUTION CONTROL DISTRICT. iI Tg NJ I hereby affirm that there is a construction lending agency I r the performance of the work for which this permit is issued (Sec 307(i) Civil Code) 4 LENDER S NAME LENDER'S ADDRESS_____________________________________________________________ TJJII 3M Z7 - .. 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 5- -.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. L- - 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: Ever permit issued by the building Official under theprovisions of-this Code shall expire by limitation and become nulland void if the bàilding or work; authorized by such permit is not commegoeo within 180 days from the date of'such permit or if the 66ilding or work authorized by such permit is suspended or abandoned - at any time after the work is com nc r a period of 180 days (Sec ing,Code).-. 40 PPLICA'NTS SIGNATURE, WHITE File YELLOW Applicant PINK Finance 0 - B U I L"D I1N 0 G 'P E R MI T Permit No CB901029 06/20/90 14 20 ri Project No A9001128 Page 1 of 1 ) I 'Development No Job Address 1854 MARRON RD Str Fl Ste IO Permit Type SIGN c246 Q6/20'90 601 0- Parcel No: t r& Valuation - 750 - Construction Tyke NEW Occupancy Group - Class Code Status ISSUED Description ILLUM CHANNELI-LETTERS Applied 06/20/90 'Ap/I-âsue' 06/20/90.' ValidatedB'y RS ** Feds Required4 *** .- 0 Fees Collected &"Credits T- Fees 35 4 Adjustments: .O0- (( -I To-a•l Creditsy ' 00. : Total Fees,: 3V00 '-. / \1BIAlance Due 35 00- 1 ,' -\ I -- - - I Fee descri---tion - I Uits) (Fee/Unit / Ext fee' Data - - - - --p ---I (\ n( - - - - - Buildmn' Permit 0 21 00 0 * BUILDING TOTAL : - -• - ,N4OODO0I'$O .- - - q - \- tt ?•4 " OVA ANCE 4 CITY OF CARLSBAD - . 2075-Las Palmas Dr:, Carlsbad C&92009 (619) 438-1161. .- -4- - - .- I - - - - * -I •- - 4 - -- - 4 -- - - - - PERMIT APPLICATION . .' City of Carlsbad Building Department . . 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - 0 COMMERCIAL NEW pTEPlANT IMPROVEMENT - B - 0 INDUSTRIAL DREW DTEUANT IMPROVEMENT.' C - ORESIDENTIAL DAPARTMENT Dcoo OSINGLE FAMILY DWELLING DADDITION,ALTERATION DDUPLX DDEMOLITION DRELOCATIOM OMOBILE HOME DELECTRICAL DPLUMBING DHECHANICAL DPOOL DSPA DRETAINING WALL '[:]SOLAR DOTHER An _______________ EST. VAL 7sz) PLAN CE DEPOSIT -. VALID. BY DATE 2. _PROJECTINFORMATION _PLAN _CHECK_No.70—f_-7_._FOR_OFFICE_USE.ONLY Address / 75-4/M #UdAlI-d5 A Building or Nearest Cross Streets L O. At o LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELCD,4 IF SUBMITTED: fl2 Energy Calcs D2 Structural Calcs 02 Soils Report .01 Addressed Envelope ' ASSESSORS PARCEL . EXISTING USE PROPOSED USE DESCRIPTION OF RKINS rA tL rLLwjflWAi 77E. - . /s-1- iri'L-C CQ-f -S BLDG. SO. FTG. # OF STORIES 21 3. CONTACT PERSON . . NAME .&lAf . .. . ADDRESS/1ILL/ 4V CITY £/i4joAf .STAf7 'ZIP CODE %,O/ DAY TELEPHONE SIGNATURE 4. NAME J,._s'7y9ieVMilP DOWNER AGENT FOR OWNER CITY STATE4 ZIP CODE 4OT7 . DAY TELEPHONE Ss-/ Vi- 5. NAME /O/ OWNER ADDRESS) ç/ çj xpz TENANT CITY .e',i4i/ STAT& ZIP CODE - - DAY TELEPHONE ' 6. CONT~ACTOR NAME 7 .ADDRESS -- CITY STAT • ZIP CODE DAY TELEPHONE STATE LIC. 6, LICENSE CLASS CITY BUSINESS LIC. H _ SIGNATURE ..- ., - TI T 5-9O TV . STATE 'ZIP COD TC2PMO712 - . STATE LIC. # 7. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the - insurer thereof filed with the Building Inspection Department (Section 3800, .Lab.4 C). INSURANCE COMPANYA/'LL/ %/4_1 - POLICY NOii73 9L -D EXPIRATION DATE ?i 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. SIGMA DATE 8. OWNER-BUILDER DECLARATION - Owner-Builder Declaration: I hereby affirm that .1 am exempt from the Contractor's License Law for the following reason: - 0 I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is.not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's'License Law does not apply to an owner of property who builds or improves thereon,, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is soldwithin 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. 7064, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) Licensed pursuant to the Contractor's License Law). - 0 I am exempt under Section ' - Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any city or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division'3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not - -more than five hundred dollars ($5001). SIGNATURE - . DATE. COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: -, Is the applicant or future building occupant required to subeit 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 AccountAct? - - DES ONO - - - Is the applicant or future building occupant required,.to obtain a permit from the air pollution controldistrict or air quality management district? DYES DM0 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES DNO IF ANY OF - THE ANS'.JERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - S 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code). LENDER'S NAME - LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE - -- I certify that I have read the application and state that the above information iscorrect. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.- I ALSO AGREE TOSAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLEOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. •' : - - - - . - S - - Expiration. Every permit issued by the Building official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE - DOWNER JCONTRACTOR DBY PHONE - APPROVED MITE: File Applicant PINK: ,Finance - - - S City of Carlsbad 4 1635 Faraday Av Carlsbad, CA 92008 04-02-2007 Sign Permit, Permit No CB070884 Building Inspection Request Line (760) 602-2725 Job Address: 1854 MARRON RD CBAD St: 104 Permit Type: - SIGN . - Status: ISSUED Parcel No: 0000000000 Lot #: 0 Applied: 04/02/2007 Valuation: $1,200.00 Construction Type: NEW Entered By: 'RMA Reference #: . ' Plan Approved: 04/02/2007 Issued: 04/02/2007 Project Title: . SUPER CAFE/GRILL-CHANEL LETTER . Inspect Area: . - SIGN-ILLUMINATED' . Applicant: . Owner:-- SUCCESS SIGN INC - •'. - S ................ 75. . I ( / - . - Building Permit ,,-' ',4, - \.)) $24.69 AddI Building Permit Fee \ \ / $0.00 Plan Check 16.05 Add'I Plan Check Fee' / fl'j ' \ '/$g.ç Electrical Fee / -::,) / . _. ._ 7 \ L. —;--$o.00 : - .• :renFea1 Fee / '\ 1 Other Building Fee, ,- I .- 5-' - $000 . Additional Fees I ( -?. 00 - -' TOTAL PERMIT FEES •' F' ' / - I $40.74 --,,,,9' / 1 $40.74 Total Payments To.Date:. $40.74 -Balance Due: i $0.00 ' I- -- - \ ' / \ McooapED ? 1 EXPREDPERMT PERMITHS EXiRED h CrDANC WITH C B C SECTO'I 106.4.4 AS A1EED BY C.ML.18.04.030 - DATE.i SIGNATURE FINAL APPROVAL . . . Inspector: Date: ______________ ' Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. It you protest them, you must follow.the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for ............. - ', - processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition. - - -- 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 loany 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 exøired. .. 2812 PECK RD EL MONTE CA 91731 626 444-8181 ' ?.'• - ;,. '.. 'S '. , - - PERMIT APPLICATION IN '. • •- X4 '-" • ' '4 CITY OF CARLSBADBUILDING.DEPARTMENT; 1635 Faraday Ave., Carlsbad, CA 92008 - -------------.--!- .5.. . .5 FOR OFFICE USE Ot! , PLAN CHECK NO.4L EST. VAL., :.... '. Plan CkDeposit .4 Vlidàted B'.' - f/ff Date Jp'1— Address (include Bldg/Suite #) . , , Business Name (at this addröss) Legal Description LotNo. - Subdivision Name/Number '- - Unit No. Phase Nor- Total # of units Assessor's Parcel # Existing Use .' . . Proposed Use Des rip of Work. SQ.' FT. . #ot Stories , # of Bedrooms # of Bathrooms E -1 •'- .-,•-• •; 2 CONTACTPERSONJ dlfteren mapplicent) Name - • •. .. - — —Address- --• - . . City ' 'State/Zip -Telephone # .Fax # 4. Name • j" • - • .-Address---•- ' ' - City State/Zip- - Telephone # •' -• (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, imprve, demolish c repairiny 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 7009 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 su jects the applicant to a ivil enalty of not more than five ht red dollars l$5001). 5c $- Ø9/ ee- Name -, ' Address' . .'- . • . City . . . Stte/ip' . Telephoneff / State License # 6 '(/i..c License Class ' City Busines 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: ,it'1r, .,. • •.••;,, 1. Lt . o 'l have and will maintain a certificate of 'consent to self-insure.for workers'compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. i-' • '... - . . .'o 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are - Insurance 'Company . • -. . Policy No. ' . . . Expiration Date ' . . . . , . , (THIS_SECTION NEED NOT BE COMPLETED IF THE PERMIT-IS FOR -ONE HUNDRED DOLLARS ($1001 OR LESS) 12"CERTIFICATE OF EXEMPTION: icertify 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' Compens Laws of California. . - • . . • i ' ,rhi,sl " 1 f; •j ,,iA _ WARNING: Failure to secure ra' compensatIoncoverage_nlawful,-and shall subject' an employer to criminal penattlee'and civil fines 'up to one hundred - - " thousand dollars • o e cost a n on, a as as provided for In Section 3706 of the Labor code, Intet and attorney's fees. SIGN_5•'_ _ThATE _/''.-' W11"iWMq I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my employees with 'their soi'pZation1will do tl war dthrc'i,ot in'inde or offered for sale (Sec. 7044, Business and Professions Code: .The Contrtr's License does not appi'to an owner, of property-.,W-'ho builds or, lriproes ,the'eon, 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 tIe project (Sec 70447 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). ' - , ., • '_-•" • •l' ii . 