The URL can be used to link to this page

Home My WebLink About2500 EL CAMINO REAL; ; CB960416; Permit0 BUILDING PERMIT 03/13/96 11 19 Page 1 of 1 Job Address 2500 EL CAMINO REAL Suite Permit Type SIGN Parcel No Lot* Valuation 7,500 Occupancy Group Reference* Description ONE POLE SIGN WITH ELECTRIC Permit No CBS60416 Project No A9600601 Development No Appl/Ownr FISCUS, ANDREA 2050 SANTA CRUZ #2100 ANAHIEM, CA 92805 6-474 03/13/96 0001 01 02 C-PRMT 183.00Construction Type. VN Status ISSUED Applied 03/13/96 Apr/Issue 03/13/96 Entered By MDP 714 938-6090 *** Fees Required ***•* * *Fees Collected & Credits ** * Fees 183 00 Ad 3 us tmen.t s . , '0 0 Total Fees' 18.3.00 Fee description Total"Credits. Total Payments: Balance Due Units Fee/Unit 00 00 183 00 Ext fee Data Building Permit Plan Check Other * SIGN TOTAL 20 00 99 00 64 00 20 00 ELECTRIC 183 00 FINAL APPROVAL !NSP. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 3075 Las Palmas Dr.. Carlsbad, CA 92009 (619} 438-1161 T PEKMIT TYPE From List 1 (see back) give code of Permit-Type I (J For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO.<~ EST VAL . PLAN CK DEPOSIT VALID BY_ DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address £500 £k £AM ,, J Q Nearest Cross Street or Suite No LEGAL DESCRIPTION CHECK BELOW IF SUB1\ D 2 Energy Calcs '$ ASSESSOR'S PARCEL 111 [2 Lot No TED Structural Subdivision Calcs CJ2 Name/Number Soils Report D 1 Addressed Envelope EXISTING USE Unit No Phase No PROPOSED USE DESCRIPTION OF WORK # OF STORIES # OF BEDROOMS # OF BATHROOMS NAME (last name first) CITY (it clitterent rrom applicant.) STATE ADDRESS ZIP CODE DAYJELEPHONE U CONTRACTOR D AGENT FOR CON TRACTOR D OWNER NAME (last name first)TTK f i ic A _ > i^rar—/, ADDRESS CITY STATE C A ZIP CODE S^AGENT FOR OWNEK S' SAMTT\ DAY TELEPHONE_ S PROPERTY OWNER NAME (last name firs.) ^^V R.O M , U.S A STATE ^ ZIPCODE ADDRESS DAY TELEPHONE JO) t CXJNTHAC1UK NAME (last name first) CITY OWMEFL STATE STATE LJC # ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS LIC # UhSlUNER INAMt-: (last name lirsi) CITY STATE AUUK1SS ZIP CODE DAY TELEPHONE STATE LIC # WORKERS^ GUMPtNSAnON Workers Compensation Declaration I hereby affirm that I have a certificate ol consent to sell-insure issued by the Director of 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 COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption I certify that in the performance ol the work tor which this permit is issued, I shall not employ any person in any manner so as to beco ne subject to the Workers' Compensation Laws of California SIGNATU Uwner-Builder Declaration l hereby altirm that 1 am exempt Irom the Contractor's LicenseXaw lor 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) 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 Ucense 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 reasonD (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 penaltif of not more than five hundred dollars [$500]) ; : S'GNATURE. t JwoiUA^. jhAM^>^ DATE 31J3 h (*COMPLETE TTTIS SECTION FOR NON-R'ESlli)ENTlAL 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 Act7 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? 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 ISSUED AFTER JULY 1, 1989 UNLESS HIE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION LENDING ACiHNCJY 1 hereby allirm that there is a construction lending agency tor the performance ol the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPIJC.AN1 CJ1R11MC..AI1ON I certify that I have read the application andstate that the above information is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze 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 OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. 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 Buildi APPLICANTS SIGNATURE WHITE- File \YELLOW: Applicant PINK: Finance Chevron Chevron Chevron USA Products Company Marketing Department 1300 South Beach Boulevard Building 4516 La Habra California PO Box 2833 La Habra. CA 90632-2833 Phone 310 694 7300 August 1, 1995 DELEGATION OF AUTHORITY To Whom It May Concern, We hereby authorize Robert Fiscus, J Marconi, Ted Grove, Eric Greer, Tom Tisdale, and Andrea Fiscus, of Robert Fiscus & Associates, as designated agents of Chevron Products Company, Inc for all matters concerning the application and issuance of permits, for the construction and reconstruction of our service stations throughout Arizona, California, and Nevada Please contact Mr J S Taylor at (310) 694-9154 with any questions, comments, or concerns Very Truly Yours, Chevron Products Company, Inc Jim Taylor Engineering Supervisor