HomeMy WebLinkAbout2791 LOKER AVE W; MULTI-PERMIT FILE; CB010828; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02/26/2001 Sign Permit Permit No:CB010828
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2791 LOKER AV WEST CBAD
SIGN Status:
Parcel No: 2090811500
$5,000.00
Lot#: 0 Applied:
ISSUED
02/26/2001
JM
02/26/2001
02/26/2001
Valuation: Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: ASHWORTH -MONUMENT SIGN Inspect Area:
Applicant:
GLANZ SIGNING & GRAPHICS INC
9653 DISTRIBUTION AVENUE
SAN DIEGO, CA 92121
619-578-8487
Owner:
CHARTER GOLF INC
C/0 HALINA BAL VF
2791 LOKER AVE W
CARLSBAD CA 92008
2632 02/26/01 0002 01 02
CGP 100-96
Total Fees: $100.96 Total Payments To Date: $0.00 Balance Due: $100.96
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Inspector: /,~t-/j,,L.
FINAL APPROVAL
Date: 3~D1--o I
$61.19
$0.00
$39.77
$0.00
$0.00
$0.00
$0.00
$0.00
$100.96
Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. o:Jc)/L 6ri"
EST. VAL. _________ _
Plan Ck. Deposi~~f-.--------
Validated By_ .... Af\-:;...-______ _
Date _____ .....,=---------
~://1:J'r~-' --:-:-:----::-:--::-:---:---:-:--... ~'f':"lllii':-"'s--in ....... s'--"' ........ -~bt~,_is_a_d,.,.dr-:-es..,.s),------::,,------------
Lagal scn~1~ , Subdivision Nam~ Unit No. Phase No. Total # of units
Assessor's Parcel# Proposed Use
# of Bedrooms # of Bathrooms
City State/Zip Telephone# Fax#
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:
0 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 •
. r?{ 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
Asued. My worker's Cr1'J e ·on insu~ ce c rrier and policy number are: _ ,012w:: /''? _ _ !~ I Q l
Insurance Company ~j . Policy No.~..,-H,-,/,_._ ... __ JE2'4.J<-LJw<.-'_.-k_._____ Exp1rat1on Date.,.J,_u.._.1_..,__.;a?c....,_-'--1_1-_
(THIS SECTION NEED NOT BE CO PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) f
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannar so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure w kers' compensation coverage is unlawful, and shaU subject en employer to criminal penalties and civil fines up to one hundred
1 01 itlon t t e o t f compensation, damages es provided for in Section 3706 of the c a, i e st and attorney's fees.
SIGNATURE DATE
• ,.. ,. ~ oc • ,,, " -~
I hereby affir that I am exempt from the Contractor's License Law reason:
O . 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 Coda: 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).
O 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(sl licensed
pursuant to the Contractor's Licerse ~aw).
0 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. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I 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. I 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
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY !)F CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY-Ill! 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 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 withi 180 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 com nee o ape· d of 180 days (Sec ·on 106.4.4 Uniform Building Code).
YELLOW: Applicant PINK: Finance
DATE .-2...i...t..-26"1.,L+l .J.£0_,__( __ _ I
------
City of Carlsbad Bldg Inspection Request
For: 08/01/2001
Permit# CB010828
Title: ASHWORTH -MONUMENT SIGN
Description:
Type:SIGN Sub Type:
Job Address:
Suite:
2791 LOKER AV WEST
Lot 0
Location:
APPLICANT GLANZ SIGNING & GRAPHICS INC
Owner:
Remarks: NO CARD ON SITE
Total Time:
CD Description Act Comments
38 Signs _A/!_ f1Jt/l/L.
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: If t.. /,J
Phone: 8585788487
Inspector: {{C/l;
Requested By: DON GLANDS
Entered By: ROBIN
B U I L D I N G P E R M I T
12/14/94 15:39
Page 1 of 1
Job Address: 2791 LOKER AV WEST Suite:
Permit Type: SIGN
Parcel No: 209-081-15-00 Lot#:
Valuation: 3,500
Construction Type: NEW
Occupancy Group: Reference#:
Description: 4 SIGNS WALLS ASHWORTH
Permit No: CB941652
Project No: A941l24:.,4
Develoi;:,ment No:
997112/14/94 0001 01 02
C-PRMT 10'f,, c,c,
Status: ISSUED
Applied: 12/14/94
Apr/Issue: 12/14/94
Entered By: DC
Appl/Ownr : HEATH AND COMPANY
3225 LACEY STREET
213 223-41412
LOS ANGELES,
i< * * Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
l?lan Check
* SIGN TOTAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.oo
.00
104.00
***
Ext fee Data
63.00
41.00
1U4.0C
PERMIT APPLICATION PLAN CHECK NO. cvf ~ I 0,; z--
EST. VAL 3 S<:9 c)
City of carlsbad Building Department
2075 Las Palmas Dr •• carlsbad, CA 92009 (619) 438·1161
i. P£kMtt 'NPE PLAN CK DEPOSIT / a 1/
VAIID.BY C-
OATE From Llst 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units _________________ _
2. PRClJECf INFORMATION
Address Budding or Suite No.
FOR OFFICE USE ONLY
w.
mt o.
CHECK BEIDW IF s0BMl'1'1'ED:
Cl 2 Energy Cales C 2 Structural Cales C 2 Soils Report Cl 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK µ C.W $ I 0 "'~
SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
!{. WNl'ACI PERSON (n dmerenf from apphcanO
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Al'l'Ul;AN 1 U CUN IMCI OR 0 AGEN I FOR CUN I RACIOR
ADDRESS
DOWNER UAGENI FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE s. PROPERTY oWNER
NAME (last name first) 4sht.Jb >vi,/,, ~C,, ADDRESS ;; ) 9 I /..okek-.4v-e. W-
~J h1rd STATE CA. ZIP CODE °J).IJC f DAY TELEPHONE 4:J<f-6610
6
. ~E o~lff~me first) 1-/eA fj.., tt,-,J (.omf)A-M y ADDRESS J :).;lS l,4 c.-y S>;-, .
CITY STATE CA ZIP CODEC,00:1 J DAY TELEPHONE(~ JJ) ;2 ;l J-'-//}-/ /
LoJ' STATE uc. # ucENSE cLASs CITY BUSINESS uc. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WORKERS' CDMPENsA'lioN
Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-insure issued by the Director of lndustnal
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 POUCY NO. EXPIRATION DATE
Cert1hcate of Exemption: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
s. oWREk-BOilDER oECLARA'fibN
Owner-Bu1@er Declaration: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the following reason:
Cl 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 Llcense 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.).
Cl
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 Llcense 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
subjec~licant to a :ivil penalty of not more than five hundred dollars [$5001). .
SI~~~i;:'E ~t~U.o~~ll.DlNG PERMlTS ONLY: DATE / ;)--/~-C, '-/
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?
C YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES Cl NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
C YES Cl NO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF oa::uPANCY MAY NOT BE ISSUED AFfERJULY I, 1989 UNLF.SS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POUUTION CDNTilOL DISTIUCT.
9. CDNS'ikOClioN LENDING AGRNcY
I hereby afhrm that there 1s a construct10n lendmg agency for the performance of the work for which th1S permit IS 1SSued (Sec 3091(1) ClVII Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CHRIIFICAIION
I certify that I have read the apphcat1on and state that the above information 1s correct. I agree to comply with ail 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 Al.'iO AGREE 1U SAVE INDEMNIFY AND l<EEP HARMLESS THE CflY OF CARISBAD AGAINSf AIL UAB~ JUDGMENTS, CX>STS
AND EXPENSES WIIlCH MAY IN ANY WAY ACillUE AGAINSf SAID CflY IN CDNSEQUENCE OF THE GRANTING OF 11IlS 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 sue It s not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or a oned any · e f · ri_aj of 180 days (Section 303(d) Uniform Building Code).
