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Home My WebLink About2011 CAMINO VIDA ROBLE; ; CB950207; PermitBUILDINGPERMT02/07/95 13:37 Page 1 of i Job Address: 2011 CAMINO VIDA ROBLE SuitePermit Type: SIGN suite Parcel No: Valuation: 545 Lot#: Construction Type: NEW Occupancy Group: Reference*: Description: ONE WALL SIGN Appl/Ownr : FLORES, STEPHAN 2506 S. SANTA FE #68 VISTA, CA. 9208 *** Fees Required Fees : Adjustments: Total Fees: Fee description 619 727-2269 Permit No: CB950207 Project No: A95002B3 Development No: <»2902/07/95000iOi 02 C-PRHT Status: ISSUED Applied: 02/07/95 Apr/Issue: 02/07/95 Entered By: MDP Building Permit Plan Check * SIGN TOTAL acted & Credits * * .00 . 00 28.00 Ext fee Data 17.00 11 . 00 28.00 Fl !NSP., CLEAnAT 'APPROVAL . DATE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION H^^H City of Carlsbad Building Department W^^ir2075 Las PaUws Dr., Carlsbad, CA 92009 (619) 438-1161 ^ftj^r 1. f£HMlT TYFK For Residential Protects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECKNO. ^ S ?~L£> ' EST.VAL D I J ' r.-flfi^ PLAN CK DEPOSIT ff * *" VALID. BY / j— fO DATE 1- "1 [Cc\ Z PROJECT INFORMATION FOR OFFICE USE ONLY MS^& £ott CAMt*<t> Nearest Cross Street /& LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Gates D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT. S # OF STORIES # OF BEDROOMS # OF BATHROOMS37 (JUNTAUT PEKSUN uTainerent rrom applicant) NAME (last.name first) CITY r / A rrr* ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT IHCUNTRAC1UR \J AGENT FOR CONTRACTOR DOWNER QAGLNT FOROWNER NAME (last name first) tf ADDRESS ^.57^ ?-J)fXAff CITY STATE ZIP CODE DAY TELEPHONE 5. PROFER' NAME (last name first)^, ADDRESS ZIP CODE fj^? ^<^T DAY TELEPHONE </3 /* ft. UONTKAtUR NAME (last name first) CITY NAME uast name tirst ADDRESS &-SD& S ' S il'-'T* ZIP CODE *Z^^E"/ DAY TELEPHONE "7 J- P ' QTY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS COMPENSATION Workers Compensation Declaration: I hereby amrm that I nave a certificate of consent to sell-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 NO.EXPIRATION DATE Certificate of Exemption: I certify that in the performance oTthe workror 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. SIGNA DATE 8. OWNEK-BDILDER DECLARATION uwner-Buiiaer Declaration: i nereoy artirm tnat 1 am exempt trom the contractors License law tor tne loiiowing 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 intendedor 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 projectswith contractor^) 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 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE V. COMPLETE IHlaJiluuR NONESIPlAL BUUNG 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 25SOS, 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? Q YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?D YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES AND THE Am POLLUTION CONTROL DISTRICT. LENDING AGENCY "~~ ""~ ~I nereDy affirm that there is a construction lendng agencyor the performance ot the wor tor which this permit is issued (Sec 37(i) Civiode). LENDER'S NAME LENDER'S ADDRESS 1 certiry tnat 1 nave read tne application and state that the above information is correct, r agree to comply with all city ordinances and state laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OP CARISBAD AGAINST All, LIABnJTIES, JUDGMENTS, COffTS 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). APPLICANTS SIGNATURE —- :— DATE: " WHITE: File YELLOW: Applicant PINK: Finance PERMIT! CB950207 DESCRIPTION: ONE WALL SIGN TYPE: SIGNJOB ADDRESS: 2011 CAMINO VIDA ROBLEAPPLICANT: FLORBS, STEPHANCONTRACTOR:OWNER: REMARKS: BJN/727-2269SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB950207 OCC GRP CONSTR. TYPE NEW STE: /") LOT: PHONE: 619 727-226) PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 38 EL Signs ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS