HomeMy WebLinkAbout2545 EL CAMINO REAL; MULTI-PERMIT FILE; CB993872; PermitJ 1-31
10/20/1999
Job Address:
Permit Type:
Parcel No:
Reference #:
City of Carlsbad
Plumbing Permit Permit No:CB993872
Building Inspection Request Line (760) 438-3101
2545 EL CAMINO REAL CBAD
PLUM
Lot #: 0
Construction Type: NEW
Project Title: FIRESTONE AUTO CENTER
DRAIN LINE REPAIR
Applicant:
DRAIN PATROL
4807 MERCURY ST
SAN DIEGO, CA 92111
619-560-1137 1 30
Total Fees: $27.00 n To
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
Status:
ISSUED .
Applied:
10/20/1999
Entered By:
MDP
Plan Approved:
10/20/1999
Issued:
10/20/1999
Inspect Area:
1
D" tee $0.00\
M
5271 J-0/20/99 0001 of 02
0--f`RMT 27.00
Due: $27.00
,20.00
$7.00
$0.00
1$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
'ERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4
aw
000
•' •
NOTICE: Please take NOTICE that approval of your project includes the "Im ition" of fees, dedications, reservations, or other exactions Vfeafter collectively
referred to as "fees/exactions." You have 9,0 days from the date this permit w s issued to protest imposition of these fees/exactions. If yo6 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 Pahnas Dr., Carlsbad, CA 92009 (760) 438-1161
i.
0 PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075'Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
:,12., .: PROJECT
FOR OFFICE USE ONLY
PLAN CHECK NO. �"J,3P7Z-
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work
A-44-tsi V'L
.--icouTAcrPERSONOf-dWwint'-fr'6m'- sppacom
Stories # of Bedrooms # of
Name _Addrd-ss City state/Zip Telephone it Fax 9
;3,"-,* , .- g ;, " ", --ob" A16;1�o-. , , w., . -.,:-,-----.;""-,-� t *1 - -----
(76 LI) V,3
-7
Name ol Address City State/Zip Tele-pl%ne #
-4. PROPERTY -OWNER.' 4
Name Address City State/Zip Telephone #
:'-CONTRACTOFtF- COMPANY-IiME,:
,(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
exe tion. Any vii I ti f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
/I ?—/ y jf�. 9Z-130 1114 15o36 ?—
Name Address city State/Zip Telephone #
State License,# 61 License Class City Business License #
Designer Name Address City State/Zip Telephone
State License #
Workers' Compensation Declaration: I hereby -affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a- certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
ML-4-eve and will, maintain• workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS -FOR ONE HUNDRED -DOLLARS ),$1001 OR LESS)
M 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 SIM of the Labor code, interest and attorney's foes.
SIGNATURE DATE
7. OWNER;BUILDEMDECLARAMON -
I hereby affirm that I am exempt from the Contractor's License Law for the -following reason:
[3 1, 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 ouimprove for the purpose of sale).
D 1, 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).
7 1 am exempt under Section _ Business and Professions Code for this reason:
1. I' personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. 1 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):
5. 1 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 NON-RESIDEIMAL-gUILDINd 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? [] YES [3 NO
Is the applicant or future building occupant required to obtain a permit from the air -pollution control district or air quality management district? C] YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I_-] YES [:] 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.
a.toNsThUCTfON,LENDING-,AGENCY-- -, n;
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. `•-,APPLICANTCtkt]FICATtOW':".-'-:,"---,
I certify that I have read the application and state that the above information is correct and that the. information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0* deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offibial 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 com%enced 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 workWcommenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE Z&
City of Carlsbad Inspection Request
For: 10/21 /99
Permit# C8993872
Title: FIRESTONE AUTO CENTER
Description: DRAIN LINE REPAIR
Type: PLUM Sub Type:
Job Address: 2545 EL CAMINO REAL
Suite: Lot 0
Location:
APPLICANT DRAIN PATROL
Owner:
Remarks: DRAIN LINE REPAIR
Inspector Assignment: 1 j-�(
Phone: 8003767875
Inspector: �-0
Total Time: Requested By: SCOTT
Entered By: CHRISTINE
CD Description Act Comments
22 SewerMater Service �(�� -
1 rear- esfe,K_ .
