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HomeMy WebLinkAbout2335 CAMINO VIDA ROBLE; ; CB972381; PermitPermit No: CB972381 Project No: A9703025 Development No; 8M3 08/25/97 0001 01 02 BUILDING PERMIT 08/25/97 15:19 Page 1 of 1 Job Address: 2335 CAMINO VIDA ROBLE Suite: Permit Type: SIGN Parcel No: 213-050-27-00 Lot*: C-PWT 89-00 Valuation: 2,320 Construction Type: NEW Occupancy Group: Reference*: PS97-70 Status: ISSUED Description: WALL SIGN-NON-ILLUMINATED FOR Applied: 08/25/97 : FIRST CLASS MARKETING Apr/Issue: 08/25/97 Entered By: RMA Appl/Ownr : JOHNSON SIGNS 760 630-3357 P.O. BOX 3027 VISTA CA 92085 *** Fees Required *** f **-•'.. ~F§»p£ Collected & Credits *** Fees : Adjustments : Total Fees: Fee description Building Permit Plan Check * SIGN TOTAL 89.00 . . '-',,,- . * , 00 . , ,: Total CifHNttts : /,,4s9iOO "' ' TofeAl P#ym&a&« ; .''*'/ Balance Dues Units F#ey?0nit V»;,, -.»».-.;M* " '-' \ * ' ' * t,1 '•."*> , - "; I* ' . 00 .00 89.00 Ext fee 54.00 35.00 89.00 Data PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C DATE..SIGNATURE FINAL APPROVAL DATE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECI EST. VAL. Plan Ck. Deposit Validated B Date 1 Address (include Blda/Suite #)Business Name (at this address) Legal Description Assessor's Parcel # Description of Work Lot No. Subdivision Name/Number Existing Use 0 SO. FT.#of Stories Unit No. ' Phase No. Proposed Use # of Bedrooms Total # of units ft of Bathrooms Name Address City ontrast QOWRM -OAgsntfwOwner State/Zip Telephone Fax* Name Addres's (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, commending 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 7031.5Jiy eny^BDlicant fqLfi permit subjects the applicant tofe civil penalty^ not moraJhan fivahyadred d^ Name State License # (p \ \ / 7f2 Address License Class City State/Zii City Business License # Designer Name State License 9 Address City State/Zip Telephon Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company / Policy No. Expiration Date_ (THIS SECTION NEED NOfBI T3v CERTIFICATf OF TO become subject tfc the WARNING: Ml thousand doll SIGNATURE iMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) )N: 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 irs' Compensation Laws of California. worker*' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred lp\addrtk»aJ&lhaco8t of compensation, damages at provided for In Section 3706 of thej-abor code, interest and attorney's fees. — DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, wilt 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 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): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / 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 DATE 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 Act7 D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [~l YES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above Information is correct end that the information on the plans is accurate. 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 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,property for inspection purposes. I AL JUDGMENTS, COSTS AND EXPENSES Wl OSHA: An OSHA permit is req EXPIRATION: Every permit is: work authorized by such perm, or abandoned at any time aft APPLICANT'S SIGNATURE AY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. :ic is over 5'0" deep and demolition or construction of structures over 3 stories in height. g Official under the provisions of this Code shall expire by limitation and become null and void if the building or d within 365 days from the date of such permit or if the building or work authorized by such permit is suspended encedjor a period of JJ^Lt dny1' Tin l ^106.4.4 Uniform Building Code). DATE i WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972381 FOR 09/24/97 DESCRIPTION: WALL SIGN-NON-ILLUMINATED FOR FIRST CLASS MARKETING TYPE: SIGN JOB ADDRESS:2335 CAMINO VIDA ROBLE APPLICANT: CONTRACTOR: OWNER: JOHNSON SIGNS PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK* CB972381 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 630-3357 REMARKS: C/MIKE/630-3357 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* CB911015 TYPE MISC AS940057 ASTI CO940099 COFO CB971326 ITI CD LVL DESCRIPTION 38 EL Signs STATUS EXPIRED ISSUED ISSUED ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS