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Home My WebLink About2728 LOKER AVE W; ; CB901542; PermitB U I L D I N G PERMIT Permit No: CB901542 09/21/90 08:16 Page 1 of 1 Job Address: 2728 LOKER AV WEST Permit Type : SIGN Parcel No: Valuation: 4,500 Construction Type: NEW Occupancy Group : Class Code: Project No: A9 001721 Development No: Str: Fl: Ste : S,7 0 ./'')1 / &2. b971 -T 11 Description: MONUMENT SIGN CARLSBAD CROSSRD _tatus: ISSUED Applied: 09/21/90 Apr/Issue : Validated By: DC CONTRACTOR ROEL CONSTRUCTION 3366 KURTZ ST SAN DIEGO, CA 92110 CARLSBAD CROSSROADS Lie. C 184531 619-297-4156 Lie. OWNER OWNER * * * Fees Required * * * Fee~ Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 119.00 .oo 119.00 ------------------------------------------- Total Credits: Tot-al Paymentp : Balance Due: Units Fee/Unit .00 .00 119 .00 Ext fee Data --------------------------------------------------------------------------- Building Permit Plan Check * BUILDING TOTAL ~PPROVAL INSP. ~ DATE 1~/;3/11 CLEARANCE ri CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 72.00 47.00 119.00 PERMIT APPLICATION City of Carlsbad Building Department EST. VAL ____ ~....._--''------------2075 Las Palmas Dr ., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT __ ""'---:.--------- VAL!D. BY ___ .,_/_:5_2-__ "'-r----- 1. PERMIT TYPE DATE -----L-2;.,,c;A_~_._P_...___.c....i..:::,:;):;___ A COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL ONEIi 0TENANT IMPROVEMENT C 0RESIDENTIAL 0APARTMENT 0CONOO 0SINGLE FAMILY DI/ELLING 0ADDITION/ALTERATION 0DUPLEX 0DEMOL!TlON 0RELOCAT!ON 0M081LE HOME 0ELE~RICAL 0MECHANICAL 0POOL OsPA 0RETAINING I/ALL 0SOLAR ;1I;JoTHER,__,~......,...,_-'-"- 2. PROJECT INFORMATION PLAN CHECK No. F Unit No. Phase No. PROPOSED USE BLDG. SD. FTG. # OF STORIES 3. 1/f 77 V/ti+Vtel 06/E;. )'t11'e-, 9 9-1?-,-3..-DAY TELEPHONE (;;_;-78" --S-7 S'O E~ frt/c;.- DAY TELEPHONE :J-77 ~ on STATE ADDREss,59(o5 PAC/~/~SEE ~~ 61-L/O $7& 70/ tJA-z1P cooE 9-ol/;L/ DAY TELEPHONE 5'a"5";-OlJS-G°' ADDRESS 8(t;{au; Uter-z..._ STATEM-ZIPCOOE 9,;;}_//0 DAY TELEPHONE STATE LlC. #/!L/'53/ LICENSE CLASS ------Cl TY BUSINESS LIC. # SI GNAT URE CITY LIC . # 7. WORKERS' COMPENSATION 1/orkers' Coopensation Declaration: I hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of llorkers' Coopensat ion Insurance by an adni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3600, Lab. C). INSURANCE COMPANY C/)/J77/\/E,,A/rAJ.,,. {J/)J. C() POLICY NO. :5/!-W ?;/(0 //~'2!v!IRATION DATE Certificate of Exl!f1l)tion: I certify that in the performance of the work for which this permit is issued, I shall not l!f1l)loy any person in any manner so as to become subject to the llorkers• Coopensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Bu1 lder Declarat1on: J hereby affirm that I am exefll)t from the Contractor's L1cense Law for the following reason: 0 I as owner of the property or my employees with wages as their sole coopensat1on, 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 h1s own l!f1l)loyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement 1s sold within one year of c0<11>let1on, the owner·bui Ider w1 l l have the burden of proving that he did not 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, 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). 0 I am exl!f1l)t 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 exl!f1l)t therefrom, and the basis for the alleged exl!f1l)tion. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S5001l. SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RES!OENT!AL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submlt a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act? Ores tJNo ls the applicant or future bu1ld1ng occupant required _;.9--obtain a permit from the air pollution control district or air quality management district? DYES E'.JNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES @<a' IF ANY OF THE AIIS\IERS ARE TES, A FINAL CERTIFICATE OF OCDJPAIICT NAT NOT BE ISSUED AFTER JULT 1, 1989 UNLESS THE APPLICAl!T HAS IIIET OIi IS IIIEETINC THE REQUIREIIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lendlng agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAM{;/JdJ'/t---cP ~~'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that l have read the application and state that the above 1nformat1on 1s correct. I agree to COf11>lY with all City ordinances and State laws relating to building construction. l hereby author1Ze 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 ANO EXPENSES IIHICH NAT IN ANY IIAT ACCRUE AGAINST SAID CITT IN CONSEQIJENCE OF THE GRANTING OF THIS PERMIT. 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 author1Zed by such permit not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended time a ter t e ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). D OIINER D CONTRACTOR OBY PHONE YELLOW: Applicant PINK: Finance APPROVED BT; -------- DATE:---------~