Inspection History
Date Description Act Insp Comments
04-01-2010
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
Applicant:
P.S. SERVICES
a City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB100572
Building Inspection Request Line (760) 602-2725
2545 EL CAMINO REAL CBAD
SIGN
1663020600 Lot #: 0
$8,400.00 Construction Type: NEW
FIRESTONE- INSTALL 2 ILLUM
WALL SIGNS & 1 NON -ILLUM WALL SIGN
SUITE B
316 E DYER RD 92707
714-513-1870
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
Status:
ISSUED
Applied:
04/01/2010
Entered By:
LSM
Plan Approved:
04/01/2010
Issued:
04/01/2010
Inspect Area:
Owner;
'NEW MARJORAM ASSOCIATES
C/O JCPENNY CO INC #566-0
P 0 BOX 10001 -
'DALLAS'TX 75301
$108.71
$0.00
$70:66
$0.00
$0.00
$0.00
'$0.00
$20.00
$0.00
$199.37
Total Fees: $199.37 Total Payments To Date: $199.37 Balance Due: $0.00
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 permit was issued to protest imposition of these feeslexactions. 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
Y Building Permit Application
%r 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF 760-602-2717 / 2718 / 2719
Plan Check No. lid 5 10 S �—
Est. Value g�QQ
Plan rLe npnncit
Fax ..vv_vv _o:,:,o
_ ____ ___.__1____
Date
www.carisbadca. ov
CAR_ LSBAD
JOB ADDRESS -- -- ----
SUITE#/SPACE#/UNIT#
APN
�� O Vf�✓ -.
—? v�y ���h/f1/CIO /e�fil'L - - - -- --` `-
CT/PROJECT # -
LOT #
PHASE #
# BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
OCC. GROUP
J#OFUNITS
J#BEDROOMS
I
DESCRIPTION OF WORK: include Square Feet of Affected Area(s)
11V-r i L AA01V — sv.41-t- S/ G
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
AIR CONDITIONING
YES ❑ #_ NO ❑.
IFIRESPRINKLERS
YES ❑ NO ❑
YES ❑ NO ❑
CONTACT NAME (if Diffe►entFom Applicant)--
APPLICANT NAME
ADDRESS
ADDRESS
?�fJ z-o _,=.
CITY STATE ZIP
CITY STATE ZIP
A-A✓A,�i-°m cl- 9216016
PHONE
FAX
PHONE
FAX
626. x5n A6zLO
;Z1. 6f33 • / a
EMAIL
EMAIL
PROPERTY OWNER NAME
CONTRACTOR BUS. NAME
SIiOTT �d/4 S G �✓�y
IRS -
ADDRESS
ADDRESS
6Sol L€G�4G z:w
e7 . G,ec7'TA 4A1
CITY STATE ZIP
CITY STATE ZIP
`Ao 7X v o
4/ C4 7?-8o6
PHONE
FAX
PHONE
FAX
97z .
7 4,S3 . / 2-10
71 1! 9 3 .
EMAIL.
EMAIL
ARCH/DESIGNER NAME & ADDRESS
_--
STATE LIC. #
I
STATE LIC.#
6/1416 76
CLASS
�iew
CITY BUS. LIC.#
(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 (Chappter 9, commending with Section 7000 of Division 3 of the
Business and ProfessionsCode)or that he is exem t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($5001).
• R •
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor. Code, for the performance of the work for which this permit is issued. My workers' compensation In rance rner and policy
number are: Insurance Co,Policy No. �c.tt.4S�/'�l3eO� Expiration Date O //
h' section need not be completed if the permity for o hundre rs ($100) or s.
Certificate of Exemption: I certify that in e p a of the ork for 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 o r c pensati cov a 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, d a a rovided in ion 3706 of the Labor code, interest and attorneys fees.
CONTRACTOR SIGNATU EIAGENT DATE OV of 14
I hereby affirm that I am exempt from 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).