5 -, 0 - lam exempt under Section . Business and Professions Code for this reason: •' •.--,.• '. ',5 . - . 1. I personally pIa to provide the major labor and materials for construction of the proposed property, improvement. 0 YES ONO, '• 2.4 I (have / have not) signed an applicàtin for a building pirmit for the proposed work. - • ,5 - .. ' ," ' . - 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name! address / phone number / contractors license number): 47 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 I 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): •. 'L - 'S ' '• '' ,' ' :' - :_-. 't' -' PROPERTY OWNER SIGNATURE .. - - '. , . ' .. '• .--. '• -- . - -- DATE ':' - . •' - Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES-" 0 NO - . S '' . ,. - _5. 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 -. I -'l hereby affirm that there i ' s a construction lending agency for the performance of the work for which this permit is issued-(Sec. 3097(i) Civil Code). ""a •.. - .'.'•• - .5 5 . . .' -. - . . '-'-4 • ' - , ' .. LENDER'S NAME ' - - - LENDERSADDRESS_' ' - - r ,'s- , • . - ), . S I certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate:'' I agree to comply with all . City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit, of Carlsbad to enter 'upon the above mentioned 'property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClTYi 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 o(ru htctues over 3stories in height EXPIRATION: Every permit issued by the building Official under th rovisions 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 d the date oich permit or if the building or work authorized by such permit Is suspended or abandoned at anytime after the work is commenced for a • o 18 a Uniform Building Code). APPLICANT'S S DATE WHITE: File YELLOW: Applicant PINK: Finance -" ' , •' 5 • ', , • Cit of Ca'Hs.b d Permit Number: CB070884 Issue Date: 04/02/2007 SUCCESS SIGN INC 2812 PECK RD EL MONTE CA 91731 '. RE: BUILDING PERMIT EXPIRATION ADDRESS: 1854 MARRON RD 4104. 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 09/29/2007 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,' thèreforë, shall be one-half the 'amount required for anew 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 been completed and only a final inspection is needed, please call the inspection request'lineat (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 Christine Wauschek ' ' ' • ' Office Specialist ' ' • ' ' • ' • ' 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760). 602-8560 City of Carlsbad Bldg Inspection Request For:08/29/2007 Permit# CB070884 Inspector Assignment: Title: SUPER CAFE/GRILL-t,HANEL LETTER Description: SIGN-ILLUMINATED S Type: SIGN ' Sub Type: - - Phone: 6264448181 S Job Address: 1854 MARRON RD Suite: 104 Lot: 0 Location: Inspector: APPLICANT SUCCESS SIGN INC Owner: Remarks: Total Time: S Requested By: JENNY Entered By: CHRISTINE CD Description Act Comments 38 Signs iA ,p/m _7 4 C- - Q-S'S Comments/Notices/Holds S Associated PCRs/CVs Original PC# Inspection History S Date Description Act Insp Comments City of Carlsbad. .; - 1635 Faraday Av Carlsbad, CA 92008 -050822006 Sign Permit Permit No: CB061268 Building Inspection Request Lin'e (760) 602-2725 Job Address: 1854 MARRON RD CBAD St: 104 Permit Type: SIGN Status: ISSUED Parcel No: 0000000000 Lot #: , 0 Applied: 05/08/2006 Valuation: $2,000.00 ConstructionType: NEW . Entered By: MDP Reference #: PlanApproved: 05/08/2006 Issued: 05/08/2006 Project Title:. MANNY'S CAFE & GRILL Inspect Area: ONE ILLUMINATED WALL SIGN Applicant: _Owner SUCCESS SIGN INC 2812 PECK ROAD EL MONTE CA 91731 Building Permit $38.) 3 (r\) \ Add Building Permit Fee/ N Plan Check / / . $24.78 Add'I Plan Check Fee ' ' V \J\. ' $0.00 Electrical Fee RenewalFee U:-$0;00 Add'l Renewal Fee Other Building Additional Fees' 00 ::( - TOTAL PERMIT FEES . a $82.91 U II ) ?W / I Total Fees: $82.91 Total PaymentsDa Tote: $82.91 Balance Due: $0.00 INCORPORATED 1952 ©/ . S FINAL-APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. , ; . •"t •. • . FOR OFFICEUSE ONLY • ¶ irY' -I PERMIT APPLICATION 4 ' PLAN CHECK NO (9 ( CITY OF CARLSBAD BUILDING DEPARTMENT EST VSL 1635 Faraday Ave.,, Carlsbad, CA92008 Plan Deposi Validated By - Date__________________________________ 'EM1,1 £ - Address (include Bid /Suite #1 . '. .. Business Name (at this address) - - :.. 'Legal Description -. - . Lot No. 'Subdivision Name/Number , , Unit No. .. Phase No. Total # of units ) Assessor'sParcel# . - r, *"- Existing Use . Proposed Use -l.to De cripti n of Wor) /1 SQ. FT #of Stories # of Bedrooms # of Bathrooms +- Name.'". Address ---.---.' City : State/Zip -- Telephone #, Fax # . r~Ts- ;7L. 2//2/'/c' :• Vfr- / 9/pr •—,/J'- Name Address : •'- •- - -- City State/Zip Telephone # 74116111 A Al Name Address City State/Zip 'Telephone ,# (Sec 7031.5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure prior to its ' issuane, also requires the applicant for such prmit 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,thathe is exempt therefrom, and the basis for the alleged exempton. Any violation of Section 7031.5 by any applicant.for apermit spbjects the applicant to a civil penplty• of not more than five hundred oilers ($5001). Name :',- -' . - Address City - , State/Zip - Telephon # ' State License # 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: - . - - • 0 I have and will maintain a certificate of Consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance • ) of the work for which this permit is issued 4. 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 com e tion insurance car or and policy number are lnsurace Company-_...S ,' ,4j.?g'. . Policy No4 /cjf?'d7 Expiration Date _ 3o (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) j D CERTIFICATE OF EXEMPTION: I certify tht in the performance of the work for which thi&permitis is'sued,- I-shall not employ any person in' any manner so as Workers Compensation Laws of California to become subject to the - - WARNING: Failure to secura-workers-compensatloncoverage -Is-unIawfjI, -and shall-subject an employer-tà criminal penalties nd civil fines up to -one hundred thousand dollars ($100, 00 ,-i Itlon to the cost of compensation, damages as provided for in Section 3106 ofthe Labor co4Interesnnd attorney's fees. - SIGNATURE - DATE ...5 - 6 - -. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: - - -. - - V 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 in4tended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner oft 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 theproperty. am exclusively contracting with licensed contractors to construct the project (Sec. 7044,-Business ard ProfessiOns Code: The Contractor's License Law does not apply to an owner of property who builZfs orimproves thereon, and contracts for such projects with :contractor(s) licensed - pursuant to the Contractor's License Law) 4 0 I am exempt under Section Business and Professions Code for this reason a 1 I'j,ersonally plan to provide the major Iabo and materials for construction of the proposed property4improvement 0 YES ONO -, t 2 I (have / have not) signed an application for a building permit for the proposed work.' 3 'IL have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) --- 4 11plan 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 i,. 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): - - - - .- - - ___i• -- - - ------- - - - -- - - - - PROPERTY OWNER SIGNATURE i DATE'' LW IT OLL!MA 1!L t ME Is theapplicant or future building occupant required to submit a business4plan acutely hazardous materials registration form or risk management and preventio $ - -- program under-Sections 25505,25533 or25534f the Presley-TarherHezardoüs Substance Account Act? - 0 YES -0 NO.-7'4i-P.-- - - •ç •. r , _ Is the applicant or future building occupant required to obtain a permit from the air pollution control districtor-air quality management district? 0 - YES 0 NO Is the facility to be constructed within 1 000 feet of the outer boundry of a school site? 0 YES 0 NO ( :; - ------lF ANVOF THE.ANSWERS:AREYES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS METOR IS MEETING.THE . REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT S&RIMMw- NO, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) ---'o '•' -- ----'--'----'- LENDER S NAME LENDER'S ADDRESS - rc NT QERj MITMEN ' l certify that Ihave read th application and state that the above information is correct and that the information n the plans is accurate 1 agree to comply with all,: City ordinances and State laws relating to building construction khereby out representatives of the Cite,, of Carlsbad to enter upon the above mentioned property for inspection purposes. I.ALSO AGREE TO SAVE. INDEMNIFY -AND KEEP HARMLESS THE CITY OF, CARLSBAD AGAINST., ALL LIABILITIES, -' JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY-ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTINGOF 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 I EXPIRATION:- Every permit issued by the building OciaI e?the provisions-of this Code shall expire by Iiriitation and become null and voidif the building or work authorized by such permit is not commenced with18O days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenc d fo?i erio 180 days (Section 10644 Uniform Building Code) I 4. APPLICANT S SIGNATURE - DATE - - - ' - - - - — WHITE File YELLOW Applicant PINK Finance 4 -- • ' - - 4' -- - - - .1, ' - '1 - --------- - cit of Carlsbad Permit Number: CB06 1268 Issue Date: 05/08/2006 SUCCESS SIGN PRINTING 2812 PECK RD SELMONTECA 91733 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN ADDRESS: 1854 MARRON RI) #104 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire bylimitation of time on 11/04/2006. 