APPUCANTS SIGNATURE / DATE: ___ _
WHITE: File
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB941652 FOR 02/09/95
DESCRIPTION: 4 SIGNS WALLS ASHWORTH
TYPE: SIGN
STE:
INSPECTOR AREA
PLANCK# CB941652
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2791
APPLICANT: HEATH AND
CONTRACTOR:
LOKER AV WEST
COMPANY PHONE: 213 223-41412
PHONE:
OWNER:
REMARKS: BJN/RON/929-6106
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB880425 RETAIN
88000066 COM
SE920012 swow
CB920124 ITI
AS930059 ASTI
CB931107 ITI
AS930089 ASC
AS930093 ASC
FA940009 FALARM
CD LVL DESCRIPTION
38 EL Signs
--------------------------------------------------------
ACT
PHONE:
INSPECTOR -----------
STATUS
EXPIRED
EXPIRED
ISSUED
EXPIRED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
I
I
B U I L D I N G P E R M I T Permit No: CB901571
Project No: A9001760
Development No:
09/27/90 12:11
Page· 1 of 1
Job Address: 2791 LOKER AV WEST Str: Fl: Ste:
Permit_ Type: SIGN
Parcel No: 209-081-15-00
Valuation: 2,000
Construction Type: NEW
Occupancy Group:
Description: CHARTER GOLF
Class Code:
: EL FUERTE BUSINESS PARTNERS
Status: ISSUED
Applied: 09/27/90
Apr/Issue:
Validated By: DC
Lie. OWNER OWNER
*** Fees Required *** Fees Collected & Credits ***
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
* BUILDING TOTAL
--O·iJ· L
2075 Las Palmas Dr., Carlsbad
i,/ :~~};
-·;:,<> .'.i. f·~L
Ni,:,,:;, ;.,l
.00
.00
74.00
Ext fee Data
45.00
29.00
74.00
~APPROVAL
INSP. ~ DATE '3/-'J-ft----,
1
.
CLEARANCE ____ :
) 438-1161
PERMIT APPLICATION
•
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . EST. VAL ____ ....,4 _..:,_....><,..,:: ____ _
1.
A
B
C
PERMIT TYPE
0 COMMERCIAL
[B1tiDUSTRIAL
0 RESIDENTIAL OAPARTMENT
ODUPLEX ODEMOLITION
OMECHANICAL OPOOL
TENANT IMPROVEMENT
OTENANT IMPROVEMENT
.
.
OCONDO OSINGLE FAMILY DWELLING OADDITION/ALTERATION
ORELOCATION OMOBILE HOME OELECTRICAL OPLUMBING
OsPA ORETAINING WALL OsoLAR OoTHER _____ _
PLAN CK DEPOSIT ___________ _
VALID. BY _____________ _
DATE _______________ _
2. PROJECT INFORMATION PLAN CHECK No. F
Address e:l 7C// L,o
Nearest Cross Streets
LEGAL DESCRIPTION Subdivision Name/Number Unit No. Phase No.
CHECK BELOW If SUBMITTED:
02 Energy Cales 02 Structural Cales
ASSESSOR IS PARCEL
bEsekiPf ION OF WORK c.Sg/"\ 3fiZO/sr
BLDG. SQ. FTG.
0 2 Soi ls Report O 1 Addressed Envelcpe
EXISTING USE PROPOSED USE
# OF STORIES
3. CONTACT PERSON
NAME ~./';Ire,, ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
SIGNATURE
4. APPLICANT D CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
DOWNER D AGENT FOR OWNER
NAME
CITY STATE ZIP CODE DAY TELEPHONE
5. PRog~T~WNER k t:0//-. f7ll :J OWNER Cfa Pf'"CY"~.--i /-it/~ NAME ~k' y "" ADDRESS
~7"/ ~~h-/?~ ,I!....
OLESSEE OTENANT
6.
7.
8.
CITY ,r
CONTRACTOR
NAME
CITY
SIGNATURE
DESIGNER NAME
CITY
STATE
STATE LIC. # ____ _
STATE
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS _____ _
Tl TLE
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
workers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self-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 Bui !ding Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shaI I not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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.).
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).
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, conmencing 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 ot 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?
Ores ONO
Is the applicant or future building occupant required to obtain a permit from the. air pollution control district or air quality management district?
Ores ONO
I'S the facit ity to be constructed within 1,000 feet of the outer boundary of a school site?
DYES
If ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCllJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET <II IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER IS NAME
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state tha the above info tion is correc I agree to comply with all City ordinances and State laws relating
to building construct ion. 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JlJlGMENTS, COSTS AND EXPENSES IIHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE 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 authorized 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 at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE D OWNER D CONTRACTOR OBY PHONE ~P~!lOl@lJY: ....,.,..,........, ___ ....,,_.....,....,.
DATE: ------------------
WHITE: File YELLOW: Applicant PINK: Finance