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Home My WebLink About2011 PALOMAR AIRPORT RD; ; CB931118; Permit11 • 4310 10/15 93 OOCl 0 T ' 'I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION a. V PLAN CHECK NO. f;;J-l/ 195' City of cartsbad Building Depart-1t 7d-O 2075 Las Pal.as Dr •• carlsbad. CA 92009 (619) 438-1161 EST.VAL _____________ ~ PLAN CK DEPOSIT. ________ _ VAUD.BY __________ ~ I. PERM.I I l"YPH DATE-------------~ A )(Commercial LI New Bu1@mg Li Tenant Improvement B . D Industrial LI New Building D Tenant Improvement C • Li Residential O Apartment O Condo Li Single Family Dwelling Li Addition/ Alteration Li Duplex Li Demolition Li Relocation Li Mobile Home Li Electrical D Plumbing Li Mechanical Li Pool CJ Spa CJ Retaining Wall CJ Solar Li Other ____ _ 2. PRQJECf INFORMATION FOR OFFICE USE ONLY X<ldress ~ /Jilt o""""- Nearest ~Meet Bu1@mg or Smte No. mt o. CHECK BEUJW IF SUeMI l I ED: 0 2 Energy Cales C 2 Structural Cales C 2 Soils Report CJ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ~~OY? e,~~.:, ADDRESS 6J-i 7t,,,~ 51~q<_f: t:>A~ "})£ ,,,,. /00 CilY ~£~,4 STATE e,,A ZIPCODE '1~5'9o DAYTELEPHONE 'lot:/-6?6·5&.r// 6. OON'ffiACluk NAME A+ 5,.1,1 eo ADDRESS :i-rvc >'" .. 5A#'f74 Fi: .4,,.l #tfy CilY VIJ-r't STATEa,4 ZIP CODE '1~Y3 DAY TELEPHONE 6/'f ?"-"J-tJ...J..., 7 STATE LIC. # f,J;}...«L.cENSE cIASs C. G, ( CilY BUSINESS LIC. # AIJDRESS STATE ZIP CODE DAY TELEPHONE STATE I.IC.# 1. WORK£1iS' tiNSA:l'ION Workers' Compensation Dedarauon: l hereby afhrm that l have a certificate of consent to self-msure issued by the Director of lndustnal Relations, or a cenificate 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 Ceruhcate of Exemption: I certify that m the periormance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATU~ 'DATE /) 0 c:r---:; 3 8. OWRHk-nbN owner-Builder Declaration: I hereby afhrm that I am exempt from the Contracto?s License Law tor the iollowmg reason: CJ 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.). CJ 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 the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SlGNATIJRE DATE CoMPIBi'E I His SECTION FOR NON-RESlDEN liAL 8UlLDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a YES 'fl(No ls the applicant or future building occ~nt required to obtain a permit from the air pollution control district or air quality management district? DYES "ljll.NO [] YES NO Is the facility to be constructed within~l 000 feet of the outer boundary of a school site? IF ANY OF nm ANSWERS ARE YE.5, FINALCF.RTIFlCATE OF CXDIPANCY MAY NCYr BE l$UED AFl'ER JULY 1, 1989 ~ 11IE APPLICANT HA'i MET OR IS MEETING nm RF.QUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND nm AIR POll.U110N CDNrnOL DISfRICT. 9. OONSIROCI ION UNDING :XCENcY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit is issued (Sec 3097(1) dvu C&lej. LENDER'S NAME LENDER'S ADDRESS lo. APPUCAN't'CfiltlMC\:ndN I certify that I have read the apphcatton and state that the above mformauon is correct. I agree to comply with all City ordinances and State laws relating to building construction. l 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 TIIE Cl1Y OF CAIUSBAD AGAINST AIL LlABIIITIES. JlIDGMENTS, COSTS AND EXPENSFS WIIlCH MAY IN ANY WAY ACX:RUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF TIIlS 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 SIGNATUR~~ DATE: 1 roe,--,3 WHITE: File YEU.OW: Applicant PINK: Finance t . PERMIT# CB931118 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/03/93 DESCRIPTION: LEE AND ASSOCIATES TYPE: SIGN JOB ADDRESS: STE: INSPECTOR AREA PLANCK# CB931118 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: A+ CONTRACTOR: 2011 PALOMAR AIRPORT RD SIGN COMPANY PHONE: 619 727-2269 OWNER: REMARKS: M,H/727-2269 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# CB880364 CB891488 TYPE PLUM CTI PHONE: PHONE: STATUS EXPIRED EXPIRED CD LVL--D-E-SC_R_I_PT_I_O_N ___ +i:,-......._:i,..w.,._,,_ __ '~-COMMENTS 38 EL Signs I J --f V'f\ ----------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS