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Home My WebLink About2508 EL CAMINO REAL; E | MULTI-PERMIT FILE; CB090035; Permit1/ ,.. City of Carls-bad .. 1635 Faraday Av Carlsbad, CA 92008 01-08-2009 Sign Permit Permit No: CB090035 Building Inspection Request Line (760) 602-2725 Job Acjdress: 2508 EL CAMINO REAL CBAD St: E Permit Type: Parcel No: SIGN 0000000000 Lot#: 0 Valuation: $2,000.00 Construction Type: 5A Reference #: PC#: Project Title: SPIRITOS ONE ILLUMINATED WALL SIGN Applicant: Owner: ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Total Fees: $74.22 Total Payments To Date: Inspector: FINAL Date: ... ·;., . . . •,,, Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/08/2009 MDP 01/08/2009 01/08/2009 $44.98 $0.00 $29.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $74.22 $7 4.22 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, d.edicatio.ns, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit-was issued to protest:i,mposition 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·!lnd 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 capacity changes, nor planning, zoning, grading or other similar application processing· or-service fees in connection with this projet.:I. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a N Tl E imilar t his r s to which th s atute of limitations has reviousl otherwise ex ired. f_. ·lity of CarJsbad 0 .. ""2-< Plan Check No. u ~ 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760~602-8558 ww.w.carlsbadca.gov Building Permit Application JOB ADDRESS fl Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN 'E- CT/PROJECT# LOT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square,Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) .CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX -EMAIL PROPERTY OWNER NAME ADDRESS CITY co P,HONE EMAIL: ARCH/DESIGNER NAME & ADDRESS STATE LIC.# <lN PATIOS(SF) DECKS·(SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL CONTRACTOR BUS. NA.ME ADDRESS CITY PHONE <lYt 5,r EMAIL STATE.UC.# 7~?~~ lJ er I IX} s' ,I\ . I VI NOD CLASS AIR CONDITIONING YES D NOD ro ZIP f. (,Cf) FIRE SPRINKLERS YES D NOD /Sec. 7031.5 Business and Professions Code: Any City or CountY, which requires a pennit to construct, alte~ improve, demolish or reP,air any structure; prior to ·its issuance, also requires the aP,plicant /or such permit to file a signed statement that he is ficensed Jmrsuant to the provisions of the Contractor's License.Law {Chapter 9, commending with Section 1000 of Division 3 of the Business and Pio1mions Code} or that he is exempt there from, and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant ,for a permit subjects th·e applicant to a civil penalty of not more than five hu_ndred dollars {$500}). · ;yw@mm~w~.-,·'~® =,_,,_,_,_,_...,.,,_.,,....,.......,..,.,__,,__,,,_...,....,,.,,,_...,........,.,,.,......,.,..,,...,., Wori,:s• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1JYi 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 J'have and will maintain workers' compensa ion, eq~red by Section 3700 of the Labor Code, for the performance of the work·for whRl this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. Ii. QI\ PolicyNo. f]J/b)5. . ExpirationDate S-/0~~\ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificat~ 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 ectlon 3706 of the Labor code, interest alld attorney's fees. 1 /4 / _,g CONTRACTOR SIGNATURE -----V 4'/tJ1. -: @Wrtnl,@91£"¾@01},ID'/Jffi : '@tJ<#;I:'i { ... \1I·f.',; I hereby affirm that I am exempt from Contractor's License Law for-the following 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 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 Licen~e Law}. D I am exempt under Section ____ Business and Professions C()de for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 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/ contractors' license number}: 4. I plan to provide portions· of the work, but !'have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / 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/ type of work): _,g PROPERTY OWNER SIGNATURE DATE Is the applicant or future buil_ding 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? D Yes D No · Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air ~uality management district? D 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . ·:~$~f1v#mm~v-£¥®ru·: I hereby affirm that there is a construction lending agency for the performance of the work 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 and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aujhorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALS0 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 nulrand void if the building or work authorized by such pennit is not commenced within 180 days from the date of such permit or if the · g or w rk authorized by such permit is suspended or aba!!doned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _,g APPLICANT'S SIGNATURE DATE (/1/!'f ·"'- ,. City of Carlsbad B~dg lnspect~.Qn .Request Permit# CB090035 Title: SPIRITOS For: 03/16/2009 Description: ONE ILLUMINATED WALL SIGN Type:SIGN Sub Type: Job Address: . 2508 EL CAMINO REAL Suite: E Lot: 0 Location: APPLICANT UL TRASIGNS Owner: Remarks: Total Time: CD Description Comments 38 Signs 39 Final Electrical Date Description 03/13/2009 38 Signs Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Act lnsp Comments CA JM JIM Inspector Assignment: JM --- Phone:' 6199540171 Inspector: -------- Requested By: JIM Entered By:··JANEAN City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-14-2006~ I\'. Sign Permit Permit No: CB062311 Building Inspection Request Line (760) 602-2725 Job Address: 2508 EL CAMINO REAL CSAD St E Permit Type: Parcel No: Valuation: Reference #: SIGN 0000000000 $3,000.00 Lot#: 0 Construction Type: NEW Project Title: DARIO'S SIGN W/ELECTRIC Applicant: 1ST CHOICE SIGN & LIGHTING SERVICE 610 ROCK SPRINGS RD ESCONDIDO, CA 92025 760-7 46-5069 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: Total Fees: $75.55 Total Payments To Date: FINA~P~OVAL Date: ·. o-_d-f Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/14/2006 JMA 08/14/2006 08/14/2006 $45.79 $0:00 $29.76 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $75.55 $75.55 Balance Due: Clearance: $0.00 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. PERM1r APPL1cAtioN ,',,;,._: ,: . ,· -FOR OFFICE USE ONl-y PLAN. CHECK NO. Cf;f;~ l \ CITY OFCARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsba<;f, CA92008 · ·EST. VAL ----,..--------,-~-"--;.....;'7t;;....r.f:,..._,_S __ >T __ Plan Ck. Depqsit ____ ...;... __ _ Validated B:? 1 u l(VVt ·Date . ~ f Cf Oh. . Business Name (at this address) Legal Des,;:ription Lot No. · Subdivision Name/Number ·unit No. Phase No. Total# of units Assessor's Parcel # Existing ·Use · Proposed Use - ascription of Work . · · SO. F-T. #of Stories · · # of-Bedrooms # of Bathroom!l ri1J/:J/l-iJd1~~,i,~W/tfl~liu.t:tl'hlii1lf~:t1!22BJ;'it}\it~?;:J~~:;tt\:ittt!Jl:;,'.G't§l1'fa,1Ii0~~~;~;.i:lfi,li'fi~~~~;{¥J:t{,:,I;;1 Name . · · Addres.s · City · State/Zip Telephone # Fax # ~Ail'A!ff~~'W~--'ql_g~(ai:fil!nti\!~~9JLtt~9!PjJh7',tif~J.m£Qf~g~f\'i:ifo[O~ffi;;h,;;\s8fl~M1k-1Jf'.:z[~.J~~~;fq~t2ff'.f}i1il'.i~ Address CitY, State/Zip Telephone# City State/Zip Telephone Designer Name State ·License # rHe~:f3futnDlfEri·§~'t;;;,:;;,..;:;;n:;;:;;;UDIDt:;;:;;;:;,N;;;, §;;,M;;:;-~;;:;-;:;;-;;;:,11';;:;,~:r:;:,:,/·;;:c~.At;:;'; ~::;:,((· ,::;:0,r-_~~\~~~~(,~~:;'!1,?~~2~~~~1".fZ~ ~N:1t:~i£~{j'ti~'-'J'f1'1/..~:t::~~rm~:::t¥.Jf%?~~~~i\'W~1!;:-:.V,~t~~_;~;~~Z;?«¥{~"~:,?~,~~ tY~ ... ~,~~·~~~.!{..¾¥,~~.,.,. ... ~tl!t!~~~~-~ . .,._~__.,,,,,..,..,,,....,_,tn:J;~_-,...,M'P,,._,,.i,;w..,,.,._.,,,,.,;;,..>~~--~~--,..\~~"'),{,w,.,,~,,.....,_,,..-~,,,,_,,~,,;U';,..,,~ .. ,_._1,;~,..._,_..,ffi,y~l<'lilll'«-«'<•>1,,·~""''<W~n, W kers' Compensation Declaration: I hereby affirm under penalty of perjury one.of the-following-declarations: . I nave and will maintain-a certifi,;:ate of ccin.sent·to self-insure for workers' compensation a~ provided by Section 3700 of th_e Labor Code, for the performance e wc;,r~ for which this-permit is issued. , · . · O· I have and Will maintain workers' compensation, as required by Sect.ion 3700 of the, Labor Code, for the pe_rformance of the work for which this permit is issued. My worker' ·cy nu her are:-· · · · ·. ·, J(. A/_ · -11 ..;. I · lns~rance Comp · . . . . · .. · ~oli~y No./p1(X,S:"'f;':\,J-,a · . Expiration Date l.J't-iJ, ..:.() I (THIS SECTION NEED NOT BE COMP TED IF THE PERMIT IS FOR ONE HUNDRED DOLJ.,ARS U10QJ OR LESS) . ~7 0 · CERTIFICATE ,OF E.XEMPTION: !-certify that:in the perfor~anc~ oft~~ work for Which. t_his.permi~'iJrissued, I shall not e~plciy any person in any manner so as to become-subject to the Workers' Cqmpensation Laws of CaUfornia; . · · · · WARNING: ',failure hous . rs . .,<,,.,.£··- SIGNA E · . z,;~~·nw "i:' il!"OE"ll.llfifpr~'ii7.'~,..r~_.;s• ,;"«111X"~'.i:;,t'.UJ:f::•'.t)~#1~~ >i\j'.f V..iJ..t)M..\!i.=, ---~..,.. .~.m! ., S!lin-~~~JM~,., " ~~ ~~.i}11::*1J..~'%t"~li;.~~r ... .,~ .. I-hereby affir D I, as owner of: the ·propert•nir· my . ployees V1ijh v,iages as their· sole compensilti911; .wili -do the wc;,rk and the· structure js not intended or offered for sale (Sec. 70441 Bl!si_n·el!s and .Profilssjons Code: The ·contractor's ·license _L!lw dc;,es not. apply to an owmir-:of -Property .who builds or .improves thereon, and who does · such-work himself or·thrc;,ugh'his:own.employj!es, provided that such improvements: are \'IOt intended llr:offered· for sale. If, however, the building or improvement is sold withJn one year c;,f ·coinpletion, -the·_owner-builder will have the burden of proving that' he' did not bl!ild or improve· for-th!)-purpose of sale). ·D I, as. ciwrier of' the property,. aiT) -~xclusively c_o'nt~acting with licensed ~anti-actors .ta" coh~truct. the project (Sec.· 7044, Business and Professions Code: The · . Corttractor'!l -License·-Law does .not·apply to' an-owner. of property -V'hQ bulids or improves .ther11on, and· contracts for such projects with contractor(sl licensed · ·.puri;uant·to the:Contractgr's·Licerise Law).· . · . . . ·' · · · · .. : -:· _' ·. · . . . . · . · · ,. ·d I 'am'.tixempt ~~der·Section' ,' ; .-. Business and Prcifes$'ions· Code·foi' tliis·r~ason: ' . . . . . ' ·._ ' . ' •, : . 1. . 'I pers6naily· plan to provide the·!'n!liC>r labor'anc;I materials for cons,ru.ction of the' propo~ed'property:i~p~ovement': 0 YE$ ' ONO· . . \' . _·._ .... ' , , ' ' , - · 2.... ·1 (have I hav~ 0i'lc:>t)·signed'an appllcition fol' .!l building:per'niit for_ the proposed work. : . ' .' 3. I 'have, Cciiitrapted ;With the .follov.,:ing -~arson (firm):to pro.vide the proposed construction (include 'name / addre.ss /, phone fll.Jl)'l!ier J contractors license number): : ~ -, . 4--: ._ I plan-.to p'roide portions·-of the _-work, but 'I ·ha;e. hired the following person .to coordinate, s1,1pervi~!l··and ·provide:the major-work (include name / address / phone r\uin~er / contril,;:t9rs-license numl?erl: · • · · · · · · 5. I will:provide-~ome of'tlli! work; but I have contractec! (hifedl·the·tollowing persons·to provide_ the.'work indi,;:atec;I (include riame / address /·phone number/ type of work): . ..,...,_-'-·--..,...--,----------'--'-----------'-'---',------,--,---'--,,--'-:------'--,,--,----,-.,,----------;.-- . PROPERTY OWNER SIGNATURE--,--'---'-,----'----------,---,----,.---,------,-~··. DATE..,.... _______ _ l:.~~m»~cn;mN!'t~ittl9'••F-i~w•')1i'7l'lml;;'f-aMifirc,mit'vlt~fnr~~~:~~.cy~t::?J~"5:tJ\•~1,'·¾~l<i..\~~~~~,~{#,:-Y~!'?0?;-P,..w51~,%j·1,t,5i;,l.l;l !J.!Ji, " ~, ~Ji1 .... $.',~ ...... A ,"""' !fs~J.f,',.... ~ !t!J,,1-!'.JQc~ , , A ,, ,,,,,,_""', ,,~-• ...,. ":..\l•,,,~ ""°A_, -~~ ... ~ ~4,.,*"~,rL~U!',_,.Q.hu.,.o-w.w-..~..<,,...',.~ Is the ·applicant· or1 future buildinQ occupaf')t 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 Hazardqils Substance Account Act? D YES D NO ·Is the-applicant or future building occupant required to obtain a permit frqni the air pollution-control district or air quality management district? [j YES D NO Is the facility to be constructed within 1,000 feet of-the·outer boundary-of a school site?· D YES O 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. . . t~;~il~9~:<f~r11~Nt"t1N§t~¢¥N~Y~~}~~]:E~~;~~t!~iftt\~~:;~i1~~75f~f;~l~;~~WfE{/~~~iu~R;:~~~11~iil~~,~r,;:~~~~~Pi;:! i hereby affirm that there is a construction lending agency for the performance c;>f the work for which !his permit is issued (Sec. 30971il Civil Code) . . ::;.:~~:~~o_mna§ARQ~tiil~tf'.~~~~~;~~~;~~~~~::_-:._'h_;1,-J-{&;_"_'.:""',~-;;w;-.~-5~-~--\-!!;i-.,.i,.-?fi,,-·-'.h.-";"""'-,=-~-.. i:..--'£.:-:.-fu-,""--:-,-.,.; .. ""',.t,.._~-,":'-, ,-~"'f.TT-:,\J!!\-.1'.§-:l:_1!1_~-~--rr=-\i;_t_~-,,,,..,,.-~-~-, ;:..-\ii'l-~-,r-,~-.• ::F-w-·~] I ~ert!fY that I !lave read the applic.ation and state that the above informatipn:is correct ·and.that the.information on the plans is accurate. I agree to comply with all City ordinances imd State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned . property for inspection purpos11s .. I ALSQ' AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS. THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, . JUDGME.NTS, COS!S AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST· SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An.'QSHA permit is required for excavations over·5'o· deep-a d demoli~ion o,r construction ·of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the rovisions of this Code shf\11 .expire by limitation and become null and void if the building or work authorized by such permit is not co . enced ithin 180 days from t 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 com_ ced for. period ~80 days action 106,4.4·Uniform·Building Code). . NPPLICANT'S SIGNATURE --f7'!:.-i,£-~--...::::;;,....,.p.41-~~,.,::.::..k~~~.,,,L----DATE y-; 9-a ,t PINK: Finance -city of Carlsbad Bldg Inspection Request For: 02/08/2007 Permit# CB062311 Title: DARIO'S SIGN W/ELECTRIC Description: Type:SIGN Sub Type: Job Address: 2508 EL CAMINO REAL Suite: E Lot 0 Location: . APPLICANT 1ST CHOICE SIGN & LIGHTING SERVICE Owner: Remarks: Total Time: Inspector Assignment: Requested By: SANDRA Entered By: CHRISTINE CD Description Act Comment 38 -S-ig-ns _______ '!f_ h/V fr'[___, Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Commen.ts ,,,.'";., .... i~tJ? r::, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-13-2002 Sign Permit Permit No: CB021778 s·uilding Inspection Request Line (760) 602-2725 \·:~ Job Address: Permit Type: Parcel No: 2508 EL CAMINO REAL CBAD SIGN Lot#: 0 Valuation: $2,100.00 Construction Type: NEW Reference #: . Project Title: TOGO'S REPLACE EXISTING WALL SIGN 'Jj.~:\pplicant: '··'.',,(·::'..\NESTERN SIGN SYSTEMS ,v -r.:-' :. /t ;Y ' . :),,~t650 LINDA VISTA DR ·.• : -!.,SAN MARCOS, CA 92069 •a 19-736-6010 1·,1·· .• ;-: .. Total Fees: $75.55 Building Permit Add'I Building Permit Fee Plan Check Add'( Plan Check Fe~ Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES , Owner: Total Payments To Date: Status: Applied: Entered By: Plan Approved: ISSUED 06/13/2002 MOP 06/13/2002 06/13/2002 $0,00·· Issued: Inspect Area: 9125 06/13/02 0002 01. 02 Balance Due: $45.79 $0.00 $29.76 $0.00 $0.00 $0.00 $0;00 $0.00 $0.00 $75.55 CGP 75.,55 $75.55 (,I ,. NOTICE: Please take NOTICE that approval of your projecl'includesthe "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 protesl'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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i n f · ,h · · · · · I im · i h v· I i ~' FOR OFFICE USE ONLY PERMIT APPLICATION · CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO"' (5Z.r (11 c? EST. VAL <.: L oO Plan Ck. Deposit ________ _ Validated By __________ ..., Date. ______ _;_. _______ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of u·nits Assessor's Parcel # Existing Use Proposed Use· ,,fl=Mt?Vt!:T 4$1{/.S::-??A.G;, ,tf/:l!J tf,f!1W .576,f/ Description of Work s9. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# Name Address City State/Zip· Telephone# Name Address City S.tate/Zip Telephone# r~~~Glltil,J:i~~ifgfl~@\?Jre~"~~~N4M~~,ir~r?~tr~~-f5:l:l:::c~~~~~T~~;~-0:IB~fe~A~~~1!1~i~~1E~:~~11~£;;i~~~~~!~£k7~~~ (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 provisioi:is of the Contractor's License Law [Chapter 9, commen_ding with Section 1000 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). we5n--7f"I(/ .s7~ ,kt?e1't£. /@o_L;MZ?/i&rb ~.,y~s c,p.. .'l?t:!W ~ ..,.73r; "'@7o Nania , Address City · State/Zip Telephone # State License# ~~/7 License Class . City Business li!Jense # /c,2//0 :J'ol_ · Designer Name Address City State/Zip Telephone· State Licens!3 # ------'----'---'---~- i'3;·~&W@RJ.ERs!iQ6M~NS-g~TQN:-:jx';~-,~ -;i;,/~~;;,-:,:__:;~~~:~~~;:Jl?'fil~J5-[V:i~(,:~::~-~~'l ;1-.1:T_<r~:.~~~~~~0~::r;;illJ;~~i~-0 ?·~(;;~~~~~~~,t~~1KLl 0W~rke;s' c;mpens~-tio~ D;cla;~ti~·n:"i h';reby -illir~-;;;d";tp~nalty of pe~ji.Jr-f ;ne of the f~lio·;,;i~·gd~clarations: , .. , ... ,. . ~-...... "' '""' =·"· . "'" . " , D I have and will maintain a certificate of consent to self-insure for workers' compensatfon as· provided by Section 3700 of the Labor Code, for the performance of.the w9rk for which this permit is is~ued. · ' . ~ I have and will maintain workers' compensation, as required by Section ·3700 of the Labor Code, for the ~erformance of the work for which this permit is issued. My worker's-compensation.insurance carrier and policy number are: . . (/pl_,-. r . . . J / Insurance Company . $~ ~AA> Polley No. ~ 78 "'4'0l ~'"t,:> Expiration Date ~LL ( CJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS.($100) OR LESS) D «;:ERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, !·shall not employ any pers1m in any manner so as to become subject to the Workers' Compensation Laws· of California • . WARNING: Failure to secure workers' compensation coverage is unlaiwful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand·dollars ($·100,00 , in addition to the cost of mpensation, damages as provided for in Section.3706 of the Labor code terest and,attorney's fees. SIGNATURE. . DATE ~ [t;':~QWii~t'luii.~1~~1t~ijl:iJINi~;g:t:~:'1t~~;L~t5.?:; ... ~fj_8:~~-i:~::{::?Jl':1;it~iitlt~£i1I::~1£~;1~l~Jt~t~:~~:~~~-:~11:;;~~~~~,r:iitS~~t?'.~-~1.~~:1tr·J\?i;:~1~~~21~:t1 I here.by affirm that I am ex~mpt 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, 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 I, as owner of the· property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professioni; 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(sl licensed purs11anHo the Contractor's License Law). D .I -am exempt under Section ______ Business and Professions Code-for this reason: 1. ·I personally _pla~ to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. ·I have contracted. with t_he following person (firm) to provide the proposed construction (include ·name I 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 th·e major work (include name / address / phone number/ contractors license number): · · 5. I will provide som'e 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_~----'--~- idO""PilEOCE~s;s,m1:r1o~ii=012'-MJ'fi:ofsiifEfriiJffi;,'tii:J1i;o1i:fd1PERMITS!QM1~W'.9'?.:'.:i?":Z''.'.l:'J,S,'.T.ts'f-'?,,"!~~-r-P~~-.;/{}tl;>1~J1:-ml:Jt:':;;e'.f'.\t,~:11:i?i'\~t;'tJ,'-,~,;,;-:f.r:\;;_;-;40,;;iSt,:;:!i)t1 ........,~.,...!~ ....... ""'l'~,i,.,,,.~,.,.,._.,,..... ...,....[!t~,..,..!,,.~w•al ,...,_,,,~l"f"'.,,,,,_~,_,.,.,:.(,1.,.,~........,_ ,,.,!,!,!1,.........,.,..,,..,.,,.,.,, ... ~ J,.., .... '(tl""' '<<<,.,,l,v.c,,,,......,_,r..,,-~~..,.,,;;.;.,__,.._..,,,,...,.,,_...,,~..........,~~ ......... -~<t,~-·;:i.,~,~>.;,.,;w-oo,1-...>w,_.,~1-,;.,,,.;,-,.~ 'Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management 11nil prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 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? o· YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of ·a school site? 0 YES D 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 REQUIREME~TS OF 'THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTRO~ DISTRICT. m~~mti9~U§l!~Q!f{G:~~cim@~~~~~~:,~~r~~~~_:.:·~:;i~1l~:~~%~~~~}~-~~41i~P.r~~\~i~G~;.~~~~!~t~~~~t~~;l+~~'i~~~t :-~~)j~~-~,~~~;r~i5i?{;?,~~~L~~;z~:~tf~~~~:Z:.! 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'NAfylE _______ ~~----~ LENDER'S ADDRESS_-,-______________________ _ ffi~~ee!J.cKNr~1t;r,1~tcAilPH~~~~~~r;)~r';,j~};~r:~;%r1f~~E:t~Zd~~lll~;2r~~:f~3~::t:~~a1-:1:tt~~~1if'JtE~~~ry21~~~~£::~~~~~oo 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 <;:ity ordinanc{!s and State lciws 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 exc~vations 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 commenc for period of 180 days (Section 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK; Finance City of Carlsbad Bldg Inspection Request For: 11/13/2002 Permit# CB021778 Title: TOGO'S Description: REPLACE EXISTING WALL SIGN Type:SIGN Sub Type: Job Address: 2508 EL CAMINO REAL . Suite: Lot O Location: . APPLICANT WESTERN SIGN SYSTEMS Owner: Remarks: Total Time: CD Description Act Comments 38 Signs Af Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607366070 Inspector: ;le F Requested By: JENNY Entered By: KAREN City of Carlsbad. 92008 03-30-2012 1635 Faraday Av Carlsbad, CA Building Permit Permit No:CB951717 9"db Address: Permit Type: Parcel No: Valuation: Building Inspection Request Line (760) 602-2725 2508 EL CAMINO REAL CBAD St: E CTI Sub Type: Lot#: WITHDRAW ll/22/1995 OccGroup: $ G •. o O Const Type: NEW Reference#: Entered By: RMA Appr/Issued: Project Title: CHANGE ELECT METER BASE,NEW Inspect Area: ROOF MOUNTED HVAC Applicant: owner: HAWKINS CONSTRUCTION 8854 RIDGETON CT LAKESIDE, CA 619-443-5367 Total Fees: $0.00 92040 $76. 00 Payments To Date: $76.00 Balance Due: Description Fee ---------------------------------------------------------------------------- Otl+er 76. 00 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 pei:n,it was issued to prot~st imposition of these fees/exactions. lf·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 accor<,lance witll Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any suf:)sequent 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 orother similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven-a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired. I PERMIT APPUCATION C"ity of Carlsbad Bui lding.:Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMl't TYPE ·From list 1 (see back) give code of Permit-Type: /f:;L C' (. -/1t£eli. For Residential ·Projects Only: From list 2 (see back) give Code of Structure-Type:-------,--------------- Net Loss/Gain of Dwelling Units __________________ _ ·2. PRQJECT INFORMATION Address -Z.S-08 /E CHECK BEIDW IP SOBMn"rno: D 2 Energy Cales p 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope PLAN CHECK NO. %1717 4806 11122/95 0001 01 C-PRMT FOR OFFICE USE ONLY 02 ASSESSOR'S PARCEL ~ ~ PROPOSED USE DESCRIPTION OF WORK '[fad-Jeulu.e...,-l/1?4<_ ;f-~ ff V AC-11._Co/1 /hluh~ ! SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS NAME .(last na e first) ~/Cf~ ~ ADDRESS CITY L~-;9.m(6f STATE t!4} ZIP CODE 9 "Z,O ¥°o?AY TE~PHONE s. PRdPER.'l'Y mVN NAME (last name first) ADDRESS ZIP CODE DAY TELEPHONE NAME (last name first) ~ J /~ e ,.,- DAY TELEPHONE CITY4~-'M STATEC,q- {i STATE LIC. # 1: 5J ~ADDRESS ZIPCODE 9~ LlCENSE CLASS 0 CITY BUSINESS LlC. # ) Z. 0_3 07 ti asr name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. # 1. WORKERS'CDMPENSA.11bN Workers' C~~pensatJon 0eclarat1on: I hereby afhrm that I have a cernhcate of consent to seif-msure issued by the Director of lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an eic:act copy or duplicate thereof certified by the Director of the insurer thereof filed ith the Building Inspection Department (Section 3800, Lab. C). INSURANCE COM.PANY ~ SIGNATURE DATE A. oWNER~BUllDER DECOJt\noN Owner-Bu,Jder Declaration: I hereby afhrm that I am exempt from the Contractors Llcense I.aw for the followmg reason:· D I, as owner of the property or my employees with wages as their sole compensation, wili 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 owµer of the property, am exclusively contracting with licensed contractors to construct.the project (Sec. 7044, :(3usiness 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 Llcense Law). CJ 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 CQde) 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 coMPLE'tE THIS SEcnoN FOR NON-RESIDEN'IiAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a busin~ 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 grNo Is the applicant or future building occui,ant required to obtain a permit from the air pollution control district or air quality management district? 0 YES El NO Is the facility to be constructed within _J,OOO feet of the outer boundary of a school site? 0 YES !!!'NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFicATE OF ocx;uPANCY MAY NOT BE~ AFf.!IllJULY 1, 1989 UNLFSS TIIE APPllcANT HAS MET OR IS MEETING TIIE REQUJREMENTS OF TIIE OFFICE OF EMERGENO' SERVICES AND TIIE AIR POILUTION CDNTROL DISllUCT. 9. timS'IRUCnON ll'.NDING AGENcY --. . . . I fier~by afhrm that there 1s a construction Iendmg agency for the performance of the work tor which flus permit 1s issued (Sec 3097(1) GJVJ! code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCAN I CEltliFiCAIION I certify that I have read the apphcanon and state th11t the above mformatJon 1s correct. I agree to comply with all city ordmances and state laws relating to building construction. I hereby authorize representatives of the-City of Carlsl?ad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl'lY OF CARISBAD AGAINSf ALL IJABILITIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACXJlUE AGAINSf SAID Cl'lY IN CDNSEQUENCE OF TIIE GRANTING OF TillS Pmu,nT. 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 permi is not commenced withi 365 da)'l! om the date of such permit or if the building or work authorized by such permit is suspended or abandoned a ny time ft the wo com ced for a period of 180 days (Section 303(d) Unifo uilding Code). APPLlCANTS SIGNATURE '-l-'F,~~~G~ . 0 ... · ... , ...... City of Carlsbad . · M=Uht#hh•l•24•ih4h,t¥hil DATE: 09/30/96 TO: HAWKINS CONSTRUCTION 8854 RIDGETON CT LAKESIDE, CA 92040 PLAN·. CHECK EXPIRATION PC# CB95171.7 DATE: 11/21/96 ADDRESS:. 2508 EL CAMINO REAL #E You have applied to have your plans checked on the date shown above, and you have not obtained your building permit • . ··_-_ .. -. :-...·.-..;.":'..::-c::-~ .-.,,.--,.,. __ ..________ -.,. ___ --·· ~---- The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration. of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for·review may thereafter be returned. to. the applicant or · destroy~d by the Building Off·icial. In order to renew action on an application after expiration, the applicant shall. resubmit plans and pay a new pl,an review fee." Please check the appropriate bo.x indicating your choice and return this letter to the BUILDING DEPARTMENT •. PROJECT ABANDONED. X PROJECT ABANDONED. I WILL PICK~UP PLANS WITHIN 10 DAYS. PLANS MAY BE DESTROYED. --------------------------------- If you have any _questions, please contact the Building Department at (619) 4~8-1161 extension 4331. RAENETTE ABBEY Building Department 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 ~ FAX (619) 438-0894 '~ . ,~&J~ lt/30/95 15:42 Page 1 of 1 B U I L D I N G Job Address: 2508 EL CAMINO REAL Permit Type: SIGN Parcel No: Valuation: 2,500 P E R M I T Suite: E Lot#: Permit No: CB951586 Project No: A9502314 Development No: 4402 10/30/95 0001 01 • C-PRMT Construction Type: 89tt00 VN Occupancy Group: Reference#: Status: ISSUED 10/30/95 10/30/95 MDP Description: ONE WALL SIGN WITH ELECTRIC CITY OF CARLSBAD Applied: Apr/Issue: 619 , Entered By: 736-6070 /tYNft_b_APPROVAL 1iNSF~ DATEIZ·? · f S- f CLEARANCE--.---, 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .. .. PER.MIT APPIJCATION PLAN CHECK NO. i ·City of Car~sbad Building Department 2075 Las Palmas Dr.,. Carlsbad, CA 92009 (619) 438-1161 1.' PERMIT '1YP£ FSf. VAL :?.+ ·s:eP PLAN CK DEPOSIT _______ _ VAI,ID.BY __________ _ From Llst 1 (see back) give code of Permit-Type: _---:;--S__,_l""b:..N;.,;c_ ______ _ DATE For Residential 'Projects Only: From Llst 2 (see back) give Code of Structure-Type:---------------------,-, Net Loss/Gain of Dwelling Units--------,-.--------------- 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address 2-,57Jg 6. B: J... c~ 1 NO ~t?A-< • .J3utldmg or Suite No. € t"")=J.e i.,s 'B-4-D q "2.. bt>i' CA/f!LSBAD 'Pi...l'r211 Nearest Cross Streef LEGAL DESCRIPTION Lot No. Su&d1V1s1on Name/Number UmtNo. Phase No. CHECK BEIPW IP SbBMITl'E0: 0 2 Energy Cales D 2 Structural Cales D 2 Soils Report O 1 Addressed Envelope · ASSESSOR'S PARCEL DESCRIPTION OF WORK ($J.J (.__ V ,14--L \ ~STING USE I t SQ. FT. # OF STORIES # OF BEDROOMS # OF BA~OOMS ;{. WN IACI PERSON (If different from apphcanQ NAME (last.name first) ADDRESS Cl'IY STATE ZIP CODE DAY TELEPHONE 4. APPl.lCANT o cON IMCIDR ~EN'I' fOR WN'l'RACIOR d OWNER dAGEN'I' FOR OWNER NAME (last nam~ first) 1!!,o~.G~~l?. lc17e" ADDRESS / '1, So L/..VO"r V I S 1./l /.)£?. ..,. WcS1c.RN 5/&, AJ S 6M S CI~ M ,4-,e_l'.OS S ATE CA-,-ZIP CODE t!f':J...D 61 DAY TELEPHONE · 73 G -6 O 7 0 s. ~~ (last n::e~rat) bhUG}'M-AJ I P.A-, t'-M.4-lt<:.i TT-I\ ADDRESS /2.a JI,. S IG-RIUJ, ~~:ro Ro c11Y IIAu.fyt:£/tJtc~ sTATECA z1pcoDE q1..,l)g:2. DAYTELEPHoNE 7'11-7~3y 6; ~~1:::-~!mefirst) w~re..e,v St6.0 S'r~1"E-'MS ADDRESS lbSZ> .J.....JAJDA: VlS1Jfl-Pe~ CI1Y S-A-IJ M A-t:CDS STATE C4-ZIP CODE 9 ::z.L> "9 DAY TELEPHONE '7 B 6 -~ C> 70 STATE UC.# l,'/11¢pb UCENSE CLASS t::..-1./' ~-CI1Y ~USINESS UC.# "2....-d l5 "-lCJ ast name 1rst Gl1Y STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WbRRERs' OOM.PENSA11oN . ·Workers' Compensation beclarat10n: I hereby affirm that I have a cernhcate of consent to seiHnsure issued by the Director of lndustnal 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 Inspe;·on Department (Section 3800, Lab. C). 4-BlO:!i~<ol INSURANCECOMPANY aL cl>.MP POUCYNO. '1(/re, 03&:txPIRATIONDATE 'I-I- ern 1cate o xemptlon: cern at m e pe ormance o e wor or w 1c 1s permit 1s issue , s a , not emp oy any person m any manner so as to become.subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. oWNEil-fiOllDEil bECLAllATION Owner-Builder Declaranon: I hereby afhrm that I am exempt from the ContractoPs license I.aw for the followmg (eason: 0 I, 11s 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 Llcense 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 t;he project (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 Llcense Law). [J 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, demolfsh, 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 Llcense 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 ~rmit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE nns SECTION FOR NON-RESIDENTIAL BOIIDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occµpant required to obtain a permit from the air pollution control district or air quality management district? DYES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJJ>ANCY MAY NOT BE ~AFI'ER JW.Y 1, 1989 lJNI.FSS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIIE AIR POLLUTION OON1ROL DISTRICT. 9. WNS'IROCnbN LRNDING AGENCY . . . · I hereby afhrm that there 1s a construction lenamg agency for the performance of the work for which flus permit 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN l CElniFICA:liON I cern,fy'that I ha~e read the apphcauon and state that the above mformatlon 1s correct. I agree to comply w1i:h ail City ordmances and Stai:e laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP~ TIIE Cl'IY OF CARI$BAD AGAINST AIL IJABIUTIF.S, JUDGMENTS, CDSfS AND EXPENSES WIIlCH MAY IN ANY WAY ACDlUE AGAINST SAID Cl'IY IN OONSEQUENCE OF TIIE GRANTING-OF 1HIS 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 ~uch 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 J.80 days (Section 303(d) Uniform Building Code). APPUCANT'S SIGNATURE DATE:--'--- WlllTE: File YELl.OW: Applicant PINK: Finance 0 ,, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB9.Sl586 _ FOR 12/06/95 DESCRIPTION: ONE WALL SIGN WITH ELECTRIC TYPE: SIGN INSPECTOR AREA PIANCK# CB951586 OCC GRP CONSTR. TYPE VN JOB ADDRESS: 2508 EL CAMINO REAL APPLIC~T: WESTERN SIGN SYSTEMS CONTRACTOR: STE: E PHONE: 619 73-6-6070 LOT: OWNER: REMARKS: MW/DAVE/736-6070 SPECIAL INSTRUCT: PHONE:£d?£;2 PHONE: , , . , lNSPEC TOTAL TIME: --REIATED PERMITS--PERMIT# TYPE WDP02ll7 WDP S·E950063 SWRST STATUS ISSUED ISSUED CD LVL DESC~IPTION ACT COMMENTS =3,8= =EL :S:i:gn:s:_: ================, _6_,_rl_lh.. __ -_____ _ --------...,......----~------------------------ *·**** INSPECTION HISTORY ***** DATE DESCRIPTION ACT l:NS,P COMMENTS