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Home My WebLink About2561 EL CAMINO REAL; MULTI-PERMIT FILE; CB031745; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2003 Sign Permit Permit No: CB031745 Building Inspection Request Line (760) 602-2725 Job Address: 2561 EL CAMINO REAL CBAD Permit Type: SIGN Status: ISSUED Parcel No: 1563010900 Lot #: 0 Applied: 06/25/2003 Valuation: $800.00 Construction Type: NEW Entered By: CB Reference #: Plan Approved: 06/25/2003 Issued: 06/25/2003 Project Title: SEARS- ILLUM. WALL SIGH Inspect Area: Applicant: Owner: MATTHEWS SIGHNS PLAZA CAMINO REAL PO BOX 2701 C/O SEARS ROEBUCK & CO RAMONA CA 3333 BEVERLY RD 92065 HOFFMAN ESTATES IL 60179 789-4977 Building Permit $17.97 Add'I Building Permit Fee $0.00 Plan Check . $11.68 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $29.65 Total Fees: $29.65 Total Payments To Date: $0.00' Balance Due: $29.65 8251 06125/03 00�..2 02 01 0 (0- L.„c3p. 29.65 PERUff PEPi'" _ , _ ;.�> r : E .__:) i �AGOORDANCE WIT, H U.S.C, SEC'ka;o 'luu.4.4 DATE _��. SIGIIIIAATURIw w, - i PERMIT APPLICATION • .•n4;;: CITY OF CARLSBAD BUILDING DEPARTMENT • 1635_ Faraday Ave.; Carlsbad, CA 92008 - r FOR OFFICE USE ONLY CBQ3/74S- PLAN CHECK NO EST. VAL. G� Plan Ck. Deposit Va f X Address include Bldg/Suite-#)- usiness Name (at this address) Legal' Description Lot No. Subdivision Name/Number -Unit No. Phase No. Total # of units Proposed Use of Work • SQ.• p 1� Stories # of Bedrooms # of Bathrooms ,„� �h „�. �.y�,�.w 3•-� ,.,��,�.. 'e�'rr+w •�r�"E„�' �e �'`v.R :??ae�.; a�';,ei,�'1'.3ia.�.'mar-:,"=�`,}z�za.?h'i•'�cyt;'��,:"?��°:t�%'r,'��%;�wK�T�'?kr:SS:-a:�n�'�'fia�.'�yM �1'��,, ..,tt�,t�t,§C2;�;•'s'ju�`s �?ta +��i�'��' IP,a.C��.a�'»��.'-�.�t��(�'�.fYOY11,,�9ltr.",�Ci#Gxhnaa>� ;.''�z w�i, ?�ie ,� �- .'i , ,.w � ��; p'4t � � �as;m� as.. �'�.•.'." k:, s: ��s�sa'a' �a.r"": ::��a 4r3�..i•a'+`�ua;�ti,��•'�aa;��,•i;��;i>. ,...n«"u.•>" �.��' r„a w�;-i�a�.xY:., �sl�?�^°;ia,,.:sh,.,`,..:�. �fi �'^a+ I:�r�' Name Address spy City State/Zip Telephone # Fax # A T dtt at7t `' `I o Chntie�Ct4„<° . ; 'lt e'rz `' A B s'fo�a{?Yvtl9re ,VIT1 'au.,�+t�., M1w65tt�.«.M.a��a��,$F«.�i,•,.,�..�..s�3��•.i,,.h.«w...«....m.....i vC�kS.,,,,...,.w..,.�n. �..tM ....�.. ,ktta.�w �..^r k�C..M.� xr Name Address City State/Zip. Telephone # ;y�� ,��.. ,i� ,y hk'. ,;sH .. ,� �w'a-`:r� : � .�s,;2,a�.{,��s�.,,nt,;PJ v.�,��.A:J S;�'r"��'rr'f:. `^i;'�'•,?«�"?'K,'�.�<t a;,!'.1n:S`<�'^, 'S !.�a��wr�F; ;9'+,�� .,"1:''�Z't.''�'N `u'-t'i?�?"� �''�.a'`-a,'=e'.'•,Ma r'•'`�'�i"-"�'�; i�' ;ai:v;;;F`= i t^'P C tnlJ e_,�ry�Rp+ 3.,a,.-i+e�.Maui'�a.'�'a''u.,fi"u6ih_;'�ti z',<-°t'.k.:52karl.z�,"tux.S•u:`.s�-2.:`-";i:#'�;i';.k...'�''�'vt.'�`,S.S,�z,2a3:,:-s..o3..:..n�,.:a.ax..�•'d'a.��-t.,txe3a.s''1sL�-:�+3 Name Address City State/Zip Telephone # I(Sec. 7031.5 Business and Professions Code: Any City or Countywhich 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 df the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exewmtion.-iArmiAiltation-of Section *31.5 by any jpplicant for a permit subjects the applicant to -a civil penalty of not more than five hundred dollars 0500)). Name"' Address / City State/Zip Telephone State License,# License Class v fir 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. 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 /Isnsu,r ed. My worke"r's co ti6 •inPt MA� number are:ance Company Policy No. Expiration Date (THIS SECTIONNEEDNOT BE COMPLETED IF THE PJFRMIT IS FOR ONE HUNDRED DOLLj O ARS ($100R LESS) ❑ CERTIFICATE OF EXEMPTION: f certify that in the performance of'the work for which this permit is issued, I shall not employ any person in any manner so as become subject to the Workers' Compensation Laws of California. ARNING: Failure to secure or ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($,1/0Q�]Q�0J0), i diti/o�n�to/�tj/�je/�joja o c enaction, damages as provided for in Section 3706 of the or od`e7—inter}est and attornay's fees. CIr;NATIIRF \�/.�f�/ AM / ), J - - � � � DATE �J i hereby affirm.tdat 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). ❑ 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. I personally plan to provide the major labor and -materials for construction of the proposed property improvement. ❑ YES ❑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 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 / 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 .yy....., wy v;.a ., ...,., .a,_ :..«r,.....,. ..�,<..-..w,., <.,y ry„�.:.�> �• .":fin :C2; �Os';'x-'gig_ 's a .�;gg +;.:sa. , �+.a ;� ae., ,;a,;., z.;i,.:w ~s, )< tea' h aF0 ='NON- L'/R.E iZ/AL.. UIL i OIRERMI S�,O_ 2.a'�''��`,�.��.,-�: ,��,e :w�� .,�-e��'�z`,�x;.�`'.'�'�',: ��'-:3�_i�+?'+?�`li sxl �=�ttC;�•',y;,a�'�"�.kj�,�G��l'r�-�<.*ic,•�z: "'� �i�`,.`OMP,„L,`ETE��`Hj8 3EGtT,�0.1�.....^.,.a,....,..�...+S.....�.......aS.� _..... ........%TA.�., _��:< �,.C;,.a:.�.�::,.�,��.•.....�..$'�..�a'1,a„�. , a�w...a�.�'r..�ua..d�s.•�t�.,�,_,�.:-.,». �.-_`:,_ �:., ;��-.;, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form .or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ YES ❑ NO Is the applicant or future building occupant required to obtain.a permit from the air pollution control- district or air, quality management district? ❑ YES ❑ NO Is the facility to -be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES ❑ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. n "�'< �T ;xr•. H��a� ".c'�°""� p�r•�;�;` ^rX .,r^,/�^�*�'s=�i�;=,�,°r "{m~*':�':`n°`=m'u�x:�.:>R•S a°hl i,m.'n��+, '•:y�'�3='�a'"stpFi?-,'s-`;`.'�;-.:zi.?s,:S�'�•�?;�t`:`�";,ie�.:•�.'$iii;.a: h tl '1 Dw V' �G «h�aa'y A.-FYy�i�0'N;fi-i ?�.'�f.f�a3,�•. �:f iy%'��,�'.�5.; 'k �L�:i,u%_',•.. . F 3*�.`•+;-'(k'ili �,��,�. itr.`c �G. - ^iLi�Se.�°i, .t.r _. _s...•.!M!�"r... •.•...A; v..: ., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S -NAME LENDER'S ADDRESS -"'4;-.-"•+•-p ;-• ,� ivt^-:�N'"'_`;lu:?�,V'�€r::u,eT:r•&-BCr's't'�s??a�."u�#.*:}>x;�:L;s'T;w3�:,F:�+-nF.�`�. '�"k��a""7",�.�,_ 'fir �, 't�,'�';"�8; :'r-:.: zs� n z'+�a, li-'1� i+�-. .,,al ��.4,.�'.�.,. .Ei a a l�.«... � �x..�i•x, �4�:.t„�.n>u. �;.oiuwk:=,aai : 1«w%., t",� �k�:ar.�i:aa`�;:a,.,:r:::;.,a.,a;�`«;isu.'-z,3:i` . �..::.�.an.__.11z�`��'al',�'v=F.�;.a: 4-'r.i...'�`x':�g:�;:'i.:.z .4a�t.�,:».....;�� aL:;,�'a +..k.��i„ I certify that 1 have read the application and state that the above information is correct and that the -information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. 1 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'W' deep and demolition or construction of structures over 3 stories in height. EIXPIRATION: 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 uthorized 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 t any tin , after the work is commenced for a pf rJ90 of 180•days (Section 106.4.4 Uniform Building Code). V-APPLICA r'S SIGNATURE 4 /.ram/. DATE WHITE: File YELLOW: Applicant PINK: Finance �'9(/FOR�\P Buil�iin 11 Ci -of'.Ca, MATTHEWS SIGNS P O BOX 2701 RAMONA CA 92065 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN Isba'-d -Permit Number: CB031745 Issue -Date: � 6/25703 ADDRESS:' 2561 EL CAMINO REAL PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 12/22/03. The provisions of UBC, Section 106.4.4- as amended by the Carlsbad Municipal Code state: "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 1-80 days from the date of such permit (unless issued prior to 7/l/99 which is one year from date of permit), -or if the building or work authorized by such permit is stopped. at any time after the work is -commenced for a period of -1-80 days or if the building, or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a.required inspection approval of work authorized by the permit by the- Building Official within 180 days of the date of permit issuance. Work shall, be presumed to be stopped if the permittee has not obtained a required inspection approval of work. by- the Building Official within each 180 day period upon the initial commencement of work authorized by such permit., Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit .for such work, and provided that no changes have been made or will be made in the original plans and specifications foir such work, and provided, further that such suspension or abandonment has not exceeded one year.. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an :extension, of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building iOfficial may extend the time for action by the permittee for a period not exceeding 180 days 'on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action froi being_ taken. No permit shall be extended more than once. I Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach.a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY . Building and Code Enforcement Manager 1 1635 Faraday Avenue - Carlsbad, CA 92008-7314 • (760) 602-2700 - FAX (760) 602-8560 A B U I L D I NG PERMIT 10/17/94 14:03 Page i of I Job Address: 2561 EL CAMINO REAL Suite: Permit Type: SIGN Parcel No: 156-301-09-00 Lot#: Valuation: 8,500 Construction Type: NEW Occupancy Group: Reference#: Description: REPLACE EXISTING SIGN AT AUTO : CENTER FOR SEARS Appl/Ownr : AD -ART SIGNS 19603 FIGUEROA CARSON, CA. 90745 Fees Required *x ------------- ---------- ------- Fees: 17 d. 0-61- Adjustments: T Total Fees: A 7 8_-.5� To Fee description ------------------- Building Permit Plan Check * SIGN TOTAL ;A INOORFORATED 1952 CT Permit No: CB941311 Project No: A940'1908 Development No: 9146 10/17/94 0001 01 0_-� C-PRMT 178.00 Status: ISSUED Applied: 10/17/94 Apr/Issue: 10/17/94 Entered By: MDP 310 523=9500 - Paym lance ed & Credits ------------- .00 .00 178,00 t Ext fee Data ------------------ 108.00 70.00 178.00 I CITY OF CARLSB�D 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CA" 1; PERNIlT APPLICATION City of Cartsbad Building Department 2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161 ERAUT TYPE From List 1 (see back) give code of Permit -Type: -------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure -Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. 3 `� 2. PROJECT INFORMATION- FOR OFFICE USE ONLY Address C o a Et Cal'AlnBuilding or utte O. Nearest rocs Str et LEGAL DESCRIPTION t No. Subdivision Name/Number Unit No. Phase No. ❑ 2 Energy Calcs ❑ 2 Structural Caics ❑ 2 Soils Report ❑ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Cc SQ. FT. � `J # OF STORIES # OF BEDROOMS # OF BATHROOMS 3-t7QPTAM PEASM l,ittfterenf"from app icanf NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY'TELEPHONE NAME ((^last name first) C.-{�`fa� ',,y"% HL%4. _ ADDRESS 1 6� b tt � 0A/� V-e � (°j S CITY `'a V-S CIA STATE Cy ' ZIP CODE q 6'7q4'DAY TELEPHONE 31 C7 G T-PTMP= OWNER1_. NAME (last name first) p � �'. t` C ►Zl/rWN N'A J �� ADDRESS � �° � � \-A-V +-e n CITY (12 �S STATE C ZIP CODE DAY TELEPHON2E �' G . Z 7 NAME (last name first) ^ �-�, � �% �A7D` iDR$SS % -/1� f�" 1� �i^� Ct /, CITY C� �'/�/, STATE C.}r-- ZIP CODE � 6 ! `t � ^ D//AY TELEPHONFJ 10 9 3 V 6 STATE MC. #�1 LICENSE CLASS 4 57 CITY BUSINESS LIC. # DESIGNER NAME (last namefirst) CITY V STATE ZIP CODE DAY TELEPHONE STATE LIC. # 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 Buildin�ngJJI�n/s�pection beepartment (Section-3800, Lab. C). INSURANCE COMPANY No t' �( but) �LICP'Fo- g ` & 73CPIRATION DATE any manner so as to become subject to the Workers' Compensation Laws, of California. SIGNATURE DATE Uwner-Builder Declaration: I hereby attirm tnat , am exempt rom tne ogtrac o s License Law for the toirowing 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: (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 [$500]). SIGNATURE 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? ❑ YES ❑ NO Is the applicant or future building occupant required to obtain a permit from the'air pollution control district or air quality management district? ❑ YES ❑ NO Is the facility 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 MEP OR IS-MEEITNG THE REQUIRIIVIE M OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. NAME LENDER'S ADDRESS ....� Zr" ---- ----- ---- --- -- relating to building construcnon. 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 HARItUYSS THE C[TY OF CARISBAD AGAINST AIL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN,ANY WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5V 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 mmenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at ny ' after the work is commenced for a period of 180 days (Section 303(d) Uniform Buii g APPLICANT'S SIGNATURE - DATE: 0 CITY OF .CARLSBAD INSPECTION REQUEST PERMIT# CB941311 FOR 02/16/95 INSPECTOR AREA DESCRIPTION: REPLACE EXISTING SIGN AT AUTO PLANCK# CB941311 CENTER FOR SEARS, OCC GRP TYPE: SIGN CONSTR TYPE NEW JOB ADDRESS: 2561 EL CAMINO REAL STE: T: APPLICANT: AD -ART SIGNS PHONE:, 310 523-9500 CONTRACTOR: PHONE: OWNER; PHONE: REMARKS: RS/ED BOYER/736-6070 INSPECTOR SPECIAL INSTRUCT: REQUESTING A.-M. INSPECTION TOTAL TIME: --RELATED PERMITS-- PERMITf TYPE STATUS CB920497 ELEC EXPIRED WDP02121 WDP ISSUED CB931296 CTI ISSUED AS940032 ASC ISSUED FAD94018 FADD ISSUED FAD94019 FADD ISSUED FAD94022' FADD ISSUED CB941037. CTI ISSUED CB941186 CTI ISSUED CD LVL- DESCRIPTION ACT COMMENTS 38 EL' Signs J ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS I �'�4riilY ff'Imn- 11h.11 a7mlicpriseq, under irg I., too en I!loni liaotir- 9 cing with _1I6nJ60o)�6f_DIvIsIon,'3'ot the Business and Professions Code, and my, ilcense Is In JE 'it force anSt-effec . - Z1 Lic.1NO-2-2 �5. Class &,'46 0— t-heie6jalfirm,that llam_�xe mpf frorri Ifie Con. trictdr's,License Law for the-follow2i,reas0n_(Sec. 7q31 5 Business anq Professions, Is-. Any, city or q-4rlty which requires a pe , rmit to construct pl!er, improve, aikmolis�, or-repak any structure, prior to'its issuance also requiresthe applicant for Jsuch,permt-to file a�signed statement that he is licensed pursuant, !o the 'on govii) , s of _t�e gon tractor'sLicefisie Law'(Cha tbr.9 cbrrimencing with §IiCtior� 70DO 6f,Divi �i(?n 3 of lhWBusiness.apI Pro. i fessions Code),d5*tfiat.1s &xqrrpIAh6i*fromand'jhe. basm f6r,the alQed exemption. Any violation of Section 7031.� by�afi-aoplicaht,for a �ermit-dubjects me applicant to a. '4C -hundreitd6limir F!naltr�of n6t,more,than five UA 0'1� ai�ov6er bi orqr��ainployees_ *ijh,wag6sjs their sple c.ompensation,will do,trie work,,and the Structure is not'ifititride&or offered'for s�ale (Se6� 7044, Bus!6ess'an8 �ProfessjOhs Code: W The'Contractor's License-LaW-does, not apply to an Z owner of-i5roperty whispyi1gs,'o� iimproves thereon and Wh6'd6e`j'such work huriiialf,& through his.own employees, provided that-'such-4rnprover pents are not intended or'�bffereq tor,sale. II-IridWever, the -Ibuild(ng or jmi�rbvIi poMpletio ,, - ment Is sq,18 wilhin,,one year I n, the dwner-buildei, will have theburcleon !for I of proving, that' he did not build or-imprdve he ipurpose of salef. 43 Z 6wner-bf the property, am exclusively 0 ;coritracting with licensed'con6actors,to construct the� project' (Sed..7044, Business and Professions Code. The Contractor4s'Liciinse Law does'nof-ppy cc to an owner of-pr6perty who builds or improves it*teOn a. dwfio�contractslof-each projects with a c9n rac s license pursuant to the Contiactor's,- Licensetw), UA 0 1 am exempt under Sec. B & RC. for this reason /11 t ereby affirm that I have a certificate of c'. to self -insure. or, a certificate of Wonsent Compensation*lnsurance,oracertift , rkers' (Se<� 3800. Labor -Cod ed copy;thereof POLICY NO. 0 P C70ANY -with the city. �0, Z copy is filed W -[I Certified c pPy i6.h6reby furnished. 0 CERTIFICATE OF EXEMPTION FROM 4 YVORKERS' COMPENSATION INSURANCE �ihis section need not be completed if the permit ul is for one hundred -dollars ($100) or less) le CC, - - (I I certify that in -the performance of the work for 0 which t6is peimit is issued, I shalf not employ any person in any manner so as to become subject to the,Woriiers* Compensation Laws of Califorhia, NOTICg To APPLICANT. if, after. making -this Cent. Jicate of Exempt I n , 'You shou ld be ' come subject to 0 rs, m io pro I I ns of the he W rke �D Ppensat n Labor C , u , st fo w I vso 4 . ode 0 rth I h c �jy with. such proivisto y s or u i P rmil 3 a om emed rev n thi e h 11 be de oked 'I hereby affirm that there ns a construction Cr �1,111weridlhng agencyJor the,performa ce of the W hc _, (Sec- work for this permit is issued 3097, Ci�ll Cbde). Z Lende re s Vender's Add" s* USE BALL P0111iffiWONLY. &'PRESSAARD CIARLSBAMU'l LDI NUDEPARTM ENT APPLICANT t0FILL ININFORMATION, WITHIN �;HADED AREA AND'PgPLA7 RAT41C -1200, E Ifornia .-IM, C,1r1slbh6, Oal 9608 (714),4�§-652§, AFOCATION, PERMIT' JOB ADDRESS AV. PT.1 DATE QF,�PPI_jcATIONJ BUSINESS LidENSE RD, OVVN`ER'!��N[AM VA L PERMIT NUMBER 718 7/4)OWNER'S PHONE, RiM'EC6NTRACTOR CONTRAC40.FiS Pj`-f0_Nt# ZONE - 7f OWNE A'S M AICINQ'ADDRESS r CONTRACTOR'S ADDAESS 0 6,,� LICENSE NO. 17 2— PILAN I.G. LD� �SE CODE' LOT BLOCK SdB6(Vl!5I6N' ASSES OR FAHUEL NO. DESIGNER �D DESCRIPTION OF W RK o STA . TE �LICENSE # 7TAN �RD.PILAN # BUILDING SQ. FQOTAGE' C) el DESIGNER'SIPHONE _/P FLR'ELEV. ------ OCC GF; STORIJES i'' -.1 - PACT YO-NO CENSUS T GP L,�,ND,USE 'PARKING�e &CE F44S UN.ITS' GRADING 1:1 E ERMIT,)SSU _. _�_: TYPE - OCC 000 13 76 11 /20� s AREA LOAD,1 Fli SP R CONST Y -N [I , - Yo NO - QTY I PLUMBING PERMIT - 18SUE QTY. YQ N 0 Not Valid UOMSS Machine i7ertified MECH ISSUE EACWFIXT'LIRE TRAP �,NICAL,PERMIT SUMMARY/ACCOUNT'NUMBER, IhSYALL:FURN.DUCTS UP TO 160,009 EACH BTU E R, BUILDIhG,PERMIT \ OVER 100,000�BTU EACH WAJ-ER HEATER AND/ VENT BOILER/COMPRESSO kUP TO 3 HP gA�H GAS SYSTEM. I T 0 4 0 LIT TS I I — � PLAN CHECK I EACH GAS�SYSTEM BOILERYCIOMPRIESSOR 3- HP 5 OR MORE� - TOTAL PLUMBING METAL FIREPLACE EACH INSTAL- ALTIfA, REPAIR WATER PI VENT FAN ELECTRICAL -ea . SING,LE DUCT VA*CUUM BREAKER' MECHANICAL MECH EX ::�EACH HAUST � H-OOD/DUCTS WA ER �SOFT E`R�'� MOBILEHOME EACH ROOF DRAIN (INSIDE) RIEL - OCATfON OF EA FURNACEMEATER MOBILEHOME PARKINSP —iOLAR To TAL MECHANI STRONG MOTION __7 'TOTALPLUMBING FIRE'SPRINKLERS CITY., ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE BRIDGE FEE NEMCONSTEAAMP/SWT/B.K� COLLECTORS SC�001_ FEE - DISTRICT ll� PH' 3 P�_ Carlsbad EXIST B,LDGtAAMP/SWT/BK.R - 3 PH ROCK STORAGE Encinitas REMODEL/ALTER PER CIRCUIT PUMP N, PLAN CHECK FEE San Dieguito TEMPPOLE 200AMPS San Marcos OVER 200'AMPS TEMP OCCUPANCY (30 DAYS) v'a OTAL ELECTRIC 0, TOTAL SOLAR 7 -0 I HAVE CAREFULLY TOTAL P8ES PAYABLE EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every Permit issued'bYthe Building official underthoProvisionsofthfs CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEFIEON� INCLUDING THE Code Shall expire by limitation and become null and void, If the buildin AN OSHA DEC LARATIONS ARE TRUE AND CORRECT AMD authgrized or work . PERMrT IS REQUAIED,FOWEXCAvATIONS I FURTHER CERTIFY AND AGREE IF A PERMIT IS 9 OVER by such permit ispot cornmenced within 180 days from the date of -S'W'DEEP AND DtAi ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING C the -building or work authorized by Such permit is suspend suc permit or it In ITION OR CONST1111LICY10IN OF STRUCTION, WHtTHER'SPECIFIED HEREIN OR NOT. ON- aban�ii; nod at an e time after the ad or STRMTURES OVER 3 STORIES IN HEIGHT I ALSO work AGREE TO SAVE INDE ....... . 180-da I - I - r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIN LL LIABILITIES, JUDGMENTS, COSTS AND APPLICAY* . S SIGNATURE 4,Z r_____Q_WN1ER 0 CONTRACTORY APPROVITOOBy- MOW GRANTING OF THIS PERMIT., ST SAID . CITY IN CONSEQUENCE OF THE OF- rn KIM d NO I NA � M 4 � I ' � ! INSPECTION TYPE DATE INSPECTOR FIELD INSPECTION RECORD _ I; BUILDING L REQUIRED SPECIAL INSPECTIONS EOU ATION- ? INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE _ RCED STEEL S(IRY i l GUNITE OR GROUT SOILS COMPLIANCE t ,FLOOR & CEILING SUB FRAME PRIOR rt'O FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE 4 rFRAME t OVER 2000 PSI PRESTRESSED EXiEAIbR LATH INSULATION CONCRETE POST TENSIONED INTERIOR LATH &'DRYWALL I CONCRETE-. PLUMBING FIELD WELDING i -- SEWER AND BL/CO t } HIGH STRENGTH BOLTS SPECIAL MASONRY PL{JMBING UNDERGROUND I PLUMBING TOP OUT We AND SHOWER PAN ' ,. GAS TEST t PILES CAISSONS 4 ELECTRICAL TEMPORARY POWER t ELECTRIC UNDERGROUND { f10UGH ELECTRIC f ELECTRIC SERVICE I, BONDING 1 G: F: 1. — SMOKE- DETECTOR'- { MECHANICAL DUCT & PLEM., REF. PIPING i I= HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS 1 CAL FOR FINAL INSPECTION V HEN ALL APPROPR/A; ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL - PLUMBING ELECTRICAL a MECHANICAL GAS ` flUl LDING EGIAL CONDITIONS - OF IANCY ISSUED F - INSPECTOR'S NOTES'