HomeMy WebLinkAbout1901 CAMINO VIDA ROBLE; 101; CB931165; PermitBUILDING PERMI
10/28/93 15:25
Page 1 of 1
Job Address: 1901 CAMINO VIDA ROBLE
Permit Type: SIGN
Parcel No: 212-092-20-00 Lot#:
Valuation: 4,000
Construction Type: NEW
Occupancy Group: Referenced:
Description: MERRILL LYNCH
T Permit No: CB931165
Project No: A9301662
Development No:
Suite: 101
4482 10/28/93 0001 01 02
C-PRMT 104-00
Status: ISSUED
Applied: 10/28/93
Apr/Issue: 10/28/93
Entered By: DC
Appl/Ownr : BRILLIANT SIGNS, INC.
1648 NOTTH O'DONNELL W
ORANGE, CA 92667
* * * Fees Required
714 998-2622
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
* SIGN TOTAL
cted & Credits * * *
. 0 0
. 00
104,00
Ext fee Data
63 . 00
41 . 00
104.00
{NAL APPROVAL
CLEARANCE
CITY OF CARLSBAD
2075 Las Palnus Dr., Cirtsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PalMft Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT
A - ercommeroal U New Building U Tenant Improvement
B - D Industrial DNew Building D Tenant Improvement
C - D Residential O Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical DPool Q Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.
EST. VAL
PLAN CK DEPOSTT_
VALID. BY ~_
DATE
FOR OFFICE USE ONLY
Aoaress
Nearest Cross Street
LEGAL DESCRIPTION subdivision Name/NumDer
CHECK BtLUW It SUJJM11 IbU:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OFJftERK
SQ.FT.
NAME
ur ainerem irom appncanij
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPLIUVNT i^-tHftiTKAL.TUH UA7JENT FOR (JOHlKAUlUR QOWNER U AtifcNl KJK OWNERNAME~B«_r
CITY STATE
ADDRESS
ZIP CODE
/*/. Or ty>fi**3&UL. x^J
?- DAY TELEPHONE foftf)
5. PROPERTY
NAME
CITY
ADDRESS
STATE C.A- ZIP CODE ?DAY TELEPHONE
D. GONTRAtnuK
aTY STATE
STATE LIC.
ADDRESS
ZIP CODE 7Z6C?- DAY TELEPHONE (¥>*<*
*f LICENSE CLASS C. V $ CITY BUSINESS LIC. #
UEblONtK NAMb
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC.
7. WORKERS* UUMPKNSAT1ON
workers' Compensation Declaration: I hereby afiirm that I have a certificate ot 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. C).
INSURANCE COMPANY POLICY NOfljC Z? » tf EfrlRATlON DATE / // / T T
loy aiVy personCertificate ot Exemption: I certify that in the performance or the work tor which this permit is issued, I shall not emplo;
so as to become subject to the Workers' Compensation Laws of California.
in any manner
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby atiirm that I am exempt from the Contractors License Law tor the following reason:
D 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.).
D 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).
D 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 die
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THlS'SbL'ilUN 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?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPIJCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
V. UUHS1HUUI1UH LKHD1HG AUENCY
I hereby attlrm that there is a construction lending agency tor tne pertormance ot tne work for which this permit is issued tsec 3097UJ Civil CodeJ.
LENDER'S NAME LENDER'S ADDRESS
10. APHJCANT CERTIFICATION
Tcertiry that I nave read the application ana state that the above information is correct. I agree to comply with ail 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
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5*0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
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).
DATE:
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