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 peribd upon the initial commencement of work authorized by such permit.. Before such work an 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 eriod 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 been completed and only a final inspection is needed, please call the inspection request line at (769) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue •• Carlsbad, CA 92008-7314 (760) 602-2700 • FAX (760) 602-8560 ZE, 4c F City of Carlsbad .07/02/1999 -. Sign Permit Permit No:CB992448 Building lnsection Request Line (760) 438-3101 4 h , F F.. Job Address: 1854 MARRON RD CBADSt: 104 Permit Type: SIGN Status: ISSUED Parcel No: :. Lot #: 0 . Applied: 07/02/1999 'Valuation: $2,000.00 Construction Type: NEW Entered By: MDP Reférence#:... - ' .. •. . Plan Approved: 07/02/1999 - Issued 07/02/1999 Projt Title GOLDEN TAIPEI Inspect Area ONE WALL SIGN W/ELECTRIC :;' '•' .. * .1 1511,07/02/99 ,0001 01 02 SUCESS SIGN C—PRMT 7202 820 E VALLEY BL, SAN GABERLAFL CA 91776 -,626-280-8932 1/fç5 NsJ\ \ / F Total Fees: $72.02 'iti Pyments $0.00 BaIace Due: $72.02 - --)Building Permit 4: -~oAdd'l Building Permit Fee :Pl6n Check ' Add'I 'Plan Check Fee 0.00, 14. Electrical Fee $0.00 RenewalFee $0.00 Add Other Building :: INCORPORATED1952 : obTOTAL PERMIT FEES F.; $72.02 '4 • P1REDTERMIT - . rrrT HAS 1IREDlNAccoRD.ANcEWITHU.B.C. ' PON 106.4.4 - -__. -. . ..• . . . - .. SIGNATURE_ I. 4 4 1. CITY OF CARLSBAD 1161 2075 Las Palmas Or, Carlsbad, CA 92009 (760) 438 i. I. F- • .t, - 1' * . . F.•--.•;-• - t.-. S PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 0 4LIFo FOR OFFICE USE ONLY PLAN CHECK NO._________ EST.VAL. Zô Plan Ck. Deposit Validated By_________________________ Date 1. PROJECT ,1/ ;1J4: :4. Address (IncIde Bldg/Suite #1 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units "ro Assessors Parcel # Existin U qe P ad Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 26) .2. CONTACT PERSON 4111 different from applicant) Name Address U City State/Zip Telephone # Fax # 3. APPLICANT ..Contractor :DAgentfor.Contréctor D;Owner Agentfor Owner Name - Address . City State/Zip Telephone # A. PROPERTY OWNER . : . - .... : -- .•. .' . . Name . Address City State/Zip Telephone # 5 CONTRACTOR COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any ap licant for a permit bjects the applicant to a civil penalty of not mc e than five hundr d dollars ($500)). 41 C—t-(J u cd? t7 . < r'' I') ?771 ç'i' )4/) 3 Name Address CifV State/Zip Telepho e # State License # "7 '2) ( ? '2 . License Class 2 L' (' City Business License # Designer Name Address . . City State/Zip Telephone State License # .6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Ed 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 ss ed. My worker's compensation insurance carrier and policy number are: Insurance Company '(4-7' / h1 Policy No. ' "") Expiration Date_________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the, work for which this permit is issued, I shall not employ any person in any manner so as to become subjeát 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 adFQtion to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees, SIGNATURE Z44 ,9 DATE /2-( _', 7. OWNER-BUILDER DECLARATI N . 17__ : I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work.' I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY . Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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. 8. CONSTRUCTION LENDING-AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS___________________________________________________________ 9.' -APPLICANT CERTIFICATION ........... .. ',.. ,- :' ...•'. n,,. .•'.. ... .,:. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building Construction. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ifthe 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 wor is commenced for a period of '18 days (Section .106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE File DATE WH E. File ELLOW. Applicant PINK. Finance 4 . . B yI,L MIT Permit No. CB961311 07/17/9,,6 - ,.'-. .. Projeqt No A960'1870 Page 1 of 1' * 4 Development No Job Address 1854 MARRON RD - Suite io4 Permit Type SIGN 8588,,.07/jj,96 COOt 01 Par ' No Lot# C-PfMT 64-00 Valuation 1,700 / Construction Type VN Occupancy Group: - Reference# Status ISSUED Description 26 S F WALL'SIGN W/ELEC Applied 07/47Y96 "JADE TREE RESTAURANT' Apr/Issue 07/17/96 .' . .. '. . .. En€eredBy: MDP. .App1•/Ownr .:WESTERN SIGN SYSTEMS, 619'736-6070 .... 16'50'tI•NDA VISTA DRIVE ...... .• ..-. •' .• . ' .- - -• '' . 'SAN MARCOS ' CA' 92069 • . ' - ' ----- Fees 0 Adjustments -,To 01. 