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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No
2.1(have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to prdvide the proposed construction (include name address I phone i contractors' license number):
4.1 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 I contractors' license number):
5.1 will provide some of the work, but I have contracted (hired)'the following persons to provide the work indicated (include name / address I phone I type of work):
A5PROPERTY OWNER SIGNATURE OAGENT DATE
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? Cl Yes O No
Is the applicant or future building occupant required to obtain -a permit from the air pollution control district or air quality management district? 17 Yes O No
Is the faclllly to be constructed within 1,000 feet of the outer boundary of a school site? O 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.
• •w w =110n On 0 11 Ns
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state thatthe above Information is correctand thatthe information on the plans is accurate.I agree to comptywith all City ordinances and State laws relatingto buildingconsWction.
I hereby authorize representative 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, C TS AND EXP ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for ex ca ons r 5'0' nd d ' or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the B ing is nder pro ' ' s 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 e b mg wale by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106AA Uniform Building Code).
ASAPPLICANT'SSIGNATURE DATE 0f// /D
• City of Carlsbad Bldg Inspection Request
-- For: 10/05/2010
Permit# CB100572 Inspector Assignment: _4_7&
Title: FIRESTONE- INSTALL 2 ILLUM
Description: WALL SIGNS & 1 NON -ILLUM WALL SIGN
Type: SIGN Sub Type:
Job Address: 2645 EL CAMINO REAL
Suite: Lot: 0
Location:
OWNER NEW MARJORAM ASSOCIATES
Owner:
Remarks:
Total Time:
CD 'Description
38 Signs
Phone: 147831120 EX 226
`Inspector:
Requested By: GARY
Entered By: CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp "Comments
BUILDING PERMIT'Permit No: CB9,0009'7
01/23/9-0':16:18
Page, 1 of, I
Job Address: 254.5 EL CAMINO REAL -Str:
Permit,Type: SIGN
Parcel No:
Valuation: 4,000
Construction Type: NEW
Occupancy Group: Cla_ss Code:
Description: 3 WALL FIRESTONE SERVICE
Project No:. A9-000131
DeVelopfnent No
Fle Ste-
2833 C,1/21a/90, ae oj'oi (121
Status.•- IS
UD
Applied' 0-1/23/90
Apr)'Is-sue
Validated By: --DC
CONTRACTOR : SIGNTECH Lic. CA51406
619-286-7446
4520 FEDERAL BLVD--STE''C-'-*-'--'-"--'---,-'---I
-
SAN-DIEGO CA 92102
&0_111-ected
-
Fees Required 10,Fei'es &
Credits
--
------------ ------------------
---------- 7-7-
Fees: 104.06
Adjustments: .00 Tot -al' -Credits:,,
.00
Total Fees: 104.00 Totgi�-,Paym04�'S
.00
Blalance—DUe.,
104.00
description Units.'Ext
fee Data
.Building Permit
'63.00.
Plan Check*
ti
BUILDING TOTAL 1
104.,00
J,
APPROVAL
:. -.. ®are
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619),438-1161
PERMIT APPLICATION
City of Carlsbad guilding Department
,2075 Las Palmas Dr., Carlsbad, CA .92009 (619) 438-I161
A7�YiY „
1 PERMIT TYPE ,•
A - ❑ COMMERCIAL NEW ❑ TENANT IMPROVEMENT
B ❑ INDUSTRIAL ❑NEW ❑ TENANT IMPROVEMENT
'C - ❑ RESIDENTIAL ❑ APARTMENT ❑.CONDO []SINGLE -FAMILY DWELLING ❑ ADDITION/ALTERAT-ION
❑ DUPLEX ❑ DEMOLITION- ❑ RELOCATION ❑ MOBLLE HOME ❑ ELECTRICAL ��❑^ PLU//MB�ING/ '
❑ MECHANICAL [-]POOL ❑ SPA []RETAINING WALL ❑ SOLAR BOTHER Jf CO ` V
ESL. VAL 0 D _ -
PLAN CK DEPOSIT
VALID. BY
DATE
Address Building or suite No.
Nearest Cross Stl_eets "" 2�� - - - - -
LEGAL DESCRIPTION Lot'No.- Subdivision Name/Number Unit No. Phase No; -
CHECK BELOW IF SUBMITTED-:
❑ 2 Energy Calcs 112 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED•USE
VtbUKIPTION OF WORK
BLDG. SQ.'FTG. _ # OF STORIES /- 14 >4 -
3. CONTACT PERSON /J j
NAME /w �/�iLADDRESS 66 / e F4%
CITY,, SS, �% L M STATE ZIP CODEgp�(/ /,� DAY TELEPHONE
e
SIGNATURE /`��i'•�
4. APPLICANT ❑CONTRACTOR GENT FOR CONTRACTOR ❑OWNER []AGENT FOR OWNER
NAME S� y�.o� ADDRESS -
CITY - ' ' / "STATE ZIP CODE DAY TELEPHONE
5,. PROPERTY,OWNER OWNER ❑LESSEE' ❑TENANT
NAME �J� Jl�O/ V ADDRESS
CITY C1b�'LL AE% STATE ZIP CODE (`• DAY TELEPHONE
6. CONTRALTO
NAMES'lb/`rlj ADDRESS
CITY���7G�/ /' y��.7 t / .,/STATE�J, 21P CODE 7/� /�G� DAY' TELEPHONE
C/,/G�.tj/}S!T/ATE LIC. #6Ej LICENSE CLASSC/��Q,y` CI-TY BUSINESS LIC. #
SIGNATURE Ln /J y'?/'�"' - TITt94ZK,T felt (C.� DATE
CITY
STATE Z-IP CODE
DAY
LIC. #
Workers' C nsattola n Decration: I hereby affirm that I have a certificate of 'consent to self -insure issued by the Director of Industrial Betatrons,
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 .�� ��� �[hi
INSURANCE COMPANY ? [- L G^ Z� POLICY NO. jK/G EXPIRATION DATE
Certificate of .Exemption: I certify that in the performance of the work for which this permit is issued;'I sh'aVl not tmpk6y anf person in any manner
so as to become subject to the Workers'.Compensation Laws of California.
SIGNATURE DATE
8. OWNER -BUILDER DECLARATION
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. 71044, 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 butiA d'or improve for the purpose
of sale.)..
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business'and P,rofessions'Code:
The Contractor's License Law does not apply to an.owner of property who builds or improves thereon, and contracts for such p'rpjects with contractors)
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 [E5001).
SIGNATURE DATE
COMPLETE THI-S-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?
❑ YES ❑ NO
,Is the appl'•icant or future bui-lding occupant required to, obtain a permit from the air pollution control district or air quali-ty management district?
DYES ❑ NO'
Is the facil=ity to be constructed within 1,000 feet of the outer boundary of a school site?
❑ YES NO
IF ANY -OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET'OR IS MEETING THE REQUIREMENTS'
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. _ _ -
9. -.CONSTRUCTION LENDING.AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit isji,;§ued (-Sec 309701 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10..-APP,LICANT'S- SIGNATURE
I•certify that I have read the application and state that the above information is correct. I agree to comply with-alJ City ordinances .and State taus relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS,COSTS AND EXPENSES WHICH 'MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT_
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by Aimi.tation,and become null and void if the building
or work authorized by such permi is not c nced 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 afte heZommenced for a period of 180 days (Section 303(d) Uniform Buitding.Code.).
APPLICANT'S SIGN URE ❑ OWNER ONTRACTOR ❑ BY PHONE _ APPROVED,:BY__
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB900097 FOR 03/09/90
DESCRIPTION: 3 WALL FIRESTONE SERVICE
TYPE: SIGN
JOB ADDRESS: 2545 EL CAMINO REAL
APPLICANT: SIGNTECH
CONTRACTOR: SIGNTECH
OWNER:
REMARKS: T1/MH/VICKY/286-7446
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE:
PHONE:
PHONE:
INSPECTOR AREA MC
PLANCK# CB900097
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 286-7446
619 286-7446
INSPECTOR
ACT COMMENTS
38 EL Signs 7
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS