HomeMy WebLinkAbout2796 CARLSBAD BLVD; ; CB920179; PermitBUILDING PERMI
02/19/92 09:37
Page 1 of 1
Job Address: 2796 CARLSBAD BL Str:
Permit Type: SIGN
Parcel No: 203-172-15-00
Valuation: 400
Construction. Type: NEW
Occupancy Group: Class Code:
Description: CARLSBAD CYCLERY #2
T Permit No: CB920179
Project No: A9200508
Development No:
Fl: Ste:
6428 02/19/92 QOOi 01 02 25.00
Appl/Ownr : CHRISTIANSON, KAY
P O BOX 188
CARLSBAD, CA 92
619
Status: ISSUED
Applied: 02/19/92
Apr/Issue: 02/19/92
Validated By: DC
729-0110
,00
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
* BUILDING TOTAL
ted & Credits ***
> . 00
. 00
25.00
Ext fee Data
15.00
10. 00
25.00
!NSP.
CLEA'
AL APPROVAL / /
DATE $*A-
''
H^-
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las PaI mas Dr., Carlsbad, CA 92009 (619) 438-1161PERMIrTYPEA - D Commercial LI New Building OTenant ImprovementB - D Industrial D New Building D Tenant ImprovementC - ID Residential d Apartment D Condo D Single Family Dwelling D Addition/AlterationD Duplex D Demolition D Relocation D Mobile Home D Electrical D PlumbingD Mechanical DPool D Spa D Retaining Wall D Solar D Other2. PROJECT INFORMATIONAddress Building or Suite No.PLAN CHECK NO.EST.VALPLAN CK DEPOSIT.VALID. BYDATE FOR OFFICE USE ONLYNearest Cross StreetLKJAL DESCRIPTION (\fa /&£Lot No.Subdivision Name/Number Unit No.pfiase No.
bt'lJJW
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OFJVCJRK
SQ.FT.# OF STORIES
J. (JUIM1AL.1
NAME
CITY
(.if qitierent trom applicant^
STATIE/ffi'
tiEN I Ft
ADDRESS
ZIP PAY TELEPHONE
4. AFI'LIIANI UUJN1HAL.1UH UAtibNl rOK t,ON lKAL,iUK UUVtyhK LJAULNT rUK OWNbn
NAME /\ GA**^.A . hstitrxAl ADDRESS
CITY ZIP CODE PAY TELEPHONE
b. FKUl'tK'ITf UiViytRj
NAME/f^-J/ CJI£/£/jAM$'£fJ
CITY Cft££%l£rfl~£ STATE CM
6. CON 1 HAL, 1UR
NAME
CITY STATE
STATE UC. #
0ADDRESS ri& '1
7~ ZIP CODE vy^r
ADDRESS
ZIP CODE
LICENSE CLASS
- rtrt*a^v /tfo
r DAY TELEPHONE /£tf'~0 //&
DAY TELEPHONE
CITY BUSINESS UC. #
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CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WUKKhKb
Workers Compensation Declaration: 1 hereby atfirm that I have a certificate or 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 Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO.EXPIRATION DATE
Exemption: I certify that in me performance ot the worK lor wmcn tnis permit is issued, I shall not employ any person in any manner
' le subigct\tp the Workers' Compensation Laws of California.
DATE t-
STOWNER-a TION
:Iaration: I hereby atrirm that I am exempt Irom the Contractors License Law for the following reason:
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.).
P 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 exenTBt therefrom^afKJ the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the aifplicant to a civif'penattj''Qf not more than five hundred dollars IS500]).
SIGNATURE ( M &J ft J /9-i7M \fffti DATE
COMPLETE THIS SECTION FOmNON/REVIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occilpa/t required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program urmer Sections 255D&, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES H 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 H NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES Q NO
ff ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNIISS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CUMbTHUUnOfi LENDING AGENCY
I hereby aflirm that thereTs a construction lending agency for the perlormance ot the work lor which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that I nave 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 KEFJ HARMLESS THE CITY 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 abajjdoned at anytime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE / /J . _ "^ % /) . DATE:<X//7/7 Xif
File YELLOW: Applicant PINK; Finance
PERMIT* CB920179
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/22/92
DESCRIPTION: CARLSBAD CYCLERY #2
TYPE: SIGN
JOB ADDRESS: 2796 CARLSBAD BL
APPLICANT: CHRISTIANSON, KAY
CONTRACTOR:
OWNER:
REMARKS: RS/434-6681
SPECIAL INSTRUCT:
INSPECTOR AREA PY
PLANCK* CB920179
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619 729-0110
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
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ACT COMMENTS
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INSPECTION HISTORY *****
ACT INSP COMMENTS
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