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2731 LOKER AV WEST; ; CB962384; Permit
12/17/9^6 15 15 » U I L 1 Page 1 of i Job Address 2731 LOKER AV WEST Permit Type SIGN Parcel No 209-081-20-00 Valuation 1 200 Occupancy Group Description FRONT WALL SIGN,FOAM I NOT ILLUMINATED Appl/Ownr CLEAR COMMUNICATIONS 235 ENGEL ST ESCONDIDO CA 92009 PERMIT Suite Lot# Permit No CB962384 Project No A9603397 Development No Fees Adjustments Total Fees Fees Required •*•** 48 * * 4 sQs—.-./ J.-»— . ,,_! _, .-/__.^__ r^,, & ' ^a&& Fee description Building Permit Plan Check * SIGN TOTAL 1550 J2'17/96 0001 01 02 C-PRHT 4B.CO Construction Type NEW Status ISSUED Applied 12/17/96 Apr/Issue 12/17/96 Entered By RMA 519 737-7414 Kepa ejected & Credits-- , ^. 00 00 48 00 Data 29 00 19 00 48 OJ FINAk?APPROVAL INSP CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Or , Carlsbad, CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Proiects Only From List 2 (see back) give Code of Structure Type Net Loss/Gam of Dwelling Units . PLAN CHECK NO EST VAL PLAN CK DEPOSrr_ VALID BY_ DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 1^1 "3^ I If- Nearest Cross Street Building or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Tr imt 10375 Unit No Phase No CHECK BELOW IF SUBMll'ltU D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK so FT ^37, 5 £jd s OF STORIES OF BEDROOMS # OF BATHROOMS 3 (JUN i AL.I FkKSUN ill aniesent Trom applicant; NAME (last name first) CITY vr->tin:STATE ZIP CODE DAY TELEPHONE ( <^ /Q 7?-5 7 4 APPLICANT DCONTRACTOR u AGENT FOR LONTRAL TOR U OWNtR U AG,tN I 1-UR OWNtR NAME (last name first) CITY RACrQR U QJbuaS STATE Ck\ ZIP CODE DAY TLEPHONE , , )<f )~ 7<// / 5 PROPERTY OWNERjrxvvjri^xvi 1 wvvi^i^ix . ' NAME (last name first) U>' CITY Qxs^l^bu-rU 'DJL STATE CJIV ZIP CODE ADDRESS DAY TELEPHONE Qk / 9 ) /3 /- 6 CONTRACTOR NAME (last name first)ADDRESS CITY STATE ? A. ZIP CODE ^5?0 2 STATE LIC # <-/ & ^JZSUCENSE CLASS DAY TELEPHONE CITY BUSINESS LIC # D f73-'4~7 L5ESIGNEH NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS'COMPENSATION WorkenTCompensanon Declaration I Hereby affirm that Tnave a certificate of consent to sell insure issued by 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 Q-) ft (c\L?y\A.'^c<^ (J POLICY NO /\J l$3*' -^nBcPIRATlON DATE *//?/ " Certificate of Exemption I certify that in the perfojinance of the work tor which this permit is issued so as to become subject to the Workers Compensation Laws of California SIGNATUR DATE _&• nsation Laws of /7/U shall not employ any person in any manner 8 OWNER BUHJJi uwner Builder Declaration—1 hereby allirm that 1 am exempt irom the L-ontractors License Law tor 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 pnor 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 SECTlUfJ FuR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk 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 polluuon control district or air quality management district? O YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 UUNifl'KUCl'lON LbNUINU AtitNCY 1 hereby affirm that there is a construction lending agency tor the performance of the worK tor which Uiis permit is issued (bee 3097(0 Uml codej LENDER S NAME LENDER S ADDRESS 10 APPLKJAN1 UiHllrKJAnUn I certify that 1 have read the application and state that the above information is correct lagree to complywith allCity ordinances and State laws relating to building construction I hereby authonze 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 OTY OF CARLSBAD AGAINST ALL LIABUJTIES, 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 stones 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 authonzed by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandonad-at any qme/dfter the work is,«Smmenced for a period of 180 days (Section 303(d) Uniform Building CodeV APPLICANTS SIGNATURE L^S /-? // -W^Xf T \ " DATE/ is,«Smm f 9 \ ^L_ lAj ile ^-YELLOW ant PINK. Finance 1*4 , CITY OF CARLSBAD I " "* INSPECTION REQUEST PERMIT* CB962384 FOR 05/05/97, DESCRIPTION FRONT WALL SIGN, FOAM & METAL S^f L NOT ILLUMINATED TYPE SIGN JOB ADDRESS 2731 LOKER AV WEST APPLICANT: CLEAR COMMUNICATIONS PHONE CONTRACTOR PHONE OWNER PHONE: INSPECTOR AREA PLANCK* CB962384 OCC GRP CONSTR TYPE NEW STE LOT- 619 737-7414 REMARKS RS/MARILYN/737-7414 INSPECTOR SPECIAL INSTRUCT PERMIT WILL BE AT RECEPTION DESK TOTAL TIME —RELATED PERMITS— CD LVL DESCRIPTION 38 EL Signs PERMIT* TYPE STATUS GR960012 GRADING ISSUED SE960058 SWOW ISSUED AS960068 ASC ISSUED FS960024 FIXSYS ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION 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 B of the Labor Code, for the performance of the work for which this permit is issued My workers' 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 ($100) OR LESS) 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 •• C workers compensation laws of California Signature O Date /Z // 7 /& Warning Failure to secure workers' compensation coverage is unlawful, and shall be 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 3706 of the Labor Code, Interest and attorney's fees March 3, 1995 2075 Las Palmas Dr • Carlsbad CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 u This drawing & the contents represented herein are the sole property of Clear Communications and may not be reproduced In any manner without authorization in writing from Clear Communications © 1996 Clear Communications Clear Communications 235 Engel St Escondido, CA 92029 PH 737-7414 FX 737-7418 DATE SHEET \ © 1996 Clear Communications aor r^.nmmi inir»atifClear Communications 235 Engel St Escondido, CA 92029 PH 737-7414 FX 737-7418 DATE SHEET This drawing 4 the contents represented herein are the sole property of Clear Communications and may not be reproduced In any manner without authorization In writing from Clear Communications ©1996 Clear Communications Clear Communications 235 Engel St Escondido, CA 92029 PH 737-7414 FX 737-7418 DATE SHEET 4-an oc > p B cn £ z a This drawing & the contents represented herein are the sole property of Clear Communications and may not be reproduced In any manner without authorization in writing from Clear Communications © 1996 Clear Communications Clear Communications 235 Engel St Escondido, CA 92029 PH 737-7414 FX 737-7418 0 8 DATE SHEET iARTLEY SCOTT & KNIERIM P 0 BOX 4068 ^ -v ~ SAN DIEGO CA 92164 INSURED :LEAR COMMUNICATIONS DBA 3TEVE WEDDELL 235 ENGLE STREET 2SCONDIDO, CA 92029 CERTIFICATE OF INSURANCE AC PRODUCER 03843 ISSUE DATE (MM/OO/YY) fl 04/12/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW " - COMPANIES AFFORDING COVERAGE COMPANY GOLDEN EAGLE INSURANCE LETTER COMPANY LETTER B COMPANY LETTER COMPANY LETTER COMPANY LETTER COVERAGES N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RMS :o TR TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE 3ATE (MM/DD/YY) POUCY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE | JOCCUR OWNER S & CONTRACTOR S PROT GENERAL AGGREGATE PRODUCTS-COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MEDEXP (Any one person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED ALTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER S COMPENSATION AND EMPLOYERS LIABILITY NWC30150401 04/07/96 04/07/97 STATUTORY LIMITS EACH ACCIDENT 1,000,000 DISEASE-POLICY LIMIT * 1,000,000 DISEASE-EACH EMPLOYEE S 1,000,000 OTHE£>ROPERTY $500 DED CCP39076300 03/15/96 03/15/97 $143,000 SPEC FORM DESCRIPTION Of OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS :ERTHOLDER NAMED ADDITIONAL INSURED PER CG840 SXCEPT 10 DAY NOTICE FOR NON PAYMENT CERTIFICATE HOLDER CITY OF CARLSBAD ATTN BLDG/PERMITTING 2075 LAS PALMAS CARLSBAD CA 92009 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL in DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 25-S (7/90)©ACORD CORPORATION 1990