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2121 PALOMAR AIRPORT RD; MULIT-PERMIT FILE; CB993592; Permit
- . •4 '- 1 - .. . - City of Carlsbad I 09/29/1999 ; Sign Permit Permit No:CB993592 Building Inspection Request Line (760) 438-3101 - Job Address: • 2121 PALOMAR AIRPORT RD CBAD Permit Type: SIGN . Status: ISSUED Parcel No: Lot #: 0 Applied: 09/29/1999 Valuation: - $3,000.00 Construction Type: NEW Entered By: RMA Reference #: . . - Plan Approved: 09/29/1999 - 3 . • ;; ..• . : •: Issued: 09/29/1999 Project Title NON-ILLUM SIGN-FRONT BLDG - Inspect Area Aoplican- t: Owner SIGN - 4694 ALVARADO CANYON SAN DIEGO CA 92120 RD /';EE:5? N\~46 09/9/99 0001 0102 619 563-5000 C-PRMT 86'44 ,.Total Fees: $86.34 Tfa Payments ToD'a1'" $0.00 BaIarce Due: $86.34 Building Permit $52 33 Add'I Building Permit Fee $0.00 Plan Check W.01 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 RenewalFee $0.00 Add'I Renewal Fee INCORPORATED /'$o 00 1952 .,Other Building Fee $0.00 TOTAL PERMIT FEES . $86.34 . XPIRED PERMIT . -. . PM1T HAS EIREDNACOR.DCEIJThUBC "ON 106.4.4 r -soi SIGNATURE_ CITY OF CARLSBAD •. - - 2075 Las Palmäs Dr., Carlsbad, CA 92009 (760) 438-1161 . . . • . ' •'• - - - .. '• . . . . ''-- FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK-NO.4-1 CI OF CARLSBAD BUILDING DEPARTMENT EST:VAL TY * *2075 Las Palmas D, Carlsbad CA 92009 Plan Ck Deposit (760) 438-1161 : -. - - ,. . . . -. 'V - -Validated By. 1 27 J tJ Date Address (Inc de Bldg uite #1 .. Business Name (at this address( Legal Description. - Lot 'o. - ubdivision Name/Number. ' ,. - Unit No. - Phase NO.' .' - Total #'of.units -. M-0 Dion of k 'II J — VaAdm owwL~ ri Lm dr:os of Bathwoms 2. CONTACTPFRSON (if different from 'iicantY Name,,,. .,. . - .Addr'' . City - - Stt Zi p Tephai . F,x IC ANT, Contr~iztor 0 r, C6 it ntg bf 0 Mot 7t J City Stat 7111 X2W422S PROPERjQWNER,, Name . ' . Addr-,5 City State Zip - TIeph ne # , ...... . ... - - '(Sec. 7031.5 Business and Professions Code: Any City or County which requires a_permit to construct; alter, improve, -demolish' 0r'repair ãnistruct'ur* prthr to'i'tis 'issuah'ce,aisd requires the plianff or such permit to file a signed statement that.he'is licensed pursuant to the provisions of the Contractor's License Law• 1lChapter 9, ommen n with S ction 7090 of Division 3 of the Business and Professions Code] or-'tlt he is e'xèmpt therefrom, and the basis for the I ed .4 Wiv Name L State License # 7(7p / '1'-4ise Classe'// D City Business License # Designer Name Address City State/Zip Telephone .StateLicense # .- - .' -, -' ;' ..t!- &KQMPET16}J Workers Compensation Declaration I hereby affirm under penalty cf prury One of th tlb ing declarations 0 I have and will maintain a certificate of consent to self -ins ure for workers compen.atiohas provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued - 'l have and will maintain w rkers' compensation,, as req 'redby Section' 3700 of the Labor Code, for, the performanceof the work for. which thié'permit 'is __________________llrisurin'ce Company ______________ Policy NoZ/j tE/1 Y Expiration Date LW ,, ,(THIS SECTION NEED OTBE MPLETED IF THE PERMIT I FOR ONE HUNDRED DOLLARS,I$100J OR LESS) '0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this p,ermit,is issued, I shall not employ'any'person in any manner soàs to b'ecome subject to the Workers Compensation Laws of California - DWARNING: Failure to- secure wo ers compensation coverage is unlawful- and and shall- subject,,an employer t'criminal, penalties. and civil 'hues up -to one, hundred ,'thousand dollars 100, 1. h ation, damages as provided, for in Section 370,6 d attorney's fees~ jtte~coso c&m . pens ,of.ft.Lib int SldNATUAE 'DATE Ila,s 00' - 'I hereby affirm at I am exempt from the Contractor's License Law for the following reason: as owner of the property or my enployee, with wgés a' 'their sole c'ompe'nsatioh, will do the work and the struá'ture' is not intendOd 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 consiruct the, project (Sec. ;7044, Business and, Professions C9de: -,The - - - - C&ntràctor's Licéhse Liw does not apply to an owner of pro'pèrty Who builds or'improvés thereon, and contracts" for such projects witfCcontractor(s)liâensed , pursuant to the Contractor's License Law) -D 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 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address! phone number / contractors license number( .;4r l plan to provide portions of the work, but I have hired'the'followingperson to coordinate7supervie and provide the major work (include name /'address I phone, number I 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):-- 'PROPERTY OWNER SIGNATURE ' ' - I "' 'ATE is ' the applicar't'oi ftture building occupnt reiuired to 'slubm'it a bu'in's ilan, acutely' hazIdous materials gisr,ticn ftrrn or risk manaurncnt and prevention Yprogram 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 aperunit from thi'air pollution control district or air, quality ma'naemnt 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. C0NSTRUIONENDl'IGENcy - - 'I hereby affirm that there.isa construction lending agency'for th pi iforrr -inceof,the work for 'i h this em t i in d(Sec. 309 (1) Civil code)- I - .LENDER'SNAME - - - N '," "' - ' - LENDER ADDRESS f AP CER4TIp _.."