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Home My WebLink About2644 MADISON ST; ; CB891979; PermitB U I L D I N G 12/26/89 16:00 Page 1 of 1 Job Address: 2644 MADISON ST Permit Type: SIGN Parcel No: Valuation: 125 Construction Type: NEW PERMIT Permit No: CB891979 Project No: A8801819 Development No: Str: Fl: Ste: .::277 12/201 19 0001 01 02 ~-P 'MT '" 00 C.)i # ()_ ) {? 7 Occupancy Group: Class Code: Status: ISSUED Description: SUCCESS SYSTEMS WALL SIGN OWNER BENTSON, TOM 3076 PALM ST SAN DIEGO, CA 92104 *** Fees Required *** *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 26.00 .00 26.00 Applied 12/26/89 Apr/Issue Validated By: DC Lie. 619 280-7183 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 26.00 Ext fee Data 15.00 10.00 1.00 26.00 CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 • PERMIT APPLICATION City of Carlsbad Building Department • 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 43e-11&1 1. P RMIT TYPE A DMfllfRCIAL . . . B -0 INDUSTRIAL ONEW □TENANT IMPROVEMENT C • 0 RESIDENTIAL □APARTMENT □CONDO QSINGLE fAMILY DWELLING OADDITION/IILTERATION ODUPLU □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0 MECHANICAL OPOOL □SPA □RETAINING WALL OsoLAR □OTHER _____ _ z. A Nearest Cross Streets LEGAL DESCRIPTllll Lot No. 2 Structural Cales PROPOSED USE 3. DAY TELEPHONE :J-f tJ,Jl 17'3 CITY C TRAC~ ZIP CODE D AGENT fOR OWNER DAY TELEPHONE 2.tf t) ~ 17'3 QLESSEE QTENANT CITY DAY TELEPHONE 2 ~---? 173 6. CONTRACTOR 7. NAME CITY c>w N/l. SIGNATURE DESIGNER NAM~ IA /J A CITY W,l.,L--' \ STATE STATE LIC. # ____ _ WORKERS' COMPENSATION ADDRESS ZIP CODE LICENSE CLASS ____ _ DAY TELE PHONE CITY BUSINESS lit. # DATE DAY TELEPHONE STATE LIC_ # Workers• C.,,..:,ensation Declaration• I hereby affirm that I have a cert1f1eate of consent to self·1nsure issued by the Director of Industrial Relations, or a certificate of Workers• C....,ensation Insurance by an admitted insurer, or an exact copy or o.,plicate thereof certified by the Director of the insurer thereof filed with the Building Inspection D"partment (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE SIGNATURE DATE 0 Certificate of Exeq:,tion: I certify that in the performance of the work for which this pernit is issued, I shall not e,oplay any person 1n any 111111ner so as. to become subject to the Workers' Coo-pensation La~of Ca . ornia. ·r ~ =-··)2... -~ 8. OWNE~CLARATION . wner•Builder Declaration: I her"by affirm that I am exeq:,t from the Contractor's License Law for the following reason: as owner of the property or my en<ployees with waties as their sole compensation, will do tht' 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 i111proves 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 illll)rove for the puri,ose 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 witl\ contractor(s) 1 icensed pursuant to the Contractor's License Law). D I am exempt under Section ___________ Business and Professions Code for this reason, (See. 7031.5 Business and Professions Code: Any City or C°""tY which requires a P"rmit to construct, alter, iq,rove, den>lish, or repair any structure, prior to its issuance, also requires the applicant for such P"rmit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, c011111encing with section 7000 of Division 3 of the Business •nd Professions Code) or that he is ex.._,t and the basis for the alleged exemption. Any violation o tion 703LS by any applicant for a P"rnit subjects the ll!lPlicant to a civil more than five hundred dol [$5001). ,. I•"""":>-/ 0-. SIGNATURE _---,_. DATE ~ (S COMPLETE TH IS SECT! ls the applicant or future building occ~nt required to submit a business plan, acutely hazardous nareriols registration fonn or risk managenoent and prevention program ~r Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance AccOUlt Act? QYES ~ Is the applicant or future building occupant requir"'!_ to~permit fran the air pollution control district or air q.iality management district? □~s ~ --. ls the facility to be constructed within 1,000 feet ~he ~fa school site? Om ~ IF ANY Of TNE ANSWERS ARE YES, A FIIW. CERTIFICATE Of ClaU'IINCY NAY NOT BE IS5UED AFTQ JULY 1, 1989 lllllESS TE APPLICANT US IET OR IS IEETIII& TIIE IBIUIIIEIEITS Of THE Off ICE OF EJIERGENCf S£RVICES All) TNE AIR POLLUTIDII COITRIIL DISTRICT_ 9. CONSTRUCTION LENDING AGENCY I hereby affir~ tn is,•,,onstruction lending,t.jency for LENDER'S NAME-l ra \ ~ {' tl~t:l.s •" ~.:;;..-,-,/ 10. APPLICANT'S SIGNATURE I I certify that I have read the application and state that the above information is correct. I agree to c~ly with all City ordinances and State Laws relating to bui Lding construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above raentioned property for insP"ction purposes. I ALSO AGREE TO SAVE INDENNI FY All> KEEP IIAIIIII.ESS THE CITY OF CARLSBAD AGAINST ALL LIAIIILlTIES, JIDCIIIEllTS, COSTS AIID EXPENSES WHICH IUIY IN AIIY VAY ACCRUE AGAINST SAID CITI' IN COISEIIUENCE OF THE GRANTING OF THIS PERMIT_ Expiration. Every permit issued by the Building Offieial under the provisions of this Code shall expire by limitation and becOffl" nJll and void if the building or work authorited by such permit is not conrnenced within 180 days from the date of suet, P"rmit or if the building or work authori~ed by such pernit is suspended or abandon~ afte~._the · ·••-•need tw:..; P"riod i 180 days (Section 303(d) Uniform Building Code). ✓-------·· ,.. ..... . APPllc r•s s1 ·-----~ OcoNTRACTOR OBY PHONE .,,-::---' WHITE: Fhe YELLOW: Applicant PINK: Finance PERMIT# CB891979 DESCRIPTION: SUCCESS SYSTEMS CITY OF CARLSBAD INSPECTION REQUEST FOR 01/17/90 WALL SIGN TYPE: SIGN JOB ADDRESS: 2644 APPLICANT: BENTSON, CONTRACTOR: MADISON ST TOM OWNER: BENTSON, TOM REMARKS: TEL/MH/JIM/280-8173 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# CB881366 CB881367 TYPE CTI CTI STATUS ISSUED ISSUED STR: CD 38 LVL DESCRIPTION EL signs ACT COMMENTS L~f) v·1· ., //':r·1· ./ fl/ /-·t••J .,_.;' ---------------------------------------------------------- ***** INSPECTION HISTORY***** INSPECTOR AREA PK PLANCK# CB891979 ace GRP CONSTR. TYPE NEW FL: STE: DATE DESCRIPTION 010290 Signs ACT INSP NR PK COMMENTS SIGN NOT UP