HomeMy WebLinkAbout2375 CAMINO VIDA ROBLE; BLDG 6; CB980320; PermitCJ\*s
02/04/98 10:20
BUILDING PERMIT
CAMINO VIDA ROBLE
Permit No: CB980320
Project No: A9800402
Development No:
Permit Type: SIGN
Parcel No: 213-050-27-00
Valuation: 1,100
Suite:
I,ot#:
Reference*:
MOUNTED SIGN NON-ILUM
ADDl/Ownr : COLORRICH SIGNSAppl/uwnr ^^ AVENIUDA ENCINAS STE G
CARLSBAD CA 92009
*** Fees Required ***
Construction Type: NEW
Entered By: JM
760 431-0767
ees Collected & Credits
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
* SIGN TOTAL
ts:
***
.00
.00
45.00
.it Ext fee Data
27,00
18. 00
45.00
FINALVPPROVAL
CLEARANCE
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
1. PROJECT INFORMATION . „
FOR OFFICE USE ONLY^ ^
&O Jit)PLAN CHECK NO.
EST. VAL
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suite #l Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel *Existing Uta Prooostd Use
,.
"*
Description of Work
2. CONTACT PERSON (tf different from applicant}
SQ. FT.* of Stories 9 of Bedrooms # of Bathrooms
Name Address City
;~3. APPLICANT O Contractor Q Agent for Contractor Q Owner Q Agent for1 Owner
State/Zip Telephone #Fax*
Name Address City State/Zip Telephone If
4. , PROPERTY OWNER
Name Address City State/Zip Telephone *
CONTRACTOR - COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which require* a permit to construct, altar, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit 10 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
exemptioru_Any violation of Section 7031.5 by any applicant foe a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1*5001).
Name
License If
Address
License Claas VS
'4.
City State/Zip
City Business Uctnse f
Telephone *
Designer Name ' Address City State/Zip Telephone
State License # -JaC.C ^X-Poy_-g
6. WORKERS' COMPENSATION " •-.-.. . — -- -,.._-,,- ....--..,-.. --_- ^^.-^ :--^-- ^ .- .- - •• •-.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
Q 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 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100! OR LESS)
CERTIFICATE OF EXEMPTION: 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
flo Become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage la unlawful, and aha! subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars^** QO.OtJQh InjdoWbntd the, cos^f compensation, damages as provided for In Section 3706 of the Labor eoo>y1nisrasi and attorney's IMS.
_^___ DATESIGNATURED ^_^_^
7. OWNER-BUILDER DECLARATION^
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, wHI do the work and the structure is not intended or offered for sele
(Sec. 7044, Businesa and Professions Code: The Contractor's License Law does not apply to an owner of property who buHds 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, tf, 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 sate).
Q 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 auch projects with contractors) licensed
pursuant to the Contractor's License Lew).
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 nsms / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR NON-OEStDENTIAI. BUILDING PERMITS ONLY^
DATE
NO
Is the applicant or future building occupant required to submit e 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? 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? D VES Q
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 UNUSS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
B. CONSTRUCTION LENDING AGENCY "''" '"'''' ""-'-< - :T -r Ty-rrrTya^r^'"^^-"" • •"— •«.-v-^; — -.*•>* —- »~ •--.,"- --; ••_-;• -- | -.
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) Civit 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 and 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
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 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 ^IV"'"* '•*'?'"'y^*~'*& fl nrjf*^* 1 aft Tftrn-fJTirttnn 106.4.4 Uniform Building Code). /
iL.APPLICANT'S SIGNATURE rj/j/.* /f*f~ /^^-^i-^X^-^-^^' DATE
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB980320 FOR 03/19/98
DESCRIPTION: WALL MOUNTED SIGN NON-ILUM
TYPE: SIGN
JOB ADDRESS: 2375 CAMINO VIDA ROBLE
APPLICANT: COLORRICH SIGNS PHONE:
CONTRACTOR : PHONE :
OWNER: PHONE:
INSPECTOR AREA
PLANCK# CB980320
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 431-0767
REMARKS: C/ INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
—RELATED PERMITS —
CD LVL DESCRIPTION
38 EL Signs
PERMIT #
FAD93008
AS960064
TYPE
FADD
ASTI
STATUS
ISSUED
ISSUED
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS