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Home My WebLink About2721 CARLSBAD BLVD; ; CB920380; PermitBUILD 04/17/92 14:41 Page 1 of 1 Job Address: 2721 CARLSBAD BL Permit Type: SIGN Parcel No: Valuation: 400 Construction Type: NEW Occupancy Group: ING PERMIT Str Permit No: CB920380 Project No: A9201057 Development No: Fl Y281 04/17/'0001 01 C-PRMT 02 25-00 Class Code: Description: 12 SF VILLAGE GALLERY Appl/Ownr BRYAN, JERRY 2890 PIO PICO CARLSBAD, CA 920 *** Fees Required Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check * SIGN TOTAL Status Applied Apr/Issue Validated By 619 434-3318 ted & Credits ISSUED 04/17/92 04/17/32 DC * * * , 00 . 00 25.00 Ext fee Data 15 . 00 10.00 25.00 APPROVAL DATE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I. FERMITTYPE A^U Commercial D New Building Q Tenant Impravement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2, PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT. VALID. BY DATE FOR OFFICE USE ONLY Address Building or buire No. Nearest Cross Street LEGAL Lot No.Subdivision Name/Number Unit No.Phase TJb. J 4 6 CHECK BtLOW IF SUBM11 IKL): D 2 Energy Calcs D 2 Structural ASSESSOR'S PARCEL DESCRIPTION OF WORK SQ. FT. \"i S^ -f-*" tX"» Calcs D 2 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSED USE iil\ # OF STORIES " . UUMIAL.I rKKMJN (ii aiiterent trom applicant; NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE . APPLICANT U UUN 1 KAC 1 (JK NAME CITY . PKUFEKIY UWNEK NAME -T* r-r- ^.J-iCi A. CITY ( pA&ftlL ' . UUNTHALIUK NAME CITY STATE LIC OACJtNI FOR CUIM 1 KA(J 1 UK UOWNhR LJA(jt.Nl hUK UWNliK ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS ^DCt'£> \.*E> \"l-O STATE C*^ ZIP CODE ^>®0 % DAY TELEPHONE ^/ % V — ^3 ADDRESS STATE ZIP CODE DAY TELEPHONE . # LICENSE CLASS CITY BUSINESS LIC. # '8 ULiUjNLK NAML CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers Compensation Declaration: I hereby aritrm that I nave a certificate or consent to sell-insure issued oy the Director of Industrial 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 Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate ot Exemption: I certify that in the perlormance or the work tor wnich 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby artirm that I am exempt from the Contractors 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 License Law). D 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 COMPLETE THIS 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? D 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? 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 AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. GDNSTKIXJriON LENDING AGENCY """""" I hereby affirm that there is a construction lending agency lor the performance ot the work tor which this permit is issued (Sec 3097U) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPL1CJVNT CERTIFICATION I certify that I have read the application and state that the above information is correct. 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 CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB920380 FOR 05/22/92 DESCRIPTION: 12 SF VILLAGE GALLERY TYPE: SIGN JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2721 CARLSBAD BL BRYAN, JERRY PHONE: PHONE: PHONE: INSPECTOR AREA HP PLANCK! CB920380 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 434-3318 REMARKS: MH/434-2412 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 38 EL Signs ACT COMMENTS Jr. DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS