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Home My WebLink About2245 CAMINO VIDA ROBLE; ; CB960271; PermitBUILDING PERMI 02/21/96 09:44 Page 1 of 1 Job Address: 2245 CAMINO VIDA ROBLE Permit Type: SIGN Parcel No: 213-050-24-00 Lot*: Valuation: 732 Occupancy Group; Reference#: Description: FRONT ENTRY WALL-FOAM LETTERS : MICRO STAR T Permit No Project No Development No CB960271 A9600401 Suite: 100 Construction Type Status Applied Apr/Issue Entered Bv NEW ISSUED 02/21/96 02/21/96 RMA Appl/Ownr : FULLER SIGNS 311 VIA EL CENTRO OCEANSIDE, CA 92054 *** Fees Required *** Fees : Adjustments : Total Fees: Fee description Building Permit Plan Check Enter "Y" for * SIGN TOTAL 619-757-6985 cted & Credits * * * . 00 . 00 46. 00 Ext fee Data 21. 00 14.00 11.00 Y 46 . 00 1EARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 La* PBlm Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units _ 2. PROJECT INFORMATION Address or Suite No. PLAN CHECK NO. EST.VAL ~7<?3_ PLAN CK DEPdSIT VALID. BY DATE 'oU( 1 1 / W/h FOR OFFICE USE ONLY Nearest Cross Street \oo LtOAL DESUilr I1ON Lot No Subdivision Name/Numbe Unit No.Phase No. HhUUW Ir aUtJMIJ ILL): Q 2 Energy Calcs D 2 Structural Calcs Q 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL FJOSTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS uuniAL.i rcitauN ur QiEierem trom applicant; NAME (last name first)5-M^feC ^ W i*£. - CITY STA^E ADDRESS ZIP CODE DAY TELEPHONE 4. APPUCANT UCUNTl NAME (last name first) CITY CTOR STATE GfcNT FOR UJN I HAL HJH UUWNfcR UAUhNl frOR OWNhR DAY TELEPHONEZIP CODE 5. PROPERTY OWNER NAME (last name first) CTTY STATE ADDRESS \<-J ZIPCODE^l f*fi*\ DAY TELEPHONE r? O. CONTRACTOR NAME (last name first)l I\ \ STATE LIC. #5>(gJ5'Cy LICENSE CLASS <^-^ A ST CITY BUSINESS UC. # -> ^ADDRESS ^ U »J \ K STATE . ZIP CODE ^"2^ V^ DAY TELEPHONE DESIGNER NAMb (.last name rirstj CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WorKervCompensation Declaration : Tnereby altirm that 1 have a certincare ol consent to se» -insure issued by the Director ot 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 COMPANYSty(POLICY NO.DATE Certificate of Exemption: I certiry that m-the pertormance 01 the worfe for whicrT so as to become subject to the Workers' Compensation Laws of California. is permit is issued, I shall not employ any person m any manner SIGNATURE DATE 8. OWNER-BUILDER DECLARATKJH Owner-Builder Declaration: l nereuy aitirm mat i am exempt rrom me contractors ucense Law lor tne toiiowmg 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 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 improves thereon, and contracts for such projects with contractorCs) licensed pursuant to the Contractor's License Law). D I am exempt under Section _ Business and Professions Code for this reason: (Sec. 703 1 .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 1 HIS SEL-'lr NON-RESIDENTIAL : 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?n YES a NO Is die 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 D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSlflZDAFTER JULY 1, 1989 UNIiffi THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANP THE AIR POLLUTION CONTROL DISTRICT. l hereby aHirm that there is a construction lending agency tor tne pertormance ot tne worK tor wnicn tnis permit is issued ibec 3uyyvu LENDER'S NAME LENDER'S ADDRESS 10. AppLmwr umiii-iu«iUN^ ~ l certify that I have read the application and state tnat the above information is correct, l 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 Biu building or work authorized by such pecrfnt tg such permit is suspended or abandoned/at afey ri APPLICANTS iffjcial-under the provisions of this Code shall expire by limitation and become null and void if the mmence<LwUhin 365 days from the date of such permit or if the building or work authorized by ^commenced for a period of ISO days (Section 303 (d) Uniform Buildin DATE: WHITER FUc YELEOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960271 FOR 02/13/97 DESCRIPTION: FRONT ENTRY WALL-FOAM LETTERS MICRO STAR TYPE: SIGN JOB ADDRESS:2245 CAMINO VIDA ROBLE APPLICANT: CONTRACTOR: OWNER: FULLER SIGNS PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK* CB960271 OCC GRP CONSTR. TYPE NEW STE: 100 LOT: 619-757-6985 REMARKS: RS/LEE/431-1050 SPECIAL INSTRUCT: ASK FOR TONY JOHNSON/CARD INSPECTOR TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 38 EL Signs PERMIT# TYPE CB931056 ITI STATUS EXPIRED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS 01/23/1936 10:42 61975769B6 FULLER SIGHS PAGE 01 SD P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 COMPENSATION NSUPtANCV FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: t13fl«U - •• issue DATE oe-01-aa . CERTIFICATE EXPIRES oe-oi-w CtTY OF CARLSBAD JOB: ALL OPERATIONS ATTN: BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE CARLSBAD CA, 92009-4859 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California insurance Commissioner to th» employer named below for the policy period ;""~ ' This policy is not subject to cancellation by the Pund except upon 30 days' advance written notice to the employer. We will also gtve you 30 days' advance notice should this policy be cancelled prior to its normal oxpiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described he* am is sub j net to all the terms, exclusions and conditions of such policies. _~-£-4u. \^~S PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. ENDORSEMENT *3OCB ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE OC/01/flS IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEGAL NAME FULLER SIGNS SENA, OAMES JOSEPH AND 311 VIA EL CENTRO SENA, PAULA OCEANS IDE CA 920$!*