HomeMy WebLinkAbout2508 EL CAMINO REAL; D; CB980010; PermitI Oi/06/98 10:45
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Job Address: 2508
Permit Type: SIGN
l?'arcel . No: ·
Valuation:
B U I L D I N G
EL CAMINO REAL
2,000
P E R M I T
Suite: C>
I;,ot#~
Permit No: CB9-8Cl010
· Project No: A9800016
Development No:
t;)ccup~ncy Group: Reference#:
tonstruction Type:
. 2718· 01/06/9m;i00~~1~
. App:;t-lrfEtt:I:
NE;W
I@U?D
01/0~003
0j./06/9,8
RMA
Description: ILLUMINATED SIGN OVER ENTRY
: · BAYA. JUICE
760
Apr./Iss4e:
Entered By:
757-6985
FINAL APPROVA.L
INSP .. ·--·--·-·DATE ______ _
CLEAHA;~cE~----------
CITY OF CARLSBAD
2075 u,is Palrnas Dr., Carlsbad, CA 92009 (619) 438-116i
I
I
/ PERMIT APPIJCATION PLAN CHECK NO. q f' !) CJ/ V
City of Carlsbad Building Department
2075 Las Pafmas Dr., Carlsbad, CA 92009 (619) 438-1161
i. P1iliMi'r 1'YPR
From Llst 1 (see back) give code of Permit-Type: ___________ _
For Re_sidential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Lo:;s/Gain of Dwelling Units _________________ _
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
ress -8 6""~11 e.-L
Nearest ~ro:;s_ Street
t o.
CHECK BEIDW IF S0BMl'l'IED:
I" /l/J.-, I 6 z tJ 3 e; 6-e! o"
D 2 Energy Cales D 2 Structural Cal_cs D 2 Soils Report OJ Addressed Envelope
# OF BATHROOMS
I
NAME (last.name first) ADDRESS
CITI STATE ZIP CODE DAY TELEPHONE
4. APl'LlCANT D CON IMCIOR 0 AGEN I FOR CON iMCIOR
ADDRESS
0 OWNER O AGEN'I' FOR OWNER
NAME (last name first)
CITI STATE ZIP CODE DAY TELEPHONE
s. PROPER'IY oWNmt . . ·
· NAME (last name fir&t) /I I/ G-lft5 J / JV V C-.f T IV1 C~DRESS If c?, G' '2 otJ
. :B (!!. #, STATE e,#, ZIP CODE 9 .2-&. .TIJ DAY TELEPHQNE 711/) 7 d_.7 -'YJ-J /
NAME (last name first) ;::: v ~~/4-IZ-$ / <f-tt./5 ADDRESS J // t/'r/7 ,(:" ,& e k-lt/Tl'l..c
CI1Y CJt:.-s-4/J ,r-1 D € STATE er,//-, ZIP CODE 9' ,J. t:t,r-f DAYTELEPHONE(l"~o) 7.T7-4 911 J-
. STATE IJC. #..r7f(#b' (. IJCENSE CLASS V 'f?I.-CITI BUSINESS IJC. # / / 9:J-€ 7 ,I)
· DESIGNER NAME (last name hrst) ADDRESS
CITI STATE ZIP CODE DAY TELEPHONE STATE IJC. # I/ 'f J { 7P
1. WORKERS' CDMPENSA'l'IDN . .
Workers' Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal
Relat:ions, 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).
msuRANcEcoMPANY cf117·TE rC/IVt> roucvNo.111.-& 1.>-, EXPIRATION DATE.~--1-1.a
· Cert1hcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE s. oWNmt-BOIIDill DECLARATION
Owner-Bmlder Declarat1on: I hereby afhrm that I am exempt from the-Contractor's license Law for the followmg 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 Llcense Law does not apply to ari 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 c:lid hot 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, Busifless and Profess.ions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves th~reon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
b I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Busin~ 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 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
SIGNATIJRE DATE
coMPtt't£ 1'H1S SECTION FOR NON-RESIDENTIAL BU!illING 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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D. YES ONO
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~ YES, A FINAL CERTIFICATE OF CXDJPANCY MAY NOf ,BE Jl?SUED .AFI'ERJULY 1, 1989 UNLFSS TI1E APPIJCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMER,9ENCY ~VICFS AND TIIE Aill POUUTION OON1ROL D~CT.
9. tiJNS'IROcnoN ll:NDING AG.f:NcY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) ClVII Code).
LENDER'S NAME LENDER'S ADDRESS
io. APPUCAN I CERl1F1CAl10N
I certify that I )'iav,;! read the application and state that the above mformat1on JS correct. 1 agree ·to comply with all City 9rdmances and State laws
relating to-building construction. I hereby authorize representatives of the Cicy of Carlsbad. to enter upon the ab.ave mentioned property for inspection
purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLES.5 TIIE CITY OF CARISBAD AGAINST AIL llABIIJTIES, JUDGMENTS, OOSIS
AND EXPENSF.S WIIlCH MAY IN ANY WAY ACXllUE AGAINST SAID CITY IN OONSEQUENCE OF TIIE GRANTING-OF TIIlS 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 s_hal! expire by limitation ancl ~ome 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 ab doned at any time after the work ~enced for a period of 180 days (Section 303(d) Uniform Building Code).
APPIJCANT'S SIGNATURE • . -..,__ ~----DATE: I-G,-'i'IJ.
WHITE: File YEIJ.OW: Applicant PINK: Finance
0