_ I certify that Lhave, read the application and state that the above- information,is correct arid that-the information onthe plans is accurate- - I agreeto c0mp1ywith 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 CITY OF CARLSBAD- AGAINST."ALL LIABILITIES, JUDGMENTS, COSTS AND-EXPENSES WHICH MAY-IN ANY'WAY'ACCRUE AGAINST 'SAID-CITYIN-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 :Buiiding Official uride'r the prol/isions 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 da "180 days rte of such permit or if the building or work authorized by such permit is suspended ap) APPLICANT'S SIGNATI 71 -WHITE:- File"" YELLOWApplic'ant.i 'PINK: Finahce--- - - '' B U IL DING P ER MIT Permit No: .6B911620 12/05/91 09:23 Project No: A9102042 Page 1 of 1 ' Development No: Job Address: 2121PALOMAR AIRPORT RD Str: Fl: Ste: Perinit Type: SIGN . 5494 12/05/91 0001 01 02 Parcel No: . •. C-PRMT 39..00. Construction Type: NEW Occupancy Group: Class Code: . Status: ISSUED Description: NTN COMMUNICATIONS SIGN Applied: 12/02/91 - Apr/Issue: 12/05/91 Validated By: •SBB Appl/Ownr : ARCHITECTURAL SIGN SOURCE 619. 528-1890 P. 0. BOX 900381 . . . SAN DIEGO, CA 92 -0 . . CONTRACTOR ': A.R. WYLIE CQ 4 sic. 417899 619-528-1022 • . 6326 RIVERDA'.E 1T- • . SAN DIEGO/CA 9t 9 . ç *** Fees Required i - F&'S .ol •et \ &. Credits **'. ------------- /:__z, .\\\•------------------ Fees: /. o( ______ \' \ Adjustments: / \ • .00 Total Fees: o1O T-t'c11KP'àym n1t : • .00 Fee description Building 23.00 Plan Check 15.00 Strong Motion BUILDING TOTAL 39.00 Permit ee \\\INCORPORATED 1.00 195 2 - - - - ¼ PPROV CE Ak 7 (4kLDTE CLL1- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - • , - PERMiT APPLICA1TON . City of Carlsbad Building Department -• 2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-1161 1.PERIbUTTYPE A - Li Commercial U New Building 0 Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demólitioti 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ PLAN CHECK NO. Q7 / VAL GK DEPOSiT_______________ D. BY 2. PRQJEC INFORMATION FOR OFFICE USE ONLY 4.'1.4R A. (?7i1O u'u"u.s U. .,,m,; ,,u Nearest Cross Street Yarrow LEGAL DESCRIPTION Lot No. Subdivision Name/Number .- Unit No. Phase No. MAP 10738 1706 GRAI-IPM INTERNATIONAL PLAZA CHECK BELOW IF sUBMrFITED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL 213-00 '-1.3 EXISTING USE PROPOSED USE DESCRIPTION OF WORK - -i--, Cu.' SQ.FT.44 #OF STORIES 3 NAME -. ADDRESS CITY STATE ' ZIP CODE DAY TELEPHONE APPLICANT WGONTRACIOR U AGENT FOR CON RACIUR UOWNER Li AGENT FOR OWNER NAME ARCHITECTURAL SIGN SOURCE ADDRESS P.O. BOX 900381 CITY Sail Diego STATE ZIP CODE 92190 DAY TELEPHONE (619) 528-1890 * PROPERlY OWNER V NAME )JtI INTERNATIONAL ADDRESS 2141 Palanar Airport Road, Suite 300 V V CITY Carlsbad STATE CA ZIP CODE 92009 . DAY TELEPHONE (619) 438-1545 CX)NTRAC1DR . . V V NAME A.R. t1YLIE C01v1P1NY ADDRESS 6326 Riverdale Street V CITY San Diego STATE CA ZIP CODE 92120 DAY TELEPHONE (619) 528-1022 V STATE UC. # 417899 LICENSE CLASS C61/112 CITY BUSINESS UC. # . V DESIGNER NAME ADDRESS— CITY N/A STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMPENSA1ION V Workers' Compensation Declaration: I hereby attirm that I have a certificate 01 consent to sell-insure issued by the Director 01 Industnal Relations, ora 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). V INSURANCE COMPANY ALLIED POLICY NO.44 WC1 DO73729. V EXPIRATION DATE 12-21-91 Certilicate 01 Exemption: I certify that in the pertormance of the work tor which this permit is issued, I shall not employ any person in any manner V so as to become subject to the Workers' Compensation Laws of California. SIGNATURE A DATE OWNER-BUILDER DECLARATION V Owner-Builder Declaration: I hereby attirm that I am exempt from the Contractor's License Law for the tollowing reason: 0. 1, 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 ....—effFëd1brsaZeSec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves theing and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If>(iowever, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did ht build or improve for the purpose of sale.). V 0 I as owner of the prope am exclusively contracting with licensed contractors to construct the pioject (Sec. 7044, Business and Professions Code: The Contractor's Lic e Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pu ito the Contractor's License Law). o I am exempt under Section ess and Professions Code for this reason: V (Sec. 7031.5 Business and Professions Code: Any City or County which requires a perm V construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed sfaftemept 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 ness and Professions Code) V or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by an—y-applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars, [$5001). SIGNATURE V V DATE COMPLETE THIS SECF -R ION FOR-NONESIDENTIAL BUILDIN PE G RMITS 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? V DYES V IN NO . V Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES qQ NO V Is the facility to. be constructed within 1,000 feet of the outer boundary of a school site? . V V DYES 12 NO V IF ANY OF THE ANSWERS ARE YES AFINAL CERTIFICATE OF OCCUPANCY MAY N(Yf BE ISSUED AFtER JULY 1, 1989 UNLESS THE APPLICANT HAS MEF OR IS MEEFING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLITflON CONTROL DIS'IlIICF. - WNSThLJCITION LENDI1'lG AGENCY • , 1 hereby attirm that there is a construction lending agency tor the pertormance 01 the work [or which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME ' LENDER'S ADDRESS APPLICANT CERTIFICA11ON V I certily that I have read the application and state that the above intormation 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, CX)STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF li-ilS PERMIT. OSHA An OSHA permit is required for excavations over 5,0" deep and demolition or construction of structures over 3 stories in heighi. - 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). APPUCANVS SIGNATURE V V - , DATE: -. Vl: . WHITE: File YELLOW: Applicant PINK: Finance I - ThISCXKDUI113 INSP!c'rIof DATE £2 f(73 INSPECTOR_______________________ PERMIT • Ptcx JO B ADDRESS TIME ARRIVE: TIM! LEAVE: CO LVL DESCRIPTION ACT COMM 3 —se S .f.2-ditJj *)/ 'WA Vhii 'L-y)iC — — : - au I L D I N C. P E R N -I T Permit No: CB911619 0/07/93 11:47 - Project No: A910201 Page 1 of 1 - . Development No: Job Address: 2121 PALOMAR AIRPORT RD Suite: 206 Permit Type:. SIGN Parcel No: . . Lot#: 1800 04/07/93 0001 01 02 Valuation: 860 . -., C-PRMT 1200 Construction Type: NEW . Occupancy Group: - Reference#: . . . Status: ISSUED Description: PAINE WEBBER SIGN - . . . Applied:. 12/02/91 Apr/Issue:0/07/93 Entered By: SBB Appl/Ownr : ARCHITECTURAL 'SIGN SOURCE 619 528-890 : P.. b. BOX 900381 V -SAN'. DIEG.0, CA 921 . .• • CONTRACTOR : A:R. WYLIE CO C 17899 -619-528-1022 V 6326 RiVERD LE ' V V - V SAN DIEGO, CA 9 *** Fees Required *ç - ,e & Credits V V Fees: - 1.00 \ 0 - Adjustments': I ad JP: .0,0 descrip its Building Pej~mit 23.00 Plan Check.' 15.00 V *Strong Motion Fee' * BUILDING TOTAL. - INCORPORATED - 51.00 V V •V• V V. • V CITY OFCAeBk ' 2075 Las Palmas Dr.,Car1sbad, CA 92009 (619) 438-1161 . * . PERMiT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 S . 1. i'iitMrr fl'PE A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C -0 Residential 0 Apartment DCondo 0 Single Family Dwelling 0 Addition/Alteration o Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing O Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar C Other__________ )JECT INFORMATION PLAN CHECK NO. EST.VAL . -. PLAN CK DEPOSF_______________ VALID. BY____________________ FOR OFFICE USE ONLY - AGGress py iiuiiaingorsuileNo. zc Nearest Cross Street Yarrow LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. MAP 10738 1706 (A1-AM INTERNATIONAL PLAZA CHECK BELOW IF SUBMITTED: 02 Energy Caics 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL 213-050 - ,3 EXISTING USE PROPOSED USE DESCRIPI1O F WORK SQ.Fr. *' # OF STORIES 3 NAME ADDRESS - CITY STATE ZIP CODE. DAY TELEPHONE 4. APPUGANT NAME CONIcIUR U AGENT ARCHITEC11JRAL SIGN SOURCE FOR CONTRACIOR U OWNER U AGENT FOR OWNER ADDRESS P.O. BOX 900381 CITY Sail Diego STATE CA ZIP CODE, 92190 DAY TELEPHONE (619) 528-1890 S. PROPEKIY NAME OWNER (pJIJ-lJ1V INTERNATIONAL ADDRESS 2141 Palomar Airport Fad, Suite 300' CITY Carlsbad STATE CA ZIP CODE 92009 DAY TELEPHONE (619) 438-1545 NAME CX)NTRAØIOR. A.R. tLIE C(WANY ADDRESS 6326 Riverdale Street, CITY San Diego STATE CA. ZIP CODE 92120 DAY TELEPHONE (619) 528-1022 STATE LIC. 4417899 LICENSE CLASS C61/D42 CITY BUSINESS UC. # DESIGNER NAME N/A • . ADDRESS CITY . STATE ZIP CODE . . DAY TELEPHONE STATE LIC. # WORKERS' WMPENSA lION - Workers' Compensation Declaration: I hereby affirm that I have a certilicate of consent to self-insure issued by the Director of Industrial Relations, ora 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 ALLIED W10O73729 . — - POLICY NO.-4 - EXPIRATION DATE 122191 (_;ertiricate or Exemption: 1 certiFy that in the performance or the work for whic1this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE . DATE - 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt From the Contractor's License Law for the tollowing reason: 0 kasowner-of-tle property or my employees with wages as their sole ompensation, 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 ttjreon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for le. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving tha he did not build or improve for the purpose of sale.). 0 ' I, as owner of th roperty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contra or's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) lic pursuant to the Contractor's License Law). 0 1 am exempt under Section d Pro e for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a Perini st ~tha r, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed stat t he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectio by any ap for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). . SIGNATIJRE . 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? DYES IX NO I . . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES EX NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 13 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 AIR POLLUTION CONTROL DISTRICT. WNSIIUJCHON LENDING AGENCY . . . I hereby affirm that there is a construction lending agency [or the performance of the work For which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTIFICATION I certify 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST All LIABILITIES, JUDGMENTS,COSTS AND EXPENSES WHICH MAY IN ANY WAY MXTh1UE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF ThIS PERMiT. OSHA An OSHA permit is required for excavations over 5'O" 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). APPLICANT'S SIGNATURE DATE: WI-ilTE: File YELLOW: Applicant PINK: Finance .. CITY OF CARL SBAD INSPECTION REQUEST PERMIT# CB911619 FOR 04/11/94 INSPECTOR AREA DESCRIPTION: PAINE WEBBER SIGN . . PLANCK# CB911619 0CC GRP TYPE: SIGN CONSTR. TYPE NEW JOB ADDRESS: 2121 PALOMAR AIRPORT RD STE: 206. LOT:. APPLICANT: ARCHITECTURAL SIGN SOURCE PHONE: 619 528-1890 CONTRACTOR: A.R. WYLIE CO PHONE: 619-528-1022 OWNER: PHONE: REMARKS: MH/MARK/528-1890 . S INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: -'S CD LVL DESCRIPTION ACT COMMENTS 38 EL Signs A1. g4Ck,/.-'Ig16- ***** INSPECTION HISTORY..***** DATE DESCRIPTION ACT INSP COMMENTS 022293 signs DN MPC DATE: 03/30/94 TO: OCCUPANT 2121 PALOMAR AIRPORT RD #206 CARLSBAD CA 920.08 PERMIT NUMBER: CB911619 ISSUE DATE: 04/07/93 LAST INSPECTION: PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE RE: BUILDING PERMIT EXPIRATION . ADDRESS: 2121 PALOMAR AIRPORT RD .# Our records indicate that your building permit will expire by limitation of time on '04/07/94. . The provisions of UBC, Section 303(d) 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 one calendar year from the date of such 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 six consecutive calendar months 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 one year of the. date of permit issuance. . Work shall be presumed to be stopped if the permittee. has not ob- tained a required inspection' approval of work by -the building official within each six month period upon, the initial commencement of work authorized by such' permit. Before such work can be recommenced, ,a new permit, or a renewal permit as specified below, shall-be obtained. '. . 1. 'PERMITS WHERE WORK HAS NOT COMMENCED. For permits wherework has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: . No changes have been made or will be made in the original-plans and specifications for such work. That the expiration has not exceeded 'three years from the original issuance date. That the same edition of the model codes is in effect as used in the initial plan check. That a fee equal to 'one-half the amount required for a new permit be paid.* The renewal permit shall expire" three calendar years from the date of initial permit issuance.' ' ' ' p - -- ,. B U I L D I N G P E R M I T Permit No: CB911619 12/05/91 09:21 - Project No: A9102041 Page 1 of I Development No: - JobAddress: 2121.PALOMAR AIRPORT RD Str: Fl: Ste: Permit Type: SIGN 5494 12/05/91 0001 01 02 Paicel No: - . - C-PRMT 39.00 Valuation: 860 . -"- #c Construction Type: NEW /''- -Occupancy Group: Class Code,: Status: PENDING Descfiption: PAINE WEBBER SIGN. Applied: '12/02/91 - Apr/Issue: - Validated By: SBB Appl/Ownr : ARCHITECTURAL SIGN SOURCE 619 528-1890 P.O. BOX 900381 - SAN DIEGO, CA 92149V CONTRACTOR : A.R. WYLIE CO ic. C 417899 • 619-528-1022; 6326 RIVERD SAN DIEGO / . - - - e &Cred--- -- F e.e s: !"v-c' t•) - Adjustments: / .00 Fee-.description its 't Ext fee Data ------------------ Plan Check 15.00 Strong Motion Fee 1.00' --- 1952 -- + ? IE - •- ARANCE - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161. - UWSC11!ULZ INS P!CTIo o4e INSPECTOR -jL7 PERMIT cz •LAXCX _________ JOB ADDRESS -,12-/'-' TIME WIVE: TIME LEAVE: CO t.Vt DESCRIPTION S ACT COwrS City of Carl sbad DATE: 11/25/92 S PERMIT NUMBER: CB911619 ISSUE DATE: /.?/ </ 75/ LAST INSPECTION: TO:, HOMEOWNER 2121 PALOMAR AIRPORT RD #206 PLEASE CALL FOR AN INSPECTION CARLSBAD CA 92008 S IF WORK IS COMPLETE RE: BUILDING PERMIT EXPIRATION ADDRESS: 2121 PALOMAR AIRPORT RD # Our records indicate that your building permit will expire by limitation of time on .. The provisions -of UBC, Section 303(d) 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, 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. Before such work can be recommenced, a new permit shall be first obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, provided no changes have been made or will be made in the original plans an4 specifications for such work; and provided further that such suspen- sion or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new full permit fee. Any permittee holding an unexpired permit may apply for an extension of the time within which he may commence work under that permit when he is unable to commence work within the time required for good and satisfactory reasons. The building official may extend the time for action by the permittee for a period not exceeding 180 days upon written request. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to'us. Project abandoned. New permit will be obtained prior to commencing work. Extension requested for 180 days. (letter attached). Renewal permit requested. If you have any questions, please contact the Building Inspection Department at 438-1161 extension 4403. PAT KELLEY Principal Building Inspector 2075 Las Palmas Drive •. Carlsbad, California 92009-1576 • (619) 438-1161 C- - , c' '• : -. -' B U I L D I N G P E R M I T Peimit-No-."CB911226 08/30/91 09 29 Project No A9101545 Page 1 of I Deieloprnent No:. Job Address 2121 PALOMAR AIRPORT RD Str ** Fl:.**** Ste:'300 Permit Types SIGN - ' 4211 08.'30/91' 0001 01 02 Parcel No C-PRt1T 41-00 Valuation:. -1,00,0 Coristrution Type: NEW ' -4" ""'. ,• Occupancy Group:- Class Code: ' -- Status: ISSUED ' Descripti'on: MANPOWER TEMPORARY SERVICE , ' Applied: 08/3,0>'9r Apr/IssCe 08/30/91 - Validaed By. SBB. Appl/Ownr ARCH TIME SOURCE (619) 528-180 6326R-IVERDALE ST - SAN DIEGO, CA ** Fees Required Rj~e& Credits IL Fees: ' 4 .00©'& Adjustments:, .00 Tota-i 2re.cii'ts:\. '.00 -. Total-Fees': • 4.1.Q0 Tot1 aym tl_~ 19: '\ . .00 • - 1J\a1ane\b'u: \41.00 - Fee description Ext fee Data Building Permitl 25.00 16.00 ) ' :- 41.00 I 0 FIN APPROVAL INS 1E - CflY OF CARLSBAD I 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NO. Esf.VALE2Ot -O PLAN CKD IT_____________ VALID. BY -. DATE 4 PERMIT APPLICATION S City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 : S 1. i'rrn'vi A - LI Commercial U New Building Li Tenant Improvement B - 0 Industrial 0 NewBuilding 0 Tenant Improvement C- 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing OMechanical OPool D,Spa DRetaining Wall DSolar DOther_________ F- PRC1JF.Cr INFORMATION . . . . . FOR OFFICE USE ONLY ,,/Address Q,/21j L% Building or Suite No. .. Nearest Cross Street LEGAL DESCRIPTION ' Wt No. Subdivision Name/Number . Unit No. Phase No. CHECK BEWW IF SUBMITtED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE . PROPOSED USE LDESCRIPTION OF WORK SQ. Ft. 2. . # OF STORIES - UJNIAUI VEII,UN (it Ulilerent Irom applicant) NAME ADDRESS CITY . STATE ZIP CODE . DAY TELEPHONE -APPLI(;ANT D CON TRACIUR DAGENT FOR CON TRActOR DOWNER DAGENT FOR OWNER NAME , . ADDRESS CITY STATE ZIP CODE DAY TELEPHONE II*ADDRESS ) 4/f ) 0 L-7 eq q. / C))- 7 .. STATE Ci4 ZIP CODE DAY TELEPHONE .3 — NAME 14Ci.? - ADDRESS 4,3 2-46 CITY . STATE .4... ZIP CODE 9_Z/Z6 DAY TELEPHONE SA^1>) I . STATE UC. # - LICENSE CLASS . CITY BUSINESS UC. # . DLS1GNE1 NAME AL)URESS F; CITY STATE . ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMI'ENSA liON Workers' Compensation Declaration: I hereby attirm that I have a certilicate or consent to sell-insure issued by the Director 01 Industnal Relations, ora 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 - POUCY NO. EXPIRATION DATE Certiticate 01 Exemption: I certity that in the performance 01 the work tor 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. SIGNATURE DATE .. OWNER-BUILDER DECLARA11ON . . Owner-Builder Declaration: I hereby altirm that I am exempt from the Contractor's License Law for the tollowing reason: 0 I, as owner of the property or m employees with wages s 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.). - 1, 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 impràves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 1 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]). 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? DYES , ONO . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES .. ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N . 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 TILE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WNSTRUCI1ON LENDING AGENCY I hereby album that there is a construction lending agency for the performance 01 the work tor which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME . LENDER'S ADDRESS APPLICANT CERTIFICATION - I certily that I have read the application and state that the above inbormation 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIU11ES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ThE GRANTING OF THIS PERMIT. 051-IA: 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). APPLICANTSMSIGRE . DATE: :. .. -- .L.. L1A LL.L.L.'.JVV. Z1jJ1ILW1L r1LI%.. rUlaLILC P CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB911226 FOR 10/25/91 INSPECTOR AREA MC DESCRIPTION: MANPOWER TEMPORARY SERVICE PLANCK# CB911226 0CC GRP TYPE: SIGN CONSTR. TYPE NEW JOB ADDRESS: 2121 PALOMAR. AIRPORT RD STR:** FL:**** STE: 300 APPLICANT: ARCH TIME SOURCE PHONE: (619) 528-1890 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MH/PEGGY/438-1545 INSPECTOR 4 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 38 EL Signs ' 4cC /,44) ***** INSPECTION HISTORY DATE DESCRIPTION 'ACT INSP COMMENTS 7' 0 I herby affirm that I am licensed under . provisions of Chapter 9 (commencing with 'Section 7000) of Division '3 of the Business and Professions Code, and my license i it fuiifpen L • i' 1 hereby affirm that I am exempt from the, Con- tractor's License Law for the following reason (Sec. I, • ." • 70015 Business and Professions- Code: Any city or .,' county which requires a pennit to Construct * alter, improve, demolish, or repair any structure. prior to its issuance also requires the applicant for - such permit to tile a signed statement that he is licensed pursuant .10 the provisions of the Con- rector's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro- fessions Code) or that is exempt therefrom and the V. basis for the alleged exemption. Any violation 01 Section 7031.5 by an applicant for a permit subjects me applicant to a Civil penalty of not more than flee hundred dollars ($500). - ' - ' Q I 'as- vner'of the property, or my employees. -, 5 with wages as their sole compensation, will 'do the I work, and the structure is not intended or offered for w ' sate (Sec. 7044, Busirress and Professiohs Code: - The Contractor's License Laat does not apply to an -. Z owner of property who 'builds or improves thereon and who does such work himself or through his own o 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 01 proving that he did not build or improv'e for the :' purpose of sale). - ' I, as 0 wrier of the property, am exclusively - contracting with licensed contractors to Construct the project'(Sec:,7044. Business and Professions. - Code: The Contractors License Law does not apply - . to an owner of property who builds or improves thereon, and who contracts for each projects with a —á contractor(s) license, pursuant to the Contractor's * , License Law)., - • 0 -- [31 am exempt under Sec. 2, B. & P.C. for this reason : ' . 4 L 0 I hereby affirm that I have a certificate 01 consent .....to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof POLICY N,.&L (Sec. 3801. ,Labor Code). • - Z COMPANY 'lJ 6OAJ1L47' to ,"opy is tiled with the city. I",. • , '0 Certitid copy is hereby' furnished. "' ,r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit - ' is for one hundred dollars (5100) or less) Cr.0 I certify that in the performance of the work for 7 _ '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. 'NOTICE TO APPLICANT: It. after making this Cert,- .ficate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor ' Code, you must forthwith -comply with such'-provisions or this permit shalt be deemed revoked. I ' 0-I 'hereby affirm that there is' a Construction iend'ivg agency to, the performance of the work for which this permit is issued (Sec. 3097, Civil Code). -"ëncjer's Name - - -. •.' ..r L Lender's Address IIr BAIl PflhPJT PflJ flNIV t PDC41tt I1AQfl APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS: - CARLSBAD BUILDING'DEPARTMENT APPLICATION & PERMIT , 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS AV. ST. DATE OF APPLICATIO BSINESS NSE # RD. fi U 2'f2-i Airport Rd. ' VALUATION 1oo PE IT NUMBER 'Palomar ZONE (I OWNER'S NAME OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PONE C I ' Grubb & EIIis RPT42H. 77'73 OWNER'S MAILING ADDRESS ' CO TRACTOR'S AD ESS LICENSE NO. PLAN I.D. # ' BLDG USE CODE 2299 Camino dIRio South, S.D. 92108 32, k-'77,v.Q1 ' ' " __________ - LOT BLOCK 1 SUBDIVISION ASSESSOR PARCEL NO. DESIGNER %fO/ SO. FOOTrAIE 13 B/28/RI7 JBUII~DING STANDARD PC'AN #' DESCRIPTION OF WORK ______________________ jICENSE DESIGNER'S ADDRESS . ' DESIGNER'S PHONE , ' EDU - - () F/P FLR ELEV. NO , OCCGP' STORIES . . ' YO NO , . - . . . FIRE SPR CENSUS TRACT GP LAND USE . PARKING SPACE RES UNITS' ' GRADING PERMIT ISSUED REDEVELOPMENT. , ,.. . TYPE , 0CC LOAD., - AREA CONST. Y O N 0 YO NO YO ND Not Valid Unless Machine Certified QTY PLUMBING PERMIT ISSUE CITY. MECHANICAL PERMIT ISSUE - 3cQ - SUMMARY/ACCOUNT NUMBER 'EACH FIXTURE TRAP ' ' . . ', , INSTALL FURN. DUCTS UP TO 100,000 BTU ' , ,' . BUILDING PERMIT EACH B'UiLOINGSEWER ' ' ' '''.• . '" -. , OVER 100,000 BTU ' , •SIGN PERMIT ' . , •- -.-1 O EACH WATER HEATER AND/OR VENT - * BOILER/COMPRESSOR UP TO 3 HP , , tA1•"' :EACH GAS SYSTEM 1 TO 4 OUTLETS , , BOILER/COMPRESSOR 3.15 HP .' ' • ' ' - TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE ELECTRICAL EACH INSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT t MECHANICAL 'EACH VACUUM BREAKER • . . , MECH EXHAUST - HOOD/DUCTS. MOBILEHOME WATER SOFTNER. , ' — . - - ,', '• '. RELOCATION OF EA FURNACE/HEATER ' . MOBILEHOME PARK INSP _ EACH ROOF DRAIN (INSIDE) , : ' ' - . - SOLAR 'TDTL MECHANICAL ,' • - .'• - - , . - . - STRONG MOTION ( 'TOTAL PLUMBING ' 1 , • ' FIRE SPRINKLERS . -. . . * • 'PUBLIC FACILITIES FEE • '', ' _________________________ CITY.- ELECTRICAL PERMIT,- ISSUE - CITY. ' - SOLAR- ISSUE •lr ' - • .s. - ,. . . - BRIDGE FEE' NEW.CONST EAAMP/SWT/BKR ', . ' •, ,,. COLLECTORS - , , v • , ' , • - SCHOOL FEE - DISTRICT . •- 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLDG EA AMP/SWT/BKR . ROCK STORAGE ' Encinitas . 1PH ' ,,..A.3PH'. 1' . . •' PUMP ' i" . ' '. Sanoieguilo REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS * -; , ' - - - '.-, ., - •- S' ' S — OVER200AMPS " T. ' ' • .' • ' I . ' ________________ A' TEMP OCCUPANCY (30 DAYS) - -• '. . . • ',- - ' . - • ____________________ • - * - -' . • • -._________ , . ., ,.. - ' ELECTRICAL '1 - J9TAI - TOTAL FEESPAYABLE ,, ' • - . _- TOTAL SOLAR' -- .• - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY ' Expiration. Every permit issued by the Building Official under the provisions ofthis ' * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Code shall such become null and void. If the building or work 50" DEEP AND DEMOLITION OR CONSTRUCTION OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE rmit within 180daysfrom the dateof such authorized by pe DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS rmit. or if the buildin or work authorized by such permit is suspended of STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, AND STATE LAWS abandoned at any time altel,,.ttLewo commenced rkis commenced for a period of180 days. _ _____________________________________________________ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ICANT'S SIGNAJ~ ~R/ OWNER 0 CONTRACT APPROVED DA KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS A < L-K ; . - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF BY PHONE 0 GRANTINGOF THIS PERMIT. INSPF('.TIDN TVPF DATE INSPECTOR BUILDING OUNDATION REINFORCED STEEL MASONRY GUNITEOR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT .TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -. SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL IA GAS BUILDING SPECIAL CONDITIONS - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ. IF INSPECTORS CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS' SPECIAL MASONRY INSPECTORS NOTES PILES'CAISSONS I -- MINE k ' I CITY OF CARLSBAD— BUILDING DPARTMENT APPLI ft CN & PERMIT APPLIC TO FILL IN INFOR 16 - LIUtNDtU UUNIPIM 0 Ut.,LRNIIUI'l $ hereby affirm that I licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031 .5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sion S of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Dl, as owner of the property, or my employees with wages as their sole compensation, will do th K, and the structure is not intended or of• sale (Sec. 7044, Business and Profes- si ode: 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 of- fered for sale, If however, the building or improve- ment 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). Dl, as owner of the property, am exclusively con- tracting with licensed contractors to Construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property aho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, B. & P.C. for this reason Date ______________ Owner WORKERS' COMPENSATION DECLARATION eby affirm that I have a certificate of con- s sell. Insure, or. a certificate of Workers asation Insurance, or a certified copy - thereof (Sec. 3800, Labore). POLICY COMPANY/v75 (O/3 Copy is filed with the city. OCertified copy is hereby furnis e CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit Is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). USE BALL POINT PEN ONLY 1200 EL AVENUE (714) 438-5525 MATION 'WIHIN RED LINES. NO. JOB ADDSA AV. ST. RD 044 4 I I I I I DATE OF ApitCucATtoN I,/f/ i. BUS. LICENSE \PMITNUMeER I OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE OWNER'S MAILING ADDRESS . ________________I I CONTRACTOR'S ADDRESS 3'VJCe'C, CONTRACTOR'S 59N E . - 7/ j/8ILt97 I 0Qt97l"7II'/8L I6'.5C O3" 7713 -. IWÜ Valid Unless Machine Certified NUMBER OF STORIES LOT /3 I BLOCK I I I t24c7— 7_3-791 ASSESSOR'S PARCEL NO. I I I I I I I I I I DESIGNER STATE LICENSE' DESCRIPTION OF ORK W '"' //._i/f .'/=- - DESIGNER'S ADDRESS - DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING RES. UNITS I PARKING SPACE sf BLDG 50. FT. BLDG USE 0CC, OP STANDARD PLAN S PLAN I D S TYPE CONST 0CC. LOAD INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU VALUATION: QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP . EACH BUILDING SEWER . EACH WATER HEATER AND/OR VENT , BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3.15 HP EACH GAS SYSTEM 5 OR MORE . BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE , VENT FAN SIN GLEDUCT EACH LAWN SPRINKLER SYSTEM - . .MECH EXHAUST - HOOD/DUCTS . WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER , BUILDING PERMIT . Issue 3.:00 Issue 3.00 SIGN PERMIT i 1/ OiO TOTAL PLUMBING CONTRACTOR . TOTAL MECHANICAL CONTRACTOR ' PLAN CHECK ' ALL INCLUSIVE PERMIT 1 I I QTY. ELECTRICAL PERMIT AMT. QTY MOBILE HOME PERMIT AMT. TOTAL PLUMBING - ELECTRICAL I I . I NEW CONST EA AMP/SWT/BKR . ' AWNING ' , MECHANICAL 1 PH .25 3 PH . , PORCH . MOBILE HOME I . EXIST BLDG EA AMP/SWT/BKR , SET-UP , . . SOLAR I . 