00 ' 00- Tot:lFe:: aic 64.00 Ext fee.. Data 4 - ;; --- --------- -------- ing 39.00 1* SIGN; TOTAL , 6400 NCORPORATED4" ' 1952 , 91Y ?, APPROVAL UPCE Aw . . . ". . . .' ... , . 4.4 - . I. ' • • , * -, / CITY OF CARLSBAD 20751asPahñas-Dr., Carlsbad, CA492009.(619).43811615':- -. :;. •, (. . - . • • • . , -,••'.t . • 4 -'I' 4 . -4 1 .• . . . . . •.-. '.4 . •.. ........ - . - V •' - . ARAPERMIT APPLICATION I - PLAN CHECK NO I ( - . - City of CarLsbad BuiLding Department 2075 Las PaLnmsDr., CarLsbad, CA 92009 (619)438-1161 EST. VAIL . . f '\ PLAN OC D I. PERJUT 1YPE VALID. BY '- - DATE "From List (see back) give code of Permit-Type: I. . . For Residential PrOlects Only: From List 2 (see back) give - - - - Code of Structure-Type: -: . . - - - , . . .!l .• - - . -. 1 ' Net Loss/Gain of Dwelling Units - PROJECT INFORMATION 3 L4 • , r. - - FOR OFFICE USE ONLY', Address - - Building or Suite No. - rrosir ,1 1 io4 1Ck96 LEGAL DESCRIPTION Lot No. Subdivision Name/Number .,. •, . * ' Unit No. - Phase No. CHECK BELOW IF SUBMITTED: , - . - ... •., ................ - - - 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL - - 'EXISTING USE PROPOSED USE DESCRIPTION OF WORK WALL 5 145,W_ SQFT. #OFSTORIES - . - #OFBEDROOMS #OFBATHROOMS - (IJNIALT PERSON (it different trom applicant) NAME (last.name first) ADDRESS a. -- .. .V .V V -- $$ - . - •_V . . -V.--. . . V. •V - Z CITY STATE ZIP CODE - DAY TELEPHONE. APPUNT- 'ONIHAGTOR- U AGENT FOR CONTRACTOR DOWNER U AGENT FOR OWNER- --. -. - - - -V - NAME (last name first) ,ØADDRESS j(, 1Jn1 VIM-i.. rve_- ' a - CITY 5 STATE C,4ç ZIP CODE . 10Z06') - DAY TELEPHONE' . Ii:. 73 .4070 - - NAME Gast name first) J0A jj 12 ADDRESS 16 frta,rrerr f itt4 iO4- CITY ( - STATE . . ZIP CODE DAY.TELEPHONE (gI1 7t1. 6. CONTRACTOR, ' . . - ..,. ........ ' - . . . - .--'., f NAME (last name first) - ADDRESS L'rp)-A V,45 CITY - STATE - ZIICODE O6'1-'DAYTELEPHONE t*4t 044'G' -TATE uc. # UCENSE CLASS -C-'45 -. CITY BUSINESS UC.C:?— DESIGN RNAME(lastnamefirst) -' --:- .- _VVV -----ADDRESS - .• ...-. - ,• - / *TA CITY ~Lo CTE ,)ZIPCODE. . - DAYT 'LEPliONE ". ST.TELIC.# .7. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industnal - * Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or, duplicate thereof certified - 2. -. by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). . .. - .. INSURANCE COMPANY CLIf2 (p't?. 145 - POUCYNO W'5 tO3JXPIRAllON DATE 1I /' (4 , -_Certificate of Exemption: I certify that Tn 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 it * .• 2 ... .. - .-, .• V V ', ..•• . .4.. .V*_t - - - - . . ..'.. r- - -• - SIGNATURE..DATE OWNER -BUILDER DECLARATION V Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law lorthe 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 - Voffered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsV -. or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended -oróffered for sale.1f, 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) - 2 V • 0 • I, as owner of the property, am exclusively contracting with Ikensed contractors toconstruct the project(Sec. 7044, Business and Professions V V Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for suèh 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: V • V. V V,. • . - . V .4..V •4......4 . - - . . ._,.............•. (Sec 703I .S Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair V prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the- V provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and -Professions Code) - V or that he isexempttherefrom 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 THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: - - Is the applicant or future building occupant required tosubmita business plan, acutely hazardous materials registratior forror risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? - - YES.— - VV -. 0-NO - • . a - . - •. l,. - V V - - • - Is the applicant or future building occupant required to obtain a permit from the air pollution control district orair quality management district? DYES DNa Vi - 4Vt - - . Is the facility to be constructed within, 1,0M feet of the outer boundary of a school site? •. - . . - - - , DYES NO * - . IF ANY OF.THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MFF OR IS MEETING THE REQUIEEMEN OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR IMLU11ON CX)NTROL DISTRICT. - (XJNSfliUCI1ON LENDING AGENCY . . - - .V - - V - - -. - - - -V.- ... •. -. 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S -- NAME LEND '._ ADDRESS . -. - . ' . V - ' ' • V -' - V - ER'S APPLICANT CERHFICATION I certity that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection - purposes. I ALSO AGREE 10 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.,-f - V - • Ii -------- • •J V •.;VV;* • • ' • ,* - V - •V *4 •' V 4 - . -._•J - -- V 0511k - An OSHA permit is required for excavations over S'0" deep and demolition orV construction of structures over 3 stones in height - - . ___VV_ - - V •_*V_•V_ •V V _VVr •_ _• - -- __•_ V V ._V V V I_Vt - 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 bI n it is not co • enc within 365 days from the date of such permit or if the building or-work authorized by V such permit is suspended or a at an - ter e work is commenced for a period of 180 days (Section 303(d) -Uniform BuildigAPPUCANVSSIGNATURE .. I •DATE:7(i1/? . WHITE. Fil - YELLOW: Applicant PINK: Finance - • V V V V , ••V - 0 - CITY OF CARLSBAD -' INSPECTION REQUEST PERMIT# CB961311 FOR 07/24/97 ,"' ' INSPECTOR AREA DESCRIPTION: 26 S.F. WALL SIGN W/ELEC. . PLANCK# CB961311 "JADE TREE RESTAURANT" 0CC GRP TYPE: SIGN CONSTR. TYPE VN JOB ADDRESS: 1854 MARRON RD STE: LOT: APPLICANT: WESTERN SIGN SYSTEMS PHONE: 619 736-6070 CONTRACTOR: PHONE: OWNER: . PHONE: REMARKS C/PHIL! AN INSPECTOR SPECIAL INSTRUCT: p TOTAL TIME 3 1k --RELATED PERMITS-- - PERMIT# TYPE STATUS 41 CB880134 SIGN EXPIRED CB880207 ELEC EXPIRED - C8880215 ELEC EXPIRED CB901029 SIGN EXPIRED SE920015 SWRST ISSUED CD LVL DESCRIPTION ACT COMMENTS 38 EL Signs - ****,*'INSPECTION HISTORY ***** DATE DESCRIPTION.-'ACT INSP COMMENTS -. 4 - - - USE 8*11 POINT PEN ONLY.& PRESS H*RD - - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 'I hereby afl1rth1ha1 I am licensed under_ IaIona of Chapter 9 (commencing with I Sctlon .7000) of Div,Ision.& of, the, Business I rand Professions Code and my license is in i L?tuII force and affect- 0 .. .. I., 'eQ • . hereby aftirm that I ant. enernptjrom the Contrac' tot's,License Law for the allowing reason (Sec. 7031.5 - - (Bosiness'and Professions Code: Any city or county whicti re- . . - -quires a permit to Construct, alter. improve: demolish, or (5 .repair any structure, prior toils issuance also requires the ap '-plicant tar sock permit to Ale a signed statement thai he is, I licensed pursuant to-the prihsions of the Contractors - License Law (Chapter 9c0mm0nCin9 with Section 7000 of Division 301 the easiness and Professions Code) or that s ex- empt therefrom and the basis tar the allegeo exemption.A"ny- • r viOtatioo,ol.Section-7031.5 by an applicant for a permi"t sub' - teds the applicant to a cioilpenalty 01 not more than live hun I '' dred dollars [$500):- _1_1 I. as owner ol.the pfo6erty-ormi employees with wages I as their sole compensation,- will, do the work, and the stroc' • is notinteoded or'ollered for sale (Sec. 7044. Business ' aodProld .. Aions'Cod. - The Contracfor's,License Law does I- 5 not apply to an owner 01 plaperly who builds .or improves • thereon and who dons such work hirnselt or through his own -- employees.pravided that such improvements we not intend- • 4 Iaa ed or a!lerAd (or sale: ll,vrraweoor, the building orimpoue-' -. Z °ment is sold within one year at completion, the owner-builder ' -311: will have the burdenot proving that he did nal'build or im. I a-prooe tar-the purpose ol-sale). -. I) I, as owner at the property.' am eoClusively. contracting, I.., . with licensed contractorsto construct the prv)ect (Sec. 7044. -1 •, .P Business -and Professions Code:' The Contractor's License Law'does not apply to an owner of property Who builds or im: r proves thereon and who contracts for each: projects,wilh a; 'contractor(s), license'pursuaot, to the Contractor's License Z •Law)., ----- 2 ., . - -((As a homeowner laos improving my home, and the tallow- - 4 " ring cOndi)ions exist. B, ' •t.,.or_ Jv , , l / I The work is being pertormed prior to sale - 2. r have lioedio my, home lot twelve 'months - .1 prior to completion at this work..0 4 .3. I have not. claimed othis 'exemption during the- -0 - last three years.,., - O I ard eaemptiindèr Sec.'_' '• ' .'& P.C. /5, (Or, this reason :L;F- f v\,t,V 1 - Z. ' 2' I hereby aflirm4 ii have acortificafe of consent to "r, - 'fsell.insure. or cerriticare-o , •, ', ensation In. I. - .svrance. nra certilied Co y thereof Sec. 3AOQJ, r del I : MPANYJ Zil .a. -..,LCopy is 'filed with the city ' 0 Certified copy is hereby turi5tied O% IL' --•--:---'-'- -'- -- ----- I. CERtIFICATE OF EXEMP1'IONFROM I WORKERS'. COMPENSATION INSURANCE I U) '"ji- lThis'section,oeed not be completed it the permit ir -is .for oe hundred dollars 101001 or less) - - - ij, 0/ .1 cdrtily tht'1n the pertormance 01100 work tor which - Ir ._, lhI;Pnst is issu'ed. ishal not employ any person in any. 1 - ,, ,manner so as to became subject to the Workers' Com pen. i saifon Laws or California. - •' . , I 4NOTlCE-TO APPLICANT: If. alter making this Certiticatej - ,or Exemption, you Should become 'subiect in the Workers' 0. , •, - Compensation provisions or' the Labor Code. you,rnust -U.torthwith cordply'with such provisions or this permit shall I II' '. . beddbm'Ad ievoked. •'•'' ' . . ' - r-y' - 'ru ,—, hereby affirm that there is a construction lending f I agency for ffre pertormarrce at the ortn'fOr which this per-- - mir is issued (Sec. 3097. Civil Code) - LAJ Leni!er's Name -7 • I'Ce'der's Adores--__ ddres —?.-----.---- ----.--_---•i-' _L * - - CARLSBAD-BUILDING 'DEPARTMENT - - . • - 2075 Las Pal & . . - LICATION PERMIT - -. mas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 - - . -' . . - JOB ADDRESS AV. ST. RD. THOMAS BROS NO. DATE F AP LICATION BUSINESS LICENSE S - VALUATION . . PERMIT NUMBER -- j3/,5/c J /2C "i00 - - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. ,. . CONTRACTOR / • CONTRACTORS PHONE C ZONE J J OWNER'S NAME - 64sZa- OWNERS PHONE Oo'- it . _____________ - . . - - - ' . BUILDING SO. FOOTAGE CONTRACTOR'S ADDRESS -. cl 72 V0 STATE LICENSE NO. OWNERSMAILINGAOORESS - - - DESIGNER DESIGNER'S PHONE PIPTio sEWRK5 fof SIict DESIGNER'S ADDRESS • STATE LICENSE NO. -- ' T - - - - - _______ ---_---•' -. - F/P - FLRELEV. e. • NO - DCC OP - EDU - - -•', - - - - - - ' STORIES -. :.. YO NO • - -.-' . - . •—u - - - •.. - - ,e• - CENSUS.TRACT' PARKING SPACE - RES UNITS-, GRADING PERMIT ISSUED REDEVELOPMENT , • TYPE 0CC LOAD FIRE SPR I - • r - - ,, - , - -• AREA ' CONST - D NO - - • - • - Y 'N Not Valid Un/ess Machine Certified - -- OTY - - , -. PLUMBING PERMIT ISSUE '--- - - r OTY - - , - • ''. MECHANICAL PERMIT ISSUE - ' ' " - . - SUMMARY O1U4RO2B1dFrit Y' • --- --,' ' * - • - - j, '- .-. • - ---.- - .,-•- --- - ---------------- . ---'-- ,,. - -' -'•'- EACH FIXTURE TRAP - -- - INSTALL INSTALL FURN. DUCTS lIP TO 100,000 BTU - , - * - BUILDING PERMIT -- - • 001 -810-00-00-8220 35 EACH BUILDING SEWER - I - -• - . '- '-' -. OVEH'lOO,OOO BTU -- '', ' -SIGN PERM(T" - '- 001810-00-00-8221 - -' - -EACH WATER HEATER ANDiOR VENT , -. ' -• BOILER/COMPRESSOR UP T.O 3 HP -' ' -- ' .' - -PLAN CHECK' - - - - O0l8l0O0'00'8891 .' •3 -. -. EACH GAS SYSTEM ('JO 4'OUTLETS 1r - - ' - - . BOILER/COMPRESSOR 3.15 HP - ,' '' - -TOTAL PLUMBING 001'810'0000'8222- - - EACH GAS SYSTEMS OR MORE'' •" - - ,- , ''-e--'-' -METAL-FIREPLACE -.'' -' - ELECTRICAL-------- - - 001'810'60'00'8223 ' - EACH INSTAL.. ALTER, REPAIR WATER PIPE -• - - -' • - ' VENT FAN SINGLE DUCT - - - - 'MECHANICAL •' - - 001-810-00-00-8224 -- - EACH V.ACUUM,BREAKER - ,, ,' - -, - '- MECH EXHAUST HOOD/DUCTS -MOBILEHOME r - 001-810-00-00-8225 - WATER SOFTNE. - - • - - - - - • - , -.J-- RELOCATION OF EA FURNACE/HEATER-1 -' ------- - - .--, SOLAR- -- - - ' -' -001-810-00-00-8226 EACH ROOF DRAIN (INSIDE) - I , , - DRYER VENT STRONG MOTION - ' -880-519-92-33 - -. - ' ' : • i' -' - ' TOT'AL'MECHANICAL. ' ' - -" - - - - FIRE SPRINKLERS - - -- .001-'81'O-OO-OO-827 - -• - -.--" -- 101At. PLUMBING- -PUBLIC FACILIT)ES.FEE ..- 320'810-0000-8740 t,.-_,,,-. .-.v. - - ' - - - MOB •t5 5,ig t BRIDGE FEE - - 360'810'00'00'8740 - "' - - - QTY. " I ELECTRICAL PERMIT.- ISSUE ---- • - QTY.-. - " PARK-IN-LIEU (AREA NEWCONSTEA AMP SWT BKR . - - CAR PORT -- • \'r - - - - ., - ,,J)F_, - - 312'81000'00-8835 - - - - - - IPH -- 3 P -' -' -1 AWNING /' - <dv - - •O\ -. LA COSTA T(F - 311-810-00-00-8835 - .E'xISF BLDG EAAMP/SWT'BKR - -- • -GARAGE' ''.' ' FMF -•--. -- :- -• '----'.-- ---• I-PH J •3 PH •- - .- - - ' - - LICENSE TAX 001-810-00-00-8162 -- ' - - - - - — REMODEL ALTER -PER CIRCUIT v_ - (*4 Cs7piO. - MFF 8805199257 TEMPPOLE 200AMPS - - I. -s--' OVE-R-200 AMPS :- - -- - ' - - ' -. '. Cold - - - : - - A/- ,.JEMP OCCUPANCY (30 DAYS) - 5 , - , - - - —4.-.-• _;_ :,- .CREDIT DEPOSIT- TOTAL ELELU (CA - I - - - • .-. ' •'' -TOTAi - • - TOTAL FEES 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 IS REQUIRED FOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void lithe building or work 5'0- DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMITS permit, or if the building or work authorized by such permit is CITY.'COUNlY AND STATE GOVERNING BUILDING CON- suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL LAWS abandoned at any lime alter Ihe work is commenced for a period STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND tPPLICANT S SIGE%URE OWNER 0 - 01180 days APPRO - 0 BY - CONTRACToR .- --.- - - DATE -- - EXPENSES WHICH MAY WANY WAY ACCRUE AGAINST SAID CITYfN CONSEQUENCE - OF - - - BY PHONE 0 - . - • , GRANTING OF THIS PERMIT. - - TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME Li FLOOR Li CEI4ING SHEATHING Li ROOF Li SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER AND BL/CO [j P(/CO UNDERGROUND 0 WASTE EJWATER TOP OUT 0 WASTE Li WATER TUB AND SHOWER PAN GAS TEST O WATER HEATER Li SOLAR WATER ELECTRICAL O ELECTRIC UNDERGROUND DIUFFER ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPORARY Li BONDING 0 POOL MECHANICAL Li DUCT & PLEM., 0 REF. PIPI}IG 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 INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL o ATE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE S STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS S