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Home My WebLink About2440 IMPALA DR; MULTI-PERMIT FILE; CB000447; PermitCity of Carlsbad 9 02/09/2000 Sign Permit Permit No:0B000447 Building Inspection Request Line (760) 602-2725 Job Address: 2440 IMPALA DR CBAD Permit Type: SIGN Parcel No: 2090411900 Lot #: 0 Valuation: $1,000.00 Construction Type: NEW Reference #: Project Title: INSTALL SIGN Status: ISSUED Applied: 02/09/2000 Entered By: GMF Plan Approved: 02/09/2000 Issued: 02/09/2000 Inspect Area: Applicant: CHARLAINE ARCHITECTURAL SIGNS 8817 PRODUCTION AVE SAN DIEGO, CA 92121-2219 858-566-8868 Owner:_.. MULLER-IMPAbAL L C ( \ C- 23521'PASEODEvALEr' \ LAG A\ILLS'CA9265 9366 02/09/00 0001 01 02 C-PRMT IA #200 40-18 I F \ J ,_ Total Fees: $40.18 i, Total Payments To Date:('4 $0.00\ '' ' Bala'nce Due: $40.18 E)24.35 - / / $0.00 ,.---- ".INCORPORATED 1952 ..' \ / $0.00 _-ç' ' . 7 $40.18 EXPIRED PERMIT Building Permit Add'I Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee TOTAL PERMIT FEES PMT HAS EXPIRED IN ACCORDANCE WITh U.B.C. CTION 106.4.4 4TE_'1-2-05 —SIGNATURE 6-4-1 FINAL APPROVAL Inspector: Date: ______________ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 £ PERMIT APPLICATION 41& CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 S . FOR OFFICE USE ONLY PLAN CHECK NO. o'-A'r EST. VAL. __ low _________________ Plan Ck. Deposit Validated By. 11-W Date 2ktOO 1 PROJECT INFORMATION Address (inc)ud /Sui e #) - Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units i 'c Assessor's Parcel # Existing Use Pro 1Use Descrtion of Work SQ. FT. #6'1Stories # of Bledrooms # of Batfoms CONTACT PERSON (it different from appicunt) Name ' Address City State/Zip Telephone # Fax # APPLICANT Contractor Agent for Contractor Owner E Agent for Owner Name Address City State/Zip TeJphone 0 Na'me Address COy State, Zip TIepHone P 5 CONTRACTOR COMPANY NAME (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 qf Section 7031.5 by any applicant for a permit subjects e applicant to a civil penalty of not more than five hundred dollars [$5001). /1,I .1 fti.! i.,,'L1,-I(J .1-.. .- ,02 ti r-1 t.ti /1... .r iii.. ihi/2'ljS.i t-/Li MA r) - ' - Address I U - City State/K4p ' Telephone # State License # License Class AO- 4'Z City Business License it r Ygner Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ot the following declarations: 0 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 he work for which this permit is issued. 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 My worker's compensation insurance carrier and policy number are: Insurance Company fiçi. :a) Policy Policy No./4I,2 11 Expiration Date NO [$1001 (THIS SECTION NEED T BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS OR LESS) o 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 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 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction )include name / address / phone number / contractors license number): 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 I contractors license number): 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 COMPLETE THIS SECTION FOR NONRESIDENTIAL 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management 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 CONSTRUCTION LENDING AGENCY 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__________________________________________________________ 9 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 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 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 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 co mfc d 6r eriod of 180 d )jpn 106.4.4 Uniform Building Code). / APPLICANT'S SIGNATURE ( ' Pry T71 DATE ~Cl1r'XD WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 6/13/2000 Permit# CB000447 Inspector Assignment: Title: INSTALL SIGN Description: Type: SIGN Sub Type: Phone: 8585668868 Job Address: 2440 IMPALA DR Suite: Lot 0 Location: APPLICANT CHARLAINE ARCHITECTURAL SIGNS Owner: VANGUARD INDUSTRIES WEST INC Remarks: Total Time: Inspector: Requested By: MARK Entered By: CHRISTINE CD Description Act Comments 38 Signs 7- /'6— xi () Associated PCRs Inspection History Date Description Act lnsp Comments 'V rj ACt;u UM.0 B p I L D I N G I P E R M I T Permit No: CB940219 Project No: A9400314 Development No: Suite: Lot#: Reference#: Statup: ISSUED 5960 (?.fV)j - , App1ied93/02/94 ,. Apr/Issue:-03/02/4 Entered By: DC Appl/Ownr : CHARLAINE GRAPHICS 619 566-8868. 7090 MIRAMAR ROAD #C SAN DIEGO, CA 9212. V 'r f\ *** Fees Required iFees LCollected & Credits f j ç- -Fees: -------5800 C)J --------- Adjustments: :' .00 TotaICredits: . Total Fees: 58.00 '/ Totá1Payrnéhts: V .00 V Balance\Due: 58.00 Fee description / . V / --Uni Fee/Unit Ext fee Data --------------- Building Permit Plan Check 23.00 \/ y 35.00 * SIGN TOTAL / 58.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 03/02/94 10:33 Page 1 of .1 Job Address:1 2440 IMPALA DR Permit Type: SIGN Parcel No: 209-041-19--00 Valuation: 1,500 Construction Type: NEW Occupancy Group: Description: GROUND SIGN ISMECA PERMIT APPLICATION S City of CarLsbad Building Department 2075 Las Palmas Dr., CarLsbad, CA 92009 (619) 438-1161 1. PERMIf TYPE A - U Commercial U New Building Li 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 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing PLAN CHECK NO. c7/ C;I/ 7 EST. VAL PLAN CK DEPOSIT_______________ VALID. BY DATE 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ 2. PROJECT INFORMATION I FOR OFFICE USE ONLY Address Building or Suite No. 2440 J:mnala Dr., Carlsbad, CA Nearest Lro5S Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CXII!OV1 WFL)' Map 12855 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OF WORK Cyt ORIES SQ. FT. 4 5 ST NAME ADDRESS CITY 1 STATE ZIP CODE DAY TELEPHONE 4. APPLICANT LI CONTRADUR / /NAMECharlaine LI AGENT FOR Graphics CON I RAC IOR LI OWNER Li AGENT FOR OWNER ADDRESS7090 Miramar Rd., #C / CITY San DIego STATE CA ZIP CODE 92121 DAY TELEPHONE 566-8868 f 5. PROPERTY OWNER NAME ISMECA USA, INC. ADDRESS 2440 Impala Dr. CITY Carlsbad \. (DNTRACTOR STATE CA ZIP CODE 92008 DAY TELEPHONE 931-1153 NAME ADDRESS STATE ZIP CODE DAY TELEPHONE DESIGNER NAME STATE LIC. # LICENSE CLASS ADDRESS CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director 01 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. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate 01 Exemption: I certify that in the performance 01 the work for which this permit is issued, I shall not employ any person in any manner so as to becoWe subject to,p1e Workers' Compensation Laws of California. 2-15-94 Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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.). 0 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). 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 [$5001). 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 0 N 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 AFUER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISThICF. 9. WNSTRUCI1ON LENDING AGENCY I hereby attirm that there is a construction lending agency for the performance 01 the work [or which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certity that I have read the application and state that the above information is correct. 1 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 UABILITIES JUDGMENTS C)OSTS 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB940219 FOR 03/02/95 INSPECTOR AREA DESCRIPTION: GROUND SIGN ISMECA PLANCK# CB940219 0CC GRP TYPE: SIGN CONSTR. TYPE NEW JOB ADDRESS: 2440 IMPALA DR STE: LOT: APPLICANT: CHARLAINE GRAPHICS PHONE: 619 566-886 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: NW/PATTY/566-8868 INSPECTOR SPECIAL INSTRUCT: * TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE CB890618 SIGN C0910173 COFO CB950157 ITI CD LVL DESCRIPTION 38 EL Signs STATUS EXPIRED ISSUED ISSUED ACT COMMENTS Ap . INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS Cl- rM APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009.1915 (619) 438-1161 APPLICATION & 'PERMIT - - - JOB AD HI' 'F - ' ' , THlASTEH'/T' ' " ' ' - " T)FAPPI'IrATION .22_. "ROlNCST'CF-dSF' I/ HEn 4 V LUATION - PERMIT NUMBER' i ''T--'I I ,. I. i .' _'J '.'''':• --- ' ' .. rpollr' ............- . ' ,J4 J Vu r' C._i ._. ) r S ZONE "P.-'' . Vu NI H ' P 40 N I r. I ' , , S / 5 • / ___ ' . ri n ' E(ENEN _______ .. ______________ BUILDING SO. FOOTAGE ______________ I I DL 1, NI H S F Ni 6474 04/26/89 0001 01 02 B1dFmt - - - - - Not Valid Unless Maehine Certified I I P r N F/P FLRELEV. vU NO NO STORIES occcal' EDU - CENSUS TRACT J PARKING SPACE RESUNITS GRADING PERMIT ISSUED T 0 N 0 f'IEDEVELOPMENT AREA YO NO TYPE CONST OCCLOAO - FIRESPP vU NO CITY. PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT- ISSUE ,/,5 oO SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . INSTALL FURN DUCTS UP TO 100,000'BTU BUILDING PERMIT 001-810-00-00-8220 EACH BUILDING SEWER . OVER 100,000 BTU • SIGN PERMIT 001-810-00-00-8221 - EACH WATER HEATER ANDoOR VENT - - BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK 001-810-00-00-8891 - ' EACH GAS SYSTEM LTO 4 OUTLETS . - BOILER/COMPRESSOR 3-15 HP . - - TOTAL PLUMBING 001-810-00-00-8222 - EACH GAS SYSTEM 5 OR MORE - - METAL FIREPLACE - ELECTRICAL 001-810-00-00-8223 EACH INSTAL., ALTER, REPAIR WATER PIPE - - VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00-8224 - - - EACH VACUUM BREAKER ' - - MECH EXHAUST HOOD/DUCTS -• - MOBILEHOME 001-810-00-00-8225 .-...- - - WATER SOFTNER - - RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226 - EACH ROOF DRAIN (INSIDE) - DRYER VENT , , - . STRONG MOTION 880-519-92-33 TOTAL MECHANICAL , - . FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING I . PUBLIC FACILITIES FEE 320-810-00-00-8740 QT'L ELECTRICAL PERMIT - ISSUE 5' QTY. MOBILE HOME SETUP BRIDGE FEE ' 360-810-00-00-8740 - - PARK-IN-LIEU (AREA NEW CONST EA AMP'SWl B K R CAR PORT . TIF 312-810-00-00-8835 1 PH 3 PH , AWNING . LA COSTA TIF - 311-810-00-00-8835 - - EXIST BLDG EA AMP/SWT 8KB GARAGE - - FMF 1 PH 3 PH . . LICENSE TAX 001-810-00-00-8162 - REMODEL'ALTER PER CIRCUIT - ' ' . - MFF 880-519-92-57 - - - TEMPPOLE 200 AMPS OVER 200 AMPS - TEMP OCCUPANCY (30 DAYS) - CREDIT DEPOSIT - - TOTAL ELECTRICAL " - ': TOTAL , ' TOTAL FEES PAYABLE I /c'._c CE) AT ON Al, '.' Lr5SS E.ilir yuriii,Z aurvO br lire 1/J.9 ull -, a is II II . Shall e~p,,e by hm,lat,o,,and become null and yO'Or If I . H '. -, lhoz:dbys'Tcpert3 N rnP s'nofcommeilcedwini8Odaysfotrle date rl ' 'ORMATlC' h rn i-N CERTI F nI-u p'-rrnpit or if the building or work authorize I I,, - I "I''' 'I, Ii' I STE LAWS 001' Ii ND B , '. irundonea at any time after the work ts COrnr-'nr r- - I r - -- , I-H NHAOPLF TC1F NI I.HS '.:. OPEL - 014T H oNAT RE * ,',NE H li-A H H ' -, 'CON' * AN (HA PT:T IS REQUIRED FOR EXI..,AVATNS OVER de - 0 DEEP AND DfMOUTFJN OR CORS1R[KT*JI'/F STRUCTURES OVER 3 STORES IN E-lEK,HI PPROV BY - - fO - - - DATEf - - IItr RAIl PAINT PEN ANIY A PRESS I4ARfl 10 1 hereby affirm that I am licensed under I Pólseona of Chapter 9 (commencing with I Section 7000) of Division 3 of the Business I and Professions Code, and my license is in L full force and effect. U - - I hereby affirm that I ant exempt from the Contrac- tor's License Law for the following reason (Sec 7031.5 Business and Professions Code: Any city on county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is I - licensed pursuant to the provisions - of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is en- enipt therefrom and the basis for the alleges exemption Any violation of Section 7031.5 by as applicant for a permit sub' eels the applicant to a civil penalty of not more than live hun- dred dollars ($500) - I I I, as owner of the property, army employees with wages as their sole compensation, will do the work, and the struc- ture is -not intended or offered for sale )Sec, 7044, Business ..J and Professions Code: The Contractor's License Law does 5 - 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 nyt n1en4' , W .ed or offered for sale. II, however, the building or improve- Z ment is sold within one year of completion: the owner-builder - 3 will have the burden of proving that he did not build or im- o prove for the purpose of sale)..,. -- ' I I 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 loan owner of property who builds or im- proves thereon, and who.contracfs for each projects with a (It . contractor(s) license pursuant 10 the Contractor's License Law) " . 0 ' ,,. - Ii As a homeowner I am improving my home, and the follow 4 ing conditions exist: - 1 The work is being performed prior to sale. - 2 I have - lived,- in my- home for twelve months - prior to completion of this work. 3, .1 have not claimed this exemption during the lust three years. - - -' ' ' 0 I am exempt under Sec. ' - , B & P.C. for this reason I - - U I hereby affirm that I have a certificate of consent to self insure. or a certificate of Workers' Compensation in- I ' surance, era certified copy thereut (Sec. 3800, Labor Code) POLICY'NO. a,J 4T 46 7-.Fi - COMPANY Copy is filed with 'the City - - U Certified copy is hereby furnished (Ia CL .0 'CERTIFICATE OF EXEMPTION FROM () ' - WORKERS' COMPENSATION INSURANCE - (It - )This section need not be completed if the permit -, ' . is for one hundred dollars 181001 or less) w ' - U t certify that in the performance of the work for which - INs permit is issued. I shall not employ any person in any 0 , manner so as to become subject to the Workers' Campen- - satiny Laws or California, - NOTICE TO APPLICANT' It.. after making this Certificate' of Exemption. you should become Subject to the Workers' Compenkatien previsions of the Labor Cede, you must forthwith-comply with-such provisions or this permit shall be deemed revoked, - , '.f"", LI I-hereby affirm that there is a construction lending agency for the performance of the work for which this per.' 01 mit is issued Sec. 3097, Civil Code) -zl -' .- WI Lender's Name - -II . - ' Lender's Address'''__'' C-) 8) a to C TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME LI FLOOR LI CEILING SHEATHING LI ROOF LI SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING LI SEWER ANDBL/CO E PL/CO UNDERGROUIS&D'LI WASTE LI WATER TOP OUT LI WASTE 0WA1ER TUB AND SHOWER PAN GAS TEST D WATER HEATER' EJ SOLAR WATgR ELECTRICAL LI ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC O ELECTRIC SERVICE 0 TEMPORARY O BONDING LI POOL MECHANICAL LI DUCT & PLEM., LI REF. PIPING: HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED5 .5' ( FINAL PLUMBING ELECTRICAL MECHANICAL GAS .\ .55... BUILDING SPECIAL CONDITIONS - .'- ' ' S.,' \• FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS . S. SPECIAL MASONRY PILES CAISSONS L: C\ '5 11CC DAlI DAIIIT OrN flIHY PDrc, I4Afl VOL UflLL ruin, " w". HARD APPLICANT TO FILL IN INFORMATION WIYHIN SHADED AREA AND DECLARATIONS. A 0 I hereby affirm that I am licensed under o provisions of Chapter-9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in CC I fuIIforeanc4jfteqt. J L Lic Nn L. Class 0 U I hereby affirm that I am exempt from the Contrac- tors License- Law or the allowing reason (Sec. 7031.5 Business and Professions Code: Any city or County which re- quires a permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions at the Contractor's License Law (Chapter 9 commencing with Section 7000 at Division 3 01 the Business and Professions Code) or that is ex- empt therefrom and the basis or the alleged exemption. Any violation 01 Section 7031,5 by an applicant Iota permit sub - iects the applicant to a civil penalty at not more than live hux- - ,. dred dollars ($500). - 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc- o tare is not intended or offered for sale(Sec. 7044, Business _J and Professions Code: The Contractor's License Law does not apply to an owner at property who builds or improves thereon and who does such work himself or through his own Cc employees, provided that such improvements are not intend- W ed or offered for sale, it, however, the building or improve- Z ment is sold within one year 01 completion, the owner-builder will have the burden 01 proving that he did not build or im- 0 prove for the purpose at sate( 0 I, as owner at 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 01 properly who builds or im- proves thereon, and who contracts for each projects with a U) contractor(s) license pursuant to the Contractor's License LawL 0 0 As a homeowner lam improving my home, and the tallow- 4 ing conditions exist- The work is being performed prior to sale. I have lived in my borne Or twelve months o prior to completion at this work. W I have not claimed this exemption during the O last three yeáro. a 0 tarn exempt under Sec . B & P.0 for this reason U I hereby affirm that I have a certificate 01 consent to sell.insure, or a certificate of Workers' Compensation In- soraoce, or a certified copy thereof (Sec. 3000. Labor Code) POLICY NO. C?#t I q "Copy is filed with the city U Certified copy is hereby tarnished / Lu O CERTIFICATE OF EXEMPTION FRO WORKERS' COMPENSATION INSURANCE sn (This section need not be completed it the permit cc UJI is for one hundred dollars ($100) at less) U t certify that in the ptbarmunxe of the work for which Ix o - this permit is issued. I shall not employ any person ri any manner so unto become subject to the Workers Compen- sation Laws of California. NOTICE TO APPLICANT: It, alter making this Certificate 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, [' U I hereby ultirnn that there is a construction lending agency for the performance 01 the work for which this pet- 0 i mit is issued (Sec. 3097, Civil Code) zi - Lender's Name Lender's Address ' 0 -, CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - - Carlsbad, California 92008-1989 (619) 438-5525 - - - : ' - - or NEREST RO°T -. PJ__'T] DATE OF APPLICATION ' Fi"x INESS LICEN . ___ VALUATION ______ ZONE - - MIT NUMBER BLOCK _VISiON __ (r \R( EL NO C TRACTOR _______________ CONTRACTORS PRO n , (0WNERNAMF (VI _ OWNE R'S PHONE CONTRACTORS ADDRESS 23&,2SNct//C- LICENSE NO PLAN I.D. # BUILDING SO. FOOTAGE 'War' r' 'll"M—LING ADDRESS DESIGNER 1y4 DESiGNER'S PHONE 73"9 - UU!d2ti 65 73.95 Not Valid Unless Machine Certified N JE W(1R f j1C1t1L(,I#'4-a '/J fJ—a/rr._' DESIGNER'S 1231.234--Pi ,th//(4 LICENSE NO 3i36) Lf - -- - F/P FLR ELEV. I VU NDI_I STORIES C GP - ' EDU CENSUS TRACT -- OP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED a 0 N 0 I REDEVELOPMENT I AREA I _cUND TYPE I CONST 0CC LOAD FIRE SPR I YO NO PLUMBING PERMIT - ISSUE 7 OTY. MECHANICAL PERMIT - ISSUE .- SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP _ INSTALL FURN. DUCTS U PTO100,000BTU - BUILDING PERMIT 001-810-00-00-8220 - _4( EACH BUILDING SEWER - OVER 100,000 BTU - SIGN PERMIT 001-810-00-00-8221 EACHWATERHEATERAND/ORVENT - BOILER/COMPRESSORUPTO3HP PLAN CHECK 001-810-00-00-8806 EACH GAS SYSTEM 1 TO4O LIT LETS BOILER/COMPRESSOR315HP - TOTALPLUMBING 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE ' I - METALFIREPLACE - ELECTRICAL 001-810-00-00-8223 EACHINSTAL.,ALTER,REPAIRWATERPIPE 1 - VENTFANSINGLEDUCT - MECHANICAL 001-810-00-00-8224 EACHVACUUMBREAKER T MECHEXHAUST -HOOD/DUCTS MOBILEHOME'001-810-00-00-8225 WATERSOFTNER - t - RELOCATIONOFEAFURNACE/HEATER MOBILEHOMEPARKINSP EACHROOFDRAIN(INSIDE) - . - SOLAR 001-810-00-00-8226 TOTAL MECHANICAL I - - STRONG MOTION -880-519-92-33 • TOTAL PLUMBING - FIRE SPRINKLERS 001-810-00-00-8227 CITY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE332-810-00-00-8930 NEW CONST EA AMP/SbVTiBKR COLLECTORS - SCHOOLFEE -DISTRICT 1 PH 3 PH - STORAGE TANKS . Carlsbad EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE ' Encinitas 1 PH - 3 PH - PUMP . SanDiegulto REMODEL/ALTER PER CIRCUIT - PLAN CHECK FEE - - San Marcos TEMP POLE2OIJAMPS OVER200AMPS - - LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY (30 DAYS) - - MIFF 880-519-92-57 - - CREDIT DEPOSIT TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEESPAYABLE 'LEO THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY " 0c,,aiiui.' Earr eliiii', ucvO hr Inc 50010 ,,4 OIl 00 i JO I 'CLI Code shaltexpire by imitarion and become nulland cord It the hi Iding 'ii work C HF-Il UR/ THAT A,L NE RMAT Cr1 HERE iN IN( LUDING THE authorized by such permit is not con-r-nenced within tOO days horn the date of such NE I AND I FURTHER CEPT FY AND AGREE IF A PERMiT, ) permit or I the build nq or work authorized by such permit s suspended or 00 - - COUNTY AN STATE AV/S JERNIN BUILDING DON I abandonedatany_timealtertheworkiscommencedlotaperiod01 tOO do 5 '005 _PNOT _IAL_C__AGREETO°A\_B _NDEMN'FY_'AND ' - - FS AGAINST ALL L AR L IFS JUDGMENTS CO 'I NT ,5A r lb 'Dl - hr P AG A N ST 1,A IF, I S IN CONSEQUENCE - - - LG rVE *AN iSREQUIRED FOR EAVA _ATNS CR 5 0 DEEP 0 0Fh41)EITk IN SR - OF4STRS TK)N 115 IC STRUCS OVER _StORIESNHE ,HT _____________________________________________________________ PPROVED B DI 0 ci) 0. Co C ci) CL. 0) 0) 0 0 a- Cr3 Co 0 051 a) 0 0 M C C: CDti) 0) C) TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME E FLOOR fl CEILING SHEATHING El ROOF LI SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO El PL/CO UNDERGROUND El WASTE El WATER TOP OUT DWASTE DV/ATER TUB AND SHOWER PAN GAS TEST El WATER HEATER El SOLAR W\TER ELECTRICAL El ELECTRIC UNDERGROUND Ell UFFER ROUGH ELECTRIC El ELECTRIC SERVICE LI TEMPORARY El BONDING El POOL MECHANICAL 0 DUCT & PLEM., LI REF. PIPI.IG HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS (;ALL FOR FINAL INSPECT? ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED, FINAL I PLUMBING - L ij ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS 51A/ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION INSPE N = REQ. IF CHECKED INSPECTORS APPROVAL D ATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE - PRESTRESSED CONCRETE . . POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS - 4 - . . • - . . -S . •: -