1 PH .25 3 PH . RAMADA, CABANA REMODEL/ALTER PER CIRCUIT . FENCE OVER 6', TEMPPOLE 200AMPS . TOTAL MOBILE HOME , . . MICO-FILM OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) Issue 2.00 TOTALELECTRICAL . ' TOTALFEESPAVABLE CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~Vp EXPENSES SPECIFIED HEREIN OR NOT. 1. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SHOL FEES: 5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT ' IA.er61t , 'i'/t.3I 8! It . OWNERD CONTRACT AGENT)"i-"''ONED ROVED BY DATE I4.tfAAI11AJ41F' / SITE ADDRESS: . . .. - OWNER: -. - . . PERMIT NO: FIELDINSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS SET BACK .TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB-FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET OK TO POUR CONCRETE FRAME - - ROUGH ELECTRICAL - ROUGH PLUMBING . . . ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE - - EXTERIOR LATH OK PLACE STUCCQ FIREPLACE . . . . . . DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER - - GAS TEST - - . SWIM POOL • STEEL BONDING PRE DECK FENCE PREPLASTER SHOWN .. FRAME PAN FINAL INSP BY BLDG DEPT OTHERDEPT'S REQ COMPLETED GAS METER-PERM-TEMP ( - 0 ECERT OF OCCUPANCY ISSUED - - - o _ -- . - ______; - - - 0• 0 •0 - -, CITY OF CARLSBAD— BUILDING DEPARTMENT W APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AV. ST. OiM IAI iRiDi I&i iYtRIRIOWI DffZ I I I PERMIT NUMBER RD PIAILI ID ATE OF APPLICATION /// BUS. LICENSE . OWNER OWNER'S PHONE GRAHAM INTERNATIONAL, INC. . PRIME CONTRACTOR M. H. GOLDEN COMPANY STATE LICENSE OWNERS MAILING ADDRESS - 135 WEST MISSION AVENUE, ESCONDIDO 92025 CONTRACTOR'S ADDRESS CONTRACTOR'S PHONE I//1044 II'/V3OLt Not Valid Unless Machine Certified LOT 13 I BLOCK I SUBDIVISION ITRACT 73-49 I ASSESSOR'S PARCEL NO. I 1 i I 1 1 I I DESIGNER i FRANK L. HOPE & ASSOC STATE LICENSE - DESCRIPTION OF WORK - MONUMENT SIGN R ADDRSS 'ix t Avenue San Diego 714A'233-5251 DESIGNER'S PHONE • CENSUS TRACT I GP LAND USE ZONING - RES. UNITS ] PARKING SPACE NUMBER OF STORIES BLDG 50. FT. BLDG USE 0CC. OP STANDARO PLAN 4 PLAN ID 4 TYPE CONST 0CC. LOAD .INSTALL FURN. DUCTS UP TO 100,000 BTU ciTy. - PLUMBING PERMIT AMT. ciTY, - MECHANICAL PERMIT AMT. EACH FIXTURE TRAP . EACH BUILDING SEWER . OVER 100,000 BTU EACH WATER HEATER AND/OR VENT - . BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEMS OR MORE - . BOILER/COMPRESSOR 16-30 HP . EACH INSTAL,, ALTER, REPAIR WATER PIPE , VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM . - MECH EXHAUST - HOOD/DUCTS - WATER SOFTNER , RELOCATION OF EA FURNACE/HEATER . BUILDING PERMIT 'I tI —0a SIGN PERMIT TOTAL PLUMBING , CONTRACTOR . TOTAL MECHANICAL CONTRACTOR ' PLAN CHECK ALL INCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY, MOBILE HOME PERMIT. AMT. TOTAL PLUMBING ELECTRICAL I -J9 Lo NEW CONST EA AMP/SWT/BKR . AWNING 'MECHANICAL I PH ,25 3 PH , PORCH - . . ' MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR . SET-UP . , - - SOLAR 1 PH ,25 3 PH RAMADA, CABANA . REMODEL/ALTER PER CIRCUIT -_ FENCE OVER 6' . '" TEMP POLE 200 AMPS . TOTAL MOBILE HOME - - . - MICO-FILM OVER 200 AMPS TEMP OCCUPANCY (30DAYS) TOTAL ELECTRICAL - - CONTRACTOR TOTAL FEES PAYABLE -. . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CA RLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT SIGNATURE' OWNERD- CONTRACTORD AGE NT 0 BY PHONE 0 JAP 774t LICENSED CONTRACTOR'S DECLARATION hereby affirm-that I am licensed under provi- sions of Chapter 9 (commencing with Section 1000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031 .5,Businesa and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). DI, 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sate. If, however, the building or improve- ment 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 sate). Dl, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property .ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._, B. & P.C. for this reason______________________________ Date ______________ Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO._________________________ COMPANY OCopy Is filed with the city. DCertifled copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($100) or less). I certify that In the performance of the work for which tis permit is issued, I shalt not employany personIn any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TP, APPLICANT: If, after making this Cer- tificte oikemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). APPLICANT TO FILL IN INFOR- - MATION WITHIN RED LINES. a Ui I— U) z . . H